19730615 199403 1 009

Tempat Jns
Nama & Tgl NIP Kela Gol TMT Jabatan
Lahir min
Ketut Cita, A.Md.Kep 50000 19730615 199403 1 009 III/d Penata Tingkat I , III/d , TMT 01 April 2013 Kepala UPTD Puskesmas Mepanga NIP. NPWP. 77.480.75
Bonaji,A.Md.Kep 50000 19660707 198802 1 002 III/d Penata Tingkat I , III/d , TMT 01 April 2008 Pengelola Poli Umum NIP. NPWP. 77.480.74
Atimi,A.Md.Kep 50000 196807031988012001 III/d Penata Tingkat I , III/d , TMT 01 April 2008 Pengelola Diare NIP. NPWP. 77.480.75
Hartini, S.Tr.Keb 50000 196603231988022004 III/d Penata Tingkat I , III/d , TMT 01 April 2008 Pengelola Promosi Kesehatan NIP. NPWP. 77.480.75
Hadijah 40000 196511241988022003 III/d Penata Tingkat I , III/d , TMT 01 April 2010 Bidan Desa Mepanga NIP. NPWP. 79.390.10
Pengelola Malaria & Kesehatan
Hasgam 50000 196803041988021002 III/d Penata Tingkat I , III/d , TMT 01 April 2013
Kerja
NIP. NPWP. 77.480.75
Ni Wayan Muliyani, A.Md.Kep 50000 196909011990022001 III/d Penata Tingkat I , III/d , TMT 01 Oktober 2014 Pengelola PTM NIP. NPWP. 77.480.75
dr. Navcy Nangoy 50000 197804082011022001 III/c Penata, III/c , TMT 01 Oktober 2014 Dokter Umum NIP. NPWP. 15.711.72
drg. Sherly Endang 50000 199104272017042002 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2017 Dokter Gigi NIP. NPWP. 74.391.42
Sunyoto,A.Md.Kep 50000 196807011989031008 III/c Penata, III/c , TMT 01 April 2008 Perawat Puskesmas Mepanga NIP. NPWP. 67.347.13
Nurbayti, SKM 50000 19700911 199603 2 002 III/c Penata, III/c , TMT 01 Oktober 2012 Pengelola Gizi NIP. NPWP. 77.480.75
Ni Nyoman Sustinis, A.Md.Keb 50000 196705051988022002 III/d Penata, III/c , TMT 01 April 2013 Pengelola UKS NIP. NPWP. 77.480.75
Moh Arif, A.Md.Kep 50000 197703101997031005 III/c Penata, III/c , TMT 01 Oktober 2014 Pengelola Kesehatan Jiwa NIP. NPWP. 45.289.98
Syarip 50000 196308231985111001 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2010 Pengelola SurVeilans NIP. NPWP. 77.480.74
Aminoto Naharun, S.KM.,M.Kes 50000 197101251993031010 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2011 Penyuluh Promosi Kesehatan NIP. NPWP. 77.480.76
Made Suilawati, A.Md.Keb 50000 19710527 199303 2 005 III/b Penata Muda Tingkat I, III/b , TMT 01 Oktober 2012 Bidan Puskesmas Mepanga NIP. NPWP. 17.984.42
Wahyuni 50000 196706071991012001 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2014 Pengelola UKGS NIP. NPWP. 16.575.69
Sucipto, A.Md.Kl 50000 196605071992031015 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2014 Pengelola Kesehatan Lingkungan NIP. NPWP. 54.587.31
Trilia Sukadewi,S.Kep 50000 198108232007012008 III/b Penata Muda Tingkat I, III/b , TMT 01 April 2012 Perawat Puskesmas Mepanga NIP. NPWP. 15.601.34
Hj. Desi Indria,A.Md.Kep 50000 19800724 199903 2 001 III/a Penata Muda, III/a, TMT 01 Oktober 2014 Perawat Puskesmas Mepanga NIP. NPWP. 64.032.13
Heldawati, A.Md.Kep 50000 198307302008012003 III/a Penata Muda, III/a , TMT 01 Oktober 2014 Perawat Puskesmas Mepanga NIP. NPWP. 66.235.83
Ni Ketut Suriati, A.Md.Farm 50000 197903202010012001 III/a Penata Muda, III/a, TMT 01 Oktober 2015 Kefarmasian Puskesmas Mepanga NIP. NPWP. 89.500.78
Nur Azizah, A.Md.Kep 50000 19850527 201001 2 003 III/a Penata Muda, III/a, TMT 01 Oktober 2015 Perawat Puskesmas Mepanga NIP. NPWP. 16.313.32
Nyoman Witini, A.Md.Kep 50000 19850813 201001 2 007 III/a Penata Muda, III/a, TMT 01 Oktober 2015 Perawat Puskesmas Mepanga NIP. NPWP. 571.130.4
Ni Nyoman Sriyati,A.Md.Kep 50000 19780110 200012 2 004 III/a Penata Muda, III/a, TMT 01 Oktober 2015 Pengelola Imunisasi NIP. NPWP. 79.090.06
Henny W. Nurjannah, S.S.T Keb 50000 198801312010012005 III/a Penata Muda, III/a, TMT 01 April 2013 Pengelola Tumbuh Kembang Anak NIP. NPWP. 15.974.47
Sri Intan,A.Md.Kep 50000 197511172006042020 II/d Pengatur Tingkat 1, II/d, TMT 01 Oktober 2015 Perawat Puskesmas Mepanga NIP. NPWP. 66.361.00
Sulyani,A.Md.Kep 50000 198208182006042027 II/d Pengatur, II/c, TMT 01 Oktober 2012 Pengelola Kesehatan Usila NIP. NPWP. 16.080.28
Desak Made Suci, A.Md.Keb 50000 19730718 200604 2 016 II/c Pengatur, II/c, TMT 01 Oktober 2012 Bidan Koodinator NIP. NPWP. 49.248.70
Susilawati 50000 197410272007012010 II/c Pengatur, II/c, TMT 01 Oktober 2013 Bidan Puskesmas Mepanga NIP. NPWP. 45.445.99
Nadra, A.Md.Keb 50000 19770505 200701 2 027 II/d Pengatur Tingkat I, II/d, TMT 01 Oktober 2017 Pengelola KB NIP. NPWP. 64.032.15
Rosita, A,Md.Keb 50000 197707302007012009 II/c Pengatur, II/c, TMT 01 Oktober 2014 Bidan Puskesmas Mepanga NIP. NPWP. 15.206.51
Abd Gafur 50000 198306042005021009 II/c Pengatur, II/c, TMT 01 April 2014 Sanitarian Puskesmas NIP. NPWP. 64.354.89
Mimin Purwati, A.Md.Keb
Made Juliartono,A.Md.Kep
I Putu Setiawan,A.Md.Kep
Jaenuri
Fadlia
Lisa Mayasari, A.Md.Keb
Ni Kadek Suarni, A.Md.Keb
Muzni, A.Md.Keb
Zulfianti, A.Md.Keb
Wiji Lestari, A.Md.Keb
Jumarni, A.Md.Keb
Khusnul Khotimah, A.Md.Keb
Hasmawati R, A.Md.Keb
Novita Sari, A.Md.Keb
Febriana, A.Md.Keb
Ade Susmalawati,A.Md.Keb
Nur Hikma Saputri,A.Md.Keb
Misnawati,A.Md.Keb
Dewi.A.Md.Keb
Novita Kombongkila,A.Md.Keb
Kasmini Muslim,A.Md.Keb
Chicawati, A.Md.Keb
Adma Fitriani A. Nusi, A.Md.Keb
Niluh Rosiyani, A.Md.Keb
Henny Sunarti, A.Md.Keb
Destin Anugerah sari, A.Md.Keb
Nurhalimah, A.Md.Keb
Sri Wedari, A.Md.Keb
Wayan Sri Patmawati, A.Md.Keb
