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DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING

BULAN : JANUARI 2019

NILAI

MASA
JENI Pengur
KERJA Juml rgkp jmlh TOTAL JASA JASA PPH JUMLAH
NO NAMA NIP Gol JABATAN PENDIDIKAN S jmlh angan TANDA TANGAN KET
MASA h tugas poin persentas PELAYANAN PELAYANAN (5% ) DITERIMA
KET hari Poin jmlh slrh
( TH ) KERJ hari admi t e
ENA kerj (A/I/T poin
A msk nistra varia kehadiran
GAA a C/TA/
kerja tif bel
N TL)

196607051989 Pimpinan 47.3632.144.


1 Ani Yuli, SKM III 30 SKM 80 30 26 26 150 0 286 1.00 286.00 11,164,800 833,758 41,688 792,070 1
022001 Puskesmas 9.201.000

197109081991 Bidan D1 47.411.041.8.


2 Nurmailis III 30 50 30 26 26 0 106 1.00 106.00 11,164,800 309,015 15,451 293,564 2
032004 Penyelia Kebidanan 201.000

Rosna sari
197009121990 Bidan DIII 47.411.034.3.
3 Piliang Amd III 30 60 30 12 26 14 102 0.46 47.08 11,164,800 137,240 6,862 130,378 3
122002 Penyelia kebidanan 201.000
keb

198001282011 SI 15.101.909.8.
4 dr Nur'aini III Dokter Muda 10 150 10 23 26 3 183 0.88 161.88 11,164,800 471,932 23,597 448,336 4
012005 Kedcokteran 201.000

Nurlaili Yanti 197009121990 Bidan DIII 47.411.033.5.


5 III 30 60 30 20 26 6 110 0.77 84.62 11,164,800 246,674 12,334 234,340 5
Amd keb 122000 Penyelia kebidanan 201.000

197009261992 Nutrionis 47.411.034.6.


6 Linda NS Amg III 30 DIII Gizi 60 30 21 26 5 111 0.81 89.65 11,164,800 261,362 13,068 248,294 6
032002 Penyelia 201.000

197302081993 Bidan D1 47.411.037.6.


7 Rismawati III 25 50 25 26 26 0 101 1.00 101.00 11,164,800 294,439 14,722 279,717 7
032003 Penyelia Kebidanan 201.000

Novita 197112311995 Perawat 47.411.041.6.


8 III 25 SPK 50 25 26 26 0 101 1.00 101.00 11,164,800 294,439 14,722 279,717 8
Widiastuti 032001 Penyelia 201.000

Asist
197409011993 47.411.819.7.
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 26 26 0 101 1.00 101.00 11,164,800 294,439 14,722 279,717 9
032001 201.000
Penyelia

198901282014 Bidan DIII 47.411.011.1.


10 Lili Andriyani III 30 60 30 17 26 9 107 0.65 69.96 11,164,800 203,955 10,198 193,757 10
032000 Penyelia kebidanan 201.000
197608291997 Perawat 47.411.392.5.
11 Rahmawati III 25 SPK 50 25 24 26 2 99 0.92 91.38 11,164,800 266,408 13,320 253,087 11
032001 Penyelia 201.000

197405062003 Perawat DIII 14.897.486.6.


12 PT Isnaniah III 15 60 15 26 26 0 101 1.00 101.00 11,164,800 294,439 14,722 279,717 12
122002 Penyelia Keperawatan 201.000

Almisra Amd 197503212003 Bidan DIII 47.410.966.7.


13 III 20 60 20 26 26 0 106 1.00 106.00 11,164,800 309,015 15,451 293,564 13
keb 122003 Penyelia kebidanan 201.000

SI
Rahma faiza 198308082009 Fungsional 15.185.436.1-
14 III 10 KesMasyarak 80 10 24 26 70 2 184 0.92 169.85 11,164,800 495,142 24,757 470,385 14
SKM 022000 Umum 201.000
at

Meri yanti Amd 197103061994 Bidan DIII 15.521.697.1.


15 III 25 60 25 17 26 9 102 0.65 66.69 11,164,800 194,424 9,721 184,703 15
keb 032003 Penyelia kebidanan 201.000

Afri yeni
197103061994 Perawat DIII 15.521.696.3.
16 Ratmin Amd III 20 60 20 25 26 60 1 165 0.96 158.65 11,164,800 462,514 23,126 439,388 16
032000 Pelaksana Keperawatan 201.000
kep

Emilda putri 198701012010 Bidan DIII 31.559.733.6.


17 III 25 60 25 26 26 0 111 1.00 111.00 11,164,800 323,591 16,180 307,412 17
zain Amd keb 012000 Pelaksana Kebidanan 201.000

Rita Nilawati 198708302011 Sanitarian 16.067.504.7.


18 III 10 DIII Kesling 60 10 25 26 1 95 0.96 91.35 11,164,800 266,296 13,315 252,981 18
Amd kl 012000 Mahir 201.000

198006220090 Perawat gigIi 25.591.370.9.


19 Fauziah Amkg III 10 DIII Kes gigi 60 10 26 26 60 0 156 1.00 156.00 11,164,800 454,777 22,739 432,038 19
12000 Pelaksana 201.000

Yovi Imelda 197508012014 Perawat gigi 16.083.724.1.


20 III 10 DIII Kes gigi 60 10 26 26 0 96 1.00 96.00 11,164,800 279,863 13,993 265,870 20
Putri Amkg 062000 Pelaksana 201.000

Varadina yulian 198907062011 Sanitarian 16.067.646.6.


21 III 10 DIII Kesling 60 10 21 26 5 91 0.81 73.50 11,164,800 214,270 10,713 203,556 21
Amk 012000 Mahir 201.000

Bidan
197306152006 D1 36.151.446.6.
22 Armita III Pelaksana 15 50 15 26 26 0 91 1.00 91.00 11,164,800 265,287 13,264 252,022 22
042000 Kebidanan 201.000
lanjutan

Nurhayati Amd 196905052006 Bidan DIII 16.083.705.0.


23 III 25 60 25 26 26 80 0 191 1.00 191.00 11,164,800 556,810 27,841 528,970 23
keb 042000 Penyelia kebidanan 201.000

197508152014 Perawat DIII 16.083.705.0.


24 Susilawati Amk II 10 60 10 26 26 0 96 1.00 96.00 11,164,800 279,863 - 279,863 24
062000 Penyelia Keperawatan 201.000
198306252014 Fungsional D1 16.067.788.6.
25 Hasmaini II 15 50 15 26 26 0 91 1.00 91.00 11,164,800 265,287 - 265,287 25
062000 Umum Kebidanan 201.000

Riri 198408052014 Fungsional D1 05.942.476.2.


26 II 15 50 15 26 26 0 91 1.00 91.00 11,164,800 265,287 - 265,287 26
agussusanti 062000 Umum Kebidanan 201.000

198408152014 Fungsional 16.688.772.9.


27 Yuni Fitri erlina II 15 SPK 50 15 26 26 60 0 151 1.00 151.00 11,164,800 440,201 - 440,201 27
062000 Umum 201.000

198403272014 Fungsional 54.709.056.3.


28 Fitria Ananda II 15 SMA 25 15 25 26 1 65 0.96 62.50 11,164,800 182,202 - 182,202 28
062000 Umum 201.000

Momoy 198204072000 Fungsional 70.127.122.3.


