Anda di halaman 1dari 246

PELAYANAN LOKET II

237-268

No

Nama

No

Nama

237 Asep Zulkarnain, Amd.Kep

267 Ns. Debi indra Susika S.kep

238 Ayu Pusparini

268 Ns. Yusi Harleni, S.Kep

239 Neta Yuristini, Amd.Kep


240 Dores Purwanto, Amd.Kep
241 Yeni Paramita
242 Dedi Irawan
243 Agusman S
244 Yandi Gunawan
245 Hirtha Azdan Zuhrie
246 Noni Herawan
247 Wima Pratiwi
248 Ochi Syahrifawati
249 Helmi Yusmeli
250 Nurfitriani, S.Kep
251 Azima
252 Sriyana
253 Nizarwan
254 Meri Suharni
255 Gusti Marni
256 Lasteri
257 Bayani
258 Meri Ernaini
259 Metty Ziarna
260 Deka Nopiarti N
261 Ririn Suci Fitria
262 Yosi Arnila
263 Dwi Rahayu
264 Rahman Candra
265 Margareta, Amd.Kep

266 Ns. Yuhartika S.Kep

PELAYANAN LOKET 1
NO

NAMA

dr. Andri Sudjatmoko, SpKJ

dr. Hj. Huriah

dr. Helmi

dr. Sugiharto Djaja

dr. Daniel Satria Kosasih

dr. Wiratmo

dr. H.Syafriadi, MM

dr. Hospitaria V Purba

dr. Ellysa

10

drg. Nurbaya

11

Aidil Fitriansyah, S. Psi, Msi

12

Pinta Pandia, SKM.

13

Surantini, S.Kep

14

Seswarti, S.Kep

15

Tetih Waidah, S.Kep

16

Sahala, S.Kep

17

Astan Pahlevi, S.Kep

18

Enghua, S.Kep

19

dr. Lucy Marturia B, SpKJ

20

dr. Faisal Frida Putera

21

dr. Ari Mukti Wibowo

22

dr. Sheno Almes

NO
NAMA

NAMA

dr. Andri Sudjatmoko, SpKJ

31

Linda Usada, SKM

dr. Hj. Huriah

32

Megayani, Amd.Kep

dr. Helmi

33

Zulaiha, S.Kep

dr. Sugiharto Djaja

34

Desi Oktavia, S.Kep

dr. Daniel Satria Kosasih

35

Ning Lestari, S.Kep

dr. Wiratmo

36

Delvi Okta Fenty, S.Kep

dr. H.Syafriadi, MM

37

Eva Susanti

dr. Hospitaria V Purba

38

Eka Ayu Anggraini, S.ST

dr. Ellysa

39

Tri Karlinda, S.Kep

drg. Nurbaya

40

Fransiska, S.Kep

Aidil Fitriansyah, S. Psi, Msi

41

Meilia Findriani, Amd.Keb

Pinta Pandia, SKM.

42

Rosidi, A.md. Kep

Surantini, S.Kep

43

Hongkop Silaban

Seswarti, S.Kep

44

Desi Handayani, S.Kep

Tetih Waidah, S.Kep

45

Susinarti, Amd.Kep

Sahala, S.Kep

46

Maryanti Arifin, S.Kep

Astan Pahlevi, S.Kep

47

Elsye Darmiriyanti, S.Kep

Enghua, S.Kep

48

Widya Susiyanti

dr. Lucy Marturia B, SpKJ

49

Refi Febriasari, S.Kep

dr. Faisal Frida Putera

50

Muhammad Irdan, S.Kep

dr. Ari Mukti Wibowo

51

Efranul Basri

dr. Sheno Almes

52

Early Septalia, Amd.Kep

dr. Yessi Vebrianty

53

Rita Doveriyanti, S.ST

dr. Ahmad Yusril

54

Dewi Insani, AMK

drg. Erimawati

55

Nila Kusuma Saputri

Prima Zainayati.P, S.Psi,Psi

56

Danirul Sanadi, SKM

Marizal Adi Saputra, S. Psi

57

Meriahna BR Sitepu S.Kep

Deni Maryani, S.Kep

58

Bahidin

Ana Mardiana, S.Kep

59

Nimas Afriyanti, S.Kep

Lili Maryani, SKM

60

Ns.Herdi Fridana, S.Kep

NO
NAMA

61

Marlin Momos M. Silalahi, S.Kep

62

Anton Purwanto, S.Kep

63

Dev Afson Sumarlin, Amd. Kep

64

Dessy O Naibaho, Amd. Kep

65

Eka Safrina, S.Kep

66

wispa handayani, SST

67

Neti Mesri, Amd.Kep

68

Kamil Hakimin, S.Kep

69

Ns.Frevi Septiadi, S.Kep

70

Ns.Raulina Sinaga,S.Kep

71

Tesmajulisti, S.Kep

72

Yenni Yanuarita

73

Astri Yeliska, Amd.Kep

74

Hengki Setia Budi, Amd.Kep

75

Iki Sumantri, Amd.Kep

76

Hendra Setiawan, Amd.Kep

77

Sipur Alam

78

Hamdan Hamdani, Amd.Kep

79

Ns. Rosida Pentina Sinaga, S.Kep

80

Fajri Kurniawan, S.Kep

81

Deky Aprili, S.Kep

82

Tin Martini, S.Kep

83

Eka Yuliani, S. Kep

84

Erna Juita A

85

Novianti SD, Amd.Kep

86

Pero Perdana, Amd.Kep

87

Putri Wulan Sari, Amd.Keb

88

Hartono B. Bara, S.Kep

89

Jana Fopi Niarti, S.Kep

90

Ns.Meydi Nugroho, S.Kep

PELAYANAN
LOKET I
No

Nama

No Nama

No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

dr. Andri Sudjatmoko, SpKJ


dr. Hj. Huriah
dr. Helmi
dr. Sugiharto Djaja
dr. Daniel Satria Kosasih
dr. Wiratmo
dr. H.Syafriadi, MM
dr. Hospitaria V Purba
dr. Ellysa
drg. Nurbaya
Aidil Fitriansyah, S. Psi, Msi
Pinta Pandia, SKM.
Surantini, S.Kep
Seswarti, S.Kep
Tetih Waidah, S.Kep
dr. Lucy Marturia B, SpKJ
dr. Faisal Frida Putera
dr. Ari Mukti Wibowo
dr. Sheno Almes
dr. Yessi Vebrianty
dr. Ahmad Yusril
drg. Erimawati
Prima Zainayati.P, S.Psi,Psi
Marizal Adi Saputra, S. Psi
Deni Maryani, S.Kep
Ana Mardiana, S.Kep

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

Efranul Basri
Early Septalia, Amd.Kep
Rita Doveriyanti, S.ST
Dewi Insani, AMK
Nila Kusuma Saputri
Danirul Sanadi, SKM
Meriahna BR Sitepu S.Kep
Bahidin
Nimas Afriyanti, S.Kep
Ns.Herdi Fridana, S.Kep
Marlin Momos M. Silalahi,
Anton Purwanto, S.Kep
Dev Afson Sumarlin,
Dessy O Naibaho, Amd. Kep
Eka Safrina, S.Kep
Neti Mesri, Amd.Kep
Kamil Hakimin, S.Kep
Ns.Frevi Septiadi, S.Kep
Widya Ivanna, SW.Kep
Ns.Raulina Sinaga,S.Kep
Tesmajulisti, S.Kep
Rise Novita, S.Kep
Yenni Yanuarita
Astri Yeliska, Amd.Kep
Hengki Setia Budi, Amd.Kep
Iki Sumantri, Amd.Kep

96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

Lili Maryani, SKM


Linda Usada, SKM
Megayani, Amd.Kep
Zulaiha, S.Kep
Desi Oktavia, S.Kep
Ning Lestari, S.Kep
Delvi Okta Fenty, S.Kep
Eva Susanti, S.Kep
Eka Ayu Anggraini, S.ST
Meilia Findriani, Amd.Keb
Empeng Sitepu, SKM
Sahala, S.Kep
Rosidi, A.md. Kep
Melda Fitriana, Amd.Kep
Hongkop Silaban
Susinarti, Amd.Kep
Rismawati
Maryanti Arifin, S.Kep
Elsye Darmiriyanti, S.Kep
Widya Susiyanti
Refi Febriasari, S.Kep

74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95

Hendra Setiawan, Amd.Kep


Khairu Fahmi, Amd.Kep
Sipur Alam
Enghua, S.Kep
Hamdan Hamdani, Amd.Kep
Ns. Rosida Pentina Sinaga,
Fajri Kurniawan, S.Kep
Deky Aprili, S.Kep
Tin Martini, S.Kep
Eka Yuliani, S. Kep
Novianti SD, Amd.Kep
Pero Perdana, Amd.Kep
Putri Wulan Sari, Amd.Keb
Erna Juita A
Hartono B. Bara, S.Kep
Jana Fopi Niarti, S.Kep
Ns.Meydi Nugroho, S.Kep
Sugiyanti, S.Kep
Elda Septiana, S.Kep
Enna Oktarina, s.Kep
Dexi Noviazoni, S.Kep
Dwi Putri Oktavia, S.Kep

122
123
124
125
126

Nama
Parulian May Putra S.S.Kep
Frits Douglas, Amd.Kep
Kamarul Ajmi, Amd.Kep
Liustomo
Suparti, Amd.Kep
Afneri
Tri Karlinda, S.Kep
Novia Wirajeki, S.Kep
Amirul Fajri, S.Kep
Rud Damayanti, Amd.Kep
Erika Anita Sari, Amd.Kep
Ratna Dwi Wulandari, S.Kep
Widya Febriani, S.Kep
Yesi Rahayu, Amd.Kep
Adi Setiawan, Amd.Kep
Halen Martoni, Amd.Kep
Meifizasari, S.Kep
Ns. Rika Nurmalia, S.Kep
Fitria Susanti, S.Kep
Fatmawati, Amd.Kep
Wida Yulia, S.Kep
Lasria Sirait, S.Kep
Marisa Dewi C, Amd.Kep
Hendayati, Amd.Kep
Dian F.Simbolon, Amd.Keb
Ira Kurniawati, Amd.Kep
Debie Stiany Anzahari
Yuniarti Leni Tesra
Astan Pahlevi, S.Kep
Irawan Ahmad
Ns. Debi Indra Susika, S.Kep

No. Rek. 1.02.1.02.03.35.01.2.2.26.01.


No. BKU :

KWITANSI
NO

NAMA

dr. Andri Sudjatmoko, SpKJ

dr. Hj. Huriah

dr. Helmi

dr. Sugiharto Djaja

dr. Daniel Satria Kosasih

dr. Wiratmo

dr. H.Syafriadi, MM

dr. Hospitaria V Purba

dr. Ellysa

10

drg. Nurbaya

JANUARI
2,504,452
2,146,673
2,146,673
2,325,562
2,087,043
1,967,783
2,504,452
2,087,043
2,087,043
1,669,634
1,848,524
1,550,375
1,550,375
1,848,524
1,908,154
1,960,006
1,905,561
1,796,672
1,578,893
1,633,338
1,796,672
1,361,115
1,361,115
1,143,337
1,143,337
1,143,337
980,003
1,197,781
1,415,560
1,306,670
1,361,115
1,197,781
1,197,781
1,197,781
1,197,781
1,088,892
1,524,449
1,633,338
1,361,115
1,140,744
1,252,226
1,578,893
1,361,115
1,306,670
1,470,004
1,143,337

FEBRUARI
2,509,785
1,984,481
2,217,950
2,042,849
1,926,114
1,867,747
2,334,684
1,984,481
1,984,481
1,575,912
1,984,481
1,517,454
1,517,454
1,517,454
1,809,380
2,078,376
2,025,085
1,865,210
1,598,751
1,598,751
1,865,210
1,332,293
1,438,876
1,225,709
1,225,709
1,225,709
1,172,417
1,279,001
1,598,751
1,492,168
1,545,459
1,385,584
1,385,584
1,065,834
1,385,584
1,268,850
1,438,876
1,545,459
1,279,001
1,065,834
1,172,417
1,545,459
1,279,001
1,438,876
1,119,126

MARET

JUMLAH
2,362,325
1,867,885
2,087,636
2,032,699
1,812,947
1,922,823
2,252,450
1,922,823
1,922,823
1,538,258
2,032,699
1,428,383
1,483,321
1,648,134
1,867,885
1,956,263
1,956,263
1,655,300
1,655,300
1,504,818
1,705,460
1,254,015
1,304,176
1,103,533
1,103,533
1,103,533
902,891
1,203,854
1,554,979
1,454,657
1,504,818
1,354,336
1,354,336
1,103,533
1,354,336
1,242,072
1,404,497
1,504,818
1,254,015
1,050,984
1,153,694
1,504,818
1,254,015
1,404,497
1,103,533

7,376,562
5,999,039
6,452,259
6,401,110
5,826,104
5,758,353
7,091,585
5,994,347
5,994,347
4,783,805
5,865,703
4,496,212
4,551,149
5,014,112
5,585,419
5,994,645
5,886,909
5,317,182
4,832,944
4,736,907
5,367,342
3,947,423
4,104,167
3,472,579
3,472,579
3,472,579
3,055,311
3,680,637
4,569,289
4,253,496
4,411,392
3,937,701
3,937,701
3,367,148
3,937,701
3,599,814
4,367,822
4,683,615
3,894,131
3,257,562
3,578,337
4,629,170
1,361,115
3,839,686
4,313,377
3,365,996

11

Aidil Fitriansyah, S. Psi, Msi

12

Pinta Pandia, SKM.

13

Surantini, S.Kep

14

Seswarti, S.Kep

15

Tetih Waidah, S.Kep

16

dr. Lucy Marturia B, SpKJ

17

dr. Faisal Frida Putera

18

dr. Ari Mukti Wibowo

19

dr. Sheno Almes

20

dr. Yessi Vebrianty

21

dr. Ahmad Yusril

22

drg. Erimawati

23

Prima Zainayati.P, S.Psi,Psi

24

Marizal Adi Saputra, S. Psi

25

Deni Maryani, S.Kep

26

Ana Mardiana, S.Kep

27

Lili Maryani, SKM

28

Linda Usada, SKM

29

Megayani, Amd.Kep

30

Zulaiha, S.Kep

31

Desi Oktavia, S.Kep

32

Ning Lestari, S.Kep

33

Delvi Okta Fenty, S.Kep

34

Eva Susanti, S.Kep

35

Eka Ayu Anggraini, S.ST

36

Meilia Findriani, Amd.Keb

37

Empeng Sitepu, SKM

38

Sahala, S.Kep

39

Rosidi, A.md. Kep

40

Melda Fitriana, Amd.Kep

41

Hongkop Silaban

42

Susinarti, Amd.Kep

43

Rismawati

44

Maryanti Arifin, S.Kep

45

Elsye Darmiriyanti, S.Kep

46

Widya Susiyanti

47

Refi Febriasari, S.Kep

1,252,226

1,225,709

1,203,854

3,681,789

JUMLAH

74,220,953

72,943,376

70,353,824

217,518,153

JUMLAH PINDAHAN

1,361,115
1,296,300
1,088,892
1,143,337
871,114
2,042,227
1,687,783
1,615,004
1,450,560
1,565,004
1,450,560
1,475,560
1,456,115
1,396,115
1,475,560
1,356,300
1,905,561
1,851,116
1,505,004
1,554,449
1,505,004
1,455,560
1,396,115
1,383,152
1,551,856
1,571,856
1,571,856
1,255,744
1,396,300
1,687,783
1,415,560
1,445,560

1,065,834
1,015,080
1,065,834
1,119,126
852,667
2,005,334
1,652,043
1,568,876
1,415,584
1,528,876
1,415,584
1,445,584
1,422,293
1,362,293
1,445,584
1,328,850
1,758,626
1,705,334
1,225,709
1,420,584
1,372,293
1,279,001
1,265,709
1,258,096
1,439,604
1,449,604
1,449,604
1,150,080
1,287,342
1,705,334
1,438,876
1,473,876

1,153,694
1,098,756
1,103,533
1,053,373
802,570
1,905,139
1,554,979
1,499,336
1,334,176
1,444,336
1,334,176
1,364,176
1,344,015
1,284,015
1,359,176
1,249,300
1,705,460
1,655,300
1,304,176
1,394,336
1,349,176
1,539,818
1,248,854
1,329,844
1,434,844
1,429,844
1,429,844
1,429,844
1,291,528
1,605,139
1,354,336
1,394,336

3,580,643
3,410,136
3,258,259
3,315,835
2,526,350
5,952,700
4,894,804
4,683,216
4,200,319
4,538,216
4,200,319
4,285,319
4,222,423
4,042,423
4,280,319
3,934,450
5,369,647
5,211,750
4,034,889
4,369,369
4,226,473
4,274,379
3,910,678
3,971,092
4,426,304
4,451,304
4,451,304
3,835,668
3,975,170
4,998,256
4,208,772
4,313,772

102 Tri Karlinda, S.Kep

1,510,560
1,515,560
1,406,115
1,471,115
1,314,448
1,369,448
1,274,448
1,163,892
1,687,783
1,361,115
1,565,560
1,391,115
1,391,115
1,173,337
1,496,115
1,173,337
1,496,115
1,374,448
1,374,448
1,223,892
1,687,783
1,470,004
1,450,560

1,518,876
1,533,876
1,415,584
1,525,584
1,343,850
1,388,850
1,298,850
1,226,588
1,758,626
1,545,459
1,622,168
1,463,876
1,463,876
1,468,876
1,568,876
1,468,876
1,568,876
1,449,604
1,439,604
1,287,342
1,865,210
1,652,043
1,633,751

1,459,336
1,454,336
1,359,176
1,454,176
1,279,300
1,324,300
1,234,300
1,115,984
1,655,300
1,354,336
1,544,497
1,384,336
1,384,336
1,384,336
1,489,336
1,384,336
1,489,336
1,377,072
1,377,072
1,228,756
1,605,139
1,404,497
1,404,497

4,488,772
4,503,772
4,180,875
4,450,875
3,937,598
4,082,598
3,807,598
3,506,464
5,101,708
4,260,910
4,732,224
4,239,327
4,239,327
4,026,549
4,554,327
4,026,549
4,554,327
4,201,124
4,191,124
3,739,990
5,158,131
4,526,544
4,488,807

103 Novia Wirajeki, S.Kep

1,510,560

1,633,751

1,389,336

4,533,647

JUMLAH

155,257,841

1,713,751
1,633,751
1,580,459

1,474,336
1,389,336
1,339,176

4,723,647
4,473,647
4,315,750

48

Efranul Basri

49

Early Septalia, Amd.Kep

50

Rita Doveriyanti, S.ST

51

Dewi Insani, AMK

52

Nila Kusuma Saputri

53

Danirul Sanadi, SKM

54

Meriahna BR Sitepu S.Kep

55

Bahidin

56

Nimas Afriyanti, S.Kep

57

Ns.Herdi Fridana, S.Kep

58

Marlin Momos M. Silalahi, S.Kep

59

Anton Purwanto, S.Kep

60

Dev Afson Sumarlin, Amd. Kep

61

Dessy O Naibaho, Amd. Kep

62

Eka Safrina, S.Kep

63

Neti Mesri, Amd.Kep

64

Kamil Hakimin, S.Kep

65

Ns.Frevi Septiadi, S.Kep

66

Widya Ivanna, SW.Kep

67

Ns.Raulina Sinaga,S.Kep

68

Tesmajulisti, S.Kep

69

Rise Novita, S.Kep

70

Yenni Yanuarita

71

Astri Yeliska, Amd.Kep

72

Hengki Setia Budi, Amd.Kep

73

Iki Sumantri, Amd.Kep

74

Hendra Setiawan, Amd.Kep

75

Khairu Fahmi, Amd.Kep

76

Sipur Alam

77

Enghua, S.Kep

78

Hamdan Hamdani, Amd.Kep

79

Ns. Rosida Pentina Sinaga, S.Kep

80

Fajri Kurniawan, S.Kep

81

Deky Aprili, S.Kep

82

Tin Martini, S.Kep

83

Eka Yuliani, S. Kep

84

Novianti SD, Amd.Kep

85

Pero Perdana, Amd.Kep

86

Putri Wulan Sari, Amd.Keb

87

Erna Juita A

88

Hartono B. Bara, S.Kep

89

Jana Fopi Niarti, S.Kep

90

Ns.Meydi Nugroho, S.Kep

91

Sugiyanti, S.Kep

92

Elda Septiana, S.Kep

93

Enna Oktarina, s.Kep

94

Dexi Noviazoni, S.Kep

95

Dwi Putri Oktavia, S.Kep

96

Parulian May Putra S.S.Kep

97

Frits Douglas, Amd.Kep

98

Kamarul Ajmi, Amd.Kep

99

Liustomo

100 Suparti, Amd.Kep


101 Afneri

JUMLAH PINDAHAN
104 Amirul Fajri, S.Kep
105 Rud Damayanti, Amd.Kep
106 Erika Anita Sari, Amd.Kep

1,535,560
1,450,560
1,396,115

1,450,560
1,450,560
1,331,300
1,391,300
1,391,300
1,578,893
1,460,560
1,451,115
1,401,670
1,456,115
1,411,115
1,401,670
1,339,448
1,324,448
1,339,448
1,183,892
1,235,744
1,851,116
1,524,449
1,574,449
1,628,893
1,578,893
1,525,004
1,620,004
1,520,004
1,525,004
1,579,449
1,498,152
1,508,152
1,508,152
1,415,560
1,578,893

1,633,751
1,633,751
1,506,866
1,480,358
735,933
1,492,168
1,377,293
1,369,001
1,310,709
1,364,001
1,279,001
1,310,709
1,252,342
1,257,342
1,252,342
1,100,080
1,150,834
1,758,626
1,438,876
1,473,876
1,542,168
1,492,168
1,430,584
1,535,584
1,435,584
1,445,584
1,488,876
1,418,850
1,408,850
1,408,850
1,492,168
1,652,043

1,389,336
1,389,336
1,277,072
1,271,528
621,036
1,554,979
1,459,497
1,409,336
1,369,176
1,424,336
1,404,336
1,369,176
1,307,072
1,302,072
1,297,072
1,158,756
1,206,528
1,705,460
1,404,497
1,509,657
1,454,657
1,409,336
1,504,336
1,404,336
1,409,336
1,459,497
1,392,072
1,402,072
1,402,072
1,404,497
1,554,979

4,473,647
4,473,647
4,115,238
4,143,186
2,748,269
4,626,040
4,297,349
4,229,452
4,081,555
4,244,452
4,094,452
4,081,555
3,898,862
3,883,862
3,888,862
3,442,728
3,593,106
5,315,203
4,367,822
3,048,325
4,680,718
4,525,718
4,364,925
4,659,925
4,359,925
4,379,925
4,527,822
4,309,074
4,319,074
4,319,074
4,312,224
4,785,915

158 Yenni Noviarti, Amd.Kep

1,524,449
1,570,560
1,466,670
1,460,560
1,480,560
1,480,560
1,480,560
1,451,300
1,304,448
1,300,744
1,796,672
1,415,560
1,615,004
1,620,004
1,475,560
1,525,004
1,540,004
1,555,004
1,540,004
1,475,560

1,643,751
1,642,168
1,530,584
746,084
1,557,168
1,542,168
1,562,168
1,510,358
1,374,604
1,358,096
1,758,626
1,492,168
1,568,876
1,563,876
1,440,584
1,473,876
1,563,876
1,498,876
1,518,876
1,465,584

1,529,818
1,549,497
1,358,854
702,248
1,444,497
1,439,497
1,459,497
1,439,844
1,277,072
1,296,528
1,655,300
1,304,176
1,484,336
1,484,336
1,364,176
1,389,336
1,494,336
1,439,336
1,434,336
1,379,176

4,698,018
4,762,224
4,356,109
2,908,892
4,482,224
4,462,224
4,502,224
4,401,502
3,956,124
3,955,368
5,210,598
4,211,903
4,668,216
4,668,216
4,280,319
4,388,216
4,598,216
4,493,216
4,493,216
4,320,319

159 Herliza Sepriadi, Amd.Kep

1,493,152

1,454,604

1,372,072

4,319,828

1,415,004
1,192,596
1,851,116
1,687,783
1,565,004
1,524,449

1,370,358
1,217,342
1,971,793
1,811,918
1,728,751
1,687,043

1,289,844
1,133,756
2,006,424
1,855,942
1,790,300
1,735,460

4,075,206
3,543,694
5,829,333
5,355,643
5,084,055
4,946,952

107 Ratna Dwi Wulandari, S.Kep


108 Widya Febriani, S.Kep
109 Yesi Rahayu, Amd.Kep
110 Adi Setiawan, Amd.Kep
111 Halen Martoni, Amd.Kep
112 Meifizasari, S.Kep
113 Ns. Rika Nurmalia, S.Kep
114 Fitria Susanti, S.Kep
115 Fatmawati, Amd.Kep
116 Wida Yulia, S.Kep
117 Lasria Sirait, S.Kep
118 Marisa Dewi C, Amd.Kep
119 Hendayati, Amd.Kep
120 Dian F.Simbolon, Amd.Keb
121 Ira Kurniawati, Amd.Kep
122 Debie Stiany Anzahari
123 Yuniarti Leni Tesra
124 Astan Pahlevi, S.Kep
125 Irawan Ahmad
126 Ns. Debi Indra Susika, S.Kep
127 Ns. Desi Martini, S.Kep
128 Reni Anggraini, S.Kep
129 Yuni Nilawati, SST
130 Jumatul Khair, Amd.Kep
131 Tuti Wigiawati, S.Kep
132 Rini Puji Astuti, S.Kep
133 Nurul Hidayah, S.Kep
134 Rizal, Amd.Kep
135 Teddy Jauhari, Amd.Kep
136 Yopi Kusdianto, Amd.Kep
137 Asrizal, Amd.Kep
138 Euis Wahyu Utami, S.Kep
139 Ns. Ismayati, S.Kep
140 Poni Herawan, Amd.Kep
141 Heli Widiantoro
142 Nevi Anggriyanti, S.Kep
143 Riri Novri Yati, Amd.Kep
144 Pini Restuti, S.Kep
145 Evi Noviyanti, S.Kep
146 Sevri Effendi Arnur, Amd.Kep
147 Susi Hartati
148 Jumadi Rezwan
149 Ns. Teti Sumarni, S.Kep
150 Muhammad Irdan, S.Kep
151 Lukito Condro, S.Kep
152 Ewinri Nopriadi, S.Kep
153 Gusti Farida, Amd.Kep
154 Desi Handayani, S.Kep
155 Asrupin, S.Kep
156 Helda Ariyani, S.Kep
157 Vivi Nofita, S.Kep

JUMLAH

JUMLAH PINDAHAN
160 Yena Hartini
161 Yenita Marlina
162 Sawal Alam, SKM
163 Tri Haryanto, S.Kep
164 Berlian, Amd.Kep
165 Anita Faulina, S.Kep

1,348,152
1,443,152
1,448,152
1,451,856
1,306,670
1,342,781
1,143,337
1,088,892
1,197,781
985,188
1,102,040
1,092,040
829,632
1,135,188
1,088,892
1,143,337
881,484
570,372
728,658
1,415,560
1,252,226
1,103,892
1,163,337
1,103,892
1,103,892
1,158,337
1,052,040
1,052,040
1,057,040
1,062,040
933,336
933,336

1,476,866
1,491,866
1,521,866
1,421,112
1,279,001
1,312,417
1,119,126
1,119,126
1,172,417
1,014,326
1,075,080
1,050,080
812,064
1,109,326
1,065,834
1,119,126
862,818
558,294
711,784
1,385,584
1,225,709
1,080,834
1,119,126
1,080,834
1,080,834
1,134,126
1,030,080
1,030,080
1,030,080
1,015,080
913,572
913,572

1,653,704
1,578,704
1,613,704
1,337,616
1,203,854
1,258,533
1,053,373
1,053,373
1,103,533
907,668
955,440
955,440
764,352
1,072,668
1,003,212
1,053,373
812,124
621,036
670,565
1,354,336
1,203,854
1,068,373
1,103,533
1,073,373
1,068,373
1,118,533
1,018,212
1,018,212
1,023,212
1,003,212
907,668
907,668

4,478,722
4,513,722
4,583,722
4,210,584
3,789,526
3,913,732
3,315,835
3,261,390
3,473,732
2,907,182
3,132,560
3,097,560
2,406,048
3,317,182
3,157,938
3,315,835
2,556,426
1,749,702
2,111,007
4,155,480
3,681,789
3,253,099
3,385,996
3,258,099
3,253,099
3,410,996
3,100,332
3,100,332
3,110,332
3,080,332
2,754,576
2,754,576

214 Hery Yanto Putra, S.Si

933,336
881,484
1,306,670
925,558
1,034,447
881,484
2,274,449
1,470,004
1,361,115
1,361,115
1,361,115
1,441,115
1,252,226
1,361,115
1,252,226
1,415,560
1,367,226

