PETUNJUK PENGGUNAAN

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kpppratamamadiun feat. kp2kpcaruban
 PETUNJUK PENGGUNAAN
Isi data pegawai dan penghasilan di sheet "Data Pegawai"
Untuk mencetak form 1721-A2, pilih nomor urut di sheet "1721-A2"
Untuk mencetak form 1721-A2, memakai kertas ukuran Folio F4 (8,5" x 13")
Untuk Impor bp_A2 Masa pajak Desember, drag ke bawah cell sesuai jumlah pegawai. NPWP Pemoton
kpppratamamadiun feat. kp2kpcaruban
mpor A2 DIINPUT MANUAL
kp
 Data Pegawai

DAFTAR PEGAWAI :

NAMA INSTANSI PUSKESMAS KOTA MASOHI

NAMA BENDAHARA (INSTANSI) BEND. PUSKESMAS KOTA MASOHI

NPWP BENDAHARA (INSTANSI) 1365303941000

ALAMAT MASOHI

NAMA BENDAHARA (ORANG PRIBADI) AHMAD YANY SANMAS

NPWP BENDAHARA (ORANG PRIBADI) 683936025941000

NIP BENDAHARA 196701011989091000

TAHUN PAJAK 2016
T
NO NPWP NIP NAMA Alamat Pegawai Golongan Pangkat
Jenis
NIK
STATUS JUMLAH
Masa
Perolehan
PENGHASILAN SATU TAHUN (TERMASUK GAJI KE-13 DAN Ke- 14)
JUMLAH
Penghasila PENGHASILAN
PENGURANGAN

JUMLAH JUMLAH PENGHASIL

PPH PSL 21
A
B
(KAWIN/TD TANGGUNGA JABATAN JUMLAH GAJI Tunj. Tunj. n lain yg PENGURAN PENGHASILA PTKP AN KENA
Kelamin K KAWIN) N (ANAK)
Penghasilan Tunj. Istri/ BRUTO 1 BIAYA IURAN G N NETTO PAJAK
TERUTANG
(bulan) Gaji Pokok Tunj. Anak DAN TUNJ. Perbaikan Struktural/Fung Tunj. Beras Tunj. Khusus Tunj. Lain teratur TAHUN
Suami terpisah dr JABATAN PENSIUN
KELUARGA penghasilan sional
gaji

1
2 684962616941000
196512111985032002
195909201983032011
NY. JOMMA. HATTU,S.KP
NY. SARAH. LAKUSSA.
IV A
III D
PEMBINA
PENATA TINGKAT I
P
P
K
K
2
0
PELAKSANA
FUNGSIONAL
0112
0112
60,746,000
58,280,600
6,074,600
5,828,060
2,429,840
-
69,250,440
64,108,660
-
-
2,470,000
6,500,000
3,476,160
869,040
78
910
-
-
75,196,678
71,478,610
3,759,833
3,573,930
3,289,395
3,045,161
7,049,228
6,619,091
68,147,450
64,859,519
67,500,000
58,500,000
647,450
6,359,519
32,350
317,950
E
K2
K0