29 II 15 SPK 50 10 26 26 0 86 1.00 86.00 11,164,800 250,710 - 250,710 29
Firmayanti 122000 Umum 201.000

198407042014 Fungsional 54.551.369.9.


30 Yeni sislawati II 15 SPK 50 15 23 26 3 88 0.88 77.85 11,164,800 226,940 - 226,940 30
062000 Umum 201.000

Gusti Liana Fungsional


31 II 10 SPK 50 10 12 13 1 72 0.92 66.46 11,164,800 193,751 - 193,751 31
Roza Umum

198507262017 Fungsional DIII 70.153.619.2


32 Elsa Yuliarni II 10 60 15 26 26 0 101 1.00 101.00 11,164,800 294,439 - 294,439 32
042000 Umum kebidanan 01.000

Eka putri
198809122017 Fungsional DIII 54.361.856.5.
33 Rahayu Amd II 10 60 10 26 26 0 96 1.00 96.00 11,164,800 279,863 - 279,863 33
042000 Umum kebidanan 201.000
keb

Lucy Putrika 198901282014 Perawat DIII 70.930.155.0.


34 II 5 60 15 24 26 2 99 0.92 91.38 11,164,800 266,408 - 266,408 34
Rizal 032002 Pelaksana Keperawatan 201.000

73.914.671.0.
35 Ira 5 K3 25 5 26 26 0 56 1.00 56.00 11,164,800 163,253 163,253 35
203.000

55.342.5.201.
36 Romi 5 Satpam 25 5 26 26 0 56 1.00 56.00 11,164,800 163,253 163,253 36
000

37 Rudiyanto 5 Sopir 25 5 26 26 0 56 1.00 56.00 11,164,800 163,253 163,253 37

JUMLAH 3,829.81 11,164,800 11,164,800 386,504 10,778,296

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING
BULAN : FEBRUARI 2019

NILAI
MASA
KERJ Jum Pengur
PENDIDIK JENI rgkp TOTAL JASA JASA PPH JUMLAH
NO NAMA NIP Gol JABATAN A MAS lh jmlh angan jmlh persen TANDA TANGAN KET
AN S tugas PELAYANAN PELAYANAN (5% ) DITERIMA
A hari hari Poin point tase jmlh slrh
KETE admin
( TH ) KER msk kerj (A/I/TC variab kehadi poin
NAGA istrati
JA kerj a /TA/TL el ran
AN f
a )

Ani Yuli, 1966070519 Pimpinan 47.3632.144


1 III 30 SKM 80 30 22 23 150 1 282 0.96 269.74 11,031,600 912,814 45,641 867,173 1
SKM 89022001 Puskesmas .9.201.000

1971090819 Bidan D1 47.411.041.


2 Nurmailis III 30 50 30 23 23 0 103 1.00 103.00 11,031,600 348,558 17,428 331,130 2
91032004 Penyelia Kebidanan 8.201.000

Rosna sari
1970091219 Bidan DIII 47.411.034.
3 Piliang Amd III 30 60 30 22 23 1 112 0.96 107.13 11,031,600 362,536 18,127 344,409 3
90122002 Penyelia kebidanan 3.201.000
keb

SI
1980012820 Dokter 15.101.909.
4 dr Nur'aini III 10 Kedcoktera 150 10 12 23 11 172 0.52 89.74 11,031,600 303,683 15,184 288,499 4
11012005 Muda 8.201.000
n

Nurlaili
1970091219 Bidan DIII 47.411.033.
5 Yanti Amd III 30 60 30 23 23 0 113 1.00 113.00 11,031,600 382,399 19,120 363,279 5
90122000 Penyelia kebidanan 5.201.000
keb

Linda NS 1970092619 Nutrionis 47.411.034.


6 III 30 DIII Gizi 60 30 23 23 0 113 1.00 113.00 11,031,600 382,399 19,120 363,279 6
Amg 92032002 Penyelia 6.201.000

1973020819 Bidan D1 47.411.037.


7 Rismawati III 25 50 25 21 23 2 96 0.91 87.65 11,031,600 296,620 14,831 281,789 7
93032003 Penyelia Kebidanan 6.201.000

Novita 1971123119 Perawat 47.411.041.


8 III 25 SPK 50 25 11 23 12 86 0.48 41.13 11,031,600 139,188 6,959 132,229 8
Widiastuti 95032001 Penyelia 6.201.000

Asist
1974090119 47.411.819.
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 22 23 1 97 0.96 92.78 11,031,600 313,982 15,699 298,283 9
93032001 7.201.000
Penyelia

Lili 1989012820 Bidan DIII 47.411.011.


10 III 30 60 30 21 23 2 111 0.91 101.35 11,031,600 342,967 17,148 325,819 10
Andriyani 14032000 Penyelia kebidanan 1.201.000

1976082919 Perawat 47.411.392.


11 Rahmawati III 25 SPK 50 25 22 23 1 97 0.96 92.78 11,031,600 313,982 15,699 298,283 11
97032001 Penyelia 5.201.000

DIII
1974050620 Perawat 14.897.486.
12 PT Isnaniah III 15 Keperawata 60 15 21 23 2 96 0.91 87.65 11,031,600 296,620 14,831 281,789 12
03122002 Penyelia 6.201.000
n
Almisra 1975032120 Bidan DIII 47.410.966.
13 III 20 60 20 22 23 1 102 0.96 97.57 11,031,600 330,167 16,508 313,658 13
Amd keb 03122003 Penyelia kebidanan 7.201.000

SI
Rahma 1983080820 Fungsional 15.185.436.
14 III 10 KesMasyar 80 10 14 23 70 9 174 0.61 105.91 11,031,600 358,416 17,921 340,495 14
faiza SKM 09022000 Umum 1-201.000
akat

Meri yanti 1971030619 Bidan DIII 15.521.697.


15 III 25 60 25 14 23 9 99 0.61 60.26 11,031,600 203,927 10,196 193,730 15
Amd keb 94032003 Penyelia kebidanan 1.201.000

Afri yeni DIII


1971030619 Perawat 15.521.696.
16 Ratmin III 20 Keperawata 60 20 6 23 60 17 146 0.26 38.09 11,031,600 128,889 6,444 122,444 16
94032000 Pelaksana 3.201.000
Amd kep n

Emilda
1987010120 Bidan DIII 31.559.733.
17 putri zain III 25 60 25 23 23 0 108 1.00 108.00 11,031,600 365,479 18,274 347,205 17
10012000 Pelaksana Kebidanan 6.201.000
Amd keb

Rita
1987083020 Sanitarian 16.067.504.
18 Nilawati III 10 DIII Kesling 60 10 23 23 0 93 1.00 93.00 11,031,600 314,718 15,736 298,982 18
11012000 Mahir 7.201.000
Amd kl

Fauziah 1980062200 Perawat gigIi DIII Kes 25.591.370.


19 III 10 60 10 21 23 60 2 151 0.91 137.87 11,031,600 466,559 23,328 443,231 19
Amkg 9012000 Pelaksana gigi 9.201.000

Yovi Imelda 1975080120 Perawat gigi DIII Kes 16.083.724.


20 III 10 60 10 23 23 0 93 1.00 93.00 11,031,600 314,718 15,736 298,982 20
Putri Amkg 14062000 Pelaksana gigi 1.201.000

Varadina 1989070620 Sanitarian 16.067.646.


21 III 10 DIII Kesling 60 10 1 23 22 71 0.04 3.09 11,031,600 10,446 522 9,924 21
yulian Amk 11012000 Mahir 6.201.000

Bidan
1973061520 D1 36.151.446.
22 Armita III Pelaksana 15 50 15 18 23 5 83 0.78 64.96 11,031,600 219,817 10,991 208,826 22
06042000 Kebidanan 6.201.000
lanjutan

Nurhayati 1969050520 Bidan DIII 16.083.705.


