Jaspel Versi Dinkes LJ Tahun 2015 JAN-MEI EDIT

JASA PELAYANAN PUSKESMAS LOA JANAN
BULAN : JANUARI - MEI 2015
NO NAMA POTONGAN 10% DAN PP
JANUARI FEBRUARI MARET APRIL
KAPITASI Rp 18,302,400 Rp 19,310,400 Rp 19,868,400 Rp 21,704

10% PPh 21 10% PPh 21 10% PPh 21 10%
1 drg I Wayan Edi Wahyudi 75,800 113,700 73,515 110,273 66,827 100,240 75,909
2 drg Isyana Duli 68,220 102,330 66,251 99,376 66,187 99,281 68,318
3 dr Retno Widodarni 72,175 36,087 65,267 32,634 70,024 35,012 56,107
4 dr Deni Widya Ratna 69,868 34,934 67,698 33,849 61,071 30,536 56,107
5 dr Fouzy Hanifa Hijria 50,423 25,212 71,422 35,711 55,636 27,818 48,186
6 Nur Subhi Hidayat, APT 55,696 27,848 53,970 26,985 54,037 27,018 55,777
7 Siti Aminah, SST 45,150 22,575 43,629 21,814 41,631 20,815 38,483
8 Aryanti, SKM 35,461 17,731 34,060 17,030 33,317 16,659 33,268
9 Misbahul Ardi Nugraha,

SKM 34,934 17,467 33,610 16,805 33,893 16,946 33,862
10 Evi Dharma Yanti, SKM 34,934 17,467 33,610 16,805 33,893 16,946 23,763
11 Hidayatullah 46,469 23,234 57,623 28,812 48,281 24,141 54,787
12 Renny Kotambunan, S.Sos 46,798 23,399 50,078 25,039 51,479 25,739 43,103
13 Mawarni 33,088 - 16,482 - 26,027 - 48,186
14 Umi Kalsum, Amd Keb 37,043 18,522 35,634 17,817 36,771 18,385 32,806
15 Hj. Minarni, Amd Keb 37,043 18,522 34,748 17,374 36,771 18,385 36,238
16 Rosita Sari, Amd Keb 30,122 15,061 29,732 14,866 29,225 14,612 25,017
17 Siti Murtofiah, Amd Keb 30,715 - 36,196 - 31,463 - 30,760
18 Hj. Hamriana, Amd Keb 31,309 15,654 30,055 15,028 30,376 15,188 27,921
19 Sunarsih, Amd Keb 32,627 - 31,348 - 31,655 - 28,383
20 Wina Mayda A, Amd Keb 29,133 - 27,877 - 28,265 - 24,027
21 Rukyal Ainah, Amd Keb 29,990 - 28,763 - 24,109 - 28,317
22 H. Firman, Amd Kep 36,582 18,291 39,427 19,714 36,323 18,161 40,067
23
Muhammad Rusdi, Amd Kep 37,570 - 36,196 - 36,451 - 36,766
24 Syamsiah, Amd Kep 33,945 16,973 32,641 16,320 32,934 16,467 29,704
25 Theresia Yawan, Amd Kep 25,838 12,919 29,732 14,866 30,056 15,028 28,449
26 Jumiatin Rohmawati, Amd

Kep 28,672 - 27,470 - 27,818 - 26,997
27 Dewi Safarina, AMG 35,988 17,994 36,280 18,140 36,579 18,289 32,608
28 Herlinawati, Amd Kep 29,463 - 25,545 - 28,585 - 24,357
29 Helpiana, Amd Kep 29,990 - 28,763 - 29,097 - 27,459
30 Vicky Astin, Amd KG 10,216 - 13,559 - 29,033 - 30,826
31 Sum Hevlin 31,440 15,720 34,341 17,170 35,492 17,746 33,202
32 Leita Rauli Silaban 38,361 19,181 37,811 18,906 37,218 18,609 35,842
33 Hj Sartinah, SH 21,092 10,546 29,100 14,550 32,102 16,051 26,271
34 Widyarto, SKM 29,990 14,995 28,763 14,381 29,097 14,548 30,034
35 Denny, SKM 27,222 13,611 28,524 14,262 29,736 14,868 26,403
36 Tuti Rahmaniah 35,922 17,961 31,924 15,962 31,527 15,763 33,400
37 Fathul Riezka 27,354 - 22,411 - 27,370 - 25,677
38 Efendi 32,297 - 31,025 - 30,504 - 31,486
39 Hendriyanto 29,661 - 26,669 - 27,114 - 27,987
40 Nanang Saiful 29,924 - 30,378 - 29,033 - 30,826
41 Purnamasari, Amd Far 30,979 15,490 27,962 13,981 29,225 14,612 30,166
42 Nur Jannah, Amd Kep 30,649 15,325 28,524 14,262 29,736 14,868 30,694
43 Yelmi Sinaga, Amd Kep 28,606 14,303 29,086 14,543 28,585 14,293 28,647
44 Sri Nova Wulandari, Amd

Kep 26,431 13,216 27,793 13,897 27,306 13,653 29,044
45 Deni Kusmiati, Amd Kep 29,002 14,501 27,793 13,897 25,644 12,822 29,044
NO NAMA POTONGAN 10% DAN PP
JANUARI FEBRUARI MARET APRIL
46 Dimintri Widiastuti, Amd

Kep 29,002 14,501 26,908 13,454 27,306 13,653 28,185
47 Hermawati, Amd Kep 29,002 14,501 27,793 13,897 27,306 13,653 29,044
48 Nurlena, Amd Kep 19,642 9,821 24,407 12,203 23,213 11,607 13,664
49 Nelyanti, Amd Keb 29,661 14,830 28,439 14,220 28,777 14,389 29,704
50 Debora Sulle, Amd Keb 29,331 14,666 28,116 14,058 28,457 14,229 25,941
51 Tuti Wahyuni, Amd Keb 29,331 14,666 28,116 14,058 28,457 14,229 28,515
52 Selvina Anasiena L, Amd

Keb 28,343 14,171 27,147 13,573 27,498 13,749 28,383
53 Wiwid Verri Yanti, Amd Far 28,343 14,171 27,147 13,573 27,498 13,749 27,525
54 Alwiyah, Amd KL 31,638 15,819 30,378 15,189 29,864 14,932 30,826
55 Heri Mulyanto, SE 29,331 14,666 24,575 12,288 27,626 13,813 23,367
56 Ali Imbran, S.Kom 30,649 15,325 32,725 16,362 32,230 16,115 34,126
57 Ida Widayana Sudjono 36,964
58 Hendra Yani 19,642 9,821 19,615 9,808 20,080 10,040 21,783
59 Elly Hanggara 17,994 8,997 17,465 8,733 18,993 9,496 19,604
60 HJ ASMAH 20,433 12,260 19,390 11,634 19,824 11,895 20,462
61 SUMIATI 20,103 12,062 19,067 11,440 19,504 11,703 20,132
62 Alex 19,067 11,440 19,504 11,703 20,132
Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
Mengetahui,
Kepala UPTD Puskesmas Loa Janan
Hidayatullah, ST., M. Kes

NIP 19750512 199603 1 003
0% DAN PPh 21
APRIL MEI TOTAL
21,704,400 Rp 20,787,600 Rp 99,973,200

PPh 21 10% PPh 21 10% PPh 21 DIBAGIKAN
113,864 77,826 116,739 369,877 554,815 2,728,358
102,477 65,400 98,100 334,376 501,564 2,464,824
28,053 66,883 33,441 330,455 165,228 2,749,706
28,053 69,374 34,687 324,117 162,059 2,699,000
24,093 60,734 30,367 286,401 143,200 2,388,466
27,888 55,306 27,653 274,786 137,393 2,296,312
19,241 32,757 16,379 201,650 100,825 1,676,458
16,634 36,098 18,049 172,204 86,102 1,437,896
16,931 33,247 16,624 169,546 84,773 1,415,637

11,881 10,540 5,270 136,740 68,370 1,126,727
27,393 59,050 29,525 266,210 133,105 2,231,062
21,552 51,318 25,659 242,776 121,388 2,026,060
- 46,350 - 170,133 - 1,526,572
16,403 33,794 16,897 176,047 88,024 1,467,150
18,119 37,423 18,711 182,223 91,112 1,522,670
12,509 19,582 9,791 133,678 66,839 1,109,849
- 32,556 - 161,689 - 1,429,361
13,961 28,078 14,039 147,739 73,869 1,231,239
- 29,403 - 153,415 - 1,353,245
- 24,032 - 133,335 - 1,174,274
- 27,660 - 138,839 - 1,226,814
20,033 39,496 19,748 191,895 95,947 1,605,939
- 25,299 - 172,282 - 1,519,597

14,852 30,727 15,364 159,950 79,975 1,332,675
14,225 26,840 13,420 140,915 70,457 1,178,218
- 24,521 - 135,478 - 1,196,159

16,304 35,364 17,682 176,819 88,409 1,474,558
- 23,456 - 131,406 - 1,157,689
- 27,660 - 142,969 - 1,262,430
- 29,316 - 112,950 - 1,019,582
16,601 36,098 18,049 170,573 85,286 1,426,909
17,921 31,490 15,745 180,724 90,362 1,506,044
13,136 28,913 14,456 137,478 68,739 1,152,112
15,017 27,660 13,830 145,544 72,772 1,215,649
13,202 29,230 14,615 141,115 70,557 1,178,587
16,700 33,621 16,811 166,395 83,197 1,388,992
- 26,595 - 129,407 - 1,144,727
- 30,886 - 156,197 - 1,381,140
- 27,329 - 138,761 - 1,226,467
- 31,130 - 151,292 - 1,339,404
15,083 30,468 15,234 148,799 74,399 1,243,392
15,347 27,415 13,708 147,019 73,509 1,227,927
14,324 28,899 14,449 143,823 71,912 1,201,620
14,522 22,131 11,066 132,705 66,352 1,108,743

14,522 23,038 11,519 134,520 67,260 1,122,453
0% DAN PPh 21
APRIL MEI TOTAL
14,093 27,574 13,787 138,975 69,487 1,160,740

14,522 28,481 14,240 141,625 70,813 1,183,551
6,832 14,125 7,063 95,051 47,526 786,484
14,852 29,143 14,572 145,724 72,862 1,217,760
12,971 28,812 14,406 140,658 70,329 1,172,969
14,258 28,812 14,406 143,232 71,616 1,196,322
14,192 27,819 13,909 139,189 69,595 1,163,149

13,763 27,819 13,909 138,331 69,166 1,155,365
15,413 30,223 15,112 152,930 76,465 1,277,105
11,683 27,905 13,953 132,804 66,402 1,106,251
17,063 34,442 17,221 164,173 82,086 1,374,738
18,482 37,092 18,546 74,056 37,028 657,607
10,891 18,459 9,230 99,579 49,790 833,100
9,802 18,992 9,496 93,049 46,525 779,002
12,277 19,870 11,922 99,981 59,988 825,658
12,079 19,539 11,724 98,347 59,008 812,166
12,079 19,539 11,724 78,243 46,946 660,411
Err:509 Err:509 Err:509 Err:509 Err:509 85,255,073
Err:509
Dibuat Oleh,
Bendahara Kapitasi BPJS
Mawarni
NIP 19761103 200701 2 020
NO NAMA JASA PELAYANAN
JANUARI FEBRUARI MARET APRIL MEI
1 drg I Wayan Edi Wahyudi 545,758 527,392 421,008 546,546 583,695

