REKAP KEGIATAN BOK PUSKESMAS PENYANDINGAN BULAN JANUARI - APRIL T

KODE PAJAK JUMLAH JUMLAH YANG BANK

JUMLAH NOMOR REKENING
REKENING PPN PPH 21 PPH 22 PPH 23 TOTAL PAJAK DITERIMA
5 2 2 01 01 Rp 2,525,000 126,250 - Rp 126,250 Rp 2,398,750
5 2 2 02 01 Rp 1,644,000 130,380 6,820 Rp 137,200 Rp 1,506,800 141 -011- 787- 3 an. Hendra Sumsel Babel
5 2 2 03 15 Rp 3,686,000 368,600 50,263 Rp 418,863 Rp 3,267,137 141 -011- 787- 3 an. Hendra Sumsel Babel
5 2 2 03 21 Rp 12,258,000 612,900 Rp 612,900 Rp 11,645,100
5 2 2 06 02 Rp 3,686,000 368,600 50,263 Rp 418,863 Rp 3,267,137 141 -011- 787- 3 an. Hendra Sumsel Babel
5 2 2 11 04 Rp 1,040,000 20,800 Rp 20,800 Rp 1,019,200
5 2 2 15 01 Rp 121,050,000 Rp 121,050,000
Rp 145,889,000 867,580 766,770 100,526 - Rp 1,734,876 Rp 144,154,124
pajak
bersih Penyandingan, April 2018
tks Kepala UPTD Puskesmas Penyandingan
honor pptk Kecamatan Sosoh Buay Rayap
laptop
laptop
Febrianto, SKM
Nip. 197902232000031002
APRIL TAHUN 2018
NOMOR TUNAI
NPWP NON TUNAI
TUNAI
66. 946. 967. 8- 302. 000 NON TUNAI
66. 946. 967. 8- 302. 000 NON TUNAI
TUNAI
66. 946. 967. 8- 302. 000 NON TUNAI
NON TUNAI
 REKAP KEGIATAN BOK PUSKESMAS PENYANDINGAN BULAN J
KODE PAJAK JUMLAH
URAIAN KEGIATAN VOLUME SATUAN HARGA SATUAN JUMLAH
REKENING PPN PPH 21 PPH 22 PPH 23 TOTAL PAJAK
5 2 1 01 01 Honorarium PNS Rp 1,200,000 126,250 - Rp
Honorarium PNS Rp 1,200,000 60,000
1 Febrianto, SKM 2 ob Rp. 300,000 Rp 600,000 30,000 Rp
2 Indah Permatasari, AMG 2 ob Rp. 300,000 Rp 600,000 30,000 Rp

5 2 1 01 01 Honorarium Tim Pendataan KS Rp. 1,325,000 66,250 Rp

1 Priska Pakpahan, S.Kep, Ners 1 ob Rp. 300,000 Rp. 300,000 15,000 Rp
2 Yose Farizal, AM.KL 1 ob Rp. 275,000 Rp. 275,000 13,750 Rp
3 Deasy Rianawaty, AM.Keb 1 ob Rp. 250,000 Rp. 250,000 12,500 Rp
4 Indah Permata Sari, AM.G 1 ob Rp. 250,000 Rp. 250,000 12,500 Rp
5 dr. Anin Kalma Perdani 1 ob Rp. 250,000 Rp. 250,000 12,500 Rp

5 2 2 01 01 Belanja ATK Rp 1,644,800 Rp

1 Kegiatan BOK 1 pt Rp. 1,303,800 Rp 1,303,800 130,380 Rp

2 Kegiatan KS 1 pt Rp 341,000 Rp 341,000 Rp

5 2 2 03 15 Belanja Publikasi / Cetak

Streker 3686 OH Rp 1,000 Rp 3,686,000 368,600 50,263 Rp

5 2 2 03 21 Honorarium Narasumber 3686 OH Rp 12,258,000 612,900 Rp

1 Narasumber KS Rp 1,200,000 60,000 Rp
1 Edwin, SKM 3 OH Rp 200,000 Rp 600,000 30,000 Rp
2 Yudiawati, SKM. MM 3 OH Rp 200,000 Rp 600,000 30,000 Rp

