April - Daftar Penerimaan Nominatif Insentif Covid19

DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
FASYANKES : RSUD Hj. Anna Lasmanah

BULAN : APRIL 2020
JML JML HARI JUMLAH
NO. BESARAN PAJAK
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI KALENDE DITERIMA TANDA TANGAN
REKENING INSENTIF (Rp.)
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. LUCY MIRAFRA GANJAR W 19850129 20110Dokter Umum 33040529018500054.241.5.529.000 3013117704 BANK JATENG 12 22 10000000 0.00 5,454,545.46 1
2 dr. EKO PRASETYO FITRYONO 19850616 20100Dokter Umum 3304071606850004 .041.1.529.000 2013053980 BANK JATENG 12 22 10000000 0.00 5,454,545.46 2
3 dr. ETIKAWATI SETIYANINGRUM 19790201 20060Dokter Umum 3304064102790009 .945.2.529.000 2013144061 BANK JATENG 12 22 10000000 0.00 5,454,545.46 3
4 dr. LINA YUNISTIA ARIFANI 201506 2 169 Dokter Umum 3304154406890001 .301.4.529.000 2013138179 BANK JATENG 12 22 10000000 0.00 5,454,545.46 4
5 dr. ADIE BASTIAN 201609 1 212 Dokter Umum 6208010303900001 .235.9.713.000 2013148221 BANK JATENG 10 22 10000000 0.00 4,545,454.55 5
6 dr. RIMANDIKA ADEK A 201803 2 248 Dokter Umum 3304045202880002 .023.4.529.000 2013186068 BANK JATENG 10 22 10000000 0.00 4,545,454.55 6
7 dr. RIAYANI S 201803 2 249 Dokter Umum 1608066604900001 .244.1.302.000 2013185941 BANK JATENG 12 22 10000000 0.00 5,454,545.46 7
8 dr. AGUS RIYANTO 19831115 20110Dokter Umum 3311011511830002 .8,157.532.000 3141084479 BANK JATENG 12 22 10000000 0.00 5,454,545.46 8
9 dr. JALU TRASNOLO BANGUN 19810712 20090Dokter Umum 3304081207810004 .261.0.529.000 2013039731 BANK JATENG 10 22 10000000 0.00 4,545,454.55 9
10 dr. ESTININGTYAS WARDHANI,Sp.P 19760208 20060Dokter Spesialis 3304064802760006 .444.0.529.000 2013148174 BANK JATENG 22 22 15000000 0.00 ### 10
11 dr. TRINOVIA ANDAYANINGSIH,MSc.Sp.PK 19691129 20021Dokter Spesialis 3304056911690001 .063.4.521.001 2013003605 BANK JATENG 20 22 15000000 0.00 ### 11
12 dr. YUNAN ARDI SOEWIDJI,Sp.THTKL 19760705 20090Dokter Spesialis 3374060507760004 .784.9.529.000 2013038981 BANK JATENG 9 22 15000000 0.00 6,136,363.64 12
13 dr. LAILY DJIHAN,Sp.JP 19790329 20090Dokter Spesialis 3374066903790008 .739.7.529.000 2013038972 BANK JATENG 16 22 15000000 0.00 ### 13
14 dr. FEBI PRAMONO,Sp.Rad 19680229 19980Dokter Spesialis 3307092990268000 .636.8.533.000 2013141681 BANK JATENG 4 22 15000000 0.00 2,727,272.73 14
15 dr. THOMAS EFENDI, Sp. PD 19700123 20001Dokter Spesialis 3304062301700002 .226.6.543.000 2013140746 BANK JATENG 6 22 15000000 0.00 4,090,909.09 15
16 dr. EKO PUDJI ANTONO, Sp.S 19620612 19890Dokter Spesialis 3304061206620001 .614.6.533.000 2013140144 BANK JATENG 8 22 15000000 0.00 5,454,545.46 16
17 dr. GEDE PERDANA PUTRA,Sp.PD 201905 0 101 Dokter Spesialis 3275091708800025 .395.8.901.000 2013213880 BANK JATENG 8 22 15000000 0.00 5,454,545.46 17
18 dr. WAHYU PRIYATNO, Sp.B 19721206 20050Dokter Spesialis 3304030612720002 .801.6.529.000 2013138270 BANK JATENG 4 22 15000000 0.00 2,727,272.73 18
19 dr. DYAH PERWITASARI,Sp.A 19800301 20060Dokter Spesialis 3304064103800009 .946.0.529.000 2013141653 BANK JATENG 4 22 15000000 0.00 2,727,272.73 19
20 dr. ARIS SUNARDI,MSI,Sp.A 19751017 20141Dokter Spesialis 3304081710750002 .487.2.529.000 2013107192 BANK JATENG 3 22 15000000 0.00 2,045,454.55 20
21 dr. PRIYO BUDI SANTOSA,Sp. A,M.Kes 19770521 20050Dokter Spesialis 3303022105770002 .155.4.529.000 2013138264 BANK JATENG 13 22 15000000 0.00 8,863,636.36 21
22 dr. NUGROHO K,SpB 19570420 19830Dokter Spesialis 3404012004570003 .834.8.012.000 2013140031 BANK JATENG 3 22 15000000 0.00 2,045,454.55 22
23 EDY SETIYANTO, S.Kep.Ns 19770527 20060Perawat 3304082705770003 .005.4.529.000 2013142598 BANK JATENG 16 22 7500000 0.00 5,454,545.46 23
24 AGUS RIYANTO, AMK 19810811 20080Perawat 3304051108810003 .811.2.008.011 2013143029 BANK JATENG 14 22 7500000 0.00 4,772,727.27 24
25 JANUAR SATYA KURNIAWAN, AMK 19830107 20100Perawat 3304060701830001 0 2013143370 BANK JATENG 11 22 7500000 0.00 3,750,000.00 25
26 EDI SUSANTO, AMK 19751208 20090Perawat 3304050812750004 .603.4.529.000 2013038271 BANK JATENG 14 22 7500000 0.00 4,772,727.27 26
27 MURIANI AGUSTINA, S.Kep.Ns 19790802 20080Perawat 3304064208790001 .461.1.529.999 2013143041 BANK JATENG 10 22 7500000 0.00 3,409,090.91 27
28 DENNY AMBRIASIH, S.Kep.Ns 19790520 20100Perawat 3304050005790004 .838.9.529.000 2013053726 BANK JATENG 16 22 7500000 0.00 5,454,545.46 28
29 BUNTORO, AMK 05.25.259 Perawat 3304062608810005 0 2013144168 BANK JATENG 14 22 7500000 0.00 4,772,727.27 29
30 HERI PURNOMO, AMK 05.25.265 Perawat 3304110101820006 0 2013138161 BANK JATENG 11 22 7500000 0.00 3,750,000.00 30
31 SULASNO, AMK 05.25.260 Perawat 3304091603820005 0 2013144174 BANK JATENG 14 22 7500000 0.00 4,772,727.27 31
32 KOKO SENOAJI, AMK 201208 1 103 Perawat 3304031004830007 0 2013145701 BANK JATENG 10 22 7500000 0.00 3,409,090.91 32
33 TEGUH IMAN PRABOWO, AMd 201208 1 088 Perawat 3304061603890003 0 3013148863 BANK JATENG 14 22 7500000 0.00 4,772,727.27 33
34 FAJAR PRASETYO, AMK 201208 1 099 Perawat 3304010903900005 0 2013089640 BANK JATENG 11 22 7500000 0.00 3,750,000.00 34
35 FITRIYANI, AMK 200908 2 030 Perawat 3304046711870006 0 2013082050 BANK JATENG 11 22 7500000 0.00 3,750,000.00 35
36 YAYUK LISTANTI, AMK 201306 2 138 Perawat 3304035903890005 0 2013104665 BANK JATENG 14 22 7500000 0.00 4,772,727.27 36
37 RIZQI FAWUZI RAHMAN, AMd.Kep 201602 1 184 Perawat 3301151512930001 0 2013143440 BANK JATENG 10 22 7500000 0.00 3,409,090.91 37
38 TRIO WAHYU ADIPRIYONO, AMK 201602 1 191 Perawat 3304042304920002 0 2013143032 BANK JATENG 14 22 7500000 0.00 4,772,727.27 38
39 MUHAMMAD GALIH IHSAN, AMd.Kep 201602 1 199 Perawat 3302112604950002 0 2013143211 BANK JATENG 10 22 7500000 0.00 3,409,090.91 39
40 AAN SARYATI, AMd. 05.25.257 Perawat 3304115910820006 0 2013144146 BANK JATENG 14 22 7500000 0.00 4,772,727.27 40
41 TEGUH WINARNO,S.KEP.NS 19770626 20021Perawat 3304122606770003 .893.4.529.000 2013141255 BANK JATENG 13 22 7500000 0.00 4,431,818.18 41
42 SEPTIMULATSIH DUMILAH 19791103 20021Perawat 3304054311790012 .178.4.529.000 2013109508 BANK JATENG 13 22 7500000 0.00 4,431,818.18 42
43 AJIZ RIYADI 19770916 20060Perawat 3304081609770002 .909.8.529.000 2013142736 BANK JATENG 20 22 7500000 0.00 6,818,181.82 43
44 DYAH LINDA ERNA N 201306 2 132 Perawat 3303016007900001 0 2013104967 BANK JATENG 15 22 7500000 0.00 5,113,636.36 44
45 WAHYU NUGROHO 201306 1 137 Perawat 3304060403910005 0 2013104975 BANK JATENG 15 22 7500000 0.00 5,113,636.36 45
46 DANI SADATUN 200908 2 029 Perawat 3304065603850004 0 2013082068 BANK JATENG 15 22 7500000 0.00 5,113,636.36 46
47 AGRISTA SATRIA P 201706 1 224 Perawat 3304012811900002 0 2106038875 BANK JATENG 15 22 7500000 0.00 5,113,636.36 47
48 SITI WATIYAH 200510 2 003 Perawat 3304086202820004 0 2013082351 BANK JATENG 15 22 7500000 0.00 5,113,636.36 48
49 IMAM AJI NURRODIN 201602 1 193 Perawat 3304042111920004 0 2013143024 BANK JATENG 15 22 7500000 0.00 5,113,636.36 49
50 SUS ERNAWATI 200908 2 028 Perawat 3304066107790001 0 2013082378 BANK JATENG 15 22 7500000 0.00 5,113,636.36 50
51 ARUN PRASTIYO 201602 1 198 Perawat 3323122103910001 0 2013143261 BANK JATENG 15 22 7500000 0.00 5,113,636.36 51
52 DWI ASTUTI 19801016 20070Perawat 3304055610800003 0 2013143198 BANK JATENG 15 22 7500000 0.00 5,113,636.36 52
53 ZAKARIA 201602 1 208 Perawat 3307130406890001 0 2013143776 BANK JATENG 15 22 7500000 0.00 5,113,636.36 53
54 WAHYU INDARTI 19770414 20060Perawat 3304060501070003 .985.8.529.000 2013142560 BANK JATENG 15 22 7500000 0.00 5,113,636.36 54
55 DIYAH NUR RAHMAWATI,S.Kep.Ns 19890614 20190Perawat 3404125406890002 .361.2.533.000 3013028413 BANK JATENG 15 22 7500000 0.00 5,113,636.36 55
56 UMI LAILA HIDAYATI 19820305 20090Perawat 3304064503820005 0 2013038557 BANK JATENG 10 22 7500000 0.00 3,409,090.91 56
57 TATANG KURNIAWAN 19871103 20100Perawat 3304140311870007 .841.2.529.000 2013054013 BANK JATENG 8 22 7500000 0.00 2,727,272.73 57
58 NURYANTO 19780503 20080Perawat 3304070305780006 .121.5.529.000 2013142877 BANK JATENG 7 22 7500000 0.00 2,386,363.64 58
59 EKA IFA FAOJIYATI 19781019 20070Perawat 3304205910780005 .735.4.529.000 2013144419 BANK JATENG 10 22 7500000 0.00 3,409,090.91 59
60 HARUN NUR FAID 19710930 19920Perawat 3304123009710002 .628.5.529.000 2013140893 BANK JATENG 7 22 7500000 0.00 2,386,363.64 60
61 FUAD NUR ISTNAENI 19760314 20060Perawat 3304101403760002 .993.2.529.000 2013142667 BANK JATENG 10 22 7500000 0.00 3,409,090.91 61
62 TAAT AGUNG WIDODO 19860618 20090Perawat 3304121806860002 0 2013038433 BANK JATENG 1 22 7500000 0.00 340,909.09 62
63 HAYIN DWI ASTUITI 201306 2 135 Perawat 3304066810810001 0 2013104789 BANK JATENG 4 22 7500000 0.00 1,363,636.36 63
64 DESY OKTORA,AMK 19791227 20070Perawat 3304066712790007 2013143110 BANK JATENG 15 22 7500000 0.00 5,113,636.36 64
65 ARINDA RIFKA INDRIANI, S.Kep.Ns 19920825 20190Perawat 3304076508920002 3013028414 BANK JATENG 15 22 7500000 0.00 5,113,636.36 65
66 ASEP SUWANTO,AMK 2013061128 Perawat 3304162302880001 2013104827 BANK JATENG 15 22 7500000 0.00 5,113,636.36 66
67 ASMI FAIZAH, AMK 2013062129 Perawat 3304055406880006 2013104908 BANK JATENG 15 22 7500000 0.00 5,113,636.36 67
68 NOVIAN SANTI Y.W, S.Kep.Ns 2016022174 Perawat 3304086411910001 2013143229 BANK JATENG 15 22 7500000 0.00 5,113,636.36 68
69 RETNO ANGRESTI W, AMd. 2012082086 Perawat 3304105003900001 2013089712 BANK JATENG 15 22 7500000 0.00 5,113,636.36 69
70 SEPTIANA IKA KURNIASIH 2016022196 Perawat 3301064109940002 2013143369 BANK JATENG 2 22 7500000 0.00 681,818.18 70
71 SAMIRIN, S.Kep.Ns 19790717 20080Perawat 3304111707790001 2013142902 BANK JATENG 5 22 7500000 0.00 1,704,545.46 71
72 AGUS SUBECHI 19870813 20110Tenaga Kesh. Lainn 3304051308870003 3013117593 BANK JATENG 5 22 5000000 0.00 1,136,363.64 72
73 SITI RAHAYU 19740327 20060Analis Kesehatan 3304046703740003 2013064230 BANK JATENG 20 22 5000000 0.00 4,545,454.55 73
74 SARWONO 19630511 19870Analis Kesehatan 3304071105630001 2013140586 BANK JATENG 5 22 5000000 0.00 1,136,363.64 74
75 RASMIRAH 19650212 19880Analis Kesehatan 3304065202650003 2013140627 BANK JATENG 6 22 5000000 0.00 1,363,636.36 75
76 UMU MAKSUMAH 525270 Analis Kesehatan 3304085305810004 2013144271 BANK JATENG 6 22 5000000 0.00 1,363,636.36 76
77 TITIK YULIANTI 19800704 20090Analis Kesehatan 3304014407800003 2013030548 BANK JATENG 10 22 5000000 0.00 2,272,727.27 77
78 VIAN HIDAYAH 19871206 20110Analis Kesehatan 3304034612870001 3013117658 BANK JATENG 6 22 5000000 0.00 1,363,636.36 78
79 ARIS SUPRIYANTO 19760427 20050Analis Kesehatan 3304072704760001 2013141512 BANK JATENG 6 22 5000000 0.00 1,363,636.36 79
80 WIWIN YULIANTO 19790711 20110Analis Kesehatan 3304041107790002 3013117607 BANK JATENG 6 22 5000000 0.00 1,363,636.36 80
81 NOVI SUSIANTI 2012012106 Analis Kesehatan 3307015501900002 2013097324 BANK JATENG 10 22 5000000 0.00 2,272,727.27 81
82 SHINTA PUSPANIE P 2015022153 Analis Kesehatan 3304084105940002 2013133908 BANK JATENG 10 22 5000000 0.00 2,272,727.27 82
83 AZIZAH NUR KH 2016012210 Analis Kesehatan 3304035209930002 2013143199 BANK JATENG 6 22 5000000 0.00 1,363,636.36 83
84 DIMAS NANDA F 2016012209 Analis Kesehatan 3304062910920001 2013143181 BANK JATENG 10 22 5000000 0.00 2,272,727.27 84
85 BERNADUS TANTRI WIJAYA 2017061230 Analis Kesehatan 3304062302940003 2013165389 BANK JATENG 14 22 5000000 0.00 3,181,818.18 85
86 UMMI S NASUTION 2017062228 Analis Kesehatan 3304076308950001 2013165371 BANK JATENG 6 22 5000000 0.00 1,363,636.36 86
87 DWI SULISTIYANI,S.ST 19790517 20100Radiografer 3304065705790001 2013053912 BANK JATENG 17 22 5000000 0.00 3,863,636.36 87
88 ISNAINI SHOLIHATI 19871212 20100Radiografer 3304065212870001 2013054056 BANK JATENG 16 22 5000000 0.00 3,636,363.64 88
89 JUSTINA TRIRISMAWATI,S.ST 19670609 19900Radiografer 3304064906670002 2013140718 BANK JATENG 16 22 5000000 0.00 3,636,363.64 89
90 NI'MAH PERMANA WIDIASTUTI, A.Md 19801119 20050Radiografer 3307085911800007 2013138731 BANK JATENG 13 22 5000000 0.00 2,954,545.46 90
91 KAMRUS, S.ST 19650621 19860Radiografer 1802072106650001 2013108148 BANK JATENG 14 22 5000000 0.00 3,181,818.18 91
92 NOALENTINI TIMORAY ADETIO,A.Md 19880111 20100Radiografer 3323031101880006 2013054625 BANK JATENG 15 22 5000000 0.00 3,409,090.91 92
93 PUSPO IKHWANDOKO, S.ST 19740419 20060Radiografer 3304061904740004 2013188093 BANK JATENG 14 22 5000000 0.00 3,181,818.18 93
94 SETYA OKTA PRIYANTI, A.Md 19881002 20110Radiografer 3303024210880001 2027153740 BANK JATENG 14 22 5000000 0.00 3,181,818.18 94
95 SITI FARIKHAH, A.Md 19831112 20060Radiografer 3374155211830005 2013187443 BANK JATENG 15 22 5000000 0.00 3,409,090.91 95
96 SITI ROHANANH, A.Md 19840603 20100Radiografer 3304084306840006 2013054731 BANK JATENG 14 22 5000000 0.00 3,181,818.18 96
97 WAHYU ANGGORO YOGA,S.ST 19801221 20080Radiografer 3307092112800002 2013142855 BANK JATENG 18 22 5000000 0.00 4,090,909.09 97
1,032 2,134 0.00 ###
Direktur
dr. Erna Astuty

NIP. 19710830 200012 2 001
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENAN
UPTD PUSKESMAS/LABKES : SUSUKAN 1
BULAN : APRIL 2020
JML JML HARI
NO.
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI KALENDE
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 dr. Margareta Novalina 19741116 20091Dokter Umum 3303026912830005 46.099.326.4- 2003102125 Bank JATENG 14 22
2 Herni Setyaningsih 19810531 20000Perawat 3302157105810001 68.442.822.0-5 2013083685 Bank JATENG 13 22
3 Puji Hastuti 19820115 20060Bidan 3303025501820001 49.299.345.6-5 2013187534 Bank JATENG 13 22
4 Aan Fauzi 19820313 20060Perawat 3304011303820001 49.299.367.0-5 3106087431 Bank JATENG 15 22
5 Yuli Suprapti 19820207 20100Perawat 3304014702820005 36.061.663.5-5 2013058337 Bank JATENG 14 22
6 Mukhamat Basti 19801222 20100Perawat 3304052212800001 35.205.946.3-5 2013054552 Bank JATENG 14 22
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
83 132
AN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JUMLAH
BESARAN
PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 ### 1

5000000 0.00 2,954,545 2
5000000 0.00 2,954,545 3
5000000 0.00 3,409,091 4
5000000 0.00 3,181,818 5
5000000 0.00 3,181,818 6
0 0.00 07
0 0.00 0 8
0 0.00 09
0 0.00 0 10
0 0.00 0 11
0 0.00 0 12
0 0.00 0 13
0 0.00 0 14
0 0.00 0 15
0 0.00 0 16
0 0.00 0 17
0 0.00 0 18
0 0.00 0 19
0 0.00 0 20
0 0.00 0 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 ###
Kepala UPTD Puskesmas Susukan 1
dr. Asmiarti
NIP. 19831229 20011 2 008
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG M
UPTD PUSKESMAS/LABKES : SUSUKAN 2
BULAN : APRIL 2020
JML
NO.
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI
REKENING
TUGAS
1 2 3 4 5 6 7 8 9
1 dr Edy Wibowo 19711016 2002121 002 Dokter Umum 3304021610710002 47.882.451.9.529.000 2106000509 Bank Jateng 18
2 drg. T Rina Aryani 19791012 200801 2 013Dokter Gigi 3402125210790001 67.943.350.8.541.000 2013140785 Bank Jateng 12
3 Edi Sulistianto 19751023199703 1 001 Perawat 3304012310750001 49.299.635.0.529.000 2013212565 Bank Jateng 19
4 Tutik Urrohmah 1968092 2198903 2 004Perawat 3304016209680001 49.299.554.3-529.000 2013070321 Bank Jateng 17
5 Rokhyati 19651204 199103 2 008Tenaga Kesh. Lainn 3304014412650001 49.299.537.8-529.000 3106011434 Bank Jateng 17
6 Tri Haryanti 19760703 200212 2 005Bidan 3304024307760102 24.975.367.4-529.000 2013109514 Bank Jateng 17
7 Tri Yuli Istanti 19730703 199301 1 003Bidan 3304014307730004 49.299.554.3-529.000 2013071501 Bank Jateng 19
8 Tri Astutiningrum 19750707 200101 2 011Bidan 3304014707750003 57.579.199.1-529.000 2013109520 Bank Jateng 15
9 Fatonah 19760705 200212 2 007Perawat 3304014507760001 59.703.322.4-529.000 2013109542 Bank Jateng 19
10 Dwi Agustina 05.09.147 Tenaga Kesh. Lainn 3303064708820002 2106036007 Bank Jateng 15
11 Yuni Astuti 19840614 20170 4 2009Bidan 3301075406840002 87.039.666.0-522.000 3013256364 Bank Jateng 18
12 Rina Kusuma Dewi 19870113 201704 2 004Bidan 3304025301870001 67.942.589.2-529.000 3106080614 Bank Jateng 18
13 Anteng Wasis 19761201 201905 2 001Bidan 33041741127980002 70.046.554.5-522.000 3106084211 Bank Jateng 18
14 Khotimul Khoeriyah 19840227 201704 2 008Bidan 3301026702840002 70.041.897.3-522.000 3013256399 Bank Jateng 18
15 Eni Kusmiyati 19860529 201704 2 006Bidan 3303016905860001 89.273.807.1.529.000 3106080771 Bank Jateng 18
16 Josiati 198505122017042014 Bidan 3302245205850007 44.561.305.2.521.000 3106080584 Bank Jateng 18
17 Amelia Labibah 11.7.1108185 Analis Kesehatan 3215204307960001 82.202.000.4-433.000 2106050824 Bank Jateng 19
18 Dwi Syahreni 11.7.0507615 Tenaga Kesh. Lainn 3304024307940002 93.164.441.3-529.000 2106050794 Bank Jateng 19
19 Haniva Hanum 20.6.0302019 Perawat 3302246205910002 75.649.336.4-521.000 2106050816 Bank Jateng 19
20 Prameslia Herdianti 3302194801960005 Tenaga Kesh. Lainn 3302194801960005 2120048735 Bank Jateng 19
21 Warsiti 3304014905920001 Tenaga Kesh. Lainn 3304014905920001 64.332.122.7-529.000 2106045600 Bank Jateng 19
22 Ika Dwi Lestari 3304016302900001 Bidan 3304016302900004 2106042309 Bank Jateng 13
23 Nopi Norita 3304015411900001 Bidan 3304015411900001 3106084555 Bank Jateng 14
24 Oviyani 3318016710900002 Bidan 3318016710900002 2106042147 Bank Jateng 15
25 Sri Aprilia Isnaeni 3304065004890002 Bidan 3304065004890002 2106042139 Bank Jateng 15
26 Neno Sarining Utari 3304015810950002 Bidan 3304015810950002 2106044590 Bank Jateng 15
27 Faradina Nur Aprilyta 3304026004950003 Bidan 3304026004950003 2106044603 Bank Jateng 15
28 Sularsih 3304016408810004 Perawat 3304016408810001 2106042295 Bank Jateng 19
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
477
KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML HARI
BESARAN JUMLAH
KALENDE PAJAK (Rp.) TANDA TANGAN
INSENTIF DITERIMA (Rp.)
R
10 11 12 13=9/10*7 14
22 5000000 0.00 4,090,909.09 1

22 5000000 0.00 2,727,272.73 2
22 5000000 0.00 4,318,181.82 3
22 5000000 0.00 3,863,636.36 4
22 5000000 0.00 3,863,636.36 5
22 5000000 0.00 3,863,636.36 6
22 5000000 0.00 4,318,181.82 7
22 5000000 0.00 3,409,090.91 8
22 5000000 0.00 4,318,181.82 9
22 5000000 0.00 3,409,090.91 10
22 5000000 0.00 4,090,909.09 11
22 5000000 0.00 4,090,909.09 12
22 5000000 0.00 4,090,909.09 13
22 5000000 0.00 4,090,909.09 14
22 5000000 0.00 4,090,909.09 15
22 5000000 0.00 4,090,909.09 16
22 5000000 0.00 4,318,181.82 17
22 5000000 0.00 4,318,181.82 18
22 5000000 0.00 4,318,181.82 19
22 5000000 0.00 4,318,181.82 20
22 5000000 0.00 4,318,181.82 21
22 5000000 0.00 2,954,545.46 22
22 5000000 0.00 3,181,818.18 23
22 5000000 0.00 3,409,090.91 24
22 5000000 0.00 3,409,090.91 25
22 5000000 0.00 3,409,090.91 26
22 5000000 0.00 3,409,090.91 27
22 5000000 0.00 4,318,181.82 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
616 0.00 108,409,090.91
Kepala Puskesmas
Nama
NIP.
UPTD PUSKESMAS/LABKES : KLAMPOK 1
BULAN : APRIL 2020
JML JML HARI JUMLAH
BESARAN PAJAK
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE DITERIMA TANDA TANGAN
INSENTIF (Rp.)
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Dwi Lestariatun 19690909 200212 2 004 Dokter Umum 3304034909690006 89.566.773.1.529.000 2 - 106 - 00055 - 0 Bank Jateng 14 22 5000000 0.00 3,181,818.18 1
2 dr. Ririn Widyaningrum - Dokter Umum 3273135610930004 84.973.392.8.444.000 3 - 006 - 07515 - 5 Bank Jateng 13 22 5000000 0.00 2,954,545.45 2
3 Atun Ernawati 19820206 200701 2 005 3304034602820007 89.566.773.1.529.000 3 - 106 - 09038 - 5 Bank Jateng
Analis Kesehatan 14 22 5000000 0.00 3,181,818.18 3
4 Ester Lita - Analis Kesehatan 3304017007970001 - 2 - 106 - 04760 - 2 Bank Jateng 13 22 5000000 0.00 2,954,545.45 4
5 Sri Sulistiowati 19790724 200803 2 001 Tenaga Kesh. Lainnya 3040262057530003 25.730.292.7.529.000 3 - 106 - 01356 - 9 Bank Jateng 14 22 5000000 0.00 3,181,818.18 5
6 Kamaludin - Tenaga Kesh. Lainnya 3040262057530003 - 2 - 106 - 05032 - 8 Bank Jateng 13 22 5000000 0.00 2,954,545.45 6
7 Imam Setiawan 19790427 201101 1 006 Perawat 3303032704790002 74.019.933.6.529.000 3 - 013 - 11786 - 1 Bank Jateng 6 22 5000000 0.00 1,363,636.36 7
8 Suprappti 19820223 200501 2 009 Perawat 3304026302820004 49.299.366.2.529.000 2 - 013 - 13847 - 4 Bank Jateng 3 22 5000000 0.00 681,818.18 8
9 Setyadi 19770729 200604 1 008 Perawat 3304012907770001 49.229.484.3.529.000 2 - 013 - 20608 - 1 Bank Jateng 4 22 5000000 0.00 909,090.91 9
10 Priono 19770922 200604 1 014 Perawat 3303050209770001 49.183.984.1.529.000 2 - 013 - 14257 - 6 Bank Jateng 4 22 5000000 0.00 909,090.91 10
11 Priambodo 19780209 200701 1 009 Perawat 3304030902780002 57.302.257.1.529.000 3 - 106 - 01134 - 5 Bank Jateng 5 22 5000000 0.00 1,136,363.64 11
12 Suwartini 19810705 200801 2 012 Perawat 3304034507810005 57.353.908.7.529.000 3 - 106 - 08744 - 9 Bank Jateng 3 22 5000000 0.00 681,818.18 12
13 Burhan Akhmad 19720518 200701 1 016 Perawat 3303141805720001 57.353.903.8.529.000 3 - 013 - 00112 - 9 Bank Jateng 4 22 5000000 0.00 909,090.91 13
14 Tri Mudjiati 19810214 200801 2 010 Perawat 3303025402810001 57.353.907.9.529.000 2 - 013 - 14298 - 0 Bank Jateng 2 22 5000000 0.00 454,545.45 14
15 Yulikha Erna 19790724 200803 2 001 Perawat 2103076407791003 15.592.790.8.214.000 2 - 106 - 02047 - 0 Bank Jateng 2 22 5000000 0.00 454,545.45 15
16 Handita Listiana 19890522 2001101 2 012 Perawat 3303026205890001 36.364.987.2.529.000 3 - 013 - 11806 - 9 Bank Jateng 2 22 5000000 0.00 454,545.45 16
17 Budi Susanto 19890905 201902 1 003 Perawat 3301120509890003 90.526.221.8.522.000 3 - 013 - 27451 - 6 Bank Jateng 3 22 5000000 0.00 681,818.18 17
18 Sekar Wijayanti 19880418 201101 2 016 Perawat 3303015804880003 68.330.953.8.529.000 3 - 013 - 11790 - 9 Bank Jateng 3 22 5000000 0.00 681,818.18 18
19 Kristiani Biko 19880629 201902 2 009 Perawat 3301066906880004 47.214.846.9.522.000 3 - 013 - 27558 - 0 Bank Jateng 2 22 5000000 0.00 454,545.45 19
20 Fera Kuswardani 19840215 201001 2 016 Perawat 3303015502640002 68.159.330.7.529.000 2 - 013 - 05465 - 0 Bank Jateng 3 22 5000000 0.00 681,818.18 20
21 Octavianing Kumalasari 19871002 201502 2 004 Perawat 3603056310950001 44.002.077.1.529.000 3 - 013 - 23388 - 7 Bank Jateng 2 22 5000000 0.00 454,545.45 21
22 Yuni Pusdichristine 19800619 200801 2 001 Perawat 3304035906800004 57.353.909.5.529.000 2 - 013 - 00874 - 7 Bank Jateng 1 22 5000000 0.00 227,272.73 22
23 Qiqi Arista 19860121 201902 2 005 Bidan 3304054106910009 72.632.180.5.529.000 3 - 013 - 02844 - 8 Bank Jateng 18 22 5000000 0.00 4,090,909.09 23
24 Anggawanti Indah 19831210 201001 2 012 Bidan 3301235012330001 66.608.411.6.529.000 2 - 013 - 05472 - 2 Bank Jateng 15 22 5000000 0.00 3,409,090.91 24
25 Rina Kurniawati 19850906 201704 2 008 Bidan 3302194609850001 70.263.456.9.521.000 3 - 106 - 08055 - 0 Bank Jateng 3 22 5000000 0.00 681,818.18 25
26 Lina Andriyani 19840928 201704 2 002 Bidan 3302194609850001 88.219.460.8.529.000 3 - 106 - 08078 - 9 Bank Jateng 13 22 5000000 0.00 2,954,545.45 26
27 Ferawati Qoriah 19860403 201704 2 004 Bidan 3304034304860007 66.608.619.4.529.000 3 - 106 - 08053 - 3 Bank Jateng 13 22 5000000 0.00 2,954,545.45 27
28 Supri Astuti 19770605 200604 2 002 Bidan 3304044605770003 78.127.447.7.529.000 3 - 106 - 07232 - 8 Bank Jateng 1 22 5000000 0.00 227,272.73 28
29 Fitriyah 19721109 199302 2 003 Bidan 3304024933720002 49.299.494.2.529.000 2 - 013 - 07160 - 8 Bank Jateng 1 22 5000000 0.00 227,272.73 29
194 638 0.00 ###
Kepala UPTD Puskesmas Purwareja Klampok 1
dr. Dwi Lestariatun

NIP. 19690909 200212 2 004
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN Y
UPTD PUSKESMAS/LABKES : KLAMPOK 2
BULAN : APRIL 2020
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING
1 2 3 4 5 6 7
1 Tri Prapto Kurniawan 19740703 200012 1 001 Tenaga Kesh. Lainnya 3402120307760004 49.299.351.4-529.000 2013097204
2 dr.Ismuhartinah 19700102 200212 2 002 Dokter Umum 3304024201700001 49.299.471.0-529.000 2013134375
3 Amin Sahri 19730803 199603 1 001 Perawat 3304030306730000 49.299.555.0-529.000 2013072004
4 Sunarko 19660906 199002 1 003 Perawat 3304010609660001 24.747.318.4-529.000 2013109627
5 Rina Kuwati 19711210 199103 2 003 Bidan 3303025012710003 49.299.427.2-529.000 2013187512
6 Hanifah Harris 19750921 200604 2 009 Perawat 3304016109750000 25.336.509.2-529.000 2013206508
7 Siti Tarifatin 19771228 200212 2 013 Perawat 3304206812770001 77.614.979.1-529.000 2013124639
8 Winenti 19750527 200604 2 012 Tenaga Kesh. Lainnya 3304036705750000 88.463.329.8-529.000 3106080207
9 Ratri Handayani 19770617 200312 2 005 Bidan 3304025706770002 72.296.769.2-529.000 3106080355
10 Siti Lestari 19760527 200604 2 016 Bidan 3303026705760003 47.727.025.2-522.000 3106080347
11 Widi Eko Nugroho 19780518 200801 1 005 Tenaga Kesh. Lainnya 3304036705780000 49.299.556.8-529.000 2106001165
12 Eva Devi Meiyana 19810519 200501 2 014 Tenaga Kesh. Lainnya 3304025905810000 49.299.633.5-529.000 2013070860
13 Sri Sutarti 19850422 201704 2 008 Bidan 3304025306840002 77.614.975.9-529.000 2013006159
14 Yuni Fitriyani 19840613 201704 2 011 Bidan 3304025306840002 49.299.407.4-529.000 2013138565
15 Peni Setyoningsih 19841031 201704 2 004 Bidan 3304027110840002 07.810.474.2-529.000 2013070779
16 Marlia Normawati - Perawat 3302196103890003 75.655.991.0-521.000 2106051537
17 Eva Dwi Susanti - Bidan 3304027112900002 87.048.626.3-529.000 2106042848
18 Febriana Nursiamti Utami - Tenaga Kesh. Lainnya 3304025202950005 94.893.079.7-529.000 2106045553
19 Fitri Rismawati - Tenaga Kesh. Lainnya 9206016807900002 94.889.140.3-529.000 2013173331
20 Khusnul Khotimah - Tenaga Kesh. Lainnya 3304054611890002 94.884.513.6-529.000 2013206182
21 Rizka Agustin Trisejati - Bidan 3304016808940001 94.888.762.5-529.000 3106081645
22 Ulfi Istifaroh - Bidan 3305025608950003 94.884.970.8-529.000 3106081661
23 Aisyah Winarni - Bidan 3304026510880001 94.899.684.8.529.000 3106084831
24 Diana Kartikasari - Bidan 3304045806920001 94.888.771.6-529.000 2106044417
25 Revita Larasati - Analis Kesehatan 3302034109960004 76.770.825.8-521.000 3106084865
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
NAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI JUMLAH

BESARAN PAJAK
NAMA BANK HARI KALENDE DITERIMA TANDA TANGAN
INSENTIF (Rp.)
TUGAS R (Rp.)
8 9 10 11 12 13=9/10*7 14
BANK JATENG 20 22 5000000 0.00 4,545,454.55 1

BANK JATENG 18 22 5000000 0.00 4,090,909.09 2
BANK JATENG 18 22 5000000 0.00 4,090,909.09 3
BANK JATENG 16 22 5000000 0.00 3,636,363.64 4
BANK JATENG 10 22 5000000 0.00 2,272,727.27 5
BANK JATENG 17 22 5000000 0.00 3,863,636.36 6
BANK JATENG 20 22 5000000 0.00 4,545,454.55 7
BANK JATENG 10 22 5000000 0.00 2,272,727.27 8
BANK JATENG 19 22 5000000 0.00 4,318,181.82 9
BANK JATENG 17 22 5000000 0.00 3,863,636.36 10
BANK JATENG 19 22 5000000 0.00 4,318,181.82 11
BANK JATENG 16 22 5000000 0.00 3,636,363.64 12
BANK JATENG 15 22 5000000 0.00 3,409,090.91 13
BANK JATENG 18 22 5000000 0.00 4,090,909.09 14
BANK JATENG 17 22 5000000 0.00 3,863,636.36 15
BANK JATENG 15 22 5000000 0.00 3,409,090.91 16
BANK JATENG 15 22 5000000 0.00 3,409,090.91 17
BANK JATENG 17 22 5000000 0.00 3,863,636.36 18
BANK JATENG 15 22 5000000 0.00 3,409,090.91 19
BANK JATENG 19 22 5000000 0.00 4,318,181.82 20
BANK JATENG 17 22 5000000 0.00 3,863,636.36 21
BANK JATENG 10 22 5000000 0.00 2,272,727.27 22
BANK JATENG 13 22 5000000 0.00 2,954,545.45 23
BANK JATENG 17 22 5000000 0.00 3,863,636.36 24
BANK JATENG 16 22 5000000 0.00 3,636,363.64 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
404 550 0.00 ###
Kepala Puskesmas
Nama
NIP.
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YA
UPTD PUSKESMAS/LABKES : MANDIRAJA 1
BULAN : APRIL 2020
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK
1 2 3 4 5 6 7 8
1 dr. Edi Mulyanto 19630112 200701 1 010 Dokter Umum 3304031201630002 790376610529000 2013143988 BANK JATENG
2 Poniran S.Kep, Ns 19770831 200604 1 011 Perawat 3304033108770001 492994066529000 2013205572 BANK JATENG
3 Wahyu Widayani 19820101 200801 2 018 Perawat 3304034101820023 - 2013008127 BANK JATENG
4 Saeful Haryanto 19830707 201001 1 017 Perawat 3305040707830004 441568243523000 2013054331 BANK JATENG
5 Siti Nurfaizah 19731101 199803 2 006 Perawat 3304034111730004 492996079529000 2013086316 BANK JATENG
6 Oktorina Kristiani 19841025 201001 2 022 Perawat 3304036510840003 450341409529000 3013034701 BANK JATENG
7 Ekasari Rahmawati 19830915 201101 2 009 Perawat 3303015509830001 449767219529000 3013118336 BANK JATENG
8 Nonik Natalis - Perawat 3304036911830004 - 2013176879 BANK JATENG
9 Ririn B 19761210 200604 2 023 Perawat 3304025012760001 492993699529000 2013205362 BANK JATENG
10 Shinta Dewi DP 19840304 201101 2 008 Perawat 3303064403840004 450339940529000 3013118255 BANK JATENG
11 Toni Wahyu W 19840217 200903 1 003 Perawat 3304041702840002 580116309529000 2013030408 BANK JATENG
12 Dani Ardanari 19811215 200501 2 011 Bidan 3304035512810001 492996277529000 2013141506 BANK JATENG
13 Sri Yuliningsih 19760730 200701 2 009 Bidan 3304037007760001 - 2013004148 BANK JATENG
14 Nimas Kusuma N 19801126 201905 2 001 Bidan 3304036611800002 352581714529000 2106041311 BANK JATENG
15 Irmawati 19830417 201704 2 009 Bidan 3304035704830007 352580906529000 3106080703 BANK JATENG
16 Ike Mei Wulandari 19820528 201704 2 003 Bidan 3304036805820001 352577068529000 3106080606 BANK JATENG
17 Neni Tri Widaryanti 19851021 201704 2 008 Bidan 3304036110850002 352578793529000 3106080631 BANK JATENG
18 Indah Susilowati 19840808 201704 2 005 Bidan 3304034808840003 352579858529000 3106080592 BANK JATENG
19 Novita Hasmi - Bidan 3304036811880002 - 2013176976 BANK JATENG
20 Ika Ayu P 19851108 201704 2 006 Bidan 3304034811850001 351669114522001 3106080622 BANK JATENG
21 Gita Dwi L - Bidan 3603175702960002 666190848529000 3106080690 BANK JATENG
22 Tyas Rahayu A 19700927 199103 2 008 Tenaga Kesh. Lainnya 3304056709700001 261221907529000 2106028918 BANK JATENG
23 Pranita Sekar M - Tenaga Kesh. Lainnya 3304046904940006 - 2013205771 BANK JATENG
24 Santi Setyarsih 19780526 201001 2 005 Tenaga Kesh. Lainnya 3304026605780002 474018330529000 2013054030 BANK JATENG
25 Faiza Ais A - Tenaga Kesh. Lainnya 3304034504930002 - 2106045651 BANK JATENG
26 Sri Yuliati 19760120 200604 2 017 Analis Kesehatan 3302206001760002 492995204521000 2013205390 BANK JATENG
27 Ismail Aziz 10761220 199503 1 001 Perawat 3304032012760004 492995436529000 2013082126 BANK JATENG
28 drg. Farida R 19770704 200501 2 014 Dokter Gigi 3304064407770002 492993647529000 2013138292 BANK JATENG
29 Sumarlan 19801024 200903 1 003 Tenaga Kesh. Lainnya 3303032410800001 262472491529000 2013036155 BANK JATENG
30 Restiani 19760517 200604 2 023 Bidan 3304055705760003 597034099529000 2013206401 BANK JATENG
31 Ari Setiawan - Perawat 3304032505810006 - 2013176887 BANK JATENG
32 Fuad Faozan - Perawat 3304022007820004 - 2013176895 BANK JATENG
33 Adit Yadianto - Perawat 3304030806900002 - 2013176992 BANK JATENG
34 Anang Budi Utomo - Perawat 3304031011950002 - 2013177000 BANK JATENG
35 Bangkit Yuda - Perawat 3304111112880001 - 2013189997 BANK JATENG
36 Purwani - Bidan 3302135112910002 - 2013176925 BANK JATENG
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
N KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI

BESARAN JUMLAH
HARI KALENDE PAJAK (Rp.) TANDA TANGAN
TUGAS R
9 10 11 12 13=9/10*7 14
11 22 5000000 0.00 2,500,000.00 1

15 22 5000000 0.00 3,409,090.91 2
14 22 5000000 0.00 3,181,818.18 3
14 22 5000000 0.00 3,181,818.18 4
14 22 5000000 0.00 3,181,818.18 5
13 22 5000000 0.00 2,954,545.45 6
14 22 5000000 0.00 3,181,818.18 7
14 22 5000000 0.00 3,181,818.18 8
14 22 5000000 0.00 3,181,818.18 9
14 22 5000000 0.00 3,181,818.18 10
14 22 5000000 0.00 3,181,818.18 11
12 22 5000000 0.00 2,727,272.73 12
12 22 5000000 0.00 2,727,272.73 13
13 22 5000000 0.00 2,954,545.45 14
14 22 5000000 0.00 3,181,818.18 15
14 22 5000000 0.00 3,181,818.18 16
13 22 5000000 0.00 2,954,545.45 17
14 22 5000000 0.00 3,181,818.18 18
14 22 5000000 0.00 3,181,818.18 19
14 22 5000000 0.00 3,181,818.18 20
13 22 5000000 0.00 2,954,545.45 21
10 22 5000000 0.00 2,272,727.27 22
14 22 5000000 0.00 3,181,818.18 23
10 22 5000000 0.00 2,272,727.27 24
14 22 5000000 0.00 3,181,818.18 25
9 22 5000000 0.00 2,045,454.55 26
11 22 5000000 0.00 2,500,000.00 27
7 22 5000000 0.00 1,590,909.09 28
10 22 5000000 0.00 2,272,727.27 29
13 22 5000000 0.00 2,954,545.45 30
14 22 5000000 0.00 3,181,818.18 31
14 22 5000000 0.00 3,181,818.18 32
14 22 5000000 0.00 3,181,818.18 33
14 22 5000000 0.00 3,181,818.18 34
13 22 5000000 0.00 2,954,545.45 35
11 22 5000000 0.00 2,500,000.00 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
462 792 0.00 105,000,000.00
Kepala UPTD Puskesmas Mandiraja 1
NURUDDIN AG, SKM, M.Kes

NIP. 19700419 199403 1 002
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
UPTD PUSKESMAS/LABKES : MANDIRAJA 2
BULAN : APRIL 2020
JML JML HARI JUMLAH
NO. BESARAN PAJAK TANDA
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI KALENDE DITERIMA
REKENING INSENTIF (Rp.) TANGAN
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Edy Santoso 197707042007011010 Dokter Umum 3304040407770001 ### 2013212032 Bank Jateng 12 22 5000000 0.00 2,727,272.73 1
2 Rasikin 196704171987031 005 Perawat 3304011704670002 4.929954E+14 2013095446 Bank Jateng 21 22 5000000 0.00 4,772,727.27 2
3 Sri Wahyuni, Amd.Keb. 196606091987032005 Bidan 3304034906660001 4.929947E+14 2013070581 Bank Jateng 11 22 5000000 0.00 2,500,000.00 3
4 Umi Kundarti 196806261988032003 Bidan 3304036606680003 4.92994E+14 2013070650 Bank Jateng 6 22 5000000 0.00 1,363,636.36 4
5 Plenik Purwanti, Amd.Keb. 197309121993012002 Bidan 3304635029730006 4.929939E+14 2013138521 Bank Jateng 12 22 5000000 0.00 2,727,272.73 5
6 Iswuri Handayani, Amd.Keb. 196803271989122001 Bidan 3304036901640003 4.92994E+14 2013071147 Bank Jateng 13 22 5000000 0.00 2,954,545.45 6
7 Cicilia Sri Lestari, Amd.Keb. 197301091993012002 Bidan 3304034901730003 4.929941E+14 2013071686 Bank Jateng 14 22 5000000 0.00 3,181,818.18 7
8 Nunung Zubaidah, Amd.Keb. 198101082005012014 Bidan 3304024801810005 4.929963E+14 2013138446 Bank Jateng 13 22 5000000 0.00 2,954,545.45 8
9 Eko Prakosa, S.Kep. 198102162008011007 Perawat 3304031602810001 2.612222E+14 2013009328 Bank Jateng 13 22 5000000 0.00 2,954,545.45 9
10 Miswati, Amd.Kep. 197808122008012011 Perawat 3304035208780002 5.730226E+14 2106000941 Bank Jateng 14 22 5000000 0.00 3,181,818.18 10
11 Suhesti Ratih Proboratri,Amd.Keb. 198610212010012012 Bidan 3304016110860003 6.833028E+14 2013054536 Bank Jateng 11 22 5000000 0.00 2,500,000.00 11
12 Desi Ujiningsih, Amd.Keb. 198512232010012017 Bidan 3304036312850001 6.833028E+14 2013053963 Bank Jateng 12 22 5000000 0.00 2,727,272.73 12
13 Wawang Tribowo, Amd.Kep. 197909282010011010 Perawat 3304032809790004 3.618743E+14 2106010245 Bank Jateng 15 22 5000000 0.00 3,409,090.91 13
14 Pangesti Yulianingsing, Amd.Kep. 198106262005012016 Perawat 3304026606810007 5.730226E+14 2013138521 Bank Jateng 14 22 5000000 0.00 3,181,818.18 14
15 Khusnul Barokah, Amd.Keb. 19840403 201704 2 004 Bidan 3301064304840006 6.833028E+14 3016080479 Bank Jateng 12 22 5000000 0.00 2,727,272.73 15
16 Surtiyah, Amd.Keb. 19850124 201704 2 003 Bidan 3304036401850001 6.833028E+14 3106080495 Bank Jateng 12 22 5000000 0.00 2,727,272.73 16
17 Ida Nurhayati, Amd.Kep. 19840425 201704 2 005 Bidan 3304036504840005 6.833028E+14 3106080461 Bank Jateng 13 22 5000000 0.00 2,954,545.45 17
18 Dita Yanitasari, Amd.Kep. 198501122007042010 Bidan 3304035201850007 6.833029E+14 3106080487 Bank Jateng 13 22 5000000 0.00 2,954,545.45 18
19 Eka Noviasih, Amd.Kep. 19871109 201704 2 004 Bidan 3304034911870001 6.833028E+14 3106080339 Bank Jateng 13 22 5000000 0.00 2,954,545.45 19
20 Najati Abadiah, Amd.Keb. 19881209 201704 2 007 Bidan 3305034912880001 7.731991E+14 3106080525 Bank Jateng 12 22 5000000 0.00 2,727,272.73 20
21 Romiyati, Amd.Keb. 19810506 2019052001 Bidan 3304024605810002 5.970352E+14 3106091926 Bank Jateng 12 22 5000000 0.00 2,727,272.73 21
22 Dwi Wahyu Dewantoro, Amd.Kep. Perawat 3301041609930002 2106042597 Bank Jateng 21 22 5000000 0.00 4,772,727.27 22
23 Eka Linda Wahyuni, Amd.Kep. Perawat 3304034810950002 2106042431 Bank Jateng 13 22 5000000 0.00 2,954,545.45 23
24 Afif Nur Ikhsan, Amd.Kep. Perawat 3304032906920003 2106042554 Bank Jateng 13 22 5000000 0.00 2,954,545.45 24
25 Rofiana Nurul Fatimah, Amd.Kep. Perawat 3304034501940002 2106042341 Bank Jateng 13 22 5000000 0.00 2,954,545.45 25
26 Hudani Soffia Karlinta, S.Kep.Ners. Perawat 3304054709930001 2013185282 Bank Jateng 14 22 5000000 0.00 3,181,818.18 26
27 Rina Wahyuningsih, S.Kep.Ner. Perawat 3304034308880001 2106047823 Bank Jateng 14 22 5000000 0.00 3,181,818.18 27
28 Whita Wirantika, Amd.Kep. Perawat 3304034507960001 2106042465 Bank Jateng 15 22 5000000 0.00 3,409,090.91 28
29 Supriyadi, Amd.Kep. Perawat 3304031002820001 7.077085E+14 2106042619 Bank Jateng 17 22 5000000 0.00 3,863,636.36 29
30 Wirantika Dwi Nency, Amd.Keb. Bidan 3304035711910002 3106084598 Bank Jateng 12 22 5000000 0.00 2,727,272.73 30
31 Titin Yulianti, Amd.Keb. Bidan 3304035707930003 2106042350 Bank Jateng 12 22 5000000 0.00 2,727,272.73 31
32 Anteng Anisa 198303262010012015 Tenaga Kesh. La3304036603830007 2013054510 Bank Jateng 10 22 5000000 0.00 2,272,727.27 32
33 Sri Wahyuni, Str.Gz. 198207122007012007 Tenaga Kesh. La3304035207820005 2013004164 Bank Jateng 9 22 5000000 0.00 2,045,454.55 33
34 Ririh Puspitasari, Str.KL 198012182008012010 Tenaga Kesh. La3304035812800004 2013007783 Bank Jateng 9 22 5000000 0.00 2,045,454.55 34
35 Yayan Andayani Ajiningtyas 198908052011012010 Tenaga Kesh. La3304034508890004 3013118301 Bank Jateng 9 22 5000000 0.00 2,045,454.55 35
36 Fadhilah Riska Hadi Bidan 3327075303950041 2106051375 Bank Jateng 12 22 5000000 0.00 2,727,272.73 36
37 Maulina Analis Kesehata 1571026503970041 2016050654 Bank Jateng 14 22 5000000 0.00 3,181,818.18 37
38 Ummu Sa'adah Analis Kesehata 3304065706870009 2013210112 Bank Jateng 14 22 5000000 0.00 3,181,818.18 38
39 Septi Nurlaaela, SKM Tenaga Kesh. La3304035109880001 2106041451 Bank Jateng 8 22 5000000 0.00 1,818,181.82 39
40 Serly Yuliana, Str.Gz. Tenaga Kesh. La3304024304950005 2106042376 Bank Jateng 9 22 5000000 0.00 2,045,454.55 40
41 Ratih Permatasari, Str.KL Tenaga Kesh. La3304024304950005 2106042325 Bank Jateng 9 22 5000000 0.00 2,045,454.55 41
515 902 0.00 ###
Kepala UPTD Puskesmas Mandiraja 2
dr. Edy Santoso

NIP. 197707042007011010
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHAT
UPTD PUSKESMAS/LABKES : PURWANEGARA 1
BULAN : APRIL 2020
1 2 3 4 5 6 7
1 dr. Nuruddin Purwanto 19660120 200212 2 003 Dokter Umum 3304052001660001 25.448.239.1-529.000 2-013-00332-0
2 Sulistiyani, S.Kep Ns 19770115 200604 2 019 Perawat 3304015501770003 49.299.626.9-529.000 2-013-14276-4
3 Agustirin Sulistiyari, AMKG 19650822 198903 2 007 Perawat 3304046208650003 47.678.013.8-521.000 2-013-13480-8
4 drg. Suzana Aprilia G 19790418 200604 2 030 Dokter Gigi 3304065804790005 49.299.344.9-529.000 2-013-16940-9
5 dr. Raih Anisti Dewi Praniti 19900207 201502 2 003 Dokter Umum 3304084702900001 34.451.614.1-545.000 3-013-23372-1
6 Rumiati, A Md 19750908 200501 2 016 Analis Kesehatan 3304044809750002 49.299.467.8-529.000 2-013-13871-9
7 Dwi Hastuti 19740628 199301 2 002 Bidan 3304046806740002 49.299.465.2-529.000 2-013-07148-2
8 Agus Dwi Hastuti, S.Kep Ns 19770811 200604 2 013 Perawat 3304045108770007 49.299.475.1-529.000 2-013-20580-1
9 Eman Sulastri. S,Kep 19790510 200801 2 016 Perawat 3304045005790013 57.353.917.8-529.000 2-013-00857-7
10 Endang Susilowati, A Md Keb 19800629 200801 2 007 Bidan 3304046906800004 44.156.823.5-529.000 2-013-00844-5
11 Indriyah Mukmini, A Md Keb 19801009 200801 2 011 Bidan 3304084910800001 89.473.186.8-529.000 2-013-00991-3
12 Meiana Dewi B, S.ST 19820502 200604 2 022 Bidan 3304054205820003 49.183.907.2-529.000 2-013-14424-3
13 Lili widi Kuntari, Amd 19801119 200904 2 002 Tenaga Kesh. Lain 3304055911800001 36.065.874.4-529.000 2-013-03036-0
14 Eti Nurazizah, STr.KL 19760222 200604 2 014 Tenaga Kesh. Lain 3304056202760002 49.299.303.5-529.000 2-013-20476-2
15 Siti Hadiroh, S.Kep 19790727 200604 2 034 Perawat 3304116707790002 59.737.878.5-529.000 2-013-20601-9
16 Endang Sulastriningsih,S Kep 19791013 201101 2 005 Perawat 3304045310790003 66.903.437.3-529.000 3-013-11810-7
17 Purwani Dwi Astuti, Amd Kep 19770614 201101 2 006 Perawat 3304075406770002 66.903.208.8-529.000 3-013-11809-3
18 Uftilah suksesi, Amd. Keb 19770327 200701 2 008 Bidan 3304056703770008 59.703.405.7-529.000 2-013-00179-3
19 Liliana Pujiningrum, Amd. Keb 19731106 200604 2 011 Bidan 3304044611730002 78.320.943.0-529.000 2-013-20610-0
20 Vevi W C,A MD Keb 19850225 201704 2 006 Bidan 3304046502850001 66.773.773.8-529.000 2-016-03056-4
21 Yuni Triastuti .Md.Keb 19840605 201704 2 009 Bidan 3304044506840004 67.773.791.0-529.000 3-013-25638-1
22 Pugar Ferawati P,A MD Keb 19870209 201704 2 007 Bidan 3304044902870001 66.457.802.8-529.000 3-013-25644-5
23 Nasyanti, A MD Keb 19860822 201704 2 008 Bidan 3302036208860001 35.165.655.8-521.000 3-013-25634-8
24 Septiawati,A MD Keb 19870928 201704 2 006 Bidan 3304016809870001 66.773.745.6-529.000 3-106-08074-6
25 Fiana Tri Lestari, A.Md.Kep 19931116 201902 2 006 Perawat 3304115711930001 90.940.668.8-529.000 3-013-02842-1
26 Dian Rahmawati, A.Md. Kep 19940725 201902 2 011 Perawat 3307076507940002 90.940.269.5-533.000 3-013-02841-7
27 Anggareni Wahyunig Tyas, A. 19950115 201902 2 007 Perawat 3304115501950003 90.940.642.3-529.000 3-013-02842-2
28 Ani Ekawati, A.Md. Kep 19950130 201902 2 011 Perawat 3304117001950002 90.940.698.5-529.000 3-013-27579-2
29 Tri Anugrah Gangsar Anggraen19920512 201902 2 005 Perawat 3304065205920003 59.494.392.0-017.000 3-013-27572-5
30 Sri Mulyati, AMK 19831025 201902 2 001 Perawat 3304086510830005 57.752.044.8-529.000 3-013-02842-7
31 Farah Debby Pangestika, A.Md 19930930 201902 2 005 Tenaga Kesh. Lain 3304067009930006 71.815.852.0-529.000 3-013-27479-6
32 Nuryanti, Amd 19810518 201905 2 004 Bidan 3304045805820002 66.773.724.1-529.000 3-013-27852-0
33 Gayuh Mustika Prabandari - Tenaga Kesh. Lain 3303025510950001 - 2-013-20648-4
34 Ria Hidayah - Tenaga Kesh. Lain 3304114503950001 - 3-104-08706-9
35 Vienda Wirani - Tenaga Kesh. Lain 3304064503950002 - 3-027-27762-3
36 Dhea Nisa Pangestri - Tenaga Kesh. Lain 3309054207969002 - 2-013-22013-4
JML JML HARI

BESARAN JUMLAH DITERIMA
NAMA BANK HARI KALENDE PAJAK (Rp.) TANDA TANGAN
INSENTIF (Rp.)
TUGAS R
8 9 10 11 12 13=9/10*7 14
BANK JATENG 12 22 5000000 0.00 2,727,272.73 1

BANK JATENG 19 22 5000000 0.00 4,318,181.82 2
BANK JATENG 7 22 5000000 0.00 1,590,909.09 3
BANK JATENG 6 22 5000000 0.00 1,363,636.36 4
BANK JATENG 11 22 5000000 0.00 2,500,000.00 5
BANK JATENG 8 22 5000000 0.00 1,818,181.82 6
BANK JATENG 13 22 5000000 0.00 2,954,545.45 7
BANK JATENG 8 22 5000000 0.00 1,818,181.82 8
BANK JATENG 9 22 5000000 0.00 2,045,454.55 9
BANK JATENG 11 22 5000000 0.00 2,500,000.00 10
BANK JATENG 10 22 5000000 0.00 2,272,727.27 11
BANK JATENG 8 22 5000000 0.00 1,818,181.82 12
BANK JATENG 6 22 5000000 0.00 1,363,636.36 13
BANK JATENG 11 22 5000000 0.00 2,500,000.00 14
BANK JATENG 10 22 5000000 0.00 2,272,727.27 15
BANK JATENG 9 22 5000000 0.00 2,045,454.55 16
BANK JATENG 10 22 5000000 0.00 2,272,727.27 17
BANK JATENG 9 22 5000000 0.00 2,045,454.55 18
BANK JATENG 10 22 5000000 0.00 2,272,727.27 19
BANK JATENG 9 22 5000000 0.00 2,045,454.55 20
BANK JATENG 9 22 5000000 0.00 2,045,454.55 21
BANK JATENG 9 22 5000000 0.00 2,045,454.55 22
BANK JATENG 10 22 5000000 0.00 2,272,727.27 23
BANK JATENG 10 22 5000000 0.00 2,272,727.27 24
BANK JATENG 10 22 5000000 0.00 2,272,727.27 25
BANK JATENG 7 22 5000000 0.00 1,590,909.09 26
BANK JATENG 19 22 5000000 0.00 4,318,181.82 27
BANK JATENG 9 22 5000000 0.00 2,045,454.55 28
BANK JATENG 10 22 5000000 0.00 2,272,727.27 29
BANK JATENG 9 22 5000000 0.00 2,045,454.55 30
BANK JATENG 9 22 5000000 0.00 2,045,454.55 31
BANK JATENG 9 22 5000000 0.00 2,045,454.55 32
BANK JATENG 11 22 5000000 0.00 2,500,000.00 33
BANK JATENG 9 22 5000000 0.00 2,045,454.55 34
BANK JATENG 10 22 5000000 0.00 2,272,727.27 35
BANK JATENG 11 22 5000000 0.00 2,500,000.00 36
357 792 0.00 81,136,363.64
KEPALA UPTD PUSKESMAS PURWANEGARA 1
dr. Nuruddin Purwanto

NIP. 19660120 200212 1 003
UPTD PUSKESMAS/LABKES : PURWANEGARA 2
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 FARIDA HIRMAWATI DR 1975080220060 Dokter Umum 3304044208750000 492994660 529 2-013-20620-7 Bank Jateng 22 22
2 SUWARSO 19800103 20060Perawat 3304030301800003 891909269 529 2-013-20537-8 Bank Jateng 19 22
3 MUSLIMAH 19811214 20070Perawat 3304045412810001 783209372 529 3-013-27326-9 Bank Jateng 19 22
4 KUSYONO 19930523 20190Tenaga Kesh. Lainnya 3302212309690000 492996046 529 2-013-10078-8 Bank Jateng 19 22
5 ELSA HARYATI 19880527 20190Analis Kesehatan 1505054111940002 930572268 331 2-013-22021-5 Bank Jateng 19 22
6 JOKO PURNOMO SIDI - Tenaga Kesh. Lainnya 3317120708890005 731985479 507 2-013-22023-1 Bank Jateng 21 22
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
119 132
Kepala UPTD Puskesmas P
dr Farida Hirmawati
NIP. 197508022006042009
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 5,000,000.00 1

5000000 0.00 4,318,181.82 2
5000000 0.00 4,318,181.82 3
5000000 0.00 4,318,181.82 4
5000000 0.00 4,318,181.82 5
5000000 0.00 4,772,727.27 6
0 0.00 07
0 0.00 0 8
0 0.00 09
0 0.00 0 10
0 0.00 0 11
0 0.00 0 12
0 0.00 0 13
0 0.00 0 14
0 0.00 0 15
0 0.00 0 16
0 0.00 0 17
0 0.00 0 18
0 0.00 0 19
0 0.00 0 20
0 0.00 0 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 ###
Kepala UPTD Puskesmas Purwanegara 2
dr Farida Hirmawati
NIP. 197508022006042009
DAFTAR NOMINATIF PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
UPTD PUSKESMAS/LABK : BAWANG 1
BULAN : APRIL 2020
JML JML HARI JUMLAH
NO JENIS NO. NAMA BESARAN PAJAK
NAMA NIP/NRPTT NIK NPWP HARI KALENDE DITERIMA TANDA TANGAN
. NAKES REKENING BANK INSENTIF (Rp.)
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Liana Dewi 19730705 200212 2 004 Dokter Umum 3304054507730001 58.687.454.7-529.00 2-013-00257-9 Bank Jateng 22 22 5000000 0.00 5,000,000.00 1
2 Eti Indarti 19720303 199103 2 002 Perawat 3304054303720004 49.299.335.7-529.0002-013-07927-6 Bank Jateng 22 22 5000000 0.00 5,000,000.00 2
3 Yanti Agustini 19800802 200801 2 005 Perawat 3304054208800001 89.078.179.2-529.0002-013-14296-8 Bank Jateng 17 22 5000000 0.00 3,863,636.36 3
4 Reni Kristiyana 19821230 200604 2 008 Perawat 3304067012820010 49.299.595.6-529.0002-013-18766-9 Bank Jateng 11 22 5000000 0.00 2,500,000.00 4
5 Gilar Satyandanu - Perawat 3303091408930001 2-013-18472-3 Bank Jateng 17 22 5000000 0.00 3,863,636.36 5
6 Eko Setyo Wibowo - Perawat 3304052704920001 2-013-18475-8 Bank Jateng 13 22 5000000 0.00 2,954,545.45 6
7 Wahyu Dwi Setyarini - Perawat 3304056811950003 80.609.401.7-529.0002-013-18452-9 Bank Jateng 16 22 5000000 0.00 3,636,363.64 7
8 Sri Hartati 19790603 200604 2 024 Perawat 3304074306790001 57.752.025.7-529.0002-013-14283-3 Bank Jateng 16 22 5000000 0.00 3,636,363.64 8
9 Nurul Hikmawati 19690121 198912 2 002 Tenaga Kesh. 3304066101690003 49.299.328.2-529.0002-013-07040-6 Bank Jateng 13 22 5000000 0.00 2,954,545.45 9
10 Suharsi 19640109 198409 2 001 Bidan 3304054901640001 07.812.348.6-521.0012-013-07470-9 Bank Jateng 13 22 5000000 0.00 2,954,545.45 10
11 Supinah 19740728 199301 2 002 Bidan 3304056807740003 49.299.330.8-529.0002-013-07149-8 Bank Jateng 12 22 5000000 0.00 2,727,272.73 11
12 Retno Sukmawati 19801006 200801 2 006 Bidan 3304054610800001 25.896.089.7-529.0002-013-00947-6 Bank Jateng 12 22 5000000 0.00 2,727,272.73 12
13 Neneng Ida Nurshanti 19760601 200501 2 011 Bidan 3304054106760002 25.895.982.4-529.0002-013-13831-1 Bank Jateng 12 22 5000000 0.00 2,727,272.73 13
14 Yunita Setya Utami 19850714 201704 2 007 Bidan 3304055407850008 66.628.195.1-529.0003-013-25683-6 Bank Jateng 13 22 5000000 0.00 2,954,545.45 14
15 Nuril Umamah 19860315 201704 2 010 Bidan 3304055503860004 66.628.181.1-529.0003-013-25672-1 Bank Jateng 15 22 5000000 0.00 3,409,090.91 15
16 Martina Prihatini 19850929 201704 2 009 Bidan 3304056909850002 66.628.164.7-529.0003-013-25627-5 Bank Jateng 14 22 5000000 0.00 3,181,818.18 16
17 Ageng Dwi Noveta Hap19850502 201704 2 007 Bidan 3304064205850001 66.628.175.3-529.0003-013-25630-5 Bank Jateng 15 22 5000000 0.00 3,409,090.91 17
18 Donny Erawati 19871019 201704 2 004 Bidan 3304065910870001 47.320.272.9-522.0003-013-25629-1 Bank Jateng 17 22 5000000 0.00 3,863,636.36 18
19 Saras Widyaningrum 19870420 201704 2 006 Bidan 3304076004870002 67.778.617.0-529.0003-013-25676-3 Bank Jateng 15 22 5000000 0.00 3,409,090.91 19
20 Devi Nur Hepni 19890415 201704 2 003 Bidan 3329035504890001 71.297.402.1-529.0003-013-25628-3 Bank Jateng 16 22 5000000 0.00 3,636,363.64 20
21 Sumiyati 1970062720190520001 Bidan 3304056706700001 66.628.188.6-529.0002-013-17809-0 Bank Jateng 15 22 5000000 0.00 3,409,090.91 21
22 Lia Nurhidayati - Bidan 3304086101950001 2-163-01657-8 Bank Jateng 12 22 5000000 0.00 2,727,272.73 22
23 Nofi Setiani - Bidan 3304067011930001 2-013-18479-1 Bank Jateng 12 22 5000000 0.00 2,727,272.73 23
24 Unggul Widagdo 19720522 200212 1004 Analis Keseha3304062205720002 49.183.941.1-529.0002-013-14126-1 Bank Jateng 13 22 5000000 0.00 2,954,545.45 24
25 Mircha Restiana Elen - Analis Keseha3304104809980003 3-013-28441-4 Bank Jateng 12 22 5000000 0.00 2,727,272.73 25
26 Nirma Apriana Sari - Tenaga Kesh. 8271036304960001 93.162.383.9-942.0003-013-28394-9 Bank Jateng 16 22 5000000 0.00 3,636,363.64 26
27 Norisa Avyna N - Tenaga Kesh. 3304056103940001 2-013-19193-2 Bank Jateng 9 22 5000000 0.00 2,045,454.55 27
390 594 0.00 ###
Kepala Puskesmas
dr. LIANA DEWI

NIP. 19730705 200212 2 004
UPTD PUSKESMAS/LABKES : BAWANG 2
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 Agung Yuli H, S.Kep, Ns. Perawat

19890718 201101 3302191807890001 3013117976 Bank Jateng
446823841-521.000 15 22
2 Pradita Ruddhamayanti S 32750171033 Perawat 3306164107940002 791584098531000 2013219144 Bank Jateng 12 22
3 Feri Pujiono, AMK. Perawat
19880206 200904 3304050602880001 352582480-529-000 2013037445 Bank Jateng 9 22
4 Sunarti, AMK Perawat
19720911 200212 3304055109720005 597033976-529-000 2013109495 Bank Jateng 9 22
5 Dewi Tri L, Amd Keb Bidan
19840320 201704 3304056003840006 597034131-529-000 3013256259 Bank Jateng 9 22
6 Wigati, Amd Keb Bidan
19810807 201704 3301034708810009 700417827522000 3013256402 Bank Jateng 8 22
7 Sandys Tia N, Amd Keb Bidan
19890423 201704 3304046304890003 666232632529000 3013256968 Bank Jateng 9 22
8 Nurhayati, Amd Keb Bidan
19860725 201704 3302066507860002 78.837.241.5-421.000 3013256411 Bank Jateng 8 22
9 Maria Sartika Sentosa N S.Tr K11711007597 Analis Kesehatan 5304226509930003 927837955925000 2013220142 Bank Jateng 7 22
10 Alfi Winarni N, AMK Perawat
19751127 200604 3304066711750002 492996301-529-000 2013142548 Bank Jateng 6 22
11 Oneng Darmiyati 19741221 Bidan
200604 3304056112740002 507034008-529-000 2013206382 Bank Jateng 9 22
12 Dwi Endah N 19830411201101Tenaga Kesh. Lainn 3304035104830007 724934260529000\ 3013118174 Bank Jateng 8 22
13 Misriyah, Amd Keb Bidan
19850519 201704 3304015905850001 66.623.202.0-529.000 3013256925 Bank Jateng 9 22
14 Kurnia Dewi H, Amd Keb Bidan
19881125 201704 3304056511880005 66.623.223.6-529.000 3013256917 Bank Jateng 8 22
15 Daryanti, Amd Keb Bidan
19830917 201704 3304055709830005 66.623.7-529.000 3013256402 Bank Jateng 8 22
16 Cahyani Riyanah Bidan
19740506 199303 3304044605740005 492994728-529-000 2013071636 Bank Jateng 8 22
17 dr Suprihatin Dokter Umum
19750223 201001 3304066302750003 580116036529000 2013054919 Bank Jateng 6 22
18 Evi Ariyanti Bidan
19721106 200012 3304054611720001 59.703.396.8-529.000 2013098020 Bank Jateng 9 22
19 Siti Ulfiyati Bidan
19750409 200604 3304054904750004 59703406-5529.000 2013206398 Bank Jateng 9 22
20 Nina Kurniasih Ch Tenaga Kesh. Lainn 3304056104770008
19770421 200701 580116051-529.000 2013053092 Bank Jateng 6 22
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
172 440
Kepala Puskesmas
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 3,409,090.91 1

5000000 0.00 2,727,272.73 2
5000000 0.00 2,045,454.55 3
5000000 0.00 2,045,454.55 4
5000000 0.00 2,045,454.55 5
5000000 0.00 1,818,181.82 6
5000000 0.00 2,045,454.55 7
5000000 0.00 1,818,181.82 8
5000000 0.00 1,590,909.09 9
5000000 0.00 1,363,636.36 10
5000000 0.00 2,045,454.55 11
5000000 0.00 1,818,181.82 12
5000000 0.00 2,045,454.55 13
5000000 0.00 1,818,181.82 14
5000000 0.00 1,818,181.82 15
5000000 0.00 1,818,181.82 16
5000000 0.00 1,363,636.36 17
5000000 0.00 2,045,454.55 18
5000000 0.00 2,045,454.55 19
5000000 0.00 1,363,636.36 20
0 0.00 0 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 ###
Kepala Puskesmas
Nama
NIP.
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG M
UPTD PUSKESMAS/LABKES : BANJARNEGARA 1
BULAN : APRIL 2020
1 2 3 4 5 6 7 8
1 dr. Siti Riani - Dokter Umum 1509036407890002 821906302332000 2-013-22110-6 Bank Jateng
2 Rusliyah 196410211984122004 Perawat 3304066110640001 492992961529000 2-013-07266-2 Bank Jateng
3 Arief Budi Setiawan 198502092009031006 Perawat 3304090902850004 260903695529000 2-013-02931-1 Bank Jateng
4 Yulekhah 197801252000032004 Perawat 1802076501780001 155590755321000 2-013-11146-7 Bank Jateng
5 Kristiningsih 197505282006042005 Bidan 3304206805750001 349487306529000 2-013-20604-7 Bank Jateng
6 Sri Purwaningrum 197505312006042013 Tenaga Kesh. Lain3304087105750002 491995790529000 2-013-20575-4 Bank Jateng
7 Trisna Nilawati 198408222009032010 Tenaga Kesh. Lain3304096208840002 244041075529000 2-013-02736-9 Bank Jateng
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JML JML HARI JUMLAH

BESARAN
HARI KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
TUGAS R (Rp.)
9 10 11 12 13=9/10*7 14
13 22 5000000 0.00 2,954,545.45 2

11 22 5000000 0.00 2,500,000.00 4
12 22
10 22 5000000 0.00 2,272,727.27 8
19 22 5000000 0.00 4,318,181.82 9
12 22 5000000 0.00 2,727,272.73 14
13 22 5000000 0.00 2,954,545.45 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
90 154 0.00 ###
Kepala Puskesmas
Nama
NIP.
UPTD PUSKESMAS/LABKES : BANJARNEGARA 2
BULAN : APRIL 2020
JML JML HARI JUMLAH
BESARAN
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Ana Susanti, MM 19750715 200604 2 016 Dokter Umum 3304065507750004 24.163.868.3-529.001 2-013-14399-4 BANK JATENG 10 22 5000000 0.00 2,272,727.27 1
2 Suhermini 19680308 199003 2 004 Tenaga Kesh. Lainn 3304064803680003 48.013.900.5.529.999 2-013-07593-9 BANK JATENG 12 22 5000000 0.00 2,727,272.73 2
3 Yekti Pratikowati,SKM 19761112 200604 2 019 Tenaga Kesh. Lainn 3304065211760007 47.415.270.9.529.000 2-013-20559-4 BANK JATENG 12 22 5000000 0.00 2,727,272.73 3
4 Fristi Haryani, S.ST 19700801 199203 2 006 Bidan 3304064108700001 08.875.910.5-529.000 2-013-07139-1 BANK JATENG 15 22 5000000 0.00 3,409,090.91 4
5 Dewi Santi Cahyani,S.Kep.Ns 19800308 200701 2 002 Perawat 3304064803800003 26.281.055.9.529.000 2-013-00437-7 BANK JATENG 17 22 5000000 0.00 3,863,636.36 5
6 Ariwoko Shanti Darmajati 19810101 200604 2 051 Perawat 3304064101810011 49.299.413.2.529.000 2-013-20644-5 BANK JATENG 13 22 5000000 0.00 2,954,545.45 6
7 Uun Setyo K 19830731 200604 2 011 Bidan 3304067107830005 26.477.546.1.529.000 2-013-18748-7 BANK JATENG 14 22 5000000 0.00 3,181,818.18 7
8 Sri Mudjiati 19800905 200801 2 008 Perawat 3304064509800007 26.281.146.6.529.000 2-013-00436-9 BANK JATENG 16 22 5000000 0.00 3,636,363.64 8
9 Dhian Susilowati 19790220 200801 2 008 Perawat 3304206002790001 26.281.195.3.529.000 2-013-01008-3 BANK JATENG 16 22 5000000 0.00 3,636,363.64 9
10 Wahyu Widianti, S.Tr.Keb 19780628 200701 2 006 Bidan 3304086806780001 89.565.957.1.529.000 2-013-00282-0 BANK JATENG 14 22 5000000 0.00 3,181,818.18 10
11 Puput Nurhayati 19801128 201001 2 015 Analis Kesehatan 3304056811800006 67.952.646.7.529.000 2-013-14428-7 BANK JATENG 13 22 5000000 0.00 2,954,545.45 11
12 Sri Wahyuningsih 19760204 200604 2 016 Bidan 3304064402760005 57.172.587.8.529.000 2-013-20398-0 BANK JATENG 14 22 5000000 0.00 3,181,818.18 12
13 Siti Musringah 19740320 200604 2 011 Bidan 3304062003740002 08.872.875.3.529.000 2-013-20592-0 BANK JATENG 14 22 5000000 0.00 3,181,818.18 13
14 Ahchmad Romadhon Nur S 19850523 200801 1 001 Tenaga Kesh. Lainn 3304062305850008 88.969.751.2.529.000 2-013-14347-7 BANK JATENG 10 22 5000000 0.00 2,272,727.27 14
15 Emi Sutriyatmi 19850913 201704 2 004 Bidan 3304065309850005 66.485.164.9.529.000 3-013-25621-6 BANK JATENG 14 22 5000000 0.00 3,181,818.18 15
16 Linda Anggara Wati Hardi 19880401 201704 2 007 Bidan 3304064104880003 66.493.169.8.529.000 3-013-25623-2 BANK JATENG 14 22 5000000 0.00 3,181,818.18 16
17 Tri Wasis 19871219 201704 2 007 Bidan 3304095912870002 66.703.525.7.529.000 3-013-25620-8 BANK JATENG 15 22 5000000 0.00 3,409,090.91 17
18 Kusmaryati 19790527 201905 2 001 Bidan 3401076705790002 66.489.380.7.529.000 3-013-00787-9 BANK JATENG 16 22 5000000 0.00 3,636,363.64 18
19 Adjeng Ika Wulandari Tenaga Kesh. Lainn 3304066104880004 70.563.442.6-529.000 2-013-17706-9 BANK JATENG 10 22 5000000 0.00 2,272,727.27 19
20 Rizqi Amelia Analis Kesehatan 3304205212950001 2-013-17388-8 BANK JATENG 11 22 5000000 0.00 2,500,000.00 20
21 Noor Cherinawati Tenaga Kesh. Lainn 3302106305960001 2-013-20738-3 BANK JATENG 7 22 5000000 0.00 1,590,909.09 21
22 0 0.00 0 22
23 0 0.00 0 23
24 0 0.00 0 24
25 0 0.00 0 25
26 0 0.00 0 26
27 0 0.00 0 27
28 0 0.00 0 28
29 0 0.00 0 29
30 0 0.00 0 30
31 0 0.00 0 31
32 0 0.00 0 32
33 0 0.00 0 33
34 0 0.00 0 34
35 0 0.00 0 35
36 0 0.00 0 36
37 0 0.00 0 37
38 0 0.00 0 38
39 0 0.00 0 39
40 0 0.00 0 40
41 0 0.00 0 41
42 0 0.00 0 42
43 0 0.00 0 43
44 0 0.00 0 44
45 0 0.00 0 45
46 0 0.00 0 46
47 0 0.00 0 47
48 0 0.00 0 48
49 0 0.00 0 49
50 0 0.00 0 50
51 0 0.00 0 51
52 0 0.00 0 52
53 0 0.00 0 53
54 0 0.00 0 54
55 0 0.00 0 55
56 0 0.00 0 56
57 0 0.00 0 57
58 0 0.00 0 58
59 0 0.00 0 59
60 0 0.00 0 60
61 0 0.00 0 61
62 0 0.00 0 62
63 0 0.00 0 63
64 0 0.00 0 64
65 0 0.00 0 65
66 0 0.00 0 66
67 0 0.00 0 67
68 0 0.00 0 68
69 0 0.00 0 69
70 0 0.00 0 70
277 462 0.00 ###
Kepala UPTD Puskesmas

Banjarnegara 2
dr. Ana Susanti, MM

NIP. 19750715 200604 2 016
UPTD PUSKESMAS/LABKE : PAGEDONGAN
BULAN : APRIL 2020
JML JML HARI JUMLAH
JENIS BESARAN
NO. NAMA NIP/NRPTT NIK NPWP NO. REKENING NAMA BANK HARI KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
NAKES INSENTIF
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 12
1 drg . Gusti Ayu T A 199412052019022007 Dokter Gigi 3304194512940001 909472714529000 3 013 02844 6 BANK JATENG 7 22 5000000 0.00 1,590,909.09 1
2 Anwar Supriyadi 197406191994032005 Perawat 3304201906740001 492994108529000 2 013 11864 4 BANK JATENG 7 22 5000000 0.00 1,590,909.09 2
3 Miswan 197412262006041000 Perawat 3304082612740003 492994264529000 2 013 14265 1 BANK JATENG 7 22 5000000 0.00 1,590,909.09 3
4 Setiyo Budiyanto 198001162014061003 Perawat 330405160180001 2 013 12664 2 BANK JATENG 7 22 5000000 0.00 1,590,909.09 4
5 Yetty Nurfiana 197906112002122001 Perawat 3304055106790007 2 013 12774 6 BANK JATENG 7 22 5000000 0.00 1,590,909.09 5
6 Wardatun Rahmawati 198512022009032007 Perawat 3304204212850002 457586634529000 2 013 03046 7 BANK JATENG 7 22 5000000 0.00 1,590,909.09 6
7 Yohana Tutik P 197109301993022002 Bidan 3304207009710001 492994082529000 2 013 07156 7 BANK JATENG 7 22 5000000 0.00 1,590,909.09 7
8 Rindie Yunita N 19840627 200604 2 009 Bidan 3304116706840002 492996319529000 2 013 16944 3 BANK JATENG 7 22 5000000 0.00 1,590,909.09 8
9 Neni Nurlina 197312302006042013 Bidan 3304207012730001 492994090529000 2 013 20588 9 BANK JATENG 7 22 5000000 0.00 1,590,909.09 9
10 Uswatun Khasanah 198601112011012012 Bidan 3307105101860004 3 013 11821 2 BANK JATENG 7 22 5000000 0.00 1,590,909.09 10
11 Dwin Kartianti 197407262006042011 Bidan 3304066607740001 2 013 20651 4 BANK JATENG 7 22 5000000 0.00 1,590,909.09 11
12 Rina Dwi L 19830318 201704 2 005 Bidan 3304065803830003 2 013 12608 1 BANK JATENG 7 22 5000000 0.00 1,590,909.09 12
84 264 0.00 ###
Kepala Puskesmas Pagedongan
dr. Henny Eka Setyawati

NIP. 197912022009032005
UPTD PUSKESMAS/LABKES : SIGALUH 1
BULAN : APRIL 2020
JML JML HARI JUMLAH
BESARAN
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE PAJAK (Rp.) DITERIMA
INSENTIF
TUGAS R (Rp.) TANDA TANGAN
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 12
1 Rina Zulviani 19750214 200903 2 00Dokter Gigi 3404045402750001 ### 2-013-03738-1 Bank Jateng 3 22 5000000 0.00 681,818.18 1
2 Sedik Rahayu Ningsih 19770826 200910 2 00Dokter Umum 3374076608770001 2.43472132E+14 2-013-04612-6 Bank Jateng 4 22 5000000 0.00 909,090.91 2
3 Nunung Hastuti 19720809 199203 2 00Bidan 3304084908720007 4.92995197E+14 2-013-07136-3 Bank Jateng 10 22 5000000 0.00 2,272,727.27 3
4 Tusinah 19630812 198503 2 00Tenaga Kesh. Lain3304075208650003 4.91714136E+14 2-013-06903-5 Bank Jateng 5 22 5000000 0.00 1,136,363.64 4
5 Henni Maulida Apriliiana 19820415 200801 2 00Tenaga Kesh. Lain3304655504820004 8.9910965E+14 2-013-21146-0 Bank Jateng 9 22 5000000 0.00 2,045,454.55 5
6 Sri Dwiyandari 19760911 200501 2 00Analis Kesehatan 3304075109760001 4.92993952E+14 2-013-13872-5 Bank Jateng 5 22 5000000 0.00 1,136,363.64 6
7 Evi Nuryani 19760115 200701 2 00Tenaga Kesh. Lain3304075501760002 6.99109665E+14 2-013-11569-8 Bank Jateng 12 22 5000000 0.00 2,727,272.73 7
8 Purwani Putri Edyawati 19831111 200501 2 00Perawat 3304055111830001 4.92994307E+14 2-013-13848-0 Bank Jateng 12 22 5000000 0.00 2,727,272.73 8
9 Singgih Suprayogi 19780507 200212 1 00Perawat 3304080705780006 4.92992822E+14 2-013-10953-6 Bank Jateng 8 22 5000000 0.00 1,818,181.82 9
10 Nur Achadani 19840707 200903 2 01Perawat 3304074707840002 4.73202779E+14 2-013-02941-8 Bank Jateng 16 22 5000000 0.00 3,636,363.64 10
11 Itsna Hidayah Perawat 3322054301950001 9.27604513E+14 2-013-22004-5 Bank Jateng 4 22 5000000 0.00 909,090.91 11
12 Sri Ratnawati SP 19701012 199003 2 00Bidan 3304065210700005 4.92993069E+14 2-013-07116-9 Bank Jateng 9 22 5000000 0.00 2,045,454.55 12
13 Setyowati 19760530 200604 2 02Bidan 3304077005760001 8.91909294E+14 2-013-20540-3 Bank Jateng 3 22 5000000 0.00 681,818.18 13
14 Tri sutanto 19791113 200604 2 01Perawat 3304081011790003 8.91909294E+14 2-013-00946-8 Bank Jateng 16 22 5000000 0.00 3,636,363.64 14
15 Titin Setiyani 19760419 200604 2 01Bidan 3304065904760002 5.71725887E+14 2-013-20621-3 Bank Jateng 10 22 5000000 0.00 2,272,727.27 15
16 Farhah Fathul Hasanah 19741113 200604 2 01Bidan 3304065311740004 2.55235815E+14 2-013-20571-0 Bank Jateng 10 22 5000000 0.00 2,272,727.27 16
17 Nur Rachmawati 19751028 200604 2 02Bidan 3304076810750001 8.99109657E+14 2-013-20603-1 Bank Jateng 8 22 5000000 0.00 1,818,181.82 17
18 Yuli Praptiningrum 19860707 200903 2 00Tenaga Kesh. Lain3304074707860001 4.73198571E+14 2-013-02947-7 Bank Jateng 12 22 5000000 0.00 2,727,272.73 18
19 Ida Nurul Hariyanti 19750520 201905 2 00Bidan 3304076005750003 6.65424389E+14 2-013-17806-5 Bank Jateng 20 22 5000000 0.00 4,545,454.55 19
20 Idha Dwi Yuni Lestari 19830609 201704 2 00Bidan 3304074906830001 6.65496064E+14 3-013-25651-8 Bank Jateng 13 22 5000000 0.00 2,954,545.45 20
21 Novita Hermaningsih 19861127 201704 2 00Bidan 3307146711860002 7.00046395E+14 3-013-25660-7 Bank Jateng 19 22 5000000 0.00 4,318,181.82 21
22 Ana Sugiastuti 19761008 201905 2 00Bidan 3304144810760001 6.65426962E+14 3-013-27687-0 Bank Jateng 20 22 5000000 0.00 4,545,454.55 22
23 Dewi Puspita Anggraeni 19850213 201704 2 00Bidan 3304075302850003 6.6555916E+14 3-013-25684-4 Bank Jateng 15 22 5000000 0.00 3,409,090.91 23
24 Puji Astuti 19851122 201704 2 00Bidan 3304076211850001 6.65425949E+14 3-013-25685-2 Bank Jateng 9 22 5000000 0.00 2,045,454.55 24
25 Saptini 19851019 201704 2 00Bidan 3304055910850001 6.67673868E+14 3-013-25659-3 Bank Jateng 11 22 5000000 0.00 2,500,000.00 25
26 Litsa Kholifah Hakim Tenaga Kesh. Lain3304066310910002 2-013-22245-5 Bank Jateng 9 22 5000000 0.00 2,045,454.55 26
27 Eka Wahyu Safitri Analis Kesehatan 3304114105980001 9.15666714E+14 2-163-01843-1 Bank Jateng 7 22 5000000 0.00 1,590,909.09 27
28 Rizka iriyani Tenaga Kesh. Lainn 3304024709930003 3-10608163-7 Bank Jateng 7 22 5000000 0.00 1,590,909.09 28
286 616 0.00 ###
Kepala Puskesmas
ASRINAH, S.SiT, M.Kes

