SPTJB Bok 2014

SURAT PERNYATAAN TANGGUNG JAWAB BELANJA
NOMOR : 001 / SPTB - BOK / MLJK / I / 2014
Nama Puskesmas :Puskesmas Malinjak

Alamat Puskesmas :Jln.Mambitul Desa Malinjak
Bulan :Januari
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
No MAK Penerima Uraian Jumlah( Rp)
Tanggal Nomor PPN (Rp) PPH (Rp)
PENGELUARAN
1 526115 Biaya Transportasi Dalam Rangka
Pendamping Persalinan
Bulan Januari 2014
Ladi Lauru 1 Januari 2014 ds Manurara 001.a/KW-BOK/PKMM/I/2014 50,000
Margareta Malo 2 Januari 2014 ds Okawacu 001.b/KW-BOK/PKMM/I/2014 50,000
Yuliana R Ngana 4 Januari 2014 ds Dasa Elu 001.c/KW-BOK/PKMM/I/2014 50,000
Margareta Malo 5 Januari 2014 ds Konda Maloba 001.d/KW-BOK/PKMM/I/2014 50,000
Ana R.K.Toga 7 Januari 2014 ds Malinjak 001.e/KW-BOK/PKMM/I/2014 50,000
Yuliana R Ngana 7 Januari 2014 ds Dasa Elu 001.e/KW-BOK/PKMM/I/2014 50,000
Ladi Lauru 8 Januari 2014 ds Manurara 001.f/KW-BOK/PKMM/I/2014 50,000
Ana R.K.Toga 9 Januari 2014 ds Malinjak 001.g/KW-BOK/PKMM/I/2014 50,000
Mera Koda 9 Januari 2014 ds Manurara 001.g/KW-BOK/PKMM/I/2014 50,000
Albertina R Bangi 13 Januari 2014 ds Dasa Elu 001.h/KW-BOK/PKMM/I/2014 50,000
Yuliana K Diki 14 Januari 2014 ds Wailawa 001.h/KW-BOK/PKMM/I/2014 50,000
Marta R Wasak 20 Januari 2014 ds Waimanu 001.i/KW-BOK/PKMM/I/2014 50,000
R Sori Daiju 21 Januari 2014 ds Tana Modu 001.j/KW-BOK/PKMM/I/2014 50,000
Ladi Lauru 24 Januari 2014 ds Manurara 001.k/KW-BOK/PKMM/I/2014 50,000
Ana R.K.Toga 25 Januari 2014 ds Malinjak 001.l/KW-BOK/PKMM/I/2014 50,000
750,000
2 526115 Biaya Transportasi Kader,Dukun

Memfasilitasi Bumil K1 Murni ke Faskes
Bulan Januari 2014
Ana R.K.Toga 6 Januari 2013 ds Malinjak 002.a/KW-BOK/PKMM/I/2014 50,000
Yuliana R Ngana 7 Januari 2013 ds Dasa Elu 002.b/KW-BOK/PKMM/I/2014 50,000
R K Toga 7 Januari 2013 ds Dasa Elu 002.b/KW-BOK/PKMM/I/2014 50,000
Yuliana R Ngana 8 Januari 2013 ds Dasa Elu 002.c/KW-BOK/PKMM/I/2014 50,000
Maria M S Dowi 8 Januari 2013 ds Dasa Elu 002.c/KW-BOK/PKMM/I/2014 50,000
Ladi Laru 16 Januari 2013 ds Manurara 002.d/KW-BOK/PKMM/I/2014 50,000
Margareta Malo 17 Januari 2013 ds Okawacu 002.e/KW-BOK/PKMM/I/2014 50,000
Margareta Malo 17 Januari 2013 ds Okawacu 002.e/KW-BOK/PKMM/I/2014 50,000
400,000
3 526115 Biaya Transportasi Dalam Rangka Audit

Kematian Bayi,Balita Bulan Januari 2014
Dr Tiwi 10 Januari 2014 ds Malinjak 003/KW-BOK/PKMM/I/2014 75,000
R R Samani 10 Januari 2014 ds Malinjak 003/KW-BOK/PKMM/I/2014 75,000
Adriana R J Rana 10 Januari 2014 ds Tana Modu 003/KW-BOK/PKMM/I/2014 75,000
Mawar Manurung 10 Januari 2014 ds Tana Modu 003/KW-BOK/PKMM/I/2014 75,000
300,000

Survey Penyakit Berpotensi KLB
Bulan Januari 2014
Kurnia 4 Januari 2014 ds Dasa Elu 004.a/KW-BOK/PKMM/I/2014 100,000
R R Samani 4 Januari 2014 ds Dasa Elu 004.a/KW-BOK/PKMM/I/2014 100,000
Yuliana R Teba 6 Januari 2014 ds Wailawa 004.b/KW-BOK/PKMM/I/2014 75,000
Margarita R Dairu 6 Januari 2014 ds Wailawa 004.b/KW-BOK/PKMM/I/2014 75,000
Rosalia D Kaniha 7 Januari 2014 ds Malinjak 004.c/KW-BOK/PKMM/I/2014 75,000
Yohanis U J Anabuni 7 Januari 2014 ds Malinjak 004.c/KW-BOK/PKMM/I/2014 75,000
Susanti Ledi 8 Januari 2014 ds Waimanu 004.d/KW-BOK/PKMM/I/2014 125,000
Sisilia Bombo 8 Januari 2014 ds Waimanu 004.d/KW-BOK/PKMM/I/2014 125,000
Adriana R J Rana 9 Januari 2014 ds Manurara 004.e/KW-BOK/PKMM/I/2014 125,000
Diana C Manu 9 Januari 2014 ds Manurara 004.e/KW-BOK/PKMM/I/2014 125,000
Regina I Toga 10 Januari 2014 ds Konda Maloba 004.f/KW-BOK/PKMM/I/2014 250,000
Refly P Kamodu 10 Januari 2014 ds Konda Maloba 004.f/KW-BOK/PKMM/I/2014 250,000
Juliana H Ome 11 Januari 2014 ds Tana Modu 004.g/KW-BOK/PKMM/I/2014 75,000
Marniraniyati D Zesi 11 Januari 2014 ds Tana Modu 004.g/KW-BOK/PKMM/I/2014 75,000
Agnisintus S Bay 13 Januari 2014 ds Okawacu 004.h/KW-BOK/PKMM/I/2014 125,000
Yudaria S Poro 13 Januari 2014 ds Okawacu 004.h/KW-BOK/PKMM/I/2014 125,000
Trio M K Sianipar 15 Januari 2014 ds Dameka 004.i/KW-BOK/PKMM/I/2014 75,000
Eti R Sida 15 Januari 2014 ds Dameka 004.i/KW-BOK/PKMM/I/2014 75,000
2,050,000
5 526115 Biaya Konsumsi Peserta Minilokakarya
Bulanan Bulan Januari 2014
Iskandar 25 Januari 2014 005/KW-BOK/PKMM/I/2014 1,787,500
6 526115 Biaya Transportasi Nara Sumber
Dalam Rangka Minilokakarya
Bulanan Bulan Januari 2014
Sara K.Hara 25 Januari 2014 006/KW-BOK/PKMM/I/2014 110,000
Thomas W Sabatudung 25 Januari 2014 006/KW-BOK/PKMM/I/2014 110,000
220,000

Verifikasi BOK
Bulan Januari 2014
Adriana R J Rana 30 Januari 2014 007/KW-BOK/PKMM/I/2014 100,000
Kurnia 30 Januari 2014 007/KW-BOK/PKMM/I/2014 100,000
Diana C Manu 30 Januari 2014 007/KW-BOK/PKMM/I/2014 100,000
300,000
8 526115 Biaya ATK BOK Bulan Januari 2014

Joni Pratikno 30 Januari 2014 008/KW-BOK/PKMM/I/2014 550,000
JUMLAH 6,357,500
Bukti-Bukti Pengeluaran anggaran dan asli setoran pajak ( SSP/BPN ) tersebut di atas di simpan oleh Pengelolah Keuangan Puskesmas untuk Kelengkapan
administrasi dan pemeriksaan aparat pengawas fungsional
Demikian surat pernyataan ini dibuat dengan sebenarnya
MENGETAHUI Malinjak, 31 Januari 2014

KEPALA PUSKESMAS MALINJAK PENGELOLA KEUANGAN
PUSKESMAS MALINJAK
ADRIANA R J RANA,AMK Kurnia,Amd.Kep

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 001 / SPTB - BOK / MLJK / II / 2014

Bulan :Februari
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Sweeping K1,K4,dan Bumil Resti
Bulan Februari 2014
Adiningsih R Woji 14 Februari 2014 ds Malinjak 001.a/KW-BOK/PKMM/II/2014 75,000
Atandipu L Lulung 14 Februari 2014 ds Okawacu 001.a/KW-BOK/PKMM/II/2014 125,000
Yeni Mone 14 Februari 2014 ds Wailawa 001.a/KW-BOK/PKMM/II/2014 75,000
Mawar Manurung 15 Februari 2014 ds Tana Modu 001.b/KW-BOK/PKMM/II/2014 75,000
Agnes P Kilimandu 15 Februari 2014 ds Konda Maloba 001.b/KW-BOK/PKMM/II/2014 250,000
Melda Inggrit 15 Februari 2014 ds Waimanu 001.b/KW-BOK/PKMM/II/2014 125,000
Adiningsih R Woji 17 Februari 2014 ds Dasa Elu 001.cKW-BOK/PKMM/II/2014 100,000
Imelda Y Liubana 17 Februari 2014 ds Manurara 001.cKW-BOK/PKMM/II/2014 125,000
Adiningsih R Woji 18 Februari 2014 ds Dameka 001.d/KW-BOK/PKMM/II/2014 75,000
1,025,000

Bulan Februari 2014
Hartati R Y Katibi 14 Februari 2014 ds Tana Modu 002.a/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 14 Februari 2014 ds Malinjak 002.a/KW-BOK/PKMM/II/2014 50,000
Yuliana R Podu 14 Februari 2014 ds Wailawa 002.a/KW-BOK/PKMM/II/2014 50,000
Ladi Lauru 14 Februari 2014 ds Manurara 002.a/KW-BOK/PKMM/II/2014 50,000
Kareri Bonya 14 Februari 2014 ds Tana Modu 002.a/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 15 Februari 2014 ds Malinjak 002.b/KW-BOK/PKMM/II/2014 50,000
Yuliana R Diki 15 Februari 2014 ds Wailawa 002.b/KW-BOK/PKMM/II/2014 50,000
Jeni R P Rauna 15 Februari 2014 ds Tana Modu 002.b/KW-BOK/PKMM/II/2014 50,000
Lidia R L Deki 15 Februari 2014 ds Tana Modu 002.b/KW-BOK/PKMM/II/2014 50,000
Maria R L Nguju 15 Februari 2014 ds Dameka 002.b/KW-BOK/PKMM/II/2014 50,000
Jeni R P Rauna 15 Februari 2014 ds Tana Modu 002.b/KW-BOK/PKMM/II/2014 50,000
Piru Denga 17 Februari 2014 ds Tana Modu 002.c/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 17 Februari 2014 ds Tana Modu 002.c/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 18 Februari 2014 ds Tana Modu 002.d/KW-BOK/PKMM/II/2014 50,000
Ria R Awa 18 Februari 2014 ds Waimanu 002.d/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 19 Februari 2014 ds Tana Modu 002.e/KW-BOK/PKMM/II/2014 50,000
800,000

Kemitraan Bidan,Dukun & Kader
Bulan Februari 2014
Agnes P Kilimandu 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Atandipu L Lulung 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Melda Inggrit Bani 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Yeni Mone 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Imelda Y Liubana 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Rina R Parini 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Karolina Ngongo 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Katrina K B Boba 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
R P Meti 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Bibiana S Tegi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
R Kareri Toga 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Kahi Bangu 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Kareri Huatu 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Yuliana K Diki 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Adriana G Mayi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Yuliana R Ngana 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Maria R L Nguju 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Eni L Nedi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Djua Meru 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Martha R P Wasak 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Ana R Podu 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Pauliana A Kawi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Kasi Danga 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Lawu Nedi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Ladi Lauru 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Bauru Awa 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Piru Denga 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
R Sori Daiju 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Orpa R Bera 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Mera Koda 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Hartati R Y Katibi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Lidia R L Deki 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Maria R L Nguju 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Oce D Siala 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Marta Sadamoki 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
R K Bonya 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Adriana Bili 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Yeni R Leki 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Theresia T Leki 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Filomena J Koten 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Diana R Baba 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Ani R Lubu 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
Sisilia S Tegi 21 Februari 2014 003/KW-BOK/PKMM/II/2014 50,000
2,200,000
Biaya Konsumsi Kemitraan Bidan,Dukun
Kader Bulan Februari 2014
Iskandar 21 Februari 2014 004/KW-BOK/PKMM/II/2014 1,430,000
Biaya ATK Kemitraan Bidan,Dukun,Kader

Joni Pratikno 21 Februari 2014 005/KW-BOK/PKMM/II/2014 527,500

Audit Kematian Bayi,Balita
Bulan Februari 2014
Dr.Tiwi 14 Februari 2014 ds Malinjak 006/KW-BOK/PKMM/II/2014 75,000
R R Samani 14 Februari 2014 ds Malinjak 006/KW-BOK/PKMM/II/2014 75,000
Adriana R J Rana 14 Februari 2014 ds Tana Modu 006/KW-BOK/PKMM/II/2014 75,000
Mawar Manurung 14 Februari 2014 ds Tana Modu 006/KW-BOK/PKMM/II/2014 75,000
300,000

Pelacakan Kematian Bayi
Bulan Februari 2014
Adiningish R Woji 19 Februari 2014 ds Waimanu 007/KW-BOK/PKMM/II/2014 125,000
Kornelis K M Dawa 19 Februari 2014 ds Waimanu 007/KW-BOK/PKMM/II/2014 125,000
250,000

Deteksi Resti Neonatal Bulan Februari 2014
Dr.Tiwi 18 Februari 2014 Ds Wailawa 008/KW-BOK/PKMM/II/2014 75,000
Yeni Mone 18 Februari 2014 Ds Wailawa 008/KW-BOK/PKMM/II/2014 75,000
150,000

Pemantauan Tumbuh Kembang
Bayi Balita Bulan Februari 2014
Risto R K Toga 14 Februari 2014 Posy.Galu Wada/SP2 009.a/KW-BOK/PKMM/II/2014 100,000
Atandipu L Lulung 15 Februari 2014 Posy.Taman Mas 009.b/KW-BOK/PKMM/II/2014 125,000
Yeni Mone 15 Februari 2014 Posy.Praiau 009.b/KW-BOK/PKMM/II/2014 75,000
Melda Inggrit 15 Februari 2014 Posy.Taupopu 009.b/KW-BOK/PKMM/II/2014 125,000
Mawar Manurung 17 Februari 2014 Posy.Dewajara 009.c/KW-BOK/PKMM/II/2014 75,000
Enjelita Sihombing 17 Februari 2014 Posy.Mambitul 009.c/KW-BOK/PKMM/II/2014 75,000
Yeni Mone 17 Februari 2014 Posy.Mata Pasingu 009.c/KW-BOK/PKMM/II/2014 75,000
Rosidah 17 Februari 2014 Posy.Kijarowa 009.c/KW-BOK/PKMM/II/2014 75,000
Mawar Manurung 18 Februari 2014 Posy.Praikisi 009.d/KW-BOK/PKMM/II/2014 100,000
Eti R Sida 18 Februari 2014 Posy.Jagalama/Sp1 009.d/KW-BOK/PKMM/II/2014 100,000
Mathilda N Suru 18 Februari 2014 Posy.Bodung 009.d/KW-BOK/PKMM/II/2014 125,000
Emilia R Toga 18 Februari 2014 Posy.Waimarapu 009.d/KW-BOK/PKMM/II/2014 125,000
Agnes Ndaparoka 19 Februari 2014 Posy.Watudedi 009.e/KW-BOK/PKMM/II/2014 125,000
Imelda Liubana 19 Februari 2014 Posy.Paledi 009.e/KW-BOK/PKMM/II/2014 125,000
Adiningsih R Woji 20 Februari 2014 Posy.Gallu Bakul 009.f/KW-BOK/PKMM/II/2014 75,000
Mawar Manurung 20 Februari 2014 Posy.Laigoli 009.f/KW-BOK/PKMM/II/2014 75,000
Adiningsih R Woji 21 Februari 2014 Posy.Lolukalay/SP1 009.g/KW-BOK/PKMM/II/2014 100,000
Albertina R Bangi 21 Februari 2014 Posy.Sinar Kasih/SP2 009.g/KW-BOK/PKMM/II/2014 100,000
Melda Inggrit 21 Februari 2014 Posy.Tangairi 009.g/KW-BOK/PKMM/II/2014 250,000
Jekson Kubang 24 Februari 2014 Posy.Konda 009.h/KW-BOK/PKMM/II/2014 250,000
Agnes P Kilimandu 24 Februari 2014 Posy.Maloba 009.h/KW-BOK/PKMM/II/2014 250,000
2,525,000
8 526115 Biaya Transportasi Kader,Dukun

Memfasilitasi Bumil K1 Murni ke Faskes
Bulan Februari 2014
Yudelvince R Diki 14 Februari 2014 ds Wailawa 010.a/KW-BOK/PKMM/II/2014 50,000
Yuliana R Ngana 15 Februari 2014 ds Dasa Elu 010.b/KW-BOK/PKMM/II/2014 50,000
Agnes Ndaparoka 18 Februari 2014 ds Manurara 010.c/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 20 Februari 2014 ds Malinjak 010.d/KW-BOK/PKMM/II/2014 50,000
Ana R K Toga 20 Februari 2014 ds Malinjak 010.d/KW-BOK/PKMM/II/2014 50,000
650,000

Sweeping Vitamin A Bulan Februari 2014
Prima Felisitas 14 Februari 2014 ds Malinjak 011.a/KW-BOK/PKMM/II/2014 75,000
Debora Wailiti 14 Februari 2014 ds Malinjak 011.a/KW-BOK/PKMM/II/2014 75,000
Anton Pandang 14 Februari 2014 ds Okawacu 011.a/KW-BOK/PKMM/II/2014 125,000
Juliana H Ome 14 Februari 2014 ds Okawacu 011.a/KW-BOK/PKMM/II/2014 125,000
Trifornesia M R Mete 15 Februari 2014 ds Tana Modu 011.b/KW-BOK/PKMM/II/2014 75,000
Juliana H Ome 15 Februari 2014 ds Tana Modu 011.b/KW-BOK/PKMM/II/2014 75,000
Eti R Sida 15 Februari 2014 ds Dasa Elu 011.b/KW-BOK/PKMM/II/2014 100,000
Albertina R Bangi 15 Februari 2014 ds Dasa Elu 011.b/KW-BOK/PKMM/II/2014 100,000
Diana C Manu 18 Februari 2014 ds Wailawa 011.c/KW-BOK/PKMM/II/2014 75,000
Ari B Joru 18 Februari 2014 ds Wailawa 011.c/KW-BOK/PKMM/II/2014 75,000
Kurnia 18 Februari 2014 ds Waimanu 011.c/KW-BOK/PKMM/II/2014 125,000
Yeni R Sarakayu 18 Februari 2014 ds Waimanu 011.c/KW-BOK/PKMM/II/2014 125,000
R R Samani 19 Februari 2014 ds Dameka 011.d/KW-BOK/PKMM/II/2014 75,000
Rosidah 19 Februari 2014 ds Dameka 011.d/KW-BOK/PKMM/II/2014 75,000
Midun U Rauta 20 Februari 2014 ds Manurara 011.e/KW-BOK/PKMM/II/2014 125,000
Yudaria S Poro 20 Februari 2014 ds Manurara 011.e/KW-BOK/PKMM/II/2014 125,000
Adriana R J Rana 24 Februari 2014 ds Konda Maloba 011.f/KW-BOK/PKMM/II/2014 250,000
Ervintri R P Jabu 24 Februari 2014 ds Konda Maloba 011.f/KW-BOK/PKMM/II/2014 250,000
2,050,000
Pelacakan Pemantauan Status Gizi
Bulan Februari 2014
Dr.Tiwi 15 Februari 2014 ds Malinjak 012.a/KW-BOK/PKMM/II/2014 75,000
Marniraniyati DZ 15 Februari 2014 ds Malinjak 012.a/KW-BOK/PKMM/II/2014 75,000
Susanti Ledi 15 Februari 2014 ds Malinjak 012.a/KW-BOK/PKMM/II/2014 75,000
Dr.Tiwi 18 Februari 2014 ds Tana Modu 012.b/KW-BOK/PKMM/II/2014 75,000
Susanti Ledi 18 Februari 2014 ds Tana Modu 012.b/KW-BOK/PKMM/II/2014 75,000
Dr.Tiwi 19 Februari 2014 ds Dasa Elu 012.c/KW-BOK/PKMM/II/2014 100,000
Marniraniyati DZ 19 Februari 2014 ds Dasa Elu 012.c/KW-BOK/PKMM/II/2014 100,000
Lidia R L Enga 19 Februari 2014 ds Dasa Elu 012.c/KW-BOK/PKMM/II/2014 100,000
Dr.Tiwi 20 Februari 2014 ds Okawacu 012.d/KW-BOK/PKMM/II/2014 125,000
Susanti Ledi 20 Februari 2014 ds Okawacu 012.d/KW-BOK/PKMM/II/2014 125,000
Ervintri R P Jabu 20 Februari 2014 ds Okawacu 012.d/KW-BOK/PKMM/II/2014 125,000
Dr.Tiwi 21 Februari 2014 ds Dameka 012.e/KW-BOK/PKMM/II/2014 75,000
Marniraniyati DZ 21 Februari 2014 ds Dameka 012.e/KW-BOK/PKMM/II/2014 75,000
Dewi Zuliatik 21 Februari 2014 ds Dameka 012.e/KW-BOK/PKMM/II/2014 75,000
Dr.Tiwi 22 Februari 2014 ds Wailawa 012.f/KW-BOK/PKMM/II/2014 75,000
Marniraniyati DZ 22 Februari 2014 ds Wailawa 012.f/KW-BOK/PKMM/II/2014 75,000
Diana C Manu 22 Februari 2014 ds Wailawa 012.f/KW-BOK/PKMM/II/2014 75,000
Dr.Tiwi 24 Februari 2014 ds Waimanu 012.g/KW-BOK/PKMM/II/2014 125,000
Susanti Ledi 24 Februari 2014 ds Waimanu 012.g/KW-BOK/PKMM/II/2014 125,000
Rosalia D Kaniha 24 Februari 2014 ds Waimanu 012.g/KW-BOK/PKMM/II/2014 125,000
Dr.Tiwi 26 Februari 2014 ds Manurara 012.h/KW-BOK/PKMM/II/2014 125,000
Marniraniyati DZ 26 Februari 2014 ds Manurara 012.h/KW-BOK/PKMM/II/2014 125,000
Agnes Ndaparoka 26 Februari 2014 ds Manurara 012.h/KW-BOK/PKMM/II/2014 125,000
Dr.Tiwi 27 Februari 2014 ds Konsa Maloba 012.i/KW-BOK/PKMM/II/2014 250,000
Susanti Ledi 27 Februari 2014 ds Konsa Maloba 012.i/KW-BOK/PKMM/II/2014 250,000
Regina I Toga 27 Februari 2014 ds Konsa Maloba 012.i/KW-BOK/PKMM/II/2014 250,000
3,075,000

Musawarah Masyarakat Desa
Bulan Februari 2014
Desa Waimanu & Manurara
D B Detang 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Samuel D Pasalang 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Ngara Djurumana 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
U Muku Teju 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Agus D P Pari 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Djua Meru 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Rambu Piras 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Eni L Nedi 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Ratni R Wawu 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Orpa R Bera 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
U B Tagu Koda 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Samuel Praing 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Jhon D Rowa 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Stefanus G Radjang 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Moy K Yowi 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Margareta Pasalang 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
U Bora Peka 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Petrus U Goy 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
U Soru Mali 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
Lukas L Napu 24 Februari 2014 013/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
Iskandar 24 Februari 2014 014/KW-BOK/PKMM/II/2014 650,000
ATK
Joni Praktino 24 Februari 2014 015/KW-BOK/PKMM/II/2014 300,000
Desa Konda Maloba

Paulus H Pulu 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Stefanus K Yiwa 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Kornelis K H 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Magdalena Awa 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Andreas Widu 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Katrini R L Wadang 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Bora Dina 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Adriana K H 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Yohanis P Wali 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Paulina K Leba 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
David D Lona 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Martha D Ngana 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Petrus K K Bali 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Yuni T Leki 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Yunus Jami 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Samuel R Tana 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Lukas L L 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Agus K Dodu 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Rosfina R Wiku 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
Yana L Day 22 Februari 2014 016/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
ATK
Desa Okawacu
U K Hagar 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
John T P Wali 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Paulina R Kawi 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Astrina D L Bana 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Yesni R Kaleka 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Reku M Jabu 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Yuliana Kasa 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Markus M Habang 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Bagu Rena 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
U Sakala 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Kamus J Lena 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Giku J Dewa 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Kuala Djara Woli 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Metu H Beru 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Herman U Sakala 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Melkianus U Laga 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Laiya Bili 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
U Katanga Beru 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Yonatan U T Kadangi 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
Marinus Kondo 18 Februari 2014 019/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
ATK
Desa Dameka & Wailawa

Charolus U K Yani 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
U Djama 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Agus U Reku 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Migu R K Toga 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Yuli R Podu 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Mariana R Nguju 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Sisilia S Tegi 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Alex U Barang 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Pani Tibu 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Jhon Mila Mesa 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Kamus U kerung 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Kawawu Hagar 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Bora Hela 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Wehelmina R Boba 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Bibina S Tegi 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
U J Ladu 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Nefo U Muka 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Giku Loda 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
Jawut Soru 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
U Goy 21 Februari 2014 022/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
ATK
Desa Dasa Elu

Umbu Sulung 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Jhon U Piga 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U B Pamaratana 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Jhoni U Pudar 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U L Pagegi 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Yuliana R Ngana 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Nepi Pagegi 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Adriana D Sobu 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Adriana Bili 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Diana R Baba 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U S Peku Limu 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Manaji Napang 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U Rauta 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Stefanus K Mawu 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Markus U Dapa 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Matius W Poro 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
Spenpri Viktor U Roma 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U B Anakaka 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U S Pateduk 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
U L Dama Nasu 14 Februari 2014 025/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
ATK
Desa Tana Modu & Malinjak
Yubi U Moki 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Umbu Yagu Bolu 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U T Wohangara 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Dominggus U D ibini Pani 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U Saingu 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U Guti 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Gega R Day 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U Neka Djarawoli 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U Ngailu 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Gega R Day 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Muka Sabatudung 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Bira D Wali 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
R B Emu 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
U K Yani 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Pawa U K Nuga 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Erni G Mayi 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Kaleka Utang 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Dominggus U Datu 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Alex U Rauta 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
Melki U Giku 15 Februari 2014 028/KW-BOK/PKMM/II/2014 100,000
2,000,000
Konsumsi
ATK

Kaporisasi Bulan Februari 2014
Marni R T Leki 14 Februari 2014 ds Malinjak 031.a/KW-BOK/PKMM/II/2014 75,000
Yanto U Djangi 14 Februari 2014 ds Malinjak 031.a/KW-BOK/PKMM/II/2014 75,000
Agnisintus S Bay 14 Februari 2014 ds Okawacu 031.a/KW-BOK/PKMM/II/2014 125,000
Ril R L Enga 14 Februari 2014 ds Okawacu 031.a/KW-BOK/PKMM/II/2014 125,000
Marni R T Leki 15 Februari 2014 ds Dasa Elu 031.b/KW-BOK/PKMM/II/2014 100,000
Midun U Rauta 15 Februari 2014 ds Dasa Elu 031.b/KW-BOK/PKMM/II/2014 100,000
Agnisintus S Bay 15 Februari 2014 ds Tana Modu 031.b/KW-BOK/PKMM/II/2014 75,000
Margarita R Dairu 15 Februari 2014 ds Tana Modu 031.b/KW-BOK/PKMM/II/2014 75,000
Marni R T Leki 17 Februari 2014 ds Wailawa 031.c/KW-BOK/PKMM/II/2014 75,000
Yuliana R Teba 17 Februari 2014 ds Wailawa 031.c/KW-BOK/PKMM/II/2014 75,000
Agnisintus S Bay 17 Februari 2014 ds Manurara 031.c/KW-BOK/PKMM/II/2014 125,000
Daniel L Baiyo 17 Februari 2014 ds Manurara 031.c/KW-BOK/PKMM/II/2014 125,000
Marni R T Leki 18 Februari 2014 ds Waimanu 031.d/KW-BOK/PKMM/II/2014 125,000
Yohanis U Anabuni 18 Februari 2014 ds Waimanu 031.d/KW-BOK/PKMM/II/2014 125,000
Agnisintus S Bay 18 Februari 2014 ds Konda Maloba 031.d/KW-BOK/PKMM/II/2014 250,000
Amandus K Bitang 18 Februari 2014 ds Konda Maloba 031.d/KW-BOK/PKMM/II/2014 250,000
Yuliana R Teba 18 Februari 2014 ds Dameka 031.d/KW-BOK/PKMM/II/2014 75,000
Salmon U Kabalu 18 Februari 2014 ds Dameka 031.d/KW-BOK/PKMM/II/2014 75,000
2,050,000

Pengambilan Vaksin/Obat
Bulan Februari 2014
Refly P Kamodu 14 Februari 2014 di Gudang Obat 032/KW-BOK/PKMM/II/2014 100,000
Yanto U Djangi 14 Februari 2014 di Gudang Obat 032/KW-BOK/PKMM/II/2014 100,000
200,000

