BADAN AMIL ZAKAT NASIONAL KABUPATEN CILACAP

DAFTAR SETORAN ZIS (Zakat, Infaq dan Shodaqoh)

UPZUPTD Puskesmas Nusawungu I

NO NAMA MUZAKI BESARNYA SETORAN JUMLAH

ZAKAT INFAQ
1 Djoko Semedi Rp. 150,000 Rp. 50,000 Rp. 200,000
2 drg. Meika Wulandari Rp. 200,000 Rp. 100,000 Rp. 300,000
3 dr. Nofiyanti Erma Utami Rp. 0 Rp. 50,000 Rp. 50,000
4 Winarni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
5 Priyo Edi Pramono Rp. 0 Rp. 0 Rp. 0
6 Indriyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
7 Suwarto Rp. 90,000 Rp. 10,000 Rp. 100,000
8 Sri Wahyuni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
9 Resti Winarsih, AMd.Keb. Rp. 0 Rp. 0 Rp. 0
10 Sukriyah, AMK. Rp. 110,000 Rp. 10,000 Rp. 120,000
11 Elly Susanti, AMd.Keb. Rp. 100,000 Rp. 0 Rp. 100,000
12 Khomsiyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
13 Tiwi Rita Yuli Artati Rp. 75,000 Rp. 25,000 Rp. 100,000
14 Evi Muslihah, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
15 Sumarwi Septianingsih, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
16 Runi Rahayu, AMG. Rp. 90,000 Rp. 10,000 Rp. 100,000
17 Indra B. Kusuma Astuti, AMd.Keb. Rp. 72,500 Rp. 12,500 Rp. 85,000
18 Dwiana Anggarsari, AMd.Keb. Rp. 125,000 Rp. 25,000 Rp. 150,000
19 Lili Dwi Susanti, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
20 Warsito Rp. 90,000 Rp. 10,000 Rp. 100,000
21 Nur Rokhidah, AMK. Rp. 70,000 Rp. 30,000 Rp. 100,000
22 Agus Adi Susanto, AMD Rp. 90,000 Rp. 10,000 Rp. 100,000
23 Pratitis Nurvitasari, Amd.Keb Rp. 60,000 Rp. 10,000 Rp. 70,000
24 Inggit Desi Ratnasari, Amd.Keb Rp. 80,000 Rp. 10,000 Rp. 90,000
25 Novi Riwayati, Amd.Keb Rp. 50,000 Rp. 0 Rp. 50,000
26 Triarni Widiastuti, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
27 Sri Rejeki, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
28 Apriyah, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
29 Umi Khoerun Nisaa, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
30 Winarsih Rp. 50,000 Rp. 10,000 Rp. 60,000
31 Rita Rp. 50,000 Rp. 10,000 Rp. 60,000
32 Noni megawati Rp. 90,000 Rp. 10,000 Rp. 100,000
33 Dika Rp. 100,000 Rp. 25,000 Rp. 125,000
34 Vivi Rp. 70,000 Rp. 10,000 Rp. 80,000
35 Anita Sari Rp. 90,000 Rp. 10,000 Rp. 100,000
JUMLAH TOTAL Rp. 2,832,500 Rp. 607,500 Rp. 3,440,000

Cilacap, Januari 2022

Mengetahui UPZ UPTD Puskesmas Nusawungu I
Kepala UPTD Puskesmas Nusawungu I

DJOKO SEMEDI, SKM. WARSITO, AMK.

NIP. 196503181987031007 NIP. 19750612 201406 1 003
 BADAN AMIL ZAKAT NASIONAL KABUPATEN CILACAP
DAFTAR SETORAN ZIS (Zakat, Infaq dan Shodaqoh)
UPZ UPTD Puskesmas Nusawungu I

