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DAFTAR BIAYA PENGEPAKAN SPUTUM

TANGGAL BIAYA PENGEPAKAN


NO NAMA PASIEN UMUR
PENGIRIMAN SPUTUM
1 1/7/2019 Melpa Marpaung 36 Rp 25,000.00
2 1/7/2019 Rianto Tarigan 52 Rp 25,000.00
3 3/7/2019 Intan Pratiwi 15 Rp 25,000.00
4 3/7/2019 Fahrizal 48 Rp 25,000.00
5 4/7/2019 Zainal 60 Rp 25,000.00
6 4/7/2019 Franciscus 33 Rp 25,000.00
7 5/7/2019 Manidar 50 Rp 25,000.00
8 5/7/2019 M' Safii 28 Rp 25,000.00
9 5/7/2019 Fauziah Nur 20 Rp 25,000.00
10 11/7/2019 Kupan Naka 36 Rp 25,000.00
11 11/7/2019 Dede Pranoto 44 Rp 25,000.00
12 11/7/2019 Nabila Putri 13 Rp 25,000.00
13 11/7/2019 Erina Astini 21 Rp 25,000.00
14 11/7/2019 Jonson Silalahi 35 Rp 25,000.00
15 15/07/2019 Juliani 26 Rp 25,000.00
16 15/07/2019 Subardi 61 Rp 25,000.00
17 18/07/2019 Duma br Marpaung 53 Rp 25,000.00
18 18/07/2019 Arpan Siregar 58 Rp 25,000.00
19 19/07/2019 Hasanuddin 63 Rp 25,000.00
20 19/07/2020 Lutman 54 Rp 25,000.00
21 26/07/2019 Yarnis 58 Rp 25,000.00
22 26/07/2019 Sofyanti 29 Rp 25,000.00
23 26/07/2019 Kasiman 67 Rp 25,000.00
24 29/07/2019 Ismail/ Laseni 62 Rp 25,000.00
25 29/07/2019 Robin Siagiaan 43 Rp 25,000.00
26 31/07/2019 Zulkarnaen 62 Rp 25,000.00
27 31/07/2019 Novida Gracella 28 Rp 25,000.00
28 7/8/2019 Zahrin Syahpura 40 Rp 25,000.00
29 7/8/2019 Sumihar Siagiaan 42 Rp 25,000.00
30 13/08/2019 Saring 40 Rp 25,000.00
31 13/08/2019 Sunardi 39 Rp 25,000.00
32 16/08/2019 Ronny/ Zainuddin 18 Rp 25,000.00
33 20/08/2019 Sumihar Siagiaan 42 Rp 25,000.00
34 20/08/2019 Rahmansyah 35 Rp 25,000.00
35 20/08/2019 Jonathan 41 Rp 25,000.00
36 22/08/2019 Mikauli Berutu 25 Rp 25,000.00
37 28/08/2019 M. Amin Nasution 54 Rp 25,000.00
38 28/08/2019 Supriati 66 Rp 25,000.00
39 28/08/2019 Nurul Hasanah 15 Rp 25,000.00
40 4/9/2019 Ruslan 54 Rp 25,000.00
41 4/9/2019 Elvira 19 Rp 25,000.00
42 4/9/2019 Rifki 7 Rp 25,000.00
43 5/9/2019 Lenta Siburiaan 46 Rp 25,000.00
44 6/9/2019 Irwan Sahputra 17 Rp 25,000.00
45 6/9/2019 Syamsiah 64 Rp 25,000.00
46 9/9/2019 Yuli Dominika 29 Rp 25,000.00
47 9/9/2019 Fahmi 64 Rp 25,000.00
48 24/09/2019 Imam Ramadhani 34 Rp 25,000.00
49 24/09/2019 Sapiah 55 Rp 25,000.00
50 26/09/2019 Sri Hesti 33 Rp 25,000.00
51 26/09/2019 Hetti Diana 59 Rp 25,000.00
52 30/09/2019 Budi Tampubolon 49 Rp 25,000.00
53 30/09/2019 Suhaimi 45 Rp 25,000.00
54 30/09/2019 Muslim 43 Rp 25,000.00
JUMLAH Rp 1,350,000.00

Medan, 09 Oktober 2019


Petugas Laboratorium Diketahui Oleh,
UPT. Puskesmas Belawan Kepala UPT. Puskesmas Belawan

Leni Hartat dr. Adi Raja Brando Lubis, M.Kes


NIP. 19851213 2010012 018 NIP. 19711126 200312 1 004

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