Rekapan Bpjs 2017-2018

REKAPAN HASIL PELAYANAN
BULAN: PUSKESMAS LANGGIKIMA

TGL PELAYANAN ANC TGL PELAYANAN PNC TGL PELAYANAN KB
NO NAMA NO.KARTU TGL PERSALINAN KET
ANC I ANC II ANC III ANC IV PNC I PNC II PNC III SUNTIK IMPLAN
1 HARDIANTI EKA PUTRI 0000132916105 6/12/2016 8/12/2016 11/12/2016 12/12/2016 1/14/2017 1/14/2017 1/22/2017 2/21/2017 3/20/2017 - -
2 MARNI 0001937652197 6/12/2016 8/12/2016 11/12/2016 12/12/2016 1/27/2017 1/27/2017 2/1/2017 3/3/2017 3/18/2017 - -
3 SITTI SAHRAH 0001937645526 7/15/2016 9/23/2016 12/2/2016 12/30/2016 1/10/2017 1/11/2017 1/15/2017 2/20/2017 2/20/2017 - -
4 IRA FEBRIANTI 0001937644323 7/12/2016 9/12/2016 12/12/2016 1/12/2017 2/14/2017 2/14/2017 2/22/2017 3/23/2017 4/19/2017 - -
5 SOEBATUL ISLAMIA 0000955713633 7/15/2016 11/14/2016 1/13/2017 2/13/2017 3/30/2017 3/30/2017 03/04/2017 4/27/2017 5/3/2017 - -
6 HASWARI 0001883133472 8/10/2016 11/11/2016 1/13/2017 3/14/2017 4/29/2017 4/29/2017 5/4/2017 5/16/2017 8/10/2018 - -
7 YUSNITA 0000955756675 8/12/2016 10/12/2016 1/12/2017 2/12/2017 3/20/2017 3/20/2017 3/25/2017 4/24/2017 4/28/2017 - -
8 SANTI SRI SUGIANTI 0001075201468 9/12/2016 12/12/2016 2/20/2017 3/3/2017 4/6/2017 4/7/2017 4/12/2017 5/6/2017 5/20/2017 - -
9 LESPIANI 0001937649543 10/12/2016 12/12/2016 3/12/2017 4/12/2017 5/20/2017 5/20/2017 5/25/2017 6/24/2017 7/10/2017 - -
10 WA ODE ISRA,S.PD 0001078543754 10/12/2016 12/12/2016 3/13/2017 4/14/2017 5/7/2017 5/7/2017 5/15/2017 5/14/2017 7/18/2017 - -
11 FATONAH 0001937647023 10/14/2016 1/24/2017 4/14/2017 5/27/2017 5/26/2017 5/27/2017 6/1/2017 6/24/2017 6/30/2017 - -
12 MADE SUASTI 0001937648193 11/27/2016 1/29/2017 4/13/2017 5/13/2017 6/20/2017 6/20/2017 7/2/2017 7/10/2017 7/20/2017 - -
13 WAYAN SARINI 0001937652355 1/13/2017 3/14/2017 6/13/2017 7/13/2017 7/12/2017 7/12/2017 7/19/2017 8/10/2017 8/13/2017 - -
14 ERNI 0001937650037 2/13/2017 6/13/2017 8/15/2017 9/1/2017 9/7/2017 9/7/2017 9/10/2017 10/5/2017 10/10/2017 - -
15 MARIANI 0001937653143 3/25/2017 7/1/2017 9/13/2017 10/24/2017 11/10/2017 11/10/2017 11/15/2017 12/10/2017 2/5/2018 - -
16 JUNDINASARI 0002197003989 5/29/2017 8/21/2017 11/10/2017 11/27/2017 12/20/2017 12/21/2017 12/25/2017 1/18/2018 2/6/2018 - -
17 MARLINA 0001937654594 6/3/2017 10/7/2017 12/16/2017 1/20/2018 2/10/2018 2/11/2018 2/16/2018 3/11/2018 3/24/2018 - -
18 DEWI.A.S 0001937648294 6/12/2017 9/4/2017 1/7/2018 1/15/2018 1/18/2018 1/19/2018 1/26/2018 2/17/2018 2/28/2018 - -
19 IRMA 0001937650094 13/06/2017 8/14/2017 11/13/2017 15/11/2017 1/18/2018 1/18/2018 1/21/2018 2/15/2018 3/19/2018 - -
20 UVIK AMALIA 0001937654109 6/15/2017 07/09/2017 11/30/2017 1/11/2018 1/26/2018 1/27/2018 1/31/2018 2/26/2018 3/1/2018 - -
21 NI LUH EKA RAHAYU 0001937647135 6/24/2017 9/11/2017 11/14/2017 12/14/2017 1/14/2018 1/15/2018 2/11/2018 2/20/2018 2/25/2018 - -
22 LUH SUPARINI 0001937650623 9/14/2017 10/14/2017 1/14/2018 1/14/2018 4/11/2018 4/13/2018 4/17/2018 - - - -
MENGETAHUI:
PENGELOLAH KEPALA PUSKESMAS LANGGIKIMA
WAYAN SUDIANTI,AM.KEB ANNY ANGELA,S.Kom

