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TANGGAL NO BKK

31/1/2019 000141
28/2/2019 000287
10/4/2019 000485
30/4/2019 000585
11/5/2019 000633
27/6/2019 000858
27/6/2019 000858
31/7/2019 001012
KETERANGAN
PPh 21 atas honor pegawai dan jasa dokter RSU MSW (Jan 2019)
PPh 21 atas honor pegawai dan jasa dokter RSU MSW (Feb 2019)
PPh 21 atas honor pegawai dan jasa dokter RSU MSW bulan Maret 2019
PPh 21 atas honor jasa dokter RSU MSW bulan April 2019
PPh 21 atas honor pegawai RSU MSW bulan April 2019
PPh 21 atas honor pegawai dan jasa dokter RSU MSW bulan Mei 2019
PPh 21 atas honor pegawai dan jasa dokter RSU MSW bulan Juni 2019
PPh 21 atas honor pegawai bulan Juli 2019
JULI BLOM DISETOR (Honor Dokter)
TOTAL
JUMLAH
Rp 3,855,849
Rp 2,114,446
Rp 4,195,968
Rp 1,022,218
Rp 1,162,824
Rp 7,006,040
Rp 2,166,345
Rp 1,162,824
Rp 2,436,290
Rp 25,122,804
DAFTAR PENERIMAAN HO

TUNJANGAN HONOR
NO NAMA DUDUK
STRUKTURAL
DOKTER UGD
DOKTER IGD
1 1 dr.Yohana Sihite /01/2019 Rp 2,430,000 Rp 2,550,000

2 2 dr.Julenda Sebayang /01/2019 Rp - Rp 1,600,000

3 3 dr.Evanita Bangun /01/2019 Rp 800,000 Rp -

4 4 dr.Marlina Rajagukguk /01/2019 Rp - Rp 1,700,000

5 5 dr.Soraya /01/2019 Rp - Rp 1,650,000

6 6 dr.Ronika /01/2019 Rp - Rp 400,000

7 7 dr.M. Arham /01/2019 Rp - Rp 1,200,000

8 8 dr. Darliani /01/2019 Rp - Rp 1,750,000

9 9 dr. Antonius /01/2019 Rp - Rp -

10 10 dr. Henry Simbolon /01/2019 Rp - Rp -

11 11 dr. Tampak /01/2019 Rp - Rp -

12 12 dr. Bintang Sinurat /01/2019 Rp - Rp -

13 1 dr.Yohana Sihite /02/2019 Rp 2,430,000 Rp 2,250,000

14 2 dr.Julenda Sebayang /02/2019 Rp - Rp 2,000,000

15 3 dr.Evanita Bangun /02/2019 Rp 800,000 Rp 850,000

16 4 dr.Marlina Rajagukguk /02/2019 Rp - Rp 1,100,000

17 5 dr.Soraya /02/2019 Rp - Rp 1,500,000

18 6 dr.Ronika /02/2019 Rp - Rp 400,000

19 7 dr.M. Arham /02/2019 Rp - Rp 1,350,000

20 8 dr. Darliani /02/2019 Rp - Rp 1,400,000

21 9 dr. Antonius /02/2019 Rp - Rp -

22 10 dr. Henry Simbolon /02/2019 Rp - Rp -


23 11 dr. Tampak /02/2019 Rp - Rp -

24 12 dr. Bintang Sinurat /02/2019 Rp - Rp -

25 1 dr.Yohana Sihite /03/2019 Rp 2,430,000 Rp 2,100,000

26 2 dr.Julenda Sebayang /03/2019 Rp - Rp 1,600,000

27 3 dr.Evanita Bangun /03/2019 Rp 800,000 Rp 400,000

28 4 dr.Marlina Rajagukguk /03/2019 Rp - Rp 1,400,000

29 5 dr.Soraya /03/2019 Rp - Rp 1,300,000

30 6 dr.Ronika /03/2019 Rp - Rp 400,000

31 7 dr.M. Arham /03/2019 Rp - Rp 1,200,000

32 8 dr. Darliani /03/2019 Rp - Rp 1,400,000

33 9 dr. Antonius /03/2019 Rp - Rp -

34 10 dr. Henry Simbolon /03/2019 Rp - Rp -

35 11 dr. Tampak /03/2019 Rp - Rp -

36 12 dr. Bintang Sinurat /03/2019 Rp - Rp -

37 1 dr.Yohana Sihite /04/2019 Rp 2,430,000 Rp 2,650,000

38 2 dr.Julenda Sebayang /04/2019 Rp - Rp 1,600,000

39 3 dr.Evanita Bangun /04/2019 Rp 800,000 Rp 400,000

40 4 dr.Marlina Rajagukguk /04/2019 Rp - Rp 1,200,000

41 5 dr.Soraya /04/2019 Rp - Rp 1,500,000

42 6 dr.Ronika /04/2019 Rp - Rp 550,000

43 7 dr.M. Arham /04/2019 Rp - Rp 1,200,000

44 8 dr. Darliani /04/2019 Rp - Rp 1,750,000

45 9 dr. Antonius /04/2019 Rp - Rp -

46 10 dr. Henry Simbolon /04/2019 Rp - Rp -

47 11 dr. Tampak /04/2019 Rp - Rp -

48 12 dr. Bintang Sinurat /04/2019 Rp - Rp -

49 1 dr.Yohana Sihite /05/2019 Rp 2,430,000 Rp 1,700,000


50 2 dr.Julenda Sebayang /05/2019 Rp - Rp 1,850,000

51 3 dr.Evanita Bangun /05/2019 Rp 800,000 Rp 400,000

52 4 dr.Marlina Rajagukguk /05/2019 Rp - Rp 1,400,000

53 5 dr.Soraya /05/2019 Rp - Rp 2,250,000

54 6 dr.Ronika /05/2019 Rp - Rp 300,000

55 7 dr.M. Arham /05/2019 Rp - Rp 1,200,000

56 8 dr. Darliani /05/2019 Rp - Rp 1,400,000

57 9 dr. Antonius /05/2019 Rp - Rp -

58 10 dr. Henry Simbolon /05/2019 Rp - Rp -

59 11 dr. Tampak /05/2019 Rp - Rp -

60 12 dr. Bintang Sinurat /05/2019 Rp - Rp -

61 1 dr.Yohana Sihite /06/2019 Rp 2,430,000 Rp 1,800,000

62 2 dr.Julenda Sebayang /06/2019 Rp - Rp 1,750,000

63 3 dr.Evanita Bangun /06/2019 Rp 800,000 Rp 500,000

64 4 dr.Marlina Rajagukguk /06/2019 Rp - Rp 1,300,000

65 5 dr.Soraya /06/2019 Rp - Rp 2,100,000

66 6 dr.Ronika /06/2019 Rp - Rp 500,000

67 7 dr.M. Arham /06/2019 Rp - Rp 1,500,000

68 8 dr. Darliani /06/2019 Rp - Rp 1,400,000

69 9 dr. Antonius /06/2019 Rp - Rp -

70 10 dr. Henry Simbolon /06/2019 Rp - Rp -

71 11 dr. Tampak /06/2019 Rp - Rp -

72 12 dr. Bintang Sinurat /06/2019 Rp - Rp -

73 1 dr.Yohana Sihite /07/2019 Rp 2,430,000 Rp 1,200,000

74 2 dr.Julenda Sebayang /07/2019 Rp - Rp 1,600,000

75 3 dr.Evanita Bangun /07/2019 Rp 800,000 Rp 100,000

76 4 dr.Marlina Rajagukguk /07/2019 Rp - Rp 1,600,000


77 5 dr.Soraya /07/2019 Rp - Rp 2,250,000

78 6 dr.Ronika /07/2019 Rp - Rp 200,000

79 7 dr.M. Arham /07/2019 Rp - Rp 1,200,000

80 8 dr. Darliani /07/2019 Rp - Rp 1,550,000

81 9 dr. Antonius /07/2019 Rp - Rp -

82 10 dr. Henry Simbolon /07/2019 Rp - Rp -

83 11 dr. Tampak /07/2019 Rp - Rp -

84 12 dr. Bintang Sinurat /07/2019 Rp - Rp -

85 13 dr.Shinta Merry /07/2019 Rp - Rp 800,000


DAFTAR PENERIMAAN HONOR,JASA MEDIS DAN POTONGAN PPH 21
DOKTER UGD

TOTAL JASA MEDIS TOTAL


STRUKTURAL DOKTER UGD JASA
P.TETAP JASMED
& H.DUDUK PASIEN UMUM PASIEN BPJS MEDIS

Rp 4,980,000 Rp 808,000 Rp 1,490,000 Rp 2,298,000 Rp - Rp 57,450

Rp 1,600,000 Rp 418,000 Rp 880,000 Rp 1,298,000 Rp - Rp 32,450

Rp 800,000 Rp - Rp 810,000 Rp 810,000 Rp - Rp 20,250

Rp 1,700,000 Rp 415,000 Rp 910,000 Rp 1,325,000 Rp - Rp 33,125

Rp 1,650,000 Rp 805,500 Rp 540,000 Rp 1,345,500 Rp - Rp 33,638

Rp 400,000 Rp 86,500 Rp 50,000 Rp 136,500 Rp - Rp 3,413

Rp 1,200,000 Rp 189,500 Rp 590,000 Rp 779,500 Rp - Rp 19,488

Rp 1,750,000 Rp 557,100 Rp 680,000 Rp 1,237,100 Rp - Rp 30,928

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 4,680,000 Rp 559,600 Rp - Rp 559,600 Rp - Rp 13,990

Rp 2,000,000 Rp 286,600 Rp - Rp 286,600 Rp - Rp 7,165

Rp 1,650,000 Rp 112,500 Rp - Rp 112,500 Rp - Rp 2,813

Rp 1,100,000 Rp 287,500 Rp - Rp 287,500 Rp - Rp 7,188

Rp 1,500,000 Rp 322,000 Rp - Rp 322,000 Rp - Rp 8,050

Rp 400,000 Rp 50,000 Rp - Rp 50,000 Rp - Rp 1,250

Rp 1,350,000 Rp 352,200 Rp - Rp 352,200 Rp - Rp 8,805

Rp 1,400,000 Rp 296,900 Rp - Rp 296,900 Rp - Rp 7,423

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 4,530,000 Rp 629,800 Rp 770,000 Rp 1,399,800 Rp - Rp 34,995

Rp 1,600,000 Rp 376,700 Rp 440,000 Rp 816,700 Rp - Rp 20,418

Rp 1,200,000 Rp 177,500 Rp 510,000 Rp 687,500 Rp - Rp 17,188

Rp 1,400,000 Rp 199,800 Rp 500,000 Rp 699,800 Rp - Rp 17,495

Rp 1,300,000 Rp 211,500 Rp 420,000 Rp 631,500 Rp - Rp 15,788

Rp 400,000 Rp 243,300 Rp 170,000 Rp 413,300 Rp - Rp 10,333

Rp 1,200,000 Rp 117,500 Rp 350,000 Rp 467,500 Rp - Rp 11,688

Rp 1,400,000 Rp 617,900 Rp 720,000 Rp 1,337,900 Rp - Rp 33,448

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 5,080,000 Rp 646,000 Rp - Rp 646,000 Rp - Rp 16,150

Rp 1,600,000 Rp 273,800 Rp - Rp 273,800 Rp - Rp 6,845

Rp 1,200,000 Rp - Rp - Rp - Rp - Rp -

Rp 1,200,000 Rp 476,300 Rp - Rp 476,300 Rp - Rp 11,908

Rp 1,500,000 Rp 405,500 Rp - Rp 405,500 Rp - Rp 10,138

Rp 550,000 Rp 97,500 Rp - Rp 97,500 Rp - Rp 2,438

Rp 1,200,000 Rp 429,100 Rp - Rp 429,100 Rp - Rp 10,728

Rp 1,750,000 Rp 201,500 Rp - Rp 201,500 Rp - Rp 5,038

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 4,130,000 Rp 486,500 Rp 2,690,000 Rp 3,176,500 Rp - Rp 79,413


Rp 1,850,000 Rp 204,700 Rp 2,115,000 Rp 2,319,700 Rp - Rp 57,993

Rp 1,200,000 Rp 67,500 Rp 775,000 Rp 842,500 Rp - Rp 21,063

Rp 1,400,000 Rp 127,500 Rp 1,670,000 Rp 1,797,500 Rp - Rp 44,938

Rp 2,250,000 Rp 308,100 Rp 2,070,000 Rp 2,378,100 Rp - Rp 59,453

Rp 300,000 Rp 57,500 Rp 835,000 Rp 892,500 Rp - Rp 22,313

Rp 1,200,000 Rp 112,500 Rp 1,140,000 Rp 1,252,500 Rp - Rp 31,313

Rp 1,400,000 Rp 160,000 Rp 2,390,000 Rp 2,550,000 Rp - Rp 63,750

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp 410,000 Rp 410,000 Rp - Rp 10,250

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 4,230,000 Rp 194,000 Rp - Rp 194,000 Rp - Rp 4,850

