8 Agustus Part1

PEMBAGIAN JASA BPJS
JASA PELAYANAN TANGGAL 1 s/d 28 Februari 2021
NO KETERANGAN JUMLAH
I Penunjang
- Instalasi Farmasi 14,674,895.09
- Instalasi Farmasi Obat Hemofilia) 910,224.00
- Instalasi Radiologi 2,122,616.17
- Instalasi Laboratorium 11,601,826.17
- Instalasi PA 72,412.97
- UTD 2,100,454.80
- Instalasi Gizi 3,193,755.22
Gizi Ventilator
- Loundry
- Incinerator
- Tekhnisi 4,089,945.32
JUMLAH 38,766,130
II Rawat Jalan
- Poli Interna 1,533,696.80
- Poli Interna (Jasa Obat Hemofilia) 151,704.00
- Poli Obgyn 1,353,126.45
- Poli Gigi Nur 729,283.19
- Poli Gigi Nando 1,078,397.86
- Poli Anak 718,214.63
- Poli THT 939,940.63
- Poli Mata 2,293,518.97
- Poli Mata Oprasi 12,034,651.20
- Poli Saraf 1,151,224.74
- Poli rehab 630,612.66
- Poli jiwa 125,603.12
- Poli Jantung 902,456.18
- Poli Kulkel 274,667.00
- Poli Bedah 1,332,921.95
- Poli Fisiotherapy 2,085,872.64
- Poli Gizi /Laktasi
- Adm Kir
- Karu Poliklinik 1,385,863.88
III Rawat Darurat (UGD ) 6,829,051.12

IRDO 8,908,726.45
IV Rawat Inap
- R. Interna klas 3 9,588,184.22
- R. Interna kelas 1,2 4,725,534.67
- R. Bedah 8,489,848.24
- R. HCU
- R. HCU Ventilator
- Anak 35,039,190.01
- vip 986,762.10
- ISOLASI
V Kamar Operasi
- Bedah Umum 1,702,409.87
- Bedah Obsgyn 4,624,540.02
- Bedah kult
- Bedah tht
- Mata 4,011,550.40
- Ortopedi
- Bedah Dari ICU Ventilator
- Anastesi 3,224,249.22
- P. Anastesi Dari ICU Ventilator
VI Kamar Bersalin ponek 13,250,130.53
Kamar Bersalin nifas 17,811,425.00
IX Jasa Sopir
X teknisi
JUMLAH 147,913,358
186,679,488
(88,764,042)
JASA MEDIS TANGGAL 1 s/d 31 Maret 2014
NO KETERANGAN JUMLAH
1 dr.Kisman Djafar,Sp.B 7,557,558.47

dr.Kisman Djafar,Sp.B Ventilator
2 dr. Mulyoni 2,070,264.53
dr. Mulyoni Ventilator
3 dr. Anak 26,135,298.49
dr. Anak Ventilator
4 dr, ortopedi
5 dr.Mata/ 6,072,923.48
dr. mata OK 61,777,876.16
6 dr.Interna 18,352,196.77
dr.Interna Ventilator + Jasa Obat Hemofilia 455,112.00
dr.Interna residen
7 dr obsgyn Andrew 34,442,377.48
dr obsgyn Andrew Ventilator
dr anastesi dr farid
dr residen obsgyn
8 dr. rehab 1,988,855.31
gigi Nur 2,218,236.38
9 gigi Nando 3,280,126.82
10 Dr. Anastesi dr gusman 5,521,768.71
Dr. Anastesi dr gusman Ventilator
11 dr Jantung 2,116,104.14
dr Saraf residen 2,071,494.91
12 dr fandi saraf 1,430,147.00
dr fandi saraf Ventilator
dr jiwa 382,043
13 dr tht 2,456,387.27
14 dr Kulkel 835,445.46
dr Radiologi 1,957,783.28
15 dr ptologi Anatomi 410,340.17
16 dr Patologi Klinik 4,972,211.22
Dokter umum 17,464,100

Dokter umum Ventilator
dr. internship
14 Penunjang Diagnostik
15 Ambulance
203,968,651
390,648,138
Check Point Get Point
390,648,138.40 390,648,138.40
237,454,536.00
143,005,314.40
390,648,138.40
390,648,138.40
390,648,138.40 -
BONUS MANAJEMEN MANAJEMEN PENGHASIL
A
2.5% 17.5% 15% 60%
366,872 2,568,107 8,804,937
53,065 371,458 1,273,570

290,046 2,030,320 6,961,096
1,810 12,672 43,448
52,511 367,580 1,260,273
79,844 558,907 1,916,253
- - -
- - -
102,249 715,740 2,453,967
946,398 6,624,784 - 22,713,543
38,342 268,397 920,218.08
33,828 236,797 811,875.87

18,232 127,625 437,569.92
26,960 188,720 647,038.72
17,955 125,688 430,928.78
23,499 164,490 563,964.38
57,338 401,366 1,376,111.38
300,866 2,106,064 7,220,790.72
28,781 201,464 690,734.84
15,765 110,357 378,367.60
3,140 21,981 75,361.87
22,561 157,930 541,473.71
6,867 48,067 164,800.20
33,323 233,261 799,753.17
52,147 365,028 1,251,523.59
- - -
- - -
34,647 242,526 831,518.33
170,726 1,195,084 5,463,240.90

222,718 1,336,309
- -
239,705 1,677,932 5,752,910.53
118,138 826,969 2,835,320.80
212,246 1,273,477
- -
875,980 6,131,858 21,023,514.01

24,669 172,683 592,057.26
- - -
42,560 255,361
115,614 693,681
- -
- -
100,289 601,733
- -
80,606 483,637
331,253 1,987,520
445,286 2,671,714
- - -
- - -
3,694,041 15,004,285 9,303,432 52,809,075
4,640,439 21,629,069 9,303,432 75,522,618
BONUS MANAJEMEN MANAJEMEN PENGHASIL

A
2.5% 17.5% 15% 60%
-
188,939 1,133,634
51,757 310,540
653,382 4,573,677 15,681,179

-
- -
151,823 1,062,762 3,643,754.09
926,668 6,177,788 46,333,407.12
458,805 3,211,634 11,011,318.06
455,112.00
- - -
861,059 5,166,357
- -
- -
49,721 348,050 1,193,313.19
55,456 388,191 1,330,941.83
82,003 574,022 1,968,076.09
138,044 828,265
52,903 370,318 1,269,662.49
51,787 362,512 1,242,896.94
35,754 250,276 858,088.20
-
9,551 66,857 229,225.70
61,410 429,868 1,473,832.36
20,886 146,203 501,267.28
48,945 342,612 1,174,669.97
10,259 71,810 246,204.10
124,305 870,137 2,983,326.73
- - -
436,603 3,056,218 10,478,460.00
-
- - -
- -
- -
- -
-
- -
4,470,060 22,302,934 7,438,795 102,074,735
9,110,499 43,932,003 16,742,227 177,597,353
Sisa
-
Klaim
Obat Hemo RI 539,669,400 TOTAL INDEKS
1,517,040.00 RJ 323,081,300.00
Selisih Klaim
10,188,288.00 17.50%
60,674,230.29 43,932,003
DIREKTUR 10,669,201
SEKERTARIS -
Pejabat Struktural 17,572,801
Tim Remunerasi 3,138,000
Tim Pengelola 1,882,800
Tim Keuangan 2,510,400
Bonus
Biaya umum 8,158,801
Jasa yg diremunerasi
Operasional
Penghasil
Kebersamaan
Total dibagi
Jasa 44% - -
Jumlah Yang dibagi. 382,622,222.88 -
Jumlah Kotor
Dir 14,735,170 Farmasi
Sekretaris Lab
Struktural 26,767,136 Radiologi
ADM 4,760,370 GIZI
Kontrak 8,049,051 UTD
Tim Remu 4,333,874 Ambulance
Tim Pengelola 3,263,600 Teknisi
Keuangan 5,264,378 CSSD
House Keeping
67,173,577.76
Jasa
Dir 14,735,170.21 Farmasi
Sekretaris - Lab
Struktural 24,269,692.11 Radiologi
ADM - GIZI
Kontrak - UTD
Tim Remu 4,333,873.59 Ambulance
Tim Pengelola 2,600,324.16 Teknisi
Keuangan 3,467,098.87 CSSD
House Keeping
49,406,158.95
Kebersamaan
Dir - Farmasi
Sekretaris Lab
Struktural 2,497,443 Radiologi
ADM 4,760,370 GIZI
Kontrak 8,049,051 UTD
Tim Remu Ambulance
Tim Pengelola 663,276 Teknisi
(390,648,138.40) Keuangan 1,797,279 CSSD
House Keeping
17,767,418.82
index
Dir Farmasi
Sekretaris - Lab
Struktural 1,032.45 Radiologi
ADM 1,967.95 GIZI
Kontrak 3,327.50 UTD
Tim Remu Ambulance
Tim Pengelola 274.20 Teknisi
Keuangan 743.00 CSSD
House Keeping
7,345.10
28,903.70
Dir - Farmasi
Sekretaris - Lab
Struktural 2,497,443.41 Radiologi
ADM 4,760,369.75 GIZI
Kontrak 8,049,051.22 UTD
Tim Remu - Ambulance
Tim Pengelola 663,275.69 Teknisi
Keuangan 1,797,278.75 CSSD
House Keeping
17,767,418.82
Dir - Farmasi
Sekretaris - Lab
Struktural - Radiologi
ADM - GIZI
Kontrak - UTD
Tim Pengelola - Teknisi
Keuangan - CSSD
House Keeping
-
Dir - Farmasi
Sekretaris - Lab
ADM - GIZI
Kontrak UTD
Keuangan - CSSD
House Keeping
-
Dir - Farmasi
Sekretaris - Lab
ADM - GIZI
Kontrak - UTD
Keuangan - CSSD
House Keeping
0.00
PENGHASIL KEBERSAMAAN JUMLAH
B
62.50% 20.0%
-
2,934,979 14,674,895
910,224 910,224
424,523 2,122,616
2,320,365 11,601,826
14,483 72,413
420,091 2,100,455
638,751 3,193,755
- -
- -
- -
817,989 4,089,945
910,224 7,571,181 38,766,130
306,739 1,533,697
151,704 151,704
270,625 1,353,126
145,857 729,283
215,680 1,078,398
143,643 718,215
187,988 939,941
458,704 2,293,519
2,406,930 12,034,651
230,245 1,151,225
126,123 630,613
25,121 125,603
180,491 902,456
54,933 274,667
266,584 1,332,922
417,175 2,085,873
- -
- -
277,173 1,385,864
- 6,829,051
5,567,954 1,781,745 8,908,726
- -
1,917,637 9,588,184
945,107 4,725,535
5,306,155 1,697,970 8,489,848
- - -
- -
7,007,838 35,039,190
197,352 986,762
- -
- -
1,064,006 340,482 1,702,410
2,890,338 924,908 4,624,540
- - -
- - -
2,507,219 802,310 4,011,550
- - -
- -
2,015,156 644,850 3,224,249
- -
8,281,332 2,650,026 13,250,131
11,132,141 3,562,285 17,811,425
- -
- -
38,916,004 28,186,521 147,913,358
39,826,228 35,757,702 186,679,488
PENGHASIL KEBERSAMAAN JUMLAH

B
62.50% 20.0%
4,723,474 1,511,512 7,557,558

- -
1,293,915 414,053 2,070,265
- -
5,227,060 26,135,298
-
- -
1,214,585 6,072,923
8,340,013 61,777,876
3,670,439 18,352,197
455,112
- -
21,526,486 6,888,475 34,442,377
- -
- - -
- - -
397,771 1,988,855
443,647 2,218,236
656,025 3,280,127
3,451,105.44 1,104,354 5,521,769
- -
423,221 2,116,104
414,299 2,071,495
286,029 1,430,147
-
76,409 382,043
491,277 2,456,387
167,089 835,445
391,557 1,957,783
82,068 410,340
994,442 4,972,211
- -
3,492,820 17,464,100
-
- -
- -
- -
- -
- -
- -
30,994,981 36,687,146 203,968,651
70,821,209 72,444,848 390,648,138
248,418,561.91
133,069,715.99
29,949
15.00%
16,742,227 539,669,400.00
4,065,969 14,735,170 4.25

- -
6,696,891 24,269,692 7.00
1,195,873 4,333,874 1.25
717,524 2,600,324 0.75
956,699 3,467,099 1.00
4,555,249
3,109,271 11,268,071 3.25
65,229,480
390,648,138
472,102,562
862,750,700 -
248,418,562
- 72,444,848
Yg Mo D bagi
382,622,223
<=Masih Sisah Yg Mo D bagi
12,743,927 Poli 20,282,588

8,829,640 Bedah 7,487,805
2,440,954 HCU 3,072,307
5,704,568 Interna 3 8,100,984
2,254,461 Interna 1 4,990,120
1,701,488 VIP 2,596,882
4,599,117 Anak 24,056,150
1,370,603
453,069
40,097,827.24 70,586,834.88
9,715,161.05 Poli 17,293,735.14

7,004,543.49 Bedah 5,306,155.15
1,273,569.70 HCU -
1,916,253.13 Interna 3 5,752,910.53
1,260,272.88 Interna 1 2,835,320.80
- VIP 592,057.26
2,779,342.14 Anak 21,023,514.01
325,374.95
-
24,274,517.35 52,803,692.89
249,069,311.82 -
3,028,765 Poli 2,988,853

1,825,097 Bedah 2,181,650
1,167,385 HCU 3,072,307
3,788,315 Interna 3 2,348,073
994,188 Interna 1 2,154,799
1,701,488 VIP 2,004,825
1,819,775 Anak 3,032,636
1,045,228
453,069
15,823,309.89 17,783,141.98
1252.10 Poli 1235.60
754.50 Bedah 901.90
482.60 HCU 1,270.10
1,566.10 Interna 3 970.70
411.00 Interna 1 890.80
703.40 VIP 828.80
752.30 Anak 1,253.70
432.10
187.30
6,541.40 7,351.60
3,028,765.45 Poli 2,988,852.80

1,825,096.66 Bedah 2,181,649.68
1,167,384.56 HCU 3,072,306.52
3,788,315.29 Interna 3 2,348,073.33
994,187.84 Interna 1 2,154,799.35
1,701,488.39 VIP 2,004,824.54
1,819,774.98 Anak 3,032,635.77
1,045,227.66
453,069.06
15,823,309.89 17,783,141.98
- Poli -
- Bedah -
- HCU -
- Interna 3 -
- Interna 1 -
- VIP -
- Anak -
-
-
- -
- Poli -
0.00 Bedah -
- HCU -
(0.00) Interna 3 -
- Interna 1 -
- VIP -
- Anak -
-
-
0.00 -
- Poli -
- Bedah -
- HCU -
- Interna 3 -
- Interna 1 -
- VIP -
- Anak -
- -
- -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- -
-
-
4,555,249
TEKNIS MEDIK 3 325,375
CSSD 3 325,375
TIM PPHP 1 108,458
CASE MANAGER 2 216,917
KOMITE MEDIK 3 325,375
KOMITE KEPERAWATAN 5 542,292
KOMITE FARMASI DAN TERA 2 216,917
KOMITE LAINNYA 2 216,917
KOMITE PPI 4 433,833
KOMITE PMKP 4 433,833
KOMITE PKRS 1 108,458
KOMITE PROGNAS 2 216,917
PPRA 2 216,917
KOMITE K3 1 108,458
Pengelola Website 3 325,375
DIKLAT 4 433,833
TIM AUDIT -
42 4,555,249
UGD 8,852,188 Karu Wakaru 11,268,071
Ok Anastesi 10,706,021 Komite 0
Nifas 13,658,974 Diklat 433833.271352381
Ponek 10,811,068 Tim Audit 0
Irdo 7,932,476
ISOLASI Rp 2,044,737
Dokter 139,056,614
193,062,078.39 11,701,905
UGD 5,463,241 Karu 11,268,071.34

Ok Anastesi 8,476,718 Diklat 433,833.27
Nifas 11,132,141 Tim Audit -
Ponek 8,281,332
Irdo 5,567,954
isolasi -
Dokter 133,069,716
171,991,101.57 - 11,701,904.61
UGD 3,388,947 Karu

Ok Anastesi 2,229,303 Diklat
Nifas 2,526,834 Tim Audit
Ponek 2,529,736
Irdo 2,364,522
Satgas 2,044,737
Dokter 5,986,898
21,070,976.82
UGD 1401.00 Karu Wakaru
Ok Anastesi 921.60
Nifas 1,044.60
Ponek 1,045.80
Irdo 977.50
ISOLASI 845.30
Dokter 2,475.00
8,710.80 29,948.90 29,948.90
1,045.20
UGD 3,388,946.88
Ok Anastesi 2,229,302.96
Nifas 2,526,833.63
Ponek 2,529,736.37
Irdo 2,364,522.18
Satgas 2,044,737.19
Dokter 5,986,897.60
21,070,976.82 72,444,847.51
UGD - -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
Satgas -
Dokter -
- -
UGD - -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
Satgas -
Dokter -
- 0.00
UGD -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
Satgas -
Dokter -
- 0.00
382,622,222.88
310,177,375.37 382,622,222.88
72,444,847.51
DAFTAR PENERIMAAN REMUNERASI JASA PELAYAN
BP RSUD TANI DAN NELAYAN BOALE
BULAN
NO NAMA JABATAN
Juni
1 dr. Rahmawaty Dai, MARS DIREKTUR
JUMLAH
Direktur cuti 6 hari

AN REMUNERASI JASA PELAYANAN ASKES SOSIAL
RSUD TANI DAN NELAYAN BOALEMO
JASA MEDIS ( 5 % ) JUMLAH KOTOR PAJAK JUMLAH DITERIMA PEMBULATAN TANDA TANGAN
PPH
Rp 14,735,170 Rp - Rp - 1
Rp 14,735,170 Rp 14,735,170 Rp 2,210,275.53 Rp 12,524,895 1
Rp 14,735,170 Rp 14,735,170 Rp 2,210,276 Rp 12,524,895

BADAN LAYANAN UM
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN

KOMPETENSI MASA
PANGKAT / GOL KINERJA SIKAP KERJA
PEND. KERJA
NO NAMA JABATAN
(-) nilai
GOL indeks STRATA indeks MK TOTAL P D L T TOTAL
Indeks indeks
I Jasa pelayanan Lainnya

