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REKAPITULASI PELAYANAN ANC PBI

TANGGAL JENIS BESARAN TARIF JUMLAH SELURUH


NO NAMA NO. BPJS ALAMAT & NO. TELP
PELAYANAN PELAYANAN PAKET TAGIHAN
1 KASMINAH 0001031082917 DUKUH JATI KIDUL 2/4 04-01-2018 ANC 200,000
2 PATHONAH 0000626503184 BOGARES KIDUL 1/1 05-01-2018 ANC 200,000
3 SITI AL LIYAH 0000625769526 DEPOK 5/2 15-01-2018 ANC 200,000
4 SRI MURYANTI 0001694797975 PENUSUPAN 2/9 15-01-2018 ANC 200,000
5 SITI AMINAH 0001031080421 DERMASUCI 1/2 19-01-2018 ANC 200,000
6 ROHANAH 0000627398605 DUKUH SEMBUNG 11/2 20-01-2018 ANC 200,000
7 WASTIAH 0000625924719 PENUSUPAN 2/5 20-01-2018 ANC 200,000
8 DIAN INDAH MARYANA 0001031074266 PENER 7/2 20-01-2018 ANC 200,000
9 TITAH PUSPITASARI 0000625806944 PENER 21/5 20-01-2018 ANC 200,000
10 SRI REJEKI 0000626244581 BOGARES KIDUL 20/3 20-01-2018 ANC 200,000
11 SITI JAENAH 0000626827972 PENER 10/2 20-01-2017 ANC 200,000
12 PIPIT YUNI ASTUTI 0001031074299 PENER 3/1 20-01-2018 ANC 200,000
13 RATNAWATI 0000625293988 DEPOK 5/2 22-01-2018 ANC 200,000
14 MELI ANDRIYANI 0000626774049 PENER 7/2 22-01-2018 ANC 200,000
15 IDA NUR CHASANAH 0000625907114 SUKUH SEMBUNG 8/2 25-01-2018 ANC 200,000
16 NURYATI 0000626073704 BOGARES KIDUL 7/1 26-01-2018 ANC 200,000
17 SITI MUSLIHA 0002200786637 DERMASUCI 6/4 27-01-2018 ANC 200,000
18 EENG SAENI 0000626125623 PENUSUPAN 1/6 27-01-2018 ANC 200,000

JUMLAH 3,600,000

Penusupan, 08 Februari 2018


Kepala Puskesmas

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