2 drg Isyana Duli 511,648 496,881 496,404 512,387 469,172
3 dr Retno Widodarni 613,484 506,531 595,205 343,374 519,069
4 dr Deni Widya Ratna 570,119 550,415 436,049 343,374 564,039
5 dr Fouzy Hanifa Hijria 257,159 607,084 340,490 229,365 404,016
6 Nur Subhi Hidayat, APT 473,419 458,746 459,313 474,102 470,102
7 Siti Aminah, SST 383,777 370,843 325,553 248,598 157,378
8 Aryanti, SKM 289,363 276,921 260,542 248,845 306,833
9 Misbahul Ardi Nugraha, SKM 296,937 285,686 288,090 276,315 270,313
10 Evi Dharma Yanti, SKM 296,937 285,686 288,090 121,191 11,686
11 Hidayatullah 236,990 447,208 279,067 372,549 458,278
12 Renny Kotambunan, S.Sos 318,227 407,156 437,571 249,137 417,234
13 Mawarni 154,853 - 74,958 433,672 399,013
14 Umi Kalsum, Amd Keb 302,271 289,716 312,550 211,927 237,294
15 Hj. Minarni, Amd Keb 302,271 269,677 312,550 283,384 318,093
16 Rosita Sari, Amd Keb 245,797 252,723 238,473 153,104 79,607
17 Siti Murtofiah, Amd Keb 187,978 325,760 215,206 188,249 229,307
18 Hj. Hamriana, Amd Keb 266,123 255,470 258,194 199,359 207,532
19 Sunarsih, Amd Keb 293,642 282,132 284,892 204,361 230,107
20 Wina Mayda A, Amd Keb 251,713 239,987 244,213 155,694 159,863
21 Rukyal Ainah, Amd Keb 269,913 258,863 164,904 234,468 227,295
22 H. Firman, Amd Kep 248,755 335,132 259,346 326,945 321,121
23 Muhammad Rusdi, Amd Kep 338,133 325,760 328,058 317,662 98,995
24 Syamsiah, Amd Kep 288,533 277,445 279,936 201,984 227,114
25 Theresia Yawan, Amd Kep 166,912 252,723 255,476 212,802 188,460
26 Jumiatin Rohmawati, Amd Kep 258,049 247,229 250,360 223,537 182,310
27 Dewi Safarina, AMG 269,193 294,971 298,483 199,561 261,383
28 Herlinawati, Amd Kep 254,561 189,920 246,976 157,833 146,854
29 Helpiana, Amd Kep 269,913 258,863 261,871 217,478 227,295
30 Vicky Astin, Amd KG - 21,223 240,392 266,334 240,902
31 Sum Hevlin 203,105 279,206 301,679 237,062 306,833
32 Leita Rauli Silaban 313,028 321,397 303,701 255,914 174,566
33 Hj Sartinah, SH 71,713 204,331 261,955 142,915 192,334
34 Widyarto, SKM 254,918 244,482 247,322 255,286 214,668
35 Denny, SKM 194,365 231,910 252,758 179,542 237,650
36 Tuti Rahmaniah 305,341 235,960 225,102 249,832 260,931
37 Fathul Riezka 196,947 122,776 206,918 166,388 187,319
38 Efendi 290,676 279,223 263,551 272,037 265,885
39 Hendriyanto 266,947 219,149 224,507 231,736 224,574
40 Nanang Saiful 247,774 273,406 240,392 266,334 280,173
41 Purnamasari, Amd Far 263,322 217,007 238,473 246,152 258,978
42 Nur Jannah, Amd Kep 260,520 231,910 252,758 260,897 202,636
43 Yelmi Sinaga, Amd Kep 223,700 247,229 233,255 224,023 234,958
44 Sri Nova Wulandari, Amd Kep 197,704 236,241 222,819 246,870 130,862
45 Deni Kusmiati, Amd Kep 246,514 236,241 191,814 246,870 144,740
46 Dimintri Widiastuti, Amd Kep 246,514 218,772 222,819 229,993 224,187
47 Hermawati, Amd Kep 246,514 236,241 222,819 246,870 242,088
48 Nurlena, Amd Kep 106,853 189,417 165,744 41,811 46,982
49 Nelyanti, Amd Keb 252,117 241,735 244,605 252,481 247,718
50 Debora Sulle, Amd Keb 249,315 238,988 241,887 185,220 244,903
51 Tuti Wahyuni, Amd Keb 249,315 238,988 241,887 232,686 244,903

52 Selvina Anasiena L, Amd Keb 240,911 230,747 233,733 241,259 236,458
53 Wiwid Verri Yanti, Amd Far 240,911 230,747 233,733 224,607 236,458
54 Alwiyah, Amd KL 268,924 258,217 243,691 251,538 245,728
55 Heri Mulyanto, SE 249,315 172,562 225,428 143,005 226,880
56 Ali Imbran, S.Kom 208,416 266,068 252,041 278,469 292,758
57 Ida Widayana Sudjono - - - 314,198 315,278
58 Hendra Yani 140,244 152,232 157,025 185,152 122,795
59 Elly Hanggara 128,479 129,093 154,982 159,972 154,414
60 HJ ASMAH 171,637 162,880 166,523 171,885 166,912
61 SUMIATI 168,869 160,165 163,837 169,112 164,130
62 Alex - 160,165 163,837 169,112 164,130
15,867,335 16,465,625 16,155,814 15,133,364 15,508,190
Mengetahui,

NIP 19750512 199603 1 003
TANDA TANGAN
TOTAL
2,624,398 1
2,486,492 2
2,577,661 3
2,463,995 4
1,838,113 5
2,335,683 6
1,486,149 7
1,382,503 8
1,417,341 9
1,003,590 10
1,794,091 11
1,829,325 12
1,062,497 13
1,353,758 14
1,485,975 15
969,704 16
1,146,500 17
1,186,677 18
1,295,133 19
1,051,471 20
1,155,443 21
1,491,299 22
1,408,608 23
1,275,014 24
1,076,373 25
1,161,485 26
1,323,591 27
996,143 28
1,235,420 29
768,851 30
1,327,885 31
1,368,607 32
873,249 33
1,216,675 34
1,096,225 35
1,277,166 36
880,349 37
1,371,372 38
1,166,912 39
1,308,079 40
1,223,931 41
1,208,721 42
1,163,165 43
1,034,495 44
1,066,178 45
1,142,285 46
1,194,531 47
550,807 48
1,238,655 49
1,160,313 50
1,207,779 51
TANDA TANGAN
TOTAL
1,183,109 52
1,166,456 53
1,268,098 54
1,017,189 55
1,297,752 56
629,476 57
757,448 58
726,939 59
839,837 60
826,114 61
657,245 62
79,130,328
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
1 drg I Wayan Edi Wahyudi 568,498 551,364 501,200 569,319 583,695

2 drg Isyana Duli 511,648 496,881 496,404 512,387 490,498
3 dr Retno Widodarni 613,484 554,772 595,205 476,908 568,504
4 dr Deni Widya Ratna 593,874 575,434 519,105 476,908 589,677
5 dr Fouzy Hanifa Hijria 428,598 607,084 472,902 409,580 516,243
6 Nur Subhi Hidayat, APT 473,419 458,746 459,313 474,102 470,102
7 Siti Aminah, SST 383,777 370,843 353,861 327,103 278,438
8 Aryanti, SKM 301,419 289,508 283,198 282,778 306,833
9 Misbahul Ardi Nugraha, SKM 296,937 285,686 288,090 287,828 282,600
10 Evi Dharma Yanti, SKM 296,937 285,686 288,090 201,984 89,590
11 Hidayatullah 394,983 489,799 410,392 465,686 501,923
12 Renny Kotambunan, S.Sos 397,784 425,663 437,571 366,377 436,200
13 Mawarni 297,794 148,337 234,245 433,672 417,150
14 Umi Kalsum, Amd Keb 314,866 302,885 312,550 278,851 287,250
15 Hj. Minarni, Amd Keb 314,866 295,361 312,550 308,026 318,093
16 Rosita Sari, Amd Keb 256,038 252,723 248,410 212,645 166,451
17 Siti Murtofiah, Amd Keb 276,438 325,760 283,166 276,837 293,003
18 Hj. Hamriana, Amd Keb 266,123 255,470 258,194 237,332 238,661
19 Sunarsih, Amd Keb 293,642 282,132 284,892 255,451 264,623
20 Wina Mayda A, Amd Keb 262,201 250,896 254,389 216,242 216,286
21 Rukyal Ainah, Amd Keb 269,913 258,863 216,979 254,857 248,942
22 H. Firman, Amd Kep 310,944 335,132 308,745 340,568 335,717
23 Muhammad Rusdi, Amd Kep 338,133 325,760 328,058 330,898 227,689
24 Syamsiah, Amd Kep 288,533 277,445 279,936 252,481 261,181
25 Theresia Yawan, Amd Kep 219,621 252,723 255,476 241,820 228,136
26 Jumiatin Rohmawati, Amd Kep 258,049 247,229 250,360 242,975 220,692
27 Dewi Safarina, AMG 305,901 308,379 310,920 277,168 300,591
28 Herlinawati, Amd Kep 265,167 229,904 257,267 219,213 211,102
29 Helpiana, Amd Kep 269,913 258,863 261,871 247,134 248,942
30 Vicky Astin, Amd KG 91,948 122,034 261,295 277,432 263,845
31 Sum Hevlin 267,243 291,897 301,679 282,217 306,833
32 Leita Rauli Silaban 326,071 321,397 316,355 304,660 267,668
33 Hj Sartinah, SH 179,283 247,348 272,870 223,305 245,760
34 Widyarto, SKM 254,918 244,482 247,322 255,286 235,112
35 Denny, SKM 231,387 242,451 252,758 224,427 248,453
36 Tuti Rahmaniah 305,341 271,354 267,978 283,900 285,782
37 Fathul Riezka 246,184 201,703 246,331 231,094 239,353
38 Efendi 290,676 279,223 274,533 283,372 277,970
39 Hendriyanto 266,947 240,020 244,029 251,886 245,962
40 Nanang Saiful 269,320 273,406 261,295 277,432 280,173
41 Purnamasari, Amd Far 263,322 237,674 248,410 256,408 258,978
42 Nur Jannah, Amd Kep 260,520 242,451 252,758 260,897 233,031
43 Yelmi Sinaga, Amd Kep 243,152 247,229 242,974 243,503 245,638
44 Sri Nova Wulandari, Amd Kep 224,664 236,241 232,103 246,870 188,114
45 Deni Kusmiati, Amd Kep 246,514 236,241 217,970 246,870 195,825
46 Dimintri Widiastuti, Amd Kep 246,514 228,716 232,103 239,576 234,378
47 Hermawati, Amd Kep 246,514 236,241 232,103 246,870 242,088
48 Nurlena, Amd Kep 166,957 207,457 197,314 116,141 120,065
49 Nelyanti, Amd Keb 252,117 241,735 244,605 252,481 247,718
50 Debora Sulle, Amd Keb 249,315 238,988 241,887 220,500 244,903
51 Tuti Wahyuni, Amd Keb 249,315 238,988 241,887 242,381 244,903

52 Selvina Anasiena L, Amd Keb 240,911 230,747 233,733 241,259 236,458
53 Wiwid Verri Yanti, Amd Far 240,911 230,747 233,733 233,965 236,458
54 Alwiyah, Amd KL 268,924 258,217 253,845 262,019 256,898
55 Heri Mulyanto, SE 249,315 208,890 234,820 198,618 237,193
56 Ali Imbran, S.Kom 260,520 278,162 273,957 290,072 292,758
57 Ida Widayana Sudjono - - - 314,198 315,278
58 Hendra Yani 166,957 166,730 170,680 185,152 156,905
59 Elly Hanggara 152,951 148,457 161,439 166,637 161,433
60 HJ ASMAH 171,637 162,880 166,523 171,885 166,912
61 SUMIATI 168,869 160,165 163,837 169,112 164,130
62 Alex - 160,165 163,837 169,112 164,130
17,368,718 17,331,762 17,350,305 17,346,667 17,339,916
Mengetahui,

NIP 19750512 199603 1 003
TANDA TANGAN
TOTAL
2,774,075 1
2,507,818 2
2,808,871 3
2,754,998 4
2,434,407 5
2,335,683 6
1,714,023 7
1,463,737 8
1,441,141 9
1,162,288 10
2,262,784 11
2,063,595 12
1,531,199 13
1,496,402 14
1,548,896 15
1,136,266 16
1,455,205 17
1,255,780 18
1,380,739 19
1,200,014 20
1,249,554 21
1,631,107 22
1,550,538 23
1,359,577 24
1,197,776 25
1,219,304 26
1,502,959 27
1,182,652 28
1,286,723 29
1,016,554 30
1,449,870 31
1,536,151 32
1,168,566 33
1,237,120 34
1,199,476 35
1,414,356 36
1,164,665 37
1,405,774 38
1,248,845 39
1,361,626 40
1,264,791 41
1,249,658 42
1,222,496 43
1,127,991 44
1,143,419 45
1,181,287 46
1,203,815 47
807,935 48
1,238,655 49
1,195,593 50
1,217,474 51
TANDA TANGAN
TOTAL
1,183,109 52
1,175,815 53
1,299,902 54
1,128,837 55
1,395,470 56
629,476 57
846,424 58
790,917 59
839,837 60
826,114 61
657,245 62
86,737,368
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015
Komponen Kerja KOMPONEN HARI VARIABEL DAERAH

