DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI

Bulan/ Tahun Januari 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 2/1/2021 Roidah 54 th Sido Mukti 5,000 5,000
2 4/1/2021 Adi 26 th Tri Mekar Jaya 5,000 5,000
3 Yulia 32 th Way Bulok 5,000 5,000
4 5/1/2021 Aldi Hidayat 17 th Ponpes 5,000 5,000
5 Sumiati 38 th Way Heni 5,000 5,000
6 Tupin 54 th Asam Kumbang 5,000 5,000
7 7/1/2021 Jarno 54 th Tembelang 5,000 5,000
8 8/1/2021 Yuda Adil 1 bln Bumi Hantatai 5,000 5,000
9 Sulasmi 65 th Tembelang 5,000 5,000
10 Ahmad 67 th Bumi Hantatai 5,000 5,000
11 11/1/2021 Sarmiani 81 th Sukajadi 5,000 5,000
12 Admi 78 th Way Heni 5,000 5,000
13 12/1/2021 Juriah 50 th Negeri Jaya 5,000 5,000
14 Agung 5 th Muara Aman 5,000 5,000
15 Febi 22 th Sumber Agung 5,000 5,000
16 15/01/2021 Saliyem 67 th Asam Kumbang 5,000 5,000
17 Yulika 4 th Tri Mekar Jaya 5,000 5,000
18 18/01/2021 Mualan 8 th Tembelang 5,000 5,000
19 19/01/2021 Parto 78 th Suka Maju 5,000 5,000
20 Otong 38 th Damar Kaca 5,000 5,000
21 Mungidin 49 th Tl. Baru 5,000 5,000
22 20/01/2021 Toto Purwanto 24 th Gunung Sari 5,000 5,000
23 Suliyah 50 th Muara Aman 5,000 5,000
24 Khomsatun 43 th Kerung 5,000 5,000
25 Turinah 72 th Bandar Rejo 5,000 5,000
26 21/01/2021 Selfia 42 th Asam Kumbang 5,000 5,000
27 Solemah 44 th Bandar Setia 5,000 5,000
28 Feriyansyah 8 th Tembelang 5,000 5,000
29 Nihariyati 38 th Ringin Jaya 5,000 5,000
30 23/01/2021 Deni 7 th Tl. Rejo 5,000 5,000
 31 Rizki 13 th Gunung Ratu 5,000 5,000
32 Lisa 24 th Bandar Rejo 5,000 5,000
33 25/01/2021 Manisem 50 th Kali Bening 5,000 5,000
34 Lilis 19 th Muara Aman 5,000 5,000
35 Asrori 17 th Suka Maju 5,000 5,000
36 27/01/2021 Harsam 53 th Atar Lebar 5,000 5,000
37 29/01/2021 Basuki 9 th Way Heni 5,000 5,000
38 Sahrul 7 th Muara Aman 5,000 5,000
39 30/01/2021 Nursifah 6 th Muara Aman 5,000 5,000
40 Risma 8 th Muara Aman 5,000 5,000
Jumlah 105,000 15,000 - - 200,000
Total 200,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun FEBRUARI 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA

1 1/2/2021 ALIZA 11 th MUARAMAN 10000
2 MARIUS 65 th TRIMEKAR JAYA 10000
3 2/2/2021 DEPI 32 th MUARAMAN 10000
4 MUSMIN 52 th TEMBELANG 10000
5 REVIN 9 th SUMBER AGUNG 10000
6 3/2/2021 TUMUNTO 34 th SUMBER AGUNG 10000
7 4/2/2021 NUR HASANAH 4 th RINGIN JAYA 10000
8 8/2/2021 ENDA WATI 18 th PENINJAUAN 10000
9 9/2/2021 IWAN 25 th WAY TUING 10000
10 RIKI REVIAN 2.1 th MUARAMAN 10000
11 ROHIM 78 th TALANG BATU 10000
12 10/2/2021 YATEMIN 56th TALANG KUDUS 10000
13 11/2/2021 SUGIATI 52 th TEMBELANG 10000
14 HAFID 2.7 th WAY BULOK 10000
15 15/2/2021 ANDIKA 5 th BANDAR AGUNG 10000
16 16/2/2021 MUDAKIR 14 th PALANG MERAH 10000
17 NURDIN 26 th SUKAJADI 10000
18 17/2/2021 LIA APRIANI 1.4 th SUKA MARGA 10000
19 18/2/2021 ZULKIFLI 63 th BANDAR AGUNG 10000
20 19/2/2021 HERMAWATI 44 th HANTATAI 10000
21 ALFI 8 bl MARGA JAYA 10000
22 22/2/2021 RINDIYANI 10 th MUARAMAN 10000
23 23/2/2021 DIMAS 8 th WAY BULOK 10000
24 DAVID 12 th SUKAJADI 10000
25 24/2/2021 MUJIONO 61 th BANDAR SETIA 10000
26 AZKA 9 th LEBUHON 10000
27 26/2/2021 AFIFAH 6 th TANJUNG SARI 10000
28 IMAS 4 th MUARAMAN 10000
29 MARSANI 58 th MUARAMAN 10000
30 SUNARTI 56 th PENINJAUAN 10000
31 27/2/2021 MURID 76 th TRIMEKAR JAYA 10000
32 HERI 24 th PALANG MERAH 10000
Jumlah 250,000 70,000
Total

Kepala UPT Puskesmas

Bandar Negeri Suoh
SUHAIDI, S.Kep, M.Kes
NIP.19850215 201101 1 007
M PUSTU SUKAJADI
ARI 2021

