PEMBAGIAN JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD UPT PUSKESMAS TEMBILAHAN KOTA

BULAN JANUARI 2020

b. Pemberi Layanan Tidak Langsung

JUMLAH
PERSENTASE
TOTAL PENERIMAAN KAPITASI JASA PELAYANAN YANG
JUMLAH SELURUH
KEHADIRAN DENGAN JUMLAH DITERIMA
KEHADIRAN TANGGUNG POINT POINT
RANGKAP
JAWAB VARIABEL
TUGAS
JENIS MASA PROGRAM KETENAGA ( % Pembagian
NO NAMA JABATAN PDDK AN Kolom 4 dibagi PESERTA DENGAN PESERTA
Kolom 3 )
JMLH HARI JUMLAH
( Prkalian
( = Kolom JASA PELAYANAN ( Kolom 9 dikali kolom 10
KETENAGAAN KERJA MASUK KERJA HARI KERJA ADMINIS Kolom 8 kali
1+2+5+6) ( 40% ) dibagi jumlah kolom 9 )
Kolom 7)
1 2 3 4 5 6 7 8 9 10 11
1 drg. WAHYU WINDA, M.Si Kepala Puskesmas S II 150 10 25 24 100 0 260 96% 250 3,316,680 398,576
2 SURYADI, S.KM KTU S1 80 15 25 21 30 0 125 84% 105 3,316,680 167,670
3 Hj. NURLIAN, SST Bidan/ Promkes D IV 80 20 25 15 0 10 110 60% 66 3,316,680 105,393
4 MIKAMILIN, AMK Perawat/ P2P D III 60 10 25 20 0 10 80 80% 64 3,316,680 102,199
5 FARIDAH, Amd.Keb Bidan/ Kapustu D III 60 10 25 25 0 0 70 100% 70 3,316,680 111,780
6 RAJA GHAITSAH, Amd.Keb, SKM Bendahara SI 80 5 25 23 50 0 135 92% 124 3,316,680 198,330
7 TARI HANISAH, Amd.Keb Bidan D III 60 10 25 25 0 0 70 100% 70 3,316,680 111,780
8 HOT MARLINDA SILABAN, AMK Perawat D III 60 0 25 22 0 0 60 88% 53 3,316,680 84,314
9 Ns.NELLY MARTINI, S.Kep Perawat SI 100 5 25 24 0 0 105 96% 101 3,316,680 160,964
10 EMILDA FITRI, Amd.Keb, SKM Sarjana Kesehatan SI 80 5 25 13 0 0 85 52% 44 3,316,680 70,581
11 H. JUMRI Administrasi SMA 25 25 25 25 0 0 50 100% 50 3,316,680 79,843
12 MASYITAH.B, S.Tr.Keb Bidan/Bendahara D IV 80 0 25 22 50 0 130 88% 114 3,316,680 182,681
13 FITRIA AYUNINGTYAS, Amd.Keb Bidan/Kesling D III 60 0 25 23 0 10 70 92% 64 3,316,680 102,838
14 NOVALIA ROZA Perawat Non STR SPK 25 5 25 20 0 0 30 80% 24 3,316,680 38,325
15 MONICA YULIA HIDAYAD, SKM Penyuluh Kesehatan SI 80 0 25 25 0 0 80 100% 80 3,316,680 127,749
16 TAUFIKURRAHMAN, AMK Perawat D III 60 5 25 22 0 0 65 88% 57 3,316,680 91,340
17 FITRIA SARI ANLIMIA DEWI, SE Administrasi SI 50 5 25 22 0 0 55 88% 48 3,316,680 77,288
18 RINA SYAPUTRI, Amd.Keb Bidan D III 60 5 25 23 0 0 65 92% 60 3,316,680 95,492
19 AZLINA MARDESI YANTI, S.Tr.Keb Bidan DIV 80 5 25 21 0 0 85 84% 71 3,316,680 114,016
20 FITRA HAYATI, Amd.Keb Bidan D III 60 5 25 25 0 0 65 100% 65 3,316,680 103,796
21 FICALIA ROZA, Amd.Keb Bidan Non STR D III 50 5 25 22 0 0 55 88% 48 3,316,680 77,288
22 MUSTAFA Satpam SMA 25 0 25 24 0 0 25 96% 24 3,316,680 38,325
23 RINDU AFRITA, Amd.Keb Bidan D III 60 0 25 25 0 0 60 100% 60 3,316,680 95,812
24 ROSITA Cleaning Service SMA 25 0 25 25 0 0 25 100% 25 3,316,680 39,922
25 JUNAIDAH Cleaning Service SMA 25 0 25 25 0 0 25 100% 25 3,316,680 39,922
26 HAYATI, SE Pembantu Keuangan SI 50 0 25 24 0 50 100 96% 96 3,316,680 153,299
27 MUHAMMAD RIDWAN Petugas SIK SMA 25 0 25 22 0 0 25 88% 22 3,316,680 35,131
28 ARI ANGGARA Satpam SMA 25 0 25 25 0 0 25 100% 25 3,316,680 39,922
29 WINARNI HHM, S.Kep Perawat SI 80 0 25 19 0 0 80 76% 61 3,316,680 97,089
30 KARMILA, Amd.Keb Bidan D III 60 0 25 24 0 0 60 96% 58 3,316,680 91,979
31 RANI FITRIYANI, SE Pembantu Keuangan SI 50 0 25 3 0 50 100 12% 12 3,316,680 19,162
32 YUHANIZU, ST Administrasi SI 50 0 25 20 0 0 50 80% 40 3,316,680 63,874
TOTAL 2077 3,316,680 3,316,680

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 PEMBAGIAN JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD UPT PUSKESMAS TEMBILAHAN KOTA
BULAN FEBRUARI 2020
b. Pemberi Layanan Tidak Langsung

PERSENTAS JUMLAH
E TOTAL PENERIMAAN KAPITASI JASA PELAYANAN YANG
JUMLAH SELURUH
KEHADIRAN POINT KEHADIRAN POINT
DENGAN JUMLAH DITERIMA
TANGGUNG
RANGKA VARIABE
JAWAB (%
P TUGAS L
JENIS MASA PROGRAM
NO NAMA JABATAN PDDK KETENAG Pembagian
AAN Kolom 4 PESERTA DENGAN PESERTA
dibagi Kolom
JMLH HARI JUMLAH 3)
( Prkalian
( = Kolom JASA PELAYANAN ( Kolom 9 dikali kolom 10
KETENAGAAN KERJA MASUK KERJAHARI KERJA ADMINIS Kolom 8 kali
1+2+5+6) ( 40 % ) dibagi jumlah kolom 9 )
Kolom 7)
1 2 3 4 5 6 7 8 9 10 11
1 drg. WAHYU WINDA, M.Si Kepala Puskesmas S II 150 10 25 23 100 0 260 92% 239 2,090,880 224,177
2 SURYADI, S.KM KTU S1 80 15 25 25 30 0 125 100% 125 2,090,880 117,149
3 Hj. NURLIAN, SST Bidan/ Promkes D IV 80 20 25 15 0 10 110 60% 66 2,090,880 61,855
4 MIKAMILIN, AMK Perawat/ P2P D III 60 10 25 25 0 10 80 100% 80 2,090,880 74,976
5 FARIDAH, Amd.Keb Bidan/ Kapustu D III 60 10 25 25 0 0 70 100% 70 2,090,880 65,604
6 RAJA GHAITSAH, Amd.Keb, SKM Bendahara SI 80 5 25 24 50 0 135 96% 130 2,090,880 121,460
7 TARI HANISAH, Amd.Keb Bidan D III 60 10 25 25 0 0 70 100% 70 2,090,880 65,604
8 HOT MARLINDA SILABAN, AMK Perawat D III 60 0 25 25 0 0 60 100% 60 2,090,880 56,232
9 Ns.NELLY MARTINI, S.Kep Perawat SI 100 5 25 24 0 0 105 96% 101 2,090,880 94,469
10 EMILDA FITRI, Amd.Keb, SKM Sarjana Kesehatan SI 80 5 25 21 0 0 85 84% 71 2,090,880 66,916
11 H. JUMRI Administrasi SMA 25 25 25 25 0 0 50 100% 50 2,090,880 46,860
12 MASYITAH.B, S.Tr.Keb Bidan/Bendahara D IV 80 0 25 23 50 0 130 92% 120 2,090,880 112,088
13 FITRIA AYUNINGTYAS, Amd.Keb Bidan/Kesling D III 60 0 25 23 0 10 70 92% 64 2,090,880 60,355
14 NOVALIA ROZA Perawat Non STR SPK 25 5 25 18 0 0 30 72% 22 2,090,880 20,243
15 MONICA YULIA HIDAYAD, SKM Penyuluh Kesehatan SI 80 0 25 22 0 0 80 88% 70 2,090,880 65,978
16 TAUFIKURRAHMAN, AMK Perawat D III 60 5 25 22 0 0 65 88% 57 2,090,880 53,608
17 FITRIA SARI ANLIMIA DEWI, SE Administrasi SI 50 5 25 21 0 0 55 84% 46 2,090,880 43,298
18 RINA SYAPUTRI, Amd.Keb Bidan D III 60 5 25 22 0 0 65 88% 57 2,090,880 53,608
19 AZLINA MARDESI YANTI, S.Tr.Keb Bidan DIV 80 5 25 15 0 0 85 60% 51 2,090,880 47,797
20 FITRA HAYATI, Amd.Keb Bidan D III 60 5 25 24 0 0 65 96% 62 2,090,880 58,481
21 FICALIA ROZA, Amd.Keb Bidan Non STR D III 50 5 25 22 0 0 55 88% 48 2,090,880 45,360
22 MUSTAFA Satpam SMA 25 0 25 23 0 0 25 92% 23 2,090,880 21,555
23 RINDU AFRITA, Amd.Keb Bidan D III 60 0 25 25 0 0 60 100% 60 2,090,880 56,232
24 ROSITA Cleaning Service SMA 25 0 25 25 0 0 25 100% 25 2,090,880 23,430
25 JUNAIDAH Cleaning Service SMA 25 0 25 25 0 0 25 100% 25 2,090,880 23,430
26 HAYATI, SE Pembantu Keuangan SI 50 0 25 22 0 50 100 88% 88 2,090,880 82,473
27 MUHAMMAD RIDWAN Petugas SIK SMA 25 0 25 21 0 0 25 84% 21 2,090,880 19,681
28 ARI ANGGARA Satpam SMA 25 0 25 25 0 0 25 100% 25 2,090,880 23,430
29 WINARNI HHM, S.Kep Perawat SI 80 0 25 22 0 0 80 88% 70 2,090,880 65,978
30 KARMILA, Amd.Keb Bidan D III 60 0 25 23 0 0 60 92% 55 2,090,880 51,733
31 RANI FITRIYANI, SE Pembantu Keuangan SI 50 0 25 20 0 50 100 80% 80 2,090,880 74,976
32 YUHANIZU, ST Administrasi SI 50 0 25 25 0 0 50 100% 50 2,090,880 46,860
33 ASTRI UTAMI, AMKL Kesling D III 60 0 25 20 0 0 60 80% 48 2,090,880 44,985
TOTAL 2231 2,090,880 2,090,880

