Anda di halaman 1dari 21

DAFTAR PERHITUNGAN UANG MAKAN

DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan


Bulan Desember 2019

4 BULAN

NO NAMA NIP GOL Kehadiran Jumlah TANDA TANGAN


Tarif Uang Jumlah kotor PPh 21
Bersih
hari kerja Makan (5 x 6) (5% 15%)
(7 - 8)

1 2 3 4 5 6 7 8 9 10

1 dr. H. Bahrun Siregar Sutrisno, M.Kes 196406022002121005 IV 11 20,000 220,000 33,000 187,000 1

2 Zaitun, S.Si,Apt 197901052005012013 IV 14 20,000 280,000 42,000 238,000 2

3 Desta Noviar,SKM 197611152005011005 IV 13 20,000 260,000 39,000 221,000 3

4 dr. Lismayoni 198011102009032001 III 5 20,000 100,000 5,000 95,000 4

5 Zulyan, SKM 198204022005011009 III 5 20,000 100,000 5,000 95,000 5

6 Fera Hasnita, SKM, MKM 198308052005012008 III 12 20,000 240,000 12,000 228,000 6

7 Yumiga 196507011991012001 III 11 20,000 220,000 11,000 209,000 7

8 Deka Oktovida, S.Kep 198110152005012013 III 7 20,000 140,000 7,000 133,000 8

9 Ain Anggara, SKM 198111132006041006 III 20 20,000 400,000 20,000 380,000 9

10 Nila Kusumah R, SKM 198307212006042023 III 6 20,000 120,000 6,000 114,000 10

11 Ika Mustika, SKM 198004132005012012 III 20 20,000 400,000 20,000 380,000 11

12 Eka Swardini, SKM 198207232005012010 III 13 20,000 260,000 13,000 247,000 12

13 Fitri Yunita, SKM 198506232009032001 III 15 20,000 300,000 15,000 285,000 13

14 Ari liendy racmawati, SKM 198401302009032002 III 14 20,000 280,000 14,000 266,000 14

15 Irma Handayani, SKM 19820704 201001 2006 III 10 20,000 200,000 10,000 190,000 15

16 Masturawati, SKM 198608222010012004 III 12 20,000 240,000 12,000 228,000 16

17 Mahfudz, S. Far. Apt 198102052010011004 III 17 20,000 340,000 17,000 323,000 17

18 Zaitun, SKM 198508162006042003 III 10 20,000 200,000 10,000 190,000 18

19 Rikhi Hermanto, SKM 198210032005011004 III 16 20,000 320,000 16,000 304,000 19

20 Yurnani, SKM 198506032006042003 III 17 20,000 340,000 17,000 323,000 20

21 Irmawati, S.Farm.Apt 198808252014022001 III 11 20,000 220,000 11,000 209,000 21

22 Oktosen Nababan 196310191983121000 III 20 20,000 400,000 20,000 380,000 22

23 Desilinasari, S.Kep 198312232010012008 III 13 20,000 260,000 13,000 247,000 23

24 Belsasar Sitanggang, SKM 197909092006041007 III 13 20,000 260,000 13,000 247,000 24

25 Sunarno 196610091989031007 III 8 20,000 160,000 8,000 152,000 25


4 BULAN

NO NAMA NIP GOL Kehadiran Jumlah TANDA TANGAN


Tarif Uang Jumlah kotor PPh 21
Bersih
hari kerja Makan (5 x 6) (5% 15%)
(7 - 8)

1 2 3 4 5 6 7 8 9 10

26 Suci Eko Aryani, SST 198311102006042013 III 12 20,000 240,000 12,000 228,000 26

27 Mulyana Fitri, SKM 198307112005012003 III 5 20,000 100,000 5,000 95,000 27

28 Oktaviani Simatupang, AMK 197610242006042002 III 11 20,000 220,000 11,000 209,000 28

29 Sri Rahayu, AMAF 198210262006042011 III 18 20,000 360,000 18,000 342,000 29

30 Romadona, SST 198406222009031002 III 18 20,000 360,000 18,000 342,000 30

31 Rachma Diana. AMF 198804252010012011 III - - - - - 31Tubel

32 Seri Wahyuni, AMF 198306122009032004 III 11 20,000 220,000 11,000 209,000 32

33 Lora Ovilya 198607122009032001 III 16 20,000 320,000 16,000 304,000 33

34 Romaydi saputra, AMKL 198705172010011004 III 17 20,000 340,000 17,000 323,000 34

35 Endang Lestari, A.Md 198307012010012010 III 16 20,000 320,000 16,000 304,000 35

36 Nurhasanah, A. Md 198403142009042000 III 16 20,000 320,000 16,000 304,000 36

37 Tantri Apriyani, A.Md 198604292010012010 III 15 20,000 300,000 15,000 285,000 37

38 Priyani 198602232006012001 III 15 20,000 300,000 15,000 285,000 38

39 Sri Ngatiningsih 198305082006042008 III 18 20,000 360,000 18,000 342,000 39

40 Melanie Rachma Astria, AMAK 198805112010012006 III 16 20,000 320,000 16,000 304,000 40

41 Lisa Dwi Damayanti S, AMF 198808282010012006 II 16 20,000 320,000 - 320,000 41

42 Lindani,A.Md 197906042012122005 II 16 20,000 320,000 - 320,000 42

43 Ira Wibowo,SKM 198608172006042001 III 16 20,000 320,000 64,000 256,000 43

44 Irlina, A.Mk 198412062011012002 II 18 20,000 360,000 - 360,000 44

45 Desima Indra Saputra, A.Md.Kep 198912032011011001 II - - - - - 45

46 Yemie Fitriani, AMTE 199006012014022003 II 17 20,000 340,000 - 340,000 46

47 Dimas mahardika anugrahing G.AMTE 199002072014021003 II 20 20,000 400,000 - 400,000 47

48 Eko Siswanto 198411102006041006 II 14 20,000 280,000 - 280,000 48

49 Marlini, S.Kep 198209212010012011 III 7 20,000 140,000 7,000 133,000 49

50 Dwi Hanapi, SE 198512082010012014 III 16 20,000 320,000 16,000 304,000 50

51 Septa dora 198809032011012004 III 15 20,000 300,000 15,000 285,000 51

52 Agustina 198708242010012000 III 15 20,000 300,000 15,000 285,000 52

Total 687 1,000,000 13,740,000 710,000 13,030,000


Terbilang : (Tiga Belas Juta Tujuh Ratus Empat Puluh Rupiah)
NOTE : - Ira Wibowo Naik golongan III per Oktober 2019

