Bpjs Riil 2016

REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP
Sudah terima dari : Bendahara BPJS Puskesmas Curup

Uang sebanyak : Rp.50.612.400,- (Lima Puluh Juta Enam Ratus Dua Belas Ribu Empat Ratus Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Januari 2016
Pendidikan Poin Masa Beban Jumlah Jasa Yang Total

No Nama Jabatan Absensi Jumlah PPh 21
Terakhir Pendidikan Kerja PNS Kerja akan dibagikan Uang
1 Linda
PLT UPT PKM Curup SMA 15 20 30 25 90 50,612,400 846,833 42,342
2 dr.Syafri Nur
Dokter Umum S1 Kedokteran 150 13 20 25 208 50,612,400 1,957,126 293,569
3 drg. Rina Luxviani
Dokter Gigi S1 Kedokteran 150 5 20 16 191 50,612,400 1,797,168 89,858
4 dr. Nora Martavely
5 Masni Usman,Am.Keb
Bidan D3 Kebidanan 40 20 15 25 100 50,612,400 940,926 47,046
6 Giyanti Handayani
Perawat Gigi SPRG 40 20 15 13 88 50,612,400 828,015 41,401
7 Siti Sumiarsih
8 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 25 95 50,612,400 893,880 44,694
9 Rasmini,Am.Kep
Perawat D3 Keperawatan 40 20 15 16 91 50,612,400 856,242 42,812
10 Masitawati
Perawat SPK 40 20 15 25 100 50,612,400 940,926 47,046
11 Komisa Yanti,SST
Bidan D4 Kebidanan 60 20 15 22 117 50,612,400 1,100,883 55,044
12 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 25 115 50,612,400 1,082,065 54,103
13 Betti,S.Far.Apt
Pet.Gudang Farmasi S1 Apoteker 100 5 20 25 150 50,612,400 1,411,389 70,569
14 Astri Nurhayati,SKM
Pet. Gizi SKM 60 7 10 17 94 50,612,400 884,470 44,224
15 Desi Yulianti,SST
16 Desmi Haryati,S.Kep
Perawat S1 .Keperawatan 60 20 15 25 120 50,612,400 1,129,111 56,456
17 Erni Susanti
Pet.Loket Askes SMA Pekarya 15 20 10 22 67 50,612,400 630,420 31,521
18 Ririn Afrianti
Pet.Apotik SMA Pekarya 15 20 10 25 70 50,612,400 658,648 32,932
-
19 Santoso
Perawat SPK 40 20 15 25 100 50,612,400 940,926 47,046
20 Nurwati Hutabarat, SKM
Bidan SKM 60 13 10 13 96 50,612,400 903,289 45,164
21 Lidya Machreni S.Kep
Perawat S1 Keperawatan 60 13 15 22 110 50,612,400 1,035,018 51,751
22 Widya Apriyanti, Am.Kep
23 Susita Maryani, SST
Bidan D4 Bidan 60 20 15 25 120 50,612,400 1,129,111 56,456
24 Edi Sugianto,SKM
Perawat SKM 60 9 10 21 100 50,612,400 940,926 47,046
25 Ari Kurniawati,Am.Kep
Perawat D4 Bedah 60 5 15 22 102 50,612,400 959,744 47,987
26 Leddia wati, Am.Kep
27 Rika Syafrida, Am.Kep
28 Liza Efrian Siska, Am.Kep
29 Tri Novitasari,Am.Kep
30 Deki Mariani. Am.Keb
31 Resi Sandora, SKM
Perawat SKM 60 7 10 19 96 50,612,400 903,289 45,164
32 Dhevy L.Astuti, Am.Kep
Perawat D3 Keperawatan 40 5 15 24 84 50,612,400 790,378 -
33 Vera Arisandi, Am.Kep
34 Dewi Susanti,S.Sos
Bidan D1 Kebidanan 40 9 15 25 89 50,612,400 837,424 -
35 Meilian Fransiska am.keb
Rina Puspita ratih,
36
Am.Kep Perawat D3 Keperawatan 40 2 15 13 70 50,612,400 658,648 -
37 Rita Andriyani
Perawat SPK 25 7 15 0 47 50,612,400 442,235 -
38 Betty Novianti
39 Meri Hastuti,Am.Kep
Marissa
40
Trijayanti,Am.Kep Perawat D3 Keperawatan 40 3 15 12 70 50,612,400 658,648 -
41 Nining Huzaimah
42 Indah L Utami, Am.Kep
Bidan Pustu D3 Kebidanan 40 3 15 25 83 50,612,400 780,968 -
43 Nuke Mayasari, Am. Keb
Bidan Desa D3 Kebidanan 40 7 15 25 87 50,612,400 818,605 40,930
44 Leny Marlina
Pet. Kesling D1 Kesling 25 7 10 20 62 50,612,400 583,374 -
45 Yenni Wulandari Am.Keb
Bidan Desa D3 Kebidanan 40 5 15 25 85 50,612,400 799,787 -
46 Yuliana
47 Yulita Siregar, Am.Keb
48 Ilhamda Hutabarat
Petugas Loket SMA 25 5 10 10 50 50,612,400 470,463 -
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 25 53 50,612,400 498,691 24,935
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 25 53 50,612,400 498,691 24,935
51 Lina Marlinda, Am.Kep
52 Edi Suyono, Am. Komp
Tenaga Honor Honorer 25 3 0 25 53 50,612,400 498,691 -
53 Yuni budiarini , Am.Keb
54 Yuliana, Am.Kep
55 Shinta Oktavia Lestari,
Am.Keb Tenaga Honor Honorer 25 3 0 25 53 50,612,400 498,691 -
56 Silvia Ariesta, Am.Keb
57 Romi Am,Kep
58 Monalieca, Am.Keb
59 Randes Sugara,Am.Kep
60 Lia Ghita, Am.Keb
Tenaga Honor Honorer 25 3 0 25 53 50,612,400 498,691
61 Sella Rahayu, Am.Keb
Tenaga Honor Honorer 25 3 0 25 53 50,612,400 498,691
JUMLAH 2755 575 735 1314 1,862,092
5379 50,612,400 50,612,400
Curup, 2016
Mengetahui
PLT.Ka.UPT.Puskesmas Curup
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp.50.612.400,- (Lima Puluh Juta Enam Ratus Dua Belas Ribu Empat Ratus Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Januari 2016
Pendidikan Poin Masa Beban Jumlah Jasa Yang Total

No Nama Jabatan Absensi Jumlah PPh 21
Terakhir Pendidikan Kerja PNS Kerja akan dibagikan Uang
1 Linda
PLT UPT PKM Curup SMA 15 20 30 23 88 45,644,310 870,924 43,546
2 dr.Syafri Nur
Dokter Gigi S1 Kedokteran 150 5 20 10 185 45,644,310 1,830,919 91,546
6 Giyanti Handayani
Perawat Gigi SPRG 40 20 15 7 82 45,644,310 811,542 40,577
7 Siti Sumiarsih
8 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 25 95 45,644,310 940,202 47,010
9 Rasmini,Am.Kep
10 Masitawati
Perawat SPK 40 20 15 20 95 45,644,310 940,202 47,010
11 Komisa Yanti,SST
12 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 22 112 45,644,310 1,108,448 55,422
13 Betti,S.Far.Apt
Pet.Gudang Farmasi S1 Apoteker 100 9 20 19 148 45,644,310 1,464,735 73,237
Pet. Gizi SKM 60 9 10 14 93 45,644,310 920,408 46,020
Perawat S1 .Keperawatan 60 20 15 18 113 45,644,310 1,118,345 55,917
17 Erni Susanti
Pet.Loket Askes SMA Pekarya 15 20 10 24 69 45,644,310 682,883 34,144
18 Ririn Afrianti
Pet.Apotik SMA Pekarya 15 20 10 19 64 45,644,310 633,399 31,670
19 Santoso
Perawat SPK 40 20 15 21 96 45,644,310 950,098 47,505
Bidan SKM 60 13 10 9 92 45,644,310 910,511 45,526

Bidan D4 Bidan 60 20 15 23 118 45,644,310 1,167,829 58,391
24 Edi Sugianto,SKM
Perawat SKM 60 9 10 19 98 45,644,310 969,892 48,495
Perawat S1 Bedah 60 5 15 18 98 45,644,310 969,892 48,495
28 Liza Efrian Siska, Am.Kep
Perawat SKM 60 7 10 17 94 45,644,310 930,305 46,515
Rina Puspita ratih,
36
Am.Kep Perawat D3 Keperawatan 40 2 15 4 61 45,644,310 603,708 -
37 Rita Andriyani
Perawat SPK 25 7 15 0 47 45,644,310 465,152 -
38 Betty Novianti
Marissa
40
Trijayanti,Am.Kep Perawat D3 Keperawatan 40 3 15 4 62 45,644,310 613,605 -
41 Nining Huzaimah

Bidan Pustu D3 Kebidanan 40 3 15 20 78 45,644,310 771,955 -
Bidan Desa D3 Kebidanan 40 7 15 23 85 45,644,310 841,233 42,062
44 Leny Marlina
Pet. Kesling D1 Kesling 25 7 10 17 59 45,644,310 583,915 -
46 Yuliana
Petugas Loket SMA 25 5 10 4 44 45,644,310 435,462 -
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 21 49 45,644,310 484,946 24,247
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 20 48 45,644,310 475,049 23,752
JUMLAH 2505 549 735 858 1,889,805
4612 45,644,310 45,644,310
Curup, 2015
LI N DA
Nip:19621210 199203 2 003
Jumlah
Tanda Tangan
diterima
804,492 1
1,663,557 2
1,707,310 3
1,698,371 4
893,880 5
786,614 6
867,063 7
849,186 8
813,430 9
893,880 10
1,045,839 11
1,027,961 12
1,340,819 13
840,247 14
1,019,023 15
1,072,655 16
598,899 17
625,716 18
893,880 19
858,124 20
983,267 21
813,430 22
1,072,655 23
893,880 24
911,757 25
706,165 26
554,205 27
777,675 28
1,090,533 29
777,675 30
858,124 31
790,378 32
809,196 33
837,424 34
837,424 35
658,648 36
442,235 37
837,424 38
762,150 39
658,648 40
818,605 41
780,968 42
777,675 43
583,374 44
799,787 45
677,467 46
818,605 47
470,463 48
473,756 49
473,756 50
733,922 51
498,691 52
498,691 53
498,691 54
498,691 55
498,691 56
489,281 57
498,691 58
489,281 59
498,691 60
498,691 61
48,750,308
2016
T.Puskesmas Curup
LI N DA
10 199203 2 003
Jumlah
Tanda Tangan
diterima
827,377 1
1,690,878 2
1,739,373 3
1,711,167 4
921,397 5
770,965 6
855,583 7
893,191 8
808,573 9
893,191 10
1,081,232 11
1,053,026 12
1,391,498 13
874,387 14
1,024,820 15
1,062,428 16
648,739 17
601,729 18
902,593 19
864,985 20
987,212 21
780,367 22
1,109,438 23
921,397 24
921,397 25
705,151 26
582,925 27
770,965 28
1,147,046 29
789,769 30
883,789 31
791,749 32
791,749 33
880,820 34
851,130 35
603,708 36
465,152 37
831,336 38
762,058 39
613,605 40
851,130 41
771,955 42
799,171 43
583,915 44
801,646 45
663,089 46
791,749 47
435,462 48
460,699 49
451,297 50
336,493 51
43,754,505
Curup, 2015
Mengetahui
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp.50.328.000,- (Lima Puluh Juta Tiga Ratus Dua Puluh Delapan Ribu Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Februari 2016
Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