23 III 25 60 25 23 23 80 0 188 1.00 188.00 11,031,600 636,204 31,810 604,393 23
Amd keb 06042000 Penyelia kebidanan 0.201.000

DIII
Susilawati 1975081520 Perawat 16.083.705.
24 II 10 Keperawata 60 10 22 23 1 92 0.96 88.00 11,031,600 297,797 - 297,797 24
Amk 14062000 Penyelia 0.201.000
n

1983062520 Fungsional D1 16.067.788.


25 Hasmaini II 15 50 15 23 23 0 88 1.00 88.00 11,031,600 297,797 - 297,797 25
14062000 Umum Kebidanan 6.201.000

Riri
1984080520 Fungsional D1 05.942.476.
26 agussusant II 15 50 15 23 23 0 88 1.00 88.00 11,031,600 297,797 - 297,797 26
14062000 Umum Kebidanan 2.201.000
i

Yuni Fitri 1984081520 Fungsional 16.688.772.


27 II 15 SPK 50 15 20 23 60 3 145 0.87 126.09 11,031,600 426,686 - 426,686 27
erlina 14062000 Umum 9.201.000

Fitria 1984032720 Fungsional 54.709.056.


28 II 15 SMA 25 15 22 23 1 62 0.96 59.30 11,031,600 200,690 - 200,690 28
Ananda 14062000 Umum 3.201.000
Momoy 1982040720 Fungsional 70.127.122.
29 II 15 SPK 50 10 17 23 6 77 0.74 56.91 11,031,600 192,597 - 192,597 29
Firmayanti 00122000 Umum 3.201.000

Yeni 1984070420 Fungsional 54.551.369.


30 II 15 SPK 50 15 14 23 9 79 0.61 48.09 11,031,600 162,729 - 162,729 30
sislawati 14062000 Umum 9.201.000

Elsa 1985072620 Fungsional DIII 70.153.619.


31 II 10 60 15 18 23 5 93 0.78 72.78 11,031,600 246,301 - 246,301 31
Yuliarni 17042000 Umum kebidanan 201.000

Eka putri
1988091220 Fungsional DIII 54.361.856.
32 Rahayu II 10 60 10 18 23 5 88 0.78 68.87 11,031,600 233,059 - 233,059 32
17042000 Umum kebidanan 5.201.000
Amd keb

Lucy DIII
1976030920 Perawat 70.930.155.
33 Putrika II 5 Keperawata 60 15 11 23 12 86 0.48 41.13 11,031,600 139,188 - 139,188 33
05012000 Pelaksana 0.201.000
Rizal n

Desi
1979122620 70.930.155.
34 fitriani,Amd Perawat Pela 15 DIII Keperaw 60 5 10 10 0 75 1.00 75.00 11,031,600 253,805 - 253,805 34
14062006 0.201.000
.kep

73.914.671.
35 Ira 5 K3 25 5 23 23 0 53 1.00 53.00 11,031,600 179,355 179,355 35
0.203.000

55.342.5.20
36 Romi 5 Satpam 25 5 23 23 0 53 1.00 53.00 11,031,600 179,355 179,355 36
1.000

37 Rudiyanto 5 Sopir 25 5 23 23 0 53 1.00 53.00 11,031,600 179,355 179,355 37

JUMLAH 3,259.87 11,031,600 11,031,600 387,254 10,644,346

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING
BULAN : MARET 2019

NILAI
MASA
KERJ Jum Pengur
PENDIDIK JENI rgkp TOTAL JASA JASA PPH JUMLAH
NO NAMA NIP Gol JABATAN A MAS lh jmlh angan jmlh persen TANDA TANGAN KET
AN S tugas PELAYANAN PELAYANAN (5% ) DITERIMA
A hari hari Poin point tase jmlh slrh
KETE admin
( TH ) KER msk kerj (A/I/TC variab kehadi poin
NAGA istrati
JA kerj a /TA/TL el ran
AN f
a )

Ani Yuli, 1966070519 Pimpinan 47.3632.144


1 III 30 SKM 80 30 23 25 150 2 283 0.92 260.36 15,618,540 1,225,098 61,255 1,163,843 1
SKM 89022001 Puskesmas .9.201.000

1971090819 Bidan D1 47.411.041.


2 Nurmailis III 30 50 30 25 25 0 105 1.00 105.00 15,618,540 494,067 24,703 469,364 2
91032004 Penyelia Kebidanan 8.201.000

Rosna sari
1970091219 Bidan DIII 47.411.034.
3 Piliang Amd III 30 60 30 23 25 2 113 0.92 103.96 15,618,540 489,173 24,459 464,715 3
90122002 Penyelia kebidanan 3.201.000
keb

SI
1980012820 Dokter 15.101.909.
4 dr Nur'aini III 10 Kedcoktera 150 10 24 25 1 184 0.96 176.64 15,618,540 831,162 41,558 789,604 4
11012005 Muda 8.201.000
n

Nurlaili
1970091219 Bidan DIII 47.411.033.
5 Yanti Amd III 30 60 30 25 25 0 115 1.00 115.00 15,618,540 541,121 27,056 514,065 5
90122000 Penyelia kebidanan 5.201.000
keb

Linda NS 1970092619 Nutrionis 47.411.034.


6 III 30 DIII Gizi 60 30 24 25 1 114 0.96 109.44 15,618,540 514,959 25,748 489,211 6
Amg 92032002 Penyelia 6.201.000

1973020819 Bidan D1 47.411.037.


7 Rismawati III 25 50 25 25 25 0 100 1.00 100.00 15,618,540 470,540 23,527 447,013 7
93032003 Penyelia Kebidanan 6.201.000

Novita 1971123119 Perawat 47.411.041.


8 III 25 SPK 50 25 24 25 1 99 0.96 95.04 15,618,540 447,201 22,360 424,841 8
Widiastuti 95032001 Penyelia 6.201.000

Asist
1974090119 47.411.819.
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 20 25 5 95 0.80 76.00 15,618,540 357,610 17,881 339,730 9
93032001 7.201.000
Penyelia

Lili 1989012820 Bidan DIII 47.411.011.


10 III 30 60 30 23 25 2 113 0.92 103.96 15,618,540 489,173 24,459 464,715 10
Andriyani 14032000 Penyelia kebidanan 1.201.000

1976082919 Perawat 47.411.392.


11 Rahmawati III 25 SPK 50 25 7 25 18 82 0.28 22.96 15,618,540 108,036 5,402 102,634 11
97032001 Penyelia 5.201.000

DIII
1974050620 Perawat 14.897.486.
12 PT Isnaniah III 15 Keperawata 60 15 23 25 2 98 0.92 90.16 15,618,540 424,239 21,212 403,027 12
03122002 Penyelia 6.201.000
n
Almisra 1975032120 Bidan DIII 47.410.966.
13 III 20 60 20 23 25 2 103 0.92 94.76 15,618,540 445,884 22,294 423,590 13
Amd keb 03122003 Penyelia kebidanan 7.201.000

SI
Rahma 1983080820 Fungsional 15.185.436.
14 III 10 KesMasyar 80 10 24 25 70 1 184 0.96 176.64 15,618,540 831,162 41,558 789,604 14
faiza SKM 09022000 Umum 1-201.000
akat

Meri yanti 1971030619 Bidan DIII 15.521.697.


15 III 25 60 25 15 25 10 100 0.60 60.00 15,618,540 282,324 14,116 268,208 15
Amd keb 94032003 Penyelia kebidanan 1.201.000

Afri yeni DIII


1971030619 Perawat 15.521.696.
16 Ratmin III 20 Keperawata 60 20 13 25 60 12 153 0.52 79.56 15,618,540 374,362 18,718 355,644 16
94032000 Pelaksana 3.201.000
Amd kep n

Emilda
1987010120 Bidan Ahli DIV 31.559.733.
17 putri zain III 25 80 25 25 25 0 130 1.00 130.00 15,618,540 611,702 30,585 581,117 17
10012000 Pertama Kebidanan 6.201.000
Amd keb

Rita
1987083020 Sanitarian 16.067.504.
18 Nilawati III 10 DIII Kesling 60 10 22 25 3 92 0.88 80.96 15,618,540 380,949 19,047 361,902 18
11012000 Mahir 7.201.000
Amd kl

Fauziah 1980062200 Perawat gigIi DIII Kes 25.591.370.


