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TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH

DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon TANDA TANGAN
Pengurangan jmlh bersih
Satuan jmlh bersih PPh 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6) x % 8=6-7 9 = 8*PPh21 10 = 6 - 7 11 = 8 - 9 12

1 dr. H. Bahrun Siregar Sutrisno, M. Kes 196406022002121005 Kepala Dinas (TMT 29/04/2013) II b 5,875,000 - 5,875,000 881,250 5,875,000 4,993,750 1

2 Zaitun, S.Si,Apt 197901052005012013 Sekretaris (03/01/2017) III a 3,727,000 - 3,727,000 559,050 3,727,000 3,167,950 2

Kabid Pencegahan & Pengendalian Penyakit


3 dr. Lismayoni 198011102009032001 III b 2,670,000 2,670,000 133,500 2,670,000 2,536,500 3
(08/01/2018)

4 Desta Noviar,SKM 197611152005011005 Kabid Sumber Daya Kesehatan (03/01/2017) III b 2,960,000 - 2,960,000 444,000 2,960,000 2,516,000 4

5 Fera Hasnita, SKM, MKM 198308052005012008 Kabid Pelayanan Kesehatan (08/01/2018) III b 2,670,000 - 2,670,000 133,500 2,670,000 2,536,500 5

6 Zulyan, SKM 198204022005011009 Kabid Kesehatan Msyarakat (08/01/2018) III b 2,670,000 2,670,000 133,500 2,670,000 2,536,500 6

7 Ain Anggara, SKM 198111132006041006 Kasi Alkes & SDM (03/01/2017) IV a 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 7

8 Mahfudz, S. Far. Apt 198102052010011004 Pelaksanan - - - - - - 8 TUBEL

9 Yumiga 196507011991012001 Kasi Kesehatan & Gizi (03/01/2017) IV a 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 9

Kasi Pel. Kesehatan Primer, Tradisional &


10 Nila Kusumah R, SKM 198307212006042023 IV a 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 10
Peningkatan Mutu (03/01/2017)

Kasi Pencegahan & Pengendalian Penyakit Menular,


11 Fitri Yunita, SKM 198506232009032001 IV a 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 11
PTM & Kesehatan Jiwa (08/01/2018)

12 Ika Mustika, SKM 198004132005012012 Kasubbag Keuangan (03/04/2017) 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 12

13 Zaitun, SKM 198508162006042003 Pelaksana - - - - - - 13 TUBEL

14 Yurnani, SKM 198506032006042003 Kasubbag Umum & Kepegawaian (03/01/2017) 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 14

15 Deka Oktovida, S.Kep 198110152005012013 Ksubbag Perncanaan (03/01/2017) 2,145,000 - 2,145,000 107,250 2,145,000 2,037,750 15

16 Sunarno 196610091989031007 Pelaksana Pada Seksi Kesehatan Keluarga & Gizi 1,322,000 66,100 1,255,900 62,795 1,255,900 1,193,105 16
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon TANDA TANGAN
Pengurangan jmlh bersih
Satuan jmlh bersih PPh 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6) x % 8=6-7 9 = 8*PPh21 10 = 6 - 7 11 = 8 - 9 12

17 Dian Kusumawati, SE 198704022010012010 Pelaksana Pada Subbag Keuangan 1,322,000 118,980 1,203,020 60,151 1,203,020 1,142,869 17

Kasi Kefarmasian dan Perbekalan Kes.Rumah


18 Irmawati, S.Farm, Apt 198808252014022001 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 18
Tangga (PKRT) (03/01/2017)
Pelaksana Pada Seksi Surveilans & Imunisasi
19 Oktosen Nababan 196310191983121000 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 19
(03/01/2017)
Kasi Pelayanan Kesehatan Rujukan & Jaminan
20 Eka Swardini, SKM 198207232005012010 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 20
Pelayanan Kesehatan (03/01/2017)

21 Rikhi Hermanto, SKM 198210032005011004 Kasi Surveilans & Imunisasi (03/01/2017) 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 21

22 Belsasar Sitanggang, SKM 197909092006041007 Pelaksana Pada Seksi Kesehatan Keluarga & Gizi 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 22

Pelaksana Pada Seksi Pencegahan Pengendalian


23 Suci Eko Aryani, SST 198311102006042013 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 23
Penyakit Menular, PTM & Kesehatan Jiwa
Pelaksana Pada Seksi Pel. Kesehatan Primer,
24 Desi Lina Sari, S.Kep 198312232010012008 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 24
Tradisional & Peningkatan Mutu (03/01/2017)
Pelaksana Pada Seksi Promosi & Pemberdayaan
25 Ari liendy rachmawati, SKM 198401302009032002 - - - - - - 25 TUBEL
Masy. Kes. Lingkungan, Kes. Kerja & Olahraga
Pelaksana Pada Seksi Pencegahan Pengendalian
26 Irma Handayani, SKM 198207042010012006 1,322,000 1,322,000 66,100 1,322,000 1,255,900 26
Penyakit Menular, PTM & Kesehatan Jiwa
Pelaksana Pada Seksi Surveilans & Imunisasi
27 Masturawati, SKM 198608222010012004 1,322,000 1,322,000 66,100 1,322,000 1,255,900 27
(03/01/2017)
Pelaksana Pada Seksi Promosi & Pemberdayaan
28 Romaydi saputra, AMKL 198705172010011004 1,322,000 1,322,000 66,100 1,322,000 1,255,900 28
Masy. Kes. Lingkungan, Kes. Kerja & Olahraga
Pelaksana Pada Seksi Pencegahan Pengendalian
29 Romadona, SST 198406222009031002 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 29
Penyakit Menular, PTM & Kesehatan Jiwa
Kasi Promosi & Pemberdayaan Masy. Kes.
30 Mulyana Fitri, SKM 198307112005012003 1,876,000 - 1,876,000 93,800 1,876,000 1,782,200 30
Lingkungan, Kes. Kerja & Olahraga (08/01/2018)
Pelaksana Pada Seksi Promosi & Pemberdayaan
31 Oktaviani Simatupang, AMK 197610242006042002 1,322,000 1,322,000 66,100 1,322,000 1,255,900 31
Masy. Kes. Lingkungan, Kes. Kerja & Olahraga
Pelaksana Pada Seksi Kefarmasian dan Perbekalan
32 Sri Rahayu, AMAF 198210262006042011 1,322,000 1,322,000 66,100 1,322,000 1,255,900 32
Kes.Rumah Tangga
Pelaksana Pada Seksi Pencegahan Pengendalian
33 Sri Ngatiningsih 198305082006042008 1,322,000 1,322,000 66,100 1,322,000 1,255,900 33
Penyakit Menular, PTM & Kesehatan Jiwa

