Daftar Makmin Pasien

DAFTAR PENERIMAAN MAKAN MINUM PASIEN RAWAT INAP
UPTD PUSKESMAS TELUKNAGA

BULAN JANUARI 2020
No. Rekening : 5.2.2.11.06
Hari
NO Tanggal Nama Pasien Diagnosa Alamat MENU Jumlah
Rawat
1 1/1/2020 Mazroatul G1P0A0 Kebon Cau RT 01/02 1 Nasi 4,000
Sayur Bening 5,000
Ikan bumbu kecap 10,000
Tempe Bacem 3,000
Pepaya 3,000
2 1/2/2020 Suryani G2P1A0 Rawalini RT 02/08 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
3 1/4/2020 Rusmana G2P1A0 Kampung Pulo RT 01/02 1 Nasi 4,000

Sayur Bening 5,000
Ungkeb Hati ayam 10,000
Bolu 3,000
Pepaya 3,000
4 1/4/2020 Eneng G4P3A0 Rawalini 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
5 1/9/2020 Ayu G1P0A0 Babakan Asem 1 Nasi 4,000
Sayur Bening 5,000
Roti Panggang 3,000
Pisang Sunprise 3,000
6 1/13/2020 Sri Wahyuni G3P2A0 Teluknaga RT 01/02 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 1/14/2020 Rensi Ayu G2P1A0 Komplek Garuda 1 Nasi 4,000

Sayur Bening 5,000
Ayam bumbu kuning 10,000
Puding hunkwe 3,000
8 1/16/2020 Suwarti G3P2A0 Tukang Kajang Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Pindang Ikan 10,000
Puding hunkwe 3,000
9 1/20/2020 Juniati G2P1A0 Pintu Kapuk Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
10 1/20/2020 Nesti G2P1A0 Kali Jaya Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
11 1/20/2020 Eni G3P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
12 1/20/2020 Rohati Tukang Kajang Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
13 1/23/2020 Nepsi G2P1A0 Kampung Jamblang 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
14 1/23/2020 Siti Aminah G3P2A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
15 1/26/2020 Mulyanah G3P1A1 Kampung Seliong Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
16 1/26/2020 Yeni G2P1A0 Kebon Kopi Desa Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
17 1/27/2020 Alif G3P2A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
18 1/27/2020 Devi G1P0A0 Kali Jaya Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
19 1/28/2020 Sumiyati G2P1A0 Gang Kober Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
JUMLAH TOTAL 475,000

Terbilang : Empat Ratus Tujuh Puluh Lima Ribu Rupiah
Mengetahui, Tangerang, 25 Februari 2020

Setuju dibayar, Lunas dibayar
Kuasa Pengguna Anggaran
Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
drg. Husna Meiyanti

NIP : 19660511 199401 2 001 Junaedi Jatmiko, SKM Mardiana, SST
NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
BULAN FEBRUARI 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 2/1/2020 Nurlaili G3P2A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 2/3/2020 Nurbayan G3P1A1 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
3 2/3/2020 Siti Alfika G1P0A0 Tanjung Pasir 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
4 2/4/2020 Yuli G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
5 2/4/2020 Sulastri G3P2A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
6 2/5/2020 Siti Nurhidayah G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 2/5/2020 Mitu Megawati G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
8 2/11/2020 Jayanah G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Puding hunkwe 3,000
9 2/12/2020 Nurlenah G3P2A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
10 2/13/2020 Siti Humairoh G2P1A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
11 2/13/2020 Erwin G3P2A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 2/13/2020 Eca Utiyah G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
13 2/19/2020 Hanum G3P2A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Ayam kecap 10,000
Puding hunkwe 3,000
14 2/19/2020 Nelly G4P3A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam kecap 10,000
Puding hunkwe 3,000
15 2/20/2020 Saroha G2P1A0 Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
16 2/25/2020 Dety G5P4A0 Jakarta 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000

Mengetahui, Tangerang, 26 Februari 2020

drg. Husna Meiyanti

NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
BULAN MARET 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 3/2/2020 Sindy Sri Rahayu G2P1A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 3/2/2020 Mursiah G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
3 3/5/2020 Rindi G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
4 3/6/2020 Aisyah G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
5 3/10/2020 Mulyati G3P2A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Roti Panggang 3,000
6 3/12/2020 Anita G3P2A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 3/13/2020 Eca G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
8 3/14/2020 Siti Salimah G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Puding hunkwe 3,000
9 3/17/2020 Sindrawati G1P0A0 Rawa Gempol 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
10 3/17/2020 Aisah G2P1A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
11 3/20/2020 Devi Oktaviani G1P0A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 3/21/2020 Nini Nuraini G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
13 3/23/2020 Dwina G3P2A0 Kali Jaya 1 Nasi 4,000

Sayur Bening 5,000
Ayam kecap 10,000
Puding hunkwe 3,000
14 3/24/2020 Novi G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Jeruk 3,000
15 3/26/2020 Kartina G2P1A0 Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
16 3/28/2020 Siti Sudili G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
17 3/29/2020 Sartika G1P0A Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000

Mengetahui, Tangerang, 30 Maret 2020

drg. Husna Meiyanti

NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
DAFTAR PENERIMAAN MAKAN MINUM PASIEN PERSALINAN
JAMINAN PERSALINAN BLUD PUSKESMAS TELUKNAGA
BULAN APRIL 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 4/2/2020 Fatmawati G2P1A0 Kebon Kelapa Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 4/3/2020 Ismawati G1P0A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
3 4/4/2020 Euis Juwita G1P0A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
4 4/6/2020 Yeni Rahman G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
5 4/7/2020 Supriyanti G3P1A1 Babakan Asem 1 Nasi 4,000
Sayur Bening 5,000
Roti Panggang 3,000
6 4/9/2020 Jelly G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 4/10/2020 Aryati G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
8 4/11/2020 Siti Hamidah G1P0A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
9 4/11/2020 Yuliana G3P2A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
10 4/13/2020 Suryanah G2P1A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
11 4/13/2020 Rika Aprilia G1P0A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 4/14/2020 Acih Sulastri G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
13 4/17/2020 Mini G5P3A1 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
14 4/17/2020 Mimin G2P1A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
15 4/18/2020 Rohani G2P1A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
16 4/19/2020 Dina Asih G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
17 4/19/2020 Rusnawati G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
18 4/19/2020 Nia Safitri G1P0A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
19 4/20/2020 Yulia Anggraini G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
20 4/23/2020 Anis Marsela G2P1A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
21 4/23/2020 Siti Khodijah G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
22 4/23/2020 Maryati G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
23 4/26/2020 Encun G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
24 4/27/2020 Nurhayati G3P2A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
25 4/27/2020 Nuraini G2P1A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
26 4/28/2020 Erin G2P1A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000