19 III 10 60 10 22 25 60 3 152 0.88 133.76 15,618,540 629,394 31,470 597,925 19
Amkg 9012000 Pelaksana gigi 9.201.000

Yovi Imelda 1975080120 Perawat gigi DIII Kes 16.083.724.


20 III 10 60 10 21 25 4 91 0.84 76.44 15,618,540 359,681 17,984 341,697 20
Putri Amkg 14062000 Pelaksana gigi 1.201.000

Varadina 1989070620 Sanitarian 16.067.646.


21 III 10 DIII Kesling 60 10 0 25 25 70 0.00 - 15,618,540 - - - 21
yulian Amk 11012000 Mahir 6.201.000

Bidan
1973061520 D1 36.151.446.
22 Armita III Pelaksana 15 50 15 24 25 1 89 0.96 85.44 15,618,540 402,029 20,101 381,928 22
06042000 Kebidanan 6.201.000
lanjutan

Nurhayati 1969050520 Bidan DIII 16.083.705.


23 III 25 60 25 23 25 80 2 188 0.92 172.96 15,618,540 813,846 40,692 773,154 23
Amd keb 06042000 Penyelia kebidanan 0.201.000

DIII
Susilawati 1975081520 Perawat 16.083.705.
24 II 10 Keperawata 60 10 24 25 1 94 0.96 90.24 15,618,540 424,615 - 424,615 24
Amk 14062000 Penyelia 0.201.000
n

1983062520 Fungsional D1 16.067.788.


25 Hasmaini II 15 50 15 25 25 0 90 1.00 90.00 15,618,540 423,486 - 423,486 25
14062000 Umum Kebidanan 6.201.000

Riri
1984080520 Fungsional D1 05.942.476.
26 agussusant II 15 50 15 21 25 4 86 0.84 72.24 15,618,540 339,918 - 339,918 26
14062000 Umum Kebidanan 2.201.000
i

Yuni Fitri 1984081520 Fungsional 16.688.772.


27 II 15 SPK 50 15 14 25 60 11 139 0.56 77.84 15,618,540 366,268 - 366,268 27
erlina 14062000 Umum 9.201.000

Fitria 1984032720 Fungsional 54.709.056.


28 II 15 SMA 25 15 21 25 4 61 0.84 51.24 15,618,540 241,105 - 241,105 28
Ananda 14062000 Umum 3.201.000
Momoy 1982040720 Fungsional 70.127.122.
29 II 15 SPK 50 10 13 25 12 73 0.52 37.96 15,618,540 178,617 - 178,617 29
Firmayanti 00122000 Umum 3.201.000

Yeni 1984070420 Fungsional 54.551.369.


30 II 15 SPK 50 15 12 25 13 77 0.48 36.96 15,618,540 173,912 - 173,912 30
sislawati 14062000 Umum 9.201.000

Elsa 1985072620 Fungsional DIII 70.153.619.


31 II 10 60 15 22 25 3 97 0.88 85.36 15,618,540 401,653 - 401,653 31
Yuliarni 17042000 Umum kebidanan 201.000

Eka putri
1988091220 Fungsional DIII 54.361.856.
32 Rahayu II 10 60 10 13 25 12 83 0.52 43.16 15,618,540 203,085 - 203,085 32
17042000 Umum kebidanan 5.201.000
Amd keb

Lucy DIII
1976030920 Perawat 70.930.155.
33 Putrika II 5 Keperawata 60 15 9 25 16 84 0.36 30.24 15,618,540 142,291 - 142,291 33
05012000 Pelaksana 0.201.000
Rizal n

Desi
1979122620 70.930.155.
34 fitriani,Amd Perawat Pela 15 DIII Keperaw 60 5 25 25 0 90 1.00 90.00 15,618,540 423,486 - 423,486 34
14062006 0.201.000
.kep

73.914.671.
35 Ira 5 K3 25 5 25 25 0 55 1.00 55.00 15,618,540 258,797 258,797 35
0.203.000

55.342.5.20
36 Romi 5 Satpam 25 5 25 25 0 55 1.00 55.00 15,618,540 258,797 258,797 36
1.000

37 Rudiyanto 5 Sopir 25 5 25 25 0 55 1.00 55.00 15,618,540 258,797 258,797 37

JUMLAH 3,319.28 15,618,540 15,618,540 576,186 15,042,354

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING
BULAN : APRIL 2019

NILAI
MASA
KERJ Jum Pengur
PENDIDIK JENI MAS lh jmlh rgkp angan jmlh persen TOTAL JASA JASA PPH JUMLAH
NO NAMA NIP Gol JABATAN A S tugas TANDA TANGAN KET
AN A hari hari Poin point tase jmlh slrh PELAYANAN PELAYANAN (5% ) DITERIMA
KETE admin
( TH ) KER msk kerj (A/I/TC variab kehadi poin
NAGA istrati
JA kerj a /TA/TL el ran
AN f
a )

Ani Yuli, 1966070519 Pimpinan 47.3632.144


1 III 30 SKM 80 30 19 23 150 4 279 0.83 230.48 15,661,020 1,094,199 54,710 1,039,489 1
SKM 89022001 Puskesmas .9.201.000

1971090819 Bidan D1 47.411.041.


2 Nurmailis III 30 50 30 23 23 0 103 1.00 103.00 15,661,020 488,994 24,450 464,544 2
91032004 Penyelia Kebidanan 8.201.000

Rosna sari
1970091219 Bidan DIII 47.411.034.
3 Piliang Amd III 30 60 30 23 23 0 113 1.00 113.00 15,661,020 536,469 26,823 509,646 3
90122002 Penyelia kebidanan 3.201.000
keb

SI
1980012820 Dokter 15.101.909.
4 dr Nur'aini III 10 Kedcoktera 150 10 17 23 6 177 0.74 130.83 15,661,020 621,099 31,055 590,044 4
11012005 Muda 8.201.000
n

Nurlaili
1970091219 Bidan DIII 47.411.033.
5 Yanti Amd III 30 60 30 23 23 0 113 1.00 113.00 15,661,020 536,469 26,823 509,646 5
90122000 Penyelia kebidanan 5.201.000
keb

Linda NS 1970092619 Nutrionis 47.411.034.


6 III 30 DIII Gizi 60 30 23 23 0 113 1.00 113.00 15,661,020 536,469 26,823 509,646 6
Amg 92032002 Penyelia 6.201.000

1973020819 Bidan D1 47.411.037.


7 Rismawati III 25 50 25 23 23 0 98 1.00 98.00 15,661,020 465,256 23,263 441,994 7
93032003 Penyelia Kebidanan 6.201.000

Novita 1971123119 Perawat 47.411.041.


8 III 25 SPK 50 25 23 23 0 98 1.00 98.00 15,661,020 465,256 23,263 441,994 8
Widiastuti 95032001 Penyelia 6.201.000

Asist
1974090119 47.411.819.
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 18 23 5 93 0.78 72.78 15,661,020 345,537 17,277 328,260 9
93032001 7.201.000
Penyelia

Lili 1989012820 Bidan DIII 47.411.011.


