Surat Tugas Bok 2019.docx
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PEMERINTAH KABUPATEN SUKABUMI DINAS KESEHATAN
UPTD PUSKESMAS CIBITUNG Jl. Raya Cikaso KM 6 Tlp. Kecamatan Cibitung Kabupaten Sukabumi e-mail : [email protected] Kode Pos 43172
SURAT PERINTAH TUGAS NOMOR : / /PKM/ /2019
DASAR
: 1. SK Kepala UPTD Puskesmas Cibitung Kabupaten Sukabumi tentang pembagian tugas NOMOR : / /PKM/ /2019 2. Surat Tugas dari Kepala UPTD Puskesmas terkait tugas tertentu di Puskesmas NOMOR : / /PKM/ /2019 MEMERINTAHKAN :
Nama
: .................................................................................................
Pangkat/Golongan : ................................................................................................. NIP
: .................................................................................................
Jabatan
: .................................................................................................
Untuk
: Melaksanakan perjalanan Dinas .................................................... ..............................................................................................Pada : Hari
:
Tanggal
:
Tempat
:
Ditetapkan di Cibitung Pada tanggal, /
/2019
KEPALA UPTD PUSKESMAS CIBITUNG
YOGIANTO, SKM PENATA NIP.198011172008011004
UPTD PUSKESMAS CIBITUNG Jl. Raya Cikaso KM 6 Tlp. Kecamatan Cibitung Kabupaten Sukabumi e-mail : [email protected] Kode Pos 43172
SURAT PERINTAH TUGAS NOMOR : / /PKM/ /2019
DASAR
: 1. SK Kepala UPTD Puskesmas Cibitung Kabupaten Sukabumi tentang pembagian tugas NOMOR : / /PKM/ /2019 2. Surat Tugas dari Kepala UPTD Puskesmas terkait tugas tertentu di Puskesmas NOMOR : / /PKM/ /2019 MEMERINTAHKAN :
Nama
: .................................................................................................
Pangkat/Golongan : ................................................................................................. NIP
: .................................................................................................
Jabatan
: .................................................................................................
Untuk
: Melaksanakan perjalanan Dinas .................................................... ..............................................................................................Pada : Hari
:
Tanggal
:
Tempat
:
Ditetapkan di Cibitung Pada tanggal, /
/2019
KEPALA UPTD PUSKESMAS CIBITUNG
YOGIANTO, SKM PENATA NIP.198011172008011004
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