DAFTAR : PENERIMA TUNJANGAN PRESTASI KERJA ( TC ) TRIWULAN III ( JULI s.d.

SEPTEMBER 2021 )
UPTD PUSKESMAS BENER KELIPAH
KABUPATEN BENER MERIAH

JULI AGUSTUS SEPTEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
UMI SALMAH, SKM. MKM

1 19750802 200301 2 001 III C Kepala Puskesmas 1,040,000 41,600 10,400 52,000 936,000 1,040,000 41,600 10,400 52,000 936,000 1,040,000 41,600 10,400 52,000 936,000 3,120,000 124,800 31,200 156,000 2,808,000 1

YULIANA, Amd. Keb

III d / Eselon
2 197908012006042000 Ka TU 936,000 37,440 9,360 46,800 842,400 936,000 37,440 9,360 46,800 842,400 936,000 37,440 9,360 46,800 842,400 2,808,000 112,320 28,080 140,400 2,527,200 2
IV b

drg. DIAN SYAHFITRI

3 198606182015032001 III d DOKTER GIGI 832,000 33,280 8,320 41,600 748,800 832,000 33,280 8,320 41,600 748,800 832,000 33,280 8,320 41,600 748,800 2,496,000 99,840 24,960 124,800 2,246,400

YUSNIDAR FITRI, Amd. Kep

4 198406202010032001 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 3

HAZIMAH, Amd Far

5 198807052011032001 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 4

RUBIAH SKM

6 197906172014062002 III b Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 5

RASIDAH Amd. Keb

7 198602012010032002 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 6

PARIDA SIMARMATA AMG

8 198607202009042008 III b Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 7

SAUFA ELWANI AMG

9 197108152014062001 III a Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 8

FATMAYANTI, Amd. Kep

10 197903302014062003 III a Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 9

ROSITA MULYANI, Amd Keb

Staf
11 198711162017052002 II c Puskesmas/Pembantu 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 10
Bendahara pengeluaran

HERNAWATI, Amd. Kep

12 198208182014062002 II c Staf Puskesmass 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 11

MAWADDAH, Amd.Keb

Staf Puskesmas/
13 198206102014062001 II c 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400 12
Bendahara penerimaan

ROSLINA, Amd.Keb

Staf Puskesmas/
14 198205122014062003 II c 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400 13
Bendahara Barang

PARIDAWATI S

15 198209082014102003 14
II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000

RAHMAWATI, Amd. Keb

16 198709292017052001 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 15

HAJRAWANI
Staf Puskesmas/
17 198112062014062003 II a Pembantu Bendahara 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 16
Penerimaan

HAYATI

18 198304242014062005
Staf Puskesmas/ 17
II a 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400
Bendahara Pengeluaran

IDALAILA
Staf Puskesmas/
II a Pembantu Bendahara 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000
Barang
 JULI AGUSTUS SEPTEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Staf Puskesmas/
19 198308042014062002 II a Pembantu Bendahara 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 18
Barang

MARLINA

20 198403042014062002 II a Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 19

SYAFRIDA YULISMA

21 198809132017052006 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 21

WIDIA DURKASI

22 198304152017052001 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 22

RINA INAYATI

23 198812022017052007 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 23

ARINA

24 1986092017052006 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 24

IRHAMNI

25 198505032017052003 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 25

NURLELA

26 198801032017052003 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 26

JUMLAH 12,584,000 503,360 125,840 249,600 11,705,200 12,584,000 503,360 125,840 249,600 11,705,200 12,584,000 503,360 125,840 249,600 11,705,200 37,752,000 1,510,080 377,520 748,800 35,115,600

Mengetahui, Bener Kelipah, 03 November 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 JULI AGUSTUS SEPTEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : Juli 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
NIP Jumlah Jumlah Jumlah Jumlah Total Bruto 100%
Tdk.
30%
Tdk.
40%
Tdk Hadir
50%
Cuti yang tidak
NO Jabatan Tunjangan Komponen Komponen Komponen BPJS 4 % TUNJ. BPJS TUNJ. BPJS PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14 (10+11+12+13+
( 5+6 ) ( 7+8 ) 14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)

UMI SALMAH, SKM. MKM 1,000,000 100% 65% 100% 30% 40% 50% 38,462 1,000,000

1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 0% 0% 0% 0% - Hari - 1,040,000 40,000 10,000 50,000 940,000 1

Perhari 13,461.54 25,000 - - - - -

YULIANA, Amd. Keb 900,000 100% 65% 1 100% 30% 40% 50% 34,615 877,500

2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 100% 0% 0% 0% - Hari 22,500 913,500 35,100 8,775 43,875.00 824,850 2

Perhari 12,115.38 22,500 22,500 - - - -

drg. DIAN SYAHFITRI 800,000 100% 65% 100% 30% 40% 50% 30,769 800,000

3 198606182015032001 DOKTER GIGI Perbulan 280,000 520,000 800,000 32,000 832,000 0% 0% 0% 0% - Hari - 832,000 32,000 8,000 40,000.00 752,000 3

Perhari 10,769.23 20,000 - - - - -

YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000

4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000.00 282,000 4

Perhari 4,038.46 7,500 - - - - -

HAZIMAH, Amd Far 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500

5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625.00 274,950 5

Perhari 4,038.46 7,500 7,500 - - - -

RUBIAH SKM 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000

6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000.00 282,000 6

Perhari 4,038 7,500 - - - - -

RASIDAH Amd. Keb 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500

7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625.00 274,950 7

Perhari 4,038 7,500 7,500 - - - -

PARIDA SIMARMATA AMG 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500

8 198607202009042008 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625.00 274,950 8

Perhari 4,038 7,500 7,500 - - - -

SAUFA ELWANI AMG 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500

9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625.00 274,950 9

Perhari 4,038 7,500 7,500 - - - -

FATMAYANTI, Amd. Kep 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500

10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625.00 274,950 10

Perhari 4,038 7,500 7,500 - - - -

ROSITA MULYANI, Amd Keb 750,000 100% 65% 1 100% 30% 40% 50% 28,846 731,250
Staf
11 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 18,750 761,250 29,250 7,313 723,938 11
Bendahara pengeluaran
Perhari 10,096 18,750 18,750 - - - -

HAJRAWANI 750,000 100% 65% 100% 30% 40% 50% 28,846 750,000
Staf Puskesmas/
12 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 0% 0% 0% 0% - Hari - 780,000 30,000 7,500 742,500 12
Penerimaan
Perhari 10,096 18,750 - - - - -