Rp 1,750,000 Rp 226,300 Rp - Rp 226,300 Rp - Rp 5,658

Rp 1,300,000 Rp 182,800 Rp - Rp 182,800 Rp - Rp 4,570

Rp 1,300,000 Rp 238,000 Rp - Rp 238,000 Rp - Rp 5,950

Rp 2,100,000 Rp 171,100 Rp - Rp 171,100 Rp - Rp 4,278

Rp 500,000 Rp 105,600 Rp - Rp 105,600 Rp - Rp 2,640

Rp 1,500,000 Rp 130,000 Rp - Rp 130,000 Rp - Rp 3,250

Rp 1,400,000 Rp 117,500 Rp - Rp 117,500 Rp - Rp 2,938

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 3,630,000 Rp 308,000 Rp 1,020,000 Rp 1,328,000 Rp - Rp 33,200

Rp 1,600,000 Rp 207,000 Rp 580,000 Rp 787,000 Rp - Rp 19,675

Rp 900,000 Rp 17,500 Rp 110,000 Rp 127,500 Rp - Rp 3,188

Rp 1,600,000 Rp 508,400 Rp 700,000 Rp 1,208,400 Rp - Rp 30,210


Rp 2,250,000 Rp 410,100 Rp 440,000 Rp 850,100 Rp - Rp 21,253

Rp 200,000 Rp 77,500 Rp 320,000 Rp 397,500 Rp - Rp 9,938

Rp 1,200,000 Rp 81,500 Rp 740,000 Rp 821,500 Rp - Rp 20,538

Rp 1,550,000 Rp 102,500 Rp 650,000 Rp 752,500 Rp - Rp 18,813

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp -

Rp 800,000 Rp - Rp - Rp - Rp - Rp -
TOTAL SNACK HONOR
TEAM YANG T. TANGAN
PPH 21
JAGA DITERIMA

Rp 57,450 Rp 50,000 Rp 7,270,550

Rp 32,450 Rp 80,000 Rp 2,945,550

Rp 20,250 Rp - Rp 1,589,750

Rp 33,125 Rp - Rp 2,991,875

Rp 33,638 Rp 50,000 Rp 3,011,863

Rp 3,413 Rp - Rp 533,088

Rp 19,488 Rp 80,000 Rp 2,040,013

Rp 30,928 Rp 50,000 Rp 3,006,173

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 13,990 Rp 30,000 Rp 5,255,610

Rp 7,165 Rp 100,000 Rp 2,379,435

Rp 2,813 Rp 10,000 Rp 1,769,688

Rp 7,188 Rp - Rp 1,380,313

Rp 8,050 Rp 40,000 Rp 1,853,950

Rp 1,250 Rp - Rp 448,750

Rp 8,805 Rp 90,000 Rp 1,783,395

Rp 7,423 Rp 40,000 Rp 1,729,478

Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 34,995 Rp 40,000 Rp 5,934,805

Rp 20,418 Rp 80,000 Rp 2,476,283

Rp 17,188 Rp - Rp 1,870,313

Rp 17,495 Rp - Rp 2,082,305

Rp 15,788 Rp 40,000 Rp 1,955,713

Rp 10,333 Rp - Rp 802,968

Rp 11,688 Rp 80,000 Rp 1,735,813

Rp 33,448 Rp 40,000 Rp 2,744,453

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 16,150 Rp 50,000 Rp 5,759,850

Rp 6,845 Rp 80,000 Rp 1,946,955

Rp - Rp - Rp 1,200,000

Rp 11,908 Rp - Rp 1,664,393

Rp 10,138 Rp 40,000 Rp 1,935,363

Rp 2,438 Rp 10,000 Rp 655,063

Rp 10,728 Rp 80,000 Rp 1,698,373

Rp 5,038 Rp 50,000 Rp 1,996,463

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 79,413 Rp - Rp 7,227,088
Rp 57,993 Rp 90,000 Rp 4,201,708

Rp 21,063 Rp - Rp 2,021,438

Rp 44,938 Rp - Rp 3,152,563

Rp 59,453 Rp 90,000 Rp 4,658,648

Rp 22,313 Rp - Rp 1,170,188

Rp 31,313 Rp 80,000 Rp 2,501,188

Rp 63,750 Rp 40,000 Rp 3,926,250

Rp - Rp - Rp -

Rp 10,250 Rp - Rp 399,750

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 4,850 Rp - Rp 4,419,150

Rp 5,658 Rp 90,000 Rp 2,060,643

Rp 4,570 Rp - Rp 1,478,230

Rp 5,950 Rp - Rp 1,532,050

Rp 4,278 Rp 80,000 Rp 2,346,823

Rp 2,640 Rp - Rp 602,960

Rp 3,250 Rp 100,000 Rp 1,726,750

Rp 2,938 Rp 40,000 Rp 1,554,563

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp 33,200 Rp - Rp 4,924,800

Rp 19,675 Rp 80,000 Rp 2,447,325

Rp 3,188 Rp - Rp 1,024,313

Rp 30,210 Rp - Rp 2,778,190
Rp 21,253 Rp 90,000 Rp 3,168,848

Rp 9,938 Rp - Rp 587,563

Rp 20,538 Rp 80,000 Rp 2,080,963

Rp 18,813 Rp 50,000 Rp 2,333,688

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp 800,000
TUNJANGAN
NO NAMA
STRUKTURAL
DOKTER SPESIALIS
1 Dr.Meirina Daulay,SpA /01/2019 Rp -

