REGISTER JAMINAN PERSALINAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )

PUSKESMAS BANGUN PURBA BULAN SEPTEMBER TAHUN 2018

NO NAMA PASIEN NAMA SUAMI ALAMAT ANAK KE TGL PERSALINAN BIDAN PENOLONG JMLH RP
1 RATNA DASRIL.NST G.INTAN 4 7/6/2018 DESVI SURIATI 700,000.00
2 RENI KARMILA ANTO SP.PADANG BULAN 1 06=07-18 SUHERLINDA 700,000.00
3 SUMIRAH SANGKOT L.PAYUNG 5 7/10/2018 SUHERLINDA 700,000.00
4 SITI ONUM IHSAN . NST G.INTAN 4 7/13/2018 DESVI SURIATI 700,000.00
5 GUSRIANTI.NST RAIS HT.PADANG 2 7/14/2018 DELISMAWATI 700,000.00
6 JURAIDAH GUSTAN B.P.BARAT 5 7/30/2018 DEWI NOVITA SARI 700,000.00
7 SARINTEN LESIMAN B.P.BARAT 4 8/6/2018 DEWI NOVITA SARI 700,000.00
8 FITRI HUSIN G.INTAN 3 8/7/2018 DESVI SURIATI 700,000.00
9 SITI PATIMAH NENEK G.INTAN 1 8/10/2018 DESVI SURIATI 700,000.00
10 SUHAIBAH TRISUTRISNO SP.PADANG BULAN 4 8/11/2018 DESVI SURIATI 700,000.00
11 YESNI PARIDA ROBERT SUGARA G.INTAN 3 8/23/2018 DESVI SURIATI 700,000.00
12 SRI YUNIARTI NASRI HT.PADANG 2 9/2/2018 DELISMAWATI 700,000.00
13 KARLINA AYU PRANATA JEFRI PASAR TANGUN 1 9/12/2018 KHOIRUNNISA 700,000.00
14 YUNIAR JUSRI P.SAMA 2 9/12/2018 KHOIRUNNISA 700,000.00
15 SITI HAWA ILHAM DAMHURI HT.PADANG 3 9/15/2018 DELISMAWATI 700,000.00
TOTAL RP.10.500.000,-
 REGISTER MAKAN DAN MINUM PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN SEPTEMBER TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 HENNI SUMITRA HERMAN B.P.BARAT PARTUS NORMAL 7/3/2018 7/5/2018 540,000.00
2 RATNA DASRIL.NST G.INTAN PARTUS NORMAL 7/5/2018 7/7/2018 540,000.00
3 RENI KARMILA ANTO SP.PADANG BULAN PARTUS NORMAL 7/5/2018 7/7/2018 540,000.00
4 LENA SARI MURLAN.LBS B.P.BARAT PARTUS NORMAL 7/6/2018 7/9/2018 540,000.00
5 EKA RIADI G.INTAN PARTUS NORMAL 7/7/2018 7/10/2018 540,000.00
6 KESIH ALI SUBROTO G.INTAN PARTUS NORMAL 7/9/2018 7/11/2018 540,000.00
7 SUMIRAH SANGKOT L.PAYUNG PARTUS NORMAL 7/9/2018 7/11/2018 540,000.00
8 DINDA ALI MUSTAFA G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 540,000.00
9 SITI ONUM IHSAN . NST G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 540,000.00
10 GUSRIANTI.NST RAIS HT.PADANG PARTUS NORMAL 7/13/2018 7/15/2018 540,000.00
11 ANNISA KAHARUDIN G.INTAN PARTUS NORMAL 7/18/2018 7/20/2018 540,000.00
12 SUSANTI SURIONO R.JAYA PARTUS NORMAL 7/22/2018 7/24/2018 540,000.00
13 WATI ARISKA ADIP R.JAYA PARTUS NORMAL 7/24/2018 7/26/2018 540,000.00
14 JURAIDAH GUSTAN B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 540,000.00
15 RENI ALMAIDA KENDI R.JAYA PARTUS NORMAL 7/29/2018 7/31/2018 540,000.00
16 JULIA SUBUH JAYA B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 540,000.00
17 ELY MISTI MONDANG PICTOR B.P.BARAT PARTUS NORMAL 8/2/2018 7/4/2018 540,000.00
18 IRA WATI SUGIANI R.JAYA PARTUS NORMAL 8/3/2018 7/5/2018 540,000.00
19 SARINTEN LESIMAN B.P.BARAT PARTUS NORMAL 8/5/2018 8/7/2018 540,000.00
20 NELVI IRWAN HT.PADANG PARTUS NORMAL 8/6/2018 8/8/2018 540,000.00
21 FITRI HUSIN G.INTAN KPD 8/6/2018 8/8/2018 540,000.00
22 SITI MAISYAROH MUTOHIRIN R.JAYA PARTUS NORMAL 8/7/2018 8/9/2018 540,000.00
23 SITI PATIMAH NENEK G.INTAN PARTUS NORMAL 8/6/2018 8/8/2018 540,000.00
24 SUHAIBAH TRISUTRISNO SP.PADANG BULAN PARTUS NORMAL 8/6/2018 8/8/2018 540,000.00
25 LIRA WANCANA ARIANTO B.P.BARAT PARTUS NORMAL 8/11/2018 8/13/2018 540,000.00
26 SUKRIAH SALAMAT G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 540,000.00
27 YESNI PARIDA ROBERT SUGARA G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 540,000.00
28 SULASTRI YANRO R.JAYA PARTUS NORMAL 8/24/2018 8/26/2018 540,000.00
29 MARNI ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 540,000.00
30 TETTY ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 540,000.00
31 SRI YUNIARTI NASRI HT.PADANG PARTUS NORMAL 9/1/2018 9/3/2018 540,000.00
32 NURAMINAH BADOAR B.P.BARAT PARTUS NORMAL 9/4/2018 9/6/2018 540,000.00
33 YUNINGSIH EKO R.JAYA PARTUS NORMAL 9/7/2018 9/9/2018 540,000.00
34 KARLINA AYU PRANATA JEFRI PASAR TANGUN PARTUS NORMAL 9/11/2018 9/13/2018 540,000.00
35 YUNIAR JUSRI P.SAMA PARTUS NORMAL 9/12/2018 9/14/2018 540,000.00
36 SITI HAWA ILHAM DAMHURI HT.PADANG PARTUS NORMAL 9/14/2018 9/16/2018 540,000.00
37 MASLINAR JERMAN L.PAYUNG SC 9/17/2018 9/19/2018 540,000.00
38 NINGWAHYUNI HERIWILO R.JAYA PARTUS NORMAL 9/18/2018 9/20/2018 540,000.00
39 SERI LESTARI HARNO R.JAYA PARTUS NORMAL 9/21/2018 9/23/2018 540,000.00
40 SUTIIN HANDOKO R.JAYA PARTUS NORMAL 9/26/2018 9/28/2018 540,000.00