34 Faisal Rito, A.Md 197710082010011004 Pelaksana Pada Seksi Alkes & SDM (03/01/2017) 1,322,000 26,440 1,295,560 64,778 1,295,560 1,230,782 34

35 Endang Lestari, A.Md 198307012010012010 Pelaksana Pada Subbag Umum & Kepegawaian 1,322,000 92,540 1,229,460 61,473 1,229,460 1,167,987 35

36 Tantri Apriyani, Amd 198604292010012010 Pelaksana Pada Subbag Perencanaan 1,322,000 1,322,000 66,100 1,322,000 1,255,900 36

37 Lisa Dwi Damayanti S, AMF 198808282010012006 Pelaksana pada seksi bina farmasi & alkes - - - - - 37 TUBEL

38 Melanie Racma Astria, AMAK 198805112010012006 Pelaksana Pada Subbag Keuangan 1,450,000 1,450,000 72,500 1,450,000 1,377,500 38
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon TANDA TANGAN
Pengurangan jmlh bersih
Satuan jmlh bersih PPh 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6) x % 8=6-7 9 = 8*PPh21 10 = 6 - 7 11 = 8 - 9 12

39 Seri Wahyuni, AMF 198306122009032004 UPTD Instalasi Farmasi 1,450,000 1,450,000 72,500 1,450,000 1,377,500 39

40 Rachma Diana. AMF 198804252010012011 UPTD Instalasi Farmasi - - - - 40 TUBEL

41 Lindani,A.Md 197906042012122005 Pelaksana Pada Subbag Keuangan 1,171,000 1,171,000 - 1,171,000 1,171,000 41

42 Ira Wibowo 198608172006042001 Bendahara Pengeluaran (03/01/2017) 1,171,000 1,171,000 - 1,171,000 1,171,000 42

43 Irlina, A.Mk 198412062011012002 Pelaksana Pada Subbag Perencanaan 1,171,000 - 1,171,000 - 1,171,000 1,171,000 43

Pelaksana Pada Seksi Promosi & Pemberdayaan


44 Agustina, S.ST 198708242010012006 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 44
Masy. Kes. Lingkungan, Kes. Kerja & Olahraga

45 Yemie Fitriani, AMTE 199006012014022003 Teknisi Elektromedik Pelaksana 1,171,000 1,171,000 - 1,171,000 1,171,000 45

46 Perdi 198002112012121002 Pelaksana Pada Subbag Perencanaan 1,171,000 1,171,000 - 1,171,000 1,171,000 46

Pelaksana Pada Seksi Pelayanan Kesehatan Rujukan


47 Nurhasanah, A. Md 198403142009042000 1,322,000 1,322,000 66,100 1,322,000 1,255,900 47
& Jaminan Pelayanan Kesehatan
Pelaksanaan Pada Seksi Kesehatan Keluarga & Gizi
48 Desima Indra Saputra, A.Md.Kep 198912032011011001 1,171,000 - 1,171,000 - 1,171,000 1,171,000 48
(03/04/2017)

49 Winda Oktiwilanda, AMAK 198910182014022004 Pelaksana Pada Alkes & SDM (03/04/2017) 1,356,000 1,356,000 - 1,356,000 1,356,000 49

50 Eko Siswanto 198411102006041006 Pelaksana Pada Subbag Kepegawaian 1,171,000 1,171,000 - 1,171,000 1,171,000 50

51 Dimas mahardika anugrahing G.AMTE 199002072014021003 Pelaksana Pada Subbag Kepegawaian 1,171,000 58,550 1,112,450 - 1,112,450 1,112,450 51

52 Priyani 198602232006012001 Perawat 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 52

80,219,000 362,610 79,856,390 4,715,747 79,856,390 75,140,643

Terbilang : (Tujuh puluh sembilan juta delapan ratus lima puluh enam ribu tiga ratus sembilan puluh rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN . BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH
539,869,750

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Perlang


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 Denni Afandi, SKM 197905262000031001 Kepala Puskesmas (03/04/2017) 2,454,000 - 2,454,000 122,700 2,454,000 2,331,300 1

2 Rahmi Wahyuni, AMKL 198002112006042005 Ka TU 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 2

3 Endang Puspasari, AMG 198606302010012007 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 3

4 Wira Lestari Kurniasih, AmKep 198504042010012010 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 4

5 Siti Masito, A.Md.Kep 198803292010012002 perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 5

6 Karmila Eka Sastri, AmdKg 198806302011012005 Perawat gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 6

7 Vellyana 197602032006042011 Bidan Pol. kulur 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 7

8 Elvina Malau, AmdKeb 198406102011012004 Bidan Poskesdes Nadi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 8

9 Tri Widianti, Amd.Keb 199201282014022002 Pos Kesehatan Desa Sadap 1,356,000 - 1,356,000 - 1,356,000 1,356,000 9

10 Lisken Anita, A.Md.Keb 198609062010012007 Pelaksana Pada Seksi Kesehatan Keluarga 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 10

11 Hotmarito 198408192010011010 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11

12 Nurhayati 197205022005012011 Bidan desa Perlang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

13 Ici Ismanti, Amd.keb 198908212014022002 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 13


BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

14 Zulkarnain 198309172005011005 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 14

15 Juni Andryani H, A.Md.Keb 198706132017042006 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 15

16 Anitia Sagita, A.Md.Keb 198612052017042007 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 16

Total 23,844,000 - 23,844,000 853,200 23,844,000 22,990,800

Terbilang : (Dua puluh tiga juta delapan ratus empat puluh empat ribu rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Lubuk Besar


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
1 Hj. Nurlela Sari, S.Kep 198009152006042009 Kepala (03/04/2017) 2,454,000 - 2,454,000 122,700 2,454,000 2,331,300 1