2 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /01/2019 Rp -

3 Dr.Boynardo Simamora,SpAn /01/2019 Rp 500,000

4 Dr. Harris Parhusip,SpPd /01/2019 Rp 1,000,000

5 Dr.Christina,SpPD /01/2019 Rp -

6 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /01/2019 Rp 3,800,000

7 Dr. Ade Sp.P /01/2019 Rp 300,000

8 Dr. M. Afdol Sp.B /01/2019 Rp 500,000

9 Dr. Renanta, Sp.OG /01/2019 Rp -

10 Dr.Thomas Silangit,SpPK /01/2019 Rp -

11 Prof.Dr.Drg.Sondang Panggabean /01/2019 Rp -

12 Drg. Ponti Romaida Hutapea, Sp.KG /01/2019 Rp 200,000

13 dr.Mutiara .M.S, Sp.JP, FIHA /01/2019 Rp -

14 dr.Wan Tisya,SpKK /01/2019 Rp -

15 dr. Edwin Anto Pakpahan, Sp.P /01/2019 Rp -

16 dr. Harry Butarbutar, SpB /01/2019 Rp -

17 dr. Laura Octavina Siagian, SpS /01/2019 Rp -

18 drg. Yemima /01/2019 Rp -

19 dr.Leo Simanjuntak,SpOG /01/2019 Rp -

20 dr.Angelina,SpA /01/2019 Rp -

21 Dr.Meirina Daulay,SpA /02/2019 Rp -

22 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /02/2019 Rp -

23 Dr.Boynardo Simamora,SpAn /02/2019 Rp 500,000

24 Dr. Harris Parhusip,SpPd /02/2019 Rp 1,000,000


25 Dr.Christina,SpPD /02/2019 Rp -

26 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /02/2019 Rp 3,800,000

27 Dr. Ade Sp.P /02/2019 Rp 300,000

28 Dr. M. Afdol Sp.B /02/2019 Rp 500,000

29 Dr. Renanta, Sp.OG /02/2019 Rp -

30 Dr.Thomas Silangit,SpPK /02/2019 Rp -

31 Prof.Dr.Drg.Sondang Panggabean /02/2019 Rp -

32 Drg. Ponti Romaida Hutapea, Sp.KG /02/2019 Rp 200,000

33 dr.Mutiara .M.S, Sp.JP, FIHA /02/2019 Rp -

34 dr.Wan Tisya,SpKK /02/2019 Rp -

35 dr. Edwin Anto Pakpahan, Sp.P /02/2019 Rp -

36 dr. Harry Butarbutar, SpB /02/2019 Rp -

37 dr. Laura Octavina Siagian, SpS /02/2019 Rp -

38 drg. Yemima /02/2019 Rp -

39 dr.Leo Simanjuntak,SpOG /02/2019 Rp -

40 Dr.Meirina Daulay,SpA /03/2019 Rp -

41 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /03/2019 Rp -

42 Dr.Boynardo Simamora,SpAn /03/2019 Rp 500,000

43 Dr. Harris Parhusip,SpPd /03/2019 Rp 1,000,000

44 Dr.Christina,SpPD /03/2019 Rp -

45 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /03/2019 Rp 3,800,000

46 Dr. Ade Sp.P /03/2019 Rp 300,000

47 Dr. M. Afdol Sp.B /03/2019 Rp 500,000

48 Dr. Renanta, Sp.OG /03/2019 Rp -

49 Dr.Thomas Silangit,SpPK /03/2019 Rp -

50 Prof.Dr.Drg.Sondang Panggabean /03/2019 Rp -

51 Drg. Ponti Romaida Hutapea, Sp.KG /03/2019 Rp 200,000


52 dr.Mutiara .M.S, Sp.JP, FIHA /03/2019 Rp -

53 dr.Wan Tisya,SpKK /03/2019 Rp -

54 dr. Edwin Anto Pakpahan, Sp.P /03/2019 Rp -

55 dr. Harry Butarbutar, SpB /03/2019 Rp -

56 dr. Laura Octavina Siagian, SpS /03/2019 Rp -

57 drg. Yemima /03/2019 Rp -

58 dr.Leo Simanjuntak,SpOG /03/2019 Rp -

59 dr.Maringan T.Lumban Gaol,Sp.PD /03/2019 Rp -

60 Dr.Meirina Daulay,SpA /04/2019 Rp -

61 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /04/2019 Rp -

62 Dr.Boynardo Simamora,SpAn /04/2019 Rp 500,000

63 Dr. Harris Parhusip,SpPd /04/2019 Rp 1,000,000

64 Dr.Christina,SpPD /04/2019 Rp -

65 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /04/2019 Rp 3,800,000

66 Dr. Ade Sp.P /04/2019 Rp 300,000

67 Dr. M. Afdol Sp.B /04/2019 Rp 500,000

68 Dr. Renanta, Sp.OG /04/2019 Rp -

69 Dr.Thomas Silangit,SpPK /04/2019 Rp -

70 Prof.Dr.Drg.Sondang Panggabean /04/2019 Rp -

71 Drg. Ponti Romaida Hutapea, Sp.KG /04/2019 Rp 200,000

72 dr.Mutiara .M.S, Sp.JP, FIHA /04/2019 Rp -

73 dr.Wan Tisya,SpKK /04/2019 Rp -

74 dr. Edwin Anto Pakpahan, Sp.P /04/2019 Rp -

75 dr. Harry Butarbutar, SpB /04/2019 Rp -

76 dr. Laura Octavina Siagian, SpS /04/2019 Rp -

77 drg. Yemima /04/2019 Rp -

78 dr.Leo Simanjuntak,SpOG /04/2019 Rp -


79 dr.Maringan T.Lumban Gaol,Sp.PD /04/2019 Rp -

80 Dr.Meirina Daulay,SpA /05/2019 Rp -

81 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /05/2019 Rp -

82 Dr.Boynardo Simamora,SpAn /05/2019 Rp 500,000

83 Dr. Harris Parhusip,SpPd /05/2019 Rp 1,000,000

84 Dr.Christina,SpPD /05/2019 Rp -

85 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /05/2019 Rp 7,600,000

86 Dr. Ade Sp.P /05/2019 Rp 300,000

87 Dr. M. Afdol Sp.B /05/2019 Rp 500,000

88 Dr. Renanta, Sp.OG /05/2019 Rp -

89 Dr.Thomas Silangit,SpPK /05/2019 Rp -

90 Prof.Dr.Drg.Sondang Panggabean /05/2019 Rp -

91 Drg. Ponti Romaida Hutapea, Sp.KG /05/2019 Rp 200,000

92 dr.Mutiara .M.S, Sp.JP, FIHA /05/2019 Rp -

93 dr.Wan Tisya,SpKK /05/2019 Rp -

94 dr. Edwin Anto Pakpahan, Sp.P /05/2019 Rp -

95 dr. Harry Butarbutar, SpB /05/2019 Rp -

96 dr. Laura Octavina Siagian, SpS /05/2019 Rp -

97 drg. Yemima /05/2019 Rp -

98 dr.Leo Simanjuntak,SpOG /05/2019 Rp -

99 dr.Maringan T.Lumban Gaol,Sp.PD /05/2019 Rp -

100 Dr.Meirina Daulay,SpA /06/2019 Rp -

101 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /06/2019 Rp -

102 Dr.Boynardo Simamora,SpAn /06/2019 Rp 500,000

103 Dr. Harris Parhusip,SpPd /06/2019 Rp 1,000,000

104 Dr.Christina,SpPD /06/2019 Rp -

105 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /06/2019 Rp 3,800,000


106 Dr. Ade Sp.P /06/2019 Rp 300,000

107 Dr. M. Afdol Sp.B /06/2019 Rp 500,000

108 Dr. Renanta, Sp.OG /06/2019 Rp -

109 Dr.Thomas Silangit,SpPK /06/2019 Rp -

110 Prof.Dr.Drg.Sondang Panggabean /06/2019 Rp -

111 Drg. Ponti Romaida Hutapea, Sp.KG /06/2019 Rp 200,000

112 dr.Mutiara .M.S, Sp.JP, FIHA /06/2019 Rp -

113 dr.Wan Tisya,SpKK /06/2019 Rp -

114 dr. Edwin Anto Pakpahan, Sp.P /06/2019 Rp -

115 dr. Harry Butarbutar, SpB /06/2019 Rp -

116 dr. Laura Octavina Siagian, SpS /06/2019 Rp -

117 drg. Yemima /06/2019 Rp -

118 dr.Leo Simanjuntak,SpOG /06/2019 Rp -

119 dr.Maringan T.Lumban Gaol,Sp.PD /06/2019 Rp -

120 Dr.Meirina Daulay,SpA /07/2019 Rp -

121 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /07/2019 Rp -

122 Dr.Boynardo Simamora,SpAn /07/2019 Rp 500,000

123 Dr. Harris Parhusip,SpPd /07/2019 Rp 1,000,000

124 Dr.Christina,SpPD /07/2019 Rp -

125 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /07/2019 Rp 3,800,000

126 Dr. Ade Sp.P /07/2019 Rp 300,000

127 Dr. M. Afdol Sp.B /07/2019 Rp 500,000

128 Dr. Renanta, Sp.OG /07/2019 Rp -

129 Dr.Thomas Silangit,SpPK /07/2019 Rp -

130 Prof.Dr.Drg.Sondang Panggabean /07/2019 Rp -

131 Drg. Ponti Romaida Hutapea, Sp.KG /07/2019 Rp 200,000

132 dr.Mutiara .M.S, Sp.JP, FIHA /07/2019 Rp -


133 dr.Wan Tisya,SpKK /07/2019 Rp -

134 dr. Edwin Anto Pakpahan, Sp.P /07/2019 Rp -

135 dr. Harry Butarbutar, SpB /07/2019 Rp -

136 dr. Laura Octavina Siagian, SpS /07/2019 Rp -

137 drg. Yemima /07/2019 Rp -

138 dr.Leo Simanjuntak,SpOG /07/2019 Rp -

139 dr.Maringan T.Lumban Gaol,Sp.PD /07/2019 Rp -


HONOR TOTAL JASA MEDIS TOTAL
DOKTER STRUKTURAL DOKTER SPESIALIS JASA
ON SITE & ON SITE PASIEN UMUM PASIEN BPJS MEDIS

Rp 7,000,000 Rp 7,000,000 Rp 695,000 Rp 10,695,697 Rp 11,390,697

Rp 7,000,000 Rp 7,000,000 Rp 472,000 Rp 7,190,833 Rp 7,662,833

Rp 5,000,000 Rp 5,500,000 Rp 540,000 Rp 1,010,918 Rp 1,550,918

Rp 7,000,000 Rp 8,000,000 Rp 1,206,000 Rp 25,389,752 Rp 26,595,752

Rp 7,000,000 Rp 7,000,000 Rp 327,000 Rp 7,078,297 Rp 7,405,297

Rp 5,000,000 Rp 8,800,000 Rp 78,000 Rp 219,648 Rp 297,648

Rp 5,000,000 Rp 5,300,000 Rp 245,000 Rp 2,687,815 Rp 2,932,815

Rp 7,000,000 Rp 7,500,000 Rp 113,263 Rp 113,263

Rp - Rp - Rp 1,660,222 Rp 1,660,222

Rp 5,000,000 Rp 5,000,000 Rp 3,762,000 Rp 3,762,000

Rp 3,750,000 Rp 3,750,000 Rp - Rp -

Rp - Rp 200,000 Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 150,000 Rp - Rp 150,000

Rp 5,000,000 Rp 5,000,000 Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp 465,000 Rp 1,474,876 Rp 1,939,876

Rp 7,000,000 Rp 7,000,000 Rp 2,505,000 Rp 1,034,961 Rp 3,539,961

Rp 5,000,000 Rp 5,000,000 Rp - Rp -

Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 121,500 Rp - Rp 121,500

Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 551,000 Rp - Rp 551,000

Rp 7,000,000 Rp 7,000,000 Rp 238,000 Rp - Rp 238,000

Rp 5,000,000 Rp 5,500,000 Rp 435,000 Rp - Rp 435,000

Rp 7,000,000 Rp 8,000,000 Rp 515,000 Rp - Rp 515,000


Rp 7,000,000 Rp 7,000,000 Rp 797,000 Rp - Rp 797,000

Rp 5,000,000 Rp 8,800,000 Rp 78,000 Rp - Rp 78,000

Rp 5,000,000 Rp 5,300,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,500,000 Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 3,750,000 Rp 3,750,000 Rp - Rp - Rp -

Rp - Rp 200,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp 250,000 Rp - Rp 250,000

Rp - Rp - Rp 100,000 Rp - Rp 100,000

Rp 7,000,000 Rp 7,000,000 Rp 1,593,500 Rp - Rp 1,593,500

Rp 7,000,000 Rp 7,000,000 Rp 1,895,000 Rp 5,128,953 Rp 7,023,953

Rp 7,000,000 Rp 7,000,000 Rp 1,916,000 Rp 6,069,076 Rp 7,985,076

Rp 5,000,000 Rp 5,500,000 Rp 2,270,000 Rp 7,306,558 Rp 9,576,558

Rp 7,000,000 Rp 8,000,000 Rp 3,271,000 Rp 13,713,305 Rp 16,984,305

Rp - Rp - Rp 36,000 Rp 3,441,249 Rp 3,477,249

Rp 5,000,000 Rp 8,800,000 Rp 6,000 Rp 940,499 Rp 946,499

Rp 5,000,000 Rp 5,300,000 Rp 155,000 Rp 803,983 Rp 958,983

Rp 7,000,000 Rp 7,500,000 Rp - Rp 50,102 Rp 50,102

Rp - Rp - Rp - Rp 50,102 Rp 50,102

Rp 5,000,000 Rp 5,000,000 Rp - Rp 2,134,700 Rp 2,134,700

Rp 3,750,000 Rp 3,750,000 Rp - Rp - Rp -

Rp - Rp 200,000 Rp - Rp - Rp -
Rp 7,000,000 Rp 7,000,000 Rp 1,410,000 Rp 538,236 Rp 1,948,236

Rp 5,000,000 Rp 5,000,000 Rp - Rp 50,102 Rp 50,102

Rp 5,000,000 Rp 5,000,000 Rp - Rp 2,219,672 Rp 2,219,672

Rp 7,000,000 Rp 7,000,000 Rp 1,755,000 Rp 1,953,201 Rp 3,708,201

Rp 5,000,000 Rp 5,000,000 Rp - Rp 3,420,180 Rp 3,420,180

Rp - Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 6,419,000 Rp 16,677,996 Rp 23,096,996

Rp 3,500,000 Rp 3,500,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 487,000 Rp - Rp 487,000

Rp 7,000,000 Rp 7,000,000 Rp 130,000 Rp - Rp 130,000

Rp 5,000,000 Rp 5,500,000 Rp 835,000 Rp - Rp 835,000

Rp 7,000,000 Rp 8,000,000 Rp 1,969,000 Rp - Rp 1,969,000

Rp - Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 8,800,000 Rp 120,000 Rp - Rp 120,000

Rp 5,000,000 Rp 5,300,000 Rp 65,000 Rp - Rp 65,000

Rp 7,000,000 Rp 7,500,000 Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 3,750,000 Rp 3,750,000 Rp - Rp - Rp -

Rp - Rp 200,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 350,000 Rp - Rp 350,000

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp 36,000 Rp - Rp 36,000

Rp 7,000,000 Rp 7,000,000 Rp 1,475,000 Rp - Rp 1,475,000

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 1,652,000 Rp - Rp 1,652,000


Rp 7,000,000 Rp 7,000,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 721,000 Rp 21,688,146 Rp 22,409,146

Rp 7,000,000 Rp 7,000,000 Rp 130,000 Rp 11,089,100 Rp 11,219,100

Rp 5,000,000 Rp 5,500,000 Rp 1,940,000 Rp 11,267,323 Rp 13,207,323

Rp 7,000,000 Rp 8,000,000 Rp 739,500 Rp 55,851,363 Rp 56,590,863

Rp - Rp - Rp - Rp 14,113,893 Rp 14,113,893

Rp 5,000,000 Rp 12,600,000 Rp 136,500 Rp 1,355,383 Rp 1,491,883

Rp 5,000,000 Rp 5,300,000 Rp 65,000 Rp 8,106,869 Rp 8,171,869

Rp 7,000,000 Rp 7,500,000 Rp - Rp 1,134,125 Rp 1,134,125

Rp - Rp - Rp - Rp 1,983,542 Rp 1,983,542

Rp 5,000,000 Rp 5,000,000 Rp - Rp 7,977,149 Rp 7,977,149

Rp 3,750,000 Rp 3,750,000 Rp - Rp - Rp -

Rp - Rp 200,000 Rp 80,000 Rp - Rp 80,000

Rp 7,000,000 Rp 7,000,000 Rp 1,450,000 Rp 3,703,332 Rp 5,153,332

Rp 5,000,000 Rp 5,000,000 Rp - Rp 201,504 Rp 201,504

Rp 5,000,000 Rp 5,000,000 Rp - Rp 2,266,656 Rp 2,266,656

Rp 7,000,000 Rp 7,000,000 Rp 2,611,000 Rp 4,523,057 Rp 7,134,057

Rp 5,000,000 Rp 5,000,000 Rp - Rp 3,206,659 Rp 3,206,659

Rp - Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 4,971,000 Rp 25,521,202 Rp 30,492,202

Rp 7,000,000 Rp 7,000,000 Rp 36,000 Rp - Rp 36,000

Rp 7,000,000 Rp 7,000,000 Rp 202,000 Rp - Rp 202,000

Rp 7,000,000 Rp 7,000,000 Rp 806,000 Rp - Rp 806,000

Rp 5,000,000 Rp 5,500,000 Rp 1,270,000 Rp - Rp 1,270,000

Rp 7,000,000 Rp 8,000,000 Rp 486,000 Rp - Rp 486,000

Rp - Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 8,800,000 Rp 48,000 Rp - Rp 48,000


Rp 5,000,000 Rp 5,300,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,500,000 Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 3,750,000 Rp 3,750,000 Rp - Rp - Rp -

Rp - Rp 200,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 350,000 Rp - Rp 350,000

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 1,404,000 Rp - Rp 1,404,000

Rp 5,000,000 Rp 5,000,000 Rp - Rp - Rp -

Rp - Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 2,768,500 Rp - Rp 2,768,500

Rp 7,000,000 Rp 7,000,000 Rp 201,000 Rp - Rp 201,000

Rp 7,000,000 Rp 7,000,000 Rp 545,000 Rp 7,937,513 Rp 8,482,513

Rp 7,000,000 Rp 7,000,000 Rp 36,000 Rp 4,193,696 Rp 4,229,696

Rp 5,000,000 Rp 5,500,000 Rp 1,240,000 Rp 3,548,297 Rp 4,788,297

Rp 7,000,000 Rp 8,000,000 Rp 281,000 Rp 15,020,025 Rp 15,301,025

Rp - Rp - Rp - Rp 5,736,147 Rp 5,736,147

Rp 5,000,000 Rp 8,800,000 Rp 40,000 Rp 138,744 Rp 178,744

Rp 5,000,000 Rp 5,300,000 Rp 36,000 Rp 1,086,072 Rp 1,122,072

Rp 7,000,000 Rp 7,500,000 Rp - Rp -

Rp - Rp - Rp - Rp -

Rp 5,000,000 Rp 5,000,000 Rp - Rp 2,295,800 Rp 2,295,800

Rp 3,750,000 Rp 3,750,000 Rp - Rp -

Rp - Rp 200,000 Rp 40,000 Rp 40,000

Rp 7,000,000 Rp 7,000,000 Rp 152,500 Rp 728,513 Rp 881,013


Rp 5,000,000 Rp 5,000,000 Rp - Rp 138,744 Rp 138,744

Rp 5,000,000 Rp 5,000,000 Rp - Rp 697,222 Rp 697,222

Rp 7,000,000 Rp 7,000,000 Rp - Rp 1,670,621 Rp 1,670,621

Rp 5,000,000 Rp 5,000,000 Rp - Rp 481,232 Rp 481,232

Rp - Rp - Rp - Rp -

Rp 7,000,000 Rp 7,000,000 Rp 4,766,000 Rp 8,872,974 Rp 13,638,974

Rp 7,000,000 Rp 7,000,000 Rp 257,000 Rp - Rp 257,000


PPH 21 TOTAL HONOR
YANG T. TANGAN
P.TETAP JASMED PPH 21
DITERIMA

Rp 107,500 Rp 284,767 Rp 392,267 Rp 17,998,430

Rp 107,500 Rp 191,571 Rp 299,071 Rp 14,363,762

Rp - Rp 38,773 Rp 38,773 Rp 7,012,145

Rp 80,000 Rp 664,894 Rp 744,894 Rp 33,850,858

Rp 107,500 Rp 185,132 Rp 292,632 Rp 14,112,665

Rp 193,000 Rp 7,441 Rp 200,441 Rp 8,897,207

Rp 26,750 Rp 73,320 Rp 100,070 Rp 8,132,745

Rp 56,250 Rp 2,832 Rp 59,082 Rp 7,554,181

Rp - Rp 41,506 Rp 41,506 Rp 1,618,716

Rp 12,500 Rp 94,050 Rp 106,550 Rp 8,655,450

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp - Rp - Rp 200,000

Rp 107,500 Rp 3,750 Rp 111,250 Rp 7,038,750

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp 48,497 Rp 48,497 Rp 6,891,379