Survey Penyakit Berpotensi KLB
Bulan Februari 2014
Kurnia 15 Februari 2014 ds Dasa Elu 033.a/KW-BOK/PKMM/II/2014 100,000
R R Samani 15 Februari 2014 ds Dasa Elu 033.a/KW-BOK/PKMM/II/2014 100,000
Yuliana R Teba 15 Februari 2014 ds Wailawa 033.a/KW-BOK/PKMM/II/2014 75,000
Margarita R Dairu 15 Februari 2014 ds Wailawa 033.a/KW-BOK/PKMM/II/2014 75,000
Rosalia D Kaniha 15 Februari 2014 ds Malinjak 033.a/KW-BOK/PKMM/II/2014 75,000
Yohanis U J Anabuni 15 Februari 2014 ds Malinjak 033.a/KW-BOK/PKMM/II/2014 75,000
Susanti Ledi 17 Februari 2014 ds Waimanu 033.b/KW-BOK/PKMM/II/2014 125,000
Sisilia Bombo 17 Februari 2014 ds Waimanu 033.b/KW-BOK/PKMM/II/2014 125,000
Adriana R J Rana 17 Februari 2014 ds Manurara 033.b/KW-BOK/PKMM/II/2014 125,000
Diana C Manu 17 Februari 2014 ds Manurara 033.b/KW-BOK/PKMM/II/2014 125,000
Regina I Toga 17 Februari 2014 ds Konda Maloba 033.b/KW-BOK/PKMM/II/2014 250,000
Refly P Kamodu 17 Febreuari 2014 ds Konda Maloba 033.b/KW-BOK/PKMM/II/2014 250,000
Juliana H Ome 18 Februari 2014 ds Tana Modu 033.c/KW-BOK/PKMM/II/2014 75,000
Marniraniyati D Zesi 18 Februari 2014 ds Tana Modu 033.c/KW-BOK/PKMM/II/2014 75,000
Agnisintus S Bay 18 Februari 2014 ds Okawacu 033.c/KW-BOK/PKMM/II/2014 125,000
Yudaria S Poro 18 Februari 2014 ds Okawacu 033.c/KW-BOK/PKMM/II/2014 125,000
Trio M K Sianipar 18 Februari 2014 ds Dameka 033.c/KW-BOK/PKMM/II/2014 75,000
Eti R Sida 18 Februari 2014 ds Dameka 033.c/KW-BOK/PKMM/II/2014 75,000
2,050,000
Pengambilan Sampel Darah Malaria
Bulan Februari 2014
Sisilia Bombo 14 Februari 2014 ds Malinjak 034.a/KW-BOK/PKMM/II/2014 75,000
Yuliana R Teba 14 Februari 2014 ds Malinjak 034.a/KW-BOK/PKMM/II/2014 75,000
Yuliana R Teba 17 Februari 2014 ds Manurara 034.b/KW-BOK/PKMM/II/2014 125,000
Trio M K Sianipar 17 Februari 2014 ds Manurara 034.b/KW-BOK/PKMM/II/2014 125,000
Kurnia 17 Februari 2014 ds Tana Modu 034.b/KW-BOK/PKMM/II/2014 75,000
Sisilia Bombo 18 Februari 2014 ds Okawacu 034.c/KW-BOK/PKMM/II/2014 125,000
Yudaria S Poro 18 Februari 2014 ds Okawacu 034.c/KW-BOK/PKMM/II/2014 125,000
Risto R K Toga 18 Februari 2014 ds Waimanu 034.c/KW-BOK/PKMM/II/2014 125,000
Refly P Kamodu 18 Februari 2014 ds Waimanu 034.c/KW-BOK/PKMM/II/2014 125,000
Juliana H Ome 19 Februari 2014 ds Dasa Elu 034.d/KW-BOK/PKMM/II/2014 100,000
Yohanis U Anabuni 19 Februari 2014 ds Dasa Elu 034.d/KW-BOK/PKMM/II/2014 100,000
Ari B joru 19 Februari 2014 ds Dameka 034.d/KW-BOK/PKMM/II/2014 75,000
Ervintri R P Jabu 19 Februari 2014 ds Dameka 034.d/KW-BOK/PKMM/II/2014 75,000
Jekson Kubang 19 Februari 2014 ds Konda Maloba 034.d/KW-BOK/PKMM/II/2014 250,000
Sisilia Bombo 19 Februari 2014 ds Konda Maloba 034.d/KW-BOK/PKMM/II/2014 250,000
Daniel L Baiyo 20 Februari 2014 ds Wailawa 034.e/KW-BOK/PKMM/II/2014 75,000
Yohanis U Anabuni 20 Februari 2014 ds Wailawa 034.e/KW-BOK/PKMM/II/2014 75,000
2,050,000

Bulanan Bulan Februari 2014
Iskandar 25 Februari 2014 035/KW-BOK/PKMM/II/2014 1,787,500

Bulanan Bulan Februari 2014
Ferdinandus Kea 25 Februari 2014 036/KW-BOK/PKMM/II/2014 110,000
Pieter H Bili 25 Februari 2014 036/KW-BOK/PKMM/II/2014 110,000
220,000

Verifikasi BOK
Bulan Februari 2014
Adriana R J Rana 28 Februari 2014 037/KW-BOK/PKMM/II/2014 100,000
Kurnia 28 Februari 2014 037/KW-BOK/PKMM/II/2014 100,000
Diana C Manu 28 Februari 2014 037/KW-BOK/PKMM/II/2014 100,000
300,000
19 526115 Biaya ATK BOK Bulan Februari 2014

Joni Pratikno 28 Februari 2014 038/KW-BOK/PKMM/II/2014 975,000
JUMLAH 42,315,000
MENGETAHUI Malinjak, 28 Februari 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 003 / SPTB - BOK / MLJK / III / 2014

Bulan : Maret
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Pendamping Persalinan Bulan Maret 2014
Bibiana S Tegi 1 Maret Ds Wailawa 039.a/KW-BOK/PKMM/III/2014 50,000
Martha R P Wasak 1 Maret Ds Tana Modu 039.a/KW-BOK/PKMM/III/2014 50,000
Martina K Paila 4 Maret Ds Dameka 039.b/KW-BOK/PKMM/III/2014 50,000
Yati R Katibi 5 Maret Ds Tana Modu 039.c/KW-BOK/PKMM/III/2014 50,000
Piru Denga 11 Maret Ds Tana Modu 039.d/KW-BOK/PKMM/III/2014 50,000
Maria R L Nguju 11 Maret Ds Dameka 039.d/KW-BOK/PKMM/III/2014 50,000
Yuliana R Diki 14 Maret Ds Dameka 039.e/KW-BOK/PKMM/III/2014 50,000
Ani R Luba 15 Maret Ds Dameka 039.f/KW-BOK/PKMM/III/2014 50,000
Ladi Lauru 16 Maret Ds Manurara 039.g/KW-BOK/PKMM/III/2014 50,000
Ana R K Toga 16 Maret Ds Malinjak 039.g/KW-BOK/PKMM/III/2014 50,000
Ana R K Toga 16 Maret Ds Malinjak 039.g/KW-BOK/PKMM/III/2014 50,000
Ladi Lauru 16 Maret Ds Manurara 039.g/KW-BOK/PKMM/III/2014 50,000
Juwa Meru 19 Maret Ds Waimanu 039.h/KW-BOK/PKMM/III/2014 50,000
Kasi Danga 22 Maret Ds Tana Modu 039.i/KW-BOK/PKMM/III/2014 50,000
R K Toga 24 Maret Ds Waimanu 039.j/KW-BOK/PKMM/III/2014 50,000
Oce D siala 25 Maret Ds Waimanu 039.k/KW-BOK/PKMM/III/2014 50,000
800,000

Pemantauan Kelas Ibu Hamil
Bulan Maret 2014
Adiningsih R Woji 1 Maret 2014 ds Malinjak 040.a/KW-BOK/PKMM/III/2014 75,000
Atndipu L Lulung 1 Maret 2014 ds Okawacu 040.a/KW-BOK/PKMM/III/2014 125,000
Yeni Mone 1 Maret 2014 ds Wailawa 040.a/KW-BOK/PKMM/III/2014 75,000
Mawar Manurung 3 Maret 2014 ds Tana Modu 040.b/KW-BOK/PKMM/III/2014 75,000
Agnes P Kilimandu 3 Maret 2014 ds Konda Maloba 040.b/KW-BOK/PKMM/III/2014 250,000
Imelda Liubana 3 Maret 2014 ds Manurara 040.b/KW-BOK/PKMM/III/2014 125,000
Adiningsih R Woji 4 Maret 2014 ds Dasa Elu 040.c/KW-BOK/PKMM/III/2014 100,000
Melda Inggrit Bani 4 Maret 2014 ds Waimanu 040.c/KW-BOK/PKMM/III/2014 125,000
Adiningsih R Woji 5 Maret 2014 ds Dameka 040.c/KW-BOK/PKMM/III/2014 75,000
1,025,000

Deteksi Resti Neonatal
Bulan Maret 2014
Mawar Manurung 20 Maret 2014 DsTana Modu 041/KW-BOK/PKMM/III/2014 75,000
4 526115 Biaya Transportasi Kader,dukun

Memfasilitasi K1 Murni Ke faskes
Bulan Maret 2014
Ana R.K.Toga 4 Maret 2014 ds Malinjak 042.a/KW-BOK/PKMM/III/2014 50,000
Nevi Pagegi 4 Maret 2014 ds Dasa Elu 042.a/KW-BOK/PKMM/III/2014 50,000
Arni R.D.Mosa 9 Maret 2014 ds Dasa Elu 042.b/KW-BOK/PKMM/III/2014 50,000
Moyi L.Longa 14 Maret 2014 ds Dasa Elu 042.c/KW-BOK/PKMM/III/2014 50,000
R.K.Toga 18 Maret 2014 ds Wailawa 042.d/KW-BOK/PKMM/III/2014 50,000
250,000

Penyuluhan Penyakit Menular
Bulan Maret 2014
Susanti Ledi 3 Maret 2014 Posy.Gallu Bakul 043.a/KW-BOK/PKMM/III/2014 75,000
Debora Wailiti 3 Maret 2014 Posy.Gallu Bakul 043.a/KW-BOK/PKMM/III/2014 75,000
Rosalia D Kaniha 3 Maret 2014 Posy.Dewajara 043.b/KW-BOK/PKMM/III/2014 75,000
Yudaria S Poro 3 Maret 2014 Posy.Dewajara 043.b/KW-BOK/PKMM/III/2014 75,000
Enjelita Sihombing 5 Maret 2014 Posy.Mambitul 043.c/KW-BOK/PKMM/III/2014 75,000
Daniel L Baiyo 5 Maret 2014 Posy.Mambitul 043.c/KW-BOK/PKMM/III/2014 75,000
Susanti Ledi 5 Maret 2014 Posy.Laigoli 043.d/KW-BOK/PKMM/III/2014 75,000
Dorkas Kalunga 5 Maret 2014 Posy.Laigoli 043.d/KW-BOK/PKMM/III/2014 75,000
Juliana H Ome 7 Maret 2014 Posy.Praikisi 043.e/KW-BOK/PKMM/III/2014 100,000
Dewi Zuliatik 7 Maret 2014 Posy.Praikisi 043.e/KW-BOK/PKMM/III/2014 100,000
R R Samani 7 Maret 2014 Posy.Lolukalay/SP1 043.f/KW-BOK/PKMM/III/2014 100,000
Ari B Joru 7 Maret 2014 Posy.Lolukalay/SP1 043.f/KW-BOK/PKMM/III/2014 100,000
Regina I Toga 9 Maret 2014 Posy.Jagalama/SP1 043.g/KW-BOK/PKMM/III/2014 100,000
Eti R Sida 9 Maret 2014 Posy.Jagalama/SP1 043.g/KW-BOK/PKMM/III/2014 100,000
Refly P Kamodu 9 Maret 2014 Posy.Sinar Kasih/SP2 043.h/KW-BOK/PKMM/III/2014 100,000
Ervintri R P Jabu 9 Maret 2014 Posy.Sinar Kasih/SP2 043.h/KW-BOK/PKMM/III/2014 100,000
Trio M K Sianipar 11 Maret 2014 Posy.Galuwada/Sp2 043.i/KW-BOK/PKMM/III/2014 100,000
Albertina R Bangi 11 Maret 2014 Posy.Galuwada/Sp2 043.i/KW-BOK/PKMM/III/2014 100,000
Anton Pandang 11 Maret 2014 Posy.Taman Mas 043.j/KW-BOK/PKMM/III/2014 125,000
Yudaria S Poro 11 Maret 2014 Posy.Taman Mas 043.j/KW-BOK/PKMM/III/2014 125,000
Sisilia Bombo 13 Maret 2014 Posy.Praiau 043.k/KW-BOK/PKMM/III/2014 75,000
Yudelvince R Diki 13 Maret 2014 Posy.Praiau 043.k/KW-BOK/PKMM/III/2014 75,000
Kornelis K M Dawa 13 Maret 2014 Posy.Taupopu 043.l/KW-BOK/PKMM/III/2014 125,000
Risto R K Toga 13 Maret 2014 Posy.Taupopu 043.l/KW-BOK/PKMM/III/2014 125,000
Marniraniyati D Zesi 15 Maret 2014 Posy.Kijarowa 043.m/KW-BOK/PKMM/III/2014 75,000
Rosidah 15 Maret 2014 Posy.Kijarowa 043.m/KW-BOK/PKMM/III/2014 75,000
Sisilia Bombo 15 Maret 2014 Posy.Mata Pasaingu 043.n/KW-BOK/PKMM/III/2014 75,000
Prima Felisitas 15 Maret 2014 Posy.Mata Pasaingu 043.n/KW-BOK/PKMM/III/2014 75,000
Mathilda N Suru 17 Maret 2014 Posy.Bodung 043.o/KW-BOK/PKMM/III/2014 125,000
Marni R T Leki 17 Maret 2014 Posy.Bodung 043.o/KW-BOK/PKMM/III/2014 125,000
Emilia R K Toga 17 Maret 2014 Posy.Waimarapu 043.p/KW-BOK/PKMM/III/2014 125,000
Diana C Manu 17 Maret 2014 Posy.Waimarapu 043.p/KW-BOK/PKMM/III/2014 125,000
Adriana R J Rana 19 Maret 2014 Posy.Paledi 043.q/KW-BOK/PKMM/III/2014 125,000
Yeni Sarakayu 19 Maret 2014 Posy.Paledi 043.q/KW-BOK/PKMM/III/2014 125,000
Kurnia 19 Maret 2014 Posy.Watudedi 043.r/KW-BOK/PKMM/III/2014 125,000
Agnes L Ndaparoka 19 Maret 2014 Posy.Watudedi 043.r/KW-BOK/PKMM/III/2014 125,000
Kornelis K M Dawa 21 Maret 2014 Posy.Tangairi 043.s/KW-BOK/PKMM/III/2014 250,000
Emilia R K Toga 21 Maret 2014 Posy.Tangairi 043.s/KW-BOK/PKMM/III/2014 250,000
Jekson Kubang 23 Maret 2014 Posy.Konda 043.t/KW-BOK/PKMM/III/2014 250,000
Salmon U Kabalu 23 Maret 2014 Posy.Konda 043.t/KW-BOK/PKMM/III/2014 250,000
Agnes P Kilimandu 23 Maret 2014 Posy.Maloba 043.u/KW-BOK/PKMM/III/2014 250,000
Agnisintus S Bay 23 Maret 2014 Posy.Maloba 043.u/KW-BOK/PKMM/III/2014 250,000
5,050,000
Bulanan Bulan Maret 2014
Iskandar 25 Maret 2014 044/KW-BOK/PKMM/III/2014 1,787,500

Bulanan Bulan Maret 2014
Daniel U D T Lawang 25 Maret 2014 045/KW-BOK/PKMM/III/2014 110,000
Sara K.Hara 25 Maret 2014 045/KW-BOK/PKMM/III/2014 110,000
220,000

Sosialisasi BOK Tk.Kabupaten
Bulan Maret 2014
Adiningsih R Woji 14 Maret 2014 Aula Kolping Katikuloku 046/KW-BOK/PKMM/III/2014 110,000
Susanti Ledi 14 Maret 2014 Aula Kolping Katikuloku 046/KW-BOK/PKMM/III/2014 110,000
220,000

Verifikasi BOK
Bulan Maret 2014
Adriana R J Rana 29 Maret 2014 047/KW-BOK/PKMM/III/2014 100,000
Kurnia 29 Maret 2014 047/KW-BOK/PKMM/III/2014 100,000
Diana C Manu 29 Maret 2014 047/KW-BOK/PKMM/III/2014 100,000
300,000
10 526115 Biaya ATK BOK Bulan Maret 2014

Joni Pratikno 29 Maret 2014 048/KW-BOK/PKMM/III/2014 207,500
JUMLAH 9,935,000
MENGETAHUI Malinjak, 29 Maret 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 004 / SPTB - BOK / MLJK / IV / 2014

Bulan : April
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Pemantauan Bumil Resti Bulan April 2014
Yeni Mone 7 April 2014 Ds Wailawa 049.a/KW-BOK/PKMM/IV/2014 75,000
Mawar Manurung 7 April 2014 Ds Tana Modu 049.a/KW-BOK/PKMM/IV/2014 75,000
Melda Inggrit Bani 8 April 2014 Ds Waimanu 049.b/KW-BOK/PKMM/IV/2014 125,000
Adiningsih R Woji 8 April 2014 Ds Dameka 049.c/KW-BOK/PKMM/IV/2014 75,000
Adiningsih R Woji 11 April 2014 Ds Dasa Elu 049.d/KW-BOK/PKMM/IV/2014 100,000
450,000

Bulan April 2014
Ariance B Awa 3 April 2014 Ds Dameka 050.a/KW-BOK/PKMM/IV/2014 50,000
Mera B Jati 7 April 2014 Ds Dameka 050.b/KW-BOK/PKMM/IV/2014 50,000
Tina K Yowi 7 April 2014 Ds Wailawa 050.b/KW-BOK/PKMM/IV/2014 50,000
Jeni M Siala 8 April 2014 Ds Wailawa 050.c/KW-BOK/PKMM/IV/2014 50,000
Trince Bokamanu 8 April 2014 Ds Dameka 050.c/KW-BOK/PKMM/IV/2014 50,000
Kornelis K M Dawa 13 April 2014 Ds Waimanu 050.d/KW-BOK/PKMM/IV/2014 50,000
Paulina R K Regi 14 April 2014 Ds Wailawa 050.e/KW-BOK/PKMM/IV/2014 50,000
Ladi Lauru 14 April 2014 Ds Manurara 050.e/KW-BOK/PKMM/IV/2014 50,000
Nevi Pagegi 16 April 2014 Ds Dasa Elu 050.f/KW-BOK/PKMM/IV/2014 50,000
Serliana R B Joru 19 April 2014 Ds Dameka 050.g/KW-BOK/PKMM/IV/2014 50,000
Jeni 21 April 2014 Ds Tana Modu 050.h/KW-BOK/PKMM/IV/2014 50,000
Astrina 21 April 2014 Ds OKawacu 050.h/KW-BOK/PKMM/IV/2014 50,000
Kasi Danga 24 April 2014 Ds Waimanu 050.i/KW-BOK/PKMM/IV/2014 50,000
Astrina 25 April 2014 Ds Okawacu 050.j/KW-BOK/PKMM/IV/2014 50,000
Jati B Boku 27 April 2014 Ds Tana Modu 050.k/KW-BOK/PKMM/IV/2014 50,000
Yati R Y Katibi 27 April 2014 Ds Tana Modu 050.k/KW-BOK/PKMM/IV/2014 50,000
Mera R Regi 27 April 2014 Ds Waimanu 050.k/KW-BOK/PKMM/IV/2014 50,000
Martina Paila 28 April 2014 Ds Malinjak 050.l/KW-BOK/PKMM/IV/2014 50,000
900,000

Pelacakan Kematian Neonatal
Bulan April 2014
Adriana R J Rana 11 April 2014 Ds Dasa Elu 051/KW-BOK/PKMM/IV/2014 100,000
Adiningsih R Woji 11 April 2014 Ds Dasa Elu 051/KW-BOK/PKMM/IV/2014 100,000
200,000

Posyandu Usila Bulan April 2014
Adiningsih R Woji 7 April 2014 ds Malinjak 052.a/KW-BOK/PKMM/IV/2014 75,000
Debora Wailiti 7 April 2014 ds Malinjak 052.a/KW-BOK/PKMM/IV/2014 75,000
Anton Pandang 7 April 2014 ds Okawacu 052.a/KW-BOK/PKMM/IV/2014 125,000
Atandipu L Lulung 7 April 2014 ds Okawacu 052.a/KW-BOK/PKMM/IV/2014 125,000
Melda Inggrit Bani 7 April 2014 ds Waimanu 052.a/KW-BOK/PKMM/IV/2014 125,000
Emilia R K Toga 7 April 2014 ds Waimanu 052.a/KW-BOK/PKMM/IV/2014 125,000
Mawar Manurung 8 April 2014 ds Tana Modu 052.b/KW-BOK/PKMM/IV/2014 75,000
Yudaria S Poro 8 April 2014 ds Tana Modu 052.b/KW-BOK/PKMM/IV/2014 75,000
Agnes P Kilimandu 8 April 2014 ds Konda Maloba 052.b/KW-BOK/PKMM/IV/2014 250,000
Jekson Kubang 8 April 2014 ds Konda Maloba 052.b/KW-BOK/PKMM/IV/2014 250,000
Imelda Y Liubana 8 April 2014 ds Manurara 052.b/KW-BOK/PKMM/IV/2014 125,000
Agnes L Ndaparoka 8 April 2014 ds Manurara 052.b/KW-BOK/PKMM/IV/2014 125,000
Yeni Mone 9 April 2014 ds Wailawa 052.c/KW-BOK/PKMM/IV/2014 75,000
Yudelvince R Diki 9 April 2014 ds Wailawa 052.c/KW-BOK/PKMM/IV/2014 75,000
Adiningsih R Woji 9 April 2014 ds Dasa Elu 052.c/KW-BOK/PKMM/IV/2014 100,000
Albertina R Bangi 9 April 2014 ds Dasa Elu 052.c/KW-BOK/PKMM/IV/2014 100,000
Adiningsih R Woji 10 April 2014 ds Dameka 052.d/KW-BOK/PKMM/IV/2014 75,000
Rosidah 10 April 2014 ds Dameka 052.d/KW-BOK/PKMM/IV/2014 75,000
2,050,000

Penyuluhan Kesehatan Reproduksi
Bulan April 2014
Dr.Tiwi 10 April 2014 SMA N 1 Waibakul 053.a/KW-BOK/PKMM/IV/2014 75,000
Mawar Manurung 10 April 2014 SMA N 1 Waibakul 053.a/KW-BOK/PKMM/IV/2014 75,000
Susanti Ledi 11 April 2014 SMP N 2 Waibakul 053.b/KW-BOK/PKMM/IV/2014 75,000
Kurnia 11 April 2014 SMP N 2 Waibakul 053.b/KW-BOK/PKMM/IV/2014 75,000
Adriana R J Rana 12 April 2014 SMP N 3 Waibakul 053.c/KW-BOK/PKMM/IV/2014 75,000
Salmon U Kabalu 12 April 2014 SMP N 3 Waibakul 053.c/KW-BOK/PKMM/IV/2014 75,000
Anton Pandang 12 April 2014 SMP Satap Taman Mas 053.d/KW-BOK/PKMM/IV/2014 125,000
Atandipu L Lulung 12 April 2014 SMP Satap Taman Mas 053.d/KW-BOK/PKMM/IV/2014 125,000
Agnes P Kilimandu 14 April 2014 Satap Konda Maloba 053.e/KW-BOK/PKMM/IV/2014 250,000
Yuliana R Teba 14 April 2014 Satap Konda Maloba 053.e/KW-BOK/PKMM/IV/2014 250,000
1,200,000
6 526115 Biaya Transportasi Kader,Dukun Yang

Memfasilitasi Bumil K1 Murni Ke Faskes
Bulan April 2014
Paila Meti 1 April 2014 Ds Malinjak 054.a/KW-BOK/PKMM/IV/2014 50,000
Martina K Paila 2 April 2014 Ds Wailawa 054.b/KW-BOK/PKMM/IV/2014 50,000
Mera Boku Jati 3 April 2014 Ds Dameka 054.c/KW-BOK/PKMM/IV/2014 50,000
Jerliana R B Joru 5 April 2014 Ds Dameka 054.d/KW-BOK/PKMM/IV/2014 50,000
Ani R Lubu 7 April 2014 Ds Dameka 054.e/KW-BOK/PKMM/IV/2014 50,000
Maria R L Nguju 9 April 2014 Ds Dameka 054.f/KW-BOK/PKMM/IV/2014 50,000
Neni R Bera 11 April 2014 Ds Tana Modu 054.g/KW-BOK/PKMM/IV/2014 50,000
Diana R Baba 11 April 2014 Ds Dasa Elu 054.g/KW-BOK/PKMM/IV/2014 50,000
Carolina Ngongo 14 April 2014 Ds Dasa Elu 054.h/KW-BOK/PKMM/IV/2014 50,000
Moyi L Longa 14 April 2014 Ds Dasa Elu 054.h/KW-BOK/PKMM/IV/2014 50,000
Diana M Haingu 16 April 2014 Ds Dasa Elu 054.i/KW-BOK/PKMM/IV/2014 50,000
Cornelia Beti 16 April 2014 Ds Dasa Elu 054.i/KW-BOK/PKMM/IV/2014 50,000
Adriana Bulu 19 April 2014 Ds Dasa Elu 054.j/KW-BOK/PKMM/IV/2014 50,000
Paulina R Kawi 19 April 2014 Ds Okawacu 054.j/KW-BOK/PKMM/IV/2014 50,000
Paulina R Kawi 21 April 2014 Ds OKawacu 054.k/KW-BOK/PKMM/IV/2014 50,000
Ana R K Toga 22 April 2014 Ds Tana Modu 054.l/KW-BOK/PKMM/IV/2014 50,000
800,000
Kunjungan Rumah Bayi,Balita Gizi Buruk
Bulan April 2014
Regina I Toga 5 April 2014 ds Dasa Elu 055.a/KW-BOK/PKMM/IV/2014 100,000
Diana C Manu 5 April 2014 ds Dasa Elu 055.a/KW-BOK/PKMM/IV/2014 100,000
Adriana R J Rana 7 April 2014 ds Tana Modu 055.b/KW-BOK/PKMM/IV/2014 75,000
Susanti Ledi 7 April 2014 ds Tana Modu 055.b/KW-BOK/PKMM/IV/2014 75,000
Kurnia 10 April 2014 ds Manurara 055.c/KW-BOK/PKMM/IV/2014 125,000
Marniraniyati D Zesi 10 April 2014 ds Manurara 055.c/KW-BOK/PKMM/IV/2014 125,000
600,000

Penyuluhan Kesehatan Keluarga (Gizi,KB,
PHBS Rumah Tangga,Imunisasi
Bulan April 2014
Susanti Ledi 3 April 2014 Posy.Gallu Bakul 056.a/KW-BOK/PKMM/IV/2014 75,000
Dr.Tiwi 3 April 2014 Posy.Gallu Bakul 056.a/KW-BOK/PKMM/IV/2014 75,000
R R Samani 3 April 2014 Posy.Dewajara 056.a/KW-BOK/PKMM/IV/2014 75,000
Trio M K Sianipar 3 April 2014 Posy.Dewajara 056.a/KW-BOK/PKMM/IV/2014 75,000
Enjelita Sihombing 5 April 2014 Posy.Mambitul 056.b/KW-BOK/PKMM/IV/2014 75,000
Rosalia D Kaniha 5 April 2014 Posy.Mambitul 056.b/KW-BOK/PKMM/IV/2014 75,000
Mawar Manurung 5 April 2014 Posy.Laigoli 056.b/KW-BOK/PKMM/IV/2014 75,000
Susanti Ledi 5 April 2014 Posy.Laigoli 056.b/KW-BOK/PKMM/IV/2014 75,000
Eti R Sida 7 April 2014 Posy.Lolukalay/Sp1 056.c/KW-BOK/PKMM/IV/2014 100,000
Dewi Zuliatik 7 April 2014 Posy.Lolukalay/Sp1 056.c/KW-BOK/PKMM/IV/2014 100,000
Refly P Kamodu 7 April 2014 Posy.Praikisi 056.c/KW-BOK/PKMM/IV/2014 100,000
Yeni Sarakayu 7 April 2014 Posy.Praikisi 056.c/KW-BOK/PKMM/IV/2014 100,000
Ervintri R P Jabu 9 April 2014 Posy.Sinar Kasih 056.d/KW-BOK/PKMM/IV/2014 100,000
Eti R Sida 9 April 2014 Posy.Sinar Kasih 056.d/KW-BOK/PKMM/IV/2014 100,000
Adriana R J Rana 9 April 2014 Posy.Jagalama 056.d/KW-BOK/PKMM/IV/2014 100,000
Albertina R Bangi 9 April 2014 Posy.Jagalama 056.d/KW-BOK/PKMM/IV/2014 100,000
Adriana R J Rana 11 April 2014 Posy.Galuwada/Sp2 056.e/KW-BOK/PKMM/IV/2014 100,000
Adiningsih R Woji 11 April 2014 Posy.Galuwada/Sp2 056.e/KW-BOK/PKMM/IV/2014 100,000
Kurnia 11 April 2014 Posy.Taman Mas 056.e/KW-BOK/PKMM/IV/2014 125,000
Anton Pandang 11 April 2014 Posy.Taman Mas 056.e/KW-BOK/PKMM/IV/2014 125,000
Ari B Joru 13 April 2014 Posy.Praiau 056.f/KW-BOK/PKMM/IV/2014 75,000
Prima Felisitas 13 April 2014 Posy.Praiau 056.f/KW-BOK/PKMM/IV/2014 75,000
Sisilia Bombo 13 April 2014 Posy.Taupopu 056.f/KW-BOK/PKMM/IV/2014 125,000
Susanti Ledi 13 April 2014 Posy.Taupopu 056.f/KW-BOK/PKMM/IV/2014 125,000
Risto R K Toga 15 April 2014 Posy.Mata Pasaingu 056.g/KW-BOK/PKMM/IV/2014 75,000
Yudelvince R Diki 15 April 2014 Posy.Mata Pasaingu 056.g/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 15 April 2014 Posy.Kijarowa 056.g/KW-BOK/PKMM/IV/2014 75,000
Agustina Jiarapay 15 April 2014 Posy.Kijarowa 056.g/KW-BOK/PKMM/IV/2014 75,000
Diana C Manu 17 April 2014 Posy.Bodung 056.h/KW-BOK/PKMM/IV/2014 125,000
Marniraniyati D Zesi 17 April 2014 Posy.Bodung 056.h/KW-BOK/PKMM/IV/2014 125,000
Juliana H Ome 17 April 2014 Posy.Waimarapu 056.h/KW-BOK/PKMM/IV/2014 125,000
Yanti 17 April 2014 Posy.Waimarapu 056.h/KW-BOK/PKMM/IV/2014 125,000
Lidia R L Enga 19 April 2014 Posy.Watudedi 056.i/KW-BOK/PKMM/IV/2014 125,000
Susanti Ledi 19 April 2014 Posy.Watudedi 056.i/KW-BOK/PKMM/IV/2014 125,000
Marni R T Leki 19 April 2014 Posy.Paledi 056.i/KW-BOK/PKMM/IV/2014 125,000
Regina I Toga 19 April 2014 Posy.Paledi 056.i/KW-BOK/PKMM/IV/2014 125,000
Kornelis K M Dawa 21 April 2014 Posy.Tangairi 056.j/KW-BOK/PKMM/IV/2014 250,000
Emilia R K Toga 21 April 2014 Posy.Tangairi 056.j/KW-BOK/PKMM/IV/2014 250,000
Agnes P Kilimandu 23 April 2014 Posy.Konda 056.k/KW-BOK/PKMM/IV/2014 250,000
Susanti Ledi 23 April 2014 Posy.Konda 056.k/KW-BOK/PKMM/IV/2014 250,000
Jekson Kubang 23 April 2014 Posy.Maloba 056.k/KW-BOK/PKMM/IV/2014 250,000
Regina I Toga 23 April 2014 Posy.Maloba 056.k/KW-BOK/PKMM/IV/2014 250,000
5,050,000