2 Riska Adelina, S.Kep 198601082010012011 Kasubbag TU (03/04/2017) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 2

3 dr. Eka Asni Sari 198801162012122000 Dokter Umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 3

4 dr. Nur Dewi Anggraini 198811202014022004 Dokter - - - - - - 4 TUBEL

5 Septa Dora, AMF 198809032011012004 Asisten Apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 5

6 Winda Sari, AMG 199001272011012001 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 6

7 Agusman Sijabat, AMAK 198508012010011014 Pranata Lab 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 7

8 Lena, AMKL 198302172010012013 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 8

9 Noviyanti 198611062011012004 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 9

10 Elfrida Manalu, AmKep 198501152008042001 Perawat PKM Lubuk besar 1,450,000 72,500 1,377,500 68,875 1,377,500 1,308,625 10

11 Bena Tania, AmKep 198811182010012002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11

12 Ratmi, AmdKep 198806222011012001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12


NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
13 Retno Rahayu, A.Md.Kep 198711262012122001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 13

14 Dessi Indari, A.Md.Kep 199012112012122001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 14

15 Agus triano, Amd.Kep 199008292014021001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 15

16 Sari Marlina, AMK 199009142014022002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 16

17 Gitaliya, AmdKep 198905102011012004 Perawat PUSTU Batu beriga 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 17

18 Asmira,A.Md.Kep 199009242012122002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 18

19 Budi Haryono 198203152008041003 Perawat gigi PKM lubuk besar 1,356,000 - 1,356,000 - 1,356,000 1,356,000 19

20 Mardhiah Oktasari, AMKG 199110232014022002 Perawat gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 20

21 Ledi Diana, AmKeb 198108062010012004 Bidan PKM Lubuk Besar 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 21

22 Novi Budiyani, Amd 198511022009032001 Bidan desa 3 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 22

23 Betty Yulianty, AmKeb 197807172010012002 Bidan lubuk pabrik 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Devy Apriyanti, AmKeb 198604202010012006 Bidan Lubuk Besar 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Syahara, AmKeb 197512172006042009 Bidan Lubuk Besar 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25

26 Sari Sulintia, Amd.keb 198708182017042009 Bidan Desa batu beriga 1,356,000 - 1,356,000 - 1,356,000 1,356,000 26

27 Badimah 198208212017042007 Bidan Desa Tanjung Berikat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 27

Total 38,935,250 72,500 38,862,750 1,265,138 38,862,750 37,597,612

Terbilang : (Tiga puluh delapan juta delapan ratus enam puluh dua ribu tujuh ratus lima puluh rupiah)
38,862,750

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Koba


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 drg. Eva Fidia Lestari 198009222012122002 Kapus (8/1/2018) 3,090,000 - 3,090,000 154,500 3,090,000 2,935,500 1

2 Royana, SKM 198106152005012009 Kepala Sub Bag. TU 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 2

3 dr. Syamsul Bahri 197105102006041005 Dokter Umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 3

4 dr. Kevin Sulay Wijaya 198411242011011003 Dokter Umum - - - - - - 4 TUBEL


1 x tdk
apel
5 dr. Itha faulina siahaan 198809052014022001 Dokter Umum tanpa 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 5
ketera
ngan
6 Muhammad Fikri, S.Farm, Apt 198902082014021001 Apoteker 1,934,000 96,700 1,837,300 91,865 1,837,300 1,745,435 6

7 Heni Puspita Dewi, SKM 198208192010012009 Epidemilogi kesehatan 1,450,000 116,000 1,334,000 66,700 1,334,000 1,267,300 7

8 Jum'at 196902211990031005 P2P/Surv 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 8

9 Nety Herawaty 197203111995022001 Asisten Apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 9

10 Sudarsini 196012141983032010 Pelaksana 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 10

11 Rahmawati, AMG 198204152005012011 Nutrision 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11


BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

12 Lis Yuniarti, AMKL 198102242010012006 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12

13 Tuty Kurniawati, Amd.AK 198501162010012007 Pranata Lab 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 13

14 Ratna jamilah 198101092005012005 paramedis 1,450,000 72,500 1,377,500 68,875 1,377,500 1,308,625 14

15 Meyla Narulita A.Md 198205282005012009 paramedis 1,450,000 29,000 1,421,000 71,050 1,421,000 1,349,950 15

16 Retna Drita, AmdKep 198409302010012009 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 16

17 Siti Zubaidah , AmdKep 198703122010012008 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 17

18 Rion Ari Sandi, AmKep 198801182010011002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 18

19 Rahmawati Nur J, Amkep 197809072010012006 Perawat - - - - - - 19 TUBEL

20 Erni, AM.Kep 198306152010012007 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 20

21 Yeni Aggraini Vibiola, AmdKep 198709262010012002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 21

22 Agustian Saputra 198508162011012003 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 22

23 Rina, Amd 197810052005012012 paramedis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Arila, AmKep 198203202009032002 paramedis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Mamik Sumariana, Amd 198105232006042007 Perawat Pembuat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

26 Nuka Putra Jaya, Amd.Kg 198210102011011003 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 26

27 Sumaini, A.Md 198110102008042001 Perawat Gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 27

28 Bambang Haryadi 197906172005011008 UP. Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 28

29 Heny Nanik Supriyanti, A.md.Keb 197802032011012003 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 29

30 Juminarsih, AmKeb 198610312010012006 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 30

31 Sri Dewi Handayani, AmKeb 198502072009032002 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 31

32 Jessica Joana, Amd.keb 198806102014022002 Bidan Penyak - - - - - - 32 Dipekerjakan dilampung

33 Suniarti 197501152005012002 Bidan Koordinator 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 33

34 Karnita, AmKeb 198802222010012005 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 34

35 Mery Suzanna, AmKeb 198403292010012015 Bidan Arung dalam 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 35

36 Prajna Paramita, AmdKeb 198803282010012000 Bidan Poned 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 36

37 Desi Liana Adharainy 197412232005012007 Bidan Nibung 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 37

38 Bella Belinda, Amd.Keb 198805122010012001 Bidan Kurau Barat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 38
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

39 Sri Rahayu, Am.Keb 198907232011012003 Bidan Kel. Padang mulia 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 39

