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DAFTAR LEMBUR PNS BULAN MARET 2015

(Dibayarkan Bulan April 2015)

per jam jml jam jml hari jumlah total


APOTEK
WIDYA YUSTININGTYAS 12,000 3 1 36,000 36,000
NOORMA MUSLIDA 12,000 7 1 84,000 156,000
12,000 3 2 72,000
ISTININGTYAS 10,000 3 1 30,000 30,000
WESTI RINA ERA 10,000 7 1 70,000 100,000
10,000 3 1 30,000
WIDIYANI 12,000 3 1 36,000 36,000
BINTI NURJANAH 10,000 3 1 30,000 30,000

SAT
Rizka 10,000 5 8 400,000 530,000
10,000 6 1 60,000
10,000 7 1 70,000

OKA

DYAN SUNGKAWATI 10,000 2 7 140,000 880,000


10,000 3 7 210,000
10,000 4 2 80,000
10,000 6 5 300,000
10,000 7 1 70,000
10,000 8 1 80,000
MANAJEMEN
Srubingah Minin 12,000 4 2 96,000 132,000
12,000 3 1 36,000
Dyah Ayu N.W. 12,000 3 5 180,000 180,000
Siti Fatimah 10,000 3 4 120,000 120,000
Nelly Ningtyas S. 10,000 2 1 20,000 170,000
10,000 3 5 150,000
Whyke Okfidital 10,000 2 1 20,000 210,000
10,000 4 1 40,000
10,000 3 5 150,000
drg. Trhiesta Nur Apolnaria 12,000 2 1 24,000 180,000
12,000 3 3 108,000
12,000 4 1 48,000
Titin Sugiartini 10,000 3 1 30,000 180,000
10,000 4 2 80,000
10,000 7 1 70,000

TOTAL 2,970,000 2,970,000

Menyetujui, Malang, April 2015


DIREKTUR RSUD LAWANG Kasubag. Keuangan

drg. MARHENDRAJAYA, MM.Sp.Kg DYAH AYU N.W., SE, ME


Pembina Tingkat I Penata
NIP. 196612041992031004 NIP. 19810204 200604 2 020
DAFTAR LEMBUR NON PNS BULAN MARET 2015
(Dibayarkan Bulan April 2015)

per jam jml jam jml hari jumlah total


PENGEMUDI
Cucuk Priyo W. 8,000 3 7 168,000 360,000
16,000 3 4 192,000
Suratman 8,000 3 22 528,000 720,000
16,000 3 4 192,000
Siswanto 8,000 3 14 336,000 672,000
16,000 3 7 336,000
Achmad Saifudin 8,000 3 6 144,000 192,000
16,000 3 1 48,000
M. Sodiq 8,000 3 6 144,000 144,000

APOTEK
SUSILOWATI HADI 8,000 3 1 24,000 24,000
HASAN FAUZI 8,000 7 1 56,000 104,000
8,000 3 2 48,000
HERLINA DIAN 8,000 7 1 56,000 80,000
8,000 3 1 24,000
VIVI DEWI 8,000 7 2 112,000 144,000
8,000 4 1 32,000
DIAN RISMAWATI 8,000 3 1 24,000 24,000
AMELIA DINI HARI 8,000 7 1 56,000 88,000
8,000 4 1 32,000
WIDYA SETYA NUGRAHA 8,000 7 1 56,000 104,000
8,000 3 2 48,000
OKPIA HENDIRA 8,000 7 2 112,000 112,000
PUSPITASARI 8,000 7 2 112,000 144,000
8,000 4 1 32,000
SAT
Ratri 8,000 5 8 320,000 424,000
8,000 6 1 48,000
8,000 7 1 56,000
Reni Dwi Jayanyi 8,000 6 1 48,000 96,000
8,000 3 2 48,000
Rifqi Isnanda 8,000 6 1 48,000 112,000
8,000 4 2 64,000
Yoga Eko Febrianto 8,000 6 1 48,000 112,000
8,000 4 2 64,000
Tri Sulisyono 8,000 6 2 96,000 96,000
M. Amin 8,000 6 1 48,000 128,000
8,000 4 2 64,000
8,000 2 1 16,000
Andrian 8,000 6 2 96,000 96,000
Ani 8,000 6 2 96,000 96,000
Jois 8,000 6 2 96,000 96,000
Puji 8,000 6 2 96,000 96,000
OKA

