LAPORAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)

PERIODE : OKTOBER TAHUN 2021

SKPD : RUMAH SAKIT UMUM DAERAH
KAB/KOTA : KABUPATEN SIJUNJUNG

KRITERIA KATEGORI

No. NIP Nama Pegawai JABATAN KELAS PRODUKTIFITAS DISIPLIN JUMLAH PAJAK BPJS TERIMA REKENING
BK PK TB KK KP POL
JML POTONGAN JML POTONGAN

A B C D E F G H I J K L M N O P Q R S T

JF Dokter Utama (Spesialis

1. 19720203 200604 1 010 dr.Yulfakhri Amir, Sp. B 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.00620-7
Bedah Umum)

JF Dokter Utama (Spesialis

2. 19760625 200604 2 011 dr. Asniyati Almi, Sp. Ak 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 1,950,000 130,000 10,920,000 0702.0210.00247-1
Akupuntur)

JF Dokter Utama (Spesialis

3. 19821120 201001 2 004 dr. Yeni Putri, Sp.P 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 7102.0201.00191-1
Paru)

JF Dokter Utama (Spesialis

4. 19800315 200803 1 001 dr. M. Fahrul Rozi, Sp. B 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.01083-0
Bedah Umum)

JF Dokter Utama (Spesialis

5. 19840917 201101 2 011 dr. Rahmatul Hajjah, Sp.A 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0700.0210.10919-0
Anak)

JF Dokter Utama (Spesialis

6. 19850523 201101 2 004 dr. Putrigusti Admira, Sp.M 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0700.0210.10889-7
Mata)

JF Dokter Utama (Spesialis

7. 19790801 200902 1 000 dr. Dendy Sp. PK 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0700.0210.00142-2
Pathologi Klinik)

JF Dokter Utama (Spesialis

8. 19820914 200803 2 002 dr.Dwi Sepfourteen,SP.DV 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.00291-3
Kulit dan Kelamin)

JF Dokter Utama (Spesialis

9. 19830308 200902 2 006 dr. Hasnur Rahmi, SpPD 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.01032-6
Penyakit Dalam)

dr. Romi Petrian Dinata, JF Dokter Utama (Spesialis

10. 19800111 200902 1 006 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.01394-6
Sp.PK Pathologi Klinik)

dr. Tawan Ika Noprianda, JF Dokter Utama (Spesialis

11. 19800109 200701 2 001 14 691,145 2,142,550 0 0 10,166,305 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0702.0210.00633-5
Sp.OG Obgyn)

JF Dokter Utama (Spesialis

12. 19860812 201101 1 005 dr. Yoan Putrasos Arif, Sp.OT Orthopedi dan 14 526,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 26,000 12,974,000 648,700 130,000 12,195,300 0702.0210.00290-0
Traumatologi)(*)

JF Dokter Utama (Spesialis

13. 19770313 200902 1 001 dr. Hari Suryana, Sp.OG 14 0 373,240 0 0 10,442,760 0 7,800,000 1,560,000 5,200,000 624,000 10,816,000 540,800 130,000 10,145,200 0702.0210.00313-9
Orgin)

JF Dokter Utama (Spesialis

14. 19870430 201101 1 004 dr. Riki Alkamdani, Sp.A 14 0 0 0 0 10,270,000 0 7,800,000 1,950,000 5,200,000 780,000 10,270,000 513,500 130,000 9,626,500 0700.0210.10923-3
Anak)

dr. Faathir Agung A.Taufika, JF Dokter Utama (Spesialis

15. 19850821 201001 1 015 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 0700.0210.09197-6
Sp.THTKL THT)

dr. Erlita Wienanda Syarif, JF Dokter Utama (Spesialis

16. 19860806 201001 2 034 14 0 607,240 0 0 10,442,760 0 7,800,000 1,950,000 5,200,000 0 11,050,000 552,500 130,000 10,367,500 0702.0210.01321-2
Sp.A Anak)

JF Dokter Utama (Spesialis

dr.Meyko Ravelino
17. 19800416 201001 1 016 Kedokteran Fisik dan 14 552,920 2,004,320 0 0 10,442,760 0 7,800,000 0 5,200,000 0 13,000,000 650,000 130,000 12,220,000 1402.0210.04296-2
Tulalo,Sp.KFR
Rehabilitasi)

