SMF

NAMA DOKTER Jasa Bruto

PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD 80,340,800
RADIOLOGI DR. ARMELIA, Sp.R
ANAK DR. ASIH, Sp.A
OBGYN DR. BUDI, Sp.OG
PARU DR. DEDI RINALDI, Sp.P
ANAK DR. DEDI, Sp.A
ANASTESI DR. DENDI, Sp.AN
IGD DR. DILA 3,780,000
BEDAH TULANG DR. DODY PRATAMA, Sp.OT
IGD DR. EKA ANGRAINI
IGD DR. ERRY RALDI
BEDAH PLASTIK DR. FAKHRUL HENDRA, Sp. BP
IGD DR. FIVTA DELANI
ANASTESI DR. FLORA, Sp.AN
OBGYN DR. ICHSAN ERFANDI, Sp.OG 44,745,000
ANASTESI DR. JOHANNAS, Sp.AN
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U
BEDAH UMUM DR. JORDAN, Sp.B
SYARAF DR. KIKI, Sp. S
ANASTESI DR. KURNIADJI, Sp.AN
ANAK DR. KUTEN, Sp.A 100,679,006
RADIOLOGI DR. M FADLAN, Sp.R
IGD DR. M IHSAN
PENYAKIT DALAM DR. MUHYARZON, Sp.PD
IGD DR. RAJA
THT DR. RENOL ,Sp.THT 9,592,600
JANTUNG DR. RINELIA, Sp.J 1,440,000
BEDAH UMUM DR. RIO, Sp.B
HD DR. RISTUA, SP,PD
MATA DR. RIZAR RIZEDIN, Sp.M
HD DR. SIGIT
THT DR. TAUFIK Sp.THT
IGD DR. THOMSON GINTING
BEDAH TULANG DR. WAYAN, Sp.OT
BEDAH UMUM DR. WELLY. Sp.B
SYARAF DR. YOSSI, Sp.S
PENYAKIT DALAM DR. ZAITUL, Sp.PD
BEDAH UROLOGI DR. ZUHIRMAN, Sp.U
GIGI DRG. MITA
 GIGI DRG. NISA
ANASTESI PAK FAKHRUROZI
FISIOTHERAPIS MAHMUDIN
 JANUARI
PPh Pasal 21 Net Yang Diterima TLH BAYAR KURANG (+/-)
Rp 2,360,650 Rp 77,980,150 Rp 49,917,310 Rp 28,062,840
Rp - Rp 2,500,000 Rp 1,375,000 Rp 1,125,000
Rp - Rp - Rp - Rp -
Rp 7,755,156 Rp 133,099,844 Rp 84,913,581 Rp 48,186,263
Rp 414,937 Rp 10,650,063 Rp 5,853,150 Rp 4,796,913
Rp - Rp - Rp - Rp -
Rp 1,337,438 Rp 46,260,562 Rp 15,923,800 Rp 30,336,762
Rp 3,780,000 Rp - Rp 3,780,000
Rp - Rp - Rp - Rp -
Rp 213,142 Rp 6,891,558 Rp 4,586,800 Rp 2,304,758
Rp - Rp 4,243,840 Rp 5,917,701 Rp 1,673,861
Rp - Rp 920,000 Rp 920,000 Rp -
Rp 28,828 Rp 7,124,272 Rp 4,953,980 Rp 2,170,292
Rp 164,400 Rp 5,315,600 Rp 4,160,000 Rp 1,155,600
Rp 1,248,281 Rp 43,496,719 Rp 33,409,600 Rp 10,087,119
Rp 566,531 Rp 22,362,469 Rp 9,507,850 Rp 12,854,619
Rp 861,750 Rp 22,498,250 Rp 1,533,000 Rp 20,965,250
Rp 755,000 Rp 755,000 Rp -
Rp 275,000 Rp - Rp 275,000
Rp 998,400 Rp 25,625,600 Rp 9,568,800 Rp 16,056,800
Rp 5,326,388 Rp 95,352,618 Rp 72,250,663 Rp 23,101,955
Rp - Rp - Rp - Rp -
Rp 151,200 Rp 11,897,580 Rp 8,130,052 Rp 3,767,528
Rp - Rp - Rp - Rp -
Rp 20,180 Rp 8,017,020 Rp 5,439,560 Rp 2,577,460
Rp 359,723 Rp 9,232,877 Rp 5,000,000 Rp 4,232,877 Rp 5,000,000
Rp - Rp 1,440,000 Rp 765,000 Rp 675,000
Rp 4,936,322 Rp 105,851,118 Rp 27,239,350 Rp 78,611,768
Rp -
Rp 302,700 Rp 7,769,300 Rp - Rp 7,769,300
Rp -
Rp 124,056 Rp 4,011,144 Rp 5,292,980 Rp 1,281,836
Rp 32,595 Rp 7,271,205 Rp 6,397,745 Rp 873,460
Rp - Rp - Rp - Rp -
Rp 403,163 Rp 10,347,837 Rp - Rp 10,347,837
Rp 637,687 Rp 16,367,313 Rp 10,538,800 Rp 5,828,513
Rp - Rp 3,670,000 Rp 2,526,000 Rp 1,144,000
Rp - Rp - Rp - Rp -
Rp 166,698 Rp 5,556,600 Rp - Rp 5,556,600
Rp 327,253 Rp 10,908,450 Rp 10,775,010 Rp 133,440
Rp - Rp - Rp - Rp -
Rp -
Rp 28,737,478 Rp 711,471,989 Rp 387,650,732 Rp 326,776,954 Rp 7,955,697
KETERANGAN TOTAL / SMF
5/12/2016 ANAK
4/13/2016 ANASTESI
BEDAH PLASTIK
5/12/2016 BEDAH TULANG
5/12/2016 BEDAH UMUM
BEDAH UROLOGI
5/12/2016 FISIOTHERAPIS
GIGI
HD
4/13/2016 IGD
2/12/2016 JANTUNG
MATA
4/13/2016 OBGYN
PARU
5/12/2016 PENYAKIT DALAM
5/12/2016 RADIOLOGI
5/12/2016 SYARAF
THT