Terbilang : Enam Ratus Lima Puluh Ribu Rupiah
Tangerang.................................
Mengetahui, Setujuh dibayar, Lunas dibayar
Kuasa Pengguna Anggaran Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
drg. Husna Meiyanti Junaedi Jamiko, SKM

NIP. 19660511 199401 2 001 NIP. 19650214 198603 1 009 Mardiana, SST
NIP. 19780103 200604 2 008
BULAN MEI 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 4/29/2020 Sela Karmilawati G1P0A0 Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 4/29/2020 Nopitasari G3P2A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
3 5/2/2020 Siti Juroh G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
4 5/2/2020 Novelia Intan G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
5 5/2/2020 Eli Erawati G2P1A0 Babakan Asem 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
6 5/3/2020 Neneng G3P1A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 5/4/2020 Junah G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
8 5/4/2020 Sindy G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
9 5/5/2020 Maimunah G3P2A0 Rawa Lini 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
10 5/5/2020 Siti Sopia G1P0A0 Tanjung Burung 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
11 5/7/2020 Anoh G2P1A0 Kebon Kelapa Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
12 5/7/2020 Siti Mujaendi G3P2A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
13 5/9/2020 Kiti Ayu G1P0A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
14 5/9/2020 Siti Aminah G3P2A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
15 5/10/2020 Anita G4P3A0 Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
16 5/12/2020 Fitri G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
17 5/13/2020 Septiani G1P0A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
18 5/15/2020 Siti Juhriah G2P1A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
19 5/15/2020 Juriah G4P3A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
20 5/15/2020 Nuril G3P2A0 Pangkalan 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
21 5/16/2020 Tohiroh G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
22 5/17/2020 Uspu G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
23 5/17/2020 Amyati G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
24 5/18/2020 Siti Maanih G7P2A4 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
25 5/20/2020 Sopiah G1P0A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
26 5/20/2020 Siti Munawaroh G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
27 5/20/2020 Ani Sulastri G3P2A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
28 5/21/2020 Alfih G3P2A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
29 5/22/2020 Eni G4P2A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
30 5/23/2020 Yanti G3P2A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
31 5/23/2020 Susilawati G2P1A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
32 5/23/2020 Ananda G4P2A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
33 5/24/2020 Sri G5P3A1 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
34 5/26/2020 Alyanah G4P1A2 Teluk Naga 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
35 5/27/2020 Siti Latifah G2P1A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
36 5/27/2020 Megawati G4P3A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
37 5/29/2020 Wati G2P1A0 Kampung Tukang Kajang 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
38 5/29/2020 Meta G3P2A0 Kampung Suka Mulya 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
39 5/29/2020 Haryati G4P3A0 Teluk Naga 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
40 5/29/2020 Dewi G3P2A0 Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
JUMLAH TOTAL 1,000,000

Terbilang : Satu Juta Rupiah
Tangerang, 30 Mei 2020


NIP. 19780103 200604 2 008
BULAN JULI 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 6/26/2020 Siti Laelah G4P3A0 Tanjung Burung 1 Nasi 4,000
Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Jeruk 3,000
2 7/1/2020 Siti Apsah G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
3 7/3/2020 Amelia G3P2A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
4 7/9/2020 Vivi Lutfiah G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
5 7/13/2020 Sulistiyani G3P2A0 Salembaran Jaya 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
6 7/16/2020 Sopiah G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
7 7/19/2020 Ririn Heriyanti G3P2A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
8 7/21/2020 Dinda Suryana G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
9 7/22/2020 Nani G4P2A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
10 7/27/2020 Mutiara G1P0A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000

Terbilang : Dua Ratus Lima Puluh Ribu Rupiah
Tangerang, 29 Juli 2020


NIP. 19780103 200604 2 008
BULAN AGUSTUS 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 7/30/2020 Dian G2P1A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 7/30/2020 Rahmawati G3P1A1 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
3 7/31/2020 Seni G5P4A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
4 8/1/2020 Syahdianti G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
5 8/2/2020 Patimah G5P4A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
6 8/2/2020 Sulasmi G4P3A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 8/3/2020 Rohmawati G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
8 8/3/2020 Astri G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
9 8/3/2020 Masitoh G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
10 8/4/2020 Marlenah G4P2A1 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
11 8/5/2020 Sumyati G1P0A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 8/5/2020 Eka G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
13 8/6/2020 Yusnia G2P1A0 Rawa Lini 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
14 8/8/2020 Wulan G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
15 8/9/2020 Eka Piranti G2P1A0 Ketapang 1 Nasi 4,000
Sayur Bening 5,000
Puding hunkwe 3,000
16 8/9/2020 Ara G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
17 8/10/2020 Selly G2P1A0 Kali Jaya 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
18 8/10/2020 Saldatul G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
19 8/10/2020 Lintan G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
20 8/12/2020 Karti G1P0A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
21 8/13/2020 Suryanah G4P3A1 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
22 8/15/2020 Husyatul G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
23 8/15/2020 Intan G2P1A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
24 8/17/2020 Yanti G2P1A0 Kebon Jamblang 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
25 8/18/2020 Karmila G2P1A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
26 8/19/2020 Mamah G8P7A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
27 8/20/2020 Ismi G3P2A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
28 8/24/2020 Atin G2P1A0 Tukang Kajang 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
29 8/24/2020 Tenina G2P1A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
30 8/25/2020 Umah G1P0A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000

Terbilang : Tujuh Ratus Lima Puluh Ribu Rupiah
Tangerang, 28 Agustus 2020


NIP. 19780103 200604 2 008
BULAN SEPTEMBER 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 8/28/2020 Neneng Tri G2P1A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 8/29/2020 Umi Andryani G3P1A1 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
3 8/29/2020 Ela Septiani G4P3A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
4 8/30/2020 Delia Handayani G1P0A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
5 8/31/2020 Suhani G2P1A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
6 9/1/2020 Maemunah G5P4A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
7 9/1/2020 Dewi Haryanti G4P3A0 Kebon Kopi 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
8 9/2/2020 Riri Karyati G1P0A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
9 9/3/2020 Tisni G4P3A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
10 9/3/2020 Lasmi G1P0A0 Kampung Melayu Barat 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
11 9/5/2020 Putri G1P0A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 9/8/2020 Nani G3P2A0 Kampung Suka Maju 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
13 9/8/2020 Tiara Ainul G1P0A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
14 9/10/2020 Cicih G2P1A0 Tanjung Burung 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
15 9/10/2020 Karmila G5P3A1 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
16 9/11/2020 Een G3P2A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
17 9/11/2020 Ismi G3P2A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
18 9/11/2020 Tri Iramawati G3P2A0 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
19 9/12/2020 Karmilah G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
20 9/12/2020 Lelen G3P2A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
21 9/13/2020 Santi G2P1A0 Tanjung Pasir 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
22 9/14/2020 Rohimah G3P2A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
23 9/17/2020 Suryanah G4P2A1 Teluknaga 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
24 9/19/2020 Elisyah G3P2A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
25 9/19/2020 Nurhayati G3P2A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
26 9/19/2020 Ela Nurhayati G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
27 9/19/2020 Lia Febriani G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
28 9/21/2020 Radilah G5P4A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
29 9/21/2020 Sarwiti G3P2A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
30 9/22/2020 Trisna G2P1A0 Kebon Cau 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
31 9/23/2020 Sukiyah G3P2A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
32 9/24/2020 Anis G1P0A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
33 9/24/2020 Siti Jayanti G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
34 9/25/2020 Pikalani G2P1A0 Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
Terbilang : Derlapan Ratus Lima Puluh Ribu Rupiah

