DAFTAR PENERIMAAN

PELAKSANAAN BIAS ( Bulan Imunisasi Anak Sekolah ) Dt DAN Td

BULAN NOVEMBER 2022
PUSKESMAS KAYEN

NO NAMA NIP TUJUAN TANGGAL PENERIMAAN TANDA TANGAN

1 Mukhayanah 197705132007012011 SDN Sundoluhur 01 01/11/2022 Rp50,000 1
2 Hana Kartika Muhari - SDN Sundoluhur 01 01/11/2022 Rp50,000 2
3 Puji Astuti - SDN Sundoluhur 01 01/11/2022 Rp50,000 3
4 Warsini 196904121989032010 MI Nihayaturroghibin 01/11/2022 Rp50,000 4
5 Yuanita Mega - MI Nihayaturroghibin 01/11/2022 Rp50,000 5
6 Novandra - MI Nihayaturroghibin 01/11/2022 Rp50,000 6
7 Ratih Widowati 198003042014062006 MI Miftahul Muhtadin 01/11/2022 Rp50,000 7
8 Elma - MI Miftahul Muhtadin 01/11/2022 Rp50,000 8
9 Galang - MI Miftahul Muhtadin 01/11/2022 Rp50,000 9
10 Arif Sukristiana 198004152007012012 SDN Boloagung 01 01/11/2022 Rp50,000 10
11 Lina Malinda - SDN Boloagung 01 01/11/2022 Rp50,000 11
12 Ninik S - SDN Boloagung 01 01/11/2022 Rp50,000 12
13 Tri Istiani 197812032008012005 SDN Boloagung 02 01/11/2022 Rp50,000 13
14 Wijayanti Puspita Sari - SDN Boloagung 02 01/11/2022 Rp50,000 14
15 Dina - SDN Boloagung 02 01/11/2022 Rp50,000 15
16 Siti Khalimah 197505182000122003 SDN Pesagi 01/11/2022 Rp50,000 16
17 Zaimah Azzahra - SDN Pesagi 01/11/2022 Rp50,000 17
18 Tri Rohmad - SDN Pesagi 01/11/2022 Rp50,000 18
19 Slamet Khawadis 196810051989031009 MI Pesagi 01/11/2022 Rp50,000 19
20 Listyani - MI Pesagi 01/11/2022 Rp50,000 20
21 Dewi Korolina - MI Pesagi 01/11/2022 Rp50,000 21
22 Mukhayanah 197705132007012011 SDN Rogomulyo 01 11/2/2022 Rp50,000 22
23 Hana Kartika Muhari - SDN Rogomulyo 01 11/2/2022 Rp50,000 23
24 Puji Astuti - SDN Rogomulyo 01 11/2/2022 Rp50,000 24
25 Enny A 197704052002122004 SDN Rogomulyo 02 11/2/2022 Rp50,000 25
26 Wijayanti Puspita Sari - SDN Rogomulyo 02 11/2/2022 Rp50,000 26
27 Dina - SDN Rogomulyo 02 11/2/2022 Rp50,000 27
28 Warsini 196904121989032010 MI Rogomulyo 11/2/2022 Rp50,000 28
29 Yuanita Mega - MI Rogomulyo 11/2/2022 Rp50,000 29
30 Novandra - MI Rogomulyo 11/2/2022 Rp50,000 30
31 Ratih Widowati 198003042014062006 SDN Talun 01 11/2/2022 Rp50,000 31
32 Elma - SDN Talun 01 11/2/2022 Rp50,000 32
33 Galang - SDN Talun 01 11/2/2022 Rp50,000 33
34 Arif Sukristiana 198004152007012012 SDN Talun 02 11/2/2022 Rp50,000 34
35 Lina Malinda - SDN Talun 02 11/2/2022 Rp50,000 35
36 Ninik S - SDN Talun 02 11/2/2022 Rp50,000 36
37 Slamet Khawadis 196810051989031009 MI Talun 11/2/2022 Rp50,000 37
38 Listyani - MI Talun 11/2/2022 Rp50,000 38