5/12/2016
5/12/2016

4/13/2016

4/13/2016
5/12/2016

5/12/2016

5/12/2016

4/13/2016

5/12/2016

4/13/2016
4/13/2016
 SMF
NAMA DOKTER Jasa Bruto
PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD Rp 85,833,800
RADIOLOGI DR. ARMELIA, Sp.R
ANAK DR. ASIH, Sp.A
OBGYN DR. BUDI, Sp.OG
PARU DR. DEDI RINALDI, Sp.P
ANAK DR. DEDI, Sp.A
ANASTESI DR. DENDI, Sp.AN
IGD DR. DILA 150,000
BEDAH TULANG DR. DODY PRATAMA, Sp.OT
IGD DR. EKA ANGRAINI
IGD DR. ERRY RALDI
BEDAH PLASTIK DR. FAKHRUL HENDRA, Sp. BP
IGD DR. FIVTA DELANI
ANASTESI DR. FLORA, Sp.AN
OBGYN DR. ICHSAN ERFANDI, Sp.OG 35,849,000
ANASTESI DR. JOHANNAS, Sp.AN
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U
BEDAH UMUM DR. JORDAN, Sp.B
SYARAF DR. KIKI, Sp. S
ANASTESI DR. KURNIADJI, Sp.AN
ANAK DR. KUTEN, Sp.A 97,070,402
RADIOLOGI DR. M FADLAN, Sp.R
IGD DR. M IHSAN
PENYAKIT DALAM DR. MUHYARZON, Sp.PD
IGD DR. RAJA
THT DR. RENOL ,Sp.THT 20,732,720
JANTUNG DR. RINELIA, Sp.J 447,000
BEDAH UMUM DR. RIO, Sp.B
HD DR. RISTUA, SP,PD
MATA DR. RIZAR RIZEDIN, Sp.M
HD DR. SIGIT
THT DR. TAUFIK Sp.THT
IGD DR. THOMSON GINTING
BEDAH TULANG DR. WAYAN, Sp.OT
BEDAH UMUM DR. WELLY. Sp.B
SYARAF DR. YOSSI, Sp.S
PENYAKIT DALAM DR. ZAITUL, Sp.PD
BEDAH UROLOGI DR. ZUHIRMAN, Sp.U
GIGI DRG. MITA
GIGI DRG. NISA
ANASTESI PAK FAKHRUROZI
FISIOTHERAPIS MAHMUDIN

ANAK
ANASTESI
BEDAH PLASTIK
BEDAH TULANG
BEDAH UMUM
BEDAH UROLOGI
FISIOTHERAPIS
GIGI
HD
IGD
JANTUNG
MATA
OBGYN
PARU
PENYAKIT DALAM
RADIOLOGI
SYARAF
THT
 FEBRUARI
PPh Pasal 21 Net Yang DiTerima TLH BAYAR KURANG (+/-)
Rp 2,364,431 Rp 83,469,369 Rp 55,879,729 Rp 27,589,640
Rp 1,219,650 Rp 10,128,950 Rp 6,059,020 Rp 4,069,930
Rp - Rp - Rp - Rp -
Rp 6,658,562 Rp 129,774,438 Rp 95,141,194 Rp 34,633,244
Rp 316,613 Rp 8,126,387 Rp 5,164,563 Rp 2,961,824
Rp - Rp - Rp - Rp -
Rp 1,158,600 Rp 29,737,400 Rp 18,371,100 Rp 11,366,300
Rp - Rp 150,000 Rp - Rp 150,000
Rp 446,188 Rp 18,791,812 Rp 8,623,150 Rp 10,168,662
Rp 248,654 Rp 7,648,946 Rp 5,952,700 Rp 1,696,246
Rp 3,652,750 Rp 2,788,650 Rp 864,100
Rp - Rp 1,064,000 Rp 1,064,000 Rp -
Rp 62,481 Rp 7,802,319 Rp 5,422,545 Rp 2,379,774
Rp - Rp - Rp -
Rp 970,281 Rp 34,878,719 Rp 26,826,206 Rp 8,052,513
Rp 917,269 Rp 33,235,331 Rp 13,339,500 Rp 19,895,831
Rp 2,989,013 Rp 76,929,987 Rp 9,714,000 Rp 67,215,987
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 1,094,400 Rp 28,089,600 Rp 22,852,100 Rp 5,237,500
Rp 3,650,350 Rp 93,420,052 Rp 72,249,850 Rp 21,170,202
Rp - Rp 720,000 Rp 240,000 Rp 480,000
Rp 101,322 Rp 9,101,178 Rp 6,474,370 Rp 2,626,808
Rp - Rp - Rp - Rp -
Rp 76,844 Rp 8,442,156 Rp 5,840,625 Rp 2,601,531
Rp 625,874 Rp 20,106,846 Rp 9,294,838 Rp 10,812,008
Rp - Rp 447,000 Rp 280,000 Rp 167,000
Rp 1,440,906 Rp 51,278,494 Rp 16,523,624 Rp 34,754,870
Rp - Rp 452,000 Rp - Rp 452,000
Rp 334,650 Rp 10,449,350 Rp 6,694,600 Rp 3,754,750
Rp 113,190 Rp 3,007,610 Rp 1,524,000 Rp 1,483,610
Rp - Rp 60,000 Rp 60,000 Rp -
Rp 412,320 Rp 12,758,694 Rp 7,210,475 Rp 5,548,219
Rp - Rp - Rp - Rp -
Rp 1,405,987 Rp 36,739,013 Rp 20,801,524 Rp 15,937,489 Rp 619,400
Rp 567,113 Rp 17,951,887 Rp 9,499,926 Rp 8,451,961
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 287,400 Rp 3,814,600 Rp 3,392,000 Rp 422,600
Rp 424,454 Rp 5,991,546 Rp 5,720,348 Rp 271,198
Rp - Rp - Rp - Rp -
Rp - Rp 189,000 Rp - Rp 189,000
Rp 27,886,552 Rp 748,409,434 Rp 443,004,637 Rp 305,404,797 Rp 619,400

