DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN JANUARI 2021

NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 5/1/2021 Marjo 50 th Penangkulan Jaya 5,000 5,000
2 7/1/2021 Wisang Geni 7,5 th Tl. Kudus 5,000 5,000
3 Nur Farida 33 th Tl. KuDUS 5,000 5,000
4 12/1/2021 Anisa 5 th Kalimendong 5,000 5,000
5 13/01/2021 Eder 35 th Tl. Ciamis 5,000 5,000
6 18/01/2021 Handoko 18 th Pedukuhan 5,000 5,000
7 21/01/2021 Alifatul Janah 4 th Sridadi 5,000 5,000
8 25/01/2021 Kusairi 53 th Way Tuing 5,000 5,000
9 27/01/2021 Poniati 47 th Pedukuhan 5,000 5,000
10 29/01/2021 Ilun 45 th Way Heni 5,000 5,000
11 30/01/2021 Nadifa 7 th Bukit Pengungsian 5,000 5,000
45,000 10,000 - - 55,000
total 55,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Hantatai

SUHAIDI, S.Kep, M.Kes AYU MELIAWATI, Amd.Keb

NIP.19850215 201101 1 007 NIP. 19910519 201705 2 004
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULA
NO TANGGAL NAMA UMUR ALAMAT BPU KIA
1 3/2/2021 SUDIRMAN 26 th BUNGA LOTE 10000
2 5/2/2021 KIANO 6 bl SIDOMULYO 10000
3 9/2/2021 MELI 25 bl KALI MENDONG U 10000
4 11/2/2021 AFIFATUL KHOIRIAH 2 th WAYHARU 10000
5 15/2/2021 SEPTA AGUS 15 bl GUNUNG RATU 10000
6 18/2/2021 RATMINAH 47 bl WAYHENI 10000
7 22/2/2021 SUNARSIH 32 th GUNUNG RATU 10000
8 24/2/2021 ARGA 2,5 th WAYHENI 10000
9 26/2/2021 KHOERUDIN 50 th WAY BULOK 10000
JUMLAH 30,000 60,000
TOTAL

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes

NIP.19850215 201101 1 007
TU HANTATAI BULAN FEBRUARI 2021
BPG LAB KB KIR JUMLAH
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
90,000
90,000

