FEED BACK LAPORAN ONLINE DAN REKAP SPJ MANUAL JKN 2015

DINAS KESEHATAN KABUPATEN BANJARNEGARA

NO PUSKESMAS JANUARI FEBRUARI MARET APRIL MEI

1 Pusk Susukan 1 DONE DONE DONE DONE DONE
2 Pusk Susukan 2 DONE DONE DONE DONE DONE
3 Pusk Klampok 1 DONE DONE DONE DONE DONE
4 Pusk Klampok 2 DONE DONE DONE DONE DONE
5 Pusk Mandiraja 1 DONE DONE DONE DONE DONE
6 Pusk Mandiraja 2 DONE TIDAK KLOP DONE DONE DONE
7 Pusk Purwonegoro 1 DONE DONE DONE DONE DONE
8 Pusk Purwonegoro 2 DONE DONE DONE DONE DONE
9 Pusk Bawang 1 DONE DONE DONE DONE DONE
10 Pusk Bawang 2 DONE DONE DONE DONE DONE
11 Pusk Banjarnegara 1 DONE DONE DONE DONE DONE
12 Pusk Banjarnegara 2 DONE DONE DONE DONE DONE
13 Pusk Pagedongan TIDAK KLOP DONE DONE DONE DONE
14 Pusk Sigaluh 1 DONE DONE DONE DONE DONE
15 Pusk Sigaluh 2 DONE DONE DONE DONE DONE
16 Pusk Madukara 1 DONE DONE DONE DONE TIDAK KLOP
17 Pusk Madukara 2 DONE DONE DONE DONE TIDAK KLOP
18 Pusk Banjarmangu 1 DONE DONE DONE DONE DONE
19 Pusk Banjarmangu 2 DONE DONE DONE DONE DONE
20 Pusk Wanadadi 1 DONE DONE DONE DONE DONE
21 Pusk Wanadadi 2 DONE DONE DONE TIDAK KLOP DONE
22 Pusk Rakit 1 DONE DONE TIDAK KLOP DONE DONE
23 Pusk Rakit 2 DONE DONE DONE DONE DONE
24 Pusk Punggelan 1 DONE DONE DONE DONE DONE
25 Pusk Punggelan 2 DONE DONE DONE DONE DONE
26 Pusk Karangkobar DONE DONE DONE DONE DONE
27 Pusk Pejawaran DONE DONE DONE DONE DONE
28 Pusk Wanayasa 1 DONE DONE DONE DONE DONE
29 Pusk Wanayasa 2 DONE DONE DONE DONE DONE
30 Pusk Pagentan 1 DONE DONE DONE DONE DONE
31 Pusk Pagentan 2 DONE DONE DONE DONE DONE
32 Pusk Batur 1 DONE DONE DONE DONE DONE
33 Pusk Batur 2 DONE DONE DONE DONE DONE
34 Pusk Kalibening DONE DONE DONE DONE DONE
35 Pusk Pandanarum DONE DONE DONE DONE DONE
 JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE DONE TIDAK KLOP
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE DONE TIDAK KLOP
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE TIDAK KLOP TIDAK KLOP DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE TIDAK KLOP DONE TIDAK KLOP TIDAK KLOP TIDAK KLOP DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE TIDAK KLOP DONE DONE
TIDAK KLOP DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE TIDAK KLOP TIDAK KLOP
DONE TIDAK KLOP DONE DONE DONE DONE TIDAK KLOP
TIDAK KLOP DONE DONE DONE TIDAK KLOP DONE TIDAK KLOP
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP TIDAK KLOP
DONE DONE DONE DONE DONE DONE DONE