Tangerang, September 2020

NIP. 19780103 200604 2 008
BULAN NOVEMBER 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 11/1/2020 Sabdana G2P1A0 Babakan Asem 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 11/3/2020 Elyani G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
3 11/4/2020 Badriyah G3P1A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
4 11/6/2020 Susan Elvandari G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
5 11/6/2020 Siti Rohayati G2P1A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
6 11/7/2020 Meti G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 11/8/2020 Ambiyah G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
8 11/9/2020 Amsinah G3P2A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
9 11/9/2020 Mala G2P1A0 Tegal Angus 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
10 11/10/2020 Lilis Andrayani G1P0A0 Jakarta Barat 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
11 11/11/2020 Yola Paramita G2P1A0 Kebon Cau 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 11/11/2020 Yani Anggraeni G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
13 11/12/2020 Ida Farida G3P2A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
14 11/12/2020 Putri G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
15 11/12/2020 Ani G3P2A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti Panggang 3,000
16 11/15/2020 Dewi Purwati G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
17 11/17/2020 Adah G4P2A1 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
18 11/20/2020 Indah G2P1A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
19 11/21/2020 Elis G2P1A0 Pondok Wetan 1 Nasi 4,000

Sayur Bening 5,000
Roti panggang 3,000
Pepaya 3,000
20 11/24/2020 Nini G3P1A1 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
21 11/25/2020 Siti Hodijah G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
22 11/26/2020 Dede Sulasmi G3P2A0 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
23 11/28/2020 Oktaviani G4P1A2 Pangkalan 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
24 11/28/2020 Yanti G2P1A0 Kampung Besar 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
Terbilang : Enam Ratus Ribu Rupiah

Tangerang, 28 November 2020

NIP. 19780103 200604 2 008
BULAN NOVEMBER 2020
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 12/1/2020 Dilah G1P0A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 12/5/2020 Hayanti G2P1A0 Kampung Kedung 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
3 12/7/2020 Ispatul G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
4 12/10/2020 Mirnawati G4P3A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
5 12/19/2020 Mulya G4P3A0 1 Nasi 4,000
Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
6 12/23/2020 Rahma G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
7 12/23/2020 Sumi G3P2A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
8 12/24/2020 Linah G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Bolu 3,000
9 12/26/2020 Sintia G1P0A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
10 12/27/2020 Mia G1P0A0 Tanjung Pasir 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000

Tangerang, 28 Desember 2020

NIP. 19780103 200604 2 008
BULAN JANUARI 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 1/1/2021 Supriyati G1P0A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 8,000
Tempe Bacem 5,000
Pepaya 5,000
2 1/1/2021 Suhaibah G2P1A0 Lemo 1 Nasi 5,000

Sayur Bening 8,000
Tempe Bacem 5,000
Pepaya 5,000
3 1/2/2021 Ica G2P1A0 Salembaran 1 Nasi 5,000

Sayur Bening 8,000
Ayam Semur 17,000
Roti panggang 5,000
Pepaya 5,000
4 1/8/2020 Rizki Anisah G2P1A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 8,000
Bolu 5,000
Pepaya 5,000
5 1/9/2020 Yulianah G2P1A0 Kebon Cau 1 Nasi 5,000
Sayur Bening 8,000
Roti Panggang 5,000
6 1/9/2020 Risnawati G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 8,000
Daging Semur 17,000
Roti panggang 5,000
Jeruk 5,000
7 1/18/2021 Sarni G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 8,000
Puding hunkwe 5,000
8 1/20/2021 Nurlelah G5P4A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 8,000
Pindang Ikan 17,000
Puding hunkwe 5,000
9 1/21/2021 Nurhayanih G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 8,000
Daging Semur 17,000
Bolu 5,000
Jeruk 5,000
10 1/24/2021 Suherah G4P3A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 8,000
Puding hunkwe 5,000
11 1/24/2021 Dini Safetri G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 8,000
Puding hunkwe 5,000
12 1/24/2021 Siti Wahyuni G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 8,000
Puding hunkwe 5,000
13 1/27/2021 Neni G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 8,000
Daging Semur 17,000
Bolu 5,000
14 1/30/2021 Sarini G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 8,000
Puding hunkwe 5,000
15 1/31/2021 Rika S G2P1A0 Salembaran 1 Nasi 5,000
Sayur Bening 8,000
Daging Semur 17,000
Bolu 5,000


Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu
drg. Husna Meiyanti

NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
BULAN FEBRUARI 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 2/2/2021 Masripah G2P1A0 Teluknaga 1 Nasi 4,000
Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
2 2/6/2021 Neneng K G2P1A0 Bojong Renged 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
3 2/6/2021 Hernia S G2P1A0 Kampung Benda 1 Nasi 4,000

Sayur Bening 5,000
Ayam Semur 10,000
Roti panggang 3,000
Pepaya 3,000
4 2/10/2021 Yanah G6P5A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
5 2/10/2021 Asmaul H G2P1A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Bolu 3,000
Pepaya 3,000
6 2/11/2021 Nining H G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Roti panggang 3,000
Jeruk 3,000
7 2/13/2021 Raras Sari G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Puding hunkwe 3,000
8 2/13/2021 Yaya S G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Pindang Ikan 10,000
Puding hunkwe 3,000
9 2/14/2021 Wardah G4P2A1 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
Jeruk 3,000
10 2/15/2021 Siti Sadah G2P1A0 Bojong Renged 1 Nasi 4,000
Sayur Bening 5,000
Ayam kecap 10,000
Puding hunkwe 3,000
11 2/16/2021 Rika Mayasari G1P0A0 Kampung Besar 1 Nasi 4,000

Sayur Bening 5,000
Puding hunkwe 3,000
12 2/17/2021 Siti Umayroh G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

Sayur Bening 5,000
Tempe Bacem 3,000
Pepaya 3,000
13 2/20/2021 Atria G2P1A0 Babakan Asem 1 Nasi 4,000

Sayur Bening 5,000
Daging Semur 10,000
Bolu 3,000
14 2/24/2021 Haryati D G2P1A0 Kampung Melayu Timur 1 Nasi 4,000
Sayur Bening 5,000
Ayam kecap 10,000
Puding hunkwe 3,000