Penyuluhan PHBS Anak Paud Bulan April 2014
Anton Pandang 1 April 2014 Paud Gerbang Mas/Taman Mas 057.a/KW-BOK/PKMM/IV/2014 125,000
Susanti Ledi 1 April 2014 Paud Gerbang Mas/Taman Mas 057.a/KW-BOK/PKMM/IV/2014 125,000
Adriana R J Rana 1 April 2014 Paud Paledi Manuwolu/Malinjak 057.a/KW-BOK/PKMM/IV/2014 75,000
Midun U Rauta 1 April 2014 Paud Paledi Manuwolu/Malinjak 057.a/KW-BOK/PKMM/IV/2014 75,000
Susanti Ledi 2 April 2014 Paud Agape/Malinjak 057.b/KW-BOK/PKMM/IV/2014 75,000
Debora wailiti 2 April 2014 Paud Agape/Malinjak 057.b/KW-BOK/PKMM/IV/2014 75,000
Trio M K Sianipar 2 April 2014 Paud Mario/Wailawa 057.b/KW-BOK/PKMM/IV/2014 75,000
Prima Felisitas 2 April 2014 Paud Mario/Wailawa 057.b/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 2 April 2014 Paud Watudedi/Manurara 057.b/KW-BOK/PKMM/IV/2014 125,000
R R Samani 2 April 2014 Paud Watudedi/Manurara 057.b/KW-BOK/PKMM/IV/2014 125,000
Kurnia 3 April 2014 Paud Waikalaisung/Malinjak 057.c/KW-BOK/PKMM/IV/2014 75,000
Rosalia D Kaniha 3 April 2014 Paud Waikalaisung/Malinjak 057.c/KW-BOK/PKMM/IV/2014 75,000
Agnes Ndaparoka 3 April 2014 Paud Peledi/Manurara 057.c/KW-BOK/PKMM/IV/2014 125,000
Eti R Sida 3 April 2014 Paud Peledi/Manurara 057.c/KW-BOK/PKMM/IV/2014 125,000
Adriana R J Rana 7 April 2014 TK.Mambitul 057.d/KW-BOK/PKMM/IV/2014 75,000
Enjelita Sihombing 7 April 2014 TK.Mambitul 057.d/KW-BOK/PKMM/IV/2014 75,000
Yudaria S Poro 8 April 2014 Paud Laigoli/Tana Modu 057.e/KW-BOK/PKMM/IV/2014 75,000
Ari B Joru 8 April 2014 Paud Laigoli/Tana Modu 057.e/KW-BOK/PKMM/IV/2014 75,000
Diana C Manu 9 April 2014 Paud Sehati/Waimanu 057.f/KW-BOK/PKMM/IV/2014 125,000
Kornelis K M Dawa 9 April 2014 Paud Sehati/Waimanu 057.f/KW-BOK/PKMM/IV/2014 125,000
Lidia R L Enga 10 April 2014 Paud Pelita/Dameka 057.g/KW-BOK/PKMM/IV/2014 75,000
Regina I Toga 10 April 2014 Paud Pelita/Dameka 057.g/KW-BOK/PKMM/IV/2014 75,000
Rosidah 14 April 2014 Paud Gologota/Dameka 057.h/KW-BOK/PKMM/IV/2014 75,000
Ervintri R P Jabu 14 April 2014 Paud Gologota/Dameka 057.h/KW-BOK/PKMM/IV/2014 75,000
Susanti Ledi 15 April 2014 Paud Sinar Kasih/SP2 057.i/KW-BOK/PKMM/IV/2014 100,000
Agustina Jiarapay 15 April 2014 Paud Sinar Kasih/SP2 057.i/KW-BOK/PKMM/IV/2014 100,000
Yeni U Sarakayu 16 April 2014 Paud Permata Kasih/SP2 057.j/KW-BOK/PKMM/IV/2014 100,000
Esti R Temba 16 April 2014 Paud Permata Kasih/SP2 057.j/KW-BOK/PKMM/IV/2014 100,000
Yohanis U J Anabuni 17 April 2014 Paud Omega/Sp1 057.k/KW-BOK/PKMM/IV/2014 100,000
Marniraniyati D Zesi 17 April 2014 Paud Omega/Sp1 057.k/KW-BOK/PKMM/IV/2014 100,000
Sisilia Bombo 21 April 2014 Paud Surya/Waimarapu 057.l/KW-BOK/PKMM/IV/2014 125,000
Mathilda N suru 21 April 2014 Paud Surya/Waimarapu 057.l/KW-BOK/PKMM/IV/2014 125,000
Yohanis U J Anabuni 22 April 2014 Paud Menara/Taupopu 057.m/KW-BOK/PKMM/IV/2014 125,000
Dewi Zuliatik 22 April 2014 Paud Menara/Taupopu 057.m/KW-BOK/PKMM/IV/2014 125,000
Esti R Temba 23 April 2014 Paud Bethani/Waimarapu 057.n/KW-BOK/PKMM/IV/2014 125,000
Juliana H Ome 23 April 2014 Paud Bethani/Waimarapu 057.n/KW-BOK/PKMM/IV/2014 125,000
Yudelvince R Diki 24 April 2014 Paud Gloria/Wailawa 057.o/KW-BOK/PKMM/IV/2014 75,000
Agustina Jiarapay 24 April 2014 Paud Gloria/Wailawa 057.o/KW-BOK/PKMM/IV/2014 75,000
Prima Felisitas 28 April 2014 Paud Getsemani/Wailawa 057.p/KW-BOK/PKMM/IV/2014 75,000
Trio M K Sianipar 28 April 2014 Paud Getsemani/Wailawa 057.p/KW-BOK/PKMM/IV/2014 75,000
3,850,000

Inspeksi Sarana Air Bersih Bulan April 2014
Yanto U Djangi 1 April 2014 ds Malinjak 058.a/KW-BOK/PKMM/IV/2014 75,000
Marni R T Leki 1 April 2014 ds Malinjak 058.a/KW-BOK/PKMM/IV/2014 75,000
Agnisintus S Bay 1 April 2014 ds Konda Maloba 058.a/KW-BOK/PKMM/IV/2014 250,000
Daniel L Baiyo 1 April 2014 ds Konda Maloba 058.a/KW-BOK/PKMM/IV/2014 250,000
Yuliana R Teba 3 April 2014 ds Okawacu 058.b/KW-BOK/PKMM/IV/2014 125,000
Midun U Rauta 3 April 2014 ds Okawacu 058.b/KW-BOK/PKMM/IV/2014 125,000
Marni R T Leki 3 April 2014 ds Wailawa 058.b/KW-BOK/PKMM/IV/2014 75,000
Dorkas Kalunga 3 April 2014 ds Wailawa 058.b/KW-BOK/PKMM/IV/2014 75,000
Agnisintus S Bay 4 April 2014 ds Tana Modu 058.c/KW-BOK/PKMM/IV/2014 75,000
Margarita R Dairu 4 April 2014 ds Tana Modu 058.c/KW-BOK/PKMM/IV/2014 75,000
Marni R T Leki 5 April 2014 ds Dasa Elu 058.d/KW-BOK/PKMM/IV/2014 100,000
Yohanis U Anabuni 5 April 2014 ds Dasa Elu 058.d/KW-BOK/PKMM/IV/2014 100,000
Rosalia D Kaniha 5 April 2014 ds Dameka 058.d/KW-BOK/PKMM/IV/2014 75,000
Prima Felisitas 5 April 2014 ds Dameka 058.d/KW-BOK/PKMM/IV/2014 75,000
Agnisintus S Bay 6 April 2014 ds Manurara 058.e/KW-BOK/PKMM/IV/2014 125,000
Ril R L Enga 6 April 2014 ds Manurara 058.e/KW-BOK/PKMM/IV/2014 125,000
Salmon U Kabalu 7 April 2014 ds Waimanu 058.f/KW-BOK/PKMM/IV/2014 125,000
Dewi Zuliatik 7 April 2014 ds Waimanu 058.f/KW-BOK/PKMM/IV/2014 125,000
2,050,000
Pemicuan STBM Bulan April 2014
Marni R T Leki 2 April 2014 ds Malinjak 059.a/KW-BOK/PKMM/IV/2014 75,000
Yanto U Djangi 2 April 2014 ds Malinjak 059.a/KW-BOK/PKMM/IV/2014 75,000
Agnisintus S Bay 3 April 2014 ds Tana Modu 059.b/KW-BOK/PKMM/IV/2014 75,000
Salmon U Kabalu 3 April 2014 ds Tana Modu 059.b/KW-BOK/PKMM/IV/2014 75,000
Marni R T Leki 4 April 2014 ds Wailawa 059.c/KW-BOK/PKMM/IV/2014 75,000
Dorkas Kalunga 4 April 2014 ds Wailawa 059.c/KW-BOK/PKMM/IV/2014 75,000
Agnisintus S Bay 5 April 2014 ds Manurara 059.d/KW-BOK/PKMM/IV/2014 125,000
Ril R L Enga 5 April 2014 ds Manurara 059.d/KW-BOK/PKMM/IV/2014 125,000
Marni R T Leki 7 April 2014 ds Waimanu 059.e/KW-BOK/PKMM/IV/2014 125,000
Yohanis U J Anabuni 7 April 2014 ds Waimanu 059.e/KW-BOK/PKMM/IV/2014 125,000
Agnisintus S Bay 8 April 2014 ds Okawacu 059.f/KW-BOK/PKMM/IV/2014 125,000
Daniel L Baiyo 8 April 2014 ds Okawacu 059.f/KW-BOK/PKMM/IV/2014 125,000
Marni R T Leki 9 April 2014 ds Dasa Elu 059.g/KW-BOK/PKMM/IV/2014 100,000
Yohanis U J Anabuni 9 April 2014 ds Dasa Elu 059.g/KW-BOK/PKMM/IV/2014 100,000
Agnisintus S Bay 10 April 2014 ds Dameka 059.h/KW-BOK/PKMM/IV/2014 75,000
Amandus K Bitang 10 April 2014 ds Dameka 059.h/KW-BOK/PKMM/IV/2014 75,000
Marni R T Leki 11 April 2014 ds Konda Maloba 059.i/KW-BOK/PKMM/IV/2014 250,000
Midun U Rauta 11 April 2014 ds Konda Maloba 059.i/KW-BOK/PKMM/IV/2014 250,000
2,050,000
12 526115 Biaya Trasportasi Dalam Rangka

Sweeping Imunisasi Bulan April 2014
Sisilia Bombo 5 April 2014 ds Dasa Elu 060.a/KW-BOK/PKMM/IV/2014 100,000
Refly P Kamodu 5 April 2014 ds Dasa Elu 060.a/KW-BOK/PKMM/IV/2014 100,000
Albertina R Bangi 5 April 2014 ds Dasa Elu 060.a/KW-BOK/PKMM/IV/2014 100,000
Yudaria S Poro 9 April 2014 ds Malinjak 060.b/KW-BOK/PKMM/IV/2014 75,000
Debora Wailiti 9 April 2014 ds Malinjak 060.b/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 9 April 2014 ds Malinjak 060.b/KW-BOK/PKMM/IV/2014 75,000
Anton Pandang 10 April 2014 ds Okawacu 060.c/KW-BOK/PKMM/IV/2014 125,000
Atandipu L Lulung 10 April 2014 ds Okawacu 060.c/KW-BOK/PKMM/IV/2014 125,000
Kurnia 10 April 2014 ds Okawacu 060.c/KW-BOK/PKMM/IV/2014 125,000
Sisilia Bombo 11 April 2014 ds Tana Modu 060.d/KW-BOK/PKMM/IV/2014 75,000
Diana C Manu 11 April 2014 ds Tana Modu 060.d/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 11 April 2014 ds Tana Modu 060.d/KW-BOK/PKMM/IV/2014 75,000
Rosidah 16 April 2014 ds Dameka 060.e/KW-BOK/PKMM/IV/2014 75,000
Juliana H Ome 16 April 2014 ds Dameka 060.e/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 16 April 2014 ds Dameka 060.e/KW-BOK/PKMM/IV/2014 75,000
Yudelvince R Diki 16 April 2014 ds Wailawa 060.f/KW-BOK/PKMM/IV/2014 75,000
Adriana R J Rana 16 April 2014 ds Wailawa 060.f/KW-BOK/PKMM/IV/2014 75,000
Yeni Mone 16 April 2014 ds Wailawa 060.f/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 22 April 2014 ds Manurara 060.g/KW-BOK/PKMM/IV/2014 125,000
Salmon U Kabalu 22 April 2014 ds Manurara 060.g/KW-BOK/PKMM/IV/2014 125,000
Trio M K Sianipar 22 April 2014 ds Manurara 060.g/KW-BOK/PKMM/IV/2014 125,000
Kornelis K M Dawa 23 April 2014 ds Waimanu 060.h/KW-BOK/PKMM/IV/2014 125,000
Refly P Kamodu 23 April 2014 ds Waimanu 060.h/KW-BOK/PKMM/IV/2014 125,000
Emilia R K Toga 23 April 2014 ds Waimanu 060.h/KW-BOK/PKMM/IV/2014 125,000
Jekson Kubang 25 April 2014 ds Konda Maloba 060.i/KW-BOK/PKMM/IV/2014 250,000
Daniel L Baiyo 25 April 2014 ds Konda Maloba 060.i/KW-BOK/PKMM/IV/2014 250,000
Refly P Kamodu 25 April 2014 ds Konda Maloba 060.i/KW-BOK/PKMM/IV/2014 250,000
3,075,000

Pengambilan Vaksin/Obat Bulan April 2014
Refly P Kamodu 1 April 2014 Gudang Obat 061/KW-BOK/PKMM/IV/2014 100,000
Yanto U Djangi 1 April 2014 Gudang Obat 061/KW-BOK/PKMM/IV/2014 100,000
200,000

Follow Up Penderita Malaria Dan
Pengobatannya Bulan April 2014
Yuliana R Teba 1 April 2014 ds Malinjak 062.a/KW-BOK/PKMM/IV/2014 75,000
Sisilia Bombo 1 April 2014 ds Malinjak 062.a/KW-BOK/PKMM/IV/2014 75,000
Yudaria S Poro 2 April 2014 ds Tana Modu 062.b/KW-BOK/PKMM/IV/2014 75,000
Risto R K Toga 2 April 2014 ds Tana Modu 062.b/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 3 April 2014 ds Dasa Elu 062.c/KW-BOK/PKMM/IV/2014 100,000
Marniraniyati D Zesi 3 April 2014 ds Dasa Elu 062.c/KW-BOK/PKMM/IV/2014 100,000
Trio M K Sianipar 4 April 2014 ds Okawacu 062.d/KW-BOK/PKMM/IV/2014 125,000
Daniel L Baiyo 4 April 2014 ds Okawacu 062.d/KW-BOK/PKMM/IV/2014 125,000
Jekson Kubang 5 April 2014 ds Konda Maloba 062.e/KW-BOK/PKMM/IV/2014 250,000
Adriana R J Rana 5 April 2014 ds Konda Maloba 062.e/KW-BOK/PKMM/IV/2014 250,000
Juliana H Ome 7 April 2014 ds Dameka 062.f/KW-BOK/PKMM/IV/2014 75,000
Diana C Manu 7 April 2014 ds Dameka 062.f/KW-BOK/PKMM/IV/2014 75,000
Kurnia 8 April 2014 ds Wailawa 062.g/KW-BOK/PKMM/IV/2014 75,000
Ari B Joru 8 April 2014 ds Wailawa 062.g/KW-BOK/PKMM/IV/2014 75,000
Sisilia Bombo 9 April 2014 ds Waimanu 062.h/KW-BOK/PKMM/IV/2014 125,000
Yuliana R Teba 9 April 2014 ds Waimanu 062.h/KW-BOK/PKMM/IV/2014 125,000
Regina I Toga 10 April 2014 ds Manurara 062.i/KW-BOK/PKMM/IV/2014 125,000
Agnes Ndaparoka 10 April 2014 ds Manurara 062.i/KW-BOK/PKMM/IV/2014 125,000
2,050,000
15 Biaya Transportasi Dalam Rangka

Pemantauan Minum Obat TB
Bulan April 2014
Daniel L Baiyo 1 April 2014 ds Manurara 063.a/KW-BOK/PKMM/IV/2014 125,000
Trio M K Sianipar 1 April 2014 ds Manurara 063.a/KW-BOK/PKMM/IV/2014 125,000
Sisilia Bombo 3 April 2014 ds Dameka 063.b/KW-BOK/PKMM/IV/2014 75,000
Yuliana R Teba 3 April 2014 ds Dameka 063.b/KW-BOK/PKMM/IV/2014 75,000
Refly P Kamodu 3 April 2014 ds Tana Modu 063.b/KW-BOK/PKMM/IV/2014 75,000
Dorkas Kalunga 3 April 2014 ds Tana Modu 063.b/KW-BOK/PKMM/IV/2014 75,000
Risto R K Toga 4 April 2014 ds Wailawa 063.c/KW-BOK/PKMM/IV/2014 75,000
Sisilia Bombo 4 April 2014 ds Wailawa 063.c/KW-BOK/PKMM/IV/2014 75,000
Juliana H Ome 4 April 2014 ds Okawacu 063.c/KW-BOK/PKMM/IV/2014 125,000
Diana C Manu 4 April 2014 ds Okawacu 063.c/KW-BOK/PKMM/IV/2014 125,000
Eti R Sida 5 April 2014 ds Dasa Elu 063.d/KW-BOK/PKMM/IV/2014 100,000
Daniel L Baiyo 5 April 2014 ds Dasa Elu 063.d/KW-BOK/PKMM/IV/2014 100,000
Jekson Kubang 7 April 2014 ds Konda Maloba 063.e/KW-BOK/PKMM/IV/2014 250,000
Salmon U Kabalu 7 April 2014 ds Konda Maloba 063.e/KW-BOK/PKMM/IV/2014 250,000
Midun U Rauta 7 April 2014 ds Malinjak 063.e/KW-BOK/PKMM/IV/2014 75,000
Enjelita Sihombing 7 April 2014 ds Malinjak 063.e/KW-BOK/PKMM/IV/2014 75,000
Kurnia 9 April 2014 ds Waimanu 063.f/KW-BOK/PKMM/IV/2014 125,000
Adriana R J Rana 9 April 2014 ds Waimanu 063.f/KW-BOK/PKMM/IV/2014 125,000
2,050,000
Follow Up Penderita Pneumonia
Bulan April 2014
Debora Wailiti 5 April 2014 Ds Malinjak 064.a/KW-BOK/PKMM/IV/2014 75,000
Regina I Toga 5 April 2014 Ds Malinjak 064.a/KW-BOK/PKMM/IV/2014 75,000
Yeni Sarakayu 7 April 2014 Ds Dameka 064.b/KW-BOK/PKMM/IV/2014 75,000
Adriana R J Rana 7 April 2014 Ds Dameka 064.b/KW-BOK/PKMM/IV/2014 75,000
Kornelis K M Dawa 9 April 2014 Ds Waimanu 064.c/KW-BOK/PKMM/IV/2014 125,000
Kurnia 9 April 2014 Ds Waimanu 064.c/KW-BOK/PKMM/IV/2014 125,000
Ari B Joru 10 April 2014 Ds Manurara 064.d/KW-BOK/PKMM/IV/2014 125,000
Diana C Manu 10 April 2014 Ds Manurara 064.d/KW-BOK/PKMM/IV/2014 125,000
Yudelvince R Diki 11 April 2014 Ds Wailawa 064.e/KW-BOK/PKMM/IV/2014 75,000
Marniraniyati D Zesi 11 April 2014 Ds Wailawa 064.e/KW-BOK/PKMM/IV/2014 75,000
950,000

Bulanan Bulan April 2014
Iskandar 25 April 2014 065/KW-BOK/PKMM/IV/2014 1,787,500

Bulanan Bulan April 2014
Paulus P Bupu 25 April 2014 066/KW-BOK/PKMM/IV/2014 110,000
Thomas W Sabatudung 25 April 2014 066/KW-BOK/PKMM/IV/2014 110,000
220,000

Verifikasi BOK
Bulan April 2014
Adriana R J Rana 30 April 2014 067/KW-BOK/PKMM/IV/2014 100,000
Kurnia 30 April 2014 067/KW-BOK/PKMM/IV/2014 100,000
Diana C Manu 30 April 2014 067/KW-BOK/PKMM/IV/2014 100,000
300,000
20 526115 Biaya ATK BOK Bulan April 2014

Joni Pratikno 30 April 2014 068/KW-BOK/PKMM/IV/2014 817,500
JUMLAH 30,650,000
MENGETAHUI Malinjak, 30 April 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 005 / SPTB - BOK / MLJK / V / 2014

Bulan : Mei
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Sweeping K1,K4 dan Bumil Resti
Bulan Mei 2014
Adiningsih R Woji 2 Mei 2014 Ds Malinjak 069.a/KW-BOK/PKMM/V/2014 75,000
Yeni Mone 2 Mei 2014 Ds Wailawa 069.a/KW-BOK/PKMM/V/2014 75,000
Melda Inggrit Bani 2 Mei 2014 Ds Waimanu 069.a/KW-BOK/PKMM/V/2014 125,000
Atandipu L Lulung 3 Mei 2014 Ds OKawacu 069.b/KW-BOK/PKMM/V/2014 125,000
Imelda Y Liubana 3 Mei 2014 Ds Manurara 069.b/KW-BOK/PKMM/V/2014 125,000
Agnes P Kilimandu 3 Mei 2014 Ds Konda Maloba 069.b/KW-BOK/PKMM/V/2014 250,000
Mawar Manurung 6 Mei 2014 Ds Tana Modu 069.c/KW-BOK/PKMM/V/2014 75,000
Adiningsih R Woji 6 Mei 2014 Ds Dasa Elu 069.c/KW-BOK/PKMM/V/2014 100,000
Adiningsih R Woji 8 Mei 2014 Ds Dameka 069.d/KW-BOK/PKMM/V/2014 75,000
1,025,000

Bulan Mei 2014
Yuliana R Podu 1 Mei 2014 Ds Wailawa 070.a/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 3 Mei 2014 Ds Malinjak 070.b/KW-BOK/PKMM/V/2014 50,000
Dorkas D Siala 5 Mei 2014 Ds Waimanu 070.c/KW-BOK/PKMM/V/2014 50,000
R L Day 6 Mei 2014 Ds Malinjak 070.d/KW-BOK/PKMM/V/2014 50,000
Nevi Pagegi 11 Mei 2014 Ds Dasa Elu 070.e/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 11 Mei 2014 Ds Malinjak 070.e/KW-BOK/PKMM/V/2014 50,000
Pelomina J Koten 16 Mei 2014 Ds Wailawa 070.f/KW-BOK/PKMM/V/2014 50,000
Kasi Danga 16 Mei 2014 Ds Waimanu 070.f/KW-BOK/PKMM/V/2014 50,000
Jati B Boku 19 Mei 2014 Ds Dasa Elu 070.g/KW-BOK/PKMM/V/2014 50,000
Martina L Paila 20 Mei 2014 Ds Waimanu 070.h/KW-BOK/PKMM/V/2014 50,000
Adriana G Mayi 21 Mei 2014 Ds Dasa Elu 070.i/KW-BOK/PKMM/V/2014 50,000
Yuliana K Diki 21 Mei 2014 Ds Wailawa 070.i/KW-BOK/PKMM/V/2014 50,000
Oce D Siala 21 Mei 2014 Ds Dasa Elu 070.i/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 26 Mei 2014 Ds Tana Modu 070.j/KW-BOK/PKMM/V/2014 50,000
Nevi Pagegi 27 Mei 2014 Ds Dasa Elu 070.k/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 27 Mei 2014 Ds Tana Modu 070.k/KW-BOK/PKMM/V/2014 50,000
Ladi Lauru 28 Mei 2014 Ds Manurara 070.l/KW-BOK/PKMM/V/2014 50,000
850,000
3 526115 BiayaTransportasi Dalam Rangka

Pelacakan Kematian Neonatal,Bayi,Balita
Bulan Mei 2014
Adiningsih R Woji 16 Mei 2014 Ds Wailawa 071/KW-BOK/PKMM/V/2014 75,000
Adriana R J Rana 16 Mei 2014 Ds Wailawa 071/KW-BOK/PKMM/V/2014 75,000
150,000

Bulan Mei 2014
Ana R K Toga 2 Mei 2014 Ds Malinjak 072.a/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 5 Mei 2014 Ds Malinjak 072.b/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 6 Mei 2014 Ds Malinjak 072.c/KW-BOK/PKMM/V/2014 50,000
Ana R K Toga 7 Mei 2014 Ds Malinjak 072.d/KW-BOK/PKMM/V/2014 50,000
Margareta Malo 7 Mei 2014 Ds OKawacu 072.d/KW-BOK/PKMM/V/2014 50,000
Kasi Danga 8 Mei 2014 Ds Wailawa 072.e/KW-BOK/PKMM/V/2014 50,000
Rana Nyewi 8 Mei 2014 Ds Wailawa 072.e/KW-BOK/PKMM/V/2014 50,000
Oce D Siala 9 Mei 2014 Ds Wailawa 072.f/KW-BOK/PKMM/V/2014 50,000
Adriana G Mayi 9 Mei 2014 Ds Waimanu 072.f/KW-BOK/PKMM/V/2014 50,000
Kasi Danga 10 Mei 2014 Ds Waimanu 072.g/KW-BOK/PKMM/V/2014 50,000
Arni R D Mosa 10 Mei 2014 Ds Dasa Elu 072.g/KW-BOK/PKMM/V/2014 50,000
Arni R D Mosa 12 Mei 2014 Ds Dasa Elu 072.h/KW-BOK/PKMM/V/2014 50,000
Orpa R Bera 12 Mei 2014 Ds Manurara 072.h/KW-BOK/PKMM/V/2014 50,000
Orpa R Bera 13 Mei 2014 Ds Manurara 072.i/KW-BOK/PKMM/V/2014 50,000
700,000

Pelacakan/Pemantauan Status Gizi
Bulan Mei 2014
Dr.Tiwi 2 Mei 2014 Ds Dameka 073.a/KW-BOK/PKMM/V/2014 75,000
Diana C Manu 2 Mei 2014 Ds Dameka 073.a/KW-BOK/PKMM/V/2014 75,000
Juliana Ome 2 Mei 2014 Ds Dameka 073.a/KW-BOK/PKMM/V/2014 75,000
Dr.Tiwi 3 Mei 2014 Ds Wailawa 073.b/KW-BOK/PKMM/V/2014 75,000
Trio M K Sianipar 3 Mei 2014 Ds Wailawa 073.b/KW-BOK/PKMM/V/2014 75,000
Lidia R L Enga 3 Mei 2014 Ds Wailawa 073.b/KW-BOK/PKMM/V/2014 75,000
Dr.Tiwi 5 Mei 2014 Ds Waimanu 073.c/KW-BOK/PKMM/V/2014 125,000
Kurnia 5 Mei 2014 Ds Waimanu 073.c/KW-BOK/PKMM/V/2014 125,000
Eti R Sida 5 Mei 2014 Ds Waimanu 073.c/KW-BOK/PKMM/V/2014 125,000
Dr.Tiwi 6 Mei 2014 Ds Manurara 073.d/KW-BOK/PKMM/V/2014 125,000
Susanti Ledi 6 Mei 2014 Ds Manurara 073.d/KW-BOK/PKMM/V/2014 125,000
Agnes Ndaparoka 6 Mei 2014 Ds Manurara 073.d/KW-BOK/PKMM/V/2014 125,000
Dr.Tiwi 7 Mei 2014 Ds Malinjak 073.e/KW-BOK/PKMM/V/2014 75,000
Marniraniyati D Zesi 7 Mei 2014 Ds Malinjak 073.e/KW-BOK/PKMM/V/2014 75,000
Regina I Toga 7 Mei 2014 Ds Malinjak 073.e/KW-BOK/PKMM/V/2014 75,000
Dr.Tiwi 8 Mei 2014 Ds Tana Modu 073.f/KW-BOK/PKMM/V/2014 75,000
Susanti Ledi 8 Mei 2014 Ds Tana Modu 073.f/KW-BOK/PKMM/V/2014 75,000
Yudaria S Poro 8 Mei 2014 Ds Tana Modu 073.f/KW-BOK/PKMM/V/2014 75,000
Dr.Tiwi 9 Mei 2014 Ds Dasa Elu 073.g/KW-BOK/PKMM/V/2014 100,000
Susanti Ledi 9 Mei 2014 Ds Dasa Elu 073.g/KW-BOK/PKMM/V/2014 100,000
Albertina R Bangi 9 Mei 2014 Ds Dasa Elu 073.g/KW-BOK/PKMM/V/2014 100,000
Dr.Tiwi 10 Mei 2014 Ds OKawacu 073.h/KW-BOK/PKMM/V/2014 125,000
Anton Pandang 10 Mei 2014 Ds OKawacu 073.h/KW-BOK/PKMM/V/2014 125,000
Sisilia Bombo 10 Mei 2014 Ds OKawacu 073.h/KW-BOK/PKMM/V/2014 125,000
Dr.Tiwi 12 Mei 2014 Ds Konda Maloba 073.i/KW-BOK/PKMM/V/2014 250,000
Susanti Ledi 12 Mei 2014 Ds Konda Maloba 073.i/KW-BOK/PKMM/V/2014 250,000
Refly P Kamodu 12 Mei 2014 Ds Konda Maloba 073.i/KW-BOK/PKMM/V/2014 250,000
3,075,000
Verifikasi STBM Bulan Mei 2014
Marni R T Leki 2 Mei 2014 Malinjak 074.a/KW-BOK/PKMM/V/2014 75,000
Margarita R Dairu 2 Mei 2014 Malinjak 074.a/KW-BOK/PKMM/V/2014 75,000
Marni R T Leki 3 Mei 2014 Wailawa 074.b/KW-BOK/PKMM/V/2014 75,000
Dorkas Kalunga 3 Mei 2014 Wailawa 074.b/KW-BOK/PKMM/V/2014 75,000
Marni R T Leki 5 Mei 2014 Dameka 074.c/KW-BOK/PKMM/V/2014 75,000
Rill R L Enga 5 Mei 2014 Dameka 074.c/KW-BOK/PKMM/V/2014 75,000
Marni R T Leki 6 Mei 2014 Manurara 074.d/KW-BOK/PKMM/V/2014 125,000
Suryanti R Leki 6 Mei 2014 Manurara 074.d/KW-BOK/PKMM/V/2014 125,000
Agnisintus S Bay 7 Mei 2014 Tana Modu 074.e/KW-BOK/PKMM/V/2014 75,000
Salmon U Kabalu 7 Mei 2014 Tana Modu 074.e/KW-BOK/PKMM/V/2014 75,000
Agnisintus S Bay 8 Mei 2014 Waimanu 074.f/KW-BOK/PKMM/V/2014 125,000
Midun U Rauta 8 Mei 2014 Waimanu 074.f/KW-BOK/PKMM/V/2014 125,000
Agnisintus S Bay 9 Mei 2014 OKawacu 074.g/KW-BOK/PKMM/V/2014 125,000
Yanto U Djangi 9 Mei 2014 OKawacu 074.g/KW-BOK/PKMM/V/2014 125,000
Agnisintus S Bay 10 Mei 2014 Dasa Elu 074.h/KW-BOK/PKMM/V/2014 100,000
Daniel L Baiyo 10 Mei 2014 Dasa Elu 074.h/KW-BOK/PKMM/V/2014 100,000
Agnisintus S Bay 12 Mei 2014 Konda Maloba 074.i/KW-BOK/PKMM/V/2014 250,000
Amandus K Bitang 12 Mei 2014 Konda Maloba 074.i/KW-BOK/PKMM/V/2014 250,000
2,050,000

