DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Januari 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANGAN
DITERIMA
1 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 1
Posyandu Rahayu Ds. Lembupurwo 3 Januari 2017
2 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 2
3 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000.00 3
Posyandu Kenanga Ds. Miritpetikusan 3 Januari 2017
4 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000.00 4
5 Atik Pratiwi 11.4.047.11575 Bidan Rp 45,000.00 5
Posyandu Melati Ds. Karanggede 3 Januari 2017
6 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 6
7 Titin Melianti 11.4.048.16600 Bidan Rp 45,000.00 7
Posyandu Anggrek Ds. Mangunranan 3 Januari 2017
8 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 8
9 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000.00 9
Posyandu Mawar Ds. Wirogaten 3 Januari 2017
10 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 10
11 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 11
Posyandu Kencana Ds. Sarwogadung 3 Januari 2017
12 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 12
13 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000.00 13
Posyandu Dahlia Ds. Miritpetikusan 4 Januari 2017
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000.00 14
15 Sutarsih 11.4.048.5277 Bidan Rp 45,000.00 15
Posyandu Anggur Ds. Mirit 4 Januari 2017
16 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 16
17 Titin Melianti 11.4.048.16600 Bidan Rp 45,000.00 17
Posyandu Cempaka Ds. Mangunranan 4 Januari 2017
18 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 18
19 Diyah Ayu P. 11.4.048.5322 Bidan Rp 45,000.00 19
Posyandu Anggrek Ds. Pekutan 4 Januari 2017
20 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 20
21 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000.00 21
Posyandu Sri Rejeki Ds. Wirogaten 4 Januari 2017
22 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 22
23 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 23
Posyandu Sampurna Ds. Sarwogadung 4 Januari 2017
24 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 24
25 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000.00 25
Posyandu Kantil Ds. Miritpetikusan 5 Januari 2017
26 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000.00 26
27 Diyah Ayu P. 11.4.048.5322 Bidan Rp 45,000.00 27
Posyandu Melati Ds. Pekutan 5 Januari 2017
28 Sutarsih 11.4.048.5277 Bidan Rp 45,000.00 28
JUMLAH DIPINDAHKAN Rp 1,350,000.00
 JUMLAH PINDAHAN Rp 1,350,000.00
29 Atik Pratiwi 11.4.047.11575 Bidan Rp 45,000.00 29
Posyandu Kenanga Ds. Karanggede 7 Januari 2017
30 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 30
31 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000.00 31
Posyandu Melati Ds. Tlogodepok 9 Januari 2017
32 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 32
33 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 33
Posyandu Melati Ds. Lembupurwo 9 Januari 2017
34 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 34
35 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 35
Posyandu Widodo Ds. Wiromartan 9 Januari 2017
36 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 36
37 Wahyu Supriyati 11.4.048.16589 Bidan Rp 45,000.00 37
Posyandu Sri Rahayu Ds. Rowo 9 Januari 2017
38 Rosiatun − Bidan Rp 45,000.00 38
39 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 39
Posyandu Anggrek Ds. Patukrejomulyo 9 Januari 2017
40 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 40
41 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 41
Posyandu Kantil Ds. Krubungan 9 Januari 2017
42 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000.00 42
43 Retno Saputri 11.4.047.11551 Bidan Rp 45,000.00 43
Posyandu Rukun Ds. Wergonayan 9 Januari 2017
44 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 44
45 Sutarsih 11.4.048.5277 Bidan Rp 45,000.00 45
Posyandu Mangga Ds. Mirit 10 Januari 2017
46 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000.00 46
47 Nurohmah 11.4.047.11539 Bidan Rp 45,000.00 47
Posyandu Kenanga Ds. Sitibentar 10 Januari 2017
48 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 48
49 Titin Melianti 11.4.048.16600 Bidan Rp 45,000.00 49
Posyandu Dahlia Ds. Mangunranan 10 Januari 2017
50 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 50
51 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000.00 51
Posyandu Kantil Ds. Wirogaten 10 Januari 2017
52 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 52
53 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 53
Posyandu Melati Ds. Winong 10 Januari 2017
54 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 54
55 Retno Saputri 11.4.047.11551 Bidan Rp 45,000.00 55
Posyandu Lestari Ds. Wergonayan 10 Januari 2017
56 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 56
57 Sutarsih 11.4.048.5277 Bidan Rp 45,000.00 57
Posyandu Melon Ds. Mirit 11 Januari 2017
58 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 58
59 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 59
Posyandu Handayani Ds. Wiromartan 11 Januari 2017
60 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 60
61 Umi Nurjanah 11.4.03.1599 Bidan Rp 45,000.00 61
Posyandu Lily Ds. Singoyudan 11 Januari 2017
62 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 62
63 Nurohmah 11.4.047.11539 Bidan Rp 45,000.00 63
Posyandu Mawar Ds. Sitibentar 11 Januari 2017
64 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 64
65 Istirokhah 11.4.048.5314 Bidan Rp 45,000.00 65
Posyandu Melati Ds. Kertodeso 11 Januari 2017
66 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 66
JUMLAH DIPINDAHKAN Rp 3,175,000.00
 JUMLAH PINDAHAN Rp 3,175,000.00
67 Retno Saputri 11.4.047.11551 Bidan Rp 45,000.00 67
Posyandu Makmur Ds. Wergonayan 11 Januari 2017
68 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 68
69 Sutarsih 11.4.048.5277 Bidan Rp 45,000.00 69
Posyandu Manggis Ds. Mirit 12 Januari 2017
70 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000.00 70
71 Titin Melianti 11.4.048.16600 Bidan Rp 45,000.00 71
Posyandu Mawar Ds. Mangunranan 12 Januari 2017
72 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 72
73 Diyah Ayu P. 11.4.048.5322 Bidan Rp 45,000.00 73
Posyandu Mawar Ds. Pekutan 12 Januari 2017
74 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 74
75 Nurohmah 11.4.047.11539 Bidan Rp 45,000.00 75
Posyandu Melati Ds. Sitibentar 13 Januari 2017
76 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 76
77 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 77
Posyandu Melati Ds.Tlogopragoto 13 Januari 2017
78 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 78
79 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 79
Posyandu Rahayu Ds. Wiromartan 16 Januari 2017
80 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 80
81 Wahyu Supriyati 11.4.048.16589 Bidan Rp 45,000.00 81
Posyandu Sri Kandi Ds. Rowo 16 Januari 2017
82 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 82
83 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 83
Posyandu Kantil Ds. Selotumpeng 16 Januari 2017
84 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000.00 84
85 Herlina Dwi P. 11.4.03.1612 Bidan Rp 45,000.00 85
Posyandu Kenanga Ds. Patukrejomulyo 16 Januari 2017
86 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 86
87 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 87
Posyandu Nusa Indah Ds. Patukgawemulyo 16 Januari 2017
88 Retno Saputri 11.4.047.11551 Bidan Rp 45,000.00 88
89 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 89
Posyandu Kenanga Ds. Krubungan 16 Januari 2017
90 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000.00 90
91 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000.00 91
Posyandu Kantil Ds. Tlogodepok 17 Januari 2017
92 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 92
93 Titin Melianti 11.4.048.16600 Bidan Rp 45,000.00 93
Posyandu Kenanga Ds. Mangunranan 17 Januari 2017
94 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 94
95 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000.00 95
Posyandu Kasih Bunda Ds. Wirogaten 17 Januari 2017
96 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 96
97 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 97
Posyandu Anggrek Ds. Ngabean 17 Januari 2017
98 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 98
99 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 99
Posyandu Lestari Ds. Sarwogadung 17 Januari 2017
100 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 100
101 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 101
Posyandu Lestari Ds. Wiromartan 18 Januari 2017
102 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 102
103 Wahyu Supriyati 11.4.048.16589 Bidan Rp 45,000.00 103
Posyandu Sri Lestari Ds. Rowo 18 Januari 2017
104 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 104
JUMLAH DIPINDAHKAN Rp 5,005,000.00
 JUMLAH PINDAHAN Rp 5,005,000.00
105 Umi Nurjanah 11.4.03.1599 Bidan Rp 45,000.00 105
Posyandu Balai Desa Ds. Singoyudan 18 Januari 2017
106 Retno Saputri 11.4.047.11551 Bidan Rp 45,000.00 106
107 Atik Pratiwi 11.4.047.11575 Bidan Rp 45,000.00 107
Posyandu Mawar Ds. Karanggede 18 Januari 2017
108 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 108
109 Istirokhah 11.4.048.5314 Bidan Rp 45,000.00 109
Posyandu Mawar Ds. Kertodeso 18 Januari 2017
110 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 110
111 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 111
Posyandu Nusa Indah Ds. Krubungan 18 Januari 2017
112 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 112
113 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 113
Posyandu Anggrek Ds. Tlogopragoto 19 Januari 2017
114 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 114
115 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 115
Posyandu Teratai Ds. Patukgawemulyo 19 Januari 2017
116 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 116
117 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 117
Posyandu Melati Ds. Ngabean 19 Januari 2017
118 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 118
119 Nurohmah 11.4.047.11539 Bidan Rp 45,000.00 119
Posyandu Dahlia Ds. Sitibentar 20 Januari 2017
120 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 120
121 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 121
Posyandu Dahlia Ds. Patukgawemulyo 20 Januari 2017
122 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 122
123 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000.00 123
Posyandu Kenanga Ds. Wirogaten 20 Januari 2017
124 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 124
125 Diyah Ayu P. 11.4.048.5322 Bidan Rp 45,000.00 125
Posyandu Cempaka Ds. Pekutan 21 Januari 2017
126 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 126
127 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 127
Posyandu Kantil Ds. Tlogopragoto 23 Januari 2017
128 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 128
129 Wahyu Supriyati 11.4.048.16589 Bidan Rp 45,000.00 129
Posyandu Sri Rejeki Ds. Rowo 23 Januari 2017
130 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 130
131 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 131
Posyandu Melati Ds. Selotumpeng 23 Januari 2017
132 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 132
133 Istirokhah 11.4.048.5314 Bidan Rp 45,000.00 133
Posyandu Menur Ds. Kertodeso 23 Januari 2017
134 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 134
135 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 135
Posyandu Sentosa Ds. Ngabean 23 Januari 2017
136 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 136
137 Ummi Kulsum 11.4.048.5288 Bidan Rp 45,000.00 137
Posyandu Cempaka Ds. Tlogopragoto 24 Januari 2017
138 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 138
139 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 139
Posyandu Cempaka Ds. Selotumpeng 24 Januari 2017
140 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 140
141 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 141
Posyandu Anggrek Ds. Lembupurwo 24 Januari 2017
 Posyandu Anggrek Ds. Lembupurwo 24 Januari 2017
142 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 142
JUMLAH DIPINDAHKAN Rp 6,850,000.00

JUMLAH PINDAHAN Rp 6,850,000.00

143 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 143
Posyandu Mawar Ds. Selotumpeng 25 Januari 2017
144 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000.00 144
145 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 145
Posyandu Melati Ds. Patukgawemulyo 25 Januari 2017
146 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 146
147 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 147
Posyandu Mawar Ds. Winong 25 Januari 2017
148 Diyah Ayu P. 11.4.048.5322 Bidan Rp 45,000.00 148
149 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 149
Posyandu Sejahtera Ds. Ngabean 25 Januari 2017
150 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 150
151 Istirokhah 11.4.048.5314 Bidan Rp 45,000.00 151
Posyandu Dahlia Ds. Kertodeso 31 Januari 2017
152 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 152
TOTAL Rp 7,340,000.00

Mengetahui
Kepala UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Februari 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO NAMA NIP/NRPTT GOL JABATAN TUJUAN

1 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Dahlia Ds. Miritpetikusan
2 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
3 Sutarsih 11.4.048.5277 Bidan
Posyandu Anggur Ds. Mirit
4 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
5 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Anggrek Ds. Pekutan
6 Rosidah 19680914 199003 2 003 III Bidan
7 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Sri Rejeki Ds. Wirogaten
8 Adi Kurniati 19851127 200903 2 005 III Bidan
9 Wiwik Gunandari 19800223 200801 2 016 III Bidan
Posyandu Sampurna Ds. Sarwogadung
10 Kurnia Dini F. 19860130 200903 2 004 III Bidan
11 Titin Melianti 11.4.048.16600 Bidan
Posyandu Cempaka Ds. Mangunranan
12 Siti Nurjanah 19680212 198703 2 002 III Bidan
13 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Kantil Ds. Miritpetikusan
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
15 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Melati Ds. Pekutan
16 Sutarsih 11.4.048.5277 Bidan
17 Atik Pratiwi 11.4.047.11575 Bidan
Posyandu Kenanga Ds. Karanggede
18 Tshui Sian 19790528 200903 2 004 III Perawat
19 Siti Nurjanah 19680212 198703 2 002 III Bidan
Posyandu Rahayu Ds. Lembupurwo
20 Tri Riyanti 19790827 200801 2 016 III Bidan
21 Atik Pratiwi 11.4.047.11575 Bidan
Posyandu Melati Ds. Karanggede
22 Tshui Sian 19790528 200903 2 004 III Perawat
23 Titin Melianti 11.4.048.16600 Bidan
Posyandu Anggrek Ds. Mangunranan
24 Siti Nurjanah 19680212 198703 2 002 III Bidan
25 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Mawar Ds. Wirogaten
26 Tshui Sian 19790528 200903 2 004 III Perawat
27 Wiwik Gunandari 19800223 200801 2 016 III Bidan
Posyandu Kencana Ds. Sarwogadung
28 Kurnia Dini F. 19860130 200903 2 004 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
29 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Kenanga Ds. Miritpetikusan
30 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
31 Sutarsih 11.4.048.5277 Bidan
Posyandu Melon Ds. Mirit
32 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
33 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Handayani Ds. Wiromartan
34 Tri Riyanti 19790827 200801 2 016 III Bidan
35 Umi Nurjanah 11.4.03.1599 Bidan
Posyandu Lily Ds. Singoyudan
36 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
37 Nurohmah 11.4.047.11539 Bidan
Posyandu Mawar Ds. Sitibentar
38 Titi Sumargiyati 19770627 200604 2 015 III Bidan
39 Istirokhah 11.4.048.5314 Bidan
Posyandu Melati Ds. Kertodeso
40 Siti Nurjanah 19680212 198703 2 002 III Bidan

41 Retno Saputri 11.4.047.11551 Bidan

Posyandu Lestari Ds. Wergonayan
42 Nur Khasanah 19780323 200801 2 011 III Bidan
43 Adi Kurniati 19851127 200903 2 005 III Bidan
Posyandu Sejahtera Ds. Ngabean
44 Muntamah 19781124 200801 2 010 III Bidan
45 Sutarsih 11.4.048.5277 Bidan
Posyandu Manggis Ds. Mirit
46 Samiasih Puji L. 19751020 200801 2 015 II Bidan
47 Titin Melianti 11.4.048.16600 Bidan
Posyandu Mawar Ds. Mangunranan
48 Siti Nurjanah 19680212 198703 2 002 III Bidan
49 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Mawar Ds. Pekutan
50 Rosidah 19680914 199003 2 003 III Bidan
51 Nurohmah 11.4.047.11539 Bidan
Posyandu Melati Ds. Sitibentar
52 Tshui Sian 19790528 200903 2 004 III Perawat
53 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Melati Ds.Tlogopragoto
54 Mangesthi R. 19890920 201001 2 001 III Bidan
55 Nurohmah 11.4.047.11539 Bidan
Posyandu Anggrek Ds. Sitibentar
56 Titi Sumargiyati 19770627 200604 2 015 III Bidan
57 Samiasih Puji L. 19751020 200801 2 015 II Bidan
Posyandu Melati Ds. Tlogodepok
58 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
59 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Melati Ds. Lembupurwo
60 Tri Riyanti 19790827 200801 2 016 III Bidan
61 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Widodo Ds. Wiromartan
62 Mangesthi R. 19890920 201001 2 001 III Bidan
63 Wahyu Supriyati 11.4.048.16589 Bidan Posyandu Sri Rahayu Ds. Rowo
64 Rosiatun − Bidan
65 Ummi Kulsum 11.4.048.5288 Bidan Posyandu Anggrek Ds. Patukrejomulyo
66 Muntamah 19781124 200801 2 010 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
67 Kurnia Dini F. 19860130 200903 2 004 III Bidan
Posyandu Kantil Ds. Krubungan
68 Aisah Malawat 19640712 198603 2 014 III Perawat
69 Retno Saputri 11.4.047.11551 Bidan
Posyandu Rukun Ds. Wergonayan
70 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
71 Sutarsih 11.4.048.5277 Bidan
Posyandu Mangga Ds. Mirit
72 Samiasih Puji L. 19751020 200801 2 015 II Bidan
73 Titin Melianti 11.4.048.16600 Bidan
Posyandu Dahlia Ds. Mangunranan
 Posyandu Dahlia Ds. Mangunranan
74 Siti Nurjanah 19680212 198703 2 002 III Bidan
75 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Kantil Ds. Wirogaten
76 Tshui Sian 19790528 200903 2 004 III Perawat
77 Rosidah 19680914 199003 2 003 III Bidan
Posyandu Melati Ds. Winong
78 Adi Kurniati 19851127 200903 2 005 III Bidan
79 Nurohmah 11.4.047.11539 Bidan
Posyandu Kenanga Ds. Sitibentar
80 Tshui Sian 19790528 200903 2 004 III Perawat
81 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Lestari Ds. Wiromartan
82 Mangesthi R. 19890920 201001 2 001 III Bidan
83 Wahyu Supriyati 11.4.048.16589 Bidan Posyandu Sri Lestari Ds. Rowo
84 Nur Khasanah 19780323 200801 2 011 III Bidan
85 Umi Nurjanah 11.4.03.1599 Bidan Posyandu Balai Desa Ds. Singoyudan
86 Retno Saputri 11.4.047.11551 Bidan
87 Atik Pratiwi 11.4.047.11575 Bidan Posyandu Mawar Ds. Karanggede
88 Tshui Sian 19790528 200903 2 004 III Perawat
89 Istirokhah 11.4.048.5314 Bidan Posyandu Mawar Ds. Kertodeso
90 Titi Sumargiyati 19770627 200604 2 015 III Bidan
91 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Nusa Indah Ds. Krubungan
92 Wiwik Gunandari 19800223 200801 2 016 III Bidan
93 Mangesthi R. 19890920 201001 2 001 III Bidan Posyandu Kantil Ds. Selotumpeng
94 Tentrem Yuliani 19650708 199003 2 006 III Perawat
95 Ummi Kulsum 11.4.048.5288 Bidan Posyandu Anggrek Ds. Tlogopragoto
96 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
97 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Teratai Ds. Patukgawemulyo
98 Mangesthi R. 19890920 201001 2 001 III Bidan
99 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Melati Ds. Ngabean
100 Muntamah 19781124 200801 2 010 III Bidan
101 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Dahlia Ds. Patukgawemulyo
102 Nur Khasanah 19780323 200801 2 011 III Bidan
103 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Kenanga Ds. Wirogaten
104 Kurnia Dini F. 19860130 200903 2 004 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
105 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Cempaka Ds. Pekutan
106 Muntamah 19781124 200801 2 010 III Bidan
107 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Rahayu Ds. Wiromartan
108 Tshui Sian 19790528 200903 2 004 III Perawat
109 Wahyu Supriyati 11.4.048.16589 Bidan
Posyandu Sri Kandi Ds. Rowo
110 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
111 Herlina Dwi P. 11.4.03.1612 Bidan Posyandu Kenanga Ds. Patukrejomulyo
112 Ummi Kulsum 11.4.048.5288 Bidan
113 Tri Riyanti 19790827 200801 2 016 III Bidan
Posyandu Nusa Indah Ds. Patukgawemulyo
114 Retno Saputri 11.4.047.11551 Bidan
115 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Kenanga Ds. Krubungan
116 Aisah Malawat 19640712 198603 2 014 III Perawat
117 Samiasih Puji L. 19751020 200801 2 015 II Bidan Posyandu Kantil Ds. Tlogodepok
118 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
119 Titin Melianti 11.4.048.16600 Bidan Posyandu Kenanga Ds. Mangunranan
120 Siti Nurjanah 19680212 198703 2 002 III Bidan
121 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Kasih Bunda Ds. Wirogaten
122 Tshui Sian 19790528 200903 2 004 III Perawat
123 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Anggrek Ds. Ngabean
124 Muntamah 19781124 200801 2 010 III Bidan
125 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Lestari Ds. Sarwogadung
126 Kurnia Dini F. 19860130 200903 2 004 III Bidan
127 Mangesthi R. 19890920 201001 2 001 III Bidan
Posyandu Mawar Ds. Selotumpeng
128 Tentrem Yuliani 19650708 199003 2 006 III Perawat
129 Tri Riyanti 19790827 200801 2 016 III Bidan
Posyandu Melati Ds. Patukgawemulyo
130 Nur Khasanah 19780323 200801 2 011 III Bidan
131 Rosidah 19680914 199003 2 003 III Bidan Posyandu Mawar Ds. Winong
132 Diyah Ayu P. 11.4.048.5322 Bidan
133 Retno Saputri 11.4.047.11551 Bidan
Posyandu Makmur Ds. Wergonayan
134 Nur Khasanah 19780323 200801 2 011 III Bidan
135 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Kantil Ds. Tlogopragoto
136 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
137 Wahyu Supriyati 11.4.048.16589 Bidan
Posyandu Sri Rejeki Ds. Rowo
138 Tri Riyanti 19790827 200801 2 016 III Bidan
139 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Melati Ds. Selotumpeng
140 Mangesthi R. 19890920 201001 2 001 III Bidan
141 Istirokhah 11.4.048.5314 Bidan
Posyandu Menur Ds. Kertodeso
142 Titi Sumargiyati 19770627 200604 2 015 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
143 Adi Kurniati 19851127 200903 2 005 III Bidan
Posyandu Sentosa Ds. Ngabean
144 Muntamah 19781124 200801 2 010 III Bidan
145 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Anggrek Ds. Lembupurwo
146 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
147 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Cempaka Ds. Tlogopragoto
148 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
149 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Cempaka Ds. Selotumpeng
150 Mangesthi R. 19890920 201001 2 001 III Bidan
151 Istirokhah 11.4.048.5314 Bidan
Posyandu Dahlia Ds. Kertodeso
152 Titi Sumargiyati 19770627 200604 2 015 III Bidan
TOTAL