BPG LAB KB KIR JUMLAH

10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
- - 320,000
320,000

Pustu Sukajadi
BAMBANG SUNARTO, Amd.Kep
NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Maret 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/3/2021 SUKIRYO 53 th PUNGKALAN 10,000 10,000
2 IMAS 6 th MUARA AMAN 10,000 10,000
3 3/3/2021 NILAWATI 49 th TEMBELANG 10,000 10,000
4 M. FAJAR 8 th MUARA AMAN 10,000 10,000
5 4/3/2021 NOVI APRIYANI 14 th BANDAR AGUNG 10,000 10,000
6 SARWOTO 45 th TRIMEKAR JAYA 10,000 10,000
7 5/3/2021 AMINUDIN 34 th SUKAJADI 10,000 10,000
8 6/3/2021 AMANAH 34 th TLG BARU 10,000 10,000
9 MAT SANI 48 th LEBUHON 10,000 10,000
10 8/3/2021 AQILA 5th RINGIN JAYA 10,000 10,000
11 9/3/2021 REFIN 13 th ASEM KUMBANG 10,000 10,000
12 12/3/2021 TASYA 7 th BUNGA LOTE 10,000 10,000
13 NURHIDAYAT 34 th BANDAR SETIA 10,000 10,000
14 DINDA 2 th BANDAR SETIA 10,000 10,000
15 13/3/2021 NURHAYATI 31 th SUKAJADI 10,000 10,000
16 ASWATI 43 th SUKAJADI 10,000 10,000
17 15/3/2021 ARSIT 62 th TAMAN SARI 10,000 10,000
18 NURDIN 27 th PENINJAUAUAN 10,000 10,000
19 16/3/2021 DONI 23 th TLG KUNYIT 10,000 10,000
20 NOVI APRIYANI 23 th MUARA AMAN 10,000 10,000
21 IMAS 6 th BUKIT HARAPAN 10,000 10,000
22 17/3/2021 SUMIATI 19 th PUNGKALAN 10,000 10,000
23 18/3/2021 SUTINAH 50 th PUNGKALAN 10,000 10,000
24 19/3/2021 SUGIMAN 58 th RINGIN JAYA 10,000 10,000
25 ANDI.K 23 th MUARA AMAN 10,000 10,000
26 20/3/2021 SITI 50 th RINGIN JAYA 10,000 10,000
27 22/3/2021 SARIYAH 30 th MUARA AMAN 10,000 10,000
28 23/3/2021 SUMARNI 57 th TRIMEKAR JAYA 10,000 10,000
29 25/3/2021 ENDANG 2 th LAM TIM 10,000 10,000
30 26/3/2021 DIKUN 42 th WAY TUING 10,000 10,000
31 MAYSAH 56 th WAY HENI 10,000 10,000
32 27/3/2021 AMAH 57 th HANTATAI 10,000 10,000
33 29/3/2021 DEFO 5 TH HANTATAI 10,000 10,000
34 30/3/2021 RIAN 8 TH NEGRI JAYA 10,000 10,000
35 31/3/3021 DINI APRIYANI 4 TH ATAR LEBAR 10,000 10,000
Jumlah 300,000 50,000 - - 350,000
Total 350,000

Kepala UPT Puskesmas Pustu Sukajadi

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun APRIL 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/4/2021 SUPIYAH 36 th PENANGKULAN 10,000 10,000
2 SULAIMAH 62 th TRIMEKAR JAYA 10,000 10,000
3 5/4/2021 RIDO 4,5 th TRIMEKAR JAYA 10,000 10,000
4 BOYINAH 42 th RINGIN JAYA 10,000 10,000
5 6/4/2021 ASWIYAH 43 th MUARA AMAN 10,000 10,000
6 TONO 36 th TAMAN SARI 10,000 10,000
7 RAJENDRA 8 bln BANDAR AGUNG 10,000 10,000
8 7/4/2021 SUGINAH 52 th TEMBELANG 10,000 10,000
9 8/4/2021 ROHAYATI 52 th MUARA AMAN 10,000 10,000
10 9/4/2021 IMRO ATUN 7th SIDO REJO 10,000 10,000
11 12/4/2021 ROSIDIN 49 th BANDAR SETIA 10,000 10,000
12 NOVIA 23 th TALANG KROYA 10,000 10,000
13 13/4/2021 ADEN 30 th WAY TUING 10,000 10,000
14 LISA 39 th BUNGA LOTE 10,000 10,000
15 14/4/2021 TIKA 28 th PUNGKALAN 10,000 10,000
16 SARIKA 68 th MUARA AMAN 10,000 10,000
17 16/4/2021 NOVI 5 th TLG KROYA 10,000 10,000
18 19/4/2021 ALISA.S 6 th WAY TUING 10,000 10,000
19 WIWIT 40 th BUNGA LOTE 10,000 10,000
20 20/4/2021 LASINEM 48 th PENANGKULAN 10,000 10,000
21 NUR AINI 32 th MUARA AMAN 10,000 10,000
22 ISMAWATI 1,5 th TALANG KUDUS 10,000 10,000
23 21/4/2021 ZUMAIRAH 49 th MUARA AMAN 10,000 10,000
24 22/4/2021 KARDI 65 th SIDO REJO 10,000 10,000
25 MIF ROJI 10 th SINAR SARI 10,000 10,000
26 23/4/2021 ABDUL ROZAKa 15 th TLG CIAMIS 10,000 10,000
27 NGATINEM 58 th NEGRI RATU 10,000 10,000
28 RUSTINI 40 th PALANG MERAH 10,000 10,000
29 24/4/2021 GUNAWAN 29 th TEMBELANG 10,000 10,000
30 ABAH KADIR 72 th BLOK 3 10,000 10,000
31 BU ANAH 54 th RINGIN JAYA 10,000 10,000
32 26/4/2021 ANISA SOLEHAH 4 th TRIMEKAR JAYA 10,000 10,000
33 JATINAH 63 th GUNUNG RATU 10,000 10,000
34 27/4/2021 LILIS 2 th MUARA AMAN 10,000 10,000
35 LISNA 8 th MUARA AMAN 10,000 10,000
36 28/4/2021 SUTARYO 65 th BANDAR AGUNG 10,000 10,000
37 29/4/2021 KIBRAN 3 th HANTATAI 10,000 10,000