Monitoring Sanitasi Tk.Puskesmas
Bulan Mei 2014
Marni R T Leki 17 Mei 2014 Puskesmas Pahar 075/KW-BOK/PKMM/V/2014 125,000
Agnisintus S Bay 17 Mei 2014 Puskesmas Pahar 075/KW-BOK/PKMM/V/2014 125,000
250,000

Penjaringan Susp.TB Paru Dan Pengambilan
Sputum Kontak Serumah Bulan Mei 2014
Sisilia Bombo 2 Mei 2014 Ds Malinjak 076.a/KW-BOK/PKMM/V/2014 75,000
Juliana H Ome 2 Mei 2014 Ds Malinjak 076.a/KW-BOK/PKMM/V/2014 75,000
Daniel L Baiyo 3 Mei 2014 Ds Tana Modu 076.b/KW-BOK/PKMM/V/2014 75,000
Trio M K Sianipar 3 Mei 2014 Ds Tana Modu 076.b/KW-BOK/PKMM/V/2014 75,000
Rosalia D Kaniga 5 Mei 2014 Ds Wailawa 076.c/KW-BOK/PKMM/V/2014 75,000
Kurnia 5 Mei 2014 Ds Wailawa 076.c/KW-BOK/PKMM/V/2014 75,000
Adriana R J Rana 6 Mei 2014 Ds Waimanu 076.d/KW-BOK/PKMM/V/2014 125,000
Sisilia Bombo 6 Mei 2014 Ds Waimanu 076.d/KW-BOK/PKMM/V/2014 125,000
Regina I Toga 7 Mei 2014 Ds Manurara 076.e/KW-BOK/PKMM/V/2014 125,000
Diana C Manu 7 Mei 2014 Ds Manurara 076.e/KW-BOK/PKMM/V/2014 125,000
R R Samani 8 Mei 2014 Ds Dameka 076.f/KW-BOK/PKMM/V/2014 75,000
Susanti Ledi 8 Mei 2014 Ds Dameka 076.f/KW-BOK/PKMM/V/2014 75,000
Juliana H Ome 9 Mei 2014 Ds Dasa Elu 076.g/KW-BOK/PKMM/V/2014 100,000
Agustina Jiarapay 9 Mei 2014 Ds Dasa Elu 076.g/KW-BOK/PKMM/V/2014 100,000
r Refly P Kamodu 10 Mei 2014 Ds Konda aloba 076.h/KW-BOK/PKMM/V/2014 250,000
Daniel L Baiyo 10 Mei 2014 Ds Konda aloba 076.h/KW-BOK/PKMM/V/2014 250,000
Dr.Tiwi 12 Mei 2014 Ds Okawacu 076.i/KW-BOK/PKMM/V/2014 125,000
Dewi Zuliatik 12 Mei 2014 Ds Okawacu 076.i/KW-BOK/PKMM/V/2014 125,000
2,050,000

Bulanan Bulan Mei 2014
Iskandar 24 Mei 2014 077/KW-BOK/PKMM/V/2014 1,787,500

Bulanan Bulan Mei 2014
Alfius Budy Setiawan 24 Mei 2014 078/KW-BOK/PKMM/V/2014 110,000
Johana N Liawat 24 Mei 2014 078/KW-BOK/PKMM/V/2014 110,000
220,000

Verifikasi BOK
Bulan Mei 2014
Adriana R J Rana 31 Mei 2014 079/KW-BOK/PKMM/V/2014 100,000
Kurnia 31 Mei 2014 079/KW-BOK/PKMM/V/2014 100,000
Diana C Manu 31 Mei 2014 079/KW-BOK/PKMM/V/2014 100,000
300,000
12 526115 Biaya ATK BOK Bulan Mei 2014

Joni Pratikno 31 Mei 2014 080/KW-BOK/PKMM/V/2014 902,500
JUMLAH 13,360,000
MENGETAHUI Malinjak, 31 Mei 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 006 / SPTB - BOK / MLJK / VI / 2014

Bulan : Juni
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Bulan Juni 2014
Ladi Lauru 1 Juni 2014 Ds Manurara 081.a/KW-BOK/PKMM/VI/2014 50,000
Ladi Lauru 1 Juni 2014 Ds Manurara 081.a/KW-BOK/PKMM/VI/2014 50,000
Ana R K Toga 2 Juni 2014 Ds Malinjak 081.b/KW-BOK/PKMM/VI/2014 50,000
Astrina 3 Juni 2014 Ds Okawacu 081.c/KW-BOK/PKMM/VI/2014 50,000
Astrina 3 Juni 2014 Ds Okawacu 081.c/KW-BOK/PKMM/VI/2014 50,000
Gega R Day 4 Juni 2014 Ds Malinjak 081.d/KW-BOK/PKMM/VI/2014 50,000
Sisilia S Tegi 5 Juni 2014 Ds Wailawa 081.e/KW-BOK/PKMM/VI/2014 50,000
Yuliana Diki 11 Juni 2014 Ds Wailawa 081.f/KW-BOK/PKMM/VI/2014 50,000
R K Toga 14 Juni 2014 Ds Dameka 081.g/KW-BOK/PKMM/VI/2014 50,000
Ana R K Toga 15 Juni 2014 Ds Malinjak 081.h/KW-BOK/PKMM/VI/2014 50,000
Erna R Nawu 15 Juni 2014 Ds Malinjak 081.h/KW-BOK/PKMM/VI/2014 50,000
Margareta Malo 19 Juni 2014 Ds Okawacu 081.i/KW-BOK/PKMM/VI/2014 50,000
Nevi Pagegi 20 Juni 2014 Ds Dasa Elu 081.j/KW-BOK/PKMM/VI/2014 50,000
Yuliana Diki 21 Juni 2014 Ds Wailawa 081.k/KW-BOK/PKMM/VI/2014 50,000
Katrina K Kobu 24 Juni 2014 Ds Malinjak 081.l/KW-BOK/PKMM/VI/2014 50,000
Ana R K Toga 25 Juni 2014 Ds Wailawa 081.m/KW-BOK/PKMM/VI/2014 50,000
Pelomina J Koten 26 Juni 2014 Ds Dasa Elu 081.n/KW-BOK/PKMM/VI/2014 50,000
Oce D Siala 28 Juni 2014 Ds Wailawa 081.o/KW-BOK/PKMM/VI/2014 50,000
900,000

Pemantauan Kelas Bumil Bulan Juni 2014
Adinigsih R Woji 2 Juni 2014 Ds Malinjak 082.a/KW-BOK/PKMM/VI/2014 75,000
Yeni Mone 2 Juni 2014 Ds Wailawa 082.a/KW-BOK/PKMM/VI/2014 75,000
Imelda Y Liubana 2 Juni 2014 Ds Waimanu 082.a/KW-BOK/PKMM/VI/2014 125,000
Mawar Manurung 4 Juni 2014 Ds Tana Modu 082.b/KW-BOK/PKMM/VI/2014 75,000
Melda Inggrit Bani 4 Juni 2014 Ds Manurara 082.b/KW-BOK/PKMM/VI/2014 125,000
Adinigsih R Woji 6 Juni 2014 Ds Dasa Elu 082.c/KW-BOK/PKMM/VI/2014 100,000
Adinigsih R Woji 10 Juni 2014 Ds Dameka 082.d/KW-BOK/PKMM/VI/2014 75,000
Atandipu L Lulung 10 Juni 2014 Ds Okawacu 082.d/KW-BOK/PKMM/VI/2014 125,000
Ririn Zulhijah ;26 Juni 2014 Ds Konda Maloba 082.e/KW-BOK/PKMM/VI/2014 250,000
1,025,000

Posyandu Usila Bulan Juni 2014
Debora Wailiti 1 Juni 2014 Ds Malinjak 083.a/KW-BOK/PKMM/VI/2014 75,000
Adiningsih R Woji 1 Juni 2014 Ds Malinjak 083.a/KW-BOK/PKMM/VI/2014 75,000
Emilia R K Toga 1 Juni 2014 Ds Waimanu 083.a/KW-BOK/PKMM/VI/2014 125,000
Melda Inggrit Bani 1 Juni 2014 Ds Waimanu 083.a/KW-BOK/PKMM/VI/2014 125,000
Yudaria S Poro 2 Juni 2014 Ds Tana Modu 083.b/KW-BOK/PKMM/VI/2014 75,000
Mawar Manurung 2 Juni 2014 Ds Tana Modu 083.b/KW-BOK/PKMM/VI/2014 75,000
Yudelvince R Diki 2 Juni 2014 Ds Wailawa 083.b/KW-BOK/PKMM/VI/2014 75,000
Yeni Mone 2 Juni 2014 Ds Wailawa 083.b/KW-BOK/PKMM/VI/2014 75,000
Albertina R Bangi 3 Juni 2014 Ds Dasa Elu 083.c/KW-BOK/PKMM/VI/2014 100,000
Adiningsih R Woji 3 Juni 2014 Ds Dasa Elu 083.c/KW-BOK/PKMM/VI/2014 100,000
Rosidah 3 Juni 2014 Ds Dameka 083.c/KW-BOK/PKMM/VI/2014 75,000
Mawar Manurung 3 Juni 2014 Ds Dameka 083.c/KW-BOK/PKMM/VI/2014 75,000
Anton Pandang 4 Juni 2014 Ds Okawacu 083.d/KW-BOK/PKMM/VI/2014 125,000
Atandipu L Lulung 4 Juni 2014 Ds Okawacu 083.d/KW-BOK/PKMM/VI/2014 125,000
Agnes Ndaparoka 4 Juni 2014 Ds Manurara 083.d/KW-BOK/PKMM/VI/2014 125,000
Imelda Y Liubana 4 Juni 2014 Ds Manurara 083.d/KW-BOK/PKMM/VI/2014 125,000
Jekson Kubang 5 Juni 2014 Ds Konda Maloba 083.e/KW-BOK/PKMM/VI/2014 250,000
Ririn Julhijah 5 Juni 2014 Ds Konda Maloba 083.e/KW-BOK/PKMM/VI/2014 250,000
2,050,000

Bulan Juni 2014
Marta R Leki 2 Juni 2014 Ds Malinjak 084.a/KW-BOK/PKMM/VI/2014 50,000
Paila Meti 2 Juni 2014 Ds Malinjak 084.a/KW-BOK/PKMM/VI/2014 50,000
R B Emu 3 Juni 2014 Ds Malinjak 084.b/KW-BOK/PKMM/VI/2014 50,000
Sisilia S Tegi 3 Juni 2014 Ds Wailawa 084.b/KW-BOK/PKMM/VI/2014 50,000
Sisilia S Tegi 4 Juni 2014 Ds Wailawa 084.c/KW-BOK/PKMM/VI/2014 50,000
Jeni M Siala 4 Juni 2014 Ds Wailawa 084.c/KW-BOK/PKMM/VI/2014 50,000
Jeni R P Rauna 6 Juni 2014 Ds Tana Modu 084.d/KW-BOK/PKMM/VI/2014 50,000
Yati R Katibi 7 Juni 2014 Ds Tana Modu 084.e/KW-BOK/PKMM/VI/2014 50,000
Dorkas B Meja 10 Juni 2014 Ds Tana Modu 084.f/KW-BOK/PKMM/VI/2014 50,000
Neni R Bera 12 Juni 2014 Ds Tana Modu 084.g/KW-BOK/PKMM/VI/2014 50,000
Roli K Otu 13 Juni 2014 Ds Tana Modu 084.h/KW-BOK/PKMM/VI/2014 50,000
Yati R Katibi 16 Juni 2014 Ds Tana Modu 084.i/KW-BOK/PKMM/VI/2014 50,000
Orpa R Bera 20 Juni 2014 Ds Manurara 084.j/KW-BOK/PKMM/VI/2014 50,000
Adriana Bili 23 Juni 2014 Ds Dasa Elu 084.k/KW-BOK/PKMM/VI/2014 50,000
Adriana Bili 24 Juni 2014 Ds Dasa Elu 084.l/KW-BOK/PKMM/VI/2014 50,000
750,000
Sanitasi Total Berbasis Sekolah
Bulan Juni 2014
Marni R T Leki 2 Juni 2014 SD Dameka 085.a/KW-BOK/PKMM/VI/2014 75,000
Dorkas Kalunga 2 Juni 2014 SD Dameka 085.a/KW-BOK/PKMM/VI/2014 75,000
Sisilia Bombo 2 Juni 2014 SD Wailawa 085.a/KW-BOK/PKMM/VI/2014 75,000
Yuliana R Teba 2 Juni 2014 SD Wailawa 085.a/KW-BOK/PKMM/VI/2014 75,000
Agnisintus S Bay 2 Juni 2014 SMP 3 Waibakul 085.a/KW-BOK/PKMM/VI/2014 75,000
Agustina Jiarapay 2 Juni 2014 SMP 3 Waibakul 085.a/KW-BOK/PKMM/VI/2014 75,000
Diana C Manu 3 Juni 2014 SD Waimanu 085.b/KW-BOK/PKMM/VI/2014 125,000
Rill R L Enga 3 Juni 2014 SD Waimanu 085.b/KW-BOK/PKMM/VI/2014 125,000
Dewi Zuliatik 3 Juni 2014 SD Manurara 085.b/KW-BOK/PKMM/VI/2014 125,000
Juliana H Ome 3 Juni 2014 SD Manurara 085.b/KW-BOK/PKMM/VI/2014 125,000
Suryanti R Leki 3 Juni 2014 SD Taupopu 085.b/KW-BOK/PKMM/VI/2014 125,000
Marni R T Leki 3 Juni 2014 SD Taupopu 085.b/KW-BOK/PKMM/VI/2014 125,000
Midun U Rauta 4 Juni 2014 SD Laigoli 085.c/KW-BOK/PKMM/VI/2014 75,000
R R Samani 4 Juni 2014 SD Laigoli 085.c/KW-BOK/PKMM/VI/2014 75,000
Margarita R Dairu 4 Juni 2014 SD Mambitul 085.c/KW-BOK/PKMM/VI/2014 75,000
Marni R T Leki 4 Juni 2014 SD Mambitul 085.c/KW-BOK/PKMM/VI/2014 75,000
Regina I Toga 4 Juni 2014 SD Maloba 085.c/KW-BOK/PKMM/VI/2014 100,000
Yohanis U J Anabuni 4 Juni 2014 SD Maloba 085.c/KW-BOK/PKMM/VI/2014 100,000
Kurnia 4 Juni 2014 SD Liangu Dongu 085.c/KW-BOK/PKMM/VI/2014 100,000
Ervintri R P Jabu 4 Juni 2014 SD Liangu Dongu 085.c/KW-BOK/PKMM/VI/2014 100,000
Anton Pandang 5 Juni 2014 SD Taman Mas 085.d/KW-BOK/PKMM/VI/2014 125,000
Agnisintus S Bay 5 Juni 2014 SD Taman Mas 085.d/KW-BOK/PKMM/VI/2014 125,000
Kurnia 5 Juni 2014 SLB Waibakul 085.d/KW-BOK/PKMM/VI/2014 100,000
Agustina Jiarapay 5 Juni 2014 SLB Waibakul 085.d/KW-BOK/PKMM/VI/2014 100,000
Yuliana R Teba 5 Juni 2014 SMP Satap Taman Mas 085.d/KW-BOK/PKMM/VI/2014 125,000
Sisilia Bombo 5 Juni 2014 SMP Satap Taman Mas 085.d/KW-BOK/PKMM/VI/2014 125,000
Trio M K Sianipar 6 Juni 2014 SD Pantai Maloba 085.e/KW-BOK/PKMM/VI/2014 250,000
Agnisintus S Bay 6 Juni 2014 SD Pantai Maloba 085.e/KW-BOK/PKMM/VI/2014 250,000
Adriana R J Rana 6 Juni 2014 SMA N 1 Waibakul 085.e/KW-BOK/PKMM/VI/2014 75,000
Marni R T Leki 6 Juni 2014 SMA N 1 Waibakul 085.e/KW-BOK/PKMM/VI/2014 75,000
Yeni Sarakayu 7 Juni 2014 SMP Satap Pantai Maloba 085.f/KW-BOK/PKMM/VI/2014 250,000
Refly P Kamodu 7 Juni 2014 SMP Satap Pantai Maloba 085.f/KW-BOK/PKMM/VI/2014 250,000
Marniraniyati D Zesi 7 Juni 2014 SMP N 2 Waibakul 085.f/KW-BOK/PKMM/VI/2014 75,000
Ari B Joru 7 Juni 2014 SMP N 2 Waibakul 085.f/KW-BOK/PKMM/VI/2014 75,000
3,900,000

Pengambilan Vaksin/Obat Bulan Juni 2014
Refly P Kamodu 2 Juni 2014 Di Gudang Obat 086/KW-BOK/PKMM/VI/2014 100,000
Yanto U Djangi 2 Juni 2014 Di Gudang Obat 086/KW-BOK/PKMM/VI/2014 100,000
200,000

Survei Penyakit Berpotensi KLB
Bulan Juni 2014
Sisilia Bombo 2 Juni 2014 Ds Konda Maloba 087.a/KW-BOK/PKMM/VI/2014 250,000
Yeni Sarakayu 2 Juni 2014 Ds Konda Maloba 087.a/KW-BOK/PKMM/VI/2014 250,000
Albertina R Bangi 3 Juni 2014 Ds Dasa Elu 087.b/KW-BOK/PKMM/VI/2014 100,000
Esti R Temba 3 Juni 2014 Ds Dasa Elu 087.b/KW-BOK/PKMM/VI/2014 100,000
Rosidah 4 Juni 2014 Ds Dameka 087.c/KW-BOK/PKMM/VI/2014 75,000
Ervintri R P Jabu 4 Juni 2014 Ds Dameka 087.c/KW-BOK/PKMM/VI/2014 75,000
Yudelvince R Diki 5 Juni 2014 Ds Wailawa 087.d/KW-BOK/PKMM/VI/2014 75,000
R R Samani 5 Juni 2014 Ds Wailawa 087.d/KW-BOK/PKMM/VI/2014 75,000
Kornelis K M Dawa 6 Juni 2014 Ds Waimanu 087.e/KW-BOK/PKMM/VI/2014 125,000
Emilia R K Toga 6 Juni 2014 Ds Waimanu 087.e/KW-BOK/PKMM/VI/2014 125,000
Agnes Ndaparoka 7 Juni 2014 Ds Manurara 087.f/KW-BOK/PKMM/VI/2014 125,000
Suryanti R Leki 7 Juni 2014 Ds Manurara 087.f/KW-BOK/PKMM/VI/2014 125,000
Debora Wailiti 9 Juni 2014 Ds Malinjak 087.g/KW-BOK/PKMM/VI/2014 75,000
Rosalia D Kaniha 9 Juni 2014 Ds Malinjak 087.g/KW-BOK/PKMM/VI/2014 75,000
Yudaria S Poro 10 Juni 2014 Ds Tana Modu 087.h/KW-BOK/PKMM/VI/2014 75,000
Dewi Zuliatik 10 Juni 2014 Ds Tana Modu 087.h/KW-BOK/PKMM/VI/2014 75,000
Anton Pandang 11 Juni 2014 Ds OKawacu 087.i/KW-BOK/PKMM/VI/2014 125,000
Susanti Ledi 11 Juni 2014 Ds OKawacu 087.i/KW-BOK/PKMM/VI/2014 125,000
2,050,000

Survei AFP,Kusta,Filaria,Frambusia
Bulan Juni 2014
Jekson Kubang 2 Juni 2014 Ds Konda Maloba 088.a/KW-BOK/PKMM/VI/2014 250,000
Adriana R J Rana 2 Juni 2014 Ds Konda Maloba 088.a/KW-BOK/PKMM/VI/2014 250,000
Anton Pandang 3 Juni 2014 Ds OKawacu 088.b/KW-BOK/PKMM/VI/2014 125,000
Daniel L Baiyo 3 Juni 2014 Ds OKawacu 088.b/KW-BOK/PKMM/VI/2014 125,000
Debora Wailiti 4 Juni 2014 Ds Malinjak 088.c/KW-BOK/PKMM/VI/2014 75,000
Enjelita Sihombing 4 Juni 2014 Ds Malinjak 088.c/KW-BOK/PKMM/VI/2014 75,000
Albertina R Bangi 5 Juni 2014 Ds Dasa Elu 088.d/KW-BOK/PKMM/VI/2014 100,000
Marniraniyati D Zesi 5 Juni 2014 Ds Dasa Elu 088.d/KW-BOK/PKMM/VI/2014 100,000
Yudaria S Poro 6 Juni 2014 Ds Tana Modu 088.e/KW-BOK/PKMM/VI/2014 75,000
Ari B Joru 6 Juni 2014 Ds Tana Modu 088.e/KW-BOK/PKMM/VI/2014 75,000
Sisilia Bombo 7 Juni 2014 Ds Manurara 088.f/KW-BOK/PKMM/VI/2014 125,000
Yuliana R Teba 7 Juni 2014 Ds Manurara 088.f/KW-BOK/PKMM/VI/2014 125,000
Kornelis K M Dawa 9 Juni 2014 Ds Waimanu 088.g/KW-BOK/PKMM/VI/2014 125,000
Emilia R K Toga 9 Juni 2014 Ds Waimanu 088.g/KW-BOK/PKMM/VI/2014 125,000
Rosidah 10 Juni 2014 Ds Dameka 088.h/KW-BOK/PKMM/VI/2014 75,000
Juliana H Ome 10 Juni 2014 Ds Dameka 088.h/KW-BOK/PKMM/VI/2014 75,000
Yudelvince R Diki 11 Juni 2014 Ds Wailawa 088.i/KW-BOK/PKMM/VI/2014 75,000
Kurnia 11 Juni 2014 Ds Wailawa 088.i/KW-BOK/PKMM/VI/2014 75,000
2,050,000
Pelacakan Kasus IMS Bulan Juni 2014
Dr Tiwi 13 Juni 2014 Ds Dasa Elu 089.a/KW-BOK/PKMM/VI/2014 100,000
Esti R Temba 13 Juni 2014 Ds Dasa Elu 089.a/KW-BOK/PKMM/VI/2014 100,000
Dr Tiwi 14 Juni 2014 Ds Tana Modu 089.b/KW-BOK/PKMM/VI/2014 75,000
Adriana R J Rana 14 Juni 2014 Ds Tana Modu 089.b/KW-BOK/PKMM/VI/2014 75,000
Dr Tiwi 16 Juni 2014 Ds Dameka 089.c/KW-BOK/PKMM/VI/2014 75,000
Kurnia 16 Juni 2014 Ds Dameka 089.c/KW-BOK/PKMM/VI/2014 75,000
Dr Tiwi 17 Juni 2014 Ds Wailawa 089.d/KW-BOK/PKMM/VI/2014 75,000
Yuliana R Teba 17 Juni 2014 Ds Wailawa 089.d/KW-BOK/PKMM/VI/2014 75,000
Dr Tiwi 19 Juni 2014 Ds OKawacu 089.e/KW-BOK/PKMM/VI/2014 125,000
Anton Pandang 19 Juni 2014 Ds OKawacu 089.e/KW-BOK/PKMM/VI/2014 125,000
Dr Tiwi 20 Juni 2014 Ds Waimanu 089.f/KW-BOK/PKMM/VI/2014 125,000
Juliana H Ome 20 Juni 2014 Ds Waimanu 089.f/KW-BOK/PKMM/VI/2014 125,000
Dr Tiwi 21 Juni 2014 Ds Manurara 089.g/KW-BOK/PKMM/VI/2014 125,000
Diana C Manu 21 Juni 2014 Ds Manurara 089.g/KW-BOK/PKMM/VI/2014 125,000
Dr Tiwi 23 Juni 2014 Ds Malinjak 089.h/KW-BOK/PKMM/VI/2014 75,000
Esti R Temba 23 Juni 2014 Ds Malinjak 089.h/KW-BOK/PKMM/VI/2014 75,000
Dr Tiwi 24 Juni 2014 Ds Konda Maloba 089.i/KW-BOK/PKMM/VI/2014 250,000
Susanti Ledi 24 Juni 2014 Ds Konda Maloba 089.i/KW-BOK/PKMM/VI/2014 250,000
2,050,000

Follow Up Penderita Diare Bulan Juni 2014
Rosidah 13 Juni 2014 Ds Dameka 090.a/KW-BOK/PKMM/VI/2014 75,000
Lidia R L Enga 13 Juni 2014 Ds Dameka 090.a/KW-BOK/PKMM/VI/2014 75,000
Yudelvince R Diki 13 Juni 2014 Ds Wailawa 090.a/KW-BOK/PKMM/VI/2014 75,000
Ervintri R P Jabu 13 Juni 2014 Ds Wailawa 090.a/KW-BOK/PKMM/VI/2014 75,000
Emilia R K Toga 13 Juni 2014 Ds Waimanu 090.a/KW-BOK/PKMM/VI/2014 125,000
Kurnia 13 Juni 2014 Ds Waimanu 090.a/KW-BOK/PKMM/VI/2014 125,000
Agnes Ndaparoka 13 Juni 2014 Ds Manurara 090.a/KW-BOK/PKMM/VI/2014 125,000
Ari B Joru 13 Juni 2014 Ds Manurara 090.a/KW-BOK/PKMM/VI/2014 125,000
Yudaria S Poro 14 Juni 2014 Ds Tana Modu 090.b/KW-BOK/PKMM/VI/2014 75,000
Eti R Sida 14 Juni 2014 Ds Tana Modu 090.b/KW-BOK/PKMM/VI/2014 75,000
Debora Wailiti 14 Juni 2014 Ds Malinjak 090.b/KW-BOK/PKMM/VI/2014 75,000
Yeni Sarakayu 14 Juni 2014 Ds Malinjak 090.b/KW-BOK/PKMM/VI/2014 75,000
Albertina R Bangi 14 Juni 2014 Ds Dasa Elu 090.b/KW-BOK/PKMM/VI/2014 100,000
Risto R K Toga 14 Juni 2014 Ds Dasa Elu 090.b/KW-BOK/PKMM/VI/2014 100,000
Anton Pandang 14 Juni 2014 Ds OKawacu 090.b/KW-BOK/PKMM/VI/2014 125,000
Esti R Temba 14 Juni 2014 Ds OKawacu 090.b/KW-BOK/PKMM/VI/2014 125,000
Daniel L Baiyo 14 Juni 2014 Ds Konda Maloba 090.b/KW-BOK/PKMM/VI/2014 250,000
Adriana R J Rana 14 Juni 2014 Ds Konda Maloba 090.b/KW-BOK/PKMM/VI/2014 250,000
2,050,000
12 526115 Biaya Konsumsi Minilokakarya Bulanan

Bulan Juni 2014
Iskandar 25 Juni 2014 091/KW-BOK/PKMM/VI/2014 1,917,500

Bulanan Bulan Juni 2014
Rambu Ngurra 25 Juni 2014 092/KW-BOK/PKMM/VI/2014 110,000
Sri Hartati 25 Juni 2014 092/KW-BOK/PKMM/VI/2014 110,000
220,000

Evaluasi BOK Tk.Kabupaten
Bulan Juni 2014
Diana C Manu 20 Juni 2014 di Kolping Katikuloku 093/KW-BOK/PKMM/VI/2014 110,000
Adiningsih R Woji 20 Juni 2014 di Kolping Katikuloku 093/KW-BOK/PKMM/VI/2014 110,000
220,000

Verifikasi BOK
Bulan Juni 2014
Adriana R J Rana 30 Juni 2014 094/KW-BOK/PKMM/VI/2014 100,000
Kurnia 30 Juni 2014 094/KW-BOK/PKMM/VI/2014 100,000
Diana C Manu 30 Juni 2014 094/KW-BOK/PKMM/VI/2014 100,000
300,000
Biaya ATK BOK Bulan Juni 2014

16 526115 Joni Pratikno 30 Juni 2014 095/KW-BOK/PKMM/VI/2014 582,500
JUMLAH 20,265,000
MENGETAHUI Malinjak, 30 Juni 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 007 / SPTB - BOK / MLJK / VII / 2014