Nyoman Janurasih, A.Md.Keb
Kristina ,A.Md.Kl
Imroatin, A.md.Kep
Anwar, A.Md.Kep
Sri Wahyuni, A.Md.Kep
Ira Novianti, A.Md.Kep
Putu Ayu W, A.Md.Kep
Dewi Sartika, S.Kep
Haryani, A.Md.Kep
Lilik,A.Md.Keb
50000 198309232005022006 II/c Pengatur, II/c, TMT 01 April 2014 Perawat Puskesmas Mepanga NIP. NPWP. 16.575.69
50000 197908202010011012 II/b Pengatur Muda Tingkat I, II/b, TMT 01 Oktober 2014 Pengelola P2 TB & Kusta NIP. NPWP. 15.921.80
50000 198002192010011011 II/b Pengatur Muda Tingkat I, II/b, TMT 01 Oktober 2014 Perawat Puskesmas Mepanga NIP. NPWP. 15.741.53
50000 197708062011011005 II/b Pengatur Muda Tingkat I, II/b, TMT 01 Oktober 2014 Perawat Puskesmas Mepanga NIP. NPWP. 49.138.28
50000 198603142011012023 II/b Pengatur Muda Tingkat I, II/b, TMT 01 Oktober 2014 Pengelola P2 DB NIP. NPWP. 64.032.13
40000 19871029 201704 2 008 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Mensung NIP. NPWP. 80.071.53
40000 19881012 201704 2 006 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Kotaraya Timur NIP. NPWP. 66.886.77
40000 19870924 201704 2 004 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Bugis NIP. NPWP. 70.498.19
40000 19870705 201704 2 004 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Moubang NIP. NPWP. 66.521.26
40000 19871114 201704 2 008 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Sumber Agung NIP. NPWP. 70.217.66
40000 19900725 201704 2 005 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Ogomolos NIP. NPWP. 70.032.13
40000 19890514 201704 2 008 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Kotaraya Barat NIP. NPWP. 66.936.96
40000 19890103 201704 2 005 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Maranti NIP. NPWP. 70.276.00
40000 19890815 201704 2 010 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Ogotion NIP. NPWP. 66.582.81
40000 19910112 201704 2 003 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Ogobayas NIP. NPWP. 76.791.29
40000 19951214 201704 2 001 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Bugis Utara NIP. NPWP. 80.027.30
40000 19870501201704 2 005 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Kayu Agung NIP. NPWP. 80.034.71
40000 19920213 201704 2 001 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Kotaraya Tenggara NIP. NPWP. 80.034.59
40000 19930319 201704 2 001 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Malalan NIP. NPWP. 76.800.95
40000 19891105 201704 2 007 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Kotaraya NIP. NPWP. 80.034.18
40000 19920228 201704 2 002 II/c Pengatur, II/c, TMT 01 April 2017 Bidan Desa Gurinda NIP. NPWP. 80.001.83
40000 15.1.005 - ................................. Bidan Desa Kotaraya Selatan NrPTTD. NPWP. .................
40000 15.1.076 - ................................. Bidan Desa Malalan NrPTTD. NPWP. .................
40000 15.1.047 - ................................. Bidan Desa Moubang NrPTTD. NPWP. .................
40000 15.1.070 - ................................. Bidan Desa Kayu Agung NrPTTD. NPWP.
40000 15.1.058 - ................................. Bidan Desa Kotaraya NrPTTD. NPWP. .................
40000 15.1.071 - ................................. Bidan Desa Mepanga NrPTTD. NPWP. .................
40000 15.1.102 - ................................. Bidan Desa Ogotion NrPTTD. NPWP. .................
40000 15.1.081 - ................................. Bidan Desa Bugis Utara NrPTTD. NPWP. .................
40000 15.1.113 - ................................. Bidan Desa Kotaraya Barat NrPTTD. NPWP. .................
40000 19.5.0101215 - ................................. Sanitarian Desa Ogotion NrPPK. NPWP. .................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
50000 ................................. - ................................. Bidan Puskesmas Mepanga NrPTTD. NPWP...................
Yayuk Puji Rahayu, A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
Niluh Wayan Nita,A.Md.Keb 50000 ................................. - ................................. Bidan Puskesmas Mepanga NrPTTD. NPWP...................
Sri Apridayanti, S.Gz 50000 19.7.0802.760 - ................................. Staf Puskesmas Mepanga NrPK. NPWP...................
Shella Aries Tantia Yusup, A.Md,Gizi 50000 19.7.0802.761 - ................................. Staf Puskesmas Mepanga NrPK. NPWP...................
Feriadi Ondo, SE 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Yoyok Sugiyono, A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
I Wayan Jhoys F., A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
Martini 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Gafar 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Iin Indrawati, SKM 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Yunita rahmawati, A.Md.Keb 50000 ................................. - ................................. Bidan Puskesmas Mepanga NrPTTD. NPWP...................
Risky Hidayat, A.Md.KG 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Triyana, S Farm 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Ni ketut Ayu Rumanis A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
Paisal, A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
Sudarman, A.Md.Kep 50000 ................................. - ................................. Perawat Puskesmas Mepanga NrPTTD. NPWP...................