IDALAILA 750,000 100% 65% 100% 30% 40% 50% 28,846 750,000
Staf Puskesmas/
13 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 0% 0% 0% 0% - Hari - 780,000 30,000 7,500 742,500 13
Barang
Perhari 10,096 18,750 - - - - -

MAWADDAH, Amd.Keb 850,000 100% 65% 1 100% 30% 40% 50% 32,692 828,750

198206102014062001 Perbulan 297,500 552,500 100% 0% 0% 0% - Hari

14
Staf Puskesmas/ 850,000 34,000 884,000 21,250 862,750 33,150 8,288 820,463 14
Bendahara penerimaan
Perhari 11,442 21,250 21,250 - - - -

ROSLINA, Amd.Keb 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000

15 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 841,500 15
Bendahara Barang
Perhari 11,442 21,250 - - - - -

HAYATI 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000

16 198304242014062005 Staf Puskesmas/ Perbulan 297,500 552,500 0% 0% 0% 0% - Hari

850,000 34,000 884,000 - 884,000 34,000 8,500 841,500 16
Bendahara Pengeluaran
Perhari 11,442 21,250 - - - - -

PARIDAWATI S 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

17 198209082014102003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 247,500 17
17 Staf Puskesmas 250,000 10,000 260,000 - 260,000 10,000 2,500 247,500 17

Perhari 3,365 6,250 - - - - -

RAHMAWATI, Amd. Keb 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

18 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 247,500 18

Perhari 3,365 6,250 - - - - -

HERNAWATI, Amd. Kep 250,000 100% 65% 1 100% 30% 40% 50% 9,615 243,750

19 198208182014062002 Staf Puskesmass Perbulan 87,500 162,500 250,000 10,000 260,000 100% 0% 0% 0% - Hari 6,250 253,750 9,750 2,438 241,313 19

Perhari 3,365 6,250 6,250 - - - -

MARLINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

20 198403042014062002 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 247,500 20

Perhari 3,365 6,250 - - - - -

SYAFRIDA YULISMA 250,000 100% 65% 2 100% 30% 40% 50% 9,615 237,500

21 198809132017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 200% 0% 0% 0% - Hari 12,500 247,500 9,500 2,375 235,125 21

Perhari 3,365 6,250 12,500 - - - -

WIDIA DURKASI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

22 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 247,500 22

Perhari 3,365 6,250 - - - - -

RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

23 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 247,500 23

Perhari 3,365 6,250 - - - - -

ARINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

24 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 247,500 24

Perhari 3,365 6,250 - - - - -

IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

25 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 247,500 25

Perhari 3,365 6,250 - - - - -

NURLELA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000

26 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 247,500 26

Perhari 3,365 6,250 - - - - -

JUMLAH TOTAL........................................................ Rp 11,981,250 Rp 12,465,250 Rp 479,250 Rp 119,813 Rp 237,000 Rp 11,624,438

Bener Kelipah, 03 November 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah Rp 11,981,250

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : Agustus 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
Jumlah Jumlah Jumlah Jumlah Total Bruto Tdk. Tdk. Tdk Hadir Cuti yang tidak
NIP BPJS 4 % 100% 30% 40% 50%
TUNJ. BPJS TUNJ. BPJS
NO Jabatan Tunjangan Komponen Komponen Komponen PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14 (10+11+12+13+
( 5+6 ) ( 7+8 ) 14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)

UMI SALMAH, SKM. MKM 1,000,000 100% 65% 100% 30% 40% 50% 41,667 1,000,000 940,000

1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 0% 0% 0% 0% - Hari - 1,040,000 40,000 10,000 50,000.00 1

Perhari 14,583.33 27,083 - - - - -

YULIANA, Amd. Keb 900,000 100% 65% 1 100% 30% 40% 50% 37,500 875,625 823,088

2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 100% 0% 0% 0% - Hari 24,375 911,625 35,025 8,756 43,781.25 2

Perhari 13,125.00 24,375 24,375 - - - -

drg. DIAN SYAHFITRI 800,000 100% 65% 100% 30% 40% 50% 33,333 800,000 752,000

3 198606182015032001 DOKTER GIGI Perbulan 280,000 520,000 800,000 32,000 832,000 0% 0% 0% 0% - Hari - 832,000 32,000 8,000 40,000.00 3

Perhari 11,666.67 21,666.67 - - - - -

YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 1 100% 30% 40% 50% 12,500 291,875 274,363

4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 8,125 303,875 11,675 2,919 14,593.75 4

Perhari 4,375.00 8,125 8,125 - - - -

HAZIMAH, Amd Far 300,000 100% 65% 1 100% 30% 40% 50% 12,500 291,875 274,363

5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 8,125 303,875 11,675 2,919 14,593.75 5

Perhari 4,375.00 8,125 8,125 - - - -

RUBIAH SKM 300,000 100% 65% 1 100% 30% 40% 50% 12,500 291,875 274,363

6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 8,125 303,875 11,675 2,919 14,593.75 6

Perhari 4,375.00 8,125 8,125 - - - -

RASIDAH Amd. Keb 300,000 100% 65% 1 100% 30% 40% 50% 12,500 291,875 274,363

7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 8,125 303,875 11,675 2,919 14,593.75 7

Perhari 4,375.00 8,125 8,125 - - - -

PARIDA SIMARMATA AMG 300,000 100% 65% 100% 30% 40% 50% 12,500 300,000 282,000

8 198607202009042008 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000.00 8

Perhari 4,375.00 8,125 - - - - -

SAUFA ELWANI AMG 300,000 100% 65% 100% 30% 40% 50% 12,500 300,000 282,000

9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000.00 9

Perhari 4,375.00 8,125 - - - - -

FATMAYANTI, Amd. Kep 300,000 100% 65% 100% 30% 40% 50% 12,500 300,000 282,000

10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000.00 10

Perhari 4,375.00 8,125 - - - - -

ROSITA MULYANI, Amd Keb 750,000 100% 65% 1 100% 30% 40% 50% 31,250 729,688 722,391
Staf
11 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 20,313 759,688 29,188 7,297 11
Bendahara pengeluaran
Perhari 10,937.50 20,312.50 20,313 - - - -

HAJRAWANI 750,000 100% 65% 100% 30% 40% 50% 31,250 750,000 742,500
Staf Puskesmas/
12 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 0% 0% 0% 0% - Hari - 780,000 30,000 7,500 12
Penerimaan
Perhari 10,937.50 20,312.50 - - - - -

IDALAILA 750,000 100% 65% 1 100% 30% 40% 50% 31,250 729,688 722,391
Staf Puskesmas/
13 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 20,313 759,688 29,188 7,297 13
Barang
Perhari 10,937.50 20,312.50 20,313 - - - -