Rp 7,806,650
KETERANGAN TOTAL / SMF
4/13/2016 ANAK 93,420,052
4/13/2016 ANASTESI 91,062,331
BEDAH PLASTIK 1,064,000
4/13/2016 BEDAH TULANG 18,791,812
4/13/2016 BEDAH UMUM 88,017,507
BEDAH UROLOGI 76,929,987
4/13/2016 FISIOTHERAPIS 189,000
GIGI 9,806,146
4/13/2016 HD 3,459,610
4/13/2016 IGD 49,556,043
JANTUNG 447,000
MATA 10,449,350
4/13/2016 OBGYN 164,653,157
PARU 8,126,387
4/13/2016 PENYAKIT DALAM 83,469,369
4/13/2016 RADIOLOGI 10,848,950
4/13/2016 SYARAF 17,951,887
THT 20,166,846
748,409,434
4/13/2016
4/13/2016
4/13/2016
4/13/2016

4/13/2016
4/13/2016

4/13/2016
4/13/2016
4/13/2016
4/13/2016

4/13/2016

4/13/2016
4/13/2016

4/13/2016
4/13/2016
4/13/2016
 MA
SMF
NAMA DOKTER Jasa Bruto PPh Pasal 21
PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD Rp 83,874,000 1,875,250
RADIOLOGI DR. ARMELIA, Sp.R 218,400 -
ANAK DR. ASIH, Sp.A - -
OBGYN DR. BUDI, Sp.OG 125,525,000 6,497,594
PARU DR. DEDI RINALDI, Sp.P 13,753,000 516,037
ANAK DR. DEDI, Sp.A - -
ANASTESI DR. DENDI, Sp.AN 41,424,000 1,553,700
IGD DR. DILA -
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 21,298,800 510,650
IGD DR. EKA ANGRAINI 5,986,900 198,270
IGD DR. ERRY RALDI -
BEDAH PLASTIK DR. FAKHRUL HENDRA, Sp. BP - -
IGD DR. FIVTA DELANI 7,325,600 53,400
ANASTESI DR. FLORA, Sp.AN -
OBGYN DR. ICHSAN ERFANDI, Sp.OG 12,285,000 235,094
ANASTESI DR. JOHANNAS, Sp.AN 31,899,000 845,594
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 76,232,326 -
BEDAH UMUM DR. JORDAN, Sp.B 110,000 -
SYARAF DR. KIKI, Sp. S -
ANASTESI DR. KURNIADJI, Sp.AN 24,920,000 956,100
ANAK DR. KUTEN, Sp.A 72,030,000 2,108,188
RADIOLOGI DR. M FADLAN, Sp.R 9,102,600 405,000
IGD DR. M IHSAN 10,391,400 138,975
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 3,315,000 124,313
IGD DR. RAJA 7,914,400 66,100
THT DR. RENOL ,Sp.THT 18,075,000 675,743
JANTUNG DR. RINELIA, Sp.J 395,000 -
BEDAH UMUM DR. RIO, Sp.B 68,956,000 2,005,312
HD DR. RISTUA, SP,PD 410,000 -
MATA DR. RIZAR RIZEDIN, Sp.M 9,815,000 368,137
HD DR. SIGIT 6,194,000 226,350
THT DR. TAUFIK Sp.THT - -
IGD DR. THOMSON GINTING 11,312,200 376,410
BEDAH TULANG DR. WAYAN, Sp.OT - -
BEDAH UMUM DR. WELLY. Sp.B 46,052,000 1,727,926
SYARAF DR. YOSSI, Sp.S 18,503,000 694,463
PENYAKIT DALAM DR. ZAITUL, Sp.PD 6,644,000 58,125
BEDAH UROLOGI DR. ZUHIRMAN, Sp.U - -
GIGI DRG. MITA 4,656,000 309,600
GIGI DRG. NISA 8,426,000 648,190
ANASTESI PAK FAKHRUROZI - -
FISIOTHERAPIS MAHMUDIN 591,500 -
747,635,126 23,174,521
Lunas
 MARET
Net Yang DiTerima TLH BAYAR KURANG (+/-) KETERANGAN
62,048,750 18,952,500 43,096,250 09/06/2016(Belum)
218,400 169,200 49,200 9-Jun-16
- - -
119,027,406 29,798,650 89,228,756 6/9/2016
13,236,963 2,166,000 11,070,963 6/9/2016
- - -
39,870,300 8,040,800 31,829,500 6/9/2016
- - -
20,788,150 9,812,360 10,975,790 6/9/2016
5,788,630 4,761,590 1,027,040 6/9/2016
- - -
- - -
7,272,200 6,301,920 970,280 6/9/2016
- - -
12,049,906 8,059,800 3,990,106 6/9/2016
31,053,406 3,329,750 27,723,656 6/9/2016
76,232,326 3,842,100 72,390,226 6/9/2016
110,000 110,000 -
- - -
23,963,900 3,572,000 20,391,900 6/9/2016
69,921,812 34,727,250 35,194,562 6/9/2016
8,697,600 8,647,470 50,130
10,252,425 8,152,330 2,100,095 6/9/2016
3,190,687 360,000 2,830,687 6/9/2016
7,848,300 6,345,240 1,503,060 6/9/2016
17,399,257 2,863,300 14,535,957 6/9/2016
395,000 - 395,000
66,950,688 866,000 66,084,688 6/9/2016
410,000 - 410,000
9,446,863 768,000 8,678,863 6/9/2016
5,967,650 5,884,300 83,350 6/9/2016
- - -
10,935,790 9,263,830 1,671,960 6/9/2016
- - -
44,324,074 8,272,600 36,051,474 6/9/2016
17,808,537 1,559,000 16,249,537 6/9/2016
6,585,875 1,280,000 5,305,875 6/9/2016
-
4,346,400 4,414,650 (68,250) 68,250 4/13/2016
