Laporan Pendistribusian Makanan Pasien Periode September 2019

LAPORAN PENDISTRIBUSIAN MAKANAN PASIEN
PERIODE SEPTEMBER 2019
KELAS PERAWATAN : III (TIGA)
TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA

NO. JUMLAH HARGA
PENDISTRIBUSIAN PASIEN MAKAN /HARI /PASIEN) SATUAN
1 9/3/2019 1 3 Rp 12,000.00 Rp 36,000.00

2 9/4/2019 1 3 Rp 12,000.00 Rp 36,000.00
3 9/5/2019 1 3 Rp 12,000.00 Rp 36,000.00
4 9/6/2019 1 3 Rp 12,000.00 Rp 36,000.00
5 9/7/2019 1 3 Rp 12,000.00 Rp 36,000.00
6 9/9/2019 1 3 Rp 12,000.00 Rp 36,000.00
7 9/10/2019 1 3 Rp 12,000.00 Rp 36,000.00
8 9/11/2019 1 3 Rp 12,000.00 Rp 36,000.00
9 9/12/2019 1 3 Rp 12,000.00 Rp 36,000.00
10 9/17/2019 1 3 Rp 12,000.00 Rp 36,000.00
11 9/18/2019 1 3 Rp 12,000.00 Rp 36,000.00
12 9/19/2019 1 3 Rp 12,000.00 Rp 36,000.00
13 9/23/2019 1 3 Rp 12,000.00 Rp 36,000.00
36
TOTAL Rp 468,000.00
Mengetahui,
Penanggung Jawab Instalasi Gizi
Rumah Sakit Umum Tadulako Palu
dr. Sumarni, M.Kes, Sp.GK

NIP 197605012008012023
PERIODE SEPTEMBER 2019
TANGGAL JUMLAH JUMLAH PEMORSIAN HARGA

NO. PENDISTRIBUSIAN PASIEN (3X MAKAN /HARI JUMLAH HARGA
SATUAN
/PASIEN)
1 9/3/2019 1 3 Rp 15,000.00 Rp 45,000.00
2 9/4/2019 1 3 Rp 15,000.00 Rp 45,000.00
3 9/5/2019 1 3 Rp 15,000.00 Rp 45,000.00
4 9/6/2019 1 3 Rp 15,000.00 Rp 45,000.00
5 9/7/2019 1 3 Rp 15,000.00 Rp 45,000.00
6 9/9/2019 1 3 Rp 15,000.00 Rp 45,000.00
7 9/10/2019 1 3 Rp 15,000.00 Rp 45,000.00
8 9/11/2019 1 3 Rp 15,000.00 Rp 45,000.00
9 9/12/2019 1 3 Rp 15,000.00 Rp 45,000.00
10 9/17/2019 1 3 Rp 15,000.00 Rp 45,000.00
11 9/18/2019 1 3 Rp 15,000.00 Rp 45,000.00
12 9/19/2019 1 3 Rp 15,000.00 Rp 45,000.00
13 9/23/2019 1 3 Rp 15,000.00 Rp 45,000.00
TOTAL 39 Rp 585,000.00
Mengetahui,
NIP 197605012008012023
PERIODE OKTOBER 2019
TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA JUMLAH

NO. PENDISTRIBUSIAN PASIEN MAKAN /HARI /PASIEN) SATUAN HARGA
1 10/9/2019 1 3 Rp 15,000.00 Rp 45,000.00
2 10/11/2019 1 3 Rp 15,000.00 Rp 45,000.00
3 10/12/2019 1 3 Rp 15,000.00 Rp 45,000.00
4 10/14/2019 1 3 Rp 15,000.00 Rp 45,000.00
5 10/15/2019 1 3 Rp 15,000.00 Rp 45,000.00
6 10/16/2019 1 3 Rp 15,000.00 Rp 45,000.00
7 10/18/2019 1 3 Rp 15,000.00 Rp 45,000.00
8 10/19/2019 1 3 Rp 15,000.00 Rp 45,000.00
9 10/22/2019 1 3 Rp 15,000.00 Rp 45,000.00
10 10/23/2019 1 3 Rp 15,000.00 Rp 45,000.00
11 10/25/2019 1 3 Rp 15,000.00 Rp 45,000.00
12 10/26/2019 1 3 Rp 15,000.00 Rp 45,000.00
13 10/28/2019 1 3 Rp 15,000.00 Rp 45,000.00
14 10/29/2019 1 3 Rp 15,000.00 Rp 45,000.00
15 10/30/2019 1 3 Rp 15,000.00 Rp 45,000.00
16 10/31/2019 1 3 Rp 15,000.00 Rp 45,000.00
TOTAL 48 Rp 720,000.00
Mengetahui,