39 Dewi Korolina - MI Talun 11/2/2022 Rp50,000 39
40 Mukhayanah 197705132007012011 SDN Trimulyo 11/3/2022 Rp50,000 40
41 Hana Kartika Muhari - SDN Trimulyo 11/3/2022 Rp50,000 41
42 Puji Astuti - SDN Trimulyo 11/3/2022 Rp50,000 42
43 Enny A 197704052002122004 MI Trimulyo 11/3/2022 Rp50,000 43
44 Wijayanti Puspita Sari - MI Trimulyo 11/3/2022 Rp50,000 44
45 Dina - MI Trimulyo 11/3/2022 Rp50,000 45
46 Warsini 196904121989032010 SDN Pasuruhan 11/3/2022 Rp50,000 46
47 Yuanita Mega - SDN Pasuruhan 11/3/2022 Rp50,000 47
48 Novandra - SDN Pasuruhan 11/3/2022 Rp50,000 48
49 Ratih Widowati 198003042014062006 MI Pasuruhan 11/3/2022 Rp50,000 49
50 Elma - MI Pasuruhan 11/3/2022 Rp50,000 50
51 Galang - MI Pasuruhan 11/3/2022 Rp50,000 51
52 Arif Sukristiana 198004152007012012 SDN Durensawit 01 11/3/2022 Rp50,000 52
53 Lina Malinda - SDN Durensawit 01 11/3/2022 Rp50,000 53
54 Ninik S - SDN Durensawit 01 11/3/2022 Rp50,000 54
55 Slamet Khawadis 196810051989031009 SDN Durensawit 02 11/3/2022 Rp50,000 55
56 Listyani - SDN Durensawit 02 11/3/2022 Rp50,000 56
57 Dewi Korolina - SDN Durensawit 02 11/3/2022 Rp50,000 57
58 Sukari 197008252002122006 SDN Purwokerto 11/3/2022 Rp50,000 58
59 Dewi Ratna Widyawati SDN Purwokerto 11/3/2022 Rp50,000 59
60 Sri Lestari SDN Purwokerto 11/3/2022 Rp50,000 60
61 Mukhayanah 197705132007012011 SDN Beketel 01 11/4/2022 Rp50,000 61
62 Hana Kartika Muhari - SDN Beketel 01 11/4/2022 Rp50,000 62
63 Puji Astuti - SDN Beketel 01 11/4/2022 Rp50,000 63
64 Enny A 197704052002122004 SDN Beketel 02 11/4/2022 Rp50,000 64
NO NAMA NIP TUJUAN TANGGAL PENERIMAAN TANDA TANGAN
65 Wijayanti Puspita Sari - SDN Beketel 02 11/4/2022 Rp50,000 65
66 Dina - SDN Beketel 02 11/4/2022 Rp50,000 66
67 Warsini 196904121989032010 SDN Sumbersari 01 11/4/2022 Rp50,000 67
68 Yuanita Mega - SDN Sumbersari 01 11/4/2022 Rp50,000 68
69 Novandra - SDN Sumbersari 01 11/4/2022 Rp50,000 69
70 Ratih Widowati 198003042014062006 SDN Sumbersari 02 11/4/2022 Rp50,000 70
71 Elma - SDN Sumbersari 02 11/4/2022 Rp50,000 71
72 Galang - SDN Sumbersari 02 11/4/2022 Rp50,000 72
73 Arif Sukristiana 198004152007012012 SDN Sumbersari 03 11/4/2022 Rp50,000 73
74 Lina Malinda - SDN Sumbersari 03 11/4/2022 Rp50,000 74
75 Ninik S - SDN Sumbersari 03 11/4/2022 Rp50,000 75
76 Slamet Khawadis 196810051989031009 MI Sumbersari 11/4/2022 Rp50,000 76
77 Listyani - MI Sumbersari 11/4/2022 Rp50,000 77
78 Dewi Korolina - MI Sumbersari 11/4/2022 Rp50,000 78
79 Mukhayanah 197705132007012011 SDN Slungkep 01 11/7/2022 Rp50,000 79