41 NUR HALIMAH ANTANONI B.P.BARAT PARTUS NORMAL 9/28/2018 9/30/2018 540,000.00
42 SRI LESTARI BEJO R.JAYA PARTUS NORMAL 9/28/2018 9/30/2018 540,000.00
JUMLAH RP. 22.680.000.00
 REGISTER SEWA KENDERAAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN SEPTEMBER TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 HENNI SUMITRA HERMAN B.P.BARAT PARTUS NORMAL 7/3/2018 7/5/2018 200,000.00
2 RATNA DASRIL.NST G.INTAN PARTUS NORMAL 7/5/2018 7/7/2018 200,000.00
3 RENI KARMILA ANTO SP.PADANG BULAN PARTUS NORMAL 7/5/2018 7/7/2018 200,000.00
4 LENA SARI MURLAN.LBS B.P.BARAT PARTUS NORMAL 7/6/2018 7/9/2018 200,000.00
5 EKA RIADI G.INTAN PARTUS NORMAL 7/7/2018 7/10/2018 200,000.00
6 KESIH ALI SUBROTO G.INTAN PARTUS NORMAL 7/9/2018 7/11/2018 200,000.00
7 SUMIRAH SANGKOT L.PAYUNG PARTUS NORMAL 7/9/2018 7/11/2018 200,000.00
8 DINDA ALI MUSTAFA G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 200,000.00
9 SITI ONUM IHSAN . NST G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 200,000.00
10 GUSRIANTI.NST RAIS HT.PADANG PARTUS NORMAL 7/13/2018 7/15/2018 200,000.00
11 ANNISA KAHARUDIN G.INTAN PARTUS NORMAL 7/18/2018 7/20/2018 200,000.00
12 SUSANTI SURIONO R.JAYA PARTUS NORMAL 7/22/2018 7/24/2018 200,000.00
13 WATI ARISKA ADIP R.JAYA PARTUS NORMAL 7/24/2018 7/26/2018 200,000.00
14 JURAIDAH GUSTAN B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 200,000.00
15 RENI ALMAIDA KENDI R.JAYA PARTUS NORMAL 7/29/2018 7/31/2018 200,000.00
16 JULIA SUBUH JAYA B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 200,000.00
17 ELY MISTI MONDANG PICTOR B.P.BARAT PARTUS NORMAL 8/2/2018 7/4/2018 200,000.00
18 IRA WATI SUGIANI R.JAYA PARTUS NORMAL 8/3/2018 7/5/2018 200,000.00
19 SARINTEN LESIMAN B.P.BARAT PARTUS NORMAL 8/5/2018 8/7/2018 200,000.00
20 NELVI IRWAN HT.PADANG PARTUS NORMAL 8/6/2018 8/8/2018 200,000.00
21 FITRI HUSIN G.INTAN KPD 8/6/2018 8/8/2018 200,000.00
22 SITI MAISYAROH MUTOHIRIN R.JAYA PARTUS NORMAL 8/7/2018 8/9/2018 200,000.00
23 SITI PATIMAH NENEK G.INTAN PARTUS NORMAL 8/6/2018 8/8/2018 200,000.00
24 SUHAIBAH TRISUTRISNO SP.PADANG BULAN PARTUS NORMAL 8/6/2018 8/8/2018 200,000.00
25 LIRA WANCANA ARIANTO B.P.BARAT PARTUS NORMAL 8/11/2018 8/13/2018 200,000.00
26 SUKRIAH SALAMAT G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 200,000.00
27 YESNI PARIDA ROBERT SUGARA G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 200,000.00
28 SULASTRI YANRO R.JAYA PARTUS NORMAL 8/24/2018 8/26/2018 200,000.00
29 MARNI ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 200,000.00
30 TETTY ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 200,000.00
31 SRI YUNIARTI NASRI HT.PADANG PARTUS NORMAL 9/1/2018 9/3/2018 200,000.00
32 NURAMINAH BADOAR B.P.BARAT PARTUS NORMAL 9/4/2018 9/6/2018 200,000.00
33 YUNINGSIH EKO R.JAYA PARTUS NORMAL 9/7/2018 9/9/2018 200,000.00
34 KARLINA AYU PRANATA JEFRI PASAR TANGUN PARTUS NORMAL 9/11/2018 9/13/2018 200,000.00
35 YUNIAR JUSRI P.SAMA PARTUS NORMAL 9/12/2018 9/14/2018 200,000.00
36 SITI HAWA ILHAM DAMHURI HT.PADANG PARTUS NORMAL 9/14/2018 9/16/2018 200,000.00
37 MASLINAR JERMAN L.PAYUNG SC 9/17/2018 9/19/2018 200,000.00
38 NINGWAHYUNI HERIWILO R.JAYA PARTUS NORMAL 9/18/2018 9/20/2018 200,000.00
39 SERI LESTARI HARNO R.JAYA PARTUS NORMAL 9/21/2018 9/23/2018 200,000.00
40 SUTIIN HANDOKO R.JAYA PARTUS NORMAL 9/26/2018 9/28/2018 200,000.00
41 NUR HALIMAH ANTANONI B.P.BARAT PARTUS NORMAL 9/28/2018 9/30/2018 200,000.00
42 SRI LESTARI BEJO R.JAYA PARTUS NORMAL 9/28/2018 9/30/2018 200,000.00
TOTAL RP. 8.400.000.00
 REGISTER TRANSPORT PENDAMPING PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN SEPTEMBER TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 HENNI SUMITRA HERMAN B.P.BARAT PARTUS NORMAL 7/3/2018 7/5/2018 160,000.00
2 RATNA DASRIL.NST G.INTAN PARTUS NORMAL 7/5/2018 7/7/2018 160,000.00
3 RENI KARMILA ANTO SP.PADANG BULAN PARTUS NORMAL 7/5/2018 7/7/2018 160,000.00
4 LENA SARI MURLAN.LBS B.P.BARAT PARTUS NORMAL 7/6/2018 7/9/2018 160,000.00
5 EKA RIADI G.INTAN PARTUS NORMAL 7/7/2018 7/10/2018 160,000.00
6 KESIH ALI SUBROTO G.INTAN PARTUS NORMAL 7/9/2018 7/11/2018 160,000.00
7 SUMIRAH SANGKOT L.PAYUNG PARTUS NORMAL 7/9/2018 7/11/2018 160,000.00
8 DINDA ALI MUSTAFA G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 160,000.00
9 SITI ONUM IHSAN . NST G.INTAN PARTUS NORMAL 7/12/2018 7/14/2018 160,000.00
10 GUSRIANTI.NST RAIS HT.PADANG PARTUS NORMAL 7/13/2018 7/15/2018 160,000.00