Rp 32,500 Rp 88,499 Rp 120,999 Rp 10,418,962

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 3,038 Rp 35,538 Rp 7,085,963

Rp - Rp - Rp -

Rp 107,500 Rp 13,775 Rp 121,275 Rp 7,429,725

Rp 107,500 Rp 5,950 Rp 113,450 Rp 7,124,550

Rp - Rp 10,875 Rp 10,875 Rp 5,924,125

Rp 80,000 Rp 12,875 Rp 92,875 Rp 8,422,125


Rp - Rp 19,925 Rp 19,925 Rp 7,777,075

Rp 193,000 Rp 1,950 Rp 194,950 Rp 8,683,050

Rp 26,750 Rp - Rp 26,750 Rp 5,273,250

Rp 56,250 Rp - Rp 56,250 Rp 7,443,750

Rp - Rp - Rp - Rp -

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp - Rp - Rp 200,000

Rp 107,500 Rp - Rp 107,500 Rp 6,892,500

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp 5,000,000

Rp 32,500 Rp - Rp 32,500 Rp 6,967,500

Rp 12,500 Rp 6,250 Rp 18,750 Rp 5,231,250

Rp - Rp 2,500 Rp 2,500 Rp 97,500

Rp 32,500 Rp 39,838 Rp 72,338 Rp 8,521,163

Rp 107,500 Rp 175,599 Rp 283,099 Rp 13,740,854

Rp 107,500 Rp 199,627 Rp 307,127 Rp 14,677,949

Rp - Rp 239,414 Rp 239,414 Rp 14,837,144

Rp 80,000 Rp 424,608 Rp 504,608 Rp 24,479,697

Rp - Rp 86,931 Rp 86,931 Rp 3,390,318

Rp 193,000 Rp 23,662 Rp 216,662 Rp 9,529,837

Rp 26,750 Rp 23,975 Rp 50,725 Rp 6,208,258

Rp 56,250 Rp 1,253 Rp 57,503 Rp 7,492,599

Rp - Rp 1,253 Rp 1,253 Rp 48,849

Rp 12,500 Rp 53,368 Rp 65,868 Rp 7,068,833

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp - Rp - Rp 200,000
Rp 107,500 Rp 48,706 Rp 156,206 Rp 8,792,030

Rp 12,500 Rp 1,253 Rp 13,753 Rp 5,036,349

Rp - Rp 55,492 Rp 55,492 Rp 7,164,180

Rp 32,500 Rp 92,705 Rp 125,205 Rp 10,582,996

Rp 12,500 Rp 85,505 Rp 98,005 Rp 8,322,176

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 577,425 Rp 609,925 Rp 29,487,071

Rp - Rp - Rp - Rp 3,500,000

Rp 107,500 Rp 12,175 Rp 119,675 Rp 7,367,325

Rp 107,500 Rp 3,250 Rp 110,750 Rp 7,019,250

Rp - Rp 20,875 Rp 20,875 Rp 6,314,125

Rp 80,000 Rp 49,225 Rp 129,225 Rp 9,839,775

Rp - Rp - Rp - Rp -

Rp 193,000 Rp 3,000 Rp 196,000 Rp 8,724,000

Rp 26,750 Rp 1,625 Rp 28,375 Rp 5,336,625

Rp 56,250 Rp - Rp 56,250 Rp 7,443,750

Rp - Rp - Rp - Rp -

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp - Rp - Rp 200,000

Rp 107,500 Rp 8,750 Rp 116,250 Rp 7,233,750

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp 900 Rp 900 Rp 5,035,100

Rp 32,500 Rp 36,875 Rp 69,375 Rp 8,405,625

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 41,300 Rp 73,800 Rp 8,578,200


Rp - Rp - Rp - Rp 7,000,000

Rp 107,500 Rp 560,229 Rp 667,729 Rp 28,741,417

Rp 107,500 Rp 280,478 Rp 387,978 Rp 17,831,123

Rp - Rp 330,183 Rp 330,183 Rp 18,377,140

Rp 80,000 Rp 1,414,772 Rp 1,494,772 Rp 63,096,091

Rp - Rp 352,847 Rp 352,847 Rp 13,761,046

Rp 193,000 Rp 37,297 Rp 230,297 Rp 13,861,586

Rp 26,750 Rp 204,297 Rp 231,047 Rp 13,240,822

Rp 56,250 Rp 28,353 Rp 84,603 Rp 8,549,522

Rp - Rp 49,589 Rp 49,589 Rp 1,933,953

Rp 12,500 Rp 199,429 Rp 211,929 Rp 12,765,220

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp 2,000 Rp 2,000 Rp 278,000

Rp 107,500 Rp 128,833 Rp 236,333 Rp 11,916,999

Rp 12,500 Rp 5,038 Rp 17,538 Rp 5,183,966

Rp - Rp 56,666 Rp 56,666 Rp 7,209,990

Rp 32,500 Rp 178,351 Rp 210,851 Rp 13,923,206

Rp 12,500 Rp 80,166 Rp 92,666 Rp 8,113,993

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 762,305 Rp 794,805 Rp 36,697,397

Rp - Rp 900 Rp 900 Rp 7,035,100

Rp 107,500 Rp 5,050 Rp 112,550 Rp 7,089,450

Rp 107,500 Rp 20,150 Rp 127,650 Rp 7,678,350

Rp - Rp 31,750 Rp 31,750 Rp 6,738,250

Rp 80,000 Rp 12,150 Rp 92,150 Rp 8,393,850

Rp - Rp - Rp - Rp -

Rp 193,000 Rp 1,200 Rp 194,200 Rp 8,653,800


Rp 26,750 Rp - Rp 26,750 Rp 5,273,250

Rp 56,250 Rp - Rp 56,250 Rp 7,443,750

Rp - Rp - Rp - Rp -

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp - Rp - Rp 200,000

Rp 107,500 Rp 8,750 Rp 116,250 Rp 7,233,750

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp 5,000,000

Rp 32,500 Rp 35,100 Rp 67,600 Rp 8,336,400

Rp 12,500 Rp - Rp 12,500 Rp 4,987,500

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 69,213 Rp 101,713 Rp 9,666,788

Rp - Rp 5,025 Rp 5,025 Rp 7,195,975

Rp 107,500 Rp 212,063 Rp 319,563 Rp 15,162,950

Rp 107,500 Rp 105,742 Rp 213,242 Rp 11,016,454

Rp - Rp 119,707 Rp 119,707 Rp 10,168,590

Rp 80,000 Rp 382,526 Rp 462,526 Rp 22,838,499

Rp - Rp 143,404 Rp 143,404 Rp 5,592,743

Rp 193,000 Rp 4,469 Rp 197,469 Rp 8,781,275

Rp 26,750 Rp 28,052 Rp 54,802 Rp 6,367,270

Rp 56,250 Rp - Rp 56,250 Rp 7,443,750

Rp - Rp - Rp - Rp -

Rp 12,500 Rp 57,395 Rp 69,895 Rp 7,225,905

Rp - Rp - Rp - Rp 3,750,000

Rp - Rp 1,000 Rp 1,000 Rp 239,000

Rp 107,500 Rp 22,025 Rp 129,525 Rp 7,751,488


Rp 12,500 Rp 3,469 Rp 15,969 Rp 5,122,775

Rp - Rp 17,431 Rp 17,431 Rp 5,679,791

Rp 32,500 Rp 41,766 Rp 74,266 Rp 8,596,355

Rp 12,500 Rp 12,031 Rp 24,531 Rp 5,456,701

Rp - Rp - Rp - Rp -

Rp 32,500 Rp 340,974 Rp 373,474 Rp 20,265,500

Rp - Rp 6,425 Rp 6,425 Rp 7,250,575


REKAPITULASI PEMOTONGAN D
ATAS PEGAWAI DA
RSU METHODIST SUSA
BULAN : JANUARY S

TOTAL
NO NAMA BULAN STRUKTURAL
& H.DUDUK
1 dr.Yohana Sihite /01/2019 Rp 4,980,000
2 dr.Julenda Sebayang /01/2019 Rp 1,600,000
3 dr.Evanita Bangun /01/2019 Rp 800,000
4 dr.Marlina Rajagukguk /01/2019 Rp 1,700,000
5 dr.Soraya /01/2019 Rp 1,650,000
6 dr.Ronika /01/2019 Rp 400,000
7 dr.M. Arham /01/2019 Rp 1,200,000
8 dr. Darliani /01/2019 Rp 1,750,000
9 dr. Antonius /01/2019 Rp -
10 dr. Tampak /01/2019 Rp -
11 dr. Bintang Sinurat /01/2019 Rp -
12 Dr.Meirina Daulay,SpA /01/2019 Rp 7,000,000
13 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /01/2019 Rp 7,000,000
14 Dr.Boynardo Simamora,SpAn /01/2019 Rp 5,500,000
15 Dr. Harris Parhusip,SpPd /01/2019 Rp 8,000,000
16 Dr.Christina,SpPD /01/2019 Rp 7,000,000
17 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /01/2019 Rp 8,800,000
18 Dr. Ade Sp.P /01/2019 Rp 5,300,000
19 Dr. M. Afdol Sp.B /01/2019 Rp 7,500,000
20 Dr. Renanta, Sp.OG /01/2019 Rp -
21 Dr.Thomas Silangit,SpPK /01/2019 Rp 5,000,000
22 Prof.Dr.Drg.Sondang Panggabean /01/2019 Rp 3,750,000
23 Drg. Ponti Romaida Hutapea, Sp.KG /01/2019 Rp 200,000
24 dr.Mutiara .M.S, Sp.JP, FIHA /01/2019 Rp 7,000,000
25 dr.Wan Tisya,SpKK /01/2019 Rp 5,000,000
26 dr. Edwin Anto Pakpahan, Sp.P /01/2019 Rp 5,000,000
27 dr. Harry Butarbutar, SpB /01/2019 Rp 7,000,000
28 dr. Laura Octavina Siagian, SpS /01/2019 Rp 5,000,000
29 drg. Yemima /01/2019 Rp -
30 dr.Leo Simanjuntak,SpOG /01/2019 Rp 7,000,000
31 dr.Angelina,SpA /01/2019 Rp -
32 Dr.Henry Simbolon M.Kes /01/2019 Rp 15,000,000
33 Pdt Marsius Samosir /01/2019 Rp 7,833,702
34 Dina Lestari Kudadiri,S.Sos /01/2019 Rp 4,728,395
35 Inri Siahaan,SE /01/2019 Rp 5,196,944
Rp 147,889,041

1 dr.Yohana Sihite /02/2019 Rp 4,680,000


2 dr.Julenda Sebayang /02/2019 Rp 2,000,000
3 dr.Evanita Bangun /02/2019 Rp 1,650,000
4 dr.Marlina Rajagukguk /02/2019 Rp 1,100,000
5 dr.Soraya /02/2019 Rp 1,500,000
6 dr.Ronika /02/2019 Rp 400,000
7 dr.M. Arham /02/2019 Rp 1,350,000
8 dr. Darliani /02/2019 Rp 1,400,000
9 dr. Antonius /02/2019 Rp -
10 dr. Tampak /02/2019 Rp -
11 dr. Bintang Sinurat /02/2019 Rp -
12 Dr.Meirina Daulay,SpA /02/2019 Rp 7,000,000
13 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /02/2019 Rp 7,000,000
14 Dr.Boynardo Simamora,SpAn /02/2019 Rp 5,500,000
15 Dr. Harris Parhusip,SpPd /02/2019 Rp 8,000,000
16 Dr.Christina,SpPD /02/2019 Rp 7,000,000
17 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /02/2019 Rp 8,800,000
18 Dr. Ade Sp.P /02/2019 Rp 5,300,000
19 Dr. M. Afdol Sp.B /02/2019 Rp 7,500,000
20 Dr. Renanta, Sp.OG /02/2019 Rp -
21 Dr.Thomas Silangit,SpPK /02/2019 Rp 5,000,000
22 Prof.Dr.Drg.Sondang Panggabean /02/2019 Rp 3,750,000
23 Drg. Ponti Romaida Hutapea, Sp.KG /02/2019 Rp 200,000
24 dr.Mutiara .M.S, Sp.JP, FIHA /02/2019 Rp 7,000,000
25 dr.Wan Tisya,SpKK /02/2019 Rp 5,000,000
26 dr. Edwin Anto Pakpahan, Sp.P /02/2019 Rp 5,000,000
27 dr. Harry Butarbutar, SpB /02/2019 Rp 7,000,000
28 dr. Laura Octavina Siagian, SpS /02/2019 Rp 5,000,000
29 drg. Yemima /02/2019 Rp -
30 dr.Leo Simanjuntak,SpOG /02/2019 Rp 7,000,000
31 Dr.Henry Simbolon M.Kes /02/2019 Rp 15,000,000
32 Pdt Marsius Samosir /02/2019 Rp 7,833,702
33 Dina Lestari Kudadiri,S.Sos /02/2019 Rp 4,728,395
34 Inri Siahaan,SE /02/2019 Rp 5,196,944
Rp 147,889,041