40 Widya liliani, Amd.Keb 198906162014022002 Bidan Simpang Perlang 1,356,000 - 1,356,000 - 1,356,000 1,356,000 40

41 Deka Ramita A. N, Amd.Keb 199205062014022001 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 41

42 Serli, AmKep 198310082009032004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 42

43 Julia Wahdini, A.Md. Keb 198407212017042007 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 42

Total 61,570,500 314,200 61,256,300 2,588,216 61,256,300 58,668,084

Terbilang : (Enam puluh satu juta dua ratus lima puluh enam ribu tiga ratus rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Dinas Kesehatan UPT Puskesmas Pangkalan


Satker
Baru
Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
1 dr. Puji Susanto 197410162005011004 Kapus 3,090,000 - 3,090,000 154,500 3,090,000 2,935,500 1

2 dr. Fajar sekti reliyana 198304092009032002 Kepala puskesma (21/04/2014) - - - - - - 2 TUBEL

3 dr. Maria Angelbertha 197110272006042017 Dokter Umum - - - - - - 3 Titipkan ke Bandung

4 dr. Tri Melliani Silfanti 197905182009032001 Dokter Umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 4

5 dr. Indah Kencana 198907192014022003 Dokter Umum - - - - - - 5 TUBEL

6 drg. Ade Raesya Yulia Putri 198507292012122001 Dokter gigi 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 6

7 Isna Munawaroh, S.Far, Apt 198707312014022001 Apoteker 1,934,000 - 1,934,000 96,700 1,934,000 1,837,300 7
1 x tdk
apel
8 Niken Diastami, SKM 198308132005012006 Plt. KaSubbag. TU tanpa 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 8
ketera
ngan
9 Nurhartati 196704121988032007 Pelaksana 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 9

10 Heny, SKM 198110222010012009 Epidemilogi Kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 10

11 Lystramika Mangunsong, SST 198601262010012010 Nutrisionis Ahli 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11

12 Rezie Utami 198008282006042010 Ahli Gizi/ Nutrision 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12

13 Siti Jamilah 196803251993032004 Pranata Laboratorium 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 13

14 Meilan Kurnia, AMKL 197805072010012004 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 14
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
15 Annisa Pratami, AMKL 198804162010012005 Pelaksana (01/08/2015) 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 15

16 Putri Indah Gustina, AMF 198808122010012002 Asisten Apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 16

17 Febriany, AMF 198802292010012005 Asisten Apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 17

18 Teguh Wibowo M 197904261999031003 Pelaksana (01/07/2016) 1,356,000 135,600 1,220,400 - 1,220,400 1,220,400 18

19 Reni Novitasari, AMAK 198811042010012005 Pranata Lab. Kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 19

20 Melly Marlina 197501152006042018 Staf subbag kepegawaian 1,171,000 46,840 1,124,160 - 1,124,160 1,124,160 20

21 Reny Lusiana, A.Md 197810072010012003 Pelaksana 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 21

22 Istia Yunita 198410312006042009 Pelaksana 1,356,000 - 1,356,000 - 1,356,000 1,356,000 22

23 Nur Azizah, A.Md.Kep 198904102011012004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Mega Yuliansari, Amd 198504202009032001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 24

25 Marlini, S.Kep 198209212010012011 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25

26 Andi Sugianto 197806062005011009 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 26

27 Surung Nainggolan 196609281989012002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 27

28 Sri Susanti 196805021989112001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 28

29 Suwartina 196012051986102001 Perawat 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 29

30 Herianti 197303151998032005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 30

31 Rosida Silitonga 196611111994022002 Perawat 1X 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 31


tidak
32 Dewi Purwani 197811242003121003 Perawat apel 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 32
dg ket.
33 Juwita Gustiana 198608082006042002 Perawat alpa 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 33

34 Dewi Umbara 197902212006042008 Perawat Desa 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 34
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
35 Jaya Fauzi 196110181988011001 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 35

36 Wahyudi Purwanto 196012311987031103 Pembantu Paramedis 1,171,000 117,100 1,053,900 - 1,053,900 1,053,900 36

37 Rusnawati 196308291988012001 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 37

38 Hafizoh, Amd 198012082006042010 Perawat / Pembuat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 38

39 Lukman Hakim, AmdKg 198303132011011002 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 39

40 Nys. Fatima Mala Sari 197912072006042005 Perawat Gigi 2X 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 40
tidak
41 Indrawati 196305251994032003 Bidan Koordinator apel 1,450,000 58,000 1,392,000 69,600 1,392,000 1,322,400 41
dg ket.
alpa
42 Yuhermi, AmdKeb 197411122005012009 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 42

43 Relidia, AmdKeb 198412122011012003 Bidan 1X 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 43


tidak
44 Sri Sunarti 197106041991032002 Bidan Desa Dul apel
1X 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 44
dg ket.
tidak
45 Kasnita Hidayanti 197101031991032003 Bidan Pol. Air Mesu alpa
apel 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 45
dg ket.
46 Maret Siwipeni, AmKeb 198803032010012003 Bidan padang baru alpa 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 46

47 Lora Ovilya, AmdKeb 198607122009032001 Bidan Pol. Air Mesu 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 47

48 Windasari, AmKeb 198804192010012004 Bidan Pol. Dul 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 48

49 Rama Hutasoit, A.Md.Keb 198411232017042009 Bidan Desa Beluluk 1,356,000 - 1,356,000 - 1,356,000 1,356,000 49

Total 69,388,500 357,540 69,030,960 3,010,426 69,030,960 66,020,534

Terbilang : (Enam puluh sembilan juta tiga puluh ribu sembilan ratus enam puluh rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Benteng


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 dr. Dianing Kiswari 198401102009032002 Plt. Kapus (4/1/2018) 3,475,000 - 3,475,000 521,250 3,475,000 2,953,750 1

2 Sulasti, SKM 198406262006042007 Kasubbag TU(8/1/2018) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 2

3 dr. Tri Dewi Astuti 198206302014022001 dokter umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 3

4 dr. Cynthia seftivianti 198709092014022002 Dokter 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 4