11 ANNISA KAHARUDIN G.INTAN PARTUS NORMAL 7/18/2018 7/20/2018 160,000.00
12 SUSANTI SURIONO R.JAYA PARTUS NORMAL 7/22/2018 7/24/2018 160,000.00
13 WATI ARISKA ADIP R.JAYA PARTUS NORMAL 7/24/2018 7/26/2018 160,000.00
14 JURAIDAH GUSTAN B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 160,000.00
15 RENI ALMAIDA KENDI R.JAYA PARTUS NORMAL 7/29/2018 7/31/2018 160,000.00
16 JULIA SUBUH JAYA B.P.BARAT PARTUS NORMAL 7/29/2018 7/31/2018 160,000.00
17 ELY MISTI MONDANG PICTOR B.P.BARAT PARTUS NORMAL 8/2/2018 7/4/2018 160,000.00
18 IRA WATI SUGIANI R.JAYA PARTUS NORMAL 8/3/2018 7/5/2018 160,000.00
19 SARINTEN LESIMAN B.P.BARAT PARTUS NORMAL 8/5/2018 8/7/2018 160,000.00
20 NELVI IRWAN HT.PADANG PARTUS NORMAL 8/6/2018 8/8/2018 160,000.00
21 FITRI HUSIN G.INTAN KPD 8/6/2018 8/8/2018 160,000.00
22 SITI MAISYAROH MUTOHIRIN R.JAYA PARTUS NORMAL 8/7/2018 8/9/2018 160,000.00
23 SITI PATIMAH NENEK G.INTAN PARTUS NORMAL 8/6/2018 8/8/2018 160,000.00
24 SUHAIBAH TRISUTRISNO SP.PADANG BULAN PARTUS NORMAL 8/6/2018 8/8/2018 160,000.00
25 LIRA WANCANA ARIANTO B.P.BARAT PARTUS NORMAL 8/11/2018 8/13/2018 160,000.00
26 SUKRIAH SALAMAT G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 160,000.00
27 YESNI PARIDA ROBERT SUGARA G.INTAN PARTUS NORMAL 8/22/2018 8/24/2018 160,000.00
28 SULASTRI YANRO R.JAYA PARTUS NORMAL 8/24/2018 8/26/2018 160,000.00
29 MARNI ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 160,000.00
30 TETTY ENDI G.INTAN PARTUS NORMAL 9/1/2018 9/3/2018 160,000.00
31 SRI YUNIARTI NASRI HT.PADANG PARTUS NORMAL 9/1/2018 9/3/2018 160,000.00
32 NURAMINAH BADOAR B.P.BARAT PARTUS NORMAL 9/4/2018 9/6/2018 160,000.00
33 YUNINGSIH EKO R.JAYA PARTUS NORMAL 9/7/2018 9/9/2018 160,000.00
34 KARLINA AYU PRANATA JEFRI PASAR TANGUN PARTUS NORMAL 9/11/2018 9/13/2018 160,000.00
35 YUNIAR JUSRI P.SAMA PARTUS NORMAL 9/12/2018 9/14/2018 160,000.00
36 SITI HAWA ILHAM DAMHURI HT.PADANG PARTUS NORMAL 9/14/2018 9/16/2018 160,000.00
37 MASLINAR JERMAN L.PAYUNG SC 9/17/2018 9/19/2018 160,000.00
38 NINGWAHYUNI HERIWILO R.JAYA PARTUS NORMAL 9/18/2018 9/20/2018 160,000.00
39 SERI LESTARI HARNO R.JAYA PARTUS NORMAL 9/21/2018 9/23/2018 160,000.00
40 SUTIIN HANDOKO R.JAYA PARTUS NORMAL 9/26/2018 9/28/2018 160,000.00
41 NUR HALIMAH ANTANONI B.P.BARAT PARTUS NORMAL 9/28/2018 9/30/2018 160,000.00
42 SRI LESTARI BEJO R.JAYA PARTUS NORMAL 9/28/2018 9/30/2018 160,000.00
TOTAL RP.6.720.000,-
 REGISTER JAMINAN PERSALINAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN JUNI TAHUN 2018

NO NAMA PASIEN NAMA SUAMI ALAMAT ANAK KE TGL PERSALINAN BIDAN PENOLONG JMLH RP
1 SITI HABIBAH FAISAL KP.TANGUN 1 6/7/2018 KHOIRUNNISA 700,000.00
2 INDAH PURNAMA SARI HASIBUAN DEDI U.PADANG 1 6/10/2018 KHOIRUNNISA 700,000.00
3 LENNI ELVIANA DEFRIADI G.INTAN 2 6/11/2018 DESVI SURIATI 700,000.00
4 NIRA HERU ANGGARA KP.TANGUN 1 6/11/2018 KHOIRUNNISA 700,000.00
5 ROHANI IWAN KP.TANGUN 2 6/11/2018 KHOIRUNNISA 700,000.00
6 RISMAWATI JAKOROP HT.PADANG 2 6/15/2018 DELISMAWATI 700,000.00
7 ANISAH PUTRI RIO KPL.BONDAR 1 6/20/2018 DEWI NOVITA SARI 700,000.00
TOTAL RP.4.900.000,-
 REGISTER MAKAN DAN MINUM PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN JUNI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 SARIPA PUL ZULFIKAR L.PAYUNG SC 5/29/2018 5/31/2018 540,000.00
2 SUHARMI SALIO R.JAYA PARTUS NORMAL 5/30/2018 6/1/2018 540,000.00
3 NUR DIANA DANAN G.INTAN PARTUS NORMAL 5/31/2018 5/2/2018 540,000.00
4 ASNI ARDIYANSAH KP.BERINGIN PARTUS NORMAL 6/2/2018 6/4/2018 540,000.00
5 SITI HABIBAH FAISAL KP.TANGUN PARTUS NORMAL 6/5/2018 6/7/2018 540,000.00
6 NUR KHONISAH SUGIMAN AEK TANGUN PARTUS NORMAL 6/6/2018 6/8/2018 540,000.00
7 KARMILA SAMSUL R.JAYA PARTUS NORMAL 6/6/2018 6/8/2018 540,000.00
8 SUSANTI MARSUDI PASIR INTAN KPD 6/7/2018 6/9/2018 540,000.00
9 RINI SUGIARTI BUDIMAN PASIR INTAN PARTUS NORMAL 6/7/2018 6/9/2018 540,000.00
10 INDAH PURNAMA SARI HASIBUAN DEDI KP.TANGUN PARTUS NORMAL 6/8/2018 6/10/2018 540,000.00
11 LENNI ELVIANA DEPRIADI G.INTAN PARTUS NORMAL 6/9/2018 6/11/2018 540,000.00
12 NIRA HERU ANGGARA KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 540,000.00
13 ROHANI IWAN KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 540,000.00
14 SUYANTI WIWIT WIJAYA R.JAYA PARTUS NORMAL 6/9/2018 6/11/2018 540,000.00
15 ROSMIZAR EFRI DONA L.PAYUNG PARTUS NORMAL 6/10/2018 6/12/2018 540,000.00
16 SAIDAH MAWAR DELPUTRA YANTO R.JAYA PARTUS NORMAL 6/11/2018 6/13/2018 540,000.00