NIP: 19881206 2017052 004 NIP: 19771028 200701 2 029
NO NO KARTU NAMA ANCI ANC II ANC III ANC IV INI PNC I PNC II PNC III
8
BB. BB. BB. BB. BB. BB. BB. BB.
TD TD TD TD TD TD TD TD
S. UK. S. UK. S. UK. S. UK. S. UK. S. UK. S. UK. S. UK.
N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS.
9
TD TD TD TD TD
S. UK. S. UK. S. UK. S. UK. S. UK.
N. NPS. N. NPS. N. NPS. N. NPS. N. NPS.
10 5/7/2017 5/7/2017 5/15/2017 5/14/2017 7/18/2017 -
BB. BB. BB. BB. BB. BB. BB.
TD TD TD TD TD TD TD
S. UK. S. UK. S. UK. S. UK. S. UK. S. UK. S. UK.
N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS.
11 1/24/2017 4/14/2017 5/14/2017 5/26/2017 5/28/2017 6/1/2017 6/30/2017
12 1/29/2017 4/13/2017 5/13/2017 6/20/2017 6/20/2017 7/2/2017 7/10/2017
13 0001937652355 3/14/2017 6/13/2017 7/13/2017 7/12/2017 7/13/2017 7/16/2017 8/2/2017
BB.46 BB.47 BB.50 BB.42 42 BB.42 BB.42
ht.29/10/16 TD.110/70 TD.100/70 TD.110/70 TD.120/70 TD.100/70 TD.110/70 TD110/70
tp.7/10/17 S. 37,5 UK.18 S.37,5 UK.31 S. 37,7 UK.35 S. 37,5 UK.40 S. 37 hr.1 S. 37, hr4. S. 37,5 hr.
tb.157 N. 80 NPS.18 N. 80 NPS.18 N.88 NPS.20 90 N. 80 NPS.18 N. 76 NPS.18 N.70 NPS.18
14 0001937650037 6/13/2017 8/15/2017 9/1/2017 9/7/2017 9/8/2017 9/10/2017 10/5/2017
BB.48,7 BB.50 BB.50,2 BB.45 BB.45 .45 BB.45
ht.10/12/16 TD100/60 TD.100/70 TD.100/80 TD.100/80 TD100/70 TD110/60 TD100/70
tp.17/9/17 S. 37,5 UK.24 uk.32.37,5 S. 37.5 UK.36 S. 37,5 UK.40 S. 37,4 hr1. S.36,5 hr,4 S. UK.
tb.155 N.80 NPS.20 N. 80 NPS.19 N. NPS. N.84 NPS.20 N. 80 NPS.18 N78 NPS.18 N. NPS.
15 0001937653143 7/1/2017 9/13/2017 10/24/2017 11/10/2017 11/10/2017 11/15/2017 12/10/2017
N. NPS. N. NPS. N. NPS. N. NPS. N. NPS. N. NPS.
16 0002197003989 8/21/2017 11/10/2017 11/27/2017 12/20/2017 12/21/2017 12/25/2017 1/18/2018

17 0001937654594 6/3/2017 10/7/2017 12/16/2017 1/20/2018 2/10/2018 2/11/2018 2/16/2018 3/11/2018

18 0001937648294 6/12/2017 9/4/2017 1/7/2018 1/15/2018 1/18/2018 1/19/2018 1/26/2018 2/17/2018

19 0001937650094 13/06/2017 8/14/2017 11/13/2017 15/11/2017 1/18/2018 1/18/2018 1/21/2018 2/15/2018

20 0001937654109 6/15/2017 07/09/2017 11/30/2017 1/11/2018 1/26/2018 1/27/2018 1/31/2018 2/26/2018

21 0001937647135 6/24/2017 9/11/2017 11/14/2017 12/14/2017 1/14/2018 1/15/2018 2/11/2018 2/20/2018