DONE TIDAK KLOP DONE DONE TIDAK KLOP DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE TIDAK KLOP DONE DONE DONE
DONE DONE DONE DONE DONE TIDAK KLOP TIDAK KLOP
DONE DONE DONE DONE DONE DONE DONE
DONE DONE DONE DONE DONE DONE DONE
FEED BACK LAPORAN ONLINE JKN (NON KAPITASI)
JUMLAH TOTAL
Jan FEED BACK Feb FEED BACK
Susukan 1 Rp - Rp 16,000,000
Susukan 2 Rp 6,550,000 Rp 1,922,500
Klampok 1 Rp 49,830,000 Rp 25,287,500
Klampok 2 Rp 2,432,500 Rp -
Mandiraja 1 Rp 15,830,000 Rp 61,517,500
Mandiraja 2 Rp 12,195,000 Rp -
Purwonegoro 1 Rp 5,995,000 Rp 14,075,000
Purwonegoro 2 Rp 4,715,000 Rp 2,955,000
Bawang 1 Rp 3,905,000 Rp 2,155,000
Bawang 2 Rp - Rp -
Banjarnegara 1 Rp 2,335,000 Rp 3,335,000
Banjarnegara 2 Rp 6,310,000 Rp 825,000
Pagedongan Rp 4,620,000 Rp 4,240,000
Sigaluh 1 Rp 11,545,000 Rp 1,540,000
Sigaluh 2 Rp 6,975,000 Rp 1,285,000
Madukara 1 Rp 19,635,000 Rp -
Madukara 2 Rp - Rp 6,090,000
Banjarmangu 1 Rp - Rp 20,345,000
Banjarmangu 2 Rp 5,585,000 Rp 2,465,000
Wanadadi 1 Rp 16,950,000 Rp -
Wanadadi 2 Rp 485,000 Rp 560,000
Rakit 1 Rp 12,105,000 Rp 15,865,000
Rakit 2 Rp 2,820,000 Rp 3,700,000
Punggelan 1 Rp 25,025,000 Rp -
Punggelan 2 Rp - Rp -
Karangkobar Rp 14,990,000 Rp 16,085,000
Pagentan 1 Rp 6,940,000 Rp 5,830,000
Pagentan 2 Rp - Rp -
Pejawaran Rp 10,735,000 Rp 3,760,000
Batur 1 Rp 6,467,500 Rp 7,750,000
Batur 2 Rp - Rp -
Wanayasa 1 Rp - Rp 11,930,000
Wanayasa 2 Rp 2,560,000 Rp 3,430,000
Kalibening Rp - Rp 1,740,000
Pandanarum Rp - Rp 1,845,000
 Maret FEED BACK April FEED BACK
Rp 8,760,000 Rp 17,195,000
Rp - Rp 2,675,000
Rp 12,840,000 Rp 29,740,000
Rp 33,000,000 Rp 2,090,000
Rp 20,837,500 Rp 36,885,000
Rp 28,640,000 Rp 15,480,000
Rp 10,875,000 Rp -
Rp - Rp -
Rp 2,590,000 Rp -
Rp - Rp 595,000
Rp 3,905,000 Rp 6,205,000
Rp 4,895,000 Rp 3,685,000
Rp 4,390,000 Rp 2,485,000
Rp 4,575,000 Rp 11,495,000
Rp 2,085,000 Rp -
Rp 13,420,000 Rp -
Rp 4,745,000 Rp 2,585,000
Rp 12,265,000 Rp -
Rp 5,655,000 Rp 6,940,000
Rp 41,730,000 Rp 25,555,000
Rp 535,000 Rp 1,360,000
Rp - Rp -
Rp - Rp 1,390,000
Rp - Rp 1,005,000
Rp - Rp 3,295,000
Rp 23,145,000 Rp 16,985,000
Rp 6,830,000 Rp 8,385,000
Rp 9,680,000 Rp -
Rp 12,980,000 Rp 5,150,000
Rp 16,855,000 Rp -
Rp 1,942,500 Rp 5,170,000
Rp - Rp 3,805,000
Rp - Rp 1,680,000
Rp 8,790,000 Rp 17,930,000
Rp - Rp 3,200,000
 Mar-16
ANGKA KONTAK
NO KODE NAMA FKTP Σ
TGL KIRIM Σ PESERTA Σ KUNJ Σ KUNJ
KUNJUNG HASIL
SAKIT SEHAT AN

