DAFTAR HADIR SENAM PROLANIS DI UPT KESMAS

TAMPAKSIRING I
N
O
1

NAMA

No BPJS

No TELP

ALAMAT

I Nyoman Sumardha

0000143561439

Br.Sareseda

Gusti Ngurah Gede

0000143561283

Br manukaya

Nyoman Winiathi

0000143483231

087860253438

Br Buruan

Ni wayan Rapi

0001275032856

Br Penaka

Wayan Cepet

0000821011803

Br Penaka

Ni Ketut Surati

0000143497394

Br Tengah

0001793036147

Br Manukaya

Dewa Ngakan Nym

Tiaksa
I Made Sudana

0001433469655

Br Penaka

Ni Nym Mica

0000143616611

Br Penaka

1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2

Ni Wayan Roti

0000143339387

081916570436

Br Bukit

Made Sukerta

0000822614051

081999971426

Br Penaka

Dewa Ngakan Nym

Indra
Made Darsi

0000143597801

Br Manukaya

0000822616233

081999971426

Br Penaka

Wayan Sotin

0000821170001

Br Penaka

Made Suwetri

0001271251585

Br Penaka

Ni Wayan Suryati

0000143597812

Br Manukaya

I Wayan Weda

0000143458558

08164704972

Br Buruan

I Ketut Marna

0000822125057

087861283755

Br Sareseda

Wayan Sampun

0000821098135

Br Penaka

Habida Ago

0000143449661

Br Tengah

Ni Made Kesir

0000821275064

Br Mantring

Sang Nyoman Rata

0000143483927

087860276746

Br Tatag

TANDA
TANGAN

2
2
3
2
4
2
5
2
6
2
7
2
8
2
9
3
0
3
1
3
2
3
3

Gusti Made Sukerti

0000143598396

085237167767

Br Manukaya

Wayan Ucur

0000822863957

Br Penaka

Jero Wayan Srining

0001793031309

Br Manukaya

Kompyang Ambara

0000143450774

087861101339

Br Sanding

I Made Karma

0000822957513

082339675516

Br Kelodan

A A Oka Suryati

0000143497394

Br Tengah

Made Perasi

0000143339376

Br Bukit

NI Wayan Wangi

0001433472658

Br Penaka

Ketut Artini

0000143574052

Br Buruan

I Wayan Maja

0000143499205

Br Bantas

Ni Wayan Patiasih

0000821791833

Br Sanding

Mengetahui
Kepala UPT Kesmas Tampaksiring 1

( dr Kadek Suryawan M.kes.)

NIP.19800229 200501 1 009.

Tampaksiring, 18 dan 21 Agustus 2015

Pemegang Program PTM

(Ni Putu Tariani A,Md Kep.)

NIP.19800508 201001 2 023.

DAFTAR HADIR SENAM PROLANIS DI UPT KESMAS

TAMPAKSIRING I
N
O
1

NAMA

No BPJS

No TELP

ALAMAT

I Nyoman Sumardha

0000143561439

Br.Sareseda

Gusti Ngurah Gede

0000143561283

Br manukaya

Nyoman Winiathi

0000143483231

087860253438

Br Buruan

Ni wayan Rapi

0001275032856

Br Penaka

Wayan Cepet

0000821011803

Br Penaka

Ni Ketut Surati

0000143497394

Br Tengah

0001793036147

Br Manukaya

Dewa Ngakan Nym

Tiaksa
I Made Sudana

0001433469655

Br Penaka

Ni Nym Mica

0000143616611

Br Penaka

1
0
1
1
1
2
1
3
1
4
1
5

Ni Wayan Roti

0000143339387

081916570436

Br Bukit

Made Sukerta

0000822614051

081999971426

Br Penaka

Dewa Ngakan Nym

Indra
Made Darsi

0000143597801

Br Manukaya

0000822616233

081999971426

Br Penaka

Wayan Sotin

0000821170001

Br Penaka

Made Suwetri

0001271251585

Br Penaka

TANDA
TANGAN

1
6
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
2
4
2
5
2
6
2
7
2
8
2
9
3
0

Ni Wayan Suryati

0000143597812

Br Manukaya

Ni Wayan Suryati

0000143597812

Br Manukaya

I Wayan Weda

0000143458558

08164704972

Br Buruan

I Ketut Marna

0000822125057

087861283755

Br Sareseda

Wayan Sampun

0000821098135

Br Penaka

Habida Ago

0000143449661

Br Tengah

Ni Made Kesir

0000821275064

Br Mantring

Sang Nyoman Rata

0000143483927

087860276746

Br Tatag

Gusti Made Sukerti

0000143598396

085237167767

Br Manukaya

Wayan Ucur

0000822863957

Br Penaka

Jero Wayan Srining

0001793031309

Br Manukaya

Kompyang Ambara

0000143450774

087861101339

Br Sanding

Raden Wahyuni

0000143578563

081338027594

Br Manukaya

I Made Karma

0000822957513

082339675516

Br Kelodan

A A Oka Suryati

0000143497394

Br Tengah

I Wayan Maja

0000143499205

Br Bantas

Mengetahui
Kepala UPT Kesmas Tampaksiring 1

( dr Kadek Suryawan M.kes.)

NIP.19800229 200501 1 009.

Tampaksiring,19 Juni 2015

Pemegang Program PTM

(Ni Putu Tariani A,Md Kep.)

NIP.19800508 201001 2 023.

Mengetahui
Kepala UPT Kesmas Tampaksiring 1

( dr Kadek Suryawan M.kes.)

NIP.19800229 200501 1 009.

Tampaksiring, 24 APRIL 2015

Pemegang Program PTM

(Ni Putu Tariani A,Md Kep.)

NIP.19800508 201001 2 023.