DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN PWS IMUNISASI

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 5 NOVEMBER 2020

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp30,000 Rp1,800 Rp28,200 1

2 BOJONG Rp30,000 Rp1,800 Rp28,200 2

3 BOJONG Rp30,000 Rp1,800 Rp28,200 3

4 BOJONG Rp30,000 Rp1,800 Rp28,200 4

5 BOJONG Rp30,000 Rp1,800 Rp28,200 5

6 SERAYU KR Rp30,000 Rp1,800 Rp28,200 6

7 SERAYU KR Rp30,000 Rp1,800 Rp28,200 7

8 SERAYU KR Rp30,000 Rp1,800 Rp28,200 8

9 SERAYU KR Rp30,000 Rp1,800 Rp28,200 9

10 SERAYU KR Rp30,000 Rp1,800 Rp28,200 10

11 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 11

12 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 12

13 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 13

14 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 14

15 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 15

16 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 16

17 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 17

18 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 18

19 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 19

20 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 20

21 PAGER.DONG Rp30,000 Rp1,800 Rp28,200 21

22 PAGER.DONG Rp30,000 Rp1,800 Rp28,200 22

23 PAGER.DONG Rp30,000 Rp1,800 Rp28,200 23

24 PAGER.DONG Rp30,000 Rp1,800 Rp28,200 24

25 PAGER.DONG Rp30,000 Rp1,800 Rp28,200 25

26 LAMBUR Rp30,000 Rp1,800 Rp28,200 26

27 LAMBUR Rp30,000 Rp1,800 Rp28,200 27

28 LAMBUR Rp30,000 Rp1,800 Rp28,200 28

29 LAMBUR Rp30,000 Rp1,800 Rp28,200 29

30 LAMBUR Rp30,000 Rp1,800 Rp28,200 30

 BINANGUN
31 Rp30,000 Rp1,800 Rp28,200 31
BINANGUN
32 Rp30,000 Rp1,800 Rp28,200 32
BINANGUN
33 Rp30,000 Rp1,800 Rp28,200 33
34 BINANGUN
Rp30,000 Rp1,800 Rp28,200 34
35 BINANGUN
Rp30,000 Rp1,800 Rp28,200 35
36 PENGALUSAN
Rp30,000 Rp1,800 Rp28,200 36
37 PENGALUSAN
Rp30,000 Rp1,800 Rp28,200 37
38 PENGALUSAN
Rp30,000 Rp1,800 Rp28,200 38
39 PENGALUSAN
Rp30,000 Rp1,800 Rp28,200 39
40 PENGALUSAN
Rp30,000 Rp1,800 Rp28,200 40
41
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 41
42
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 42