KOBA , 2020
MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPTD Puskesmas Koba


Bulan Desember 2019

1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 drg. Eva Fidia Lestari 198009222012122002 III 15 20,000 300,000 15,000 285,000 1

2 Royana, SKM 198106152005012009 III 12 20,000 240,000 12,000 228,000 2

3 dr. Syamsul Bahri 197105102006041005 III 18 20,000 360,000 18,000 342,000 3

4 dr. Kevin Sulay Wijaya 198411242011011003 III - - - - 4 TUBEL

5 dr. Itha faulina siahaan 198809052014022001 III 17 20,000 340,000 17,000 323,000 5

6 Muhammad Fikri, S.Farm, Apt 198902082014021001 III 15 20,000 300,000 15,000 285,000 6

7 Heni Puspita Dewi, SKM 198208192010012009 III 17 20,000 340,000 17,000 323,000 7

8 Jum'at 196902211990031005 III 12 20,000 240,000 12,000 228,000 8

9 Nety Herawaty 197203111995022001 III 15 20,000 300,000 15,000 285,000 9

10 Rahmawati, AMG 198204152005012011 III 18 20,000 360,000 18,000 342,000 10

11 Lis Yuniarti, AMKL 198102242010012006 III 10 20,000 200,000 10,000 190,000 11

12 Tuty Kurniawati, Amd.AK 198501162010012007 III 14 20,000 280,000 14,000 266,000 12

13 Ratna jamilah 198101092005012005 III 12 20,000 240,000 12,000 228,000 13

14 Retna Drita, AmdKep 198409302010012009 III 19 20,000 380,000 19,000 361,000 14

15 Siti Zubaidah , AmdKep 198703122010012008 III 15 20,000 300,000 15,000 285,000 15

16 Rahmawati Nur J, Amkep 197809072010012006 III - - - - 16 Tubel

17 Erni, AM.Kep 198306152010012007 III 12 20,000 240,000 12,000 228,000 17

18 Ns.Yeni Aggraini Vibiola, AmdKep 198709262010012002 III 11 20,000 220,000 11,000 209,000 18

19 Rina, SKM 197810052005012012 III 3 20,000 60,000 3,000 57,000 19


1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

20 Arila, AmKep 198203202009032002 III 15 20,000 300,000 15,000 285,000 20

21 Mamik Sumariana, Amd 198105232006042007 III 12 20,000 240,000 12,000 228,000 21

22 Nuka Putra Jaya, Amd.Kg 198210102011011003 III 18 20,000 360,000 18,000 342,000 22

23 Heny Nanik Supriyanti, A.md.Keb 197802032011012003 III 19 20,000 380,000 19,000 361,000 23

24 Serli, AmKep 198310082009032004 III 15 20,000 300,000 15,000 285,000 24

25 Juminarsih, AmKeb 198610312010012006 III 19 20,000 380,000 19,000 361,000 25

26 Suniarti 197501152005012002 III 9 20,000 180,000 9,000 171,000 26

27 Mery Suzanna, AmKeb 198403292010012015 III 20 20,000 400,000 20,000 380,000 27

28 Prajna Paramita, AmdKeb 198803282010012000 III - - - - - 28 Tubel

29 Desi Liana Adharainy 197412232005012007 III 15 20,000 300,000 15,000 285,000 29

30 Sri Dewi Handayani, AmKeb 198502072009032002 III 14 20,000 280,000 14,000 266,000 30

31 Bella Belinda, Amd.Keb 198805122010012001 III 20 20,000 400,000 20,000 380,000 31

32 Rion Ari Sandi, AmKep 198801182010011002 II 18 20,000 360,000 - 360,000 32

33 Agustian Saputra 198508162011012003 II 20 20,000 400,000 - 400,000 33

34 Sumaini, A.Md 198110102008042001 II 15 20,000 300,000 - 300,000 34

35 Bambang Haryadi 197906172005011008 III 16 20,000 320,000 16,000 304,000 35

36 Karnita, AmKeb 198802222010012005 III 18 20,000 360,000 18,000 342,000 36

37 Retno Rahayu, A.Md.Kep 198711262012122001 III 19 20,000 380,000 19,000 361,000 37

38 Sri Rahayu, Am.Keb 198907232011012003 III 15 20,000 300,000 15,000 285,000 38

39 Deka Ramita N, A.Md.Keb 198806102014022000 II 20 20,000 400,000 - 400,000 39

40 Julia Wahdini, Amd.Keb 198407212017042000 II 20 20,000 400,000 - 400,000 40

41 Indri Rizky,SKM 199107092019021002 III 19 20,000 380,000 19,000 361,000 41

42 Liswarni,A.Md.Keb 198810242019022002 II 20 20,000 400,000 - 400,000 42

Total 611 780,000 12,220,000 498,000 11,722,000

Terbilang : ( Dua Belas Juta Dua Ratus Dua Puluh Ribu Rupiah)

Catatan :

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Benteng


Bulan Desember 2019

1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 dr. Dianing Kiswari 198401102009032002 IV 7 20,000 140,000 21,000 119,000 1

2 dr. Tri Dewi Astuti 198206302014022000 III 12 20,000 240,000 12,000 228,000 2

3 dr. Cynthia Septivianti 198709092014022002 III 16 20,000 320,000 16,000 304,000 3