Bulan : Juli
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Bulan Juli 2014
Yati R P Gosi 1 Juli 2014 ds Wailawa 096.a/KW-BOK/PKMM/VII/2014 50,000
Ana R K Toga 1 Juli 2014 ds Tana Modu 096.a/KW-BOK/PKMM/VII/2014 50,000
Yati R P Gosi 3 Juli 2014 ds Tana Modu 096.b/KW-BOK/PKMM/VII/2014 50,000
Gega R Day 4 Juli 2014 ds Tana Modu 096.c/KW-BOK/PKMM/VII/2014 50,000
Arni R D Mosa 5 Juli 2014 ds Waimanu 096.d/KW-BOK/PKMM/VII/2014 50,000
Kareri Toga 8 Juli 2014 ds Dameka 096.e/KW-BOK/PKMM/VII/2014 50,000
Margareta Malo 8 Juli 2014 ds Okawacu 096.e/KW-BOK/PKMM/VII/2014 50,000
Moy R L Jati 8 Juli 2014 ds Dameka 096.e/KW-BOK/PKMM/VII/2014 50,000
Paulina 10 Juli 2014 ds OKawacu 096.f/KW-BOK/PKMM/VII/2014 50,000
Ana R K Toga 13 Juli 2014 ds Malinjak 096.g/KW-BOK/PKMM/VII/2014 50,000
Ana R K Toga 14 Juli 2014 ds Malinjak 096.h/KW-BOK/PKMM/VII/2014 50,000
Gega R Day 16 Juli 2014 ds Wailawa 096.i/KW-BOK/PKMM/VII/2014 50,000
Moy R L Jati 20 Juli 2014 ds Waimanu 096.j/KW-BOK/PKMM/VII/2014 50,000
Jati B Boku 27 Juli 2014 ds Wailawa 096.k/KW-BOK/PKMM/VII/2014 50,000
Yudelvince R Diki 27 Juli 2014 ds Wailawa 096.k/KW-BOK/PKMM/VII/2014 50,000
Yudelvince R Diki 27 Juli 2014 ds Wailawa 096.k/KW-BOK/PKMM/VII/2014 50,000
Arni R D Mosa 27 Juli 2014 ds Dasa Elu 096.k/KW-BOK/PKMM/VII/2014 50,000
850,000
2 526115 Biaya Transportasi Dalam Rangka Kegiatan

Kerja Sama Bidan,Dukun & Kader
Bulan Juli 2014
Ana R K Toga 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
R B Emu 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Gega R Day 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Piru Denga 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Jeni R P Rauna 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Imelda R P Jati 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Yati R Katibi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
R K Toga 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Bibiana S Tegi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Rana Nyewi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Ariance R B Awa 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Maria R L Nguju 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Jati B Boka 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Adriana Bili 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Arni R D Mosa 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Adriana D Sobu 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Yuliana R Ngana 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Yuliana K Diki 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Ana S Tegi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Sisilia S Tegi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Ladi Lauru 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Mera Koda 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
R K Woji 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Orpa R Bera 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Eni R L Nedi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Dulu Mosa 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Margareta Malo 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Paulina R Kawi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Kasi Danga 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Rambu B Nguda 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Mera R Regi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Juwa Meru 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Dorkas D Baru 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Yoppy T Hana 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Oce D Siala 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Nevi Pagegi 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Neni R Bera 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Roli K Otu 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Atandipu L Lulung 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Agnes P Killimandu 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Yeni Mone 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Imelda Y Liubana 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
Melda Inggrit Bani 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 50,000
2,200,000
Biaya Pengadaan ATK Untuk Kegiatan

Bulan Juli 2014
Joni Praktino 23 Juli 2014 098/KW-BOK/PKMM/VII/2014 Rp527,500
Biaya Konsumsi Untuk Kegiatan

Bulan Juli 2014
Iskandar 23 Juli 2014 099/KW-BOK/PKMM/VII/2014 1,430,000

Bulan Juli 2014
Paulina 3 Juli 2014 Ds Wailawa 100.a/KW-BOK/PKMM/VII/2014 50,000
Ana R K Toga 7 Juli 2014 Ds Malinjak 100.b/KW-BOK/PKMM/VII/2014 50,000
Bauru Awa 13 Juli 2014 Ds Wailawa 100.c/KW-BOK/PKMM/VII/2014 50,000
Oce D Siala 17 Juli 2014 Ds Waimanu 100.d/KW-BOK/PKMM/VII/2014 50,000
Oce D Siala 17 Juli 2014 Ds Waimanu 100.d/KW-BOK/PKMM/VII/2014 50,000
Mera M Guna 17 Juli 2014 Ds Waimanu 100.d/KW-BOK/PKMM/VII/2014 50,000
Juwa Meru 17 Juli 2014 Ds Waimanu 100.d/KW-BOK/PKMM/VII/2014 50,000
Ana R K Toga 19 Juli 2014 Ds Malinjak 100.e/KW-BOK/PKMM/VII/2014 50,000
Ladi Lauru 19 Juli 2014 Ds Manurara 100.e/KW-BOK/PKMM/VII/2014 50,000
450,000
4 526115 Biaya PMT Penyuluhan
Bulan Juli 2014
R P Meti 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Beti R B Todji 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Diana R Baba 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Dorkas R B Meja 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Merlin S Ora 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Yuliana Bili 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Paulina Kaka 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Tina K Yowi 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Marta P Wasak 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Paulina K Mai 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Migu R K Toga 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Martina K Daila 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Jua Meni 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Eni L Nedi 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Ranti R Wawu 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Kornelis 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Agus Kabalu 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
Emi R K Toga 11 Juli 2014 101/KW-BOK/PKMM/VII/2014 100,000
2,100,000
5 526115 Biaya PMT Pemulihan
Bulan Juli 2014
Cesar U N Djarawoli 11 Juli 2014 Desa Dasa Elu 102/KW-BOK/PKMM/VII/2014 1,500,000
Dina Lorensa 11 Juli 2014 Desa Manurara 103/KW-BOK/PKMM/VII/2014 1,500,000
Trineha R K Yowi 11 Juli 2014 Desa Tana Modu 104/KW-BOK/PKMM/VII/2014 1,500,000
Fandi Sabatudung 11 Juli 2014 Desa Wailawa 105/KW-BOK/PKMM/VII/2014 1,500,000
Markus D D Ngara 11 Juli 2014 Desa Dameka 106/KW-BOK/PKMM/VII/2014 1,500,000
Idon O P I Tibu 11 Juli 2014 Desa Dameka 107/KW-BOK/PKMM/VII/2014 1,500,000
9,000,000
6 526115 Biaya Transportasi Kegiatan Refresing Kader

Bulan Juli 2014
Paulus P Bupu 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Baba Robbu 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Dolorosa T Ina 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Cornalia Beti 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
R Kareri Bonya 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Dorkas B Meja 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Marlin Sabaora 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Angreniyunita 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Nona B Wodji 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Marta S Moki 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Yesni R Kaleka 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Katrina K Boba 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Meriana R B Moki 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Pauliana P Boka 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Novi R Lubu 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Ria K Awa 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Erni R L Nedi 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Dorkas Debora 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Liliana Dapawole 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Dorkas D Boru 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
Ratni K Wawu 19 Juli 2014 108/KW-BOK/PKMM/VII/2014 50,000
2,100,000
Biaya ATK Kegiatan Refresing Kader

Bulan Juli 2014
Joni Pratikno 19 Juli 2014 109/KW-BOK/PKMM/VII/2014 250,000
Biaya Konsumsi Kegiatan Refresing Kader

Bulan Juli 2014

Inspeksi Sarana Air Bersih
Bulan Juli 2014
Agnisintus S Bay 1 Juli 2014 Ds Dameka 111.a/KW-BOK/PKMM/VII/2014 75,000
Daniel L Baiyo 1 Juli 2014 Ds Dameka 111.a/KW-BOK/PKMM/VII/2014 75,000
Marni R T Leki 1 Juli 2014 Ds Tana Modu 111.a/KW-BOK/PKMM/VII/2014 75,000
Rill R L Enga 1 Juli 2014 Ds Tana Modu 111.a/KW-BOK/PKMM/VII/2014 75,000
Agnisintus S Bay 2 Juli 2014 Ds Wailawa 111.b/KW-BOK/PKMM/VII/2014 75,000
Salmon U Kabalu 2 Juli 2014 Ds Wailawa 111.b/KW-BOK/PKMM/VII/2014 75,000
Marni R T Leki 2 Juli 2014 Ds Dasa Elu 111.b/KW-BOK/PKMM/VII/2014 100,000
Yohanis U J Anabuni 2 Juli 2014 Ds Dasa Elu 111.b/KW-BOK/PKMM/VII/2014 100,000
Agnisintus S Bay 3 Juli 2014 Ds Waimanu 111.c/KW-BOK/PKMM/VII/2014 125,000
Dorkas Kalunga 3 Juli 2014 Ds Waimanu 111.c/KW-BOK/PKMM/VII/2014 125,000
Marni R T Leki 3 Juli 2014 Ds OKawacu 111.c/KW-BOK/PKMM/VII/2014 125,000
Midun U Rauta 3 Juli 2014 Ds OKawacu 111.c/KW-BOK/PKMM/VII/2014 125,000
Agnisintus S Bay 4 Juli 2014 Ds Manurara 111.d/KW-BOK/PKMM/VII/2014 125,000
Yanto U Djangi 4 Juli 2014 Ds Manurara 111.d/KW-BOK/PKMM/VII/2014 125,000
Marni R T Leki 4 Juli 2014 Ds Konda Maloba 111.d/KW-BOK/PKMM/VII/2014 250,000
Suryanti R Leki 4 Juli 2014 Ds Konda Maloba 111.d/KW-BOK/PKMM/VII/2014 250,000
Marni R T Leki 5 Juli 2014 Ds Malinjak 111.e/KW-BOK/PKMM/VII/2014 75,000
Margarita R Dairu 5 Juli 2014 Ds Malinjak 111.e/KW-BOK/PKMM/VII/2014 75,000
2,050,000
Sweeping Imunisasi
Bulan Juli 2014
Yudelvince R Diki 16 Juli 2014 Ds Wailawa 112.a/KW-BOK/PKMM/VII/2014 75,000
Refly P Kamodu 16 Juli 2014 Ds Wailawa 112.a/KW-BOK/PKMM/VII/2014 75,000
Ayub 16 Juli 2014 Ds Wailawa 112.a/KW-BOK/PKMM/VII/2014 75,000
Emilia R K Toga 18 Juli 2014 Ds Waimanu 112.b/KW-BOK/PKMM/VII/2014 125,000
Jekson Kubang 18 Juli 2014 Ds Waimanu 112.b/KW-BOK/PKMM/VII/2014 125,000
Marco U N Djarawoli 18 Juli 2014 Ds Waimanu 112.b/KW-BOK/PKMM/VII/2014 125,000
Rosidah 21 Juli 2014 Ds Dameka 112.c/KW-BOK/PKMM/VII/2014 75,000
Justin 21 Juli 2014 Ds Dameka 112.c/KW-BOK/PKMM/VII/2014 75,000
Lidia R L Enga 21 Juli 2014 Ds Dameka 112.c/KW-BOK/PKMM/VII/2014 75,000
Refly P Kamodu 26 Juli 2014 Ds Konda Maloba 112.d/KW-BOK/PKMM/VII/2014 250,000
Kornelis K M Dawa 26 Juli 2014 Ds Konda Maloba 112.d/KW-BOK/PKMM/VII/2014 250,000
Adriana R J Rana 26 Juli 2014 Ds Konda Maloba 112.d/KW-BOK/PKMM/VII/2014 250,000
1,575,000

Pemantauan Minum Obat Kusta
Bulan Juli 2014
Diana C Manu 1 Juli 2014 Ds Manurara 113.a/KW-BOK/PKMM/VII/2014 125,000
Yuliana R Teba 1 Juli 2014 Ds Manurara 113.a/KW-BOK/PKMM/VII/2014 125,000
Sisilia Bombo 1 Juli 2014 Ds Waimanu 113.a/KW-BOK/PKMM/VII/2014 125,000
R R Samani 1 Juli 2014 Ds Waimanu 113.a/KW-BOK/PKMM/VII/2014 125,000
Trio M K Sianipar 2 Juli 2014 Ds Wailawa 113.b/KW-BOK/PKMM/VII/2014 75,000
Dewi Zuliatik 2 Juli 2014 Ds Wailawa 113.b/KW-BOK/PKMM/VII/2014 75,000
650,000
10 526115 Biaya Transportasi Minilokakarya Lintas Sektor

Bulan Juli 2014
Reku Oli Sajata 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Siwa Jorumana 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Adriana R.J.Rana AMK 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Petrus Paulus Bupu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Thomas W.Sabatudung 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Linus L.M 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yatno U.Kada SKM 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Marni R.Kadawung SKM 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Pian U.Pidu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Apliana L.Oyi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Astrin R.T.Linna 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yubi U.Moki 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
U.Keba Hagar 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Paulus H.Pulu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Melkianus U.Laba 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Elvis U.Dangu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
U.Yaku Bolu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
U.Djama 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Rambu Bita Emu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Katrina R.Boba 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Paulina K.Regi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yuli R.Padu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Adryana D.Sobu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Adriana D.Bili 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Adriana R.Ngana 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Migu R.K.toga 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Maria R.L.Nguju 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Ratni R.Wawu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Emy L.Nedi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Anna R.Kareri Toga 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Lidia R.L.Deki 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yati R.Katibi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Paulina R.Kawi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Djuwa Meru 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Martha Piwu Wasak 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Kurnia Amd.Kep 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Trio M.K.Sianipar 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Susanti Ledi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Sisilia Bombo 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Adiningsih R.Woji 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Refly P.Kamodu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Marni R.T.Leki 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Salmon U.Kabalu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yuliana R.Teba 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Midun U.Rauta 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Yanto U.Jangi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Margarita R.Dairu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
dr.Pratiwi Ridwan 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Juliana H.Ome Amd.Kep 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Ari Boba Joru Amd.Kep 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Marniraniyati D.Zesi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Emilia R.K.Toga 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Anton Pandang Amd.Kep 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Albertina R.Bangi 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Atandipu L.LulungAmd.Keb 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Melda I.Bani 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Imelda Y.Liubana 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Agus U.Runga 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Petrus Ngongo Pala 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
Apliana R.Podu 24 Juli 2014 114/KW-BOK/PKMM/VII/2014 100,000
6,000,000
Biaya Konsumsi Minilokakarya Lintas Sektor

Bulan Juli 2014
Biaya ATK Minilokakarya Lintas Sektor

Bulan Juli 2014
Lintas Sektor Bulan Juli 2014
Daniel U D T Lawang 24 Juli 2014 117/KW-BOK/PKMM/VII/2014 110,000
Johana N Liawat 24 Juli 2014 117/KW-BOK/PKMM/VII/2014 110,000
220,000

Verifikasi BOK
Bulan Juli 2014
Adriana R J Rana 31 Juli 2014 118/KW-BOK/PKMM/VII/2014 100,000
Kurnia 31 Juli 2014 118/KW-BOK/PKMM/VII/2014 100,000
Diana C Manu 31 Juli 2014 118/KW-BOK/PKMM/VII/2014 100,000
300,000
Biaya ATK BOK Bulan Juli 2014

13 526115 Joni Pratikno 31 Juli 2014 119/KW-BOK/PKMM/VII/2014 700,000
JUMLAH 33,917,500
MENGETAHUI Malinjak, 31 Juli 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 007 / SPTB - BOK / MLJK / VIII / 2014

Bulan : Agustus
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
Sweeping K1,K4 & Bumil Resti
Bulan Agustus 2014
Adiningsih R Woji 4 Agustus 2014 Ds Malinjak 120.a/KW-BOK/PKMM/VIII/2014 75,000
Melda Inggrit Bani 4 Agustus 2014 Ds Waimanu 120.a/KW-BOK/PKMM/VIII/2014 125,000
Agnes P Killimandu 4 Agustus 2014 Ds Konda Maloba 120.a/KW-BOK/PKMM/VIII/2014 250,000
Mawar Manurung 5 Agustus 2014 Ds Wailawa 120.b/KW-BOK/PKMM/VIII/2014 75,000
Adiningsih R Woji 5 Agustus 2014 Ds Dameka 120.b/KW-BOK/PKMM/VIII/2014 75,000
Atndipu L Lulung 5 Agustus 2014 Ds Okawacu 120.b/KW-BOK/PKMM/VIII/2014 125,000
Ririn 8 Agustus 2014 Ds Dasa Elu 120.c/KW-BOK/PKMM/VIII/2014 100,000
Imelda Y Liubana 11 Agustus 2014 Ds Manurara 120.d/KW-BOK/PKMM/VIII/2014 125,000
Mawar Manurung 11 Agustus 2014 Ds Tana Modu 120.d/KW-BOK/PKMM/VIII/2014 75,000
1,025,000

Bulan Agustus 2014
R Yaku Muna 1 Agustus 2014 Ds Malinjak 121.a/KW-BOK/PKMM/VIII/2014 50,000
Paila Meti 2 Agustus 2014 Ds Malinjak 121.b/KW-BOK/PKMM/VIII/2014 50,000
Ana R K Toga 3 Agustus 2014 Ds Malinjak 121.c/KW-BOK/PKMM/VIII/2014 50,000
Merlin Sabaora 4 Agustus 2014 Ds Dasa Elu 121.d/KW-BOK/PKMM/VIII/2014 50,000
Arni R D Mosa 5 Agustus 2014 Ds Dasa Elu 121.e/KW-BOK/PKMM/VIII/2014 50,000
Emi R K Toga 6 Agustus 2014 Ds Waimanu 121.f/KW-BOK/PKMM/VIII/2014 50,000
Arni R D Mosa 7 Agustus 2014 Ds Dasa Elu 121.g/KW-BOK/PKMM/VIII/2014 50,000
Ana R S Tegi 8 Agustus 2014 Ds Wailawa 121.h/KW-BOK/PKMM/VIII/2014 50,000
Ana R K Toga 9 Agustus 2014 Ds Tana Modu 121.i/KW-BOK/PKMM/VIII/2014 50,000
Ana R K Toga 10 Agustus 2014 Ds Malinjak 121.j/KW-BOK/PKMM/VIII/2014 50,000
R Yaku Muna 11 Agustus 2014 Ds Malinjak 121.k/KW-BOK/PKMM/VIII/2014 50,000
R Yaku Muna 12 Agustus 2014 Ds Wailawa 121.l/KW-BOK/PKMM/VIII/2014 50,000
Piru Denga 13 Agustus 2014 Ds Tana Modu 121.m/KW-BOK/PKMM/VIII/2014 50,000
Ana R K Toga 14 Agustus 2014 Ds Tana Modu 121.n/KW-BOK/PKMM/VIII/2014 50,000
Yati R P Gosi 15 Agustus 2014 Ds Tana Modu 121.o/KW-BOK/PKMM/VIII/2014 50,000
Moy Longa Jati 16 Agustus 2014 Ds Dasa Elu 121.p/KW-BOK/PKMM/VIII/2014 50,000
Arni R D Mosa 17 Agustus 2014 Ds Dasa Elu 121.q/KW-BOK/PKMM/VIII/2014 50,000
Paulina 18 Agustus 2014 Ds OKawacu 121.r/KW-BOK/PKMM/VIII/2014 50,000
Dulu Mosa 19 Agustus 2014 Ds OKawacu 121.s/KW-BOK/PKMM/VIII/2014 50,000
Arni R D Mosa 20 Agustus 2014 Ds Dasa Elu 121.t/KW-BOK/PKMM/VIII/2014 50,000
R K Toga 21 Agustus 2014 Ds Waimanu 121.u/KW-BOK/PKMM/VIII/2014 50,000
Agnes Ndaparoka 22 Agustus 2014 Ds Manurara 121.v/KW-BOK/PKMM/VIII/2014 50,000
Albertina R B Ata 23 Agustus 2014 Ds Dasa Elu 121.w/KW-BOK/PKMM/VIII/2014 50,000
1,150,000

Bulan Agustus 2014
Regina R K Toga 4 Agustus 2014 Ds Malinjak 122.a/KW-BOK/PKMM/VIII/2014 50,000
Debi Wailiti 6 Agustus 2014 Ds Malinjak 122.b/KW-BOK/PKMM/VIII/2014 50,000
Debi Wailiti 6 Agustus 2014 Ds Malinjak 122.b/KW-BOK/PKMM/VIII/2014 50,000
Dorkas R Kalunga 6 Agustus 2014 Ds Wailawa 122.b/KW-BOK/PKMM/VIII/2014 50,000
Dorkas D Siala 6 Agustus 2014 Ds Waimanu 122.b/KW-BOK/PKMM/VIII/2014 50,000
Dorkas D Siala 6 Agustus 2014 Ds Waimanu 122.b/KW-BOK/PKMM/VIII/2014 50,000
Emilia R K Toga 9 Agustus 2014 Ds Waimanu 122.c/KW-BOK/PKMM/VIII/2014 50,000
Juwa Meru 9 Agustus 2014 Ds Waimanu 122.c/KW-BOK/PKMM/VIII/2014 50,000
Agnes Ndaparoka 11 Agustus 2014 Ds Manurara 122.d/KW-BOK/PKMM/VIII/2014 50,000
Yudaria S Poro 11 Agustus 2014 Ds Tana Modu 122.d/KW-BOK/PKMM/VIII/2014 50,000
Moy L Jati 11 Agustus 2014 Ds Dasa Elu 122.d/KW-BOK/PKMM/VIII/2014 50,000
Eni R L Nedi 13 Agustus 2014 Ds Manurara 122.e/KW-BOK/PKMM/VIII/2014 50,000
Jeni R P Rauna 16 Agustus 2014 Ds Tana Modu 122.f/KW-BOK/PKMM/VIII/2014 50,000
Juliana H Ome 19 Agustus 2014 Ds Dameka 122.g/KW-BOK/PKMM/VIII/2014 50,000
Juliana H Ome 19 Agustus 2014 Ds Dameka 122.g/KW-BOK/PKMM/VIII/2014 50,000
1,250,000

Sweeping Vitamin A Bulan Agustus 2014
Juliana H Ome 4 Agustus 2014 Ds Malinjak 123.a/KW-BOK/PKMM/VIII/2014 75,000
Debora Wailiti 4 Agustus 2014 Ds Malinjak 123.a/KW-BOK/PKMM/VIII/2014 75,000
Marni R T Leki 4 Agustus 2014 Ds Manurara 123.a/KW-BOK/PKMM/VIII/2014 125,000
Suryanti R Leki 4 Agustus 2014 Ds Manurara 123.a/KW-BOK/PKMM/VIII/2014 125,000
Marniraniyati D Zesi 5 Agustus 2014 Ds Wailawa 123.b/KW-BOK/PKMM/VIII/2014 75,000
Kurnia 5 Agustus 2014 Ds Wailawa 123.b/KW-BOK/PKMM/VIII/2014 75,000
Susanti Ledi 5 Agustus 2014 Ds Dameka 123.b/KW-BOK/PKMM/VIII/2014 75,000
Rosidah 5 Agustus 2014 Ds Dameka 123.b/KW-BOK/PKMM/VIII/2014 75,000
Yuliana R Teba 6 Agustus 2014 Ds Tana Modu 123.c/KW-BOK/PKMM/VIII/2014 75,000
Yudaria S Poro 6 Agustus 2014 Ds Tana Modu 123.c/KW-BOK/PKMM/VIII/2014 75,000
Albertina R Bangi 6 Agustus 2014 Ds Dasa Elu 123.c/KW-BOK/PKMM/VIII/2014 100,000
Diana C Manu 6 Agustus 2014 Ds Dasa Elu 123.c/KW-BOK/PKMM/VIII/2014 100,000
Yudelvince R Diki 7 Agustus 2014 Ds Waimanu 123.d/KW-BOK/PKMM/VIII/2014 125,000
Emilia R K Toga 7 Agustus 2014 Ds Waimanu 123.d/KW-BOK/PKMM/VIII/2014 125,000
Anton Pandang 7 Agustus 2014 Ds Okawacu 123.d/KW-BOK/PKMM/VIII/2014 125,000
Daniel L Baiyo 7 Agustus 2014 Ds Okawacu 123.d/KW-BOK/PKMM/VIII/2014 125,000
Kornelis K M Dawa 8 Agustus 2014 Ds Konda Maloba 123.e/KW-BOK/PKMM/VIII/2014 250,000
Susanti Ledi 8 Agustus 2014 Ds Konda Maloba 123.e/KW-BOK/PKMM/VIII/2014 250,000
2,050,000
Survei Garam Beryodium
Bulan Agustus 2014
Susanti Ledi 5 Agustus 2014 Ds Malinjak 124.a/KW-BOK/PKMM/VIII/2014 75,000
Rosalia D Kaniha 5 Agustus 2014 Ds Malinjak 124.a/KW-BOK/PKMM/VIII/2014 75,000
Agustina Jiarapay 8 Agustus 2014 Ds Tana Modu 124.b/KW-BOK/PKMM/VIII/2014 75,000
Dorkas Kalunga 8 Agustus 2014 Ds Tana Modu 124.b/KW-BOK/PKMM/VIII/2014 75,000
Daniel L Baiyo 12 Agustus 2014 Ds Okawacu 124.c/KW-BOK/PKMM/VIII/2014 125,000
Anton Pandang 12 Agustus 2014 Ds Okawacu 124.c/KW-BOK/PKMM/VIII/2014 125,000
Susanti Ledi 16 Agustus 2014 Ds Wailawa 124.d/KW-BOK/PKMM/VIII/2014 75,000
Yanto U Djangi 16 Agustus 2014 Ds Wailawa 124.d/KW-BOK/PKMM/VIII/2014 75,000
Rill R L Enga 18 Agustus 2014 Ds Waimanu 124.e/KW-BOK/PKMM/VIII/2014 125,000
Dewi Zuliatik 18 Agustus 2014 Ds Waimanu 124.e/KW-BOK/PKMM/VIII/2014 125,000
Margarita R Dairu 18 Agustus 2014 Ds Dameka 124.e/KW-BOK/PKMM/VIII/2014 75,000
Midun U Rauta 18 Agustus 2014 Ds Dameka 124.e/KW-BOK/PKMM/VIII/2014 75,000
Susanti Ledi 19 Agustus 2014 Ds Dasa Elu 124.f/KW-BOK/PKMM/VIII/2014 100,000
Amandus K Bitang 19 Agustus 2014 Ds Dasa Elu 124.f/KW-BOK/PKMM/VIII/2014 100,000
Suryanti R Leki 20 Agustus 2014 Ds Manurara 124.g/KW-BOK/PKMM/VIII/2014 125,000
Marni R T Leki 20 Agustus 2014 Ds Manurara 124.g/KW-BOK/PKMM/VIII/2014 125,000
Agnisintus S Bay 26 Agustus 2014 Ds Konda Maloba 124.h/KW-BOK/PKMM/VIII/2014 250,000
Prima Felisitas 26 Agustus 2014 Ds Konda Maloba 124.h/KW-BOK/PKMM/VIII/2014 250,000
2,050,000
6 526115 Biaya Trasportasi Dalam Rangka Kegiatan

Penyuluhan Di Sekolah( PHBS &
Kesehatan Gigi ) Bulan Agustus 2014
Trio M K Sianipar 8 Agustus 2014 SD Dameka 125.a/KW-BOK/PKMM/VIII/2014 75,000
Prima Felisitas 8 Agustus 2014 SD Dameka 125.a/KW-BOK/PKMM/VIII/2014 75,000
Ari B Joru 9 Agustus 2014 SD Wailawa 125.b/KW-BOK/PKMM/VIII/2014 75,000
Juliana H Ome 9 Agustus 2014 SD Wailawa 125.b/KW-BOK/PKMM/VIII/2014 75,000
Dr.Tiwi 11 Agustus 2014 SMP 3 Waibakul 125.c/KW-BOK/PKMM/VIII/2014 75,000
Yuliana R Teba 11 Agustus 2014 SMP 3 Waibakul 125.c/KW-BOK/PKMM/VIII/2014 75,000
R R Samani 12 Agustus 2014 SD Waimanu 125.d/KW-BOK/PKMM/VIII/2014 125,000
Marco U N Djarawoli 12 Agustus 2014 SD Waimanu 125.d/KW-BOK/PKMM/VIII/2014 125,000
Susanti ledi 13 Agustus 2014 SD Manurara 125.e/KW-BOK/PKMM/VIII/2014 125,000
Agustina Jiarapay 13 Agustus 2014 SD Manurara 125.e/KW-BOK/PKMM/VIII/2014 125,000
Dewi Zuliatik 14 Agustus 2014 SD Taupopu 125.f/KW-BOK/PKMM/VIII/2014 125,000
Esty R Temba 14 Agustus 2014 SD Taupopu 125.f/KW-BOK/PKMM/VIII/2014 125,000
Risto R K Toga 15 Agustus 2014 SD Laigoli 125.g/KW-BOK/PKMM/VIII/2014 75,000
Ayub 15 Agustus 2014 SD Laigoli 125.g/KW-BOK/PKMM/VIII/2014 75,000
Rosalia D kaniha 16 Agustus 2014 SD Mambitul 125.h/KW-BOK/PKMM/VIII/2014 75,000
Marni R T Leki 16 Agustus 2014 SD Mambitul 125.h/KW-BOK/PKMM/VIII/2014 75,000
Ervintri R P Jabu 18 Agustus 2014 SD Maloba 125.i/KW-BOK/PKMM/VIII/2014 100,000
Susanti ledi 18 Agustus 2014 SD Maloba 125.i/KW-BOK/PKMM/VIII/2014 100,000
Agnisintus S Bay 19 Agustus 2014 SD Liangu Dongu 125.j/KW-BOK/PKMM/VIII/2014 100,000
Marniraniyati D Zesi 19 Agustus 2014 SD Liangu Dongu 125.j/KW-BOK/PKMM/VIII/2014 100,000
Diana C Manu 20 Agustus 2014 SD Taman Mas 125.j/KW-BOK/PKMM/VIII/2014 125,000
Justin 20 Agustus 2014 SD Taman Mas 125.j/KW-BOK/PKMM/VIII/2014 125,000
Kurnia 21 Agustus 2014 SLB Waibakul 125.k/KW-BOK/PKMM/VIII/2014 100,000
Agustina Jiarapay 21 Agustus 2014 SLB Waibakul 125.k/KW-BOK/PKMM/VIII/2014 100,000
Anton Pandang 22 Agustus 2014 SMP Satap Taman Mas 125.l/KW-BOK/PKMM/VIII/2014 125,000
Atandipu L Lulung 22 Agustus 2014 SMP Satap Taman Mas 125.l/KW-BOK/PKMM/VIII/2014 125,000
Sisilia Bombo 23 Agustus 2014 SD Pantai Maloba 125.m/KW-BOK/PKMM/VIII/2014 250,000
Refly P Kamodu 23 Agustus 2014 SD Pantai Maloba 125.m/KW-BOK/PKMM/VIII/2014 250,000
Dr.Nency 25 Agustus 2014 SMA N 1 Waibakul 125.n/KW-BOK/PKMM/VIII/2014 75,000
Marco U N Djarawoli 25 Agustus 2014 SMA N 1 Waibakul 125.n/KW-BOK/PKMM/VIII/2014 75,000
Kornelis K M Dawa 26 Agustus 2014 SMP Satap Pantai Maloba 125.o/KW-BOK/PKMM/VIII/2014 250,000
Agnes P Kilimandu 26 Agustus 2014 SMP Satap Pantai Maloba 125.o/KW-BOK/PKMM/VIII/2014 250,000
Adriana R J Rana 27 Agustus 2014 SMP N 2 Waibakul 125.p/KW-BOK/PKMM/VIII/2014 75,000
Suryanti R Leki 27 Agustus 2014 SMP N 2 Waibakul 125.p/KW-BOK/PKMM/VIII/2014 75,000
3,900,000