JASA KEBERSAMAAN
III
TOP MANAGEMENT
1 dr. Ruslyaraz, M. Kes Ka.Bid Pelayanan Medis IVB 2.80 s2 6.50 MK 3 - 5 42.0 42.0 0.25 6.0 4.0 10.25
KaBag Administrasi
2 Djaria Abdul Azis, S. Sos Umum Dan Keuangan
IVA 2.60 S1 6.00 MK 0 - 1 42.0 42.0 0.25 6.0 4.0 10.25
3 Hernawati Hamzah, SST Kabid Penunjang Medis IVA 2.60 S1 6.00 MK 0 - 1 42.0 42.0 0.25 6.0 4.0 10.25
Kepala Bidang
4 Sri Dewi Angraini Suratinoyo Keperawatan
IIID 2.40 s1 6.00 MK 3 - 5 56.0 56.0 0.50 6.0 4.0 10.50
KaSuBag Perencanaan
5 Jufri Yusup, SKM, M.Si dan Evaluasi
IIIC 2.20 s2 6.50 MK 0 - 1 56.0 56.0 0.75 6.0 4.0 10.75
6 Karsum Y. Nauko, SKM Kasubag. Kepegawaian IIID 2.40 s1 6.00 MK 3 - 5 56.0 56.0 0.50 6.0 4.0 10.50
7 Felmi Manoppo, SKM Kasie JangMed IIIC 2.20 s1 6.00 MK 1 - 3 42.0 42.0 0.25 6.0 4.0 10.25
KaSie Penunjang Non
8 Marsela Dumbela, S.Si, M.M Medik
IIID 2.40 s2 6.50 MK 0 - 1 42.0 42.0 0.25 6.0 4.0 10.25
9 Helmi Karim,SE Kasubag Keuangan IIIC 2.20 s1 6.00 MK 0 - 1 42.0 42.0 0.25 6.0 4.0 10.25
10 Fatma Habi, SST KaSie Pelayanan Medik IIID 2.40 S1 6.00 MK 9 42.0 42.0 0.25 6.0 4.0 10.25
11 Abdul Azis Mukmin, SST Kasie Diagnosa dan RM IIID 2.40 s1 6.00 MK 0 - 1 42.0 42.0 0.25 6.0 4.0 10.25
KaSie Asuhan
12 Nurtin Mahieu, SKM Keperawatan & IIIC 2.20 s1 6.00 MK 1 - 3 1 41.0 41.0 0.25 6.0 4.0 10.25
Kebidanan
KaSie Mutu & Etika

13 Yulinda Ibrahim,A.Md.Kep Profesi
IIID 2.40 D3 5.00 MK 9 56.0 56.0 0.25 6.0 4.0 10.25
Jumlah
Total 1.0
Masuk
Keluar
Yulandi Koem
Alwin Hilahapa
DAFTAR PENERIMAAN REMUNERASI
LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
Apr-21
SUBSIDI NILAI
JASA PELAYANAN LAINNYA
INDEKS
BONUS 2.5
TOTAL NILAI INDEKS JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMEN
%
T%
PAJAK AKHIR JASA KEBERSAMAAN
Rp 72,444,848
TOTAL INDEKS SELURUH 29,949

- 1032.45 1032.45 24,269,692 Rp -
24,269,692
77.05 77.05 Rp 1,811,206 Rp 186,380 1,997,586 299,638 1,697,948 -
75.35 75.35 Rp 1,771,244 Rp 182,268 1,953,512 293,027 1,660,485 -
75.35 75.35 Rp 1,771,244 Rp 182,268 1,953,512 293,027 1,660,485 -
90.40 90.40 Rp 2,125,023 Rp 218,673 2,343,696 117,185 2,226,511 -
89.45 89.45 Rp 2,102,692 Rp 216,375 2,319,067 115,953 2,203,113 -
89.90 89.90 Rp 2,113,270 Rp 217,463 2,330,733 116,537 2,214,197 -

74.95 74.95 Rp 1,761,842 Rp 181,300 1,943,142 97,157 1,845,985 -
75.15 75.15 Rp 1,766,543 Rp 181,784 1,948,327 97,416 1,850,911 -
74.45 74.45 Rp 1,750,088 Rp 180,091 1,930,179 96,509 1,833,670 -

72.65 72.65 Rp 1,707,776 Rp 175,737 1,883,512 94,176 1,789,337 -
74.65 74.65 Rp 1,754,790 Rp 180,575 1,935,364 96,768 1,838,596 -
73.95 73.95 Rp 1,738,335 Rp 178,881 1,917,216 95,861 1,821,355 -
89.15 89.15 Rp 2,095,640 Rp 215,649 2,311,289 115,564 2,195,724 -
1032.45 1032.45 Rp 24,269,692 Rp 2,497,443 Rp - Rp 26,767,136 Rp 1,928,818 Rp 24,838,318 Rp -
1,032 1,032 Rp 24,269,692 Rp 2,497,443 Rp - Rp 26,767,136 Rp 1,928,818 Rp 24,838,318 Rp -

JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
1,697,948 1,697,948 2
1,660,485 1,660,485 2
1,660,485 1,660,485 3
2,226,511 2,226,511 5
2,203,113 2,203,113
2,214,197 2,214,197 7
1,845,985 1,845,985 8 Rp 3,033,179 Rp 2,687,423 Rp 5,720,602
1,850,911 1,850,911 2
1,833,670 1,833,670 9 2,649,213 2,990,053

1,789,337 1,789,337 10 5,639,266
1,838,596 1,838,596 11
1,821,355 1,821,355 12
2,195,724 2,195,724
Rp 24,838,318 Rp 24,838,318
Rp 24,838,318 Rp 24,838,318
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYA
44287

PANGKAT / GOL
KOMPETENSI PEND. MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI
NO NAMA JABATAN
nilai INDEKS
GOL indeks STRATA indeks MK indeks BEBAN K/Rindeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL
indeks
JASA KEBERSAMAAN
III
ADMINISTRASI
1 Rosmalinda Abdul Humas IIC 1.40 SLTA 3.00 MK 6 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 2.0 8.00 63.90
2 Susanti Adam, S.Sos Staf Umum IIIC 2.20 S1 6.00 MK9 0.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.70
3 Walida Nuwa Staf kepegawaian IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
4 Farmin Biya Staf RM IIIB 2.00 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50
5 Rusdiyanto Abas Staf Farmasi IID 1.60 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.10
6 Yusni Ismail Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 63.90
7 Iswan Djafar Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
8 Mahyudin Dakiyo Satpam IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
9 Dahniar Salmin Rauf Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
10 Isna Pambi Adm. Perawatan Anak IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
11 Delpin Abadi Adm. OK IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
12 Non Non Laise Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
13 Sulastri Entengo Staf RM IIIA 1.80 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.30
14 Hardin Ishak Staf Farmasi IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
15 Amna Mobi Kasir IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
16 Wawin Adjami Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
17 Hasda Yusuf Musa Kasir IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
18 Maryam Saliko Kasir IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
19 Rosnawati Dengo Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
20 Nurmila Arief Adm. Tekhnisi IIc 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h22 28.0 28.0 28.0 6.0 4.0 10.00 51.90
21 Ronald. I.K. Entengo Adm. UTD IIb 1.20 SLTP 2.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
22 Linda Bata Staf RM IIC 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
23 Arlin Ajiria, S.Kep Adm. Isolasi IIIB 2.00 S1 6.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 67.50
24 Yulindawati Dj.Maku, SST Staf IIID 2.40 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.90
25 Fadli Alweni, S.AP Staf kepegawaian IIIB 2.00 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50
26 Abdul Muthalib Mappa PJ. Security & Evakuasi IIIB 2.00 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50
27 Sapril Adam Pengadministrasi Umum IIC 1.40 SLtA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90
28 Rizal Adipu Pengadministrasi Umum IIC 1.40 SLtA 3.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 32.20
29 Arfan Habu, A.Md.Kep Perawat OK IIID 2.40 D3 5.00 MK 8 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.90
30 Julis Kai, AMG Staf IIIC 2.20 D3 5.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 15 27.0 27.0 6.0 4.0 10.00 26.85
31 Apria Siskawati Amu, A.md.Keb Adm. PONEK IID 1.60 D3 5.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 9 33.0 33.0 6.0 4.0 10.00 59.10
1,967.95
ERASI
NI DAN NELAYAN BOALEMO
SUBSIDI NILAI
INDEKS BONUS PAJAK PUNISHMENT
JUMLAH KOTOR JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA PEMBULATAN TANDA TANGAN
2.5 % ( PPH ) %
Rp 72,444,848
#REF! #REF!
1968.0
63.9 Rp - Rp 154,571 Rp - Rp 154,571 Rp - Rp 154,571 - Rp 154,571 Rp 154,571 Rp 154,571

66.7 Rp - Rp 161,344 Rp - Rp 161,344 Rp 8,067 Rp 153,277 - Rp 153,277 Rp 153,277 Rp 153,277
65.9 Rp - Rp 159,409 Rp - Rp 159,409 Rp - Rp 159,409 - Rp 159,409 Rp 159,409 Rp 159,409 cuti sakit
68.9 Rp - Rp 166,666 Rp - Rp 166,666 Rp 8,333 Rp 158,332 - Rp 158,332 Rp 158,332 Rp 158,332 4
Rp - Rp -
- 1,967.95 - 4,760,369.75 - 4,760,369.75 69,865.28 4,690,504.47 - 4,690,504.47 4,690,504.47 4,690,504.47
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NEL
44287
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA INDEKS
PENDIDIKAN
NO NAMA JABATAN TOTAL NILAI INDEKS
BEBAN nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK AKHIR
K/R indeks

JASA KEBERSAMAAN
III
INSTALASI PELAYANAN MEDIK

Instalasi UGD
1 Suritno Tangiyo, S. Kep Karu IIIA 1.80 S1 6.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.80 71.80
2 Suriyanto Sarifudin Wakaru IId 1.60 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
3 Yurita Machmud, A.Md.kep Perawat UGD IIIB 2.00 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.00 71.00
4 Rohkmiyanti Mohamad, A.Md.Kep Perawat UGD IIC 1.40 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40 70.40
5 Amelia Marcelina,S.Kep,Ns Perawat UGD Iib 1.20 S1 6.00 MK 9 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
6 Fandaria A. Nusi, S.Kep. Ns Perawat UGD Iib 1.20 S1 6.00 MK 6 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
7 Mukmin Mutia Paula, S.Kep.Ns Perawat UGD Iib 0.00 S1 0.00 MK 3 - 5 0.0 C 0.0 Staf 0.0 - 0.0 0.0 0.0 0.0 0.0 0.00 0.00 0.00
8 Marcella Djailani, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
9 Zulkarnain Mopangga, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
10 Rio Ganda Saputra, S. Tr. Kep Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Harun Nasir,A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 9 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
12 Feriyanto Iyabu,A.Md.Kep Perawat UGD Iib 1.20 d3 5.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
13 Kersmial Lila, A.md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
14 Mohamat Hiyonu, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
15 Dedik Irawanto, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
16 Agus Sudrajat, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
17 Fitriyanto Wolango, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
18 Agus, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 6 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
19 Syamsul Qamar Tahala, S.Tr.Kep Perawat UGD IIb 1.20 S1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70 69.70
20 Moh. Rizal Nihe, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
21 Al Siti Nur Hariyati, S.Tr.Kep Perawat Isolasi IIB 1.20 S1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70 69.70
TOTAL INDEKS
JUMLAH - 1,401 - 1,401
CUTI
8 Mukmin Mutia Paula, S.Kep.Ns Perawat UGD Iib 1.20 S1 6.00 MK 3 - 5 2.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70 70.70
NERASI
ANI DAN NELAYAN BOALEMO
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA
JASA KEBERSAMAAN
Rp 72,444,848
Rp 45,114 Rp 8,807,074
5,463,241 Rp -
- Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
279,986 Rp 173,681 Rp - Rp 453,667 Rp 22,683 Rp 430,983 Rp - Rp 430,983 Rp 430,983 1

275,307 Rp 170,778 Rp - Rp 446,085 Rp - Rp 446,085 Rp - Rp 446,085 Rp 446,085 2
- Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - 7
Rp 5,463,240.90 Rp 3,388,946.88 Rp - Rp 8,852,187.78 Rp 45,113.93 Rp 8,807,073.85 Rp - Rp 8,807,073.85 Rp 8,807,073.85

44287
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI

KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
PENDIDIKAN
NO NAMA JABATAN TOTAL NILAI INDEKS
BEBAN nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK
K/R indeks

JASA KEBERSAMAAN
III

Instalasi UGD
1 Natalia Makuta, S.Kep Karu IIIc 2.20 S1 6.00 MK 6 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 72.20
2 Karmila Lagune, A.Md.Kep Wakaru IIID 2.40 D3 5.00 MK 8 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
3 Susanti Veronika Umar, S.Tr.Kep Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
4 Nela Afriyani Ali, S.Tr.Kep Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
5 Dendris Dunggio, S.Tr.Kep Perawat HCU IID 1.60 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
6 Zulfikar, A.md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
7 Andrew B. Pello, A.Md.Kep Klinik Jantung IIIB 2.00 D3 5.00 MK 7 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.00
8 Mellisa Ismail, A.Md.Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
9 Rosniati Ishak, S.Kep.Ns Perawat Bedah IID 1.60 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
10 Aistria Mokoagow, S.Kep.Ns Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
11 Elmi Sulistiyana Harun, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
12 Ade Irma M. Nanue, A.Md, Kep Perawat Isolasi IIC 1.40 D3 5.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.90
TOTAL INDEKS
JUMLAH - 845.30 -
UNERASI
TANI DAN NELAYAN BOALEMO
NILAI
INDEKS
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA
AKHIR JASA KEBERSAMAAN
Rp 72,444,848
Rp 25,955 Rp 2,018,782
72.20 - Rp 174,648 Rp - Rp 174,648 Rp 8,732 Rp 165,916 Rp - Rp 165,916 Rp 165,916 2

71.40 - Rp 172,713 Rp - Rp 172,713 Rp 8,636 Rp 164,077 Rp - Rp 164,077 Rp 164,077 2
70.20 - Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810 Rp 169,810 2
70.20 - Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810 Rp 169,810
71.00 - Rp 171,745 Rp - Rp 171,745 Rp 8,587 Rp 163,158 Rp - Rp 163,158 Rp 163,158
68.90 - Rp 166,666 Rp - Rp 166,666 Rp - Rp 166,666 Rp - Rp 166,666 Rp 166,666 20
845.30 Rp - Rp 2,044,737 Rp - Rp 2,044,737 Rp 25,955 Rp 2,018,782 Rp - Rp 2,018,782 Rp 2,018,782

INDEKS TIDAK TERKAIT PELAYANAN
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA
NO NAMA JABATAN PENDIDIKAN
BEBAN
GOL indeks STRATA indeks MK indeks indeks
K/R
JASA KEBERSAMAAN
III

VIP
1 Sri Indah Nurmayanti, S.Kep Karu IIID 2.40 S1 6.00 MK 9 3.0 E 8.0
2 Indriyani Paputungan, A.Md.Kep Wakaru IIIc 2.20 D3 5.00 MK 6 3.0 E 8.0
3 Triyanto Timbul, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0
4 Tri Yunita, A.Md.Kep Perawat VIP IIIC 2.20 D3 5.00 MK 6 3.0 E 8.0
5 Eka W. Djakatara, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 5 3.0 E 8.0
6 Nurhuda Hatta, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 5 3.0 E 8.0
7 Ramlah Podungge, S.Kep.Ns Perawat VIP IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0
8 Eka Ulan Purnamasari, S.Tr.Kep Perawat HCU IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0
9 Aprizal Koungo, A.Md.Kep Perawat VIP IIC 1.40 D3 5.00 MK 1 - 3 2.0 E 8.0
10 Rusni Karim, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0
11 Sellawati Hela, A.Md.Keb Perawat OK IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0
12 Desy Arisandi Tahala, A.Md, Keb Perawat VK/Keb IID 1.60 D3 5.00 MK 0 - 1 1.5 E 8.0
13 Jeihan M. Uno, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0
JUMLAH
CUTI
10 Asni Suleman,A.Md.Kep Perawat OK IIB 1.20 D3 5.00 MK 6 3.0 E 8.0
Perhitungan Prosentase
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kuantitas Kinerja 30
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1

Range: 1,75-6 6 5.5 5 5 4.5 4 3.5
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi Non Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka PusKTU/Pr Non Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran

% Jalankan Tupoksi
Range:0-30 hadir/hari kerjax15
kerjakan/jml tugasx15
Kualitas Kinerja Ktepatan Wkt Penyelesaian Kemandirian

Range:0-40 Hdr tepat/hr kerjax15
selesai tpt wkt/jml
kerjaka
tgsx15mndr/jml tgsX10
Reward Non Teladan Teladan I Kab Teladan I Prov Teladan I Nas

Range:0-15%Indeks 0 Plus 5% Plus 10% Plus 15%
Punishment Non Pelanggaran

Pelanggaran RPelanggaran Sdg Pelanggaran Brt
Range: 0-!00% Indeks 0 Minus 20% Minus 50% Minus 100%
PEMBAGIAN HONOR JASA PELAYANAN

BERDASARKAN REMUNERASI PUSKESMAS PANGI
TAHUN 2010
JASA PELAYANAN PERIODE: JANUARI 2007 s/d DESEMBER 2009
JASA PELAYANAN TGL. 1 s/d 31 M
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT
NO NAMA
GOL IND STRATA
INDEKS KHUS IND KERJA
I Jasa pelayanan med 40%
Japel Pelayanan Paramedis/dll 60%
II Jumlah Indeks Medis
Jumlah Indeks Paramedis/dll
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0
4 Husain Saud IIIB 2.60 SPK 3.00 8.0
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0
10 Astri Yunita IIA 1.60 SPK 3.00 6.0
11 Harsono IIC #REF! D3 Gizi 4.00 8.0
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0
16 Noni Adam IIA 1.60 SMA 2.50 4.0
17 Yamin Aliwu K 1.60 SMP 2.00 4.0
18 Norman Kobi K 1.60 SMA 2.50 4.0
19 Elan Radjak K 1.60 SMA 2.50 4.0
20 Melda Yadjitala K 1.60 SMA 2.50 4.0
JUMLAH
Kepala Puskesmas Pangi
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN B
44287
ANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI
TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI

INDEKS
(-) nilai
JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK
Indeks indeks
TOTAL INDEKS SE
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.40
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
- 828.8
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
III B III A II D II A IC
2.6 2.4 2.2 1.60 1.2
SLTA Kes
SLTA SLTP
3 2.5 2
Teladan I Nas
Plus 15%
Pelanggaran Brt
Minus 100%
LAYANAN TGL. 1 s/d 31 Maret 2006

BOBOT TANGG KINERJA SUBSIDI
BONUS
KERJA JAWAB KUANT PAJAK
### 30.0 0.00

8.00 30.0 0.00
5.00 3.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 27.0 0.00
8.00 28.0 0.00
8.00 28.0 0.00
8.00 30.0 0.00
5.00 25.0 0.00
5.00 30.0 0.00
5.00 20.0 0.00
5.00 25.0 0.00
mas Pangi
l, MPH
1 942
AN REMUNERASI
SAKIT TANI DAN NELAYAN BOALEMO
7
NILAI
INDEKS
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH )
Rp 72,444,848
Rp 21,996
592,057 Rp -
71.40 51,005 Rp 172,713 Rp - Rp 223,718 Rp 11,186
70.20 50,148 Rp 169,810 Rp - Rp 219,958 Rp 10,998
68.70 49,076 Rp 166,182 Rp - Rp 215,258 Rp -
70.20 50,148 Rp 169,810 Rp - Rp 219,958 Rp 10,998
69.20 49,433 Rp 167,391 Rp - Rp 216,825 Rp -
69.20 49,433 Rp 167,391 Rp - Rp 216,825 Rp -
69.60 49,719 Rp 168,359 Rp - Rp 218,078 Rp -
69.60 49,719 Rp 168,359 Rp - Rp 218,078 Rp -
68.40 48,862 Rp 165,456 Rp - Rp 214,318 Rp -
69.20 49,433 Rp 167,391 Rp - Rp 216,825 Rp -
67.70 48,362 Rp 163,763 Rp - Rp 212,125 Rp -
68.10 48,648 Rp 164,730 Rp - Rp 213,378 Rp -
68.70 49,076 Rp 166,182 Rp - Rp 215,258 Rp -
829 Rp 592,057 Rp 2,004,825 Rp - Rp 2,596,882 Rp 21,996
69.20 #DIV/0!
IB Hnr /Kontrak/PTT dr/drg.PTT
1 1.6 2.4
INDEX JASA PELAYANAN JUMLAH

TOTAL Medis Para medis dll KOTOR
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF! #REF!
Tilamuta, 29 Oktober 2010