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 PEMBAGIAN JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD UPT PUSKESMAS TEMBILAHAN KOTA
BULAN DESEMBER 2020

a. Pemberi Layanan Langsung

PERSENTASE JUMLAH PENERIMAAN JASA PELAYANAN
TOTAL KAPITASI YANG
SELURUH
JUMLAH KEHADIRAN POINT DENGAN JUMLAH DITERIMA
KEHADIRAN TANGGUN
RANGKAP G JAWAB POINT
TUGAS VARIABEL
PROGRAM KETENAGAAN
JENIS MASA ( % Pembagian
NO NAMA JABATAN PDDK PENDAPATAN Rp. PENDAPATAN Rp.
Kolom 4 dibagi 6.482.500 6.482.500
Kolom 3 )
JMLH HARI JUMLAH

( = Kolom ( Prkalian ( Kolom 9 dikali

KETENAGAAN KERJA MASUK KERJA HARI KERJA ADMINIS Kolom 8 kali JASA PELAYANAN kolom 10 dibagi
1+2+5+6) Kolom 7) ( 60 % ) jumlah kolom 9 )
1 2 3 4 5 6 7 8 9 10 11
1 SITI SYARAH, S.Tr.Keb Bidan D IV 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
2 drg. IIN INDRAWATI Dokter Gigi SI 150 5 22 21 0 10 165 95% 158 2,333,700 82,077
3 Hj. NURYANTI, Amd.Keb Bidan D III 60 25 22 11 0 0 85 50% 43 2,333,700 22,148
4 Hj. KASNAWATI Perawat SPK 50 5 22 22 0 0 55 100% 55 2,333,700 28,662
5 Hj. DARMAWATI, Amd.Keb Bidan D III 60 5 22 22 0 0 65 100% 65 2,333,700 33,873
6 SILVIA ADELINA, S.Tr.Keb Bidan D IV 80 5 22 22 0 0 85 100% 85 2,333,700 44,296
7 ROSA HANDAYANI, SST Bidan / SDIDTK D IV 80 15 22 21 0 10 105 95% 100 2,333,700 52,231
8 NOVITAYANTI, SST Bidan / Bikor D IV 80 15 22 20 0 10 105 91% 95 2,333,700 49,744
9 SELI JUNAIDA, SST Bidan D IV 80 5 22 19 0 0 85 86% 73 2,333,700 38,255
10 dr. RIKA OCTHAVIA Dokter Umum SI 150 0 22 22 30 0 180 100% 180 2,333,700 93,803
11 dr. DWI LESTARI WAHYUNI Dokter Umum SI 150 5 22 18 0 10 165 82% 135 2,333,700 70,352
12 ELLY MARLINA, AMKG Perawat Gigi D III 60 20 22 22 0 10 90 100% 90 2,333,700 46,901
13 SRI DAYANA Analis DIII 60 15 22 22 0 0 75 100% 75 2,333,700 39,085
14 Hj. NANA HAZLIANA, Amd. Kep Perawat D III 60 10 22 19 0 0 70 86% 60 2,333,700 31,504
15 NURASIA N, AMK Perawat D III 60 5 22 10 0 0 65 45% 30 2,333,700 15,397
16 HERNAWATI, AMAF Apoteker D III 60 10 22 22 0 0 70 100% 70 2,333,700 36,479
17 RITA PARINA, AMK Perawat D III 60 10 22 22 0 0 70 100% 70 2,333,700 36,479
18 SITI JUMIATI KASIM,Amd.Keb Bidan D III 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
19 JUFRINAWATI, Amd.Kep Perawat D III 60 10 22 22 0 0 70 100% 70 2,333,700 36,479
20 ELLY YUSNITA, AMAF Apoteker D III 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
21 EVA NUFITA, AMK Perawat/ Usila D III 60 15 22 22 0 0 75 100% 75 2,333,700 39,085
22 SUHARTI, Amd.Keb Bidan D III 60 5 22 19 0 10 75 86% 65 2,333,700 33,755
23 MELDAWATI, AMK Perawat D III 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
24 MELIA TRISTANIA, Amd.Keb Bidan/Mtbs/mtbm D III 60 10 22 11 0 0 70 50% 35 2,333,700 18,239
25 WIWIK ROFIQAH J, Amd.Keb Bidan D III 60 5 22 19 0 0 65 86% 56 2,333,700 29,254
26 MEILENY GUSTINA, Amd.Keb Bidan D IV 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
27 WINDA AGUSTINA, AMK Perawat DIII 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
28 NORYETTI, Amd.Keb Bidan D III 60 0 22 19 0 10 70 86% 60 2,333,700 31,504
29 NOVIANI, AMAK Analis D III 60 5 22 22 0 0 65 100% 65 2,333,700 33,873
30 Ns. DEVI SUSANTI, S.Kep Perawat SI 100 0 22 22 0 0 100 100% 100 2,333,700 52,113
31 EMILIANI,S.Tr,Keb Bidan DIV 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
32 SAFRIDA, Amd.Keb Bidan D III 60 15 22 19 0 0 75 86% 65 2,333,700 33,755
33 HENI ERNAWATI, S.Tr.Keb Bidan/ KB D IV 80 5 22 21 0 10 95 95% 91 2,333,700 47,257
34 Ns.LELI ERVINA HARAHAP, S.Kep Perawat SI 100 5 22 22 0 0 105 100% 105 2,333,700 54,718
35 GUSMI PURWANTI, AMKG Perawat Gigi D III 60 0 22 22 0 10 70 100% 70 2,333,700 36,479
36 HUZAIPAH, A.Md.PK Rekan medik D III 60 5 22 22 0 0 65 100% 65 2,333,700 33,873
37 NINA TRIYANI Analis DIII 60 10 22 22 0 0 70 100% 70 2,333,700 36,479
38 FIVE INDAH LESTARI, AMK Perawat D III 60 10 22 18 0 0 70 82% 57 2,333,700 29,846
39 RIRIN PRAMAWATI, Amd.Keb Bidan D III 60 0 22 18 0 0 60 82% 49 2,333,700 25,583
40 MARUDDANIATY PUTRI MAS, Amd.Keb Bidan D III 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
41 GITA FITRIANI, Amd.Keb Bidan D III 60 0 22 22 0 10 70 100% 70 2,333,700 36,479
42 ZAERLY NOVIVIANTI, Amd.Keb Bidan D III 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
43 LOVITA Perawat Gigi SPRG 50 10 22 21 0 0 60 95% 57 2,333,700 29,846
44 SUNARTI, Amd.Keb Bidan D III 60 5 22 21 0 0 65 95% 62 2,333,700 32,334
45 NAIMAH SHADIQ, SST Bidan DIV 80 5 22 13 0 0 85 59% 50 2,333,700 26,175
46 Ns. RIFKY ANANDA, S.Kep Profesi Perawat Ners 100 5 22 22 0 0 105 100% 105 2,333,700 54,718
47 NURHIDAYAH, S.Tr.Keb Bidan DIV 80 5 22 22 0 0 85 100% 85 2,333,700 44,296
48 Ns. RINI MARDIANA, S.Kep Profesi perawat Ners 100 0 22 22 0 0 100 100% 100 2,333,700 52,113
49 EKA YULIANA, S.Tr.Keb Bidan D IV 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
50 Ns. YUNITA RAHAYU, S.Kep Profesi Perawat Ners 100 0 22 22 0 0 100 100% 100 2,333,700 52,113
51 dr. MUHAMMAD NICO DARIYANTO Dokter Umum SI 150 0 22 22 0 0 150 100% 150 2,333,700 78,169
52 ANTI JULINAWATI, SKM Penyuluh Kesehatan SI 80 0 22 21 0 10 90 95% 86 2,333,700 44,770
53 Ns. DEWI AFRINA, S.Kep Profesi Perawat Ners 100 0 22 22 0 0 100 100% 100 2,333,700 52,113
54 FITRIYANI, SKM Penyuluh Kesehatan SI 80 0 22 18 0 0 80 82% 65 2,333,700 34,110
55 Ns. OKTARIANA HARMA, S.Kep Profesi Perawat Ners 100 0 22 22 0 0 100 100% 100 2,333,700 52,113
56 SITI AISYAH,Amd Kep Perawat D III 60 0 22 22 0 0 60 100% 60 2,333,700 31,268
57 FADLI Supir SMA 25 0 22 22 0 0 25 100% 25 2,333,700 13,028
58 MASLENA, Amd. Keb, SKM Bidan S1 80 0 22 22 0 0 80 100% 80 2,333,700 41,690
TOTAL 4478 2,333,700 2,333,700