Pengambilan Vaksin/Obat
Bulan Agustus 2014
Refly P Kamodu 1 Agustus 2014 126/KW-BOK/PKMM/VIII/2014 100,000
Yanto U Djangi 1 Agustus 2014 126/KW-BOK/PKMM/VIII/2014 100,000
200,000

Bulan Agustus 2014
Iskandar 25 Agustus 2014 127/KW-BOK/PKMM/VIII/2014 1,917,500

Bulanan Bulan Agustus 2014
Alfius B Setiawan 25 Agustus 2014 128/KW-BOK/PKMM/VIII/2014 110,000
Johana N Liawat 25 Agustus 2014 128/KW-BOK/PKMM/VIII/2014 110,000
220,000

Verifikasi BOK
Bulan Agustus 2014
Adriana R J Rana 30 Agustus 2014 129/KW-BOK/PKMM/VIII/2014 100,000
Kurnia 30 Agustus 2014 129/KW-BOK/PKMM/VIII/2014 100,000
Diana C Manu 30 Agustus 2014 129/KW-BOK/PKMM/VIII/2014 100,000
300,000
Biaya ATK BOK Bulan Agustus 2014

11 526115 Joni Pratikno 30 Agustus 2014 130/KW-BOK/PKMM/VIII/2014 700,000
JUMLAH 14,762,500
MENGETAHUI Malinjak, 30 Agustus 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 007 / SPTB - BOK / MLJK / VII / 2014

Bulan : Juli
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN

Bulan Juli 2014
Piru Denga 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Bibiana S Tegi 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Rana Nyewi 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Jati B Boka 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Yuliana K Diki 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Ladi Lauru 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Mera Koda 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
R K Woji 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Eni R L Nedi 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Dulu Mosa 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Margareta Malo 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Kasi Danga 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Rambu B Nguda 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Dorkas D Baru 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Oce D Siala 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Nevi Pagegi 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Neni R Bera 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Roli K Otu 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Atandipu L Lulung 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Agnes P Killimandu 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Yeni Mone 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Imelda Y Liubana 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
Melda Inggrit Bani 23 Juli 2014 096/KW-BOK/PKMM/VII/2014 50,000
2,200,000
Biaya Pengadaan ATK Untuk Kegiatan

Bulan Juli 2014
Joni Praktino 23 Juli 2014 097/KW-BOK/PKMM/VII/2014 Rp527,500
Biaya Konsumsi Untuk Kegiatan

Bulan Juli 2014
2 526115 Biaya PMT Penyuluhan

Bulan Juli 2014
R P Meti 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Beti R B Todji 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Diana R Baba 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Dorkas R B Meja 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Merlin S Ora 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Yuliana Bili 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Paulina Kaka 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Tina K Yowi 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Marta P Wasak 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Paulina K Mai 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Martina K Daila 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Jua Meni 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Eni L Nedi 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Ranti R Wawu 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Kornelis 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Agus Kabalu 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
Emi R K Toga 11 Juli 2014 099/KW-BOK/PKMM/VII/2014 100,000
2,100,000
3 526115 Biaya PMT Pemulihan

Bulan Juli 2014
Cesar U N Djarawoli 11 Juli 2014 Desa Dasa Elu 100/KW-BOK/PKMM/VII/2014 1,500,000
Dina Lorensa 11 Juli 2014 Desa Manurara 101/KW-BOK/PKMM/VII/2014 1,500,000
Trineha R K Yowi 11 Juli 2014 Desa Tana Modu 102/KW-BOK/PKMM/VII/2014 1,500,000
Fandi Sabatudung 11 Juli 2014 Desa Wailawa 103/KW-BOK/PKMM/VII/2014 1,500,000
Markus D D Ngara 11 Juli 2014 Desa Dameka 104/KW-BOK/PKMM/VII/2014 1,500,000
Idon O P I Tibu 11 Juli 2014 Desa Dameka 105/KW-BOK/PKMM/VII/2014 1,500,000
9,000,000
4 526115 Biaya Transportasi Kegiatan Refresing Kader
Bulan Juli 2014
Paulus P Bupu 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Baba Robbu 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Dolorosa T Ina 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Cornalia Beti 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
R Kareri Bonya 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Dorkas B Meja 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Marlin Sabaora 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Angreniyunita 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Nona B Wodji 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Marta S Moki 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Yesni R Kaleka 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Katrina K Boba 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Meriana R B Moki 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Pauliana P Boka 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Novi R Lubu 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Ria K Awa 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Erni R L Nedi 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Dorkas Debora 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Liliana Dapawole 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Dorkas D Boru 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
Ratni K Wawu 19 Juli 2014 106/KW-BOK/PKMM/VII/2014 50,000
2,100,000
Biaya ATK Kegiatan Refresing Kader

Bulan Juli 2014
Biaya Konsumsi Kegiatan Refresing Kader

Bulan Juli 2014
5 526115 Biaya Transportasi Minilokakarya Lintas Sektor

Bulan Juli 2014
Reku Oli Sajata 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Siwa Jorumana 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Adriana R.J.Rana AMK 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Petrus Paulus Bupu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Thomas W.Sabatudung 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Linus L.M 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yatno U.Kada SKM 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Marni R.Kadawung SKM 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Pian U.Pidu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Apliana L.Oyi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Astrin R.T.Linna 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yubi U.Moki 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
U.Keba Hagar 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Paulus H.Pulu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Melkianus U.Laba 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Elvis U.Dangu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
U.Yaku Bolu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
U.Djama 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Rambu Bita Emu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Katrina R.Boba 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Paulina K.Regi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yuli R.Padu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Adryana D.Sobu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Adriana D.Bili 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Adriana R.Ngana 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Migu R.K.toga 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Maria R.L.Nguju 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Ratni R.Wawu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Emy L.Nedi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Anna R.Kareri Toga 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Lidia R.L.Deki 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yati R.Katibi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Paulina R.Kawi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Djuwa Meru 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Martha Piwu Wasak 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Kurnia Amd.Kep 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Trio M.K.Sianipar 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Susanti Ledi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Sisilia Bombo 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Adiningsih R.Woji 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Refly P.Kamodu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Marni R.T.Leki 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Salmon U.Kabalu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yuliana R.Teba 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Midun U.Rauta 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Yanto U.Jangi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Margarita R.Dairu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
dr.Pratiwi Ridwan 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Juliana H.Ome Amd.Kep 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Ari Boba Joru Amd.Kep 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Marniraniyati D.Zesi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Emilia R.K.Toga 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Anton Pandang Amd.Kep 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Albertina R.Bangi 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Atandipu L.LulungAmd.Keb 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Melda I.Bani 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Imelda Y.Liubana 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Agus U.Runga 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Petrus Ngongo Pala 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
Apliana R.Podu 24 Juli 2014 109 /KW-BOK/PKMM/VII/2014 100,000
6,000,000
Biaya Konsumsi Minilokakarya Lintas Sektor

Bulan Juli 2014
Biaya ATK Minilokakarya Lintas Sektor

Bulan Juli 2014
Joni Pratikno 24 Juli 2014 111 /KW-BOK/PKMM/VII/2014 200,000
JUMLAH 27,122,500
MENGETAHUI Malinjak, 31 Juli 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 009 / SPTB - BOK / MLJK / IX/ 2014

Bulan : September
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
1 526115 Biaya Pendamping Persalinan

Bulan September 2014
Ana R K Toga 6 September 2014 Ds Malinjak 131.a/KW-BOK/PKMM/IX/2014 50,000
R B Emu 6 September 2014 Ds Malinjak 131.a/KW-BOK/PKMM/IX/2014 50,000
Gega R Day 6 September 2014 Ds Malinjak 131.a/KW-BOK/PKMM/IX/2014 50,000
R K Woji 7 September 2014 Ds Dameka 131.b/KW-BOK/PKMM/IX/2014 50,000
Dulu Mosa 7 September 2014 Ds Okawacu 131.b/KW-BOK/PKMM/IX/2014 50,000
Ana S Tegi 7 September 2014 Ds Wailawa 131.b/KW-BOK/PKMM/IX/2014 50,000
Maria R L Nguju 8 September 2014 Ds Dameka 131.c/KW-BOK/PKMM/IX/2014 50,000
Migu R K Toga 8 September 2014 Ds Dameka 131.c/KW-BOK/PKMM/IX/2014 50,000
Sisilia S Tegi 9 September 2014 Ds Wailawa 131.d/KW-BOK/PKMM/IX/2014 50,000
Adriana Bili 9 September 2014 Ds Dasa Elu 131.d/KW-BOK/PKMM/IX/2014 50,000
Marta S Moki 9 September 2014 Ds Dasa Elu 131.d/KW-BOK/PKMM/IX/2014 50,000
R K Woji 9 September 2014 Ds Manurara 131.d/KW-BOK/PKMM/IX/2014 50,000
Ana S Tegi 9 September 2014 Ds Wailawa 131.d/KW-BOK/PKMM/IX/2014 50,000
R B Emu 10 September 2014 Ds Malinjak 131.e/KW-BOK/PKMM/IX/2014 50,000
Gega R Day 10 September 2014 Ds Malinjak 131.e/KW-BOK/PKMM/IX/2014 50,000
Mera B Jati 18 September 2014 Ds Wailawa 131.f/KW-BOK/PKMM/IX/2014 50,000
Ladi Lauru 20' September 2014 Ds Manurara 131.g/KW-BOK/PKMM/IX/2014 50,000
Piru Denga 20 September 2014 Ds Malinjak 131.g/KW-BOK/PKMM/IX/2014 50,000
Ana S Tegi 21 September 2014 Ds Malinjak 131.h/KW-BOK/PKMM/IX/2014 50,000
Ana K Toga 21 September 2014 Ds Malinjak 131.h/KW-BOK/PKMM/IX/2014 50,000
Agnes Ndaparoka 21 September 2014 Ds Manurara 131.h/KW-BOK/PKMM/IX/2014 50,000
R B Nguda 22 September 2014 Ds Waimanu 131.i/KW-BOK/PKMM/IX/2014 50,000
Ladi Lauru 24 September 2014 Ds Manurara 131.j/KW-BOK/PKMM/IX/2014 50,000
Sori Daiju 28 September 2014 Ds Malinjak 131.k/KW-BOK/PKMM/IX/2014 50,000
Marta S Moki 28 September 2014 Ds Manurara 131.k/KW-BOK/PKMM/IX/2014 50,000
Paila Deti 29 September 2014 Ds Malinjak 131.l/KW-BOK/PKMM/IX/2014 50,000
1,300,000
2 526115 Biaya Transportasi Kegiatan Pemantauan

Kelas Bumil Bulan September 2014
Agnes P Kilimandu 1 September 2014 Ds Malinjak 132.a/KW-BOK/PKMM/IX/2014 75,000
Adiningsih R Woji 1 September 2014 Ds Waimanu 132.a/KW-BOK/PKMM/IX/2014 125,000
Mawar Manurung 2 September 2014 Ds Tana Modu 132.b/KW-BOK/PKMM/IX/2014 75,000
Imelda Y Liubana 2 September 2014 Ds Manurara 132.b/KW-BOK/PKMM/IX/2014 125,000
Ririn Zulhijah 3 September 2014 Ds Dasa Elu 132.c/KW-BOK/PKMM/IX/2014 100,000
Adiningsih R Woji 3 September 2014 Ds Dameka 132.c/KW-BOK/PKMM/IX/2014 75,000
Atandipu L Lulung 4 September 2014 Ds Okawacu 132.d/KW-BOK/PKMM/IX/2014 125,000
Ririn Zulhijah 5 September 2014 Ds Konda Maloba 132.e/KW-BOK/PKMM/IX/2014 250,000
Mawar Manurung 6 September 2014 Ds Wailawa 132.f/KW-BOK/PKMM/IX/2014 75,000
1,025,000
3 526115 Biaya Transportasi Kegiatan Posyandu Usila

Agnes P Kilimandu 1 September 2014 Ds Wailawa 133.a/KW-BOK/PKMM/IX/2014 75,000
Asti Juni Rana 1 September 2014 Ds Wailawa 133.a/KW-BOK/PKMM/IX/2014 75,000
Adiningsih R Woji 2 September 2014 Ds Malinjak 133.b/KW-BOK/PKMM/IX/2014 75,000
Debora Wailiti 2 September 2014 Ds Malinjak 133.b/KW-BOK/PKMM/IX/2014 75,000
Emilia R K Toga 2 September 2014 Ds Waimanu 133.b/KW-BOK/PKMM/IX/2014 125,000
Adiningsih R Woji 2 September 2014 Ds Waimanu 133.b/KW-BOK/PKMM/IX/2014 125,000
Yudaria S Poro 3 September 2014 Ds Tana Modu 133.c/KW-BOK/PKMM/IX/2014 75,000
Mawar Manurung 3 September 2014 Ds Tana Modu 133.c/KW-BOK/PKMM/IX/2014 75,000
Agnes Ndaparoka 3 September 2014 Ds Manurara 133.c/KW-BOK/PKMM/IX/2014 125,000
Imelda Y Liubana 3 September 2014 Ds Manurara 133.c/KW-BOK/PKMM/IX/2014 125,000
Ririn Zulhiijah 4 September 2014 Ds Dasa Elu 133.d/KW-BOK/PKMM/IX/2014 100,000
Albertina R Bangi 4 September 2014 Ds Dasa Elu 133.d/KW-BOK/PKMM/IX/2014 100,000
Agnes P Kilimandu 4 September 2014 Ds Dameka 133.d/KW-BOK/PKMM/IX/2014 75,000
Rosidah 4 September 2014 Ds Dameka 133.d/KW-BOK/PKMM/IX/2014 75,000
Anton Pandang 5 September 2014 Ds Okawacu 133.e/KW-BOK/PKMM/IX/2014 125,000
Atandipu L Lulung 5 September 2014 Ds Okawacu 133.e/KW-BOK/PKMM/IX/2014 125,000
Kornelis K M Dawa 5 September 2014 Ds Konda Maloba 133.e/KW-BOK/PKMM/IX/2014 250,000
Ririn Zulhiijah 5 September 2014 Ds Konda Maloba 133.e/KW-BOK/PKMM/IX/2014 250,000
2,050,000

Memfasilitasi K1 Murni Ke Faskes
Yuliana K Diki 9 September 2014 Ds Wailawa 134.a/KW-BOK/PKMM/IX/2014 50,000
Yuliana K Diki 9 September 2014 Ds Wailawa 134.a/KW-BOK/PKMM/IX/2014 50,000
Piru Denga 10 September 2014 Ds Tana Modu 134.b/KW-BOK/PKMM/IX/2014 50,000
R K Toga 18 September 2014 Ds Dameka 134.c/KW-BOK/PKMM/IX/2014 50,000
Agnes Ndaparoka 19 September 2014 Ds Manurara 134.d/KW-BOK/PKMM/IX/2014 50,000
Agnes Ndaparoka 19 September 2014 Ds Manurara 134.d/KW-BOK/PKMM/IX/2014 50,000
R Y Muna 22 September 2014 Ds Malinjak 134.e/KW-BOK/PKMM/IX/2014 50,000
600,000
5 526115 Biaya Transportasi Kegiatan Pemantauan

Bumil Resti bulan September 2014
Adiningsih R Woji 9 September 2014 Ds Waimanu 135.a/KW-BOK/PKMM/IX/2014 125,000
Adiningsih R Woji 11 September 2014 Ds Dameka 135.b/KW-BOK/PKMM/IX/2014 75,000
Adiningsih R Woji 13 September 2014 Ds Malinjak 135.c/KW-BOK/PKMM/IX/2014 75,000
Ririn Zulhijah 15 September 2014 Ds Dasa Elu 135.d/KW-BOK/PKMM/IX/2014 100,000
Ririn Zulhijah 17 September 2014 Ds Konda Maloba 135.e/KW-BOK/PKMM/IX/2014 250,000
Mawar Manurung 18 September 2014 Ds Tana Modu 135.f/KW-BOK/PKMM/IX/2014 75,000
700,000
6 526115 Biaya Transportasi Kegiatan Follow Up

Bayi,Balita Gizi Buruk
Susanti Ledi 1 September 2014 Ds Dasa Elu 136.a/KW-BOK/PKMM/IX/2014 100,000
Marniraniyati D Zesi 2 September 2014 Ds Tana Modu 136.b/KW-BOK/PKMM/IX/2014 75,000
Dr.Nancy 3 September 2014 Ds Dameka 136.c/KW-BOK/PKMM/IX/2014 75,000
Dr.Tiwi 4 September 2014 Ds Manurara 136.d/KW-BOK/PKMM/IX/2014 125,000
375,000
7 526115 Biaya Transportasi Kegiatan Penyuluhan
Kesehatan Keluarga ( Gizi,KB,PHBS Rumah
Tangga,Imunisasi) Bulan September 2014
Dewi Zuliatik 3 September 2014 Posy.Gallu Bakul 137.a/KW-BOK/PKMM/IX/2014 75,000
Dr.Nancy 3 September 2014 Posy.Gallu Bakul 137.a/KW-BOK/PKMM/IX/2014 75,000
Midun U Rauta 3 September 2014 Posy.Dewajara 137.a/KW-BOK/PKMM/IX/2014 75,000
Agustina Jiarapay 3 September 2014 Posy.Dewajara 137.a/KW-BOK/PKMM/IX/2014 75,000
Regina I Toga 5 September 2014 Posy.Mambitul 137.b/KW-BOK/PKMM/IX/2014 75,000
Dr.Tiwi 5 September 2014 Posy.Mambitul 137.b/KW-BOK/PKMM/IX/2014 75,000
Ari B Joru 5 September 2014 Posy.Laigoli 137.b/KW-BOK/PKMM/IX/2014 75,000
Marniraniyati D Zesi 5 September 2014 Posy.Laigoli 137.b/KW-BOK/PKMM/IX/2014 75,000
Midun U Rauta 8 September 2014 Posy.Praikisi 137.c/KW-BOK/PKMM/IX/2014 100,000
Adriana R J Rana 8 September 2014 Posy.Praikisi 137.c/KW-BOK/PKMM/IX/2014 100,000
Susanti Ledi 8 September 2014 Posy.Lolukalay/Sp 1 137.c/KW-BOK/PKMM/IX/2014 100,000
Jekson Kubang 8 September 2014 Posy.Lolukalay/Sp 1 137.c/KW-BOK/PKMM/IX/2014 100,000
Kurnia 9 September 2014 Posy.Jagalama/SP 1 137.d/KW-BOK/PKMM/IX/2014 100,000
Eti R Sida 9 September 2014 Posy.Jagalama/SP 1 137.d/KW-BOK/PKMM/IX/2014 100,000
Susanti Ledi 9 September 2014 Posy.Sinar Kasih/SP2 137.d/KW-BOK/PKMM/IX/2014 100,000
Prima Felisitas 9 September 2014 Posy.Sinar Kasih/SP2 137.d/KW-BOK/PKMM/IX/2014 100,000
Albertina R Bangi 11 September 2014 Posy.Galuwada/Sp 2 137.e/KW-BOK/PKMM/IX/2014 100,000
Trio M K Sianipar 11 September 2014 Posy.Galuwada/Sp 2 137.e/KW-BOK/PKMM/IX/2014 100,000
Daniel L Baiyo 11 September 2014 Posy.Taman Mas 137.e/KW-BOK/PKMM/IX/2014 125,000
Refly P Kamodu 11 September 2014 Posy.Taman Mas 137.e/KW-BOK/PKMM/IX/2014 125,000
Yeni Sarakayu 13 September 2014 Posy.Prai Au 137.f/KW-BOK/PKMM/IX/2014 75,000
Marco U N Djarawoli 13 September 2014 Posy.Prai Au 137.f/KW-BOK/PKMM/IX/2014 75,000
Juliana H Ome 13 September 2014 Posy.Taupopu 137.f/KW-BOK/PKMM/IX/2014 125,000
Dorkas kalunga 13 September 2014 Posy.Taupopu 137.f/KW-BOK/PKMM/IX/2014 125,000
R R Samani 16 September 2014 Posy.Kijarowa 137.g/KW-BOK/PKMM/IX/2014 75,000
Suryanti R Leki 16 September 2014 Posy.Kijarowa 137.g/KW-BOK/PKMM/IX/2014 75,000
Marni R T Leki 16 September 2014 Posy.Mata Pasaingu 137.g/KW-BOK/PKMM/IX/2014 75,000
R R Samani 16 September 2014 Posy.Mata Pasaingu 137.g/KW-BOK/PKMM/IX/2014 75,000
Ayub Andunara 17 September 2014 Posy.Bodung 137.h/KW-BOK/PKMM/IX/2014 125,000
Justin Ina Nona 17 September 2014 Posy.Bodung 137.h/KW-BOK/PKMM/IX/2014 125,000
Justin Ina Nona 19 September 2014 Posy.Waimarapu 137.h/KW-BOK/PKMM/IX/2014 125,000
Ril R L Enga 19 September 2014 Posy.Waimarapu 137.h/KW-BOK/PKMM/IX/2014 125,000
Lidia R L Enga 19 September 2014 Posy.Paledi 137.i/KW-BOK/PKMM/IX/2014 125,000
Yohanis U J Anabuni 19 September 2014 Posy.Paledi 137.i/KW-BOK/PKMM/IX/2014 125,000
Ervintri R P Jabu 19 September 2014 Posy.Watudedi 137.i/KW-BOK/PKMM/IX/2014 125,000
Margarita R Dairu 19 September 2014 Posy.Watudedi 137.i/KW-BOK/PKMM/IX/2014 125,000
Emilia R K Toga 20 September 2014 Posy.Tangairi 137.j/KW-BOK/PKMM/IX/2014 250,000
Amandus K Bitang 20 September 2014 Posy.Tangairi 137.j/KW-BOK/PKMM/IX/2014 250,000
Jekson Kubang 22 September 2014 Posy.Konda 137.k/KW-BOK/PKMM/IX/2014 250,000
Agnisintus S Bay 22 September 2014 Posy.Konda 137.k/KW-BOK/PKMM/IX/2014 250,000
Kornelis K M Dawa 23 September 2014 Posy.Maloba 137.l/KW-BOK/PKMM/IX/2014 250,000
Salmon U Kabalu 23 September 2014 Posy.Maloba 137.l/KW-BOK/PKMM/IX/2014 250,000
5,050,000
8 526115 Biaya Transportasi Kegiatan Kaporisasi

Marni R T Leki 2 September 2014 Ds Dameka 138.a/KW-BOK/PKMM/IX/2014 75,000
Yanto U Djangi 2 September 2014 Ds Dameka 138.a/KW-BOK/PKMM/IX/2014 75,000
Agnisintus S Bay 2 September 2014 Ds Wailawa 138.a/KW-BOK/PKMM/IX/2014 75,000
Rill R L Enga 2 September 2014 Ds Wailawa 138.a/KW-BOK/PKMM/IX/2014 75,000
Marni R T Leki 3 September 2014 Ds Waimanu 138.b/KW-BOK/PKMM/IX/2014 125,000
Midun U Rauta 3 September 2014 Ds Waimanu 138.b/KW-BOK/PKMM/IX/2014 125,000
Agnisintus S Bay 4 September 2014 Ds Manurara 138.c/KW-BOK/PKMM/IX/2014 125,000
Margarita R Dairu 4 September 2014 Ds Manurara 138.c/KW-BOK/PKMM/IX/2014 125,000
Marni R T Leki 4 September 2014 Ds Malinjak 138.c/KW-BOK/PKMM/IX/2014 75,000
Yuliana R Teba 4 September 2014 Ds Malinjak 138.c/KW-BOK/PKMM/IX/2014 75,000
Agnisintus S Bay 5 September 2014 Ds Tana Modu 138.d/KW-BOK/PKMM/IX/2014 75,000
Daniel L Baiyo 5 September 2014 Ds Tana Modu 138.d/KW-BOK/PKMM/IX/2014 75,000
Marni R T Leki 5 September 2014 Ds Dasa Elu 138.d/KW-BOK/PKMM/IX/2014 100,000
Yohanis U J Anabuni 5 September 2014 Ds Dasa Elu 138.d/KW-BOK/PKMM/IX/2014 100,000
Agnisintus S Bay 6 September 2014 Ds Okawacu 138.e/KW-BOK/PKMM/IX/2014 125,000
Amandus K Bitang 6 September 2014 Ds Okawacu 138.e/KW-BOK/PKMM/IX/2014 125,000
Midun U Rauta 6 September 2014 Ds Konda Maloba 138.e/KW-BOK/PKMM/IX/2014 250,000
Daniel L Baiyo 6 September 2014 Ds Konda Maloba 138.e/KW-BOK/PKMM/IX/2014 250,000
2,050,000
9 526115 Biaya Transportasi Kegiatan Monev STBS

Marni R T Leki 1 September 2014 SMA N 1 Waibakul 139.a/KW-BOK/PKMM/IX/2014 75,000
Adriana R J Rana 1 September 2014 SMA N 1 Waibakul 139.a/KW-BOK/PKMM/IX/2014 75,000
Yanto U Djangi 2 September 2014 SMP N 2 Waibakul 139.b/KW-BOK/PKMM/IX/2014 75,000
Regina I Toga 2 September 2014 SMP N 2 Waibakul 139.b/KW-BOK/PKMM/IX/2014 75,000
Salmon U Kabalu 3 September 2014 SMP N 3 Waibakul 139.c/KW-BOK/PKMM/IX/2014 75,000
Dr.Nancy 3 September 2014 SMP N 3 Waibakul 139.c/KW-BOK/PKMM/IX/2014 75,000
Yohanis U J Anabuni 4 September 2014 SD Mambitul 139.d/KW-BOK/PKMM/IX/2014 75,000
Dr.Tiwi 4 September 2014 SD Mambitul 139.d/KW-BOK/PKMM/IX/2014 75,000
Midun U Rauta 6 September 2014 SD Dameka 139.e/KW-BOK/PKMM/IX/2014 75,000
Kurnia 6 September 2014 SD Dameka 139.e/KW-BOK/PKMM/IX/2014 75,000
Marni R T Leki 8 September 2014 SD Taupopu 139.f/KW-BOK/PKMM/IX/2014 125,000
Juliana H Ome 8 September 2014 SD Taupopu 139.f/KW-BOK/PKMM/IX/2014 125,000
Eti R Sida 8 September 2014 SD Manurara 139.f/KW-BOK/PKMM/IX/2014 125,000
Yuliana R Teba 8 September 2014 SD Manurara 139.f/KW-BOK/PKMM/IX/2014 125,000
Daniel L Baiyo 9 September 2014 SD Waimanu 139.g/KW-BOK/PKMM/IX/2014 125,000
Marco U N Djarawoli 9 September 2014 SD Waimanu 139.g/KW-BOK/PKMM/IX/2014 125,000
Marni R T Leki 10 September 2014 SDK Wailawa 139.h/KW-BOK/PKMM/IX/2014 75,000
Rosalia D Kaniha 10 September 2014 SDK Wailawa 139.h/KW-BOK/PKMM/IX/2014 75,000
Agustina Jiarapay 11 September 2014 SD Laigoli 139.i/KW-BOK/PKMM/IX/2014 75,000
Dewi Zuliatik 11 September 2014 SD Laigoli 139.i/KW-BOK/PKMM/IX/2014 75,000
Suryanti R Leki 13 September 2014 SD Liangu Dongu 139.j/KW-BOK/PKMM/IX/2014 100,000
Ari B Joru 13 September 2014 SD Liangu Dongu 139.j/KW-BOK/PKMM/IX/2014 100,000
Dorkas Kalunga 15 September 2014 SD Maloba 139.k/KW-BOK/PKMM/IX/2014 100,000
Justin N Ina 15 September 2014 SD Maloba 139.k/KW-BOK/PKMM/IX/2014 100,000
Marni R T Leki 15 September 2014 SLB 139.k/KW-BOK/PKMM/IX/2014 100,000
Ayub Andunara 15 September 2014 SLB 139.k/KW-BOK/PKMM/IX/2014 100,000
Jekson Kubang 16 September 2014 SD Taman Mas 139.l/KW-BOK/PKMM/IX/2014 125,000
R R Samani 16 September 2014 SD Taman Mas 139.l/KW-BOK/PKMM/IX/2014 125,000
Sisilia Bombo 17 September 2014 SMP Satap Taman Mas 139.m/KW-BOK/PKMM/IX/2014 125,000
Yuliana R Teba 17 September 2014 SMP Satap Taman Mas 139.m/KW-BOK/PKMM/IX/2014 125,000
Risto R K Toga 18 September 2014 SD Pantai Maloba 139.n/KW-BOK/PKMM/IX/2014 250,000
Refly P Kamodu 18 September 2014 SD Pantai Maloba 139.n/KW-BOK/PKMM/IX/2014 250,000
Trio M K Sianipar 20 September 2014 SMP Satap Pantai Maloba 139.o/KW-BOK/PKMM/IX/2014 250,000
Yanto U Djangi 20 September 2014 SMP Satap Pantai Maloba 139.o/KW-BOK/PKMM/IX/2014 250,000
3,900,000
10 526115 Biaya Transportasi Kegiatan Survei Penyakit
Berpotensi KLB Bulan September 2014
Yuliana R Teba 8 September 2014 Ds Malinjak 140.a/KW-BOK/PKMM/IX/2014 75,000
Prima Felisitas 8 September 2014 Ds Malinjak 140.a/KW-BOK/PKMM/IX/2014 75,000
Adriana R J Rana 8 September 2014 Ds Dasa Elu 140.a/KW-BOK/PKMM/IX/2014 100,000
Albertina R Bangi 8 September 2014 Ds Dasa Elu 140.a/KW-BOK/PKMM/IX/2014 100,000
Kornelis K M Dawa 8 September 2014 Ds Konda maloba 140.a/KW-BOK/PKMM/IX/2014 250,000
Trio M K Sianipar 8 September 2014 Ds Konda maloba 140.a/KW-BOK/PKMM/IX/2014 250,000
Emilia K Toga 8 September 2014 Ds Waimanu 140.a/KW-BOK/PKMM/IX/2014 125,000
Kurnia 8 September 2014 Ds Waimanu 140.a/KW-BOK/PKMM/IX/2014 125,000
Regina I.Toga 9 September 2014 Ds Tana Modu 140.b/KW-BOK/PKMM/IX/2014 75,000
Yudaria S Poro 9 September 2014 Ds Tana Modu 140.b/KW-BOK/PKMM/IX/2014 75,000
Anton Pandang 9 September 2014 Ds Okawacu 140.b/KW-BOK/PKMM/IX/2014 125,000
Juliana H Ome 9 September 2014 Ds Okawacu 140.b/KW-BOK/PKMM/IX/2014 125,000
Asti Juni Rana 9 September 2014 Ds Wailawa 140.b/KW-BOK/PKMM/IX/2014 75,000
Enjelita Sihombing 9 September 2014 Ds Wailawa 140.b/KW-BOK/PKMM/IX/2014 75,000
Agnes Ndaparoka 9 September 2014 Ds Manurara 140.b/KW-BOK/PKMM/IX/2014 125,000
Ari B Joru 9 September 2014 Ds Manurara 140.b/KW-BOK/PKMM/IX/2014 125,000
Diana C Manu 10 September 2014 Ds Dameka 140.c/KW-BOK/PKMM/IX/2014 75,000
Rosidah 10 September 2014 Ds Dameka 140.c/KW-BOK/PKMM/IX/2014 75,000
2,050,000
11 526115 Biaya Transportasi Kegiatan Penjaringan

