JUMLAH TERIMA

NO NAMA JABATAN POSYANDU ( Rp. ) TANDA TERIMA

1 Kader Sogan I 25,000.00 1
2 Kader Sogan I 25,000.00 2
3 Kader Sogan II 25,000.00 3
4 Kader Sogan II 25,000.00 4
5 Kader Kawirejan 25,000.00 5
6 Kader Kawirejan 25,000.00 6
7 Kader Trimulyo 25,000.00 7
8 Kader Trimulyo 25,000.00 8
9 Kader Jetis 25,000.00 9
10 Kader Jetis 25,000.00 10
11 Kader Kularan 25,000.00 11
12 Kader Kularan 25,000.00 12
13 Kader Cokrodipan 25,000.00 13
14 Kader Cokrodipan 25,000.00 14
15 Kader Ngrandu 25,000.00 15
16 Kader Ngrandu 25,000.00 16
17 Kader Kadipaten 25,000.00 17
18 Kader Kadipaten 25,000.00 18
19 Kader Sebokarang 25,000.00 19
20 Kader Sebokarang 25,000.00 20
21 Kader Tambak 25,000.00 21
22 Kader Tambak 25,000.00 22
23 Kader Dalangan 25,000.00 23
24 Kader Dalangan 25,000.00 24
25 Kader Seworan 25,000.00 25
26 Kader Seworan 25,000.00 26
27 Kader Conegaran 25,000.00 27
28 Kader Conegaran 25,000.00 28
29 Kader Klewonan 25,000.00 29
30 Kader Klewonan 25,000.00 30
31 Kader Turip 25,000.00 31
32 Kader Turip 25,000.00 32
33 Kader Dukuh 25,000.00 33
34 Kader Dukuh 25,000.00 34
35 Kader Ngentak 25,000.00 35
 36 Kader Ngentak 25,000.00 36
37 Kader Granti wetan 25,000.00 37
38 Kader Granti wetan 25,000.00 38
39 Kader Granti Kulon 25,000.00 39
40 Kader Granti Kulon 25,000.00 40
41 Kader Kulwaru kulon 25,000.00 41
42 Kader Kulwaru kulon 25,000.00 42
43 Kader Kulwaru wetan 25,000.00 43
44 Kader Kulwaru wetan 25,000.00 44
45 Kader Kanoman 25,000.00 45
46 Kader Kanoman 25,000.00 46
47 Kader Kuwirun 25,000.00 47
48 Kader Kuwirun 25,000.00 48
49 Kader Serangrejo 25,000.00 49
50 Kader Serangrejo 25,000.00 50
51 Kader Granti 25,000.00 51
52 Kader Granti 25,000.00 52

TANDA TERIMA TRANSPORT KADER DALAM RANGKA PEMANTAUAN STATUS GIZI ( PSG ) DIPOSYANDU
PUSKESMAS WATES PADA BULAN AGUSTUS 2014