Mengetahui
Kepala UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan
 dr. Kurbyanto Pawit
NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003
N

anan Kesehatan Dasar

JUMLAH
TANGGAL TANDA TANGAN
DITERIMA
Rp 45,000.00 1
1 Februari 2017
Rp 50,000.00 2
Rp 45,000.00 3
1 Februari 2017
Rp 50,000.00 4
Rp 45,000.00 5
1 Februari 2017
Rp 50,000.00 6
Rp 50,000.00 7
1 Februari 2017
Rp 50,000.00 8
Rp 50,000.00 9
1 Februari 2017
Rp 50,000.00 10
Rp 45,000.00 11
2 Februari 2017
Rp 50,000.00 12
Rp 45,000.00 13
2 Februari 2017
Rp 50,000.00 14
Rp 45,000.00 15
2 Februari 2017
Rp 45,000.00 16
Rp 45,000.00 17
4 Februari 2017
Rp 50,000.00 18
Rp 50,000.00 19
6 Februari 2017
Rp 50,000.00 20
Rp 45,000.00 21
6 Februari 2017
Rp 50,000.00 22
Rp 45,000.00 23
7 Februari 2017
Rp 50,000.00 24
Rp 50,000.00 25
7 Februari 2017
Rp 50,000.00 26
Rp 50,000.00 27
7 Februari 2017
Rp 50,000.00 28
Rp 1,350,000.00

Rp 1,350,000.00
Rp 45,000.00 29
7 Februari 2017
Rp 50,000.00 30
Rp 45,000.00 31
8 Februari 2017
Rp 50,000.00 32
 Rp 50,000.00 33
8 Februari 2017
Rp 50,000.00 34
Rp 45,000.00 35
8 Februari 2017
Rp 50,000.00 36
Rp 45,000.00 37
8 Februari 2017
Rp 50,000.00 38
Rp 45,000.00 39
8 Februari 2017
Rp 50,000.00 40

Rp 45,000.00 41
8 Februari 2017
Rp 50,000.00 42

Rp 50,000.00 43
8 Februari 2017
Rp 50,000.00 44
Rp 45,000.00 45
9 Februari 2017
Rp 45,000.00 46
Rp 45,000.00 47
9 Februari 2017
Rp 50,000.00 48
Rp 45,000.00 49
9 Februari 2017
Rp 50,000.00 50
Rp 45,000.00 51
10 Februari 2017
Rp 50,000.00 52
Rp 45,000.00 53
10 Februari 2017
Rp 50,000.00 54
Rp 45,000.00 55
11 Februari 2017
Rp 50,000.00 56
Rp 45,000.00 57
13 Februari 2017
Rp 50,000.00 58
Rp 50,000.00 59
13 Februari 2017
Rp 50,000.00 60
Rp 50,000.00 61
13 Februari 2017
Rp 50,000.00 62
Rp 45,000.00 63
13 Februari 2017
Rp 45,000.00 64
Rp 45,000.00 65
13 Februari 2017
Rp 50,000.00 66
Rp 3,165,000.00

Rp 3,165,000.00
Rp 50,000.00 67
13 Februari 2017
Rp 50,000.00 68
Rp 45,000.00 69
14 Februari 2017
Rp 50,000.00 70
Rp 45,000.00 71
14 Februari 2017
Rp 45,000.00 72
Rp 45,000.00 73
14 Februari 2017
14 Februari 2017
Rp 50,000.00 74
Rp 50,000.00 75
14 Februari 2017
Rp 50,000.00 76
Rp 50,000.00 77
14 Februari 2017
Rp 50,000.00 78
Rp 45,000.00 79
17 Februari 2017
Rp 50,000.00 80
Rp 50,000.00 81
15 Februari 2017
Rp 50,000.00 82
Rp 45,000.00 83
15 Februari 2017
Rp 50,000.00 84
Rp 45,000.00 85
15 Februari 2017
Rp 45,000.00 86
Rp 45,000.00 87
15 Februari 2017
Rp 50,000.00 88
Rp 45,000.00 89
15 Februari 2017
Rp 50,000.00 90
Rp 50,000.00 91
15 Februari 2017
Rp 50,000.00 92
Rp 50,000.00 93
15 Februari 2017
Rp 50,000.00 94
Rp 45,000.00 95
16 Februari 2017
Rp 50,000.00 96
Rp 50,000.00 97
16 Februari 2017
Rp 50,000.00 98
Rp 50,000.00 99
16 Februari 2017
Rp 50,000.00 100
Rp 50,000.00 101
17 Februari 2017
Rp 50,000.00 102
Rp 50,000.00 103
17 Februari 2017
Rp 50,000.00 104
Rp 5,010,000.00

Rp 5,010,000.00
Rp 45,000.00 105
18 Februari 2017
Rp 50,000.00 106
Rp 50,000.00 107
20 Februari 2017
Rp 50,000.00 108
Rp 45,000.00 109
20 Februari 2017
Rp 50,000.00 110
Rp 45,000.00 111
20 Februari 2017
Rp 45,000.00 112
Rp 50,000.00 113
20 Februari 2017
Rp 45,000.00 114
Rp 50,000.00 115
20 Februari 2017
20 Februari 2017
Rp 50,000.00 116
Rp 45,000.00 117
21 Februari 2017
Rp 50,000.00 118
Rp 45,000.00 119
21 Februari 2017
Rp 50,000.00 120
Rp 50,000.00 121
21 Februari 2017
Rp 50,000.00 122
Rp 50,000.00 123
21 Februari 2017
Rp 50,000.00 124
Rp 50,000.00 125
21 Februari 2017
Rp 50,000.00 126
Rp 50,000.00 127
22 Februari 2017
Rp 50,000.00 128
Rp 50,000.00 129
25 Januari 2017
Rp 50,000.00 130
Rp 50,000.00 131
25 Januari 2017
Rp 45,000.00 132
Rp 45,000.00 133
27 Februari 2017
Rp 50,000.00 134
Rp 45,000.00 135
27 Februari 2017
Rp 50,000.00 136
Rp 45,000.00 137
27 Februari 2017
Rp 50,000.00 138
Rp 50,000.00 139
27 Februari 2017
Rp 50,000.00 140
Rp 45,000.00 141
27 Februari 2017
Rp 50,000.00 142
Rp 6,850,000.00

Rp 6,850,000.00
Rp 50,000.00 143
27 Februari 2017
Rp 50,000.00 144
Rp 50,000.00 145
27 Februari 2017
Rp 50,000.00 146
Rp 45,000.00 147
30 Februari 2017
Rp 50,000.00 148
Rp 50,000.00 149
30 Februari 2017
Rp 50,000.00 150
Rp 45,000.00 151
31 Januari 2017
Rp 50,000.00 152
Rp 7,340,000.00

Bendahara Pengeluaran
 Titi Sumargiyati
NIP. 19770627 200604 2 018
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Maret 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO NAMA NIP/NRPTT GOL JABATAN TUJUAN

1 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Dahlia Ds. Miritpetikusan
2 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
3 Sutarsih 11.4.048.5277 Bidan
Posyandu Anggur Ds. Mirit
4 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
5 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Anggrek Ds. Pekutan
6 Rosidah 19680914 199003 2 003 III Bidan
7 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Sri Rejeki Ds. Wirogaten
8 Adi Kurniati 19851127 200903 2 005 III Bidan
9 Wiwik Gunandari 19800223 200801 2 016 III Bidan
Posyandu Sampurna Ds. Sarwogadung
10 Kurnia Dini F. 19860130 200903 2 004 III Bidan
11 Titin Melianti 11.4.048.16600 Bidan
Posyandu Cempaka Ds. Mangunranan
12 Siti Nurjanah 19680212 198703 2 002 III Bidan
13 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Kantil Ds. Miritpetikusan
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
15 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Melati Ds. Pekutan
16 Sutarsih 11.4.048.5277 Bidan
17 Atik Pratiwi 11.4.047.11575 Bidan
Posyandu Kenanga Ds. Karanggede
18 Tshui Sian 19790528 200903 2 004 III Perawat
19 Siti Nurjanah 19680212 198703 2 002 III Bidan
Posyandu Rahayu Ds. Lembupurwo
20 Tri Riyanti 19790827 200801 2 016 III Bidan
21 Atik Pratiwi 11.4.047.11575 Bidan
Posyandu Melati Ds. Karanggede
22 Tshui Sian 19790528 200903 2 004 III Perawat
23 Titin Melianti 11.4.048.16600 Bidan
Posyandu Anggrek Ds. Mangunranan
24 Siti Nurjanah 19680212 198703 2 002 III Bidan
25 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Mawar Ds. Wirogaten
26 Tshui Sian 19790528 200903 2 004 III Perawat
27 Wiwik Gunandari 19800223 200801 2 016 III Bidan
Posyandu Kencana Ds. Sarwogadung
28 Kurnia Dini F. 19860130 200903 2 004 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
29 Nuntari Hadiyah 11.4.452.1648 Bidan
Posyandu Kenanga Ds. Miritpetikusan
 Posyandu Kenanga Ds. Miritpetikusan
30 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
31 Sutarsih 11.4.048.5277 Bidan
Posyandu Melon Ds. Mirit
32 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
33 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Handayani Ds. Wiromartan
34 Tri Riyanti 19790827 200801 2 016 III Bidan
35 Umi Nurjanah 11.4.03.1599 Bidan
Posyandu Lily Ds. Singoyudan
36 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
37 Nurohmah 11.4.047.11539 Bidan
Posyandu Mawar Ds. Sitibentar
38 Titi Sumargiyati 19770627 200604 2 015 III Bidan
39 Istirokhah 11.4.048.5314 Bidan
Posyandu Melati Ds. Kertodeso
40 Siti Nurjanah 19680212 198703 2 002 III Bidan

41 Retno Saputri 11.4.047.11551 Bidan

Posyandu Lestari Ds. Wergonayan
42 Nur Khasanah 19780323 200801 2 011 III Bidan
43 Adi Kurniati 19851127 200903 2 005 III Bidan
Posyandu Sejahtera Ds. Ngabean
44 Muntamah 19781124 200801 2 010 III Bidan
45 Sutarsih 11.4.048.5277 Bidan
Posyandu Manggis Ds. Mirit
46 Samiasih Puji L. 19751020 200801 2 015 II Bidan
47 Titin Melianti 11.4.048.16600 Bidan
Posyandu Mawar Ds. Mangunranan
48 Siti Nurjanah 19680212 198703 2 002 III Bidan
49 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Mawar Ds. Pekutan
50 Rosidah 19680914 199003 2 003 III Bidan
51 Nurohmah 11.4.047.11539 Bidan
Posyandu Melati Ds. Sitibentar
52 Tshui Sian 19790528 200903 2 004 III Perawat
53 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Melati Ds.Tlogopragoto
54 Mangesthi R. 19890920 201001 2 001 III Bidan
55 Nurohmah 11.4.047.11539 Bidan
Posyandu Anggrek Ds. Sitibentar
56 Titi Sumargiyati 19770627 200604 2 015 III Bidan
57 Samiasih Puji L. 19751020 200801 2 015 II Bidan
Posyandu Melati Ds. Tlogodepok
58 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
59 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Melati Ds. Lembupurwo
60 Tri Riyanti 19790827 200801 2 016 III Bidan
61 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Widodo Ds. Wiromartan
62 Mangesthi R. 19890920 201001 2 001 III Bidan
63 Wahyu Supriyati 11.4.048.16589 Bidan Posyandu Sri Rahayu Ds. Rowo
64 Rosiatun − Bidan
65 Ummi Kulsum 11.4.048.5288 Bidan Posyandu Anggrek Ds. Patukrejomulyo
66 Muntamah 19781124 200801 2 010 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
67 Kurnia Dini F. 19860130 200903 2 004 III Bidan
Posyandu Kantil Ds. Krubungan
 Posyandu Kantil Ds. Krubungan
68 Aisah Malawat 19640712 198603 2 014 III Perawat
69 Retno Saputri 11.4.047.11551 Bidan
Posyandu Rukun Ds. Wergonayan
70 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
71 Sutarsih 11.4.048.5277 Bidan
Posyandu Mangga Ds. Mirit
72 Samiasih Puji L. 19751020 200801 2 015 II Bidan
73 Titin Melianti 11.4.048.16600 Bidan
Posyandu Dahlia Ds. Mangunranan
74 Siti Nurjanah 19680212 198703 2 002 III Bidan
75 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Kantil Ds. Wirogaten
76 Tshui Sian 19790528 200903 2 004 III Perawat
77 Rosidah 19680914 199003 2 003 III Bidan
Posyandu Melati Ds. Winong
78 Adi Kurniati 19851127 200903 2 005 III Bidan
79 Nurohmah 11.4.047.11539 Bidan
Posyandu Kenanga Ds. Sitibentar
80 Tshui Sian 19790528 200903 2 004 III Perawat
81 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Lestari Ds. Wiromartan
82 Mangesthi R. 19890920 201001 2 001 III Bidan
83 Wahyu Supriyati 11.4.048.16589 Bidan Posyandu Sri Lestari Ds. Rowo
84 Nur Khasanah 19780323 200801 2 011 III Bidan
85 Umi Nurjanah 11.4.03.1599 Bidan Posyandu Balai Desa Ds. Singoyudan
86 Retno Saputri 11.4.047.11551 Bidan
87 Atik Pratiwi 11.4.047.11575 Bidan Posyandu Mawar Ds. Karanggede
88 Tshui Sian 19790528 200903 2 004 III Perawat
89 Istirokhah 11.4.048.5314 Bidan Posyandu Mawar Ds. Kertodeso
90 Titi Sumargiyati 19770627 200604 2 015 III Bidan
91 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Nusa Indah Ds. Krubungan
92 Wiwik Gunandari 19800223 200801 2 016 III Bidan
93 Mangesthi R. 19890920 201001 2 001 III Bidan Posyandu Kantil Ds. Selotumpeng
94 Tentrem Yuliani 19650708 199003 2 006 III Perawat
95 Ummi Kulsum 11.4.048.5288 Bidan Posyandu Anggrek Ds. Tlogopragoto
96 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
97 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Teratai Ds. Patukgawemulyo
98 Mangesthi R. 19890920 201001 2 001 III Bidan
99 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Melati Ds. Ngabean
100 Muntamah 19781124 200801 2 010 III Bidan
101 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Dahlia Ds. Patukgawemulyo
102 Nur Khasanah 19780323 200801 2 011 III Bidan
103 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Kenanga Ds. Wirogaten
104 Kurnia Dini F. 19860130 200903 2 004 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
105 Diyah Ayu P. 11.4.048.5322 Bidan
Posyandu Cempaka Ds. Pekutan
106 Muntamah 19781124 200801 2 010 III Bidan
107 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Rahayu Ds. Wiromartan
108 Tshui Sian 19790528 200903 2 004 III Perawat
109 Wahyu Supriyati 11.4.048.16589 Bidan
Posyandu Sri Kandi Ds. Rowo
110 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
111 Herlina Dwi P. 11.4.03.1612 Bidan Posyandu Kenanga Ds. Patukrejomulyo
112 Ummi Kulsum 11.4.048.5288 Bidan
113 Tri Riyanti 19790827 200801 2 016 III Bidan
Posyandu Nusa Indah Ds. Patukgawemulyo
114 Retno Saputri 11.4.047.11551 Bidan
115 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Kenanga Ds. Krubungan
116 Aisah Malawat 19640712 198603 2 014 III Perawat
117 Samiasih Puji L. 19751020 200801 2 015 II Bidan Posyandu Kantil Ds. Tlogodepok
118 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
119 Titin Melianti 11.4.048.16600 Bidan Posyandu Kenanga Ds. Mangunranan
120 Siti Nurjanah 19680212 198703 2 002 III Bidan
121 Dwi Indah A. 19860602 201001 2 024 III Bidan
Posyandu Kasih Bunda Ds. Wirogaten
122 Tshui Sian 19790528 200903 2 004 III Perawat
123 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Anggrek Ds. Ngabean
124 Muntamah 19781124 200801 2 010 III Bidan
125 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Lestari Ds. Sarwogadung
126 Kurnia Dini F. 19860130 200903 2 004 III Bidan
127 Mangesthi R. 19890920 201001 2 001 III Bidan
Posyandu Mawar Ds. Selotumpeng
128 Tentrem Yuliani 19650708 199003 2 006 III Perawat
129 Tri Riyanti 19790827 200801 2 016 III Bidan
Posyandu Melati Ds. Patukgawemulyo
130 Nur Khasanah 19780323 200801 2 011 III Bidan
131 Rosidah 19680914 199003 2 003 III Bidan Posyandu Mawar Ds. Winong
132 Diyah Ayu P. 11.4.048.5322 Bidan
133 Retno Saputri 11.4.047.11551 Bidan
Posyandu Makmur Ds. Wergonayan
134 Nur Khasanah 19780323 200801 2 011 III Bidan
135 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Kantil Ds. Tlogopragoto
136 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
137 Wahyu Supriyati 11.4.048.16589 Bidan
Posyandu Sri Rejeki Ds. Rowo
138 Tri Riyanti 19790827 200801 2 016 III Bidan
139 Ismoyowati 19731214 199303 2 002 III Bidan
Posyandu Melati Ds. Selotumpeng
140 Mangesthi R. 19890920 201001 2 001 III Bidan
141 Istirokhah 11.4.048.5314 Bidan
Posyandu Menur Ds. Kertodeso
142 Titi Sumargiyati 19770627 200604 2 015 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
143 Adi Kurniati 19851127 200903 2 005 III Bidan
Posyandu Sentosa Ds. Ngabean
144 Muntamah 19781124 200801 2 010 III Bidan
145 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Anggrek Ds. Lembupurwo
146 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
147 Ummi Kulsum 11.4.048.5288 Bidan
Posyandu Cempaka Ds. Tlogopragoto
148 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
149 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Cempaka Ds. Selotumpeng
150 Mangesthi R. 19890920 201001 2 001 III Bidan
151 Istirokhah 11.4.048.5314 Bidan
Posyandu Dahlia Ds. Kertodeso
152 Titi Sumargiyati 19770627 200604 2 015 III Bidan
TOTAL

Mengetahui
Kepala UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan

dr. Kurbyanto Pawit

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003
N

an Kesehatan Dasar

JUMLAH
TANGGAL TANDA TANGAN
DITERIMA
Rp 45,000.00 1
###
Rp 50,000.00 2
Rp 45,000.00 3
###
Rp 50,000.00 4
Rp 45,000.00 5
###
Rp 50,000.00 6
Rp 50,000.00 7
###
Rp 50,000.00 8
Rp 50,000.00 9
###
Rp 50,000.00 10
Rp 45,000.00 11
2 Maret 2017
Rp 50,000.00 12
Rp 45,000.00 13
2 Maret 2017
Rp 50,000.00 14
Rp 45,000.00 15
2 Maret 2017
Rp 45,000.00 16
Rp 45,000.00 17
4 Maret 2017
Rp 50,000.00 18
Rp 50,000.00 19
6 Maret 2017
Rp 50,000.00 20
Rp 45,000.00 21
6 Maret 2017
Rp 50,000.00 22
Rp 45,000.00 23
7 Maret 2017
Rp 50,000.00 24
Rp 50,000.00 25
7 Maret 2017
Rp 50,000.00 26
Rp 50,000.00 27
7 Maret 2017
Rp 50,000.00 28
Rp 1,350,000.00

Rp 1,350,000.00
Rp 45,000.00 29
7 Maret 2017
7 Maret 2017
Rp 50,000.00 30
Rp 45,000.00 31
8 Maret 2017
Rp 50,000.00 32
Rp 50,000.00 33
8 Maret 2017
Rp 50,000.00 34
Rp 45,000.00 35
8 Maret 2017
Rp 50,000.00 36
Rp 45,000.00 37
8 Maret 2017
Rp 50,000.00 38
Rp 45,000.00 39
8 Maret 2017
Rp 50,000.00 40

Rp 45,000.00 41
8 Maret 2017
Rp 50,000.00 42

Rp 50,000.00 43
8 Maret 2017
Rp 50,000.00 44
Rp 45,000.00 45
9 Maret 2017
Rp 45,000.00 46
Rp 45,000.00 47
9 Maret 2017
Rp 50,000.00 48
Rp 45,000.00 49
9 Maret 2017
Rp 50,000.00 50
Rp 45,000.00 51
10 Maret 2017
Rp 50,000.00 52
Rp 45,000.00 53
10 Maret 2017
Rp 50,000.00 54
Rp 45,000.00 55
###
Rp 50,000.00 56
Rp 45,000.00 57
###
Rp 50,000.00 58
Rp 50,000.00 59
###
Rp 50,000.00 60
Rp 50,000.00 61
###
Rp 50,000.00 62
Rp 45,000.00 63
###
Rp 45,000.00 64
Rp 45,000.00 65
###
Rp 50,000.00 66
Rp 3,165,000.00

