PENILAIAN KINERJA SDM

PUSKESMAS : BULAN :
KAPITASI : Rp 10,000

NO NAMA NIP JABATAN

1 KEPALA PUSKESMAS
2
3
4
5
6
7
8
9
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
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
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
 MENU MENU LS
KINERJA SDMK DI PUSKESMAS
10,000
STATUS TUGAS
SC SC PENDIDIKAN SC TMT SC
KEPEG TAMBAHAN
100 PNS 100 S1 KES 80 15-Oct-2019 0
0 SS 0 D3 KES 60 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
0 0 0 15-Oct-2019 0
 NILAI KONVERSI
TOTAL
PNS CPNS PTT SS
SC

180 100 100 100 50

30 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 MOHON
100 PERHATIAN...!
100 50
ISILAH DATA DASAR INI DENGAN LENGKAP
0 100 DAN
100BENAR,
100 50
DIAWALI DENGAN
0 100 MENGISIKAN
100 100NAMA PUSKESMAS-BULAN-
50
JUMLAH KAPITASI DST.........
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
 0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
0 100 100 100 50
210 100 100 100 50
 PENILAIAN KINERJ
KAB.LEBAK TH
SEBELUM MENGGUNAKAN APLIKASI EXCELL INI, JANGA

INPUT DATA DASAR INPUT ABSEN SHOW SC

Tuesday, October 15, 2019

Untuk Input menggunakan Macro/auto, silahkan klik lin

dibawah
INPUT DG FORM
KINERJA SDMK
BAK TH 2018
EXCELL INI, JANGAN LUPA AKTIFKAN SETTING MACRO ANDA ..!

SHOW SCORE SHOW REKAP LS

019

ilahkan klik link

Ket: BERDASARKAN PERBUP NO 60/2016

App.licenced:farhanh
 DINAS KESEHATAN KABUPATEN LEBAK
PENILAIAN KINERJA SUMBER DAYA KESEHATAN DI PUSKESMAS
NAMA PUSKESMAS :0.00
BULAN :0.00

JUMLAH SCORE

NO NAMA TUGAS
JAB PEND
TAMBAHAN

1 0 100 0 80
2 0 0 0 60
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
11 0 0 0 0
12 0 0 0 0
13 0 0 0 0
14 0 0 0 0
15 0 0 0 0
16 0 0 0 0
17 0 0 0 0
18 0 0 0 0
19 0 0 0 0
20 0 0 0 0
21 0 0 0 0
22 0 0 0 0
23 0 0 0 0
24 0 0 0 0
25 0 0 0 0
26 0 0 0 0
27 0 0 0 0
28 0 0 0 0
29 0 0 0 0
30 0 0 0 0
31 0 0 0 0
32 0 0 0 0
33 0 0 0 0
34 0 0 0 0
35 0 0 0 0
36 0 0 0 0
37 0 0 0 0
38 0 0 0 0
39 0 0 0 0
40 0 0 0 0
41 0 0 0 0
42 0 0 0 0
43 0 0 0 0
44 0 0 0 0
45 0 0 0 0
46 0 0 0 0
47 0 0 0 0
48 0 0 0 0
49 0 0 0 0
50 0 0 0 0
51 0 0 0 0
52 0 0 0 0
53 0 0 0 0
54 0 0 0 0
55 0 0 0 0
56 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
68 0 0 0 0
69 0 0 0 0
70 0 0 0 0
71 0 0 0 0
72 0 0 0 0
73 0 0 0 0
74 0 0 0 0
75 0 0 0 0
76 0 0 0 0
77 0 0 0 0
78 0 0 0 0
79 0 0 0 0
80 0 0 0 0
81 0 0 0 0
82 0 0 0 0
83 0 0 0 0
84 0 0 0 0
85 0 0 0 0
86 0 0 0 0
87 0 0 0 0
88 0 0 0 0
89 0 0 0 0
90 0 0 0 0
91 0 0 0 0
92 0 0 0 0
93 0 0 0 0
94 0 0 0 0
95 0 0 0 0
96 0 0 0 0
UPATEN LEBAK
SEHATAN DI PUSKESMAS

MENU

ORE

TOTAL SCORE
TMT ABSEN

0 25.00 205
0 23.00 53
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
0 0.00 0
 PENILAIAN KINERJA
PUSKESMAS :
BULAN :
JUMLAH KAPITASI : Rp 10,000