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

 dr. Hj. DWI AGUSTINA FAJARWATI
NIP. 19800822 200903 2 003

b. Pemberi Layanan Tidak Langsung

PERSENTASE JUMLAH PENERIMAAN JASA PELAYANAN
TOTAL KAPITASI YANG
JUMLAH SELURUH
RANGKAP TANGGUN POINT KEHADIRAN
POINT
DENGAN JUMLAH DITERIMA
KEHADIRAN TUGAS G JAWAB VARIABEL
JENIS MASA PROGRAM KETENAGAAN
NO NAMA JABATAN PDDK PENDAPATAN Rp. PENDAPATAN Rp.
( % Pembagian ( Perkalian 6.482.500 6.482.500
JMLH HARI JUMLAH
Kolom 4 dibagi Kolom 8 kali
( = Kolom Kolom 3 ) Kolom 7) ( Kolom 9 dikali
JASA PELAYANAN kolom
KETENAGAAN KERJA MASUK KERJA HARI KERJA ADMINIS 10 dibagi
1+2+5+6) ( 40 % ) jumlah kolom 9 )
1 2 3 4 5 6 7 8 9 10 11
1 dr. Hj. DWI AGUSTINA FAJARWATI Kepala Puskesmas SI 150 0 22 22 100 0 250 100% 250 1,555,800 160,212
2 SURYADI, S.KM KTU S1 80 15 22 22 30 0 125 100% 125 1,555,800 80,106
3 Hj. NURLIAN, SST Bidan/ Promkes D IV 80 20 22 19 0 10 110 86% 95 1,555,800 60,880
4 MIKAMILIN, AMK Perawat/ P2P D III 60 10 22 22 0 10 80 100% 80 1,555,800 51,268
5 FARIDAH, Amd.Keb Bidan/ Kapustu D III 60 10 22 22 0 0 70 100% 70 1,555,800 44,859
6 RAJA GHAITSAH, Amd.Keb, SKM Bendahara SI 80 5 22 22 50 0 135 100% 135 1,555,800 86,514
7 TARI HANISAH, Amd.Keb Bidan D III 60 10 22 22 0 0 70 100% 70 1,555,800 44,859
8 JUFRAHA YENTI, Amd.Keb Bidan D III 60 0 22 22 0 0 60 100% 60 1,555,800 38,451
9 HOT MARLINDA SILABAN, AMK Perawat D III 60 0 22 10 0 0 60 45% 27 1,555,800 17,478
10 Ns.NELLY MARTINI, S.Kep Perawat SI 100 5 22 21 0 0 105 95% 100 1,555,800 64,230
11 H. JUMRI Administrasi SMA 25 25 22 22 0 0 50 100% 50 1,555,800 32,042
12 MASYITAH.B, S.Tr.Keb Bidan/Bendahara D IV 80 0 22 22 50 0 130 100% 130 1,555,800 83,310
13 FITRIA AYUNINGTYAS, Amd.Keb Bidan D IV 80 0 22 19 0 0 80 86% 69 1,555,800 44,277
14 NOVALIA ROZA Perawat SPK 25 5 22 19 0 0 30 86% 26 1,555,800 16,604
15 MONICA YULIA HIDAYAD, SKM Penyuluh Kesehatan SI 80 0 22 21 0 0 80 95% 76 1,555,800 48,937
16 TAUFIKURRAHMAN, AMK Perawat D III 60 5 22 22 0 0 65 100% 65 1,555,800 41,655
17 FITRIA SARI ANLIMIA DEWI, SE Administrasi SI 25 5 22 22 0 0 30 100% 30 1,555,800 19,225
18 RINA SYAPUTRI, Amd.Keb Bidan D III 60 5 22 20 0 0 65 91% 59 1,555,800 37,868
19 AZLINA MARDESI YANTI, S.Tr.Keb Bidan DIV 80 5 22 17 0 0 85 77% 66 1,555,800 42,092
20 FITRA HAYATI, Amd.Keb Bidan D III 60 5 22 22 0 0 65 100% 65 1,555,800 41,655
21 FICALIA ROZA, Amd.Keb Bidan D III 60 5 22 22 0 0 65 100% 65 1,555,800 41,655
22 MUSTAFA Satpam SMA 25 0 22 22 0 0 25 100% 25 1,555,800 16,021
23 RINDU AFRITA, Amd.Keb Bidan D III 60 0 22 22 0 0 60 100% 60 1,555,800 38,451
24 ROSITA Cleaning Service SMA 25 0 22 22 0 0 25 100% 25 1,555,800 16,021
25 JUNAIDAH Cleaning Service SMA 25 0 22 22 0 0 25 100% 25 1,555,800 16,021
26 HAYATI, SE Pembantu Keuangan SI 50 0 22 22 0 50 100 100% 100 1,555,800 64,085
27 MUHAMMAD RIDWAN Petugas SIK SMA 25 0 22 22 0 0 25 100% 25 1,555,800 16,021
28 ARI ANGGARA Satpam SMA 25 0 22 22 0 0 25 100% 25 1,555,800 16,021
29 WINARNI HHM, S.Kep Perawat SI 80 0 22 19 0 0 80 86% 69 1,555,800 44,277
30 KARMILA, Amd.Keb Bidan D III 60 0 22 22 0 0 60 100% 60 1,555,800 38,451
31 RANI FITRIYANI, SE Pembantu Keuangan SI 50 0 22 22 0 50 100 100% 100 1,555,800 64,085
32 YUHANIZU, ST Administrasi SI 50 0 22 22 0 0 50 100% 50 1,555,800 32,042
33 ASTRI UTAMI, AMKL Kesling D III 60 0 22 22 0 10 70 100% 70 1,555,800 44,859
34 ARISTA ARUM PRATIWI,S.Tr Keb Bidan DIV 80 0 22 22 0 0 80 100% 80 1,555,800 51,268
TOTAL 2428 1,555,800 1,555,800

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
Pendapatan 6,482,500
Jasa 3,889,500
Langsung 2,333,700
Tidak Langsung 1,555,800
47 org

hj. Petty
abbas
dika
sanah
david
ravie
dio
rama
dandi
evi
nonik
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN JANUARI 2020

a. Pemberi Layanan Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN JANUARI 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 SITI SYARAH, S.Tr.Keb D IV 80 IV/a 98,151 14,723 83,428 1……………

2 drg. IIN INDRAWATI SI 150 IV/a 229,673 34,451 195,222 2…………….....

3 Hj. NURYANTI, Amd.Keb D III 60 III/d 79,257 3,963 75,294 3……………

4 Hj. KASNAWATI SPK 50 III/d 62,080 3,104 58,976 4…….....………

5 Hj. DARMAWATI, Amd.Keb D III 60 III/d 63,798 3,190 60,608 5…………….....

6 SYURIA DARMA, AMK D III 60 III/d 82,447 4,122 78,324 6.....……………

7 SILVIA ADELINA, S.Tr.Keb D IV 80 III/d 94,225 4,711 89,514 7…………….....

8 ROSA HANDAYANI, SST D IV 80 III/d 74,595 3,730 70,865 8.....……………

9 NOVITAYANTI, SST D IV 80 III/d 82,447 4,122 78,324 9…………….....

10 SELI JUNAIDA, SST D IV 80 III/d 95,942 4,797 91,145 10…....…………

11 dr. RIKA OCTHAVIA SI 150 III/d 184,033 9,202 174,831 11……………

12 dr. DWI LESTARI WAHYUNI SI 150 III/d 121,462 6,073 115,389 12….......………

13 ELLY MARLINA, AMKG D III 60 III/c 110,420 5,521 104,899 13…………….....

14 SRI DAYANA SMAK 25 III/c 42,941 2,147 40,794 14 ………….....

15 Hj. NANA HAZLIANA, Amd. Kep D III 60 III/c 72,141 3,607 68,534 15…………….....

16 NURASIA N, AMK D III 60 III/c 73,368 3,668 69,699 16...……………

17 HERNAWATI, AMAF D III 60 III/c 117,781 5,889 111,892 17……………

18 RITA PARINA, AMK D III 60 III/c 37,788 1,889 35,899 18…………….....

19 LANNAIDA SIHITE SPAG 50 III/b 55,210 2,760 52,449 19…………….....

20 JUFRAHA YENTI, Amd.Keb D III 60 III/b 67,724 3,386 64,338 20….....…………

21 SITI JUMIATI KASIM,Amd.Keb D III 60 III/b 73,613 3,681 69,932 21…………….....

22 JUFRINAWATI, Amd.Kep D III 50 III/b 56,682 2,834 53,848 22….....…………

23 ELLY YUSNITA, AMAF D III 60 III/b 55,946 2,797 53,149 23……………

24 EVA NUFITA, AMK D III 60 III/b 91,771 4,589 87,182 24…………….....
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN FEBRUARI 2020
b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN FEBRUARI 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 drg. WAHYU WINDA, M.Si S II 150 IV/a 224,177 33,627 190,550 1……………

2 SURYADI, S.KM S1 80 III/c 117,149 5,857 111,292 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 61,855 3,093 58,762 3……………

5 MIKAMILIN, AMK D III 60 III/c 74,976 3,749 71,227 5…………….....

7 FARIDAH, Amd.Keb D III 60 III/c 65,604 3,280 62,323 7…………….....

8 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 121,460 6,073 115,387 8.....……………

10 TARI HANISAH, Amd.Keb D III 60 III/c 65,604 3,280 62,323 10…....…………

11 HOT MARLINDA SILABAN, AMK D III 60 III/c 56,232 2,812 53,420 11……………

12 Ns.NELLY MARTINI, S.Kep SI 100 III/b 94,469 4,723 89,746 12….......………

13 EMILDA FITRI, Amd.Keb, SKM SI 80 III/b 66,916 3,346 63,570 13…………….....

15 H. JUMRI SMA 25 III/a 46,860 2,343 44,517 15……………

16 MASYITAH.B, S.Tr.Keb D IV 80 III/a 112,088 5,604 106,484 16…………….....

17 FITRIA AYUNINGTYAS, Amd.Keb D III 60 II/d 60,355 - 60,355 17……………

18 NOVALIA ROZA SPK 25 II/a 20,243 - 20,243 18…………….....

19 MONICA YULIA HIDAYAD, SKM SI 80 - 65,978 - 65,978 19…………….....

20 TAUFIKURRAHMAN, AMK D III 60 - 53,608 - 53,608 20….....…………

21 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 43,298 - 43,298 21…………….....

22 RINA SYAPUTRI, Amd.Keb D III 60 - 53,608 - 53,608 22….....…………

23 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 47,797 - 47,797 23……………

24 FITRA HAYATI, Amd.Keb D III 60 - 58,481 - 58,481 24…………….....

25 FICALIA ROZA, Amd.Keb D III 50 - 45,360 - 45,360 25……………

27 MUSTAFA SMA 25 - 21,555 - 21,555 27……………

29 RINDU AFRITA, Amd.Keb D III 60 - 56,232 - 56,232 29…………….....

30 ROSITA SMA 25 - 23,430 - 23,430 30......……………

31 JUNAIDAH SMA 25 - 23,430 - 23,430 31…………….....

32 HAYATI, SE SI 50 - 82,473 - 82,473 32......……………

33 MUHAMMAD RIDWAN SMA 25 - 19,681 - 19,681 33…………….....

34 ARI ANGGARA SMA 25 - 23,430 - 23,430 34......……………

35 WINARNI HHM, S.Kep SI 80 - 65,978 - 65,978 35……………

37 KARMILA, Amd.Keb D III 60 - 51,733 - 51,733 37……………

38 RANI FITRIYANI, SE SI 50 - 74,976 - 74,976 38…………….....

40 YUHANIZU, ST SI 50 - 46,860 - 46,860 40…………….....

41 ASTRI UTAMI, AMKL D III 60 - 44,985 - 44,985 41……………

TOTAL 2,090,880 77,787 2,013,093

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN MARET 2020
b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN MARET 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 drg. WAHYU WINDA, M.Si S II 150 IV/a 105,282 15,792 89,490 1……………

2 SURYADI, S.KM S1 80 III/c 50,616 2,531 48,086 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 44,543 2,227 42,315 3……………

4 MIKAMILIN, AMK D III 60 III/c 32,395 1,620 30,775 4…….....………

5 FARIDAH, Amd.Keb D III 60 III/c 28,345 1,417 26,928 5…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 54,666 2,733 51,933 6.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/c 28,345 1,417 26,928 7…………….....

8 HOT MARLINDA SILABAN, AMK D III 60 III/c 24,296 1,215 23,081 8.....……………

9 Ns.NELLY MARTINI, S.Kep SI 100 III/b 42,518 2,126 40,392 9…………….....

10 EMILDA FITRI, Amd.Keb, SKM SI 80 III/b 34,419 1,721 32,698 10…....…………

11 H. JUMRI SMA 25 III/a 20,247 1,012 19,234 11……………

12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 52,641 2,632 50,009 12….......………

13 FITRIA AYUNINGTYAS, Amd.Keb D III 60 II/d 28,345 - 28,345 13…………….....

14 NOVALIA ROZA SPK 25 II/a 12,148 - 12,148 14 ………….....

15 MONICA YULIA HIDAYAD, SKM SI 80 - 32,395 - 32,395 15…………….....

16 TAUFIKURRAHMAN, AMK D III 60 - 26,321 - 26,321 16...……………

17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 22,271 - 22,271 17……………

18 RINA SYAPUTRI, Amd.Keb D III 60 - 26,321 - 26,321 18…………….....

19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 34,419 - 34,419 19…………….....