NO NAMA MUZAKI BESARNYA SETORAN JUMLAH

ZAKAT INFAQ
1 Djoko Semedi Rp. 150,000 Rp. 50,000 Rp. 200,000
2 drg. Meika Wulandari Rp. 200,000 Rp. 100,000 Rp. 300,000
3 dr. Nofiyanti Erma Utami Rp. 0 Rp. 50,000 Rp. 50,000
4 Winarni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
5 Priyo Edi Pramono Rp. 0 Rp. 0 Rp. 0
6 Indriyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
7 Suwarto Rp. 90,000 Rp. 10,000 Rp. 100,000
8 Sri Wahyuni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
9 Resti Winarsih, AMd.Keb. Rp. 0 Rp. 0 Rp. 0
10 Sukriyah, AMK. Rp. 110,000 Rp. 10,000 Rp. 120,000
11 Elly Susanti, AMd.Keb. Rp. 100,000 Rp. 0 Rp. 100,000
12 Khomsiyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
13 Tiwi Rita Yuli Artati Rp. 75,000 Rp. 25,000 Rp. 100,000
14 Evi Muslihah, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
15 Sumarwi Septianingsih, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
16 Runi Rahayu, AMG. Rp. 90,000 Rp. 10,000 Rp. 100,000
17 Indra B. Kusuma Astuti, AMd.Keb. Rp. 72,500 Rp. 12,500 Rp. 85,000
18 Dwiana Anggarsari, AMd.Keb. Rp. 125,000 Rp. 25,000 Rp. 150,000
19 Lili Dwi Susanti, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
20 Warsito Rp. 90,000 Rp. 10,000 Rp. 100,000
21 Nur Rokhidah, AMK. Rp. 70,000 Rp. 30,000 Rp. 100,000
22 Agus Adi Susanto, AMD Rp. 90,000 Rp. 10,000 Rp. 100,000
23 Pratitis Nurvitasari, Amd.Keb Rp. 60,000 Rp. 10,000 Rp. 70,000
24 Inggit Desi Ratnasari, Amd.Keb Rp. 80,000 Rp. 10,000 Rp. 90,000
25 Novi Riwayati, Amd.Keb Rp. 50,000 Rp. 0 Rp. 50,000
26 Triarni Widiastuti, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
27 Sri Rejeki, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
28 Apriyah, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
29 Umi Khoerun Nisaa, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
30 Winarsih Rp. 50,000 Rp. 10,000 Rp. 60,000
31 Rita Rp. 50,000 Rp. 10,000 Rp. 60,000
32 Noni megawati Rp. 90,000 Rp. 10,000 Rp. 100,000
33 Dika Rp. 100,000 Rp. 25,000 Rp. 125,000
34 Vivi Rp. 70,000 Rp. 10,000 Rp. 80,000
35 Anita Sari Rp. 90,000 Rp. 10,000 Rp. 100,000
36 Irfa H Rp. 90,000 Rp. 10,000 Rp. 100,000
JUMLAH TOTAL Rp. 2,832,500 Rp. 607,500 Rp. 3,440,000

Cilacap, 16 Februari 2022

Mengetahui UPZ UPTD Puskesmas Nusawungu I
Kepala UPTD Puskesmas Nusawungu I

DJOKO SEMEDI, SKM. WARSITO, AMK.

NIP. 196503181987031007 NIP. 19750612 201406 1 003
 BADAN AMIL ZAKAT NASIONAL KABUPATEN CILACAP
DAFTAR SETORAN ZIS (Zakat, Infaq dan Shodaqoh)
UPZ UPTD Puskesmas Nusawungu I

NO NAMA MUZAKI BESARNYA SETORAN JUMLAH

ZAKAT INFAQ
1 Djoko Semedi Rp. 150,000 Rp. 50,000 Rp. 200,000
2 drg. Meika Wulandari Rp. 200,000 Rp. 100,000 Rp. 300,000
3 dr. Nofiyanti Erma Utami Rp. 0 Rp. 50,000 Rp. 50,000
4 Winarni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
5 Priyo Edi Pramono Rp. 0 Rp. 0 Rp. 0
6 Indriyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
7 Suwarto Rp. 90,000 Rp. 10,000 Rp.
8 Sri Wahyuni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
9 Resti Winarsih, AMd.Keb. Rp. 0 Rp. 0 Rp. 0
10 Sukriyah, AMK. Rp. 110,000 Rp. 10,000 Rp.
11 Elly Susanti, AMd.Keb. Rp. 100,000 Rp. 0 Rp. 100,000
12 Khomsiyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
13 Tiwi Rita Yuli Artati Rp. 75,000 Rp. 25,000 Rp. 100,000
14 Evi Muslihah, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
15 Sumarwi Septianingsih, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
16 Runi Rahayu, AMG. Rp. 90,000 Rp. 10,000 Rp. 100,000
17 Indra B. Kusuma Astuti, AMd.Keb. Rp. 72,500 Rp. 12,500 Rp. 85,000
18 Dwiana Anggarsari, AMd.Keb. Rp. 125,000 Rp. 25,000 Rp. 150,000
19 Lili Dwi Susanti, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
20 Warsito Rp. 90,000 Rp. 10,000 Rp.
21 Nur Rokhidah, AMK. Rp. 70,000 Rp. 30,000 Rp. 100,000
22 Agus Adi Susanto, AMD Rp. 90,000 Rp. 10,000 Rp. 100,000
23 Pratitis Nurvitasari, Amd.Keb Rp. 60,000 Rp. 10,000 Rp. 70,000
24 Inggit Desi Ratnasari, Amd.Keb Rp. 80,000 Rp. 10,000 Rp.
25 Novi Riwayati, Amd.Keb Rp. 50,000 Rp. 0 Rp. 50,000
26 Triarni Widiastuti, Amd.Keb Rp. 75,000 Rp. 25,000 Rp.
27 Sri Rejeki, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
28 Apriyah, Amd.Keb Rp. 75,000 Rp. 25,000 Rp.
29 Umi Khoerun Nisaa, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
30 Winarsih Rp. 50,000 Rp. 10,000 Rp. 60,000
31 Rita Rp. 50,000 Rp. 10,000 Rp.
32 Noni megawati Rp. 90,000 Rp. 10,000 Rp.
33 Dika Rp. 100,000 Rp. 25,000 Rp. 125,000
34 Vivi Rp. 70,000 Rp. 10,000 Rp. 80,000
35 Anita Sari Rp. 90,000 Rp. 10,000 Rp. 100,000
36 Irfa H Rp. 90,000 Rp. 10,000 Rp. 100,000
JUMLAH TOTAL Rp. 2,832,500 Rp. 607,500 Rp. 2,570,000