18. 19771013 201001 2 007 dr. Diana Oktavia, Sp. PD Direktur RSUD 12 552,920 2,004,320 0 750,000 10,442,760 0 8,250,000 0 5,500,000 0 13,750,000 687,500 137,500 12,925,000 0700.0210.09183-6

19. 19661008 198602 2 003 LIS ELFIANTI, SE, M.SI Kepala Bidang Keuangan 11 1,227,100 2,569,250 0 0 0 625,000 2,652,810 0 1,768,540 0 4,421,350 663,203 44,214 3,713,934 0700.0210.05657-5

20. 19690617 199203 2 002 Yenita,SST Kepala Bagian Tata Usaha 11 1,227,100 2,569,250 0 0 0 275,000 2,442,810 0 1,628,540 0 4,071,350 610,703 40,714 3,419,934 0700.0201.03041-8

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
21. 19730813 199301 2 002 NUSWITA, S.ST Kepala Bidang Pelayanan 11 1,049,803 2,569,250 0 0 0 425,000 2,532,810 126,641 1,688,540 50,656 4,044,053 202,203 42,214 3,799,637 0700.0201.05175-1

Job Rahmad Aswendi, SKM,

22. 19721006 199503 1 001 Kepala Bidang Penunjang 11 951,319 2,569,250 0 0 0 800,000 2,757,810 275,781 1,838,540 0 4,320,569 648,085 45,964 3,626,520 0702.0210.00331-1
M.Kes

Basuki Rachmad, SKM, S.ST, JF Pranata Laboratorium

23. 19720209 199203 1 004 11 220,465 1,380,490 0 500,000 0 0 1,358,376 108,670 905,584 54,335 2,100,955 315,143 22,640 1,763,172 0702.0210.01393-5
M.Bmd Kesehatan Madya(*)

24. 19830818 201412 2 001 drg.Reka Arisandi JF Dokter Gigi Muda 10 366,920 1,167,460 0 0 0 0 920,628 0 613,752 0 1,534,380 76,719 15,344 1,442,317 0700.0210.17751-2

25. 19810425 201001 1 004 dr. Afda Prananta JF Dokter Muda 10 366,920 1,167,460 0 0 0 0 920,628 0 613,752 0 1,534,380 76,719 15,344 1,442,317 0702.0210.00370-1

26. 19880409 201503 2 001 drg. Wenny Alfadli JF Dokter Gigi Muda 10 366,920 1,167,460 0 0 0 0 920,628 0 613,752 0 1,534,380 76,719 15,344 1,442,317 0700.0210.18088-2

27. 19841019 201101 2 006 dr. Nani Sri Wahyuni Nasution JF Dokter Muda 10 366,920 1,167,460 0 0 0 0 920,628 0 613,752 0 1,534,380 76,719 15,344 1,442,317 0702.0210.01293-0

28. 19860101 201001 2 049 Ns.Rizka Fadhila, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00361-9

29. 19840824 201001 2 026 Ns. Resi Gusmeli Yusi, S.Kep JF Perawat Muda 9 0 874,832 0 0 0 0 783,432 430,888 522,288 0 874,832 43,742 13,057 818,034 0702.0210.00355-3

30. 19851008 201101 1 004 Ns.Rico Oktama, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00356-5

31. 19860725 201001 1 012 Ns.Irfan Syaferta, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00329-2

32. 19851125 201001 2 027 Ns. Laila Novita, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00333-4

33. 19811009 200904 2 004 Ns. Laila Sutra, S. Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0700.0210.18859-5

34. 19841210 201101 2 006 Ns.Fifi Andriani JR. S.Kep JF Perawat Muda 9 0 522,601 0 0 0 0 783,432 783,119 522,288 0 522,601 26,130 13,057 483,414 0702.0210.00308-5

35. 19850508 201001 2 035 Ns. Sri Ulfa Wahyuni, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00259-7

36. 19861010 200902 2 008 Gusti Oktaviani,S.Tr.Keb JF Bidan Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0700.0210.15195-1

