MONITORING CATERING 2022

CATERING MBOK MADE

BULAN AGUSTUS

No Tanggal pemesanan Tujuan pengiriman Jumlah pesanan Tanggal pengiriman

1 03/08/2022 Ruang VK 3 03/08/2022
2 03/08/2022 Kamar 1A 3 03/08/2022
3 04/08/2022 Kamar 1B 2 04/08/2022
4 04/08/2022 Kamar 4 3 04/08/2022
5 05/08/2022 Ruang VK 1 05/08/2022
6 05/08/2022 Kamar 1A hh 05/08/2022
7 06/08/2022 Kamar 1B 1 06/08/2022
8 06/08/2022 Kamar 4 3 06/08/2022
9 08/08/2022 Kamar 3 2 08/08/2022
10 10/08/2022 Ruang VK 1 10/08/2022
11 11/08/2022 Ruang VK 1 11/08/2022
12 12/08/2022 Kamar 1A 3 12/08/2022
13 13/08/2022 Kamar 1B 1 13/08/2022
14 13/08/2022 Kamar 4 3 13/08/2022
15 13/08/2022 Ruang VK 3 13/08/2022
16 13/08/2022 Kamar 1A 1 13/08/2022
17 14/08/2022 Kamar 1B 3 14/08/2022
18 14/08/2022 Kamar 4 3 14/08/2022
19 14/08/2022 Kamar 3 3 14/08/2022
20 14/08/2022 Ruang VK 1 14/08/2022
21 14/08/2022 Ruang VK 1 14/08/2022
22 15/08/2022 Kamar 1A 3 15/08/2022
23 15/08/2022 Kamar 1B 3 15/08/2022
24 15/08/2022 Kamar 4 3 15/08/2022
25 15/08/2022 Ruang VK 1 15/08/2022
26 16/08/2022 Kamar 1A 1 16/08/2022
27 16/08/2022 Kamar 1B 1 16/08/2022
28 16/08/2022 Kamar 4 1 16/08/2022
29 21/08/2022 Kamar 3 3 21/08/2022
30 21/08/2022 Ruang VK 2 21/08/2022
31 21/08/2022 Kamar 2A 2 21/08/2022
32 21/08/2022 Kamar 2B 1 21/08/2022
33 22/08/2022 Kamar 3 3 22/08/2022
34 22/08/2022 Kamar 2A 3 22/08/2022
35 22/08/2022 Kamar 2B 3 22/08/2022
36 22/08/2022 Kamar 1 2 22/08/2022
37 23/08/2022 Kamar 2B 3 23/08/2022
38 23/08/2023 Kamar 1 3 23/08/2023
39 23/08/2023 kamar 1 3 23/08/2023
40 24/08/2022 Kamar 2 1 24/08/2022
41 25/08/2022 Kamar 1 3 25/08/2022
42 25/08/2022 Kamar 2 1 25/08/2022
43 25/08/2022 Kamar 4 1 25/08/2022
44 28/08/2022 Kamar 1A 1 28/08/2022
45 28/08/2022 Kamar 1B 1 28/08/2022
46 28/08/2022 Kamar 2 1 28/08/2022
47 28/08/2022 Kamar 1A 3 28/08/2022
48 28/08/2022 Kamar 1B 3 28/08/2022
49 28/08/2022 Kamar 2 3 28/08/2022
50 28/08/2022 Kamar 4A 3 28/08/2022
51 28/08/2022 Kamar 4B 3 28/08/2022
52 28/08/2022 UGD 2 28/08/2022
53 29/08/2022 Kamar 1A 3 29/08/2022
54 29/08/2022 Kamar 1B 3 29/08/2022
55 29/08/2022 Kamar 2 3 29/08/2022
56 29/08/2022 Kamar 4A 3 29/08/2022
57 29/08/2022 Kamar 4B 3 29/08/2022
58 29/08/2022 UGD 2 29/08/2022
59 30/08/2022 Kamar 1A 1 30/08/2022
60 30/08/2022 Kamar 1B 1 30/08/2022