NIP.19690511 1989032011
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG
UPTD PUSKESMAS/LABKES : SIGALUH 2
BULAN : APRIL 2020
1 2 3 4 5 6 7 8
1 Rani Puspa Wardani 198505262011012013 Dokter Umum 3304066605850002 89 11 9 4 8135 2 900 3013 11 8271 Bank JATENG
2 Waluyo 197106121994021003 Perawat 3304061206710002 08.871.303.7-259.000 2013 08 3005 Bank JATENG
3 Sidik Yulianto - Perawat 3307042707790003 2013 19 6306 Bank JATENG
4 Titik Nur Ahirin 19821012 2017042003 Bidan 3304085210820004 66.702.427.7-529.000 3013 25 6615 Bank JATENG
5 Ervina Dhiah Meylani 198305172017042006 Bidan 3304075705830002 59.703.528.6.529.000 3013 25 6542 Bank JATENG
6 Sulistiyani 198401032017042004 Bidan 3304064301840006 59.703.529.4-529.000 3013 25 6526 Bank JATENG
7 Fifi Farhanah 198404172017042006 Bidan 3329035704840004 67.310.998.9-501.000 3013 25 6640 Bank JATENG
8 Ulfiana Kristiani 198906242017042002 Bidan 3304056406890001 66.702.379.0-529.000 3013 25 6534 Bank JATENG
9
10
11
12
13
14
15
EMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI JUMLAH

BESARAN
INSENTIF
TUGAS R (Rp.)
9 10 11 12 13=9/10*7 14
20 22 5000000 0.00 4,545,454.55 1

15 22 5000000 0.00 3,409,090.91 2
15 22 5000000 0.00 3,409,090.91 3
15 22 5000000 0.00 3,409,090.91 4
15 22 5000000 0.00 3,409,090.91 5
15 22 5000000 0.00 3,409,090.91 6
15 22 5000000 0.00 3,409,090.91 7
15 22 5000000 0.00 3,409,090.91 8
0 0.00 09
0 0.00 0 10
0 0.00 0 11
0 0.00 0 12
0 0.00 0 13
0 0.00 0 14
0 0.00 0 15
125 176 0.00 28,409,090.91
Kepala Puskesmas
Widya Ariyanti. S.Kep.Ners

NIP.19710904 199103 2 007
UPTD PUSKESMAS/LABKES : MADUKARA 1
BULAN : APRIL 2020
JML JML HARI JUMLAH
BESARAN
INSENTIF
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 VERENA PRASETIYOWATI 19660910 199103 2 011 Tenaga Kesh. Lainnya 330406500966 0007 47.415.264.2.521.000 2 - 013 - 07045 - 6 Bank Jateng 7 22 5000000 0.00 1,590,909.09 1
2 DANANG SETYAWAN DR 19770214 200904 1 002 Dokter Umum 330404140277 0001 89.190.365.0.529.000 2 - 013 - 03786 - 1 Bank Jateng 5 22 5000000 0.00 1,136,363.64 2
3 SUGINAH 19720715 200604 2 015 Perawat 330408010777 0023 49.299.566.7.529.000 2 - 013 - 20551 - 6 Bank Jateng 5 22 5000000 0.00 1,136,363.64 3
4 HENY SUSANTI 19850218 200903 2 006 Tenaga Kesh. Lainnya 330404580285 0005 25.968.296.1.529.000 2 - 013 - 03049 - 1 Bank Jateng 8 22 5000000 0.00 1,818,181.82 4
5 DARSIH WIJAYANTI 19801118 200801 2 008 Perawat 330408581180 0008 89.473.184.3.529.000 2 - 013 - 00983 - 2 Bank Jateng 8 22 5000000 0.00 1,818,181.82 5
6 APRIANI DWI ASTUTI 19830415 200903 2 012 Perawat 3304085504830006 79.036.544.9.529.000 2 - 013 - 14241 - 9 Bank Jateng 8 22 5000000 0.00 1,818,181.82 6
7 ARUM WULANDARI 19900508 201101 2 002 Tenaga Kesh. Lainnya 330408480590 0002 45.222.577.4.529.000 3 - 013 - 11818 - 2 Bank Jateng 8 22 5000000 0.00 1,818,181.82 7
8 MARBANIATI 19810315 200604 2 011 Perawat 330406550381 0004 49.299.365.4.529.000 2 - 013 - 18743 - 7 Bank Jateng 8 22 5000000 0.00 1,818,181.82 8
9 MARIYANAH 19801214 200801 2 011 Bidan 330406541280 0001 89.473.187.6.529.000 2 - 013 - 01009 - 1 Bank Jateng 8 22 5000000 0.00 1,818,181.82 9
65 198 0.00 ###
KEPALA UPTD PUSKESMAS MADUKARA 1
AMIR FAOZAN, S.KM

NIP. 19731029 199303 1 002
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG ME
UPTD PUSKESMAS/LABKES : MADUKARA 2
BULAN : APRIL 2020
JML
NO.
REKENING
TUGAS
1 2 3 4 5 6 7 8 9
1 TITI KULINAH 19850723 201412

Dokter Umum 3304076307850001 360470173525000 2013134408 BANK JATENG 21
2 AGUS SETIYONO 19740817 199503
Perawat 3304081708740002 491714416529000 2013141095 BANK JATENG 22
3 URIP HARJANTI 19790919 200701
Perawat 3304085909780006 547508556529000 2013003354 BANK JATENG 21
4 LASMI - Tenaga Kesh. Lainny3304087006870002 - 2013174183 BANK JATENG 21
5 ANI WINDIYARTI 19771013 200801
Tenaga Kesh. Lainny3304085310770001 472148634529000 2013009689 BANK JATENG 15
6 TRIWIDATI PAMUNGKAS 19781126200501Perawat 3307056611780001 492995881544000 2013138587 BANK JATENG 21
7 EMI NURUL FARIDA 19830531 200604
Bidan 3304177105830001 492995907529000 2013187619 BANK JATENG 21
8 TITIS PUTRISARI 19850111 201001
9 PURWA ANDRIYANI 19860512 200903
10 SRI MULYANI 19710521 199103
11 TRI SUMARTINI 19720421 199103
12 RATIH RAHMAWATI 19761223 200701
13 AGITIA RAHMAWATI 19930816201502Bidan 3304095608930002 730180072529000 3012125932 BANK JATENG 21
14 MISKIYAH 19840329 20170Bidan 3304086903840005 597033471529000 3013256330 BANK JATENG 21
15 ENI BUDIARTI 19860419 201704
16 LINA SUSI HINDRIYANI 19830312 201704
17 FIKHI SUSANTI 19860921 201704
18 PUSPITA RAMADHANI 19890505 201704
19 KERI WIDAYANTI 19881110 201704
20 RAHADI 19640203 198603
Tenaga Kesh. Lainny3304080302640001 078123189521000 2013069706 BANK JATENG 15
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
398
JML HARI JUMLAH

BESARAN
KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
R (Rp.)
10 11 12 13=9/10*7 14
22 5000000 0.00 4,772,727.27 1

22 5000000 0.00 5,000,000.00 2
22 5000000 0.00 4,772,727.27 3
22 5000000 0.00 4,772,727.27 4
22 5000000 0.00 3,409,090.91 5
22 5000000 0.00 4,772,727.27 6
22 5000000 0.00 4,772,727.27 7
22 5000000 0.00 4,772,727.27 8
22 5000000 0.00 4,772,727.27 9
22 5000000 0.00 4,772,727.27 10
22 5000000 0.00 4,772,727.27 11
22 5000000 0.00 4,545,454.55 12
22 5000000 0.00 4,772,727.27 13
22 5000000 0.00 4,772,727.27 14
22 5000000 0.00 4,772,727.27 15
22 5000000 0.00 3,863,636.36 16
22 5000000 0.00 3,863,636.36 17
22 5000000 0.00 4,545,454.55 18
22 5000000 0.00 4,545,454.55 19
22 5000000 0.00 3,409,090.91 20
0 0.00 0 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
440 0.00 ###
Kepala Puskesmas Madukara 2
Herlina Widiastuti,S.Kep.Ns
NIP. 19670531 199003 2 003
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA K
UPTD PUSKESMAS/LABKES : BANJARMANGU 1
BULAN : APRIL 2020
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP
1 2 3 4 5 6
1 AGUS BUDIANTO 19770820 200801 1 010 Dokter Umum 3304062008770005 25.395.303.8-529.000

2 AUGUSTINA 19660812 198803 2 019 Perawat 3304095208660001 67.325.073.4-529.000
3 KUKUH DONI SATMOKO 19790120 201101 1 003 Perawat 3307062001790001 72.735.506.7-533.000
4 TIYAS YUSNIATI FADHILAH 19770818 200701 2 019 Tenaga Kesh. Lainn 3304065808770006 95.565.958.9-529.000
5 ENDAH NOVIANA INTANI 19841121 200003 2 007 Bidan 3304096111840001 47.401.855.3-529.000
6 SRI REDAWATI 19730428 200301 2 003 Bidan 3304096804730001 89.565.952.2-529.000
7 DIRBADIYAH 19790620 200501 2011 Bidan 3304096006790003 89.565.953.0-529.000
8 JUMINAH 19750105 200604 2 010 Bidan 3304094501750002 89.565.954.8-529.000
9 TITIS SIWI HANDAYANI 19800718 200604 2 011 Bidan 3304085807800003 49.299.589.9-529.000
10 KHUSNUL HAMIDIYAH 19810803 200701 2 003 Tenaga Kesh. Lainn 3304094308810002 25.895.940.2-529.000
11 NINIK DWI PRAMURTI 19820814 201704 2 002 Bidan 3304095408820002 78.320.951.3-529.000
12 EVI SUMIANI FITRININGSIH 19841129 201704 2 003 Bidan 3304096911184002 78.320.950.5-529.000
13 HARDIK IKA RATNAWATI 19860502 201704 2 008 Bidan 3304104205860001 66.766.885.9-529.000
14 WIWIN LUSIANAWATI DESTANTI 19861220 201704 2 009 Bidan 3304096012860005 78.320.947.1-529.000
15 IDA DWI KURNIAWATI 19870812 201704 2 005 Bidan 3304095208870004 66.595.208.1-529.000
16 ANITA WAHYU SUKMAWATI 19850908 201704 2 010 Bidan 3304095606700001 66.591.814.0-529.000
17 LIZA NOVA ANDRIYATI 19871109 201704 2 006 Bidan 3304024911870002 78.320.952.1-529.000
18 ERA YULINA SANDI - Tenaga Kesh. Lainn 3304095207920001 -
19 RISKY SUPRATIWI - Tenaga Kesh. Lainn 3304055706960001 -
20 ERLINA HAFID - Tenaga Kesh. Lainn 3304065108950001 -
NAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI

BESARAN JUMLAH
NO. REKENING NAMA BANK HARI KALENDE PAJAK (Rp.) TANDA TANGAN
TUGAS R
7 8 9 10 11 12 13=9/10*7 14
2-013-14251-0 BANK JATENG 9 22 5000000 0.00 2,045,454.55 1

2-013-07620-3 BANK JATENG 2 22 5000000 0.00 454545.45454546 2
3-013-11799-2 BANK JATENG 20 22 5000000 0.00 4545454.5454546 3
2-013-00342-7 BANK JATENG 11 22 5000000 0.00 2500000 4
2-013-00787-2 BANK JATENG 20 22 5000000 0.00 4545454.5454546 5
2-013-12476-4 BANK JATENG 1 22 5000000 0.00 227272.72727273 6
2-013-13769-2 BANK JATENG 22 22 5000000 0.00 5000000 7
2-013-20598-6 BANK JATENG 22 22 5000000 0.00 5000000 8
2-013-18799-8 BANK JATENG 20 22 5000000 0.00 4545454.5454546 9
2-013-00295-1 BANK JATENG 3 22 5000000 0.00 681818.18181818 10
3-013-25710-7 BANK JATENG 22 22 5000000 0.00 5000000 11
3-163-01108-4 BANK JATENG 20 22 5000000 0.00 4545454.5454546 12
3-163-01116-5 BANK JATENG 20 22 5000000 0.00 4545454.5454546 13
3-163-01107-6 BANK JATENG 11 22 5000000 0.00 2500000 14
3-163-01109-2 BANK JATENG 14 22 5000000 0.00 3181818.1818182 15
3-163-01112-2 BANK JATENG 3 22 5000000 0.00 681818.18181818 16
3-163-01115-7 BANK JATENG 1 22 5000000 0.00 227272.72727273 17
2-013-17307-1 BANK JATENG 7 22 5000000 0.00 1590909.0909091 18
2-013-22229-3 BANK JATENG 20 22 5000000 0.00 4545454.5454546 19
2-013-22139-4 BANK JATENG 20 22 5000000 0.00 4545454.5454546 20
268 440 0.00 60,909,090.91
Kepala UPTD Puskesmas Banjarmangu 1

MASFUFATUN JUNI,SKM,MKes
NIP.19700616 200003 2 003
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG
UPTD PUSKESMAS/LABKES : BANJARMANGU 2
BULAN : APRIL 2020
NO.
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK
REKENING
1 2 3 4 5 6 7 8
1 dr. Diah Ayu Puspitasari 19830119 200903 2 008Dokter Umum 3304175901830001 2611006448529000 3141013962 Bank Jateng
2 Ratih Winarni, Amd.Kep 19640113 198903 2 006Perawat 3304095301640000 474152667521000 2013070218 Bank Jateng
3 Aswin Wahyono, Amd.Kep 19730407 199502 1 001Perawat 3304060704730000 491839882529000 2013141089 Bank Jateng
4 Nurbarkah, Amd.Kep 19800314 200701 1 005Perawat 3304061403800000 255013187529000 2013003109 Bank Jateng
5 Fitri Ernawati 11.7.0307593 Perawat 1504077007820002 800099012331000 2013220070 Bank Jateng
6 Pratiwi Oktaviana, AMKg 19841029200604 2 003 Tenaga Kesh. Lainnya 3304066910840000 492995170529000 2013169471 Bank Jateng
7 Hartati Ratnaningsih, Amd.Ke 19800129 200501 2 005Bidan 3304206901800000 492994124529000 2013137670 Bank Jateng
8 Yuyun Naelufar,Amd.Keb 19840105 200604 2 007Bidan 3304164501840000 492992870529000 2013187647 Bank Jateng
9 Rini Dwi Utami, Amd.Keb 19860308 200903 2 008Bidan 3304094803860000 476767504529000 2013039430 Bank Jateng
10 Asih Dwi Hartati, Amd.Keb 19781101 200701 2 010Bidan 3304094111780000 585377567529000 2013002901 Bank Jateng
11 Fitriyani Rezky, S.Farm, Apt 11.7.0507594 Tenaga Kesh. Lainnya 7604166604900001 931836324813000 2013220088 Bank Jateng
12 Akhmad Chelefi, Amd.AK 11.7.1108182 Analis Kesehatan 5201092510890002 822271813914000 3013283965 Bank Jateng
13 Lili Vita Nurlita Dewi, Amd.Keb1984.0801 201704 2 006Bidan 3304104108840000 88756911529000 3013256551 Bank Jateng
14 Lina Nova Andriana, Amd.Keb19871109 201704 2 005Bidan 3304024911870000 885505545529000 3013256496 Bank Jateng
15 Mulyani Solekhatun, Amd.Keb19860809 201704 2 007Bidan 3304084908860000 7492525993529000 3013256585 Bank Jateng
16 TisaAgelia Ardi,Amd.Kb 19881097 201704 2 008Bidan 3304064710880000 7889633566529000 3013256569 Bank Jateng
17 Siti Khodijatussoleha, Amd.Ke19861005 201704 2 011Bidan 3304074510860000 768490674529000 3013256577 Bank Jateng
18 Widyawati Ardianingsih, AMG 19810103 200701 2 008Tenaga Kesh. Lainnya 3304084301810000 254338833529000 2013002811 Bank Jateng
19 Eva Abriyani 19801005 200801 2 013Tenaga Kesh. Lainnya 3304124510800000 254958531529000 2013007619 Bank Jateng
20 Siti Masyitoh, S.Gz - Tenaga Kesh. Lainnya 3303036809930004 - 2027205952 Bank Jateng
21 Arvita Kumalasari, SKM - Tenaga Kesh. Lainnya 3304065703940002 705471225529000 2013176658 Bank Jateng
22 Kusma Windi Astuti - Tenaga Kesh. Lainnya 3304076409920001 - 2013206042 Bank Jateng
JML JML HARI JUMLAH

BESARAN
INSENTIF
TUGAS R (Rp.)
9 10 11 12 13=9/10*7 14
4 22 5000000 0.00 909,090.91 1

5 22 5000000 0.00 1,136,363.64 2
6 22 5000000 0.00 1,363,636.36 3
5 22 5000000 0.00 1,136,363.64 4
8 22 5000000 0.00 1,818,181.82 5
4 22 5000000 0.00 909,090.91 6
3 22 5000000 0.00 681,818.18 7
4 22 5000000 0.00 909,090.91 8
3 22 5000000 0.00 681,818.18 9
3 22 5000000 0.00 681,818.18 10
3 22 5000000 0.00 681,818.18 11
2 22 5000000 0.00 454,545.45 12
4 22 5000000 0.00 909,090.91 13
2 22 5000000 0.00 454,545.45 14
2 22 5000000 0.00 454,545.45 15
3 22 5000000 0.00 681,818.18 16
3 22 5000000 0.00 681,818.18 17
5 22 5000000 0.00 1,136,363.64 18
5 22 5000000 0.00 1,136,363.64 19
5 22 5000000 0.00 1,136,363.64 20
3 22 5000000 0.00 681,818.18 21
5 22 5000000 0.00 1,136,363.64 22
87 484 0.00 19,772,727.27
Kepala Puskesmas Banjarmangu 2
dr. DIAH AYU PUSPITASARI

NIP. 19830119 200903 2 008
UPTD PUSKESMAS/LABKES : WANADADI 1
BULAN : APRIL 2020
JML JML HARI
BESARAN JUMLAH
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE PAJAK (Rp.) TANDA TANGAN
TUGAS R
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Anik Artati Darsiwi 196505292002122002 Dokter Umum 3304156905650001 58.684.504.2.529.000 2-013-18814-0 BANK JATENG 16 22 5000000 0.00 3,636,363.64 1
2 Sri Hartati,A,Md.Kep 19680607198903 2 010 Perawat 3304104706680001 08.873.117.9.529.001 2-013-07033-7 BANK JATENG 14 22 5000000 0.00 3,181,818.18 2
3 Lina Yunarti,S.Kep.Ns 198106172006042015 Perawat 3304065706810009 49.299.571.7.533.000 2-013-18745-9 BANK JATENG 14 22 5000000 0.00 3,181,818.18 3
4 drg.Bambang Heri SW 196908272006041005 Dokter Gigi 3304102708690001 24.354.733.8.529.000 2-013-20543-1 BANK JATENG 13 22 5000000 0.00 2,954,545.45 4
5 Nunuk Windariyanti,SKM 197901142007012004 Tenaga Kesh. Lain3304105401790002 25.432.175.5.529.000 2-013-00330-3 BANK JATENG 13 22 5000000 0.00 2,954,545.45 5
6 Pindah Setyarini,A.Md Kep 197504021994032001 Perawat 3304174204750004 49.299.593.1.529.000 2-013-07183-0 BANK JATENG 10 22 5000000 0.00 2,272,727.27 6
7 Dwi Maretno,S Tr Gz 197603082000122002 Tenaga Kesh. Lain3304104803760001 49.299.570.9.529.000 2-013-09726-0 BANK JATENG 11 22 5000000 0.00 2,500,000.00 7
8 Marsih, A.Md.Keb 197306031993032007 Bidan 3304104306730006 49.299.567.5.529.000 2-013-07169-2 BANK JATENG 11 22 5000000 0.00 2,500,000.00 8
9 Kasih Wulandari,A.Md,Kep 197801262007012007 Perawat 3304106601760001 25.501.133.0.529.000 2-013-00312-5 BANK JATENG 11 22 5000000 0.00 2,500,000.00 9
10 Agus Fajar Purwanto,A.Md Kep 197809072007011014 Perawat 3304100708780005 25.501.081.1.529.000 2-013-00311-7 BANK JATENG 13 22 5000000 0.00 2,954,545.45 10
11 Kinwati,A.Md Kep 198204202008012013 Perawat 3304126004820005 89.120.337.5.529.000 2-013-00768-6 BANK JATENG 10 22 5000000 0.00 2,272,727.27 11
12 Elis Febriana P,A Md Kep 198202152006042012 Bidan 3304105502820008 35.208.460.2.529.000 2-013-18763-1 BANK JATENG 12 22 5000000 0.00 2,727,272.73 12
13 Sunarti, A Md Kep 198104242008012009 Perawat 3304116404810002 25.501.158.4.529.000 2-013-00769-4 BANK JATENG 11 22 5000000 0.00 2,500,000.00 13
14 Siti Sa'diyah, A Md Kep 197505102006042027 Perawat 3304105005750009 49.299.568.3.529.000 2-013-20587-3 BANK JATENG 11 22 5000000 0.00 2,500,000.00 14
15 Guntoro, A Md Kep 197408192005011006 Tenaga Kesh. Lain3304141908740003 49.299.436.3.529.000 2-013-13857-1 BANK JATENG 10 22 5000000 0.00 2,272,727.27 15
16 Atmini, A Md Keb 198901222017042002 Bidan 3304116201890001 66.595.194.3.529.000 3-163-01084-3 BANK JATENG 12 22 5000000 0.00 2,727,272.73 16
17 Wahyu Hidayah, A Md 198006192007012007 Analis Kesehatan 3304035906800007 25.951.499.5.529.000 2-013-00329-0 BANK JATENG 11 22 5000000 0.00 2,500,000.00 17
18 Nuning Asriatun, A Md 198011252010012014 Perawat 3304116511800002 47.209.223.8.529.000 2-013-05447-1 BANK JATENG 10 22 5000000 0.00 2,272,727.27 18
19 Desi Erowati, A Md Kep 198312022010012019 Perawat 3304104212830004 36.003.843.4.529.000 2-013-05467-6 BANK JATENG 9 22 5000000 0.00 2,045,454.55 19
20 Warno, A Md Kep 197404092007011008 Perawat 3303020904740003 77.614.977.5.529.000 2-106-00062-2 BANK JATENG 11 22 5000000 0.00 2,500,000.00 20
21 M Heri Setiyo Agung, S Kep Ns 197902092007011004 Perawat 3304100902790001 25.500.968.0.529.000 2-163-02587-9 BANK JATENG 12 22 5000000 0.00 2,727,272.73 21
22 Esti Puji Lestari, S Tr Keb 197804112005012013 Bidan 3304105104780004 25.951.432.1.529.000 2-013-13838-3 BANK JATENG 8 22 5000000 0.00 1,818,181.82 22
23 Sulastri, S.Tr Keb 197211102006042023 Bidan 3304115011720001 49.299.497.5.529.000 2-013-20564-1 BANK JATENG 8 22 5000000 0.00 1,818,181.82 23
24 Ratmini, A Md Keb 197803202007012009 Bidan 3304106003780003 25.524.060.8.529.000 2-013-00334-6 BANK JATENG 12 22 5000000 0.00 2,727,272.73 24
25 Tri Setyowati, A Md Keb 197711262007012005 Bidan 3304106611770001 79.042.759.5.529.000 2-013-00349-4 BANK JATENG 8 22 5000000 0.00 1,818,181.82 25
26 Efi Wachidah Yuliani 197607012011012004 Tenaga Kesh. Lain3303054107760008 45.016.073.4.529.000 3-013-11794-1 BANK JATENG 8 22 5000000 0.00 1,818,181.82 26
27 Titik Ubayati, A Md Keb 197006152006042004 Bidan 3304125506700001 59.725.427.5.529.000 2-013-20566-3 BANK JATENG 8 22 5000000 0.00 1,818,181.82 27
28 Weni Andriyani, A Md Keb 197609012007012013 Bidan 3304124109760001 24.936.708.7.529.000 2-013-00305-2 BANK JATENG 8 22 5000000 0.00 1,818,181.82 28
29 Nirmala Dewi, A Md Keb 198803312017042004 Bidan 3304107102880003 47.320.273.7.529.000 3-163-01083-5 BANK JATENG 13 22 5000000 0.00 2,954,545.45 29
30 Hidayatun Mukaromah, SKM Tenaga Kesh. Lain3304104509890001 2-163-01491-5 BANK JATENG 8 22 5000000 0.00 1,818,181.82 30
326 660 0.00 74,090,909.09
Kepala Puskesmas Wanadadi 1
dr. Yuyun Nurhidayat

NIP. 19810601 201001 1 028
UPTD PUSKESMAS/LABKES : WANADADI 2
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 Wahyudi 19760424 200910 1 Dokter Umum 3304052406760002 88.687.846.1-529. 2-013-04434-4 BANK JATENG 12 22
2 Siti Zulaikhah 19700725 199003 2 Bidan 3304066507700001 49.171.424.2-529. 2-013-07079-1 BANK JATENG 6 22
3 Slamet Setyaka 19750815 200604 1 Perawat 3304121508750001 49.299.569.1-529. 2-013-20567-9 BANK JATENG 13 22
4 Lusi Setiyaningsih 19810202 200801 2 Perawat 3304094202810005 58.537.768.2-529. 2-013-00933-6 BANK JATENG 11 22
5 Salim Irawan 19800801 201406 1 Perawat 3304080808800011 36.546.070.8-529. 2-013-13439-4 BANK JATENG 9 22
6 Rizka Imansyah Putra Perawat 3304110202940002 92.879.522.8-529. 2-163-02536-4 BANK JATENG 14 22
7 Retno Suci Wulandari Perawat 3304056503910005 80.809.238.1-529. 2-163-02537-2 BANK JATENG 10 22
8 Siti Sunarti 19800610 200801 2 Bidan 3304075006800004 59.703.521.1-529. 2-013-04777-7 BANK JATENG 4 22
9 Rokhamah 19750111 200604 2 Bidan 3304105101750000 35.195.925.9-529. 2-013-20545-3 BANK JATENG 5 22
10 Emi S 19760906 200701 2 Bidan 3304114609760004 69.532.022.6-529. 2-013-00389-3 BANK JATENG 7 22
11 Urip Rusmiyati 19721026 199303 2 Bidan 3304096610720001 49.299.577.4-529. 2-013-07161-4 BANK JATENG 7 22
12 Eva Zunaliya 19850505 201704 2 Bidan 3304104505850003 66.543.134.2-529. 3-013-25643-7 BANK JATENG 10 22
13 Mesti Ambarwati 19830926 201704 2 Bidan 3304126609830001 66.549.785.5-529. 3-013-25642-9 BANK JATENG 11 22
14 Umi Taslihatun 19830905 201704 2 Bidan 3304104509830004 25.335.769.3-529. 3-013-25650-0 BANK JATENG 8 22
15 Titin Suharti 19740125 201905 2 Bidan 3304106501740002 66.549.934.9-529. 2-163-01667-5 BANK JATENG 8 22
16 Afni Panggar Besi Tenaga Kesh. Lainn 1601144204890005 86.575.981.5-307. 2-163-02568-2 BANK JATENG 5 22
17 Yani Rahayuwati 19800107 200801 2 Tenaga Kesh. Lainn 3304104701800001 36.119.308.9-529. 2-013-00921-2 BANK JATENG 5 22
18 Puri Yuntami Tenaga Kesh. Lainn 3304105606970001 2-163-02630-1 BANK JATENG 7 22
19 Susi Watimah Tenaga Kesh. Lainn 3304105505940001 2-163-02629-8 BANK JATENG 4 22
20 Rita Apriliyani Tenaga Kesh. Lainn 3303126104970002 2-163-02627-1 BANK JATENG 3 22
21 Shintia Ayu Monika Bidan 3304105008950000 2-163-02685-9 BANK JATENG 3 22
22 Noviyati Bidan 3304094606910002 2-163-02129-6 BANK JATENG 3 22
23 Diva Murbarani Bidan 3304026911950003 2-106-05139-1 BANK JATENG 2 22
167 506
Kepala Puskesmas
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 2,727,272.73 1

5000000 0.00 1,363,636.36 2
5000000 0.00 2,954,545.45 3
5000000 0.00 2,500,000.00 4
5000000 0.00 2,045,454.55 5
5000000 0.00 3,181,818.18 6
5000000 0.00 2,272,727.27 7
5000000 0.00 909,090.91 8
5000000 0.00 1,136,363.64 9
5000000 0.00 1,590,909.09 10
5000000 0.00 1,590,909.09 11
5000000 0.00 2,272,727.27 12
5000000 0.00 2,500,000.00 13
5000000 0.00 1,818,181.82 14
5000000 0.00 1,818,181.82 15
5000000 0.00 1,136,363.64 16
5000000 0.00 1,136,363.64 17
5000000 0.00 1,590,909.09 18
5000000 0.00 909,090.91 19
5000000 0.00 681,818.18 20
5000000 0.00 681,818.18 21
5000000 0.00 681,818.18 22
5000000 0.00 454,545.45 23
0.00 ###
Kepala Puskesmas
dr. Wahyudi
NIP. 19760424 200910 1 001
UPTD PUSKESMAS/LABKES : RAKIT 1
BULAN : APRIL 2020
JML JML HARI
BESARAN PAJAK JUMLAH
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE TANDA TANGAN
INSENTIF (Rp.) DITERIMA (Rp.)
TUGAS R
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 Deasy Fatimah Melati 19691227 200701 2 015 Dokter Umum 3304066712690002 25.630.843.8-509.000 2-013-00309-5 Bank Jateng 21 22 5000000 0.00 4,772,727.27 1
2 Edi Riyono 19730312 199403 1 011 Perawat 3304111203730007 49.299.506.3-529.000 2-013-07179-9 Bank Jateng 18 22 5000000 0.00 4,090,909.09 2
3 Puji Lestari 19821122 200604 2 009 Perawat 3304116211820002 49.299.451.2-529.000 2-013-18790-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 3
4 Jarwanti 19740316 200212 2 003 Perawat 3304115603740004 49.299.507.1-529.000 2-013-10963-3 Bank Jateng 18 22 5000000 0.00 4,090,909.09 4
5 Isharyanto 19741215 200604 1 015 Perawat 3304111512740003 24.961.193.0-529.000 2-013-20581-7 Bank Jateng 18 22 5000000 0.00 4,090,909.09 5
6 Eki Nur Fitri 19800811 200501 2 017 Perawat 3304115108800004 44.259.053.5-529.000 2-013-13846-8 Bank Jateng 19 22 5000000 0.00 4,318,181.82 6
7 Anisa Farokhah 19900530 201101 2 002 Perawat 3303187005900001 44.191.808.3-529.000 3-013-11784-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 7
8 Dwi Yuli Astuti 19791109 200012 2 001 Perawat 3303024911790006 69.532.024.2-529.000 2-013-09728-2 Bank Jateng 19 22 5000000 0.00 4,318,181.82 8
9 Agus Suliyanti 19820803 201403 2 001 Perawat 3304044308820003 97.368.542-3-529.000 2-013-21850-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 9
10 Nunung Febriyanto Perawat 3304112802800001 2-163-01588-1 Bank Jateng 21 22 5000000 0.00 4,772,727.27 10
11 Achmad Ichsanudin Perawat 3304112711820001 2-163-01574-1 Bank Jateng 20 22 5000000 0.00 4,545,454.55 11
12 Bayu Arie H Perawat 3304112208900001 2-163-01572-5 Bank Jateng 21 22 5000000 0.00 4,772,727.27 12
13 Aji Priyono Perawat 3304111007890001 2-013-17886-3 Bank Jateng 20 22 5000000 0.00 4,545,454.55 13
14 Ryan Wicaksono Perawat 3304110609930001 2-163-02120-2 Bank Jateng 21 22 5000000 0.00 4,772,727.27 14
15 Khusen Al Atas Perawat 3304111504820001 2-106-04141-8 Bank Jateng 21 22 5000000 0.00 4,772,727.27 15
16 Siti Nur Rohmah Perawat 3304124203960001 2-163-02113-0 Bank Jateng 21 22 5000000 0.00 4,772,727.27 16
17 Indriyani 19680913 198803 2 003 Bidan 3304115309680004 49.295.502.2-529.000 2-013-07712-3 Bank Jateng 18 22 5000000 0.00 4,090,909.09 17
18 Inti Hartini 19720119 199203 2 002 Bidan 3304115901720002 49.299.281.3-529.000 2-013-07138-5 Bank Jateng 20 22 5000000 0.00 4,545,454.55 18
19 Nuryatuningsih 19790913 200604 2 017 Bidan 3304115309790004 49.299.510.5-529.000 2-013-20562-9 Bank Jateng 18 22 5000000 0.00 4,090,909.09 19
20 Suwarni 19700708 200604 2 004 Bidan 3304114807700003 69.532.023.4-529.000 2-013-20555-0 Bank Jateng 18 22 5000000 0.00 4,090,909.09 20
21 Florentia Prisna Pramuditarini 19770401 200701 2 018 Bidan 3304044104770006 57.353.915.2-529.000 2-013-00306-1 Bank Jateng 19 22 5000000 0.00 4,318,181.82 21
22 Endang Purwaningsih 19660717 199203 2 011 Bidan 3304115707670003 47.415.277.4-529.000 2-013-07129-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 22
23 Iroh 19770101 200701 2 020 Bidan 3304114101770006 69.532.017.6-529.000 2-013-00390-7 Bank Jateng 19 22 5000000 0.00 4,318,181.82 23
24 Nurul Kurniati 19851085 201704 2 004 Bidan 3304085810850003 66.617.959.3-529.000 3-163-01095-9 Bank Jateng 20 22 5000000 0.00 4,545,454.55 24
25 Lina Destriana 19851202 201704 2 004 Bidan 3304114212850002 66.613.695.7-529.000 3-163-01090-8 Bank Jateng 21 22 5000000 0.00 4,772,727.27 25
26 Ni Kadek Devi D 19890615 201704 2 006 Bidan 3304115506890002 66.604.514.1-529.000 3-163-01092-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 26
27 Aniek Yusdarwiyah 19850731 201704 2 013 Bidan 3304067107850005 55.493.645.0-529.000 3-163-01101-7 Bank Jateng 21 22 5000000 0.00 4,772,727.27 27
28 Titi Rahayu 19850426 201704 2 004 Bidan 3304116604850001 66.608.150.0-529.000 3-163-01093-2 Bank Jateng 20 22 5000000 0.00 4,545,454.55 28
29 Yuliati 19860715 201704 2 004 Bidan 3304035507860002 3-163-01091-6 Bank Jateng 21 22 5000000 0.00 4,772,727.27 29
30 Suciyanti Bidan 3304125806900001 2-163-01573-3 Bank Jateng 21 22 5000000 0.00 4,772,727.27 30
31 Sri Khamidah Bidan 3304114107910017 2-163-01494-0 Bank Jateng 21 22 5000000 0.00 4,772,727.27 31
32 Wiwin Hidayanti Bidan 3304116704940001 2-106-04140-0 Bank Jateng 21 22 5000000 0.00 4,772,727.27 32
33 Siti Mudrikah 19660716 198711 2 002 Tenaga Kesh. Lainnya 3304115607660004 49.299.499.1-529.000 2-013-07008-6 Bank Jateng 20 22 5000000 0.00 4,545,454.55 33
34 Untung Hidayat Tenaga Kesh. Lainnya 3304111504930003 75.149.309.9-529.000 2-013-19746-9 Bank Jateng 20 22 5000000 0.00 4,545,454.55 34
35 Siti Chomsiah 19760510 200604 2 017 Tenaga Kesh. Lainnya 3304105005760001 49.299.508.9-529.000 2-013-20556-6 Bank Jateng 20 22 5000000 0.00 4,545,454.55 35
36 Hanies Prastianingsih Tenaga Kesh. Lainnya 3304115503870002 2-013-17280-6 Bank Jateng 20 22 5000000 0.00 4,545,454.55 36
37 Erlin Septijani 19710908 199312 2 001 Perawat 3304104809710002 49.299.504.8-529.000 2-013-07096-7 Bank Jateng 20 22 5000000 0.00 4,545,454.55 37
38 Lestari Wiwik W 19780602 200801 2 020 Analis Kesehatan 3304034206780004 69.532.020.0-529.000 2-013-00396-6 Bank Jateng 20 22 5000000 0.00 4,545,454.55 38
39 Sulis Tri Rahayu 19801211 201001 2 012 Tenaga Kesh. Lainnya 3304055112800001 45.207.170.7-529.000 2-013-05454-4 Bank Jateng 20 22 5000000 0.00 4,545,454.55 39
40 Tri Eli Yuwanti 19740825 200801 2 007 Tenaga Kesh. Lainnya 3304046508740002 44.258.543.6-529.000 2-013-00776-7 Bank Jateng 20 22 5000000 0.00 4,545,454.55 40
41 Septina Rizky Aditya M Tenaga Kesh. Lainnya 3303016109950002 2-027-14816-9 Bank Jateng 20 22 5000000 0.00 4,545,454.55 41
816 902 0.00 185,454,545.45
Kepala UPTD Puskesmas Rakit 1
dr Deasy fatimah Melati

NIP. 19691227 200701 2 015
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHA
UPTD PUSKESMAS/LABKES : RAKIT 2
BULAN : APRIL 2020
1 2 3 4 5 6 7
1 AGUS BUDI SUSANTO 19700506 200312 1 004 Dokter Umum 3304020605700001 08.873.856.2-529.000 2-106-01449-2
2 SAYEM 19630307 198803 2 009 Perawat 3304114703630001 49.229.513.9-529.000 2-013-07010-5
3 YEKTI PURWANINGSIH 19810322 200801 2 007 Perawat 3304126203810001 24.975.569.5-529.000 2-013-00942-5
4 NOVI INDRIYANI 19811108 201101 2 006 Perawat 3303054811810001 79.656.454.0.529.000 2-027-14872-0
5 HERLINA MAHMUDAH Perawat 3304115905850002 3-013-26546-1
6 MUFLIF ROFI PRAYOGA Perawat 3304101102930002 2-16-301846-5
7 ANI RIYATI MUNAWAROH 19700723 199103 2 012` Bidan 3304116307710005 49.299.503.0-529.000 2-013-07124-4
8 SITI FATIMAH 19720916 199203 2 006 Bidan 3304115609720004 07.812.341.1-529.001 3-013-09460-6
9 YULI PURIWATI 19730710 199303 2 006 Bidan 3304115007730003 08.872.939.7-529.001 2-013-07165-8
10 KHADINAH 19780401 200701 2 012 Bidan 3304054104780001 59.703.407.3-529.000 2-013-00103-3
11 VIDIANA ANDIKA P 19900204 201101 2 003 Bidan 3303034402900001 79.779.681.0-529.000 3-013-11816-6
12 ENGGAL PRIYANTI 19840412 201704 2 008 Bidan 3304115204840002 66.591.766.2-529.000 3-163-01103-3
13 FIFI SASI ROMADLONI 19900414 201704 2 004 Bidan 3301035404900004 80.339.778.8-523.000 3-163-01106-8
14 UMI NURJANAH 19830506 201704 2 006 Bidan 3304114605830001 66.591.779.5-529.000 3-163-01104-1
15 MISTRIYATI 19890126 201704 2 002 Bidan 3304126601890001 66.591.752.2-529.000 3-163-01111-4
16 APRILLIRA WAHYU HIDAYATI Bidan 3304116704890004 2-163-01464-8
17 MUMFAIZAH Bidan 3304115103950003 2-163-01465-6
18 YOGA MAWARNI Bidan 3304114803920001 2-163-01466-4
19 WIDIASTUTI 19751015 200501 2 009 Perawat 3304075510750002 49.229.286.2-529.000 2-013-13855-9
20 SOFIYATI 19670502 199002 2 002 Tenaga Kesh. Lainn3304124205670001 49.299.562.6-529.000 2-013-07041-2
21 NAWA NUR SHOLIHAH Tenaga Kesh. Lainn3304115012910001 2-163-02121-1
22 AGUSTINAH WIDIYANTI 19680820 199003 2 004 Tenaga Kesh. Lainn3303036008680001 49.299.514.7-529.000 2-013-07044-0
23 WAHYU EKA LESTARI Tenaga Kesh. Lainn3304116209920001 2-163-02116-4
24 AGUNG RETNO PALUPI Tenaga Kesh. Lainn3304114106860010 2-163-01460-5
25 WAHYU TIKA LESTARI Tenaga Kesh. Lainn3316145205950002 90.014.347-0.514.000 2-013-22022-3
EMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI JUMLAH

BESARAN
NAMA BANK HARI KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
TUGAS R (Rp.)
8 9 10 11 12 13=9/10*7 14
Bank JATENG 11 22 5000000 0.00 2,500,000 1