1 2 3 4 5 6 7 8=6+7 9=8/5*100
0
1 01440001 PAGENTAN II 5,541 245 - 245 44.22
2 11150101 SUSUKAN I 4/5/2016 23,130 1,086 - 1,086 46.95
3 11150102 SUSUKAN II 4/1/2016 11,844 - - - 0.00
4 11150201 KLAMPOK I 4/4/2016 14,305 607 - 607 42.43
5 11150202 KLAMPOK II 6,599 378 - 378 57.28
6 11150301 MANDIRAJA I 15,841 1,033 - 1,033 65.21
7 11150302 MANDIRAJA II 4/4/2016 10,816 71 - 71 6.56
8 11150401 PURWONEGORO I 16,745 306 - 306 18.27
9 11150402 PURWONEGORO II 4/4/2016 20,377 414 - 414 20.32
10 11150501 BAWANG I 16,051 997 - 997 62.11
11 11150502 BAWANG II 4/5/2016 10,895 - 17 17 1.56
12 11150601 BANJARNEGARA I 4/5/2016 14,961 1,136 - 1,136 75.93
13 11150602 BANJARNEGARA II 4/2/2016 11,283 996 - 996 88.27
14 11150701 SIGALUH I 4/1/2016 7,269 388 - 388 53.38
15 11150702 SIGALUH II 4/4/2016 5,957 451 - 451 75.71
16 11150801 MADUKARA 8,857 416 - 416 46.97
17 11150802 MADUKARA 2 11,094 807 - 807 72.74
18 11150901 BANJARMANGU I 4/5/2016 12,761 729 - 729 57.13
19 11150902 BANJARMANGU II 4/2/2016 9,610 123 - 123 12.80
20 11151001 WANADADI I 4/5/2016 12,326 610 - 610 49.49
21 11151002 WANADADI II 8,995 528 - 528 58.70
22 11151101 RAKIT I 11,743 576 - 576 49.05
23 11151102 RAKIT II 8,901 359 - 359 40.33
24 11151201 PUNGGELAN I 4/5/2016 25,154 877 - 877 34.87
25 11151202 PUNGGELAN II 4/5/2016 21,529 56 - 56 2.60
26 11151301 KARANGKOBAR 4/5/2016 16,863 471 - 471 27.93
27 11151401 PAGENTAN 4/5/2016 9,031 - - - 0.00
28 11151501 PEJAWARAN 4/4/2016 25,614 696 - 696 27.17
29 11151601 BATUR I 4/5/2016 12,401 44 - 44 3.55
30 11151602 BATUR II 6,181 106 - 106 17.15
31 11151701 WANAYASA I 4/5/2016 20,332 2 - 2 0.10
32 11151702 WANAYASA II 4/5/2016 13,806 68 - 68 4.93
33 11151801 KALIBENING I 4/5/2016 24,186 377 - 377 15.59
34 11151901 PANDANARUM 10,526 326 - 326 30.97
35 11152001 PAGEDONGAN 16,926 22 - 22 1.30
KETERNGAN :

blm laporan
Mar-16 KET
RRNS PROLANIS

Σ Σ
Σ RNS HASIL Σ KUNJ HASIL
RUJUKAN PESERTA

12=11/10*
10 11 13 14 15 16
100
35 12 34.29 #DIV/0!
50 3 6.00 122 50 40.98
0 11 #DIV/0! 0 0 #DIV/0! nihil
13 14 107.69 77 54 70.13
14 2 14.29 #DIV/0!
138 39 28.26 #DIV/0!
0 8 #DIV/0! 69 50 72.46
15 38 253.33 #DIV/0!
45 11 24.44 29 29 100.00
77 54 70.13 #DIV/0!
0 29 #DIV/0! 16 9 56.25
28 71 253.57 83 71 85.54
91 73 80.22 137 83 60.58
1 20 2000.00 63 52 82.54
16 4 25.00 50 50 100.00 awal 63
9 32 355.56 #DIV/0!
74 37 50.00 #DIV/0!
49 32 65.31 96 74 77.08
3 8 266.67 40 30 75.00
2 42 2100.00 121 49 40.50
12 18 150.00 #DIV/0!
48 19 39.58 #DIV/0!
7 30 428.57 #DIV/0!
83 16 19.28 8 0.00 hasil jan 16
0 21 #DIV/0! #DIV/0!
3 24 800.00 30 25 83.33
0 9 #DIV/0! #DIV/0!
9 10 111.11 13 9 69.23
2 3 150.00 #DIV/0!
23 0.00 #DIV/0!
2 15 750.00 15 4 26.67
0 5 #DIV/0! 8 2 25.00
0 12 #DIV/0! 14 14 100.00
18 11 61.11 #DIV/0!
5 25 500.00 #DIV/0!
 DAFTAR PENERIMAAN JASA PELAYA
UPT PUSKESMAS …………….. T
BULAN FEBRUARI 2