No Nama Jabatan Absensi Jumlah PPh 21 Tanda Tangan
Terakhir PendidikanKerja PNS Kerja akan dibagikan Uang diterima
1 Linda
PLT UPT PKM Curup SMA 15 20 30 24 89 50,328,000 834,114 41,706 792,408 1
2 dr.Syafri Nur
Dokter Umum S1 Kedokteran 150 13 20 24 207 50,328,000 1,940,018 291,003 1,649,015 2
Dokter Gigi S1 Kedokteran 150 5 20 18 193 50,328,000 1,808,809 90,440 1,718,368 3
Bidan D3 Kebidanan 40 20 15 23 98 50,328,000 918,463 45,923 872,539 5
6 Giyanti Handayani
Perawat Gigi SPRG 40 20 15 18 93 50,328,000 871,602 43,580 828,022 6
7 Siti Sumiarsih
8 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 24 94 50,328,000 880,974 44,049 836,926 8
9 Rasmini,Am.Kep
Perawat D3 Keperawatan 40 20 15 24 99 50,328,000 927,835 46,392 881,443 9
10 Masitawati
Perawat SPK 40 20 15 24 99 50,328,000 927,835 46,392 881,443 10
11 Komisa Yanti,SST
Bidan D4 Kebidanan 60 20 15 24 119 50,328,000 1,115,276 55,764 1,059,512 11
12 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 24 114 50,328,000 1,068,416 53,421 1,014,995 12
13 Betti,S.Far.Apt
Pet.Gudang Farmasi S1 Apoteker 100 9 20 24 153 50,328,000 1,433,926 71,696 1,362,230 13
Pet. Gizi SKM 60 9 10 24 103 50,328,000 965,323 48,266 917,057 14
Perawat S1 .Keperawatan 60 20 15 24 119 50,328,000 1,115,276 55,764 1,059,512 16
17 Erni Susanti
Pet.Loket Askes SMA Pekarya 15 20 10 24 69 50,328,000 646,673 32,334 614,339 17
18 Ririn Afrianti
Pet.Apotik SMA Pekarya 15 20 10 24 69 50,328,000 646,673 32,334 614,339 18
19 Santoso
Perawat SPK 40 20 15 24 99 50,328,000 927,835 46,392 881,443 19
Nurwati Hutabarat,
20
SKM Bidan SKM 60 13 10 24 107 50,328,000 1,002,811 50,141 952,671 20
Perawat S1 Keperawatan 60 13 15 20 108 50,328,000 1,012,183 50,609 961,574 21
Widya Apriyanti,
22
Am.Kep Perawat D3 Keperawatan 40 9 15 24 88 50,328,000 824,742 41,237 783,505 22
Bidan D4 Bidan 60 20 15 24 119 50,328,000 1,115,276 55,764 1,059,512 23
24 Edi Sugianto,SKM
Perawat SKM 60 9 10 24 103 50,328,000 965,323 48,266 917,057 24
Ari
25
Kurniawati,Am.Kep Perawat D4 Bedah 60 5 15 24 104 50,328,000 974,695 48,735 925,960 25
Liza Efrian Siska,
28
Perawat S1 Keperawatan 60 7 30 17 114 50,328,000 1,068,416 53,421 1,014,995 29
Perawat SKM 60 7 10 24 101 50,328,000 946,579 47,329 899,250 31
Dhevy L.Astuti,
32
Am.Kep Perawat D3 Keperawatan 40 5 15 24 84 50,328,000 787,254 - 787,254 32
Perawat D3 Keperawatan 40 7 15 24 86 50,328,000 805,998 - 805,998 33
Bidan D1 Kebidanan 40 9 15 24 88 50,328,000 824,742 - 824,742 34
Meilian Fransiska
35
am.keb Bidan D3 Kebidanan 40 9 15 15 79 50,328,000 740,393 - 740,393 35
Rina Puspita ratih,

36
37 Rita Andriyani
Perawat SPK 25 7 15 0 47 50,328,000 440,487 - 440,487 37
38 Betty Novianti
Marissa
40
Trijayanti,Am.Kep Perawat D3 Keperawatan 40 3 15 10 68 50,328,000 637,301 - 637,301 40
41 Nining Huzaimah
Indah L Utami,
42
Am.Kep Bidan Pustu D3 Kebidanan 40 3 15 24 82 50,328,000 768,509 - 768,509 42
Nuke Mayasari, Am.
43
Keb Bidan Desa D3 Kebidanan 40 7 15 24 86 50,328,000 805,998 40,300 765,698 43
44 Leny Marlina
Pet. Kesling D1 Kesling 25 7 10 24 66 50,328,000 618,556 - 618,556 44
Yenni Wulandari
45
Am.Keb Bidan Desa D3 Kebidanan 40 5 15 24 84 50,328,000 787,254 - 787,254 45
46 Yuliana
Bidan Desa D1 Kebidanan 25 7 15 24 71 50,328,000 665,417 - 665,417 46
Petugas Loket SMA 25 5 10 13 53 50,328,000 496,720 - 496,720 48
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 24 52 50,328,000 487,347 24,367 462,980 49
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 24 52 50,328,000 487,347 24,367 462,980 50
Tenaga Honor Honorer 25 3 0 21 49 50,328,000 459,231 - 459,231 52
Yuni budiarini ,
53 Am.Keb
54 Yuliana, Am.Kep
Shinta Oktavia Lestari,
55 Am.Keb
Monalieca, Am.Keb
Tenaga Honor Honorer 25 3 0 24 52 50,328,000 487,347 487,347 60
61 Ade Rizki
Oktasari,Am.Keb Tenaga Honor Honorer 25 3 0 24 52 50,328,000 487,347 487,347 61
JUMLAH
2755 579 735 1301 5370 50,328,000 50,328,000 1,873,476 48,454,524
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp.50.328.000,- (Lima Puluh Juta Tiga Ratus Dua Puluh Delapan Ribu Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Februari 2016

1 Linda
2 dr.Syafri Nur
6 Giyanti Handayani
Perawat Gigi SPRG 40 20 15 8 83 45,670,086 838,447 41,922 796,524 6
7 Siti Sumiarsih
8 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 24 94 45,670,086 949,566 47,478 902,088 8
9 Rasmini,Am.Kep
10 Masitawati
Perawat SPK 40 20 15 17 92 45,670,086 929,363 46,468 882,894 10
11 Komisa Yanti,SST
12 Widiana,SKM
13 Betti,S.Far.Apt
Pet. Gizi SKM 60 9 10 20 99 45,670,086 1,000,075 50,004 950,071 14
-
17 Erni Susanti
18 Ririn Afrianti
19 Santoso
Perawat SPK 40 20 15 19 94 45,670,086 949,566 47,478 902,088 19
Nurwati Hutabarat,
20
SKM Bidan SKM 60 13 10 20 103 45,670,086 1,040,482 52,024 988,458 20
Widya Apriyanti,
22
Bidan D4 Bidan 60 20 15 16 111 45,670,086 1,121,296 56,065 1,065,231 23
24 Edi Sugianto,SKM
Perawat SKM 60 9 10 20 99 45,670,086 1,000,075 50,004 950,071 24
Ari
25
Kurniawati,Am.Kep Perawat D4 Bedah 60 5 15 17 97 45,670,086 979,871 48,994 930,878 25
Liza Efrian Siska,
28
Perawat SKM 60 7 10 20 97 45,670,086 979,871 48,994 930,878 31
Dhevy L.Astuti,
32
Meilian Fransiska
35
-
Rina Puspita ratih,
36
37 Rita Andriyani
Perawat SPK 25 7 15 0 47 45,670,086 474,783 - 474,783 37
38 Betty Novianti
Marissa
40
41 Nining Huzaimah
Indah L Utami,
42
Am.Kep Bidan Pustu D3 Kebidanan 40 3 15 17 75 45,670,086 757,632 - 757,632 42
Nuke Mayasari, Am.
43
44 Leny Marlina
Yenni Wulandari
45
46 Yuliana
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 15 43 45,670,086 434,376 21,719 412,657 49
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 14 42 45,670,086 424,274 21,214 403,060 50
JUMLAH 2,505 549 735 765 4521 45,670,086 45,670,086 1,900,142 43,769,944
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp.50.198.000,- (Lima Puluh Juta SeRatus Sembilan Puluh Delapan Ribu Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Maret 2016

1 Linda
2 dr.Syafri Nur
Dokter Umum S1 Kedokteran 150 13 20 25 208 50,198,000 1,891,519 283,728 1,607,791
6 Siti Sumiarsih
Bidan D1 Kebidanan 40 20 15 25 100 50,198,000 909,384 45,469 863,915
7 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 25 95 50,198,000 863,915 43,196 820,719 7
8 Rasmini,Am.Kep
Perawat D3 Keperawatan 40 20 15 25 100 50,198,000 909,384 45,469 863,915
9 Masitawati
Perawat SPK 40 20 15 25 100 50,198,000 909,384 45,469 863,915 9
10 Komisa Yanti,SST
Bidan D4 Kebidanan 60 20 15 25 120 50,198,000 1,091,261 54,563 1,036,698
11 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 25 115 50,198,000 1,045,792 52,290 993,502 11
12 Betti,S.Far.Apt
Pet.Gudang Farmasi S1 Apoteker 100 9 20 25 154 50,198,000 1,400,451 70,023 1,330,429
Pet. Gizi SKM 60 9 10 25 104 50,198,000 945,759 47,288 898,471 13
16 Erni Susanti
Pet.Loket Askes SMA Pekarya 15 20 10 13 58 50,198,000 527,443 26,372 501,071
17 Ririn Afrianti
18 Santoso
Perawat SPK 40 20 15 25 100 50,198,000 909,384 45,469 863,915
Nurwati Hutabarat,
19
SKM Bidan SKM 60 13 10 25 108 50,198,000 982,135 49,107 933,028 19
Perawat S1 Keperawatan 60 13 15 25 113 50,198,000 1,027,604 51,380 976,224
Widya Apriyanti,
21
Bidan D4 Bidan 60 20 15 25 120 50,198,000 1,091,261 54,563 1,036,698
23 Edi Sugianto,SKM
Perawat SKM 60 9 10 25 104 50,198,000 945,759 47,288 898,471 23
Ari
24
Kurniawati,Am.Kep Perawat D4 Bedah 60 5 15 25 105 50,198,000 954,853 47,743 907,111
Liza Efrian Siska,
27
Perawat S1 Keperawatan 60 7 30 25 122 50,198,000 1,109,449 55,472 1,053,976
Perawat SKM 60 7 10 25 102 50,198,000 927,572 46,379 881,193
31 Sri Marlina, AMG
Petugas Gizi D3 Gizi 40 3 10 22 75 50,198,000 682,038 34,102 647,936 31
Dhevy L.Astuti,
32
Am.Kep Perawat D3 Keperawatan 40 5 15 25 85 50,198,000 772,976 - 772,976
Bidan D1 Kebidanan 40 9 15 22 86 50,198,000 782,070 - 782,070
Meilian Fransiska
35
Rina Puspita ratih,
36
Am.Kep Perawat D3 Keperawatan 40 2 15 25 82 50,198,000 745,695 - 745,695
37 Rita Andriyani
Perawat SPK 40 7 15 18 80 50,198,000 727,507 - 727,507 37
38 Betty Novianti
Marissa
40
Trijayanti,Am.Kep Perawat D3 Keperawatan 40 3 15 11 69 50,198,000 627,475 - 627,475
41 Nining Huzaimah
Indah L Utami,
42
Am.Kep Bidan Pustu D3 Kebidanan 40 3 15 25 83 50,198,000 754,789 - 754,789
Nuke Mayasari, Am.
43
44 Leny Marlina
Pet. Kesling D1 Kesling 25 7 10 20 62 50,198,000 563,818 - 563,818
Yenni Wulandari
45
46 Yuliana
Bidan Desa D1 Kebidanan 25 7 15 25 72 50,198,000 654,757 - 654,757
Petugas Loket SMA 25 5 10 13 53 50,198,000 481,974 - 481,974
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 25 53 50,198,000 481,974 24,099 457,875 49
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 25 53 50,198,000 481,974 24,099 457,875
Ade Puspitasari,
52 Am.Keb
Bidan D3 Keperawatan 25 1 0 15 41 41,985,000 311,845 15,592 296,253
54 Yuni budiarini , Am.Keb
Tenaga Honor Honorer 25 3 0 25 53 50,198,000 481,974 - 481,974
55 Yuliana, Am.Kep
Shinta Oktavia Lestari,
56 Am.Keb
58 Monalieca, Am.Keb
Tenaga Honor Honorer 25 3 0 25 53 50,198,000 481,974 481,974 61
62 Ade Rizki
Oktasari,Am.Keb Tenaga Honor Honorer 25 3 0 25 53 50,198,000 481,974 481,974
JUMLAH
2795 563 730 1432 5520 50,198,000 50,198,000 1,843,000 48,355,000
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp.50.198.000,- (Lima Puluh Juta SeRatus Sembilan Puluh Delapan Ribu Rupiah)
Guna membayar : Jasa Pelayanan BPJS Bulan Maret 2016