Bank JATENG 12 22 5000000 0.00 2,727,273 2
Bank JATENG 12 22 5000000 0.00 2,727,273 3
Bank JATENG 13 22 5000000 0.00 2,954,545 4
Bank JATENG 12 22 5000000 0.00 2,727,273 5
Bank JATENG 11 22 5000000 0.00 2,500,000 6
Bank JATENG 12 22 5000000 0.00 2,727,273 7
Bank JATENG 12 22 5000000 0.00 2,727,273 8
Bank JATENG 11 22 5000000 0.00 2,500,000 9
Bank JATENG 12 22 5000000 0.00 2,727,273 10
Bank JATENG 15 22 5000000 0.00 3,409,091 11
Bank JATENG 15 22 5000000 0.00 3,409,091 12
Bank JATENG 15 22 5000000 0.00 3,409,091 13
Bank JATENG 15 22 5000000 0.00 3,409,091 14
Bank JATENG 15 22 5000000 0.00 3,409,091 15
Bank JATENG 11 22 5000000 0.00 2,500,000 16
Bank JATENG 11 22 5000000 0.00 2,500,000 17
Bank JATENG 11 22 5000000 0.00 2,500,000 18
Bank JATENG 11 22 5000000 0.00 2,500,000 19
Bank JATENG 11 22 5000000 0.00 2,500,000 20
Bank JATENG 11 22 5000000 0.00 2,500,000 21
Bank JATENG 12 22 5000000 0.00 2,727,273 22
Bank JATENG 11 22 5000000 0.00 2,500,000 23
Bank JATENG 12 22 5000000 0.00 2,727,273 24
Bank JATENG 11 22 5000000 0.00 2,500,000 25
305 550 0.00 69,318,182
Kepala UPTD Puskesmas Rakit 2
Khusnul Khotimah, S.SiT, M.Kes

NIP. 19740722 1993001 2 001
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG ME
UPTD PUSKESMAS/LABKES : PUNGGELAN 1
BULAN : APRIL 2020
JML
NO.
REKENING
TUGAS
1 2 3 4 5 6 7 8 9
1 Riana Wulansari 19930325 201902 2 008 Dokter Umum 3304036503930001 82.606.597.1-529.000 3013028440 BANK JATENG 22
2 Wahyono 19680424 199003 1 008 Perawat 3304122404680001 49.299.446.2-523.000 2013070428 BANK JATENG 13
3 Toto Suprapto 19840318 201001 1 016 Perawat 820701180381002 68.193.630.8-943.000 3013243971 BANK JATENG 18
4 Mulyadi 19670615 199403 1 006 Perawat 3304101516670002 49.299.576.6-529.000 2013071824 BANK JATENG 20
5 Lutfi Anggodo 19860517 201101 1 012 Perawat 3303021705860001 47.278.908.0-529.000 3013117950 BANK JATENG 16
6 Rini Prihantini 19831023 201001 2 015 Perawat 3304056310830002 68.159.333.1-529.000 2013054706 BANK JATENG 16
7 Eva Supriyatin 19801203 200501 2 008 Perawat 3304124312800002 49.299.450.4-529.000 2013138509 BANK JATENG 14
8 Rantika Pirawan 19830320 200604 2 009 Tenaga Kesh. Lainn 3304056003830003 49.299.452.0-529.000 2013169396 BANK JATENG 22
9 Suryati 19640313 198503 2 006 Bidan 3304124303640003 49.299.379.5-529.000 2013076385 BANK JATENG 15
10 Sri Rahayu 19710317 199103 2 008 Bidan 3304125703710001 49.171.430.9-529.000 2013070898 BANK JATENG 16
11 Eling Widyastuti 19780405 200501 2 001 Bidan 3304124504780003 45.224.015.3-529.000 2013138430 BANK JATENG 17
12 Dwi Pramukti 19711016 199103 2 002 Bidan 3304125610710001 49.299.448.8-529.000 2013126566 BANK JATENG 17
13 Yuli Kartikasari 19790729 200701 2 007 Bidan 3304126807790005 59.703.327.3-529.000 2013002463 BANK JATENG 16
14 Puji Sri Wahyuni 19830823 200604 2 012 Bidan 3304106308830002 49.299.458.7-529.000 2013169459 BANK JATENG 18
15 Jamroh 19710101 199102 1 001 Perawat 3304120101710005 49.299.447.0-529.000 2013070826 BANK JATENG 17
16 Catur Setyaningsih 19850702 201001 2 022 Bidan 3304124207850008 36.029.250.2-529.001 2013054714 BANK JATENG 16
17 Chandra Megawati 19861024 201704 2 006 Bidan 3304126410860001 66.774.070.9-529.000 3163010894 BANK JATENG 17
18 Indah Sulistya Ningsih 19890525 201704 2 005 Bidan 3304126505890001 66.774.119.3-529.000 3163011025 BANK JATENG 17
19 Farida Fidi Astuti 19850220 201704 2 012 Bidan 3304066002850001 66.774.081.5-529.000 3163010878 BANK JATENG 18
20 Ria Anggraini 19881215 201704 2 002 Bidan 3304125512880002 66.774.110.2-529.000 3163011050 BANK JATENG 17
21 Eka Agustin Budi Listiani 19850803 201704 2 009 Bidan 3304124308850002 66.774.102.9-529.000 3163010886 BANK JATENG 17
22 Yovita Ninik Atmawaty 19851122 201704 2 006 Bidan 3304120211850006 66.774.093.0-529.000 3163010860 BANK JATENG 18
23 Ninik Astutik Prihatin 19740609 200604 0 107 Tenaga Kesh. Lainn 3304044904740001 49.299.449.6-529.000 2013206075 BANK JATENG 15
24 Muhtolib 19650605 198802 1 001 Tenaga Kesh. Lainn 3304120506650009 49.299.445.4-529.000 2013088748 BANK JATENG 15
25 Rizki Dwi Saputro 19890921 201902 1 003 Tenaga Kesh. Lainn 3304082109890002 36.999.952.9-529.000 3013028412 BANK JATENG 20
26 Dewi Rofiatul Umami Tenaga Kesh. Lainn 3304126003890004 2013173004 BANK JATENG 20
27 Riza Rifananda Akti Tenaga Kesh. Lainn 3304125612950003 2027205651 BANK JATENG 17
28 Niza Puspita Arimukti Tenaga Kesh. Lainn 3523166107960001 92.997.261.0-648.000 2027218345 BANK JATENG 15
29 Asad Hendro Saputro Dokter Gigi 3521160812910001 91.705.414.0-646.000 2163025674 BANK JATENG 14
30 Iffah Martiasari Analis Kesehatan 3304125003980001 2163026514 BANK JATENG 14
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
507
JML HARI JUMLAH

BESARAN
KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
INSENTIF
R (Rp.)
10 11 12 13=9/10*7 14
22 5000000 0.00 5,000,000.00 1

22 5000000 0.00 2,954,545.45 2
22 5000000 0.00 4,090,909.09 3
22 5000000 0.00 4,545,454.55 4
22 5000000 0.00 3,636,363.64 5
22 5000000 0.00 3,636,363.64 6
22 5000000 0.00 3,181,818.18 7
22 5000000 0.00 5,000,000.00 8
22 5000000 0.00 3,409,090.91 9
22 5000000 0.00 3,636,363.64 10
22 5000000 0.00 3,863,636.36 11
22 5000000 0.00 3,863,636.36 12
22 5000000 0.00 3,636,363.64 13
22 5000000 0.00 4,090,909.09 14
22 5000000 0.00 3,863,636.36 15
22 5000000 0.00 3,636,363.64 16
22 5000000 0.00 3,863,636.36 17
22 5000000 0.00 3,863,636.36 18
22 5000000 0.00 4,090,909.09 19
22 5000000 0.00 3,863,636.36 20
22 5000000 0.00 3,863,636.36 21
22 5000000 0.00 4,090,909.09 22
22 5000000 0.00 3,409,090.91 23
22 5000000 0.00 3,409,090.91 24
22 5000000 0.00 4,545,454.55 25
22 5000000 0.00 4,545,454.55 26
22 5000000 0.00 3,863,636.36 27
22 5000000 0.00 3,409,090.91 28
22 5000000 0.00 3,181,818.18 29
22 5000000 0.00 3,181,818.18 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
660 0.00 ###
Kepala Puskesmas
Nama
NIP.
UPTD PUSKESMAS/LABKES : KARANGKOBAR
BULAN : APRIL 2020
JML JUMLAH
JML HARI BESARAN
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI PAJAK (Rp.) DITERIMA
KALENDER INSENTIF
TUGAS (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7
1 Siti Nikmah,Amd.Keb 19681001 198903 2004 Bidan 3304134110680002 49.299.584.0-529.000 3-141-00436-0 BANK JATENG 8 22 5000000 0.00 1,818,181.82
2 Much. Lutfi, Amk 19710719 199103 1003 Perawat 3304131907710001 48.013.926.0-529.000 2-013-07087-6 BANK JATENG 7 22 5000000 0.00 1,590,909.09
3 dr.Suci Nur Hidayati 19810226 200904 2005 Dokter Umum 3304085602810004 89.274.261.0-529.000 2-013-03971-5 BANK JATENG 11 22 5000000 0.00 2,500,000.00
4 Andi Hermawan, S.Farm, Apt 19830530 201001 1015 Tenaga Kesh. Lainnya 3304130305830001 47.401.836.3-529.000 2-013-05406-4 BANK JATENG 8 22 5000000 0.00 1,818,181.82
5 Wachdiyaningsih,S.KM 19721003 199302 2002 Tenaga Kesh. Lainnya 3304134310720002 49.299.361.3-529.000 2-013-07159-5 BANK JATENG 9 22 5000000 0.00 2,045,454.55
6 Sri Adiati,Amk 19721003 199302 2002 Perawat 3304065107760007 49.184.020.3-529.000 2-013-14284-9 BANK JATENG 10 22 5000000 0.00 2,272,727.27
7 Yon Setiyawan,S.Kep,Ns,MH 19760711 200604 2018 Perawat 3304170407760003 49.299.586.5-529.000 2-013-20609-7 BANK JATENG 15 22 5000000 0.00 3,409,090.91
8 drg.Aisyul Istiqomah 19770704 200604 1014 Dokter Gigi 3304137005830001 68.794.457.9-529.000 3-013-11805-1 BANK JATENG 10 22 5000000 0.00 2,272,727.27
9 Diyah Eka Kusumawati, A.Md 19640623 198511 2001 Analis Kesehatan 3304135510760002 25.335.4-529.000 2-141-01874-7 BANK JATENG 8 22 5000000 0.00 1,818,181.82
10 Sidik Rahayu, Amk 19780804 200701 1012 Perawat 3304100408780002 25.335.769.3-529.000 2-141-00799-1 BANK JATENG 12 22 5000000 0.00 2,727,272.73
11 Ratna Sugiarti, Amk 19800706 200012 2001 Perawat 3304134607800002 49.620.029.6-529.000 2-013-12271-8 BANK JATENG 7 22 5000000 0.00 1,590,909.09
12 Sus Irawati, Amd Keb 19840828 200604 2009 Bidan 3304136808840005 67.952.649.1-529.000 2-013-18755-6 BANK JATENG 9 22 5000000 0.00 2,045,454.55
13 dr.Dewi Masithoh 19890628 201902 2006 Dokter Umum 3402116606890001 54.810.182.3-543.000 3-013-02844-1 BANK JATENG 9 22 5000000 0.00 2,045,454.55
14 Umi Rofiqoh, AmdKL 19770126 200701 2006 Tenaga Kesh. Lainnya 3304176601770001 25.335.829.5-529.000 2-013-00366-4 BANK JATENG 12 22 5000000 0.00 2,727,272.73
15 Fitri Handayani,S.Tr Keb 19770918 200501 2013 Bidan 3304135809770001 25.796.078.1-529.000 3-141-00420-3 BANK JATENG 9 22 5000000 0.00 2,045,454.55
16 Akhmad Harij Ngasyari, Amk 19780325 200701 1002 Perawat 3304133503780001 89.473.164.5-529.000 2-013-00341-9 BANK JATENG 8 22 5000000 0.00 1,818,181.82
17 Agus Dwi Purnomo, Amk 19790818 200903 1004 Perawat 3304131808790001 26.089.892.9-529.000 2-013-03041-6 BANK JATENG 8 22 5000000 0.00 1,818,181.82
18 Mira Oktavianai, A.Md.Kep 19800303 200801 2019 Perawat 7204074303800007 88.937.108.4-834.000 2-141-02448-8 BANK JATENG 8 22 5000000 0.00 1,818,181.82
19 Ana Priyanti,Amd.Keb 19740803 200604 2015 Bidan 3304137008740001 25.796.022.9-529.000 3-141-00430-1 BANK JATENG 9 22 5000000 0.00 2,045,454.55
20 Nur Farida,Amd.Keb 19770725 200701 2006 Bidan 3304176507770003 25.796.052.6-529.000 3-141-00406-8 BANK JATENG 7 22 5000000 0.00 1,590,909.09
21 Eri Rakhmawati,A.Mk 19781028 201406 2002 Perawat 3304066810780008 08.871.565.1-521.000 2-013-13435-1 BANK JATENG 6 22 5000000 0.00 1,363,636.36
22 Suji Rohyati,A.Mk 19811219 201406 2002 Perawat 3304085912810005 35.828.265.5-529.000 2-013-13419-0 BANK JATENG 12 22 5000000 0.00 2,727,272.73
23 Tri Wanita A K, A.Md 19810220 201406 2007 Perawat 3304056002810004 88.366.508.5-529.000 2-013-13434-3 BANK JATENG 15 22 5000000 0.00 3,409,090.91
24 Lilis Indriyani,Amd.Keb 19821023 201704 2003 Bidan 3304136310820003 66.703.915.0-529.000 3-141-06740-0 BANK JATENG 10 22 5000000 0.00 2,272,727.27
25 Nur Khasanah,Amd.Keb 19850515 201704 2014 Bidan 3304135505850004 66.757.651.6-529.000 3-141-06769-8 BANK JATENG 16 22 5000000 0.00 3,636,363.64
26 Yunita Fitriani,A.Mk 19860615 201902 2002 Perawat 3304135506860001 90.955.083.2-529.000 3-013-02842-9 BANK JATENG 13 22 5000000 0.00 2,954,545.45
27 Agus Setyaningsih,Amd.Keb 19860817 201704 2015 Bidan 3304085708860006 66.714.354.9-529.000 3-141-06745-1 BANK JATENG 10 22 5000000 0.00 2,272,727.27
28 Ika Feranita,Amd.Keb 19860926 201704 2011 Bidan 3301046609860004 70.046.639.4-522.000 3-141-05745-5 BANK JATENG 7 22 5000000 0.00 1,590,909.09
29 Nely Marbasari,Amd.Keb 19861128 201704 2007 Bidan 3304096811860003 66.719.135.7-529.000 3-141-06791-4 BANK JATENG 17 22 5000000 0.00 3,863,636.36
30 Nurul Hidayati,Amd.Keb 19880429 201704 2007 Bidan 3304186904880003 66.715.217.7-529.000 3-141-06744-2 BANK JATENG 9 22 5000000 0.00 2,045,454.55
31 Setyawati Pranandari,Amd.Ke 19880627 201704 2005 Bidan 3304116706880005 66.704.118.0-529.000 3-141-06741-8 BANK JATENG 7 22 5000000 0.00 1,590,909.09
32 Umi Qosidah, Amd Keb. 19691110 199103 2010 Bidan 3304175011690001 49.299.359.7-529.000 2-141-03393-2 BANK JATENG 8 22 5000000 0.00 1,818,181.82
33 Sulistiawati,Amd.Keb 19890121 201704 2002 Bidan 3304106101890002 66.746.227.9-529.000 3-141-06743-4 BANK JATENG 12 22 5000000 0.00 2,727,272.73
34 Hening Widhihastuti,Amd.Keb 19890206 201704 2004 Bidan 3304124602890004 66.430.378.1-529.000 3-141-06783-3 BANK JATENG 16 22 5000000 0.00 3,636,363.64
35 Herin Hikmawati,Amd Keb 19781027 201905 2001 Bidan 3304106710780000 66.542.857.9-529.000 2-141-03238-3 BANK JATENG 8 22 5000000 0.00 1,818,181.82
36 Ardi Tri Jatmiko Perawat 3304200102830001 2-141-03280-4 BANK JATENG 9 22 5000000 0.00 2,045,454.55
37 Lilis Tari Perawat 3304175104820003 2-141-02428-3 BANK JATENG 14 22 5000000 0.00 3,181,818.18
38 Slamet Prihono Perawat 3304170606810001 3-141-07094-0 BANK JATENG 10 22 5000000 0.00 2,272,727.27
39 Agus Setianto Perawat 3304132208880004 2-141-03258-8 BANK JATENG 9 22 5000000 0.00 2,045,454.55
40 Siti Hartati Perawat 3304175906880004 2-141-03269-3 BANK JATENG 9 22 5000000 0.00 2,045,454.55
41 Ahmad Murtaqi Perawat 3308121801800002 2-141-03274-0 BANK JATENG 9 22 5000000 0.00 2,045,454.55
42 Rina Pujiati Perawat 3304154607920001 2-141-03259-6 BANK JATENG 15 22 5000000 0.00 3,409,090.91
43 Mei Rina Dwi Gustin Bidan 3304136605900001 2-141-03281-2 BANK JATENG 7 22 5000000 0.00 1,590,909.09
44 Chandra Ulfah Utamy Bidan 3302144103910005 2-141-03268-5 BANK JATENG 11 22 5000000 0.00 2,500,000.00
45 Ahfi Yuli Wahyu Bidan 3304135607920001 2-141-04261-3 BANK JATENG 13 22 5000000 0.00 2,954,545.45
46 Pratiwi sudarsih Bidan 3304075205900001 3-141-07093-1 BANK JATENG 7 22 5000000 0.00 1,590,909.09
47 Merlina Winda Tenaga Kesh. Lainnya 3323035209960002 2-141-03535-8 BANK JATENG 8 22 5000000 0.00 1,818,181.82
48 Elisa Susan Tenaga Kesh. Lainnya 3304134307950003 2-141-04511-6 BANK JATENG 8 22 5000000 0.00 1,818,181.82
49 Rossy Indah Wardani Tenaga Kesh. Lainnya 3304094408920004 2-141-04059-9 BANK JATENG 10 22 5000000 0.00 2,272,727.27
50 Jane Nanda Ragita Putri Tenaga Kesh. Lainnya 3304175201950002 2-013-17817-1 BANK JATENG 12 22 5000000 0.00 2,727,272.73
51 Novinda Sukma P Analis Kesehatan 3304175311950003 2-014-17674-1 BANK JATENG 9 22 5000000 0.00 2,045,454.55
52 Erlina Purwosiwi Tenaga Kesh. Lainnya 3304135704930001 2-141-03984-1 BANK JATENG 10 22 5000000 0.00 2,272,727.27
53 0 0.00 0
520 1,144 0.00 ###
Kepala UPTD Puskesmas Karangkobar
dr. Suci Nur Hidayati

NIP. 19810226 200904 2 005
SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
TANDA TANGAN
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UPTD PUSKESMAS/LABKES : PUNGGELAN 2
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 Nama sesuai buku tabungan

2 Nama Lengkap 2
3 Nama Lengkap 3
4 Nama Lengkap 4
5 Nama Lengkap 5
6 dst
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- -
Kepala Puskesmas
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
0 0.00 01
0 0.00 0 2
0 0.00 03
0 0.00 0 4
0 0.00 05
0 0.00 0 6
0 0.00 07
0 0.00 0 8
0 0.00 09
0 0.00 0 10
0 0.00 0 11
0 0.00 0 12
0 0.00 0 13
0 0.00 0 14
0 0.00 0 15
0 0.00 0 16
0 0.00 0 17
0 0.00 0 18
0 0.00 0 19
0 0.00 0 20
0 0.00 0 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 0.00
Kepala Puskesmas
Nama
NIP.
UPTD PUSKESMAS/LABKES : PAGENTAN 1
BULAN : APRIL 2020
JML JML HARI JUMLAH
NO. BESARAN
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI KALENDE PAJAK (Rp.) DITERIMA TANDA TANGAN
REKENING INSENTIF
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 HERNOWO SETYO UTOMO 19931009 201902 1 006 Dokter Umum 3304141701660001 82.237.453.4-529.000 3013028438 Bank Jateng 11 22 5000000 0.00 2,500,000.00 1
2 SUPRIYONO 19800205 201101 1 005 Perawat 3304020502800005 46.885.239.7.529.000 3163009284 Bank Jateng 9 22 5000000 0.00 2,045,454.55 2
3 JUNI NUGRAHA 19840610 201101 1 009 Perawat 3303091006840002 79.910.164.7.529.000 3013117968 Bank Jateng 9 22 5000000 0.00 2,045,454.55 3
4 NOER ADZITA TSASTARI 19870930 201001 2 013 Perawat 3304067009870003 35.194.422.8.529.000 3013043859 Bank Jateng 10 22 5000000 0.00 2,272,727.27 4
5 NOERITA DWI PRATIWI 19860227 201101 2 012 Analis Kesehatan 3311046702860004 79.910.165.4.532.000 3013117933 Bank Jateng 7 22 5000000 0.00 1,590,909.09 5
6 SUPRIYANI 19760716 200701 2 012 Bidan 3304145607760001 77.615.051.8.529.000 3141001468 Bank Jateng 11 22 5000000 0.00 2,500,000.00 6
7 ENI PURWATI 19740318 200604 2 010 Bidan 3304145803740001 77.615.050.0.529.000 3141088806 Bank Jateng 9 22 5000000 0.00 2,045,454.55 7
8 ASRI HUSNIATI 19780103 200501 2 012 Bidan 3304144301780001 48.443.733.0.529.000 3141088814 Bank Jateng 10 22 5000000 0.00 2,272,727.27 8
9 LISWANINGSIH 19760531 200604 2 008 Bidan 3304147105760001 89.274.267.7.529.000 3141088792 Bank Jateng 11 22 5000000 0.00 2,500,000.00 9
10 SITI RAHMAWATI 19800328 200801 2 010 Bidan 3304146803800002 77.615.049.2.529.000 3141088857 Bank Jateng 9 22 5000000 0.00 2,045,454.55 10
11 ELI SURYANI NASUTION 19841115 201704 2 002 Bidan 3304145511840002 66.618.555.8.529.000 3013257069 Bank Jateng 9 22 5000000 0.00 2,045,454.55 11
12 MARTINA ISRO'FIANA 19860314 201704 2 006 Bidan 3303055403860002 24.139.406.3.529.000 3141067591 Bank Jateng 9 22 5000000 0.00 2,045,454.55 12
13 FATMAH IMAMATUN 19851123 201704 2 004 Bidan 3304166311850001 76.090.223.9.529.000 3141067566 Bank Jateng 9 22 5000000 0.00 2,045,454.55 13
14 IIS CAHAYA DEWI 19890611 201704 2 004 Bidan 3320075106890004 80.303.935.3.529.000 3013257051 Bank Jateng 9 22 5000000 0.00 2,045,454.55 14
15 ASTUTI 19850410 201704 2 013 Bidan 3304085004850003 66.608.789.5.529.000 3141067604 Bank Jateng 9 22 5000000 0.00 2,045,454.55 15
16 SITI MA'RIFAH 19890609 201704 2 006 Bidan 3304074906890001 66.605.460.6.529.000 3141067582 Bank Jateng 9 22 5000000 0.00 2,045,454.55 16
17 ANDRIYANI EROWATI 19781223 201905 2 001 Bidan 3304046312780001 66.542.819.9.529.000 3013276934 Bank Jateng 9 22 5000000 0.00 2,045,454.55 17
18 DESI LESTARI - Bidan 3307104512940002 - 3023261498 Bank Jateng 9 22 5000000 0.00 2,045,454.55 18
19 RINA MUSALIA - Bidan 3304125305900001 71.645.771.8-422.000 2013191703 Bank Jateng 10 22 5000000 0.00 2,272,727.27 19
20 LENTI ESTRIYAWATI - Bidan 3304144205900001 - 2013191991 Bank Jateng 10 22 5000000 0.00 2,272,727.27 20
21 ENDAH SRI HARMIYATI 19781231 200801 2 014 Tenaga Kesh. Lainn 3304147112780001 77.615.048.4.529.000 3141001417 Bank Jateng 11 22 5000000 0.00 2,500,000.00 21
22 SALSABILA BANINA RAHMATIKA - Tenaga Kesh. Lainn 3310134308970001 - 2072060094 Bank Jateng 9 22 5000000 0.00 2,045,454.55 22
23 YUNI RETNOWATI - Tenaga Kesh. Lainn 3304146006890002 - 2013169171 Bank Jateng 9 22 5000000 0.00 2,045,454.55 23
24 RUBY WIJAYANTI - Tenaga Kesh. Lainn 3304064310960002 - 2013205763 Bank Jateng 11 22 5000000 0.00 2,500,000.00 24
25 WAHYU NUR SETIAWAN - Tenaga Kesh. Lainn 3304060802910003 - 2013208151 Bank Jateng 11 22 5000000 0.00 2,500,000.00 25
26 ISNAENI LAELATUN NUR - Tenaga Kesh. Lainn 7307016306980001 - 2013219004 Bank Jateng 11 22 5000000 0.00 2,500,000.00 26
27 0 0.00 0 27
28 0 0.00 0 28
29 0 0.00 0 29
30 0 0.00 0 30
31 0 0.00 0 31
32 0 0.00 0 32
33 0 0.00 0 33
34 0 0.00 0 34
35 0 0.00 0 35
36 0 0.00 0 36
37 0 0.00 0 37
38 0 0.00 0 38
39 0 0.00 0 39
40 0 0.00 0 40
41 0 0.00 0 41
42 0 0.00 0 42
43 0 0.00 0 43
44 0 0.00 0 44
45 0 0.00 0 45
46 0 0.00 0 46
47 0 0.00 0 47
48 0 0.00 0 48
49 0 0.00 0 49
50 0 0.00 0 50
51 0 0.00 0 51
52 0 0.00 0 52
53 0 0.00 0 53
54 0 0.00 0 54
55 0 0.00 0 55
56 0 0.00 0 56
57 0 0.00 0 57
58 0 0.00 0 58
59 0 0.00 0 59
60 0 0.00 0 60
61 0 0.00 0 61
62 0 0.00 0 62
63 0 0.00 0 63
64 0 0.00 0 64
65 0 0.00 0 65
66 0 0.00 0 66
67 0 0.00 0 67
68 0 0.00 0 68
69 0 0.00 0 69
70 0 0.00 0 70
250 572 0.00 56,818,181.82
Kepala Puskesmas
Nama
NIP.
UPTD PUSKESMAS/LABKES : PAGENTAN 2
BULAN : APRIL 2020
JML JML HARI
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI KALENDE
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 Ari Eka Fisri 198302012009032006

Dokter Umum 330406410283001026.205.613.8 2-013-02768-7 Bank JATEN 6 22
2 Enggar Aziz Febian Asyaf
199202242019021004
Dokter Umum 33040624029200081.292.480.1- 3-013-02844-5 Bank JATEN 6 22
3 Mudtadi 197410191996031002
Perawat 33040619107400055.825.087.4- 2-013-14112-0 Bank JATEN 11 22
4 Danang Rana Wijaya - Tenaga Kesh. Lain3304060606890005 2-013-20808-8 Bank JATEN 9 22
5 Eka Sulistiyah - Tenaga Kesh. Lain3304054408900001 2-013-20614-0 Bank JATEN 4 22
6 Tri Tusyani 198408172017042007
Bidan 33041457088400066.628.152.2- 3-013-25680-1 Bank JATEN 12 22
7 Vivi Sevnati 198504302017042007
Bidan 33041470048500066.628.134.0- 3-013-25674-7 Bank JATEN 13 22
8 Wisti Hasanah 198603012017042007
Bidan 33041041038600066.628.120.9- 3-013-25673-9 Bank JATEN 8 22
9 Purniati Muslikha 198907172017042001
Bidan 33010257078900066.628.138.1- 3-013-25679-8 Bank JATEN 7 22
10 Dina Murwati 19810508 201905 2Bidan
001 33041448058100066.628.144.9- 2-013-18741-2 Bank JATEN 8 22
11 Solikhatin 198712122017042003
Bidan 33031252128700049.171.459.8- 3-013-25682-8 Bank JATEN 15 22
12 Yuni Widyastuti 198106272017042005
Bidan 3.30106671E+14 70.041.716.5- 3-013-25681-0 Bank JATEN 13 22
13 Suwarsih 197711062005012008
Bidan 33040846117700049.299.438.9- 2-013-13851-5 Bank JATEN 6 22
14 Indri Puspita Dewi - Analis Kesehatan 33041466109600092.982.990.1- 2-013-22055-0 Bank JATEN 4 22
15 Sabartiono - Perawat 3304142609880003 2-013-18670-0 Bank JATEN 5 22
16 Hidul Fitriyatno 197809031997021001'
17 Budi Sri Winasih 197806082009032007'
Tenaga Kesh. Lain33040548067800089.274.262.8- 2-013-02945-1 Bank JATEN 4 22
18 Tri Ivani Werawati - Tenaga Kesh. Lain3304035912830008 3-013-25967-3 Bank JATEN 5 22
19 Ratnawati 197405151993012001
Bidan 33041455057400049.299.419.9- 2-013-07151-7 Bank JATEN 6 22
20 Dhian Irianti 197910052008012013'
Bidan 33041445107900089.274.265.1- 2-013-00904-2 Bank JATEN 5 22
21 Andriyani Dyah Utami198807242 201902 2Perawat
007 33041464078800090.995.996.7- 3-013-27583-1 Bank JATEN 4 22
22 Retno Kustiyah 19750203 2006042016
Bidan 33041443027500089.274.266.9- 2-013-20565-7 Bank JATEN 3 22
23 Widaryati 197111141992032005'
Bidan 33040854117100049.299.373.8- 2-013-07141-0 Bank JATEN 4 22
24 Purwaningsih 197807062014062006'
25 Sudarso - Tenaga Kesh. Lain82040822029700093.208.274.6- 2-013-22056-8 Bank JATEN 5 22
26 Retno Setyawati - Bidan 3304145401930001 2-013-18655-6 Bank JATEN 4 22
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
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65
66
67
68
69
70
176 572
Kepala Puskesmas
dr. Ari Eka Fisri

NIP. 19830201 200903 2 0
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 1,363,636.36 1

5000000 0.00 1,363,636.36 2
5000000 0.00 2,500,000.00 3
5000000 0.00 2,045,454.55 4
5000000 0.00 909,090.91 5
5000000 0.00 2,727,272.73 6
5000000 0.00 2,954,545.45 7
5000000 0.00 1,818,181.82 8
5000000 0.00 1,590,909.09 9
5000000 0.00 1,818,181.82 10
5000000 0.00 3,409,090.91 11
5000000 0.00 2,954,545.45 12
5000000 0.00 1,363,636.36 13
5000000 0.00 909,090.91 14
5000000 0.00 1,136,363.64 15
5000000 0.00 1,136,363.64 16
5000000 0.00 909,090.91 17
5000000 0.00 1,136,363.64 18
5000000 0.00 1,363,636.36 19
5000000 0.00 1,136,363.64 20
5000000 0.00 909,090.91 21
5000000 0.00 681,818.18 22
5000000 0.00 909,090.91 23
5000000 0.00 909,090.91 24
5000000 0.00 1,136,363.64 25
5000000 0.00 909,090.91 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
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0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 ###
Kepala Puskesmas
dr. Ari Eka Fisri

NIP. 19830201 200903 2 006
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN
UPTD PUSKESMAS/LABKES : PEJAWARAN
BULAN : APRIL 2020
1 2 3 4 5 6 7
1 dr. Ica Trianjani S. 19920103 201902 2 007 Dokter Umum 3304094301920003 81.084.842.4-529.000 3-013-02844-4
2 Fitnata Diah Kurniawati, AMK 19810916 200801 2 009 Perawat 3304155609810004 58.684.506.7-529.000 2-013-00929-8
3 Ahmad Safi'i, AMK 19850609 201902 1 002 Perawat 3304060906850001 74.699.218.9-529.000 3-013-02842-4
4 Febrian Pradana, AMK 19930204 201902 1 003 Perawat 3307080402930002 90.929.278.1-533.000 3-013-02841-9
5 Hayinul Af'idah, Amd.Kep 19931001 201902 2 003 Perawat 3304154110930003 90.990.807.1-529.000 3-013-02843-0
6 Khasanah, Amd.Kep 19930726 201902 2 009 Perawat 3307106607930003 90.984.238.7-533.000 3-013-02842-8
7 Dede Marita, Amd.Kep 19950330 201902 2 004 Perawat 3304177003950001 90.922.647.4.529.000 3-013-02842-0
8 Yulianti, AMK - Perawat 3304134108830002 79.910.118.3-529.000 2-141-03081-0
9 Siti Nur Laela, AMK - Perawat 3304155412820003 35.725.333.5-529.000 2-141-03082-8
10 Agustin Mega Winahyu, Amd.AK 11.7.1107604 Analis Kesehatan 3374024908950003 91.729.436.5-504.000 2-141-04759-3
11 Anugrah Putradana, Amd.KL - Tenaga Kesh. Lainnya 3302201109940001 76.973.916.0-521.000 2-086-04355-9
12 Endah Rahayuning Nagari, Amd.Keb19840817 201704 2 006 Bidan 3304155708800004 66.773.505.4-529.000 3-141-06763-9
13 Widiana Arifiani, Amd.Keb 19870831 201704 2 009 Bidan 3304137108870002 66.773.945.2-529.000 3-141-05042-6
14 Farida Kristiana, Amd.Keb 19861117 201704 2 007 Bidan 3304025711860001 66.766.999.8-529.000 2-141-02937-4
15 Desi Tri Astuti, Amd.Keb 19861206 201704 2 011 Bidan 3304144612860003 66.766.766.1-529.000 2-141-01578-1
16 Septi Rian Pratiwi, Amd.Keb 19871210 201704 2 005 Bidan 3304155707840001 79.300.921.8-656.000 3-141-05036-1
17 Dessy Hanumsari, Amd.Keb 19871231 201704 2 010 Bidan 3303187112870001 54.301.429.4-529.000 2-141-02929-3
18 Septi Murni Astuti, Amd.Keb 19880917 201704 2 001 Bidan 3304115709880001 66.766.322.3-529.000 2-141-02931-5
19 Tri Novi Hidayati, Amd.Keb 19881112 201704 2 007 Bidan 3304165211880001 66.780.070.0-529.000 2-141-01574-8
20 Endah Uji Wahyuni, Amd.Keb 19890211 201704 2 002 Bidan 3301055102890004 58.152.794.2-521.000 2-141-02932-3
21 Ambar Sri Utami, Amd.Keb 19890212 201704 2 006 Bidan 3305045202890003 44.775.141.3-521.000 3-141-05031-1
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
JML JML HARI

BESARAN JUMLAH
NAMA BANK HARI KALENDE PAJAK (Rp.) TANDA TANGAN
TUGAS R
8 9 10 11 12 13=9/10*7 14
BANK JATENG 16 22 5000000 0.00 3,636,363.64 1

BANK JATENG 15 22 5000000 0.00 3,409,090.91 2
BANK JATENG 15 22 5000000 0.00 3,409,090.91 3
BANK JATENG 20 22 5000000 0.00 4,545,454.55 4
BANK JATENG 15 22 5000000 0.00 3,409,090.91 5
BANK JATENG 16 22 5000000 0.00 3,636,363.64 6
BANK JATENG 15 22 5000000 0.00 3,409,090.91 7
BANK JATENG 9 22 5000000 0.00 2,045,454.55 8
BANK JATENG 13 22 5000000 0.00 2,954,545.45 9
BANK JATENG 13 22 5000000 0.00 2,954,545.45 10
BANK JATENG 18 22 5000000 0.00 4,090,909.09 11
BANK JATENG 14 22 5000000 0.00 3,181,818.18 12
BANK JATENG 9 22 5000000 0.00 2,045,454.55 13
BANK JATENG 11 22 5000000 0.00 2,500,000.00 14
BANK JATENG 5 22 5000000 0.00 1,136,363.64 15
BANK JATENG 5 22 5000000 0.00 1,136,363.64 16
BANK JATENG 8 22 5000000 0.00 1,818,181.82 17
BANK JATENG 5 22 5000000 0.00 1,136,363.64 18
BANK JATENG 6 22 5000000 0.00 1,363,636.36 19
BANK JATENG 5 22 5000000 0.00 1,136,363.64 20
BANK JATENG 8 22 5000000 0.00 1,818,181.82 21
0 0.00 0 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
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0 0.00 0 35
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0 0.00 0 60
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0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
241 462 0.00 54,772,727.27
Kepala Puskesmas
Nama
NIP.
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANG
UPTD PUSKESMAS/LABKES : BATUR 1
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 dr. BARA PRADIANSYAH P
198805132019021005
Dokter Umum 3302221305880001 55.766.651.8- 3-013-27594-6
BANK JATENG 10 22
2 dr. KASPARI ARNANDO 11.7.0105159 Dokter Umum 1403011708903161 2-141-04534-5
BANK JATENG 10 22
3 drg. DIAN SULISTYORINI 197307082014122001
Dokter Gigi 3173084807731001 72.156.723.8-0 2-013-13438-6
BANK JATENG 10 22
4 SITI MUNAWAROH 197108181992032006
Perawat 3304165808710003 49.299.310.0-5 2-013-07140-4
BANK JATENG 8 22
5 YULIANTIKA SALBIYAH 197307141992032003
Bidan 3304165407730001 49.299.312.6-5 3-141-01464-1
BANK JATENG 8 22
6 EKO WIDADO 197007211994021002
Perawat 3304162107700003 49.299.313.4-5 3-141-01465-9
BANK JATENG 7 22
7 WIWIN RAHAYU, S.ST 198006122008012016
Bidan 3304155206800002 58.684.502.6-5 2-013-00955-7
BANK JATENG 7 22
8 RATNA PURWANINGSIH 198804032010012015
Bidan 8207034304880001 58.917.475.4-9 3-013-24405-6
BANK JATENG 5 22
9 DANI SOTYANING NURAENI
197802212011012002
Tenaga Kesh. Lainn 3304166504760001 68.216.632.7-5 3-013-11807-7
BANK JATENG 13 22
10 UTAMI ISLIYANTI, S.Tr.Keb
197307242006042009
Bidan 3304176407730001 25.795.953.6-5 2-013-20645-1
BANK JATENG 5 22
11 MOHAMMAD JEMI LESTARI 11.7.1107236 Analis Kesehatan 7471072504930001 2-013-21899-7
BANK JATENG 13 22
12 A.GUNADI 198104122008011006
Perawat 3304151204810001 35.725.333.5-5 2-013-00963-8
BANK JATENG 7 22
13 NANING SRI HARJANTI 197604252010012008
Perawat 3304166504760001 72.556.146.8-5 2-013-05469-2
BANK JATENG 5 22
14 YULIYANTI 198401222011012007
Perawat 3371016201840001 36.428.191.5-5 3-013-11823-9
BANK JATENG 5 22
15 RIYANTI 197607292008012012
Perawat 3304166907760001 58.682.034.2-5 2-013-01012-1
BANK JATENG 5 22
16 RIDLO WIBOWO Tenaga Kesh. Lainn 3307102812960003 2-141-03988-4
BANK JATENG 12 22
17 SITI LAILI FITRIYATI 198407172017042006
Bidan 3304155707840001 36.941.551.8-5 3-141-06799-0
BANK JATENG 5 22
18 AGUSTIN FAJARWATI 197908122019052002
Bidan 3304105208790004 76.159.089.2-5 3-141-08615-3
BANK JATENG 5 22
19 DIAH KRISTI WAHYUNINGSI
198812312017042006
Bidan 3304167012880002 80.352.977.5-5 3-013-25719-1
BANK JATENG 5 22
20 NETI UTAMI Perawat 3307035601890005 2-141-03296-1
BANK JATENG 5 22
150 440
Kepala Puskesmas Batur 1
Eta Dian Sukmawati, SKM

NIP. 19760523 200604 2 00
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 2,272,727.27 1
5000000 0.00 2,272,727.27 2
5000000 0.00 2,272,727.27 3
5000000 0.00 1,818,181.82 4
5000000 0.00 1,818,181.82 5
5000000 0.00 1,590,909.09 6
5000000 0.00 1,590,909.09 7
5000000 0.00 1,136,363.64 8
5000000 0.00 2,954,545.45 9
5000000 0.00 1,136,363.64 10
5000000 0.00 2,954,545.45 11
5000000 0.00 1,590,909.09 12
5000000 0.00 1,136,363.64 13
5000000 0.00 1,136,363.64 14
5000000 0.00 1,136,363.64 15
5000000 0.00 2,727,272.73 16
5000000 0.00 1,136,363.64 17
5000000 0.00 1,136,363.64 18
5000000 0.00 1,136,363.64 19
5000000 0.00 1,136,363.64 20
0.00 ###
Eta Dian Sukmawati, SKM

NIP. 19760523 200604 2 008
UPTD PUSKESMAS/LABKES : BATUR 2
BULAN : APRIL 2020
JML JML HARI JUMLAH
NO. BESARAN PAJAK TANDA
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NAMA BANK HARI KALENDE DITERIMA
REKENING INSENTIF (Rp.) TANGAN
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 FIGUR PUSPITO, Y.D 198810282015021001Dokter Umum 3,304,192,810,880,000 ### 3-013-23374-7 BANK JATENG 15 22 5000000 0.00 3,409,090.91 1
2 FITRI DWI HASTUTI 197809092014062004Perawat 3307134909780003 72.102.232.5.533.0002-013-14421-5 BANK JATENG 11 22 5000000 0.00 2,500,000.00 2
3 Arini Marga Mustinkaweni, S.Farm1170505161 Tenaga Kesh. Lainnya 3526046703940003 864867783644000 2-141-04538-8 BANK JATENG 6 22 5000000 0.00 1,363,636.36 3
4 Widya Sulandri Harahap, A.Md AK1171105160 Analis Kesehatan 1272034105970002 864797840117000 2-141-04537-0 BANK JATENG 22 22 5000000 0.00 5,000,000.00 4
5 Siti Ngasriyah 198302272005012004 Perawat 3307106702830003 4.929.932.2.552.90002-013-13849-6 BANK JATENG 10 22 5000000 0.00 2,272,727.27 5
6 Nurmillah Nofiyanti 198011282008012008 Bidan 3304166811800001 9.736.852.9.052.90002-013-01027-0 BANK JATENG 8 22 5000000 0.00 1,818,181.82 6
7 Asih Sugiarti 198807062011012011 Tenaga Kesh. Lainnya 3302267012860004 79.779.680.2.521.0003-013-11801-8 BANK JATENG 22 22 5000000 0.00 5,000,000.00 7
8 Firda Nur A Tenaga Kesh. Lainnya 3307136310950006 3-023-28297-5 BANK JATENG 22 22 5000000 0.00 5,000,000.00 8
9 0 0.00 09
70 0 0.00 0 70
116 176 0.00 ###
Kukuh Setiadi, SKM

