surat tugas mala bulan desember.docx

8/17/2019 SURAT TUGAS MALA BULAN DESEMBER.docx

1/100

DINAS KESEHATAN KABUPATEN POLMAN PUSKESMAS MASSENGA

Jln. Olah Raga No1 Kelurahan Polewal

SURAT TUGAS

NO ! "PKM#MS"$II"%&1'

Tanggal ! &(#1%#%&1'

)ang *er+an,a +angan , *awah n

Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&

Ja*a+an ! KTU Pu23e2-a2 Ma22enga

Me-*er 3an Tuga2 3e4a,a

NO NAMA/NIP TANGGAL TEMPATTUJUAN

MAKSUDPERJALANAN

1 Hijriyanah.B,AMd.K !"#$1%$%"1&

K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'

Di! !an+an ada DIPA Sa0+ r Dina K ha0an Ka!.P)' *a'i Mandar 0ah(n %"1&

D -i+ian S(ra0 T( a ini di!(a0 (n0(+ da a0 di'a+ ana+an !ai+$!ai+nya.

KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN


2/100

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an + 'a i!( ha-i'

#. Ha i' +(nj(n an J(-'ah i!( ha-i' yan - n i+(0i + ia0an + 'a i!(

ha-i' ada'ah

a. 3 Oran di + ')- )+ D(rian

5. K i- ('an aran r!ai+an

a. P n0in (n0(+ 'a'( - 'a+(+an + i0an + 'a i!( ha-i' a ar i!( ' !ih

- -aha-i +)ndi i N)r-a' !a i i!( ha-i', i!( ! r a'in, ni6a , dan !ayi

!. I!( ha-i' da a0 - 'a+ ana+an na- i!( ha-i' d n an !ai+ dan ! nar.

P)' *a'i, "# D -! r %"1&

Hijriyanah.B,AMd.K !



3/100


SURAT TUGAS


Tanggal ! &'#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 Ba -a'a Sari, A.Md.K ! "&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN


4/100

1. Da ar



ha-i' ada'ah

a. 3 Oran di + ')- )+ Tanr)





P)' *a'i, "& N)7 -! r %"1&

Ba -a'a Sari, A.Md.K !




5/100

SURAT TUGAS


Tanggal ! &/#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 D -iya0i Adriani Mann), A-d.K !12841%%# %""3"5 % ""3 "2$1%$%"1&

K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



6/100


ha-i' ada'ah

a. 3 Oran di + ')- )+ Lan a0





P)' *a'i, "2 D -! r %"1&

D -iya0i Adriani Mann), A-d.K ! 12841%%# %""3"5 % ""3



SURAT TUGAS


7/100


Tanggal ! 1'#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 Id9nada L Raja!, A-d. K ! 1&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



8/100


ha-i' ada'ah

a. 8 Oran di + ')- )+ Uj(n





P)' *a'i, 1& D -! r %"1&

Id9nada L Raja!, A-d. K !



SURAT TUGAS



9/100

Tanggal ! %1#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 Sri :ahy(ni B ,AMd. K !%1$1%$%"1&

K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



ha-i' ada'ah


10/100


11/100

Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 M( da'i6ah, AMd.K ! %4$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



ha-i' ada'aha. 8 Oran di + ')- )+ Ga )'


12/100





P)' *a'i, %4 D -! r %"1&

M( da'i6ah, AMd. K !