KHUROTUL INSIYAH 8,000 2 7 112,000 584,000


8,000 3 6 144,000
8,000 4 1 32,000
8,000 6 5 240,000
8,000 7 1 56,000
EKA WAHYU EFENDI 8,000 2 7 112,000 608,000
8,000 3 7 168,000
8,000 4 2 64,000
8,000 6 3 144,000
8,000 7 1 56,000
8,000 8 1 64,000
REKY AURIFTA H. 8,000 2 7 112,000 640,000
8,000 3 7 168,000
8,000 4 2 64,000
8,000 6 5 240,000
8,000 7 1 56,000
per jam jml jam jml hari jumlah total

AHMAD DONI S. 8,000 2 6 96,000 424,000


8,000 3 4 96,000
8,000 4 1 32,000
8,000 6 3 144,000
8,000 7 1 56,000
RYAN FERDINATA 8,000 2 7 112,000 568,000
8,000 3 6 144,000
8,000 4 2 64,000
8,000 6 4 192,000
8,000 7 1 56,000
EDDO KHARISMA 8,000 2 7 112,000 600,000
8,000 3 6 144,000
8,000 4 1 32,000
8,000 6 4 192,000
8,000 7 1 56,000
8,000 8 1 64,000
ERWIN SUKHANTO 8,000 2 7 112,000 208,000
8,000 3 4 96,000
RADIOLOGI -
GLORI IRAWAN 16,000 7 6 672,000 672,000
M. DODIK 16,000 7 5 560,000 560,000
MANAJEMEN
IRA RAMADHANI 8,000 3 5 120,000 120,000
RATNA 8,000 3 2 48,000 48,000
Ilmi Rosyidah 8,000 3 1 24,000 144,000
8,000 4 2 64,000
8,000 7 1 56,000
M. TAUFANI 8,000 2 1 16,000 16,000
Firmawan Hadi 8,000 6 6 288,000 672,000
8,000 7 3 168,000
8,000 8 1 64,000
8,000 9 1 72,000
8,000 10 1 80,000
TOTAL 10,128,000 10,128,000

Menyetujui, Malang, April 2015


DIREKTUR RSUD LAWANG Kasubag. Keuangan

drg. MARHENDRAJAYA, MM.Sp.Kg DYAH AYU N.W., SE, ME


Pembina Tingkat I Penata
NIP. 196612041992031004 NIP. 19810204 200604 2 020
DAFTAR LEMBUR BULAN MARET 2015
(Dibayarkan Bulan April 2015)
DRIVER
per jam jam hari uang makan total riil spj Pph 21 KET
Cucuk Priyo W. 8,000 3 7 168,000 - 168,000 360,000 360,000
16,000 3 4 192,000 - 192,000 -
Suratman 8,000 3 22 528,000 - 528,000 720,000 720,000
16,000 3 4 192,000 - 192,000 -
Siswanto 8,000 3 14 336,000 - 336,000 672,000 672,000
16,000 3 7 336,000 - 336,000 -
Achmad Saifudin 8,000 3 6 144,000 - 144,000 192,000 192,000
16,000 3 1 48,000 - 48,000 -
M. Sodiq 8,000 3 6 144,000 - 144,000 144,000 144,000
APOTEK jam hari uang makan - riil spj