1 dr.Yohana Sihite /03/2019 Rp 4,530,000


2 dr.Julenda Sebayang /03/2019 Rp 1,600,000
3 dr.Evanita Bangun /03/2019 Rp 1,200,000
4 dr.Marlina Rajagukguk /03/2019 Rp 1,400,000
5 dr.Soraya /03/2019 Rp 1,300,000
6 dr.Ronika /03/2019 Rp 400,000
7 dr.M. Arham /03/2019 Rp 1,200,000
8 dr. Darliani /03/2019 Rp 1,400,000
9 dr. Antonius /03/2019 Rp -
11 dr. Tampak /03/2019 Rp -
12 dr. Bintang Sinurat /03/2019 Rp -
13 Dr.Meirina Daulay,SpA /03/2019 Rp 7,000,000
14 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /03/2019 Rp 7,000,000
15 Dr.Boynardo Simamora,SpAn /03/2019 Rp 5,500,000
16 Dr. Harris Parhusip,SpPd /03/2019 Rp 8,000,000
17 Dr.Christina,SpPD /03/2019 Rp -
18 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /03/2019 Rp 8,800,000
19 Dr. Ade Sp.P /03/2019 Rp 5,300,000
20 Dr. M. Afdol Sp.B /03/2019 Rp 7,500,000
21 Dr. Renanta, Sp.OG /03/2019 Rp -
22 Dr.Thomas Silangit,SpPK /03/2019 Rp 5,000,000
23 Prof.Dr.Drg.Sondang Panggabean /03/2019 Rp 3,750,000
24 Drg. Ponti Romaida Hutapea, Sp.KG /03/2019 Rp 200,000
25 dr.Mutiara .M.S, Sp.JP, FIHA /03/2019 Rp 7,000,000
26 dr.Wan Tisya,SpKK /03/2019 Rp 5,000,000
27 dr. Edwin Anto Pakpahan, Sp.P /03/2019 Rp 5,000,000
28 dr. Harry Butarbutar, SpB /03/2019 Rp 7,000,000
29 dr. Laura Octavina Siagian, SpS /03/2019 Rp 5,000,000
30 drg. Yemima /03/2019 Rp -
31 dr.Leo Simanjuntak,SpOG /03/2019 Rp 7,000,000
32 dr.Maringan T.Lumban Gaol,Sp.PD /03/2019 Rp 3,500,000
33 Dr.Henry Simbolon M.Kes /03/2019 Rp 15,000,000
34 Pdt Marsius Samosir /03/2019 Rp 7,833,702
35 Dina Lestari Kudadiri,S.Sos /03/2019 Rp 4,728,395
36 Inri Siahaan,SE /03/2019 Rp 5,196,944
Rp 143,339,041

1 dr.Yohana Sihite /04/2019 Rp 5,080,000


2 dr.Julenda Sebayang /04/2019 Rp 1,600,000
3 dr.Evanita Bangun /04/2019 Rp 1,200,000
4 dr.Marlina Rajagukguk /04/2019 Rp 1,200,000
5 dr.Soraya /04/2019 Rp 1,500,000
6 dr.Ronika /04/2019 Rp 550,000
7 dr.M. Arham /04/2019 Rp 1,200,000
8 dr. Darliani /04/2019 Rp 1,750,000
9 dr. Antonius /04/2019 Rp -
11 dr. Tampak /04/2019 Rp -
12 dr. Bintang Sinurat /04/2019 Rp -
13 Dr.Meirina Daulay,SpA /04/2019 Rp 7,000,000
14 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /04/2019 Rp 7,000,000
15 Dr.Boynardo Simamora,SpAn /04/2019 Rp 5,500,000
16 Dr. Harris Parhusip,SpPd /04/2019 Rp 8,000,000
17 Dr.Christina,SpPD /04/2019 Rp -
18 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /04/2019 Rp 8,800,000
19 Dr. Ade Sp.P /04/2019 Rp 5,300,000
20 Dr. M. Afdol Sp.B /04/2019 Rp 7,500,000
21 Dr. Renanta, Sp.OG /04/2019 Rp -
22 Dr.Thomas Silangit,SpPK /04/2019 Rp 5,000,000
23 Prof.Dr.Drg.Sondang Panggabean /04/2019 Rp 3,750,000
24 Drg. Ponti Romaida Hutapea, Sp.KG /04/2019 Rp 200,000
25 dr.Mutiara .M.S, Sp.JP, FIHA /04/2019 Rp 7,000,000
26 dr.Wan Tisya,SpKK /04/2019 Rp 5,000,000
27 dr. Edwin Anto Pakpahan, Sp.P /04/2019 Rp 5,000,000
28 dr. Harry Butarbutar, SpB /04/2019 Rp 7,000,000
29 dr. Laura Octavina Siagian, SpS /04/2019 Rp 5,000,000
30 drg. Yemima /04/2019 Rp -
31 dr.Leo Simanjuntak,SpOG /04/2019 Rp 7,000,000
32 dr.Maringan T.Lumban Gaol,Sp.PD /04/2019 Rp 7,000,000
33 Dr.Henry Simbolon M.Kes /04/2019 Rp 15,000,000
34 Pdt Marsius Samosir /04/2019 Rp 7,833,702
35 Dina Lestari Kudadiri,S.Sos /04/2019 Rp 4,728,395
36 Inri Siahaan,SE /04/2019 Rp 5,196,944
Rp 147,889,041

1 dr.Yohana Sihite /05/2019 Rp 4,130,000


2 dr.Julenda Sebayang /05/2019 Rp 1,850,000
3 dr.Evanita Bangun /05/2019 Rp 1,200,000
4 dr.Marlina Rajagukguk /05/2019 Rp 1,400,000
5 dr.Soraya /05/2019 Rp 2,250,000
6 dr.Ronika /05/2019 Rp 300,000
7 dr.M. Arham /05/2019 Rp 1,200,000
8 dr. Darliani /05/2019 Rp 1,400,000
9 dr. Antonius /05/2019 Rp -
11 dr. Tampak /05/2019 Rp -
12 dr. Bintang Sinurat /05/2019 Rp -
13 Dr.Meirina Daulay,SpA /05/2019 Rp 7,000,000
14 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /05/2019 Rp 7,000,000
15 Dr.Boynardo Simamora,SpAn /05/2019 Rp 5,500,000
16 Dr. Harris Parhusip,SpPd /05/2019 Rp 8,000,000
17 Dr.Christina,SpPD /05/2019 Rp -
18 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /05/2019 Rp 12,600,000
19 Dr. Ade Sp.P /05/2019 Rp 5,300,000
20 Dr. M. Afdol Sp.B /05/2019 Rp 7,500,000
21 Dr. Renanta, Sp.OG /05/2019 Rp -
22 Dr.Thomas Silangit,SpPK /05/2019 Rp 5,000,000
23 Prof.Dr.Drg.Sondang Panggabean /05/2019 Rp 3,750,000
24 Drg. Ponti Romaida Hutapea, Sp.KG /05/2019 Rp 200,000
25 dr.Mutiara .M.S, Sp.JP, FIHA /05/2019 Rp 7,000,000
26 dr.Wan Tisya,SpKK /05/2019 Rp 5,000,000
27 dr. Edwin Anto Pakpahan, Sp.P /05/2019 Rp 5,000,000
28 dr. Harry Butarbutar, SpB /05/2019 Rp 7,000,000
29 dr. Laura Octavina Siagian, SpS /05/2019 Rp 5,000,000
30 drg. Yemima /05/2019 Rp -
31 dr.Leo Simanjuntak,SpOG /05/2019 Rp 7,000,000
32 dr.Maringan T.Lumban Gaol,Sp.PD /05/2019 Rp 7,000,000
33 Dr.Henry Simbolon M.Kes /05/2019 Rp 15,000,000
34 Pdt Marsius Samosir /05/2019 Rp 7,833,702
35 Dina Lestari Kudadiri,S.Sos /05/2019 Rp 4,728,395
36 Inri Siahaan,SE /05/2019 Rp 5,196,944
Rp 151,339,041

1 dr.Yohana Sihite /06/2019 Rp 4,230,000


2 dr.Julenda Sebayang /06/2019 Rp 1,750,000
3 dr.Evanita Bangun /06/2019 Rp 1,300,000
4 dr.Marlina Rajagukguk /06/2019 Rp 1,300,000
5 dr.Soraya /06/2019 Rp 2,100,000
6 dr.Ronika /06/2019 Rp 500,000
7 dr.M. Arham /06/2019 Rp 1,500,000
8 dr. Darliani /06/2019 Rp 1,400,000
9 dr. Antonius /06/2019 Rp -
11 dr. Tampak /06/2019 Rp -
12 dr. Bintang Sinurat /06/2019 Rp -
13 Dr.Meirina Daulay,SpA /06/2019 Rp 7,000,000
14 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /06/2019 Rp 7,000,000
15 Dr.Boynardo Simamora,SpAn /06/2019 Rp 5,500,000
16 Dr. Harris Parhusip,SpPd /06/2019 Rp 8,000,000
17 Dr.Christina,SpPD /06/2019 Rp -
18 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /06/2019 Rp 8,800,000
19 Dr. Ade Sp.P /06/2019 Rp 5,300,000
20 Dr. M. Afdol Sp.B /06/2019 Rp 7,500,000
21 Dr. Renanta, Sp.OG /06/2019 Rp -
22 Dr.Thomas Silangit,SpPK /06/2019 Rp 5,000,000
23 Prof.Dr.Drg.Sondang Panggabean /06/2019 Rp 3,750,000
24 Drg. Ponti Romaida Hutapea, Sp.KG /06/2019 Rp 200,000
25 dr.Mutiara .M.S, Sp.JP, FIHA /06/2019 Rp 7,000,000
26 dr.Wan Tisya,SpKK /06/2019 Rp 5,000,000
27 dr. Edwin Anto Pakpahan, Sp.P /06/2019 Rp 5,000,000
28 dr. Harry Butarbutar, SpB /06/2019 Rp 7,000,000
29 dr. Laura Octavina Siagian, SpS /06/2019 Rp 5,000,000
30 drg. Yemima /06/2019 Rp -
31 dr.Leo Simanjuntak,SpOG /06/2019 Rp 7,000,000
32 dr.Maringan T.Lumban Gaol,Sp.PD /06/2019 Rp 7,000,000
33 Dr.Henry Simbolon M.Kes /06/2019 Rp 15,000,000
34 Pdt Marsius Samosir /06/2019 Rp 7,833,702
35 Dina Lestari Kudadiri,S.Sos /06/2019 Rp 4,728,395
36 Inri Siahaan,SE /06/2019 Rp 5,196,944
Rp 147,889,041

1 dr.Yohana Sihite /07/2019 Rp 3,630,000


2 dr.Julenda Sebayang /07/2019 Rp 1,600,000
3 dr.Evanita Bangun /07/2019 Rp 900,000
4 dr.Marlina Rajagukguk /07/2019 Rp 1,600,000
5 dr.Soraya /07/2019 Rp 2,250,000
6 dr.Ronika /07/2019 Rp 200,000
7 dr.M. Arham /07/2019 Rp 1,200,000
8 dr. Darliani /07/2019 Rp 1,550,000
9 dr. Antonius /07/2019 Rp -
11 dr. Tampak /07/2019 Rp -
12 dr. Bintang Sinurat /07/2019 Rp -
13 dr.Shinta Merry /07/2019 Rp 800,000
14 Dr.Meirina Daulay,SpA /07/2019 Rp 7,000,000
15 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A /07/2019 Rp 7,000,000
16 Dr.Boynardo Simamora,SpAn /07/2019 Rp 5,500,000
17 Dr. Harris Parhusip,SpPd /07/2019 Rp 8,000,000
18 Dr.Christina,SpPD /07/2019 Rp -
19 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) /07/2019 Rp 8,800,000
20 Dr. Ade Sp.P /07/2019 Rp 5,300,000
21 Dr. M. Afdol Sp.B /07/2019 Rp 7,500,000
22 Dr. Renanta, Sp.OG /07/2019 Rp -
23 Dr.Thomas Silangit,SpPK /07/2019 Rp 5,000,000
24 Prof.Dr.Drg.Sondang Panggabean /07/2019 Rp 3,750,000
25 Drg. Ponti Romaida Hutapea, Sp.KG /07/2019 Rp 200,000
26 dr.Mutiara .M.S, Sp.JP, FIHA /07/2019 Rp 7,000,000
27 dr.Wan Tisya,SpKK /07/2019 Rp 5,000,000
28 dr. Edwin Anto Pakpahan, Sp.P /07/2019 Rp 5,000,000
29 dr. Harry Butarbutar, SpB /07/2019 Rp 7,000,000
30 dr. Laura Octavina Siagian, SpS /07/2019 Rp 5,000,000
31 drg. Yemima /07/2019 Rp -
32 dr.Leo Simanjuntak,SpOG /07/2019 Rp 7,000,000
33 dr.Maringan T.Lumban Gaol,Sp.PD /07/2019 Rp 7,000,000
34 Dr.Henry Simbolon M.Kes /07/2019 Rp 15,000,000
35 Pdt Marsius Samosir /07/2019 Rp 7,833,702
36 Dina Lestari Kudadiri,S.Sos /07/2019 Rp 4,728,395
37 Inri Siahaan,SE /07/2019 Rp 5,196,944
Rp 147,539,041