NO NAMA NIP JABATAN

1 0 0 KEPALA PUSKESMAS
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
16 0 0 0
17 0 0 0
18 0 0 0
19 0 0 0
20 0 0 0
21 0 0 0
22 0 0 0
23 0 0 0
24 0 0 0
25 0 0 0
26 0 0 0
27 0 0 0
28 0 0 0
29 0 0 0
30 0 0 0
31 0 0 0
32 0 0 0
33 0 0 0
34 0 0 0
35 0 0 0
36 0 0 0
37 0 0 0
38 0 0 0
39 0 0 0
40 0 0 0
41 0 0 0
42 0 0 0
43 0 0 0
44 0 0 0
45 0 0 0
46 0 0 0
47 0 0 0
48 0 0 0
49 0 0 0
50 0 0 0
51 0 0 0
52 0 0 0
53 0 0 0
54 0 0 0
55 0 0 0
56 0 0 0
57 0 0 0
58 0 0 0
59 0 0 0

MENGETAHUI
KEPALA DINAS KESEHATAN KAB LEBAK
H.MAMAN SUKIRMAN,S.SOS,M.Si
NIP
ENILAIAN KINERJA SDMK DI PUSKESMAS
###
0

TOTAL NILAI JUMLAH JASA PPH TOTAL JASA DITERIMA

205 Rp 7,946 Rp 397 Rp 7,548

53 Rp 2,054 Rp 103 Rp 1,952
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
 0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
0 Rp - Rp - Rp -
258 Rp 10,000 Rp 500 Rp 9,500
 DASAR SCORE ABSENSI

PUSKESMAS : 0
JUMLAH HARI KERJA : 25

NO NAMA SAKIT IZIN ALPA SCORE

1 0 0 0 0 25.00

2 0 0 0 2 23.00

3 0 0 0 25 0.00

4 0 0 0 25 0.00

5 0 0 0 25 0.00

6 0 0 0 25 0.00

7 0 0 0 25 0.00

8 0 0 0 25 0.00

9 0 0 0 25 0.00

10 0 0 0 25 0.00

11 0 0 0 25 0.00

12 0 0 0 25 0.00

13 0 0 0 25 0.00

14 0 0 0 25 0.00

15 0 0 0 25 0.00

16 0 0 0 25 0.00

17 0 0 0 25 0.00

18 0 0 0 25 0.00

19 0 0 0 25 0.00

20 0 0 0 25 0.00

21 0 0 0 25 0.00

22 0 0 0 25 0.00

23 0 0 0 25 0.00

24 0 0 0 25 0.00
25 0 0 0 25 0.00

26 0 0 0 25 0.00

27 0 0 0 25 0.00

28 0 0 0 25 0.00

29 0 0 0 25 0.00

30 0 0 0 25 0.00

31 0 0 0 25 0.00

32 0 0 0 25 0.00

33 0 0 0 25 0.00

34 0 0 0 25 0.00

35 0 0 0 25 0.00

36 0 0 0 25 0.00

37 0 0 0 25 0.00

38 0 0 0 25 0.00

39 0 0 0 25 0.00

40 0 0 0 25 0.00

41 0 0 0 25 0.00

42 0 0 0 25 0.00

43 0 0 0 25 0.00

44 0 0 0 25 0.00

45 0 0 0 25 0.00

46 0 0 0 25 0.00

47 0 0 0 25 0.00

48 0 0 0 25 0.00

49 0 0 0 25 0.00

50 0 0 0 25 0.00

51 0 0 0 25 0.00

52 0 0 0 25 0.00

53 0 0 0 25 0.00
54 0 0 0 25 0.00

55 0 0 0 25 0.00

56 0 0 0 25 0.00

57 0 0 0 25 0.00

58 0 0 0 25 0.00

59 0 0 0 25 0.00

60 0 0 0 25 0.00

61 0 0 0 25 0.00

62 0 0 0 25 0.00

63 0 0 0 25 0.00

64 0 0 0 25 0.00

65 0 0 0 25 0.00

66 0 0 0 25 0.00

67 0 0 0 25 0.00

68 0 0 0 25 0.00

69 0 0 0 25 0.00

70 0 0 0 25 0.00

71 0 0 0 25 0.00

72 0 0 0 25 0.00

73 0 0 0 25 0.00

74 0 0 0 25 0.00

75 0 0 0 25 0.00

76 0 0 0 25 0.00

77 0 0 0 25 0.00

78 0 0 0 25 0.00

79 0 0 0 25 0.00

80 0 0 0 25 0.00

81 0 0 0 25 0.00

82 0 0 0 25 0.00
83 0 0 0 25 0.00

84 0 0 0 25 0.00

85 0 0 0 25 0.00

86 0 0 0 25 0.00

87 0 0 0 25 0.00

88 0 0 0 25 0.00

89 0 0 0 25 0.00

90 0 0 0 25 0.00

91 0 0 0 25 0.00

92 0 0 0 25 0.00

93 0 0 0 25 0.00

94 0 0 0 25 0.00

95 0 0 0 25 0.00

96 0 0 0 25 0.00
 R
E M
K E
REKAP
A N
P U
Maret 2018

NDT NPC SCORE

0 0 25.0

0 0 23.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0
0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0
0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0
0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0