20 FITRA HAYATI, Amd.Keb D III 60 - 26,321 - 26,321 20….....…………

21 FICALIA ROZA, Amd.Keb D III 50 - 22,271 - 22,271 21…………….....

22 MUSTAFA SMA 25 - 10,123 - 10,123 22….....…………

23 RINDU AFRITA, Amd.Keb D III 60 - 24,296 - 24,296 23……………

24 ROSITA SMA 25 - 10,123 - 10,123 24…………….....

25 JUNAIDAH SMA 25 - 10,123 - 10,123 25……………

26 HAYATI, SE SI 50 - 40,493 - 40,493 26…………….....

27 MUHAMMAD RIDWAN SMA 25 - 10,123 - 10,123 27……………

28 ARI ANGGARA SMA 25 - 10,123 - 10,123 28…………….....

29 WINARNI HHM, S.Kep SI 80 - 32,395 - 32,395 29…………….....

30 KARMILA, Amd.Keb D III 60 - - - - 30......……………

31 RANI FITRIYANI, SE SI 50 - 40,493 - 40,493 31…………….....

32 YUHANIZU, ST SI 50 - 20,247 - 20,247 32......……………

33 ASTRI UTAMI, AMKL D III 60 - 24,296 - 24,296 33…………….....

TOTAL 981,960 36,444 945,516

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN MARET 2020
b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENA JASA BULAN
NO NAMA DIDI GOL PPh Pasal 21 TANDA TANGAN
GAAN MARET 2020 DITERIMA (Rp)
KAN
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 172,059 25,809 146,250 1……………

2 SURYADI, S.KM S1 80 III/c 86,029 4,301 81,728 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 65,612 3,281 62,331 3……………

4 MIKAMILIN, AMK D III 60 III/c 55,059 2,753 52,306 5…………….....

5 FARIDAH, Amd.Keb D III 60 III/c 48,176 2,409 45,768 7…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 92,912 4,646 88,266 8.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/b 48,176 2,409 45,768 10…....…………

8 HOT MARLINDA SILABAN, AMK D III 60 III/c 33,035 1,652 31,384 11……………

9 Ns.NELLY MARTINI, S.Kep SI 100 III/b 72,265 3,613 68,651 12….......………

10 EMILDA FITRI, Amd.Keb, SKM SI 80 III/b 54,600 2,730 51,870 13…………….....

11 H. JUMRI SMA 25 III/a 34,412 1,721 32,691 15…………….....

12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 89,471 4,474 84,997 16...……………

13 FITRIA AYUNINGTYAS, Amd.Keb D III 60 II/d 44,965 - 44,965 17……………

14 NOVALIA ROZA SPK 25 II/a 11,012 - 11,012 18…………….....

15 MONICA YULIA HIDAYAD, SKM SI 80 - 55,059 - 55,059 19…………….....

16 TAUFIKURRAHMAN, AMK D III 60 - 44,735 - 44,735 20….....…………

17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 37,853 - 37,853 21…………….....

18 RINA SYAPUTRI, Amd.Keb D III 60 - 44,735 - 44,735 22….....…………

19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 58,500 - 58,500 23……………

20 FITRA HAYATI, Amd.Keb D III 60 - 44,735 - 44,735 24…………….....

21 FICALIA ROZA, Amd.Keb D III 50 - 37,853 - 37,853 25……………

22 MUSTAFA SMA 25 - 17,206 - 17,206 27……………

23 SANTI YUSEFA, Amd.Keb D III 60 - 41,294 - 41,294 28…………….....

24 RINDU AFRITA, Amd.Keb D III 60 - 41,294 - 41,294 29…………….....

25 ROSITA SMA 25 - 17,206 - 17,206 30......……………

26 JUNAIDAH SMA 25 - 17,206 - 17,206 31…………….....

27 HAYATI, SE SI 50 - 68,824 - 68,824 32......……………

28 MUHAMMAD RIDWAN SMA 25 - 17,206 - 17,206 33…………….....

29 ARI ANGGARA SMA 25 - 17,206 - 17,206 34......……………

30 WINARNI HHM, S.Kep SI 80 - 55,059 - 55,059 35……………

31 KARMILA, Amd.Keb D III 60 - 16,518 - 16,518 37……………

32 RANI FITRIYANI, SE SI 50 - 68,824 - 68,824 38…………….....

33 YUHANIZU, ST SI 50 - 34,412 - 34,412 40…………….....

34 ASTRI UTAMI, AMKL D III 60 - 41,294 - 41,294 41……………

TOTAL 1,684,800 59,796 1,625,004

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN APRIL 2020
b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN APRIL 2020 Pasal 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 84,377 12,657 71,721 1……………

2 SURYADI, S.KM S1 80 III/c 42,189 2,109 40,079 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 35,641 1,782 33,859 3……………

5 MIKAMILIN, AMK D III 60 III/c 27,001 1,350 25,651 5…………….....

7 FARIDAH, Amd.Keb D III 60 III/c 23,626 1,181 22,444 7…………….....

8 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 43,741 2,187 41,554 8.....……………

10 TARI HANISAH, Amd.Keb D III 60 III/c 23,626 1,181 22,444 10…....…………

11 HOT MARLINDA SILABAN, AMK D III 60 III/c 20,251 1,013 19,238 11……………

12 Ns.NELLY MARTINI, S.Kep SI 100 III/b 35,439 1,772 33,667 12….......………

14 H. JUMRI SMA 25 III/a 16,875 844 16,032 14 ………….....

15 MASYITAH.B, S.Tr.Keb D IV 80 III/a 43,876 2,194 41,682 15……………

16 FITRIA AYUNINGTYAS, Amd.Keb D III 60 II/d 20,251 - 20,251 16…………….....

17 NOVALIA ROZA SPK 25 II/a 10,125 - 10,125 17……………

18 MONICA YULIA HIDAYAD, SKM SI 80 - 27,001 - 27,001 18…………….....

19 TAUFIKURRAHMAN, AMK D III 60 - 21,938 - 21,938 19…………….....

20 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 18,563 - 18,563 20….....…………

21 RINA SYAPUTRI, Amd.Keb D III 60 - 21,938 - 21,938 21…………….....

22 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 28,688 - 28,688 22….....…………

23 FITRA HAYATI, Amd.Keb D III 60 - 21,938 - 21,938 23……………

24 FICALIA ROZA, Amd.Keb D III 50 - 18,563 - 18,563 24…………….....

26 MUSTAFA SMA 25 - 8,438 - 8,438 26…………….....

28 RINDU AFRITA, Amd.Keb D III 60 - 20,251 - 20,251 28…………….....

29 ROSITA SMA 25 - 8,438 - 8,438 29…………….....

30 JUNAIDAH SMA 25 - 8,438 - 8,438 30......……………

31 HAYATI, SE SI 50 - 33,751 - 33,751 31…………….....

32 MUHAMMAD RIDWAN SMA 25 - 8,438 - 8,438 32......……………

33 ARI ANGGARA SMA 25 - 8,438 - 8,438 33…………….....

34 WINARNI HHM, S.Kep SI 80 - 27,001 - 27,001 34......……………

36 KARMILA, Amd.Keb D III 60 - 8,100 - 8,100 36…………….....

37 RANI FITRIYANI, SE SI 50 - 32,401 - 32,401 37……………

39 YUHANIZU, ST SI 50 - 16,875 - 16,875 39……………

40 ASTRI UTAMI, AMKL D III 60 - 23,626 - 23,626 40…………….....

TOTAL 789,840 28,270 761,570

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN MEI 2020
b. Pemberi Layanan Tidak Langsung

PEN JASA JUMLAH

KETENAG PPh
NO NAMA DIDI GOL BULAN MEI DITERIMA TANDA TANGAN
AAN Pasal 21
KAN 2020 (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 38,714 5,807 32,907 1……………

2 SURYADI, S.KM S1 80 III/c 19,357 968 18,389 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 16,353 818 15,535 3……………

4 MIKAMILIN, AMK D III 60 III/c 12,388 619 11,769 5…………….....

5 FARIDAH, Amd.Keb D III 60 III/c 10,840 542 10,298 7…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 20,069 1,003 19,066 8.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/c 10,840 542 10,298 10…....…………

8 HOT MARLINDA SILABAN, AMK D III 60 III/c 9,291 465 8,827 11……………

9 Ns.NELLY MARTINI, S.Kep SI 100 III/b 16,260 813 15,447 12….......………

10 H. JUMRI SMA 25 III/a 7,743 387 7,356 14 ………….....

11 MASYITAH.B, S.Tr.Keb D IV 80 III/a 20,131 1,007 19,125 15……………

12 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 12,388 619 11,769 16…………….....

13 NOVALIA ROZA SPK 25 II/a 8,517 - 8,517 17……………

14 MONICA YULIA HIDAYAD, SKM SI 80 - 12,388 - 12,388 18…………….....

15 TAUFIKURRAHMAN, AMK D III 60 - 10,066 - 10,066 19…………….....

16 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 8,517 - 8,517 20….....…………

17 RINA SYAPUTRI, Amd.Keb D III 60 - 10,066 - 10,066 21…………….....

18 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 13,163 - 13,163 22….....…………

19 FITRA HAYATI, Amd.Keb D III 60 - 10,066 - 10,066 23……………

20 FICALIA ROZA, Amd.Keb D III 50 - 8,517 - 8,517 24…………….....

21 MUSTAFA SMA 25 - 3,871 - 3,871 26…………….....

22 RINDU AFRITA, Amd.Keb D III 60 - 9,291 - 9,291 28…………….....

23 ROSITA SMA 25 - 3,871 - 3,871 29…………….....

24 JUNAIDAH SMA 25 - 3,871 - 3,871 30......……………

25 HAYATI, SE SI 50 - 15,485 - 15,485 31…………….....

26 MUHAMMAD RIDWAN SMA 25 - 3,871 - 3,871 32......……………

27 ARI ANGGARA SMA 25 - 3,871 - 3,871 33…………….....

28 DESMARINI, AMK D III 60 - 12,388 - 12,388 35……………

29 KARMILA, Amd.Keb D III 60 - 3,717 - 3,717 36…………….....

30 RANI FITRIYANI, SE SI 50 - 14,866 - 14,866 37……………

31 YUHANIZU, ST SI 50 - 7,743 - 7,743 39……………

32 ASTRI UTAMI, AMKL D III 60 - 10,840 - 10,840 40…………….....

TOTAL 369,360 13,590 355,770

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN JUNI 2020
b. Pemberi Layanan Tidak Langsung

PEN JASA JUMLAH

KETENAG PPh Pasal
NO NAMA DIDI GOL BULAN DITERIMA TANDA TANGAN
AAN 21
KAN JUNI 2020 (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 92,267 13,840 78,427 1……………

2 SURYADI, S.KM S1 80 III/c 46,133 2,307 43,827 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 37,350 1,867 35,482 3……………

5 MIKAMILIN, AMK D III 60 III/c 29,525 1,476 28,049 5…………….....

7 FARIDAH, Amd.Keb D III 60 III/c 25,835 1,292 24,543 7…………….....

8 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 45,838 2,292 43,546 8.....……………

10 TARI HANISAH, Amd.Keb D III 60 III/c 25,835 1,292 24,543 10…....…………

11 HOT MARLINDA SILABAN, AMK D III 60 III/c 22,144 1,107 21,037 11……………

12 Ns.NELLY MARTINI, S.Kep SI 100 III/b 37,202 1,860 35,342 12….......………

14 H. JUMRI SMA 25 III/a 18,453 923 17,531 14 ………….....

15 MASYITAH.B, S.Tr.Keb D IV 80 III/a 47,979 2,399 45,580 15……………

16 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 29,525 1,476 28,049 16…………….....