5 Dinda Andarini, S.Farm, Apt 199001092014022000 Apoteker 1,934,000 - 1,934,000 96,700 1,934,000 1,837,300 5

6 Dear lestari, AMF 198312032010012007 Asisten apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 6

7 Hilda Anggriani, Amf 198104252010012006 Asisten apoteker 1,356,000 - 1,356,000 - 1,356,000 1,356,000 7

8 Martha kristina, SKM 198606092010012008 Epidemilogi kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 8

9 Yeni Aprilia 198404252006042007 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 9

10 Netty, Amd 198503222009032003 Teknik Gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 10

11 Elda Mareta, AMG 198703092010012005 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11

12 Sulaiha 198001192006042005 Ahli Gizi / Nitrision 1,356,000 - 1,356,000 - 1,356,000 1,356,000 12

13 Witri Andayani 198005122005012017 Pranata Laboratorium 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 13

14 Novi Anggeraini, SKM 198109242006042005 Pelaksana 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 14
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

15 Ali Kosim 196412041991031006 Pelaksana 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 15

16 Bejo Ignatius 196209241987031005 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 16

17 Bahrozi 196308061988011003 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 17

18 Suyanto 196505261987061002 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 18

19 Widiyah Pratiwi, AmdKep 198609192011012003 Perawat - - - - - - 19 Titipkan di Palembang

20 Noviarini 198409232005012002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 20

21 Yustari Novelien, Amkep 198311222010012007 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 21

22 Elfa Yusnita 197512112003122001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 22

23 Yustina, AmKep 197610072006042015 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Ristiawati, AmKep 198103192006042007 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Nurhidayah 198501082006042008 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25

26 Nurita Utami AZ 198708012006042001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 26

27 Ria Novita 197408112006042004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 27

28 Siska Novalia 198312192008042000 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 28

29 Maulina, AmdKep 198711042011012004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 29

30 Henni Astuti, A.Md.Kep 198705012009032003 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 30

31 Eva Henisari, SKM 197806032000032001 Pelaksana 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900 31

32 Yulianti, AmKep 197807252006042004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 32


BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

33 Merta Sunarti, Amd.Keb 198605282011012006 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 33

34 Liliwati, S, Amd.Kg 198807052011012006 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 34

35 Lezy Yudesvita, AMKG 198702282014022001 Perawat gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 35

36 Erlinda, AmKeb 197712072006042017 Bidan 4x 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 36


tidak
apel
37 Kasdamiyati 197601092006042013 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 37
tanpa
keteran
38 Parmin P Sidabarida, AmKeb 197809022009032002 Bidan Merengkan gan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 38

39 Media Gusvita, Amkeb 198808102010012005 Bidan Pedindang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 39

40 Muliati, Amkeb 198209102010012012 Bidan batu belubang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 40

41 Yayuk Sriwahyuni 197803132005012014 Bidan Konghin Pedindang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 41

42 Siti Mudrikah 197703152003122004 Bidan Tj. Gunung 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 42

43 Tri Indah Riyani, Am.Keb 198407152017042006 Bidan Desa Mangkol 1,356,000 - 1,356,000 - 1,356,000 1,356,000 43

64,343,500 - 64,343,500 3,090,076 64,343,500 61,253,424

Terbilang : (Enam puluh empat juta tiga ratus empat puluh tiga ribu lima ratus rupiah)

64,343,500

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
521,250

78,000

125,563

96,700

72,500.0

72,500.0

72,500

72,500

72,500
66,100

66,100

66,100

66,100

72,500

72,500

72,500

72,500

72,500

72,500

72,500

66,100.0

72,500
72,500

72,500

72,500

72,500

72,500

72,500

72,500

67,800

2,669,813
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Namang


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
Ka. Puskesmas (TMT
1 Ananto Pratikno, SKM 197507261996031001 2,454,000 - 2,454,000 122,700 2,454,000 2,331,300 1
(03/04/2017)

2 Siti Maisa, SKM 198109282005012006 Kasubbag TU (03/04/1017) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 2

3 dr. H. Suroto 198106222008041001 dokter umum - - - - - - 3 TUBEL

4 dr Said Anshori 198611252012121001 dokter umum - - - - - - 4 TUBEL

5 dr. Irwin Fitriansyah 198905312014021001 dokter umum - - - - - - 5 TUBEL

6 drg. Narita Indrisari 198206152011012005 Dokter Gigi 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 6

7 dr. Fajaria Sujono Putri 198712242012122001 dokter umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 7

8 dr. Alia rahma 198605152014022004 Dokter Umum 2,511,250 100,450 2,410,800 120,540 2,410,800 2,290,260 8

9 Tri Vita Pratiwi, S.Far, Apt 198510272009032002 Apoteker 1,934,000 - 1,934,000 96,700 1,934,000 1,837,300 9

10 Yuli Kusrianto 196507151990031010 Korim 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 10

11 Verawati, SKM 198402032010012014 Epidemilogi Kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 11

12 Sumiyati, Amd 198310082009032004 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12

13 Rizka Oktaria, AMG Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 13


19841010 201001 2 006
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

14 Yurida, AMAK 198712032010012005 Pranata Lab 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 14

15 Ziliya, AMF 199207232015032001 Asisten apoteker 1,356,000 - 1,356,000 - 1,356,000 1,356,000 15

16 Sri Meilani, Amkl 197905012011012001 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 16

17 Sukatno, AMKL 19800312200901001 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 17

18 Mike Maya Satria 198008012006042013 Perawat Gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 18

19 Silvia Meilany 198305192005012006 Perawat 1,356,000 108,480 1,247,520 - 1,247,520 1,247,520 19

20 Yanti, A.Md 197909142005012009 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 20

21 Fitriyeni, Amd. Kep 198507252009032002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 21

22 Lia Marluzianty ST, AmKep 198803292010012003 Perawat - - - - - - 22 Titipkan di palembang

23 Agus Setiabudi, A.Md 198308232010011010 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Febrio Aliansyah, Amd.Kep 198902132011011003 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Syarmawati, AmdKep 197811112006042014 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25

26 Dewiyana, AMdKep 198612172010012018 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 26

27 Silvia Amelia, A.Md.Kep 198912192011012005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 27

28 Nur Apriyanti, Amd.Kg 198904042011012004 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 28

29 Eti Yuliana 197507132006042012 Bidan Sub Koordinator 1,356,000 - 1,356,000 - 1,356,000 1,356,000 29

30 Dewi Susi Surjani 19671014 198911 2 001 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 30

31 Ida Prihatini 197511232006042003 Bidan 1,356,000 135,600 1,220,400 - 1,220,400 1,220,400 31


BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP yang diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