NIP 197103011995021001
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YA
UPTD PUSKESMAS/LABKES : WANAYASA 1
BULAN : APRIL 2020
1 2 3 4 5 6 7 8
1 Aulia Dyah Febrianti 19910208 201902 2 005 Dokter Umum 3302194802910002 75.086.411.8-521.000 3-013-02844-3 Bank Jateng
2 Alinia Susiani 19780407 200701 2 015 Perawat 3304174704780002 58.046.137.4-529.000 3-141-00416-5 Bank Jateng
3 Trio Cahyanto 11.7.0307248 Perawat 3320027250890003 72.366.070.0-516.000 2-141-04727-5 Bank Jateng
4 Feritun - Perawat 3304122408890001 - 2-141-03251-1 Bank Jateng
5 Putu Gede Widiantoro 11.7.0307617 Perawat 3303083010940003 90.855.193.0-529.000 2-141-04729-1 Bank Jateng
6 Anis Nur Istiqomah 19860314 201704 2 008 Bidan 3312165433860001 78.994.358.6-532.999 3-141-06746-9 Bank Jateng
7 Raras Puspitaningtyas 19850701 201704 2 005 Bidan 3304174106850004 66.443.502.1-529.000 3-141-06749-3 Bank Jateng
8 Niken Rengganingtyas 19861028 201704 2 007 Bidan 3304106810860002 67.035.133.7-529.000 3-141-06782-5 Bank Jateng
9 Arum Puspitarini 19890622 201704 2 003 Bidan 3304026206890002 66.429.877.5-529.000 3-141-06776-1 Bank Jateng
10 Sularsih 19840326 201704 2 005 Bidan 1123186603840002 36.197.281.3-529.000 3-141-06747-7 Bank Jateng
11 Ika Sefria Ardyaningtyas 19860910 201704 2 009 Bidan 3304055009860002 66.436.050.6-529.000 3-141-06750-7 Bank Jateng
12 Nunung Dwi Puji Lestari 19830819 201704 2 004 Bidan 3304175908830002 47.676.757.9-529.000 3-141-06778-7 Bank Jateng
13 Pia Supriatin 19820510 201704 2 007 Bidan 3304135005820007 66.751.004.4-529.000 3-141-06794-9 Bank Jateng
14 Nurnaeni Wijaya 19860415 201704 2 006 Bidan 3304175504860001 68.134.109.5-529.000 3-141-06748-5 Bank Jateng
15 Sri Purwati 19710212 199103 2 006 Bidan 3304175202710001 49.301.773.5-529.999 3-141-01461-6 Bank Jateng
16 Wied Yunita 19770630 200701 2 004 Bidan 3304177006770002 89.473.163.7-529.000 3-141-00413-1 Bank Jateng
17 Ribut Hartati 19700113 199501 2 001 Tenaga Kesh. Lainnya 3304171301700001 49.299.585.7-529.000 3-141-00435-1 Bank Jateng
18 Nurlatif Fatmawati 19800822 200701 2 003 Tenaga Kesh. Lainnya 3304176208800002 58.046.138.2-529.000 3-141-00434-3 Bank Jateng
19 Ani Winarsih 19740927 200604 2 014 Analis Kesehatan 3304172709740004 49.184.004.7-529.000 3-141-00415-7 Bank Jateng
20 Deny Heriansyah 11.7.1108186 Analis Kesehatan 3273132807930001 81.148.269.4-424.000 2-141-04776-3 Bank Jateng
21 Iva Budiati - Tenaga Kesh. Lainnya 3304184901930004 - 2-141-03218-9 Bank Jateng
22 Titin Dwi Agus Cahyani - Tenaga Kesh. Lainnya 3301175708960002 - 2-141-03977-9 Bank Jateng
23 Isni Marati Roisah - Bidan 3304186112920001 - 2-141-03339-8 Bank Jateng
24 Yani Asih Rahayu - Bidan 3304136309930002 - 2-013-18631-9 Bank Jateng
25 Widi Astuti - Bidan 3304136708910001 - 2-141-03307-0 Bank Jateng
26 Wiwin Budiarti - Bidan 3304175505940001 - 2-141-03623-1 Bank Jateng
27 Vega Aprilya - Bidan 3304155004950003 81.121.968.2-529.000 2-141-03485-8 Bank Jateng
28 Cahyaning Widiyawati - Tenaga Kesh. Lainnya 3304086510890002 73.581.559.9-529.000 2-013-20891-6 Bank Jateng
29 Masruhin 11.7.0507616 Tenaga Kesh. Lainnya 5205011509890001 76.951.520.6-912.000 2-141-04728-3 Bank Jateng
30 Dal Kholifah 19950714 201902 2 008 Perawat 3304135407950002 90.922.663.1-529.000 3-141-08591-2 Bank Jateng
IAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
JML JML HARI JUMLAH

BESARAN
INSENTIF
TUGAS R (Rp.)
9 10 11 12 13=9/10*7 12
13 22 5000000 0.00 2,954,545.45 1

14 22 5000000 0.00 3,181,818.18 2
14 22 5000000 0.00 3,181,818.18 3
13 22 5000000 0.00 2,954,545.45 4
19 22 5000000 0.00 4,318,181.82 5
17 22 5000000 0.00 3,863,636.36 6
18 22 5000000 0.00 4,090,909.09 7
17 22 5000000 0.00 3,863,636.36 8
17 22 5000000 0.00 3,863,636.36 9
15 22 5000000 0.00 3,409,090.91 10
17 22 5000000 0.00 3,863,636.36 11
17 22 5000000 0.00 3,863,636.36 12
17 22 5000000 0.00 3,863,636.36 13
17 22 5000000 0.00 3,863,636.36 14
4 22 5000000 0.00 909,090.91 15
3 22 5000000 0.00 681,818.18 16
5 22 5000000 0.00 1,136,363.64 17
4 22 5000000 0.00 909,090.91 18
13 22 5000000 0.00 2,954,545.45 19
12 22 5000000 0.00 2,727,272.73 20
12 22 5000000 0.00 2,727,272.73 21
5 22 5000000 0.00 1,136,363.64 22
5 22 5000000 0.00 1,136,363.64 23
2 22 5000000 0.00 454,545.45 24
4 22 5000000 0.00 909,090.91 25
3 22 5000000 0.00 681,818.18 26
3 22 5000000 0.00 681,818.18 27
4 22 5000000 0.00 909,090.91 28
14 22 5000000 0.00 3,181,818.18 29
3 22 5000000 0.00 681,818.18 30
321 660 0.00 ###
Plt. Kepala UPTD Puskesmas Wanayasa 1
Susi Kurnitasari, SKM, M.Si

NIP. 19701202 199303 2 009
UPTD PUSKESMAS/LABKES : WANAYASA 2
BULAN : APRIL 2020
JML
JML HARI
NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING NAMA BANK HARI
KALENDER
TUGAS
1 2 3 4 5 6 7 8 9 10
1 Yuli Astuti 19840726 201101 2 014 Dokter Umum 3404036607840002 89.125.900.4-542.000 3-013-11788-7 BANK JATENG 17 22
2 Dwi Setyono 19781210 200212 1 005 Perawat 3304171012780002 49.299.594.9-529.000 3-141-00421-1 BANK JATENG 15 22
3 Dewi Yuliani Krisna 19781209 201001 2 007 Perawat 3304170504710002 67.757.720.7-528.000 3-141-07893-2 BANK JATENG 13 22
4 Fathun Najib 19870612 201001 1 009 Perawat 8207031206870001 58.917.474.7-943.300 3-013-24404-8 BANK JATENG 17 22
5 Idham Sofi 007.01.017 Perawat 3307032807850002 - 2-141-03053-4 BANK JATENG 5 22
6 Rizki Prasetyo 11.7.0308187 Perawat 3307122801920002 70.185.183.4-533.000 2-141-04763-1 BANK JATENG 6 22
7 Inayah Binti Tsulatsi 19770320 200501 2 005 Bidan 3304176003770001 25.795.991.6-529.000 3-141-00429-7 BANK JATENG 9 22
8 Romi Astuti 19860303 201001 2 020 Bidan 8207057003860001 88.670.127.5-943.000 3-013-25714-0 BANK JATENG 12 22
9 Intan Khusna N 19740510 200604 2 020 Tenaga Kesh. Lainnya 3304135005740003 49.299.592.3-529.000 3-141-02643-6 BANK JATENG 12 22
10 Adiningtyas Nursanti 19770528 201101 2 005 Tenaga Kesh. Lainnya 3323126805770003 36.493.866.2-533.000 3-013-11808-5 BANK JATENG 15 22
11 Asih Suwanti 19880210 201704 2 004 Bidan 3304175002880003 66.773.996.5-529.000 3-141-06772-8 BANK JATENG 14 22
12 Sunarti Antun R 19860604 201704 2 009 Bidan 3305084406860003 54.766.032.4-529.000 3-141-06774-4 BANK JATENG 15 22
13 Ani Fadhilah P 19880228 201704 2 004 Bidan 3304126802880002 66.773.973.4-529.000 3-141-06773-6 BANK JATENG 21 22
14 Nurhajiati 19841107 201704 2 007 Bidan 3215034711840002 47.102.366.3-408.000 3-141-06790-6 BANK JATENG 16 22
15 Ine Rizka Wijhani 19850811 201704 2 010 Bidan 3304135108850001 66.773.984.1-529.000 3-141-06785-0 BANK JATENG 9 22
16 Nesriyani 19890623 201704 2 001 Bidan 3304036306890003 66.773.979.1-529.000 3-141-06786-8 BANK JATENG 10 22
17 Kus Andarini 19770617 201905 2 001 Bidan 3304095706770002 78.320.953.9-529.000 2-013-17758-1 BANK JATENG 7 22
18 Surip Suharti 19900530 201704 2 003 Bidan 3304177005900001 66.773.952.8-529.000 3-141-06795-7 BANK JATENG 7 22
19 Widya Trisurani 11.7.0507618 Tenaga Kesh. Lainnya 7472025710940001 84.835.511.1-816.000 2-141-04762-3 BANK JATENG 4 22
20 Mega Puspita Dewi Pamungkas 11.7.1107619 Analis Kesehatan 3322115301930001 85.167.135.4-505.000 2-141-04902-2 BANK JATENG 9 22
21 Ani Riswiyanti 003.01.016 Bidan 3304175903940002 - 2-141-03054-2 BANK JATENG 9 22
22 Nisa Kurniasih 004.01.017 Bidan 3304175603910002 - 2-141-03060-7 BANK JATENG 6 22
23 Astriyani 006.01.017 Bidan 3304164404930001 - 2-141-03051-8 BANK JATENG 4 22
24 Andari Sianida Angga Rayini S. Tenaga Kesh. Lainnya 3304175606920004 - 2-141-03050-0 BANK JATENG 5 22
25 Novia Dewi Apsari Tenaga Kesh. Lainnya 3304066811940003 - 2-013-20164-4 BANK JATENG 5 22
26 Muji Triyani Tenaga Kesh. Lainnya 3302094607970002 - 2-141-04924-3 BANK JATENG 4 22
266 572
Kepala UPTD Puskesmas Wan
Susi Kurnitasari, SKM.MSi

NIP. 19701202 199303 2 009
MATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19
BESARAN PAJAK JUMLAH

TANDA TANGAN
INSENTIF (Rp.) DITERIMA (Rp.)
11 12 13=9/10*7 14
5000000 0.00 3,863,636.36 1

5000000 0.00 3,409,090.91 2
5000000 0.00 2,954,545.45 3
5000000 0.00 3,863,636.36 4
5000000 0.00 1,136,363.64 5
5000000 0.00 1,363,636.36 6
5000000 0.00 2,045,454.55 7
5000000 0.00 2,727,272.73 8
5000000 0.00 2,727,272.73 9
5000000 0.00 3,409,090.91 10
5000000 0.00 3,181,818.18 11
5000000 0.00 3,409,090.91 12
5000000 0.00 4,772,727.27 13
5000000 0.00 3,636,363.64 14
5000000 0.00 2,045,454.55 15
5000000 0.00 2,272,727.27 16
5000000 0.00 1,590,909.09 17
5000000 0.00 1,590,909.09 18
5000000 0.00 909,090.91 19
5000000 0.00 2,045,454.55 20
5000000 0.00 2,045,454.55 21
5000000 0.00 1,363,636.36 22
5000000 0.00 909,090.91 23
5000000 0.00 1,136,363.64 24
5000000 0.00 1,136,363.64 25
5000000 0.00 909,090.91 26
0.00 60,454,545.45
Kepala UPTD Puskesmas Wanayasa 2
Susi Kurnitasari, SKM.MSi

NIP. 19701202 199303 2 009
UPTD PUSKESMAS/LABKES : KALIBENING
BULAN : APRIL 2020
JML JML HARI JUMLAH
BESARAN
INSENTIF
TUGAS R (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13=9/10*7 14
1 dr. Suli Astuti 19890709 201902 2 004 Dokter Umum 3304084907890002 90.995.310.1-529.000 3013274664 Bank Jateng 22 22 5000000 0.00 5,000,000.00 1
2 Anang Aji Isnanto,AMK 19810427 201406 1 001 Perawat 3304042704810010 72.136.159.0-529.000 2013126421 Bank Jateng 15 22 5000000 0.00 3,409,090.91 2
3 Luciana Peppy,S.Kep.Ns 19890711 201502 2 003 Perawat 3304045107890005 72.617.304.6-529.000 3013233739 Bank Jateng 4 22 5000000 0.00 909,090.91 3
4 Dimas Pramuning Kuntari,S.Kep 19871105 201001 2 014 Perawat 3304184511870001 36.061.341.8-529.000 3141085301 Bank Jateng 2 22 5000000 0.00 454,545.45 4
5 Suparno,AMK 19701128 199001 1 002 Perawat 3304182811700001 49.299.350.6-529.000 3141085335 Bank Jateng 4 22 5000000 0.00 909,090.91 5
6 Wibi Eka Permana,S.Kep.Ns Perawat 3304041610880002 72.617.304.6-529.000 2141041862 Bank Jateng 7 22 5000000 0.00 1,590,909.09 6
7 Sukiswan,AMK Perawat 3304180210830001 66.622.976.0-0529.000 2013177450 Bank Jateng 4 22 5000000 0.00 909,090.91 7
8 Indro Haryanto,AMK Perawat 3304180109780003 2141032219 Bank Jateng 3 22 5000000 0.00 681,818.18 8
9 Daryo,AMK Perawat 3304181708710002 2141031115 Bank Jateng 3 22 5000000 0.00 681,818.18 9
10 Sabar Riyadi,AMK Perawat 3304192901860002 2141031107 Bank Jateng 3 22 5000000 0.00 681,818.18 10
11 Choiri Susilowati,AMK Perawat 3304185802870002 2141032227 Bank Jateng 3 22 5000000 0.00 681,818.18 11
12 Laili Fitri Marvita, AMK Perawat 3304186504900001 2141032201 Bank Jateng 3 22 5000000 0.00 681,818.18 12
13 Tri Andrianto, AMK Perawat 3303132909900003 2141035935 Bank Jateng 2 22 5000000 0.00 454,545.45 13
14 Sulimah,Amd.Keb 19650701 198803 2 007 Bidan 3304184107650147 49.299.348.0-529.000 3141013580 Bank Jateng 4 22 5000000 0.00 909,090.91 14
15 Nurjanah, S.ST 19681010 199103 2 005 Bidan 3304185010680004 79.024.741.3-529.000 3141060880 Bank Jateng 8 22 5000000 0.00 1,818,181.82 15
16 Heru Nugrah Widiastuti,Amd.Keb 19831120 200501 2 005 Bidan 3304176011830001 49.299.350.6-529.000 3141085343 Bank Jateng 9 22 5000000 0.00 2,045,454.55 16
17 Endang Sri Hastuti, Str.Keb 19740312 200312 2 003 Bidan 3304185203740001 79.042.744.7-529.000 3141085131 Bank Jateng 6 22 5000000 0.00 1,363,636.36 17
18 Masruki, S.Tr.Keb 19770608 200701 2 010 Bidan 3304184806770001 79.042.750.4-529.000 3141013709 Bank Jateng 4 22 5000000 0.00 909,090.91 18
19 Sri Fitriyati, Amd.Keb 19770922 200312 1 004 Bidan 3304186209770001 79.042.748.8-529.000 3141085360 Bank Jateng 3 22 5000000 0.00 681,818.18 19
20 Dailah, Amd.Keb 19760303 200604 2 017 Bidan 3304184303760001 79.042.755.3-529.000 3141085203 Bank Jateng 2 22 5000000 0.00 454,545.45 20
21 Yayu, Amd.Keb Bidan 3304135204910002 2141031123 Bank Jateng 2 22 5000000 0.00 454,545.45 21
22 Arifah, Amd.Keb 19890323 201704 2 010 Bidan 3303066303890001 80.317.445.7-529.000 3141068201 Bank Jateng 3 22 5000000 0.00 681,818.18 22
23 Devi Mariyati, Amd.Keb - Bidan 3304184803920002 2013213341 Bank Jateng 2 22 5000000 0.00 454,545.45 23
24 Eka Liyanti, Amd.Keb Bidan 3304194306910004 2141032332 Bank Jateng 2 22 5000000 0.00 454,545.45 24
25 Lina Nur Fatwa, Amd.Keb 19890913 201704 2 004 Bidan 3303145309890001 47.676.759.5-529.000 3141067779 Bank Jateng 7 22 5000000 0.00 1,590,909.09 25
26 Sugiyah Ambreliyana, Amd.Keb 19860128 201704 2 010 Bidan 3304186801880001 73.286.193.5-529.000 3141067710 Bank Jateng 6 22 5000000 0.00 1,363,636.36 26
27 Lilis Setyowati, Amd.Keb 19870103 201704 2 006 Bidan 3304184301870003 45.018.753.9-529.000 3141068210 Bank Jateng 7 22 5000000 0.00 1,590,909.09 27
28 Susah Bowin Poniah, Amd.Keb 19870401 201704 2 002 Bidan 3304104014870004 66.623.001.6-529.000 3163010827 Bank Jateng 3 22 5000000 0.00 681,818.18 28
29 Dwi Yanuar Wijayanti, Amd.Keb 19880129 201704 2 007 Bidan 3304186901880001 57.842.514.2-529.000 3141068112 Bank Jateng 8 22 5000000 0.00 1,818,181.82 29
30 Aprilia Siri Rohmah, Amd.Keb 19880411 201704 2 002 Bidan 3302055104880002 45.856.300.4-529.000 3013256461 Bank Jateng 7 22 5000000 0.00 1,590,909.09 30
31 Diah Nur Hijrianti, Amd.Keb 19890430 201704 2 005 Bidan 3327127004890004 36.027.695.0-531.000 3141067841 Bank Jateng 5 22 5000000 0.00 1,136,363.64 31
32 Teguh Subekti, Amd.Keb 19850325 201704 2 005 Bidan 3304186503850005 47.676.746.2-529.000 3141068121 Bank Jateng 8 22 5000000 0.00 1,818,181.82 32
33 Dian Triana Puspa Dewi, Amd.Keb 19841003 201704 2 006 Bidan 3304134310840004 36.150.510.0-529.000 3013256453 Bank Jateng 2 22 5000000 0.00 454,545.45 33
34 Sopiatun, Amd.Keb 19820303 201704 2 005 Bidan 3304194303820003 75.389.177.9-529.000 3141068058 Bank Jateng 2 22 5000000 0.00 454,545.45 34
35 Tri Heni P, Amd.Keb 19860224 201704 2 006 Bidan 3304186402860001 66.623.024.8-532.000 3013257042 Bank Jateng 2 22 5000000 0.00 454,545.45 35
36 Desi Aricanti Y, Amd.Keb 19881220 201704 2 006 Bidan 3305196012880003 66.622.976.0-0529.000 3141067612 Bank Jateng 2 22 5000000 0.00 454,545.45 36
37 Tularsih Ria BS, Amd.Keb 19830217 201001 2 026 Bidan 3301075702830001 79.910.163.9-522.000 3013273331 Bank Jateng 2 22 5000000 0.00 454,545.45 37
38 Ika Sevi D, S.Farm.Apt Tenaga Kesh. Lainnya3304185309960003 2141046988 Bank Jateng 4 22 5000000 0.00 909,090.91 38
39 Widhi Hesti P, Amd.Farm 19790507 200604 2 011 Tenaga Kesh. Lainnya3304184705790001 79.042.743.9-529.000 3141013679 Bank Jateng 4 22 5000000 0.00 909,090.91 39
40 Wahyu Nur W, Amd 19800212 200801 2 024 Tenaga Kesh. Lainnya3304135202800003 3141085297 Bank Jateng 8 22 5000000 0.00 1,818,181.82 40
41 Yeni Prasetyawati, Amd.AK 19780114 200801 2 005 Analis Kesehatan 3304185401780004 79.042.745.4-529.000 3141085289 Bank Jateng 11 22 5000000 0.00 2,500,000.00 41
42 Ila Riskiani, Amd.AK Analis Kesehatan 3326024106950002 2141035943 Bank Jateng 4 22 5000000 0.00 909,090.91 42
43 Herna Ames S, Amd.Gz Tenaga Kesh. Lainnya1206134806960001 2141047615 Bank Jateng 2 22 5000000 0.00 454,545.45 43
44 Indah Mutiara Dewi, SKM Tenaga Kesh. Lainnya3304175711940002 2141035901 Bank Jateng 5 22 5000000 0.00 1,136,363.64 44
45 Umy Hani Khabibah, Amd.Gz Tenaga Kesh. Lainnya3326024302940000 2141035897 Bank Jateng 3 22 5000000 0.00 681,818.18 45
70
222 990 0.00 ###
Kepala UPTD Puskesmas Kalibening
Ristiyono, SKM
NIP. 19631124 198501 1 001
DAFTAR NOMINATIF INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANG
UPTD PUSKESMAS/LABKES : PANDANARUM
BULAN : APRIL 2020
JML JML HARI
NO.
REKENING
TUGAS R
1 2 3 4 5 6 7 8 9 10
1 dr. Rizaldy Yoga Panduprada 19890620 20190Dokter Umum 3304062006890001 80.351.737.4- 3-013-02843-7BANK JATENG 6 22
2 Sutarti 19661017 19890Bidan 3304195710660002 49.299433.0-522-013-07029-6BANK JATENG 10 22
3 Arif Pranyoto 19860313 20110Perawat 3303181303860002 45.136.022.6-5 3-013-11819-1BANK JATENG 10 22
4 Nur Hayati 19760628 20070Bidan 3304196806760001 59.737.879.3-5 3-141-08588-2BANK JATENG 11 22
5 Widi Rahayu 19781020 20080Bidan 3304196010780001 59.737.880.1-5 2-013-00945-0BANK JATENG 12 22
6 Apreliana Ermawati 19880424 20150Bidan 3307086404880001 72.657.125.0-5 3-013-23368-2BANK JATENG 10 22
7 Husnah 19700114 19950Tenaga Kesh. Lainn 3304185401700001 49.299.349.8-5 3-141-08583-1BANK JATENG 11 22
8 Romalia 19850911 20170Bidan 3304195109850001 58.679.279-8-53-141-06753-1BANK JATENG 11 22
9 Atik Hidayanti 19860501 20170Bidan 3304194105860003 80.254.741.4-5 3-013-25711-5BANK JATENG 11 22
10 Imas Rahayuningsih 19871217 20170Bidan 3303135712870005 73.322.593.2-5 3-141-06755-8BANK JATENG 10 22
11 Sigit Nurasih 19860522 20170Bidan 3304196205860001 46.656.215.4-5 3-013-25695-0BANK JATENG 10 22
12 Ida Mursyidah 19871111 20170Bidan 3304075111870001 80.319.4471-523-013-25702-6BANK JATENG 10 22
13 Fika Roatul Uryah 19880915 20170Bidan 3322055509880003 80.325.213.9-5 3-013-25662-3BANK JATENG 11 22
14 Linna Robianingsih 19880401 20170Bidan 3304124104880003 08.877.113.4-5 3-013-25675-5BANK JATENG 10 22
15 Runi Astuti - Bidan 3304194601900001 - 2-141-03292-8BANK JATENG 9 22
16 Juliana Ayu Setyaningrum - Tenaga Kesh. Lainn 3304184107910003 - 2-141-03291-0BANK JATENG 9 22
17 Roimah - Bidan 3304184404930003 - 2-141-03285-5BANK JATENG 10 22
18 Widya Susanti - Analis Kesehatan 1506044705960004 86.517.409.8-3 2-141-04530-2BANK JATENG 9 22
19 Tuti Aningsih - Bidan 3304184509920001 - 2-141-03234-1BANK JATENG 10 22
20 Yartinah - Bidan 3304186604910002 - 2-141-03289-8BANK JATENG 10 22
21 Umi Chuznil Chayati - Bidan 3304086707930002 - 2-141-03286-3BANK JATENG 9 22
22 Arum Mega Cahyaningsih - Perawat 3304184303930001 - 2-141-03288-0BANK JATENG 11 22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
220 484
Kepala Puskesmas
ABIDIN ACHMAD, SKM

NIP. 19701218 199403 1 007
JUMLAH
BESARAN
INSENTIF
(Rp.)
11 12 13=9/10*7 14
5000000 0.00 1,363,636.36 1

5000000 0.00 2,272,727.27 2
5000000 0.00 2,272,727.27 3
5000000 0.00 2,500,000.00 4
5000000 0.00 2,727,272.73 5
5000000 0.00 2,272,727.27 6
5000000 0.00 2,500,000.00 7
5000000 0.00 2,500,000.00 8
5000000 0.00 2,500,000.00 9
5000000 0.00 2,272,727.27 10
5000000 0.00 2,272,727.27 11
5000000 0.00 2,272,727.27 12
5000000 0.00 2,500,000.00 13
5000000 0.00 2,272,727.27 14
5000000 0.00 2,045,454.55 15
5000000 0.00 2,045,454.55 16
5000000 0.00 2,272,727.27 17
5000000 0.00 2,045,454.55 18
5000000 0.00 2,272,727.27 19
5000000 0.00 2,272,727.27 20
5000000 0.00 2,045,454.55 21
5000000 0.00 2,500,000.00 22
0 0.00 0 23
0 0.00 0 24
0 0.00 0 25
0 0.00 0 26
0 0.00 0 27
0 0.00 0 28
0 0.00 0 29
0 0.00 0 30
0 0.00 0 31
0 0.00 0 32
0 0.00 0 33
0 0.00 0 34
0 0.00 0 35
0 0.00 0 36
0 0.00 0 37
0 0.00 0 38
0 0.00 0 39
0 0.00 0 40
0 0.00 0 41
0 0.00 0 42
0 0.00 0 43
0 0.00 0 44
0 0.00 0 45
0 0.00 0 46
0 0.00 0 47
0 0.00 0 48
0 0.00 0 49
0 0.00 0 50
0 0.00 0 51
0 0.00 0 52
0 0.00 0 53
0 0.00 0 54
0 0.00 0 55
0 0.00 0 56
0 0.00 0 57
0 0.00 0 58
0 0.00 0 59
0 0.00 0 60
0 0.00 0 61
0 0.00 0 62
0 0.00 0 63
0 0.00 0 64
0 0.00 0 65
0 0.00 0 66
0 0.00 0 67
0 0.00 0 68
0 0.00 0 69
0 0.00 0 70
0.00 ###
Kepala Puskesmas
ABIDIN ACHMAD, SKM

NIP. 19701218 199403 1 007
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN
UPTD PUSKESMAS/LABKES : LABKES
BULAN : APRIL 2020
1 2 3 4 5 6 7
1 AJI SETIAWAN 198209122006041009 Tenaga Kesh. Lainnya 3304061209820002 49.299.528.7-529.000 2013187584

2 ERY ROSITA 197212072002122002 Dokter Umum 3304054712720002 47.415.272.5-529.000 2013002374
3 ARIS EFENDI 197803272002121003 Tenaga Kesh. Lainnya 3304082703780001 49.299.608.7-529.000 2013109605
4 SITI ALFIJAH 197109271997032004 Analis Kesehatan 3304056709710002 49.299.372.0-529.000 2013101974
5 YUSMINARSIH DWI P 197704141996032001 Analis Kesehatan 3304085404770005 49.171.450.7-529.000 2013071959
6 CICININGSIH 197403102002122011 Analis Kesehatan 3304055003740003 49.299.482.7-529.000 2013129720
7 KURNIA HAPSARI DEWI 198411042009032005 Analis Kesehatan 3304064411840009 44.936.522.0-529.000 2013037143
8 YUFITA HAPSARI 198012172008012009 Analis Kesehatan 3304035712800005 59.703.323.2-529.000 2013009671
JML JUMLAH
JML HARI BESARAN
NAMA BANK HARI PAJAK (Rp.) DITERIMA TANDA TANGAN
KALENDER INSENTIF
TUGAS (Rp.)
8 9 10 11 12 13=9/10*7 14
BANK JATENG 7 22 5000000 0.00 1,590,909.09 1

BANK JATENG 7 22 5000000 0.00 1,590,909.09 2
BANK JATENG 7 22 5000000 0.00 1,590,909.09 3
BANK JATENG 2 22 5000000 0.00 454,545.45 4
BANK JATENG 7 22 5000000 0.00 1,590,909.09 5
BANK JATENG 7 22 5000000 0.00 1,590,909.09 6
BANK JATENG 2 22 5000000 0.00 454,545.45 7
BANK JATENG 2 22 5000000 0.00 454,545.45 8
0 0.00 0
41 176 0.00 9,318,181.82
KEPALA UPTD LABORATORIUM KESEHATAN

