DATA PENERIMA PAKET TELUR, POKAK DAN KEBUTUHAN SEHARI-HARI

PUSKESMAS : PACARKELING KECAMATAN : TAMBAKSARI

TANGGAL : 01 JUNI 2020

Paket TANGGAL PEMANTAUAN

Status (ODP/ NOTIFIKASI PADA APLIKASI
No Nama Penerima Paket NIK Alamat Kelurahan COVID -19
Kebutuhan PDP/ OTG)
Telur Pokak AWAL AKHIR
Sehari-hari

1 BACHTIAR CANDRA PERMANA 3578102802880003 PACARKELING 8/9 3 butir 1 botol 1 paket PACARKELING KONTAK PDP NURJATI 07-05-2020 20-05-2020

2 NOVI ARDIANA 3517125911910004 PACARKELING 8/9 3 butir 1 botol 1 paket PACARKELING KONTAK PDP NURJATI 07-05-2020 20-05-2020

3 SULASTRI 3578105201660004 PACARKEMBANG KITIRAN 10 3 butir 1 botol 1 paket PACARKEMBANG OTG M. DACHLAN 20-05-2020 02-06-2020

4 SUNARNIK 3578105801600002 KEDUNG TARUKAN 60A 3 butir 1 botol 1 paket PACARKEMBANG KONFIRMASI SUNARNIK 20-05-2020 02-06-2020

5 JULDHINANTA PURTAMA 3578101707850001 KEDUNG TARUKAN 60A 3 butir 1 botol 1 paket PACARKEMBANG OTG SUNARNIK 20-05-2020 02-06-2020

6 SEPTA IRANI 3578106509570006 KEDUNG TARUKAN 60A 3 butir 1 botol 1 paket PACARKEMBANG OTG SUNARNIK 20-05-2020 02-06-2020

7 FRANCISKA 3578105809750001 KALI KEPITING JAYA 7/24 3 butir 1 botol 1 paket PACARKEMBANG OTG TAN RICKY 20-05-2020 02-06-2020

8 STEVE CHRISTIAN 3578100804030001 KALI KEPITING JAYA 7/24 3 butir 1 botol 1 paket PACARKEMBANG OTG TAN RICKY 20-05-2020 02-06-2020

9 PRINCESSA AUDREY 3578106502160002 KALI KEPITING JAYA 7/24 3 butir 1 botol 1 paket PACARKEMBANG OTG TAN RICKY 20-05-2020 02-06-2020

10 HIAN NIA 3578036110510001 KALI KEPITING JAYA 7/24 3 butir 1 botol 1 paket PACARKEMBANG OTG TAN RICKY 20-05-2020 02-06-2020

11 BASUKI 3578100512560001 AMBENGAN KARYA SELATAN 50 3 butir 1 botol 1 paket PACARKELING OTG PAINI 23-05-2020 05-06-2020

12 YULIANTO 3578101207850004 AMBENGAN KARYA SELATAN 50 3 butir 1 botol 1 paket PACARKELING OTG PAINI 23-05-2020 05-06-2020

13 AHMED A 3578103010980008 KEDUNG SROKO 29 3 butir 1 botol 1 paket PACARKEMBANG KONFIRMASI AHMED A 23-05-2020 05-06-2020

14 LULUK MUSLICHA 3578106203820006 KALIKEPITING BHAKTI 35/3 3 butir 1 botol 1 paket PACARKEMBANG OTG EDY WIBOWO 23-05-2020 05-06-2020

15 VERA AUDICA P 3578104302050001 KALIKEPITING BHAKTI 35/3 3 butir 1 botol 1 paket PACARKEMBANG OTG EDY WIBOWO 23-05-2020 05-06-2020

16 MOCH FARREL 3578102501080005 KALIKEPITING BHAKTI 35/3 3 butir 1 botol 1 paket PACARKEMBANG OTG EDY WIBOWO 23-05-2020 05-06-2020

17 LILIK IMRONATI 3578104605770004 KALIKEPITING BHAKTI 35/3 3 butir 1 botol 1 paket PACARKEMBANG OTG EDY WIBOWO 23-05-2020 05-06-2020

18 DANAR IMAM 3578102205790002 GUBENG MASJID 1/32 3 butir 1 botol 1 paket PACARKELING KONFIRMASI DANAR IMAM 23-05-2020 05-06-2020

