6.1.2 Ep 5 Bukti Pelaksanaan Perbaikan Kinerja 6n1c6d

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PEMERINTAH KABUPATEN GROBOGAN DINAS KESEHATAN UPTD PUSKESMAS KARANGRAYUNG II

BUKTI PELAKSANAAN PERBAIKAN KINERJA UPAYA ........................ BULAN........... UPTD PUSKESMAS KARANGRAYUNG II

NO

1

2

3

INDIKATOR KINERJA

TARGET

TARGET s/d bulan januari

PENCAPAIAN

4

5

6

Mengetahui, Kepala UPTD Puskesmas KARANGRAYUNG II

EN GROBOGAN ATAN ANGRAYUNG II

PAYA ........................ BULAN............ 2017 NGRAYUNG II

ANALISIS MASALAH

RENCANA PERBAIKAN

PELAKSANAAN PERBAIKAN KINERJA

BUKTI PELAKSANAAN PERBAIKAN