80 Hana Kartika Muhari - SDN Slungkep 01 11/7/2022 Rp50,000 80
81 Puji Astuti - SDN Slungkep 01 11/7/2022 Rp50,000 81
82 Enny A 197704052002122004 SDN Slungkep 02 11/7/2022 Rp50,000 82
83 Wijayanti Puspita Sari - SDN Slungkep 02 11/7/2022 Rp50,000 83
84 Dina - SDN Slungkep 02 11/7/2022 Rp50,000 84
85 Warsini 196904121989032010 SDN Slungkep 03 11/7/2022 Rp50,000 85
86 Yuanita Mega - SDN Slungkep 03 11/7/2022 Rp50,000 86
87 Novandra - SDN Slungkep 03 11/7/2022 Rp50,000 87
88 Ratih Widowati 198003042014062006 MIN 1 Pati 11/7/2022 Rp50,000 88
89 Elma - MIN 1 Pati 11/7/2022 Rp50,000 89
90 Galang - MIN 1 Pati 11/7/2022 Rp50,000 90
91 Arif Sukristiana 198004152007012012 SDN Jimbaran 01 11/7/2022 Rp50,000 91
92 Lina Malinda - SDN Jimbaran 01 11/7/2022 Rp50,000 92
93 Ninik S - SDN Jimbaran 01 11/7/2022 Rp50,000 93
94 Slamet Khawadis 196810051989031009 SDN Jimbaran 02 11/7/2022 Rp50,000 94
95 Listyani - SDN Jimbaran 02 11/7/2022 Rp50,000 95
96 Dewi Korolina - SDN Jimbaran 02 11/7/2022 Rp50,000 96
97 Sukari 197008252002122006 MI Jimbaran 11/7/2022 Rp50,000 97
98 Dewi Ratna Widyawati MI Jimbaran 11/7/2022 Rp50,000 98
99 Sri Lestari MI Jimbaran 11/7/2022 Rp50,000 99
100 Mukhayanah 197705132007012011 SDN Kayen 01 11/8/2022 Rp50,000 100
101 Hana Kartika Muhari - SDN Kayen 01 11/8/2022 Rp50,000 101
102 Puji Astuti - SDN Kayen 01 11/8/2022 Rp50,000 102
103 Enny A 197704052002122004 SDN Kayen 02 11/8/2022 Rp50,000 103
104 Wijayanti Puspita Sari - SDN Kayen 02 11/8/2022 Rp50,000 104
105 Dina - SDN Kayen 02 11/8/2022 Rp50,000 105
106 Warsini 196904121989032010 SDN Kayen 03 11/8/2022 Rp50,000 106
107 Yuanita Mega - SDN Kayen 03 11/8/2022 Rp50,000 107
108 Novandra - SDN Kayen 03 11/8/2022 Rp50,000 108
109 Ratih Widowati 198003042014062006 SDN Kayen 04 11/8/2022 Rp50,000 109
110 Elma - SDN Kayen 04 11/8/2022 Rp50,000 110
111 Galang - SDN Kayen 04 11/8/2022 Rp50,000 111
112 Arif Sukristiana 198004152007012012 SDN Kayen 05 11/8/2022 Rp50,000 112
113 Lina Malinda - SDN Kayen 05 11/8/2022 Rp50,000 113
114 Ninik S - SDN Kayen 05 11/8/2022 Rp50,000 114
115 Slamet Khawadis 196810051989031009 SDN Kayen 06 11/8/2022 Rp50,000 115
116 Listyani - SDN Kayen 06 11/8/2022 Rp50,000 116
117 Dewi Korolina - SDN Kayen 06 11/8/2022 Rp50,000 117
118 Sukari 197008252002122006 MI Landoh 11/8/2022 Rp50,000 118
119 Dewi Ratna Widyawati MI Landoh 11/8/2022 Rp50,000 119
120 Sri Lestari MI Landoh 11/8/2022 Rp50,000 120
121 Junaedi 196701031991021001 MI Carian 11/8/2022 Rp50,000 121