10 III 30 60 30 20 23 3 110 0.87 95.65 15,661,020 454,110 22,706 431,405 10
Andriyani 14032000 Penyelia kebidanan 1.201.000

1976082919 Perawat 47.411.392.


11 Rahmawati III 25 SPK 50 25 18 23 5 93 0.78 72.78 15,661,020 345,537 17,277 328,260 11
97032001 Penyelia 5.201.000

DIII
1974050620 Perawat 14.897.486.
12 PT Isnaniah III 15 Keperawata 60 15 21 23 2 96 0.91 87.65 15,661,020 416,130 20,807 395,324 12
03122002 Penyelia 6.201.000
n
Almisra 1975032120 Bidan DIII 47.410.966.
13 III 20 60 20 23 23 0 103 1.00 103.00 15,661,020 488,994 24,450 464,544 13
Amd keb 03122003 Penyelia kebidanan 7.201.000

SI
Rahma 1983080820 Fungsional 15.185.436.
14 III 10 KesMasyar 80 10 22 23 70 1 182 0.96 174.09 15,661,020 826,480 41,324 785,156 14
faiza SKM 09022000 Umum 1-201.000
akat

Meri yanti 1971030619 Bidan DIII 15.521.697.


15 III 25 60 25 13 23 10 98 0.57 55.39 15,661,020 262,971 13,149 249,822 15
Amd keb 94032003 Penyelia kebidanan 1.201.000

Afri yeni DIII


1971030619 Perawat 15.521.696.
16 Ratmin III 20 Keperawata 60 20 18 23 60 5 158 0.78 123.65 15,661,020 587,041 29,352 557,689 16
94032000 Pelaksana 3.201.000
Amd kep n

Emilda
1987010120 Bidan Ahli DIV 31.559.733.
17 putri zain III 25 80 25 21 23 2 126 0.91 115.04 15,661,020 546,171 27,309 518,862 17
10012000 Pertama Kebidanan 6.201.000
Amd keb

Rita
1987083020 Sanitarian 16.067.504.
18 Nilawati III 10 DIII Kesling 60 10 12 23 11 82 0.52 42.78 15,661,020 203,111 10,156 192,956 18
11012000 Mahir 7.201.000
Amd kl

SI
Fauziah 1980062200 Perawat gigi 25.591.370.
19 III 10 KesMasyar 80 10 18 23 60 5 168 0.78 131.48 15,661,020 624,195 31,210 592,985 19
Amkg 9012000 Mahir 9.201.000
akat

Yovi Imelda 1975080120 Perawat gigi DIII Kes 16.083.724.


20 III 10 60 10 13 23 10 83 0.57 46.91 15,661,020 222,720 11,136 211,584 20
Putri Amkg 14062000 Pelaksana gigi 1.201.000

Varadina 1989070620 Sanitarian 16.067.646.


21 III 10 DIII Kesling 60 10 0 23 23 70 0.00 - 15,661,020 - - - 21
yulian Amk 11012000 Mahir 6.201.000

Bidan
1973061520 D1 36.151.446.
22 Armita III Pelaksana 15 50 15 23 23 0 88 1.00 88.00 15,661,020 417,781 20,889 396,892 22
06042000 Kebidanan 6.201.000
lanjutan

Nurhayati 1969050520 Bidan DIII 16.083.705.


23 III 25 60 25 23 23 80 0 188 1.00 188.00 15,661,020 892,533 44,627 847,906 23
Amd keb 06042000 Penyelia kebidanan 0.201.000

DIII
Susilawati 1975081520 Perawat 16.083.705.
24 II 10 Keperawata 60 10 22 23 1 92 0.96 88.00 15,661,020 417,781 - 417,781 24
Amk 14062000 Penyelia 0.201.000
n

1983062520 Fungsional D1 16.067.788.


25 Hasmaini II 15 50 15 22 23 1 87 0.96 83.22 15,661,020 395,076 - 395,076 25
14062000 Umum Kebidanan 6.201.000

Riri
1984080520 Fungsional D1 05.942.476.
26 agussusant II 15 50 15 19 23 4 84 0.83 69.39 15,661,020 329,436 - 329,436 26
14062000 Umum Kebidanan 2.201.000
i

Yuni Fitri 1984081520 Fungsional 16.688.772.


27 II 15 SPK 50 15 13 23 60 10 138 0.57 78.00 15,661,020 370,306 - 370,306 27
erlina 14062000 Umum 9.201.000

Fitria 1984032720 Fungsional 54.709.056.


28 II 15 SMA 25 15 13 23 10 53 0.57 29.96 15,661,020 142,219 - 142,219 28
Ananda 14062000 Umum 3.201.000
Momoy 1982040720 Fungsional 70.127.122.
29 II 15 SPK 50 10 17 23 6 77 0.74 56.91 15,661,020 270,196 - 270,196 29
Firmayanti 00122000 Umum 3.201.000

Yeni 1984070420 Fungsional 54.551.369.


30 II 15 SPK 50 15 14 23 9 79 0.61 48.09 15,661,020 228,294 - 228,294 30
sislawati 14062000 Umum 9.201.000

Elsa 1985072620 Fungsional DIII 70.153.619.


31 II 10 60 15 21 23 2 96 0.91 87.65 15,661,020 416,130 - 416,130 31
Yuliarni 17042000 Umum kebidanan 201.000

Eka putri
1988091220 Fungsional DIII 54.361.856.
32 Rahayu II 10 60 10 17 23 6 87 0.74 64.30 15,661,020 305,286 - 305,286 32
17042000 Umum kebidanan 5.201.000
Amd keb

Lucy DIII
1976030920 Perawat 70.930.155.
33 Putrika II 5 Keperawata 60 15 13 23 10 88 0.57 49.74 15,661,020 236,137 - 236,137 33
05012000 Pelaksana 0.201.000
Rizal n

Desi
1979122620 70.930.155.
34 fitriani,Amd Perawat Pela 15 DIII Keperaw 60 5 23 23 0 88 1.00 88.00 15,661,020 417,781 - 417,781 34
14062006 0.201.000
.kep

73.914.671.
35 Ira 5 K3 25 5 23 23 0 53 1.00 53.00 15,661,020 251,618 251,618 35
0.203.000

55.342.5.20
36 Romi 5 Satpam 25 5 23 23 0 53 1.00 53.00 15,661,020 251,618 251,618 36
1.000

37 Rudiyanto 5 Sopir 25 5 23 23 0 53 1.00 53.00 15,661,020 251,618 251,618 37

JUMLAH 3,298.78 15,661,020 15,661,020 568,876 15,092,144

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING
BULAN : MEI 2019

NILAI

MASA
KERJ Jum Pengur
PENDIDIK JENI MAS lh jmlh rgkp angan jmlh persen TOTAL JASA JASA PPH JUMLAH
NO NAMA NIP Gol JABATAN A S tugas TANDA TANGAN KET
AN A hari hari Poin point tase jmlh slrh PELAYANAN PELAYANAN (5% ) DITERIMA
KETE admin
( TH ) KER msk kerj (A/I/TC variab kehadi poin
NAGA istrati
JA kerj a /TA/TL el ran
AN f
a )

Ani Yuli, 1966070519 Pimpinan 47.3632.144


1 III 30 SKM 80 30 23 25 150 2 283 0.92 260.36 15,550,725 1,070,270 53,513 1,016,756 1
SKM 89022001 Puskesmas .9.201.000

1971090819 Bidan D1 47.411.041.


2 Nurmailis III 30 50 30 25 25 0 105 1.00 105.00 15,550,725 431,627 21,581 410,045 2
91032004 Penyelia Kebidanan 8.201.000

Rosna sari
1970091219 Bidan DIII 47.411.034.
3 Piliang Amd III 30 60 30 25 25 0 115 1.00 115.00 15,550,725 472,734 23,637 449,097 3
90122002 Penyelia kebidanan 3.201.000
keb

SI
1980012820 Dokter 15.101.909.
4 dr Nur'aini III 10 Kedcoktera 150 10 22 25 3 182 0.88 160.16 15,550,725 658,374 32,919 625,456 4
11012005 Muda 8.201.000
n

Nurlaili
1970091219 Bidan DIII 47.411.033.
5 Yanti Amd III 30 60 30 25 25 0 115 1.00 115.00 15,550,725 472,734 23,637 449,097 5
90122000 Penyelia kebidanan 5.201.000
keb

Linda NS 1970092619 Nutrionis 47.411.034.