Jumlah 300,000 70,000 - - 370,000

Total 370,000

Kepala UPT Puskesmas Pustu Sukajadi

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Mei 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 3/5/2021 FAHMI T 2,5 th BANDAR AGUNG 10,000 10,000
2 ROHMAN 25 th MUARAMAN 10,000 10,000
3 4/5/2021 SULTON 3 th PENINJAUAN 10,000 10,000
4 5/5/2021 M, SAIFUL. M 4 th PENINJAUAN 10,000 10,000
5 AMRUL MUBAROK 29 th SUKA MAJU 10,000 10,000
6 6/5/2021 FAUZAN 9 th SUKA MAJU 10,000 10,000
7 JANATUN 10 th NEGRI JAYA 10,000 10,000
8 7/5/2021 SARDI 75 th WAY TUING 10,000 10,000
9 8/5/2021 ROMINOH 66 th SIDO REJO 10,000 10,000
10 NARDI 26 th WAY TUING 10,000 10,000
11 ASEP 31 th PENINJAUAN 10,000 10,000
12 10/5/2021 PARIMAN 26 th MUARAMAN 10,000 10,000
13 11/5/2021 AHMAD JANI 25 th RINGIN JAYA 10,000 10,000
14 YUNI 36 th KEM PLASTIK 10,000 10,000
15 AGIL 4 th AY HENI 10,000 10,000
16 15/5/2021 SALNAH 35 th BANDAR AGUNG 10,000 10,000
17 SURONAH 70 th WAY TUING 10,000 10,000
18 17/5/2021 TOTO PURWANTO 24 th G SARI 10,000 10,000
19 18/5/2021 RUMIAH 34 th MUARAMAN 10,000 10,000
20 AHMAD 69 th HANTATAI 10,000 10,000
21 19/5/2021 ANISTON 6 th PENINJAUAN 10,000 10,000
22 NADIAN 5 th BANDAR REJO 10,000 10,000
23 LASIMAN 48 th SINAR SARI 10,000 10,000
24 20/5/2021 NUR AINI 32 th RINGIN JAYA 10,000 10,000
25 SUKARTI 60 th SUKA MAJU 10,000 10,000
26 21/5/2021 H, SULEMI 71 th TALANG KUDUS 10,000 10,000
27 M, YUNUS 7 th PENINJAUAN 10,000 10,000
28 22/5/2021 SAFEI 30 th BANDAR AGUNG 10,000 10,000
29 24/5/2021 DAHLAN 49 th SRIMULYO 10,000 10,000
30 25/5/2021 HANIF 7 th W, BULUH 10,000 10,000
31 27/5/2021 BAGUS NUROMI 13 th TLG BARKAH 10,000 10,000
32 ASRUN 16 th PENINJAUAN 10,000 10,000
33 28/05/2021 RUM,IAH 65 th SIDO REJO 10,000 10,000
34 AFIAH 2 th SUKAJADI 10,000 10,000
35 BU KARTI 68 th ASEMKUMBANG 10,000 10,000
36 29/05/2021 ASWATI 21 th MUARAMAN 10,000 10,000
37 TUTI 40 th RINGIN JAYA 10,000 10,000
38 31/05/2021 ARSIH 38 th PENINJAUAN 10,000 10,000
Jumlah 320,000 60,000 - - 380,000
Total 380,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes

NIP.19850215 201101 1 007 BAMBANG SUNARTO, Amd.Kep
NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Juni 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 2/6/2021 TARWIN 64 th SUKA MAJU 10,000 10,000
2 LULUK H. 4 th TRI MEKAR JAYA 10,000 10,000
3 3/6/2021 DIDAN 5 th MUARA AMAN 10,000 10,000
4 SAWON 52 th SINAR SARI 10,000 10,000
5 4/6/2021 SUGENG 32 th SUKA MULYA 10,000 10,000
6 ROHMAWATI 30 th SUKAJADI 10,000 10,000
7 5/6/2021 ALDI 18 th TANJUNG SARI 10,000 10,000
8 7/6/2021 PARIMIN 54 th TALANG SUNDA 10,000 10,000
9 ANAS 5 th PENANGKULAN 10,000 10,000
10 NOVI 22 th PALANG MERAH 10,000 10,000
11 8/6/2021 NABILA 10 th BANDAR AGUNG 10,000 10,000
12 SAMIRAH 65 th GUNUNG RATU 10,000 10,000
13 9/6/2021 ROLIYAH 37 th BANDAR AGUNG 10,000 10,000
14 10/6/2021 ERMA 38 th WAY HENI 10,000 10,000
15 18/06/2021 RELIWAYANTI 33 th HANTATAI 10,000 10,000
16 RUSNIAH 33 th HANTATAI 10,000 10,000

Jumlah 130,000 30,000 - - 160,000

Total 160,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes

NIP.19850215 201101 1 007 BAMBANG SUNARTO, Amd.Kep
NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Juni 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