2 Pelaksanaan Survey ke KK 3686 Rp 11,058,000 552,900 Rp

 1 Hairiati, AM.Keb 246 OH Rp 3,000 Rp 738,000 36,900 Rp
2 Nurul Khamidiyah, AM.AK 246 OH Rp 3,000 Rp 738,000 36,900 Rp
3 Indah Purnama Putri, AM.Keb 246 OH Rp 3,000 Rp 738,000 36,900 Rp
4 Mely Marisa, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
5 Sandra Adi Nata, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
6 Depriadi, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
7 Roberto, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
8 zelly Puspita Sari, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
9 Edo Mardiansyah, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
10 Hermanadi, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
11 Alisa Fitri, AM.Kep 246 OH Rp 3,000 Rp 738,000 36,900 Rp
12 Eka Lestari, AM.Keb 245 OH Rp 3,000 Rp 735,000 36,750 Rp
13 Ance Selvia, AM.Keb 245 OH Rp 3,000 Rp 735,000 36,750 Rp
14 Moly Lestari, AM.Keb 245 OH Rp 3,000 Rp 735,000 36,750 Rp
15 Gustin Veronica, AM.Keb 245 OH Rp 3,000 Rp 735,000 36,750 Rp

5 2 2 06 02 Belanja Penggandaan
1 Penggandaan kuisioner kegiatan KS 18430 lbr Rp 200 Rp 3,686,000 368,600 50,263 Rp