MAWADDAH, Amd.Keb 850,000 100% 65% 1 100% 30% 40% 50% 35,417 826,979 818,709
14
Staf Puskesmas/ 850,000 34,000 884,000 23,021 860,979 33,079 8,270 14
198206102014062001 Bendahara penerimaan Perbulan 297,500 552,500 100% 0% 0% 0% - Hari
Perhari 12,395.83 23,020.83 23,021 - - - -
ROSLINA, Amd.Keb 850,000 100% 65% 100% 30% 40% 50% 35,417 850,000 841,500

15 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 15
Bendahara Barang
Perhari 12,395.83 23,020.83 - - - - -

HAYATI 850,000 100% 65% 100% 30% 40% 50% 35,417 850,000 841,500

16 198304242014062005
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 16
Bendahara Pengeluaran
 Staf Puskesmas/ 850,000 34,000 884,000 - 884,000 34,000 8,500 16
Bendahara Pengeluaran
Perhari 12,395.83 23,020.83 - - - - -

PARIDAWATI S 250,000 100% 65% 1 100% 30% 40% 50% 10,417 243,229 240,797

17 198209082014102003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 100% 0% 0% 0% - Hari 6,771 253,229 9,729 2,432 17

Perhari 3,645.83 6,770.83 6,771 - - - -

RAHMAWATI, Amd. Keb 250,000 100% 65% 100% 30% 40% 50% 10,417 250,000 247,500

18 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 18

Perhari 3,645.83 6,770.83 - - - - -

HERNAWATI, Amd. Kep 250,000 100% 65% 1 100% 30% 40% 50% 10,417 243,229 240,797

19 198208182014062002 Staf Puskesmass Perbulan 87,500 162,500 250,000 10,000 260,000 100% 0% 0% 0% - Hari 6,771 253,229 9,729 2,432 19

Perhari 3,645.83 6,770.83 6,771 - - - -

MARLINA 250,000 100% 65% 100% 30% 40% 50% 10,417 250,000 247,500

20 198403042014062002 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 20

Perhari 3,645.83 6,770.83 - - - - -

SYAFRIDA YULISMA 250,000 100% 65% 2 100% 30% 40% 50% 10,417 236,458 234,094

21 198809132017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 200% 0% 0% 0% - Hari 13,542 246,458 9,458 2,365 21

Perhari 3,645.83 6,770.83 13,542 - - - -

WIDIA DURKASI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

22 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 22

Perhari 3,365.38 6,250 - - - - -

RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

23 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 23

Perhari 3,365.38 6,250 - - - - -

ARINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

24 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 24

Perhari 3,365.38 6,250 - - - - -

IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

25 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 25

Perhari 3,365.38 6,250 - - - - -

NURLELA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

26 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 26

Perhari 3,365.38 6,250 - - - - -

JUMLAH TOTAL........................................................ Rp 11,952,396 Rp 12,436,396 Rp 478,096 Rp 119,524 237,156 Rp 11,595,716

Bener Kelipah, 03 November 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : September 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
NIP Jumlah Jumlah Jumlah Jumlah Total Bruto 100%
Tdk.
30%
Tdk.
40%
Tdk Hadir
50%
Cuti yang tidak
NO Jabatan Tunjangan Komponen Komponen Komponen BPJS 4 % TUNJ. BPJS TUNJ. BPJS PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14 (10+11+12+13+
( 5+6 ) ( 7+8 ) 14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)
NIP
UMI SALMAH, SKM. MKM 1,000,000 100% 65% 100% 30% 40% 50% 38,462 1,000,000 940,000 19750802 200301 2 001
1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 0% 0% 0% 0% - Hari - 1,040,000 40,000 10,000 50,000 1 940,000
Perhari 13,462 25,000 - - - - - -
2,820,000
YULIANA, Amd. Keb 900,000 100% 65% 100% 30% 40% 50% 34,615 900,000 846,000 -
2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 0% 0% 0% 0% - Hari - 936,000 36,000 9,000 45,000 2 846,000
Perhari 12,115 22,500 - - - - - -
2,493,938
drg. DIAN SYAHFITRI 800,000 100% 65% 100% 30% 40% 50% 30,769 800,000 752,000 -
3 198606182015032001 DOKTER GIGI Perbulan 280,000 520,000 800,000 32,000 832,000 0% 0% 0% 0% - Hari - 832,000 32,000 8,000 40,000 3 752,000
Perhari 10,769 20,000 - - - - - -
2,256,000
YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 2 100% 30% 40% 50% 11,538 285,000 267,900 -
105000 4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 200% 0% 0% 0% - Hari 15,000 297,000 11,400 2,850 14,250 4 267,900
Perhari 4,038 7,500 15,000 - - - - -
824,263
HAZIMAH, Amd Far 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500 274,950 -
5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625 5 274,950
Perhari 4,038 7,500 7,500 - - - - -
824,263
RUBIAH SKM 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000 282,000 -
6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 6 282,000
Perhari 4,038 7,500 - - - - - -
838,363
RASIDAH Amd. Keb 300,000 100% 65% 2 100% 30% 40% 50% 11,538 285,000 267,900 -
7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 200% 0% 0% 0% - Hari 15,000 297,000 11,400 2,850 14,250 7 267,900
Perhari 4,038 7,500 15,000 - - - - -
817,213
PARIDA SIMARMATA AMG 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000 282,000 -
8 198607202009042008 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 8 282,000
Perhari 4,038 7,500 - - - - - -
838,950
SAUFA ELWANI AMG 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000 282,000 -
9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 9 282,000
Perhari 4,038 7,500 - - - - - -
838,950
FATMAYANTI, Amd. Kep 300,000 100% 65% 100% 30% 40% 50% 11,538 300,000 282,000 -
10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 10 282,000
Perhari 4,038 7,500 - - - - - -
838,950
ROSITA MULYANI, Amd Keb 750,000 100% 65% 1 100% 30% 40% 50% 28,846 731,250 723,938 -
Staf
11 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 18,750 761,250 29,250 7,313 11 723,938
Bendahara pengeluaran
Perhari 10,096 18,750 18,750 - - - - -
2,170,266
HAJRAWANI 750,000 100% 65% 1 100% 30% 40% 50% 28,846 731,250 723,938 -
Staf Puskesmas/
12 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 18,750 761,250 29,250 7,313 12 723,938
Penerimaan
Perhari 10,096 18,750 18,750 - - - - -
2,208,938
IDALAILA 750,000 100% 65% 1 100% 30% 40% 50% 28,846 731,250 723,938 -
Staf Puskesmas/
13 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 100% 0% 0% 0% - Hari 18,750 761,250 29,250 7,313 13 723,938
Barang
Perhari 10,096 18,750 18,750 - - - - -
2,188,828
MAWADDAH, Amd.Keb 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000 841,500 -
14 198206102014062001
Staf Puskesmas/ 850,000 34,000 884,000 - 884,000 34,000 8,500 14
Perbulan 297,500 552,500 0% 0% 0% 0% - Hari 841,500
Bendahara penerimaan
Perhari 11,442 21,250 - - - - - 2,480,672 -
ROSLINA, Amd.Keb 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000 841,500 -
15 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 15
Bendahara Barang 841,500
Perhari 11,442 21,250 - - - - - -
2,524,500
HAYATI 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000 830,282 -
16 198304242014062005
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 16
Bendahara Pengeluaran 841,500
Perhari 11,442 21,250 - - - - - -
2,513,282
PARIDAWATI S 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
17 198209082014102003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 17 247,500
Perhari 3,365 6,250 - - - - - -
735,797
RAHMAWATI, Amd. Keb 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
18 Staf Puskesmas 250,000 10,000 260,000 - 260,000 10,000 2,500 18