Rp 1,033,773,287

Rp 1,471,162,306
REKAPITULASI PEMOTONGAN DAN PENYETORAN PPH 21
ATAS PEGAWAI DAN DOKTER
RSU METHODIST SUSANNA WESLEY
BULAN : JANUARY S/D JULI 2019

TOTAL PPH 21
JASA MEDIS
JASA
P.TETAP JASMED
PASIEN UMUM PASIEN BPJS MEDIS
Rp 808,000 Rp 1,490,000 Rp 2,298,000 Rp - Rp 57,450
Rp 418,000 Rp 880,000 Rp 1,298,000 Rp - Rp 32,450
Rp - Rp 810,000 Rp 810,000 Rp - Rp 20,250
Rp 415,000 Rp 910,000 Rp 1,325,000 Rp - Rp 33,125
Rp 805,500 Rp 540,000 Rp 1,345,500 Rp - Rp 33,638
Rp 86,500 Rp 50,000 Rp 136,500 Rp - Rp 3,413
Rp 189,500 Rp 590,000 Rp 779,500 Rp - Rp 19,488
Rp 557,100 Rp 680,000 Rp 1,237,100 Rp - Rp 30,928
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 695,000 Rp 10,695,697 Rp 11,390,697 Rp 107,500 Rp 284,767
Rp 472,000 Rp 7,190,833 Rp 7,662,833 Rp 107,500 Rp 191,571
Rp 540,000 Rp 1,010,918 Rp 1,550,918 Rp - Rp 38,773
Rp 1,206,000 Rp 25,389,752 Rp 26,595,752 Rp 80,000 Rp 664,894
Rp 327,000 Rp 7,078,297 Rp 7,405,297 Rp 107,500 Rp 185,132
Rp 78,000 Rp 219,648 Rp 297,648 Rp 193,000 Rp 7,441
Rp 245,000 Rp 2,687,815 Rp 2,932,815 Rp 26,750 Rp 73,320
Rp - Rp 113,263 Rp 113,263 Rp 56,250 Rp 2,832
Rp - Rp 1,660,222 Rp 1,660,222 Rp - Rp 41,506
Rp - Rp 3,762,000 Rp 3,762,000 Rp 12,500 Rp 94,050
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 150,000 Rp - Rp 150,000 Rp 107,500 Rp 3,750
Rp - Rp - Rp - Rp 12,500 Rp -
Rp 465,000 Rp 1,474,876 Rp 1,939,876 Rp - Rp 48,497
Rp 2,505,000 Rp 1,034,961 Rp 3,539,961 Rp 32,500 Rp 88,499
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 121,500 Rp - Rp 121,500 Rp 32,500 Rp 3,038
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 914,583
Rp - Rp - Rp - Rp 72,101
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 21,855
Rp 10,084,100 Rp 68,268,282 Rp 78,352,382 Rp 1,897,039 Rp 1,958,810

Rp 559,600 Rp - Rp 559,600 Rp - Rp 13,990


Rp 286,600 Rp - Rp 286,600 Rp - Rp 7,165
Rp 112,500 Rp - Rp 112,500 Rp - Rp 2,813
Rp 287,500 Rp - Rp 287,500 Rp - Rp 7,188
Rp 322,000 Rp - Rp 322,000 Rp - Rp 8,050
Rp 50,000 Rp - Rp 50,000 Rp - Rp 1,250
Rp 352,200 Rp - Rp 352,200 Rp - Rp 8,805
Rp 296,900 Rp - Rp 296,900 Rp - Rp 7,423
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 551,000 Rp - Rp 551,000 Rp 107,500 Rp 13,775
Rp 238,000 Rp - Rp 238,000 Rp 107,500 Rp 5,950
Rp 435,000 Rp - Rp 435,000 Rp - Rp 10,875
Rp 515,000 Rp - Rp 515,000 Rp 80,000 Rp 12,875
Rp 797,000 Rp - Rp 797,000 Rp - Rp 19,925
Rp 78,000 Rp - Rp 78,000 Rp 193,000 Rp 1,950
Rp - Rp - Rp - Rp 26,750 Rp -
Rp - Rp - Rp - Rp 56,250 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 107,500 Rp -
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 32,500 Rp -
Rp 250,000 Rp - Rp 250,000 Rp 12,500 Rp 6,250
Rp 100,000 Rp - Rp 100,000 Rp - Rp 2,500
Rp 1,593,500 Rp - Rp 1,593,500 Rp 32,500 Rp 39,838
Rp - Rp - Rp - Rp 1,102,083 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 6,824,800 Rp - Rp 6,824,800 Rp 1,943,825 Rp 170,620

Rp 629,800 Rp 770,000 Rp 1,399,800 Rp - Rp 34,995


Rp 376,700 Rp 440,000 Rp 816,700 Rp - Rp 20,418
Rp 177,500 Rp 510,000 Rp 687,500 Rp - Rp 17,188
Rp 199,800 Rp 500,000 Rp 699,800 Rp - Rp 17,495
Rp 211,500 Rp 420,000 Rp 631,500 Rp - Rp 15,788
Rp 243,300 Rp 170,000 Rp 413,300 Rp - Rp 10,333
Rp 117,500 Rp 350,000 Rp 467,500 Rp - Rp 11,688
Rp 617,900 Rp 720,000 Rp 1,337,900 Rp - Rp 33,448
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 1,895,000 Rp 5,128,953 Rp 7,023,953 Rp 107,500 Rp 175,599
Rp 1,916,000 Rp 6,069,076 Rp 7,985,076 Rp 107,500 Rp 199,627
Rp 2,270,000 Rp 7,306,558 Rp 9,576,558 Rp - Rp 239,414
Rp 3,271,000 Rp 13,713,305 Rp 16,984,305 Rp 80,000 Rp 424,608
Rp 36,000 Rp 3,441,249 Rp 3,477,249 Rp - Rp 86,931
Rp 6,000 Rp 940,499 Rp 946,499 Rp 193,000 Rp 23,662
Rp 155,000 Rp 803,983 Rp 958,983 Rp 26,750 Rp 23,975
Rp - Rp 50,102 Rp 50,102 Rp 56,250 Rp 1,253
Rp - Rp 50,102 Rp 50,102 Rp - Rp 1,253
Rp - Rp 2,134,700 Rp 2,134,700 Rp 12,500 Rp 53,368
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 1,410,000 Rp 538,236 Rp 1,948,236 Rp 107,500 Rp 48,706
Rp - Rp 50,102 Rp 50,102 Rp 12,500 Rp 1,253
Rp - Rp 2,219,672 Rp 2,219,672 Rp - Rp 55,492
Rp 1,755,000 Rp 1,953,201 Rp 3,708,201 Rp 32,500 Rp 92,705
Rp - Rp 3,420,180 Rp 3,420,180 Rp 12,500 Rp 85,505
Rp - Rp - Rp - Rp - Rp -
Rp 6,419,000 Rp 16,677,996 Rp 23,096,996 Rp 32,500 Rp 577,425
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 1,102,083 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 21,707,000 Rp 68,377,914 Rp 90,084,914 Rp 1,943,824 Rp 2,252,123

Rp 646,000 Rp - Rp 646,000 Rp - Rp 16,150


Rp 273,800 Rp - Rp 273,800 Rp - Rp 6,845
Rp - Rp - Rp - Rp - Rp -
Rp 476,300 Rp - Rp 476,300 Rp - Rp 11,908
Rp 405,500 Rp - Rp 405,500 Rp - Rp 10,138
Rp 97,500 Rp - Rp 97,500 Rp - Rp 2,438
Rp 429,100 Rp - Rp 429,100 Rp - Rp 10,728
Rp 201,500 Rp - Rp 201,500 Rp - Rp 5,038
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 487,000 Rp - Rp 487,000 Rp 107,500 Rp 12,175
Rp 130,000 Rp - Rp 130,000 Rp 107,500 Rp 3,250
Rp 835,000 Rp - Rp 835,000 Rp - Rp 20,875
Rp 1,969,000 Rp - Rp 1,969,000 Rp 80,000 Rp 49,225
Rp - Rp - Rp - Rp - Rp -
Rp 120,000 Rp - Rp 120,000 Rp 193,000 Rp 3,000
Rp 65,000 Rp - Rp 65,000 Rp 26,750 Rp 1,625
Rp - Rp - Rp - Rp 56,250 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 350,000 Rp - Rp 350,000 Rp 107,500 Rp 8,750
Rp - Rp - Rp - Rp 12,500 Rp -
Rp 36,000 Rp - Rp 36,000 Rp - Rp 900
Rp 1,475,000 Rp - Rp 1,475,000 Rp 32,500 Rp 36,875
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 1,652,000 Rp - Rp 1,652,000 Rp 32,500 Rp 41,300
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 1,102,083 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 9,648,700 Rp - Rp 9,648,700 Rp 1,943,824 Rp 241,218

Rp 486,500 Rp 2,690,000 Rp 3,176,500 Rp - Rp 79,413


Rp 204,700 Rp 2,115,000 Rp 2,319,700 Rp - Rp 57,993
Rp 67,500 Rp 775,000 Rp 842,500 Rp - Rp 21,063
Rp 127,500 Rp 1,670,000 Rp 1,797,500 Rp - Rp 44,938
Rp 308,100 Rp 2,070,000 Rp 2,378,100 Rp - Rp 59,453
Rp 57,500 Rp 835,000 Rp 892,500 Rp - Rp 22,313
Rp 112,500 Rp 1,140,000 Rp 1,252,500 Rp - Rp 31,313
Rp 160,000 Rp 2,390,000 Rp 2,550,000 Rp - Rp 63,750
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 721,000 Rp 21,688,146 Rp 22,409,146 Rp 107,500 Rp 560,229
Rp 130,000 Rp 11,089,100 Rp 11,219,100 Rp 107,500 Rp 280,478
Rp 1,940,000 Rp 11,267,323 Rp 13,207,323 Rp - Rp 330,183
Rp 739,500 Rp 55,851,363 Rp 56,590,863 Rp 80,000 Rp 1,414,772
Rp - Rp 14,113,893 Rp 14,113,893 Rp - Rp 352,847
Rp 136,500 Rp 1,355,383 Rp 1,491,883 Rp 193,000 Rp 37,297
Rp 65,000 Rp 8,106,869 Rp 8,171,869 Rp 26,750 Rp 204,297
Rp - Rp 1,134,125 Rp 1,134,125 Rp 56,250 Rp 28,353
Rp - Rp 1,983,542 Rp 1,983,542 Rp - Rp 49,589
Rp - Rp 7,977,149 Rp 7,977,149 Rp 12,500 Rp 199,429
Rp - Rp - Rp - Rp - Rp -
Rp 80,000 Rp - Rp 80,000 Rp - Rp 2,000
Rp 1,450,000 Rp 3,703,332 Rp 5,153,332 Rp 107,500 Rp 128,833
Rp - Rp 201,504 Rp 201,504 Rp 12,500 Rp 5,038
Rp - Rp 2,266,656 Rp 2,266,656 Rp - Rp 56,666
Rp 2,611,000 Rp 4,523,057 Rp 7,134,057 Rp 32,500 Rp 178,351
Rp - Rp 3,206,659 Rp 3,206,659 Rp 12,500 Rp 80,166
Rp - Rp - Rp - Rp - Rp -
Rp 4,971,000 Rp 25,521,202 Rp 30,492,202 Rp 32,500 Rp 762,305
Rp 36,000 Rp - Rp 36,000 Rp - Rp 900
Rp - Rp 410,000 Rp 410,000 Rp 1,102,083 Rp 10,250
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 14,404,300 Rp 188,084,303 Rp 202,488,603 Rp 1,943,824 Rp 5,062,215