17 NOVALIA ROZA SPK 25 II/a 11,072 - 11,072 17……………

18 MONICA YULIA HIDAYAD, SKM SI 80 - 21,258 - 21,258 18…………….....

19 TAUFIKURRAHMAN, AMK D III 60 - 23,989 - 23,989 19…………….....

20 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 20,299 - 20,299 20….....…………

21 RINA SYAPUTRI, Amd.Keb D III 60 - 23,989 - 23,989 21…………….....

22 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 31,371 - 31,371 22….....…………

23 FITRA HAYATI, Amd.Keb D III 60 - 23,989 - 23,989 23……………

24 FICALIA ROZA, Amd.Keb D III 50 - 20,299 - 20,299 24…………….....

26 MUSTAFA SMA 25 - 9,227 - 9,227 26…………….....

28 RINDU AFRITA, Amd.Keb D III 60 - 22,144 - 22,144 28…………….....

29 ROSITA SMA 25 - 9,227 - 9,227 29…………….....

30 JUNAIDAH SMA 25 - 9,227 - 9,227 30......……………

31 HAYATI, SE SI 50 - 36,907 - 36,907 31…………….....

32 MUHAMMAD RIDWAN SMA 25 - 9,227 - 9,227 32......……………

33 ARI ANGGARA SMA 25 - 9,227 - 9,227 33…………….....

34 WINARNI HHM, S.Kep SI 80 - 29,525 - 29,525 34......……………

36 KARMILA, Amd.Keb D III 60 - 8,858 - 8,858 36…………….....

37 RANI FITRIYANI, SE SI 50 - 35,431 - 35,431 37……………

39 YUHANIZU, ST SI 50 - 18,453 - 18,453 39……………

40 ASTRI UTAMI, AMKL D III 60 - 25,835 - 25,835 40…………….....

TOTAL 857,640 32,131 825,509

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN JULI 2020

b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN JULI 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 179,798 26,970 152,829 1……………

2 SURYADI, S.KM S1 80 III/c 89,899 4,495 85,404 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 73,026 3,651 69,375 3……………

4 MIKAMILIN, AMK D III 60 III/c 55,323 2,766 52,556 5…………….....

5 FARIDAH, Amd.Keb D III 60 III/c 50,344 2,517 47,826 7…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 97,091 4,855 92,237 8.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/c 50,344 2,517 47,826 10…....…………

8 HOT MARLINDA SILABAN, AMK D III 60 III/c 43,152 2,158 40,994 11……………

9 Ns.NELLY MARTINI, S.Kep SI 100 III/b 75,515 3,776 71,740 12….......………

10 H. JUMRI SMA 25 III/a 35,960 1,798 34,162 14 ………….....

11 MASYITAH.B, S.Tr.Keb D IV 80 III/a 79,111 3,956 75,156 15……………

12 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 50,897 2,545 48,352 16…………….....

13 NOVALIA ROZA SPK 25 II/a 21,576 - 21,576 17……………

14 MONICA YULIA HIDAYAD, SKM SI 80 - - - - 18…………….....

15 TAUFIKURRAHMAN, AMK D III 60 - 46,748 - 46,748 19…………….....

16 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 39,556 - 39,556 20….....…………

17 RINA SYAPUTRI, Amd.Keb D III 60 - 46,748 - 46,748 21…………….....

18 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 61,131 - 61,131 22….....…………

19 FITRA HAYATI, Amd.Keb D III 60 - 46,748 - 46,748 23……………

20 FICALIA ROZA, Amd.Keb D III 50 - 39,556 - 39,556 24…………….....

21 MUSTAFA SMA 25 - 17,980 - 17,980 26…………….....

22 RINDU AFRITA, Amd.Keb D III 60 - 43,152 - 43,152 28…………….....

23 ROSITA SMA 25 - 17,980 - 17,980 29…………….....

24 JUNAIDAH SMA 25 - 17,980 - 17,980 30......……………

25 HAYATI, SE SI 50 - 71,919 - 71,919 31…………….....

26 MUHAMMAD RIDWAN SMA 25 - 17,980 - 17,980 32......……………

27 ARI ANGGARA SMA 25 - 17,980 - 17,980 33…………….....

28 WINARNI HHM, S.Kep SI 80 - 57,535 - 57,535 34......……………

29 KARMILA, Amd.Keb D III 60 - 43,152 - 43,152 36…………….....

30 RANI FITRIYANI, SE SI 50 - 71,919 - 71,919 37……………

31 YUHANIZU, ST SI 50 - 35,960 - 35,960 39……………

32 ASTRI UTAMI, AMKL D III 60 - 50,344 - 50,344 40…………….....

TOTAL 1,646,400 62,003 1,584,397

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN AGUSTUS 2020
b. Pemberi Layanan Tidak Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN AGUSTUS 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 181,715 27,257 154,458 1……………

2 SURYADI, S.KM S1 80 III/c 90,858 4,543 86,315 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 69,526 3,476 66,050 3……………

4 MIKAMILIN, AMK D III 60 III/c 58,149 2,907 55,242 5…………….....

5 FARIDAH, Amd.Keb D III 60 III/c 48,668 2,433 46,235 7…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 89,594 4,480 85,114 8.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/c 50,880 2,544 48,336 10…....…………

8 JUFRAHA YENTI, Amd.Keb D III 60 III/b 34,131 1,707 32,424 11……………

9 HOT MARLINDA SILABAN, AMK D III 60 III/c 43,612 2,181 41,431 12….......………

10 Ns.NELLY MARTINI, S.Kep SI 100 III/b 73,002 3,650 69,352 13…………….....

11 H. JUMRI SMA 25 III/a 36,343 1,817 34,526 15……………

12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 82,167 4,108 78,059 16…………….....

13 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 55,621 2,781 52,840 17……………

14 NOVALIA ROZA SPK 25 II/a 39,977 - 39,977 18…………….....

15 MONICA YULIA HIDAYAD, SKM SI 80 - 53,093 - 53,093 19…………….....

16 TAUFIKURRAHMAN, AMK D III 60 - 47,246 - 47,246 20….....…………

17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 21,806 - 21,806 21…………….....

18 RINA SYAPUTRI, Amd.Keb D III 60 - 47,246 - 47,246 22….....…………

19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 61,783 - 61,783 23……………

20 FITRA HAYATI, Amd.Keb D III 60 - 47,246 - 47,246 24…………….....

21 FICALIA ROZA, Amd.Keb D III 60 - 47,246 - 47,246 25……………

22 MUSTAFA SMA 25 - 18,172 - 18,172 27……………

23 RINDU AFRITA, Amd.Keb D III 60 - 43,612 - 43,612 29…………….....

24 ROSITA SMA 25 - 18,172 - 18,172 30......……………

25 JUNAIDAH SMA 25 - 18,172 - 18,172 31…………….....

26 HAYATI, SE SI 50 - 72,686 - 72,686 32......……………

27 MUHAMMAD RIDWAN SMA 25 - 18,172 - 18,172 33…………….....

28 ARI ANGGARA SMA 25 - 18,172 - 18,172 34......……………

29 DESMARINI, AMK D III 60 - 58,149 - 58,149 36…………….....

30 KARMILA, Amd.Keb D III 60 - 37,923 - 37,923 37……………

31 RANI FITRIYANI, SE SI 50 - 72,686 - 72,686 38…………….....

32 YUHANIZU, ST SI 50 - 34,763 - 34,763 40…………….....

33 ASTRI UTAMI, AMKL D III 60 - 24,334 - 24,334 41……………

TOTAL 1,714,920 63,885 1,651,035

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN SEPTEMBER 2020
b. Pemberi Layanan Tidak Langsung

PEN JASA BULAN JUMLAH

KETENAG PPh Pasal
NO NAMA DIDI GOL SEPTEMBER DITERIMA TANDA TANGAN
AAN 21
KAN 2020 (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 133,190 19,978 113,211 1……………

2 SURYADI, S.KM S1 80 III/c 66,595 3,330 63,265 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 42,826 2,141 40,684 3……………

5 MIKAMILIN, AMK D III 60 III/c 42,621 2,131 40,490 5…………….....

7 FARIDAH, Amd.Keb D III 60 III/c 32,990 1,650 31,341 7…………….....

8 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 71,922 3,596 68,326 8.....……………

10 TARI HANISAH, Amd.Keb D III 60 III/c 32,990 1,650 31,341 10…....…………

11 JUFRAHA YENTI, Amd.Keb D III 60 III/b 31,966 1,598 30,367 11……………

12 HOT MARLINDA SILABAN, AMK D III 60 III/c 31,966 1,598 30,367 12….......………

13 Ns.NELLY MARTINI, S.Kep SI 100 III/c 55,940 2,797 53,143 13…………….....

14 H. JUMRI SMA 25 III/a 26,638 1,332 25,306 15……………

15 MASYITAH.B, S.Tr.Keb D IV 80 III/a 69,259 3,463 65,796 16…………….....

16 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 31,146 1,557 29,589 17……………

17 NOVALIA ROZA SPK 25 II/a 13,524 - 13,524 18…………….....

18 MONICA YULIA HIDAYAD, SKM SI 80 - 42,621 - 42,621 19…………….....

19 TAUFIKURRAHMAN, AMK D III 60 - 34,629 - 34,629 20….....…………

20 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 15,983 - 15,983 21…………….....