TOTAL TOTAL TOTAL POINT JUMLAH POINT
TOTAL
NO NAMA Hari Hari Tidak HARI VARIABEL SELURUH SELURUH
Point Point Per Hari POINT
Kerja Masuk KERJA Beban Resiko Masa DAERAH KOMPONEN KETENAGAAN
Ketenagaan Ketenagaan Kerja Kerja Kerja
Efektif Kerja
A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N
1 Tenaga Medis 150

1 drg I Wayan Edi Wahyudi 150 6 150 25 0 25 30 10 22 62 237.0 6134
2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
3 dr Retno Widodarni 150 6 144 25 1 24 30 10 4 44 212.0 6134
4 dr Deni Widya Ratna 150 6 78 25 12 13 30 10 4 44 135.0 6134
5 dr Fouzy Hanifa Hijria 150 6 120 25 5 20 30 10 8 48 188.0 6134
2 Tenaga Apoteker/ Profesi (Ners) 100
6 Nur Subhi Hidayat, APT 100 4 96 25 1 24 30 10 4 44 164.0 6134
3 Tenaga Kesehatan S1/ DIV 60
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134
9 Misbahul Ardi Nugraha, SKM 60 2 60 25 0 25 10 10 1 21 106.0 6134
10 Evi Dharma Yanti, SKM 60 2 60 25 0 25 10 10 1 21 106.0 6134
4 Tenaga Non Kesehatan S1/ DIV +

Kapus + KTU + Bendahara Kapitasi
11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
12 Renny Kotambunan, S.Sos 70 3 64 25 2 23 30 10 26 66 153.4 6134
13
Tenaga Mawarni
Non Kesehatan D3,Nakes 70 3 67 25 1 24 30 10 11 51 142.2 6134
5 D3, Nakes < D3 dgn masa kerja 10 40
tahun <
14 Umi Kalsum, Amd Keb 40 2 29 25 7 18 20 10 20 50 96.8 6134
15 Hj. Minarni, Amd Keb 40 2 40 25 0 25 20 10 20 50 115.0 6134
TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

NO NAMA Hari Hari Tidak HARI Beban Resiko Masa VARIABEL SELURUH SELURUH
Kerja Masuk KERJA DAERAH KOMPONEN KETENAGAAN
Efektif Kerja

16 Rosita Sari, Amd Keb 40 2 27 25 8 17 10 10 9 29 73.2 6134
17 Siti Murtofiah, Amd Keb 40 2 29 25 7 18 30 10 9 49 95.8 6134
18 Hj. Hamriana, Amd Keb 40 2 35 25 3 22 5 10 15 30 87.2 6134
19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
20 Wina Mayda A, Amd Keb 40 2 32 25 5 20 5 10 11 26 78.0 6134
21 Rukyal Ainah, Amd Keb 40 2 34 25 4 21 5 10 11 26 80.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
25 Theresia Yawan, Amd Kep 40 2 35 25 3 22 5 10 14 29 86.2 6134
26 Jumiatin Rohmawati, Amd Kep 40 2 34 25 4 21 5 10 7 22 76.6 6134
27 Dewi Safarina, AMG 40 2 30 25 6 19 30 10 12 52 101.4 6134
28 Herlinawati, Amd Kep 40 2 19 25 13 12 10 10 7 27 58.2 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
30 Vicky Astin, Amd KG 40 2 38 25 1 24 10 10 11 31 93.4 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
32 Leita Rauli Silaban 40 2 40 25 0 25 30 10 14 54 119.0 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134
41 Purnamasari, Amd Far 40 2 37 25 2 23 10 10 9 29 88.8 6134
42 Nur Jannah, Amd Kep 40 2 40 25 0 25 10 10 8 28 93.0 6134
43 Yelmi Sinaga, Amd Kep 40 2 40 25 0 25 10 10 7 27 92.0 6134

Efektif Kerja

44
Sri Nova Wulandari, Amd Kep 40 2 40 25 0 25 10 10 3 23 88.0 6134
45
Deni Kusmiati, Amd Kep 40 2 40 25 0 25 10 10 3 23 88.0 6134
46
Dimintri Widiastuti, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6134
47
Hermawati, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6134
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
Debora Sulle, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6134
51
Tuti Wahyuni, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6134
52
Selvina Anasiena L, Amd Keb 40 2 40 25 0 25 10 10 1 21 86.0 6134
53
Wiwid Verri Yanti, Amd Far 40 2 40 25 0 25 10 10 1 21 86.0 6134
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
Ida Widayana Sudjono 40 2 40 25 25 30 10 9 49 114.0 6134
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400
JUMLAH JASPEL YANG JASPEL YG POT 10 % PPh 21 % TERIMA

DITETAPKAN DIPEROLEH
O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134

11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13
Tenaga Mawarni
tahun <

Efektif Kerja

19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134

Efektif Kerja

44
45
46
47
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
51
52
53
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134

11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13
Tenaga Mawarni
tahun <

Efektif Kerja

19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134

Efektif Kerja

44
45
46
47
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
51
52
53
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134

11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13
Tenaga Mawarni
tahun <

Efektif Kerja

19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134

Efektif Kerja

44
45
46
47
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
51
52
53
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134

11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13
Tenaga Mawarni
tahun <

Efektif Kerja

19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134

Efektif Kerja

44
45
46
47
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
51
52
53
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134

11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13
Tenaga Mawarni
tahun <

Efektif Kerja

19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134
29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134

Efektif Kerja

44
45
46
47
48
Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49
Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50
51
52
53
54
Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55
Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56
Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57
6 Nakes < D3 25
7 Non Nakes < D3 15
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

Efektif Kerja

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 326,778 32,678 16,339 277,761
O P = M/NXO
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
O P = M/NXO
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546

17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
Dibuat Oleh,
O P = M/NXO
Mawarni
NIP 19761103 200701 2 020
BULAN : JUNI 2015

TOTAL
Efektif Kerja

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6134
7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134
8 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111.0 6134
11 Hidayatullah 100 4 88 25 3 22 40 10 16 66 176.0 6134
13 Mawarni 70 3 67 25 1 24 30 10 11 51 142.2 6134
19 Sunarsih, Amd Keb 40 2 34 25 4 21 5 10 19 34 88.6 6134
22 H. Firman, Amd Kep 40 2 29 25 7 18 30 10 19 59 105.8 6134
24 Syamsiah, Amd Kep 40 2 22 25 11 14 20 10 8 38 74.4 6134

Efektif Kerja

29 Helpiana, Amd Kep 40 2 37 25 2 23 5 10 11 26 85.8 6134
31 Sum Hevlin 40 2 38 25 1 24 10 10 26 46 108.4 6134
33 Hj Sartinah, SH 40 2 16 25 15 10 10 10 18 38 64.0 6134
34 Widyarto, SKM 40 2 18 25 14 11 10 10 6 26 54.6 6134
35 Denny, SKM 40 2 21 25 12 13 10 10 8 28 61.8 6134
36 Tuti Rahmaniah 40 2 27 25 8 17 10 10 24 44 88.2 6134
37 Fathul Riezka 40 2 30 25 6 19 10 10 11 31 80.4 6134
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6134
39 Hendriyanto 40 2 32 25 5 20 10 10 5 25 77.0 6134
40 Nanang Saiful 40 2 40 25 0 25 10 10 11 31 96.0 6134
44 Sri Nova Wulandari, Amd Kep 40 2 40 25 0 25 10 10 3 23 88.0 6134
45 Deni Kusmiati, Amd Kep 40 2 40 25 0 25 10 10 3 23 88.0 6134
46 Dimintri Widiastuti, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6134
47 Hermawati, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6134
48 Nurlena, Amd Kep 40 2 38 25 1 24 5 10 3 18 80.4 6134
49 Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6134
50 Debora Sulle, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6134
51 Tuti Wahyuni, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6134

Efektif Kerja

52 Selvina Anasiena L, Amd Keb 40 2 40 25 0 25 10 10 1 21 86.0 6134
53 Wiwid Verri Yanti, Amd Far 40 2 40 25 0 25 10 10 1 21 86.0 6134
54 Alwiyah, Amd KL 40 2 40 25 0 25 20 10 1 31 96.0 6134
55 Heri Mulyanto, SE 40 2 40 25 0 25 10 10 4 24 89.0 6134
56 Ali Imbran, S.Kom 40 2 40 25 0 25 30 10 1 41 106.0 6134
57 Ida Widayana Sudjono 40 2 40 25 25 30 10 9 49 114.0 6134
58 Hendra Yani 15 1 14 25 1 24 10 10 6 26 64.4 6134
59 Elly Hanggara 15 1 15 25 0 25 10 10 1 21 61.0 6134
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6134
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6134
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6134
6,134
Mengetahui,

NIP 19750512 199603 1 003
36524000 21,914,400

O P = M/NXO
17,431,200.00
17,431,200.00 673,447 67,345 101,017 505,085
17,431,200.00 588,201 58,820 88,230 441,151
17,431,200.00 602,408 60,241 30,120 512,047
17,431,200.00 383,609 38,361 19,180 326,068
17,431,200.00 534,211 53,421 26,711 454,080
17,431,200.00 466,014 46,601 23,301 396,112
17,431,200.00 283,018 28,302 14,151 240,566
17,431,200.00 315,412 31,541 15,771 268,100
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 500,113 50,011 25,006 425,096
17,431,200.00 435,894 43,589 21,795 370,510
17,431,200.00 404,068 40,407 363,661
17,431,200.00 275,062 27,506 13,753 233,803
17,431,200.00 326,778 32,678 16,339 277,761
17,431,200.00 208,001 20,800 10,400 176,801
17,431,200.00 272,220 27,222 244,998
17,431,200.00 247,783 24,778 12,389 210,616
17,431,200.00 251,761 25,176 226,585
17,431,200.00 221,641 22,164 199,477
17,431,200.00 229,029 22,903 206,126
17,431,200.00 300,636 30,064 15,032 255,541
17,431,200.00 211,411 21,141 10,571 179,700
O P = M/NXO
17,431,200.00 244,942 24,494 12,247 208,200
17,431,200.00 217,663 21,766 195,896
17,431,200.00 288,133 28,813 14,407 244,913
17,431,200.00 165,378 16,538 148,840
17,431,200.00 243,805 24,380 219,424
17,431,200.00 265,401 26,540 238,861
17,431,200.00 308,024 30,802 15,401 261,820
17,431,200.00 338,144 33,814 16,907 287,423
17,431,200.00 181,859 18,186 9,093 154,580
17,431,200.00 155,149 15,515 7,757 131,876
17,431,200.00 175,608 17,561 8,780 149,267
17,431,200.00 250,625 25,062 12,531 213,031
17,431,200.00 228,461 22,846 205,615
17,431,200.00 271,084 27,108 243,975
17,431,200.00 218,799 21,880 196,919
17,431,200.00 272,789 27,279 245,510
17,431,200.00 252,330 25,233 12,616 214,480
17,431,200.00 264,264 26,426 13,213 224,624
17,431,200.00 261,423 26,142 13,071 222,209
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 250,056 25,006 12,503 212,548
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 242,668 24,267 12,133 206,268
17,431,200.00 228,461 22,846 11,423 194,191
17,431,200.00 255,739 25,574 12,787 217,379
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 252,898 25,290 12,645 214,963
O P = M/NXO
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 244,373 24,437 12,219 207,717
17,431,200.00 272,789 27,279 13,639 231,870
17,431,200.00 252,898 25,290 12,645 214,963
17,431,200.00 301,204 30,120 15,060 256,024
17,431,200.00 323,937 32,394 16,197 275,346
17,431,200.00 182,996 18,300 9,150 155,546
17,431,200.00 173,335 17,333 8,667 147,334
17,431,200.00 176,176 17,618 10,571 147,988
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200.00 173,335 17,333 10,400 145,601
17,431,200 1,743,120 839,848 14,848,232
839,848
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
BULAN : MEI 2015

TOTAL
Efektif Kerja

2 drg Isyana Duli 150 7 143 23 1 22 10 10 12 32 197.5 6141
7 Siti Aminah, SST 60 3 34 23 10 13 30 10 12 52 98.9 6141
8 Aryanti, SKM 60 3 60 23 0 23 10 10 6 26 109.0 6141
11 Hidayatullah 100 4 91 23 2 21 40 10 16 66 178.3 6141
13 Mawarni 70 3 67 23 1 22 30 10 11 51 140.0 6141
19 Sunarsih, Amd Keb 40 2 35 23 3 20 5 10 19 34 88.8 6141
22 H. Firman, Amd Kep 40 2 38 23 1 22 30 10 19 59 119.3 6141
23 Muhammad Rusdi, Amd Kep 40 2 17 23 13 10 30 10 9 49 76.4 6141