37. 19761220 200604 2 012 Omawanides.SST JF Bidan Muda 9 275,621 986,540 0 0 0 0 783,432 43,559 522,288 0 1,262,161 63,108 13,057 1,185,996 1400.0210.03727-3

38. 19770414 200501 2 005 Ns. Titin Sumarni, S. Kep Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00267-6

Novia Wimingga, S.Farm,Apt,

39. 19861113 201101 2 005 JF Apoteker Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00576-8
M.Farm

40. 19750920 199603 2 002 Sri Mirawati, S.Tr.Keb JF Bidan Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00258-5

41. 19860730 201101 1 005 Rakhmad Hadi Saputra, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00353-1

42. 19860215 201001 2 005 Ratna Ayu Ningsih, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00356-4

43. 19890924 201101 2 006 Sucianti, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00262-7

44. 19850419 201001 2 026 Ns. Ghitta Asbut, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00312-7

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
45. 19710713 199403 1 002 Khaidir, S.Kep JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00332-2

Ns. Herlin Silvana,

46. 19830910 201001 2 025 JF Perawat Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0700.0210.16294-6
S.Kep.M.Kep

47. 19850714 201001 2 024 Annisa Furkaniaty, S.Gz JF Nutrisionis Muda 9 319,180 986,540 0 0 0 0 783,432 0 522,288 0 1,305,720 65,286 13,057 1,227,377 0702.0210.00375-9

48. 19760223 199503 1 001 Dedet Eryandi, AMK JF Perawat Penyelia 8 303,180 886,210 0 0 900,000 0 1,253,634 0 835,756 0 2,089,390 104,470 20,894 1,964,027 0702.0210.00255-1

Kepala Sub Bagian

49. 19851112 201001 2 001 Remi Famel, A.Md.PK, SKM 8 227,152 1,819,060 0 0 0 0 1,497,228 449,168 998,152 0 2,046,212 102,311 24,954 1,918,947 0702.0210.01521-0
Kepegawaian & Diklat

50. 19890705 201101 2 005 Ns. Fitri Ardila, S.Kep JF Perawat Pertama 8 253,226 886,210 0 0 0 0 713,634 35,682 475,756 14,273 1,139,436 56,972 11,894 1,070,570 0702.0210.00309-7

51. 19640113 198803 2 005 Asneli Guslen, A.Md. Farm JF Asisten Apoteker Penyelia 8 260,362 886,210 0 0 0 0 713,634 28,545 475,756 14,273 1,146,572 57,329 11,894 1,077,349 0702.0210.00245-7

JF Penyuluh Kesehatan
52. 19840819 201001 2 024 Lesa Getri, SKM 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0702.0210.00336-1
Masyarakat Pertama

53. 19690227 199311 2 001 Febrianti Adha, A.Md.Farm JF Asisten Apoteker Penyelia 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0702.0210.00306-0

54. 19840226 200604 2 004 Febria Sari, AMG JF Nutrisionis Penyelia 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0702.0210.00305-1

55. 19800131 201101 2 001 Ns. Lusi Ria Juita, S.Kep JF Perawat Pertama 8 89,090 886,210 0 0 0 0 713,634 214,090 475,756 0 975,300 48,765 11,894 914,641 0702.0210.00339-5

56. 19740312 200604 2 030 Hendera Susanti, S.Kep Kepala Seksi Keperawatan 8 676,320 1,819,060 0 0 0 0 1,497,228 0 998,152 0 2,495,380 124,769 24,954 2,345,657 0700.0207.07417-3

57. 19920711 201903 2 005 Yeli Trimayanti JF Apoteker Pertama 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0700.0210.23432-3

58. 19810711 201001 2 011 Ns. Murna Elliza, S.Kep JF Perawat Pertama 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0702.0210.00808-3

59. 19820129 201503 2 002 drg. Deby Puri Perta Kepala Seksi Pelayanan Medis 8 571,514 1,819,060 0 0 0 0 1,497,228 74,861 998,152 29,945 2,390,574 119,529 24,954 2,246,092 0700.0210.17236-8

60. 19751014 199603 2 002 Fitrawisma, A.Md.Keb JF Bidan Penyelia 8 260,362 886,210 0 0 0 0 713,634 28,545 475,756 14,273 1,146,572 57,329 11,894 1,077,349 0700.0210.18854-6

