DAFTAR PENERIMAAN JASA MEDIK

PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA

KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang NOV
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 26 116 126,276 1
2 dr. Andry Arisandy III/c 140 26 166 180,705 2
3 dr. Lidya Yunita Rampengan III/ 140 26 166 180,705 3
5 Mariani Delim, A.Md.Kep III/d 15 26 41 44,632 5
6 Martha Palinggi III/d 14 26 40 43,543 6
7 Ratri Elsi lenta III/d 15 26 41 44,632 8
8 Syoni Tampeno III/d 14 26 40 43,543 9
9 Novalia Tobanta, AMKL III/d 15 26 41 44,632 10
10 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 44,632 11
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 44,632 12
12 Riska Dena, SKM III/c 15 26 41 44,632 13
13 Fitriani Buimin, S.Kep III/c 15 26 41 44,632 14
14 Naniwati Tandawuya, A.Md.Kep III/c 15 26 41 44,632 15
15 Marlin M Omnyair, A.Md.Kep III/c 15 26 41 44,632 16
16 Asni Nua, SKM III/ 12 26 38 41,366 17
17 Darmawati, A.Md.Keb III/c 15 26 41 44,632 18
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 26 41 44,632 19
19 Fredinan Hano, S.Kep. III/b 15 26 41 44,632 20
20 Marce Mewalo, A. Md.Kep III/b 15 26 41 44,632 21
21 Sri Astuti, A. Md.Kep III/b 15 26 41 44,632 22
22 Nikma, S.ST III/b 14 26 40 43,543 23
23 Maria Delim, SKM III/b 15 26 41 44,632 24
24 Ika Rahmatika Djamal, AMKL III/a 14 26 40 43,543 25
25 Helni Novianti Peluru, AMKG III/a 15 26 41 44,632 26
26 Asma Lambuli, A. Md.Kep III/a 15 26 41 44,632 27
27 Veni A. Mohamad, A.Md.Kep III/a 14 26 40 43,543 28
28 Werinatal Hehy, SKM III/a 50 26 76 82,732 29
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 26 40 43,543 30
30 Yadriyana, S.Kep II/c 14 26 40 43,543 31
31 Milka Patambing, S.Farm II/a 14 26 40 43,543 32
32 Helmi Yoseba Diati, S.Farm II/a 14 26 40 43,543 33
33 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 43,543 34
Merli Pandey, A.Md.Kep III/ 14 26 40 43,543
34 Jelita Dewi Purwasari, A.Md.Kep III/ 14 26 40 43,543 35
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 44,632 36
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 42,455 37
37 Nurlaela, A. Md.Keb II/a 13 26 39 42,455 38
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 42,455 39
39 Nurvemi, A. Md.Kep 13 26 39 42,455 40
40 Ismawati, A.Md.Keb 13 26 39 42,455 41
41 Katarina Salu Bara, A. Md.Keb 13 26 39 42,455 42
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 42,455 43
43 Ahmad FajriIdham, Amd. Anakes 14 26 40 43,543 44
44 Putri Adyan S, A.Md.Keb 13 26 39 42,455 45
45 Siska Permatasari N, A.Md.Keb 14 26 40 43,543 46
46 Felix Rgi, SKM 14 26 40 43,543
47 Lia Juliani, A.Md.Anakes 14 25 39 42,455 46
Jumlah 2,251 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang SEPT
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 26 116 126,500 1
2 dr. Andry Arisandy III/c 140 26 166 181,026 2
3 dr. Lidya Yunita Rampengan III/ 140 26 166 181,026 3
5 Mariani Delim, A.Md.Kep III/d 15 26 41 44,711 5
6 Martha Palinggi III/d 14 26 40 43,621 6
7 Ratri Elsi lenta III/d 15 26 41 44,711 8
8 Syoni Tampeno III/d 14 26 40 43,621 9
9 Novalia Tobanta, AMKL III/d 15 26 41 44,711 10
10 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 44,711 11
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 44,711 12
12 Riska Dena, SKM III/c 15 26 41 44,711 13
13 Fitriani Buimin, S.Kep III/c 15 26 41 44,711 14
14 Naniwati Tandawuya, A.Md.Kep III/c 15 26 41 44,711 15
15 Marlin M Omnyair, A.Md.Kep III/c 15 26 41 44,711 16
16 Asni Nua, SKM III/ 12 26 38 41,440 17
17 Darmawati, A.Md.Keb III/c 15 26 41 44,711 18
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 26 41 44,711 19
19 Fredinan Hano, S.Kep. III/b 15 26 41 44,711 20
20 Marce Mewalo, A. Md.Kep III/b 15 26 41 44,711 21
21 Sri Astuti, A. Md.Kep III/b 15 26 41 44,711 22
22 Nikma, S.ST III/b 14 26 40 43,621 23
23 Maria Delim, SKM III/b 15 26 41 44,711 24
24 Ika Rahmatika Djamal, AMKL III/a 14 26 40 43,621 25
25 Helni Novianti Peluru, AMKG III/a 15 26 41 44,711 26
26 Asma Lambuli, A. Md.Kep III/a 15 26 41 44,711 27
27 Veni A. Mohamad, A.Md.Kep III/a 14 26 40 43,621 28
28 Werinatal Hehy, SKM III/a 50 26 76 82,880 29
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 26 40 43,621 30
30 Yadriyana, S.Kep II/c 14 26 40 43,621 31
31 Milka Patambing, S.Farm II/a 14 26 40 43,621 32
32 Helmi Yoseba Diati, S.Farm II/a 14 26 40 43,621 33
33 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 43,621 34
Merli Pandey, A.Md.Kep III/ 14 26 40 43,621
34 Jelita Dewi Purwasari, A.Md.Kep III/ 14 26 40 43,621 35
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 44,711 36
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 42,530 37
37 Nurlaela, A. Md.Keb II/a 13 26 39 42,530 38
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 42,530 39
39 Nurvemi, A. Md.Kep 13 26 39 42,530 40
40 Ismawati, A.Md.Keb 13 26 39 42,530 41
41 Katarina Salu Bara, A. Md.Keb 13 26 39 42,530 42
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 42,530 43
43 Ahmad FajriIdham, Amd. Anakes 13 26 39 42,530 44
44 Putri Adyan S, A.Md.Keb 13 26 39 42,530 45
45 Siska Permatasari N, A.Md.Keb 13 26 39 42,530 46
46 Felix Rgi, SKM 13 26 39 42,530
47 Lia Juliani, A.Md.Anakes 13 25 38 41,440 46
Jumlah 2,247 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang SEPT
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 26 116 126,500 1
2 dr. Andry Arisandy III/c 140 26 166 181,026 2
3 dr. Lidya Yunita Rampengan III/ 140 26 166 181,026 3
5 Mariani Delim, A.Md.Kep III/d 15 26 41 44,711 5
6 Martha Palinggi III/d 14 26 40 43,621 6
7 Ratri Elsi lenta III/d 15 26 41 44,711 8
8 Syoni Tampeno III/d 14 26 40 43,621 9
9 Novalia Tobanta, AMKL III/d 15 26 41 44,711 10
10 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 44,711 11
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 44,711 12
12 Riska Dena, SKM III/c 15 26 41 44,711 13
13 Fitriani Buimin, S.Kep III/c 15 26 41 44,711 14
14 Naniwati Tandawuya, A.Md.Kep III/c 15 26 41 44,711 15
15 Marlin M Omnyair, A.Md.Kep III/c 15 26 41 44,711 16
16 Asni Nua, SKM III/ 12 26 38 41,440 17
17 Darmawati, A.Md.Keb III/c 15 26 41 44,711 18
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 26 41 44,711 19
19 Fredinan Hano, S.Kep. III/b 15 26 41 44,711 20
20 Marce Mewalo, A. Md.Kep III/b 15 26 41 44,711 21
21 Sri Astuti, A. Md.Kep III/b 15 26 41 44,711 22
22 Nikma, S.ST III/b 14 26 40 43,621 23
23 Maria Delim, SKM III/b 15 26 41 44,711 24
24 Ika Rahmatika Djamal, AMKL III/a 14 26 40 43,621 25
25 Helni Novianti Peluru, AMKG III/a 15 26 41 44,711 26
26 Asma Lambuli, A. Md.Kep III/a 15 26 41 44,711 27
27 Veni A. Mohamad, A.Md.Kep III/a 14 26 40 43,621 28
28 Werinatal Hehy, SKM III/a 50 26 76 82,880 29
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 26 40 43,621 30
30 Yadriyana, S.Kep II/c 14 26 40 43,621 31
31 Milka Patambing, S.Farm II/a 14 26 40 43,621 32
32 Helmi Yoseba Diati, S.Farm II/a 14 26 40 43,621 33
33 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 43,621 34
Merli Pandey, A.Md.Kep III/ 14 26 40 43,621
34 Jelita Dewi Purwasari, A.Md.Kep III/ 14 26 40 43,621 35
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 44,711 36
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 42,530 37
37 Nurlaela, A. Md.Keb II/a 13 26 39 42,530 38
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 42,530 39
39 Nurvemi, A. Md.Kep 13 26 39 42,530 40
40 Ismawati, A.Md.Keb 13 26 39 42,530 41
41 Katarina Salu Bara, A. Md.Keb 13 26 39 42,530 42
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 42,530 43
43 Ahmad FajriIdham, Amd. Anakes 13 26 39 42,530 44
44 Putri Adyan S, A.Md.Keb 13 26 39 42,530 45
45 Siska Permatasari N, A.Md.Keb 13 26 39 42,530 46
46 Felix Rgi, SKM 13 26 39 42,530
47 Lia Juliani, A.Md.Anakes 13 25 38 41,440 46
Jumlah 2,247 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang AGST
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 26 116 130,508 1
2 dr. Andry Arisandy III/c 140 14 154 173,261 2
3 dr. Lidya Yunita Rampengan III/ 140 26 166 186,761 3
4 Mariani Delim, A.Md.Kep III/d 15 26 41 46,128 5
5 Martha Palinggi III/d 14 26 40 45,003 6
6 Ratri Elsi lenta III/d 15 26 41 46,128 8
7 Syoni Tampeno III/d 14 26 40 45,003 9
8 Novalia Tobanta, AMKL III/d 15 25 40 45,003 10
9 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 46,128 11
10 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 46,128 12
11 Riska Dena, SKM III/c 15 26 41 46,128 13
12 Fitriani Buimin, S.Kep III/c 15 26 41 46,128 14
13 Naniwati Tandawuya, A.Md.Kep III/c 15 26 41 46,128 15
14 Marlin M Omnyair, A.Md.Kep III/c 15 25 40 45,003 16
15 Asni Nua, SKM III/ 12 14 26 29,252 17
16 Darmawati, A.Md.Keb III/c 15 26 41 46,128 18
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 26 41 46,128 19
18 Fredinan Hano, S.Kep. III/b 15 25 40 45,003 20
19 Marce Mewalo, A. Md.Kep III/b 15 26 41 46,128 21
20 Sri Astuti, A. Md.Kep III/b 15 26 41 46,128 22
21 Nikma, S.ST III/b 14 26 40 45,003 23
22 Maria Delim, SKM III/b 15 26 41 46,128 24
23 Ika Rahmatika Djamal, AMKL III/a 14 24 38 42,753 25
24 Helni Novianti Peluru, AMKG III/a 15 25 40 45,003 26
25 Asma Lambuli, A. Md.Kep III/a 15 26 41 46,128 27
26 Veni A. Mohamad, A.Md.Kep III/a 14 26 40 45,003 28
27 Werinatal Hehy, SKM III/a 50 26 76 85,505 29
28 Widya Ningrum. Dungga, A.Md.Kep III/a 14 26 40 45,003 30
29 Yadriyana, S.Kep II/c 14 26 40 45,003 31
30 Milka Patambing, S.Farm II/a 12 26 38 42,753 32
31 Helmi Yoseba Diati, S.Farm II/a 14 26 40 45,003 33
32 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 45,003 34
33 Merli Pandey, A.Md.Kep III/ 5 8 13 14,626
34 Jelita Dewi Purwasari, A.Md.Kep III/ 13 24 37 41,628 35
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 46,128 36
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 43,878 37
37 Nurlaela, A. Md.Keb II/a 13 26 39 43,878 38
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 43,878 39
39 Nurvemi, A. Md.Kep 13 26 39 43,878 40
40 Ismawati, A.Md.Keb 13 26 39 43,878 41
41 Katarina Salu Bara, A. Md.Keb 13 26 39 43,878 42
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 43,878 43
43 Ahmad FajriIdham, Amd. Anakes 14 15 29 32,627 44
44 Putri Adyan S, A.Md.Keb 15 26 41 46,128 45
45 Siska Permatasari N, A.Md.Keb 14 24 38 42,753 46
46 Felix Rgi, SKM 14 26 40 45,003
47 Lia Juliani, A.Md.Anakes 14 25 39 43,878 46
Jumlah 2,178 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang JULI
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 26 116 125,440 1
2 dr. Andry Arisandy III/c 140 26 166 179,509 2
3 dr. Lidya Yunita Rampengan III/ 140 26 166 179,509 3
4 drg. Agustin N.T.Santo III/b 90 26 116 125,440 4
5 Mariani Delim, A.Md.Kep III/d 15 26 41 44,336 5
6 Martha Palinggi III/d 14 26 40 43,255 6
7 Ratri Elsi lenta III/d 15 26 41 44,336 8
8 Syoni Tampeno III/d 14 26 40 43,255 9
9 Novalia Tobanta, AMKL III/d 15 26 41 44,336 10
10 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 44,336 11
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 44,336 12
12 Riska Dena, SKM III/c 15 26 41 44,336 13
13 Fitriani Buimin, S.Kep III/c 15 26 41 44,336 14
14 Naniwati Tandawuya, A.Md.Kep III/c 15 26 41 44,336 15
15 Marlin M Omnyair, A.Md.Kep III/c 15 26 41 44,336 16
16 Asni Nua, SKM III/ 12 14 26 28,116 17
17 Darmawati, A.Md.Keb III/c 15 26 41 44,336 18
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 26 41 44,336 19
19 Fredinan Hano, S.Kep. III/b 15 26 41 44,336 20
20 Marce Mewalo, A. Md.Kep III/b 15 26 41 44,336 21
21 Sri Astuti, A. Md.Kep III/b 15 26 41 44,336 22
22 Nikma, S.ST III/b 14 26 40 43,255 23
23 Maria Delim, SKM III/b 15 26 41 44,336 24
24 Ika Rahmatika Djamal, AMKL III/a 14 26 40 43,255 25
25 Helni Novianti Peluru, AMKG III/a 15 26 41 44,336 26
26 Asma Lambuli, A. Md.Kep III/a 15 26 41 44,336 27
27 Veni A. Mohamad, A.Md.Kep III/a 14 26 40 43,255 28
28 Werinatal Hehy, SKM III/a 50 26 76 82,185 29
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 26 40 43,255 30
30 Yadriyana, S.Kep II/c 14 26 40 43,255 31
31 Milka Patambing, S.Farm II/a 12 26 38 41,092 32
32 Helmi Yoseba Diati, S.Farm II/a 14 26 40 43,255 33
33 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 43,255 34
34 Jelita Dewi Purwasari, A.Md.Kep III/ 5 10 15 16,221 35
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 44,336 36
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 42,174 37
37 Nurlaela, A. Md.Keb II/a 13 26 39 42,174 38
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 42,174 39
39 Nurvemi, A. Md.Kep 13 26 39 42,174 40
40 Ismawati, A.Md.Keb 13 26 39 42,174 41
41 Katarina Salu Bara, A. Md.Keb 13 26 39 42,174 42
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 42,174 43
43 Ahmad FajriIdham, Amd. Anakes 14 26 40 43,255 44
44 Putri Adyan S, A.Md.Keb 13 26 39 42,174 45
45 Siska Permatasari N, A.Md.Keb 13 26 39 42,174 46
46 Felix Rgi, SKM 13 26 39 42,174
47 Lia Juliani, A.Md.Anakes 7 12 19 20,546 46
Jumlah 2,266 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang JUNI
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 25 115 125,802 1
2 dr. Andry Arisandy III/c 140 25 165 180,498 2
3 dr. Lidya Yunita Rampengan III/ 140 25 165 180,498 3
4 drg. Agustin N.T.Santo III/b 90 25 115 125,802 4
5 Mariani Delim, A.Md.Kep III/d 15 25 40 43,757 5
6 Martha Palinggi III/d 14 25 39 42,663 6
7 Yulin Pasodi, B.Sc III/d 15 25 40 43,757 7
8 Ratri Elsi lenta III/d 15 25 40 43,757 8
9 Syoni Tampeno III/d 14 25 39 42,663 9
10 Novalia Tobanta, AMKL III/d 15 25 40 43,757 10
11 Eka Puspita R.M., A.Md.Kep III/c 15 25 40 43,757 11
12 Ni Nyoman Aldina, A.Md.Kep III/c 15 25 40 43,757 12
13 Riska Dena, SKM III/c 15 25 40 43,757 13
14 Fitriani Buimin, S.Kep III/c 15 25 40 43,757 14
15 Naniwati Tandawuya, A.Md.Kep III/c 15 25 40 43,757 15
16 Marlin M Omnyair, A.Md.Kep III/c 15 25 40 43,757 16
17 Asni Nua, SKM III/ 12 25 37 40,475 17
18 Darmawati, A.Md.Keb III/c 15 25 40 43,757 18
19 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 25 40 43,757 19
20 Fredinan Hano, S.Kep. III/b 15 25 40 43,757 20
21 Marce Mewalo, A. Md.Kep III/b 15 25 40 43,757 21