1 Linda
2 dr.Syafri Nur
6 Siti Sumiarsih
7 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 24 94 45,423,730 909,055 45,453 863,602 7
8 Rasmini,Am.Kep
9 Masitawati
Perawat SPK 40 20 15 21 96 45,423,730 928,396 46,420 881,977 9
10 Komisa Yanti,SST
Bidan D4 Kebidanan 60 20 15 22 117 45,423,730 1,131,483 56,574 1,074,909
11 Widiana,SKM
12 Betti,S.Far.Apt
Pet.Gudang Farmasi S1 Apoteker 100 9 20 17 146 45,423,730 1,411,936 70,597 1,341,339
Pet. Gizi SKM 60 9 10 22 101 45,423,730 976,750 48,838 927,913 13
Bidan D4 Kebidanan 60 20 15 10 105 45,423,730 1,015,434 50,772 964,662 14
Perawat S1 .Keperawatan 60 20 15 17 112 45,423,730 1,083,129 54,156 1,028,973
16 Erni Susanti
17 Ririn Afrianti
Pet.Apotik SMA Pekarya 15 20 10 17 62 45,423,730 599,589 29,979 569,610
-
18 Santoso
Perawat SPK 40 20 15 20 95 45,423,730 918,726 45,936 872,789 18
Nurwati Hutabarat,
19
SKM Bidan SKM 60 13 10 21 104 45,423,730 1,005,763 50,288 955,475
Widya Apriyanti,
21
Am.Kep Perawat D3 Keperawatan 40 9 15 20 84 45,423,730 812,347 40,617 771,730
Bidan D4 Bidan 60 20 15 17 112 45,423,730 1,083,129 54,156 1,028,973 22
23 Edi Sugianto,SKM
Perawat SKM 60 9 10 21 100 45,423,730 967,080 48,354 918,726
24 Ari Kurniawati,SST
Perawat D4 Bedah 60 5 15 18 98 45,423,730 947,738 47,387 900,351 24
Liza Efrian Siska,
27
Perawat SKM 60 7 10 24 101 45,423,730 976,750 48,838 927,913 30
31 Sri Marlina, AMG
Petugas Gizi S1 Gizi 40 3 10 18 35 45,423,730 338,478 16,924 321,554
Dhevy L.Astuti,
32
Perawat D3 Keperawatan 40 7 15 18 80 45,423,730 773,664 - 773,664
Meilian Fransiska
35
am.keb Bidan D3 Kebidanan 40 9 15 25 89 45,423,730 860,701 - 860,701
Rina Puspita ratih,
36
37 Rita Andriyani
Perawat SPK 25 7 15 13 60 45,423,730 580,248 - 580,248
-
38 Betty Novianti
Marissa
40
Trijayanti,Am.Kep Perawat D3 Keperawatan 40 3 15 10 68 45,423,730 657,614 - 657,614
41 Nining Huzaimah
Indah L Utami,
42
Am.Kep Bidan Pustu D3 Kebidanan 40 3 15 22 80 45,423,730 773,664 - 773,664
Nuke Mayasari, Am.
43
44 Leny Marlina
Yenni Wulandari
45
46 Yuliana
Dewi Aprita Sarteli
49 Am.Keb
Bidan Desa PTT 25 3 0 21 49 45,423,730 473,869 23,693 450,176 49
50 Lia Am.Keb
Bidan Desa PTT 25 3 0 21 49 45,423,730 473,869 23,693 450,176
Ade Puspitasari,
52 Am.Keb
JUMLAH
2,530 533 730 957 4697 45,423,730 45,423,730 1,851,957 43,571,773
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003
Tanda Tangan
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46
48
50
52
54
56
58
60
62
Tanda Tangan
10
12
15
17
19
21
23
25
27
29
31
33
35
37
38
40
42
44
46
48
50
52

Uang sebanyak : Rp. 41.985.000,- ( Empat Puluh Satu Juta Sembilan Ratus Delapan Puluh Lima Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan April 2016

1 Linda
2 dr.Syafri Nur
5 Siti Sumiarsih
6 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 26 96 41,985,000 846,223 42,311 803,912
7 Rasmini,Am.Kep
8 Masitawati
Perawat SPK 40 20 15 26 101 41,985,000 890,297 44,515 845,782
9 Komisa Yanti,SST
10 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 26 116 41,985,000 1,022,519 51,126 971,393
11 Betti,S.Far.Apt
Pet. Gizi SKM 60 9 10 26 105 41,985,000 925,556 46,278 879,279
14 Erni Susanti
15 Ririn Afrianti
16 Santoso
Perawat SPK 40 20 15 26 101 41,985,000 890,297 44,515 845,782
Bidan SKM 60 13 10 26 109 41,985,000 960,816 48,041 912,775 17

Bidan D4 Bidan 60 20 15 26 121 41,985,000 1,066,594 53,330 1,013,264 20
21 Edi Sugianto,SKM
Perawat SKM 60 9 10 26 105 41,985,000 925,556 46,278 879,279
Perawat S1 Bidan 60 5 15 26 106 41,985,000 934,371 46,719 887,653 22
Liza Efrian Siska,
25
Perawat SKM 60 7 10 26 103 41,985,000 907,927 45,396 862,530 28
29 Sri Marlina, AMG
Rina Puspita ratih,
34
35 Rita Andriyani
Perawat SPK 40 7 15 26 88 41,985,000 775,704 - 775,704
36 Betty Novianti
Marissa
38
39 Nining Huzaimah
Bidan Pustu D3 Kebidanan 40 3 15 26 84 41,985,000 740,445 - 740,445
Bidan Desa D3 Kebidanan 40 7 15 26 88 41,985,000 775,704 38,785 736,919 41
42 Leny Marlina
44 Yuliana
Dewi Aprita Sarteli
47 Am.Keb
Bidan Desa PTT 25 3 0 26 54 41,985,000 476,000 23,800 452,200 47
48 Lia Am.Keb
Bidan Desa PTT 25 3 0 26 54 41,985,000 476,000 23,800 452,200
Perawat D3 Keperawatan 40 9 15 24 88 41,985,000 775,704 775,704 49
50 Ade Puspitasari, Am.Keb
JUMLAH
2,310 507 695 1199 4,763 41,985,000 41,985,000 1,673,053 40,311,947
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003

Uang sebanyak : Rp. 41.985.000,- ( Empat Puluh Satu Juta Sembilan Ratus Delapan Puluh Lima Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan April 2016

1 Linda
2 dr.Syafri Nur
5 Siti Sumiarsih
6 Izhar Pandi
Pet.Gizi D1 Gizi 40 20 10 26 96 41,885,000 904,806 45,240 859,566
7 Rasmini,Am.Kep
8 Masitawati
Perawat SPK 40 20 15 21 96 41,885,000 904,806 45,240 859,566
9 Komisa Yanti,SST
10 Widiana,SKM
Pet.Laboratorium SKM 60 20 10 22 112 41,885,000 1,055,608 52,780 1,002,827
11 Betti,S.Far.Apt
Pet. Gizi SKM 60 9 10 22 101 41,885,000 951,932 47,597 904,335
14 Erni Susanti
15 Ririn Afrianti
16 Santoso
Perawat SPK 40 20 15 22 97 41,885,000 914,232 45,712 868,520
Bidan SKM 60 13 10 22 105 41,885,000 989,632 49,482 940,150 17

Bidan D4 Bidan 60 20 15 21 116 41,885,000 1,093,308 54,665 1,038,642 20
21 Edi Sugianto,SKM
Perawat SKM 60 9 10 20 99 41,885,000 933,082 46,654 886,428
Perawat S1 Bedah 60 5 15 20 100 41,885,000 942,507 47,125 895,381 22
Liza Efrian Siska,
25
Perawat SKM 60 9 10 23 102 41,885,000 961,357 48,068 913,289 28
29 Sri Marlina, AMG
Rina Puspita ratih,
34
35 Rita Andriyani
Perawat SPK 40 9 15 18 82 41,885,000 772,856 - 772,856
36 Betty Novianti
Marissa
38
39 Nining Huzaimah
Bidan Pustu D3 Kebidanan 40 3 15 20 78 41,885,000 735,155 - 735,155 40
Bidan Desa D3 Kebidanan 40 7 15 20 82 41,885,000 772,856 38,643 734,213
42 Leny Marlina
44 Yuliana
Dewi Aprita Sarteli
47 Am.Keb
Bidan Desa PTT 25 3 0 19 47 41,885,000 442,978 22,149 420,829
48 Lia Am.Keb
Bidan Desa PTT 25 3 0 20 48 41,885,000 452,403 22,620 429,783 48
50 Ade Puspitasari, Am.Keb
JUMLAH
2,335 532 695 937 4444 41,885,000 41,885,000 1,681,432 40,203,568
Curup, 2016
Mengetahui
LI N DA
Nip:19621210 199203 2 003
Tanda Tangan
10
12
14
16
19
21
23
25
27
29
31
33
35
37
40
42
44
46
48
50
Tanda Tangan
2
10
12
14
16
19
21
23
25
27
29
31
33
35
37
39
41
43
45
47
49
50