Mengetahui,
Kepala UPTD Puskesmas II Jembrana

drg.Made Linda Ariastuti

NIP. 19800414 200902 2 004
ATERING 2022
BOK MADE
AGUSTUS

Jumlah yg dikirim Sesuai Tidak Sesuai RTL TTD Penerima

3 √
3 √
2 √
3 √
1 √
1 √
1 √
3 √
2 √
1 √
1 √
3 √
1 √
3 √
3 √
1 √
3 √
3 √
3 √
1 √
1 √
3 √
3 √
3 √
1 √
1 √
1 √
1 √
3 √
2 √
2 √
1 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
1 √
3 √
1 √
1 √
1 √
1 √
1 √
3 √
3 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
3 √
3 √
2 √
1 √
1 √

Yeh Kuning , 31 Agustus 2022

Penanggung Jawab

Made Agus Permana Wibawa,A.Md.Kes

 MONITORING CATERING 2022
CATERING MBOK MADE
BULAN JUNI

No Tanggal pemesanan Tujuan pengiriman Jumlah pesanan Tanggal pengiriman

1 03/06/2022 Kamar 1 3 03/06/2022
2 03/06/2022 Karmar 2 3 03/06/2022
3 04/06/2022 Kamar 1 2 04/06/2022
4 04/06/2022 Kamar 2 3 04/06/2022
5 05/06/2022 Kamar 2 1 05/06/2022
6 05/06/2022 Ruang VK 1 05/06/2022
7 06/06/2022 Ruang VK 1 06/06/2022
8 06/06/2022 Kamar 4 3 06/06/2022
9 07/06/2022 Kamar 4 2 07/06/2022
10 10/06/2022 Kamar 1 1 10/06/2022
11 11/06/2022 Kamar 2 1 11/06/2022
12 12/06/2022 Kamar 2 3 12/06/2022
13 13/06/2022 Kamar 1A 1 13/06/2022
14 13/06/2022 Kamar 2 3 13/06/2022
15 13/06/2022 Kamar 1B 3 13/06/2022
16 13/06/2022 Kamar 4 1 13/06/2022
17 14/06/2022 Kamar 1A 3 14/06/2022
18 14/06/2022 Kamar 1B 3 14/06/2022
19 14/06/2022 Kamar 4 3 14/06/2022
20 14/06/2022 Kamar 2 1 14/06/2022
21 14/06/2022 Ruang VK 1 14/06/2022
22 15/06/2022 Kamar 1A 3 15/06/2022
23 15/06/2022 Kamar 1B 3 15/06/2022
24 15/06/2022 Kamar 4 3 15/06/2022
25 15/06/2022 Ruang VK 1 15/06/2022
26 16/06/2022 Kamar 1A 1 16/06/2022
27 16/06/2022 Kamar 1B 1 16/06/2022
28 16/06/2022 Kamar 4 1 16/06/2022
29 21/06/2022 Kamar 3 3 21/06/2022
30 21/06/2022 Ruang VK 2 21/06/2022
31 21/06/2022 Kamar 2A 2 21/06/2022
32 21/06/2022 Kamar 2B 1 21/06/2022
33 22/06/2022 Kamar 3 3 22/06/2022
34 22/06/2022 Kamar 2A 3 22/06/2022
35 22/06/2022 Kamar 2B 3 22/06/2022
36 22/06/2022 Kamar 1 2 22/06/2022
37 23/06/2022 Kamar 2B 3 23/06/2022
38 23/06/2022 Kamar 1 3 23/06/2022
39 24/06/2022 kamar 1 3 24/06/2022
40 24/06/2022 Kamar 2 1 24/06/2022
41 25/06/2022 Kamar 1 3 25/06/2022
42 25/06/2022 Kamar 2 1 25/06/2022
43 25/06/2022 Kamar 4 1 25/06/2022
44 27/06/2022 Kamar 1A 1 27/06/2022
45 27/06/2022 Kamar 1B 1 27/06/2022
46 27/06/2022 Kamar 2 1 27/06/2022
47 28/06/2022 Kamar 1A 3 28/06/2022
48 28/06/2022 Kamar 1B 3 28/06/2022
49 28/06/2022 Kamar 2 3 28/06/2022
50 28/06/2022 Kamar 4A 3 28/06/2022
51 28/06/2022 Kamar 4B 3 28/06/2022
52 28/06/2022 UGD 2 28/06/2022
53 29/06/2022 Kamar 1A 3 29/06/2022
54 29/06/2022 Kamar 1B 3 29/06/2022
55 29/06/2022 Kamar 2 3 29/06/2022
56 29/06/2022 Kamar 4A 3 29/06/2022
57 29/06/2022 Kamar 4B 3 29/06/2022
58 29/06/2022 UGD 2 29/06/2022
59 30/06/2022 Kamar 1A 1 30/06/2022
60 30/06/2022 Kamar 1B 1 30/06/2022
61 30/06/2022 Kamar 2 1 30/06/2022
62 30/06/2022 Kamar 4A 1 30/06/2022
63 30/06/2022 Kamar 4B 1 30/06/2022

