PEMERINTAH KABUPATEN KUTAI BARAT

TANDA BUKTI PEMBAYARAN

Periode : 01 Mei 2021 s/d 31 Agustus 2021

Urusan :1 Urusan Wajib Pelayanan Dasar

Bidang : 1.02 Kesehatan
Unit Organisasi : 1.02.01 Dinas Kesehatan
Sub Unit Organisasi : 1.02.01.03 UPT Puskesmas Muara Pahu

TANGGAL NO. BUKTI URAIAN NILAI

5/3/2021 0017/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 110,000.00
5/6/2021 0018/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 174,000.00
5/11/2021 0019/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 160,000.00
5/19/2021 0020/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 225,000.00
5/21/2021 0021/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 104,000.00
5/25/2021 0022/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 578,000.00
5/31/2021 0023/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 149,000.00
6/2/2021 0024/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 188,000.00
6/4/2021 0025/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 80,000.00
6/9/2021 0026/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 126,000.00
6/14/2021 0027/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 157,000.00
6/16/2021 0028/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 189,000.00
6/17/2021 0029/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 102,000.00
6/21/2021 0030/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 303,000.00
6/22/2021 0031/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 403,000.00
6/23/2021 0032/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 240,000.00
6/24/2021 0033/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 377,000.00
6/25/2021 0034/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 249,000.00
6/28/2021 0035/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 29,000.00
7/1/2021 0036/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 120,000.00
7/7/2021 0037/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 135,000.00
7/12/2021 0038/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 141,000.00
7/16/2021 0039/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 94,000.00
7/19/2021 0040/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 111,000.00
7/23/2021 0041/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 317,000.00
7/27/2021 0042/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 138,000.00
7/30/2021 0043/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 263,000.00
8/12/2021 0044/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 100,000.00
8/19/2021 0045/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 110,000.00
8/24/2021 0046/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 215,000.00
8/25/2021 0047/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 336,000.00
8/26/2021 0048/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 247,000.00
TOTAL 6,270,000.00

Muara Pahu 31 Agustus 2021

Plt Kepala UPT Puskesmas Muara Pahu Bendahara Penerimaan

NOOR ADHA TATI SUMARNI

NIP. 19690219 198811 1 001 NIP. 19650604 199203 2 014NIP. 19650604 199203 2 014
 PEMERINTAH KABUPATEN KUTAI BARAT
TANDA BUKTI PEMBAYARAN
Periode : 01 Sep 2021 s/d 30 Oktober 2021

Urusan :1 Urusan Wajib Pelayanan Dasar

Bidang : 1.02 Kesehatan
Unit Organisasi : 1.02.01 Dinas Kesehatan
Sub Unit Organisasi : 1.02.01.03 UPT Puskesmas Muara Pahu

TANGGAL NO. BUKTI URAIAN NILAI

9/3/2021 0049/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 115,000.00
9/8/2021 0050/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 75,000.00
9/13/2021 0051/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 65,000.00
9/17/2021 0052/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 66,000.00
9/20/2021 0053/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 79,000.00
9/22/2021 0054/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 116,000.00
9/24/2021 0055/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 83,000.00
9/27/2021 0056/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 500,000.00
10/1/2021 0057/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 116,000.00
10/5/2021 0058/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 144,000.00
10/8/2021 0059/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 170,000.00
10/11/2021 0060/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 104,000.00
10/13/2021 0061/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 120,000.00
10/15/2021 0062/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 76,000.00
10/18/2021 0063/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 216,000.00
10/22/2021 0064/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 86,000.00
10/25/2021 0065/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 277,000.00
10/26/2021 0066/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 269,000.00
TOTAL 2,677,000.00

Muara Pahu 30 Oktober 2021

Plt Kepala UPT Puskesmas Muara Pahu Bendahara Penerimaan

NOOR ADHA TATI SUMARNI

NIP. 19690219 198811 1 001 NIP. 19650604 199203 2 014NIP. 19650604 199203 2 014
 PEMERINTAH KABUPATEN KUTAI BARAT
TANDA BUKTI PEMBAYARAN
Periode : 01 Januari 2021 s/d 30 April 2021

Urusan :1 Urusan Wajib Pelayanan Dasar

Bidang : 1.02 Kesehatan
Unit Organisasi : 1.02.01 Dinas Kesehatan
Sub Unit Organisasi : 1.02.01.03 UPT Puskesmas Muara Pahu