22 Sri Astuti, A. Md.Kep III/b 15 25 40 43,757 22
23 Nikma, S.ST III/b 14 25 39 42,663 23
24 Maria Delim, SKM III/b 15 25 40 43,757 24
25 Ika Rahmatika Djamal, AMKL III/a 14 25 39 42,663 25
26 Helni Novianti Peluru, AMKG III/a 15 25 40 43,757 26
27 Asma Lambuli, A. Md.Kep III/a 15 25 40 43,757 27
28 Veni A. Mohamad, A.Md.Kep III/a 14 25 39 42,663 28
29 Werinatal Hehy, SKM III/a 50 25 75 82,045 29
30 Widya Ningrum. Dungga, A.Md.Kep III/a 14 25 39 42,663 30
31 Yadriyana, S.Kep II/c 14 25 39 42,663 31
32 Milka Patambing, S.Farm II/a 12 25 37 40,475 32
33 Helmi Yoseba Diati, S.Farm II/a 14 25 39 42,663 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 25 39 42,663 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 25 40 43,757 35
36 Rini J. Salampean, A.Md.Keb II/a 13 25 38 41,569 36
37 Nurlaela, A. Md.Keb II/a 13 25 38 41,569 37
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 25 38 41,569 38
39 Nurvemi, A. Md.Kep 13 25 38 41,569 39
40 Ismawati, A.Md.Keb 13 25 38 41,569 40
41 Katarina Salu Bara, A. Md.Keb 13 25 38 41,569 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 25 38 41,569 42
43 Ahmad FajriIdham, Amd. Anakes 13 25 38 41,569 43
44 Putri Adyan S, A.Md.Keb 15 25 40 43,757 44
45 Siska Permatasari N, A.Md.Keb 13 25 38 41,569 45
46 Felix Rgi, SKM 13 25 38 41,569 46
Jumlah 2,240 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang MEI
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 22 112 130,564 1
2 dr. Andry Arisandy III/c 140 22 162 188,851 2
3 dr. Lidya Yunita Rampengan III/ 140 22 162 188,851 3
4 drg. Agustin N.T.Santo III/b 90 22 112 130,564 4
5 Mariani Delim, A.Md.Kep III/d 15 22 37 43,133 5
6 Martha Palinggi III/d 14 22 36 41,967 6
7 Yulin Pasodi, B.Sc III/d 15 22 37 43,133 7
8 Ratri Elsi lenta III/d 15 22 37 43,133 8
9 Syoni Tampeno III/d 14 22 36 41,967 9
10 Novalia Tobanta, AMKL III/d 15 22 37 43,133 10
11 Eka Puspita R.M., A.Md.Kep III/c 15 22 37 43,133 11
12 Ni Nyoman Aldina, A.Md.Kep III/c 15 22 37 43,133 12
13 Riska Dena, SKM III/c 15 22 37 43,133 13
14 Fitriani Buimin, S.Kep III/c 15 22 37 43,133 14
15 Naniwati Tandawuya, A.Md.Kep III/c 15 22 37 43,133 15
16 Marlin M Omnyair, A.Md.Kep III/c 15 22 37 43,133 16
17 Asni Nua, SKM III/ 12 22 34 39,635 17
18 Darmawati, A.Md.Keb III/c 15 22 37 43,133 18
19 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 22 37 43,133 19
20 Fredinan Hano, S.Kep. III/b 15 22 37 43,133 20
21 Marce Mewalo, A. Md.Kep III/b 15 22 37 43,133 21
22 Sri Astuti, A. Md.Kep III/b 15 22 37 43,133 22
23 Nikma, S.ST III/b 14 22 36 41,967 23
24 Maria Delim, SKM III/b 15 22 37 43,133 24
25 Ika Rahmatika Djamal, AMKL III/a 14 22 36 41,967 25
26 Helni Novianti Peluru, AMKG III/a 15 22 37 43,133 26
27 Asma Lambuli, A. Md.Kep III/a 15 22 37 43,133 27
28 Veni A. Mohamad, A.Md.Kep III/a 14 22 36 41,967 28
29 Werinatal Hehy, SKM III/a 50 22 72 83,934 29
30 Widya Ningrum. Dungga, A.Md.Kep III/a 14 22 36 41,967 30
31 Yadriyana, S.Kep II/c 14 22 36 41,967 31
32 Milka Patambing, S.Farm II/a 12 22 34 39,635 32
33 Helmi Yoseba Diati, S.Farm II/a 14 22 36 41,967 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 22 36 41,967 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 22 37 43,133 35
36 Rini J. Salampean, A.Md.Keb II/a 13 22 35 40,801 36
37 Nurlaela, A. Md.Keb II/a 13 22 35 40,801 37
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 22 35 40,801 38
39 Nurvemi, A. Md.Kep 13 22 35 40,801 39
40 Ismawati, A.Md.Keb 13 22 35 40,801 40
41 Katarina Salu Bara, A. Md.Keb 13 22 35 40,801 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 22 35 40,801 42
43 Ahmad FajriIdham, Amd. Anakes 13 22 35 40,801 43
44 Putri Adyan S, A.Md.Keb 15 22 37 43,133 44
45 Siska Permatasari N, A.Md.Keb 13 22 35 40,801 45
46 Felix Rgi, SKM 13 22 35 40,801 46
Jumlah 2,102 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang APR
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 25 115 135,936 1
2 dr. Andry Arisandy III/c 140 25 165 195,039 2
3 drg. Agustin N.T.Santo III/b 90 25 115 135,936 3
4 Mariani Delim, A.Md.Kep III/d 15 25 40 47,282 4
5 Martha Palinggi III/d 14 25 39 46,100 5
6 Yulin Pasodi, B.Sc III/d 15 25 40 47,282 6
7 Ratri Elsi lenta III/d 15 25 40 47,282 7
8 Syoni Tampeno III/d 14 25 39 46,100 8
9 Novalia Tobanta, AMKL III/d 15 25 40 47,282 9
10 Eka Puspita R.M., A.Md.Kep III/c 15 25 40 47,282 10
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 25 40 47,282 11
13 Riska Dena, SKM III/c 15 25 40 47,282 12
14 Fitriani Buimin, S.Kep III/c 15 25 40 47,282 13
15 Naniwati Tandawuya, A.Md.Kep III/c 15 25 40 47,282 14
16 Marlin M Omnyair, A.Md.Kep III/c 15 25 40 47,282 15
Asni Nua, SKM 12 25 37 43,736 16
17 Darmawati, A.Md.Keb III/c 15 25 40 47,282 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 25 40 47,282 18
19 Fredinan Hano, S.Kep. III/b 15 25 40 47,282 19
20 Marce Mewalo, A. Md.Kep III/b 15 25 40 47,282 20
21 Sri Astuti, A. Md.Kep III/b 15 25 40 47,282 21
22 Nikma, S.ST III/b 14 25 39 46,100 22
23 Maria Delim, SKM III/b 15 25 40 47,282 23
24 Ika Rahmatika Djamal, AMKL III/a 14 25 39 46,100 24
25 Helni Novianti Peluru, AMKG III/a 15 25 40 47,282 25
26 Asma Lambuli, A. Md.Kep III/a 15 25 40 47,282 26
27 Veni A. Mohamad, A.Md.Kep III/a 14 25 39 46,100 27
28 Werinatal Hehy, SKM III/a 50 25 75 88,654 28
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 25 39 46,100 29
31 Yadriyana, S.Kep II/c 14 25 39 46,100 30
32 Milka Patambing, S.Farm II/a 12 25 37 43,736 31
33 Helmi Yoseba Diati, S.Farm II/a 14 25 39 46,100 32
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 25 39 46,100 33
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 25 40 47,282 34
36 Rini J. Salampean, A.Md.Keb II/a 13 25 38 44,918 35
37 Nurlaela, A. Md.Keb II/a 13 25 38 44,918 36
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 25 38 44,918 37
39 Nurvemi, A. Md.Kep 13 25 38 44,918 38
41 Ismawati, A.Md.Keb 13 25 38 44,918 39
42 Katarina Salu Bara, A. Md.Keb 13 25 38 44,918 40
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 25 38 44,918 41
44 Ahmad FajriIdham, Amd. Anakes 13 25 38 44,918 42
45 Putri Adyan S, A.Md.Keb 15 25 40 47,282 43
46 Siska Permatasari N, A.Md.Keb 12 25 37 43,736 44
47 Felix Rgi, SKM 12 25 37 43,736 45
Jumlah 2,073 2,450,400 -2,450,400 45
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang MRT
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 25 115 140,407 1
2 dr. Andry Arisandy III/c 140 23 163 199,011 2
3 drg. Agustin N.T.Santo III/b 90 25 115 140,407 3
4 Mariani Delim, A.Md.Kep III/d 15 25 40 48,837 4
5 Martha Palinggi III/d 14 25 39 47,616 5
6 Yulin Pasodi, B.Sc III/d 15 25 40 48,837 6
7 Ratri Elsi lenta III/d 15 25 40 48,837 7
8 Syoni Tampeno III/d 14 22 36 43,953 8
9 Novalia Tobanta, AMKL III/d 15 25 40 48,837 9
10 Eka Puspita R.M., A.Md.Kep III/c 15 25 40 48,837 10
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 25 40 48,837 11
13 Riska Dena, SKM III/c 15 24 39 47,616 12
14 Fitriani Buimin, S.Kep III/c 15 24 39 47,616 13
15 Naniwati Tandawuya, A.Md.Kep III/c 15 24 39 47,616 14
16 Marlin M Omnyair, A.Md.Kep III/c 15 25 40 48,837 15
17 Darmawati, A.Md.Keb III/c 15 22 37 45,174 16
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 22 37 45,174 17
19 Fredinan Hano, S.Kep. III/b 15 25 40 48,837 18
20 Marce Mewalo, A. Md.Kep III/b 15 25 40 48,837 19
21 Sri Astuti, A. Md.Kep III/b 15 25 40 48,837 20
22 Nikma, S.ST III/b 14 25 39 47,616 21
23 Maria Delim, SKM III/b 15 25 40 48,837 22
24 Ika Rahmatika Djamal, AMKL III/a 14 24 38 46,395 23
25 Helni Novianti Peluru, AMKG III/a 15 25 40 48,837 24
26 Asma Lambuli, A. Md.Kep III/a 15 24 39 47,616 25
27 Veni A. Mohamad, A.Md.Kep III/a 14 25 39 47,616 26
28 Werinatal Hehy, SKM III/a 50 25 75 91,570 27
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 25 39 47,616 28
31 Yadriyana, S.Kep II/c 14 23 37 45,174 29
32 Milka Patambing, S.Farm II/a 12 25 37 45,174 30
33 Helmi Yoseba Diati, S.Farm II/a 14 25 39 47,616 31
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 23 37 45,174 32
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 25 40 48,837 33
36 Rini J. Salampean, A.Md.Keb II/a 13 25 38 46,395 34
37 Nurlaela, A. Md.Keb II/a 13 25 38 46,395 35
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 25 38 46,395 36
39 Nurvemi, A. Md.Kep 13 24 37 45,174 37
41 Ismawati, A.Md.Keb 13 24 37 45,174 38
42 Katarina Salu Bara, A. Md.Keb 13 25 38 46,395 39
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 25 38 46,395 40
44 Ahmad FajriIdham, Amd. Anakes 13 23 36 43,953 41
45 Putri Adyan S, A.Md.Keb 15 25 40 48,837 42
46 Siska Permatasari N, A.Md.Keb 13 20 33 40,291 43
47 Felix Rgi, SKM 13 23 36 43,953 44
Jumlah 2,007 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : FEBRUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang FEB
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 25 115 141,110 1
2 dr. Andry Arisandy III/c 140 16 156 191,418 2
3 drg. Agustin N.T.Santo III/b 90 25 115 141,110 3
4 Mariani Delim, A.Md.Kep III/d 15 25 40 49,082 4
5 Martha Palinggi III/d 14 25 39 47,855 5
6 Yulin Pasodi, B.Sc III/d 15 25 40 49,082 6
7 Ratri Elsi lenta III/d 15 25 40 49,082 7
8 Syoni Tampeno III/d 14 25 39 47,855 8
9 Novalia Tobanta, AMKL III/d 15 23 38 46,628 9
10 Eka Puspita R.M., A.Md.Kep III/c 15 25 40 49,082 10
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 25 40 49,082 11
13 Riska Dena, SKM III/c 15 23 38 46,628 13
14 Fitriani Buimin, S.Kep III/c 15 25 40 49,082 14
15 Naniwati Tandawuya, A.Md.Kep III/c 15 25 40 49,082 15
16 Marlin M Omnyair, A.Md.Kep III/c 15 25 40 49,082 16
17 Darmawati, A.Md.Keb III/c 15 24 39 47,855 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 25 40 49,082 18
19 Fredinan Hano, S.Kep. III/b 15 24 39 47,855 19
20 Marce Mewalo, A. Md.Kep III/b 15 25 40 49,082 20
21 Sri Astuti, A. Md.Kep III/b 15 25 40 49,082 21
22 Nikma, S.ST III/b 14 25 39 47,855 22
23 Maria Delim, SKM III/b 15 25 40 49,082 23
24 Ika Rahmatika Djamal, AMKL III/a 14 24 38 46,628 24
25 Helni Novianti Peluru, AMKG III/a 15 18 33 40,492 25
26 Asma Lambuli, A. Md.Kep III/a 15 25 40 49,082 26
27 Veni A. Mohamad, A.Md.Kep III/a 14 17 31 38,038 27
28 Werinatal Hehy, SKM III/a 50 25 75 92,028 28
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 25 39 47,855 29
31 Yadriyana, S.Kep II/c 14 24 38 46,628 31
32 Milka Patambing, S.Farm II/a 15 25 40 49,082 32
33 Helmi Yoseba Diati, S.Farm II/a 14 25 39 47,855 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 25 39 47,855 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 25 40 49,082 35
36 Rini J. Salampean, A.Md.Keb II/a 13 25 38 46,628 36
37 Nurlaela, A. Md.Keb II/a 13 25 38 46,628 37
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 25 38 46,628 38
39 Nurvemi, A. Md.Kep 13 22 35 42,946 39
41 Ismawati, A.Md.Keb 13 25 38 46,628 41
42 Katarina Salu Bara, A. Md.Keb 13 25 38 46,628 42
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 25 38 46,628 43
44 Ahmad FajriIdham, Amd. Anakes 13 25 38 46,628 44
45 Putri Adyan S, A.Md.Keb 15 25 40 49,082 45
46 Siska Permatasari N, A.Md.Keb 12 23 35 42,946 46
47 Felix Rgi, SKM 12 20 32 39,265 47
Jumlah 1,997 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020
2,450,400 JASA MEDIK
Puskesmas : K a w u a Bulan : JANUARI
Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. BULAN
No. Nama Pegawai POIN KINERJA JML JASA MEDIK DIBULATKAN Tanda Tangan
Ruang JAN
1 2 3 4 5 6 7 8 9
1 Yublin Mulyati Rangga, SKM IV/a 90 24 114 132,517 1
2 dr. Andry Arisandy III/c 140 26 166 192,963 2
3 drg. Agustin N.T.Santo III/b 90 26 116 134,842 3
4 Mariani Delim, A.Md.Kep III/d 15 25 40 46,497 4
5 Martha Palinggi III/d 14 26 40 46,497 5
6 Yulin Pasodi, B.Sc III/d 15 26 41 47,660 6
7 Ratri Elsi lenta III/d 15 24 39 45,335 7
8 Syoni Tampeno III/d 14 25 39 45,335 8
9 Novalia Tobanta, AMKL III/d 15 24 39 45,335 9
10 Eka Puspita R.M., A.Md.Kep III/c 15 26 41 47,660 10
11 Ni Nyoman Aldina, A.Md.Kep III/c 15 26 41 47,660 11
12 Christina I. Rombot, A.Md.Kep III/c 15 26 41 47,660 12
13 Riska Dena, SKM III/c 15 26 41 47,660 13
14 Fitriani Buimin, S.Kep III/c 15 24 39 45,335 14
15 Naniwati Tandawuya, A.Md.Kep III/c 15 25 40 46,497 15
16 Marlin M Omnyair, A.Md.Kep III/c 15 23 38 44,172 16
17 Darmawati, A.Md.Keb III/c 15 25 40 46,497 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b 15 25 40 46,497 18
19 Fredinan Hano, S.Kep. III/b 15 26 41 47,660 19
20 Marce Mewalo, A. Md.Kep III/b 15 26 41 47,660 20
21 Sri Astuti, A. Md.Kep III/b 15 26 41 47,660 21
22 Nikma, S.ST III/b 14 26 40 46,497 22
23 Maria Delim, SKM III/b 15 26 41 47,660 23
24 Ika Rahmatika Djamal, AMKL III/a 14 24 38 44,172 24
25 Helni Novianti Peluru, AMKG III/a 15 25 40 46,497 25
26 Asma Lambuli, A. Md.Kep III/a 15 26 41 47,660 26
27 Veni A. Mohamad, A.Md.Kep III/a 14 25 39 45,335 27
28 Werinatal Hehy, SKM III/a 50 26 76 88,345 28
29 Widya Ningrum. Dungga, A.Md.Kep III/a 14 25 39 45,335 29
30 Erwin Pasapari, A.Md.Kep III/a 0 0 0 0 30
31 Yadriyana, S.Kep II/c 14 23 37 43,010 31
32 Milka Patambing, S.Farm II/a 15 26 41 47,660 32
33 Helmi Yoseba Diati, S.Farm II/a 14 26 40 46,497 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/a 14 26 40 46,497 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/a 15 26 41 47,660 35
36 Rini J. Salampean, A.Md.Keb II/a 13 26 39 45,335 36
37 Nurlaela, A. Md.Keb II/a 13 26 39 45,335 37
38 Lisa Astuti. Puru, A.Md.Keb II/a 13 26 39 45,335 38
39 Nurvemi, A. Md.Kep 13 23 36 41,847 39
40 Chandra Knoris. Sumba, A.Md.Kep 13 26 39 45,335 40
41 Ismawati, A.Md.Keb 13 25 38 44,172 41
42 Katarina Salu Bara, A. Md.Keb 13 26 39 45,335 42
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. 13 26 39 45,335 43
44 Ahmad FajriIdham, Amd. Anakes 13 26 39 45,335 44
45 Putri Adyan S, A.Md.Keb 15 26 41 47,660 45
46 Siska Permatasari N, A.Md.Keb 12 15 27 31,386 46
47 Felix Rgi, SKM 12 10 22 25,573 47
Jumlah 2,108 2,450,400 -2,450,400
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan NOVEMBER