Mengetahui,
Kepala UPTD Puskesmas II Jembrana

drg.Made Linda Ariastuti

NIP. 19800414 200902 2 004
ATERING 2022
BOK MADE

Jumlah yg dikirim Sesuai Tidak Sesuai RTL TTD Penerima

3 √
3 √
2 √
3 √
1 √
1 √
1 √
3 √
2 √
1 √
1 √
3 √
1 √
3 √
3 √
1 √
3 √
3 √
3 √
1 √
1 √
3 √
3 √
3 √
1 √
1 √
1 √
1 √
3 √
2 √
2 √
1 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
1 √
3 √
1 √
1 √
1 √
1 √
1 √
3 √
3 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
3 √
3 √
2 √
1 √
1 √
1 √
1 √
1 √

Yeh Kuning , 30 Juni 2022

Penanggung Jawab

Made Agus Permana Wibawa,A.Md.Kes

 MONITORING CATERING 2022
CATERING MBOK MADE
BULAN JULI

No Tanggal pemesanan Tujuan pengiriman Jumlah pesanan Tanggal pengiriman

1 03/07/2022 Ruang VK 3 03/07/2022
2 03/07/2022 Kamar 1A 3 03/07/2022
3 04/07/2022 Kamar 1B 2 04/07/2022
4 04/07/2022 Kamar 4 3 04/07/2022
5 05/07/2022 Ruang VK 1 05/07/2022
6 05/07/2022 Kamar 1A 1 05/07/2022
7 06/07/2022 Kamar 1B 1 06/07/2022
8 06/07/2022 Kamar 4 3 06/07/2022
9 07/07/2022 Kamar 3 2 07/07/2022
10 10/07/2022 Ruang VK 1 10/07/2022
11 11/07/2022 Kamar 2A 1 11/07/2022
12 12/07/2022 Kamar 2B 3 12/07/2022
13 13/07/2022 Kamar 1A 1 13/07/2022
14 13/07/2022 Kamar 2 3 13/07/2022
15 13/07/2022 Kamar 1B 3 13/07/2022
16 13/07/2022 Kamar 4 1 13/07/2022
17 14/07/2022 Kamar 1A 3 14/07/2022
18 14/07/2022 Kamar 1B 3 14/07/2022
19 14/07/2022 Kamar 4 3 14/07/2022
20 14/07/2022 Kamar 2 1 14/07/2022
21 14/07/2022 Ruang VK 1 14/07/2022
22 15/07/2022 Kamar 1A 3 15/07/2022
23 15/07/2022 Kamar 1B 3 15/07/2022
24 15/07/2022 Kamar 4 3 15/07/2022
25 15/07/2022 Ruang VK 1 15/07/2022
26 16/07/2022 Kamar 1A 1 16/07/2022
27 16/07/2022 Kamar 1B 1 16/07/2022
28 16/07/2022 Kamar 4 1 16/07/2022
29 21/07/2022 Kamar 3 3 21/07/2022
30 21/07/2022 Ruang VK 2 21/07/2022
31 21/07/2022 Kamar 2A 2 21/07/2022
32 21/07/2022 Kamar 2B 1 21/07/2022
33 22/07/2022 Kamar 3 3 22/07/2022
34 22/07/2022 Kamar 2A 3 22/07/2022
35 22/07/2022 Kamar 2B 3 22/07/2022
36 22/07/2022 Kamar 1 2 22/07/2022
37 23/07/2022 Kamar 2B 3 23/07/2022
38 23/07/2023 Kamar 1 3 23/07/2023
39 23/07/2023 kamar 1 3 23/07/2023
40 24/07/2022 Kamar 2 1 24/07/2022
41 25/07/2022 Kamar 1 3 25/07/2022
42 25/07/2022 Kamar 2 1 25/07/2022
43 25/07/2022 Kamar 4 1 25/07/2022
44 27/07/2022 Kamar 1A 1 27/07/2022
45 27/07/2022 Kamar 1B 1 27/07/2022
46 27/07/2022 Kamar 2 1 27/07/2022
47 28/07/2022 Kamar 1A 3 28/07/2022
48 28/07/2022 Kamar 1B 3 28/07/2022
49 28/07/2022 Kamar 2 3 28/07/2022
50 28/07/2022 Kamar 4A 3 28/07/2022
51 28/07/2022 Kamar 4B 3 28/07/2022
52 28/07/2022 UGD 2 28/07/2022
53 29/07/2022 Kamar 1A 3 29/07/2022
54 29/07/2022 Kamar 1B 3 29/07/2022
55 29/07/2022 Kamar 2 3 29/07/2022
56 29/07/2022 Kamar 4A 3 29/07/2022
57 29/07/2022 Kamar 4B 3 29/07/2022
58 29/07/2022 UGD 2 29/07/2022
59 30/07/2022 Kamar 1A 1 30/07/2022
60 30/07/2022 Kamar 1B 1 30/07/2022

