8/17/2019 SURAT TUGAS Mengambil Vaksin

1/7

PEMERINTAH KABUPATEN HULU SUNGAI UTARA

  PUSKESMAS AMUNTAI SELATAN   Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/ /Pusk-AS/V/2013

!"#$" %"% P%m&%"$" Pusk!sm$s Amu"'$% S!($'$" K$)u&$'!" Hu(u Su"#$% U'$r$

m!m)!r%k$" 'u#$s k!&$*$ :

 N

o

 N$m$/ NIP

P$"#k$'/ Go(o"#$"+$)$'$" T$"##$(

1, H,H$s"$" S,K!&

 NIP, 1.0312 1.8812 1 001

P!"$'$ Tk,I/ III *

P!"#!(o($ Pro#r$m

Imu"%s$s%

1 M!% 2013

K!#%$'$" : M!"#$m)%( V$ks%"

L$m$ K!#%$'$" : 1 S$'u H$r%

Tuu$" : %"$s K!s!4$'$" HSU

!m%k%$" *%s$m&$%k$" $#$r 5$"# )!rs$"#ku'$" *$&$' m!($ks$"$k$" 'u#$s *!"#$" &!"u4

'$"##u"# $6$),

  Amu"'$% S!($'$" 1 M!% 2013

  P%m&%"$" Pusk!sm$s Amu"'$%

S!($'$"

K$)u&$'!" Hu(u Su"#$% U'$r$

  *r,H,Nor4%*$5$4

  NIP, 1.031 20007 2 00.

8/17/2019 SURAT TUGAS Mengambil Vaksin

2/7

PEMERINTAH KABUPATEN HULU SUNGAI UTARA

  PUSKESMAS AMUNTAI SELATAN   Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/ /Pusk-AS/I/2013

!"#$" %"% P%m&%"$" Pusk!sm$s Amu"'$% S!($'$" K$)u&$'!" Hu(u Su"#$% U'$r$

m!m)!r%k$" 'u#$s k!&$*$ :

 N

o

 N$m$/ NIP

P$"#k$'/ Go(o"#$"+$)$'$" T$"##$(

1, H,H$s"$" S,K!&

 NIP, 1.0312 1.8812 1 001

P!"$'$ Tk,I/ III *

P!"#!(o($ Pro#r$m

Imu"%s$s%

 2 +$"u$r% 2013

K!#%$'$" : M!"#$m)%( V$ks%"

L$m$ K!#%$'$" : 1 S$'u H$r%

Tuu$" : %"$s K!s!4$'$" HSU

!m%k%$" *%s$m&$%k$" $#$r 5$"# )!rs$"#ku'$" *$&$' m!($ks$"$k$" 'u#$s *!"#$" &!"u4

'$"##u"# $6$),

  Amu"'$% S!($'$" 2 +$"u$r% 2013

  P%m&%"$" Pusk!sm$s Amu"'$%

S!($'$"

K$)u&$'!" Hu(u Su"#$% U'$r$

  *r,H,Nor4%*$5$4

  NIP, 1.031 20007 2 00.

8/17/2019 SURAT TUGAS Mengambil Vaksin

3/7

PEMERINTAH KABUPATEN HULU SUNGAI UTARA

  PUSKESMAS AMUNTAI SELATAN   Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/ /Pusk-AS/I/2013

!"#$" %"% P%m&%"$" Pusk!sm$s Amu"'$% S!($'$" K$)u&$'!" Hu(u Su"#$% U'$r$

m!m)!r%k$" 'u#$s k!&$*$ :

 N

o

 N$m$/ NIP

P$"#k$'/ Go(o"#$"+$)$'$" T$"##$(

1, H,H$s"$" S,K!&

 NIP, 1.0312 1.8812 1 001

P!"$'$ Tk,I/ III *

P!"#!(o($ Pro#r$m

Imu"%s$s%

 2 +$"u$r% 2013

K!#%$'$" : M!"#$m)%( V$ks%"

L$m$ K!#%$'$" : 1 S$'u H$r%

Tuu$" : %"$s K!s!4$'$" HSU

!m%k%$" *%s$m&$%k$" $#$r 5$"# )!rs$"#ku'$" *$&$' m!($ks$"$k$" 'u#$s *!"#$" &!"u4

'$"##u"# $6$),

  Amu"'$% S!($'$" 2 +$"u$r% 2013

  P%m&%"$" Pusk!sm$s Amu"'$%

S!($'$"

K$)u&$'!" Hu(u Su"#$% U'$r$

  *r,H,Nor4%*$5$4

  NIP, 1.031 20007 2 00.

8/17/2019 SURAT TUGAS Mengambil Vaksin

4/7

PEMERINTAH KABUPATEN HULU SUNGAI UTARA

  PUSKESMAS AMUNTAI SELATAN   Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/2/I/PAS/I/2012

!"#$" %"% P%m&%"$" Pusk!sm$s Amu"'$% S!($'$" K$)u&$'!" Hu(u Su"#$% U'$r$

m!m)!r%k$" 'u#$s k!&$*$ :

 N

o

 N$m$/ NIP

P$"#k$'/ Go(o"#$"+$)$'$" T$"##$(

1, M%($'%( H$"%$

 NIP,1.820907 20001 2 010

P!"#$'ur Tk,I/ II *

P!'u#$s Sur!%($"s 2 +u(% 2011

K!#%$'$" : M!"#$"'$r L$&or$" ;1

L$m$ K!#%$'$" : 1 S$'u H$r%

Tuu$" : %"$s K!s!4$'$" HSU

!m%k%$" *%s$m&$%k$" $#$r 5$"# )!rs$"#ku'$" *$&$' m!($ks$"$k$" 'u#$s *!"#$" &!"u4

'$"##u"# $6$),

  Amu"'$% S!($'$" 9 +u(% 2011

  P(4,P%m&%"$" Pusk!sm$s Amu"'$% S!($'$"

  K$)u&$'!" Hu(u Su"#$% U'$r$

  H,M$45u(%$"s5$4 S,K!&

 NIP, 1.010. 1.8803 1 003

PEMERINTAH KABUPATEN HULU SUNGAI UTARA

8/17/2019 SURAT TUGAS Mengambil Vaksin

5/7

  PUSKESMAS AMUNTAI SELATAN

 J  Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/38/Pusk-AS/I

8/17/2019 SURAT TUGAS Mengambil Vaksin

6/7

  PUSKESMAS AMUNTAI SELATAN   Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/ /Pusk-AS/

8/17/2019 SURAT TUGAS Mengambil Vaksin

7/7

  PUSKESMAS AMUNTAI SELATAN

 J  Jl. Gaya Baru Desa Telaga Silaba Kec. Amuntai Selatan

SURAT TUGAS

 Nomor : 800/380/Pusk-AS/I