L
3 574471561941000 196103231983032022 NY. E. SOPACUAPERU. III D PENATA TINGKAT I P K 0 FUNGSIONAL 0112 60,116,000 - - 60,116,000 - 6,500,000 869,040 1,040 - 67,486,080 3,374,304 2,855,510 6,229,814 61,256,266 58,500,000 2,756,266 137,800 K0
4 166298364941000 196207231986032010 NY. SUPIA.TALAOHU III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 56,501,200 - - 56,501,200 - 6,500,000 869,040 780 - 63,871,020 3,193,551 2,683,807 5,877,358 57,993,662 54,000,000 3,993,662 199,650 TK0
5 574471256941000 196210151986032012 NY. CH. C. O. LATUPERISSA. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 56,501,200 - - 56,501,200 - 6,500,000 869,040 780 - 63,871,020 3,193,551 2,683,807 5,877,358 57,993,662 54,000,000 3,993,662 199,650 TK0
6 574471330941000 196210311989032004 NY.SUBLIWATTI.OKTOVINA.BSC III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 56,501,200 - - 56,501,200 - 6,500,000 869,040 780 - 63,871,020 3,193,551 2,683,807 5,877,358 57,993,662 54,000,000 3,993,662 199,650 TK0
7 574471397941000 196307051988011003 CHR. J. MAIRUHU. III D PENATA TINGKAT I L K 2 FUNGSIONAL 0112 54,776,400 5,477,640 2,191,056 62,445,096 - 6,500,000 3,476,160 1,196 - 72,422,452 3,621,122 2,966,142 6,587,264 65,835,188 67,500,000 - - K2
8 574471504941000 196308061995032002 NY. ALBERTHINA. SIWALETTE. III D PENATA TINGKAT I P K 0 FUNGSIONAL 0112 49,910,000 4,991,000 - 54,901,000 - 6,500,000 869,040 1,040 - 62,271,080 3,113,554 2,607,797 5,721,351 56,549,729 58,500,000 - - K0
9 196309171983122001 NY. M. SELUHOLO. III D PENATA TINGKAT I P K 0 FUNGSIONAL 0112 58,280,600 5,828,060 - 64,108,660 - 6,500,000 869,040 910 - 71,478,610 3,573,930 3,045,161 6,619,091 64,859,519 58,500,000 6,359,519 317,950 K0
10 196402051985122003 JOCBETH M. TAHAPARY. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 56,501,200 - - 56,501,200 - 6,500,000 869,040 780 - 63,871,020 3,193,551 2,683,807 5,877,358 57,993,662 54,000,000 3,993,662 199,650 TK0
11 684962707941000 196403271995032001 NY. MELSINA. AMELAMAN. III D PENATA TINGKAT I P K 0 FUNGSIONAL 0112 49,910,000 4,991,000 - 54,901,000 - 6,500,000 869,040 1,040 - 62,271,080 3,113,554 2,607,797 5,721,351 56,549,729 58,500,000 - - K0
12 684962855941000 196405141988011002 MARTHINUS.SAHETAPY III D PENATA TINGKAT I L K 1 FUNGSIONAL 0112 56,501,200 5,650,120 1,130,024 63,281,344 - 6,500,000 2,607,120 702 - 72,389,166 3,619,458 3,005,863 6,625,321 65,763,845 63,000,000 2,763,845 138,150 K1
13 68496275941000 196405251991031011 ROBERTH F. WATTIMENA. III D PENATA TINGKAT I L K 2 FUNGSIONAL 0112 53,103,400 5,310,340 2,124,136 60,537,876 - 6,500,000 3,476,160 1,287 - 70,515,323 3,525,766 2,875,549 6,401,315 64,114,008 67,500,000 - - K2
14 713189389941000 196502281988032014 NY.AMINAH. MAILAHA. III D PENATA TINGKAT I P K 2 FUNGSIONAL 0112 54,776,400 5,477,640 2,191,056 62,445,096 - 6,500,000 3,476,160 1,196 - 72,422,452 3,621,122 2,966,142 6,587,264 65,835,188 67,500,000 - - K2
15 684962780941000 196604241988011002 MARTHEN. R. MOLLE. III D PENATA TINGKAT I L K 2 FUNGSIONAL 0112 54,776,400 5,477,640 2,191,056 62,445,096 - 6,500,000 3,476,160 1,196 - 72,422,452 3,621,122 2,966,142 6,587,264 65,835,188 67,500,000 - - K2
16 574471629941000 196705091988012003 NY. A. MAILOPUW. III D PENATA TINGKAT I P K 2 FUNGSIONAL 0112 54,776,400 5,477,640 2,191,056 62,445,096 - 6,500,000 3,476,160 1,196 - 72,422,452 3,621,122 2,966,142 6,587,264 65,835,188 67,500,000 - - K2
17 684962897941000 196810191990032002 SITI. AISA. TINAMBA. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 53,103,400 - - 53,103,400 - 6,500,000 869,040 1,170 - 60,473,610 3,023,680 2,522,411 5,546,091 54,927,519 54,000,000 927,519 46,350 TK0
18 574471637941000 197004171994031003 F. M. J. HETHARIE. III D PENATA TINGKAT I L K 1 FUNGSIONAL 0112 54,776,400 5,477,640 1,095,528 61,349,568 - 6,500,000 2,607,120 507 - 70,457,195 3,522,859 2,914,104 6,436,963 64,020,232 63,000,000 1,020,232 51,000 K1
19 197005161992032012 NY.MAGDALENA.SAHETAPY. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 51,482,200 - - 51,482,200 - 6,500,000 869,040 130 - 58,851,370 2,942,568 2,445,404 5,387,972 53,463,398 54,000,000 - - TK0
20 574471595941000 197011131990032003 NY.MARYATI.USMAN. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 53,103,400 - - 53,103,400 - 6,500,000 869,040 1,170 - 60,473,610 3,023,680 2,522,411 5,546,091 54,927,519 54,000,000 927,519 46,350 TK0
21 684962962941000 197204271993032007 NN. S. PAUNNO. III D PENATA TINGKAT I P K 2 FUNGSIONAL 0112 51,482,200 5,148,220 2,059,288 58,689,708 - 6,500,000 3,476,160 130 - 68,665,998 3,433,299 2,787,761 6,221,060 62,444,938 67,500,000 - - K2
22 684962616941000 197206141996032003 HAPSA MARASABESSY. III D PENATA TINGKAT I P K 2 FUNGSIONAL 0112 51,482,200 5,148,220 2,059,288 58,689,708 - 7,800,000 3,476,160 130 - 69,965,998 3,498,299 2,787,761 6,286,060 63,679,938 67,500,000 - - K2
23 574471496941000 197210201993032004 NY. NANY. WIDIASTUTY. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 48,386,800 - - 48,386,800 - 6,500,000 869,040 - - 55,755,840 2,787,792 2,298,373 5,086,165 50,669,675 54,000,000 - - TK0
24 574471322941000 197302031993022002 NY.NURLINA. SOAMOLE. III D PENATA TINGKAT I P K 2 FUNGSIONAL 0112 51,482,200 5,148,220 2,059,288 58,689,708 - 6,500,000 3,476,160 130 - 68,665,998 3,433,299 2,787,761 6,221,060 62,444,938 67,500,000 - - K2
25 684982905941000 197306301993032009 NN. NURSAMSI DJAILANY. III D PENATA TINGKAT I P TK 0 FUNGSIONAL 0112 49,910,000 - - 49,910,000 - 6,500,000 869,040 1,040 - 57,280,080 2,864,004 2,370,725 5,234,729 52,045,351 54,000,000 - - TK0
26 196110131983032013 NY.OKTOVINA AYAL III C PENATA P K 2 FUNGSIONAL 0112 52,553,200 5,255,320 2,102,128 59,910,648 - 6,500,000 3,476,160 273 - 69,887,081 3,494,354 2,845,755 6,340,109 63,546,972 67,500,000 - - K2
27 196508081989032015 NN. M. SAMAL. III C PENATA P K 0 FUNGSIONAL 0112 52,553,200 5,255,320 - 57,808,520 - 6,500,000 869,040 780 - 65,178,340 3,258,917 2,745,904 6,004,821 59,173,519 58,500,000 673,519 33,650
28 197206181993022001 NN. MARWIA. KOTALLA. III C PENATA P K 0 FUNGSIONAL 0112 49,393,400 4,939,340 - 54,332,740 - 3,445,000 869,040 1,170 - 58,647,950 2,932,397 2,580,805 5,513,202 53,134,748 58,500,000 - -
29 684963002941000 197510151997032004 NN. WA ROSANA USMAN. III C PENATA P K 2 FUNGSIONAL 0112 46,422,600 4,642,260 1,856,904 52,921,764 - 6,500,000 3,476,160 91 - 62,898,015 3,144,900 2,513,783 5,658,683 57,239,332 67,500,000 - -
30 684962921941000 197608082000122006 HAWA PAILOKOL III C PENATA P TK 0 FUNGSIONAL 0112 45,005,800 - - 45,005,800 - 6,500,000 869,040 650 - 52,375,490 2,618,774 2,137,775 4,756,549 47,618,941 54,000,000 - -
31 198702062011012011 ANDI TASWIRA,S,FARM,APT III C PENATA P TK 0 FUNGSIONAL 0112 39,755,800 - - 39,755,800 - 9,750,000 869,040 650 - 50,375,490 2,518,774 1,888,400 4,407,174 45,968,316 54,000,000 - -
32 719260846941000 196209151989031012 AMIR LATUPONO. III B PENATA MUDA TINGKAT I L K 0 PELAKSANA 0112 48,881,000 4,888,100 - 53,769,100 - 2,405,000 1,738,080 975 - 57,913,155 2,895,657 2,554,032 5,449,689 52,463,466 58,500,000 - -
33 158451583941000 196210081986032015 SUSY SUSANTI III B PENATA MUDA TINGKAT I P TK 0 PELAKSANA 0112 52,008,600 - - 52,008,600 - 2,405,000 869,040 910 - 55,283,550 2,764,177 2,470,408 5,234,585 50,048,965 54,000,000 - -
34 595470882941000 196302111987031004 FREDERIK. J. DOMINGGUS. III B PENATA MUDA TINGKAT I L K 2 PELAKSANA 0112 47,388,600 4,738,860 1,895,544 54,023,004 - 2,405,000 3,476,160 169 - 59,904,333 2,995,216 2,566,092 5,561,308 54,343,025 67,500,000 - -
35 684962848941000 196305241989031010 W. J. DE YONG. III B PENATA MUDA TINGKAT I L K 2 PELAKSANA 0112 50,419,600 5,041,960 2,016,784 57,478,344 - 2,405,000 3,476,160 1,092 - 63,360,596 3,168,029 2,730,221 5,898,250 57,462,346 67,500,000 - -
36 684962715941000 196402261989101001 JOHN. H. K U N U. III B PENATA MUDA TINGKAT I L K 1 PELAKSANA 0112 48,881,000 4,888,100 977,620 54,746,720 - 2,405,000 2,607,120 104 - 59,758,944 2,987,947 2,600,469 5,588,416 54,170,528 63,000,000 - -
37 196406171987031015 GEIN SIHASALE. III B PENATA MUDA TINGKAT I L K 0 PELAKSANA 0112 52,008,600 5,200,860 - 57,209,460 - 2,405,000 869,040 910 - 60,484,410 3,024,220 2,717,449 5,741,669 54,742,741 58,500,000 - -
38 196510231990011001 FRANS. A. DIASZ. III B PENATA MUDA TINGKAT I L K 1 PELAKSANA 0112 48,881,000 4,888,100 977,620 54,746,720 - 3,445,000 2,607,120 104 - 60,798,944 3,039,947 2,600,469 5,640,416 55,158,528 63,000,000 - -
39 196604301989032009 NY. J. J. MAIRIMA. III B PENATA MUDA TINGKAT I P K 0 PELAKSANA 0112 50,419,600 5,041,960 - 55,461,560 - 2,405,000 869,040 260 - 58,735,860 2,936,793 2,634,424 5,571,217 53,164,643 58,500,000 - -
40 684962632941000 197505211998032001 IMELDA LESBATA. III B PENATA MUDA TINGKAT I P K 2 FUNGSIONAL 0112 43,178,800 4,317,880 1,727,152 49,223,832 - 3,445,000 3,476,160 403 - 56,145,395 2,807,269 2,338,132 5,145,401 50,999,994 67,500,000 - -
41 574471462941000 197610151999032011 MARIA.TH.RINOTO III B PENATA MUDA TINGKAT I P K 0 FUNGSIONAL 0112 43,178,800 4,317,880 - 47,496,680 - 3,445,000 869,040 - - 51,810,720 2,590,536 2,256,092 4,846,628 46,964,092 58,500,000 - -
42 684962871941000 197810052005012020 GALANAHU TALAOHU III B PENATA MUDA TINGKAT I P K 2 FUNGSIONAL 0112 40,581,800 4,058,180 1,623,272 46,263,252 - 3,445,000 3,476,160 702 - 53,185,114 2,659,255 2,197,504 4,856,759 48,328,355 67,500,000 - -
