TANDA TERIMA BARANG NO:

DAFTAR DISTRIBUSI PENERIMA BAHAN PANGAN TAMBAHAN

Provinsi :
Kabupaten :
Institusi Penerima :

Pr ofesi Jum lah

No Nama Penerima NIK Tempat Kerja No Hp Tanda Tangan
(Nakes/ Non Nakes Non ASN) (Paket)

1 dr. SULASTRI ATMADJA 1 Paket

2 dr. HESTY YULANDA, S.Ked 1 Paket

3 ANDI ARNINSING, SKM, M. Kes 1 Paket

4 ERFIKA, SE 1 Paket

5 RISKY YULVY ANITA RAHMAT, SKM 1 Paket

6 ANDI LUCYA ANGGERAYNY, A. Md. Keb 1 Paket

7 ANDI UTAMI RISJAYATI, SKM 1 Paket

8 DARUL WARDANI, S.Kom 1 Paket

9 SYAFRUDDIN, A. Md. TEM 1 Paket

10 EKA SRI WAHYUNI, S.A.P 1 Paket

11 EKA SRI WAHYUNI, A, Md. Keb 1 Paket

12 SRI RAHAYU. A.Md. Keb 1 Paket

13 REKHA SAFITRI AKBAR, SKM 1 Paket

14 NURAENI 1 Paket

15 HASRIANI, S.Kom 1 Paket

16 NIKMA WARDANA, A.Md.Keb 1 Paket

17 SINTA RASMI RAMASARI, A.Md.Keb 1 Paket

18 ROSNENI, A. Md. Ft 1 Paket

19 YULIANA, S. Kep, Ns 1 Paket

20 ANDI TAHIRAH, S. Kep, Ns 1 Paket

21 ROSMIATI, S. Kep, Ns 1 Paket

22 KARTINI UMAR, S.Kep.Ns 1 Paket

23 ARMAN, S.Kep.Ns 1 Paket

24 IRENE T SITURU, A.Md. Kep 1 Paket

25 NIRWANA, S.Kep.Ns 1 Paket

26 JURANA, S.Kep.Ns 1 Paket

27 NURINTAN, S.Kep.Ns 1 Paket

28 ATIRA, A. Md. Kep 1 Paket

29 TRI ULPA MUSTAMING, A. Md. Kep 1 Paket

30 HASMIATI, S.Kep.Ns 1 Paket

31 RAHMARISA, S.Kep.Ns 1 Paket

32 ASRIANI, S.Kep, Ns 1 Paket

33 SRI ATISYAH, S.Kep, Ns 1 Paket

34 NURALIYAH, A. Md. Kep 1 Paket

35 SALWIYAH, A. Md. Kep 1 Paket

36 ANTI GUSNAWATI, AMK 1 Paket

37 NURLIAH, A.Md.Kep 1 Paket

38 KARMILA, S.Kep.Ns 1 Paket

39 AYUSTINA, A.Md.Kep 1 Paket

40 WIWIEK WIDYASTUTY, AMK 1 Paket

41 BESSE DARMAWATI, S.Kep 1 Paket

42 HERNINA, A.Md.Kep 1 Paket

43 ANDI SUSILASWATI, S.Kep.Ns 1 Paket

44 BASO TONRALIFU, A. Md. Kep. 1 Paket

45 ASRYANI, A. Md. Keb 1 Paket

46 WAWAN SETIAWAN, S.Kep.Ns 1 Paket

47 ROSMINI, A. Md. Keb 1 Paket

48 ANDI RATNA P, A.Md.Keb 1 Paket

49 ASMARAINI, A. Md. Keb 1 Paket

50 HASBIA, A.Md. Rad 1 Paket

51 EKA ZAHDINI, A.Md.Keb 1 Paket

52 ANITA RAHAYU, A.Md.Keb 1 Paket

53 HESTI DIAWANTI, A.Md.Keb 1 Paket

54 HASRIYANTI, A.Md.Keb 1 Paket

55 SRI YUNIATI DARWIS, A.Md.Keb 1 Paket

56 HARWIANI, A.Md.Keb 1 Paket

57 FAUZIAH NAWIR, A.Md.Keb 1 Paket

58 BESSE HASNANI, A.Md.Keb 1 Paket

59 HAMRIANA, A.Md.Keb 1 Paket

60 MULIANA, A.Md.Keb 1 Paket

61 AFRINA MAKMUR, A.Md.Kep 1 Paket

62 SRI WAHYUNI SAMNAS, A.Md.Kep 1 Paket

63 DAMAYANTI, AMK 1 Paket

64 ABD KADIR, A.Md.Kep 1 Paket

65 PAJRI MATPUL, A.Md.AK 1 Paket

66 RISNAWATI, A.Md.AK 1 Paket

67 RISMA, A.Md.Ak 1 Paket

68 WAHIDAWATI, A.Md.AK 1 Paket

69 EMILIANA, A.Md.AK 1 Paket

70 TRISNAWATI TAUFIK, A. Md. Kes 1 Paket

71 HASTIA LATIF, S.Si, Apt 1 Paket

72 FIRDAWATI, S. Si 1 Paket

73 HARNIAS, S. Farm. Apt 1 Paket

74 ANDI KARLINA, S. Farm. Apt 1 Paket

75 RIKA ELSA, A.Md. Farm 1 Paket

76 NELYANI HASRAH, S.Farm, Apt 1 Paket

77 YANI, A.Md. Farm 1 Paket

78 SAMSIAH, S. Kep, Ns 1 Paket

79 AEVAL DELIANA W, A.Md.Kes 1 Paket

80 ANDI FITRI, A.Md.Keb 1 Paket

81 RAHMA ANGGRAENI. A.Md.Keb 1 Paket

82 INTANGSARI, A.Md.Keb 1 Paket

83 ERNAWATI, A.Md.Keb 1 Paket

84 RAHMIAH ISHAK, A.Md.Keb 1 Paket

85 WIWIK SULASTRI, A.Md.Keb 1 Paket

86 BASO ANGGA DERU 1 Paket

87 MUHAMMAD IQBAL, S. Kep 1 Paket

88 RABIAH, A.Md.Keb 1 Paket

89 HUSMAWATI, A.Md.Keb 1 Paket

90 JUSRIANI, A,Md.Keb 1 Paket

91 SUMARNI, A. Md. Keb 1 Paket

92 MARLINA, S. ST 1 Paket

93 BESSE HAJAR, SKM 1 Paket

94 NURLIATI 1 Paket

95 AYU ASDIRA 1 Paket

96 HASNAWATI 1 Paket

97 SINARPATI 1 Paket

98 FITRIANI 1 Paket

99 SURIANI 1 Paket

100 SUHARMAN 1 Paket

101 ANDI TAMZIL 1 Paket

Paket terdiri dari: Kacang Tanah, Kacang Hijau, Cornet Beef, Sarden, ……………………………., 2020
Tepung Terigu, Minyak Goreng, Tas
Petugas Distribusi

Cap/ TTD

Nama
NIP