4 Dinda Andarini, S.Farm, Apt 199001092014022000 III - - - - - 4 Cuti

5 Dear lestari, AMF 198312032010012007 III 20 20,000 400,000 20,000 380,000 5

6 Martha kristina, SKM 198606092010012008 III 9 20,000 180,000 9,000 171,000 6

7 Yeni Aprilia 198404252006042007 III 17 20,000 340,000 17,000 323,000 7

8 Elda Mareta, AMG 198703092010012005 III 17 20,000 340,000 17,000 323,000 8

9 Novi Anggeraini, SKM 198109242006042005 III 14 20,000 280,000 14,000 266,000 9

10 Ali Kosim 196412041991031006 III 18 20,000 360,000 18,000 342,000 10

11 Bejo Ignatius 196209241987031005 III 14 20,000 280,000 14,000 266,000 11

12 Bahrozi 196308061988011003 III 19 20,000 380,000 19,000 361,000 12

13 Suyanto 196505261987061002 III 9 20,000 180,000 9,000 171,000 13

14 Sulasti, SKM 198406262006042007 III 15 20,000 300,000 15,000 285,000 14

15 Widiyah Pratiwi, AmdKep 198609192011012003 III - - - - - 15 titipan

16 Yustari Novelien, Amkep 198311222010012007 III - - - - - 16 Titipan

17 Elfa Yusnita 197512112003122001 III 15 20,000 300,000 15,000 285,000 17

18 Yustina, AmKep 197610072006042015 III 15 20,000 300,000 15,000 285,000 18

19 Ristiawati, AmKep 198103192006042007 III - - - - - 19 Cuti

20 Yulianti, AmKep 197811112006042014 III 14 20,000 280,000 14,000 266,000 20

21 Nurita Utami AZ 198708012006042001 III 18 20,000 360,000 18,000 342,000 21

22 Maulina, AmdKep 198711042011012004 III 19 20,000 380,000 19,000 361,000 22

23 Henni Astuti, A.Md.Kep 198705012009032003 III 14 20,000 280,000 14,000 266,000 23

24 Eva Henisari, SKM 197806032000032001 III 20 20,000 400,000 20,000 380,000 24

25 Liliwati, S, Amd.Kg 198807052011012006 III 14 20,000 280,000 14,000 266,000 25


1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

26 Parmin P Sidabarida, AmKeb 197809022009032002 III 13 20,000 260,000 13,000 247,000 26

27 Media Gusvita, Amkeb 198808102010012005 III 15 20,000 300,000 15,000 285,000 27

28 Muliati, Amkeb 198209102010012012 III 15 20,000 300,000 15,000 285,000 28

29 Erlinda, AmKeb 197712072006042017 III 12 20,000 240,000 12,000 228,000 29

30 Siti Mudrikah 197703152003122004 III 8 20,000 160,000 8,000 152,000 30

31 Merta Sunarti 198605282011012006 III 19 20,000 380,000 19,000 361,000 31

32 Kasdamiyati 197601092006042013 III 20 20,000 400,000 20,000 380,000 32

33 Hilda Anggriani, Amf 198104252010012006 II 20 20,000 400,000 - 400,000 33

34 Netty, Amd 198503222009032003 II 5 20,000 100,000 - 100,000 34

35 Sulaiha 198001192006042005 II 2 20,000 40,000 - 40,000 35

36 Witri Andayani 198005122005012017 III 17 20,000 340,000 17,000 323,000 36

37 Noviarini 198409232005012002 III 15 20,000 300,000 15,000 285,000 37

38 Nurhidayah 198501082006042008 III 16 20,000 320,000 16,000 304,000 38

39 Ria Novita 197408112006042004 III 20 20,000 400,000 20,000 380,000 39

40 Siska Novalia 198312192008042000 II 15 20,000 300,000 - 300,000 40

41 Lezy Yudesvita, AMKG 198702282014022001 II 17 20,000 340,000 - 340,000 41

42 Tri Indah Riyani 198407152007042006 II 20 20,000 400,000 - 400,000 42

43 Yayuk Sriwahyuni 197803132005012014 III 20 20,000 400,000 20,000 380,000 43

44 drg.Mardiyah 199107102019022007 III 18 20,000 360,000 18,000 342,000 44

45 dr.Wedelia Sadina Putri 199112052019022004 III 19 20,000 380,000 19,000 361,000 45

Total 622 820,000 12,440,000 557,000 11,883,000


Terbilang : (Dua Belas Juta Empat Ratus Empat Puluh Ribu Rupiah)

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Lampur


Bulan Desember 2019

1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 Syamsu Rizal, SKM 196210221987031008 III 12 20,000 240,000 12,000 228,000 1

2 dr. Nur Muhammad Darussalam 198312062011011001 III 10 20,000 200,000 10,000 190,000 2

3 Hoirul mustakim, S.Farm, Apt 198907272014021001 III 14 20,000 280,000 14,000 266,000 3

4 Slamet Sunaryo, S.Gz 198909062014021002 III 15 20,000 300,000 15,000 285,000 4

5 Budiyanto 197301011995031001 III 18 20,000 360,000 18,000 342,000 5

6 Jonson Simarmata, SKM 197504302009031001 III 14 20,000 280,000 14,000 266,000 6

7 Petrus Duha 196312301991031008 III 16 20,000 320,000 16,000 304,000 7

8 Kiki Indrayanti, AmdKep 198803182011012002 III 10 20,000 200,000 10,000 190,000 8

9 Sri Rahayu 196601081994032003 III 17 20,000 340,000 17,000 323,000 9

10 Desti Amalia Sari, AmKep 198812282010012004 III 20 20,000 400,000 20,000 380,000 10

11 Hilda Rapiana, AmKeb 198612262010012009 III 20 20,000 400,000 20,000 380,000 11

12 Hatima, AmdKeb 198606152011012002 III 12 20,000 240,000 12,000 228,000 12

13 Lidya 198406222006042004 III 9 20,000 180,000 9,000 171,000 13

14 Nunik Sulastri 197808252006042023 III 10 20,000 200,000 10,000 190,000 14

15 Suryanti, Amd.Keb 197612272005012006 III 16 20,000 320,000 16,000 304,000 15

16 Rahmatiya, AMKL 199107302014022002 II 19 20,000 380,000 - 380,000 16

17 Pratiwi Tri Saputri AmKep 198704012010012005 III - - - - - 17Titipan

18 Sri rahmawati 197605172006042005 II - - - - - 18 tubel

19 Devi puspa pratama, AMAK 198908182014022003 II 16 20,000 320,000 - 320,000 19

20 Kadeska Sri Purnama, Amd 198503052009032006 II 18 20,000 360,000 - 360,000 20


1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

21 Indra Martalesi, AMKG 199103092014021001 II 13 20,000 260,000 - 260,000 21

22 dr.Zulfikar Noor Nalendra 199209012019021003 III 19 20,000 380,000 19,000 361,000 22