43 197909052005012014 HAMSIA TALLA III B PENATA MUDA TINGKAT I P K 2 FUNGSIONAL 0112 40,581,800 4,058,180 1,623,272 46,263,252 - 3,445,000 3,476,160 702 - 53,185,114 2,659,255 2,197,504 4,856,759 48,328,355 67,500,000 - -
44 684962665941000 198007172000122001 SELLY RACHMAWATTY III B PENATA MUDA TINGKAT I P K 2 FUNGSIONAL 0112 41,860,000 4,186,000 1,674,400 47,720,400 - 3,445,000 3,476,160 1,040 - 54,642,600 2,732,130 2,266,719 4,998,849 49,643,751 67,500,000 - -
45 684962590941000 198105252005012018 ATE SEHAT LAITUPA III B PENATA MUDA TINGKAT I P TK 0 FUNGSIONAL 0112 40,581,800 - - 40,581,800 - 3,445,000 869,040 650 - 44,896,490 2,244,824 1,927,635 4,172,459 40,724,031 54,000,000 - -
46 198110302014122001 drg. MENIEK TRIWAHYU III B PENATA MUDA TINGKAT I P TK 0 PELAKSANA 0112 30,513,280 - - 30,513,280 - 2,405,000 869,040 156 - 33,787,476 1,689,373 1,449,380 3,138,753 30,648,723 54,000,000 - -
47 796014546941000 198205192006042022 HANIFA III B PENATA MUDA TINGKAT I P K 2 FUNGSIONAL 0112 41,860,000 4,186,000 1,674,400 47,720,400 - 3,445,000 3,476,160 1,040 - 54,642,600 2,732,130 2,266,719 4,998,849 49,643,751 67,500,000 - -
48 197108201993032010 NY. A. SIPASULTA. III A PENATA MUDA P K 2 FUNGSIONAL 0112 37,746,800 3,774,680 1,509,872 43,031,352 - 3,445,000 3,476,160 247 - 49,952,759 2,497,637 2,043,989 4,541,626 45,411,133 67,500,000 - -
49 197210161993032004 NY. S. SULISTIANINGSIH. III A PENATA MUDA P K 1 FUNGSIONAL 0112 44,076,200 4,407,620 881,524 49,365,344 - 3,445,000 2,607,120 702 - 55,418,166 2,770,908 2,344,853 5,115,761 50,302,405 63,000,000 - -
50 197409171998031006 R A M L A N. III A PENATA MUDA L K 2 FUNGSIONAL 0112 44,076,200 4,407,620 1,763,048 50,246,868 - 3,445,000 3,476,160 832 - 57,168,860 2,858,443 2,386,726 5,245,169 51,923,691 67,500,000 - -
51 197508052000122007 ANITHA HELDA SARAK III A PENATA MUDA P K 0 FUNGSIONAL 0112 44,076,200 4,407,620 - 48,483,820 - 3,445,000 869,040 130 - 52,797,990 2,639,899 2,302,981 4,942,880 47,855,110 58,500,000 - -
52 197603312003122003 WA HASNI III A PENATA MUDA P TK 0 FUNGSIONAL 0112 42,730,800 - - 42,730,800 - 3,445,000 869,040 - - 47,044,840 2,352,242 2,029,713 4,381,955 42,662,885 54,000,000 - -
53 198002052006042015 RAMSI IHA III A PENATA MUDA P TK 0 FUNGSIONAL 0112 37,746,800 - - 37,746,800 - 3,445,000 869,040 - - 42,060,840 2,103,042 1,792,973 3,896,015 38,164,825 54,000,000 - -
54 198009262008012018 TITI SUWANTI,A.MD.KEP III A PENATA MUDA P TK 0 FUNGSIONAL 0112 38,935,400 - - 38,935,400 - 3,445,000 869,040 1,170 - 43,250,610 2,162,530 1,849,431 4,011,961 39,238,649 54,000,000 - -
55 198104132005012013 KURNIAWATY TOMAGOLA III A PENATA MUDA P K 0 FUNGSIONAL 0112 37,746,800 3,774,680 - 41,521,480 - 3,900,000 869,040 - - 46,290,520 2,314,526 1,972,270 4,286,796 42,003,724 58,500,000 - -
56 198109272008012012 ERNI TUWO,AMD. III A PENATA MUDA P K 2 FUNGSIONAL 0112 40,161,800 4,016,180 1,606,472 45,784,452 - 3,445,000 3,476,160 442 - 52,706,054 2,635,302 2,174,761 4,810,063 47,895,991 67,500,000 - -
57 198306222009042001 ADRIYANI SESA,MD.KEP III A PENATA MUDA P K 0 FUNGSIONAL 0112 36,593,200 3,659,320 - 40,252,520 - 3,120,000 869,040 780 - 44,242,340 2,212,117 1,911,994 4,124,111 40,118,229 58,500,000 - -
58 196906272006042011 SISILIA FANULENA II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 38,532,200 3,853,220 1,541,288 43,926,708 - 3,120,000 3,476,160 780 - 50,523,648 2,526,182 2,086,518 4,612,700 45,910,948 67,500,000 - -
59 684962681941000 197203242006042019 MARTYIE MARIANA KAKIAY II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 42,288,400 - - 42,288,400 - 3,120,000 869,040 520 - 46,277,960 2,313,898 2,008,699 4,322,597 41,955,363 54,000,000 - -
60 574471355941000 197209272006042015 SITTI SYAPIA SAHUBAWA II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 40,996,200 - - 40,996,200 - 3,120,000 869,040 130 - 44,985,370 2,249,268 1,947,319 4,196,587 40,788,783 54,000,000 - -
61 895081693941000 197308132003122004 BAIRA TUASIKAL II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 42,288,400 - - 42,288,400 - 3,120,000 869,040 520 - 46,277,960 2,313,898 2,008,699 4,322,597 41,955,363 54,000,000 - -
62 574471272941000 197406212006042018 YOLANDA MARESSY II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 42,288,400 - - 42,288,400 - 3,120,000 869,040 520 - 46,277,960 2,313,898 2,008,699 4,322,597 41,955,363 54,000,000 - -
63 719362360941000 197506122006042036 JULIANCE MAKARUKU II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 40,996,200 4,099,620 1,639,848 46,735,668 - 3,120,000 3,476,160 1,092 - 53,332,920 2,666,646 2,219,944 4,886,590 48,446,330 67,500,000 - -
64 574471488941000 197608012010011007 BAHARJANG SOPAMENA,A.MD.KEP II D PENGATUR TINGKAT I L K 2 FUNGSIONAL 0112 35,109,200 3,510,920 1,404,368 40,024,488 - 3,120,000 3,476,160 221 - 46,620,869 2,331,043 1,901,163 4,232,206 42,388,663 67,500,000 - -
65 574471645941000 197706182005012011 YULIANA BUNGKANG II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
66 197801182006042021 YACKOBA KARIUW II D PENGATUR TINGKAT I P K 1 FUNGSIONAL 0112 40,996,200 4,099,620 819,924 45,915,744 - 3,120,000 2,607,120 182 - 51,643,046 2,582,152 2,180,997 4,763,149 46,879,897 63,000,000 - -
67 684962574941000 197802072006042022 GEONOVA FLORIMA SANAHU II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 40,996,200 4,099,620 - 45,095,820 - 3,120,000 869,040 130 - 49,084,990 2,454,249 2,142,051 4,596,300 44,488,690 58,500,000 - -
68 197812282005012014 SUAIBA BIN UMAR II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
69 684962566941000 197906102003122009 PRISCILA B.LEKATOMPESSY II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 36,213,800 3,621,380 1,448,552 41,283,732 - 3,120,000 3,476,160 858 - 47,880,750 2,394,037 1,960,977 4,355,014 43,525,736 67,500,000 - -
70 197912012005012013 AIRA POLPOKE II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 36,213,800 3,621,380 1,448,552 41,283,732 - 3,120,000 3,476,160 858 - 47,880,750 2,394,037 1,960,977 4,355,014 43,525,736 67,500,000 - -
71 684962822941000 197912062006042010 MATHILDA TUAKORA II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
72 684962830941000 197912272006042015 MONALISA WAELARUNA II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
73 198003302010012013 GRESHIA LAWAHERY II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
74 198102172009042001 MARIATI,A.MD.KEP II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 34,036,800 - - 34,036,800 - 4,680,000 869,040 - - 39,585,840 1,979,292 1,616,748 3,596,040 35,989,800 54,000,000 - -
75 574471363941000 198205022010012024 AMINUR TUASIKAL,A.MD.KL II D PENGATUR TINGKAT I P K 1 FUNGSIONAL 0112 35,109,200 3,510,920 702,184 39,322,304 - 3,120,000 2,607,120 1,014 - 45,050,438 2,252,521 1,867,809 4,120,330 40,930,108 63,000,000 - -
76 739020212941000 198206032010012034 ODE SATMI,A.Md.Kep II D PENGATUR TINGKAT I L K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
77 574471371941000 198207152010012026 ROHOTURIS LATUPONO,A.MD.KEP II D PENGATUR TINGKAT I L K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
78 156318206941000 198306232006042016 JUNIARTI MAITARA II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 35,109,200 - - 35,109,200 - 3,120,000 869,040 780 - 39,099,020 1,954,951 1,667,687 3,622,638 35,476,382 54,000,000 - -
79 574471553941000 198309302009042001 AMINA LATUCONSINA,A.MD.KEP II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 35,109,200 - - 35,109,200 - 2,340,000 869,040 780 - 38,319,020 1,915,951 1,667,687 3,583,638 34,735,382 54,000,000 - -
80 719225029941000 198405052010012027 SANTI SITANIA AMD KEP II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
81 719369886941000 198406292010012023 YERMINA LUMAHTIHUNISSA,A.MD.KE II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
82 882518412941000 198409082010012014 FREDERIKA PATTY II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
83 574471546941000 198411142010012014 AMINA MARAHENA,A.MD.KEP II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 34,036,800 - - 34,036,800 - 3,120,000 869,040 - - 38,025,840 1,901,292 1,616,748 3,518,040 34,507,800 54,000,000 - -
84 667239826941000 198505022011011008 ANAZRI BIN MUSTAR,A.MD.KEP II D PENGATUR TINGKAT I L TK 0 FUNGSIONAL 0112 34,036,800 - - 34,036,800 - 3,120,000 869,040 - - 38,025,840 1,901,292 1,616,748 3,518,040 34,507,800 54,000,000 - -
85 684962806941000 198509262009042001 DARMIATI ABU SALEH,A.MD.KEP II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 35,109,200 - - 35,109,200 - 3,120,000 869,040 780 - 39,099,020 1,954,951 1,667,687 3,622,638 35,476,382 54,000,000 - -
86 640743969941000 198512172011011006 MUHAMAD BAKIR PATTY.A.MD.KEP II D PENGATUR TINGKAT I L K 1 FUNGSIONAL 0112 34,036,800 3,403,680 680,736 38,121,216 - 3,120,000 2,607,120 1,170 - 43,849,506 2,192,475 1,810,757 4,003,232 39,846,274 63,000,000 - -
87 719491649941000 198601212010012034 CITA SETYO DEWI II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
88 198603212010011011 RIDWAN TUASIKAL,A.MD.KEP II D PENGATUR TINGKAT I L K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
