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KPRI SEHAT

RSUD DOKTER SOESELO


KABUPATEN TEGAL

NOMOR : 301
NAMA : FAJAR RIZKI KUSUMASTUTI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 103,391
5 JASA SIMPANAN 182,225
JUMLAH 825,616

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 302
NAMA : Drg. DIANI NURCAHYAWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 94,561
5 JASA SIMPANAN 181,119
JUMLAH 815,680

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 303
NAMA : IMAM SUPARTO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 94,561
5 JASA SIMPANAN 181,119
JUMLAH 815,680

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 304
NAMA : TITI MAEMUNAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 234,836
5 JASA SIMPANAN 181,119
JUMLAH 955,955

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 305
NAMA : ISMI ARSI AULIA

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 93,241
5 JASA SIMPANAN 178,590
JUMLAH 811,831

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 306
NAMA : ZARKONI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 92,829
5 JASA SIMPANAN 177,800
JUMLAH 810,629

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 307
NAMA : YAKNI ASRI MULYANI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 91,673
5 JASA SIMPANAN 175,587
JUMLAH 807,261

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 308
NAMA : RAHAYU SRI MULYATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 141,182
5 JASA SIMPANAN 175,587
JUMLAH 856,769

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 309
NAMA : YULI NUR AFANI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 88,620
5 JASA SIMPANAN 169,740
JUMLAH 798,360

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 310
NAMA : DENNY SUCI SARASWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 89,941
5 JASA SIMPANAN 172,268
JUMLAH 802,209
KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 311
NAMA : ITA ANGGRIANSARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 89,941
5 JASA SIMPANAN 172,268
JUMLAH 802,209

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 312
NAMA : DIAN KURNIAWAN

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 89,941
5 JASA SIMPANAN 172,268
JUMLAH 802,209

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 313
NAMA : Dr. IMAM DARJITO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 89,363
5 JASA SIMPANAN 171,162
JUMLAH 800,525

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL
NOMOR : 314
NAMA : DEWI AMBARWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 89,363
5 JASA SIMPANAN 171,162
JUMLAH 800,525

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 315
NAMA : NURASIAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 170,180
5 JASA SIMPANAN 170,056
JUMLAH 880,236

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 316
NAMA : EBTA ARIYANI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 171,045
5 JASA SIMPANAN 168,633
JUMLAH 879,678

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 317
NAMA : NOVIKA DIANA PERMATASARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 197,906
5 JASA SIMPANAN 168,633
JUMLAH 906,540

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 318
NAMA : ANGGI EKA PUSPITASARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 88,043
5 JASA SIMPANAN 168,633
JUMLAH 796,676

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 319
NAMA : ISNAENI SA'ADAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 88,043
5 JASA SIMPANAN 168,633
JUMLAH 796,676

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 320
NAMA : SALIM

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 88,043
5 JASA SIMPANAN 168,633
JUMLAH 796,676
KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 321
NAMA : EKA RATNA SARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 155,032
5 JASA SIMPANAN 167,211
JUMLAH 862,243

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 322
NAMA : RETNO KHASANAH WAHYU

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 86,558
5 JASA SIMPANAN 165,788
JUMLAH 792,346

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 323
NAMA : ROCHMIATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 87,764
5 JASA SIMPANAN 164,366
JUMLAH 792,130

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL
NOMOR : 324
NAMA : ARIEF SETIYONO, SKM

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 83,587
5 JASA SIMPANAN 160,099
JUMLAH 783,686

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 325
NAMA : AFTI DWI PRIYATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 83,587
5 JASA SIMPANAN 160,099
JUMLAH 783,686

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 326
NAMA : SUZANAH, AMK

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 83,587
5 JASA SIMPANAN 160,099
JUMLAH 783,686

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 327
NAMA : SHOLEH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 130,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 160,843
5 JASA SIMPANAN 158,676
JUMLAH 859,519

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 328
NAMA : SITI MARIYAH, AMK

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 79,874
5 JASA SIMPANAN 152,987
JUMLAH 762,861

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 329
NAMA : REZZY PRIMANSYAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 123,882
5 JASA SIMPANAN 152,987
JUMLAH 806,868

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 330
NAMA : MEGA ASMAWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 80,436
5 JASA SIMPANAN 151,565
JUMLAH 762,001

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 331
NAMA : SA'DY SUAEDY

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 79,131
5 JASA SIMPANAN 151,565
JUMLAH 760,696

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 332
NAMA : IDAWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 104,622
5 JASA SIMPANAN 150,142
JUMLAH 784,764

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 333
NAMA : RETNONINGSRUM WIDYASARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 78,389
5 JASA SIMPANAN 150,142
JUMLAH 758,531

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 334
NAMA : DR. ANITA SETIYANTI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 77,646
5 JASA SIMPANAN 148,720
JUMLAH 756,366

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 335
NAMA : ANNIES NURMAN SEKHA

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 77,646
5 JASA SIMPANAN 148,720
JUMLAH 756,366

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 336
NAMA : EDY DERMA RAHARDJO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 193,166
5 JASA SIMPANAN 148,720
JUMLAH 871,886

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 337
NAMA : INDRAWATI PURWITOSARI
PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 75,418
5 JASA SIMPANAN 144,453
JUMLAH 749,871

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 338
NAMA : MUZAYIN HARYADI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 70,962
5 JASA SIMPANAN 135,918
JUMLAH 736,880

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 339
NAMA : ALDILA NANDA KUNTORO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 70,962
5 JASA SIMPANAN 135,918
JUMLAH 736,880

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 340
NAMA : KUMALASARI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 76,769
5 JASA SIMPANAN 134,496
JUMLAH 741,264

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 341
NAMA : AZIZAH FATMAWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 70,220
5 JASA SIMPANAN 134,496
JUMLAH 734,715

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 342
NAMA : SLAMET TANTO INDAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 75,589
5 JASA SIMPANAN 134,496
JUMLAH 740,085

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 343
NAMA : dr. TEGUH SUKMA WIBOWO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 67,249
5 JASA SIMPANAN 128,806
JUMLAH 726,055

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 344
NAMA : BUDIARTO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 114,640
5 JASA SIMPANAN 127,384
JUMLAH 772,024

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 345
NAMA : dr. GUNTUR MT, SpAN.Msi

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 63,536
5 JASA SIMPANAN 121,694
JUMLAH 715,230

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 346
NAMA : KONILAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 73,053
5 JASA SIMPANAN 118,849
JUMLAH 721,902

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 347
NAMA : SRI WAHYUNI
PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 124,614
5 JASA SIMPANAN 118,849
JUMLAH 773,463

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 348
NAMA : DWI BASUKI YULI S

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 59,080
5 JASA SIMPANAN 113,160
JUMLAH 702,240

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 349
NAMA : PANDU YUDHA PRATAMA

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 58,338
5 JASA SIMPANAN 111,737
JUMLAH 700,075

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 350
NAMA : RATNA NOPIANA

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 58,338
5 JASA SIMPANAN 111,737
JUMLAH 700,075

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 351
NAMA : RUKIJAN

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 83,340
5 JASA SIMPANAN 107,470
JUMLAH 720,810

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 352
NAMA : Drs. ABDUROKHMAN

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 55,367
5 JASA SIMPANAN 106,048
JUMLAH 691,415

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 353
NAMA : GATOT SUSWANTO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 120,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 54,625
5 JASA SIMPANAN 104,625
JUMLAH 689,250
KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 354
NAMA : RINI MARTUTI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 81,262
5 JASA SIMPANAN 101,781
JUMLAH 703,042