JUMLAH TERIMA
NO NAMA JABATAN POSYANDU ( Rp. ) TANDA TERIMA
53 Kader Beji 25,000.00 53
54 Kader Beji 25,000.00 54
55 Kader Punukan I 25,000.00 55
56 Kader Punukan I 25,000.00 56
57 Kader Punukan 2 25,000.00 57
58 Kader Punukan 2 25,000.00 58
59 Kader Terbah 25,000.00 59
60 Kader Terbah 25,000.00 60
61 Kader Jogoyudan 25,000.00 61
62 Kader Jogoyudan 25,000.00 62
63 Kader Kriyanan 25,000.00 63
64 Kader Kriyanan 25,000.00 64
65 Kader Mutihan 25,000.00 65
66 Kader Mutihan 25,000.00 66
67 Kader Gadingan 25,000.00 67
 68 Kader Gadingan 25,000.00 68
69 Kader Durungan 25,000.00 69
70 Kader Durungan 25,000.00 70
71 Kader Kedungdowo 25,000.00 71
72 Kader Kedungdowo 25,000.00 72
73 Kader Wonosidi kidul 25,000.00 73
74 Kader Wonosidi kidul 25,000.00 74
75 Kader Wonosidi lor 25,000.00 75
76 Kader Wonosidi lor 25,000.00 76
77 Kader Dipan 25,000.00 77
78 Kader Dipan 25,000.00 78
79 Kader Driyan 25,000.00 79
80 Kader Driyan 25,000.00 80
81 Kader Wetan Pasar 25,000.00 81
82 Kader Wetan Pasar 25,000.00 82
83 Kader Kedunggong 25,000.00 83
84 Kader Kedunggong 25,000.00 84
85 Kader Sebokarang I 25,000.00 85
86 Kader Sebokarang I 25,000.00 86
87 Kader Sebokarang 2 25,000.00 87
88 Kader Sebokarang 2 25,000.00 88
89 Kader Keboan 25,000.00 89
90 Kader Keboan 25,000.00 90
91 Kader Karangwuni 25,000.00 91
92 Kader Karangwuni 25,000.00 92
93 Kader Pancas 25,000.00 93
94 Kader Pancas 25,000.00 94
95 Kader Kriyan 25,000.00 95
96 Kader Kriyan 25,000.00 96
97 Kader Karangrejo 25,000.00 97
98 Kader Karangrejo 25,000.00 98
99 Kader Karanganyar 25,000.00 99
100 Kader Karanganyar 25,000.00 100

TANDA TERIMA TRANSPORT KADER DALAM RANGKA PEMANTAUAN STATUS GIZI ( PSG ) DIPOSYANDU
PUSKESMAS WATES PADA BULAN AGUSTUS 2014
 JUMLAH TERIMA
NO NAMA JABATAN POSYANDU ( Rp. ) TANDA TERIMA
101 Handayani Kader Sanggrahan lor 25,000.00 101
102 Tri Rahmani Kader Sanggrahan lor 25,000.00 102
103 Susgiyanti Kader Sanggrahan kidul 25,000.00 103
104 Retno Purwanti Kader Sanggrahan kidul 25,000.00 104
105 Sri Winarti Kader Temonan 25,000.00 105
106 Endang Ciptaningsih Kader Temonan 25,000.00 106
107 Suparmi Kader Kuncen 25,000.00 107
108 Sumarinten Kader Kuncen 25,000.00 108
109 Tasmini Kader Bendungan lor 25,000.00 109
110 Tukilah Kader Bendungan lor 25,000.00 110
111 Suryani Kader Bendungan kidul 25,000.00 111
112 Suratin Kader Bendungan kidul 25,000.00 112
113 Anik Sumpani Kader Mangunan 25,000.00 113
114 Tri Handayani Kader Mangunan 25,000.00 114
115 Suprihatin Kader Kauman 25,000.00 115
116 Sumanti Kader Kauman 25,000.00 116
117 Suprihatin Kader Berenan 25,000.00 117
118 Sri Sumaryanti Kader Berenan 25,000.00 118
119 Supriyati Kader Dondong 25,000.00 119
120 Zuliningsih Kader Dondong 25,000.00 120
121 Aminah Kader Cangkring 25,000.00 121
122 Sumini Kader Cangkring 25,000.00 122
123 Hendarti handayani Kader Klopo sepuluh 25,000.00 123
124 Wandini Kader Klopo sepuluh 25,000.00 124
125 Suwarti DN Kader Graulan 25,000.00 125
126 Sulintri Kader Graulan 25,000.00 126
127 Barniyati Kader Sideman 25,000.00 127
128 Siti Rokhana Kader Sideman 25,000.00 128
129 Murdjini Kader Kedungpring 25,000.00 129
130 Komala Kader Kedungpring 25,000.00 130
131 Martha S Kader Dobangsan 25,000.00 131
132 Wajilah Kader Dobangsan 25,000.00 132
133 Sulistyaningsih Kader Tegal lembut 25,000.00 133
134 Parsinah Kader Tegal lembut 25,000.00 134
135 Subardiyah Kader Gununggempal 1 25,000.00 135
136 Kismiyati Kader Gununggempal 1 25,000.00 136
137 Poniyem Kader Gununggempal 2 25,000.00 137
138 Ngatiyah Kader Gununggempal 2 25,000.00 138
139 Sopiyah Kader Kalikepek 25,000.00 139
140 Sri Wahyuni Kader Kalikepek 25,000.00 140
141 Ida Widyaningsih Kader Jurangjero 25,000.00 141
142 Fatimah Kader Jurangjero 25,000.00 142
JUMLAH Rp. 2.840.000,00