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
PUNISHMENT
JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
#REF!
Rp 212,532 Rp - Rp 212,532 Rp 212,532 1

Rp 208,960 Rp - Rp 208,960 Rp 208,960
Rp 215,258 Rp - Rp 215,258 Rp 215,258 Cuti Melahirkan
Rp 208,960 Rp - Rp 208,960 Rp 208,960
Rp 216,825 Rp - Rp 216,825 Rp 216,825
Rp 216,825 Rp - Rp 216,825 Rp 216,825
Rp 218,078 Rp - Rp 218,078 Rp 218,078
Rp 218,078 Rp - Rp 218,078 Rp 218,078
Rp 214,318 Rp - Rp 214,318 Rp 214,318 25
Rp 216,825 Rp - Rp 216,825 Rp 216,825
Rp 212,125 Rp - Rp 212,125 Rp 212,125
Rp 213,378 Rp - Rp 213,378 Rp 213,378
Rp 215,258 Rp - Rp 215,258 Rp 215,258
Rp 2,574,886 Rp - Rp 2,574,886 Rp 2,574,886

PPH JUMLAH TANDA
Rp 0 DITERIMA TANGAN
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
44287
KOMPETENSI
PANGKAT / GOL PENDIDIKAN
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
NO NAMA JABATAN NILAI
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR
K/R Indeks indeks

JASA KEBERSAMAAN
III
TOTAL INDEKS SELURUH
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Gizi
1 Yunita Masilu, SST Staf IIIC 2.20 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 3.0 4.0 7.00 65.70 65.70
2 Muh. Ressa T. J. P. Putra, S. Tr. Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 3.5 4.0 7.50 65.80 65.80
3 Ade Putra R. Molou, S. Tr. Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 66.30 66.30
4 Andi Dian Rezki Yustikarini, S.Tr.Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 66.30 66.30
5 Fatmayanti Botutihe,AMG Staf IIIC 2.20 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 5.0 4.0 9.00 68.20 68.20
6 Novita R. Djakatara, AMG Staf IIIc 2.20 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 67.20 67.20
7 Safria Iyabu, AMG Staf IIIB 2.00 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.00 69.00
8 Yusniyati Masiaga, AMG Staf IIIB 2.00 D3 5.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 65.50 65.50
9 Zul Ilyas Mohamad,A.Md.Gz Staf IIC 1.40 D3 5.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 64.90 64.90
10 Sri Yulan Buluati, AMG Staf IIC 1.40 D3 5.00 MK 3 - 5 2.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 65.90 65.90
11 Verawati Igirisa, AMG Staf IIB 1.20 D3 5.00 MK 5 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 66.20 66.20
12 Yulanda Abdulah, AMG Staf IIB 1.20 D3 5.00 MK 1 - 3 2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 4.0 4.0 8.00 65.20 65.20
Klinik Gizi merangkap
13 Sri Asta novia Nasim, AMG Klinik Umum/KIR IIIC 2.20 D3 5.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
865.40
1 Hasni Ismail Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
2 Suwardi Husa Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
3 Dedi Malewo Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
4 Sulastri Hasan Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
5 Leli Saidi Staf Gizi ID 0.80 SLTA 3.00 MK 7 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80
6 Tantri Badu Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
7 Kisman Kamana Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
8 Lolans Djaini Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
11 Rizki Saidi Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
12 Agus Lahidjun Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 f 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
13 Masni Balaga Staf Gizi ID 0.80 SLTA 3.00 MK 1 - 3 2.0 f 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.80 62.80
700.70
TOTAL INDEKS
JUMLAH - 1566 1,566
MASA SANGGAH SAMPAI TANGGAL 16 MEI 2014

SI
N NELAYAN BOALEMO

PUNISHMENT
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
JASA KEBERSAMAAN
Rp 72,444,848
Rp 106,347 Rp 5,598,221
L INDEKS SELURUH 29,949
1,916,253 Rp -
Rp 72,740 Rp 158,925 Rp - Rp 231,665 Rp 11,583 Rp 220,081 Rp - Rp 220,081 Rp 220,081 Rp 220,081
Rp 72,850 Rp 159,167 Rp - Rp 232,017 Rp 11,601 Rp 220,416 Rp - Rp 220,416 Rp 220,416
Rp 75,508 Rp 164,972 Rp - Rp 240,480 Rp 12,024 Rp 228,456 Rp - Rp 228,456 Rp 228,456 4
Rp 71,854 Rp 156,990 Rp - Rp 228,844 Rp - Rp 228,844 Rp - Rp 228,844 Rp 228,844
Rp - Rp 244,006 Rp 12,200 Rp 231,806 Rp - Rp 231,806 Rp 231,806 2
Rp 76,615 Rp 167,391
1
Rp 88,060 Rp 155,780 Rp - Rp 243,840 Rp - Rp 243,840 - Rp 243,840 Rp 243,840 2
Rp 86,555 Rp 153,119 Rp - Rp 239,675 Rp - Rp 239,675 - Rp 239,675 Rp 239,675

Rp 1,916,253 Rp 3,788,315 Rp - Rp 5,704,568 Rp 106,347 Rp 5,598,221 Rp - Rp 5,598,221 Rp 5,598,221
3,788,315.29
44287
KOMPETENSI TOTAL
NO NAMA JABATAN PENDIDIKAN NILAI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi UTD
1 Hardi Palilati PJ. UTD IID 1.60 D3 5.00 MK 7 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60 69.60
2 Sri W.N. Usman, A.Md.Kep Perawat UTD IIIC 2.20 D3 5.00 MK 9 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
3 Selvin Tilahungaa, S.Tr.Kep Perawat UTD IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
4 Hadijah M. Abas, A.Md.Kep Perawat UTD IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 Staf 0.0 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 66.20 66.20
5 Alwin Mooponu, A.Md.Kep Perawat OK IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
6 Fitria Yuliana Adjami. AP.TTD Perawat UTD IIB 1.20 D1 4.00 MK 0 - 1 1.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.70 66.70
411.00 411.00
TOTAL INDEKS
JUMLAH 2.0 411.0 - 411.0
Cuti
NELAYAN BOALEMO

PUNISHMENT
%
JASA KEBERSAMAAN
Rp 72,444,848
Rp 19,253 Rp 2,235,207
L INDEKS SELURUH 29948.9
1,260,273 Rp -
213,418 Rp 168,359 Rp - Rp 381,777 Rp - Rp 381,777 Rp - Rp 381,777 Rp 381,777

215,258 Rp 169,810 Rp - Rp 385,068 Rp 19,253 Rp 365,815 Rp - Rp 365,815 Rp 365,815
209,126 Rp 164,972 Rp - Rp 374,098 Rp - Rp 374,098 Rp - Rp 374,098 Rp 374,098 68.20 Rp - #DIV/0! #DIV/0!
Rp 1,260,273 Rp 994,188 Rp - Rp 2,254,461 Rp 19,253 Rp 2,235,207 Rp - Rp 2,235,207 Rp 2,235,207

#DIV/0! Rp - #DIV/0!
TAHUN 2012
44287
PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
(-) nilai INDEKS
GOL indeks STRATA indeks MK indeks BEBAN K/R indeks JABATAN indeks KUANT indeks Indeks indeks TOTAL P D L T TOTAL PAJAK AKHIR
JASA KEBERSAMAAN
III
INSTALASI PELAYANAN MEDIK ### ### 0.0 0.00 0.00
Instalasi Rawat Inap OK

1 Sarifudin Jailani, S.Kep.Ns Perawat OK IIID 2.40 S1 6.00 MK 8 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 72.40 72.40
2 Sulha Talamowa, A.Md.Kep Perawat OK IIID 2.40 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
3 David Suleman, A.Md.Kep Perawat OK IIID 2.40 D3 5.00 MK 8 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
4 Moh.Syamsu Hidayat, A.Md.Kep Perawat OK IIIC 2.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
5 Nur Fitri Latidi,A.Md.Kep Perawat OK IIC 1.40 D3 5.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40 70.40
6 Rahmat Darise, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
7 Nur Fadilah, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
8 Yulianti Ismail M. Ali, A.Md, Kep Perawat OK IIB 1.20 D3 5.00 MK 5 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
9 Rolin Hasan,A.Md.Kep Perawat OK IIB 1.20 D3 5.00 MK 6 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
10 Mirnawati Malae, S.Kep.Ns Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Ahmad Pakaya, S.Tr.Kep, Perawat Ns IID
Interna Kls 3 & Isolasi 1.60 s1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
778.90
ANASTESI
1 I Ketut Suwastika, A.Md.Kep Penata Anastesi IIIC 2.20 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 71.45 71.45
2 Irwan Djafar, A.Md.Kep Penata Anastesi IIIB 2.00 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 71.25 71.25
142.70
TOTAL INDEKS
JUMLAH - 921.6 921.6
- 0
MENGETAHUI
DIREKTUR BLUD RSU TANI DAN NELAYAN
dr MUH JAMAL MPH, AAAK
NIP 196805112001121 003
ASI
DAN NELAYAN BOALEMO

BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
JASA KEBERSAMAAN
Rp 72,444,848
Rp 271,452 Rp 10,434,570
AL INDEKS SELURUH 29,949
Rp 6,461,563
Rp -
6,461,563 Rp -
- Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
2,015,156
1,008,990 Rp 172,834 Rp - Rp 1,181,824 Rp 59,091 Rp 1,122,733 Rp - Rp 1,122,733 Rp 1,122,733 1
1,006,166 Rp 172,350 Rp - Rp 1,178,516 Rp 58,926 Rp 1,119,590 Rp - Rp 1,119,590 Rp 1,119,590 2
2,015,156 Rp -
Rp -
TILAMUTA, AGUSTUS 2013

BENDAHARA ASKES
MIRNA IBRAHIM
NIP 197903042006042 019
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN
44287
KOMPETENSI TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
TOTAL INDEKS SELU
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Apotik 1252.10
1 Sugiaty Talib, S.Si.Apt Staf Farmasi IIIc 2.20 S1 6.00 MK 6 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
2 Hairuddin S.Kau,S.Farm,Apt PJ Farmasi IIId 2.40 S1 6.00 MK 8 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
3 Wahyuni Saktiani, S.Farm.Apt Staf Farmasi IIIb 2.00 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.00 70.00
4 Finarti, S.Farm Staf Farmasi IIIC 2.20 S1 6.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
5 Eram Hapulu,A.Md.Far Staf Farmasi IIC 1.40 D3 5.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.40 69.40
6 Ridha Yulistia Ishak Staf Farmasi IIIA 1.80 SLTA 3.00 MK 8 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.80 67.80
7 Andi Hasmiyah BS, S.Farm.Apt Staf Farmasi IID 1.60 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
8 Dewi Nurain Usman, S.Farm.Apt Staf Farmasi IID 1.60 S1 6.00 MK 5 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
9 Muniva AK. Nasib, S. Farm, Apt Staf Farmasi IID 1.60 S1 6.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10 69.10
10 Ernawati, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Novikawaty Putri Lestari Alamri, S.farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
12 Saprilia Kaku, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
13 Mir'atul Khairiyah, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
14 Wahyudi, A.Md.Far Staf Farmasi IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
15 Sri Yuliana Masimudati, A.Md.Far Staf Farmasi IIB 1.20 D3 5.00 MK 6 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
16 Wilawanti Saliko, A.Md.Farm Staf Farmasi IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
17 Linda Suleman, A.Md.Farm Staf Farmasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
18 Rahmat Ardiansyah Putra, A.Md,Farm Staf Farmasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
422.90
829.20 1252.10
1252.10
TOTAL INDEKS
JUMLAH - 1252.10 1252.10
KOMPETENSI TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Cuti Februari
RASI
DAN NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 72,444,848
Rp 184,179 Rp 11,896,273
9,715,161 Rp -
605,193.20 Rp 172,229 Rp - Rp 777,422 Rp 38,871 Rp 738,551 Rp - Rp 738,551 Rp 738,551 4
594,993.31 Rp 169,326 Rp - Rp 764,320 Rp 38,216 Rp 726,104 Rp - Rp 726,104 Rp 726,104
512,260.34 Rp 167,875 Rp - Rp 680,135 Rp - Rp 680,135 Rp - Rp 680,135 Rp 680,135 9
600,093.25 Rp 170,778 Rp - Rp 770,871 Rp - Rp 770,871 Rp - Rp 770,871 Rp 770,871
499,712.17 Rp 163,763 Rp - Rp 663,475 Rp - Rp 663,475
Rp -

JASA KEBERSAMAAN
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALE
44287
KOMPETENSI TOTAL
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNG JAWAB KINERJA SIKAP KERJA INDEKS
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Laboratorium PK
1 Firman, A.Md.AK PJ. Lab IIIb 2.00 D3 5.00 MK 9 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.00 70.00
2 Wiwiek Handayani,A.Md.An.Kes Staf Lab IIIC 2.20 D3 5.00 MK 9 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
3 Wahyuni R, A.Md.AK Staf Lab IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
4 Suriati, A.Md.AK Staf Lab IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
5 Sopial Efendi, A.Md.Ak Staf Lab IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
6 Rizkianto Huwolo, A.Md.Ak Staf Lab IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
7 Darwis, A.Md, AK Staf Lab IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
8 Isran Huo, A. Md, Kes Staf Lab IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
9 Riski Naha, A.Md, Kes Staf Lab IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
10 Muhadjirin Hasan, A.Md, Kes Staf Lab IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
686.80 686.80
INSTALASI LAB. PA
12 Adrianus Adam, A.Md, Kes Staf Lab IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
TOTAL INDEKS
JUMLAH 754.5 754.5
Cuti Melahirkan
ASI
DAN NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 72,444,848
6,961,096 Rp -
43,448
Rp -

44287
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
PENDIDIKAN
INDEKS
BEBAN (-) nilai
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Radiologi
1 Pranita Rachman, A.Md.Rad PJ. Rad IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
2 Erny Dachlan, A.Md.Rad PJ. Rad IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
3 Qoharruddin Basra, A.Md Rad Staf Rad IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
4 Fahmi Mustari, A.Md.Rad Staf Rad IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
5 Faisal, A.Md.Kes Staf Rad IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
6 Moh. Rezal F. Ismail,A.Md.Rad Staf Rad IIC 1.40 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90 67.90
7 Nurul Insani Rahmawati Syamad Staf Rad IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
482.60 482.60
TOTAL INDEKS
JUMLAH 482.6 482.6

NELAYAN BOALEMO
JASA KEBERSAMAAN
Rp 72,444,848
Rp 35,507 Rp 2,405,448
L INDEKS SELURUH 29949
Rp 1,273,570 Rp -
Rp -

44287
KOMPETENSI JASA PELAYANAN LAIN
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
PENDIDIKAN
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
2 Isna Sune Adm. House Kee IIC 1.40 SLTA 3.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.40 66.40 -
Incinerator
0.00 -
1 Waji Hulima House keeping IA 0.20 SD 1.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 40.0 40.0 6.0 4.0 10.00 61.20 61.20 -
2 Yunus Potoroli House keeping IA 0.20 SD 1.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 40.0 40.0 6.0 4.0 10.00 59.70 59.70 -
TOTAL INDEKS
JUMLAH 187.3 187
Keluar
Femmy Ratusmanga
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB Hnr /Kontrak/PTT
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1 1.6
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1 SLTA Kes

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jmlkerjaka



TAHUN 2010
JASA PELAYANAN TGL. 1 s/d 31 Maret 2006
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX JASA PELAYANA
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL Medis
I Jasa pelayanan med 40% Rp 3,200,000
II Jumlah Indeks Medis #REF!
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF! #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF! #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF! #REF!
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 30.0 0.00 #REF!
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 30.0 0.00 #REF!
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 30.0 0.00 #REF!
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0 8.00 30.0 0.00 #REF!
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 30.0 0.00 #REF!
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 30.0 0.00 #REF!
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 30.0 0.00 #REF!
11 Harsono IIC #REF! D3 Gizi 4.00 8.0 8.00 30.0 0.00 #REF!
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0 8.00 30.0 0.00 #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0 8.00 27.0 0.00 #REF!
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0 8.00 28.0 0.00 #REF!
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0 8.00 28.0 0.00 #REF!
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00 #REF!
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00 #REF!
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00 #REF!
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00 #REF!
20 Melda Yadjitala K 1.60 SMA 2.50 4.0 5.00 25.0 0.00 #REF!
JUMLAH #REF! #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
OALEMO
A PELAYANAN LAINNYA
PUNISHMENT
%
KEBERSAMAAN
Rp 72,444,848
Rp - Rp 453,069
29,949
Rp 160,618 Rp - Rp 160,618 Rp 160,618 - Rp 160,618 Rp 160,618 2

Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp - - Rp - Rp - 3
Rp 148,040 Rp - Rp 148,040 Rp - Rp 148,040 - Rp 148,040 Rp 148,040 4
Rp 144,411 Rp - Rp 144,411 Rp - Rp 144,411 - Rp 144,411 Rp 144,411
Rp -
Rp 453,069 Rp - Rp 453,069 Rp - Rp 453,069 Rp - Rp 453,069 Rp 453,069

dr/drg.PTT
2.4
SA PELAYANAN JUMLAH PPH JUMLAH TANDA

Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 4,800,000
#REF!
#REF! #REF! 1
#REF! #REF! 2
#REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9
#REF! #REF! #REF! 10
#REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
KOMPETENS
PANGKAT / GOL I MASA KERJA
STRAT
GOL indeks indeks MK
A
1 Niastin Dauna, S. AP PJ. CSSD IIIC 2.20 S1 6.00 MK 9

2 Wiwin Djibura Adm CSSD IIC 1.40 SLTA 3.00 MK 3 - 5
3 Yanto Pukoli staf CSSD ID 0.80 SLTA 3.00 MK 1 - 3
4 Mohamad Iksan Gani staf CSSD ID 0.80 SLTA 3.00 MK 1 - 3
5 Noldi Ibrahim staf CSSD ID 0.80 SLTA 3.00 MK 1 - 3
6 Syabri Gani staf CSSD ID 0.80 SLTA 3.00 MK 1 - 3
7 Syahrun Tahala staf CSSD ID 0.80 SLTA 3.00 MK 1 - 3
Masuk
TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN
TANGGUNGJA
MASA KERJA BOBOT KERJA KINERJA SIKAP KERJA
WAB
BEBAN JABAT (-) nilai

indeks indeks indeks KUANT indeks TOTAL P D L T TOTAL
K/R AN Indeks indeks
3.0 F 7.0 staf 0.0 h22 28.0 28.0 28.0 6.0 4.0 10.00
2.5 F 7.0 staf 0.0 h22 28.0 28.0 28.0 6.0 4.0 10.00
2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
SUBSI
NILAI
DI
INDEKS
BONUS 2.5
TOTAL NILAI INDEKS JUMLAH KOTOR
%
Rp 72,444,848
325,375 Rp -
56.20 56.20 42,319 Rp 135,945 Rp - Rp 178,264

51.90 51.90 39,081 Rp 125,543 Rp - Rp 164,625
64.80 64.80 48,795 Rp 156,748 Rp - Rp 205,543
64.80 64.80 48,795 Rp 156,748 Rp - Rp 205,543
64.80 64.80 48,795 Rp 156,748 Rp - Rp 205,543
64.80 64.80 48,795 Rp 156,748 Rp - Rp 205,543
64.80 64.80 48,795 Rp 156,748 Rp - Rp 205,543
432.1 - 432 Rp 325,375 Rp 1,045,228 Rp - Rp 1,370,603