17 ROSNAM LINDA MUARAKATOGAN PARTUS NORMAL 6/11/2018 6/13/2018 540,000.00
18 RISMAWATI JAKOROP H.PADANG PARTUS NORMAL 6/13/2018 6/15/2018 540,000.00
19 ANISAH PUTRI RIO KPL.BONDAR PARTUS NORMAL 6/18/2018 6/20/2018 160,000.00
20 ASMONAH SUKIJAN PASIR INTAN PARTUS NORMAL 6/18/2018 6/20/2018 540,000.00
21 LISMA BAHRI G.INTAN PARTUS NORMAL 6/22/2018 6/24/2018 540,000.00
22 IIN YULIANA BUDIMAN R.JAYA PARTUS NORMAL 6/23/2018 6/25/2018 540,000.00
23 ASRIPAH MUSTAKIM R.JAYA PARTUS NORMAL 6/27/2018 6/29/2018 540,000.00
TOTAL RP. 12.420.000.00
 REGISTER SEWA KENDERAAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN JUNI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 SARIPA PUL ZULFIKAR L.PAYUNG SC 5/29/2018 5/31/2018 200,000.00
2 SUHARMI SALIO R.JAYA PARTUS NORMAL 5/30/2018 6/1/2018 200,000.00
3 NUR DIANA DANAN G.INTAN PARTUS NORMAL 5/31/2018 5/2/2018 200,000.00
4 ASNI ARDIYANSAH KP.BERINGIN PARTUS NORMAL 6/2/2018 6/4/2018 200,000.00
5 SITI HABIBAH FAISAL KP.TANGUN PARTUS NORMAL 6/5/2018 6/7/2018 200,000.00
6 NUR KHONISAH SUGIMAN AEK TANGUN PARTUS NORMAL 6/6/2018 6/8/2018 200,000.00
7 KARMILA SAMSUL R.JAYA PARTUS NORMAL 6/6/2018 6/8/2018 200,000.00
8 SUSANTI MARSUDI PASIR INTAN KPD 6/7/2018 6/9/2018 200,000.00
9 RINI SUGIARTI BUDIMAN PASIR INTAN PARTUS NORMAL 6/7/2018 6/9/2018 200,000.00
10 INDAH PURNAMA SARI HASIBUAN DEDI KP.TANGUN PARTUS NORMAL 6/8/2018 6/10/2018 200,000.00
11 LENNI ELVIANA DEPRIADI G.INTAN PARTUS NORMAL 6/9/2018 6/11/2018 200,000.00
12 NIRA HERU ANGGARA KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 200,000.00
13 ROHANI IWAN KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 200,000.00
14 SUYANTI WIWIT WIJAYA R.JAYA PARTUS NORMAL 6/9/2018 6/11/2018 200,000.00
15 ROSMIZAR EFRI DONA L.PAYUNG PARTUS NORMAL 6/10/2018 6/12/2018 200,000.00
16 SAIDAH MAWAR DELPUTRA YANTO R.JAYA PARTUS NORMAL 6/11/2018 6/13/2018 200,000.00
17 ROSNAM LINDA MUARAKATOGAN PARTUS NORMAL 6/11/2018 6/13/2018 200,000.00
18 RISMAWATI JAKOROP H.PADANG PARTUS NORMAL 6/13/2018 6/15/2018 200,000.00
19 ANISAH PUTRI RIO KPL.BONDAR PARTUS NORMAL 6/18/2018 6/20/2018 160,000.00
20 ASMONAH SUKIJAN PASIR INTAN PARTUS NORMAL 6/18/2018 6/20/2018 200,000.00
21 LISMA BAHRI G.INTAN PARTUS NORMAL 6/22/2018 6/24/2018 200,000.00
22 IIN YULIANA BUDIMAN R.JAYA PARTUS NORMAL 6/23/2018 6/25/2018 200,000.00
23 ASRIPAH MUSTAKIM R.JAYA PARTUS NORMAL 6/27/2018 6/29/2018 200,000.00
TOTAL RP. 4.600.000.00
 REGISTER TRANSPORT PENDAMPING PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN JUNI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 SARIPA PUL ZULFIKAR L.PAYUNG SC 5/29/2018 5/31/2018 160,000.00
2 SUHARMI SALIO R.JAYA PARTUS NORMAL 5/30/2018 6/1/2018 160,000.00
3 NUR DIANA DANAN G.INTAN PARTUS NORMAL 5/31/2018 5/2/2018 160,000.00
4 ASNI ARDIYANSAH KP.BERINGIN PARTUS NORMAL 6/2/2018 6/4/2018 160,000.00
5 SITI HABIBAH FAISAL KP.TANGUN PARTUS NORMAL 6/5/2018 6/7/2018 160,000.00
6 NUR KHONISAH SUGIMAN AEK TANGUN PARTUS NORMAL 6/6/2018 6/8/2018 160,000.00
7 KARMILA SAMSUL R.JAYA PARTUS NORMAL 6/6/2018 6/8/2018 160,000.00
8 SUSANTI MARSUDI PASIR INTAN KPD 6/7/2018 6/9/2018 160,000.00
9 RINI SUGIARTI BUDIMAN PASIR INTAN PARTUS NORMAL 6/7/2018 6/9/2018 160,000.00
10 INDAH PURNAMA SARI HASIBUAN DEDI KP.TANGUN PARTUS NORMAL 6/8/2018 6/10/2018 160,000.00
11 LENNI ELVIANA DEPRIADI G.INTAN PARTUS NORMAL 6/9/2018 6/11/2018 160,000.00
12 NIRA HERU ANGGARA KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 160,000.00
13 ROHANI IWAN KP.TANGUN PARTUS NORMAL 6/9/2018 6/11/2018 160,000.00
14 SUYANTI WIWIT WIJAYA R.JAYA PARTUS NORMAL 6/9/2018 6/11/2018 160,000.00
15 ROSMIZAR EFRI DONA L.PAYUNG PARTUS NORMAL 6/10/2018 6/12/2018 160,000.00
16 SAIDAH MAWAR DELPUTRA YANTO R.JAYA PARTUS NORMAL 6/11/2018 6/13/2018 160,000.00
17 ROSNAM LINDA MUARAKATOGAN PARTUS NORMAL 6/11/2018 6/13/2018 160,000.00
18 RISMAWATI JAKOROP H.PADANG PARTUS NORMAL 6/13/2018 6/15/2018 160,000.00
19 ANISAH PUTRI RIO KPL.BONDAR PARTUS NORMAL 6/18/2018 6/20/2018 160,000.00
20 ASMONAH SUKIJAN PASIR INTAN PARTUS NORMAL 6/18/2018 6/20/2018 160,000.00
21 LISMA BAHRI G.INTAN PARTUS NORMAL 6/22/2018 6/24/2018 160,000.00
22 IIN YULIANA BUDIMAN R.JAYA PARTUS NORMAL 6/23/2018 6/25/2018 160,000.00 18,181,818.00
23 ASRIPAH MUSTAKIM R.JAYA PARTUS NORMAL 6/27/2018 6/29/2018 160,000.00 272,727.27
TOTAL RP.3.680.000,-