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 355
NAMA : dr. HASTIM NS., Sp.PK

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 52,809
5 JASA SIMPANAN 101,148
JUMLAH 673,958

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 356
NAMA : ANI SETYAWATI

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 65,406
5 JASA SIMPANAN 98,936
JUMLAH 684,342

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 357
NAMA : LISNAWATI, AMD. KEB

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 47,941
5 JASA SIMPANAN 91,824
JUMLAH 659,765

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 358
NAMA : SUPRIYANI B

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 71,733
5 JASA SIMPANAN 84,712
JUMLAH 676,444

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 359
NAMA : EVA MUFAROH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 55,230
5 JASA SIMPANAN 84,712
JUMLAH 659,941

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 360
NAMA : M.NURHUDA

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 28,798
5 JASA SIMPANAN 55,157
JUMLAH 603,955

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 361
NAMA : SITI DAROJAH

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 60,896
5 JASA SIMPANAN 53,419
JUMLAH 634,315

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 362
NAMA : WARDOYO

PERINCIAN SHU :
1 SIMPANAN HARI RAYA 360,000
2 UANG JALAN 110,000
3 BINGKISAN LEBARAN 50,000
4 JASA USAHA 68,267
5 JASA SIMPANAN 46,465
JUMLAH 634,732

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 363
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A
KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 364
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 365
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 366
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL
NOMOR : 367
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 368
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 369
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 370
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 371
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 372
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 373
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A
KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 374
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 375
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 376
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL
NOMOR : 377
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 378
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 379
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 380
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 381
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 382
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 383
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 384
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 385
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 386
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 387
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 388
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 389
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 390
NAMA : #N/A
PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 391
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 392
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 393
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 394
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 395
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 396
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 397
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 398
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 399
NAMA : #N/A

PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A

KPRI SEHAT
RSUD DOKTER SOESELO
KABUPATEN TEGAL

NOMOR : 400
NAMA : #N/A
PERINCIAN SHU :
1 SIMPANAN HARI RAYA #N/A
2 UANG JALAN #N/A
3 BINGKISAN LEBARAN #N/A
4 JASA USAHA #N/A
5 JASA SIMPANAN #N/A
JUMLAH #N/A
DAFTAR PENERIMA SHU
KPRI SEHAT
RSUD DOKTER SOESELO KABUPATEN TEGAL
PER 31 DESEMBER 2019

NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

1 61 TARYONO A 1,106,634 1 ..........................


2 107 SYAMSI 1,265,361 2 ..........................
3 108 TARJONO APOTIK 1,216,975 3 ..........................
4 120 UMIYATI 1,104,958 4 ..........................
5 123 TRININGSIH 1,123,706 5 ..........................
6 133 LASMINAH 1,095,678 6 ..........................
7 135 TJASWADI 1,087,355 7 ..........................
8 138 SUHARTATI 1,072,065 8 ..........................
9 145 RISWAN 1,110,154 9 ..........................
10 153 ENOK KOMARIYAH 1,044,786 10 ..........................
11 159 HAKIMAH 1,068,756 11 ..........................
12 160 KISMONO 1,069,540 12 ..........................
13 161 EDI SUDIRNO 1,160,100 13 ..........................
14 166 BAMBANG SUSISWO 1,141,910 14 ..........................
15 167 SAENI 1,093,462 15 ..........................
16 168 TUKINI 1,108,227 16 ..........................
17 173 TASRIPAH 1,116,000 17 ..........................
18 176 SRI WARKONAH 1,142,937 18 ..........................
19 177 SUJIASIH 1,144,094 19 ..........................
20 178 AMINAH 1,033,920 20 ..........................
21 179 SRI HENYARTI 1,061,914 21 ..........................
22 181 BAMBANG ADI PRAYITNO 1,171,011 22 ..........................
23 183 MARYONO 1,091,103 23 ..........................
24 186 DR. ENDAH PANCAWATI 1,028,387 24 ..........................
25 192 CATUR BUDI WIDIANTO 1,037,865 25 ..........................
26 194 MOHAMMAD MUSHLIH 1,044,741 26 ..........................
27 197 WASUM 1,221,687 27 ..........................
28 198 TRI ASMOROWATI 1,037,576 28 ..........................
29 201 HARSONO 1,086,796 29 ..........................
30 205 TUMINAH 1,036,855 30 ..........................
31 206 DJUNIANTO 1,094,903 31 ..........................
32 207 DIDI VIDIANTO, BE 1,075,937 32 ..........................
33 208 ARWADI 1,036,277 33 ..........................
34 215 USTATI 1,147,942 34 ..........................
35 216 SUHARSIH A. 1,178,677 35 ..........................
36 220 SITI SUMARNI 1,082,634 36 ..........................
37 221 SUNIDAH 1,124,009 37 ..........................
38 223 DJOHAN IMAM BASUKI 1,040,571 38 ..........................
39 224 ENDANG URBAETI 1,033,679 39 ..........................
40 227 ISMAWATI 1,159,535 40 ..........................
41 228 dr. MARIA YUNITA 1,065,560 41 ..........................
42 231 KANTI SETYAWATI 1,107,959 42 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

43 236 DYAH HERJANTI 1,490,627 43 ..........................


44 242 KRISNA WIDIASTUTI 1,087,002 44 ..........................
45 244 YUSUF GUNAWAN 1,060,972 45 ..........................
46 249 HERU AGUS SETIAWAN 1,084,831 46 ..........................
47 250 RUSWANDI 1,123,674 47 ..........................
48 251 IIN PURLINAYANI 1,040,305 48 ..........................
49 252 SRI SULAMI 1,013,528 49 ..........................
50 253 ATI SUHAEMI 1,132,693 50 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

51 254 HERMI SRI MANTI 1,063,036 51 ..........................


52 256 AGUS SULADI 1,011,796 52 ..........................
53 260 M. EDI ATOILAH 1,010,641 53 ..........................
54 261 NI LUH YUNI RATNAWATI 1,196,976 54 ..........................
55 264 PARTI 1,053,257 55 ..........................
56 266 SUHERINOMO 997,225 56 ..........................
57 270 WINADI 996,070 57 ..........................
58 271 NUR IZA SUSI TRIANA 1,101,279 58 ..........................
59 272 HARTOYO 1,061,910 59 ..........................
60 273 JOKO PRAMONO 1,061,125 60 ..........................
61 277 PANGESTUTININGSIH 995,012 61 ..........................
62 281 TRI PRIYO SANTOSO 996,785 62 ..........................
63 282 WIDIANINGSIH 994,050 63 ..........................
64 284 HAMIDAH SRI NINDYARINI 1,041,296 64 ..........................
65 285 LELI CAHAYANI 1,268,017 65 ..........................
66 287 FITRI ARIFIAH 1,086,465 66 ..........................
67 289 HERU SUPIONO 993,761 67 ..........................
68 290 MOKHAMAD KHALIMI 992,943 68 ..........................
69 291 SAPTO BUDI WIRATMOKO 991,836 69 ..........................
70 292 SLAMET SOLEHUDIN 989,671 70 ..........................
71 293 NURJANAH 989,671 71 ..........................
72 295 BAMBANG SUSILO 961,334 72 ..........................
73 301 TURSINAH 1,296,907 73 ..........................
74 302 SALIYEM 988,421 74 ..........................
75 306 SUPRIATI MEI 982,214 75 ..........................
76 316 RATNA PUTRI RIASARI 1,000,544 76 ..........................
77 320 SUTARDJO 981,580 77 ..........................
78 324 Dr. WAHYU ROSHARJANTO 964,228 78 ..........................
79 325 Dr. JAENUDIN 961,341 79 ..........................
80 326 SIJAMTORO 961,197 80 ..........................
81 329 SUYOTO 958,640 81 ..........................
82 330 Dr. MOCH. IRPAN 964,468 82 ..........................
83 334 TEGOEH POEDJIANTO 964,468 83 ..........................
84 341 DARMAWAN 970,011 84 ..........................
85 345 HARYATI AGUS SETIYARINI 1,073,781 85 ..........................
86 350 ROSETYAWATI 960,908 86 ..........................
87 352 MUKSONI 961,389 87 ..........................
88 356 SLAMET SUGONDO 981,796 88 ..........................
89 358 EDI PRIYONO 988,161 89 ..........................
90 359 IMAN ROKHMAN 1,201,713 90 ..........................
91 361 KHANIFAH G 944,409 91 ..........................
92 363 M. RIFAI AMIN 1,243,201 92 ..........................
93 364 MURYANI 1,020,882 93 ..........................
94 365 NURUL IFFAH SETYANINGSIH 942,488 94 ..........................
95 367 SUHARSO, AM.AK 942,488 95 ..........................
96 368 WINAENI 942,488 96 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