43 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 43

44 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 44

45 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 45

JUMLAH Rp1,350,000 Rp81,000 Rp1,269,000

Serayu Larangan, 5 November 2020

Kepala
Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN KESEHATAN PWS KIA

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 22 JULI 2017

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp25,000 RP1,500 Rp23,500 1

2 BOJONG Rp25,000 RP1,500 Rp23,500 2

3 BOJONG Rp25,000 RP1,500 Rp23,500 3

4 BOJONG Rp25,000 RP1,500 Rp23,500 4

5 BOJONG Rp25,000 RP1,500 Rp23,500 5

6 BOJONG Rp25,000 RP1,500 Rp23,500 6

7 BOJONG Rp25,000 RP1,500 Rp23,500 7

8 BOJONG Rp25,000 RP1,500 Rp23,500 8

9 LAMBUR Rp25,000 RP1,500 Rp23,500 9

10 LAMBUR Rp25,000 RP1,500 Rp23,500 10

11 LAMBUR Rp25,000 RP1,500 Rp23,500 11

12 LAMBUR Rp25,000 RP1,500 Rp23,500 12

13 LAMBUR Rp25,000 RP1,500 Rp23,500 13

14 LAMBUR Rp25,000 RP1,500 Rp23,500 14

15 LAMBUR Rp25,000 RP1,500 Rp23,500 15

16 SERAYU KR Rp25,000 RP1,500 Rp23,500 16

17 SERAYU KR Rp25,000 RP1,500 Rp23,500 17

18 SERAYU KR Rp25,000 RP1,500 Rp23,500 18

19 SERAYU KR Rp25,000 RP1,500 Rp23,500 19

20 SERAYU KR Rp25,000 RP1,500 Rp23,500 20

21 SERAYU KR Rp25,000 RP1,500 Rp23,500 21

22 SERAYU KR Rp25,000 RP1,500 Rp23,500 22

23 SERAYU LAR Rp25,000 RP1,500 Rp23,500 23

24 SERAYU LAR Rp25,000 RP1,500 Rp23,500 24

25 SERAYU LAR Rp25,000 RP1,500 Rp23,500 25

26 SERAYU LAR Rp25,000 RP1,500 Rp23,500 26

27 SERAYU LAR Rp25,000 RP1,500 Rp23,500 27

28 SERAYU LAR Rp25,000 RP1,500 Rp23,500 28

29 SERAYU LAR Rp25,000 RP1,500 Rp23,500 29

30 SERAYU LAR Rp25,000 RP1,500 Rp23,500 30

31 SANGKANAYU Rp25,000 RP1,500 Rp23,500 31

32 SANGKANAYU Rp25,000 RP1,500 Rp23,500 32

33 SANGKANAYU Rp25,000 RP1,500 Rp23,500 33

34 SANGKANAYU Rp25,000 RP1,500 Rp23,500 34

35 SANGKANAYU Rp25,000 RP1,500 Rp23,500 35

36 SANGKANAYU Rp25,000 RP1,500 Rp23,500 36

37 SANGKANAYU Rp25,000 RP1,500 Rp23,500 37

38 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 38

39 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 39

40 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 40

41 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 41

42 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 42

43 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 43

44 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 44

45 PG.ANDONG Rp25,000 RP1,500 Rp23,500 45

46 PG.ANDONG Rp25,000 RP1,500 Rp23,500 46

47 PG.ANDONG Rp25,000 RP1,500 Rp23,500 47

48 PG.ANDONG Rp25,000 RP1,500 Rp23,500 48

49 PG.ANDONG Rp25,000 RP1,500 Rp23,500 49

50 PG.ANDONG Rp25,000 RP1,500 Rp23,500 50

51 PG.ANDONG Rp25,000 RP1,500 Rp23,500 51

PENGALUSAN
52 Rp25,000 RP1,500 Rp23,500 52
PENGALUSAN
53 Rp25,000 RP1,500 Rp23,500 53
PENGALUSAN
54 Rp25,000 RP1,500 Rp23,500 54
PENGALUSAN
55 Rp25,000 RP1,500 Rp23,500 55
PENGALUSAN
56 Rp25,000 RP1,500 Rp23,500 56
PENGALUSAN
57 Rp25,000 RP1,500 Rp23,500 57
PENGALUSAN
58 Rp25,000 RP1,500 Rp23,500 58
BINANGUN
59 Rp25,000 RP1,500 Rp23,500 59
BINANGUN
60 Rp25,000 RP1,500 Rp23,500 60
BINANGUN
61 Rp25,000 RP1,500 Rp23,500 61
BINANGUN
62 Rp25,000 RP1,500 Rp23,500 62
BINANGUN
63 Rp25,000 RP1,500 Rp23,500 63
BINANGUN
64 Rp25,000 RP1,500 Rp23,500 64
BINANGUN
65 Rp25,000 RP1,500 Rp23,500 65

Serayularangan, 22 Juli 2017

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT
PERTEMUAN SOSIALISASI SUAMI SIAGA
TANGGAL 25 AGUSTUS 2020
NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN
1 BOJONG Rp30,000 Rp1,800 Rp28,200 1
2 BOJONG Rp30,000 Rp1,800 Rp28,200 2
3 BOJONG Rp30,000 Rp1,800 Rp28,200 3
4 BOJONG Rp30,000 Rp1,800 Rp28,200 4
5 SERAYU KR Rp30,000 Rp1,800 Rp28,200 5
6 SERAYU KR Rp30,000 Rp1,800 Rp28,200 6
7 SERAYU KR Rp30,000 Rp1,800 Rp28,200 7
8 SERAYU KR Rp30,000 Rp1,800 Rp28,200 8
9 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 9
10 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 10
11 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 11
12 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 12
13 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 13
14 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 14
15 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 15
16 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 16
17 PG.DONG Rp30,000 Rp1,800 Rp28,200 17
18 PG.DONG Rp30,000 Rp1,800 Rp28,200 18
19 PG.DONG Rp30,000 Rp1,800 Rp28,200 19
20 PG.DONG Rp30,000 Rp1,800 Rp28,200 20
21 LAMBUR Rp30,000 Rp1,800 Rp28,200 21
22 LAMBUR Rp30,000 Rp1,800 Rp28,200 22
23 LAMBUR Rp30,000 Rp1,800 Rp28,200 23
24 LAMBUR Rp30,000 Rp1,800 Rp28,200 24
25 BINANGUN Rp30,000 Rp1,800 Rp28,200 25
26 BINANGUN Rp30,000 Rp1,800 Rp28,200 26
27 BINANGUN Rp30,000 Rp1,800 Rp28,200 27
28 BINANGUN Rp30,000 Rp1,800 Rp28,200 28
29 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 29
30 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 30
31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31
32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32
33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33
34 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan, 25 Agustus 2020
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN PWS KIA
TANGGAL 7 NOVEMBER 2020
NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN
1 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 1
2 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 2
3 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 3
4 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 4
5 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 5
6 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 6
7 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 7
8 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 8
9 BINANGUN Rp30,000 Rp1,800 Rp28,200 9
10 BINANGUN Rp30,000 Rp1,800 Rp28,200 10
11 BINANGUN Rp30,000 Rp1,800 Rp28,200 11
12 BINANGUN Rp30,000 Rp1,800 Rp28,200 12
13 PG.DONG Rp30,000 Rp1,800 Rp28,200 13
14 PG.DONG Rp30,000 Rp1,800 Rp28,200 14
15 PG.DONG Rp30,000 Rp1,800 Rp28,200 15
16 PG.DONG Rp30,000 Rp1,800 Rp28,200 16
17 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 17
18 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 18
19 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 19
20 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 20
21 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 21
22 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 22
23 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 23
24 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 24
25 BOJONG Rp30,000 Rp1,800 Rp28,200 25
26 BOJONG Rp30,000 Rp1,800 Rp28,200 26
27 BOJONG Rp30,000 Rp1,800 Rp28,200 27
28 BOJONG Rp30,000 Rp1,800 Rp28,200 28
29 SERAYU KR Rp30,000 Rp1,800 Rp28,200 29
30 SERAYU KR Rp30,000 Rp1,800 Rp28,200 30
31 SERAYU KR Rp30,000 Rp1,800 Rp28,200 31
32 SERAYU KR Rp30,000 Rp1,800 Rp28,200 32
33 LAMBUR Rp30,000 Rp1,800 Rp28,200 33
34 LAMBUR Rp30,000 Rp1,800 Rp28,200 34
35 LAMBUR Rp30,000 Rp1,800 Rp28,200 35
36 LAMBUR Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan, 7 November 2020
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31

32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32

33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33

34
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH
Rp1,080,000 Rp64,800 Rp1,015,200

Serayularangan,22 Oktober 2019

Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN KESEHATAN REPRODUKSI REMAJA

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 22 OKTOBER 2020

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 Rp30,000 Rp1,800 Rp28,200 1

