ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
DINAS KESEHATAN KABUPATEN GROBOGAN
2
 UPTD PUSKESMAS KLAMBU
3
4
5
DAFTAR NAMA PENDERITA RAWAT INAP PASIEN UMUM
6
7
Bulan :
JANUARI
Tahun : 2026
8
NONAMA
UMUR
ALAMATNO TANGGALTANGGAL
JUMLAH
BIAYA JUMLAH
9
( Th )RMMULAI KELUARHARIPERHARIBIAYA
10
DIRAWAT( Rp )( Rp )
11
1JAMALUDIN54JENENGAN75455212/31/202502/01/2026340.000120.000
12
2RUSTINAH58KLAMBU23825212/29/202502/01/2026540.000200.000
13
3MOCH MACHSUN 59NADRI26250412/28/202512/31/2025440.000160.000
14
4
MARIYATUL QIBTIYAH
14TERKESI64200612/31/202503/01/2026440.000160.000
15
5WELAS ASIH30SINAWAH75583003/01/202606/01/2026440.000160.000
16
6KUSYANTO45TARUMAN75498902/01/202604/01/2026340.000120.000
17
7ENIK SOFIYATUN37TERKESI50155104/01/202608/01/2026540.000200.000
18
8
KARUNIA PUTRI APRILIA
10WD.KEMIRI75674906/01/202609/01/2026440.000160.000
19
9M. RUBAI35TAMBAHMULYO75775707/01/202609/01/2026340.000120.000
20
10SITI WIDARTI40KANDANGREJO20848409/01/202610/01/2026240.00080.000
21
11
SALWA DWI AGUSTIN
19TERKESI64221310/01/202613/01/2026340.000120.000
22
12KISWATI55SEMBUKAN76253817/01/202619/01/2026340.000120.000
23
13MAHMUD27TARUMAN76198616/01/202619/01/2026440.000160.000
24
14GAMIYATI53CANGAAN76415121/01/202621/01/2026140.00040.000
25
15JUMRONAH52KAYUMAS76256818/01/202621/01/2026540.000200.000
26
16
MUHAMMAD KENZI ALVARO
2BRAKAS31952822/01/202626/01/2026540.000200.000
27
17
HILAL ARIQ ROMADHON
9GOLENG55669921/01/202625/01/2026440.000160.000
28
18SISWANTO26BRAKAS76502122/01/202625/01/2026440.000160.000
29
19SUKARMI45CANGAAN76837328/01/202630/01/2026340.000120.000
30
20SRI MULYATI48SENTONO60576028/01/202631/01/2026340.000120.000
31
Jumlah722.880.000
32
33
Klambu, 31 Januari 2026
34
MengetahuiBendahara Pengeluaran
35
Kepala Puskesmas KlambuPuskesmas Klambu
36
37
38
EDY PURWOUTOMO,SKM
TRI WIDODO
39
 NIP.197102261997031002NIP.19880508 201001 1 006
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100