Gita Anggun Mustika A.Md.keb 50000 ................................. - ................................. Bidan Puskesmas Mepanga NrPTTD. NPWP...................
Mohamad Neil, SKM 50000 ................................. - ................................. Staf Puskesmas Mepanga NrPTTD. NPWP...................
Kotaraya selatan ................................. - ................................. NrPTTD. NPWP...................
Erna karlina 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Tarmiyati 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Tularsih 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Rumiyatun 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Juriah 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
m 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Krismariati 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Nuryamah 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Waljinah 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Siti Zulaikah 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Ema Hartiana 40000 ................................. - ................................. Kader Desa Kotaraya selatan NrPTTD. NPWP...................
Bugis Utara 40000 ................................. - ................................. NrPTTD. NPWP...................
Nurhairah 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Erni 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Maslian 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Sarnia 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Yul 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Irma 40000 ................................. - ................................. Kader Desa Bugis Utara NrPTTD. NPWP...................
Sumber Agung 40000 ................................. - ................................. NrPTTD. NPWP...................
Ida Hayatul Fuadah 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Maryuni 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Suntari 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Rini S 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Eka Sulastri 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Fitriyanti 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Fitri 40000 ................................. - ................................. Kader Desa Sumber Agung NrPTTD. NPWP...................
Mepanga 40000 ................................. - ................................. NrPTTD. NPWP...................
Fitri 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Nirmawati 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Farida 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Nurul Inaya 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Zainun 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Irmawati 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Lismawati 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Lisa 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Suarni 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Nisfa 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Selvi 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Maryam 40000 ................................. - ................................. Kader Desa Mepanga NrPTTD. NPWP...................
Maranti 40000 ................................. - ................................. NrPTTD. NPWP...................
Nuriani 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Suryaningsih 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Nur Haida 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Rami Priani 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Jamnar 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Reni 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Armila 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Fitriyani 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Aprianti 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Rini 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Armila 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Hasmawati 40000 ................................. - ................................. Kader Desa Maranti NrPTTD. NPWP...................
Ogotion 40000 ................................. - ................................. NrPTTD. NPWP...................
Nur Lania 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Lisnawati 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Ratni 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Sulasih 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Ismawati 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Wati 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Saiful 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Erni 40000 ................................. - ................................. Kader Desa Ogotion NrPTTD. NPWP...................
Kotaraya Barat 40000 ................................. - ................................. NrPTTD. NPWP...................
