TPP Juli 2021 New

REKAPITULASI ZAKAT DAN INFAK
DINAS KESEHATAN KABUPATEN PELALAWAN
NO INSTANSI/ PUSKESMAS ZAKAT INFAK JUMLAH
1 DINAS KESEHATAN 1,863,943 275,000 2,138,943
2 PANGKALAN KURAS 1,235,384 100,000 1,335,384
3 LANGGAM 1,497,397.92 160,000.00 1,657,398
4 BANDAR SEI.KIJANG 425,409 257,500 682,909
5 BUNUT 264,819 50,000 314,819
6 PANGKALAN KERINCI 2,563,929 320,000 2,883,929
7 PANGKALAN LESUNG 1,331,275 1,331,275
8 UKUI 1,894,208 1,894,208
9 TELUK MERANTI 2,259,855 2,259,855
10 PANGKALAN KURAS II 2,441,552 2,441,552
11 PANGKALAN KERINCI II 181,239 90,000 271,239
12 KUALA KAMPAR 1,320,997 350,000 1,670,997
13 IFK -
14 BANDAR PETALANGAN 2,290,856 2,290,856
JUMLAH 19,570,865 1,602,500 21,173,365

1
2
3
4
5
6
7
8
9
10
11
12
DAFTAR TRANSFER PEMBAYARAN TPP PNS / CPNS
PUSKESMAS DINAS KESEHATAN KABUPATEN PELALAWAN
BULAN JULI 2021
JUMLAH TRANSFER
NO INSTANSI/ PUSKESMAS
(RP.)
1 DINAS KESEHATAN 157,436,575
2 IFK 22,881,005
3 PANGKALAN KURAS 73,464,628
4 LANGGAM 75,613,924
5 BANDAR SEI.KIJANG 158,307,765
6 BUNUT 54,148,880
7 KUALA KAMPAR 50,995,015
8 PANGKALAN KERINCI 142,877,724
9 PANGKALAN LESUNG 59,977,793
10 UKUI 95,006,924
11 KERUMUTAN 63,494,895
12 TELUK MERANTI 63,358,352
13 PELALAWAN 51,100,498
14 BANDAR PETALANGAN 66,669,913
15 PANGKALAN KURAS II 65,346,689
16 PANGKALAN KERINCI II 112,751,307
17 RSUD SELASIH 749,490,859
18 KOPERASI 16,305,500
19 ZAKAT 21,173,365
20 KEKURANGAN DINKES
JUMLAH 2,100,401,611
Mengetahui,
KEPALA DINAS KESEHATAN PEMBUAT DAFTAR GAJI
KABUPATEN PELALAWAN
H. ASRIL. K, SKM, M.Kes ELVA YUNITA Z, SKM

NIP. 19700506 199101 1 001 NIP. 19890805 201101 2 001
DAFTAR TRANSFER PEMBAYARAN TPP PNS / CPNS
PUSKESMAS DINAS KESEHATAN KABUPATEN PELALAWAN
BULAN JULI 2021
JUMLAH TRANSFER
NO INSTANSI/ PUSKESMAS
(RP.)
2 IFK 22,881,005
3 PANGKALAN KURAS 73,464,628
4 LANGGAM 75,613,924
5 BANDAR SEI.KIJANG 158,307,765
6 BUNUT 54,148,880
7 KUALA KAMPAR 50,995,015
8 PANGKALAN KERINCI 142,877,724
9 PANGKALAN LESUNG 59,977,793
10 UKUI 95,006,924
11 KERUMUTAN 63,494,895
12 TELUK MERANTI 63,358,352
13 PELALAWAN 51,100,498
14 BANDAR PETALANGAN 66,669,913
15 PANGKALAN KURAS II 65,346,689
16 PANGKALAN KERINCI II 112,751,307
17 RSUD SELASIH 749,490,859
18 KOPERASI
19 ZAKAT
20 KEKURANGAN DINKES -
2,062,922,746
Mengetahui,
KEPALA DINAS KESEHATAN
KABUPATEN PELALAWAN
H. ASRIL. K, SKM, M.Kes

NIP. 19700506 199101 1 001
BAZNAS KOPERASI TOTAL
2,138,943 8,125,500 167,701,018 DINAS KESEHATA 167,701,018
22,881,005 SEKIJANG 162,766,175

1,335,384 74,800,012 PKL. KURAS 74,800,012
1,657,398 77,271,322 PKL. KERINCI II 113,022,546
682,909 3,775,500 162,766,175 PKL. KERINCI 146,462,653
314,819 956,500 55,420,199 KERUMUTAN 63,494,895
1,670,997 52,666,012 PELALAWAN 53,847,498
2,883,929 701,000 146,462,653 T. MERANTI 65,618,207
1,331,275 61,309,068 PKL. LESUNG 61,309,068
1,894,208 96,901,131 LANGGAM 77,271,322
63,494,895 BUNUT 55,420,199
2,259,855 65,618,207 UKUI 96,901,131
2,747,000 53,847,498 K. KAMPAR 52,666,012
2,290,856 68,960,769 B PETALANGAN 68,960,769
2,441,552 67,788,241 PANGKALAN KURA 67,788,241
271,239 113,022,546 IFK 22,881,005
749,490,859 1,350,910,752
21,173,365 16,305,500 2,100,401,611

POTONGAN KOPERASI DINAS KESEHATAN UNTUK BULAN AGUSTUS 2021
NO INSTANSI/ PUSKESMAS JUMLAH TAGIHAN
2 PANGKALAN LESUNG -
3 PANGKALAN KURAS -
4 SEKIJANG 3,775,500
5 PANGKALAN KERINCI 701,000
6 PANGKALAN KERINCI II -
7 PELALAWAN 2,747,000
8 BUNUT 956,500
9 KUALA KAMPAR -
10 IFK
TOTAL 16,305,500
17,262,000
956,500 AZKA
DAFTAR RINCIAN PEMOTONGAN ZAKAT PUSKESM
Bulan : Agustus 2021
NO NAMA TPP GAJI GAJI + TPP ZAKAT INFAK
1 Rosdiana, SKM 2,405,548 4,278,300 6,683,848
2 dr. Eko Rahayu 4,287,029 5,696,300 9,983,329
3 Ijang Mulyana, SKM 2,405,548 5,279,700 7,685,248 192,131
4 Roida Rusliana 2,420,045 5,999,200 8,419,245
5 Hernadi 2,112,454 5,462,000 7,574,454 189,361
6 Wahyu Widodo 2,219,868 5,180,700 7,400,568 185,014
7 Kusnan 2,219,868 5,180,700 7,400,568
8 Dadang 2,219,868 5,167,100 7,386,968
9 Sri Reni Ginting 1,322,349 4,501,000 5,823,349
10 Sofinah, S.Farm, Apt 3,964,700 3,918,600 7,883,300
11 Ika Mustika 2,337,946 4,191,600 6,529,546 163,239
12 Rotua Sirait 1,686,645 1,996,900 3,683,545
13 Heni Kustianti, Amd. Keb 2,405,548 3,934,500 6,340,048 158,501
14 Yulia Hidayati 2,112,454 4,510,200 6,622,654
15 Roslyna Herawati. N 2,112,454 4,286,300 6,398,754
16 dr. Elfi Amelia Putri 3,964,700 2,840,800 6,805,500
17 Suwito, Amk 2,051,954 3,886,700 5,938,654
18 Farentina 2,405,548 4,726,600 7,132,148

19 Elni Suzana 1,625,779 3,281,600 4,907,379
20 Rahmad Hidayat, SKM 2,405,548 4,074,300 6,479,848 161,996
21 Masrita Sinaga, AMG 1,925,680 3,709,500 5,635,180
22 Masrukin 2,051,954 3,709,500 5,761,454
23 Afifatul Husna 2,051,954 2,992,100 5,044,054
24 Elly Asniar 1,925,680 3,437,700 5,363,380
25 Herawati Siregar 2,076,650 4,273,600 6,350,250 158,756
26 Husniyati 2,076,650 4,016,100 6,092,750 152,319
27 Ns. Marda Wira, S. Kep 2,219,868 3,262,600 5,482,468
28 Ns. Amin Suliah, S. Kep 2,219,868 3,143,200 5,363,068
29 Julia Betriningsih, S. Tr. Keb 2,076,650 2,856,300 4,932,950
30 Nova Erani, Amd. KL - 3,101,200 3,101,200
31 Ishak 1,392,686 4,027,900 5,420,586 135,515
32 Dwi May Christiana 2,022,431 3,310,200 5,332,631 133,316
33 Seto Setiawan 2,022,431 3,138,600 5,161,031

34 Wiwik Sri Rahayuningsih 2,076,650 3,551,900 5,628,550
35 Lichomsatun,Amd.Keb 2,076,650 3,911,300 5,987,950
36 Yusnani Sirait,Amd.Keb 2,022,430 3,525,200 5,547,630
37 Ratna Saridewi,Amd.Keb 2,022,430 2,939,800 4,962,230 124,056
38 Yuhardina,Amd.Keb 2,076,650 3,523,500 5,600,150 140,004
39 Vamella Elvia,Amd.Keb 1,920,287 2,859,400 4,779,687
40 Novi Andianto, Amf 2,022,430 2,470,700 4,493,130
41 Salamah Irawati, Amd. Keb 2,022,430 2,828,300 4,850,730
42 Irawati, Amd. Keb 1,925,680 3,360,800 5,286,480
43 Linda Wati, Amd. Keb 2,022,430 2,441,200 4,463,630
44 drg. Retma Suriyenti 3,964,700 2,840,800 6,805,500
Jumlah 96,901,131 167,624,500 264,525,631 1,894,208
Mengetahui
Pengguna Anggaran
H. ASRIL. K, SKM, M. Kes

NIP. 19700506 199101 1 001
KAT PUSKESMAS UKUI
JUMLAH BERSIH
JUMLAH
KOPERASI YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
- 2,405,548 1
- 4,287,029 2
192,131 2,213,417 3
- 2,420,045 4
189,361 1,923,093 5
185,014 2,034,854 6
- 2,219,868 7
- 2,219,868 8
- 1,322,349 9
- 3,964,700 10
163,239 2,174,708 11
- 1,686,645 12
158,501 2,247,047 13
- 2,112,454 14
- 2,112,454 15
- 3,964,700 16
- 2,051,954 17
- 2,405,548 18
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 1,625,779 19
161,996 2,243,552 20
- 1,925,680 21
- 2,051,954 22
- 2,051,954 23
- 1,925,680 24
158,756 1,917,894 25
152,319 1,924,331 26
- 2,219,868 27
- 2,219,868 28
- 2,076,650 29
- - 30
135,515 1,257,172 31
133,316 1,889,116 32
- 2,022,431 33
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,076,650 34
- 2,076,650 35
- 2,022,430 36
124,056 1,898,375 37
140,004 1,936,646 38
- 1,920,287 39
- 2,022,430 40
- 2,022,430 41
- 1,925,680 42
- 2,022,430
- 3,964,700
1,894,208 95,006,924
Pangkalan Kerinci, Agustus 2021

Bendahara Pengeluaran
NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUSKESMAS PA
Bulan Aug-21
NO NAMA TPP GAJI GAJI + TPP ZAKAT INFAK KOPERASI
1 Nurmaini, SKM 2,405,548 3,867,900 6,273,448
2 drg. Nila Parmusia 4,287,029 5,364,300 9,651,329 241,283
3 Desa BR Sembiring 2,577,873 5,906,900 8,484,773
4 drg. Rosenti 4,287,029 5,696,300 9,983,329
5 dr. Roida Simanjuntak 4,287,029 5,442,700 9,729,729
6 dr. Yulnahanim 4,287,029 4,961,000 9,248,029
7 Ratna Zakiah 2,420,045 5,573,200 7,993,245 10,000
8 Herryza A , S.Farm, Apt 3,818,620 5,028,500 8,847,120 221,178
9 Ricky Sandra 2,219,868 3,973,700 6,193,568 100,000
10 Srie Wahyuni, SKM 2,405,548 4,359,800 6,765,348
11 dr. Rinaldi Fajri 812,889 4,462,400 5,275,289
12 dr. Chyntia Triana Putri 812,889 3,719,900 4,532,789
13 dr.Aulia Rahman Khalid 4,506,499 4,357,600 8,864,099
14 Sarida Yanti 2,405,548 4,143,600 6,549,148 163,729
15 H. T. Zulpan Efendi 2,219,868 4,916,300 7,136,168 178,404
16 Suwarni 2,184,064 4,081,000 6,265,064 20,000
17 dr.Rio Bronfry Haro M - 2,917,800 2,917,800
18 dr.Lusy Ariani 4,557,710 4,222,800 8,780,510 219,513
19 Herni Yanti 2,219,868 3,973,700 6,193,568
20 Khairun Nisa, Amd. Kep 2,219,868 4,549,400 6,769,268 169,232
21 Bhalada Ronalia Gayatri 2,112,454 4,396,500 6,508,954 162,724
22 Mahdalena Susanti 2,219,868 4,410,900 6,630,768 10,000
23 Nelleksum 2,112,454 4,286,300 6,398,754 159,969

24 Susi Muasvalni 2,405,548 3,934,500 6,340,048 158,501
25 Heldawati Silaen 2,405,548 3,738,000 6,143,548
26 Ade Novrina, HS, AMKL 2,184,064 3,946,700 6,130,764 701,000
27 Eka Susanti 2,219,868 3,744,200 5,964,068
28 Eva Susanti 2,219,868 3,226,300 5,446,168 10,000
29 Eka Rizky Gusnita 2,739,651 3,139,100 5,878,751
30 Fitri Yati 2,739,651 3,744,200 6,483,851 162,096
31 Balkis, Amk 2,219,868 4,277,600 6,497,468 162,437
32 Yurliana 2,219,868 3,843,500 6,063,368 151,584
33 Herny Ribka 2,405,548 3,900,600 6,306,148
34 Endah Sri Rahayu, AMKG 2,051,954 3,549,800 5,601,754
35 Devi Afriyanti 2,051,954 4,017,300 6,069,254 30,000
36 Feniwati, Amd. Keb 2,405,548 3,613,300 6,018,848
37 Runika 1,925,680 3,709,500 5,635,180 140,880
38 Rila Anggarini 2,001,444 3,104,500 5,105,944 10,000
39 Annisa, Amk 2,051,954 3,232,300 5,284,254
40 Iin Feronika, Amk 2,051,954 3,709,500 5,761,454
41 Monika Irawati Manik 2,405,548 3,436,100 5,841,648
42 Supriani 1,625,779 3,112,500 4,738,279
43 Endah Dwi Saputri.Gz,AMD 2,672,830 3,709,500 6,382,330 20,000
44 Mely Herlina 2,076,650 3,603,600 5,680,250 142,006
45 Ns. Neka Rita Amelia, S. Kep 2,219,868 3,346,900 5,566,768
46 Richa Devisari, SKM 2,219,868 3,105,200 5,325,068
47 Ernawati 2,076,650 3,711,400 5,788,050
48 Anita Sari Dewi 2,001,444 3,652,000 5,653,444 10,000
49 Sulasmi, Amd. Keb 2,076,650 3,139,100 5,215,750 130,394

50 Neliyarti, Amd. AK 1,925,680 3,104,500 5,030,180
51 Narti Jelita S,Amd.Keb 2,022,430 3,525,200 5,547,630 100,000
52 Darnita,Amd.Keb 2,022,430 2,859,400 4,881,830
53 Rahma Yulianti, Amd. Keb 2,022,430 3,433,600 5,456,030
54 Siti Khairoh,Amd.Keb 2,022,430 3,022,600 5,045,030
55 Wica Def Fitria 2,076,650 3,647,700 5,724,350
56 Nira Dewi 2,022,431 2,706,200 4,728,631
57 Eva Renata Malau 2,051,954 3,512,600 5,564,554
58 Rahimah 2,219,868 3,973,700 6,193,568
59 Suparmi, Amd. Keb 2,022,430 3,433,600 5,456,030
60 Nadya Ayu Septia, Amd. AK 1,987,760 2,874,800 4,862,560
61 Erma Yusanti 1,925,680 3,709,500 5,635,180
62 Dwi Puji Astuti ,S. Farm, Apt 3,085,616 3,157,800 6,243,416
Jumlah 146,462,653 240,820,900 387,283,553 2,563,929 320,000 701,000
Mengetahui Pangkalan
Pengguna Anggaran Be
H. ASRIL. K, SKM, M. Kes N

NIP. 19700506 199101 1 001 NIP.
NFAK, DAN KOPERASI PUSKESMAS PANGKALAN KERINCI 1
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA
- 2,405,548 1
241,283 4,045,746 3
- 2,577,873 4
- 4,287,029 5
- 4,287,029 6
- 4,287,029 7
10,000 2,410,045 8
221,178 3,597,442 10
100,000 2,119,868 11
- 2,405,548 13
- 812,889 14
- 812,889 15
- 4,506,499
163,729 2,241,820 16
178,404 2,041,464 17
20,000 2,164,064 18
- - 19
219,513 4,338,198
- 2,219,868 21
169,232 2,050,637 22
162,724 1,949,731 23
10,000 2,209,868 24
159,969 1,952,486 25
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA
158,501 2,247,047 26
- 2,405,548 27
701,000 1,483,064 28
- 2,219,868 29
10,000 2,209,868 30
- 2,739,651 31
162,096 2,577,554 32
162,437 2,057,432 33
151,584 2,068,284 34
- 2,405,548 35
- 2,051,954 36
30,000 2,021,954 37
- 2,405,548 38
140,880 1,784,801 39
10,000 1,991,444 40
- 2,051,954 41
- 2,051,954 42
- 2,405,548 43
- 1,625,779 44
20,000 2,652,830 45
142,006 1,934,644 46
- 2,219,868 47
- 2,219,868 48
- 2,076,650 49
10,000 1,991,444 50
130,394 1,946,256 52
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA
- 1,925,680 53
100,000 1,922,430 54
- 2,022,430
- 2,022,430
- 2,022,430
- 2,076,650
- 2,022,431
- 2,051,954
- 2,219,868
- 2,022,430
- 1,987,760
- 1,925,680
- 3,085,616
3,584,929 142,877,724

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUSKESMAS BANDAR PETALAN
1 Adi Purwanto, SKM. M. Kes 2,405,548 5,279,700 7,685,248 192,131
2 dr. Rachmad Suryawan 4,287,029 5,165,600 9,452,629
3 drg.Riawati 4,506,499 3,776,400 8,282,899 207,072
4 Kamaleni Putri 2,405,548 3,981,300 6,386,848 159,671
5 dr. Rizka Bekti Nurcahyani 3,964,700 2,917,800 6,882,500
6 Sarjono, S. Farm, Apt 3,085,616 3,242,600 6,328,216
7 drg. Asep Syaefulloh 3,964,700 3,365,500 7,330,200
8 Herlizawati, SST 2,405,548 5,101,300 7,506,848

187,671
9 Yuliarti 2,051,954 4,598,500 6,650,454

166,261
10 Novlinda Fajriati, Amd. Keb 1,925,680 3,709,500 5,635,180

140,880
11 Andi 2,219,868 3,139,100 5,358,968

133,974
12 Ariani, S.tr.keb 2,076,650 3,744,200 5,820,850

145,521
13 Yusrizal, Amd. Ak 1,925,680 3,581,400 5,507,080

137,677
14 Ns. Yoenita Septani, S. Kep 2,219,868 2,867,000 5,086,868
15 Ns. Ilhamdsyah Harahap, S. Kep 2,219,868 3,346,900 5,566,768
16 Rahmawati Damanik 2,022,431 3,175,500 5,197,931

129,948
17 Neti Herawati,Amd.Keb 2,022,430 3,619,600 5,642,030

141,051
18 Lili Anike,Amd.Keb 2,022,430 2,939,800 4,962,230
19 Mardiana Situmorang,Amd.Keb 2,022,430 3,525,200 5,547,630
20 Risnawati,Amd.Keb 2,022,430 3,525,200 5,547,630 138,691
21 Era Nurmayana Gustina,S.tr.Keb 2,187,110 3,490,500 5,677,610 141,940
22 Indrayani Saputri,Amd.Keb 2,022,430 3,344,900 5,367,330 134,183
23 Sriwahyuni Siska,Amd.Keb 2,022,430 3,344,900 5,367,330 134,183
24 Etty Indah Setyowati,Amd.Keb 2,022,430 3,619,600 5,642,030
25 Sugiarti, Amd. Farm 1,993,539 2,470,700 4,464,239
26 Sinta Yanti 2,028,110 3,158,800 5,186,910
27 Ns. Jemiatun. S. Kep 2,885,377 4,287,400 7,172,777
28 Ernialis, Amd. Keb 2,022,430 2,758,000 4,780,430
Jumlah 68,960,769 101,076,900 170,037,669 2,290,856 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
BANDAR PETALANGAN
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
192,131 2,213,417 1
- 4,287,029 2
207,072 4,299,427 3
159,671 2,245,877 4
- 3,964,700 5
- 3,085,616 6
- 3,964,700 8
187,671 2,217,877 9
166,261 1,885,693 10
140,880 1,784,801 11
133,974 2,085,894 13
145,521 1,931,129 15
137,677 1,788,003 16
- 2,219,868 17
- 2,219,868 18
129,948 1,892,483 19
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
141,051 1,881,380 20
- 2,022,430 21
- 2,022,430 22
138,691 1,883,740
141,940 2,045,170
134,183 1,888,247
134,183 1,888,247
- 2,022,430
- 1,993,539
- 2,028,110
- 2,885,377
- 2,022,430
2,290,856 66,669,913

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
Adi Purwanto, SKM
5,279,700
Dr.Rachmad Suryawan
5,165,600
drg.Riawati
3,776,400
Kamaleni Putri,SKM
3,981,300
Herliza wati
5,101,300
Yuliarti
4,598,500
Novlinda Fajriati,A.Md.Keb
3,709,500
dr. Rizka Bekti Nurcahyani
2,917,800
Sarjono, S. Farm, Apt
3,242,600
drg. Asep Syaefulloh
3,365,500
Andi,A.Md.Keb
3,139,100
Ns. Yoenita Septiani, S. Ke
2,867,000
Ns. Ilhamdsyah Harahap. S.
3,346,900
Yusrizal
3,581,400
Ariani,A.Md.Keb
3,744,200
Rahmawati Damanik,Amd.
3,175,500
Etty Indah Setyowati, Amd.
3,619,600
Adi Purwanto, SKM
5,279,700
Neti Herawati,A.Md.Keb
3,619,600
Lili Anike,A.Md.Keb
2,939,800
Mardiana Situmorang,A.Md
3,525,200
Risnawati,A.Md.Keb
3,525,200
Era Nurmayana G,A.Md.Ke
3,490,500
Indrayani Saputri,A.Md.Keb
3,344,900
Sriwahyuni Siska,A.Md.keb
3,344,900
Sugiarti, Amd. Farm
2,470,700
Sinta yanti
3,158,800
Ernialis, Amd. Keb
2,758,000
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUSKE
Bulan Aug-21
1 Siti Aisyah 2,420,045 5,857,400 8,277,445 206,936
2 Rotua Sianturi 2,219,868 5,135,100 7,354,968
3 Azizah 2,112,454 4,545,000 6,657,454 166,436
4 drg. Santy Rahmadani. S 4,287,029 5,158,700 9,445,729
5 Nene Eriyanti 1,322,349 4,111,400 5,433,749 100,000
6 dr.Diana Lestari 4,557,710 4,094,400 8,652,110
7 dr. Suyoga Ginting 3,964,700 2,917,800 6,882,500
8 drg. Sawitri Trinaningtyas 3,964,700 2,917,800 6,882,500
9 Eka Hartina 2,219,868 4,549,400 6,769,268 169,232
10 Masrawati 2,001,444 4,474,900 6,476,344
11 Santi Maria, Amd. Keb 1,925,680 3,709,500 5,635,180
12 Andra Pratomo, AMK 2,051,954 3,453,900 5,505,854
13 Yunisra, Amd. AK 1,925,680 3,104,500 5,030,180 125,755
14 Mira Elviza, Amd. Keb 2,076,650 3,744,200 5,820,850
15 Sumidah 1,925,680 4,017,300 5,942,980
16 Rosmawati 2,051,954 3,775,200 5,827,154

17 Roslynda Julyaty. E. M 1,925,680 3,676,700 5,602,380
18 Nurjanna 1,925,680 3,581,400 5,507,080
19 Mesrawati. N, Amd. Keb 1,925,680 3,709,500 5,635,180
20 Nila Sutriyani, Amd. Keb 1,925,680 3,709,500 5,635,180 140,880
21 Ns. Finthos Varabel, S. Kep 2,219,868 3,433,900 5,653,768
22 Ns. Nurzikri Noval Herino, S. Kep 2,219,868 2,790,700 5,010,568
23 Sri Rahmawati 2,051,954 2,992,100 5,044,054 126,101
24 Sri Andariani, Amd. Keb 2,051,954 3,709,500 5,761,454
25 Wiwit Hastari 2,161,101 3,876,600 6,037,701 150,943
26 Erma Yanty Hutasuhut.Amd.Keb 2,022,430 3,619,600 5,642,030
27 Desy.Amd.Keb 2,022,430 3,619,600 5,642,030
28 Hijriani Rizki Susanti.Amd.Keb 2,022,430 2,939,800 4,962,230
29 Marlina, Amd. Kep 2,219,868 3,744,200 5,964,068 149,102
30 dr. Rahmat Hidayat 812,889 2,871,200 3,684,089
31 Dasni Mauzioh 2,219,868 3,112,200 5,332,068
32 Mardayeni 2,022,430 2,633,000 4,655,430
33 Velly Sartika 2,022,430 3,138,600 5,161,030
Jumlah 74,800,012 122,724,600 197,524,612 1,235,384 100,000
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001

T, INFAK, DAN KOPERASI PUSKESMAS PANGKALAN KURAS 1
JUMLAH BERSIH
JUMLAH
POTONGAN DIBAYARKAN
206,936 2,213,109 1
- 2,219,868 2
166,436 1,946,018 3
- 4,287,029 5
100,000 1,222,349 6
- 4,557,710 7
- 3,964,700 8
- 3,964,700 9
169,232 2,050,637 10
- 2,001,444 11
- 1,925,680 12
- 2,051,954 13
125,755 1,799,926 14
- 2,076,650 15
- 1,925,680 16
- 2,051,954 17
JUMLAH BERSIH
JUMLAH
POTONGAN DIBAYARKAN
- 1,925,680 18
- 1,925,680 19
- 1,925,680 20
140,880 1,784,801 21
- 2,219,868 22
- 2,219,868 23
126,101 1,925,853 24
- 2,051,954 25
150,943 2,010,158 26
- 2,022,430 27
- 2,022,430 28
- 2,022,430 29
149,102 2,070,767 30
- 812,889 31
- 2,219,868
- 2,022,430
- 2,022,430
- 1,335,384 73,464,628

NORA HELVIA, AMK

JUMLAH BERSIH
JUMLAH
POTONGAN DIBAYARKAN
NIP. 19780308 200604 2 014

DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUSK
Bulan Aug-21
1 Rahmad Hidayatullah, SKM 2,405,548 4,385,300 6,790,848
2 Erni, SKM 2,405,548 4,648,400 7,053,948 10,000
3 Meri Nelly, SKM 2,405,548 4,037,400 6,442,948
4 Lisnawati 2,112,454 4,286,300 6,398,754 10,000
5 Eva Dawita, SKM 2,405,548 4,278,300 6,683,848
6 Bela Setiawan, Amd. Kep 2,219,868 3,616,300 5,836,168
7 Uci Rusliana, Amd. Keb 2,405,548 3,877,700 6,283,248
8 Vera Lindrayani, Amd. Keb 2,112,454 3,946,700 6,059,154 10,000
9 dr. Insan Gahayu 3,964,700 3,488,400 7,453,100
10 Toni 2,219,868 3,843,500 6,063,368 956,500
11 Isra Filyani, Amd. Keb 1,925,680 3,709,500 5,635,180 10,000
12 Ns, Elsiannova ,S.Kep 2,219,868 2,790,700 5,010,568
13 Ns, Nurmalasari ,S.Kep 2,219,868 2,716,700 4,936,568
14 Amiruddin 1,920,288 3,588,600 5,508,888
15 Dewi Adha, Amd. Farm 2,001,444 3,709,500 5,710,944 142,774