32 Putri Lestari, AmKeb 198604212009032001 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 32

33 Eriska Pujiasih, AmKeb 198809072010012003 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 33

34 Adhella Putri, Am.Keb 198807232011012003 Bidan Cambai 1,356,000 - 1,356,000 - 1,356,000 1,356,000 34

35 Siti Syummah Fitriana 197609152006042015 Bidan Jelutung 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 35

36 Susi Minanti, Amd 198507212009032002 Bidan Baskara Bakti 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 36

37 Devy Yusnita, AmKep 198601062010012005 Bidan kayu besi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 37

38 Irma Syuryani, AmdKeb 198701012011012005 Bidan Cambai Selatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 38

39 Kasuma, AmKeb 198610252010012008 Bidan Namang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 39

40 Ade Utami R Junjungan, AmKep 198510292009032000 Bides Belilik 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 40

Total 56,417,750 344,530 56,073,220 2,409,066 56,073,220 53,664,154

Terbilang : (Lima puluh enam juta tujuh puluh tiga ribu dua ratus dua puluh rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH
Berdasarkan
Nomor : Peraturan Bupati Bangka Tengah
1 Tahun 2010
Satker Dinas Kesehatan Tanggal : 3 Februari 2010
Bulan September 2018

NO NAMA Jumlah kotor PPh 21 Jumlah bersih


1 2 3 4 5

1 Puskesmas Sungaiselan 66,649,974 2,647,775 64,002,199

2 Puskesmas Pangkalanbaru 69,030,960 3,010,426 66,020,534

3 Puskesmas Simpangkatis 61,375,720 2,744,091 58,631,629

4 Puskesmas Koba 61,256,300 2,588,216 58,668,084

5 Puskesmas Benteng 64,343,500 3,090,076 61,253,424

JUMLAH 322,656,454 14,080,584 308,575,870

Terbilang : (Tiga ratus dua puluh lima juta enam puluh tujuh ribu tujuh ratus delapan belas rupiah)

#REF! #REF!

412

246

318 213

177
KOBA , OKTOBER 2018
MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

#VALUE!
dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001

225

327
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Lampur


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 Slamet Sunaryo, S.Gz 198909062014021002 Plt. Kasubbag Tu (9/1/2018) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 1

2 Syamsu Rizal, SKM 196210221987031008 Pelaksana 1,322,000 66,100 1,255,900 62,795 1,255,900 1,193,105 2

3 dr. Afni Azizah 197903122014022001 Dokter 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 3

4 Hoirul mustakim, S.Farm, Apt 198907272014021001 Apoteker 1,934,000 193,400 1,740,600 87,030 1,740,600 1,653,570 4

5 Budiyanto 197301011995031001 Ahli Gizi/Nutrision 1,322,000 66,100 1,255,900 62,795 1,255,900 1,193,105 5

6 Jonson Simarmata, SKM 197504302009031001 Sanitarian 1,450,000 145,000 1,305,000 65,250 1,305,000 1,239,750 6

7 Rahmatiya, AMKL 199107302014022002 Sanitarian 1,356,000 - 1,356,000 - 1,356,000 1,356,000 7

8 Sri rahmawati 197605172006042005 Asisten Apoteker - - - - - - 8 tubel

9 Devi puspa pratama, AMAK 198908182014022003 Pranata Lab Pkm 1,356,000 230,520 1,125,480 - 1,125,480 1,125,480 9
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

10 Kadeska Sri Purnama, Amd 198503052009032006 Teknik Gigi 1,356,000 - 1,356,000 - 1,356,000 1,356,000 10

11 Indra Martalesi, AMKG 199103092014021001 Perawat gigi 1,356,000 298,320 1,057,680 - 1,057,680 1,057,680 11

12 Petrus Duha 196312301991031008 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12

13 Pratiwi Tri Saputri AmKep 198704012010012005 Perawat - - - - - - 13 DI TITIPKAN PALEMBANG

14 Kiki Indrayanti, AmdKep 198803182011012002 Perawat 1,450,000 246,500 1,203,500 60,175 1,203,500 1,143,325 14

15 Nadori 198405052006041014 Perawat Pustu Munggu 1,450,000 72,500 1,377,500 68,875 1,377,500 1,308,625 15

16 Anggeriyani 198802042009032001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 16

17 Lidya 198406222006042004 Perawat Pustu Lampur 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 17

18 Juniarti, AMK 199106172014022002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 18

19 Sukmawati Yulyana, Amd.kep 199102262014022002 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000 19

20 Nunik Sulastri 197808252006042023 Bidan Puskesmas 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 20

21 Nurhidayah, Amd.Keb 199105302014022001 Bidan 1,356,000 - 1,356,000 - 1,356,000 1,356,000 21

22 Sri Rahayu 196601081994032003 Bidan Pol. Keretak 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 22

23 Suryanti, Amd.Keb 197612272005012006 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 23

24 Desti Amalia Sari, AmKep 198812282010012004 Bidan kerakas 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Hilda Rapiana, AmKeb 198612262010012009 Bidan Lampur 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
Bidan Poskesdes
26 Hatima, AmdKeb 198606152011012002 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 26
Kemingking

27 Elita 197605072006042024 Bidan Air Itam 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 27

36,897,250 1,318,440 35,578,810 1,262,983 35,578,810 34,315,827

(Tiga puluh lima juta lima ratus tujuh puluh delapan ribu delapan ratus sepuluh rupiah)
35,578,810

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Simpang Katis


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 dr. Syafril Syah Hasibuan 197604242010011008 Kapus (9/1/2018) 3,090,000 - 3,090,000 154,500 3,090,000 2,935,500 1

2 Rendi Julian, AmKep 198607172009031001 Plt. Kasubbag Tu (9/1/2018) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000
2

3 dr. Neneng Erna Lestari 198008152011012002 Dokter Umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687
3

4 dr. Dwi Gustiarini 198208032008042001 Dokter umum - - - - - -


4 TUBEL

5 drg. Ihmad Hidayat 198212242014021002 Dokter Gigi 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687
5