Cuci Rohani 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Puji Rahayu 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Santi 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Yuyun Asiah 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Sarminah 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Supiani 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Nopia 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Sitimasruroh 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Asriati 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Asiyah 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Sunarsih 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Efa Amita Indah 40000 ................................. - ................................. Kader Desa Kotaraya Barat NrPTTD. NPWP...................
Kotaraya 40000 ................................. - ................................. NrPTTD. NPWP...................
Choirinnisa 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Siswanti 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Sriwiningsih 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Sigit sulardi 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
sulastri 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Siti Sumarni 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Endah N 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Widyawati 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Tumiati 40000 ................................. - ................................. Kader Desa Kotaraya NrPTTD. NPWP...................
Moubang 40000 ................................. - ................................. NrPTTD. NPWP...................
Fitriani 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Fatimah 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Ima 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Lusiana 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Nurva 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Sarmia 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Nursina 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Ratni 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Suliana 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Nurlaila 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Sudarmin 40000 ................................. - ................................. Kader Desa Moubang NrPTTD. NPWP...................
Malalan 40000 ................................. - ................................. NrPTTD. NPWP...................
Riri 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Umi 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Nirwana 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Aina 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Amelia 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Ratnia 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Patri 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Narti 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Mastin 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Rosmini 40000 ................................. - ................................. Kader Desa Malalan NrPTTD. NPWP...................
Ogobayas 40000 ................................. - ................................. NrPTTD. NPWP...................
Satria 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Marlina 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Nurida 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Nur Intan 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Mawarni 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Nelti 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Jamila 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Maslin 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
Harija 40000 ................................. - ................................. Kader Desa Ogobayas NrPTTD. NPWP...................
mensung 40000 ................................. - ................................. NrPTTD. NPWP...................
Agustin 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Nurma 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Hasna 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Zulafiah 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Ramlah 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Arina 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Zul 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Hapria 40000 ................................. - ................................. Kader Desa Mensung NrPTTD. NPWP...................
Norma 40000 - - Kader Desa Mensung NrPTTD. NPWP...................
Ogomolos 40000 ................................. - ................................. NrPTTD. NPWP.
Nurlia 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Yane 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Verawati 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Armawati 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Santi 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Nur 40000 ................................. - ................................. Kader Desa Ogomolos NrPTTD. NPWP...................
Kotaraya tenggara 40000 ................................. - ................................. NrPTTD. NPWP...................