Uang sebanyak : Rp. 41.988.000,- ( Empat Puluh Satu Juta Sembilan Ratus Delapan Puluh Delapan Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Mei 2016
Kehadiran
Jumlah Penerimaan
Jumlah Rangkaap Tanggung Jumlah Point
Pendidikan Jenis Mmasa Jumlah Presentase Total kapitasi dengan
No Nama Jabatan Hari Tugas Jawab Variabel
terakhir Ketenagaan Kerja Hari administratif Program Ketenagaan Kehadiran Seluruh jumlah Peserta
Masuk Point 13.934
Kerja
Kerja
1 2 3 4 5 6 7 8 9 10
1 Linda PLT UPT PKM Curup SMA 25 20 26 26 30 0 75 100% 75 41,988,000
2 dr.Syafri Nur Dokter Umum S1 Kedokteran 150 10 26 26 0 0 160 100% 160 41,988,000
3 drg. Rina Luxviani Dokter Gigi S1 Kedokteran 150 5 26 26 0 0 155 100% 155 41,988,000
4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 26 26 0 0 85 100% 85 41,988,000
5 Siti Sumiarsih Bidan D1 Kebidanan 50 25 26 26 0 0 75 100% 75 41,988,000
6 Izhar Pandi Pet.Gizi D1 Gizi 50 25 26 26 0 0 75 100% 75 41,988,000
7 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 26 26 0 0 85 100% 85 41,988,000
8 Masitawati Perawat SPK 50 25 26 26 0 0 75 100% 75 41,988,000
9 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 26 26 0 0 100 100% 100 41,988,000
10 Widiana,SKM Pet.Laboratorium SKM 80 20 26 26 0 0 100 100% 100 41,988,000
11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 26 26 0 0 105 100% 105 41,988,000
12 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 26 26 0 10 100 100% 100 41,988,000
13 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 26 26 0 0 100 100% 100 41,988,000
14 Erni Susanti Pet.Loket Askes SMA Pekarya 25 25 26 26 0 0 50 100% 50 41,988,000
15 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 26 26 0 0 50 100% 50 41,988,000
16 Santoso Perawat SPK 50 25 26 26 0 0 75 100% 75 41,988,000
17 Nurwati Hutabarat, SKM Bidan SKM 80 15 26 26 0 0 95 100% 95 41,988,000
18 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 26 26 0 0 95 100% 95 41,988,000
19 Widya Apriyanti, Am.Kep Perawat D3 Keperawatan 60 10 26 26 0 0 70 100% 70 41,988,000
20 Susita Maryani, SST Bidan D4 Bidan 80 20 26 26 0 0 100 100% 100 41,988,000
21 Edi Sugianto,SKM Perawat SKM 80 10 26 26 0 0 90 100% 90 41,988,000
22 Ari Kurniawati,Am.Kep Perawat D4 Bedah 80 5 26 26 0 0 85 100% 85 41,988,000
23 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
24 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
25 Liza Efrian Siska, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
26 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 26 26 50 0 135 100% 135 41,988,000
27 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,988,000
28 Resi Sandora, SKM Perawat SKM 80 5 26 26 0 0 85 100% 85 41,988,000
29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 26 26 0 0 65 100% 65 41,988,000

30 Vera Arisandi, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
31 Dewi Susanti,S.Sos Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 41,988,000
32 Meilian Fransiska am.keb Bidan D3 Kebidanan 60 10 26 26 0 0 70 100% 70 41,988,000
33 Rina Puspita ratih, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
34 Rita Andriyani Perawat SPK 50 5 26 26 0 0 55 100% 55 41,988,000
35 Betty Novianti Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 41,988,000
36 Meri Hastuti,Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,988,000
37 Nining Huzaimah Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,988,000
38 Indah L Utami, Am.Kep Bidan Pustu D3 Kebidanan 60 5 26 26 0 10 75 100% 75 41,988,000
39 Nuke Mayasari, Am. Keb Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,988,000
40 Leny Marlina Pet. Kesling D1 Kesling 50 5 26 26 0 0 55 100% 55 41,988,000
41 Yenni Wulandari Am.Keb Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,988,000
42 Yuliana Bidan Desa D1 Kebidanan 50 5 26 26 0 0 55 100% 55 41,988,000
43 Yulita Siregar, Am.Keb Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,988,000
44 Ilhamda Hutabarat Petugas Loket SMA 25 5 26 26 0 0 30 100% 30 41,988,000
45 Dewi Aprita Sarteli Am.Keb Bidan Desa PTT 60 0 26 26 0 0 60 100% 60 41,988,000
46 Lia Am.Keb Bidan Desa PTT 60 0 26 26 0 0 60 100% 60 41,988,000
47 Lina Marlinda, Am.Kep Perawat D3 Keperawatan 60 10 26 26 0 0 70 100% 70 41,988,000
48 Ade Puspitasari, Am.Keb Bidan D3 Keperawatan 60 0 26 26 0 0 60 100% 60 41,988,000
JUMLAH 3,090 520 1,248 1248 80 20 3,710 100% 3,710 41,988,000
Curup, 2016
Mengetahui
LI N DA
NIP. 19621210 199203 2 003

Uang sebanyak : Rp. 41.988.000,- ( Empat Puluh Satu Juta Sembilan Ratus Delapan Puluh Delapan Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Mei 2016
Kehadiran
Jumlah Penerimaan
terakhir Ketenagaan Kerja Hari administratif Program Ketenagaan Kehadiran Seluruh jumlah Peserta
Masuk Point 13.934
Kerja
Kerja
1 2 3 4 5 6 7 8 9 10
11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 0 26 0 0 105 0% - 41,888,000
19 Widya Apriyanti, Am.Kep Perawat D3 Keperawatan 60 10 24 26 0 0 70 92% 65 41,888,000
25 Liza Efrian Siska, Am.Kep Perawat D3 Keperawatan 60 5 19 26 0 0 65 73% 48 41,888,000

32 Meilian Fransiska am.keb Bidan D3 Kebidanan 60 10 22 26 0 0 70 85% 59 41,888,000
33 Rina Puspita ratih, Am.Kep Perawat D3 Keperawatan 60 5 19 26 0 0 65 73% 48 41,888,000
39 Nuke Mayasari, Am. Keb Bidan Desa D3 Kebidanan 60 5 20 26 0 0 65 77% 50 41,888,000
41 Yenni Wulandari Am.Keb Bidan Desa D3 Kebidanan 60 5 17 26 0 0 65 65% 43 41,888,000
45 Dewi Aprita Sarteli Am.Keb Bidan Desa PTT 60 0 14 26 0 0 60 54% 32 41,888,000
49 dr. Melly Dokter Umum S1 Kedokteran 75 0 9 26 0 0 75 35% 26 41,888,000
50 dr. Wati Dokter Umum S1 Kedokteran 75 0 5 26 0 0 75 19% 14 41,888,000
JUMLAH 3,060 520 944 1248 80 20 3830 76% 2,897 41,888,000
Curup, 2016
Mengetahui
LI N DA
NIP. 19621210 199203 2 003
Jasa
Pelayanan
Total Uang PPH 21 Yang diterima Tanda Tangan
dengan
peserta 13.934
11
848,814 42,441 806,373 1
1,810,803 271,620 1,539,183 2
1,754,216 87,711 1,666,505 3
961,989 48,099 913,890 4
848,814 42,441 806,373 5
848,814 42,441 806,373 6
961,989 48,099 913,890 7
848,814 42,441 806,373 8
1,131,752 56,588 1,075,164 9
1,131,752 56,588 1,075,164 10
1,188,340 59,417 1,128,923 11
1,131,752 56,588 1,075,164 12
1,131,752 56,588 1,075,164 13
565,876 28,294 537,582 14
565,876 28,294 537,582 15
848,814 42,441 806,373 16
1,075,164 53,758 1,021,406 17
1,075,164 53,758 1,021,406 18
792,226 39,611 752,615 19
1,131,752 56,588 1,075,164 20
1,018,577 50,929 967,648 21
961,989 48,099 913,890 22
735,639 36,782 698,857 23
735,639 36,782 698,857 24
735,639 36,782 698,857 25
1,527,865 76,393 1,451,472 26
735,639 36,782 698,857 27
961,989 48,099 913,890 28
735,639 36,782 698,857 29

735,639 735,639 30
679,051 679,051 31
792,226 792,226 32
735,639 735,639 33
622,464 622,464 34
679,051 679,051 35
735,639 735,639 36
735,639 735,639 37
848,814 848,814 38
735,639 36,782 698,857 39
622,464 622,464 40
735,639 735,639 41
622,464 622,464 42
735,639 735,639 43
339,526 339,526 44
679,051 33,953 645,099 45
679,051 33,953 645,099 46
792,226 792,226 47
679,051 679,051 48
41,988,000 1,725,922 40,262,078
2016
engetahui
T.Puskesmas Curup
I N DA
210 199203 2 003
Jasa
Pelayanan
dengan
peserta 13.934
11
875,888 43,794 832,093 1
1,601,623 240,243 1,361,379 2
1,723,969 86,198 1,637,771 3
1,229,023 61,451 1,167,572 6
709,052 35,453 673,599 7
1,084,432 54,222 1,030,211 8
992,673 49,634 943,039 9
917,596 45,880 871,717 10
1,279,074 63,954 1,215,120 11
1,279,074 63,954 1,215,120 12
- - - 13
1,334,686 66,734 1,267,951 14
1,167,850 58,393 1,109,458 15
722,955 36,148 686,807 16
583,925 29,196 554,729 17
500,507 25,025 475,482 18
1,109,458 55,473 1,053,985 19
1,056,626 52,831 1,003,795 18
934,280 46,714 887,566 19
1,223,462 61,173 1,162,289 20
1,001,014 50,051 950,964 21
1,087,213 54,361 1,032,852 22
650,659 32,533 618,126 23
614,512 30,726 583,786 24
686,807 34,340 652,467 25
1,951,978 97,599 1,854,379 26
795,250 39,763 755,488 27
1,134,483 56,724 1,077,759 28
-
-
-
325,330 16,266 309,063 29
759,103 759,103 30
867,546 867,546 31
856,423 856,423 32
686,807 686,807 33
581,144 581,144 34
667,343 667,343 35
614,512 614,512 36
722,955 722,955 37
834,179 834,179 38
722,955 36,148 686,807 39
642,318 642,318 40
614,512 614,512 41
519,971 519,971 42
722,955 722,955 43
283,621 283,621 44
467,140 23,357 443,783 45
633,976 31,699 602,277 46
778,567 778,567 47
150,152 7,508 142,645 48
375,380 375,380 49
208,545 208,545 50
41,888,741 1,687,543 40,201,198
2016
engetahui
T.Puskesmas Curup
I N DA
210 199203 2 003

Uang sebanyak : Rp. 41.706..000,- ( Empat Puluh Satu Juta Tujuh Ratus Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Juni 2016
Kehadiran
Jumlah Jumlah Penerimaan
Tanggung
Pendidikan Jenis Mmasa Jumlah Rangkaap Tugas Point Presentase Total kapitasi dengan
No Nama Jabatan Jumlah Jawab
terakhir Ketenagaan Kerja Hari administratif Variabel Kehadiran Seluruh jumlah Peserta
Hari Program
Masuk Ketenagaan Point 13.934
Kerja
Kerja
1 2 3 4 5 6 7 8 9 10


Widya Apriyanti,
19 Am.Kep Perawat D3 Keperawatan 60 10 26 26 0 0 70 100% 70 41,706,000

Ari
22 Perawat D4 Bedah 80 5 26 26 0 0 85 100% 85 41,706,000
Kurniawati,Am.Kep
Rika Syafrida,
24 Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 41,706,000
Am.Kep
Liza Efrian Siska,

Am.Kep
Deki Mariani.
27 Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,706,000
Am.Keb

Vera Arisandi,
Am.Kep
Meilian Fransiska
am.keb
Rina Puspita ratih,
Am.Kep


Indah L Utami,
38 Bidan Pustu D3 Kebidanan 60 5 26 26 0 10 75 100% 75 41,706,000
Am.Kep
Nuke Mayasari, Am.
39 Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,706,000
Keb
Yenni Wulandari
Am.Keb
Yulita Siregar,
Am.Keb
Dewi Aprita Sarteli
45 Bidan Desa PTT 60 0 26 26 0 0 60 100% 60 41,706,000
Am.Keb
Lina Marlinda,
Am.Kep
Ade Puspitasari,
48 Bidan D3 Keperawatan 60 0 26 26 0 0 60 100% 60 41,706,000
Am.Keb
JUMLAH 3,090 520 1,248 1248 80 20 3,710 100% 3,710 41,706,000
Curup, 2016
Mengetahui
Fera Damayanti, SST

NIP. 19810930 200604 2 004

Uang sebanyak : Rp. 40.706..000,- ( Empat Puluh Juta Tujuh Ratus Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Juni 2016
Kehadiran
Jumlah Tanggung
Pendidikan Jenis Mmasa Jumlah Rangkaap Tugas Point Presentase Total kapitasi dengan
No Nama Jabatan Hari Jawab
terakhir Ketenagaan Kerja Hari administratif Variabel Kehadiran Seluruh jumlah Peserta
Masuk Program
Kerja Ketenagaan Point 13.919
Kerja
1 2 3 4 5 6 7 8 9 10