KABUPATEN BANJARNEGARA
AJI SETIAWAN, SKM, MPH

NIP. 198209122006041009
DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG M
UPTD PUSKESMAS/LABKES : REKAP
BULAN : MARET 2020
JML
NO.
REKENING
TUGAS
1 2 3 4 5 6 7 8 9
RSUD
1 dr. LUCY MIRAFRA GANJAR W19850129 201101 1 008 Dokter Umum 3304052901850005 55.124.241.5.529.000 3013117704 BANK JATENG 12
2 dr. EKO PRASETYO FITRYONO19850616 201001 1 017 Dokter Umum 3304071606850004 77.506.041.1.529.000 2013053980 BANK JATENG 12
3dr. ETIKAWATI SETIYANINGRUM
19790201 200604 2 012 Dokter Umum 3304064102790009 49.183.945.2.529.000 2013144061 BANK JATENG 12
4 dr. LINA YUNISTIA ARIFANI 201506 2 169 Dokter Umum 3304154406890001 55.564.301.4.529.000 2013138179 BANK JATENG 12
5 dr. ADIE BASTIAN 201609 1 212 Dokter Umum 6208010303900001 64.363.235.9.713.000 2013148221 BANK JATENG 10
6 dr. RIMANDIKA ADEK A 201803 2 248 Dokter Umum 3304045202880002 70.910.023.4.529.000 2013186068 BANK JATENG 10
7 dr. RIAYANI S 201803 2 249 Dokter Umum 1608066604900001 71.525.244.1.302.000 2013185941 BANK JATENG 12
8 dr. AGUS RIYANTO 19831115 201101 1 007 Dokter Umum 3311011511830002 34.383.8,157.532.000 3141084479 BANK JATENG 12
9 dr. JALU TRASNOLO BANGUN19810712 200903 1 013 Dokter Umum 3304081207810004 89.274.261.0.529.000 2013039731 BANK JATENG 10
10
dr. ESTININGTYAS WARDHANI,Sp.P
19760208 200604 2 015 Dokter Spesialis 3304064802760006 49.171.444.0.529.000 2013148174 BANK JATENG 22
dr. TRINOVIA
11 ANDAYANINGSIH,MSc.Sp.PK
dr.
12YUNAN ARDI SOEWIDJI,Sp.THTKL
13 dr. LAILY DJIHAN,Sp.JP 19790329 200903 2 000 Dokter Spesialis 3374066903790008 79.042.739.7.529.000 2013038972 BANK JATENG 16
14 dr. FEBI PRAMONO,Sp.Rad 19680229 199803 1 000 Dokter Spesialis 3307092990268000125.513.636.8.533.000 2013141681 BANK JATENG 4
15 dr. THOMAS EFENDI, Sp. PD 19700123 200012 1 000 Dokter Spesialis 3304062301700002 08.958.226.6.543.000 2013140746 BANK JATENG 6
16 dr. EKO PUDJI ANTONO, Sp.S19620612 198902 1 000 Dokter Spesialis 3304061206620001 07.825.614.6.533.000 2013140144 BANK JATENG 8
17
dr. GEDE PERDANA PUTRA,Sp.PD 201905 0 101 Dokter Spesialis 3275091708800025 58.947.395.8.901.000 2013213880 BANK JATENG 8
18 dr. WAHYU PRIYATNO, Sp.B 19721206 200501 1 011 Dokter Spesialis 3304030612720002 07.810.801.6.529.000 2013138270 BANK JATENG 4
19 dr. DYAH PERWITASARI,Sp.A 19800301 200604 2 013 Dokter Spesialis 3304064103800009 49.183.946.0.529.000 2013141653 BANK JATENG 4
20 dr. ARIS SUNARDI,MSI,Sp.A 19751017 201412 1 001 Dokter Spesialis 3304081710750002 70.240.487.2.529.000 2013107192 BANK JATENG 3
dr.
21PRIYO BUDI SANTOSA,Sp. A,M.Kes
22 dr. NUGROHO K,SpB 19570420 198303 1 014 Dokter Spesialis 3404012004570003 05.177.834.8.012.000 2013140031 BANK JATENG 3
23 EDY SETIYANTO, S.Kep.Ns 19770527 200604 1 011 Perawat 3304082705770003 49.184.005.4.529.000 2013142598 BANK JATENG 16
24 AGUS RIYANTO, AMK 19810811 200801 1 007 Perawat 3304051108810003 19.810.811.2.008.011 2013143029 BANK JATENG 14
25
JANUAR SATYA KURNIAWAN, AMK
19830107 201001 1 006 Perawat 3304060701830001 0 2013143370 BANK JATENG 11
26 EDI SUSANTO, AMK 19751208 200903 1 003 Perawat 3304050812750004 89.075.603.4.529.000 2013038271 BANK JATENG 14
27 MURIANI AGUSTINA, S.Kep.Ns19790802 200801 2 008 Perawat 3304064208790001 47.319.461.1.529.999 2013143041 BANK JATENG 10
28 DENNY AMBRIASIH, S.Kep.Ns19790520 201001 2 022 Perawat 3304050005790004 47.401.838.9.529.000 2013053726 BANK JATENG 16
29 BUNTORO, AMK 05.25.259 Perawat 3304062608810005 0 2013144168 BANK JATENG 14
30 HERI PURNOMO, AMK 05.25.265 Perawat 3304110101820006 0 2013138161 BANK JATENG 11
31 SULASNO, AMK 05.25.260 Perawat 3304091603820005 0 2013144174 BANK JATENG 14
32 KOKO SENOAJI, AMK 201208 1 103 Perawat 3304031004830007 0 2013145701 BANK JATENG 10
33 TEGUH IMAN PRABOWO, AMd 201208 1 088 Perawat 3304061603890003 0 3013148863 BANK JATENG 14
34 FAJAR PRASETYO, AMK 201208 1 099 Perawat 3304010903900005 0 2013089640 BANK JATENG 11
35 FITRIYANI, AMK 200908 2 030 Perawat 3304046711870006 0 2013082050 BANK JATENG 11
36 YAYUK LISTANTI, AMK 201306 2 138 Perawat 3304035903890005 0 2013104665 BANK JATENG 14
37
RIZQI FAWUZI RAHMAN, AMd.Kep 201602 1 184 Perawat 3301151512930001 0 2013143440 BANK JATENG 10
38TRIO WAHYU ADIPRIYONO, AMK 201602 1 191 Perawat 3304042304920002 0 2013143032 BANK JATENG 14
MUHAMMAD
39 GALIH IHSAN, AMd.Kep 201602 1 199 Perawat 3302112604950002 0 2013143211 BANK JATENG 10
40 AAN SARYATI, AMd. 05.25.257 Perawat 3304115910820006 0 2013144146 BANK JATENG 14
41 TEGUH WINARNO,S.KEP.NS 19770626 200212 1 005 Perawat 3304122606770003 49.183.893.4.529.000 2013141255 BANK JATENG 13
42 SEPTIMULATSIH DUMILAH 19791103 200212 2 003 Perawat 3304054311790012 89.078.178.4.529.000 2013109508 BANK JATENG 13
43 AJIZ RIYADI 19770916 200604 1 005 Perawat 3304081609770002 49.183.909.8.529.000 2013142736 BANK JATENG 20
44 DYAH LINDA ERNA N 201306 2 132 Perawat 3303016007900001 0 2013104967 BANK JATENG 15
45 WAHYU NUGROHO 201306 1 137 Perawat 3304060403910005 0 2013104975 BANK JATENG 15
46 DANI SADATUN 200908 2 029 Perawat 3304065603850004 0 2013082068 BANK JATENG 15
47 AGRISTA SATRIA P 201706 1 224 Perawat 3304012811900002 0 2106038875 BANK JATENG 15
48 SITI WATIYAH 200510 2 003 Perawat 3304086202820004 0 2013082351 BANK JATENG 15
49 IMAM AJI NURRODIN 201602 1 193 Perawat 3304042111920004 0 2013143024 BANK JATENG 15
50 SUS ERNAWATI 200908 2 028 Perawat 3304066107790001 0 2013082378 BANK JATENG 15
51 ARUN PRASTIYO 201602 1 198 Perawat 3323122103910001 0 2013143261 BANK JATENG 15
52 DWI ASTUTI 19801016 200701 2 008 Perawat 3304055610800003 0 2013143198 BANK JATENG 15
53 ZAKARIA 201602 1 208 Perawat 3307130406890001 0 2013143776 BANK JATENG 15
54 WAHYU INDARTI 19770414 200604 2 018 Perawat 3304060501070003 49.183.985.8.529.000 2013142560 BANK JATENG 15
55
DIYAH NUR RAHMAWATI,S.Kep.Ns 19890614 201902 2 003 Perawat 3404125406890002 86.649.361.2.533.000 3013028413 BANK JATENG 15
56 UMI LAILA HIDAYATI 19820305 200903 2 008 Perawat 3304064503820005 0 2013038557 BANK JATENG 10
57 TATANG KURNIAWAN 19871103 201001 1 006 Perawat 3304140311870007 58.722.841.2.529.000 2013054013 BANK JATENG 8
58 NURYANTO 19780503 200801 1 008 Perawat 3304070305780006 88.798.121.5.529.000 2013142877 BANK JATENG 7
59 EKA IFA FAOJIYATI 19781019 200701 2 008 Perawat 3304205910780005 89.190.735.4.529.000 2013144419 BANK JATENG 10
60 HARUN NUR FAID 19710930 199203 1 005 Perawat 3304123009710002 49.299.628.5.529.000 2013140893 BANK JATENG 7
61 FUAD NUR ISTNAENI 19760314 200604 1 013 Perawat 3304101403760002 49.183.993.2.529.000 2013142667 BANK JATENG 10
62 TAAT AGUNG WIDODO 19860618 200903 1 004 Perawat 3304121806860002 0 2013038433 BANK JATENG 1
63 HAYIN DWI ASTUITI 201306 2 135 Perawat 3304066810810001 0 2013104789 BANK JATENG 4
64 DESY OKTORA,AMK 19791227 200701 2 006 Perawat 3304066712790007 0 2013143110 BANK JATENG 15
65
ARINDA RIFKA INDRIANI, S.Kep.Ns
19920825 201902 2 009 Perawat 3304076508920002 0 3013028414 BANK JATENG 15
66 ASEP SUWANTO,AMK 2013061128 Perawat 3304162302880001 0 2013104827 BANK JATENG 15
67 ASMI FAIZAH, AMK 2013062129 Perawat 3304055406880006 0 2013104908 BANK JATENG 15
68 NOVIAN SANTI Y.W, S.Kep.Ns 2016022174 Perawat 3304086411910001 0 2013143229 BANK JATENG 15
69 RETNO ANGRESTI W, AMd. 2012082086 Perawat 3304105003900001 0 2013089712 BANK JATENG 15
70 SEPTIANA IKA KURNIASIH 2016022196 Perawat 3301064109940002 0 2013143369 BANK JATENG 2
71 SAMIRIN, S.Kep.Ns 19790717 200801 1 014 Perawat 3304111707790001 0 2013142902 BANK JATENG 5
72 AGUS SUBECHI 19870813 201101 1 008 Tenaga Kesh. Lainnya 3304051308870003 0 3013117593 BANK JATENG 5
73 SITI RAHAYU 19740327 200604 2013 Analis Kesehatan 3304046703740003 0 2013064230 BANK JATENG 20
74 SARWONO 19630511 198701 1 011 Analis Kesehatan 3304071105630001 0 2013140586 BANK JATENG 5
75 RASMIRAH 19650212 198803 2 007 Analis Kesehatan 3304065202650003 0 2013140627 BANK JATENG 6
76 UMU MAKSUMAH 525270 Analis Kesehatan 3304085305810004 0 2013144271 BANK JATENG 6
77 TITIK YULIANTI 19800704 200903 2 005 Analis Kesehatan 3304014407800003 0 2013030548 BANK JATENG 10
78 VIAN HIDAYAH 19871206 201101 2 017 Analis Kesehatan 3304034612870001 0 3013117658 BANK JATENG 6
79 ARIS SUPRIYANTO 19760427 200501 1008 Analis Kesehatan 3304072704760001 0 2013141512 BANK JATENG 6
80 WIWIN YULIANTO 19790711 201101 1 005 Analis Kesehatan 3304041107790002 0 3013117607 BANK JATENG 6
81 NOVI SUSIANTI 2012012106 Analis Kesehatan 3307015501900002 0 2013097324 BANK JATENG 10
82 SHINTA PUSPANIE P 2015022153 Analis Kesehatan 3304084105940002 0 2013133908 BANK JATENG 10
83 AZIZAH NUR KH 2016012210 Analis Kesehatan 3304035209930002 0 2013143199 BANK JATENG 6
84 DIMAS NANDA F 2016012209 Analis Kesehatan 3304062910920001 0 2013143181 BANK JATENG 10
85 BERNADUS TANTRI WIJAYA 2017061230 Analis Kesehatan 3304062302940003 0 2013165389 BANK JATENG 14
86 UMMI S NASUTION 2017062228 Analis Kesehatan 3304076308950001 0 2013165371 BANK JATENG 6
87 DWI SULISTIYANI,S.ST 19790517 201001 2 009 Radiografer 3304065705790001 0 2013053912 BANK JATENG 17
88 ISNAINI SHOLIHATI 19871212 201001 2 019 Radiografer 3304065212870001 0 2013054056 BANK JATENG 16
89 JUSTINA TRIRISMAWATI,S.ST19670609 199003 2 003 Radiografer 3304064906670002 0 2013140718 BANK JATENG 16
NI'MAH
90 PERMANA WIDIASTUTI, A.Md
19801119 200501 2 017 Radiografer 3307085911800007 0 2013138731 BANK JATENG 13
91 KAMRUS, S.ST 19650621 198603 1 004 Radiografer 1802072106650001 0 2013108148 BANK JATENG 14
NOALENTINI
92 TIMORAY ADETIO,A.Md
19880111 201001 1 006 Radiografer 3323031101880006 0 2013054625 BANK JATENG 15
93 PUSPO IKHWANDOKO, S.ST 19740419 200604 1 007 Radiografer 3304061904740004 0 2013188093 BANK JATENG 14
94 SETYA OKTA PRIYANTI, A.Md19881002 201101 2 011 Radiografer 3303024210880001 0 2027153740 BANK JATENG 14
95 SITI FARIKHAH, A.Md 19831112 200604 2 011 Radiografer 3374155211830005 0 2013187443 BANK JATENG 15
96 SITI ROHANANH, A.Md 19840603 201001 2 019 Radiografer 3304084306840006 0 2013054731 BANK JATENG 14
97WAHYU ANGGORO YOGA,S.ST19801221 200801 1 004 Radiografer 3307092112800002 0 2013142855 BANK JATENG 18
1. SUSUKAN
1 dr. Margareta Novalina 19741116 200910 2 001 Dokter Umum 3303026912830005 46.099.326.4-521.000 2003102125 Bank JATENG 14
2 Herni Setyaningsih 19810531 200003 2 001 Perawat 3302157105810001 68.442.822.0-521.000 2013083685 Bank JATENG 13
3 Puji Hastuti 19820115 200604 2 010 Bidan 3303025501820001 49.299.345.6-529.000 2013187534 Bank JATENG 13
4 Aan Fauzi 19820313 200604 1 004 Perawat 3304011303820001 49.299.367.0-529.000 3106087431 Bank JATENG 15
5 Yuli Suprapti 19820207 201001 2 027 Perawat 3304014702820005 36.061.663.5-529.000 2013058337 Bank JATENG 14
6 Mukhamat Basti 19801222 201001 1 007 Perawat 3304052212800001 35.205.946.3-529.000 2013054552 Bank JATENG 14
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2. SUSUKAN 2
1 dr Edy Wibowo 19711016 2002121 002 Dokter Umum 3304021610710002 47.882.451.9.529.000 2106000509 Bank Jateng 18
2 drg. T Rina Aryani 19791012 200801 2 013 Dokter Gigi 3402125210790001 67.943.350.8.541.000 2013140785 Bank Jateng 12
3 Edi Sulistianto 19751023199703 1 001 Perawat 3304012310750001 49.299.635.0.529.000 2013212565 Bank Jateng 19
4 Tutik Urrohmah 1968092 2198903 2 004 Perawat 3304016209680001 49.299.554.3-529.000 2013070321 Bank Jateng 17
5 Rokhyati 19651204 199103 2 008 Tenaga Kesh. Lainnya 3304014412650001 49.299.537.8-529.000 3106011434 Bank Jateng 17
6 Tri Haryanti 19760703 200212 2 005 Bidan 3304024307760102 24.975.367.4-529.000 2013109514 Bank Jateng 17
7 Tri Yuli Istanti 19730703 199301 1 003 Bidan 3304014307730004 49.299.554.3-529.000 2013071501 Bank Jateng 19
8 Tri Astutiningrum 19750707 200101 2 011 Bidan 3304014707750003 57.579.199.1-529.000 2013109520 Bank Jateng 15
9 Fatonah 19760705 200212 2 007 Perawat 3304014507760001 59.703.322.4-529.000 2013109542 Bank Jateng 19
10 Dwi Agustina 05.09.147 Tenaga Kesh. Lainnya 3303064708820002 0 2106036007 Bank Jateng 15
11 Yuni Astuti 19840614 20170 4 2009 Bidan 3301075406840002 87.039.666.0-522.000 3013256364 Bank Jateng 18
12 Rina Kusuma Dewi 19870113 201704 2 004 Bidan 3304025301870001 67.942.589.2-529.000 3106080614 Bank Jateng 18
13 Anteng Wasis 19761201 201905 2 001 Bidan 3304174112798000270.046.554.5-522.000 3106084211 Bank Jateng 18
14 Khotimul Khoeriyah 19840227 201704 2 008 Bidan 3301026702840002 70.041.897.3-522.000 3013256399 Bank Jateng 18
15 Eni Kusmiyati 19860529 201704 2 006 Bidan 3303016905860001 89.273.807.1.529.000 3106080771 Bank Jateng 18
16 Josiati 198505122017042014 Bidan 3302245205850007 44.561.305.2.521.000 3106080584 Bank Jateng 18
17 Amelia Labibah 11.7.1108185 Analis Kesehatan 3215204307960001 82.202.000.4-433.000 2106050824 Bank Jateng 19
18 Dwi Syahreni 11.7.0507615 Tenaga Kesh. Lainnya 3304024307940002 93.164.441.3-529.000 2106050794 Bank Jateng 19
19 Haniva Hanum 20.6.0302019 Perawat 3302246205910002 75.649.336.4-521.000 2106050816 Bank Jateng 19
20 Prameslia Herdianti 3302194801960005 Tenaga Kesh. Lainnya 3302194801960005 0 2120048735 Bank Jateng 19
21 Warsiti 3304014905920001 Tenaga Kesh. Lainnya 3304014905920001 64.332.122.7-529.000 2106045600 Bank Jateng 19
22 Ika Dwi Lestari 3304016302900001 Bidan 3304016302900004 0 2106042309 Bank Jateng 13
23 Nopi Norita 3304015411900001 Bidan 3304015411900001 0 3106084555 Bank Jateng 14
24 Oviyani 3318016710900002 Bidan 3318016710900002 0 2106042147 Bank Jateng 15
25 Sri Aprilia Isnaeni 3304065004890002 Bidan 3304065004890002 0 2106042139 Bank Jateng 15
26 Neno Sarining Utari 3304015810950002 Bidan 3304015810950002 0 2106044590 Bank Jateng 15
27 Faradina Nur Aprilyta 3304026004950003 Bidan 3304026004950003 0 2106044603 Bank Jateng 15
28 Sularsih 3304016408810004 Perawat 3304016408810001 0 2106042295 Bank Jateng 19
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0 3. KLAMPOK 1
1 dr. Dwi Lestariatun 19690909 200212 2 004 Dokter Umum 3304034909690006 89.566.773.1.529.000
2 - 106 - 00055 - 0Bank Jateng 14
2 dr. Ririn Widyaningrum - Dokter Umum 3273135610930004 84.973.392.8.444.000
3 - 006 - 07515 - 5Bank Jateng 13
3 Atun Ernawati 19820206 200701 2 005 Analis Kesehatan 3304034602820007 89.566.773.1.529.000
3 - 106 - 09038 - 5Bank Jateng 14
4 Ester Lita - Analis Kesehatan 3304017007970001 - 2 - 106 - 04760 - 2Bank Jateng 13
5 Sri Sulistiowati 19790724 200803 2 001 Tenaga Kesh. Lainnya 3040262057530003 25.730.292.7.529.0003 - 106 - 01356 - 9Bank Jateng 14
6 Kamaludin - Tenaga Kesh. Lainnya 3040262057530003 - 2 - 106 - 05032 - 8Bank Jateng 13
7 Imam Setiawan 19790427 201101 1 006 Perawat 3303032704790002 74.019.933.6.529.000
3 - 013 - 11786 - 1Bank Jateng 6
8 Suprappti 19820223 200501 2 009 Perawat 3304026302820004 49.299.366.2.529.000
2 - 013 - 13847 - 4Bank Jateng 3
9 Setyadi 19770729 200604 1 008 Perawat 3304012907770001 49.229.484.3.529.000
2 - 013 - 20608 - 1Bank Jateng 4
10 Priono 19770922 200604 1 014 Perawat 3303050209770001 49.183.984.1.529.000
2 - 013 - 14257 - 6Bank Jateng 4
11 Priambodo 19780209 200701 1 009 Perawat 3304030902780002 57.302.257.1.529.000
3 - 106 - 01134 - 5Bank Jateng 5
12 Suwartini 19810705 200801 2 012 Perawat 3304034507810005 57.353.908.7.529.000
3 - 106 - 08744 - 9Bank Jateng 3
13 Burhan Akhmad 19720518 200701 1 016 Perawat 3303141805720001 57.353.903.8.529.000
3 - 013 - 00112 - 9Bank Jateng 4
14 Tri Mudjiati 19810214 200801 2 010 Perawat 3303025402810001 57.353.907.9.529.000
2 - 013 - 14298 - 0Bank Jateng 2
15 Yulikha Erna 19790724 200803 2 001 Perawat 2103076407791003 15.592.790.8.214.000
2 - 106 - 02047 - 0Bank Jateng 2
16 Handita Listiana 19890522 2001101 2 012 Perawat 3303026205890001 36.364.987.2.529.000
3 - 013 - 11806 - 9Bank Jateng 2
17 Budi Susanto 19890905 201902 1 003 Perawat 3301120509890003 90.526.221.8.522.000
3 - 013 - 27451 - 6Bank Jateng 3
18 Sekar Wijayanti 19880418 201101 2 016 Perawat 3303015804880003 68.330.953.8.529.000
3 - 013 - 11790 - 9Bank Jateng 3
19 Kristiani Biko 19880629 201902 2 009 Perawat 3301066906880004 47.214.846.9.522.000
3 - 013 - 27558 - 0Bank Jateng 2
20 Fera Kuswardani 19840215 201001 2 016 Perawat 3303015502640002 68.159.330.7.529.000
2 - 013 - 05465 - 0Bank Jateng 3
21 Octavianing Kumalasari 19871002 201502 2 004 Perawat 3603056310950001 44.002.077.1.529.000
3 - 013 - 23388 - 7Bank Jateng 2
22 Yuni Pusdichristine 19800619 200801 2 001 Perawat 3304035906800004 57.353.909.5.529.000
2 - 013 - 00874 - 7Bank Jateng 1
23 Qiqi Arista 19860121 201902 2 005 Bidan 3304054106910009 72.632.180.5.529.000
3 - 013 - 02844 - 8Bank Jateng 18
24 Anggawanti Indah 19831210 201001 2 012 Bidan 3301235012330001 66.608.411.6.529.000
2 - 013 - 05472 - 2Bank Jateng 15
25 Rina Kurniawati 19850906 201704 2 008 Bidan 3302194609850001 70.263.456.9.521.000
3 - 106 - 08055 - 0Bank Jateng 3
26 Lina Andriyani 19840928 201704 2 002 Bidan 3302194609850001 88.219.460.8.529.000
3 - 106 - 08078 - 9Bank Jateng 13
27 Ferawati Qoriah 19860403 201704 2 004 Bidan 3304034304860007 66.608.619.4.529.000
3 - 106 - 08053 - 3Bank Jateng 13
28 Supri Astuti 19770605 200604 2 002 Bidan 3304044605770003 78.127.447.7.529.000
3 - 106 - 07232 - 8Bank Jateng 1
29 Fitriyah 19721109 199302 2 003 Bidan 3304024933720002 49.299.494.2.529.000
2 - 013 - 07160 - 8Bank Jateng 1
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0 4. KLAMPOK 2 0 0 0 0 0 0
1 Tri Prapto Kurniawan 19740703 200012 1 001 Tenaga Kesh. Lainnya 3402120307760004 49.299.351.4-529.000 2013097204 BANK JATENG 20
2 dr.Ismuhartinah 19700102 200212 2 002 Dokter Umum 3304024201700001 49.299.471.0-529.000 2013134375 BANK JATENG 18
3 Amin Sahri 19730803 199603 1 001 Perawat 3304030306730000 49.299.555.0-529.000 2013072004 BANK JATENG 18
4 Sunarko 19660906 199002 1 003 Perawat 3304010609660001 24.747.318.4-529.000 2013109627 BANK JATENG 16
5 Rina Kuwati 19711210 199103 2 003 Bidan 3303025012710003 49.299.427.2-529.000 2013187512 BANK JATENG 10
6 Hanifah Harris 19750921 200604 2 009 Perawat 3304016109750000 25.336.509.2-529.000 2013206508 BANK JATENG 17
7 Siti Tarifatin 19771228 200212 2 013 Perawat 3304206812770001 77.614.979.1-529.000 2013124639 BANK JATENG 20
8 Winenti 19750527 200604 2 012 Tenaga Kesh. Lainnya 3304036705750000 88.463.329.8-529.000 3106080207 BANK JATENG 10
9 Ratri Handayani 19770617 200312 2 005 Bidan 3304025706770002 72.296.769.2-529.000 3106080355 BANK JATENG 19
10 Siti Lestari 19760527 200604 2 016 Bidan 3303026705760003 47.727.025.2-522.000 3106080347 BANK JATENG 17
11 Widi Eko Nugroho 19780518 200801 1 005 Tenaga Kesh. Lainnya 3304036705780000 49.299.556.8-529.000 2106001165 BANK JATENG 19
12 Eva Devi Meiyana 19810519 200501 2 014 Tenaga Kesh. Lainnya 3304025905810000 49.299.633.5-529.000 2013070860 BANK JATENG 16
13 Sri Sutarti 19850422 201704 2 008 Bidan 3304025306840002 77.614.975.9-529.000 2013006159 BANK JATENG 15
14 Yuni Fitriyani 19840613 201704 2 011 Bidan 3304025306840002 49.299.407.4-529.000 2013138565 BANK JATENG 18
15 Peni Setyoningsih 19841031 201704 2 004 Bidan 3304027110840002 07.810.474.2-529.000 2013070779 BANK JATENG 17
16 Marlia Normawati - Perawat 3302196103890003 75.655.991.0-521.000 2106051537 BANK JATENG 15
17 Eva Dwi Susanti - Bidan 3304027112900002 87.048.626.3-529.000 2106042848 BANK JATENG 15
18 Febriana Nursiamti Utami - Tenaga Kesh. Lainnya 3304025202950005 94.893.079.7-529.000 2106045553 BANK JATENG 17
19 Fitri Rismawati - Tenaga Kesh. Lainnya 9206016807900002 94.889.140.3-529.000 2013173331 BANK JATENG 15
20 Khusnul Khotimah - Tenaga Kesh. Lainnya 3304054611890002 94.884.513.6-529.000 2013206182 BANK JATENG 19
21 Rizka Agustin Trisejati - Bidan 3304016808940001 94.888.762.5-529.000 3106081645 BANK JATENG 17
22 Ulfi Istifaroh - Bidan 3305025608950003 94.884.970.8-529.000 3106081661 BANK JATENG 10
23 Aisyah Winarni - Bidan 3304026510880001 94.899.684.8.529.000 3106084831 BANK JATENG 13
24 Diana Kartikasari - Bidan 3304045806920001 94.888.771.6-529.000 2106044417 BANK JATENG 17
25 Revita Larasati - Analis Kesehatan 3302034109960004 76.770.825.8-521.000 3106084865 BANK JATENG 16
26 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0
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31 0 0 0 0 0 0 0 0
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70 0 0 0 0 0 0 0 0
5. MANDIRAJA 1
1 dr. Edi Mulyanto 19630112 200701 1 010 Dokter Umum 3304031201630002 790376610529000 2013143988 BANK JATENG 11
2 Poniran S.Kep, Ns 19770831 200604 1 011 Perawat 3304033108770001 492994066529000 2013205572 BANK JATENG 15
3 Wahyu Widayani 19820101 200801 2 018 Perawat 3304034101820023 - 2013008127 BANK JATENG 14
4 Saeful Haryanto 19830707 201001 1 017 Perawat 3305040707830004 441568243523000 2013054331 BANK JATENG 14
5 Siti Nurfaizah 19731101 199803 2 006 Perawat 3304034111730004 492996079529000 2013086316 BANK JATENG 14
6 Oktorina Kristiani 19841025 201001 2 022 Perawat 3304036510840003 450341409529000 3013034701 BANK JATENG 13
7 Ekasari Rahmawati 19830915 201101 2 009 Perawat 3303015509830001 449767219529000 3013118336 BANK JATENG 14
8 Nonik Natalis - Perawat 3304036911830004 - 2013176879 BANK JATENG 14
9 Ririn B 19761210 200604 2 023 Perawat 3304025012760001 492993699529000 2013205362 BANK JATENG 14
10 Shinta Dewi DP 19840304 201101 2 008 Perawat 3303064403840004 450339940529000 3013118255 BANK JATENG 14
11 Toni Wahyu W 19840217 200903 1 003 Perawat 3304041702840002 580116309529000 2013030408 BANK JATENG 14
12 Dani Ardanari 19811215 200501 2 011 Bidan 3304035512810001 492996277529000 2013141506 BANK JATENG 12
13 Sri Yuliningsih 19760730 200701 2 009 Bidan 3304037007760001 - 2013004148 BANK JATENG 12
14 Nimas Kusuma N 19801126 201905 2 001 Bidan 3304036611800002 352581714529000 2106041311 BANK JATENG 13
15 Irmawati 19830417 201704 2 009 Bidan 3304035704830007 352580906529000 3106080703 BANK JATENG 14
16 Ike Mei Wulandari 19820528 201704 2 003 Bidan 3304036805820001 352577068529000 3106080606 BANK JATENG 14
17 Neni Tri Widaryanti 19851021 201704 2 008 Bidan 3304036110850002 352578793529000 3106080631 BANK JATENG 13
18 Indah Susilowati 19840808 201704 2 005 Bidan 3304034808840003 352579858529000 3106080592 BANK JATENG 14
19 Novita Hasmi - Bidan 3304036811880002 - 2013176976 BANK JATENG 14
20 Ika Ayu P 19851108 201704 2 006 Bidan 3304034811850001 351669114522001 3106080622 BANK JATENG 14
21 Gita Dwi L - Bidan 3603175702960002 666190848529000 3106080690 BANK JATENG 13
### #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
69 6. MANDIRAJA 2 0 0 0 0 0 0 0
1 dr. Edy Santoso 197707042007011010 Dokter Umum 3304040407770001 261247688529000 2013212032 Bank Jateng 12
2 Rasikin 196704171987031 005 Perawat 3304011704670002 492995386529000 2013095446 Bank Jateng 21
3 Sri Wahyuni, Amd.Keb. 196606091987032005 Bidan 3304034906660001 492994702529000 2013070581 Bank Jateng 11
4 Umi Kundarti 196806261988032003 Bidan 3304036606680003 492994033529000 2013070650 Bank Jateng 6
5 Plenik Purwanti, Amd.Keb. 197309121993012002 Bidan 3304635029730006 492993936529000 2013138521 Bank Jateng 12
6 Iswuri Handayani, Amd.Keb. 196803271989122001 Bidan 3304036901640003 492994025529000 2013071147 Bank Jateng 13
7 Cicilia Sri Lestari, Amd.Keb. 197301091993012002 Bidan 3304034901730003 492994058529000 2013071686 Bank Jateng 14
8 Nunung Zubaidah, Amd.Keb. 198101082005012014 Bidan 3304024801810005 492996343529000 2013138446 Bank Jateng 13
9 Eko Prakosa, S.Kep. 198102162008011007 Perawat 3304031602810001 261222228529000 2013009328 Bank Jateng 13
10 Miswati, Amd.Kep. 197808122008012011 Perawat 3304035208780002 573022605529000 2106000941 Bank Jateng 14
11Suhesti Ratih Proboratri,Amd.Keb.198610212010012012 Bidan 3304016110860003 683302798529000 2013054536 Bank Jateng 11
12 Desi Ujiningsih, Amd.Keb. 198512232010012017 Bidan 3304036312850001 683302780529000 2013053963 Bank Jateng 12
13 Wawang Tribowo, Amd.Kep. 197909282010011010 Perawat 3304032809790004 361874324529000 2106010245 Bank Jateng 15
14Pangesti Yulianingsing, Amd.Kep.198106262005012016 Perawat 3304026606810007 573022613529000 2013138521 Bank Jateng 14
15 Khusnul Barokah, Amd.Keb. 19840403 201704 2 004 Bidan 3301064304840006 683302806522000 3016080479 Bank Jateng 12
16 Surtiyah, Amd.Keb. 19850124 201704 2 003 Bidan 3304036401850001 683302822529000 3106080495 Bank Jateng 12
17 Ida Nurhayati, Amd.Kep. 19840425 201704 2 005 Bidan 3304036504840005 683302848529000 3106080461 Bank Jateng 13
18 Dita Yanitasari, Amd.Kep. 198501122007042010 Bidan 3304035201850007 683302855529000 3106080487 Bank Jateng 13
19 Eka Noviasih, Amd.Kep. 19871109 201704 2 004 Bidan 3304034911870001 683302830522000 3106080339 Bank Jateng 13
20 Najati Abadiah, Amd.Keb. 19881209 201704 2 007 Bidan 3305034912880001 773199138523000 3106080525 Bank Jateng 12
21 Romiyati, Amd.Keb. 19810506 2019052001 Bidan 3304024605810002 597035245529000 3106091926 Bank Jateng 12
22Dwi Wahyu Dewantoro, Amd.Kep. 0 Perawat 3301041609930002 0 2106042597 Bank Jateng 21
23 Eka Linda Wahyuni, Amd.Kep. 0 Perawat 3304034810950002 0 2106042431 Bank Jateng 13
24 Afif Nur Ikhsan, Amd.Kep. 0 Perawat 3304032906920003 0 2106042554 Bank Jateng 13
25Rofiana Nurul Fatimah, Amd.Kep. 0 Perawat 3304034501940002 0 2106042341 Bank Jateng 13
26Hudani Soffia Karlinta, S.Kep.Ners. 0 Perawat 3304054709930001 0 2013185282 Bank Jateng 14
27 Rina Wahyuningsih, S.Kep.Ner. 0 Perawat 3304034308880001 0 2106047823 Bank Jateng 14
28 Whita Wirantika, Amd.Kep. 0 Perawat 3304034507960001 0 2106042465 Bank Jateng 15
29 Supriyadi, Amd.Kep. 0 Perawat 3304031002820001 707708467529000 2106042619 Bank Jateng 17
30 Wirantika Dwi Nency, Amd.Keb. 0 Bidan 3304035711910002 0 3106084598 Bank Jateng 12
31 Titin Yulianti, Amd.Keb. 0 Bidan 3304035707930003 0 2106042350 Bank Jateng 12
32 Anteng Anisa 198303262010012015 Tenaga Kesh. Lainnya 3304036603830007 0 2013054510 Bank Jateng 10
33 Sri Wahyuni, Str.Gz. 198207122007012007 Tenaga Kesh. Lainnya 3304035207820005 0 2013004164 Bank Jateng 9
34 Ririh Puspitasari, Str.KL 198012182008012010 Tenaga Kesh. Lainnya 3304035812800004 0 2013007783 Bank Jateng 9
35 Yayan Andayani Ajiningtyas 198908052011012010 Tenaga Kesh. Lainnya 3304034508890004 0 3013118301 Bank Jateng 9
36 Fadhilah Riska Hadi 0 Bidan 3327075303950041 0 2106051375 Bank Jateng 12
37 Maulina 0 Analis Kesehatan 1571026503970041 0 2016050654 Bank Jateng 14
38 Ummu Sa'adah 0 Analis Kesehatan 3304065706870009 0 2013210112 Bank Jateng 14
39 Septi Nurlaaela, SKM 0 Tenaga Kesh. Lainnya 3304035109880001 0 2106041451 Bank Jateng 8
40 Serly Yuliana, Str.Gz. 0 Tenaga Kesh. Lainnya 3304024304950005 0 2106042376 Bank Jateng 9
41 Ratih Permatasari, Str.KL 0 Tenaga Kesh. Lainnya 3304024304950005 0 2106042325 Bank Jateng 9
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0 7. PURWONEGORO 1 0 0 0 0 0 0 0
1 dr. Nuruddin Purwanto 19660120 200212 2 003 Dokter Umum 3304052001660001 25.448.239.1-529.0002-013-00332-0BANK JATENG 12
2 Sulistiyani, S.Kep Ns 19770115 200604 2 019 Perawat 3304015501770003 49.299.626.9-529.0002-013-14276-4BANK JATENG 19
3 Agustirin Sulistiyari, AMKG 19650822 198903 2 007 Perawat 3304046208650003 47.678.013.8-521.0002-013-13480-8BANK JATENG 7
4 drg. Suzana Aprilia G 19790418 200604 2 030 Dokter Gigi 3304065804790005 49.299.344.9-529.0002-013-16940-9BANK JATENG 6
5 dr. Raih Anisti Dewi Praniti 19900207 201502 2 003 Dokter Umum 3304084702900001 34.451.614.1-545.0003-013-23372-1BANK JATENG 11
6 Rumiati, A Md 19750908 200501 2 016 Analis Kesehatan 3304044809750002 49.299.467.8-529.0002-013-13871-9BANK JATENG 8
7 Dwi Hastuti 19740628 199301 2 002 Bidan 3304046806740002 49.299.465.2-529.0002-013-07148-2BANK JATENG 13
8 Agus Dwi Hastuti, S.Kep Ns 19770811 200604 2 013 Perawat 3304045108770007 49.299.475.1-529.0002-013-20580-1BANK JATENG 8
9 Eman Sulastri. S,Kep 19790510 200801 2 016 Perawat 3304045005790013 57.353.917.8-529.0002-013-00857-7BANK JATENG 9
10 Endang Susilowati, A Md Keb 19800629 200801 2 007 Bidan 3304046906800004 44.156.823.5-529.0002-013-00844-5BANK JATENG 11
11 Indriyah Mukmini, A Md Keb 19801009 200801 2 011 Bidan 3304084910800001 89.473.186.8-529.0002-013-00991-3BANK JATENG 10
12 Meiana Dewi B, S.ST 19820502 200604 2 022 Bidan 3304054205820003 49.183.907.2-529.0002-013-14424-3BANK JATENG 8
13 Lili widi Kuntari, Amd 19801119 200904 2 002 Tenaga Kesh. Lainnya 3304055911800001 36.065.874.4-529.0002-013-03036-0BANK JATENG 6
14 Eti Nurazizah, STr.KL 19760222 200604 2 014 Tenaga Kesh. Lainnya 3304056202760002 49.299.303.5-529.0002-013-20476-2BANK JATENG 11
15 Siti Hadiroh, S.Kep 19790727 200604 2 034 Perawat 3304116707790002 59.737.878.5-529.0002-013-20601-9BANK JATENG 10
16 Endang Sulastriningsih,S Kep 19791013 201101 2 005 Perawat 3304045310790003 66.903.437.3-529.0003-013-11810-7BANK JATENG 9
17 Purwani Dwi Astuti, Amd Kep 19770614 201101 2 006 Perawat 3304075406770002 66.903.208.8-529.0003-013-11809-3BANK JATENG 10
18 Uftilah suksesi, Amd. Keb 19770327 200701 2 008 Bidan 3304056703770008 59.703.405.7-529.0002-013-00179-3BANK JATENG 9
19 Liliana Pujiningrum, Amd. Keb 19731106 200604 2 011 Bidan 3304044611730002 78.320.943.0-529.0002-013-20610-0BANK JATENG 10
20 Vevi W C,A MD Keb 19850225 201704 2 006 Bidan 3304046502850001 66.773.773.8-529.0002-016-03056-4BANK JATENG 9
21 Yuni Triastuti .Md.Keb 19840605 201704 2 009 Bidan 3304044506840004 67.773.791.0-529.0003-013-25638-1BANK JATENG 9
22 Pugar Ferawati P,A MD Keb 19870209 201704 2 007 Bidan 3304044902870001 66.457.802.8-529.0003-013-25644-5BANK JATENG 9
23 Nasyanti, A MD Keb 19860822 201704 2 008 Bidan 3302036208860001 35.165.655.8-521.0003-013-25634-8BANK JATENG 10
24 Septiawati,A MD Keb 19870928 201704 2 006 Bidan 3304016809870001 66.773.745.6-529.0003-106-08074-6BANK JATENG 10
25 Fiana Tri Lestari, A.Md.Kep 19931116 201902 2 006 Perawat 3304115711930001 90.940.668.8-529.0003-013-02842-1BANK JATENG 10
26 Dian Rahmawati, A.Md. Kep 19940725 201902 2 011 Perawat 3307076507940002 90.940.269.5-533.0003-013-02841-7BANK JATENG 7
27
Anggareni Wahyunig Tyas, A.Md.Kep 19950115 201902 2 007 Perawat 3304115501950003 90.940.642.3-529.0003-013-02842-2BANK JATENG 19
28 Ani Ekawati, A.Md. Kep 19950130 201902 2 011 Perawat 3304117001950002 90.940.698.5-529.0003-013-27579-2BANK JATENG 9
Tri
29 Anugrah Gangsar Anggraeni, A.Md
19920512 201902 2 005 Perawat 3304065205920003 59.494.392.0-017.0003-013-27572-5BANK JATENG 10
30 Sri Mulyati, AMK 19831025 201902 2 001 Perawat 3304086510830005 57.752.044.8-529.0003-013-02842-7BANK JATENG 9
31 Farah Debby Pangestika, A.Md.19930930 201902 2 005 Tenaga Kesh. Lainnya 3304067009930006 71.815.852.0-529.0003-013-27479-6BANK JATENG 9
32 Nuryanti, Amd 19810518 201905 2 004 Bidan 3304045805820002 66.773.724.1-529.0003-013-27852-0BANK JATENG 9
33 Gayuh Mustika Prabandari - Tenaga Kesh. Lainnya 3303025510950001 - 2-013-20648-4BANK JATENG 11
34 Ria Hidayah - Tenaga Kesh. Lainnya 3304114503950001 - 3-104-08706-9BANK JATENG 9
35 Vienda Wirani - Tenaga Kesh. Lainnya 3304064503950002 - 3-027-27762-3BANK JATENG 10
36 Dhea Nisa Pangestri - Tenaga Kesh. Lainnya 3309054207969002 - 2-013-22013-4BANK JATENG 11
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8. PURWANEGARA 2 0 0 0 0 0 0 0
1 FARIDA HIRMAWATI DR 197508022006042009 Dokter Umum 3304044208750000 492994660 529 000 2-013-20620-7 Bank Jateng 22
2 SUWARSO 19800103 200604 1 012 Perawat 3304030301800003 891909269 529 000 2-013-20537-8 Bank Jateng 19
3 MUSLIMAH 19811214 200701 2 005 Perawat 3304045412810001 783209372 529 000 3-013-27326-9 Bank Jateng 19
4 KUSYONO 19930523 201902 1 004 Tenaga Kesh. Lainnya 3302212309690000 492996046 529 000 2-013-10078-8 Bank Jateng 19
5 ELSA HARYATI 19880527 201902 1 003 Analis Kesehatan 1505054111940002 930572268 331 000 2-013-22021-5 Bank Jateng 19
6 JOKO PURNOMO SIDI - Tenaga Kesh. Lainnya 3317120708890005 731985479 507 000 2-013-22023-1 Bank Jateng 21
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9. BAWANG 1
1 dr. Liana Dewi 19730705 200212 2 004 Dokter Umum 3304054507730001 58.687.454.7-529.0002-013-00257-9 Bank Jateng 22
2 Eti Indarti 19720303 199103 2 002 Perawat 3304054303720004 49.299.335.7-529.0002-013-07927-6 Bank Jateng 22
3 Yanti Agustini 19800802 200801 2 005 Perawat 3304054208800001 89.078.179.2-529.0002-013-14296-8 Bank Jateng 17
4 Reni Kristiyana 19821230 200604 2 008 Perawat 3304067012820010 49.299.595.6-529.0002-013-18766-9 Bank Jateng 11
5 Gilar Satyandanu - Perawat 3303091408930001 0 2-013-18472-3 Bank Jateng 17
6 Eko Setyo Wibowo - Perawat 3304052704920001 0 2-013-18475-8 Bank Jateng 13
7 Wahyu Dwi Setyarini - Perawat 3304056811950003 80.609.401.7-529.0002-013-18452-9 Bank Jateng 16
8 Sri Hartati 19790603 200604 2 024 Perawat 3304074306790001 57.752.025.7-529.0002-013-14283-3 Bank Jateng 16
9 Nurul Hikmawati 19690121 198912 2 002 Tenaga Kesh. Lainnya 3304066101690003 49.299.328.2-529.0002-013-07040-6 Bank Jateng 13
10 Suharsi 19640109 198409 2 001 Bidan 3304054901640001 07.812.348.6-521.0012-013-07470-9 Bank Jateng 13
11 Supinah 19740728 199301 2 002 Bidan 3304056807740003 49.299.330.8-529.0002-013-07149-8 Bank Jateng 12
12 Retno Sukmawati 19801006 200801 2 006 Bidan 3304054610800001 25.896.089.7-529.0002-013-00947-6 Bank Jateng 12
13 Neneng Ida Nurshanti 19760601 200501 2 011 Bidan 3304054106760002 25.895.982.4-529.0002-013-13831-1 Bank Jateng 12
14 Yunita Setya Utami 19850714 201704 2 007 Bidan 3304055407850008 66.628.195.1-529.0003-013-25683-6 Bank Jateng 13
15 Nuril Umamah 19860315 201704 2 010 Bidan 3304055503860004 66.628.181.1-529.0003-013-25672-1 Bank Jateng 15
16 Martina Prihatini 19850929 201704 2 009 Bidan 3304056909850002 66.628.164.7-529.0003-013-25627-5 Bank Jateng 14
17 Ageng Dwi Noveta Hapsari 19850502 201704 2 007 Bidan 3304064205850001 66.628.175.3-529.0003-013-25630-5 Bank Jateng 15
18 Donny Erawati 19871019 201704 2 004 Bidan 3304065910870001 47.320.272.9-522.0003-013-25629-1 Bank Jateng 17
19 Saras Widyaningrum 19870420 201704 2 006 Bidan 3304076004870002 67.778.617.0-529.0003-013-25676-3 Bank Jateng 15
20 Devi Nur Hepni 19890415 201704 2 003 Bidan 3329035504890001 71.297.402.1-529.0003-013-25628-3 Bank Jateng 16
21 Sumiyati 1970062720190520001 Bidan 3304056706700001 66.628.188.6-529.0002-013-17809-0 Bank Jateng 15
22 Lia Nurhidayati - Bidan 3304086101950001 0 2-163-01657-8 Bank Jateng 12
23 Nofi Setiani - Bidan 3304067011930001 0 2-013-18479-1 Bank Jateng 12
24 Unggul Widagdo 19720522 200212 1004 Analis Kesehatan 3304062205720002 49.183.941.1-529.0002-013-14126-1 Bank Jateng 13
25 Mircha Restiana Elen - Analis Kesehatan 3304104809980003 0 3-013-28441-4 Bank Jateng 12
26 Nirma Apriana Sari - 10. BAWANG 2
1 Agung Yuli H, S.Kep, Ns. 19890718 201101 1 005 Perawat 3302191807890001 446823841-521.000 3013117976 Bank Jateng 15
2 Pradita Ruddhamayanti S 32750171033 Perawat 3306164107940002 791584098531000 2013219144 Bank Jateng 12
3 Feri Pujiono, AMK. 19880206 200904 1 001 Perawat 3304050602880001 352582480-529-000 2013037445 Bank Jateng 9
4 Sunarti, AMK 19720911 200212 2 002 Perawat 3304055109720005 597033976-529-000 2013109495 Bank Jateng 9
5 Dewi Tri L, Amd Keb 19840320 201704 2 003 Bidan 3304056003840006 597034131-529-000 3013256259 Bank Jateng 9
6 Wigati, Amd Keb 19810807 201704 2 003 Bidan 3301034708810009 700417827522000 3013256402 Bank Jateng 8
7 Sandys Tia N, Amd Keb 19890423 201704 2 002 Bidan 3304046304890003 666232632529000 3013256968 Bank Jateng 9
8 Nurhayati, Amd Keb 19860725 201704 2 008 Bidan 3302066507860002 78.837.241.5-421.000 3013256411 Bank Jateng 8
9 Maria Sartika Sentosa N S.Tr Kes 11711007597 Analis Kesehatan 5304226509930003 927837955925000 2013220142 Bank Jateng 7
10 Alfi Winarni N, AMK 19751127 200604 2 017 Perawat 3304066711750002 492996301-529-000 2013142548 Bank Jateng 6
11 Oneng Darmiyati 19741221 200604 2 014 Bidan 3304056112740002 507034008-529-000 2013206382 Bank Jateng 9
12 Dwi Endah N 19830411201101 2 007 Tenaga Kesh. Lainnya 3304035104830007 724934260529000\ 3013118174 Bank Jateng 8
13 Misriyah, Amd Keb 19850519 201704 2 003 Bidan 3304015905850001 66.623.202.0-529.000 3013256925 Bank Jateng 9
14 Kurnia Dewi H, Amd Keb 19881125 201704 2 004 Bidan 3304056511880005 66.623.223.6-529.000 3013256917 Bank Jateng 8
15 Daryanti, Amd Keb 19830917 201704 2 006 Bidan 3304055709830005 66.623.7-529.000 3013256402 Bank Jateng 8
16 Cahyani Riyanah 19740506 199303 2 003 Bidan 3304044605740005 492994728-529-000 2013071636 Bank Jateng 8
17 dr Suprihatin 19750223 201001 2 002 Dokter Umum 3304066302750003 580116036529000 2013054919 Bank Jateng 6
18 Evi Ariyanti 19721106 200012 2 001 Bidan 3304054611720001 59.703.396.8-529.000 2013098020 Bank Jateng 9
19 Siti Ulfiyati 19750409 200604 2 019 Bidan 3304054904750004 59703406-5529.000 2013206398 Bank Jateng 9
20 Nina Kurniasih Ch 19770421 200701 2 011 Tenaga Kesh. Lainnya 3304056104770008 580116051-529.000 2013053092 Bank Jateng 6
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11. BANJARNEGARA 1
1 dr. Siti Riani - Dokter Umum 1509036407890002 821906302332000 2-013-22110-6 Bank Jateng 13
2 Rusliyah 196410211984122004 Perawat 3304066110640001 492992961529000 2-013-07266-2 Bank Jateng 11
3 Arief Budi Setiawan 198502092009031006 Perawat 3304090902850004 260903695529000 2-013-02931-1 Bank Jateng 12
4 Yulekhah 197801252000032004 Perawat 1802076501780001 155590755321000 2-013-11146-7 Bank Jateng 10
5 Kristiningsih 197505282006042005 Bidan 3304206805750001 349487306529000 2-013-20604-7 Bank Jateng 19
6 Sri Purwaningrum 197505312006042013 Tenaga Kesh. Lainnya 3304087105750002 491995790529000 2-013-20575-4 Bank Jateng 12
7 Trisna Nilawati 198408222009032010 Tenaga Kesh. Lainnya 3304096208840002 244041075529000 2-013-02736-9 Bank Jateng 13
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12. BANJARNEGARA 2
1 dr. Ana Susanti, MM 19750715 200604 2 016 Dokter Umum 3304065507750004 24.163.868.3-529.0012-013-14399-4BANK JATENG 10
2 Suhermini 19680308 199003 2 004 Tenaga Kesh. Lainnya 3304064803680003 48.013.900.5.529.9992-013-07593-9BANK JATENG 12
3 Yekti Pratikowati,SKM 19761112 200604 2 019 Tenaga Kesh. Lainnya 3304065211760007 47.415.270.9.529.0002-013-20559-4BANK JATENG 12
4 Fristi Haryani, S.ST 19700801 199203 2 006 Bidan 3304064108700001 08.875.910.5-529.0002-013-07139-1BANK JATENG 15
5 Dewi Santi Cahyani,S.Kep.Ns 19800308 200701 2 002 Perawat 3304064803800003 26.281.055.9.529.0002-013-00437-7BANK JATENG 17
6 Ariwoko Shanti Darmajati 19810101 200604 2 051 Perawat 3304064101810011 49.299.413.2.529.0002-013-20644-5BANK JATENG 13
7 Uun Setyo K 19830731 200604 2 011 Bidan 3304067107830005 26.477.546.1.529.0002-013-18748-7BANK JATENG 14
8 Sri Mudjiati 19800905 200801 2 008 Perawat 3304064509800007 26.281.146.6.529.0002-013-00436-9BANK JATENG 16
9 Dhian Susilowati 19790220 200801 2 008 Perawat 3304206002790001 26.281.195.3.529.0002-013-01008-3BANK JATENG 16
10 Wahyu Widianti, S.Tr.Keb 19780628 200701 2 006 Bidan 3304086806780001 89.565.957.1.529.0002-013-00282-0BANK JATENG 14
11 Puput Nurhayati 19801128 201001 2 015 Analis Kesehatan 3304056811800006 67.952.646.7.529.0002-013-14428-7BANK JATENG 13
12 Sri Wahyuningsih 19760204 200604 2 016 Bidan 3304064402760005 57.172.587.8.529.0002-013-20398-0BANK JATENG 14
13 Siti Musringah 19740320 200604 2 011 Bidan 3304062003740002 08.872.875.3.529.0002-013-20592-0BANK JATENG 14
14 Ahchmad Romadhon Nur S 19850523 200801 1 001 Tenaga Kesh. Lainnya 3304062305850008 88.969.751.2.529.0002-013-14347-7BANK JATENG 10
15 Emi Sutriyatmi 19850913 201704 2 004 Bidan 3304065309850005 66.485.164.9.529.0003-013-25621-6BANK JATENG 14
16 Linda Anggara Wati Hardi 19880401 201704 2 007 Bidan 3304064104880003 66.493.169.8.529.0003-013-25623-2BANK JATENG 14
17 Tri Wasis 19871219 201704 2 007 Bidan 3304095912870002 66.703.525.7.529.0003-013-25620-8BANK JATENG 15
18 Kusmaryati 19790527 201905 2 001 Bidan 3401076705790002 66.489.380.7.529.0003-013-00787-9BANK JATENG 16
19 Adjeng Ika Wulandari 0 Tenaga Kesh. Lainnya 3304066104880004 70.563.442.6-529.0002-013-17706-9BANK JATENG 10
20 Rizqi Amelia 0 Analis Kesehatan 3304205212950001 0 2-013-17388-8BANK JATENG 11
21 Noor Cherinawati 0 Tenaga Kesh. Lainnya 3302106305960001 0 2-013-20738-3BANK JATENG 7
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13. PAGEDONGAN
1 drg . Gusti Ayu T A 199412052019022007 Dokter Gigi 3304194512940001 909472714529000 3 013 02844 6 BANK JATENG 7
2 Anwar Supriyadi 197406191994032005 Perawat 3304201906740001 492994108529000 2 013 11864 4 BANK JATENG 7
3 Miswan 197412262006041000 Perawat 3304082612740003 492994264529000 2 013 14265 1 BANK JATENG 7
4 Setiyo Budiyanto 198001162014061003 Perawat 330405160180001 0 2 013 12664 2 BANK JATENG 7
5 Yetty Nurfiana 197906112002122001 Perawat 3304055106790007 0 2 013 12774 6 BANK JATENG 7
6 Wardatun Rahmawati 198512022009032007 Perawat 3304204212850002 457586634529000 2 013 03046 7 BANK JATENG 7
7 Yohana Tutik P 197109301993022002 Bidan 3304207009710001 492994082529000 2 013 07156 7 BANK JATENG 7
8 Rindie Yunita N 19840627 200604 2 009 Bidan 3304116706840002 492996319529000 2 013 16944 3 BANK JATENG 7
9 Neni Nurlina 197312302006042013 Bidan 3304207012730001 492994090529000 2 013 20588 9 BANK JATENG 7
10 Uswatun Khasanah 198601112011012012 Bidan 3307105101860004 0 3 013 11821 2 BANK JATENG 7
11 Dwin Kartianti 197407262006042011 Bidan 3304066607740001 0 2 013 20651 4 BANK JATENG 7
12 Rina Dwi L 19830318 201704 2 005 Bidan 3304065803830003 0 2 013 12608 1 BANK JATENG 7
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14. SIGALUH 1
1 Rina Zulviani 19750214 200903 2 003 Dokter Gigi 3404045402750001 49299523859000 2-013-03738-1 Bank Jateng 3
2 Sedik Rahayu Ningsih 19770826 200910 2 001 Dokter Umum 3374076608770001 243472131529000 2-013-04612-6 Bank Jateng 4
3 Nunung Hastuti 19720809 199203 2 007 Bidan 3304084908720007 492995196529000 2-013-07136-3 Bank Jateng 10
4 Tusinah 19630812 198503 2 009 Tenaga Kesh. Lainnya 3304075208650003 491714135529000 2-013-06903-5 Bank Jateng 5
5 Henni Maulida Apriliiana 19820415 200801 2 008 Tenaga Kesh. Lainnya 3304655504820004 899109649529000 2-013-21146-0 Bank Jateng 9
6 Sri Dwiyandari 19760911 200501 2 009 Analis Kesehatan 3304075109760001 492993951529000 2-013-13872-5 Bank Jateng 5
7 Evi Nuryani 19760115 200701 2 008 Tenaga Kesh. Lainnya 3304075501760002 699109664529000 2-013-11569-8 Bank Jateng 12
8 Purwani Putri Edyawati 19831111 200501 2 006 Perawat 3304055111830001 492994306529000 2-013-13848-0 Bank Jateng 12
9 Singgih Suprayogi 19780507 200212 1 007 Perawat 3304080705780006 492992821529000 2-013-10953-6 Bank Jateng 8
10 Nur Achadani 19840707 200903 2 011 Perawat 3304074707840002 473202778529000 2-013-02941-8 Bank Jateng 16
11 Itsna Hidayah 0 Perawat 3322054301950001 927604512505000 2-013-22004-5 Bank Jateng 4
12 Sri Ratnawati SP 19701012 199003 2 001 Bidan 3304065210700005 492993068529000 2-013-07116-9 Bank Jateng 9
13 Setyowati 19760530 200604 2 023 Bidan 3304077005760001 891909293529000 2-013-20540-3 Bank Jateng 3
14 Tri sutanto 19791113 200604 2 014 Perawat 3304081011790003 891909293529000 2-013-00946-8 Bank Jateng 16
15 Titin Setiyani 19760419 200604 2 012 Bidan 3304065904760002 571725886529000 2-013-20621-3 Bank Jateng 10
16 Farhah Fathul Hasanah 19741113 200604 2 014 Bidan 3304065311740004 255235814529000 2-013-20571-0 Bank Jateng 10
17 Nur Rachmawati 19751028 200604 2 021 Bidan 3304076810750001 899109656529000 2-013-20603-1 Bank Jateng 8
18 Yuli Praptiningrum 19860707 200903 2 008 Tenaga Kesh. Lainnya 3304074707860001 473198570533000 2-013-02947-7 Bank Jateng 12
19 Ida Nurul Hariyanti 19750520 201905 2 001 Bidan 3304076005750003 665424388529000 2-013-17806-5 Bank Jateng 20
20 Idha Dwi Yuni Lestari 19830609 201704 2 003 Bidan 3304074906830001 665496063529000 3-013-25651-8 Bank Jateng 13
21 Novita Hermaningsih 19861127 201704 2 005 Bidan 3307146711860002 700046394539000 3-013-25660-7 Bank Jateng 19
22 Ana Sugiastuti 19761008 201905 2 003 Bidan 3304144810760001 665426961529000 3-013-27687-0 Bank Jateng 20
23 Dewi Puspita Anggraeni 19850213 201704 2 003 Bidan 3304075302850003 665559159529000 3-013-25684-4 Bank Jateng 15
24 Puji Astuti 19851122 201704 2 007 Bidan 3304076211850001 665425948529000 3-013-25685-2 Bank Jateng 9
25 Saptini 19851019 201704 2 006 Bidan 3304055910850001 667673867529000 3-013-25659-3 Bank Jateng 11
26 Litsa Kholifah Hakim 0 Tenaga Kesh. Lainnya 3304066310910002 0 2-013-22245-5 Bank Jateng 9
27 Eka Wahyu Safitri 0 Analis Kesehatan 3304114105980001 915666713529000 2-163-01843-1 Bank Jateng 7
28 Rizka iriyani 0 Tenaga Kesh. Lainnya 3304024709930003 0 3-10608163-7 Bank Jateng 7
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15. SIGALUH 2
1 Rani Puspa Wardani 198505262011012013 Dokter Umum 3304066605850002 89 11 9 4 8135 2 900 3013 11 8271 Bank JATENG 20
2 Waluyo 197106121994021003 Perawat 3304061206710002 08.871.303.7-259.000 2013 08 3005 Bank JATENG 15
3 Sidik Yulianto - Perawat 3307042707790003 0 2013 19 6306 Bank JATENG 15
4 Titik Nur Ahirin 19821012 2017042003 Bidan 3304085210820004 66.702.427.7-529.000 3013 25 6615 Bank JATENG 15
5 Ervina Dhiah Meylani 198305172017042006 Bidan 3304075705830002 59.703.528.6.529.000 3013 25 6542 Bank JATENG 15
6 Sulistiyani 198401032017042004 Bidan 3304064301840006 59.703.529.4-529.000 3013 25 6526 Bank JATENG 15
7 Fifi Farhanah 198404172017042006 Bidan 3329035704840004 67.310.998.9-501.000 3013 25 6640 Bank JATENG 15
8 Ulfiana Kristiani 198906242017042002 Bidan 3304056406890001 66.702.379.0-529.000 3013 25 6534 Bank JATENG 15
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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16. MADUKARA 1
1 VERENA PRASETIYOWATI 19660910 199103 2 011 Tenaga Kesh. Lainnya 330406500966 0007 47.415.264.2.521.000
2 - 013 - 07045 - 6Bank Jateng 7
2 DANANG SETYAWAN DR 19770214 200904 1 002 Dokter Umum 330404140277 0001 89.190.365.0.529.000
2 - 013 - 03786 - 1Bank Jateng 5
3 SUGINAH 19720715 200604 2 015 Perawat 330408010777 0023 49.299.566.7.529.000
2 - 013 - 20551 - 6Bank Jateng 5
4 HENY SUSANTI 19850218 200903 2 006 Tenaga Kesh. Lainnya 330404580285 0005 25.968.296.1.529.000
2 - 013 - 03049 - 1Bank Jateng 8
5 DARSIH WIJAYANTI 19801118 200801 2 008 Perawat 330408581180 0008 89.473.184.3.529.000
2 - 013 - 00983 - 2Bank Jateng 8
6 APRIANI DWI ASTUTI 19830415 200903 2 012 Perawat 3304085504830006 79.036.544.9.529.0002 - 013 - 14241 - 9Bank Jateng 8
7 ARUM WULANDARI 19900508 201101 2 002 Tenaga Kesh. Lainnya 330408480590 0002 45.222.577.4.529.000
3 - 013 - 11818 - 2Bank Jateng 8
8 MARBANIATI 19810315 200604 2 011 Perawat 330406550381 0004 49.299.365.4.529.000
2 - 013 - 18743 - 7Bank Jateng 8
9 MARIYANAH 19801214 200801 2 011 Bidan 330406541280 0001 89.473.187.6.529.000
2 - 013 - 01009 - 1Bank Jateng 8
10 0 0 0 0 0 0 0 0
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17. MADUKARA 2
1 TITI KULINAH 19850723 201412 2 001 Dokter Umum 3304076307850001 360470173525000 2013134408 BANK JATENG 21
2 AGUS SETIYONO 19740817 199503 1 008 Perawat 3304081708740002 491714416529000 2013141095 BANK JATENG 22
3 URIP HARJANTI 19790919 200701 2 010 Perawat 3304085909780006 547508556529000 2013003354 BANK JATENG 21
4 LASMI - Tenaga Kesh. Lainnya 3304087006870002 - 2013174183 BANK JATENG 21
5 ANI WINDIYARTI 19771013 200801 2 012 Tenaga Kesh. Lainnya 3304085310770001 472148634529000 2013009689 BANK JATENG 15
6 TRIWIDATI PAMUNGKAS 19781126200501 2 007 Perawat 3307056611780001 492995881544000 2013138587 BANK JATENG 21
7 EMI NURUL FARIDA 19830531 200604 2 006 Bidan 3304177105830001 492995907529000 2013187619 BANK JATENG 21
8 TITIS PUTRISARI 19850111 201001 2 035 Bidan 3304035101850003 585377237529000 2013054579 BANK JATENG 21
9 PURWA ANDRIYANI 19860512 200903 2 006 Bidan 3304085205860002 351828397529000 2013029299 BANK JATENG 21
10 SRI MULYANI 19710521 199103 2 003 Bidan 3304086105710003 597035328529000 2013071307 BANK JATENG 21
11 TRI SUMARTINI 19720421 199103 2 003 Bidan 3304084204720001 597035336529000 2013071341 BANK JATENG 21
12 RATIH RAHMAWATI 19761223 200701 2 013 Bidan 3304086312760004 597035351529000 2013003257 BANK JATENG 20
13 AGITIA RAHMAWATI 19930816201502 2 001 Bidan 3304095608930002 730180072529000 3012125932 BANK JATENG 21
14 MISKIYAH 19840329 2017042 007 Bidan 3304086903840005 597033471529000 3013256330 BANK JATENG 21
15 ENI BUDIARTI 19860419 201704 2 007 Bidan 3304085904860002 666315841529000 3013256992 BANK JATENG 21
16 LINA SUSI HINDRIYANI 19830312 201704 2 005 Bidan 3304075203830004 666314661529000 3013256909 BANK JATENG 17
17 FIKHI SUSANTI 19860921 201704 2 009 Bidan 3304066409860002 670351345521000 3013256313 BANK JATENG 17
18 PUSPITA RAMADHANI 19890505 201704 2 00 Bidan 3302144505890005 802925156529000 3013256321 BANK JATENG 20
19 KERI WIDAYANTI 19881110 201704 2 004 Bidan 3304040511880001 667023923529000 3013256674 BANK JATENG 20
20 RAHADI 19640203 198603 1 015 Tenaga Kesh. Lainnya 3304080302640001 078123189521000 2013069706 BANK JATENG 15
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18. BANJARMANGU 1
1 AGUS BUDIANTO 19770820 200801 1 010 Dokter Umum 3304062008770005 25.395.303.8-529.0002-013-14251-0BANK JATENG 9
2 AUGUSTINA 19660812 198803 2 019 Perawat 3304095208660001 67.325.073.4-529.0002-013-07620-3BANK JATENG 2
3 KUKUH DONI SATMOKO 19790120 201101 1 003 Perawat 3307062001790001 72.735.506.7-533.0003-013-11799-2BANK JATENG 20
4 TIYAS YUSNIATI FADHILAH 19770818 200701 2 019 Tenaga Kesh. Lainnya 3304065808770006 95.565.958.9-529.0002-013-00342-7BANK JATENG 11
5 ENDAH NOVIANA INTANI 19841121 200003 2 007 Bidan 3304096111840001 47.401.855.3-529.0002-013-00787-2BANK JATENG 20
6 SRI REDAWATI 19730428 200301 2 003 Bidan 3304096804730001 89.565.952.2-529.0002-013-12476-4BANK JATENG 1
7 DIRBADIYAH 19790620 200501 2011 Bidan 3304096006790003 89.565.953.0-529.0002-013-13769-2BANK JATENG 22
8 JUMINAH 19750105 200604 2 010 Bidan 3304094501750002 89.565.954.8-529.0002-013-20598-6BANK JATENG 22
9 TITIS SIWI HANDAYANI 19800718 200604 2 011 Bidan 3304085807800003 49.299.589.9-529.0002-013-18799-8BANK JATENG 20
10 KHUSNUL HAMIDIYAH 19810803 200701 2 003 Tenaga Kesh. Lainnya 3304094308810002 25.895.940.2-529.0002-013-00295-1BANK JATENG 3
11 NINIK DWI PRAMURTI 19820814 201704 2 002 Bidan 3304095408820002 78.320.951.3-529.0003-013-25710-7BANK JATENG 22
12 EVI SUMIANI FITRININGSIH 19841129 201704 2 003 Bidan 3304096911184002 78.320.950.5-529.0003-163-01108-4BANK JATENG 20
13 HARDIK IKA RATNAWATI 19860502 201704 2 008 Bidan 3304104205860001 66.766.885.9-529.0003-163-01116-5BANK JATENG 20
14WIWIN LUSIANAWATI DESTANTI19861220 201704 2 009 Bidan 3304096012860005 78.320.947.1-529.0003-163-01107-6BANK JATENG 11
15 IDA DWI KURNIAWATI 19870812 201704 2 005 Bidan 3304095208870004 66.595.208.1-529.0003-163-01109-2BANK JATENG 14
16 ANITA WAHYU SUKMAWATI 19850908 201704 2 010 Bidan 3304095606700001 66.591.814.0-529.0003-163-01112-2BANK JATENG 3
17 LIZA NOVA ANDRIYATI 19871109 201704 2 006 Bidan 3304024911870002 78.320.952.1-529.0003-163-01115-7BANK JATENG 1
18 ERA YULINA SANDI - Tenaga Kesh. Lainnya 3304095207920001 - 2-013-17307-1BANK JATENG 7
19 RISKY SUPRATIWI - Tenaga Kesh. Lainnya 3304055706960001 - 2-013-22229-3BANK JATENG 20
20 ERLINA HAFID - Tenaga Kesh. Lainnya 3304065108950001 - 2-013-22139-4BANK JATENG 20
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19. BANJARMANGU 2
1 dr. Diah Ayu Puspitasari 19830119 200903 2 008 Dokter Umum 3304175901830001 2611006448529000 3141013962 Bank Jateng 4
2 Ratih Winarni, Amd.Kep 19640113 198903 2 006 Perawat 3304095301640000 474152667521000 2013070218 Bank Jateng 5
3 Aswin Wahyono, Amd.Kep 19730407 199502 1 001 Perawat 3304060704730000 491839882529000 2013141089 Bank Jateng 6
4 Nurbarkah, Amd.Kep 19800314 200701 1 005 Perawat 3304061403800000 255013187529000 2013003109 Bank Jateng 5
5 Fitri Ernawati 11.7.0307593 Perawat 1504077007820002 800099012331000 2013220070 Bank Jateng 8
6 Pratiwi Oktaviana, AMKg 19841029200604 2 003 Tenaga Kesh. Lainnya 3304066910840000 492995170529000 2013169471 Bank Jateng 4