Terbilang : Tiga Ratus Lima Puluh Ribu Rupiah

drg. Husna Meiyanti

NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
BULAN MARET 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 3/7/2021 Siti Fatinah G1P0A0 Bojong Renged 1 Nasi 6,000
Sayur Bening 10,000
Tempe Bacem 6,000
Pepaya 6,000
2 3/8/2021 Khoiriyah G3P2A0 Kampung Besar 1 Nasi 6,000

Sayur Bening 10,000
Bolu 6,000
Pepaya 6,000
3 3/9/2021 Masitoh G1P0A0 Kampung Melayu Barat 1 Nasi 6,000

Sayur Bening 10,000
Ayam Semur 26,000
Roti panggang 6,000
Pepaya 6,000
4 3/9/2021 Elisa G1P0A0 Babakan Asem 1 Nasi 6,000

Sayur Bening 10,000
Ayam Semur 26,000
Roti panggang 6,000
Pepaya 6,000
5 3/11/2021 Nurhasanah G2P1A0 Kampung Melayu Timur 1 Nasi 6,000
Sayur Bening 10,000
Roti Panggang 6,000
6 3/15/2021 Siti Khoefah G2P1A0 Kampung Besar 1 Nasi 6,000

Sayur Bening 10,000
Daging Semur 26,000
Roti panggang 6,000
Jeruk 6,000
7 3/15/2021 Nursiah G4P3A0 Teluknaga 1 Nasi 6,000

Sayur Bening 10,000
Daging Semur 26,000
Roti panggang 6,000
Jeruk 6,000
8 3/17/2021 Intan G4P3A0 Kampung Melayu Barat 1 Nasi 6,000

Sayur Bening 10,000
Pindang Ikan 26,000
Puding hunkwe 6,000
9 3/18/2021 Eva Hartanti G3P2A0 Teluknaga 1 Nasi 6,000

Sayur Bening 10,000
Daging Semur 26,000
Bolu 6,000
Jeruk 6,000
10 3/22/2021 Anisah G3P2A0 Teluknaga 1 Nasi 6,000
Sayur Bening 10,000
Ayam Bumbu Kecap 26,000
Bolu 6,000
Jeruk 6,000
11 3/26/2021 Aswatul G2P1A0 Kampung Melayu Barat 1 Nasi 6,000

Sayur Bening 10,000
Puding hunkwe 6,000
12 3/27/2021 Dijah G2P1A0 Kampung Besar 1 Nasi 6,000

Sayur Bening 10,000
Daging Semur 26,000
Roti Panggang 6,000
13 3/30/2021 Ariska G2P1A0 Kampung Melayu Barat 1 Nasi 6,000

Sayur Bening 10,000
Ayam Bakar 26,000
Puding hunkwe 6,000
14 3/31/2021 Triana G2P1A0 Babakan Asem 1 Nasi 6,000

Sayur Bening 10,000
Bolu 6,000
Jeruk 6,000
15 3/31/2021 Kartini G2P1A0 Kampung Melayu Timur 1 Nasi 6,000
Sayur Bening 10,000
Daging Semur 26,000
Bolu 6,000
Jeruk 6,000

Terbilang : Delapan Ratus Sepuluh Ribu Rupiah

drg. Husna Meiyanti

NIP. 19650214 198603 1 009 NIP.19780103 200604 2 008
BULAN APRIL 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 4/2/2021 Supriyanti G3P2A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Tempe Bacem 5,000
Pepaya 5,000
2 4/3/2021 Suptinah G2P0A1 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
3 4/6/2021 Ayanih G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 4/6/2021 Sri Mulyana G4P1A2 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 4/11/2021 Idayati G3P2A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
6 4/12/2021 Arum G1P0A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
7 4/13/2021 Karlin G3P2A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
8 4/13/2021 Narsih G5P4A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
9 4/15/2021 Meylani G2P0A1 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 4/16/2021 May Nengsih G2P1A0 Salembaran 1 Nasi 5,000
Sayur Bening 10,000
Ayam garang asem 25,000
Puding hunkwe 5,000
11 4/16/2021 Asinah G3P2A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
12 4/17/2021 Een Nur G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
13 4/19/2021 Rika Supriyati G1P0A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Bolu 5,000
Jeruk 5,000
14 4/20/2021 Erni G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Ayam bakar 25,000
Roti panggang 5,000
Jeruk 5,000
15 4/20/2021 Yuli Yunita G2P1A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Ayam bakar 25,000
Roti panggang 5,000
Jeruk 5,000
16 4/21/2021 Aryanti G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Bolu 5,000
Jeruk 5,000
17 4/23/2021 Cicih K G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ungkeb hati ayam 25,000
Bolu 5,000
Pepaya 5,000

Terbilang : Delapan Ratus Lima Puluh Ribu Rupiah
Tangerang, 26 April 2021

Kuasa Pengguna Anggaran Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran Pembantu

NIP. 19780103 200604 2 008
Junaedi Jamiko, SKM
NIP. 19650214 198603 1 009 Mardiana, SST
NIP. 19780103 200604 2 008
BULAN MEI 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 5/1/2021 Siti Maswati G3P2A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 5/2/2021 Murnawati G3P2A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 5/5/2021 Suhaiti G4P3A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
4 5/6/2021 Santi G3P1A1 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 5/6/2021 Wiwin G3P2A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
6 5/11/2021 Susanah G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
7 5/13/2021 Nur Ajizah G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
8 5/14/2021 Irma G3P1A1 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Ayam bumbu kecap 25,000
Bolu 5,000
9 5/15/2021 Nana G1P0A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 5/16/2021 Ulfa G3P2A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 5/16/2021 Dita G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
12 5/17/2021 Pipit G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
13 5/17/2021 Nawiroh G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
14 5/20/2021 Anita G5P4A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Ayam bakar 25,000
Roti panggang 5,000
Jeruk 5,000
15 5/20/2021 Siti Rohilah G2P1A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Ayam bakar 25,000
Roti panggang 5,000
Jeruk 5,000

Terbilang : Delapan Ratus Lima Puluh Ribu Rupiah
Tangerang, 31 Mei 2021


NIP. 19780103 200604 2 008
BULAN JUNI 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 6/2/2021 Siti Rohmah G2P1A0 Kampung Pakuhaji 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 6/4/2021 Siti Jamilah G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 6/5/2021 Endang G1P0A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
4 6/11/2021 Siti Umroh G3P2A0 Kosambi 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 6/15/2021 Fatimah G2P1A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
6 6/15/2021 Awanih G2P1A0 Gang Muara 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
7 6/15/2021 Siti Fatimah G1P0A0 Kohod 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
8 6/16/2021 Rizki G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 6/17/2021 Nurul Hidayah G3P2A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 6/20/2021 Siti Maisaroh G4P3A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 6/20/2021 Nurhayati G5P4A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
12 6/22/2021 Widia Ningsih G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000