5 2 2 11 4 Belanja Makan Minum Rp 1,040,000

1 Pertemuan KS
Makan 22 OK Rp 20,000 Rp 440,000 8,800 Rp
 2 Kespro
Makan 30 OK Rp 20,000 Rp 600,000 12,000 Rp

5 2 2 15 1 Belanja Perjalanan Dinas Dalam Daerah Rp 121,050,000

Emi Diana, AM.Keb 2 OH Rp 150,000 Rp 300,000
Rina Agustina, AM.Keb 2 OH Rp 150,000 Rp 300,000
Sri Hartatik, AM.Keb 2 OH Rp 150,000 Rp 300,000
Destina Bella, AM.Keb 2 OH Rp 150,000 Rp 300,000
Sarina, AM.Keb 2 OH Rp 150,000 Rp 300,000
Septy Fitria Rismanita, AM.Keb 2 OH Rp 150,000 Rp 300,000
Ratih Indira, AM.Keb 2 OH Rp 150,000 Rp 300,000
Juliati, AM.Keb 2 OH Rp 150,000 Rp 300,000
Muryati, AM.Keb 2 OH Rp 150,000 Rp 300,000
Windayani, AM.Keb 2 OH Rp 150,000 Rp 300,000
Fitria Grama Depa, AM.Keb 2 OH Rp 150,000 Rp 300,000
Deasy Rianawaty 55 OH Rp 150,000 Rp 8,250,000
Areseva, AM.Keb 11 OH Rp 150,000 Rp 1,650,000
Indah Permata Sari, AM.G 68 OH Rp 150,000 Rp 10,200,000
Amalia Lestari, AM.Keb 69 OH Rp 150,000 Rp 10,350,000
Linda Mayasari, AM.Keb 54 OH Rp 150,000 Rp 8,100,000
Hairiati, AM.Keb 46 OH Rp 150,000 Rp 6,900,000
Edo Mardiansyah, AM.Kep 20 OH Rp 150,000 Rp 3,000,000
Sai'in, AM.Kep 9 OH Rp 150,000 Rp 1,350,000
Nita Fitriani, AM.Keb 44 OH Rp 150,000 Rp 6,600,000
Ipen Japri 1 OH Rp 150,000 Rp 150,000
Idris 1 OH Rp 150,000 Rp 150,000
M Nazir 1 OH Rp 150,000 Rp 150,000
Saharudin 1 OH Rp 150,000 Rp 150,000
Samsul Sobri 1 OH Rp 150,000 Rp 150,000
Abdul Manan 1 OH Rp 150,000 Rp 150,000
Tomi 1 OH Rp 150,000 Rp 150,000
Afrila Dewi 1 OH Rp 150,000 Rp 150,000
Abdul Malik 1 OH Rp 150,000 Rp 150,000
Untung 1 OH Rp 150,000 Rp 150,000
Evi 1 OH Rp 150,000 Rp 150,000
Mistika 1 OH Rp 150,000 Rp 150,000
Awaludin 1 OH Rp 150,000 Rp 150,000
Siti Khotimah 1 OH Rp 150,000 Rp 150,000
Amin Baladi, STP. M. AP 1 OH Rp 150,000 Rp 150,000
Zainal Abidin 1 OH Rp 150,000 Rp 150,000
Mahmudin 1 OH Rp 150,000 Rp 150,000
Ruslan 1 OH Rp 150,000 Rp 150,000
Rois 1 OH Rp 150,000 Rp 150,000
Andri 1 OH Rp 150,000 Rp 150,000
Sumai Hs 1 OH Rp 150,000 Rp 150,000
Imam Saukani M, S. Ag 1 OH Rp 150,000 Rp 150,000
Indah Purnama Putri, AM.Keb 58 OH Rp 150,000 Rp 8,700,000
Roberto, AM.Kep 33 OH Rp 150,000 Rp 4,950,000
Yose Farizal, AM.KL 26 OH Rp 150,000 Rp 3,900,000
Febrianto, SKM 15 OH Rp 150,000 Rp 2,250,000
Alisa Fitri, AM.Kep 22 OH Rp 150,000 Rp 3,300,000
Nurul Khamidiyah, AM.AK 33 OH Rp 150,000 Rp 4,950,000
Eka Lestari, AM.Keb 11 OH Rp 150,000 Rp 1,650,000
Depriadi, AM.Kep 22 OH Rp 150,000 Rp 3,300,000
Ance Selvia, AM.Keb 11 OH Rp 150,000 Rp 1,650,000
Hengky Candra, AM.Kep 27 OH Rp 150,000 Rp 4,050,000
Meka Adensi, AM.Kep 15 OH Rp 150,000 Rp 2,250,000
Hermanadi, AM.Kep 26 OH Rp 150,000 Rp 3,900,000
Priska Pakpahan, S.Kep, Ners 22 OH Rp 150,000 Rp 3,300,000
dr. Anin Kalma Perdani 22 OH Rp 150,000 Rp 3,300,000
Yuliar Sadat, SKM 11 OH Rp 150,000 Rp 1,650,000
Zelly Puspita sari, AM.Keb 11 OH Rp 150,000 Rp 1,650,000
Emi Diana, AM.Keb 1 OH Rp 150,000 Rp 150,000
Rina Agustina, AM.Keb 1 OH Rp 150,000 Rp 150,000
Sri Hartatik, AM.Keb 1 OH Rp 150,000 Rp 150,000
Destina Bella, AM.Keb 1 OH Rp 150,000 Rp 150,000
Sarina, AM.Keb 1 OH Rp 150,000 Rp 150,000
Septy Fitria Rismanita, AM.Keb 1 OH Rp 150,000 Rp 150,000
Ratih Indira, AM.Keb 1 OH Rp 150,000 Rp 150,000
Juliati, AM.Keb 1 OH Rp 150,000 Rp 150,000
Muryati, AM.Keb 1 OH Rp 150,000 Rp 150,000
Windayani, AM.Keb 1 OH Rp 150,000 Rp 150,000
Fitria Grama Depa, AM.Keb 1 OH Rp 150,000 Rp 150,000
Ipen Japri 1 OH Rp 150,000 Rp 150,000
Idris 1 OH Rp 150,000 Rp 150,000
M Nazir 1 OH Rp 150,000 Rp 150,000
Saharudin 1 OH Rp 150,000 Rp 150,000
Samsul Sobri 1 OH Rp 150,000 Rp 150,000
Abdul Manan 1 OH Rp 150,000 Rp 150,000
Tomi 1 OH Rp 150,000 Rp 150,000
Afrila Dewi 1 OH Rp 150,000 Rp 150,000
Abdul Malik 1 OH Rp 150,000 Rp 150,000
Untung 1 OH Rp 150,000 Rp 150,000
Sumai Hs 1 OH Rp 150,000 Rp 150,000
Jumlah Rp 145,889,800 867,580 739,150 100,526 20,800 Rp
pajak
bersih
tks
honor pptk
laptop
laptop
BULAN JANUARI - APRIL TAHUN 2018
JUMLAH JUMLAH YANG BANK NOMOR TUNAI
NOMOR REKENING
TOTAL PAJAK DITERIMA NPWP NON TUNAI
60,000 Rp 1,140,000
Rp 1,140,000
30,000 Rp 570,000 48. 978. 701. 0- 302. 000 TUNAI
30,000 Rp 570,000 66. 490. 382. 0- 302.000 TUNAI