7,777,810 8,004,700 (226,890) 226,890 6/9/2016
- - -
591,500 507,000 84,500 6/9/2016
704,510,605 200,832,340 503,678,265 295,140
Rp 7,806,650
 SMF
NAMA DOKTER Jasa Bruto PPh Pasal 21 TOTAL
SYARAF DR. AGUS, Sp.S 1,437,000 Rp - Rp 1,437,000
PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD Rp 73,554,000 Rp 2,213,062 Rp 71,340,938
RADIOLOGI DR. ARMELIA, Sp.R - Rp - Rp -
ANAK DR. ASIH, Sp.A - Rp - Rp -
OBGYN DR. BUDI, Sp.OG 159,862,000 Rp 9,758,688 Rp 150,103,312
PARU DR. DEDI RINALDI, Sp.P 15,854,000 Rp 595,050 Rp 15,258,950
ANAK DR. DEDI, Sp.A 1,142,000 Rp - Rp 1,142,000
ANASTESI DR. DENDI, Sp.AN 43,712,000 Rp 1,636,800 Rp 42,075,200
IGD DR. DILA - Rp - Rp -
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 44,790,000 Rp 1,249,812 Rp 43,540,188
IGD DR. EKA ANGRAINI 8,285,200 Rp 253,860 Rp 8,031,340
IGD DR. ERRY RALDI - Rp - Rp -
BEDAH PLASTIK DR. FAKHRUL HENDRA, Sp. BP - Rp - Rp -
IGD DR. FIVTA DELANI 6,267,800 Rp 12,075 Rp 6,255,725
ANASTESI DR. FLORA, Sp.AN - Rp -
OBGYN DR. ICHSAN ERFANDI, Sp.OG 22,456,000 Rp 557,938 Rp 21,898,062
ANASTESI DR. JOHANNAS, Sp.AN 52,454,000 Rp 1,486,875 Rp 50,967,125
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 85,709,000 Rp 9,702,562 Rp 76,006,438
BEDAH UMUM DR. JORDAN, Sp.B - Rp - Rp -
SYARAF DR. KIKI, Sp. S - Rp - Rp -
ANASTESI DR. KURNIADJI, Sp.AN 30,152,000 Rp 1,130,400 Rp 29,021,600
ANAK DR. KUTEN, Sp.A 79,445,000 Rp 2,335,156 Rp 77,109,844
RADIOLOGI DR. M FADLAN, Sp.R 9,453,200 Rp 1,110,600 Rp 8,342,600
IGD DR. M IHSAN 9,563,600 Rp 107,900 Rp 9,455,700
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 9,654,000 Rp 367,126 Rp 9,286,874
IGD DR. RAJA 5,471,400 Rp - Rp 5,471,400
THT DR. RENOL ,Sp.THT 23,482,200 Rp 359,723 Rp 23,122,477
JANTUNG DR. RINELIA, Sp.J 230,000 Rp - Rp 230,000
BEDAH UMUM DR. RIO, Sp.B 80,006,000 Rp 2,357,500 Rp 77,648,500
HD DR. RISTUA, SP,PD Rp 862,000 Rp - Rp 862,000
MATA DR. RIZAR RIZEDIN, Sp.M 11,150,080 Rp 418,128 Rp 10,731,952
HD DR. SIGIT 3,960,000 Rp 149,850 Rp 3,810,150
THT DR. TAUFIK Sp.THT - Rp - Rp -
IGD DR. THOMSON GINTING 9,088,400 Rp 284,820 Rp 8,803,580
BEDAH TULANG DR. WAYAN, Sp.OT - Rp - Rp -
BEDAH UMUM DR. WELLY. Sp.B 42,233,000 Rp 1,584,413 Rp 40,648,587
SYARAF DR. YOSSI, Sp.S 16,042,000 Rp 601,800 Rp 15,440,200
PENYAKIT DALAM DR. ZAITUL, Sp.PD 10,074,000 Rp 379,126 Rp 9,694,874
BEDAH UROLOGI DR. ZUHIRMAN, Sp.U - Rp - Rp -
GIGI DRG. MITA 5,805,000 Rp 382,500 Rp 5,422,500
GIGI DRG. NISA 7,584,000 Rp 500,400 Rp 7,083,600
 ANASTESI PAK FAKHRUROZI - Rp - Rp -
FISIOTHERAPIS MAHMUDIN 1,809,500 Rp - Rp 1,809,500
871,588,380 Rp 39,536,164 Rp 832,052,216
 APRIL
TLH BAYAR Kurang Bayar Maret KURANG LEBIH BAYAR KETERANGAN
Rp - Rp 1,437,000
Rp 14,681,062 Rp 19,950,000 Rp 76,609,876
Rp - Rp -
Rp - Rp -
Rp 25,964,969 Rp 124,138,343
Rp 1,089,000 Rp 14,169,950
Rp 908,000 Rp 234,000
Rp 2,995,300 Rp 39,079,900
Rp - Rp -
Rp 7,700,894 Rp 35,839,294
Rp 4,893,690 Rp 3,137,650
Rp - Rp -
Rp - Rp -
Rp 3,885,800 Rp 2,369,925
Rp - Rp -
Rp 6,201,500 Rp 15,696,562
Rp 6,079,375 Rp 44,887,750
Rp 6,514,826 Rp 69,491,612
Rp - Rp -
Rp - Rp -
Rp 2,632,000 Rp 26,389,600
Rp 25,960,062 Rp 51,149,782
Rp 11,958,804 Rp -
Rp 5,570,403 Rp 3,885,297
Rp 1,508,000 Rp 7,778,874
Rp 3,231,400 Rp 2,240,000
Rp 2,975,477 Rp 20,147,000
Rp - Rp 230,000
Rp 1,346,149 Rp 76,302,351
Rp - Rp 862,000
Rp 684,000 Rp 10,047,952
Rp 140,000 Rp -
Rp - Rp -
Rp 4,921,300 Rp 3,882,280
Rp - Rp -
Rp 866,000 Rp 39,782,587
Rp 1,484,000 Rp 13,956,200
Rp 1,821,000 Rp 7,873,874
Rp - Rp -
Rp 799,000 Rp 4,623,500
Rp 985,000 Rp 6,098,600
Rp - Rp -
Rp - Rp 1,809,500
Rp 147,797,011 Rp 704,151,259 Rp -
 TOTAL PER SMF