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 126,276 5 Rp 6,314 Rp 119,962 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 180,705 5 Rp 9,035 Rp 171,670 2
3 dr. Lidya Yunita Rampengan III/ c Dokter Puskesma 180,705 5 Rp 9,035 Rp 171,670 3
4 Mariani Delim, A.Md.Kep III/d Staf 44,632 5 Rp 2,232 Rp 42,400 4
5 Martha Palinggi III/d Staf 43,543 5 Rp 2,177 Rp 41,366 5
6 Ratri Elsi lenta III/d Staf 44,632 5 Rp 2,232 Rp 42,400 6
7 Syoni Tampeno III/d Staf 43,543 5 Rp 2,177 Rp 41,366 7
8 Novalia Tobanta, AMKL III/d Staf 44,632 5 Rp 2,232 Rp 42,400 8
9 Eka Puspita R.M., A.Md.Kep III/d Staf 44,632 5 Rp 2,232 Rp 42,400 9
10 Ni Nyoman Aldina, A.Md.Kep III/d Staf 44,632 5 Rp 2,232 Rp 42,400 10
11 Riska Dena, SKM III/d Staf 44,632 5 Rp 2,232 Rp 42,400 11
12 Fitriani Buimin, S.Kep III/c Staf 44,632 5 Rp 2,232 Rp 42,400 12
13 Naniwati Tandawuya, A.Md.Kep III/c Staf 44,632 5 Rp 2,232 Rp 42,400 13
14 Marlin M Omnyair, A.Md.Kep III/d Staf 44,632 5 Rp 2,232 Rp 42,400 14
15 Asni Nua, SKM III/c Staf 41,366 5 Rp 2,068 Rp 39,298 15
16 Darmawati, A.Md.Keb III/d Staf 44,632 5 Rp 2,232 Rp 42,400 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 44,632 5 Rp 2,232 Rp 42,400 17
18 Fredinan Hano, S.Kep. III/c Staf 44,632 5 Rp 2,232 Rp 42,400 18
19 Marce Mewalo, A. Md.Kep III/b Staf 44,632 5 Rp 2,232 Rp 42,400 19
20 Sri Astuti, A. Md.Kep III/b Staf 44,632 5 Rp 2,232 Rp 42,400 20
21 Nikma, S.ST III/b Staf 43,543 5 Rp 2,177 Rp 41,366 21
22 Maria Delim, SKM III/b Staf 44,632 5 Rp 2,232 Rp 42,400 22
23 Ika Rahmatika Djamal, AMKL III/b Staf 43,543 5 Rp 2,177 Rp 41,366 23
24 Helni Novianti Peluru, AMKG III/b Staf 44,632 5 Rp 2,232 Rp 42,400 24
25 Asma Lambuli, A. Md.Kep III/b Staf 44,632 5 Rp 2,232 Rp 42,400 25
26 Veni A. Mohamad, A.Md.Kep III/b Staf 43,543 5 Rp 2,177 Rp 41,366 26
27 Werinatal Hehy, SKM III/a Staf 82,732 5 Rp 4,137 Rp 78,596 27
28 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 43,543 5 Rp 2,177 Rp 41,366 28
29 Yadriyana, S.Kep II/c Staf 43,543 0 Rp - Rp 43,543 29
30 Milka Patambing, S.Farm II/b Staf 43,543 0 Rp - Rp 43,543 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 43,543 0 Rp - Rp 43,543 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 43,543 0 Rp - Rp 43,543 32
33 Merli Pandey, A.Md.Kep III/b Staf 43,543 5 Rp 2,177 Rp 41,366 33
34 Jelita Dewi Purwasari, A.Md.Kep III/ b Staf 43,543 5 Rp 2,177 Rp 41,366 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 44,632 0 Rp - Rp 44,632 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 42,455 0 Rp - Rp 42,455 36
37 Nurlaela, A. Md.Keb II/b Staf 42,455 0 Rp - Rp 42,455 37
38 Lisa Astuti. Puru, A.Md.Keb SK 42,455 6 Rp 2,547 Rp 39,907 38
39 Nurvemi, A. Md.Kep SK 42,455 6 Rp 2,547 Rp 39,907 39
40 Ismawati, A.Md.Keb SK 42,455 6 Rp 2,547 Rp 39,907 40
41 Katarina Salu Bara, A. Md.Keb SK 42,455 6 Rp 2,547 Rp 39,907 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 42,455 6 Rp 2,547 Rp 39,907 42
43 Ahmad FajriIdham, Amd. Anakes Analis 43,543 6 Rp 2,613 Rp 40,931 43
44 Putri Adyan S, A.Md.Keb SK 42,455 6 Rp 2,547 Rp 39,907 44
45 Siska Permatasari N, A.Md.Keb SK 43,543 6 Rp 2,613 Rp 40,931 45
46 Felix Ragi, SKM SK 43,543 6 Rp 2,613 Rp 40,931 46
47 Lia Juliani, A.Md.Anakes Analis 42,455 6 Rp 2,547 Rp 39,907 47
Jumlah Rp 2,450,400 Rp 98,680 Rp 2,351,720
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan OKTOBER

