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LOG BOOK LIMBAH MEDIS

UPTD. PUSKESMAS MUMBULSARI


BULAN MEI TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 3.5 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.45 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.56 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 1.01 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.24 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.21 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 3.2 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.22 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.57 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1.55 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.36 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN JUNI TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 3.5 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.06 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.45 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.56 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 1.01 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 2.5 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1.1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.21 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 4.23 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.22 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.57 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1.55 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
31 31 UGD, VK, ranap, rajal 1.34 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN JULI TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1.09 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.13 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.56 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.24 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.57 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1.55 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.36 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
31 31 UGD, VK, ranap, rajal 2.89 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN AGUSTUS TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.13 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.56 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.24 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 3 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.57 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1.55 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 2.1 PT. ARAH ENV.
31 31 UGD, VK, ranap, rajal 1 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN SEPTEMBER TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.13 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.56 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 3 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 4.5 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN OKTOBER TAHUN 2022

NO. TGL SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.13 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.45 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 2.97 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1.31 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.22 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
31 31 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN NOVEMBER TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 1.09 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 1.45 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 2.97 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 2.02 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.22 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 2.06 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.

keterangan : satuan dalam kg

LOG BOOK LIMBAH MEDIS


UPTD. PUSKESMAS MUMBULSARI
BULAN DESEMBER TAHUN 2022

SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
SUMBER PENGHASIL ∑LIMBAH ∑LIMBAH TUJUAN PARAF
NO. TGL
LIMBAH MASUK KELUAR PENYERAHAN PETUGAS
1 1 UGD, VK, ranap, rajal 2 PT. ARAH ENV.
2 2 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
3 3 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
4 4 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
5 5 UGD, VK, ranap, rajal 1.5 PT. ARAH ENV.
6 6 UGD, VK, ranap, rajal 1.13 PT. ARAH ENV.
7 7 UGD, VK, ranap, rajal 3 PT. ARAH ENV.
8 8 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
9 9 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
10 10 UGD, VK, ranap, rajal 1.32 PT. ARAH ENV.
11 11 UGD, VK, ranap, rajal 1.26 PT. ARAH ENV.
12 12 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
13 13 UGD, VK, ranap, rajal 2.97 PT. ARAH ENV.
14 14 UGD, VK, ranap, rajal 1.02 PT. ARAH ENV.
15 15 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
16 16 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
17 17 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
18 18 UGD, VK, ranap, rajal 2.1 PT. ARAH ENV.
19 19 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
20 20 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
21 21 UGD, VK, ranap, rajal 1.23 PT. ARAH ENV.
22 22 UGD, VK, ranap, rajal 1.3 PT. ARAH ENV.
23 23 UGD, VK, ranap, rajal 1.4 PT. ARAH ENV.
24 24 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
25 25 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
26 26 UGD, VK, ranap, rajal 1.25 PT. ARAH ENV.
27 27 UGD, VK, ranap, rajal 1 PT. ARAH ENV.
28 28 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
29 29 UGD, VK, ranap, rajal 1.43 PT. ARAH ENV.
30 30 UGD, VK, ranap, rajal 1.2 PT. ARAH ENV.
31 31 UGD, VK, ranap, rajal 1 PT. ARAH ENV.

keterangan : satuan dalam kg


LOG BOOK LIMBAH NON MEDIS
UPTD. PUSKESMAS MUMBULSARI
BULAN …………………... TAHUN 2023

SUMBER PENGHASIL NAMA ∑LIMBAH ∑LIMBAH TUJUAN PARAF


NO. TANGGAL LIMBAH PENYETOR MASUK KELUAR PENYERAHAN PETUGAS KET.

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

Mengetahui
Kepala Puskesmas Mumbulsari Sanitarian

dr. Widiarti Novi Nur Pratiwi, A.Md.KL


NIP. 19721228 200701 2 005 NIP. 19961102 202203 2 002

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