16 Rizal 2,022,431 3,202,600 5,225,031 10,000
17 Iis Sukmayesa,Amd.Keb 2,022,430 3,492,900 5,515,330
18 Wili Yulia,Amd.Keb 2,022,430 3,619,600 5,642,030
19 Yunelva Arinda Dewi,Amd.Keb 2,022,430 3,433,600 5,456,030
20 Andria Maya Liza,Amd.Keb 2,022,430 2,859,400 4,881,830 122,046
21 Ika Kresnawati,Amd.Keb 2,076,650 3,616,000 5,692,650
22 Santi Hotmauli,Amd.Keb 2,022,430 3,275,200 5,297,630
23 Desi Sandra, Amd. Keb 2,022,430 2,859,400 4,881,830
24 Marliani 2,219,868 2,945,600 5,165,468
25 Roslaini,Amd.Keb 2,022,430 2,706,200 4,728,630
Jumlah 55,420,199 88,933,800 144,353,999 264,819 50,000 956,500
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
RASI PUSKESMAS BUNUT
JUMLAH
JUMLAH
BERSIH YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
- 2,405,548 1
10,000 2,395,548 2
- 2,405,548 3
10,000 2,102,454 4
- 2,405,548 5
- 2,219,868 6
- 2,405,548 7
10,000 2,102,454 8
- 3,964,700 9
956,500 1,263,368 10
10,000 1,915,680 11
- 2,219,868 12
- 2,219,868 13
- 1,920,288 14
142,774 1,858,671 15
JUMLAH
JUMLAH
BERSIH YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
10,000 2,012,431 16
- 2,022,430 17
- 2,022,430 18
- 2,022,430 19
122,046 1,900,385 20
- 2,076,650 21
- 2,022,430 22
- 2,022,430 23
- 2,219,868 24
- 2,022,430 25
1,271,319 54,148,880

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT DAN INFAK PUSKES
Bulan Aug-21
1 Dewi Melati 2,405,548 4,972,500 7,378,048 184,451
2 dr. Hj. Dahwiana 4,287,029 5,581,600 9,868,629
3 Hazwir 2,051,954 4,598,500 6,650,454 166,261
4 drg. Ramelda Subha 4,506,499 4,323,200 8,829,699
5 Ns. Regina Nathalia 2,739,651 4,421,900 7,161,551 179,039
6 dr.Vonny Naimah Afriandini H 4,557,710 4,462,400 9,020,110 225,503
7 dr.Togi Rut Marlita Marbun 4,557,710 4,357,600 8,915,310
8 Salmiah Tambak 2,219,868 4,667,800 6,887,668 172,192
9 dr. Hotni Arta Sri Purba 3,964,700 3,365,500 7,330,200
10 Ns.Julia Fatmawanti 2,219,868 3,554,200 5,774,068 144,352
11 Reni Asriyanti 1,925,680 3,581,700 5,507,380 137,685
12 Eva Susanti 1,925,680 4,239,000 6,164,680
13 Imelda 2,076,650 4,389,700 6,466,350 161,659
14 Sri Mahdalena 2,076,650 3,603,600 5,680,250
15 Rachmi Kasman, SKM 2,219,868 3,105,200 5,325,068
16 Ns. Cici Ratmiwasi, S. Kep 2,219,868 3,226,100 5,445,968
17 Puji Astuti, S. Gz 2,076,650 3,105,200 5,181,850
18 Ns. Titin Try Wulandari, S. Kep 2,219,868 2,790,700 5,010,568

19 Masrius Miyadi, AMK 2,022,431 2,937,700 4,960,131
20 Yenneniwati 1,392,686 3,657,600 5,050,286 126,257
21 Zulfan 1,392,686 2,963,200 4,355,886
22 Lidia,Amd.Keb 2,022,430 3,619,600 5,642,030
23 Sumawati,Amd.Keb 2,022,430 3,400,200 5,422,630 10,000

24 Atur Yunita Tambunan,Amd.Keb 2,022,430 3,525,200 5,547,630
25 Reno Arsegeny,Amd.Keb 2,022,430 3,310,200 5,332,630 100,000
26 Lenny Herniaty,Amd.Keb 2,022,430 3,433,600 5,456,030
27 Wahyuni,Amd.Keb 2,022,430 3,433,600 5,456,030 30,000
28 Romi Aliasmi,Amd.Keb 2,022,430 3,344,900 5,367,330
29 Isni Marwani,Amd.Keb 2,022,430 3,223,100 5,245,530 10,000
30 Rahmaniyah,Amd.Keb 2,022,430 3,175,500 5,197,930 10,000
31 Rudi Irdianto, Amd. Afm 2,022,430 2,990,400 5,012,830
32 Febi Ramadhani, Amd. AK 1,987,760 2,470,700 4,458,460
Jumlah 77,271,321.64 117,831,900.00 195,103,222 1,497,397.92 160,000.00
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
GAN ZAKAT DAN INFAK PUSKESMAS LANGGAM
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
184,451 2,221,097 1
- 4,287,029 2
166,261 1,885,693 3
- 4,506,499 4
179,039 2,560,612 5
225,503 4,332,208 6
- 4,557,710 7
172,192 2,047,677 8
- 3,964,700 9
144,352 2,075,517 10
137,685 1,787,996 11
- 1,925,680 12
161,659 1,914,991 13
- 2,076,650 14
- 2,219,868 15
- 2,219,868 16
- 2,076,650 17
- 2,219,868 18
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,022,431 19
126,257 1,266,429 20
- 1,392,686 21
- 2,022,430 22
10,000 2,012,430 23
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,022,430 24
100,000 1,922,430 25
- 2,022,430 26
30,000 1,992,430 27
- 2,022,430 28
10,000 2,012,430 29
10,000 2,012,430 30
- 2,022,430 31
- 1,987,760 32
1,657,398 75,613,924

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIN PEMOTONGAN ZAKAT DAN INFAK PUSK
Bulan Aug-21
1 Mahdaleni, S. ST 2,646,103 4,251,400 6,897,503
2 Roziah 2,441,855 4,549,400 6,991,255 174,781
3 Sarkawi 1,788,357 4,734,600 6,522,957 163,074
4 Kapri, Amk 2,441,855 3,744,200 6,186,055
5 dr. Masriana 0 -
6 Lendra Yunance, S. Farm, Apt 3,394,177 3,488,400 6,882,577
7 drg. Cynthia Dhika Purwadinata 4,361,169 3,242,600 7,603,769
8 T. Mardiana Putri Yani 2,118,248 3,104,500 5,222,748
9 Nora Novrida, AMK 2,257,150 3,104,500 5,361,650
10 Syahruni, Amaf 2,201,588 3,104,500 5,306,088 132,652
11 Nuria 2,118,248 3,709,500 5,827,748 145,694
12 Rohima 2,284,315 3,744,200 6,028,515 150,713
13 Ezi Deristawanti, Amd. Keb 2,257,150 3,455,800 5,712,950 142,824
14 Sri Hidayati, Amd. Ak 2,076,104 3,581,400 5,657,504 141,438

15 Afrian Saitiya, SKM 2,441,855 2,790,700 5,232,555
16 Ns. Ilham Dani Firdaus, S. Kep 2,441,855 2,790,700 5,232,555
17 Irma Fajar Kurniati 2,112,316 2,706,200 4,818,516 120,463
18 Helyusrita,Amd.Keb 2,112,316 2,939,800 5,052,116 126,303
19 Ummi Nadrah P,Amd.Keb 2,284,315 3,809,800 6,094,115 152,353
20 Nur Huzaema Ahmad,Amd.Keb 2,224,674 2,939,800 5,164,474 129,112
21 Lista Riani S,Amd.Keb 2,224,674 3,525,200 5,749,874
22 Desmawati,Amd.Keb 2,224,674 2,939,800 5,164,474 129,112
23 Diah Bintari,Amd.Keb 2,224,674 2,939,800 5,164,474 129,112
24 Sari Silvia Angraini,Amd.Keb 2,224,674 3,525,200 5,749,874 143,747
25 Tuty Imelda S,Amd.Keb 2,224,674 3,433,600 5,658,274
26 Nelly Novia,Amd.Keb 2,224,674 3,344,900 5,569,574 139,239
27 Nurlaila,Amd.Keb 2,224,674 3,344,900 5,569,574 139,239
28 Sri Wahyuningsih 1,855,310 2,397,700 4,253,010
29 Asri Astuti 2,186,535 2,759,200 4,945,735
JUMLAH 65,618,207 94,002,300 159,620,507 Rp 2,259,855
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
ZAKAT DAN INFAK PUSKESMAS TELUK MERANTI
JUMLAH
JUMLAH
KOPERASI BERSIH YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
- 2,646,103
174,781 2,267,074 2
163,074 1,625,283 3
- 2,441,855 4
- - 5
- 3,394,177 6
- 4,361,169 7
- 2,118,248 8
- 2,257,150 10
132,652 2,068,936 11
145,694 1,972,554 12
150,713 2,133,602 16
142,824 2,114,326 17
141,438 1,934,666 18
JUMLAH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,441,855 19
- 2,441,855 20
120,463 1,991,853 21
126,303 1,986,013 22
152,353 2,131,962 23
129,112 2,095,562 24
- 2,224,674 25
129,112 2,095,562 26
129,112 2,095,562
143,747 2,080,927
- 2,224,674
139,239 2,085,434
139,239 2,085,434
- 1,855,310
- 2,186,535
2,259,855 63,358,352
JUMLAH
JUMLAH
POTONGAN
DIBAYARKAN
NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUSKES
Bulan Aug-21
1 Heri Susanto 3,013,616 4,255,100 7,268,716 181,718
2 dr. Yosi Novita 5,277,128 4,597,300 9,874,428 246,861
3 dr. Frisca Romauli. S 5,277,128 5,142,600 10,419,728
4 Hasniati, Amk 2,441,855 4,549,400 6,991,255 174,781
5 Lisa Umami, Amk 2,441,855 3,835,500 6,277,355 156,934
6 Erwin 1,454,583 4,275,900 5,730,483 143,262
7 Rina Hariani 2,118,248 3,104,500 5,222,748 50,000
8 Sri Mala Dewi 2,118,248 3,453,900 5,572,148 139,304
9 Syarifah Junainah, AMK 2,257,150 3,360,100 5,617,250 140,431
10 Megawati 2,118,248 3,488,900 5,607,148
11 Siti Umayah 2,257,150 3,251,100 5,508,250 137,706
12 Eflidar Susanti 2,284,315 3,110,400 5,394,715 50,000
13 Kamsinah 1,531,955 3,227,400 4,759,355 50,000
14 Irawati,Amd.Keb 2,224,674 3,344,900 5,569,574 50,000
15 Erawati Pasaribu,Amd.Keb 2,224,674 3,344,900 5,569,574 50,000
16 Yulia Andika,Amd.Keb 2,224,674 3,344,900 5,569,574 50,000
17 Yessi Sulisdar,Amd.Keb 2,224,674 2,706,200 4,930,874 50,000
18 Wita Agnes Lubis, Amd. Farm 2,192,893 2,470,700 4,663,593
19 Gusnapitasari, Amd. AK 2,186,535 2,470,700 4,657,235
20 Juliana Saragih, Amd. Keb 2,224,674 2,828,300 5,052,974
21 Mustafa Kamal 2,571,741 2,790,700 5,362,441
Jumlah 52,666,012 72,953,400 125,619,412 1,320,997 350,000
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
AN ZAKAT, INFAK, DAN KOPERASI PUSKESMAS KUALA KAMPAR
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
181,718 2,831,898 1
246,861 5,030,267 2
- 5,277,128 3
174,781 2,267,074 4
156,934 2,284,921 6
143,262 1,311,321 7
50,000 2,068,248 8
139,304 1,978,944 9
140,431 2,116,718 10
- 2,118,248 11
137,706 2,119,443 12
50,000 2,234,315 13
50,000 1,481,955 14
50,000 2,174,674 15
50,000 2,174,674 16
50,000 2,174,674 17
50,000 2,174,674 18
- 2,192,893 19
- 2,186,535
- 2,224,674
- 2,571,741
1,670,997 50,995,015

JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
NORA HELVIA, AMK

NIP. 19780308 200604 2 014
Heri Susanto
4,255,100
Dr.Frisca Romauli S
5,142,600
Dr.Yosi Novita
4,597,300
Hasniati,AMK
4,549,400
Lisa Umami
3,835,500
Erwin
4,275,900
Megawati
3,488,900
Rina Hariani
3,104,500
Syarifah Junainah
3,360,100
Siti Umayah
3,251,100
Sri Mala Dewi

3,453,900
dr. Fifi Adrias

3,365,500
Ns. Mustafa Kamal, S. Kep

2,790,700
Ns. Roziyani, S. Kep

2,790,700
Eflidar Susanti
3,110,400
Kamsinah
3,227,400
Irawati,Amd,Keb
3,344,900
Erawati Pasaribu,Amd,Keb
3,344,900
Yulia Andika,Amd,Keb
3,344,900
Yessi Sulisdar
2,706,200
Wita Agnes Lubis, Amd. Fa

2,470,700
Gusnapitasari, Amd. AK
2,470,700
Juliana Saragih, Amd. Keb

2,828,300
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI DINAS KESEHATAN
Bulan : AGUSTUS 2021
NO NAMA Gol TPP GAJI GAJI + TPP ZAKAT INFAK KOPERASI
1 Asril K,SKM.Kes IV b 12,402,553 6,924,400 19,326,953 483,174
2 Awaluddin IV a 6,124,327 5,888,600 12,012,927
3 dr. Siti Andan Dewi IV a 5,787,064 5,207,100 10,994,164
4 drg. Aznar IV a 5,208,358 5,434,800 10,643,158 266,079
5 drg. Erlinda IV a 5,497,711 5,020,500 10,518,211 262,955
6 Efikal IIIc 5,611,902 4,436,100 10,048,002
7 Ermayanti, SKM III d 3,341,038 5,220,300 8,561,338 956,500
8 Rifdarweni, SKM III d 3,341,038 4,999,200 8,340,238
9 Davit Hermansyah, SKM III c 3,341,038 4,115,300 7,456,338
10 Kristina. HR, SKM III d 1,641,563 4,604,400 6,245,963
11 Melli Oktiana, SKM III d 3,341,038 4,707,400 8,048,438
12 Mardalena, S. Sos III d 3,341,038 5,550,500 8,891,538
13 dr. Surya Kencana Sembiring IV a 2,985,609 4,049,100 7,034,709
14 Baiti Marlina,SKM III d 3,341,038 4,013,300 7,354,338 50,000
15 NS. Erliana Sarumpaet, S. Kep III c 3,341,038 4,362,500 7,703,538
16 Rohmat Budiyanta, SKM III b 3,341,038 4,325,900 7,666,938 191,673
17 Alri Harnanik Rahmat, SKM III c 3,341,038 4,474,000 7,815,038 1,092,000
18 Bayu Martono, SKM III d 1,641,563 4,868,900 6,510,463
19 Berliana Hasibuan, SKM III c 2,761,925 4,609,200 7,371,125
20 Deasi Novita, S.Komp III c 1,641,563 3,879,800 5,521,363
21 Azia Miroza, SE III d 3,341,038 4,013,300 7,354,338
22 Wiranata, SKM, M.Kes III c 2,761,925 4,371,400 7,133,325
23 Samsudin, SKM III b 2,761,925 4,726,600 7,488,525 187,213
24 Siti Aminah, Amk III b 2,470,499 4,052,000 6,522,499 50,000
25 Lismanto, SKM III b 2,761,925 4,278,300 7,040,225 176,006
26 Reki Arjuliana III b 1,641,563 4,028,900 5,670,463 141,762
27 Joni Hariawan, SKM III b 1,641,563 3,840,600 5,482,163
28 Siti Balkis, S.Sos III b 1,641,563 4,561,700 6,203,263 155,082 1,234,500

29 Sondang Candra, SKM III b 1,641,563 4,734,600 6,376,163
30 Mannaria Situmeang, S.Sos III b 1,641,563 3,874,700 5,516,263
31 Fitriyani, SKM III c 1,641,563 3,732,700 5,374,263 50,000
32 Nurmindo, SKM III b 1,641,563 4,315,700 5,957,263
33 Yayuk Herawati, SKM III c 1,641,563 4,198,400 5,839,963
34 Hefni Idra, S.Sos III c 1,641,563 4,198,400 5,839,963
35 Neni Zulfia, S.Sos III c 1,641,563 4,198,400 5,839,963
36 Jamaluddin, SKM III c 1,641,563 3,867,500 5,509,063
37 Elyarita, SKM III b 1,641,563 4,084,700 5,726,263
38 Nelfa Realita, Amk III b 1,426,499 4,084,700 5,511,199 50,000
39 Elia Purba Ningsih, S.Sos III c 1,641,563 3,974,400 5,615,963
40 Junaidi, S.Sos III c 1,641,563 3,867,500 5,509,063
41 Nora Helvia III c 1,641,563 3,559,700 5,201,263 1,234,500
42 Farida Hanum, S.Sos III b 1,641,563 3,729,700 5,371,263
43 T. Syahlan Arif, SE III c 1,641,563 3,867,500 5,509,063 50,000
44 Reza Meilinda, SKM III a 3,341,038 4,115,300 7,456,338
45 Yuldasanti, SKM III b 3,341,038 4,436,100 7,777,138
46 T. Syarifah Emelia Ulfa, SKM III a 1,641,563 3,295,300 4,936,863 25,000
47 Nova Fitri, Amk III b 1,426,499 3,804,900 5,231,399
48 Fatri Harni III a 1,641,563 3,832,300 5,473,863 1,234,500
49 Novi Indah Sari III a - 3,409,700 3,409,700
50 Putri Dwi Wulandari, Amd, Gz III b 1,641,563 3,533,800 5,175,363 1,139,000
51 Emite Yonie Nurpratiwi lllb 2,761,925 3,981,300 6,743,225
52 Eka Yuliana, AMG III a 1,426,499 2,912,900 4,339,399
53 Nurwahidah, Farm, Amd III a 1,641,563 3,409,700 5,051,263
54 Ridwan basri IIIa 1,426,499 3,161,800 4,588,299
55 Martina Ningsih, S.Si III c 1,641,563 3,233,300 4,874,863
56 Christanto III a - 2,503,600 2,503,600
57 Hayatul Husni, SKM III a 2,470,499 3,711,400 6,181,899
58 Ramlah, AMK III a 1,426,499 3,709,500 5,135,999 1,234,500

59 Elviza Agustian, SKM lIl a 1,641,563 3,502,200 5,143,763
60 Sahlan II c 1,397,506 3,215,800 4,613,306
61 Robeah II d 1,397,506 3,465,800 4,863,306
62 Irham, Amd II d - 3,048,600 3,048,600
63 Suri Handayani III a 1,559,485 3,320,000 4,879,485
64 Nora Masroy III a 1,559,485 3,597,500 5,156,985
65 Angela Nova Natalia III c 1,641,563 3,457,100 5,098,663
66 Ns. Waheni Indah Fitriansyah, S. Kep III a 1,477,407 3,023,900 4,501,307
67 Juniarti IIIa 1,641,563 3,681,300 5,322,863
68 Yanisa Anasthasia, Amd. KL ll d 1,502,376 2,700,100 4,202,476
69 Fitriyah Andra, SKM 1,852,874 2,790,700 4,643,574
70 Safrina II c 1,397,506 3,344,100 4,741,606
Jumlah 167,701,018 283,050,700 450,751,718 1,863,943 275,000 8,125,500
Mengetahui
Pengguna Anggaran 141901716.24 Err:509

NIP. 19700506 199101 1 001
AN ZAKAT, INFAK, DAN KOPERASI DINAS KESEHATAN
JUMLAH BERSIH
Jumlah Potongan YANG TANDA TANGAN
DIBAYARKAN
483,174 11,919,379 1
- 6,124,327 2
- 5,787,064 3
266,079 4,942,279 4
262,955 5,234,756 5
- 5,611,902 7
956,500 2,384,538 8
- 3,341,038 9
- 3,341,038 10
- 1,641,563 11
- 3,341,038 12
- 3,341,038 13
- 2,985,609 14
50,000 3,291,038 15
- 3,341,038 16
191,673 3,149,365 17
1,092,000 2,249,038 18
- 1,641,563 19
- 2,761,925 20
- 1,641,563 21
- 3,341,038 22
- 2,761,925 23
187,213 2,574,712 25
50,000 2,420,499 26
176,006 2,585,919 27
141,762 1,499,802 28
- 1,641,563 29
1,389,582 251,982 30
JUMLAH BERSIH
DIBAYARKAN
- 1,641,563 31
- 1,641,563 32
50,000 1,591,563 33
- 1,641,563 34
- 1,641,563 35
- 1,641,563 36
- 1,641,563 37
- 1,641,563 38
- 1,641,563 40
50,000 1,376,499 41
- 1,641,563 42
- 1,641,563 43
1,234,500 407,063 44
- 1,641,563 45
50,000 1,591,563 46
- 3,341,038 47
- 3,341,038 48
25,000 1,616,563 49
- 1,426,499 50
1,234,500 407,063 51
- - 52
1,139,000 502,563 53
- 2,761,925 54
- 1,426,499 55
- 1,641,563 56
- 1,426,499 58
- 1,641,563 59
- - 60
- 2,470,499 61
1,234,500 191,999 62
JUMLAH BERSIH
DIBAYARKAN
- 1,641,563 63
- 1,397,506 64
- 1,397,506 65
- - 66
- 1,559,485 67
- 1,559,485 68
- 1,641,563 69
- 1,477,407 70
- 1,641,563 71
- 1,502,376 73
- 1,852,874
- 1,397,506 74
10,264,443 157,436,575

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI
Bulan Aug-21
1 Asmawati 2,405,548 4,726,600 7,132,148
2 Itra Moriska, Amd. Keb 2,405,548 4,648,400 7,053,948
3 dr. Aulia Rahman 4,287,029 5,165,600 9,452,629
4 drg. Rosmita Rasyid 4,506,499 4,294,800 8,801,299
5 dr.Yomi Agnes 4,557,710 4,222,800 8,780,510
6 David Ginting 2,219,868 4,434,400 6,654,268
7 Sri Heri Perwita Sari 2,405,548 3,877,700 6,283,248
8 drg. Nodika Herda Tri Utami 3,964,700 2,917,800 6,882,500
9 Risna Wardani 2,219,868 4,016,100 6,235,968
10 Elvida Damanik 2,076,650 4,239,000 6,315,650
11 Syamsiah 1,925,680 3,676,700 5,602,380
12 Ns. Firlina Runing Martabati 2,219,868 2,790,700 5,010,568
13 Paujiah, Amd. Kep 2,051,954 3,488,900 5,540,854
14 Evalin Sihaloho 2,161,101 3,851,900 6,013,001
15 Umi Kalsum 2,022,430 2,706,200 4,728,630
16 Ermi Yanti 2,107,904 3,369,700 5,477,604
17 Yulia Novita,Amd.Keb 2,022,430 3,344,900 5,367,330

18 Endang Kurniawati,Amd.Keb 2,022,430 3,344,900 5,367,330
19 Sefrika Desri,Amd.Keb 2,022,430 3,223,100 5,245,530
20 Binsar Sondang Siagian 2,219,868 4,748,600 6,968,468
21 Sri Ekowati, Amd. Keb 2,022,430 2,758,000 4,780,430
Jumlah 53,847,498 79,846,800 133,694,298
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
T, INFAK, DAN KOPERASI PUSKESMAS PELALAWAN
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
1,512,500 1,512,500 893,048 1
- 2,405,548 2
- 4,287,029 3
- 4,506,499 4
- 4,557,710 5
- 2,219,868 6
- 2,405,548 7
- 3,964,700 8
- 2,219,868 9
- 2,076,650 10
- 1,925,680 11
- 2,219,868 12
- 2,051,954 13
- 2,161,101 14
- 2,022,430 15
1,234,500 1,234,500 873,404 16
- 2,022,430 17
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,022,430 18
- 2,022,430 19
- 2,219,868 20
- 2,022,430 21
2,747,000 2,747,000 51,100,498
Pangalan Kerinci, Agustus 2021

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT DAN INFAK PUSKESMAS PANGKALAN KERI
NO NAMA TPP GAJI Gaji + TPP ZAKAT INFAK KOPERASI
1 dr. Diding Piliang 4,287,029 4,396,700 8,683,729
2 drg. Retni Wulan Dari 4,287,029 5,281,800 9,568,829
3 drg. Wan Besti Roza 4,506,499 4,570,400 9,076,899
4 Ocva Revianty 1,925,680 3,453,900 5,379,580
5 T. Ernawati 2,112,454 5,462,000 7,574,454
6 Sri Mulyani 2,112,454 5,180,700 7,293,154
7 Hayati, S. Kep. Ns 2,739,651 4,509,900 7,249,551 181,239
8 Afriyani, S. Farm, Apt 3,818,620 4,495,400 8,314,020
9 Anike Handayani,A.md.keb 2,112,454 4,201,800 6,314,254
10 drg. Dwi Shinta Sari 4,506,499 3,792,700 8,299,199
11 dr.Tika Falma Harahap 4,557,710 3,732,000 8,289,710
12 dr.Eva Lamretta Rajagukguk 4,557,710 4,357,600 8,915,310
13 Yuli Asmiyati 2,405,548 4,609,200 7,014,748
14 Hermayati Papa, Amk 2,219,868 3,735,700 5,955,568
15 Repina Nainggolan, SKM 2,112,454 4,549,400 6,661,854
16 T.Nurhasanah 2,076,650 2,831,700 4,908,350
17 Leny K. R Sibuea, AMG 2,112,454 4,286,300 6,398,754
18 Juliani, Amd, AK 1,925,680 3,191,700 5,117,380
19 Zulvaniar 2,051,954 3,104,500 5,156,454 20,000
20 Ellya, Amd. Keb 1,925,680 3,453,900 5,379,580
21 Agusmawarti, Amd. Keb 1,925,680 3,104,500 5,030,180

22 Emalia 1,925,680 3,670,800 5,596,480
23 Ns.Alta Petra 2,219,868 3,647,700 5,867,568 20,000
24 T. Nurasmi Nofiyanti 2,051,954 3,709,500 5,761,454
25 Ns. Hamdana Eka Putri, S. Kep 2,219,868 2,790,700 5,010,568
26 Fitri Yosfita 2,001,444 3,581,400 5,582,844
27 Erni Yunita, Amd. Keb 2,028,110 3,104,500 5,132,610
28 Nurlaili 2,022,430 2,706,200 4,728,630
29 Sri Yunanda Desta 2,022,430 2,706,200 4,728,630 25,000
30 Nurkomaria Kelliatina, Amd. Keb 2,022,430 3,310,200 5,332,630
31 Mimi Darwati,Amd.Keb 2,076,650 3,809,800 5,886,450 15,000
32 Natratul Imliya,Amd.Keb 2,022,430 3,433,600 5,456,030
33 Syarifah Himalili Pikasari,Amd.K 2,022,430 3,223,100 5,245,530 10,000
34 Fenti Aprellia Susanti,Amd.Keb 2,022,430 2,859,400 4,881,830
35 Renti Indriani 2,022,430 2,608,900 4,631,330
36 Ari Trisna, S. Farm, Apt 3,085,616 2,917,800 6,003,416
37 Elizawati 1,925,680 3,808,900 5,734,580
38 Arta Mutiara 2,187,110 2,187,110
39 Dr. Mutia Febrian 3,964,700 3,365,500 7,330,200
40 Ns. Febriani Wulan Sartika 2,219,868 3,105,200 5,325,068
41 Mesa Shelviani 2,076,650 2,790,700 4,867,350
42 Fitra Fitriyanti.Amd.Keb 2,022,430 3,138,600 5,161,030
43 Lusiana Arnianti 2,022,431 3,258,900 5,281,331
44 dr.Desri Liana Muzrifa 4,557,710 4,329,800 8,887,510
Jumlah 113,022,546 158,179,200 271,201,746 181,239 90,000