Cilacap, Maret 2022

Mengetahui UPZ UPTD Puskesmas Nusawungu I
Kepala UPTD Puskesmas Nusawungu I

DJOKO SEMEDI, SKM. WARSITO, AMK.

NIP. 196503181987031007 NIP. 19750612 201406 1 003
 BADAN AMIL ZAKAT NASIONAL KABUPATEN CILACAP
DAFTAR SETORAN ZIS (Zakat, Infaq dan Shodaqoh)
UPZ UPTD Puskesmas Nusawungu I

NO NAMA MUZAKI BESARNYA SETORAN JUMLAH

ZAKAT INFAQ
1 Djoko Semedi Rp. 150,000 Rp. 50,000 Rp. 200,000
2 drg. Meika Wulandari Rp. 200,000 Rp. 100,000 Rp. 300,000
3 dr. Nofiyanti Erma Utami Rp. 0 Rp. 50,000 Rp. 50,000
4 Winarni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
5 Priyo Edi Pramono Rp. 0 Rp. 0 Rp. 0
6 Indriyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
7 Suwarto Rp. 90,000 Rp. 10,000 Rp.
8 Sri Wahyuni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
9 Resti Winarsih, AMd.Keb. Rp. 0 Rp. 0 Rp. 0
10 Sukriyah, AMK. Rp. 110,000 Rp. 10,000 Rp.
11 Elly Susanti, AMd.Keb. Rp. 100,000 Rp. 0 Rp. 100,000
12 Khomsiyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
13 Tiwi Rita Yuli Artati Rp. 75,000 Rp. 25,000 Rp. 100,000
14 Evi Muslihah, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
15 Sumarwi Septianingsih, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
16 Runi Rahayu, AMG. Rp. 90,000 Rp. 10,000 Rp. 100,000
17 Indra B. Kusuma Astuti, AMd.Keb. Rp. 72,500 Rp. 12,500 Rp. 85,000
18 Dwiana Anggarsari, AMd.Keb. Rp. 125,000 Rp. 25,000 Rp. 150,000
19 Lili Dwi Susanti, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp. 100,000
20 Warsito Rp. 90,000 Rp. 10,000 Rp.
21 Nur Rokhidah, AMK. Rp. 70,000 Rp. 30,000 Rp. 100,000
22 Agus Adi Susanto, AMD Rp. 90,000 Rp. 10,000 Rp. 100,000
23 Pratitis Nurvitasari, Amd.Keb Rp. 60,000 Rp. 10,000 Rp. 70,000
24 Inggit Desi Ratnasari, Amd.Keb Rp. 80,000 Rp. 10,000 Rp.
25 Novi Riwayati, Amd.Keb Rp. 50,000 Rp. 0 Rp. 50,000
26 Triarni Widiastuti, Amd.Keb Rp. 75,000 Rp. 25,000 Rp.
27 Sri Rejeki, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
28 Apriyah, Amd.Keb Rp. 75,000 Rp. 25,000 Rp.
29 Umi Khoerun Nisaa, Amd.Keb Rp. 75,000 Rp. 25,000 Rp. 100,000
30 Winarsih Rp. 50,000 Rp. 10,000 Rp. 60,000
31 Rita Rp. 50,000 Rp. 10,000 Rp.
32 Noni megawati Rp. 90,000 Rp. 10,000 Rp.
33 Dika Rp. 100,000 Rp. 25,000 Rp. 125,000
34 Vivi Rp. 70,000 Rp. 10,000 Rp. 80,000
35 Anita Sari Rp. 90,000 Rp. 10,000 Rp. 100,000
36 Irfa H Rp. 90,000 Rp. 10,000 Rp. 100,000
JUMLAH TOTAL Rp. 2,832,500 Rp. 607,500 Rp. 2,570,000