Suspek TB Paru & Pengambilan Sputum Kontak
Serumah Bulan September 2014
Eti R Sida 1 September 2014 Ds Malinjak 141.a/KW-BOK/PKMM/IX/2014 75,000
Sisilia Bombo 1 September 2014 Ds Malinjak 141.a/KW-BOK/PKMM/IX/2014 75,000
Suryanti R Leki 2 September 2014 Ds Tana Modu 141.b/KW-BOK/PKMM/IX/2014 75,000
Midun U Rauta 2 September 2014 Ds Tana Modu 141.b/KW-BOK/PKMM/IX/2014 75,000
Suryanti R Leki 3 September 2014 Ds Waimanu 141.b/KW-BOK/PKMM/IX/2014 125,000
Daniel L Baiyo 3 September 2014 Ds Waimanu 141.b/KW-BOK/PKMM/IX/2014 125,000
Suryanti R Leki 4 September 2014 Ds Dasa Elu 141.c/KW-BOK/PKMM/IX/2014 100,000
Eti R Sida 4 September 2014 Ds Dasa Elu 141.c/KW-BOK/PKMM/IX/2014 100,000
Anton Pandang 4 September 2014 Ds Okawacu 141.c/KW-BOK/PKMM/IX/2014 125,000
Daniel L Baiyo 4 September 2014 Ds Okawacu 141.c/KW-BOK/PKMM/IX/2014 125,000
Daniel L Baiyo 5 September 2014 Ds Konda Maloba 141.d/KW-BOK/PKMM/IX/2014 250,000
Midun U Rauta 5 September 2014 Ds Konda Maloba 141.d/KW-BOK/PKMM/IX/2014 250,000
Eti R Sida 5 September 2014 Ds Dameka 141.d/KW-BOK/PKMM/IX/2014 75,000
Lidia R L Enga 5 September 2014 Ds Dameka 141.d/KW-BOK/PKMM/IX/2014 75,000
Eti R Sida 6 September 2014 Ds Wailawa 141.e/KW-BOK/PKMM/IX/2014 75,000
Daniel L Baiyo 6 September 2014 Ds Wailawa 141.e/KW-BOK/PKMM/IX/2014 75,000
Daniel L Baiyo 8 September 2014 Ds Manurara 141.f/KW-BOK/PKMM/IX/2014 125,000
Jekson Kubang 8 September 2014 Ds Manurara 141.f/KW-BOK/PKMM/IX/2014 125,000
2,050,000

Bulan Oktober 2014
Iskandar Oktober 2014 142/KW-BOK/PKMM/IX/2014 1,917,500

Bulanan Bulan September 2014
Alfius B Setiawan 25 September 2014 143/KW-BOK/PKMM/IX/2014 110,000
Johana N Liawat 25 September 2014 143/KW-BOK/PKMM/IX/2014 110,000
220,000

Verifikasi BOK
Adriana R J Rana 30 September 2014 144/KW-BOK/PKMM/IX/2014 100,000
Kurnia 30 September 2014 144/KW-BOK/PKMM/IX/2014 100,000
Diana C Manu 30 September 2014 144/KW-BOK/PKMM/IX/2014 100,000
300,000
15 526115 Biaya ATK BOK Bulan September 2014

Joni Praktino 30 September 2014 145/KW-BOK/PKMM/IX/2014 900,000
JUMLAH 24,487,500
MENGETAHUI Malinjak, 30 September 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 010 / SPTB - BOK / MLJK / X/ 2014

Bulan : Oktober
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
1 526115 Biaya Pendamping Persalinan

Bulan Oktober 2014
Kareri Toga 3 Oktober 2014 Ds Dameka 06 - 11 - 2014 146.a/KW-BOK/PKMM/X/2014 50,000
Jati B Boku 6 Oktober 2014 Ds Dasa Elu 146.b/KW-BOK/PKMM/X/2014 50,000
Pelomina J Koten 6 Oktober 2014 Ds Dasa Elu 146.b/KW-BOK/PKMM/X/2014 50,000
Jati B Boku 7 Oktober 2014 Ds Dasa Elu 146.c/KW-BOK/PKMM/X/2014 50,000
Marta R Wasak 8 Oktober 2014 Ds Waimanu 146.d/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 9 Oktober 2014 Ds Malinjak 146.e/KW-BOK/PKMM/X/2014 50,000
Nevi Pagegi 9 Oktober 2014 Ds Dasa Elu 146.e/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 9 Oktober 2014 Ds Malinjak 146.e/KW-BOK/PKMM/X/2014 50,000
Yuliana Diki 10 Oktober 2014 Ds Wailawa 146.f/KW-BOK/PKMM/X/2014 50,000
Imelda R P Jati 10 Oktober 2014 Ds Konda Maloba 146.f/KW-BOK/PKMM/X/2014 50,000
Pelomina J Koten 15 Oktober 2014 Ds Dasa Elu 146.g/KW-BOK/PKMM/X/2014 50,000
Yuliana Diki 16 Oktober 2014 Ds Wailawa 146.h/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 26 Oktober 2014 Ds Konda Maloba 146.i/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 27 Oktober 2014 Ds Waimanu 146.j/KW-BOK/PKMM/X/2014 50,000
Tasa K Dasa 28 Oktober 2014 Ds Manurara 146.k/KW-BOK/PKMM/X/2014 50,000
Orpa R Bera 29 Oktober 2014 Ds Manurara 146.l/KW-BOK/PKMM/X/2014 50,000
800,000

Pemantauan Tumbuh Kembang
Bayi Balita Bulan Oktober 2014
Ririn Zulhijah 14 Oktober 2014 Posy.Galu Wada/SP2 06 - 11 - 2014 147.a/KW-BOK/PKMM/X/2014 100,000
Atandipu L Lulung 15 Oktober 2014 Posy.Taman Mas 147.b/KW-BOK/PKMM/X/2014 125,000
Yeni Mone 15 Oktober 2014 Posy.Praiau 147.b/KW-BOK/PKMM/X/2014 75,000
Melda Inggrit 15 Oktober 2014 Posy.Taupopu 147.b/KW-BOK/PKMM/X/2014 125,000
Mawar Manurung 17 Oktober 2014 Posy.Dewajara 147.c/KW-BOK/PKMM/X/2014 75,000
Enjelita Sihombing 17 Oktober 2014 Posy.Mambitul 147.c/KW-BOK/PKMM/X/2014 75,000
Asti J Rana 17 Oktober 2014 Posy.Mata Pasingu 147.c/KW-BOK/PKMM/X/2014 75,000
Rosidah 17 Oktober 2014 Posy.Kijarowa 147.c/KW-BOK/PKMM/X/2014 75,000
Mawar Manurung 18 Oktober 2014 Posy.Praikisi 147.d/KW-BOK/PKMM/X/2014 100,000
Eti R Sida 18 Oktober 2014 Posy.Jagalama/Sp1 147.d/KW-BOK/PKMM/X/2014 100,000
Mathilda N Suru 18 Oktober 2014 Posy.Bodung 147.d/KW-BOK/PKMM/X/2014 125,000
Emilia R Toga 18 Oktober 2014 Posy.Waimarapu 147.d/KW-BOK/PKMM/X/2014 125,000
Agnes Ndaparoka 20 Oktober 2014 Posy.Watudedi 147.e/KW-BOK/PKMM/X/2014 125,000
Imelda Liubana 20 Oktober 2014 Posy.Paledi 147.e/KW-BOK/PKMM/X/2014 125,000
Adiningsih R Woji 20 Oktober 2014 Posy.Gallu Bakul 147.e/KW-BOK/PKMM/X/2014 75,000
Mawar Manurung 20 Oktober 2014 Posy.Laigoli 147.e/KW-BOK/PKMM/X/2014 75,000
Adiningsih R Woji 21 Oktober 2014 Posy.Lolukalay/SP1 147.f/KW-BOK/PKMM/X/2014 100,000
Albertina R Bangi 21 Oktober 2014 Posy.Sinar Kasih/SP2 147.f/KW-BOK/PKMM/X/2014 100,000
Emilia R Toga 21 Oktober 2014 Posy.Tangairi 147.f/KW-BOK/PKMM/X/2014 250,000
Jekson Kubang 24 Oktober 2014 Posy.Konda 147.g/KW-BOK/PKMM/X/2014 250,000
Agnes P Kilimandu 24 Oktober 2014 Posy.Maloba 147.g/KW-BOK/PKMM/X/2014 250,000
2,525,000
3 526115 Biaya Transportasi Kader,Dukun Yang Memfasilitasi

K1 Murni Ke Faskes Bulan Oktober 2014
Jeni R Rauna 10 Oktober 2014 Ds Tana Modu 06 - 11 - 2014 148.a/KW-BOK/PKMM/X/2014 50,000
Jeni R Rauna 10 Oktober 2014 Ds Tana Modu 148.a/KW-BOK/PKMM/X/2014 50,000
R Y Muna 11 Oktober 2014 Ds Malinjak 148.b/KW-BOK/PKMM/X/2014 50,000
Yudaria S Poro 11 Oktober 2014 Ds Tana Modu 148.b/KW-BOK/PKMM/X/2014 50,000
Adriana Bili 15 Oktober 2014 Ds Dasa Elu 148.c/KW-BOK/PKMM/X/2014 50,000
Emilia R K Toga 17 Oktober 2014 Ds Waimanu 148.d/KW-BOK/PKMM/X/2014 50,000
R K Toga 24 Oktober 2014 Ds Dameka 148.e/KW-BOK/PKMM/X/2014 50,000
850,000
4 526115 Biaya Transportasi Kegiatan Pelacakan/Pemantauan

Status Gizi Bulan Oktober 2014
Dr.Tiwi 1 Oktober 2014 Ds Malinjak 06 - 11 - 2014 149.a/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 1 Oktober 2014 Ds Malinjak 149.a/KW-BOK/PKMM/X/2014 75,000
Debora Wailiti 1 Oktober 2014 Ds Malinjak 149.a/KW-BOK/PKMM/X/2014 75,000
Dr.Nancy 2 Oktober 2014 Ds Manurara 149.b/KW-BOK/PKMM/X/2014 125,000
Marniraniyati D Zesi 2 Oktober 2014 Ds Manurara 149.b/KW-BOK/PKMM/X/2014 125,000
Agnes Ndaparoka 2 Oktober 2014 Ds Manurara 149.b/KW-BOK/PKMM/X/2014 125,000
Dr.Tiwi 3 Oktober 2014 Ds OKawacu 149.c/KW-BOK/PKMM/X/2014 125,000
Marniraniyati D Zesi 3 Oktober 2014 Ds OKawacu 149.c/KW-BOK/PKMM/X/2014 125,000
Anton Pandang 3 Oktober 2014 Ds OKawacu 149.c/KW-BOK/PKMM/X/2014 125,000
Dr.Nancy 4 Oktober 2014 Ds Dasa Elu 149.d/KW-BOK/PKMM/X/2014 100,000
Albertina R Bangi 4 Oktober 2014 Ds Dasa Elu 149.d/KW-BOK/PKMM/X/2014 100,000
Susanti Ledi 4 Oktober 2014 Ds Dasa Elu 149.d/KW-BOK/PKMM/X/2014 100,000
Dr.Tiwi 6 Oktober 2014 Ds Tana Modu 149.e/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 6 Oktober 2014 Ds Tana Modu 149.e/KW-BOK/PKMM/X/2014 75,000
Yudaria S Poro 6 Oktober 2014 Ds Tana Modu 149.e/KW-BOK/PKMM/X/2014 75,000
Dr.Nancy 7 Oktober 2014 Ds Waimanu 149.f/KW-BOK/PKMM/X/2014 125,000
Susanti Ledi 7 Oktober 2014 Ds Waimanu 149.f/KW-BOK/PKMM/X/2014 125,000
Yudelvince R Diki 7 Oktober 2014 Ds Waimanu 149.f/KW-BOK/PKMM/X/2014 125,000
Dr.Tiwi 8 Oktober 2014 Ds Wailawa 149.g/KW-BOK/PKMM/X/2014 75,000
Asti J Rana 8 Oktober 2014 Ds Wailawa 149.g/KW-BOK/PKMM/X/2014 75,000
Diana C Manu 8 Oktober 2014 Ds Wailawa 149.g/KW-BOK/PKMM/X/2014 75,000
Dr.Tiwi 9 Oktober 2014 Ds Dameka 149.h/KW-BOK/PKMM/X/2014 75,000
Regina I Toga 9 Oktober 2014 Ds Dameka 149.h/KW-BOK/PKMM/X/2014 75,000
Rosalia D Kaniha 9 Oktober 2014 Ds Dameka 149.h/KW-BOK/PKMM/X/2014 75,000
Dr.Nancy 10 Oktober 2014 Ds Konda Maloba 149.i/KW-BOK/PKMM/X/2014 250,000
Kornelis K M Dawa 10 Oktober 2014 Ds Konda Maloba 149.i/KW-BOK/PKMM/X/2014 250,000
Ririn Zulhijah 10 Oktober 2014 Ds Konda Maloba 149.i/KW-BOK/PKMM/X/2014 250,000
3,075,000
5 526115 Biaya Transportasi Kegiatan Penyuluhan penyakit
Menular(Diare,ISPA,Pneumonia,TB,Malaria,HIV/AIDS
Kusta,Filaria,Frambusia Bulan Oktober 2014
R R Samani 3 Oktober 2014 Posy.Gallu Bakul 06 - 11 - 2014 150.a/KW-BOK/PKMM/X/2014 75,000
Margarita R Dairu 3 Oktober 2014 Posy.Gallu Bakul 150.a/KW-BOK/PKMM/X/2014 75,000
Regina I Toga 3 Oktober 2014 Posy.Dewajara 150.a/KW-BOK/PKMM/X/2014 75,000
Rosalia D Kaniha 3 Oktober 2014 Posy.Dewajara 150.a/KW-BOK/PKMM/X/2014 75,000
Trio M K Sianipar 6 Oktober 2014 Posy.Mambitul 150.b/KW-BOK/PKMM/X/2014 75,000
Yanto U Djangi 6 Oktober 2014 Posy.Mambitul 150.b/KW-BOK/PKMM/X/2014 75,000
Ari B Joru 6 Oktober 2014 Posy.Laigoli 150.b/KW-BOK/PKMM/X/2014 75,000
Marniraniyati D Zesi 6 Oktober 2014 Posy.Laigoli 150.b/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 7 Oktober 2014 Posy.Lolukalay/SP 1 150.cKW-BOK/PKMM/X/2014 100,000
Agustina Jiarapay 7 Oktober 2014 Posy.Lolukalay/SP 1 150.cKW-BOK/PKMM/X/2014 100,000
Adriana R J Rana 7 Oktober 2014 Posy.Praikisi 150.cKW-BOK/PKMM/X/2014 100,000
Yudaria S Poro 7 Oktober 2014 Posy.Praikisi 150.cKW-BOK/PKMM/X/2014 100,000
Eti R Sida 9 Oktober 2014 Posy.Jagalama/SP1 150.d/KW-BOK/PKMM/X/2014 100,000
Prima Felisitas 9 Oktober 2014 Posy.Jagalama/SP1 150.d/KW-BOK/PKMM/X/2014 100,000
Kurnia 9 Oktober 2014 Posy.Sinar Kasih/SP2 150.d/KW-BOK/PKMM/X/2014 100,000
Risto R K Toga 9 Oktober 2014 Posy.Sinar Kasih/SP2 150.d/KW-BOK/PKMM/X/2014 100,000
Ayub Andunara 11 Oktober 2014 Posy.Galuwada/SP2 150.e/KW-BOK/PKMM/X/2014 100,000
Salmon U Kabalu 11 Oktober 2014 Posy.Galuwada/SP2 150.e/KW-BOK/PKMM/X/2014 100,000
Sisilia Bombo 11 Oktober 2014 Posy.Taman Mas 150.e/KW-BOK/PKMM/X/2014 125,000
Refly P Kamodu 11 Oktober 2014 Posy.Taman Mas 150.e/KW-BOK/PKMM/X/2014 125,000
Dr.Tiwi 13 Oktober 2014 Posy.Praiau 150.f/KW-BOK/PKMM/X/2014 75,000
Midun U Rauta 13 Oktober 2014 Posy.Praiau 150.f/KW-BOK/PKMM/X/2014 75,000
Dr.Nancy 13 Oktober 2014 Posy.Taupopu 150.f/KW-BOK/PKMM/X/2014 125,000
Marni R T Leki 13 Oktober 2014 Posy.Taupopu 150.f/KW-BOK/PKMM/X/2014 125,000
Agnisintus S Bay 15 Oktober 2014 Posy.Mata Pasaingu 150.g/KW-BOK/PKMM/X/2014 75,000
Marco U N Djarawoli 15 Oktober 2014 Posy.Mata Pasaingu 150.g/KW-BOK/PKMM/X/2014 75,000
Esti R Temba 15 Oktober 2014 Posy.Kijarowa 150.g/KW-BOK/PKMM/X/2014 75,000
Dorkas Kalunga 15 Oktober 2014 Posy.Kijarowa 150.g/KW-BOK/PKMM/X/2014 75,000
Mathilda N Suru 17 Oktober 2014 Posy.Bodung 150.h/KW-BOK/PKMM/X/2014 125,000
Ervintri R P Jabu 17 Oktober 2014 Posy.Bodung 150.h/KW-BOK/PKMM/X/2014 125,000
Yohanis U J Anabuni 17 Oktober 2014 Posy.Waimarapu 150.h/KW-BOK/PKMM/X/2014 125,000
Jekson Kubang 17 Oktober 2014 Posy.Waimarapu 150.h/KW-BOK/PKMM/X/2014 125,000
Justin I Nona 20 Oktober 2014 Posy.Watudedi 150.i/KW-BOK/PKMM/X/2014 125,000
Ayub Andunara 20 Oktober 2014 Posy.Watudedi 150.i/KW-BOK/PKMM/X/2014 125,000
Rill R L Enga 20 Oktober 2014 Posy.Paledi 150.i/KW-BOK/PKMM/X/2014 125,000
Kurnia 20 Oktober 2014 Posy.Paledi 150.i/KW-BOK/PKMM/X/2014 125,000
Diana C Manu 21 Oktober 2014 Posy.Tangairi 150.j/KW-BOK/PKMM/X/2014 250,000
Enjelita Sihombing 21 Oktober 2014 Posy.Tangairi 150.j/KW-BOK/PKMM/X/2014 250,000
Diana C Manu 23 Oktober 2014 Posy.Konda 150.k/KW-BOK/PKMM/X/2014 250,000
Daniel L Baiyo 23 Oktober 2014 Posy.Konda 150.k/KW-BOK/PKMM/X/2014 250,000
Adriana R J Rana 23 Oktober 2014 Posy.Maloba 150.k/KW-BOK/PKMM/X/2014 250,000
Midun U Rauta 23 Oktober 2014 Posy.Maloba 150.k/KW-BOK/PKMM/X/2014 250,000
5,050,000
6 526115 Biaya Transportasi Kegiatan Monitoring Sanitasi

Tk.Puskesmas Bulan Oktober 2014
Marni R T Leki Oktober 2014 Puskesmas Lendiwacu 06 - 11 - 2014 151/KW-BOK/PKMM/X/2014 125,000
Agnisintus S Bay Oktober 2014 Puskesmas Lendiwacu 151/KW-BOK/PKMM/X/2014 125,000
250,000
7 526115 Biaya Transportasi Kegiatan Sweeping Imunisasi

Bulan Oktober 2014
Refly P Kamodu 11 Oktober 2014 Ds Dasa Elu 06 - 11 - 2014 152.a/KW-BOK/PKMM/X/2014 100,000
Albertina R Bang 11 Oktober 2014 Ds Dasa Elu 152.a/KW-BOK/PKMM/X/2014 100,000
Diana C Manu 11 Oktober 2014 Ds Dasa Elu 152.a/KW-BOK/PKMM/X/2014 100,000
Refly P Kamodu 16 Oktober 2014 Ds Dameka 152.b/KW-BOK/PKMM/X/2014 75,000
Rosidah 16 Oktober 2014 Ds Dameka 152.b/KW-BOK/PKMM/X/2014 75,000
Adriana R J Rana 16 Oktober 2014 Ds Dameka 152.b/KW-BOK/PKMM/X/2014 75,000
Refly P Kamodu 22 Oktober 2014 Ds Waimanu 152.c/KW-BOK/PKMM/X/2014 125,000
Emilia R K Toga 22 Oktober 2014 Ds Waimanu 152.c/KW-BOK/PKMM/X/2014 125,000
Kurnia 22 Oktober 2014 Ds Waimanu 152.c/KW-BOK/PKMM/X/2014 125,000
Refly P Kamodu 24 Oktober 2014 Ds Konda Maloba 152.d/KW-BOK/PKMM/X/2014 250,000
Kornelis K M Dawa 24 Oktober 2014 Ds Konda Maloba 152.d/KW-BOK/PKMM/X/2014 250,000
Jekson Kubang 24 Oktober 2014 Ds Konda Maloba 152.d/KW-BOK/PKMM/X/2014 250,000
1,650,000
8 526115 Biaya Transportasi Kegiatan Pengambilan Vaksin

Bulan Oktober 2014
Refly P Kamodu 1 Oktober 2014 Gudang Obat 06 - 11 - 2014 153/KW-BOK/PKMM/X/2014 100,000
Yanto U Djangi 1 Oktober 2014 Gudang Obat 153/KW-BOK/PKMM/X/2014 100,000
200,000
9 526115 Biaya Konsumsi Minilok Bulanan Puskesmas

Bulan Oktober 2014
Iskandar 25 Oktober 2014 06 - 11 - 2014 154/KW-BOK/PKMM/X/2014 1,917,500

Bulanan Bulan Oktober 2014
Alfius B Setiawan 25 Oktober 2014 06 - 11 - 2014 155/KW-BOK/PKMM/X/2014 110,000
Johana N Liawat 25 Oktober 2014 155/KW-BOK/PKMM/X/2014 110,000
220,000

Verifikasi BOK
Bulan Oktober 2014
Adriana R J Rana 30 Oktober 2014 06 - 11 - 2014 156/KW-BOK/PKMM/X/2014 100,000
Kurnia 30 Oktober 2014 156/KW-BOK/PKMM/X/2014 100,000
Diana C Manu 30 Oktober 2014 156/KW-BOK/PKMM/X/2014 100,000
300,000
12 526115 Biaya ATK BOK Bulan Oktober 2014

Joni Praktino 30 Oktober 2014 06 - 11 - 2014 157/KW-BOK/PKMM/X/2014 900,000
JUMLAH 17,737,500
MENGETAHUI Malinjak, 30 Oktober 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 011 / SPTB - BOK / MLJK / XI/ 2014

Bulan : November
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
No MAK Penerima Uraian Jumlah( Rp) PPN (Rp) PPH (Rp)
Tanggal Nomor PENGELUARAN
1 526115 Biaya Transportasi Kegiatan Kerja Sama Bidan,

Dukun & Kader Bulan November 2014 2,500,000
Penggandaan ATK Kegiatan Kerja Sama Bidan

Dukun & Kader Bulan November 2014 400,000
Biaya Konsumsi Kegiatan Kerja Sama Bidan

Dukun & Kader Bulna November 2014 1,625,000
2 526115 Biaya PMT Penyuluhan Bulan November 2014 2,100,000
3 526115 Biaya Konsumsi Kegiatan Penguatan Tim Desa Siaga

Bulan November 2014 4,387,500
4 526115 Biaya Transportasi Kegiatan Minilokakarya Lintas Sektor

Biaya Konsumsi Kegiatan Minilokakarya Lintas Sektor

Penggandaan ATK 400,000
JUMLAH 22,012,500
MENGETAHUI Malinjak, 30 Oktober 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 011 / SPTB - BOK / MLJK / XI/ 2014

Bulan : November
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
1 526115 Biaya Transportasi Kagiatan Sweeping K1,K4 &
Bumil Resti Bulan November 2014
Adiningsih R Woji 1 November 2014 Ds Dameka 158.a/KW-BOK/PKMM/X/2014 75,000
Yeni Mone 1 November 2014 Ds Wailawa 158.a/KW-BOK/PKMM/X/2014 75,000
Agnes P Kilimandu 3 November 2014 Ds Malinjak 158.b/KW-BOK/PKMM/X/2014 75,000
Imelda Y Liubana 3 November 2014 Ds Manurara 158.b/KW-BOK/PKMM/X/2014 125,000
Ririn Zulhijah 4 November 2014 Ds Dasa Elu 158.c/KW-BOK/PKMM/X/2014 100,000
Melda Inggrit Bani 4 November 2014 Ds Waimanu 158.c/KW-BOK/PKMM/X/2014 125,000
Mawar Manurung 5 November 2014 Ds Tana Modu 158.d/KW-BOK/PKMM/X/2014 75,000
Ririn Zulhijah 5 November 2014 Ds Konda Maloba 158.d/KW-BOK/PKMM/X/2014 250,000
Atandipu L Lulung 6 November 2014 Ds Okawacu 158.e/KW-BOK/PKMM/X/2014 125,000
1,025,000
2 526115 Biiaya Transportasi Kegiatan pendamping persalinan

Bulan November 2014
Ana R K Toga 1 November 2014 Ds Tana Modu 159.a/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 1 November 2014 Ds Tana Modu 159.a/KW-BOK/PKMM/X/2014 50,000
Susanti Ledi 2 November 2014 Ds Dameka 159.b/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 3 November 2014 Ds Malinjak 159.c/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 3 November 2014 Ds Malinjak 159.c/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 4 November 2014 Ds Malinjak 159.d/KW-BOK/PKMM/X/2014 50,000
Maria R L Nguju 5 November 2014 Ds Dameka 159.e/KW-BOK/PKMM/X/2014 50,000
R K Toga 5 November 2014 Ds Dameka 159.e/KW-BOK/PKMM/X/2014 50,000
Bibiana 6 November 2014 Ds Dameka 159.f/KW-BOK/PKMM/X/2014 50,000
Piru Denga 6 November 2014 Ds Tana Modu 159.f/KW-BOK/PKMM/X/2014 50,000
Piru Denga 6 November 2014 Ds Tana Modu 159.f/KW-BOK/PKMM/X/2014 50,000
Ladi Lauru 7 November 2014 Ds Manurara 159.g/KW-BOK/PKMM/X/2014 50,000
Orpa R Bera 8 November 2014 Ds Manurara 159.h/KW-BOK/PKMM/X/2014 50,000
Nevi Pagegi 8 November 2014 Ds Dasa Elu 159.h/KW-BOK/PKMM/X/2014 50,000
Liliana Dapawole 8 November 2014 Ds Dasa Elu 159.h/KW-BOK/PKMM/X/2014 50,000
Yuliana R Ngana 9 November 2014 Ds Dasa Elu 159.i/KW-BOK/PKMM/X/2014 50,000
Nevi Pagegi 9 November 2014 Ds Dasa Elu 159.i/KW-BOK/PKMM/X/2014 50,000
850,000
3 526115 Biaya Transportasi Kegiatan Kerja Sama Bidan,

Dukun & Kader Bulan November 2014
Netri R S Bela 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Maria M S Dowi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Magdalena K Leba 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Yuliana K Diki 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Trince Bokamanu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Rana Nyewi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Kareri Toga 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Sedu Tegi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Ana Sedu Tegi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Mera B Jati 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Mera Mura Magi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Sopia B Kudu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Kasi Woji 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Mera Tamala Sori 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Diana R Baba 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Merlin Saba Ora 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Nurti K Leba 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Lani Ladur 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Kareri Toga 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Rambu Piku 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Imelda R Ngana 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Yuliana Rija 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Yuliana R Ngana 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
R Dulu Mosa 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Ana R K Toga 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
R Sori Daiju 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Kasi Danga 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Erna R Nawu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Ana R Kareri 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Rambu B Emu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Atandipu L Lulung 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Agnes P Kilimandu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Melda I Bani 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Ririn Zulhijah 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Imelda Y Liubana 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Yeni Mone 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Paulina R Kawi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Sisilia S Tegi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Tina K Yowi 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Pelomina J Koten 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Moyi R Longa 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Dina M Haingu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Adriana Bulu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Martina K Paila 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Klara Jami Lai 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Yenita A Dawu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Sofia B Kudu 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Jeni R P Rauna 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Nona M Hawa 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
Rita R Kareri 25 November 2014 160/KW-BOK/PKMM/X/2014 50,000
2,500,000
Pengadaan ATK Kegiatan Kerja Sama Bidan

Dukun & Kader Bulan November 2014
Joni Pratikno November 2014 161/KW-BOK/PKMM/X/2014 400,000
Biaya Konsumsi Kegiatan Kerja Sama Bidan

Dukun & Kader Bulna November 2014
Iskandar 162/KW-BOK/PKMM/X/2014 1,625,000
4 526115 Biaya Transportasi Kader,Dukun Memfasilitasi