MAS PANGKALAN KERINCI 2
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA
- 4,287,029 1
- 4,287,029 2
- 4,506,499 3
- 1,925,680 4
- 2,112,454 5
- 2,112,454 6
181,239 2,558,412 7
- 3,818,620 9
- 2,112,454 10
- 4,506,499 11
- 4,557,710 12
- 4,557,710 13
- 2,405,548 14
- 2,219,868 15
- 2,112,454 16
- 2,076,650 17
- 2,112,454 18
- 1,925,680 19
20,000 2,031,954 20
- 1,925,680 21
- 1,925,680 22
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA
- 1,925,680 23
20,000 2,199,868 24
- 2,051,954 26
- 2,219,868 27
- 2,001,444 28
- 2,028,110 29
- 2,022,430 30
25,000 1,997,430 31
- 2,022,430 32
15,000 2,061,650 33
- 2,022,430 34
10,000 2,012,430 35
- 2,022,430 36
- 2,022,430
- 3,085,616
- 1,925,680
- 2,187,110
- 3,964,700
- 2,219,868
- 2,076,650
- 2,022,430
- 2,022,431
- 4,557,710
271,239 112,751,307
JUMLAH JUMLAH
TANDA TANGAN
POTONGAN DITERIMA

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PUS
Bulan Aug-21
1 Santi Liana, SKM 2,761,925 3,981,300 6,743,225
2 M. Nur Nasution AMK 2,761,925 4,495,500 7,257,425 181,436
3 Mukhlas Lubis 2,761,925 5,279,700 8,041,625 201,041
4 dr. Zulfia Wahyuni - 4,125,200 4,125,200
5 dr.Angga Putra Kesuma 812,889 2,675,500 3,488,389
6 dr.Rizky Dezfriani 4,557,710 4,125,200 8,682,910
7 Elmi Rosnita 2,112,454 5,031,200 7,143,654 178,591
8 Leli Kusmiati, AMK 2,219,868 4,396,500 6,616,368 165,409
9 Sri Saharani 2,405,548 4,385,300 6,790,848 169,771
10 Sayogo 2,219,868 5,135,100 7,354,968 183,874
11 Kina Hutajulu 2,219,868 4,434,400 6,654,268
12 Dian Meidiana 2,405,548 3,900,600 6,306,148 157,654
13 drg. Suci Ridhayani 3,964,700 3,365,500 7,330,200
14 Liswayanti, Amd. Keb 1,925,680 3,581,700 5,507,380 137,685
15 Arisman Susilo, Amk 2,051,954 3,581,700 5,633,654
16 Ns. Zuhri Nurwahdany, S. Kep 2,219,868 3,105,200 5,325,068
17 Ns. Radilna Asful, S. Kep 2,219,868 2,790,700 5,010,568

18 Yenti Earina 2,022,430 3,817,400 5,839,830 145,996
19 Rosmaida 1,925,680 4,089,400 6,015,080
20 Rica Nurmira, Amd. Kep 2,051,954 3,613,000 5,664,954 141,624
21 Kasumawati 2,022,431 2,833,000 4,855,431 121,386

22 Evi Sumianty P.Amd.Keb 2,022,430 3,619,600 5,642,030
23 Yulia Fonda.Amd.Keb 2,022,430 3,366,300 5,388,730 134,718
24 Yanty Herlina P.Amd.Keb 2,022,430 2,939,800 4,962,230
25 Yulvia Mimeri.Amd.Keb 2,022,430 2,939,800 4,962,230 124,056
26 Nuriza Syafitri.Amd.Keb 2,022,430 3,400,200 5,422,630 135,566
27 Septina Herlina Ms.Amd.Keb 2,022,430 2,939,800 4,962,230 124,056
28 Tuti Elpiani.Amd.Keb 2,022,430 3,525,200 5,547,630 138,691
29 Drg. Firstadeina Riski Annisa 3,964,700 3,365,500 7,330,200
30 Mailoftri, Amd. Keb 2,022,430 2,828,300 4,850,730
Jumlah 67,788,241 108,839,300 176,627,541 2,441,552 -
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
FAK, DAN KOPERASI PUSKESMAS PANGKALAN KURAS 2
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,761,925 1
181,436 2,580,489 2
201,041 2,560,884 3
- - 4
- 812,889 5
- 4,557,710 6
178,591 1,933,863 7
165,409 2,054,459 8
169,771 2,235,777 9
183,874 2,035,994 10
- 2,219,868 11
157,654 2,247,895 12
- 3,964,700 13
137,685 1,787,996 14
- 2,051,954 15
- 2,219,868 16
- 2,219,868 17
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
145,996 1,876,435 18
- 1,925,680 19
141,624 1,910,330 20
121,386 1,901,046 21
JUMLAH BERSIH
JUMLAH
POTONGAN
DIBAYARKAN
- 2,022,430 22
134,718 1,887,712 23
- 2,022,430 24
124,056 1,898,375 25
135,566 1,886,865 26
124,056 1,898,375 27
138,691 1,883,740 28
- 3,964,700 29
- 2,022,430 30
2,441,552 65,346,689

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI P
Bulan Aug-21
NO NAMA TPP GAJI GAJI + TPP ZAKAT
1 Rita Widuri, SKM 2,219,868 3,521,600 5,741,468
2 Abdullah 2,219,868 5,180,700 7,400,568 185,014
3 Maeyani 2,112,454 4,073,200 6,185,654 154,641
4 Muhammad Sholeh 2,739,651 4,598,500 7,338,151 183,454
5 Ns.Mutiara Theotherra AWK 2,219,868 3,407,700 5,627,568 140,689
6 Hendra Ajhari. T, Amd. Kep 2,219,868 3,877,700 6,097,568
7 dr. Harry Hadi Saputra 3,964,700 3,488,400 7,453,100
8 Lia Ulfa, S. Farm, Apt 3,085,616 3,488,400 6,574,016
9 drg. Annisa Audies 3,964,700 2,917,800 6,882,500
10 Jaspik 1,925,680 3,775,900 5,701,580 142,540
11 Ns. Rizki Kurniadi, S. Kep 2,219,868 3,346,900 5,566,768
12 Ns. Wanda Arge, S. Kep 2,219,868 3,105,200 5,325,068
13 Nurjasmi 1,925,680 3,437,700 5,363,380
14 Elza Yuli Lestari, Amd. KG 2,051,954 3,581,400 5,633,354
15 Agus Suryani 2,022,431 3,022,600 5,045,031 126,126
16 Mahgeni Susiawati 2,022,430 3,921,100 5,943,530
17 Muarif 1,473,484 3,383,700 4,857,184 121,430
18 Sri Wahyu Lubis,Amd.Keb 2,022,430 3,525,200 5,547,630 138,691

NO NAMA TPP GAJI GAJI + TPP ZAKAT
19 Mela Yuliasri,Amd.Keb 2,022,430 3,433,600 5,456,030
20 Elfiah Rose Siregar,Amd.Keb 2,022,430 3,525,200 5,547,630 138,691
21 Karmila,Amd.Keb 2,022,430 3,433,600 5,456,030
22 Drg. Leni Susanti 4,506,499 4,222,800 8,729,299
23 Ilda Firayati Misra,Amd.Keb 1,920,287 2,781,600 4,701,887
24 dr.Fifi Adrias 3,964,700 7,330,200

3,365,500
25 Ns.Roziyani.S,S.Kep 2,219,868 5,010,568
2,790,700
Jumlah 61,309,068 89,206,700 150,515,768 1,331,275
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
AN KOPERASI PUSKESMAS PANGKALAN LESUNG
JUMLAH BERSIH
JUMLAH
INFAK KOPERASI YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
- 2,219,868 1
185,014 2,034,854 2
154,641 1,957,813 3
183,454 2,556,197 4
140,689 2,079,179 5
- 2,219,868 6
- 3,964,700 7
- 3,085,616 8
- 3,964,700 9
142,540 1,783,141 10
- 2,219,868 12
- 2,219,868 13
- 1,925,680 14
- 2,051,954 15
126,126 1,896,306 16
- 2,022,430 17
121,430 1,352,055 18
138,691 1,883,740 19
JUMLAH BERSIH
JUMLAH
INFAK KOPERASI YANG TANDA TANGAN
POTONGAN
DIBAYARKAN
- 2,022,430 20
138,691 1,883,740 21
- 2,022,430 22
- 4,506,499
- 1,920,287 23
- 3,964,700
- 2,219,868
1,331,275 59,977,793

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
DAFTAR RINCIAN PEMOTONGAN ZAKAT, INFAK, DAN KOPERASI PU
Bulan Agustus 2021
NO NAMA TPP GAJI TPP+GAJI ZAKAT INFAK
1 dr.Bambang Hermanto 4,557,710 4,681,900 9,239,610
2 dr.Laila Handayani 4,287,029 5,401,600 9,688,629
3 dr. Sitti Aisyah 4,287,029 5,549,900 9,836,929
4 dr. Rafles 4,287,029 5,784,100 10,071,129
5 dr. Yoselyn Rhadiya S 4,287,029 5,401,600 9,688,629
6 drg. Resvi Sartika 4,287,029 5,260,300 9,547,329
7 Ratih Zulaikha, SKM 2,405,548 4,522,600 6,928,148 173,204
8 dr.T.Adriansyah 812,889 812,889
9 dr.Viona Yuliani 4,557,710 3,311,200 7,868,910
10 dr. rachminur 4,287,029 4,597,300 8,884,329
11 drg.Sonya Ajeng Husada 4,506,499 4,125,200 8,631,699
12 Husnati Yusni - 4,047,200 4,047,200
13 dr. Winda Kurniawati 3,964,700 2,840,800 6,805,500
14 drg. Bella Siregar 3,964,700 3,242,600 7,207,300
15 Noeke Indrayani 2,112,454 4,410,900 6,523,354
16 Sri Yani 2,405,548 4,648,400 7,053,948
17 Irma Fitriah, S.Kep 2,739,651 4,533,400 7,273,051
18 Junaidi Abdillah, S. Kep 2,219,868 3,226,300 5,446,168
19 Yossi Darwin, Ams 2,001,444 3,911,500 5,912,944

20 Rahmita Nova Yeni 2,219,868 4,549,400 6,769,268
21 Rozalina, Amf 2,184,064 4,434,400 6,618,464
22 Eva Mariana 2,112,454 4,179,300 6,291,754
23 Susilawati 2,112,454 4,286,300 6,398,754
24 Syafridawati Harahap 2,405,548 4,143,600 6,549,148 135,000
25 Suatni 2,405,548 4,037,400 6,442,948 122,500
26 Ernila, Am. Keb 1,925,680 3,445,500 5,371,180
27 Lydia Naisyarah, AMF 2,001,444 3,191,700 5,193,144
28 Gusnarti 1,925,680 3,808,900 5,734,580
29 Fauza Fakhriah 1,925,680 3,709,500 5,635,180
30 Siti Aminah 1,925,680 3,709,500 5,635,180
31 Ns.M.Sugiono 2,219,868 3,554,200 5,774,068
32 Supriani 2,051,954 3,709,500 5,761,454
33 Indah Evrilly Qurniawati 1,925,680 3,232,300 5,157,980
34 Nova Irmayanti, AMKG 2,051,954 3,709,500 5,761,454
35 Berta Sari Ramadani, SKM 2,219,868 2,790,700 5,010,568
36 Ns. Bella Amelia, S. Kep 2,219,868 3,226,100 5,445,968
37 Ns. Mersi Marsita, S. Kep 2,219,868 3,226,100 5,445,968
38 Vicka Frantya Lone, S. Gz 2,076,650 2,790,700 4,867,350
39 Ribut Susanti, S. ST 2,076,650 3,010,200 5,086,850 127,171
40 Eri Darman 1,392,686 3,834,700 5,227,386

41 Eka Desvita 2,022,431 3,022,600 5,045,031
42 Evi Junaida Siregar 2,051,954 3,808,900 5,860,854
43 Lisna Anggravita 2,212,707 3,226,300 5,439,007
44 Rahmayana 1,925,680 3,549,800 5,475,480
45 Evi Darina 1,925,680 3,075,700 5,001,380 125,035
46 Liza Afriyani, Amd. Keb 1,925,680 3,709,500 5,635,180
47 Martaliza, Amd. Kep 1,925,680 3,709,500 5,635,180
48 Dian Masyitah, Amd.Keb 1,925,680 3,104,500 5,030,180
49 Azka Mudrikah, Amd, Keb 957,765 3,116,100 4,073,865
50 Karni 1,925,680 2,910,900 4,836,580
51 Okta Novia Aslinda 2,028,110 3,775,200 5,803,310
52 Neti Hendrayani,Amd.Keb 2,022,430 3,022,600 5,045,030
53 Esfana Juniarta G,Amd.Keb 2,022,430 3,022,600 5,045,030
54 Romika,Amd.Keb 2,022,430 3,619,600 5,642,030
55 Dewi Baroroh,Amd.Keb 2,022,430 3,525,200 5,547,630
56 Darmiati,Amd.Keb 2,022,430 3,525,200 5,547,630
57 Rini Oktavia,Amd.Keb 2,022,430 3,400,200 5,422,630
58 Indriana Rista,Amd.Keb 2,022,430 3,525,200 5,547,630
59 Ika Erman Cut,Amd.Keb 2,022,430 2,859,400 4,881,830
60 Sofia Nofrita,Amd.Keb 2,022,430 3,525,200 5,547,630
61 Ria Tri Seska,Amd.Keb 2,022,430 3,433,600 5,456,030

62 Ari Ika,Amd.Keb 2,022,430 2,939,800 4,962,230
63 Marta Florida Panjaitan 2,022,430 3,108,000 5,130,430
64 Dewi Pitriyanti,Amd.Keb 2,022,430 2,781,600 4,804,030
65 Uci Karlina, Amd. AK 1,987,760 2,470,700 4,458,460
66 Fitria Novita 2,022,430 2,939,800 4,962,230
67 Eka Fitri, Amd. Keb 2,022,430 2,207,400 4,229,830
68 Yusnetti, Amd. Keb 2,022,430 2,758,000 4,780,430
69 Sari Chandika Fani,Amd.Keb 2,022,430 3,138,600 5,161,030
Jumlah 162,766,175 248,888,000 411,654,175 425,409 257,500
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
FAK, DAN KOPERASI PUSKESMAS SEKIJANG
JUMLAH BERSIH
KOPERASI Jumlah Potongan YANG TANDA TANGAN
DIBAYARKAN
- 4,557,710 2
- 4,287,029 3
- 4,287,029 4
- 4,287,029 5
- 4,287,029 7
350,000 350,000 3,937,029 8
173,204 2,232,345 10
- 812,889 11
- 4,557,710 12
- 4,287,029
- 4,506,499 13
- - 15
- 3,964,700 16
- 3,964,700 17
- - 2,112,454 18
- 2,405,548 19
- 2,739,651 20
- 2,219,868 21
1,234,500 1,234,500 766,944 22

JUMLAH BERSIH
DIBAYARKAN
- 2,219,868 23
- 2,184,064 24
- 2,112,454 25
- 2,112,454 26
135,000 2,270,548 27
122,500 2,283,048 28
- 1,925,680 29
- 2,001,444 30
- 1,925,680 31
- 1,925,680 32
- 1,925,680 33
- 2,219,868 35
956,500 956,500 1,095,454 36
- 1,925,680 37
- 2,051,954 38
- 2,219,868 39
- 2,219,868 40
- 2,219,868 41
- 2,076,650 42
127,171 1,949,479 43
- 1,392,686 44
JUMLAH BERSIH
DIBAYARKAN
- 2,022,431 45
- 2,051,954 46
- 2,212,707 48
- 1,925,680 49
125,035 1,800,646 50
- 1,925,680 51
- 1,925,680 52
1,234,500 1,234,500 691,180 53
- 957,765 54
- 1,925,680 55
- 2,028,110 56
- 2,022,430 57
- 2,022,430 58
- 2,022,430 59
- 2,022,430 60
- 2,022,430 61
- 2,022,430 62
- 2,022,430 63
- 2,022,430
- 2,022,430
- 2,022,430
JUMLAH BERSIH
DIBAYARKAN
- 2,022,430
- 2,022,430
- 2,022,430
- 1,987,760
- 2,022,430
- 2,022,430
- 2,022,430
- 2,022,430
3,775,500 4,458,409 158,307,765

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Sudah terima dari : Pengguna Anggaran Dinas Kesehatan Kab. Pelalawan
Uang sebanyak Rp 146,462,653
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Pangkalan Kerinci

untuk Bulan Agustus T.A 2021
Eselon/ Medis/ Pertimbangan Pengelola Potongan

Beban Kerja Kondisi Tempat Kelangka Pengelolaan JUMLAH TPP
NO NAMA GOL. Paramedis/ Non Prestasi Kerja Objektif Barang Milik Perbup 65
PNS Kerja Bekerja an Profesi Keuangan DI PERBUP
Paramedis Lainnya Daerah Th.2015
Penyluh KesMas Muda

1 Nurmaini, SKM III d 1,279,547 1,279,547 2,559,094
(Kepala UPTD)
2 drg. Nila Parmusia IVb drg. Madya 2,551,803 2,551,803 5,103,606
3 Desa BR Sembiring IV a Perawat Madya 1,534,448 1,534,448 3,068,896
4 drg. Rosenti IV b drg. Madya 2,551,803 2,551,803 5,103,606
5 dr. Roida Simanjuntak IV b dr. Madya 2,551,803 2,551,803 5,103,606
6 dr. Yulnahanim IV b dr. Madya 2,551,803 2,551,803 5,103,606
7 Ratna Zakiah IV a Bidan Ahli Madya 1,440,503 1,440,503 2,881,006
Herryza A , S.Farm,
8 IV a Apoteker Madya 2,272,988 2,272,988 4,545,976
Apt
9 Ricky Sandra III d Perawat Penyelia 1,180,781 1,180,781 2,361,562
Penyuluh Kesehatan
10 Srie Wahyuni, SKM III c 1,279,547 1,279,547 2,559,094
Masyarakat Ahli Muda
11 dr. Rinaldi Fajri III d Tugas belajar 428,190 436,586 864,776
12 dr. Chyntia Triana Putri III d dr. Muda/ Tugas belajar 428,190 436,586 864,776
dr.Aulia Rahman
13 III c Dokter Gigi Muda 2,397,074 2,397,074 4,794,148
Khalid
14 Sarida Yanti III c Bidan Muda 1,279,547 1,279,547 2,559,094
Perawat Penyelia (Pembantu

15 H. T. Zulpan Efendi III c Bendahara Pengeluaran) 1,180,781 1,180,781 2,361,562
16 Suwarni III c Sanitarian Penyelia 1,161,736 1,161,736 2,323,472
Dokter Muda / Tugas

17 dr.Rio Bronfry Haro M III b 0
belajar
18 dr.Lusy Ariani III b dr. Muda 2,424,314 2,424,314 4,848,628
19 Herni Yanti III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
Khairun Nisa, Amd.

20 III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
Kep
Bhalada Ronalia
21 III c Bidan Penyelia 1,123,646 1,123,646 2,247,292
Gayatri
22 Mahdalena Susanti III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
23 Nelleksum III c Bidan Penyelia 1,123,646 1,123,646 2,247,292
24 Susi Muasvalni III c Bidan Muda 1,279,547 1,279,547 2,559,094
25 Heldawati Silaen III c Bidan Muda 1,279,547 1,279,547 2,559,094
Sanitarian Penyelia
Ade Novrina, HS,
26 III b (Pembantu pengurus 1,161,736 1,161,736 2,323,472
AMKL
barang penguna)
27 Eka Susanti III b Perawat Pertama 1,180,781 1,180,781 2,361,562
28 Eva Susanti III b Perawat Pertama 1,180,781 1,180,781 2,361,562
29 Eka Rizky Gusnita III b Perawat Muda 1,457,261 1,457,261 2,914,522
30 Fitri Yati III b Perawat Muda 1,457,261 1,457,261 2,914,522
31 Balkis, Amk III b Perawat Penyelia 1,180,781 1,180,781 2,361,562
32 Yurliana III b Perawat Pertama 1,180,781 1,180,781 2,361,562
33 Herny Ribka III b Bidan Muda 1,279,547 1,279,547 2,559,094
Endah Sri Rahayu,

34 III b Perawat Gigi Mahir 1,091,465 1,091,465 2,182,930
AMKG
35 Devi Afriyanti III b Perawat gigi Mahir 1,091,465 1,091,465 2,182,930
36 Feniwati, Amd. Keb III b Bidan Muda 1,279,547 1,279,547 2,559,094
Bidan Pelaksana
37 Runika III b 1,024,298 1,024,298 2,048,596
Lanjutan
Asisten Apoteker
38 Rila Anggarini III b 1,064,598 1,064,598 2,129,196
Pelaksana Lanjutan
39 Annisa, Amk III b Perawat Mahir 1,091,465 1,091,465 2,182,930
40 Iin Feronika, Amk III b Perawat Mahir 1,091,465 1,091,465 2,182,930
41 Monika Irawati Manik III b Bidan Ahli Muda 1,279,547 1,279,547 2,559,094
42 Supriani III b JFU (7) 856,380 873,172 1,729,552
Endah Dwi
43 III a Nutrisionis Muda 1,421,718 1,421,718 2,843,436
Saputri.Gz,AMD
44 Mely Herlina III a Bidan Pertama 1,104,601 1,104,601 2,209,202
Ns. Neka Rita Amelia,

45 III a Perawat Pertama 1,180,781 1,180,781 2,361,562
S. Kep
Penyuluh Kesehatan
46 Richa Devisari, SKM III a Masyarakat Pertama
1,180,781 1,180,781 2,361,562
47 Ernawati III a Bidan Ahli Pertama 1,104,601 1,104,601 2,209,202
Asisten Apoteker Pelaksana

48 Anita Sari Dewi III a Lanjutan 1,064,598 1,064,598 2,129,196
49 Sulasmi, Amd. Keb III b Bidan Ahli Pertama 1,104,601 1,104,601 2,209,202
Pranata Lab. Kes. Pelaksana

50 Neliyarti, Amd. AK III a Lanjutan 1,024,298 1,024,298 2,048,596
51 Narti Jelita S,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
52 Darnita,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Rahma Yulianti, Amd.

53 II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Keb
54 Siti Khairoh,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
55 Wica Def Fitria III b Bidan Pertama 1,104,601 1,104,601 2,209,202
56 Nira Dewi II Perawat Terampil 1,021,430 1,021,430 2,042,860

57 Eva Renata Malau III Perawat Mahir 1,091,465 1,091,465 2,182,930
58 Rahimah III Perawat Penyelia 1,180,781 1,180,781 2,361,562
59 Suparmi, Amd. Keb Iid Bidan Pelaksana 875,511 1,167,348 2,042,859
Nadya Ayu Septia, Pranata Labkes

60 II c 1,003,919 1,003,919 2,007,838
Amd. AK Terampil
Bidan Pelaksana
61 Erma Yusanti III b 1,024,298 1,024,298 2,048,596
Lanjutan
Dwi Puji Astuti ,S.

62 IIIb Apoteker Pertama 1,641,285 1,641,285 3,282,570
Farm, Apt
Jumlah 78,424,059 79,916,828 158,340,887 0
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH JUMLAH JUMLAH YANG
PPH 21 IWP 1% TANDA TANGAN
KOTOR POTONGAN DIBAYARKAN
2,559,094 127,955 25,591 153,546 2,405,548 1
5,103,606 765,541 51,036 816,577 4,287,029 2
3,068,896 460,334 30,689 491,023 2,577,873 3
5,103,606 765,541 51,036 816,577 4,287,029 4
5,103,606 765,541 51,036 816,577 4,287,029 5
5,103,606 765,541 51,036 816,577 4,287,029 6
2,881,006 432,151 28,810 460,961 2,420,045 7
4,545,976 681,896 45,460 727,356 3,818,620 8
2,361,562 118,078 23,616 141,694 2,219,868 9
2,559,094 127,955 25,591 153,546 2,405,548 10
864,776 43,239 8,648 51,887 812,889 11
864,776 43,239 8,648 51,887 812,889 12
4,794,148 239,707 47,941 287,649 4,506,499 13
2,559,094 127,955 25,591 153,546 2,405,548 14
2,361,562 118,078 23,616 141,694 2,219,868 15
2,323,472 116,174 23,235 139,408 2,184,064 16
0 0 0 0 - 17
4,848,628 242,431 48,486 290,918 4,557,710 18
2,361,562 118,078 23,616 141,694 2,219,868 19
2,361,562 118,078 23,616 141,694 2,219,868 20
2,247,292 112,365 22,473 134,838 2,112,454 21
2,361,562 118,078 23,616 141,694 2,219,868 22
2,247,292 112,365 22,473 134,838 2,112,454 23
2,559,094 127,955 25,591 153,546 2,405,548 24
2,559,094 127,955 25,591 153,546 2,405,548 25
2,323,472 116,174 23,235 139,408 2,184,064 26

2,361,562 118,078 23,616 141,694 2,219,868 27
2,361,562 118,078 23,616 141,694 2,219,868 28
2,914,522 145,726 29,145 174,871 2,739,651 29
2,914,522 145,726 29,145 174,871 2,739,651 30
2,361,562 118,078 23,616 141,694 2,219,868 31
2,361,562 118,078 23,616 141,694 2,219,868 32
2,559,094 127,955 25,591 153,546 2,405,548 33
2,182,930 109,147 21,829 130,976 2,051,954 34
2,182,930 109,147 21,829 130,976 2,051,954 35
2,559,094 127,955 25,591 153,546 2,405,548 36
2,048,596 102,430 20,486 122,916 1,925,680 37
2,129,196 106,460 21,292 127,752 2,001,444 38
2,182,930 109,147 21,829 130,976 2,051,954 39
2,182,930 109,147 21,829 130,976 2,051,954 40
2,559,094 127,955 25,591 153,546 2,405,548 41
1,729,552 86,478 17,296 103,773 1,625,779 42
2,843,436 142,172 28,434 170,606 2,672,830 43
2,209,202 110,460 22,092 132,552 2,076,650 45
2,361,562 118,078 23,616 141,694 2,219,868 46
2,361,562 118,078 23,616 141,694 2,219,868 47
2,209,202 110,460 22,092 132,552 2,076,650 48
2,129,196 106,460 21,292 127,752 2,001,444 49
2,209,202 110,460 22,092 132,552 2,076,650 50
2,048,596 102,430 20,486 122,916 1,925,680 51
2,042,859 20,429 20,429 2,022,430 52
2,042,859 20,429 20,429 2,022,430 53
2,042,859 20,429 20,429 2,022,430 54
2,042,859 20,429 20,429 2,022,430 55
2,209,202 110,460 22,092 132,552 2,076,650 56
2,042,860 20,429 20,429 2,022,431 57

2,182,930 109,147 21,829 130,976 2,051,954 58
2,361,562 118,078 23,616 141,694 2,219,868 59
2,042,859 20,429 20,429 2,022,430 60
2,007,838 20,078 20,078 1,987,760 61
2,048,596 102,430 20,486 122,916 1,925,680
3,282,570 164,129 32,826 196,954 3,085,616
158,340,887 10,294,825 1,583,409 11,878,234 146,462,653