11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 0 26 0 0 105 0% - 40,706,000

Widya Apriyanti,
19
Am.Kep
Perawat D3 Keperawatan 60 10 24 26 0 0 70 92% 65 40,706,000


Liza Efrian Siska,
25
Am.Kep


Meilian Fransiska
32
am.keb
Bidan D3 Kebidanan 60 10 23 26 0 0 70 88% 62 40,706,000
Rina Puspita ratih,

33
Am.Kep


Nuke Mayasari, Am.
39
Keb
Bidan Desa D3 Kebidanan 60 5 20 26 0 0 65 77% 50 40,706,000
Yenni Wulandari
41
Am.Keb
Bidan Desa D3 Kebidanan 60 5 20 26 0 0 65 77% 50 40,706,000

Dewi Aprita Sarteli
45
Am.Keb
Bidan Desa PTT 60 0 22 26 0 0 60 85% 51 40,706,000
JUMLAH 3,090 520 1,044 1248 80 20 3785 84% 3,096 40,706,000
Curup, 2016
Mengetahui
Fera Damayanti, SST

NIP. 19810930 200604 2 004
Jasa Pelayanan
Yang diterima
Total Uang PPH 21 Tanda Tangan
dengan peserta
13.919
11
843,113 42,156 800,958 1
1,798,642 269,796 1,528,845 2
1,742,434 87,122 1,655,312 3
955,528 47,776 907,752 4
843,113 42,156 800,958 5
843,113 42,156 800,958 6
955,528 47,776 907,752 7
843,113 42,156 800,958 8
1,124,151 56,208 1,067,943 9
1,124,151 56,208 1,067,943 10
1,180,358 59,018 1,121,341 11
1,124,151 56,208 1,067,943 12
1,124,151 56,208 1,067,943 13

562,075 28,104 533,972 14
562,075 28,104 533,972 15
843,113 42,156 800,958 16
1,067,943 53,397 1,014,546 17
1,067,943 53,397 1,014,546 18
786,906 39,345 747,560 19
1,124,151 56,208 1,067,943 20
1,011,736 50,587 961,149 21
955,528 47,776 907,752 22
730,698 36,535 694,163 23
730,698 36,535 694,163 24
730,698 36,535 694,163 25
1,517,604 75,880 1,441,724 26
730,698 36,535 694,163 27
955,528 47,776 907,752 28
730,698 36,535 694,163 29
730,698 730,698 30
674,491 674,491 31
786,906 39,345 747,560 32
730,698 730,698 33
618,283 618,283 34
674,491 674,491 35
730,698 730,698 36
730,698 730,698 37
843,113 843,113 38
730,698 36,535 694,163 39
618,283 618,283 40
730,698 730,698 41
618,283 618,283 42
730,698 730,698 43
337,245 337,245 44
674,491 33,725 640,766 45
674,491 33,725 640,766 46
786,906 786,906 47
674,491 33,725 640,766 48
41,706,000 1,787,400 39,918,600
2016
Mengetahui
PT.Puskesmas Curup
Damayanti, SST
10930 200604 2 004
Jasa Pelayanan
Yang diterima
Total Uang PPH 21 Tanda Tangan
dengan peserta
13.919
11
796,461 39,823 756,638 1
1,537,297 230,595 1,306,702 2
1,489,256 74,463 1,414,793 3
1,117,574 55,879 1,061,696 4
834,388 41,719 792,669 5
834,388 41,719 792,669 6
902,656 45,133 857,523 7
910,242 45,512 864,729 8
1,213,655 60,683 1,152,973 9
809,104 40,455 768,648 10
- - - 11
1,213,655 60,683 1,152,973 12
910,242 45,512 864,729 13
657,397 32,870 624,527 14

606,828 30,341 576,486 15
872,315 43,616 828,699 16
1,152,973 57,649 1,095,324 17
1,104,932 55,247 1,049,685 18
849,559 42,478 807,081 19
1,264,224 63,211 1,201,013 20
1,092,290 54,614 1,037,675 21
1,031,607 51,580 980,027 22
690,266 34,513 655,753 23
756,006 37,800 718,206 24
821,746 41,087 780,659 25
1,774,971 88,749 1,686,222 26
821,746 41,087 780,659 27
1,074,591 53,730 1,020,861 28
756,006 37,800 718,206 29
788,876 788,876 30
758,535 758,535 31
814,160 40,708 773,452 32
723,136 723,136 33
639,698 639,698 34
697,852 697,852 35
657,397 657,397 36
624,527 624,527 37
758,535 758,535 38
657,397 32,870 624,527 39
528,446 528,446 40
657,397 657,397 41
556,259 556,259 42
624,527 624,527 43
379,267 379,267 44
667,510 33,376 634,135 45
637,169 31,858 605,311 46
707,966 707,966 47
546,145 27,307 518,838 48
379,267 379,267 49
40,700,437 1,714,667 38,985,770
2016
Mengetahui
PT.Puskesmas Curup
Damayanti, SST
10930 200604 2 004

Uang sebanyak : Rp. 41.826..000,- ( Empat Puluh Satu Juta Delapan Ratus Dua Puluh Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Juli 2016
Kehadiran Rangkaap Tanggung Jumlah Point

Pendidikan Jenis Masa Jumlah Presentase Jumlah Total
No Nama Jabatan Jumlah Hari Tugas Jawab Variabel
terakhir Ketenagaan Kerja Hari Kehadiran Seluruh Point
Masuk Kerja administratif Program Ketenagaan
Kerja
1 2 3 4 5 6 7 8 9
1 Linda PLT UPT PKM Curup SMA 25 20 20 20 30 0 75 100% 75
2 dr.Syafri Nur Dokter Umum S1 Kedokteran 150 10 20 20 0 0 160 100% 160
3 drg. Rina Luxviani Dokter Gigi S1 Kedokteran 150 5 20 20 0 0 155 100% 155
4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 20 20 0 0 85 100% 85
5 Siti Sumiarsih Bidan D1 Kebidanan 50 25 20 20 0 0 75 100% 75
6 Izhar Pandi Pet.Gizi D1 Gizi 50 25 20 20 0 0 75 100% 75
7 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 20 20 0 0 85 100% 85
8 Masitawati Perawat SPK 50 25 20 20 0 0 75 100% 75
9 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 20 20 0 0 100 100% 100
10 Widiana,SKM Pet.Laboratorium SKM 80 20 20 20 0 0 100 100% 100
11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 20 20 0 0 105 100% 105
12 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 20 20 0 10 100 100% 100

13 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 20 20 0 0 100 100% 100
14 Erni Susanti Pet.Loket Askes SMA Pekarya 25 25 20 20 0 0 50 100% 50
15 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 20 20 0 0 50 100% 50
16 Santoso Perawat SPK 50 25 20 20 0 0 75 100% 75
17 Nurwati Hutabarat, SKM Bidan SKM 80 15 20 20 0 0 95 100% 95
18 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 20 20 0 0 95 100% 95
19 Widya Apriyanti, Am.Kep Perawat D3 Keperawatan 60 10 20 20 0 0 70 100% 70
20 Susita Maryani, SST Bidan D4 Bidan 80 20 20 20 0 0 100 100% 100
21 Edi Sugianto,SKM Perawat SKM 80 10 20 20 0 0 90 100% 90
22 Ari Kurniawati,Am.Kep Perawat D4 Bedah 80 5 20 20 0 0 85 100% 85
23 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65
24 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65
25 Liza Efrian Siska, Am.Kep Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65
26 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 20 20 50 0 135 100% 135
27 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 20 20 0 0 65 100% 65
28 Resi Sandora, SKM Perawat SKM 80 5 20 20 0 0 85 100% 85
29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 20 20 0 0 65 100% 65
30 Vera Arisandi, Am.Kep Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65

31 Dewi Susanti,S.Sos Bidan D1 Kebidanan 50 10 20 20 0 0 60 100% 60
32 Meilian Fransiska am.keb Bidan D3 Kebidanan 60 10 20 20 0 0 70 100% 70

Rina Puspita ratih,
33 Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65
Am.Kep
34 Rita Andriyani Perawat SPK 50 5 20 20 0 0 55 100% 55
35 Betty Novianti Bidan D1 Kebidanan 50 10 20 20 0 0 60 100% 60
36 Meri Hastuti,Am.Kep Perawat D3 Keperawatan 60 5 20 20 0 0 65 100% 65
37 Nining Huzaimah Bidan D3 Kebidanan 60 5 20 20 0 0 65 100% 65
38 Indah L Utami, Am.Kep Bidan Pustu D3 Kebidanan 60 5 20 20 0 10 75 100% 75
39 Nuke Mayasari, Am. Keb Bidan Desa D3 Kebidanan 60 5 20 20 0 0 65 100% 65
40 Leny Marlina Pet. Kesling D1 Kesling 50 5 20 20 0 0 55 100% 55
41 Yenni Wulandari Am.Keb Bidan Desa D3 Kebidanan 60 5 20 20 0 0 65 100% 65
42 Yuliana Bidan Desa D1 Kebidanan 50 5 20 20 0 0 55 100% 55
43 Yulita Siregar, Am.Keb Bidan Desa D3 Kebidanan 60 5 20 20 0 0 65 100% 65
44 Ilhamda Hutabarat Petugas Loket SMA 25 5 20 20 0 0 30 100% 30

Dewi Aprita Sarteli
45 Bidan Desa PTT 60 0 20 20 0 0 60 100% 60
Am.Keb
46 Lia Am.Keb Bidan Desa PTT 60 0 20 20 0 0 60 100% 60
47 Lina Marlinda, Am.Kep Perawat D3 Keperawatan 60 10 20 20 0 0 70 100% 70
48 Ade Puspitasari, Am.Keb Bidan D3 Keperawatan 60 0 20 20 0 0 60 100% 60
JUMLAH 3,090 520 960 960 80 20 3,710 100% 3,710

Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004

Uang sebanyak : Rp. 40.826..000,- ( Empat Puluh Juta Delapan Ratus Dua Puluh Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Juli 2016
Kehadiran Rangkaap Tanggung Jumlah Point

Pendidikan Jenis Mmasa Jumlah Presentase Jumlah Total
No Nama Jabatan Jumlah Hari Tugas Jawab Variabel
terakhir Ketenagaan Kerja Hari Kehadiran Seluruh Point
Masuk Kerja administratif Program Ketenagaan
Kerja
1 2 3 4 5 6 7 8 9
1 Linda PLT UPT PKM Curup SMA 25 20 16 20 30 0 75 80% 60
2 dr.Syafri Nur Dokter Umum S1 Kedokteran 150 10 13 20 0 0 160 65% 104
3 drg. Rina Luxviani Dokter Gigi S1 Kedokteran 150 5 17 20 0 0 155 85% 132
4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 18 20 0 0 85 90% 77

5 Siti Sumiarsih Bidan D1 Kebidanan 50 25 14 20 0 0 75 70% 53
6 Izhar Pandi Pet.Gizi D1 Gizi 50 25 19 20 0 0 75 95% 71
7 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 15 20 0 0 85 75% 64
8 Masitawati Perawat SPK 50 25 16 20 0 0 75 80% 60
9 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 16 20 0 0 100 80% 80
10 Widiana,SKM Pet.Laboratorium SKM 80 20 18 20 0 0 100 90% 90
11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 0 20 0 0 105 0% -
12 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 16 20 0 10 100 80% 80
13 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 16 20 0 0 100 80% 80
14 Erni Susanti Pet.Loket Askes SMA Pekarya 25 25 19 20 0 0 50 95% 48
15 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 17 20 0 0 50 85% 43
16 Santoso Perawat SPK 50 25 16 20 0 0 75 80% 60
17 Nurwati Hutabarat, SKM Bidan SKM 80 15 16 20 0 0 95 80% 76
18 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 18 20 0 0 95 90% 86
19 Widya Apriyanti, Am.Kep Perawat D3 Keperawatan 60 10 19 20 0 0 70 95% 67
20 Susita Maryani, SST Bidan D4 Bidan 80 20 17 20 0 0 100 85% 85
21 Edi Sugianto,SKM Perawat SKM 80 10 19 20 0 0 90 95% 86
22 Ari Kurniawati,Am.Kep Perawat D4 Bedah 80 5 18 20 0 0 85 90% 77
23 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 15 20 0 0 65 75% 49
24 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 17 20 0 0 65 85% 55