913,572
862,818
1,279,001
905,959
1,012,542
862,818
2,295,459
1,492,168
1,385,584
1,385,584
1,385,584
1,455,584
1,279,001
1,385,584
1,279,001
1,438,876
1,399,001

907,668
859,896
1,354,336
1,003,212
1,103,533
955,440
2,304,979
1,504,818
1,404,497
1,404,497
1,404,497
1,484,497
1,304,176
1,404,497
1,304,176
1,454,657
1,434,176

2,754,576
2,604,198
3,940,007
2,834,729
3,150,523
2,699,742
6,874,887
4,466,990
4,151,196
4,151,196
4,151,196
4,381,196
3,835,402
4,151,196
3,835,402
4,309,093
4,200,402

215 Anggi Nofri, Amd. Farm

1,197,781

1,260,709

1,289,015

3,747,505

1,037,040
1,055,188
1,220,744
1,030,188
985,188
1,133,892
1,088,892
1,088,892
1,118,892

1,095,834
1,095,080
1,237,342
1,015,080
1,045,080
1,116,588
1,116,588
1,116,588
1,116,588

1,133,756
1,120,984
1,274,300
1,050,984
1,085,984
1,146,528
1,146,528
1,146,528
1,146,528

3,266,630
3,271,252
3,732,386
3,096,252
3,116,252
3,397,008
3,352,008
3,352,008
3,382,008

166 Hester Rugun Simanjuntak, AMK


167 Ovensyah, Amd.Kep
168 Dodi Manthoro, Amd.Kep
169 Ade Rikawati, Amd.RM
170 Yulisman, S.Ip
171 Riyanto, SKM
172 Lisy Putriani, SKM
173 Dewi Kusuma M.S, SKM
174 Yensi, SKM
175 Lina Asta Dewi,Amd.Keb
176 Eko Arianto, A.Md
177 Roni Hidayat, Amd.RM
178 Dispi Maryani
179 Mardianto
180 Tinton Moriska,AMTE
181 Nurkolis, S.Kom
182 Joni
183 Irfan Najib, A.Md
184 Roger Astra Selapan
185 Wahidin, SKM
186 Zulhaiti
187 Irfina Syafitri, Amd. Gizi
188 Ita Novianti, SST
189 Ristina Pratiwi, AMG
190 Yessica Cynthia. AMG
191 Henti Maryantika, SKM
192 Tri Raya Pebriani, AMG
193 Isratul Aulia, Amd.Gizi
194 Titik Dary Yani, AMG
195 Wiwin Harpika, Amd. Gizi
196 Rini Mardiani
197 Rita Silviana
198 Juni Hartuti
199 Mahani
200 Hasmiarti, SKM
201 Dedy Herawan
202 Wahyuni, Amd.Kep
203 Septian Bahari, Amd
204 Bertha Lova, S. Farm, Apt
205 Isnania Zahara, S.Farm, Apt
206 Trisnawati, S. Farm, Apt
207 Ifa Nadia Khairinnisa, S.Farm, Apt
208 Kurniati, S.Farm, Apt
209 Diari Kurniawan, S. Farm,Apt
210 Salna Kurniati, S. Farm
211 Fajar Nur Iqlima, S.Farm
212 Tri Jayanti, S.Farm
213 Atik Sutanti, S.Farm

JUMLAH

JUMLAH PINDAHAN
216 Leni Anwar
217 Joko Irawandi
218 Deidi Arizona, Amd.Farm
219 Ica Geri Gunasma
220 Yuriska Meika
221 Wina Sylvera. S, AmF
222 Melda Yudi Ningsih, AmF
223 Apriliana Dwi Safitri,AmF
224 Dianah, AmF

225 Fauziana, SKM


226 Herneta Khaiyar
227 Vera Fitriani, SKM
228 Hendri Septiawan, Amd.AK
229 Joni Efendi, SKM
230 Simaradi, SKM
231 Linda Indriani, Amd.Rad
232 Rahmad Adi Putra Amd.Rad
233 Reki Lestari, Amd.Rad
234 Rizki Oktasari, AM.Rad
235 Helmi Yusmeli, S.Psi
236 Dedi Irawan
237 Doris Prawira
238 Yandi Gunawan
239 Noni Herawan
240 Wima Pratiwi
241 Ochi Syahrifawati
242 Azima
243 Sriyana
244 Nizarwan
245 Meri Suharni
246 Gusti Marni
247 Lasteri
248 Margaretha
249 Yossi Arnila
250 Dwi Rahayu
251 Oktarianti
252 Putri Mita Anggraini, Amd.AK
253 Asep Zulkarnain, Amd.Kep
254 Ayu Pusparini
255 Neta Yuristini, Amd.Kep
256 Dores Purwanto, Amd.Kep

1,415,560
1,143,337
1,143,337
1,037,040
1,252,226
1,252,226
925,558
881,484
881,484
881,484
622,224
902,780
764,076
764,076
674,076
615,372
605,372
605,372
570,372
605,372
570,372
595,372
615,372
610,372
610,372
620,372
-

1,545,459
1,279,001
1,279,001
1,167,342
1,385,584
1,385,584
1,065,834
1,015,080
1,015,080
1,015,080
812,064
1,033,572
957,064
947,064
609,048
623,294
598,294
598,294
558,294
598,294
558,294
593,294
593,294
603,294
598,294
644,048
1,172,417
-

1,504,818
1,254,015
1,254,015
1,146,528
1,153,694
1,153,694
852,730
812,124
812,124
812,124
812,124
1,278,756
1,118,212
621,036
1,082,124
799,352
603,264
573,264
613,264
573,264
613,264
613,264
573,264
638,264
80,000
1,203,854
764,352
999,896
904,896
852,124
1,042,124

4,465,837
3,676,352
3,676,352
3,350,910
3,791,504
3,791,504
2,844,122
2,708,688
2,708,688
2,708,688
2,246,412
3,215,108
1,721,140
2,829,352
1,904,160
2,320,790
2,003,018
1,806,930
1,701,930
1,816,930
1,701,930
1,801,930
1,821,930
1,786,930
1,846,930
1,344,420
2,376,271
764,352
999,896
904,896
852,124
1,042,124

265 Deka Nopiarti N

573,264
1,128,212
812,124
812,124
1,304,176
613,264
613,264
613,264
613,264

573,264
1,128,212
812,124
812,124
1,304,176
613,264
613,264
613,264
613,264

266 Ririn Suci Fitria

716,580

716,580

257 Yeni Paramita


258 Agusman S
259 Nurfitriani, S.Kep
260 rizki kurniawan., A.Md
261 wispa handayani, SST
262 Bayani
263 Meri Ernaini
264 Meitty Ziarna

JUMLAH

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si.Apt


NIP. 19750808 200312 2 007
SETUJU DIBAYAR
DIREKTUR RSKJ SOEPRAPTO PROVINSI BENGKULU
PENGGUNA ANGGARAN

Dr. CHANDRAINY PURI, Msi


NIP. 19680402 200604 2 004

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si, Apt

NIP. 197508082003122007
SETUJU DIBAYAR
DIREKTUR RSJ SOEPRAPTO DAERAH BENGKULU
PENGGUNA ANGGARAN

Dr. BINA AMPERA BUKIT, M.Kes


NIP. 196606101998031007

DAFTAR PENERIMA JASA PELAYANAN


RSKJ SOEPRAPTO PROVINSI BENGKULU
BULAN JANUARI 2016
BERDASARKAN SK DIREKTUR RSKJ SOEPRAPTO
PROVINSI BENGKULU No : 821.22/ 271/1.1 Tanggal Januari 2016

HAL
PPH 5 %
& 15 %
1,106,484
899,856
967,839
960,166
873,916
863,753
1,063,738
899,152
899,152
717,571
879,856
674,432
682,672
752,117
837,813
299,732
294,345
265,859
241,647
236,845
268,367
197,371
205,208
173,629
173,629
173,629
152,766
184,032
228,464
212,675
220,570
196,885
196,885
168,357
196,885
218,391
234,181
194,707
178,917
231,459
68,056
191,984
215,669
168,300
184,089
19,252,050

JUMLAH
TERIMA
6,270,078
5,099,183
5,484,420
5,440,943
4,952,189
4,894,600
6,027,848
5,095,195
5,095,195
4,066,234
4,985,848
3,821,780
3,868,477
4,261,995
4,747,606
5,694,913
5,592,564
5,051,323
4,591,297
4,500,062
5,098,975
3,750,052
3,898,958
3,298,950
3,298,950
3,298,950
2,902,545
3,496,605
4,340,825
4,040,821
4,190,822
3,740,816
3,740,816
3,198,791
3,740,816
3,599,814
4,149,431
4,449,434
3,699,424
3,257,562
3,399,420
4,397,712
1,293,059
3,647,702
4,097,708
3,197,696

TANDA TANGAN

48
41
41
45
40
38
48
40
40
32
36
30
30
36
37
38
37
35
30
32
35
26
26
22
22
22
19
23
27
25
26
23
23
23
23
21
29
32
26
22
24
30
26
25
28
22
24

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

3,497,699 47
198,266,103

HAL
19,252,050

198,266,103

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

179,032

268,482
260,588
201,744
218,468
211,324
213,719
195,534
249,913
210,439
215,689

3,401,611
3,410,136
3,095,346
3,150,043
2,400,033
5,655,065
4,650,064
4,449,056
3,990,303
4,311,306
3,990,303
4,071,053
4,011,302
3,840,302
4,066,303
3,934,450
5,101,165
4,951,163
3,833,144
4,150,901
4,015,149
4,060,660
3,715,144
3,971,092
4,426,304
4,451,304
4,451,304
3,835,668
3,975,170
4,748,343
3,998,333
4,098,083

224,439
225,189
209,044
222,544
255,085
213,046
236,611
211,966
211,966
201,327
227,716
201,327
227,716
257,907
226,327
224,440

4,264,333
4,278,583
3,971,831
4,228,331
3,937,598
4,082,598
3,807,598
3,506,464
4,846,623
4,047,865
4,495,613
4,027,361
4,027,361
3,825,221
4,326,611
3,825,221
4,326,611
4,201,124
4,191,124
3,739,990
4,900,225
4,300,217
4,264,367

226,682

4,306,964 103

162,913
165,792
126,318
297,635
244,740
234,161
210,016
226,911
210,016
214,266
211,121
202,121
214,016

28,200,340

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
101
102

26
25
21
22
17
34
33
28
27
28
27
27
26
26
27
25
37
36
28
29
28
27
26
26
28
28
28
22
25
33
27
27
27
27
26
26
24
24
24
21
33
26
27
26
26
22
26
22
26
24
24
21
33
28
27
27

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

27
27
26

51852
51852
51852

428,205,540

HAL 3
28,200,340
236,182
223,682
215,787

428,205,540
4,487,464
4,249,964 105
4,099,962

104
106

223,682
223,682
231,302
214,867
211,473
204,078
212,223
204,723
204,078
265,760
218,391
152,416
234,036
226,286
218,246
232,996
217,996
218,996
226,391
215,611
239,296

4,249,964
4,249,964
4,115,238
4,143,186
2,748,269
4,394,738
4,082,481
4,017,979
3,877,477
4,032,229
3,889,729
3,877,477
3,898,862
3,883,862
3,888,862
3,442,728
3,593,106
5,049,443
4,149,430
2,895,908
4,446,682
4,299,432
4,146,678
4,426,928
4,141,928
4,160,928
4,301,430
4,309,074
4,319,074
4,319,074
4,096,613
4,546,619

107

234,901
238,111
217,805
145,445
224,111
223,111
225,111
260,530
210,595
233,411
233,411
214,016
219,411
229,911
224,661
224,661
216,016

4,463,117
4,524,113
4,138,304
2,763,447
4,258,113
4,239,113
4,277,113
4,401,502
3,956,124
3,955,368
4,950,068
4,001,308
4,434,805
4,434,805
4,066,303
4,168,805
4,368,305
4,268,555
4,268,555
4,104,303

139

37,247,739

108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158

4,319,828 159

27
27
25
25
25
30
27
26
25
26
26
25
24
24
24
21
22
36
29
29
30
30
28
28
28
28
29
26
26
26
27
30
29
27
25
27
27
27
27
25
24
22
35
27
28
28
27
28
28
28
28
27
26

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

27
23
36
33
28
29

51852
51852
51852
51852
51852
51852

659,400,285

HAL 4
37,247,739
291,467
267,782
254,203
247,348

659,400,285
4,075,206
3,543,694 161
5,537,867
5,087,860 163
4,829,852
4,699,604 165

160
162
164

189,476
195,687
165,792
163,070
173,687
165,792
207,774
184,089
162,655
169,300
162,905
162,655
170,550
-

4,478,722
4,513,722
4,583,722
4,210,584
3,600,049
3,718,045
3,150,043
3,098,321
3,300,045
2,907,182
3,132,560
3,097,560
2,406,048
3,317,182
3,157,938
3,150,043
2,556,426
1,749,702
2,111,007
3,947,706
3,497,700
3,090,444
3,216,696
3,095,194
3,090,444
3,240,446
3,100,332
3,100,332
3,110,332
3,080,332
2,754,576
2,754,576

197,000
141,736
157,526
343,744
223,349
207,560
207,560
207,560
219,060
191,770
207,560
191,770
215,455
210,020

2,754,576
2,604,198
3,743,007
2,692,993
2,992,997
2,699,742
6,531,142
4,243,640
3,943,636
3,943,636
3,943,636
4,162,136
3,643,632
3,943,636
3,643,632
4,093,638
3,990,382

187,375

3,560,130 215

43,691,014

166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214

26
26
26
28
25
23
22
21
23
19
20
20
16
19
21
22
17
11
14
27
24
21
22
21
21
22
20
20
20
20
18
18
18
17
25
18
20
17
29
28
26
26
26
26
24
26
24
27
24
23

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

20
19
22
19
19
21
21
21
21

51852
51852
51852
51852
51852
51852
51852
51852
51852

857,622,769

HAL 5
43,691,014
-

857,622,769
3,266,630
3,271,252
3,732,386
3,096,252
3,116,252
3,397,008
3,352,008
3,352,008
3,382,008

216
217
218
219
220
221
222
223
224

371,343
304,934
304,934
321,466
321,466
241,776
177,434
65,209
-

7,055,513
5,793,755
5,793,755
3,350,910
6,107,848
6,107,848
4,593,739
2,708,688
2,708,688
2,708,688
2,246,412
3,215,108
1,721,140
2,829,352
1,904,160
2,320,790
2,003,018
1,806,930
1,701,930
1,816,930
1,701,930
1,801,930
1,821,930
1,786,930
1,846,930
1,344,420
3,371,254
764,352
999,896
904,896
852,124
1,042,124

225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
239
241
242
243
244
245

573,264
1,128,212
812,124 249
812,124
1,238,967
613,264
613,264
613,264 249
613,264
716,580

45,799,577

982,056,819

44,140,362

982,056,819

246
248
250
250
246
248
250
250

1,659,215

846,958

BENDAHARA PENGELUARAN

1011614547

NGKULU

FERLIAN SAPUTRA, S.Kep


NIP. 19860605 201101 1 003

27
22
22
20
24
24
18
17
17
17
12
15
13
13
13
11
11
11
11
11
11
11
11
11
11
11
6305
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6305

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

337,203,849
326,906,119
(0)

BENDAHARA PENGELUARAN

YUNITA HANDAYANI, SKM

GKULU

NIP. 198306102010012019

51,852

Err:512
-

DAFTAR POIN JASA PELAYANAN


RUMAH SAKIT KHUSUS JIWA SOEPRAPTO PROVINSI BENGKULU
BULAN JANUARI 2016
NO

NAMA PEGAWAI

JAGA

BASIC

PENDI

RE

EMER

JABA

CAPAI

TIM

JML

APEL

INDEC

DIKAN

SIKO

GENSI

TAN

AN

5 sd 11

10

11

12

13

dr. Andri Sudjatmoko, SpKJ

11

42

dr. Hj. Huriah

10

38

dr. Helmi

12

38

dr. Sugiharto Djaja

13

39

dr. Daniel Satria Kosasih

13

35

dr. Wiratmo

11

35

dr. H.Syafriadi, MM

13

42

dr. Hospitaria V Purba

13

37

dr. Ellysa

13

37

10

drg. Nurbaya

30

11

Aidil Fitriansyah, S. Psi, Msi

31

12

Pinta Pandia, SKM.

26

13

Surantini, S.Kep

26

14

Seswarti, S.Kep

10

31

15

Tetih Waidah, S.Kep

32

16

dr. Lucy Marturia B, SpKJ

11

36

17

dr. Faisal Frida Putera

13

35

18

dr. Ari Mukti Wibowo

12

35

19

dr. Sheno Almes

11

31

20

dr. Yessi Vebrianty

10

32

21

dr. Ahmad Yusril

12

35

22

drg. Erimawati

27

23

Prima Zainayati.P, S.Psi,Psi

25

24

Marizal Adi Saputra, S. Psi

21

25

Deni Maryani, S.Kep

21

26

Ana Mardiana, S.Kep

21

27

Lili Maryani, SKM

18

28

Linda Usada, SKM

22

29

Megayani, Amd.Kep

26

30

Zulaiha, S.Kep

24

31

Desi Oktavia, S.Kep

25

32

Ning Lestari, S.Kep

22

33

Delvi Okta Fenty, S.Kep

22

34

Eva Susanti, S.Kep

22

35

Eka Ayu Anggraini, S.ST

22

36

Meilia Findriani, Amd.Keb

21

37

Empeng Sitepu, SKM

28

38

Sahala, S.Kep

30

39

Rosidi, A.md. Kep

25

40

Melda Fitriana, Amd.Kep

22

41

Hongkop Silaban

23

42

Susinarti, Amd.Kep

29

43

Rismawati

25

44

Maryanti Arifin, S.Kep

24

45

Elsye Darmiriyanti, S.Kep

27

46

Widya Susiyanti

21

47

Refi Febriasari, S.Kep

23

48

Efranul Basri

10

25

49

Early Septalia, Amd.Kep

10

25

50

Rita Doveriyanti, S.ST

22

51

Dewi Insani, AMK

21

52

Nila Kusuma Saputri

16

53

Danirul Sanadi, SKM

32

54

Meriahna BR Sitepu S.Kep

31

55

Bahidin

13

27

56

Nimas Afriyanti, S.Kep

26

57

Ns.Herdi Fridana, S.Kep

27

58

Marlin Momos M. Silalahi, S.Kep

26

59

Anton Purwanto, S.Kep

26

60

Dev Afson Sumarlin, Amd. Kep

25

61

Dessy O Naibaho, Amd. Kep

25

62

Eka Safrina, S.Kep

12

26

63

Wispa Handayani, SST

64

Neti Mesri, Amd.Kep

12

25

65

Kamil Hakimin, S.Kep

35

66

Ns.Frevi Septiadi, S.Kep

34

67

Widya Ivanna, SW.Kep

29

68

Ns.Raulina Sinaga,S.Kep

30

69

Tesmajulisti, S.Kep

29

70

Rise Novita, S.Kep

30

71

Yenni Yanuarita

27

72

Astri Yeliska, Amd.Kep

28

73

Hengki Setia Budi, Amd.Kep

10

28

74

Iki Sumantri, Amd.Kep

28

75

Hendra Setiawan, Amd.Kep

28

76

Khairu Fahmi, Amd.Kep

28

77

Sipur Alam

10

25

78

Enghua, S.Kep

31

79

Hamdan Hamdani, Amd.Kep

26

80

Ns. Rosida Pentina Sinaga, S.Kep

26

81

Fajri Kurniawan, S.Kep

26

82

Deky Aprili, S.Kep

26

83

Tin Martini, S.Kep

25

84

Eka Yuliani, S. Kep

10

25

85

Novianti SD, Amd.Kep

24

86

Pero Perdana, Amd.Kep

13

24

87

Putri Wulan Sari, Amd.Keb

24

88

Erna Juita A

21

89

Hartono B. Bara, S.Kep

31

90

Jana Fopi Niarti, S.Kep

29

91

Ns.Meydi Nugroho, S.Kep

12

26

92

Sugiyanti, S.Kep

25

93

Elda Septiana, S.Kep

25

94

Enna Oktarina, s.Kep

25

95

Dexi Noviazoni, S.Kep

10

25

96

Dwi Putri Oktavia, S.Kep

25

97

Parulian May Putra S.S.Kep

10

25

98

Frits Douglas, Amd.Kep

10

24

99

Kamarul Ajmi, Amd.Kep

10

24

10

21

100 Liustomo

101 Suparti, Amd.Kep

31

102 Afneri

27

103 Tri Karlinda, S.Kep

26

104 Novia Wirajeki, S.Kep

26

105 Amirul Fajri, S.Kep

10

26

106 Rud Damayanti, Amd.Kep

26

107 Erika Anita Sari, Amd.Kep

25

108 Ratna Dwi Wulandari, S.Kep

26

109 Widya Febriani, S.Kep

26

110 Yesi Rahayu, Amd.Kep

25

111 Adi Setiawan, Amd.Kep

25

112 Halen Martoni, Amd.Kep

25

29

26

113 Meifizasari, S.Kep


114 Ns. Rika Nurmalia, S.Kep

115 Fitria Susanti, S.Kep

25

116 Fatmawati, Amd.Kep

24

117 Wida Yulia, S.Kep

25

118 Lasria Sirait, S.Kep

10

25

119 Marisa Dewi C, Amd.Kep

24

120 Hendayati, Amd.Kep

24

121 Dian F.Simbolon, Amd.Keb

24

122 Ira Kurniawati, Amd.Kep

24

123 Debie Stiany Anzahari

21

124 Yuniarti Leni Tesra

22

125 Astan Pahlevi, S.Kep

34

126 Irawan Ahmad

28

127 Ns. Debi Indra Susika, S.Kep

10

28

128 Ns. Desi Martini, S.Kep

10

29

129 Reni Anggraini, S.Kep

29

130 Yuni Nilawati, SST

11

27

131 Jumatul Khair, Amd.Kep

15

27

132 Tuti Wigiawati, S.Kep

10

27

133 Rini Puji Astuti, S.Kep

11

27

134 Nurul Hidayah, S.Kep

11

28

135 Rizal, Amd.Kep

15

26

136 Teddy Jauhari, Amd.Kep

16

26

137 Yopi Kusdianto, Amd.Kep

16

26

138 Asrizal, Amd.Kep

32

139 Euis Wahyu Utami, S.Kep

29

140 Ns. Ismayati, S.Kep

28

141 Poni Herawan, Amd.Kep

15

26

142 Heli Widiantoro

16

24

143 Oka Trisusanty, S.Kep

144 Nevi Anggriyanti, S.Kep

26

145 Riri Novri Yati, Amd.Kep

13

26

146 Pini Restuti, S.Kep

13

26

147 Evi Noviyanti, S.Kep

13

26

148 Sevri Effendi Arnur, Amd.Kep

15

25

149 Susi Hartati

12

24

150 Jumadi Rezwan

16

22

151 Ns. Teti Sumarni, S.Kep

33

152 Muhammad Irdan, S.Kep

30

153 Lukito Condro, S.Kep

14

27

154 Ewinri Nopriadi, S.Kep

14

27

155 Gusti Farida, Amd.Kep

12

26

156 Desi Handayani, S.Kep

11

27

157 Asrupin, S.Kep

14

27

158 Helda Ariyani, S.Kep

11

27

159 Vivi Nofita, S.Kep

27

160 Yenni Noviarti, Amd.Kep

12

26

161 Herliza Sepriadi, Amd.Kep

14

26

162 Yena Hartini

27

163 Yenita Marlina

23

164 Sawal Alam, SKM

34

31

27

165 Tri Haryanto, S.Kep

166 Berlian, Amd.Kep

167 Anita Faulina, S.Kep

28

168 Hester Rugun Simanjuntak, AMK

26

169 Ovensyah, Amd.Kep

26

170 Dodi Manthoro, Amd.Kep

10

26

28

24

171 Ade Rikawati, Amd.RM


172 Yulisman, S.Ip
173 Riyanto, SKM

13

22

174 Lisy Putriani, SKM

23

175 Dewi Kusuma M.S, SKM

22

22

176 Yensi, SKM


177 Oktarianti, SKM

178 Lina Asta Dewi,Amd.Keb

21

179 Eko Arianto, A.Md

20

180 Roni Hidayat, Amd.RM

20

18

12

19

183 Tinton Moriska,AMTE

21

184 Nurkolis, S.Kom

21

185 Joni

17

186 Irfan Najib, A.Md

17

187 Roger Astra Selapan

14

188 Wahidin, SKM

26

181 Dispi Maryani


182 Mardianto

189 Zulhaiti

23

190 Irfina Syafitri, Amd. Gizi

20

191 Ita Novianti, SST

21

192 Ristina Pratiwi, AMG

20

193 Yessica Cynthia. AMG

20

194 Henti Maryantika, SKM

21

195 Tri Raya Pebriani, AMG

20

196 Isratul Aulia, Amd.Gizi

20

197 Titik Dary Yani, AMG

20

198 Wiwin Harpika, Amd. Gizi

20

199 Rini Mardiani

18

200 Rita Silviana

18

201 Juni Hartuti

18

202 Mahani

17

203 Hasmiarti, SKM

24

204 Dedy Herawan

17

205 Wahyuni, Amd.Kep

19

206 Septian Bahari, Amd

17

28

27

207 Bertha Lova, S. Farm, Apt


208 Isnania Zahara, S.Farm, Apt

209 Trisnawati, S. Farm, Apt

25

210 Ifa Nadia Khairinnisa, S.Farm, Apt

25

211 Kurniati, S.Farm, Apt

25

25

212 Diari Kurniawan, S. Farm,Apt

213 Riana Versita, s.Farm.Apt

214 Salna Kurniati, S. Farm

23

215 Fajar Nur Iqlima, S.Farm

25

216 Tri Jayanti, S.Farm

23

26

23

217 Atik Sutanti, S.Farm


218 Hery Yanto Putra, S.Si

219 Anggi Nofri, Amd. Farm

22

220 Leni Anwar

20

19

22

19

19

21

21

21

21

221 Joko Irawandi


222 Deidi Arizona, Amd.Farm
223 Ica Geri Gunasma

224 Yuriska Meika


225 Wina Sylvera. S, AmF

226 Melda Yudi Ningsih, AmF


227 Apriliana Dwi Safitri,AmF
228 Dianah, AmF

229 Fauziana, SKM

26

230 Herneta Khaiyar

21

231 Vera Fitriani, SKM

21

232 Putri Mita Anggraini, Amd.AK

233 Hendri Septiawan, Amd.AK

20

234 Joni Efendi, SKM

23

235 Simaradi, SKM

23

236 Linda Indriani, Amd.Rad

17

237 Rahmad Adi Putra Amd.Rad

17

238 Reki Lestari, Amd.Rad

17

239 Rizki Oktasari, AM.Rad

17

12

240 Helmi Yusmeli, S.Psi


241 Dedi Irawan

11

17

242 Doris Prawira

10

17

243 Yandi Gunawan

12

17

13

244 Noni Herawan


245 Wima Pratiwi

11

246 Ochi Syahrifawati

11

247 Azima

11

11

11

11

248 Sriyana
249 Nizarwan

250 Meri Suharni


251 Gusti Marni

11

252 Lasteri

11

253 Margaretha

11

254 Yossi Arnila

11

255 Dwi Rahayu


JUMLAH

6
767

2
541

11

1352

1338

435

425

854

1780

65

6127

74

NGKULU

KEBER

JMH

PAJAK

TOTAL

ADAAN

12-(13+14)

5%,15%

POIN

14

15

16

17

42

48

36

41

36

41

39

45

35

40

33

38

42

48

35

40

35

40

28

32

31

36

26

30

26

30

31

36

32

37

36

38

35

37

33

35

29

30

30

32

33

35

25

26

25

26

21

22

21

22

21

22

18

19

22

23

26

27

24

25

25

26

22

23

22

23

22

23

22

23

21

21

28

29

30

32

25

26

22

22

23

24

29

30

25

26

24

25

27

28

21

22

23

24

25

26

25

25

20

21

21

22

16

17

32

34

31

33

27

28

26

27

27

28

26

27

26

27

25

26

25

26

26

27

25

25

35

37

34

36

27

28

28

29

27

28

26

27

25

26

26

26

28

28

28

28

28

28

22

22

25

25

31

33

26

27

26

27

26

27

26

27

25

26

25

26

24

24

24

24

24

24

21

21

31

33

25

26

26

27

25

26

25

26

21

22

25

26

21

22

25

26

24

24

24

24

21

21

145,000
35,000
95,000
35,000
60,000
95,000
35,000
60,000
60,000
35,000
30,000
35,000
40,000
35,000
35,000
100,000
120,000
120,000
115,000
100,000
30,000
95,000
100,000
45,000
110,000
70,000
125,000
30,000
75,000
150,000
30,000
30,000
30,000
135,000
30,000
135,000
130,000
130,000
135,000

31

33

27

28

26

27

26

27

26

27

26

27

25

26

26

27

26

27

25

25

25

25

25

25

29

30

26

27

25

26

24

25

25

26

25

26

24

25

24

24

24

24

24

24

21

21

22

22

34

36

28

29

28

29

29

30

29

30

27

28

27

28

27

28

27

28

28

29

26

26

26

26

26

26

26

27

29

30

28

29

26

27

24

25

26

27

26

27

26

27

26

27

25

25

24

24

22

22

33

35

26

27

27

28

27

28

35,000
95,000
120,000
35,000
35,000
35,000
35,000
35,000
95,000
95,000
45,000
90,000
95,000
95,000
50,000
95,000
95,000
80,000
95,000
95,000
95,000
50,000
50,000
55,000
150,000
50,000
55,000
55,000
150,000
160,000
160,000
155,000
160,000
45,000
65,000
65,000
65,000
155,000
60,000
160,000
145,000
150,000

26

27

27

28

27

28

27

28

27

28

26

27

26

26

27

27

23

23

34

36

31

33

27

28

28

29

26

26

26

26

26

26

28

28

24

25

22

23

21

22

20

21

22

23

19

19

20

20

20

20

16

16

19

19

21

21

21

22

17

17

11

11

14

14

26

27

23

24

20

21

21

22

20

21

20

21

21

22

20

20

20

20

20

20

20

20

18

18

18

18

18

18

17

17

24

25

17

18

19

20

17

17

28

29

27

28

cb

60,000
55,000
70,000
85,000
70,000
60,000
145,000
15,000
95,000
95,000
100,000
145,000
65,000
55,000
150,000
15,000
20,000
15,000
15,000
15,000
15,000
15,000
20,000
25,000
-

25

26

25

26

25

26

25

26

23

24

25

26

23

24

26

27

23

24

22

23

20

20

19

19

22

22

19

19

19

19

21

21

21

21

21

21

21

21

26

27

21

22

21

22

20

20

23

24

23

24

17

18

17

17

17

17

17

17

12

12

15

15

13

13

13

13

13

13

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

11

16

6037

268

6305

tubel

cb

80,000
115,000
70,000
80,000
45,000
45,000
30,000
125,000
90,000
90,000
45,000
35,000
35,000
35,000
25,000
45,000
40,000
40,000
50,000

No. Rek. 1.02.1.02.03.35.01.2.2.26.01.


