DAFTAR TERIMA KADER

PEMBERIAN OBAT KAKI GAJAH (POPM FILARIASIS)

Nomor : 900/ /BOK/PKM-WRB/…../2023

NO NAMA JUMLAH TANDA TANGAN

1 2 3 4
1 Rp100,000.00 1
2 Rp100,000.00 2
3 Rp100,000.00 3
4 Rp100,000.00 4
5 Rp100,000.00 5
6 Rp100,000.00 6
7 Rp100,000.00 7
8 Rp100,000.00 8
9 Rp100,000.00 9
10 Rp100,000.00 10
11 Rp100,000.00 11
12 Rp100,000.00 12
13 Rp100,000.00 13
14 Rp100,000.00 14
15 Rp100,000.00 15
16 Rp100,000.00 16
17 Rp100,000.00 17
18 Rp100,000.00 18
19 Rp100,000.00 19
20 Rp100,000.00 20
21 Rp100,000.00 21
22 Rp100,000.00 22
23 Rp100,000.00 23
24 Rp100,000.00 24
25 Rp100,000.00 25
26 Rp100,000.00 26
27 Rp100,000.00 27
28 Rp100,000.00 28
29 Rp100,000.00 29
30 Rp100,000.00 30
Jumlah Rp3,000,000.00

Terbilang : Tiga Juta Rupiah

Mengetahui Werba, 21 September 2022

Kepala Puskesmas Werba Pengelola Keuangan

ROBERT KREY, S.Kep LUCAS LEE SAY, S.Kep, Ns

NIP. 19821101 200605 1 002 NIP. 19900528 202012 1 009