No Nama Ketenagaan / Pendidikan Nilai Tugas Rangkap Nilai Kehadiran

1 dokter S1 150 Ka Pusk 30 24
2 Non Nakes SMA 15 KaSub Bag TU 30 24
3 Sanitarian S1 60 0 24
4 Bidan D4 60 0 24
5 Perawat Gigi D3 40 0 24
6 Perawat D3 40 Bendahara JKN 30 24
7 Bidan D3 40 0 24
8 Perawat D3 40 0 23
9 Bidan D4 60 0 24
10 Nakes lbh dr 20th 40 0 23
11 Gizi D3 0 0 0
12 Non Nakes SMA 15 0 24
13 Perawat D3 40 0 24
14 Bidan D3 40 0 24
15 Bidan D3 40 0 24
16 Non Nakes SMA 15 0 24
17 JMD SMA 15 0 24
18 Laborat SMA 15 0 23
19 Bidan D1 lbh dr 10th 40 0 23
20 Driver SMA 15 0 22
21 JMD SMP 15 0 24
22 JMD SD 15 0 24
23 Bidan D3 40 0 24
24 Bidan D3 40 0 24
25 Bidan D3 40 0 24
26 Bidan D3 40 0 24
27 Bidan D3 40 0 23
28 SD 15 0 24

Kepala UPT Puskesmas

………………………………….
Nip.
NERIMAAN JASA PELAYANAN KAPITASI JKN
PUSKESMAS …………….. TAHUN 2016
BULAN FEBRUARI 2016

Nilai Keterlambatan Nilai Total Nilai Penerimaan Pph 21 di Terimakan TTD

24 0 jam 0 204 5,506,606 275,330 5,231,276 1
24 0 jam 0 69 1,862,528 93,126 1,769,402 2
24 0 jam 0 84 2,267,426 113,371 2,154,055 3
24 0 jam 0 84 2,267,426 113,371 2,154,055 4
24 0 jam 0 64 1,727,563 86,378 1,641,185 5
24 0 jam 0 94 2,537,358 126,868 2,410,490 6
24 0 jam 0 64 1,727,563 86,378 1,641,185 7
23 0 jam 0 63 1,700,569 85,028 1,615,541 8
24 0 jam 0 84 2,267,426 113,371 2,154,055 9
23 0 jam 0 63 1,700,569 - 1,700,569 10
0 0 jam 0 0 - - 11
24 0 jam 0 39 1,052,733 1,052,733 12
24 0 jam 0 64 1,727,563 - 1,727,563 13
24 0 jam 0 64 1,727,563 1,727,563 14
24 0 jam 0 64 1,727,563 - 1,727,563 15
24 0 jam 0 39 1,052,733 - 1,052,733 16
24 0 jam 0 39 1,052,733 - 1,052,733 17
23 0 jam 0 38 1,025,740 - 1,025,740 18
23 0 jam 0 63 1,700,569 - 1,700,569 19
22 0 jam 0 37 998,747 - 998,747 20
24 0 jam 0 39 1,052,733 - 1,052,733 21
24 0 jam 0 39 1,052,733 - 1,052,733 22
24 0 jam 0 64 1,727,563 86,378 1,641,185 23
24 0 jam 0 64 1,727,563 86,378 1,641,185 24
24 0 jam 0 64 1,727,563 86,378 1,641,185 25
24 0 jam 0 64 1,727,563 86,378 1,641,185 26
23 0 jam 0 63 1,700,569 85,028 1,615,541 27
24 0 jam 0 39 1,052,733 52,637 1,000,097 28
1756 47,400,000 ### 45,823,599

