NO
TANGGAL
NO BUKTI
PEMBERSIHAN
KARANG GIGI
JML
10.000
4
5
JML
6
TAMBAL
SEMENTARA
JML
8,000
10
11
CABUT GIGI
DEWASA
JML
15,000
8
9
TAMBAL
PERMANEN
JML
15,000
12
13
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
2-Jan-14
20,000
###
- ###
###
20,000
3-Jan-14
10,000
###
- ###
###
10,000
4-Jan-14
30,000
15,000
- ###
###
45,000
15,000
- ###
###
75,000
JUMLAH
60,000
6-Jan-14
10,000
15,000
- ###
###
25,000
7-Jan-14
10,000
15,000
- ###
###
25,000
8-Jan-14
10,000
15,000
- ###
###
25,000
9-Jan-14
###
###
###
8,000
10-Jan-14
###
###
###
- ###
###
11-Jan-14
###
###
###
- ###
###
30,000
45,000
###
83,000
15,000
- ###
###
25,000
- ###
###
10,000
- ###
###
15,000
JUMLAH
8,000
8,000
10
13-Jan-14
10,000
11
15-Jan-14
10,000
12
16-Jan-14
10
###
13
17-Jan-14
###
###
###
- ###
###
14
18-Jan-14
###
###
###
- ###
###
20,000
30,000
- ###
###
50,000
10,000
15,000
- ###
###
25,000
###
- ###
###
- ###
###
JUMLAH
11
15,000
###
-
15
20-Jan-14
16
21-Jan-14
17
22-Jan-14
18
23-Jan-14
###
###
###
- ###
###
19
24-Jan-14
###
###
###
- ###
###
20
25-Jan-14
###
###
###
- ###
###
12
10,000
###
1
15,000
###
-
25,000
JUMLAH
21
27-Jan-14
22
28-Jan-14
23
29-Jan-14
24
30-Jan-14
JUMLAH
TOTAL
13
14
20,000
20,000
###
###
40,000
15,000
17
170,000
135,000
20,000
-
###
1
###
30,000
- ###
###
50,000
20,000
###
- ###
###
###
- ###
###
- ###
###
- ###
###
- ###
###
55,000
###
313,000
15,000
-
###
1
8,000
35,000
-
Mengetahui,
Kepala UPT Puskesmas Astanajapura
drg.Mahmudah
NIP. 19711220 200211 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
NO
TANGGAL
NO BUKTI
1-Feb-14
JUMLAH
PEMBERSIHAN
KARANG GIGI
JML
10,000
4
5
JML
6
TAMBAL
SEMENTARA
JML
8,000
10
11
CABUT GIGI
DEWASA
JML
15,000
8
9
TAMBAL
PERMANEN
JML
15,000
12
13
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
###
###
###
- ###
###
###
###
###
- ###
###
3-Feb-14
15
20,000
15,000
- ###
###
35,000
4-Feb-14
16
10,000
15,000
- ###
###
25,000
5-Feb-14
17
###
###
###
8,000
6-Feb-14
18
20,000
7-Feb-14
###
8-Feb-14
###
JUMLAH
20,000
50,000
###
- ###
###
###
###
- ###
###
###
###
- ###
###
###
88,000
30,000
8,000
8,000
10-Feb-14
19
20,000
15,000
- ###
###
35,000
11-Feb-14
20
10,000
15,000
- ###
###
25,000
10
12-Feb-14
21
20,000
###
- ###
###
20,000
11
13-Feb-14
22
20,000
###
- ###
###
20,000
12
14-Feb-14
###
###
###
- ###
###
13
15-Feb-14
###
###
###
- ###
###
70,000
30,000
- ###
###
100,000
15,000
- ###
###
25,000
JUMLAH
14
17-Feb-14
23
10,000
15
18-Feb-14
24
10,000
###
- ###
###
10,000
16
19-Feb-14
25
10,000
###
- ###
###
10,000
17
20-Feb-14
###
###
###
- ###
###
18
21-Feb-14
###
###
###
- ###
###
19
22-Feb-14
###
###
###
- ###
###
JUMLAH
30,000
30,000
###
20
24-Feb-14
21
25-Feb-14
22
26-Feb-14
23
27-Feb-14
###
24
28-Feb-14
###
50,000
20
200,000
JUMLAH
TOTAL
26
27
20,000
15,000
- ###
###
45,000
30,000
###
- ###
###
###
- ###
###
###
- ###
###
###
###
- ###
###
###
###
- ###
###
###
- ###
###
50,000
###
283,000
###
-
75,000
8,000
20,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
drg.Mahmudah
NIP. 19711220 200211 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