23 drg.Eko Susanto '199001142019021002 III 14 20,000 280,000 14,000 266,000 23

24 Angga Prawira Kusuma,SKM 198603072019021002 III 19 20,000 380,000 19,000 361,000 24

25 Elinda Dwi L,A.Md.Farm '199302032019022012 II 20 20,000 400,000 - 400,000 25

26 Nadori 198405052006041014 III 20 20,000 400,000 20,000 380,000 26

27 Anggeriyani 198802042009032001 II 9 20,000 180,000 - 180,000 27

28 Sukmawati Yulyana, Amd.kep 199102262014022002 II 8 20,000 160,000 - 160,000 28

29 Elita 197605072006042024 III 20 20,000 400,000 20,000 380,000 29

Total 408 540,000 8,160,000 305,000 7,855,000


Terbilang : (Delapan Juta Seratus Enam Puluh Ribu Rupiah)

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Simpangkatis


Bulan Desember 2019

1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 dr. Syafril Syah Hasibuan 197604242010011008 III 11 20,000 220,000 11,000 209,000 1

2 dr. Neneng Erna Lestari 198008152011012002 III 11 20,000 220,000 11,000 209,000 2

3 dr. Dwi Gustiarini 198208032008042001 III - - - - - 3 Tubel

4 drg. Ihmad Hidayat 198212242014021002 III 16 20,000 320,000 16,000 304,000 4

5 Komariah, S.Farm, Apt 198808252014022002 III 15 20,000 300,000 15,000 285,000 5

6 Welistiani, AMKL 198803032010012002 III 20 20,000 400,000 20,000 380,000 6

7 Karina Tri Andini, Amg 198810252011012005 III 20 20,000 400,000 20,000 380,000 7

8 Teriyanti, AMF 198808272011012002 III 1 20,000 20,000 1,000 19,000 8

9 Linda Ika Sari, Amd.Kep 198809032010012005 III 12 20,000 240,000 12,000 228,000 9

10 Romli 196301041990031005 III 15 20,000 300,000 15,000 285,000 10

11 Puji Astuti, AmdKep 198604102009032000 III 16 20,000 320,000 16,000 304,000 11

12 Tin Moralia, AMdKep 198708072011012010 III 15 20,000 300,000 15,000 285,000 12

13 Rendi Julian, AmKep 198607172009031001 III 17 20,000 340,000 17,000 323,000 13

14 Ipa Parida, SST 198601182009032002 III 17 20,000 340,000 17,000 323,000 14

15 Ita mayasari, Amd.Kep 198902152010012002 III 9 20,000 180,000 9,000 171,000 15

16 Winda, AmKep 198806102010012004 III 17 20,000 340,000 17,000 323,000 16

17 Fauziah, A.Mkep 198307102006042012 III 18 20,000 360,000 18,000 342,000 17

18 dr.Yoan Aprini Esdaria Lubis 199204092019022006 III 13 20,000 260,000 13,000 247,000 18

19 Aprillya, AmdKep 198804082011012005 III 7 20,000 140,000 7,000 133,000 19

20 Tumiar sitanggang 196406261986032003 III 18 20,000 360,000 18,000 342,000 20

21 Maryati, Amd 197905112006042020 III 14 20,000 280,000 14,000 266,000 21

22 Ovi Kurniati, Amd.Keb 198711152011012004 III 20 20,000 400,000 20,000 380,000 22

23 Zuniar 197610032005012000 III 14 20,000 280,000 14,000 266,000 23

24 Sukatno 198003122009031001 III 15 20,000 300,000 15,000 285,000 24

25 Tri Heryetti, AmKep 198012092009032001 III 20 20,000 400,000 20,000 380,000 25


1 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

26 Sri Megawati, AmKeb 198707242010012005 III 20 20,000 400,000 20,000 380,000 26

27 Vera Adriani, AmKeb 198308232010012002 III 20 20,000 400,000 20,000 380,000 27

28 Ludiawati 197410262005012005 III 19 20,000 380,000 19,000 361,000 28

29 Sulastri 197705232005012010 III 20 20,000 400,000 20,000 380,000 29

30 Rusmelly 197707062005012018 III 19 20,000 380,000 19,000 361,000 30

31 Meliati 197912012005012007 III 19 20,000 380,000 19,000 361,000 31

32 Jarmayanti, AmdKeb 198711022011012005 III - - - - - 32

33 Nelly Mariance Simaremare, 198305162011012004 III 17 20,000 340,000 17,000 323,000 33

34 Yetti Dwi Apriliza 197704282003122005 III 18 20,000 360,000 18,000 342,000 34

35 Gita Oktaria Cristien, Amd.Ke 198510142008042001 III 16 20,000 320,000 16,000 304,000 35

36 Nurhayati 198604082006042003 III 7 20,000 140,000 7,000 133,000 36

37 Irma ningsih 198005072007012023 II 20 20,000 400,000 - 400,000 37

38 Marlena,A.Md.Kep 197709232012122001 III 15 20,000 300,000 15,000 285,000 38

39 Dewi Supriatmi 197407172006042013 III 20 20,000 400,000 20,000 380,000 39

40 Rini Widiarti 197303112006042013 III 19 20,000 380,000 19,000 361,000 40

41 Rista,SKM 198811062019022003 III 20 20,000 400,000 20,000 380,000 41

42 Suprendi,SKM 199305172019021005 III 19 20,000 380,000 19,000 361,000 42

43 Nia Afrillia, AMAK 199204232014022001 II 12 20,000 240,000 - 240,000 43

44 Esti Purnamasari 199003242009032000 II 14 20,000 280,000 - 280,000 44

Total 665 840,000 13,300,000 619,000 12,681,000

Terbilang : (Tiga Belas Juta Tiga Ratus Ribu Rupiah)

Catatatn :

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Pangkalanbaru


Bulan Desember 2019

4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 dr. Fajar sekti reliyana 198304092009032002 III - - - - - 1 Tubel