No. BKU :

KWITANSI
NO

NAMA

JASA

FIX COST

JANUARI

FEBRUARI

MARET

dr. Andri Sudjatmoko, SpKJ

2,504,452

2,362,325

2,509,785

dr. Hj. Huriah

2,146,673

1,984,481

1,867,885

dr. Helmi

2,146,673

2,217,950

2,087,636

dr. Sugiharto Djaja

2,325,562

2,042,849

2,032,699

dr. Daniel Satria Kosasih

2,087,043

1,926,114

1,812,947

dr. Wiratmo

1,967,783

1,867,747

1,922,823

dr. H.Syafriadi, MM

2,504,452

2,334,684

dr. Hospitaria V Purba

2,087,043

1,984,481

dr. Ellysa

2,087,043

1,984,481

10

drg. Nurbaya

1,669,634

1,575,912

11

Aidil Fitriansyah, S. Psi, Msi

1,848,524

1,984,481

12

Pinta Pandia, SKM.

1,550,375

1,517,454

13

Surantini, S.Kep

1,550,375

1,517,454

14

Seswarti, S.Kep

1,848,524

1,517,454

15

Tetih Waidah, S.Kep

1,908,154

1,809,380

16

dr. Lucy Marturia B, SpKJ

1,960,006

2,078,376

17

dr. Faisal Frida Putera

1,905,561

2,025,085

18

dr. Ari Mukti Wibowo

1,796,672

1,865,210

19

dr. Sheno Almes

1,578,893

1,598,751

20

dr. Yessi Vebrianty

1,633,338

1,598,751

21

dr. Ahmad Yusril

1,796,672

1,865,210

22

drg. Erimawati

1,361,115

1,332,293

23

Prima Zainayati.P, S.Psi,Psi

1,361,115

1,438,876

24

Marizal Adi Saputra, S. Psi

1,143,337

1,225,709

25

Deni Maryani, S.Kep

1,143,337

1,225,709

26

Ana Mardiana, S.Kep

1,143,337

1,225,709

27

Lili Maryani, SKM

980,003

1,172,417

28

Linda Usada, SKM

1,197,781

1,279,001

29

Megayani, Amd.Kep

1,415,560

1,598,751

30

Zulaiha, S.Kep

1,306,670

1,492,168

31

Desi Oktavia, S.Kep

1,361,115

1,545,459

32

Ning Lestari, S.Kep

1,197,781

1,385,584

33

Delvi Okta Fenty, S.Kep

1,197,781

1,385,584

34

Eva Susanti, S.Kep

1,197,781

35

Eka Ayu Anggraini, S.ST

1,197,781

1,385,584

36

Meilia Findriani, Amd.Keb

1,088,892

1,268,850

37

Empeng Sitepu, SKM

1,524,449

1,438,876

38

Sahala, S.Kep

1,633,338

1,545,459

39

Rosidi, A.md. Kep

1,361,115

1,279,001

40

Melda Fitriana, Amd.Kep

1,140,744

1,065,834

41

Hongkop Silaban

1,252,226

1,172,417

42

Susinarti, Amd.Kep

1,578,893

1,545,459

43

Rismawati

1,361,115

44

Maryanti Arifin, S.Kep

1,306,670

1,279,001

45

Elsye Darmiriyanti, S.Kep

1,470,004

1,438,876

46

Widya Susiyanti

1,143,337

1,119,126

47

Refi Febriasari, S.Kep

1,252,226

1,225,709

JUMLAH

74,220,953

JUMLAH PINDAHAN

74,220,953

48

Efranul Basri

1,361,115

1,065,834

49

Early Septalia, Amd.Kep

1,296,300

1,015,080

50

Rita Doveriyanti, S.ST

1,088,892

1,065,834

51

Dewi Insani, AMK

1,143,337

1,119,126

52

Nila Kusuma Saputri

871,114

852,667

53

Danirul Sanadi, SKM

1,742,227

2,005,334

54

Meriahna BR Sitepu S.Kep

1,687,783

1,652,043

55

Bahidin

145,000

1,470,004

1,568,876

56

Nimas Afriyanti, S.Kep

35,000

1,415,560

1,415,584

57

Ns.Herdi Fridana, S.Kep

95,000

1,470,004

1,528,876

58

Marlin Momos M. Silalahi, S.Kep

35,000

1,415,560

1,415,584

59

Anton Purwanto, S.Kep

60,000

1,415,560

1,445,584

60

Dev Afson Sumarlin, Amd. Kep

95,000

1,361,115

1,422,293

61

Dessy O Naibaho, Amd. Kep

35,000

1,361,115

1,362,293

62

Eka Safrina, S.Kep

60,000

1,415,560

1,445,584

63

Neti Mesri, Amd.Kep

60,000

1,296,300

1,328,850

64

Kamil Hakimin, S.Kep

1,905,561

1,758,626

65

Ns.Frevi Septiadi, S.Kep

1,851,116

1,705,334

66

Widya Ivanna, SW.Kep

35,000

1,470,004

1,225,709

67

Ns.Raulina Sinaga,S.Kep

30,000

1,524,449

1,420,584

68

Tesmajulisti, S.Kep

35,000

1,470,004

1,372,293

69

Rise Novita, S.Kep

40,000

1,415,560

1,279,001

70

Yenni Yanuarita

35,000

1,361,115

1,265,709

71

Astri Yeliska, Amd.Kep

300,000
-

35,000

1,348,152

1,258,096

1,451,856

1,439,604

72

Hengki Setia Budi, Amd.Kep

100,000

73

Iki Sumantri, Amd.Kep

120,000

1,451,856

1,449,604

74

Hendra Setiawan, Amd.Kep

120,000

1,451,856

1,449,604

75

Khairu Fahmi, Amd.Kep

115,000

1,140,744

1,150,080

76

Sipur Alam

100,000

1,296,300

1,287,342

77

Enghua, S.Kep

1,687,783

1,705,334

78

Hamdan Hamdani, Amd.Kep

1,415,560

1,438,876

79

Ns. Rosida Pentina Sinaga, S.Kep

30,000

1,415,560

1,473,876

80

Fajri Kurniawan, S.Kep

95,000

1,415,560

1,518,876

81

Deky Aprili, S.Kep

100,000

1,415,560

1,533,876

82

Tin Martini, S.Kep

45,000

1,361,115

1,415,584

83

Eka Yuliani, S. Kep

110,000

1,361,115

1,525,584

84

Novianti SD, Amd.Kep

70,000

1,244,448

1,343,850

85

Pero Perdana, Amd.Kep

125,000

1,244,448

1,388,850

86

Putri Wulan Sari, Amd.Keb

30,000

1,244,448

1,298,850

87

Erna Juita A

75,000

1,088,892

1,226,588

88

Hartono B. Bara, S.Kep

1,687,783

1,758,626

89

Jana Fopi Niarti, S.Kep

1,361,115

1,545,459

90

Ns.Meydi Nugroho, S.Kep

150,000

1,415,560

1,522,168

91

Sugiyanti, S.Kep

30,000

1,361,115

1,463,876

92

Elda Septiana, S.Kep

30,000

1,361,115

1,463,876

93

Enna Oktarina, s.Kep

30,000

1,143,337

1,468,876

94

Dexi Noviazoni, S.Kep

135,000

1,361,115

1,568,876

95

Dwi Putri Oktavia, S.Kep

30,000

1,143,337

1,468,876

96

Parulian May Putra S.S.Kep

135,000

1,361,115

1,568,876

97

Frits Douglas, Amd.Kep

130,000

1,244,448

1,449,604

98

Kamarul Ajmi, Amd.Kep

130,000

1,244,448

1,439,604

99

Liustomo

135,000

1,088,892

1,287,342

100 Suparti, Amd.Kep

1,687,783

1,865,210

101 Afneri

1,470,004

1,652,043

102 Tri Karlinda, S.Kep

35,000

1,415,560

1,633,751

103 Novia Wirajeki, S.Kep

95,000

1,415,560

1,633,751

JUMLAH

3,430,000

151,827,841

3,430,000

151,827,841

120,000

1,415,560

1,713,751

105 Rud Damayanti, Amd.Kep

35,000

1,415,560

1,633,751

106 Erika Anita Sari, Amd.Kep

35,000

1,361,115

1,580,459

107 Ratna Dwi Wulandari, S.Kep

35,000

1,415,560

1,633,751

108 Widya Febriani, S.Kep

35,000

1,415,560

1,598,751

109 Yesi Rahayu, Amd.Kep

35,000

1,296,300

1,471,866

110 Adi Setiawan, Amd.Kep

95,000

1,296,300

1,370,358

111 Halen Martoni, Amd.Kep

95,000

1,296,300

735,933

JUMLAH PINDAHAN
104 Amirul Fajri, S.Kep

1,578,893

1,492,168

113 Ns. Rika Nurmalia, S.Kep

45,000

1,415,560

1,332,293

114 Fitria Susanti, S.Kep

90,000

1,361,115

1,279,001

115 Fatmawati, Amd.Kep

95,000

1,306,670

1,225,709

116 Wida Yulia, S.Kep

95,000

1,361,115

1,279,001

117 Lasria Sirait, S.Kep

50,000

1,361,115

1,279,001

118 Marisa Dewi C, Amd.Kep

95,000

1,306,670

1,225,709

119 Hendayati, Amd.Kep

95,000

1,244,448

1,167,342

120 Dian F.Simbolon, Amd.Keb

80,000

1,244,448

1,167,342

121 Ira Kurniawati, Amd.Kep

95,000

1,244,448

1,167,342

122 Debie Stiany Anzahari

95,000

1,088,892

1,015,080

123 Yuniarti Leni Tesra

95,000

1,140,744

1,065,834

112 Meifizasari, S.Kep

124 Astan Pahlevi, S.Kep

1,851,116

1,758,626

125 Irawan Ahmad

1,524,449

1,438,876

126 Ns. Debi Indra Susika, S.Kep

50,000

1,524,449

1,438,876

127 Ns. Desi Martini, S.Kep

50,000

1,578,893

1,492,168

1,578,893

1,492,168

55,000

1,470,004

1,385,584

150,000

1,470,004

1,385,584

131 Tuti Wigiawati, S.Kep

50,000

1,470,004

1,385,584

132 Rini Puji Astuti, S.Kep

55,000

1,470,004

1,385,584

133 Nurul Hidayah, S.Kep

55,000

1,524,449

1,438,876

134 Rizal, Amd.Kep

150,000

1,348,152

1,268,850

135 Teddy Jauhari, Amd.Kep

160,000

1,348,152

1,268,850

136 Yopi Kusdianto, Amd.Kep

160,000

1,348,152

1,268,850

128 Reni Anggraini, S.Kep


129 Yuni Nilawati, SST
130 Jumatul Khair, Amd.Kep

137 Asrizal, Amd.Kep

1,415,560

1,492,168

138 Euis Wahyu Utami, S.Kep

1,578,893

1,652,043

139 Ns. Ismayati, S.Kep

1,524,449

1,598,751

140 Poni Herawan, Amd.Kep

155,000

1,415,560

1,492,168

141 Heli Widiantoro

160,000

1,306,670

1,385,584

142 Nevi Anggriyanti, S.Kep

45,000

1,415,560

746,084

143 Riri Novri Yati, Amd.Kep

65,000

1,415,560

1,492,168

144 Pini Restuti, S.Kep

65,000

1,415,560

1,492,168

145 Evi Noviyanti, S.Kep

65,000

1,415,560

1,492,168

155,000

1,296,300

1,370,358

60,000

1,244,448

1,319,604

160,000

1,140,744

1,218,096

146 Sevri Effendi Arnur, Amd.Kep


147 Susi Hartati
148 Jumadi Rezwan
149 Ns. Teti Sumarni, S.Kep

1,796,672

1,758,626

150 Muhammad Irdan, S.Kep

1,415,560

1,492,168

151 Lukito Condro, S.Kep

145,000

1,470,004

1,438,876

152 Ewinri Nopriadi, S.Kep

150,000

1,470,004

1,438,876

153 Gusti Farida, Amd.Kep

60,000

1,415,560

1,385,584

154 Desi Handayani, S.Kep

55,000

1,470,004

1,438,876

155 Asrupin, S.Kep

70,000

1,470,004

1,438,876

156 Helda Ariyani, S.Kep

85,000

1,470,004

1,438,876

157 Vivi Nofita, S.Kep

70,000

1,470,004

1,438,876

158 Yenni Noviarti, Amd.Kep

60,000

1,415,560

1,385,584

145,000

1,348,152

1,319,604

7,550,000

230,697,326

159 Herliza Sepriadi, Amd.Kep


JUMLAH

JUMLAH PINDAHAN
160 Yena Hartini

7,550,000

230,697,326

15,000

1,400,004

1,370,358

161 Yenita Marlina

1,192,596

1,167,342

162 Sawal Alam, SKM

1,851,116

1,971,793

163 Tri Haryanto, S.Kep

1,687,783

1,811,918

1,470,004

1,598,751

164 Berlian, Amd.Kep

95,000

165 Anita Faulina, S.Kep

1,524,449

1,652,043

166 Hester Rugun Simanjuntak, AMK

1,348,152

1,471,866

95,000

1,348,152

1,471,866

100,000

167 Ovensyah, Amd.Kep

1,348,152

1,471,866

169 Ade Rikawati, Amd.RM

1,451,856

1,421,112

170 Yulisman, S.Ip

1,306,670

1,279,001

1,197,781

1,172,417

168 Dodi Manthoro, Amd.Kep

171 Riyanto, SKM

145,000

172 Lisy Putriani, SKM

1,143,337

1,119,126

173 Dewi Kusuma M.S, SKM

1,088,892

1,119,126

174 Yensi, SKM

1,197,781

1,172,417

175 Lina Asta Dewi,Amd.Keb

985,188

964,326

176 Eko Arianto, A.Md

65,000

1,037,040

1,015,080

177 Roni Hidayat, Amd.RM

55,000

1,037,040

1,015,080

829,632

812,064

985,188

964,326

178 Dispi Maryani


179 Mardianto

150,000

180 Tinton Moriska,AMTE

1,088,892

1,065,834

181 Nurkolis, S.Kom

1,143,337

1,119,126

182 Joni

881,484

862,818

570,372

558,294

725,928

710,556

183 Irfan Najib, A.Md


184 Roger Astra Selapan

2,730

185 Wahidin, SKM

1,415,560

1,385,584

186 Zulhaiti

1,252,226

1,225,709

187 Irfina Syafitri, Amd. Gizi

15,000

1,088,892

1,065,834

188 Ita Novianti, SST

20,000

1,143,337

1,119,126

189 Ristina Pratiwi, AMG

15,000

1,088,892

1,065,834

190 Yessica Cynthia. AMG

15,000

1,088,892

1,065,834

191 Henti Maryantika, SKM

15,000

1,143,337

1,119,126

192 Tri Raya Pebriani, AMG

15,000

1,037,040

1,015,080

193 Isratul Aulia, Amd.Gizi

15,000

1,037,040

1,015,080

194 Titik Dary Yani, AMG

20,000

1,037,040

1,015,080

195 Wiwin Harpika, Amd. Gizi

25,000

1,037,040

1,015,080

196 Rini Mardiani

933,336

913,572

197 Rita Silviana

933,336

913,572

198 Juni Hartuti

933,336

913,572

199 Mahani

881,484

862,818

200 Hasmiarti, SKM

1,306,670

1,279,001

201 Dedy Herawan

925,558

905,959

202 Wahyuni, Amd.Kep

1,034,447

1,012,542

203 Septian Bahari, Amd

881,484

862,818

1,524,449

1,545,459

204 Bertha Lova, S. Farm, Apt

750,000

205 Isnania Zahara, S.Farm, Apt

1,470,004

1,492,168

206 Trisnawati, S. Farm, Apt

1,361,115

1,385,584

207 Ifa Nadia Khairinnisa, S.Farm, Apt

1,361,115

1,385,584

208 Kurniati, S.Farm, Apt

1,361,115

1,385,584

1,361,115

1,385,584

209 Diari Kurniawan, S. Farm,Apt

80,000

210 Salna Kurniati, S. Farm

1,252,226

1,279,001

211 Fajar Nur Iqlima, S.Farm

1,361,115

1,385,584

212 Tri Jayanti, S.Farm

1,252,226

1,279,001

213 Atik Sutanti, S.Farm

1,415,560

1,438,876

1,252,226

1,279,001

1,197,781

1,225,709

214 Hery Yanto Putra, S.Si


215 Anggi Nofri, Amd. Farm
JUMLAH

115,000
9,372,730

296,907,145

JUMLAH PINDAHAN

9,372,730
-

216 Leni Anwar

296,907,145
1,037,040

1,065,834

217 Joko Irawandi

70,000

985,188

1,015,080

218 Deidi Arizona, Amd.Farm

80,000

1,140,744

1,167,342

219 Ica Geri Gunasma

45,000

985,188

1,015,080

985,188

1,015,080

1,088,892

1,116,588

220 Yuriska Meika

221 Wina Sylvera. S, AmF

45,000

222 Melda Yudi Ningsih, AmF

1,088,892

1,116,588

223 Apriliana Dwi Safitri,AmF

1,088,892

1,116,588

224 Dianah, AmF

1,088,892

1,116,588

225 Fauziana, SKM

1,415,560

1,545,459

226 Herneta Khaiyar

1,143,337

1,279,001

227 Vera Fitriani, SKM

1,143,337

1,279,001

228 Hendri Septiawan, Amd.AK

1,037,040

1,167,342

229 Joni Efendi, SKM

1,252,226

1,385,584

230 Simaradi, SKM

1,252,226

1,385,584

231 Linda Indriani, Amd.Rad

925,558

1,065,834

232 Rahmad Adi Putra Amd.Rad

881,484

1,015,080

233 Reki Lestari, Amd.Rad

881,484

1,015,080

234 Rizki Oktasari, AM.Rad

881,484

1,015,080

235 Helmi Yusmeli, S.Psi

622,224

812,064

125,000

777,780

913,572

237 Doris Prawira

90,000

674,076

812,064

238 Yandi Gunawan

90,000

674,076

812,064

236 Dedi Irawan

30,000

674,076

609,048

240 Wima Pratiwi

45,000

570,372

558,294

241 Ochi Syahrifawati

35,000

570,372

558,294

242 Azima

35,000

570,372

558,294

570,372

558,294

570,372

558,294

570,372

558,294

239 Noni Herawan

243 Sriyana

35,000

244 Nizarwan

245 Meri Suharni


246 Gusti Marni

25,000

570,372

558,294

247 Lasteri

45,000

570,372

558,294

248 Margaretha

40,000

570,372

558,294

249 Yossi Arnila

40,000

570,372

558,294

250 Dwi Rahayu

50,000

570,372

609,048

10,297,730

326,906,119

JUMLAH

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si.Apt


NIP. 19750808 200312 2 007

SETUJU DIBAYAR
DIREKTUR RSKJ SOEPRAPTO PROVINSI BENGKU
PENGGUNA ANGGARAN

Dr. CHANDRAINY PURI, Msi


NIP. 19680402 200604 2 004

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si, Apt


NIP. 197508082003122007
SETUJU DIBAYAR

DIREKTUR RSJ SOEPRAPTO DAERAH B


PENGGUNA ANGGARAN

Dr. BINA AMPERA BUKIT, M.Kes


NIP. 196606101998031007

DAFTAR PENERIMA JASA PELAYANAN


RSKJ SOEPRAPTO PROVINSI BENGKULU
BULAN JANUARI 2016
BERDASARKAN SK DIREKTUR RSKJ SOEPRAPTO
PROVINSI BENGKULU No : 821.22/ 271/1.1 Tanggal Januari 2016

SI
HAL
JUMLAH

PPH 5 %

JUMLAH

& 15 %

TERIMA

375,668

2,128,784 1

322,001

1,824,672

322,001

1,824,672 3

348,834

1,976,728

313,056

1,773,987 5

295,168

1,672,616

375,668

2,128,784 7

313,056

1,773,987

313,056

1,773,987 9

250,445

1,419,189

277,279

1,571,245 11

232,556

1,317,819

232,556

1,317,819 13

277,279

1,571,245

286,223

1,621,931 15

98,000

1,862,005

95,278

1,810,283 17

89,834

1,706,838

78,945

1,499,949 19

81,667

1,551,671

89,834

1,706,838 21

68,056

1,293,059

68,056

1,293,059 23

57,167

1,086,170

57,167

1,086,170 25

57,167

1,086,170

49,000

1,137,892

70,778

1,344,782 29

65,334

1,241,337

68,056

1,293,059 31

59,889

1,137,892

59,889

1,137,892 33

59,889

1,137,892

59,889

1,137,892 35

1,088,892

76,222

1,448,226 37

81,667

1,551,671

68,056

1,293,059 39

1,140,744

62,611

1,189,615 41

78,945

1,499,949

68,056

1,293,059 43

65,334

1,241,337

73,500

1,396,504 45

57,167

1,086,170

62,611

1,189,615 47

6,622,797

TANDA TANGAN

2
4
6
8
10
12
14
16
18
20
22
24
26

931,003 27

59,889

67,598,156

28
30
32
34
36
38
40
42
44
46

48
41
41
45
40
38
48
40
40
32
36
30
30
36
37
38
37
35
30
32
35
26
26
22
22
22
19
23
27
25
26
23
23
23
23
21
29
32
26
22
24
30
26
25
28
22
24

HAL
6,622,797

67,598,156

68,056

1,293,059

1,296,300 49

54,445

1,034,447

57,167

1,086,170 51

43,556

827,558

87,111

1,955,116 53

84,389

1,603,393

73,500

1,541,504 55

70,778

1,379,782

73,500

1,491,504 57

70,778

1,379,782

70,778

1,404,782 59

68,056

1,388,059

68,056

1,328,059 61

70,778

1,404,782

50
52
54
56
58
60
62

1,356,300 63

95,278

1,810,283

92,556

1,758,561 65

73,500

1,431,504

76,222

1,478,226 67

73,500

1,431,504

70,778

1,384,782 69

68,056

1,328,059

1,383,152 71

1,551,856

1,571,856 73

1,571,856

1,255,744 75

1,396,300

84,389

1,603,393 77

70,778

1,344,782

70,778

1,374,782 79

70,778

1,439,782

70,778

1,444,782 81

68,056

1,338,059

68,056

1,403,059 83

1,314,448

1,369,448 85

1,274,448

1,163,892 87

84,389

1,603,393

68,056

1,293,059 89

70,778

1,494,782

68,056

1,323,059 91

68,056

1,323,059

57,167

1,116,170 93

68,056

1,428,059

57,167

1,116,170 95

68,056

1,428,059

1,374,448 97

1,374,448

1,223,892 99

84,389

1,603,393

73,500

1,396,504 101

70,778

1,379,782

70,778

1,439,782 103

9,546,472

48

145,711,369

64
66
68
70
72
74
76
78
80
82
84
86
88
90
92
94
96
98
100
102

26
25
21
22
17
34
33
28
27
28
27
27
26
26
27
25
37
36
28
29
28
27
26
26
28
28
28
22
25
33
27
27
27
27
26
26
24
24
24
21
33
26
27
26
26
22
26
22
26
24
24
21
33
28
27
27

HAL 3
9,546,472

145,711,369

70,778

1,464,782

70,778

1,379,782 105

68,056

1,328,059

70,778

1,379,782 107

70,778

1,379,782

1,331,300 109

1,391,300

1,391,300 111

78,945

1,499,949

70,778

1,389,782 113

68,056

1,383,059

65,334

1,336,337 115

68,056

1,388,059

68,056

1,343,059 117

65,334

1,336,337

1,339,448 119

1,324,448

1,339,448 121

1,183,892

1,235,744 123

92,556

1,758,561

76,222

1,448,226 125

76,222

1,498,226

78,945

1,549,949 127

78,945

1,499,949

73,500

1,451,504 129

73,500

1,546,504

73,500

1,446,504 131

73,500

1,451,504

76,222

1,503,226 133

1,498,152

1,508,152 135

1,508,152

70,778

1,344,782 137

78,945

1,499,949

76,222

1,448,226 139

70,778

1,499,782

65,334

1,401,337 141

70,778

1,389,782

70,778

1,409,782 143

70,778

1,409,782

70,778

1,409,782 145

1,451,300

1,304,448 147

1,300,744

89,834

1,706,838 149

70,778

1,344,782

73,500

1,541,504 151

73,500

1,546,504

70,778

1,404,782 153

73,500

1,451,504

73,500

1,466,504 155

73,500

1,481,504

73,500

1,466,504 157

70,778

1,404,782

12,543,647

1,493,152 159
225,703,679

104
106
108
110
112
114
116
118
120
122
124
126
128
130
132
134
136
138
140
142
144
146
148
150
152
154
156
158

27
27
26
27
27
25
25
25
30
27
26
25
26
26
25
24
24
24
21
22
36
29
29
30
30
28
28
28
28
29
26
26
26
27
30
29
27
25
27
27
27
27
25
24
22
35
27
28
28
27
28
28
28
28
27
26

HAL 4
12,543,647

225,703,679

1,415,004

1,192,596 161

92,556

1,758,561

84,389

1,603,393 163

73,500

1,491,504

76,222

1,448,226 165

1,348,152

1,443,152 167

1,448,152

1,451,856 169

65,334

1,241,337

59,889

1,282,892 171

57,167

1,086,170

54,445

1,034,447 173

59,889

1,137,892

1,102,040

1,092,040 177
829,632

1,135,188 179

1,088,892

57,167

881,484

570,372 183

728,658

70,778

1,344,782 185

62,611

1,189,615

54,445

1,049,447 187

57,167

1,106,170

54,445

1,049,447 189

54,445

1,049,447

57,167

1,101,170 191

1,052,040

1,052,040 193

1,057,040

1,062,040 195

933,336

933,336 197

933,336

881,484 199
1,241,337

46,278

879,280 201

51,722

982,725

166
168
170
172
174
176
178
180
182
184
186
188
190
192
194
196
198
200
202

881,484 203

76,222

2,198,226

73,500

1,396,504 205

68,056

1,293,059

68,056

1,293,059 207

68,056

1,293,059

68,056

1,373,059 209

62,611

1,189,615

68,056

1,293,059 211

62,611

1,189,615

70,778

1,344,782 213

62,611

1,304,615

59,889

1,137,892 215

14,607,097

164

1,086,170 181

65,334

162

985,188 175

160

291,672,777

204
206
208
210
212
214

27
23
36
33
28
29
26
26
26
28
25
23
22
21
23
19
20
20
16
19
21
22
17
11
14
27
24
21
22
21
21
22
20
20
20
20
18
18
18
17
25
18
20
17
29
28
26
26
26
26
24
26
24
27
24
23

AR
ROVINSI BENGKULU
GARAN

URI, Msi
04 2 004

HAL 5
14,607,097

291,672,777

1,037,040

1,055,188 217

1,220,744

1,030,188 219

985,188

1,133,892 221

1,088,892

1,088,892 223

1,118,892

70,778

1,344,782 225

57,167

1,086,170

57,167

1,086,170 227

1,037,040

62,611

1,189,615 229

62,611

1,189,615

46,278

218
220
222
224
226
228
230

879,280 231

881,484

881,484 233

881,484

622,224 235

902,780

764,076 237

764,076

674,076 239

615,372

605,372 241

605,372

570,372 243

605,372

570,372 245

595,372

615,372 247

610,372

610,372 249

620,372

14,963,709

216

232
234
236
238
240
242
244
246
248
250

322,240,140

BENDAHARA PENGELUARAN

FERLIAN SAPUTRA, S.Kep


NIP. 19860605 201101 1 003

20
19
22
19
19
21
21
21
21
27
22
22
20
24
24
18
17
17
17
12
15
13
13
13
11
11
11
11
11
11
11
11
11
11
11
6305

AYAR

BENDAHARA PENGELUARAN

YUNITA HANDAYANI, SKM


NIP. 198306102010012019

RAPTO DAERAH BENGKULU


NGGARAN

ERA BUKIT, M.Kes


6101998031007

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

337,203,849
326,906,119
(0)

51,852

Err:512
-

No. Rek. 1.02.1.02.03.35.01.2.2.26.01.