WIDYA YUSTININGTYAS 12,000 3 1 36,000 - 36,000 36,000 36,000 1,800 PNS


NOORMA MUSLIDA 12,000 7 1 84,000 20,000 104,000 156,000 176,000 8,800 PNS
12,000 3 2 72,000 - 72,000 - PNS
ISTININGTYAS 10,000 3 1 30,000 - 30,000 30,000 30,000 - PNS
WESTI RINA ERA 10,000 7 1 70,000 20,000 90,000 100,000 120,000 - PNS
10,000 3 1 30,000 - 30,000 - PNS
WIDIYANI 12,000 3 1 36,000 - 36,000 36,000 36,000 1,800 PNS
BINTI NURJANAH 10,000 3 1 30,000 - 30,000 30,000 30,000 - PNS
SUSILOWATI HADI 8,000 3 1 24,000 - 24,000 24,000 24,000 -
HASAN FAUZI 8,000 7 1 56,000 20,000 76,000 104,000 124,000 -
8,000 3 2 48,000 - 48,000 -
HERLINA DIAN 8,000 7 1 56,000 20,000 76,000 80,000 100,000 -
8,000 3 1 24,000 - 24,000 -
VIVI DEWI 8,000 7 2 112,000 40,000 152,000 144,000 204,000 -
8,000 4 1 32,000 20,000 52,000 -
DIAN RISMAWATI 8,000 3 1 24,000 - 24,000 24,000 24,000 -
AMELIA DINI HARI 8,000 7 1 56,000 20,000 76,000 88,000 128,000 -
8,000 4 1 32,000 20,000 52,000 -
WIDYA SETYA NUGRAHA 8,000 7 1 56,000 20,000 76,000 104,000 124,000
8,000 3 2 48,000 - 48,000 -
OKPIA HENDIRA 8,000 7 2 112,000 40,000 152,000 112,000 152,000 -
PUSPITASARI 8,000 7 2 112,000 40,000 152,000 144,000 204,000 -
8,000 4 1 32,000 20,000 52,000 -
SAT jam hari uang makan - riil spj
Rizka 10,000 5 8 400,000 160,000 560,000 530,000 730,000 pns pns
10,000 6 1 60,000 20,000 80,000 pns pns
10,000 7 1 70,000 20,000 90,000 pns pns
Ratri 8,000 5 8 320,000 160,000 480,000 424,000 624,000
8,000 6 1 48,000 20,000 68,000 -
8,000 7 1 56,000 20,000 76,000 -
Reni Dwi Jayanyi 8,000 6 1 48,000 20,000 68,000 96,000 116,000 -
8,000 3 2 48,000 - 48,000 -
Rifqi Isnanda 8,000 6 1 48,000 20,000 68,000 112,000 172,000 -
8,000 4 2 64,000 40,000 104,000 -
Yoga Eko Febrianto 8,000 6 1 48,000 20,000 68,000 112,000 172,000 -
8,000 4 2 64,000 40,000 104,000 -
Tri Sulisyono 8,000 6 2 96,000 40,000 136,000 96,000 136,000 -
M. Amin 8,000 6 1 48,000 20,000 68,000 128,000 188,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 2 1 16,000 - 16,000 -
Andrian 8,000 6 2 96,000 40,000 136,000 96,000 136,000 -
Ani 8,000 6 2 96,000 40,000 136,000 96,000 136,000 -
Jois 8,000 6 2 96,000 40,000 136,000 96,000 136,000 -
Puji 8,000 6 2 96,000 40,000 136,000 96,000 136,000 -

OKA
DYAN SUNGKAWATI 10,000 2 7 140,000 - 140,000 880,000 1,060,000 - PNS
10,000 3 7 210,000 - 210,000 - PNS
10,000 4 2 80,000 40,000 120,000 - PNS
10,000 6 5 300,000 100,000 400,000 - PNS
10,000 7 1 70,000 20,000 90,000 - PNS
10,000 8 1 80,000 20,000 100,000 - PNS
KHUROTUL INSIYAH 8,000 2 7 112,000 - 112,000 584,000 724,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 5 240,000 100,000 340,000 -
8,000 7 1 56,000 20,000 76,000 -
EKA WAHYU EFENDI 8,000 2 7 112,000 - 112,000 608,000 748,000 -
8,000 3 7 168,000 - 168,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 3 144,000 60,000 204,000 -
8,000 7 1 56,000 20,000 76,000 -
8,000 8 1 64,000 20,000 84,000 -
REKY AURIFTA H. 8,000 2 7 112,000 - 112,000 640,000 800,000 -
8,000 3 7 168,000 - 168,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 5 240,000 100,000 340,000 -
8,000 7 1 56,000 20,000 76,000 -
AHMAD DONI S. 8,000 2 6 96,000 - 96,000 424,000 524,000 -
8,000 3 4 96,000 - 96,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 3 144,000 60,000 204,000 -
8,000 7 1 56,000 20,000 76,000 -
RYAN FERDINATA 8,000 2 7 112,000 - 112,000 568,000 708,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 4 192,000 80,000 272,000 -
8,000 7 1 56,000 20,000 76,000 -
EDDO KHARISMA 8,000 2 7 112,000 - 112,000 600,000 740,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 4 192,000 80,000 272,000 -
8,000 7 1 56,000 20,000 76,000 -
8,000 8 1 64,000 20,000 84,000 -
ERWIN SUKHANTO 8,000 2 7 112,000 - 112,000 208,000 208,000 -
8,000 3 4 96,000 - 96,000 -
RADIOLOGI
GLORI IRAWAN 16,000 7 6 672,000 120,000 792,000 672,000 792,000 -
M. DODIK 16,000 7 5 560,000 100,000 660,000 560,000 660,000 -