6 Komariah, S.Farm, Apt 198808252014022002 Apoteker 1,934,000 96,700 1,837,300 91,865 1,837,300 1,745,435
6

7 Welistiani, AMKL 198803032010012002 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


7

8 Karina Tri Andini, Amg 198810252011012005 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
8

9 Teriyanti, AMF 198808272011012002 Asisten apoteker 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
9

10 Nia Afrillia, AMAK 199204232014022001 Pranata Laboratorium 1,356,000 54,240 1,301,760 - 1,301,760 1,301,760
10

11 Irma ningsih 198005072007012023 Staf 1,171,000 46,840 1,124,160 - 1,124,160 1,124,160


11

12 Linda Ika Sari, Amd.Kep 198809032010012005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
12

13 Marlena,A.Md.Kep 197709232012122001 Perawat 1,356,000 - 1,356,000 - 1,356,000 1,356,000


13

14 Romli 196301041990031005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


14
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

15 Puji Astuti, AmdKep 198604102009032000 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
15

16 Tin Moralia, AMdKep 198708072011012010 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
16

17 Ipa Parida, SST 198601182009032002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
17

18 Ita mayasari, Amd.Kep 198902152010012002 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
18

19 Winda, AmKep 198806102010012004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


19

20 Fauziah, A.Mkep 198307102006042012 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


20

21 Zahniar 196306151988032004 Pembantu Paramedis 1,322,000 - 1,322,000 66,100 1,322,000 1,255,900


21

22 Aprillya, AmdKep 198804082011012005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


22

23 Nurhayati 198604082006042003 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


23

24 Meliati 197912012005012007 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


1 x tdk 24
apel
25 Maryati, Amd 197905112006042020 Perawat Pembuat Gigi tanpa 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
25
ketera
ngan
26 Nelly Mariance Simaremare, AmdKg 198305162011012004 Perawat Gigi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
26

27 Tumiar sitanggang 196406261986032003 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


27

28 Ovi Kurniati, Amd.Keb 198711152011012004 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
28

29 Zuniar 197610032005012000 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


29
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

30 Lestari Sari Melati, AmKep 198612182009032002 Bidan Desa Celuak 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
30

31 Tri Heryetti, AmKep 198012092009032001 Bidan Air Jangkang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
31

32 Sri Megawati, AmKeb 198707242010012005 Bidan Simpang Katis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
32

33 Vera Adriani, AmKeb 198308232010012002 Bidan Desa Katis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
33

34 Dewi Supriatmi 197407172006042013 Bidan Pustu Terak 1,356,000 - 1,356,000 - 1,356,000 1,356,000
34

35 Ludiawati 197410262005012005 Bidan Pol. Puput 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
35

36 Rini Widiarti 197303112006042013 Bidan Pol Teru 1,356,000 - 1,356,000 - 1,356,000 1,356,000
36

37 Rusmelly 197707062005012018 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500


37

38 Sulastri 197705232005012010 Bidan Pol. Pinang sebatang 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
38

39 Jarmayanti, AmdKeb 198711022011012005 Bidan Desa Teru 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
39

40 Yetti Dwi Apriliza 197704282003122005 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
40

41 Gita Oktaria Cristien, Am.Kep 198510142008042001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500
41

42 Esti Purnamasari 199003242009032001 Perawat 1,356,000 1,356,000 - - - -


42

Total 62,929,500 1,553,780 61,375,720 2,744,091 61,375,720 58,631,629

Terbilang : (Enam puluh satu juta tiga ratus tujuh puluh lima ribu tujuh ratus dua puluh ribu rupiah)

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH
BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12
dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Sungai Selan


Bulan Oktober 2018

BULAN OKTOBER
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

1 dr. Nanang Arrahman Al Masyrukhi 198011212011011002 Kepala Puskesmas - - - - - - 1TUBEL

2 dr. Nur Muhammad Darussalam 198312062011011001 Kepala Puskesmas 3,090,000 - 3,090,000 154,500 3,090,000 2,935,500 2

3 dr. Dadeng Supratman 198004252009031001 Dokter Umum 2,511,250 565,031 1,946,219 97,311 1,946,219 1,848,908 3

4 dr. Fedly Aristian 198508142012121001 Dokter Umum 2,511,250 - 2,511,250 125,563 2,511,250 2,385,687 4

5 Arizal, SKM 197707152005011010 Pelaksana 1,450,000 72,500 1,377,500 68,875 1,377,500 1,308,625 5

6 Aisyah, SKM 198112232008042001 Penyuluh kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 6

7 Yurika, Amd 198505012008042001 Kasubbag Tu (1/2/2018) 1,560,000 - 1,560,000 78,000 1,560,000 1,482,000 7

19791022200601201
8 Hasyanah, AmKep Pelaksana 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 8
6

9 Irsan, Amd 198009012009031001 Penata Gizi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 9

10 Novita Sari, AMG 198911012011012003 Nutrisionis 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 10

11 Elfaziah 197201132005012003 Asisten Apoteker 1,356,000 - 1,356,000 - 1,356,000 1,356,000 11


NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

12 Seri Umami 198706142010012013 Administrator Kesehatan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 12

13 Helfitia Agistina, Amak 198708162011012003 Pranata Laboratorium 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 13

14 Rossa Kanina Ginting, AmdAK 198711302010012010 Pranata Laboratorium 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 14

15 Herly Vianty 198211042006042016 Staf Puskesmas 1,171,000 - 1,171,000 - 1,171,000 1,171,000 15

16 Oktaria Widiyastuti 198810072009032001 Staf Puskesmas 1,356,000 - 1,356,000 - 1,356,000 1,356,000 16

17 Irawati 198506022007012001 Staf Puskesmas 1,171,000 146,375 1,024,625 - 1,024,625 1,024,625 17

18 Yesi Purnamasari, AmKep 198808192010012008 Perawat 1,450,000 246,500 1,203,500 60,175 1,203,500 1,143,325 18

19 Meta Susanti, AmKep 198805262010012002 Perawat 1,450,000 246,500 1,203,500 60,175 1,203,500 1,143,325 19

20 Rizki Ameliya, AmKep 198705082010012004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 20

21 Sudiarto 19870621200604100 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 21

22 Adi Candra 197905302006041005 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 22

23 Rusmanadi, S.Kep 198407122010011014 Perawat 1,450,000 282,750 1,167,250 58,363 1,167,250 1,108,887 23

24 Fitriana 197902052005012010 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 24

25 Fitriyanti, AmdKep 198706062011012006 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 25

26 Firmansyah, Amd. Kep 198307102009031007 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 26

27 Marlina Oktavia, A.Md.Kep 198710062010012005 Perawat - - - - - - 27 titipan di semarang

28 Wika Suprapti, A.MdKep 198904222010012001 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 28

29 Eko prastyo, Am.Kep 198206242008041001 Perawat (TMT 1/8/2015) 1,356,000 - 1,356,000 - 1,356,000 1,356,000 29
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