22 LUH SUPARINI 0001937650623 9/14/2017 10/14/2017 1/14/2018 1/14/2018 4/11/2018 4/13/2018 4/17/2018 -
KB KET
-
BB.
TD
S. UK.
N. NPS.
-
BB.
TD
S. UK.
N. NPS.
6/30/2017 -
BB.
TD
S. UK.
N. NPS.
7/20/2017 -
BB.
TD
S. UK.
N. NPS.
8/13/2017 -
BB.42
TD.100/80
S.37, hr.
N.70 NPS.20
10/10/2017 -
BB.
TD.100/70
S. UK.
N. NPS.
2/5/2018 -
BB.
TD
S. UK.
N. NPS.
2/6/2018 -
BB.
TD
S. UK.
N. NPS.
3/24/2018 -
BB.
TD
S. UK.
N. NPS.
2/28/2018 -
BB.
TD
S. UK.
N. NPS.
3/19/2018 -
BB.
TD
S. UK.
N. NPS.
3/1/2018 -
BB.
TD
S. UK.
N. NPS.
2/25/2018 -
BB.
TD
S. UK.
N. NPS.
- -
NO NAMA N0 KARTU ANCI ANC II ANC III ANC IV INC PNC I
1/13/2017 3/14/2017 6/13/2017 7/13/2017 7/12/2017 7/12/2017
BB. BB. BB. BB. BB. BB.
HT. TD TD TD TD TD TD
TP. S. . S. . S. . S. . S. . S. .
TB N. N. N. N. N. N.
NPS. NPS. NPS. NPS. NPS. NPS.
UK. UK. UK. UK. UK. UK.
KEL. KEL. KEL. KEL. KEL. KEL.
OBT. OBT. OBT. OBT. OBT. OBT.

TP. S. . S. . S. . S. . S. . S. .

TP. S. . S. . S. . S. . S. . S. .

TP. S. . S. . S. . S. . S. . S. .

TP. S. . S. . S. . S. . S. . S. .
PNC II PNC III KB KET
7/19/2017 8/10/2017 8/13/2017 -
BB. BB. BB.
TD TD TD
S. . S. . S. .
N. N. N.
NPS. NPS. NPS.
UK. UK. UK.
KEL. KEL. KEL.
OBT. OBT. OBT.
BB. BB. BB.

TD TD TD
S. . S. . S. .
N. N. N.
NPS. NPS. NPS.
UK. UK. UK.
KEL. KEL. KEL.
OBT. OBT. OBT.
BB. BB. BB.

TD TD TD
S. . S. . S. .
N. N. N.
NPS. NPS. NPS.
UK. UK. UK.
KEL. KEL. KEL.
OBT. OBT. OBT.
BB. BB. BB.

TD TD TD
S. . S. . S. .
N. N. N.
NPS. NPS. NPS.
UK. UK. UK.
KEL. KEL. KEL.
OBT. OBT. OBT.
BB. BB. BB.