MANAJEMEN
Srubingah Minin 12,000 4 2 96,000 40,000 136,000 132,000 172,000 8,600 pns
12,000 3 1 36,000 - 36,000 - pns
Dyah Ayu N.W. 12,000 3 5 180,000 - 180,000 180,000 180,000 9,000 pns
Siti Fatimah 10,000 3 4 120,000 - 120,000 120,000 120,000 - pns
Nelly Ningtyas S. 10,000 2 1 20,000 - 20,000 170,000 170,000 - pns
10,000 3 5 150,000 - 150,000 - pns
TITIN SUGIARTINI 10,000 3 1 30,000 - 30,000 180,000 240,000 - pns
10,000 4 2 80,000 40,000 120,000 - pns
10,000 7 1 70,000 20,000 90,000 - pns
WHYKE OKVIDITAL 10,000 2 1 20,000 - 20,000 210,000 230,000 - pns
10,000 4 1 40,000 20,000 60,000 - pns
10,000 3 5 150,000 - 150,000 - pns
drg. Trhiesta Nur Apolnaria 12,000 2 1 24,000 - 24,000 180,000 200,000 10,000 pns
12,000 3 3 108,000 - 108,000 - - pns
12,000 4 1 48,000 20,000 68,000 - - pns
Ira Ramadhani 8,000 3 5 120,000 - 120,000 120,000 120,000 -
Ratna 8,000 3 2 48,000 - 48,000 48,000 48,000 -
Ilmi Rosyidah 8,000 3 1 24,000 - 24,000 144,000 204,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 7 1 56,000 20,000 76,000 -
Firmawan Hadi 8,000 6 6 288,000 120,000 408,000 672,000 912,000 -
8,000 7 3 168,000 60,000 228,000 -
8,000 8 1 64,000 20,000 84,000 -
8,000 9 1 72,000 20,000 92,000 -
8,000 10 1 80,000 20,000 100,000 -
M. TAUFANI 8,000 2 1 16,000 - 16,000 16,000 16,000 -
TOTAL 13,098,000 2,760,000 15,858,000 13,098,000 15,858,000 40,000
DAFTAR LEMBUR NON PNS BULAN MARET 2015
(Dibayarkan Bulan April 2015)
DRIVER
jam hari uang makan total riil spj Pph 21 KET
Cucuk Priyo W. 8,000 3 7 168,000 - 168,000 360,000 360,000
16,000 3 4 192,000 - 192,000 -
Suratman 8,000 3 22 528,000 - 528,000 720,000 720,000
16,000 3 4 192,000 - 192,000 -
Siswanto 8,000 3 14 336,000 - 336,000 672,000 672,000
16,000 3 7 336,000 - 336,000 -
Achmad Saifudin 8,000 3 6 144,000 - 144,000 192,000 192,000
16,000 3 1 48,000 - 48,000 -
M. Sodiq 8,000 3 6 144,000 - 144,000 144,000 144,000
SUSILOWATI HADI 8,000 3 1 24,000 - 24,000 24,000 24,000 -
HASAN FAUZI 8,000 7 1 56,000 20,000 76,000 104,000 124,000 -
8,000 3 2 48,000 - 48,000 -
HERLINA DIAN 8,000 7 1 56,000 20,000 76,000 80,000 100,000 -
8,000 3 1 24,000 - 24,000 -
VIVI DEWI 8,000 7 2 112,000 40,000 152,000 144,000 204,000 -
8,000 4 1 32,000 20,000 52,000 -
DIAN RISMAWATI 8,000 3 1 24,000 - 24,000 24,000 24,000 -
AMELIA DINI HARI 8,000 7 1 56,000 20,000 76,000 88,000 128,000 -
8,000 4 1 32,000 20,000 52,000 -
WIDYA SETYA NUGRAHA 8,000 7 1 56,000 20,000 76,000 104,000 124,000
8,000 3 2 48,000 - 48,000 -
OKPIA HENDIRA 8,000 7 2 112,000 40,000 152,000 112,000 152,000 -
PUSPITASARI 8,000 7 2 112,000 40,000 152,000 144,000 204,000 -
