DAFTAR REKAPITULASI P

DALAM RANGKA KE
DI WILAYAH UPT
TAHUN

BULAN : FEBRUARI
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 010.a/TU-
1
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 011.a/TU-
2
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 012.b/TU-
3
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
 5/977/02-2021

Yuli Apriyanti, A.Md.Keb

Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 014.a/TU-
4
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 015.a/TU-
5
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 015.b/TU-
6
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 015.c/TU-
7
dr. Yunivera Irmanita 5/977/02-2021
 015.c/TU-
7
5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 015.d/TU-
8
dr. Yunivera Irmanita 5/977/02-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep

JUMLAH TOTAL
FTAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIAYA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/2/2021 2/2/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/3/2021 2/3/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/5/2021 2/5/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/8/2021 2/8/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/17/2021 2/17/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/18/2021 2/18/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/19/2021 2/19/2021
Rp 125,000
DS. SABABILAH 2/19/2021 2/19/2021

Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 2/22/2021 2/22/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000

Rp 12,000,000

Buntok, Februari 202

KEPALA UPTD PUSKESMAS SAB

ARI LELONI HANDAYANI, S.Ke

NIP. 19691108 198802 2 00
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000

Rp 3,360,000 Rp 1,200,000 Rp 16,560,000

Buntok, Februari 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
 DAFTAR REKAPITULASI
DALAM RANGKA K
DI WILAYAH UP
TAHU

BULAN : MARET
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 023.a/TU-
1
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 025.a/TU-
2
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 025.b/TU-
3
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 025.c/TU-
4
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 027.a/TU-
5
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 027.b/TU-
6
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 028.a/TU-
7
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 028.b/TU-
8
dr. Yunivera Irmanita 5/977/03-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 032/TU-5/977/03-
9
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
JUMLAH TOTAL
TAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIAY

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 3/3/2021 3/3/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 3/4/2021 3/4/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 3/5/2021 3/5/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 3/8/2021 3/8/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
POLRES BARSEL 3/10/2021 3/10/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA BAPPEDA 3/12/2021 3/12/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
3/17/2021 3/17/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
3/18/2021 3/18/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
POLRES BARSEL 3/30/2021 3/30/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 13,500,000

Buntok, Maret 20

KEPALA UPTD PUSKESMAS S

ARI LELONI HANDAYANI, S

NIP. 19691108 198802 2
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 150,000 Rp 275,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 150,000 Rp 275,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 2,520,000 Rp 1,450,000 Rp 17,470,000

Buntok, Maret 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
Rp 1,500,000

Rp -

Rp 420,000

Rp 420,000
Rp -
 DAFTAR REKAPITULASI P
DALAM RANGKA KE
DI WILAYAH UPT
TAHUN

BULAN : APRIL
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 035.a/TU-
1
dr. Yunivera Irmanita 5/977/04-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 036.a/TU-
2
dr. Yunivera Irmanita 5/977/04-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 036.b/TU-
3
dr. Yunivera Irmanita 5/977/04-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
 5/977/04-2021

Yuli Apriyanti, A.Md.Keb

Ryan C, S.Kep
JUMLAH TOTAL
FTAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIAYA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA BAPPEDA 4/5/2021 4/5/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
4/8/2021 4/8/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
4/12/2021 4/12/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
PENDIDIKAN

Rp 125,000
Rp 125,000
Rp 4,500,000

Buntok, April 2021

KEPALA UPTD PUSKESMAS SAB

ARI LELONI HANDAYANI, S.Ke

NIP. 19691108 198802 2 00
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 250,000 Rp 375,000 Rp -
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 420,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 420,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 840,000 Rp 550,000 Rp 5,890,000

Buntok, April 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
 DAFTAR REKAPITULASI P
DALAM RANGKA KE
DI WILAYAH UPT
TAHUN

BULAN : MEI
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 063.a/TU-
1
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 063.b/TU-
2
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 063.c/TU-
3
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
 5/977/05-2021

Yuli Apriyanti, A.Md.Keb

Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.b/TU-
4
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.c/TU-
5
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.d/TU-
6
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.e/TU-
7
dr. Yunivera Irmanita 5/977/05-2021
 064.e/TU-
7
5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.f/TU-
8
dr. Yunivera Irmanita 5/977/05-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep

JUMLAH TOTAL
FTAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIAYA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 5/22/2021 5/22/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SANGGU 5/23/2021 5/23/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA SMKN 2 5/24/2021 5/24/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA SMKN 2 5/25/2021 5/25/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. TETEI LANAN 5/27/2021 5/27/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. PAMANGKA 5/28/2021 5/28/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. MANGARIS 5/29/2021 5/29/2021
Rp 125,000
DS. MANGARIS 5/29/2021 5/29/2021

Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. DANGKA 31/5//2021 31/5//2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000

Rp 12,000,000

Buntok, Mei 2021

KEPALA UPTD PUSKESMAS SAB

ARI LELONI HANDAYANI, S.Ke

NIP. 19691108 198802 2 00
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000

Rp 3,360,000 Rp 1,700,000 Rp 17,060,000

Buntok, Mei 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
 DAFTAR REKAPITULASI
DALAM RANGKA K
DI WILAYAH UP
TAHU

BULAN : JUNI
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.g/TU-
1
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.h/TU-
2
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.i/TU-
3
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.j/TU-
4
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 064.k/TU-
5
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 069.a/TU-
6
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 069.b/TU-
7
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 071/TU-5/977/06-
8
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 079/TU-5/977/06-
9
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 081.a/TU-
10
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 082.a/TU-
11
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 083.a/TU-
12
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 083.b/TU-
13
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 083.c/TU-
14
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 084.a/TU-
15
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 085.a/TU-
16
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 085.b/TU-
17
dr. Yunivera Irmanita 5/977/06-2021
Ayu Lestari,A.Md.Kep
Vuve Melani, A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Yuli Apriyanti, A.Md.Keb
Ryan C, S.Kep
JUMLAH TOTAL
TAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. TELANG ANDRAU 6/1/2021 6/1/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/2/2021 6/2/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/3/2021 6/3/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA SMKN 2 6/4/2021 6/4/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/5/2021 6/5/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
SMAN 1 BUNTOK 6/12/2021 6/12/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 6/14/2021 6/14/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SABABILAH 6/19/2021 6/19/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. SANGGU 6/20/2021 6/20/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/21/2021 6/21/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/22/2021 6/22/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. TETEI LANAN 6/24/2021 6/24/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. PAMANGKA 6/25/2021 6/25/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. MANGARIS 6/26/2021 6/26/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. DANGKA 6/28/2021 6/28/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
DS. TELANG ANDRAU 6/29/2021 6/29/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
6/30/2021 6/30/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 25,500,000

Buntok, Juni 20

KEPALA UPTD PUSKESMAS S

ARI LELONI HANDAYANI, S

NIP. 19691108 198802 2
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 250,000 Rp 375,000 Rp 1,500,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 6,720,000 Rp 3,350,000 Rp 35,570,000

Buntok, Juni 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
Rp 420,000

Rp 420,000

Rp 420,000

Rp 420,000
Rp 420,000

Rp -

Rp 420,000

Rp 420,000
Rp 420,000

Rp 420,000

Rp 420,000

Rp 420,000
Rp 420,000

Rp 420,000

Rp 420,000

Rp 420,000
Rp 420,000
 DAFTAR REKAPITULASI PE
DALAM RANGKA KE
DI WILAYAH UPTD
TAHUN

BULAN : JULI
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 085.c/TU-
1
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 089.a/TU-
2
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 089.b/TU-
3
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
 089.b/TU-
3
5/977/07-2021

Tania Karen Elisabeth, A.Md.Keb

Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 093.a/TU-
4
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 093.b/TU-
5
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 096.a/TU-
6
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep

096.b/TU-
7
5/977/07-2021
 Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 096.b/TU-
7
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 096.c/TU-
8
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 099.a/TU-
9
dr. Yunivera Irmanita 5/977/07-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
JUMLAH TOTAL
TAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIAYA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS PENDIDIKAN 7/1/2021 7/1/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS PENDIDIKAN 7/2/2021 7/2/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS PENDIDIKAN 7/3/2021 7/3/2021
Rp 125,000
Rp 125,000
AULA DINAS PENDIDIKAN 7/3/2021 7/3/2021

Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
POLRES BARSEL 7/10/2021 7/10/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
BALAI DESA Rp 125,000
7/17/2021 7/17/2021
SABABILAH Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
BALAI DESA TETEI Rp 125,000
7/22/2021 7/22/2021
LANAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000

BALAI DESA TELANG

7/23/2021 7/23/2021
ANDRAU
 Rp 125,000
Rp 125,000
BALAI DESA TELANG Rp 125,000
7/23/2021 7/23/2021
ANDRAU Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
BALAI DESA MANGARIS 7/24/2021 7/24/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
AULA DINAS Rp 125,000
7/28/2021 7/28/2021
PENDIDIKAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 13,500,000

Buntok, Juli 2021

KEPALA UPTD PUSKESMAS SAB

ARI LELONI HANDAYANI, S.Ke

 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 150,000 Rp 275,000 Rp 1,500,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
 Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000 Rp 1,500,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 3,360,000 Rp 1,650,000 Rp 18,510,000