SURAT TUGAS


Tanggal ! (%#%&1'



13/100

Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! #"$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+ 'a i!( ha-i'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



ha-i' ada'ah

a. 3 Oran di + ')- )+ P)' *a'i



14/100




P)' *a'i, #" D -!ar %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal ! &6#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&


15/100




MAKSUDPERJALANAN

1 D -iya0i Adriani Mann), A-d.K !12841%%# %""3"5 % ""3 "8$1%$%"1&

K '(rahan

P)' *a'i

M 'a+ ana+an

Pr)-) i ASI

E +'( i6



KTU P( + -a Ma n a

H . NUR5ENA

Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an r)-) i ASI + +'( i6

#. Ha i' +(nj(n an J(-'ah + ')- )+ i!( ni6a yan di+(nj(n i ada'ah

a. 1 K ')- )+ di 'in +(n an Ga )'


a. D n an -! rian ASI + +'( i6 da 0 - nin +a0+an + + !a'an 0(!(h ada

!ayi


16/100

!. D n an -! rian ASI + +'( i6 da a0 - 'ahir+an n rai i yan ; rda

;. Da a - n (ran i in6 + i ada !ayi !ar( 'ahir

.

P)' *a'i, "8 D -! r %"1&

D -iya0i Adriani Mann), A-d.K !12841%%# %""3"5 % ""3



SURAT TUGAS


Tanggal ! &'#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&



17/100



MAKSUDPERJALANAN

1 Hijriyanah.B,AMd.K !"&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an i!(

ha-i' KEK



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an +(nj(n an i!( ha-i' KEK

#. Ha i' +(nj(n an J(-'ah i!( ha-i' KEK yan di+(nj(n i ada'ah

a. 1Oran di 'in +(n an P)' *a'i


a. Dihara +an -(a i!( ha-i' KEK da a0 - njadi i!( ha-i' n)r-a'

. !. M n; ah 0 rjadinya + 'ahiran BBLR


18/100

P)' *a'i, "& D -! r %"1&




SURAT TUGAS


Tanggal ! & #1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


19/100

1 Hijriyanah.B,AMd.K !"4$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an i!(

ha-i' KEK



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1Oran di 'in +(n an Uj(n




P)' *a'i, "4 D -! r %"1&


20/100


21/100

1 Hijriyanah.B,AMd.K !11$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an i!(

ha-i' KEK



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1Oran di 'in +(n an Tanr)




P)' *a'i, 11 D -! r %"1&


22/100



Jln. Olah Raga No.1 Kelurahan Polewal

SURAT TUGAS


Tanggal ! &7#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


23/100

1 Ba -a'a Sari, A.Md.K ! "5$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an a ;a

r(j(+an



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an +(nj(n an a ;a r(j(+an

#. Ha i' +(nj(n an J(-'ah i!( a ;a r(j(+an yan di+(nj(n i ada'ah

a. % Oran di 'in +(n an P)' *a'i


a.S -(a i!( yan dir(j(+ (dah - nda a0 'ayanan yan (ai

.

P)' *a'i, "5 D -! r %"1&


24/100




SURAT TUGAS


Tanggal ! 1%#%&1'

)ang *er+an,a +angan , *awah nNa-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


25/100

1 Ba -a'a Sari, A.Md.K ! 1"$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an a ;a

r(j(+an



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1 Oran di 'in +(n an Tanr)



.

P)' *a'i, 1" D -! r %"1&


26/100




SURAT TUGAS


Tanggal ! 1'#1%#%&1'


Na-a ! H .NurwenaNIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


27/100

1 Ba -a'a Sari, A.Md.K ! 1&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an a ;a

r(j(+an



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1 Oran di 'in +(n an Uj(n



.

P)' *a'i, 1& D -! r %"1&


28/100




SURAT TUGAS


Tanggal ! &'#1%#%&1'


NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


29/100

1 Sri :ahy(ni B ,AMd. K ! "&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an B(-i'

R 0i



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an K(nj(n an

B(-i'R 0i

#. Ha i' K(nj(n an/Ra a0 J(-'ah I!(

Ha-i' R 0i yan di+(nj(n i ada'ah

a. 1 Oran di Lin +(n an Uj(n

5. K i- ('an/Saran P r!ai+an a. P r'(nya - 'a+(+an -an0a(an ;ara

! r+a'a ada i!( ha-i' R 0i (n0(+

- n an0i i a i 0 rjadinya +)- 'i+a i

+ ha-i'an hin a !i a di0an ani

d n an ; a0.