97 369 BUDI RIYANTO 971,368 97 ..........................


98 373 AGUS SALIM 1,017,429 98 ..........................
99 374 SIH BOWO LEKSONO 993,086 99 ..........................
100 376 ELIYSABET IRAWATI 945,731 100 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

101 379 ESTIN NAFIDAH 977,490 101 ..........................


102 382 TEGUH GUNAWAN 928,536 102 ..........................
103 383 INDAH MULIAWANTI 928,536 103 ..........................
104 384 IDA ROKHANA 955,619 104 ..........................
105 385 NUR TITIN SUGIARTI 964,156 105 ..........................
106 389 RINA TRESNAWATI 927,333 106 ..........................
107 390 AMIN YUNIANTO 945,938 107 ..........................
108 391 Dra. NURHAYATI, APT. 931,459 108 ..........................
109 392 WASIATUR ROHMAH AFIATIN 936,451 109 ..........................
110 393 DIAH WIDIYATI, Amd.KEB. 930,039 110 ..........................
111 397 SRI NUR SETIYAWATI, SKM. 927,574 111 ..........................
112 398 MUSTOPA 926,130 112 ..........................
113 404 AKHMAD HADI SULTHONI 959,898 113 ..........................
114 406 ROSIDAH 962,065 114 ..........................
115 408 EVI HERVIANI 913,140 115 ..........................
116 409 SRI WIDATI 927,502 116 ..........................
117 411 ETI LIDIYAWATI, AMK. 1,041,103 117 ..........................
118 412 DESIE MAELANI AGHNIA, AMK. 913,337 118 ..........................
119 413 WINANI 972,344 119 ..........................
120 414 WIANTIN FULASIH 1,009,194 120 ..........................
121 415 SITI ARSIHYANTI SARI 915,951 121 ..........................
122 417 MOHAMAD SUGENG 895,442 122 ..........................
123 419 MOH. LUTFIYUL HAKIM, AMK. 895,442 123 ..........................
124 420 SITI AMINATUN 935,918 124 ..........................
125 421 MUCHTADI 1,064,097 125 ..........................
126 423 TANSARI WIBOWO 925,931 126 ..........................
127 424 WAKHYU INDRIANI 899,728 127 ..........................
128 425 CIPTANINGSIH 917,630 128 ..........................
129 426 SRI YANTI 894,336 129 ..........................
130 428 THOHA 905,151 130 ..........................
131 429 ENDANG SRI REJEKI 913,249 131 ..........................
132 431 MUZAYANAH 891,593 132 ..........................
133 432 MUSLIKUN 1,012,753 133 ..........................
134 433 DJOKO SUSENO 891,593 134 ..........................
135 436 TUTI HARTANTI 997,659 135 ..........................
136 438 SIDIK PRAMONO 895,153 136 ..........................
137 439 DIAN WIDIATI 939,427 137 ..........................
138 440 SARIFUDIN 885,579 138 ..........................
139 441 SUGENG RIADI 886,212 139 ..........................
140 442 RETNO INDRASTUTI 884,377 140 ..........................
141 443 WAHUDI 958,640 141 ..........................
142 444 SUSILO 884,377 142 ..........................
143 445 SANTI PUJI RAHAYU 884,377 143 ..........................
144 447 SITI NURHAMIDAH 907,088 144 ..........................
145 448 SRI NINGSIH 884,377 145 ..........................
146 449 SRI EKA ANGGRAENI 907,195 146 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

147 450 DARYANTO R 958,297 147 ..........................


148 451 WALUYO 888,226 148 ..........................
149 452 SUMARNO 884,377 149 ..........................
150 453 SITI SALAMAH 884,377 150 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

151 454 SARDJONO SANITASI 884,377 151 ..........................


152 455 WIJAYANTI 884,377 152 ..........................
153 457 FIRDAUS ARIFIANTO 884,377 153 ..........................
154 458 KASMINTO 884,377 154 ..........................
155 459 DARMINTO 884,377 155 ..........................
156 460 SRI ROHATI 958,640 156 ..........................
157 461 ROPIKOH 885,202 157 ..........................
158 462 WAHYUNINGSIH 933,427 158 ..........................
159 463 INDAH HATI HARMANTI 922,883 159 ..........................
160 464 TARJONO sarana 1,010,899 160 ..........................
161 465 SAHURI 958,640 161 ..........................
162 466 WAINAH 884,377 162 ..........................
163 467 WAETUN 884,377 163 ..........................
164 468 SAMITO 897,380 164 ..........................
165 470 MUSROKHA 908,650 165 ..........................
166 471 ROCHILAH 1,029,748 166 ..........................
167 472 WARTININGSIH 883,895 167 ..........................
168 473 MUTIAWATI 891,380 168 ..........................
169 474 PUJI MARIANI 1,062,677 169 ..........................
170 475 MURNIATI 884,377 170 ..........................
171 477 TRI SULISTIYANINGSIH 884,377 171 ..........................
172 478 SAIMAH 931,986 172 ..........................
173 479 SUNARTO 954,232 173 ..........................
174 480 TORINO 1,181,428 174 ..........................
175 483 MUHAMAD ABDULLAH 883,174 175 ..........................
176 484 NUROKHMAH 883,174 176 ..........................
177 485 SOETJI PRIJATIN 931,272 177 ..........................
178 488 WINARSO 885,128 178 ..........................
179 489 SRI HASTUTI 904,783 179 ..........................
180 494 KHANIFAH S 890,553 180 ..........................
181 499 M. IHSANUDIN, S.Si.Apt. 888,847 181 ..........................
182 500 SUKIRMAN 904,706 182 ..........................
183 501 MUNAWAROH 919,019 183 ..........................
184 502 EKO SRI MUNINGGAR 881,971 184 ..........................
185 503 WULAN PARING MULYANI 881,971 185 ..........................
186 504 ROKHAENI 923,228 186 ..........................
187 505 EDY YUWONO 880,768 187 ..........................
188 506 TUTI NASWATI 880,768 188 ..........................
189 507 ASIS WARI 880,768 189 ..........................
190 508 FADHIL 957,422 190 ..........................
191 509 SUNDARI 900,470 191 ..........................
192 510 ROYANAH 880,768 192 ..........................
193 511 DARYANTO BWK/ GIZI 882,353 193 ..........................
194 512 Dr. KRISSANTI EKOSARI. 880,768 194 ..........................
195 514 BERTHA BAYU BINTARTI 879,565 195 ..........................
196 515 SUKARDI 1,023,966 196 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

197 516 DR. WILLY YULIANTO 879,565 197 ..........................


