Contoh Spt.docx

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KOP PUSKESMAS

SURAT PERINTAH TUGAS Nomor : 800/

/ Pusk / 2019

Dasar : DIPAAPBN Dinas Kesehatan Provinsi Bali TA . 2019 No. SP DIPA 024.05.3.229002/2019, tanggal 05 Desember 2018 MEMERINTAHKAN : Kepada : 1. Nama Pangkat/gol NIP Jabatan

: : : :

2. Nama Pangkat/gol NIP Jabatan

: : : :

Untuk

: 1. Melakukan sweeping caupan POPM kecacingan di Kabupaten/Kota 2. Ke Sekolah Dasar Negeri …………. 3. Tanggal 9 April 2019

Demikian Surat Perintah Tugas ini dibuat untuk digunakan sebagaimana mestinya.

,,,,,,,,,,,,,,,,, 8 April 2019 KepalaPuskesmas ………..

……………………………. NIP.

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