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Bandar Petalangan

untuk Bulan Agustus T.A 2021
Pengelola
Eselon/ Medis/ Pertimbangan Potongan
Beban Kerja Kondisi Tempat Kelangkaan Barang Pengelolaan Jumlah TTP di
NO NAMA GOL Paramedis/ Non Prestasi Kerja Objektif Perbup 65
Paramedis PNS Kerja Bekerja Profesi Milik Keuangan Perbup
Lainnya Th.2015
Daerah
Penyuluh Kesehatan
1 Adi Purwanto, SKM. M. Kes III d
Muda (Kepala UPTD)
1,279,547 1,279,547 2,559,094 0
2 dr. Rachmad Suryawan IV a dr. Madya 2,551,803 2,551,803 5,103,606
3 drg.Riawati III c Dokter Gigi Muda 2,397,074 2,397,074 4,794,148
Penyuluh Kesehatan
4 Kamaleni Putri III c Muda (Pembantu 1,279,547 1,279,547 2,559,094
Bendahara Pengeluaran)
5 dr. Rizka Bekti Nurcahyani III b Dr. Pertama 2,108,883 2,108,883 4,217,766
6 Sarjono, S. Farm, Apt III b Apoteker Pertama 1,641,285 1,641,285 3,282,570
7 drg. Asep Syaefulloh III b Dr. Gigi Pertama 2,108,883 2,108,883 4,217,766
8 Herlizawati, SST III c Bidan Muda 1,279,547 1,279,547 2,559,094
9 Yuliarti III b Perawat Mahir 1,091,465 1,091,465 2,182,930
Bidan Pelaksana
10 Novlinda Fajriati, Amd. Keb IIIb
Lanjutan
1,024,298 1,024,298 2,048,596
11 Andi III b Perawat ahli pertama 1,180,781 1,180,781 2,361,562
12 Ariani, S.tr.keb III b Bidan Pertama 1,104,601 1,104,601 2,209,202
Pranata Lab.
13 Yusrizal, Amd. Ak IIIa Kesehatan Pelaksana 1,024,298 1,024,298 2,048,596
Lanjutan
14 Ns. Yoenita Septani, S. Kep IIIa Perawat Pertama 1,180,781 1,180,781 2,361,562
Perawat Pertama
Ns. Ilhamdsyah Harahap, S.
15
Kep
IIIa (Pengurus Barang 1,180,781 1,180,781 2,361,562
Pengguna Pembantu)
16 Rahmawati Damanik II d Perawat Terampil 1,021,430 1,021,430 2,042,860
17 Neti Herawati,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
18 Lili Anike,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Mardiana
19
Situmorang,Amd.Keb
II c Bidan Pelaksana 875,511 1,167,348 2,042,859
20 Risnawati,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Era Nurmayana
21
Gustina,S.tr.Keb
IIIa Bidan Pertama 1,104,601 1,104,601 2,209,202
22 Indrayani Saputri,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
23 Sriwahyuni Siska,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Etty Indah
24 llc Bidan Pelaksana 875,511 1,167,348 2,042,859
Setyowati,Amd.Keb
Asisten Apoteker
25 Sugiarti, Amd. Farm II c Terampil
1,006,838 1,006,838 2,013,676
Bidan Pelaksana
26 Sinta Yanti Lanjutan
1,024,298 1,024,298 2,048,596
27 Ns. Jemiatun. S. Kep III d Perawat Muda 1,457,261 1,457,261 2,914,522
28 Ernialis, Amd. Keb II c Bidan terampil 875,511 1,167,348 2,042,859
Jumlah 35,052,090 37,386,786 0 0 0 0 0 0 72,438,876 0
Mengetahui
Pengguna Anggaran
Pengelola
Eselon/ Medis/ Pertimbangan Potongan
Beban Kerja Kondisi Tempat Kelangkaan Barang Pengelolaan Jumlah TTP di
NO NAMA GOL Paramedis/ Non Prestasi Kerja Objektif Perbup 65
Paramedis PNS Kerja Bekerja Profesi Milik Keuangan Perbup
Lainnya Th.2015
Daerah

NIP. 19700506 199101 1 001
KOTOR
POTONGAN DIBAYARKAN
2,559,094 127,955 25,591 153,546 2,405,548 1
5,103,606 765,541 51,036 816,577 4,287,029 2
4,794,148 239,707 47,941 287,649 4,506,499 3
2,559,094 127,955 25,591 153,546 2,405,548 4
4,217,766 210,888 42,178 253,066 3,964,700 5
3,282,570 164,129 32,826 196,954 3,085,616 6
4,217,766 210,888 42,178 253,066 3,964,700 7
2,559,094 127,955 25,591 153,546 2,405,548 8
2,182,930 109,147 21,829 130,976 2,051,954 9
2,048,596 102,430 20,486 122,916 1,925,680 10
2,361,562 118,078 23,616 141,694 2,219,868 11
2,209,202 110,460 22,092 132,552 2,076,650 12
2,048,596 102,430 20,486 122,916 1,925,680 13
2,361,562 118,078 23,616 141,694 2,219,868 14
2,361,562 118,078 23,616 141,694 2,219,868 15
2,042,860 20,429 20,429 2,022,431 16
2,042,859 20,429 20,429 2,022,430 17
2,042,859 20,429 20,429 2,022,430 18
2,042,859 20,429 20,429 2,022,430 19
2,042,859 20,429 20,429 2,022,430 20
2,209,202 22,092 22,092 2,187,110 21
2,042,859 20,429 20,429 2,022,430 22
2,042,859 20,429 20,429 2,022,430 23
2,042,859 20,429 20,429 2,022,430 24
2,013,676 20,137 20,137 1,993,539 25
2,048,596 20,486 20,486 2,028,110 26
2,914,522 29,145 29,145 2,885,377 27
2,042,859 20,429 20,429 2,022,430 28
72,438,876 2,753,718 724,389 3,478,107 68,960,769

KOTOR
POTONGAN DIBAYARKAN
NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Pangkalan Kuras

untuk Bulan Agustus TA. 2021
.
Pengelola
Eselon/ Medis/ Pertimbanga Potongan
Beban Kerja Kondisi Tempat Kelangkaa Barang Pengelolaan Jumlah TTP di
NO NAMA GOL Paramedis/ Non Prestasi Kerja n Objektif Perbup 65
Paramedis PNS Kerja Bekerja n Profesi Milik Keuangan Perbup
Lainnya Th.2015
Daerah
Bidan Madya (Kepala

1 Siti Aisyah IV a 1,440,503 1,440,503 2,881,006
UPTD)
2 Rotua Sianturi III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
3 Azizah III d Bidan Penyelia 1,123,646 1,123,646 2,247,292
4 drg. Santy Rahmadani. S IV a Dokter Gigi Madya 2,551,803 2,551,803 5,103,606
5 Nene Eriyanti III b JFU (5) 703,377 703,377 1,406,754
6 dr.Diana Lestari III c Dokter Muda 2,424,314 2,424,314 4,848,628
7 dr. Suyoga Ginting III b Dokter Pertama 2,108,883 2,108,883 4,217,766
8 drg. Sawitri Trinaningtyas III b Dokter Gigi Pertama 2,108,883 2,108,883 4,217,766
9 Eka Hartina III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
Asisten Apoteker
10 Masrawati III b 1,064,598 1,064,598 2,129,196
Pelaksana Lanjutan
Bidan Pelaksana
11 Santi Maria, Amd. Keb III b 1,024,298 1,024,298 2,048,596
Lanjutan
Perawat Mahir
12 Andra Pratomo, AMK III b (Pembantu Bendahara 1,091,465 1,091,465 2,182,930
Pengeluaran)
Pranata Laboratorium
13 Yunisra, Amd. AK III b Kesehatan Pelaksana 1,024,298 1,024,298 2,048,596
Lanjutan
14 Mira Elviza, Amd. Keb III b Bidan Pertama 1,104,601 1,104,601 2,209,202
Pengelola
Lainnya Th.2015
Daerah
Bidan Pelaksana
15 Sumidah III a 1,024,298 1,024,298 2,048,596
Lanjutan
16 Rosmawati III a Perawat Gigi Mahir 1,091,465 1,091,465 2,182,930
Bidan Pelaksana
17 Roslynda Julyaty. E. M III a 1,024,298 1,024,298 2,048,596
Lanjutan
Bidan Pelaksana
18 Nurjanna III a 1,024,298 1,024,298 2,048,596
Lanjutan
Bidan Pelaksana
19 Mesrawati. N, Amd. Keb III b 1,024,298 1,024,298 2,048,596
Lanjutan
Bidan Pelaksana
20 Nila Sutriyani, Amd. Keb III a 1,024,298 1,024,298 2,048,596
Lanjutan
21 Ns. Finthos Varabel, S. Kep III a Perawat Pertama 1,180,781 1,180,781 2,361,562
Ns. Nurzikri Noval Herino, S.

22
Kep
III a Perawat Pertama 1,180,781 1,180,781 2,361,562
23 Sri Rahmawati III a Perawat Mahir 1,091,465 1,091,465 2,182,930
24 Sri Andariani, Amd. Keb III a Perawat Mahir 1,091,465 1,091,465 2,182,930
Perawat Mahir
25 Wiwit Hastari ll d (Pembantu Pengurus 1,091,465 1,091,465 2,182,930
Barang Pengguna)
Erma Yanty
26
Hutasuhut.Amd.Keb
II d Bidan Pelaksana 875,511 1,167,348 2,042,859
27 Desy.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
28 Hijriani Rizki Susanti.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
29 Marlina, Amd. Kep III b Perawat Pertama 1,180,781 1,180,781 2,361,562
Dokter Umum/ Tugas

30 dr. Rahmat Hidayat III b 428,190 436,586 864,776
Belajar
Penyuluh Kesehatan
31 Dasni Mauzioh III a 1,180,781 1,180,781 2,361,562
Masyarakat Pertama
Pengelola
Lainnya Th.2015
Daerah
32 Mardayeni II d Bidan Pelaksana 875,511 1,167,348 2,042,859
33 Velly Sartika II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Jumlah 39,148,450 40,616,031 0 0 0 0 0 0 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH
JUMLAH JUMLAH
PPH 21 IWP 1% YANG TANDA TANGAN
KOTOR POTONGAN
DIBAYARKAN
2,881,006 432,151 28,810 460,961 2,420,045 1
2,361,562 118,078 23,616 141,694 2,219,868 2
2,247,292 112,365 22,473 134,838 2,112,454 3
5,103,606 765,541 51,036 816,577 4,287,029 4
1,406,754 70,338 14,068 84,405 1,322,349 5
4,848,628 242,431 48,486 290,918 4,557,710 6
4,217,766 210,888 42,178 253,066 3,964,700 7
4,217,766 210,888 42,178 253,066 3,964,700 8
2,361,562 118,078 23,616 141,694 2,219,868 9
2,129,196 106,460 21,292 127,752 2,001,444 10
2,048,596 102,430 20,486 122,916 1,925,680 11
2,182,930 109,147 21,829 130,976 2,051,954 12
2,048,596 102,430 20,486 122,916 1,925,680 13
2,209,202 110,460 22,092 132,552 2,076,650 14

JUMLAH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
2,048,596 102,430 20,486 122,916 1,925,680 15
2,182,930 109,147 21,829 130,976 2,051,954 16
2,048,596 102,430 20,486 122,916 1,925,680 17
2,048,596 102,430 20,486 122,916 1,925,680 18
2,048,596 102,430 20,486 122,916 1,925,680 19
2,048,596 102,430 20,486 122,916 1,925,680 20
2,361,562 118,078 23,616 141,694 2,219,868 21
2,361,562 118,078 23,616 141,694 2,219,868 22
2,182,930 109,147 21,829 130,976 2,051,954 23
2,182,930 109,147 21,829 130,976 2,051,954 24
2,182,930 21,829 21,829 2,161,101 25
2,042,859 20,429 20,429 2,022,430 26
2,042,859 20,429 20,429 2,022,430 27
2,042,859 20,429 20,429 2,022,430 28
2,361,562 118,078 23,616 141,694 2,219,868 29
864,776 43,239 8,648 51,887 812,889 30
2,361,562 118,078 23,616 141,694 2,219,868 31

JUMLAH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
2,042,859 20,429 20,429 2,022,430 32
2,042,859 20,429 20,429 2,022,430 33
79,764,481 4,166,824 797,645 4,964,469 74,800,012

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Kerumutan

untuk Bulan Agustus 2021
Pertimban
Eselon/ Medis/ Pengelola Potongan
Beban Kerja Kondisi Tempat Kelangkaan gan Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non Prestasi Kerja Barang Milik Perbup 65
Paramedis PNS Kerja Bekerja Profesi Objektif Keuangan Perbup
Daerah Th.2015
Lainnya
Penyuluh
1 Harno, Amk III c Kesmas Muda 1,279,547 1,279,547 2,559,094
(Kepala UPTD)
Perawat
Penyelia
2 Sujono III d (Pembantu 1,180,781 1,180,781 2,361,562
Bendahara
Pengeluaran)
Dokter Gigi
3 drg.Siti Ummaiyah III c 2,397,074 2,397,074 4,794,148
Muda
Perawat
4 Ni Ketut Brana Asih III c 1,180,781 1,180,781 2,361,562
Penyelia
5 Eny Suryati, Amd. Keb III c Bidan Penyelia 1,123,646 1,123,646 2,247,292
Perawat
6 Marleni III c 1,180,781 1,180,781 2,361,562
Penyelia
7 dr.Neni Setyaningsih III c Dokter Muda 2,424,314 2,424,314 4,848,628
8 dr. Nurmadiah III b Dr. Pertama 2,108,883 2,108,883 4,217,766
9 Nini Andini III b Bidan Muda 1,104,601 1,104,601 2,209,202
10 Verawati Pasaribu,AMK III a Perawat Mahir 1,091,465 1,091,465 2,182,930
Penyuluh
Kesehatan
11 Nuryatna III a 1,180,781 1,180,781 2,361,562
Masyarakat
Pertama
Perawat
12 Ns. Vitoe Fusanto, S. Kep III a 1,180,781 1,180,781 2,361,562
Pertama
13 Ernawati III a Bidan Pertama 1,104,601 1,104,601 2,209,202

Pertimban
Eselon/ Medis/ Pengelola Potongan
Beban Kerja Kondisi Tempat Kelangkaan gan Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non Prestasi Kerja Barang Milik Perbup 65
Paramedis PNS Kerja Bekerja Profesi Objektif Keuangan Perbup
Daerah Th.2015
Lainnya
Asisten
14 Jusri II d Apoteker 875,511 1,167,348 2,042,859
Pelaksana
Perawat
15 Misbachul Ulum II d Pelaksana/ 1,021,430 1,021,430 2,042,860
Terampil
Perawat
16 Indah Ratna Wulan II d Pelaksana/ 1,021,430 1,021,430 2,042,860
Terampil
Bidan
17 Asri Sumiati II d 875,511 1,167,348 2,042,859
Pelaksana
Bidan
18 Heni Nurviana,Amd.Keb llc 875,511 1,167,348 2,042,859
Pelaksana
Kesuma Bidan
19 llc 875,511 1,167,348 2,042,859
Ningrum,Amd.Keb Pelaksana
Roida Masda Bidan

20 llc 875,511 1,167,348 2,042,859
Manurung,Amd.Keb Pelaksana
21 Puput Maretna,Amd.Keb llc Bidan Pertama 875,511 1,167,348 2,042,859
Bidan
22 Susliana,Amd.Keb llc 875,511 1,167,348 2,042,859
Pelaksana
Bidan
23 Marlina S,Amd.Keb llc 875,511 1,167,348 2,042,859
Pelaksana
24 Rosmawati,Amd.Keb llc Bidan Pertama 1,104,601 1,104,601 2,209,202
25 Irmiwati,Amd.Keb llc Bidan Pertama 1,104,601 1,104,601 2,209,202
AA Pelaksana
(Pengurus Barang
26 Ijurman, Amd. Farm llc Pengguna 875,511 1,167,348 2,042,859
Pembantu)
Bidan
27 Lenni Marlina, Amd. Keb llc 875,511 1,167,348 2,042,859
Pelaksana
Jumlah 31,545,208 34,463,578 0 0 0 0 0 0 66,008,786 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
2,559,094 127,955 25,591 153,546 2,405,548 1
2,361,562 118,078 23,616 141,694 2,219,868 2
4,794,148 239,707 47,941 287,649 4,506,499 3
2,361,562 118,078 23,616 141,694 2,219,868 4
2,247,292 112,365 22,473 134,838 2,112,454 5
2,361,562 118,078 23,616 141,694 2,219,868 6
4,848,628 242,431 48,486 290,918 4,557,710 7
4,217,766 210,888 42,178 253,066 3,964,700 8
2,209,202 110,460 22,092 132,552 2,076,650 9
2,182,930 109,147 21,829 130,976 2,051,954 10
2,361,562 118,078 23,616 141,694 2,219,868 11
2,361,562 118,078 23,616 141,694 2,219,868 12
2,209,202 110,460 22,092 132,552 2,076,650 13

2,042,859 20,429 20,429 2,022,430 14
2,042,860 20,429 20,429 2,022,431 15
2,042,860 20,429 20,429 2,022,431 16
2,042,859 20,429 20,429 2,022,430 17
2,042,859 20,429 20,429 2,022,430 18
2,042,859 20,429 20,429 2,022,430 19
2,042,859 20,429 20,429 2,022,430 20
2,042,859 20,429 20,429 2,022,430 21
2,042,859 20,429 20,429 2,022,430 22
2,042,859 20,429 20,429 2,022,430 23
2,209,202 22,092 22,092 2,187,110 24
2,209,202 22,092 22,092 2,187,110 25
2,042,859 20,429 20,429 2,022,430 26
2,042,859 20,429 20,429 2,022,430 27
66,008,786 1,853,804 660,088 2,513,891 63,494,895

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Bunut

Potongan
Eselon/ Medis/ Pertimbangan Pengelola Pengelolaa
Beban Kerja Prestasi Kondisi Tempat Kelangkaan Jumlah TTP di Perbup
NO NAMA GOL Paramedis/ Non Objektif Barang Milik n
PNS Kerja Kerja Bekerja Profesi Perbup 65
Paramedis Lainnya Daerah Keuangan
Th.2015
Penyuluh
Rahmad
1 IIIc KesMas Muda 1,279,547 1,279,547 2,559,094
Hidayatullah, SKM
(Kepala UPTD)
Penyuluh
2 Erni, SKM IIIc 1,279,547 1,279,547 2,559,094
Kesehatan muda
Penyuluh
3 Meri Nelly, SKM lllb 1,279,547 1,279,547 2,559,094
Kesehatan muda
Pranata Lab.
4 Lisnawati IIIc Kesehatan Penyelia 1,123,646 1,123,646 2,247,292
Penyuluh Kesehatan
5 Eva Dawita, SKM IIIa muda 1,279,547 1,279,547 2,559,094
Bela Setiawan, Amd.

6 lllb Perawat Pertama 1,180,781 1,180,781 2,361,562
Kep
Uci Rusliana, Amd.

7 III c Bidan Muda 1,279,547 1,279,547 2,559,094
Keb
Vera Lindrayani,
8 lllb Bidan Penyelia 1,123,646 1,123,646 2,247,292
Amd. Keb
9 dr. Insan Gahayu IIIb Dr. Pertama 2,108,883 2,108,883 4,217,766
Penyuluh
Kesmas Pertama
10 Toni III a (Pembantu 1,180,781 1,180,781 2,361,562
Bendahara
Pengeluaran)
Isra Filyani, Amd. Bidan Pelaksana

11 III a 1,024,298 1,024,298 2,048,596
Keb Lanjutan
Ns, Elsiannova Perawat

12 III a 1,180,781 1,180,781 2,361,562
,S.Kep Pertama
Ns, Nurmalasari
,S.Kep
Perawat
14 Amiruddin llc 1,021,430 1,021,430 2,042,860
pelaksana
Dewi Adha, Amd. Asisten Apoteker

15 IIIa Pelaksana Lanjutan 1,064,598 1,064,598 2,129,196
Farm
Perawat Pelaksana
16 Rizal lla (Pengurus Barang 1,021,430 1,021,430 2,042,860
Pengguna Pembantu)
Iis
Sukmayesa,Amd.Keb
18 Wili Yulia,Amd.Keb llc Bidan Pelaksana 875,511 1,167,348 2,042,859
Yunelva Arinda
Dewi,Amd.Keb
Andria Maya
Liza,Amd.Keb
Potongan
Eselon/ Medis/ Pertimbangan Pengelola Pengelolaa
Beban Kerja Prestasi Kondisi Tempat Kelangkaan Jumlah TTP di Perbup
NO NAMA GOL Paramedis/ Non Objektif Barang Milik n
PNS Kerja Kerja Bekerja Profesi Perbup 65
Paramedis Lainnya Daerah Keuangan
Th.2015
Ika
21 III a Bidan Pertama 1,104,601 1,104,601 2,209,202
Kresnawati,Amd.Keb
Santi
Hotmauli,Amd.Keb
23 Desi Sandra, Amd. Ke llc Bidan Pelaksana 875,511 1,167,348 2,042,859
24 Marliani III Perawat Pertama 1,180,781 1,180,781 2,361,562
25 Roslaini,Amd.Keb llc Bidan Pelaksana 875,511 1,167,348 2,042,859
Jumlah 28,022,749 30,065,608 0 0 0 0 0 0 58,088,357 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH
JUMLAH
JUMLAH YANG
PPH 21 IWP 1% POTONGA TANDA TANGAN
KOTOR DIBAYARKA
N
N
2,559,094 127,955 25,591 153,546 2,405,548 1
2,559,094 127,955 25,591 153,546 2,405,548 2
2,559,094 127,955 25,591 153,546 2,405,548 3
2,247,292 112,365 22,473 134,838 2,112,454 4
2,559,094 127,955 25,591 153,546 2,405,548 5
2,361,562 118,078 23,616 141,694 2,219,868 6
2,559,094 127,955 25,591 153,546 2,405,548 7
2,247,292 112,365 22,473 134,838 2,112,454 8
4,217,766 210,888 42,178 253,066 3,964,700 9
2,361,562 118,078 23,616 141,694 2,219,868 10
2,048,596 102,430 20,486 122,916 1,925,680 11
2,361,562 118,078 23,616 141,694 2,219,868 12
2,361,562 118,078 23,616 141,694 2,219,868 13
2,042,860 102,143 20,429 122,572 1,920,288 14
2,129,196 106,460 21,292 127,752 2,001,444 15
2,042,860 20,429 20,429 2,022,431 16
2,042,859 20,429 20,429 2,022,430 17
2,042,859 20,429 20,429 2,022,430 18
2,042,859 20,429 20,429 2,022,430 19
2,042,859 20,429 20,429 2,022,430 20

JUMLAH
JUMLAH
JUMLAH YANG
KOTOR DIBAYARKA
N
N
2,209,202 110,460 22,092 132,552 2,076,650 21
2,042,859 20,429 20,429 2,022,430 22
2,042,859 20,429 20,429 2,022,430 23
2,361,562 118,078 23,616 141,694 2,219,868 24
2,042,859 20,429 20,429 2,022,430 25
58,088,357 2,087,274 580,884 2,668,158 55,420,199

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Langgam

Untuk Bulan Agustus 2021
Pengelola
Eselon/ Medis/ Pertimbangan
Beban Kerja Prestasi Kondisi Tempat Kelangkaan Barang Pengelolaan Jumlah TTP di
NO NAMA GOL Paramedis/ Non Objektif Perbup
Paramedis PNS Kerja Kerja Bekerja Profesi Milik Keuangan
Lainnya
Daerah
Bidan Muda
1 Dewi Melati III b 1,279,547 1,279,547 2,559,094
(Kepala UPTD)
2 dr. Hj. Dahwiana IV b Dokter Madya 2,551,803 2,551,803 5,103,606
3 Hazwir lll b Perawat Mahir 1,091,465 1,091,465 2,182,930
4 drg. Ramelda Subha III c Dokter Gigi Muda 2,397,074 2,397,074 4,794,148
5 Ns. Regina Nathalia IIId Perawat Muda 1,457,261 1,457,261 2,914,522
dr.Vonny Naimah Afriandini

6 IIIc Dokter Muda 2,424,314 2,424,314 4,848,628
H
7 dr.Togi Rut Marlita Marbun IIIc Dokter Muda 2,424,314 2,424,314 4,848,628
8 Salmiah Tambak lll b Perawat Penyelia 1,180,781 1,180,781 2,361,562
9 dr. Hotni Arta Sri Purba lll b Dr. Pertama 2,108,883 2,108,883 4,217,766
Perawat Pertama
(Pembantu
10 Ns.Julia Fatmawanti IIIb 1,180,781 1,180,781 2,361,562
Bendahara
Pengeluaran)
Bidan Pelaksana
11 Reni Asriyanti IIIb 1,024,298 1,024,298 2,048,596
Lanjutan
Bidan Pelaksana
12 Eva Susanti III a 1,024,298 1,024,298 2,048,596
Lanjutan
13 Imelda III a Bidan Pertama 1,104,601 1,104,601 2,209,202
14 Sri Mahdalena III a Bidan Pertama 1,104,601 1,104,601 2,209,202
Penyuluh Kesehatan
15 Rachmi Kasman, SKM lll a Masyarakat Pertama
1,180,781 1,180,781 2,361,562
Perawat Ahli
16 Ns. Cici Ratmiwasi, S. Kep lll a 1,180,781 1,180,781 2,361,562
Pertama
17 Puji Astuti, S. Gz lll a Nutrisionis Pertama 1,104,601 1,104,601 2,209,202

Pengelola
Eselon/ Medis/ Pertimbangan
Beban Kerja Prestasi Kondisi Tempat Kelangkaan Barang Pengelolaan Jumlah TTP di
NO NAMA GOL Paramedis/ Non Objektif Perbup
Paramedis PNS Kerja Kerja Bekerja Profesi Milik Keuangan
Lainnya
Daerah
Ns. Titin Try Wulandari, S. Perawat Ahli

18 lll a 1,180,781 1,180,781 2,361,562
Kep Pertama
19 Masrius Miyadi, AMK ll d Perawat Pelaksana 1,021,430 1,021,430 2,042,860
20 Yenneniwati ll d JFU (5) 703,377 703,377 1,406,754
21 Zulfan ll d JFU (5) 703,377 703,377 1,406,754
22 Lidia,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
23 Sumawati,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Atur Yunita
24 II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Tambunan,Amd.Keb
25 Reno Arsegeny,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
26 Lenny Herniaty,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
27 Wahyuni,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
28 Romi Aliasmi,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
29 Isni Marwani,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
30 Rahmaniyah,Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Asisten Apoteker
Pelaksana
31 Rudi Irdianto, Amd. Afm llc (Pembantu 875,511 1,167,348 2,042,859
pengurus barang
pengguna)
Pranata Labkes
32 Febi Ramadhani, Amd. AK llc 1,003,919 1,003,919 2,007,838
Terampil
Jumlah 39,188,178 42,106,548 0 0 0 0 0 0 81,294,726
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
Potongan
Jumlah Jumlah Jumlah Yang
Perbup 65 Kotor
PPH 21 IWP 1%
Potongan Dibayarkan
Tanda Tangan
Th.2015
2,559,094 127,955 25,591 153,546 2,405,548 1
5,103,606 765,541 51,036 816,577 4,287,029 2
2,182,930 109,147 21,829 130,976 2,051,954 3
4,794,148 239,707 47,941 287,649 4,506,499 4
2,914,522 145,726 29,145 174,871 2,739,651 5
4,848,628 242,431 48,486 290,918 4,557,710 6
4,848,628 242,431 48,486 290,918 4,557,710 7
2,361,562 118,078 23,616 141,694 2,219,868 8
4,217,766 210,888 42,178 253,066 3,964,700 9
2,361,562 118,078 23,616 141,694 2,219,868 10
2,048,596 102,430 20,486 122,916 1,925,680 11
2,048,596 102,430 20,486 122,916 1,925,680 12
2,209,202 110,460 22,092 132,552 2,076,650 13
2,209,202 110,460 22,092 132,552 2,076,650 14
2,361,562 118,078 23,616 141,694 2,219,868 15
2,361,562 118,078 23,616 141,694 2,219,868 16
2,209,202 110,460 22,092 132,552 2,076,650 17