21 RINA SYAPUTRI, Amd.Keb D III 60 - 29,302 - 29,302 22….....…………

22 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 45,284 - 45,284 23……………

23 FITRA HAYATI, Amd.Keb D III 60 - 34,629 - 34,629 24…………….....

24 FICALIA ROZA, Amd.Keb D III 60 - 34,629 - 34,629 25……………

25 MUSTAFA SMA 25 - 13,319 - 13,319 27……………

26 RINDU AFRITA, Amd.Keb D III 60 - 31,966 - 31,966 29…………….....

27 ROSITA SMA 25 - 13,319 - 13,319 30......……………

28 JUNAIDAH SMA 25 - 13,319 - 13,319 31…………….....

29 HAYATI, SE SI 50 - 53,276 - 53,276 32......……………

30 MUHAMMAD RIDWAN SMA 25 - 13,319 - 13,319 33…………….....

31 ARI ANGGARA SMA 25 - 13,319 - 13,319 34......……………

32 WINARNI, S. Kep SI 80 - 36,064 - 36,064 36…………….....

33 KARMILA, Amd.Keb D III 60 - 31,966 - 31,966 37……………

34 RANI FITRIYANI, SE SI 50 - 53,276 - 53,276 38…………….....

35 YUHANIZU, ST SI 50 - 26,638 - 26,638 40…………….....

36 ASTRI UTAMI, AMKL D III 60 - 37,293 - 37,293 41……………

TOTAL 1,257,720 46,821 1,210,899

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN OKTOBER 2020
b. Pemberi Layanan Tidak Langsung

JUMLAH
PEN
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN OKTOBER 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 48,144 7,222 40,923 1……………

2 SURYADI, S.KM S1 80 III/c 24,072 1,204 22,869 2…………….....

3 Hj. NURLIAN, SST D IV 80 III/d 21,183 1,059 20,124 3……………

4 MIKAMILIN, AMK D III 60 III/c 15,406 770 14,636 5…………….....

5 FARIDAH, Amd.Keb D III 60 III/c 13,480 674 12,806 7…………….....

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 25,998 1,300 24,698 8.....……………

7 TARI HANISAH, Amd.Keb D III 60 III/c 12,919 646 12,273 10…....…………

8 JUFRAHA YENTI, Amd.Keb D III 60 III/b 11,555 578 10,977 11……………

9 HOT MARLINDA SILABAN, AMK D III 60 III/c 11,555 578 10,977 12….......………

10 Ns.NELLY MARTINI, S.Kep SI 100 III/b 20,221 1,011 19,210 13…………….....

11 H. JUMRI SMA 25 III/a 9,629 481 9,147 15……………

12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 25,035 1,252 23,783 16…………….....

13 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 15,406 770 14,636 17……………

14 NOVALIA ROZA SPK 25 II/a 5,777 - 5,777 18…………….....

15 MONICA YULIA HIDAYAD, SKM SI 80 - 14,764 - 14,764 19…………….....

16 TAUFIKURRAHMAN, AMK D III 60 - 12,518 - 12,518 20….....…………

17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 5,777 - 5,777 21…………….....

18 RINA SYAPUTRI, Amd.Keb D III 60 - 10,953 - 10,953 22….....…………

19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 16,369 - 16,369 23……………

20 FITRA HAYATI, Amd.Keb D III 60 - 12,518 - 12,518 24…………….....

21 FICALIA ROZA, Amd.Keb D III 60 - 12,518 - 12,518 25……………

22 MUSTAFA SMA 25 - 4,814 - 4,814 27……………

23 RINDU AFRITA, Amd.Keb D III 60 - 11,555 - 11,555 29…………….....

24 ROSITA SMA 25 - 11,555 - 11,555 30......……………

25 JUNAIDAH SMA 25 - 4,814 - 4,814 31…………….....

26 HAYATI, SE SI 50 - 19,258 - 19,258 32......……………

27 MUHAMMAD RIDWAN SMA 25 - 4,814 - 4,814 33…………….....

28 ARI ANGGARA SMA 25 - 4,814 - 4,814 34......……………

29 WINARNI, S. Kep SI 80 - 6,419 - 6,419 36…………….....

30 KARMILA, Amd.Keb D III 60 - 11,555 - 11,555 37……………

31 RANI FITRIYANI, SE SI 50 - 19,258 - 19,258 38…………….....

32 YUHANIZU, ST SI 50 - 9,629 - 9,629 40…………….....

33 ASTRI UTAMI, AMKL D III 60 - 11,555 - 11,555 41……………

34 ARISTA ARUM PRATIWI,S.Tr Keb D IV 80 - 14,764 - 14,764 42…………….....

TOTAL 480,600 17,545 463,055

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN NOVEMBER 2020

a. Pemberi Layanan Langsung

PEN JUMLAH
KETENAG JASA BULAN PPh Pasal
NO NAMA DIDI GOL DITERIMA TANDA TANGAN
AAN NOVEMBER 2020 21
KAN (Rp)
1 2 3 4 5 6 7 8 9

1 SITI SYARAH, S.Tr.Keb D IV 80 IV/a 41,197 6,180 35,017 1……………

2 drg. IIN INDRAWATI SI 150 IV/a 100,417 15,063 85,355 2…………….....

3 Hj. NURYANTI, Amd.Keb D III 60 III/d 26,263 1,313 24,950 3……………

4 Hj. KASNAWATI SPK 50 III/d 28,323 1,416 26,907 4…….....………

5 Hj. DARMAWATI, Amd.Keb D III 60 III/d 17,406 870 16,535 5…………….....

6 SILVIA ADELINA, S.Tr.Keb D IV 80 III/d 41,197 2,060 39,137 6.....……………

7 ROSA HANDAYANI, SST D IV 80 III/d 48,921 2,446 46,475 7…………….....

8 NOVITAYANTI, SST D IV 80 III/d 54,071 2,704 51,367 8.....……………

9 SELI JUNAIDA, SST D IV 80 III/d 43,772 2,189 41,583 9…………….....

10 dr. RIKA OCTHAVIA SI 150 IV/a 77,244 11,587 65,657 10…....…………

11 dr. DWI LESTARI WAHYUNI SI 150 IV/a 81,570 12,235 69,334 11……………

12 ELLY MARLINA, AMKG D III 60 III/c 46,346 2,317 44,029 12….......………

13 SRI DAYANA D III 60 III/c 36,047 1,802 34,245 13…………….....

14 Hj. NANA HAZLIANA, Amd. Kep D III 60 III/c 36,047 1,802 34,245 14 ………….....

15 NURASIA N, AMK D III 60 III/c 33,472 1,674 31,799 15…………….....

16 HERNAWATI, AMAF D III 60 III/c 61,795 3,090 58,705 16...……………

17 RITA PARINA, AMK D III 60 III/c 36,047 1,802 34,245 17……………

18 SITI JUMIATI KASIM,Amd.Keb D IV 80 III/b 30,898 1,545 29,353 18…………….....

19 JUFRINAWATI, Amd.Kep D III 50 III/b 33,472 1,674 31,799 19……………

20 ELLY YUSNITA, AMAF D III 60 III/b 30,898 1,545 29,353 20….....…………

21 EVA NUFITA, AMK D III 60 III/b 43,772 2,189 41,583 21…………….....

22 SUHARTI, Amd.Keb D III 60 III/b 37,077 1,854 35,223 22….....…………

23 MELDAWATI, AMK D III 60 III/b 30,898 1,545 29,353 23……………

24 MELIA TRISTANIA, Amd.Keb D III 60 III/b 29,456 1,473 27,983 24…………….....

25 WIWIK ROFIQAH J, Amd.Keb D III 60 III/b 33,472 1,674 31,799 25……………

26 MEILENY GUSTINA, Amd.Keb D IV 80 III/b 41,197 2,060 39,137 26…………….....

27 WINDA AGUSTINA, AMK DIII 60 III/b 30,898 1,545 29,353 27……………

28 NORYETTI, Amd.Keb D III 60 III/b 30,898 1,545 29,353 28…………….....

29 NOVIANI, AMAK D III 60 III/b 33,472 1,674 31,799 29…………….....

30 Ns. DEVI SUSANTI, S.Kep Ners 100 III/a 51,496 2,575 48,921 30......……………

31 EMILIANI,S.Tr,Keb D IV 80 III/a 41,197 2,060 39,137 31…………….....

32 SAFRIDA, Amd.Keb D III 60 III/a 38,622 1,931 36,691 32......……………

33 HENI ERNAWATI, S.Tr.Keb D III 80 III/a 45,008 2,250 42,757 33…………….....

34 Ns.LELI ERVINA HARAHAP, S.Kep D III 100 III/a 54,071 2,704 51,367 34......……………

35 GUSMI PURWANTI, AMKG D III 60 III/a 30,898 1,545 29,353 35……………

36 HUZAIPAH, A.Md.PK D III 60 III/a 33,472 1,674 31,799 36…………….....

37 NINA TRIYANI D III 60 III/a 24,512 1,226 23,287 37……………

38 FIVE INDAH LESTARI, AMK D III 60 III/a 24,512 1,226 23,287 38…………….....

39 RIRIN PRAMAWATI, Amd.Keb D III 60 II/c 30,898 - 30,898 39……………

40 MARUDDANIATY PUTRI MAS, Amd.Keb D III 60 II/c 30,898 - 30,898 40…………….....

41 GITA FITRIANI, Amd.Keb D III 60 II/c 30,898 - 30,898 41……………

42 ZAERLY NOVIVIANTI, Amd.Keb D III 60 II/c 30,898 - 30,898 42…………….....

43 LOVITA SPRG 50 - 28,323 - 28,323 43……………

44 SUNARTI, Amd.Keb D III 60 - 33,472 - 33,472 44….....…………

45 NAIMAH SHADIQ, SST DIV 80 - 43,772 - 43,772 45…………...

46 Ns. RIFKY ANANDA, S.Kep Ners 100 - 54,071 - 54,071 46…………….....

47 NURHIDAYAH, S.Tr.Keb DIV 80 - 41,197 - 41,197 47…………….....

48 Ns. RINI MARDIANA, S.Kep Ners 100 - 51,496 - 51,496 48…………….....

49 EKA YULIANA, S.Tr.Keb D IV 80 - 34,605 - 34,605 49…………….....

50 Ns. YUNITA RAHAYU, S.Kep Ners 100 - 51,496 - 51,496 50…………….....

51 dr. MUHAMMAD NICO DARIYANTO SI 150 - 77,244 - 77,244 51…………….....

52 ANTI JULINAWATI, SKM SI 80 - 46,346 - 46,346 52…………….....

53 Ns. DEWI AFRINA, S.Kep Ners 100 - 51,496 - 51,496 53…………….....

54 FITRIYANI, SKM SI 80 - 41,197 - 41,197 54…....…………

55 Ns. OKTARIANA HARMA, S.Kep Ners 100 - 51,496 - 51,496 55…………….....

56 SITI AISYAH, Amd.Kep D III 60 - 30,898 - 30,898 56…....…………

57 FADLI SMA 25 - 12,874 12,874 57…………….....

58 MASLENA, Amd. Keb, SKM S1 80 - 41,197 - 41,197 58…....…………

TOTAL 2,375,100 108,059 2,267,041

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANAN UMUM BLUD
UPT PUSKESMAS TEMBILAHAN KOTA BULAN DESEMBER 2020

a. Pemberi Layanan Langsung

JUMLAH
PENDID KETENAG JASA BULAN PPh Pasal NO
NO NAMA GOL DITERIMA TANDA TANGAN
IKAN AAN DESEMBER 2020 21 REKENING
(Rp)
1 2 3 4 5 6 7 8 9 10

1 SITI SYARAH, S.Tr.Keb D IV 80 IV/a 41,690 6,254 35,437 0686584085 1……………

2 drg. IIN INDRAWATI SI 150 IV/a 82,077 12,312 69,766 0240603312 2…………….....