2 dr. Puji Susanto 197410162005011004 III 9 20,000 180,000 9,000 171,000 2

3 dr. Tri Melliani Silfanti 197905182009032001 III 16 20,000 320,000 16,000 304,000 3

4 dr. Maria Angelbertha 197110272006042017 III - - - - - 4 titipkan

5 dr. Indah Kencana 198907192014022003 III - - - - - 5 Tubel

6 drg. Ade Raesya Yulia Putri 198507292012122001 III - - - - - 6 Cuti

7 dr. Afni Azizah 197903122014022000 III 14 20,000 280,000 14,000 266,000 7

8 Isna Munawaroh, S.Far, Apt 198707312014022001 III 15 20,000 300,000 15,000 285,000 8

9 Nurhartati 196704121988032007 III 20 20,000 400,000 20,000 380,000 9

10 Heny, SKM 198110222010012009 III 13 20,000 260,000 13,000 247,000 10

11 Lystramika Mangunsong, SST 198601262010012010 III 17 20,000 340,000 17,000 323,000 11

12 Rezie Utami 198008282006042010 III 13 20,000 260,000 13,000 247,000 12

13 Siti Jamilah 196803251993032004 III 17 20,000 340,000 17,000 323,000 13

14 Meilan Kurnia, AMKL 197805072010012004 III 15 20,000 300,000 15,000 285,000 14

15 Annisa Pratami, AMKL 198804162010012005 III 16 20,000 320,000 16,000 304,000 15

16 Reni Novitasari, AMAK 198811042010012005 III 11 20,000 220,000 11,000 209,000 16

17 Nur Azizah, A.Md.Kep 198904102011012004 III 17 20,000 340,000 17,000 323,000 17

18 Waode Pita 199209102019022006 II 17 20,000 340,000 - 340,000 18

19 Sri Susanti 196805021989112001 III 16 20,000 320,000 16,000 304,000 19

20 Herianti 197303151998032005 III 13 20,000 260,000 13,000 247,000 20

21 Rosida Silitonga 196611111994022002 III 11 20,000 220,000 11,000 209,000 21

22 Dewi Purwani 197811242003121003 III 14 20,000 280,000 14,000 266,000 22

23 Dewi Umbara 197902212006042008 III 10 20,000 200,000 10,000 190,000 23

24 Devy Yusnita, AmKep 198601062010012005 III 12 20,000 240,000 12,000 228,000 24


4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

25 Rusnawati 196308291988012001 III 18 20,000 360,000 18,000 342,000 25

26 Hafizoh, Amd 198012082006042010 III 19 20,000 380,000 19,000 361,000 26

27 Indrawati 196305251994032003 III 17 20,000 340,000 17,000 323,000 27

28 Relidia, AmdKeb 198412122011012003 III 12 20,000 240,000 12,000 228,000 28

29 Sri Sunarti 197106041991032002 III 18 20,000 360,000 18,000 342,000 29

30 Kasnita Hidayanti 197101031991032003 III 20 20,000 400,000 20,000 380,000 30

31 Maret Siwipeni, AmKeb 198803032010012003 III 19 20,000 380,000 19,000 361,000 31

32 Windasari, AmKeb 198804192010012004 III 20 20,000 400,000 20,000 380,000 32

33 Niken Diastami, SKM 198308132005012006 III 12 20,000 240,000 12,000 228,000 33

34 Febriany, AMF 198802292010012005 III 19 20,000 380,000 19,000 361,000 34

35 Lukman Hakim, AmdKg 198303132011011002 III 14 20,000 280,000 14,000 266,000 35

36 Yuhermi, AmdKeb 197507132006042012 III 17 20,000 340,000 17,000 323,000 36

37 Reny Lusiana, A.Md 197810072010012003 III 20 20,000 400,000 20,000 380,000 37

38 Nys. Fatima Mala Sari 197912072006042005 III 17 20,000 340,000 17,000 323,000 38

39 Juwita Gustiana 198608082006042002 III 13 20,000 260,000 13,000 247,000 39

40 Hermawati Soraya, AmKeb 198311272009032002 III 17 20,000 340,000 17,000 323,000 40

41 Teguh Wibowo M 197904261999031003 II - - - - - 41

42 Istia Yunita 198410312006042009 II 15 20,000 300,000 - 300,000 42

43 Mega Yuliansari, Amd 198504202009032001 II 13 20,000 260,000 - 260,000 43

44 Andi Sugianto 197806062005011009 II 15 20,000 300,000 - 300,000 44

45 Rama Hutasoit 198411232017042009 II 15 20,000 300,000 - 300,000 45

46 Wahyudi Purwanto 196012311987031103 II 20 20,000 400,000 - 400,000 46

47 Nuri 198705042010012005 II 10 20,000 200,000 - 200,000 47

48 dr.Vera Liza Effriani 1986011092019022001 III 19 20,000 380,000 19,000 361,000 48

49 Yuliana, Am.Keb 198405252017042000 II 16 20,000 320,000 - 320,000 49

Total 681 880,000 13,620,000 560,000 13,060,000

Terbilang : (Tiga Belas Juta Enam Ratus Dua Puluh Ribu Rupiah)

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPTD Puskesmas Perlang


Bulan Desember 2019

4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10
1 Denni Afandi, SKM 197905262000031001 III 10 20,000 200,000 10,000 190,000 1