2 Rp30,000 Rp1,800 Rp28,200 2

3 Rp30,000 Rp1,800 Rp28,200 3

4 Rp30,000 Rp1,800 Rp28,200 4

5 Rp30,000 Rp1,800 Rp28,200 5

6 Rp30,000 Rp1,800 Rp28,200 6

7 Rp30,000 Rp1,800 Rp28,200 7

8 Rp30,000 Rp1,800 Rp28,200 8

9 Rp30,000 Rp1,800 Rp28,200 9

10 Rp30,000 Rp1,800 Rp28,200 10

11 Rp30,000 Rp1,800 Rp28,200 11

12 Rp30,000 Rp1,800 Rp28,200 12

13 Rp30,000 Rp1,800 Rp28,200 13

14 Rp30,000 Rp1,800 Rp28,200 14

15 Rp30,000 Rp1,800 Rp28,200 15

16 Rp30,000 Rp1,800 Rp28,200 16

17 Rp30,000 Rp1,800 Rp28,200 17

18 Rp30,000 Rp1,800 Rp28,200 18

19 Rp30,000 Rp1,800 Rp28,200 19

20 Rp30,000 Rp1,800 Rp28,200 20

21 Rp30,000 Rp1,800 Rp28,200 21

22 Rp30,000 Rp1,800 Rp28,200 22

23 Rp30,000 Rp1,800 Rp28,200 23

24 Rp30,000 Rp1,800 Rp28,200 24

25 Rp30,000 Rp1,800 Rp28,200 25

26 Rp30,000 Rp1,800 Rp28,200 26

27 Rp30,000 Rp1,800 Rp28,200 27

28 Rp30,000 Rp1,800 Rp28,200 28

29 Rp30,000 Rp1,800 Rp28,200 29

30 Rp30,000 Rp1,800 Rp28,200 30

31 Rp30,000 Rp1,800 Rp28,200 31

32 Rp30,000 Rp1,800 Rp28,200 32

33 Rp30,000 Rp1,800 Rp28,200 33

34
Rp30,000 Rp1,800 Rp28,200 34
35
Rp30,000 Rp1,800 Rp28,200 35
36
Rp30,000 Rp1,800 Rp28,200 36
37
Rp30,000 Rp1,800 Rp28,200 37
38
Rp30,000 Rp1,800 Rp28,200 38
39
Rp30,000 Rp1,800 Rp28,200 39
40
Rp30,000 Rp1,800 Rp28,200 40
41
Rp30,000 Rp1,800 Rp28,200 41
42
Rp30,000 Rp1,800 Rp28,200 42

43 Rp30,000 Rp1,800 Rp28,200 43

44 Rp30,000 Rp1,800 Rp28,200 44

45 Rp30,000 Rp1,800 Rp28,200 45

JUMLAH Rp1,350,000 Rp81,000 Rp1,269,000

Serayu Larangan, 22 Oktober 2020

Kepala

Puskesmas Serayu Larangan

 dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN HONOR PIKET

PPPK DALAM RANGKA PPKM WILAYAH KAB PURBALINGGA

NO NAMA JABATAN Unit cost Pph penerimaan TANDA TANGAN

1 SRI SULARTI BIDAN 50,000 2,500 47,500 1

2 ARIANI NURDIATI BIDAN 50,000 2,500 47,500 2

3 TUWANTO SOPIR 150,000 9,000 141,000 3

4 SUHIRMO PERAWAT 50,000 2,500 47,500 4

5 KHOMSIN FAUZI BIDAN 50,000 2,500 47,500 5

6 HARTINI BIDAN 50,000 3,000 47,000 6

7 YUNI NIDARWATI BIDAN 50,000 3,000 47,000 7

Rp450,000 Rp25,000 Rp425,000

Serayu Larangan, FEBRUARI 2021

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN KESEHATAN PWS KIA

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 22 JULI 2017

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp25,000 RP1,500 Rp23,500 1

2 BOJONG Rp25,000 RP1,500 Rp23,500 2

3 BOJONG Rp25,000 RP1,500 Rp23,500 3

4 BOJONG Rp25,000 RP1,500 Rp23,500 4

5 BOJONG Rp25,000 RP1,500 Rp23,500 5
6 BOJONG Rp25,000 RP1,500 Rp23,500 6
7 BOJONG Rp25,000 RP1,500 Rp23,500 7
8 BOJONG Rp25,000 RP1,500 Rp23,500 8
9 LAMBUR Rp25,000 RP1,500 Rp23,500 9
10 LAMBUR Rp25,000 RP1,500 Rp23,500 10
11 LAMBUR Rp25,000 RP1,500 Rp23,500 11
12 LAMBUR Rp25,000 RP1,500 Rp23,500 12