Potongan
Jumlah Jumlah Jumlah Yang
Perbup 65 Kotor
PPH 21 IWP 1%
Potongan Dibayarkan
Tanda Tangan
Th.2015
2,361,562 118,078 23,616 141,694 2,219,868 18
2,042,860 20,429 20,429 2,022,431 19
1,406,754 14,068 14,068 1,392,686 20
1,406,754 14,068 14,068 1,392,686 21
2,042,859 20,429 20,429 2,022,430 22
2,042,859 20,429 20,429 2,022,430 23
2,042,859 20,429 20,429 2,022,430 24
2,042,859 20,429 20,429 2,022,430 25
2,042,859 20,429 20,429 2,022,430 26
2,042,859 20,429 20,429 2,022,430 27
2,042,859 20,429 20,429 2,022,430 28
2,042,859 20,429 20,429 2,022,430 29
2,042,859 20,429 20,429 2,022,430 30
2,042,859 20,429 20,429 2,022,430 31 2,013,677
2,241,677
2,007,838 20,078 20,078 1,987,760 32
0 81,294,726 3,210,457 812,947 4,023,404 77,271,322

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Teluk Meranti

Pengelola
NO NAMA GOL. Paramedis/ Non Prestasi Kerja n Objektif Perbup
Perbup 65
Paramedis PNS Kerja Bekerja n Profesi Milik Keuangan
Lainnya Th.2015
Daerah
Bidan Muda
1 Mahdaleni, S. ST III c 1,279,547 1,279,547 255,909 2,815,003
(Kepala UPTD)
Perawat
2 Roziah IIII d 1,180,781 1,180,781 236,156 2,597,718
Penyelia
3 Sarkawi III c JFU(7) 856,380 873,172 172,955 1,902,507
Perawat
4 Kapri, Amk IIIb 1,180,781 1,180,781 236,156 2,597,718
Pertama
5 dr. Masriana III b TB 0
Lendra Yunance, S. Farm, Apoteker

6 IIIb 1,641,285 1,641,285 328,257 3,610,827
Apt Pertama
drg. Cynthia Dhika Dr. Gigi Ahli

7 III b 2,108,883 2,108,883 421,776 4,639,542
Purwadinata Pertama
Bidan Pelaksana
8 T. Mardiana Putri Yani III b 1,024,298 1,024,298 204,859 2,253,455
Lanjutan
9 Nora Novrida, AMK III b Perawat Mahir 1,091,465 1,091,465 218,293 2,401,223
Asisten Apoteker
Pel.Lanjutan
10 Syahruni, Amaf III b (Pembantu 1,064,598 1,064,598 212,919 2,342,115
Bendahara
Pengeluaran)
Bidan Pelaksana
11 Nuria III b 1,024,298 1,024,298 204,859 2,253,455
Lanjutan
12 Rohima III a Bidan Pertama 1,104,601 1,104,601 220,920 2,430,122
Perawat Gigi
13 Ezi Deristawanti, Amd. Keb III a 1,091,465 1,091,465 218,293 2,401,223
Mahir
Pranata Lab.
14 Sri Hidayati, Amd. Ak III a 1,003,919 1,003,919 200,783 2,208,621
Kes Pelaksana
Peyuluh
Kesehatan
15 Afrian Saitiya, SKM III a 1,180,781 1,180,781 236,156 2,597,718
Masyarakat Ahli
Pertama
Perawat
Pertama
Ns. Ilham Dani Firdaus, S.
16 III a (Pembantu 1,180,781 1,180,781 236,156 2,597,718
Kep
Pengurus Barang
Pengguna)
Nutrisionis
17 Irma Fajar Kurniati II d 875,511 1,167,348 204,286 2,247,145
Pelaksana
18 Helyusrita,Amd.Keb ll d Bidan pelaksana 875,511 1,167,348 204,286 2,247,145
Bidan Ahli
19 Ummi Nadrah P,Amd.Keb llI a 1,104,601 1,104,601 220,920 2,430,122
Pertama
Nur Huzaema
20 ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Ahmad,Amd.Keb
21 Lista Riani S,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145

Pengelola
NO NAMA GOL. Paramedis/ Non Prestasi Kerja n Objektif Perbup
Perbup 65
Paramedis PNS Kerja Bekerja n Profesi Milik Keuangan
Lainnya Th.2015
Daerah
22 Desmawati,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
23 Diah Bintari,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
24 Sari Silvia Angraini,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
25 Tuty Imelda S,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
26 Nelly Novia,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
27 Nurlaila,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Bidan
28 Sri Wahyuningsih II a Pelaksana 851,841 851,841 170,368 1,874,050
Pemula
pranata labkes
29 ASRI ASTUTI IIc 1,003,919 1,003,919 200,783 2,208,621
pelaksana
Jumlah 29,729,334 32,664,496 0 6,239,378 0 0 0 0 68,633,208 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH
JUMLAH JUMLAH YANG
KOTOR POTONGAN DIBAYARKA
N
2,815,003 140,750 28,150 168,900 2,646,103 1
2,597,718 129,886 25,977 155,863 2,441,855 2
1,902,507 95,125 19,025 114,150 1,788,357 3
2,597,718 129,886 25,977 155,863 2,441,855 4
0 0 0 0 05
3,610,827 180,541 36,108 216,650 3,394,177 6
4,639,542 231,977 46,395 278,373 4,361,169 7
2,253,455 112,673 22,535 135,207 2,118,248 8
2,401,223 120,061 24,012 144,073 2,257,150 9
2,342,115 117,106 23,421 140,527 2,201,588 10
2,253,455 112,673 22,535 135,207 2,118,248 11
2,430,122 121,506 24,301 145,807 2,284,315 12
2,401,223 120,061 24,012 144,073 2,257,150 13
2,208,621 110,431 22,086 132,517 2,076,104 14
2,597,718 129,886 25,977 155,863 2,441,855 15
2,597,718 129,886 25,977 155,863 2,441,855 16
2,247,145 112,357 22,471 134,829 2,112,316 17
2,247,145 112,357 22,471 134,829 2,112,316 18
2,430,122 121,506 24,301 145,807 2,284,315 19
2,247,145 22,471 22,471 2,224,674 20
2,247,145 22,471 22,471 2,224,674 21

JUMLAH
JUMLAH JUMLAH YANG
KOTOR POTONGAN DIBAYARKA
N
2,247,145 22,471 22,471 2,224,674 22
2,247,145 22,471 22,471 2,224,674 23
2,247,145 22,471 22,471 2,224,674 24
2,247,145 22,471 22,471 2,224,674 25
2,247,145 22,471 22,471 2,224,674 26
2,247,145 22,471 22,471 2,224,674 27
1,874,050 18,741 18,741 1,855,310 28
2,208,621 22,086 22,086 2,186,535 29
68,633,208 2,328,669 686,332 3,015,001 65,618,207

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Kuala Kampar

Pengelola
Eselon/ Medis/ Pertimbang Pengelolaa Potongan
Beban Kerja Kondisi Tempat Kelangkaa Barang Jumlah TTP di
NO NAMA GOL Paramedis/ Non Prestasi Kerja an Objektif n Perbup
Perbup 65
Paramedis PNS Kerja Bekerja n Profesi Milik
Lainnya Keuangan Th.2015
Daerah
Perawat Ahli Muda

1 Heri Susanto IIIb (PLT Kepala 1,457,261 1,457,261 291,452 3,205,974
Puskesmas)
2 dr. Yosi Novita IV a Dokter Madya 2,551,803 2,551,803 510,360 5,613,966
3 dr. Frisca Romauli. S IV a Dokter Madya 2,551,803 2,551,803 510,360 5,613,966
Perawat Penyelia
(Pembantu
4 Hasniati, Amk IIId 1,180,781 1,180,781 236,156 2,597,718
Bendahara
Pengeluaran)
5 Lisa Umami, Amk IIIc Perawat Penyelia 1,180,781 1,180,781 236,156 2,597,718
JFU (5) (Pembantu

6 Erwin IIIa Pengurus Barang 703,377 703,377 140,675 1,547,429
Pengguna)
Bidan Pelaksana
7 Rina Hariani IIIb Lanjutan
1,024,298 1,024,298 204,859 2,253,455
Pranata
8 Sri Mala Dewi IIIb Lab.Pelaksana 1,024,298 1,024,298 204,859 2,253,455
Lanjutan
9 Syarifah Junainah, AMK III a Perawat Mahir 1,091,465 1,091,465 218,293 2,401,223
Bidan Pelaksana
10 Megawati III a 1,024,298 1,024,298 204,859 2,253,455
Lanjutan
11 Siti Umayah IId Perawat Mahir 1,091,465 1,091,465 218,293 2,401,223
12 Eflidar Susanti III a Bidan Pertama 1,104,601 1,104,601 220,920 2,430,122
JFU (5)
13 Kamsinah llb Pengadmisnitrasian 703,377 703,377 140,675 1,547,429
Rekam Medis
14 Irawati,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Erawati
15 II c Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Pasaribu,Amd.Keb
16 Yulia Andika,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
17 Yessi Sulisdar,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Wita Agnes Lubis, Amd. Asisten Apoteker

18 II c 1,006,838 1,006,838 201,367 2,215,043
Farm Terampil
pranta labkes
19 Gusnapitasari, Amd. AK II c 1,003,919 1,003,919 200,783 2,208,621
pelaksna
Juliana Saragih, Amd.
20 II c Bidan Pelaksana 875,511 1,167,348 204,286 2,247,145
Keb
21 Mustafa Kamal III a Perawat Pertama 1,180,781 1,180,781 236,156 2,597,718
Jumlah 24,258,701 25,717,886 0 4,997,653 0 0 0 0 54,974,240 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH Jumlah JUMLAH YANG
KOTOR Potongan DIBAYARKAN
3,205,974 160,299 32,060 192,358 3,013,616 1
5,613,966 280,698 56,140 336,838 5,277,128 2
5,613,966 280,698 56,140 336,838 5,277,128 3
2,597,718 129,886 25,977 155,863 2,441,855 4
2,597,718 129,886 25,977 155,863 2,441,855 5
1,547,429 77,371 15,474 92,846 1,454,583 6
2,253,455 112,673 22,535 135,207 2,118,248 7
2,253,455 112,673 22,535 135,207 2,118,248 8
2,401,223 120,061 24,012 144,073 2,257,150 9
2,253,455 112,673 22,535 135,207 2,118,248 10
2,401,223 120,061 24,012 144,073 2,257,150 11
2,430,122 121,506 24,301 145,807 2,284,315 12
1,547,429 15,474 15,474 1,531,955 13
2,247,145 22,471 22,471 2,224,674 14
2,247,145 22,471 22,471 2,224,674 15
2,247,145 22,471 22,471 2,224,674 16
2,247,145 22,471 22,471 2,224,674 17
2,215,043 22,150 22,150 2,192,893 18
2,208,621 22,086 22,086 2,186,535 19
2,247,145 22,471 22,471 2,224,674 20
2,597,718 25,977 25,977 2,571,741 21
54,974,240 1,758,485 549,742 2,308,228 52,666,012

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Instalasi Farmasi Kabupaten

Pengelola
Beban Kerja Pertimbangan JUMLAH Potongan
Eselon/ Non Prestasi Kondisi Tempat Kelangkaan Barang Pengelolaan
NO NAMA Gol
Eselon
PNS Objektif TPP DI Perbup 65
Kerja Kerja Bekerja Profesi Milik Keuangan
Lainnya PERBUP Th.2015
Daerah
1 Rosmayanti III c Ka.UPTD IFK 1,777,148 1,777,148 3,554,296
JFU (7) analis

2 Hamdan, SKM III d obat dan 856,380 873,172 1,729,552
makanan
JFU (6)
3 Darmadi III d Pengelola 744,184 744,184 1,488,368
Kefarmasian
JFU (6)
4 Arifah III b Pengelola 744,184 744,184 1,488,368
Kefarmasian
Santy Sefly
5 Feronicha,S.farm,Apt
III c Apoteker Muda 2,108,883 2,108,883 4,217,766
Apoteker
6 Marini Putriani, S. Farm III b 1,641,285 1,641,285 3,282,570
Pertama
JFU (6)
7 Syamsu III b Pengelola 744,184 744,184 1,488,368
Kefarmasian
JFU (7)
Pembantu
8 Risa Destriana III b 856,380 873,172 1,729,552
Bendahara
Pengeluaran
Asisten
9 Siti Chadijah Nasution II d Apoteker 875,511 1,167,348 2,042,859
Pelaksana
JFU (7)
Pembantu
10 Elva Yunita Z, SKM lIl a Pengurus 856,380 873,172 1,729,552
Barang
Pengguna
JFU (5)
Pengadministrasi
11 Eko Sarwo Santoso II c 703,377 703,377 1,406,754
an Gudang
farmasi
Jumlah 11,907,896 12,250,109 0 0 0 0 0 0 24,158,005 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
3,554,296 177,715 35,543 213,258 3,341,038 1
1,729,552 86,478 17,296 103,773 1,625,779 2
1,488,368 74,418 14,884 89,302 1,399,066 3
1,488,368 74,418 14,884 89,302 1,399,066 4
4,217,766 210,888 42,178 253,066 3,964,700 5
3,282,570 164,129 32,826 196,954 3,085,616 6
1,488,368 74,418 14,884 89,302 1,399,066 7
1,729,552 86,478 17,296 103,773 1,625,779 8
2,042,859 20,429 20,429 2,022,430 9
1,729,552 86,478 17,296 103,773 1,625,779 10
1,406,754 14,068 14,068 1,392,686 11
24,158,005 1,035,420 241,580 1,277,000 22,881,005

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Pelalawan

Eselon/ Medis/ Pertimbangan Pengelola

Beban Kerja Prestasi Kondisi Tempat Kelangkaan Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non Objektif Barang Milik Perbup
Paramedis PNS Kerja Kerja Bekerja Profesi Keuangan
Lainnya Daerah
Penyuluh Kesehatan
1 Asmawati III c Muda (Kepala 1,279,547 1,279,547 2,559,094
UPTD)
2 Itra Moriska, Amd. Keb III d Bidan Muda 1,279,547 1,279,547 2,559,094
3 dr. Aulia Rahman IV a Dokter Madya 2,551,803 2,551,803 5,103,606
4 drg. Rosmita Rasyid III c Dokter Gigi Muda 2,397,074 2,397,074 4,794,148
5 dr.Yomi Agnes III b Dokter Muda 2,424,314 2,424,314 4,848,628
6 David Ginting III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
7 Sri Heri Perwita Sari III b Bidan Ahli Muda 1,279,547 1,279,547 2,559,094
drg. Nodika Herda Tri

8 III b Dr. Gigi Pertama 2,108,883 2,108,883 4,217,766
Utami
Penyuluh KesMas
Pertama (pembantu
9 Risna Wardani III a 1,180,781 1,180,781 2,361,562
pengurus barang
penguna)
10 Elvida Damanik III a Bidan Pertama 1,104,601 1,104,601 2,209,202
Bidan Pelaksana
11 Syamsiah III a 1,024,298 1,024,298 2,048,596
Lanjutan
Ns. Firlina Runing

Martabati
13 Paujiah, Amd. Kep III a Perawat Mahir 1,091,465 1,091,465 2,182,930
14 Evalin Sihaloho lld Perawat Mahir 1,091,465 1,091,465 2,182,930
15 Umi Kalsum ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
Asisten Apoteker
Pelaksana Lanjutan
16 Ermi Yanti ll d (Pembantu 1,064,598 1,064,598 2,129,196
Bendahara
Pengeluaran)
17 Yulia Novita,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Endang
18 II c Bidan Pelaksana 875,511 1,167,348 2,042,859
Kurniawati,Amd.Keb
19 Sefrika Desri,Amd.Keb II c Bidan Pelaksana 875,511 1,167,348 2,042,859
20 Binsar Sondang Siagian IIIc Perawat Penyelia 1,180,781 1,180,781 2,361,562
21 Sri Ekowati, Amd. Keb II c Bidan Pelaksna 875,511 1,167,348 2,042,859

Eselon/ Medis/ Pertimbangan Pengelola
Beban Kerja Prestasi Kondisi Tempat Kelangkaan Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non Objektif Barang Milik Perbup
Paramedis PNS Kerja Kerja Bekerja Profesi Keuangan
Lainnya Daerah
Jumlah 27,797,821 29,257,006 0 0 0 0 0 0 57,054,827
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
Potongan
Perbup 65 KOTOR
PPH 21 IWP 1%
POTONGAN DIBAYARKAN
TANDA TANGAN
Th.2015
2,559,094 127,955 25,591 153,546 2,405,548 1
2,559,094 127,955 25,591 153,546 2,405,548 2
5,103,606 765,541 51,036 816,577 4,287,029 3
4,794,148 239,707 47,941 287,649 4,506,499 4
4,848,628 242,431 48,486 290,918 4,557,710 5
2,361,562 118,078 23,616 141,694 2,219,868 6
2,559,094 127,955 25,591 153,546 2,405,548 7
4,217,766 210,888 42,178 253,066 3,964,700 8
2,361,562 118,078 23,616 141,694 2,219,868 9
2,209,202 110,460 22,092 132,552 2,076,650 10
2,048,596 102,430 20,486 122,916 1,925,680 11
2,361,562 118,078 23,616 141,694 2,219,868 12
2,182,930 109,147 21,829 130,976 2,051,954 13
2,182,930 21,829 21,829 2,161,101 14
2,042,859 20,429 20,429 2,022,430 15
2,129,196 21,292 21,292 2,107,904 16
2,042,859 20,429 20,429 2,022,430 17
2,042,859 20,429 20,429 2,022,430 18
2,042,859 20,429 20,429 2,022,430 19
2,361,562 118,078 23,616 141,694 2,219,868 20
2,042,859 20,429 20,429 2,022,430 21

Potongan
Perbup 65 KOTOR
PPH 21 IWP 1%
POTONGAN DIBAYARKAN
TANDA TANGAN
Th.2015
0 57,054,827 2,636,781 570,548 3,207,329 53,847,498

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Kerinci dua

untuk bulan Agustus 2021
Pengelola
Pangk Beban Kerja Prestasi Kondisi Tempat Kelangkaa Barang Pengelolaan Jumlah TTP di
NO NAMA Paramedis/ Non n Objektif Perbup
Perbup 65
at/ Gol
Paramedis PNS Kerja Kerja Bekerja n Profesi Milik Keuangan
Lainnya Th.2015
Daerah
Dokter Madya
1 dr. Diding Piliang IV a 2,551,803 2,551,803 5,103,606
(Kepala UPTD)
Dokter Gigi
2 drg. Retni Wulan Dari IV a 2,551,803 2,551,803 5,103,606
Madya
Dokter Gigi
3 drg. Wan Besti Roza III c 2,397,074 2,397,074 4,794,148
Muda
Bidan Pelaksana
4 Ocva Revianty III b 1,024,298 1,024,298 2,048,596
Lanjutan
5 T. Ernawati III d Bidan Penyelia 1,123,646 1,123,646 2,247,292
6 Sri Mulyani III d Bidan Penyelia 1,123,646 1,123,646 2,247,292
7 Hayati, S. Kep. Ns III c Perawat Muda 1,457,261 1,457,261 2,914,522
8 Afriyani, S. Farm, Apt IV a Apoteker Madya 2,272,988 2,272,988 4,545,976
Anike
9 III d Bidan Penyelia 1,123,646 1,123,646 2,247,292
Handayani,A.md.keb
10 drg. Dwi Shinta Sari III c Dokter Gigi Muda 2,397,074 2,397,074 4,794,148
dr.Tika Falma
11 III c Dokter Muda 2,424,314 2,424,314 4,848,628
Harahap
dr.Eva Lamretta
12 III c Dokter Muda 2,424,314 2,424,314 4,848,628
Rajagukguk
13 Yuli Asmiyati IIIc Bidan Muda 1,279,547 1,279,547 2,559,094

Perawat
Penyelia
14 Hermayati Papa, Amk IIIc (Pembantu 1,180,781 1,180,781 2,361,562
Bendahra
Pengeluaran)
15 Repina Nainggolan, S IIIc Bidan Penyelia 1,123,646 1,123,646 2,247,292
16 T.Nurhasanah III a Bidan Pertama 1,104,601 1,104,601 2,209,202
Leny K. R Sibuea, Nutrisionis

17 III c 1,123,646 1,123,646 2,247,292
AMG penyelia
Pranata
Lab.Kesehatan
18 Juliani, Amd, AK III b 1,024,298 1,024,298 2,048,596
Pelaksana
Lanjutan
19 Zulvaniar III b Perawat Mahir 1,091,465 1,091,465 2,182,930
Bidan Pelaksana
20 Ellya, Amd. Keb III a 1,024,298 1,024,298 2,048,596
Lanjutan
Agusmawarti, Amd. Bidan Pelaksana

21 III b 1,024,298 1,024,298 2,048,596
Keb Lanjutan
Bidan Pelaksana
22 Emalia III b 1,024,298 1,024,298 2,048,596
Lanjutan
Perawat
23 Ns.Alta Petra III b 1,180,781 1,180,781 2,361,562
Pertama
24 T. Nurasmi Nofiyanti III b Perawat Mahir 1,091,465 1,091,465 2,182,930
25 Ns. Hamdana Eka Putri III a Perawat Pertama 1,180,781 1,180,781 2,361,562
Asisten Apoteker
26 Fitri Yosfita III a Pelaksana 1,064,598 1,064,598 2,129,196
Lanjutan
Bidan Pelaksana
27 Erni Yunita, Amd. Keb II d 1,024,298 1,024,298 2,048,596
Lanjutan
Pengelola
Pangk Beban Kerja Prestasi Kondisi Tempat Kelangkaa Barang Pengelolaan Jumlah TTP di
NO NAMA Paramedis/ Non n Objektif Perbup
Perbup 65
at/ Gol
Paramedis PNS Kerja Kerja Bekerja n Profesi Milik Keuangan
Lainnya Th.2015
Daerah
Bidan Pelaksana
28 Nurlaili IId 875,511 1,167,348 2,042,859
Bidan Pelaksana
29 Sri Yunanda Desta II c 875,511 1,167,348 2,042,859
Bidan Pelaksana
(Pembantu
30 Nurkomaria Kelliatina, II d 875,511 1,167,348 2,042,859
pengurus barang
penguna)
31 Mimi Darwati,Amd.Keb IIIa Bidan Pertama 1,104,601 1,104,601 2,209,202
Bidan Pelaksana
32 Natratul Imliya,Amd.Ke II d 875,511 1,167,348 2,042,859
Syarifah Himalili Bidan Pelaksana

33 II d 875,511 1,167,348 2,042,859
Pikasari,Amd.Keb
Fenti Aprellia Bidan Pelaksana

34 II d 875,511 1,167,348 2,042,859
Susanti,Amd.Keb
Bidan Pelaksana
35 Renti Indriani II c 875,511 1,167,348 2,042,859
Ari Trisna, S. Farm, Apoteker

36 III b 1,641,285 1,641,285 3,282,570
Apt Pertama
Bidan Pelaksana
37 Elizawati III b 1,024,298 1,024,298 2,048,596
Lanjutan
38 Arta Mutiara II d Bidan Pertama 1,104,601 1,104,601 2,209,202
39 Dr. Mutia Febrian III b Drg. Pertama 2,108,883 2,108,883 4,217,766
Ns. Febriani Wulan

Sartika
Nutrisionis
41 Mesa Shelviani III a 1,104,601 1,104,601 2,209,202
Pertama
Fitra
Fitriyanti.Amd.Keb
43 Lusiana Arnianti II d Perawat Terampil 1,021,430 1,021,430 2,042,860
44 dr.Desri Liana Muzrifa III b Dokter Muda 2,424,314 2,424,314 4,848,628
Jumlah 59,133,550 61,468,246 0 0 0 0 0 0 120,601,796 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
KWITANSI
JUMLAH
JUMLAH JUMLAH YANG
KOTOR DIBAYARKAN
N
5,103,606 765,541 51,036 816,577 4,287,029 1
5,103,606 765,541 51,036 816,577 4,287,029 2
4,794,148 239,707 47,941 287,649 4,506,499 3
2,048,596 102,430 20,486 122,916 1,925,680 4
2,247,292 112,365 22,473 134,838 2,112,454 5
2,247,292 112,365 22,473 134,838 2,112,454 6
2,914,522 145,726 29,145 174,871 2,739,651 7
4,545,976 681,896 45,460 727,356 3,818,620 8
2,247,292 112,365 22,473 134,838 2,112,454 9
4,794,148 239,707 47,941 287,649 4,506,499 10
4,848,628 242,431 48,486 290,918 4,557,710 11
4,848,628 242,431 48,486 290,918 4,557,710 12
2,559,094 127,955 25,591 153,546 2,405,548 13
2,361,562 118,078 23,616 141,694 2,219,868 14
2,247,292 112,365 22,473 134,838 2,112,454 15
2,209,202 110,460 22,092 132,552 2,076,650 16
2,247,292 112,365 22,473 134,838 2,112,454 17
2,048,596 102,430 20,486 122,916 1,925,680 18
2,182,930 109,147 21,829 130,976 2,051,954 19
2,048,596 102,430 20,486 122,916 1,925,680 20
2,048,596 102,430 20,486 122,916 1,925,680 21
2,048,596 102,430 20,486 122,916 1,925,680 22
2,361,562 118,078 23,616 141,694 2,219,868 23
2,182,930 109,147 21,829 130,976 2,051,954 24
2,361,562 118,078 23,616 141,694 2,219,868 25
2,129,196 106,460 21,292 127,752 2,001,444 26
2,048,596 20,486 20,486 2,028,110 27

JUMLAH
JUMLAH JUMLAH YANG
KOTOR DIBAYARKAN
N
2,042,859 20,429 20,429 2,022,430 28
2,042,859 20,429 20,429 2,022,430 29
2,042,859 20,429 20,429 2,022,430 30
2,209,202 110,460 22,092 132,552 2,076,650 31
2,042,859 20,429 20,429 2,022,430 32
2,042,859 20,429 20,429 2,022,430 33
2,042,859 20,429 20,429 2,022,430 34
2,042,859 20,429 20,429 2,022,430 35
3,282,570 164,129 32,826 196,954 3,085,616 36
2,048,596 102,430 20,486 122,916 1,925,680 37
2,209,202 22,092 22,092 2,187,110 38
4,217,766 210,888 42,178 253,066 3,964,700 39
2,361,562 118,078 23,616 141,694 2,219,868 40
2,209,202 110,460 22,092 132,552 2,076,650 41
2,042,859 20,429 20,429 2,022,430 42
2,042,860 20,429 20,429 2,022,431
4,848,628 242,431 48,486 290,918 4,557,710 44
120,601,796 6,373,232 1,206,018 7,579,250 113,022,546

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening
: 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Dinas Kesehatan Bulan Agustus 2021
Tempa Pengelola Pengelol

Kelas Pertimbanga Potongan
Eselon / Non Beban Kerja Kondisi t Kelangkaa Barang aan Nilai TPP Di
NO NAMA Gol Jabata Prestasi Kerja n Objektif Perbup 65
Eselon PNS Kerja Bekerj n Profesi Milik Keuang Perbup
n Lainnya Th.2015
a Daerah an
1 Asril K,SKM.Kes IV b 14 KEPALA DINAS 6,818,063 6,818,063 1,128,818 14,764,944
SEKRETARIS
2 Awaluddin IV a 12 3,645,433 3,645,433 7,290,866
DINAS
3 dr. Siti Andan Dewi IV a 11 Kabid 3,444,681 3,444,681 6,889,362
4 drg. Aznar IV a 11 Kabid 3,444,681 3,444,681 6,889,362 688,936
5 drg. Erlinda IV a 11 Kabid 3,444,681 3,444,681 6,889,362 344,468
Kasubbag
6 Efikal IIIc 9 4,169,265 1,800,844 5,970,109
Program
7 Ermayanti, SKM III d 9 Kasi 1,777,148 1,777,148 3,554,296
8 Rifdarweni, SKM III d 9 Kasi 1,777,148 1,777,148 3,554,296
Davit Hermansyah,
9 III c 9 Kasi 1,777,148 1,777,148 3,554,296
SKM
10 Kristina. HR, SKM III d 7 JFU 873,172 873,172 1,746,344
11 Melli Oktiana, SKM III d 9 Kasi 1,777,148 1,777,148 3,554,296
12 Mardalena, S. Sos III d 9 Kasi 1,777,148 1,777,148 3,554,296
dr. Surya Kencana