Wayan Yuini 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Nyoman Dosning 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Made Murniasih 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Nyaman Putri 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Wayan Mariani 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Wayan Sukarni 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Made Murtini 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Wayan Siniasih 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Wayan Juartini 40000 ................................. - ................................. Kader Desa Kotaraya Tenggara NrPTTD. NPWP...................
Kotaraya timur 40000 ................................. - ................................. NrPTTD. NPWP...................
Wayan Sudiarti 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Made Wardani 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Wayan Wikini 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Noni Catur Wahyuni 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Wayan Widani 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Made Rusni 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Kasturiawati 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Putu Santiasih 40000 ................................. - ................................. Kader Desa Kotaraya Timur NrPTTD. NPWP...................
Gurinda 40000 ................................. - ................................. NrPTTD. NPWP...................
Sudarmi 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Yuliarti 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Hayatun 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Ani 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Nurfiana 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Yunita 40000 ................................. - ................................. Kader Desa Gurinda NrPTTD. NPWP...................
Bugis 40000 ................................. - ................................. NrPTTD. NPWP...................
Tina Ratnasari 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Nazmi 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Nurmala 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Lili Suryani 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Haira 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Ronawati 40000 ................................. - ................................. Kader Desa Bugis NrPTTD. NPWP...................
Kayu Agung 40000 ................................. - ................................. NrPTTD. NPWP...................
Syamsiah 40000 ................................. - ................................. Kader Desa Kayu Agung NrPTTD. NPWP...................
Sumarni 40000 ................................. - ................................. Kader Desa Kayu Agung NrPTTD. NPWP...................
Yuliani 40000 ................................. - ................................. Kader Desa Kayu Agung NrPTTD. NPWP...................
Rohmah 40000 ................................. - ................................. Kader Desa Kayu Agung NrPTTD. NPWP...................
NPWP. 77.480.75.7-831.000
NPWP. 77.480.749.9-831.000
NPWP. 77.480.754.9-831.000
NPWP. 77.480.756.4-831.000
NPWP. 79.390.105.9-831.000
NPWP. 77.480.751.5-831.000
NPWP. 77.480.753.1-831.000
NPWP. 15.711.722.7-821.000
NPWP. 74.391.426.9-831.000
NPWP. 67.347.134.8-831.000
NPWP. 77.480.758.0-831.000
NPWP. 77.480.757.2-831.000
NPWP. 45.289.987.5-831.000
NPWP. 77.480.748.1-831.000
NPWP. 77.480.761.4-831.000
NPWP. 17.984.427.3-831.000
NPWP. 16.575.692.5-831.000
NPWP. 54.587.317.6-831.000
NPWP. 15.601.345.0-831.000
NPWP. 64.032.135.2-831.000
NPWP. 66.235.833.8-831.000
NPWP. 89.500.781.3-822.000
NPWP. 16.313.326.7-822.000
NPWP. 571.130.424.5-822.000
NPWP. 79.090.060.9-834.000
NPWP. 15.974.479.6-831.000
NPWP. 66.361.007.9-831.000
NPWP. 16.080.284.9-831.000
NPWP. 49.248.701.2-831.000
NPWP. 45.445.996.7-831.000
NPWP. 64.032.152.7-831.000
NPWP. 15.206.515.7-831.000
NPWP. 64.354.897.7-831.000
NPWP. 16.575.691.7-831.000
NPWP. 15.921.802.3-831.000
NPWP. 15.741.537.3.831.000
NPWP. 49.138.285.9-831.000
NPWP. 64.032.134.5-831.000
NPWP. 80.071.535.1-831.000
NPWP. 66.886.773.2-831.000
NPWP. 70.498.199.2-831.000
NPWP. 66.521.263.5-831.000
NPWP. 70.217.660.3-831.000
NPWP. 70.032.133.4-831.000
NPWP. 66.936.961.3-831.000
NPWP. 70.276.008.3-831.000
NPWP. 66.582.816.6-831.000
NPWP. 76.791.299.1-831.000
NPWP. 80.027.307.0-831.000
NPWP. 80.034.715.5.831.000
NPWP. 80.034.598.5-831.000
NPWP. 76.800.959.9-831.000
NPWP. 80.034.185.1-831.000
NPWP. 80.001.832.7-831.000
NPWP. .................................
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Abd GNomor : 094 / - PKM.MPG/ IV / 2019
Ade Susmalawati,A.Md.Keb
Adma1 Nama : Nurbayti, SKM
Agust2 Nama : Sri Wahyuni, A.Md.Kep
Aina Untuk Melaksanakan :
Amelia
Aminoto Naharun, S.KM.,M.K
Ani
Aprianti
Arina Pemantauan Status Gizi (PSG) Balita
Armawati Kotaraya Barat di Posyandu Karya Lestari
Armila 18 April 2019
Armila 1 Kali
Asiyah
Asriati
Atimi,A.Md.Kep
Bonaji,A.Md.Kep
Bugis
Bugis Utara
Chicawati, A.Md.Keb
Choirinnisa
Cuci Rohani
Desak Made Suci, A.Md.Keb
Desi Indria,A.Md.Kep
Destin Anugerah sari, A.Md.Keb