TAMGGAL NO. BUKTI URAIAN NILAI

1/18/2021 0001/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 332,000.00
1/19/2021 0002/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 124,000.00
1/22/2021 0003/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 115,000.00
1/29/2021 0004/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 470,000.00
2/3/2021 0005/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 98,000.00
2/9/2021 0006/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 103,000.00
2/17/2021 0007/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 151,000.00
2/23/2021 0008/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 115,000.00
2/26/2021 0009/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 438,000.00
3/8/2021 0010/TBP/PKMMP/III/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2021 251,000.00
3/31/2021 0011/TBP/PKMMP/III/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2021 911,000.00
4/6/2021 0012/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 244,000.00
4/14/2021 0013/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 139,000.00
4/20/2021 0014/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 378,000.00
4/23/2021 0015/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 515,000.00
4/29/2021 0016/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 481,000.00
TOTAL 4,865,000.00

Muara Pahu 30 April 2021

Plt Kepala UPT Puskesmas Muara Pahu Bendahara Penerimaan

NOOR ADHA TATI SUMARNI

NIP. 19690219 198811 1 001 NIP. 19650604 199203 2 014NIP. 19650604 199203 2 0
 PEMERINTAH KABUPATEN KUTAI BARAT
DINAS KESEHATAN
UPT PUSKESMAS MUARA PAHU
Jln. Raden Baroh RT.06 No. 59 Tanjung Laong Kecamatan Muara Pahu Kode Pos 75574
Email : Upt.puskesmasmp@gmail.com