8,000 4 1 32,000 20,000 52,000 -
Ratri 8,000 5 8 320,000 160,000 480,000 424,000 624,000
8,000 6 1 48,000 20,000 68,000 -
8,000 7 1 56,000 20,000 76,000 -
Reni Dwi Jayanyi 8,000 6 3 144,000 60,000 204,000 192,000 252,000 -
8,000 3 2 48,000 - 48,000 -
Rifqi Isnanda 8,000 6 3 144,000 60,000 204,000 208,000 308,000 -
8,000 4 2 64,000 40,000 104,000 -
Yoga Eko Febrianto 8,000 6 3 144,000 60,000 204,000 208,000 308,000 -
8,000 4 2 64,000 40,000 104,000 -
Tri Sulisyono 8,000 6 3 144,000 60,000 204,000 144,000 204,000 -
M. Amin 8,000 6 2 96,000 40,000 136,000 176,000 256,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 2 1 16,000 - 16,000 -
KHUROTUL INSIYAH 8,000 2 7 112,000 - 112,000 584,000 724,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 5 240,000 100,000 340,000 -
8,000 7 1 56,000 20,000 76,000 -
EKA WAHYU EFENDI 8,000 2 7 112,000 - 112,000 608,000 748,000 -
8,000 3 7 168,000 - 168,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 3 144,000 60,000 204,000 -
8,000 7 1 56,000 20,000 76,000 -
8,000 8 1 64,000 20,000 84,000 -
REKY AURIFTA H. 8,000 2 7 112,000 - 112,000 640,000 800,000 -
8,000 3 7 168,000 - 168,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 5 240,000 100,000 340,000 -
8,000 7 1 56,000 20,000 76,000 -
AHMAD DONI S. 8,000 2 6 96,000 - 96,000 424,000 524,000 -
8,000 3 4 96,000 - 96,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 3 144,000 60,000 204,000 -
8,000 7 1 56,000 20,000 76,000 -
RYAN FERDINATA 8,000 2 7 112,000 - 112,000 568,000 708,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 6 4 192,000 80,000 272,000 -
8,000 7 1 56,000 20,000 76,000 -
EDDO KHARISMA 8,000 2 7 112,000 - 112,000 600,000 740,000 -
8,000 3 6 144,000 - 144,000 -
8,000 4 1 32,000 20,000 52,000 -
8,000 6 4 192,000 80,000 272,000 -
8,000 7 1 56,000 20,000 76,000 -
8,000 8 1 64,000 20,000 84,000 -
ERWIN SUKHANTO 8,000 2 7 112,000 - 112,000 208,000 208,000 -
8,000 3 4 96,000 - 96,000 -
RADIOLOGI
GLORI IRAWAN 16,000 7 6 672,000 120,000 792,000 672,000 792,000 -
M. DODIK 16,000 7 5 560,000 100,000 660,000 560,000 660,000 -
Ira Ramadhani 8,000 3 5 120,000 - 120,000 120,000 120,000 -
Ratna 8,000 3 2 48,000 - 48,000 48,000 48,000 -
Ilmi Rosyidah 8,000 3 1 24,000 - 24,000 144,000 204,000 -
8,000 4 2 64,000 40,000 104,000 -
8,000 7 1 56,000 20,000 76,000 -
Firmawan Hadi 8,000 6 6 288,000 120,000 408,000 672,000 912,000 -
8,000 7 3 168,000 60,000 228,000 -
8,000 8 1 64,000 20,000 84,000 -
8,000 9 1 72,000 20,000 92,000 -
8,000 10 1 80,000 20,000 100,000 -
M. TAUFANI 8,000 2 1 16,000 - 16,000 16,000 16,000 -
TOTAL 10,128,000 2,200,000 12,328,000 10,128,000 12,328,000