Mengetahui,
Kepala UPTD Puskesmas II Jembrana

drg.Made Linda Ariastuti

NIP. 19800414 200902 2 004
ATERING 2022
BOK MADE

Jumlah yg dikirim Sesuai Tidak Sesuai RTL TTD Penerima

3 √
3 √
2 √
3 √
1 √
1 √
1 √
3 √
2 √
1 √
1 √
3 √
1 √
3 √
3 √
1 √
3 √
3 √
3 √
1 √
1 √
3 √
3 √
3 √
1 √
1 √
1 √
1 √
3 √
2 √
2 √
1 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
1 √
3 √
1 √
1 √
1 √
1 √
1 √
3 √
3 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
3 √
3 √
2 √
1 √
1 √

Yeh Kuning , 31 Juli 2022

Penanggung Jawab

Made Agus Permana Wibawa,A.Md.Kes

 MONITORING CATERING 2022
CATERING MBOK MADE
BULAN SEPTEMBER

No Tanggal pemesanan Tujuan pengiriman Jumlah pesanan Tanggal pengiriman

1 03/09/2022 Kamar 4 3 03/09/2022
2 03/09/2022 Kamar 1A 3 03/09/2022
3 04/09/2022 Kamar 1B 2 04/09/2022
4 04/09/2022 Kamar 4 3 04/09/2022
5 05/09/2022 Kamar 2 1 05/09/2022
6 05/09/2022 Ruang VK 1 05/09/2022
7 09/09/2022 Kamar 1A 1 09/09/2022
8 09/09/2022 Kamar 1B 3 09/09/2022
9 07/09/2022 Kamar 4 2 07/09/2022
10 10/09/2022 Ruang VK 1 10/09/2022
11 11/09/2022 Kamar 2 1 11/09/2022
12 12/09/2022 Kamar 2 3 12/09/2022
13 13/09/2022 Kamar 1A 1 13/09/2022
14 13/09/2022 Kamar 2 3 13/09/2022
15 13/09/2022 Kamar 1B 3 13/09/2022
16 13/09/2022 Kamar 1 1 13/09/2022
17 14/09/2022 Karmar 2 3 14/09/2022
18 14/09/2022 Kamar 1 3 14/09/2022
19 14/09/2022 Kamar 2 3 14/09/2022
20 14/09/2022 Kamar 2 1 14/09/2022
21 14/09/2022 Ruang VK 1 14/09/2022
22 15/09/2022 Ruang VK 3 15/09/2022
23 15/09/2022 Kamar 4 3 15/09/2022
24 15/09/2022 Kamar 4 3 15/09/2022
25 15/09/2022 Kamar 1 1 15/09/2022
26 16/09/2022 Kamar 1A 1 16/09/2022
27 16/09/2022 Kamar 1B 1 16/09/2022
28 16/09/2022 Kamar 4 1 16/09/2022
29 21/09/2022 Kamar 3 3 21/09/2022