TD TD TD
S. . S. . S. .
N. N. N.
NPS. NPS. NPS.
UK. UK. UK.
KEL. KEL. KEL.
OBT. OBT. OBT.
PUSKESMAS LANGGIKIMA
BULAN : April 2018
TGL PELAYANAN ANC TGL TGL PELAYANAN PNC TGL PELAYANAN KB
NO NAMA NO.KARTU KET
ANC I ANC II ANC III ANC IV PERSALINAN PNC I PNC II PNC III SUNTIK IMPLAN
1 LUSI 0001937663943 7/3/2016 9/29/2016 12/22/2017 1/19/2017 2/21/2017 - - - - - -
2 IRA FEBRIANTI 0001937644323 7/12/2016 9/12/2016 12/12/2016 1/12/2017 2/14/2017 2/14/2017 2/16/2017 3/11/2017 4/19/2017 - -
3 SITTI SAHRAH 0001937645526 7/15/2016 9/23/2016 12/2/2016 12/30/2016 1/10/2017 1/11/2017 1/15/2017 2/8/2017 2/20/2017 - -
5 YUSNITA PUSPITASARI 0000955756675 8/12/2016 10/12/2016 1/12/2017 2/12/2017 3/20/2017 3/21/2017 3/24/2017 4/19/2017 4/28/2017 - -
7 LESPIANI 0001937649543 10/12/2016 1/12/2017 3/12/2017 4/12/2017 5/20/2017 5/20/2017 5/25/2017 6/19/2017 7/10/2017 - -
8 WA ODE ISRA,S.PD 0001078543754 10/12/2016 12/12/2016 3/13/2017 4/12/2017 5/7/2017 5/8/2017 5/13/2017 6/14/2017 7/18/2017 - -
9 FATONAH 0001937647023 10/14/2016 1/24/2017 4/14/2017 5/14/2017 5/26/2017 5/27/2017 6/1/2017 6/24/2017 6/30/2017 - -
10 MADE SUASTI 0001937648193 11/27/2016 2/28/2017 5/30/2017 6/13/2017 6/20/2017 6/21/2017 6/25/2017 7/18/2017 7/20/2017 - -
11 WAYAN SARINI 0001937652355 1/13/2017 3/14/2017 6/13/2017 7/4/2017 7/12/2017 7/13/2017 7/19/2017 8/10/2017 8/13/2017 - -
12 ERNI 0001937650037 2/14/2017 6/13/2017 8/15/2017 9/1/2017 9/8/2017 9/9/2017 9/15/2017 10/6/2017 10/10/2017 - -
13 MARIANI 0001937653143 3/25/2017 7/1/2017 9/13/2017 10/4/2017 11/10/2017 11/11/2017 11/15/2017 12/10/2017 12/22/2017 - -
14 JUNDINASARI 0002197003989 5/20/2017 8/21/2017 10/10/2017 11/18/2017 12/20/2017 12/21/2017 12/25/2017 1/18/2018 2/4/2018 - -
15 MARLINA 0001937654594 6/3/2017 10/7/2017 12/16/2017 1/20/2018 2/10/2018 2/11/2018 2/16/2018 3/11/2018 3/24/2018 - -
16 DEWI.A.S 0001937648294 6/12/2017 9/4/2017 1/7/2018 1/25/2018 2/18/2018 2/19/2018 2/24/2018 3/19/2018 3/28/2018 - -
17 IRMA 0001937650094 13/06/2017 8/13/2017 11/13/2017 15/12/2017 1/18/2018 1/19/2018 1/22/2018 2/16/2018 3/19/2018 - -
18 UVIK AMALIA 0001937654109 6/15/2017 07/09/2017 11/30/2017 12/28/2018 1/26/2018 1/27/2018 1/31/2018 2/24/2018 3/1/2018 - -
19 NI LUH EKA RAHAYU 0001937647135 6/24/2017 9/12/2017 11/14/2017 12/14/2017 1/14/2018 1/15/2018 1/18/2018 2/12/2018 2/25/2018 - -
20 NELIS 0000955757057 7/15/2017 10/7/2017 12/30/2017 1/27/2018 2/24/2018 2/25/2018 2/28/2018 3/25/2018 3/30/2018 - -
21 LUH SUPARINI 0001937650623 9/14/2017 10/14/2017 2/14/2018 2/14/2018 4/11/2018 4/12/2018 4/17/2018 - - - -
Mengetahui, Langgikima, 30 April 2018