Tangerang, 29 Juni 2021


NIP. 19780103 200604 2 008
BULAN JULI 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 7/3/2021 Latifah G1P0A0 Muara 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 7/3/2021 Ninti G2P1A0 Tanjung Burung 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
3 7/7/2021 Mulyanih G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
4 7/8/2021 Riatin G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 7/9/2021 Nirwana G2P1A0 Jurumudi Benda 1 Nasi 5,000
Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
6 7/9/2021 Taria G2P1A0 Tegal Angus 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
7 7/9/2021 Anisah G2P1A0 Muara 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
8 7/21/2021 Nina G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 7/23/2021 Darhalas G1P0A0 Pangkalan 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000

Terbilang : Empat Ratus Lima Puluh Ribu Rupiah


NIP. 19780103 200604 2 008
BULAN AGUSTUS 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 8/1/2021 Rumiyati G2P1A0 Kebon Cau 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 8/3/2021 Menih G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 8/7/2021 Sri Sopiah G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
4 8/11/2021 Kartini G3P1A1 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 8/11/2021 Eka Nur G1P0A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
6 8/19/2021 Fitri G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 8/19/2021 Tia Tianah G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 8/20/2021 Dillia G1P0A0 Benda 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 8/20/2021 Neneng G2P1A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 8/21/2021 Mariah G4P3A0 Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 8/22/2021 Elsina Sitohang G3P1A1 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
12 8/25/2021 Ika Sinta Dewi G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
13 8/25/2021 Siti Rofiah G4P3A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000



NIP. 19780103 200604 2 008
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 9/6/2021 Amelia Sari G2P1A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 9/8/2021 Sri Rejeki G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 9/8/2021 Sukarmi G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
4 9/9/2021 Siti Romlah G4P2A1 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 9/9/2021 Herni G4P2A1 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
6 9/10/2021 Dede G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 9/13/2021 Linda G4P2A1 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 9/13/2021 Eva Saraswati G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
9 9/14/2021 Kristina G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 9/15/2021 Titin G3P2A0 Kebon Cau 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 9/17/2021 Puspitasari G1P0A0 Lemo 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
12 9/18/2021 Rita Oktaviani G3P1A1 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
13 9/19/2021 Saniya G1P0A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
14 9/19/2021 Ernawati G4P3A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
15 9/19/2021 Sawinah G3P1A1 Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000

Tangerang, 28 September 2021


NIP. 19780103 200604 2 008
BULAN OKTOBER 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 10/2/2021 Fatimah G4G3A0 Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 10/4/2021 Umyanti G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 10/6/2021 Dahlia G2P1A0 Cengkareng 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 10/6/2021 Marina G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 10/6/2021 Siti Faudillah G2P1A0 Pangkalan 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
6 10/14/2021 Siti Balya G4P3A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 10/17/2021 Dewi Ratnasari G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 10/25/2021 Tinah G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 10/26/2021 Siti Aminah G2P1A0 Kali Baru 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 10/26/2021 Kamelia G1P0A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 10/26/2021 Mariati G1P0A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
12 10/29/2021 Siti Kholilah G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
13 10/29/2021 Fitriyani G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000

Tangerang, 28 Oktober 2021


NIP. 19780103 200604 2 008
BULAN NOVEMBER 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 11/1/2021 Refna Aulia G1P0A0 Kampung Kedung Jaya Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 11/2/2021 Indra Wati G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 11/2/2021 Sumiyati G3P2A1 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
4 11/3/2021 Anah G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 11/4/2021 Uwan G5P4A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 11/5/2021 Siti Muhibathu D G1P0A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 11/5/2021 Kustati G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 11/9/2021 Dewi Miranti G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 11/12/2021 Yumroh G5P4A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 11/12/2021 Yanah G5P3A1 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 11/19/2021 Indah G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
12 11/19/2021 Siti Kholifah G1P0A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
13 11/21/2021 Siti Iis Sulasmi G2P1A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
14 11/24/2021 Siti Windiyanti G1P0A0 Tanjung Burung 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
15 11/24/2021 Nia Kurnia W G2P1A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000



NIP. 19780103 200604 2 008
BULAN DESEMBER 2021
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 12/1/2021 Mela G1P0A0 Kalibaru 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 12/2/2021 Kartinem G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 12/4/2021 Siti Nurfarhat G1P0A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Pesmol kembung 25,000
Roti panggang 5,000
Jeruk 5,000
4 12/9/2021 Maryanah G3P2A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 12/10/2021 Yulianti G2P1A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 12/12/2021 Sopiah G3P2A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 12/15/2021 Rosita G1P0A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 12/16/2021 Nuryani G4P3A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 12/17/2021 Sriwahyuni G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 12/18/2021 Siti Sahara G2P1A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
11 12/21/2021 Delviyani G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
12 12/23/2021 Siti Marpupah G3P2A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
13 12/23/2021 Ira Nuryanti G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000



NIP. 19780103 200604 2 008
BULAN Januari 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 1/1/2022 Linda Sari G2P1A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 1/3/2022 Lisa Septiani G1P0A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 1/11/2022 Anah G3P2A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
4 1/12/2022 Ade Fauziah G1P0A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 1/13/2022 Siti Sajidah G3P1A1 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 1/14/2022 Marasinah G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 1/16/2022 Rachma Nabila G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 1/22/2022 Sindi Vaula G1P0A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 1/24/2022 Siti Nurmalia G2P1A0 Kosambi 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 1/24/2022 Usni Marlina G2P1A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
11 1/27/2022 Ratna Juwita G2P1A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000

Terbilang : Lima Ratus Lima Puluh Ribu Rupiah
Tangerang, 25 Februari 2022


NIP. 19780103 200604 2 008
BULAN FEBRUARI 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 2/7/2022 Denti Rosalina G2P1A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 2/12/2022 Nurhania G1P0A0 Tegal Angus 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 2/13/2022 Murni G2P1A0 Tanjung Burung 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 2/13/2022 Rosinah G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 2/16/2022 Masriyati G1P0A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
6 2/16/2022 Nur Alfiani G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000

Terbilang : Tiga Ratus Ribu Rupiah
Tangerang, 25 Februari 2022


NIP. 19780103 200604 2 008
BULAN FEBRUARI 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 3/15/2022 Endah Puspita Dewi G2P0A1 Kampung Kulon 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 3/17/2022 Okta Anggreany G5P4A0 Cengklong Kosambi 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 3/18/2022 Cici Rohaya G2P0A1 Rawa Gempol 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 3/23/2022 Fitrinur Wahidin G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
5 3/24/2022 Fransiska G2P1A0 Kampung Belimbing 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000

Tangerang, 30 Maret 2022

drg. Husna Meiyanti drg. Natalia Krisna Mulya

NIP. 19780103 200604 2 008
BULAN APRIL 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 4/2/2022 Siti Supriliasih G3P2A0 Banyumas 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 4/3/2022 Siti Maryanti G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
3 4/5/2022 Nuraini G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
4 4/6/2022 Deby Malik G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 4/7/2022 Nurhayati G3P2A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 4/9/2022 Yuli G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 4/15/2022 Yesi Hartati G4P2A1 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000