89 198606152010012020 RISSYE B.TUTUHATUNEWA.A.MD.KEP II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 35,109,200 3,510,920 - 38,620,120 - 3,120,000 869,040 780 - 42,609,940 2,130,497 1,834,455 3,964,952 38,644,988 58,500,000 - -
90 640478590941000 198610212011011006 MUHSININ,A.MD.KEP II D PENGATUR TINGKAT I L K 0 FUNGSIONAL 0112 34,036,800 3,403,680 - 37,440,480 - 3,120,000 1,738,080 936 - 42,299,496 2,114,974 1,778,422 3,893,396 38,406,100 58,500,000 - -
91 574471298941000 198611072010012023 RESTI SULHA USEMAHU,A.MD.KEP II D PENGATUR TINGKAT I P K 1 FUNGSIONAL 0112 35,109,200 3,510,920 702,184 39,322,304 - 3,120,000 2,607,120 1,014 - 45,050,438 2,252,521 1,867,809 4,120,330 40,930,108 63,000,000 - -
92 198611172011012011 MARDIANA.A.MD.KEP II D PENGATUR TINGKAT I P K 0 FUNGSIONAL 0112 34,036,800 3,403,680 - 37,440,480 - 3,120,000 869,040 - - 41,429,520 2,071,476 1,778,422 3,849,898 37,579,622 58,500,000 - -
93 667240113941000 198707262011012001 SITI HAJAR MARASABESSY,A,MDKEP II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 34,036,800 3,403,680 1,361,472 38,801,952 - 3,120,000 3,476,160 117 - 45,398,229 2,269,911 1,843,092 4,113,003 41,285,226 67,500,000 - -
94 713190031941000 198802102010012005 FIRDA JUITA LESTALUHU,A.MP.KEP II D PENGATUR TINGKAT I P K 2 FUNGSIONAL 0112 35,109,200 3,510,920 1,404,368 40,024,488 - 2,340,000 3,476,160 221 - 45,840,869 2,292,043 1,901,163 4,193,206 41,647,663 67,500,000 - -
95 667239941941000 198803152011012010 ZAKINA MANSUR.A.MD.KEP II D PENGATUR TINGKAT I P TK 0 FUNGSIONAL 0112 34,036,800 - - 34,036,800 - 3,120,000 869,040 - - 38,025,840 1,901,292 1,616,748 3,518,040 34,507,800 54,000,000 - -
96 574471306941000 197311042007012021 MARIETHA SEBATUBUN II C PENGATUR P K 2 FUNGSIONAL 0112 38,131,800 3,813,180 1,525,272 43,470,252 - 3,120,000 2,607,120 741 - 49,198,113 2,459,905 2,064,836 4,524,741 44,673,372 67,500,000 - -
97 197312272000122003 THEROFINA SALAWANE II C PENGATUR P TK 0 FUNGSIONAL 0112 40,572,000 - - 40,572,000 - 3,120,000 869,040 1,040 - 44,562,080 2,228,104 1,927,170 4,155,274 40,406,806 54,000,000 - -
98 574471389941000 197408272006042025 MARIA CORNELIA AKERINA II C PENGATUR P TK 0 FUNGSIONAL 0112 40,572,000 - - 40,572,000 - 3,120,000 869,040 1,040 - 44,562,080 2,228,104 1,927,170 4,155,274 40,406,806 54,000,000 - -
99 684962723941000 197410072007012019 .MERCY NOVA LATUMAHINA II C PENGATUR P K 2 FUNGSIONAL 0112 39,333,000 3,933,300 1,573,320 44,839,620 - 3,120,000 3,476,160 949 - 51,436,729 2,571,836 2,129,881 4,701,717 46,735,012 67,500,000 - -
100 574471413941000 197502222007012015 BOKILEBE LATUCONSINA II C PENGATUR P TK 2 FUNGSIONAL 0112 39,333,000 - 1,573,320 40,906,320 - 3,120,000 2,607,120 624 - 46,634,064 2,331,703 1,943,050 4,274,753 42,359,311 63,000,000 - -
101 574471538941000 197506152006042034 FINCE KAKERISSA II C PENGATUR P TK 0 FUNGSIONAL 0112 39,333,000 - - 39,333,000 - 3,120,000 869,040 390 - 43,322,430 2,166,121 1,868,317 4,034,438 39,287,992 54,000,000 - -
102 574471314941000 197507012006042031 JOHANA J. RIRIASA II C PENGATUR P K 2 FUNGSIONAL 0112 39,333,000 3,933,300 1,573,320 44,839,620 - 3,120,000 3,476,160 949 - 51,436,729 2,571,836 2,129,881 4,701,717 46,735,012 67,500,000 - -
103 684962640941000 197607092006042024 LEINRA SELMY PATTIASINA II C PENGATUR P K 0 FUNGSIONAL 0112 38,131,800 3,813,180 - 41,944,980 - 3,120,000 869,040 650 - 45,934,670 2,296,733 1,992,386 4,289,119 41,645,551 58,500,000 - -
104 197703032006042034 NURABIA TUASIKAL II C PENGATUR P TK 0 FUNGSIONAL 0112 38,131,800 - - 38,131,800 - 3,120,000 869,040 650 - 42,121,490 2,106,074 1,811,260 3,917,334 38,204,156 54,000,000 - -
105 700012760941000 197707072007012041 MARIA MEGDALENA TUMALANG II C PENGATUR P TK 2 FUNGSIONAL 0112 38,131,800 - 1,525,272 39,657,072 - 3,120,000 2,607,120 741 - 45,384,933 2,269,246 1,883,710 4,152,956 41,231,977 63,000,000 - -
106 197707102007012026 SULIANAH II C PENGATUR P K 0 FUNGSIONAL 0112 39,333,000 3,933,300 - 43,266,300 - 3,120,000 869,040 390 - 47,255,730 2,362,786 2,055,149 4,417,935 42,837,795 58,500,000 - -
107 574471470941000 197708062006042019 NURHANI SALAMPESSY II C PENGATUR P K 2 FUNGSIONAL 0112 39,333,000 3,933,300 1,573,320 44,839,620 - 3,120,000 3,476,160 949 - 51,436,729 2,571,836 2,129,881 4,701,717 46,735,012 67,500,000 - -
108 197712022007012013 STANLY KAYA II C PENGATUR P K 2 FUNGSIONAL 0112 38,131,800 3,813,180 1,525,272 43,470,252 - 3,120,000 3,476,160 52 - 50,066,464 2,503,323 2,064,836 4,568,159 45,498,305 67,500,000 - -
109 197807192008012021 SUSANA TETELEPTA II C PENGATUR P K 2 FUNGSIONAL 0112 36,968,400 3,696,840 1,478,736 42,143,976 - 3,120,000 3,476,160 832 - 48,740,968 2,437,048 2,001,838 4,438,886 44,302,082 67,500,000 - -
110 545701567941000 197808012007042001 RATNAWATI DJAMALUDIN II C PENGATUR P K 0 FUNGSIONAL 0112 38,131,800 3,813,180 - 41,944,980 - 2,860,000 869,040 650 - 45,674,670 2,283,733 1,992,386 4,276,119 41,398,551 58,500,000 - -
111 684962392941000 197903042007012015 RAHMAWATI DT. SATIIHA II C PENGATUR P K 2 FUNGSIONAL 0112 36,968,400 3,696,840 1,478,736 42,143,976 - 3,120,000 3,476,160 832 - 48,740,968 2,437,048 2,001,838 4,438,886 44,302,082 67,500,000 - -
112 574471439941000 197904132006042020 BEHADARA SANGADJI II C PENGATUR P K 0 FUNGSIONAL 0112 39,333,000 3,933,300 - 43,266,300 - 3,120,000 869,040 390 - 47,255,730 2,362,786 2,055,149 4,417,935 42,837,795 58,500,000 - -
113 197906262006042009 LINA NASARUDIN II C PENGATUR P K 0 FUNGSIONAL 0112 36,968,400 3,696,840 - 40,665,240 - 3,120,000 869,040 520 - 44,654,800 2,232,740 1,931,598 4,164,338 40,490,462 58,500,000 - -
114 574471454941000 197908132008012023 HALIMA SALAMPESSY II C PENGATUR P TK 0 FUNGSIONAL 0112 36,968,400 - - 36,968,400 - 3,120,000 869,040 520 - 40,957,960 2,047,898 1,755,999 3,803,897 37,154,063 54,000,000 - -
115 574471454941000 198002272006042016 ASTRID F.ZUSANCI SEPTORY II C PENGATUR P TK 0 FUNGSIONAL 0112 36,968,400 - - 36,968,400 - 3,120,000 869,040 520 - 40,957,960 2,047,898 1,755,999 3,803,897 37,154,063 54,000,000 - -
116 684962772941000 198111222009042001 WATY RUMAHSORENG II C PENGATUR P K 0 FUNGSIONAL 0112 32,655,000 3,265,500 - 35,920,500 - 2,860,000 869,040 390 - 39,649,930 1,982,496 1,706,223 3,688,719 35,961,211 58,500,000 - -
117 796015105941000 198210202007011005 FARADILA TUNNY II C PENGATUR P K 2 FUNGSIONAL 0112 33,684,000 3,368,400 1,347,360 38,399,760 - 2,860,000 3,476,160 832 - 44,736,752 2,236,837 1,823,988 4,060,825 40,675,927 67,500,000 - -
118 719295172941000 198304242008012027 WA MONI II C PENGATUR P K 2 FUNGSIONAL 0112 34,745,200 3,474,520 1,389,808 39,609,528 - 3,120,000 3,476,160 1,209 - 46,206,897 2,310,344 1,881,452 4,191,796 42,015,101 67,500,000 - -
119 684962608941000 197406032006042023 KATRINA LATUMINASE II B PENGATUR MUDA TINGKAT I P K 0 FUNGSIONAL 0112 37,737,000 3,773,700 - 41,510,700 - 2,860,000 869,040 390 - 45,240,130 2,262,006 1,971,758 4,233,764 41,006,366 58,500,000 - -
120 684962996941000 197709172007012021 YESSI KAKERISSA II B PENGATUR MUDA TINGKAT I P K 2 FUNGSIONAL 0112 37,737,000 3,773,700 1,509,480 43,020,180 - 3,120,000 3,476,160 481 - 49,616,821 2,480,841 2,043,458 4,524,299 45,092,522 67,500,000 - -
121 197803202009042001 MERY HARARET ANGKOTASAN II B PENGATUR MUDA TINGKAT I P K 2 FUNGSIONAL 0112 32,316,200 3,231,620 1,292,648 36,840,468 - 2,860,000 3,476,160 52 - 43,176,680 2,158,834 1,749,922 3,908,756 39,267,924 67,500,000 - -
122 197810082007012024 WELMINA MAGDALENA MASIHUWEY II B PENGATUR MUDA TINGKAT I P TK 0 FUNGSIONAL 0112 36,584,800 - - 36,584,800 - 3,120,000 869,040 - - 40,573,840 2,028,692 1,737,778 3,766,470 36,807,370 54,000,000 - -
123 720786888941000 197910242008012011 SURYATI RUMALUTUR II B PENGATUR MUDA TINGKAT I P K 2 FUNGSIONAL 0112 32,316,200 3,231,620 1,292,648 36,840,468 - 2,860,000 3,476,160 52 - 43,176,680 2,158,834 1,749,922 3,908,756 39,267,924 67,500,000 - -
124 684963010941000 198002192010012013 VELLY VIONA LATARISSA II B PENGATUR MUDA TINGKAT I P K 2 FUNGSIONAL 0112 33,335,400 3,333,540 1,333,416 38,002,356 - 2,340,000 3,476,160 143 - 43,818,659 2,190,932 1,805,111 3,996,043 39,822,616 67,500,000 - -
125 198012122010012010 HETTY TALAOHU II B PENGATUR MUDA TINGKAT I P TK 0 FUNGSIONAL 0112 30,373,000 - - 30,373,000 - 2,860,000 869,040 390 - 34,102,430 1,705,121 1,442,717 3,147,838 30,954,592 54,000,000 - -
126 665681599941000 197509112012122001 DAENG PATIMA II A PENGATUR MUDA P TK 2 FUNGSIONAL 0112 37,345,000 - 1,493,800 38,838,800 - 2,340,000 2,607,120 780 - 43,786,700 2,189,335 1,844,843 4,034,178 39,752,522 63,000,000 - -
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249 - - - - - - - - - - - - -
250 - - - - - - - - - - - - -
251 - - - - - - - - - - - - -
252 - - - - - - - - - - - - -
253 - - - - - - - - - - - - -
254 - - - - - - - - - - - - -
255 - - - - - - - - - - - - -
256 - - - - - - - - - - - - -
257 - - - - - - - - - - - - -
258 - - - - - - - - - - - - -
259 - - - - - - - - - - - - -
260 - - - - - - - - - - - - -
261 - - - - - - - - - - - - -
262 - - - - - - - - - - - - -
263 - - - - - - - - - - - - -
264 - - - - - - - - - - - - -
265 - - - - - - - - - - - - -
266 - - - - - - - - - - - - -
267 - - - - - - - - - - - - -
268 - - - - - - - - - - - - -
269 - - - - - - - - - - - - -
270 - - - - - - - - - - - - -
271 - - - - - - - - - - - - -
272 - - - - - - - - - - - - -
273 - - - - - - - - - - - - -
274 - - - - - - - - - - - - -
275 - - - - - - - - - - - - -