198 518 TRI RAHARDJO 900,896 198 ..........................
199 519 SUHARJO 878,363 199 ..........................
200 520 NANI HERAWATI, Amd. 916,696 200 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

201 521 SUPRIYANI 1,076,206 201 ..........................


202 522 SUTEDJO 1,042,217 202 ..........................
203 523 SUNALI 897,503 203 ..........................
204 524 SRI KAENI 1,054,738 204 ..........................
205 528 ABDUL WAHFI 913,795 205 ..........................
206 529 KUSTANTO 943,840 206 ..........................
207 530 DWI ADI PURNOMO 875,957 207 ..........................
208 531 DARSONO 967,773 208 ..........................
209 532 DEWI MARLINA 878,363 209 ..........................
210 533 HADI KUSMANTO 880,513 210 ..........................
211 534 BUDI RAHARSO 1,044,048 211 ..........................
212 535 RUSDIONO 876,919 212 ..........................
213 536 HEDI JAYA 959,434 213 ..........................
214 537 ROHMI 885,996 214 ..........................
215 538 SRI PUJI EKOWATI 931,700 215 ..........................
216 539 SUPRAYITNO 876,919 216 ..........................
217 540 MARIA MAGDALENA SP 913,832 217 ..........................
218 541 SRI BANGUN PRASETYA 1,106,358 218 ..........................
219 542 ISSA MUKTI 849,977 219 ..........................
220 544 KHAERUDIN 875,957 220 ..........................
221 545 SUSI SUKMAWATI 875,957 221 ..........................
222 546 SUKRISNO 1,006,754 222 ..........................
223 547 GONDO SABDO 946,612 223 ..........................
224 548 DARYANTO C/ SARANA 948,159 224 ..........................
225 549 EDI WICAKSONO 878,171 225 ..........................
226 550 UMI KHOLIFAH, AMK 883,911 226 ..........................
227 551 ARINA YUNIARTI 920,049 227 ..........................
228 553 AGUS RIYANSAH 1,179,940 228 ..........................
229 554 NUNUNG RIZKI AMELIA 869,943 229 ..........................
230 555 WITRIANA, AMK 884,623 230 ..........................
231 556 RUDI KUSDIANTORO N 888,280 231 ..........................
232 557 MASITO, AMK 869,943 232 ..........................
233 560 SUHARSO 965,007 233 ..........................
234 561 NUROHMI 879,509 234 ..........................
235 562 SIH MUKMINATI 868,740 235 ..........................
236 563 IMAM AGUS SUWANDI 909,997 236 ..........................
237 564 SYAMSUDIN 886,713 237 ..........................
238 565 LINA MARYANI 867,537 238 ..........................
239 566 HERY KUSDIYANTO 920,762 239 ..........................
240 568 EDY PRAMONO, SE. 867,537 240 ..........................
241 570 NUR KHOLIFAH 935,463 241 ..........................
242 571 PUJIANTO 866,335 242 ..........................
243 572 ODILIA SOARES DACOSTA 908,396 243 ..........................
244 575 NUR AZIS 865,132 244 ..........................
245 578 AGUS SUPRIAJI, AMK 865,132 245 ..........................
246 579 RIZKI WINDRAENI S, AMK 865,132 246 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

247 581 KISWORO 863,689 247 ..........................


248 582 SEFTIANA NURHAYATI 947,320 248 ..........................
249 583 ANI ASTUTI 926,541 249 ..........................
250 585 EKO PRIHATI 862,245 250 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

251 586 SITI ANDARIYANI 877,305 251 ..........................


252 588 BAGUS SLAMET SETIAWAN 860,802 252 ..........................
253 589 TOUFIKUROHMAN PURNOMO 859,358 253 ..........................
254 590 ANGKAT SUPRIYANTO 960,399 254 ..........................
255 591 AGUS MIFTAH 881,362 255 ..........................
256 592 MINARTI 930,399 256 ..........................
257 593 INDAH KURNIASIH 857,915 257 ..........................
258 595 AGUS SUMEDI 857,915 258 ..........................
259 596 KHIYAROTUL LAELI 857,915 259 ..........................
260 597 NURBAETI AWALIYAH 859,222 260 ..........................
261 598 MUTINA DENIWATI 1,087,512 261 ..........................
262 599 HESTI LISTIYAWATI 856,472 262 ..........................
263 600 UMI SETIYANI 869,505 263 ..........................
264 603 DILIYANA YUSTIANINGSIH 852,142 264 ..........................
265 604 LUTHFIYAH, AMK 869,107 265 ..........................
266 605 FITRI YUNIATI, AMK 852,142 266 ..........................
267 606 EKA PRASETYAWATI, AMK 852,142 267 ..........................
268 607 DRAJAT PUJIANTO 881,045 268 ..........................
269 608 RIYA SAFRIYA, AMK 852,142 269 ..........................
270 609 MARIA ULFAH, SSi.APT 854,145 270 ..........................
271 610 SRI MULYANINGSIH 905,949 271 ..........................
272 611 PUTRI SULISTYOWATI, AMK 875,903 272 ..........................
273 612 FATTUROKHMI, AMK 934,421 273 ..........................
274 613 DR. RUSZAENI, MMR 849,255 274 ..........................
275 615 DR. FAJAR DANUAJI, SPA 849,255 275 ..........................
276 616 SOFIANTI, AMK 951,228 276 ..........................
277 617 TITI NOVAYANTI, AMK 847,571 277 ..........................
278 618 YULI CITRA DEWI, AMD.KEB 1,018,150 278 ..........................
279 619 SAURIP 844,203 279 ..........................
280 621 ELY SUSBANDIYAH 852,034 280 ..........................
281 622 SURYO TOPO SUWARSO 844,203 281 ..........................
282 623 ANI ANDRIYANI 842,519 282 ..........................
283 626 SITI MUNAWAROH 827,468 283 ..........................
284 627 YENI MAWAR PUSPITA N 908,530 284 ..........................
285 628 MULYATI 884,897 285 ..........................
286 629 RULLY DWI PRABOWO L, SE. 863,673 286 ..........................
287 630 FAJAR TIMOR RYADI 843,155 287 ..........................
288 631 FATONI 836,941 288 ..........................
289 632 DAKORI 841,669 289 ..........................
290 633 SUGIARTO 1,131,298 290 ..........................
291 634 Dr. KURNIASIH 846,712 291 ..........................
292 635 ASRI MUTHYA RAMADHANI 888,481 292 ..........................
293 636 RETNO MULYANINGRUM, Amd.OT 830,050 293 ..........................
294 637 ENDAH NUR HANDAYANI, Amd.Fis 819,048 294 ..........................
295 638 DEWI ARLINDA R, Amd.Keb. 838,301 295 ..........................
296 639 NURI MAYANGSARI 830,597 296 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

297 640 ACHMAD MUNTOKO HARTO 820,699 297 ..........................


298 641 TRI HENDRO PRAKOSO, Amd. 817,364 298 ..........................
299 642 NILA DIANA 1,037,403 299 ..........................
300 643 RIZKINA 855,871 300 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

301 644 FAJAR RIZKI KUSUMASTUTI 825,616 301 ..........................


