DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN JANUARI 2021

GOL JLH JUMLAH

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK TANDA TANGAN
RUANG HARI BRUTO
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066536
2 ASNY OLYFTA, SKM 198702122019032002 1208095202870002 97.387.963.8-117.000 III-a 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090031601
3 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002 49.015.319.4-122.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
NORA SANTI 10602090055340
4 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
SIPANGKAR, AM.Keb (Bank Sumut)
JUMLAH 20,000,000 1,250,000 18,750,000

Ditetapkan di : Dalu Sepuluh

Pada tanggal : 30 Januari 2021
Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196405052010011002
A TANGAN
 DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN FEBRUARI 2021

GOL JLH JUMLAH

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK TANDA TANGAN
RUANG HARI BRUTO
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066536
2 ASNY OLYFTA, SKM 198702122019032002 1208095202870002 97.387.963.8-117.000 III-a 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
NORA SANTI SIPANGKAR, 10602090055340
3 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
AM.Keb (Bank Sumut)
10602090055712
4 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010 70.006.061.9-122.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090036956
3 DIAN INDAH KESUMAWATI 197906292006042019 1207026906790001 45.409.857.5-125.000 III-c 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066562
4 SRI FADHILLAH 197702022019052002 1271154207770001 66.665.476.9-121.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
JUMLAH 30,000,000 750,000 29,250,000

Ditetapkan di : Dalu Sepuluh

Pada tanggal : 27 Februari 2021
Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196405052010011002
DA TANGAN

Sepuluh
 DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN MARET 2021

GOL JLH JUMLAH

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK TANDA TANGAN
RUANG HARI BRUTO
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066536
2 ASNY OLYFTA 198702122019032002 1208095202870002 97.387.963.8-117.000 III-a 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090031601
3 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002 49.015.319.4-122.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
NORA SANTI 10602090055340
4 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
SIPANGKAR, AM.Keb (Bank Sumut)
10602090055712
5 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010 70.006.061.9-122.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
JUMLAH 25,000,000 1,250,000 23,750,000

Ditetapkan di : Dalu Sepuluh

Pada tanggal : 31 Maret 2021
Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196405052010011002
A TANGAN
 DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN APRIL 2021

GOL JLH JUMLAH TANDA

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK
RUANG HARI BRUTO TANGAN
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066536
2 ASNY OLYFTA 198702122019032002 1208095202870002 97.387.963.8-117.000 III-a 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090031601
3 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002 49.015.319.4-122.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
NORA SANTI SIPANGKAR, 10602090055340
4 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
AM.Keb (Bank Sumut)
10602090055874
5 ERLINA DAULAY, A.Md.Keb 198411222017042004 '1207026211840009 66.939.757.2-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055406
6 SARI WARDANI, A.Md.Keb 198401062017042009 1207214601840003 66.961.577.5-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090020781
7 dr. PUJA ARMADI 196802102002121002 1207021002680004 34.741.380.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055863
8 Ns. SHANTY GALENDRA S.Kep 198707032011022000 1409014307870001 69.033.566.6-213.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090036968
9 HENNI BR BARUS 197007091993032005 1207024807700002 36.354.383.6-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055675
10 JULIANA BORU HARAHAP, SST 197807112008012027 1207025107780008 34.165.051.3-125.999 III-c 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066562
11 SRI FADHILLAH 197702022019052002 1271154207770001 66.665.476.9-121.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090066514
12 ISMAWATI, A.Md 196903111990032007 1207025103690004 36.346.853.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055712
13 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010 70.006.061.9-122.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055373
14 ERIKA 198503062017042005 1207024603850005 66.961.460.4-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090036993
15 LEMSI MANURUNG 197409021993032004 1207024209730002 26.416.732.1-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055690
16 ERIFRISDA LUMBAN TOBING 196907251996032003 1207026507690001 36.346.480.1-125.000 III-b 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)

JUMLAH 80,000,000 4,000,000 76,000,000

Ditetapkan di : Dalu Sepuluh

Pada tanggal : 30 April 2021
Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196405052010011002
Dalu Sepuluh
 DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN MEI 2021