Terbilang : Tiga Ratus Lima Puluh Ribu Rupiah
Tangerang, 26 April 2022


NIP. 19780103 200604 2 008
BULAN JUNI 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 6/2/2022 Sabrina G1P0A0 Pangkalan 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 6/2/2022 Rina Rosita G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Roti Panggang 5,000
3 6/4/2022 Marwati G3P2A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
4 6/6/2022 Mardiah G3P2A0 Neglasari 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 6/6/2022 Ita Sari G3P1A1 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
6 6/7/2022 Rosnawati G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
7 6/7/2022 Inah G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 6/9/2022 Wulandari G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 6/9/2022 Ine Indra Sari G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
10 6/10/2022 Anah G3P2A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Pepaya 5,000
11 6/14/2022 Supirna G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000

Terbilang : Lima Ratus Lima Puluh Ribu Rupiah
Tangerang, 27 Juni 2022


NIP. 19780103 200604 2 008
BULAN JULI 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 6/19/2022 Nur Asidah G5P3A1 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 6/21/2022 Holilah G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
3 6/23/2022 Tarisan G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
4 6/25/2022 Toyibah G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 6/27/2022 Ayu Sahayu G3P2A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 6/30/2022 Faqilah G1P0A0 Jakarta Barat 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 7/2/2022 Marcella G3P2A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 7/7/2022 Arini G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
9 7/8/2022 Tri Merlani G1P0A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 7/13/2022 Santi G1P0A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Pepaya 5,000
11 7/14/2022 Ros Tubaedah G5P4A0 Kalibaru 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
12 7/14/2022 Siti Nur H G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
13 7/16/2022 Siti Maryati G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
14 7/19/2022 Jamilah G1P0A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
15 7/21/2022 Sindi Amanda G2P1A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000



NIP. 19780103 200604 2 008
BULAN AGUSTUS 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 7/26/2022 Usni G2P1A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Roti Panggang 5,000
2 7/29/2022 Hilda G4P3A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
3 7/29/2022 Meta G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
4 7/30/2022 Yuliana G3P2A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 8/6/2022 Yanti G1P0A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Roti panggang 5,000
Pepaya 5,000
6 8/8/2022 Rodayah G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 8/10/2022 Nopita G2P1A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Pepaya 5,000
8 8/10/2022 Siti Arsiah G4P2A1 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Pepaya 5,000
9 8/15/2022 Nahila G3P2A0 Tanjung Pasir 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 8/18/2022 Lia G3P2A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Ikan bumbu kuning 25,000
Roti panggang 5,000
Pepaya 5,000
11 8/20/2022 Siti Rohani G2P1A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Ayam goreng 25,000
Roti panggang 5,000
Jeruk 5,000
12 8/21/2022 Astrawati G1P0A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000



NIP. 19780103 200604 2 008
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 9/8/2022 Siti Fauziah G1P0A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 9/17/2022 Neneng G4P3A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
3 9/17/2022 Maryanti G1P0A0 Kampung Besara 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
4 9/18/2022 Yanti Nuraini G3P2A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 9/19/2022 Siti Aisah G3P2A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
Pisang sunprise 5,000
6 9/20/2022 Mirah G5P2A2 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
7 9/20/2022 Nurhalimah G3P1A1 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 9/20/2022 Eka Noviani G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000

Terbilang : Empat Ratus Ribu Rupiah


NIP. 19780103 200604 2 008
BULAN OKTOBER 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 9/27/2022 Aswati G1P0A0 Kali Jaya 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 9/29/2022 Nini Nuraini G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
3 10/2/2022 Febi Putri G3P2A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 10/4/2022 Indah G1P0A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
5 10/5/2022 Mia Astuti G2P1A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 10/5/2022 Ratna G3P2A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
7 10/7/2022 Putri G1P0A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 10/7/2022 Lavina G1P0A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
9 10/10/2022 Alwanah G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 10/10/2022 Afifah Nur G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
11 10/13/2022 Lenih G4P2A1 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam goreng 25,000
Roti panggang 5,000
Jeruk 5,000
12 10/15/2022 Dilah G3P2A0 Tanjung Burung 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
13 10/15/2022 Tinah G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
14 10/17/2022 Iin Kandasari G3P2A0 Kalibaru 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000

Terbilang : Tujuh Ratus Ribu Rupiah


NIP. 19780103 200604 2 008
BULAN NOVEMBER 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 11/2/2022 Deti G2P1A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 11/5/2022 Noviati G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
3 11/7/2022 Listianah G2P1A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 11/13/2022 Tarimi G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
5 11/14/2022 Lisa G1P0A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 11/14/2022 Saani G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
7 11/15/2022 Siti Komalasari G3P1A1 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 11/16/2022 Sumiyati G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
9 11/19/2022 Ernawati G4P3A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 11/21/2022 Amelia A G3P2A0 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000

Terbilang : Lima Ratus Ribu Rupiah


NIP. 19780103 200604 2 008
BULAN DESEMBER 2022
No. Rekening : 5.2.2.11.06
Hari
Rawat
1 11/26/2022 Uspu M G2P1A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 11/26/2022 Haryanti G2P1A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
3 11/28/2022 Sidah G4P3A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 11/28/2022 Tinah G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
5 11/29/2022 Saidah G3P2A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 12/2/2022 Siti Nuraini G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
7 12/5/2022 Ernawati G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 12/5/2022 Diyanah G1P0A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
9 12/7/2022 Holilah G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 12/7/2022 Indah G2P1A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 12/14/2022 Maryati G3P2A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
12 12/16/2022 Sara G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ayam goreng 25,000
Roti panggang 5,000
Jeruk 5,000
13 12/17/2022 Rahma G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
14 12/18/2022 Nuriah G5P3A1 Belimbing 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
15 12/25/2022 Susan G4P2A1 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
16 12/26/2022 Rena A G1P0A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Bolu 5,000
Jeruk 5,000
17 12/26/2022 Astria G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Bolu 5,000
Jeruk 5,000
18 12/27/2022 Dian G1P0A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000

Terbilang : Sembilan Ratus Ribu Rupiah


NIP. 19780103 200604 2 008
BULAN JANUARI 2023
No. Rekening : 5.1.02.01.01.0056
Hari
Rawat
1 1/8/2023 Aas Solani G2P1A0 Teluknaga 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 1/10/2023 Sri Astuti G3P2A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Ungkeb Hati Ayam 25,000
Bolu 5,000
Pepaya 5,000
3 1/10/2023 Irnawati G2P1A0 Kohord 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 1/10/2023 Mursiah G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 10/11/2023 Sopia G2P1A0 Kebon Besar 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 1/14/2023 Siti Komariah G2P1A0 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
7 1/26/2023 Sari Padilah G1P0A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 1/27/2023 Mardiyana G5P2A2 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
9 1/27/2023 Ananda G5P3A1 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti Panggang 5,000
Jeruk 5,000
10 1/28/2023 Martini G3P2A1 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000