Jumlah 0 0
Total 0

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUHAIDI, S.Kep, M.Kes

NIP.19850215 201101 1 007
USTU SUKAJADI
021

BPG LAB KB KIR JUMLAH

- - 0

Pustu Sukajadi

BAMBANG SUNARTO, Amd.Kep

NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun AGUSTUS 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 3/8/2021 DAYAT 6,5 th BLOK 12 10,000 10,000
2 5/8/2021 ARYANI 24 th BLOK 13 10,000 10,000
3 6/8/2021 LASTON 21 th SUKA JADI 10,000 10,000
4 7/8/2021 SUKARTI 42 th SUKA JADI 10,000 10,000
5 9/8/2021 ROFINGAH 50 th PUNGKALAN 10,000 10,000
6 JUNAIDAH 60 th TEMBELANG 10,000 10,000
7 12/8/2021 SUKIMIN 56 th WAY HARU 10,000 10,000
8 13/8/2021 FEBI.M.S 14 th SUKA MAJU 10,000 10,000
9 IDAYANA 45 th SUKA AGUNG 10,000 10,000
10 14/8/2021 SABARUDIN 40 th BANDAR SETYA 10,000 10,000
11 16/8/2021 SARIF 36 th RINGIN JAYA 10,000 10,000
12 LILIS.S 35 th BALAI KAMBANG 10,000 10,000
13 RAHMAT 19 th TALANG KRIYA 10,000 10,000
14 18/8/2021 WINARTO 46 th SUKA MAJU 10,000 10,000
15 19/8/2021 GONIAH SOLIAH 11 th ATAR LEBAR 10,000 10,000
16 20/8/2021 SUWIYAH 30 th MUARA AMAN 10,000 10,000
17 21/8/2021 SUPIAH 60 th WAY TUING 10,000 10,000
18 24/8/2021 PARTIMI 53 th SRIMULYO 10,000 10,000
19 FIKA 6 th TEMBELANG 10,000 10,000
20 ANDI 2,5 th TALANG BANYAK 10,000 10,000
21 25/8/2021 IWAN 27 th BUNGA LOTE 10,000 10,000
22 REFAN 15 th MUARA AMAN 10,000 10,000
23 30/08/2021 ASTI 9 th SUKAJADI 10,000 10,000
24 31/08/2021 P. RIHIN 60 th PENANGKULAN 10,000 10,000

Jumlah 230,000 10,000 - - 240,000

Total 240,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes

NIP.19850215 201101 1 007 BAMBANG SUNARTO, Amd.Kep
NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun SEPTEMBER 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 02/09/2021 APRIYANI 20 WAY HENI 10,000 10,000
2 02/09/2022 YETI 60 WAY HENI 10,000 10,000
3 03/09/2021 RIKA 14 PONPES 10,000 10,000
4 03/09/2022 ARIFUDIN 26 GUNUNG RATU 10,000 10,000
5 06/09/2021 KODIR 54 RINGIN JAYA 10,000 10,000
6 07/09/2021 ABIULI 60 PONPES 10,000 10,000
7 07/09/2021 ULFI 16 HANTATAI 10,000 10,000
8 07/09/2021 SLAMET 65 SINAR SARI 10,000 10,000
9 08/09/2021 ARIYATI 42 BANDAR SETIA 10,000 10,000
10 09/09/2021 IDOYALU 50 BANDAR AGUNG 10,000 10,000
11 09/09/2021 RAISA 54 AWUR KANDANG 10,000 10,000
12 13/09/2021 MBAH YOH 90 SIDOREJO 10,000 10,000
13 14/09/2021 MUKARIAM 37 ATAR LEBAR 10,000 10,000
14 14/09/2021 KHODIJAH 52 SIDO REJO 10,000 10,000
15 15/09/2021 DARMAJI 42 DAUR KUCI 10,000 10,000
16 17/09/2021 AHMAD RIFAI 5 RINGIN JAYA 10,000 10,000
17 17/09/2021 RUMAINAH 40 BANDAR AGUNG 10,000 10,000
18 18/09/2021 IDA YANA 45 TEMBELANG 10,000 10,000
19 21/09/2021 ASWATI 43 SUKAJADI 10,000 10,000
20 22/09/2021 MUJINAH 35 TALANG MULYA 10,000 10,000
21 22/09/2021 WARNI 50 TALANG GAJAH 10,000 10,000
22 22/09/2021 SALAMAH 51 GUNUNG RATU 10,000 10,000
23 23/09/2021 AQILA 6 LEBUHON 10,000 10,000
24 23/09/2021 MAHPUD 56 RINGIN JAYA 10,000 10,000
25 24/09/2021 NOVAL 4 TALANG SAWAH 10,000 10,000
26 25/09/2021 NURYOKO 60 SIDOREJO 10,000 - - 10,000
27 25/09/2021 MARDI 27 TAMAN SARI 10,000 10,000
28 27/09/2021 KARSIH 50 SUKA JADI 10,000 10,000
29 28/09/2021 GIRMAN 28 TALANG GISTING 10,000 10,000
30 29/09/2021 UJANG 33 TALANG MALIMAR 10,000 10,000
Jumlah 280,000 20,000 300,000
Total 300,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun OKTOBER 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 01/10/2021 ROHMAN 35 th MUARA AMAN 10,000 10,000
2 01/10/2021 RISKA 12 th NEGERI JAYA 10,000 10,000
3 02/10/2021 NUNUNG 33 th RINGIN JAYA 10,000 10,000
4 04/10/2021 PARMIN 56 th HANTATAI 10,000 10,000
5 05/10/2021 ANDRI 26 th MALANG 10,000 10,000
6 SAMINAH 71 th MUARA AMAN 10,000 10,000
7 06/10/2021 MUJIOKO 61 th BANDAR REJO 10,000 10,000
8 07/10/2021 NOVAL 4 th TALANG KUDUS 10,000 10,000
9 ROSITA 4 th PENINJAUAN 10,000 10,000
10 WENDA 1,5 th PENANGKULAN 10,000 10,000
11 08/10/2021 AZAM 1,5 th SIDOREJO 10,000 10,000
12 HERNI 45 th BANDAR AGUNG 10,000 10,000
13 11/10/2021 NGATENO 63 th TALANG KUDUS 10,000 10,000
14 12/10/2021 ARIFIN 26 th TRI MEKAR JAYA 10,000 10,000
15 PAIRI 58 th TRI MEKAR JAYA 10,000 10,000
16 13/10/2021 DIMAN 24 th TALANG REJO 10,000 10,000
17 14/10/2021 SARTINAH 62 th SUKA DAMAI 10,000 10,000
18 MULYADI 26 th MUARA AMAN 10,000 10,000
19 15/10/2021 KARSI 48 th GUNUNG RATU 10,000 10,000
20 16/10/2021 LASIMAN 49 th SUKAJADI 10,000 10,000
21 18/10/2021 HAMID 46 th SINAR SARI 10,000 10,000
22 21/10/2021 ASWATI 78 th RINGIN JAYA 10,000 10,000
23 LASIMIN 41 th PENINJAUAN 10,000 10,000
24 22/10/2021 EKA 37 th KEJADIAN 10,000 10,000
25 25/10/2021 ABIL 5 th GUNUNG RATU 10,000 10,000
26 26/10/2021 KARMIATI 25 th BANDAR AGUNG 10,000 - - 10,000
27 27/10/2021 ASKA 4 th TRI MEKAR JAYA 10,000 10,000
28 28/10/2021 RISDA YATI 28 th RINGIN JAYA 10,000 10,000