Pelaksana
Pengelola Keuangan BOK Puskesmas

Fitriana Nur Wety Eptikasari, Amd

NIP. 19790930 200604 2 023
TANDA TERIMA
SG ) DIPOSYANDU

TANDA TERIMA
SG ) DIPOSYANDU
TANDA TERIMA
OK Puskesmas
 ALAMAT JUMLAH TERIMA
NO NAMA JABATAN
DESA DUSUN ( Rp. )

1 Kader Sogan Sogan I 25,000.00

2 Kader Sogan II 25,000.00

3 Kader Kawirejan 25,000.00

4 Kader Trimulyo 25,000.00

5 Kader Jetis 25,000.00

6 Kader Triharjo Kularan 25,000.00

7 Kader Cokrodipan 25,000.00

8 Kader Ngrandu 25,000.00

9 Kader Kadipaten 25,000.00

10 Kader Sebokarang 25,000.00

11 Kader Tambak 25,000.00

12 Kader Dalangan 25,000.00

13 Kader Seworan 25,000.00

14 Kader Conegaran 25,000.00

15 Kader Klewonan 25,000.00

16 Kader Ngestiharjo Turip 25,000.00

17 Kader Dukuh 25,000.00

18 Kader Ngentak 25,000.00

19 Kader Granti wetan 25,000.00

20 Kader Granti Kulon 25,000.00

21 Kader Kulwaru Kulwaru Kulon 25,000.00

22 Kader Kulwaru wetan 25,000.00

23 Kader Kanoman 25,000.00

24 Kader Kuwirun 25,000.00

25 Kader Serangrejo 25,000.00

26 Kader Granti 25,000.00

27 Kader Wates Beji 25,000.00

28 Kader Punukan 25,000.00

29 Kader Terbah 25,000.00

30 Kader Jogoyudan 25,000.00

31 Kader Kriyanan 25,000.00

32 Kader Mutihan 25,000.00

33 Kader Gadingan 25,000.00

34 Kader Durungan 25,000.00

35 Kader Kedungdowo 25,000.00

ALAMAT JUMLAH TERIMA

NO NAMA JABATAN
DESA DUSUN ( Rp. )