PUNISHMENT
PAJAK ( PPH ) JLH STLAH PPH %
JUMLAH BERSIH JUMLAH DITERIMA
Rp 8,913 Rp 169,351 Rp 169,351 Rp 169,351

Rp - Rp 164,625 Rp 164,625 Rp 164,625
Rp - Rp 205,543 Rp 205,543 Rp 205,543
Rp - Rp 205,543 Rp 205,543 Rp 205,543
Rp - Rp 205,543 Rp 205,543 Rp 205,543
Rp - Rp 205,543 Rp 205,543 Rp 205,543
Rp - Rp 205,543 Rp 205,543 Rp 205,543
Rp 8,913 Rp 1,361,689 Rp - Rp 1,361,689 Rp 1,361,689

44287
SUBSIDI NILAI
INDEKS
NO NAMA JABATAN TOTAL NILAI INDEKS BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT %

I Jasa pelayanan Lainnya Rp 72,444,848
JASA KEBERSAMAAN
III Rp 517,450
Klinik Interna
1 Afrianti Arafah, A.md.Kep Poli Interna 68.20 68.20 1,071,922 Rp 164,972 Rp - Rp 1,236,894 Rp - Rp 1,236,894 Rp -
Klinik Interna Geriatri

perawat interna geriatri
3 Sofyan Hasan, A.Md.Kep merangkap perawat THT 67.20 67.20 1,105,438 Rp 162,553 Rp - Rp 1,267,991 Rp - Rp 1,267,991 Rp -
merangkap klinik Jantung
Klinik Gizi
Klinik Gizi merangkap Klinik
1 Sri Asta novia Nasim, AMG 0.00 0.00 - Rp - Rp - Rp - Rp - Rp - Rp -
Umum/KIR
Klinik Kebidanan
1 Jamila Gunung, A.Md.Keb Perawat VK/Keb 69.40 69.40 405,938 Rp 167,875 Rp - Rp 573,813 Rp 28,691 Rp 545,122 Rp -
2 Fidyah Salawali, A.Md.Keb Poli Kebidanan 69.20 69.20 405,938 Rp 167,391 Rp - Rp 573,329 Rp 28,666 Rp 544,663 Rp -
Klinik THT
Klinik Syaraf
1 Yulda Anwar, A.Md.Kep Syaraf 69.00 69.00 345,367 Rp 166,907 Rp - Rp 512,275 Rp 25,614 Rp 486,661 Rp -
2 Sriyanti Palay, A.Md.Kep Syaraf 68.80 68.80 345,367 Rp 166,424 Rp - Rp 511,791 Rp 25,590 Rp 486,202 Rp -
Rp -
Rp - Rp - Rp - Rp - Rp - Rp -
Klinik Gigi Rp - Rp - Rp - Rp - Rp - Rp -
1 Juriah, A.Md, Kes Poli Gigi 68.80 68.80 437,570 Rp 166,424 Rp - Rp 603,994 Rp 30,200 Rp 573,794 Rp -
2 Ni Made Sumini, A.M.Kg Klinik Gigi 69.40 69.40 647,039 Rp 167,875 Rp - Rp 814,914 Rp 40,746 Rp 774,168 Rp -
Rp -
Klinik Ortopedy Rp - Rp - Rp - Rp - Rp - Rp -
Klinik Bedah Rp - Rp - Rp - Rp - Rp - Rp -
1 Nurfatni, A.md.Kep Perawat Bedah 68.20 68.2 799,753 Rp 164,972 Rp - Rp 964,725 Rp - Rp 964,725 Rp -
Klinik Anak Rp - Rp - Rp - Rp - Rp - Rp -
10 Maria Rinni Lilir, A.Md.Kep Poli Anak 68.80 68.80 430,929 Rp 166,424 Rp - Rp 597,352 Rp 29,868 Rp 567,485 Rp -
Klinik Jantung Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
Rp -
Klinik Mata Index Ruangan Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
1 Rafil Hanapi,S.Kep,Ns Poli Mata 68.30 1.00 68.30 2,867,033 Rp 165,214 Rp - Rp 3,032,247 Rp 151,612 Rp 2,880,635 Rp -
11 Surtin Kadir, S.Kep.Ns Poli Mata 69.60 1.00 69.60 2,921,603 Rp 168,359 Rp - Rp 3,089,962 Rp - Rp 3,089,962 Rp -
12 Yuridistira Baderan,A.Md.Kep Perawat Mata 66.90 1.00 66.90 2,808,265 Rp 161,828 Rp - Rp 2,970,093 Rp - Rp 2,970,093 Rp -
Rp -
Fisioterapi Rp -
13 Renirisma, Amd Fis Fisioterapi 67.20 67.20 625,762 Rp 162,553 Rp - Rp 788,315 Rp 39,416 Rp 748,899 Rp -
14 Muh. Akbar, S.Ft.Physio Fisioterapi 69.30 69.30 625,762 Rp 167,633 Rp - Rp 793,395 Rp 39,670 Rp 753,725 Rp -
3 Ratnawati, S.Kep Perawat Rehab/ Wakaru 70.20 70.20 378,368 Rp 169,810 Rp - Rp 548,178 Rp 27,409 Rp 520,769 Rp -
Rp -
Klinik Kulit dan Kelamin Rp -
Perawat Klinik Kulit & Klinik
15 Dia Ade Fatma, A.Md.Kep 67.70 67.70 240,162 Rp 163,763 Rp - Rp - Rp 403,925 Rp -
Jiwa Rp 403,925
Klinik Umum Rp - Rp - Rp - Rp - Rp - Rp -
1 Yolla Oktavia Pangau, A.Md.Kep Karu 69.40 69.4 831,518 Rp 167,875 Rp - Rp 999,393 Rp 49,970 Rp 949,424 Rp -
Klinik Jiwa Rp - Rp - Rp - Rp - Rp - Rp -
17 Rp -
Rp -
Rp -
Rp -
TOTAL INDEKS
JUMLAH 1235.6 3.0 1235.6 Rp 17,293,735 Rp 2,988,853 Rp - Rp 20,282,588 Rp 517,450 Rp 19,765,138 Rp -
Rp 17,293,735
Rp -
CUTI
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IC IB Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 1.2 1 1.6 2.4
Strata Pendidikan
Range: 1,75-6
Bobot Tupoksi
Range 4-10
Tanggung Jawab
Range: 5-10
Kuantitas Kinerja
Range:0-30
Kualitas Kinerja
Range:0-40
Reward
Range:0-15%Indeks
Punishment
Range: 0-!00% Indeks

TAHUN 2010
SUBSIDI INDEX JASA PELAYANAN JUMLAH

NO NAMA
PAJAK TOTAL Medis Para medis dll KOTOR
Japel Pelayanan Paramedis/dll 60% Rp 4,800,000
Jumlah Indeks Paramedis/dll #REF!
1 dr. M. Jamal, MPH, AAAK #REF! #REF! #REF!
2 dr. Ruslyaras, S.Ked #REF! #REF! #REF!
3 drg. Endang Sulistyorini,SKG #REF! #REF! #REF!
4 Husain Saud #REF! #REF! #REF!
5 Asni Lasena #REF! #REF! #REF!
6 Haryono Musa #REF! #REF! #REF!
7 Deyli Lengkong #REF! #REF! #REF!
8 Yolanda Kelung #REF! #REF! #REF!
9 Maryam Limalo #REF! #REF! #REF!
10 Astri Yunita #REF! #REF! #REF!
11 Harsono #REF! #REF! #REF!
12 Felly Datunsolang #REF! #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep #REF! #REF! #REF!
14 Ida Popoy, Amd, Keb #REF! #REF! #REF!
15 Sri Yulandi Noho, SKM #REF! #REF! #REF!
16 Noni Adam #REF! #REF! #REF!
17 Yamin Aliwu #REF! #REF! #REF!
18 Norman Kobi #REF! #REF! #REF!
19 Elan Radjak #REF! #REF! #REF!
20 Melda Yadjitala #REF! #REF! #REF!
JUMLAH #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
Rp 19,765,138
Rp 1,236,894 Rp 1,236,894
Rp 1,267,991 Rp 1,267,991
Rp - Rp - 2
Rp 545,122 Rp 545,122 69.40 Rp -

Rp 544,663 Rp 544,663
Rp 486,661 Rp 486,661
Rp 486,202 Rp 486,202 2
Rp - Rp -
Rp - Rp -
Rp 573,794 Rp 573,794 8
Rp 774,168 Rp 774,168 17
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 964,725 Rp 964,725
Rp - Rp -
Rp - Rp -
Rp 567,485 Rp 567,485
Rp - Rp -
Rp - Rp -
Rp 2,880,635 Rp 2,880,635
Rp 3,089,962 Rp 3,089,962
Rp 2,970,093 Rp 2,970,093
Rp 748,899 Rp 748,899 16
Rp 753,725 Rp 753,725
Rp 520,769 Rp 520,769 14
Rp 403,925 Rp 403,925
Rp - Rp -
Rp 949,424 Rp 949,424
Rp - Rp -
Rp 19,765,138 Rp 19,765,138
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!
1
44287
PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
(-) nilai INDEKS
GOL indeks STRATA indeks MK indeks BEBAN K/R indeks JABATAN indeks KUANT indeks Indeks indeks TOTAL P D L T TOTAL PAJAK AKHIR
JASA KEBERSAMAAN
III
Instalasi Rawat Inap ( Bedah )
1 Karmila, A.Md.Kep Karu IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
2 Hirmawati, A.Md.Kep Wakaru IIIC 2.20 D3 5.00 mk 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
3 Afriani Mahmud, A.Md.Kep Perawat Bedah IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
4 Siti Sundari, A.md, Kep Perawat Bedah IIC 1.40 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90 67.90
5 Hasna Bakue,A.Md.Kep Perawat Bedah IIB 1.20 D3 5.00 MK 6 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
6 Risky Inaku, S. Kep,Ns Perawat Bedah IID 1.60 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
7 Ariyanto Maspekeh, A.Md.Kep Perawat Bedah IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
8 Suhartini, S.Kep.Ns Perawat Bedah IID 1.60 S1 6.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
9 Titin Restanti Kaharu, S.Kep.ns Perawat Bedah IID 1.60 S1 6.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
10 Suhaeli Ningsih, A.Md.Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
11 Nurmutia Genti, A.Md.Kep Perawat Bedah IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
12 Sammia, S.Kep.Ns Perawat Bedah IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60 69.60
13 Abdul Rahman Yalini, A.Md, Kep Perawat Bedah IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
0.0
TOTAL INDEKS
JUMLAH - 901.90 901.90
Masuk
Siti Sundari
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX
NO NAMA BONUS
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF!
JUMLAH #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
ASI
DAN NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 72,444,848
Rp 87,423 #REF!
5,306,155 Rp -

Rp - Rp -
Rp -

Hnr /Kontrak/PTT dr/drg.PTT
1.6 2.4
JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! 1
#REF! #REF! #REF! 2
#REF! #REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
MASA KERJA BOBOT KERJA
NO NAMA JABATAN
BEBAN
GOL indeks STRATA indeks MK indeks indeks
K/R

JASA KEBERSAMAAN
III

Instalasi Rawat Inap ( HCU )
1 Andariani R. Noho, A.Md.Kep Karu IIIC 2.20 D3 5.00 mk 6 3.0 C 9.0
2 Putri Kiki Pratiwi Helingo, A.MdKep Wakaru IIIC 2.20 D3 5.00 MK 7 3.0 C 9.0
3 Hastuti Suyitno, A.Md.Kep Perawat HCU IIIC 2.20 D3 5.00 MK 6 3.0 C 9.0
4 Willin Imran, A.Md.Kep Perawat HCU IIIC 2.20 D3 5.00 MK 8 3.0 C 9.0
5 Bachrun Reza Djufri, A.Md.Kep Perawat UGD IIIB 2.00 D3 5.00 MK 7 3.0 C 9.0
6 Safitri Iyabu, S. Kep, Ns Perawat HCU IID 1.60 S1 6.00 MK 5 3.0 C 9.0
7 Moh Fadli Mopangga, S.Kep.Ns Perawat HCU IID 1.60 S1 6.00 MK 3 - 5 2.5 C 9.0
8 Dian Octarina D.Ahmat,A.Md.Kep Perawat HCU IIB 1.20 D3 5.00 MK 7 3.0 C 9.0
9 Arifah M. Noor,A.Md.Kep Perawat HCU IIC 1.40 D3 5.00 MK 7 3.0 C 9.0
10 Poppy Sasmita Usu, S.Kep.Ns Perawat HCU IID 1.60 S1 6.00 MK 3 - 5 2.5 C 9.0
11 Nurfaizah Y. Rupu, S.Kep.Ns Perawat HCU IIIA 1.80 S1 6.00 MK 3 - 5 2.5 C 9.0
12 Moh. Frengki H. Domili,S.Kep.Ns Perawat HCU IIIA 1.80 S1 6.00 MK 0 - 1 1.5 C 9.0
13 Ratnanita Husain, S.Kep.Ns Perawat HCU IID 1.60 S1 6.00 MK 1 - 3 2.0 C 9.0
14 Gita Prastika S. Inaku,A.Md.Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 5 3.0 C 9.0
15 Yuliana Malanua, A.Md.Kep Perawat HCU IIB 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0
16 Ika Julianty Olii, A.Md, Kep Perawat HCU IIID 2.40 D3 5.00 MK 0 - 1 1.5 C 9.0
17 Akmal Saputra Muhsin,A,Md,Kep Perawat HCU IIB 1.20 D3 5.00 MK 0 - 1 1.5 C 9.0
18 Wahyu D. Latinapa, S.Tr.Kep, Ns Perawat Isolasi IIB 1.20 S1 6.00 MK 0 - 1 1.5 C 9.0
TOTAL INDEKS
JUMLAH
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1

Range: 1,75-6 6 5.5 5 5 4.5 4 3.5

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
JASA PELAYANAN TGL. 1 s/d 31 M
NO NAMA
GOL IND STRATA
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0
4 Husain Saud IIIB 2.60 SPK 3.00 8.0
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0
10 Astri Yunita IIA 1.60 SPK 3.00 6.0
11 Harsono IIC #REF! D3 Gizi 4.00 8.0
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0
16 Noni Adam IIA 1.60 SMA 2.50 4.0
17 Yamin Aliwu K 1.60 SMP 2.00 4.0
18 Norman Kobi K 1.60 SMA 2.50 4.0
19 Elan Radjak K 1.60 SMA 2.50 4.0
20 Melda Yadjitala K 1.60 SMA 2.50 4.0
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOA
44287
ANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI

TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
NILAI
(-) nilai INDEKS
JABATAN indeks KUANT indeks TOTAL P D L T TOTAL
Indeks indeks
PAJAK AKHIR
TOTAL INDEKS SELU
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.00 71.00
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.60 71.60
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.10 71.10
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40 70.40
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.10 71.10
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.30 71.30
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.30 70.30
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.90 69.90
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70 69.70
1270.10
1270.10
1270.10 1270.10
III B III A II D II A IC IB
2.6 2.4 2.2 1.60 1.2 1
SLTA Kes
SLTA SLTP
3 2.5 2
Teladan I Nas
Plus 15%
Pelanggaran Brt
Minus 100%
AYANAN TGL. 1 s/d 31 Maret 2006

BOBOT TANGG KINERJA SUBSIDI INDEX
BONUS
KERJA JAWAB KUANT PAJAK TOTAL
### 30.0 0.00 #REF!

8.00 30.0 0.00 #REF!
5.00 3.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 30.0 0.00 #REF!
8.00 27.0 0.00 #REF!
8.00 28.0 0.00 #REF!
8.00 28.0 0.00 #REF!
8.00 30.0 0.00 #REF!
5.00 25.0 0.00 #REF!
5.00 30.0 0.00 #REF!
5.00 20.0 0.00 #REF!
5.00 25.0 0.00 #REF!
#REF!
mas Pangi
, MPH
1 942
NERASI
ANI DAN NELAYAN BOALEMO
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH
JASA KEBERSAMAAN
Rp 72,444,848
Rp 68,613
- Rp -
- Rp 172,229 Rp - Rp 172,229 Rp 8,611 Rp 163,618
- Rp 172,229 Rp - Rp 172,229 Rp 8,611 Rp 163,618
- Rp 172,229 Rp - Rp 172,229 Rp 8,611 Rp 163,618
- Rp 172,229 Rp - Rp 172,229 Rp 8,611 Rp 163,618
- Rp 171,745 Rp - Rp 171,745 Rp 8,587 Rp 163,158
- Rp 173,197 Rp - Rp 173,197 Rp - Rp 173,197
- Rp 171,987 Rp - Rp 171,987 Rp - Rp 171,987
- Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810
- Rp 170,294 Rp - Rp 170,294 Rp - Rp 170,294
- Rp 171,987 Rp - Rp 171,987 Rp - Rp 171,987
- Rp 172,471 Rp - Rp 172,471 Rp 8,624 Rp 163,847
- Rp 170,052 Rp - Rp 170,052 Rp 8,503 Rp 161,549
- Rp 170,778 Rp - Rp 170,778 Rp - Rp 170,778
- Rp 169,810 Rp - Rp 169,810 Rp - Rp 169,810
- Rp 167,391 Rp - Rp 167,391 Rp - Rp 167,391
- Rp 169,085 Rp - Rp 169,085 Rp 8,454 Rp 160,630
- Rp 166,182 Rp - Rp 166,182 Rp - Rp 166,182
- Rp 168,601 Rp - Rp 168,601 Rp - Rp 168,601
Rp - Rp 3,072,307 Rp - Rp 3,072,307 Rp 68,613 Rp 3,003,693

1.6 2.4
JASA PELAYANAN JUMLAH

Medis Para medis dll KOTOR
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
#REF!
Rp - Rp 163,618 Rp 163,618 17 cuti April - mei

Rp - Rp 163,618 Rp 163,618
Rp - Rp 163,618 Rp 163,618 16
Rp - Rp 163,618 Rp 163,618 18
Rp - Rp 163,158 Rp 163,158 19
Rp - Rp 173,197 Rp 173,197
Rp - Rp 171,987 Rp 171,987
Rp - Rp 169,810 Rp 169,810 21
Rp - Rp 170,294 Rp 170,294 22
Rp - Rp 171,987 Rp 171,987
Rp - Rp 163,847 Rp 163,847
Rp - Rp 161,549 Rp 161,549
Rp - Rp 170,778 Rp 170,778
Rp - Rp 169,810 Rp 169,810
Rp - Rp 167,391 Rp 167,391
Rp - Rp 160,630 Rp 160,630
Rp - Rp 166,182 Rp 166,182
Rp - Rp 168,601 Rp 168,601
Rp -
Rp - Rp 3,003,693 Rp 3,003,693
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!
, 29 Oktober 2010
dahara Hibah
arsono
0926 200012 1 001
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN
44287

KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK
K/R Indeks indeks
JASA KEBERSAMAAN
III
TOTAL IN
Instalasi Rawat Inap ( Interna )
1 Salwiya Hadi, A.Md.Kep Karu IIIC 2.20 D3 5.00 MK 8 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
2 Yesti Sandy Yosef, A.Md.Kep Wakaru IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
3 Hairun Mohamad,A.Md.Kep Perawat Interna Kls 3 & Isolasi IIC 1.40 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90
4 Sry Wahyuni Tumuwe, S.Kep, Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
5 Silvian Yusup,S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
6 Samiong Laitupa, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
7 Zuriyati S. Manto, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
8 Nurain Paraditha Aspiani, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
9 Novita Dalanggo, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
10 Asti Sasmita Manggena,A.Md,Kep Perawat Interna Kls 3 & Isolasi IID 1.60 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
11 Sri Santi Rahman, A.Md.Kep Perawat Interna Kls 3 & Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
12 Intan Salsabilah P Abadi, A.Md.Kep Perawat Interna Kls 3 & Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
13 Alvit Vandra Mansi, S. Tr. Kep, Ns Perawat Interna Kls 3 & Isolasi IIB 1.20 S1 6.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
14 Mansur Karim, A.Md.Kep Perawat Interna Kls 3 & Isolasi IID 1.60 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
970.70
TOTAL INDEKS
JUMLAH - 970.7
Masuk
Hairun Mohamad,A.Md.Kep
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jml
kerjaka



TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 30.0 0.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 30.0 0.00
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 30.0 0.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0 8.00 30.0 0.00
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 30.0 0.00
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 30.0 0.00
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 30.0 0.00
11 Harsono IIC #REF! D3 Gizi 4.00 8.0 8.00 30.0 0.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0 8.00 30.0 0.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0 8.00 27.0 0.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0 8.00 28.0 0.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
20 Melda Yadjitala K 1.60 SMA 2.50 4.0 5.00 25.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
AN NELAYAN BOALEMO
NILAI
INDEKS PUNISHMENT
%
Rp 72,444,848
Rp 58,585 #REF!
5,752,911 Rp -
Rp - Rp - Rp - 1
70.20 416,044 Rp 169,810 Rp - Rp 585,855 Rp 29,293 Rp 556,562 Rp - Rp 556,562 Rp 556,562
70.20 416,044 Rp 169,810 Rp - Rp 585,855 Rp 29,293 Rp 556,562 Rp - Rp 556,562 Rp 556,562 6
67.90 402,413 Rp 164,247 Rp - Rp 566,660 Rp - Rp 566,660 Rp - Rp 566,660 Rp 566,660
970.70 Rp -
971 Rp 5,752,911 Rp 2,348,073 Rp - Rp 8,100,984 Rp 58,585 Rp 8,042,398 Rp - Rp 8,042,398 Rp 8,042,398

1 1.6 2.4
INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

TOTAL Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! #REF! 1
#REF! #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
KOMPETENSI
PANGKAT / GOL MASA KERJA
GOL indeks STRATA indeks MK

JASA KEBERSAMAAN
III

Instalasi Rawat Inap ( Interna Klas 1 & 2 )
1 Yuniarti Razak, A.Md.Kep Karu IIIB 2.00 D3 5.00 MK 9

1 Suswanti, A.Md.Kep Wakaru IIIb 2.00 D3 5.00 MK 9
2 Sri Fujiyanti R.D, A.Md.Kep Perawat Interna Kls 1 & 2 IIIC 2.20 D3 5.00 MK 7
3 Andris Abd Rahman,A.Md.Kep Perawat Interna Kls 1 & 2 IIC 1.40 D4 0.00 MK 0 - 1
4 Rizky Hamidah Assagaf Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 5
5 Nur Elsa Matiyeni, A.Md.Kep Perawat Interna Kls 1 & 2 IIC 1.40 D3 5.00 MK 5
6 Riska Hamka Genti, A.Md.Kep Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 5
7 Sri Delviaty Arbi, A.Md.Kep Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 3 - 5
8 Indrianingsih Gobel, A.Md.Kep Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 1 - 3
9 Jefri Sahi, S.Kep.Ns Perawat Interna Kls 1 & 2 IID 1.60 S1 6.00 MK 1 - 3
10 Elawati Djodjo, S. Kep. Ns Perawat Interna Kls 1 & 2 IID 1.60 S1 6.00 MK 0 - 1
17 Rizki Setyawati Sofyan, S.Tr.Kep Perawat Anak IID 1.60 S1 6.00 MK 1 - 3
5 Nurnaningsih Ayuba, S.Kep.Ns Perawat Isolasi IIB 1.20 s1 6.00 MK 3 - 5
TOTAL INDEKS
JUMLAH
Cuti
10 Elawati Djodjo, S. Kep. Ns Perawat Interna Kls 1 & 2 IID 1.60 S1 6.00 MK 0 - 1
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A
Range: 1-4 4 3.8 3.6 3.4 3.2
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1

Range: 1,75-6 6 5.5 5 5 4.5
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi

Range 4-10 10 9 8 8 6

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jml
kerjaka
Reward Non Teladan Teladan I Kab Teladan I Prov

Range:0-15%Indeks 0 Plus 5% Plus 10%

Pelanggaran RPelanggaran Sdg
Range: 0-!00% Indeks 0 Minus 20% Minus 50%

TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN

NO NAMA
GOL IND STRATA
INDEKS KHUS
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00
4 Husain Saud IIIB 2.60 SPK 3.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50
6 Haryono Musa IIIA 2.40 SPK 3.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50
8 Yolanda Kelung IIA 1.60 SPK 3.00
9 Maryam Limalo IIA 1.60 SLTA 2.50
10 Astri Yunita IIA 1.60 SPK 3.00
11 Harsono IIC #REF! D3 Gizi 4.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50
16 Noni Adam IIA 1.60 SMA 2.50
17 Yamin Aliwu K 1.60 SMP 2.00
18 Norman Kobi K 1.60 SMA 2.50
19 Elan Radjak K 1.60 SMA 2.50
20 Melda Yadjitala K 1.60 SMA 2.50
JUMLAH
Kepala Puskesmas Pa
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN N
44287
EKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
BEBAN (-) nilai

indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL
K/R Indeks indeks
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 5 37.0 37.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
III D III C III B III A II D II A
3 2.8 2.6 2.4 2.2 1.60
D3 D1 SLTA Kes
SLTA SLTP
4 3.5 3 2.5 2
Non Medis
4
Kemandirian
erjaka mndr/jml tgsX10
Teladan I Prov Teladan I Nas

Plus 10% Plus 15%
Pelanggaran Sdg Pelanggaran Brt

Minus 50% Minus 100%

NSI PENDIDIKAN BOBOT TANGG KINERJA
BONUS
IND KERJA JAWAB KUANT
10.0 ### 30.0 0.00

10.0 8.00 30.0 0.00
8.0 5.00 3.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
4.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 27.0 0.00
6.0 8.00 28.0 0.00
6.0 8.00 28.0 0.00
4.0 8.00 30.0 0.00
4.0 5.00 25.0 0.00
4.0 5.00 30.0 0.00
4.0 5.00 20.0 0.00
4.0 5.00 25.0 0.00
dr. M. Jamal, MPH

NIP: 140 361 942
ENERIMAAN REMUNERASI
H RUMAH SAKIT TANI DAN NELAYAN BOALEMO
44287
SUBSIDI NILAI
TOTAL NILAI INDEKS
BONUS 2.5 % JUMLAH KOTOR
INDEKS
Rp 72,444,848
2,835,321 Rp -
70.00 70.00 222,802 Rp 169,326 Rp - Rp 392,129

65.00 65.00 206,888 Rp 157,232 Rp - Rp 364,120
70.20 70.20 223,439 Rp 169,810 Rp - Rp 393,249
62.90 62.90 200,204 Rp 152,152 Rp - Rp 352,356
69.20 69.20 220,256 Rp 167,391 Rp - Rp 387,647
69.40 69.40 220,893 Rp 167,875 Rp - Rp 388,768
69.20 69.20 220,256 Rp 167,391 Rp - Rp 387,647
68.70 68.70 218,665 Rp 166,182 Rp - Rp 384,846
68.20 68.20 217,073 Rp 164,972 Rp - Rp 382,046
69.60 69.60 221,529 Rp 168,359 Rp - Rp 389,888
69.10 69.10 219,938 Rp 167,149 Rp - Rp 387,087
69.60 69.60 221,529 Rp 168,359 Rp - Rp 389,888
69.70 69.70 221,848 Rp 168,601 Rp - Rp 390,448
890.80 890.80
891 891 Rp 2,835,321 Rp 2,154,799 Rp - Rp 4,990,120
69.10 69.10 219,938 Rp 167,149 Rp - Rp 387,087

IC IB Hnr /Kontrak/PTT dr/drg.PTT
1.2 1 1.6 2.4

Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
Tilamuta,
Bend
Ha
NIP: 19670
PUNISHMENT
PAJAK ( PPH ) JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
Rp 57,475 #REF!
Rp 19,606 Rp 372,522 Rp - Rp 372,522 Rp 372,522 1

Rp 18,206 Rp 345,914 Rp - Rp 345,914 Rp 345,914 3
Rp 19,662 Rp 373,587 Rp - Rp 373,587 Rp 373,587 8
Rp - Rp 352,356 Rp - Rp 352,356 Rp 352,356
Rp - Rp 387,647 Rp - Rp 387,647 Rp 387,647
Rp - Rp 388,768 Rp - Rp 388,768 Rp 388,768
Rp - Rp 387,647 Rp - Rp 387,647 Rp 387,647
Rp - Rp 384,846 Rp - Rp 384,846 Rp 384,846
Rp - Rp 382,046 Rp - Rp 382,046 Rp 382,046
Rp - Rp 389,888 Rp - Rp 389,888 Rp 389,888
Rp - Rp 387,087 Rp - Rp 387,087 Rp 387,087
Rp - Rp 389,888 Rp - Rp 389,888 Rp 389,888
Rp - Rp 390,448 Rp - Rp 390,448 Rp 390,448
Rp -
Rp 57,475 Rp 4,932,645 Rp - Rp 4,932,645 Rp 4,932,645
Rp - Rp 387,087 Rp - Rp 387,087 Rp 387,087

PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
cuti melahirkan november desember januari
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA
BEBAN
GOL indeks STRATA indeks MK indeks
K/R
JASA KEBERSAMAAN
III

Instalasi Rawat Inap ( VK )
1 Sri Sunarti Lasena, S.Tr.Keb Karu IIID 2.40 S1 6.00 MK 9 3.0 E
2 Isma Abdul Gani, A.Md.Kep Wakaru IIID 2.40 D3 5.00 MK 6 3.0 E
3 Nur Fajriah Dasri, STR.KEB Perawat VK/Keb IIIA 1.80 S1 6.00 MK 5 3.0 E
4 Vita Ekawati Duna, A.Md.Keb Perawat VK/Keb IIID 2.40 D3 5.00 MK 5 3.0 E
5 Sri Susilawaty Neu, A.Md.Keb Perawat VK/Keb IIIC 2.20 D3 5.00 MK 7 3.0 E
6 Yuliana Yahya, St.Keb Perawat VK/Keb IIIC 2.20 S1 6.00 MK 3 - 5 2.5 E
7 Sri Wahyuni Niati, S.Tr.Keb Poli Kebidanan IIID 2.40 S1 6.00 MK 9 3.0 E
8 Nur Fatrilia Hiola,S.Tr.Keb Perawat VK/Keb IIIA 1.80 S1 6.00 MK 0 - 1 1.5 E
9 Maya Afriyanti, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 E
10 Novia Anggriany Tumailang, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 E
11 Chindy Chintiya Singal, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 E
12 Mumun Siti Munawaroh, A.Md.Keb Perawat VK/Keb IIC 1.40 D3 5.00 MK 0 - 1 1.5 E
13 Sri Oktaviani Moha, A. Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 E
14 Nur Maya Rizeka Amalu, SKEP NERS IID
Perawat Interna Kls 3 & Isolasi 1.60 S1 6.00 MK 1 - 3 2.0 E
15 Viliensi Wahyu Abdul Azis, S. Tr. Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 E
TOTAL INDEKS
CUTI
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D
Range: 1-4 4 3.8 3.6 3.4 3.2 3
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3
Range: 1,75-6 6 5.5 5 5 4.5 4
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis ParamedisNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka PusKTU/PrNon Prog

Range: 5-10 10 8 5

% Jalankan Tupoksi

Reward Non Teladan Teladan I Kab Teladan I Prov

Range:0-15%Indeks 0 Plus 5% Plus 10%

Pelanggaran RPelanggaran Sdg
Range: 0-!00% Indeks 0 Minus 20% Minus 50%

TAHUN 2010
JASA PELAYANAN TGL. 1 s/d 3
NO NAMA
GOL IND STRATA
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00
4 Husain Saud IIIB 2.60 SPK 3.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50
6 Haryono Musa IIIA 2.40 SPK 3.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50
8 Yolanda Kelung IIA 1.60 SPK 3.00
9 Maryam Limalo IIA 1.60 SLTA 2.50
10 Astri Yunita IIA 1.60 SPK 3.00
11 Harsono IIC #REF! D3 Gizi 4.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50
16 Noni Adam IIA 1.60 SMA 2.50
17 Yamin Aliwu K 1.60 SMP 2.00
18 Norman Kobi K 1.60 SMA 2.50
19 Elan Radjak K 1.60 SMA 2.50
20 Melda Yadjitala K 1.60 SMA 2.50
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
44287
PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN
BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI

INDEKS
nilai
indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL
indeks
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.80
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.30
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
- 1044.6
III C III B III A II D II A
2.8 2.6 2.4 2.2 1.60
D1 SLTA Kes
SLTA SLTP
3.5 3 2.5 2
Teladan I Nas
Plus 15%
Pelanggaran Brt
Minus 100%
A PELAYANAN TGL. 1 s/d 31 Maret 2006

BOBOT TANGG KINERJA SUBSIDI
BONUS
KERJA JAWAB KUANT
10.0 ### 30.0 0.00

10.0 8.00 30.0 0.00
8.0 5.00 3.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
4.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 27.0 0.00
6.0 8.00 28.0 0.00
6.0 8.00 28.0 0.00
4.0 8.00 30.0 0.00
4.0 5.00 25.0 0.00
4.0 5.00 30.0 0.00
4.0 5.00 20.0 0.00
4.0 5.00 25.0 0.00
uskesmas Pangi
Jamal, MPH
140 361 942
MAAN REMUNERASI
MAH SAKIT TANI DAN NELAYAN BOALEMO
44287
SUBSIDI NILAI
INDEKS
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH )
Rp 72,444,848
Rp 369,130
11,132,141 Rp -
71.40 760,899 Rp 172,713 Rp - Rp 933,612 Rp 46,681
70.40 750,242 Rp 170,294 Rp - Rp 920,536 Rp 46,027
70.80 754,505 Rp 171,262 Rp - Rp 925,766 Rp 46,288
70.40 750,242 Rp 170,294 Rp - Rp 920,536 Rp 46,027
70.20 748,111 Rp 169,810 Rp - Rp 917,921 Rp 45,896
70.70 753,439 Rp 171,020 Rp - Rp 924,459 Rp 46,223
71.40 760,899 Rp 172,713 Rp - Rp 933,612 Rp 46,681
69.30 738,519 Rp 167,633 Rp - Rp 906,153 Rp 45,308
69.20 737,454 Rp 167,391 Rp - Rp 904,845 Rp -
68.20 726,797 Rp 164,972 Rp - Rp 891,769 Rp -
68.20 726,797 Rp 164,972 Rp - Rp 891,769 Rp -
67.90 723,600 Rp 164,247 Rp - Rp 887,846 Rp -
67.70 721,468 Rp 163,763 Rp - Rp 885,231 Rp -
69.60 741,716 Rp 168,359 Rp - Rp 910,075 Rp -
69.20 737,454 Rp 167,391 Rp - Rp 904,845 Rp -
1044.60
1044.6 Rp 11,132,141 Rp 2,526,834 Rp - Rp 13,658,974 Rp 369,130
IC IB Hnr /Kontrak/PTT dr/drg.PTT
1.2 1 1.6 2.4
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
Bendahara Hibah
Harsono
NIP: 19670926 200012
JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
#REF!
Rp 886,931 Rp - Rp 886,931 Rp 886,931 3

Rp 874,509 Rp - Rp 874,509 Rp 874,509
Rp 879,478 Rp - Rp 879,478 Rp 879,478
Rp 874,509 Rp - Rp 874,509 Rp 874,509 7
Rp 872,025 Rp - Rp 872,025 Rp 872,025 8
Rp 878,236 Rp - Rp 878,236 Rp 878,236
Rp 886,931 Rp - Rp 886,931 Rp 886,931
Rp 860,845 Rp - Rp 860,845 Rp 860,845
Rp 904,845 Rp - Rp 904,845 Rp 904,845
Rp 891,769 Rp - Rp 891,769 Rp 891,769
Rp 891,769 Rp - Rp 891,769 Rp 891,769
Rp 887,846 Rp - Rp 887,846 Rp 887,846
Rp 885,231 Rp - Rp 885,231 Rp 885,231
Rp 910,075 Rp - Rp 910,075 Rp 910,075
Rp 904,845 Rp - Rp 904,845 Rp 904,845
Rp 13,289,845 Rp - Rp 13,289,845 Rp 13,289,845

PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
44287

KOMPETENSI
INDEKS
BEBAN nilai
K/R indeks
JASA KEBERSAMAAN
III
TOTAL
Instalasi Rawat Inap (PONEK )
1 Fitriyanti Thaib, SST Karu IVA 2.60 S1 6.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 72.10
2 Sriyati Hasan, A.Md.Keb Wakaru IIId 2.40 D3 5.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.90
3 Novriyanti Tui, A.Md.Keb Perawat VK/Keb IIIc 2.20 D3 5.00 MK 5 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
4 Olvin Inado, A.Md.Kep Perawat VK/Keb IIB 1.20 D3 5.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
5 Mulyati Yunus Perawat VK/Keb IIB 1.20 D3 5.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
6 Rismawati Ntoi, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
7 Nur Novya Muhrija, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
6 Silviyawati Dai, S.Tr.Keb Perawat VK/Keb IID 1.60 S1 6.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.10
14 Reka Riyana Saman, A.Md, Keb Perawat VK/Keb IIC 1.40 D3 5.00 MK 0 - 1 1.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.40
4 Deni Gita Novianti, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
9 Elys Mopangga, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
12 Nurjannah Saleh,S.ST Perawat VK/Keb IIIA 1.80 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.80
13 Silsianeng Masiu, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
14 Lutfiah Abdullah, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
15 Mersiana Kadji, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
TOTAL INDEKS
- 1045.8
masuk
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
NO NAMA BONUS
GOL IND STRATA
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
N NELAYAN BOALEMO
NILAI
INDEKS
Rp 72,444,848
Rp 221,070 #REF!
8,281,332 Rp -
69.70 551,930 Rp 168,601 Rp - Rp 720,531 Rp - Rp 720,531 Rp - Rp 720,531 Rp 720,531 69.70 Rp -
69.70 551,930 Rp 168,601 Rp - Rp 720,531 Rp - Rp 720,531 Rp - Rp 720,531 Rp 720,531 69.70 Rp -
69.80 552,722 Rp 168,843 Rp - Rp 721,565 Rp 36,078 Rp 685,487 Rp - Rp 685,487 Rp 685,487 69.80 Rp -
1045.80
1 1.6 2.4
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
44287