2 Rahmi Wahyuni, AMKL 198002112006042005 III 12 20,000 240,000 12,000 228,000 2

3 Endang Puspasari, AMG 198606302010012007 III 16 20,000 320,000 16,000 304,000 3

4 Wira Lestari Kurniasih, AmKep 198504042010012010 III 15 20,000 300,000 15,000 285,000 4

5 Siti Masito, A.Md.Kep 198803292010012002 III 11 20,000 220,000 11,000 209,000 5

6 Karmila Eka Sastri, AmdKg 198806302011012005 III 20 20,000 400,000 20,000 380,000 6

7 Vellyana 197602032006042011 III 20 20,000 400,000 20,000 380,000 7

8 Elvina Malau, AmdKeb 198406102011012004 III 20 20,000 400,000 20,000 380,000 8

9 Hotmarito 198408192010011010 III 16 20,000 320,000 16,000 304,000 9

10 Lisken Anita, A.Md.Keb 198609062010012007 III 12 20,000 240,000 12,000 228,000 10

11 Nurhayati 197205022005012011 III 16 20,000 320,000 16,000 304,000 11

12 Tri Widianti, Amd.Keb 199201282014022002 II 20 20,000 400,000 - 400,000 12

13 Ici Ismanti, Amd.keb 198806222011012001 II 7 20,000 140,000 - 140,000 13

14 Zulkarnain 198905102011012004 II 15 20,000 300,000 - 300,000 14

15 Juni Andriyani H, Am.Keb 198706132017042006 II - - - - - 15 Cuti

16 Anatia Sagita, Am.Keb 198612052017042007 II 20 20,000 400,000 - 400,000 16

17 Perdi 198002112012121002 II 19 20,000 380,000 - 380,000 17

18 dr.Brian H Prayugo 199203052019021004 III 10 20,000 200,000 10,000 190,000 18

19 dr.Feni Rahmawati 199202082019022006 III 13 20,000 260,000 13,000 247,000 19

20 Melisah,S.Farm.Apt 199107132019022003 III 19 20,000 380,000 19,000 361,000 20

21 Cintia Anggraini,SKM 198806302019022003 III 16 20,000 320,000 16,000 304,000 21

22 Jefri Rendika Putra,AMKL 199301202019021001 II 18 20,000 360,000 - 360,000 22

23 Fitria Romadona, AMF 199502022019022007 II 20 20,000 400,000 - 400,000 23

24 Monica Agustina Siregar,AMKG 199608152019022003 II 19 20,000 380,000 - 380,000 24

25 Rizky Sepiani,Amk 199309072019022008 II 16 20,000 320,000 - 320,000 25

26 Rani Rodiyanti,Amk 199205232019022008 II 20 20,000 400,000 - 400,000 26

27 Yulyana,Amd.Keb 199207022019022003 II 20 20,000 400,000 - 400,000 27


Total 420 520,000 8,400,000 226,000 8,174,000
Terbilang : (Delapan Juta Empat Ratus Ribu Rupiah)

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Lubuk Besar


Bulan Desember 2019

4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 Rina, SKM 197810052005012000 III 10 20,000 200,000 10,000 190,000 1

2 Riska Adelina, S.Kep 198601082010012011 III 9 20,000 180,000 9,000 171,000 2

3 dr. Eka Asni Sari 198801162012122000 III - - - - 3.Pegawai Titipan

4 dr. Nur Dewi Anggraini 198811202014022004 III - - - - 4.Tubel

5 Winda Sari, AMG 199001272011012001 III 19 20,000 380,000 19,000 361,000 5

6 Agusman Sijabat, AMAK 198508012010011014 III 17 20,000 340,000 17,000 323,000 6

7 Lena, AMKL 198302172010012013 III 16 20,000 320,000 16,000 304,000 7

8 Elfrida Manalu, AmKep 198501152008042001 III 18 20,000 360,000 18,000 342,000 8

9 Bena Tania, AmKep 198811182010012002 III 20 20,000 400,000 20,000 380,000 9

10 Ratmi, AmdKep 198806222011012001 III 20 20,000 400,000 20,000 380,000 10

11 Gitaliya, AmdKep 198905102011012004 III 20 20,000 400,000 20,000 380,000 11

12 Desmi, AM.Keb 198812242011012006 III 19 20,000 380,000 19,000 361,000 12

13 Novi Budiyani, Amd 198511022009032001 III 20 20,000 400,000 20,000 380,000 13

14 Betty Yulianty, AmKeb 197807172010012002 III 9 20,000 180,000 9,000 171,000 14

15 Devy Apriyanti, AmKeb 198604202010012006 III 20 20,000 400,000 20,000 380,000 15

16 Syahara, AmKeb 198512172006042009 III 20 20,000 400,000 20,000 380,000 16

17 Noviyanti 198611062011012004 II 17 20,000 340,000 - 340,000 17

18 Dessi Indari, A.Md.Kep 199012112012122001 III 0 20,000 0 0 0 18 Cuti

19 Agus triano, Amd.Kep 199008292014021001 II 20 20,000 400,000 - 400,000 19

20 Sari Marlina, AMK 199009142014022002 II 20 20,000 400,000 - 400,000 20

21 Asmira,A.Md.Kep 199009242012122002 III 20 20,000 400,000 20,000 380,000 21

22 Budi Haryono 198203152008041003 II 15 20,000 300,000 - 300,000 22


4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

23 Mardhiah Oktasari, AMKG 199110232014022002 II 16 20,000 320,000 - 320,000 23

24 Sari Sulintia, am.Keb 198708182017042009 II 20 20,000 400,000 - 400,000 24

25 Badimah,Am.Keb 198208212017042007 II 20 20,000 400,000 - 400,000 25

26 dr. Ramadini Ingriane 198705272019022006 III 17 20,000 340,000 17,000 323,000 26

27 drg. Arini Oktaviani 199310132019022005 III 17 20,000 340,000 17,000 323,000 27

28 Kesi Vindiarium,S.Farm, Apt 199301152019022003 III 20 20,000 400,000 20,000 380,000 28

29 Matrokim,SKM 198603252019021004 III 14 20,000 280,000 14,000 266,000 29

30 Ifitriyani,Amd 199204072019022007 II 18 20,000 360,000 - 360,000 30

31 Ria Komala Dewi, A.M.G 199001122019022004 II 20 20,000 400,000 - 400,000 31

32 Wita Khoirunisa,AM.Keb 199307022019022004 II 20 20,000 400,000 - 400,000 32

Total 511 600,000 10,220,000 325,000 9,895,000

Terbilang : (Sepuluh Juta Dua Ratus Dua Puluh Ribu Rupiah)

CATATAN :

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Namang


Bulan Desember 2019

4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 Ananto Pratikno, SKM 197507261996031001 III 15 20,000 300,000 15,000 285,000 1

2 Siti Maisa, SKM 198109282005012006 III 15 20,000 300,000 15,000 285,000 2

3 dr Suroto 198106222008041001 III - - - - - 3 Tubel

4 dr Said Anshori 198611252012121001 III - - - - - 4 Tubel

5 dr. Irwin Fitriansyah 198905312014021001 III - - - - - 5 Tubel

6 dr. Alia Rahma 19860515201402204 III 20 20,000 400,000 20,000 380,000 6

7 dr. Fajarria Sujono Putri 198712242012122001 III 15 20,000 300,000 15,000 285,000 7