-
DAFTAR LEMBUR PNS BULAN MARET 2015
(Dibayarkan Bulan April 2015)

per jam jam hari uang makan total spj Pph 21 KET
WIDYA YUSTININGTYAS 12,000 3 4 144,000 - 144,000 352,000 17,600 PNS
12,000 7 2 168,000 40,000 208,000 - -
NOORMA MUSLIDA 12,000 7 2 168,000 40,000 208,000 352,000 17,600 PNS
12,000 3 4 144,000 - 144,000 - - PNS
ISTININGTYAS 10,000 3 4 120,000 - 120,000 300,000 - PNS
10,000 7 2 140,000 40,000 180,000 -
WESTI RINA ERA 10,000 7 2 140,000 40,000 180,000 300,000 - PNS
10,000 3 4 120,000 - 120,000 - - PNS
WIDIYANI 12,000 3 4 144,000 - 144,000 352,000 17,600 PNS
12,000 7 2 168,000 40,000 208,000 - -
BINTI NURJANAH 10,000 3 4 120,000 - 120,000 300,000 - PNS
10,000 7 2 140,000 40,000 180,000 -
Rizka 10,000 5 8 400,000 160,000 560,000 810,000 pns pns
10,000 6 2 120,000 40,000 160,000 pns pns
10,000 7 1 70,000 20,000 90,000 pns pns
DYAN SUNGKAWATI 10,000 2 7 140,000 - 140,000 1,090,000 - PNS
10,000 3 6 180,000 - 180,000 - PNS
10,000 4 3 120,000 60,000 180,000 - PNS
10,000 6 5 300,000 100,000 400,000 - PNS
10,000 7 1 70,000 20,000 90,000 - PNS
10,000 8 1 80,000 20,000 100,000 - PNS
Srubingah Minin 12,000 4 6 288,000 120,000 408,000 516,000 25,800 pns
12,000 3 3 108,000 - 108,000 - pns
Dyah Ayu N.W. 12,000 4 7 336,000 140,000 476,000 476,000 23,800 pns
Trisni Indari 12,000 4 7 336,000 140,000 476,000 476,000 23,800 pns
Siti Fatimah 10,000 4 7 280,000 140,000 420,000 420,000 - pns
-
Nelly Ningtyas S. 10,000 4 7 280,000 140,000 420,000 480,000 - pns
10,000 3 2 60,000 - 60,000 - pns
TITIN SUGIARTINI 10,000 4 7 280,000 140,000 420,000 570,000 - pns
10,000 3 2 60,000 - 60,000 - pns
10,000 7 1 70,000 20,000 90,000 - pns
WHYKE OKVIDITAL 10,000 2 1 20,000 - 20,000 590,000 - pns
10,000 4 7 280,000 140,000 420,000 - pns
10,000 3 5 150,000 - 150,000 - pns
drg. Trhiesta Nur Apolnaria 12,000 2 3 72,000 - 72,000 348,000 17,400 pns
12,000 3 2 72,000 - 72,000 - - pns
12,000 4 3 144,000 60,000 204,000 - - pns
TOTAL 6,032,000 1,700,000 7,732,000 7,732,000 143,600

7,732,000
-
DAFTAR PENERIMA UANG KERJA LEMBUR PNS
Bulan Maret 2015

BESARNYA
NO NAMA JABATAN Pph. 21 DITERIMA TANDA TANGAN
LEMBUR (RP)

1 Widya Yustiningtyas Apoteker 352,000 17,600 334,400 1.

2 Noorma Muslida Staf RSUD Lawang 352,000 17,600 334,400 2

3 Istiningtyas Staf RSUD Lawang 300,000 - 300,000 3.

4 Westi Rina Era Staf RSUD Lawang 300,000 - 300,000 4

5 Widiyani Staf RSUD Lawang 352,000 17,600 334,400 5.

6 Binti Nurjanah Staf RSUD Lawang 300,000 - 300,000 6

7 Rizka Andika Sari Rekam Medik 810,000 - 810,000 7

8 Dyan Sungkawati Perawat 1,090,000 - 1,090,000 8

9 Srubingah Minin Kasubag Evapor 516,000 25,800 490,200 9

10 Dyah Ayu N.W. Kasubag Keuangan 476,000 23,800 452,200 10

11 Trisni Indari Pengurus Gaji 476,000 23,800 452,200 11

12 Siti Fatimah Bendahara Penerimaan 420,000 - 420,000 12

13 Nelly Ningtyas S. Bendahara Pengeluaran 480,000 - 480,000 13

14 Titin Sugiartini Bendahara Penerimaan 570,000 - 570,000 14

15 Whyke Okfidital Pembantu Bendahara 590,000 - 590,000 15

16 drg. Trhiesta Nur Apolnaria Instalasi Diklat 348,000 17,400 330,600 16

7,732,000 143,600 7,588,400

Mengetahui,
DIREKTUR RSUD LAWANG

drg. MARHENDRAJAYA, MM.Sp.Kg


Pembina Tingkat I
NIP. 196612041992031004
DAFTAR PENERIMA UANG KERJA LEMBUR NON PNS
Bulan Maret 2015