61. 19760615 200604 2 015 Immuryanis, A.Md.AK JF Pranata Labkes Penyelia 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 0702.0210.00326-7

62. 19651018 198803 2 005 Emy Zeit, A.Md.PK JF Perekam Medis Penyelia 8 253,226 886,210 0 0 0 0 713,634 35,682 475,756 14,273 1,139,436 56,972 11,894 1,070,570 0702.0210.00293-7

JF Pranata Laboratorium
63. 19890529 201101 2 005 Eri Sosmira, S.ST 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 0702.0210.00296-2
Kemetrologi Pertama(*)

JF Pranata Labratorium
64. 19821013 200501 2 005 Hellenna, A.Md.AK 8 262,635 886,210 0 500,000 0 0 1,013,634 40,545 675,756 0 1,648,845 82,442 16,894 1,549,509 0702.0210.00317-6
Kesehatan Penyelia

65. 19840121 201001 2 015 Yusma Dewi, SGz JF Nutrisionis Pertama 8 260,362 886,210 0 0 0 0 713,634 28,545 475,756 14,273 1,146,572 57,329 11,894 1,077,349 1402.0210.04302-4

66. 19761110 200604 2 004 Eza Usmeri, S.Tr.Keb JF Bidan Pertama 8 298,422 886,210 0 0 0 0 713,634 0 475,756 4,758 1,184,632 59,232 11,894 1,113,507 0702.0210.00302-4

Kepala Seksi Verifikasi dan

67. 19840522 201001 2 022 Yosi Novita, A.Md.Kep 8 676,320 1,819,060 0 0 0 890,000 2,031,228 0 1,354,152 0 3,385,380 169,269 33,854 3,182,257 0702.0210.00397-8
Akuntansi

68. 19870920 201704 2 003 Rosi okafia, A.Md. Keb JF Bidan Pertama 8 0 475,042 0 0 0 0 713,634 714,348 475,756 0 475,042 23,752 11,894 439,396 0700.0210.20777-2

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
69. 19861003 201001 2 021 Yona Oktavari, A.Md.AK JF Pranata Labkes Penyelia 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 0702.0210.00398-1

Ns. DEWI RONA HASTATI, Kepala Seksi Penunjang Non

70. 19780506 200604 2 018 8 676,320 1,819,060 0 0 0 0 1,497,228 0 998,152 0 2,495,380 124,769 24,954 2,345,657 1402.0210.01088-2
S.Kep Medis

71. 19752308 200312 2 005 Zurita,SE Kepala Seksi Perbendaharaan 8 676,320 1,819,060 0 0 0 0 1,497,228 0 998,152 0 2,495,380 124,769 24,954 2,345,657 0702.0210.00931-2

72. 19850410 201001 2 021 Loli Forlina, S.ST JF Pranata Labkes Pertama 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 1403.0210.18297-1

Kepala Sub Bagian Umum &

73. 19890625 201101 1 002 Ns. Ifandi Hari Pratama, S.Kep 8 676,320 1,819,060 0 0 0 0 1,497,228 0 998,152 0 2,495,380 124,769 24,954 2,345,657 0702.0210.00554-9
Humas

74. 19861212 201001 2 034 Ns. Engla Desi Marsita, S.Kep JF Perawat Pertama 8 303,180 886,210 0 0 0 0 713,634 0 475,756 0 1,189,390 59,470 11,894 1,118,027 0702.0210.00295-1

JF Pranata Labratorium
75. 19730502 199303 2 003 Sutrisila, A.Md.AK 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 0702.0210.00386-3
Kesehatan Penyelia

JF Pranata Laboratorium
76. 19840320 200902 2 003 Epis Nawati, A.Md.AK 8 293,044 886,210 0 500,000 0 0 1,013,634 0 675,756 10,136 1,679,254 83,963 16,894 1,578,397 0702.0210.00314-1
Kesehatan Penyelia

Melphi Desuspa, M.Psi,

77. 19841222 200803 2 002 JF Psikologis Klinis Pertama(*) 8 303,180 886,210 0 0 1,000,000 0 1,313,634 0 875,756 0 2,189,390 109,470 21,894 2,058,027 0700.0210.21625-6
Psikolog