6 III 30 DIII Gizi 60 30 25 25 0 115 1.00 115.00 15,550,725 472,734 23,637 449,097 6
Amg 92032002 Penyelia 6.201.000

1973020819 Bidan D1 47.411.037.


7 Rismawati III 25 50 25 25 25 0 100 1.00 100.00 15,550,725 411,073 20,554 390,519 7
93032003 Penyelia Kebidanan 6.201.000

Novita 1971123119 Perawat 47.411.041.


8 III 25 SPK 50 25 25 25 0 100 1.00 100.00 15,550,725 411,073 20,554 390,519 8
Widiastuti 95032001 Penyelia 6.201.000

Asist
1974090119 47.411.819.
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 24 25 1 99 0.96 95.04 15,550,725 390,684 19,534 371,150 9
93032001 7.201.000
Penyelia

Lili 1989012820 Bidan DIII 47.411.011.


10 III 30 60 30 23 25 2 113 0.92 103.96 15,550,725 427,351 21,368 405,984 10
Andriyani 14032000 Penyelia kebidanan 1.201.000

1976082919 Perawat 47.411.392.


11 Rahmawati III 25 SPK 50 25 25 25 0 100 1.00 100.00 15,550,725 411,073 20,554 390,519 11
97032001 Penyelia 5.201.000

DIII
1974050620 Perawat 14.897.486.
12 PT Isnaniah III 15 Keperawata 60 15 25 25 0 100 1.00 100.00 15,550,725 411,073 20,554 390,519 12
03122002 Penyelia 6.201.000
n
Almisra 1975032120 Bidan DIII 47.410.966.
13 III 20 60 20 25 25 0 105 1.00 105.00 15,550,725 431,627 21,581 410,045 13
Amd keb 03122003 Penyelia kebidanan 7.201.000

SI
Rahma 1983080820 Fungsional 15.185.436.
14 III 10 KesMasyar 80 10 24 25 70 1 184 0.96 176.64 15,550,725 726,119 36,306 689,813 14
faiza SKM 09022000 Umum 1-201.000
akat

Meri yanti 1971030619 Bidan DIII 15.521.697.


15 III 25 60 25 18 25 7 103 0.72 74.16 15,550,725 304,852 15,243 289,609 15
Amd keb 94032003 Penyelia kebidanan 1.201.000

Afri yeni DIII


1971030619 Perawat 15.521.696.
16 Ratmin III 20 Keperawata 60 20 22 25 60 3 162 0.88 142.56 15,550,725 586,026 29,301 556,724 16
94032000 Pelaksana 3.201.000
Amd kep n

Emilda
1987010120 Bidan Ahli DIV 31.559.733.
17 putri zain III 25 80 25 25 25 0 130 1.00 130.00 15,550,725 534,395 26,720 507,675 17
10012000 Pertama Kebidanan 6.201.000
Amd keb

Rita
1987083020 Sanitarian 16.067.504.
18 Nilawati III 10 DIII Kesling 60 10 0 25 25 70 0.00 - 15,550,725 - - - 18
11012000 Mahir 7.201.000
Amd kl

SI
Fauziah 1980062200 Perawat gigi 25.591.370.
19 III 10 KesMasyar 80 10 16 25 60 9 166 0.64 106.24 15,550,725 436,724 21,836 414,888 19
Amkg 9012000 Mahir 9.201.000
akat

Yovi Imelda 1975080120 Perawat gigi DIII Kes 16.083.724.


20 III 10 60 10 24 25 1 94 0.96 90.24 15,550,725 370,952 18,548 352,405 20
Putri Amkg 14062000 Pelaksana gigi 1.201.000

Varadina 1989070620 Sanitarian 16.067.646.


21 III 10 DIII Kesling 60 10 19 25 6 89 0.76 67.64 15,550,725 278,050 13,902 264,147 21
yulian Amk 11012000 Mahir 6.201.000

Bidan
1973061520 D1 36.151.446.
22 Armita III Pelaksana 15 50 15 25 25 0 90 1.00 90.00 15,550,725 369,966 18,498 351,467 22
06042000 Kebidanan 6.201.000
lanjutan

Nurhayati 1969050520 Bidan DIII 16.083.705.


23 III 25 60 25 24 25 80 1 189 0.96 181.44 15,550,725 745,851 37,293 708,558 23
Amd keb 06042000 Penyelia kebidanan 0.201.000

DIII
Susilawati 1975081520 Perawat 16.083.705.
24 II 10 Keperawata 60 10 24 25 1 94 0.96 90.24 15,550,725 370,952 - 370,952 24
Amk 14062000 Penyelia 0.201.000
n

1983062520 Fungsional D1 16.067.788.


25 Hasmaini II 15 50 15 25 25 0 90 1.00 90.00 15,550,725 369,966 - 369,966 25
14062000 Umum Kebidanan 6.201.000

Riri
1984080520 Fungsional D1 05.942.476.
26 agussusant II 15 50 15 25 25 0 90 1.00 90.00 15,550,725 369,966 - 369,966 26
14062000 Umum Kebidanan 2.201.000
i

Yuni Fitri 1984081520 Fungsional 16.688.772.


27 II 15 SPK 50 15 23 25 60 2 148 0.92 136.16 15,550,725 559,717 - 559,717 27
erlina 14062000 Umum 9.201.000

Fitria 1984032720 Fungsional 54.709.056.


28 II 15 SMA 25 15 21 25 4 61 0.84 51.24 15,550,725 210,634 - 210,634 28
Ananda 14062000 Umum 3.201.000
Momoy 1982040720 Fungsional 70.127.122.
29 II 15 SPK 50 10 25 25 0 85 1.00 85.00 15,550,725 349,412 - 349,412 29
Firmayanti 00122000 Umum 3.201.000

Yeni 1984070420 Fungsional 54.551.369.


30 II 15 SPK 50 15 24 25 1 89 0.96 85.44 15,550,725 351,221 - 351,221 30
sislawati 14062000 Umum 9.201.000

Elsa 1985072620 Fungsional DIII 70.153.619.


31 II 10 60 15 25 25 0 100 1.00 100.00 15,550,725 411,073 - 411,073 31
Yuliarni 17042000 Umum kebidanan 201.000

Eka putri
1988091220 Fungsional DIII 54.361.856.
32 Rahayu II 10 60 10 25 25 0 95 1.00 95.00 15,550,725 390,519 - 390,519 32
17042000 Umum kebidanan 5.201.000
Amd keb

Lucy DIII
1976030920 Perawat 70.930.155.
33 Putrika II 5 Keperawata 60 15 19 25 6 94 0.76 71.44 15,550,725 293,671 - 293,671 33
05012000 Pelaksana 0.201.000
Rizal n

Desi
1979122620 70.930.155.
34 fitriani,Amd Perawat Pela 15 DIII Keperaw 60 5 25 25 0 90 1.00 90.00 15,550,725 369,966 - 369,966 34
14062006 0.201.000
.kep

73.914.671.
35 Ira 5 K3 25 5 25 25 0 55 1.00 55.00 15,550,725 226,090 226,090 35
0.203.000

55.342.5.20
36 Romi 5 Satpam 25 5 25 25 0 55 1.00 55.00 15,550,725 226,090 226,090 36
1.000

37 Rudiyanto 5 Sopir 25 5 25 25 0 55 1.00 55.00 15,550,725 226,090 226,090 37

JUMLAH 3,782.96 15,550,725 15,550,725 541,268 15,009,457

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
DAFTAR TANDA TERIMA JASA PELAYANAN KAPITASI JKN PUSKESMAS KETAPING
BULAN : JUNI 2019

NILAI
MASA
KERJ Jum Pengur
PENDIDIK JENI MAS lh jmlh rgkp angan jmlh persen TOTAL JASA JASA PPH (5% JUMLAH
NO NAMA NIP Gol JABATAN A S tugas TANDA TANGAN KET
AN A hari hari Poin point tase jmlh slrh PELAYANAN PELAYANAN ) DITERIMA
KETE admin
( TH ) KER msk kerj (A/I/TC variab kehadi poin
NAGA istrati
JA kerj a /TA/TL el ran
AN f
a )

Ani Yuli, 1966070519 Pimpinan 47.3632.144.9.