Rp 194,000 Rp - Rp 194,000 Rp - Rp 4,850


Rp 226,300 Rp - Rp 226,300 Rp - Rp 5,658
Rp 182,800 Rp - Rp 182,800 Rp - Rp 4,570
Rp 238,000 Rp - Rp 238,000 Rp - Rp 5,950
Rp 171,100 Rp - Rp 171,100 Rp - Rp 4,278
Rp 105,600 Rp - Rp 105,600 Rp - Rp 2,640
Rp 130,000 Rp - Rp 130,000 Rp - Rp 3,250
Rp 117,500 Rp - Rp 117,500 Rp - Rp 2,938
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 202,000 Rp - Rp 202,000 Rp 107,500 Rp 5,050
Rp 806,000 Rp - Rp 806,000 Rp 107,500 Rp 20,150
Rp 1,270,000 Rp - Rp 1,270,000 Rp - Rp 31,750
Rp 486,000 Rp - Rp 486,000 Rp 80,000 Rp 12,150
Rp - Rp - Rp - Rp - Rp -
Rp 48,000 Rp - Rp 48,000 Rp 193,000 Rp 1,200
Rp - Rp - Rp - Rp 26,750 Rp -
Rp - Rp - Rp - Rp 56,250 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 350,000 Rp - Rp 350,000 Rp 107,500 Rp 8,750
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 1,404,000 Rp - Rp 1,404,000 Rp 32,500 Rp 35,100
Rp - Rp - Rp - Rp 12,500 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 2,768,500 Rp - Rp 2,768,500 Rp 32,500 Rp 69,213
Rp 201,000 Rp - Rp 201,000 Rp - Rp 5,025
Rp - Rp - Rp - Rp 1,102,083 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 8,900,800 Rp - Rp 8,900,800 Rp 1,943,824 Rp 222,520

Rp 308,000 Rp 1,020,000 Rp 1,328,000 Rp - Rp 33,200


Rp 207,000 Rp 580,000 Rp 787,000 Rp - Rp 19,675
Rp 17,500 Rp 110,000 Rp 127,500 Rp - Rp 3,188
Rp 508,400 Rp 700,000 Rp 1,208,400 Rp - Rp 30,210
Rp 410,100 Rp 440,000 Rp 850,100 Rp - Rp 21,253
Rp 77,500 Rp 320,000 Rp 397,500 Rp - Rp 9,938
Rp 81,500 Rp 740,000 Rp 821,500 Rp - Rp 20,538
Rp 102,500 Rp 650,000 Rp 752,500 Rp - Rp 18,813
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Rp 545,000 Rp 7,937,513 Rp 8,482,513 Rp 107,500 Rp 212,063
Rp 36,000 Rp 4,193,696 Rp 4,229,696 Rp 107,500 Rp 105,742
Rp 1,240,000 Rp 3,548,297 Rp 4,788,297 Rp - Rp 119,707
Rp 281,000 Rp 15,020,025 Rp 15,301,025 Rp 80,000 Rp 382,526
Rp - Rp 5,736,147 Rp 5,736,147 Rp - Rp 143,404
Rp 40,000 Rp 138,744 Rp 178,744 Rp 193,000 Rp 4,469
Rp 36,000 Rp 1,086,072 Rp 1,122,072 Rp 26,750 Rp 28,052
Rp - Rp - Rp - Rp 56,250 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp 2,295,800 Rp 2,295,800 Rp 12,500 Rp 57,395
Rp - Rp - Rp - Rp - Rp -
Rp 40,000 Rp - Rp 40,000 Rp - Rp 1,000
Rp 152,500 Rp 728,513 Rp 881,013 Rp 107,500 Rp 22,025
Rp - Rp 138,744 Rp 138,744 Rp 12,500 Rp 3,469
Rp - Rp 697,222 Rp 697,222 Rp - Rp 17,431
Rp - Rp 1,670,621 Rp 1,670,621 Rp 32,500 Rp 41,766
Rp - Rp 481,232 Rp 481,232 Rp 12,500 Rp 12,031
Rp - Rp - Rp - Rp -
Rp 4,766,000 Rp 8,872,974 Rp 13,638,974 Rp 32,500 Rp 340,974
Rp 257,000 Rp - Rp 257,000 Rp - Rp 6,425
Rp - Rp - Rp - Rp 1,102,083 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 18,315 Rp -
Rp - Rp - Rp - Rp 42,426 Rp -
Rp 9,106,000 Rp 57,105,600 Rp 66,211,600 Rp 1,943,824 Rp 1,655,290

Rp 80,675,700 Rp 381,836,099 Rp 462,511,799 Rp 13,559,985 Rp 11,562,795


TOTAL
PENYETORAN
PPH 21

Rp 57,450
Rp 32,450
Rp 20,250
Rp 33,125
Rp 33,638
Rp 3,413
Rp 19,488
Rp 30,928
Rp -
Rp -
Rp -
Rp 392,267
Rp 299,071
Rp 38,773
Rp 744,894
Rp 292,632
Rp 200,441
Rp 100,070
Rp 59,082
Rp 41,506
Rp 106,550
Rp -
Rp -
Rp 111,250
Rp 12,500
Rp 48,497
Rp 120,999
Rp 12,500
Rp -
Rp 35,538
Rp -
Rp 914,583
Rp 72,101
Rp -
Rp 21,855
Rp 3,855,849

Rp 13,990
Rp 7,165
Rp 2,813
Rp 7,188
Rp 8,050
Rp 1,250
Rp 8,805
Rp 7,423
Rp -
Rp -
Rp -
Rp 121,275
Rp 113,450
Rp 10,875
Rp 92,875
Rp 19,925
Rp 194,950
Rp 26,750
Rp 56,250
Rp -
Rp 12,500
Rp -
Rp -
Rp 107,500
Rp 12,500
Rp -
Rp 32,500
Rp 18,750
Rp 2,500
Rp 72,338
Rp 1,102,083
Rp -
Rp 18,315
Rp 42,426
Rp 2,114,445

Rp 34,995
Rp 20,418
Rp 17,188
Rp 17,495
Rp 15,788
Rp 10,333
Rp 11,688
Rp 33,448
Rp -
Rp -
Rp -
Rp 283,099
Rp 307,127
Rp 239,414
Rp 504,608
Rp 86,931
Rp 216,662
Rp 50,725
Rp 57,503
Rp 1,253
Rp 65,868
Rp -
Rp -
Rp 156,206
Rp 13,753
Rp 55,492
Rp 125,205
Rp 98,005
Rp -
Rp 609,925
Rp -
Rp 1,102,083
Rp -
Rp 18,315
Rp 42,426
Rp 4,195,947

Rp 16,150
Rp 6,845
Rp -
Rp 11,908
Rp 10,138
Rp 2,438
Rp 10,728
Rp 5,038
Rp -
Rp -
Rp -
Rp 119,675
Rp 110,750
Rp 20,875
Rp 129,225
Rp -
Rp 196,000
Rp 28,375
Rp 56,250
Rp -
Rp 12,500
Rp -
Rp -
Rp 116,250
Rp 12,500
Rp 900
Rp 69,375
Rp 12,500
Rp -
Rp 73,800
Rp -
Rp 1,102,083
Rp -
Rp 18,315
Rp 42,426
Rp 2,185,042

Rp 79,413
Rp 57,993
Rp 21,063
Rp 44,938
Rp 59,453
Rp 22,313
Rp 31,313
Rp 63,750
Rp -
Rp -
Rp -
Rp 667,729
Rp 387,978
Rp 330,183
Rp 1,494,772
Rp 352,847
Rp 230,297
Rp 231,047
Rp 84,603
Rp 49,589
Rp 211,929
Rp -
Rp 2,000
Rp 236,333
Rp 17,538
Rp 56,666
Rp 210,851
Rp 92,666
Rp -
Rp 794,805
Rp 900
Rp 1,112,333
Rp -
Rp 18,315
Rp 42,426
Rp 7,006,039

Rp 4,850
Rp 5,658
Rp 4,570
Rp 5,950
Rp 4,278
Rp 2,640
Rp 3,250
Rp 2,938
Rp -
Rp -
Rp -
Rp 112,550
Rp 127,650
Rp 31,750
Rp 92,150
Rp -
Rp 194,200
Rp 26,750
Rp 56,250
Rp -
Rp 12,500
Rp -
Rp -
Rp 116,250
Rp 12,500
Rp -
Rp 67,600
Rp 12,500
Rp -
Rp 101,713
Rp 5,025
Rp 1,102,083
Rp -
Rp 18,315
Rp 42,426
Rp 2,166,344

Rp 33,200
Rp 19,675
Rp 3,188
Rp 30,210
Rp 21,253
Rp 9,938
Rp 20,538
Rp 18,813
Rp -
Rp -
Rp -
Rp -
Rp 319,563
Rp 213,242
Rp 119,707
Rp 462,526
Rp 143,404
Rp 197,469
Rp 54,802
Rp 56,250
Rp -
Rp 69,895
Rp -
Rp 1,000
Rp 129,525
Rp 15,969
Rp 17,431
Rp 74,266
Rp 24,531
Rp -
Rp 373,474
Rp 6,425
Rp 1,102,083
Rp -
Rp 18,315
Rp 42,426
Rp 3,599,114

Rp 25,122,780

Rp 25,122,804
Rp 24
YAYASAN PENDIDIKAN GEREJA METHODIST INDONESIA
UNIT RSU METHODIST SUSANNA WESLEY
FORMASI PERHITUNGAN PPh PASAL 21
UNTUK TAHUN PAJAK 2019

NO NPWP NAMA STATUS

DOKTER IGD
1 098838345121000 dr.Yohana Sihite TK/0
2 454190141121000 dr.Julenda Sebayang TK/0
3 491212072121000 dr.Evanita Bangun TK/0
4 098802051121000 dr.Marlina Rajagukguk TK/0
5 dr.Soraya TK/0
6 dr.Ronika TK/0
7 dr.M. Arham TK/0
8 dr. Darliani TK/0
9 dr. Antonius TK/0
11 dr. Tampak TK/0
12 dr. Bintang Sinurat TK/0
12 dr.Shinta Merry TK/0
DOKTER SPESIALIS
13 Dr.Meirina Daulay,SpA TK/0
14 Dr. Erika Panjaitan, M.Ked ( Ped ), Sp.A TK/0
15 098881006121000 Dr.Boynardo Simamora,SpAn K/2
16 251125720124000 Dr. Harris Parhusip,SpPd K/3
17 Dr.Christina,SpPD TK/0
18 441167368124000 Dr.Dewi Puspita Sar,M.Ked(ORL-NHS) TK/0
19 Dr. Ade Sp.P TK/0
20 Dr. M. Afdol Sp.B K/3
21 Dr. Renanta, Sp.OG K/2
22 0596870995124000 Dr.Thomas Silangit,SpPK K/1
23 715601761121000 Prof.Dr.Drg.Sondang Panggabean TK/0
24 Drg. Ponti Romaida Hutapea, Sp.KG TK/0
25 dr.Mutiara .M.S, Sp.JP, FIHA TK/0
26 dr.Wan Tisya,SpKK TK/0
27 dr. Edwin Anto Pakpahan, Sp.P K/3
28 dr. Harry Butarbutar, SpB K/3
29 dr. Laura Octavina Siagian, SpS TK/0
30 drg. Yemima TK/0
31 098780984121000 dr.Leo Simanjuntak,SpOG K/3
32 dr.Maringan T.Lumban Gaol,Sp.PD K/3
PEGAWAI
33 Dr.Henry Simbolon M.Kes K/1
34 Pdt Marsius Samosir K/3
35 Dina Lestari Kudadiri,S.Sos TK/0
36 Inri Siahaan,SE TK/0
GAJI BRUTO PENGHASILAN BIAYA IURAN
GAJI KE-13
12 Bulan BRUTO JABATAN (5%) PENSIUN

Rp 31,260,000 Rp - Rp 31,260,000 12 Rp 1,563,000


Rp 12,000,000 Rp - Rp 12,000,000 12 Rp 600,000
Rp 8,250,000 Rp - Rp 8,250,000 12 Rp 412,500
Rp 9,700,000 Rp - Rp 9,700,000 12 Rp 485,000
Rp 12,550,000 Rp - Rp 12,550,000 12 Rp 627,500
Rp 2,750,000 Rp - Rp 2,750,000 12 Rp 137,500
Rp 8,850,000 Rp - Rp 8,850,000 12 Rp 442,500
Rp 10,650,000 Rp - Rp 10,650,000 12 Rp 532,500
Rp - Rp - Rp - 12 Rp -
Rp - Rp - Rp - 12 Rp -
Rp - Rp - Rp - 12 Rp -
Rp 800,000 Rp - Rp 800,000 12 Rp 40,000