No. BKU :

NO

NAMA

FIX COST
JANUARI

JASA

FEBRUARI

MARET

JANUARI

11

Aidil Fitriansyah, S. Psi, Msi

12

Pinta Pandia, SKM.

13

Surantini, S.Kep

14

Seswarti, S.Kep

15

Tetih Waidah, S.Kep

16

dr. Lucy Marturia B, SpKJ

17

dr. Faisal Frida Putera

18

dr. Ari Mukti Wibowo

19

dr. Sheno Almes

20

dr. Yessi Vebrianty

21

dr. Ahmad Yusril

22

drg. Erimawati

23

Prima Zainayati.P, S.Psi,Psi

24

Marizal Adi Saputra, S. Psi

25

Deni Maryani, S.Kep

26

Ana Mardiana, S.Kep

27

Lili Maryani, SKM

28

Linda Usada, SKM

29

Megayani, Amd.Kep

30

Zulaiha, S.Kep

31

Desi Oktavia, S.Kep

32

Ning Lestari, S.Kep

33

Delvi Okta Fenty, S.Kep

34

Eva Susanti, S.Kep

35

Eka Ayu Anggraini, S.ST

36

Meilia Findriani, Amd.Keb

37

Empeng Sitepu, SKM

38

Sahala, S.Kep

39

Rosidi, A.md. Kep

40

Melda Fitriana, Amd.Kep

41

Hongkop Silaban

42

Susinarti, Amd.Kep

43

Rismawati

44

Maryanti Arifin, S.Kep

45

Elsye Darmiriyanti, S.Kep

46

Widya Susiyanti

47

Refi Febriasari, S.Kep

1,252,226

JUMLAH

74,220,953

JUMLAH PINDAHAN

74,220,953

dr. Andri Sudjatmoko, SpKJ

dr. Hj. Huriah

dr. Helmi

dr. Sugiharto Djaja

dr. Daniel Satria Kosasih

dr. Wiratmo

dr. H.Syafriadi, MM

dr. Hospitaria V Purba

dr. Ellysa

10

drg. Nurbaya

2,504,452
2,146,673
2,146,673
2,325,562
2,087,043
1,967,783
2,504,452
2,087,043
2,087,043
1,669,634
1,848,524
1,550,375
1,550,375
1,848,524
1,908,154
1,960,006
1,905,561
1,796,672
1,578,893
1,633,338
1,796,672
1,361,115
1,361,115
1,143,337
1,143,337
1,143,337
980,003
1,197,781
1,415,560
1,306,670
1,361,115
1,197,781
1,197,781
1,197,781
1,197,781
1,088,892
1,524,449
1,633,338
1,361,115
1,140,744
1,252,226
1,578,893
1,361,115
1,306,670
1,470,004
1,143,337

300,000
145,000
35,000
95,000
35,000
60,000
95,000
35,000
60,000
60,000
35,000
30,000
35,000
40,000
35,000
35,000
100,000
120,000
120,000
115,000
100,000
30,000

300,000
130,000
30,000
90,000
30,000
60,000
90,000
30,000
60,000
60,000
35,000
40,000
40,000
40,000
120,000
130,000
130,000
135,000
120,000
35,000

300,000
145,000
30,000
90,000
30,000
60,000
90,000
30,000
55,000
55,000
40,000
45,000
35,000
45,000
40,000
145,000
140,000
140,000
140,000
145,000
40,000

1,361,115
1,296,300
1,088,892
1,143,337
871,114
1,742,227
1,687,783
1,470,004
1,415,560
1,470,004
1,415,560
1,415,560
1,361,115
1,361,115
1,415,560
1,296,300
1,905,561
1,851,116
1,470,004
1,524,449
1,470,004
1,415,560
1,361,115
1,348,152
1,451,856
1,451,856
1,451,856
1,140,744
1,296,300
1,687,783
1,415,560
1,415,560

95,000
100,000
45,000
110,000
70,000
125,000
30,000
75,000
150,000
30,000
30,000
30,000
135,000
30,000
135,000
130,000
130,000
135,000
35,000

80,000
95,000
30,000
140,000
75,000
120,000
30,000
110,000
130,000
25,000
25,000
30,000
130,000
30,000
130,000
130,000
120,000
120,000
35,000

105,000
100,000
55,000
150,000
85,000
130,000
40,000
65,000
140,000
30,000
30,000
30,000
135,000
30,000
135,000
135,000
135,000
130,000
-

1,415,560
1,415,560
1,361,115
1,361,115
1,244,448
1,244,448
1,244,448
1,088,892
1,687,783
1,361,115
1,415,560
1,361,115
1,361,115
1,143,337
1,361,115
1,143,337
1,361,115
1,244,448
1,244,448
1,088,892
1,687,783
1,470,004
1,415,560

103 Novia Wirajeki, S.Kep

95,000

35,000

35,000

1,415,560

JUMLAH

3,430,000

3,325,000

3,535,000

151,827,841

JUMLAH PINDAHAN

3,430,000
120,000
35,000
35,000

3,325,000
115,000
35,000
35,000

3,535,000
120,000
35,000
35,000

151,827,841
1,415,560
1,415,560
1,361,115

48

Efranul Basri

49

Early Septalia, Amd.Kep

50

Rita Doveriyanti, S.ST

51

Dewi Insani, AMK

52

Nila Kusuma Saputri

53

Danirul Sanadi, SKM

54

Meriahna BR Sitepu S.Kep

55

Bahidin

56

Nimas Afriyanti, S.Kep

57

Ns.Herdi Fridana, S.Kep

58

Marlin Momos M. Silalahi, S.Kep

59

Anton Purwanto, S.Kep

60

Dev Afson Sumarlin, Amd. Kep

61

Dessy O Naibaho, Amd. Kep

62

Eka Safrina, S.Kep

63

Neti Mesri, Amd.Kep

64

Kamil Hakimin, S.Kep

65

Ns.Frevi Septiadi, S.Kep

66

Widya Ivanna, SW.Kep

67

Ns.Raulina Sinaga,S.Kep

68

Tesmajulisti, S.Kep

69

Rise Novita, S.Kep

70

Yenni Yanuarita

71

Astri Yeliska, Amd.Kep

72

Hengki Setia Budi, Amd.Kep

73

Iki Sumantri, Amd.Kep

74

Hendra Setiawan, Amd.Kep

75

Khairu Fahmi, Amd.Kep

76

Sipur Alam

77

Enghua, S.Kep

78

Hamdan Hamdani, Amd.Kep

79

Ns. Rosida Pentina Sinaga, S.Kep

80

Fajri Kurniawan, S.Kep

81

Deky Aprili, S.Kep

82

Tin Martini, S.Kep

83

Eka Yuliani, S. Kep

84

Novianti SD, Amd.Kep

85

Pero Perdana, Amd.Kep

86

Putri Wulan Sari, Amd.Keb

87

Erna Juita A

88

Hartono B. Bara, S.Kep

89

Jana Fopi Niarti, S.Kep

90

Ns.Meydi Nugroho, S.Kep

91

Sugiyanti, S.Kep

92

Elda Septiana, S.Kep

93

Enna Oktarina, s.Kep

94

Dexi Noviazoni, S.Kep

95

Dwi Putri Oktavia, S.Kep

96

Parulian May Putra S.S.Kep

97

Frits Douglas, Amd.Kep

98

Kamarul Ajmi, Amd.Kep

99

Liustomo

100 Suparti, Amd.Kep


101 Afneri
102 Tri Karlinda, S.Kep

104 Amirul Fajri, S.Kep


105 Rud Damayanti, Amd.Kep
106 Erika Anita Sari, Amd.Kep

35,000
35,000
35,000
95,000
95,000
45,000
90,000
95,000
95,000
50,000
95,000
95,000
80,000
95,000
95,000
95,000
50,000
50,000
55,000
150,000
50,000
55,000
55,000
150,000
160,000
160,000
-

35,000
35,000
35,000
110,000
45,000
90,000
85,000
85,000
85,000
85,000
90,000
85,000
85,000
85,000
35,000
50,000
45,000
150,000
50,000
60,000
50,000
150,000
140,000
140,000
-

35,000
35,000
35,000
125,000
55,000
55,000
65,000
70,000
50,000
65,000
65,000
60,000
55,000
60,000
60,000
55,000
55,000
150,000
50,000
55,000
55,000
150,000
160,000
160,000
-

1,415,560
1,415,560
1,296,300
1,296,300
1,296,300
1,578,893
1,415,560
1,361,115
1,306,670
1,361,115
1,361,115
1,306,670
1,244,448
1,244,448
1,244,448
1,088,892
1,140,744
1,851,116
1,524,449
1,524,449
1,578,893
1,578,893
1,470,004
1,470,004
1,470,004
1,470,004
1,524,449
1,348,152
1,348,152
1,348,152
1,415,560
1,578,893

158 Yenni Noviarti, Amd.Kep

155,000
160,000
45,000
65,000
65,000
65,000
155,000
60,000
160,000
145,000
150,000
60,000
55,000
70,000
85,000
70,000
60,000

45,000
150,000
145,000
65,000
50,000
70,000
140,000
55,000
140,000
130,000
125,000
55,000
35,000
125,000
60,000
80,000
80,000

25,000
145,000
155,000
40,000
35,000
55,000
150,000
35,000
150,000
130,000
130,000
60,000
35,000
140,000
85,000
80,000
75,000

1,524,449
1,415,560
1,306,670
1,415,560
1,415,560
1,415,560
1,415,560
1,296,300
1,244,448
1,140,744
1,796,672
1,415,560
1,470,004
1,470,004
1,415,560
1,470,004
1,470,004
1,470,004
1,470,004
1,415,560

159 Herliza Sepriadi, Amd.Kep

145,000

135,000

130,000

1,348,152

JUMLAH

7,550,000

7,100,000

7,160,000

230,697,326

JUMLAH PINDAHAN

7,550,000
15,000
95,000
-

7,100,000
50,000
130,000
35,000

7,160,000
35,000
135,000
30,000

230,697,326
1,400,004
1,192,596
1,851,116
1,687,783
1,470,004
1,524,449

107 Ratna Dwi Wulandari, S.Kep


108 Widya Febriani, S.Kep
109 Yesi Rahayu, Amd.Kep
110 Adi Setiawan, Amd.Kep
111 Halen Martoni, Amd.Kep
112 Meifizasari, S.Kep
113 Ns. Rika Nurmalia, S.Kep
114 Fitria Susanti, S.Kep
115 Fatmawati, Amd.Kep
116 Wida Yulia, S.Kep
117 Lasria Sirait, S.Kep
118 Marisa Dewi C, Amd.Kep
119 Hendayati, Amd.Kep
120 Dian F.Simbolon, Amd.Keb
121 Ira Kurniawati, Amd.Kep
122 Debie Stiany Anzahari
123 Yuniarti Leni Tesra
124 Astan Pahlevi, S.Kep
125 Irawan Ahmad
126 Ns. Debi Indra Susika, S.Kep
127 Ns. Desi Martini, S.Kep
128 Reni Anggraini, S.Kep
129 Yuni Nilawati, SST
130 Jumatul Khair, Amd.Kep
131 Tuti Wigiawati, S.Kep
132 Rini Puji Astuti, S.Kep
133 Nurul Hidayah, S.Kep
134 Rizal, Amd.Kep
135 Teddy Jauhari, Amd.Kep
136 Yopi Kusdianto, Amd.Kep
137 Asrizal, Amd.Kep
138 Euis Wahyu Utami, S.Kep
139 Ns. Ismayati, S.Kep
140 Poni Herawan, Amd.Kep
141 Heli Widiantoro
142 Nevi Anggriyanti, S.Kep
143 Riri Novri Yati, Amd.Kep
144 Pini Restuti, S.Kep
145 Evi Noviyanti, S.Kep
146 Sevri Effendi Arnur, Amd.Kep
147 Susi Hartati
148 Jumadi Rezwan
149 Ns. Teti Sumarni, S.Kep
150 Muhammad Irdan, S.Kep
151 Lukito Condro, S.Kep
152 Ewinri Nopriadi, S.Kep
153 Gusti Farida, Amd.Kep
154 Desi Handayani, S.Kep
155 Asrupin, S.Kep
156 Helda Ariyani, S.Kep
157 Vivi Nofita, S.Kep

160 Yena Hartini


161 Yenita Marlina
162 Sawal Alam, SKM
163 Tri Haryanto, S.Kep
164 Berlian, Amd.Kep
165 Anita Faulina, S.Kep

166 Hester Rugun Simanjuntak, AMK


167 Ovensyah, Amd.Kep
168 Dodi Manthoro, Amd.Kep
169 Ade Rikawati, Amd.RM
170 Yulisman, S.Ip
171 Riyanto, SKM
172 Lisy Putriani, SKM
173 Dewi Kusuma M.S, SKM
174 Yensi, SKM
175 Lina Asta Dewi,Amd.Keb
176 Eko Arianto, A.Md
177 Roni Hidayat, Amd.RM
178 Dispi Maryani
179 Mardianto
180 Tinton Moriska,AMTE
181 Nurkolis, S.Kom
182 Joni
183 Irfan Najib, A.Md
184 Roger Astra Selapan
185 Wahidin, SKM
186 Zulhaiti
187 Irfina Syafitri, Amd. Gizi
188 Ita Novianti, SST
189 Ristina Pratiwi, AMG
190 Yessica Cynthia. AMG
191 Henti Maryantika, SKM
192 Tri Raya Pebriani, AMG
193 Isratul Aulia, Amd.Gizi
194 Titik Dary Yani, AMG
195 Wiwin Harpika, Amd. Gizi
196 Rini Mardiani
197 Rita Silviana
198 Juni Hartuti
199 Mahani
200 Hasmiarti, SKM
201 Dedy Herawan
202 Wahyuni, Amd.Kep
203 Septian Bahari, Amd
204 Bertha Lova, S. Farm, Apt
205 Isnania Zahara, S.Farm, Apt
206 Trisnawati, S. Farm, Apt
207 Ifa Nadia Khairinnisa, S.Farm, Apt
208 Kurniati, S.Farm, Apt
209 Diari Kurniawan, S. Farm,Apt
210 Salna Kurniati, S. Farm
211 Fajar Nur Iqlima, S.Farm
212 Tri Jayanti, S.Farm
213 Atik Sutanti, S.Farm
214 Hery Yanto Putra, S.Si
215 Anggi Nofri, Amd. Farm

95,000
100,000
145,000
65,000
55,000
150,000
2,730
15,000
20,000
15,000
15,000
15,000
15,000
15,000
20,000
25,000
-

5,000
20,000
50,000
140,000
50,000
60,000
35,000
145,000
1,228
15,000
15,000
15,000
15,000
15,000
15,000
15,000
-

125,000
50,000
85,000
155,000
165,000
1,757
15,000
20,000
15,000
15,000
15,000
15,000
20,000
-

1,348,152
1,348,152
1,348,152
1,451,856
1,306,670
1,197,781
1,143,337
1,088,892
1,197,781
985,188
1,037,040
1,037,040
829,632
985,188
1,088,892
1,143,337
881,484
570,372
725,928
1,415,560
1,252,226
1,088,892
1,143,337
1,088,892
1,088,892
1,143,337
1,037,040
1,037,040
1,037,040
1,037,040
933,336
933,336

750,000
80,000
115,000

750,000
70,000
120,000

750,000
80,000
130,000

933,336
881,484
1,306,670
925,558
1,034,447
881,484
1,524,449
1,470,004
1,361,115
1,361,115
1,361,115
1,361,115
1,252,226
1,361,115
1,252,226
1,415,560
1,252,226

35,000

35,000

1,197,781

JUMLAH

9,372,730

8,901,228

9,051,757

296,907,145

JUMLAH PINDAHAN

9,372,730
70,000
80,000
45,000
45,000
30,000

8,901,228
30,000
80,000
70,000
30,000
-

9,051,757
35,000
70,000
80,000
35,000
-

296,907,145
1,037,040
985,188
1,140,744
985,188
985,188
1,088,892
1,088,892
1,088,892
1,088,892

216 Leni Anwar


217 Joko Irawandi
218 Deidi Arizona, Amd.Farm
219 Ica Geri Gunasma
220 Yuriska Meika
221 Wina Sylvera. S, AmF
222 Melda Yudi Ningsih, AmF
223 Apriliana Dwi Safitri,AmF
224 Dianah, AmF

225 Fauziana, SKM


226 Herneta Khaiyar
227 Vera Fitriani, SKM
228 Hendri Septiawan, Amd.AK
229 Joni Efendi, SKM
230 Simaradi, SKM
231 Linda Indriani, Amd.Rad
232 Rahmad Adi Putra Amd.Rad
233 Reki Lestari, Amd.Rad
234 Rizki Oktasari, AM.Rad
235 Helmi Yusmeli, S.Psi
236 Dedi Irawan
237 Doris Prawira
238 Yandi Gunawan
239 Noni Herawan
240 Wima Pratiwi
241 Ochi Syahrifawati
242 Azima
243 Sriyana
244 Nizarwan
245 Meri Suharni
246 Gusti Marni
247 Lasteri
248 Margaretha
249 Yossi Arnila
250 Dwi Rahayu
251 Oktarianti
252 Putri Mita Anggraini, Amd.AK
253 Asep Zulkarnain, Amd.Kep
254 Ayu Pusparini
255 Neta Yuristini, Amd.Kep
256 Dores Purwanto, Amd.Kep

125,000
90,000
90,000
45,000
35,000
35,000
35,000
25,000
45,000
40,000
40,000
50,000
-

120,000
145,000
135,000
65,000
40,000
40,000
40,000
35,000
35,000
45,000
40,000
35,000
-

265 Deka Nopiarti N

266 Ririn Suci Fitria

257 Yeni Paramita


258 Agusman S
259 Nurfitriani, S.Kep
260 rizki kurniawan., A.Md
261 wispa handayani, SST
262 Bayani
263 Meri Ernaini
264 Meitty Ziarna

JUMLAH

10,297,730

9,886,228

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si.Apt


NIP. 19750808 200312 2 007

180,000
115,000
270,000
35,000
30,000
40,000
40,000
40,000
65,000
80,000
140,000
45,000
40,000
230,000
125,000
40,000
40,000
40,000
40,000
10,906,757

1,415,560
1,143,337
1,143,337
1,037,040
1,252,226
1,252,226
925,558
881,484
881,484
881,484
622,224
777,780
674,076
674,076
674,076
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
326,906,119

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si, Apt

NIP. 197508082003122007

KWITANSI
JASA
FEBRUARI

MARET

2,509,785
1,984,481
2,217,950
2,042,849
1,926,114
1,867,747
2,334,684
1,984,481
1,984,481
1,575,912
1,984,481
1,517,454
1,517,454
1,517,454
1,809,380
2,078,376
2,025,085
1,865,210
1,598,751
1,598,751
1,865,210
1,332,293
1,438,876
1,225,709
1,225,709
1,225,709
1,172,417
1,279,001
1,598,751
1,492,168
1,545,459
1,385,584
1,385,584
1,065,834
1,385,584
1,268,850
1,438,876
1,545,459
1,279,001
1,065,834
1,172,417
1,545,459

2,362,325
1,867,885
2,087,636
2,032,699
1,812,947
1,922,823
2,252,450
1,922,823
1,922,823
1,538,258
2,032,699
1,428,383
1,483,321
1,648,134
1,867,885
1,956,263
1,956,263
1,655,300
1,655,300
1,504,818
1,705,460
1,254,015
1,304,176
1,103,533
1,103,533
1,103,533
902,891
1,203,854
1,554,979
1,454,657
1,504,818
1,354,336
1,354,336
1,103,533
1,354,336
1,242,072
1,404,497
1,504,818
1,254,015
1,050,984
1,153,694
1,504,818

1,279,001
1,438,876
1,119,126

1,254,015
1,404,497
1,103,533

JUMLAH tanpa fix


7,376,562
5,999,039
6,452,259
6,401,110
5,826,104
5,758,353
7,091,585
5,994,347
5,994,347
4,783,805
5,865,703
4,496,212
4,551,149
5,014,112
5,585,419
5,994,645
5,886,909
5,317,182
4,832,944
4,736,907
5,367,342
3,947,423
4,104,167
3,472,579
3,472,579
3,472,579
3,055,311
3,680,637
4,569,289
4,253,496
4,411,392
3,937,701
3,937,701
3,367,148
3,937,701
3,599,814
4,367,822
4,683,615
3,894,131
3,257,562
3,578,337
4,629,170
1,361,115
3,839,686
4,313,377
3,365,996

PPH 5 %
JANUARI

FEBRUARI

375,668
322,001
322,001
348,834
313,056
295,168
375,668
313,056
313,056
250,445
277,279
232,556
232,556
277,279
286,223
98,000
95,278
89,834
78,945
81,667
89,834
68,056
68,056
57,167
57,167
57,167
49,000
59,889
70,778
65,334
68,056
59,889
59,889
59,889
59,889

376,468
297,672
332,693
306,427
288,917
280,162
350,203
297,672
297,672
236,387
297,672
227,618
227,618
227,618
271,407
103,919
101,254
93,261
79,938
79,938
93,261
66,615
71,944
61,285
61,285
61,285
58,621
63,950
79,938
74,608
77,273
69,279
69,279
53,292
69,279

76,222
81,667
68,056

71,944
77,273
63,950

62,611
78,945
68,056
65,334
73,500
57,167

58,621
77,273
63,950
71,944
55,956

1,225,709

1,203,854

3,681,789

62,611

61,285

72,943,376

70,353,824

217,518,153

6,622,797

6,407,905

72,943,376

70,353,824

217,518,153

6,622,797

6,407,905

1,065,834
1,015,080
1,065,834
1,119,126
852,667
1,705,334
1,652,043
1,438,876
1,385,584
1,438,876
1,385,584
1,385,584
1,332,293
1,332,293
1,385,584
1,268,850
1,758,626
1,705,334
1,225,709
1,385,584
1,332,293
1,279,001
1,225,709
1,218,096
1,319,604
1,319,604
1,319,604
1,015,080
1,167,342
1,705,334
1,438,876
1,438,876

1,153,694
1,098,756
1,103,533
1,053,373
802,570
1,605,139
1,554,979
1,354,336
1,304,176
1,354,336
1,304,176
1,304,176
1,254,015
1,254,015
1,304,176
1,194,300
1,705,460
1,655,300
1,304,176
1,354,336
1,304,176
1,504,818
1,203,854
1,289,844
1,289,844
1,289,844
1,289,844
1,289,844
1,146,528
1,605,139
1,354,336
1,354,336

3,580,643
3,410,136
3,258,259
3,315,835
2,526,350
5,052,700
4,894,804
4,263,216
4,105,319
4,263,216
4,105,319
4,105,319
3,947,423
3,947,423
4,105,319
3,759,450
5,369,647
5,211,750
3,999,889
4,264,369
4,106,473
4,199,379
3,790,678
3,856,092
4,061,304
4,061,304
4,061,304
3,445,668
3,610,170
4,998,256
4,208,772
4,208,772

68,056

53,292

54,445
57,167
43,556
87,111
84,389
73,500
70,778
73,500
70,778
70,778
68,056
68,056
70,778

53,292
55,956
42,633
85,267
82,602
71,944
69,279
71,944
69,279
69,279
66,615
66,615
69,279

95,278
92,556
73,500
76,222
73,500
70,778
68,056
84,389
70,778
70,778

87,931
85,267
61,285
69,279
66,615
63,950
61,285
85,267
71,944
71,944

1,438,876
1,438,876
1,385,584
1,385,584
1,268,850
1,268,850
1,268,850
1,116,588
1,758,626
1,545,459
1,492,168
1,438,876
1,438,876
1,438,876
1,438,876
1,438,876
1,438,876
1,319,604
1,319,604
1,167,342
1,865,210
1,652,043
1,598,751

1,354,336
1,354,336
1,304,176
1,304,176
1,194,300
1,194,300
1,194,300
1,050,984
1,655,300
1,354,336
1,404,497
1,354,336
1,354,336
1,354,336
1,354,336
1,354,336
1,354,336
1,242,072
1,242,072
1,098,756
1,605,139
1,404,497
1,404,497

4,208,772
4,208,772
4,050,875
4,050,875
3,707,598
3,707,598
3,707,598
3,256,464
5,101,708
4,260,910
4,312,224
4,154,327
4,154,327
3,936,549
4,154,327
3,936,549
4,154,327
3,806,124
3,806,124
3,354,990
5,158,131
4,526,544
4,418,807

70,778
70,778
68,056
68,056
84,389
68,056
70,778
68,056
68,056
57,167
68,056
57,167
68,056
84,389
73,500
70,778

71,944
71,944
69,279
69,279
87,931
77,273
74,608
71,944
71,944
71,944
71,944
71,944
71,944
93,260
82,602
79,938

1,598,751

1,354,336

4,368,647

70,778

79,938

150,150,360

144,137,678

456,405,879

9,546,472

9,349,607

150,150,360
1,598,751
1,598,751
1,545,459

144,137,678
1,354,336
1,354,336
1,304,176

456,405,879
4,368,647
4,368,647
4,210,750

9,546,472
70,778
70,778
68,056

9,349,607
79,938
79,938
77,273

1,598,751
1,598,751
1,471,866
1,370,358
735,933
1,492,168
1,332,293
1,279,001
1,225,709
1,279,001
1,279,001
1,225,709
1,167,342
1,167,342
1,167,342
1,015,080
1,065,834
1,758,626
1,438,876
1,438,876
1,492,168
1,492,168
1,385,584
1,385,584
1,385,584
1,385,584
1,438,876
1,268,850
1,268,850
1,268,850
1,492,168
1,652,043

1,354,336
1,354,336
1,242,072
1,146,528
621,036
1,554,979
1,404,497
1,354,336
1,304,176
1,354,336
1,354,336
1,304,176
1,242,072
1,242,072
1,242,072
1,098,756
1,146,528
1,705,460
1,404,497
1,454,657
1,454,657
1,354,336
1,354,336
1,354,336
1,354,336
1,404,497
1,242,072
1,242,072
1,242,072
1,404,497
1,554,979

4,368,647
4,368,647
4,010,238
3,813,186
2,653,269
4,626,040
4,152,349
3,994,452
3,836,555
3,994,452
3,994,452
3,836,555
3,653,862
3,653,862
3,653,862
3,202,728
3,353,106
5,315,203
4,367,822
2,963,325
4,525,718
4,525,718
4,209,925
4,209,925
4,209,925
4,209,925
4,367,822
3,859,074
3,859,074
3,859,074
4,312,224
4,785,915

70,778
70,778
78,945
70,778
68,056
65,334
68,056
68,056
65,334
92,556
76,222
76,222
78,945
78,945
73,500
73,500
73,500
73,500
76,222
70,778
78,945

79,938
79,938
74,608
66,615
63,950
61,285
63,950
63,950
61,285
87,931
71,944
71,944
74,608
74,608
69,279
69,279
69,279
69,279
71,944
74,608
82,602

1,598,751
1,492,168
1,385,584
746,084
1,492,168
1,492,168
1,492,168
1,370,358
1,319,604
1,218,096
1,758,626
1,492,168
1,438,876
1,438,876
1,385,584
1,438,876
1,438,876
1,438,876
1,438,876
1,385,584

1,504,818
1,404,497
1,203,854
702,248
1,404,497
1,404,497
1,404,497
1,289,844
1,242,072
1,146,528
1,655,300
1,304,176
1,354,336
1,354,336
1,304,176
1,354,336
1,354,336
1,354,336
1,354,336
1,304,176

4,628,018
4,312,224
3,896,109
2,863,892
4,312,224
4,312,224
4,312,224
3,956,502
3,806,124
3,505,368
5,210,598
4,211,903
4,263,216
4,263,216
4,105,319
4,263,216
4,263,216
4,263,216
4,263,216
4,105,319

76,222
70,778
65,334
70,778
70,778
70,778
70,778
89,834
70,778
73,500
73,500
70,778
73,500
73,500
73,500
73,500
70,778