13 IV a 9 Kasi 1,777,148 1,777,148 3,554,296
Sembiring
14 Baiti Marlina,SKM III d 9 Kasi 1,777,148 1,777,148 3,554,296
NS. Erliana
15 III c 9 Kasi 1,777,148 1,777,148 3,554,296
Sarumpaet, S. Kep
16 Rohmat Budiyanta, SK III b 9 Kasi 1,777,148 1,777,148 3,554,296
Alri Harnanik Rahmat,

17 III c 9 Kasi 1,777,148 1,777,148 3,554,296
SKM
n Lainnya Th.2015
a Daerah an
JFU (Pembantu
18 Bayu Martono, SKM III d 7 Pengurus Barang 873,172 873,172 1,746,344
Pengguna)
Berliana Hasibuan, Penyuluh

19 III c 9 1,469,109 1,469,109 2,938,218
SKM Kesehatan Muda
20 Deasi Novita, S.Komp III c 7 JFU 873,172 873,172 1,746,344
Kasubag
21 Azia Miroza, SE III d Keuangan dan 1,777,148 1,777,148 3,554,296
Aset (PPK OPD)
Epidemilog
22 Wiranata, SKM, M.Kes III c 9 1,469,109 1,469,109 2,938,218
Kesehatan Muda
Penyuluh
23 Samsudin, SKM III b 9 1,469,109 1,469,109 2,938,218
Kesehatan muda
Penyuluh
24 Siti Aminah, Amk III b 8 Kesehatan 1,314,095 1,314,095 2,628,190
Pertama
Penyuluh
25 Lismanto, SKM III b 8 1,469,109 1,469,109 2,938,218
Kesehatan Muda
JFU Analis
26 Reki Arjuliana III b 7 Penanggulangan 873,172 873,172 1,746,344
Krisis Kesehatan
JFU Inspektur
Sarana dan
27 Joni Hariawan, SKM III b 7 873,172 873,172 1,746,344
Prasarana
Fasilitas
JFU Analis
28 Siti Balkis, S.Sos III b 7 Perkembangan 873,172 873,172 1,746,344
SDM Aparatur
Sondang Candra, JFU Analis

29 III b 7 873,172 873,172 1,746,344
SKM Kesehatan
Mannaria Situmeang, JFU Analis

30 III b 7 873,172 873,172 1,746,344
S.Sos Kesehatan
JFU Analis Tata

31 Fitriyani, SKM III c 7 873,172 873,172 1,746,344
Usaha
JFU Analis
32 Nurmindo, SKM III b 7 873,172 873,172 1,746,344
Penyakit Menular
33 Yayuk Herawati, SKM III c 7 JFU Analis SDM 873,172 873,172 1,746,344
JFU Analis
34 Hefni Idra, S.Sos III c 7 873,172 873,172 1,746,344
Kesehatan
Verifikator keuangan
35 Neni Zulfia, S.Sos III c 7 (pembantu PPK- 873,172 873,172 1,746,344
OPD)
JFU Analis
36 Jamaluddin, SKM III c 7 Kesehatan Kerja 873,172 873,172 1,746,344
JFU Inspektur
Sarana dan
37 Elyarita, SKM III b 7 873,172 873,172 1,746,344
Prasarana
Pelkes
n Lainnya Th.2015
a Daerah an
JFU Pengelola
38 Nelfa Realita, Amk III b 6 758,776 758,776 1,517,552
Data
JFU Analis
Elia Purba Ningsih, Informasi dan
39 III c 7 873,172 873,172 1,746,344
S.Sos Perkembangan
Sumber
JFU Penyusun
Rencana
40 Junaidi, S.Sos III c 7 Kebutuhan 873,172 873,172 1,746,344
Sarana Dan
Prasarana
Bendahara
41 Nora Helvia III c 7 873,172 873,172 1,746,344
Pengeluaran
JFU Analis
42 Farida Hanum, S.Sos III b 7 Perencanaan 873,172 873,172 1,746,344
SDM
Verifikator keuangan
43 T. Syahlan Arif, SE III c 7 (pembantu PPK- 873,172 873,172 1,746,344
OPD)
Kasubag Umum
dan
44 Reza Meilinda, SKM III a 9 1,777,148 1,777,148 3,554,296
Kepegawaian
(P3B)
45 Yuldasanti, SKM III b 9 Kasi 1,777,148 1,777,148 3,554,296
JFU Penyuluh
T. Syarifah Emelia
46 III a 7 Obat dan 873,172 873,172 1,746,344
Ulfa, SKM
Makanan
JFU Pengelola
47 Nova Fitri, Amk III b 6 Pemberantasan 758,776 758,776 1,517,552
Penyakit Menular
48 Fatri Harni III a 7 JFU 873,172 873,172 1,746,344
JFU
49 Novi Indah Sari III a 7 Pengadministrasi 873,172 873,172 1,746,344 1,746,344
an Umum
Putri Dwi Wulandari,

50 III b 7 JFU Ahli Gizi 873,172 873,172 1,746,344
Amd, Gz
Emite Yonie JFT Penyuluhan

51 lllb 9 1,469,109 1,469,109 2,938,218
Nurpratiwi Kesehatan Muda
JFU Pengelola
52 Eka Yuliana, AMG III a 6 Program Gizi 758,776 758,776 1,517,552
JFU Penyuluh
Nurwahidah, Farm,
53 III a 7 Kesehatan dan 873,172 873,172 1,746,344
Amd Pencegahan Penyakit
54 Ridwan basri IIIa 6 JFU 758,776 758,776 1,517,552
JFU Analis Obat dan

55 Martina Ningsih, S.Si III c 7 Makanan 873,172 873,172 1,746,344
56 Christanto III a 7 CPNS/ Pelaksana 873,172 873,172 1,746,344 1,746,344

n Lainnya Th.2015
a Daerah an
JFT Penyuluh
Kesehatan
Pertama
57 Hayatul Husni, SKM III a 8 1,314,095 1,314,095 2,628,190
(Pembantu
Bendahara
Pengeluaran)
Pembuat Daftar
58 Ramlah, AMK III a 6 758,776 758,776 1,517,552
Gaji
JFU Analis Obat

59 Elviza Agustian, SKM lIl a 7 873,172 873,172 1,746,344
dan Makanan
JFU
Pengadministrasian
60 Sahlan II c 5 Umum (Pembantu 705,811 705,811 1,411,622
Pengurus Barang
Pengguna)
JFU
Pengadministrasi
61 Robeah II d 5 705,811 705,811 1,411,622
Saran dan
Prasarana
JFU Verifikator
62 Irham, Amd II d 6 758,776 758,776 1,517,552 1,517,552
Medis
JFU Analis
63 Suri Handayani III a 7 873,172 873,172 1,746,344 87,317
Kesehatan
JFU
Pengadministrasi
64 Nora Masroy III a 7 873,172 873,172 1,746,344 87,317
an Gudang
Farmasi
JFU Analis Aset

Daerah
(Pembantu
65 Angela Nova Natalia III c 7 873,172 873,172 1,746,344
Pengurus
Barang
Pengguna)
Ns. Waheni Indah JFU Analis

66 III a 7 873,172 873,172 1,746,344 174,634
Fitriansyah, S. Kep Kesehatan
67 Juniarti IIIa 7 JFU 873,172 873,172 1,746,344
Yanisa Anasthasia, JFU Pemeriksa

68 ll d 6 758,776 758,776 1,517,552
Amd. KL Sanitasi
Penyuluh
69 Fitriyah Andra, SKM IIIa Kesehatan 1,314,095 1,314,095 2,628,190 657,048
Pertama
JFU
70 Safrina II c 5 Pengadministrasi 705,811 705,811 1,411,622
an Umum
Jumlah 95,601,099 93,232,678 1,128,818 - - - - - 189,962,595 7,049,961
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH BERSIH
JUMLAH JUMLAH
PPh 21 IWP 1 % YANG TANDA TANGAN
KOTOR POTONGAN
DIBAYARKAN
14,764,944 2,214,742 147,649 2,362,391 12,402,553 1
7,290,866 1,093,630 72,909 1,166,539 6,124,327 2
6,889,362 1,033,404 68,894 1,102,298 5,787,064 3
6,200,426 930,064 62,004 992,068 5,208,358 4
6,544,894 981,734 65,449 1,047,183 5,497,711 5
5,970,109 298,505 59,701 358,207 5,611,902 6
3,554,296 177,715 35,543 213,258 3,341,038 7
3,554,296 177,715 35,543 213,258 3,341,038 8
3,554,296 177,715 35,543 213,258 3,341,038 9
1,746,344 87,317 17,463 104,781 1,641,563 10
3,554,296 177,715 35,543 213,258 3,341,038 11
3,554,296 177,715 35,543 213,258 3,341,038 12
3,554,296 533,144 35,543 568,687 2,985,609 13
3,554,296 177,715 35,543 213,258 3,341,038 14
3,554,296 177,715 35,543 213,258 3,341,038 15
3,554,296 177,715 35,543 213,258 3,341,038 16
3,554,296 177,715 35,543 213,258 3,341,038 17

JUMLAH BERSIH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
1,746,344 87,317 17,463 104,781 1,641,563 18
2,938,218 146,911 29,382 176,293 2,761,925 19
1,746,344 87,317 17,463 104,781 1,641,563 20
3,554,296 177,715 35,543 213,258 3,341,038 21
2,938,218 146,911 29,382 176,293 2,761,925 22
2,938,218 146,911 29,382 176,293 2,761,925 23
2,628,190 131,410 26,282 157,691 2,470,499 24
2,938,218 146,911 29,382 176,293 2,761,925 25
1,746,344 87,317 17,463 104,781 1,641,563 26
1,746,344 87,317 17,463 104,781 1,641,563 27
1,746,344 87,317 17,463 104,781 1,641,563 28
1,746,344 87,317 17,463 104,781 1,641,563 29
1,746,344 87,317 17,463 104,781 1,641,563 30
1,746,344 87,317 17,463 104,781 1,641,563 31
1,746,344 87,317 17,463 104,781 1,641,563 32
1,746,344 87,317 17,463 104,781 1,641,563 33
1,746,344 87,317 17,463 104,781 1,641,563 34
1,746,344 87,317 17,463 104,781 1,641,563 35
1,746,344 87,317 17,463 104,781 1,641,563 36
1,746,344 87,317 17,463 104,781 1,641,563 37

JUMLAH BERSIH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
1,517,552 75,878 15,176 91,053 1,426,499 38
1,746,344 87,317 17,463 104,781 1,641,563 39
1,746,344 87,317 17,463 104,781 1,641,563 40
1,746,344 87,317 17,463 104,781 1,641,563 41
1,746,344 87,317 17,463 104,781 1,641,563 42
1,746,344 87,317 17,463 104,781 1,641,563 43
3,554,296 177,715 35,543 213,258 3,341,038 44
3,554,296 177,715 35,543 213,258 3,341,038 45
1,746,344 87,317 17,463 104,781 1,641,563 46
1,517,552 75,878 15,176 91,053 1,426,499 47
1,746,344 87,317 17,463 104,781 1,641,563 48
- - - - - 49
1,746,344 87,317 17,463 104,781 1,641,563 50
2,938,218 146,911 29,382 176,293 2,761,925 51
1,517,552 75,878 15,176 91,053 1,426,499 52
1,746,344 87,317 17,463 104,781 1,641,563 53
1,517,552 75,878 15,176 91,053 1,426,499 54
1,746,344 87,317 17,463 104,781 1,641,563 55
- - - - - 56
JUMLAH BERSIH
JUMLAH JUMLAH
KOTOR POTONGAN
DIBAYARKAN
2,628,190 131,410 26,282 157,691 2,470,499 57
1,517,552 75,878 15,176 91,053 1,426,499 58
1,746,344 87,317 17,463 104,781 1,641,563 59
1,411,622 14,116 14,116 1,397,506 60
1,411,622 14,116 14,116 1,397,506 61
- - - - 62
1,659,027 82,951 16,590 99,542 1,559,485 63
1,659,027 82,951 16,590 99,542 1,559,485 64
1,746,344 87,317 17,463 104,781 1,641,563 65
1,571,710 78,585 15,717 94,303 1,477,407 66
1,746,344 87,317 17,463 104,781 1,641,563 67
1,517,552 15,176 15,176 1,502,376 68
1,971,143 98,557 19,711 118,269 1,852,874 69
1,411,622 14,116 14,116 1,397,506 70
182,912,634 13,382,490 1,829,126 15,211,616 167,701,018

NORA HELVIA, AMK

NIP. 19780308 200604 2014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Berdasarkan Beban Kerja Puskesmas Pangkalan Kuras dua
.
Eselon/ Medis/ Pertimbanga Pengelola

Beban Kerja Prestasi Kondisi Tempat Kelangkaa Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non n Objektif Barang Milik Perbup
Paramedis PNS Kerja Kerja Bekerja n Profesi Keuangan
Lainnya Daerah
Penyuluh Kesehatan
1 Santi Liana, SKM III b Masyarakat Muda 1,469,109 1,469,109 2,938,218
(Kepala UPTD)
Penyuluh Kesehatan
2 M. Nur Nasution AMK III c 1,469,109 1,469,109 2,938,218
Muda
Penyuluh Kesehatan
3 Mukhlas Lubis III d 1,469,109 1,469,109 2,938,218
Muda
4 dr. Zulfia Wahyuni III c TB 0
5 dr.Angga Putra Kesuma III b TB 428,190 436,586 864,776
6 dr.Rizky Dezfriani III c Dokter Muda 2,424,314 2,424,314 4,848,628
7 Elmi Rosnita III c Bidan Penyelia 1,123,646 1,123,646 2,247,292
8 Leli Kusmiati, AMK III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
9 Sri Saharani III c Bidan Muda 1,279,547 1,279,547 2,559,094
10 Sayogo III c Perawat Penyelia 1,180,781 1,180,781 2,361,562
11 Kina Hutajulu III d Perawat Penyelia 1,180,781 1,180,781 2,361,562
12 Dian Meidiana III b Bidan Muda 1,279,547 1,279,547 2,559,094
13 drg. Suci Ridhayani III b Drg. Pertama 2,108,883 2,108,883 4,217,766
Bidan Pelaksana
14 Liswayanti, Amd. Keb III b 1,024,298 1,024,298 2,048,596
Lanjutan
Eselon/ Medis/ Pertimbanga Pengelola
Beban Kerja Prestasi Kondisi Tempat Kelangkaa Pengelolaan Jumlah TTP di
NO NAMA GOL. Paramedis/ Non n Objektif Barang Milik Perbup
Paramedis PNS Kerja Kerja Bekerja n Profesi Keuangan
Lainnya Daerah
15 Arisman Susilo, Amk IIIb Perawat Mahir 1,091,465 1,091,465 2,182,930
Ns. Zuhri Nurwahdany, S.

Kep
17 Ns. Radilna Asful, S. Kep III a Perawat Pertama 1,180,781 1,180,781 2,361,562
18 Yenti Earina II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Bidan Pelaksana
19 Rosmaida III a 1,024,298 1,024,298 2,048,596
Lanjutan
20 Rica Nurmira, Amd. Kep III b Perawat Mahir 1,091,465 1,091,465 2,182,930
21 Kasumawati II b Perawat Terampil 1,021,430 1,021,430 2,042,860
22 Evi Sumianty P.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
23 Yulia Fonda.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
24 Yanty Herlina P.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Bidan Pelaksana
25 Yulvia Mimeri.Amd.Keb II d (Pengurus Barang 875,511 1,167,348 2,042,859
Pembantu)
Bidan Pelaksana
26 Nuriza Syafitri.Amd.Keb II d (Pembantu Bendahara 875,511 1,167,348 2,042,859
Pengeluaran)
Septina Herlina
Ms.Amd.Keb
28 Tuti Elpiani.Amd.Keb II d Bidan Pelaksana 875,511 1,167,348 2,042,859
Drg. Firstadeina Riski

29 III b Drg. Pertama 2,108,883 2,108,883 4,217,766
Annisa
30 Mailoftri, Amd. Keb II c bidan terampil 875,511 1,167,348 2,042,859
Jumlah 34,196,797 36,831,726 0 0 0 0 0 0 71,028,523
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
Potongan JUMLAH
JUMLAH JUMLAH YANG
Perbup 65 KOTOR
PPH 21 IWP 1%
POTONGAN DIBAYARKA
TANDA TANGAN
Th.2015 N
2,938,218 146,911 29,382 176,293 2,761,925 1
2,938,218 146,911 29,382 176,293 2,761,925 2
2,938,218 146,911 29,382 176,293 2,761,925 3
0 0 0 0 0 4
864,776 43,239 8,648 51,887 812,889 5
4,848,628 242,431 48,486 290,918 4,557,710 6
2,247,292 112,365 22,473 134,838 2,112,454 7
2,361,562 118,078 23,616 141,694 2,219,868 8
2,559,094 127,955 25,591 153,546 2,405,548 9
2,361,562 118,078 23,616 141,694 2,219,868 10
2,361,562 118,078 23,616 141,694 2,219,868 11
2,559,094 127,955 25,591 153,546 2,405,548 12
4,217,766 210,888 42,178 253,066 3,964,700 13
2,048,596 102,430 20,486 122,916 1,925,680 14

Potongan JUMLAH
JUMLAH JUMLAH YANG
Perbup 65 KOTOR
PPH 21 IWP 1%
POTONGAN DIBAYARKA
TANDA TANGAN
Th.2015 N
2,182,930 109,147 21,829 130,976 2,051,954 15
2,361,562 118,078 23,616 141,694 2,219,868 16
2,361,562 118,078 23,616 141,694 2,219,868 17
2,042,859 20,429 20,429 2,022,430 18
2,048,596 102,430 20,486 122,916 1,925,680 19
2,182,930 109,147 21,829 130,976 2,051,954 20
2,042,860 20,429 20,429 2,022,431 21
2,042,859 20,429 20,429 2,022,430 22
2,042,859 20,429 20,429 2,022,430 23
2,042,859 20,429 20,429 2,022,430 24
2,042,859 20,429 20,429 2,022,430 25
2,042,859 20,429 20,429 2,022,430 26
2,042,859 20,429 20,429 2,022,430 27
2,042,859 20,429 20,429 2,022,430 28
4,217,766 210,888 42,178 253,066 3,964,700 29
2,042,859 20,429 20,429 2,022,430 30
0 71,028,523 2,529,997 710,285 3,240,282 67,788,241

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Pangkalan Lesung

Eselon/ Medis/ Beban Kerja Pertimbang Pengelola Potongan

Prestasi Kondisi Tempat Kelangkaan Pengelolaan Jumlah TTP
NO NAMA GOL Paramedis/ Non PNS an Objektif Barang Milik di Perbup
Perbup 65
Paramedis Kerja Kerja Bekerja Profesi Keuangan
Lainnya Daerah Th.2015
Penyuluh
Kesehatan
1 Rita Widuri, SKM lll b 1,180,781 1,180,781 2,361,562
Pertama (Kepala
UPTD)
2 Abdullah lll d Perawat penyelia 1,180,781 1,180,781 2,361,562
3 Maeyani lll d Bidan Penyelia 1,123,646 1,123,646 2,247,292
4 Muhammad Sholeh III b Perawat Muda 1,457,261 1,457,261 2,914,522
Ns.Mutiara Theotherra
5 lll b Perawat Pertama 1,180,781 1,180,781 2,361,562
AWK
Hendra Ajhari. T, Amd.

6 lll b Perawat Pertama 1,180,781 1,180,781 2,361,562
Kep
Dokter Ahli
7 dr. Harry Hadi Saputra lll b 2,108,883 2,108,883 4,217,766
Pertama
8 Lia Ulfa, S. Farm, Apt lll b Apoteker Pertama 1,641,285 1,641,285 3,282,570
9 drg. Annisa Audies lll b Dr. Gigi Pertama 2,108,883 2,108,883 4,217,766
Bidan Pelaksana
Lanjutan
10 Jaspik lll b (Pengurus Barang 1,024,298 1,024,298 2,048,596
Pengguna
Pembantu)
Perawat Ahli
11 Ns. Rizki Kurniadi, S. Kep llla 1,180,781 1,180,781 2,361,562
Pertama
Perawat Ahli
12 Ns. Wanda Arge, S. Kep llla 1,180,781 1,180,781 2,361,562
Pertama
Eselon/ Medis/ Beban Kerja Pertimbang Pengelola Potongan
Prestasi Kondisi Tempat Kelangkaan Pengelolaan Jumlah TTP
NO NAMA GOL Paramedis/ Non PNS an Objektif Barang Milik Perbup 65
Paramedis Kerja Kerja Bekerja Profesi Keuangan di Perbup
Lainnya Daerah Th.2015
Bidan pelaksana
13 Nurjasmi llI a 1,024,298 1,024,298 2,048,596
lanjutan
Perawat Gigi
14 Elza Yuli Lestari, Amd. KG lll a 1,091,465 1,091,465 2,182,930
Mahir
15 Agus Suryani ll d Perawat Terampil 1,021,430 1,021,430 2,042,860
16 Mahgeni Susiawati ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
JFU (6) Pembantu

17 Muarif ll b Bendahara 744,184 744,184 1,488,368
Pengeluaran
Sri Wahyu
18 ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
Lubis,Amd.Keb
19 Mela Yuliasri,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
Elfiah Rose
20 ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
Siregar,Amd.Keb
21 Karmila,Amd.Keb ll d Bidan Pelaksana 875,511 1,167,348 2,042,859
22 Drg. Leni Susanti III C Dr. Gigi Muda 2,397,074 2,397,074 4,794,148
Ilda Firayati
23 lll a Bidan Pelaksana 875,511 1,167,348 2,042,859
Misra,Amd.Keb
Dokter Ahli
24 dr.Fifi Adrias lll b
Pertama
2,108,883 2,108,883 4,217,766
Perawat Ahli
25 Ns.Roziyani.S,S.Kep lll a
Pertama
1,180,781 1,180,781 2,361,562
Jumlah 31,370,123 33,121,145 0 0 0 0 0 0 64,491,268 0
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH
JUMLAH JUMLAH
PPH 21 (5%) IWP 1% YANG TANDA TANGAN
KOTOR POTONGAN
DIBAYARKAN
2,361,562 118,078 23,616 141,694 2,219,868 1
2,361,562 118,078 23,616 141,694 2,219,868 2
2,247,292 112,365 22,473 134,838 2,112,454 3
2,914,522 145,726 29,145 174,871 2,739,651 4
2,361,562 118,078 23,616 141,694 2,219,868 5
2,361,562 118,078 23,616 141,694 2,219,868 6
4,217,766 210,888 42,178 253,066 3,964,700 7
3,282,570 164,129 32,826 196,954 3,085,616 8
4,217,766 210,888 42,178 253,066 3,964,700 9
2,048,596 102,430 20,486 122,916 1,925,680 10
2,361,562 118,078 23,616 141,694 2,219,868 11
2,361,562 118,078 23,616 141,694 2,219,868 12

JUMLAH
JUMLAH JUMLAH
PPH 21 (5%) IWP 1% YANG TANDA TANGAN
KOTOR POTONGAN
DIBAYARKAN
2,048,596 102,430 20,486 122,916 1,925,680 13
2,182,930 109,147 21,829 130,976 2,051,954 14
2,042,860 20,429 20,429 2,022,431 15
2,042,859 20,429 20,429 2,022,430 16
1,488,368 14,884 14,884 1,473,484 17
2,042,859 20,429 20,429 2,022,430 18
2,042,859 20,429 20,429 2,022,430 19
2,042,859 20,429 20,429 2,022,430 20
2,042,859 20,429 20,429 2,022,430 21
4,794,148 239,707 47,941 287,649 4,506,499 22
2,042,859 102,143 20,429 122,572 1,920,287 23
4,217,766 210,888 42,178 253,066 3,964,700 24
2,361,562 118,078 23,616 141,694 2,219,868 25
64,491,268 2,537,287 644,913 3,182,200 61,309,068

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Seikijang

Pertimban Pengelola
Eselon/ Medis/ JUMLAH Potongan
GOL Beban Kerja Kondisi Tempat Kelangkaa gan Barang Pengelolaan
NO NAMA
.
Paramedis/ Non Prestasi Kerja TPP DI Perbup 65
Paramedis PNS Kerja Bekerja n Profesi Objektif Milik Keuangan
PERBUP Th.2015
Lainnya Daerah
Dokter Muda
1 dr.Bambang Hermanto III d 2,424,314 2,424,314 4,848,628
(Kepala UPTD)
2 dr.Laila Handayani IV a Dokter Madya 5,103,606

2,551,803 2,551,803
3 dr. Sitti Aisyah IV b Dokter Madya 5,103,606
2,551,803 2,551,803
4 dr. Rafles IV a Dokter Madya 5,103,606
2,551,803 2,551,803
5 dr. Yoselyn Rhadiya S IV a Dokter Madya 5,103,606
2,551,803 2,551,803
6 drg. Resvi Sartika IV a Dokter Gigi Madya 5,103,606
2,551,803 2,551,803
Peyuluh kesehatan
7 Ratih Zulaikha, SKM III d 2,559,094
Muda 1,279,547 1,279,547
8 dr.T.Adriansyah III b TB 428,190 436,586 864,776
9 dr.Viona Yuliani III c Dr.Muda 4,848,628

2,424,314 2,424,314
10 dr. rachminur IV a Dr. Madya 5,103,606
2,551,803 2,551,803
11 drg.Sonya Ajeng Husada lllc Dokter Gigi Muda 4,794,148
2,397,074 2,397,074
12 Husnati Yusni III b JFU 1,406,754 1,406,754
703,377 703,377
13 dr. Winda Kurniawati III b dr. Pertama 4,217,766
2,108,883 2,108,883
14 drg. Bella Siregar III b dr. Pertama 4,217,766
2,108,883 2,108,883
15 Noeke Indrayani lllc Bidan Penyelia 2,247,292
1,123,646 1,123,646
Penyuluh
16 Sri Yani III c kesehatan 2,559,094
masyarakat muda 1,279,547 1,279,547
17 Irma Fitriah, S.Kep lll d Perawat Muda 2,914,522

1,457,261 1,457,261
18 Junaidi Abdillah, S. Kep III b Perawat Pertama 2,361,562
1,180,781 1,180,781
Sanitarian
19 Yossi Darwin, Ams III a Pelaksana 2,129,196
1,064,598 1,064,598
Lanjutan
20 Rahmita Nova Yeni III b Perawat Penyelia 2,361,562
1,180,781 1,180,781
Asisten Apoteker
21 Rozalina, Amf III b 2,323,472
Penyelia 1,161,736 1,161,736
22 Eva Mariana III b Bidan Penyelia 2,247,292
1,123,646 1,123,646
Pranata Labkes
23 Susilawati III b 2,247,292
Penyelia 1,123,646 1,123,646
Bidan Muda
(Pembantu
24 Syafridawati Harahap III c 1,279,547 1,279,547 2,559,094
Bendahara
Pengeluaran)
25 Suatni III c Bidan muda 2,559,094
1,279,547 1,279,547
Bidan Pelaksana
26 Ernila, Am. Keb III a 2,048,596
Lanjutan
1,024,298 1,024,298
Asisten Apoteker
27 Lydia Naisyarah, AMF III a Pelaksana 2,129,196
Lanjutan 1,064,598 1,064,598
Bidan Pelaksana
28 Gusnarti III a 2,048,596
Lanjutan
1,024,298 1,024,298
Bidan Pelaksana
29 Fauza Fakhriah III b 2,048,596
Lanjutan 1,024,298 1,024,298
Bidan Pelaksana
30 Siti Aminah III b 2,048,596
Lanjutan
1,024,298 1,024,298
Perawat Ahli
Pertama
31 Ns.M.Sugiono III b (Pembantu 2,361,562
Pengurus Barang 1,180,781 1,180,781
penguna)
Pertimban Pengelola
NO NAMA Paramedis/ Non Prestasi Kerja TPP DI Perbup 65
.
PERBUP Th.2015
Lainnya Daerah
32 Supriani III b Perawat Mahir 2,182,930

