DAFTAR IURAN PERSAGI TAHUN 2018

PROVINSI NUSA TANGGARA BARAT

KABUPATEN LOMBOK BARAT

JUMLAH
No Nama personil perpuskesmas BULAN
SETOR

1 Gunungsari 6 12

2 Sekotong 6 12

3 Lingsar 5 12

4 Kuripan 4 12

5 Meninting 5 12

6 Narmada 6 12

7 Labuapi 4 12

8 Jakem 7 12

9 Parampuan 4 12

10 Rs Tripat 7 12

11 Kediri 5 12

12 Sedau 4 12

13 Dasta 5 12

14 Banyumulek 3 12

15 Pelangan 5 12

16 Sigerongan 3 12

17 Penimbung 3 12

18 Gerung 5 12

19 Puskesmas suranadi 3 12

20 Puskesmas Eat Mayang

21 Dikes ( M Wina,Fajar,Taufik,Bisri ) 4 12

22 RSAM

JUMLAH
GI TAHUN 2018
GGARA BARAT
BOK BARAT

IURAN PER
IURAN TOTAL Ket
BULAN

10,000 720,000

10,000 720,000

10,000 600,000

10,000 480,000

10,000 600,000

10,000 720,000

10,000 480,000

10,000 840,000

10,000 480,000

10,000 840,000

10,000 600,000

10,000 480,000

10,000 600,000

10,000 360,000

10,000 600,000

10,000 360,000

10,000 360,000

10,000 600,000

10,000 360,000

10,000 -

10,000 480,000

10,000 -

11,280,000

mengetahui
Ketua Persagi Lombok Barat
GI TAHUN 2018
GGARA BARAT
BOK BARAT

IURAN PER
IURAN TOTAL Ket
BULAN

= Wine Frida =
 DAFTAR SUMBANGAN UNTUK UANG KAS PERSAGI
PROVINSI NUSA TANGGARA BARAT
KABUPATEN LOMBOK BARAT

No Nama personil perpuskesmas

1 Gunungsari 6
2 Sekotong 6
3 Lingsar 5
4 Kurpan 4
5 Meninting 5
6 Narmada 6
7 Labuapi 4
8 Jakem 9
9 Parampuan 4
10 Rs Tripat 8
11 Kediri 5
12 Sedau 4
13 Dasta 5
14 Banyumulek 3
15 Pelangan 5
16 Sigerongan 4
17 Penimbung 5
18 Gerung 5
19 Dikes ( M Wina,Fajar,Taufik,Dewa,Karyadi ) 5
20 RSAM ( Marlina ) 1
Dari Dewa ( hardiana,Fahriza A,Abd
21 wasil,haryunadi,M Bisri S,Ria F) 6

JUMLAH

KETERANGAN
1. pengeluaran pertemun besar persagi ( Konsumsi dan aula )
2. Transport akomodaasi dan biaya ke MTKI Pusat
3. Fotokopi ,map,bk kwitansi (dr sekretariat )
4. uang duka suami Hj fauriah
5. Biaya pertemuan di lesehan green asri
6. Sumbangan Gempa di Palu DPP
7. Sumbangan ke Wasil
8. Sumbangan ke almr pak Sujai

TOTAL PENGELUARAN

SALDO AKHIR DANA KAS PERSAGI

S/D TANGGAL 14 Juli 2019
MBANGAN UNTUK UANG KAS PERSAGI
VINSI NUSA TANGGARA BARAT
ABUPATEN LOMBOK BARAT

uang kas total Ket

100,000 600,000
100,000 600,000
100,000 500,000
100,000 400,000
100,000 500,000
100,000 600,000
100,000 400,000
100,000 900,000
100,000 400,000
100,000 800,000
100,000 500,000
100,000 400,000
100,000 500,000
100,000 300,000
100,000 500,000
100,000 400,000
100,000 500,000
100,000 500,000
100,000 500,000
100,000 100,000