19 ERNI TRISYANTI 3511116801800004 GUBENG MASJID 1/32 3 butir 1 botol 1 paket PACARKELING OTG DANAR IMAM 23-05-2020 05-06-2020

20 FAIZ SHYDQI HAKIM 3578101403150001 GUBENG MASJID 1/32 3 butir 1 botol 1 paket PACARKELING OTG DANAR IMAM 23-05-2020 05-06-2020

21 GHINA 3578107107170003 GUBENG MASJID 1/32 3 butir 1 botol 1 paket PACARKELING OTG DANAR IMAM 23-05-2020 05-06-2020

22 MAITI 3578104401560002 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

23 SITI AMINAH 3578104112840002 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

24 CITRA AYU 3578105008060004 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

25 NABILAH 3578106007160002 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

26 SAFI'I 3578101212790003 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

27 SITI CHOTIJAH 3578104408870007 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

28 HAFIZAH 2578105706140001 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

29 NAZWA 3578105712160001 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

30 FAJAR ROHIM 3578101501970002 BRONGGALAN SAWAH 4J/32 3 butir 1 botol 1 paket PACARKEMBANG OTG MARSUPI 20-05-2020 02-06-2020

31 IMAM PURWANTO 3578102202650002 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

32 MAIMUNATUN 3578106101650005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

33 DARA MAIPURA 3578105906940005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

34 TRI MEGASARI 3578105906940005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

35 AGIL WAHYU 3578105906940005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

36 DANANG SUBEKTI 3578105906940005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

37 ALESYA 3578105906940005 PACARKELING 1/14 3 butir 1 botol 1 paket PACARKELING OTG LELY JAYANTI MAIPURA 22-05-2020 04-06-2020

38 BAMBANG PRIYADI 3578105205620002 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

39 RIZALDI FITRIANTO 3578101210620006 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

40 IMELDA AURORA L 3578101202960002 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

41 AHMAD JUNAEDI 3578104706060003 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

42 FITRI NOVITA 3529021604840003 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

43 ALDEBARAN HARSHAMEER 3578104711910001 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020
44 TRI NURTJAHJO 3578100409190001 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

45 SUSILOWATI 3578101901650001 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

46 DESI RAHMAWATI 3578105405740009 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

47 MUHAMMAD ANTON 3578105412960001 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

48 DWI ANIK SOEBROTO 3578102408980002 GUBENG MASJID 6/59 3 butir 1 botol 1 paket PACARKELING OTG DWI ANIK SOEBROTO 20-05-2020 02-06-2020

49 RATNAWATI 3578106003830004 PACARKELING 5/53 3 butir 1 botol 1 paket PACARKELING KONTAK PDP PUJIANTO 27-05-2020 10-06-2020

50 DANUARTHA PUJIANTORO 3578162501040000 PACARKELING 5/53 3 butir 1 botol 1 paket PACARKELING KONTAK PDP PUJIANTO 27-05-2020 10-06-2020

51 ERICK FAJARIEO 3578101202070002 PACARKELING 5/53 3 butir 1 botol 1 paket PACARKELING KONTAK PDP PUJIANTO 27-05-2020 10-06-2020

52 FEBRINA 3578106502090006 PACARKELING 5/53 3 butir 1 botol 1 paket PACARKELING KONTAK PDP PUJIANTO 27-05-2020 10-06-2020

53 LILIK SUMARWATI 3578106402550003 PACARKELING 5/53 3 butir 1 botol 1 paket PACARKELING KONTAK PDP PUJIANTO 27-05-2020 10-06-2020

54 ARIEF WILDANE 3578101508020001 PACARKEMBANG 5/51 3 butir 1 botol 1 paket PACARKEMBANG ODP ARIEF WILDANE 22-05-2020 04-06-2020

H. CHOIRUDDIN DAN HJ.

54 SOFIE ASTUTININGRUM, S.SI 3578105006890004 BRONGGALAN 2A 3 butir 1 botol 1 paket PACARKEMBANG OTG 21-05-2020 03-06-2020
MUJILAH

H. CHOIRUDDIN DAN HJ.

54 SABRINA HAFIDZA RAMADHANI 3578106107140003 BRONGGALAN 2A 3 butir 1 botol 1 paket PACARKEMBANG OTG 22-05-2020 03-06-2020
MUJILAH

Mengetahui
Kepala Puskesmas Pacarkeling

dr. Suluh Rahardjo

NIP. 19691021 200701 1 017