 REGISTER JAMINAN PERSALINAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN MEI TAHUN 2018

NO NAMA PASIEN NAMA SUAMI ALAMAT ANAK KE TGL PERSALINAN BIDAN PENOLONG JMLH RP
1 AMNIL AMYARI SAPUTRA L.PAYUNG 2 5/15/2018 DESVI SURIATI 700,000.00
2 SITI ROBIAH MUSHARDI L.PAYUNG 3 5/15/2018 DESVI SURIATI 700,000.00
3 RIMA EDI HARAHAP SP.PADANG BULAN 3 5/27/2018 DESVI SURIATI 700,000.00
4 ERNELIS TIOPAN AEK TANGUN 5 5/20/2018 DEWI NOVITA SARI 700,000.00
5 RAHMI ERVINA WILMAR SATTAHI HT.PADANG 2 4/11/2018 DELISMAWATI 700,000.00
6 SARAH AMALIA LBS GINDA HT.PADANG 2 4/11/2018 SUHERLINDA 700,000.00
7 DELISAH BUDIMAN L.PAYUNG 3 4/13/2018 SUHERLINDA 700,000.00
8 INUR JONSON TANGUN 4 5/15/2018 KHOIRUNNISA 700,000.00
9 ASNI HSB ABDUL ALIM SP.PADANG BULAN 1 5/27/2018 SUHERLINDA 700,000.00
10 ISNANIAH SYUKRI NASUTION TANGUN 1 5/10/2018 KHOIRUNNISA 700,000.00
11 HEMA MALINI IHWAN SAFRONI TANGUN 2 5/28/2018 KHOIRUNNISA 700,000.00
TOTAL RP.7.700.000,-
 REGISTER MAKAN DAN MINUM PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN MEI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 HERMA YANTI PONIDI KEPALA BONDAR PARTUS NORMAL 4/4/2018 4/6/2018 540,000.00
2 RAHMI ERVINA WILMAR SATTAHI HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 540,000.00
3 SARAH AMALIA LBS GINDA HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 540,000.00
4 DELISAH BUDIMAN L.PAYUNG KPD 4/12/2018 4/14/2018 540,000.00
5 DEWI EPEN G.INTAN PARTUS NORMAL 4/16/2018 4/18/2018 540,000.00
6 SRI WARDANI SUGIAT PASIR INTAN PARTUS NORMAL 4/20/2018 4/22/2018 540,000.00
7 SUGI ERMA WATI NARNO PASIR INTAN PARTUS NORMAL 4/21/2018 4/23/2018 540,000.00
8 ASNIAR ILHAM HT.PADANG PARTUS NORMAL 4/28/2018 4/30/2018 540,000.00
9 INUR JONSON TANGUN PARTUS NORMAL 5/14/2018 5/16/2018 540,000.00
10 AMNIL AMYARI SAPUTRA L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 540,000.00
11 SITI ROBIAH MUSHARDI L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 540,000.00
12 ERNELIS TIOPAN AEK TANGUN KPD 5/19/2018 5/21/2018 540,000.00
13 SRI RAHAYU SUTIKNO PASIR INTAN PARTUS NORMAL 5/20/2018 5/22/2018 540,000.00
14 FITRI ANDRE LUBUK RAYA PARTUS NORMAL 5/24/2018 5/26/2018 540,000.00
15 RIMA EDI HARAHAP SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 540,000.00
16 ASNI HSB ABDUL ALIM SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 540,000.00
17 LIZA FEBRIANI ULYA HT.LOLOT PARTUS NORMAL 5/27/2018 5/29/2018 160,000.00
18 HEMA MALINI IHWAN SAFRONI TANGUN PARTUS NORMAL 5/27/2018 5/29/2018 540,000.00
TOTAL RP. 9.720.000.00
 REGISTER SEWA KENDERAAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN MEI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 HERMA YANTI PONIDI KEPALA BONDAR PARTUS NORMAL 4/4/2018 4/6/2018 200,000.00
2 RAHMI ERVINA WILMAR SATTAHI HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 200,000.00
3 SARAH AMALIA LBS GINDA HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 200,000.00
4 DELISAH BUDIMAN L.PAYUNG KPD 4/12/2018 4/14/2018 200,000.00
5 DEWI EPEN G.INTAN PARTUS NORMAL 4/16/2018 4/18/2018 200,000.00
6 SRI WARDANI SUGIAT PASIR INTAN PARTUS NORMAL 4/20/2018 4/22/2018 200,00.00
7 SUGI ERMA WATI NARNO PASIR INTAN PARTUS NORMAL 4/21/2018 4/23/2018 200,000.00
8 ASNIAR ILHAM HT.PADANG PARTUS NORMAL 4/28/2018 4/30/2018 160,000.00
9 INUR JONSON TANGUN PARTUS NORMAL 5/14/2018 5/16/2018 200,000.00
10 AMNIL AMYARI SAPUTRA L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 200,000.00
11 SITI ROBIAH MUSHARDI L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 200,000.00
12 ERNELIS TIOPAN AEK TANGUN KPD 5/19/2018 5/21/2018 200,000.00
13 SRI RAHAYU SUTIKNO PASIR INTAN PARTUS NORMAL 5/20/2018 5/22/2018 200,000.00
14 FITRI ANDRE LUBUK RAYA PARTUS NORMAL 5/24/2018 5/26/2018 200,000.00
15 RIMA EDI HARAHAP SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 200,000.00
16 ASNI HSB ABDUL ALIM SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 200,000.00
17 LIZA FEBRIANI ULYA HT.LOLOT PARTUS NORMAL 5/27/2018 5/29/2018 160,000.00
18 HEMA MALINI IHWAN SAFRONI TANGUN PARTUS NORMAL 5/27/2018 5/29/2018 200,000.00
TOTAL RP.3.600.000,-
 REGISTER TRANSPORT PENDAMPING PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN MEI TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 HERMA YANTI PONIDI KEPALA BONDAR PARTUS NORMAL 4/4/2018 4/6/2018 160,000.00
2 RAHMI ERVINA WILMAR SATTAHI HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 160,000.00