1,091,465 1,091,465
Pranata Lab.
33 Indah Evrilly Qurniawati III b Pelaksana 2,048,596
1,024,298 1,024,298
Lanjutan
34 Nova Irmayanti, AMKG III b Perawat gigi mahir 2,182,930
1,091,465 1,091,465
Penyuluh
Kesehatan
35 Berta Sari Ramadani, SKM III a 2,361,562
Masyarakat
Pertama 1,180,781 1,180,781
36 Ns. Bella Amelia, S. Kep III a Perawat Pertama 2,361,562
1,180,781 1,180,781
37 Ns. Mersi Marsita, S. Kep III a Perawat Pertama 2,361,562
1,180,781 1,180,781
Nutrisionis Ahli
38 Vicka Frantya Lone, S. Gz III a 2,209,202
Pertama 1,104,601 1,104,601
39 Ribut Susanti, S. ST III a Bidan ahli pertama 2,209,202
1,104,601 1,104,601
40 Eri Darman II d JFU 1,406,754
703,377 703,377
41 Eka Desvita II d Perawat Pelaksana 2,042,860
1,021,430 1,021,430
42 Evi Junaida Siregar III a Perawat Mahir 2,182,930
1,091,465 1,091,465
Sanitarian ahli
43 Lisna Anggravita III a 2,353,944
pertama
1,176,972 1,176,972
Pranata Lab.
44 Rahmayana III a Pelaksana 2,048,596
Lanjutan 1,024,298 1,024,298
Bidan Pelaksana
45 Evi Darina III a 2,048,596
Lanjutan
1,024,298 1,024,298
Bidan Pelaksana
46 Liza Afriyani, Amd. Keb III a 2,048,596
Lanjutan
1,024,298 1,024,298
Pertimban Pengelola
NO NAMA Paramedis/ Non Prestasi Kerja TPP DI Perbup 65
.
PERBUP Th.2015
Lainnya Daerah
Bidan Pelaksana
47 Martaliza, Amd. Kep III a 2,048,596
Lanjutan
1,024,298 1,024,298
Bidan Pelaksana
48 Dian Masyitah, Amd.Keb III a 2,048,596
Lanjutan 1,024,298 1,024,298
49 Azka Mudrikah, Amd, Keb II d JFU 1,488,368 520,929
744,184 744,184
Bidan Pelaksana
50 Karni IIIa 2,048,596
Lanjutan
1,024,298 1,024,298
Bidan Pelaksana
51 Okta Novia Aslinda II c 2,048,596
Lanjutan
1,024,298 1,024,298
52 Neti Hendrayani,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
53 Esfana Juniarta G,Amd.Ke II c Bidan Pelaksana 2,042,859
875,511 1,167,348
54 Romika,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
55 Dewi Baroroh,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
56 Darmiati,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
57 Rini Oktavia,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
58 Indriana Rista,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
59 Ika Erman Cut,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
60 Sofia Nofrita,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
61 Ria Tri Seska,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
62 Ari Ika,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
63 Marta Florida Panjaitan II c Bidan Pelaksana 2,042,859
875,511 1,167,348
64 Dewi Pitriyanti,Amd.Keb II c Bidan Pelaksana 2,042,859
875,511 1,167,348
Pranata
65 Uci Karlina, Amd. AK II c Laboratorium 2,007,838
Kesehatan Terampil 1,003,919 1,003,919
66 Fitria Novita II d Bidan Pelaksana 2,042,859
875,511 1,167,348
Bidan terampil
67 Eka Fitri, Amd. Keb II c 2,042,859
Pelaksana 875,511 1,167,348
Bidan Terampil
68 Yusnetti, Amd. Keb II c 2,042,859
Pelaksana 875,511 1,167,348
Sari Chandika
69 llc Bidan Pelaksana 2,042,859
Fani,Amd.Keb 875,511 1,167,348
Jumlah 85,536,600 90,506,225 176,042,825 1,927,683
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
JUMLAH JUMLAH YANG
JUMLAH KOTOR PPH 21 IWP 1 % POTONGAN DIBAYARKAN
TANDA TANGAN
4,848,628 242,431 48,486 290,918 4,557,710 1
5,103,606 765,541 51,036 816,577 4,287,029 2
5,103,606 765,541 51,036 816,577 4,287,029 3
5,103,606 765,541 51,036 816,577 4,287,029 4
5,103,606 765,541 51,036 816,577 4,287,029 5
5,103,606 765,541 51,036 816,577 4,287,029 6
2,559,094 127,955 25,591 153,546 2,405,548 7
864,776 43,239 8,648 51,887 812,889 8
4,848,628 242,431 48,486 290,918 4,557,710 9
5,103,606 765,541 51,036 816,577 4,287,029 10
4,794,148 239,707 47,941 287,649 4,506,499 11
- - - - - 12
4,217,766 210,888 42,178 253,066 3,964,700 13
4,217,766 210,888 42,178 253,066 3,964,700 14
2,247,292 112,365 22,473 134,838 2,112,454 15
2,559,094 127,955 25,591 153,546 2,405,548 16
2,914,522 145,726 29,145 174,871 2,739,651 17
2,361,562 118,078 23,616 141,694 2,219,868 18
2,129,196 106,460 21,292 127,752 2,001,444 19
2,361,562 118,078 23,616 141,694 2,219,868 20
2,323,472 116,174 23,235 139,408 2,184,064 21
2,247,292 112,365 22,473 134,838 2,112,454 22
2,247,292 112,365 22,473 134,838 2,112,454 23
2,559,094 127,955 25,591 153,546 2,405,548 24
2,559,094 127,955 25,591 153,546 2,405,548 25
2,048,596 102,430 20,486 122,916 1,925,680 26
2,129,196 106,460 21,292 127,752 2,001,444 27
2,048,596 102,430 20,486 122,916 1,925,680 28
2,048,596 102,430 20,486 122,916 1,925,680 29
2,048,596 102,430 20,486 122,916 1,925,680 30
2,361,562 118,078 23,616 141,694 2,219,868 31

JUMLAH JUMLAH YANG
JUMLAH KOTOR PPH 21 IWP 1 % TANDA TANGAN
POTONGAN DIBAYARKAN
2,182,930 109,147 21,829 130,976 2,051,954 32
2,048,596 102,430 20,486 122,916 1,925,680 33
2,182,930 109,147 21,829 130,976 2,051,954 34
2,361,562 118,078 23,616 141,694 2,219,868 35
2,361,562 118,078 23,616 141,694 2,219,868 36
2,361,562 118,078 23,616 141,694 2,219,868 37
2,209,202 110,460 22,092 132,552 2,076,650 38
2,209,202 110,460 22,092 132,552 2,076,650 39
1,406,754 14,068 14,068 1,392,686 40
2,042,860 20,429 20,429 2,022,431 41
2,182,930 109,147 21,829 130,976 2,051,954 42
2,353,944 117,697 23,539 141,237 2,212,707 43
2,048,596 102,430 20,486 122,916 1,925,680 44
2,048,596 102,430 20,486 122,916 1,925,680 45
2,048,596 102,430 20,486 122,916 1,925,680 46

JUMLAH JUMLAH YANG
JUMLAH KOTOR PPH 21 IWP 1 % TANDA TANGAN
POTONGAN DIBAYARKAN
2,048,596 102,430 20,486 122,916 1,925,680 47
2,048,596 102,430 20,486 122,916 1,925,680 48
967,439 9,674 9,674 957,765 49
2,048,596 102,430 20,486 122,916 1,925,680 50
2,048,596 20,486 20,486 2,028,110 51
2,042,859 20,429 20,429 2,022,430 52
2,042,859 20,429 20,429 2,022,430 53
2,042,859 20,429 20,429 2,022,430 54
2,042,859 20,429 20,429 2,022,430 55
2,042,859 20,429 20,429 2,022,430 56
2,042,859 20,429 20,429 2,022,430 57
2,042,859 20,429 20,429 2,022,430 58
2,042,859 20,429 20,429 2,022,430 59
2,042,859 20,429 20,429 2,022,430 60
2,042,859 20,429 20,429 2,022,430 61
2,042,859 20,429 20,429 2,022,430 62
2,042,859 20,429 20,429 2,022,430 63
2,042,859 20,429 20,429 2,022,430 64
2,007,838 20,078 20,078 1,987,760 65
2,042,859 20,429 20,429 2,022,430 66
2,042,859 20,429 20,429 2,022,430 67
2,042,859 20,429 20,429 2,022,430
2,042,859 20,429 20,429 2,022,430 68
174,115,142 9,607,816 1,741,151 11,348,968 162,766,175

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
REKAPITULASI TTP DINAS KESEHATAN
BULAN AGUSTUS TA. 2021
NO URAIAN JUMLAH TPP PAJAK IWP 1% TTP SETELAH PAJAK
1 DINAS KESEHATAN 182,912,634 13,382,490 1,829,126 167,701,018
2 SEKIJANG 174,115,142 9,607,816 1,741,151 162,766,175
3 PKL. KURAS 79,764,481 4,166,824 797,645 74,800,012
4 PKL. KERINCI II 120,601,796 6,373,232 1,206,018 113,022,546
5 PKL. KERINCI 158,340,887 10,294,825 1,583,409 146,462,653
6 KERUMUTAN 66,008,786 1,853,804 660,088 63,494,895
7 PELALAWAN 57,054,827 2,636,781 570,548 53,847,498
8 T. MERANTI 68,633,208 2,328,669 686,332 65,618,207
9 PKL. LESUNG 64,491,268 2,537,287 644,913 61,309,068
10 LANGGAM 81,294,726 3,210,457 812,947 77,271,322
11 BUNUT 58,088,357 2,087,274 580,884 55,420,199
12 UKUI 102,884,034 4,954,062 1,028,840 96,901,131
13 K. KAMPAR 54,974,240 1,758,485 549,742 52,666,012
14 B PETALANGAN 72,438,876 2,753,718 724,389 68,960,769
15 PANGKALAN KURAS II 71,028,523 2,529,997 710,285 67,788,241
16 IFK 24,158,005 1,035,420 241,580 22,881,005
17 RSUD SELASIH 1,384,778 - 13,848 1,370,930
TOTAL 1,438,174,569 71,511,140 14,381,746 1,352,281,683
PENGGUNA ANGGARAN
DINAS KESEHATAN KABUPATEN PELALAWAN

NIP. 19700506 199101 1 001
KWITANSI
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan Puskesmas Ukui

untuk bulan Agustus 2021

Beban Kerja Kondisi Tempat Kelangkaan Pengelolaan JUMLAH TPP
NO NAMA GOL Paramedis/ Non Prestasi Kerja Objektif Barang Milik Perbup 65
PNS Kerja Bekerja Profesi Keuangan DI PERBUP
Penyuluh KesMas
1 Rosdiana, SKM III c Muda (Kepala 1,279,547 1,279,547 - 2,559,094
UPTD)
2 dr. Eko Rahayu IV b Dokter Madya 2,551,803 2,551,803 - 5,103,606
Penyuluh Kesehatan
3 Ijang Mulyana, SKM III d 1,279,547 1,279,547 - 2,559,094
Muda
4 Roida Rusliana IV a Bidan Madya 1,440,503 1,440,503 - 2,881,006
5 Hernadi III d Bidan Penyelia 1,123,646 1,123,646 - 2,247,292
6 Wahyu Widodo III d Perawat Penyelia 1,180,781 1,180,781 - 2,361,562
7 Kusnan III d Perawat Penyelia 1,180,781 1,180,781 - 2,361,562
8 Dadang III c Perawat Penyelia 1,180,781 1,180,781 - 2,361,562
Pengadminisitrasian
9 Sri Reni Ginting III b 703,377 703,377 - 1,406,754
Umum
10 Sofinah, S.Farm, Apt IIIc Apoteker Muda 2,108,883 2,108,883 - 4,217,766
11 Ika Mustika II c Perawat Penyelia 1,180,781 1,180,781 - 2,361,562
Bidan Pelaksana
12 Rotua Sirait II c 851,841 851,841 - 1,703,682
Pemula
Heni Kustianti, Amd.

13 III c Bidan Muda 1,279,547 1,279,547 - 2,559,094
Keb
14 Yulia Hidayati III c Bidan Penyelia 1,123,646 1,123,646 - 2,247,292
Pranata Lab.
15 Roslyna Herawati. N III c 1,123,646 1,123,646 - 2,247,292
Kesehatan Penyelia
16 dr. Elfi Amelia Putri IIIb Dr. Pertama 2,108,883 2,108,883 - 4,217,766
Pembantu pengurus
17 Suwito, Amk III a 1,091,465 1,091,465 - 2,182,930
barang penguna
18 Farentina III c Bidan muda 1,279,547 1,279,547 - 2,559,094
19 Elni Suzana III b JFU (7) 856,380 873,172 - 1,729,552
Rahmad Hidayat, Penyuluh Kesehatan

20 III c 1,279,547 1,279,547 - 2,559,094
SKM Muda
Nutrisionis
21 Masrita Sinaga, AMG III b 1,024,298 1,024,298 - 2,048,596
Pelaksana Lanjutan
22 Masrukin III b Perawat Mahir 1,091,465 1,091,465 - 2,182,930
23 Afifatul Husna III a Perawat Mahir 1,091,465 1,091,465 - 2,182,930
Bidan Pelaksana
24 Elly Asniar III a 1,024,298 1,024,298 - 2,048,596
lanjutan
25 Herawati Siregar III b Bidan Pertama 1,104,601 1,104,601 - 2,209,202
26 Husniyati III a Bidan Pertama 1,104,601 1,104,601 - 2,209,202

Beban Kerja Kondisi Tempat Kelangkaan Pengelolaan JUMLAH TPP
NO NAMA GOL Paramedis/ Non Prestasi Kerja Objektif Barang Milik Perbup 65
PNS Kerja Bekerja Profesi Keuangan DI PERBUP
Ns. Marda Wira, S. Perawat Ahli

27 III a 1,180,781 1,180,781 - 2,361,562
Kep Pertama
Ns. Amin Suliah, S. Perawat Ahli

28 III a 1,180,781 1,180,781 - 2,361,562
Kep Pertama
Julia Betriningsih, S.
29 III a Bidan Pertama 1,104,601 1,104,601 - 2,209,202
Tr. Keb
30 Nova Erani, Amd. KL ll d TB - -
JFU (5) Pembantu

31 Ishak II d Bendahara 703,377 703,377 - 1,406,754
Pengeluaran
Perawat Gigi
32 Dwi May Christiana II d 1,021,430 1,021,430 - 2,042,860
Pelaksana
33 Seto Setiawan II c Perawat Pelaksana 1,021,430 1,021,430 - 2,042,860
Wiwik Sri
Rahayuningsih
Lichomsatun,Amd.Ke
b
Yusnani
36 II d Bidan Pelaksana 875,511 1,167,348 - 2,042,859
Sirait,Amd.Keb
Ratna
Saridewi,Amd.Keb
38 Yuhardina,Amd.Keb III a Bidan Pertama 1,104,601 1,104,601 - 2,209,202
Vamella
Elvia,Amd.Keb
40 Novi Andianto, Amf II c Asisten Apoteker Terampil 875,511 1,167,348 - 2,042,859
Salamah Irawati,
41 II c Bidan Pelaksana 875,511 1,167,348 - 2,042,859
Amd. Keb
Bidan Pelaksana
42 Irawati, Amd. Keb III b 1,024,298 1,024,298 - 2,048,596
lanjutan
43 Linda Wati, Amd. Keb II c Bidan Pelaksana 875,511 1,167,348 - 2,042,859
44 drg. Retma Suriyenti III b Dr. Gigi Pertama 2,108,883 2,108,883 - 4,217,766
Jumlah 50,558,110 52,325,924 - 102,884,034
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
2,559,094 127,955 25,591 153,546 2,405,548 1
5,103,606 765,541 51,036 816,577 4,287,029 2
2,559,094 127,955 25,591 153,546 2,405,548 3
2,881,006 432,151 28,810 460,961 2,420,045 4
2,247,292 112,365 22,473 134,838 2,112,454 5
2,361,562 118,078 23,616 141,694 2,219,868 6
2,361,562 118,078 23,616 141,694 2,219,868 7
2,361,562 118,078 23,616 141,694 2,219,868 8
1,406,754 70,338 14,068 84,405 1,322,349 9
4,217,766 210,888 42,178 253,066 3,964,700 10
2,361,562 23,616 23,616 2,337,946 11
1,703,682 17,037 17,037 1,686,645 12
2,559,094 127,955 25,591 153,546 2,405,548 13
2,247,292 112,365 22,473 134,838 2,112,454 14
2,247,292 112,365 22,473 134,838 2,112,454 15
4,217,766 210,888 42,178 253,066 3,964,700 16
2,182,930 109,147 21,829 130,976 2,051,954 17
2,559,094 127,955 25,591 153,546 2,405,548 18
1,729,552 86,478 17,296 103,773 1,625,779 19
2,559,094 127,955 25,591 153,546 2,405,548 20
2,048,596 102,430 20,486 122,916 1,925,680 21
2,182,930 109,147 21,829 130,976 2,051,954 22
2,182,930 109,147 21,829 130,976 2,051,954 23
2,048,596 102,430 20,486 122,916 1,925,680 24
2,209,202 110,460 22,092 132,552 2,076,650 25
2,209,202 110,460 22,092 132,552 2,076,650 26

2,361,562 118,078 23,616 141,694 2,219,868 27
2,361,562 118,078 23,616 141,694 2,219,868 28
2,209,202 110,460 22,092 132,552 2,076,650 29
- - - - - 30
1,406,754 14,068 14,068 1,392,686 31
2,042,860 20,429 20,429 2,022,431 32
2,042,860 20,429 20,429 2,022,431 33
2,209,202 110,460 22,092 132,552 2,076,650 34
2,209,202 110,460 22,092 132,552 2,076,650 35
2,042,859 20,429 20,429 2,022,430 36
2,042,859 20,429 20,429 2,022,430 37
2,209,202 110,460 22,092 132,552 2,076,650 38
2,042,859 102,143 20,429 122,572 1,920,287 39
2,042,859 20,429 20,429 2,022,430 40
2,042,859 20,429 20,429 2,022,430 41
2,048,596 102,430 20,486 122,916 1,925,680 42
2,042,859 20,429 20,429 2,022,430 43
4,217,766 210,888 42,178 253,066 3,964,700
102,884,034 4,954,062 1,028,840 5,982,903 96,901,131

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
Kode Rekening : 1.02.1.02.01.00.02.5.1.1.02.01
Untuk pembayaran : Pembayaran Tambahan Penghasilan rsud selasih

Untuk Bulan juli 2021
Eselon/ Medis/
Beban Kerja
NO NAMA GOL Paramedis/ Non
Paramedis PNS
1 Racmadani Kamal, S.Sos III d Ka.TU 3,444,681

Kasubag Umum
2 Sri Farah Hilji, SE. MM IV a
dan kepegawaian
1,777,148
Kasubag keuangan
3 Edi Yunasatar,S.Sos III c
dan aset
1,777,148
4 Nuryanah, AMK III c kasubag program 2,840,317

5 dr. Irna IV a kabid 3,444,681
6 Agus Subagio, SKM IV a kabid 3,444,681
7 Fajriati, SKM III c kabid 3,444,681
8 drg Suhaeri,MPH IV a kasie 1,777,148
9 Zais Mala Dewa III d kasie 1,777,148
10 Ns. Nina Hidayati,S.Kep. III d kasie 1,777,148
11 Nurrahmah,S.IK III d kasie 1,777,148
12 Irma Yulisti, S.Psi III c kasie 1,777,148
13 Sri Indrayani,SKM III d kasie 1,777,148
14 Mimi Auliana, S.Kep III c kasie 1,777,148
15 Drs,khairul Apt. IV D JFU (7) 873,172
16 Herwandi III d kasie 1,777,148
17 Syafrizal,SKM III c JFU (7) 873,172
18 Ns. Hirzal, s.Kep III c JFU (7) 873,172
19 Elda Seri Tanjung,A.md.Keb III b JFU (7) 873,172
20 Etri Elvita III b JFU (7) 873,172
21 Arif Kusen III b JFU (7) 873,172
22 Kiki Maria III b JFU (7) 873,172
23 Rifnoviar, S.Kom III b JFU (7) 873,172
24 Sri Nella III b JFU (7) 873,172
25 Yeni Nadar III b JFU (7) 873,172
26 Enda III b JFU (7) 873,172
27 Alrahmi Rikasna,A.Md III b JFU (7) 873,172
28 Henny Desfika Yanti III a JFU (7) 873,172
29 Irawati III a JFU (7) 873,172
30 Suistri II c JFU (7) 873,172
31 Putri Elia Pitri II b JFU (7) 873,172
32 Erroma Zurfad, AMK III c JFU (6) 758,776
33 Musril,SE III b JFU (6) 758,776
34 Aan Wijaya III b JFU (6) 758,776
35 Fahendri III a JFU (6) 758,776
36 Lili Warni III a JFU (6) 758,776
37 Syukirman, Amd.Kep II d JFU (6) 758,776
38 Indrawati,Amd.RO II d JFU (6) 758,776
Nutrisionis
39 Rosalinda III b
pelaksana lanjutan
1,141,840
40 Bapril II d JFU (5) 705,811

41 Nofriandi II c JFU (5) 705,811
42 Indra Kirmanto II a JFU (4) 692,389
43 Nourul Fitri II c JFU (5) 705,811
44 Ida Marilin II c JFU (5) 705,811
dokter muda
45 dr. Impol Hutapea, Sp.B, M.Biomed III d
spesialais
2,996,343
dokter muda
46 dr. Pauline Elfrida Hutagaol III d
spesialais
2,996,343
dokter muda
47 dr. T. Yusnila III d
spesialais
2,996,343
dokter muda
48 dr. Lidya Fitriana, Sp. Rad III d
spesialais
2,996,343
dokter muda
49 dr. Dafit Firmansyah III d
spesialais
2,996,343
dokter muda
50 dr. Lia Yutrishia, Sp.D.V III d
spesialais
2,996,343
dokter muda
51 dr. Ratna Karmila IIIc
spesialais
2,996,343
dokter muda
52 dr. Anton Purnomo IIIc
spesialais
2,996,343
dokter muda
53 dr. Tengku Asrahady IIIc
spesialais
2,996,343
dokter muda
54 dr. Muhammad Imran Tahir, Sp.An IIIc
spesialais
2,996,343
dokter gigi muda
55 drg. Sri Yuliharsini, Sp.Pros III d
spesialis
2,996,343
dokter madya
56 dr. Hj.Novi Wulandari, Sp.M IV c
spesialais
4,050,481
dokter madya
57 dr.Irfanzil, Sp.OG IV c
spesialais
4,050,481
dokter madya
58 dr.Anda Citra Utama, Sp.Pd IV c
spesialais
4,050,481
dokter madya
59 dr. M. Yusuf Purba, SpP IV b
spesialais
4,050,481
dokter madya
60 dr. Boyke Putra, SpPD IV b
spesialais
4,050,481
dokter madya
61 dr. Didik Suprayitno, SpOG IV a
spesialais
4,050,481
dokter madya
62 dr. Hendri Sutapa P, SpA, M.Sc IV a
spesialais
4,050,481
dokter madya
63 dr.Widiasteti, Sp.A IV a
spesialais
4,050,481
dokter madya
64 dr.Verbrini Rifnayeni, Sp.PK IV a
spesialais
4,050,481
dokter madya
65 dr.Pramudya R, Sp.OG IV a
spesialais
4,050,481
dokter utama
66 dr.Edy Muhammad, Sp.A IV D
spesialais
5,644,092
dokter utama
67 dr.Jhoni Asril, Sp.S IV D
spesialais
5,644,092
68 dr. T Novia Eka Putri III d dokter pertama 2,132,578

69 dr.Fatma Selisri III d dokter muda 2,451,553
70 dr. Erina zulfa IV a dokter muda 2,451,553
71 dr. Muh. Syaebani IIIc tugas belajar
72 dr.Yenni Hartati IV b dokter madya 2,632,812
73 dr.Desri Marlina IV b dokter madya 2,632,812
74 dr. Era Ibrahim IV b dokter madya 2,632,812
75 dr. Zul Anwar IV a dokter madya 2,632,812
76 dr. Erni Irianty IV a dokter madya 2,632,812
77 dr. Chairul Hamdi IV a dokter madya 2,632,812
78 dr.Rahmat Akbar IV a dokter madya 2,632,812
79 dr. Mardiah IV a dokter madya 2,632,812
80 dr. Rony Cahyadi IV a dokter madya 2,632,812
81 dr. Endah Rahayu Utami IV a dokter madya 2,632,812
82 dr. Erdaliza IV a dokter madya 2,632,812
83 dr. Suhendri IV a dokter gigi pertama 2,132,578
84 drg. Pramono Rendro P .M.Kes. IV a dokter gigi muda 2,451,553

85 drg.Emilda IV a dokter gigi madya 2,632,812
86 Drg. Maiyu Novaria IV a dokter gigi madya 2,632,812
87 Drg.Evalyn Magdalena IV b dokter gigi madya 2,632,812
88 drg. Ewin Rommel IV a dokter gigi madya 2,632,812
89 Wirdatul Hasanah, S.Farm.Apt IV a apoteker madya 2,342,383
90 Yulhendra, S.Farm,Apt IV a apoteker madya 2,342,383
91 Fauziah Aliwarman,S.Farm,Apt IV a apoteker madya 2,342,383
92 Desi Sagita Delti, S.Farm, Apt IV a apoteker madya 2,342,383
asisten apoteker
93 Zamilah II a
pelaksana pemula
973,533
asisten apoteker
94 Ria Meriza sari II d
pelaksana
1,152,756
asisten apoteker
95 Isnaini Taufik, AMF II c
pelaksana
1,152,756
asisten apoteker
96 Asnatuti, Amd.Far III b
pelaksana lanjutan
1,158,632
asisten apoteker
97 Erma sofyani, Amd.AFM III b
pelaksana lanjutan
1,158,632
asisten apoteker
98 Dian Puspa Sriwhedari, AMF III b
pelaksana lanjutan
1,158,632
asisten apoteker
99 Niken Artanti III a
pelaksana lanjutan
1,158,632
asisten apoteker
100 Dina Hayati, AMF IIIc
penyelia
1,237,915
101 Cristina Helen Purba, Amd.Keb II d bidan pelaksana 1,167,348

102 Tengku Susanti, A.Md.Keb II d bidan pelaksana 1,167,348
103 Febby Anggita, A.md.Keb II d bidan pelaksana 1,167,348
104 Siti Maisaroh, A.Md.Keb II d bidan pelaksana 1,167,348
105 Azmi'a II d bidan pelaksana 1,167,348
106 Maryana, Amd.Keb II c bidan pelaksana 1,167,348
bidan pelaksana
107 Lily Marlina, Amd.Keb III b
lanjutan
1,178,782
bidan pelaksana
108 Dewi Indah Susi S,Amd.Keb. III b
lanjutan
1,178,782
bidan pelaksana
109 Endang Kasmawati, Amd.Keb III b
lanjutan
1,178,782
bidan pelaksana
110 Desi Hentriani,A.md.Kep III b
lanjutan
1,178,782
bidan pelaksana
111 Sri Aria Ningsih, Amd.Keb III b
lanjutan
1,178,782
bidan pelaksana
112 Desi Ruslinda, Amd.Keb III b
lanjutan
1,178,782
bidan pelaksana
113 Siti Aisyah, Amd.Keb III b
lanjutan
1,178,782
bidan pelaksana
114 Emi Noviani, Amd. Keb III a
lanjutan
1,178,782
bidan pelaksana
115 Rusmaini, Amd.Keb III a
lanjutan
1,178,782
116 Sri Wahyuli, A.Md.Keb III d bidan penyelia 1,218,870