13 LAMBUR Rp25,000 RP1,500 Rp23,500 13

14 LAMBUR Rp25,000 RP1,500 Rp23,500 14

15 LAMBUR Rp25,000 RP1,500 Rp23,500 15

16 SERAYU KR Rp25,000 RP1,500 Rp23,500 16

17 SERAYU KR Rp25,000 RP1,500 Rp23,500 17

18 SERAYU KR Rp25,000 RP1,500 Rp23,500 18

19 SERAYU KR Rp25,000 RP1,500 Rp23,500 19

20 SERAYU KR Rp25,000 RP1,500 Rp23,500 20

21 SERAYU KR Rp25,000 RP1,500 Rp23,500 21

22 SERAYU KR Rp25,000 RP1,500 Rp23,500 22

23 SERAYU LAR Rp25,000 RP1,500 Rp23,500 23

24 SERAYU LAR Rp25,000 RP1,500 Rp23,500 24

25 SERAYU LAR Rp25,000 RP1,500 Rp23,500 25

26 SERAYU LAR Rp25,000 RP1,500 Rp23,500 26

27 SERAYU LAR Rp25,000 RP1,500 Rp23,500 27

28 SERAYU LAR Rp25,000 RP1,500 Rp23,500 28

29 SERAYU LAR Rp25,000 RP1,500 Rp23,500 29

30 SERAYU LAR Rp25,000 RP1,500 Rp23,500 30

31 SANGKANAYU Rp25,000 RP1,500 Rp23,500 31

32 SANGKANAYU Rp25,000 RP1,500 Rp23,500 32

33 SANGKANAYU Rp25,000 RP1,500 Rp23,500 33

34 SANGKANAYU Rp25,000 RP1,500 Rp23,500 34

35 SANGKANAYU Rp25,000 RP1,500 Rp23,500 35

36 SANGKANAYU Rp25,000 RP1,500 Rp23,500 36

37 SANGKANAYU Rp25,000 RP1,500 Rp23,500 37

38 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 38

39 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 39

40 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 40

41 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 41

42 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 42

43 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 43

44 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 44

45 PG.ANDONG Rp25,000 RP1,500 Rp23,500 45

46 PG.ANDONG Rp25,000 RP1,500 Rp23,500 46

47 PG.ANDONG Rp25,000 RP1,500 Rp23,500 47

48 PG.ANDONG Rp25,000 RP1,500 Rp23,500 48

49 PG.ANDONG Rp25,000 RP1,500 Rp23,500 49

50 PG.ANDONG Rp25,000 RP1,500 Rp23,500 50

51 PG.ANDONG Rp25,000 RP1,500 Rp23,500 51

PENGALUSAN
52 Rp25,000 RP1,500 Rp23,500 52
PENGALUSAN
53 Rp25,000 RP1,500 Rp23,500 53
PENGALUSAN
54 Rp25,000 RP1,500 Rp23,500 54
PENGALUSAN
55 Rp25,000 RP1,500 Rp23,500 55
 PENGALUSAN
56 Rp25,000 RP1,500 Rp23,500 56
PENGALUSAN
57 Rp25,000 RP1,500 Rp23,500 57
PENGALUSAN
58 Rp25,000 RP1,500 Rp23,500 58
BINANGUN
59 Rp25,000 RP1,500 Rp23,500 59
BINANGUN
60 Rp25,000 RP1,500 Rp23,500 60
BINANGUN
61 Rp25,000 RP1,500 Rp23,500 61
BINANGUN
62 Rp25,000 RP1,500 Rp23,500 62
BINANGUN
63 Rp25,000 RP1,500 Rp23,500 63
BINANGUN
64 Rp25,000 RP1,500 Rp23,500 64
BINANGUN
65 Rp25,000 RP1,500 Rp23,500 65

Serayularangan, 22 Juli 2017

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN SOSIALISASI SUAMI SIAGA

TANGGAL 25 AGUSTUS 2020

NO
NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp30,000 Rp1,800 Rp28,200 1

2 BOJONG Rp30,000 Rp1,800 Rp28,200 2

3 BOJONG Rp30,000 Rp1,800 Rp28,200 3

4 BOJONG Rp30,000 Rp1,800 Rp28,200 4

5 SERAYU KR Rp30,000 Rp1,800 Rp28,200 5

6 SERAYU KR Rp30,000 Rp1,800 Rp28,200 6

7 SERAYU KR Rp30,000 Rp1,800 Rp28,200 7

8 SERAYU KR Rp30,000 Rp1,800 Rp28,200 8

9 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 9

10 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 10

11 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 11

12 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 12

13 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 13

14 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 14

15 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 15

16 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 16

17 PG.DONG Rp30,000 Rp1,800 Rp28,200 17

18 PG.DONG Rp30,000 Rp1,800 Rp28,200 18

19 PG.DONG Rp30,000 Rp1,800 Rp28,200 19

20 PG.DONG Rp30,000 Rp1,800 Rp28,200 20

21 LAMBUR Rp30,000 Rp1,800 Rp28,200 21

22 LAMBUR Rp30,000 Rp1,800 Rp28,200 22

23 LAMBUR Rp30,000 Rp1,800 Rp28,200 23

24 LAMBUR Rp30,000 Rp1,800 Rp28,200 24

25 BINANGUN Rp30,000 Rp1,800 Rp28,200 25

26 BINANGUN Rp30,000 Rp1,800 Rp28,200 26

27 BINANGUN Rp30,000 Rp1,800 Rp28,200 27

28 BINANGUN Rp30,000 Rp1,800 Rp28,200 28

29 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 29

30 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 30

31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31

32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32

33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33

34
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH
Rp1,080,000 Rp64,800 Rp1,015,200

Serayularangan, 25 Agustus 2020

Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN PWS KIA
TANGGAL 7 NOVEMBER 2020
NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN
1 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 1
2 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 2
3 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 3
4 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 4
5 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 5
6 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 6
7 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 7
8 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 8
9 BINANGUN Rp30,000 Rp1,800 Rp28,200 9
10 BINANGUN Rp30,000 Rp1,800 Rp28,200 10
11 BINANGUN Rp30,000 Rp1,800 Rp28,200 11
12 BINANGUN Rp30,000 Rp1,800 Rp28,200 12
13 PG.DONG Rp30,000 Rp1,800 Rp28,200 13
14 PG.DONG Rp30,000 Rp1,800 Rp28,200 14
15 PG.DONG Rp30,000 Rp1,800 Rp28,200 15
16 PG.DONG Rp30,000 Rp1,800 Rp28,200 16
17 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 17
18 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 18
19 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 19
20 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 20
21 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 21
22 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 22
23 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 23
24 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 24
25 BOJONG Rp30,000 Rp1,800 Rp28,200 25
26 BOJONG Rp30,000 Rp1,800 Rp28,200 26
27 BOJONG Rp30,000 Rp1,800 Rp28,200 27
28 BOJONG Rp30,000 Rp1,800 Rp28,200 28
29 SERAYU KR Rp30,000 Rp1,800 Rp28,200 29
30 SERAYU KR Rp30,000 Rp1,800 Rp28,200 30
31 SERAYU KR Rp30,000 Rp1,800 Rp28,200 31
32 SERAYU KR Rp30,000 Rp1,800 Rp28,200 32
33 LAMBUR Rp30,000 Rp1,800 Rp28,200 33
34 LAMBUR Rp30,000 Rp1,800 Rp28,200 34
35 LAMBUR Rp30,000 Rp1,800 Rp28,200 35
36 LAMBUR Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan, 7 November 2020
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31