79,938
74,608
69,279
37,304
74,608
74,608
74,608
87,931
74,608
71,944
71,944
69,279
71,944
71,944
71,944
71,944
69,279

1,319,604

1,242,072

3,909,828

227,499,456

216,641,242

696,648,024

12,543,647

12,307,296

227,499,456
1,370,358
1,167,342
1,971,793
1,811,918
1,598,751
1,652,043

216,641,242
1,289,844
1,098,756
2,006,424
1,855,942
1,655,300
1,705,460

696,648,024
4,060,206
3,458,694
5,829,333
5,355,643
4,724,055
4,881,952

12,543,647
92,556
84,389
73,500
76,222

12,307,296
98,590
90,596
79,938
82,602

1,471,866
1,471,866
1,471,866
1,421,112
1,279,001
1,172,417
1,119,126
1,119,126
1,172,417
964,326
1,015,080
1,015,080
812,064
964,326
1,065,834
1,119,126
862,818
558,294
710,556
1,385,584
1,225,709
1,065,834
1,119,126
1,065,834
1,065,834
1,119,126
1,015,080
1,015,080
1,015,080
1,015,080
913,572
913,572

1,528,704
1,528,704
1,528,704
1,337,616
1,203,854
1,103,533
1,053,373
1,053,373
1,103,533
907,668
955,440
955,440
764,352
907,668
1,003,212
1,053,373
812,124
621,036
668,808
1,354,336
1,203,854
1,053,373
1,103,533
1,053,373
1,053,373
1,103,533
1,003,212
1,003,212
1,003,212
1,003,212
907,668
907,668

4,348,722
4,348,722
4,348,722
4,210,584
3,789,526
3,473,732
3,315,835
3,261,390
3,473,732
2,857,182
3,007,560
3,007,560
2,406,048
2,857,182
3,157,938
3,315,835
2,556,426
1,749,702
2,105,292
4,155,480
3,681,789
3,208,099
3,365,996
3,208,099
3,208,099
3,365,996
3,055,332
3,055,332
3,055,332
3,055,332
2,754,576
2,754,576

65,334
59,889
57,167
54,445
59,889
57,167
70,778
62,611
54,445
57,167
54,445
54,445
57,167
-

63,950
58,621
55,956
55,956
58,621
55,956
69,279
61,285
53,292
55,956
53,292
53,292
55,956
-

913,572
862,818
1,279,001
905,959
1,012,542
862,818
1,545,459
1,492,168
1,385,584
1,385,584
1,385,584
1,385,584
1,279,001
1,385,584
1,279,001
1,438,876
1,279,001

907,668
859,896
1,354,336
1,003,212
1,103,533
955,440
1,554,979
1,504,818
1,404,497
1,404,497
1,404,497
1,404,497
1,304,176
1,404,497
1,304,176
1,454,657
1,304,176

2,754,576
2,604,198
3,940,007
2,834,729
3,150,523
2,699,742
4,624,887
4,466,990
4,151,196
4,151,196
4,151,196
4,151,196
3,835,402
4,151,196
3,835,402
4,309,093
3,835,402

65,334
46,278
51,722
76,222
73,500
68,056
68,056
68,056
68,056
62,611
68,056
62,611
70,778
62,611

63,950
45,298
50,627
77,273
74,608
69,279
69,279
69,279
69,279
63,950
69,279
63,950
71,944
63,950

1,225,709

1,254,015

3,677,505

59,889

61,285

294,096,317

282,984,607

901,313,784

14,607,097

14,393,667

294,096,317
1,065,834
1,015,080
1,167,342
1,015,080
1,015,080
1,116,588
1,116,588
1,116,588
1,116,588

282,984,607
1,098,756
1,050,984
1,194,300
1,050,984
1,050,984
1,146,528
1,146,528
1,146,528
1,146,528

901,313,784
3,201,630
3,051,252
3,502,386
3,051,252
3,051,252
3,352,008
3,352,008
3,352,008
3,352,008

14,607,097
-

14,393,667
-

1,545,459
1,279,001
1,279,001
1,167,342
1,385,584
1,385,584
1,065,834
1,015,080
1,015,080
1,015,080
812,064
913,572
812,064
812,064
609,048
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
609,048
1,172,417
-

1,203,854
764,352
859,896
859,896
812,124
812,124

4,465,837
3,676,352
3,676,352
3,350,910
3,791,504
3,791,504
2,844,122
2,708,688
2,708,688
2,708,688
2,246,412
2,790,108
1,486,140
2,489,352
1,904,160
1,940,790
1,893,018
1,701,930
1,701,930
1,701,930
1,701,930
1,701,930
1,701,930
1,701,930
1,701,930
1,179,420
2,376,271
764,352
859,896
859,896
812,124
812,124

573,264
1,003,212
812,124
812,124
1,304,176
573,264
573,264
573,264
573,264

573,264
1,003,212
812,124
812,124
1,304,176
573,264
573,264
573,264
573,264

716,580

716,580

326,297,091

1,011,611,273

327,317,347

1,504,818
1,254,015
1,254,015
1,146,528
1,153,694
1,153,694
852,730
812,124
812,124
812,124
812,124
1,098,756
1,003,212
621,036
812,124
764,352
573,264
573,264
573,264
573,264
573,264
573,264
573,264
573,264

70,778
57,167
57,167
62,611
62,611
46,278
-

77,273
63,950
63,950
69,279
69,279
53,292
58,621
-

14,963,709

14,849,311

14,963,709

14,849,352

(41)

1,011,611,273
337203849

337206849

337203849

SETUJU DIBAYAR
DIREKTUR RSKJ SOEPRAPTO PROVINSI BENGKULU
PENGGUNA ANGGARAN

Dr. CHANDRAINY PURI, Msi


NIP. 19680402 200604 2 004

337203849

SETUJU DIBAYAR
DIREKTUR RSJ SOEPRAPTO DAERAH BENGKULU
PENGGUNA ANGGARAN

Dr. BINA AMPERA BUKIT, M.Kes


NIP. 196606101998031007

DAFTAR PENERIMA JASA PELAYANAN


RSKJ SOEPRAPTO PROVINSI BENGKULU
BULAN JANUARI 2016
BERDASARKAN SK DIREKTUR RSKJ SOEPRAPTO
PROVINSI BENGKULU No : 821.22/ 271/1.1 Tanggal Januari 2016

HAL
PPH 5 %
MARET
354,349
280,183
313,145
304,905
271,942
288,423
337,867
288,423
288,423
230,739
304,905
214,257
222,498
247,220
280,183
97,813
97,813
82,765
82,765
75,241
85,273
62,701
65,209
55,177
55,177
55,177
45,145
60,193
77,749
72,733
75,241
67,717
67,717
55,177
67,717
70,225
75,241
62,701
57,685
75,241
62,701
70,225
55,177

& 15 %
1,106,484
899,856
967,839
960,166
873,916
863,753
1,063,738
899,152
899,152
717,571
879,856
674,432
682,672
752,117
837,813
299,732
294,345
265,859
241,647
236,845
268,367
197,371
205,208
173,629
173,629
173,629
152,766
184,032
228,464
212,675
220,570
196,885
196,885
168,357
196,885
218,391
234,181
194,707
178,917
231,459
68,056
191,984
215,669
168,300

60,193

184,089

6,221,348

19,252,050

JUMLAH
TERIMA
2,128,784
1,824,672
1,824,672
1,976,728
1,773,987
1,672,616
2,128,784
1,773,987
1,773,987
1,419,189
1,571,245
1,317,819
1,317,819
1,571,245
1,621,931
1,862,005
1,810,283
1,706,838
1,499,949
1,551,671
1,706,838
1,293,059
1,293,059
1,086,170
1,086,170
1,086,170
931,003
1,137,892
1,344,782
1,241,337
1,293,059
1,137,892
1,137,892
1,137,892
1,137,892
1,088,892
1,448,226
1,551,671
1,293,059
1,140,744
1,189,615
1,499,949
1,293,059
1,241,337
1,396,504
1,086,170

TANDA TANGAN

48
41
41
45
40
38
48
40
40
32
36
30
30
36
37
38
37
35
30
32
35
26
26
22
22
22
19
23
27
25
26
23
23
23
23
21
29
32
26
22
24
30
26
25
28
22
24

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

1,189,615 47
67,598,156

HAL
6,221,348

19,252,050

67,598,156

57,685

179,032

85,273
82,765
65,209
67,717
65,209
75,241
60,193
80,257
67,717
67,717

268,482
260,588
199,994
213,218
205,324
209,969
189,534
249,913
210,439
210,439

1,293,059
1,296,300
1,034,447
1,086,170
827,558
1,955,116
1,603,393
1,541,504
1,379,782
1,491,504
1,379,782
1,404,782
1,388,059
1,328,059
1,404,782
1,356,300
1,810,283
1,758,561
1,431,504
1,478,226
1,431,504
1,384,782
1,328,059
1,383,152
1,551,856
1,571,856
1,571,856
1,255,744
1,396,300
1,603,393
1,344,782
1,374,782

55,177
52,669
40,128
80,257
77,749
67,717
65,209
67,717
65,209
65,209
62,701
62,701
65,209

162,913
165,792
126,318
252,635
244,740
213,161
205,266
213,161
205,266
205,266
197,371
197,371
205,266

67,717
67,717
65,209
65,209
82,765
67,717
70,225
67,717
67,717
67,717
67,717
67,717
67,717
80,257
70,225
70,225

210,439
210,439
202,544
202,544
255,085
213,046
215,611
207,716
207,716
196,827
207,716
196,827
207,716
257,907
226,327
220,940

1,439,782
1,444,782
1,338,059
1,403,059
1,314,448
1,369,448
1,274,448
1,163,892
1,603,393
1,293,059
1,494,782
1,323,059
1,323,059
1,116,170
1,428,059
1,116,170
1,428,059
1,374,448
1,374,448
1,223,892
1,603,393
1,396,504
1,379,782

67,717

218,432

1,439,782 103

9,005,261

27,901,340

26
25
21
22
17
34
33
28
27
28
27
27
26
26
27
25
37
36
28
29
28
27
26
26
28
28
28
22
25
33
27
27
27
27
26
26
24
24
24
21
33
26
27
26
26
22
26
22
26
24
24
21
33
28
27
27

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
101
102

145,711,369

HAL 3
9,005,261
67,717
67,717
65,209

27,901,340
218,432
218,432
210,537

145,711,369
1,317,127
1,232,127 105
1,185,578

104
106

27
27
26

67,717
67,717
77,749
70,225
67,717
65,209
67,717
67,717
65,209
85,273
70,225
72,733
72,733
67,717
67,717
67,717
67,717
70,225
70,225
77,749

218,432
218,432
231,302
207,617
199,723
191,828
199,723
199,723
191,828
265,760
218,391
148,166
226,286
226,286
210,496
210,496
210,496
210,496
218,391
215,611
239,296

1,232,127
1,232,127
1,331,300
1,391,300
1,391,300
1,347,591
1,252,942
1,251,392
1,209,843
1,256,392
1,211,392
1,209,843
1,339,448
1,324,448
1,339,448
1,183,892
1,235,744
1,585,356
1,306,058
1,426,283
1,402,607
1,352,607
1,314,508
1,409,508
1,309,508
1,314,508
1,361,058
1,498,152
1,508,152
1,508,152
1,199,948
1,339,598

107

75,241
70,225
60,193
35,112
70,225
70,225
70,225
82,765
65,209
67,717
67,717
65,209
67,717
67,717
67,717
67,717
65,209

231,401
215,611
194,805
143,195
215,611
215,611
215,611
260,530
210,595
213,161
213,161
205,266
213,161
213,161
213,161
213,161
205,266

1,293,048
1,354,948
1,271,865
1,317,365
1,264,948
1,264,948
1,264,948
1,451,300
1,304,448
1,300,744
1,536,142
1,204,964
1,401,843
1,406,843
1,270,294
1,311,843
1,326,843
1,341,843
1,326,843
1,270,294

139

11,749,046

36,599,989

27
27
25
25
25
30
27
26
25
26
26
25
24
24
24
21
22
36
29
29
30
30
28
28
28
28
29
26
26
26
27
30
29
27
25
27
27
27
27
25
24
22
35
27
28
28
27
28
28
28
28
27
26

108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158

1,493,152 159
220,002,205

HAL 4
11,749,046
100,321
92,797
82,765
85,273

36,599,989
291,467
267,782
236,203
244,098

220,002,205
1,415,004
1,192,596 161
1,559,650
1,420,000 163
1,328,801
1,280,351 165

160
162
164

27
23
36
33
28
29

60,193
55,177
52,669
52,669
55,177
52,669
67,717
60,193
52,669
55,177
52,669
52,669
55,177
-

189,476
173,687
165,792
163,070
173,687
165,792
207,774
184,089
160,405
168,300
160,405
160,405
168,300
-

1,348,152
1,443,152
1,448,152
1,451,856
1,117,194
1,169,095
977,545
925,822
1,024,095
985,188
1,102,040
1,092,040
829,632
1,135,188
1,088,892
977,545
881,484
570,372
728,658
1,207,786
1,068,136
943,487
995,037
943,487
943,487
990,037
1,052,040
1,052,040
1,057,040
1,062,040
933,336
933,336

67,717
50,161
55,177
77,749
75,241
70,225
70,225
70,225
70,225
65,209
70,225
65,209
72,733
65,209

197,000
141,736
157,526
231,244
223,349
207,560
207,560
207,560
207,560
191,770
207,560
191,770
215,455
191,770

933,336
881,484
1,109,670
783,822
876,921
881,484
2,043,204
1,246,655
1,153,555
1,153,555
1,153,555
1,233,555
1,060,456
1,153,555
1,060,456
1,200,105
1,175,456

62,701

183,875

1,013,906 215

13,843,251

42,844,014

26
26
26
28
25
23
22
21
23
19
20
20
16
19
21
22
17
11
14
27
24
21
22
21
21
22
20
20
20
20
18
18
18
17
25
18
20
17
29
28
26
26
26
26
24
26
24
27
24
23

166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214

281,790,728

HAL 5
13,843,251
-

42,844,014
-

281,790,728
1,037,040
1,055,188
1,220,744
1,030,188
985,188
1,133,892
1,088,892
1,088,892
1,118,892

216
217
218
219
220
221
222
223
224

20
19
22
19
19
21
21
21
21

75,241
62,701
62,701
57,685
57,685
42,637
60,193
-

223,292
183,818
183,818
189,575
189,575
142,206
118,814
-

65,209
-

65,209
-

14,327,300

44,140,320

14,327,301

44,140,362

(1)

1,192,268
959,519
959,519
1,037,040
1,062,651
1,062,651
783,352
881,484
881,484
881,484
622,224
902,780
764,076
764,076
674,076
615,372
605,372
605,372
570,372
605,372
570,372
595,372
615,372
610,372
610,372
620,372
(118,814)
-

225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
239
241
242
243
244
245

- 249
(65,209)
- 249
-

246
248

250

250
250
246
248
250

311,418,397

(42)
BENDAHARA PENGELUARAN

674410698

1011614547
FERLIAN SAPUTRA, S.Kep
NIP. 19860605 201101 1 003

27
22
22
20
24
24
18
17
17
17
12
15
13
13
13
11
11
11
11
11
11
11
11
11
11
11
6305
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6305

BENDAHARA PENGELUARAN

YUNITA HANDAYANI, SKM

NIP. 198306102010012019

51852
51852
51852
51852
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51852
51852
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51852
51852
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51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
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51852
51852
51852
51852
51852
51852
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51852
51852
51852
51852
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51852
51852
51852

51852
51852
51852
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51852
51852
51852
51852
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51852
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51852
51852
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51852
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51852
51852
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51852
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51852
51852
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51852
51852
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51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

337,203,849
326,906,119
(0)

51,852

Err:512
-

No. Rek. 1.02.1.02.03.35.01.2.2.26.01.


No. BKU :

NO

NAMA

FIX COST
JANUARI

JASA

FEBRUARI

MARET

JANUARI

11

Aidil Fitriansyah, S. Psi, Msi

12

Pinta Pandia, SKM.

13

Surantini, S.Kep

14

Seswarti, S.Kep

15

Tetih Waidah, S.Kep

16

dr. Lucy Marturia B, SpKJ

17

dr. Faisal Frida Putera

18

dr. Ari Mukti Wibowo

19

dr. Sheno Almes

20

dr. Yessi Vebrianty

21

dr. Ahmad Yusril

22

drg. Erimawati

23

Prima Zainayati.P, S.Psi,Psi

24

Marizal Adi Saputra, S. Psi

25

Deni Maryani, S.Kep

26

Ana Mardiana, S.Kep

27

Lili Maryani, SKM

28

Linda Usada, SKM

29

Megayani, Amd.Kep

30

Zulaiha, S.Kep

31

Desi Oktavia, S.Kep

32

Ning Lestari, S.Kep

33

Delvi Okta Fenty, S.Kep

34

Eva Susanti, S.Kep

35

Eka Ayu Anggraini, S.ST

36

Meilia Findriani, Amd.Keb

37

Empeng Sitepu, SKM

38

Sahala, S.Kep

39

Rosidi, A.md. Kep

40

Melda Fitriana, Amd.Kep

41

Hongkop Silaban

42

Susinarti, Amd.Kep

43

Rismawati

44

Maryanti Arifin, S.Kep

45

Elsye Darmiriyanti, S.Kep

46

Widya Susiyanti

47

Refi Febriasari, S.Kep

1,252,226

JUMLAH

74,220,953

JUMLAH PINDAHAN

74,220,953

dr. Andri Sudjatmoko, SpKJ

dr. Hj. Huriah

dr. Helmi

dr. Sugiharto Djaja

dr. Daniel Satria Kosasih

dr. Wiratmo

dr. H.Syafriadi, MM

dr. Hospitaria V Purba

dr. Ellysa

10

drg. Nurbaya

2,504,452
2,146,673
2,146,673
2,325,562
2,087,043
1,967,783
2,504,452
2,087,043
2,087,043
1,669,634
1,848,524
1,550,375
1,550,375
1,848,524
1,908,154
1,960,006
1,905,561
1,796,672
1,578,893
1,633,338
1,796,672
1,361,115
1,361,115
1,143,337
1,143,337
1,143,337
980,003
1,197,781
1,415,560
1,306,670
1,361,115
1,197,781
1,197,781
1,197,781
1,197,781
1,088,892
1,524,449
1,633,338
1,361,115
1,140,744
1,252,226
1,578,893
1,361,115
1,306,670
1,470,004
1,143,337

300,000
145,000
35,000
95,000
35,000
60,000
95,000
35,000
60,000
60,000
35,000
30,000
35,000
40,000
35,000
35,000
100,000
120,000
120,000
115,000
100,000
30,000

300,000
130,000
30,000
90,000
30,000
60,000
90,000
30,000
60,000
60,000
35,000
40,000
40,000
40,000
120,000
130,000
130,000
135,000
120,000
35,000

300,000
145,000
30,000
90,000
30,000
60,000
90,000
30,000
55,000
55,000
40,000
45,000
35,000
45,000
40,000
145,000
140,000
140,000
140,000
145,000
40,000

1,361,115
1,296,300
1,088,892
1,143,337
871,114
1,742,227
1,687,783
1,470,004
1,415,560
1,470,004
1,415,560
1,415,560
1,361,115
1,361,115
1,415,560
1,296,300
1,905,561
1,851,116
1,470,004
1,524,449
1,470,004
1,415,560
1,361,115
1,348,152
1,451,856
1,451,856
1,451,856
1,140,744
1,296,300
1,687,783
1,415,560
1,415,560

95,000
100,000
45,000
110,000
70,000
125,000
30,000
75,000
150,000
30,000
30,000
30,000
135,000
30,000
135,000
130,000
130,000
135,000
35,000

80,000
95,000
30,000
140,000
75,000
120,000
30,000
110,000
130,000
25,000
25,000
30,000
130,000
30,000
130,000
130,000
120,000
120,000
35,000

105,000
100,000
55,000
150,000
85,000
130,000
40,000
65,000
140,000
30,000
30,000
30,000
135,000
30,000
135,000
135,000
135,000
130,000
-

1,415,560
1,415,560
1,361,115
1,361,115
1,244,448
1,244,448
1,244,448
1,088,892
1,687,783
1,361,115
1,415,560
1,361,115
1,361,115
1,143,337
1,361,115
1,143,337
1,361,115
1,244,448
1,244,448
1,088,892
1,687,783
1,470,004
1,415,560

103 Novia Wirajeki, S.Kep

95,000

35,000

35,000

1,415,560

JUMLAH

3,430,000

3,325,000

3,535,000

151,827,841

JUMLAH PINDAHAN

3,430,000
120,000
35,000
35,000

3,325,000
115,000
35,000
35,000

3,535,000
120,000
35,000
35,000

151,827,841
1,415,560
1,415,560
1,361,115

48

Efranul Basri

49

Early Septalia, Amd.Kep

50

Rita Doveriyanti, S.ST

51

Dewi Insani, AMK

52

Nila Kusuma Saputri

53

Danirul Sanadi, SKM

54

Meriahna BR Sitepu S.Kep

55

Bahidin

56

Nimas Afriyanti, S.Kep

57

Ns.Herdi Fridana, S.Kep

58

Marlin Momos M. Silalahi, S.Kep

59

Anton Purwanto, S.Kep

60

Dev Afson Sumarlin, Amd. Kep

61

Dessy O Naibaho, Amd. Kep

62

Eka Safrina, S.Kep

63

Neti Mesri, Amd.Kep

64

Kamil Hakimin, S.Kep

65

Ns.Frevi Septiadi, S.Kep

66

Widya Ivanna, SW.Kep

67

Ns.Raulina Sinaga,S.Kep

68

Tesmajulisti, S.Kep

69

Rise Novita, S.Kep

70

Yenni Yanuarita

71

Astri Yeliska, Amd.Kep

72

Hengki Setia Budi, Amd.Kep

73

Iki Sumantri, Amd.Kep

74

Hendra Setiawan, Amd.Kep

75

Khairu Fahmi, Amd.Kep

76

Sipur Alam

77

Enghua, S.Kep

78

Hamdan Hamdani, Amd.Kep

79

Ns. Rosida Pentina Sinaga, S.Kep

80

Fajri Kurniawan, S.Kep

81

Deky Aprili, S.Kep

82

Tin Martini, S.Kep

83

Eka Yuliani, S. Kep

84

Novianti SD, Amd.Kep

85

Pero Perdana, Amd.Kep

86

Putri Wulan Sari, Amd.Keb

87

Erna Juita A

88

Hartono B. Bara, S.Kep

89

Jana Fopi Niarti, S.Kep

90

Ns.Meydi Nugroho, S.Kep

91

Sugiyanti, S.Kep

92

Elda Septiana, S.Kep

93

Enna Oktarina, s.Kep

94

Dexi Noviazoni, S.Kep

95

Dwi Putri Oktavia, S.Kep

96

Parulian May Putra S.S.Kep

97

Frits Douglas, Amd.Kep

98

Kamarul Ajmi, Amd.Kep

99

Liustomo

100 Suparti, Amd.Kep


101 Afneri
102 Tri Karlinda, S.Kep

104 Amirul Fajri, S.Kep


105 Rud Damayanti, Amd.Kep
106 Erika Anita Sari, Amd.Kep

35,000
35,000
35,000
95,000
95,000
45,000
90,000
95,000
95,000
50,000
95,000
95,000
80,000
95,000
95,000
95,000
50,000
50,000
55,000
150,000
50,000
55,000
55,000
150,000
160,000
160,000
-

35,000
35,000
35,000
110,000
45,000
90,000
85,000
85,000
85,000
85,000
90,000
85,000
85,000
85,000
35,000
50,000
45,000
150,000
50,000
60,000
50,000
150,000
140,000
140,000
-

35,000
35,000
35,000
125,000
55,000
55,000
65,000
70,000
50,000
65,000
65,000
60,000
55,000
60,000
60,000
55,000
55,000
150,000
50,000
55,000
55,000
150,000
160,000
160,000
-

1,415,560
1,415,560
1,296,300
1,296,300
1,296,300
1,578,893
1,415,560
1,361,115
1,306,670
1,361,115
1,361,115
1,306,670
1,244,448
1,244,448
1,244,448
1,088,892
1,140,744
1,851,116
1,524,449
1,524,449
1,578,893
1,578,893
1,470,004
1,470,004
1,470,004
1,470,004
1,524,449
1,348,152
1,348,152
1,348,152
1,415,560
1,578,893

158 Yenni Noviarti, Amd.Kep

155,000
160,000
45,000
65,000
65,000
65,000
155,000
60,000
160,000
145,000
150,000
60,000
55,000
70,000
85,000
70,000
60,000

45,000
150,000
145,000
65,000
50,000
70,000
140,000
55,000
140,000
130,000
125,000
55,000
35,000
125,000
60,000
80,000
80,000

25,000
145,000
155,000
40,000
35,000
55,000
150,000
35,000
150,000
130,000
130,000
60,000
35,000
140,000
85,000
80,000
75,000

1,524,449
1,415,560
1,306,670
1,415,560
1,415,560
1,415,560
1,415,560
1,296,300
1,244,448
1,140,744
1,796,672
1,415,560
1,470,004
1,470,004
1,415,560
1,470,004
1,470,004
1,470,004
1,470,004
1,415,560

159 Herliza Sepriadi, Amd.Kep

145,000

135,000

130,000

1,348,152

JUMLAH

7,550,000

7,100,000

7,160,000

230,697,326

JUMLAH PINDAHAN

7,550,000
15,000
95,000
-

7,100,000
50,000
130,000
35,000

7,160,000
35,000
135,000
30,000

230,697,326
1,400,004
1,192,596
1,851,116
1,687,783
1,470,004
1,524,449

107 Ratna Dwi Wulandari, S.Kep


108 Widya Febriani, S.Kep
109 Yesi Rahayu, Amd.Kep
110 Adi Setiawan, Amd.Kep
111 Halen Martoni, Amd.Kep
112 Meifizasari, S.Kep
113 Ns. Rika Nurmalia, S.Kep
114 Fitria Susanti, S.Kep
115 Fatmawati, Amd.Kep
116 Wida Yulia, S.Kep
117 Lasria Sirait, S.Kep
118 Marisa Dewi C, Amd.Kep
119 Hendayati, Amd.Kep
120 Dian F.Simbolon, Amd.Keb
121 Ira Kurniawati, Amd.Kep
122 Debie Stiany Anzahari
123 Yuniarti Leni Tesra
124 Astan Pahlevi, S.Kep
125 Irawan Ahmad
126 Ns. Debi Indra Susika, S.Kep
127 Ns. Desi Martini, S.Kep
128 Reni Anggraini, S.Kep
129 Yuni Nilawati, SST
130 Jumatul Khair, Amd.Kep
131 Tuti Wigiawati, S.Kep
132 Rini Puji Astuti, S.Kep
133 Nurul Hidayah, S.Kep
134 Rizal, Amd.Kep
135 Teddy Jauhari, Amd.Kep
136 Yopi Kusdianto, Amd.Kep
137 Asrizal, Amd.Kep
138 Euis Wahyu Utami, S.Kep
139 Ns. Ismayati, S.Kep
140 Poni Herawan, Amd.Kep
141 Heli Widiantoro
142 Nevi Anggriyanti, S.Kep
143 Riri Novri Yati, Amd.Kep
144 Pini Restuti, S.Kep
145 Evi Noviyanti, S.Kep
146 Sevri Effendi Arnur, Amd.Kep
147 Susi Hartati
148 Jumadi Rezwan
149 Ns. Teti Sumarni, S.Kep
150 Muhammad Irdan, S.Kep
151 Lukito Condro, S.Kep
152 Ewinri Nopriadi, S.Kep
153 Gusti Farida, Amd.Kep
154 Desi Handayani, S.Kep
155 Asrupin, S.Kep
156 Helda Ariyani, S.Kep
157 Vivi Nofita, S.Kep

160 Yena Hartini


161 Yenita Marlina
162 Sawal Alam, SKM
163 Tri Haryanto, S.Kep
164 Berlian, Amd.Kep
165 Anita Faulina, S.Kep

166 Hester Rugun Simanjuntak, AMK


167 Ovensyah, Amd.Kep
168 Dodi Manthoro, Amd.Kep
169 Ade Rikawati, Amd.RM
170 Yulisman, S.Ip
171 Riyanto, SKM
172 Lisy Putriani, SKM
173 Dewi Kusuma M.S, SKM
174 Yensi, SKM
175 Lina Asta Dewi,Amd.Keb
176 Eko Arianto, A.Md
177 Roni Hidayat, Amd.RM
178 Dispi Maryani
179 Mardianto
180 Tinton Moriska,AMTE
181 Nurkolis, S.Kom
182 Joni
183 Irfan Najib, A.Md
184 Roger Astra Selapan
185 Wahidin, SKM
186 Zulhaiti
187 Irfina Syafitri, Amd. Gizi
188 Ita Novianti, SST
189 Ristina Pratiwi, AMG
190 Yessica Cynthia. AMG
191 Henti Maryantika, SKM
192 Tri Raya Pebriani, AMG
193 Isratul Aulia, Amd.Gizi
194 Titik Dary Yani, AMG
195 Wiwin Harpika, Amd. Gizi
196 Rini Mardiani
197 Rita Silviana
198 Juni Hartuti
199 Mahani
200 Hasmiarti, SKM
201 Dedy Herawan
202 Wahyuni, Amd.Kep
203 Septian Bahari, Amd
204 Bertha Lova, S. Farm, Apt
205 Isnania Zahara, S.Farm, Apt
206 Trisnawati, S. Farm, Apt
207 Ifa Nadia Khairinnisa, S.Farm, Apt
208 Kurniati, S.Farm, Apt
209 Diari Kurniawan, S. Farm,Apt
210 Salna Kurniati, S. Farm
211 Fajar Nur Iqlima, S.Farm
212 Tri Jayanti, S.Farm
213 Atik Sutanti, S.Farm
214 Hery Yanto Putra, S.Si
215 Anggi Nofri, Amd. Farm