ANAK 78,251,844
ANASTESI 122,063,925
BEDAH PLASTIK -
BEDAH TULANG 43,540,188
BEDAH UMUM 118,297,087
BEDAH UROLOGI 76,006,438
FISIOTHERAPIS 1,809,500
GIGI 12,506,100
HD 4,672,150
IGD 38,017,745
JANTUNG 230,000
MATA 10,731,952
OBGYN 172,001,374
PARU 15,258,950
PENYAKIT DALAM 90,322,686
RADIOLOGI 8,342,600
SYARAF 16,877,200
THT 23,122,477
832,052,216
 Mei
SMF NAMA DOKTER total gaji bruto PPh Pasal 21(yang
Total Gaji Bruto PPh 21 Total PPh Fixed Selisih Pemotongan
fixed telah dipotong)
ANAK DR. DEDI, Sp.A 21,187,000 529,675 21,187,000 529,675 529,675 -
ANAK DR. KUTEN, Sp.A 46,488,000 3,486,600 46,628,000 3,497,100 8,760,206 5,273,606
ANASTESI DR. DENDI, Sp.AN 25,504,000 1,912,800 25,504,000 1,912,800 1,912,800 -
ANASTESI DR. JOHANNAS, Sp.AN 40,010,000 3,000,750 40,010,000 3,000,750 5,834,983 111,573
ANASTESI DR. KURNIADJI, Sp.AN 20,790,000 1,559,250 20,790,000 1,559,250 1,559,250 -
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 19,822,400 753,020 19,822,400 753,020 3,488,196 2,735,176
BEDAH UMUM DR. RIO, Sp.B 67,704,000 5,077,800 67,704,000 5,077,800 1,542,600 (3,535,200)
BEDAH UMUM DR. WELLY. Sp.B 26,386,000 1,978,950 26,386,000 1,978,950 307,056 (1,671,894)
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 42,026,000 3,151,950 42,026,000 3,151,950 3,151,950 -
GIGI DRG. MITA 5,203,000 130,075 6,033,000 150,825 130,075 -
GIGI DRG. NISA 4,849,000 121,225 4,796,000 119,900 648,190 526,965
GIGI DRG. DINI 407,000 10,175 407,000 203,500 10,175 -
MATA DR. RIZAR RIZEDIN, Sp.M 10,235,200 255,880 10,235,200 255,880 307,056 51,176
OBGYN DR. BUDI, Sp.OG 140,653,600 17,581,700 140,653,600 17,581,700 6,658,824 (10,922,876)
OBGYN DR. ICHSAN ERFANDI, Sp.OG 13,685,000 1,026,375 13,685,000 1,026,375 1,026,375 -
PARU DR. DEDI RINALDI, Sp.P 13,892,000 347,300 13,892,000 347,300 347,300 -
PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD 67,140,000 5,035,500 67,140,000 5,035,500 1,528,500 (3,507,000)
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 12,000,000 300,000 12,000,000 300,000 360,000 60,000
PENYAKIT DALAM DR. ZAITUL, Sp.PD 5,661,000 141,525 5,661,000 141,525 141,525 -
RADIOLOGI DR. M FADLAN, Sp.R 7,592,000 189,800 7,592,000 189,800 189,800 -
SYARAF DR. YOSSI, Sp.S 18,215,000 455,375 18,215,000 455,375 546,450 91,075
THT DR. RENOL ,Sp.THT 17,034,600 425,865 17,779,600 444,490 511,038 85,173
HD DR. RISTUA, SP,PD 225,000 5,625 225,000 5,625 - (5,625)
JANTUNG DR. RINELIA, Sp.J 140,000 3,500 140,000 3,500 - (3,500)
FISIOTHERAPIS MAHMUDIN 1,470,000 36,750 1,470,000 36,750 - (36,750)
Total 628,319,800 47,517,465 629,981,800 47,759,340 39,492,024 (10,748,101)
 Juni