7 Hartati Ratnaningsih, Amd.Keb 19800129 200501 2 005 Bidan 3304206901800000 492994124529000 2013137670 Bank Jateng 3
8 Yuyun Naelufar,Amd.Keb 19840105 200604 2 007 Bidan 3304164501840000 492992870529000 2013187647 Bank Jateng 4
9 Rini Dwi Utami, Amd.Keb 19860308 200903 2 008 Bidan 3304094803860000 476767504529000 2013039430 Bank Jateng 3
10 Asih Dwi Hartati, Amd.Keb 19781101 200701 2 010 Bidan 3304094111780000 585377567529000 2013002901 Bank Jateng 3
11 Fitriyani Rezky, S.Farm, Apt 11.7.0507594 Tenaga Kesh. Lainnya 7604166604900001 931836324813000 2013220088 Bank Jateng 3
12 Akhmad Chelefi, Amd.AK 11.7.1108182 Analis Kesehatan 5201092510890002 822271813914000 3013283965 Bank Jateng 2
13 Lili Vita Nurlita Dewi, Amd.Keb 1984.0801 201704 2 006 Bidan 3304104108840000 88756911529000 3013256551 Bank Jateng 4
14 Lina Nova Andriana, Amd.Keb 19871109 201704 2 005 Bidan 3304024911870000 885505545529000 3013256496 Bank Jateng 2
15 Mulyani Solekhatun, Amd.Keb 19860809 201704 2 007 Bidan 3304084908860000 7492525993529000 3013256585 Bank Jateng 2
16 TisaAgelia Ardi,Amd.Kb 19881097 201704 2 008 Bidan 3304064710880000 7889633566529000 3013256569 Bank Jateng 3
17 Siti Khodijatussoleha, Amd.Keb19861005 201704 2 011 Bidan 3304074510860000 768490674529000 3013256577 Bank Jateng 3
18 Widyawati Ardianingsih, AMG 19810103 200701 2 008 Tenaga Kesh. Lainnya 3304084301810000 254338833529000 2013002811 Bank Jateng 5
19 Eva Abriyani 19801005 200801 2 013 Tenaga Kesh. Lainnya 3304124510800000 254958531529000 2013007619 Bank Jateng 5
20 Siti Masyitoh, S.Gz - Tenaga Kesh. Lainnya 3303036809930004 - 2027205952 Bank Jateng 5
21 Arvita Kumalasari, SKM - Tenaga Kesh. Lainnya 3304065703940002 705471225529000 2013176658 Bank Jateng 3
22 Kusma Windi Astuti - Tenaga Kesh. Lainnya 3304076409920001 - 2013206042 Bank Jateng 5
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20. WANADADI 1
1 dr. Anik Artati Darsiwi 196505292002122002 Dokter Umum 3304156905650001 58.684.504.2.529.0002-013-18814-0BANK JATENG 16
2 Sri Hartati,A,Md.Kep 19680607198903 2 010 Perawat 3304104706680001 08.873.117.9.529.0012-013-07033-7BANK JATENG 14
3 Lina Yunarti,S.Kep.Ns 198106172006042015 Perawat 3304065706810009 49.299.571.7.533.0002-013-18745-9BANK JATENG 14
4 drg.Bambang Heri SW 196908272006041005 Dokter Gigi 3304102708690001 24.354.733.8.529.0002-013-20543-1BANK JATENG 13
5 Nunuk Windariyanti,SKM 197901142007012004 Tenaga Kesh. Lainnya 3304105401790002 25.432.175.5.529.0002-013-00330-3BANK JATENG 13
6 Pindah Setyarini,A.Md Kep 197504021994032001 Perawat 3304174204750004 49.299.593.1.529.0002-013-07183-0BANK JATENG 10
7 Dwi Maretno,S Tr Gz 197603082000122002 Tenaga Kesh. Lainnya 3304104803760001 49.299.570.9.529.0002-013-09726-0BANK JATENG 11
8 Marsih, A.Md.Keb 197306031993032007 Bidan 3304104306730006 49.299.567.5.529.0002-013-07169-2BANK JATENG 11
9 Kasih Wulandari,A.Md,Kep 197801262007012007 Perawat 3304106601760001 25.501.133.0.529.0002-013-00312-5BANK JATENG 11
10 Agus Fajar Purwanto,A.Md Kep 197809072007011014 Perawat 3304100708780005 25.501.081.1.529.0002-013-00311-7BANK JATENG 13
11 Kinwati,A.Md Kep 198204202008012013 Perawat 3304126004820005 89.120.337.5.529.0002-013-00768-6BANK JATENG 10
12 Elis Febriana P,A Md Kep 198202152006042012 Bidan 3304105502820008 35.208.460.2.529.0002-013-18763-1BANK JATENG 12
13 Sunarti, A Md Kep 198104242008012009 Perawat 3304116404810002 25.501.158.4.529.0002-013-00769-4BANK JATENG 11
14 Siti Sa'diyah, A Md Kep 197505102006042027 Perawat 3304105005750009 49.299.568.3.529.0002-013-20587-3BANK JATENG 11
15 Guntoro, A Md Kep 197408192005011006 Tenaga Kesh. Lainnya 3304141908740003 49.299.436.3.529.0002-013-13857-1BANK JATENG 10
16 Atmini, A Md Keb 198901222017042002 Bidan 3304116201890001 66.595.194.3.529.0003-163-01084-3BANK JATENG 12
17 Wahyu Hidayah, A Md 198006192007012007 Analis Kesehatan 3304035906800007 25.951.499.5.529.0002-013-00329-0BANK JATENG 11
18 Nuning Asriatun, A Md 198011252010012014 Perawat 3304116511800002 47.209.223.8.529.0002-013-05447-1BANK JATENG 10
19 Desi Erowati, A Md Kep 198312022010012019 Perawat 3304104212830004 36.003.843.4.529.0002-013-05467-6BANK JATENG 9
20 Warno, A Md Kep 197404092007011008 Perawat 3303020904740003 77.614.977.5.529.0002-106-00062-2BANK JATENG 11
21 M Heri Setiyo Agung, S Kep Ns 197902092007011004 Perawat 3304100902790001 25.500.968.0.529.0002-163-02587-9BANK JATENG 12
22 Esti Puji Lestari, S Tr Keb 197804112005012013 Bidan 3304105104780004 25.951.432.1.529.0002-013-13838-3BANK JATENG 8
23 Sulastri, S.Tr Keb 197211102006042023 Bidan 3304115011720001 49.299.497.5.529.0002-013-20564-1BANK JATENG 8
24 Ratmini, A Md Keb 197803202007012009 Bidan 3304106003780003 25.524.060.8.529.0002-013-00334-6BANK JATENG 12
25 Tri Setyowati, A Md Keb 197711262007012005 Bidan 3304106611770001 79.042.759.5.529.0002-013-00349-4BANK JATENG 8
26 Efi Wachidah Yuliani 197607012011012004 Tenaga Kesh. Lainnya 3303054107760008 45.016.073.4.529.0003-013-11794-1BANK JATENG 8
27 Titik Ubayati, A Md Keb 197006152006042004 Bidan 3304125506700001 59.725.427.5.529.0002-013-20566-3BANK JATENG 8
28 Weni Andriyani, A Md Keb 197609012007012013 Bidan 3304124109760001 24.936.708.7.529.0002-013-00305-2BANK JATENG 8
29 Nirmala Dewi, A Md Keb 198803312017042004 Bidan 3304107102880003 47.320.273.7.529.0003-163-01083-5BANK JATENG 13
30 Hidayatun Mukaromah, SKM 0 Tenaga Kesh. Lainnya 3304104509890001 0 2-163-01491-5BANK JATENG 8
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70 0 0 0 0 0 0 0 0
21. WANADADI 2
1 Wahyudi 19760424 200910 1 001 Dokter Umum 3304052406760002 88.687.846.1-529.0002-013-04434-4BANK JATENG 12
2 Siti Zulaikhah 19700725 199003 2 004 Bidan 3304066507700001 49.171.424.2-529.0002-013-07079-1BANK JATENG 6
3 Slamet Setyaka 19750815 200604 1 016 Perawat 3304121508750001 49.299.569.1-529.0002-013-20567-9BANK JATENG 13
4 Lusi Setiyaningsih 19810202 200801 2 008 Perawat 3304094202810005 58.537.768.2-529.0002-013-00933-6BANK JATENG 11
5 Salim Irawan 19800801 201406 1 003 Perawat 3304080808800011 36.546.070.8-529.0002-013-13439-4BANK JATENG 9
6 Rizka Imansyah Putra 0 Perawat 3304110202940002 92.879.522.8-529.0002-163-02536-4BANK JATENG 14
7 Retno Suci Wulandari 0 Perawat 3304056503910005 80.809.238.1-529.0002-163-02537-2BANK JATENG 10
8 Siti Sunarti 19800610 200801 2 012 Bidan 3304075006800004 59.703.521.1-529.0002-013-04777-7BANK JATENG 4
9 Rokhamah 19750111 200604 2 011 Bidan 3304105101750000 35.195.925.9-529.0002-013-20545-3BANK JATENG 5
10 Emi S 19760906 200701 2 007 Bidan 3304114609760004 69.532.022.6-529.0002-013-00389-3BANK JATENG 7
11 Urip Rusmiyati 19721026 199303 2 005 Bidan 3304096610720001 49.299.577.4-529.0002-013-07161-4BANK JATENG 7
12 Eva Zunaliya 19850505 201704 2 012 Bidan 3304104505850003 66.543.134.2-529.0003-013-25643-7BANK JATENG 10
13 Mesti Ambarwati 19830926 201704 2 004 Bidan 3304126609830001 66.549.785.5-529.0003-013-25642-9BANK JATENG 11
14 Umi Taslihatun 19830905 201704 2 007 Bidan 3304104509830004 25.335.769.3-529.0003-013-25650-0BANK JATENG 8
15 Titin Suharti 19740125 201905 2 001 Bidan 3304106501740002 66.549.934.9-529.0002-163-01667-5BANK JATENG 8
16 Afni Panggar Besi 0 Tenaga Kesh. Lainnya 1601144204890005 86.575.981.5-307.0002-163-02568-2BANK JATENG 5
17 Yani Rahayuwati 19800107 200801 2 006 Tenaga Kesh. Lainnya 3304104701800001 36.119.308.9-529.0002-013-00921-2BANK JATENG 5
18 Puri Yuntami 0 Tenaga Kesh. Lainnya 3304105606970001 0 2-163-02630-1BANK JATENG 7
19 Susi Watimah 0 Tenaga Kesh. Lainnya #REF! 0 2-163-02629-8BANK JATENG 4
20 Rita Apriliyani 0 Tenaga Kesh. Lainnya #REF! 0 2-163-02627-1BANK JATENG 3
21 Shintia Ayu Monika 0 Bidan #REF! 0 2-163-02685-9BANK JATENG 3
22 Noviyati 0 Bidan #REF! 0 2-163-02129-6BANK JATENG 3
23 Diva Murbarani 0 Bidan #REF! 0 2-106-05139-1BANK JATENG 2
0 0 0 0 #REF! 0 0 0 167
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
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0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
0 0 0 0 #REF! 0 0 0 0
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0 0 0 0 #REF! 0 0 0 0
22. RAKIT 1
1 Deasy Fatimah Melati 19691227 200701 2 015 Dokter Umum 3304066712690002 25.630.843.8-509.0002-013-00309-5 Bank Jateng 21
2 Edi Riyono 19730312 199403 1 011 Perawat 3304111203730007 49.299.506.3-529.0002-013-07179-9 Bank Jateng 18
3 Puji Lestari 19821122 200604 2 009 Perawat 3304116211820002 49.299.451.2-529.0002-013-18790-4 Bank Jateng 20
4 Jarwanti 19740316 200212 2 003 Perawat 3304115603740004 49.299.507.1-529.0002-013-10963-3 Bank Jateng 18
5 Isharyanto 19741215 200604 1 015 Perawat 3304111512740003 24.961.193.0-529.0002-013-20581-7 Bank Jateng 18
6 Eki Nur Fitri 19800811 200501 2 017 Perawat 3304115108800004 44.259.053.5-529.0002-013-13846-8 Bank Jateng 19
7 Anisa Farokhah 19900530 201101 2 002 Perawat 3303187005900001 44.191.808.3-529.0003-013-11784-4 Bank Jateng 20
8 Dwi Yuli Astuti 19791109 200012 2 001 Perawat 3303024911790006 69.532.024.2-529.0002-013-09728-2 Bank Jateng 19
9 Agus Suliyanti 19820803 201403 2 001 Perawat 3304044308820003 97.368.542-3-529.0002-013-21850-4 Bank Jateng 20
10 Nunung Febriyanto 0 Perawat 3304112802800001 0 2-163-01588-1 Bank Jateng 21
11 Achmad Ichsanudin 0 Perawat 3304112711820001 0 2-163-01574-1 Bank Jateng 20
12 Bayu Arie H 0 Perawat 3304112208900001 0 2-163-01572-5 Bank Jateng 21
13 Aji Priyono 0 Perawat 3304111007890001 0 2-013-17886-3 Bank Jateng 20
14 Ryan Wicaksono 0 Perawat 3304110609930001 0 2-163-02120-2 Bank Jateng 21
15 Khusen Al Atas 0 Perawat 3304111504820001 0 2-106-04141-8 Bank Jateng 21
16 Siti Nur Rohmah 0 Perawat 3304124203960001 0 2-163-02113-0 Bank Jateng 21
17 Indriyani 19680913 198803 2 003 Bidan 3304115309680004 49.295.502.2-529.0002-013-07712-3 Bank Jateng 18
18 Inti Hartini 19720119 199203 2 002 Bidan 3304115901720002 49.299.281.3-529.0002-013-07138-5 Bank Jateng 20
19 Nuryatuningsih 19790913 200604 2 017 Bidan 3304115309790004 49.299.510.5-529.0002-013-20562-9 Bank Jateng 18
20 Suwarni 19700708 200604 2 004 Bidan 3304114807700003 69.532.023.4-529.0002-013-20555-0 Bank Jateng 18
21 Florentia Prisna Pramuditarini 19770401 200701 2 018 Bidan 3304044104770006 57.353.915.2-529.0002-013-00306-1 Bank Jateng 19
22 Endang Purwaningsih 19660717 199203 2 011 Bidan 3304115707670003 47.415.277.4-529.0002-013-07129-4 Bank Jateng 20
23 Iroh 19770101 200701 2 020 Bidan 3304114101770006 69.532.017.6-529.0002-013-00390-7 Bank Jateng 19
24 Nurul Kurniati 19851085 201704 2 004 Bidan 3304085810850003 66.617.959.3-529.0003-163-01095-9 Bank Jateng 20
25 Lina Destriana 19851202 201704 2 004 Bidan 3304114212850002 66.613.695.7-529.0003-163-01090-8 Bank Jateng 21
26 Ni Kadek Devi D 19890615 201704 2 006 Bidan 3304115506890002 66.604.514.1-529.0003-163-01092-4 Bank Jateng 20
27 Aniek Yusdarwiyah 19850731 201704 2 013 Bidan 3304067107850005 55.493.645.0-529.0003-163-01101-7 Bank Jateng 21
28 Titi Rahayu 19850426 201704 2 004 Bidan 3304116604850001 66.608.150.0-529.0003-163-01093-2 Bank Jateng 20
29 Yuliati 19860715 201704 2 004 Bidan 3304035507860002 0 3-163-01091-6 Bank Jateng 21
30 Suciyanti 0 Bidan 3304125806900001 0 2-163-01573-3 Bank Jateng 21
31 Sri Khamidah 0 Bidan 3304114107910017 0 2-163-01494-0 Bank Jateng 21
32 Wiwin Hidayanti 0 Bidan 3304116704940001 0 2-106-04140-0 Bank Jateng 21
33 Siti Mudrikah 19660716 198711 2 002 Tenaga Kesh. Lainnya 3304115607660004 49.299.499.1-529.0002-013-07008-6 Bank Jateng 20
34 Untung Hidayat 0 Tenaga Kesh. Lainnya 3304111504930003 75.149.309.9-529.0002-013-19746-9 Bank Jateng 20
35 Siti Chomsiah 19760510 200604 2 017 Tenaga Kesh. Lainnya 3304105005760001 49.299.508.9-529.0002-013-20556-6 Bank Jateng 20
36 Hanies Prastianingsih 0 Tenaga Kesh. Lainnya 3304115503870002 0 2-013-17280-6 Bank Jateng 20
37 Erlin Septijani 19710908 199312 2 001 Perawat 3304104809710002 49.299.504.8-529.0002-013-07096-7 Bank Jateng 20
38 Lestari Wiwik W 19780602 200801 2 020 Analis Kesehatan 3304034206780004 69.532.020.0-529.0002-013-00396-6 Bank Jateng 20
39 Sulis Tri Rahayu 19801211 201001 2 012 Tenaga Kesh. Lainnya 3304055112800001 45.207.170.7-529.0002-013-05454-4 Bank Jateng 20
40 Tri Eli Yuwanti 19740825 200801 2 007 Tenaga Kesh. Lainnya 3304046508740002 44.258.543.6-529.0002-013-00776-7 Bank Jateng 20
41 Septina Rizky Aditya M 0 Tenaga Kesh. Lainnya 3303016109950002 0 2-027-14816-9 Bank Jateng 20
0 0 0 0 0 0 0 0 816
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
23. RAKIT 2
1 AGUS BUDI SUSANTO 19700506 200312 1 004 Dokter Umum 3304020605700001 08.873.856.2-529.0002-106-01449-2 Bank JATENG 11
2 SAYEM 19630307 198803 2 009 Perawat 3304114703630001 49.229.513.9-529.0002-013-07010-5 Bank JATENG 12
3 YEKTI PURWANINGSIH 19810322 200801 2 007 Perawat 3304126203810001 24.975.569.5-529.0002-013-00942-5 Bank JATENG 12
4 NOVI INDRIYANI 19811108 201101 2 006 Perawat 3303054811810001 79.656.454.0.529.0002-027-14872-0 Bank JATENG 13
5 HERLINA MAHMUDAH 0 Perawat 3304115905850002 0 3-013-26546-1 Bank JATENG 12
6 MUFLIF ROFI PRAYOGA 0 Perawat 3304101102930002 0 2-16-301846-5 Bank JATENG 11
7 ANI RIYATI MUNAWAROH 19700723 199103 2 012` Bidan 3304116307710005 49.299.503.0-529.0002-013-07124-4 Bank JATENG 12
8 SITI FATIMAH 19720916 199203 2 006 Bidan 3304115609720004 07.812.341.1-529.0013-013-09460-6 Bank JATENG 12
9 YULI PURIWATI 19730710 199303 2 006 Bidan 3304115007730003 08.872.939.7-529.0012-013-07165-8 Bank JATENG 11
10 KHADINAH 19780401 200701 2 012 Bidan 3304054104780001 59.703.407.3-529.0002-013-00103-3 Bank JATENG 12
11 VIDIANA ANDIKA P 19900204 201101 2 003 Bidan 3303034402900001 79.779.681.0-529.0003-013-11816-6 Bank JATENG 15
12 ENGGAL PRIYANTI 19840412 201704 2 008 Bidan 3304115204840002 66.591.766.2-529.0003-163-01103-3 Bank JATENG 15
13 FIFI SASI ROMADLONI 19900414 201704 2 004 Bidan 3301035404900004 80.339.778.8-523.0003-163-01106-8 Bank JATENG 15
14 UMI NURJANAH 19830506 201704 2 006 Bidan 3304114605830001 66.591.779.5-529.0003-163-01104-1 Bank JATENG 15
15 MISTRIYATI 19890126 201704 2 002 Bidan 3304126601890001 66.591.752.2-529.0003-163-01111-4 Bank JATENG 15
16 APRILLIRA WAHYU HIDAYATI 0 Bidan 3304116704890004 0 2-163-01464-8 Bank JATENG 11
17 MUMFAIZAH 0 Bidan 3304115103950003 0 2-163-01465-6 Bank JATENG 11
18 YOGA MAWARNI 0 Bidan 3304114803920001 0 2-163-01466-4 Bank JATENG 11
19 WIDIASTUTI 19751015 200501 2 009 Perawat 3304075510750002 49.229.286.2-529.0002-013-13855-9 Bank JATENG 11
20 SOFIYATI 19670502 199002 2 002 Tenaga Kesh. Lainnya 3304124205670001 49.299.562.6-529.0002-013-07041-2 Bank JATENG 11
21 NAWA NUR SHOLIHAH 0 Tenaga Kesh. Lainnya 3304115012910001 0 2-163-02121-1 Bank JATENG 11
22 AGUSTINAH WIDIYANTI 19680820 199003 2 004 Tenaga Kesh. Lainnya 3303036008680001 49.299.514.7-529.0002-013-07044-0 Bank JATENG 12
23 WAHYU EKA LESTARI 0 Tenaga Kesh. Lainnya 3304116209920001 0 2-163-02116-4 Bank JATENG 11
24 AGUNG RETNO PALUPI 0 Tenaga Kesh. Lainnya 3304114106860010 0 2-163-01460-5 Bank JATENG 12
25 WAHYU TIKA LESTARI 0 Tenaga Kesh. Lainnya 3316145205950002 90.014.347-0.514.0002-013-22022-3 Bank JATENG 11
24. PUNGGELAN 1
1 Riana Wulansari 19930325 201902 2 008 Dokter Umum 3304036503930001 82.606.597.1-529.000 3013028440 BANK JATENG 22
2 Wahyono 19680424 199003 1 008 Perawat 3304122404680001 49.299.446.2-523.000 2013070428 BANK JATENG 13
3 Toto Suprapto 19840318 201001 1 016 Perawat 820701180381002 68.193.630.8-943.000 3013243971 BANK JATENG 18
4 Mulyadi 19670615 199403 1 006 Perawat 3304101516670002 49.299.576.6-529.000 2013071824 BANK JATENG 20
5 Lutfi Anggodo 19860517 201101 1 012 Perawat 3303021705860001 47.278.908.0-529.000 3013117950 BANK JATENG 16
6 Rini Prihantini 19831023 201001 2 015 Perawat 3304056310830002 68.159.333.1-529.000 2013054706 BANK JATENG 16
7 Eva Supriyatin 19801203 200501 2 008 Perawat 3304124312800002 49.299.450.4-529.000 2013138509 BANK JATENG 14
8 Rantika Pirawan 19830320 200604 2 009 Tenaga Kesh. Lainnya 3304056003830003 49.299.452.0-529.000 2013169396 BANK JATENG 22
9 Suryati 19640313 198503 2 006 Bidan 3304124303640003 49.299.379.5-529.000 2013076385 BANK JATENG 15
10 Sri Rahayu 19710317 199103 2 008 Bidan 3304125703710001 49.171.430.9-529.000 2013070898 BANK JATENG 16
11 Eling Widyastuti 19780405 200501 2 001 Bidan 3304124504780003 45.224.015.3-529.000 2013138430 BANK JATENG 17
12 Dwi Pramukti 19711016 199103 2 002 Bidan 3304125610710001 49.299.448.8-529.000 2013126566 BANK JATENG 17
13 Yuli Kartikasari 19790729 200701 2 007 Bidan 3304126807790005 59.703.327.3-529.000 2013002463 BANK JATENG 16
14 Puji Sri Wahyuni 19830823 200604 2 012 Bidan 3304106308830002 49.299.458.7-529.000 2013169459 BANK JATENG 18
15 Jamroh 19710101 199102 1 001 Perawat 3304120101710005 49.299.447.0-529.000 2013070826 BANK JATENG 17
16 Catur Setyaningsih 19850702 201001 2 022 Bidan 3304124207850008 36.029.250.2-529.001 2013054714 BANK JATENG 16
17 Chandra Megawati 19861024 201704 2 006 Bidan 3304126410860001 66.774.070.9-529.000 3163010894 BANK JATENG 17
18 Indah Sulistya Ningsih 19890525 201704 2 005 Bidan 3304126505890001 66.774.119.3-529.000 3163011025 BANK JATENG 17
19 Farida Fidi Astuti 19850220 201704 2 012 Bidan 3304066002850001 66.774.081.5-529.000 3163010878 BANK JATENG 18
20 Ria Anggraini 19881215 201704 2 002 Bidan 3304125512880002 66.774.110.2-529.000 3163011050 BANK JATENG 17
21 Eka Agustin Budi Listiani 19850803 201704 2 009 Bidan 3304124308850002 66.774.102.9-529.000 3163010886 BANK JATENG 17
22 Yovita Ninik Atmawaty 19851122 201704 2 006 Bidan 3304120211850006 66.774.093.0-529.000 3163010860 BANK JATENG 18
23 Ninik Astutik Prihatin 19740609 200604 0 107 Tenaga Kesh. Lainnya 3304044904740001 49.299.449.6-529.000 2013206075 BANK JATENG 15
24 Muhtolib 19650605 198802 1 001 Tenaga Kesh. Lainnya 3304120506650009 49.299.445.4-529.000 2013088748 BANK JATENG 15
25 Rizki Dwi Saputro 19890921 201902 1 003 Tenaga Kesh. Lainnya 3304082109890002 36.999.952.9-529.000 3013028412 BANK JATENG 20
26 Dewi Rofiatul Umami 0 Tenaga Kesh. Lainnya 3304126003890004 0 2013173004 BANK JATENG 20
27 Riza Rifananda Akti 0 Tenaga Kesh. Lainnya 3304125612950003 0 2027205651 BANK JATENG 17
28 Niza Puspita Arimukti 0 Tenaga Kesh. Lainnya 3523166107960001 92.997.261.0-648.000 2027218345 BANK JATENG 15
29 Asad Hendro Saputro 0 Dokter Gigi 3521160812910001 91.705.414.0-646.000 2163025674 BANK JATENG 14
30 Iffah Martiasari 0 Analis Kesehatan 3304125003980001 0 2163026514 BANK JATENG 14
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
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PUNGGELAN 2
1 Nama sesuai buku tabungan 0 0 0 0 0 0 0
2 Nama Lengkap 2 0 0 0 0 0 0 0
3 Nama Lengkap 3 0 0 0 0 0 0 0
4 Nama Lengkap 4 0 0 0 0 0 0 0
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26. KARANGKOBAR
1 Siti Nikmah,Amd.Keb 19681001 198903 2004 Bidan 3304134110680002 49.299.584.0-529.0003-141-00436-0BANK JATENG 8
2 Much. Lutfi, Amk 19710719 199103 1003 Perawat 3304131907710001 48.013.926.0-529.0002-013-07087-6BANK JATENG 7
3 dr.Suci Nur Hidayati 19810226 200904 2005 Dokter Umum 3304085602810004 89.274.261.0-529.0002-013-03971-5BANK JATENG 11
4 Andi Hermawan, S.Farm, Apt 19830530 201001 1015 Tenaga Kesh. Lainnya 3304130305830001 47.401.836.3-529.0002-013-05406-4BANK JATENG 8
5 Wachdiyaningsih,S.KM 19721003 199302 2002 Tenaga Kesh. Lainnya 3304134310720002 49.299.361.3-529.0002-013-07159-5BANK JATENG 9
6 Sri Adiati,Amk 19721003 199302 2002 Perawat 3304065107760007 49.184.020.3-529.0002-013-14284-9BANK JATENG 10
7 Yon Setiyawan,S.Kep,Ns,MH 19760711 200604 2018 Perawat 3304170407760003 49.299.586.5-529.0002-013-20609-7BANK JATENG 15
8 drg.Aisyul Istiqomah 19770704 200604 1014 Dokter Gigi 3304137005830001 68.794.457.9-529.0003-013-11805-1BANK JATENG 10
9 Diyah Eka Kusumawati, A.Md.AK19640623 198511 2001 Analis Kesehatan 3304135510760002 25.335.4-529.000 2-141-01874-7BANK JATENG 8
10 Sidik Rahayu, Amk 19780804 200701 1012 Perawat 3304100408780002 25.335.769.3-529.0002-141-00799-1BANK JATENG 12
11 Ratna Sugiarti, Amk 19800706 200012 2001 Perawat 3304134607800002 49.620.029.6-529.0002-013-12271-8BANK JATENG 7
12 Sus Irawati, Amd Keb 19840828 200604 2009 Bidan 3304136808840005 67.952.649.1-529.0002-013-18755-6BANK JATENG 9
13 dr.Dewi Masithoh 19890628 201902 2006 Dokter Umum 3402116606890001 54.810.182.3-543.0003-013-02844-1BANK JATENG 9
14 Umi Rofiqoh, AmdKL 19770126 200701 2006 Tenaga Kesh. Lainnya 3304176601770001 25.335.829.5-529.0002-013-00366-4BANK JATENG 12
15 Fitri Handayani,S.Tr Keb 19770918 200501 2013 Bidan 3304135809770001 25.796.078.1-529.0003-141-00420-3BANK JATENG 9
16 Akhmad Harij Ngasyari, Amk 19780325 200701 1002 Perawat 3304133503780001 89.473.164.5-529.0002-013-00341-9BANK JATENG 8
17 Agus Dwi Purnomo, Amk 19790818 200903 1004 Perawat 3304131808790001 26.089.892.9-529.0002-013-03041-6BANK JATENG 8
18 Mira Oktavianai, A.Md.Kep 19800303 200801 2019 Perawat 7204074303800007 88.937.108.4-834.0002-141-02448-8BANK JATENG 8
19 Ana Priyanti,Amd.Keb 19740803 200604 2015 Bidan 3304137008740001 25.796.022.9-529.0003-141-00430-1BANK JATENG 9
20 Nur Farida,Amd.Keb 19770725 200701 2006 Bidan 3304176507770003 25.796.052.6-529.0003-141-00406-8BANK JATENG 7
21 Eri Rakhmawati,A.Mk 19781028 201406 2002 Perawat 3304066810780008 08.871.565.1-521.0002-013-13435-1BANK JATENG 6
22 Suji Rohyati,A.Mk 19811219 201406 2002 Perawat 3304085912810005 35.828.265.5-529.0002-013-13419-0BANK JATENG 12
23 Tri Wanita A K, A.Md 19810220 201406 2007 Perawat 3304056002810004 88.366.508.5-529.0002-013-13434-3BANK JATENG 15
24 Lilis Indriyani,Amd.Keb 19821023 201704 2003 Bidan 3304136310820003 66.703.915.0-529.0003-141-06740-0BANK JATENG 10
25 Nur Khasanah,Amd.Keb 19850515 201704 2014 Bidan 3304135505850004 66.757.651.6-529.0003-141-06769-8BANK JATENG 16
26 Yunita Fitriani,A.Mk 19860615 201902 2002 Perawat 3304135506860001 90.955.083.2-529.0003-013-02842-9BANK JATENG 13
27 Agus Setyaningsih,Amd.Keb 19860817 201704 2015 Bidan 3304085708860006 66.714.354.9-529.0003-141-06745-1BANK JATENG 10
28 Ika Feranita,Amd.Keb 19860926 201704 2011 Bidan 3301046609860004 70.046.639.4-522.0003-141-05745-5BANK JATENG 7
29 Nely Marbasari,Amd.Keb 19861128 201704 2007 Bidan 3304096811860003 66.719.135.7-529.0003-141-06791-4BANK JATENG 17
30 Nurul Hidayati,Amd.Keb 19880429 201704 2007 Bidan 3304186904880003 66.715.217.7-529.0003-141-06744-2BANK JATENG 9
31 Setyawati Pranandari,Amd.Keb 19880627 201704 2005 Bidan 3304116706880005 66.704.118.0-529.0003-141-06741-8BANK JATENG 7
32 Umi Qosidah, Amd Keb. 19691110 199103 2010 Bidan 3304175011690001 49.299.359.7-529.0002-141-03393-2BANK JATENG 8
33 Sulistiawati,Amd.Keb 19890121 201704 2002 Bidan 3304106101890002 66.746.227.9-529.0003-141-06743-4BANK JATENG 12
34 Hening Widhihastuti,Amd.Keb 19890206 201704 2004 Bidan 3304124602890004 66.430.378.1-529.0003-141-06783-3BANK JATENG 16
35 Herin Hikmawati,Amd Keb 19781027 201905 2001 Bidan 3304106710780000 66.542.857.9-529.0002-141-03238-3BANK JATENG 8
36 Ardi Tri Jatmiko 0 Perawat 3304200102830001 0 2-141-03280-4BANK JATENG 9
37 Lilis Tari 0 Perawat 3304175104820003 0 2-141-02428-3BANK JATENG 14
38 Slamet Prihono 0 Perawat 3304170606810001 0 3-141-07094-0BANK JATENG 10
39 Agus Setianto 0 Perawat 3304132208880004 0 2-141-03258-8BANK JATENG 9
40 Siti Hartati 0 Perawat 3304175906880004 0 2-141-03269-3BANK JATENG 9
41 Ahmad Murtaqi 0 Perawat 3308121801800002 0 2-141-03274-0BANK JATENG 9
42 Rina Pujiati 0 Perawat 3304154607920001 0 2-141-03259-6BANK JATENG 15
43 Mei Rina Dwi Gustin 0 Bidan 3304136605900001 0 2-141-03281-2BANK JATENG 7
44 Chandra Ulfah Utamy 0 Bidan 3302144103910005 0 2-141-03268-5BANK JATENG 11
45 Ahfi Yuli Wahyu 0 Bidan 3304135607920001 0 2-141-04261-3BANK JATENG 13
46 Pratiwi sudarsih 0 Bidan 3304075205900001 0 3-141-07093-1BANK JATENG 7
47 Merlina Winda 0 Tenaga Kesh. Lainnya 3323035209960002 0 2-141-03535-8BANK JATENG 8
48 Elisa Susan 0 Tenaga Kesh. Lainnya 3304134307950003 0 2-141-04511-6BANK JATENG 8
49 Rossy Indah Wardani 0 Tenaga Kesh. Lainnya 3304094408920004 0 2-141-04059-9BANK JATENG 10
50 Jane Nanda Ragita Putri 0 Tenaga Kesh. Lainnya 3304175201950002 0 2-013-17817-1BANK JATENG 12
51 Novinda Sukma P 0 Analis Kesehatan 3304175311950003 0 2-014-17674-1BANK JATENG 9
52 Erlina Purwosiwi 0 Tenaga Kesh. Lainnya 3304135704930001 0 2-141-03984-1BANK JATENG 10
53 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
27. PAGENTAN 1
1 HERNOWO SETYO UTOMO 19931009 201902 1 006 Dokter Umum 3304141701660001 82.237.453.4-529.000 3013028438 Bank Jateng 11
2 SUPRIYONO 19800205 201101 1 005 Perawat 3304020502800005 46.885.239.7.529.000 3163009284 Bank Jateng 9
3 JUNI NUGRAHA 19840610 201101 1 009 Perawat 3303091006840002 79.910.164.7.529.000 3013117968 Bank Jateng 9
4 NOER ADZITA TSASTARI 19870930 201001 2 013 Perawat 3304067009870003 35.194.422.8.529.000 3013043859 Bank Jateng 10
5 NOERITA DWI PRATIWI 19860227 201101 2 012 Analis Kesehatan 3311046702860004 79.910.165.4.532.000 3013117933 Bank Jateng 7
6 SUPRIYANI 19760716 200701 2 012 Bidan 3304145607760001 77.615.051.8.529.000 3141001468 Bank Jateng 11
7 ENI PURWATI 19740318 200604 2 010 Bidan 3304145803740001 77.615.050.0.529.000 3141088806 Bank Jateng 9
8 ASRI HUSNIATI 19780103 200501 2 012 Bidan 3304144301780001 48.443.733.0.529.000 3141088814 Bank Jateng 10
9 LISWANINGSIH 19760531 200604 2 008 Bidan 3304147105760001 89.274.267.7.529.000 3141088792 Bank Jateng 11
10 SITI RAHMAWATI 19800328 200801 2 010 Bidan 3304146803800002 77.615.049.2.529.000 3141088857 Bank Jateng 9
11 ELI SURYANI NASUTION 19841115 201704 2 002 Bidan 3304145511840002 66.618.555.8.529.000 3013257069 Bank Jateng 9
12 MARTINA ISRO'FIANA 19860314 201704 2 006 Bidan 3303055403860002 24.139.406.3.529.000 3141067591 Bank Jateng 9
13 FATMAH IMAMATUN 19851123 201704 2 004 Bidan 3304166311850001 76.090.223.9.529.000 3141067566 Bank Jateng 9
14 IIS CAHAYA DEWI 19890611 201704 2 004 Bidan 3320075106890004 80.303.935.3.529.000 3013257051 Bank Jateng 9
15 ASTUTI 19850410 201704 2 013 Bidan 3304085004850003 66.608.789.5.529.000 3141067604 Bank Jateng 9
16 SITI MA'RIFAH 19890609 201704 2 006 Bidan 3304074906890001 66.605.460.6.529.000 3141067582 Bank Jateng 9
17 ANDRIYANI EROWATI 19781223 201905 2 001 Bidan 3304046312780001 66.542.819.9.529.000 3013276934 Bank Jateng 9
18 DESI LESTARI - Bidan 3307104512940002 - 3023261498 Bank Jateng 9
19 RINA MUSALIA - Bidan 3304125305900001 71.645.771.8-422.000 2013191703 Bank Jateng 10
20 LENTI ESTRIYAWATI - Bidan 3304144205900001 - 2013191991 Bank Jateng 10
21 ENDAH SRI HARMIYATI 19781231 200801 2 014 Tenaga Kesh. Lainnya 3304147112780001 77.615.048.4.529.000 3141001417 Bank Jateng 11
22SALSABILA BANINA RAHMATIKA - Tenaga Kesh. Lainnya 3310134308970001 - 2072060094 Bank Jateng 9
23 YUNI RETNOWATI - Tenaga Kesh. Lainnya 3304146006890002 - 2013169171 Bank Jateng 9
24 RUBY WIJAYANTI - Tenaga Kesh. Lainnya 3304064310960002 - 2013205763 Bank Jateng 11
25 WAHYU NUR SETIAWAN - Tenaga Kesh. Lainnya 3304060802910003 - 2013208151 Bank Jateng 11
26 ISNAENI LAELATUN NUR - Tenaga Kesh. Lainnya 7307016306980001 - 2013219004 Bank Jateng 11
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0
51 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
28. PAGENTAN 2
1 Ari Eka Fisri 198302012009032006 Dokter Umum 3304064102830010' 26.205.613.8-529.0002-013-02768-7 Bank JATENG 6
2 Enggar Aziz Febian Asyaf 199202242019021004 Dokter Umum 3304062402920001 81.292.480.1-529.0003-013-02844-5 Bank JATENG 6
3 Mudtadi 197410191996031002 Perawat 3304061910740001 55.825.087.4-529.0002-013-14112-0 Bank JATENG 11
4 Danang Rana Wijaya - Tenaga Kesh. Lainnya 3304060606890005 0 2-013-20808-8 Bank JATENG 9
5 Eka Sulistiyah - Tenaga Kesh. Lainnya 3304054408900001 0 2-013-20614-0 Bank JATENG 4
6 Tri Tusyani 198408172017042007 Bidan 3304145708840001 66.628.152.2-529.0003-013-25680-1 Bank JATENG 12
7 Vivi Sevnati 198504302017042007 Bidan 3304147004850004 66.628.134.0-529.0003-013-25674-7 Bank JATENG 13
8 Wisti Hasanah 198603012017042007 Bidan 3304104103860001 66.628.120.9-529.0003-013-25673-9 Bank JATENG 8
9 Purniati Muslikha 198907172017042001 Bidan 3301025707890007 66.628.138.1-529.0003-013-25679-8 Bank JATENG 7
10 Dina Murwati 19810508 201905 2 001 Bidan 3304144805810002 66.628.144.9-529.0002-013-18741-2 Bank JATENG 8
11 Solikhatin 198712122017042003 Bidan 3303125212870002 49.171.459.8-529.0003-013-25682-8 Bank JATENG 15
12 Yuni Widyastuti 198106272017042005 Bidan 330106670680002 70.041.716.5-522.0003-013-25681-0 Bank JATENG 13
13 Suwarsih 197711062005012008 Bidan 3304084611770003 49.299.438.9-529.0002-013-13851-5 Bank JATENG 6
14 Indri Puspita Dewi - Analis Kesehatan 3304146610960001 92.982.990.1-529.0002-013-22055-0 Bank JATENG 4
15 Sabartiono - Perawat 3304142609880003 0 2-013-18670-0 Bank JATENG 5
16 Hidul Fitriyatno 197809031997021001' Perawat 3304050309780002 49.171.459.8-529.0002-013-07203-2 Bank JATENG 5
17 Budi Sri Winasih 197806082009032007' Tenaga Kesh. Lainnya 3304054806780009 89.274.262.8-529.0002-013-02945-1 Bank JATENG 4
18 Tri Ivani Werawati - Tenaga Kesh. Lainnya 3304035912830008 0 3-013-25967-3 Bank JATENG 5
19 Ratnawati 197405151993012001 Bidan 3304145505740002 49.299.419.9-529.0002-013-07151-7 Bank JATENG 6
20 Dhian Irianti 197910052008012013' Bidan 3304144510790003 89.274.265.1-529.0002-013-00904-2 Bank JATENG 5
21 Andriyani Dyah Utami 198807242 201902 2 007 Perawat 3304146407880001 90.995.996.7-529.0003-013-27583-1 Bank JATENG 4
22 Retno Kustiyah 19750203 2006042016 Bidan 3304144302750001 89.274.266.9-529.0002-013-20565-7 Bank JATENG 3
23 Widaryati 197111141992032005' Bidan 3304085411710003 49.299.373.8-529.0002-013-07141-0 Bank JATENG 4
24 Purwaningsih 197807062014062006' Perawat 3304084607780007 72.107.846.7-529.0002-013-13436-0 Bank JATENG 4
25 Sudarso - Tenaga Kesh. Lainnya 8204082202970001 93.208.274.6-942.0002-013-22056-8 Bank JATENG 5
26 Retno Setyawati - Bidan 3304145401930001 0 2-013-18655-6 Bank JATENG 4
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
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65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
39. PEJAWARAN
1 dr. Ica Trianjani S. 19920103 201902 2 007 Dokter Umum 3304094301920003 81.084.842.4-529.0003-013-02844-4BANK JATENG 16
2 Fitnata Diah Kurniawati, AMK 19810916 200801 2 009 Perawat 3304155609810004 58.684.506.7-529.0002-013-00929-8BANK JATENG 15
3 Ahmad Safi'i, AMK 19850609 201902 1 002 Perawat 3304060906850001 74.699.218.9-529.0003-013-02842-4BANK JATENG 15
4 Febrian Pradana, AMK 19930204 201902 1 003 Perawat 3307080402930002 90.929.278.1-533.0003-013-02841-9BANK JATENG 20
5 Hayinul Af'idah, Amd.Kep 19931001 201902 2 003 Perawat 3304154110930003 90.990.807.1-529.0003-013-02843-0BANK JATENG 15
6 Khasanah, Amd.Kep 19930726 201902 2 009 Perawat 3307106607930003 90.984.238.7-533.0003-013-02842-8BANK JATENG 16
7 Dede Marita, Amd.Kep 19950330 201902 2 004 Perawat 3304177003950001 90.922.647.4.529.0003-013-02842-0BANK JATENG 15
8 Yulianti, AMK - Perawat 3304134108830002 79.910.118.3-529.0002-141-03081-0BANK JATENG 9
9 Siti Nur Laela, AMK - Perawat 3304155412820003 35.725.333.5-529.0002-141-03082-8BANK JATENG 13
10 Agustin Mega Winahyu, Amd.AK 11.7.1107604 Analis Kesehatan 3374024908950003 91.729.436.5-504.0002-141-04759-3BANK JATENG 13
11 Anugrah Putradana, Amd.KL - Tenaga Kesh. Lainnya 3302201109940001 76.973.916.0-521.0002-086-04355-9BANK JATENG 18
12
Endah Rahayuning Nagari, Amd.Keb
19840817 201704 2 006 Bidan 3304155708800004 66.773.505.4-529.0003-141-06763-9BANK JATENG 14
13 Widiana Arifiani, Amd.Keb 19870831 201704 2 009 Bidan 3304137108870002 66.773.945.2-529.0003-141-05042-6BANK JATENG 9
14 Farida Kristiana, Amd.Keb 19861117 201704 2 007 Bidan 3304025711860001 66.766.999.8-529.0002-141-02937-4BANK JATENG 11
15 Desi Tri Astuti, Amd.Keb 19861206 201704 2 011 Bidan 3304144612860003 66.766.766.1-529.0002-141-01578-1BANK JATENG 5
16 Septi Rian Pratiwi, Amd.Keb 19871210 201704 2 005 Bidan 3304155707840001 79.300.921.8-656.0003-141-05036-1BANK JATENG 5
17 Dessy Hanumsari, Amd.Keb 19871231 201704 2 010 Bidan 3303187112870001 54.301.429.4-529.0002-141-02929-3BANK JATENG 8
18 Septi Murni Astuti, Amd.Keb 19880917 201704 2 001 Bidan 3304115709880001 66.766.322.3-529.0002-141-02931-5BANK JATENG 5
19 Tri Novi Hidayati, Amd.Keb 19881112 201704 2 007 Bidan 3304165211880001 66.780.070.0-529.0002-141-01574-8BANK JATENG 6
20 Endah Uji Wahyuni, Amd.Keb 19890211 201704 2 002 Bidan 3301055102890004 58.152.794.2-521.0002-141-02932-3BANK JATENG 5
21 Ambar Sri Utami, Amd.Keb 19890212 201704 2 006 Bidan 3305045202890003 44.775.141.3-521.0003-141-05031-1BANK JATENG 8
22 0 0 0 0 0 0 0 0
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24 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
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69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
30. BATUR 1
1 dr. BARA PRADIANSYAH P 198805132019021005 Dokter Umum 3302221305880001 55.766.651.8-521.0003-013-27594-6BANK JATENG 10
2 dr. KASPARI ARNANDO 11.7.0105159 Dokter Umum 1403011708903161 0 2-141-04534-5BANK JATENG 10
3 drg. DIAN SULISTYORINI 197307082014122001 Dokter Gigi 3173084807731001 72.156.723.8-086.0002-013-13438-6BANK JATENG 10
4 SITI MUNAWAROH 197108181992032006 Perawat 3304165808710003 49.299.310.0-529.0002-013-07140-4BANK JATENG 8
5 YULIANTIKA SALBIYAH 197307141992032003 Bidan 3304165407730001 49.299.312.6-529.0003-141-01464-1BANK JATENG 8
6 EKO WIDADO 197007211994021002 Perawat 3304162107700003 49.299.313.4-529.0003-141-01465-9BANK JATENG 7
7 WIWIN RAHAYU, S.ST 198006122008012016 Bidan 3304155206800002 58.684.502.6-529.0002-013-00955-7BANK JATENG 7
8 RATNA PURWANINGSIH 198804032010012015 Bidan 8207034304880001 58.917.475.4-943.0003-013-24405-6BANK JATENG 5
9 DANI SOTYANING NURAENI 197802212011012002 Tenaga Kesh. Lainnya 3304166504760001 68.216.632.7-542.0003-013-11807-7BANK JATENG 13
10 UTAMI ISLIYANTI, S.Tr.Keb 197307242006042009 Bidan 3304176407730001 25.795.953.6-529.0002-013-20645-1BANK JATENG 5
11 MOHAMMAD JEMI LESTARI 11.7.1107236 Analis Kesehatan 7471072504930001 0 2-013-21899-7BANK JATENG 13
12 A.GUNADI 198104122008011006 Perawat 3304151204810001 35.725.333.5-529.0002-013-00963-8BANK JATENG 7
13 NANING SRI HARJANTI 197604252010012008 Perawat 3304166504760001
72.556.146.8-529.000 (suami)
2-013-05469-2BANK JATENG 5
14 YULIYANTI 198401222011012007 Perawat 3371016201840001 36.428.191.5-524.0003-013-11823-9BANK JATENG 5
15 RIYANTI 197607292008012012 Perawat 3304166907760001 58.682.034.2-529.0002-013-01012-1BANK JATENG 5
16 RIDLO WIBOWO 0 Tenaga Kesh. Lainnya 3307102812960003 0 2-141-03988-4BANK JATENG 12
17 SITI LAILI FITRIYATI 198407172017042006 Bidan 3304155707840001
36.941.551.8-529.000 (suami)
3-141-06799-0BANK JATENG 5
18 AGUSTIN FAJARWATI 197908122019052002 Bidan 3304105208790004
76.159.089.2-529.000 (suami)
3-141-08615-3BANK JATENG 5
19 DIAH KRISTI WAHYUNINGSIH 198812312017042006 Bidan 3304167012880002 80.352.977.5-529.0003-013-25719-1BANK JATENG 5
20 NETI UTAMI 0 Perawat 3307035601890005 0 2-141-03296-1BANK JATENG 5
0 0 0 0 0 0 0 0 150
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
31. BATUR 2
1 FIGUR PUSPITO, Y.D 198810282015021001 Dokter Umum ### 492993209529000 3-013-23374-7BANK JATENG 15
2 FITRI DWI HASTUTI 197809092014062004 Perawat 3307134909780003 72.102.232.5.533.0002-013-14421-5BANK JATENG 11
Arini
3 Marga Mustinkaweni, S.Farm Apt 1170505161 Tenaga Kesh. Lainnya 3526046703940003 864867783644000 2-141-04538-8BANK JATENG 6
4Widya Sulandri Harahap, A.Md AK 1171105160 Analis Kesehatan 1272034105970002 864797840117000 2-141-04537-0BANK JATENG 22
5 Siti Ngasriyah 198302272005012004 Perawat 3307106702830003 4.929.932.2.552.90002-013-13849-6BANK JATENG 10
6 Nurmillah Nofiyanti 198011282008012008 Bidan 3304166811800001 9.736.852.9.052.90002-013-01027-0BANK JATENG 8
7 Asih Sugiarti 198807062011012011 Tenaga Kesh. Lainnya 3302267012860004 79.779.680.2.521.0003-013-11801-8BANK JATENG 22
8 Firda Nur A 0 Tenaga Kesh. Lainnya 3307136310950006 0 3-023-28297-5BANK JATENG 22
9 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
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44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
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47 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0
51 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
32. WANAYASA 1
1 Aulia Dyah Febrianti 19910208 201902 2 005 Dokter Umum 3302194802910002 75.086.411.8-521.0003-013-02844-3 Bank Jateng 13
2 Alinia Susiani 19780407 200701 2 015 Perawat 3304174704780002 58.046.137.4-529.0003-141-00416-5 Bank Jateng 14
3 Trio Cahyanto 11.7.0307248 Perawat 3320027250890003 72.366.070.0-516.0002-141-04727-5 Bank Jateng 14
4 Feritun - Perawat 3304122408890001 - 2-141-03251-1 Bank Jateng 13
5 Putu Gede Widiantoro 11.7.0307617 Perawat 3303083010940003 90.855.193.0-529.0002-141-04729-1 Bank Jateng 19
6 Anis Nur Istiqomah 19860314 201704 2 008 Bidan 3312165433860001 78.994.358.6-532.9993-141-06746-9 Bank Jateng 17
7 Raras Puspitaningtyas 19850701 201704 2 005 Bidan 3304174106850004 66.443.502.1-529.0003-141-06749-3 Bank Jateng 18
8 Niken Rengganingtyas 19861028 201704 2 007 Bidan 3304106810860002 67.035.133.7-529.0003-141-06782-5 Bank Jateng 17
9 Arum Puspitarini 19890622 201704 2 003 Bidan 3304026206890002 66.429.877.5-529.0003-141-06776-1 Bank Jateng 17
10 Sularsih 19840326 201704 2 005 Bidan 1123186603840002 36.197.281.3-529.0003-141-06747-7 Bank Jateng 15
11 Ika Sefria Ardyaningtyas 19860910 201704 2 009 Bidan 3304055009860002 66.436.050.6-529.0003-141-06750-7 Bank Jateng 17
12 Nunung Dwi Puji Lestari 19830819 201704 2 004 Bidan 3304175908830002 47.676.757.9-529.0003-141-06778-7 Bank Jateng 17
13 Pia Supriatin 19820510 201704 2 007 Bidan 3304135005820007 66.751.004.4-529.0003-141-06794-9 Bank Jateng 17
14 Nurnaeni Wijaya 19860415 201704 2 006 Bidan 3304175504860001 68.134.109.5-529.0003-141-06748-5 Bank Jateng 17
15 Sri Purwati 19710212 199103 2 006 Bidan 3304175202710001 49.301.773.5-529.9993-141-01461-6 Bank Jateng 4
16 Wied Yunita 19770630 200701 2 004 Bidan 3304177006770002 89.473.163.7-529.0003-141-00413-1 Bank Jateng 3
17 Ribut Hartati 19700113 199501 2 001 Tenaga Kesh. Lainnya 3304171301700001 49.299.585.7-529.0003-141-00435-1 Bank Jateng 5
18 Nurlatif Fatmawati 19800822 200701 2 003 Tenaga Kesh. Lainnya 3304176208800002 58.046.138.2-529.0003-141-00434-3 Bank Jateng 4
19 Ani Winarsih 19740927 200604 2 014 Analis Kesehatan 3304172709740004 49.184.004.7-529.0003-141-00415-7 Bank Jateng 13
20 Deny Heriansyah 11.7.1108186 Analis Kesehatan 3273132807930001 81.148.269.4-424.0002-141-04776-3 Bank Jateng 12
21 Iva Budiati - Tenaga Kesh. Lainnya 3304184901930004 - 2-141-03218-9 Bank Jateng 12
22 Titin Dwi Agus Cahyani - Tenaga Kesh. Lainnya 3301175708960002 - 2-141-03977-9 Bank Jateng 5
23 Isni Marati Roisah - Bidan 3304186112920001 - 2-141-03339-8 Bank Jateng 5
24 Yani Asih Rahayu - Bidan 3304136309930002 - 2-013-18631-9 Bank Jateng 2
25 Widi Astuti - Bidan 3304136708910001 - 2-141-03307-0 Bank Jateng 4
26 Wiwin Budiarti - Bidan 3304175505940001 - 2-141-03623-1 Bank Jateng 3
27 Vega Aprilya - Bidan 3304155004950003 81.121.968.2-529.0002-141-03485-8 Bank Jateng 3
28 Cahyaning Widiyawati - Tenaga Kesh. Lainnya 3304086510890002 73.581.559.9-529.0002-013-20891-6 Bank Jateng 4
29 Masruhin 11.7.0507616 Tenaga Kesh. Lainnya 5205011509890001 76.951.520.6-912.0002-141-04728-3 Bank Jateng 14
30 Dal Kholifah 19950714 201902 2 008 Perawat 3304135407950002 90.922.663.1-529.0003-141-08591-2 Bank Jateng 3
0 0 0 0 0 0 0 0 321
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
33. WANAYASA 2
1 Yuli Astuti 19840726 201101 2 014 Dokter Umum 3404036607840002 89.125.900.4-542.0003-013-11788-7BANK JATENG 17
2 Dwi Setyono 19781210 200212 1 005 Perawat 3304171012780002 49.299.594.9-529.0003-141-00421-1BANK JATENG 15
3 Dewi Yuliani Krisna 19781209 201001 2 007 Perawat 3304170504710002 67.757.720.7-528.0003-141-07893-2BANK JATENG 13
4 Fathun Najib 19870612 201001 1 009 Perawat 8207031206870001 58.917.474.7-943.3003-013-24404-8BANK JATENG 17
5 Idham Sofi 007.01.017 Perawat 3307032807850002 - 2-141-03053-4BANK JATENG 5
6 Rizki Prasetyo 11.7.0308187 Perawat 3307122801920002 70.185.183.4-533.0002-141-04763-1BANK JATENG 6
7 Inayah Binti Tsulatsi 19770320 200501 2 005 Bidan 3304176003770001 25.795.991.6-529.0003-141-00429-7BANK JATENG 9
8 Romi Astuti 19860303 201001 2 020 Bidan 8207057003860001 88.670.127.5-943.0003-013-25714-0BANK JATENG 12
9 Intan Khusna N 19740510 200604 2 020 Tenaga Kesh. Lainnya 3304135005740003 49.299.592.3-529.0003-141-02643-6BANK JATENG 12
10 Adiningtyas Nursanti 19770528 201101 2 005 Tenaga Kesh. Lainnya 3323126805770003 36.493.866.2-533.0003-013-11808-5BANK JATENG 15
11 Asih Suwanti 19880210 201704 2 004 Bidan 3304175002880003 66.773.996.5-529.0003-141-06772-8BANK JATENG 14
12 Sunarti Antun R 19860604 201704 2 009 Bidan 3305084406860003 54.766.032.4-529.0003-141-06774-4BANK JATENG 15
13 Ani Fadhilah P 19880228 201704 2 004 Bidan 3304126802880002 66.773.973.4-529.0003-141-06773-6BANK JATENG 21
14 Nurhajiati 19841107 201704 2 007 Bidan 3215034711840002 47.102.366.3-408.0003-141-06790-6BANK JATENG 16
15 Ine Rizka Wijhani 19850811 201704 2 010 Bidan 3304135108850001 66.773.984.1-529.0003-141-06785-0BANK JATENG 9
16 Nesriyani 19890623 201704 2 001 Bidan 3304036306890003 66.773.979.1-529.0003-141-06786-8BANK JATENG 10
17 Kus Andarini 19770617 201905 2 001 Bidan 3304095706770002 78.320.953.9-529.0002-013-17758-1BANK JATENG 7
18 Surip Suharti 19900530 201704 2 003 Bidan 3304177005900001 66.773.952.8-529.0003-141-06795-7BANK JATENG 7
19 Widya Trisurani 11.7.0507618 Tenaga Kesh. Lainnya 7472025710940001 84.835.511.1-816.0002-141-04762-3BANK JATENG 4
20 Mega Puspita Dewi Pamungkas 11.7.1107619 Analis Kesehatan 3322115301930001 85.167.135.4-505.0002-141-04902-2BANK JATENG 9
21 Ani Riswiyanti 003.01.016 Bidan 3304175903940002 - 2-141-03054-2BANK JATENG 9
22 Nisa Kurniasih 004.01.017 Bidan 3304175603910002 - 2-141-03060-7BANK JATENG 6
23 Astriyani 006.01.017 Bidan 3304164404930001 - 2-141-03051-8BANK JATENG 4
24 Andari Sianida Angga Rayini S. 0 Tenaga Kesh. Lainnya 3304175606920004 - 2-141-03050-0BANK JATENG 5
25 Novia Dewi Apsari 0 Tenaga Kesh. Lainnya 3304066811940003 - 2-013-20164-4BANK JATENG 5
26 Muji Triyani 0 Tenaga Kesh. Lainnya 3302094607970002 - 2-141-04924-3BANK JATENG 4
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0
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48 0 0 0 0 0 0 0 0
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50 0 0 0 0 0 0 0 0
51 0 0 0 0 0 0 0 0
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56 0 0 0 0 0 0 0 0
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61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
34. KALIBENING
1 dr. Suli Astuti 19890709 201902 2 004 Dokter Umum 3304084907890002 90.995.310.1-529.000 3013274664 Bank Jateng 22
2 Anang Aji Isnanto,AMK 19810427 201406 1 001 Perawat 3304042704810010 72.136.159.0-529.000 2013126421 Bank Jateng 15
3 Luciana Peppy,S.Kep.Ns 19890711 201502 2 003 Perawat 3304045107890005 72.617.304.6-529.000 3013233739 Bank Jateng 4
4 Dimas Pramuning Kuntari,S.Kep19871105 201001 2 014 Perawat 3304184511870001 36.061.341.8-529.000 3141085301 Bank Jateng 2
5 Suparno,AMK 19701128 199001 1 002 Perawat 3304182811700001 49.299.350.6-529.000 3141085335 Bank Jateng 4
6 Wibi Eka Permana,S.Kep.Ns 0 Perawat 3304041610880002 72.617.304.6-529.000 2141041862 Bank Jateng 7
7 Sukiswan,AMK 0 Perawat 330418021083000166.622.976.0-0529.000 2013177450 Bank Jateng 4
8 Indro Haryanto,AMK 0 Perawat 3304180109780003 0 2141032219 Bank Jateng 3
9 Daryo,AMK 0 Perawat 3304181708710002 0 2141031115 Bank Jateng 3
10 Sabar Riyadi,AMK 0 Perawat 3304192901860002 0 2141031107 Bank Jateng 3
11 Choiri Susilowati,AMK 0 Perawat 3304185802870002 0 2141032227 Bank Jateng 3
12 Laili Fitri Marvita, AMK 0 Perawat 3304186504900001 0 2141032201 Bank Jateng 3
13 Tri Andrianto, AMK 0 Perawat 3303132909900003 0 2141035935 Bank Jateng 2
14 Sulimah,Amd.Keb 19650701 198803 2 007 Bidan 3304184107650147 49.299.348.0-529.000 3141013580 Bank Jateng 4
15 Nurjanah, S.ST 19681010 199103 2 005 Bidan 3304185010680004 79.024.741.3-529.000 3141060880 Bank Jateng 8
16Heru Nugrah Widiastuti,Amd.Keb19831120 200501 2 005 Bidan 3304176011830001 49.299.350.6-529.000 3141085343 Bank Jateng 9
17 Endang Sri Hastuti, Str.Keb 19740312 200312 2 003 Bidan 3304185203740001 79.042.744.7-529.000 3141085131 Bank Jateng 6
18 Masruki, S.Tr.Keb 19770608 200701 2 010 Bidan 3304184806770001 79.042.750.4-529.000 3141013709 Bank Jateng 4
19 Sri Fitriyati, Amd.Keb 19770922 200312 1 004 Bidan 3304186209770001 79.042.748.8-529.000 3141085360 Bank Jateng 3
20 Dailah, Amd.Keb 19760303 200604 2 017 Bidan 3304184303760001 79.042.755.3-529.000 3141085203 Bank Jateng 2
21 Yayu, Amd.Keb 0 Bidan 3304135204910002 0 2141031123 Bank Jateng 2
22 Arifah, Amd.Keb 19890323 201704 2 010 Bidan 3303066303890001 80.317.445.7-529.000 3141068201 Bank Jateng 3
23 Devi Mariyati, Amd.Keb - Bidan 3304184803920002 0 2013213341 Bank Jateng 2
24 Eka Liyanti, Amd.Keb 0 Bidan 3304194306910004 0 2141032332 Bank Jateng 2
25 Lina Nur Fatwa, Amd.Keb 19890913 201704 2 004 Bidan 3303145309890001 47.676.759.5-529.000 3141067779 Bank Jateng 7
26 Sugiyah Ambreliyana, Amd.Keb19860128 201704 2 010 Bidan 3304186801880001 73.286.193.5-529.000 3141067710 Bank Jateng 6
27 Lilis Setyowati, Amd.Keb 19870103 201704 2 006 Bidan 3304184301870003 45.018.753.9-529.000 3141068210 Bank Jateng 7
28 Susah Bowin Poniah, Amd.Keb 19870401 201704 2 002 Bidan 3304104014870004 66.623.001.6-529.000 3163010827 Bank Jateng 3
29 Dwi Yanuar Wijayanti, Amd.Keb19880129 201704 2 007 Bidan 3304186901880001 57.842.514.2-529.000 3141068112 Bank Jateng 8
30 Aprilia Siri Rohmah, Amd.Keb 19880411 201704 2 002 Bidan 3302055104880002 45.856.300.4-529.000 3013256461 Bank Jateng 7
31 Diah Nur Hijrianti, Amd.Keb 19890430 201704 2 005 Bidan 3327127004890004 36.027.695.0-531.000 3141067841 Bank Jateng 5
32 Teguh Subekti, Amd.Keb 19850325 201704 2 005 Bidan 3304186503850005 47.676.746.2-529.000 3141068121 Bank Jateng 8
33Dian Triana Puspa Dewi, Amd.Keb19841003 201704 2 006 Bidan 3304134310840004 36.150.510.0-529.000 3013256453 Bank Jateng 2
34 Sopiatun, Amd.Keb 19820303 201704 2 005 Bidan 3304194303820003 75.389.177.9-529.000 3141068058 Bank Jateng 2
35 Tri Heni P, Amd.Keb 19860224 201704 2 006 Bidan 3304186402860001 66.623.024.8-532.000 3013257042 Bank Jateng 2
36 Desi Aricanti Y, Amd.Keb 19881220 201704 2 006 Bidan 330519601288000366.622.976.0-0529.000 3141067612 Bank Jateng 2
37 Tularsih Ria BS, Amd.Keb 19830217 201001 2 026 Bidan 3301075702830001 79.910.163.9-522.000 3013273331 Bank Jateng 2
38 Ika Sevi D, S.Farm.Apt 0 Tenaga Kesh. Lainnya 3304185309960003 0 2141046988 Bank Jateng 4
39 Widhi Hesti P, Amd.Farm 19790507 200604 2 011 Tenaga Kesh. Lainnya 3304184705790001 79.042.743.9-529.000 3141013679 Bank Jateng 4
40 Wahyu Nur W, Amd 19800212 200801 2 024 Tenaga Kesh. Lainnya 3304135202800003 0 3141085297 Bank Jateng 8
41 Yeni Prasetyawati, Amd.AK 19780114 200801 2 005 Analis Kesehatan 3304185401780004 79.042.745.4-529.000 3141085289 Bank Jateng 11
42 Ila Riskiani, Amd.AK 0 Analis Kesehatan 3326024106950002 0 2141035943 Bank Jateng 4
43 Herna Ames S, Amd.Gz 0 Tenaga Kesh. Lainnya 1206134806960001 0 2141047615 Bank Jateng 2
44 Indah Mutiara Dewi, SKM 0 Tenaga Kesh. Lainnya 3304175711940002 0 2141035901 Bank Jateng 5
45 Umy Hani Khabibah, Amd.Gz 0 Tenaga Kesh. Lainnya 3326024302940000 0 2141035897 Bank Jateng 3
70 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 222
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
35. PANDANARUM PANDANARUM
1 dr. Rizaldy Yoga Pandupradana19890620 201902 1 004 Dokter Umum 3304062006890001 80.351.737.4-529.0003-013-02843-7BANK JATENG 6
2 Sutarti 19661017 198903 2 007 Bidan 3304195710660002 49.299433.0-529.000 2-013-07029-6BANK JATENG 10
3 Arif Pranyoto 19860313 201101 1 006 Perawat 3303181303860002 45.136.022.6-529.0003-013-11819-1BANK JATENG 10
4 Nur Hayati 19760628 200701 2 013 Bidan 3304196806760001 59.737.879.3-529.0003-141-08588-2BANK JATENG 11
5 Widi Rahayu 19781020 200801 2 011 Bidan 3304196010780001 59.737.880.1-529.0002-013-00945-0BANK JATENG 12
6 Apreliana Ermawati 19880424 201502 2 004 Bidan 3307086404880001 72.657.125.0-553.0003-013-23368-2BANK JATENG 10
7 Husnah 19700114 199503 2 001 Tenaga Kesh. Lainnya 3304185401700001 49.299.349.8-529.0003-141-08583-1BANK JATENG 11
8 Romalia 19850911 201704 2 007 Bidan 3304195109850001 58.679.279-8-529.0003-141-06753-1BANK JATENG 11
9 Atik Hidayanti 19860501 201704 2 008 Bidan 3304194105860003 80.254.741.4-507.0003-013-25711-5BANK JATENG 11
10 Imas Rahayuningsih 19871217 201704 2 003 Bidan 3303135712870005 73.322.593.2-529.0003-141-06755-8BANK JATENG 10
11 Sigit Nurasih 19860522 201704 2 008 Bidan 3304196205860001 46.656.215.4-529.0003-013-25695-0BANK JATENG 10
12 Ida Mursyidah 19871111 201704 2 009 Bidan 3304075111870001 80.319.4471-529.000 3-013-25702-6BANK JATENG 10
13 Fika Roatul Uryah 19880915 201704 2 003 Bidan 3322055509880003 80.325.213.9-529.0003-013-25662-3BANK JATENG 11
14 Linna Robianingsih 19880401 201704 2 006 Bidan 3304124104880003 08.877.113.4-521.0003-013-25675-5BANK JATENG 10
15 Runi Astuti - Bidan 3304194601900001 - 2-141-03292-8BANK JATENG 9
16 Juliana Ayu Setyaningrum - Tenaga Kesh. Lainnya 3304184107910003 - 2-141-03291-0BANK JATENG 9
17 Roimah - Bidan 3304184404930003 - 2-141-03285-5BANK JATENG 10
18 Widya Susanti - Analis Kesehatan 1506044705960004 86.517.409.8-334.0002-141-04530-2BANK JATENG 9
19 Tuti Aningsih - Bidan 3304184509920001 - 2-141-03234-1BANK JATENG 10
20 Yartinah - Bidan 3304186604910002 - 2-141-03289-8BANK JATENG 10
21 Umi Chuznil Chayati - Bidan 3304086707930002 - 2-141-03286-3BANK JATENG 9
22 Arum Mega Cahyaningsih - Perawat 3304184303930001 - 2-141-03288-0BANK JATENG 11
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0 LABKES
1 AJI SETIAWAN 198209122006041009 Tenaga Kesh. Lainnya 3304061209820002 49.299.528.7-529.000 2013187584 BANK JATENG 7
2 ERY ROSITA 197212072002122002 Dokter Umum 3304054712720002 47.415.272.5-529.000 2013002374 BANK JATENG 7
3 ARIS EFENDI 197803272002121003 Tenaga Kesh. Lainnya 3304082703780001 49.299.608.7-529.000 2013109605 BANK JATENG 7
4 SITI ALFIJAH 197109271997032004 Analis Kesehatan 3304056709710002 49.299.372.0-529.000 2013101974 BANK JATENG 2
5 YUSMINARSIH DWI P 197704141996032001 Analis Kesehatan 3304085404770005 49.171.450.7-529.000 2013071959 BANK JATENG 7
6 CICININGSIH 197403102002122011 Analis Kesehatan 3304055003740003 49.299.482.7-529.000 2013129720 BANK JATENG 7
7 KURNIA HAPSARI DEWI 198411042009032005 Analis Kesehatan 3304064411840009 44.936.522.0-529.000 2013037143 BANK JATENG 2
8 YUFITA HAPSARI 198012172008012009 Analis Kesehatan 3304035712800005 59.703.323.2-529.000 2013009671 BANK JATENG 2
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JML HARI
BESARAN JUMLAH
KALENDE PAJAK (Rp.) TANDA TANGAN
R
10 11 12 13=9/10*7 14
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Kepala UPTD
0 Puskesmas Purwareja Klampok
0 1 0 0 0
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0 0 0 0 0 0
0 dr. Dwi Lestariatun 0 0 0 0
NIP.
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#REF! #REF! #REF! #REF! #REF! #REF!
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Kepala UPTD Puskesmas Mandiraja
0 2 0 0 0 0
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KEPALA UPTD PUSKESMAS PURWANEGARA0 1 0 0 0 0
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dr. Nuruddin Purwanto 0 0 0 0 0
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DAFTAR PENERIMAAN INSENTIF DAN SANTUNAN KEMATIAN BAGI TENAGA KESEHATAN YANG MENANGANI COVID-19