Bumil K1 Murni Ke Faskes
Bulan November 2014
Asti J Rana 1 November 2014 Ds Wailawa 163.a/KW-BOK/PKMM/X/2014 50,000
Paila Deti 3 November 2014 Ds Malinjak 163.b/KW-BOK/PKMM/X/2014 50,000
Paila Deti 3 November 2014 Ds Malinjak 163.b/KW-BOK/PKMM/X/2014 50,000
Jeni R Rauna 3 November 2014 Ds Tana Modu 163.b/KW-BOK/PKMM/X/2014 50,000
200,000
5 526115 Biaya Transportasi Kegiatan Otopsi Verbal Neonatal
Bulan November 2014
Mawar Manurung November 2014 Ds Tana Modu 164/KW-BOK/PKMM/X/2014 75,000
Yudaria S Poro November 2014 Ds Tana Modu 164/KW-BOK/PKMM/X/2014 75,000
150,000
6 526115 Biaya PMT Penyuluhan Bulan November 2014

Gega R Day 6 Desember 2014 Posy.Gallu Bakul 165/KW-BOK/PKMM/X/2014 100,000
Rambu B Meti 6 Desember 2014 Posy.Mambitul 165/KW-BOK/PKMM/X/2014 100,000
Apu R Podu 6 Desember 2014 Posy.Dewajara 165/KW-BOK/PKMM/X/2014 100,000
Betty R Bangi 6 Desember 2014 Posy.Laigoli 165/KW-BOK/PKMM/X/2014 100,000
Yati R Katibi 6 Desember 2014 Posy.Praikisi 165/KW-BOK/PKMM/X/2014 100,000
Tresia T Leki 6 Desember 2014 Posy.Lolukalay/Sp1 165/KW-BOK/PKMM/X/2014 100,000
Diana R Baba 6 Desember 2014 Posy.Jagalama/Sp1 165/KW-BOK/PKMM/X/2014 100,000
Nevi Pagegi 6 Desember 2014 Posy.Liangu Dowu 165/KW-BOK/PKMM/X/2014 100,000
Adriana D Sobu 6 Desember 2014 Posy.Gallu Wada/Sp2 165/KW-BOK/PKMM/X/2014 100,000
Paulina R Kawi 6 Desember 2014 Posy.Taman Mas 165/KW-BOK/PKMM/X/2014 100,000
Yuli R Podu 6 Desember 2014 Posy.Praiau 165/KW-BOK/PKMM/X/2014 100,000
Marta P Wasak 6 Desember 2014 Posy.Taupopu 165/KW-BOK/PKMM/X/2014 100,000
Paulina R K Regi 6 Desember 2014 Posy.Mata Pasaingu 165/KW-BOK/PKMM/X/2014 100,000
Jua Meru 6 Desember 2014 Posy.Waimarapu 165/KW-BOK/PKMM/X/2014 100,000
M Pekawoli 6 Desember 2014 Posy.Tangairi 165/KW-BOK/PKMM/X/2014 100,000
Paulina P Boka 6 Desember 2014 Posy.Kijarowa 165/KW-BOK/PKMM/X/2014 100,000
Marta L Nguju 6 Desember 2014 Posy.Bodung 165/KW-BOK/PKMM/X/2014 100,000
Ratni R Wawu 6 Desember 2014 Posy.Watudedi 165/KW-BOK/PKMM/X/2014 100,000
Eni L Nedi 6 Desember 2014 Posy.Paledi 165/KW-BOK/PKMM/X/2014 100,000
Maria J Pedi 6 Desember 2014 Posy.Konda 165/KW-BOK/PKMM/X/2014 100,000
Maria P Leba 6 Desember 2014 Posy.Maloba 165/KW-BOK/PKMM/X/2014 100,000
2,100,000
7 526115 Biaya Transportasi Kegiatan Operasi Timbang
Bulan November 2014
Asti J Rana 3 November 2014 Ds Wailawa 166.a/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 3 November 2014 Ds Wailawa 166.a/KW-BOK/PKMM/X/2014 75,000
Yeni Sarakayu 3 November 2014 Ds Wailawa 166.a/KW-BOK/PKMM/X/2014 75,000
Rosidah 4 November 2014 Ds Dameka 166.b/KW-BOK/PKMM/X/2014 75,000
Adriana R J Rana 4 November 2014 Ds Dameka 166.b/KW-BOK/PKMM/X/2014 75,000
Marni R T Leki 4 November 2014 Ds Dameka 166.b/KW-BOK/PKMM/X/2014 75,000
Emilia R K Toga 5 November 2014 Ds Waimanu 166.c/KW-BOK/PKMM/X/2014 125,000
Yudelvince R Diki 5 November 2014 Ds Waimanu 166.c/KW-BOK/PKMM/X/2014 125,000
Kurnia 5 November 2014 Ds Waimanu 166.c/KW-BOK/PKMM/X/2014 125,000
Diana C Manu 6 November 2014 Ds Manurara 166.d/KW-BOK/PKMM/X/2014 125,000
Agnes Ndaparoka 6 November 2014 Ds Manurara 166.d/KW-BOK/PKMM/X/2014 125,000
Risto R K Toga 6 November 2014 Ds Manurara 166.d/KW-BOK/PKMM/X/2014 125,000
Regina I Toga 7 November 2014 Ds Malinjak 166.e/KW-BOK/PKMM/X/2014 75,000
Margarita R Dairu 7 November 2014 Ds Malinjak 166.e/KW-BOK/PKMM/X/2014 75,000
Debora Wailiti 7 November 2014 Ds Malinjak 166.e/KW-BOK/PKMM/X/2014 75,000
Suryanti R Leki 8 November 2014 Ds Tana Modu 166.f/KW-BOK/PKMM/X/2014 75,000
Yudaria S Poro 8 November 2014 Ds Tana Modu 166.f/KW-BOK/PKMM/X/2014 75,000
Sisilia Bombo 8 November 2014 Ds Tana Modu 166.f/KW-BOK/PKMM/X/2014 75,000
Albertina R Bangi 10 November 2014 Ds Dasa Elu 166.g/KW-BOK/PKMM/X/2014 100,000
Yuliana R Teba 10 November 2014 Ds Dasa Elu 166.g/KW-BOK/PKMM/X/2014 100,000
Ervintri R P Jabu 10 November 2014 Ds Dasa Elu 166.g/KW-BOK/PKMM/X/2014 100,000
Anton Pandang 11 November 2014 Ds OKawacu 166.h/KW-BOK/PKMM/X/2014 125,000
Marniraniyati D Zesi 11 November 2014 Ds OKawacu 166.h/KW-BOK/PKMM/X/2014 125,000
Juliana H Ome 11 November 2014 Ds OKawacu 166.h/KW-BOK/PKMM/X/2014 125,000
Kornelis K M Dawa 12 November 2014 Ds Konda Maloba 166.i/KW-BOK/PKMM/X/2014 250,000
Refly P Kamodu 12 November 2014 Ds Konda Maloba 166.i/KW-BOK/PKMM/X/2014 250,000
Trio M K Sianipar 12 November 2014 Ds Konda Maloba 166.i/KW-BOK/PKMM/X/2014 250,000
3,075,000
8 526115 Biaya Transportasi Kegiatan Penguatan Tim Desa Siaga

Bulan November 2014
Adriana R J Rana 3 November 2014 Ds Tana Modu 167.a/KW-BOK/PKMM/X/2014 75,000
Ari B Joru 3 November 2014 Ds Tana Modu 167.a/KW-BOK/PKMM/X/2014 75,000
Juliana H Ome 4 November 2014 Ds Malinjak 167.b/KW-BOK/PKMM/X/2014 75,000
R R Samani 4 November 2014 Ds Malinjak 167.b/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 5 November 2014 Ds Dasa Elu 167.c/KW-BOK/PKMM/X/2014 100,000
Marniraniyati D Sezi 5 November 2014 Ds Dasa Elu 167.c/KW-BOK/PKMM/X/2014 100,000
Yuliana R Teba 6 November 2014 Ds Okawacu 167.d/KW-BOK/PKMM/X/2014 125,000
Marco U N Djarawoli 6 November 2014 Ds Okawacu 167.d/KW-BOK/PKMM/X/2014 125,000
Adriana R J Rana 7 November 2014 Ds Waimanu 167.e/KW-BOK/PKMM/X/2014 125,000
Lidia R L Enga 7 November 2014 Ds Waimanu 167.e/KW-BOK/PKMM/X/2014 125,000
Susanti Ledi 8 November 2014 Ds Manurara 167.f/KW-BOK/PKMM/X/2014 125,000
Trio M K Sianipar 8 November 2014 Ds Manurara 167.f/KW-BOK/PKMM/X/2014 125,000
Asti j Rana 10 November 2014 Ds Wailawa 167.g/KW-BOK/PKMM/X/2014 75,000
Refly P Kamodu 10 November 2014 Ds Wailawa 167.g/KW-BOK/PKMM/X/2014 75,000
Juliana H Ome 11 November 2014 Ds Dameka 167.h/KW-BOK/PKMM/X/2014 75,000
Rosalia D Kaniha 11 November 2014 Ds Dameka 167.h/KW-BOK/PKMM/X/2014 75,000
Susanti Ledi 12 November 2014 Ds Konda Maloba 167.i/KW-BOK/PKMM/X/2014 250,000
Eti R Sida 12 November 2014 Ds Konda Maloba 167.i/KW-BOK/PKMM/X/2014 250,000
2,050,000
Biaya Konsumsi Kegiatan Penguatan Tim Desa Siaga

Di Desa Tana Modu Bulan November 2014
Iskandar 3 November 2014 168/KW-BOK/PKMM/X/2014 487,500

Di Desa Malinjak Bulan November 2014

Di Desa Dasa Elu Bulan November 2014

Di Desa Okawacu Bulan November 2014

Di Desa Waimanu Bulan November 2014

Di Desa Manurara Bulan November 2014

Di Desa Wailawa Bulan November 2014

Di Desa Dameka Bulan November 2014

Di Desa Konda Maloba Bulan November 2014
9 526115 Biaya Transportasi Kegiatan Survei Penyakit Berpotensi
KLB Bulan November 2014
Yuliana R Teba 1 November 2014 Ds Malinjak 177.a/KW-BOK/PKMM/X/2014 75,000
Debora Wailiti 1 November 2014 Ds Malinjak 177.a/KW-BOK/PKMM/X/2014 75,000
Rill R l Enga 3 November 2014 Ds Wailawa 177.b/KW-BOK/PKMM/X/2014 75,000
Marniraniyati D Zesi 3 November 2014 Ds Wailawa 177.b/KW-BOK/PKMM/X/2014 75,000
Dorkas Kalunga 4 November 2014 Ds Dameka 177.c/KW-BOK/PKMM/X/2014 75,000
Refly P Kamodu 4 November 2014 Ds Dameka 177.c/KW-BOK/PKMM/X/2014 75,000
Salmon U Kabalu 5 November 2014 Ds Waimanu 177.d/KW-BOK/PKMM/X/2014 125,000
Dr.Tiwi 5 November 2014 Ds Waimanu 177.d/KW-BOK/PKMM/X/2014 125,000
Daniel L Baiyo 6 November 2014 Ds Manurara 177.e/KW-BOK/PKMM/X/2014 125,000
Jekson Kubang 6 November 2014 Ds Manurara 177.e/KW-BOK/PKMM/X/2014 125,000
Esti R Temba 7 November 2014 Ds Tana Modu 177.f/KW-BOK/PKMM/X/2014 75,000
Yanto U Djangi 7 November 2014 Ds Tana Modu 177.f/KW-BOK/PKMM/X/2014 75,000
Yohanis U J Anabuni 8 November 2014 Ds Dasa Elu 177.g/KW-BOK/PKMM/X/2014 100,000
Risto R K Toga 8 November 2014 Ds Dasa Elu 177.g/KW-BOK/PKMM/X/2014 100,000
Agustina Jiarapay 10 November 2014 Ds Okawacu 177.h/KW-BOK/PKMM/X/2014 125,000
Ayub Andunara 10 November 2014 Ds Okawacu 177.h/KW-BOK/PKMM/X/2014 125,000
Dr.Nency 11 November 2014 Ds Konda Maloba 177.i/KW-BOK/PKMM/X/2014 250,000
Mathilda N Suru 11 November 2014 Ds Konda Maloba 177.i/KW-BOK/PKMM/X/2014 250,000
2,050,000
10 526115 Biaya Transportasi Kegiatan Follow Up Pneumonia

Bulan November 2014
Regina I Toga 1 November 2014 Ds Malinjak 178.a/KW-BOK/PKMM/X/2014 75,000
Debora Wailiti 1 November 2014 Ds Malinjak 178.a/KW-BOK/PKMM/X/2014 75,000
Yudaria S Poro 3 November 2014 Ds Tana Modu 178.b/KW-BOK/PKMM/X/2014 75,000
Kurnia 3 November 2014 Ds Tana Modu 178.b/KW-BOK/PKMM/X/2014 75,000
Adriana R J Rana 5 November 2014 Ds Wailawa 178.c/KW-BOK/PKMM/X/2014 75,000
Asti J Rana 5 November 2014 Ds Wailawa 178.c/KW-BOK/PKMM/X/2014 75,000
Rosidah 6 November 2014 Ds Dameka 178.d/KW-BOK/PKMM/X/2014 75,000
Justin I Nona 6 November 2014 Ds Dameka 178.d/KW-BOK/PKMM/X/2014 75,000
Diana C Manu 7 November 2014 Ds Waimanu 178.e/KW-BOK/PKMM/X/2014 125,000
Emilia R K Toga 7 November 2014 Ds Waimanu 178.e/KW-BOK/PKMM/X/2014 125,000
Agnes Ndaparoka 8 November 2014 Ds Manurara 178.f/KW-BOK/PKMM/X/2014 125,000
Yuliana R Teba 8 November 2014 Ds Manurara 178.f/KW-BOK/PKMM/X/2014 125,000
Albertina R Bangi 10 November 2014 Ds Dasa Elu 178.g/KW-BOK/PKMM/X/2014 100,000
Juliana H Ome 10 November 2014 Ds Dasa Elu 178.g/KW-BOK/PKMM/X/2014 100,000
1,300,000
11 526115 Biaya Transportasi Kegiatan Follow Up Penderita Frambusia

Bulan November 2014
Dr.Nency 1 November 2014 Ds Tana Modu 179/KW-BOK/PKMM/X/2014 75,000
Risto R K Toga 1 November 2014 Ds Tana Modu 179/KW-BOK/PKMM/X/2014 75,000
150,000
12 526115 Biaya Transportasi Kegiatan Minilokakarya Lintas Sektor

Bulan November 2014
Siwa Djurumana 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Adriana R J Rana 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Daniel U D T Lawang 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Sara K Hara 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Thomas W Sabatudung 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Petrus P Bupu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Trisisiana M R Dauki 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Aluisia Ita D S 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
A L Oyi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Maria R B Roju 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Meriana R Roku 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Lidia L Dauki 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Adryana D Sobu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Pauliana R K Regi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Ana R Sedu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Diana R Baba 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Adriana Bili 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Juwa Meru 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Paulina R Kawi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Eny L Nedi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Kristoforus U Lena 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Elvis U Dangu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Umbu R Gaji 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yati R Y Katibi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Apu R Podu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yana R Sida 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Margareta T Meja 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yapit U Katanga 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yulius U L Lalupada 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Pedi G Djaji 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Thomas B T Soba 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Agustinus T Jurumbasa 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Juli R J Piras 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
U K Yani 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
A R Ibi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yubi U Moki 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Martha P Wasak 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Melva R P Malairu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yuliana R Ngana 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Naomi R Yaku 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Asrin R T Lina 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Umbu Y Bolu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
R Dj Bolu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Samuel D Pasalang 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Maria R L Nguju 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Agustinus Praing 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Ariance R Awa 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Paulina P Boka 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yudelvince R Diki 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Marni R T Leki 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yudaria S Poro 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Asti J Rana 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Emilia R K Toga 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Juliana H Ome 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Trio M K Sianipar 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Ari B Joru 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Anton Pandang 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Kornelis K M Dawa 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Adiningsih R Woji 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yohanis U J Anabuni 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Salmon U Kabalu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Midun U Rauta 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yanto U Djangi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Kurnia 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Diana C Manu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yuliana R Teba 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Damaris R Sabati 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Marlince R K Woji 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Orpa R B Repi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Melkianus U Datu 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Petrus 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Resyanti R Piras 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Albertina R Bangi 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Debora Wailiti 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Rosidah 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Yeni Mone 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Agnes Ndaparoka 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Melda Inggrit Bani 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Imelda Y Liubana 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
Atandipu L Lulung 26 November 2014 180/KW-BOK/PKMM/X/2014 100,000
8,000,000
Biaya Konsumsi Kegiatan Minilokakarya Lintas Sektor
Bulan November 2014
Iskandar November 2014 181/KW-BOK/PKMM/X/2014 2,600,000
Pengadaan ATK Kegiatan Minilokakarya Lintas Sektor

Bulan November 2014
Joni Pratikno November 2014 182/KW-BOK/PKMM/X/2014 400,000

Dalam Rangka Minilokakarya Lintas Sektor
Bulanan Bulan November 2014
Alfius B Setiawan 26 November 2014 183/KW-BOK/PKMM/X/2014 110,000
Johana N Liawat 26 November 2014 183/KW-BOK/PKMM/X/2014 110,000
220,000
14 526115 Biaya Transportasi Kegiatan Verifikasi BOK

Bulan November 2014
Adriana R J Rana 29 November 2014 184/KW-BOK/PKMM/X/2014 100,000
Kurnia 29 November 2014 184/KW-BOK/PKMM/X/2014 100,000
Diana C Manu 29 November 2014 184/KW-BOK/PKMM/X/2014 100,000
300,000
15 526115 Biaya Transportasi Kegiatan Pemutakhiran Data

Penududuk Bulan November 2014
Justin I Nona 1 November 2014 Ds Dasa Elu 185.a/KW-BOK/PKMM/X/2014 100,000
Ririn zulhijah 1 November 2014 Ds Dasa Elu 185.a/KW-BOK/PKMM/X/2014 100,000
Albertina R Bangi 1 November 2014 Ds Dasa Elu 185.a/KW-BOK/PKMM/X/2014 100,000
Lidia R L Enga 3 November 2014 Ds Dameka 185.b/KW-BOK/PKMM/X/2014 75,000
Adiningsih R Woji 3 November 2014 Ds Dameka 185.b/KW-BOK/PKMM/X/2014 75,000
Rosidah 3 November 2014 Ds Dameka 185.b/KW-BOK/PKMM/X/2014 75,000
Asti J Rana 4 November 2014 Ds Wailawa 185.c/KW-BOK/PKMM/X/2014 75,000
Adriana R J Rana 4 November 2014 Ds Wailawa 185.c/KW-BOK/PKMM/X/2014 75,000
Yeni Mone 4 November 2014 Ds Wailawa 185.c/KW-BOK/PKMM/X/2014 75,000
Yudelvince R Diki 5 November 2014 Ds Waimanu 185.d/KW-BOK/PKMM/X/2014 125,000
Emilia R K Toga 5 November 2014 Ds Waimanu 185.d/KW-BOK/PKMM/X/2014 125,000
Melda Inggrit Bani 5 November 2014 Ds Waimanu 185.d/KW-BOK/PKMM/X/2014 125,000
Agnes Ndaparoka 6 November 2014 Ds Manurara 185.e/KW-BOK/PKMM/X/2014 125,000
Imelda Y Liubana 6 November 2014 Ds Manurara 185.e/KW-BOK/PKMM/X/2014 125,000
Suryanti R Leki 6 November 2014 Ds Manurara 185.e/KW-BOK/PKMM/X/2014 125,000
Prima Felisitas 7 November 2014 Ds Tana Modu 185.f/KW-BOK/PKMM/X/2014 75,000
Yudaria S Poro 7 November 2014 Ds Tana Modu 185.f/KW-BOK/PKMM/X/2014 75,000
Mawar Manurung 7 November 2014 Ds Tana Modu 185.f/KW-BOK/PKMM/X/2014 75,000
Regina I Toga 8 November 2014 Ds Malinjak 185.g/KW-BOK/PKMM/X/2014 75,000
Debora Wailiti 8 November 2014 Ds Malinjak 185.g/KW-BOK/PKMM/X/2014 75,000
Agnes P Kilimandu 8 November 2014 Ds Malinjak 185.g/KW-BOK/PKMM/X/2014 75,000
Rosalia D Kaniha 10 November 2014 Ds Okawacu 185.h/KW-BOK/PKMM/X/2014 125,000
Anton Pandang 10 November 2014 Ds Okawacu 185.h/KW-BOK/PKMM/X/2014 125,000
Atandipu L Lulung 10 November 2014 Ds Okawacu 185.h/KW-BOK/PKMM/X/2014 125,000
Kornelis K M Dawa 11 November 2014 Ds Konda Maloba 185.i/KW-BOK/PKMM/X/2014 250,000
Ayub Andunara 11 November 2014 Ds Konda Maloba 185.i/KW-BOK/PKMM/X/2014 250,000
Dr.Nency 11 November 2014 Ds Konda Maloba 185.i/KW-BOK/PKMM/X/2014 250,000
3,075,000
16 526115 Biaya ATK BOK Bulan November 2014

Joni Pratikno 30 November 2014 186/KW-BOK/PKMM/X/2014 750,000
JUMLAH 37,207,500
MENGETAHUI Malinjak, 29 November 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002
NOMOR : 012 / SPTB - BOK / MLJK / XII/ 2014

Bulan : Desember
PAJAK YANG
DIPUNGUT
Bukti BENDAHARA
PENGELUARAN
1 526115 Biiaya Transportasi Kegiatan pendamping persalinan
Bulan Desember 2014
Ana R K Toga 1 Desember 2014 Ds Tana Modu 187.a/KW-BOK/PKMM/XII/2014 50,000
Jati B Boku 2 Desember 2014 Ds Dasa Elu 187.b/KW-BOK/PKMM/XII/2014 50,000
Jeni R P Rauna 3 Desember 2014 Ds Wailawa 187.c/KW-BOK/PKMM/XII/2014 50,000
Jati B Boku 4 Desember 2014 Ds Dasa Elu 187.d/KW-BOK/PKMM/XII/2014 50,000
Diana R Baba 5 Desember 2014 Ds Manurara 187.e/KW-BOK/PKMM/XII/2014 50,000
Moyi L Jati 5 Desember 2014 Ds Malinjak 187.e/KW-BOK/PKMM/XII/2014 50,000
Arni R D Mosa 5 Desember 2014 Ds Dasa Elu 187.e/KW-BOK/PKMM/XII/2014 50,000
Sori Daiju 6 Desember 2014 Ds Tana Modu 187.f/KW-BOK/PKMM/XII/2014 50,000
Asti J Rana 6 Desember 2014 Ds Wailawa 187.f/KW-BOK/PKMM/XII/2014 50,000
Asti J Rana 6 Desember 2014 Ds Wailawa 187.f/KW-BOK/PKMM/XII/2014 50,000
Ana R K Toga 7 Desember 2014 Ds Malinjak 187.g/KW-BOK/PKMM/XII/2014 50,000
Meri W Lodang 8 Desember 2014 Ds Waimanu 187.h/KW-BOK/PKMM/XII/2014 50,000
Ana R K Toga 9 Desember 2014 Ds Tana Modu 187.i/KW-BOK/PKMM/XII/2014 50,000
Ladi Lauru 10 Desember 2014 Ds Manurara 187.j/KW-BOK/PKMM/XII/2014 50,000
Moyi L Jati 10 Desember 2014 Ds Wailawa 187.j/KW-BOK/PKMM/XII/2014 50,000
Moyi L Jati 10 Desember 2014 Ds Wailawa 187.j/KW-BOK/PKMM/XII/2014 50,000
800,000
2 526115 Biaya Transportasi Kegiatan Pemantauan Kelas

Ibu Hamil Bulan Desember 2014
Agnes P Kilimandu 2 Desember 2014 Ds Malinjak 188.a/KW-BOK/PKMM/XII/2014 75,000
Yeni Mone 2 Desember 2014 Ds Wailawa 188.a/KW-BOK/PKMM/XII/2014 75,000
Melda Inggrit Bani 2 Desember 2014 Ds Waimanu 188.a/KW-BOK/PKMM/XII/2014 125,000
Mawar Manurung 4 Desember 2014 Ds Tana Modu 188.b/KW-BOK/PKMM/XII/2014 75,000
Adiningsih R Woji 4 Desember 2014 Ds Manurara 188.b/KW-BOK/PKMM/XII/2014 125,000
Ririn Zulhijah 5 Desember 2014 Ds Dasa Elu 188.c/KW-BOK/PKMM/XII/2014 100,000
Adiningsih R Woji 10 Desember 2014 Ds Dameka 188.d/KW-BOK/PKMM/XII/2014 75,000
Atandipu L Lulung 10 Desember 2014 Ds Okawacu 188.d/KW-BOK/PKMM/XII/2014 125,000
Ririn Zulhijah " 11 Desember 2014 Ds Konda Maloba 188.e/KW-BOK/PKMM/XII/2014 250,000
1,025,000
3 526115 Biaya Transportasi Kader,Dukun Memfasilitasi

Bumil K1 Murni Ke Faskes
Bulan Desember 2014
Arni R D Mosa 1 Desember 2014 Ds Dasa Elu 189.a/KW-BOK/PKMM/XII/2014 50,000
Moyi R Longa 1 Desember 2014 Ds Dasa Elu 189.a/KW-BOK/PKMM/XII/2014 50,000
Ana R K Toga 3 Desember 2014 Ds Tana Modu 189.b/KW-BOK/PKMM/XII/2014 50,000
Arni R D Mosa 4 Desember 2014 Ds Dameka 189.c/KW-BOK/PKMM/XII/2014 50,000
Arni R D Mosa 4 Desember 2014 Ds Dameka 189.c/KW-BOK/PKMM/XII/2014 50,000
Yudelvince R Diki 5 Desember 2014 Ds Wailawa 189.d/KW-BOK/PKMM/XII/2014 50,000
Arni R D Mosa 6 Desember 2014 Ds Waimanu 189.e/KW-BOK/PKMM/XII/2014 50,000
Arni R D Mosa 8 Desember 2014 Ds Dasa Elu 189.f/KW-BOK/PKMM/XII/2014 50,000
400,000
4 526115 Biaya Konsumsi Kegiatan Minilokakarya Bulanan

Bulan Desember 2014
Iskandar 29 Desember 2014 190/KW-BOK/PKMM/XII/2014 1,917,500

Bulanan Bulan Desember 2014
Alfius B Setiawan 29 Desember 2014 191/KW-BOK/PKMM/XII/2014 110,000
Johana N Liawat 29 Desember 2014 191/KW-BOK/PKMM/XII/2014 110,000
220,000
6 526115 Biaya Transportasi Kegiatan Verifikasi BOK

Bulan Desember 2014
Adriana R J Rana Desember 2014 192/KW-BOK/PKMM/XII/2014 100,000
Kurnia Desember 2014 192/KW-BOK/PKMM/XII/2014 100,000
Diana C Manu Desember 2014 192/KW-BOK/PKMM/XII/2014 100,000
300,000
7 526115 Biaya ATK

Joni Pratikno 31 Desember 2014 193/KW-BOK/PKMM/XII/2014 700,000
JUMLAH 5,362,500
MENGETAHUI Malinjak, 31 Desember 2014

PUSKESMAS MALINJAK

NIP: 19780815 200501 2 018 NIP: 19840401 200804 2 002

SPTJB Bok 2014

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SURAT PERNYATAAN TANGGUNG JAWAB BELANJA

NOMOR : 001 / SPTB - BOK / MLJK / I / 2014

Nama Puskesmas :Puskesmas Malinjak

2 526115 Biaya Transportasi Kader,Dukun

3 526115 Biaya Transportasi Dalam Rangka Audit

4 526115 Biaya Transportasi Dalam Rangka

7 526115 Biaya Transportasi Dalam Rangka

8 526115 Biaya ATK BOK Bulan Januari 2014

MENGETAHUI Malinjak, 31 Januari 2014

ADRIANA R J RANA,AMK Kurnia,Amd.Kep

Nama Puskesmas :Puskesmas Malinjak

2 526115 Biaya Transportasi Dalam Rangka

3 526115 Biaya Transportasi Dalam Rangka

Biaya ATK Kemitraan Bidan,Dukun,Kader

4 526115 Biaya Transportasi Dalam Rangka

5 526115 Biaya Transportasi Dalam Rangka

6 526115 Biaya Transportasi Dalam Rangka

7 526115 Biaya Transportasi Dalam Rangka

8 526115 Biaya Transportasi Kader,Dukun

9 526115 Biaya Transportasi Dalam Rangka

11 526115 Biaya Transportasi Dalam Rangka

Desa Konda Maloba

Desa Dameka & Wailawa

Desa Dasa Elu

12 526115 Biaya Transportasi Dalam Rangka

13 526115 Biaya Transportasi Dalam Rangka

14 526115 Biaya Transportasi Dalam Rangka

16 526115 Biaya Konsumsi Peserta Minilokakarya

17 526115 Biaya Transportasi Nara Sumber

18 526115 Biaya Transportasi Dalam Rangka

19 526115 Biaya ATK BOK Bulan Februari 2014

MENGETAHUI Malinjak, 28 Februari 2014

ADRIANA R J RANA,AMK Kurnia,Amd.Kep

Nama Puskesmas :Puskesmas Malinjak

2 526115 Biaya Transportasi Dalam Rangka

3 526115 Biaya Transportasi Dalam Rangka

4 526115 Biaya Transportasi Kader,dukun

5 526115 Biaya Transportasi Dalam Rangka

7 526115 Biaya Transportasi Nara Sumber

8 526115 Biaya Transportasi Dalam Rangka

9 526115 Biaya Transportasi Dalam Rangka

10 526115 Biaya ATK BOK Bulan Maret 2014

MENGETAHUI Malinjak, 29 Maret 2014

ADRIANA R J RANA,AMK Kurnia,Amd.Kep

Nama Puskesmas :Puskesmas Malinjak

2 526115 Biaya Transportasi Dalam Rangka

3 526115 Biaya Transportasi Dalam Rangka

4 526115 Biaya Transportasi Dalam Rangka

5 526115 Biaya Transportasi Dalam Rangka

6 526115 Biaya Transportasi Kader,Dukun Yang

8 526115 Biaya Transportasi Dalam Rangka

9 526115 Biaya Transportasi Dalam Rangka

10 526115 Biaya Transportasi Dalam Rangka

12 526115 Biaya Trasportasi Dalam Rangka

13 526115 Biaya Transportasi Dalam Rangka

14 526115 Biaya Transportasi Dalam Rangka

15 Biaya Transportasi Dalam Rangka

17 526115 Biaya Konsumsi Peserta Minilokakarya

18 526115 Biaya Transportasi Nara Sumber

19 526115 Biaya Transportasi Dalam Rangka

20 526115 Biaya ATK BOK Bulan April 2014

MENGETAHUI Malinjak, 30 April 2014

ADRIANA R J RANA,AMK Kurnia,Amd.Kep