Rp 84,000,000 Rp - Rp 84,000,000 12 Rp 4,200,000


Rp 84,000,000 Rp - Rp 84,000,000 12 Rp 4,200,000
Rp 66,000,000 Rp - Rp 66,000,000 12 Rp 3,300,000
Rp 96,000,000 Rp - Rp 96,000,000 12 Rp 4,800,000
Rp 14,000,000 Rp - Rp 14,000,000 2 Rp 700,000
Rp 109,400,000 Rp 3,500,000 Rp 112,900,000 12 Rp 5,645,000
Rp 63,600,000 Rp - Rp 63,600,000 12 Rp 3,180,000
Rp 90,000,000 Rp - Rp 90,000,000 12 Rp 4,500,000
Rp - Rp - Rp - 12 Rp -
Rp 60,000,000 Rp - Rp 60,000,000 12 Rp 3,000,000
Rp 45,000,000 Rp - Rp 45,000,000 12 Rp 2,250,000
Rp 2,400,000 Rp - Rp 2,400,000 12 Rp 120,000
Rp 84,000,000 Rp - Rp 84,000,000 12 Rp 4,200,000
Rp 60,000,000 Rp - Rp 60,000,000 12 Rp 3,000,000
Rp 60,000,000 Rp - Rp 60,000,000 12 Rp 3,000,000
Rp 84,000,000 Rp - Rp 84,000,000 12 Rp 4,200,000
Rp 60,000,000 Rp - Rp 60,000,000 12 Rp 3,000,000
Rp - Rp - Rp - 12 Rp -
Rp 84,000,000 Rp - Rp 84,000,000 12 Rp 4,200,000
Rp 66,500,000 Rp - Rp 66,500,000 10 Rp 3,325,000
Rp 180,000,000 Rp 15,000,000 Rp 195,000,000 12 Rp 6,000,000
Rp 94,004,424 Rp 7,833,702 Rp 101,838,126 12 Rp 5,091,906
Rp 56,740,740 Rp 4,728,395 Rp 61,469,135 12 Rp 3,073,457
Rp 62,363,328 Rp 5,196,944 Rp 67,560,272 12 Rp 3,378,014
PENGHASILAN PENGHASILAN PPH 21
PTKP PERTAHUN
NETTO (SETAHUN) KENA PAJAK SUDAH SETOR

Rp 29,697,000 Rp 54,000,000 Rp (24,303,000) Rp -


Rp 11,400,000 Rp 54,000,000 Rp (42,600,000) Rp -
Rp 7,837,500 Rp 54,000,000 Rp (46,162,500) Rp -
Rp 9,215,000 Rp 54,000,000 Rp (44,785,000) Rp -
Rp 11,922,500 Rp 54,000,000 Rp (42,077,500) Rp -
Rp 2,612,500 Rp 54,000,000 Rp (51,387,500) Rp -
Rp 8,407,500 Rp 54,000,000 Rp (45,592,500) Rp -
Rp 10,117,500 Rp 54,000,000 Rp (43,882,500) Rp -
Rp - Rp 54,000,000 Rp (54,000,000) Rp -
Rp - Rp 54,000,000 Rp (54,000,000) Rp -
Rp - Rp 54,000,000 Rp (54,000,000) Rp -
Rp 760,000 Rp 54,000,000 Rp (53,240,000) Rp -

Rp 79,800,000 Rp 54,000,000 Rp 25,800,000 Rp 1,290,000


Rp 79,800,000 Rp 54,000,000 Rp 25,800,000 Rp 1,290,000
Rp 62,700,000 Rp 67,500,000 Rp (4,800,000) Rp -
Rp 91,200,000 Rp 72,000,000 Rp 19,200,000 Rp 960,000
Rp 13,300,000 Rp 54,000,000 Rp (40,700,000) Rp -
Rp 107,255,000 Rp 54,000,000 Rp 53,255,000 Rp 2,988,250
Rp 60,420,000 Rp 54,000,000 Rp 6,420,000 Rp 321,000
Rp 85,500,000 Rp 72,000,000 Rp 13,500,000 Rp 675,000
Rp - Rp 67,500,000 Rp (67,500,000) Rp -
Rp 57,000,000 Rp 63,000,000 Rp (6,000,000) Rp -
Rp 42,750,000 Rp 54,000,000 Rp (11,250,000) Rp -
Rp 2,280,000 Rp 54,000,000 Rp (51,720,000) Rp -
Rp 79,800,000 Rp 54,000,000 Rp 25,800,000 Rp 1,290,000
Rp 57,000,000 Rp 54,000,000 Rp 3,000,000 Rp 150,000
Rp 57,000,000 Rp 72,000,000 Rp (15,000,000) Rp -
Rp 79,800,000 Rp 72,000,000 Rp 7,800,000 Rp 390,000
Rp 57,000,000 Rp 54,000,000 Rp 3,000,000 Rp 150,000
Rp - Rp 54,000,000 Rp (54,000,000) Rp -
Rp 79,800,000 Rp 72,000,000 Rp 7,800,000 Rp 390,000
Rp 63,175,000 Rp 72,000,000 Rp (8,825,000) Rp -
Rp 189,000,000 Rp 67,500,000 Rp 121,500,000 Rp 13,225,000
Rp 96,746,220 Rp 72,000,000 Rp 24,746,220 Rp 1,237,311
Rp 58,395,678 Rp 54,000,000 Rp 4,395,678 Rp 219,784
Rp 64,182,258 Rp 54,000,000 Rp 10,182,258 Rp 509,113
SELISIH
PERBULAN
LEBIH/KURANG

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 107,500
Rp 107,500
Rp -
Rp 80,000
Rp -
Rp 249,021 KURANG BAYAR KRN THR,CEK BLN 12 NANTI
Rp 26,750
Rp 56,250
Rp -
Rp -
Rp -
Rp -
Rp 107,500
Rp 12,500
Rp -
Rp 32,500
Rp 12,500
Rp -
Rp 32,500
Rp -
Rp 1,102,083
Rp 103,109
Rp 18,315
Rp 42,426
REKAPITULASI PEMOTO
RSU METHOD
BULAN : JAN

TANGGAL NO BKK
16/1/2019 000054
31/1/2019 000133
31/1/2019 000134
31/1/2019 000138
31/1/2019 000139

28/2/2019 000273
28/2/2019 000274
28/2/2019 000275
28/2/2019 000276
28/2/2019 000277
28/2/2019 000278
28/2/2019 000289

8/3/2019 000326

10/4/2019 000483
30/4/2019 000557
30/4/2019 000557
30/4/2019 000561
30/4/2019 000562
30/4/2019 000583

10/5/2019 000624
10/5/2019 000626
10/5/2019 000627
10/5/2019 000627
10/5/2019 000628
27/5/2019 000691
27/5/2019 000692
27/5/2019 000692

27/6/2019 000852
27/6/2019 000852
27/6/2019 000853
27/6/2019 000854
27/6/2019 000855
27/6/2019 000857
7/7/2019 000915
7/7/2019 000916
24/7/2019 000983
24/7/2019 000984
24/7/2019 000985
24/7/2019 000986
24/7/2019 000987
24/7/2019 000988
24/7/2019 000989
26/7/2019 000999
REKAPITULASI PEMOTONGAN DAN PENYETORAN PPH 23
RSU METHODIST SUSANNA WESLEY
BULAN : JANUARY S/D JULI 2019

KETERANGAN
PPH 23 atas jasa pembuatan Ground Listrik Gedung A RSU Msw
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Security (19 Desember - 19 Januari 2019)
PPH 23 atas Jasa Perbaikan Mobil Ambulance L 300 BK 1038 EE
PPH 23 perbaikan 2 unit monitor ICU , penggantian spare part kabel flexibel icd,adaptor universal, ic Regulator in/out charger, kapasitor 400V 150 Af, ic LM7
PPH 23 atas jasa Out Sourching PT. Tritan Sologo Semesta utk Cleaning Service (16 Desember - 15 Januari 2019)

PPH 23 atas jasa Out Sourching PT. Tritan Sologo Semesta utk Cleaning Service ( 15 Januari - 16 Februari 2019)
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Security (19 Januari - 19 Februari 2019)
PPH 23 Atas Jasa perbaikan panel Listrik Gedung A RSU MSW
PPH 23 atas Jasa pembuatan pintu kaca untuk di Ruang VK
PPH 23 atas Jasa Las Body/Keropos (karat) dan Cat Body Kupas, Dempul Mobil Ambulance BK 1612GH
PPH 23 atas jasa service AC di RSU MSW (terlampir)
PPH 23 atas jasa pemasangan power steering, Amper minyak, tempah kunci, dan perbaikan Wayar Mobil Ambulance

PPH 23 Atas Jasa pemasangan Lampu jalan sebanyak 8 titik dari Gedung A ke Gedung B

PPH 23 Atas jasa service AC Pengantian busa pipa AC, Penggantian Kapasitor di RSU MSW (terlampir)
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Cleaning Service ( 15 Februari - 16 Maret 2019)
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Security ( 15 Februari - 16 Maret 2019)
PPH 23 Biaya pembuatan rak besi poli jantung dan tiang gorden R.Isolasi
PPH 23 biaya pembuatan Grounded diatas gedung mesin genset
PPH 23 pemasangan sekat kaca ruang poli jantung (treadmill) dan sekat kaca ruang Mikrobiologi (tempat pengambila

PPH 23 atas jasa perbaikan sarana dan prasarana RSU Methodist Susanna Wesley
PPH 23 atas jasa perbaikan sarana dan prasarana RSU Methodist Susanna Wesley
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Security ( 15 Maret - 16 April 2019)
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Cleaning Service ( 15 Maret - 16 April 2019)
PPH 23 atas jasa pemasangan 1 unit AC 1 1/2 merk Hitachi di Ruang Direktur
PPH 23 atas jasa service berkala mobil Ambulance BK 1038 EE
PPH 23 atas jasa pemasangan kaca film sanblas / buram di R.Dokter, R.menyusui dan R. Ester 3
PPH 23 atas jasa pemasangan partisi kaca pintu buka 2 + kaca mati atas pintu di R.Susanna dan Wesley

PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Security ( 18 April - 18 Mei 2019)
PPH 23 atas jasa Out Sourching PT. Guna Cipta Prima utk Cleaning Service ( 16 April - 15 Mei 2019)
PPH 23 atas jasa perbaikan TV (Gudang)
PPH 23 atas jasa Bongkar pasang AC dari R.Bag Umum ke R.Ponek
PPH 23 atas jasa perbaikan arah cerobong asap genset dan pembuatan dudukan tangki minyak genset
PPH 23 atas jasa bongkar pasang dan service AC (Terlampir)
PPH 23 atas jasa Pengerjaan pembuatan IPAL RSU MSW
PPH 23 atas jasa pembuatan sekat beton di Ruang Gizi
PPH 23 atas jasa tukang selama 4 hari untuk pengerjaan R.Gizi dan pembuatan Jalan menuju R.Oksigen
PPH 23 atas Jasa tukang selama 4 hari untuk Pengerjaan Pembuatan Lantai cuci tangan di sebelah R.Dekomentamina
PPH 23 atas Jasa pemasangan pintu kaca R.Dekontaminasi dan R.Server + pemasangan stiker Sanblas
PPH 23 atas jasa perbaikan pintu dan pemasangan kunci baru R.Forensik dan Gedung B (Pintu Utama)
PPH 23 atas jasa perbaikan Panel Listrik Gedung A
PPH 23 atas jasa biaya bongkar pasang AC dari R.Dokter IGD ke R.Server
PPH 23 atas jasa pembuatan pagar besi pembatas ke R.Pengambilan Sputum dan Pembuatan rak Treadmill Poli Jantu
PPH 23 atas jasa service mobil Ambulance BK 1038 EE

Total Keseluruhan
PPH 23 KET
Rp 50,000 Tidak ada NPWP
Rp 250,000
Rp 1,000 Tidak ada NPWP
Rp 10,000 Tidak ada NPWP
Rp 12,000

Rp 12,000
Rp 250,000
Rp 12,500 Tidak ada NPWP
Rp 28,750 Tidak ada NPWP
Rp 190,000 868784604121000/Rusli
Rp 50,000 NPWP ?
Rp 5,000 NPWP ?

Rp 20,000 Tidak ada NPWP

Rp 6,250 Tidak ada NPWP


Rp 200,000
Rp 308,065
Rp 3,750 Tidak ada NPWP
Rp 15,000 Tidak ada NPWP
Rp 65,000 Tidak ada NPWP

Rp 10,000 Tidak ada NPWP


Rp 8,750 Tidak ada NPWP
Rp 350,000
Rp 200,000
Rp 11,875 Tidak ada NPWP
Rp 9,000 NPWP ?
Rp 13,750 Tidak ada NPWP
Rp 27,500 Tidak ada NPWP

Rp 350,000
Rp 200,000
Rp 20,500 Tidak ada NPWP
Rp 12,500 Tidak ada NPWP
Rp 18,750 Tidak ada NPWP
Rp 66,000 Tidak ada NPWP
Rp 12,500 Tidak ada NPWP
Rp 12,500 Tidak ada NPWP
Rp 40,000 Tidak ada NPWP
Rp 42,500 Tidak ada NPWP
Rp 17,500 Tidak ada NPWP
Rp 25,000 Tidak ada NPWP
Rp 100,000 Tidak ada NPWP
Rp 6,250 Tidak ada NPWP
Rp 20,000 Tidak ada NPWP
Rp 8,750 Tidak ada NPWP

Rp 3,072,940

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