742,500
18 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 18 247,500
Perhari 3,365 6,250 - - - - - 742,500 -
HERNAWATI, Amd. Kep 250,000 100% 65% 1 100% 30% 40% 50% 9,615 243,750 241,313 -
19 198208182014062002 Staf Puskesmass Perbulan 87,500 162,500 250,000 10,000 260,000 100% 0% 0% 0% - Hari 6,250 253,750 9,750 2,438 19 241,313
Perhari 3,365.38 6,250 6,250 - - - - 723,422 -
MARLINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
20 198403042014062002 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% - Hari - 260,000 10,000 2,500 20 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
SYAFRIDA YULISMA 250,000 100% 65% 2 100% 30% 40% 50% 9,615 237,500 235,125 -
21 198809132017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 200% 0% 0% 0% - Hari 12,500 247,500 9,500 2,375 21 235,125
Perhari 3,365.38 6,250 12,500 - - - - 704,344 -
WIDIA DURKASIH 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
22 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 22 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
23 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 23 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
ARINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
24 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 24 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
25 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 25 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
NURLELA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500 -
26 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 26 247,500
Perhari 3,365.38 6,250 - - - - - 742,500 -
JUMLAH TOTAL........................................................ Rp 11,987,500 Rp 12,471,500 Rp 479,500 Rp 119,875 238,125 Rp 11,618,282 34,838,435 11,629,500

Bener Kelipah, 03 November 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah #REF!

Rp 35,962,500
UMI SALMAH, SKM. MKM HAYATI
Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
JULI 23

AGUSTUS 22

NAMA NO REKENING JUMLAH

 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : Oktober 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
NIP Jumlah Jumlah Jumlah Jumlah Total Bruto 100%
Tdk.
30%
Tdk.
40%
Tdk Hadir
50%
Cuti yang tidak
NO Jabatan Tunjangan Komponen Komponen Komponen BPJS 4 % TUNJ. BPJS TUNJ. BPJS PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14
( 5+6 ) ( 7+8 ) (10+11+12+13+14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)

UMI SALMAH, SKM. MKM 1,000,000 100% 65% 1 100% 30% 40% 50% 40,000 974,000 915,560

1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 100% 0% 0% 0% - Hari 26,000 1,014,000 38,960 9,740 48,700 1

Perhari 14,000 26,000 26,000 - - - -

YULIANA, Amd. Keb 900,000 100% 65% 2 100% 30% 40% 50% 36,000 853,200 802,008

2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 200% 0% 0% 0% - Hari 46,800 889,200 34,128 8,532 42,660 2

Perhari 12,600 23,400 46,800 - - - -

Ns. FITRIADI S.Kep 300,000 100% 65% 3 100% 30% 40% 50% 12,000 276,600 260,004

3 197809272006041013 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 300% 0% 0% 0% - Hari 23,400 288,600 11,064 2,766 13,830 3

Perhari 4,200 7,800 23,400 - - - -

YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 5 100% 30% 40% 50% 12,000 261,000 245,340

4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 500% 0% 0% 0% - Hari 39,000 273,000 10,440 2,610 13,050 4

Perhari 4,200 7,800 39,000 - - - -

HAZIMAH, Amd Far 300,000 100% 65% 3 100% 30% 40% 50% 12,000 276,600 260,004

5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 300% 0% 0% 0% - Hari 23,400 288,600 11,064 2,766 13,830 5

Perhari 4,200 7,800 23,400 - - - -

RUBIAH SKM 300,000 100% 65% 1 100% 30% 40% 50% 12,000 292,200 274,668

6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,800 304,200 11,688 2,922 14,610 6

Perhari 4,200 7,800 7,800 - - - -

RASIDAH Amd. Keb 300,000 100% 65% 7 100% 30% 40% 50% 12,000 245,400 230,676

7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 700% 0% 0% 0% - Hari 54,600 257,400 9,816 2,454 12,270 7

Perhari 4,200 7,800 54,600 - - - -

PARIDA SIMARMATA AMG 400,000 100% 65% 1 100% 30% 40% 50% 16,000 389,600 366,224

8 198607202009042008 Staf Puskesmass Perbulan 140,000 260,000 400,000 16,000 416,000 100% 0% 0% 0% - Hari 10,400 405,600 15,584 3,896 19,480 8

Perhari 5,600 10,400 10,400 - - - -

SAUFA ELWANI AMG 300,000 100% 65% 4 100% 30% 40% 50% 12,000 268,800 252,672

9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 400% 0% 0% 0% - Hari 31,200 280,800 10,752 2,688 13,440 9

Perhari 4,200 7,800 31,200 - - - -

FATMAYANTI, Amd. Kep 300,000 100% 65% 4 100% 30% 40% 50% 12,000 268,800 252,672

10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 400% 0% 0% 0% - Hari 31,200 280,800 10,752 2,688 13,440 10

Perhari 4,200 7,800 31,200 - - - -

HAJRAWANI 750,000 100% 65% 100% 30% 40% 50% 30,000 750,000 705,000
Staf Puskesmas/
11 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 0% 0% 0% 0% - Hari - 780,000 30,000 7,500 37,500 12
Penerimaan
Perhari 10,500 19,500 - - - - -

IDALAILA 750,000 100% 65% 5 100% 30% 40% 50% 30,000 652,500 613,350
Staf Puskesmas/
12 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 500% 0% 0% 0% - Hari 97,500 682,500 26,100 6,525 32,625 13
Barang
Perhari 10,500 19,500 97,500 - - - -