Kepala Puskesmas Langgikima Pengelola
ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
DINAS KESEHATAN KABUPATEN KONAWE UTARA
Alamat : Jln. Poros Kelurahan Langgikima, Kecamatan Langikima, Kabupaten Konawe Utara
CARA PULANG
No TGL KUNJUNGAN NAMA PASIEN N0 KARTU ALAMAT DIAGNOSA
Sembuh Rujuk
1 4/2/2018 Winarti 0001937663379 Alenggo ISPA SEMBUH
2 4/2/2018 Harmina 0001837723026 Molore pantai ANEMIA SEMBUH
3 4/2/2018 Mispa 0001940408245 Molore pantai ISPA SEMBUH
4 4/3/2018 Suharman 0001075204089 Pariama HT SEMBUH
5 4/3/2018 Minarti 0001937663379 Alenggo ANEMIA SEMBUH
6 4/3/2018 Indo kanang 0000951356856 Alenggo DM SEMBUH
7 4/3/2018 Tursiem 0001937650476 Alenggo LUKA SEMBUH
8 4/4/2018 Syamsul hadi 0000950295159 Polora indah ALERGI SEMBUH
9 4/4/2018 Nurhayati 0001937644277 Pariama HT SEMBUH
10 4/4/2018 sasmita wikayan 0001937644288 Pariama ANEMIA SEMBUH
11 4/4/2018 Pertiwi.s 0001940403396 Tobimeita ISPA SEMBUH
12 4/4/2018 Idawati 0001940395037 Tobimeita DM SEMBUH
13 4/4/2018 Risnawati p 000193765702 Tobimeita LUKA SEMBUH
14 4/4/2018 Juan rajun 0001971006862 Tobimeita ISPA SEMBUH
15 4/5/2018 Nurhayati 0001937644277 Pariama LUKA SEMBUH
16 4/6/2018 Made srigati 0001937645818 Pariama ISPA SEMBUH
17 4/7/2018 Marce damarce l 0001940309929 sarimukti DIARE SEMBUH
18 4/1/2018 Tito 0001940399212 sarimukti ISPA SEMBUH
19 4/9/2018 Imam muslim 0001937649216 Alenggo HT SEMBUH
20 4/10/2018 RINI YANAWATI 0002002129626 langgikima ISPA SEMBUH
21 4/10/2018 IKNASIUS LUAN 0001937649431 Pariama LUKA SEMBUH
22 4/10/2018 AFIYAH 0002248079962 langgikima ISPA SEMBUH
23 4/10/2018 MAHDUN 0001937653367 langgikima ISPA SEMBUH
24 4/10/2018 HERMAN T 0001937648823 Alenggo HT SEMBUH
25 4/11/2018 ALMUKLIS 000188802843 Molore DIARE SEMBUH
26 12/04 2018 NOVA SUGENG W0001937653503 Alenggo ISPA SEMBUH
27 12/04 2018 MIFTAHUL SABIR0000955810495 langgikima ISPA SEMBUH
28 12/04 2018 WINI RANGGA LE0000955733646 langgikima HT SEMBUH
29 12/04 2018 ATEP RUSMANA 0000955733646 sarimukti ISPA SEMBUH
30 12/04 2018 Nurhayati 0001937644277 Pariama LUKA SEMBUH
31 12/04 2018 HERMAN 0000955920723 TAMBAKUA ALERGI SEMBUH
32 12/04 2018 MADE SRIGATI 0001937645818 PARIAMA ISPA SEMBUH
33 12/04 2018 RITA SITONUS 0000951430667 PARIAMA HT SEMBUH
34 4/13/2018 KASIM 0001883135305 ALENGGO ISPA SEMBUH
35 4/16/2018 WARAS PRATYO 0001889348300 LANGGIKIMA DIARE SEMBUH
36 4/17/2018 NYOMAN GENEP 0001937648215 MEKAR JAYA ASAM URAT SEMBUH
37 4/17/2018 NUR HAYATI 0001937644277 PARIAMA ISPA SEMBUH
38 4/17/2018 ALI 0001080720527 PARIAMA KLL SEMBUH
39 4/17/2018 JUPRIN 0001075201536 LANGGIKIMA TUKAK LAMB SEMBUH
40 4/17/2018 APIYAH 0002248079962 LANGGIKIMA ISPA SEMBUH
41 4/18/2018 ST.KHOTIMAH 0000955798964 SARIMUKTI KLL SEMBUH
42 4/19/2018 WINARTI 0001937663379 ALENGGO ISPA SEMBUH
43 4/19/2018 RAHMA 0001937654807 ALENGGO ISPA SEMBUH
44 4/20/2018 BAHYUN 0001851635125 NGAPAINEA FEBRIS SEMBUH
45 4/20/2018 IBRAHIM 0002257794832 NGAPAINEA ASAM URAT SEMBUH
46 4/20/2018 LENI WULANDARI0001937648867 LANGGIKIMA ISPA SEMBUH
47 4/21/2018 MADE YOKA.P 0001937648913 MEKARJAYA FEBRIS SEMBUH
48 4/21/2018 SYAHDAN AL FAJ0001940426706 MOLORE DIARE SEMBUH
49 4/23/2018 NURHAYATI 0001937644277 PARIAMA ASAM URAT SEMBUH
50 4/23/2018 IDAWATI 0001940395037 TOBI MEITA FEBRIS SEMBUH
51 4/23/2018 RAHMA 0001937654807 ALENGGO ASAM URAT SEMBUH
52 4/23/2018 DEWI NAPA 0001937644582 PARIAMA DIARE SEMBUH
53 4/23/2018 AGNES 0001940400066 ALENNGO FEBRIS RUJUK
54 4/23/2018 SUSANTI 0001883133822 ALENGGO ASAM URAT SEMBUH
55 4/23/2018 SINTA.M 0001937646718 ALENGGO LUKA SEMBUH
56 4/24/2018 HASPITA ELI.S.N 0001937648733 LANGGIKIMA FEBRIS SEMBUH
57 4/24/2018 KELVIN 0000955770761 LANGGIKIMA ISPA SEMBUH
58 4/25/2018 ADRIANA HUKA 0001883134056 ALENGGO ISPA SEMBUH
59 4/25/2018 MARIA D.D 0001940399201 SARIMUKTI FEBRIS SEMBUH
60 4/25/2018 NI KADEK ERAYA0001937646731 MEKARJAYA LUKA SEMBUH
61 4/26/2018 IRA RAHAYU 0000953575029 POLORA INDAH ALERGI SEMBUH
62 4/27/2018 RITA.S 0000951430667 PARIAMA ISPA SEMBUH
63 4/27/2018 ADI SUPARDI 0000955764033 LANGGIKIMA HT SEMBUH
64 4/30/2018 DORKAS SIMPAN 0001937648755 LANGGIKIMA FEBRIS SEMBUH
65 4/30/2018 NGADINEM 0001937663414 SARIMUKTI HT SEMBUH
66 4/30/2018 ASNATIN 0001937648711 LANGGIKIMA ISPA SEMBUH
67 4/30/2018 SURIATI 0000956026091 ALENGGO FEBRIS SEMBUH
68 4/30/2018 JUSMATI 0001937646652 ALENGGO HT SEMBUH
69 4/30/2018 MADE SARI 0001940394611 MEKAR JAYA ISPA SEMBUH
70 4/30/2018 MUHAIMIN 0000955732691 SARIMUKTI FEBRIS SEMBUH
71 4/30/2018 Indo kanang 0000951356856 Alenggo LUKA SEMBUH