Page 4
 Data Pegawai

276 - - - - - - - - - - - - -
277 - - - - - - - - - - - - -
278 - - - - - - - - - - - - -
279 - - - - - - - - - - - - -
280 - - - - - - - - - - - - -
281 - - - - - - - - - - - - -
282 - - - - - - - - - - - - -
283 - - - - - - - - - - - - -
284 - - - - - - - - - - - - -
285 - - - - - - - - - - - - -
286 - - - - - - - - - - - - -
287 - - - - - - - - - - - - -
288 - - - - - - - - - - - - -
289 - - - - - - - - - - - - -
290 - - - - - - - - - - - - -
291 - - - - - - - - - - - - -
292 - - - - - - - - - - - - -
293 - - - - - - - - - - - - -
294 - - - - - - - - - - - - -
295 - - - - - - - - - - - - -
296 - - - - - - - - - - - - -
297 - - - - - - - - - - - - -
298 - - - - - - - - - - - - -
299 - - - - - - - - - - - - -
300 - - - - - - - - - - - - -
JUMLAH 6,465,916,035 1,920,150

Page 5
area staples

BUKTI PEMOTONGAN PAJAK PENGHASILAN PASAL

21 BAGI PEGAWAI NEGERI SIPIL ATAU ANGGOTA FORMULIR 1721 - A2
TENTARA NASIONAL INDONESIA ATAU ANGGOTA Lembar 1 : Untuk Penerima Penghasilan
POLISI REPUBLIK INDONESIA ATAU PEJABAT Lembar 2 : Untuk Pemotong
NEGARA ATAU PENSIUNNYA MASA PEROLEHAN
KEMENTERIAN KEUANGAN RI PENGHASILAN [mm - mm]
DIREKTORAT JENDERAL PAJAK
1 . 2 - 12 - 16 - 00000016 01 12
NOMOR : H.01 H.02 -

NAMA INSTANSI/
BADAN LAIN : H.03 PUSKESMAS KOTA MASOHI NPWP BENDAHARA : H.05
NAMA
BENDAHARA : H.04
BEND. PUSKESMAS KOTA MASOHI 136530394100 - 621 - 000
A. IDENTITAS PENERIMA PENGHASILAN YANG DIPOTONG