HAYATI 850,000 100% 65% 3 100% 30% 40% 50% 34,000 783,700 736,678

13 198304242014062005
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 300% 0% 0% 0% - Hari 66,300 817,700 31,348 7,837 39,185 16
Bendahara Pengeluaran
Perhari 11,900 22,100 66,300 - - - -

MARLINA 400,000 100% 65% 2 100% 30% 40% 50% 16,000 379,200 356,448

14 198403042014062002 Staf Puskesmas Perbulan 140,000 260,000 400,000 16,000 416,000 200% 0% 0% 0% - Hari 20,800 395,200 15,168 3,792 18,960 20

Perhari 5,600.00 10,400 20,800 - - - -

ROSITA MULYANI, Amd Keb 750,000 100% 65% 3 100% 30% 40% 50% 30,000 691,500 684,585
Staf
15 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 300% 0% 0% 0% - Hari 58,500 721,500 27,660 6,915 11
Bendahara pengeluaran
Perhari 10,500 19,500 58,500 - - - -

MAWADDAH, Amd.Keb 850,000 100% 65% 3 100% 30% 40% 50% 34,000 783,700 775,863

16 198206102014062001
Staf Puskesmas/ 850,000 34,000 884,000 66,300 817,700 31,348 7,837 14
Perbulan 297,500 552,500 300% 0% 0% 0% - Hari
Bendahara penerimaan
Perhari 11,900 22,100 66,300 - - - -

ROSLINA, Amd.Keb 850,000 100% 65% 1 100% 30% 40% 50% 34,000 827,900 819,621

17 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 100% 0% 0% 0% - Hari 22,100 861,900 33,116 8,279 15
Bendahara Barang
Perhari 11,900 22,100 22,100 - - - -

PARIDAWATI S 300,000 100% 65% 100% 30% 40% 50% 12,000 300,000 297,000

18 Staf Puskesmas 300,000 12,000 312,000 - 312,000 12,000 3,000 17

18 198209082014102003 Staf Puskesmas Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 17

Perhari 4,200 7,800 - - - - -

RAHMAWATI, Amd. Keb 250,000 100% 65% 3 100% 30% 40% 50% 10,000 230,500 228,195

19 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 300% 0% 0% 0% - Hari 19,500 240,500 9,220 2,305 18

Perhari 3,500 6,500 19,500 - - - -

HERNAWATI, Amd. Kep 300,000 100% 65% 5 100% 30% 40% 50% 12,000 261,000 258,390

20 198208182014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 500% 0% 0% 0% - Hari 39,000 273,000 10,440 2,610 19

Perhari 4,200.00 7,800 39,000 - - - -

WIDIA DURKASIH 250,000 100% 65% 100% 30% 40% 50% 10,000 250,000 247,500

21 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 21

Perhari 3,500.00 6,500 - - - - -

RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 10,000 250,000 247,500

22 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 22

Perhari 3,500.00 6,500 - - - - -

ARINA 250,000 100% 65% 100% 30% 40% 50% 10,000 250,000 247,500

23 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 23

Perhari 3,500.00 6,500 - - - - -

IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 10,000 250,000 247,500

24 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 24

Perhari 3,500.00 6,500 - - - - -

NURLELA 250,000 100% 65% 100% 30% 40% 50% 10,000 250,000 247,500

25 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 25

Perhari 3,500.00 6,500 - - - - -

JUMLAH TOTAL........................................................ Rp 11,016,200 Rp 11,484,200 Rp 440,648 Rp 110,162 333,580 Rp 10,572,458 -

Bener Kelipah, 21 Desember 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : November 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
NIP Jumlah Jumlah Jumlah Jumlah Total Bruto 100%
Tdk.
30%
Tdk.
40%
Tdk Hadir
50%
Cuti yang tidak
NO Jabatan Tunjangan Komponen Komponen Komponen BPJS 4 % TUNJ. BPJS TUNJ. BPJS PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14 (10+11+12+13+
( 5+6 ) ( 7+8 ) 14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)

UMI SALMAH, SKM. MKM 1,000,000 100% 65% 7 100% 30% 40% 50% 38,462 825,000 775,500

1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 700% 0% 0% 0% - Hari 175,000 865,000 33,000 8,250 41,250 1

Perhari 13,462 25,000 175,000 - - - -

YULIANA, Amd. Keb 900,000 100% 65% 7 100% 30% 40% 50% 34,615 742,500 697,950

2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 700% 0% 0% 0% - Hari 157,500 778,500 29,700 7,425 37,125 2

Perhari 12,115 22,500 157,500 - - - -

Ns. FITRIADI S.Kep 300,000 100% 65% 3 100% 30% 40% 50% 11,538 277,500 260,850

3 197809272006041013 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 300% 0% 0% 0% - Hari 22,500 289,500 11,100 2,775 13,875 3

Perhari 4,038 7,500 22,500 - - - -

YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 5 100% 30% 40% 50% 11,538 262,500 246,750

4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 500% 0% 0% 0% - Hari 37,500 274,500 10,500 2,625 13,125 4

Perhari 4,038 7,500 37,500 - - - -

HAZIMAH, Amd Far 300,000 100% 65% 1 100% 30% 40% 50% 11,538 292,500 274,950

5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 7,500 304,500 11,700 2,925 14,625 5

Perhari 4,038 7,500 7,500 - - - -

RUBIAH SKM 300,000 100% 65% 4 100% 30% 40% 50% 11,538 270,000 253,800

6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 400% 0% 0% 0% - Hari 30,000 282,000 10,800 2,700 13,500 6

Perhari 4,038 7,500 30,000 - - - -

RASIDAH Amd. Keb 300,000 100% 65% 6 100% 30% 40% 50% 11,538 255,000 239,700

7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 600% 0% 0% 0% - Hari 45,000 267,000 10,200 2,550 12,750 7

Perhari 4,038 7,500 45,000 - - - -

PARIDA SIMARMATA AMG 400,000 100% 65% 1 100% 30% 40% 50% 15,385 390,000 366,600

8 198607202009042008 Staf Puskesmass Perbulan 140,000 260,000 400,000 16,000 416,000 100% 0% 0% 0% - Hari 10,000 406,000 15,600 3,900 19,500 8

Perhari 5,385 10,000 10,000 - - - -

SAUFA ELWANI AMG 300,000 100% 65% 10 100% 30% 40% 50% 11,538 225,000 211,500

9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 1000% 0% 0% 0% - Hari 75,000 237,000 9,000 2,250 11,250 9