KOMPETENSI
INDEKS
BEBAN nilai
K/R indeks
JASA KEBERSAMAAN
III
TOTAL
Instalasi Rawat Inap (IRDO )
1 Witan Pakaya, STR.Keb Karu IIID 2.40 S1 6.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.90
1 Suyanti Buluati, A.Md.Keb Wakaru IIID 2.40 D3 5.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.90
2 Fendriyanti Gobel, S.Tr.keb Perawat VK/Keb IIIC 2.20 S1 6.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.70
3 Ewit Harun, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
4 Rifkawati Ali, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
5 Intan Fitria Rukmana, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
6 Nurul Sucia Tengkeran, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
7 Desry Mosii, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
8 Herlina, Amd. Keb Perawat Anak Kelas I,II,III/PICU IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
10 Citra P. Maksum, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
11 Luthfiana W. Pido, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
12 Fina Febriani Amir, S. Tr. Keb Staf SP2RS IID 1.60 S1 6.00 MK 3 - 5 2.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
13 Irmawaty M. Bakue, A.Md, Keb Perawat VK/Keb IID 1.60 D3 5.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
14 Miranda Mahieu, S. Tr. Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
TOTAL INDEKS
- 978
CUTI
9 Lindawati Lapasau, A.Md.Keb Perawat Anak Kelas I,II,III/PICU IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
NO NAMA BONUS
GOL IND STRATA
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
AN NELAYAN BOALEMO
NILAI
INDEKS
Rp 72,444,848
Rp 115,721 #REF!
5,567,954 Rp -
69.20 394,171 Rp 167,391 Rp - Rp 561,563 Rp - Rp 561,563 Rp - Rp 561,563 Rp 561,563 69.20 Rp - Rp 167,391
977.50
978 Rp 5,567,954 Rp 2,364,522 Rp - Rp 7,932,476 Rp 115,721 Rp 7,816,755 Rp - Rp 7,816,755 Rp 7,816,755

1 1.6 2.4

Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
Rp 167,391 Rp - Rp - Rp 167,391
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BO
44287

PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI
NO NAMA JABATAN
(-) nilai INDEKS
indeks
GOL STRATA indeks MK indeks BEBAN K/R indeks JABATAN indeks KUANT indeks Indeks indeks TOTAL P D L T TOTAL PAJAK
JASA KEBERSAMAAN
III
TOTAL INDE
Instalasi Rawat Inap ( Anak )
1 Laksmi Yalini, A.Md.Kep Karu IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
2 Yuyun Nasir, A.Md.Kep Wakaru IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
3 Erda Matius, A.Md.Kep Perawat Anak IIIB 2.00 D3 5.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.50
4 Nenty Rauf, A.Md.Kep Perawat Anak IIIC 2.20 D3 5.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
5 Sri Talib, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
6 Edi Santoso, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
7 Agus Sapali, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 6 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
8 Indriani R. Pano, S.Kep.Ns Perawat Anak IID 1.60 S1 6.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
9 Zulaiha Manjurungi, S.Kep.Ns Perawat Anak IID 1.60 S1 6.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
10 Titi Julia Sune, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
11 Sri Nurhayati Dj Yonu, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
12 Putri Nurul Firdaus, S.Tr.Kep Perawat Anak IID 1.60 S1 6.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
13 Linda Husain, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
14 Irna Desiyanti, S.Kep.Ns Perawat Anak IID 1.60 S1 6.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
15 Fanie Isradianty, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
16 Rahmat Abdul Azis,A.Md,Kep Perawat Anak IIB 1.2 D3 5 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
17 Frilia A Asiku, A.Md.Keb Perawat Anak IIB 1.2 D3 5 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
18 Chairunnisa Abubakar, S.Tr,Keb Perawat VK/Keb IIC 1.40 S1 5.00 MK 0 - 1 1.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.40
TOTAL INDEKS
JUMLAH - 1253.7
Masuk
1 Ika Julianty Olii
2
3
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2
Bobot Tupoksi Rgkp Mds

> RgkpRgkp 2 Medis ParamedisNon Medis
Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka Pus

KTU/ProgNon Prog
Range: 5-10 10 8 5

% Jalankan Tupoksi
Kualitas Kinerja Ktepatan Wkt HPenyelesaian Kemandirian




TAHUN 2010
NO NAMA BONUS
GOL IND STRATA
12 Felly Datunsolang IID 2.20 D3 Kesling4.00 8.0 8.00 30.0 0.00
15 Sri Yulandi Noho, SKM IIIA 2.40 S1Kesmas4.50 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
ASI
DAN NELAYAN BOALEMO
NILAI
INDEKS

Rp 72,444,848
Rp 271,128 #REF!
21,023,514 Rp -
70.70 1,185,581 Rp 171,020 Rp - Rp 1,356,600 Rp 67,830 Rp 1,288,770 Rp - Rp 1,288,770 Rp 1,288,770 3

70.70 1,185,581 Rp 171,020 Rp - Rp 1,356,600 Rp 67,830 Rp 1,288,770 Rp - Rp 1,288,770 Rp 1,288,770
69.70 1,168,811 Rp 168,601 Rp - Rp 1,337,412 Rp - Rp 1,337,412 Rp - Rp 1,337,412 Rp 1,337,412 9
70.60 1,183,904 Rp 170,778 Rp - Rp 1,354,681 Rp - Rp 1,354,681 Rp - Rp 1,354,681 Rp 1,354,681
Rp -
1,254 Rp 21,023,514 Rp 3,032,636 Rp - Rp 24,056,150 Rp 271,128 Rp 23,785,022 Rp - Rp 23,785,022 Rp 23,785,022

1 1.6 2.4
INDEX JASA PELAYANAN JUMLAH PPH JUMLAH
TOTAL Medis Para medis dll KOTOR Rp 0 DITERIMA
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
44287
KOMPETENSI JASA PELAYANAN LAINN
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNG JAWAB KINERJA SIKAP KERJA TOTAL INDEKS
PENDIDIKAN
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Ambulance
-
-
1 Steven Abdullah Sopir IIC 1.40 SLTA 3.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.40 65.40 -
2 Ibrahim Hapulu PJ. Sopir IIC 1.40 SLTA 3.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.40 65.40 -
3 Ruli Djabura Sopir IB 0.40 SLTP 2.00 MK 8 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.40 63.40 -
4 Rustam Hiola Sopir IA 0.20 SD 1.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.20 62.20 -
5 Riski Nangi Sopir IA 0.20 SD 1.00 MK 6 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.20 62.20 -
6 Bahrudin Lababa Sopir ID 0.80 SLTA 3.00 MK 3 - 5 2.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.30 64.30 -
7 Ayub Samsuriadi Sopir ID 0.80 SLTA 3.00 MK 5 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.80 64.80 -
8 Farid Marhaba Sopir ID 0.80 SLTA 3.00 MK 5 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.80 64.80 -
9 Hisam Djupu Sopir ID 0.80 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80 -
10 Frengki Dunggio Sopir ID 0.80 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80 -
11 Iwan Setiawan Liputo Sopir ID 0.80 SLTA 3.00 MK 0 - 1 1.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30 -
TOTAL INDEKS
JUMLAH 703 703 Rp -

ALEMO
PELAYANAN LAINNYA
PUNISHMENT
%
KEBERSAMAAN
Rp 72,444,848
Rp - Rp 1,701,488
29,949
1
Rp - Rp - Rp - Rp - Rp - - Rp - Rp -
Rp 158,199 Rp - Rp 158,199 Rp - Rp 158,199 - Rp 158,199 Rp 158,199
Rp 158,199 Rp - Rp 158,199 Rp - Rp 158,199 - Rp 158,199 Rp 158,199 2
Rp 153,361 Rp - Rp 153,361 Rp - Rp 153,361 - Rp 153,361 Rp 153,361 4
Rp 150,459 Rp - Rp 150,459 Rp - Rp 150,459 - Rp 150,459 Rp 150,459 5
Rp 150,459 Rp - Rp 150,459 Rp - Rp 150,459 - Rp 150,459 Rp 150,459 6
Rp 155,538 Rp - Rp 155,538 Rp - Rp 155,538 - Rp 155,538 Rp 155,538 6
Rp 156,748 Rp - Rp 156,748 Rp - Rp 156,748 - Rp 156,748 Rp 156,748
Rp 156,748 Rp - Rp 156,748 Rp - Rp 156,748 - Rp 156,748 Rp 156,748
Rp 154,329 Rp - Rp 154,329 Rp - Rp 154,329 - Rp 154,329 Rp 154,329
Rp 154,329 Rp - Rp 154,329 Rp - Rp 154,329 - Rp 154,329 Rp 154,329
Rp 153,119 Rp - Rp 153,119 Rp - Rp 153,119 - Rp 153,119 Rp 153,119
-
Rp -
Rp 1,701,488 Rp - Rp 1,701,488 Rp - Rp 1,701,488 Rp - Rp 1,701,488 Rp 1,701,488

44287
KOMPETENSI TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Tekhnisi Medis
1 Ronaldi Ahmad Tekhnisi Iid 1.60 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.10 66.10
3 Fendi Saidi Tekhnisi IIC 1.40 SLTA 3.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h23 14.0 10 4.0 4.0 6.0 4.0 10.00 26.40 26.40
3 Fathan Ali Tekhnisi IIc 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.90
4 Agus Duna Tekhnisi ID 0.80 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
5 Roy Aminullah Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
6 Frengki Andriyawan Lagili Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
7 Yanto Kasim Ibrahim Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
8 Zulkifli Gani Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
9 Alfred Mahmud Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
10 Steven Mooduto Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
ATEM
Tekhnisi
1 Muh.Djafar, A.Md.Term IIID 2.40 D3 5.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.40 69.40
Elektromedis
2 Mohamad Teguh Kurniawan Djur Tekhnisi IIc 1.40 D3 5.00 MK 1 - 3 2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.40 67.40
TOTAL INDEKS
JUMLAH 752 752

Tidak Berkinerja
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF!
JUMLAH #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
I
N NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 72,444,848
Rp 27,847 Rp 4,571,270
L INDEKS SELURUH 29948.9
2,453,967 Rp -
86,116 Rp 63,860 Rp - Rp 149,976 Rp - Rp 149,976 - Rp 149,976 Rp 149,976
214,963 Rp 159,409 Rp - Rp 374,371 Rp - Rp 374,371 - Rp 374,371 Rp 374,371
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
213,006 Rp 157,957 Rp - Rp 370,963 Rp - Rp 370,963 - Rp 370,963 Rp 370,963
325,375
382,543 Rp 163,037 Rp - Rp 545,580 Rp - Rp 545,580 - Rp 545,580 Rp 545,580

1.6 2.4
JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! 1
#REF! #REF! #REF! 2
#REF! #REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
DAFTAR PENERIMAAN REMUNE
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI D
44287

KOMPETENSI
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
JASA MEDIS
DOKTER SPESIALIS, GIGI DAN UMUM
Dokter Spesialis
1 dr.Kisman Djafar,Sp.B Spesialis Bedah IVD 3.20 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 82.20
2 dr. Wahyudin Dangkua, Sp.PD Spesialis penyakit dalam IIID 2.40 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.40
3 dr. Gusman Aru Alitu, Sp.An Spesialis Anastesi IVA 2.60 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.60
4 dr. Indah Musdalifah, Sp.A Spesialis Anak IIID 2.40 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.40
5 dr. Hendra, Sp.Rad Spesialis Radiologi IIIC 2.20 s2+ 7.00 MK 5 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.20
6 dr. Fikri Wahidji, Sp.JP Spesialis Jantung IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
7 dr. dr. Cory Indriyati Wigati, Sp.D.V Spesialis Kulit dan Kelamin IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
8 dr. Mulyoni Polapa, Sp.B Spesialis Bedah IIIC 2.20 s2+ 7.00 MK 8 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.20
9 dr. wilda heike lokey SPESIALS THT IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
10 dr. Torajasa Achamar, Sp.PK Spesialis Patologi Klinik IIIB 2.00 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.50
11 dr. Fetty Fatimah, Sp.PA Spesialis Patologi Anatomi IIID 2.40 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.90
12 dr. Andrew Bernhard Christian Rattu, SPOG Spesialis Obsgyn IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
13 dr. Kurnia Sukmonowati, Sp.RM Spesialis Rehabilitasi Medik IVA 2.60 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.10
14 dr. Nurazizah Juzmi, Sp. M, M. Kes Spesialis Mata IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
1 - residen interna IIIB 0.00 0.0 A 10.0 0.0 0.0 0.0 0.0
2 dr. Andisty Ate residen Saraf IIIB 2.00 s2+ 6.50 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.00
1 dr. M. Bahtiar Fandi,Sp.N Spesialis Saraf IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
3 dr. Sofyan Almahdi, Sp.KJ Spesialis Kesehatan Jiwa IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Dokter Gigi
1 drg. Nuryani Haji Abd. Rachman, SKG Dokter Gigi IVC 3.00 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.70
2 drg. Adnan Ali Masi Dokter Gigi IIIA 1.80 dr 6.20 MK 0 - 1 1.5 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.00
Dokter umum
1 dr. Faisal Muhamad Dokter Pelaksana IVc 3.00 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.70
2 dr. Rastina Dokter Pelaksana IVc 3.00 dr 6.20 mk 6 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.70
3 dr. Prasbe Agoes Dokter Pelaksana IVA 2.60 dr 6.20 mk 7 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.30
4 dr. Istin T.Ibrahim Dokter Pelaksana IIID 2.40 dr 6.20 mk 7 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.10
948.80
0.00
1 dr. Beatrix Kumowal IIIA 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
2 dr. Fajrian Rizkia Lubis IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
3 dr. Hesty Elisabeth IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
4 dr. Ririen Sylvia Sagita Bilondatu IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
5 dr. Farid Djafar IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
6 dr. Nur Audia Latamba IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
7 dr. Wahyuni Sartika Dewi Surya IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
8 dr. Yahya Djafar IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
628.00
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
TOTAL INDEKS
JUMLAH 2475.0
Selesai Iship tgl 13 November 2020

dr. Arnetia Darmasala Dokter Internship IIIA
dr. Kristian Lihardo Girsang Dokter Internship IIIA
dr. Maria Sharon Dokter Internship IIIA
dr. Pingkan Widilisa Cesiliaa Kalumata Dokter Internship IIIA
dr. Rahmatia Anwar Dokter Internship IIIA
dr. Tifani Sutrisno Dokter Internship IIIA
dr. Yahya Djafar Dokter Internship IIIA
Keluar
2 dr. Marcella Politon, Sp.M Spesialis Mata IIIB 2.00 S2 6.50 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 0.00
1 dr. Rizka Lizaprianty Asri Dokter Pertama IIIB 2.00 dr 6.20 MK 3 - 5 2.5 B 9.5 dok 7.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 0.00
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2
Bobot Tupoksi Rgkp >3 Mds RgRgkp 2 Medis ParamedisNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka Pus KTU/PrNon Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran % Jalankan Tupoksi

Kualitas Kinerja Ktepatan Wkt Hadir Penyelesaian Kemandirian


Punishment Non Pelanggaran Pelanggaran RPelanggaran Sdg Pelanggaran Brt


TAHUN 2010
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks

NO NAMA BONUS
GOL IND STRATA
5 Asni Lasena IIIB 2.60Bidan D13.50 8.0 8.00 30.0 0.00
7 Deyli Lengkong IIB #REF!Bidan D13.50 6.0 8.00 30.0 0.00
11 Harsono IIC #REF!D3 Gizi 4.00 8.0 8.00 30.0 0.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF!D3 Kep 4.00 6.0 8.00 27.0 0.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan4.00 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH

KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
dr. M. Jamal, MPH

NIP: 140 361 942
N REMUNERASI
AKIT TANI DAN NELAYAN BOALEMO
NILAI
INDEKS
Rp 72,444,848

2475.00
82.20 Rp 4,723,474 Rp 198,838 Rp - Rp 4,922,312 Rp 738,347 Rp 4,183,965 Rp - Rp 4,183,965 Rp 4,183,965 1

81.40 Rp 11,466,430 Rp 196,902 Rp - Rp 11,663,332 Rp 583,167 Rp 11,080,166 Rp - Rp 11,080,166 Rp 11,080,166
80.00 Rp 501,267 Rp 193,516 Rp - Rp 694,783 Rp 34,739 Rp 660,044 Rp - Rp 660,044 Rp 660,044
79.50 1,473,832 Rp 192,306 Rp - Rp 1,666,139 Rp 83,307 Rp 1,582,832 Rp - Rp 1,582,832 Rp 1,582,832
79.50 Rp 21,526,486 Rp 192,306 Rp - Rp 21,718,792 Rp 1,085,940 Rp 20,632,853 Rp - Rp 20,632,853 Rp 20,632,853
79.50 Rp 49,977,161 Rp 192,306 Rp - Rp 50,169,468 Rp 2,508,473 Rp 47,660,994 Rp - Rp 47,660,994 Rp 47,660,994
Rp - Rp -
Rp -
Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -

NILAI
INDEKS

Rp 122,591,256
Rp 10,478,460
79.70 880,199 192,790.20 Rp - 1,072,989.67 160,948.45 912,041.22 Rp - 912,041.22 912,041.22 15
80.70 891,243 195,209.15 Rp - 1,086,452.53 162,967.88 923,484.65 Rp - 923,484.65 923,484.65 17
80.30 886,826 194,241.57 Rp - 1,081,067.39 162,160.11 918,907.28 Rp - 918,907.28 918,907.28 19
80.10 884,617 193,757.78 Rp - 1,078,374.82 53,918.74 1,024,456.07 Rp - 1,024,456.07 1,024,456.07 20
- - Rp - - - - Rp - - -
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53

78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
78.50 866,947 189,887.46 Rp - 1,056,834.24 52,841.71 1,003,992.53 Rp - 1,003,992.53 1,003,992.53
Rp 10,478,460 Rp - -
NILAI
INDEKS
2475.00 Rp -
Rp -
2,475.00 Rp 133,069,716 Rp 5,986,898 Rp - Rp 139,056,614 Rp 8,425,284 Rp 130,631,329 Rp - Rp 130,631,329 Rp 130,631,329
Rp -
0.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
0.00 - - Rp - - - - Rp - - -
NILAI
INDEKS

1 1.6 2.4
NILAI
INDEKS

Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
NILAI
INDEKS
Harsono
NIP: 19670926 200012 1 001
#REF! #REF!
dr. Kisman Djafar, Sp.B L Dokter Spesialis Bedah

dr. Moh. Rizal Alayidrus L Dokter Spesialis Jantung
dr. Torajasa Achamar, Sp.PK.Blomed L Spesialis Patologi Klinik
dr. Nur Aziza Juzmi, Sp.M P Dokter Spesialis Mata
dr. Wilda Heike Lokey P Dokter Spesialis THT
dr. Andre Christian Widya, Sp.OG L Dokter Spesialis Obsgyn
dr. Jieni Hardiyanto L Residen Obsgyn
DAFTAR PENERIMAAN REMUNE
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI D
TIM PENGELOLA REMUNERASI BULAN APRIL

NO NAMA JABATAN PANGKAT / GOL KOMPETENSI PEND. MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
nilai
GOL indeks STRATA indeks MK indeksBEBAN K/Rindeks JABATAN indeks KUANT indeks (-) Indeks
indeks
TOTAL P D L
JASA KEBERSAMAAN
JASA MEDIS
TIM PENGELOLA REMUNERASI
1 Fadjriah. N. Fattah, Amd.Kom Pengelola Klem Rawat Jalan BPJS IIC 1.40 D3 5.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
2 Rahmawaty Nihe Pengelola Klem Rawat Inap BPJS IIID 2.40 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
3 Septian S. Mootalu, A.Md, Kes Koder IIB 1.20 D3 5.00 MK 7 3.0 G 6.5 Staf 0.0 h21 42.0 42.0 42.0 6.0
4 Sri Zein Hutuo, SKM Pengelola Dana Talangan IIB 1.20 S1 6.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
JUMLAH
MENGETAHUI
DIREKTUR BLUD RSUD TANI DAN NELAYAN

NIP 196805112001121 003
IIID 2.40 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II C II B
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 2 1.8
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1 SLTA KesSLTA SLTP SD

Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2 1.75
Bobot Tupoksi Rgkp >3 Mds RgkpRgkp 2 Medis ParameNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka Pus KTU/Prog Non Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran % Jalankan Tupoksi