Rp 3,165,000.00
Rp 50,000.00 67
###
 ###
Rp 50,000.00 68
Rp 45,000.00 69
###
Rp 50,000.00 70
Rp 45,000.00 71
###
Rp 45,000.00 72
Rp 45,000.00 73
###
Rp 50,000.00 74
Rp 50,000.00 75
###
Rp 50,000.00 76
Rp 50,000.00 77
###
Rp 50,000.00 78
Rp 45,000.00 79
###
Rp 50,000.00 80
Rp 50,000.00 81
###
Rp 50,000.00 82
Rp 45,000.00 83
###
Rp 50,000.00 84
Rp 45,000.00 85
###
Rp 45,000.00 86
Rp 45,000.00 87
###
Rp 50,000.00 88
Rp 45,000.00 89
###
Rp 50,000.00 90
Rp 50,000.00 91
###
Rp 50,000.00 92
Rp 50,000.00 93
###
Rp 50,000.00 94
Rp 45,000.00 95
###
Rp 50,000.00 96
Rp 50,000.00 97
###
Rp 50,000.00 98
Rp 50,000.00 99
###
Rp 50,000.00 100
Rp 50,000.00 101
17 Maret 2017
Rp 50,000.00 102
Rp 50,000.00 103
###
Rp 50,000.00 104
Rp 5,010,000.00

Rp 5,010,000.00
Rp 45,000.00 105
###
Rp 50,000.00 106
 Rp 50,000.00 107
###
Rp 50,000.00 108
Rp 45,000.00 109
###
Rp 50,000.00 110
Rp 45,000.00 111
###
Rp 45,000.00 112
Rp 50,000.00 113
###
Rp 45,000.00 114
Rp 50,000.00 115
###
Rp 50,000.00 116
Rp 45,000.00 117
###
Rp 50,000.00 118
Rp 45,000.00 119
###
Rp 50,000.00 120
Rp 50,000.00 121
###
Rp 50,000.00 122
Rp 50,000.00 123
###
Rp 50,000.00 124
Rp 50,000.00 125
###
Rp 50,000.00 126
Rp 50,000.00 127
###
Rp 50,000.00 128
Rp 50,000.00 129
25 Januari 2017
Rp 50,000.00 130
Rp 50,000.00 131
25 Januari 2017
Rp 45,000.00 132
Rp 45,000.00 133
27 Maret 2017
Rp 50,000.00 134
Rp 45,000.00 135
27-Mar-17
Rp 50,000.00 136
Rp 45,000.00 137
27-Mar-17
Rp 50,000.00 138
Rp 50,000.00 139
27-Mar-17
Rp 50,000.00 140
Rp 45,000.00 141
27-Mar-17
Rp 50,000.00 142
Rp 6,850,000.00

Rp 6,850,000.00
Rp 50,000.00 143
27-Mar-17
Rp 50,000.00 144
Rp 50,000.00 145
27-Mar-17
 27-Mar-17
Rp 50,000.00 146
Rp 45,000.00 147
30-Mar-17
Rp 50,000.00 148
Rp 50,000.00 149
30-Mar-17
Rp 50,000.00 150
Rp 45,000.00 151
31 Januari 2017
Rp 50,000.00 152
Rp 7,340,000.00

Bendahara Pengeluaran

Titi Sumargiyati
NIP. 19770627 200604 2 018
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan April 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

JUMLAH
NO NO SURAT TUGAS NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANGA
DITERIMA
1 094/580 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 1
Posyandu Kenanga Ds. Karanggede 1 April 2017
2 094/580 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
3 094/582 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 3
Posyandu Rahayu Ds. Lembupurwo 3 April 2017
4 094/582 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
5 094/583 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 5
Posyandu Melati Ds. Karanggede 3 April 2017
6 094/583 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
7 094/585 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 7
Posyandu Anggrek Ds. Mangunranan 4 April 2017
8 094/585 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
9 094/586 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 9
Posyandu Mawar Ds. Wirogaten 4 April 2017
10 094/586 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
11 094/587 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 11
Posyandu Kencana Ds. Sarwogadung 4 April 2017
12 094/587 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
13 094/588 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 13
Posyandu Kenanga Ds. Miritpetikusan 4 April 2017
14 094/588 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
15 094/592 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 15
Posyandu Dahlia Ds. Miritpetikusan 5 April 2017
16 094/592 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
17 094/593 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 17
Posyandu Anggur Ds. Mirit 5 April 2017
18 094/593 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
19 094/594 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 19
Posyandu Anggrek Ds. Pekutan 5 April 2017
20 094/594 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
21 094/595 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 21
Posyandu Sri Rejeki Ds. Wirogaten 5 April 2017
22 094/595 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000
23 094/596 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 23
Posyandu Sampurna Ds. Sarwogadung 5 April 2017
24 094/596 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
25 094/597 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 25
Posyandu Cempaka Ds. Mangunranan 6 April 2017
26 094/597 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
27 094/598 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 27
Posyandu Kantil Ds. Miritpetikusan 6 April 2017
28 094/598 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
JUMLAH DIPINDAHKAN Rp 1,355,000
 JUMLAH PINDAHAN Rp 1,355,000
29 094/599 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 29
Posyandu Melati Ds. Pekutan 6 April 2017
30 094/599 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000
31 094/602 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 31
Posyandu Anggrek Ds. Sitibentar 08 April 2017
32 094/602 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
33 094/603 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 33
Posyandu Melati Ds. Tlogodepok 10 April 2017
34 094/603 Tentrem Yuliani 19650708 199003 2 006 III Bidan Rp 50,000
35 094/604 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 35
Posyandu Melati Ds. Lembupurwo 10 April 2017
36 094/604 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
37 094/605 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 37
Posyandu Widodo Ds. Wiromartan 10 April 2017
38 094/605 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
39 094/606 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 39
Posyandu Sri Rahayu Ds. Rowo 10 April 2017
40 094/606 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000
41 094/607 Herlina Dwi P 19890722 201704 2 004 Bidan Rp 45,000 41
Posyandu Anggrek Ds. Patukrejomulyo 10 April 2017
42 094/607 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
43 094/608 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 43
Posyandu Kantil Ds. Krubungan 10 April 2017
44 094/608 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000
45 094/612 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 45
Posyandu Mangga Ds. Mirit 11 April 2017
46 094/612 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000
47 094/613 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 47
Posyandu Rukun Ds. Wergonayan 11 April 2017
48 094/613 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
49 094/614 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 49
Posyandu Dahlia Ds. Mangunranan 11 April 2017
50 094/614 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
51 094/615 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 51
Posyandu Kantil Ds. Wirogaten 11 April 2017
52 094/615 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
53 094/616 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 53
Posyandu Melati Ds. Winong 11 April 2017
54 094/616 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000
55 094/617 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 55
Posyandu Kenanga Ds. Sitibentar 11 April 2017
56 094/617 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
57 094/621 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 57
Posyandu Melon Ds. Mirit 12 April 2017
58 094/621 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
59 094/622 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 59
Posyandu Handayani Ds. Wiromartan 12 April 2017
60 094/622 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
61 094/623 Umi Nurjanah 19880221 201704 2 006 Bidan Rp 45,000 61
Posyandu Lily Ds. Singoyudan 12 April 2017
62 094/623 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
63 094/624 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 63
Posyandu Lestari Ds. Wergonayan 12 April 2017
64 094/624 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
65 094/625 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 65
Posyandu Mawar Ds. Sitibentar 12 April 2017
66 094/625 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
JUMLAH DIPINDAHKAN Rp 3,175,000
 JUMLAH PINDAHAN Rp 3,175,000
67 094/626 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 67
Posyandu Melati Ds. Kertodeso 12 April 2017
68 094/626 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
69 094/627 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 69
Posyandu Sejahtera Ds. Ngabean 12 April 2017
70 094/627 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
71 094/630 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 71
Posyandu Manggis Ds. Mirit 13 April 2017
72 094/630 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000
73 094/631 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 73
Posyandu Mawar Ds. Mangunranan 13 April 2017
74 094/631 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
75 094/632 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 75
Posyandu Mawar Ds. Pekutan 13 April 2017
76 094/632 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
77 094/639 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 77
Posyandu Melati Ds.Tlogopragoto 15 April 2017
78 094/639 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
79 094/640 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 79
Posyandu Melati Ds. Sitibentar 15 April 2017
80 094/640 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
81 094/641 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 81
Posyandu Cempaka Ds. Pekutan 15 April 2017
82 094/641 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
83 094/642 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 83
Posyandu Rahayu Ds. Wiromartan 17 April 2017
84 094/642 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
85 094/643 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 85
Posyandu Sri Kandi Ds. Rowo 17 April 2017
86 094/643 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
87 094/644 Herlina Dwi P. 19890722 201704 2 004 Bidan Rp 45,000 87
Posyandu Kenanga Ds. Patukrejomulyo 17 April 2017
88 094/644 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000
89 094/645 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 89
Posyandu Nusa Indah Ds. Patukgawemulyo 17 April 2017
90 094/645 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000
91 094/646 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 91
Posyandu Kenanga Ds. Krubungan 17 April 2017
92 094/646 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000
93 094/655 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 93
Posyandu Kantil Ds. Tlogodepok 18 April 2017
94 094/655 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
95 094/656 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 95
Posyandu Kenanga Ds. Mangunranan 18 April 2017
96 094/656 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
97 094/657 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 97
Posyandu Kasih Bunda Ds. Wirogaten 18 April 2017
98 094/657 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
99 094/658 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 99
Posyandu Anggrek Ds. Ngabean 18 April 2017
100 094/658 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
101 094/659 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 101
Posyandu Lestari Ds. Sarwogadung 18 April 2017
102 094/659 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
103 094/660 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 103
Posyandu Lestari Ds. Wiromartan 19 April 2017
104 094/660 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000
JUMLAH DIPINDAHKAN Rp 5,005,000
 JUMLAH PINDAHAN Rp 5,005,000
105 094/661 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 105
Posyandu Sri Lestari Ds. Rowo 19 April 2017
106 094/661 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
107 094/662 Umi Nurjanah 19880221 201704 2 006 Bidan Rp 45,000 107
Posyandu Balai Desa Ds. Singoyudan 19 April 2017
108 094/662 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000
109 094/663 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 109
Posyandu Mawar Ds. Karanggede 19 April 2017
110 094/663 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
111 094/664 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 111
Posyandu Mawar Ds. Kertodeso 19 April 2017
112 094/664 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
113 094/665 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 113
Posyandu Nusa Indah Ds. Krubungan 19 April 2017
114 094/665 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000
115 094/666 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 115
Posyandu Kantil Ds. Selotumpeng 19 April 2017
116 094/666 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000
117 094/674 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 117
Posyandu Anggrek Ds. Tlogopragoto 20 April 2017
118 094/674 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
119 094/675 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 119
Posyandu Teratai Ds. Patukgawemulyo 20 April 2017
120 094/675 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
121 094/676 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 121
Posyandu Melati Ds. Ngabean 20 April 2017
122 094/676 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
123 094/680 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 123
Posyandu Dahlia Ds. Patukgawemulyo 21 April 2017
124 094/680 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
125 094/681 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 125
Posyandu Kenanga Ds. Wirogaten 21 April 2017
126 094/681 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
127 094/684 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 127
Posyandu Anggrek Ds. Lembupurwo 25 April 2017
128 094/684 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
129 094/685 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 129
Posyandu Sri Rejeki Ds. Rowo 25 April 2017
130 094/685 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
131 094/686 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 131
Posyandu Makmur Ds. Wergonayan 25 April 2017
132 094/686 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
133 094/687 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 133
Posyandu Sentosa Ds. Ngabean 25 April 2017
134 094/687 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
135 094/688 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 135
Posyandu Cempaka Ds. Tlogopragoto 25 April 2017
136 094/688 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
137 094/689 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 137
Posyandu Cempaka Ds. Selotumpeng 25 April 2017
138 094/689 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000
139 094/690 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 139
Posyandu Dahlia Ds. Kertodeso 25 April 2017
140 094/690 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
141 094/696 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 141
Posyandu Mawar Ds. Selotumpeng 26 April 2017
142 094/696 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000
JUMLAH DIPINDAHKAN Rp 6,855,000
 JUMLAH PINDAHAN Rp 6,855,000
143 094/697 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Melati Ds. Patukgawemulyo Rp 50,000 143
26 April 2017
144 094/697 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
145 094/698 Rosidah 19680914 199003 2 003 III Bidan Posyandu Mawar Ds. Winong Rp 50,000 145
26 April 2017
146 094/698 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000
147 094/699 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Kantil Ds. Tlogopragoto Rp 45,000 147
26 April 2017
148 094/699 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
149 094/700 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 149
Posyandu Menur Ds. Kertodeso 26 April 2017
150 094/700 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
151 094/704 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 151
Posyandu Melati Ds. Selotumpeng 27 April 2017
152 094/704 Ismoyowati 19731214 199303 2 003 III Bidan Rp 50,000
TOTAL Rp 7,340,000

Mengetahui
Kuasa Pengguna Anggaran Lunas dibayar :
UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
AR PENERIMAAN

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Nuntari Hadiyah
11.4.4521648
Nurohmah
19840531 201704 2 007
Atik Pratiwi
11.4.4921988
Istirokhah
19840211 201704 2 002
Retno Saputri
19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
Dyah Ayu Pratiwi
19860830 201704 2 006
Wahyu Supriati
19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Mei 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO SURAT JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL
TUGAS DITERIMA
1 094/811 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000
Posyandu Anggrek Ds. Mangunranan 2 Mei 2017
2 094/811 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
3 094/812 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000
Posyandu Mawar Ds. Wirogaten 2 Mei 2017
4 094/812 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
5 094/813 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000
Posyandu Kencana Ds. Sarwogadung 2 Mei 2017
6 094/813 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
7 094/814 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000
Posyandu Kenanga Ds. Miritpetikusan 2 Mei 2017
8 094/814 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
9 094/817 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000
Posyandu Dahlia Ds. Miritpetikusan 3 Mei 2017
10 094/817 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
11 094/818 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000
Posyandu Anggur Ds. Mirit 3 Mei 2017
12 094/818 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
13 094/819 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000
Posyandu Anggrek Ds. Pekutan 3 Mei 2017
14 094/819 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
15 094/820 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000
Posyandu Sri Rejeki Ds. Wirogaten 3 Mei 2017
16 094/820 Tshui Sian 19790528 200903 2 004 III Bidan Rp 50,000
17 094/821 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000
Posyandu Sampurna Ds. Sarwogadung 3 Mei 2017
18 094/821 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
19 094/822 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
Posyandu Rahayu Ds. Lembupurwo 3 Mei 2017
20 094/822 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
21 094/828 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000
Posyandu Cempaka Ds. Mangunranan 4 Mei 2017
22 094/828 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
23 094/829 Nuntari Hadiyah 11.4.452.1648 Bidan Rp 45,000
Posyandu Kantil Ds. Miritpetikusan 4 Mei 2017
24 094/829 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000
25 094/830 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000
Posyandu Melati Ds. Pekutan 4 Mei 2017
26 094/830 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000
27 094/831 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000
Posyandu Melati Ds. Karanggede 4 Mei 2017
28 094/831 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
JUMLAH DIPINDAHKAN Rp 1,350,000
 JUMLAH PINDAHAN Rp 1,350,000
29 094/839 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000
Posyandu Kenanga Ds. Karanggede 6 Mei 2017
30 094/839 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
31 094/840 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000
Posyandu Melati Ds. Tlogodepok 8 Mei 2017
32 094/840 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
33 094/841 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
Posyandu Melati Ds. Lembupurwo 8 Mei 2017
34 094/841 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
35 094/842 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000
Posyandu Widodo Ds. Wiromartan 8 Mei 2017
36 094/842 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
37 094/843 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000
Posyandu Sri Rahayu Ds. Rowo 8 Mei 2017
38 094/843 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000
39 094/844 Herlina Dwi P 19890722 201704 2 004 Bidan Rp 45,000
Posyandu Anggrek Ds. Patukrejomulyo 8 Mei 2017
40 094/844 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
41 094/845 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
Posyandu Kantil Ds. Krubungan 8 Mei 2017
42 094/845 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000
43 094/852 Sutarsih 19850311 201704 2 009 Bidan Posyandu Mangga Ds. Mirit Rp 45,000
9 Mei 2017
44 094/852 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000
45 094/853 Retno Saputri 19851024 201704 2 007 Bidan Posyandu Rukun Ds. Wergonayan Rp 45,000
9 Mei 2017
46 094/853 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
47 094/854 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Dahlia Ds. Mangunranan Rp 45,000
9 Mei 2017
48 094/854 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
49 094/855 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Kantil Ds. Wirogaten Rp 50,000
9 Mei 2017
50 094/855 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
51 094/856 Rosidah 19680914 199003 2 003 III Bidan Posyandu Melati Ds. Winong Rp 50,000
9 Mei 2017
52 094/856 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000
53 094/857 Nurohmah 19840531 201704 2 007 Bidan Posyandu Kenanga Ds. Sitibentar Rp 45,000
9 Mei 2017
54 094/857 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
55 094/858 Sutarsih 19850311 201704 2 009 Bidan Posyandu Melon Ds. Mirit Rp 45,000
10 Mei 2017
56 094/858 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
57 094/859 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Handayani Ds. Wiromartan Rp 50,000
10 Mei 2017
58 094/859 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
59 094/860 Umi Nurjanah 19880221 201704 2 006 Bidan Posyandu Lily Ds. Singoyudan Rp 45,000
10 Mei 2017
60 094/860 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
61 094/861 Retno Saputri 19851024 201704 2 007 Bidan Posyandu Lestari Ds. Wergonayan Rp 45,000
10 Mei 2017
62 094/861 Nurkhasanah 19780323 200801 2 011 III Bidan Rp 50,000
63 094/862 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000
Posyandu Mawar Ds. Sitibentar 10 Mei 2017
64 094/862 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
65 094/863 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000
Posyandu Melati Ds. Kertodeso 10 Mei 2017
66 094/863 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
JUMLAH DIPINDAHKAN Rp 3,175,000
 JUMLAH PINDAHAN Rp 3,175,000
67 094/865 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Sejahtera Ds. Ngabean Rp 50,000
10 Mei 2017
68 094/865 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
69 094/868 Sutarsih 19850311 201704 2 009 Bidan Posyandu Manggis Ds. Mirit Rp 45,000
12 Mei 2017
70 094/868 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000
71 094/869 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Mawar Ds. Mangunranan Rp 45,000
12 Mei 2017
72 094/869 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
73 094/870 Diyah Ayu P. 19860830 201704 2 006 Bidan Posyandu Mawar Ds. Pekutan Rp 45,000
12 Mei 2017
74 094/870 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
75 094/871 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Melati Ds.Tlogopragoto Rp 45,000
12 Mei 2017
76 094/871 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
77 094/872 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000
Posyandu Melati Ds. Sitibentar 12 Mei 2017
78 094/872 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
79 094/877 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000
Posyandu Anggrek Ds. Sitibentar 13 Mei 2017
80 094/877 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
81 094/880 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
Posyandu Kantil Ds. Selotumpeng 15 Mei 2017
82 094/880 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000
83 094/881 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Rahayu Ds. Wiromartan Rp 50,000
15 Mei 2017
84 094/881 Nurkhasanah 19780323 200801 2 011 III Bidan Rp 50,000
85 094/882 Wahyu Supriyati 19861221 201704 2 007 Bidan Posyandu Sri Kandi Ds. Rowo Rp 45,000
15 Mei 2017
86 094/882 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
87 094/883 Herlina Dwi P. 19890722 201704 2 004 Bidan Posyandu Kenanga Ds. Patukrejomulyo Rp 45,000
15 Mei 2017
88 094/883 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000
89 094/884 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Nusa Indah Ds. Patukgawemulyo Rp 50,000
15 Mei 2017
90 094/884 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000
91 094/885 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Kenanga Ds. Krubungan Rp 50,000
15 Mei 2017
92 094/885 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000
93 094/886 Samiasih Puji L. 19751020 200801 2 015 II Bidan Posyandu Kantil Ds. Tlogodepok Rp 45,000
16 Mei 2017
94 094/886 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
95 094/887 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Kenanga Ds. Mangunranan Rp 45,000
16 Mei 2017
96 094/887 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
97 094/888 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Kasih Bunda Ds. Wirogaten Rp 50,000
16 Mei 2017
98 094/888 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
99 094/889 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Anggrek Ds. Ngabean Rp 50,000
16 Mei 2017
100 094/889 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
101 094/890 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Lestari Ds. Sarwogadung Rp 50,000
16 Mei 2017
102 094/890 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
103 094/897 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Lestari Ds. Wiromartan Rp 50,000
17 Mei 2017
104 094/897 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
JUMLAH DIPINDAHKAN Rp 5,010,000
 JUMLAH PINDAHAN Rp 5,010,000
105 094/898 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000
Posyandu Sri Lestari Ds. Rowo 17 Mei 2017
106 094/898 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
107 094/899 Umi Nurjanah 19880221 201704 2 006 Bidan Rp 45,000
Posyandu Balai Desa Ds. Singoyudan 17 Mei 2017
108 094/899 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000
109 094/900 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000
Posyandu Mawar Ds. Karanggede 17 Mei 2017
110 094/900 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
111 094/901 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000
Posyandu Mawar Ds. Kertodeso 17 Mei 2017
112 094/901 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
113 094/902 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000
Posyandu Nusa Indah Ds. Krubungan 17 Mei 2017
114 094/902 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000
115 094/906 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Anggrek Ds. Tlogopragoto Rp 45,000
18 Mei 2017
116 094/906 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
117 094/907 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Teratai Ds. Patukgawemulyo Rp 50,000
18 Mei 2017
118 094/907 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
119 094/908 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Melati Ds. Ngabean Rp 50,000
18 Mei 2017
120 094/908 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
121 094/914 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Dahlia Ds. Patukgawemulyo Rp 50,000
19 Mei 2017
122 094/914 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
123 094/915 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000
Posyandu Kenanga Ds. Wirogaten 19 Mei 2017
124 094/915 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000
125 094/917 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000
Posyandu Cempaka Ds. Pekutan 20 Mei 2017
126 094/917 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
127 094/922 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000
Posyandu Kantil Ds. Tlogopragoto 22 Mei 2017
128 094/922 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
129 094/923 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000
Posyandu Sri Rejeki Ds. Rowo 22 Mei 2017
130 094/923 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
131 094/924 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000
Posyandu Makmur Ds. Wergonayan 22 Mei 2017
132 094/924 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000
133 094/925 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
Posyandu Melati Ds. Selotumpeng 22 Mei 2017
134 094/925 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000
135 094/926 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000
Posyandu Menur Ds. Kertodeso 22 Mei 2017
136 094/926 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000
137 094/927 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000
Posyandu Sentosa Ds. Ngabean 22 Mei 2017
138 094/927 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000
139 094/928 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
Posyandu Anggrek Ds. Lembupurwo 23 Mei 2017
140 094/928 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000
141 094/929 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000
Posyandu Cempaka Ds. Tlogopragoto 23 Mei 2017
142 094/929 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000
JUMLAH DIPINDAHKAN Rp 6,850,000
 JUMLAH PINDAHAN Rp 6,850,000
143 094/930 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
Posyandu Cempaka Ds. Selotumpeng 23 Mei 2017
144 094/930 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000
145 094/936 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000
Posyandu Mawar Ds. Selotumpeng 24 Mei 2017
146 094/936 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000
147 094/937 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000
Posyandu Melati Ds. Patukgawemulyo 24 Mei 2017
148 094/937 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000
149 094/938 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000
Posyandu Mawar Ds. Winong 24 Mei 2017
150 094/938 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000
151 094/940 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000
Posyandu Dahlia Ds. Kertodeso 30 Mei 2017
152 094/940 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000
TOTAL Rp 7,340,000