Perhari 4,038 7,500 75,000 - - - -

FATMAYANTI, Amd. Kep 300,000 100% 65% 3 100% 30% 40% 50% 11,538 277,500 260,850

10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 300% 0% 0% 0% - Hari 22,500 289,500 11,100 2,775 13,875 10

Perhari 4,038 7,500 22,500 - - - -

HAJRAWANI 750,000 100% 65% 4 100% 30% 40% 50% 28,846 675,000 634,500
Staf Puskesmas/
11 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 400% 0% 0% 0% - Hari 75,000 705,000 27,000 6,750 33,750 11
Penerimaan
Perhari 10,096 18,750 75,000 - - - -

IDALAILA 750,000 100% 65% 4 100% 30% 40% 50% 28,846 675,000 634,500
Staf Puskesmas/
12 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 400% 0% 0% 0% - Hari 75,000 705,000 27,000 6,750 33,750 12
Barang
Perhari 10,096 18,750 75,000 - - - -

MARLINA 400,000 100% 65% 4 100% 30% 40% 50% 15,385 360,000 338,400

13 198403042014062002 Staf Puskesmas Perbulan 140,000 260,000 400,000 16,000 416,000 400% 0% 0% 0% - Hari 40,000 376,000 14,400 3,600 18,000 13

Perhari 5,384.62 10,000 40,000 - - - -

HAYATI 850,000 100% 65% 100% 30% 40% 50% 32,692 850,000 799,000

14 198304242014062005
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 42,500 14
Bendahara Pengeluaran
Perhari 11,442 21,250 - - - - -

ROSITA MULYANI, Amd Keb 750,000 100% 65% 5 100% 30% 40% 50% 28,846 656,250 649,688
Staf
15 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 500% 0% 0% 0% - Hari 93,750 686,250 26,250 6,563 15
Bendahara pengeluaran
Perhari 10,096 18,750 93,750 - - - -

MAWADDAH, Amd.Keb 850,000 100% 65% 6 100% 30% 40% 50% 32,692 722,500 715,275

16 198206102014062001
Staf Puskesmas/ 850,000 34,000 884,000 127,500 756,500 28,900 7,225 16
Perbulan 297,500 552,500 600% 0% 0% 0% - Hari
Bendahara penerimaan
Perhari 11,442 21,250 127,500 - - - -

ROSLINA, Amd.Keb 850,000 100% 65% 4 100% 30% 40% 50% 32,692 765,000 757,350

17 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 400% 0% 0% 0% - Hari 85,000 799,000 30,600 7,650 17
Bendahara Barang
Perhari 11,442 21,250 85,000 - - - -

PARIDAWATI S 300,000 100% 65% 2 100% 30% 40% 50% 11,538 285,000 282,150

18 Staf Puskesmas 300,000 12,000 312,000 15,000 297,000 11,400 2,850 18

18 198209082014102003 Staf Puskesmas Perbulan 105,000 195,000 300,000 12,000 312,000 200% 0% 0% 0% - Hari 15,000 297,000 11,400 2,850 18

Perhari 4,038 7,500 15,000 - - - -

RAHMAWATI, Amd. Keb 250,000 100% 65% 6 100% 30% 40% 50% 9,615 212,500 210,375

19 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 600% 0% 0% 0% - Hari 37,500 222,500 8,500 2,125 19

Perhari 3,365 6,250 37,500 - - - -

HERNAWATI, Amd. Kep 300,000 100% 65% 5 100% 30% 40% 50% 11,538 262,500 259,875

20 198208182014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 500% 0% 0% 0% - Hari 37,500 274,500 10,500 2,625 20

Perhari 4,038.46 7,500 37,500 - - - -

WIDIA DURKASIH 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

21 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 21

Perhari 3,365.38 6,250 - - - - -

RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

22 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 22

Perhari 3,365.38 6,250 - - - - -

ARINA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

23 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 23

Perhari 3,365.38 6,250 - - - - -

IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

24 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 24

Perhari 3,365.38 6,250 - - - - -

NURLELA 250,000 100% 65% 100% 30% 40% 50% 9,615 250,000 247,500

25 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 25

Perhari 3,365.38 6,250 - - - - -

JUMLAH TOTAL........................................................ Rp 10,531,250 Rp 10,999,250 Rp 421,250 Rp 105,313 318,875 Rp 10,107,063

Bener Kelipah, 21 Desember 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 Daftar : Rincian Pembayaran Tunjangan Tambahan Penghasilan Berdasakan Beban Kerja Pegawai pada UPTD Puskesmas Bener Kelipah Kabupaten Bener Meriah T.A 2021

22 Untuk Bulan : Desember 2021

22
Jumlah

Jumlah Potongan
NAMA TUNJ Rincian Potongan POT POT

Jumlah Bersih

Jumlah Bruto

Jumlah Yang
Diterima
NIP Jumlah Jumlah Jumlah Jumlah Total Bruto 100%
Tdk.
30%
Tdk.
40%
Tdk Hadir
50%
Cuti yang tidak
NO Jabatan Tunjangan Komponen Komponen Komponen BPJS 4 % TUNJ. BPJS TUNJ. BPJS PPH TANDA TANGAN
Prestasi TIDAK
Kerja Disiplin Tunj. Prestasi HADIR
APEL APEL stlh Libur
NO. REKENING / Hari / Kali / Kali / Kali 4% 1%
PAGI SORE Hari Besar dibayarkan
7 9 15 16 17 18 19 20 21 22
1 2 3 4 5 6 8 10 11 12 13 14 (10+11+12+13+
( 5+6 ) ( 7+8 ) 14) ( 7-15 ) ( 16 + 8 ) (8) ( 16X1% ) ( 16 X PPh 21 ) (17-18-19-20)