25 Liza Efrian Siska, Am.Kep Perawat D3 Keperawatan 60 5 14 20 0 0 65 70% 46
26 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 19 20 50 0 135 95% 128
27 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 25 26 0 0 65 96% 63
28 Resi Sandora, SKM Perawat SKM 80 5 25 26 0 0 85 96% 82
29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 23 26 0 0 65 88% 58
30 Vera Arisandi, Am.Kep Perawat D3 Keperawatan 60 5 18 20 0 0 65 90% 59
31 Dewi Susanti,S.Sos Bidan D1 Kebidanan 50 10 19 20 0 0 60 95% 57
32 Meilian Fransiska am.keb Bidan D3 Kebidanan 60 10 18 20 0 0 70 90% 63

Rina Puspita ratih,
33 Perawat D3 Keperawatan 60 5 18 20 0 0 65 90% 59
Am.Kep
34 Rita Andriyani Perawat SPK 50 5 17 20 0 0 55 85% 47
35 Betty Novianti Bidan D1 Kebidanan 50 10 18 20 0 0 60 90% 54
36 Meri Hastuti,Am.Kep Perawat D3 Keperawatan 60 5 16 20 0 0 65 80% 52
37 Nining Huzaimah Bidan D3 Kebidanan 60 5 19 20 0 0 65 95% 62
38 Indah L Utami, Am.Kep Bidan Pustu D3 Kebidanan 60 5 15 20 0 10 75 75% 56
39 Nuke Mayasari, Am. Keb Bidan Desa D3 Kebidanan 60 5 18 20 0 0 65 90% 59
40 Leny Marlina Pet. Kesling D1 Kesling 50 5 12 20 0 0 55 60% 33
41 Yenni Wulandari Am.Keb Bidan Desa D3 Kebidanan 60 5 18 20 0 0 65 90% 59
42 Yuliana Bidan Desa D1 Kebidanan 50 5 14 20 0 0 55 70% 39

43 Yulita Siregar, Am.Keb Bidan Desa D3 Kebidanan 60 5 16 20 0 0 65 80% 52
44 Ilhamda Hutabarat Petugas Loket SMA 25 5 20 20 0 0 30 100% 30

Dewi Aprita Sarteli
45 Bidan Desa PTT 60 0 17 20 0 0 60 85% 51
Am.Keb
46 Lia Am.Keb Bidan Desa PTT 60 0 15 20 0 0 60 75% 45
47 Lina Marlinda, Am.Kep Perawat D3 Keperawatan 60 10 18 20 0 0 70 90% 63
48 Ade Puspitasari, Am.Keb Bidan D3 Keperawatan 60 0 14 20 0 0 60 70% 42
49 dr. Melly Dokter Umum S1 Kedokteran 75 0 11 20 0 0 75 55% 41
JUMLAH 3,165 520 822 998 80 20 3785 82% 3,118
Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004
UP
Penerimaan kapitasi Jasa Pelayanan Yang

dengan jumlah Total Uang PPH 21 diterima dengan Tanda Tangan
Peserta 13.934 peserta 13.934
10 11 12 13 14
41,826,000 845,539 42,277 803,262 1
41,826,000 1,803,817 270,573 1,533,244 2
41,826,000 1,747,447 87,372 1,660,075 3
41,826,000 958,278 47,914 910,364 4
41,826,000 845,539 42,277 803,262 5
41,826,000 845,539 42,277 803,262 6
41,826,000 958,278 47,914 910,364 7
41,826,000 845,539 42,277 803,262 8
41,826,000 1,127,385 56,369 1,071,016 9
41,826,000 1,127,385 56,369 1,071,016 10
41,826,000 1,183,755 59,188 1,124,567 11
41,826,000 1,127,385 56,369 1,071,016 12

41,826,000 1,127,385 56,369 1,071,016 13
41,826,000 563,693 28,185 535,508 14
41,826,000 563,693 28,185 535,508 15
41,826,000 845,539 42,277 803,262 16
41,826,000 1,071,016 53,551 1,017,465 17
41,826,000 1,071,016 53,551 1,017,465 18
41,826,000 789,170 39,458 749,711 19
41,826,000 1,127,385 56,369 1,071,016 20
41,826,000 1,014,647 50,732 963,915 21
41,826,000 958,278 47,914 910,364 22
41,826,000 732,801 36,640 696,161 23
41,826,000 732,801 36,640 696,161 24
41,826,000 732,801 36,640 696,161 25
41,826,000 1,521,970 76,099 1,445,872 26
41,826,000 732,801 36,640 696,161 27
41,826,000 958,278 47,914 910,364 28
41,826,000 732,801 36,640 696,161 29
41,826,000 732,801 732,801 30

41,826,000 676,431 676,431 31
41,826,000 789,170 39,458 749,711 32
41,826,000 732,801 732,801 33
41,826,000 620,062 620,062 34
41,826,000 676,431 676,431 35
41,826,000 732,801 732,801 36
41,826,000 732,801 732,801 37
41,826,000 845,539 845,539 38
41,826,000 732,801 36,640 696,161 39
41,826,000 620,062 620,062 40
41,826,000 732,801 732,801 41
41,826,000 620,062 620,062 42
41,826,000 732,801 732,801 43
41,826,000 338,216 338,216 44
41,826,000 676,431 33,822 642,610 45
41,826,000 676,431 33,822 642,610 46
41,826,000 789,170 789,170 47
41,826,000 676,431 33,822 642,610 48
41,826,000 41,826,000 1,792,543 40,033,457

Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004
UP
Penerimaan kapitasi Jasa Pelayanan Yang

dengan jumlah Total Uang PPH 21 diterima dengan Tanda Tangan
Peserta 13.934 peserta 13.934
10 11
40,826,000 785,619 39,281 746,338 1
40,826,000 1,361,740 204,261 1,157,479 2
40,826,000 1,725,088 86,254 1,638,834 3
40,826,000 1,001,664 50,083 951,581 4

40,826,000 687,417 34,371 653,046 5
40,826,000 932,923 46,646 886,276 6
40,826,000 834,720 41,736 792,984 7
40,826,000 785,619 39,281 746,338 8
40,826,000 1,047,492 52,375 995,117 9
40,826,000 1,178,428 58,921 1,119,507 10
40,826,000 - - - 11
40,826,000 1,047,492 52,375 995,117 12
40,826,000 1,047,492 52,375 995,117 13
40,826,000 621,948 31,097 590,851 14
40,826,000 556,480 27,824 528,656 15
40,826,000 785,619 39,281 746,338 16
40,826,000 995,117 49,756 945,362 17
40,826,000 1,119,507 55,975 1,063,532 18
40,826,000 870,728 43,536 827,191 19
40,826,000 1,112,960 55,648 1,057,312 20
40,826,000 1,119,507 55,975 1,063,532 21
40,826,000 1,001,664 50,083 951,581 22
40,826,000 638,315 31,916 606,400 23
40,826,000 723,424 36,171 687,253 24

40,826,000 595,761 29,788 565,973 25
40,826,000 1,679,261 83,963 1,595,298 26
40,826,000 818,353 40,918 777,435 27
40,826,000 1,070,154 53,508 1,016,646 28
40,826,000 752,885 37,644 715,241 29
40,826,000 765,979 765,979 30
40,826,000 746,338 746,338 31
40,826,000 824,900 41,245 783,655 32
40,826,000 765,979 765,979 33
40,826,000 612,128 612,128 34
40,826,000 707,057 707,057 35
40,826,000 680,870 680,870 36
40,826,000 808,533 808,533 37
40,826,000 736,518 736,518 38
40,826,000 765,979 38,299 727,680 39
40,826,000 432,090 432,090 40
40,826,000 765,979 765,979 41
40,826,000 504,106 504,106 42

40,826,000 680,870 680,870 43
40,826,000 392,809 392,809 44
40,826,000 667,776 33,389 634,387 45
40,826,000 589,214 29,461 559,754 46
40,826,000 824,900 824,900 47
40,826,000 549,933 27,497 522,437 48
40,826,000 540,113 540,113 49
40,826,000 40,819,519 39,168,586

1,650,933
Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004

Uang sebanyak : Rp. 42.060.000,- ( Empat Puluh Dua Juta Enam Puluh Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Agustus 2016
Kehadiran
Jumlah Rangkaap Tanggung
Pendidikan Jenis Masa Jumlah Point Presentase Total kapitasi dengan
No Nama Jabatan Hari Tugas Jawab Total Uang
terakhir Ketenagaan Kerja Hari Variabel Kehadiran Seluruh jumlah Peserta
Masuk administratif Program
Kerja
1 2 3 4 5 6 7 8 9 10 11
1 Linda PLT UPT PKM Curup SMA 25 20 26 26 30 0 75 100% 75 42,060,000 867,813
2 dr.Syafri Nur Dokter Umum S1 Kedokteran 150 10 26 26 0 0 160 100% 160 42,060,000 1,851,334
3 drg. Rina Luxviani Dokter Gigi S1 Kedokteran 150 5 26 26 0 0 155 100% 155 42,060,000 1,793,480
4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 26 26 0 0 85 100% 85 42,060,000 983,521
5 Izhar Pandi Pet.Gizi D1 Gizi 50 25 26 26 0 0 75 100% 75 42,060,000 867,813
6 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 26 26 0 0 85 100% 85 42,060,000 983,521
7 Masitawati Perawat SPK 50 25 26 26 0 0 75 100% 75 42,060,000 867,813
8 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 26 26 0 0 100 100% 100 42,060,000 1,157,084
9 Widiana,SKM Pet.Laboratorium SKM 80 20 26 26 0 0 100 100% 100 42,060,000 1,157,084
10 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 26 26 0 0 105 100% 105 42,060,000 1,214,938
11 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 26 26 0 10 100 100% 100 42,060,000 1,157,084
12 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 26 26 0 0 100 100% 100 42,060,000 1,157,084

13 Erni Susanti Pet.Loket Askes SMA Pekarya 25 25 26 26 0 0 50 100% 50 42,060,000 578,542
14 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 26 26 0 0 50 100% 50 42,060,000 578,542
15 Santoso Perawat SPK 50 25 26 26 0 0 75 100% 75 42,060,000 867,813

Nurwati Hutabarat,
16 Bidan SKM 80 15 26 26 0 0 95 100% 95 42,060,000 1,099,230
SKM
17 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 26 26 0 0 95 100% 95 42,060,000 1,099,230
Widya Apriyanti,
18 Perawat D3 Keperawatan 60 10 26 26 0 0 70 100% 70 42,060,000 809,959
Am.Kep
19 Susita Maryani, SST Bidan D4 Bidan 80 20 26 26 0 0 100 100% 100 42,060,000 1,157,084
20 Edi Sugianto,SKM Perawat SKM 80 10 26 26 0 0 90 100% 90 42,060,000 1,041,376

Ari
21 Perawat D4 Bedah 80 5 26 26 0 0 85 100% 85 42,060,000 983,521
Kurniawati,Am.Kep
22 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
23 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105

Liza Efrian Siska,
Am.Kep
25 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 26 26 50 0 135 100% 135 42,060,000 1,562,063
26 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
27 Resi Sandora, SKM Perawat SKM 80 5 26 26 0 0 85 100% 85 42,060,000 983,521
28 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
29 Vera Arisandi, Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
30 Dewi Susanti,S.Sos Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 42,060,000 694,250