NO
TANGGAL
NO BUKTI
1-Mar-14
JUMLAH
PEMBERSIHAN
KARANG GIGI
JML
10,000
4
5
JML
6
TAMBAL
SEMENTARA
JML
8,000
10
11
CABUT GIGI
DEWASA
JML
15,000
8
9
TAMBAL
PERMANEN
JML
15,000
12
13
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
###
###
###
- ###
###
###
###
###
- ###
###
3-Mar-14
28
30,000
###
- ###
###
30,000
4-Mar-14
29
30,000
###
- ###
###
30,000
5-Mar-14
###
###
###
- ###
###
6-Mar-14
###
###
###
- ###
###
7-Mar-14
###
###
###
- ###
###
8-Mar-14
###
###
###
- ###
###
###
- ###
###
60,000
- ###
###
50,000
- ###
###
30,000
###
8,000
JUMLAH
60,000
10-Mar-14
30
20,000
11-Mar-14
31
30,000
10
12-Mar-14
32
###
11
13-Mar-14
###
12
14-Mar-14
13
15-Mar-14
JUMLAH
30,000
###
###
###
###
- ###
###
###
###
###
- ###
###
###
###
###
- ###
###
50,000
###
88,000
30,000
8,000
8,000
14
17-Mar-14
33
40,000
###
- ###
###
40,000
15
18-Mar-14
34
30,000
###
- ###
###
30,000
16
19-Mar-14
###
###
###
- ###
###
17
20-Mar-14
###
###
###
- ###
###
18
21-Mar-14
###
###
###
- ###
###
19
22-Mar-14
###
###
###
- ###
###
JUMLAH
70,000
###
- ###
###
70,000
20,000
###
- ###
###
20,000
20
24-Mar-14
21
25-Mar-14
###
###
###
- ###
###
22
26-Mar-14
###
###
###
- ###
###
23
27-Mar-14
###
###
###
- ###
###
24
28-Mar-14
###
###
###
- ###
###
25
29-Mar-14
###
###
###
- ###
###
20,000
###
- ###
###
20,000
20
200,000
###
238,000
JUMLAH
TOTAL
35
30,000
8,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
drg.Mahmudah
NIP. 19711220 200211 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
PEMBERSIHAN
KARANG GIGI
JML
10.000
4
5
CABUT GIGI
DEWASA
JML
15,000
8
9
NO
TANGGAL
NO BUKTI
01 s/d 05
April 2014
36
20,000
07 s/d 12
April 2014
37
20,000
14 s/d 19
April 2014
38
40,000
21 s/d 26
April 2014
39
28 s/d 30
April 2014
40
16
TOTAL
JML
6
10.000
7
30,000
TAMBAL
SEMENTARA
JML
8,000
10
11
TAMBAL
PERMANEN
JML
15,000
12
13
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
- ###
###
50,000
45,000
- ###
###
65,000
15,000
- ###
###
55,000
60,000
15,000
- ###
###
75,000
20,000
30,000
- ###
###
50,000
160,000
135,000
295,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
drg.Mahmudah
NIP. 19711220 200211 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
PEMBERSIHAN
KARANG GIGI
JML
10.000
4
5
NO
TANGGAL
NO BUKTI
02 s/d 03
Mei 2014
41
20,000
05 s/d 10
Mei 2014
42
40,000
12 s/d 17
Mei 2014
43
19 s/d 24
Mei 2014
44
26 s/d 31
Mei 2014
45
TOTAL
JML
6
10.000
7
TAMBAL
SEMENTARA
JML
8,000
10
11
CABUT GIGI
DEWASA
JML
15,000
8
9
-
###
TAMBAL
PERMANEN
JML
15,000
12
13
- ###
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
###
20,000
60,000
8,000
###
108,000
60,000
8,000
###
118,000
90,000
60,000
- ###
###
150,000
60,000
30,000
15,000
105,000
26
260,000
14
210,000
16,000
15,000
501,000
50,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
drg.Mahmudah
NIP. 19711220 200211 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
PEMBERSIHAN
KARANG GIGI
JML
10.000
4
5
NO
TANGGAL
NO BUKTI
02 s/d 07
Juni 2014
46
50,000
09 s/d 14
Juni 2014
47
60,000
16 s/d 21
Juni 2014
48
23 s/d 28
Juni 2014
49
30 Juni
2014
TOTAL
JML
6