3 SARAH AMALIA LBS GINDA HT.PADANG PARTUS NORMAL 4/10/2018 4/12/2018 160,000.00
4 DELISAH BUDIMAN L.PAYUNG KPD 4/12/2018 4/14/2018 160,000.00
5 DEWI EPEN G.INTAN PARTUS NORMAL 4/16/2018 4/18/2018 160,000.00
6 SRI WARDANI SUGIAT PASIR INTAN PARTUS NORMAL 4/20/2018 4/22/2018 160,000.00
7 SUGI ERMA WATI NARNO PASIR INTAN PARTUS NORMAL 4/21/2018 4/23/2018 160,000.00
8 ASNIAR ILHAM HT.PADANG PARTUS NORMAL 4/28/2018 4/30/2018 160,000.00
9 INUR JONSON TANGUN PARTUS NORMAL 5/14/2018 5/16/2018 160,000.00
10 AMNIL AMYARI SAPUTRA L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 160,000.00
11 SITI ROBIAH MUSHARDI L.PAYUNG PARTUS NORMAL 5/14/2018 5/16/2018 160,000.00
12 ERNELIS TIOPAN AEK TANGUN KPD 5/19/2018 5/21/2018 160,000.00
13 SRI RAHAYU SUTIKNO PASIR INTAN PARTUS NORMAL 5/20/2018 5/22/2018 160,000.00
14 FITRI ANDRE LUBUK RAYA PARTUS NORMAL 5/24/2018 5/26/2018 160,000.00
15 RIMA EDI HARAHAP SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 160,000.00
16 ASNI HSB ABDUL ALIM SP.PADANG BULAN PARTUS NORMAL 5/26/2018 5/28/2018 160,000.00
17 LIZA FEBRIANI ULYA HT.LOLOT PARTUS NORMAL 5/27/2018 5/29/2018 160,000.00
18 HEMA MALINI IHWAN SAFRONI TANGUN PARTUS NORMAL 5/27/2018 5/29/2018 160,000.00
TOTAL RP.2.880.000,-
 REGISTER JAMINAN PERSALINAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )
PUSKESMAS BANGUN PURBA BULAN MARET TAHUN 2018

NO NAMA PASIEN NAMA SUAMI ALAMAT ANAK KE TGL PERSALINAN BIDAN PENOLONG JMLH RP
1 DEVIA RENI KELVIN TANGUN 2 1/12/2018 DELISMAWATI 700,000.00
2 SARLI MARLINA FAJRI HT.PADANG 3 1/12/2018 DELISMAWATI 700,000.00
3 KASMIRAWATI ANDIKA HT.LOLOT 2 1/13/2018 DELISMAWATI 700,000.00
4 SINTA PARNO TANGUN 4 1/20/2018 KHOIRUNNISA 700,000.00
5 ULFA MARITO NASUTION WAHIDIN TANGUN 1 1/25/2018 KHOIRUNNISA 700,000.00
6 NOVIA WULANDARI SURATNO G.INTAN 1 2/5/2018 DESVI SURIATI 700,000.00
7 SITI KHADIJAH PISON L.PAYUNG 2 2/14/2018 SUHERLINDA 700,000.00
8 ZURAIDA HANUM LUBIS PARMAN HT.PADANG 2 2/18/2018 DELISMAWATI 700,000.00
9 SUPIANA TAMRIN G.INTAN 2 2/22/2018 DESVI SURIATI 700,000.00
10 RAHMA RISKY SOFYAN HT.PADANG 2 2/24/2018 DELISMAWATI 700,000.00
11 DAHLIANA NASUTION RAHMAN SALEH SITOMPUL SP.PADANG BULAN 1 3/2/2018 DELISMAWATI 700,000.00
12 IRMA SURYANI ALI ERMA LUBIS B.P.BARAT 2 3/2/2018 DEWI NOVITA SARI 700,000.00
13 SITI KHODIJAH JUFRIADI L.PAYUNG 5 3/15/2018 SUHERLINDA 700,000.00
14 NURLIANIS EKI TANGUN 3 3/15/2018 KHOIRUNNISA 700,000.00
15 SUMIATI IDE SUSANTO P.INTAN 2 3/19/2018 DARYANTI 700,000.00
16 YUSMIDAR KARDONA L.PAYUNG 1 3/26/2018 SUHERLINDA 700,000.00
TOTAL RP.11.200.000,-

REGISTER MAKAN DAN MINUM PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )

PUSKESMAS BANGUN PURBA BULAN MARET TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. MASUK TGL. KELUAR JMLH RP
1 RODIAH ASMAD TANGUN MULTI GRAVIDA 1/1/2018 1/3/2018 540,000.00
2 SUNARTI IDRIS G.INTAN PARTUS NORMAL 1/2/2018 1/4/2018 540,000.00
3 WARSITI SUKRIADI P.INTAN PARTUS NORMAL 1/7/2018 1/9/2018 540,000.00
4 DEVIA RENI KELVIN TANGUN PARTUS NORMAL 1/11/2018 1/13/2018 540,000.00
5 SARLI MARLINA FAJRI HT.PADANG KPD 1/11/2018 1/13/2018 540,000.00
6 ERMALIANA HENRA S.PINANG PARTUS NORMAL 1/12/2018 1/14/2018 540,000.00
7 SITI AISYAH RAMAL B.P.BARAT PARTUS NORMAL 1/12/2018 1/14/2018 540,000.00
8 KASMIRAWATI ANDIKA HT.LOLOT KPD 1/12/2018 1/14/2018 540,000.00
9 INDAH PERMATA SARI IHWAN NIAGA B.P.BARAT PARTUS NORMAL 1/14/2018 1/16/2018 540,000.00
10 SRI LENI SUSANTI TABRANI G.INTAN PARTUS NORMAL 1/14/2018 1/16/2018 540,000.00
11 PARTI ASTUTI SUKRIANTO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 540,000.00
12 APRYANTI EKO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 540,000.00
13 LELINA SARI HASIBUAN RAHMAT B.P.BARAT PARTUS NORMAL 1/17/2018 1/19/2018 540,000.00
14 SINTA PARNO TANGUN MULTI GRAVIDA 1/19/2018 1/21/2018 540,000.00
15 MARYANI JOKO P.INTAN PARTUS NORMAL 1/22/2018 1/24/2018 540,000.00
16 ULFA MARITO NASUTION WAHIDIN TANGUN KPD 1/24/2018 1/26/2018 540,000.00
17 DEVI LIANA DAULAY RAMLAN ABADI HARAHAP G.INTAN PARTUS NORMAL 1/28/2018 1/30/2018 540,000.00
18 HOTIAH HASANUDDIN B.P.BARAT PARTUS NORMAL 2/1/2018 2/3/2018 540,000.00
19 NOVIA WULANDARI SURATNO G.INTAN PARTUS NORMAL 2/4/2018 2/6/2018 540,000.00
20 AGUSTINA ADI SUWITO P.INTAN PARTUS NORMAL 2/5/2018 2/7/2018 540,000.00
21 SITI KHADIJAH PISON L.PAYUNG PARTUS NORMAL 2/13/2018 2/15/2018 540,000.00
22 BELLA VISTA NASUTION YASIR L.PAYUNG CPD 2/13/2018 2/15/2018 540,000.00
