Perawatan
TANDA TERIMA PEMBAYARAN JASA RAWAT INAP
PUSKESMAS PERAWATAN BERINGIN RAYA BULAN FEBRUARI s/d JUNI 2016
No Nama NIP Gol Jabatan Jumlah Shif Jasa/Shif Jumlah Uang Pph Ps. 21 Jumlah Terima Tanda Tangan
(P+S+M) (5%)
1 dr. FITRI DESIMILANI 19821223 201001 2 018 III/c Dokter 164 Rp 150,000 Rp 24,600,000 Rp 1,230,000 Rp 23,370,000 1.
2 dr. ARIF FEBRIANTO - - Dokter 67 Rp 150,000 Rp 10,050,000 0 Rp 10,050,000
3 dr.LIBERTY - - Dokter 97 Rp 150,000 Rp 14,550,000 0 Rp 14,550,000 3
4 BERLIANA. S 19620607 199001 2 001 III/d Staf 164 Rp 75,000 Rp 12,300,000 Rp 615,000 Rp 11,685,000
5 EKA SUSIDARAYANI, S.Kep 19800730 200312 2 009 III/c Staf 164 Rp 75,000 Rp 12,300,000 Rp 615,000 Rp 11,685,000 5
6 KOMARIYAH, Amd. Keb 19770706 200701 2 021 II/d Staf 164 Rp 75,000 Rp 12,300,000 0 Rp 12,300,000
7 NETI HERAWATI, S.Kep 19810223 200312 2 004 III/b Staf 164 Rp 75,000 Rp 12,300,000 Rp 615,000 Rp 11,685,000 7
8 LENI HALIZA K., Amd. Kep 19840124 201001 2 012 II/d Staf 164 Rp 75,000 Rp 12,300,000 0 Rp 12,300,000
9 ARMAINIS 19760526 200701 2 006 II/a Staf 164 Rp 75,000 Rp 12,300,000 0 Rp 12,300,000 9
1312 Rp 123,000,000 Rp 3,075,000 Rp 119,925,000
Herwan Antoni, SKM,m.Kes,M.Si dr.HJ. Dessy Noermadhaningsih Hj. Meldavani, SKM dr. Fitri Desimilani
NIP: 197310081997021001 NIP: 196812012000122003 NIP: 197412121996022002 NIP: 19821223 201001 2 018
Tanda Tangan
2.