UMI SALMAH, SKM. MKM 1,000,000 100% 65% 100% 30% 40% 50% 61,646 1,000,000 940,000

1 19750802 200301 2 001 Kepala Puskesmas Perbulan 350,000 650,000 1,000,000 40,000 1,040,000 0% 0% 0% 0% - Hari - 1,040,000 40,000 10,000 50,000 1 2,820,000
Perhari 15,217 46,429 - - - - - -
YULIANA, Amd. Keb 900,000 100% 65% 2 100% 30% 40% 50% 55,481 816,429 767,443 -
2 197908012006042000 Ka TU Perbulan 315,000 585,000 900,000 36,000 936,000 200% 0% 0% 0% - Hari 83,571 852,429 32,657 8,164 40,821 2 2,302,329
Perhari 13,696 41,786 83,571 - - - - -
Ns. FITRIADI S.Kep 300,000 100% 65% 100% 30% 40% 50% 18,494 300,000 282,000 -
3 197809272006041013 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 3 846,000
Perhari 4,565 13,929 - - - - - -
YUSNIDAR FITRI, Amd. Kep 300,000 100% 65% 1 100% 30% 40% 50% 18,494 286,071 268,907 -
4 198406202010032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 13,929 298,071 11,443 2,861 14,304 4 806,721
Perhari 4,565 13,929 13,929 - - - - -
HAZIMAH, Amd Far 300,000 100% 65% 100% 30% 40% 50% 18,494 300,000 282,000 -
5 198807052011032001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 15,000 5 846,000
Perhari 4,565 13,929 - - - - - -
RUBIAH SKM 300,000 100% 65% 1 100% 30% 40% 50% 18,494 286,071 268,907 -
6 197906172014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 13,929 298,071 11,443 2,861 14,304 6 806,721
Perhari 4,565 13,929 13,929 - - - - -
RASIDAH Amd. Keb 300,000 100% 65% 2 100% 30% 40% 50% 18,494 272,143 255,814 -
7 198602012010032002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 200% 0% 0% 0% - Hari 27,857 284,143 10,886 2,721 13,607 7 767,443
Perhari 4,565 13,929 27,857 - - - - -
PARIDA SIMARMATA AMG 400,000 100% 65% 100% 30% 40% 50% 24,658 400,000 376,000 -
8 198607202009042008 Staf Puskesmass Perbulan 140,000 260,000 400,000 16,000 416,000 0% 0% 0% 0% - Hari - 416,000 16,000 4,000 20,000 8 1,128,000
Perhari 6,087 18,571 - - - - - -
SAUFA ELWANI AMG 300,000 100% 65% 3 100% 30% 40% 50% 18,494 258,214 242,721 -
9 197108152014062001 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 300% 0% 0% 0% - Hari 41,786 270,214 10,329 2,582 12,911 9 728,164
Perhari 4,565 13,929 41,786 - - - - -
FATMAYANTI, Amd. Kep 300,000 100% 65% 2 100% 30% 40% 50% 18,494 272,143 255,814 -
10 197903302014062003 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 200% 0% 0% 0% - Hari 27,857 284,143 10,886 2,721 13,607 10 767,443
Perhari 4,565 13,929 27,857 - - - - -
HAJRAWANI 750,000 100% 65% 100% 30% 40% 50% 46,234 750,000 705,000 -
Staf Puskesmas/
11 198112062014062003 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 0% 0% 0% 0% - Hari - 780,000 30,000 7,500 37,500 11 2,115,000
Penerimaan
Perhari 11,413 34,821 - - - - - -
IDALAILA 750,000 100% 65% 2 100% 30% 40% 50% 46,234 680,357 639,536 -
Staf Puskesmas/
12 198308042014062002 Pembantu Bendahara Perbulan 262,500 487,500 750,000 30,000 780,000 200% 0% 0% 0% - Hari 69,643 710,357 27,214 6,804 34,018 12 1,918,607
Barang
Perhari 11,413 34,821 69,643 - - - - -
HAYATI 850,000 100% 65% 100% 30% 40% 50% 52,399 850,000 799,000 -
13 198304242014062005
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 42,500 13
Bendahara Pengeluaran 2,397,000
Perhari 12,935 39,464 - - - - - -
MARLINA 400,000 100% 65% 1 100% 30% 40% 50% 24,658 381,429 358,543 -
14 198403042014062002 Staf Puskesmas Perbulan 140,000 260,000 400,000 16,000 416,000 100% 0% 0% 0% - Hari 18,571 397,429 15,257 3,814 19,071 14 1,075,629
Perhari 6,087 18,571 18,571 - - - - -
ROSITA MULYANI, Amd Keb 750,000 100% 65% 2 100% 30% 40% 50% 46,234 680,357 673,554 -
Staf
15 198711162017052002 Puskesmas/Pembantu Perbulan 262,500 487,500 750,000 30,000 780,000 200% 0% 0% 0% - Hari 69,643 710,357 27,214 6,804 15 2,020,661
Bendahara pengeluaran
Perhari 11,413 34,821 69,643 - - - - -
MAWADDAH, Amd.Keb 850,000 100% 65% 2 100% 30% 40% 50% 52,399 771,071 763,361 -
16 198206102014062001
Staf Puskesmas/ 850,000 34,000 884,000 78,929 805,071 30,843 7,711 16
Perbulan 297,500 552,500 200% 0% 0% 0% - Hari 2,290,082
Bendahara penerimaan
Perhari 12,935 39,464 78,929 - - - - -
ROSLINA, Amd.Keb 850,000 100% 65% 100% 30% 40% 50% 52,399 850,000 841,500 -
17 198205122014062003
Staf Puskesmas/ Perbulan 297,500 552,500 850,000 34,000 884,000 0% 0% 0% 0% - Hari - 884,000 34,000 8,500 17
Bendahara Barang 2,524,500
Perhari 12,935 39,464 - - - - - -
PARIDAWATI S 300,000 100% 65% 100% 30% 40% 50% 18,494 300,000 297,000 -
18 Staf Puskesmas 300,000 12,000 312,000 - 312,000 12,000 3,000 18
18 198209082014102003 Staf Puskesmas Perbulan 105,000 195,000 300,000 12,000 312,000 0% 0% 0% 0% - Hari - 312,000 12,000 3,000 18 891,000
Perhari 4,565 13,929 - - - - - -
RAHMAWATI, Amd. Keb 250,000 100% 65% 2 100% 30% 40% 50% 15,411 226,786 224,518 -
19 198709292017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 200% 0% 0% 0% - Hari 23,214 236,786 9,071 2,268 19 673,554
Perhari 3,804 11,607 23,214 - - - - -
HERNAWATI, Amd. Kep 300,000 100% 65% 1 100% 30% 40% 50% 18,494 286,071 283,211 -
20 198208182014062002 Staf Puskesmass Perbulan 105,000 195,000 300,000 12,000 312,000 100% 0% 0% 0% - Hari 13,929 298,071 11,443 2,861 20 849,632
Perhari 4,565 13,929 13,929 - - - - -
WIDIA DURKASIH 250,000 100% 65% 100% 30% 40% 50% 15,411 250,000 247,500 -
21 198304152017052001 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 21 742,500
Perhari 3,804 11,607 - - - - - -
RINA INAYATI 250,000 100% 65% 100% 30% 40% 50% 15,411 250,000 247,500 -
22 198812022017052007 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 22 742,500
Perhari 3,804 11,607 - - - - - -
ARINA 250,000 100% 65% 100% 30% 40% 50% 15,411 250,000 247,500 -
23 1986092017052006 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 23 742,500
Perhari 3,804 11,607 - - - - - -
IRHAMNI 250,000 100% 65% 100% 30% 40% 50% 15,411 250,000 247,500 -
24 198505032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 24 742,500
Perhari 3,804 11,607 - - - - - -
NURLELA 250,000 100% 65% 100% 30% 40% 50% 15,411 250,000 247,500 -
25 198801032017052003 Staf Puskesmas Perbulan 87,500 162,500 250,000 10,000 260,000 0% 0% 0% 0% Hari - 260,000 10,000 2,500 25 742,500
Perhari 3,804 11,607 - - - - - -
JUMLAH TOTAL........................................................ Rp 11,217,143 Rp 11,685,143 Rp 448,686 Rp 112,171 342,643 Rp 10,762,329 - 32,286,986