302 645 Drg. DIANI NURCAHYAWATI 815,680 302 ..........................
303 647 IMAM SUPARTO 815,680 303 ..........................
304 649 TITI MAEMUNAH 955,955 304 ..........................
305 650 ISMI ARSI AULIA 811,831 305 ..........................
306 652 ZARKONI 810,629 306 ..........................
307 653 YAKNI ASRI MULYANI 807,261 307 ..........................
308 654 RAHAYU SRI MULYATI 856,769 308 ..........................
309 656 YULI NUR AFANI 798,360 309 ..........................
310 657 DENNY SUCI SARASWATI 802,209 310 ..........................
311 659 ITA ANGGRIANSARI 802,209 311 ..........................
312 660 DIAN KURNIAWAN 802,209 312 ..........................
313 661 Dr. IMAM DARJITO 800,525 313 ..........................
314 662 DEWI AMBARWATI 800,525 314 ..........................
315 667 NURASIAH 880,236 315 ..........................
316 670 EBTA ARIYANI 879,678 316 ..........................
317 671 NOVIKA DIANA PERMATASARI 906,540 317 ..........................
318 673 ANGGI EKA PUSPITASARI 796,676 318 ..........................
319 674 ISNAENI SA'ADAH 796,676 319 ..........................
320 675 SALIM 796,676 320 ..........................
321 676 EKA RATNA SARI 862,243 321 ..........................
322 677 RETNO KHASANAH WAHYU 792,346 322 ..........................
323 678 ROCHMIATI 792,130 323 ..........................
324 679 ARIEF SETIYONO, SKM 783,686 324 ..........................
325 680 AFTI DWI PRIYATI 783,686 325 ..........................
326 681 SUZANAH, AMK 783,686 326 ..........................
327 682 SHOLEH 859,519 327 ..........................
328 685 SITI MARIYAH, AMK 762,861 328 ..........................
329 686 REZZY PRIMANSYAH 806,868 329 ..........................
330 687 MEGA ASMAWATI 762,001 330 ..........................
331 688 SA'DY SUAEDY 760,696 331 ..........................
332 689 IDAWATI 784,764 332 ..........................
333 690 RETNONINGSRUM WIDYASARI 758,531 333 ..........................
334 691 DR. ANITA SETIYANTI 756,366 334 ..........................
335 692 ANNIES NURMAN SEKHA 756,366 335 ..........................
336 693 EDY DERMA RAHARDJO 871,886 336 ..........................
337 694 INDRAWATI PURWITOSARI 749,871 337 ..........................
338 695 MUZAYIN HARYADI 736,880 338 ..........................
339 696 ALDILA NANDA KUNTORO 736,880 339 ..........................
340 697 KUMALASARI 741,264 340 ..........................
341 698 AZIZAH FATMAWATI 734,715 341 ..........................
342 699 SLAMET TANTO INDAH 740,085 342 ..........................
343 700 dr. TEGUH SUKMA WIBOWO 726,055 343 ..........................
344 701 BUDIARTO 772,024 344 ..........................
345 704 dr. GUNTUR MT, SpAN.Msi 715,230 345 ..........................
346 705 KONILAH 721,902 346 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

347 706 SRI WAHYUNI 773,463 347 ..........................


348 709 DWI BASUKI YULI S 702,240 348 ..........................
349 710 PANDU YUDHA PRATAMA 700,075 349 ..........................
350 711 RATNA NOPIANA 700,075 350 ..........................
NO
NO NAMA SHU TANDA TANGAN
ANGGOTA

351 712 RUKIJAN 720,810 351 ..........................


352 713 Drs. ABDUROKHMAN 691,415 352 ..........................
353 714 GATOT SUSWANTO 689,250 353 ..........................
354 717 RINI MARTUTI 703,042 354 ..........................
355 718 dr. HASTIM NS., Sp.PK 673,958 355 ..........................
356 719 ANI SETYAWATI 684,342 356 ..........................
357 721 LISNAWATI, AMD. KEB 659,765 357 ..........................
358 723 SUPRIYANI B 676,444 358 ..........................
359 724 EVA MUFAROH 659,941 359 ..........................
360 725 M.NURHUDA 603,955 360 ..........................
361 726 SITI DAROJAH 634,315 361 ..........................
362 727 WARDOYO 634,732 362 ..........................
JUMLAH 336,086,848

SLAWI,

PENGURUS KPRI " SEHAT " RSU dr. SOESELO SLAWI

SAPTO BUDI W, S.Kep, Ns. DARMAWAN, S.IP,MH. ZARKONI, S.Kom DESIE MAELANI A. S.Kep. Ns FITRI ARIFIYAH
Ketua Sekretaris Bendahara I Bendahara II Pembantu Umum
89 EKO TRENGGONO KELUAR
98 SULASTRI KELUAR
156 SUPENI SRI REJEKI KELUAR
190 TATI BUDI HARYATI KELUAR
246 SITI SODRO KELUAR
305 SITI SUHARTI KELUAR
319 SUNITI KELUAR
327 ROKHMAWATI KELUAR
342 SRI PUTRI UTAMI KELUAR
366 SRI REDIYATI KELUAR
486 SITI MULYATI KELUAR
620 SITI KHOLIFAH, SE. KELUAR
648 ARI AGUNG SAMUDRA KELUAR
658 HANUNG PRAYOGI KELUAR
722 HARJONO, SPd., MM. KELUAR
DAFTAR SIMPANAN , PINJAMAN DAN SISA HASIL USAHA
KP-RI "SEHAT" RSUD DOKTER SOESELO KABUPATEN TEGAL
PER : 1/1/2020 Tuesday, December 31, 2019

LAMA
NO. RUMUS INDEX RUMUS INDEX
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN
(TAHUN)