12,554 Rp 1,312,446
15,000 Rp 299,985 66. 056.206.7- 302. 000 TUNAI
13,750 Rp 274,986 39. 516. 176. 8- 302.000 TUNAI
12,500 Rp 249,988 89. 516. 170. 1- 302. 000 TUNAI
12,500 Rp 237,500 66. 490. 382. 0- 302.000 TUNAI
12,500 Rp 237,500 80. 138. 250. 8- 302.000 TUNAI

471,380 Rp 1,514,420
130,380 Rp 1,173,420 141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

341,000 Rp 341,000 66. 946. 967. 8- 302. 000 TUNAI

418,863 Rp 3,267,137 141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

612,900 Rp 11,645,100
60,000 Rp 1,140,000
30,000 Rp 570,000 49. 083. 213. 6- 302. 000 TUNAI
30,000 Rp 570,000 48. 945. 489. 2- 302. 000 TUNAI

552,900 Rp 10,505,100
36,900 Rp 701,100 89. 516. 172. 7- 302. 000 TUNAI
36,900 Rp 701,100 89. 516. 175. 0- 302. 000 TUNAI
36,900 Rp 701,100 83. 825. 174. 2- 302.000 TUNAI
36,900 Rp 701,100 16. 365. 175. 5- 302.000 TUNAI
36,900 Rp 701,100 74. 960. 338. 7- 302. 000 TUNAI
36,900 Rp 701,100 83. 840. 381. 4- 302.000 TUNAI
36,900 Rp 701,100 83. 842. 924. 9- 302. 000 TUNAI
36,900 Rp 701,100 83. 869. 398. 4- 302. 000 TUNAI
36,900 Rp 701,100 83. 825. 079. 3- 302. 000 TUNAI
36,900 Rp 701,100 73. 561. 764. 9- 302. 000 TUNAI
36,900 Rp 701,100 83. 844. 126. 9- 302. 000 TUNAI
36,750 Rp 698,250 83. 882. 545.4- 302. 000 TUNAI
36,750 Rp 698,250 83. 879. 867. 6- 302. 000 TUNAI
36,750 Rp 698,250 83. 824. 635. 3- 302. 000 TUNAI
36,750 Rp 698,250 83. 824. 540. 5- 302.000 TUNAI

418,863 Rp 3,267,137 141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

8,800 Rp 431,200 141 -095- 005- 4 Sumsel Babel 66. 490. 382. 0- 302.000 TUNAI
12,000 Rp 588,000 141 -095- 005- 4 Sumsel Babel 66. 490. 382. 0- 302.000 TUNAI

TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI

141 -092- 538- 0 Sumsel Babel NON TUNAI

141 -090- 003- 76 Sumsel Babel NON TUNAI
141 -095- 005- 4 Sumsel Babel NON TUNAI
141 -090- 003- 68 Sumsel Babel NON TUNAI
141 -090- 003- 69 Sumsel Babel NON TUNAI
141 -011- 232- 1 Sumsel Babel NON TUNAI
141 -090- 013- 70 Sumsel Babel NON TUNAI
141 -090- 013- 75 Sumsel Babel NON TUNAI
141 -090- 003- 78 Sumsel Babel NON TUNAI

TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
 TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
141 -080- 011- 1 Sumsel Babel NON TUNAI
141 -090- 013- 69 Sumsel Babel NON TUNAI
141 -092- 586- 2 Sumsel Babel NON TUNAI
141 -091- 485- 1 Sumsel Babel NON TUNAI
141 -090- 013- 78 Sumsel Babel NON TUNAI
141 -011-452- 6 Sumsel Babel NON TUNAI
141 -090- 013- 80 Sumsel Babel NON TUNAI
141 -090- 013- 73 Sumsel Babel NON TUNAI
141 -090- 013- 76 Sumsel Babel NON TUNAI
141 -093- 904- 8 Sumsel Babel NON TUNAI
145 -091- 427- 8 Sumsel Babel NON TUNAI
141 -090- 013- 59 Sumsel Babel NON TUNAI
141 -011- 657- 0 Sumsel Babel NON TUNAI
141 -010- 551- 2 Sumsel Babel NON TUNAI
 141 -090- 013- 90 Sumsel Babel NON TUNAI
141 -090- 013- 79 Sumsel Babel NON TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
1,728,056 Rp 144,161,744

Penyandingan, April 2018

Kepala UPTD Puskesmas Penyandingan
Kecamatan Sosoh Buay Rayap
 Febrianto, SKM
Nip. 197902232000031002
 REKAP NOMOR REKENING DAN NOMOR NPWP
KEGIATAN MANAJEMEN BANTUAN OPERASIONAL KESEHATA
KODE PAJAK JUMLAH JUMLAH YANG
URAIAN KEGIATAN JUMLAH NOMOR
REKENING PPN PPH 21 PPH 22 PPH 23 TOTAL PAJAK DITERIMA
5 2 1 01 01 Honorarium Panitia Pelaksana Rp. 1,200,000 60,000 - Rp 60,000 Rp 1,140,000
Honorarium Panitia Pelaksana
1 Febrianto, SKM Rp. 600,000 30,000 Rp 30,000 Rp 570,000
2 Indah Permatasari, AMG Rp. 600,000 30,000 Rp 30,000 Rp 570,000

5 2 1 01 01 Honorarium Tim Pendataan KS Rp. 1,325,000 66,250 Rp 12,554 Rp 1,312,446

1 Priska Pakpahan, S.Kep, Ners Rp. 300,000 15,000 Rp 15,000 Rp 299,985
2 Yose Farizal, AM.KL Rp. 275,000 13,750 Rp 13,750 Rp 274,986
3 Deasy Rianawaty, AM.Keb Rp. 250,000 12,500 Rp 12,500 Rp 249,988
4 Indah Permata Sari, AM.G Rp. 250,000 12,500 Rp 12,500 Rp 237,500
5 dr. Anin Rp. 250,000 12,500 Rp 12,500 Rp 237,500

5 2 2 01 01 Belanja ATK Rp 1,644,800

1 Kegiatan BOK Rp 1,303,800 130,380 Rp 130,380 Rp 1,173,420 141 -011- 787- 3 a

2 Kegiatan KS Rp 341,000 Rp - Rp 341,000

5 2 2 03 15 Belanja Publikasi / Cetak Rp 3,686,000

Streker Rp 3,686,000 368,600 50,263 Rp 418,863 Rp 3,267,137 141 -011- 787- 3 a

5 2 2 03 21 Honorarium Narasumber Rp 12,258,000 612,900 Rp 612,900 Rp 11,645,100

1 Jasa Narasumber KS Rp 1,200,000 60,000 Rp 60,000 Rp 1,140,000
1 Edwin, SKM Rp 600,000 30,000 Rp 30,000 Rp 570,000
2 Yudiawati, SKM. MM Rp 600,000 30,000 Rp 30,000 Rp 570,000
2 Pelaksanaan Survey ke KK Rp 11,058,000 552,900 Rp 552,900 Rp 10,505,100
1 Hairiati, AM.Keb Rp 738,000 36,900 Rp 36,900 Rp 701,100
2 Nurul Khamidiyah, AM.AK Rp 738,000 36,900 Rp 36,900 Rp 701,100
3 Indah Purnama Putri, AM.Keb Rp 738,000 36,900 Rp 36,900 Rp 701,100
4 Mely Marisa, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
5 Sandra Adi Nata, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
6 Depriadi, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
7 Roberto, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
8 zelly Puspita Sari, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
9 Edo Mardiansyah, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
10 Hermanadi, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
11 Alisa Fitri, AM.Kep Rp 738,000 36,900 Rp 36,900 Rp 701,100
12 Eka Lestari, AM.Keb Rp 735,000 36,750 Rp 36,750 Rp 698,250