1 NPWP : A.01 574471629941000 6 JENIS KELAMIN : A.07 LAKI-LAKI A.08 X PEREMPUAN

NIP/ : 7 NIK :
2 A.02
196705091988012003 A.09
NRP
3 NAMA : A.03 NY. A. MAILOPUW. 8 STATUS/JUMLAH TANGGUNGAN KELUARGA UNTUK PTKP
4 PANGKAT/ A.10 A.11 A.12
GOLONGAN : A.04
PENATA TINGKAT I A.05 III D K/ 2 TK / HB /

5 ALAMAT : A.06 9 NAMA JABATAN A.13 FUNGSIONAL

###
B. RINCIAN PENGHASILAN DAN PENGHITUNGAN PPh PASAL 21
URAIAN JUMLAH (Rp)
KODE OBJEK PAJAK : X 21-100-01 21-100-02
PENGHASILAN BRUTO
1. GAJI POKOK/PENSIUN 54,776,400
2. TUNJANGAN ISTERI 5,477,640
3. TUNJANGAN ANAK 2,191,056
4. JUMLAH GAJI DAN TUNJANGAN KELUARGA (1 S.D. 3) 62,445,096
5. TUNJANGAN PERBAIKAN PENGHASILAN -
6. TUNJANGAN STRUKTURAL/FUNGSIONAL 6,500,000
7. TUNJANGAN BERAS 3,476,160
8. TUNJANGAN KHUSUS
9. TUNJANGAN LAIN-LAIN 1,196
PENGHASILAN TETAP DAN TERATUR LAINNYA YANG PEMBAYARANNYA TERPISAH DARI
10.
PEMBAYARAN GAJI
-
11. JUMLAH PENGHASILAN BRUTO (4 S.D. 10) 72,422,452
PENGURANGAN
12. BIAYA JABATAN/BIAYA PENSIUN 3,621,122
13. IURAN PENSIUN ATAU IURAN THT/JHT 2,966,142
14. JUMLAH PENGURANGAN ( 12 S.D. 14) 6,587,264
PENGHITUNGAN PPh PASAL 21
15. JUMLAH PENGHASILAN NETTO (11 - 14) 65,835,188
16. PENGHASILAN NETO MASA PAJAK SEBELUMNYA -
17. JUMLAH PENGHASILAN NETO UNTUK PENGHITUNGAN PPh PASAL 21 (SETAHUN/DISETAHUNK 65,835,188
18. PENGHASILAN TIDAK KENA PAJAK (PTKP) 67,500,000
19. PENGHASILAN KENA PAJAK SETAHUN/DISETAHUNKAN (17 - 18) -
20. PPh PASAL 21 ATAS PENGHASILAN KENA PAJAK SETAHUN/DISETAHUNKAN -
21. PPh PASAL 21 YANG TELAH DIPOTONG MASA PAJAK SEBELUMNYA -
22. PPh PASAL 21 TERUTANG -
23. PPh PASAL 21 YANG TELAH DIPOTONG DAN DILUNASI
 23A. ATAS GAJI DAN TUNJANGAN -
ATAS PENGHASILAN TETAP DAN TERATUR LAINNYA YANG PEMBAYARANNYA
23B.
TERPISAH DARI PEMBAYARAN GAJI
-

C. PEGAWAI TERSEBUT : C.01 DIPINDAHKAN C.02 PINDAHAN C.03 BARU C.03 PENSIUN
D. TANDA TANGAN BENDAHARA
1. NPWP : D.01 . 683936025941000 3. TANGGAL & TANDA TANGAN STEMPEL & TANDA TANGAN

2. NAMA : D.02 AHMAD YANY SANMAS C.03 1/10/2017

[dd - mm - yyyy]
3. NIP/NRP : D.02 196701011989091000
 FORMULIR 1721 - A2
Untuk Penerima Penghasilan

PENGHASILAN [mm - mm]

PEREMPUAN

N PPh PASAL 21
JUMLAH (Rp)