GOL JLH JUMLAH TANDA

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK
RUANG HARI BRUTO TANGAN
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066536
2 ASNY OLYFTA, SKM 198702122019032002 1208095202870002 97.387.963.8-117.000 III-a 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090031601
3 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002 49.015.319.4-122.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055340
4 NORA SANTI SIPANGKAR, AM.Keb 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055874
5 ERLINA DAULAY, A.Md.Keb 198411222017042004 '1207026211840009 66.939.757.2-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055406
6 SARI WARDANI, A.Md.Keb 198401062017042009 1207214601840003 66.961.577.5-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090020781
7 dr. PUJA ARMADI 196802102002121002 1207021002680004 34.741.380.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090036968
8 HENNI BR BARUS 197007091993032005 1207024807700002 36.354.383.6-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055675
9 JULIANA BORU HARAHAP, SST 197807112008012027 1207025107780008 34.165.051.3-125.999 III-c 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055690
10 ERIFRISDA LUMBAN TOBING 196907251996032003 1207026507690001 36.346.480.1-125.000 III-b 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066562
11 SRI FADHILLAH 197702022019052002 1271154207770001 66.665.476.9-121.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090066514
12 ISMAWATI, A.Md 196903111990032007 1207025103690004 36.346.853.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055712
13 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010 70.006.061.9-122.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055373
14 ERIKA 198503062017042005 1207024603850005 66.961.460.4-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090036993
15 LEMSI MANURUNG 197409021993032004 1207024209730002 26.416.732.1-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090036993
16 drg. EVY NORITHA M LUMBANTOBING 197703032010012017 '1271154303770001 26.416.732.1-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055690
17 drg. NINA ADRIANI 197605232006042014 1271116305760001 36.346.480.1-125.000 IV-b 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)

JUMLAH 85,000,000 5,250,000 79,750,000

Ditetapkan di : Dalu Sepuluh

Pada tanggal : 31 Mei 2021
Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196602141994032010
Dalu Sepuluh
 DAFTAR NAMA TENAGA KESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN JUNI 2021

GOL JLH JUMLAH TANDA

NO NAMA NIP NIK NPWP PPH 21 DITERIMA NO.REK
RUANG HARI BRUTO TANGAN
10602090036877
1 dr. TATASI 196405052010011002 1271110505640009 09.893.926.7-121.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090031601
2 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002 49.015.319.4-122.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055340
3 NORA SANTI SIPANGKAR, AM.Keb 198511042017042012 1207024411850005 66.965.589.6-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055874
4 ERLINA DAULAY, A.Md.Keb 198411222017042004 '1207026211840009 66.939.757.2-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055406
5 SARI WARDANI, A.Md.Keb 198401062017042009 1207214601840003 66.961.577.5-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090020781
6 dr. PUJA ARMADI 196802102002121002 1207021002680004 34.741.380.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055863
7 Ns. SHANTY GALENDRA S.Kep 198707032011022002 1409014307870001 69.033.566.6-213.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090036968
8 HENNI BR BARUS 197007091993032005 1207024807700002 36.354.383.6-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055675
9 JULIANA BORU HARAHAP, SST 197807112008012027 1207025107780008 34.165.051.3-125.999 III-c 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055690
10 ERIFRISDA LUMBAN TOBING 196907251996032003 1207026507690001 36.346.480.1-125.000 III-b 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090066562
11 SRI FADHILLAH 197702022019052002 1271154207770001 66.665.476.9-121.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090066514
12 ISMAWATI, A.Md 196903111990032007 1207025103690004 36.346.853.9-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090055712
13 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010 70.006.061.9-122.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090055373
14 ERIKA 198503062017042005 1207024603850005 66.961.460.4-125.000 II-c 14 5,000,000 0% 0 5,000,000
(Bank Sumut)
10602090036993
15 LEMSI MANURUNG 197409021993032004 1207024209730002 26.416.732.1-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055701
16 METTI ROSANAH SITORUS, A.Md.Keb 197311201993032006 1207026011730001 45.362.813.3-125.000 III-d 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090055690
17 drg. NINA ADRIANI 197605232006042014 1271116305760001 36.346.480.1-125.000 IV-b 14 5,000,000 15% 750,000 4,250,000
(Bank Sumut)
10602090036956
18 DIAN INDAH KESUMAWATI, S.Kep., Ners 1.97906292006042E+017 1207026906790001 45.409.857.5-125.000 III-c 14 5,000,000 5% 250,000 4,750,000
(Bank Sumut)
10602090053660
19 ROMANA BR SINABARIBA, Am.Keb 197609062005022001 197609062005022001 77.556.140.0-127.000 III-a 14 5,000,000 5% 250,000 4,750,000
Bank Sumut)
JUMLAH 95,000,000 5,250,000 89,750,000

Dalu Sepuluh, 30 Juni 2021

Ka. UPT Puskesmas Dalu Sepuluh

dr. Tatasi
NIP. 196602141994032010
Dalu Sepuluh
 DAFTAR NAMA TENAGA KESEHATAN YANG M