78. 19940704 201903 2 005 Ns. Syerli Lidya, S.Kep JF Perawat Pertama 8 124,772 886,210 0 0 0 0 713,634 178,409 475,756 0 1,010,982 50,549 11,894 948,539 0701.0210.06320-5

Kepala Sub Bagian

79. 19800916 200801 1 004 JALINUS, ST 8 909,531 1,399,278 0 0 0 625,000 1,760,285 0 1,173,524 0 2,933,809 146,690 29,338 2,757,780 0700.0207.00922-4
Perencanaan dan Pelaporan

JF Pranata Laboratorium
80. 19770421 199803 2 003 Efiyeni, A.Md.AK 8 303,180 886,210 0 500,000 0 0 1,013,634 0 675,756 0 1,689,390 84,470 16,894 1,588,027 0702.0210.00580-1
Kesehatan Penyelia

Kepala Seksi Penunjang

81. 19760705 200604 2 001 Fenny Rifdayulianti,S.Si,Apt 8 489,097 1,819,060 0 0 0 625,000 1,872,228 187,223 1,248,152 0 2,933,157 439,974 31,204 2,461,980 0702.0210.00307-3
Medis

82. 19840927 201001 2 017 Indah Sofiyana, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00327-9

JF Perawat Pelaksana
83. 19850224 201001 1 011 Eryka Wanricho R, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00300-1
Lanjutan

JF Perawat Pelaksana
84. 19891218 201101 2 002 Dayu Hanura, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00252-4
Lanjutan

JF Perawat Pelaksana
85. 19841201 201101 2 006 Sri Dewina, A.Md.Kep 7 301,891 781,370 0 0 0 0 653,880 0 435,920 6,539 1,083,261 54,163 10,898 1,018,200 0702.0210.00257-3
Lanjutan

JF Perawat Pelaksana
86. 19831212 201001 2 026 Deance Suryanti, S. Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00253-6
Lanjutan

Pengelola Pelayanan
87. 19721119 199503 2 001 Ns. Nofriati Elvita, S.Kep Penunjang Diagnostik dan 7 210,348 781,370 0 0 0 0 653,880 98,082 435,920 0 991,718 49,586 10,898 931,234 0700.0210.00379-6
Logistik

JF Perawat Gigi Pelaksana

88. 19890612 201001 2 008 Hiwadatil Isfanji, AMKG, SKM 7 262,658 781,370 0 0 0 0 653,880 32,694 435,920 13,078 1,044,028 52,201 10,898 980,929 0702.0210.00323-0
Lanjutan

89. 19760726 200501 2 005 Silvia, S.ST Bendahara 7 308,430 781,370 0 0 0 880,000 1,181,880 0 787,920 0 1,969,800 98,490 19,698 1,851,612 0700.0201.04856-5

90. 19730915 200501 2 003 Zainar, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00395-4

JF Perawat Pelaksana
91. 19761005 200604 2 006 Fakhrurrozi, A.Md.Kep 7 308,430 781,370 0 0 800,000 0 1,133,880 0 755,920 0 1,889,800 94,490 18,898 1,776,412 0700.0210.19911-8
Lanjutan

JF Perawat Pelaksana
92. 19790403 201001 2 015 Riza Arefti, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00360-7
Lanjutan

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 JF Perawat Pelaksana
93. 19850207 201001 2 018 Hesriani, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00321-8
Lanjutan

JF Perawat Pelaksana
94. 19870715 201001 2 023 Syafdian Yuliana, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00265-2
Lanjutan

JF Perekam Medis Pelaksana

95. 19881010 201101 2 012 Prima Sari Putri, A.Md. RM 7 99,188 781,370 0 0 0 0 653,880 196,164 435,920 13,078 880,558 44,028 10,898 825,632 0702.0210.00350-4
Lanjutan

JF Perawat Pelaksana
96. 19820101 201101 1 005 Ilham, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00325-5
Lanjutan

JF Asisten Apoteker Pelaksana

97. 19770707 200501 2 008 Rina Yuliasti, A.Md.Farm 7 249,581 781,370 0 0 0 0 653,880 52,310 435,920 6,539 1,030,951 51,548 10,898 968,505 0702.0210.00358-9
Lanjutan