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 126,500 5 Rp 6,325 Rp 120,175 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 181,026 5 Rp 9,051 Rp 171,975 2
3 dr. Lidya Yunita Rampengan III/ c Dokter Puskesma 181,026 5 Rp 9,051 Rp 171,975 3
4 Mariani Delim, A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 4
5 Martha Palinggi III/d Staf 43,621 5 Rp 2,181 Rp 41,440 5
6 Ratri Elsi lenta III/d Staf 44,711 5 Rp 2,236 Rp 42,476 6
7 Syoni Tampeno III/d Staf 43,621 5 Rp 2,181 Rp 41,440 7
8 Novalia Tobanta, AMKL III/d Staf 44,711 5 Rp 2,236 Rp 42,476 8
9 Eka Puspita R.M., A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 9
10 Ni Nyoman Aldina, A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 10
11 Riska Dena, SKM III/d Staf 44,711 5 Rp 2,236 Rp 42,476 11
12 Fitriani Buimin, S.Kep III/c Staf 44,711 5 Rp 2,236 Rp 42,476 12
13 Naniwati Tandawuya, A.Md.Kep III/c Staf 44,711 5 Rp 2,236 Rp 42,476 13
14 Marlin M Omnyair, A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 14
15 Asni Nua, SKM III/c Staf 41,440 5 Rp 2,072 Rp 39,368 15
16 Darmawati, A.Md.Keb III/d Staf 44,711 5 Rp 2,236 Rp 42,476 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 44,711 5 Rp 2,236 Rp 42,476 17
18 Fredinan Hano, S.Kep. III/c Staf 44,711 5 Rp 2,236 Rp 42,476 18
19 Marce Mewalo, A. Md.Kep III/b Staf 44,711 5 Rp 2,236 Rp 42,476 19
20 Sri Astuti, A. Md.Kep III/b Staf 44,711 5 Rp 2,236 Rp 42,476 20
21 Nikma, S.ST III/b Staf 43,621 5 Rp 2,181 Rp 41,440 21
22 Maria Delim, SKM III/b Staf 44,711 5 Rp 2,236 Rp 42,476 22
23 Ika Rahmatika Djamal, AMKL III/a Staf 43,621 5 Rp 2,181 Rp 41,440 23
24 Helni Novianti Peluru, AMKG III/a Staf 44,711 5 Rp 2,236 Rp 42,476 24
25 Asma Lambuli, A. Md.Kep III/a Staf 44,711 5 Rp 2,236 Rp 42,476 25
26 Veni A. Mohamad, A.Md.Kep III/a Staf 43,621 5 Rp 2,181 Rp 41,440 26
27 Werinatal Hehy, SKM III/a Staf 82,880 5 Rp 4,144 Rp 78,736 27
28 Widya Ningrum. Dungga, A.Md.Kep III/a Staf 43,621 5 Rp 2,181 Rp 41,440 28
29 Yadriyana, S.Kep II/c Staf 43,621 0 Rp - Rp 43,621 29
30 Milka Patambing, S.Farm II/b Staf 43,621 0 Rp - Rp 43,621 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 43,621 0 Rp - Rp 43,621 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 43,621 0 Rp - Rp 43,621 32
33 Merli Pandey, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 33
34 Jelita Dewi Purwasari, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 44,711 0 Rp - Rp 44,711 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 42,530 0 Rp - Rp 42,530 36
37 Nurlaela, A. Md.Keb II/b Staf 42,530 0 Rp - Rp 42,530 37
38 Lisa Astuti. Puru, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 38
39 Nurvemi, A. Md.Kep SK 42,530 6 Rp 2,552 Rp 39,978 39
40 Ismawati, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 40
41 Katarina Salu Bara, A. Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 42,530 6 Rp 2,552 Rp 39,978 42
43 Ahmad FajriIdham, Amd. Anakes Analis 42,530 6 Rp 2,552 Rp 39,978 43
44 Putri Adyan S, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 44
45 Siska Permatasari N, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 45
46 Felix Ragi, SKM SK 42,530 6 Rp 2,552 Rp 39,978 46
47 Lia Juliani, A.Md.Anakes Analis 41,440 6 Rp 2,486 Rp 38,953 47
Jumlah Rp 2,450,400 Rp 98,856 Rp 2,351,544
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan SEPTEMBER

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 126,500 5 Rp 6,325 Rp 120,175 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 181,026 5 Rp 9,051 Rp 171,975 2
3 dr. Lidya Yunita Rampengan III/ c Dokter Puskesma 181,026 5 Rp 9,051 Rp 171,975 3
4 Mariani Delim, A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 4
5 Martha Palinggi III/d Staf 43,621 5 Rp 2,181 Rp 41,440 5
6 Ratri Elsi lenta III/d Staf 44,711 5 Rp 2,236 Rp 42,476 6
7 Syoni Tampeno III/d Staf 43,621 5 Rp 2,181 Rp 41,440 7
8 Novalia Tobanta, AMKL III/d Staf 44,711 5 Rp 2,236 Rp 42,476 8
9 Eka Puspita R.M., A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 9
10 Ni Nyoman Aldina, A.Md.Kep III/d Staf 44,711 5 Rp 2,236 Rp 42,476 10
11 Riska Dena, SKM III/d Staf 44,711 5 Rp 2,236 Rp 42,476 11
12 Fitriani Buimin, S.Kep III/c Staf 44,711 5 Rp 2,236 Rp 42,476 12
13 Naniwati Tandawuya, A.Md.Kep III/c Staf 44,711 5 Rp 2,236 Rp 42,476 13
14 Marlin M Omnyair, A.Md.Kep III/c Staf 44,711 5 Rp 2,236 Rp 42,476 14
15 Asni Nua, SKM III/c Staf 41,440 5 Rp 2,072 Rp 39,368 15
16 Darmawati, A.Md.Keb III/d Staf 44,711 5 Rp 2,236 Rp 42,476 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 44,711 5 Rp 2,236 Rp 42,476 17
18 Fredinan Hano, S.Kep. III/c Staf 44,711 5 Rp 2,236 Rp 42,476 18
19 Marce Mewalo, A. Md.Kep III/b Staf 44,711 5 Rp 2,236 Rp 42,476 19
20 Sri Astuti, A. Md.Kep III/b Staf 44,711 5 Rp 2,236 Rp 42,476 20
21 Nikma, S.ST III/b Staf 43,621 5 Rp 2,181 Rp 41,440 21
22 Maria Delim, SKM III/b Staf 44,711 5 Rp 2,236 Rp 42,476 22
23 Ika Rahmatika Djamal, AMKL III/b Staf 43,621 5 Rp 2,181 Rp 41,440 23
24 Helni Novianti Peluru, AMKG III/b Staf 44,711 5 Rp 2,236 Rp 42,476 24
25 Asma Lambuli, A. Md.Kep III/b Staf 44,711 5 Rp 2,236 Rp 42,476 25
26 Veni A. Mohamad, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 26
27 Werinatal Hehy, SKM III/a Staf 82,880 5 Rp 4,144 Rp 78,736 27
28 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 28
29 Yadriyana, S.Kep II/c Staf 43,621 0 Rp - Rp 43,621 29
30 Milka Patambing, S.Farm II/b Staf 43,621 0 Rp - Rp 43,621 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 43,621 0 Rp - Rp 43,621 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 43,621 0 Rp - Rp 43,621 32
33 Merli Pandey, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 33
34 Jelita Dewi Purwasari, A.Md.Kep III/b Staf 43,621 5 Rp 2,181 Rp 41,440 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 44,711 0 Rp - Rp 44,711 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 42,530 0 Rp - Rp 42,530 36
37 Nurlaela, A. Md.Keb II/b Staf 42,530 0 Rp - Rp 42,530 37
38 Lisa Astuti. Puru, A.Md.Keb Sk 42,530 6 Rp 2,552 Rp 39,978 38
39 Nurvemi, A. Md.Kep SK 42,530 6 Rp 2,552 Rp 39,978 39
40 Ismawati, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 40
41 Katarina Salu Bara, A. Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 42,530 6 Rp 2,552 Rp 39,978 42
43 Ahmad FajriIdham, Amd. Anakes Analis 42,530 6 Rp 2,552 Rp 39,978 43
44 Putri Adyan S, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 44
45 Siska Permatasari N, A.Md.Keb SK 42,530 6 Rp 2,552 Rp 39,978 45
46 Felix Ragi, SKM SK 42,530 6 Rp 2,552 Rp 39,978 46
47 Lia Juliani, A.Md.Anakes Analis 41,440 6 Rp 2,486 Rp 38,953 47
Jumlah Rp 2,450,400 Rp 98,856 Rp 2,351,544
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan AGUSTUS