95,000
100,000
145,000
65,000
55,000
150,000
2,730
15,000
20,000
15,000
15,000
15,000
15,000
15,000
20,000
25,000
-

5,000
20,000
50,000
140,000
50,000
60,000
35,000
145,000
1,228
15,000
15,000
15,000
15,000
15,000
15,000
15,000
-

125,000
50,000
85,000
155,000
165,000
1,757
15,000
20,000
15,000
15,000
15,000
15,000
20,000
-

1,348,152
1,348,152
1,348,152
1,451,856
1,306,670
1,197,781
1,143,337
1,088,892
1,197,781
985,188
1,037,040
1,037,040
829,632
985,188
1,088,892
1,143,337
881,484
570,372
725,928
1,415,560
1,252,226
1,088,892
1,143,337
1,088,892
1,088,892
1,143,337
1,037,040
1,037,040
1,037,040
1,037,040
933,336
933,336

750,000
80,000
115,000

750,000
70,000
120,000

750,000
80,000
130,000

933,336
881,484
1,306,670
925,558
1,034,447
881,484
1,524,449
1,470,004
1,361,115
1,361,115
1,361,115
1,361,115
1,252,226
1,361,115
1,252,226
1,415,560
1,252,226

35,000

35,000

1,197,781

JUMLAH

9,372,730

8,901,228

9,051,757

296,907,145

JUMLAH PINDAHAN

9,372,730
70,000
80,000
45,000
45,000
30,000

8,901,228
30,000
80,000
70,000
30,000
-

9,051,757
35,000
70,000
80,000
35,000
-

296,907,145
1,037,040
985,188
1,140,744
985,188
985,188
1,088,892
1,088,892
1,088,892
1,088,892

216 Leni Anwar


217 Joko Irawandi
218 Deidi Arizona, Amd.Farm
219 Ica Geri Gunasma
220 Yuriska Meika
221 Wina Sylvera. S, AmF
222 Melda Yudi Ningsih, AmF
223 Apriliana Dwi Safitri,AmF
224 Dianah, AmF

225 Fauziana, SKM


226 Herneta Khaiyar
227 Vera Fitriani, SKM
228 Hendri Septiawan, Amd.AK
229 Joni Efendi, SKM
230 Simaradi, SKM
231 Linda Indriani, Amd.Rad
232 Rahmad Adi Putra Amd.Rad
233 Reki Lestari, Amd.Rad
234 Rizki Oktasari, AM.Rad
235 Helmi Yusmeli, S.Psi
236 Dedi Irawan
237 Doris Prawira
238 Yandi Gunawan
239 Noni Herawan
240 Wima Pratiwi
241 Ochi Syahrifawati
242 Azima
243 Sriyana
244 Nizarwan
245 Meri Suharni
246 Gusti Marni
247 Lasteri
248 Margaretha
249 Yossi Arnila
250 Dwi Rahayu
251 Oktarianti
252 Putri Mita Anggraini, Amd.AK
253 Asep Zulkarnain, Amd.Kep
254 Ayu Pusparini
255 Neta Yuristini, Amd.Kep
256 Dores Purwanto, Amd.Kep

125,000
90,000
90,000
45,000
35,000
35,000
35,000
25,000
45,000
40,000
40,000
50,000
-

120,000
145,000
135,000
65,000
40,000
40,000
40,000
35,000
35,000
45,000
40,000
35,000
-

265 Deka Nopiarti N

266 Ririn Suci Fitria

257 Yeni Paramita


258 Agusman S
259 Nurfitriani, S.Kep
260 rizki kurniawan., A.Md
261 wispa handayani, SST
262 Bayani
263 Meri Ernaini
264 Meitty Ziarna

JUMLAH

10,297,730

9,886,228

180,000
115,000
270,000
35,000
30,000
40,000
40,000
40,000
65,000
80,000
140,000
45,000
40,000
230,000
125,000
40,000
40,000
40,000
40,000
10,906,757

1,415,560
1,143,337
1,143,337
1,037,040
1,252,226
1,252,226
925,558
881,484
881,484
881,484
622,224
777,780
674,076
674,076
674,076
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
570,372
326,906,119

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si.Apt


NIP. 19750808 200312 2 007

31,090,715

980,520,558

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si, Apt

NIP. 197508082003122007

KWITANSI
JASA
FEBRUARI

JUMLAH JASA + FIX COST


MARET

2,509,785
1,984,481
2,217,950
2,042,849
1,926,114
1,867,747
2,334,684
1,984,481
1,984,481
1,575,912
1,984,481
1,517,454
1,517,454
1,517,454
1,809,380
2,078,376
2,025,085
1,865,210
1,598,751
1,598,751
1,865,210
1,332,293
1,438,876
1,225,709
1,225,709
1,225,709
1,172,417
1,279,001
1,598,751
1,492,168
1,545,459
1,385,584
1,385,584
1,065,834
1,385,584
1,268,850
1,438,876
1,545,459
1,279,001
1,065,834
1,172,417
1,545,459

2,362,325
1,867,885
2,087,636
2,032,699
1,812,947
1,922,823
2,252,450
1,922,823
1,922,823
1,538,258
2,032,699
1,428,383
1,483,321
1,648,134
1,867,885
1,956,263
1,956,263
1,655,300
1,655,300
1,504,818
1,705,460
1,254,015
1,304,176
1,103,533
1,103,533
1,103,533
902,891
1,203,854
1,554,979
1,454,657
1,504,818
1,354,336
1,354,336
1,103,533
1,354,336
1,242,072
1,404,497
1,504,818
1,254,015
1,050,984
1,153,694
1,504,818

1,279,001
1,438,876
1,119,126

1,254,015
1,404,497
1,103,533

JANUARI

FEBRUARI
2,504,452
2,146,673
2,146,673
2,325,562
2,087,043
1,967,783
2,504,452
2,087,043
2,087,043
1,669,634
1,848,524
1,550,375
1,550,375
1,848,524
1,908,154
1,960,006
1,905,561
1,796,672
1,578,893
1,633,338
1,796,672
1,361,115
1,361,115
1,143,337
1,143,337
1,143,337
980,003
1,197,781
1,415,560
1,306,670
1,361,115
1,197,781
1,197,781
1,197,781
1,197,781
1,088,892
1,524,449
1,633,338
1,361,115
1,140,744
1,252,226
1,578,893
1,361,115
1,306,670
1,470,004
1,143,337

2,509,785
1,984,481
2,217,950
2,042,849
1,926,114
1,867,747
2,334,684
1,984,481
1,984,481
1,575,912
1,984,481
1,517,454
1,517,454
1,517,454
1,809,380
2,078,376
2,025,085
1,865,210
1,598,751
1,598,751
1,865,210
1,332,293
1,438,876
1,225,709
1,225,709
1,225,709
1,172,417
1,279,001
1,598,751
1,492,168
1,545,459
1,385,584
1,385,584
1,065,834
1,385,584
1,268,850
1,438,876
1,545,459
1,279,001
1,065,834
1,172,417
1,545,459
1,279,001
1,438,876
1,119,126

MARET
2,362,325
1,867,885
2,087,636
2,032,699
1,812,947
1,922,823
2,252,450
1,922,823
1,922,823
1,538,258
2,032,699
1,428,383
1,483,321
1,648,134
1,867,885
1,956,263
1,956,263
1,655,300
1,655,300
1,504,818
1,705,460
1,254,015
1,304,176
1,103,533
1,103,533
1,103,533
902,891
1,203,854
1,554,979
1,454,657
1,504,818
1,354,336
1,354,336
1,103,533
1,354,336
1,242,072
1,404,497
1,504,818
1,254,015
1,050,984
1,153,694
1,504,818
1,254,015
1,404,497
1,103,533

JUMLAH
7,376,562
5,999,039
6,452,259
6,401,110
5,826,104
5,758,353
7,091,585
5,994,347
5,994,347
4,783,805
5,865,703
4,496,212
4,551,149
5,014,112
5,585,419
5,994,645
5,886,909
5,317,182
4,832,944
4,736,907
5,367,342
3,947,423
4,104,167
3,472,579
3,472,579
3,472,579
3,055,311
3,680,637
4,569,289
4,253,496
4,411,392
3,937,701
3,937,701
3,367,148
3,937,701
3,599,814
4,367,822
4,683,615
3,894,131
3,257,562
3,578,337
4,629,170
1,361,115
3,839,686
4,313,377
3,365,996

1,225,709

1,203,854

1,252,226

1,225,709

1,203,854

3,681,789

72,943,376

70,353,824

74,220,953

72,943,376

70,353,824

217,518,153

72,943,376

70,353,824

74,220,953

72,943,376

70,353,824

217,518,153

1,065,834
1,015,080
1,065,834
1,119,126
852,667
1,705,334
1,652,043
1,438,876
1,385,584
1,438,876
1,385,584
1,385,584
1,332,293
1,332,293
1,385,584
1,268,850
1,758,626
1,705,334
1,225,709
1,385,584
1,332,293
1,279,001
1,225,709
1,218,096
1,319,604
1,319,604
1,319,604
1,015,080
1,167,342
1,705,334
1,438,876
1,438,876

1,153,694
1,098,756
1,103,533
1,053,373
802,570
1,605,139
1,554,979
1,354,336
1,304,176
1,354,336
1,304,176
1,304,176
1,254,015
1,254,015
1,304,176
1,194,300
1,705,460
1,655,300
1,304,176
1,354,336
1,304,176
1,504,818
1,203,854
1,289,844
1,289,844
1,289,844
1,289,844
1,289,844
1,146,528
1,605,139
1,354,336
1,354,336

1,361,115
1,296,300
1,088,892
1,143,337
871,114
2,042,227
1,687,783
1,615,004
1,450,560
1,565,004
1,450,560
1,475,560
1,456,115
1,396,115
1,475,560
1,356,300
1,905,561
1,851,116
1,505,004
1,554,449
1,505,004
1,455,560
1,396,115
1,383,152
1,551,856
1,571,856
1,571,856
1,255,744
1,396,300
1,687,783
1,415,560
1,445,560

1,065,834
1,015,080
1,065,834
1,119,126
852,667
2,005,334
1,652,043
1,568,876
1,415,584
1,528,876
1,415,584
1,445,584
1,422,293
1,362,293
1,445,584
1,328,850
1,758,626
1,705,334
1,225,709
1,420,584
1,372,293
1,279,001
1,265,709
1,258,096
1,439,604
1,449,604
1,449,604
1,150,080
1,287,342
1,705,334
1,438,876
1,473,876

1,153,694
1,098,756
1,103,533
1,053,373
802,570
1,905,139
1,554,979
1,499,336
1,334,176
1,444,336
1,334,176
1,364,176
1,344,015
1,284,015
1,359,176
1,249,300
1,705,460
1,655,300
1,304,176
1,394,336
1,349,176
1,539,818
1,248,854
1,329,844
1,434,844
1,429,844
1,429,844
1,429,844
1,291,528
1,605,139
1,354,336
1,394,336

3,580,643
3,410,136
3,258,259
3,315,835
2,526,350
5,952,700
4,894,804
4,683,216
4,200,319
4,538,216
4,200,319
4,285,319
4,222,423
4,042,423
4,280,319
3,934,450
5,369,647
5,211,750
4,034,889
4,369,369
4,226,473
4,274,379
3,910,678
3,971,092
4,426,304
4,451,304
4,451,304
3,835,668
3,975,170
4,998,256
4,208,772
4,313,772

1,438,876
1,438,876
1,385,584
1,385,584
1,268,850
1,268,850
1,268,850
1,116,588
1,758,626
1,545,459
1,492,168
1,438,876
1,438,876
1,438,876
1,438,876
1,438,876
1,438,876
1,319,604
1,319,604
1,167,342
1,865,210
1,652,043
1,598,751

1,354,336
1,354,336
1,304,176
1,304,176
1,194,300
1,194,300
1,194,300
1,050,984
1,655,300
1,354,336
1,404,497
1,354,336
1,354,336
1,354,336
1,354,336
1,354,336
1,354,336
1,242,072
1,242,072
1,098,756
1,605,139
1,404,497
1,404,497

1,510,560
1,515,560
1,406,115
1,471,115
1,314,448
1,369,448
1,274,448
1,163,892
1,687,783
1,361,115
1,565,560
1,391,115
1,391,115
1,173,337
1,496,115
1,173,337
1,496,115
1,374,448
1,374,448
1,223,892
1,687,783
1,470,004
1,450,560

1,518,876
1,533,876
1,415,584
1,525,584
1,343,850
1,388,850
1,298,850
1,226,588
1,758,626
1,545,459
1,622,168
1,463,876
1,463,876
1,468,876
1,568,876
1,468,876
1,568,876
1,449,604
1,439,604
1,287,342
1,865,210
1,652,043
1,633,751

1,459,336
1,454,336
1,359,176
1,454,176
1,279,300
1,324,300
1,234,300
1,115,984
1,655,300
1,354,336
1,544,497
1,384,336
1,384,336
1,384,336
1,489,336
1,384,336
1,489,336
1,377,072
1,377,072
1,228,756
1,605,139
1,404,497
1,404,497

4,488,772
4,503,772
4,180,875
4,450,875
3,937,598
4,082,598
3,807,598
3,506,464
5,101,708
4,260,910
4,732,224
4,239,327
4,239,327
4,026,549
4,554,327
4,026,549
4,554,327
4,201,124
4,191,124
3,739,990
5,158,131
4,526,544
4,488,807

1,598,751

1,354,336

1,510,560

1,633,751

1,389,336

4,533,647

150,150,360

144,137,678

155,257,841

153,475,360

147,672,678

456,405,879

150,150,360
1,598,751
1,598,751
1,545,459

144,137,678
1,354,336
1,354,336
1,304,176

155,257,841
1,535,560
1,450,560
1,396,115

153,475,360
1,713,751
1,633,751
1,580,459

147,672,678
1,474,336
1,389,336
1,339,176

456,405,879
4,723,647
4,473,647
4,315,750

1,598,751
1,598,751
1,471,866
1,370,358
735,933
1,492,168
1,332,293
1,279,001
1,225,709
1,279,001
1,279,001
1,225,709
1,167,342
1,167,342
1,167,342
1,015,080
1,065,834
1,758,626
1,438,876
1,438,876
1,492,168
1,492,168
1,385,584
1,385,584
1,385,584
1,385,584
1,438,876
1,268,850
1,268,850
1,268,850
1,492,168
1,652,043

1,354,336
1,354,336
1,242,072
1,146,528
621,036
1,554,979
1,404,497
1,354,336
1,304,176
1,354,336
1,354,336
1,304,176
1,242,072
1,242,072
1,242,072
1,098,756
1,146,528
1,705,460
1,404,497
1,454,657
1,454,657
1,354,336
1,354,336
1,354,336
1,354,336
1,404,497
1,242,072
1,242,072
1,242,072
1,404,497
1,554,979

1,450,560
1,450,560
1,331,300
1,391,300
1,391,300
1,578,893
1,460,560
1,451,115
1,401,670
1,456,115
1,411,115
1,401,670
1,339,448
1,324,448
1,339,448
1,183,892
1,235,744
1,851,116
1,524,449
1,574,449
1,628,893
1,578,893
1,525,004
1,620,004
1,520,004
1,525,004
1,579,449
1,498,152
1,508,152
1,508,152
1,415,560
1,578,893

1,633,751
1,633,751
1,506,866
1,480,358
735,933
1,492,168
1,377,293
1,369,001
1,310,709
1,364,001
1,279,001
1,310,709
1,252,342
1,257,342
1,252,342
1,100,080
1,150,834
1,758,626
1,438,876
1,473,876
1,542,168
1,492,168
1,430,584
1,535,584
1,435,584
1,445,584
1,488,876
1,418,850
1,408,850
1,408,850
1,492,168
1,652,043

1,389,336
1,389,336
1,277,072
1,271,528
621,036
1,554,979
1,459,497
1,409,336
1,369,176
1,424,336
1,404,336
1,369,176
1,307,072
1,302,072
1,297,072
1,158,756
1,206,528
1,705,460
1,404,497
1,509,657
1,454,657
1,409,336
1,504,336
1,404,336
1,409,336
1,459,497
1,392,072
1,402,072
1,402,072
1,404,497
1,554,979

4,473,647
4,473,647
4,115,238
4,143,186
2,748,269
4,626,040
4,297,349
4,229,452
4,081,555
4,244,452
4,094,452
4,081,555
3,898,862
3,883,862
3,888,862
3,442,728
3,593,106
5,315,203
4,367,822
3,048,325
4,680,718
4,525,718
4,364,925
4,659,925
4,359,925
4,379,925
4,527,822
4,309,074
4,319,074
4,319,074
4,312,224
4,785,915

1,598,751
1,492,168
1,385,584
746,084
1,492,168
1,492,168
1,492,168
1,370,358
1,319,604
1,218,096
1,758,626
1,492,168
1,438,876
1,438,876
1,385,584
1,438,876
1,438,876
1,438,876
1,438,876
1,385,584

1,504,818
1,404,497
1,203,854
702,248
1,404,497
1,404,497
1,404,497
1,289,844
1,242,072
1,146,528
1,655,300
1,304,176
1,354,336
1,354,336
1,304,176
1,354,336
1,354,336
1,354,336
1,354,336
1,304,176

1,524,449
1,570,560
1,466,670
1,460,560
1,480,560
1,480,560
1,480,560
1,451,300
1,304,448
1,300,744
1,796,672
1,415,560
1,615,004
1,620,004
1,475,560
1,525,004
1,540,004
1,555,004
1,540,004
1,475,560

1,643,751
1,642,168
1,530,584
746,084
1,557,168
1,542,168
1,562,168
1,510,358
1,374,604
1,358,096
1,758,626
1,492,168
1,568,876
1,563,876
1,440,584
1,473,876
1,563,876
1,498,876
1,518,876
1,465,584

1,529,818
1,549,497
1,358,854
702,248
1,444,497
1,439,497
1,459,497
1,439,844
1,277,072
1,296,528
1,655,300
1,304,176
1,484,336
1,484,336
1,364,176
1,389,336
1,494,336
1,439,336
1,434,336
1,379,176

4,698,018
4,762,224
4,356,109
2,908,892
4,482,224
4,462,224
4,502,224
4,401,502
3,956,124
3,955,368
5,210,598
4,211,903
4,668,216
4,668,216
4,280,319
4,388,216
4,598,216
4,493,216
4,493,216
4,320,319

1,319,604

1,242,072

1,493,152

1,454,604

1,372,072

4,319,828

227,499,456

216,641,242

238,247,326

234,599,456

223,801,242

696,648,024

227,499,456
1,370,358
1,167,342
1,971,793
1,811,918
1,598,751
1,652,043

216,641,242
1,289,844
1,098,756
2,006,424
1,855,942
1,655,300
1,705,460

238,247,326
1,415,004
1,192,596
1,851,116
1,687,783
1,565,004
1,524,449

234,599,456
1,370,358
1,217,342
1,971,793
1,811,918
1,728,751
1,687,043

223,801,242
1,289,844
1,133,756
2,006,424
1,855,942
1,790,300
1,735,460

696,648,024
4,075,206
3,543,694
5,829,333
5,355,643
5,084,055
4,946,952

1,471,866
1,471,866
1,471,866
1,421,112
1,279,001
1,172,417
1,119,126
1,119,126
1,172,417
964,326
1,015,080
1,015,080
812,064
964,326
1,065,834
1,119,126
862,818
558,294
710,556
1,385,584
1,225,709
1,065,834
1,119,126
1,065,834
1,065,834
1,119,126
1,015,080
1,015,080
1,015,080
1,015,080
913,572
913,572

1,528,704
1,528,704
1,528,704
1,337,616
1,203,854
1,103,533
1,053,373
1,053,373
1,103,533
907,668
955,440
955,440
764,352
907,668
1,003,212
1,053,373
812,124
621,036
668,808
1,354,336
1,203,854
1,053,373
1,103,533
1,053,373
1,053,373
1,103,533
1,003,212
1,003,212
1,003,212
1,003,212
907,668
907,668

1,348,152
1,443,152
1,448,152
1,451,856
1,306,670
1,342,781
1,143,337
1,088,892
1,197,781
985,188
1,102,040
1,092,040
829,632
1,135,188
1,088,892
1,143,337
881,484
570,372
728,658
1,415,560
1,252,226
1,103,892
1,163,337
1,103,892
1,103,892
1,158,337
1,052,040
1,052,040
1,057,040
1,062,040
933,336
933,336

1,476,866
1,491,866
1,521,866
1,421,112
1,279,001
1,312,417
1,119,126
1,119,126
1,172,417
1,014,326
1,075,080
1,050,080
812,064
1,109,326
1,065,834
1,119,126
862,818
558,294
711,784
1,385,584
1,225,709
1,080,834
1,119,126
1,080,834
1,080,834
1,134,126
1,030,080
1,030,080
1,030,080
1,015,080
913,572
913,572

1,653,704
1,578,704
1,613,704
1,337,616
1,203,854
1,258,533
1,053,373
1,053,373
1,103,533
907,668
955,440
955,440
764,352
1,072,668
1,003,212
1,053,373
812,124
621,036
670,565
1,354,336
1,203,854
1,068,373
1,103,533
1,073,373
1,068,373
1,118,533
1,018,212
1,018,212
1,023,212
1,003,212
907,668
907,668

4,478,722
4,513,722
4,583,722
4,210,584
3,789,526
3,913,732
3,315,835
3,261,390
3,473,732
2,907,182
3,132,560
3,097,560
2,406,048
3,317,182
3,157,938
3,315,835
2,556,426
1,749,702
2,111,007
4,155,480
3,681,789
3,253,099
3,385,996
3,258,099
3,253,099
3,410,996
3,100,332
3,100,332
3,110,332
3,080,332
2,754,576
2,754,576

913,572
862,818
1,279,001
905,959
1,012,542
862,818
1,545,459
1,492,168
1,385,584
1,385,584
1,385,584
1,385,584
1,279,001
1,385,584
1,279,001
1,438,876
1,279,001

907,668
859,896
1,354,336
1,003,212
1,103,533
955,440
1,554,979
1,504,818
1,404,497
1,404,497
1,404,497
1,404,497
1,304,176
1,404,497
1,304,176
1,454,657
1,304,176

933,336
881,484
1,306,670
925,558
1,034,447
881,484
2,274,449
1,470,004
1,361,115
1,361,115
1,361,115
1,441,115
1,252,226
1,361,115
1,252,226
1,415,560
1,367,226

913,572
862,818
1,279,001
905,959
1,012,542
862,818
2,295,459
1,492,168
1,385,584
1,385,584
1,385,584
1,455,584
1,279,001
1,385,584
1,279,001
1,438,876
1,399,001

907,668
859,896
1,354,336
1,003,212
1,103,533
955,440
2,304,979
1,504,818
1,404,497
1,404,497
1,404,497
1,484,497
1,304,176
1,404,497
1,304,176
1,454,657
1,434,176

2,754,576
2,604,198
3,940,007
2,834,729
3,150,523
2,699,742
6,874,887
4,466,990
4,151,196
4,151,196
4,151,196
4,381,196
3,835,402
4,151,196
3,835,402
4,309,093
4,200,402

1,225,709

1,254,015

1,197,781

1,260,709

1,289,015

3,747,505

294,096,317

282,984,607

306,279,875

302,997,545

292,036,364

901,313,784

294,096,317
1,065,834
1,015,080
1,167,342
1,015,080
1,015,080
1,116,588
1,116,588
1,116,588
1,116,588

282,984,607
1,098,756
1,050,984
1,194,300
1,050,984
1,050,984
1,146,528
1,146,528
1,146,528
1,146,528

306,279,875
1,037,040
1,055,188
1,220,744
1,030,188
985,188
1,133,892
1,088,892
1,088,892
1,118,892

302,997,545
1,095,834
1,095,080
1,237,342
1,015,080
1,045,080
1,116,588
1,116,588
1,116,588
1,116,588

292,036,364
1,133,756
1,120,984
1,274,300
1,050,984
1,085,984
1,146,528
1,146,528
1,146,528
1,146,528

901,313,784
3,266,630
3,271,252
3,732,386
3,096,252
3,116,252
3,397,008
3,352,008
3,352,008
3,382,008

1,545,459
1,279,001
1,279,001
1,167,342
1,385,584
1,385,584
1,065,834
1,015,080
1,015,080
1,015,080
812,064
913,572
812,064
812,064
609,048
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
558,294
609,048
1,172,417
-

1,504,818
1,254,015
1,254,015
1,146,528
1,153,694
1,153,694
852,730
812,124
812,124
812,124
812,124
1,098,756
1,003,212
621,036
812,124
764,352
573,264
573,264
573,264
573,264
573,264
573,264
573,264
573,264
1,203,854
764,352
859,896
859,896
812,124
812,124

1,415,560
1,143,337
1,143,337
1,037,040
1,252,226
1,252,226
925,558
881,484
881,484
881,484
622,224
902,780
764,076
764,076
674,076
615,372
605,372
605,372
570,372
605,372
570,372
595,372
615,372
610,372
610,372
620,372
-

1,545,459
1,279,001
1,279,001
1,167,342
1,385,584
1,385,584
1,065,834
1,015,080
1,015,080
1,015,080
812,064
1,033,572
957,064
947,064
609,048
623,294
598,294
598,294
558,294
598,294
558,294
593,294
593,294
603,294
598,294
644,048
1,172,417
-

1,504,818
1,254,015
1,254,015
1,146,528
1,153,694
1,153,694
852,730
812,124
812,124
812,124
812,124
1,278,756
1,118,212
621,036
1,082,124
799,352
603,264
573,264
613,264
573,264
613,264
613,264
573,264
638,264
80,000
1,203,854
764,352
999,896
904,896
852,124
1,042,124

4,465,837
3,676,352
3,676,352
3,350,910
3,791,504
3,791,504
2,844,122
2,708,688
2,708,688
2,708,688
2,246,412
3,215,108
1,721,140
2,829,352
1,904,160
2,320,790
2,003,018
1,806,930
1,701,930
1,816,930
1,701,930
1,801,930
1,821,930
1,786,930
1,846,930
1,344,420
2,376,271
764,352
999,896
904,896
852,124
1,042,124

573,264
1,003,212
812,124
812,124
1,304,176
573,264
573,264
573,264
573,264

573,264
1,128,212
812,124
812,124
1,304,176
613,264
613,264
613,264
613,264

573,264
1,128,212
812,124
812,124
1,304,176
613,264
613,264
613,264
613,264

716,580

716,580

716,580

337,203,848

1,011,611,273

327,317,347

326,297,091

337,203,849

337,203,575

SETUJU DIBAYAR
DIREKTUR RSKJ SOEPRAPTO PROVINSI BENGKULU
PENGGUNA ANGGARAN

Dr. CHANDRAINY PURI, Msi


NIP. 19680402 200604 2 004
1,011,611,273

SETUJU DIBAYAR
DIREKTUR RSJ SOEPRAPTO DAERAH BENGKULU
PENGGUNA ANGGARAN

Dr. BINA AMPERA BUKIT, M.Kes


NIP. 196606101998031007

DAFTAR PENERIMA JASA PELAYANAN


RSKJ SOEPRAPTO PROVINSI BENGKULU
BULAN JANUARI 2016
BERDASARKAN SK DIREKTUR RSKJ SOEPRAPTO
PROVINSI BENGKULU No : 821.22/ 271/1.1 Tanggal Januari 2016

PPH 5 %
JANUARI

FEBRUARI

PPH 5 %
MARET

375,668
322,001
322,001
348,834
313,056
295,168
375,668
313,056
313,056
250,445
277,279
232,556
232,556
277,279
286,223
98,000
95,278
89,834
78,945
81,667
89,834
68,056
68,056
57,167
57,167
57,167
49,000
59,889
70,778
65,334
68,056
59,889
59,889
59,889
59,889

376,468
297,672
332,693
306,427
288,917
280,162
350,203
297,672
297,672
236,387
297,672
227,618
227,618
227,618
271,407
103,919
101,254
93,261
79,938
79,938
93,261
66,615
71,944
61,285
61,285
61,285
58,621
63,950
79,938
74,608
77,273
69,279
69,279
53,292
69,279