Efektif Kerja

24 Syamsiah, Amd Kep 40 2 35 23 3 20 20 10 8 38 92.8 6141
29 Helpiana, Amd Kep 40 2 37 23 2 21 5 10 11 26 83.5 6141
31 Sum Hevlin 40 2 40 23 0 23 10 10 26 46 109.0 6141
33 Hj Sartinah, SH 40 2 31 23 5 18 10 10 18 38 87.3 6141
34 Widyarto, SKM 40 2 37 23 2 21 10 10 6 26 83.5 6141
35 Denny, SKM 40 2 38 23 1 22 10 10 8 28 88.3 6141
36 Tuti Rahmaniah 40 2 37 23 2 21 10 10 24 44 101.5 6141
37 Fathul Riezka 40 2 31 23 5 18 10 10 11 31 80.3 6141
38 Efendi 40 2 38 23 1 22 10 10 13 33 93.3 6141
39 Hendriyanto 40 2 37 23 2 21 10 10 5 25 82.5 6141
40 Nanang Saiful 40 2 40 23 0 23 10 10 11 31 94.0 6141
48 Nurlena, Amd Kep 40 2 16 23 14 9 5 10 3 18 42.7 6141
49 Nelyanti, Amd Keb 40 2 40 23 0 23 10 10 5 25 88.0 6141

Efektif Kerja

54 Alwiyah, Amd KL 40 2 38 23 1 22 20 10 1 31 91.3 6141
55 Heri Mulyanto, SE 40 2 38 23 1 22 10 10 4 24 84.3 6141
56 Ali Imbran, S.Kom 40 2 40 23 0 23 30 10 1 41 104.0 6141
57 Ida Widayana Sudjono 40 2 40 23 23 30 10 9 49 112.0 6141
58 Hendra Yani 15 1 12 23 5 18 10 10 6 26 55.7 6141
59 Elly Hanggara 15 1 14 23 1 22 10 10 1 21 57.3 6141
60 HJ ASMAH 15 1 15 23 0 23 10 10 2 22 60.0 6141
61 SUMIATI 15 1 15 23 0 23 10 10 1 21 59.0 6141
62 Alex 15 1 15 23 0 23 10 10 1 21 59.0 6141
6,141
Mengetahui,

NIP 19750512 199603 1 003
O P = M/NXO
20,336,400.00
20,336,400.00 778,259 77,826 116,739 583,695
20,336,400.00 653,997 65,400 98,100 490,498
20,336,400.00 668,828 66,883 33,441 568,504
20,336,400.00 693,738 69,374 34,687 589,677
20,336,400.00 607,345 60,734 30,367 516,243
20,336,400.00 553,061 55,306 27,653 470,102
20,336,400.00 327,574 32,757 16,379 278,438
20,336,400.00 360,980 36,098 18,049 306,833
20,336,400.00 332,470 33,247 16,624 282,600
20,336,400.00 105,400 10,540 5,270 89,590
20,336,400.00 590,498 59,050 29,525 501,923
20,336,400.00 513,176 51,318 25,659 436,200
20,336,400.00 463,500 46,350 417,150
20,336,400.00 337,942 33,794 16,897 287,250
20,336,400.00 374,227 37,423 18,711 318,093
20,336,400.00 195,825 19,582 9,791 166,451
20,336,400.00 325,559 32,556 293,003
20,336,400.00 280,778 28,078 14,039 238,661
20,336,400.00 294,025 29,403 264,623
20,336,400.00 240,317 24,032 216,286
20,336,400.00 276,602 27,660 248,942
20,336,400.00 394,961 39,496 19,748 335,717
20,336,400.00 252,988 25,299 227,689
O P = M/NXO
20,336,400.00 307,272 30,727 15,364 261,181
20,336,400.00 268,395 26,840 13,420 228,136
20,336,400.00 245,213 24,521 220,692
20,336,400.00 353,636 35,364 17,682 300,591
20,336,400.00 234,558 23,456 211,102
20,336,400.00 276,602 27,660 248,942
20,336,400.00 293,161 29,316 263,845
20,336,400.00 360,980 36,098 18,049 306,833
20,336,400.00 314,903 31,490 15,745 267,668
20,336,400.00 289,129 28,913 14,456 245,760
20,336,400.00 276,602 27,660 13,830 235,112
20,336,400.00 292,297 29,230 14,615 248,453
20,336,400.00 336,214 33,621 16,811 285,782
20,336,400.00 265,947 26,595 239,353
20,336,400.00 308,856 30,886 277,970
20,336,400.00 273,291 27,329 245,962
20,336,400.00 311,304 31,130 280,173
20,336,400.00 304,680 30,468 15,234 258,978
20,336,400.00 274,155 27,415 13,708 233,031
20,336,400.00 288,985 28,899 14,449 245,638
20,336,400.00 221,311 22,131 11,066 188,114
20,336,400.00 230,382 23,038 11,519 195,825
20,336,400.00 275,739 27,574 13,787 234,378
20,336,400.00 284,810 28,481 14,240 242,088
20,336,400.00 141,253 14,125 7,063 120,065
20,336,400.00 291,433 29,143 14,572 247,718
20,336,400.00 288,122 28,812 14,406 244,903
O P = M/NXO
20,336,400.00 288,122 28,812 14,406 244,903
20,336,400.00 278,186 27,819 13,909 236,458
20,336,400.00 278,186 27,819 13,909 236,458
20,336,400.00 302,232 30,223 15,112 256,898
20,336,400.00 279,050 27,905 13,953 237,193
20,336,400.00 344,421 34,442 17,221 292,758
20,336,400.00 370,915 37,092 18,546 315,278
20,336,400.00 184,594 18,459 9,230 156,905
20,336,400.00 189,921 18,992 9,496 161,433
20,336,400.00 198,705 19,870 11,922 166,912
20,336,400.00 195,393 19,539 11,724 164,130
20,336,400.00 195,393 19,539 11,724 164,130
20,336,400 2,033,640 984 204 17,339,916
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
BULAN : APRIL 2015

TOTAL
Point Point Per Hari POINT Beban Resiko Masa
Efektif Kerja

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6162
7 Siti Aminah, SST 60 2 46 25 6 19 30 10 12 52 116.6 6162
8 Aryanti, SKM 60 2 53 25 3 22 10 10 6 26 100.8 6162
11 Hidayatullah 100 4 80 25 5 20 40 10 16 66 166.0 6162
13 Mawarni 70 3 70 25 0 25 30 10 11 51 146.0 6162
19 Sunarsih, Amd Keb 40 2 32 25 5 20 5 10 19 34 86.0 6162
22 H. Firman, Amd Kep 40 2 38 25 1 24 30 10 19 59 121.4 6162
23 Muhammad Rusdi, Amd Kep 40 2 38 25 1 24 30 10 9 49 111.4 6162
TOTAL
Efektif Kerja

24 Syamsiah, Amd Kep 40 2 32 25 5 20 20 10 8 38 90.0 6162
29 Helpiana, Amd Kep 40 2 35 25 3 22 5 10 11 26 83.2 6162
31 Sum Hevlin 40 2 34 25 4 21 10 10 26 46 100.6 6162
33 Hj Sartinah, SH 40 2 26 25 9 16 10 10 18 38 79.6 6162
34 Widyarto, SKM 40 2 40 25 0 25 10 10 6 26 91.0 6162
35 Denny, SKM 40 2 32 25 5 20 10 10 8 28 80.0 6162
36 Tuti Rahmaniah 40 2 35 25 3 22 10 10 24 44 101.2 6162
37 Fathul Riezka 40 2 29 25 7 18 10 10 11 31 77.8 6162
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6162
39 Hendriyanto 40 2 37 25 2 23 10 10 5 25 84.8 6162
40 Nanang Saiful 40 2 38 25 1 24 10 10 11 31 93.4 6162
48 Nurlena, Amd Kep 40 2 14 25 16 9 5 10 3 18 41.4 6162
49 Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6162
TOTAL
Efektif Kerja

54 Alwiyah, Amd KL 40 2 38 25 1 24 20 10 1 31 93.4 6162
55 Heri Mulyanto, SE 40 2 29 25 7 18 10 10 4 24 70.8 6162
56 Ali Imbran, S.Kom 40 2 38 25 1 24 30 10 1 41 103.4 6162
57 Ida Widayana Sudjono 40 2 40 23 0 23 30 10 9 49 112.0 6162
58 Hendra Yani 15 1 15 25 0 25 10 10 6 26 66.0 6162
59 Elly Hanggara 15 1 14 25 1 24 10 10 1 21 59.4 6162
60 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6162
61 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6162
62 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6162
6,162
Mengetahui,

NIP 19750512 199603 1 003 919,656
O P = M/NXO
20,336,400.00
20,336,400.00 759,092 75,909 113,864 569,319
20,336,400.00 683,183 68,318 102,477 512,387
20,336,400.00 561,068 56,107 28,053 476,908
20,336,400.00 561,068 56,107 28,053 476,908
20,336,400.00 481,858 48,186 24,093 409,580
20,336,400.00 557,767 55,777 27,888 474,102
20,336,400.00 384,827 38,483 19,241 327,103
20,336,400.00 332,680 33,268 16,634 282,778
20,336,400.00 338,621 33,862 16,931 287,828
20,336,400.00 237,629 23,763 11,881 201,984
20,336,400.00 547,866 54,787 27,393 465,686
20,336,400.00 431,032 43,103 21,552 366,377
20,336,400.00 481,858 48,186 433,672
20,336,400.00 328,060 32,806 16,403 278,851
20,336,400.00 362,384 36,238 18,119 308,026
20,336,400.00 250,170 25,017 12,509 212,645
20,336,400.00 307,597 30,760 276,837
20,336,400.00 279,214 27,921 13,961 237,332
20,336,400.00 283,834 28,383 255,451
20,336,400.00 240,269 24,027 216,242
20,336,400.00 283,174 28,317 254,857
20,336,400.00 400,668 40,067 20,033 340,568
20,336,400.00 367,664 36,766 330,898
O P = M/NXO
20,336,400.00 297,036 29,704 14,852 252,481
20,336,400.00 284,494 28,449 14,225 241,820
20,336,400.00 269,973 26,997 242,975
20,336,400.00 326,079 32,608 16,304 277,168
20,336,400.00 243,569 24,357 219,213
20,336,400.00 274,593 27,459 247,134
20,336,400.00 308,257 30,826 277,432
20,336,400.00 332,020 33,202 16,601 282,217
20,336,400.00 358,423 35,842 17,921 304,660
20,336,400.00 262,712 26,271 13,136 223,305
20,336,400.00 300,336 30,034 15,017 255,286
20,336,400.00 264,032 26,403 13,202 224,427
20,336,400.00 334,000 33,400 16,700 283,900
20,336,400.00 256,771 25,677 231,094
20,336,400.00 314,858 31,486 283,372
20,336,400.00 279,874 27,987 251,886
20,336,400.00 308,257 30,826 277,432
20,336,400.00 301,656 30,166 15,083 256,408
20,336,400.00 306,937 30,694 15,347 260,897
20,336,400.00 286,475 28,647 14,324 243,503
20,336,400.00 290,435 29,044 14,522 246,870
20,336,400.00 290,435 29,044 14,522 246,870
20,336,400.00 281,854 28,185 14,093 239,576
20,336,400.00 290,435 29,044 14,522 246,870
20,336,400.00 136,637 13,664 6,832 116,141
20,336,400.00 297,036 29,704 14,852 252,481
20,336,400.00 259,411 25,941 12,971 220,500
O P = M/NXO
20,336,400.00 285,154 28,515 14,258 242,381
20,336,400.00 283,834 28,383 14,192 241,259
20,336,400.00 275,253 27,525 13,763 233,965
20,336,400.00 308,257 30,826 15,413 262,019
20,336,400.00 233,668 23,367 11,683 198,618
20,336,400.00 341,261 34,126 17,063 290,072
20,336,400.00 369,645 36,964 18,482 314,198
20,336,400.00 217,826 21,783 10,891 185,152
20,336,400.00 196,044 19,604 9,802 166,637
20,336,400.00 204,625 20,462 12,277 171,885
20,336,400.00 201,324 20,132 12,079 169,112
20,336,400.00 201,324 20,132 12,079 169,112
20,336,400 2,033,640 1 020 410 17,346,667
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
BULAN : MARET 2015

TOTAL TOTAL TOTAL POINT JUMLAH POINT JUMLAH JASPEL YANG
TOTAL
Point Point Per Hari POINT Beban Resiko Masa DITETAPKAN
Efektif Kerja
A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N O