Mengetahui
Kuasa Pengguna Anggaran Lunas dibayar :
UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
 TANDA TANGAN
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16
17
Nuntari Hadiyah
18 11.4.4521648
Nurohmah
19 19840531 201704 2 007
Atik Pratiwi
20 11.4.4921988
Istirokhah
21 19840211 201704 2 002
Retno Saputri
22 19851024 201704 2 007
Ummi Kulsum
23 19840410 201704 2 007
Dyah Ayu Pratiwi
24 19860830 201704 2 006
Wahyu Supriati
25 19861221 201704 2 007
Titin Melianti
26 19870523 201704 2 004
Sutarsih
27 19850311 201704 2 009
Umi Nurjanah
28 19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
Nuntari Hadiyah
62 11.4.4521648
Nurohmah
63 19840531 201704 2 007
Atik Pratiwi
64 11.4.4921988
Istirokhah
65 19840211 201704 2 002
Retno Saputri
66 19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
 Dyah Ayu Pratiwi
19860830 201704 2 006
Sutarsih
19850311 201704 2 009
Umi Nurjanah
67 19880221 201704 2 006
Herlina Dwi P
68 19890722 201704 2 004
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
Nuntari Hadiyah
109 11.4.4521648
Nurohmah
110 19840531 201704 2 007
Atik Pratiwi
111 11.4.4921988
Istirokhah
112 19840211 201704 2 002
Retno Saputri
113 19851024 201704 2 007
Ummi Kulsum
114 19840410 201704 2 007
Dyah Ayu Pratiwi
115 19860830 201704 2 006
Wahyu Supriati
116 19861221 201704 2 007
Titin Melianti
117 19870523 201704 2 004
Sutarsih
118 19850311 201704 2 009
Umi Nurjanah
119 19880221 201704 2 006
Herlina Dwi P
120 19890722 201704 2 004
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
Nuntari Hadiyah
145 11.4.4521648
Nurohmah
146 19840531 201704 2 007
Atik Pratiwi
147 11.4.4921988
Istirokhah
148 19840211 201704 2 002
Retno Saputri
149 19851024 201704 2 007
Ummi Kulsum
150 19840410 201704 2 007
Dyah Ayu Pratiwi
151 19860830 201704 2 006
Wahyu Supriati
152 19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004

luaran Pembantu

argiyati
200604 2 018
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Juni 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO SURAT JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANG
TUGAS DITERIMA
1 Nuntari Hadiyah 11.4.4521648 Bidan 094/941 Rp 45,000 1
Posyandu Kantil Ds. Miritpetikusan 2 Juni 2017
2 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian 094/941 Rp 50,000
3 Diyah Ayu P. 19860830 201704 2 006 Bidan 094/942 Rp 45,000 3
Posyandu Melati Ds. Pekutan 2 Juni 2017
4 Sutarsih 19850311 201704 2 009 Bidan 094/942 Rp 45,000
5 Titin Melianti 19870523 201704 2 004 Bidan 094/945 Rp 45,000 5
Posyandu Cempaka Ds. Mangunranan 3 Juni 2017
6 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/945 Rp 50,000
7 Atik Pratiwi 11.4.4921988 Bidan 094/946 Rp 45,000 7
Posyandu Kenanga Ds. Karanggede 3 Juni 2017
8 Tshui Sian 19790528 200903 2 004 III Perawat 094/946 Rp 50,000
9 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/947 Rp 50,000 9
Posyandu Rahayu Ds. Lembupurwo 5 Juni 2017
10 Tri Riyanti 19790827 200801 2 016 III Bidan 094/947 Rp 50,000
11 Atik Pratiwi 11.4.4921988 Bidan 094/948 Rp 45,000 11
Posyandu Melati Ds. Karanggede 5 Juni 2017
12 Tshui Sian 19790528 200903 2 004 III Perawat 094/948 Rp 50,000
13 Titin Melianti 19870523 201704 2 004 Bidan 094/953 Rp 45,000 13
Posyandu Anggrek Ds. Mangunranan 6 Juni 2017
14 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/953 Rp 50,000
15 Dwi Indah A. 19860602 201001 2 024 III Bidan 094/954 Rp 50,000 15
Posyandu Mawar Ds. Wirogaten 6 Juni 2017
16 Tshui Sian 19790528 200903 2 004 III Perawat 094/954 Rp 50,000
17 Wiwik Gunandari 19800223 200801 2 016 III Bidan 094/955 Rp 50,000 17
Posyandu Kencana Ds. Sarwogadung 6 Juni 2017
18 Kurnia Dini F. 19860130 200903 2 004 III Bidan 094/955 Rp 50,000
19 Nuntari Hadiyah 11.4.4521648 Bidan 094/956 Rp 45,000 19
Posyandu Kenanga Ds. Miritpetikusan 6 Juni 2017
20 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian 094/956 Rp 50,000
21 Nuntari Hadiyah 11.4.4521648 Bidan 094/958 Rp 45,000 21
Posyandu Dahlia Ds. Miritpetikusan 7 Juni 2017
22 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian 094/958 Rp 50,000
23 Sutarsih 19850311 201704 2 009 Bidan 094/959 Rp 45,000 23
Posyandu Anggur Ds. Mirit 7 Juni 2017
24 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/959 Rp 50,000
25 Diyah Ayu P. 19860830 201704 2 006 Bidan 094/960 Rp 45,000 25
Posyandu Anggrek Ds. Pekutan 7 Juni 2017
26 Rosidah 19680914 199003 2 003 III Bidan 094/960 Rp 50,000
27 Dwi Indah A. 19860602 201001 2 024 III Bidan 094/961 Rp 50,000 27
Posyandu Sri Rejeki Ds. Wirogaten 7 Juni 2017
28 Tshui Sian 19790528 200903 2 004 III Bidan 094/961 Rp 50,000
JUMLAH DIPINDAHKAN Rp 1,345,000
 JUMLAH PINDAHAN Rp 1,345,000
29 Wiwik Gunandari 19800223 200801 2 016 III Bidan 094/962 Rp 50,000 29
Posyandu Sampurna Ds. Sarwogadung 7 Juni 2017
30 Kurnia Dini F. 19860130 200903 2 004 III Bidan 094/962 Rp 50,000
31 Sutarsih 19870523 201704 2 004 Bidan Posyandu Manggis Ds. Mirit 094/963 Rp 45,000 31
8 Juni 2017
32 Samiasih Puji L. 19751020 200801 2 015 II Bidan 094/963 Rp 45,000
33 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Mawar Ds. Mangunranan 094/964 Rp 45,000 33
8 Juni 2017
34 Dwi Indah A. 19860602 201001 2 024 III Bidan 094/964 Rp 50,000
35 Diyah Ayu P. 19860830 201704 2 006 Bidan Posyandu Mawar Ds. Pekutan 094/965 Rp 45,000 35
8 Juni 2017
36 Rosidah 19680914 199003 2 003 III Bidan 094/965 Rp 50,000
37 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Melati Ds.Tlogopragoto 094/968 Rp 45,000 37
9 Juni 2017
38 Mangesthi R. 19890920 201001 2 001 III Bidan 094/968 Rp 50,000
39 Nurohmah 19840531 201704 2 007 Bidan 094/969 Rp 45,000 39
Posyandu Melati Ds. Sitibentar 9 Juni 2017
40 Titi Sumargiyati 19770627 200604 2 015 III Perawat 094/969 Rp 50,000
41 Nurohmah 19840531 201704 2 007 Bidan 094/970 Rp 45,000 41
Posyandu Anggrek Ds. Sitibentar 10 Juni 2017
42 Titi Sumargiyati 19770627 200604 2 015 III Bidan 094/970 Rp 50,000
43 Samiasih Puji L. 19751020 200801 2 015 II Bidan 094/971 Rp 45,000 43
Posyandu Melati Ds. Tlogodepok 12 Juni 2017
44 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/971 Rp 50,000
45 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/972 Rp 50,000 45
Posyandu Melati Ds. Lembupurwo 12 Juni 2017
46 Tri Riyanti 19790827 200801 2 016 III Bidan 094/972 Rp 50,000
47 Ismoyowati 19731214 199303 2 002 III Bidan 094/973 Rp 50,000 47
Posyandu Widodo Ds. Wiromartan 12 Juni 2017
48 Mangesthi R. 19890920 201001 2 001 III Bidan 094/973 Rp 50,000
49 Wahyu Supriyati 19861221 201704 2 007 Bidan 094/974 Rp 45,000 49
Posyandu Sri Rahayu Ds. Rowo 12 Juni 2017
50 Sutarsih 19870523 201704 2 004 Bidan 094/974 Rp 45,000
51 Herlina Dwi P 19890722 201704 2 004 Bidan 094/975 Rp 45,000 51
Posyandu Anggrek Ds. Patukrejomulyo 12 Juni 2017
52 Muntamah 19781124 200801 2 010 III Bidan 094/975 Rp 50,000
53 Kurnia Dini F. 19860130 200903 2 004 III Bidan 094/976 Rp 50,000 53
Posyandu Kantil Ds. Krubungan 12 Juni 2017
54 Aisah Malawat 19640712 198603 2 014 III Perawat 094/976 Rp 50,000
55 Sutarsih 19850311 201704 2 009 Bidan Posyandu Mangga Ds. Mirit 094/980 Rp 45,000 55
13 Juni 2017
56 Samiasih Puji L. 19751020 200801 2 015 II Bidan 094/980 Rp 45,000
57 Retno Saputri 19851024 201704 2 007 Bidan Posyandu Rukun Ds. Wergonayan 094/981 Rp 45,000 57
13 Juni 2017
58 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis 094/981 Rp 50,000
59 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Dahlia Ds. Mangunranan 094/982 Rp 45,000 59
13 Juni 2017
60 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/982 Rp 50,000
61 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Kantil Ds. Wirogaten 094/983 Rp 50,000 61
13 Juni 2017
62 Tshui Sian 19790528 200903 2 004 III Perawat 094/983 Rp 50,000
63 Rosidah 19680914 199003 2 003 III Bidan Posyandu Melati Ds. Winong 094/984 Rp 50,000 63
13 Juni 2017
64 Adi Kurniati 19851127 200903 2 005 III Bidan 094/984 Rp 50,000
65 Nurohmah 19840531 201704 2 007 Bidan Posyandu Kenanga Ds. Sitibentar 094/985 Rp 45,000 65
13 Juni 2017
66 Titi Sumargiyati 19770627 200604 2 015 III Bidan 094/985 Rp 50,000
JUMLAH DIPINDAHKAN Rp 3,165,000
 JUMLAH PINDAHAN Rp 3,165,000
67 Sutarsih 19850311 201704 2 009 Bidan Posyandu Melon Ds. Mirit 094/986 Rp 45,000 67
14 Juni 2017
68 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/986 Rp 50,000
69 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Handayani Ds. Wiromartan 094/987 Rp 50,000 69
14 Juni 2017
70 Tri Riyanti 19790827 200801 2 016 III Bidan 094/987 Rp 50,000
71 Umi Nurjanah 19880221 201704 2 006 Bidan Posyandu Lily Ds. Singoyudan 094/988 Rp 45,000 71
14 Juni 2017
72 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis 094/988 Rp 50,000
73 Retno Saputri 19851024 201704 2 007 Bidan Posyandu Lestari Ds. Wergonayan 094/989 Rp 45,000 73
14 Juni 2017
74 Nur Khasanah 19780323 200801 2 011 III Bidan 094/989 Rp 50,000
75 Nurohmah 19840531 201704 2 007 Bidan 094/990 Rp 45,000 75
Posyandu Mawar Ds. Sitibentar 14 Juni 2017
76 Tshui Sian 19790528 200903 2 004 III Bidan 094/990 Rp 50,000
77 Istirokhah 19840211 201704 2 002 Bidan 094/991 Rp 45,000 77
Posyandu Melati Ds. Kertodeso 14 Juni 2017
78 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/991 Rp 50,000
79 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Sejahtera Ds. Ngabean 094/995 Rp 50,000 79
14 Juni 2017
80 Muntamah 19781124 200801 2 010 III Bidan 094/995 Rp 50,000
81 Mangesthi R. 19890920 201001 2 001 III Bidan 094/996 Rp 50,000 81
Posyandu Kantil Ds. Selotumpeng 15 Juni 2017
82 Tentrem Yuliani 19650708 199003 2 006 III Perawat 094/996 Rp 50,000
83 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Anggrek Ds. Tlogopragoto 094/997 Rp 45,000 83
15 Juni 2017
84 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/997 Rp 50,000
85 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Teratai Ds. Patukgawemulyo 094/998 Rp 50,000 85
15 Juni 2017
86 Nurkhasanah 19780323 200801 2 011 III Bidan 094/998 Rp 50,000
87 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Melati Ds. Ngabean 094/999 Rp 50,000 87
15 Juni 2017
88 Muntamah 19781124 200801 2 010 III Bidan 094/999 Rp 50,000
89 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Dahlia Ds. Patukgawemulyo 094/1000 Rp 50,000 89
16 Juni 2017
90 Nur Khasanah 19780323 200801 2 011 III Bidan 094/1000 Rp 50,000
91 Dwi Indah A. 19860602 201001 2 024 III Bidan 094/1001 Rp 50,000 91
Posyandu Kenanga Ds. Wirogaten 16 Juni 2017
92 Tshui Sian 19790528 200903 2 004 III Perawat 094/1001 Rp 50,000
93 Diyah Ayu P. 19860830 201704 2 006 Bidan 094/1002 Rp 45,000 93
Posyandu Cempaka Ds. Pekutan 17 Juni 2017
94 Rosidah 19680914 199003 2 003 III Bidan 094/1002 Rp 50,000
95 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Rahayu Ds. Wiromartan 094/1006 Rp 50,000 95
19 Juni 2017
96 Mangesthi R. 19890920 201001 2 001 III Bidan 094/1006 Rp 50,000
97 Wahyu Supriyati 19861221 201704 2 007 Bidan Posyandu Sri Kandi Ds. Rowo 094/1007 Rp 45,000 97
19 Juni 2017
98 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis 094/1007 Rp 50,000
99 Herlina Dwi P. 19890722 201704 2 004 Bidan Posyandu Kenanga Ds. Patukrejomulyo 094/1008 Rp 45,000 99
19 Juni 2017
100 Ummi Kulsum 19840410 201704 2 007 Bidan 094/1008 Rp 45,000
101 Tri Riyanti 19790827 200801 2 016 III Bidan Posyandu Nusa Indah Ds. Patukgawemulyo 094/1009 Rp 50,000 101
19 Juni 2017
102 Retno Saputri 19851024 201704 2 007 Bidan 094/1009 Rp 45,000
103 Kurnia Dini F. 19860130 200903 2 004 III Bidan Posyandu Kenanga Ds. Krubungan 094/1010 Rp 50,000 103
19 Juni 2017
104 Aisah Malawat 19640712 198603 2 014 III Perawat 094/1010 Rp 50,000
JUMLAH DIPINDAHKAN Rp 5,010,000

JUMLAH PINDAHAN Rp 5,010,000

105 Mangesthi R. 19890920 201001 2 001 III Bidan 094/1011 Rp 50,000 105
Posyandu Mawar Ds. Selotumpeng 19 Juni 2017
106 Tentrem Yuliani 19650708 199003 2 006 III Perawat 094/1011 Rp 50,000
107 Samiasih Puji L. 19751020 200801 2 015 II Bidan Posyandu Kantil Ds. Tlogodepok 094/1015 Rp 45,000 107
20 Juni 2017
108 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/1015 Rp 50,000
109 Titin Melianti 19870523 201704 2 004 Bidan Posyandu Kenanga Ds. Mangunranan 094/1016 Rp 45,000 109
20 Juni 2017
110 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/1016 Rp 50,000
111 Yuni Listyorini 19830618 200604 2 007 III Bidan Posyandu Kasih Bunda Ds. Wirogaten 094/1017 Rp 50,000 111
20 Juni 2017
112 Tshui Sian 19790528 200903 2 004 III Perawat 094/1017 Rp 50,000
113 Adi Kurniati 19851127 200903 2 005 III Bidan Posyandu Anggrek Ds. Ngabean 094/1018 Rp 50,000 113
20 Juni 2017
114 Muntamah 19781124 200801 2 010 III Bidan 094/1018 Rp 50,000
115 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Lestari Ds. Sarwogadung 094/1019 Rp 50,000 115
20 Juni 2017
116 Kurnia Dini F. 19860130 200903 2 004 III Bidan 094/1019 Rp 50,000
117 Tri Riyanti 19790827 200801 2 016 III Bidan 094/1020 Rp 50,000 117
Posyandu Melati Ds. Patukgawemulyo 20 Juni 2017
118 Nur Khasanah 19780323 200801 2 011 III Bidan 094/1020 Rp 50,000
119 Rosidah 19680914 199003 2 003 III Bidan 094/1021 Rp 50,000 119
Posyandu Mawar Ds. Winong 20 Juni 2017
120 Diyah Ayu P. 19860830 201704 2 006 Bidan 094/1021 Rp 45,000
121 Mangesthi R. 19890920 201001 2 001 III Bidan 094/1022 Rp 50,000 121
Posyandu Cempaka Ds. Selotumpeng 20 Juni 2017
122 Ismoyowati 19731214 199303 2 002 III Bidan 094/1022 Rp 50,000
123 Istirokhah 19840211 201704 2 002 Bidan 094/1023 Rp 45,000 123
Posyandu Dahlia Ds. Kertodeso 20 Juni 2017
124 Titi Sumargiyati 19770627 200604 2 015 III Bidan 094/1023 Rp 50,000
125 Ismoyowati 19731214 199303 2 002 III Bidan Posyandu Lestari Ds. Wiromartan 094/1024 Rp 50,000 125
21 Juni 2017
126 Mangesthi R. 19890920 201001 2 001 III Bidan 094/1024 Rp 50,000
127 Wahyu Supriyati 19861221 201704 2 007 Bidan 094/1025 Rp 45,000 127
Posyandu Sri Lestari Ds. Rowo 21 Juni 2017
128 Nur Khasanah 19780323 200801 2 011 III Bidan 094/1025 Rp 50,000
129 Umi Nurjanah 19880221 201704 2 006 Bidan 094/1026 Rp 45,000 129
Posyandu Balai Desa Ds. Singoyudan 21 Juni 2017
130 Retno Saputri 19851024 201704 2 007 Bidan 094/1026 Rp 45,000
131 Atik Pratiwi 11.4.4921988 Bidan 094/1027 Rp 45,000 131
Posyandu Mawar Ds. Karanggede 21 Juni 2017
132 Tshui Sian 19790528 200903 2 004 III Perawat 094/1027 Rp 50,000
133 Istirokhah 19840211 201704 2 002 Bidan 094/1028 Rp 45,000 133
Posyandu Mawar Ds. Kertodeso 21 Juni 2017
134 Titi Sumargiyati 19770627 200604 2 015 III Bidan 094/1028 Rp 50,000
135 Kurnia Dini F. 19860130 200903 2 004 III Bidan 094/1029 Rp 50,000 135
Posyandu Nusa Indah Ds. Krubungan 21 Juni 2017
136 Wiwik Gunandari 19800223 200801 2 016 III Bidan 094/1029 Rp 50,000
137 Siti Nurjanah 19680212 198703 2 002 III Bidan 094/1030 Rp 50,000 137
Posyandu Anggrek Ds. Lembupurwo 21 Juni 2017
138 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis 094/1030 Rp 50,000
139 Ummi Kulsum 19840410 201704 2 007 Bidan 094/1031 Rp 45,000 139
Posyandu Cempaka Ds. Tlogopragoto 21 Juni 2017
140 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan 094/1031 Rp 50,000
141 Ummi Kulsum 19840410 201704 2 007 Bidan 094/1037 Rp 45,000 141
Posyandu Kantil Ds. Tlogopragoto 22 Juni 2017
142 Tentrem Yuliani 19650708 199003 2 006 III Bidan 094/1037 Rp 50,000
JUMLAH DIPINDAHKAN Rp 6,855,000
 JUMLAH PINDAHAN Rp 6,855,000
143 Wahyu Supriyati 19861221 201704 2 007 Bidan 094/1038 Rp 45,000 143
Posyandu Sri Rejeki Ds. Rowo 22 Juni 2017
144 Tri Riyanti 19790827 200801 2 016 III Bidan 094/1038 Rp 50,000
145 Retno Saputri 19851024 201704 2 007 Bidan 094/1039 Rp 45,000 145
Posyandu Makmur Ds. Wergonayan 22 Juni 2017
146 Yuni Listyorini 19830618 200604 2 007 III Bidan 094/1039 Rp 50,000
147 Ismoyowati 19731214 199303 2 002 III Bidan 094/1040 Rp 50,000 147
Posyandu Melati Ds. Selotumpeng 22 Juni 2017
148 Mangesthi R. 19890920 201001 2 001 III Bidan 094/1040 Rp 50,000
149 Istirokhah 19840211 201704 2 002 Bidan 094/1041 Rp 45,000 149
Posyandu Menur Ds. Kertodeso 22 Juni 2017
150 Titi Sumargiyati 19770627 200604 2 015 III Bidan 094/1041 Rp 50,000
151 Adi Kurniati 19851127 200903 2 005 III Bidan 094/1042 Rp 50,000 151
Posyandu Sentosa Ds. Ngabean 22 Juni 2017
152 Muntamah 19781124 200801 2 010 III Bidan 094/1042 Rp 50,000
TOTAL Rp 7,340,000