354,349
280,183
313,145
304,905
271,942
288,423
337,867
288,423
288,423
230,739
304,905
214,257
222,498
247,220
280,183
97,813
97,813
82,765
82,765
75,241
85,273
62,701
65,209
55,177
55,177
55,177
45,145
60,193
77,749
72,733
75,241
67,717
67,717
55,177
67,717

& 15 %
1,106,484
899,856
967,839
960,166
873,916
863,753
1,063,738
899,152
899,152
717,571
879,856
674,432
682,672
752,117
837,813
299,732
294,345
265,859
241,647
236,845
268,367
197,371
205,208
173,629
173,629
173,629
152,766
184,032
228,464
212,675
220,570
196,885
196,885
168,357
196,885

76,222
81,667
68,056

71,944
77,273
63,950

70,225
75,241
62,701

218,391
234,181
194,707

62,611
78,945
68,056
65,334
73,500
57,167

58,621
77,273
63,950
71,944
55,956

57,685
75,241
62,701
70,225
55,177

178,917
231,459
68,056
191,984
215,669
168,300

JUMLAH
TERIMA
6,270,078
5,099,183
5,484,420
5,440,943
4,952,189
4,894,600
6,027,848
5,095,195
5,095,195
4,066,234
4,985,848
3,821,780
3,868,477
4,261,995
4,747,606
5,694,913
5,592,564
5,051,323
4,591,297
4,500,062
5,098,975
3,750,052
3,898,958
3,298,950
3,298,950
3,298,950
2,902,545
3,496,605
4,340,825
4,040,821
4,190,822
3,740,816
3,740,816
3,198,791
3,740,816
3,599,814
4,149,431
4,449,434
3,699,424
3,257,562
3,399,420
4,397,712
1,293,059
3,647,702
4,097,708
3,197,696

62,611

61,285

60,193

184,089

6,622,797

6,407,905

6,221,348

19,252,050

198,266,103

6,622,797

6,407,905

6,221,348

19,252,050

198,266,103

TANDA TANGAN
1
3
5
7
9
11
13
15
17
19
21
23
25
27
29
31
33
35
37
39
41
43
45

3,497,699 47

68,056

53,292

57,685

179,032

95,278
92,556
75,250
77,722
75,250
72,778
69,806
84,389
70,778
72,278

87,931
85,267
61,285
71,029
68,615
63,950
63,285
85,267
71,944
73,694

85,273
82,765
65,209
69,717
67,459
76,991
62,443
80,257
67,717
69,717

268,482
260,588
201,744
218,468
211,324
213,719
195,534
249,913
210,439
215,689

3,401,611
3,410,136
3,095,346
3,150,043
2,400,033
5,655,065
4,650,064
4,449,056
3,990,303
4,311,306
3,990,303
4,071,053
4,011,302
3,840,302
4,066,303
3,934,450
5,101,165
4,951,163
3,833,144
4,150,901
4,015,149
4,060,660
3,715,144
3,971,092
4,426,304
4,451,304
4,451,304
3,835,668
3,975,170
4,748,343
3,998,333
4,098,083

54,445
57,167
43,556
102,111
84,389
80,750
72,528
78,250
72,528
73,778
72,806
69,806
73,778

53,292
55,956
42,633
100,267
82,602
78,444
70,779
76,444
70,779
72,279
71,115
68,115
72,279

55,177
52,669
40,128
95,257
77,749
74,967
66,709
72,217
66,709
68,209
67,201
64,201
67,959

162,913
165,792
126,318
297,635
244,740
234,161
210,016
226,911
210,016
214,266
211,121
202,121
214,016

75,528
75,778
70,306
73,556
84,389
68,056
78,278
69,556
69,556
58,667
74,806
58,667
74,806
84,389
73,500
72,528

75,944
76,694
70,779
76,279
87,931
77,273
81,108
73,194
73,194
73,444
78,444
73,444
78,444
93,260
82,602
81,688

72,967
72,717
67,959
72,709
82,765
67,717
77,225
69,217
69,217
69,217
74,467
69,217
74,467
80,257
70,225
70,225

224,439
225,189
209,044
222,544
255,085
213,046
236,611
211,966
211,966
201,327
227,716
201,327
227,716
257,907
226,327
224,440

4,264,333
4,278,583
3,971,831
4,228,331
3,937,598
4,082,598
3,807,598
3,506,464
4,846,623
4,047,865
4,495,613
4,027,361
4,027,361
3,825,221
4,326,611
3,825,221
4,326,611
4,201,124
4,191,124
3,739,990
4,900,225
4,300,217
4,264,367

75,528

81,688

69,467

226,682

4,306,964 103

9,650,722

9,443,857

9,105,761

28,200,340

428,205,540

9,650,722
76,778
72,528
69,806

9,443,857
85,688
81,688
79,023

9,105,761
73,717
69,467
66,959

28,200,340
236,182
223,682
215,787

428,205,540
4,487,464
4,249,964 105
4,099,962

49
51
53
55
57
59
61
63
65
67
69
71
73
75
77
79
81
83
85
87
89
91
93
95
97
99
101

72,528
72,528
78,945
73,028
72,556
70,084
72,806
70,556
70,084
92,556
76,222
78,722
81,445
78,945
76,250
81,000
76,000
76,250
78,972
70,778
78,945

81,688
81,688
74,608
68,865
68,450
65,535
68,200
63,950
65,535
87,931
71,944
73,694
77,108
74,608
71,529
76,779
71,779
72,279
74,444
74,608
82,602

69,467
69,467
77,749
72,975
70,467
68,459
71,217
70,217
68,459
85,273
70,225
75,483
72,733
70,467
75,217
70,217
70,467
72,975
70,225
77,749

223,682
223,682
231,302
214,867
211,473
204,078
212,223
204,723
204,078
265,760
218,391
152,416
234,036
226,286
218,246
232,996
217,996
218,996
226,391
215,611
239,296

4,249,964
4,249,964
4,115,238
4,143,186
2,748,269
4,394,738
4,082,481
4,017,979
3,877,477
4,032,229
3,889,729
3,877,477
3,898,862
3,883,862
3,888,862
3,442,728
3,593,106
5,049,443
4,149,430
2,895,908
4,446,682
4,299,432
4,146,678
4,426,928
4,141,928
4,160,928
4,301,430
4,309,074
4,319,074
4,319,074
4,096,613
4,546,619

107

76,222
78,528
73,334
73,028
74,028
74,028
74,028
89,834
70,778
80,750
81,000
73,778
76,250
77,000
77,750
77,000
73,778

82,188
82,108
76,529
37,304
77,858
77,108
78,108
87,931
74,608
78,444
78,194
72,029
73,694
78,194
74,944
75,944
73,279

76,491
77,475
67,943
35,112
72,225
71,975
72,975
82,765
65,209
74,217
74,217
68,209
69,467
74,717
71,967
71,717
68,959

234,901
238,111
217,805
145,445
224,111
223,111
225,111
260,530
210,595
233,411
233,411
214,016
219,411
229,911
224,661
224,661
216,016

4,463,117
4,524,113
4,138,304
2,763,447
4,258,113
4,239,113
4,277,113
4,401,502
3,956,124
3,955,368
4,950,068
4,001,308
4,434,805
4,434,805
4,066,303
4,168,805
4,368,305
4,268,555
4,268,555
4,104,303

139

109
111
113
115
117
119
121
123
125
127
129
131
133
135
137

141
143
145
147
149
151
153
155
157

4,319,828 159

12,770,147

12,516,546

11,961,046

37,247,739

659,400,285

12,770,147
92,556
84,389
78,250
76,222

12,516,546
98,590
90,596
86,438
84,352

11,961,046
100,321
92,797
89,515
86,773

37,247,739
291,467
267,782
254,203
247,348

659,400,285
4,075,206
3,543,694 161
5,537,867
5,087,860 163
4,829,852
4,699,604 165

65,334
67,139
57,167
54,445
59,889
57,167
70,778
62,611
55,195
58,167
55,195
55,195
57,917
-

63,950
65,621
55,956
55,956
58,621
55,956
69,279
61,285
54,042
55,956
54,042
54,042
56,706
-

60,193
62,927
52,669
52,669
55,177
52,669
67,717
60,193
53,419
55,177
53,669
53,419
55,927
-

189,476
195,687
165,792
163,070
173,687
165,792
207,774
184,089
162,655
169,300
162,905
162,655
170,550
-

4,478,722
4,513,722
4,583,722
4,210,584
3,600,049
3,718,045
3,150,043
3,098,321
3,300,045
2,907,182
3,132,560
3,097,560
2,406,048
3,317,182
3,157,938
3,150,043
2,556,426
1,749,702
2,111,007
3,947,706
3,497,700
3,090,444
3,216,696
3,095,194
3,090,444
3,240,446
3,100,332
3,100,332
3,110,332
3,080,332
2,754,576
2,754,576

65,334
46,278
51,722
113,722
73,500
68,056
68,056
68,056
72,056
62,611
68,056
62,611
70,778
68,361

63,950
45,298
50,627
114,773
74,608
69,279
69,279
69,279
72,779
63,950
69,279
63,950
71,944
69,950

67,717
50,161
55,177
115,249
75,241
70,225
70,225
70,225
74,225
65,209
70,225
65,209
72,733
71,709

197,000
141,736
157,526
343,744
223,349
207,560
207,560
207,560
219,060
191,770
207,560
191,770
215,455
210,020

2,754,576
2,604,198
3,743,007
2,692,993
2,992,997
2,699,742
6,531,142
4,243,640
3,943,636
3,943,636
3,943,636
4,162,136
3,643,632
3,943,636
3,643,632
4,093,638
3,990,382

59,889

63,035

64,451

187,375

3,560,130 215

14,896,847

14,669,917

14,124,251

43,691,014

857,622,769

14,896,847
-

14,669,917
-

14,124,251
-

43,691,014
-

857,622,769
3,266,630
3,271,252
3,732,386
3,096,252
3,116,252
3,397,008
3,352,008
3,352,008
3,382,008

167
169
171
173
175
177
179
181
183
185
187
189
191
193
195
197
199
201
203
205
207
209
211
213

217
219
221
223

70,778
57,167
57,167
62,611
62,611
46,278
-

77,273
63,950
63,950
69,279
69,279
53,292
58,621
-

75,241
62,701
62,701
57,685
57,685
42,637
60,193
-

223,292
183,818
183,818
189,575
189,575
142,206
118,814
-

65,209
-

65,209
-

4,242,545
3,492,535
3,492,535
3,350,910
3,601,929
3,601,929
2,701,916
2,708,688
2,708,688
2,708,688
2,246,412
3,215,108
1,721,140
2,829,352
1,904,160
2,320,790
2,003,018
1,806,930
1,701,930
1,816,930
1,701,930
1,801,930
1,821,930
1,786,930
1,846,930
1,344,420
2,257,457
764,352
999,896
904,896
852,124
1,042,124

227
229
231
233
235
237
239
241
243
245
247
249
239
241
243
245

573,264
1,128,212
812,124 249
812,124
1,238,967
613,264
613,264
613,264 249
613,264
716,580

15,253,459

15,125,561

14,608,300

44,987,320

966,623,952

14,963,709

15,040,335

14,327,301

44,140,362

966,623,952

85,226

225

846,958

85,226

BENDAHARA PENGELUARAN

FERLIAN SAPUTRA, S.Kep


NIP. 19860605 201101 1 003

BENDAHARA PENGELUARAN

YUNITA HANDAYANI, SKM

LU

NIP. 198306102010012019

uari 2016

HAL

DA TANGAN

48
41
41
45
40
38
48
40
40
32
36
30
30
36
37
38
37
35
30
32
35
26
26
22
22
22
19
23
27
25
26
23
23
23
23
21
29
32
26
22
24
30
26
25
28
22
24

2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46

HAL

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

48
50
52
54
56
58
60
62
64
66
68
70
72
74
76
78
80
82
84
86
88
90
92
94
96
98
100
102

26
25
21
22
17
34
33
28
27
28
27
27
26
26
27
25
37
36
28
29
28
27
26
26
28
28
28
22
25
33
27
27
27
27
26
26
24
24
24
21
33
26
27
26
26
22
26
22
26
24
24
21
33
28
27
27

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

27
27
26

51852
51852
51852

HAL 3
104
106

108
110
112
114
116
118
120
122
124
126
128
130
132
134
136
138
140
142
144
146
148
150
152
154
156
158

27
27
25
25
25
30
27
26
25
26
26
25
24
24
24
21
22
36
29
29
30
30
28
28
28
28
29
26
26
26
27
30
29
27
25
27
27
27
27
25
24
22
35
27
28
28
27
28
28
28
28
27
26

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

27
23
36
33
28
29

51852
51852
51852
51852
51852
51852

HAL 4
160
162
164

166
168
170
172
174
176
178
180
182
184
186
188
190
192
194
196
198
200
202
204
206
208
210
212
214

26
26
26
28
25
23
22
21
23
19
20
20
16
19
21
22
17
11
14
27
24
21
22
21
21
22
20
20
20
20
18
18
18
17
25
18
20
17
29
28
26
26
26
26
24
26
24
27
24
23

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

20
19
22
19
19
21
21
21
21

51852
51852
51852
51852
51852
51852
51852
51852
51852

HAL 5
216
218
220
222
224

226
228
230
232
234
236
238
240
242
244
246
248
250

242
244
246
248
250
250
246
248
250
250

LUARAN

, S.Kep
01 1 003

27
22
22
20
24
24
18
17
17
17
12
15
13
13
13
11
11
11
11
11
11
11
11
11
11
11
6305
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6305

51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852
51852

337,203,849
326,906,119
(0)

51,852

LUARAN

NI, SKM

Err:512
-

012019

NO

NAMA

dr. Andri Sudjatmoko, SpKJ

FIX COST
APRIL

JUMLAH JASA + F
APRIL

1500000

4491505

dr. Hj. Huriah

1994337

dr. Helmi

1941854

dr. Sugiharto Djaja

2099302

dr. Daniel Satria Kosasih

2046819

dr. Wiratmo

2046819

dr. H.Syafriadi, MM

2099302

dr. Hospitaria V Purba

1784407

dr. Ellysa

750000

2534407

10

drg. Nurbaya

1941854

11

Aidil Fitriansyah, S. Psi, Msi

1941854

12

Pinta Pandia, SKM.