NIP.19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Januari 2017
1 SITTI SAHRAH 0001937645526 7/15/2016 9/23/2016 12/2/2016 12/30/2016 1/10/2017 1/11/2017 1/15/2017 2/8/2017 2/20/2017 - -
Mengetahui, Langgikima,: 31 Januari 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Februari 2017
1 IRA FEBRIANTI 0001937644323 7/12/2016 9/12/2016 12/12/2016 1/12/2017 2/14/2017 2/14/2017 2/16/2017 3/11/2017 4/19/2017 - -
2 LUSI 0001937663943 7/3/2016 9/29/2016 12/22/2017 1/19/2017 2/21/2017 - - - - - -
Mengetahui, Langgikima,:28 Februari 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN : April 2018
1 YUSNITA PUSPITASARI 0000955756675 8/12/2016 10/12/2016 1/12/2017 2/12/2017 3/20/2017 3/21/2017 3/24/2017 4/19/2017 4/28/2017 - -
- -


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Apri 2017
Mengetahui, Langgikima,:30 April 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Mei 2017
1 WA ODE ISRA,S.PD 0001078543754 10/12/2016 12/12/2016 3/13/2017 4/12/2017 5/7/2017 5/8/2017 5/13/2017 6/14/2017 7/18/2017 - -
2 LESPIANI 0001937649543 10/12/2016 1/12/2017 3/12/2017 4/12/2017 5/20/2017 5/20/2017 5/25/2017 6/19/2017 7/10/2017 - -
3 FATONAH 0001937647023 10/14/2016 1/24/2017 4/14/2017 5/14/2017 5/26/2017 5/27/2017 6/1/2017 6/24/2017 6/30/2017 - -


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN : Juni 2017
1 MADE SUASTI 000193764811/27/2016 2/28/2017 5/30/2017 6/13/2017 6/20/2017 6/21/2017 6/25/2017 7/18/2017 7/20/2017 - -
Mengetahui, Langgikima,:30 Juni 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
AN:JULI 2017
BULAN
1 WAYAN SARINI 0001937652355 1/13/2017 3/14/2017 6/13/2017 7/4/2017 7/12/2017 7/13/2017 7/19/2017 8/10/2017 8/13/2017 - -
Mengetahui, Langgikima,: 31 Juli 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: September 2017
1 ERNI 0001937650037 2/14/2017 6/13/2017 8/15/2017 9/1/2017 9/8/2017 9/9/2017 9/15/2017 10/6/2017 10/10/2017 - -
Mengetahui, Langgikima,: September 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: November 2017
1 MARIANI 0001937653143 3/25/2017 7/1/2017 9/13/2017 10/4/2017 11/10/2017 11/11/2017 11/15/2017 12/10/2017 12/22/2017 - -
Mengetahui, Langgikima,: 30 November 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Desember 2017
1 JUNDINASARI 0002197003989 5/20/2017 8/21/2017 10/10/2017 11/18/2017 12/20/2017 12/21/2017 12/25/2017 1/18/2018 2/4/2018 - -
Mengetahui, Langgikima,: 31 Desember 2017


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN : februari 2018
1 MARLINA 0001937654594 6/3/2017 10/7/2017 12/16/2017 1/20/2018 2/10/2018 2/11/2018 2/16/2018 3/11/2018 3/24/2018 - -
2 DEWI.A.S 0001937648294 6/12/2017 9/4/2017 1/7/2018 1/25/2018 2/18/2018 2/19/2018 2/24/2018 3/19/2018 3/28/2018 - -
Mengetahui, Langgikima,:28 februari 2018