32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32
33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33
34 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan,22 Oktober 2019
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT
PERTEMUAN KESEHATAN REPRODUKSI REMAJA
PUSKESMAS SERAYU LARANGAN
PADA TANGGAL 22 OKTOBER 2020

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 Rp30,000 Rp1,800 Rp28,200 1

2 Rp30,000 Rp1,800 Rp28,200 2

3 Rp30,000 Rp1,800 Rp28,200 3

4 Rp30,000 Rp1,800 Rp28,200 4

5 Rp30,000 Rp1,800 Rp28,200 5

6 Rp30,000 Rp1,800 Rp28,200 6

7 Rp30,000 Rp1,800 Rp28,200 7

8 Rp30,000 Rp1,800 Rp28,200 8

9 Rp30,000 Rp1,800 Rp28,200 9

10 Rp30,000 Rp1,800 Rp28,200 10

11 Rp30,000 Rp1,800 Rp28,200 11

12 Rp30,000 Rp1,800 Rp28,200 12

13 Rp30,000 Rp1,800 Rp28,200 13

14 Rp30,000 Rp1,800 Rp28,200 14

15 Rp30,000 Rp1,800 Rp28,200 15

16 Rp30,000 Rp1,800 Rp28,200 16

17 Rp30,000 Rp1,800 Rp28,200 17

18 Rp30,000 Rp1,800 Rp28,200 18

19 Rp30,000 Rp1,800 Rp28,200 19

20 Rp30,000 Rp1,800 Rp28,200 20

21 Rp30,000 Rp1,800 Rp28,200 21

22 Rp30,000 Rp1,800 Rp28,200 22

23 Rp30,000 Rp1,800 Rp28,200 23

24 Rp30,000 Rp1,800 Rp28,200 24

25 Rp30,000 Rp1,800 Rp28,200 25

26 Rp30,000 Rp1,800 Rp28,200 26

27 Rp30,000 Rp1,800 Rp28,200 27

28 Rp30,000 Rp1,800 Rp28,200 28

29 Rp30,000 Rp1,800 Rp28,200 29

30 Rp30,000 Rp1,800 Rp28,200 30

31 Rp30,000 Rp1,800 Rp28,200 31

32 Rp30,000 Rp1,800 Rp28,200 32

33 Rp30,000 Rp1,800 Rp28,200 33

34
Rp30,000 Rp1,800 Rp28,200 34
35
Rp30,000 Rp1,800 Rp28,200 35
36
Rp30,000 Rp1,800 Rp28,200 36
37
Rp30,000 Rp1,800 Rp28,200 37
38
Rp30,000 Rp1,800 Rp28,200 38
39
Rp30,000 Rp1,800 Rp28,200 39
40
Rp30,000 Rp1,800 Rp28,200 40
41
Rp30,000 Rp1,800 Rp28,200 41
42
Rp30,000 Rp1,800 Rp28,200 42

43 Rp30,000 Rp1,800 Rp28,200 43

44 Rp30,000 Rp1,800 Rp28,200 44

45 Rp30,000 Rp1,800 Rp28,200 45

JUMLAH Rp1,350,000 Rp81,000 Rp1,269,000

Serayu Larangan, 22 Oktober 2020

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR HADIR

PERTEMUAN LOKAKARYAMINI LINTAS SEKTORAL

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 18 FEBRUARI 2021

NO NAMA ALAMAT TANDA TANGAN

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

10 10

11 11

12 12

13 13

14 14

15 15

16 16

17 17

18 18

19 19

20 20

21 21

22 22

23 23

24 24

25 25
26 26

27 27

28 28

29 29

30 30

31 31

32 32

33 33

34 34

35 35

36 36

37 37

38 38

39 39

40 40

Serayu Lr, 16 September 2020

Kepala

Puskesmas Serayularangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR HADIR

PERTEMUAN PWS KIA

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 7 NOVEMBER 2020

NO NAMA ALAMAT TANDA TANGAN

1 SANGKANAYU 1

2 SANGKANAYU 2

3 SANGKANAYU 3

4 SANGKANAYU 4

5 PENGALUSAN 5

6 PENGALUSAN 6

7 PENGALUSAN 7

8 PENGALUSAN 8

9 BINANGUN 9

10 BINANGUN 10

11 BINANGUN 11

12 BINANGUN 12

13 PAGERANDONG 13

14 PAGERANDONG 14

15 PAGERANDONG 15

16 PAGERANDONG 16

17 CAMPAKOAH 17

18 CAMPAKOAH 18

19 CAMPAKOAH 19

20 CAMPAKOAH 20

21 SERAYU LARANGAN 21

22 SERAYU LARANGAN 22

23 SERAYU LARANGAN 23

24 SERAYU LARANGAN 24
25 BOJONG 25

26 BOJONG 26

27 BOJONG 27

28 BOJONG 28

29 SERAYU KARANGANYAR 29

30 SERAYU KARANGANYAR 30

31 SERAYU KARANGANYAR 31

32 SERAYU KARANGANYAR 32

33 LAMBUR 33

34 LAMBUR 34

35 LAMBUR 35

36 LAMBUR 36

37 PUSKESMAS SERAYU LAR 37

38 PUSKESMAS SERAYU LAR 38

39 PUSKESMAS SERAYU LAR 39

40 PUSKESMAS SERAYU LAR 40

Serayu Lr, 7 November 2020

Kepala

Puskesmas Serayularangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR HADIR
PERTEMUAN LOKAKARYAMINI LINTAS SEKTORAL
PUSKESMAS SERAYU LARANGAN
PADA TANGGAL 18 FEBRUARI 2021