117 Fatmawati III d bidan penyelia 1,218,870
118 Kristina Sri Purwanti, S.Sos III d bidan penyelia 1,218,870
119 Indrawati,A.M.Keb III d bidan muda 1,516,500
120 Rosi Afrianti,Amd.Keb III d bidan muda 1,516,500
121 Afrinelly, Amd.Keb IIIc bidan muda 1,516,500
122 Diana Iranta, Amd. Keb IIIc bidan muda 1,516,500
123 Ningsih,S.ST IIIc bidan muda 1,516,500
124 Ermisa, S.ST IIIc bidan muda 1,516,500
fisioterapi
125 Hafiz Assad Alfajrin, Amd,FT III a
pelaksana lanjutan
1,141,840
fisioterapi
126 Norma Yunita, A.Md.Fis III a
pelaksana lanjutan
1,141,840
fisioterapi
127 Maryati, AM.d.Fis III a
pelaksana lanjutan
1,141,840
128 Delima Butar-Butar,AMF IIIc fisioterapis penyelia 1,218,870
129 Desiana Syafitri IIIc tugas belajar
130 Nurfauzi wati, AMG III b nutrisonis pertama 1,256,960
131 Adek Trisnawati III d nutrisonis penyelia 1,218,870
132 Fiblusi, Amk III a perawat terampil 1,167,348

133 Lasmi, A.Md.Keb II d perawat terampil 1,167,348
134 Sri Lestari, A.Md.Kep II d perawat terampil 1,167,348
135 Fitri Saweni, A.Md.Kep II d perawat terampil 1,167,348
136 Hari Fitro Adha, A.Md.Kep II d perawat terampil 1,167,348
137 Ferdinand,Amk III a perawat mahir 1,175,424
138 Wenny, Amd.Kep III a perawat mahir 1,175,424
139 Riadah, AMK III b perawat mahir 1,175,424
140 Adriani Susanty, AMK III b perawat mahir 1,175,424
141 Zanimar, Amd III b perawat mahir 1,175,424
142 Sri Suryani, AMK III b perawat mahir 1,175,424
143 Astuti, AMK III b perawat mahir 1,175,424
144 Ernawati, Amd.Kep III b perawat mahir 1,175,424
145 Asratna Rati, Amk III b perawat mahir 1,175,424
146 Marliza, Amd.Kep III b perawat mahir 1,175,424
147 Maria Ondo Pangabean III b perawat mahir 1,175,424
148 Susanti, AMK III b perawat mahir 1,175,424
149 Lindawati Harahap, Amd.Kep III b perawat mahir 1,175,424
150 Sri Arni Rahim,AMK III a perawat mahir 1,175,424
151 Camelia, Amd.Kep III a perawat mahir 1,175,424
152 Astaria Br. Sembiring, A.Md.Kep III b perawat mahir 1,175,424
153 Susilawati, Amd.Kep III b perawat mahir 1,175,424
154 Yuni, Amd.Kep III b perawat mahir 1,175,424
155 Fitriana Dewi, Amd.Kep III b perawat mahir 1,175,424
penata anestesi
156 Khoirul Anam III d
muda
1,611,281
157 Sutrisno, AMK III d perawat penyelia 1,256,960

158 Edy Syahputra III d perawat penyelia 1,256,960
159 Yuni Elfita, AMK IIIc perawat penyelia 1,256,960
160 Eva Ningsih, AMK III b perawat penyelia 1,256,960
161 Elsi Kartika Ratna,Amk IIIc perawat penyelia 1,256,960
162 Anita,AMK III b perawat penyelia 1,256,960
163 Nurholilah harahap, AMK III b perawat penyelia 1,256,960
164 Wini Rahayu, S.Kep IIIc perawat muda 1,599,433
165 Sri Rahayu, S.Kep III b perawat pertama 1,314,095
166 Marlina Tati Lola, S.Kep III b perawat pertama 1,314,095
167 Ramadona, S.Kep III b perawat pertama 1,314,095
168 Ns. Risa Nurhayati III b perawat pertama 1,314,095
169 Eva Susanti, S.Kep III a perawat pertama 1,314,095
170 Ernani Yulneti, S.Kep III d perawat muda 1,599,433
171 Istina Setia Ningsih, S.Kep III d perawat muda 1,599,433
172 Ns. Mila Kurnia,S.Kep. III d perawat muda 1,599,433
173 Ns. Elizawati, S.Kep III d perawat muda 1,599,433
174 Ns. Rita Idawati S. S.Kep III d perawat muda 1,599,433
175 Fitri Septevani,S.Kep III d perawat muda 1,599,433
176 Nur Ainun,S.Kep III d perawat muda 1,599,433
177 Marini Sri Mulyati, S.Kep III d perawat muda 1,599,433
178 Aelva Deliana,S.Kep, NS III d perawat muda 1,599,433
179 Ns. Marisa, S.Kep III d perawat muda 1,599,433
180 Ns. Widi Astuti, S.Kep III d perawat muda 1,599,433
181 Ns. Alfitri Faumuri, S.Kep III d perawat muda 1,599,433
182 Ns. Ekasusila, S.Kep III d perawat muda 1,599,433
183 Ns. Yuanita Asri, S.Kep III d perawat muda 1,599,433
184 Siti Lestari, S.Kep IIIc perawat muda 1,599,433
185 Asni Marni, S.Kep IIIc perawat muda 1,599,433
186 Sri Haryanti, Amk IIIc perawat muda 1,599,433
187 Nurwahidah, S.Kep IIIc perawat muda 1,599,433
188 Nur Afni, S.Kep IIIc perawat muda 1,599,433
189 Rina Yanti,S.Kep IIIc perawat muda 1,599,433
190 Murniati, S.Kep IIIc perawat muda 1,599,433
191 Irlina Dewi,S.Kep IIIc perawat muda 1,599,433
192 Endang Sulastri, S.Kep IIIc perawat muda 1,599,433
193 Ns. Dewi Arief Yenni, S.Kep IIIc perawat muda 1,599,433
194 Dewi Sartika Buana,S.Kep.Ns IV a perawat madya 1,565,764
195 Deri Agustin, AMKG III b perawat gigi mahir 1,175,424
196 Yadewati Surya Hartini, AMKG III b perawat gigi mahir 1,175,424
197 Ely Sunarti, Amd.KG III a perawat gigi mahir 1,175,424

198 Nurliati III a perawat gigi mahir 1,175,424
perekam medis
199 Endang Fitri Wahyuni, A.Md.RMIK II c
pelaksana
1,167,348
perekam medis
200 Rova Suryanti, Amd. RM III b
pelaksana lanjutan
1,175,424
perekam medis
201 Era Trisnawati IIIc
penyelia
1,259,960
perekam medis
202 Yeldawati,A.md.Keb IIIc
penyelia
1,259,960
pranata labkes
203 Romsi Musliati II d
pelaksana
1,138,165
pranata labkes
204 Nur Rahmah, Am. Ak II d
pelaksana
1,138,165
pranata labkes
205 Riri Juniati Dwi S, Amd. AK III b
pelaksana lanjutan'
1,141,840
pranata labkes
206 Anggra Dewi, Amd.AK III a
pelaksana lanjutan'
1,141,840
pranata labkes
207 Irniweti, AM.AK IIIc
penyelia
1,218,870
radiografer
208 Syaifuddin Zuhri, SKM III b
pelaksana
1,167,348
209 Nadhar Franan S, AMR III b radiografer peyelia 1,256,960
radiografer
210 Jumadi, AMR III b
pelaksana lanjutan
1,175,424
211 Marisa Inike, AMR IIIc radiografer peyelia 1,256,960
212 Gino Suprapto, AMR IIIc tugas belajar
reftraksionis
213 Fitra Yani, AM.d. RO III a optisien pelaksana 1,175,424
lanjutan
sanitarian pelaksana
214 Lelo Jon Arifin Pane,A.MK III b
lanjutan
1,158,632
sanitarian pelaksana
215 Zen Mulia Putri III b
lanjutan
1,158,632
216 Tito Prasetyo, Amd.KL III b saitarian pertama 1,295,050

217 Elida Hafni III b saitarian pertama 1,295,050
teknisi elektromedis
218 Josua Kateren II d
pelaksana
1,167,348
219 Tri Wahyuni III a nutrisonis pertama 1,256,960
220 dr. Phindo Mawardinata, Sp.OG III b JFU (7) 698,537

221 dr. Sofitri, Sp. PK III b JFU (7) 698,537
222 dr. Agusnarizal, Sp. B III b JFU (7) 698,537
223 dr. Devita Mirayana, Sp. P III b JFU (7) 698,537
224 dr. Yaumil Wahyuni III b JFU (7) 698,537
225 dr, Dini Mayrisdayani III b JFU (7) 698,537
226 Violita Milala, S. Farm., Apt III b JFU (7) 698,537
227 Winda Arum Nur'aini, S. Farm.,Apt III b JFU (7) 698,537
228 Ria Mariska, A.Md. Keb II c JFU (6) 607,020
229 Syafrina, Amd. Keb II c JFU (6) 607,020
230 Lianara Sumantri , Amd. Keb II c JFU (6) 607,020
231 Ikhwan Kholiq Permadi , S. Ftr III a JFU (7) 698,537
232 Sella Apriani , S. Ftr III a JFU (7) 698,537
233 Fatma Diana Yeza, S.Gz III a JFU (7) 698,537
234 Sekar Ratry Nurramadhani, S.Gz III a JFU (7) 698,537
235 Herryadi, Amd. Kep II c JFU (6) 607,020
236 Wira Surianti, Amd. Kep II c JFU (6) 607,020
237 Suryani , A.Md. Kep II c JFU (6) 607,020
238 Rahmelia Putri , Amd. Kep II c JFU (6) 607,020
239 Ns. Elin Fitri, S. Kep III a JFU (7) 698,537
240 Ns. Agisha Zartika, S.Kep III a JFU (7) 698,537
241 Ezra Lenny A. Tambunan , S.R.M III a JFU (7) 698,537
242 Khairunnisa Siregar , S. MIK III a JFU (7) 698,537
243 Rosmiati II c JFU (5) 705,811
244 Sandyo Utomo II c JFU (5) 705,811
245 Erizal II c JFU (5) 705,811
246 BaharuddinSyah II b JFU (5) 705,811
247 Toyinah II b JFU (5) 705,811
248 Siti Maniz Nazara II b JFU (5) 705,811
249 Sri Martini II b JFU (5) 705,811
250 Sugiono II b JFU (5) 705,811
251 Ofdanus II b JFU (4) 692,389
252 Yanrizal II c JFU (4) 692,389
253 Fikri Budiman II c JFU (4) 692,389
Jumlah 388,763,220
Mengetahui
Pengguna Anggaran

NIP. 19700506 199101 1 001
KWITA
ab. Pelalawan
Pen
gelo
laa
Kondisi Tempat Kelangkaan Pertimbangan Pengelola Barang
Prestasi Kerja n
Kerja Bekerja Profesi Objektif Lainnya Milik Daerah
Keu
ang
an
3,444,681
1,777,148
1,777,148
1,800,844
3,444,681
3,444,681
3,444,681
1,777,148
1,777,148
1,777,148
1,777,148
1,777,148
1,777,148
1,777,148
873,172
1,777,148
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
873,172
758,776
758,776
758,776
758,776
758,776
758,776
758,776
1,141,840
705,811
705,811
692,389
705,811
705,811
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
2,996,343 1,634,369
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
4,050,481 2,430,288
5,644,092 3,386,455
5,644,092 3,386,455
2,132,578
2,451,553
2,451,553
0
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,632,812
2,132,578
2,451,553
2,632,812
2,632,812
2,632,812
2,632,812
2,342,383
2,342,383
2,342,383
2,342,383
973,533
1,152,756
1,152,756
1,158,632
1,158,632
1,158,632
1,158,632
1,237,915
1,167,348
1,167,348
1,167,348
1,167,348
1,167,348
1,167,348
1,178,782
1,178,782
1,178,782
1,178,782
1,178,782
1,178,782
1,178,782
1,178,782
1,178,782
1,218,870
1,218,870
1,218,870
1,516,500
1,516,500
1,516,500
1,516,500
1,516,500
1,516,500
1,141,840
1,141,840
1,141,840
1,218,870
1,256,960
1,218,870
1,167,348
1,167,348
1,167,348
1,167,348
1,167,348
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,175,424
1,611,281
1,256,960
1,256,960
1,256,960
1,256,960
1,256,960
1,256,960
1,256,960
1,599,433
1,314,095
1,314,095
1,314,095
1,314,095
1,314,095
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,599,433
1,565,764
1,175,424
1,175,424
1,175,424
1,175,424
1,167,348
1,175,424
1,259,960
1,259,960
1,138,165
1,138,165
1,141,840
1,141,840
1,218,870
1,167,348
1,256,960
1,175,424
1,256,960
1,175,424
1,158,632
1,158,632
1,295,050
1,295,050
1,167,348
1,256,960
698,537
698,537
698,537
698,537
698,537
698,537
698,537
698,537
607,020
607,020
607,020
698,537
698,537
698,537
698,537
607,020
607,020
607,020
607,020
698,537
698,537
698,537
698,537
705,811
705,811
705,811
705,811
705,811
705,811
705,811
705,811
692,389
692,389
692,389
387,723,747 0 0 49,053,849 0 0 0
KWITANSI
Potongan
Jumlah TTP di
Perbup
Perbup 65 Jumlah Kotor PPH 21 IWP 1%
Th.2015
6,889,362 6,889,362 344,468 68,894
3,554,296 3,554,296 533,144 35,543
3,554,296 3,554,296 177,715 35,543
4,641,161 4,641,161 232,058 46,412

6,889,362 6,889,362 1,033,404 68,894
6,889,362 6,889,362 1,033,404 68,894
6,889,362 6,889,362 344,468 68,894
3,554,296 3,554,296 533,144 35,543
3,554,296 3,554,296 177,715 35,543
3,554,296 3,554,296 177,715 35,543
3,554,296 3,554,296 177,715 35,543
3,554,296 3,554,296 177,715 35,543
3,554,296 3,554,296 177,715 35,543
3,554,296 3,554,296 177,715 35,543
1,746,344 1,746,344 261,952 17,463
3,554,296 355,430 3,198,866 159,943 31,989
1,746,344 1,746,344 0 0 0
1,746,344 1,746,344 0 0 0
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 87,317 17,463
1,746,344 1,746,344 17,463
1,746,344 1,746,344 17,463
1,517,552 1,517,552 75,878 15,176
1,517,552 1,517,552 75,878 15,176
1,517,552 1,517,552 75,878 15,176
1,517,552 1,517,552 75,878 15,176
1,517,552 1,517,552 75,878 15,176
1,517,552 1,517,552 15,176
1,517,552 1,517,552 15,176
2,283,680 2,283,680 114,184 22,837
1,411,622 1,411,622 14,116

1,411,622 1,411,622 14,116
1,384,778 1,384,778 13,848
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
7,627,055 7,627,055 381,353 76,271
10,531,250 10,531,250 1,579,688 105,313

10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
10,531,250 10,531,250 1,579,688 105,313
14,674,639 14,674,639 2,201,196 146,746
14,674,639 14,674,639 2,201,196 146,746
4,265,156 4,265,156 213,258 42,652

4,903,106 4,903,106 245,155 49,031
4,903,106 4,903,106 245,155 49,031
0 0 0 0
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
4,265,156 4,265,156 639,773 42,652
4,903,106 4,903,106 735,466 49,031

5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
5,265,624 5,265,624 789,844 52,656
4,684,766 4,684,766 702,715 46,848
4,684,766 4,684,766 702,715 46,848
4,684,766 4,684,766 702,715 46,848
4,684,766 4,684,766 702,715 46,848
1,947,066 1,947,066 19,471
2,305,512 2,305,512 23,055
2,305,512 2,305,512 23,055
2,317,264 2,317,264 115,863 23,173
2,317,264 2,317,264 115,863 23,173
2,317,264 2,317,264 115,863 23,173
2,317,264 2,317,264 115,863 23,173
2,475,830 2,475,830 123,792 24,758
2,334,696 2,334,696 23,347

2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,357,564 2,357,564 117,878 23,576
2,437,740 2,437,740 121,887 24,377

2,437,740 2,437,740 121,887 24,377
2,437,740 2,437,740 121,887 24,377
3,033,000 3,033,000 151,650 30,330
3,033,000 3,033,000 151,650 30,330
3,033,000 3,033,000 151,650 30,330
3,033,000 3,033,000 151,650 30,330
3,033,000 3,033,000 151,650 30,330
3,033,000 3,033,000 151,650 30,330
2,283,680 2,283,680 114,184 22,837
2,283,680 2,283,680 114,184 22,837
2,283,680 2,283,680 114,184 22,837
2,437,740 2,437,740 121,887 24,377
0 0 0 0
2,513,920 2,513,920 125,696 25,139
2,437,740 2,437,740 121,887 24,377
2,334,696 2,334,696 116,735 23,347

2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,334,696 2,334,696 23,347
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
3,222,562 3,222,562 161,128 32,226
2,513,920 2,513,920 125,696 25,139

2,513,920 2,513,920 125,696 25,139
2,513,920 2,513,920 125,696 25,139
2,513,920 2,513,920 125,696 25,139
2,513,920 2,513,920 125,696 25,139
2,513,920 2,513,920 125,696 25,139
2,513,920 2,513,920 125,696 25,139
3,198,866 3,198,866 159,943 31,989
2,628,190 2,628,190 131,410 26,282
2,628,190 2,628,190 131,410 26,282
2,628,190 2,628,190 131,410 26,282
2,628,190 2,628,190 131,410 26,282
2,628,190 2,628,190 131,410 26,282
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,198,866 3,198,866 159,943 31,989
3,131,528 3,131,528 469,729 31,315
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508
2,350,848 2,350,848 117,542 23,508

2,350,848 2,350,848 117,542 23,508
2,334,696 2,334,696 23,347
2,350,848 2,350,848 117,542 23,508
2,519,920 2,519,920 125,996 25,199
2,519,920 2,519,920 125,996 25,199
2,276,330 2,276,330 22,763
2,276,330 2,276,330 22,763
2,283,680 2,283,680 114,184 22,837
2,283,680 2,283,680 114,184 22,837
2,437,740 2,437,740 121,887 24,377
2,334,696 2,334,696 116,735 23,347
2,513,920 2,513,920 125,696 25,139
2,350,848 2,350,848 117,542 23,508
2,513,920 2,513,920 125,696 25,139
0 0 0
2,350,848 2,350,848 117,542 23,508
2,317,264 2,317,264 115,863 23,173
2,317,264 2,317,264 115,863 23,173
2,590,100 2,590,100 129,505 25,901

2,590,100 2,590,100 129,505 25,901
2,334,696 2,334,696 23,347
2,513,920 2,513,920 125,696 25,139
1,397,074 1,397,074 69,854 13,971

1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,214,040 1,214,040 12,140
1,214,040 1,214,040 12,140
1,214,040 1,214,040 12,140
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,214,040 1,214,040 12,140
1,214,040 1,214,040 12,140
1,214,040 1,214,040 12,140
1,214,040 1,214,040 12,140
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,397,074 1,397,074 69,854 13,971
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,411,622 1,411,622 14,116
1,384,778 1,384,778 13,848
1,384,778 1,384,778 13,848
1,384,778 1,384,778 13,848
825,540,816 3,848,118 821,692,698 63,984,913 8,216,927
Jumlah Potongan Jumlah Yang Dibayarkan
413,362 6,476,000
568,687 2,985,609
213,258 3,341,038
278,470 4,362,691
1,102,298 5,787,064
1,102,298 5,787,064
413,362 6,476,000
568,687 2,985,609
213,258 3,341,038
213,258 3,341,038
213,258 3,341,038
213,258 3,341,038
213,258 3,341,038
213,258 3,341,038
279,415 1,466,929
191,932 3,006,934
0 0
0 0
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
104,781 1,641,563
17,463 1,728,881
17,463 1,728,881
91,053 1,426,499
91,053 1,426,499
91,053 1,426,499
91,053 1,426,499
91,053 1,426,499
15,176 1,502,376
15,176 1,502,376
137,021 2,146,659
14,116 1,397,506
14,116 1,397,506
13,848 1,370,930
14,116 1,397,506
14,116 1,397,506
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
457,623 7,169,432
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
1,685,000 8,846,250
2,347,942 12,326,697
2,347,942 12,326,697
255,909 4,009,247
294,186 4,608,920
294,186 4,608,920
0 0
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
682,425 3,582,731
784,497 4,118,609
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
842,500 4,423,124
749,563 3,935,203
749,563 3,935,203
749,563 3,935,203
749,563 3,935,203
19,471 1,927,595
23,055 2,282,457
23,055 2,282,457
139,036 2,178,228
139,036 2,178,228
139,036 2,178,228
139,036 2,178,228
148,550 2,327,280
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
141,454 2,216,110
146,264 2,291,476
146,264 2,291,476
146,264 2,291,476
181,980 2,851,020
181,980 2,851,020
181,980 2,851,020
181,980 2,851,020
181,980 2,851,020
181,980 2,851,020
137,021 2,146,659
137,021 2,146,659
137,021 2,146,659
146,264 2,291,476
0 0
150,835 2,363,085
146,264 2,291,476
140,082 2,194,614
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
23,347 2,311,349
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
193,354 3,029,208
150,835 2,363,085
150,835 2,363,085
150,835 2,363,085
150,835 2,363,085
150,835 2,363,085
150,835 2,363,085
150,835 2,363,085
191,932 3,006,934
157,691 2,470,499
157,691 2,470,499
157,691 2,470,499
157,691 2,470,499
157,691 2,470,499
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
191,932 3,006,934
501,044 2,630,484
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
141,051 2,209,797
23,347 2,311,349
141,051 2,209,797
151,195 2,368,725
151,195 2,368,725
22,763 2,253,567
22,763 2,253,567
137,021 2,146,659
137,021 2,146,659
146,264 2,291,476
140,082 2,194,614
150,835 2,363,085
141,051 2,209,797
150,835 2,363,085
0 0
141,051 2,209,797
139,036 2,178,228
139,036 2,178,228
155,406 2,434,694
155,406 2,434,694
23,347 2,311,349
150,835 2,363,085
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
12,140 1,201,900
12,140 1,201,900
12,140 1,201,900
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
12,140 1,201,900
12,140 1,201,900
12,140 1,201,900
12,140 1,201,900
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
83,824 1,313,250
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
14,116 1,397,506
13,848 1,370,930
13,848 1,370,930
13,848 1,370,930
72,201,840 749,490,859
Pangkalan Kerinci, juli 20

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
Tanda Tangan
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
Pangkalan Kerinci, juli 2021

NORA HELVIA, AMK

NIP. 19780308 200604 2 014
NO NAMA Beban Kerja PNS

2 SEKIJANG 85,536,600
3 PKL. KURAS 39,148,450
4 PKL. KERINCI II
5 PKL. KERINCI
6 KERUMUTAN
7 PELALAWAN
8 T. MERANTI
9 PKL. LESUNG
10 LANGGAM
11 BUNUT
12 UKUI
13 K. KAMPAR
14 B PETALANGAN
15 PANGKALAN KURAS II
16 IFK
17 RSUD SELASIH
TOTAL 220,286,149
Tempat Kelangkaan
Prestasi Kerja Kondisi Kerja
Bekerja Profesi
93,232,678 1,128,818 - -
90,506,225 - - -
40,616,031 - - -
- - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - -
- - -
224,354,934 1,128,818 - -
Potongan
Pertimbangan Pengelola Barang Pengelolaan
Perbup 65
Objektif Lainnya Milik Daerah Keuangan
Th.2015
- - - -
- - - 0
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -

TPP Juli 2021 New

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

TPP Juli 2021 New

Diunggah oleh

Hak Cipta:

Format Tersedia

REKAPITULASI ZAKAT DAN INFAK

DINAS KESEHATAN KABUPATEN PELALAWAN

NO INSTANSI/ PUSKESMAS ZAKAT INFAK JUMLAH

1 DINAS KESEHATAN 1,863,943 275,000 2,138,943

2 PANGKALAN KURAS 1,235,384 100,000 1,335,384

3 LANGGAM 1,497,397.92 160,000.00 1,657,398

4 BANDAR SEI.KIJANG 425,409 257,500 682,909

5 BUNUT 264,819 50,000 314,819

6 PANGKALAN KERINCI 2,563,929 320,000 2,883,929

7 PANGKALAN LESUNG 1,331,275 1,331,275

8 UKUI 1,894,208 1,894,208

9 TELUK MERANTI 2,259,855 2,259,855

10 PANGKALAN KURAS II 2,441,552 2,441,552

11 PANGKALAN KERINCI II 181,239 90,000 271,239

12 KUALA KAMPAR 1,320,997 350,000 1,670,997

14 BANDAR PETALANGAN 2,290,856 2,290,856

JUMLAH 19,570,865 1,602,500 21,173,365

H. ASRIL. K, SKM, M.Kes ELVA YUNITA Z, SKM

H. ASRIL. K, SKM, M.Kes

2,138,943 8,125,500 167,701,018 DINAS KESEHATA 167,701,018

22,881,005 SEKIJANG 162,766,175

21,173,365 16,305,500 2,100,401,611

NO INSTANSI/ PUSKESMAS JUMLAH TAGIHAN

1 DINAS KESEHATAN 8,125,500

5 PANGKALAN KERINCI 701,000

Bulan : Agustus 2021

NO NAMA TPP GAJI GAJI + TPP ZAKAT INFAK

1 Rosdiana, SKM 2,405,548 4,278,300 6,683,848

2 dr. Eko Rahayu 4,287,029 5,696,300 9,983,329

3 Ijang Mulyana, SKM 2,405,548 5,279,700 7,685,248 192,131

4 Roida Rusliana 2,420,045 5,999,200 8,419,245

5 Hernadi 2,112,454 5,462,000 7,574,454 189,361

6 Wahyu Widodo 2,219,868 5,180,700 7,400,568 185,014

7 Kusnan 2,219,868 5,180,700 7,400,568

8 Dadang 2,219,868 5,167,100 7,386,968

9 Sri Reni Ginting 1,322,349 4,501,000 5,823,349

10 Sofinah, S.Farm, Apt 3,964,700 3,918,600 7,883,300

11 Ika Mustika 2,337,946 4,191,600 6,529,546 163,239

12 Rotua Sirait 1,686,645 1,996,900 3,683,545

13 Heni Kustianti, Amd. Keb 2,405,548 3,934,500 6,340,048 158,501

14 Yulia Hidayati 2,112,454 4,510,200 6,622,654

15 Roslyna Herawati. N 2,112,454 4,286,300 6,398,754

16 dr. Elfi Amelia Putri 3,964,700 2,840,800 6,805,500

17 Suwito, Amk 2,051,954 3,886,700 5,938,654

18 Farentina 2,405,548 4,726,600 7,132,148

19 Elni Suzana 1,625,779 3,281,600 4,907,379

20 Rahmad Hidayat, SKM 2,405,548 4,074,300 6,479,848 161,996

21 Masrita Sinaga, AMG 1,925,680 3,709,500 5,635,180

22 Masrukin 2,051,954 3,709,500 5,761,454

23 Afifatul Husna 2,051,954 2,992,100 5,044,054

24 Elly Asniar 1,925,680 3,437,700 5,363,380

25 Herawati Siregar 2,076,650 4,273,600 6,350,250 158,756

26 Husniyati 2,076,650 4,016,100 6,092,750 152,319

27 Ns. Marda Wira, S. Kep 2,219,868 3,262,600 5,482,468

28 Ns. Amin Suliah, S. Kep 2,219,868 3,143,200 5,363,068

29 Julia Betriningsih, S. Tr. Keb 2,076,650 2,856,300 4,932,950

30 Nova Erani, Amd. KL - 3,101,200 3,101,200

31 Ishak 1,392,686 4,027,900 5,420,586 135,515

32 Dwi May Christiana 2,022,431 3,310,200 5,332,631 133,316

33 Seto Setiawan 2,022,431 3,138,600 5,161,031

34 Wiwik Sri Rahayuningsih 2,076,650 3,551,900 5,628,550

35 Lichomsatun,Amd.Keb 2,076,650 3,911,300 5,987,950