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Januari 2018
1 NI LUH EKA RAHAYU 0001937647135 6/24/2017 9/12/2017 11/14/2017 12/14/2017 1/14/2018 1/15/2018 1/18/2018 2/12/2018 2/25/2018 - -
2 IRMA 0001937650094 13/06/2017 8/13/2017 11/13/2017 15/12/2017 1/18/2018 1/19/2018 1/22/2018 2/16/2018 3/19/2018 - -
3 UVIK AMALIA 0001937654109 6/15/2017 07/09/2017 11/30/2017 12/28/2018 1/26/2018 1/27/2018 1/31/2018 2/24/2018 3/1/2018 - -
Mengetahui, Langgikima,31 januari 2018


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN: Februari 2018
20 NELIS 0000955757057 7/15/2017 10/7/2017 12/30/2017 1/27/2018 2/24/2018 2/25/2018 2/28/2018 3/25/2018 3/30/2018 - -
Mengetahui, Langgikima,28 februari 2018


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
BULAN : April 2018
1 LUH SUPARINI 0001937650623 9/14/2017 11/16/2017 2/14/2018 3/14/2018 4/11/2018 4/12/2018 4/17/2018 - - - -


NIP:19771028200701 2 029 NIP. 19881206 200705 2 004
DAFTAR PENERIMAAN JASA PERSALINAN DANA NON KAPITASI
PUSKESMAS LANGGIKIMA TAHUN ANGGARAN 2018
NAMA PEMBERI TANGGAL/BULAN NAMA PESERTA JENIS JUMLAH JUMLAH JUMLAH JASA YG
NO TANDA TANGAN
PELAYANAN PELAYANAN PELAYANAN TAGIHAN OPERASIONAL 20 % (Rp) DITERIMA 80% (Rp)
ANC 200,000 40,000 160,000
1 WAYAN SUDIANTI, Amd.Keb. 1/10/2017 Sitti sahrah INC 700,000 140,000 560,000
PNC 25,000 5000 20,000
INC 700,000 140,000 560,000

2/14/2017 IRA FEBRIANTI KB 15,000 3000 12,000
2 ARJUNIATI,Amd.Keb
ANC 200,000 40,000 160,000

2/21/2017 LUSI INC 700,000 140,000 560,000
WAYAN SUDIANTI, Amd.Keb.
3
ANC 200,000 40,000 160,000
4 3/20/2017 Yusnita Puspitasari INC 700,000 140,000 560,000
ARJUNIATI,Amd.Keb
PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

5 NAHARIA TUMBA,Amd.Keb INC 700,000 140,000 560,000
3/30/2017 Soebatul Islamia PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

6 4/6/2017 Santi Sri Sugianti INC 700,000 140,000 560,000
PNC 25,000 5000 20,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

5/7/2017 Wa Ode Isra,S.PD INC 700,000 140,000 560,000
ARJUNIATI,Amd.Keb
7 PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

8 INC 700,000 140,000 560,000
ARJUNIATI,Amd.Keb
20/05/207 Lespiani PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
INC 700,000 140,000 560,000
9 NAHARIA TUMBA,Amd.Keb 5/26/2017 Fatonah PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
INC 700,000 140,000 560,000

10 NAHARIA TUMBA,Amd.Keb 6/20/2017 Made suasti KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

11 INC 700,000 140,000 560,000
NAHARIA TUMBA,Amd.Keb 7/12/2017 Wayan Sarini PNC 25,000 5000 20,000
INC 700,000 140,000 560,000

PNC 25,000 5000 20,000
12 NI KOMANG SUKARI,Amd.Keb 9/8/2017 Erni KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

13 11/10/2017 Mariani INC 700,000 140,000 560,000
PNC 50,000 10,000 40,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

12/20/2017 Jundinasari INC 700,000 140,000 560,000
PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
INC 700,000 140,000 560,000

NI KOMANG SUKARI,Amd.Keb 1/18/2018 Irma KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000
2/10/2018 Marlina PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000
2/18/2018 Dewi .A.S KB 15,000 3000 12,000
ANC 200,000 40,000 160,000

NAHARIA TUMBA,Amd.Keb 4/11/2018 Luh suparini INC 700,000 140,000 560,000
PNC 50,000 10,000 40,000
DAFTAR PENERIMAAN JASA PERSALINAN DANA NON KAPITASI
PUSKESMAS LANGGIKIMA TAHUN ANGGARAN 2018
NO NAMA PEMBERI TANGGAL/BULAN NAMA PESERTA JENIS JUMLAH JUMLAH 20 %