13 Ance Selvia, AM.Keb Rp 735,000 36,750 Rp 36,750 Rp 698,250

14 Moly Lestari, AM.Keb Rp 735,000 36,750 Rp 36,750 Rp 698,250

15 Gustin Veronica, AM.Keb Rp 735,000 36,750 Rp 36,750 Rp 698,250
5 2 2 06 02 Belanja Penggandaan
1 Penggandaan kuisioner kegiatan KS Rp 3,686,000 368,600 50,263 Rp 418,863 Rp 3,267,137 141 -011- 787- 3 a
3,317,400
5 2 2 11 4 Belanja Makan Minum Rp 1,040,000 - 20,800 Rp 20,800 Rp 1,019,200
1 Pertemuan KS
Makan Rp 440,000 8,800 Rp 8,800 Rp 431,200 141 -095- 005- 4

5 2 2 15 2 Kespro
Makan Rp 600,000 12,000 Rp 12,000 Rp 588,000 141 -095- 005- 4

1 Belanja Perjalanan Dinas Dalam Daerah Rp 121,050,000

Emi Diana, AM.Keb Rp 300,000

Rina Agustina, AM.Keb Rp 300,000
Sri Hartatik, AM.Keb Rp 300,000
Destina Bella, AM.Keb Rp 300,000
Sarina, AM.Keb Rp 300,000
Septy Fitria Rismanita, AM.Keb Rp 300,000
Ratih Indira, AM.Keb Rp 300,000
Juliati, AM.Keb Rp 300,000
Muryati, AM.Keb Rp 300,000
Windayani, AM.Keb Rp 300,000
Fitria Grama Depa, AM.Keb Rp 300,000
Deasy Rianawaty Rp 8,250,000 141 -092- 538- 0
Areseva, AM.Keb Rp 1,650,000 141 -090- 003- 76
Indah Permata Sari, AM.G Rp 10,200,000 141 -095- 005- 4
Amalia Lestari, AM.Keb Rp 10,350,000 141 -090- 003- 68
Linda Mayasari, AM.Keb Rp 8,100,000 141 -090- 003- 69
Hairiati, AM.Keb Rp 6,900,000 141 -011- 232- 1
Edo Mardiansyah, AM.Kep Rp 3,000,000 141 -090- 013- 7
Sai'in, AM.Kep Rp 1,350,000 141 -090- 013- 7
Nita Fitriani, AM.Keb Rp 6,600,000 141 -090- 003- 7
Ipen Japri Rp 150,000
Idris Rp 150,000
M Nazir Rp 150,000
Saharudin Rp 150,000
Samsul Sobri Rp 150,000
Abdul Manan Rp 150,000
Tomi Rp 150,000
Afrila Dewi Rp 150,000
Abdul Malik Rp 150,000
Untung Rp 150,000
Evi Rp 150,000
Mistika Rp 150,000
Awaludin Rp 150,000
Siti Khotimah Rp 150,000
Amin Baladi, STP. M. AP Rp 150,000
Zainal Abidin Rp 150,000
Mahmudin Rp 150,000
Ruslan Rp 150,000
Rois Rp 150,000
Andri Rp 150,000
Sumai Hs Rp 150,000
Imam Saukani M, S. Ag Rp 150,000
Indah Purnama Putri, AM.Keb Rp 8,700,000 141 -080- 011- 1
Roberto, AM.Kep Rp 4,950,000 141 -090- 013- 69
Yose Farizal, AM.KL Rp 3,900,000 141 -092- 586- 2
Febrianto, SKM Rp 2,250,000 141 -091- 485- 1
Alisa Fitri, AM.Kep Rp 3,300,000 141 -090- 013- 78
Nurul Khamidiyah, AM.AK Rp 4,950,000 141 -011-452- 6
Eka Lestari, AM.Keb Rp 1,650,000 141 -090- 013- 80
Depriadi, AM.Kep Rp 3,300,000 141 -090- 013- 73
Ance Selvia, AM.Keb Rp 1,650,000 141 -090- 013- 76
Hengky Candra, AM.Kep Rp 4,050,000 141 -093- 904- 8
Meka Adensi, AM.Kep Rp 2,250,000 145 -091- 427- 8
Hermanadi, AM.Kep Rp 3,900,000 141 -090- 013- 5
Priska Pakpahan, S.Kep, Ners Rp 3,300,000 141 -011- 657- 0
dr. Anin Kalma Perdani Rp 3,300,000 141 -010- 551- 2
Yuliar Sadat, SKM Rp 1,650,000 141 -090- 013- 90
Zelly Puspita sari, AM.Keb Rp 1,650,000 141 -090- 013- 79
Emi Diana, AM.Keb Rp 150,000
Rina Agustina, AM.Keb Rp 150,000
Sri Hartatik, AM.Keb Rp 150,000
Destina Bella, AM.Keb Rp 150,000
Sarina, AM.Keb Rp 150,000
Septy Fitria Rismanita, AM.Keb Rp 150,000
Ratih Indira, AM.Keb Rp 150,000
Juliati, AM.Keb Rp 150,000
Muryati, AM.Keb Rp 150,000
Windayani, AM.Keb Rp 150,000
Fitria Grama Depa, AM.Keb Rp 150,000
Ipen Japri Rp 150,000
Idris Rp 150,000
M Nazir Rp 150,000
Saharudin Rp 150,000
Samsul Sobri Rp 150,000
Abdul Manan Rp 150,000
Tomi Rp 150,000
Afrila Dewi Rp 150,000
Abdul Malik Rp 150,000
Untung Rp 150,000
Sumai Hs Rp 150,000