1364456

13

Surantini, S.Kep

1417029

14

Seswarti, S.Kep

300000

2031924

15

Tetih Waidah, S.Kep

1784407

16

Sahala, S.Kep

1574477

17

Astan Pahlevi, S.Kep

1784407

18

Enghua, S.Kep

1731924

JUMLAH
19

dr. Lucy Marturia B, SpKJ

20

dr. Faisal Frida Putera

21

2550000

36611084

2539699

750000

2762592

dr. Ari Mukti Wibowo

1772997

22

dr. Sheno Almes

1677160

23

dr. Yessi Vebrianty

1629241

24

dr. Ahmad Yusril

1629241

25

drg. Erimawati

1054215

26

Prima Zainayati.P, S.Psi,Psi

750000

1947971

27

Marizal Adi Saputra, S. Psi

1006296

28

Deni Maryani, S.Kep

300000

1402134

29

Ana Mardiana, S.Kep

300000

1306296

30

Lili Maryani, SKM

958377

31

Linda Usada, SKM

300000

1402134

32

Megayani, Amd.Kep

1629241

33

Zulaiha, S.Kep

1533403

34

Desi Oktavia, S.Kep

1581322

35

Ning Lestari, S.Kep

1533403

36

Delvi Okta Fenty, S.Kep

1437566

JUMLAH

2400000

28803288

37

Eva Susanti

38

Eka Ayu Anggraini, S.ST

39

Tri Karlinda, S.Kep

40

Fransiska, S.Kep

41

Meilia Findriani, Amd.Keb

1323473

42

Rosidi, A.md. Kep

1245890

43

Hongkop Silaban

1102134

44

Desi Handayani, S.Kep

1293809

45

Susinarti, Amd.Kep

1437566

46

Maryanti Arifin, S.Kep

1197971

47

Elsye Darmiriyanti, S.Kep

1341728

48

Widya Susiyanti

1197971

49

Refi Febriasari, S.Kep

1150052

50

Muhammad Irdan, S.Kep

51

Efranul Basri

1293809

52

Early Septalia, Amd.Kep

1232199

53

Rita Doveriyanti, S.ST

862539

54

Dewi Insani, AMK

1006296

55

Nila Kusuma Saputri

766702

1437566
1437566
0

1341728

56

Danirul Sanadi, SKM

300000

JUMLAH

300000

57

Meriahna BR Sitepu S.Kep

58

1833403
22502402

1485484

Bahidin

135000

1428809

59

Nimas Afriyanti, S.Kep

30000

1275890

60

Ns.Herdi Fridana, S.Kep

70000

1411728

61

Marlin Momos M. Silalahi, S.Kep

30000

1275890

62

Anton Purwanto, S.Kep

60000

1353809

63

Dev Afson Sumarlin, Amd. Kep

70000

1267971

64

Dessy O Naibaho, Amd. Kep

30000

1227971

65

Eka Safrina, S.Kep

55000

1300890

66

wispa handayani, SST

67

Neti Mesri, Amd.Kep

70000

1210925

68

Kamil Hakimin, S.Kep

1629241

69

Ns.Frevi Septiadi, S.Kep

1581322

70

Ns.Raulina Sinaga,S.Kep

50000

1487566

71

Tesmajulisti, S.Kep

50000

1391728

72

Yenni Yanuarita

50000

1439647

73

Astri Yeliska, Amd.Kep

50000

1282199

74

Hengki Setia Budi, Amd.Kep

120000

1352199

JUMLAH

870000

75

Iki Sumantri, Amd.Kep

135000

1367199

76

Hendra Setiawan, Amd.Kep

135000

1367199

77

Sipur Alam

120000

1215288

78

Hamdan Hamdani, Amd.Kep

1293809

79

Ns. Rosida Pentina Sinaga, S.Kep

20000

1313809

80

Fajri Kurniawan, S.Kep

95000

1388809

81

Deky Aprili, S.Kep

115000

1408809

82

Tin Martini, S.Kep

55000

1300890

83

Eka Yuliani, S. Kep

150000

1395890

1245890

24649159

84

Erna Juita A

60000

1257971

85

Novianti SD, Amd.Kep

110000

1250925

86

Pero Perdana, Amd.Kep

115000

1255925

87

Putri Wulan Sari, Amd.Keb

25000

1165925

88

Hartono B. Bara, S.Kep

1485484

89

Jana Fopi Niarti, S.Kep

1293809

90

Ns.Meydi Nugroho, S.Kep

130000

1423809

91

Sugiyanti, S.Kep

30000

1227971

92

Elda Septiana, S.Kep

30000

1227971

JUMLAH

1325000

23641492

93

Enna Oktarina, s.Kep

30000

1227971

94

Dexi Noviazoni, S.Kep

130000

1232134

95

Dwi Putri Oktavia, S.Kep

30000

1132134

96

Parulian May Putra S.S.Kep

130000

1327971

97

Liustomo

130000

1280052

98

Frits Douglas, Amd.Kep

130000

1134014

99

Kamarul Ajmi, Amd.Kep

130000

1225288

100 Suparti, Amd.Kep

1581322

101 Afneri

1389647

102 Novia Wirajeki, S.Kep

40000

1381728

103 Amirul Fajri, S.Kep

105000

1446728

104 Rud Damayanti, Amd.Kep

40000

1381728

105 Rise Novita

40000

1429647

106 Erika Anita Sari, Amd.Kep

40000

1381728

107 Ratna Dwi Wulandari, S.Kep

40000

1381728

108 Widya Febriani, S.Kep

40000

1381728

109 Yesi Rahayu, Amd.Kep

40000

1180925

110

110000

1250925

Adi Setiawan, Amd.Kep


JUMLAH

111

Halen Martoni, Amd.Kep

1205000

23747398
638918

112

Meifizasari, S.Kep

1485484

113

Ns. Rika Nurmalia, S.Kep

70000

1459647

114

Fitria Susanti, S.Kep

75000

1416728

115

Fatmawati, Amd.Kep

75000

1320890

116

Wida Yulia, S.Kep

75000

1368809

117

Lasria Sirait, S.Kep

50000

1343809

118

Marisa Dewi C, Amd.Kep

75000

1320890

119

Hendayati, Amd.Kep

75000

1261562

120 Dian F.Simbolon, Amd.Keb

75000

1261562

121 Ira Kurniawati, Amd.Kep

80000

1266562

122 Debie Stiany Anzahari

85000

1134651

123 Yuniarti Leni Tesra

75000

1170288

1341728

125 Ns. Desi Martini, S.Kep

50000

1439647

126 Reni Anggraini, S.Kep

1437566

127 Yuni Nilawati, SST

50000

1343809

128 Jumatul Khair, Amd.Kep

150000

1443809

124 Irawan Ahmad

JUMLAH

1060000

23456357

129 Tuti Wigiawati, S.Kep

50000

1343809

130 Rini Puji Astuti, S.Kep

50000

1343809

131 Nurul Hidayah, S.Kep

50000

1391728

132 Rizal, Amd.Kep

150000

1336562

133 Teddy Jauhari, Amd.Kep

150000

1336562

134 Yopi Kusdianto, Amd.Kep

150000

1336562

135 Asrizal, Amd.Kep

1533403

136 Euis Wahyu Utami, S.Kep

1437566

137 Ns. Ismayati, S.Kep

35000

1376728

138 Poni Herawan, Amd.Kep

145000

1486728

139 Heli Widiantoro

145000

1295052

140 Oka Trisusanty, S.Kep

1341728

141 Nevi Anggriyanti, S.Kep

1245890

142 Riri Novri Yati, Amd.Kep

40000

1190052

143 Pini Restuti, S.Kep

35000

1280890

144 Evi Noviyanti, S.Kep

45000

1386728

145 Khairu Fahmi

125000

1174651

146 Sevri Effendi Arnur, Amd.Kep

145000

1377199

JUMLAH

1315000

24215647

147 Susi Hartati

40000

1226562

148 Jumadi Rezwan

150000

1245288

1581322

150 Lukito Condro, S.Kep

125000

1418809

151 Ewinri Nopriadi, S.Kep

130000

1423809

152 Gusti Farida, Amd.Kep

55000

1300890

153 Asrupin, S.Kep

130000

1423809

154 Helda Ariyani, S.Kep

80000

1373809

155 Vivi Nofita, S.Kep

90000

1383809

149 Ns. Teti Sumarni, S.Kep

156 Yenni Noviarti, Amd.Kep


157 Yenita Marlina

1245890
70000

158 Melda Fitriana


159 Herliza Sepriadi

1315890
1004014

130000

1316562

5000

1237199

159 Sawal Alam, SKM

1916754

160 Tri Haryanto, S.Kep

1772997

161 Berlian, Amd.Kep

160000

1741322

162 Anita Faulina, S.Kep

30000

1659241

163 Hester Rugun Simanjuntak, AMK

75000

1535384

158 Yena Hartini

JUMLAH

1270000

27123361

164 Ovensyah, Amd.Kep

90000

1550384

165 Dodi Manthoro, Amd.Kep

80000

1540384

166 Ade Rikawati, Amd.RM

300000

1806021

167 Yulisman, S.Ip

1437566

168 Riyanto, SKM

160000

1501728

169 Lisy Putriani, SKM

1389647

170 Dewi Kusuma M.S, SKM

1389647

171 Yensi, SKM

1341728

172 Oktarianti
173 Mardianto

1437566
140000

1481728

1232199

175 Eko Arianto, A.Md

25000

1211562

176 Roni Hidayat, Amd.RM

15000

1201562

177 Dispi Maryani

1095288

178 Tinton Moriska,AMTE

958377

179 Nurkolis, S.Kom

1006296

180 Joni

775829

181 Irfan Najib, A.Md

502007

174 Lina Asta Dewi,Amd.Keb

JUMLAH

810000

22859518

182 Rizki Kurniawan

775829

183 Roger Astra Selapan

647301

184 Wahidin, SKM

1293809

185 Zulhaiti

1150052

186 Irfina Syafitri, Amd. Gizi

15000

1021296

187 Ita Novianti, SST

20000

1074215

188 Ristina Pratiwi, AMG

15000

1069215

189 Yessica Cynthia. AMG

15000

1021296

190 Henti Maryantika, SKM

15000

1069215

191 Tri Raya Pebriani, AMG

15000

973377

192 Isratul Aulia, Amd.Gizi

20000

978377

193 Titik Dary Yani, AMG

15000

973377

194 Wiwin Harpika, Amd. Gizi

20000

978377

867103

195 Rini Mardiani

196 Rita Silviana

867103

197 Juni Hartuti

867103

198 Mahani

821466

199 Hasmiarti, SKM

300000

1450052

JUMLAH

450000

200 Empeng Sitepu


201 Dedy Herawan

17898563
1006296

300000

1114620

202 Wahyuni, Amd.Kep

910458

203 Septian Bahari, Amd

775829

750000

2139647

205 Trisnawati, S. Farm, Apt

1245890

206 Ifa Nadia Khairinnisa, S.Farm, Apt

1245890

207 Kurniati, S.Farm, Apt

1245890

80000

1325890

209 Salna Kurniati, S. Farm

1150052

210 Fajar Nur Iqlima, S.Farm

1245890

211

1150052

1293809

213 Hery Yanto Putra, S.Si

120000

1270052

214 Anggi Nofri, Amd. Farm

30000

1132134

215 Leni Anwar

35000

993377

216 Joko Irawandi

80000

992740

204 Bertha Lova, S. Farm, Apt

208 Diari Kurniawan, S. Farm,Apt

Tri Jayanti, S.Farm

212 Atik Sutanti, S.Farm

JUMLAH
217 Deidi Arizona, Amd.Farm

1395000
70000

218 Ica Geri Gunasma


219 Yuriska Meika

20238516
1119651
912740

35000

220 Wina Sylvera. S, AmF

947740
1004014

221 Melda Yudi Ningsih, AmF

1004014

222 Apriliana Dwi Safitri,AmF

1004014

223 Dianah, AmF

1004014

224 Fauziana, SKM

300000

1833403

225 Herneta Khaiyar

1293809

226 Vera Fitriani, SKM

1341728

227 Putri Mita Anggraini, Amd.AK

1232199

228 Hendri Septiawan, Amd.AK

1232199

229 Joni Efendi, SKM

1054215

230 Simaradi, SKM

1006296

231 Linda Indriani, Amd.Rad

814620

232 Rahmad Adi Putra Amd.Rad

775829

233 Reki Lestari, Amd.Rad

775829

234 Rizki Oktasari, AM.Rad

775829

JUMLAH

405000

19132143

235 Asep Zulkarnain, Amd.Kep

135000

956446

236 Ayu Pusparini

55000

876446

237 Neta Yuristini, Amd.Kep

50000

825829

238 Dores Purwanto, Amd.Kep

110000

931466

239 Yeni Paramita

300000

802007

240 Dedi Irawan

130000

1179651

241 Agusman S

100000

1149651

242 Yandi Gunawan

75000

1124651

243 Hirtha Azdan Zuhrie

1049651

244 Noni Herawan

684555

245 Wima Pratiwi

90000

865829

246 Ochi Syahrifawati

50000

780192

247 Helmi Yusmeli

912740

248 Nurfitriani, S.Kep

958377

249 Azima

40000

587644

250 Sriyana

40000

587644

251 Nizarwan

40000

587644

547644

252 Meri Suharni

JUMLAH

1215000

15408067

253 Gusti Marni

40000

587644

254 Lasteri

40000

587644

255 Bayani

40000

587644

256 Meri Ernaini

40000

587644

257 Metty Ziarna

40000

587644

258 Deka Nopiarti N

40000

587644

259 Ririn Suci Fitria

821466

260 Yosi Arnila

50000

871466

261 Dwi Rahayu

55000

876466

262 Rahman Candra

821466

263 Margareta, Amd.Kep

264 Ns. Yuhartika S.Kep

265 Ns. Debi indra Susika S.kep

266 Ns. Yusi Harleni, S.Kep

JUMLAH
JUMLAH TOTAL

MENGETAHUI
PPTK KEGIATAN

LENI MARLINA, S.Si.Apt


NIP. 19750808 200312 2 007

345,000

6,916,728

16,915,000

337,203,723

KWITANSI JP PELAYANAN

JUMLAH JASA + FIX COST


MEI

JUMLAH

JUNI

PPH 5 %
& 15 %

3197156

3306887

10995549

1649332

1939259

2143353

6076949

911542

2096496

2143353

6181703

927255

2096496

2265830

6461628

969244

2096496

2327069

6470384

970558

1939259

2082114

6068192

910229

2044084

2265830

6409216

961382

1782022

2204591

5771020

865653

1782022

2204591

6521020

978153

1939259

1898398

5779511

866927

1939259

1653444

5534556

830183

1362722

1592205

4319383

647907

1415135

1469728

4301891

645284

1729609

1530966

5292499

793875

1782022

1898398

5464827

819724

1519960

1714682

4809119

721368

1729609

1898398

5412414

811862

1939259

1837160

5508342

826251

34330122

36436997

107378203

16106730

2727724

2795678

8063100

403155

2009902

1789234

6561727

328086

1818482

2012888

5604367

280218

1627063

1845147

5149370

257469

1627063

1845147

5101451

255073

1579208

1845147

5053597

252680

1148515

1453752

3656483

182824

1339934

1397839

4685744

234287

1148515

1174185

3328996

166450

1244225

1286012

3932370

196619

1148515

1174185

3628996

181450

957096

1118271

3033744

151687

1052806

1118271

3573211

178661

1627063

1453752

4710057

235503

1531354

1341925

4406682

220334

1579208

1397839

4558369

227918

1531354

1341925

4406682

220334

1435644

1230098

4103308

205165

27133672

27621294

83558253

4177913

1435644

1230098

2665742

133287

1435644

1230098

4103308

205165

1339934

1230098

4007599

200380

1435644

1230098

2665742

133287

1321704

1118271

3763448

188172

1196370

1341925

3784185

189209

1052806

1174185

3329124

166456

1052806

1174185

3520799

176040

1435644

1509666

4382876

219144

1196370

1230098

3624439

181222

1339934

1397839

4079501

203975

1196370

1230098

3624439

181222

1148515

1174185

3472752

173638

909241

1230098

3481067

174053

1292080

1062357

3648246

182412

1230552

1011769

3474520

173726

861386

1230098

2954024

147701

1004951

1174185

3185431

159272

766702

38335

1831354
23716949

2089234
24068584

5753991
70287935

287700
3514397

1483499

1733320

4702303

235115

1437080

1644666

4510554

225528

1279225

1483752

4038867

201943

1419934

1640579

4472242

223612

1279225

1483752

4038867

201943

1352080

1569666

4275554

213778

1276370

1472839

4017180

200859

1231370

1427839

3887180

194359

1294225

1498752

4093867

204693

1244225

1483752

3973867

198693

1189400

1376275

3776600

188830

1674918

1845147

5149306

257465

1627063

1789234

4997619

249881

1533499

1666493

4687558

234378

1437789

1554666

4384183

219209

1485644

1610579

4535870

226794

1326128

1429526

4037853

201893

1406128

1524526

4282853

214143

24977801

28235364

77862324

3893116

1416128

1519526

4302853

215143

1416128

1514526

4297853

214893

1269400

1364773

3849461

192473

1483499

1341925

4119233

205962

1518499

1381925

4214233

210712

1573499

1401925

4364233

218212

1598499

1466925

4474233

223712

1495644

1326012

4122546

206127

1585644

1436012

4417546

220877

1452789

1295098

4005858

200293

1406704

1281522

3939151

196958

1446704

1291522

3994151

199708

1366704

1211522

3744151

187208

1627063

1621493

4734040

236702

1531354

1509666

4334828

216741

1585644

1532839

4542292

227115

1359934

1311012

3898917

194946

1364934

1316012

3908917

195446

26498770

25124234

75264496

3763225

1364934

1311012

3903917

195196

1384225

1411012

4027370

201369

1168515

2300649

115032

1479934

1426012

4233917

211696

1427080

1360098

4067230

203361

1279400

1296522

3709936

185497

1375552

1301522

3902362

195118

1531354

1565579

4678255

233913

1339934

1341925

4071507

203575

1332080

1326012

4039819

201991

1402080

1401012

4249819

212491

1332080

1326012

4039819

201991

1427789

1381925

4239361

211968

1332080

1326012

4039819

201991

1332080

1326012

4039819

201991

1332080

1326012

4039819

201991

1133824

1211522

3526271

176314

1203824

1296522

3751271

187564

24178843

22934721
0

70860962
0

3543048
638918

31946

1483499

1565579

4534562

226728

1462789

1523752

4446188

222309

1424934

1477839

4319501

215975

1329225

1366012

4016127

200806

1377080

1411925

4157814

207891

1342080

1386925

4072814

203641

1329225

1356012

4006127

200306

1269976

1279773

3811311

190566

1264976

2526538

126327

1264976

1304773

3836311

191816

1128248

1135020

3397919

169896

1168824

1188271

3527383

176369

1292080

1397839

4031646

201582

1389934

1503752

4333333

216667

1387789

1509666

4335021

216751

1294225

1391925

4029959

201498

1394225

1491925

4329959

216498

22604084

22290988

68351429

3417571

1294225

1381925

4019959

200998

1294225

1401925

4039959

201998

1342080

1447839

4181646

209082

1299400

1374773

4010735

200537

1299400

1374773

4010735

200537

1289400

1374773

4000735

200037

1579208

1677407

4790018

239501

1387789

1453752

4279107

213955

1327080

1478752

4182560

209128

1442080

1486925

4415733

220787

1250660

1370098

3915811

195791

1292080

1453752

4087560

204378

1226370

1371925

3844185

192209

1140660

1386925

3717638

185882

1231370

1366925

3879185

193959

1332080

1386925

4105733

205287

1122672

1344773

3642096

182105

1334976

1369773

4081948

204097

23485754

25503942

73205342

3660267

1174400

1206522

3607484

180374

1193248

1210020

3648556

182428

1579208

1677407

4837937

241897

1432080

1451925

4302814

215141

1432080

1461925

4317814

215891

1304225

1371012

3976127

198806

1422080

1476925

4322814

216141

1387080

1421925

4182814

209141

1387080

1431925

4202814

210141

1245890

62295

1309225

1341012

3966127

198306

1184976

1299773

3488763

174438

1304976

1379773

4001311

200066

1240552

1224773

3702524

185126

1914192

1677407

5508353

275418

1770628

1509666

5053291

252665

1714208

1401012

4856542

242827

1657063

1356925

4673229

233661

1478432

1176522

4190338

209517

25885731

25076448

78085540

3904277

1518432

1256522

4325338

216267

1538432

1236522

4315338

215767

1458432

1384526

4648979

232449

1387789

1230098

4055453

202773

1442080

1268271

4212079

210604

1339934

1174185

3903766

195188

1339934

1174185

3903766

195188

1292080

1118271

3752079

187604

1387789

1230098

4055453

202773

1392080

1203271

4077078

203854

1184976

1011769

3428944

171447

1209400

1028518

3449480

172474

1214400

1028518

3444480

172224

1048248

852016

2995552

149778

957096

1118271

3033744

151687

1004951

1174185

3185431

159272

774792

905267

2455888

122794

501336

905267

1908610

95431

21992181

20299759

65151458

3257573

774792

905267

2455888

122794

647219

745514

2040034

102002

1292080

1397839

3983727

199186

1148515

1230098

3528665

176433

1019951

1077357

3118604

155930

1072806

1138271

3285292

164265

1067806

1133271

3270292

163515

1019951

1082357

3123604

156180

1067806

1133271

3270292

163515

977096

1026769

2977242

148862

972096

1026769

2977242

148862

977096

1026769

2977242

148862

977096

1031769

2987242

149362

865944

905267

2638314

131916

865944

905267

2638314

131916

865944

905267

2638314

131916

820368

852016

2493850

124693

1148515

1341925

3940492

197025

17581023

18865064

54344650

2717233

1004951

1174185

3185431

159272

813532

950530

2878682

143934

909241

1062357

2882057

144103

774792

905267

2455888

122794

2233499

2147839

6520985

326049

1339934

1341925

3927750

196387

1339934

1230098

3815923

190796

1339934

1230098

3815923

190796

1409934

1310098

4045923

202296

1244225

1118271

3512548

175627

1339934

1230098

3815923

190796

1244225

1118271

3512548

175627

1387789

1286012

3967610

198380

1374225

1243271

3887548

194377

1196370

1062357

3390861

169543

1048248

905267

2946892

147345

1082672

922016

2997428

149871

21083440

20237961

61559917

3077996

1219400

1081769

3420820

171041

1047672

882016

2842428

142121

1002672

852016

2802428

140121

1118824

998518

3121356

156068

1093824

958518

3056356

152818

1093824

958518

3056356

152818

1128824

993518

3126356

156318

1531354

1341925

4706682

235334

1292080

1062357

3648246

182412

1339934

1118271

3799933

189997

1230552

1011769

3474520

173726

1230552

1011769

3474520

173726

1052806

1230098

3337119

166856

1004951

1174185

3185431

159272

813532

950530

2578682

128934

774792

905267

2455888

122794

774792

905267

2455888

122794

774792

905267

2455888

122794

19525176

18341579

56998897

2849945

1005944

1035267

2997657

149883

920944

950267

2747657

137383

779216

795514

2400559

120028

894792

807263

2633521

131676

455760

426008

1683775

84189

1198248

822263

3200162

160008

1052096

787263

2989010

149451

1128248

797263

3050162

152508

1153824

757263

2960738

148037

638064

692263

2014882

100744

844792

965514

2676135

133807

779216

897016

2456424

122821

592488

538811

2044039

102202

957096

692263

2607736

130387

586912

572510

1747066

87353

581912

572510

1742066

87103

586912

567510

1742066

87103

546912

532510

1627066

81353

14703376

13209278

43320721

2166036

586912

567510

1742066

87103

586912

567510

1742066

87103

586912

567510

1742066

87103

586912

572510

1747066

87353

546912

532510

1667066

83353

581912

577510

1747066

87353

820368

532510

2174344

108717

794792

572510

2238768

111938

814792

572510

2263768

113188

820368

532510

2174344

108717

865944

585761

1451705

72585

1453752

1453752

72688

865944

585761

1451705

72585

8,458,680

8,220,374

23,595,782

1,179,789

336,155,601

336,466,585

1,009,825,909

61,229,116

SETUJU DIBAYAR

DIREKTUR RSKJ SOEPRAPTO PROVINSI BENGKULU


PENGGUNA ANGGARAN

Dr. CHANDRAINY PURI, Msi


NIP. 19680402 200604 2 004

HAL

...................

potongan koperasi, dll

JUMLAH
TERIMA
9346216

TANDA TANGAN
1

5165406
5254447

2
3

5492384
5499826

4
5

5157963
5447833
2700000

6
7

2205367
5542867

8
9

4912584
4704373

10
11

3671476
3656608

12
13

4498625
4645103

14
15

4087751
4600552

16
17

4682091
2700000

18

88571472
7659945

19

6233641
5324149

20
21

4891902
4846379

22
23

4800917
3473658
4451457

24
25
26

3162546

27

3735752
3447546

28
29

2882057
3394550

30
31

4474554
4186348

32
33

4330451
4186348

34
35

3898143
0

36

79380341
2532455

37

3898143
3807219

38
39

2532455
3575276

40
41

3594976
3162668

42
43

3344759
4163732

44
45

3443217
3875526

46
47

3443217
3299114

48
49

3307014
3465834

50
51

3300794
2806322

52
53

3026160

54

728367

52

5466291
0

53

66773538
4467188

57

4285027
3836924

58
59

4248630
3836924

60
61

4061777
3816321

62
63

3692821
3889174

64
65

3775174
3587770

66
67

4891841
4747738

68
69

4453180
4164974

70
71

4309077
3835960

72
73

4068710
0

74

73969207
4087710

75

4082960
3656988

76
77

3913271
4003521

78
79

4146021
4250521

80
81

3916418
4196668

82
83

3805565
3742193

84
85

3794443
3556943

86
87

4497338
4118087

88
89

4315177
3703971

90
91

3713471
0

92

71501271
3708721

93

3826002
2185617

94
95

4022221
3863868

96
97

3524439
3707244

98
99

4444342
3867931

100
101

3837828
4037328

102
103

3837828
4027393

104
105

3837828
3837828

106
107

3837828
3349957

108
109

3563707
0

110

67317914
606972

111

4307834
4223879

112
113

4103526
3815320

114
115

3949923
3869173

116
117

3805820
3620745

118
119

2400211
3644495

120
121

3228023
3351014

122
123

3830064
4116667

124
125

4118270
3828461

126
127

4113461
0

128

64933858
3818961

129

3837961
3972564

130
131

3810198
3810198

132
133

3800698
4550517

134
135

4065152
3973432

136
137

4194946
3720020
3883182

138
139
140

3651976

141

3531756
3685226

142
143

3900446
3459991

144
145

3877851
0

146

69545075
3427110

147

3466128
4596040

148
149

4087673
4101923

150
151

3777320
4106673

152
153

3973673
3992673

154
155

1183596
3767820

156
157

3314325
3801245

158
159

3517398
5232935

158
159

4800626
4613715

160
161

4439568
3980821
0

162
163

74181263
4109071

164

4099571
4416530

165
166

3852681
4001475

167
168

3708578
3708578

169
170

3564475
3852680

171
172

3873224
3257497

173
174

3277006
3272256

175
176

2845774
2882057

177
178

3026160
2333094

179
180

1813180
0

181

61893885
2333094

182

1938032
3784541

183
184

3352232
2962674

185
186

3121027
3106777

187
188

2967424
3106777

189
190

2828380
2828380

191
192

2828380
2837880
2506398

193
194
195

2506398

196

2506398
2369158

197
198

3743468
0

199

51627418
3026160

200

2734748
2737954

201
202

2333094
6194935

203
204

3731362
3625126

205
206

3625126
3843626

207
208

3336920
3625126

209
210

3336920
3769229

211
212

3693170
3221318

213
214

2799547
2847557
0

215
216

58481921
3249779

217

2700307
2662307

218
219

2965288
2903538

220
221

2903538
2970038

222
223

4471348
3465834

224
225

3609937
3300794

226
227

3300794
3170263

228
229

3026160
2449748

230
231

2333094
2333094

232
233

2333094
0

234

54148952
2847774

235

2610274
2280531

236
237

2501845
1599586

238
239

3040154
2839560

240
241

2897654
2812701

242
243

1914138
2542328

244
245

2333603
1941837

246
247

2477349
1659713

248
249

1654963
1654963
1545713

250
251
252

41154685
1654963

253

1654963

254

1654963

255

1659713

256

1583713

257

1659713

258

2065627

259

2126830

260

2150580

261

2065627

262

263

1379120
1000000

264

1381064

265

1379120

266

18,276,689

2,700,000

941,757,490

BENDAHARA PENGELUARAN

FERLIAN SAPUTRA, S.Kep


NIP. 19860605 201101 1 003

PELAYANAN LOKET I
No

Nama

No Nama

No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

dr. Andri Sudjatmoko, SpKJ


dr. Hj. Huriah
dr. Helmi
dr. Sugiharto Djaja
dr. Daniel Satria Kosasih
dr. Wiratmo
dr. H.Syafriadi, MM
dr. Hospitaria V Purba
dr. Ellysa
drg. Nurbaya
Aidil Fitriansyah, S. Psi, Msi
Pinta Pandia, SKM.
Surantini, S.Kep
Seswarti, S.Kep
Tetih Waidah, S.Kep
dr. Lucy Marturia B, SpKJ
dr. Faisal Frida Putera
dr. Ari Mukti Wibowo
dr. Sheno Almes
dr. Yessi Vebrianty
dr. Ahmad Yusril
drg. Erimawati
Prima Zainayati.P, S.Psi,Psi
Marizal Adi Saputra, S. Psi
Deni Maryani, S.Kep
Ana Mardiana, S.Kep

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

Efranul Basri
Early Septalia, Amd.Kep
Rita Doveriyanti, S.ST
Dewi Insani, AMK
Nila Kusuma Saputri
Danirul Sanadi, SKM
Meriahna BR Sitepu S.Kep
Bahidin
Nimas Afriyanti, S.Kep
Ns.Herdi Fridana, S.Kep
Marlin Momos M. Silalahi,
Anton Purwanto, S.Kep
Dev Afson Sumarlin,
Dessy O Naibaho, Amd. Kep
Eka Safrina, S.Kep
Neti Mesri, Amd.Kep
Kamil Hakimin, S.Kep
Ns.Frevi Septiadi, S.Kep
Widya Ivanna, SW.Kep
Ns.Raulina Sinaga,S.Kep
Tesmajulisti, S.Kep
Rise Novita, S.Kep
Yenni Yanuarita
Astri Yeliska, Amd.Kep
Hengki Setia Budi, Amd.Kep
Iki Sumantri, Amd.Kep

96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

Lili Maryani, SKM


Linda Usada, SKM
Megayani, Amd.Kep
Zulaiha, S.Kep
Desi Oktavia, S.Kep
Ning Lestari, S.Kep
Delvi Okta Fenty, S.Kep
Eva Susanti, S.Kep
Eka Ayu Anggraini, S.ST
Meilia Findriani, Amd.Keb
Empeng Sitepu, SKM
Sahala, S.Kep
Rosidi, A.md. Kep
Melda Fitriana, Amd.Kep
Hongkop Silaban
Susinarti, Amd.Kep
Rismawati
Maryanti Arifin, S.Kep
Elsye Darmiriyanti, S.Kep
Widya Susiyanti
Refi Febriasari, S.Kep

74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95

Hendra Setiawan, Amd.Kep


Khairu Fahmi, Amd.Kep
Sipur Alam
Enghua, S.Kep
Hamdan Hamdani, Amd.Kep
Ns. Rosida Pentina Sinaga,
Fajri Kurniawan, S.Kep
Deky Aprili, S.Kep
Tin Martini, S.Kep
Eka Yuliani, S. Kep
Novianti SD, Amd.Kep
Pero Perdana, Amd.Kep
Putri Wulan Sari, Amd.Keb
Erna Juita A
Hartono B. Bara, S.Kep
Jana Fopi Niarti, S.Kep
Ns.Meydi Nugroho, S.Kep
Sugiyanti, S.Kep
Elda Septiana, S.Kep
Enna Oktarina, s.Kep
Dexi Noviazoni, S.Kep
Dwi Putri Oktavia, S.Kep

122
123
124
125
126
127
128
129
130

Nama
Parulian May Putra S.S.Kep
Frits Douglas, Amd.Kep
Kamarul Ajmi, Amd.Kep
Liustomo
Suparti, Amd.Kep
Afneri
Tri Karlinda, S.Kep
Novia Wirajeki, S.Kep
Amirul Fajri, S.Kep
Rud Damayanti, Amd.Kep
Erika Anita Sari, Amd.Kep
Ratna Dwi Wulandari, S.Kep
Widya Febriani, S.Kep
Yesi Rahayu, Amd.Kep
Adi Setiawan, Amd.Kep
Halen Martoni, Amd.Kep
Meifizasari, S.Kep
Ns. Rika Nurmalia, S.Kep
Fitria Susanti, S.Kep
Fatmawati, Amd.Kep
Wida Yulia, S.Kep
Lasria Sirait, S.Kep
Marisa Dewi C, Amd.Kep
Hendayati, Amd.Kep
Dian F.Simbolon, Amd.Keb
Ira Kurniawati, Amd.Kep
Debie Stiany Anzahari
Yuniarti Leni Tesra
Astan Pahlevi, S.Kep
Irawan Ahmad
Ns. Debi Indra Susika, S.Kep
Ns. Desi Martini, S.Kep
Reni Anggraini, S.Kep
Yuni Nilawati, SST
Jumatul Khair, Amd.Kep

127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172

Ns. Desi Martini, S.Kep


Reni Anggraini, S.Kep
Yuni Nilawati, SST
Jumatul Khair, Amd.Kep
Tuti Wigiawati, S.Kep
Rini Puji Astuti, S.Kep
Nurul Hidayah, S.Kep
Rizal, Amd.Kep
Teddy Jauhari, Amd.Kep
Yopi Kusdianto, Amd.Kep
Asrizal, Amd.Kep
Euis Wahyu Utami, S.Kep
Ns. Ismayati, S.Kep
Poni Herawan, Amd.Kep
Heli Widiantoro
Nevi Anggriyanti, S.Kep
Riri Novri Yati, Amd.Kep
Pini Restuti, S.Kep
Evi Noviyanti, S.Kep
Sevri Effendi Arnur, Amd.Kep
Susi Hartati
Jumadi Rezwan
Ns. Teti Sumarni, S.Kep
Muhammad Irdan, S.Kep
Lukito Condro, S.Kep
Ewinri Nopriadi, S.Kep
Gusti Farida, Amd.Kep
Desi Handayani, S.Kep
Asrupin, S.Kep
Helda Ariyani, S.Kep
Vivi Nofita, S.Kep
Yenni Noviarti, Amd.Kep
Herliza Sepriadi, Amd.Kep
Yena Hartini
Yenita Marlina
Sawal Alam, SKM
Tri Haryanto, S.Kep
Berlian, Amd.Kep
Anita Faulina, S.Kep
Hester Rugun Simanjuntak, AMK
Ovensyah, Amd.Kep
Dodi Manthoro, Amd.Kep
Ade Rikawati, Amd.RM
Yulisman, S.Ip
Riyanto, SKM
Lisy Putriani, SKM

4E+017

1011611547
1009825909

1785638

173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209

Dewi Kusuma M.S, SKM


Yensi, SKM
Lina Asta Dewi,Amd.Keb
Eko Arianto, A.Md
Roni Hidayat, Amd.RM
Dispi Maryani
Mardianto
Tinton Moriska,AMTE
Nurkolis, S.Kom
Joni
Irfan Najib, A.Md
Roger Astra Selapan
Wahidin, SKM
Zulhaiti
Irfina Syafitri, Amd. Gizi
Ita Novianti, SST
Ristina Pratiwi, AMG
Yessica Cynthia. AMG
Henti Maryantika, SKM
Tri Raya Pebriani, AMG
Isratul Aulia, Amd.Gizi
Titik Dary Yani, AMG
Wiwin Harpika, Amd. Gizi
Rini Mardiani
Rita Silviana
Juni Hartuti
Mahani
Hasmiarti, SKM
Dedy Herawan
Wahyuni, Amd.Kep
Septian Bahari, Amd
Bertha Lova, S. Farm, Apt
Isnania Zahara, S.Farm, Apt
Trisnawati, S. Farm, Apt
Ifa Nadia Khairinnisa, S.Farm, Apt
Kurniati, S.Farm, Apt
Diari Kurniawan, S. Farm,Apt

210

Salna Kurniati, S. Farm

211
212
213
214
215
216
217
218
219
220

Fajar Nur Iqlima, S.Farm


Tri Jayanti, S.Farm
Atik Sutanti, S.Farm
Hery Yanto Putra, S.Si
Anggi Nofri, Amd. Farm
Leni Anwar
Joko Irawandi
Deidi Arizona, Amd.Farm
Ica Geri Gunasma
Yuriska Meika

221
222
223
224
225
226
227
228
229
230

Wina Sylvera. S, AmF


Melda Yudi Ningsih, AmF
Apriliana Dwi Safitri,AmF
Dianah, AmF
Fauziana, SKM
Herneta Khaiyar
Vera Fitriani, SKM
Hendri Septiawan, Amd.AK
Joni Efendi, SKM
Simaradi, SKM

231

Linda Indriani, Amd.Rad

232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251

Rahmad Adi Putra Amd.Rad


Reki Lestari, Amd.Rad
Rizki Oktasari, AM.Rad
Helmi Yusmeli, S.Psi
Dedi Irawan
Doris Prawira
Yandi Gunawan
Noni Herawan
Wima Pratiwi
Ochi Syahrifawati
Azima
Sriyana
Nizarwan
Meri Suharni
Gusti Marni
Lasteri
Margaretha
Yossi Arnila
Dwi Rahayu
Oktarianti

252

Putri Mita Anggraini, Amd.AK

253
254
255
256
257
258
259
260
261
262
263
264
265

Asep Zulkarnain, Amd.Kep


Ayu Pusparini
Neta Yuristini, Amd.Kep
Dores Purwanto, Amd.Kep
Yeni Paramita
Agusman S
Nurfitriani, S.Kep
rizki kurniawan., A.Md
wispa handayani, SST
Bayani
Meri Ernaini
Meitty Ziarna
Deka Nopiarti N

266

Ririn Suci Fitria

1785471

15662681
15315035
15805806
46783522

Pajak Pelayanan
Januari
Februari
Maret
Total

Pajak Administrasi

15,253,000
15,040,335
14,608,301

Januari
Februari
Maret

44,901,636

Total Pajak Administrasi dan Pelayanan :

65,671,214

Pajak Administrasi
6,970,169
7,015,601
6,783,808
20,769,578

Potongan Koperasi
No

Nama
1 Asrupin
2 Dedi Irawan
3 Erika
4 Fatmawati
5 Hongkop Silaban
6 Jumatul Khair
7 Mardianto
8 Herneta K
9 Yenita Marlina
10 Hoven
11 Maya
12 Sumarni

Potongan
1000000
1000000
1000000
1000000
1000000
1000000
1000000
1000000
1000000
1000000
1963000
1000000
12963000

104640000
76891000
78160000
88463000
87786000
80580000
516520000

II

87535000
90691000
63510000
72130000
72681000
42017000
11598000
440162000
938086

KWITANSI JP PELAYANAN APRIL-JUNI 2016


JUMLAH JASA + FIX COST
NO

PPH 5 %

NAMA

JUMLAH
APRIL

MEI

JUNI

& 15 %

255 Gusti Marni

587,644

586,912

567,510

1,742,066

256 Lasteri

587,644

586,912

567,510

1,742,066

257 Bayani

587,644

586,912

567,510

1,742,066

258 Meri Ernaini

587,644

586,912

572,510

1,747,066

259 Metty Ziarna

587,644

546,912

532,510

1,667,066

260 Deka Nopiarti N

587,644

581,912

577,510

1,747,066

261 Ririn Suci Fitria

821,466

820,368

532,510

2,174,344

262 Yosi Arnila

871,466

794,792

572,510

2,238,768

263 Dwi Rahayu

876,466

814,792

572,510

2,263,768

264 Rahman Candra

821,466

820,368

532,510

2,174,344

265 Margareta, Amd.Kep

266 Ns. Yuhartika S.Kep

865,944

585,761

1,451,705

267 Ns. Debi indra Susika S.kep

1,453,752

1,453,752

72,688

268 Ns. Yusi Harleni, S.Kep


JUMLAH
JUMLAH TOTAL

865,944

585,761

1,451,705

6,916,728

8,458,680

8,220,374

23,595,782

72,688

337,203,723

336,155,601

336,466,585

1,009,825,909

46,783,509

ELAYANAN APRIL-JUNI 2016


HAL 15/15...................

potongan koperasi,
dll

JUMLAH
TANDA TANGAN
TERIMA
1,742,066 255
1,742,066

256

1,742,066 257
1,747,066

258

1,667,066 259
1,747,066

260

2,174,344 261
2,238,768

262

2,263,768 263
2,174,344

264

- 265
1,451,705
1,000,000

1,381,064 267

266

1,451,705
1,000,000

19,238,620

15,237,000

945,520,926

268

PELAYANAN LOKET I
91-146

No

Nama

No

Nama

91 Sugiyanti, S.Kep

121 Ira Kurniawati, Amd.Kep

92 Elda Septiana, S.Kep

122 Debie Stiany Anzahari

93 Enna Oktarina, s.Kep

123 Yuniarti Leni Tesra

94 Dexi Noviazoni, S.Kep

124 Irawan Ahmad

95 Dwi Putri Oktavia, S.Kep

125 Ns. Desi Martini, S.Kep

96 Parulian May Putra S.S.Kep

126 Reni Anggraini, S.Kep

97 Liustomo

127 Yuni Nilawati, SST

98 Frits Douglas, Amd.Kep

128 Jumatul Khair, Amd.Kep

99 Kamarul Ajmi, Amd.Kep

129 Tuti Wigiawati, S.Kep

100 Suparti, Amd.Kep

130 Rini Puji Astuti, S.Kep

101 Afneri

131 Nurul Hidayah, S.Kep

102 Novia Wirajeki, S.Kep

132 Rizal, Amd.Kep

103 Amirul Fajri, S.Kep

133 Teddy Jauhari, Amd.Kep

104 Rud Damayanti, Amd.Kep

134 Yopi Kusdianto, Amd.Kep

105 Rise Novita

135 Asrizal, Amd.Kep

106 Erika Anita Sari, Amd.Kep

136 Euis Wahyu Utami, S.Kep

107 Ratna Dwi Wulandari, S.Kep

137 Ns. Ismayati, S.Kep

108 Widya Febriani, S.Kep

138 Poni Herawan, Amd.Kep

109 Yesi Rahayu, Amd.Kep

139 Heli Widiantoro

110 Adi Setiawan, Amd.Kep

140 Oka Trisusanty, S.Kep

111 Halen Martoni, Amd.Kep

141 Nevi Anggriyanti, S.Kep

112 Meifizasari, S.Kep

142 Riri Novri Yati, Amd.Kep

113 Ns. Rika Nurmalia, S.Kep

143 Pini Restuti, S.Kep

114 Fitria Susanti, S.Kep

144 Evi Noviyanti, S.Kep

115 Fatmawati, Amd.Kep

145 Khairu Fahmi

116 Wida Yulia, S.Kep

146 Sevri Effendi Arnur, Amd.Kep

117 Lasria Sirait, S.Kep


118 Marisa Dewi C, Amd.Kep
119 Hendayati, Amd.Kep

120 Dian F.Simbolon, Amd.Keb

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