54,776,400
5,477,640
2,191,056
62,445,096
-
6,500,000
3,476,160

1,196
-
72,422,452

3,621,122
2,966,142
6,587,264

65,835,188
-
65,835,188
67,500,000
-
-
-
-
-
-
Masa Paj Tahun Pa PembetulNomor BuMasa PerMasa PerNPWP NIP
12 2016 0 1.2-12.1 1 12 ### 1965121
12 2016 0 1.2-12.1 1 12 68496261694101959092
12 2016 0 1.2-12.1 1 12 57447156194101961032
12 2016 0 1.2-12.1 1 12 16629836494101962072
12 2016 0 1.2-12.1 1 12 57447125694101962101
12 2016 0 1.2-12.1 1 12 57447133094101962103
12 2016 0 1.2-12.1 1 12 57447139794101963070
12 2016 0 1.2-12.1 1 12 57447150494101963080
12 2016 0 1.2-12.1 1 12 ### 1963091
12 2016 0 1.2-12.1 1 12 ### 1964020
12 2016 0 1.2-12.1 1 12 68496270794101964032
12 2016 0 1.2-12.1 1 12 68496285594101964051
12 2016 0 1.2-12.1 1 12 68496275941001964052
12 2016 0 1.2-12.1 1 12 71318938994101965022
12 2016 0 1.2-12.1 1 12 68496278094101966042
12 2016 0 1.2-12.1 1 12 57447162994101967050
12 2016 0 1.2-12.1 1 12 68496289794101968101
12 2016 0 1.2-12.1 1 12 57447163794101970041
12 2016 0 1.2-12.1 1 12 ### 1970051
12 2016 0 1.2-12.1 1 12 57447159594101970111
12 2016 0 1.2-12.1 1 12 68496296294101972042
12 2016 0 1.2-12.1 1 12 68496261694101972061
12 2016 0 1.2-12.1 1 12 57447149694101972102
12 2016 0 1.2-12.1 1 12 57447132294101973020
12 2016 0 1.2-12.1 1 12 68498290594101973063
12 2016 0 1.2-12.1 1 12 ### 1961101
12 2016 0 1.2-12.1 1 12 ### 1965080
12 2016 0 1.2-12.1 1 12 ### 1972061
12 2016 0 1.2-12.1 1 12 68496300294101975101
12 2016 0 1.2-12.1 1 12 68496292194101976080
12 2016 0 1.2-12.1 1 12 ### 1987020
12 2016 0 1.2-12.1 1 12 71926084694101962091
12 2016 0 1.2-12.1 1 12 15845158394101962100
12 2016 0 1.2-12.1 1 12 59547088294101963021
12 2016 0 1.2-12.1 1 12 68496284894101963052
12 2016 0 1.2-12.1 1 12 68496271594101964022
12 2016 0 1.2-12.1 1 12 ### 1964061
12 2016 0 1.2-12.1 1 12 ### 1965102
12 2016 0 1.2-12.1 1 12 ### 1966043
12 2016 0 1.2-12.1 1 12 68496263294101975052
12 2016 0 1.2-12.1 1 12 57447146294101976101
12 2016 0 1.2-12.1 1 12 68496287194101978100
12 2016 0 1.2-12.1 1 12 ### 1979090
12 2016 0 1.2-12.1 1 12 68496266594101980071
12 2016 0 1.2-12.1 1 12 68496259094101981052
12 2016 0 1.2-12.1 1 12 ### 1981103
12 2016 0 1.2-12.1 1 12 79601454694101982051
12 2016 0 1.2-12.1 1 12 ### 1971082
12 2016 0 1.2-12.1 1 12 ### 1972101
12 2016 0 1.2-12.1 1 12 ### 1974091
12 2016 0 1.2-12.1 1 12 ### 1975080
12 2016 0 1.2-12.1 1 12 ### 1976033
12 2016 0 1.2-12.1 1 12 ### 1980020
12 2016 0 1.2-12.1 1 12 ### 1980092
12 2016 0 1.2-12.1 1 12 ### 1981041
12 2016 0 1.2-12.1 1 12 ### 1981092
12 2016 0 1.2-12.1 1 12 ### 1983062
12 2016 0 1.2-12.1 1 12 ### 1969062
12 2016 0 1.2-12.1 1 12 68496268194101972032
12 2016 0 1.2-12.1 1 12 57447135594101972092
12 2016 0 1.2-12.1 1 12 89508169394101973081
12 2016 0 1.2-12.1 1 12 57447127294101974062
12 2016 0 1.2-12.1 1 12 71936236094101975061
12 2016 0 1.2-12.1 1 12 57447148894101976080
12 2016 0 1.2-12.1 1 12 57447164594101977061
12 2016 0 1.2-12.1 1 12 ### 1978011
12 2016 0 1.2-12.1 1 12 68496257494101978020
12 2016 0 1.2-12.1 1 12 ### 1978122
12 2016 0 1.2-12.1 1 12 68496256694101979061
12 2016 0 1.2-12.1 1 12 ### 1979120
12 2016 0 1.2-12.1 1 12 68496282294101979120
12 2016 0 1.2-12.1 1 12 68496283094101979122
12 2016 0 1.2-12.1 1 12 ### 1980033
12 2016 0 1.2-12.1 1 12 ### 1981021
12 2016 0 1.2-12.1 1 12 57447136394101982050
12 2016 0 1.2-12.1 1 12 73902021294101982060
12 2016 0 1.2-12.1 1 12 57447137194101982071
12 2016 0 1.2-12.1 1 12 15631820694101983062
12 2016 0 1.2-12.1 1 12 57447155394101983093
12 2016 0 1.2-12.1 1 12 71922502994101984050
12 2016 0 1.2-12.1 1 12 71936988694101984062
12 2016 0 1.2-12.1 1 12 88251841294101984090
12 2016 0 1.2-12.1 1 12 57447154694101984111
12 2016 0 1.2-12.1 1 12 66723982694101985050
12 2016 0 1.2-12.1 1 12 68496280694101985092
12 2016 0 1.2-12.1 1 12 64074396994101985121
12 2016 0 1.2-12.1 1 12 71949164994101986012
12 2016 0 1.2-12.1 1 12 ### 1986032
12 2016 0 1.2-12.1 1 12 ### 1986061
12 2016 0 1.2-12.1 1 12 64047859094101986102
12 2016 0 1.2-12.1 1 12 57447129894101986110
12 2016 0 1.2-12.1 1 12 ### 1986111
12 2016 0 1.2-12.1 1 12 66724011394101987072
12 2016 0 1.2-12.1 1 12 71319003194101988021
12 2016 0 1.2-12.1 1 12 66723994194101988031
12 2016 0 1.2-12.1 1 12 57447130694101973110
12 2016 0 1.2-12.1 1 12 ### 1973122
12 2016 0 1.2-12.1 1 12 57447138994101974082
12 2016 0 1.2-12.1 1 12 68496272394101974100
12 2016 0 1.2-12.1 1 12 57447141394101975022
12 2016 0 1.2-12.1 1 12 57447153894101975061
12 2016 0 1.2-12.1 1 12 57447131494101975070
12 2016 0 1.2-12.1 1 12 68496264094101976070
12 2016 0 1.2-12.1 1 12 ### 1977030
12 2016 0 1.2-12.1 1 12 70001276094101977070
12 2016 0 1.2-12.1 1 12 ### 1977071
12 2016 0 1.2-12.1 1 12 57447147094101977080
12 2016 0 1.2-12.1 1 12 ### 1977120
12 2016 0 1.2-12.1 1 12 ### 1978071
12 2016 0 1.2-12.1 1 12 54570156794101978080
12 2016 0 1.2-12.1 1 12 68496239294101979030
12 2016 0 1.2-12.1 1 12 57447143994101979041
12 2016 0 1.2-12.1 1 12 ### 1979062
12 2016 0 1.2-12.1 1 12 57447145494101979081
12 2016 0 1.2-12.1 1 12 57447145494101980022
12 2016 0 1.2-12.1 1 12 68496277294101981112
12 2016 0 1.2-12.1 1 12 79601510594101982102
12 2016 0 1.2-12.1 1 12 71929517294101983042
12 2016 0 1.2-12.1 1 12 68496260894101974060
12 2016 0 1.2-12.1 1 12 68496299694101977091
12 2016 0 1.2-12.1 1 12 ### 1978032
12 2016 0 1.2-12.1 1 12 ### 1978100
12 2016 0 1.2-12.1 1 12 72078688894101979102
12 2016 0 1.2-12.1 1 12 68496301094101980021
12 2016 0 1.2-12.1 1 12 ### 1980121
12 2016 0 1.2-12.1 1 12 66568159994101975091
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
12 2016 0 1.2-12.1 1 12 ### 0
Nama Pangkat GolonganAlamat Jenis Kel NIK Status P Jumlah T
NY. JOMMA. HATTU,S.KP PEMBINAIV A 0 F 0 K 2
NY. SARAH. LAKUSSA. PENATA TIII D 0 F 0 K 0
NY. E. SOPACUAPERU. PENATA TIII D 0 F 0 K 0
NY. SUPIA.TALAOHU PENATA TIII D 0 F 0 TK 0
NY. CH. C. O. LATUPERISS PENATA TIII D 0 F 0 TK 0
NY.SUBLIWATTI.OKTOVINAPENATA TIII D 0 F 0 TK 0
CHR. J. MAIRUHU. PENATA TIII D 0 M 0 K 2
NY. ALBERTHINA. SIWALETPENATA TIII D 0 F 0 K 0
NY. M. SELUHOLO. PENATA TIII D 0 F 0 K 0
JOCBETH M. TAHAPARY. PENATA TIII D 0 F 0 TK 0
NY. MELSINA. AMELAMAN.PENATA TIII D 0 F 0 K 0
MARTHINUS.SAHETAPY PENATA TIII D 0 M 0 K 1
ROBERTH F. WATTIMENA. PENATA TIII D 0 M 0 K 2
NY.AMINAH. MAILAHA. PENATA TIII D 0 F 0 K 2
MARTHEN. R. MOLLE. PENATA TIII D 0 M 0 K 2
NY. A. MAILOPUW. PENATA TIII D 0 F 0 K 2
SITI. AISA. TINAMBA. PENATA TIII D 0 F 0 TK 0
F. M. J. HETHARIE. PENATA TIII D 0 M 0 K 1
NY.MAGDALENA.SAHETAPYPENATA TIII D 0 F 0 TK 0
NY.MARYATI.USMAN. PENATA TIII D 0 F 0 TK 0
NN. S. PAUNNO. PENATA TIII D 0 F 0 K 2
HAPSA MARASABESSY. PENATA TIII D 0 F 0 K 2
NY. NANY. WIDIASTUTY. PENATA TIII D 0 F 0 TK 0
NY.NURLINA. SOAMOLE. PENATA TIII D 0 F 0 K 2
NN. NURSAMSI DJAILANY. PENATA TIII D 0 F 0 TK 0
NY.OKTOVINA AYAL PENATA III C 0 F 0 K 2
NN. M. SAMAL. PENATA III C 0 F 0 K 0
NN. MARWIA. KOTALLA. PENATA III C 0 F 0 K 0
NN. WA ROSANA USMAN.PENATA III C 0 F 0 K 2
HAWA PAILOKOL PENATA III C 0 F 0 TK 0
ANDI TASWIRA,S,FARM,APPENATA III C 0 F 0 TK 0
AMIR LATUPONO. PENATA MIII B 0 M 0 K 0
SUSY SUSANTI PENATA MIII B 0 F 0 TK 0
FREDERIK. J. DOMINGGUSPENATA MIII B 0 M 0 K 2
W. J. DE YONG. PENATA MIII B 0 M 0 K 2
JOHN. H. K U N U. PENATA MIII B 0 M 0 K 1
GEIN SIHASALE. PENATA MIII B 0 M 0 K 0
FRANS. A. DIASZ. PENATA MIII B 0 M 0 K 1