DAFTAR PENDAPATAN
SURAT TANDA SETOR ( STS )
PERIODE JANUARI S/D DESEMBER 2020
TGL TGL
NO NOMOR STS URAIAN JUMLAH
TERIMA SETOR
1 0001/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/9/2020 1/9/2020 268,000.00
2 0002/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/10/2021 1/10/2020 20,000.00
3 0003/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/13/2020 1/13/2020 94,000.00
4 0004/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/15/2020 1/15/2020 64,000.00
5 0005/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/16/2020 1/16/2020 150,000.00
6 0006/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/17/2020 1/17/2020 56,000.00
7 0007/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/20/2020 1/20/2020 201,000.00
8 0008/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/21/2020 1/21/2020 124,000.00
9 0009/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/22/2020 1/22/2020 62,000.00
10 0010/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/23/2020 1/23/2020 127,000.00
11 0011/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/27/2020 1/27/2020 311,000.00
12 0012/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/28/2020 1/28/2020 146,000.00
13 0013/STS/PKMMP/I/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2020 1/29/2020 1/29/2020 30,000.00
14 0014/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/10/2020 2/10/2020 703,000.00
15 0015/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/11/2020 2/11/2020 161,000.00
16 0016/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/12/2020 2/12/2020 158,000.00
17 0017/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/13/2020 2/13/2020 48,000.00
18 0018/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/14/2020 2/14/2020 217,000.00
19 0019/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/17/2020 2/17/2020 426,000.00
20 0020/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/18/2020 2/18/2020 82,000.00
21 0021/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/19/2020 2/19/2020 120,000.00
22 0022/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/20/2020 2/20/2020 31,000.00
23 0023/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/21/2020 2/21/2020 220,000.00
24 0024/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/24/2020 2/24/2020 91,000.00
25 0025/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/25/2020 2/25/2020 69,000.00
26 0026/STS/PKMMP/II/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN FEBRUARI 2020 2/26/2020 2/26/2020 280,000.00
27 0027/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/5/2020 3/5/2020 271,000.00
28 0028/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/9/2020 3/9/2020 147,000.00
29 0029/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/17/2020 3/17/2020 148,000.00
30 0030/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/18/2020 3/18/2020 119,000.00
31 0031/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/19/2020 3/19/2020 20,000.00
32 0032/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/20/2020 3/20/2020 33,000.00
33 0033/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/26/2020 3/26/2020 157,000.00
34 0034/STS/PKMMP/III/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2020 3/30/2020 3/30/2020 466,000.00
35 0035/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/1/2020 4/1/2020 216,000.00
36 0036/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/3/2020 4/3/2020 18,000.00
37 0037/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/6/2020 4/6/2020 58,000.00
38 0038/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/7/2020 4/7/2020 42,000.00
39 0039/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/9/2020 4/9/2020 48,000.00
40 0040/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/13/2020 4/13/2020 57,000.00
41 0041/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/14/2020 4/14/2020 44,000.00
42 0042/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/16/2020 4/16/2020 48,000.00
43 0043/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/21/2020 4/21/2020 42,000.00
44 0044/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/23/2020 4/23/2020 442,500.00
45 0045/STS/PKMMP/IV/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2020 4/27/2020 4/27/2020 39,000.00
46 0046/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/4/2020 5/4/2020 90,000.00
47 0047/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/8/2020 5/8/2020 46,000.00
48 0048/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/12/2020 5/12/2020 45,000.00
49 0049/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/15/2020 5/15/2020 44,000.00
50 0050/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/19/2020 5/19/2020 48,000.00
51 0051/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/26/2020 5/26/2020 61,000.00
52 0052/STS/PKMMP/V/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2020 5/27/2020 5/27/2020 292,000.00
53 0053/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/2/2020 6/2/2020 130,000.00
54 0054/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/4/2020 6/4/2020 73,000.00
55 0055/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/5/2020 6/5/2020 62,000.00
56 0056/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/8/2020 6/8/2020 73,000.00
57 0057/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/12/2020 6/12/2020 36,000.00
58 0058/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/15/2020 6/15/2020 102,000.00
59 0059/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/16/2020 6/16/2020 30,000.00
60 0060/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/17/2020 6/17/2020 53,000.00
61 0061/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/18/2020 6/18/2020 40,000.00
62 0062/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/23/2020 6/23/2020 102,000.00
63 0063/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/24/2020 6/24/2020 78,000.00
64 0064/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/25/2020 6/25/2020 113,000.00
65 0065/STS/PKMMP/VI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2020 6/29/2020 6/29/2020 460,000.00
 66 0066/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/1/2020 7/1/2020 220,000.00
67 0067/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/2/2020 7/2/2020 75,000.00
68 0068/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/3/2020 7/3/2020 107,000.00
69 0069/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/6/2020 7/6/2020 55,000.00
70 0070/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/7/2020 7/7/2020 197,000.00
71 0071/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/8/2020 7/8/2020 72,000.00