NO NAMA ALAMAT TANDA TANGAN

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

10 10

11 11

12 12

13 13

14 14

15 15

16 16

17 17

18 18

19 19

20 20

21 21

22 22

23 23

24 24

25 25
26 26

27 27

28 28

29 29

30 30

31 31

32 32

33 33

34 34

35 35

36 36

37 37

38 38

39 39

40 40

41 41

42 42

43 43

44 44

45 45

46 46

47 47

48 48

49 49

50 50

Serayu Lr, 18 Februari 2021

Kepala

Puskesmas Serayularangan
 dr Prawesti Wulandari

NIP. 197005282002122005

61 BINANGUN 61

62 BINANGUN 62

63 BINANGUN 63

64 BINANGUN 64

65 BINANGUN 65

66 PUSKESMAS SERAYU L 66

67 PUSKESMAS SERAYU L 67

68 PUSKESMAS SERAYU L 68

69 PUSKESMAS SERAYU L 69

70 PUSKESMAS SERAYU L 70

71 PUSKESMAS SERAYU L 71

72 PUSKESMAS SERAYU L 72

73 PUSKESMAS SERAYU L 73

74 PUSKESMAS SERAYU L 74

75 PUSKESMAS SERAYU L 75

Serayu Lr, 22 Juli 2017

Kepala

Puskesmas Serayularangan

dr Prawesti Wulandari
NIP. 197005282002122005
 DAFTAR HADIR
PERTEMUAN PWS IMUNISASI
PUSKESMAS SERAYU LARANGAN
TANGGAL 5 NOVEMBER 2020

NO NAMA ALAMAT TANDA TANGAN

1 BOJONG 1
2 BOJONG 2
3 BOJONG 3
4 BOJONG 4
5 BOJONG 5
6 SERAYU KR 6
7 SERAYU KR 7
8 SERAYU KR 8
9 SERAYU KR 9
10 SERAYU KR 10
11 SERAYU LAR 11
12 SERAYU LAR 12
13 SERAYU LAR 13
14 SERAYU LAR 14
15 SERAYU LAR 15
16 CAMPAKOAH 16
17 CAMPAKOAH 17
18 CAMPAKOAH 18
19 CAMPAKOAH 19
20 CAMPAKOAH 20
21 PAGERANDONG 21
22 PAGERANDONG 22
23 PAGERANDONG 23
24 PAGERANDONG 24
25 PAGERANDONG 25
26 LAMBUR 26
27 LAMBUR 27
28 LAMBUR 28
29 LAMBUR 29
30 LAMBUR 30

31 BINANGUN 31
32 BINANGUN 32
33 BINANGUN 33
34 BINANGUN 34
35 BINANGUN 35

36 PENGALUSAN 36

37 PENGALUSAN 37

38 PENGALUSAN 38

39 PENGALUSAN 39

40 PENGALUSAN 40

41 SANGKANAYU 41

42 SANGKANAYU 42

43 SANGKANAYU 43

44 SANGKANAYU 44

45 SANGKANAYU 45
46 PUSKESMAS SERAYU L
46
47 PUSKESMAS SERAYU L
47
48 PUSKESMAS SERAYU L
48
49 PUSKESMAS SERAYU L
49
50 PUSKESMAS SERAYU L
50

Serayu Lr, 5 November 2020

Kepala
 Puskesmas Serayularangan

dr Prawesti Wulandari
NIP. 197005282002122005

DAFTAR HADIR

PERTEMUAN KESEHATAN REPRODUKSI REMAJA

PUSKESMAS SERAYU LARANGAN

TANGGAL 22 OKTOBER 2020

NO NAMA ALAMAT TANDA TANGAN

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

10 10

11 11

12 12

13 13

14 14

15 15

16 16

17 17

18 18
19 19

20 20

21 21

22 22

23 23

24 24

25 25

26 26

27 27

28 28

29 29

30 30

31 31

32 32

33 33

34 34

35 35

36 36

37 37

38 38

39 39

40 40

41 41

42 42

43 43

44 44

45 45
46
46
47
47
48
48
49
49
50
50
Serayu Lr, 22 Oktober 2020

Kepala

Puskesmas Serayularangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN HONOR PIKET PPPK

PENGAMANAN NATAL DAN TAHUN BARU 2021

POST REST AREA KARANGREJA

NO NAMA JABATAN Unit cost Pph penerimaan TANDA TANGAN

1 TRIMO WAHYU P PERAWAT 50,000 2,500 47,500 1

2 SUHIRMO PERAWAT 50,000 2,500 47,500 2

3 GILANG BUDI L PRANATA LAB 50,000 3,000 47,000 3

4 GUMILANG DWI A PERAWAT 50,000 - 50,000 4

5 YUNI NIDARWATI BIDAN 50,000 3,000 47,000 5

6 UPIK TRI HASTUTI PERAWAT 50,000 2,500 47,500 6

7 MURNI RAHAYU BIDAN 50,000 3,000 47,000 7

8 TUWANTO DRIVER 100,000 6,000 94,000

Rp450,000 Rp22,500 Rp427,500

Serayu Larangan, desember 2021

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN KESEHATAN PWS KIA

PUSKESMAS SERAYU LARANGAN

PADA TANGGAL 22 JULI 2017

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp25,000 RP1,500 Rp23,500 1

2 BOJONG Rp25,000 RP1,500 Rp23,500 2

3 BOJONG Rp25,000 RP1,500 Rp23,500 3

4 BOJONG Rp25,000 RP1,500 Rp23,500 4

5 BOJONG Rp25,000 RP1,500 Rp23,500 5
6 BOJONG Rp25,000 RP1,500 Rp23,500 6
7 BOJONG Rp25,000 RP1,500 Rp23,500 7
8 BOJONG Rp25,000 RP1,500 Rp23,500 8
9 LAMBUR Rp25,000 RP1,500 Rp23,500 9
10 LAMBUR Rp25,000 RP1,500 Rp23,500 10
11 LAMBUR Rp25,000 RP1,500 Rp23,500 11
12 LAMBUR Rp25,000 RP1,500 Rp23,500 12