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 130,508 5 Rp 6,525 Rp 123,983 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 173,261 5 Rp 8,663 Rp 164,598 2
3 dr. Lidya Yunita Rampengan III/ c Dokter Puskesma 186,761 5 Rp 9,338 Rp 177,423 3
4 Mariani Delim, A.Md.Kep III/d Staf 46,128 5 Rp 2,306 Rp 43,821 4
5 Martha Palinggi III/d Staf 45,003 5 Rp 2,250 Rp 42,753 5
6 Ratri Elsi lenta III/d Staf 46,128 5 Rp 2,306 Rp 43,821 6
7 Syoni Tampeno III/d Staf 45,003 5 Rp 2,250 Rp 42,753 7
8 Novalia Tobanta, AMKL III/d Staf 45,003 5 Rp 2,250 Rp 42,753 8
9 Eka Puspita R.M., A.Md.Kep III/d Staf 46,128 5 Rp 2,306 Rp 43,821 9
10 Ni Nyoman Aldina, A.Md.Kep III/d Staf 46,128 5 Rp 2,306 Rp 43,821 10
11 Riska Dena, SKM III/d Staf 46,128 5 Rp 2,306 Rp 43,821 11
12 Fitriani Buimin, S.Kep III/c Staf 46,128 5 Rp 2,306 Rp 43,821 12
13 Naniwati Tandawuya, A.Md.Kep III/c Staf 46,128 5 Rp 2,306 Rp 43,821 13
14 Marlin M Omnyair, A.Md.Kep III/c Staf 45,003 5 Rp 2,250 Rp 42,753 14
15 Asni Nua, SKM III/ Staf 29,252 5 Rp 1,463 Rp 27,789 15
16 Darmawati, A.Md.Keb III/d Staf 46,128 5 Rp 2,306 Rp 43,821 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 46,128 5 Rp 2,306 Rp 43,821 17
18 Fredinan Hano, S.Kep. III/c Staf 45,003 5 Rp 2,250 Rp 42,753 18
19 Marce Mewalo, A. Md.Kep III/b Staf 46,128 5 Rp 2,306 Rp 43,821 19
20 Sri Astuti, A. Md.Kep III/b Staf 46,128 5 Rp 2,306 Rp 43,821 20
21 Nikma, S.ST III/b Staf 45,003 5 Rp 2,250 Rp 42,753 21
22 Maria Delim, SKM III/b Staf 46,128 5 Rp 2,306 Rp 43,821 22
23 Ika Rahmatika Djamal, AMKL III/b Staf 42,753 5 Rp 2,138 Rp 40,615 23
24 Helni Novianti Peluru, AMKG III/b Staf 45,003 5 Rp 2,250 Rp 42,753 24
25 Asma Lambuli, A. Md.Kep III/b Staf 46,128 5 Rp 2,306 Rp 43,821 25
26 Veni A. Mohamad, A.Md.Kep III/b Staf 45,003 5 Rp 2,250 Rp 42,753 26
27 Werinatal Hehy, SKM III/a Staf 85,505 5 Rp 4,275 Rp 81,230 27
28 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 45,003 5 Rp 2,250 Rp 42,753 28
29 Yadriyana, S.Kep II/c Staf 45,003 0 Rp - Rp 45,003 29
30 Milka Patambing, S.Farm II/b Staf 42,753 0 Rp - Rp 42,753 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 45,003 0 Rp - Rp 45,003 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 45,003 0 Rp - Rp 45,003 32
33 Merli Pandey, A.Md.Kep III/b Staf 14,626 5 Rp 731 Rp 13,895 33
34 Jelita Dewi Purwasari, A.Md.Kep III/b Staf 41,628 5 Rp 2,081 Rp 39,546 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 46,128 0 Rp - Rp 46,128 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 43,878 0 Rp - Rp 43,878 36
37 Nurlaela, A. Md.Keb II/b Staf 43,878 0 Rp - Rp 43,878 37
38 Lisa Astuti. Puru, A.Md.Keb SK 43,878 6 Rp 2,633 Rp 41,245 38
39 Nurvemi, A. Md.Kep SK 43,878 6 Rp 2,633 Rp 41,245 39
40 Ismawati, A.Md.Keb SK 43,878 6 Rp 2,633 Rp 41,245 40
41 Katarina Salu Bara, A. Md.Keb SK 43,878 6 Rp 2,633 Rp 41,245 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 43,878 6 Rp 2,633 Rp 41,245 42
43 Ahmad FajriIdham, Amd. Anakes Analis 32,627 6 Rp 1,958 Rp 30,669 43
44 Putri Adyan S, A.Md.Keb SK 46,128 6 Rp 2,768 Rp 43,360 44
45 Siska Permatasari N, A.Md.Keb SK 42,753 6 Rp 2,565 Rp 40,187 45
46 Felix Ragi, SKM SK 45,003 6 Rp 2,700 Rp 42,303 46
47 Lia Juliani, A.Md.Anakes Analis 43,878 6 Rp 2,633 Rp 41,245 47
Jumlah Rp 2,450,400 Rp 98,612 Rp 2,351,788
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan JULI

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 125,440 5 Rp 6,272 Rp 119,168 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 179,509 5 Rp 8,975 Rp 170,533 2
3 dr. Lidya Yunita Rampengan III/c Dokter Puskesma 179,509 5 Rp 8,975 Rp 170,533 3
4 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 125,440 5 Rp 6,272 Rp 119,168 4
5 Mariani Delim, A.Md.Kep III/d Staf 44,336 5 Rp 2,217 Rp 42,120 5
6 Martha Palinggi III/d Staf 43,255 5 Rp 2,163 Rp 41,092 6
7 Ratri Elsi lenta III/d Staf 44,336 5 Rp 2,217 Rp 42,120 7
8 Syoni Tampeno III/d Staf 43,255 5 Rp 2,163 Rp 41,092 8
9 Novalia Tobanta, AMKL III/d Staf 44,336 5 Rp 2,217 Rp 42,120 9
10 Eka Puspita R.M., A.Md.Kep III/d Staf 44,336 5 Rp 2,217 Rp 42,120 10
11 Ni Nyoman Aldina, A.Md.Kep III/d Staf 44,336 5 Rp 2,217 Rp 42,120 11
12 Riska Dena, SKM III/d Staf 44,336 5 Rp 2,217 Rp 42,120 12
13 Fitriani Buimin, S.Kep III/c Staf 44,336 5 Rp 2,217 Rp 42,120 13
14 Naniwati Tandawuya, A.Md.Kep III/c Staf 44,336 5 Rp 2,217 Rp 42,120 14
15 Marlin M Omnyair, A.Md.Kep III/c Staf 44,336 5 Rp 2,217 Rp 42,120 15
16 Asni Nua, SKM III/c Staf 28,116 5 Rp 1,406 Rp 26,710 16
17 Darmawati, A.Md.Keb III/d Staf 44,336 5 Rp 2,217 Rp 42,120 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 44,336 5 Rp 2,217 Rp 42,120 18
19 Fredinan Hano, S.Kep. III/c Staf 44,336 5 Rp 2,217 Rp 42,120 19
20 Marce Mewalo, A. Md.Kep III/b Staf 44,336 5 Rp 2,217 Rp 42,120 20
21 Sri Astuti, A. Md.Kep III/b Staf 44,336 5 Rp 2,217 Rp 42,120 21
22 Nikma, S.ST III/b Staf 43,255 5 Rp 2,163 Rp 41,092 22
23 Maria Delim, SKM III/b Staf 44,336 5 Rp 2,217 Rp 42,120 23
24 Ika Rahmatika Djamal, AMKL III/b Staf 43,255 5 Rp 2,163 Rp 41,092 24
25 Helni Novianti Peluru, AMKG III/b Staf 44,336 5 Rp 2,217 Rp 42,120 25
26 Asma Lambuli, A. Md.Kep III/b Staf 44,336 5 Rp 2,217 Rp 42,120 26
27 Veni A. Mohamad, A.Md.Kep III/b Staf 43,255 5 Rp 2,163 Rp 41,092 27
28 Werinatal Hehy, SKM III/a Staf 82,185 5 Rp 4,109 Rp 78,075 28
29 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 43,255 5 Rp 2,163 Rp 41,092 29
30 Yadriyana, S.Kep II/b Staf 43,255 0 Rp - Rp 43,255 30
31 Milka Patambing, S.Farm II/b Staf 41,092 0 Rp - Rp 41,092 31
32 Helmi Yoseba Diati, S.Farm II/b Staf 43,255 0 Rp - Rp 43,255 32
33 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 43,255 0 Rp - Rp 43,255 33
34 Jelita Dewi Purwasari, A.Md.Kep III/ b Staf 16,221 5 Rp 811 Rp 15,410 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 44,336 0 Rp - Rp 44,336 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 42,174 0 Rp - Rp 42,174 36
37 Nurlaela, A. Md.Keb II/b Staf 42,174 0 Rp - Rp 42,174 37
38 Lisa Astuti. Puru, A.Md.Keb SK 42,174 6 Rp 2,530 Rp 39,643 38
39 Nurvemi, A. Md.Kep SK 42,174 6 Rp 2,530 Rp 39,643 39
40 Ismawati, A.Md.Keb SK 42,174 6 Rp 2,530 Rp 39,643 40
41 Katarina Salu Bara, A. Md.Keb SK 42,174 6 Rp 2,530 Rp 39,643 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 42,174 6 Rp 2,530 Rp 39,643 42
43 Ahmad FajriIdham, Amd. Anakes Analis 43,255 6 Rp 2,595 Rp 40,660 43
44 Putri Adyan S, A.Md.Keb SK 42,174 6 Rp 2,530 Rp 39,643 44
45 Siska Permatasari N, A.Md.Keb SK 42,174 6 Rp 2,530 Rp 39,643 45
46 Felix Ragi, SKM SK 42,174 6 Rp 2,530 Rp 39,643 46
47 Lia Juliani, A.Md.Anakes Analis 20,546 6 Rp 1,233 Rp 19,313 47
Jumlah Rp 2,450,400 Rp 100,135 Rp 2,350,265
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan JUNI