20,336,400.00
1 drg I Wayan Edi Wahyudi 150 6 126 25 4 21 30 10 22 62 209.0 6360 20,336,400.00
2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6360 20,336,400.00
3 dr Retno Widodarni 150 6 150 25 0 25 30 10 4 44 219.0 6360 20,336,400.00
4 dr Deni Widya Ratna 150 6 126 25 4 21 30 10 4 44 191.0 6360 20,336,400.00
5 dr Fouzy Hanifa Hijria 150 6 108 25 7 18 30 10 8 48 174.0 6360 20,336,400.00
6 Nur Subhi Hidayat, APT 100 4 100 25 0 25 30 10 4 44 169.0 6360 20,336,400.00
7 Siti Aminah, SST 60 2 55 25 2 23 30 10 12 52 130.2 6360 20,336,400.00
8 Aryanti, SKM 60 2 55 25 2 23 10 10 6 26 104.2 6360 20,336,400.00
9 Misbahul Ardi Nugraha, SKM 60 2 60 25 0 25 10 10 1 21 106.0 6360 20,336,400.00
10 Evi Dharma Yanti, SKM 60 2 60 25 0 25 10 10 1 21 106.0 6360 20,336,400.00
11 Hidayatullah 100 4 68 25 8 17 40 10 16 66 151.0 6360 20,336,400.00
12 Renny Kotambunan, S.Sos 70 3 70 25 0 25 30 10 26 66 161.0 6360 20,336,400.00
13 Mawarni 70 3 22 25 17 8 30 10 11 51 81.4 6360 20,336,400.00
14 Umi Kalsum, Amd Keb 40 2 40 25 0 25 20 10 20 50 115.0 6360 20,336,400.00
15 Hj. Minarni, Amd Keb 40 2 40 25 0 25 20 10 20 50 115.0 6360 20,336,400.00
16 Rosita Sari, Amd Keb 40 2 38 25 1 24 10 10 9 29 91.4 6360 20,336,400.00
17 Siti Murtofiah, Amd Keb 40 2 30 25 6 19 30 10 9 49 98.4 6360 20,336,400.00
18 Hj. Hamriana, Amd Keb 40 2 40 25 0 25 5 10 15 30 95.0 6360 20,336,400.00
19 Sunarsih, Amd Keb 40 2 40 25 0 25 5 10 19 34 99.0 6360 20,336,400.00
20 Wina Mayda A, Amd Keb 40 2 38 25 1 24 5 10 11 26 88.4 6360 20,336,400.00
21 Rukyal Ainah, Amd Keb 40 2 30 25 6 19 5 10 11 26 75.4 6360 20,336,400.00
22 H. Firman, Amd Kep 40 2 34 25 4 21 30 10 19 59 113.6 6360 20,336,400.00
23 Muhammad Rusdi, Amd Kep 40 2 40 25 0 25 30 10 9 49 114.0 6360 20,336,400.00
TOTAL
Efektif Kerja

24 Syamsiah, Amd Kep 40 2 40 25 0 25 20 10 8 38 103.0 6360 20,336,400.00
25 Theresia Yawan, Amd Kep 40 2 40 25 0 25 5 10 14 29 94.0 6360 20,336,400.00
26 Jumiatin Rohmawati, Amd Kep 40 2 40 25 0 25 5 10 7 22 87.0 6360 20,336,400.00
27 Dewi Safarina, AMG 40 2 38 25 1 24 30 10 12 52 114.4 6360 20,336,400.00
28 Herlinawati, Amd Kep 40 2 38 25 1 24 10 10 7 27 89.4 6360 20,336,400.00
29 Helpiana, Amd Kep 40 2 40 25 0 25 5 10 11 26 91.0 6360 20,336,400.00
30 Vicky Astin, Amd KG 40 2 37 25 2 23 10 10 11 31 90.8 6360 20,336,400.00
31 Sum Hevlin 40 2 40 25 0 25 10 10 26 46 111.0 6360 20,336,400.00
32 Leita Rauli Silaban 40 2 38 25 1 24 30 10 14 54 116.4 6360 20,336,400.00
33 Hj Sartinah, SH 40 2 38 25 1 24 10 10 18 38 100.4 6360 20,336,400.00
34 Widyarto, SKM 40 2 40 25 0 25 10 10 6 26 91.0 6360 20,336,400.00
35 Denny, SKM 40 2 40 25 0 25 10 10 8 28 93.0 6360 20,336,400.00
36 Tuti Rahmaniah 40 2 34 25 4 21 10 10 24 44 98.6 6360 20,336,400.00
37 Fathul Riezka 40 2 34 25 4 21 10 10 11 31 85.6 6360 20,336,400.00
38 Efendi 40 2 38 25 1 24 10 10 13 33 95.4 6360 20,336,400.00
39 Hendriyanto 40 2 37 25 2 23 10 10 5 25 84.8 6360 20,336,400.00
40 Nanang Saiful 40 2 37 25 2 23 10 10 11 31 90.8 6360 20,336,400.00
41 Purnamasari, Amd Far 40 2 38 25 1 24 10 10 9 29 91.4 6360 20,336,400.00
42 Nur Jannah, Amd Kep 40 2 40 25 0 25 10 10 8 28 93.0 6360 20,336,400.00
43 Yelmi Sinaga, Amd Kep 40 2 38 25 1 24 10 10 7 27 89.4 6360 20,336,400.00
44 Sri Nova Wulandari, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6360 20,336,400.00
45 Deni Kusmiati, Amd Kep 40 2 35 25 3 22 10 10 3 23 80.2 6360 20,336,400.00
46 Dimintri Widiastuti, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6360 20,336,400.00
47 Hermawati, Amd Kep 40 2 38 25 1 24 10 10 3 23 85.4 6360 20,336,400.00
48 Nurlena, Amd Kep 40 2 34 25 4 21 5 10 3 18 72.6 6360 20,336,400.00
49 Nelyanti, Amd Keb 40 2 40 25 0 25 10 10 5 25 90.0 6360 20,336,400.00
50 Debora Sulle, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6360 20,336,400.00
TOTAL
Efektif Kerja

51 Tuti Wahyuni, Amd Keb 40 2 40 25 0 25 10 10 4 24 89.0 6360 20,336,400.00
52 Selvina Anasiena L, Amd Keb 40 2 40 25 0 25 10 10 1 21 86.0 6360 20,336,400.00
53 Wiwid Verri Yanti, Amd Far 40 2 40 25 0 25 10 10 1 21 86.0 6360 20,336,400.00
54 Alwiyah, Amd KL 40 2 38 25 1 24 20 10 1 31 93.4 6360 20,336,400.00
55 Heri Mulyanto, SE 40 2 38 25 1 24 10 10 4 24 86.4 6360 20,336,400.00
56 Ali Imbran, S.Kom 40 2 37 25 2 23 30 10 1 41 100.8 6360 20,336,400.00
57 Hendra Yani 15 1 14 25 2 23 10 10 6 26 62.8 6360 20,336,400.00
58 Elly Hanggara 15 1 14 25 1 24 10 10 1 21 59.4 6360 20,336,400.00
59 HJ ASMAH 15 1 15 25 0 25 10 10 2 22 62.0 6360 20,336,400.00
60 SUMIATI 15 1 15 25 0 25 10 10 1 21 61.0 6360 20,336,400.00
61 Alex 15 1 15 25 0 25 10 10 1 21 61.0 6360 20,336,400.00
6,360
Mengetahui,

NIP 19750512 199603 1 003
JASPEL YG POT 10 % PPh 21 % TERIMA
DIPEROLEH
P = M/NXO
668,266 66,827 100,240 501,200

661,871 66,187 99,281 496,404
700,241 70,024 35,012 595,205
610,712 61,071 30,536 519,105
556,356 55,636 27,818 472,902
540,368 54,037 27,018 459,313
416,308 41,631 20,815 353,861
333,174 33,317 16,659 283,198
338,929 33,893 16,946 288,090
338,929 33,893 16,946 288,090
482,814 48,281 24,141 410,392
514,789 51,479 25,739 437,571
260,272 26,027 234,245
367,706 36,771 18,385 312,550
367,706 36,771 18,385 312,550
292,247 29,225 14,612 248,410
314,629 31,463 283,166
303,757 30,376 15,188 258,194
316,547 31,655 284,892
282,654 28,265 254,389
241,087 24,109 216,979
363,230 36,323 18,161 308,745
364,509 36,451 328,058
DIPEROLEH
P = M/NXO
329,337 32,934 16,467 279,936
300,560 30,056 15,028 255,476
278,178 27,818 250,360
365,788 36,579 18,289 310,920
285,852 28,585 257,267
290,968 29,097 261,871
290,328 29,033 261,295
354,917 35,492 17,746 301,679
372,183 37,218 18,609 316,355
321,024 32,102 16,051 272,870
290,968 29,097 14,548 247,322
297,363 29,736 14,868 252,758
315,268 31,527 15,763 267,978
273,701 27,370 246,331
305,036 30,504 274,533
271,143 27,114 244,029
290,328 29,033 261,295
292,247 29,225 14,612 248,410
297,363 29,736 14,868 252,758
285,852 28,585 14,293 242,974
273,062 27,306 13,653 232,103
256,435 25,644 12,822 217,970
273,062 27,306 13,653 232,103
273,062 27,306 13,653 232,103
232,135 23,213 11,607 197,314
287,770 28,777 14,389 244,605
284,573 28,457 14,229 241,887
DIPEROLEH
P = M/NXO
284,573 28,457 14,229 241,887
274,980 27,498 13,749 233,733
274,980 27,498 13,749 233,733
298,642 29,864 14,932 253,845
276,259 27,626 13,813 234,820
322,303 32,230 16,115 273,957
200,800 20,080 10,040 170,680
189,928 18,993 9,496 161,439
198,242 19,824 11,895 166,523
195,044 19,504 11,703 163,837
195,044 19,504 11,703 163,837
20,336,400 2,033,640 930,536 17,350,305
Dibuat Oleh, 917,156

Mawarni
NIP 19761103 200701 2 020
BULAN : FEBRUARI 2015

JUMLAH
TOTAL TOTAL TOTAL POINT
TOTAL POINT JUMLAH JASPEL
NO NAMA HARI VARIABEL SELURUH
Hari Kerja Hari
POINT Tidak SELURUH YANG DITETAPKAN
Point Point Per Hari KERJA Beban Resiko Masa DAERAH KOMPONEN KETENAGAAN
Masuk
Ketenagaan Ketenagaan Efektif Kerja Kerja Kerja
Kerja

20,336,400.00
1 drg I Wayan Edi Wahyudi 150 7 143 23 1 22 30 10 22 62 227.5 6293 20,336,400.00
2 drg Isyana Duli 150 7 150 23 0 23 10 10 12 32 205.0 6293 20,336,400.00
3 dr Retno Widodarni 150 7 137 23 2 21 30 10 4 44 202.0 6293 20,336,400.00
4 dr Deni Widya Ratna 150 7 143 23 1 22 30 10 4 44 209.5 6293 20,336,400.00
5 dr Fouzy Hanifa Hijria 150 7 150 23 0 23 30 10 8 48 221.0 6293 20,336,400.00
6 Nur Subhi Hidayat, APT 100 4 100 23 23 30 10 4 44 167.0 6293 20,336,400.00
7 Siti Aminah, SST 60 3 60 23 0 23 30 10 12 52 135.0 6293 20,336,400.00
8 Aryanti, SKM 60 3 57 23 1 22 10 10 6 26 105.4 6293 20,336,400.00
9 Misbahul Ardi Nugraha, SKM 60 3 60 23 0 23 10 10 1 21 104.0 6293 20,336,400.00
10 Evi Dharma Yanti, SKM 60 3 60 23 0 23 10 10 1 21 104.0 6293 20,336,400.00
11 Hidayatullah 100 4 91 23 2 21 40 10 16 66 178.3 6293 20,336,400.00
12 Renny Kotambunan, S.Sos 70 3 67 23 1 22 30 10 26 66 155.0 6293 20,336,400.00
13 Mawarni 70 3 0 23 23 0 30 10 11 51 51.0 6293 20,336,400.00
14 Umi Kalsum, Amd Keb 40 2 38 23 1 22 20 10 20 50 110.3 6293 20,336,400.00
15 Hj. Minarni, Amd Keb 40 2 37 23 2 21 20 10 20 50 107.5 6293 20,336,400.00
16 Rosita Sari, Amd Keb 40 2 40 23 0 23 10 10 9 29 92.0 6293 20,336,400.00
17 Siti Murtofiah, Amd Keb 40 2 40 23 0 23 30 10 9 49 112.0 6293 20,336,400.00
18 Hj. Hamriana, Amd Keb 40 2 40 23 0 23 5 10 15 30 93.0 6293 20,336,400.00
19 Sunarsih, Amd Keb 40 2 40 23 0 23 5 10 19 34 97.0 6293 20,336,400.00
20 Wina Mayda A, Amd Keb 40 2 38 23 1 22 5 10 11 26 86.3 6293 20,336,400.00
21 Rukyal Ainah, Amd Keb 40 2 40 23 0 23 5 10 11 26 89.0 6293 20,336,400.00
22 H. Firman, Amd Kep 40 2 40 23 0 23 30 10 19 59 122.0 6293 20,336,400.00
23 Muhammad Rusdi, Amd Kep 40 2 40 23 0 23 30 10 9 49 112.0 6293 20,336,400.00
JUMLAH
Hari Kerja Hari
Masuk
Kerja