23 ZURAIDA HANUM LUBIS PARMAN HT.PADANG KPD 2/17/2018 2/19/2018 540,000.00
24 SUPIANA TAMRIN G.INTAN PARTUS NORMAL 2/21/2018 2/23/2018 540,000.00
25 LILIS SURYANI RAHMAT P.INTAN PARTUS NORMAL 2/22/2018 2/23/2018 540,000.00
26 RAHMA RISKY SOFYAN HT.PADANG KPD 2/23/2018 2/25/2018 540,000.00
27 ASMARIDA SUNARDI B.P.BARAT PARTUS NORMAL 2/27/2018 3/1/2018 540,000.00
28 DAHLIANA NASUTION RAHMAN SALEH SITOMPUL SP.PADANG BULAN KPD 3/1/2018 3/3/2018 540,000.00
29 IRMA SURYANI ALI ERMA LUBIS B.P.BARAT PARTUS NORMAL 3/1/2018 3/3/2018 540,000.00
30 LOMSARI ABDUL KHOLIK B.P.BARAT PARTUS NORMAL 3/9/2018 3/11/2018 540,000.00
31 SITI KHODIJAH JUFRIADI L.PAYUNG PARTUS NORMAL 3/14/2018 3/16/2018 540,000.00
32 NURLIANIS EKI TANGUN PARTUS NORMAL 3/14/2018 3/16/2018 540,000.00
33 NINIK RAHAYU CANRA G.INTAN PARTUS NORMAL 3/16/2018 3/18/2018 540,000.00
34 LENI MARLINA ABDUL RAHMAN TANGUN PARTUS NORMAL 3/17/2018 3/19/2018 540,000.00
35 SUMIATI IDE SUSANTO P.INTAN PARTUS NORMAL 3/18/2018 3/20/2018 540,000.00
36 RATNA DEWI HENRO G.INTAN PARTUS NORMAL 3/19/2018 3/21/2018 540,000.00
37 SITI AMIN ADI ASMANTO G.INTAN PARTUS NORMAL 3/23/2018 3/25/2018 540,000.00
38 SANTI DEWI JUNEDI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 540,000.00
39 NUR HASANAH M. NASRI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 540,000.00
40 YUSMIDAR KARDONA L.PAYUNG PARTUS NORMAL 3/27/2018 3/29/2018 540,000.00
41 ELFIANA RITONGA MAMID TANGUN KPD 3/27/2018 3/29/2018 540,000.00
42 NUR HAMIDAH RIZAL JANJI RAJA PARTUS NORMAL 3/27/2018 3/29/2018 540,000.00
TOTAL RP.22.680.000,-

REGISTER SEWA KENDERAAN PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )

PUSKESMAS BANGUN PURBA BULAN MARET TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 RODIAH ASMAD TANGUN MULTI GRAVIDA 1/1/2018 1/3/2018 200,000.00
2 SUNARTI IDRIS G.INTAN PARTUS NORMAL 1/2/2018 1/4/2018 200,000.00
3 WARSITI SUKRIADI P.INTAN PARTUS NORMAL 1/7/2018 1/9/2018 200,000.00
4 DEVIA RENI KELVIN TANGUN PARTUS NORMAL 1/11/2018 1/13/2018 200,000.00
5 SARLI MARLINA FAJRI HT.PADANG KPD 1/11/2018 1/13/2018 200,000.00
 6 ERMALIANA HENRA S.PINANG PARTUS NORMAL 1/12/2018 1/14/2018 200,000.00
7 SITI AISYAH RAMAL B.P.BARAT PARTUS NORMAL 1/12/2018 1/14/2018 200,000.00
8 KASMIRAWATI ANDIKA HT.LOLOT KPD 1/12/2018 1/14/2018 200,000.00
9 INDAH PERMATA SARI IHWAN NIAGA B.P.BARAT PARTUS NORMAL 1/14/2018 1/16/2018 200,000.00
10 SRI LENI SUSANTI TABRANI G.INTAN PARTUS NORMAL 1/14/2018 1/16/2018 200,000.00
11 PARTI ASTUTI SUKRIANTO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 200,000.00
12 APRYANTI EKO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 200,000.00
13 LELINA SARI HASIBUAN RAHMAT B.P.BARAT PARTUS NORMAL 1/17/2018 1/19/2018 200,000.00
14 SINTA PARNO TANGUN MULTI GRAVIDA 1/19/2018 1/21/2018 200,000.00
15 MARYANI JOKO P.INTAN PARTUS NORMAL 1/22/2018 1/24/2018 200,000.00
16 ULFA MARITO NASUTION WAHIDIN TANGUN KPD 1/24/2018 1/26/2018 200,000.00
17 DEVI LIANA DAULAY RAMLAN ABADI HARAHAP G.INTAN PARTUS NORMAL 1/28/2018 1/30/2018 200,000.00
18 HOTIAH HASANUDDIN B.P.BARAT PARTUS NORMAL 2/1/2018 2/3/2018 200,000.00
19 NOVIA WULANDARI SURATNO G.INTAN PARTUS NORMAL 2/4/2018 2/6/2018 200,000.00
20 AGUSTINA ADI SUWITO P.INTAN PARTUS NORMAL 2/5/2018 2/7/2018 200,000.00
21 SITI KHADIJAH PISON L.PAYUNG PARTUS NORMAL 2/13/2018 2/15/2018 200,000.00
22 BELLA VISTA NASUTION YASIR L.PAYUNG CPD 2/13/2018 2/15/2018 200,000.00
23 ZURAIDA HANUM LUBIS PARMAN HT.PADANG KPD 2/17/2018 2/19/2018 200,000.00
24 SUPIANA TAMRIN G.INTAN PARTUS NORMAL 2/21/2018 2/23/2018 200,000.00
25 LILIS SURYANI RAHMAT P.INTAN PARTUS NORMAL 2/22/2018 2/23/2018 200,000.00
26 RAHMA RISKY SOFYAN HT.PADANG KPD 2/23/2018 2/25/2018 200,000.00
27 ASMARIDA SUNARDI B.P.BARAT PARTUS NORMAL 2/27/2018 3/1/2018 200,000.00
28 DAHLIANA NASUTION RAHMAN SALEH SITOMPUL SP.PADANG BULAN KPD 3/1/2018 3/3/2018 200,000.00
29 IRMA SURYANI ALI ERMA LUBIS B.P.BARAT PARTUS NORMAL 3/1/2018 3/3/2018 200,000.00
30 LOMSARI ABDUL KHOLIK B.P.BARAT PARTUS NORMAL 3/9/2018 3/11/2018 200,000.00
31 SITI KHODIJAH JUFRIADI L.PAYUNG PARTUS NORMAL 3/14/2018 3/16/2018 200,000.00
32 NURLIANIS EKI TANGUN PARTUS NORMAL 3/14/2018 3/16/2018 200,000.00
33 NINIK RAHAYU CANRA G.INTAN PARTUS NORMAL 3/16/2018 3/18/2018 200,000.00
34 LENI MARLINA ABDUL RAHMAN TANGUN PARTUS NORMAL 3/17/2018 3/19/2018 200,000.00
35 SUMIATI IDE SUSANTO P.INTAN PARTUS NORMAL 3/18/2018 3/20/2018 200,000.00
