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CLAIM RAWAT INAP DAN PERSALINAN TINGKAT PERTAMA

UPF PUSKESMAS KEMUNING


BULAN MARET 2016

REALISASI PENERIMAAN : Rp. 1.859.375

NO NAMA NPWP NIP GOL JUMLAH PPh 5%

1 dr.Andi Yos Perdana 09.661830.1-045.000 19740826 200801 1 002 III/C 122,375 6119
2 dr.Devyanne 24.968.001.8-125.001 19801217 200803 2 001 III/C 84,000 4200
3 Hj.Reni Fiatri 357574.391-403000 19670223 198703 2 002 III/D 84,000 4200
4 Siti Hadidjah 357572288-403.000 19600620 198203 2 007 III/B 84,000 4200
5 Rita Susanti 35757.1538-403000 19720620 199203 2 002 III/C 84,000 4200
6 Rustiati 36.345.415.8-403.000 19710504 200312 2 002 III/B 84,000 4200
7 Marsani 357179043-403.000 19710303 199303 1 005 III/B 84,000 4200
8 Dian 365694413-419.000 19800323 200701 2 013 III/B 84,000 4200
9 dr.Farah Pratiwi 77.699.7058-404.000 1000715 PTT 84,000 2100
10 dr.Memet S. 66423699.9-412.000 87331302121008 PTT 84,000 2100
11 Nina Komalasari 45.691159-403.000 10,404,712,140 PTT 84,000 2100
12 Lia Khoiriyah 663301695-403.000 8733202090034 PTT 84,000 2100
13 Anita Kirana 663301679-403.000 19841121 201101 2 001 II/D 84,000
14 Dwi Rohmah Indarti 35737.116-403.000 19760610 200312 2 009 III/A 84,000 4200
15 Hj.Lucy Kohan 09.208256.9-403.000 19691213 199503 2 001 III/C 84,000 4200
16 Ida Nurwanti 66.803.832.6-403.000 19861221 201211 2 001 III/A 84,000 4200
17 Yanti Yulianti 66.754.030.6-434.000 19730701 201212 2 001 II/A 84,000
18 Indah Tri Utami 48.224.107.0-085.000 8733202090033 PTT 84,000 2100
19 Hevy Handayani 66532529.4-017.000 8733202090032 PTT 84,000 2100
20 Egha 69.674.706.2.001.000 1040484236 PTT 84,000 2100
21 Euis Samrotulmillah 663301687-403.000 5000558 PTT 84,000 2100
22 Suhada Honor 19,000 950
23 Mulyani Honor 19,000 950
24 Sanin Pet.Kebersihan 19,000 950

JUMLAH 1,859,375 67769


Mengetahui
Kepala UPF Kemuning

dr.Andi Yos Perdana


NIP.197408262008011002 NIP.19600620198203200
A

JUMLAH YG TANDA
DITERIMA TANGAN

116,256 1
79,800 2
79,800 3
79,800 4
79,800 5
79,800 6
79,800 7
79,800 8
81,900 9
81,900 10
81,900 11
81,900 12
84,000 13
79,800 14
79,800 15
79,800 16
84,000 17
81,900 18
81,900 19
81,900 20
81,900 21
18,050 22
18,050 23
18,050 24

1,791,606
Bendahara

Siti Hadidjah
NIP.196006201982032007

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