Jumlah ,,,,,,,,,,,,,,,,,,,,, Rp. 145,889,800 867,580 739,150 100,526 20,800 Rp 1,728,056 Rp 144,161,744

Penyandingan, April 2018

Kepala Puskesmas Penyandingan
Kecamatan Sosoh Buay Rayap

Febrianto, SKM
Nip. 197902232000031002
NPWP
ESEHATAN ( BOK )
BANK NOMOR TUNAI
NOMOR REKENING
NPWP NON TUNAI

48. 978. 701. 0- 302. 000 TUNAI

66. 490. 382. 0- 302.000 TUNAI

66. 056.206.7- 302. 000 TUNAI

39. 516. 176. 8- 302.000 TUNAI
89. 516. 170. 1- 302. 000 TUNAI

66. 490. 382. 0- 302.000 TUNAI

80. 138. 250. 8- 302.000 TUNAI

141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

66. 946. 967. 8- 302. 000 TUNAI

141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

Sumsel Babel 49. 083. 213. 6- 302. 000 TUNAI

Sumsel Babel 48. 945. 489. 2- 302. 000 TUNAI
 89. 516. 172. 7- 302. 000 TUNAI
89. 516. 175. 0- 302. 000 TUNAI
83. 825. 174. 2- 302.000 TUNAI
16. 365. 175. 5- 302.000 TUNAI
74. 960. 338. 7- 302. 000 TUNAI
83. 840. 381. 4- 302.000 TUNAI
83. 842. 924. 9- 302. 000 TUNAI
83. 869. 398. 4- 302. 000 TUNAI
83. 825. 079. 3- 302. 000 TUNAI
73. 561. 764. 9- 302. 000 TUNAI
83. 844. 126. 9- 302. 000 TUNAI
83. 882. 545.4- 302. 000 TUNAI

83. 879. 867. 6- 302. 000 TUNAI

83. 824. 635. 3- 302. 000 TUNAI
83. 824. 540. 5- 302.000 TUNAI
141 -011- 787- 3 an. Hendra Sumsel Babel 66. 946. 967. 8- 302. 000 NON TUNAI