FASYANKES : RSUD Hj. Anna Lasmanah

dr. Erna Astuty

5000000 0.00 ### 1

Kepala UPTD Puskesmas Susukan 1

22 5000000 0.00 4,090,909.09 1

Kepala UPTD Puskesmas Purwareja Klampok 1

dr. Dwi Lestariatun

NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING

JML JML HARI JUMLAH

BANK JATENG 20 22 5000000 0.00 4,545,454.55 1

JML JML HARI

11 22 5000000 0.00 2,500,000.00 1

Kepala UPTD Puskesmas Mandiraja 1

NURUDDIN AG, SKM, M.Kes

Kepala UPTD Puskesmas Mandiraja 2

dr. Edy Santoso

NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING

JML JML HARI

BANK JATENG 12 22 5000000 0.00 2,727,272.73 1

KEPALA UPTD PUSKESMAS PURWANEGARA 1

dr. Nuruddin Purwanto

Kepala UPTD Puskesmas P

5000000 0.00 5,000,000.00 1

Kepala UPTD Puskesmas Purwanegara 2

dr. LIANA DEWI

1 Agung Yuli H, S.Kep, Ns. Perawat

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JML JML HARI JUMLAH

13 22 5000000 0.00 2,954,545.45 2

Kepala UPTD Puskesmas

dr. Ana Susanti, MM

Kepala Puskesmas Pagedongan

dr. Henny Eka Setyawati

ASRINAH, S.SiT, M.Kes

JML JML HARI JUMLAH

20 22 5000000 0.00 4,545,454.55 1

Widya Ariyanti. S.Kep.Ners

KEPALA UPTD PUSKESMAS MADUKARA 1

AMIR FAOZAN, S.KM

1 TITI KULINAH 19850723 201412

JML HARI JUMLAH

22 5000000 0.00 4,772,727.27 1

Kepala Puskesmas Madukara 2

NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP

1 AGUS BUDIANTO 19770820 200801 1 010 Dokter Umum 3304062008770005 25.395.303.8-529.000

JML JML HARI

2-013-14251-0 BANK JATENG 9 22 5000000 0.00 2,045,454.55 1

Kepala UPTD Puskesmas Banjarmangu 1

JML JML HARI JUMLAH

4 22 5000000 0.00 909,090.91 1

Kepala Puskesmas Banjarmangu 2

dr. DIAH AYU PUSPITASARI

Kepala Puskesmas Wanadadi 1

dr. Yuyun Nurhidayat

5000000 0.00 2,727,272.73 1

Kepala UPTD Puskesmas Rakit 1

dr Deasy fatimah Melati

NO. NAMA NIP/NRPTT JENIS NAKES NIK NPWP NO. REKENING

JML JML HARI JUMLAH

Bank JATENG 11 22 5000000 0.00 2,500,000 1

Kepala UPTD Puskesmas Rakit 2

Khusnul Khotimah, S.SiT, M.Kes