Jumlah 220,000 60,000 280,000

Total 280,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun November 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 01/11/2021 RISKI 4 th BANDAR REJO 10,000 10,000
2 02/11/2021 WOSOKO 17 th TEMBELANG 10,000 10,000
3 HASAN 45 th RINGIN JAYA 10,000 10,000
4 WINDA YANI 18 th MUARA AMAN 10,000 10,000
5 03/11/2021 M ROUP 23 th MUARA AMAN 10,000 10,000
6 05/11/2021 APRIAN 4 th TRI MEKAR JAYA 10,000 10,000
7 FIKA 7 th TEMBELANG 10,000 10,000
8 08/11/2021 JUMINAH 42 th HANTATAI 10,000 10,000
9 09/11/2021 IKHAN 63 th MUARA AMAN 10,000 10,000
10 SOMAD 74 th GUNUNG KAPUR 10,000 10,000
11 10/11/2021 UNDAYAH 43 th RINGIN JAYA 10,000 10,000
12 11/11/2021 ROHIM 15 th HANTATAI 10,000 10,000
13 12/11/2021 M IDAWATI 30 th TRI MEKAR JAYA 10,000 10,000
14 ARIF 6 th SUKA MAJU 10,000 10,000
15 15/11/2021 DIAN SAPUTRA 18 th TEMBELANG 10,000 10,000
16 16/11/2021 NASIRUN 52 th GUNUNG RATU 10,000 10,000
17 SOLEHAH 33 th CAMPUR SARI 10,000 10,000
18 17/11/2021 RISKA 4 th HANTATAI 10,000 10,000
19 SUNARTI 55 th MUARA AMAN 10,000 10,000
20 19/11/2021 HERI 25 th PALANG MERAH 10,000 10,000
21 SUPRATIN 40 th RINGIN JAYA 10,000 10,000
22 20/11/2021 ASFI 3 th BUNGA LOTE 10,000 10,000
23 SUBHI 41 th MUARA AMAN 10,000 10,000
24 22/11/2021 NISKAM 66 th RINGIN JAYA 10,000 10,000
25 23/11/2021 HASNAH 17 th SIDO REJO 10,000 10,000
26 26/11/2021 KOLIAH 5 th GUNUNG RATU 10,000 - - 10,000
27 NGATIMIN 56 th RINGIN JAYA 10,000 10,000
28 27/11/2021 MISMIATI 16 th SUKA JADI 10,000 10,000

Jumlah 230,000 50,000 280,000

Total 280,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Desember 2021

NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 01/12/2021 DARMAJI 54 th PUNGKALAN 10,000 10,000
2 MUJIRA 62 th BANDAR REJO 10,000 10,000
3 02/12/2021 RAMANDA 2 th BUMI HANTATAI 10,000 10,000
4 03/12/2021 ADI SAPUTRA 24 th TEMBELANG 10,000 10,000
5 UNTUNG 55 th KETAPANG 10,000 10,000
6 05/11/2021 APIT PIRDA 2,5 th BUMI HANTATAI 10,000 10,000
7 07/12/2021 SRINGATUN 29 th BUMI HANTATAI 10,000 10,000
8 WATI 24 th TRI MEKAR JAYA 10,000 10,000
9 08/12/2021 SODIRAN 37 th SRIMULYO 10,000 10,000
10 MASANA 49 th SRIMULYO 10,000 10,000
11 09/12/2021 SUNARDI 71 th PENINJAUAN 10,000 10,000
12 10/12/2021 ASRUN 18 th SUKA DAMAI 10,000 10,000
13 11/12/2021 DIMAN 25 th TRI MEKAR JAYA 10,000 10,000
14 13/12/2021 ZUMARIAH 53 th PENINJAUAN 10,000 10,000
15 14/12/2021 ANISTA 5 th SUKA JADI 10,000 10,000
16 NISA 11 th RAWA TINGKAT 10,000 10,000
17 15/12/2021 ASWARIAH 72 th PALANG MERAH 10,000 10,000
18 16/12/2021 SUPARMI 44 th PALANG MERAH 10,000 10,000
19 SUWARMI 55 th MUARA AMAN 10,000 10,000
20 17/12/2021 SUTRIS 44 th BANDAR REJO 10,000 10,000
21 WARMIN 75 th TRI MEKAR JAYA 10,000 10,000
22 18/12/2021 REBO 46 th TRI MEKAR JAYA 10,000 10,000
23 SUPRATIN 40 th RINGIN JAYA 10,000 10,000
24 20/12/2021 SUHARJO 35 th BANDAR AGUNG 10,000 10,000
25 21/12/2021 ARAMAN 21 th PALANG MERAH 10,000 10,000
26 23/12/2021 SUMARNO 47 th TEMBELANG 10,000 10,000
27 SUGANDA 20 th BANDAR AGUNG 10,000 10,000
28 DIZHA 14 th BUNGA LOTE 10,000 10,000
29 24/12/2021 KARDINAN 62 th TRI MEKAR JAYA 10,000 10,000

Jumlah 260,000 30,000 290,000

Total 290,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUHAIDI, S.Kep, M.Kes BAMBANG SUNARTO, Amd.Kep