Pustu Hantatai

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN MARET 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 1/3/2021 NUR HASANAH 36 th KALI MENDONG UTARA 10,000 10,000
2 2/3/2021 MASRURIAH 60 th TALANG LIMA 10,000 10,000
3 9/3/2021 KAMISO 70 th RINGIN JAYA 10,000 10,000
4 11/3/2021 ARSIN 43 th MEKAR JAYA 10,000 10,000
5 15/03/2021 WAGIYEM 38 th WAY HENI 10,000 10,000
6 17/03/2021 NASRUL 2 th TALANG KUDUS 10,000 10,000
7 18/03/2021 NARITEM 48 th WAY HENI 10,000 10,000
8 22/03/2021 NURHOLIS 55 th TALANG LIMA 10,000 10,000
9 25/03/2021 NABILA IZAQI 4 th TALANG KUDUS 10,000 10,000
10 29/03/2021 HANIF 7 th WAY HENI 10,000 10,000
JUMLAH 80,000 20,000 - - - - 100,000
TOTAL 100,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN APRIL 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 5/4/2021 MISTIAH 52 th SRIDADI 10,000 10,000
2 6/4/2021 BUDI 27 th PENANGKULAN 10,000 10,000
3 9/4/2021 HAMDAN 5 th WAY HENI 10,000 10,000
4 14/4/2021 FITRIYANI 24 th SIDOMULYO 10,000 10,000
5 16/4/2021 RIDWAN 33 th RINGIN JAYA 10,000 10,000
6 19/4/2021 HINDAR NUR ALIFA 2 th TLG KUDUS 10,000 10,000
7 20/4/2021 MUGIONO 54 th WAY TUING 10,000 10,000
8 23/4/2021 WARTINI 50 th RINGIN JAYA 10,000 10,000
9 26/4/2021 AQILA 4 th WAY HENI 10,000 10,000
10 28/4/2021 HASAN BASRI 60 th TLG LAMPUNG 10,000 10,000
11 29/4/2021 IQBAL ZAHID 4 th SIDOMULYO 10,000 10,000
JUMLAH 80,000 30,000 - - - - 110,000
TOTAL 110,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN MEI 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 4/5/2021 HERLINA 27 th TLG LAMPUNG 10,000 10,000
2 6/5/2021 AGUS SETIAWAN 15 th WAY TUING 10,000 10,000
3 10/5/2021 MUHOTIM 32 th SIDOMULYO 10,000 10,000
4 AMBAR WATI 8 th PEDUKUHAN 10,000 10,000
5 13/5/2021 AZKA 3 th WAY HENI 10,000 10,000
6 17/5/2021 MARKUM 50 th PENINJAUAN 10,000 10,000
7 18/5/2021 ASEP 31 th TLG CIAMIS 10,000 10,000
8 21/5/2021 SUHARTATI 20 th SIDOMULYO 10,000 10,000
9 25/5/2021 ADELIA PUTRI 5 th WAY HENI 10,000 10,000
JUMLAH 70,000 20,000 - - - - 90,000
TOTAL 90,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN JUNI 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 2/6/2021 ABIL 2 th RINGIN JAYA 10,000 10,000
2 4/6/2021 TUTI ALWIYAH 18 th WAY TUING 10,000 10,000
3 7/6/2021 HESTI 15 th WAY HENI 10,000 10,000
4 10/6/2021 SUPRAPTI 35 th WAY HENI 10,000 10,000
5 11/6/2021 RISKI SAPUTRA 8 th WAI HENI 10,000 10,000
6 15/06/2021 MEISTI ARDILA 4 th PENDUKUHAN 10,000 10,000
7 16/06/2021 ABIHIN 30 th NEGERI JAYA 10,000 10,000
8 SAINAH 42 th NEGERI JAYA 10,000 10,000
9 17/06/2021 ACENG 13 th BUMI AGUNG 10,000 10,000
10 21/06/2021 RATIMAH 45 th WAY HENI 10,000 10,000
11 24/06/2021 IRISIA 30 th SIDOMULYO 10,000 10,000
12 25/06/2021 MANISAH 35 th WAI HENI 10,000 10,000
13 28/06/2021 MURTIAH 42 th KALI MENDONG UTARA 10,000 10,000
14 29/06/2021 ARGA 2 th WAY HENI 10,000 10,000
JUMLAH 120,000 20,000 - - - - 140,000
TOTAL 140,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN JULI 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 1/7/2021 MISNAWATI 35 th PENANGKULAN 10,000 10,000
2 MARIA ULFA 31 th PENANGKULAN 10,000 10,000
3 5/7/2021 SITI MUKIAH 26 th BUNGA LONTE 10,000 10,000
4 8/7/2021 LINA 23 th TEMBELANG 10,000 10,000
5 12/7/2021 ATUN 40 th WAY BULO 10,000 10,000
6 13/07/2021 ROHANAH 45 th SINAR SARI 10,000 10,000
7 16/07/2021 DEBI 2 th SINAR SARI 10,000 10,000
8 20/07/2021 ARSYA 18 th TEMBELANG 10,000 10,000
9 21/07/2021 PUTRI 27 th TEMBELANG 10,000 10,000
10 23/07/2021 ADE 30 th TEMBELANG 10,000 10,000
11 26/07/2021 RAFIMAH 47 th WAY HENI 10,000 10,000
12 31/07/2021 MUSTAKIM 30 th SIDOMULYO 10,000 10,000