141 -095- 005- 4 Sumsel Babel 66. 490. 382. 0- 302.000 TUNAI

141 -095- 005- 4 Sumsel Babel 66. 490. 382. 0- 302.000 TUNAI

TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI

141 -092- 538- 0 Sumsel Babel NON TUNAI

141 -090- 003- 76 Sumsel Babel NON TUNAI
141 -095- 005- 4 Sumsel Babel NON TUNAI
141 -090- 003- 68 Sumsel Babel NON TUNAI
141 -090- 003- 69 Sumsel Babel NON TUNAI
141 -011- 232- 1 Sumsel Babel NON TUNAI
141 -090- 013- 70 Sumsel Babel NON TUNAI
141 -090- 013- 75 Sumsel Babel NON TUNAI
141 -090- 003- 78 Sumsel Babel NON TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
 TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
141 -080- 011- 1 Sumsel Babel NON TUNAI
141 -090- 013- 69 Sumsel Babel NON TUNAI
141 -092- 586- 2 Sumsel Babel NON TUNAI
141 -091- 485- 1 Sumsel Babel NON TUNAI
141 -090- 013- 78 Sumsel Babel NON TUNAI
141 -011-452- 6 Sumsel Babel NON TUNAI
141 -090- 013- 80 Sumsel Babel NON TUNAI
141 -090- 013- 73 Sumsel Babel NON TUNAI
141 -090- 013- 76 Sumsel Babel NON TUNAI
141 -093- 904- 8 Sumsel Babel NON TUNAI
145 -091- 427- 8 Sumsel Babel NON TUNAI
141 -090- 013- 59 Sumsel Babel NON TUNAI
141 -011- 657- 0 Sumsel Babel NON TUNAI
141 -010- 551- 2 Sumsel Babel NON TUNAI
141 -090- 013- 90 Sumsel Babel NON TUNAI
141 -090- 013- 79 Sumsel Babel NON TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
 TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI
TUNAI

an, April 2018

smas Penyandingan
n Sosoh Buay Rayap

anto, SKM
2232000031002
 PEMERINTAH KABUPATEN OGAN KOMERING ULU
DINAS KESEHATAN
Jln. A. Yani Kemelak Kecamatan Baturaja Timur Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan
Telepon Nomor (0735) 320223 Faksimile Nomor (0735) 324462 Kode Pos 32115
E-mail : dinkes_oku@yahoo.co.id

Baturaja, April 2018

Kepada Yth,

Kepala Dinas Kesehatan Kabupaten OKU

Di_
Baturaja

Bersama ini kami sampaikan Permintaan ManajemenBOK , Untuk belanja Honorarium panitia pelaksana
kegiatan, Belanja ATK, Belanja cetak & penggandaan, Belanja Sewa Minum, Belanja perjalanan dinas dalam
daerah, Belanja perjalanan dinas luar daerah adapun biaya tersebut dibebankan pada pos Dinas Kesehatan
Kabupaten Ogan Komering Ulu, dengan perincian rekening sebagai berikut :

1 2 1 02 01 01 16 51 Kegiatan Manajemen BOK

5 2 1 01 01 Belanja Honorarium Panitia Pelaksana Kegiatan Rp. 6,000,000
5 2 2 01 01 Belanja ATK Rp. 7,778,000
5 2 2 03 21 Jasa tenaga ahli/instruktur/narasumber Rp. 26,900,000
5 2 2 06 01 Belanja Cetak Rp. 4,800,000
5 2 2 06 02 Belanja Penggandaan Rp. 2,000,000
5 2 2 07 02 Belanja Sewa Gedung Rp. 6,900,000
5 2 2 11 04 Belanja Makan Minum Rp. 17,520,000
5 2 2 15 01 Belanja Perjadin Dalam Daerah Rp. 42,000,000
5 2 2 15 02 Belanja Perjadin Luar Daerah Rp. 5,920,000
Jumlah …….. Rp. 119,818,000
Terbilang : Seratus sembilan belas juta delapan ratus delapan belas ribu rupiah
Demikian untuk maklum, atas bantuan Bapak diucapkan terima kasih.

An. Kepala Dinas Kesehatan Kab. OKU

Kuasa Pengguna Anggaran Pejabat Pelaksana Teknis Kegiatan

Rozali, SKM, MM Zulicha Diah, SKM. MPH

NIP. 19671128 198803 1 005 NIP. 19761223.200604.2.009