Terbilang : Lima Ratus Ribu Rupiah
Tangerang, 31 Januari 2023


NIP. 19660511 199401 2 001 NIP. 19811220 201001 2 007 Wiwin, A.Md.Keb
NIP. 19840111 201704 2 004
BULAN FEBRUARI 2023
No. Rekening : 5.1.02.01.01.0056
Hari
Rawat
1 2/2/2023 Winda L G3P2A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 2/3/2023 Inah G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
3 2/3/2023 Siti Khoditul G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 2/5/2023 Nurul Diah G1P0A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
5 2/5/2023 Rahmatia G8P6A1 Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 2/5/2023 Desy G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
7 2/7/2023 Isnaini G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 2/9/2023 Nurhikmah G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
9 2/9/2023 Dita G1P0A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti Panggang 5,000
Jeruk 5,000
10 2/10/2023 Suryati G2P1A0 Kampung Besar 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 2/11/2023 Embun G3P2A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
12 2/14/2023 Alfiyanti G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Ayam goreng 25,000
Roti panggang 5,000
Jeruk 5,000
13 2/16/2023 Kiki Juheliana G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
14 2/17/2023 Mardiah G3P2A0 Bojong Renged 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
15 2/21/2023 Nurmawati G2P1A0 Kampung Melayu Barat 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Jeruk 5,000

Tangerang,

NIP. 19840111 201704 2 004
BULAN MARET 2023
No. Rekening : 5.1.02.01.01.0056
Hari
Rawat
1 3/4/2023 Puput G2P1A0 Babakan Asem 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 3/5/2023 Siti Juhro G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
3 3/7/2023 Sara Amalia G1P0A0 Pakuhaji 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti panggang 5,000
Jeruk 5,000
4 3/10/2023 Jubaidah G2P1A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
5 3/2/2023 Nurjanah G4P3A0 Bojong Renged 1 Nasi 5,000
Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
6 3/12/2023 Rini Antika G2P0A1 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Ayam Goreng 25,000
Puding hunkwe 5,000
7 3/13/2023 Fitria Merlina G1P0A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 3/13/2023 Linawati G2P1A0 Kampung Melayu 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
9 3/14/2023 Ameliasari G5P3A1 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Roti Panggang 5,000
Jeruk 5,000
10 3/18/2023 Mila Nurlatifah G1P0A0 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 3/17/2023 Fitria Agustiani G3P1A1 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
12 3/17/2023 Putri Afifah G2P1A0 Babakan Asem 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
13 3/17/2023 Siti Masitoh G2P1A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Jeruk 5,000
14 3/23/2023 Jubaika G3P2A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
15 3/24/2023 Siti Dwiyah G1P0A0 Kebon Cau 1 Nasi 5,000
Sayur Bening 10,000
Bolu 5,000
Jeruk 5,000
16 3/24/2023 Sanah G1P0A0 Kampung Muara Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Jeruk 5,000

Terbilang : Delapan Ratus Ribu Rupiah
Tangerang,

NIP. 19840111 201704 2 004
BULAN APRIL 2023
No. Rekening : 5.1.02.01.01.0056
Hari
Rawat
1 25/03/2023 Usniati G4P1A2 Kampung Melayu Timur 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
2 25/03/2023 Siti Aminah G4P3A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
3 27/03/2023 Rina G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
4 27/03/2023 Yanah Ratnasari G4P3A0 Pakuhaji 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
Pepaya 5,000
5 31/03/2023 Nana Maryana G1P0A0 Pangkalan 1 Nasi 5,000
Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
6 31/03/2023 Limah G4P3A0 Tanjung Burung 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000
7 01/04/2023 Jayanti G2P1A0 Kampung Melayu Barat 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
8 05/04/2023 Siti Robiatul G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Pesmol Kembung 25,000
Roti panggang 5,000
Jeruk 5,000
9 07/04/2023 Putri R G1P0A0 Kampung Besar 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
10 07/04/2023 Nani Handayani G3P2A0 Kebon Cau 1 Nasi 5,000
Sayur Bening 10,000
Puding hunkwe 5,000
11 07/04/2023 Rohmawati G2P1A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Puding hunkwe 5,000
12 09/04/2023 Fitriyani G2P1A0 Priuk Serang Rajek 1 Nasi 5,000

Sayur Bening 10,000
Ayam goreng 25,000
Roti panggang 5,000
Jeruk 5,000
13 10/04/2023 Halimah G2P1A0 Teluknaga 1 Nasi 5,000

Sayur Bening 10,000
Roti panggang 5,000
Pepaya 5,000
14 13/04/2023 Sartika Sari G3P2A0 Kebon Cau 1 Nasi 5,000

Sayur Bening 10,000
Bolu 5,000
15 14/04/2023 Imas Nasro G3P2A0 Pangkalan 1 Nasi 5,000
Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
16 06/04/2023 Suryani G4P2A1 Pangkalan 1 Nasi 5,000

Sayur Bening 10,000
Daging Semur 25,000
Bolu 5,000
Jeruk 5,000
17 14/04/2023 Wiwi Pratiwi G3P2A0 Kampung Melayu Timur 1 Nasi 5,000

Sayur Bening 10,000
Pindang ikan 25,000
Roti panggang 5,000
Jeruk 5,000
18 4/15/2023 Iis Wulandari G1P0A0 Kampung Sukamulya 1 Nasi 5,000

Sayur Bening 10,000
Ayam Semur 25,000
Puding hunkwe 5,000

Terbilang : Sembilan Ratus Ribu Rupiah
Tangerang,

NIP. 19840111 201704 2 004
BULAN APRIL 2020
No. Rekening : 5.2.2.11.06
Hari MENU Jumlah
NO Tanggal Nama Pasien Diagnosa Alamat
Rawat Pagi Siang Sore
1 4/2/2020 Fatmawati Kamp. Melayu 1 Nasi Nasi Nasi 4,000
Barat Sayur Bening Sayur Bening Sayur Bening 5,000
Ikan bumbu kecap Daging Semur Ayam bumbu kuning 10,000
Tempe Bacem Roti panggang Puding hunkwe 3,000
Pepaya Jeruk Pisang Sunprise 3,000
2 5/1/2018 Rita Efendi Kebon cau 1 Nasi Nasi Nasi 4,000

Sayur Bening Sayur Bening Sayur Bening 5,000
Ayam Semur Ayam bumbu kuning Ikan bumbu kecap 10,000
Roti panggang Puding hunkwe Bolu 3,000
Pepaya Pisang Sunprise Pisang Sunprise 3,000
3 5/3/2018 Riska Babakan asem 1 Nasi Nasi Nasi 4,000