8 drg. Narita Indrisari 198206152011012005 III 19 20,000 380,000 19,000 361,000 8

9 Tri Vita Pratiwi, S.Far, Apt 198510272009032002 III 20 20,000 400,000 20,000 380,000 9

10 Yuli Kusrianto 196710141989112001 III 20 20,000 400,000 20,000 380,000 10

11 Verawati, SKM 197909142005012009 III 15 20,000 300,000 15,000 285,000 11

12 Sumiyati, Amd 198507252009032001 III 18 20,000 360,000 18,000 342,000 12

13 Rizka Oktaria, AMG 198712032010012005 III 19 20,000 380,000 19,000 361,000 13

14 Yurida, AMAK 198003122009031001 III 11 20,000 220,000 11,000 209,000 14

15 Sri Meilani, Amkl 198701012011012005 III 11 20,000 220,000 11,000 209,000 15

16 Yanti, A.Md 197807252006042004 III 19 20,000 380,000 19,000 361,000 16

17 Fitriyeni, Amd. Kep 198510292009032002 III 16 20,000 320,000 16,000 304,000 17

18 Agus Setiabudi, A.Md 198410102010012016 III 10 20,000 200,000 10,000 190,000 18

19 Febrio Aliansyah, Amd.Kep 198008012006042013 III 18 20,000 360,000 18,000 342,000 19

20 Syarmawati, AmdKep 198303042009032005 III 15 20,000 300,000 15,000 285,000 20

21 Silvia Amelia, A.Md.Kep 198912192011012000 III 16 20,000 320,000 16,000 304,000 21


4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

22 Dewi Susi Surjani 198402032010012014 III 20 20,000 400,000 20,000 380,000 22

23 Putri Lestari, AmKeb 198507212009032002 III 20 20,000 400,000 20,000 380,000 23

24 Eriska Pujiasih, AmKeb 198308232010011010 III - - - - - 24 TUBEL

25 Nur Apriyanti, Amd.Kg 197905012011012001 III 18 20,000 360,000 18,000 342,000 25

26 Dewiyana, AMdKep 198904042011012004 III 14 20,000 280,000 14,000 266,000 26

27 Susi Minanti, Amd 198507212009032002 III 20 20,000 400,000 20,000 380,000 27

28 Irma Syuryani, AmdKeb 198701012011012008 III 20 20,000 400,000 20,000 380,000 28

29 Kasuma, AmKeb 198610252010012008 III 20 20,000 400,000 20,000 380,000 29

30 Ade Utami R Junjungan, AmKep 198510292009032002 III 17 20,000 340,000 17,000 323,000 30

31 Siti Syummah Fitriana 197609152006042015 III 20 20,000 400,000 20,000 380,000 31

32 Ledi Diana, AmKeb 198108062010012004 III 17 20,000 340,000 17,000 323,000 32

33 Ziliya, AMF 199207232015032001 II 20 20,000 400,000 - 400,000 33

34 Mike Maya Satria 1980080120006042013 III 14 20,000 280,000 14,000 266,000 34

35 Silvia Meilany 198305192005012006 II 19 20,000 380,000 - 380,000 35

36 Eti Yuliana 197609152006042015 III 16 20,000 320,000 16,000 304,000 36

37 Ida Prihatini 197511232006042003 II 19 20,000 380,000 - 380,000 37

38 Juniarti, AMK 199106172014022002 II 15 20,000 300,000 - 300,000 38

39 Winda Oktiwilanda, AMAK 198910182014022004 II 17 20,000 340,000 - 340,000 39

40 Adhella Putri, Am.Keb 198807232011012003 III 20 20,000 400,000 20,000 380,000 40

41 dr.Ninda Astari 198907022019022004 III 14 20,000 280,000 14,000 266,000 41

42 Endang,SKM 198905222019022006 III 19 20,000 380,000 19,000 361,000 42

43 Ela,P.K 199210052019022007 II 18 20,000 360,000 18,000 342,000 43

44 Risti Juli Anggeraeni, AMK 199307062019022006 II 17 20,000 340,000 17,000 323,000 44

45 Diantara, Amd KL 199401122019021004 II 19 20,000 380,000 19,000 361,000 45

Total 705 820,000 14,100,000 615,000 13,485,000

Terbilang : (Empat Belas Juta Seratus Ribu Rupiah)

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Satker Dinas Kesehatan UPT Puskesmas Sungai Selan