NY. J. J. MAIRIMA. PENATA MIII B 0 F 0 K 0
IMELDA LESBATA. PENATA MIII B 0 F 0 K 2
MARIA.TH.RINOTO PENATA MIII B 0 F 0 K 0
GALANAHU TALAOHU PENATA MIII B 0 F 0 K 2
HAMSIA TALLA PENATA MIII B 0 F 0 K 2
SELLY RACHMAWATTY PENATA MIII B 0 F 0 K 2
ATE SEHAT LAITUPA PENATA MIII B 0 F 0 TK 0
drg. MENIEK TRIWAHYU PENATA MIII B 0 F 0 TK 0
HANIFA PENATA MIII B 0 F 0 K 2
NY. A. SIPASULTA. PENATA III A 0 F 0 K 2
NY. S. SULISTIANINGSIH. PENATA III A 0 F 0 K 1
R A M L A N. PENATA III A 0 M 0 K 2
ANITHA HELDA SARAK PENATA III A 0 F 0 K 0
WA HASNI PENATA III A 0 F 0 TK 0
RAMSI IHA PENATA III A 0 F 0 TK 0
TITI SUWANTI,A.MD.KEP PENATA III A 0 F 0 TK 0
KURNIAWATY TOMAGOLA PENATA III A 0 F 0 K 0
ERNI TUWO,AMD. PENATA III A 0 F 0 K 2
ADRIYANI SESA,MD.KEP PENATA III A 0 F 0 K 0
SISILIA FANULENA PENGATURII D 0 F 0 K 2
MARTYIE MARIANA KAKIA PENGATUR II D 0 F 0 TK 0
SITTI SYAPIA SAHUBAWA PENGATUR II D 0 F 0 TK 0
BAIRA TUASIKAL PENGATURII D 0 F 0 TK 0
YOLANDA MARESSY PENGATURII D 0 F 0 TK 0
JULIANCE MAKARUKU PENGATURII D 0 F 0 K 2
BAHARJANG SOPAMENA,APENGATUR II D 0 M 0 K 2
YULIANA BUNGKANG PENGATURII D 0 F 0 K 0
YACKOBA KARIUW PENGATURII D 0 F 0 K 1
GEONOVA FLORIMA SANAPENGATUR II D 0 F 0 K 0
SUAIBA BIN UMAR PENGATURII D 0 F 0 K 0
PRISCILA B.LEKATOMPESSPENGATUR II D 0 F 0 K 2
AIRA POLPOKE PENGATURII D 0 F 0 K 2
MATHILDA TUAKORA PENGATURII D 0 F 0 K 0
MONALISA WAELARUNA PENGATUR II D 0 F 0 K 0
GRESHIA LAWAHERY PENGATURII D 0 F 0 K 0
MARIATI,A.MD.KEP PENGATURII D 0 F 0 TK 0
AMINUR TUASIKAL,A.MD. PENGATUR II D 0 F 0 K 1
ODE SATMI,A.Md.Kep PENGATURII D 0 M 0 K 0
ROHOTURIS LATUPONO,APENGATUR II D 0 M 0 K 0
JUNIARTI MAITARA PENGATURII D 0 F 0 TK 0
AMINA LATUCONSINA,A.MPENGATUR II D 0 F 0 TK 0
SANTI SITANIA AMD KEP PENGATUR II D 0 F 0 K 0
YERMINA LUMAHTIHUNISSPENGATUR II D 0 F 0 K 0
FREDERIKA PATTY PENGATURII D 0 F 0 K 0
AMINA MARAHENA,A.MD. PENGATUR II D 0 F 0 TK 0
ANAZRI BIN MUSTAR,A.M PENGATUR II D 0 M 0 TK 0
DARMIATI ABU SALEH,A.MPENGATUR II D 0 F 0 TK 0
MUHAMAD BAKIR PATTY.APENGATUR II D 0 M 0 K 1
CITA SETYO DEWI PENGATURII D 0 F 0 K 0
RIDWAN TUASIKAL,A.MD. PENGATUR II D 0 M 0 K 0
RISSYE B.TUTUHATUNEWAPENGATUR II D 0 F 0 K 0
MUHSININ,A.MD.KEP PENGATURII D 0 M 0 K 0
RESTI SULHA USEMAHU,APENGATUR II D 0 F 0 K 1
MARDIANA.A.MD.KEP PENGATURII D 0 F 0 K 0
SITI HAJAR MARASABESS PENGATUR II D 0 F 0 K 2
FIRDA JUITA LESTALUHU,APENGATUR
II D 0 F 0 K 2
ZAKINA MANSUR.A.MD.KEPENGATUR II D 0 F 0 TK 0
MARIETHA SEBATUBUN PENGATUII C 0 F 0 K 2
THEROFINA SALAWANE PENGATUII C 0 F 0 TK 0
MARIA CORNELIA AKERIN PENGATUII C 0 F 0 TK 0
.MERCY NOVA LATUMAHI PENGATUII C 0 F 0 K 2
BOKILEBE LATUCONSINA PENGATUII C 0 F 0 TK 2
FINCE KAKERISSA PENGATUII C 0 F 0 TK 0
JOHANA J. RIRIASA PENGATUII C 0 F 0 K 2
LEINRA SELMY PATTIASIN PENGATUII C 0 F 0 K 0
NURABIA TUASIKAL PENGATUII C 0 F 0 TK 0
MARIA MEGDALENA TUM PENGATUII C 0 F 0 TK 2
SULIANAH PENGATUII C 0 F 0 K 0
NURHANI SALAMPESSY PENGATUII C 0 F 0 K 2
STANLY KAYA PENGATUII C 0 F 0 K 2
SUSANA TETELEPTA PENGATUII C 0 F 0 K 2
RATNAWATI DJAMALUDIN PENGATUII C 0 F 0 K 0
RAHMAWATI DT. SATIIHA PENGATUII C 0 F 0 K 2
BEHADARA SANGADJI PENGATUII C 0 F 0 K 0
LINA NASARUDIN PENGATUII C 0 F 0 K 0
HALIMA SALAMPESSY PENGATUII C 0 F 0 TK 0
ASTRID F.ZUSANCI SEPTOPENGATUII C 0 F 0 TK 0
WATY RUMAHSORENG PENGATUII C 0 F 0 K 0
FARADILA TUNNY PENGATUII C 0 F 0 K 2
WA MONI PENGATUII C 0 F 0 K 2
KATRINA LATUMINASE PENGATUII B 0 F 0 K 0
YESSI KAKERISSA PENGATUII B 0 F 0 K 2
MERY HARARET ANGKOTAPENGATUII B 0 F 0 K 2
WELMINA MAGDALENA M PENGATUII B 0 F 0 TK 0
SURYATI RUMALUTUR PENGATUII B 0 F 0 K 2
VELLY VIONA LATARISSA PENGATUII B 0 F 0 K 2
HETTY TALAOHU PENGATUII B 0 F 0 TK 0
DAENG PATIMA PENGATUII A 0 F 0 TK 2
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
0 0 0 0 F 0 0 0
Nama JabKode Paj Jumlah 1 Jumlah 2 Jumlah 3 Jumlah 4 Jumlah 5 Jumlah 6 Jumlah 7 Jumlah 8
PELAKSA21-100-0 6E+007 6E+006 2E+006 7E+007 0 2E+006 3E+006 0
FUNGSIO21-100-0 6E+007 6E+006 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 0 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 0 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 0 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 0 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 6E+006 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 0 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 6E+007 6E+006 1E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 1E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 8E+006 3E+006 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 6E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 5E+006 0 6E+007 0 7E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 0 5E+007 0 3E+006 869040 0
FUNGSIO21-100-0 5E+007 5E+006 2E+006 5E+007 0 7E+006 3E+006 0
FUNGSIO21-100-0 5E+007 0 0 5E+007 0 7E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 1E+007 869040 0
PELAKSA21-100-0 5E+007 5E+006 0 5E+007 0 2E+006 2E+006 0
PELAKSA21-100-0 5E+007 0 0 5E+007 0 2E+006 869040 0
PELAKSA21-100-0 5E+007 5E+006 2E+006 5E+007 0 2E+006 3E+006 0
PELAKSA21-100-0 5E+007 5E+006 2E+006 6E+007 0 2E+006 3E+006 0
PELAKSA21-100-0 5E+007 5E+006 977620 5E+007 0 2E+006 3E+006 0
PELAKSA21-100-0 5E+007 5E+006 0 6E+007 0 2E+006 869040 0
PELAKSA21-100-0 5E+007 5E+006 977620 5E+007 0 3E+006 3E+006 0
PELAKSA21-100-0 5E+007 5E+006 0 6E+007 0 2E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 5E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
PELAKSA21-100-0 3E+007 0 0 3E+007 0 2E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 881524 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 5E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 4E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 1E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 819924 5E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 5E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 1E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 1E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 0 0 3E+007 0 5E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 702184 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 2E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 0 0 3E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 0 0 3E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 3E+006 680736 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 3E+006 0 4E+007 0 3E+006 2E+006 0
FUNGSIO21-100-0 4E+007 4E+006 702184 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 3E+007 3E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 3E+007 3E+006 1E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 1E+006 4E+007 0 2E+006 3E+006 0
FUNGSIO21-100-0 3E+007 0 0 3E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 0 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 4E+006 2E+006 4E+007 0 3E+006 3E+006 0
FUNGSIO21-100-0 4E+007 4E+006 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 0 4E+007 0 3E+006 869040 0
FUNGSIO21-100-0 4E+007 0 2E+006 4E+007 0 3E+006 3E+006 0
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Jumlah 1 Jumlah 2 Jumlah 2 Jumlah 2 Jumlah 2 Jumlah 2 Jumlah 2 Status P NPWP Pemotong
647450 32350 0 32350 32350 32350 0 73544997494100
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Nama PemotonTanggal BuInstansi Pemotong NIP Pemotong
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###
AHMAD YANY S ### PUSKESMAS KOTA ###