NIP.19850215 201101 1 007 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Januari 2022

NO TANGGAL NAMA UMUR ALAMAT PBU

1 03/01/2022 MUSITOH 40 th MUARA AMAN 10,000
2 04/01/2022 NURHASANAH 52 th MUARA AMAN 10,000
3 SITI MARIEM 60 th DAMAR KACA 10,000
4 06/01/2022 WARSIJO 50 th TEMBELANG 10,000
5 07/01/2022 MELI UMITA 16 th MUARA AMAN 10,000
6 ODAH 56 th MUARA AMAN 10,000
7 10/01/2022 NURAINI 51 th KALI PASIR 10,000
8 11/01/2022 TUMIJAH 36 th RINGIN JAYA 10,000
9 NURHASANAH 62 th MUARA AMAN 10,000
10 14/01/2022 FITDOR 6 th TRI MEKAR JAYA 10,000
11 SORASIH 22 th MUARA AMAN 10,000
12 15/01/2022 EDY 62 th TEMBELANG 10,000
13 17/01/2022 NURHAYATI 32 th BUMI HANTATAI 10,000
14 18/01/2022 AMANDA 6 th BANDAR AGUNG 10,000
15 NURDIN 46 th MUARA AMAN 10,000
16 19/01/2022 BENO 27 th ASAM KUMBANG 10,000
17 20/01/2022 SIBOY 3 th ASAM KUMBANG
18 21/01/2022 SITI ZULASKA 48 th KALI PASIR 10,000
19 24/01/2022 AMANO 36 th SUKA JADI 10,000
20 25/01/2022 JOKO ARDIANTO 4 th BANDAR AGUNG
21 DAVIT 9 th TRI MEKAR JAYA 10,000
22 26/01/2022 PARMAN 49 th TRI MEKAR JAYA 10,000
23 NARMI 38 th TRI MEKAR JAYA 10,000
24 27/01/2022 FAHRO 7 th SUKA JADI 10,000
25 28/01/2022 TASIEM 70 th TALANG GISTING 10,000
26 SULIAH 48 th MUARA AMAN 10,000
27 29/01/2022 FADAYAT 40 th RINGIN JAYA 10,000
28 ODAH 54 th MUARA AMAN 10,000

Jumlah 260,000
Total 280,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
EN UMUM PUSTU SUKAJADI
hun Januari 2022

KIA BPG LAB KB KIR JUMLAH

10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000 10,000
10,000
10,000
10,000 10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000

20,000 280,000
280,000

Pustu Sukajadi

BAMBANG SUNARTO, Amd.Kep

NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun Februari 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 02/02/2022 ACEP 65 th TALANG KUDUS 10,000 10,000
2 03/02/2022 NGADISO 65 th TEMBELANG 10,000 10,000
3 04/02/2022 RIZAL 52 th BANDAR AGUNG 10,000 10,000
4 05/02/2022 LILIS 2,5 th MUARA AMAN 10,000 10,000
5 SINAR WATI 42 th BUMI HANTATAI 10,000 10,000
6 JUMIRAH 42 th BANDAR SETIA 10,000 10,000
7 07/02/2022 NAILA 65 th BANDAR AGUNG 10,000 10,000
8 SUPARMAN 9 th WAY HENI 10,000 10,000
9 08/02/2022 KANDRA WIJAYA 48 th TALANG KUDUS 10,000 10,000
10 SARIMUN 24 th TRI MEKAR JAYA 10,000 10,000
11 10/02/2022 LEKAT 55 th SUKA JADI 10,000 10,000
12 11/02/2022 FADIL 48 th NEGERI JAYA 10,000 10,000
13 12/02/2022 SUKIRYO 7 th PENANGKULAN 10,000 10,000
14 SLAMET 53 th KETAPANG 10,000 10,000
15 14/02/2022 TARIMIN 62 th NEGERI JAYA 10,000 10,000
16 15/02/2022 RAHMAT 50 th BANDAR SETIA 10,000 10,000
17 SURIPTO 25 th RINGIN JAYA 10,000 10,000
18 HALIMAH 57 th RINGIN JAYA 10,000 10,000
19 16/02/2022 SARMIN 32 th BANDAR REJO 10,000 10,000
20 17/02/2022 IDRIS 57 th BANDAR REJO 10,000 10,000
21 18/02/2022 USWATUN 22 th BANDAR AGUNG 10,000 10,000
22 NASIMIN 14 th BANDAR REJO 10,000 10,000
23 19/02/2022 WATI 72 th BUMI HANTATAI 10,000 10,000
24 21/02/2022 SAFEI 34 th TAMAN SARI 10,000 10,000
25 22/02/2022 TURINAH 23 th BANDAR REJO 10,000 10,000
26 SUMIATI 73 th BUKIT HARAPAN 10,000 10,000
27 LASIMAN 23 th SINAR SARI 10,000 10,000
28 23/02/2022 RIKA 46 th BANDAR AGUNG 10,000 10,000
29 24/02/2022 SANEN 8 th SINAR SARI 10,000 10,000
30 SAMUSI 45 th TALANG CIAMIS 10,000 10,000
31 25/02/2022 YASIMIN 60 th NEGERI JAYA 10,000 10,000
32 HARTONO 38 th GUNUNG RATU 10,000 10,000
33 26/02/2022 JAMILAH 71 th MUARA AMAN 10,000 10,000
Jumlah 330,000 330,000
Total 330,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep

NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun APRIL 2022
NO TANGGAL NAMA UMUR ALAMAT PBU
1 1/4/2022 JANAH 45 th RINGIN JAYA 10,000
2 4/4/2022 ASKA 53 th MUARA AMAN 10,000
3 5/4/2022 SURATI 33 th KETAPANG 10,000
4 NAPSIAH 75 th SUKA AGUNG 10,000
5 7/4/2022 SAHIR 3 th SRIMULYO 10,000
6 8/4/2022 PURADI 44 th SIDOREJO 10,000
7 AIKAL 14 th TRI MEKAR JAYA 10,000
8 11/4/2022 RUDI ANTO 28 th BANDAR AGUNG 10,000
9 12/4/2022 ARYATI 42 th NEGERI JAYA 10,000
10 14/4/2022 RUMINA 34 th MUARA AMAN 10,000
11 18/4/2022 NURAINI 32 th RINGIN JAYA 10,000
12 NURHIDAYAT 34 th NEGERI JAYA 10,000
13 20/4/2022 SAWIYAH 33 th MUARA AMAN 10,000
14 AIKAL 14 th TRI MEKAR JAYA 10,000
15 25/4/2022 MULYADI 29 th GUNUNG RATU 10,000
16 27/4/2022 BAGIO 35 th SUKAJADI 10,000
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Jumlah 160,000
Total 160,000

Kepala UPT Puskesmas

Bandar Negeri Suoh

SUBAGIYO, Amd.KL
NIP.19691120 199402 1 001
EN UMUM PUSTU SUKAJADI
hun APRIL 2022
KIA BPG LAB KB KIR JUMLAH
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000
10,000

160,000
160,000
Pustu Sukajadi

BAMBANG SUNARTO, Amd.Kep

NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun JUNI 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 2/6/2022 YOLA 15 th BUKIT HARAPAN 10,000 10,000
2 3/6/2022 ASTUTI RINDA 74 th SUKA MAJU 10,000 10,000
3 6/6/2022 MARNI 71 th RINGIN JAYA 10,000 10,000
4 7/6/2022 DASMI 62 th RINGIN JAYA 10,000 10,000
5 GIMAN 37 th TRI MEKAR JAYA 10,000 10,000
6 9/6/2022 YUNIARTI 44 th BALI SETIA 10,000 10,000
7 10/6/2022 RHAH RAMIN 62 th SUMBER AGUNG 10,000 10,000
8 13/6/2022 ARPAN 68 th TEMBELANG 10,000 10,000
9 14/6/2022 GIBRAN 4,5 th HANTATAI 10,000 10,000
10 17/6/2022 RAHAYU 14 th SIDO REJO 10,000 10,000
11 20/6/2022 NY. YATIN 45 th TEMBELANG 10,000 10,000
12 SALISA 13 bln KALI PASIR 10,000 10,000
13 21/6/2022 FAREL 18 th MLEBUI 10,000 10,000
14 KELA 6 th MLEBUI 10,000 10,000
15 22/6/2022 MARGONO 40 th BUKIT HARAPAN 10,000 10,000
16 23/6/2022 IRHAN 13 th WAY HENI 10,000 10,000
17 RIZAL M 26 th BUKIT HARAPAN 10,000 10,000
18 24/6/2022 RUMINAH 58 th BANDAR AGUNG 10,000 10,000
19 25/6/2022 TAKIM 27 th SUKA JADI 10,000 10,000
20 SUPRATIN 40 th RINGIN JAYA 10,000 10,000
21 27/6/2022 SURTINAH 30 th SUKA AGUNG 10,000 10,000
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Jumlah 210,000 210,000

Total 210,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi
SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep
NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun JULI 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/7/2022 SUGIMIN 63 th ALTAR LEBAR 10,000 10,000
2 2/7/2022 ARI SUHENDRA 25 th RINGIN JAYA 10,000 10,000
3 SUTRIYEM 72 th TEMBELANG 10,000 10,000
4 4/7/2022 MORANA 45 th TELANG LAMPUNG 10,000 10,000
5 5/7/2022 SISWANI 65 th BANDAR SETYO 10,000 10,000
6 TUKIMAN 47 th BANDAR SETYO 10,000 10,000
7 7/7/2022 FITRIYANI 28 th TRI MEKAR JAYA 10,000 10,000
8 8/7/2022 SUMIATUN 25 th NEGERI JAYA 10,000 10,000
9 9/7/2022 RAHMAT 24 th BANDAR AGUNG 10,000 10,000
10 16/7/2022 RENDI 4 th SUKA JADI 10,000 10,000
11 18/6/2022 YAHYA 13 th SUMBER AGUNG 10,000 10,000
12 SOFYANA 9 th HANTATAI 10,000 10,000
13 20/7/2022 ITA PERMANA 3 th HANTATAI 10,000 10,000
14 21/7/2022 DARMAN 53 th TRI MEKAR JAYA 10,000 10,000
15 22/7/2022 TULUS 37 th GUNUNG RATU 10,000 10,000
16 MAHPUT 61 th RINGIN JAYA 10,000 10,000
17 23/7/2022 UDIN 35 th TEMBELANG 10,000 10,000
18 ABUBAKAR 67 th RINGIN JAYA 10,000 10,000
19 TUKIMAN 56 th WAY BULUK 10,000 10,000
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Jumlah 190,000 190,000

Total 190,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi
SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep
NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun AGUSTUS 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/8/2022 ROMI 35 th BUKIT HARAPAN 10,000 10,000
2 2/8/2022 AGUSNI 28 th GUNUNG RATU 10,000 10,000
3 FAHRI.A 6 th RINGIN JAYA 10,000 10,000
4 4/8/2022 KASLAN 52 th SRI AGUNG 10,000 10,000
5 5/8/2022 MINAR 23 th SRI AGUNG 10,000 10,000
6 8/8/2022 WARSITI 59 th RINGIN JAYA 10,000 10,000
7 9/8/2022 AHMAD 20 th RINGIN JAYA 10,000 10,000
8 SARIKAM 50 th HANTATAI 10,000 10,000
9 11/8/2022 NYIMAS 28 th PELALANGAN 10,000 10,000
10 12/8/2022 NOVAL 10 th RINGIN JAYA 10,000 10,000
11 15/8/2022 KARMINGSIH 39 th RINGIN JAYA 10,000 10,000
12 16/8/2022 PONIMAN 39 th KALI PASIR 10,000 10,000
13 NUR DAFRI 2 th TEMBELANG 10,000 10,000
14 19/8/2022 ARSIH 40 th BANDAR AGUNG 10,000 10,000
15 22/8/2022 PAK JAMI 74 th BANDAR AGUNG 10,000 10,000
16 23/8/2022 HENDRA 32 th BATU KAPAL 10,000 10,000
17 MUSRANI 37 th RINGIN JAYA 10,000 10,000
18 24/8/2022 MELI YUNITA 16 th TABET MUARA 10,000 10,000
19 RIANTI 4 th BANDAR AGUNG 10,000 10,000
20 25/8/2022 KARSIH 47 th SUKA JADI 10,000 10,000
21 26/8/2022 NURHAYATI 38 th RINGIN JAYA 10,000 10,000
22 27/8/2022 ARMAN 8 th SUKA DAMAI 10,000 10,000
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Jumlah 220,000 220,000