OPERASIONAL JUMLAH JASA YG TANDA TANGAN
PELAYANAN PELAYANAN PELAYANAN TAGIHAN (Rp) DITERIMA 80% (Rp)
ANC
INC 700,000 140,000 560,000
1/10/2017 Sitti sahrah
PNC 25,000 5000 20,000
580,000
ANC
2/21/2017 Lusi
INC 700,000 140,000 560,000
560,000
ANC
INC 700,000 140,000 560,000
4/6/2017 Santi Sri Sugianti PNC 25,000 5000 20,000
KB 15,000 3000 12,000
592,000
ANC 200,000 40,000 160,000
INC 700,000 140,000 560,000
11/10/2017 Mariani
1 WAYAN SUDIANTI, Amd.Keb. PNC 50,000 10,000 40,000 1.
KB 15,000 3000 12,000
772,000
ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000
12/20/2017 Jundinasari PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
792,000
ANC 200,000 40,000 160,000
INC 700,000 140,000 560,000
2/10/2018 Marlina PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
792,000
ANC 200,000 40,000 160,000
INC 700,000 140,000 560,000
2/18/2018 Dewi .A.S
KB 15,000 3000 12,000
732,000
INC 700,000 140,000 560,000
2/14/2017 Ira febrianti KB 15,000 3000 12,000
572,000
ANC
INC 700,000 140,000 560,000
3/20/2017 Yusnita Puspitasari PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
632,000
ARJUNIATI,Amd.Keb ANC 100,000 20,000 80,000
2 2.
INC 700,000 140,000 560,000
5/7/2017 Wa Ode Isra,S.Pd PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
712,000
ANC 100,000 20,000 80,000
INC 700,000 140,000 560,000
20/05/207 Lespiani PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
712,000
ANC
INC 700,000 140,000 560,000
3/30/2017 Soebatul Islamia PNC 75,000 15,000 60,000
KB 15,000 3000 12,000
632,000
INC 700,000 140,000 560,000
PNC 75,000 15,000 60,000
5/26/2017 Fatonah
KB 15,000 3000 12,000
632,000
INC 700,000 140,000 560,000
3 NAHARIA TUMBA,Amd.Keb 3.
6/20/2017 Made suasti KB 15,000 3000 12,000
572,000
3 NAHARIA TUMBA,Amd.Keb 3.
ANC 200,000 40,000 160,000
7/12/2017 Wayan Sarini INC 700,000 140,000 560,000

PNC 25,000 5000 20,000
740,000
ANC 200,000 40,000 160,000
4/11/2018 Luh suparini INC 700,000 140,000 560,000

PNC 50,000 10,000 40,000
760,000
INC 700,000 140,000 560,000
PNC 25,000 5000 20,000
9/8/2017 Erni
KB 15,000 3000 12,000
4 NI KOMANG SUKARI,Amd.Keb 592,000 4.
INC 700,000 148,000 552,000

1/18/2018 Irma KB 15,000 3000 12,000
564,000
11,940,000
Mengetahui, Langgikima, 30 September 2018
Kepala Puskesmas Langgikima Pembuat Daftar
ANNY ANGELA, S.Kom Wayan Sudianti, AM.Keb

NIP:19771028200701 2 029 NIP. 19881206 200705 2 004

Rekapan Bpjs 2017-2018

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REKAPAN HASIL PELAYANAN

BULAN: PUSKESMAS LANGGIKIMA

WAYAN SUDIANTI,AM.KEB ANNY ANGELA,S.Kom

16 0002197003989 8/21/2017 11/10/2017 11/27/2017 12/20/2017 12/21/2017 12/25/2017 1/18/2018

17 0001937654594 6/3/2017 10/7/2017 12/16/2017 1/20/2018 2/10/2018 2/11/2018 2/16/2018 3/11/2018

18 0001937648294 6/12/2017 9/4/2017 1/7/2018 1/15/2018 1/18/2018 1/19/2018 1/26/2018 2/17/2018

19 0001937650094 13/06/2017 8/14/2017 11/13/2017 15/11/2017 1/18/2018 1/18/2018 1/21/2018 2/15/2018

20 0001937654109 6/15/2017 07/09/2017 11/30/2017 1/11/2018 1/26/2018 1/27/2018 1/31/2018 2/26/2018

21 0001937647135 6/24/2017 9/11/2017 11/14/2017 12/14/2017 1/14/2018 1/15/2018 2/11/2018 2/20/2018

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Mengetahui, Langgikima, 30 April 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima, 30 April 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,: 31 Januari 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,:28 Februari 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima, 30 April 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,:30 April 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima, 30 April 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,:30 Juni 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,: 31 Juli 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,: September 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,: 30 November 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,: 31 Desember 2017

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,:28 februari 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,31 januari 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima,28 februari 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

Mengetahui, Langgikima, 30 April 2018

ANNY ANGELA,S KOM Wayan Sudianti, AM.Keb

INC 700,000 140,000 560,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000

ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

INC 700,000 140,000 560,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000

ANC 200,000 40,000 160,000