13 LAMBUR Rp25,000 RP1,500 Rp23,500 13

14 LAMBUR Rp25,000 RP1,500 Rp23,500 14

15 LAMBUR Rp25,000 RP1,500 Rp23,500 15

16 SERAYU KR Rp25,000 RP1,500 Rp23,500 16

17 SERAYU KR Rp25,000 RP1,500 Rp23,500 17

18 SERAYU KR Rp25,000 RP1,500 Rp23,500 18

19 SERAYU KR Rp25,000 RP1,500 Rp23,500 19

20 SERAYU KR Rp25,000 RP1,500 Rp23,500 20

21 SERAYU KR Rp25,000 RP1,500 Rp23,500 21

22 SERAYU KR Rp25,000 RP1,500 Rp23,500 22

23 SERAYU LAR Rp25,000 RP1,500 Rp23,500 23

24 SERAYU LAR Rp25,000 RP1,500 Rp23,500 24

25 SERAYU LAR Rp25,000 RP1,500 Rp23,500 25

26 SERAYU LAR Rp25,000 RP1,500 Rp23,500 26

27 SERAYU LAR Rp25,000 RP1,500 Rp23,500 27

28 SERAYU LAR Rp25,000 RP1,500 Rp23,500 28

29 SERAYU LAR Rp25,000 RP1,500 Rp23,500 29

30 SERAYU LAR Rp25,000 RP1,500 Rp23,500 30

31 SANGKANAYU Rp25,000 RP1,500 Rp23,500 31

32 SANGKANAYU Rp25,000 RP1,500 Rp23,500 32

33 SANGKANAYU Rp25,000 RP1,500 Rp23,500 33

34 SANGKANAYU Rp25,000 RP1,500 Rp23,500 34

35 SANGKANAYU Rp25,000 RP1,500 Rp23,500 35

36 SANGKANAYU Rp25,000 RP1,500 Rp23,500 36

37 SANGKANAYU Rp25,000 RP1,500 Rp23,500 37

38 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 38

39 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 39

40 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 40

41 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 41

42 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 42

43 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 43

44 CAMPAKOAH Rp25,000 RP1,500 Rp23,500 44

45 PG.ANDONG Rp25,000 RP1,500 Rp23,500 45

46 PG.ANDONG Rp25,000 RP1,500 Rp23,500 46

47 PG.ANDONG Rp25,000 RP1,500 Rp23,500 47

48 PG.ANDONG Rp25,000 RP1,500 Rp23,500 48

49 PG.ANDONG Rp25,000 RP1,500 Rp23,500 49

50 PG.ANDONG Rp25,000 RP1,500 Rp23,500 50

51 PG.ANDONG Rp25,000 RP1,500 Rp23,500 51

PENGALUSAN
52 Rp25,000 RP1,500 Rp23,500 52
PENGALUSAN
53 Rp25,000 RP1,500 Rp23,500 53
PENGALUSAN
54 Rp25,000 RP1,500 Rp23,500 54
PENGALUSAN
55 Rp25,000 RP1,500 Rp23,500 55
 PENGALUSAN
56 Rp25,000 RP1,500 Rp23,500 56
PENGALUSAN
57 Rp25,000 RP1,500 Rp23,500 57
PENGALUSAN
58 Rp25,000 RP1,500 Rp23,500 58
BINANGUN
59 Rp25,000 RP1,500 Rp23,500 59
BINANGUN
60 Rp25,000 RP1,500 Rp23,500 60
BINANGUN
61 Rp25,000 RP1,500 Rp23,500 61
BINANGUN
62 Rp25,000 RP1,500 Rp23,500 62
BINANGUN
63 Rp25,000 RP1,500 Rp23,500 63
BINANGUN
64 Rp25,000 RP1,500 Rp23,500 64
BINANGUN
65 Rp25,000 RP1,500 Rp23,500 65

Serayularangan, 22 Juli 2017

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN SOSIALISASI SUAMI SIAGA

TANGGAL 25 AGUSTUS 2020

NO
NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 BOJONG Rp30,000 Rp1,800 Rp28,200 1

2 BOJONG Rp30,000 Rp1,800 Rp28,200 2

3 BOJONG Rp30,000 Rp1,800 Rp28,200 3

4 BOJONG Rp30,000 Rp1,800 Rp28,200 4

5 SERAYU KR Rp30,000 Rp1,800 Rp28,200 5

6 SERAYU KR Rp30,000 Rp1,800 Rp28,200 6

7 SERAYU KR Rp30,000 Rp1,800 Rp28,200 7

8 SERAYU KR Rp30,000 Rp1,800 Rp28,200 8

9 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 9

10 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 10

11 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 11

12 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 12

13 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 13

14 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 14

15 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 15

16 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 16

17 PG.DONG Rp30,000 Rp1,800 Rp28,200 17

18 PG.DONG Rp30,000 Rp1,800 Rp28,200 18

19 PG.DONG Rp30,000 Rp1,800 Rp28,200 19

20 PG.DONG Rp30,000 Rp1,800 Rp28,200 20

21 LAMBUR Rp30,000 Rp1,800 Rp28,200 21

22 LAMBUR Rp30,000 Rp1,800 Rp28,200 22

23 LAMBUR Rp30,000 Rp1,800 Rp28,200 23

24 LAMBUR Rp30,000 Rp1,800 Rp28,200 24

25 BINANGUN Rp30,000 Rp1,800 Rp28,200 25

26 BINANGUN Rp30,000 Rp1,800 Rp28,200 26

27 BINANGUN Rp30,000 Rp1,800 Rp28,200 27

28 BINANGUN Rp30,000 Rp1,800 Rp28,200 28

29 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 29

30 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 30

31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31

32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32

33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33

34
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36
SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH
Rp1,080,000 Rp64,800 Rp1,015,200