3 Hj. NURYANTI, Amd.Keb D III 60 III/d 22,148 1,107 21,040 6255555562 3……………

4 Hj. KASNAWATI SPK 50 III/d 28,662 1,433 27,229 0242194895 4…….....………

5 Hj. DARMAWATI, Amd.Keb D III 60 III/d 33,873 1,694 32,180 0682902047 5…………….....

6 SILVIA ADELINA, S.Tr.Keb D IV 80 III/d 44,296 2,215 42,081 0683579420 6.....……………

7 ROSA HANDAYANI, SST D IV 80 III/d 52,231 2,612 49,620 0240330658 7…………….....

8 NOVITAYANTI, SST D IV 80 III/d 49,744 2,487 47,257 0242224209 8.....……………

9 SELI JUNAIDA, SST D IV 80 III/d 38,255 1,913 36,343 0241484441 9…………….....

10 dr. RIKA OCTHAVIA SI 150 IV/a 93,803 14,070 79,732 0496557181 10…....…………

11 dr. DWI LESTARI WAHYUNI SI 150 IV/a 70,352 10,553 59,799 0239367377 11……………

12 ELLY MARLINA, AMKG D III 60 III/c 46,901 2,345 44,556 0240323981 12….......………

13 SRI DAYANA D III 60 III/c 39,085 1,954 37,130 0240678049 13…………….....

14 Hj. NANA HAZLIANA, Amd. Kep D III 60 III/c 31,504 1,575 29,929 0113271441 14 ………….....

15 NURASIA N, AMK D III 60 III/c 15,397 770 14,627 0430664199 15…………….....

16 HERNAWATI, AMAF D III 60 III/c 36,479 1,824 34,655 0240622904 16...……………

17 RITA PARINA, AMK D III 60 III/c 36,479 1,824 34,655 0240621047 17……………

18 SITI JUMIATI KASIM,Amd.Keb D IV 80 III/b 41,690 2,085 39,606 0240646607 18…………….....

19 JUFRINAWATI, Amd.Kep D III 50 III/b 36,479 1,824 34,655 0240605819 19……………

20 ELLY YUSNITA, AMAF D III 60 III/b 31,268 1,563 29,704 0241153281 20….....…………

21 EVA NUFITA, AMK D III 60 III/b 39,085 1,954 37,130 355214588 21…………….....

22 SUHARTI, Amd.Keb D III 60 III/b 33,755 1,688 32,067 0117236763 22….....…………

23 MELDAWATI, AMK D III 60 III/b 31,268 1,563 29,704 0691597417 23……………

24 MELIA TRISTANIA, Amd.Keb D III 60 III/b 18,239 912 17,327 0241227788 24…………….....

25 WIWIK ROFIQAH J, Amd.Keb D III 60 III/b 29,254 1,463 27,791 0736066147 25……………

26 MEILENY GUSTINA, Amd.Keb D IV 80 III/b 41,690 2,085 39,606 0171349874 26…………….....

27 WINDA AGUSTINA, AMK DIII 60 III/b 31,268 1,563 29,704 0643492172 27……………

28 NORYETTI, Amd.Keb D III 60 III/b 31,504 1,575 29,929 0242504025 28…………….....

29 NOVIANI, AMAK D III 60 III/b 33,873 1,694 32,180 0240618091 29…………….....

30 Ns. DEVI SUSANTI, S.Kep Ners 100 III/a 52,113 2,606 49,507 0302173630 30......……………

31 EMILIANI,S.Tr,Keb D IV 80 III/a 41,690 2,085 39,606 0078647196 31…………….....

32 SYAFRIDA, Amd.Keb D III 60 III/a 33,755 1,688 32,067 0241756041 32......……………

33 HENI ERNAWATI, S.Tr.Keb D III 80 III/a 47,257 2,363 44,894 0242800104 33…………….....

34 Ns.LELI ERVINA HARAHAP, S.Kep D III 100 III/a 54,718 2,736 51,982 0240568116 34......……………

35 GUSMI PURWANTI, AMKG D III 60 III/a 36,479 1,824 34,655 0695482174 35……………

36 HUZAIPAH, A.Md.PK D III 60 III/a 33,873 1,694 32,180 0240679519 36…………….....

37 NINA TRIYANI D III 60 III/a 36,479 1,824 34,655 5566331986 37……………

38 FIVE INDAH LESTARI, AMK D III 60 III/a 29,846 1,492 28,354 0566924133 38…………….....

39 RIRIN PRAMAWATI, Amd.Keb D III 60 II/c 25,583 - 25,583 0361995584 39……………

40 MARUDDANIATY PUTRI MAS, Amd. D III 60 II/c 31,268 - 31,268 0576525433 40…………….....

41 GITA FITRIANI, Amd.Keb D III 60 II/c 36,479 - 36,479 0716485958 41……………

42 ZAERLY NOVIVIANTI, Amd.Keb D III 60 II/c 31,268 - 31,268 0844475612 42…………….....

43 LOVITA SPRG 50 - 29,846 - 29,846 0770135452 43……………

44 SUNARTI, Amd.Keb D III 60 - 32,334 - 32,334 1044451105 44….....…………

45 NAIMAH SHADIQ, SST DIV 80 - 26,175 - 26,175 1119666447 45…………...

46 Ns. RIFKY ANANDA, S.Kep Ners 100 - 54,718 - 54,718 1044329458 46…………….....

47 NURHIDAYAH, S.Tr.Keb DIV 80 - 44,296 - 44,296 1119666323 47…………….....

48 Ns. RINI MARDIANA, S.Kep Ners 100 - 52,113 - 52,113 0358306453 48…………….....

49 EKA YULIANA, S.Tr.Keb D IV 80 - 41,690 - 41,690 1119666436 49…………….....

50 Ns. YUNITA RAHAYU, S.Kep Ners 100 - 52,113 - 52,113 1119666356 50…………….....

51 dr. MUHAMMAD NICO DARIYANTO SI 150 - 78,169 - 78,169 1992444553 51…………….....