Mengetahui
Kuasa Pengguna Anggaran Lunas dibayar :
UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
AR PENERIMAAN

TANDA TANGAN

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Nuntari Hadiyah
11.4.4521648
Nurohmah
19840531 201704 2 007
Atik Pratiwi
11.4.4921988
Istirokhah
19840211 201704 2 002
Retno Saputri
19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
Dyah Ayu Pratiwi
19860830 201704 2 006
Wahyu Supriati
19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
Nuntari Hadiyah
11.4.4521648
Nurohmah
19840531 201704 2 007
Atik Pratiwi
11.4.4921988
Istirokhah
19840211 201704 2 002
Retno Saputri
19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
Dyah Ayu Pratiwi
19860830 201704 2 006
Wahyu Supriati
19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
Nuntari Hadiyah
11.4.4521648
Nurohmah
19840531 201704 2 007
Atik Pratiwi
11.4.4921988
Istirokhah
19840211 201704 2 002
Retno Saputri
19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
Dyah Ayu Pratiwi
19860830 201704 2 006
Wahyu Supriati
19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
Nuntari Hadiyah
11.4.4521648
Nurohmah
19840531 201704 2 007
Atik Pratiwi
11.4.4921988
Istirokhah
19840211 201704 2 002
Retno Saputri
19851024 201704 2 007
Ummi Kulsum
19840410 201704 2 007
Dyah Ayu Pratiwi
19860830 201704 2 006
Wahyu Supriati
19861221 201704 2 007
Titin Melianti
19870523 201704 2 004
Sutarsih
19850311 201704 2 009
Umi Nurjanah
19880221 201704 2 006
Herlina Dwi P
19890722 201704 2 004
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Juli 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO SURAT JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANGAN
TUGAS DITERIMA
1 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 1
094/1149 Posyandu Kenanga Ds. Karanggede 1 Juli 2017
2 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 2
3 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 3
094/1150 Posyandu Rahayu Ds. Lembupurwo 3 Juli 2017
4 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 4
5 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 5
094/1151 Posyandu Melati Ds. Karanggede 3 Juli 2017
6 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 6
7 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 7
094/1152 Posyandu Anggrek Ds. Mangunranan 4 Juli 2017
8 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 8
9 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 9
094/1153 Posyandu Mawar Ds. Wirogaten 4 Juli 2017
10 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 10
11 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 11
094/1154 Posyandu Kencana Ds. Sarwogadung 4 Juli 2017
12 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 12
13 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 13
094/1155 Posyandu Kenanga Ds. Miritpetikusan 4 Juli 2017
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000 14
15 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 15
094/1156 Posyandu Dahlia Ds. Miritpetikusan 5 Juli 2017
16 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000 16
17 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 17
094/1157 Posyandu Anggur Ds. Mirit 5 Juli 2017
18 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 18
19 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 19
094/1158 Posyandu Anggrek Ds. Pekutan 5 Juli 2017
20 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 20
21 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 21
094/1159 Posyandu Sri Rejeki Ds. Wirogaten 5 Juli 2017
22 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 22
23 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 23
094/1160 Posyandu Sampurna Ds. Sarwogadung 5 Juli 2017
24 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 24
25 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 25
094/1161 Posyandu Cempaka Ds. Mangunranan 6 Juli 2017
26 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 26
27 Nuntari Hadiyah 11.4.4521648 Bidan Rp 45,000 27
094/1162 Posyandu Kantil Ds. Miritpetikusan 6 Juli 2017
28 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000 28
 JUMLAH DIPINDAHKAN Rp 1,355,000
JUMLAH PINDAHAN Rp 1,355,000
29 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 29
094/1163 Posyandu Melati Ds. Pekutan 6 Juli 2017
30 Sutarsih 19840410 201704 2 007 Bidan Rp 45,000 30
31 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 31
094/1164 Posyandu Anggrek Ds. Sitibentar 8 Juli 2017
32 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000 32
33 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 33
094/1165 Posyandu Melati Ds. Tlogodepok 10 Juli 2017
34 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000 34
35 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 35
094/1166 Posyandu Melati Ds. Lembupurwo 10 Juli 2017
36 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 36
37 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 37
094/1167 Posyandu Widodo Ds. Wiromartan 10 Juli 2017
38 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 38
39 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 39
094/1168 Posyandu Sri Rahayu Ds. Rowo 10 Juli 2017
40 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 40
41 Herlina Dwi P 19890722 201704 2 004 Bidan Rp 45,000 41
094/1169 Posyandu Anggrek Ds. Patukrejomulyo 10 Juli 2017
42 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 42
43 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 43
094/1170 Posyandu Kantil Ds. Krubungan 10 Juli 2017
44 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000 44
45 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 45
094/1171 Posyandu Mangga Ds. Mirit 11 Juli 2017
46 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 46
47 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 47
094/1172 Posyandu Rukun Ds. Wergonayan 11 Juli 2017
48 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 48
49 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 49
094/1173 Posyandu Dahlia Ds. Mangunranan 11 Juli 2017
50 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 50
51 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 51
094/1174 Posyandu Kantil Ds. Wirogaten 11 Juli 2017
52 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 52
53 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 53
094/1175 Posyandu Melati Ds. Winong 11 Juli 2017
54 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 54
55 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 55
094/1176 Posyandu Kenanga Ds. Sitibentar 11 Juli 2017
56 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000 56
57 Samiasih Puji L. 19751020 200801 2 015 Bidan Rp 45,000 57
094/1177 Posyandu Melon Ds. Mirit 12 Juli 2017
58 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 58
59 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 59
094/1178 Posyandu Handayani Ds. Wiromartan 12 Juli 2017
60 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 60
61 Umi Nurjanah 19880221 201704 2 006 Bidan Rp 45,000 61
094/1179 Posyandu Lily Ds. Singoyudan 12 Juli 2017
62 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 62
63 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 63
094/1180 Posyandu Lestari Ds. Wergonayan 12 Juli 2017
64 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 64
65 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 65
094/1181 Posyandu Mawar Ds. Sitibentar 12 Juli 2017
 094/1181 Posyandu Mawar Ds. Sitibentar 12 Juli 2017
66 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000 66
JUMLAH DIPINDAHKAN Rp 3,175,000
JUMLAH PINDAHAN Rp 3,175,000
67 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 67
Posyandu Melati Ds. Kertodeso 12 Juli 2017
68 094/1182 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 68
69 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 69
Posyandu Sejahtera Ds. Ngabean 12 Juli 2017
70 094/1183 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 70
71 Sutarsih 19850311 201704 2 009 Bidan Rp 45,000 71
Posyandu Manggis Ds. Mirit 13 Juli 2017
72 094/1184 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 72
73 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 73
Posyandu Mawar Ds. Mangunranan 13 Juli 2017
74 094/1185 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 74
75 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 75
Posyandu Mawar Ds. Pekutan 13 Juli 2017
76 094/1186 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 76
77 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 77
Posyandu Melati Ds.Tlogopragoto 15 Juli 2017
78 094/1187 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 78
79 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 79
Posyandu Cempaka Ds. Pekutan 15 Juli 2017
80 094/1188 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 80
81 Nurohmah 19840531 201704 2 007 Bidan Rp 45,000 81
Posyandu Melati Ds. Sitibentar 15 Juli 2017
82 094/1189 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 82
83 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 83
Posyandu Rahayu Ds. Wiromartan 17 Juli 2017
84 094/1190 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 84
85 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 85
Posyandu Sri Kandi Ds. Rowo 17 Juli 2017
86 094/1191 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 86
87 Herlina Dwi P. 19890722 201704 2 004 Bidan Rp 45,000 87
Posyandu Kenanga Ds. Patukrejomulyo 17 Juli 2017
88 094/1192 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 88
89 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 89
Posyandu Nusa Indah Ds. Patukgawemulyo 17 Juli 2017
90 094/1193 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 90
91 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 91
Posyandu Kenanga Ds. Krubungan 17 Juli 2017
92 094/1194 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000 92
93 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000 93
Posyandu Kantil Ds. Tlogodepok 18 Juli 2017
94 094/1195 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 94
95 Titin Melianti 19870523 201704 2 004 Bidan Rp 45,000 95
Posyandu Kenanga Ds. Mangunranan 18 Juli 2017
96 094/1196 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 96
97 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 97
Posyandu Kasih Bunda Ds. Wirogaten 18 Juli 2017
98 094/1197 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 98
99 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 99
Posyandu Anggrek Ds. Ngabean 18 Juli 2017
100 094/1198 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 100
101 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 101
Posyandu Lestari Ds. Sarwogadung 18 Juli 2017
102 094/1199 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 102
103 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 103
Posyandu Lestari Ds. Wiromartan 19 Juli 2017
104 094/1200 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000 104
JUMLAH DIPINDAHKAN Rp 5,005,000
JUMLAH PINDAHAN Rp 5,005,000
105 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 105
Posyandu Sri Lestari Ds. Rowo 19 Juli 2017
106 094/1201 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 106
107 Umi Nurjanah 19880221 201704 2 006 Bidan Rp 45,000 107
Posyandu Balai Desa Ds. Singoyudan 19 Juli 2017
108 094/1202 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 108
109 Atik Pratiwi 11.4.4921988 Bidan Rp 45,000 109
Posyandu Mawar Ds. Karanggede 19 Juli 2017
110 094/1203 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 110
111 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 111
Posyandu Mawar Ds. Kertodeso 19 Juli 2017
112 094/1204 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 112
113 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 113
Posyandu Nusa Indah Ds. Krubungan 19 Juli 2017
114 094/1205 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000 114
115 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 115
Posyandu Kantil Ds. Selotumpeng 19 Juli 2017
116 094/1206 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000 116
117 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 117
Posyandu Anggrek Ds. Tlogopragoto 20 Juli 2017
118 094/1207 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 118
119 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 119
Posyandu Teratai Ds. Patukgawemulyo 20 Juli 2017
120 094/1208 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 120
121 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 121
Posyandu Melati Ds. Ngabean 20 Juli 2017
122 094/1209 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 122
123 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 123
Posyandu Dahlia Ds. Patukgawemulyo 21 Juli 2017
124 094/1210 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 124
125 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 125
Posyandu Kenanga Ds. Wirogaten 21 Juli 2017
126 094/1211 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 126
127 Ummi Kulsum 19840410 201704 2 007 Bidan Posyandu Kantil Ds. Tlogopragoto Rp 45,000 127
24 Juli 2017
128 094/1212 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 128
129 Wahyu Supriyati 19861221 201704 2 007 Bidan Rp 45,000 129
Posyandu Sri Rejeki Ds. Rowo 24 Juli 2017
130 094/1213 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 130
131 Retno Saputri 19851024 201704 2 007 Bidan Rp 45,000 131
Posyandu Makmur Ds. Wergonayan 24 Juli 2017
132 094/1214 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000 132
133 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 133
Posyandu Melati Ds. Selotumpeng 24 Juli 2017
134 094/1215 Ismoyowati 19731214 199303 2 003 III Bidan Rp 50,000 134
135 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 135
Posyandu Menur Ds. Kertodeso 24 Juli 2017
136 094/1216 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000 136
137 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 137
Posyandu Sentosa Ds. Ngabean 24 Juli 2017
138 094/1217 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 138
139 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 139
Posyandu Anggrek Ds. Lembupurwo 25 Juli 2017
094/1218
 Posyandu Anggrek Ds. Lembupurwo 25 Juli 2017
140 094/1218 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 140
141 Ummi Kulsum 19840410 201704 2 007 Bidan Rp 45,000 141
Posyandu Cempaka Ds. Tlogopragoto 25 Juli 2017
142 094/1219 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 142
JUMLAH DIPINDAHKAN Rp 6,850,000

JUMLAH PINDAHAN Rp 6,850,000

143 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 143
Posyandu Cempaka Ds. Selotumpeng 25 Juli 2017
144 094/1220 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 144
145 Istirokhah 19840211 201704 2 002 Bidan Rp 45,000 145
Posyandu Dahlia Ds. Kertodeso 25 Juli 2017
146 094/1221 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000 146
147 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 147
Posyandu Mawar Ds. Selotumpeng 26 Juli 2017
148 094/1222 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000 148
149 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 149
Posyandu Melati Ds. Patukgawemulyo 26 Juli 2017
150 094/1223 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 150
151 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 151
Posyandu Mawar Ds. Winong 26 Juli 2017
152 094/1224 Diyah Ayu P. 19860830 201704 2 006 Bidan Rp 45,000 152
TOTAL Rp 7,340,000

Mengetahui
Kuasa Pengguna Anggaran Lunas dibayar :
UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
 JUMLAH PINDAHAN Rp 5,000,000
105 094/1362 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 105
Posyandu Teratai Ds. Patukgawemulyo 18 Agustus 2017
106 094/1362 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 106
107 094/1363 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000 107
Posyandu Melati Ds. Ngabean 18 Agustus 2017
108 094/1363 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000 108
109 094/1364 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 109
Posyandu Kasih Bunda Ds. Wirogaten 18 Agustus 2017
110 094/1364 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 110
111 094/1365 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 111
Posyandu Dahlia Ds. Patukgawemulyo 19 Agustus 2017
112 094/1365 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 112
113 094/1366 Dwi Indah A. 19860602 201001 2 024 III Bidan Rp 50,000 113
Posyandu Kenanga Ds. Wirogaten 19 Agustus 2017
114 094/1366 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000 114
115 094/1367 Diyah Ayu P. 19860830 201704 2 006 II Bidan Rp 45,000 115
Posyandu Cempaka Ds. Pekutan 19 Agustus 2017
116 094/1367 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 116
117 094/1368 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 117
Posyandu Rahayu Ds. Wiromartan 21 Agustus 2017
118 094/1368 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 118
119 094/1369 Wahyu Supriyati 19861221 201704 2 007 II Bidan Rp 45,000 119
Posyandu Sri Kandi Ds. Rowo 21 Agustus 2017
120 094/1369 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000 120
121 094/1370 Herlina Dwi P. 19890722 201704 2 004 II Bidan Rp 45,000 121
Posyandu Kenanga Ds. Patukrejomulyo 21 Agustus 2017
122 094/1370 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000 122
123 094/1371 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 123
Posyandu Nusa Indah Ds. Patukgawemulyo 21 Agustus 2017
124 094/1371 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000 124
125 094/1372 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000 125
Posyandu Kenanga Ds. Krubungan 21 Agustus 2017
126 094/1372 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000 126
127 094/1373 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000 127
Posyandu Anggrek Ds. Lembupurwo 22 Agustus 2017
128 094/1373 Eni Sulistyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 128
129 094/1374 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 129
Posyandu Cempaka Ds. Selotumpeng 22 Agustus 2017
130 094/1374 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000 130
131 094/1375 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000 131
Posyandu Mawar Ds. Selotumpeng 23 Agustus 2017
132 094/1375 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000 132
133 094/1376 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000 133
Posyandu Melati Ds. Patukgawemulyo 23 Agustus 2017
134 094/1376 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000 134
135 094/1377 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000 135
Posyandu Mawar Ds. Winong 23 Agustus 2017
136 094/1377 Diyah Ayu P. 19860830 201704 2 006 II Bidan Rp 45,000 136
137 094/1378 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000 137
Posyandu Kantil Ds. Tlogopragoto 28 Agustus 2017
138 094/1378 Eni Sulistyaningsih 19810309 200501 2 011 III Bidan Rp 50,000 138
139 094/1379 Wahyu Supriyati 19861221 201704 2 007 II Bidan Rp 45,000 139
Posyandu Sri Rejeki Ds. Rowo 28 Agustus 2017
140 094/1379 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000 140
141 094/1380 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000 141
Posyandu Makmur Ds. Wergonayan 28 Agustus 2017
142 094/1380 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000 142
JUMLAH DIPINDAHKAN Rp 6,855,000
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 7.340.000,- ( Tujuh juta tiga ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan September 2017. Kegiatan Pengembangan Pelayana
Keterangan : Golongan III : Rp. 5.000.000,-
Golongan II : Rp. 2.340.000,-