0 0 0.0
 PENILAIAN KINERJA SDMK DI PUSKESM
PUSKESMAS : 0
BULAN : 0
JUMLAH KAPITASI : Rp 10,000
TOTAL
NO NAMA NIP JABATAN NILAI
1 0 0 KEPALA PUSKESMAS 205
2 0 0 0 53
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
11 0 0 0 0
12 0 0 0 0
13 0 0 0 0
14 0 0 0 0
15 0 0 0 0
16 0 0 0 0
17 0 0 0 0
18 0 0 0 0
19 0 0 0 0
20 0 0 0 0
21 0 0 0 0
22 0 0 0 0
23 0 0 0 0
24 0 0 0 0
25 0 0 0 0
26 0 0 0 0
27 0 0 0 0
28 0 0 0 0
29 0 0 0 0
30 0 0 0 0
31 0 0 0 0
32 0 0 0 0
33 0 0 0 0
34 0 0 0 0
35 0 0 0 0
36 0 0 0 0
37 0 0 0 0
38 0 0 0 0
39 0 0 0 0
40 0 0 0 0
41 0 0 0 0
42 0 0 0 0
43 0 0 0 0
44 0 0 0 0
45 0 0 0 0
46 0 0 0 0
47 0 0 0 0
48 0 0 0 0
49 0 0 0 0
50 0 0 0 0
51 0 0 0 0
52 0 0 0 0
53 0 0 0 0
54 0 0 0 0
55 0 0 0 0
56 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
0 0 0 0 258

MENGETAHUI
KEPALA DINAS KESEHATAN KAB LEBAK

HM.SUKIRMAN,S.SOS,M.SI
NIP
NILAIAN KINERJA SDMK DI PUSKESMAS
0
0

JUMLAH JASA PPH TOTAL JASA DITERIMA TANDA TANGAN

Rp 7,946 Rp 397 Rp 7,548 1

Rp 2,054 Rp 103 Rp 1,952
Rp - Rp - Rp - 3
Rp - Rp - Rp -
Rp - Rp - Rp - 5
Rp - Rp - Rp -
Rp - Rp - Rp - 7
Rp - Rp - Rp -
Rp - Rp - Rp - 9
Rp - Rp - Rp -
Rp - Rp - Rp - 11
Rp - Rp - Rp -
Rp - Rp - Rp - 13
Rp - Rp - Rp -
Rp - Rp - Rp - 15
Rp - Rp - Rp -
Rp - Rp - Rp - 17
Rp - Rp - Rp -
Rp - Rp - Rp - 19
Rp - Rp - Rp -
Rp - Rp - Rp - 21
Rp - Rp - Rp -
Rp - Rp - Rp - 23
Rp - Rp - Rp -
Rp - Rp - Rp - 25
Rp - Rp - Rp -
Rp - Rp - Rp - 27
Rp - Rp - Rp -
Rp - Rp - Rp - 29
Rp - Rp - Rp -
Rp - Rp - Rp - 31
Rp - Rp - Rp -
Rp - Rp - Rp - 33
Rp - Rp - Rp -
Rp - Rp - Rp - 35
Rp - Rp - Rp -
Rp - Rp - Rp - 37
Rp - Rp - Rp -
Rp - Rp - Rp - 39
Rp - Rp - Rp -
Rp - Rp - Rp - 41
Rp - Rp - Rp -
Rp - Rp - Rp - 43
Rp - Rp - Rp -
Rp - Rp - Rp - 45
Rp - Rp - Rp -
Rp - Rp - Rp - 47
Rp - Rp - Rp -
Rp - Rp - Rp - 49
Rp - Rp - Rp -
Rp - Rp - Rp - 51
Rp - Rp - Rp -
Rp - Rp - Rp - 53
Rp - Rp - Rp -
Rp - Rp - Rp - 55
Rp - Rp - Rp -
Rp - Rp - Rp - 57
Rp - Rp - Rp -
Rp - Rp - Rp - 59
Rp 10,000 Rp 500 Rp 9,500

0
KEPALA PUSKESMAS

0
NIP
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DATA DASAR
TANDA TANGAN

10

12

14

16

18

20

22

24

26

28

30

32

34

36

38
 40

42

44

46

48

50

52

54

56

58

0
KEPALA PUSKESMAS

0
NIP