30 Marlina, AmKep 197503152006012022 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 30

31 Siti Aisyah, AmdKep 198807262011012008 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 31

32 Jumadi 197707152005011009 Perawat 1,450,000 36,250 1,413,750 70,688 1,413,750 1,343,062 32

33 Karli 197806222006041004 Perawat 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 33

34 Paizah 198506112006042006 Perawat Pustu Air Medang 1,450,000 72,500 1,377,500 68,875 1,377,500 1,308,625 34

35 Veny Hirmalianti, AMKL 198811102011012003 Sanitarian 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 35

36 Gunawan 198412122009031001 Perawat Gigi 1,356,000 135,600 1,220,400 - 1,220,400 1,220,400 36

37 Dani Saputra, Amd.Kep 198705192009021001 Perawat anastesi 1,356,000 101,700 1,254,300 - 1,254,300 1,254,300 37

19880503201101100
38 Hidayad, AmdKg Perawat Gigi 1,356,000 230,520 1,125,480 - 1,125,480 1,125,480 38
2

39 Meitriana Evasari, AmKeb 198405122009032003 Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 39

40 Eba Elia 196803071990031003 Bidan 1,356,000 237,300 1,118,700 - 1,118,700 1,118,700 40

41 Ratih Mandaria, AmKeb 198609232011012004 Bidan 1,450,000 145,000 1,305,000 65,250 1,305,000 1,239,750 41

42 Risma yulianti, Amd.Keb 198907312014022002 Bidan Desa Tj.Pura 1,356,000 - 1,356,000 - 1,356,000 1,356,000 42

43 Juita Ramayani, AmKeb 198504152010012008 Bidan keretak Atas 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 43

44 Hermawati Soraya, AmKeb 198311272009032002 Bidan Pangkal Raya 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 44
NO NAMA NIP JABATAN Eselon Pengurangan jmlh bersih yang TANDATANGAN
Satuan jmlh bersih pph 21 jmlh kwitasi
TPP diterima
1 2 3 4 5 6 7 =( 6 * %) 8=6-7 9 = 8 *5% 10 = 6 - 7 11 = 8 - 9 12

45 Suzanawati 196908312005012004 Bidan Pustu Sarang Mandi 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 45

19731108200604201
46 Sri Wiyati Bidan 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 46
7

47 Umi Kalsum, AmdKeb 198503032011012005 Bidan P. Nangka 1,450,000 - 1,450,000 72,500 1,450,000 1,377,500 47

48 Yuliana, Am.Keb 198405252017042013 Bidan romadon 1,356,000 - 1,356,000 - 1,356,000 1,356,000 48

Total 69,168,500 2,518,526 66,649,974 2,647,775 66,649,974 64,002,199

Terbilang : (Enam puluh enam juta enam ratus empat puluh sembilan ribu sembilan ratus tujuh puluh empat rupiah)

66,649,974

KOBA , NOVEMBER 2018


MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH
Berdasarkan
Nomor : Peraturan Bupati Bangka Tengah
1 Tahun 2010
Satker Dinas Kesehatan Tanggal : 3 Februari 2010
Bulan September 2018

NO NAMA Jumlah kotor PPh 21 Jumlah bersih


1 2 3 4 5

1 Puskesmas Namang 56,073,220 2,409,066 53,664,154

2 Puskesmas Lubuk besar 38,862,750 1,265,138 37,597,612

3 Puskesmas Perlang 23,844,000 853,200 22,990,800

JUMLAH 118,779,970 4,527,404 114,252,566

Terbilang : (Seratus enam belas juta empat ratus dua puluh empat ribu tiga ratus lima puluh rupiah)

#REF! #REF!

412

246

318 213

177
KOBA , OKTOBER 2018
MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

83
#VALUE!
dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001

335

327
TANDA TERIMA TAMBAHAN PENGHASILAN PEGAWAI NEGERI SIPIL DAERAH
DINAS KESEHATAN KABUPATEN BANGKA TENGAH
Berdasarkan
Nomor : Peraturan Bupati Bangka Tengah
1 Tahun 2010
Satker Dinas Kesehatan Tanggal : 3 Februari 2010
Bulan Agustus 2018

NO NAMA Jumlah kotor PPh 21 Jumlah bersih


1 2 3 4 5

1 Puskesmas Koba 61,256,300 2,588,216 58,668,084

2 Puskesmas Lubuk besar 38,862,750 1,265,138 37,597,612

3 Puskesmas Sungaiselan 66,649,974 2,647,775 64,002,199

4 Puskesmas Lampur 35,578,810 1,262,983 34,315,827

5 Puskesmas Benteng 64,343,500 3,090,076 61,253,424

6 Puskesmas Pangkalanbaru 69,030,960 3,010,426 66,020,534

7 Puskesmas Simpangkatis 61,375,720 2,744,091 58,631,629

8 Puskesmas Perlang 23,844,000 853,200 22,990,800

9 Puskesmas Namang 56,073,220 2,409,066 53,664,154

JUMLAH 477,015,234 19,870,971 457,144,263

Terbilang : (Empat ratus enam puluh delapan juta delapan ratus tiga ribu seratus tiga puluh rupiah)

#REF! #REF!

412

246

318 213

177
KOBA , SEPTEMBER 2018
MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

#VALUE!
dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001

335

327
sp2d pajak
haji 1,000,000 20,000
kusta 1,000,000 20,000
tb 1,590,000 34,500
cetak kms 2,500,000 125,000
filariasis 70,650,000
kestel 5,880,000 342,000
rmp 950,000 40,000
media promosi 6,220,000 311,000

89,790,000 892,500

88,897,500
387,000,000

35,181,818
7,036,364

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