Total 220,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi
SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep
NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/ Tahun SEPTEMBER 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/9/2022 NADIA 32 th SIDOREJO 10,000 10,000
2 2/9/2022 SEPTI 16 th HANTATAI 10,000 10,000
3 WIDIASTUTI 5 th SUKA JADI 10,000 10,000
4 5/9/2022 SUGANDA 32 th HANTATAI 10,000 10,000
5 6/9/2022 RIANTO 47 th SUKA JADI 10,000 10,000
6 8/9/2022 IDAWATI 7 th BANDAR AGUNG 10,000 10,000
7 9/9/2022 M. RIZAL 42 th PUNGKALAN 10,000 10,000
8 10/9/2022 TARIDI 74 th BANDAR AGUNG 10,000 10,000
9 KARSIH 49 th SUKA JADI 10,000 10,000
10 12/9/2022 YUPISA 8 th ASAM KUMBANG 10,000 10,000
11 13/9/2022 KARTINI 86 th MUARA ASAM 10,000 10,000
12 15/9/2022 TARWIN 56 th SUKA MAJU 10,000 10,000
13 16/9/2022 DIMAM 26 th SUKA MAJU 10,000 10,000
14 17/9/2022 SUGIMAN 56 th PUNGKALAN 10,000 10,000
15 DAVIT 15 th SUKA JADI 10,000 10,000
16 19/9/2022 SASKIA 11 th RINGIN JAYA 10,000 10,000
17 20/9/2022 TUKIMAN 48 th BANDAR AGUNG 10,000 10,000
18 SUPRATIN 40 th RINGIN JAYA 10,000 10,000
19 LINDA 18 th PALANG MERAH 10,000 10,000
20 21/9/2022 WATI 44 th HANTATAI 10,000 10,000
21 NURDIN 27 th TAMAN SARI 10,000 10,000
22 22/9/2022 JUMANDI 50 th TRI MEKAR JAYA 10,000 10,000
23 26/9/2022 HENI 56 th MUARA AMAN 10,000 10,000
24 27/9/2022 NURHOLIS 39 th HANTATAI 10,000 10,000
25 28/9/2022 POK RASUM 65 th PENANGKOLAM 10,000 10,000
26

Jumlah 250,000 250,000

Total 250,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep

NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001
 DISTRIBUSI PAD PASIEN UMUM PUSTU SUKAJADI
Bulan/Tahun Oktober 2022
NO TANGGAL NAMA UMUR ALAMAT PBU KIA BPG LAB KB KIR JUMLAH
1 1/10/2022 MUT MAINAH 16 th MUARA AMAN 10,000 10,000
2 MUKINAH 56 th SINAR SARI 10,000 10,000
3 3/10/2022 MARYANTO 70 th PENANGKOLAM 10,000 10,000
4 4/10/2022 ERISA 9 th TALANG MULYA 10,000 10,000
5 BONINGAH 57 th NEGERI JAYA 10,000 10,000
6 6/10/2022 RAHAYU 16 th SUKA JADI 10,000 10,000
7 7/10/2022 LEKOK OKTARITA 29 th TEMBELANG 10,000 10,000
8 MARIAM 36 th TALANG MULYA 10,000 10,000
9 10/10/2022 ANITA BELLA 21 th NEGERI JAYA 10,000 10,000
10 11/10/2022 PARLIA 35 th TALANG MULYA 10,000 10,000
11 13/10/2022 MAUG NET 74 th WAY HENI 10,000 10,000
12 14/10/2022 REFKI 10 th KEJADIAN 10,000 10,000
13 SUSMINA 60 th RINGIN JAYA 10,000 10,000
14 17/10/2022 WARSIH 40 th HANTATAI 10,000 10,000
15 RATIH 10 th HANTATAI 10,000 10,000
16 18/10/2022 P. MARJIO 70 th SUKA MAJU 10,000 10,000
17 19/10/2022 RAHMAT 22 th BANDAR AGUNG 10,000 10,000
18 ROSIDIN 20 th BANDAR AGUNG 10,000 10,000
19 21/10/2022 PALRIN 58 th TALANG REJO 10,000 10,000
20 SUTARDI 49 th SUKA JADI 10,000 10,000
21 22/10/2022 ROHMAN 59 th SUKA JADI 10,000 10,000
22 MIRGIN 42 th SUKA JADI 10,000 10,000
23 24/10/2022 SUPRATIN 50 th RINGIN JAYA 10,000 10,000
24 TIKA 32 th PENANGKOLAM 10,000 10,000
25 25/10/2022 JENUT 36 th ASAM KUMBANG 10,000 10,000
26 SUMARTI 42 th MUARA AMAN 10,000 10,000

Jumlah 260,000 260,000

Total 260,000

Kepala UPT Puskesmas

Bandar Negeri Suoh Pustu Sukajadi

SUBAGIYO, Amd.KL BAMBANG SUNARTO, Amd.Kep

NIP.19691120 199402 1 001 NIP. 19680215 198901 1 001