Bulan Desember 2019

4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

1 Hj. Nurlela 198009152006042000 III 14 20,000 280,000 14,000 266,000 1

2 dr. Dadeng Supratman 198004252009031001 III 10 20,000 200,000 10,000 190,000 2

3 dr. Fedly Aristian 198508142012121001 III 20 20,000 400,000 20,000 380,000 3

4 Arizal, SKM 197707152005011010 III 15 20,000 300,000 15,000 285,000 4

5 Aisyah, SKM 198112232008042001 III 8 20,000 160,000 8,000 152,000 5

6 Yurika, Amd 198505012008042001 III 12 20,000 240,000 12,000 228,000 6

7 Irsan, Amd 198009012009031001 III 6 20,000 120,000 6,000 114,000 7

8 Novita Sari, AMG 198911012011012003 III - - - - - 8 Cuti

9 Helfitia Agistina, Amak 198708162011012003 III 7 20,000 140,000 7,000 133,000 9

10 Rossa Kanina Ginting, AmdAK 198711302010012010 III 20 20,000 400,000 20,000 380,000 10

11 Yesi Purnamasari, AmKep 198808192010012008 III 20 20,000 400,000 20,000 380,000 11

12 Meta Susanti, AmKep 198805262010012002 III 16 20,000 320,000 16,000 304,000 12

13 Rizki Ameliya, AmKep 198705082010012004 III 12 20,000 240,000 12,000 228,000 13

14 Rusmanadi, S.Kep 198407122010011014 III 17 20,000 340,000 17,000 323,000 14

15 Fitriana 197902052005012010 III 16 20,000 320,000 16,000 304,000 15

16 Fitriyanti, AmdKep 198706062011012006 III 20 20,000 400,000 20,000 380,000 16

17 Firmansyah, Amd. Kep 198307102009031007 III 15 20,000 300,000 15,000 285,000 17

18 Wika Suprapti, A.MdKep 198904222010012001 III 20 20,000 400,000 20,000 380,000 18

19 Marlina, AmKep 197503152006012022 III 20 20,000 400,000 20,000 380,000 19

20 Siti Aisyah, AmdKep 198807262011012008 III 12 20,000 240,000 12,000 228,000 20

21 Jumadi 197707152005011009 III 20 20,000 400,000 20,000 380,000 21

22 Hasyanah, AmKep 197910222006012016 III 20 20,000 400,000 20,000 380,000 22

23 Meitriana Evasari, AmKeb 198405122009032003 III 13 20,000 260,000 13,000 247,000 23

24 Ratih Mandaria, AmKeb 198609232011012004 III 20 20,000 400,000 20,000 380,000 24


4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10

25 Umi Kalsum, AmdKeb 198503032011012005 III 20 20,000 400,000 20,000 380,000 25

26 Suzanawati 196908312005012004 III 20 20,000 400,000 20,000 380,000 26

27 Veny Hirmalianti, AMKL 198811102011012003 III 13 20,000 260,000 13,000 247,000 27

28 Juita Ramayani, AmKeb 198504152010012008 III 13 20,000 260,000 13,000 247,000 28

29 Paizah 198506112006042006 III 10 20,000 200,000 10,000 190,000 29

30 Elfaziah 197201132005012003 II 17 20,000 340,000 - 340,000 30

31 Seri Umami 198706142010012013 III 10 20,000 200,000 10,000 190,000 31

32 Herly Vianty 198211042006042016 II 20 20,000 400,000 - 400,000 32

33 Oktarina Widiyastuti 198810072009032001 II 20 20,000 400,000 - 400,000 33

34 Irawati 198506022007012001 II 17 20,000 340,000 - 340,000 34

35 Sudiarto 19870621200604100 III 20 20,000 400,000 20,000 380,000 35

36 Adi Candra 197905302006041005 III 20 20,000 400,000 20,000 380,000 36

37 Eko prastyo, Am.Kep 198206242008041001 II 14 20,000 280,000 - 280,000 37

38 Karli 197806222006041004 III 20 20,000 400,000 20,000 380,000 38

39 Gunawan 198412122009031001 III 14 20,000 280,000 14,000 266,000 39

40 Dani Saputra, Amd.Kep 198705192009021001 II 13 20,000 260,000 - 260,000 40

41 Hidayad, AmdKg 198805032011011002 II 15 20,000 300,000 - 300,000 41

42 Eba Elia 196803071990031003 II 20 20,000 400,000 - 400,000 42

43 Sri Wiyati 197311082006042017 III 20 20,000 400,000 20,000 380,000 43

44 Risma yulianti, Amd.Keb 198907312014022002 II - - - - - 44 Cuti

45 Nurhidayah, Amd.Keb 199105302014022001 II 20 20,000 400,000 - 400,000 45

46 drg.Tomy Aryanda 198812112019021001 III 20 20,000 400,000 20,000 380,000 46

47 Resta Dwi S,S.Farm,Apt 199004272019022005 III 19 20,000 380,000 19,000 361,000 47

48 M Zikri,AMTE 199406212019021002 II 20 20,000 400,000 - 400,000 48

49 Reinaldi As'Ad B, Am.Kep 199203252019021001 II 20 20,000 400,000 - 400,000 49

50 Gitry Marela,SKM 198908152019021008 III 20 20,000 400,000 20,000 380,000 50

51 Lisa Agustia,Amd RMIK 199208182019022004 II 20 20,000 400,000 - 400,000 51

52 Novela,Am.Keb 199611192019022002 II 19 20,000 380,000 - 380,000 52

Total 827 1,000,000 16,540,000 592,000 15,948,000


Terbilang : ( Enam Belas Juta Lima Ratus Empat Puluh ribu rupiah)

Catatan :

KOBA , 2020

MENGETAHUI / MENYETUJUI
PENGGUNA ANGGARAN BENDAHARA PENGELUARAN

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


4 BULAN
NO NAMA NIP GOL Kehadiran Tarif Uang Jumlah kotor PPh 21 (5% Jumlah Bersih TANDA TANGAN
hari kerja Makan (5 x 6) 15%) (7 - 8)

1 2 3 4 5 6 7 8 9 10
NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001
DAFTAR PERHITUNGAN UANG MAKAN
DINAS KESEHATAN KABUPATEN BANGKA TENGAH

Nomor :
Satker Dinas Kesehatan dan Puskesmas :
Bulan Desember 2019

NO NAMA Jumlah kotor PPH 21 Jumlah bersih

1 2 3 4 5

1 DINAS KESEHATAN 13,740,000 710,000 13,030,000

2 PUSKESMAS KOBA 12,220,000 498,000 11,722,000

3 PUSKESMAS LUBUK BESAR 10,220,000 325,000 9,895,000

4 PUSKESMAS SUNGAISELAN 16,540,000 592,000 15,948,000

5 PUSKESMAS LAMPUR 8,160,000 305,000 7,855,000

6 PUSKESMAS BENTENG 12,440,000 557,000 11,883,000

7 PUSKESMAS PANGKALAN BARU 13,620,000 560,000 13,060,000

8 PUSKESMAS SIMPANGKATIS 13,300,000 619,000 12,681,000

9 PUSKESMAS PERLANG 8,400,000 226,000 8,174,000

10 PUSKESMAS NAMANG 14,100,000 615,000 13,485,000

JUMLAH 122,740,000 5,007,000 117,733,000


Terbilang : (Seratus Dua Puluh Dua Juta Tujuh Ratus Empat Puluh Rupiah)

###

KOBA , 2020
MENGETAHUI / MENYETUJUI
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN
KABUPATEN BANGKA TENGAH

dr. H. BAHRUN SIREGAR SUTRISNO, M.Kes IRA WIBOWO,SKM


NIP. 19640602 200212 1 005 NIP. 19860817 200604 2 001

Anda mungkin juga menyukai