100,000 600,000

10,500,000

1,100,000.00
6,000,000.00
130,000.00
500,000.00
1,036,000.00
1,000,000.00
200,000.00
500,000.00

TOTAL PENGELUARAN 10,466,000.00

34,000.00
 DAFTAR USULAN PEMBUATAN KTA PERSAGI
PROVINSI NUSA TANGGARA BARAT
KABUPATEN LOMBOK BARAT

No Nama DANA MASUK SETOR KTA PUSAT

1 M.Muliadi ( Dasta ) 500,000 250,000

2 Andriani, SST ( Kediri ) 500,000 250,000
3 BQ Hardiyanti ( gerung )
4 Musliharis, SST ( kediri ) 500,000 250,000
5 Baiq Wahidah ( RSP3 ) 500,000 250,000
6 Yasinta Aprilianingsih 500,000 250,000
7 Yuli Rahmanita ( eat mayang ) 250,000 250,000
8 Selvi Indrawati ( Jakem ) 500,000 250,000
9 M.Zulkifli Taofan ( jakem ) 500,000 250,000
10 Rohmah ( eat mayang ) 500,000 250,000
11 Ni Wayan Ayu Widiantari ( pelangan ) 500,000 250,000
12 Ni Wayan Sudarmini ( Jakem ) 500,000 250,000
13 Rahmawati ( Kuripan ) 500,000 250,000
14 Suryani ( Kuripan ) 500,000 250,000
15 Lale Rukmin ( Kuripan ) 500,000 250,000
16 Baiq Tinda Partipasari ( dasta ) 500,000 250,000
17 Selvi Susilawati ( Dasta ) 500,000 250,000
18 Lily Patrianingsih( dasta ) 500,000 250,000
19 Baiq Dian Fatmawati ( Dasta ) 500,000 250,000
20 Maharani (Eat mayang ) 250,000 250,000
21 Sujinawati ( Jakem ) 500,000 250,000
22 Aprilianti Khumaira ( Jakem ) 500,000 250,000
23 Ria Fitriani ( gerung ) 500,000 250,000
24 Hendra Sundari ( RSUP3 ) 500,000 250,000
25 Danang Widiarso ( Gunungsari ) 500,000 250,000
26 Ni Pt Ayu Suniantari 500,000 250,000
27 Hj Nurlaely Karim 500,000 250,000
28 Munawarah 500,000 250,000
29 Kiki riskianti 500,000 250,000
30 M.Bisri ( Banyumulek ) 500,000 250,000
31 Sri Komalsari 500,000 250,000
32 Yuli Purwanti ( Sedau ) 500,000 250,000
33 BQ Susanna ( Lingsar ) 500,000 250,000
34 Ni Nengah Suarti 500,000 250,000
35 Via ayu Risnani 500,000 250,000
36 Evi Nurfyatiningsih ( sekotong ) 500,000 250,000
37 Nuraini ( sekotong ) 500,000 250,000
38 Wijani ( sekotong ) 500,000 250,000
39 Awent Febri H.K ( sekotong ) 500,000 250,000
40 Ketut Dyarni ( Sigerongan ) 500,000 250,000
41 Meha rusihana 500,000 250,000
42 Aluh Khardinayanthi ( Sedau ) 500,000 250,000
43 Rizka Putri Amalia ( Sedau ) 500,000 250,000
44 Dewi susetyowati ( narmada) 500,000 250,000
45 Rosida Hariani ( Narmada ) 250,000 250,000
46 Munawati 300,000 -
47 Dewi Wahyuningsih 300,000 -
48 Nurul Lasmini ( Dasta ) 500,000 -
JUMLAH 11,000,000

Mengetahui
Ketua Persagi Lombok Barat

= Wina Frida =
GI

UPDATE TGL 10 Oktober 2019

MASIH DI KAS Ket
LOBAR
250,000 LUNAS
250,000 LUNAS

250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
300,000 LUNAS
300,000 LUNAS
500,000 LUNAS
 11,350,000