Dewi Sartika, S.Kep
Dewi.A.Md.Keb
dr. Navcy Nangoy
drg. Sherly Endang
Efa Amita Indah
Eka Sulastri
Ema Hartiana
Endah N
Erna karlina
Erni
Erni
Fadlia
Farida
Fatimah
Febriana, A.Md.Keb
Feriadi Ondo, SE
Fitri
Fitri
Fitriani
Fitriyani
Fitriyanti
Gafar
Gita Anggun Mustika A.Md.keb
Gurinda
Hadijah
Haira
Hapria
Harija
Hartini, S.Tr.Keb
Haryani, A.Md.Kep
Hasgam
Hasmawati
Hasmawati R, A.Md.Keb
Hasna
Hayatun
Heldawati, A.Md.Kep
Henny Sunarti, A.Md.Keb
Henny W. Nurjannah, A.Md.Keb
Hj. Desi Indria,A.Md.Kep
I Putu Setiawan,A.Md.Kep
I Wayan Jhoys F., A.Md.Kep
Ida Hayatul Fuadah
Iin Indrawati, SKM
Ima
Imroatin, A.md.Kep
Ira Novianti, A.Md.Kep
Irma
Irmawati
Ismawati
Jaenuri
Jamila
Jamnar
Jumarni, A.Md.Keb
Juriah
Kasmini Muslim,A.Md.Keb
Kasturiawati
Kayu Agung
Ketut Cita, A.Md.Kep
Khusnul Khotimah, A.Md.Keb
Kotaraya
Kotaraya Barat
Kotaraya selatan
Kotaraya tenggara
Kotaraya timur
Krismariati
Kristina ,A.Md.Kl
Lili Suryani
Lilik Sulasih
Lilik,A.Md.Keb
Lisa
Lisa Mayasari, A.Md.Keb
Lismawati
Lisnawati
Lusiana
Made Juliartono,A.Md.Kep
Made Murniasih
Made Murtini
Made Rusni
Made Suilawati, A.Md.Keb
Made Wardani
Malalan
Maranti
Marlina
Martini
Maryam
Maryuni
Maslian
Maslin
Mastin
Mawarni
mensung
Mepanga
Mimin Purwati, A.Md.Keb
Misnawati,A.Md.Keb
Moh Arif, A.Md.Kep
Mohamad Neil, SKM
Moubang
Muzni, A.Md.Keb
Nadra, A.Md.Keb
Narti
Nazmi
Nelti
Ni Kadek Suarni, A.Md.Keb
Ni ketut Ayu Rumanis A.Md.Kep
Ni Ketut Suriati, A.Md.Farm
Ni Nyoman Sriyati,A.Md.Kep
Ni Nyoman Sustinis, A.Md.Keb
Ni Wayan Muliyani, A.Md.Kep
Niluh Rosiyani, A.Md.Keb
Niluh Wayan Nita,A.Md.Keb
Nirmawati
Nirwana
Nisfa
Noni Catur Wahyuni
Nopia
Norma
Novita Kombongkila,A.Md.Keb
Novita Sari, A.Md.Keb
Nur
Nur Azizah, A.Md.Kep
Nur Haida
Nur Hikma Saputri,A.Md.Keb
Nur Intan
Nur Lania
Nurbayti, SKM
Nurfiana
Nurhairah
Nurhalimah, A.Md.Keb
Nuriani
Nurida
Nurlaila
Nurlia
Nurma
Nurmala
Nursina
Nurul Inaya
Nurva
Nuryamah
Nyaman Putri
Nyoman Dosning
Nyoman Janurasih, A.Md.Keb
Nyoman Witini, A.Md.Kep
Ogobayas
Ogomolos
Ogotion
Paisal, A.Md.Kep
Patri
Puji Rahayu
Putu Ayu W, A.Md.Kep
Putu Santiasih
Rami Priani
Ramlah
Ratni
Ratni
Ratnia
Reni
Rini
Rini S
Riri
Risky Hidayat, A.Md.KG
Rohmah
Ronawati
Rosita, A,Md.Keb
Rosmini
Rumiyatun
Saiful
Santi
Santi
Sarmia
Sarminah
Sarnia
Satria
Selvi
Shella Aries Tantia Yusup, A.Md,Gizi
Sigit sulardi
Siswanti
Siti Sumarni
Siti Zulaikah
Sitimasruroh
Sri Apridayanti, S.Gz
Sri Intan,A.Md.Kep
Sri Wahyuni, A.Md.Kep
Sri Wedari, A.Md.Keb
Sriwiningsih
Suarni
Sucipto, A.Md.Kl
Sudarman, A.Md.Kep
Sudarmi
Sudarmin
Sulasih
sulastri
Suliana
Sulyani,A.Md.Kep
Sumarni
Sumber Agung
Sumikah
Sunarsih
Suntari
Sunyoto,A.Md.Kep
Supiani
Suryaningsih
Susi Susanti, A.Md.Kep
Susilawati
Syamsiah
Syarip
Tarmiyati
Tina Ratnasari
Trilia Sukadewi,S.Kep
Triyana, S Farm
Tularsih
Tumiati
Umi
Verawati
Wahyuni
Waljinah
Wati
Wayan Juartini
Wayan Mariani
Wayan Siniasih
Wayan Sri Patmawati, A.Md.Keb
Wayan Sudiarti
Wayan Sukarni
Wayan Widani
Wayan Wikini
Wayan Yuini
Widyawati
Wiji Lestari, A.Md.Keb
Yane
Yayuk Puji Rahayu, A.Md.Kep
Yoyok Sugiyono, A.Md.Kep
Yul
Yuliani
Yuliarti
Yunita
Yunita rahmawati, A.Md.Keb
Yuyun Asiah
Zainun
Zul
Zulafiah
Zulfianti, A.Md.Keb
 di Advokasi TinKayu Agu 1 AgustuI
di sekolah Bias CampakMaranti 2 April II
di sekolah MBias DT Kls I Sumber A 3 DesembIII
di Sekolah Bidan Desa Kotaraya 4 FebruarIV
di Sekolah MI Al Ikhlas O Kotaraya 5 JanuariIX
di Sekolah MDeteksi Din Kotaraya 6 Juli V
di Sekolah Identifikasi Kotaraya 7 Juni VI
di Sekolah MImunisasi RuKotaraya 8 Maret VII
Moubang Mei VIII
di sekolah Inspeksi San Mensung 10 Novemb X
i Posyandu Karya Lestari di sekolah Kampanye C Ogomolo 11 OktobeXI
di sekolah MKampanye HOgotion 12 SeptemXII
di sekolah S Kelas Ibu BalMalalan 13
di sekolah Kelas Ibu Ha Mepanga 14
di sekolah Kemitraan DBugis 15
di sekolah Konseling DrGurinda 16
di sekolah S Konseling paOgobayas 17
di sekolah Kunjungan RBugis Uta 18
di sekolah Monitoring Bugis U 19
di sekolah S Pekan Penimbangan Ba 20
di sekolah Pelacakan Kasus Diare 21
di sekolah S Pelacakan Kasus Gizi 22
di sekolah Pelacakan Kasus Kont 23
di sekolah SDN 2 Kayu Agung
di sekolah SDN Bugis
di sekolah SDN Kotaraya
di sekolah SDN Mensung
di sekolah SDN Mepanga
di sekolah SDN Ogotion
di sekolah SMA Negeri 1 Mepanga
di sekolah SMK Negeri 1 Mepanga
di sekolah SMP Negeri 1 Mepanga
di sekolah SMP Negeri 2 Mepanga
di sekolah SMP Negeri 3 Mepanga
di sekolah SMP Satu Atap Negeri 1 Mepanga
di Posyandu Bougevil
di Posyandu Bougevil I
di Posyandu Bougevil II
di Posyandu Bougevil III
di Posyandu Cemara
di Posyandu Cempaka
di Posyandu Karya Lestari
di Posyandu Madani
di Posyandu Matahari
di Posyandu Mawar
di Posyandu Mekar
di Posyandu Melati
di Posyandu Melati I
di Posyandu Melati II
di Posyandu Melati III
di Posyandu Mutiara
di Posyandu Mutiara Indah 1
di Posyandu Mutiara Indah 2
di Posyandu Permata Ibu
di Posyandu Sirsak
di Posyandu Rosella
di Posyandu Wijaya Kusuma
di Dusun 1
di Dusun 2
di Dusun 3
di Dusun 4
di Dusun 5
di Dusun 6
di Dusun 7
di Dusun 8
di Dusun 9
di Dusun 10
 LAPORAN
1. DASAR
Sesuai Surat Tugas dari Kepala Puskesmas Mepanga, Nomor : 094 / - PKM.MPG / IV / 2019
Tertanggal, 18 April 2019
2. TUJUAN KUNJUNGAN
Tujuan dari kegiatan ini adalah Kegiatan Pemantauan Status Gizi (PSG) Balita di Posyandu Karya Lestari Desa
Kotaraya Barat