Meilian Fransiska
31 Bidan D3 Kebidanan 60 10 26 26 0 0 70 100% 70 42,060,000 809,959
am.keb
Rina Puspita ratih,
Am.Kep
33 Rita Andriyani Perawat SPK 50 5 26 26 0 0 55 100% 55 42,060,000 636,396
34 Betty Novianti Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 42,060,000 694,250
35 Meri Hastuti,Am.Kep Perawat D3 Keperawatan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
36 Nining Huzaimah Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
37 Indah L Utami, Am.Kep Bidan Pustu D3 Kebidanan 60 5 26 26 0 10 75 100% 75 42,060,000 867,813

Nuke Mayasari, Am.
38 Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
Keb
Yenni Wulandari
Am.Keb
40 Yuliana Bidan Desa D1 Kebidanan 50 5 26 26 0 0 55 100% 55 42,060,000 636,396
41 Yulita Siregar, Am.Keb Bidan Desa D3 Kebidanan 60 5 26 26 0 0 65 100% 65 42,060,000 752,105
42 Leni Marlina Kesling D1 Kesling 50 5 26 26 0 0 55 100% 55 41,060,000 621,265
43 Ilhamda Hutabarat Petugas Loket SMA 25 5 26 26 0 0 30 100% 30 42,060,000 347,125

Dewi Aprita Sarteli
44 Bidan Desa PTT 60 0 26 26 0 0 60 100% 60 42,060,000 694,250
Am.Keb
45 Lia Am.Keb Bidan Desa PTT 60 0 26 26 0 0 60 100% 60 42,060,000 694,250
46 Lina Marlinda, Am.Kep Perawat D3 Keperawatan 60 10 26 26 0 0 70 100% 70 42,060,000 809,959

Ade Puspitasari,
47 Bidan D3 Keperawatan 60 0 26 26 0 0 60 100% 60 42,060,000 694,250
Am.Keb
JUMLAH 3,040 495 1222 1222 80 20 3,635 100% 3,635 42,060,000 42,060,000
Curup, 2016
Mengetahui
Fera Damayanti, SST
Nip. 19810930 200604 2 004

Uang sebanyak : Rp. 41.060.000,- ( Empat Puluh Satu Juta Enam Puluh Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan Agustus 2016
Kehadiran

Jumlah Rangkaap Tanggung
Pendidikan Jenis Masa Jumlah Point Presentase Total kapitasi dengan
No Nama Jabatan Hari Tugas Jawab Total Uang
terakhir Ketenagaan Kerja Hari Variabel Kehadiran Seluruh jumlah Peserta
Masuk administratif Program
Kerja
1 2 3 4 5 6 7 8 9 10 11
1 Linda PLT UPT PKM Curup SMA 25 20 25 26 30 0 75 96% 72 41,060,000 975,315
2 dr.Syafri Nur Dokter Umum S1 Kedokteran 150 10 16 26 0 0 160 62% 98 41,060,000 1,331,631
3 drg. Rina Luxviani Dokter Gigi S1 Kedokteran 150 5 23 26 0 0 155 88% 137 41,060,000 1,854,400
4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 26 26 0 0 85 100% 85 41,060,000 1,149,572
5 Izhar Pandi Pet.Gizi D1 Gizi 50 25 26 26 0 0 75 100% 75 41,060,000 1,014,328
6 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 20 26 0 0 85 77% 65 41,060,000 884,286
7 Masitawati Perawat SPK 50 25 23 26 0 0 75 88% 66 41,060,000 897,290
8 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 24 26 0 0 100 92% 92 41,060,000 1,248,404
9 Widiana,SKM Pet.Laboratorium SKM 80 20 25 26 0 0 100 96% 96 41,060,000 1,300,421
10 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 21 26 0 0 105 81% 85 41,060,000 1,146,971
11 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 26 26 0 10 100 100% 100 41,060,000 1,352,437
12 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 21 26 0 0 100 81% 81 41,060,000 1,092,353
13 Erni Susanti Pet.Loket Askes SMA Pekarya 25 25 26 26 0 0 50 100% 50 41,060,000 676,219
14 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 21 26 0 0 50 81% 40 41,060,000 546,177
15 Santoso Perawat SPK 50 25 22 26 0 0 75 85% 63 41,060,000 858,278

Nurwati Hutabarat,
16 Bidan SKM 80 15 15 26 0 0 95 58% 55 41,060,000 741,240
SKM
17 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 25 26 0 0 95 96% 91 41,060,000 1,235,400
Widya Apriyanti,
Am.Kep
19 Susita Maryani, SST Bidan D4 Bidan 80 20 18 26 0 0 100 69% 69 41,060,000 936,303
20 Edi Sugianto,SKM Perawat SKM 80 10 24 26 0 0 90 92% 83 41,060,000 1,123,563

Ari
21 Perawat D4 Bedah 80 5 24 26 0 0 85 92% 78 41,060,000 1,061,143
Kurniawati,Am.Kep
22 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 19 26 0 0 65 73% 48 41,060,000 642,408
23 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 20 26 0 0 65 77% 50 41,060,000 676,219

Liza Efrian Siska,
Am.Kep
25 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 12 26 50 0 135 46% 62 41,060,000 842,673
26 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 19 26 0 0 65 73% 48 41,060,000 642,408
27 Resi Sandora, SKM Perawat SKM 80 5 25 26 0 0 85 96% 82 41,060,000 1,105,358
28 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 23 26 0 0 65 88% 58 41,060,000 777,652
29 Vera Arisandi, Am.Kep Perawat D3 Keperawatan 60 5 23 26 0 0 65 88% 58 41,060,000 777,652
30 Dewi Susanti,S.Sos Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 41,060,000 811,462

Meilian Fransiska
31 Bidan D3 Kebidanan 60 10 23 26 0 0 70 88% 62 41,060,000 837,471
am.keb
Rina Puspita ratih,
Am.Kep
33 Rita Andriyani Perawat SPK 50 5 21 26 0 0 55 81% 44 41,060,000 600,794
34 Betty Novianti Bidan D1 Kebidanan 50 10 22 26 0 0 60 85% 51 41,060,000 686,622
35 Meri Hastuti,Am.Kep Perawat D3 Keperawatan 60 5 20 26 0 0 65 77% 50 41,060,000 676,219
36 Nining Huzaimah Bidan D3 Kebidanan 60 5 22 26 0 0 65 85% 55 41,060,000 743,841
37 Indah L Utami, Am.Kep Bidan Pustu D3 Kebidanan 60 5 22 26 0 10 75 85% 63 41,060,000 858,278

Nuke Mayasari, Am.
Keb
Yenni Wulandari
Am.Keb
40 Yuliana Bidan Desa D1 Kebidanan 50 5 20 26 0 0 55 77% 42 41,060,000 572,185
41 Yulita Siregar, Am.Keb Bidan Desa D3 Kebidanan 60 5 19 26 0 0 65 73% 48 41,060,000 642,408
42 Leni Marlina Kesling D1 Kesling 50 5 14 26 0 0 55 54% 30 41,060,000 400,530
43 Ilhamda Hutabarat Petugas Loket SMA 25 5 26 26 0 0 30 100% 30 41,060,000 405,731

Dewi Aprita Sarteli
44 Bidan Desa PTT 60 0 6 26 0 0 60 23% 14 41,060,000 187,261
Am.Keb
45 Lia Am.Keb Bidan Desa PTT 60 0 17 26 0 0 60 65% 39 41,060,000 530,572
46 Lina Marlinda, Am.Kep Perawat D3 Keperawatan 60 10 16 26 0 0 70 62% 43 41,060,000 582,588

Ade Puspitasari,
47 Bidan D3 Keperawatan 60 0 19 26 0 0 60 73% 44 41,060,000 592,992
Am.Keb
48 dr. Melly Dokter Umum S1 Kedokteran 150 0 17 26 0 0 150 65% 98 41,060,000 1,326,429
JUMLAH 3,040 495 1010 1222 80 20 3,785 83% 3,036 41,060,000 41,056,879
Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004
Jasa
Pelayanan
Yang
PPH 21 diterima Tanda Tangan
dengan
peserta
14.000
12 13 14
43,391 824,422 1
277,700 1,573,634 2
89,674 1,703,806 3
49,176 934,345 4
43,391 824,422 5
49,176 934,345 6
43,391 824,422 7
57,854 1,099,230 8
57,854 1,099,230 9
60,747 1,154,191 10
57,854 1,099,230 11
57,854 1,099,230 12
28,927 549,615 13
28,927 549,615 14
43,391 824,422 15
54,961 1,044,268 16
54,961 1,044,268 17
40,498 769,461 18
57,854 1,099,230 19
52,069 989,307 20
49,176 934,345 21
37,605 714,499 22
37,605 714,499 23
37,605 714,499 24
78,103 1,483,960 25
37,605 714,499 26
49,176 934,345 27
37,605 714,499 28
752,105 29
694,250 30
40,498 769,461 31
752,105 32
636,396 33
694,250 34
752,105 35
752,105 36
867,813 37
37,605 714,499 38
752,105 39
636,396 40
752,105 41
621,265 42
347,125 42
34,713 659,538 43
34,713 659,538 44
809,959 45
34,713 659,538 46
1,796,373 40,263,627
Jasa
Pelayanan
Yang
PPH 21 diterima Tanda Tangan
dengan
peserta
14.000
12 13 14
48,766 926,550 1
199,745 1,131,886 2
92,720 1,761,680 3
57,479 1,092,093 4
50,716 963,612 5
44,214 840,072 6
44,865 852,426 7
62,420 1,185,984 8
65,021 1,235,400 9
57,349 1,089,622 10
67,622 1,284,816 11
54,618 1,037,736 12
33,811 642,408 13
27,309 518,868 14
42,914 815,364 15
37,062 704,178 16
61,770 1,173,630 17
41,874 795,597 18
46,815 889,488 19
56,178 1,067,385 20
53,057 1,008,086 21
32,120 610,287 22
33,811 642,408 23
27,049 513,926 24
42,134 800,539 25
32,120 610,287 26
55,268 1,050,090 27
38,883 738,769 28
777,652 29
811,462 30
41,874 795,597 31
811,462 32
600,794 33
686,622 34
676,219 35
743,841 36
858,278 37
42,264 803,010 38
676,219 39
572,185 40
642,408 41
400,530 42
405,731 43
9,363 177,898 44
26,529 504,043 45
29,129 553,459 46
29,650 563,342 47
- 1,326,429 49
1,686,515 39,370,364

Uang sebanyak : Rp. 48.576..000,- ( Empat Puluh Delapan Juta Lima Ratus Tujuh Puluh Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan September 2016
Kehadiran
Jumlah Penerimaan
Pendidikan Jenis Jumlah Presentase Total kapitasi dengan
No Nama Jabatan Masa Kerja Hari Tugas Jawab Variabel
terakhir Ketenagaan Hari Kehadiran Seluruh jumlah Peserta
Masuk administratif Program Ketenagaan
Kerja Point 13.529
Kerja
1 2 3 4 5 6 7 8 9 10

Nurwati Hutabarat,
16 Bidan SKM 80 15 25 25 0 0 95 100% 95 48,576,000
SKM
Widya Apriyanti,
Am.Kep

