PEMERINTAH KABUPATEN SRAGEN

DINAS KESEHATAN KABUPATEN SRAGEN

UPTD PUSKESMAS MONDOKAN KECAMATAN MONDOKAN
Jl. Raya Jekani, Telp. ( 0271 ) 8851541 SRAGEN - Kode Pos 57271

REKAPTULASI MAKAN DAN MINUM PASIEN RAWAT INAP

PUSKESMAS MONDOKAN
BULAN AGUSTUS 2017

JUMLAH JUMLAH TARIF

NO URAIAN TOTAL
PASIEN HARI PER HARI
1 Pasien Umum 19 48 Rp 15,000 Rp 720,000
2 Pasien BPJS 36 84 Rp 15,000 Rp 1,260,000
3 Pasien Saraswati 0 0 Rp 15,000 Rp -
JUMLAH TOTAL 55 132 Rp 15,000 Rp 1,980,000

Kepala UPTD Puskesmas Mondokan

drg. Budhi Wibowo

NIP. 19690322 200212 1 003
 DAFTAR MAKAN MINUM PASIEN UMUM
PUSKESMAS MONDOKAN
BULAN JULI 2017

JUMLAH JUMLAH TARIF

NO TANGGAL JUMLAH
PASIEN HARI PER HARI
1 01/07/2017 0 0 Rp 15,000 Rp -
2 02/07/2017 0 0 Rp 15,000 Rp -
3 03/07/2017 0 0 Rp 15,000 Rp -
4 04/07/2017 2 2 Rp 15,000 Rp 30,000
5 05/07/2017 1 2 Rp 15,000 Rp 30,000
6 06/07/2017 1 3 Rp 15,000 Rp 45,000
7 07/07/2017 0 0 Rp 15,000 Rp -
8 08/07/2017 0 0 Rp 15,000 Rp -
9 09/07/2017 0 0 Rp 15,000 Rp -
10 10/07/2017 1 3 Rp 15,000 Rp 45,000
11 11/07/2017 2 6 Rp 15,000 Rp 90,000
12 12/07/2017 2 5 Rp 15,000 Rp 75,000
13 13/07/2017 1 2 Rp 15,000 Rp 30,000
14 14/07/2017 0 0 Rp 15,000 Rp -
15 15/07/2017 0 0 Rp 15,000 Rp -
16 16/07/2017 0 0 Rp 15,000 Rp -
17 17/07/2017 0 0 Rp 15,000 Rp -
18 18/07/2017 1 2 Rp 15,000 Rp 30,000
19 19/07/2017 2 5 Rp 15,000 Rp 75,000
20 20/07/2017 1 3 Rp 15,000 Rp 45,000
21 21/07/2017 0 0 Rp 15,000 Rp -
22 22/07/2017 0 0 Rp 15,000 Rp -
23 23/07/2017 0 0 Rp 15,000 Rp -
24 24/07/2017 0 0 Rp 15,000 Rp -
25 25/07/2017 0 0 Rp 15,000 Rp -
26 26/07/2017 0 0 Rp 15,000 Rp -
27 27/07/2017 2 9 Rp 15,000 Rp 135,000
28 28/07/2017 1 1 Rp 15,000 Rp 15,000
29 29/07/2017 0 0 Rp 15,000 Rp -
30 30/07/2017 0 0 Rp 15,000 Rp -
31 31/07/2017 2 5 Rp 15,000 Rp 75,000

JUMLAH 19 48 Rp 15,000 Rp 720,000

Ka UPTD Puskesmas Mondokan

drg. Budhi Wibowo

NIP. 19690322 200212 1 003
 DAFTAR MAKAN MINUM PASIEN BPJS
PUSKESMAS MONDOKAN
BULAN JULI 2017

JUMLAH JUMLAH TARIF

NO TANGGAL JUMLAH
PASIEN HARI PER HARI
1 7/1/2017 2 6 Rp 15,000 Rp 90,000
2 7/2/2017 2 6 Rp 15,000 Rp 90,000
3 7/3/2017 4 11 Rp 15,000 Rp 165,000
4 7/4/2017 2 3 Rp 15,000 Rp 45,000
5 7/5/2017 1 1 Rp 15,000 Rp 15,000
6 7/6/2017 2 4 Rp 15,000 Rp 60,000
7 7/7/2017 1 3 Rp 15,000 Rp 45,000
8 7/8/2017 1 3 Rp 15,000 Rp 45,000
9 7/9/2017 1 2 Rp 15,000 Rp 30,000
10 7/10/2017 1 1 Rp 15,000 Rp 15,000
11 7/11/2017 0 0 Rp 15,000 Rp -
12 7/12/2017 0 0 Rp 15,000 Rp -
13 7/13/2017 1 4 Rp 15,000 Rp 60,000
14 7/14/2017 0 0 Rp 15,000 Rp -
15 7/15/2017 1 3 Rp 15,000 Rp 45,000
16 7/16/2017 2 4 Rp 15,000 Rp 60,000
17 7/17/2017 1 1 Rp 15,000 Rp 15,000
18 7/18/2017 0 0 Rp 15,000 Rp -
19 7/19/2017 2 5 Rp 15,000 Rp 75,000
20 7/20/2017 0 0 Rp 15,000 Rp -
21 7/21/2017 0 0 Rp 15,000 Rp -
22 7/22/2017 2 4 Rp 15,000 Rp 60,000
23 7/23/2017 1 2 Rp 15,000 Rp 30,000
24 7/24/2017 3 8 Rp 15,000 Rp 120,000
25 7/25/2017 2 5 Rp 15,000 Rp 75,000
26 7/26/2017 1 2 Rp 15,000 Rp 30,000
27 7/27/2017 0 0 Rp 15,000 Rp -
28 7/28/2017 1 2 Rp 15,000 Rp 30,000
29 7/29/2017 2 4 Rp 15,000 Rp 60,000
30 7/30/2017 0 0 Rp 15,000 Rp -
31 7/31/2017 0 0 Rp 15,000 Rp -

JUMLAH 36 84 Rp 15,000 Rp 1,260,000

Ka UPTD Puskesmas Mondokan

drg. Budhi Wibowo

NIP. 19690322 200212 1 003
 DAFTAR MAKAN MINUM PASIEN SARASWATI
PUSKESMAS MONDOKAN
BULAN JULI 2017

JUMLAH JUMLAH TARIF

NO TANGGAL JUMLAH
PASIEN HARI PER HARI
1 Rp 15,000 Rp -
2 Rp 15,000 Rp -
JUMLAH 0 0 Rp 15,000 Rp -

Mengetahui
Pimpinan BLUD
Puskesmas Mondokan

drg. Budhi Wibowo

NIP. 19690322 200212 1 003