Absen Penyuluhan 2018.doc

INSTALASI PROMOSI KESEHATAN RUMAH SAKIT dr .M. YUNUS BENGKULU BERITA ACARA PENYULUHAN Pada hari ini : ........................ tanggal ........................

di ..............................................

Telah dilakukan penyuluhan dengan Judul Materi : ............................................................................................................................................. Dengan Peserta, Sebanyak ............ Orang Dengan hasil dan materi sebagai berikut : .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... Demikianlah berita acara ini dibuat untuk dipergunakan sebagaimana mestinya. Ka. Instalasi PKRS

Nepi Iriani,SKM.MM

Penyuluh

(

)

Nip. 19790615 200903 2 001

INSTALASI PROMOSI KESEHATAN RSUD dr. M. YUNUS BENGKULU SATUAN ACARA PENYULUHAN

I . Judul Topik Penyuluhan

: ..................................................................................

.................................................................................. II.

Sub Topik

: .................................................................................. ..................................................................................

III.

Waktu

: .................................................................................. ..................................................................................

lV.

Tempat

: .................................................................................. ..................................................................................

V. TIU ( Tujuan Instruksional Umum) : ........................................................................... ......................................................................... ........................................................................ VI. TIK ( Tujuan Instruksional Khusus) : 1. ............................................................................................................................................ 2. ............................................................................................................................................ 3. ............................................................................................................................................

VII. Metoda

: .................................................................................. ..................................................................................

VIII. Alat bantu

: .................................................................................. ..................................................................................

IX. Materi penyuluhan

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Bengkulu,................................. Narasumber

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DAFTAR HADIR PESERTA PENYULUHAN INSTALASI PKRS RSUD Dr. M.YUNUS BENGKULU MATERI PENYULUH HARI/TANGGAL

: ............................................................................................. : ............................................................................................ : ............................./..............................................................

NO

NAMA

UKURAN

TANDA TANGAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Yesi Novrianti, SKM. M.Kes Husni Mubarak,SKM Asdiawati, SKM Eva handayani, SKM

30 31 32 33 34 35

DAFTAR HADIR PENYULUHAN TIM PROMOSI KESEHATAN RSUD Dr. M. YUNUS BENGKULU Bulan : 2018

No

Hari/Tanggal

Tim Promosi Kesehatan Nama

Materi Penyuluhan

Tanda Tangan

1. Yesi Novrianti, SKM. M.Kes

1.

2.

2.

3. Husni Mubarak,SKM

3.

4. Asdiawati, SKM

4.

5. Eva handayani, SKM

5.

Moderator

Bengkulu, Ka. Instalasi PKRS

( Yesi Novrianti, SKM. M.Kes ) Nip. 197611112010012006

2018