24 Syamsiah, Amd Kep 40 2 40 23 0 23 20 10 8 38 101.0 6293 20,336,400.00
25 Theresia Yawan, Amd Kep 40 2 40 23 0 23 5 10 14 29 92.0 6293 20,336,400.00
26 Jumiatin Rohmawati, Amd Kep 40 2 40 23 0 23 5 10 7 22 85.0 6293 20,336,400.00
27 Dewi Safarina, AMG 40 2 38 23 1 22 30 10 12 52 112.3 6293 20,336,400.00
28 Herlinawati, Amd Kep 40 2 33 23 4 19 10 10 7 27 79.0 6293 20,336,400.00
29 Helpiana, Amd Kep 40 2 40 23 0 23 5 10 11 26 89.0 6293 20,336,400.00
30 Vicky Astin, Amd KG 40 2 7 23 19 4 10 10 11 31 42.0 6293 20,336,400.00
31 Sum Hevlin 40 2 38 23 1 22 10 10 26 46 106.3 6293 20,336,400.00
32 Leita Rauli Silaban 40 2 40 23 0 23 30 10 14 54 117.0 6293 20,336,400.00
33 Hj Sartinah, SH 40 2 33 23 4 19 10 10 18 38 90.0 6293 20,336,400.00
34 Widyarto, SKM 40 2 40 23 0 23 10 10 6 26 89.0 6293 20,336,400.00
35 Denny, SKM 40 2 38 23 1 22 10 10 8 28 88.3 6293 20,336,400.00
36 Tuti Rahmaniah 40 2 35 23 3 20 10 10 24 44 98.8 6293 20,336,400.00
37 Fathul Riezka 40 2 24 23 9 14 10 10 11 31 69.3 6293 20,336,400.00
38 Efendi 40 2 40 23 0 23 10 10 13 33 96.0 6293 20,336,400.00
39 Hendriyanto 40 2 37 23 2 21 10 10 5 25 82.5 6293 20,336,400.00
40 Nanang Saiful 40 2 40 23 0 23 10 10 11 31 94.0 6293 20,336,400.00
41 Purnamasari, Amd Far 40 2 37 23 2 21 10 10 9 29 86.5 6293 20,336,400.00
42 Nur Jannah, Amd Kep 40 2 38 23 1 22 10 10 8 28 88.3 6293 20,336,400.00
43 Yelmi Sinaga, Amd Kep 40 2 40 23 0 23 10 10 7 27 90.0 6293 20,336,400.00
44 Sri Nova Wulandari, Amd Kep 40 2 40 23 0 23 10 10 3 23 86.0 6293 20,336,400.00
45 Deni Kusmiati, Amd Kep 40 2 40 23 0 23 10 10 3 23 86.0 6293 20,336,400.00
46 Dimintri Widiastuti, Amd Kep 40 2 38 23 1 22 10 10 3 23 83.3 6293 20,336,400.00
47 Hermawati, Amd Kep 40 2 40 23 0 23 10 10 3 23 86.0 6293 20,336,400.00
48 Nurlena, Amd Kep 40 2 37 23 2 21 5 10 3 18 75.5 6293 20,336,400.00
49 Nelyanti, Amd Keb 40 2 40 23 0 23 10 10 5 25 88.0 6293 20,336,400.00
50 Debora Sulle, Amd Keb 40 2 40 23 0 23 10 10 4 24 87.0 6293 20,336,400.00
JUMLAH
Hari Kerja Hari
Masuk
Kerja

51 Tuti Wahyuni, Amd Keb 40 2 40 23 0 23 10 10 4 24 87.0 6293 20,336,400.00
52 Selvina Anasiena L, Amd Keb 40 2 40 23 0 23 10 10 1 21 84.0 6293 20,336,400.00
53 Wiwid Verri Yanti, Amd Far 40 2 40 23 0 23 10 10 1 21 84.0 6293 20,336,400.00
54 Alwiyah, Amd KL 40 2 40 23 0 23 20 10 1 31 94.0 6293 20,336,400.00
55 Heri Mulyanto, SE 40 2 33 23 4 19 10 10 4 24 76.0 6293 20,336,400.00
56 Ali Imbran, S.Kom 40 2 38 23 1 22 30 10 1 41 101.3 6293 20,336,400.00
57 Hendra Yani 15 1 14 23 2 21 10 10 6 26 60.7 6293 20,336,400.00
58 Elly Hanggara 15 1 13 23 3 20 10 10 1 21 54.0 6293 20,336,400.00
59 HJ ASMAH 15 1 15 23 0 23 10 10 2 22 60.0 6293 20,336,400.00
60 SUMIATI 15 1 15 23 0 23 10 10 1 21 59.0 6293 20,336,400.00
61 Alex 15 1 15 23 0 23 10 10 1 21 59.0 6293 20,336,400.00
6,293
Mengetahui,

NIP 19750512 199603 1 003
DIPEROLEH
P = M/NXO
735,152 73,515 110,273 551,364

662,508 66,251 99,376 496,881
652,672 65,267 32,634 554,772
676,981 67,698 33,849 575,434
714,216 71,422 35,711 607,084
539,702 53,970 26,985 458,746
436,286 43,629 21,814 370,843
340,598 34,060 17,030 289,508
336,102 33,610 16,805 285,686
336,102 33,610 16,805 285,686
576,235 57,623 28,812 489,799
500,780 50,078 25,039 425,663
164,819 16,482 148,337
356,335 35,634 17,817 302,885
347,483 34,748 17,374 295,361
297,321 29,732 14,866 252,723
361,956 36,196 325,760
300,552 30,055 15,028 255,470
313,479 31,348 282,132
278,773 27,877 250,896
287,625 28,763 258,863
394,273 39,427 19,714 335,132
361,956 36,196 325,760
DIPEROLEH
P = M/NXO
326,406 32,641 16,320 277,445
297,321 29,732 14,866 252,723
274,698 27,470 247,229
362,799 36,280 18,140 308,379
255,449 25,545 229,904
287,625 28,763 258,863
135,593 13,559 122,034
343,408 34,341 17,170 291,897
378,114 37,811 18,906 321,397
290,998 29,100 14,550 247,348
287,625 28,763 14,381 244,482
285,237 28,524 14,262 242,451
319,240 31,924 15,962 271,354
224,115 22,411 201,703
310,248 31,025 279,223
266,689 26,669 240,020
303,784 30,378 273,406
279,616 27,962 13,981 237,674
285,237 28,524 14,262 242,451
290,857 29,086 14,543 247,229
277,930 27,793 13,897 236,241
277,930 27,793 13,897 236,241
269,078 26,908 13,454 228,716
277,930 27,793 13,897 236,241
244,067 24,407 12,203 207,457
284,394 28,439 14,220 241,735
281,162 28,116 14,058 238,988
DIPEROLEH
P = M/NXO
281,162 28,116 14,058 238,988
271,467 27,147 13,573 230,747
271,467 27,147 13,573 230,747
303,784 30,378 15,189 258,217
245,753 24,575 12,288 208,890
327,250 32,725 16,362 278,162
196,153 19,615 9,808 166,730
174,655 17,465 8,733 148,457
193,905 19,390 11,634 162,880
190,673 19,067 11,440 160,165
190,673 19,067 11,440 160,165
20,336,400 2,033,640 922 009 17,331,762
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
BULAN : JANUARI 2015

JUMLAH
TOTAL POINT
Hari Kerja Hari
POINT Tidak SELURUH
Masuk
Kerja

2 drg Isyana Duli 150 6 150 25 0 25 10 10 12 32 207.0 6180
7 Siti Aminah, SST 60 2.4 60 25 0 25 30 10 12 52 137.0 6180
8 Aryanti, SKM 60 2.4 57.6 25 1 24 10 10 6 26 107.6 6180
9 Misbahul Ardi Nugraha, SKM 60 2.4 60 25 0 25 10 10 1 21 106.0 6180
10 Evi Dharma Yanti, SKM 60 2.4 60 25 0 25 10 10 1 21 106.0 6180
11 Hidayatullah 100 4 60 25 10 15 40 10 16 66 141.0 6180
12 Renny Kotambunan, S.Sos 70 2.8 56 25 5 20 30 10 26 66 142.0 6180
13 Mawarni 70 2.8 36.4 25 12 13 30 10 11 51 100.4 6180
14 Umi Kalsum, Amd Keb 40 1.6 38.4 25 1 24 20 10 20 50 112.4 6180
15 Hj. Minarni, Amd Keb 40 1.6 38.4 25 1 24 20 10 20 50 112.4 6180
16 Rosita Sari, Amd Keb 40 1.6 38.4 25 1 24 10 10 9 29 91.4 6180
17 Siti Murtofiah, Amd Keb 40 1.6 27.2 25 8 17 30 10 9 49 93.2 6180
18 Hj. Hamriana, Amd Keb 40 1.6 40 25 0 25 5 10 15 30 95.0 6180
19 Sunarsih, Amd Keb 40 1.6 40 25 0 25 5 10 19 34 99.0 6180
20 Wina Mayda A, Amd Keb 40 1.6 38.4 25 1 24 5 10 11 26 88.4 6180
21 Rukyal Ainah, Amd Keb 40 1.6 40 25 0 25 5 10 11 26 91.0 6180
22 H. Firman, Amd Kep 40 1.6 32 25 5 20 30 10 19 59 111.0 6180
23 Muhammad Rusdi, Amd Kep 40 1.6 40 25 0 25 30 10 9 49 114.0 6180
JUMLAH
TOTAL POINT
Hari Kerja Hari
POINT Tidak SELURUH
Masuk
Kerja

24 Syamsiah, Amd Kep 40 1.6 40 25 0 25 20 10 8 38 103.0 6180
25 Theresia Yawan, Amd Kep 40 1.6 30.4 25 6 19 5 10 14 29 78.4 6180
26 Jumiatin Rohmawati, Amd Kep 40 1.6 40 25 0 25 5 10 7 22 87.0 6180
27 Dewi Safarina, AMG 40 1.6 35.2 25 3 22 30 10 12 52 109.2 6180
28 Herlinawati, Amd Kep 40 1.6 38.4 25 1 24 10 10 7 27 89.4 6180
29 Helpiana, Amd Kep 40 1.6 40 25 0 25 5 10 11 26 91.0 6180
30 Vicky Astin, Amd KG 40 1.6 0 25 25 0 10 10 11 31 31.0 6180
31 Sum Hevlin 40 1.6 30.4 25 6 19 10 10 26 46 95.4 6180
32 Leita Rauli Silaban 40 1.6 38.4 25 1 24 30 10 14 54 116.4 6180
33 Hj Sartinah, SH 40 1.6 16 25 15 10 10 10 18 38 64.0 6180
34 Widyarto, SKM 40 1.6 40 25 0 25 10 10 6 26 91.0 6180
35 Denny, SKM 40 1.6 33.6 25 4 21 10 10 8 28 82.6 6180
36 Tuti Rahmaniah 40 1.6 40 25 0 25 10 10 24 44 109.0 6180
37 Fathul Riezka 40 1.6 32 25 5 20 10 10 11 31 83.0 6180
38 Efendi 40 1.6 40 25 0 25 10 10 13 33 98.0 6180
39 Hendriyanto 40 1.6 40 25 0 25 10 10 5 25 90.0 6180
40 Nanang Saiful 40 1.6 36.8 25 2 23 10 10 11 31 90.8 6180
41 Purnamasari, Amd Far 40 1.6 40 25 0 25 10 10 9 29 94.0 6180
42 Nur Jannah, Amd Kep 40 1.6 40 25 0 25 10 10 8 28 93.0 6180
43 Yelmi Sinaga, Amd Kep 40 1.6 36.8 25 2 23 10 10 7 27 86.8 6180
44 Sri Nova Wulandari, Amd Kep 40 1.6 35.2 25 3 22 10 10 3 23 80.2 6180
45 Deni Kusmiati, Amd Kep 40 1.6 40 25 0 25 10 10 3 23 88.0 6180
46 Dimintri Widiastuti, Amd Kep 40 1.6 40 25 0 25 10 10 3 23 88.0 6180
47 Hermawati, Amd Kep 40 1.6 40 25 0 25 10 10 3 23 88.0 6180
48 Nurlena, Amd Kep 40 1.6 25.6 25 9 16 5 10 3 18 59.6 6180
49 Nelyanti, Amd Keb 40 1.6 40 25 0 25 10 10 5 25 90.0 6180
50 Debora Sulle, Amd Keb 40 1.6 40 25 0 25 10 10 4 24 89.0 6180
JUMLAH
TOTAL POINT
Hari Kerja Hari
POINT Tidak SELURUH
Masuk
Kerja