NO SURAT
NO NAMA NIP/NRPTT GOL JABATAN
TUGAS
1 Atik Pratiwi 11.4.4921988 Bidan
094/1149
2 Tshui Sian 19790528 200903 2 004 III Perawat
3 Siti Nurjanah 19680212 198703 2 002 III Bidan
094/1150
4 Tri Riyanti 19790827 200801 2 016 III Bidan
5 Atik Pratiwi 11.4.4921988 Bidan
094/1151
6 Tshui Sian 19790528 200903 2 004 III Perawat
7 Titin Melianti 19870523 201704 2 004 Bidan
094/1152
8 Siti Nurjanah 19680212 198703 2 002 III Bidan
9 Dwi Indah A. 19860602 201001 2 024 III Bidan
094/1153
10 Tshui Sian 19790528 200903 2 004 III Perawat
11 Wiwik Gunandari 19800223 200801 2 016 III Bidan
094/1154
12 Kurnia Dini F. 19860130 200903 2 004 III Bidan
13 Nuntari Hadiyah 11.4.4521648 Bidan
094/1155
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
15 Nuntari Hadiyah 11.4.4521648 Bidan
094/1156
16 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
17 Sutarsih 19850311 201704 2 009 Bidan
094/1157
18 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
19 Diyah Ayu P. 19860830 201704 2 006 Bidan
094/1158
20 Rosidah 19680914 199003 2 003 III Bidan
21 Dwi Indah A. 19860602 201001 2 024 III Bidan
094/1159
22 Adi Kurniati 19851127 200903 2 005 III Bidan
23 Wiwik Gunandari 19800223 200801 2 016 III Bidan
094/1160
24 Kurnia Dini F. 19860130 200903 2 004 III Bidan
25 Titin Melianti 19870523 201704 2 004 Bidan
094/1161
26 Siti Nurjanah 19680212 198703 2 002 III Bidan
27 Nuntari Hadiyah 11.4.4521648 Bidan
094/1162
28 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN
29 Diyah Ayu P. 19860830 201704 2 006 Bidan
094/1163
 094/1163
30 Sutarsih 19840410 201704 2 007 Bidan
31 Nurohmah 19840531 201704 2 007 Bidan
094/1164
32 Titi Sumargiyati 19770627 200604 2 015 III Bidan
33 Samiasih Puji L. 19751020 200801 2 015 II Bidan
094/1165
34 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian
35 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
094/1166
36 Tri Riyanti 19790827 200801 2 016 III Bidan
37 Ismoyowati 19731214 199303 2 002 III Bidan
094/1167
38 Mangesthi R. 19890920 201001 2 001 III Bidan
39 Wahyu Supriyati 19861221 201704 2 007 Bidan
094/1168
40 Sutarsih 19850311 201704 2 009 Bidan
41 Herlina Dwi P 19890722 201704 2 004 Bidan
094/1169
42 Muntamah 19781124 200801 2 010 III Bidan
43 Kurnia Dini F. 19860130 200903 2 004 III Bidan
094/1170
44 Aisah Malawat 19640712 198603 2 014 III Perawat
45 Sutarsih 19850311 201704 2 009 Bidan
094/1171
46 Samiasih Puji L. 19751020 200801 2 015 II Bidan
47 Retno Saputri 19851024 201704 2 007 Bidan
094/1172
48 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
49 Titin Melianti 19870523 201704 2 004 Bidan
094/1173
50 Siti Nurjanah 19680212 198703 2 002 III Bidan
51 Dwi Indah A. 19860602 201001 2 024 III Bidan
094/1174
52 Tshui Sian 19790528 200903 2 004 III Perawat
53 Rosidah 19680914 199003 2 003 III Bidan
094/1175
54 Kurnia Dini F. 19860130 200903 2 004 III Bidan
55 Nurohmah 19840531 201704 2 007 Bidan
094/1176
56 Titi Sumargiyati 19770627 200604 2 015 III Bidan
57 Sutarsih 19850311 201704 2 009 Bidan
094/1177
58 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
59 Ismoyowati 19731214 199303 2 002 III Bidan
094/1178
60 Tri Riyanti 19790827 200801 2 016 III Bidan
61 Umi Nurjanah 19880221 201704 2 006 Bidan
094/1179
62 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
63 Retno Saputri 19851024 201704 2 007 Bidan
094/1180
64 Nur Khasanah 19780323 200801 2 011 III Bidan
65 Nurohmah 19840531 201704 2 007 Bidan
094/1181
66 Titi Sumargiyati 19770627 200604 2 015 III Bidan
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN
67 Istirokhah 19840211 201704 2 002 Bidan
68 094/1182 Siti Nurjanah 19680212 198703 2 002 III Bidan
69 Adi Kurniati 19851127 200903 2 005 III Bidan
094/1183
70 094/1183 Muntamah 19781124 200801 2 010 III Bidan
71 Sutarsih 19850311 201704 2 009 Bidan
72 094/1184 Samiasih Puji L. 19751020 200801 2 015 II Bidan
73 Titin Melianti 19870523 201704 2 004 Bidan
74 094/1185 Siti Nurjanah 19680212 198703 2 002 III Bidan
75 Diyah Ayu P. 19860830 201704 2 006 Bidan
76 094/1186 Rosidah 19680914 199003 2 003 III Bidan
77 Ummi Kulsum 19840410 201704 2 007 Bidan
78 094/1187 Mangesthi R. 19890920 201001 2 001 III Bidan
79 Diyah Ayu P. 19860830 201704 2 006 Bidan
80 094/1188 Rosidah 19680914 199003 2 003 III Bidan
81 Nurohmah 19840531 201704 2 007 Bidan
82 094/1189 Tshui Sian 19790528 200903 2 004 III Perawat
83 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
84 094/1190 Mangesthi R. 19890920 201001 2 001 III Bidan
85 Wahyu Supriyati 19861221 201704 2 007 Bidan
86 094/1191 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
87 Herlina Dwi P. 19890722 201704 2 004 Bidan
88 094/1192 Ummi Kulsum 19840410 201704 2 007 Bidan
89 Tri Riyanti 19790827 200801 2 016 III Bidan
90 094/1193 Retno Saputri 19851024 201704 2 007 Bidan
91 Kurnia Dini F. 19860130 200903 2 004 III Bidan
92 094/1194 Aisah Malawat 19640712 198603 2 014 III Perawat
93 Samiasih Puji L. 19751020 200801 2 015 II Bidan
94 094/1195 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
95 Titin Melianti 19870523 201704 2 004 Bidan
96 094/1196 Siti Nurjanah 19680212 198703 2 002 III Bidan
97 Dwi Indah A. 19860602 201001 2 024 III Bidan
98 094/1197 Tshui Sian 19790528 200903 2 004 III Perawat
99 Adi Kurniati 19851127 200903 2 005 III Bidan
100 094/1198 Muntamah 19781124 200801 2 010 III Bidan
101 Wiwik Gunandari 19800223 200801 2 016 III Bidan
102 094/1199 Kurnia Dini F. 19860130 200903 2 004 III Bidan
103 Ismoyowati 19731214 199303 2 002 III Bidan
104 094/1200 Yuni Listyorini 19830618 200604 2 007 III Bidan
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN
105 Wahyu Supriyati 19861221 201704 2 007 Bidan
106 094/1201 Nur Khasanah 19780323 200801 2 011 III Bidan
107 Umi Nurjanah 19880221 201704 2 006 Bidan
108 094/1202 Retno Saputri 19851024 201704 2 007 Bidan
109 Atik Pratiwi 11.4.4921988 Bidan
094/1203
110 094/1203 Tshui Sian 19790528 200903 2 004 III Perawat
111 Istirokhah 19840211 201704 2 002 Bidan
112 094/1204 Siti Nurjanah 19680212 198703 2 002 III Bidan
113 Kurnia Dini F. 19860130 200903 2 004 III Bidan
114 094/1205 Wiwik Gunandari 19800223 200801 2 016 III Bidan
115 Mangesthi R. 19890920 201001 2 001 III Bidan
116 094/1206 Tentrem Yuliani 19650708 199003 2 006 III Perawat
117 Ummi Kulsum 19840410 201704 2 007 Bidan
118 094/1207 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
119 Tri Riyanti 19790827 200801 2 016 III Bidan
120 094/1208 Mangesthi R. 19890920 201001 2 001 III Bidan
121 Adi Kurniati 19851127 200903 2 005 III Bidan
122 094/1209 Muntamah 19781124 200801 2 010 III Bidan
123 Tri Riyanti 19790827 200801 2 016 III Bidan
124 094/1210 Nur Khasanah 19780323 200801 2 011 III Bidan
125 Dwi Indah A. 19860602 201001 2 024 III Bidan
126 094/1211 Tshui Sian 19790528 200903 2 004 III Perawat
127 Ummi Kulsum 19840410 201704 2 007 Bidan
128 094/1212 Siti Nurjanah 19680212 198703 2 002 III Bidan
129 Wahyu Supriyati 19861221 201704 2 007 Bidan
130 094/1213 Tri Riyanti 19790827 200801 2 016 III Bidan
131 Retno Saputri 19851024 201704 2 007 Bidan
132 094/1214 Yuni Listyorini 19830618 200604 2 007 III Bidan
133 Mangesthi R. 19890920 201001 2 001 III Bidan
134 094/1215 Ismoyowati 19731214 199303 2 003 III Bidan
135 Istirokhah 19840211 201704 2 002 Bidan
136 094/1216 Titi Sumargiyati 19770627 200604 2 015 III Bidan
137 Adi Kurniati 19851127 200903 2 005 III Bidan
138 094/1217 Muntamah 19781124 200801 2 010 III Bidan
139 Ismoyowati 19731214 199303 2 002 III Bidan
140 094/1218 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis
141 Ummi Kulsum 19840410 201704 2 007 Bidan
142 094/1219 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan
JUMLAH DIPINDAHKAN

JUMLAH PINDAHAN
143 Mangesthi R. 19890920 201001 2 001 III Bidan
144 094/1220 Nur Khasanah 19780323 200801 2 011 III Bidan
145 Istirokhah 19840211 201704 2 002 Bidan
146 094/1221 Titi Sumargiyati 19770627 200604 2 015 III Bidan
147 Mangesthi R. 19890920 201001 2 001 III Bidan
148 094/1222 Tentrem Yuliani 19650708 199003 2 006 III Perawat
149 Tri Riyanti 19790827 200801 2 016 III Bidan
150 094/1223 Nur Khasanah 19780323 200801 2 011 III Bidan
151 Rosidah 19680914 199003 2 003 III Bidan
152 094/1224 Diyah Ayu P. 19860830 201704 2 006 Bidan
TOTAL

Mengetahui
Kuasa Pengguna Anggaran
UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan

dr. Kurbyanto Pawit

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003
 DAFTAR PENERIMAAN

atus empat puluh ribu rupiah)

erah dalam rangka pelaksanaan Posyandu Balita
n September 2017. Kegiatan Pengembangan Pelayanan Kesehatan Dasar

JUMLAH
TUJUAN TANGGAL TANDA TANGAN
DITERIMA
Rp 45,000 1
Posyandu Kenanga Ds. Karanggede 1 September 2017
Rp 50,000
Rp 50,000 3
Posyandu Rahayu Ds. Lembupurwo 3 September 2017
Rp 50,000
Rp 45,000 5
Posyandu Melati Ds. Karanggede 3 September 2017
Rp 50,000
Rp 45,000 7
Posyandu Anggrek Ds. Mangunranan 4 September 2017
Rp 50,000
Rp 50,000 9
Posyandu Mawar Ds. Wirogaten 4 September 2017
Rp 50,000
Rp 50,000 11
Posyandu Kencana Ds. Sarwogadung 4 September 2017
Rp 50,000
Rp 45,000 13
Posyandu Kenanga Ds. Miritpetikusan 4 September 2017
Rp 50,000
Rp 45,000 15
Posyandu Dahlia Ds. Miritpetikusan 5 September 2017
Rp 50,000
Rp 45,000 17
Posyandu Anggur Ds. Mirit 5 September 2017
Rp 50,000
Rp 45,000 19
Posyandu Anggrek Ds. Pekutan 5 September 2017
Rp 50,000
Rp 50,000 21
Posyandu Sri Rejeki Ds. Wirogaten 5 September 2017
Rp 50,000
Rp 50,000 23
Posyandu Sampurna Ds. Sarwogadung 5 September 2017
Rp 50,000
Rp 45,000 25
Posyandu Cempaka Ds. Mangunranan 6 September 2017
Rp 50,000
Rp 45,000 27
Posyandu Kantil Ds. Miritpetikusan 6 September 2017
Rp 50,000
PINDAHKAN Rp 1,355,000
INDAHAN Rp 1,355,000
Rp 45,000 29
Posyandu Melati Ds. Pekutan 6 September 2017
 Posyandu Melati Ds. Pekutan 6 September 2017
Rp 45,000
Rp 45,000 31
Posyandu Anggrek Ds. Sitibentar 8 September 2017
Rp 50,000
Rp 45,000 33
Posyandu Melati Ds. Tlogodepok 10 September 2017
Rp 50,000
Rp 50,000 35
Posyandu Melati Ds. Lembupurwo 10 September 2017
Rp 50,000
Rp 50,000 37
Posyandu Widodo Ds. Wiromartan 10 September 2017
Rp 50,000
Rp 45,000 39
Posyandu Sri Rahayu Ds. Rowo 10 September 2017
Rp 45,000
Rp 45,000 41
Posyandu Anggrek Ds. Patukrejomulyo 10 September 2017
Rp 50,000
Rp 50,000 43
Posyandu Kantil Ds. Krubungan 10 September 2017
Rp 50,000
Rp 45,000 45
Posyandu Mangga Ds. Mirit 11 September 2017
Rp 45,000
Rp 45,000 47
Posyandu Rukun Ds. Wergonayan 11 September 2017
Rp 50,000
Rp 45,000 49
Posyandu Dahlia Ds. Mangunranan 11 September 2017
Rp 50,000
Rp 50,000 51
Posyandu Kantil Ds. Wirogaten 11 September 2017
Rp 50,000
Rp 50,000 53
Posyandu Melati Ds. Winong 11 September 2017
Rp 50,000
Rp 45,000 55
Posyandu Kenanga Ds. Sitibentar 11 September 2017
Rp 50,000
Rp 45,000 57
Posyandu Melon Ds. Mirit 12 September 2017
Rp 50,000
Rp 50,000 59
Posyandu Handayani Ds. Wiromartan 12 September 2017
Rp 50,000
Rp 45,000 61
Posyandu Lily Ds. Singoyudan 12 September 2017
Rp 50,000
Rp 45,000 63
Posyandu Lestari Ds. Wergonayan 12 September 2017
Rp 50,000
Rp 45,000 65
Posyandu Mawar Ds. Sitibentar 12 September 2017
Rp 50,000
PINDAHKAN Rp 3,175,000
INDAHAN Rp 3,175,000
Rp 45,000 67
Posyandu Melati Ds. Kertodeso 12 September 2017
Rp 50,000
Rp 50,000 69
Posyandu Sejahtera Ds. Ngabean 12 September 2017
 Posyandu Sejahtera Ds. Ngabean 12 September 2017
Rp 50,000
Rp 45,000 71
Posyandu Manggis Ds. Mirit 13 September 2017
Rp 45,000
Rp 45,000 73
Posyandu Mawar Ds. Mangunranan 13 September 2017
Rp 50,000
Rp 45,000 75
Posyandu Mawar Ds. Pekutan 13 September 2017
Rp 50,000
Rp 45,000 77
Posyandu Melati Ds.Tlogopragoto 15 September 2017
Rp 50,000
Rp 45,000 79
Posyandu Cempaka Ds. Pekutan 15 September 2017
Rp 50,000
Rp 45,000 81
Posyandu Melati Ds. Sitibentar 15 September 2017
Rp 50,000
Rp 50,000 83
Posyandu Rahayu Ds. Wiromartan 17 September 2017
Rp 50,000
Rp 45,000 85
Posyandu Sri Kandi Ds. Rowo 17 September 2017
Rp 50,000
Rp 45,000 87
Posyandu Kenanga Ds. Patukrejomulyo 17 September 2017
Rp 45,000
Rp 50,000 89
Posyandu Nusa Indah Ds. Patukgawemulyo 17 September 2017
Rp 45,000
Rp 50,000 91
Posyandu Kenanga Ds. Krubungan 17 September 2017
Rp 50,000
Rp 45,000 93
Posyandu Kantil Ds. Tlogodepok 18 September 2017
Rp 50,000
Rp 45,000 95
Posyandu Kenanga Ds. Mangunranan 18 September 2017
Rp 50,000
Rp 50,000 97
Posyandu Kasih Bunda Ds. Wirogaten 18 September 2017
Rp 50,000
Rp 50,000 99
Posyandu Anggrek Ds. Ngabean 18 September 2017
Rp 50,000
Rp 50,000 101
Posyandu Lestari Ds. Sarwogadung 18 September 2017
Rp 50,000
Rp 50,000 103
Posyandu Lestari Ds. Wiromartan 19 September 2017
Rp 50,000
PINDAHKAN Rp 5,005,000
INDAHAN Rp 5,005,000
Rp 45,000 105
Posyandu Sri Lestari Ds. Rowo 19 September 2017
Rp 50,000
Rp 45,000 107
Posyandu Balai Desa Ds. Singoyudan 19 September 2017
Rp 45,000
Rp 45,000 109
Posyandu Mawar Ds. Karanggede 19 September 2017
 Posyandu Mawar Ds. Karanggede 19 September 2017
Rp 50,000
Rp 45,000 111
Posyandu Mawar Ds. Kertodeso 19 September 2017
Rp 50,000
Rp 50,000 113
Posyandu Nusa Indah Ds. Krubungan 19 September 2017
Rp 50,000
Rp 50,000 115
Posyandu Kantil Ds. Selotumpeng 19 September 2017
Rp 50,000
Rp 45,000 117
Posyandu Anggrek Ds. Tlogopragoto 20 September 2017
Rp 50,000
Rp 50,000 119
Posyandu Teratai Ds. Patukgawemulyo 20 September 2017
Rp 50,000
Rp 50,000 121
Posyandu Melati Ds. Ngabean 20 September 2017
Rp 50,000
Rp 50,000 123
Posyandu Dahlia Ds. Patukgawemulyo 21 September 2017
Rp 50,000
Rp 50,000 125
Posyandu Kenanga Ds. Wirogaten 21 September 2017
Rp 50,000
Posyandu Kantil Ds. Tlogopragoto Rp 45,000 127
24 April 2017
Rp 50,000
Rp 45,000 129
Posyandu Sri Rejeki Ds. Rowo 24 September 2017
Rp 50,000
Rp 45,000 131
Posyandu Makmur Ds. Wergonayan 24 September 2017
Rp 50,000
Rp 50,000 133
Posyandu Melati Ds. Selotumpeng 24 September 2017
Rp 50,000
Rp 45,000 135
Posyandu Menur Ds. Kertodeso 24 September 2017
Rp 50,000
Rp 50,000 137
Posyandu Sentosa Ds. Ngabean 24 September 2017
Rp 50,000
Rp 50,000 139
Posyandu Anggrek Ds. Lembupurwo 25 September 2017
Rp 50,000
Rp 45,000 141
Posyandu Cempaka Ds. Tlogopragoto 25 September 2017
Rp 50,000
PINDAHKAN Rp 6,850,000

INDAHAN Rp 6,850,000
Rp 50,000 143
Posyandu Cempaka Ds. Selotumpeng 25 September 2017
Rp 50,000
Rp 45,000 145
Posyandu Dahlia Ds. Kertodeso 25 September 2017
Rp 50,000
Rp 50,000 147
Posyandu Mawar Ds. Selotumpeng 26 September 2017
Rp 50,000
 Rp 50,000 149
Posyandu Melati Ds. Patukgawemulyo 26 September 2017
Rp 50,000
Rp 50,000 151
Posyandu Mawar Ds. Winong 26 September 2017
Rp 45,000
TAL Rp 7,340,000

