KLAIM FETUS TANGGAL 0

NO JAY DNL BNN GKK

1 Rp 240,000 Rp 184,500 Rp 157,700 Rp 269,800
2 Rp 2,389,000 Rp 300,000 Rp 142,000 Rp 60,000
3 Rp 12,000 Rp 26,000 Rp 300,000 Rp 588,000
4 Rp 37,000 Rp 177,000 Rp 500,000 Rp 100,000
5 Rp 145,000 Rp 1,620,000 Rp 22,000
6 Rp 277,000 Rp 350,000
7 Rp 30,000
8 Rp 100,000

TOTAL Rp 3,100,000 Rp 2,787,500 Rp 1,121,700 Rp 1,017,800

ANGGAL 02/01/2020 - 12/01/2020
YDG ANG GAW WAS DIV
Rp 141,601 Rp 817,100 Rp 200,000 Rp 991,700 Rp 300,000
Rp 250,000 Rp 109,000 Rp 623,500 Rp 850,000
Rp 15,679 Rp 115,000 Rp 64,500 Rp 67,750
Rp 14,000 Rp 200,000 Rp 1,396,138 Rp 98,000
Rp 200,000 Rp 20,000 Rp 124,800
Rp 100,000
Rp 81,200

Rp 141,601 Rp 1,477,979 Rp 644,000 Rp 3,075,838 Rp 1,440,550

TOTAL

Rp 14,806,968
KETERANGAN :
KLAIM 02/01/2020 S/D 12/01/2020
1. JAY
· 04/01/2020 Pejati bli egi : 240.000
· 05/01/2020 Pindahan dr. rio
Pickup plus buruh : 400.000
Biaya ektra buruh :200.000
Makan buruh (2 org) : 69.000
Jasa AC 1.720.000 (JAY) total : 2.389.000
· 06/01/2020 Fc bli alit lembar amprah obat onko & ic onko 60 lembar : 12.000
· 07/01/2020 Print mb MIR + map : 37.000
· 10/01/2020 Banten simpo dr.goodman : 145.000
· 12/01/2020 Print + jilid bli Ngakan : 277.000
Total : 3.100.000
2. DNL
· 03/01/2010 fd ,print , jilid bli BPS : 184.500 (DNL)
· 03/01/2020 Lapangan futsal : 300.000 (DNL)
· 05/01/2020 Revisi print+cover lapsus bli BPS : 26.000 (DNL)
· 05/01/2020 Print marvy + layang" mn ellena : 177.000 (DNL
· 06/02/2020 Guitar + tas buat dr. DMS : 1.620.000 (DNL)
· 07/01/2020 Futsal + minum : 350.000 (DNL)
· 08/01/2020 Fc + jilid soft cover mb wita : 30.000 (DNL)
· 12/01/2020 Uang bensin transport simposium 1 day : 100.000 (DNL)
TOTAL : 2.787.500
3. BNN
· 02/01/2020 Jlid sari pustaka bli AW : 157.700 (BNN)
· 02/01/2020 Print rangkap 6 bucin GKK : 142.000 (BNN)
· 03/01/2020 Parcel buah ayahanda dr.HYS IKALOGI & POGI BALI : 300.000 (BNN)
· 04/01/2020 Ikalogi, Pogi Bali, Departemen Parcel Istri dr. TS : 500.000 (BNN)
TOTAL : 1.099.700
4. GKK
· 04/01/2020 Print fotocopi mb echa : 269.800 (GKK)
· 07/01/2020 Logbook bli marvy : 60.000 (GKK)
· 07/01/2020 . Sablon baju MTG request bli deo : 588.000 (GKK)
· 11/01/2020 Uang bensin transport : 100.000 (GKK)
TOTAL : 1.017.800
5. YDG
· 05/01/2020 Jilid layang" residen wangaya+biji kopi excelso residen singaraja 117.601 +2