Banjarnegara,
Bendahara Kapitasi JKN

…………………………….
Nip.
 DAFTAR HADIR APEL PAGI / SIANG KARYAWAN/KARYAWATI PNS
UPTD PUSKESMAS RAKIT 1
BULAN : FEBRUARI TAHUN 2020

Hadir/ TANGGAL KETERANGAN

NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
1 dr. DEASY FATIMAH MELATI Paraf
NIP. 19691227 200701 2 015 Hadir/
Pulang
2 dr. Anik Artati Darsiwi Paraf
NIP.19650529 200212 2 002 Hadir
Pulang
3 AGUS WAKHYONO Paraf
NIP. 19620906 198703 1 013 Hadir/
Pulang
4 SITI MUDRIKAH Paraf
NIP. 19660716 198711 2 002 Hadir/
Pulang
5 SITI CHOMSIYAH,SKM Paraf
NIP. 19760510 200604 2 017 Hadir/
Pulang
6 EDY RIYONO Paraf
NIP. 19730312 199403 1 011 Hadir/
Pulang
7 ISHARYANTO Paraf
NIP.19741215 200604 1 015 Hadir/
Pulang
8 PUJI LESTARI Paraf
NIP. 19821122 200604 2009 Hadir/
Pulang
9 JARWANTI Paraf
NIP. 19740316 200212 2 003 Hadir/
Pulang
10 INDRIYANI,AMD. KEB Paraf
NIP. 19680913 198803 2 003 Hadir/
Pulang
11 Erlin Septijani Paraf
NIP. 19710908 199312 2 001 Hadir/
Pulang
12 INTI HARTINI Paraf
NIP. 19720119 199203 2 002 Hadir/
Pulang
13 NURYATUNINGSIH,AMD.KEB Paraf
NIP. 19790913 200604 2 017 Hadir/
Pulang
14 TRI ELI YUWANTI Paraf
NIP.19740825 200801 2 207 Hadir/
Pulang
15 EKI NUR FITRI Paraf
NIP. 19800811 200501 2 017 Hadir/
Pulang
16 ANISA FAROKHAH Paraf
NIP. 19900530 201101 2 002 Hadir/
Pulang
17 LESTARI WIWIK W Paraf
NIP.19780602 200801 2 020 Hadir/
Pulang
18 DWI YULI ASTUTI Paraf
NIP. 19791109 20001 2 001 Hadir/
Pulang
19 SUWARNI Paraf
NIP.19700708 200604 2 004 Hadir/
Pulang
20 FLORENTINA PRISNA PR Paraf
NIP.19770401 200701 2 018 Hadir/
Pulang
21 ENDANG PURWANINGSIH Paraf
NIP.19660717 199203 2 011 Hadir/
Pulang
22 IROH Paraf
NIP. 19770101 200701 2 020 Hadir
Pulang
23 SULIS TRI RAHAYU Paraf
NIP. 19801211 201001 2 012 Hadir/
Pulang
24 Sutrisno Paraf
NIP19680227 200701 1 020 Hadir/
Pulang
25 KHADIROH Paraf
NIP. 19660428 200701 2 008 Hadir/
Pulang
26 AGUS SULIYANTI,A.Md.Kep Paraf
NIP.19820803 201403 2 001 Hadir/
Pulang
27 SUTARYO Paraf
NIP. 19630512 200901 1 103 Hadir/
Pulang
28 MUKHIBAH Paraf
NIP. 19630418 200801 2 001 Hadir/
Pulang
Pulang
Paraf
Hadir/
Rakit . 29 Februari 2020
Kepala UPTD Puskesmas Rakit 1