Lunas dibayar :
Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

Pawit Titi Sumargiyati

NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
TANDA TANGAN

10

12

14

16

18

20

22

24

26

28
30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68
70

72

74

76

78

80

82

84

86

88

90

92

94

96

98

100

102

104

106

108
110

112

114

116

118

120

122

124

126

128

130

132

134

136

138

140

142

144

146

148
150

152
 DAFTAR PENERIMAAN

Terima dari : Pemerintah Kabupaten Kebumen

Banyaknya uang : Rp. 5.840.000,- ( Lima juta delapan ratus empat puluh ribu rupiah)
Untuk pembayaran : Biaya perjalanan dinas dalam daerah dalam rangka pelaksanaan Posyandu Balita
UPTD Unit Puskesmas Mirit Bulan Januari 2018. Kegiatan Pengembangan Pelayanan Kesehatan Dasar
SURAT JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANGAN
TUGAS DITERIMA
1 Ismoyowati 197312141993032002 IIId Bidan Posyandu Gunawan Ds. Wiromartan 2 Januari 2018 Rp 50,000.00 1
2 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu Kencana Ds. Sarwogadung 2 Januari 2018 Rp 50,000.00 2
3 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu Kenanga Ds. Miritpetikusan 2 Januari 2018 Rp 45,000.00 3
4 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 4
5 Diyah Ayu P. 19860830 201704 2 006 II Bidan Posyandu Anggrek Ds. Pekutan Rp 45,000.00 5
6 Rosidah 19680914 199003 2 003 III Bidan Desa Pekutan Rp 50,000.00 6
7 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Sri Rejeki Ds. Wirogaten Rp 50,000.00 7
8 Tshui Sian 19790528 200903 2 004 III Perawat Desa Patukrejomulyo Rp 50,000.00 8
9 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Sampurna Ds. Sarwogadung Rp 50,000.00 9
10 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 10
11 Titin Melianti 19870523 201704 2 004 II Bidan Posyandu Cempaka Ds. Mangunranan Rp 45,000.00 11
12 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 12
13 Nuntari Hadiyah 11.4.4521648 PTT Bidan Posyandu Kantil Ds. Miritpetikusan Rp 45,000.00 13
14 Dewi Prihartanti 19800330 200701 2 006 III Sanitarian Rp 50,000.00 14
15 Diyah Ayu P. 19860830 201704 2 006 II Bidan Posyandu Melati Ds. Pekutan Rp 45,000.00 15
16 Sutarsih 19850311 201704 2 009 II Bidan Desa Pekutan Rp 45,000.00 16
17 Atik Pratiwi 11.4.047.11575 PTT Bidan Posyandu Kenanga Ds. Karanggede Rp 45,000.00 17
18 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 18
19 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Rahayu Ds. Lembupurwo Rp 50,000.00 19
20 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 20
21 Atik Pratiwi 11.4.047.11575 PTT Bidan Posyandu Melati Ds. Karanggede Rp 45,000.00 21
22 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 22
23 Titin Melianti 19870523 201704 2 004 II Bidan Posyandu Anggrek Ds. Mangunranan Rp 45,000.00 23
24 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 24
25 Dwi Indah A. 19860602 201001 2 024 III Bidan Posyandu Mawar Ds. Wirogaten Rp 50,000.00 25
26 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 26
27 Wiwik Gunandari 19800223 200801 2 016 III Bidan Posyandu Kencana Ds. Sarwogadung Rp 50,000.00 27
28 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 28
JUMLAH DIPINDAHKAN Rp 1,355,000.00
 JUMLAH PINDAHAN Rp 1,355,000.00
29 094/2237 Nuntari Hadiyah 11.4.452.1648 PTT Bidan Rp 45,000.00 29
Posyandu Kenanga Ds. Miritpetikusan 7 November 2017
30 094/2237 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 30
31 094/2238 Sutarsih 19850311 201704 2 009 II Bidan Rp 45,000.00 31
Posyandu Manggis Ds. Mirit 9 November 2017
32 094/2238 Samiasih Puji L. 19751020 200801 2 015 III Bidan Rp 50,000.00 32
33 094/2239 Titin Melianti 19870523 201704 2 004 II Bidan Rp 45,000.00 33
Posyandu Mawar Ds. Mangunranan 9 November 2017
34 094/2239 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 34
35 094/2240 Diyah Ayu P. 19860830 201704 2 006 II Bidan Rp 45,000.00 35
Posyandu Mawar Ds. Pekutan 9 November 2017
36 094/2240 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 36
37 094/2241 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000.00 37
Posyandu Melati Ds. Tlogopragoto 10 November 2017
38 094/2241 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 38
39 094/2242 Nurohmah 19840531 201704 2 007 II Bidan Rp 45,000.00 39
Posyandu Melati Ds. Sitibentar 10 November 2017
40 094/2242 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 40
41 094/2243 Nurohmah 19840531 201704 2 007 II Bidan Rp 45,000.00 41
Posyandu Anggrek Ds. Sitibentar 11 November 2017
42 094/2243 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 42
43 094/2244 Samiasih Puji L. 19751020 200801 2 015 III Bidan Rp 45,000.00 43
Posyandu Melati Ds. Tlogodepok 13 November 2017
44 094/2244 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 44
45 094/2245 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 45
Posyandu Melati Ds. Lembupurwo 13 November 2017
46 094/2245 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 46
47 094/2246 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 47
Posyandu Widodo Ds. Wiromartan 13 November 2017
48 094/2246 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 48
49 094/2247 Wahyu Supriyati 19861221 201704 2 007 II Bidan Rp 45,000.00 49
Posyandu Sri Rahayu Ds. Rowo 13 November 2017
50 094/2247 Umi Nurjanah 19880221 201704 2 006 II Bidan Rp 45,000.00 50
51 094/2248 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000.00 51
Posyandu Anggrek Ds. Patukrejomulyo 13 November 2017
52 094/2248 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 52
53 094/2249 Kurnia Dini F 19860130 200903 2 004 III Bidan Rp 50,000.00 53
Posyandu Kantil Ds. Krubungan 13 November 2017
54 094/2249 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000.00 54
55 094/2250 Sutarsih 19850311 201704 2 009 II Bidan Rp 45,000.00 55
Posyandu Manggis Ds. Mirit 43053
56 094/2250 Samiasih Puji L. 19751020 200801 2 015 II Bidan Rp 45,000.00 56
57 094/2251 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000.00 57
Posyandu Rukun Ds. Wergonyan 43053
58 094/2251 Yuni Listyorini 19810309 200501 2 011 III Nutrisionis Rp 50,000.00 58
59 094/2252 Titin Melianti 19870523 201704 2 004 II Bidan Rp 45,000.00 59
43053
60 094/2252 Siti Nurjanah 19680212 198703 2 002 III Bidan Posyandu Dahlia Ds. Mangunranan Rp 50,000.00 60
61 094/2253 Dwi Indah A 19860526 201001 2 024 III Bidan Rp 50,000.00 61
Posyandu Kantil Ds. Wirogaten 43053
62 094/2253 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 62
63 094/2254 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 63
Posyandu Balita Melati 43053
64 094/2254 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 64
65 094/2255 Nurohmah 19840531 201704 2 007 II Bidan Posyandu Kenanga Ds. Sitibentar Rp 45,000.00 65
43053
66 094/2255 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 66
JUMLAH DIPINDAHKAN Rp 3,175,000.00
 JUMLAH PINDAHAN Rp 3,175,000.00
67 094/2256 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 67
Posyandu Sejahtera Ds. Ngabean 43054
68 094/2256 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 68
69 094/2257 Sutarsih 19850311 201704 2 009 II Bidan Rp 45,000.00 69
Posyandu Melon Ds.Mirit 43054
70 094/2257 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 70
71 094/2258 Ismoyowati 19731214 199303 2 002 III Bidan Rp 45,000.00 71
Posyandu Handayani Ds. Wiromartan 43054
72 094/2258 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 45,000.00 72
73 094/2259 Umi Nurjanah 19880221 201704 2 006 II Bidan Rp 45,000.00 73
Posyandu Lily Ds. Singoyudan 43054
74 094/2259 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 74
75 094/2260 Retno Saputri 19851024 201704 2 007 II Bidan Rp 50,000.00 75
Posyandu Lestari Ds. Wergonayan 43054
76 094/2260 Nurkhasanah 19789323 200801 2 011 III Bidan Rp 50,000.00 76
77 094/2261 Nurohmah 19840531 201704 2 007 III Bidan Rp 45,000.00 77
Posyandu Mawar Ds. Sitibenntar 43054
78 094/2261 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 78
79 094/2262 Istirokhah 19840211 201704 2 002 II Bidan Rp 45,000.00 79
Posyandu Melati Ds. Kertodeso 43054
80 094/2262 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 80
81 094/2263 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 81
Posyandu Kantil Ds. Selotumpeng 43054
82 094/2263 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000.00 82
83 094/2264 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 83
Posyandu Dahlia Ds. Patukgawemulyo 43056
84 094/2264 Nur Khasanah 19780323 200801 2 011 III Bidan Rp 50,000.00 84
85 094/2265 Dwi Indah A. 19860526 201001 2 024 III Bidan Rp 50,000.00 85
Posyandu Kasih Bunda Ds. Wirogaten 43056
86 094/2265 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 86
87 094/2266 Dwi Indah A. 19860526 201001 2 024 III Bidan Rp 50,000.00 87
Posyandu Kenanga Ds. Wirogaten 43057
88 094/2266 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 88
89 094/2267 Dyah Ayu P 19860830 201704 2 006 II Bidan Rp 45,000.00 89
Posyandu Cempaka Ds. Pekutan 43057
90 094/2267 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 90
91 094/2268 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 91
Posyandu Rahayu Ds. Wiromartan 43059
92 094/2268 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 92
93 094/2269 Wahyu S 19861221 201704 2 007 II Bidan Rp 45,000.00 93
Posyandu Srikandi Ds. Rowo 43059
94 094/2269 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 94
95 094/2270 Herlina Dwi p 19890722 201704 2 004 II Bidan Rp 45,000.00 95
Posyandu Kenanga Ds. Patukrejomulyo 43059
96 094/2270 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000.00 96
97 094/2271 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 97
Posyandu Nusa Indah Ds. Patukgawemulyo 43059
98 094/2271 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000.00 98
99 094/2272 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 99
Posyandu Kenanga Ds. Krubungan 43059
100 094/2272 Aisah Malawat 19640712 198603 2 014 III Perawat Rp 50,000.00 100
101 094/2273 Samasih Puji L 19751020 200801 2 015 II Bidan Rp 45,000.00 101
Posyandu Kantil Ds. Tlogodepok 21 November 2017
102 094/2273 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 102
103 094/2274 Titin Melianti 19890523 201704 2 004 II Bidan Rp 45,000.00 103
Posyandu Kenanga Ds. Mangunranan 43060
104 094/2274 Siti Nurjanah 19680221 198703 2 002 III Bidan Rp 50,000.00 104
JUMLAH DIPINDAHKAN Rp 5,010,000.00
 JUMLAH PINDAHAN Rp 5,010,000.00
105 094/2275 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 105
Posyandu Anggrek Ds. Ngabean 43060
106 094/2275 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 106
107 094/2276 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 107
Posyandu Lestari Ds. Sarwogadung 43060
108 094/2276 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 108
109 094/2277 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 109
Posyandu Lestari Ds. Wiromartan 43061
110 094/2277 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 110
111 094/2278 Wahyu Supriyati 19861221 201704 2 007 II Bidan Rp 45,000.00 111
Posyandu Sri Lestari Ds. Rowo 43061
112 094/2278 Nur Khasanah 19789323 200801 2 011 III Bidan Rp 50,000.00 112
113 094/2279 Umi Nurjanah 19880221 201704 2 006 II Bidan Rp 45,000.00 113
Posyandu balita dan Imunisasi Ds. Singoyudan 43061
114 094/2279 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000.00 114
115 094/2280 Atik Pratiwi 11.4.047.11575 PTT Bidan Rp 45,000.00 115
Posyandu Mawar Ds.Karanggede 43061
116 094/2280 Tshui Sian 19790528 200903 2 004 III Perawat Rp 50,000.00 116
117 094/2281 Istirokhah 19840211 201704 2 002 II Bidan Rp 45,000.00 117
Posyandu Mawar Ds. Kertodeso 43061
118 094/2281 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 118
119 094/2282 Kurnia Dini F. 19860130 200903 2 004 III Bidan Rp 50,000.00 119
Posyandu Nusa Indah Ds. Krubungan 43061
120 094/2282 Wiwik Gunandari 19800223 200801 2 016 III Bidan Rp 50,000.00 120
121 094/2283 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 121
Posyandu Mawar Ds. Selotumpeng 43061
122 094/2283 Tentrem Yuliani 19650708 199003 2 006 III Perawat Rp 50,000.00 122
123 094/2284 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 123
Posyandu Melati Ds. Patukgawemulyo 43061
124 094/2284 Nur Khasanah 19789323 200801 2 011 III Bidan Rp 50,000.00 124
125 094/2285 Rosidah 19680914 199003 2 003 III Bidan Rp 50,000.00 125
Posyandu Mawar Ds. Winong 43061
126 094/2285 Diyah Ayu P. 19840410 201704 2 007 II Bidan Rp 45,000.00 126
127 094/2286 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000.00 127
Posyandu Anggrek ds. Tlogopragoto 43062
128 094/2286 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 128
129 094/2287 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 129
Posyandu Teratai Ds. Patukgawemulto 23 November 2017
130 094/2287 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 130
131 094/2288 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 131
Posyandu Melati Ds. Ngabean 23 November 2017
132 094/2288 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 132
133 094/2289 Ummi Kulsum 19840410 201704 2 007 III Bidan Rp 45,000.00 133
Posyandu Kantil Ds. Tlogopragoto 27 November 2017
134 094/2289 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 134
135 094/2290 Wahyu Supriyati 19861221 201704 2 007 II Bidan Rp 45,000.00 135
Posyandu Sri Rejeki Ds. Rowo 27 November 2017
136 094/2290 Tri Riyanti 19790827 200801 2 016 III Bidan Rp 50,000.00 136
137 094/2291 Retno Saputri 19851024 201704 2 007 II Bidan Rp 45,000.00 137
Posyandu Makmiur Ds. Wergonayan 27 November 2017
138 094/2291 Yuni Listyorini 19830618 200604 2 007 III Nutrisionis Rp 50,000.00 138
139 094/2292 Mangesthi R. 19890920 201001 2 001 III Bidan Rp 50,000.00 139
Posyandu Melati Ds. Selotumpeng 27 November 2017
140 094/2292 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 140
141 094/2293 Istirokhah 19840211 201704 2 002 II Bidan Rp 45,000.00 141
Posyandu Menur Ds. Kertodeso 27 November 2017
142 094/2293 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 142
JUMLAH DIPINDAHKAN Rp 6,855,000.00
 JUMLAH PINDAHAN Rp 6,855,000.00
143 094/2294 Adi Kurniati 19851127 200903 2 005 III Bidan Rp 50,000.00 143
Posyandu Sentosa Ds. Ngabean 27 November 2017
144 094/2294 Muntamah 19781124 200801 2 010 III Bidan Rp 50,000.00 144
145 094/2295 Ummi Kulsum 19840410 201704 2 007 II Bidan Rp 45,000.00 145
Posyandu Cempaka Ds. Tlogopragoto 28 November 2017
146 094/2295 Eni Sulistiyaningsih 19810309 200501 2 011 III Bidan Rp 50,000.00 146
147 094/2296 Istirokhah 19840211 201704 2 002 II Bidan Rp 45,000.00 147
Posyandu Dahlia Ds. Kertodeso 28 November 2017
148 094/2296 Titi Sumargiyati 19770627 200604 2 015 III Bidan Rp 50,000.00 148
149 094/2297 Siti Nurjanah 19680212 198703 2 002 III Bidan Rp 50,000.00 149
Posyandu Anggrek Ds. Lembupurwo 28 November 2017
150 094/2297 Yuni Listyorini 19830618 200604 2 007 III Bidan Rp 50,000.00 150
151 094/2298 Mangesthi R 19890920 201001 2 001 III Bidan Rp 50,000.00 151
Posyandu Cempaka Ds. Selotumpeng 28 November 2017
152 094/2298 Ismoyowati 19731214 199303 2 002 III Bidan Rp 50,000.00 152
TOTAL Rp 7,345,000.00

Lunas Tanggal :
Mengetahui
Kuasa Pengguna Anggaran UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran

dr. Kurbyanto Pawit Titi Sumargiyati

NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003 NIP. 19770627 200604 2 018
 jumlah dipindahkan
95 Nurohmah Posyandu balita Dahlia, Sitibentar 18 Januari 2018
96 Sutarsih Posyandu balita Nanas, Mirit 19 Januari 2018
97 Dwi Indah Ariyanti Posyandu balita Kasih Bunda, Wirogaten 19 Januari 2018
98 Tri Riyanti Posyandu balita Dahlia, Patukgawemulyo 19 Januari 2018
99 Dwi Indah Ariyanti Posyandu balita Kenanga, Wirogaten 20 Januari 2018
100 Dyah Ayu P Posyandu balita Cempaka, Pekutan 20 Januari 2018
101 Nurohmah Posyandu balita Anggrek, Sitibentar 20 Januari 2018
102 Mangesthi R Posyandu balita Melati, Selotumpeng 22 Januari 2018
103 Wahyu Supriyati Posyandu balita SriRejeki, Rowo 22 Januari 2018
104 Wiwik Gunandari Posyandu balita Pelangi, Sarwogadung 22 Januari 2018
105 Herlina Dwi P Posyandu balita Dahlia, Patukrejomulyo 22 Januari 2018
106 Istirokhah Posyandu balita Menur, Kertodeso 22 Januari 2018
107 Titin Melianti Posyandu balita Menur, Kertodeso 22 Januari 2018
108 Adi Kurniati Posyandu balita Sentosa, Ngabean 22 Januari 2018
109 Muntamah Posyandu balita Sentosa, Ngabean 22 Januari 2018
110 Sutarsih Posyandu balita Kantil, Tlogopragoto 22 Januari 2018
111 Sutarsih Posyandu balita Cempaka, Tlogopragoto 23 Januari 2018
112 Siti Nurjanah Posyandu balita Anggrek, Lembupurwo 23 Januari 2018
113 Mangesthi R Posyandu balita Cempaka Selotumpeng 23 Januari 2018
114 Ismoyowati Posyandu balita Cempaka, Selotumpeng 23 Januari 2018
115 Tri Riyanti Posyandu balita Melati, Patukgawemulyo 24 Januari 2018
116 Wahyu Supriyati Posyandu balita Melati, Patukgawemulyo 24 Januari 2018
117 Mangesthi R Posyandu balita Mawar, Selotumpeng 24 Januari 2018
118 Kurnia Dini F Posyandu balita Mawar, Selotumpeng 24 Januari 2018
119 Dwi Indah Ariyanti Posyandu balita balaidesa dan imunisasi,Wirogaten 24 Januari 2018
120 Tshui Sian Posyandu balita balaidesa dan imunisasi,Wirogaten 24 Januari 2018
121 Rosidah Posyandu balita Mawar, Winong 24 Januari 2018
122 Dyah Ayu P Posyandu balita Mawar, Winong 24 Januari 2018
123 Istirokhah Posyandu balita Dahlia, Kertodeso 30 Januari 2018
 SURAT
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL
TUGAS
1 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Kantil, Miritpetikusan 01 Maret 2018
2 Titin Melianti 198705232017042004 II Bidan Posyandu balita Cempaka, Mangunranan 01 Maret 2018
3 Atik Pratiwi 11404711575 PTT Bidan Posyandu balita Melati, Karanggede 05 Maret 2018
4 Muntamah 197811242008012010 III Bidan Posyandu balita Melati, Karanggede 05 Maret 2018
5 Ismoyowati 197312141993032002 III Bidan Posyandu balita Gunawan, Wiromartan 05 Maret 2018
6 Siti Nurjanah 196802121987032002 III Bidan Posyandu balita Rahayu, Lembupurwo 05 Maret 2018
7 Retno Saputri 198510242017042007 II Bidan Posyandu balita Rahayu, Lembupurwo 05 Maret 2018
8 Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita Kencana, Sarwogadung 05 Maret 2018
9 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Kenanga, Miritpetikusan 06 Maret 2018
10 Titin Melianti 198705232017042004 II Bidan Posyandu balita Anggrek, Mangunranan 06 Maret 2018
11 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu balita Mawar, Wirogaten 06 Maret 2018
12 Retno Saputri 198510242017042007 II Bidan Posyandu Imunisasi, Wergonayan 06 Maret 2018
13 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Dahlia, Miritpetikusan 07 Maret 2018
14 Sutarsih 198503112017042009 II Bidan Posyandu balita Anggur, Mirit 07 Maret 2018
15 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu balita Sri Rejeki, Wirogaten 07 Maret 2018
16 Dyah Ayu Prataiwi 198608302017042006 II Bidan Posyandu balita Anggrek, Pekutan 7 Maret 2018
17 Titin Melianti 198705232017042004 II Bidan Posyandu balita Mawar, Mangunranan 08 Maret 2018
18 Siti Nurjanah 196802121987032002 III Bidan Posyandu balita Mawar, Mangunranan 08 Maret 2018
19 Sutarsih 198503112017042009 I Bidan Posyandu balita Manggis, Mirit 08 Maret 2018
20 Kurnia Dini F 198601302009032004 III Bidan Posyandu balita Cempaka, Krubungan 08 Maret 2018
21 Nurohmah 198405312017042007 II Bidan Posyandu balita Melati, Sitibentar 09 Maret 2018
22 Atik Pratiwi 11404711575 PTT Bidan Posyandu balita Kenanga, Karanggede 10 Maret 2018
23 Nurohmah 198405312017042007 II Bidan Posyandu balita Anggrek, Sitibentar 10 Maret 2018
Dyah Ayu Pratawi 198608302017042006 III Bidan Posyandu balita Melati, Pekutan 10 Maret 2018
Eni Sulistiyaningsih 198103092005012011 III Bidan Posyandu balita Melati, Pekutan 10 Maret 2018
24 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Melati, Miritpetikusan 12 Maret 2018
25 Retno Saputri 198510242017042007 II Bidan Posyandu balita Rukun, Wergonayan 12 Maret 2018
26 Ismoyowati 197312141993032002 III Bidan Posyandu balita Widodo, Wiromartan 12 Maret 2018
27 Siti Nurjanah 196802121987032002 III Bidan Posyandu balita Melati, Lembupurwo 12 Maret 2018
28 Eni Sulistiyaningsih 198103092005012011 III Bidan Posyandu balita Melati, Lembupurwo 12 Maret 2018
29 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita Sri Rahayu, Rowo 12 Maret 2018
30 Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita Sampurna, Sarwogadung 12 Maret 2018
31 Kurnia Dini F 198601302009032004 III Bidan Posyandu balita Kantil, Krubungan 12 Maret 2018
32 Herlina Dwi P 198907222017042004 II Bidan Posyandu balita Anggrek, Patukrejomulyo 12 Maret 2018
33 Samiasih Puji L 197510202008012015 II Bidan Posyandu balita Melati, Tlogodepok 12 Maret 2018
Titi Sumargiyati 197706272006042018 III Bidan Posyandu balita Melati, Tlogodepok 12 Maret 2018
34 Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita balaidesa dan imunisasi 13 Maret 2018
35 Nur Khasanah 197803232008012011 III Bidan Posyandu balita balaidesa dan imunisasi 13 Maret 2018
36 Sutarsih 198503112017042009 II Bidan Posyandu balita Mangga, Mirit 13 Maret 2018
37 Retno Saputri 198510242017042007 II Bidan Posyandu balita Lestari, Wergonayan 13 Maret 2018
38 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita Kenanga, Sitibentar 13 Maret 2018
39 Titin Melianti 198705232017042004 II Bidan Posyandu balita Dahlia, Mangunranan 13 Maret 2018
40 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu balita Kantil, Wirogaten 13 Maret 2018
41 Rosidah 196809141990032003 III Bidan Posyandu balita Melati, Winong 13 Maret 2018
42 Samiasih Puji L 197510202008012015 II Bidan Posyandu balita Kantil, Tlogodepok 13 Maret 2018
43 Sutarsih 198503112017042009 II Bidan Posyandu balita Kantil, Tlogodepok 13 Maret 2018
44 Sutarsih 198503112017042009 II Bidan Posyandu balita Melon, Mirit 14 Maret 2018
45 Adi Kurniati 198511272009032005 III Bidan Posyandu balita Sejahtera, Ngabean 14 Maret 2018
46 Retno Saputri 198510242017042007 II Bidan Posyandu balita Makmur, Wergonayan 14 Maret 2018
47 Umi Nurjanah 198802212017042006 II Bidan Posyandu balita Lily, Singoyudan 14 Maret 2018
48 Yuni Listyorini 198306142006022015 III Pet. Gizi Posyandu balita Lily, Singoyudan 14 Maret 2018
49 Ismoyowati 197312141993032002 III Bidan Posyandu balita Handayani, Wiromartan 14 Maret 2018
50 Titin Melianti 198705232017042004 II Bidan Posyandu balita Melati, Mangunranan 14 Maret 2018
51 Dyah Ayu Pratawi 198608302017042006 II Bidan Posyandu balita Mawar, Pekutan 14 Maret 2018
52 Rosidah 196809141990032003 III Bidan Posyandu balita Kenanga, Winong 14 Maret 2018
53 Istirokhah 198402112017042002 II Bidan Posyandu balita Melati. Kertodeso 14 Maret 2018
54 Muntamah 197811242008012010 III Bidan Posyandu balita Anggrek, Tlogopragoto 15 Maret 2018
55 Nurohmah 198405312017042007 II Bidan Posyandu balita Anggrek, Tlogopragoto 15 Maret 2018
56 Tri Riyanti 197908272008012016 III Bidan Posyandu balita Teratai, Patukgawemulyo 15 Maret 2018
57 Nurkhasanah 197803232008012011 III Bidan Posyandu balita Teratai, Patukgawemulyo 15 Maret 2018
58 Samiasih Puji L 197510202008012015 II Bidan Posyandu balita Kenanga, Tlogodepok 15 Maret 2018
59 Adi Kurniati 198511272009032005 III Bidan Posyandu balita Melati, Ngabean 15 Maret 2018
60 Mangesthi R 198909202010012001 III Bidan Posyandu balita Kantil, Selotumpeng 15 Maret 2018
61 Titin Melianti 198705232017042004 II Bidan Posyandu balita Kenanga, Mangunranan 15 Maret 2018
62 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu imunisasi,Miritpetikusan 15 Maret 2018
63 Titi Sumargiyati 197706272006042018 III Bidan Posyandu imunisasi,Miritpetikusan 15 Maret 2018
64 Sutarsih 198503112017042009 II Bidan Posyandu balita Nanas, Mirit 16 Maret 2018
65 Dwi Indah Ariyanti 198605262010012024 II Bidan Posyandu balita Kasih Bunda, Wirogaten 16 Maret 2018
66 Tri Riyanti 197908272008012016 III Bidan Posyandu balita Dahlia, Patukgawemulyo 16 Maret 2018
67 Ummi Kulsum 198404102017042007 II Bidan Posyandu balita Melati, Tlogopragoto 16 Maret 2018
68 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu balita Kenanga, Wirogaten 17 Maret 2018
69 Dyah Ayu P 198608302017042006 II Bidan Posyandu balita Cempaka, Pekutan 17 Maret 2018
70 Herlina Dwi P 198907222017042004 II Bidan Posyandu balita Kenanga, Patukrejomulyo 19 Maret 2018
71 Nurkhasanah 197803232008012011 III Bidan Posyandu balita Kenanga, Patukrejomulyo 19 Maret 2018
72 Ismoyowati 197312141993032002 III Bidan Posyandu balita Rahayu, Wiromartan 19 Maret 2018
73 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita Srikandi, Rowo 19 Maret 2018
74 Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita Lestari, Sarwogadung 19 Maret 2018
75 Kurnia Dini F 198601302009032004 III Bidan Posyandu balita Kenanga, Krubungan 19 Maret 2018
76 Tri Riyanti 197908272008012016 II Bidan Posyandu balita Nusa Indah, Patukgawemulyo 19 Maret 2018
77 Adi Kurniati 198511272009032005 III Bidan Posyandu baltia kenanga, Ngabean 19 Maret 2018
Nurohmah 198405312017042007 II Bidan Posyandu imunisasi, Sitibentar 19 Maret 2018
Tshui Sian 197905282009032004 III Perawat Posyandu imunisasi, Sitibentar 19 Maret 2018
78 Adi Kurniati 198511272009032005 III Bidan Posyandu balita Anggrek, Ngabean 20 Maret 2018
79 Muntamah 197811242008012010 III Bidan Posyandu balita Anggrek, Ngabean 20 Maret 2018
80 Sutarsih 198503112017042009 II Bidan Posyandu balita Menur, Tlogopragoto 20 Maret 2018
81 Siti Nurjanah 196802121987032002 III Bidan Posyandu balita Mawar, Lembupurwo 20 Maret 2018
82 Umi Nurjanah 198802212017042006 II Bidan Posyandu balita Mawar, Singoyudan 20 Maret 2018
83 Istirokhah 198402112017042002 II Bidan Posyandu balita Kenanga, Kertodeso 20 Maret 2018
84 Nurohmah 198405312017042007 II Bidan Posyandu balita Dahlia, Sitibentar 20 Maret 2018
85 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita Srilestari, Rowo 21 Maret 2018
86 Eni Sulistiyaningsih 198103092005012011 III Bidan Posyandu balita Srilestari, Rowo 21 Maret 2018
87 Ismoyowati 197312141993032002 III Bidan Posyandu balita Lestari, Wiromartan 21 Maret 2018
88 Mangesthi R 198909202010012001 III Bidan Posyandu balita Lestari, Wiromartan 21 Maret 2018
89 Umi Nurjanah 198802212017042006 II Bidan Posyandu imunisasi,Singoyudan 21 Maret 2018
90 Retno Saputri 198510242017042007 II Bidan Posyandu imunisasi,Singoyudan 21 Maret 2018
91 Atik Pratiwi 11404711575 PTT Bidan Posyandu balita Mawar, Karanggede 21 Maret 2018
92 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu balita Kartini, Wirogaten 21 Maret 2018
93 Nurohmah 198405312017042007 II Bidan Posyandu balita Mawar, Sitibentar 21 Maret 2018
94 Istirokhah 198402112017042002 II Bidan Posyandu balita Mawar, Kertodeso 21 Maret 2018
95 Kurnia Dini F 198601302009032004 III Bidan Posyandu balita Nusa Indah, Krubungan 21 Maret 2018
Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita Nusa Indah, Krubungan 21 Maret 2018
96 Mangesthi R 198909202010012001 III Bidan Posyandu balita Nusa Indah, Selotumpeng 26 Maret 2018
97 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita SriRejeki, Rowo 26 Maret 2018
98 Wiwik Gunandari 198002232008012016 III Bidan Posyandu balita Pelangi, Sarwogadung 26 Maret 2018
99 Herlina Dwi P 198907222017042004 II Bidan Posyandu balita Dahlia, Patukrejomulyo 26 Maret 2018
100 Istirokhah 198402112017042002 II Bidan Posyandu balita Menur, Kertodeso 26 Maret 2018
101 Titin Melianti 198705232017042004 II Bidan Posyandu balita Menur, Kertodeso 26 Maret 2018
102 Adi Kurniati 198511272009032005 III Bidan Posyandu balita Sentosa, Ngabean 26 Maret 2018
103 Muntamah 197811242008012010 III Bidan Posyandu balita Sentosa, Ngabean 26 Maret 2018
104 Sutarsih 198503112017042009 II Bidan Posyandu balita Kantil, Tlogopragoto 26 Maret 2018
105 Sutarsih 198503112017042009 II Bidan Posyandu balita Cempaka, Tlogopragoto 27 Maret 2018
106 Siti Nurjanah 196802121987032002 III Bidan Posyandu balita Anggrek, Lembupurwo 27 Maret 2018
107 Mangesthi R 198909202010012001 III Bidan Posyandu balita Cempaka Selotumpeng 27 Maret 2018
108 Ismoyowati 197312141993032002 III Bidan Posyandu balita Cempaka, Selotumpeng 27 Maret 2018
109 Istirokhah 198402112017042002 II Bidan Posyandu balita Dahlia, Kertodeso 27 Maret 2018
110 Tri Riyanti 197908272008012016 III Bidan Posyandu balita Melati, Patukgawemulyo 28 Maret 2018
111 Wahyu Supriyati 198612212017042007 II Bidan Posyandu balita Melati, Patukgawemulyo 28 Maret 2018
112 Mangesthi R 198909202010012001 III Bidan Posyandu balita Mawar, Selotumpeng 28 Maret 2018
113 Kurnia Dini F 198601302009032004 III Bidan Posyandu balita Mawar, Selotumpeng 28 Maret 2018
114 Dwi Indah Ariyanti 198605262010012024 III Bidan Posyandu imunisasi,Wirogaten 28 Maret 2018
115 Tshui Sian 197905282009032004 III Bidan Posyandu imunisasi,Wirogaten 28 Maret 2018
116 Rosidah 196809141990032003 III Bidan Posyandu balita Mawar, Winong 28 Maret 2018
117 Dyah Ayu P 198608302017042006 II Bidan Posyandu balita Mawar, Winong 28 Maret 2018
TOTAL