Ari
21 Perawat D4 Bedah 80 5 25 25 0 0 85 100% 85 48,576,000
Kurniawati,Am.Kep

Liza Efrian Siska,
Am.Kep

Meilian Fransiska
am.keb
Rina Puspita ratih,
Am.Kep

Indah L Utami,
Am.Kep
Nuke Mayasari, Am.
Keb
Yenni Wulandari
Am.Keb

Dewi Aprita Sarteli
43 Bidan Desa PTT 60 0 25 25 0 0 60 100% 60 48,576,000
Am.Keb
Lina Marlinda,
Am.Kep
Ade Puspitasari,
Am.Keb
47 Maulana Kesling D3 Kesling 60 5 25 25 0 0 65 100% 65 48,576,000
48 Edi Suyono, SE Ahli Komputer S1 Komputer 80 0 25 25 0 0 80 100% 80 48,576,000
49 Monaliecha, Am.Keb Bidan D3 Kebidanan 60 0 25 25 0 0 60 100% 60 48,576,000
50 Asih, Am.keb Bidan D3 Kebidanan 60 0 25 25 0 0 60 100% 60 48,576,000
51 Wulan Bidan D3 Kebidanan 60 0 25 25 0 0 60 100% 60 48,576,000
JUMLAH 3,310 495 1275 1275 80 20 3905 100% 3,905 48,576,000
Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004
Uang sebanyak : Rp. 47.576..000,- ( Empat Puluh Tujuh Juta Lima Ratus Tujuh Puluh Enam Ribu Rupiah )
Guna membayar : Jasa Pelayanan BPJS Bulan September 2016
Kehadiran Jumlah Penerimaan

terakhir Ketenagaan Kerja Hari Kehadiran Seluruh jumlah Peserta
Masuk administratif Program Ketenagaan
Kerja Point 13.529
Kerja
1 2 3 4 5 6 7 8 9 10


Nurwati Hutabarat,
16 Bidan SKM 80 15 24 25 0 0 95 96% 91 47,576,000
SKM
Widya Apriyanti,
Am.Kep

Ari
21 Perawat D4 Bedah 80 5 24 25 0 0 85 96% 82 47,576,000
Kurniawati,Am.Kep

Liza Efrian Siska,
Am.Kep
25 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 0 25 50 0 135 0% - 47,576,000

Meilian Fransiska
am.keb
Rina Puspita ratih,
Am.Kep

Indah L Utami,
Am.Kep
Nuke Mayasari, Am.
Keb
Yenni Wulandari
Am.Keb

Dewi Aprita Sartely
43 Bidan Desa PTT 60 0 0 25 0 0 60 0% - 47,576,000
Am.Keb
Lina Marlinda,
Am.Kep
Ade Puspitasari,
Am.Keb
48 Maulana Kesling D3 Kesling 30 5 5 25 0 0 35 20% 7 47,576,000
49 Edi Suyono, SE Ahli Komputer S1 Komputer 40 0 8 25 0 0 40 32% 13 47,576,000
50 Monaliecha, Am.Keb Bidan D3 Kebidanan 30 0 8 25 0 0 30 32% 10 47,576,000
51 Asih, Am.keb Bidan D3 Kebidanan 30 0 8 25 0 0 30 32% 10 47,576,000
52 Wulan Bidan D3 Kebidanan 30 0 9 25 0 0 30 36% 11 47,576,000

JUMLAH 3,270 495 968 1300 130 20 3915 74% 2,965 47,576,000
Curup, 2016
Mengetahui
Fera Damayanti, SST

Nip. 19810930 200604 2 004
Jasa
Pelayanan
dengan
peserta 13.529
11 12 13 14
932,958 46,648 886,310 1
1,990,310 298,546 1,691,763 2
1,928,113 96,406 1,831,707 3
1,057,352 52,868 1,004,485 4
932,958 46,648 886,310 5
1,057,352 52,868 1,004,485 6
932,958 46,648 886,310 7
1,243,944 62,197 1,181,746 8
1,243,944 62,197 1,181,746 9
1,306,141 65,307 1,240,834 10
1,243,944 62,197 1,181,746 11
1,243,944 62,197 1,181,746 12
621,972 31,099 590,873 13
621,972 31,099 590,873 14
932,958 46,648 886,310 15

1,181,746 59,087 1,122,659 16
1,181,746 59,087 1,122,659 17
870,761 43,538 827,223 18
1,243,944 62,197 1,181,746 19
1,119,549 55,977 1,063,572 20
1,057,352 52,868 1,004,485 21
808,563 40,428 768,135 22
808,563 40,428 768,135 23
808,563 40,428 768,135 24
1,679,324 83,966 1,595,358 25
808,563 40,428 768,135 26
1,057,352 52,868 1,004,485 27
808,563 40,428 768,135 28
808,563 808,563 29
746,366 746,366 30
870,761 43,538 827,223 31
808,563 808,563 32
684,169 684,169 33
746,366 746,366 34
808,563 808,563 35
808,563 808,563 36
932,958 932,958 37
808,563 40,428 768,135 38
808,563 808,563 39
684,169 684,169 40
808,563 808,563 41
373,183 373,183 42
746,366 37,318 709,048 43
746,366 37,318 709,048 44
870,761 43,538 827,223 45
746,366 37,318 709,048 46
808,563 40,428 768,135 47
995,155 995,155 48
746,366 - 746,366 49
746,366 746,366 50
746,366 746,366 51
48,576,000 2,015,189 46,560,811
2016
Mengetahui
UPT.Puskesmas Curup
a Damayanti, SST
810930 200604 2 004
Jasa
Pelayanan
dengan
peserta 13.529
11
1,203,440 60,172 1,143,268 1
1,745,790 261,869 1,483,922 2
1,890,203 94,510 1,795,693 3
1,254,787 62,739 1,192,048 4
1,203,440 60,172 1,143,268 5
545,560 27,278 518,282 6
1,155,303 57,765 1,097,537 7
1,283,669 64,183 1,219,486 8
1,540,403 77,020 1,463,383 9
1,617,424 80,871 1,536,552 10

1,540,403 77,020 1,463,383 11
1,155,303 57,765 1,097,537 12
802,293 40,115 762,179 13
256,734 12,837 243,897 14
1,107,165 55,358 1,051,807 15
1,463,383 73,169 1,390,214 16
1,158,512 57,926 1,100,586 17
898,569 44,928 853,640 18
1,091,119 54,556 1,036,563 19
1,386,363 69,318 1,317,045 20
1,309,343 65,467 1,243,876 21
792,666 39,633 753,033 22
917,824 45,891 871,932 23
959,543 47,977 911,566 24
- - - 25
959,543 47,977 911,566 26
1,363,899 68,195 1,295,704 27
917,824 45,891 871,932 29

959,543 959,543 30
1,765,046 1,765,046 31
1,033,354 51,668 981,686 32
959,543 959,543 33
741,319 741,319 34
770,202 770,202 35
792,666 792,666 36
917,824 917,824 37
1,107,165 1,107,165 38
1,042,981 52,149 990,832 39
709,227 709,227 40
564,815 564,815 41
834,385 834,385 42
462,121 462,121 43
- - - 44
693,182 34,659 658,522 45
359,427 17,971 341,456 46
385,101 19,255 365,846 47
1,155,303 57,765 1,097,537 48
112,321 5,616 106,705 49
205,387 205,387 50
154,040 154,040 51
154,040 154,040 52
173,295 173,295 53
47,572,791 1,989,688 45,583,103
2016
Mengetahui
UPT.Puskesmas Curup
a Damayanti, SST
810930 200604 2 004

Bpjs Riil 2016

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REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total

REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total

22 Widya Apriyanti, Am.Kep

42 Indah L Utami, Am.Kep

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

Rina Puspita ratih,

REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

18 Lidya Machreni S.Kep

REKAPITULASI JASA BPJS KARYAWAN/TI PUSKESMAS CURUP

Sudah terima dari : Bendahara BPJS Puskesmas Curup

Pendidikan Poin Masa Beban Jumlah Jasa Yang Total Jumlah

18 Lidya Machreni S.Kep

Sudah terima dari : Bendahara BPJS Puskesmas Curup

29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 26 26 0 0 65 100% 65 41,988,000

Sudah terima dari : Bendahara BPJS Puskesmas Curup

29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 9 26 0 0 65 35% 23 41,888,000

735,639 36,782 698,857 29

Sudah terima dari : Bendahara BPJS Puskesmas Curup

4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 26 26 0 0 85 100% 85 41,706,000

5 Siti Sumiarsih Bidan D1 Kebidanan 50 25 26 26 0 0 75 100% 75 41,706,000

6 Izhar Pandi Pet.Gizi D1 Gizi 50 25 26 26 0 0 75 100% 75 41,706,000

7 Rasmini,Am.Kep Perawat D3 Keperawatan 60 25 26 26 0 0 85 100% 85 41,706,000

8 Masitawati Perawat SPK 50 25 26 26 0 0 75 100% 75 41,706,000

9 Komisa Yanti,SST Bidan D4 Kebidanan 80 20 26 26 0 0 100 100% 100 41,706,000

10 Widiana,SKM Pet.Laboratorium SKM 80 20 26 26 0 0 100 100% 100 41,706,000

11 Betti,S.Far.Apt Pet.Gudang Farmasi S1 Apoteker 100 5 26 26 0 0 105 100% 105 41,706,000

12 Astri Nurhayati,SKM Pet. Gizi SKM 80 10 26 26 0 10 100 100% 100 41,706,000

13 Desmi Haryati,S.Kep Perawat S1 .Keperawatan 80 20 26 26 0 0 100 100% 100 41,706,000

15 Ririn Afrianti Pet.Apotik SMA Pekarya 25 25 26 26 0 0 50 100% 50 41,706,000

16 Santoso Perawat SPK 50 25 26 26 0 0 75 100% 75 41,706,000

17 Nurwati Hutabarat, SKM Bidan SKM 80 15 26 26 0 0 95 100% 95 41,706,000

18 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 26 26 0 0 95 100% 95 41,706,000

20 Susita Maryani, SST Bidan D4 Bidan 80 20 26 26 0 0 100 100% 100 41,706,000

21 Edi Sugianto,SKM Perawat SKM 80 10 26 26 0 0 90 100% 90 41,706,000

Liza Efrian Siska,

29 Sri Marlina, AMG Petugas Gizi D3 Gizi 60 5 26 26 0 0 65 100% 65 41,706,000

35 Betty Novianti Bidan D1 Kebidanan 50 10 26 26 0 0 60 100% 60 41,706,000

37 Nining Huzaimah Bidan D3 Kebidanan 60 5 26 26 0 0 65 100% 65 41,706,000

JUMLAH 3,090 520 1,248 1248 80 20 3,710 100% 3,710 41,706,000

Fera Damayanti, SST

Sudah terima dari : Bendahara BPJS Puskesmas Curup

4 Masni Usman,Am.Keb Bidan D3 Kebidanan 60 25 26 26 0 0 85 100% 85 40,706,000

5 Siti Sumiarsih Bidan D1 Kebidanan 50 25 22 26 0 0 75 85% 63 40,706,000

17 Nurwati Hutabarat, SKM Bidan SKM 80 15 24 26 0 0 95 92% 88 40,706,000

18 Lidya Machreni S.Kep Perawat S1 Keperawatan 80 15 23 26 0 0 95 88% 84 40,706,000

20 Susita Maryani, SST Bidan D4 Bidan 80 20 25 26 0 0 100 96% 96 40,706,000

22 Ari Kurniawati,Am.Kep Perawat D4 Bedah 80 5 24 26 0 0 85 92% 78 40,706,000

23 Leddia wati, Am.Kep Perawat D3 Keperawatan 60 5 21 26 0 0 65 81% 53 40,706,000

24 Rika Syafrida, Am.Kep Perawat D3 Keperawatan 60 5 23 26 0 0 65 88% 58 40,706,000

26 Tri Novitasari, S.Kep Perawat S1 Keperawatan 80 5 26 26 50 0 135 100% 135 40,706,000

27 Deki Mariani. Am.Keb Bidan D3 Kebidanan 60 5 25 26 0 0 65 96% 63 40,706,000

28 Resi Sandora, SKM Perawat SKM 80 5 25 26 0 0 85 96% 82 40,706,000