122 Zenni Noor MI Carian 11/8/2022 Rp50,000 122
123 Tri Istiani MI Carian 11/8/2022 Rp50,000 123
124 Mukhayanah 197705132007012011 SDN Jatiroto 01 11/9/2022 Rp50,000 124
125 Hana Kartika Muhari - SDN Jatiroto 01 11/9/2022 Rp50,000 125
126 Puji Astuti - SDN Jatiroto 01 11/9/2022 Rp50,000 126
127 Enny A 197704052002122004 SDN Jatiroto 02 11/9/2022 Rp50,000 127
128 Wijayanti Puspita Sari - SDN Jatiroto 02 11/9/2022 Rp50,000 128
129 Dina - SDN Jatiroto 02 11/9/2022 Rp50,000 129
130 Warsini 196904121989032010 SDN Jatiroto 03 11/9/2022 Rp50,000 130
131 Yuanita Mega - SDN Jatiroto 03 11/9/2022 Rp50,000 131
132 Novandra - SDN Jatiroto 03 11/9/2022 Rp50,000 132
133 Ratih Widowati 198003042014062006 SDN Jatiroto 04 11/9/2022 Rp50,000 133
NO NAMA NIP TUJUAN TANGGAL PENERIMAAN TANDA TANGAN
134 Elma - SDN Jatiroto 04 11/9/2022 Rp50,000 134
135 Galang - SDN Jatiroto 04 11/9/2022 Rp50,000 135
136 Arif Sukristiana 198004152007012012 MI jatiroto 11/9/2022 Rp50,000 136
137 Lina Malinda - MI jatiroto 11/9/2022 Rp50,000 137
138 Ninik S - MI jatiroto 11/9/2022 Rp50,000 138
139 Mukhayanah 197705132007012011 SDN Brati 01 11/10/2022 Rp50,000 139
140 Hana Kartika Muhari - SDN Brati 01 11/10/2022 Rp50,000 140
141 Puji Astuti - SDN Brati 01 11/10/2022 Rp50,000 141
142 Enny A 197704052002122004 SDN Brati 02 11/10/2022 Rp50,000 142
143 Wijayanti Puspita Sari - SDN Brati 02 11/10/2022 Rp50,000 143
144 Dina - SDN Brati 02 11/10/2022 Rp50,000 144
145 Warsini 196904121989032010 SDN Brati 03 11/10/2022 Rp50,000 145
146 Yuanita Mega - SDN Brati 03 11/10/2022 Rp50,000 146
147 Novandra - SDN Brati 03 11/10/2022 Rp50,000 147
148 Ratih Widowati 198003042014062006 MI Brati 11/10/2022 Rp50,000 148
149 Elma - MI Brati 11/10/2022 Rp50,000 149
150 Galang - MI Brati 11/10/2022 Rp50,000 150
151 Arif Sukristiana 198004152007012012 SDN Srikaton 01 11/10/2022 Rp50,000 151
152 Lina Malinda - SDN Srikaton 01 11/10/2022 Rp50,000 152
153 Ninik S - SDN Srikaton 01 11/10/2022 Rp50,000 153
154 Slamet Khawadis 196810051989031009 SDN Srikaton 02 11/10/2022 Rp50,000 154
155 Listyani - SDN Srikaton 02 11/10/2022 Rp50,000 155
156 Dewi Korolina - SDN Srikaton 02 11/10/2022 Rp50,000 156
157 Sukari 197008252002122006 MI Srikaton 11/10/2022 Rp50,000 157
158 Dewi Ratna Widyawati MI Srikaton 11/10/2022 Rp50,000 158
159 Sri Lestari MI Srikaton 11/10/2022 Rp50,000 159
JUMLAH Rp7,950,000

Mengetahui,
Kepala Puskesmas Kayen

DR. INDRI KURNIA SARI

NIP.197804282008012015