DAFTAR PEMBAYARAN PESERTA

DALAM RANGKA KEGIATAN PENYEGARAN PENDAMPING IBU HAMIL ( PIH )

DESA LADOGAHAR
BULAN AGUSTUS 2016
DIBAYARKAN TAHUN 2017

Jumlah Biaya / Hari Jumlah

No Nama Tanda Tangan
Hari Keg (Rp) Di Terima (Rp)
1 Antiokus Ante 1 50,000 50,000 1
2 Yuventa Mado 1 50,000 50,000 2
3 Maria Magdalena Wati 1 50,000 50,000 3
4 Maria Heliyanti 1 50,000 50,000 4
5 Katharina Ndora 1 50,000 50,000 5
6 Bernadeta Walburga 1 50,000 50,000 6
7 Paskalia Yunita 1 50,000 50,000 7
8 Densiana Bajo 1 50,000 50,000 8
9 Katarina Dua Lolo 1 50,000 50,000 9
10 Lusia Nona Mita 1 50,000 50,000 10
11 Elisabeth Patrisia Evita 1 50,000 50,000 11
12 Darmiah 1 50,000 50,000 12
13 Katinde Dolfina 1 50,000 50,000 13
14 Wihelmina Pona 1 50,000 50,000 14
15 Wenseslaus Woga 1 50,000 50,000 15
16 Egenius Nurak 1 50,000 50,000 16
17 Edelfina K.kuki 1 50,000 50,000 17
18 Fransiska Maria 1 50,000 50,000 18
19 Albertus Moa 1 50,000 50,000 19
20 Dominikus Moan Doren 1 50,000 50,000 20
21 Febronia Wisang 1 50,000 50,000 21
22 Maria K.Nalu 1 50,000 50,000 22
23 Firmus Mitan 1 50,000 50,000 23
JUMLAH 1,150,000

Nita, ........................... 2017

Yang Membayar
Mengetahui Bendahara PUMC
Kepala Puskesmas Nita Puskesmas Nita

Karolus Marfa Yoselfi Anita Aniang

NIP. 19670516 198801 1 002 NIP. 19871218 200604 2 003