1 61 TARYONO A 35 18,000,000 185,418 0.00308 824,585 0.00389 60,000 50,000 811,000 8,480,000
2 107 SYAMSI 31 30,000,000 370,693 0.00615 821,525 0.00387 60,000 50,000 811,000 8,444,000
3 108 TARJONO APOTIK 31 20,000,000 317,952 0.00528 821,440 0.00387 60,000 50,000 811,000 8,443,000
4 120 UMIYATI 31 - 196,187 0.00326 820,420 0.00387 60,000 50,000 811,000 8,431,000
5 123 TRININGSIH 31 13,000,000 216,636 0.00360 820,420 0.00387 60,000 50,000 811,000 8,431,000
6 133 LASMINAH 31 - 186,685 0.00310 818,890 0.00386 60,000 50,000 811,000 8,413,000
7 135 TJASWADI 31 - 177,849 0.00295 818,295 0.00386 60,000 50,000 811,000 8,406,000
8 138 SUHARTATI 29 - 172,872 0.00287 816,340 0.00385 60,000 50,000 811,000 8,383,000
9 145 RISWAN 29 - 233,965 0.00388 768,145 0.00362 60,000 50,000 751,000 7,876,000
10 153 ENOK KOMARIYAH 28 - 162,666 0.00270 768,145 0.00362 60,000 50,000 751,000 7,876,000
11 159 HAKIMAH 28 15,000,000 188,811 0.00313 768,145 0.00362 60,000 50,000 751,000 7,876,000
12 160 KISMONO 28 30,000,000 189,666 0.00315 768,145 0.00362 60,000 50,000 751,000 7,876,000
13 161 EDI SUDIRNO 28 - 288,441 0.00479 768,145 0.00362 60,000 50,000 751,000 7,876,000
14 166 BAMBANG SUSISWO 28 - 268,705 0.00446 767,890 0.00362 60,000 50,000 751,000 7,873,000
15 167 SAENI 28 6,000,000 216,103 0.00359 767,295 0.00362 60,000 50,000 751,000 7,866,000
16 168 TUKINI 28 10,000,000 232,276 0.00385 767,125 0.00361 60,000 50,000 751,000 7,864,000
17 173 TASRIPAH 28 - 240,858 0.00400 766,870 0.00361 60,000 50,000 751,000 7,861,000
18 176 SRI WARKONAH 28 30,000,000 270,342 0.00449 766,615 0.00361 60,000 50,000 751,000 7,858,000
19 177 SUJIASIH 27 40,000,000 282,511 0.00469 766,615 0.00361 60,000 50,000 751,000 7,858,000
20 178 AMINAH 27 - 162,342 0.00269 766,615 0.00361 60,000 50,000 751,000 7,858,000
21 179 SRI HENYARTI 27 - 193,083 0.00320 766,105 0.00361 60,000 50,000 751,000 7,852,000
22 181 BAMBANG ADI PRAYITNO 27 20,000,000 312,180 0.00518 765,850 0.00361 60,000 50,000 751,000 7,849,000
23 183 MARYONO 27 35,000,000 225,126 0.00374 765,595 0.00361 60,000 50,000 751,000 7,846,000
24 186 DR. ENDAH PANCAWATI 27 - 160,272 0.00266 756,840 0.00357 60,000 50,000 751,000 7,743,000
25 192 CATUR BUDI WIDIANTO 27 - 163,818 0.00272 773,585 0.00365 60,000 50,000 751,000 7,940,000
26 194 MOHAMMAD MUSHLIH 27 5,000,000 171,318 0.00284 773,585 0.00365 60,000 50,000 751,000 7,940,000
27 197 WASUM 27 12,000,000 364,420 0.00605 773,330 0.00364 60,000 50,000 751,000 7,937,000
28 198 TRI ASMOROWATI 27 - 163,710 0.00272 773,075 0.00364 60,000 50,000 751,000 7,934,000
29 201 HARSONO 27 20,000,000 217,602 0.00361 772,565 0.00364 60,000 50,000 751,000 7,928,000
30 205 TUMINAH 27 - 163,440 0.00271 771,800 0.00364 60,000 50,000 751,000 7,919,000
31 206 DJUNIANTO 26 30,000,000 226,548 0.00376 772,310 0.00364 60,000 50,000 751,000 7,925,000
32 207 DIDI VIDIANTO, BE 26 - 206,482 0.00343 770,780 0.00363 60,000 50,000 751,000 7,907,000
33 208 ARWADI 26 - 163,224 0.00271 770,780 0.00363 60,000 50,000 751,000 7,907,000
34 215 USTATI 26 30,000,000 285,468 0.00474 769,675 0.00363 60,000 50,000 751,000 7,894,000
35 216 SUHARSIH A. 26 40,000,000 318,990 0.00529 769,675 0.00363 60,000 50,000 751,000 7,894,000
36 220 SITI SUMARNI 26 - 214,372 0.00356 769,335 0.00363 60,000 50,000 751,000 7,890,000
37 221 SUNIDAH 26 20,000,000 259,639 0.00431 768,995 0.00362 60,000 50,000 751,000 7,886,000
38 223 DJOHAN IMAM BASUKI 26 - 168,631 0.00280 768,995 0.00362 60,000 50,000 751,000 7,886,000
39 224 ENDANG URBAETI 26 - 162,252 0.00269 766,190 0.00361 60,000 50,000 738,000 7,866,000
40 227 ISMAWATI 25 30,000,000 318,453 0.00528 719,525 0.00339 60,000 50,000 676,000 7,379,000
41 228 dr. MARIA YUNITA 25 - 215,987 0.00358 719,440 0.00339 60,000 50,000 676,000 7,378,000
42 231 KANTI SETYAWATI 25 20,000,000 262,232 0.00435 719,440 0.00339 60,000 50,000 676,000 7,378,000
43 236 DYAH HERJANTI 25 40,000,000 662,275 0.01099 762,195 0.00359 60,000 50,000 730,000 7,827,000
44 242 KRISNA WIDIASTUTI 24 - 233,802 0.00388 760,070 0.00358 60,000 50,000 725,000 7,807,000
45 244 YUSUF GUNAWAN 24 - 205,376 0.00341 760,155 0.00358 60,000 50,000 726,000 7,807,000
46 249 HERU AGUS SETIAWAN 24 40,000,000 232,434 0.00386 757,605 0.00357 60,000 50,000 720,000 7,783,000
47 250 RUSWANDI 23 2,000,000 275,146 0.00457 756,755 0.00357 60,000 50,000 718,000 7,775,000
48 251 IIN PURLINAYANI 23 - 182,834 0.00303 760,155 0.00358 60,000 50,000 718,000 7,815,000
49 252 SRI SULAMI 23 - 158,454 0.00263 748,255 0.00353 60,000 50,000 718,000 7,675,000
50 253 ATI SUHAEMI 23 20,000,000 288,430 0.00479 748,255 0.00353 60,000 50,000 718,000 7,675,000
51 254 HERMI SRI MANTI 23 20,000,000 212,454 0.00353 748,255 0.00353 60,000 50,000 718,000 7,675,000
52 256 AGUS SULADI 23 - 157,806 0.00262 745,195 0.00351 60,000 50,000 718,000 7,639,000
53 260 M. EDI ATOILAH 22 - 157,374 0.00261 743,155 0.00350 60,000 50,000 714,000 7,619,000
54 261 NI LUH YUNI RATNAWATI 22 40,000,000 360,923 0.00599 742,390 0.00350 60,000 50,000 714,000 7,610,000
55 264 PARTI 22 205,684 0.00341 738,650 0.00348 60,000 50,000 705,000 7,575,000
56 266 SUHERINOMO 21 - 156,096 0.00259 737,120 0.00347 60,000 50,000 702,000 7,560,000
57 270 WINADI 21 - 155,664 0.00258 735,080 0.00346 60,000 50,000 698,000 7,540,000
58 271 NUR IZA SUSI TRIANA 21 40,000,000 270,831 0.00449 734,060 0.00346 60,000 50,000 696,000 7,530,000
59 272 HARTOYO 21 - 227,891 0.00378 734,060 0.00346 60,000 50,000 696,000 7,530,000
60 273 JOKO PRAMONO 21 35,000,000 227,035 0.00377 734,060 0.00346 60,000 50,000 696,000 7,530,000
61 277 PANGESTUTININGSIH 21 - 155,268 0.00258 733,210 0.00345 60,000 50,000 696,000 7,520,000
62 281 TRI PRIYO SANTOSO 20 - 157,892 0.00262 731,510 0.00345 60,000 50,000 691,000 7,505,000
63 282 WIDIANINGSIH 20 - 154,908 0.00257 731,510 0.00345 60,000 50,000 691,000 7,505,000
64 284 HAMIDAH SRI NINDYARINI 20 - 206,440 0.00343 731,510 0.00345 60,000 50,000 691,000 7,505,000
65 285 LELI CAHAYANI 20 25,000,000 453,729 0.00753 731,510 0.00345 60,000 50,000 691,000 7,505,000
66 287 FITRI ARIFIAH 20 - 255,914 0.00425 731,000 0.00344 60,000 50,000 690,000 7,500,000
67 289 HERU SUPIONO 20 - 154,800 0.00257 731,000 0.00344 60,000 50,000 690,000 7,500,000
68 290 MOKHAMAD KHALIMI 20 - 154,494 0.00256 729,555 0.00344 60,000 50,000 688,000 7,485,000
69 291 SAPTO BUDI WIRATMOKO 20 40,000,000 154,080 0.00256 727,600 0.00343 60,000 50,000 685,000 7,465,000
70 292 SLAMET SOLEHUDIN 19 - 153,270 0.00254 723,775 0.00341 60,000 50,000 680,000 7,425,000
71 293 NURJANAH 19 - 153,270 0.00254 723,775 0.00341 60,000 50,000 680,000 7,425,000
72 295 BAMBANG SUSILO 19 - 142,668 0.00237 673,710 0.00317 60,000 50,000 679,000 6,837,000
73 301 TURSINAH 19 40,000,000 488,964 0.00811 722,330 0.00340 60,000 50,000 678,000 7,410,000
LAMA
NO. RUMUS INDEX RUMUS INDEX
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN
(TAHUN)