Buntok, Juli 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
Rp 420,000

Rp 420,000

Rp 420,000
Rp -

Rp 420,000

Rp 420,000

Rp 420,000
Rp 420,000

Rp 420,000
 DAFTAR REKAPITULAS
DALAM RANGKA
DI WILAYAH U
TAH

BULAN : AGUSTUS
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 102.a/TU-
1
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 102.b/TU-
2
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 103.a/TU-
3
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 106.a/TU-
4
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 108.a/TU-
5
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 109.a/TU-
6
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 110.a/TU-
7
dr. Yunivera Irmanita 5/977/08-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 111/TU-5/977/08-
8
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
JUMLAH TOTAL
FTAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BI

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
SMAN 1 DUSUN Rp 125,000
8/3/2021 8/3/2021
SELATAN Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
LAPANGAN BATUAH 8/7/2021 8/7/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 8/9/2021 8/9/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
KODIM Barsel 8/14/2021 8/14/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Aula Dinas Kesehatan 8/25/2021 8/25/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 8/26/2021 8/26/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 8/27/2021 8/27/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
LAPANGAN BATUAH 8/28/2021 8/28/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 12,000,000

Buntok, Agustus 2

KEPALA UPTD PUSKESMAS S

ARI LELONI HANDAYANI, S

NIP. 19691108 198802 2
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 250,000 Rp 375,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 150,000 Rp 275,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 250,000 Rp 375,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 1,260,000 Rp 1,600,000 Rp 14,860,000

Buntok, Agustus 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004
 DAFTAR REKAPITULASI
DALAM RANGKA K
DI WILAYAH UP
TAHU

BULAN : SEPTEMBER
NOMOR DAN TANGGAL
NO NAMA
SPT SPD
1 2 3 4
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 113/TU-5/977/09-
1
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 114/TU-5/977/09-
2
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 115.a/TU-
3
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 118.a/TU-
4
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 119.a/TU-
5
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 120/TU-5/977/09-
6
dr. Yunivera Irmanita 2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 120.a/TU-
7
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
 Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 120.b/TU-
8
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 121.a/TU-
9
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 122.a/TU-
10
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
Ari Leloni Handayani, S.Kep,Ns
Handriani, A.Md.Keb
Ririn Lumayanti, A.Md.Kep
Zaidani, S.Kep,Ns
Friska Ekatni, A.Md.Keb
dr. Piniel Frimantama 122.b/TU-
11
dr. Yunivera Irmanita 5/977/09-2021
Ayu Lestari,A.Md.Kep
Tania Karen Elisabeth, A.Md.Keb
Vuve Melani, A.Md.Kep
Yuli Apriyanti, A.Md.Keb
Erwin Noprianto, A.Md.Kep
JUMLAH TOTAL

13500000
TAR REKAPITULASI PERJALANAN DINAS DALAM DAERAH
DALAM RANGKA KEGIATAN VAKSINASI COVID-19
DI WILAYAH UPTD PUSKESMAS SABABILAH
TAHUN ANGGARAN 2021

TANGGAL PERJALANAN DINAS BIA

TUJUAN
BERANGKAT KEMBALI UANG HARIAN
5 6 7 8
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Polres Lama Buntok 9/2/2021 9/2/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Jaro Pirarahan 9/4/2021 9/4/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 9/6/2021 9/6/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 9/11/2021 9/11/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 9/15/2021 9/15/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sanggu 9/16/2021 9/16/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Desa Sababilah 9/17/2021 9/17/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
SMAN 1 BUNTOK 9/19/2021 9/19/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Aula Dinas Kesehatan 9/24/2021 9/24/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
SMAN 1 BUNTOK 9/25/2021 9/25/2021
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Kantor Kecamatan Rp 125,000
9/26/2021 9/26/2021
Dusun Selatan Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 16,500,000

Buntok, September

KEPALA UPTD PUSKESMAS S

ARI LELONI HANDAYANI, S

NIP. 19691108 198802 2
 BIAYA
MAKAN TRANSPORT JUMLAH
9 10 11
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 250,000 Rp 410,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 150,000 Rp 310,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 35,000 Rp 160,000
Rp 250,000 Rp 375,000
 Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 150,000 Rp 275,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 250,000 Rp 375,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
Rp 125,000
 Rp 2,100,000 Rp 2,250,000 Rp 20,850,000

Buntok, September 2021

EPALA UPTD PUSKESMAS SABABILAH

ARI LELONI HANDAYANI, S.Kep,Ns

NIP. 19691108 198802 2 004