NIP 197605012008012023
PERIODE OKTOBER 2019

1 10/9/2019 1 3 Rp 12,000.00 Rp 36,000.00
2 10/11/2019 1 3 Rp 12,000.00 Rp 36,000.00
3 10/12/2019 1 3 Rp 12,000.00 Rp 36,000.00
4 10/14/2019 1 3 Rp 12,000.00 Rp 36,000.00
5 10/15/2019 1 3 Rp 12,000.00 Rp 36,000.00
6 10/16/2019 1 3 Rp 12,000.00 Rp 36,000.00
7 10/18/2019 1 3 Rp 12,000.00 Rp 36,000.00
8 10/19/2019 1 3 Rp 12,000.00 Rp 36,000.00
9 10/22/2019 1 3 Rp 12,000.00 Rp 36,000.00
10 10/23/2019 1 3 Rp 12,000.00 Rp 36,000.00
11 10/25/2019 1 3 Rp 12,000.00 Rp 36,000.00
12 10/26/2019 1 3 Rp 12,000.00 Rp 36,000.00
13 10/28/2019 1 3 Rp 12,000.00 Rp 36,000.00
14 10/29/2019 1 3 Rp 12,000.00 Rp 36,000.00
15 10/30/2019 1 3 Rp 12,000.00 Rp 36,000.00
16 10/31/2019 1 3 Rp 12,000.00 Rp 36,000.00
TOTAL 48 Rp 576,000.00
Mengetahui,
NIP 197605012008012023
PERIODE NOVEMBER 2019

TANGGAL
JUMLAH JUMLAH PEMORSIAN (3X HARGA
NO. PENDISTRIBUSIA JUMLAH HARGA
PASIEN MAKAN /HARI /PASIEN) SATUAN
N
1 10/9/2019 1 3 Rp 12,000.00 Rp 36,000.00
2 10/11/2019 1 3 Rp 12,000.00 Rp 36,000.00
3 10/12/2019 1 3 Rp 12,000.00 Rp 36,000.00
4 10/14/2019 1 3 Rp 12,000.00 Rp 36,000.00
5 10/15/2019 1 3 Rp 12,000.00 Rp 36,000.00
6 10/16/2019 1 3 Rp 12,000.00 Rp 36,000.00
7 10/18/2019 1 3 Rp 12,000.00 Rp 36,000.00
8 10/19/2019 1 3 Rp 12,000.00 Rp 36,000.00
9 10/22/2019 1 3 Rp 12,000.00 Rp 36,000.00
10 10/23/2019 1 3 Rp 12,000.00 Rp 36,000.00
11 10/25/2019 1 3 Rp 12,000.00 Rp 36,000.00
12 10/26/2019 1 3 Rp 12,000.00 Rp 36,000.00
13 10/28/2019 1 3 Rp 12,000.00 Rp 36,000.00
14 10/29/2019 1 3 Rp 12,000.00 Rp 36,000.00
15 10/30/2019 1 3 Rp 12,000.00 Rp 36,000.00
TOTAL 45 Rp 540,000.00
Mengetahui,

NIP 197605012008012023
PERIODE NOVEMBER 2019

1 10/9/2019 1 3 Rp 15,000.00 Rp 45,000.00
2 10/11/2019 1 3 Rp 15,000.00 Rp 45,000.00
3 10/12/2019 1 3 Rp 15,000.00 Rp 45,000.00
4 10/14/2019 1 3 Rp 15,000.00 Rp 45,000.00
5 10/15/2019 1 3 Rp 15,000.00 Rp 45,000.00
6 10/16/2019 1 3 Rp 15,000.00 Rp 45,000.00
7 10/18/2019 1 3 Rp 15,000.00 Rp 45,000.00
8 10/19/2019 1 3 Rp 15,000.00 Rp 45,000.00
9 10/22/2019 1 3 Rp 15,000.00 Rp 45,000.00
10 10/23/2019 1 3 Rp 15,000.00 Rp 45,000.00
11 10/25/2019 1 3 Rp 15,000.00 Rp 45,000.00
12 10/26/2019 1 3 Rp 15,000.00 Rp 45,000.00
13 10/28/2019 1 3 Rp 15,000.00 Rp 45,000.00
14 10/29/2019 1 3 Rp 15,000.00 Rp 45,000.00
15 10/30/2019 1 3 Rp 15,000.00 Rp 45,000.00
TOTAL 45 Rp 675,000.00
Mengetahui,
NIP 197605012008012023
PERIODE DESEMBER 2019

TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA
NO. PENDISTRIBUSIAN PASIEN MAKAN /HARI /PASIEN) JUMLAH HARGA
SATUAN
1 10/9/2019 1 3 Rp 12,000.00 Rp 36,000.00
2 10/11/2019 1 3 Rp 12,000.00 Rp 36,000.00
3 10/12/2019 1 3 Rp 12,000.00 Rp 36,000.00
4 10/14/2019 1 3 Rp 12,000.00 Rp 36,000.00
5 10/15/2019 1 3 Rp 12,000.00 Rp 36,000.00
6 10/16/2019 1 3 Rp 12,000.00 Rp 36,000.00
7 10/18/2019 1 3 Rp 12,000.00 Rp 36,000.00
8 10/19/2019 1 3 Rp 12,000.00 Rp 36,000.00
9 10/22/2019 1 3 Rp 12,000.00 Rp 36,000.00
10 10/23/2019 1 3 Rp 12,000.00 Rp 36,000.00
11 10/25/2019 1 3 Rp 12,000.00 Rp 36,000.00
12 10/26/2019 1 3 Rp 12,000.00 Rp 36,000.00
13 10/28/2019 1 3 Rp 12,000.00 Rp 36,000.00
14 10/29/2019 1 3 Rp 12,000.00 Rp 36,000.00
15 10/30/2019 1 3 Rp 12,000.00 Rp 36,000.00
16 10/31/2019 1 3 Rp 12,000.00 Rp 36,000.00
TOTAL 48 Rp 576,000.00
Mengetahui,

NIP 197605012008012023
PERIODE DESEMBER 2019

1 10/9/2019 1 3 Rp 15,000.00 Rp 45,000.00
2 10/11/2019 1 3 Rp 15,000.00 Rp 45,000.00
3 10/12/2019 1 3 Rp 15,000.00 Rp 45,000.00
4 10/14/2019 1 3 Rp 15,000.00 Rp 45,000.00
5 10/15/2019 1 3 Rp 15,000.00 Rp 45,000.00
6 10/16/2019 1 3 Rp 15,000.00 Rp 45,000.00
7 10/18/2019 1 3 Rp 15,000.00 Rp 45,000.00
8 10/19/2019 1 3 Rp 15,000.00 Rp 45,000.00
9 10/22/2019 1 3 Rp 15,000.00 Rp 45,000.00
10 10/23/2019 1 3 Rp 15,000.00 Rp 45,000.00
11 10/25/2019 1 3 Rp 15,000.00 Rp 45,000.00
12 10/26/2019 1 3 Rp 15,000.00 Rp 45,000.00
13 10/28/2019 1 3 Rp 15,000.00 Rp 45,000.00
14 10/29/2019 1 3 Rp 15,000.00 Rp 45,000.00
15 10/30/2019 1 3 Rp 15,000.00 Rp 45,000.00
16 10/31/2019 1 3 Rp 15,000.00 Rp 45,000.00
TOTAL 48 Rp 720,000.00
Mengetahui,

NIP 197605012008012023

Laporan Pendistribusian Makanan Pasien Periode September 2019

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Laporan Pendistribusian Makanan Pasien Periode September 2019

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LAPORAN PENDISTRIBUSIAN MAKANAN PASIEN

PERIODE SEPTEMBER 2019

KELAS PERAWATAN : III (TIGA)

TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA

1 9/3/2019 1 3 Rp 12,000.00 Rp 36,000.00

dr. Sumarni, M.Kes, Sp.GK

KELAS PERAWATAN : III (TIGA)

TANGGAL JUMLAH JUMLAH PEMORSIAN HARGA

KELAS PERAWATAN : III (TIGA)

TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA JUMLAH

dr. Sumarni, M.Kes, Sp.GK

KELAS PERAWATAN : III (TIGA)

TANGGAL JUMLAH JUMLAH PEMORSIAN (3X HARGA JUMLAH

KELAS PERAWATAN : III (TIGA)

dr. Sumarni, M.Kes, Sp.GK

KELAS PERAWATAN : III (TIGA)

KELAS PERAWATAN : III (TIGA)

dr. Sumarni, M.Kes, Sp.GK

KELAS PERAWATAN : III (TIGA)

dr. Sumarni, M.Kes, Sp.GK

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