36 RATNA DEWI HENRO G.INTAN PARTUS NORMAL 3/19/2018 3/21/2018 200,000.00
37 SITI AMIN ADI ASMANTO G.INTAN PARTUS NORMAL 3/23/2018 3/25/2018 200,000.00
38 SANTI DEWI JUNEDI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 200,000.00
39 NUR HASANAH M. NASRI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 200,000.00
40 YUSMIDAR KARDONA L.PAYUNG PARTUS NORMAL 3/27/2018 3/29/2018 200,000.00
41 ELFIANA RITONGA MAMID TANGUN KPD 3/27/2018 3/29/2018 200,000.00
42 NUR HAMIDAH RIZAL JANJI RAJA PARTUS NORMAL 3/27/2018 3/29/2018 200,000.00
 TOTAL RP.8.400.000,-

REGISTER TRANSPORT PENDAMPING PASIEN RUMAH TUNGGU KELAHIRAN ( RTK )

PUSKESMAS BANGUN PURBA BULAN MARET TAHUN 2018
NO NAMA PASIEN NAMA SUAMI ALAMAT DIAGNOSA TGL. ANTAR TGL. JEMPUT JMLH RP
1 RODIAH ASMAD TANGUN MULTI GRAVIDA 1/1/2018 1/3/2018 160,000.00
2 SUNARTI IDRIS G.INTAN PARTUS NORMAL 1/2/2018 1/4/2018 160,000.00
3 WARSITI SUKRIADI P.INTAN PARTUS NORMAL 1/7/2018 1/9/2018 160,000.00
4 DEVIA RENI KELVIN TANGUN PARTUS NORMAL 1/11/2018 1/13/2018 160,000.00
5 SARLI MARLINA FAJRI HT.PADANG KPD 1/11/2018 1/13/2018 160,000.00
6 ERMALIANA HENRA S.PINANG PARTUS NORMAL 1/12/2018 1/14/2018 160,000.00
7 SITI AISYAH RAMAL B.P.BARAT PARTUS NORMAL 1/12/2018 1/14/2018 160,000.00
8 KASMIRAWATI ANDIKA HT.LOLOT KPD 1/12/2018 1/14/2018 160,000.00
9 INDAH PERMATA SARI IHWAN NIAGA B.P.BARAT PARTUS NORMAL 1/14/2018 1/16/2018 160,000.00
10 SRI LENI SUSANTI TABRANI G.INTAN PARTUS NORMAL 1/14/2018 1/16/2018 160,000.00
11 PARTI ASTUTI SUKRIANTO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 160,000.00
12 APRYANTI EKO P.INTAN PARTUS NORMAL 1/16/2018 1/18/2018 160,000.00
13 LELINA SARI HASIBUAN RAHMAT B.P.BARAT PARTUS NORMAL 1/17/2018 1/19/2018 160,000.00
14 SINTA PARNO TANGUN MULTI GRAVIDA 1/19/2018 1/21/2018 160,000.00
15 MARYANI JOKO P.INTAN PARTUS NORMAL 1/22/2018 1/24/2018 160,000.00
16 ULFA MARITO NASUTION WAHIDIN TANGUN KPD 1/24/2018 1/26/2018 160,000.00
17 DEVI LIANA DAULAY RAMLAN ABADI HARAHAP G.INTAN PARTUS NORMAL 1/28/2018 1/30/2018 160,000.00
18 HOTIAH HASANUDDIN B.P.BARAT PARTUS NORMAL 2/1/2018 2/3/2018 160,000.00
19 NOVIA WULANDARI SURATNO G.INTAN PARTUS NORMAL 2/4/2018 2/6/2018 160,000.00
20 AGUSTINA ADI SUWITO P.INTAN PARTUS NORMAL 2/5/2018 2/7/2018 160,000.00
21 SITI KHADIJAH PISON L.PAYUNG PARTUS NORMAL 2/13/2018 2/15/2018 160,000.00
22 BELLA VISTA NASUTION YASIR L.PAYUNG CPD 2/13/2018 2/15/2018 160,000.00
23 ZURAIDA HANUM LUBIS PARMAN HT.PADANG KPD 2/17/2018 2/19/2018 160,000.00 160,000.00
24 SUPIANA TAMRIN G.INTAN PARTUS NORMAL 2/21/2018 2/23/2018 160,000.00 1,120,000.00
25 LILIS SURYANI RAHMAT P.INTAN PARTUS NORMAL 2/22/2018 2/23/2018 160,000.00 1,920,000.00
26 RAHMA RISKY SOFYAN HT.PADANG KPD 2/23/2018 2/25/2018 160,000.00 1,120,000.00
27 ASMARIDA SUNARDI B.P.BARAT PARTUS NORMAL 2/27/2018 3/1/2018 160,000.00 1,120,000.00
28 DAHLIANA NASUTION RAHMAN SALEH SITOMPUL SP.PADANG BULAN KPD 3/1/2018 3/3/2018 160,000.00 640,000.00
29 IRMA SURYANI ALI ERMA LUBIS B.P.BARAT PARTUS NORMAL 3/1/2018 3/3/2018 160,000.00 48,101,000.00 49,000,000.00
30 LOMSARI ABDUL KHOLIK B.P.BARAT PARTUS NORMAL 3/9/2018 3/11/2018 160,000.00 45,651,000.00 5,799,000.00
31 SITI KHODIJAH JUFRIADI L.PAYUNG PARTUS NORMAL 3/14/2018 3/16/2018 160,000.00 43,201,000.00 138,071.43
32 NURLIANIS EKI TANGUN PARTUS NORMAL 3/14/2018 3/16/2018 160,000.00 43,101,000.00
33 NINIK RAHAYU CANRA G.INTAN PARTUS NORMAL 3/16/2018 3/18/2018 160,000.00 36,731,000.00 11,370,000.00
34 LENI MARLINA ABDUL RAHMAN TANGUN PARTUS NORMAL 3/17/2018 3/19/2018 160,000.00 22,680,000.00
35 SUMIATI IDE SUSANTO P.INTAN PARTUS NORMAL 3/18/2018 3/20/2018 160,000.00 269,285.71 11,310,000.00
36 RATNA DEWI HENRO G.INTAN PARTUS NORMAL 3/19/2018 3/21/2018 160,000.00
37 SITI AMIN ADI ASMANTO G.INTAN PARTUS NORMAL 3/23/2018 3/25/2018 160,000.00 1,885,000.00 6,720,000.00
38 SANTI DEWI JUNEDI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 160,000.00 3,231,428.57 8,400,000.00
39 NUR HASANAH M. NASRI G.INTAN PARTUS NORMAL 3/27/2018 3/29/2018 160,000.00 1,077,142.86 22,680,000.00
40 YUSMIDAR KARDONA L.PAYUNG PARTUS NORMAL 3/27/2018 3/29/2018 160,000.00 1,885,000.00 11,200,000.00
41 ELFIANA RITONGA MAMID TANGUN KPD 3/27/2018 3/29/2018 160,000.00 1,885,000.00 49,000,000.00
42 NUR HAMIDAH RIZAL JANJI RAJA PARTUS NORMAL 3/27/2018 3/29/2018 160,000.00 269,285.71
TOTAL RP.6.720.000,- 1,077,142.86 6,370,000.00
11,310,000.00 2,450,000.00
2,450,000.00
980,000.00