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 125,802 5 Rp 6,290 Rp 119,512 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 180,498 5 Rp 9,025 Rp 171,473 2
3 dr. Lidya Yunita Rampengan III/c Dokter Puskesma 180,498 5 Rp 9,025 Rp 171,473 3
4 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 125,802 5 Rp 6,290 Rp 119,512 4
5 Mariani Delim, A.Md.Kep III/d Staf 43,757 5 Rp 2,188 Rp 41,569 5
6 Martha Palinggi III/d Staf 42,663 5 Rp 2,133 Rp 40,530 6
7 Yulin Pasodi, B.Sc III/d Staf 43,757 5 Rp 2,188 Rp 41,569 7
8 Ratri Elsi lenta III/d Staf 43,757 5 Rp 2,188 Rp 41,569 8
9 Syoni Tampeno III/d Staf 42,663 5 Rp 2,133 Rp 40,530 9
10 Novalia Tobanta, AMKL III/d Staf 43,757 5 Rp 2,188 Rp 41,569 10
11 Eka Puspita R.M., A.Md.Kep III/d Staf 43,757 5 Rp 2,188 Rp 41,569 11
12 Ni Nyoman Aldina, A.Md.Kep III/d Staf 43,757 5 Rp 2,188 Rp 41,569 12
13 Riska Dena, SKM III/d Staf 43,757 5 Rp 2,188 Rp 41,569 13
14 Fitriani Buimin, S.Kep III/c Staf 43,757 5 Rp 2,188 Rp 41,569 14
15 Naniwati Tandawuya, A.Md.Kep III/c Staf 43,757 5 Rp 2,188 Rp 41,569 15
16 Marlin M Omnyair, A.Md.Kep III/c Staf 43,757 5 Rp 2,188 Rp 41,569 16
17 Asni Nua, SKM III/c Staf 40,475 5 Rp 2,024 Rp 38,452 17
18 Darmawati, A.Md.Keb III/d Staf 43,757 5 Rp 2,188 Rp 41,569 18
19 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 43,757 5 Rp 2,188 Rp 41,569 19
20 Fredinan Hano, S.Kep. III/c Staf 43,757 5 Rp 2,188 Rp 41,569 20
21 Marce Mewalo, A. Md.Kep III/b Staf 43,757 5 Rp 2,188 Rp 41,569 21
22 Sri Astuti, A. Md.Kep III/b Staf 43,757 5 Rp 2,188 Rp 41,569 22
23 Nikma, S.ST III/b Staf 42,663 5 Rp 2,133 Rp 40,530 23
24 Maria Delim, SKM III/b Staf 43,757 5 Rp 2,188 Rp 41,569 24
25 Ika Rahmatika Djamal, AMKL III/b Staf 42,663 5 Rp 2,133 Rp 40,530 25
26 Helni Novianti Peluru, AMKG III/b Staf 43,757 5 Rp 2,188 Rp 41,569 26
27 Asma Lambuli, A. Md.Kep III/b Staf 43,757 5 Rp 2,188 Rp 41,569 27
28 Veni A. Mohamad, A.Md.Kep III/b Staf 42,663 5 Rp 2,133 Rp 40,530 28
29 Werinatal Hehy, SKM III/a Staf 82,045 5 Rp 4,102 Rp 77,942 29
30 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 42,663 5 Rp 2,133 Rp 40,530 30
31 Yadriyana, S.Kep II/c Staf 42,663 0 Rp - Rp 42,663 31
32 Milka Patambing, S.Farm II/b Staf 40,475 0 Rp - Rp 40,475 32
33 Helmi Yoseba Diati, S.Farm II/b Staf 42,663 0 Rp - Rp 42,663 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 42,663 0 Rp - Rp 42,663 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 43,757 0 Rp - Rp 43,757 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 41,569 0 Rp - Rp 41,569 36
37 Nurlaela, A. Md.Keb II/b Staf 41,569 0 Rp - Rp 41,569 37
38 Lisa Astuti. Puru, A.Md.Keb SK 41,569 6 Rp 2,494 Rp 39,075 38
39 Nurvemi, A. Md.Kep SK 41,569 6 Rp 2,494 Rp 39,075 39
40 Ismawati, A.Md.Keb SK 41,569 6 Rp 2,494 Rp 39,075 40
41 Katarina Salu Bara, A. Md.Keb SK 41,569 6 Rp 2,494 Rp 39,075 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 41,569 6 Rp 2,494 Rp 39,075 42
43 Ahmad FajriIdham, Amd. Anakes Analis 41,569 6 Rp 2,494 Rp 39,075 43
44 Putri Adyan S, A.Md.Keb SK 43,757 6 Rp 2,625 Rp 41,132 44
45 Siska Permatasari N, A.Md.Keb SK 41,569 6 Rp 2,494 Rp 39,075 45
46 Felix Ragi, SKM SK 41,569 6 Rp 2,494 Rp 39,075 46
Jumlah Rp 2,450,400 Rp 101,407 Rp 2,348,993
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : MEI

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 130,564 5 Rp 6,528 Rp 124,035 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 188,851 5 Rp 9,443 Rp 179,408 2
3 dr. Lidya Yunita Rampengan III/c Dokter Puskesma 188,851 5 Rp 9,443 Rp 179,408 3
4 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 130,564 5 Rp 6,528 Rp 124,035 4
5 Mariani Delim, A.Md.Kep III/d Staf 43,133 5 Rp 2,157 Rp 40,976 5
6 Martha Palinggi III/d Staf 41,967 5 Rp 2,098 Rp 39,869 6
7 Yulin Pasodi, B.Sc III/d Staf 43,133 5 Rp 2,157 Rp 40,976 7
8 Ratri Elsi lenta III/d Staf 43,133 5 Rp 2,157 Rp 40,976 8
9 Syoni Tampeno III/d Staf 41,967 5 Rp 2,098 Rp 39,869 9
10 Novalia Tobanta, AMKL III/d Staf 43,133 5 Rp 2,157 Rp 40,976 10
11 Eka Puspita R.M., A.Md.Kep III/d Staf 43,133 5 Rp 2,157 Rp 40,976 11
12 Ni Nyoman Aldina, A.Md.Kep III/d Staf 43,133 5 Rp 2,157 Rp 40,976 12
13 Riska Dena, SKM III/d Staf 43,133 5 Rp 2,157 Rp 40,976 13
14 Fitriani Buimin, S.Kep III/c Staf 43,133 5 Rp 2,157 Rp 40,976 14
15 Naniwati Tandawuya, A.Md.Kep III/c Staf 43,133 5 Rp 2,157 Rp 40,976 15
16 Marlin M Omnyair, A.Md.Kep III/c Staf 43,133 5 Rp 2,157 Rp 40,976 16
17 Asni Nua, SKM III/c Staf 39,635 5 Rp 1,982 Rp 37,654 17
18 Darmawati, A.Md.Keb III/d Staf 43,133 5 Rp 2,157 Rp 40,976 18
19 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 43,133 5 Rp 2,157 Rp 40,976 19
20 Fredinan Hano, S.Kep. III/c Staf 43,133 5 Rp 2,157 Rp 40,976 20
21 Marce Mewalo, A. Md.Kep III/b Staf 43,133 5 Rp 2,157 Rp 40,976 21
22 Sri Astuti, A. Md.Kep III/b Staf 43,133 5 Rp 2,157 Rp 40,976 22
23 Nikma, S.ST III/b Staf 41,967 5 Rp 2,098 Rp 39,869 23
24 Maria Delim, SKM III/b Staf 43,133 5 Rp 2,157 Rp 40,976 24
25 Ika Rahmatika Djamal, AMKL III/b Staf 41,967 5 Rp 2,098 Rp 39,869 25
26 Helni Novianti Peluru, AMKG III/b Staf 43,133 5 Rp 2,157 Rp 40,976 26
27 Asma Lambuli, A. Md.Kep III/b Staf 43,133 5 Rp 2,157 Rp 40,976 27
28 Veni A. Mohamad, A.Md.Kep III/b Staf 41,967 5 Rp 2,098 Rp 39,869 28
29 Werinatal Hehy, SKM III/a Staf 83,934 5 Rp 4,197 Rp 79,737 29
30 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 41,967 5 Rp 2,098 Rp 39,869 30
31 Yadriyana, S.Kep II/c Staf 41,967 0 Rp - Rp 41,967 31
32 Milka Patambing, S.Farm II/b Staf 39,635 0 Rp - Rp 39,635 32
33 Helmi Yoseba Diati, S.Farm II/b Staf 41,967 0 Rp - Rp 41,967 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 41,967 0 Rp - Rp 41,967 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 43,133 0 Rp - Rp 43,133 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 40,801 0 Rp - Rp 40,801 36
37 Nurlaela, A. Md.Keb II/b Staf 40,801 0 Rp - Rp 40,801 37
38 Lisa Astuti. Puru, A.Md.Keb SK 40,801 6 Rp 2,448 Rp 38,353 38
39 Nurvemi, A. Md.Kep SK 40,801 6 Rp 2,448 Rp 38,353 39
40 Ismawati, A.Md.Keb SK 40,801 6 Rp 2,448 Rp 38,353 40
41 Katarina Salu Bara, A. Md.Keb SK 40,801 6 Rp 2,448 Rp 38,353 41
42 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 40,801 6 Rp 2,448 Rp 38,353 42
43 Ahmad FajriIdham, Amd. Anakes Analis 40,801 6 Rp 2,448 Rp 38,353 43
44 Putri Adyan S, A.Md.Keb SK 43,133 6 Rp 2,588 Rp 40,545 44
45 Siska Permatasari N, A.Md.Keb SK 40,801 6 Rp 2,448 Rp 38,353 45
46 Felix Ragi, SKM SK 40,801 6 Rp 2,448 Rp 38,353 46
Jumlah Rp 2,450,400 Rp 101,770 Rp 2,348,630
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : APRIL