Persagi Lombok Barat

 DAFTAR USULAN PEMBUATAN KTA PERSAGI
PROVINSI NUSA TANGGARA BARAT
KABUPATEN LOMBOK BARAT

No Nama DANA MASUK SETOR KTA PUSAT

1 Wine Frida Dwi Purwani, SST 500,000 250,000

2 Ini Karyadi Makbul, SST,... 250,000 250,000
3 I Dewa Nyoman Arya Karma Yoga, Amd.Gz 500,000 250,000
4 Daniel Nugraha 500,000 250,000
5 Samidah 250,000 250,000
6 Baiq Nurmiharliyati 500,000 250,000
7 Firda Rahmatin Utami 250,000 250,000
8 Weni Y 250,000 250,000
9 M.Muliadi ( Dasta ) 500,000 250,000
10 Saufian Febri Pratama ( Pelangan ) 500,000 250,000
11 Reni Sipayanti Kediri ) 500,000 250,000
12 Isman Jayadi ( Kediri ) 500,000 250,000
13 Andriani, SST ( Kediri ) 500,000 250,000
14 Musliharis, SST ( kediri ) 500,000 250,000
15 Baiq hardiyanti ( gerung ) 500,000 250,000
16 Nursadiyah 500,000 250,000
17 Baiq Wahidah ( RSP3 ) 500,000 250,000
18 Yasinta Aprilianingsih 500,000 250,000
19 Diyah Anggriani 500,000 250,000
20 Yuli Rahmanita ( eat mayang ) 250,000 250,000
21 Khairil Anam ( Jakem ) 500,000 250,000
22 Selvi Indrawati ( Jakem ) 500,000 250,000
23 M.Zulkifli Taofan ( jakem ) 500,000 250,000
24 Rohmah ( eat mayang ) 500,000 250,000
25 Ahmad Tamjidullah ( Pelangan ) 500,000 250,000
26 Ni Wayan Ayu Widiantari ( pelangan ) 500,000 250,000
27 Ni Wayan Sudarmini ( Jakem ) 500,000 250,000
28 Rahmawati ( Kuripan ) 500,000 250,000
29 Leni Rosita ( Kuripan ) 500,000 250,000
30 Suryani ( Kuripan ) 500,000 250,000
31 Lale Rukmin ( Kuripan ) 500,000 250,000
32 Baiq Tinda Partipasari ( dasta ) 500,000 250,000
33 Selvi Susilawati ( Dasta ) 500,000 250,000
34 Lily Patrianingsih( dasta ) 500,000 250,000
35 Sujirman 250,000 250,000
36 Baiq Dian Fatmawati ( Dasta ) 500,000 250,000
37 Maharani (Eat mayang ) 250,000 250,000
38 Sujinawati ( Jakem ) 500,000 250,000
39 Adela Yudha Lestary ( Peinmbung ) 250,000 250,000
40 Bunga Dwilika ( Penimbung ) 250,000 250,000
41 Aprilianti Khumaira ( Jakem ) 500,000 250,000
42 Ahmad Firdaus ( pelangan ) 500,000 250,000
43 I Nyoman Kondre ( Pelangan ) 500,000 250,000
44 Siti Isnaini Askarlina 500,000 250,000
45 Al Mufidah 500,000 250,000
46 Nindyani Anwar 500,000 250,000
47 Hanna Yusria Pratiwi 500,000 250,000
48 Embun Megayanti 500,000 250,000
49 Hardiana 500,000 250,000
 50 Fahriza Harkan 500,000 250,000
51 A.Abdul Wasil (Parampuan ) 500,000 250,000
52 Haryunadi ( Gerung ) 500,000 250,000
53 Ria Fitriani ( gerung ) 500,000 250,000
54 Desi emilia salti 500,000 250,000
55 Hendra Sundari ( RSUP3 ) 500,000 250,000
56 Danang Widiarso ( Gunungsari ) 500,000 250,000
57 Ni Pt Ayu Suniantari 500,000 250,000
58 Hj Nurlaely Karim 500,000 250,000