51 Tuti Wahyuni, Amd Keb 40 1.6 40 25 0 25 10 10 4 24 89.0 6180
52 Selvina Anasiena L, Amd Keb 40 1.6 40 25 0 25 10 10 1 21 86.0 6180
53 Wiwid Verri Yanti, Amd Far 40 1.6 40 25 0 25 10 10 1 21 86.0 6180
54 Alwiyah, Amd KL 40 1.6 40 25 0 25 20 10 1 31 96.0 6180
55 Heri Mulyanto, SE 40 1.6 40 25 0 25 10 10 4 24 89.0 6180
56 Ali Imbran, S.Kom 40 1.6 32 25 5 20 30 10 1 41 93.0 6180
57 Hendra Yani 15 0.6 12.6 25 4 21 10 10 6 26 59.6 6180
58 Elly Hanggara 15 0.6 12.6 25 4 21 10 10 1 21 54.6 6180
59 HJ ASMAH 15 0.6 15 25 0 25 10 10 2 22 62.0 6180
60 SUMIATI 15 0.6 15 25 0 25 10 10 1 21 61.0 6180
6,180
Mengetahui,

NIP 19750512 199603 1 003
O P = M/NXO
20,366,400.00
20,366,400.00 757,997 75,800 113,700 568,498
20,366,400.00 682,198 68,220 102,330 511,648
20,366,400.00 721,745 72,175 36,087 613,484
20,366,400.00 698,676 69,868 34,934 593,874
20,366,400.00 504,233 50,423 25,212 428,598
20,366,400.00 556,963 55,696 27,848 473,419
20,366,400.00 451,503 45,150 22,575 383,777
20,366,400.00 354,611 35,461 17,731 301,419
20,366,400.00 349,338 34,934 17,467 296,937
20,366,400.00 349,338 34,934 17,467 296,937
20,366,400.00 464,685 46,469 23,234 394,983
20,366,400.00 467,981 46,798 23,399 397,784
20,366,400.00 330,882 33,088 297,794
20,366,400.00 370,430 37,043 18,522 314,866
20,366,400.00 370,430 37,043 18,522 314,866
20,366,400.00 301,222 30,122 15,061 256,038
20,366,400.00 307,154 30,715 276,438
20,366,400.00 313,086 31,309 15,654 266,123
20,366,400.00 326,268 32,627 293,642
20,366,400.00 291,335 29,133 262,201
20,366,400.00 299,903 29,990 269,913
20,366,400.00 365,816 36,582 18,291 310,944
20,366,400.00 375,703 37,570 338,133
O P = M/NXO
20,366,400.00 339,451 33,945 16,973 288,533
20,366,400.00 258,378 25,838 12,919 219,621
20,366,400.00 286,721 28,672 258,049
20,366,400.00 359,884 35,988 17,994 305,901
20,366,400.00 294,630 29,463 265,167
20,366,400.00 299,903 29,990 269,913
20,366,400.00 102,165 10,216 91,948
20,366,400.00 314,404 31,440 15,720 267,243
20,366,400.00 383,613 38,361 19,181 326,071
20,366,400.00 210,921 21,092 10,546 179,283
20,366,400.00 299,903 29,990 14,995 254,918
20,366,400.00 272,220 27,222 13,611 231,387
20,366,400.00 359,225 35,922 17,961 305,341
20,366,400.00 273,538 27,354 246,184
20,366,400.00 322,973 32,297 290,676
20,366,400.00 296,608 29,661 266,947
20,366,400.00 299,244 29,924 269,320
20,366,400.00 309,790 30,979 15,490 263,322
20,366,400.00 306,495 30,649 15,325 260,520
20,366,400.00 286,062 28,606 14,303 243,152
20,366,400.00 264,310 26,431 13,216 224,664
20,366,400.00 290,016 29,002 14,501 246,514
20,366,400.00 290,016 29,002 14,501 246,514
20,366,400.00 290,016 29,002 14,501 246,514
20,366,400.00 196,420 19,642 9,821 166,957
20,366,400.00 296,608 29,661 14,830 252,117
20,366,400.00 293,312 29,331 14,666 249,315
O P = M/NXO
20,366,400.00 293,312 29,331 14,666 249,315
20,366,400.00 283,425 28,343 14,171 240,911
20,366,400.00 283,425 28,343 14,171 240,911
20,366,400.00 316,382 31,638 15,819 268,924
20,366,400.00 293,312 29,331 14,666 249,315
20,366,400.00 306,495 30,649 15,325 260,520
20,366,400.00 196,420 19,642 9,821 166,957
20,366,400.00 179,942 17,994 8,997 152,951
20,366,400.00 204,330 20,433 12,260 171,637
20,366,400.00 201,034 20,103 12,062 168,869
20,366,400 2,036,640 863,074 17,368,718
Dibuat Oleh,
Mawarni
NIP 19761103 200701 2 020
JANUARI - DESEMBER 2015

TOTAL
NO NAMA HARI VARIABEL SELURUH SELURUH
Hari Kerja Hari
POINT Tidak
Point Point Per Hari Masuk KERJA Beban Resiko Masa DAERAH KOMPONEN KETENAGAAN
Kerja
1 Tenaga Medis 150

2 drg Isyana Duli 150 6 120 25 5 20 5 10 14 29 169.0 5397
7 Siti Aminah, SST 60 2.4 55.2 25 2 23 5 10 10 25 103.2 5397

8 Aryanti, SKM 60 2.4 50.4 25 4 21 0 0 6 6 77.4 5397
9 Misbahul Ardi Nugraha, SKM 60 2.4 60 25 0 25 0 0 0 0 85.0 5397
10 Evi Dharma Yanti, SKM 60 2.4 60 25 0 25 0 0 0 0 85.0 5397
4 Tenaga Kesehatan S1/ DIV + Kapus

+ KTU + Bendahara Kapitasi
11 Hidayatullah 90 3.6 90 25 0 25 2 10 17 29 144.0 5397
12 Renny Kotambunan, S.Sos 70 2.8 56 25 5 20 2 0 33 35 111.0 5397
13 Mawarni
Tenaga Non Kesehatan D3,Nakes D3, 70 2.8 70 25 0 25 5 10 11 26 121.0 5397
5 Nakes < D3 dgn masa kerja 10 tahun 40
<
14 Umi Kalsum, Amd Keb 40 1.6 40 25 0 25 5 0 26 31 96.0 5397
15 Hj. Minarni, Amd Keb 40 1.6 38.4 25 1 24 5 10 26 41 103.4 5397
16 Rosita Sari, Amd Keb 40 1.6 40 25 0 25 5 0 16 21 86.0 5397
17 Siti Murtofiah, Amd Keb 40 1.6 40 25 0 25 5 10 9 24 89.0 5397
18 Hj. Hamriana, Amd Keb 40 1.6 40 25 0 25 5 0 15 20 85.0 5397
19 Sunarsih, Amd Keb 40 1.6 40 25 0 25 5 10 20 35 100.0 5397
20 Wina Mayda A, Amd Keb 40 1.6 35.2 25 3 22 5 0 12 17 74.2 5397
21 Rukyal Ainah, Amd Keb 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
22 H. Firman, Amd Kep 40 1.6 40 25 0 25 5 0 22 27 92.0 5397
23 Muhammad Rusdi, Amd Kep 40 1.6 32 25 5 20 5 0 9 14 66.0 5397
24 Syamsiah, Amd Kep 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
25 Theresia Yawan, Amd Kep 40 1.6 36.8 25 2 23 5 10 14 29 88.8 5397
26 Jumiatin Rohmawati, Amd Kep 40 1.6 40 25 0 25 5 0 8 13 78.0 5397
27 Dewi Safarina, AMG 40 1.6 40 25 0 25 5 10 15 30 95.0 5397
28 Herlinawati, Amd Kep 40 1.6 40 25 0 25 10 10 4 24 89.0 5397
29 Helpiana, Amd Kep 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
30 Vicky Astin, Amd KG 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
31 Sum Hevlin 40 1.6 40 25 0 25 10 10 33 53 118.0 5397
32 Leita Rauli Silaban 40 1.6 36.8 25 2 23 5 10 19 34 93.8 5397
33 Hj Sartinah, SH 40 1.6 38.4 25 1 24 5 0 26 31 93.4 5397
34 Widyarto, SKM 40 1.6 38.4 25 1 24 5 10 15 30 92.4 5397
35 Denny, SKM 40 1.6 40 25 0 25 5 10 15 30 95.0 5397
36 Tuti Rahmaniah 40 1.6 38.4 25 1 24 0 0 24 24 86.4 5397
37 Fathul Riezka 40 1.6 40 25 0 25 0 0 9 9 74.0 5397
38 Efendi 40 1.6 40 25 0 25 5 10 8 23 88.0 5397
39 Hendriyanto 40 1.6 38.4 25 1 24 5 0 5 10 72.4 5397
40 Nanang Saiful 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
41 Purnamasari, Amd Far 40 1.6 40 25 0 25 5 0 9 14 79.0 5397
42 Nur Jannah, Amd Kep 40 1.6 40 25 0 25 5 0 7 12 77.0 5397
43 Yelmi Sinaga, Amd Kep 40 1.6 38.4 25 1 24 5 0 7 12 74.4 5397
44 Sri Nova Wulandari, Amd Kep 40 1.6 40 25 0 25 5 0 3 8 73.0 5397
45 Deni Kusmiati, Amd Kep 40 1.6 40 25 0 25 5 0 3 8 73.0 5397
46 Dimintri Widiastuti, Amd Kep 40 1.6 40 25 0 25 5 0 3 8 73.0 5397
47 Hermawati, Amd Kep 40 1.6 33.6 25 4 21 5 0 3 8 62.6 5397
48 Nurlena, Amd Kep 40 1.6 40 25 0 25 5 0 7 12 77.0 5397
49 Nelyanti, Amd Keb 40 1.6 40 25 0 25 5 0 5 10 75.0 5397
50 Debora Sulle, Amd Keb 40 1.6 40 25 0 25 5 10 4 19 84.0 5397
51 Tuti Wahyuni, Amd Keb 40 1.6 40 25 0 25 5 0 4 9 74.0 5397
52 Selvina Anasiena L, Amd Keb 40 1.6 40 25 0 25 5 0 0 5 70.0 5397
53 Wiwid Verri Yanti, Amd Far 40 1.6 40 25 0 25 5 0 0 5 70.0 5397
54 Alwiyah, Amd KL 40 1.6 40 25 0 25 0 0 7 7 72.0 5397
55 Heri Mulyanto, SE 40 1.6 40 25 0 25 0 0 4 4 69.0 5397
56 Ali Imbran, S.Kom 40 1.6 40 25 0 25 5 10 0 15 80.0 5397
6 Nakes < D3 25
7 Non Nakes < D3 15
57 Hendra Yani 15 0.6 15 25 0 25 0 0 6 6 46.0 5397
58 Elly Hanggara 15 0.6 13.2 25 3 22 0 0 6 6 41.2 5397
59 HJ ASMAH 15 0.6 14.4 25 1 24 0 0 6 6 44.4 5397
60 SUMIATI 15 0.6 15 25 0 25 0 0 6 6 46.0 5397
5,397
JUMLAH JASPEL YANG JASPEL YG DIPEROLEH POT 10 % TERIMA
DITETAPKAN
O P = M/NXO
18,302,400.00 TERIMA PERHARI PERBULAN
18,302,400.00 681,634.69 68,163.47 613,471.22 24,538.85 490,776.97 poli gigi KA