3. HASIL KUNJUNGAN
N
Hasil kunjungan pada kegiatan ini adalah
o IMUNISASI DASAR
Nama Orang
m Nama Bayi Tanggal
Lahir Tua
BCG
POLIO 1
DPTHBHib DPTHBHib DPTHBHib
1 POLIO 2 2 POLIO 3 3 POLIO 4
CAMPAK
DPTHBHib
tambahan
CAMPAK
tambahan

o L* P* L* P* L* P* L* P* L* P* L* P* L* P*
1
2r
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
= Jumlah Total Yang Di Imunisasi
= Jumlah Total Yang Di Imunisasi L* + P*
= Jumlah Total target Imunisasi bulan ini
= Jumlah Total target Imunisasi L* + P* bulan ini
= Jumlah capaian Presentasi Imunisasi bulan ini
= Jumlah capaian Presentasi Imunisasi L* + P* bulan ini
Keterangan : L* = Laki - Laki & P* = Perempuan
4. KESIMPULAN DAN SARAN
a. Kesimpulan
Capaian dari hasil kunjungan kurang/cukup/lebih mencapai target
b. Saran
- Pada semua instansi yang terkait berperan aktif
- promosi kesehatan di tingkatkan

Demikian beberapa hal yang dapat kami laporkan dari hasil Kegiatan Pemantauan Status Gizi
(PSG) Balita di Posyandu Karya Lestari Desa Kotaraya Barat pada Tanggal 18 April 2019
Desa Kotaraya Barat

Puskesmas Mepanga, 18 April 2019

Mengetahui
Kepala Desa Kotaraya Barat Pelapor

Nurbayti, SKM
NIP. 19700911 199603 2 002
 LAPORAN
1. DASAR
Sesuai Surat Tugas dari Kepala Puskesmas Mepanga, Nomor : 094 / - PKM.MPG / IV / 2019
Tertanggal, 18 April 2019
2. TUJUAN KUNJUNGAN
Tujuan dari kegiatan ini adalah Kegiatan Pemantauan Status Gizi (PSG) Balita di Posyandu Karya Lestari Desa
Kotaraya Barat

3. HASIL KUNJUNGAN

4. PERMASALAHAN

5. EVALUASI

6. KESIMPULAN DAN SARAN

a. Kesimpulan

b. Saran

Demikian beberapa hal yang dapat kami laporkan dari hasil Kegiatan Pemantauan Status Gizi
(PSG) Balita di Posyandu Karya Lestari Desa Kotaraya Barat pada Tanggal 18 April 2019
Desa Kotaraya Barat

Puskesmas Mepanga, 18 April 2019

Mengetahui
Kepala Desa Kotaraya Barat Pelapor

Nurbayti, SKM
NIP. 19700911 199603 2 002
 LAPORAN
1. DASAR
Sesuai Surat Tugas dari Kepala Puskesmas Mepanga, Nomor : 094 / - PKM.MPG / IV / 2019
Tertanggal, 18 April 2019
2. TUJUAN KUNJUNGAN
Tujuan dari kegiatan ini adalah Kegiatan Pemantauan Status Gizi (PSG) Balita di Posyandu Karya Lestari Desa
Kotaraya Barat

3. HASIL KUNJUNGAN
N
Hasil kunjungan pada kegiatan ini adalah
o L*
Dampak/kejadian Ikutan Pasca Imunisasi
Nama Orang

Napsu Makan
m

Batuk Pilek
Tanggal Jenis

Gatal - Gatal

kulit bercak

Perdarahan
kemerahan

Muntah
Nama Bayi /

Bengkak

Diare
Demam

Rewel

Abses
Lahir Imunisasi Tua

(-)
P*
o
1
2r
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Keterangan : L* = Laki - Laki & P* = Perempuan
4. KESIMPULAN DAN SARAN
a. Kesimpulan
Kesimpulan dari hasil kunjungan tidak didapat Dampak/Kejadian ikutan Pasaca Imunisasi yang
Membutuhkan penanganan yang itensif
b. Saran
Untuk mencegah terjadinya Kipi di harapkan orang tua meningkatkan pengatahuan tentang
pertolongan pertama bila terjadi kejadian ikutan Pasca Imunisasi

Demikian beberapa hal yang dapat kami laporkan dari hasil Kegiatan Pemantauan Status Gizi (PSG) Balita di
Posyandu Karya Lestari Desa Kotaraya Barat pada Tanggal 18 April 2019 Desa Kotaraya Barat

Puskesmas Mepanga, 18 April 2019

Mengetahui
Kepala Desa Bugis Utara Pelapor

Nurbayti, SKM
NIP. 19700911 199603 2 002
 PEMERINTAH KABUPATEN PARIGI MOUTONG
DINAS KESEHATAN
UPTD PUSKESMAS MEPANGA
Jl. Nusantara Sumber Agung 94376 - puskesmas.Mepanga@gmail.com