SMF NAMA DOKTER

Total Gaji Bruto PPh 21 total gaji bruto Total PPh Fixed PPh Pasal 21(yang Selisih Keterangan
fixed telah dipotong) Pemotongan

PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD 55,830,000 4,187,250 55,830,000 4,187,250 4,187,250 -
OBGYN DR. BUDI, Sp.OG 156,376,600 19,547,075 156,376,600 19,547,075 19,547,075 -
PARU DR. DEDI RINALDI, Sp.P 14,920,000 373,000 416,760 43,760 lebih potong
ANAK DR. DEDI, Sp.A 6,219,000 155,475 155,475 -
ANASTESI DR. DENDI, Sp.AN 35,364,000 2,652,300 2,417,400 (234,900) kurang potong
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 46,509,280 3,488,196 753,020 (2,735,176) kurang potong
DR. ICHSAN ERFANDI, Sp.OG 22,260,000 1,669,500 1,669,500 -
OBGYN
DR. IBNU SINA, SP.OG 2,540,000 63,500 63,500 -
ANASTESI DR. JOHANNAS, Sp.AN 60,108,000 4,508,100 4,508,100 -
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 102,235,000 7,667,625 7,667,625 -
ANASTESI DR. KURNIADJI, Sp.AN 25,051,000 1,878,825 1,878,825 -
ANAK DR. KUTEN, Sp.A 73,867,000 5,540,025 9,163,244 3,623,219 pemotongan pajak Februari
RADIOLOGI DR. M FADLAN, Sp.R 9,243,200 231,080 231,080 -
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 14,854,000 371,350 371,350 -
THT DR. RENOL ,Sp.THT 28,587,000 1,589,881 714,675 (875,206) kurang potong
JANTUNG DR. RINELIA, Sp.J 630,000 15,750 15,750 -
BEDAH UMUM DR. RIO, Sp.B 79,899,000 5,992,425 6,853,275 860,850 lebih potong
MATA DR. RIZAR RIZEDIN, Sp.M 8,878,000 221,950 221,950 -
BEDAH UMUM DR. WELLY. Sp.B 17,082,000 1,281,150 1,281,150 -
SYARAF DR. YOSSI, Sp.S 18,956,000 473,900 473,900 -
PENYAKIT DALAM DR. ZAITUL, Sp.PD 10,696,000 267,400 267,400 -
GIGI DRG. MITA 4,474,000 111,850 111,850 -
GIGI DRG. NISA 3,892,000 97,300 97,300 -
GIGI DRG. DINI 559,000 13,975 13,975 -
GIGI DRG. YUNISA 3,907,000 97,675 97,675 -
FISIOTHERAPIS MAHMUDIN 2,730,000 68,250 68,250 -
Total 805,667,080 62,564,807 63,247,354 682,547
 Juli

SMF NAMA DOKTER total gaji bruto Total PPh Fixed PPh Pasal Selisih
Total Gaji Bruto PPh 21 21(yang telah Ket
fixed dipotong) Pemotongan