98. 19880226 201001 2 013 Winda Febriyanti, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00380-2

JF Perawat Pelaksana
99. 19850410 201101 2 009 Vinna Erika, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00271-8
Lanjutan

JF Perawat Pelaksana
100. 19850819 201101 2 003 Ony Mesa, A.Md.Kep 7 0 468,614 0 0 0 0 653,880 621,186 435,920 0 468,614 23,431 10,898 434,285 0702.0210.00349-8
Lanjutan

JF Asisten Apoteker Pelaksana

101. 19851014 201001 2 020 Elsa Gesmara, A.Md. Farm 7 282,275 781,370 0 0 0 0 653,880 26,155 435,920 0 1,063,645 53,182 10,898 999,565 0702.0210.00381-4
Lanjutan

JF Perawat Pelaksana
102. 19861221 200803 1 001 Deri Hermawan, A.Md. Kep 7 306,250 781,370 0 0 0 0 653,880 0 435,920 2,180 1,087,620 54,381 10,898 1,022,341 0702.0210.00276-7
Lanjutan

JF Perawat Pelaksana
103. 19890615 201101 2 008 Putri Ayu Ananda, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00352-8
Lanjutan

JF Perawat Pelaksana
104. 19791215 201101 2 001 Mildawati, A.Md.Kep 7 213,487 781,370 0 0 0 0 653,880 68,788 435,920 26,155 994,857 49,743 10,898 934,216 0702.0210.00342-5
Lanjutan

JF Perawat Pelaksana
105. 19850605 201001 2 033 Fitrika Mardiani, A.Md. Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00310-3
Lanjutan

106. 19760323 200604 2 013 Eva Marlina, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00301-2

JF Perawat Pelaksana
107. 19851002 201001 2 024 Hayatul Hasna, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00316-4
Lanjutan

Susan Dwi Parmadiana, JF Perawat Pelaksana

108. 19860316 200902 2 009 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.01341-8
A.Md.Kep Lanjutan

JF Perawat Pelaksana
109. 19801110 201001 2 020 Mariani, AMK 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00340-0
Lanjutan

110. 19870103 201001 2 019 Irawati Indra, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 297,532 781,370 0 0 0 0 653,880 0 435,920 10,898 1,078,902 53,945 10,898 1,014,059 0702.0210.00328-1

JF Perawat Pelaksana
111. 19890405 201101 2 005 Siska Riyanti, A.Md.Kep 7 0 697,472 0 0 0 0 653,880 287,707 435,920 104,621 697,472 34,874 10,898 651,700 0702.0210.00368-0
Lanjutan

JF Perawat Gigi Pelaksana

112. 19881208 201001 2 008 Arief Fernanda, AMKG 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.01244-1
Lanjutan

JF Perawat Pelaksana
113. 19840605 201101 2 004 Dira Rahmi, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00285-8
Lanjutan

JF Perawat Pelaksana
114. 19881213 201101 2 009 Deviya Srimarlis, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00278-1
Lanjutan

115. 19880225 201001 2 013 Dona Wirdaningsi, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 144,960 781,370 0 0 0 0 653,880 163,470 435,920 0 926,330 46,317 10,898 869,116 0702.0210.00385-0

JF Radiografer Pelaksana
116. 19881216 201101 1 003 Rusydi Arifin, A.Md. Rad 7 308,430 781,370 0 800,000 0 0 1,133,880 0 755,920 0 1,889,800 94,490 18,898 1,776,412 0702.0210.00363-2
Lanjutan(*)

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 JF Perawat Gigi Pelaksana
117. 19870918 201001 2 015 Luna Isthia Sefni, AMKG 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00338-3
Lanjutan

118. 19870526 201001 2 017 Puspita Rahayu, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00351-6

Ahmad Arif Mustofa, JF Perawat Pelaksana

119. 19880617 201001 1 002 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00614-0
A.Md.Kep Lanjutan

JF Perawat Pelaksana
120. 19870214 201001 2 021 Chkairius Auriza, S.Kep 7 251,542 781,370 0 0 0 0 653,880 56,888 435,920 0 1,032,912 51,646 10,898 970,369 0702.0210.00249-4
Lanjutan