36 Kader Wates Wonosidi kidul 25,000.00

37 Kader Wonosidi lor 25,000.00

38 Kader Dipan 25,000.00

39 Kader Driyan 25,000.00

40 Kader Wetan Pasar 25,000.00

41 Kader Kedunggong 25,000.00

42 Kader Sebokarang 25,000.00

43 Kader Karangwuni Keboan 25,000.00

44 Kader Karangwuni 25,000.00

45 Kader Pancas 25,000.00

46 Kader Kriyan 25,000.00

47 Kader Karangrejo 25,000.00

48 Kader Karanganyar 25,000.00

49 Kader Bendungan Sanggrahan lor 25,000.00

50 Kader Sanggrahan kidul 25,000.00

51 Kader Temonan 25,000.00

52 Kader Kuncen 25,000.00

53 Kader Bendungan lor 25,000.00

54 Kader Bendungan kidul 25,000.00

55 Kader Mangunan 25,000.00

56 Kader Kauman 25,000.00

57 Kader Berenan 25,000.00

58 Kader Dondong 25,000.00

59 Kader Cangkring 25,000.00

60 Kader Klopo sepuluh 25,000.00

61 Kader Giripeni Graulan 25,000.00

62 Kader Sideman 25,000.00

63 Kader Kedungpring 25,000.00

64 Kader Dobangsan 25,000.00

65 Kader Tegal lembut 25,000.00

66 Kader Gununggempal 25,000.00

67 Kader Kalikepek 25,000.00

68 Kader Jurangjero 25,000.00

JUMLAH 1,700,000.00
Pelaksana
Pengelola Keuangan BOK Puskesmas

Fitriana Nur Wety Eptikasari, Amd

NIP. 19790930 200604 2 023
 TANDA TERIMA

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25
 26

27

28

29

30

31

32

33

34

35

TANDA TERIMA

36

37

38

39

40

41

42

43

44

45

46

47
 48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

Pelaksana
Keuangan BOK Puskesmas

r Wety Eptikasari, Amd

930 200604 2 023
 ALAMAT
NO NAMA JABATAN
DESA DUSUN

1 Kader Sogan Sogan I

2 Kader Sogan II

3 Kader Kawirejan

4 Kader Trimulyo

5 Kader Jetis

6 Kader Triharjo Kularan

7 Kader Cokrodipan

8 Kader Ngrandu

9 Kader Kadipaten

10 Kader Sebokarang

11 Kader Tambak

12 Kader Dalangan

13 Kader Seworan

14 Kader Conegaran

15 Kader Klewonan

16 Kader Ngestiharjo Turip

17 Kader Dukuh

18 Kader Ngentak

19 Kader Granti wetan

20 Kader Granti Kulon

21 Kader Kulwaru Kulwaru Kulon

22 Kader Kulwaru wetan

23 Kader Kanoman

24 Kader Kuwirun

25 Kader Serangrejo
26 Kader Granti

27 Kader Wates Beji

28 Kader Punukan

29 Kader Terbah

30 Kader Jogoyudan

31 Kader Kriyanan

32 Kader Mutihan

33 Kader Gadingan

34 Kader Durungan

35 Kader Kedungdowo

ALAMAT
NO NAMA JABATAN
DESA DUSUN

36 Kader Wates Wonosidi kidul

37 Kader Wonosidi lor

38 Kader Dipan

39 Kader Driyan

40 Kader Wetan Pasar

41 Kader Kedunggong

42 Kader Sebokarang

43 Kader Karangwuni Keboan

44 Kader Karangwuni

45 Kader Pancas

46 Kader Kriyan

47 Kader Karangrejo