NO NAMA NIP NIK

1 dr. TATASI 196405052010011002 1271110505640009

2 NURLAILI, S.Tr.Keb 197110201991032009 1271016010710002

3 NORA SANTI SIPANGKAR, AM.Keb 198511042017042012 1207024411850005

4 ERLINA DAULAY, A.Md.Keb 198411222017042004 '1207026211840009

5 SARI WARDANI, A.Md.Keb 198401062017042009 1207214601840003

6 dr. PUJA ARMADI 196802102002121002 1207021002680004

7 Ns. SHANTY GALENDRA S.Kep 198707032011022002 1409014307870001

8 HENNI BR BARUS 197007091993032005 1207024807700002

9 JULIANA BORU HARAHAP, SST 197807112008012027 1207025107780008

10 ERIFRISDA LUMBAN TOBING 196907251996032003 1207026507690001

11 SRI FADHILLAH 197702022019052002 1271154207770001

12 ISMAWATI, A.Md 196903111990032007 1207025103690004

13 TRI MURTINI, A.Md.Keb 198203032017042001 1271094303820010

14 ERIKA 198503062017042005 1207024603850005

15 LEMSI MANURUNG 197409021993032004 1207024209730002

16 METTI ROSANAH SITORUS, A.Md.Keb 197311201993032006 1207026011730001

17 drg. NINA ADRIANI 197605232006042014 1271116305760001

18 DIAN INDAH KESUMAWATI, S.Kep., Ners 1.97906292006042E+017 1207026906790001

19 drg. EVY NORITHA M LUMBANTOBING 197703032010012017 '1271154303770001

20 ASNY OLYFTA, SKM 198702122019032002 1208095202870002

21 ROMANA BR SINABARIBA, Am.Keb 197609062005022001 197609062005022001

JUMLAH
ESEHATAN YANG MENERIMA INSENTIF PERIODE BULAN JUNI 2021

GOL JLH JUMLAH

NPWP PPH 21 DITERIMA
RUANG HARI BRUTO
09.893.926.7-121.000 III-d 14 30,000,000 5% 1,500,000 28,500,000

49.015.319.4-122.000 IV-a 14 25,000,000 15% 3,750,000 21,250,000

66.965.589.6-125.000 II-c 14 30,000,000 0% 0 30,000,000

66.939.757.2-125.000 II-c 14 15,000,000 0% 0 15,000,000

66.961.577.5-125.000 II-c 14 15,000,000 0% 0 15,000,000

34.741.380.9-125.000 IV-a 14 15,000,000 15% 2,250,000 12,750,000

69.033.566.6-213.000 III-d 14 10,000,000 5% 500,000 9,500,000

36.354.383.6-125.000 III-d 14 15,000,000 5% 750,000 14,250,000

34.165.051.3-125.999 III-c 14 15,000,000 5% 750,000 14,250,000

36.346.480.1-125.000 III-b 14 15,000,000 5% 750,000 14,250,000

66.665.476.9-121.000 II-c 14 20,000,000 0% 0 20,000,000

36.346.853.9-125.000 IV-a 14 15,000,000 15% 2,250,000 12,750,000

70.006.061.9-122.000 II-c 14 25,000,000 0% 0 25,000,000

66.961.460.4-125.000 II-c 14 15,000,000 0% 0 15,000,000

26.416.732.1-125.000 III-d 14 15,000,000 5% 750,000 14,250,000

45.362.813.3-125.000 III-d 14 5,000,000 5% 250,000 4,750,000

36.346.480.1-125.000 IV-b 14 10,000,000 15% 1,500,000 8,500,000

45.409.857.5-125.000 III-c 14 10,000,000 5% 500,000 9,500,000

26.416.732.1-125.000 IV-a 14 5,000,000 15% 750,000 4,250,000

97.387.963.8-117.000 III-a 14 25,000,000 5% 1,250,000 23,750,000

77.556.140.0-127.000 III-a 14 5,000,000 5% 250,000 4,750,000

335,000,000 17,750,000 317,250,000

 TANDA
NO.REK
TANGAN
10602090036877
(Bank Sumut)
10602090031601
(Bank Sumut)
10602090055340
(Bank Sumut)
10602090055874
(Bank Sumut)
10602090055406
(Bank Sumut)
10602090020781
(Bank Sumut)
10602090055863
(Bank Sumut)
10602090036968
(Bank Sumut)
10602090055675
(Bank Sumut)
10602090055690
(Bank Sumut)
10602090066562
(Bank Sumut)
10602090066514
(Bank Sumut)
10602090055712
(Bank Sumut)
10602090055373
(Bank Sumut)
10602090036993
(Bank Sumut)
10602090055701
(Bank Sumut)
10602090055690
(Bank Sumut)
10602090036956
(Bank Sumut)
10602090036993
(Bank Sumut)
10602090066536
(Bank Sumut)
10602090053660
Bank Sumut)

Dalu Sepuluh, 30 Juni 2021

Ka. UPT Puskesmas Dalu Sepuluh
dr. Tatasi
NIP. 196602141994032010