74 302 SALIYEM 19 - 152,802 0.00254 721,565 0.00340 60,000 50,000 677,000 7,402,000
75 306 SUPRIATI MEI 19 - 150,480 0.00250 710,600 0.00335 60,000 50,000 660,000 7,290,000
76 316 RATNA PUTRI RIASARI 18 - 188,965 0.00314 691,900 0.00326 60,000 50,000 620,000 7,110,000
77 320 SUTARDJO 17 - 168,418 0.00279 691,560 0.00326 60,000 50,000 616,000 7,110,000
78 324 Dr. WAHYU ROSHARJANTO 16 - 147,492 0.00245 696,490 0.00328 60,000 50,000 674,000 7,110,000
79 325 Dr. JAENUDIN 16 - 146,412 0.00243 691,390 0.00326 60,000 50,000 614,000 7,110,000
80 326 SIJAMTORO 16 - 146,358 0.00243 691,135 0.00326 60,000 50,000 611,000 7,110,000
81 329 SUYOTO 16 - 163,291 0.00271 642,515 0.00303 60,000 50,000 549,000 6,600,000
82 330 Dr. MOCH. IRPAN 16 - 147,582 0.00245 696,915 0.00328 60,000 50,000 609,000 7,180,000
83 334 TEGOEH POEDJIANTO 16 - 147,582 0.00245 696,915 0.00328 60,000 50,000 609,000 7,180,000
84 341 DARMAWAN 16 30,000,000 155,007 0.00257 693,515 0.00327 60,000 50,000 599,000 7,150,000
85 345 HARYATI AGUS SETIYARINI 16 25,000,000 268,191 0.00445 693,515 0.00327 60,000 50,000 599,000 7,150,000
86 350 ROSETYAWATI 16 - 146,250 0.00243 690,625 0.00325 60,000 50,000 595,000 7,120,000
87 352 MUKSONI 16 - 146,430 0.00243 691,475 0.00326 60,000 50,000 595,000 7,130,000
88 356 SLAMET SUGONDO 15 157,806 0.00262 745,195 0.00351 60,000 50,000 647,000 7,710,000
89 358 EDI PRIYONO 15 20,000,000 191,641 0.00318 678,895 0.00320 60,000 50,000 587,000 6,990,000
90 359 IMAN ROKHMAN 15 26,000,000 424,566 0.00705 678,895 0.00320 60,000 50,000 587,000 6,990,000
91 361 KHANIFAH G 15 - 144,609 0.00240 677,195 0.00319 60,000 50,000 587,000 6,970,000
92 363 M. RIFAI AMIN 15 25,000,000 471,196 0.00782 675,495 0.00318 60,000 50,000 587,000 6,950,000
93 364 MURYANI 15 20,000,000 228,709 0.00380 675,495 0.00318 60,000 50,000 587,000 6,950,000
94 365 NURUL IFFAH SETYANINGSIH 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000
95 367 SUHARSO, AM.AK 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000
96 368 WINAENI 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000
97 369 BUDI RIYANTO 15 15,000,000 174,600 0.00290 675,750 0.00318 60,000 50,000 590,000 6,950,000
98 373 AGUS SALIM 15 12,000,000 208,980 0.00347 714,850 0.00337 60,000 50,000 590,000 7,410,000
99 374 SIH BOWO LEKSONO 15 3,000,000 200,356 0.00333 670,650 0.00316 60,000 50,000 590,000 6,890,000
100 376 ELIYSABET IRAWATI 15 - 150,775 0.00250 665,550 0.00314 60,000 50,000 590,000 6,830,000
101 379 ESTIN NAFIDAH 14 - 188,172 0.00312 658,750 0.00310 60,000 50,000 590,000 6,750,000
102 382 TEGUH GUNAWAN 14 - 137,880 0.00229 651,100 0.00307 60,000 50,000 590,000 6,660,000
103 383 INDAH MULIAWANTI 14 - 137,880 0.00229 651,100 0.00307 60,000 50,000 590,000 6,660,000
104 384 IDA ROKHANA 14 - 168,282 0.00279 648,975 0.00306 60,000 50,000 590,000 6,635,000
105 385 NUR TITIN SUGIARTI 14 - 177,594 0.00295 648,975 0.00306 60,000 50,000 590,000 6,635,000
106 389 RINA TRESNAWATI 14 - 137,430 0.00228 648,975 0.00306 60,000 50,000 590,000 6,635,000
107 390 AMIN YUNIANTO 14 - 157,723 0.00262 648,975 0.00306 60,000 50,000 590,000 6,635,000
108 391 Dra. NURHAYATI, APT. 14 15,000,000 141,930 0.00236 648,975 0.00306 60,000 50,000 590,000 6,635,000
109 392 WASIATUR ROHMAH AFIATIN 14 - 147,375 0.00245 648,975 0.00306 60,000 50,000 590,000 6,635,000
110 393 DIAH WIDIYATI, Amd.KEB. 14 - 140,381 0.00233 648,975 0.00306 60,000 50,000 590,000 6,635,000
111 397 SRI NUR SETIYAWATI, SKM. 14 - 137,520 0.00228 649,400 0.00306 60,000 50,000 595,000 6,635,000
112 398 MUSTOPA 14 - 136,980 0.00227 646,850 0.00305 60,000 50,000 590,000 6,610,000
113 404 AKHMAD HADI SULTHONI 13 10,000,000 183,120 0.00304 623,900 0.00294 60,000 50,000 595,000 6,335,000
114 406 ROSIDAH 13 5,000,000 185,483 0.00308 623,900 0.00294 60,000 50,000 595,000 6,335,000
115 408 EVI HERVIANI 13 - 132,120 0.00219 623,900 0.00294 60,000 50,000 595,000 6,335,000
116 409 SRI WIDATI 13 - 147,785 0.00245 623,900 0.00294 60,000 50,000 595,000 6,335,000
117 411 ETI LIDIYAWATI, AMK. 13 30,000,000 271,692 0.00451 623,900 0.00294 60,000 50,000 595,000 6,335,000
118 412 DESIE MAELANI AGHNIA, AMK. 13 40,000,000 132,335 0.00220 623,900 0.00294 60,000 50,000 595,000 6,335,000
119 413 WINANI 13 15,000,000 195,660 0.00325 626,450 0.00295 60,000 50,000 595,000 6,365,000
120 414 WIANTIN FULASIH 13 10,000,000 238,094 0.00395 620,925 0.00293 60,000 50,000 595,000 6,300,000
121 415 SITI ARSIHYANTI SARI 12 15,000,000 150,748 0.00250 612,425 0.00289 60,000 50,000 595,000 6,200,000
122 417 MOHAMAD SUGENG 12 - 129,240 0.00214 610,300 0.00288 60,000 50,000 595,000 6,175,000
123 419 MOH. LUTFIYUL HAKIM, AMK. 12 - 129,240 0.00214 610,300 0.00288 60,000 50,000 595,000 6,175,000
124 420 SITI AMINATUN 12 - 173,388 0.00288 610,300 0.00288 60,000 50,000 595,000 6,175,000
125 421 MUCHTADI 12 15,000,000 314,057 0.00521 608,175 0.00287 60,000 50,000 595,000 6,150,000
126 423 TANSARI WIBOWO 12 - 163,357 0.00271 608,175 0.00287 60,000 50,000 595,000 6,150,000
127 424 WAKHYU INDRIANI 12 - 134,777 0.00224 608,175 0.00287 60,000 50,000 595,000 6,150,000
128 425 CIPTANINGSIH 12 - 154,303 0.00256 608,175 0.00287 60,000 50,000 595,000 6,150,000
129 426 SRI YANTI 12 - 129,757 0.00215 606,050 0.00286 60,000 50,000 595,000 6,125,000
130 428 THOHA 12 4,000,000 141,726 0.00235 605,625 0.00285 60,000 50,000 590,000 6,125,000
131 429 ENDANG SRI REJEKI 12 150,558 0.00250 605,625 0.00285 60,000 50,000 590,000 6,125,000
132 431 MUZAYANAH 12 127,800 0.00212 603,500 0.00284 60,000 50,000 590,000 6,100,000
133 432 MUSLIKUN 12 30,000,000 259,952 0.00431 603,500 0.00284 60,000 50,000 590,000 6,100,000
134 433 DJOKO SUSENO 12 - 127,800 0.00212 603,500 0.00284 60,000 50,000 590,000 6,100,000
135 436 TUTI HARTANTI 12 30,000,000 244,350 0.00406 601,375 0.00283 60,000 50,000 590,000 6,075,000
136 438 SIDIK PRAMONO 12 - 133,407 0.00221 599,250 0.00282 60,000 50,000 590,000 6,050,000
137 439 DIAN WIDIATI 12 20,000,000 181,697 0.00302 599,250 0.00282 60,000 50,000 590,000 6,050,000
138 440 SARIFUDIN 12 - 125,550 0.00208 592,875 0.00279 60,000 50,000 590,000 5,975,000
139 441 SUGENG RIADI 12 - 127,102 0.00211 590,750 0.00278 60,000 50,000 590,000 5,950,000
140 442 RETNO INDRASTUTI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
141 443 WAHUDI 12 15,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000
142 444 SUSILO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
143 445 SANTI PUJI RAHAYU 12 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
144 447 SITI NURHAMIDAH 12 - 149,872 0.00249 590,750 0.00278 60,000 50,000 590,000 5,950,000
145 448 SRI NINGSIH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
146 449 SRI EKA ANGGRAENI 12 - 149,989 0.00249 590,750 0.00278 60,000 50,000 590,000 5,950,000
147 450 DARYANTO R 12 - 205,726 0.00341 590,750 0.00278 60,000 50,000 590,000 5,950,000
148 451 WALUYO 12 129,299 0.00215 590,750 0.00278 60,000 50,000 590,000 5,950,000
149 452 SUMARNO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
150 453 SITI SALAMAH 12 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
LAMA
NO. RUMUS INDEX RUMUS INDEX
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN
(TAHUN)