48 Kader Karanganyar

49 Kader Bendungan Sanggrahan lor

50 Kader Sanggrahan kidul

51 Kader Temonan

52 Kader Kuncen

53 Kader Bendungan lor

54 Kader Bendungan kidul

55 Kader Mangunan

56 Kader Kauman

57 Kader Berenan

58 Kader Dondong

59 Kader Cangkring

60 Kader Klopo sepuluh

61 Kader Giripeni Graulan

62 Kader Sideman

63 Kader Kedungpring

64 Kader Dobangsan

65 Kader Tegal lembut

66 Kader Gununggempal

67 Kader Kalikepek

68 Kader Jurangjero

Mengetahui

Kepala UPTD Puskesmas Wates

drg Anie Mursiastuti,MKes

NIP.19
 TANDA TERIMA

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25
 26

27

28

29

30

31

32

33

34

35

TANDA TERIMA

36

37

38

39

40

41

42

43

44

45

46

47
 48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

P
 DAFTAR HADIR
KADER DALAM RANGKA SURVEY KADARZI DAN GARAM IODIUM PUSKESMAS WATES

NO NAMA JABATAN ALAMAT TANDA TERIMA

1 Ika Aprianingsih Kader Keboan 1
2 Suparnii Kader Keboan 2
3 Sumarni Kader Karangwuni 3
4 Sulistyaningsih Kader Karangwuni 4
5 Sukasmi Kader Pancas 5
6 Saminem Kader Pancas 6
7 Lisa Kader Kriyan 7
8 Suminem Kader Kriyan 8
9 Edhi Wiryani Kader Karangrejo 9
10 Asru Istiqaroh Kader Karangrejo 10
11 Nurasih Kader Karanganyar 11
12 Maryam Kader Karanganyar 12
13 Sri Nuraini Kader Sogan I 13
14 Suyati Kader Sogan I 14
15 Kundari Kader Sogan II 15
16 Eni Lestari Kader Sogan II 16
17 Ngatijem Kader Kawirejan 17
18 Hermawanti Kader Kawirejan 18
19 Suyanti Kader Trimulyo 19
20 Paryati Kader Trimulyo 20
21 Sri Lestari Kader Jetis 21
22 Jumirah Kader Jetis 22
23 Suriawanti Kader Kularan 23
24 Mardiyati Kader Kularan 24
25 Siti Subiwidarti Kader Cokrodipan 25
26 Maryati Kader Cokrodipan 26
27 Haryani Kader Ngrandu 27
28 Warsinah Kader Ngrandu 28
29 Iswanti Kader Kadipaten 29
30 Ismiyati Kader Kadipaten 30
31 Imas Lesmawati Kader Sebokarang 31
32 Tri Heni Putranti Kader Sebokarang 32
33 Rubini Kader Tambak 33
34 Triyani Kader Tambak 34
35 Titik Asri Kader Dalangan 35
36 Baniyah Kader Dalangan 36
 37 Pergiyem Kader Seworan 37
38 Tri Mawarti Kader Seworan 38
39 Esti Qomandari Kader Conegaran 39
40 Ermi Pratiwi Kader Conegaran 40
41 Mursinah Kader Klewonan 41
42 Kasih Lestari Kader Klewonan 42
43 Sriyani Kader Turip 43
44 Asanah Kader Turip 44
45 Khoiriyah Kader Dukuh 45
46 Khanifah Kader Dukuh 46
47 Wakilah Kader Ngentak 47
48 Sukinah Kader Ngentak 48
49 Sri Lestari Kader Granti wetan 49
50 Sri Anggraeni Kader Granti wetan 50
51 Zunsi Maryati Kader Granti Kulon 51
52 Umaratun R Kader Granti Kulon 52