30/100

!. P ny('(han + ada i!( dan + '(ar a

0 n0an 0anda$0anda !ahaya 'a-a ha-i'

P)' *a'i, "& D -! r %"1&

Sri :ahy(ni B ,AMd. K !



SURAT TUGAS


Tanggal ! 11#1%#%&1'


NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


31/100

1 Sri :ahy(ni B ,AMd. K ! 11$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an B(-i'

R 0i



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

5. Da ar

&. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an K(nj(n an

B(-i'R 0i

3. Ha i' K(nj(n an/Ra a0 J(-'ah I!(


a. 1 Oran di Lin +(n an P)' *a'i





d n an ; a0.


32/100



P)' *a'i, 11 D -! r %"1&




SURAT TUGAS


Tanggal ! 16#1%#%&1'


NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


33/100

1 Sri :ahy(ni B ,AMd. K ! 18$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an B(-i'

R 0i



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

!. Da ar

;. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an K(nj(n an

B(-i'R 0i

d. Ha i' K(nj(n an/Ra a0 J(-'ah I!(


a. 1 Oran di Lin +(n an Ga )'





d n an ; a0.


34/100



P)' *a'i, 18 D -! r %"1&




SURAT TUGAS


Tanggal ! %1#1%#%&1'


NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


35/100

1 Sri :ahy(ni B ,AMd. K ! %1$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an B(-i'

R 0i



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

. Da ar

6. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an K(nj(n an

B(-i'R 0i

. Ha i' K(nj(n an/Ra a0 J(-'ah I!(


a. 1 Oran di Lin +(n an Tanr)





d n an ; a0.


36/100



P)' *a'i, %1 D -! r %"1&


DINAS KESEHATAN KABUPATEN POLMAN

PUSKESMAS MASSENGAJln. Olah Raga No1 Kelurahan Polewal

SURAT TUGAS


Tanggal ! &%#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


37/100

1 M( da'i6ah, AMd. K ! "%$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an +(nj(n an N )na0a'

#. Ha i' +(nj(n an J(-'ah Bayi !ar( 'ahir yan di+(nj(n i ada'ah

a. % Oran di 'in +(n an Uj(n


a. Dihara +an -(a !ayi yan di+(nj(n i 0 rhindar dari in6 + i

!. S 0 'ah di'a+(+an +(nj(n an n )na0a' dihara +an -(a i!( ni6a da a0

- n r0i dan - n 0ah(i 0anda$0anda in6 + i ada !ayi !ar( 'ahir,dan ra

- -!a*a !ayinya + 6a i'i0a + ha0an !i'a ada 0anda$0anda in6 + i.

.


38/100

P)' *a'i,"% D -! r %"1&


DINAS KESEHATAN KABUPATEN POLMAN

PUSKESMAS MASSENGAJln. Olah Raga No1 Kelurahan Polewal

SURAT TUGAS


Tanggal ! &'#1%#%&1'


Na-a ! H .NurwenaNIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


39/100

1 M( da'i6ah, AMd. K ! "&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1 Oran di 'in +(n an Ga )'






.


40/100

P)' *a'i,"& D -! r %"1&




SURAT TUGAS


Tanggal ! &/#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&



NO NAMA/NIP TANGGAL TEMPAT

TUJUAN

MAKSUD

PERJALANAN


41/100

1 M( da'i6ah, AMd. K ! "2$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. # Oran di 'in +(n an Tanr) Bara0






.


42/100

P)' *a'i, "2 D -! r %"1&


+



SURAT TUGAS


Tanggal ! 1(#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


43/100

1 M( da'i6ah, AMd. K ! 1#$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar









.


44/100

P)' *a'i,1# D -! r %"1&




SURAT TUGAS


Tanggal ! 16#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


45/100

1 M( da'i6ah, AMd. K ! 18$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 5 Oran di 'in +(n an Tanr) Ti-(r






.