30 21/09/2022 Ruang VK 2 21/09/2022
31 21/09/2022 Kamar 2A 2 21/09/2022
32 21/09/2022 Kamar 2B 1 21/09/2022
33 22/09/2022 Kamar 3 3 22/09/2022
34 22/09/2022 Kamar 2A 3 22/09/2022
35 22/09/2022 Kamar 2B 3 22/09/2022
36 22/09/2022 Kamar 1 2 22/09/2022
37 23/09/2022 Kamar 2B 3 23/09/2022
38 23/09/2022 Kamar 1 3 23/09/2022
39 24/09/2022 kamar 1 3 24/09/2022
40 24/09/2022 Kamar 2 1 24/09/2022
41 25/09/2022 Kamar 1 3 25/09/2022
42 25/09/2022 Kamar 2 1 25/09/2022
43 25/09/2022 Kamar 4 1 25/09/2022
44 27/09/2022 Kamar 1A 1 27/09/2022
45 27/09/2022 Kamar 1B 1 27/09/2022
46 27/09/2022 Kamar 2 1 27/09/2022
47 28/09/2022 Kamar 1A 3 28/09/2022
48 28/09/2022 Kamar 1B 3 28/09/2022
49 28/09/2022 Kamar 2 3 28/09/2022
50 28/09/2022 Kamar 4A 3 28/09/2022
51 28/09/2022 Kamar 4B 3 28/09/2022
52 28/09/2022 UGD 2 28/09/2022
53 29/09/2022 Kamar 1A 3 29/09/2022
54 29/09/2022 Kamar 1B 3 29/09/2022
55 29/09/2022 Kamar 2 3 29/09/2022
56 29/09/2022 Kamar 4A 3 29/09/2022
57 29/09/2022 Kamar 4B 3 29/09/2022
58 29/09/2022 UGD 2 29/09/2022
59 30/09/2022 Kamar 1A 1 30/09/2022
60 30/09/2022 Kamar 1B 1 30/09/2022
61 30/09/2022 Kamar 2 1 30/09/2022
62 30/09/2022 Kamar 4A 1 30/09/2022
63 30/09/2022 Kamar 4B 1 30/09/2022

Mengetahui,
Kepala UPTD Puskesmas II Jembrana

drg.Made Linda Ariastuti

NIP. 19800414 200902 2 004
ATERING 2022
BOK MADE
SEPTEMBER

Jumlah yg dikirim Sesuai Tidak Sesuai RTL TTD Penerima

3 √
3 √
2 √
3 √
1 √
1 √
1 √
3 √
2 √
1 √
1 √
3 √
1 √
3 √
3 √
1 √
3 √
3 √
3 √
1 √
1 √
3 √
3 √
3 √
1 √
1 √
1 √
1 √
3 √
2 √
2 √
1 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
1 √
3 √
1 √
1 √
1 √
1 √
1 √
3 √
3 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
3 √
3 √
2 √
1 √
1 √
1 √
1 √
1 √