BESARNYA
NO NAMA JABATAN TANDA TANGAN
LEMBUR (RP)
1 Cucuk Priyo W. Pengemudi 360,000 1.
2 Suratman Pengemudi 720,000 2
3 Siswanto Pengemudi 672,000 3
4 Ahmad Saifudin Pengemudi 192,000 4
5 M. Sodiq Pengemudi 144,000 5
6 Susilowati Hadi Staf RSUD Lawang 24,000 6
7 Hasan Fauzi Staf RSUD Lawang 124,000 7
8 Herlina Dian Staf RSUD Lawang 100,000 8
9 Vivi Dewi Staf RSUD Lawang 204,000 9
10 Dian Rismawati Apoteker 24,000 10
11 Amelia Dini Hari Staf RSUD Lawang 128,000 11
12 Widya Setya Nugraha Staf RSUD Lawang 124,000 12
13 Okpia Hendira Staf RSUD Lawang 152,000 13
14 Puspitasari Staf RSUD Lawang 204,000 14
15 Ratri Surya Pratiwi Staf RSUD Lawang 624,000 15
16 Reni Dwi Jayanyi Staf RSUD Lawang 252,000 16
17 Rifqi Isnanda Staf RSUD Lawang 308,000 17
18 Yoga Eko Febrianto Staf RSUD Lawang 308,000 18
19 Tri Sulisyono Staf RSUD Lawang 204,000 19
20 M. Amin Staf RSUD Lawang 256,000 20
21 Khurotul Insiah Perawat RSUD Lawang 724,000 21
22 Eka Wahyu Efendi Perawat RSUD Lawang 748,000 22
23 Reky Aurifta H. Perawat RSUD Lawang 800,000 23
24 Ahmad Doni S. Perawat RSUD Lawang 524,000 24
25 Ryan Ferdinata Perawat RSUD Lawang 708,000 25
26 Eddo Kharisma Perawat RSUD Lawang 740,000 26
27 Erwin Sukhanto CS RSUD Lawang 208,000 27
28 Ira Ramadhani Staf RSUD Lawang 120,000 28
29 Dyah Ratna K. Staf RSUD Lawang 48,000 29
30 Ilmi Rosyidah Staf RSUD Lawang 204,000 30
31 Firmawan Hadi Staf RSUD Lawang 912,000 31
32 M. Taufan Staf RSUD Lawang 16,000 32
33 Glori Irawan Staf RSUD Lawang 792,000 33
34 M. Dodik Staf RSUD Lawang 660,000 34