46/100

P)' *a'i,18 D -! r %"1&




SURAT TUGAS


Tanggal ! %%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


47/100

1 M( da'i6ah, AMd. K ! %"$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. 1 Oran di 'in +(n an P)' *a'i






.


48/100

P)' *a'i,%" D -! r %"1&




SURAT TUGAS


Tanggal ! %(#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


49/100

1 M( da'i6ah, AMd. K ! %#$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. # Oran di 'in +(n an M jid ja-i






.


50/100

P)' *a'i,%# D -! r %"1&




SURAT TUGAS


Tanggal ! %0#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


51/100

1 M( da'i6ah, AMd. K ! %3$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. % Oran di 'in +(n an Tanr) Bara0






.


52/100

P)' *a'i,%3 D -! r %"1&




SURAT TUGAS


Tanggal ! % #1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


53/100

1 M( da'i6ah, AMd. K ! %4$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. # Oran di 'in +(n an Ga )'






.


54/100

P)' *a'i,%4 D -! r %"1&




SURAT TUGAS


Tanggal ! (1#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


55/100

1 M( da'i6ah, AMd. K ! #1$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an

n )na0a'



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. % Oran di 'in +(n an Uj(n






.


56/100

P)' *a'i,#1 D -! r %"1&




SURAT TUGAS


Tanggal !&1#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




57/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! "1$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an +(nj(n an P5K

#. Ha i' +(nj(n an J(-'ah i!( ha-i' yan di+(nj(n i ada'ah

a.1 Oran di 'in +(n an P)' *a'i


a. Dihara +an -(a i!( ha-i' da a0 - 'ahir+an di 6a i'i0a K ha0an

!. Dihara +an (a-i dan + '(ar a da a0 - nd(+(n i!( ha-i' a ar r)

r a'inan da a0 ! r'an (n d n an n)r-a'

.


58/100

P)' *a'i, "1 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !&(#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




59/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! "#$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an P)' *a'i





.


60/100

P)' *a'i, "# D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !&'#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




61/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! "&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an Tanr) Ti-(r





.


62/100

P)' *a'i, "& D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGASNO ! "PKM#MS"$II"%&1'

Tanggal !&/#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




63/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! "2$1%$%"1& K '(rahanP)' *a'i

M 'a+ ana+anK(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an M jid Ja-i





.


64/100

P)' *a'i, "2 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !11#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




65/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! 11$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.# Oran di 'in +(n an Ga )'





.


66/100

P)' *a'i, 11 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !1'#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




67/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! 1&$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.# Oran di 'in +(n an Tanr) Ti-(r





.


68/100

P)' *a'i, 1& D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !1 #1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




69/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! 14$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.# Oran di 'in +(n an Uj(n





.


70/100

P)' *a'i, 14 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !%1#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




71/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! %1$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an P)' *a'i





.


72/100

P)' *a'i, %1 D -! r %"1&

M(rnian0i, AMd.K !




Tanggal !%%#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




73/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! %%$1%$%"1& K '(rahanP)' *a'i




KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an Tanr) Bara0





.


74/100

P)' *a'i, %% D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !%(#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




75/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! %#$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar








.


76/100

P)' *a'i, %# D -! r %"1&

M(rnian0i, AMd.K !




Tanggal !%0#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




77/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! %3$1%$%"1& K '(rahanP)' *a'i




KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a.% Oran di 'in +(n an Uj(n





.


78/100

P)' *a'i, %3 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal !%/#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




79/100


MAKSUDPERJALANAN

1 M(rnian0i, AMd.K ! %2$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

K(nj(n an P5K



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar








.


80/100

P)' *a'i, %2 D -! r %"1&

M(rnian0i, AMd.K !