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 DAFTAR HADIR APEL PAGI/SIANG HARIAN LEPAS
UPTD PUSKESMAS RAKIT 1
BULAN : NOVEMBER TAHUN 2020

TANGGAL KETERANGAN
NO NAMA /NIP
1 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 H S I C DL LP PD TK
1 Nunung Febriyanto

2 Rodiman
3 Abdullah Komari

4 Suciyanti

5 Achmad Ikhsanudin

6 Chaty Tresnawati

7 Sri Khamidah

8 Wiwin Hidayati

9 Bayu Arie Hermawan

10 Khusen Al Atas

11 Nana Mardiana

12 Istikomah

13 Aji Priyono

14 Sri Wardatul Isnaeni

15 Siti Nurochmah

keterangan : H : Hadir DL : Dinas Luar Rakit . 30 November 2020

S : Sakit LP : Lepas Piket Kepala UPTD Puskesmas Rakit 1
I : Ijin PD : Pendidikan
C : Cuti TK : Tanpa Keterangan
dr. Deasy Fatimah Melati
NIP 19691227 200701 2 015
 Hadir/ TANGGAL KETERANGAN
NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
21 SULIS TRI RAHAYU Paraf
NIP. 19801211 201001 2 012 Hadir/
Pulang
22 Sutrisno Paraf
NIP19680227 200701 1 020 Hadir/
Pulang
23 Agus Suliyanti Paraf
19820803 201403 2 001 Hadir/
Pulang
24 KHADIROH Paraf
NIP. 19660428 200701 2 008 Hadir/
Pulang
25 SUTARYO Paraf
NIP. 19630512 200901 1 103 Hadir/
Pulang
26 MUKHIBAH Paraf
NIP. 19630418 200801 2 001 Hadir/
Pulang

Rakit . 31 Oktober 2020

Kepala UPTD Puskesmas Rakit 1

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 DAFTAR HADIR APEL PNS BIDAN DESA GELANG
UPTD PUSKESMAS RAKIT 1
BULAN : DESEMBER TAHUN 2020

Hadir/ TANGGAL KETERANGAN

NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
1 Aniek Yusdarwiyah Paraf
NIP. 19850731 201704 2 13

Hadir/

Pulang

keterangan : H : Hadir DL : Dinas Luar Rakit . 31 Desember 2020

S : Sakit LP : Lepas Piket Kepala UPTD Puskesmas Rakit 1
I : Ijin PD : Pendidikan
C : Cuti TK : Tanpa Keterangan

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 Hadir/ TANGGAL KETERANGAN
NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
21 SULIS TRI RAHAYU Paraf
NIP. 19801211 201001 2 012 Hadir/
Pulang
22 Sutrisno Paraf
NIP19680227 200701 1 020 Hadir/
Pulang
23 Agus Suliyanti Paraf
19820803 201403 2 001 Hadir/
Pulang
24 KHADIROH Paraf
NIP. 19660428 200701 2 008 Hadir/
Pulang
25 SUTARYO Paraf
NIP. 19630512 200901 1 103 Hadir/
Pulang
26 MUKHIBAH Paraf
NIP. 19630418 200801 2 001 Hadir/
Pulang

keterangan : H : Hadir DL : Dinas Luar Rakit . 31 Desember 2020

S : Sakit LP : Lepas Piket Kepala UPTD Puskesmas Rakit 1
I : Ijin PD : Pendidikan
C : Cuti TK : Tanpa Keterangan

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 DAFTAR HADIR KEDINASAN PNS BIDAN DESA BANDINGAN
UPTD PUSKESMAS RAKIT 1
BULAN : NOVEMBER TAHUN 2020

Hadir/ TANGGAL KETERANGAN

NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
1 Nurul Kurniati Paraf
NIP. 19851018 2017 2 004

Hadir/

Pulang

keterangan : H : Hadir DL : Dinas Luar Rakit . 30 November 2020

S : Sakit LP : Lepas Piket Kepala UPTD Puskesmas Rakit 1
I : Ijin PD : Pendidikan
C : Cuti TK : Tanpa Keterangan