72 0072/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/10/2020 7/10/2020 231,000.00
73 0073/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/14/2020 7/14/2020 93,000.00
74 0074/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/15/2020 7/15/2020 151,000.00
75 0075/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/17/2020 7/17/2020 65,000.00
76 0076/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/21/2020 7/21/2020 183,000.00
77 0077/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/22/2020 7/22/2020 137,000.00
78 0078/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/24/2020 7/24/2020 181,000.00
79 0079/STS/PKMMP/VII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2020 7/27/2020 7/27/2020 300,000.00
80 0080/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/4/2020 8/4/2020 147,000.00
81 0081/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/7/2020 8/7/2020 48,000.00
82 0082/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/10/2020 8/10/2020 69,000.00
83 0083/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/12/2020 8/12/2020 49,000.00
84 0084/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/18/2020 8/18/2020 109,000.00
85 0085/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/19/2020 8/19/2020 78,000.00
86 0086/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/24/2020 8/24/2020 80,000.00
87 0087/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/26/2020 8/26/2020 173,000.00
88 0088/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/27/2020 8/27/2020 119,000.00
89 0089/STS/PKMMP/VIII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2020 8/31/2020 8/31/2020 186,000.00
90 0090/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/1/2020 9/1/2020 116,000.00
91 0091/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/2/2020 9/2/2020 97,000.00
92 0092/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/3/2020 9/3/2020 132,000.00
93 0093/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/7/2020 9/7/2020 191,000.00
94 0094/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/10/2020 9/10/2020 35,000.00
95 0095/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/14/2020 9/14/2020 91,000.00
96 0096/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/17/2020 9/17/2020 78,000.00
97 0097/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/21/2020 9/21/2020 78,000.00
98 0098/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/22/2020 9/22/2020 242,000.00
99 0099/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/23/2020 9/23/2020 166,000.00
100 0100/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/24/2020 9/24/2020 156,000.00
101 0101/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/25/2020 9/25/2020 264,000.00
102 0102/STS/PKMMP/IX/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 9/28/2020 9/28/2020 224,000.00
103 0103/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/1/2020 10/1/2020 548,000.00
104 0104/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/2/2020 10/2/2020 100,000.00
105 0105/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/5/2020 10/5/2020 309,000.00
106 0106/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/6/2020 10/6/2020 360,000.00
107 0107/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/7/2020 10/7/2020 140,000.00
108 0108/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/8/2020 10/8/2020 251,000.00
109 0109/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/9/2020 10/9/2020 180,000.00
110 0110/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/12/2020 10/12/2020 306,000.00
111 0111/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/13/2020 10/13/2020 266,000.00
112 0112/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/14/2020 10/14/2020 178,000.00
113 0113/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/15/2020 10/15/2020 110,000.00
114 0114/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/16/2020 10/16/2020 76,000.00
115 0115/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/19/2020 10/19/2020 78,000.00
116 0116/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/20/2020 10/20/2020 129,000.00
117 0117/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/21/2020 10/21/2020 280,000.00
118 0118/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/22/2020 10/22/2020 207,000.00
119 0119/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 23/20/2020 10/23/2020 600,000.00
120 0120/STS/PKMMP/X/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2020 10/26/2020 10/26/2020 176,000.00
121 0121/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/2/2020 11/2/2020 143,000.00
122 0122/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/6/2020 11/6/2020 124,000.00
123 0123/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/9/2020 11/9/2020 98,000.00
124 0124/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/11/2020 11/11/2020 135,000.00
125 0125/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/13/2020 11/13/2020 86,000.00
126 0126/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/17/2020 11/17/2020 125,000.00
127 0127/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/19/2020 11/19/2020 86,000.00
128 0128/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/23/2020 11/23/2020 79,000.00
129 0129/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/24/2020 11/24/2020 230,000.00
130 0130/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/25/2020 11/25/2020 300,000.00
131 0131/STS/PKMMP/XI/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2020 11/26/2020 11/26/2020 228,000.00
132 0132/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/1/2020 12/1/2020 60,000.00
133 0133/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/4/2020 12/4/2020 98,000.00
134 0134/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/7/2020 12/7/2020 103,000.00
135 0135/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/10/2020 12/10/2020 108,000.00
136 0136/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/14/2020 12/14/2020 121,000.00
137 0137/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/16/2020 12/16/2020 124,000.00
138 0138/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/18/2020 12/18/2020 89,000.00
139 0139/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/21/2020 12/21/2020 64,000.00
140 0140/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/23/2020 12/23/2020 268,000.00
141 0141/STS/PKMMP/XII/2020 SETORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2020 12/28/2020 12/28/2020 144,500.00
TOTAL 20,755,000.00