SURAT TUGAS


Tanggal ! &1#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




81/100


MAKSUDPERJALANAN

1 Id9nada L Raja!, A-d. K ! "1$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar

%. T(j(an K(nj(n an/Ra a0 M 'a+ ana+an + ia0an +(nj(n an ni6a

#. Ha i' +(nj(n an J(-'ah i!( ni6a yan di+(nj(n i ada'ah a. 1 Oran di 'in +(n an M jid ja-i


a. P n0in (n0(+ 'a'( - 'a+(+an + i0an +(nj(n an ni6a a ar i!( ' !ih

- -aha-i +)ndi i N)r-a' !a i i!( ni6a .

!. D n an - 'a+(+an + ia0an +(nj(nan ni6a da a0 - n; ah 0 rjadinya in6 + i

a ;a - 'ahir+an


82/100

P)' *a'i, "1 D -! r %"1&




SURAT TUGAS


Tanggal ! &7#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




83/100


MAKSUDPERJALANAN


P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar


#. Ha i' +(nj(n an J(-'ah i!( ni6a yan di+(nj(n i ada'ah a. 1 Oran di 'in +(n an P)' *a'i





a ;a - 'ahir+an


84/100

P)' *a'i, "5 D -! r %"1&




SURAT TUGAS

NO ! "PKM#MS"$II"%&1'Tanggal ! & #1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




85/100


MAKSUDPERJALANAN


P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar


#. Ha i' +(nj(n an J(-'ah i!( ni6a yan di+(nj(n i ada'ah a. 1 Oran di 'in +(n an Uj(n





a ;a - 'ahir+an


86/100

P)' *a'i, "4 D -! r %"1&




SURAT TUGAS


Tanggal ! 1%#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


87/100


88/100

P)' *a'i, 1% D -! r %"1&




SURAT TUGAS


Tanggal !10#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


89/100

1 Id9nada L Raja!, A-d. K ! 13$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar


#. Ha i' +(nj(n an J(-'ah i!( ni6a yan di+(nj(n i ada'ah

a. % Oran di 'in +(n an Tanr) Bara0





a ;a - 'ahir+an


90/100

P)' *a'i, 13 D -! r %"1&




SURAT TUGAS


Tanggal !1/#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


91/100

1 Id9nada L Raja!, A-d. K ! 12$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. % Oran di 'in +(n an Tanr) Ti-(r





a ;a - 'ahir+an


92/100

P)' *a'i, 12 D -! r %"1&




SURAT TUGAS


Tanggal !%%#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


93/100

1 Id9nada L Raja!, A-d. K ! %%$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar








a ;a - 'ahir+an


94/100

P)' *a'i, %% D -! r %"1&




SURAT TUGAS


Tanggal !%(#1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




MAKSUDPERJALANAN


95/100

1 Id9nada L Raja!, A-d. K ! %#$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. % Oran di 'in +(n an M jid ja-i





a ;a - 'ahir+an


96/100

P)' *a'i,%# D -! r %"1&




SURAT TUGAS


Tanggal !% #1%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




97/100


MAKSUDPERJALANAN

1 Id9nada L Raja!, A-d. K ! %4$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar


#. Ha i' +(nj(n an J(-'ah i!( ni6a yan di+(nj(n i ada'ah a. # Oran di 'in +(n an Ga )'





a ;a - 'ahir+an


98/100

P)' *a'i,%4 D -! r %"1&




SURAT TUGAS


Tanggal !(%#%&1'


Na-a ! H .Nurwena

NIP ! 1/0(1%(1 1/ 0&( % %'&




TUJUAN

MAKSUD

PERJALANAN


99/100

1 Id9nada L Raja!, A-d. K ! #"$1%$%"1& K '(rahan

P)' *a'i

M 'a+ ana+an

+(nj(n an Ni6a



KTU P( + -a Ma n a

H . NUR5ENA Ni . 123#1%#1 1243"# % %&"

LAPORAN

1. Da ar



a. % Oran di 'in +(n an Tanr) Ti-(r





a ;a - 'ahir+an


100/100

P)' *a'i,#" D -! r %"1&


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