SYARAF DR. AGUS, Sp.S 1,840,000 46,000 - (46,000) kurang potong

DR. ARJUNAIDI, Sp.PD 50,612,000 3,795,900 50,612,000 3,795,900 3,795,900 -
PENYAKIT DALAM
DR. RISTUA, SP,PD 6,779,000 169,475 169,475 -
OBGYN DR. BUDI, Sp.OG 171,262,600 21,407,825 171,262,600 17,536,850 21,407,825 -
PARU DR. DEDI RINALDI, Sp.P 14,836,000 370,900 370,900 -
ANAK DR. DEDI, Sp.A 7,506,000 187,650 187,650 -
DR. DENDI, Sp.AN 32,232,000 2,417,400 2,417,400 -
ANASTESI
DR. JOHANNAS, Sp.AN 47,838,000 3,608,350 3,608,350 -
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 32,583,000 2,443,725 2,443,725 -
DR. ICHSAN ERFANDI, Sp.OG 19,220,000 1,441,500 1,441,500 -
OBGYN DR. FADHILAH AKHDASARI,SPOG 2,808,000 70,200 69,000 (1,200) kurang potong
DR. IBNU SINA, SP.OG 16,193,000 404,825 404,825 -
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 70,233,000 5,267,475 5,267,475 -
ANASTESI DR. KURNIADJI, Sp.AN 46,087,000 3,456,525 3,456,525 -
DR. KUTEN, Sp.A 79,531,000 5,964,825 5,964,825 -
ANAK DR. MISLINA spA 6,017,000 150,425 150,425 -
DR. RATNA, SpA 4,656,000 116,400 116,400 -
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 12,742,000 318,550 318,550 -
THT DR. RENOL ,Sp.THT 13,484,400 1,011,330 1,011,330 -
JANTUNG DR. RINELIA, Sp.J 970,000 24,250 - (24,250) kurang potong
BEDAH UMUM DR. RIO, Sp.B 107,734,000 12,905,092 9,910,480 (2,994,612) kurang potong
MATA DR. RIZAR RIZEDIN, Sp.M 8,308,000 207,700 207,700 -
BEDAH UMUM DR. WELLY. Sp.B 12,038,000 902,850 902,850 -
SYARAF DR. YOSSI, Sp.S 12,803,000 1,266,275 1,266,275 -
PENYAKIT DALAM DR. ZAITUL, Sp.PD 4,968,000 124,200 124,200 -
FISIOTHERAPIS MAHMUDIN 1,815,000 45,375 45,375 -
Total 785,096,000 68,125,022 65,058,960 (3,066,062)
 Agustus

Total Gaji total gaji

SMF NAMA DOKTER PPh 21
Bruto bruto fixed

PENYAKIT DALAM DR. ARJUNAIDI, Sp.PD 58,370,000 4,377,750 -

GIGI Drg. Andi 4,968,545 124,214
OBGYN DR. BUDI, Sp.OG 173,698,000 4,645,170 -
PARU DR. DEDI RINALDI, Sp.P 20,625,000 1,184,425 -
ANAK DR. DEDI, Sp.A 15,524,000 388,100 -
DR. DENDI, Sp.AN 68,014,000 5,101,050 -
ANASTESI
DR. JOHANNAS, Sp.AN 32,030,000 2,402,250 -
BEDAH TULANG DR. DODY PRATAMA, Sp.OT 22,548,000 1,691,100 -
DR. ICHSAN ERFANDI, Sp.OG 27,237,000 2,042,775 -
OBGYN DR. FADHILAH AKHDASARI,SPOG 9,660,000 241,500 -
DR. IBNU SINA, SP.OG 14,987,000 388,675 -
BEDAH UROLOGI DR. JOKO PITOYO, Sp. U 40,627,000 4,672,225 -
ANASTESI DR. KURNIADJI, Sp.AN 18,968,000 1,422,600 -
ANAK DR. KUTEN, Sp.A 88,389,000 11,048,625 -
PENYAKIT DALAM DR. MUHYARZON, Sp.PD 23,669,000 591,725 -
THT DR. RENOL ,Sp.THT 25,928,000 1,944,600 -
JANTUNG DR. RINELIA, Sp.J 740,000 18,500 -
BEDAH UMUM DR. RIO, Sp.B 106,418,000 13,302,250 -
MATA DR. RIZAR RIZEDIN, Sp.M 13,796,000 344,900 -
BEDAH UMUM DR. WELLY. Sp.B 12,278,000 920,850 -
SYARAF DR. YOSSI, Sp.S 11,855,500 1,778,325 -
PENYAKIT DALAM DR. ZAITUL, Sp.PD 16,008,000 400,200 -
FISIOTHERAPIS MAHMUDIN 2,730,000 68,250 -
 PPh
Pasal
Total PPh Selisih
21(yang Pemotongan TOTAL PER SMF
Fixed telah
dipotong)