Bener Kelipah, 21 Desember 2021 1,027,929

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran Rp 336,514
Kabupaten Bener Meriah 32,286,985.71 Rp 1,346,057

Rp 33,651,429
UMI SALMAH, SKM. MKM HAYATI
Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 DAFTAR : PENERIMA TUNJANGAN PRESTASI KERJA ( TC ) TRIWULAN III ( OKTOBER s.d. DESEMBER 2021 )
UPTD PUSKESMAS BENER KELIPAH
KABUPATEN BENER MERIAH

OKTOBER NOVEMBER DESEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
UMI SALMAH, SKM. MKM

1 19750802 200301 2 001 III C Kepala Puskesmas 1,040,000 41,600 10,400 52,000 936,000 1,040,000 41,600 10,400 52,000 936,000 1,040,000 41,600 10,400 52,000 936,000 3,120,000 124,800 31,200 156,000 2,808,000 1

YULIANA, Amd. Keb

III d / Eselon
2 197908012006042000 Ka TU 936,000 37,440 9,360 46,800 842,400 936,000 37,440 9,360 46,800 842,400 936,000 37,440 9,360 46,800 842,400 2,808,000 112,320 28,080 140,400 2,527,200 2
IV b

Ns. FITRIADI S.Kep

3 197809272006041013 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 3

YUSNIDAR FITRI, Amd. Kep

4 198406202010032001 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 4

HAZIMAH, Amd Far

5 198807052011032001 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 5

RUBIAH SKM

6 197906172014062002 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 6

RASIDAH Amd. Keb

7 198602012010032002 III c Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 7

PARIDA SIMARMATA AMG

8 198607202009042008 III b Staf Puskesmass 416,000 16,640 4,160 20,800 374,400 416,000 16,640 4,160 20,800 374,400 416,000 16,640 4,160 20,800 374,400 1,248,000 49,920 12,480 62,400 1,123,200 8

SAUFA ELWANI AMG

9 197108152014062001 III a Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 9

FATMAYANTI, Amd. Kep

10 197903302014062003 III a Staf Puskesmass 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 312,000 12,480 3,120 15,600 280,800 936,000 37,440 9,360 46,800 842,400 10

HAJRAWANI
Staf Puskesmas/
11 198112062014062003 III a Pembantu Bendahara 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 16
Penerimaan

HAYATI

12 198304242014062005
Staf Puskesmas/ 17
III a 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400
Bendahara Pengeluaran

IDALAILA
Staf Puskesmas/
13 198308042014062002 III a Pembantu Bendahara 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 18
Barang

MARLINA

14 198403042014062002 III a Staf Puskesmas 416,000 16,640 4,160 395,200 416,000 16,640 4,160 - 395,200 416,000 16,640 4,160 - 395,200 1,248,000 49,920 12,480 - 1,185,600 19

ROSITA MULYANI, Amd Keb

Staf
15 198711162017052002 II c Puskesmas/Pembantu 780,000 31,200 7,800 741,000 780,000 31,200 7,800 - 741,000 780,000 31,200 7,800 - 741,000 2,340,000 93,600 23,400 - 2,223,000 10
Bendahara pengeluaran

HERNAWATI, Amd. Kep

16 198208182014062002 II c Staf Puskesmass 312,000 12,480 3,120 296,400 312,000 12,480 3,120 - 296,400 312,000 12,480 3,120 - 296,400 936,000 37,440 9,360 - 889,200 11

MAWADDAH, Amd.Keb

Staf Puskesmas/
17 198206102014062001 II c 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400 12
Bendahara penerimaan

ROSLINA, Amd.Keb

Staf Puskesmas/
18 198205122014062003 II c 884,000 35,360 8,840 839,800 884,000 35,360 8,840 - 839,800 884,000 35,360 8,840 - 839,800 2,652,000 106,080 26,520 - 2,519,400 13
Bendahara Barang

PARIDAWATI S

19 198209082014102003 14
II c Staf Puskesmas 312,000 12,480 3,120 296,400 312,000 12,480 3,120 - 296,400 312,000 12,480 3,120 - 296,400 936,000 37,440 9,360 - 889,200

RAHMAWATI, Amd. Keb

20 198709292017052001 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 15

WIDIA DURKASI

21 198304152017052001 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 22
 OKTOBER NOVEMBER DESEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
RINA INAYATI

22 198812022017052007 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 23

ARINA

23 1986092017052006 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 24

IRHAMNI

24 198505032017052003 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 25

NURLELA

25 198801032017052003 II c Staf Puskesmas 260,000 10,400 2,600 247,000 260,000 10,400 2,600 - 247,000 260,000 10,400 2,600 - 247,000 780,000 31,200 7,800 - 741,000 26

JUMLAH 12,168,000 486,720 121,680 228,800 11,330,800 12,168,000 486,720 121,680 228,800 11,330,800 12,168,000 486,720 121,680 228,800 11,330,800 36,504,000 1,460,160 365,040 686,400 33,992,400

Mengetahui, Bener Kelipah, 21 Desember 2021

UPTD Puskesmas Bener Kelipah Bendahara Pengeluaran
Kabupaten Bener Meriah

UMI SALMAH, SKM. MKM HAYATI

Nip. 19750802 200301 2 001 Nip.19830424 201406 2 005
 OKTOBER NOVEMBER DESEMBER JUMLAH/TRIWULAN

Jumlah yang Jumlah yang Jumlah yang

NO NAMA / NIP GOL JABATAN Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 Jumlah Bruto BPJS 4% BPJS 1% PPh 21 JUMLAH KOTOR BPJS 4 % BPJS 1 % PPh 21 Jumlah Bersih TANDA TANGAN
diterima diterima diterima

( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp ) ( Rp )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17