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 Hadir/ TANGGAL KETERANGAN
NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
21 SULIS TRI RAHAYU Paraf
NIP. 19801211 201001 2 012 Hadir/
Pulang
22 Sutrisno Paraf
NIP19680227 200701 1 020 Hadir/
Pulang
23 Agus Suliyanti Paraf
19820803 201403 2 001 Hadir/
Pulang
24 KHADIROH Paraf
NIP. 19660428 200701 2 008 Hadir/
Pulang
25 SUTARYO Paraf
NIP. 19630512 200901 1 103 Hadir/
Pulang
26 MUKHIBAH Paraf
NIP. 19630418 200801 2 001 Hadir/
Pulang

Rakit . 31 Oktober 2020

Kepala UPTD Puskesmas Rakit 1

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 Hadir/ TANGGAL KETERANGAN
NO NAMA /NIP
Pulang
1 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 H S I C DL LP PD TK
11 NURYATUNINGSIH,AMD.KEB Paraf
NIP. 19790913 200604 2 017 Hadir/
Pulang
12 TRI ELI YUWANTI Paraf
NIP.19740825 200801 2 207 Hadir/
Pulang
13 EKI NUR FITRI Paraf
NIP. 19800811 200501 2 017 Hadir/
Pulang
14 ANISA FAROKHAH Paraf
NIP. 19900530 201101 2 002 Hadir/
Pulang
15 LESTARI WIWIK W Paraf
NIP.19780602 200801 2 020 Hadir/
Pulang
16 DWI YULI ASTUTI Paraf
NIP. 19791109 20001 2 001 Hadir/
Pulang
17 SUWARNI Paraf
NIP.19700708 200604 2 004 Hadir/
Pulang
18 FLORENTINA PRISNA PR Paraf
NIP.19770401 200701 2 018 Hadir/
Pulang
19 ENDANG PURWANINGSIH Paraf
NIP.19660717 199203 2 011 Hadir/
Pulang
20 IROH Paraf
NIP. 19770101 200701 2 020 Hadir
Pulang
21 IROH Paraf
NIP. 19770101 200701 2 020 Hadir
Pulang
22 SULIS TRI RAHAYU Paraf
NIP. 19801211 201001 2 012 Hadir/
Pulang
23 Sutrisno Paraf
NIP19680227 200701 1 020 Hadir/
Pulang
24 Agus Suliyanti Paraf
19820803 201403 2 001 Hadir/
Pulang
25 KHADIROH Paraf
NIP. 19660428 200701 2 008 Hadir/
Pulang
26 SUTARYO Paraf
NIP. 19630512 200901 1 103 Hadir/
Pulang
27 MUKHIBAH Paraf
NIP. 19630418 200801 2 001 Hadir/
Pulang
Pulang
Paraf
Hadir/
Rakit . 30 September 2020
Kepala UPTD Puskesmas Rakit 1

dr. Deasy Fatimah Melati

NIP 19691227 200701 2 015
 JANUARI FEBRUARI
NO PUSKESMAS Penutupan
SILPA SP3B PAJAK BKU
Kas
SP3B PAJAK BKU

1 Susukan 1
2 Susukan 2
3 Klampok 1
4 Klampok 2
5 Mandiraja 1
6 Mandiraja 2
7 Purwonegoro 1
8 Purwonegoro 2
9 Bawang 1
10 Bawang 2
11 Banjarnegara 1
12 Banjarnegara 2
13 Pagedongan
14 Sigaluh 1
15 Sigaluh 2
16 Madukara 1
17 Madukara 2
18 Banjarmangu 1
19 Banjarmangu 2
20 Wanadadi 1
21 Wanadadi 2
22 Rakit 1
23 Rakit 2
24 Punggelan 1
25 Punggelan 2
26 Karangkobar
27 Pagentan 1
28 Pagentan 2
29 Pejawaran
30 Batur 1
31 Batur 2
32 Wanayasa 1
33 Wanayasa 2
34 Kalibening
35 Pandanarum
RUARI MARET
Penutupan SP3B PAJAK BKU Penutupan
Kas Kas