JUMLAH 110,000 10,000 120,000

TOTAL 120,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN AGUSTUS 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 3/8/2021 JUWARIYAH 24 th WAY HENI 10,000 10,000
2 4/8/2021 ALANDRA 2 th TEMBELANG 10,000 10,000
3 11/8/2021 FATIMAH 28 th SRIDADI 10,000 10,000
4 11/8/2021 NGATIAH 50 th WAY HENI 10,000 10,000
5 13/8/2021 MUTFIATUN 25 th NEGRI JAYA 10,000 10,000
6 17/8/2021 AMINUDIN 47 th TALANG SAWAH 10,000 10,000
7 20/8/2021 HERU 35 th RINGIN JAYA 10,000 10,000
8 23/8/2021 SARING 56 th SIDOMULYO 10,000 10,000
9 26/8/2021 ASEP 20 th TALANG CIAMIS 10,000 10,000
10 30/8/2021 SHAFIHA 2 th WAY TUING 10,000 10,000
Jumlah 80,000 20,000
Total 100,000 100,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU HANTATAI BULAN SEPTEMBER 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 02/09/2021 SAMINAH 40 SIDOMULYO 10,000 10,000
2 07/09/2021 HARDIYANTO 27 WAY TUING 10,000 10,000
3 10/09/2021 NIKEN 8 BUKIT PENGUNGSIAN 10,000 10,000
4 13/09/2021 SLAMET RIYANTO 43 NEGERI JAYA 10,000 10,000
5 14/09/2021 DINDA ALVIYANA 4 SIDO MULYA 10,000 10,000
6 17/09/2021 GUFRON 30 PENINJAUAN 10,000 10,000
7 21/09/2021 SARING 52 RINGIN JAYA 10,000 10,000
8 22/09/2021 KUSMIATI 45 SRIDADI 10,000 10,000
9 27/09/2021 DAFA YOGI 10 WAY HENI 10,000 10,000
10 29/09/2021 HINDA NUR 2 TALANG KUDUS 10,000 10,000
11 30/09/2021 AFIFAH 3 WAY HENI 10,000 10,000

Jumlah 80,000 30,000

Total 110,000 110,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BULAN OKTOBER 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 10/4/2021 ARGA 3 th WAY HENI 10,000 10,000
2 10/5/2021 HAMIDAH 45 th SIDO MULYA 10,000 10,000
3 TEGAR 7 th KALI MENDUNG 10,000 10,000
4 10/8/2021 MISTIYA 47 th SRIDADI 10,000 10,000
5 10/12/2021 EDI SETIAWAN 22 th WAY TUING 10,000 10,000
6 10/14/2021 ALESYA ANDITA 6 bln WAY BULO 10,000 10,000
7 10/19/2021 SUPARLAN 55 th PENANGKULAN 10,000 10,000
8 10/21/2021 MERIDA 30 th SRIDADI 10,000 10,000
9 10/25/2021 ISDIANTI 20 th WAY TUING 10,000 10,000
10 10/26/2021 ANTON 45 th KALI MENDUNG 10,000 10,000
11 10/28/2021 ENFATAN 1 th SIDO MULYA 10,000 10,000
12 10/30/2021 NURHASANAH 28 th WAY HENI 10,000 10,000

Jumlah 90,000 30,000

Total 120,000 120,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BULAN NOVEMBER 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 11/3/2021 SMAINAH 35 th SIDO MULYA 10,000 10,000
2 11/8/2021 GIANTI 30 th WAY HENI 10,000 10,000
3 11/9/2021 KHOIRUDIN 47 th SRIDADI 10,000 10,000
4 11/12/2021 AKIL 5 th WAY HENI 10,000 10,000
5 11/16/2021 M. SYAHRUL 1,6 th SIDO MULYA 10,000 10,000
6 11/17/2021 DARSONO 56 th PENGUNGSIAN 10,000 10,000
7 11/19/2021 SITI AMINAH 25 th PENANGKULAN 10,000 10,000
8 11/23/2021 NOVI KURNIA 19 th PENDUKUHAN 10,000 10,000
9 11/29/2021 AHMAD 28 th WAY TUING 10,000 10,000
10
11
12