Yeh Kuning , 30 September 2022

Penanggung Jawab

Made Agus Permana Wibawa,A.Md.Kes

 MONITORING CATERING 2022
CATERING MBOK MADE
BULAN OKTOBER

No Tanggal pemesanan Tujuan pengiriman Jumlah pesanan Tanggal pengiriman

1 03/10/2022 Ruang VK 3 03/10/2022
2 03/10/2022 Kamar 1A 3 03/10/2022
3 04/10/2022 Kamar 1B 2 04/10/2022
4 04/10/2022 Kamar 4 3 04/10/2022
5 05/10/2022 Ruang VK 1 05/10/2022
6 05/10/2022 Kamar 1A 1 05/10/2022
7 06/10/2022 Kamar 1B 1 06/10/2022
8 06/10/2022 Kamar 4 3 06/10/2022
9 10/10/2022 Kamar 3 2 10/10/2022
10 10/10/2022 Ruang VK 1 10/10/2022
11 11/10/2022 Kamar 2A 1 11/10/2022
12 12/10/2022 Kamar 2B 3 12/10/2022
13 13/10/2022 Kamar 1A 1 13/10/2022
14 13/10/2022 Kamar 2 3 13/10/2022
15 13/10/2022 Kamar 1B 3 13/10/2022
16 13/10/2022 Kamar 4 1 13/10/2022
17 14/10/2022 Kamar 1A 3 14/10/2022
18 14/10/2022 Kamar 1B 3 14/10/2022
19 14/10/2022 Kamar 4 3 14/10/2022
20 14/10/2022 Kamar 2 1 14/10/2022
21 14/10/2022 Ruang VK 1 14/10/2022
22 15/10/2022 Kamar 1A 3 15/10/2022
23 15/10/2022 Kamar 1B 3 15/10/2022
24 15/10/2022 Kamar 4 3 15/10/2022
25 15/10/2022 Ruang VK 1 15/10/2022
26 16/10/2022 Kamar 1A 1 16/10/2022
27 16/10/2022 Kamar 1B 1 16/10/2022
28 16/10/2022 Kamar 4 1 16/10/2022
29 21/10/2022 Kamar 3 3 21/10/2022
30 21/10/2022 Ruang VK 2 21/10/2022
31 21/10/2022 Kamar 2A 2 21/10/2022
32 21/10/2022 Kamar 2B 1 21/10/2022
33 22/10/2022 Kamar 3 3 22/10/2022
34 22/10/2022 Kamar 2A 3 22/10/2022
35 22/10/2022 Kamar 2B 3 22/10/2022
36 22/10/2022 Kamar 1 2 22/10/2022
37 23/10/2022 Kamar 2B 3 23/10/2022
38 23/10/2023 Kamar 1 3 23/10/2023
39 23/10/2023 kamar 1 3 23/10/2023
40 24/10/2022 Kamar 2 1 24/10/2022
41 25/10/2022 Kamar 1 3 25/10/2022
42 25/10/2022 Kamar 2 1 25/10/2022
43 25/10/2022 Kamar 4 1 25/10/2022
44 27/10/2022 Kamar 1A 1 27/10/2022
45 27/10/2022 Kamar 1B 1 27/10/2022
46 27/10/2022 Kamar 2 1 27/10/2022
47 28/10/2022 Kamar 1A 3 28/10/2022
48 28/10/2022 Kamar 1B 3 28/10/2022
49 28/10/2022 Kamar 2 3 28/10/2022
50 28/10/2022 Kamar 4A 3 28/10/2022
51 28/10/2022 Kamar 4B 3 28/10/2022
52 28/10/2022 UGD 2 28/10/2022
53 29/10/2022 Kamar 1A 3 29/10/2022
54 29/10/2022 Kamar 1B 3 29/10/2022
55 29/10/2022 Kamar 2 3 29/10/2022
56 29/10/2022 Kamar 4A 3 29/10/2022
57 29/10/2022 Kamar 4B 3 29/10/2022
58 29/10/2022 UGD 2 29/10/2022
59 30/10/2022 Kamar 1A 1 30/10/2022
60 30/10/2022 Kamar 1B 1 30/10/2022

Mengetahui,
Kepala UPTD Puskesmas II Jembrana

drg.Made Linda Ariastuti

NIP. 19800414 200902 2 004
ATERING 2022
BOK MADE
OKTOBER

Jumlah yg dikirim Sesuai Tidak Sesuai RTL TTD Penerima

3 √
3 √
2 √
3 √
1 √
1 √
1 √
3 √
2 √
1 √
1 √
3 √
1 √
3 √
3 √
1 √
3 √
3 √
3 √
1 √
1 √
3 √
3 √
3 √
1 √
1 √
1 √
1 √
3 √
2 √
2 √
1 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
1 √
3 √
1 √
1 √
1 √
1 √
1 √
3 √
3 √
3 √
3 √
3 √
2 √
3 √
3 √
3 √
3 √
3 √
2 √
1 √
1 √

Yeh Kuning , 31 Oktober 2022

Penanggung Jawab

Made Agus Permana Wibawa,A.Md.Kes