1 III 30 SKM 80 30 22 25 150 3 282 0.88 248.16 15,517,380 1,089,975 54,499 1,035,476 1
SKM 89022001 Puskesmas 201.000

1971090819 Bidan D1 47.411.041.8.2


2 Nurmailis III 30 50 30 25 25 0 105 1.00 105.00 15,517,380 461,184 23,059 438,124 2
91032004 Penyelia Kebidanan 01.000

Rosna sari
1970091219 Bidan DIII 47.411.034.3.2
3 Piliang Amd III 30 60 30 25 25 0 115 1.00 115.00 15,517,380 505,106 25,255 479,851 3
90122002 Penyelia kebidanan 01.000
keb

SI
1980012820 Dokter 15.101.909.8.2
4 dr Nur'aini III 10 Kedcoktera 150 10 23 25 2 183 0.92 168.36 15,517,380 739,475 36,974 702,501 4
11012005 Muda 01.000
n

Nurlaili
1970091219 Bidan DIII 47.411.033.5.2
5 Yanti Amd III 30 60 30 21 25 4 111 0.84 93.24 15,517,380 409,531 20,477 389,055 5
90122000 Penyelia kebidanan 01.000
keb

Linda NS 1970092619 Nutrionis 47.411.034.6.2


6 III 30 DIII Gizi 60 30 22 25 3 112 0.88 98.56 15,517,380 432,898 21,645 411,253 6
Amg 92032002 Penyelia 01.000

1973020819 Bidan D1 47.411.037.6.2


7 Rismawati III 25 50 25 25 25 0 100 1.00 100.00 15,517,380 439,223 21,961 417,261 7
93032003 Penyelia Kebidanan 01.000

Novita 1971123119 Perawat 47.411.041.6.2


8 III 25 SPK 50 25 24 25 1 99 0.96 95.04 15,517,380 417,437 20,872 396,565 8
Widiastuti 95032001 Penyelia 01.000

Asist
1974090119 47.411.819.7.2
9 Mulyanti III Apoteker 25 SMFarmasi 50 25 25 25 0 100 1.00 100.00 15,517,380 439,223 21,961 417,261 9
93032001 01.000
Penyelia

Lili 1989012820 Bidan DIII 47.411.011.1.2


10 III 30 60 30 23 25 2 113 0.92 103.96 15,517,380 456,616 22,831 433,785 10
Andriyani 14032000 Penyelia kebidanan 01.000

1976082919 Perawat 47.411.392.5.2


11 Rahmawati III 25 SPK 50 25 23 25 2 98 0.92 90.16 15,517,380 396,003 19,800 376,203 11
97032001 Penyelia 01.000

DIII
1974050620 Perawat 14.897.486.6.2
12 PT Isnaniah III 15 Keperawata 60 15 25 25 0 100 1.00 100.00 15,517,380 439,223 21,961 417,261 12
03122002 Penyelia 01.000
n
Almisra 1975032120 Bidan DIII 47.410.966.7.2
13 III 20 60 20 23 25 2 103 0.92 94.76 15,517,380 416,207 20,810 395,397 13
Amd keb 03122003 Penyelia kebidanan 01.000

SI
Rahma 1983080820 Fungsional 15.185.436.1-
14 III 10 KesMasyar 80 10 25 25 70 0 185 1.00 185.00 15,517,380 812,562 40,628 771,934 14
faiza SKM 09022000 Umum 201.000
akat

Meri yanti 1971030619 Bidan DIII 15.521.697.1.2


15 III 25 60 25 18 25 7 103 0.72 74.16 15,517,380 325,727 16,286 309,441 15
Amd keb 94032003 Penyelia kebidanan 01.000

Afri yeni DIII


1971030619 Perawat 15.521.696.3.2
16 Ratmin III 20 Keperawata 60 20 17 25 60 8 157 0.68 106.76 15,517,380 468,914 23,446 445,468 16
94032000 Pelaksana 01.000
Amd kep n

Emilda
1987010120 Bidan Ahli DIV 31.559.733.6.2
17 putri zain III 25 80 25 25 25 0 130 1.00 130.00 15,517,380 570,989 28,549 542,440 17
10012000 Pertama Kebidanan 01.000
Amd keb

Rita
1987083020 Sanitarian 16.067.504.7.2
18 Nilawati III 10 DIII Kesling 60 10 0 25 25 70 0.00 - 15,517,380 - - - 18
11012000 Mahir 01.000
Amd kl

SI
Fauziah 1980062200 Perawat gigi 25.591.370.9.2
19 III 10 KesMasyar 80 10 20 25 60 5 170 0.80 136.00 15,517,380 597,343 29,867 567,475 19
Amkg 9012000 Mahir 01.000
akat

Yovi Imelda 1975080120 Perawat gigi DIII Kes 16.083.724.1.2


20 III 10 60 10 24 25 1 94 0.96 90.24 15,517,380 396,354 19,818 376,537 20
Putri Amkg 14062000 Pelaksana gigi 01.000

Varadina 1989070620 Sanitarian 16.067.646.6.2


21 III 10 DIII Kesling 60 10 21 25 4 91 0.84 76.44 15,517,380 335,742 16,787 318,955 21
yulian Amk 11012000 Mahir 01.000

Bidan
1973061520 D1 36.151.446.6.2
22 Armita III Pelaksana 15 50 15 25 25 0 90 1.00 90.00 15,517,380 395,300 19,765 375,535 22
06042000 Kebidanan 01.000
lanjutan

Nurhayati 1969050520 Bidan DIII 16.083.705.0.2


23 III 25 60 25 25 25 80 0 190 1.00 190.00 15,517,380 834,523 41,726 792,797 23
Amd keb 06042000 Penyelia kebidanan 01.000

DIII
Susilawati 1975081520 Perawat 16.083.705.0.2
24 II 10 Keperawata 60 10 24 25 1 94 0.96 90.24 15,517,380 396,354 - 396,354 24
Amk 14062000 Penyelia 01.000
n

1983062520 Fungsional D1 16.067.788.6.2


25 Hasmaini II 15 50 15 24 25 1 89 0.96 85.44 15,517,380 375,272 - 375,272 25
14062000 Umum Kebidanan 01.000

Riri
1984080520 Fungsional D1 05.942.476.2.2
26 agussusant II 15 50 15 24 25 1 89 0.96 85.44 15,517,380 375,272 - 375,272 26
14062000 Umum Kebidanan 01.000
i

Yuni Fitri 1984081520 Fungsional 16.688.772.9.2


27 II 15 SPK 50 15 16 25 60 9 141 0.64 90.24 15,517,380 396,354 - 396,354 27
erlina 14062000 Umum 01.000

Fitria 1984032720 Fungsional 54.709.056.3.2


28 II 15 SMA 25 15 17 25 8 57 0.68 38.76 15,517,380 170,243 - 170,243 28
Ananda 14062000 Umum 01.000
Momoy 1982040720 Fungsional 70.127.122.3.2
29 II 15 SPK 50 10 17 25 8 77 0.68 52.36 15,517,380 229,977 - 229,977 29
Firmayanti 00122000 Umum 01.000