Mengetahui
Kuasa Pengguna Anggaran UPTD Unit Puskesmas Mirit Pejabat Pelaksana Teknis Kegiatan
 dr. Kurbyanto Pawit
NIP. 19751217 201001 1 012 NIP. 19721011 199203 2 003
 SURAT JUMLAH
NO NAMA NIP/NRPTT GOL JABATAN TUJUAN TANGGAL TANDA TANGAN
TUGAS DITERIMA
1 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Kantil, Miritpetikusan 1-Feb-18 Rp 45,000
2 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Cempaka, Mangunranan 1-Feb-18 Rp 45,000
3 Atik Pratiwi 1144921998 PTT Bidan Posyandu balita Melati, Karanggede 5-Feb-18 Rp 45,000
4 Muntamah 197811242008012010 IIIb Bidan Posyandu balita Melati, Karanggede 5-Feb-18 Rp 50,000
5 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Gunawan, Wiromartan 5-Feb-18 Rp 50,000
6 Siti Nurjanah 196802121987032002 IIId Bidan Posyandu balita Rahayu, Lembupurwo 5-Feb-18 Rp 50,000
7 Retno Saputri 198510242017042007 IIc Bidan Posyandu balita Rahayu, Lembupurwo 5-Feb-18 Rp 45,000
8 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu balita Kencana, Sarwogadung 5-Feb-18 Rp 50,000
9 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Kenanga, Miritpetikusan 6-Feb-18 Rp 45,000
10 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Anggrek, Mangunranan 6-Feb-18 Rp 45,000
11 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Mawar, Wirogaten 6-Feb-18 Rp 50,000
12 Retno Saputri 198510242017042007 IIc Bidan Posyandu Imunisasi, Wergonayan 6-Feb-18 Rp 45,000
13 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Dahlia, Miritpetikusan 7-Feb-18 Rp 45,000
14 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Anggur, Mirit 7-Feb-18 Rp 45,000
15 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Sri Rejeki, Wirogaten 7-Feb-18 Rp 50,000
16 Dyah Ayu Prataiwi 198608302017042006 IIc Bidan Posyandu balita Anggrek, Pekutan 7-Feb-18 Rp 45,000
17 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Mawar, Mangunranan 8-Feb-18 Rp 45,000
18 Siti Nurjanah 196802121987032002 IIId Bidan Posyandu balita Mawar, Mangunranan 8-Feb-18 Rp 50,000
19 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Anggur, Mirit 8-Feb-18 Rp 45,000
20 Kurnia Dini F 198601302009032004 IIIa Bidan Posyandu balita Cempaka, Krubungan 8-Feb-18 Rp 50,000
21 Nurohmah 198405312017042007 IIc Bidan Posyandu balita Melati, Sitibentar 9-Feb-18 Rp 45,000
Tri Riyanti 197908272008012016 IIIb Bidan Posyandu balita Dahlia, Patukgawemulyo 9-Feb-18 Rp 50,000 jan, maret tdk ada?
22 Atik Pratiwi 1144921998 PTT Bidan Posyandu balita Kenanga, Karanggede 10-Feb-18 Rp 45,000
23
24 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu balita Melati, Miritpetikusan 12-Feb-18 Rp 45,000
25 Retno Saputri 198510242017042007 IIc Bidan Posyandu balita Rukun, Wergonayan 12-Feb-18 Rp 45,000
26 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Widodo, Wiromartan 12-Feb-18 Rp 50,000
27 Siti Nurjanah 196802121987032002 IIId Bidan Posyandu balita Melati, Lembupurwo 12-Feb-18 Rp 50,000
28 Eni Sulistiyaningsih 198103092005012011 IIIc Bidan Posyandu balita Melati, Lembupurwo 12-Feb-18 Rp 50,000
29 Wahyu Supriyati 198612212017042007 IIc Bidan Posyandu balita Sri Rahayu, Rowo 12-Feb-18 Rp 45,000
30 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu balita Sampurna, Sarwogadung 12-Feb-18 Rp 50,000
31 Kurnia Dini F 198601302009032004 IIIa Bidan Posyandu balita Kantil, Krubungan 12-Feb-18 Rp 50,000
32 Herlina Dwi P 198907222017042004 IIc Bidan Posyandu balita Anggrek, Patukrejomulyo 12-Feb-18 Rp 45,000
33 Samiasih Puji L 197510202008012015 IId Bidan Posyandu balita Melati, Tlogodepok 12-Feb-18 45000
34 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu balita balaidesa dan imunisasi 13-Feb-18 Rp 50,000
35 Nur Khasanah 197803232008012011 IIIb Bidan Posyandu balita balaidesa dan imunisasi 13-Feb-18 Rp 50,000
36 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Mangga, Mirit 13-Feb-18 Rp 45,000
37 Retno Saputri 198510242017042007 IIc Bidan Posyandu balita Lestari, Wergonayan 13-Feb-18 Rp 45,000
38 Nurohmah 198405312017042007 IIc Bidan Posyandu balita Kenanga, Sitibentar 13-Feb-18 Rp 45,000
39 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Dahlia, Mangunranan 13-Feb-18 Rp 45,000
40 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Kantil, Wirogaten 13-Feb-18 Rp 50,000
41 Rosidah 196809141990032003 IIId Bidan Posyandu balita Melati, Winong 13-Feb-18 Rp 50,000
42 Samiasih Puji L 197510202008012015 IId Bidan Posyandu balita Kantil, Tlogodepok 20-Feb-18 Rp 45,000
43 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Kantil, Tlogodepok 20-Feb-18 Rp 45,000
44 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Melon, Mirit 14-Feb-18 Rp 45,000
45 Adi Kurniati 198511272009032005 IIIa Bidan Posyandu balita Sejahtera, Ngabean 14-Feb-18 Rp 50,000
46 Retno Saputri 198510242017042007 IIc Bidan Posyandu balita Makmur, Wergonayan 14-Feb-18 Rp 45,000
47 Umi Nurjanah 198802212017042006 IIc Bidan Posyandu balita Lily, Singoyudan 14-Feb-18 Rp 45,000
48 Yuni Lisyorini 198306142006022015 III Pet. Gizi Posyandu balita Lily, Singoyudan 14-Feb-18 Rp 50,000
49 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Handayani, Wiromartan 14-Feb-18 Rp 50,000
50 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Melati, Mangunranan 14-Feb-18 Rp 45,000
51 Dyah Ayu Pratawi 198608302017042006 IIc Bidan Posyandu balita Mawar, Pekutan 14-Feb-18 Rp 45,000
52 Rosidah 196809141990032003 IIId Bidan Posyandu balita Kenanga, Winong 14-Feb-18 Rp 50,000
53 Istirokhah 198402112017042002 IIc Bidan Posyandu balita Melati. Kertodeso 14-Feb-18 45000
54 Muntamah 197811242008012010 IIIb Bidan Posyandu balita Anggrek, Tlogopragoto 15-Feb-18 Rp 50,000
55 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Anggrek, Tlogopragoto 15-Feb-18 Rp 45,000
56 Tri Riyanti 197908272008012016 IIIb Bidan Posyandu balita Teratai, Patukgawemulyo 15-Feb-18 Rp 50,000
57 Nurkhasanah 197803232008012011 IIIb Bidan Posyandu balita Teratai, Patukgawemulyo 15-Feb-18 Rp 50,000
58 Samiasih Puji L 197510202008012015 IId Bidan Posyandu balita Kenanga, Tlogodepok 15-Feb-18 Rp 45,000
59 Adi Kurniati 198511272009032005 IIIa Bidan Posyandu balita Melati, Ngabean 15-Feb-18 Rp 50,000
60 Mangesthi R 198909202010012001 IIIa Bidan Posyandu balita Kantil, Selotumpeng 15-Feb-18 Rp 50,000
61
62 Nuntari Hadiyah 1144521648 PTT Bidan Posyandu imunisasi,Miritpetikusan 15-Feb-18 Rp 45,000
63 Titi Sumargiyati 197706272006042018 IIIc Bidan Posyandu imunisasi,Miritpetikusan 15-Feb-18 Rp 50,000
64 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Kenanga, Wirogaten 17-Feb-18 Rp 50,000
65 Dyah Ayu P 198608302017042006 IIc Bidan Posyandu balita Cempaka, Pekutan 17-Feb-18 Rp 45,000
66 Sutarsih 198503112017042009 IIc Bidan Posyandu balita Nanas, Mirit 17-Feb-18 Rp 45,000
67 Nurohmah 198405312017042007 IIc Bidan Posyandu balita Anggrek, Sitibentar 17-Feb-18 Rp 45,000
68
69
70 Herlina Dwi P 198907222017042004 IIc Bidan Posyandu balita Kenanga, Patukrejomulyo 19-Feb-18 Rp 45,000
71 Nurkhasanah 197803232008012011 IIIb Bidan Posyandu balita Kenanga, Patukrejomulyo 19-Feb-18 Rp 50,000
72 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Rahayu, Wiromartan 19-Feb-18 Rp 50,000
73 Wahyu Supriyati 198612212017042007 IIc Bidan Posyandu balita Srikandi, Rowo 19-Feb-18 Rp 45,000
74 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu balita Lestari, Sarwogadung 19-Feb-18 Rp 50,000
75 Kurnia Dini F 198601302009032004 IIIa Bidan Posyandu balita Kenanga, Krubungan 19-Feb-18 Rp 50,000
76 Tri Riyanti 197908272008012016 IIIb Bidan Posyandu balita Nusa Indah, Patukgawemulyo 19-Feb-18 Rp 50,000
77 Adi Kurniati 198511272009032005 IIIa Bidan Posyandu baltia kenanga, Ngabean 19-Feb-18 Rp 50,000
78 Adi Kurniati 198511272009032005 IIIa Bidan Posyandu balita Anggrek, Ngabean 20-Feb-18 Rp 50,000
79 Muntamah 197811242008012010 IIIb Bidan Posyandu balita Anggrek, Ngabean 20-Feb-18 Rp 50,000
80
81 Siti Nurjanah 196802121987032002 IIId Bidan Posyandu balita Mawar, Lembupurwo 20-Feb-18 Rp 50,000
82 Umi Nurjanah 198802212017042006 IIc Bidan Posyandu balita Mawar, Singoyudan 20-Feb-18 Rp 45,000
83 Istirokhah 198402112017042002 IIc Bidan Posyandu balita Kenanga, Kertodeso 20-Feb-18 Rp 45,000
84
85 Wahyu Supriyati 198612212017042007 IIc Bidan Posyandu balita Srilestari, Rowo 21-Feb-18 Rp 45,000
86 Eni Sulistiyaningsih 198103092005012011 IIIc Bidan Posyandu balita Srilestari, Rowo 21-Feb-18 Rp 50,000
87 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Lestari, Wiromartan 21-Feb-18 Rp 50,000
88 Mangesthi R 198909202010012001 IIIa Bidan Posyandu balita Lestari, Wiromartan 21-Feb-18 Rp 50,000
89 Umi Nurjanah 198802212017042006 IIc Bidan Posyandu imunisasi,Singoyudan 21-Feb-18 Rp 45,000
90 Retno Saputri 198510242017042007 IIc Bidan Posyandu imunisasi,Singoyudan 21-Feb-18 Rp 45,000
91 Atik Pratiwi 1144921998 PTT Bidan Posyandu balita Mawar, Karanggede 21-Feb-18 Rp 45,000
92 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Kartini, Wirogaten 21-Feb-18 Rp 50,000
93 Nurohmah 198405312017042007 IIc Bidan Posyandu balita Mawar, Sitibentar 21-Feb-18 Rp 45,000
94 Istirokhah 198402112017042002 IIc Bidan Posyandu balita Mawar, Kertodeso 21-Feb-18 Rp 45,000
95 Kurnia Dini F 198601302009032004 IIIa Bidan Posyandu balita Nusa Indah, Krubungan 21-Feb-18 Rp 50,000
Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Kenanga, Mangunranan 22-Feb-18 Rp 45,000
 Nurohmah 198405312017042007 IIc Bidan Posyandu balita Dahlia, Sitibentar 22-Feb-18 Rp 45,000
Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu balita Kasih Bunda, Wirogaten 23-Feb-18 Rp 45,000
96 Mangesthi R 198909202010012001 IIIa Bidan Posyandu balita Nusa Indah, Selotumpeng 26-Feb-18 Rp 50,000
97 Wahyu Supriyati 198612212017042007 IIc Bidan Posyandu balita SriRejeki, Rowo 26-Feb-18 Rp 45,000
98 Wiwik Gunandari 198002232008012016 IIIb Bidan Posyandu balita Pelangi, Sarwogadung 26-Feb-18 Rp 50,000
99 Herlina Dwi P 198907222017042004 IIc Bidan Posyandu balita Dahlia, Patukrejomulyo 26-Feb-18 Rp 45,000
100 Istirokhah 198402112017042002 IIc Bidan Posyandu balita Menur, Kertodeso 26-Feb-18 Rp 45,000
101 Titin Melianti 198705232017042004 IIc Bidan Posyandu balita Menur, Kertodeso 26-Feb-18 Rp 45,000
102 Adi Kurniati 198511272009032005 IIIa Bidan Posyandu balita Sentosa, Ngabean 26-Feb-18 Rp 50,000
103 Muntamah 197811242008012010 IIIb Bidan Posyandu balita Sentosa, Ngabean 26-Feb-18 Rp 50,000
104 Siti Nurjanah 196802121987032002 IIId Bidan Posyandu balita Anggrek, Lembupurwo 26-Feb-18 Rp 50,000
105 Istirokhah 198402112017042002 IIc Bidan Posyandu balita Dahlia, Kertodeso 27-Feb-18 Rp 45,000
107 Mangesthi R 198909202010012001 IIIa Bidan Posyandu balita Cempaka Selotumpeng 27-Feb-18 Rp 50,000
108 Ismoyowati 197312141993032002 IIId Bidan Posyandu balita Cempaka, Selotumpeng 27-Feb-18 Rp 50,000
110 Tri Riyanti 197908272008012016 IIIb Bidan Posyandu balita Melati, Patukgawemulyo 28-Feb-18 Rp 50,000
111 Wahyu Supriyati 198612212017042007 IIc Bidan Posyandu balita Melati, Patukgawemulyo 28-Feb-18 Rp 45,000
112 Mangesthi R 198909202010012001 IIIa Bidan Posyandu balita Mawar, Selotumpeng 28-Feb-18 Rp 50,000
113 Kurnia Dini F 198601302009032004 IIIa Bidan Posyandu balita Mawar, Selotumpeng 28-Feb-18 Rp 50,000
114 Dwi Indah Ariyanti 198605262010012024 IIIa Bidan Posyandu imunisasi,Wirogaten 28-Feb-18 Rp 50,000
115 Tshui Sian 197905282009032004 IIIb Bidan Posyandu imunisasi,Wirogaten 28-Feb-18 Rp 50,000
116 Rosidah 196809141990032003 IIId Bidan Posyandu balita Mawar, Winong 28-Feb-18 Rp 50,000
117 Dyah Ayu P 198608302017042006 IIc Bidan Posyandu balita Mawar, Winong 28-Feb-18 Rp 45,000
TOTAL Rp 5,365,000 5,840,000 475,000
Samiasih Puji L 197510202008012015 IId Bidan
Titi Sumargiyati 197706272006042018 IIIc Bidan Posyandu balita Melati, Tlogopragoto 08 Januari 2018 Rp 50,000
posyandu melati selotumpeng
Dyah Ayu Pratawi 198608302017042006 IIc Bidan Posyandu balita Melati, Pekutan 13 Januari 2018 Rp 45,000
Eni Sulistiyaningsih 198103092005012011 IIIc Bidan Posyandu balita Melati, Pekutan 13 Januari 2018 Rp 50,000
Nurohmah 198405312017042007 IIc Bidan Posyandu balita balaidesa dan imunisasi, Sitibentar 15 Januari 2018 Rp 45,000
Tshui Sian 197905282009032004 IIIb Perawat Posyandu balita balaidesa dan imunisasi, Sitibentar 15 Januari 2018 Rp 50,000
Sutarsih 198503112017042009 IIc Bidan Posyandu balita Menur, Tlogopragoto 20-Feb-18 Rp 45,000
Tri Riyanti 197908272008012016 IIIb Bidan Posyandu balita Dahlia, Patukgawemulyo 16-Feb-18 Rp 50,000
Ummi Kulsum 198404102017042007 IIc Bidan Posyandu balita Melati, Tlogopragoto 16-Feb-18 Rp 45,000
Sutarsih 198503112017042009 IIc Bidan Posyandu balita Kantil, Tlogopragoto 26-Feb-18 Rp 45,000
Sutarsih 198503112017042009 IIc Bidan Posyandu balita Cempaka, Tlogopragoto 27-Feb-18 Rp 45,000