18,302,400.00 573,115.73 57,311.57 515,804.16 20,632.17 412,643.33 poli gigi
18,302,400.00 495,117.73 49,511.77 445,605.96 17,824.24 356,484.77 poli umum KA/IGD
18,302,400.00 566,333.30 56,633.33 509,699.97 20,388.00 407,759.97 poli anak KA/ KLINIK
18,302,400.00 447,640.69 44,764.07 402,876.62 16,115.06 322,301.30 poli KIA
18,302,400.00 488,335.30 48,833.53 439,501.77 17,580.07 351,601.41 apotik GF
18,302,400.00 349,973.63 34,997.36 314,976.27 12,599.05 251,981.01 poli kia KA KIA

18,302,400.00 262,480.22 26,248.02 236,232.20 9,449.29 188,985.76
18,302,400.00 288,253.47 28,825.35 259,428.13 10,377.13 207,542.50
18,302,400.00 288,253.47 28,825.35 259,428.13 10,377.13 207,542.50
18,302,400.00 488,335.30 48,833.53 439,501.77 17,580.07 351,601.41 KPA

18,302,400.00 376,425.13 37,642.51 338,782.61 13,551.30 271,026.09
18,302,400.00 410,337.30 41,033.73 369,303.57 14,772.14 295,442.85 KARTU BENDAHARA
18,302,400.00 325,556.86 32,555.69 293,001.18 11,720.05 234,400.94 kia
18,302,400.00 350,651.87 35,065.19 315,586.69 12,623.47 252,469.35 kia KA BERSALIN
18,302,400.00 291,644.69 29,164.47 262,480.22 10,499.21 209,984.18 kia
18,302,400.00 301,818.34 30,181.83 271,636.51 10,865.46 217,309.21 imunisasi KA IMUNISASI
18,302,400.00 288,253.47 28,825.35 259,428.13 10,377.13 207,542.50 pusban
18,302,400.00 339,121.73 33,912.17 305,209.56 12,208.38 244,167.65 pusban pimpusban
18,302,400.00 251,628.33 25,162.83 226,465.49 9,058.62 181,172.40 pusban
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 pusban
18,302,400.00 311,992.00 31,199.20 280,792.80 11,231.71 224,634.24 POLI TB
18,302,400.00 223,820.34 22,382.03 201,438.31 8,057.53 161,150.65 poli anak
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 imunisasi
18,302,400.00 301,140.10 30,114.01 271,026.09 10,841.04 216,820.87 pusban pimpusban
18,302,400.00 264,514.95 26,451.50 238,063.46 9,522.54 190,450.77 pusban
18,302,400.00 322,165.65 32,216.56 289,949.08 11,597.96 231,959.27 POLI GIZI KA
18,302,400.00 301,818.34 30,181.83 271,636.51 10,865.46 217,309.21 akupuntur/POLI ANAK KA
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 pusban
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 poli kia
18,302,400.00 400,163.65 40,016.36 360,147.28 14,405.89 288,117.83 igd/POLI UMUM KA igd
18,302,400.00 318,096.19 31,809.62 286,286.57 11,451.46 229,029.25 laboratorium KA
18,302,400.00 316,739.70 31,673.97 285,065.73 11,402.63 228,052.58 poli anak
18,302,400.00 313,348.48 31,334.85 282,013.63 11,280.55 225,610.91 3 BULAN KA
18,302,400.00 322,165.65 32,216.56 289,949.08 11,597.96 231,959.27 apotik KA
18,302,400.00 293,001.18 29,300.12 263,701.06 10,548.04 210,960.85
18,302,400.00 250,950.08 25,095.01 225,855.08 9,034.20 180,684.06
18,302,400.00 298,427.13 29,842.71 268,584.41 10,743.38 214,867.53 loket KA
18,302,400.00 245,524.14 24,552.41 220,971.72 8,838.87 176,777.38 loket
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 loket
18,302,400.00 267,906.17 26,790.62 241,115.55 9,644.62 192,892.44 apotik
18,302,400.00 261,123.74 26,112.37 235,011.36 9,400.45 188,009.09 igd
18,302,400.00 252,306.57 25,230.66 227,075.91 9,083.04 181,660.73 igd
18,302,400.00 247,558.87 24,755.89 222,802.98 8,912.12 178,242.38 igd
18,302,400.00 247,558.87 24,755.89 222,802.98 8,912.12 178,242.38 igd
18,302,400.00 247,558.87 24,755.89 222,802.98 8,912.12 178,242.38 igd
18,302,400.00 212,290.21 21,229.02 191,061.19 7,642.45 152,848.95 igd
18,302,400.00 261,123.74 26,112.37 235,011.36 9,400.45 188,009.09 pusban
18,302,400.00 254,341.30 25,434.13 228,907.17 9,156.29 183,125.74 klinik
18,302,400.00 284,862.26 28,486.23 256,376.03 10,255.04 205,100.82 poskesdes
18,302,400.00 250,950.08 25,095.01 225,855.08 9,034.20 180,684.06 klinik
18,302,400.00 237,385.21 23,738.52 213,646.69 8,545.87 170,917.35 klinik
18,302,400.00 237,385.21 23,738.52 213,646.69 8,545.87 170,917.35 apotik
18,302,400.00 244,167.65 24,416.76 219,750.88 8,790.04 175,800.71
18,302,400.00 233,994.00 23,399.40 210,594.60 8,423.78 168,475.68
18,302,400.00 271,297.39 27,129.74 244,167.65 9,766.71 195,334.12 poli kartu simpus
18,302,400.00 155,996.00 15,599.60 140,396.40 5,615.86 112,317.12

18,302,400.00 139,718.15 13,971.82 125,746.34 5,029.85 100,597.07
18,302,400.00 150,570.05 15,057.01 135,513.05 5,420.52 108,410.44
18,302,400.00 155,996.00 15,599.60 140,396.40 5,615.86 112,317.12
17,995,833.95 1,799,583.40 16,196,250.56
2,106,149.44
3,905,732.84
PEMERINTAH KABUPATEN KUTAI KARTANEGARA
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN
Jl. Soekarno Hatta Km 04 Desa Loa Janan RT. 25 Kalimantan Timur 75391
Website : http://puskesmasloajanan.com/e-mail : pkm.loajanan@gmail.com
Kode Puskesmas : 6403140101
Berpedoman Pada SK Kepala Dinas Kesehatan Kutai Kartanegara

Nomor : 440.000/9467/Skrt/XII/2014
Tanggal : 30 Desember 2014
Bulan Januari Tahun 2015
TOTAL TOTAL TOTAL TOTAL POINT PENGHASILAN
Hari Kerja Hari
NO NAMA Tidak HARI VARIABEL SELURUH
Point Point Per Hari POINT Beban Resiko Masa BRUTO
Masuk KERJA DAERAH KOMPONEN
Kerja

1 SUMIATI 15 1 15 25 0 25 10 10 1 21 61 Rp168,869
Mengetahui Loa Janan, 14 Juli 2015

Kepala UPTD Puskesmas Loa Janan Menerima/Menyetujui,
Hidayatullah, ST,.M.Kes SUMIATI

NIP 19750512 199603 1 003 NIP
mas : 6403140101
MASUKAN NO
60
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN

Nomor : 440.000/9467/Skrt/XII/2014
Bulan Februari Tahun 2015
Hari Kerja Hari
Kerja

1 Nur Jannah, Amd Kep 40 2 38 23 1 22 10 10 8 28 88 Rp242,451

Hidayatullah, ST,.M.Kes Nur Jannah, Amd Kep

NIP 19750512 199603 1 003 NIP
mas : 6403140101
MASUKAN NO
42
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN

Nomor : 440.000/9467/Skrt/XII/2014
Bulan Maret Tahun 2015
Hari Kerja Hari
Kerja

1 Umi Kalsum, Amd Keb 40 2 40 25 0 25 20 10 20 50 115 Rp312,550

Hidayatullah, ST,.M.Kes Umi Kalsum, Amd Keb

NIP 19750512 199603 1 003 NIP 19680822 198902 2 001
mas : 6403140101
MASUKAN NO
14
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN

Nomor : 440.000/9467/Skrt/XII/2014
Bulan April Tahun 2015
Hari Kerja Hari
Kerja

1 Siti Aminah, SST 60 2 46 25 6 19 30 10 12 52 117 Rp327,103

Hidayatullah, ST,.M.Kes Siti Aminah, SST

NIP 19750512 199603 1 003 NIP 19781030 200212 2 002
mas : 6403140101
MASUKAN NO
7
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN

Nomor : 440.000/9467/Skrt/XII/2014
Bulan Mei Tahun 2015
Hari Kerja Hari
Kerja

1 Aryanti, SKM 60 3 60 23 0 23 10 10 6 26 109 Rp306,833

Hidayatullah, ST,.M.Kes Aryanti, SKM

NIP 19750512 199603 1 003 NIP
mas : 6403140101
MASUKAN NO
8
8
UPT DINAS KESEHATAN
PUSKESMAS LOA JANAN
KECAMATAN LOA JANAN

Nomor : 440.000/9467/Skrt/XII/2014
Bulan Juni Tahun 2015
Hari Kerja Hari
Kerja

1 Aryanti, SKM 60 2 60 25 0 25 10 10 6 26 111 Rp268,100

Hidayatullah, ST,.M.Kes Aryanti, SKM

NIP 19750512 199603 1 003 NIP
mas : 6403140101
MASUKAN NO

Jaspel Versi Dinkes LJ Tahun 2015 JAN-MEI EDIT

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JASA PELAYANAN PUSKESMAS LOA JANAN

BULAN : JANUARI - MEI 2015

NO NAMA POTONGAN 10% DAN PP

JANUARI FEBRUARI MARET APRIL

KAPITASI Rp 18,302,400 Rp 19,310,400 Rp 19,868,400 Rp 21,704

9 Misbahul Ardi Nugraha,

26 Jumiatin Rohmawati, Amd

44 Sri Nova Wulandari, Amd

JANUARI FEBRUARI MARET APRIL

46 Dimintri Widiastuti, Amd

52 Selvina Anasiena L, Amd

Hidayatullah, ST., M. Kes

APRIL MEI TOTAL

21,704,400 Rp 20,787,600 Rp 99,973,200

16,931 33,247 16,624 169,546 84,773 1,415,637

- 25,299 - 172,282 - 1,519,597

- 24,521 - 135,478 - 1,196,159

14,522 22,131 11,066 132,705 66,352 1,108,743

APRIL MEI TOTAL

14,093 27,574 13,787 138,975 69,487 1,160,740

14,192 27,819 13,909 139,189 69,595 1,163,149

NO NAMA JASA PELAYANAN

JANUARI FEBRUARI MARET APRIL MEI

1 drg I Wayan Edi Wahyudi 545,758 527,392 421,008 546,546 583,695

JANUARI FEBRUARI MARET APRIL MEI

Hidayatullah, ST., M. Kes

NO NAMA JASA PELAYANAN

JANUARI FEBRUARI MARET APRIL MEI

1 drg I Wayan Edi Wahyudi 568,498 551,364 501,200 569,319 583,695

JANUARI FEBRUARI MARET APRIL MEI

Hidayatullah, ST., M. Kes

Komponen Kerja KOMPONEN HARI VARIABEL DAERAH

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

1 Tenaga Medis 150

3 Tenaga Kesehatan S1/ DIV 60

7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

4 Tenaga Non Kesehatan S1/ DIV +

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

Hidayatullah, ST., M. Kes

JUMLAH JASPEL YANG JASPEL YG POT 10 % PPh 21 % TERIMA

17,431,200.00 673,447 67,345 101,017 505,085

17,431,200.00 466,014 46,601 23,301 396,112

17,431,200.00 283,018 28,302 14,151 240,566

17,431,200.00 500,113 50,011 25,006 425,096

17,431,200.00 275,062 27,506 13,753 233,803

17,431,200.00 182,996 18,300 9,150 155,546

Komponen Kerja KOMPONEN HARI VARIABEL DAERAH

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

1 Tenaga Medis 150

3 Tenaga Kesehatan S1/ DIV 60

7 Siti Aminah, SST 60 2 34 25 11 14 30 10 12 52 99.6 6134

4 Tenaga Non Kesehatan S1/ DIV +

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

TOTAL TOTAL TOTAL TOTAL POINT JUMLAH POINT

A B C D = C/F E = C-GXD F G H = F-G I J K L = I+J+K M= E+H+L N

Hidayatullah, ST., M. Kes