Yeni 1984070420 Fungsional 54.551.369.9.2


30 II 15 SPK 50 15 16 25 9 81 0.64 51.84 15,517,380 227,693 - 227,693 30
sislawati 14062000 Umum 01.000

Elsa 1985072620 Fungsional DIII 70.153.619.20


31 II 10 60 15 17 25 8 92 0.68 62.56 15,517,380 274,778 - 274,778 31
Yuliarni 17042000 Umum kebidanan 1.000

Eka putri
1988091220 Fungsional DIII 54.361.856.5.2
32 Rahayu II 10 60 10 19 25 6 89 0.76 67.64 15,517,380 297,090 - 297,090 32
17042000 Umum kebidanan 01.000
Amd keb

Lucy DIII
1976030920 Perawat 70.930.155.0.2
33 Putrika II 5 Keperawata 60 15 17 25 8 92 0.68 62.56 15,517,380 274,778 - 274,778 33
05012000 Pelaksana 01.000
Rizal n

Desi
1979122620 70.930.155.0.2
34 fitriani,Amd Perawat Pela 15 DIII Keperaw 60 5 25 25 0 90 1.00 90.00 15,517,380 395,300 - 395,300 34
14062006 01.000
.kep

73.914.671.0.2
35 Ira 5 K3 25 5 25 25 0 55 1.00 55.00 15,517,380 241,572 241,572 35
03.000

55.342.5.201.0
36 Romi 5 Satpam 25 5 25 25 0 55 1.00 55.00 15,517,380 241,572 241,572 36
00

37 Rudiyanto 5 Sopir 25 5 25 25 0 55 1.00 55.00 15,517,380 241,572 241,572 37

JUMLAH 3,532.92 15,517,380 15,517,380 568,978 14,948,402

Mengetahui Pelaksana Kegiatan Ketaping,


Pimpinan BLUD Puskesmas Ketaping PPTK BLUD Bendahara Pengeluaran BLUD

Ani Yuli, SKM Rahma Faiza, SKM Afriyenni Ratmin,Amd.Kep


NIP.19660705 198902 2 001 NIP.19830808 200902 2002 NIP : 19820407 200012 2 003
JAN
Ani Yuli, SKM 792,070 Ani Yuli, SKM
Nurmailis 293,564 Nurmailis
Rosna sari Piliang Amd keb 130,378 Rosna sari Piliang Amd keb
dr Nur'aini 448,336 dr Nur'aini
Nurlaili Yanti Amd keb 234,340 Nurlaili Yanti Amd keb
Linda NS Amg 248,294 Linda NS Amg
Rismawati 279,717 Rismawati
Novita Widiastuti 279,717 Novita Widiastuti
Mulyanti 279,717 Mulyanti
Lili Andriyani 193,757 Lili Andriyani
Rahmawati 253,087 Rahmawati
PT Isnaniah 279,717 PT Isnaniah
Almisra Amd keb 293,564 Almisra Amd keb
Rahma faiza SKM 470,385 Rahma faiza SKM
Meri yanti Amd keb 184,703 Meri yanti Amd keb
Afri yeni Ratmin Amd kep 439,388 Afri yeni Ratmin Amd kep
Emilda putri zain Amd keb 307,412 Emilda putri zain Amd keb
Rita Nilawati Amd kl 252,981 Rita Nilawati Amd kl
Fauziah Amkg 432,038 Fauziah Amkg
Yovi Imelda Putri Amkg 265,870 Yovi Imelda Putri Amkg
Varadina yulian Amk 203,556 Varadina yulian Amk
Armita 252,022 Armita
Nurhayati Amd keb 528,970 Nurhayati Amd keb
Susilawati Amk 279,863 Susilawati Amk
Hasmaini 265,287 Hasmaini
Riri agussusanti 265,287 Riri agussusanti
Yuni Fitri erlina 440,201 Yuni Fitri erlina
Fitria Ananda 182,202 Fitria Ananda
Momoy Firmayanti 250,710 Momoy Firmayanti
Yeni sislawati 226,940 Yeni sislawati
Gusti Liana Roza 193,751 Elsa Yuliarni
Elsa Yuliarni 294,439 Eka putri Rahayu Amd keb
Eka putri Rahayu Amd keb 279,863 Lucy Putrika Rizal
Lucy Putrika Rizal 266,408 Desi fitriani,Amd.kep
Ira 163,253 Ira
Romi 163,253 Romi
Rudiyanto 163,253 Rudiyanto
10,778,296
FEB MARET APRIL MEI JUNI TOTAL
867,173 1,163,843 1,039,489 1,016,756 1,035,476 5,122,737
331,130 469,364 464,544 410,045 438,124 2,113,208
344,409 464,715 509,646 449,097 479,851 2,247,717
288,499 789,604 590,044 625,456 702,501 2,996,103
363,279 514,065 509,646 449,097 389,055 2,225,141
363,279 489,211 509,646 449,097 411,253 2,222,486
281,789 447,013 441,994 390,519 417,261 1,978,577
132,229 424,841 441,994 390,519 396,565 1,786,148
298,283 339,730 328,260 371,150 417,261 1,754,683
325,819 464,715 431,405 405,984 433,785 2,061,707
298,283 102,634 328,260 390,519 376,203 1,495,899
281,789 403,027 395,324 390,519 417,261 1,887,920
313,658 423,590 464,544 410,045 395,397 2,007,234
340,495 789,604 785,156 689,813 771,934 3,377,002
193,730 268,208 249,822 289,609 309,441 1,310,811
122,444 355,644 557,689 556,724 445,468 2,037,969
347,205 581,117 518,862 507,675 542,440 2,497,299
298,982 361,902 192,956 - - 853,839
443,231 597,925 592,985 414,888 567,475 2,616,504
298,982 341,697 211,584 352,405 376,537 1,581,204
9,924 - - 264,147 318,955 593,026
208,826 381,928 396,892 351,467 375,535 1,714,649
604,393 773,154 847,906 708,558 792,797 3,726,808
297,797 424,615 417,781 370,952 396,354 1,907,501
297,797 423,486 395,076 369,966 375,272 1,861,597
297,797 339,918 329,436 369,966 375,272 1,712,389
426,686 366,268 370,306 559,717 396,354 2,119,332
200,690 241,105 142,219 210,634 170,243 964,890
192,597 178,617 270,196 349,412 229,977 1,220,799
162,729 173,912 228,294 351,221 227,693 1,143,848
246,301 401,653 416,130 411,073 274,778 1,749,934
233,059 203,085 305,286 390,519 297,090 1,429,039
139,188 142,291 236,137 293,671 274,778 1,086,065
253,805 423,486 417,781 369,966 395,300 1,860,338
179,355 258,797 251,618 226,090 241,572 1,157,433
179,355 258,797 251,618 226,090 241,572 1,157,433
179,355 258,797 251,618 226,090 241,572 1,157,433
10,644,346 15,042,354 15,092,144 15,009,457 14,948,402 81,514,999
5,914,807 1
2,406,773
2,378,096
3,444,439 3
2,459,482 9
2,470,780 8
2,258,294
2,065,865
2,034,401
2,255,464
1,748,987
2,167,638
2,300,799
3,847,387 4 nur rahma ujhi
1,495,513
2,477,357 6 (1,778,421) (1,370,031) (571,186)
2,804,710 8
1,106,820
3,048,542 5
1,847,074
796,582
1,966,671
4,255,778 2
2,187,363
2,126,883
1,977,676
2,559,533 7
1,147,092
1,471,509
1,370,788
2,044,373
1,708,902
1,352,472
1,860,338
1,320,686
1,320,686
1,320,686
81,514,999 81,514,999

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