Ungkeb Hati ayam Ikan bumbu kecap Daging Semur 10,000
Bolu Roti panggang Bolu 3,000
Pepaya Pepaya Jeruk 3,000
4 5/3/2018 Dini Rahayu Tanjung Burung 1 Nasi Nasi Nasi 4,000

Ikan bumbu kecap Daging Semur Ayam bumbu kuning 10,000
Roti panggang Bolu Puding hunkwe 3,000
Pepaya Jeruk Pisang Sunprise 3,000
5 5/4/2018 juriah Antika Kebon Cau 1 Nasi Nasi Nasi 4,000
Ikan bumbu kecap Ayam bumbu kuning Daging Semur 10,000
Roti Panggang Puding hunkwe Bolu 3,000
Pisang Sunprise Pisang Sunprise Pisang Sunprise 3,000

Tangerang.................................
drg. Husna Meiyanti Mardiana, SST Hj. AAl laela Nuraliyah, SKM
NIP : 19660511 199401 2 001 NIP. 19780103 200604 2 008 NIP.19811001 200501 2 010

Daftar Makmin Pasien

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Daftar Makmin Pasien

Diunggah oleh

Hak Cipta:

Format Tersedia

DAFTAR PENERIMAAN MAKAN MINUM PASIEN RAWAT INAP

UPTD PUSKESMAS TELUKNAGA

2 1/2/2020 Suryani G2P1A0 Rawalini RT 02/08 1 Nasi 4,000

3 1/4/2020 Rusmana G2P1A0 Kampung Pulo RT 01/02 1 Nasi 4,000

4 1/4/2020 Eneng G4P3A0 Rawalini 1 Nasi 4,000

6 1/13/2020 Sri Wahyuni G3P2A0 Teluknaga RT 01/02 1 Nasi 4,000

7 1/14/2020 Rensi Ayu G2P1A0 Komplek Garuda 1 Nasi 4,000

9 1/20/2020 Juniati G2P1A0 Pintu Kapuk Bojong Renged 1 Nasi 4,000

11 1/20/2020 Eni G3P1A0 Kebon Cau 1 Nasi 4,000

12 1/20/2020 Rohati Tukang Kajang Kampung Melayu Timur 1 Nasi 4,000

13 1/23/2020 Nepsi G2P1A0 Kampung Jamblang 1 Nasi 4,000

14 1/23/2020 Siti Aminah G3P2A0 Kebon Cau 1 Nasi 4,000

16 1/26/2020 Yeni G2P1A0 Kebon Kopi Desa Pangkalan 1 Nasi 4,000

17 1/27/2020 Alif G3P2A0 Kebon Cau 1 Nasi 4,000

JUMLAH TOTAL 475,000

Mengetahui, Tangerang, 25 Februari 2020

drg. Husna Meiyanti

2 2/3/2020 Nurbayan G3P1A1 Babakan Asem 1 Nasi 4,000

3 2/3/2020 Siti Alfika G1P0A0 Tanjung Pasir 1 Nasi 4,000

4 2/4/2020 Yuli G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

6 2/5/2020 Siti Nurhidayah G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

7 2/5/2020 Mitu Megawati G2P1A0 Bojong Renged 1 Nasi 4,000

8 2/11/2020 Jayanah G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

9 2/12/2020 Nurlenah G3P2A0 Teluknaga 1 Nasi 4,000

11 2/13/2020 Erwin G3P2A0 Teluknaga 1 Nasi 4,000

12 2/13/2020 Eca Utiyah G2P1A0 Kebon Cau 1 Nasi 4,000

13 2/19/2020 Hanum G3P2A0 Kampung Besar 1 Nasi 4,000

14 2/19/2020 Nelly G4P3A0 Kampung Melayu Timur 1 Nasi 4,000

16 2/25/2020 Dety G5P4A0 Jakarta 1 Nasi 4,000

JUMLAH TOTAL 400,000

Mengetahui, Tangerang, 26 Februari 2020

drg. Husna Meiyanti

2 3/2/2020 Mursiah G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

3 3/5/2020 Rindi G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

4 3/6/2020 Aisyah G1P0A0 Bojong Renged 1 Nasi 4,000

6 3/12/2020 Anita G3P2A0 Kampung Besar 1 Nasi 4,000

7 3/13/2020 Eca G2P1A0 Kebon Cau 1 Nasi 4,000

8 3/14/2020 Siti Salimah G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

9 3/17/2020 Sindrawati G1P0A0 Rawa Gempol 1 Nasi 4,000

11 3/20/2020 Devi Oktaviani G1P0A0 Pangkalan 1 Nasi 4,000

12 3/21/2020 Nini Nuraini G2P1A0 Kebon Cau 1 Nasi 4,000

13 3/23/2020 Dwina G3P2A0 Kali Jaya 1 Nasi 4,000

14 3/24/2020 Novi G2P1A0 Kampung Besar 1 Nasi 4,000

16 3/28/2020 Siti Sudili G2P1A0 Kampung Besar 1 Nasi 4,000

17 3/29/2020 Sartika G1P0A Babakan Asem 1 Nasi 4,000

JUMLAH TOTAL 425,000

Mengetahui, Tangerang, 30 Maret 2020

drg. Husna Meiyanti

2 4/3/2020 Ismawati G1P0A0 Teluknaga 1 Nasi 4,000

3 4/4/2020 Euis Juwita G1P0A0 Teluknaga 1 Nasi 4,000

4 4/6/2020 Yeni Rahman G1P0A0 Kampung Melayu Timur 1 Nasi 4,000

6 4/9/2020 Jelly G2P1A0 Bojong Renged 1 Nasi 4,000

7 4/10/2020 Aryati G2P1A0 Kampung Melayu Timur 1 Nasi 4,000

8 4/11/2020 Siti Hamidah G1P0A0 Teluknaga 1 Nasi 4,000

9 4/11/2020 Yuliana G3P2A0 Teluknaga 1 Nasi 4,000

11 4/13/2020 Rika Aprilia G1P0A0 Pangkalan 1 Nasi 4,000

12 4/14/2020 Acih Sulastri G2P1A0 Kampung Besar 1 Nasi 4,000

13 4/17/2020 Mini G5P3A1 Kampung Melayu Barat 1 Nasi 4,000

14 4/17/2020 Mimin G2P1A0 Teluknaga 1 Nasi 4,000

16 4/19/2020 Dina Asih G2P1A0 Babakan Asem 1 Nasi 4,000

17 4/19/2020 Rusnawati G2P1A0 Kampung Melayu Barat 1 Nasi 4,000

18 4/19/2020 Nia Safitri G1P0A0 Babakan Asem 1 Nasi 4,000

19 4/20/2020 Yulia Anggraini G2P1A0 Kampung Melayu Timur 1 Nasi 4,000