Jumlah 70,000 20,000

Total 90,000 90,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BULAN DESEMBER 2021
NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 01/12/2021 MURNI 23 th SRIMULYO 10,000 10,000
2 06/12/2021 CELSI 20 th SIMPANG TIGA 10,000 10,000
3 07/12/2021 HANIF 7 th WAY HENI 10,000 10,000
4 10/12/2021 WAGIMUN 55 th WAY TUING 10,000 10,000
5 13/12/2021 HALIMAH 25 th WAY BULOK 10,000 10,000
6 TUGIMAN 50 th RINGIN JAYA 10,000 10,000
7 16/12/2021 ZALFA 3 th BUMI JAYA 10,000 10,000
8 17/12/2021 AFIFATUN 5 th TALANG KUDUS 10,000 10,000
9
10
Jumlah 60,000 20,000
Total 80,000 80,000

Kepala UPT Puskesmas Pustu Hantatai

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes SUSILO HERMIANTO, SKM

NIP.19850215 201101 1 007 NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU BANDAR AGUNG BULAN FEBRUARI 2022

NO TANGGAL NAMA UMUR ALAMAT BPU KIA BPG LAB KB KIR JUMLAH
1 05/01/2022 DILAN 2,5 th SUKAMAJU 10,000 10,000
2 10/01/2022 KALFI 2,5 th PALANG MERAH 10,000 10,000
3 11/01/2022 WIWIN 22 th TALANG SUNAR 10,000 10,000
4 14/01/2022 REZKI 16 th TALANG KUSNAN 10,000 10,000
5 19/01/2022 FIRMANSYAH 4 th SUKAMAJU 10,000 10,000
6 21/01/2022 NURILMAH 24 th TALANG JEPORO 10,000 10,000
7 25/01/2022 ARDAN 9 bln CAMPR SARI 10,000 10,000
8 28/01/2021 KHOIRIYAH 9 th CAMPR SARI 10,000 10,000
Jumlah 40,000 40,000
Total 80,000 80,000

Kepala UPT Puskesmas Pustu Bandar Agung

Bandar Negeri Suoh

SUBAGIYO, Amd.KL TRIASTUTI RATNA NINGSIH, A.Md.Keb

NIP.19691120 199402 1 001 NIP : 19770218 200604 2 015
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI B

NO TANGGAL NAMA UMUR ALAMAT BPU

1 4/4/2022 ILUN 45 th WAY TUING 10,000
2 8/4/2022 MISTIYAH 60 th WAY TUING 10,000
3 10/4/2022 LARISA 4 th KALI MATI
4 15/04/2022 KAYLA 6 th SRIDADI 10,000
5 16/04/2022 ARJUN 15 th TALANG LAMPUNG 10,000
6 18/04/2022 PARDI 40 th WAY TUING 10,000
7 22/04/2022 SHANUM 8 th WAY TUING 10,000
8 24/04/2022 NANDA 20 th WAY HENI 10,000
9 28/04/2022 HENDRI 8 th TALNG CIAMIS 10,000
10

Jumlah 70,000
Total 80,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
ALAN PUSTU WAY HENI BULAN APRIL 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
10,000 10,000
10,000
10,000
10,000
10,000
10,000
10,000

10,000
80,000 90,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI

NO TANGGAL NAMA UMUR ALAMAT BPU

1 4/6/2022 HASAN 50 th H. CIAMIS 10,000
2 6/6/2022 AHMADI 28 th PEDUKUHAN 10,000
3 10/6/2022 M. FATIH 4 th SIDOMULYO 10,000
4 16/6/2022 SASMIADI 31 th KALI MATI 10,000
5 20/6/2022 LITA RAHAYU 22 th KALI MATI 10,000
6 23/6/2022 SALAMAH 40 th NEGERI JAYA 10,000
7 27/6/2022 ALFIAN 8 th WAY HENI 10,000
8 ROHANI 44 th BALAI PENGUNGSIAN 10,000
9 30/6/2022 DWI SAPUTRI 6 th SIDOMULYO 10,000

Jumlah 90,000
Total 90,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
ALAN PUSTU WAY HENI BULAN JUNI 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
-
10,000
10,000
10,000
10,000
10,000
10,000