52 ANTI JULINAWATI, SKM SI 80 - 44,770 - 44,770 1060409811 52…………….....

53 Ns. DEWI AFRINA, S.Kep Ners 100 - 52,113 - 52,113 1131938676 53…………….....

54 FITRIYANI, SKM SI 80 - 34,110 - 34,110 1119666378 54…....…………

55 Ns. OKTARIANA HARMA, S.Kep Ners 100 - 52,113 - 52,113 0496141286 55…………….....

56 SITI AISYAH, Amd.Kep D III 60 - 31,268 - 31,268 1119666334 56…....…………

57 FADLI SMA 25 - 13,028 13,028 08033758803 57…………….....

58 MASLENA, Amd. Keb, SKM S1 80 - 41,690 - 41,690 1119666209 58…....…………

TOTAL 2,333,700 105,220 2,228,480

KEPALA UPT PUSKESMAS TEMBILAHAN KOTA

dr. Hj. DWI AGUSTINA FAJARWATI

NIP. 19800822 200903 2 003
 TANDA TERIMA JASA LAYANAN DARI TARIF LAYANA
UPT PUSKESMAS TEMBILAHAN KOTA BULAN DES

a. Pemberi Layanan Langsung

JASA
PENDIDIK KETEN BULAN
NO NAMA GOL
AN AGAAN DESEMBE
R 2020
1 2 3 4 5 6

1 SITI SYARAH, S.Tr.Keb D IV 80 IV/a 82,077

2 drg. IIN INDRAWATI SI 150 IV/a 22,148

3 Hj. NURYANTI, Amd.Keb D III 60 III/d 28,662

4 Hj. KASNAWATI SPK 50 III/d 33,873

5 Hj. DARMAWATI, Amd.Keb D III 60 III/d 44,296

6 SILVIA ADELINA, S.Tr.Keb D IV 80 III/d 52,231

7 ROSA HANDAYANI, SST D IV 80 III/d 49,744

8 NOVITAYANTI, SST D IV 80 III/d 38,255

9 SELI JUNAIDA, SST D IV 80 III/d 93,803

10 dr. RIKA OCTHAVIA SI 150 IV/a 70,352

11 dr. DWI LESTARI WAHYUNI SI 150 IV/a 46,901

12 ELLY MARLINA, AMKG D III 60 III/c 39,085

13 SRI DAYANA D III 60 III/c 31,504

14 Hj. NANA HAZLIANA, Amd. Kep D III 60 III/c 15,397

15 NURASIA N, AMK D III 60 III/c 36,479

16 HERNAWATI, AMAF D III 60 III/c 36,479

17 RITA PARINA, AMK D III 60 III/c 41,690

18 SITI JUMIATI KASIM,Amd.Keb D IV 80 III/b 36,479

19 JUFRINAWATI, Amd.Kep D III 50 III/b 31,268

20 ELLY YUSNITA, AMAF D III 60 III/b 39,085

21 EVA NUFITA, AMK D III 60 III/b 33,755

22 SUHARTI, Amd.Keb D III 60 III/b 31,268

23 MELDAWATI, AMK D III 60 III/b 18,239

24 MELIA TRISTANIA, Amd.Keb D III 60 III/b 29,254

25 WIWIK ROFIQAH J, Amd.Keb D III 60 III/b 41,690

26 MEILENY GUSTINA, Amd.Keb D IV 80 III/b 31,268

27 WINDA AGUSTINA, AMK DIII 60 III/b 31,504

28 NORYETTI, Amd.Keb D III 60 III/b 33,873

29 NOVIANI, AMAK D III 60 III/b 52,113

30 Ns. DEVI SUSANTI, S.Kep Ners 100 III/a 41,690

31 EMILIANI,S.Tr,Keb D IV 80 III/a 33,755

32 SYAFRIDA, Amd.Keb D III 60 III/a 47,257

33 HENI ERNAWATI, S.Tr.Keb D III 80 III/a 54,718

34 Ns.LELI ERVINA HARAHAP, S.Kep D III 100 III/a 36,479

35 GUSMI PURWANTI, AMKG D III 60 III/a 33,873

36 HUZAIPAH, A.Md.PK D III 60 III/a 36,479

37 NINA TRIYANI D III 60 III/a 29,846

38 FIVE INDAH LESTARI, AMK D III 60 III/a 25,583

39 RIRIN PRAMAWATI, Amd.Keb D III 60 II/c 31,268

40 MARUDDANIATY PUTRI MAS, Amd.Ke D III 60 II/c 36,479

41 GITA FITRIANI, Amd.Keb D III 60 II/c 31,268

42 ZAERLY NOVIVIANTI, Amd.Keb D III 60 II/c 29,846

43 LOVITA SPRG 50 - 32,334

44 SUNARTI, Amd.Keb D III 60 - 26,175

45 NAIMAH SHADIQ, SST DIV 80 - 54,718

46 Ns. RIFKY ANANDA, S.Kep Ners 100 - 44,296

 47 NURHIDAYAH, S.Tr.Keb DIV 80 - 52,113

48 Ns. RINI MARDIANA, S.Kep Ners 100 - 41,690

49 EKA YULIANA, S.Tr.Keb D IV 80 - 52,113

50 Ns. YUNITA RAHAYU, S.Kep Ners 100 - 78,169

51 dr. MUHAMMAD NICO DARIYANTO SI 150 - 44,770

52 ANTI JULINAWATI, SKM SI 80 - 52,113

53 Ns. DEWI AFRINA, S.Kep Ners 100 - 34,110

54 FITRIYANI, SKM SI 80 - 52,113

55 Ns. OKTARIANA HARMA, S.Kep Ners 100 - 31,268

56 SITI AISYAH, Amd.Kep D III 60 - 13,028

57 FADLI SMA 25 - 41,690

58 MASLENA, Amd. Keb, SKM S1 80 - 2,333,700

TOTAL 4,625,710

b. Pemberi Layanan Tidak Langsung

JASA
PENDIDIK KETEN BULAN
NO NAMA GOL
AN AGAAN DESEMBE
R 2020
1 2 3 4 5 6
1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 160,212
2 SURYADI, S.KM S1 80 III/c 80,106
3 Hj. NURLIAN, SST D IV 80 III/d 60,880
4 MIKAMILIN, AMK D III 60 III/c 51,268
5 FARIDAH, Amd.Keb D III 60 III/c 44,859
6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 86,514
7 TARI HANISAH, Amd.Keb D III 60 III/c 44,859
8 JUFRAHA YENTI, Amd.Keb D III 60 III/b 38,451
9 HOT MARLINDA SILABAN, AMK D III 60 III/c 17,478
10 Ns.NELLY MARTINI, S.Kep SI 100 III/b 64,230
11 H. JUMRI SMA 25 III/a 32,042
12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 83,310
13 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 44,277
14 NOVALIA ROZA SPK 25 II/a 16,604
15 MONICA YULIA HIDAYAD, SKM SI 80 - 48,937
16 TAUFIKURRAHMAN, AMK D III 60 - 41,655
17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 19,225
18 RINA SYAPUTRI, Amd.Keb D III 60 - 37,868
19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 42,092
20 FITRA HAYATI, Amd.Keb D III 60 - 41,655
21 FICALIA ROZA, Amd.Keb D III 60 - 41,655
22 MUSTAFA SMA 25 - 16,021
23 RINDU AFRITA, Amd.Keb D III 60 - 38,451
24 ROSITA SMA 25 - 16,021
25 JUNAIDAH SMA 25 - 16,021
26 HAYATI, SE SI 50 - 64,085
27 MUHAMMAD RIDWAN SMA 25 - 16,021
28 ARI ANGGARA SMA 25 - 16,021
29 WINARNI, S. Kep SI 80 - 44,277
30 KARMILA, Amd.Keb D III 60 - 38,451
31 RANI FITRIYANI, SE SI 50 - 64,085
32 YUHANIZU, ST SI 50 - 32,042
33 ASTRI UTAMI, AMKL D III 60 - 44,859
34 ARISTA ARUM PRATIWI,S.Tr Keb D IV 80 - 51,268
TOTAL 1,555,800
ARI TARIF LAYANAN UMUM BLUD
KOTA BULAN DESEMBER 2020

JUMLAH
PPh Pasal NO
DITERIMA TANDA TANGAN
21 REKENING
(Rp)
7 8 9

12,312 69,766 0686584085 1……………

3,322 18,826 0240603312 2…………….....

1,433 27,229 6255555562 3……………

1,694 32,180 0242194895 4…….....………

2,215 42,081 0682902047 5…………….....

2,612 49,620 0683579420 6.....……………

2,487 47,257 0240330658 7…………….....

1,913 36,343 0242224209 8.....……………

4,690 89,113 0241484441 9…………….....

10,553 59,799 0496557181 10…....…………

7,035 39,866 0239367377 11……………

1,954 37,130 0240323981 12….......………

1,575 29,929 0240678049 13…………….....

770 14,627 0113271441 14 ………….....

1,824 34,655 0430664199 15…………….....

1,824 34,655 0240622904 16...……………

2,085 39,606 0240621047 17……………

1,824 34,655 0240646607 18…………….....

1,563 29,704 0240605819 19……………

1,954 37,130 0241153281 20….....…………

1,688 32,067 355214588 21…………….....

1,563 29,704 0117236763 22….....…………

912 17,327 0691597417 23……………

1,463 27,791 0241227788 24…………….....

2,085 39,606 0736066147 25……………

1,563 29,704 0171349874 26…………….....

1,575 29,929 0643492172 27……………

1,694 32,180 0242504025 28…………….....

2,606 49,507 0240618091 29…………….....

2,085 39,606 0302173630 30......……………

1,688 32,067 0078647196 31…………….....

2,363 44,894 0241756041 32......……………

2,736 51,982 0242800104 33…………….....

1,824 34,655 0240568116 34......……………

1,694 32,180 0695482174 35……………

1,824 34,655 0240679519 36…………….....

1,492 28,354 5566331986 37……………

1,279 24,303 0566924133 38…………….....

- 31,268 0361995584 39……………

- 36,479 0576525433 40…………….....

- 31,268 0716485958 41……………

- 29,846 0844475612 42…………….....

- 32,334 0770135452 43……………

- 26,175 1044451105 44….....…………

- 54,718 1119666447 45…………...

- 44,296 1044329458 46…………….....

 - 52,113 1119666323 47…………….....

- 41,690 0358306453 48…………….....

- 52,113 1119666436 49…………….....

- 78,169 1119666356 50…………….....

- 44,770 1992444553 51…………….....

- 52,113 1060409811 52…………….....

- 34,110 1131938676 53…………….....

- 52,113 1119666378 54…....…………

- 31,268 0496141286 55…………….....

- 13,028 1119666334 56…....…………

41,690 08033758803 57…………….....

- 2,333,700 1119666209 58…....…………

97,770 4,527,939

JUMLAH
PPh Pasal NO
DITERIMA TANDA TANGAN
21 REKENING
(Rp)
7 8 9
24,032 136,180 0686583886 1……………
4,005 76,100 1129647309 2…………….....
 3,044 57,836 0240420293 3……………
2,563 48,704 716474004 4…….....………
2,243 42,616 0243430855 5…………….....
4,326 82,189 0242085194 6.....……………
2,243 42,616 0200829177 7…………….....
1,923 36,528 0301790892 8.....……………
874 16,604 0252669100 9…………….....
3,212 61,019 0214183151 10…....…………
1,602 30,440 0241481359 11……………
4,166 79,145 0945814110 12….......………
2,214 42,063 0191263517 13…………….....
- 16,604 0452986665 14 ………….....
- 48,937 1119832575 15…………….....
- 41,655 0686583933 16...……………
- 19,225 0567009485 17……………
- 37,868 1119666276 18…………….....
- 42,092 0685338755 19……………
- 41,655 1119666196 20….....…………
- 41,655 1119666243 21…………….....
- 16,021 1119666254 22….....…………
- 38,451 1044329458 23……………
- 16,021 1119666356 24…………….....
- 16,021 1119666210 25……………
- 64,085 1119832621 26…………….....
- 16,021 1119666312 27……………
- 16,021 1174760567 28…………….....
- 44,277 1119666414 29…………….....
- 38,451 1119666221 30......……………
- 64,085 1119666367 31…………….....
- 32,042 1119666185 32......……………
- 44,859 0853860760 33…………….....
- 51,268 0169247800 34......……………
56,446 1,499,354
 JASA
PENDIDIK KETENAG BULAN
NO NAMA GOL
AN AAN DESEMBE
R 2020

1 2 3 4 5 6

1 dr. Hj. DWI AGUSTINA FAJARWATI SI 150 IV/a 160,212

2 SURYADI, S.KM S1 80 III/c 80,106

3 Hj. NURLIAN, SST D IV 80 III/d 60,880

4 MIKAMILIN, AMK D III 60 III/c 51,268

5 FARIDAH, Amd.Keb D III 60 III/c 44,859

6 RAJA GHAITSAH, Amd.Keb, SKM SI 80 III/c 86,514

7 TARI HANISAH, Amd.Keb D III 60 III/c 44,859

8 JUFRAHA YENTI, Amd.Keb D III 60 III/b 38,451

9 HOT MARLINDA SILABAN, AMK D III 60 III/c 17,478

10 Ns.NELLY MARTINI, S.Kep SI 100 III/b 64,230

11 H. JUMRI SMA 25 III/a 32,042

12 MASYITAH.B, S.Tr.Keb D IV 80 III/a 83,310

13 FITRIA AYUNINGTYAS, Amd.Keb D IV 80 III/a 44,277

14 NOVALIA ROZA SPK 25 II/a 16,604

15 MONICA YULIA HIDAYAD, SKM SI 80 - 48,937

16 TAUFIKURRAHMAN, AMK D III 60 - 41,655

17 FITRIA SARI ANLIMIA DEWI, SE SI 50 - 19,225

18 RINA SYAPUTRI, Amd.Keb D III 60 - 37,868

19 AZLINA MARDESI YANTI, S.Tr.Keb DIV 80 - 42,092

20 FITRA HAYATI, Amd.Keb D III 60 - 41,655

21 FICALIA ROZA, Amd.Keb D III 60 - 41,655

22 MUSTAFA SMA 25 - 16,021

23 RINDU AFRITA, Amd.Keb D III 60 - 38,451

24 ROSITA SMA 25 - 16,021

25 JUNAIDAH SMA 25 - 16,021

26 HAYATI, SE SI 50 - 64,085

27 MUHAMMAD RIDWAN SMA 25 - 16,021

28 ARI ANGGARA SMA 25 - 16,021

29 WINARNI, S. Kep SI 80 - 44,277

30 KARMILA, Amd.Keb D III 60 - 38,451

31 RANI FITRIYANI, SE SI 50 - 64,085

32 YUHANIZU, ST SI 50 - 32,042

33 ASTRI UTAMI, AMKL D III 60 - 44,859

34 ARISTA ARUM PRATIWI,S.Tr Keb D IV 80 - 51,268

TOTAL 1,555,800
 JUMLAH
PPh Pasal TANDA
NO REKENING
21 DITERIMA TANGAN
(Rp)
7 8 9

24,032 136,180 0686583886 1……………

4,005 76,100 1129647309 2…………….....

3,044 57,836 0240420293 3……………

2,563 48,704 716474004 4…….....………

2,243 42,616 0243430855 5…………….....

4,326 82,189 0242085194 6.....……………

2,243 42,616 0200829177 7…………….....

1,923 36,528 0301790892 8.....……………

874 16,604 0252669100 9…………….....

3,212 61,019 0214183151 10…....…………

1,602 30,440 0241481359 11……………

4,166 79,145 0945814110 12….......………

2,214 42,063 0191263517 13…………….....

- 16,604 0452986665 14 ………….....

- 48,937 1119832575 15…………….....

- 41,655 0686583933 16...……………

- 19,225 0567009485 17……………

- 37,868 1119666276 18…………….....

- 42,092 0685338755 19……………

- 41,655 1119666196 20….....…………

- 41,655 1119666243 21…………….....

- 16,021 1119666254 22….....…………

- 38,451 1044329458 23……………

- 16,021 1119666356 24…………….....

- 16,021 1119666210 25……………

- 64,085 1119832621 26…………….....

- 16,021 1119666312 27……………

- 16,021 1174760567 28…………….....

- 44,277 1119666414 29…………….....

- 38,451 1119666221 30......……………

- 64,085 1119666367 31…………….....

 - 32,042 1119666185 32......……………

- 44,859 0853860760 33…………….....

- 51,268 0169247800 34......……………

56,446 1,499,354