DAFTAR HADIR
KADER DALAM RANGKA SURVEY KADARZI DAN GARAM IODIUM PUSKESMAS WATES

NO NAMA JABATAN POSYANDU TANDA TERIMA

53 Ngadilah Kader Beji 53
54 Suyati Kader Beji 54
55 Sadiyem Kader Punukan I 55
56
57
58
59 Suyati Kader Terbah 59
60 Ambar Yuni Astuti Kader Terbah 60
61 Tri Sukemi Kader Jogoyudan 61
62 Suharyanti Kader Jogoyudan 62
63 Wasih Miati Kader Kriyanan 63
64 Sri Lestari Kader Kriyanan 64
65 Suparmi Kader Mutihan 65
66 Mujiman Kader Mutihan 66
67 Sumirah Kader Gadingan 67
68 Warjiyem Kader Gadingan 68
 69 Purwanti Kader Durungan 69
70 Sukasmi Kader Durungan 70
71 Anisah Kader Kedungdowo 71
72 Parsilah Kader Kedungdowo 72
73 Ngadiyah Kader Wonosidi kidul 73
74 Tri inwahyuni Kader Wonosidi kidul 74
75 Afiayah Kader Wonosidi lor 75
76 Ngadiran Kader Wonosidi lor 76
77 Parwati Kader Dipan 77
78 Sri Rubiyati Kader Dipan 78
79 C Tukilah Kader Driyan 79
80 Muginah Kader Driyan 80
81 Suprihatin Kader Wetan Pasar 81
82 Sulastri Kader Wetan Pasar 82
83 Heni Kartikasari Kader Kedunggong 83
84 Ratmiayatun Kader Kedunggong 84
85 Rochayati Kader Sebokarang I 85
86 Yuni Astuti Kader Sebokarang I 86
87 Saliyem Kader Sebokarang 2 87
88 Nuraini Kader Sebokarang 2 88
89 Ribut Eni Kader Kulwaru kulon 89
90 Juwarni Kader Kulwaru kulon 90
91 Sutinah Kader Kulwaru wetan 91
92 Iswinarti Kader Kulwaru wetan 92
93 Sukatini Kader Kanoman 93
94 Suparijem Kader Kanoman 94
95 Wakhidatul K Kader Kuwirun 95
96 Marfu'ah Kader Kuwirun 96
97 Endaryati Kader Serangrejo 97
98 Lismiyatun Kader Serangrejo 98
99 Ngatmi Kader Granti 99
100 Veri Kader Granti 100

DAFTAR HADIR
KADER DALAM RANGKA SURVEY KADARZI DAN GARAM IODIUM PUSKESMAS WATES
NO NAMA JABATAN POSYANDU TANDA TERIMA
101 Hendarti Handayani Kader Klopo Sepuluh 101
102 Wandini Kader Klopo Sepuluh 102
103 Sri Suratmi Kader Sanggrahan lor 103
104 Sudar Kusmiyati Kader Sanggrahan lor 104
105 Retno Purwanti Kader Sanggrahan kidul 105
106 Susgiyanti Kader Sanggrahan kidul 106
107 Sri Winarti Kader Temonan 107
108 Endang C Kader Temonan 108
109 Mardiyah Kader Kuncen 109
110 Sunarti Kader Kuncen 110
111 Tukirah Kader Bendungan lor 111
112 Tasmini Kader Bendungan lor 112
113 Suryani Kader Bendungan kidul 113
114 Suratin Kader Bendungan kidul 114
115 Sutilah Kader Mangunan 115
116 Arifah Kader Mangunan 116
117 Rubini Kader Kauman 117
118 Suprihatin Kader Kauman 118
119 Suprihatin Kader Berenan 119
120 Sri Sumaryanti Kader Berenan 120
121 Supriyati Kader Dondong 121
122 Margiyati Kader Dondong 122
123 Aminah Kader Cangkring 123
124 Sumini Kader Cangkring 124
125 Suwarti D N Kader Graulan 125
126 Suparni Kader Graulan 126
127 Siti Rokhana Kader Sideman 127
128 Barniyati Kader Sideman 128
129 Bintarsih Kader Kedungpring 129
130 Murdjini Kader Kedungpring 130
131 Martha S Kader Dobangsan 131
132 Wajilah Kader Dobangsan 132
133 Sulistyaningsih Kader Tegal lembut 133
134 Parsilah Kader Tegal lembut 134
135 Subardiyah Kader Gununggempal 1 135
136 Poniyem Kader Gununggempal 1 136
137
138
139 Sopiyah Kader Kalikepek 139
140 Purwanti Kader Kalikepek 140
141 Fatimah Kader Jurangjero 141
142 Ida Widyaningsih Kader Jurangjero 142
Wates, 24 Juni 2014

Mengetahui Pelaksana
Kepala Puskesmas Wates

drg. Anie Mursiastuti, M Kes Sri Renaningsih, AMG

NIP: 19621001 199303 2 001 NIP: 19650215 198701 2 003
ESMAS WATES

TANDA TERIMA
ESMAS WATES

TANDA TERIMA
ESMAS WATES
TANDA TERIMA
s, 24 Juni 2014

enaningsih, AMG
19650215 198701 2 003