Cilacap, Maret 2022

Mengetahui UPZ UPTD Puskesmas Nusawungu I
Kepala UPTD Puskesmas Nusawungu I

DJOKO SEMEDI, SKM. WARSITO, AMK.

NIP. 196503181987031007 NIP. 19750612 201406 1 003
 BADAN AMIL ZAKAT NASIONAL KABUPATEN CILACAP
DAFTAR SETORAN ZIS (Zakat, Infaq dan Shodaqoh)
UPZUPTD Puskesmas Nusawungu I
NO NAMA MUZAKI BESARNYA SETORAN KET
ZAKAT INFAQ
1 Djoko Semedi Rp. 125,000 Rp. 25,000 Rp.
2 drg. Meika Wulandari Rp. 200,000 Rp. 100,000 Rp.
3 dr. Nofiyanti Erma Utami Rp. 0 Rp. 50,000 Rp.
4 Winarni, AMd.Keb. Rp. 125,000 Rp. 10,000 Rp.
5 Kasiyanto, S.Kep.Ns Rp. 90,000 Rp. 10,000 Rp.
6 Supriyanti, AMd.Keb. Rp. 0 Rp. 0 Rp.
7 Priyo Edi Pramono Rp. 0 Rp. 0 Rp.
8 Indriyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
9 Suwarto Rp. 100,000 Rp. 10,000 Rp.
10 Sri Wahyuni, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
11 Resti Winarsih, AMd.Keb. Rp. 0 Rp. 0 Rp.
12 Sukriyah, AMK. Rp. 110,000 Rp. 10,000 Rp.
13 Elly Susanti, AMd.Keb. Rp. 100,000 Rp. 0 Rp.
14 Khomsiyati, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
15 Tiwi Rita Yuli Artati Rp. 75,000 Rp. 25,000 Rp.
16 Evi Muslihah, AMd.Keb. Rp. 90,000 Rp. 10,000 Rp.
17 Sumarwi Septianingsih, AMd.KeRp. 90,000 Rp. 10,000 Rp.
18 Runi Rahayu, AMG. Rp. 90,000 Rp. 10,000 Rp.
19 Indra B. Kusuma Astuti, AMd.KeRp. 72,500 Rp. 12,500 Rp.
20 Dwiana Anggarsari, AMd.Keb. Rp. 125,000 Rp. 25,000 Rp.
21 Lili Dwi Susanti, AMd.Keb. Rp. 70,000 Rp. 10,000 Rp.
22 Warsito Rp. 90,000 Rp. 10,000 Rp.
23 Nur Rokhidah, AMK. Rp. 70,000 Rp. 30,000 Rp.
25 Agus Adi Susanto, AMD Rp. 90,000 Rp. 10,000 Rp.
26 Pratitis Nurvitasari, Amd.Keb Rp. 60,000 Rp. 10,000 Rp.
27 Inggit Desi Ratnasari, Amd.Keb Rp. 80,000 Rp. 10,000 Rp.
28 Novi Riwayati, Amd.Keb Rp. 70,000 Rp. 10,000 Rp.
29 Triarni Widiastuti, Amd.Keb Rp. 60,000 Rp. 10,000 Rp.
30 Sri Rejeki, Amd.Keb Rp. 72,500 Rp. 12,500 Rp.
31 Apriyah, Amd.Keb Rp. 60,000 Rp. 10,000 Rp.
32 Umi Khoerun Nisaa, Amd.Keb Rp. 75,000 Rp. 25,000 Rp.
33 Winarsih Rp. 50,000 Rp. 10,000 Rp.
34 Rita Rp. 50,000 Rp. 10,000 Rp.
35 Noni megawati Rp. 90,000 Rp. 10,000 Rp.
JUMLAH TOTAL Rp. 2,650,000 Rp. 515,000 Rp. 3,165,000
Cilacap, juni
Mengetahui UPZ UPTD Puskesmas Nusawungu I
Kepala UPTD Puskesmas Nusawungu I

DJOKO SEMEDI, SKM. WARSITO, AMK.

NIP. 196503181987031007 NIP. 19750612 201406 1 003