53,992,250
4,844,332
169,052,830
19,440,575
15,135,900
62,912,950
29,627,750
20,856,900
25,194,225
9,418,500
14,598,325
35,954,775
17,545,400
77,340,375
23,077,275
23,983,400
721,500
93,115,750
13,451,100
11,357,150
10,077,175
15,607,800
2,661,750
749,967,987
 September
NAMA DOKTER PPh 21 yg
TOTAL PPh Pasal 21 Selisih (+/-)
dipotong
Drg Andi
DR. ARJUNAIDI, Sp.PD 74,208,000 74,208,000 6,734,505 (67,473,495)
DR. BUDI, Sp.OG 182,951,000 22,868,875 22,905,125 36,250
DR. DEDI RINALDI, Sp.P 21,019,000 1,576,425 1,576,425 -
DR. DEDI, Sp.A 14,645,000 366,125 366,125 -
DR. DENDI, Sp.AN 40,232,000 3,017,400 3,017,400 -
DR. JOHANNAS, Sp.AN 55,900,000 4,192,500 4,192,500 -
DR. DODY PRATAMA, Sp.OT 25,429,000 1,907,175 1,907,175 -
DR. ICHSAN ERFANDI, Sp.OG 33,341,000 2,500,575 2,500,575 -
DR. FADHILAH AKHDASARI,SPOG 5,772,000 144,300 150,300 6,000
DR. IBNU SINA, SP.OG 21,342,000 533,550 533,550 -
DR. JOKO PITOYO, Sp. U 103,588,000 12,948,500 7,769,100 (5,179,400)
DR. KURNIADJI, Sp.AN 41,740,000 3,130,500 3,130,500 -
DR. KUTEN, Sp.A 83,508,000 10,438,500 6,263,100 (4,175,400)
DR. MUHYARZON, Sp.PD 9,962,000 249,050 249,050 -
DR. RENOL ,Sp.THT 38,799,200 2,909,940 2,909,940 -
DR. RINELIA, Sp.J 535,000 13,375 13,375 -
DR. RIO, Sp.B - - -
DR. RIZAR RIZEDIN, Sp.M 11,958,000 298,950 298,950 -
DR. WELLY. Sp.B 10,163,000 762,225 762,225 -
DR. YOSSI, Sp.S 23,218,000 1,741,350 1,741,350 -
DR. ZAITUL, Sp.PD 10,100,000 252,500 252,500 -
MAHMUDIN 2,835,000 70,875 70,875 -
Keterangan TOTAL PER SMF

NAMA DOKTER
Dr. Agus, Sp.S
Drg. Andi
DR. ARJUNAIDI, Sp.PD
DR. BUDI, Sp.OG
DR. DEDI RINALDI, Sp.P
DR. DEDI, Sp.A
DR. DENDI, Sp.AN
DR. JOHANNAS, Sp.AN
DR. DODY PRATAMA, Sp.OT
DR. ICHSAN ERFANDI, Sp.OG
DR. FADHILAH AKHDASARI,SPOG
DR. IBNU SINA, SP.OG
DR. JOKO PITOYO, Sp. U
DR. KURNIADJI, Sp.AN
DR. KUTEN, Sp.A
DR. MUHYARZON, Sp.PD
DR. RENOL ,Sp.THT
DR. RINELIA, Sp.J
DR. RIO, Sp.B
DR. RIZAR RIZEDIN, Sp.M
DR. WELLY. Sp.B
DR. YOSSI, Sp.S
DR. ZAITUL, Sp.PD
MAHMUDIN
Oktober
Pph 21 yg
TOTAL PPh Pasal 21 KURANG (+/-)
dipotong
3,149,000 78,725
6,514,000 162,850
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Keterangan TOTAL PER SMF
 November

NAMA DOKTER Pph 21

TOTAL yg PPh Pasal 21 KURANG (+/-) Keterangan
dipotong
Dr. Agus, Sp.S
Drg. Andi
DR. ARJUNAIDI, Sp.PD - -
DR. BUDI, Sp.OG - -
DR. DEDI RINALDI, Sp.P - -
DR. DEDI, Sp.A - -
DR. DENDI, Sp.AN - -
DR. JOHANNAS, Sp.AN - -
DR. DODY PRATAMA, Sp.OT - -
DR. ICHSAN ERFANDI, Sp.OG - -
DR. FADHILAH AKHDASARI,SPOG - -
DR. IBNU SINA, SP.OG - -
DR. JOKO PITOYO, Sp. U - -
DR. KURNIADJI, Sp.AN - -
DR. KUTEN, Sp.A - -
DR. MUHYARZON, Sp.PD - -
DR. RENOL ,Sp.THT - -
DR. RINELIA, Sp.J - -
DR. RIO, Sp.B - -
DR. RIZAR RIZEDIN, Sp.M - -
DR. WELLY. Sp.B - -
DR. YOSSI, Sp.S - -
DR. ZAITUL, Sp.PD - -
MAHMUDIN - -
TOTAL PER SMF
 Desember

NAMA DOKTER Pph 21

TOTAL yg PPh Pasal 21 KURANG (+/-) Keterangan
dipotong
Dr. Agus, Sp.S
Drg. Andi
DR. ARJUNAIDI, Sp.PD - -
DR. BUDI, Sp.OG - -
DR. DEDI RINALDI, Sp.P - -
DR. DEDI, Sp.A - -
DR. DENDI, Sp.AN - -
DR. JOHANNAS, Sp.AN - -
DR. DODY PRATAMA, Sp.OT - -
DR. ICHSAN ERFANDI, Sp.OG - -
DR. FADHILAH AKHDASARI,SPOG - -
DR. IBNU SINA, SP.OG - -
DR. JOKO PITOYO, Sp. U - -
DR. KURNIADJI, Sp.AN - -
DR. KUTEN, Sp.A - -
DR. MUHYARZON, Sp.PD - -
DR. RENOL ,Sp.THT - -
DR. RINELIA, Sp.J - -
DR. RIO, Sp.B - -
DR. RIZAR RIZEDIN, Sp.M - -
DR. WELLY. Sp.B - -
DR. YOSSI, Sp.S - -
DR. ZAITUL, Sp.PD - -
MAHMUDIN - -
TOTAL PER SMF