6. ANG
· 03/01/2020 10 buah sd card 427.500+389.600 = 817.100
· 04/01/2020 Bensin mobil angkatan : 250.000
 · 07/01/2020 gojek ROTI untuk dr.MGP request bli ARD : 15.679
· 07/01/2020 Pik gitar dr.DMS : 14.000 (ANG)
· 08/01/2020 Lapangan badminton : 200.000
· 11/01/2020 Kuota hp kelurahan : 100.000
· 12/01/2020 Uang badminton : 81.200
TOTAL : 1.934.479
7. GAW
· 05/01/2020 Bensin mobil tirta yatra dr.JKS : 200.000
· 09/01/2020 MTX dr.Raka sp.OG : 109.000
· 11/01/2020 Batere alkaline kamera simpo 1 day : 115.000
· 12/01/2020 uang bensin mobil angktan 200.000
· 12/01/2020 print krono marvi 20.000
TOTAL : 644.000
8. WAS
· 03/01/2020 Kabel port, hdmi dll : 991.700
· 11/01/2020 Sarapan mcd junbej acara simpo : 569.000 + 54.500 : 623.500
· 11/01/2020 Print sertifikat simpo + gojek ke dr.Yuniarty. Spog :30.000 + 34.500 : 64.500
TOTAL : 1.679.700
9. DIV
· 03/01/2020 Laser pointer : 300.000
· 03/01/2020 Batere AA + charger fetus : 850.000
· 06/01/2020 Print + cd pradik : 67.750
· 09/01/2020 Flashdisk OTG dr.JKS : 98.000
· 10/01/2020 Aqua rapat 1 day simposium : 124.800
TOTAL : 1.440.550

TOTAL : 13.962.330
601 +24.000 : 141.601
 KLAIM FETUS TAN

NO Tanggal KETERANGAN JAY KETERANGAN APH

1 02/02/2020 Pisang hotdoh poli obgyn Rp 25,000 Nasgor fetus Rp 335,000
HZL mb Leony Rp 25,000 Go clean JNPK Rp 100,000

2 03/02/2020 Karangan Bunga + ongkir ke gianyar Rp 800,000

3 05/02/2020 Print materi 1 day simpo Rp 20,200

4 06/02/2020 Pisgor poli Rp 68,000

5 07/02/2020 Aqua basket Rp 38,500

6 08/02/2020 Print mb Echa Rp 208,500

7 09/02/2020 Jilid mb Lydia Rp 50,000

8 10/02/2020

9 11/02/2020

10 12/02/2020

11 14/02/2020 buku metodologi Rp 166,500

12 15/02/2020

13 16/02/2020

14 17/02/2020 print bli BPS Rp 189,200

15 18/02/2020 jilid bli BPS Rp 22,500

16 19/02/2020

17 20/02/2020 jilid mb lydia Rp 35,000

parcel+gojek Rp 199,184
TOTAL Rp 1,847,584 Rp 435,000
 KLAIM FETUS TANGGAL 13/01/2020

KETERANGAN DNL KETERANGAN BNN KETERANGAN GKK KETERANGAN

Print UP bli Mahendra Rp 64,000

Lapangan Basket Rp 300,000

Print Bli Mahendra Rp 15,000

buku dr.RAI req bli egi Rp 766,500

Bensin mobil angkatan Rp 149,948 jilid dr.purnama req bli marvi

Lapangan basket Rp 300,000

obat valcor Rp 891,000

jilid print u/ akreditasi Rp 59,750

2 tong sampah + sapu Rp 1,065,800

Rp 2,635,800 Rp 976,198 Rp -
YDG KETERANGAN ANG KETERANGAN GAW KETERANGAN WAS

cetak foto bu tut Rp 3,200

badminton Rp 86,400

Belanja tas onlen, tempat cap Rp 404,800

Minum futsal Rp 110,000

Badminton Rp 205,000 logo pit POGI Rp 450,000

Cuci mobil Rp 35,000

Rp 511,000

ATK Kabel data Rp 265,910

Badminton Rp 210,000

bensin mobil angkatan Rp 150,000

Rp 511,000 Rp 614,600 Rp1,039,800 Rp -
KETERANGAN DIV TOTAL

Rp - Rp 5,777,398