Ceklist Kebersihan
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LEMBAR PEMERIKSAAN KEBERSIHAN PUSKESMAS KECAMATAN PENJARINGAN JAKARTA UTARA BULAN PENGECEKAN : NO
AREA
AREA : 1
2
3
4
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14
TANGGAL 15 16
17
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21
22
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25
22
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25
1 MEJA 2 LEMARI 3 KURSI 4 LANTAI 5 AC 6 SUDUT RUANGAN 7 KACA JENDELA Petugas Cleaning Service Petugas Poli
BULAN PENGECEKAN : NO
AREA
1 Dinding Kamar mandi 2 Closset 3 Bak Mandi/ Ember 4 Gayung 5 Lantai kamar mandi 6 Kaca / Washtafel Petugas Cleaning Service Petugas Poli
AREA : Toilet 1
2
3
4
5
6
7
8
9
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11
12
14
TANGGAL 14 15 16
17
18
19
21
LEMBAR PEMERIKSAAN KEBERSIHAN PUSKESMAS KECAMATAN PENJARINGAN JAKARTA UTARA BULAN PENGECEKAN : NO
AREA
1 Dinding Kamar mandi 2 Closset 3 Bak Mandi/ Ember 4 Gayung 5 Lantai kamar mandi 6 Kaca / Washtafel Petugas Cleaning Service Petugas Poli
AREA : Toilet 1
2
3
4
5
6
7
8
9
10
11
12
14
TANGGAL 14 15 16
17
18
19
21
22
23
24
25
26
27
28
29
30
31
26
27
28
29
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31
26
27
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29
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31
AREA
AREA : 1
2
3
4
5
6
7
8
9
10
11
12
14
14
TANGGAL 15 16
17
18
19
21
22
23
24
25
22
23
24
25
1 MEJA 2 LEMARI 3 KURSI 4 LANTAI 5 AC 6 SUDUT RUANGAN 7 KACA JENDELA Petugas Cleaning Service Petugas Poli
BULAN PENGECEKAN : NO
AREA
1 Dinding Kamar mandi 2 Closset 3 Bak Mandi/ Ember 4 Gayung 5 Lantai kamar mandi 6 Kaca / Washtafel Petugas Cleaning Service Petugas Poli
AREA : Toilet 1
2
3
4
5
6
7
8
9
10
11
12
14
TANGGAL 14 15 16
17
18
19
21
LEMBAR PEMERIKSAAN KEBERSIHAN PUSKESMAS KECAMATAN PENJARINGAN JAKARTA UTARA BULAN PENGECEKAN : NO
AREA
1 Dinding Kamar mandi 2 Closset 3 Bak Mandi/ Ember 4 Gayung 5 Lantai kamar mandi 6 Kaca / Washtafel Petugas Cleaning Service Petugas Poli
AREA : Toilet 1
2
3
4
5
6
7
8
9
10
11
12
14
TANGGAL 14 15 16
17
18
19
21
22
23
24
25
26
27
28
29
30
31
26
27
28
29
30
31
26
27
28
29
30
31
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