0
90,000 80,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI

NO TANGGAL NAMA UMUR ALAMAT BPU

1 1/7/2022 ABIZAR 2 th WAY HENI 10,000
2 6/7/2022 YONANDA 5 th WAY HENI 10,000
3 7/7/2022 KASIM 55 th WAY BULO 10,000
4 12/7/2022 WAWAN 21 th SIDOMULYO 10,000
5 14/7/2022 IIS DAHLIA 18 th PEDUKUHAN 10,000
6 20/7/2022 EMILIA 20 th WAY HENI 10,000
7 25/7/2022 YULIATI 37 th BALAI PENGUNGSIAN 10,000
8 28/7/2022 EDI SETIAWAN 42 th WAY HENI 10,000

Jumlah 80,000
Total 80,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
ALAN PUSTU WAY HENI BULAN JULI 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
-
10,000
10,000
10,000
10,000
10,000
-

0
80,000 70,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BU

NO TANGGAL NAMA UMUR ALAMAT BPU

1 4/8/2022 DWI RATIH 7 th WAY HENI 10,000
2 8/8/2022 SUPRIADI 55 th SIDOMULYO 10,000
3 11/8/2022 SISKA 15 th WAY HENI 10,000
4 15/8/2022 NOVITA 24 th PEDUKUHAN 10,000
5 18/8/2022 ISMAWAN 28 th KALI MATI 10,000
6 22/8/2022 IMAM S 33 th SIDOMULYO 10,000
7 24/8/2022 MIKAYLA 2,5 th WAY HENI 10,000
8 27/8/2022 ARIF 4 th WAY HENI 10,000
9 29/8/2022 SUMARNO 47 th PENGUNGSIAN 10,000
10 30/8/2022 TATIK 41 th WAY TUMING 10,000

Jumlah 100,000
Total 100,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
LAN PUSTU WAY HENI BULAN AGUSTUS 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
-
10,000
10,000
10,000
10,000
10,000
10,000
10,000

0
100,000 90,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BUL

NO TANGGAL NAMA UMUR ALAMAT BPU

1 2/9/2022 SULISTIA 8 th WAY HENI 10,000
2 6/9/2022 ALFIAH 48 th SIDOMULYO 10,000
3 TUGIMAN 50 th WAY HENI 10,000
4 9/9/2022 JESICA 4 th WAY TUMING 10,000
5 12/9/2022 NENENG 31 th MEKAR SARI 10,000
6 14/9/2022 JAMILAH 62 th SIDOMULYO 10,000
7 19/9/2022 AZRIL 2,5 th TALANG KUDUS 10,000
8 26/9/2022 WAGIEM 47 th WAY HENI 10,000
9 30/9/2022 RITEM 42 th WAY HENI 10,000

Jumlah 90,000
Total 90,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
AN PUSTU WAY HENI BULAN SEPTEMBER 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
-
10,000
10,000
10,000
10,000
10,000
10,000

0
90,000 80,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001
 DISTRIBUSI PASIEN UMUM RAWAT JALAN PUSTU WAY HENI BU

NO TANGGAL NAMA UMUR ALAMAT BPU

1 4/10/2022 NENI 22 th WAY HENI 10,000
2 5/10/2022 SUSILAWATI 54 th RINGIN JAYA 10,000
3 10/10/2022 SALSABILA 6 th WAY HENI 10,000
4 13/10/2022 KASMUDI 40 th BUMI JAYA 10,000
5 17/10/2022 MUSIYEM 32 th SUKOMULYO 10,000
6 ANDIKA 8 th GUNUNG RATU 10,000
7 18/10/2022 NANDO 10 bln WAY HENI 10,000
8 21/10/2022 WAGIEM 35 th WAY HENI 10,000
9 25/10/2022 RUSDI 27 th B. PENGU7NGSIAN 10,000

Jumlah 90,000
Total 90,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
AN PUSTU WAY HENI BULAN OKTOBER 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
-
10,000
10,000
10,000
10,000
10,000
10,000

0
90,000 80,000

Pustu Bandar Agung

SUSILO HERMIANTO, SKM

NIP. 19750907 199502 1 001