JF Perawat Pelaksana
121. 19830329 201101 2 011 Widya Wirastuti, S.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00273-0
Lanjutan

122. 19890505 201001 2 004 Tirinis, A.Md.Keb JF Bidan Pelaksana Lanjutan 7 306,250 781,370 0 0 0 0 653,880 0 435,920 2,180 1,087,620 54,381 10,898 1,022,341 0702.0210.00382-6

JF Refraktion Optisionis
123. 19870611 201001 2 016 Donna Fitria Amsel, A.Md. RO 7 92,650 781,370 0 0 0 0 653,880 163,470 435,920 52,310 874,020 43,701 10,898 819,421 0702.0210.00286-1
Pelaksana Lanjutan

JF Perawat Pelaksana
124. 19860618 201101 1 005 Endra Ferdian, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00294-9
Lanjutan

JF Perawat Pelaksana
125. 19881218 201101 1 001 Defriwandi, A.Md.Kep 7 83,757 781,370 0 0 0 0 653,880 218,134 435,920 6,539 865,127 43,256 10,898 810,972 0702.0210.00256-0
Lanjutan

JF Perawat Pelaksana
126. 19850824 200902 2 004 Suci Adhani, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00261-5
Lanjutan

Weni Febri Valiantina, JF Perawat Pelaksana

127. 19880217 201101 2 007 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00272-1
A.Md.Kep Lanjutan

Rio Rejeski Naibaho, JF Perawat Pelaksana

128. 19800804 201101 1 006 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00359-1
A.Md.Kep Lanjutan

JF Perawat Pelaksana
129. 19860306 200902 2 006 Misra Yanti, A.Md. Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00344-9
Lanjutan

JF Perawat Pelaksana
130. 19870515 201001 2 026 Lailaturrahmah, A.Md.Kep 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00335-8
Lanjutan

JF Refraktion Optisionis
131. 19860825 201001 2 014 Dewi Yolanda, A.Md. RO 7 0 710,550 0 0 0 0 653,880 326,940 435,920 52,310 710,550 35,527 10,898 664,124 0702.0210.00282-2
Pelaksana Lanjutan

JF Perawat Pelaksana
132. 19820916 201001 2 019 Nelly Batalina Sinaga, AMK 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00347-4
Lanjutan

JF Nutrisionis Pelaksana
133. 19830727 201001 2 032 Lidya Mufdi, AMG 7 112,266 781,370 0 0 0 0 653,880 183,086 435,920 13,078 893,636 44,682 10,898 838,056 0702.0210.00606-2
Lanjutan

134. 19730601 199303 1 003 Irjafendra, SKM Analis Aset Negara 7 308,430 781,370 0 250,000 0 0 803,880 0 535,920 0 1,339,800 66,990 13,398 1,259,412 1403.0210.00549-1

Staf Pelaksana dengan

135. 19640617 198793 2 004 Hafziarni, SP Pendidikan minimal setara 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00457-1
S1/S2

136. 19850916 201001 2 023 Ermayeti, A.Md.RM, SKM Analis Data dan Informasi 7 275,736 781,370 0 0 0 0 653,880 32,694 435,920 0 1,057,106 52,855 10,898 993,353 0702.0210.00298-6

JF Asisten Apoteker Pelaksana

137. 19870110 201001 2 020 Zulhasnica, A.Md.Farm 7 0 435,920 0 0 0 0 653,880 653,880 435,920 0 435,920 21,796 10,898 403,226 0702.0210.00392-9
Lanjutan

JF Teknisi Elektromedis
138. 19861229 201001 1 012 Despi Irawan, AMTE 7 308,430 781,370 0 0 0 0 653,880 0 435,920 0 1,089,800 54,490 10,898 1,024,412 0702.0210.00277-9
Pelaksana Lanjutan

JF Perawat Pelaksana
139. 19860504 201001 1 011 Deden Nofyanto, A.Md.Kep 7 73,033 781,370 0 0 0 0 653,880 235,397 435,920 0 854,403 42,720 10,898 800,785 0702.0210.00254-8
Lanjutan