59 I Gst Ayu Victoriani 500,000 250,000
60 Ariesta 500,000 250,000
61 Munawarah 500,000 250,000
62 Ni Nyoman Pujianti (Meninting ) 500,000 250,000
63 Hj Fauriah 500,000 250,000
64 Kiki riskianti 500,000 250,000
65 Hidayatul aini 500,000 250,000
66 Wulandari sapitri 500,000 250,000
67 M.Bisri ( Banyumulek ) 500,000 250,000
68 Sri Komalsari 500,000 250,000
69 Juniarti N 250,000 250,000
70 Sintya Fahruni ( Penimbung ) 500,000 250,000
71 Satriah 500,000 250,000
72 Yuli Purwanti ( Sedau ) 500,000 250,000
73 Rahmawati ( Parampuan ) 500,000 250,000
74 Tuti Andayani S 500,000 250,000
75 Hendrawati 500,000 250,000
76 BQ Susanna ( Lingsar ) 500,000 250,000
77 H. Mardan 500,000 250,000
78 Ni Nengah Suarti 500,000 250,000
79 Via ayu Risnani 500,000 250,000
80 gst Ayu Mas 500,000 250,000
81 Sinta Dewi S( Sekotong ) 500,000 250,000
82 Evi Nurfyatiningsih ( sekotong ) 500,000 250,000
83 Nuraini ( sekotong ) 500,000 250,000
84 Wijani ( sekotong ) 500,000 250,000
85 Awent Febri H.K ( sekotong ) 500,000 250,000
86 Ketut Dyarni ( Sigerongan ) 500,000 250,000
87 Sarwan payadi 250,000 250,000
88 Eka wahyuni 500,000 250,000
89 Meha rusihana 500,000 250,000
90 Bq Winda S 500,000 250,000
91 Saparwadi ( Sedau ) 500,000 250,000
92 Aluh Khardinayanthi ( Sedau ) 500,000 250,000
93 Rizka Putri Amalia ( Sedau ) 500,000 250,000
94 Nurul ahyani ( Narmada ) 500,000 250,000
95 I Gst Ayu Susandi ( narmada) 500,000 250,000
96 Dewi susetyowati ( narmada) 500,000 250,000
97 Rosida Hariani ( Narmada ) 250,000 250,000
98 Ari 250,000 250,000
99 Nita Purnamaningsih 500,000 250,000
100 Nurmila ( Kediri ) 500,000 250,000
101 Marlina ( RSAM ) 500,000 250,000
102 Komang Sukariana 250,000 250,000
103 Yeni Oktora 250,000 250,000
104 Ayu Lestari 500,000 250,000
105 Novia Zuriyatun Soleh 500,000 -
106 Yuliana Rahmi 500,000 -
107 Sarafatayat 500,000 -
108 Rosida Rahmatunnisa 500,000 -
109 Munawati 300,000 -
110 Gunawan 500,000 -
111 Dewi Wahyuningsih 300,000 -
112 Nurul Lasmini ( Dasta ) 500,000 -
113 Rina Susanti 500,000 -
114 Sri Suyanti hidayat ( BM ) 500,000 -

JUMLAH 26,000,000

Mengetahui
Ketua Persagi Lombok Barat

= Wina Frida =
GI

UPDATE TGL 10 Oktober 2019

MASIH DI KAS Ket
LOBAR
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
-
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
-
250,000 LUNAS
-
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
-
250,000 LUNAS
250,000 LUNAS
250,000 LUNAS
-
-
250,000 LUNAS
 500,000 LUNAS
500,000 LUNAS
500,000 LUNAS
500,000 LUNAS
300,000 LUNAS
500,000 LUNAS
300,000 LUNAS
500,000 LUNAS
500,000 LUNAS
500,000 LUNAS

26,850,000

Persagi Lombok Barat