Plt Kepala UPT Puskesmas Muara Pahu Bendahara Penerimaan

NOOR ADHA TATI SUMARNI

NIP. 19690219 198811 1 001 NIP. 19650604
NIP. 199203
19650604
2 014
199203 2 014
 PEMERINTAH KABUPATEN KUTAI BARAT
DINAS KESEHATAN
UPT PUSKESMAS MUARA PAHU
Jln. Raden Baroh RT.06 No. 59 Tanjung Laong Kecamatan Muara Pahu Kode Pos 75574
Email : Upt.puskesmasmp@gmail.com

DAFTAR PENDAPATAN
SURAT TANDA PEMBAYARAN ( TBP )
PERIODE JANUARI S/D DESEMBER 2021
TGL TGL
NO NOMOR TBP URAIAN JUMLAH
TERIMA SETOR
1 0001/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 1/18/2021 332,000.00
2 0002/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 1/19/2021 124,000.00
3 0003/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 1/22/2021 115,000.00
4 0004/TBP/PKMMP/I/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JANUARI 2021 1/29/2021 470,000.00
5 0005/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 2/3/2021 98,000.00
6 0006/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 2/9/2021 103,000.00
7 0007/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 2/17/2021 151,000.00
8 0008/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 2/23/2021 115,000.00
9 0009/TBP/PKMMP/II/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN PEBRUARI 2021 2/26/2021 438,000.00
10 0010/TBP/PKMMP/III/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2021 3/8/2021 251,000.00
11 0011/TBP/PKMMP/III/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MARET 2021 3/31/2021 911,000.00
12 0012/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 4/6/2021 244,000.00
13 0013/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 4/14/2021 139,000.00
14 0014/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 4/20/2021 378,000.00
15 0015/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 4/23/2021 515,000.00
16 0016/TBP/PKMMP/IV/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN APRIL 2021 4/29/2021 481,000.00
17 0017/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/3/2021 110,000.00
18 0018/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/6/2021 174,000.00
19 0019/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/11/2021 160,000.00
20 0020/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/19/2021 225,000.00
21 0021/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/21/2021 104,000.00
22 0022/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/25/2021 578,000.00
23 0023/TBP/PKMMP/V/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN MEI 2021 5/31/2021 149,000.00
24 0024/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/2/2021 188,000.00
25 0025/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/4/2021 80,000.00
26 0026/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/9/2021 126,000.00
27 0027/STS/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/14/2021 157,000.00
28 0028/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/16/2021 189,000.00
29 0029/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/17/2021 102,000.00
30 0030/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/21/2021 303,000.00
31 0031/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/22/2021 403,000.00
32 0032/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/23/2021 240,000.00
33 0033/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/24/2021 377,000.00
34 0034/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/25/2021 249,000.00
35 0035/TBP/PKMMP/VI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JUNI 2021 6/28/2021 29,000.00
36 0036/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/1/2021 120,000.00
37 0037/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/7/2021 135,000.00
38 0038/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/12/2021 141,000.00
39 0039/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/16/2021 94,000.00
40 0040/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/19/2021 111,000.00
41 0041/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/23/2021 317,000.00
42 0042/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/27/2021 138,000.00
43 0043/TBP/PKMMP/VII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN JULI 2021 7/30/2021 263,000.00
44 0044/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 8/12/2021 100,000.00
45 0045/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 8/19/2021 110,000.00
46 0046/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 8/24/2021 215,000.00
47 0047/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 8/25/2021 336,000.00
48 0048/TBP/PKMMP/VIII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN AGUSTUS 2021 8/26/2021 247,000.00
49 0049/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/3/2021 115,000.00
50 0050/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/8/2021 75,000.00
51 0051/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/13/2021 65,000.00
52 0052/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/17/2021 66,000.00
53 0053/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/20/2021 79,000.00
54 0054/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/22/2021 116,000.00
55 0055/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/24/2021 83,000.00
56 0056/TBP/PKMMP/IX/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN SEPTEMBER 2021 9/27/2021 500,000.00
57 0057/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/1/2021 116,000.00
58 0058/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/5/2021 144,000.00
59 0059/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/8/2021 170,000.00
60 0060/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/11/2021 104,000.00
61 0061/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/13/2021 120,000.00
62 0062/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/15/2021 76,000.00
63 0063/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/18/2021 216,000.00
64 0064/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/22/2021 86,000.00
65 0065/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/25/2021 277,000.00
66 0066/TBP/PKMMP/X/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN OKTOBER 2021 10/26/2021 269,000.00
 TGL TGL
NO NOMOR TBP URAIAN JUMLAH
TERIMA SETOR
67 0067/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/2/2021 165,000.00
68 0068/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/4/2021 127,000.00
69 0069/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/8/2021 175,000.00
70 0070/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/11/2021 290,000.00
71 0071/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/15/2021 175,000.00
72 0072/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/17/2021 297,000.00
73 0073/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/19/2021 92,000.00
74 0074/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/23/2021 147,000.00
75 0075/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/25/2021 270,000.00
76 0076/TBP/PKMMP/XI/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN NOVEMBER 2021 11/26/2021 582,500.00
77 0077/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/1/2021 229,000.00
78 0078/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/6/2021 66,000.00
79 0079/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/9/2021 150,000.00
80 0080/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/17/2021 238,000.00
81 0081/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/20/2021 174,000.00
82 0082/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/22/2021 141,000.00
83 0083/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/23/2021 305,000.00
84 0084/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/24/2021 384,000.00
85 0085/TBP/PKMMP/XII/2021 LAPORAN RETRIBUSI UPT PUSKESMAS MUARA PAHU BULAN DESEMBER 2021 12/27/2021 99,000.00
TOTAL 17,918,500.00

Muara Pahu, 31 Desember 2021

Kepala UPT Puskesmas Muara Pahu Bendahara Penerimaan

SUGIANTO, A.Md.Kep TATI SUMARNI

NIP. 19791121 200902 1 001 NIP. 19650604 199203 2 014