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 135,936 5 Rp 6,797 Rp 129,140 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 195,039 5 Rp 9,752 Rp 185,287 2
3 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 135,936 5 Rp 6,797 Rp 129,140 3
4 Mariani Delim, A.Md.Kep III/d Staf 47,282 5 Rp 2,364 Rp 44,918 4
5 Martha Palinggi III/d Staf 46,100 5 Rp 2,305 Rp 43,795 5
6 Yulin Pasodi, B.Sc III/d Staf 47,282 5 Rp 2,364 Rp 44,918 6
7 Ratri Elsi lenta III/d Staf 47,282 5 Rp 2,364 Rp 44,918 7
8 Syoni Tampeno III/d Staf 46,100 5 Rp 2,305 Rp 43,795 8
9 Novalia Tobanta, AMKL III/d Staf 47,282 5 Rp 2,364 Rp 44,918 9
10 Eka Puspita R.M., A.Md.Kep III/d Staf 47,282 5 Rp 2,364 Rp 44,918 10
11 Ni Nyoman Aldina, A.Md.Kep III/d Staf 47,282 5 Rp 2,364 Rp 44,918 11
12 Riska Dena, SKM III/d Staf 47,282 5 Rp 2,364 Rp 44,918 12
13 Fitriani Buimin, S.Kep III/c Staf 47,282 5 Rp 2,364 Rp 44,918 13
14 Naniwati Tandawuya, A.Md.Kep III/c Staf 47,282 5 Rp 2,364 Rp 44,918 14
15 Marlin M Omnyair, A.Md.Kep III/c Staf 47,282 5 Rp 2,364 Rp 44,918 15
16 Darmawati, A.Md.Keb III/d Staf 43,736 5 Rp 2,187 Rp 41,549 16
17 Asni Nua, SKM III/c Staf 47,282 5 Rp 2,364 Rp 44,918 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 47,282 5 Rp 2,364 Rp 44,918 18
19 Fredinan Hano, S.Kep. III/c Staf 47,282 5 Rp 2,364 Rp 44,918 19
20 Marce Mewalo, A. Md.Kep III/b Staf 47,282 5 Rp 2,364 Rp 44,918 20
21 Sri Astuti, A. Md.Kep III/b Staf 47,282 5 Rp 2,364 Rp 44,918 21
22 Nikma, S.ST III/b Staf 46,100 5 Rp 2,305 Rp 43,795 22
23 Maria Delim, SKM III/b Staf 47,282 5 Rp 2,364 Rp 44,918 23
24 Ika Rahmatika Djamal, AMKL III/b Staf 46,100 5 Rp 2,305 Rp 43,795 24
25 Helni Novianti Peluru, AMKG III/b Staf 47,282 5 Rp 2,364 Rp 44,918 25
26 Asma Lambuli, A. Md.Kep III/b Staf 47,282 5 Rp 2,364 Rp 44,918 26
27 Veni A. Mohamad, A.Md.Kep III/b Staf 46,100 5 Rp 2,305 Rp 43,795 27
28 Werinatal Hehy, SKM III/a Staf 88,654 5 Rp 4,433 Rp 84,221 28
29 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 46,100 5 Rp 2,305 Rp 43,795 29
30 Yadriyana, S.Kep II/c Staf 46,100 0 Rp - Rp 46,100 30
31 Milka Patambing, S.Farm II/b Staf 43,736 0 Rp - Rp 43,736 31
32 Helmi Yoseba Diati, S.Farm II/b Staf 46,100 0 Rp - Rp 46,100 32
33 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 46,100 0 Rp - Rp 46,100 33
34 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 47,282 0 Rp - Rp 47,282 34
35 Rini J. Salampean, A.Md.Keb II/b Staf 44,918 0 Rp - Rp 44,918 35
36 Nurlaela, A. Md.Keb II/b Staf 44,918 0 Rp - Rp 44,918 36
37 Lisa Astuti. Puru, A.Md.Keb SK 44,918 6 Rp 2,695 Rp 42,223 37
38 Nurvemi, A. Md.Kep SK 44,918 6 Rp 2,695 Rp 42,223 38
39 Ismawati, A.Md.Keb SK 44,918 6 Rp 2,695 Rp 42,223 39
40 Katarina Salu Bara, A. Md.Keb SK 44,918 6 Rp 2,695 Rp 42,223 40
41 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 44,918 6 Rp 2,695 Rp 42,223 41
42 Ahmad FajriIdham, Amd. Anakes Analis 44,918 6 Rp 2,695 Rp 42,223 42
43 Putri Adyan S, A.Md.Keb SK 47,282 6 Rp 2,837 Rp 44,445 43
44 Siska Permatasari N, A.Md.Keb SK 43,736 6 Rp 2,624 Rp 41,112 44
45 Felix Ragi, SKM SK 43,736 6 Rp 2,624 Rp 41,112 45
Jumlah Rp 2,450,400 Rp 99,825 Rp 2,350,575
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : MARET

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 140,407 5 Rp 7,020 Rp 133,386 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 199,011 5 Rp 9,951 Rp 189,061 2
3 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 140,407 5 Rp 7,020 Rp 133,386 3
4 Mariani Delim, A.Md.Kep III/d Staf 48,837 5 Rp 2,442 Rp 46,395 4
5 Martha Palinggi III/d Staf 47,616 5 Rp 2,381 Rp 45,235 5
6 Yulin Pasodi, B.Sc III/d Staf 48,837 5 Rp 2,442 Rp 46,395 6
7 Ratri Elsi lenta III/d Staf 48,837 5 Rp 2,442 Rp 46,395 7
8 Syoni Tampeno III/d Staf 43,953 5 Rp 2,198 Rp 41,756 8
9 Novalia Tobanta, AMKL III/d Staf 48,837 5 Rp 2,442 Rp 46,395 9
10 Eka Puspita R.M., A.Md.Kep III/d Staf 48,837 5 Rp 2,442 Rp 46,395 10
11 Ni Nyoman Aldina, A.Md.Kep III/d Staf 48,837 5 Rp 2,442 Rp 46,395 11
12 Riska Dena, SKM III/d Staf 47,616 5 Rp 2,381 Rp 45,235 12
13 Fitriani Buimin, S.Kep III/c Staf 47,616 5 Rp 2,381 Rp 45,235 13
14 Naniwati Tandawuya, A.Md.Kep III/c Staf 47,616 5 Rp 2,381 Rp 45,235 14
15 Marlin M Omnyair, A.Md.Kep III/c Staf 48,837 5 Rp 2,442 Rp 46,395 15
16 Darmawati, A.Md.Keb III/d Staf 45,174 5 Rp 2,259 Rp 42,916 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 45,174 5 Rp 2,259 Rp 42,916 17
18 Fredinan Hano, S.Kep. III/c Staf 48,837 5 Rp 2,442 Rp 46,395 18
19 Marce Mewalo, A. Md.Kep III/b Staf 48,837 5 Rp 2,442 Rp 46,395 19
20 Sri Astuti, A. Md.Kep III/b Staf 48,837 5 Rp 2,442 Rp 46,395 20
21 Nikma, S.ST III/b Staf 47,616 5 Rp 2,381 Rp 45,235 21
22 Maria Delim, SKM III/b Staf 48,837 5 Rp 2,442 Rp 46,395 22
23 Ika Rahmatika Djamal, AMKL III/b Staf 46,395 5 Rp 2,320 Rp 44,075 23
24 Helni Novianti Peluru, AMKG III/b Staf 48,837 5 Rp 2,442 Rp 46,395 24
25 Asma Lambuli, A. Md.Kep III/b Staf 47,616 5 Rp 2,381 Rp 45,235 25
26 Veni A. Mohamad, A.Md.Kep III/b Staf 47,616 5 Rp 2,381 Rp 45,235 26
27 Werinatal Hehy, SKM III/a Staf 91,570 5 Rp 4,578 Rp 86,991 27
28 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 47,616 5 Rp 2,381 Rp 45,235 28
29 Yadriyana, S.Kep II/c Staf 45,174 0 Rp - Rp 45,174 29
30 Milka Patambing, S.Farm II/b Staf 45,174 0 Rp - Rp 45,174 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 47,616 0 Rp - Rp 47,616 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 45,174 0 Rp - Rp 45,174 32
33 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 48,837 0 Rp - Rp 48,837 33
34 Rini J. Salampean, A.Md.Keb II/b Staf 46,395 0 Rp - Rp 46,395 34
35 Nurlaela, A. Md.Keb II/b Staf 46,395 0 Rp - Rp 46,395 35
36 Lisa Astuti. Puru, A.Md.Keb SK 46,395 6 Rp 2,784 Rp 43,612 36
37 Nurvemi, A. Md.Kep SK 45,174 6 Rp 2,710 Rp 42,464 37
38 Ismawati, A.Md.Keb SK 45,174 6 Rp 2,710 Rp 42,464 38
39 Katarina Salu Bara, A. Md.Keb SK 46,395 6 Rp 2,784 Rp 43,612 39
40 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 46,395 6 Rp 2,784 Rp 43,612 40
41 Ahmad FajriIdham, Amd. Anakes Analis 43,953 6 Rp 2,637 Rp 41,316 41
42 Putri Adyan S, A.Md.Keb SK 48,837 6 Rp 2,930 Rp 45,907 42
43 Siska Permatasari N, A.Md.Keb SK 40,291 6 Rp 2,417 Rp 37,873 43
44 Felix Ragi, SKM SK 43,953 6 Rp 2,637 Rp 41,316 44
Jumlah Rp 2,450,400 Rp 99,725 Rp 2,350,675
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : FEBRUARI

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 141,110 5 Rp 7,055 Rp 134,054 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 191,418 5 Rp 9,571 Rp 181,847 2
3 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 141,110 5 Rp 7,055 Rp 134,054 3
4 Mariani Delim, A.Md.Kep III/d Staf 49,082 5 Rp 2,454 Rp 46,628 4
5 Martha Palinggi III/d Staf 47,855 5 Rp 2,393 Rp 45,462 5
6 Yulin Pasodi, B.Sc III/d Staf 49,082 5 Rp 2,454 Rp 46,628 6
7 Ratri Elsi lenta III/d Staf 49,082 5 Rp 2,454 Rp 46,628 7
8 Syoni Tampeno III/d Staf 47,855 5 Rp 2,393 Rp 45,462 8
9 Novalia Tobanta, AMKL III/d Staf 46,628 5 Rp 2,331 Rp 44,296 9
10 Eka Puspita R.M., A.Md.Kep III/d Staf 49,082 5 Rp 2,454 Rp 46,628 10
11 Ni Nyoman Aldina, A.Md.Kep III/d Staf 49,082 5 Rp 2,454 Rp 46,628 11
12 Riska Dena, SKM III/d Staf 46,628 5 Rp 2,331 Rp 44,296 12
13 Fitriani Buimin, S.Kep III/c Staf 49,082 5 Rp 2,454 Rp 46,628 13
14 Naniwati Tandawuya, A.Md.Kep III/c Staf 49,082 5 Rp 2,454 Rp 46,628 14
15 Marlin M Omnyair, A.Md.Kep III/c Staf 49,082 5 Rp 2,454 Rp 46,628 15
16 Darmawati, A.Md.Keb III/d Staf 47,855 5 Rp 2,393 Rp 45,462 16
17 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 49,082 5 Rp 2,454 Rp 46,628 17
18 Fredinan Hano, S.Kep. III/c Staf 47,855 5 Rp 2,393 Rp 45,462 18
19 Marce Mewalo, A. Md.Kep III/b Staf 49,082 5 Rp 2,454 Rp 46,628 19
20 Sri Astuti, A. Md.Kep III/b Staf 49,082 5 Rp 2,454 Rp 46,628 20
21 Nikma, S.ST III/b Staf 47,855 5 Rp 2,393 Rp 45,462 21
22 Maria Delim, SKM III/b Staf 49,082 5 Rp 2,454 Rp 46,628 22
23 Ika Rahmatika Djamal, AMKL III/b Staf 46,628 5 Rp 2,331 Rp 44,296 23
24 Helni Novianti Peluru, AMKG III/b Staf 40,492 5 Rp 2,025 Rp 38,468 24
25 Asma Lambuli, A. Md.Kep III/b Staf 49,082 5 Rp 2,454 Rp 46,628 25
26 Veni A. Mohamad, A.Md.Kep III/b Staf 38,038 5 Rp 1,902 Rp 36,136 26
27 Werinatal Hehy, SKM III/a Staf 92,028 5 Rp 4,601 Rp 87,427 27
28 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 47,855 5 Rp 2,393 Rp 45,462 28
29 Yadriyana, S.Kep II/c Staf 46,628 0 Rp - Rp 46,628 29
30 Milka Patambing, S.Farm II/b Staf 49,082 0 Rp - Rp 49,082 30
31 Helmi Yoseba Diati, S.Farm II/b Staf 47,855 0 Rp - Rp 47,855 31
32 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 47,855 0 Rp - Rp 47,855 32
33 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 49,082 0 Rp - Rp 49,082 33
34 Rini J. Salampean, A.Md.Keb II/b Staf 46,628 0 Rp - Rp 46,628 34
35 Nurlaela, A. Md.Keb II/b Staf 46,628 0 Rp - Rp 46,628 35
36 Lisa Astuti. Puru, A.Md.Keb SK 46,628 6 Rp 2,798 Rp 43,830 36
37 Nurvemi, A. Md.Kep SK 42,946 6 Rp 2,577 Rp 40,370 37
38 Ismawati, A.Md.Keb SK 46,628 6 Rp 2,798 Rp 43,830 38
39 Katarina Salu Bara, A. Md.Keb SK 46,628 6 Rp 2,798 Rp 43,830 39
40 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 46,628 6 Rp 2,798 Rp 43,830 40
41 Ahmad FajriIdham, Amd. Anakes Analis 46,628 6 Rp 2,798 Rp 43,830 41
42 Putri Adyan S, A.Md.Keb SK 49,082 6 Rp 2,945 Rp 46,137 42
43 Siska Permatasari N, A.Md.Keb SK 42,946 6 Rp 2,577 Rp 40,370 43
44 Felix Ragi, SKM SK 39,265 6 Rp 2,356 Rp 36,909 44
Jumlah Rp 2,450,400 Rp 99,231 Rp 2,351,169
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : JANUARI