Range:0-30 hadir/hari kerjax15 kerjakan/jml tugasx15
Kualitas Kinerja Ktepatan Wkt Hadir Penyelesaian TugaKemandirian

Range:0-40 Hdr tepat/hr kerjax15 selesai tpt wkt/jmlkerjaka

Punishment Non Pelanggaran Pelanggaran RingaPelanggaran Sdg Pelanggaran Brt


TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA
NO NAMA
GOL IND STRATAINDEKSKHUS IND KERJA JAWAB KUANT KUAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 10.00 ### ###
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 ### ###
3 drg. Endang Sulistyorini,SKG PTT #REF! drg 5.00 8.0 5.00 3.0 4.0
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 ### ###
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 ### ###
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 ### ###
7 Deyli Lengkong IIB 1.80 Bidan D1 3.50 6.0 8.00 ### ###
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 ### ###
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 ### ###
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 ### ###
11 Harsono IIC 2.00 D3 Gizi 4.00 8.0 8.00 ### ###
12 Felly Datunsolang IID 2.20 D3 Kesling 4.00 8.0 8.00 ### ###
13 Yesti Sandy Yosef, Amd.Kep IIC 2.00 D3 Kep 4.00 6.0 8.00 ### ###
14 Ida Popoy, Amd, Keb IIC 2.00 D3 Bidan 4.00 6.0 8.00 ### ###
15 Sri Yulandi Noho, SKM IIIA 2.40 S1Kesmas 4.50 6.0 8.00 ### ###
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 ### ###
17 Yamin Aliwu K #REF! SMP 2.00 4.0 5.00 ### ###
18 Norman Kobi K #REF! SMA 2.50 4.0 5.00 ### ###
19 Elan Radjak K #REF! SMA 2.50 4.0 5.00 ### ###
20 Melda Yadjitala K #REF! SMA 2.50 4.0 5.00 ### ###
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
R PENERIMAAN REMUNERASI
DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
LA REMUNERASI BULAN APRIL TAHUN 2014
ELAYANAN
JASA PELAYANAN LAINNYA JUMLAH
SIKAP KERJA TOTAL NILAI INDEKS % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH DITERIMA TANDA TANGAN
BERSIH
T TOTAL JASA KEBERSAMAAN
72444847.51
29948.90
100% 2,600,324 0.00

4.0 10.00 67.90 30.5 Rp 793,099 Rp 164,247 Rp 957,345 Rp - Rp 957,345 Rp 957,345 Rp 957,345 3
4.0 10.00 69.90 28 Rp 728,091 Rp 169,085 Rp 897,175 Rp 44,859 Rp 852,317 Rp 852,317 Rp 852,317
4.0 10.00 67.70 34 Rp 884,110 Rp 163,763 Rp 1,047,873 Rp - Rp 1,047,873 Rp 1,047,873 Rp 1,047,873
4.0 10.00 68.70 7.5 Rp 195,024 Rp 166,182 Rp 361,206 Rp - Rp 361,206 Rp 361,206 Rp 361,206
274.20 100.0 Rp 2,600,324 Rp 663,276 Rp 3,263,600 Rp 44,859 Rp 3,218,741 Rp - Rp 3,218,741 Rp 3,218,741
MIRNA IBRAHIM
NIP 19790304 200604 2 019
4.0 10.00 69.90
II A IC IB
1.60 1.2 1
SUBSIDI INDEX PPH JUMLAH TANDA

BONUS
PAJAK TOTAL Rp 0 DITERIMA TANGAN
0.00 #REF! #REF! 1

0.00 #REF! #REF! 2
0.00 #REF! #REF! 3
0.00 #REF! #REF! 4
0.00 #REF! #REF! 5
0.00 #REF! #REF! 6
0.00 #REF! #REF! 7
0.00 #REF! #REF! 8
0.00 #REF! #REF! 9
0.00 #REF! #REF! 10
0.00 #REF! #REF! 11
0.00 #REF! #REF! 12
0.00 #REF! #REF! 13
0.00 #REF! #REF! 14
0.00 #REF! #REF! 15
0.00 #REF! #REF! 16
0.00 #REF! #REF! 17
0.00 #REF! #REF! 18
0.00 #REF! #REF! 19
0.00 #REF! #REF! 20
#REF! #REF!
BADAN LAYAN
TIM PE
INDEKS TERKAIT DENGAN PELAYANAN
KINERJA SIKAP KERJA

NO NAMA JABATAN
nilai
KUANT indeks (-) Indeks TOTAL P D L
indeks

JASA KEBERSAMAAN
JASA MEDIS
TIM PENGELOLA REMUNERASI
1 Armila Bendahara APBD h21 42.0 42.0 42.0 6.0

2 Serni Pade, SE Bendahara BLUD h21 42.0 42.0 42.0 6.0
3 Doni R Luneto, SE Bendahara Penerimaan h21 42.0 42.0 42.0 6.0
Penyusun Laporan
4 Fenti Ali h21 42.0 42.0 42.0 6.0
Keuangan
5 Iyan Mariyati Tahala Operator SIMDA h21 42.0 42.0 42.0 6.0
6 Helce Pinaria Bendahara Pembantu h21 42.0 42.0 42.0 6.0
7 Adeyanti Niuwa Bendahara Pembantu h21 42.0 42.0 42.0 6.0
8 Yusna Nihe Bendahara Pembantu h21 42.0 42.0 42.0 6.0
10 Dedty Melindawati Staf Keuangan h21 42.0 42.0 42.0 6.0

11 Arton Manto Staf Keuangan h21 42.0 42.0 42.0 6.0
12 Rahmawati Moko, SE Staf Keuangan h21 42.0 42.0 42.0 6.0
JUMLAH
MENGETAHUI
DIREKTUR BLUD RSUD TANI DAN NELAYAN

NIP 196805112001121 003
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan III A II D II C II B
Range: 1-4 2.4 2.2 2 1.8
Strata Pendidikan SLTA U SLTP SD

Range: 1,75-6 2.5 2 1.75
Bobot Tupoksi
Range 4-10
Tanggung Jawab
Range: 5-10
Kuantitas Kinerja
Range:0-30
Kualitas Kinerja
Range:0-40
Reward
Range:0-15%Indeks
Punishment
Range: 0-!00% Indeks

TAHUN 2010
KINERJA
NO NAMA
KUANT KUAL
1 dr. M. Jamal, MPH, AAAK 30.0 ###
2 dr. Ruslyaras, S.Ked 30.0 ###
3 drg. Endang Sulistyorini,SKG 3.0 4.0
4 Husain Saud 30.0 ###
5 Asni Lasena 30.0 ###
6 Haryono Musa 30.0 ###
7 Deyli Lengkong 30.0 ###
8 Yolanda Kelung 30.0 ###
9 Maryam Limalo 30.0 ###
10 Astri Yunita 30.0 ###
11 Harsono 30.0 ###
12 Felly Datunsolang 30.0 ###
13 Yesti Sandy Yosef, Amd.Kep 27.0 ###
14 Ida Popoy, Amd, Keb 28.0 ###
15 Sri Yulandi Noho, SKM 28.0 ###
16 Noni Adam 30.0 ###
17 Yamin Aliwu 25.0 ###
18 Norman Kobi 30.0 ###
19 Elan Radjak 20.0 ###
20 Melda Yadjitala 25.0 ###
JUMLAH
TIM PENGELOLA KEUANGAN BULAN SEPTEMBER TAHUN 2014
AN PELAYANAN
TOTAL
SIKAP KERJA % JUMLAH PAJAK
NILAI
INDEKS KOTOR (PPH)
T TOTAL JASA KEBERSAMAAN
Rp 72,444,848
Rp 29,949
100% 3,467,099 -
4.0 10.00 69.50 8 Rp 295,072 Rp 168,117 Rp 463,189 Rp 23,159
4.0 10.00 69.70 11 Rp 405,724 Rp 168,601 Rp 574,325 Rp 28,716
4.0 10.00 68.70 10 Rp 368,840 Rp 166,182 Rp 535,022 Rp 26,751
4.0 10.00 66.40 9 Rp 331,956 Rp 160,618 Rp 492,574 Rp -

4.0 10.00 66.90 12 Rp 442,608 Rp 161,828 Rp 604,436 Rp -
4.0 10.00 65.90 6 Rp 221,304 Rp 159,409 Rp 380,713 Rp -
4.0 10.00 65.90 6 Rp 221,304 Rp 159,409 Rp 380,713 Rp -
4.0 10.00 65.90 6 Rp 221,304 Rp 159,409 Rp 380,713 Rp -
4.0 10.00 67.70 10 Rp 368,840 Rp 163,763 Rp 532,603 Rp -

4.0 10.00 67.70 10 Rp 368,840 Rp 163,763 Rp 532,603 Rp -
4.0 10.00 68.70 6 Rp 221,304 Rp 166,182 Rp 387,486 Rp -
743.00 94 3,467,099 1,797,279 5,264,378 78,627
AHUI
TANI DAN NELAYAN
MPH, AAAK
001121 003
II A
1.60
BONUS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
Rp 440,030 Rp 440,030 Rp 440,030 1

Rp 545,609 Rp 545,609 Rp 545,609
Rp 508,271 Rp 508,271 Rp 508,271 2
Rp 492,574 Rp 492,574 Rp 492,574

Rp 604,436 Rp 604,436 Rp 604,436 3 Cuti Melahirkan
Rp 380,713 Rp 380,713 Rp 380,713
Rp 380,713 Rp 380,713 Rp 380,713
Rp 380,713 Rp 380,713 Rp 380,713
Rp 532,603 Rp 532,603 Rp 532,603

Rp 532,603 Rp 532,603 Rp 532,603
Rp 387,486 Rp 387,486 Rp 387,486 cuti
5,185,751 - 5,185,751 5,185,751
MIRNA IBRAHIM
NIP 19790304 200604 2 019
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!
REMUNERASI RSTN BOALEMO
BULAN MEI TAHUN 2014
TENAGA KONTRAK
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT PELAYANAN

PANGKAT / KOMPETENSI
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
GOL PENDIDIKAN TOTAL NILAI
NO NAMA JABATAN INDEKS
BEBAN (-)
GOL Indeks STRATA Indeks MK Indeks Indeks JABATAN Indeks KUANT Indeks nilai indeks JLH P D L T JLH
K/R Indeks
I Jasa pelayanan med

Japel Penghasil Paramedis/unit
III
Tenaga Penunjang Kegiatan RS

Tenaga Penunjang Administrasi
1 Amnaris Yalini, SE Bag. SEP IID 1.60 S1 6.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
2 Irfan Karuana, S.Si Loket Pendaftaran IID 1.60 S1 6.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
3 Anisa Dyahpratiwi Sadu Loket Pendaftaran IIC 1.40 D3 5.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.90
4 Zulhisyam, SE Adm. Radiologi IID 1.60 S1 6.00 Mk 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
5 Moh. Rizka, S.Kom Staf Unit Pengelola Rujukan IID 1.60 S1 6.00 MK 6 3.0 G 6.5 staf 0.0 H21 42.0 2 40.0 40.0 6.0 4.0 10.00 67.10
6 Mutia Rahmatia Hippy, S.Si Staf Kepegawaian IID 1.60 S1 6.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 1 41.0 41.0 6.0 4.0 10.00 68.10
7 Syahrul Ali Saputra Staf Kepegawaian IIB 1.20 SLTA 3.00 MK 6 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.70
8 Yuyun Yolanda Ngabito, A.Md.Kes Staf Rekam Medik IIC 1.40 D3 5.00 MK 1 - 3 2.0 G 6.5 karu 4.5 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 69.40
9 Aisa Rasyid adm apotik IIB 1.20 SLTA 3.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.70
10 Ruis Nipu, S.Pdi Staf Kepegawaian IID 1.60 S1 6.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
11 Feriyanto Kasim Staf Rekam Medik IIB 1.20 SLTA 3.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.70
12 Moh. Ilyas, SE Staf Perencanaan IID 1.60 S1 6.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
13 Lisvan Uwete, SE Staf Rekam Medik IID 1.60 S1 6.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
14 Yulan Saliko, SM Adm UGD IID 1.60 S1 6.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
15 Restiyati Mayulu, S.Pd adm apotik IID 1.60 S1 6.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
16 Witran Maliwu, Amd Adm VIP IIC 1.40 D3 5.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.40
17 Yolanda Daud, SE Adm. Lab IID 1.60 S1 6.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10
18 Pical Mahmud, SE Adm HK IID 1.60 S1 6.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 66.60
19 Salma Paskowa, SKM Staf Rekam Medik IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
20 Feronika Nusi, SKM Adm Lab Patologi Anatomi IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
21 Laila Dai, SKM Adm Sp2RS IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
22 Adrianti Maasia, S.M Adm. Interna Kls I dan II IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
23 Fitriyani Andini Parewa,SKM Adm. Interna Kls III dan Isolasi IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
24 Salfiana Dida,S.M Adm. NIFAS IID 1.60 S1 6.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
25 Astuti Mada, S.I, Kom Admission IID 1.60 s1 6.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.60
26 Sri Novalinda Igirisa, S.M adm HCU IID 1.60 s1 6.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.60
27 Masyfa Twiyaningsih Umar,S.M Adm Bedah IID 1.60 s1 6.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.60
28 Yusma Nihe, SM Kasir IID 1.60 S1 6.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.60
29 Inton Limalo Evakuasi IIB 1.20 SLTA 3.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
30 Refliyanto S. Nuwa Evakuasi IIB 1.20 SLTA 3.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.70
31 frengki hajatu Evakuasi IIB 1.20 SLTA 3.00 MK 5 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.70
32 Romiyanto Laima Evakuasi IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.20
33 Noverdi yanto Asuna Evakuasi IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
34 Risman Kaida Evakuasi IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
35 Hendra Kude Evakuasi IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
36 Landi Sigali Satpam IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
37 Aldi Kamumu Satpam IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
38 Muksyin Deandi Abdul Muthalib Mappa Satpam IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
39 Saftar Rahmola Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
40 Alex Kamumu Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
41 Fadil Musa Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
42 Rahmat Abdul Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
43 Irwan Maikolo Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
44 Mikdad Mohamad Satpam IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.20
45 Haina Maku Laundry IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.20
46 Isdiaty Laundry IC 0.40 SD 1.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.40
47 Trisna Mopangga Laundry IIB 1.20 SLTA 3.00 MK 1 - 3 2.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70
1 Rustamin Hiola, S.AP Staf Gizi IID 1.60 S1 6.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
2 Aymun Sunga Front Office IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.20
3 Wulandari Yusup Front Office IIB 1.20 SLTA 3.00 MK 3 - 5 2.5 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.20
JUMLAH 7.0 3,327.50
Cuti
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi



HONOR JASA PELAYANAN
EMUNERASI PUSKESMAS PANGI
TAHUN 2010
DE: JANUARI 2007 s/d DESEMBER 2009
MASA KERJAKOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT
5 Asni Lasena IIIB 2.60Bidan D13.50 8.0 8.00 30.0 0.00
7 Deyli Lengkong IIB #REF!Bidan D13.50 6.0 8.00 30.0 0.00
11 Harsono IIC #REF!D3 Gizi 4.00 8.0 8.00 30.0 0.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF!D3 Kep 4.00 6.0 8.00 27.0 0.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan4.00 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH

dr. M. Jamal, MPH
NIP: 140 361 942
SUBSIDI INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA
PUNIS
HMEN
T
TANGA
PAJAK TOTAL Medis kebersamaan KOTOR Rp 0 DITERIMA
N
Rp 72,444,848
Rp - Rp 8,049,051
3327.5 29,949
69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149 9

69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149 14
66.90 Rp - Rp 161,828 Rp 161,828 Rp - Rp - Rp 161,828
69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149
67.10 Rp - Rp 162,311 Rp 162,311 Rp - Rp - Rp 162,311
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
65.70 Rp - Rp 158,925 Rp 158,925 Rp - Rp - Rp 158,925
69.40 Rp - Rp 167,875 Rp 167,875 Rp - Rp - Rp 167,875
65.70 Rp - Rp 158,925 Rp 158,925 Rp - Rp - Rp 158,925
69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149
65.70 Rp - Rp 158,925 Rp 158,925 Rp - Rp - Rp 158,925
69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149
68.60 Rp - Rp 165,940 Rp 165,940 Rp - Rp - Rp 165,940
68.60 Rp - Rp 165,940 Rp 165,940 Rp - Rp - Rp 165,940
68.60 Rp - Rp 165,940 Rp 165,940 Rp - Rp - Rp 165,940
67.40 Rp - Rp 163,037 Rp 163,037 Rp - Rp - Rp 163,037
69.10 Rp - Rp 167,149 Rp 167,149 Rp - Rp - Rp 167,149
66.60 Rp - Rp 161,102 Rp 161,102 Rp - Rp - Rp 161,102
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
68.10 Rp - Rp 164,730 Rp 164,730 Rp - Rp - Rp 164,730
67.60 Rp - Rp 163,521 Rp 163,521 Rp - Rp - Rp 163,521
67.60 Rp - Rp 163,521 Rp 163,521 Rp - Rp - Rp 163,521
67.60 Rp - Rp 163,521 Rp 163,521 Rp - Rp - Rp 163,521
67.60 Rp - Rp 163,521 Rp 163,521 Rp - Rp - Rp 163,521
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
65.70 Rp - Rp 158,925 Rp 158,925 Rp - Rp - Rp 158,925
65.70 Rp - Rp 158,925 Rp 158,925 Rp - Rp - Rp 158,925
65.20 Rp - Rp 157,715 Rp 157,715 Rp - Rp - Rp 157,715
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
64.20 Rp - Rp 155,296 Rp 155,296 Rp - Rp - Rp 155,296
65.20 Rp - Rp 157,715 Rp 157,715 Rp - Rp - Rp 157,715
62.40 Rp - Rp 150,942 Rp 150,942 Rp - Rp - Rp 150,942
64.70 Rp - Rp 156,506 Rp 156,506 Rp - Rp - Rp 156,506
68.60 Rp - Rp 165,940 Rp 165,940 Rp - Rp - Rp 165,940

65.20 Rp - Rp 157,715 Rp 157,715 Rp - Rp - Rp 157,715
65.20 Rp - Rp 157,715 Rp 157,715 Rp - Rp - Rp 157,715
- 3,327.50 Rp - Rp 8,049,051 Rp 8,049,051 Rp - Rp - Rp 8,049,051

IC I B Hnr /Kontrak/PTT dr/drg.PTT
1.2 1 1.6 2.4
SUBSIDI INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA
PAJAK TOTAL Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
###
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHUN 2014
NO NAMA JABATAN GOL % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN

JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI REMUNERASI
100% 4,333,874 Rp -
1 Drg. Adnan Ali Masi Ketua 4 Rp 753,717 37,685.86 Rp 716,031 Rp 716,031 Rp 716,031
2 dr. Fetty Fatimah, Sp. PA Sekretaris 1 Rp 188,429 9,421.46 Rp 179,008 Rp 179,008 Rp 179,008
3 dr. Indah Musdalifah, Sp. A Perwakilan Dokter Spesialis 1 Rp 188,429 9,421.46 Rp 179,008 Rp 179,008 Rp 179,008
4 Fatma Habi, A.Md.Kep Perwakilan Perawat 2 Rp 376,859 18,842.93 Rp 358,016 Rp 358,016 Rp 358,016
5 Fendriyanti Gobel,S.Tr.keb Perwakilan Bidan 2 Rp 376,859 18,842.93 Rp 358,016 Rp 358,016 Rp 358,016
6 Hairuddin S.Kau,S.Farm Perwakilan Penunjang 2 Rp 376,859 18,842.93 Rp 358,016 Rp 358,016 Rp 358,016 5
7 Mutia Rahmatia Hippy, S.Si Perwakilan Manajemen 2 Rp 376,859 Rp 376,859 Rp 376,859 Rp 376,859
8 Moh. Rizka, S. Kom Penghitung Data Akhir 4.5 Rp 847,932 Rp 847,932 Rp 847,932 Rp 847,932 7
9 Syahrul Ali Saputr, SH Penghitung Data Akhir 4.5 Rp 847,932 Rp 847,932 Rp 847,932 Rp 847,932 9
10 Rp - Rp - Rp - Rp - Rp -
11 Rp - Rp - Rp - Rp - Rp - 11
12 Rp - Rp - Rp - Rp - Rp -
13 Rp - Rp - Rp - Rp - Rp -
14 Rp - Rp - Rp - Rp - Rp - 13
15 Rp - Rp - Rp - Rp - Rp -
16 Rp - Rp - Rp - Rp - Rp -
17 Rp - Rp - Rp - Rp - Rp -
18 Rp - Rp - Rp - Rp - Rp -
JUMLAH 23 Rp 4,333,874 Rp 113,058 Rp 4,220,816 Rp - Rp 4,220,816 Rp 4,220,816
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E dr/drg.PTT
Range: 1-4 4 2.4
Strata Pendidikan S3
Range: 1,75-6 6
Bobot Tupoksi Rgkp >3

Range 4-10 10

Range: 5-10 10

Kualitas Kinerja Ktepatan Wkt Hadir

Reward Non Teladan

Range:0-15%Indeks 0

Range: 0-!00% Indeks 0
TAHUN 2010
MASA JASA
KERJA
PELAYANAN PPH JUMLAH
NO NAMA
GOLPara medis dll Rp 0 DITERIMA
Japel Pelayanan Paramedis/dll 60% ###
1 dr. M. Jamal, MPH, AAAK IIID #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF!
4 Husain Saud IIIB #REF! #REF!
5 Asni Lasena IIIB #REF! #REF!
6 Haryono Musa IIIA #REF! #REF!
7 Deyli Lengkong IIB #REF! #REF!
8 Yolanda Kelung IIA #REF! #REF!
9 Maryam Limalo IIA #REF! #REF!
10 Astri Yunita IIA #REF! #REF!
11 Harsono IIC #REF! #REF!
12 Felly Datunsolang IID #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! #REF!
14 Ida Popoy, Amd, Keb IIC #REF! #REF!
15 Sri Yulandi Noho, SKM IIIA #REF! #REF!
16 Noni Adam IIA #REF! #REF!
17 Yamin Aliwu K #REF! #REF!
18 Norman Kobi K #REF! #REF!
19 Elan Radjak K #REF! #REF!
20 Melda Yadjitala K #REF! #REF!
JUMLAH #REF! #REF!
Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TANDA TANGAN
10
12
14
16
TANDA
TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NO NAMA JABATAN GOL % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA

JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI KEPALA RUANGAN 11,268,071 Rp -
Kepala Ruangan + Supervisor 9,268,071
1 Sarifudin Jailani, S. Kep Karu OK 4 Rp 329,531 Rp 329,531 Rp 329,531 Rp 329,531
2 Natalia Makuta, S. Kep Karu Isolasi A 4.0 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
3 Sri Sunarti Lasena Karu Nifas 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
4 Yola Octavia Pangau Karu Poliklinik 4 Rp 329,531 Rp 329,531 Rp 329,531 Rp 329,531
5 Laksmi Yalini, A.Md, Kep Karu Anak 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
6 Karmila, A.Md, Kep Karu Bedah 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
7 Salwiyah Hadi, A.Md, Kep Karu Interna 3 4 Rp 329,531 Rp 329,531 Rp 329,531 Rp 329,531
8 Sri Indah Nurmayanti, S. Kep Karu VIP/ISOlasi B 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
9 Fitriyanti Thaib, SST Karu PONEK 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
10 Suritno Tangio, S. Kep Karu IGD 4 Rp 329,531 Rp 329,531 Rp 329,531 Rp 329,531
11 Witan Pakaya, S. Tr. Keb Karu IRDO 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
12 Yuniarti Razak, A.Md, Kep Karu Interna 1 & 2 4 Rp 329,531 Rp - Rp 329,531 Rp 329,531 Rp 329,531
13 Andariani R. Noho, A.Md.Kep Karu ICU 4 Rp 329,531 Rp 329,531 Rp 329,531 Rp 329,531
Wakil Kepala Ruangan + Supervisor
1 Putri Kiki P. Helingo Wakaru ICU 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
2 Sulha Talamoa, A.Md, Kep Wakaru OK 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
3 Suriyanto Sarifudin Wakaru IGD 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
4 Sriyati Hasan, A. Md, Keb Wakaru PONEK 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
5 Yesti Sandi Yosef WaKaru Interna Kls III 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
6 Yuyun Nasir, A.Md, Kep Wakaru Anak 2.5 Rp 205,957 Rp - Rp 205,957 Rp 205,957 Rp 205,957
7 Hirmawati, A.Md, Kep Wakaru Bedah 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
8 Indriani Paputungan, A.Md, Kep Wakaru VIP 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
9 Suswanti, A. Md, Kep WaKaru Interna 1 & 2 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
10 Yesti Sandi Yosef Wakaru Poliklinik 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
11 Isma Abdul Gani Wakaru NIFAS 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
12 Suyanti Buluati, A.Md, Keb Wakaru IRDO 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
13 Karmila Lagune, A.Md, Kep Wakaru Isolasi 2.5 Rp 205,957 Rp 205,957 Rp 205,957 Rp 205,957
Karu Penunjang Medik Rp - Rp - Rp - Rp -
1 Firman, A.Md, AK Karu Laboratorium 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
2 Yunita Masilu Karu Instalasi Gizi 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
4 Niastin Dauna, S. AP Karu CSSD 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
5 Pranita Rahman, A.Md, Tek. Rad Karu Radiologi 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
6 Hardi Palilati, A. Md, Kes UTD 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
7 Hairuddin S. Kau, S. Farm, Apt Farmasi 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
8 Renirisma, A.Md, Fis Fisioterapi 3 Rp 247,149 Rp 247,149 Rp 247,149 Rp 247,149
Karu Non Medik Rp - Rp - Rp - Rp -
1 Abdul Muthalib Mappa, SE Karu Security & Evakuasi 1.75 Rp 144,170 Rp 144,170 Rp 144,170 Rp 144,170
2 Ibrahim Hapulu Karu SOPIR 1.75 Rp 144,170 Rp 144,170 Rp 144,170 Rp 144,170
3 Ronaldi Ahmad Karu Tekhnisi 1.75 Rp 144,170 Rp 144,170 Rp 144,170 Rp 144,170
4 Yulindawati DJ. Maku, SST Karu HK 1.75 Rp 144,170 Rp 144,170 Rp 144,170 Rp 144,170
Rp - Rp - Rp -
Penata Anastesi Rp - Rp - Rp -
1 Irwan Herman Djafar, A.Md, Kep Penata Anastesi Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
2 I Ketut Suwastika, A.Md, Kep Penata Anastesi Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
17 Rp - Rp - Rp - Rp - Rp -
18 Rp - Rp - Rp - Rp - Rp -
JUMLAH 112.5 Rp 11,268,071 Rp - Rp 11,268,071 Rp - Rp 11,268,071 Rp 11,268,071
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 4 1.6 2.4
Range: 1,75-6 6

Range 4-10 10

Range: 5-10 10


Reward Non Teladan

Range:0-15%Indeks 0


TAHUN 2010
MASA KERJA JASA PELAYANAN PPH JUMLAH
NO NAMA
GOL Medis Para medis dll Rp 0 DITERIMA
1 dr. M. Jamal, MPH, AAAK IIID #REF! #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF! #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF! #REF!
JUMLAH #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TANDA TANGAN
5
6
7
9
10
11
12
13
14
16
TANDA
TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NE
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHU
Index
JUMLAH
NO NAMA JABATAN
KOTOR
TIM AUDIT -
NAMA Jabatan
1 dr. Fetty Fatimah, Sp.PA Ketua 0 Rp -
2 Jufri Yusup, SKM, M.Si Sekretaris 3 Rp -
3 dr. Ummu Kalsum Anggota 1 Rp -
4 dr. Sofyan Almahdi, Sp.J Anggota 1 Rp -
5 Hairuddin S.Kau,S.Farm,Apt Anggota 1 Rp -
6 Iyan Mariyati Tahala Anggota 1 Rp -
7 Yulinda Ibrahim,A.Md.Kep Anggota 1 Rp -
8 Sri Sunarti Lasena, S.Tr.Keb Anggota 1 Rp -
9 Sarifudin Jailani, S.Kep.Ns Anggota 1 Rp -
10 Moh.Rizka Anggota 0 Rp -
Jumlah 10 Rp -
AAN REMUNERASI
AH SAKIT TANI DAN NELAYAN BOALEMO
ASI BULAN APRIL TAHUN 2014
PAJAK ( PPH JLH STLAH PUNISHMENT JUMLAH JUMLAH

TANDA TANGAN
) PPH % BERSIH DITERIMA
Rp -
- Rp - Rp - Rp - 2
- Rp - Rp - Rp -
- Rp - Rp - Rp -
- Rp - Rp - Rp -
- Rp - Rp - Rp - 5
Rp - Rp - Rp - 6
- Rp - Rp - Rp -
- Rp - Rp - Rp - 7
- Rp - Rp - Rp - 9
Rp - Rp - Rp - 10
Rp - Rp - Rp - Rp - Rp - Rp 21 Rp 18
#REF! #REF!
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELA
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHUN
JUMLAH PAJAK
NO NAMA JABATAN
KOTOR ( PPH )
TIM DIKLAT 433,833 Rp -

1 Karsum Y. Nauko, SKM Ketua Tim Pengelola Rp 43,383 2,169.17
2 Helmi Karim, SE Sekretaris Rp 43,383 2,169.17
3 Susanti Adam, S. Sos Administrasi Rp 43,383 2,169.17
4 Suritno Tangio, S. Kep Penanggung Jawab Diklat Rp 43,383 2,169.17

5 Yulindawati Maku, SST Anggota Rp 43,383 2,169.17
6 Nur Elsa Fitriani Matiyeni, A.Md, Kep Anggota Rp 43,383
7 Moh. Fadli Mopangga, S. Kep, Ns Anggota Rp 43,383
8 Rizal Adipu Anggota Rp 43,383
9 Walida Nuwa Anggota Rp 43,383
10 Ruis Nipu, S. Pd.I Anggota Rp 43,383
Jumlah Rp 433,833 Rp 10,846

AN REMUNERASI
H SAKIT TANI DAN NELAYAN BOALEMO
SI BULAN APRIL TAHUN 2014
JLH STLAH JUMLAH JUMLAH

PUNISHMENT % TANDA TANGAN
PPH BERSIH DITERIMA
Rp 41,214 Rp 41,214 Rp 41,214

Rp 41,214 Rp 41,214 Rp 41,214
Rp 41,214 Rp 41,214 Rp 41,214
Rp 41,214 Rp 41,214 Rp 41,214

Rp 41,214 Rp 41,214 Rp 41,214
Rp 43,383 Rp 43,383 Rp 43,383
Rp 43,383 Rp 43,383 Rp 43,383
Rp 43,383 Rp 43,383 Rp 43,383
Rp 43,383 Rp 43,383 Rp 43,383
Rp 43,383 Rp 43,383 Rp 43,383
Rp 422,987 Rp - Rp 422,987 Rp 422,987

NO NAMA JABATAN GOL % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN

JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI KOMITE-KOMITE
100%
KOMITE MEDIK
1 dr. Hendra, Sp. RAD 6
2 dr. Kurnia Sukmonowaty,Sp.KFR 30
3 dr. Gusman A. Alitu, Sp. AN 5
4
5
6
7
KOMITE FARMASI DAN TERAPI
dr. Mulyoni Polapa, Sp. B Ketua
Hairuddin S. Kau, S. Farm, Apt Sekretaris
dr. Kisman Djafar, Sp. B SMF Bedah
dr. Wahyudin Dangkua, Sp. PD SMF Interna
dr. Indah Musdalifah, Sp. A SMF Anak
dr. Andrew B.C. Rattu, Sp.OG SMF Obgyn
dr. Gusman Alitu, Sp.An SMF Anastesi
dr. Nur Azizah Juzmi, Sp. M SMF Mata
dr. M. Bahtiar Fandi, Sp.N SMF Neurologi
drg. Nuryani H. Abdulrahman SMG Gigi
dr. Rastina SMF IGD
Sugiaty Thalib, S.Si.Apt SMF Farmasi
KOMITE KEPERAWATAN
1 Ratnawati, S. kep Ketua
2 Poppy Sasmita, S. Kepn, Ns Wakil Ketua
3 Fatma Habi, SST Sub Komite Kredensial
4 Sri Indah Nurmayanti, S. Kep Sub Komite Kredensial
5 Karmila, A.Md, Kep Sub Komite Etika dan Disiplin
6 Sarifudin Jailani, S. Kep, NS Sub Komite Etika dan Disiplin
7 Putri Kiki Helingo, A.Md, Kep Sub Komite Mutu
8
9
12 KOMITE PPI
KOMITE NAKES LAINNYA
KOMITE PMKP
KOMITE PKRS
PROGNAS
PPRA
KOMITE K3
TIM PPHP
CASE MANAGER
Arlin Ajiria, S. Kep
TIM DIKLAT
1 Karsum Y. Nauko, SKM
2 Helmi Karim, SE
3 Susanti Adam, S. Sos
4 Suritno Tangio, S. Kep
5 Yulindawati Maku, SST
6 Nur Elsa Fitriani Matiyeni, A.Md, Kep
7 Moh. Fadli Mopangga, S. Kep, Ns
8 Rizal Adipu
9 Walida Nuwa
10 Ruis Nipu, S. Pd.I
PENGELOLA WEBSITE
TIM AUDIT
17 Rp - Rp - Rp - Rp - Rp -
18 Rp - Rp - Rp - Rp - Rp -
JUMLAH 41 Rp - Rp - Rp - Rp - Rp - Rp -
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E dr/drg.PTT
Range: 1-4 4 2.4
Range: 1,75-6 6

Range 4-10 10

Range: 5-10 10


Reward Non Teladan

Range:0-15%Indeks 0


TAHUN 2010
MASA JASA
KERJA
PELAYANAN PPH JUMLAH
NO NAMA
GOLPara medis dll Rp 0 DITERIMA
1 dr. M. Jamal, MPH, AAAK IIID #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF!
JUMLAH #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TANDA TANGAN
2
16
TANDA
TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
pegawai masuk oktober
No Ruangan
1
2
3
pegawai keluar
1 dr. Jefrey James David Suatan Residen Syaraf IIIB 2.00 S2 6.50 MK 0 - 1 1.5
2 dr. Harry Rudolf
dokter tamu masuk

1
2
3
A 10.0 dok 7.0 h21 42.0 42.0 42.0
6.0 4.0 10.00 79.00 79.00 ### ### Rp -
### Rp 73,038 ### Rp - ### ###

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PEMBAGIAN JASA BPJS

JASA PELAYANAN TANGGAL 1 s/d 28 Februari 2021

III Rawat Darurat (UGD ) 6,829,051.12

1 dr.Kisman Djafar,Sp.B 7,557,558.47

Dokter umum 17,464,100

366,872 2,568,107 8,804,937

53,065 371,458 1,273,570

38,342 268,397 920,218.08

33,828 236,797 811,875.87

170,726 1,195,084 5,463,240.90

875,980 6,131,858 21,023,514.01

BONUS MANAJEMEN MANAJEMEN PENGHASIL

653,382 4,573,677 15,681,179

PENGHASIL KEBERSAMAAN JUMLAH

4,723,474 1,511,512 7,557,558

4,065,969 14,735,170 4.25

12,743,927 Poli 20,282,588

9,715,161.05 Poli 17,293,735.14

3,028,765 Poli 2,988,853

3,028,765.45 Poli 2,988,852.80

UGD 5,463,241 Karu 11,268,071.34

UGD 3,388,947 Karu

8,710.80 29,948.90 29,948.90

1 dr. Rahmawaty Dai, MARS DIREKTUR

Direktur cuti 6 hari

Rp 14,735,170 Rp 14,735,170 Rp 2,210,275.53 Rp 12,524,895 1

Rp 14,735,170 Rp 14,735,170 Rp 2,210,276 Rp 12,524,895

INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN

I Jasa pelayanan Lainnya

KaSie Mutu & Etika

TOTAL INDEKS SELURUH 29,949

77.05 77.05 Rp 1,811,206 Rp 186,380 1,997,586 299,638 1,697,948 -

75.35 75.35 Rp 1,771,244 Rp 182,268 1,953,512 293,027 1,660,485 -

75.35 75.35 Rp 1,771,244 Rp 182,268 1,953,512 293,027 1,660,485 -

90.40 90.40 Rp 2,125,023 Rp 218,673 2,343,696 117,185 2,226,511 -

89.45 89.45 Rp 2,102,692 Rp 216,375 2,319,067 115,953 2,203,113 -

89.90 89.90 Rp 2,113,270 Rp 217,463 2,330,733 116,537 2,214,197 -

75.15 75.15 Rp 1,766,543 Rp 181,784 1,948,327 97,416 1,850,911 -

74.45 74.45 Rp 1,750,088 Rp 180,091 1,930,179 96,509 1,833,670 -

73.95 73.95 Rp 1,738,335 Rp 178,881 1,917,216 95,861 1,821,355 -

89.15 89.15 Rp 2,095,640 Rp 215,649 2,311,289 115,564 2,195,724 -

1032.45 1032.45 Rp 24,269,692 Rp 2,497,443 Rp - Rp 26,767,136 Rp 1,928,818 Rp 24,838,318 Rp -

1,032 1,032 Rp 24,269,692 Rp 2,497,443 Rp - Rp 26,767,136 Rp 1,928,818 Rp 24,838,318 Rp -

1,833,670 1,833,670 9 2,649,213 2,990,053

INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN

63.9 Rp - Rp 154,571 Rp - Rp 154,571 Rp - Rp 154,571 - Rp 154,571 Rp 154,571 Rp 154,571

I Jasa pelayanan Lainnya

INSTALASI PELAYANAN MEDIK

JASA PELAYANAN LAINNYA

279,986 Rp 173,681 Rp - Rp 453,667 Rp 22,683 Rp 430,983 Rp - Rp 430,983 Rp 430,983 1

Rp 5,463,240.90 Rp 3,388,946.88 Rp - Rp 8,852,187.78 Rp 45,113.93 Rp 8,807,073.85 Rp - Rp 8,807,073.85 Rp 8,807,073.85

INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI

I Jasa pelayanan Lainnya

INSTALASI PELAYANAN MEDIK

AKHIR JASA KEBERSAMAAN

72.20 - Rp 174,648 Rp - Rp 174,648 Rp 8,732 Rp 165,916 Rp - Rp 165,916 Rp 165,916 2

845.30 Rp - Rp 2,044,737 Rp - Rp 2,044,737 Rp 25,955 Rp 2,018,782 Rp - Rp 2,018,782 Rp 2,018,782

INSTALASI PELAYANAN MEDIK

Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1

Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi Non Medis

Tanggung Jawab Ka PusKTU/Pr Non Prog

Kuantitas Kinerja Tingkat Kehadiran

Kualitas Kinerja Ktepatan Wkt Penyelesaian Kemandirian

Reward Non Teladan Teladan I Kab Teladan I Prov Teladan I Nas