Serayularangan, 25 Agustus 2020

Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

DAFTAR PENERIMAAN TRANSPORT

PERTEMUAN PWS KIA
TANGGAL 7 NOVEMBER 2020
NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN
1 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 1
2 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 2
3 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 3
4 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 4
5 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 5
6 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 6
7 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 7
8 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 8
9 BINANGUN Rp30,000 Rp1,800 Rp28,200 9
10 BINANGUN Rp30,000 Rp1,800 Rp28,200 10
11 BINANGUN Rp30,000 Rp1,800 Rp28,200 11
12 BINANGUN Rp30,000 Rp1,800 Rp28,200 12
13 PG.DONG Rp30,000 Rp1,800 Rp28,200 13
14 PG.DONG Rp30,000 Rp1,800 Rp28,200 14
15 PG.DONG Rp30,000 Rp1,800 Rp28,200 15
16 PG.DONG Rp30,000 Rp1,800 Rp28,200 16
17 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 17
18 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 18
19 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 19
20 CAMPAKOAH Rp30,000 Rp1,800 Rp28,200 20
21 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 21
22 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 22
23 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 23
24 SERAYU LAR Rp30,000 Rp1,800 Rp28,200 24
25 BOJONG Rp30,000 Rp1,800 Rp28,200 25
26 BOJONG Rp30,000 Rp1,800 Rp28,200 26
27 BOJONG Rp30,000 Rp1,800 Rp28,200 27
28 BOJONG Rp30,000 Rp1,800 Rp28,200 28
29 SERAYU KR Rp30,000 Rp1,800 Rp28,200 29
30 SERAYU KR Rp30,000 Rp1,800 Rp28,200 30
31 SERAYU KR Rp30,000 Rp1,800 Rp28,200 31
32 SERAYU KR Rp30,000 Rp1,800 Rp28,200 32
33 LAMBUR Rp30,000 Rp1,800 Rp28,200 33
34 LAMBUR Rp30,000 Rp1,800 Rp28,200 34
35 LAMBUR Rp30,000 Rp1,800 Rp28,200 35
36 LAMBUR Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan, 7 November 2020
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005

31 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 31

32 PENGALUSAN Rp30,000 Rp1,800 Rp28,200 32
33 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 33
34 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 34
35 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 35
36 SANGKANAYU Rp30,000 Rp1,800 Rp28,200 36
JUMLAH Rp1,080,000 Rp64,800 Rp1,015,200
Serayularangan,22 Oktober 2019
Kepala Puskesmas Serayu Larangan

dr Prawesti Wulandari
NIP. 197005282002122005
 DAFTAR PENERIMAAN TRANSPORT
PERTEMUAN KESEHATAN REPRODUKSI REMAJA
PUSKESMAS SERAYU LARANGAN
PADA TANGGAL 22 OKTOBER 2020

NO NAMA ALAMAT Unit cost Pph penerimaan TANDA TANGAN

1 Rp30,000 Rp1,800 Rp28,200 1

2 Rp30,000 Rp1,800 Rp28,200 2

3 Rp30,000 Rp1,800 Rp28,200 3

4 Rp30,000 Rp1,800 Rp28,200 4

5 Rp30,000 Rp1,800 Rp28,200 5

6 Rp30,000 Rp1,800 Rp28,200 6

7 Rp30,000 Rp1,800 Rp28,200 7

8 Rp30,000 Rp1,800 Rp28,200 8

9 Rp30,000 Rp1,800 Rp28,200 9

10 Rp30,000 Rp1,800 Rp28,200 10

11 Rp30,000 Rp1,800 Rp28,200 11

12 Rp30,000 Rp1,800 Rp28,200 12

13 Rp30,000 Rp1,800 Rp28,200 13

14 Rp30,000 Rp1,800 Rp28,200 14

15 Rp30,000 Rp1,800 Rp28,200 15

16 Rp30,000 Rp1,800 Rp28,200 16

17 Rp30,000 Rp1,800 Rp28,200 17

18 Rp30,000 Rp1,800 Rp28,200 18

19 Rp30,000 Rp1,800 Rp28,200 19

20 Rp30,000 Rp1,800 Rp28,200 20

21 Rp30,000 Rp1,800 Rp28,200 21

22 Rp30,000 Rp1,800 Rp28,200 22

23 Rp30,000 Rp1,800 Rp28,200 23

24 Rp30,000 Rp1,800 Rp28,200 24

25 Rp30,000 Rp1,800 Rp28,200 25

26 Rp30,000 Rp1,800 Rp28,200 26

27 Rp30,000 Rp1,800 Rp28,200 27

28 Rp30,000 Rp1,800 Rp28,200 28

29 Rp30,000 Rp1,800 Rp28,200 29

30 Rp30,000 Rp1,800 Rp28,200 30

31 Rp30,000 Rp1,800 Rp28,200 31

32 Rp30,000 Rp1,800 Rp28,200 32

33 Rp30,000 Rp1,800 Rp28,200 33

34
Rp30,000 Rp1,800 Rp28,200 34
35
Rp30,000 Rp1,800 Rp28,200 35
36
Rp30,000 Rp1,800 Rp28,200 36
37
Rp30,000 Rp1,800 Rp28,200 37
38
Rp30,000 Rp1,800 Rp28,200 38
39
Rp30,000 Rp1,800 Rp28,200 39
40
Rp30,000 Rp1,800 Rp28,200 40
41
Rp30,000 Rp1,800 Rp28,200 41
42
Rp30,000 Rp1,800 Rp28,200 42

43 Rp30,000 Rp1,800 Rp28,200 43

44 Rp30,000 Rp1,800 Rp28,200 44

45 Rp30,000 Rp1,800 Rp28,200 45

JUMLAH Rp1,350,000 Rp81,000 Rp1,269,000

Serayu Larangan, 22 Oktober 2020

Kepala

Puskesmas Serayu Larangan

dr Prawesti Wulandari

NIP. 197005282002122005