Kecamatan : Poso Kota Selatan Tahun : 2020
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Yublin Mulyati Rangga, SKM IV/a Ka. Puskesmas 132,517 5 Rp 6,626 Rp 125,891 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 192,963 5 Rp 9,648 Rp 183,315 2
3 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 134,842 5 Rp 6,742 Rp 128,100 3
4 Mariani Delim, A.Md.Kep III/d Staf 46,497 5 Rp 2,325 Rp 44,172 4
5 Martha Palinggi III/d Staf 46,497 5 Rp 2,325 Rp 44,172 5
6 Yulin Pasodi, B.Sc III/d Staf 47,660 5 Rp 2,383 Rp 45,277 6
7 Ratri Elsi lenta III/d Staf 45,335 5 Rp 2,267 Rp 43,068 7
8 Syoni Tampeno III/d Staf 45,335 5 Rp 2,267 Rp 43,068 8
9 Novalia Tobanta, AMKL III/d Staf 45,335 5 Rp 2,267 Rp 43,068 9
10 Eka Puspita R.M., A.Md.Kep III/d Staf 47,660 5 Rp 2,383 Rp 45,277 10
11 Ni Nyoman Aldina, A.Md.Kep III/d Staf 47,660 5 Rp 2,383 Rp 45,277 11
12 Christina I. Rombot, A.Md.Kep III/d Staf 47,660 5 Rp 2,383 Rp 45,277 12
13 Riska Dena, SKM III/d Staf 47,660 5 Rp 2,383 Rp 45,277 13
14 Fitriani Buimin, S.Kep III/c Staf 45,335 5 Rp 2,267 Rp 43,068 14
15 Naniwati Tandawuya, A.Md.Kep III/c Staf 46,497 5 Rp 2,325 Rp 44,172 15
16 Marlin M Omnyair, A.Md.Kep III/c Staf 44,172 5 Rp 2,209 Rp 41,964 16
17 Darmawati, A.Md.Keb III/d Staf 46,497 5 Rp 2,325 Rp 44,172 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/c Staf 46,497 5 Rp 2,325 Rp 44,172 18
19 Fredinan Hano, S.Kep. III/c Staf 47,660 5 Rp 2,383 Rp 45,277 19
20 Marce Mewalo, A. Md.Kep III/b Staf 47,660 5 Rp 2,383 Rp 45,277 20
21 Sri Astuti, A. Md.Kep III/b Staf 47,660 5 Rp 2,383 Rp 45,277 21
22 Nikma, S.ST III/b Staf 46,497 5 Rp 2,325 Rp 44,172 22
23 Maria Delim, SKM III/b Staf 47,660 5 Rp 2,383 Rp 45,277 23
24 Ika Rahmatika Djamal, AMKL III/b Staf 44,172 5 Rp 2,209 Rp 41,964 24
25 Helni Novianti Peluru, AMKG III/b Staf 46,497 5 Rp 2,325 Rp 44,172 25
26 Asma Lambuli, A. Md.Kep III/b Staf 47,660 5 Rp 2,383 Rp 45,277 26
27 Veni A. Mohamad, A.Md.Kep III/b Staf 45,335 5 Rp 2,267 Rp 43,068 27
28 Werinatal Hehy, SKM III/a Staf 88,345 5 Rp 4,417 Rp 83,927 28
29 Widya Ningrum. Dungga, A.Md.Kep III/b Staf 45,335 5 Rp 2,267 Rp 43,068 29
30 Erwin Pasapari, A.Md.Kep III/a Staf 0 5 Rp - Rp - 30
31 Yadriyana, S.Kep II/c Staf 43,010 0 Rp - Rp 43,010 31
32 Milka Patambing, S.Farm II/b Staf 47,660 0 Rp - Rp 47,660 32
33 Helmi Yoseba Diati, S.Farm II/b Staf 46,497 0 Rp - Rp 46,497 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/b Staf 46,497 0 Rp - Rp 46,497 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/b Staf 47,660 0 Rp - Rp 47,660 35
36 Rini J. Salampean, A.Md.Keb II/b Staf 45,335 0 Rp - Rp 45,335 36
37 Nurlaela, A. Md.Keb II/b Staf 45,335 0 Rp - Rp 45,335 37
38 Lisa Astuti. Puru, A.Md.Keb SK 45,335 6 Rp 2,720 Rp 42,615 38
39 Nurvemi, A. Md.Kep SK 41,847 6 Rp 2,511 Rp 39,337 39
40 Chandra Knoris. Sumba, A.Md.Kep SK 45,335 6 Rp 2,720 Rp 42,615 40
41 Ismawati, A.Md.Keb SK 44,172 6 Rp 2,650 Rp 41,522 41
42 Katarina Salu Bara, A. Md.Keb SK 45,335 6 Rp 2,720 Rp 42,615 42
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 45,335 6 Rp 2,720 Rp 42,615 43
44 Ahmad FajriIdham, Amd. Anakes Analis 45,335 6 Rp 2,720 Rp 42,615 44
45 Putri Adyan S, A.Md.Keb SK 47,660 6 Rp 2,860 Rp 44,800 45
46 Siska Permatasari N, A.Md.Keb SK 31,386 6 Rp 1,883 Rp 29,502 46
47 Felix Ragi, SKM SK 25,573 6 Rp 1,534 Rp 24,039 47
Jumlah Rp 2,450,400 Rp 101,596 Rp 2,348,804
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005
 DAFTAR PENERIMAAN JASA MEDIK
PELAYANAN KESEHATAN RAWAT JALAN PASIEN JAMKESDA
KABUPATEN POSO TAHUN ANGGARAN 2020

Puskesmas : K a w u a Bulan : DESEMBER

Kecamatan : Poso Kota Selatan Tahun : 2019
Gol. Besaran Jasa PPh Pasal 21
No. Nama Pegawai Jabatan Jumlah Terima Tanda Tangan
Ruang Medik (Rp.) Tarif (%) Nilai (Rp.)
1 2 3 4 5 6 7(5X6) 8(5-7) 9
1 Ni Ketut Trielkana, SKM IV/a Ka. Puskesmas 151,400 5 Rp 7,570 Rp 143,830 1
2 dr. Andry Arisandy III/c Doktert Puskesmas 216,000 5 Rp 10,800 Rp 205,200 2
3 drg. Agustin N.T.Santo III/b Dokter Gigi PKM 151,000 5 Rp 7,550 Rp 143,450 3
4 Mariani Delim, A.Md.Kep III/d Staf 53,000 5 Rp 2,650 Rp 50,350 4
5 Martha Palinggi III/d Staf 52,000 5 Rp 2,600 Rp 49,400 5
6 Yulin Pasodi, B.Sc III/d Staf 51,000 5 Rp 2,550 Rp 48,450 6
7 Ratri Elsi lenta III/d Staf 53,000 5 Rp 2,650 Rp 50,350 7
8 Syoni Tampeno III/d Staf 48,000 5 Rp 2,400 Rp 45,600 8
9 Novalia Tobanta, AMKL III/d Staf 51,000 5 Rp 2,550 Rp 48,450 9
10 Eka Puspita R.M., A.Md.Kep III/c Staf 53,000 5 Rp 2,650 Rp 50,350 10
11 Ni Nyoman Aldina, A.Md.Kep III/c Staf 53,000 5 Rp 2,650 Rp 50,350 11
12 Christina I. Rombot, A.Md.Kep III/c Staf 53,000 5 Rp 2,650 Rp 50,350 12
13 Riska Dena, SKM III/b Staf 51,000 5 Rp 2,550 Rp 48,450 13
14 Fitriani Buimin, S.Kep III/c Staf 0 5 Rp - Rp - 14
15 Naniwati Tandawuya, A.Md.Kep III/c Staf 47,000 5 Rp 2,350 Rp 44,650 15
16 Marlin M Omnyair, A.Md.Kep III/c Staf 53,000 5 Rp 2,650 Rp 50,350 16
17 Darmawati, A.Md.Keb III/c Staf 51,000 5 Rp 2,550 Rp 48,450 17
18 Chrsye Eirene Lapeantu, S.Farm, Apt III/b Staf 48,000 5 Rp 2,400 Rp 45,600 18
19 Fredinan Hano, S.Kep. III/b Staf 52,000 5 Rp 2,600 Rp 49,400 19
20 Marce Mewalo, A. Md.Kep III/b Staf 53,000 5 Rp 2,650 Rp 50,350 20
21 Sri Astuti, A. Md.Kep III/b Staf 52,000 5 Rp 2,600 Rp 49,400 21
22 Nikma, S.ST III/b Staf 0 5 Rp - Rp - 22
23 Maria Delim, SKM III/b Staf 53,000 5 Rp 2,650 Rp 50,350 23
24 Ika Rahmatika Djamal, AMKL III/a Staf 46,000 5 Rp 2,300 Rp 43,700 24
25 Helni Novianti Peluru, AMKG III/a Staf 51,000 5 Rp 2,550 Rp 48,450 25
26 Asma Lambuli, A. Md.Kep III/a Staf 44,000 5 Rp 2,200 Rp 41,800 26
27 Veni A. Mohamad, A.Md.Kep III/a Staf 49,000 5 Rp 2,450 Rp 46,550 27
28 Werinatal Hehy, SKM III/a Staf 98,000 5 Rp 4,900 Rp 93,100 28
29 Widya Ningrum. Dungga, A.Md.Kep III/a Staf 51,000 5 Rp 2,550 Rp 48,450 29
30 Erwin Pasapari, A.Md.Kep III/a Staf 53,000 5 Rp 2,650 Rp 50,350 30
31 Yadriyana, S.Kep II/c Staf 49,000 0 Rp - Rp 49,000 31
32 Milka Patambing, S.Farm II/a Staf 52,000 0 Rp - Rp 52,000 32
33 Helmi Yoseba Diati, S.Farm II/a Staf 53,000 0 Rp - Rp 53,000 33
34 Fatmawati I. Muhadjis, A.Md.Kep II/a Staf 49,000 0 Rp - Rp 49,000 34
35 Mastrianko Rumpadjandji, A.Md.Kep II/a Staf 53,000 0 Rp - Rp 53,000 35
36 Rini J. Salampean, A.Md.Keb II/a Staf 51,000 0 Rp - Rp 51,000 36
37 Nurlaela, A. Md.Keb II/a Staf 51,000 0 Rp - Rp 51,000 37
38 Lisa Astuti. Puru, A.Md.Keb II/a Staf 51,000 6 Rp 3,060 Rp 47,940 38
39 Nurvemi, A. Md.Kep SK 51,000 6 Rp 3,060 Rp 47,940 39
40 Chandra Knoris. Sumba, A.Md.Kep SK 51,000 6 Rp 3,060 Rp 47,940 40
41 Ismawati, A.Md.Keb SK 0 6 Rp - Rp - 41
42 Katarina Salu Bara, A. Md.Keb SK 51,000 6 Rp 3,060 Rp 47,940 42
43 Tirsa Nugrahayu Kalende, S.Tr.Keb. SK 51,000 6 Rp 3,060 Rp 47,940 43
Jumlah Rp 2,450,400 Rp 107,170 Rp 2,343,230
Lunas Bayar Tgl :
PPTK Jaminan Kesehatan Masyarakat Bendahara Pengeluaran

Martinawati T, S.Sos, M.Si Marya W. Astuti K.A, Amd. Akt

Nip. 19670329 198703 2 003 Nip.19790920 201001 2 003
Mengetahui
SKPD Dinas Kesehatan Kabupaten Poso

dr. N Taufan Karwur

Nip. 19670527 199803 1 005