140. 19910323 201903 2 008 Dewi Astrinawati, A.Md.Kep JF Perawat Pelaksana 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 0 8,756 866,804 0702.0210.00510-1

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 141. 19830315 201001 1 030 Stevie Yufelliano, A.Md Verifikator Keuangan 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 43,778 8,756 823,026 0702.0210.00260-3

142. 19901021 201503 2 004 Rezi Mingga Sari, A.Md.Keb JF Bidan Pelaksana 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 0 8,756 866,804 0702.0210.01727-3

Pengelola Pelayanan
143. 19871228 201001 2 017 Jafmi Desi Yuriza, A.Md.K3 6 268,030 607,530 0 0 0 720,000 957,336 0 638,224 0 1,595,560 79,778 15,956 1,499,826 0702.0210.00330-9
Penunjang Non Medis

144. 19950325 201903 2 010 Rosika Duri Yanti, A.Md. Farm JF Asisten Apoteker Pelaksana 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 0 8,756 866,804 0702.0210.01508-1

145. 19790809 200604 2 019 Wenny Sayori, A.Md Pengelola Gaji 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 43,778 8,756 823,026 0700.0210.11368-6

146. 19810827 201001 1 016 Hendri Gusman, A.Md.Kesling JF Sanitarian Pelaksana 6 268,030 607,530 0 700,000 0 0 945,336 0 630,224 0 1,575,560 0 15,756 1,559,804 0702.0210.00319-1

147. 19930626 201903 2 013 Ria Kurnia Putri JF Nutrisionis Pelaksana 6 236,510 607,530 0 0 0 0 525,336 21,013 350,224 10,507 844,040 0 8,756 835,284 0702.0210.01205-1

148. 19871210 201403 2 003 Sri Desviani, A.Md.Keb JF Bidan Pelaksana 6 0 544,598 0 0 0 0 525,336 315,202 350,224 15,760 544,598 0 8,756 535,843 0702.0210.01322-4

149. 19930508 201903 2 006 Ranti Sirta Sari, A.Md.RM JF Perekam Medis Pelaksana 6 189,230 607,530 0 0 0 0 525,336 78,800 350,224 0 796,760 0 8,756 788,004 1402.0210.10533-3

150. 19940705 201903 2 013 Yulia Muviza, A.Md.RM JF Perekam Medis Pelaksana 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 0 8,756 866,804 0700.0210.23466-2

151. 19831115 200902 1 004 Hendri Susilo, A.Md.Kep JF Perawat Pelaksana 6 110,429 607,530 0 0 0 0 525,336 157,601 350,224 0 717,959 0 8,756 709,204 0702.0210.00388-7

152. 19940719 201903 2 009 Melsi Afrideta Utari, A.Md.KL JF Sanitarian Pelaksana 6 268,030 607,530 0 700,000 0 0 945,336 0 630,224 0 1,575,560 0 15,756 1,559,804 0700.0210.13220-6

153. 19781123 201101 1 006 Zulaidi, A.Md.Fis JF Fisioterapi Pelaksana 6 268,030 607,530 0 0 0 0 525,336 0 350,224 0 875,560 0 8,756 866,804 0702.0210.00393-1

Pembantu Bendahara
154. 19850831 201001 2 024 WIDYA YUSTIANA.A.Md 6 0 350,224 0 0 0 0 525,336 525,336 350,224 0 350,224 17,511 8,756 323,957 0700.0210.09268-3
Pengeluaran

JF Teknisi Tranfusi Darah

155. 19870505 201903 2 004 Lisa Putri Ramadhani 5 0 339,760 0 0 0 0 509,640 509,640 339,760 0 339,760 0 8,494 331,266 0702.0210.00565-3
Pemula

TOTAL 50,621,870 158,000,842 0 7,700,000 190,220,465 5,865,000 257,198,447 14,268,939 171,465,632 1,986,963 412,408,177 23,166,545 4,286,641 384,954,991

Muaro Sijunjung, 18 November 2021

Pejabat Penilai,

Ditandatangani secara elektronik oleh :

Direktur RSUD
dr. Diana Oktavia, Sp. PD
NIP : 19771013 201001 2 007

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN

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