10.000
7
50,000
50,000
21
TAMBAL
SEMENTARA
JML
8,000
10
11
CABUT GIGI
DEWASA
JML
15,000
8
9
210,000
30,000
TAMBAL
PERMANEN
JML
15,000
12
13
KONSUL BUMIL
JML
14
JML TOTAL
4,000
15
16
- ###
###
80,000
60,000
- ###
###
120,000
45,000
###
95,000
60,000
- ###
###
110,000
- ###
###
###
13
195,000
405,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
Hj.Umihani,SSiT,MM Kes
NIP. 19620212 198302 2 001
Ruhiat Priyatna,AMKG
NIP.19770413 200211 1 001
TANGGAL
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
2
1/7/2014
2/7/2014
3/7/2014
4/7/2014
5/7/2014
7/7/2014
8/7/2014
10/7/2014
11/7/2014
12/7/2014
14/7/2014
15/7/2014
16/7/2014
17/7/2014
18/7/2014
19/7/2014
21/7/2014
22/7/2014
23/7/2014
24/7/2014
25/7/2014
26/7/2014
30/7/2014
31/7/2014
TOTAL
NO BUKTI
3
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
PEMBERSIHAN
KARANG GIGI
JML
4
10,000
5
-
JML
6
JML
8
1
###
###
3
2
###
1
1
3
###
1
###
2
1
###
###
###
2
1
###
###
###
###
18
10,000
7
10,000
30,000
20,000
10,000
10,000
30,000
10,000
20,000
10,000
20,000
10,000
180,000
1
###
###
###
###
1
1
###
2
###
1
###
1
1
3
11
15,000
9
15,000
15,000
15,000
30,000
15,000
15,000
10,000
30,000
145,000
TAMBAL
SEMENTARA
JML
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
-
8,000
11
-
TAMBAL PERMANEN
JML
15,000
12
13
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
-
KONSUL BUMIL
JML
14
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
-
JML TOTAL
4,000
15
-
16
10,000
15,000
30,000
20,000
10,000
10,000
30,000
25,000
15,000
20,000
10,000
30,000
35,000
10,000
15,000
10,000
30,000
325,000
Mengetahui,
Kepala UPT Puskesmas Astanajapura
Hj.Umihani,SSiT,MM Kes
Ruhiat Priyatna,AMKG
TANGGAL
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
2
1/8/2014
2/8/2014
4/8/2014
5/8/2014
6/8/2014
7/8/2014
8/8/2014
9/8/2014
11/8/2014
12/8/2014
13/8/2014
14/8/2014
15/8/2014
16/8/2014
18/8/2014
19/8/2014
20/8/2014
21/8/2014
22/8/2014
23/8/2014
25/8/2014
26/8/2014
27/8/2014
28/8/2014
29/8/2014
30/8/2014
TOTAL
NO BUKTI
3
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
PEMBERSIHAN
KARANG GIGI
JML
4
10,000
5
JML
6
Mengetahui,
Kepala UPT Puskesmas Astanajapura
Hj.Umihani,SSiT,MM Kes
2
1
6
5
3
2
2
###
1
2
###
2
3
###
3
1
2
3
###
1
2
2
4
###
2
1
50
10,000
7
20,000
10,000
60,000
50,000
30,000
20,000
20,000
10,000
20,000
20,000
30,000
30,000
10,000
20,000
30,000
10,000
20,000
20,000
40,000
20,000
10,000
500,000
TAMBAL
SEMENTARA
JML
10
###
###
###
1
###
###
###
###
###
###
1
###
###
###
###
###
###
###
2
8,000
11
8,000
8,000
16,000
KONSUL BUMIL
JML TOTAL
TAMBAL PERMANEN
JML
15,000
JML
4,000
12
13
14
15
16
###
###
20,000
###
###
10,000
###
###
75,000
###
###
50,000
1
15,000
68,000
###
###
20,000
###
###
20,000
###
###
1
15,000
25,000
###
###
20,000
###
###
1
15,000
50,000
###
###
45,000
###
###
###
38,000
###
###
10,000
###
###
35,000
###
###
30,000
###
###
###
###
10,000
###
###
35,000
###
###
20,000
###
###
40,000
###
###
45,000
###
###
20,000
###
###
25,000
3
45,000
711,000
Astanajapura, 30 Agustus 2014
Bendahara Penerimaan Pembantu
Ruhiat Priyatna,AMKG