PEMERINTAH KABUPATEN BANDUNG

DINAS KESEHATAN
UPT PELAYANAN KESEHATAN KEC. BALEENDAH

PUSKESMAS JELEKONG
Jalan Raya Laswi 705 Telp. 022-85961121 Kode Pos 40375
E-mail : pkmjelekong_bandungkab@yahoo.com

Jelekong, April 2018

Nomor : 005/ /IV/PKM/2018 Kepada Yth.

Lampiran :- Bapak/ibu Staf Karyawan
Perihal : Undangan Pertemuan Evaluasi proses Puskesmas Jelekong
Pemberian Informasi di Pendaftaran di
tempat

Dengan hormat,
Sehubungan dengan upaya Peningkatan Mutu Pelayanan dan Keselamatan
Pasien di Puskesmas Jelekong dan sebagai tindak lanjut dari Penyusunan
Kebijakan Mutu dan Keselamatan Pasien serta Penggalangan Komitmen
Bersama, maka mengharap dengan hormat atas kehadiran saudara untuk dapat
mengikuti pertemuan yang akan dilaksanakan pada :

Hari :
TanggaI : 2018
Waktu : 12.00 wib s/d selesai
Tempat : Ruang Rapat Puskesmas Jelekong
Keperluan :

Demikian undangan ini disampaikan, atas kehadiran Ibu tepat pada waktunya
kami ucapkan terima kasih.

Mengetahui,
Kepala Puskesmas Jelekong,

dr. Hj. Etik Juheti Sihwarini

NIP. 19670521 199803 2 003

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 PEMERINTAH KABUPATEN BANDUNG
DINAS KESEHATAN
PUSKESMAS JELEKONG
Jalan Raya Laswi 705 Telp. 022-85961121 Kode Pos 40375
E-mail : pkmjelekong_bandungkab@yahoo.com

DAFTAR HADIR PESERTA

Kegiatan : Pertemuan evaluasi proses pemberian informasi di Pendaftaran

Hari/Tanggal Pelaksanaan : Maret 2018
Pelaksana : ......................................................................................................
Tempat : Ruang Rapat Puskesmas Jelekong

No Nama Jabatan NIP Tanda Tangan

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27 27

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Jelekong, ................................2018
Mengetahui,
Kepala Puskesmas Jelekong, Penanggung Jawab,

dr. Hj. Etik Juheti Sihwarini (....................................)

NIP. 19670521 199803 2 003 NIP

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 PEMERINTAH KABUPATEN BANDUNG
DINAS KESEHATAN
PUSKESMAS JELEKONG
Jalan Raya Laswi 705 Telp. 022-85961121 Kode Pos 40375
E-mail : pkmjelekong_bandungkab@yahoo.com

Notulen
Pertemuan Kegiatan : ..........................................................................................................
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Tanggal : ..........................................................................................................
Pukul : ..........................................................................................................
Tempat : ..........................................................................................................
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