12,328,000

Mengetahui,
DIREKTUR RSUD LAWANG

drg. MARHENDRAJAYA, MM.Sp.Kg


Pembina Tingkat I
NIP. 196612041992031004
DAFTAR LEMBUR

BULAN : MEI, JUNI 2016


UNIT KERJA : PELAYANAN

NO NAMA HARI TANGGAL JAM JUMLAH KETERANGAN


JAM
1 KARTIKA AYU SENIN 16/5/2016 14.00-16.00 2 Mencetak dan Mengedit Soal Perawat Bidan
2 KARTIKA AYU RABU 18/5/2016 14.00-15.00 1 Membuat Resume Medis
3 KARTIKA AYU KAMIS 26/5/2016 14.00-16.00 2 Menghubungi Perawat Baru
4 KARTIKA AYU SELASA 31/5/2016 14.00-16.00 2 Membuat Resume Medis PT.Nurwy
5 KARTIKA AYU RABU 1/6/2016 14.00-16.00 2 Membuat Jadwal Orientasi & Susunan Acara
6 KARTIKA AYU JUMAT 3/6/2016 11.00-14.00 3 Membuat Name Tag
7 KARTIKA AYU JUMAT 17/6/2016 11.30-12.30 1 Membuat Resume Medis
8 KARTIKA AYU
9 KARTIKA AYU
10 KARTIKA AYU
11 KARTIKA AYU
JUMLAH JAM LEMBUR 13
1 KARTIKA AYU SELASA 12/1/2016 14.00-17.00 3 Merekap Laporan Surveilans Harian Flamboyan
2 KARTIKA AYU RABU 13/1/2016 14.00-17.00 3 Merekap Laporan Surveilans Harian Geranium
3 KARTIKA AYU KAMIS 14/1/2016 14.00-17.00 3 Merekap Laporan Surveilans Harian Jasmine
4 KARTIKA AYU SELASA 29/3/2016 14.00-17.00 3 Membuat SEP by SEP Amb. Okt 15
5 KARTIKA AYU RABU 30/3/2016 14.00-17.00 3 Membuat Proposal Lomba HUT RSUD Lawang
6 KARTIKA AYU KAMIS 31/3/2016 14.00-17.00 3 Menyiapkan Bingkisan HUT RSUD
7 KARTIKA AYU SENIN 16/11/2015 14.00-20.00 Mencetak Dokumen Perundangan Rumah Sakit
8 KARTIKA AYU SELASA 17/11/2015 14.00-20.00 Membuat Pedoman Kabid Pelayanan dan Mencetak Dokumen
9 KARTIKA AYU SELASA 18/11/2015 14.00-20.00 Mencetak dan Mengedit Dokumen
10 KARTIKA AYU SELASA 24/11/2015 14.00-16.00 SPJ KIMIA
11 KARTIKA AYU JUMAT 27/11/2015 11.00-13.00 SPJ KIMIA
JUMLAH JAM LEMBUR 18

Mengetahui, Malang, April 2016


KEPALA BIDANG PELAYANAN Kasie Keperawatan

dr. Nur Rochmah, MMRS Sulistyani, S. Kep. Ners


NIP. 19690727 200212 2 008 NIP. 19650913 198801 2 002
DAFTAR LEMBUR

BULAN : JUNI 2016


UNIT KERJA : PELAYANAN

NO NAMA HARI TANGGAL JAM JUMLAH KETERANGAN


JAM
1 dr. MASKURIL BARKAH KAMIS 6/1/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 1
2 dr. MASKURIL BARKAH SABTU 6/3/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 1
3 dr. MASKURIL BARKAH SELASA 6/6/2017 18.00-20.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
4 dr. MASKURIL BARKAH KAMIS 6/8/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
5 dr. MASKURIL BARKAH KAMIS 6/15/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
6 dr. MASKURIL BARKAH SABTU 6/17/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3
7 dr. MASKURIL BARKAH KAMIS 6/22/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3
8 dr. MASKURIL BARKAH SABTU 6/24/2016 14.00-16.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3

JUMLAH JAM LEMBUR 16

Mengetahui, Malang, Juli 2016


KEPALA BIDANG PELAYANAN KETUA TIM JKN

dr. Nur Rochmah, MMRS dr. Cinthya Hapsari, SpM


NIP. 19690727 200212 2 008 NIP. 197811172010012007
DAFTAR LEMBUR

BULAN : JULI 2016


UNIT KERJA : PELAYANAN

NO NAMA HARI TANGGAL JAM JUMLAH KETERANGAN


JAM
1 dr. MASKURIL BARKAH SELASA 7/4/2016 18.00-20.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 1
2 dr. MASKURIL BARKAH KAMIS 7/6/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 1
3 dr. MASKURIL BARKAH SABTU 7/8/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
4 dr. MASKURIL BARKAH SELASA 7/11/2016 18.00-20.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
5 dr. MASKURIL BARKAH SABTU 7/15/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 2
6 dr. MASKURIL BARKAH KAMIS 7/20/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3
7 dr. MASKURIL BARKAH SELASA 7/25/2016 18.00-20.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3
8 dr. MASKURIL BARKAH KAMIS 7/27/2016 12.00-14.00 2 Verifikasi Berkas Klaim BPJS Kesehatan Rawat Inap Kelas 3

JUMLAH JAM LEMBUR 16

Mengetahui, Malang, Agustus 2016


KEPALA BIDANG PELAYANAN KETUA TIM JKN

dr. Nur Rochmah, MMRS dr. Cinthya Hapsari, SpM


NIP. 19690727 200212 2 008 NIP. 197811172010012007