SURAT TUGAS
Nomor : 094 / - PKM.MPG / IV / 2019

Yang bertanda tangan di bawah ini :

Nama : Ketut Cita, A.Md.Kep
NIP. : 19730615 199403 1 009
Pangkat/Gol.Ruang/TMT : Penata Tingkat I , III/d , TMT 01 April 2013
Jabatan : Kepala UPTD Puskesmas Mepanga

Dengan ini memberi tugas Kepada :

1. Nama : Nurbayti, SKM

NIP. : 19700911 199603 2 002
Pangkat/Gol.Ruang/TMT : Penata, III/c , TMT 01 Oktober 2012
Jabatan : Pengelola Gizi
III/ ### ### NPWP. 77.480.758.0-831.000
2. Nama : Sri Wahyuni, A.Md.Kep
NrPTTD. :
Pangkat/Gol.Ruang/TMT :
Jabatan : Perawat Puskesmas Mepanga
- ### ### NPWP.................................
Untuk Melaksanakan : Kegiatan Pemantauan Status Gizi (PSG) Balita di
Posyandu Karya Lestari Desa Kotaraya Barat pada
Tanggal 18 April 2019

Demikian surat tugas ini dibuat untuk dapat dilaksanakan sebaik - baiknya

Kepala UPTD Puskesmas Mepanga

Ketut Cita, A.Md.Kep

NIP. 19730615 199403 1 009
Jenis Belanja : Belanja Jasa Transportasi dan Akomodasi Lembar : I,II,III,IV
Kode Rekening : 5.2.2.03.024 T.A : 2019
Program : Upaya Kesehatan Masyarakat Sumber Dana : DAK NON FISIK
Kegiatan : Penyediaan Biaya Operasional dan Pemeliharaan
Kegiatan Pemantauan Status Gizi (PSG) Balita
DAFTAR PENERIMAAN BELANJA JASA TRANSPORTASI
KEGIATAN PEMANTAUAN STATUS GIZI (PSG) BALITA DI POSYANDU KARYA LESTARI DESA KOTARAYA BARAT
KEGIATAN PENYEDIAAN BIAYA OPERASIONAL DAN PEMELIHARAAN
PROGRAM UPAYA KESEHATAN MASYARAKAT TAHUN ANGGARAN 2019
TANGGAL 18 APRIL 2019
JUMLAH
JUMLAH
DITERIMA
NO NAMA JABATAN GOL PUSKESMAS RINCIAN TRANSPORT TANDA TANGAN
RP RP
1 2 3 4 5 6 7 8 9
Nurbayti, SKM
1 NIP. 19700911 199603 2 002 Pengelola Gizi III/c Mepanga 1 Org x 1 Posy x 1 kl x Rp 50,000 Rp 50,000 RP 50.000 1.

Sri Wahyuni, A.Md.Kep

2 NrPTTD. Perawat Puskesmas Mepanga - Mepanga 1 Org x 1 Posy x 1 kl x Rp 50,000 Rp 50,000 RP 50.000 2.

JUMLAH TOTAL Rp 100,000 Rp 100,000

Sumber Agung, 18 April 2019

Mengetahui/Menyetujui Lunas Bayar
Kepala UPTD Puskesmas Mepanga Pengelola Keuangan BOK Puskesmas Mepanga Yang Menerima

Ketut Cita, A.Md.Kep Hj. Desi Indria, A.Md.Kep Nurbayti, SKM

Nip. 19730615 199403 1 009 Nip. 19800724 199903 2 001 NIP. 19700911 199603 2 002
Jenis Belanja : Belanja Jasa Transportasi dan Akomodasi Lembar : I,II,III,IV
Kode Rekening : 5.2.2.03.024 T.A : 2019
Program : Upaya Kesehatan Masyarakat Sumber Dana : DAK NON FISIK
(1.02.1.02.01.16.16)
Kegiatan : Penyediaan Biaya Operasional dan Pemeliharaan
(1.02.1.02.01.16.16.03)

KWITANSI

Telah Terima Dari : KEPALA UPTD PUSKESMAS MEPANGA

Uang Sebanyak : Seratus Ribu Rupiah

###
Untuk Pembayaran : Biaya Transport untuk Kegiatan Pemantauan Status Gizi (PSG) Balita
di Posyandu Karya Lestari Desa Kotaraya Barat pada Tanggal 18 April
2019 Prgram Upaya Kesehatan Masyarakat, Tahun Anggaran 2019,
Dengan Rincian Sebagai Berikut :

- 1 Org x 1 Posy x 1 kl x Rp 50,000 = Rp 50,000

- 1 Org x 1 Posy x 1 kl x Rp 50,000 = Rp 50,000
Rp 100,000

###
Terbilang : Rp 100,000

Sumber Agung, 18 April 2019

Mengetahui/Menyetujui Lunas Bayar Yang Menerima,
Kepala UPTD Puskesmas Mepanga Pengelola Keuangan BOK Jabatan : Pengelola Gizi
UPTD Puskesmas Mepanga Alamat : Kecamatan Mepanga

Ketut Cita, A.Md.Kep Hj. Desi Indria, A.Md.Kep Nurbayti, SKM

Nip. 19730615 199403 1 009 Nip. 19800724 199903 2 001 NIP. 19700911 199603 2 002