151 454 SARDJONO SANITASI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
152 455 WIJAYANTI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
153 457 FIRDAUS ARIFIANTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
154 458 KASMINTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
155 459 DARMINTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
156 460 SRI ROHATI 12 10,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000
157 461 ROPIKOH 12 3,000,000 126,000 0.00209 590,750 0.00278 60,000 50,000 590,000 5,950,000
158 462 WAHYUNINGSIH 12 10,000,000 178,600 0.00296 590,750 0.00278 60,000 50,000 590,000 5,950,000
159 463 INDAH HATI HARMANTI 12 20,000,000 167,100 0.00277 590,750 0.00278 60,000 50,000 590,000 5,950,000
160 464 TARJONO sarana 12 20,000,000 263,100 0.00437 590,750 0.00278 60,000 50,000 590,000 5,950,000
161 465 SAHURI 12 15,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000
162 466 WAINAH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
163 467 WAETUN 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
164 468 SAMITO 12 10,000,000 139,284 0.00231 590,750 0.00278 60,000 50,000 590,000 5,950,000
165 470 MUSROKHA 12 10,000,000 151,920 0.00252 589,900 0.00278 60,000 50,000 590,000 5,940,000
166 471 ROCHILAH 12 35,000,000 284,004 0.00471 589,900 0.00278 60,000 50,000 590,000 5,940,000
167 472 WARTININGSIH 12 124,920 0.00207 589,900 0.00278 60,000 50,000 590,000 5,940,000
168 473 MUTIAWATI 12 - 133,084 0.00221 589,900 0.00278 60,000 50,000 590,000 5,940,000
169 474 PUJI MARIANI 12 25,000,000 319,920 0.00531 589,900 0.00278 60,000 50,000 590,000 5,940,000
170 475 MURNIATI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
171 477 TRI SULISTIYANINGSIH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000
172 478 SAIMAH 12 - 177,029 0.00294 590,750 0.00278 60,000 50,000 590,000 5,950,000
173 479 SUNARTO 12 15,000,000 201,293 0.00334 590,750 0.00278 60,000 50,000 590,000 5,950,000
174 480 TORINO 12 40,000,000 449,100 0.00745 590,750 0.00278 60,000 50,000 590,000 5,950,000
175 483 MUHAMAD ABDULLAH 12 124,650 0.00207 588,625 0.00277 60,000 50,000 590,000 5,925,000
176 484 NUROKHMAH 12 - 124,650 0.00207 588,625 0.00277 60,000 50,000 590,000 5,925,000
177 485 SOETJI PRIJATIN 12 - 177,112 0.00294 588,625 0.00277 60,000 50,000 590,000 5,925,000
178 488 WINARSO 12 - 126,782 0.00210 588,625 0.00277 60,000 50,000 590,000 5,925,000
179 489 SRI HASTUTI 11 - 149,082 0.00247 586,500 0.00276 60,000 50,000 590,000 5,900,000
180 494 KHANIFAH S 11 - 133,560 0.00222 586,500 0.00276 60,000 50,000 590,000 5,900,000
181 499 M. IHSANUDIN, S.Si.Apt. 11 5,000,000 131,700 0.00219 586,500 0.00276 60,000 50,000 590,000 5,900,000
182 500 SUKIRMAN 11 - 148,998 0.00247 586,500 0.00276 60,000 50,000 590,000 5,900,000
183 501 MUNAWAROH 11 10,000,000 164,609 0.00273 586,500 0.00276 60,000 50,000 590,000 5,900,000
184 502 EKO SRI MUNINGGAR 11 - 124,200 0.00206 586,500 0.00276 60,000 50,000 590,000 5,900,000
185 503 WULAN PARING MULYANI 11 - 124,200 0.00206 586,500 0.00276 60,000 50,000 590,000 5,900,000
186 504 ROKHAENI 11 25,000,000 169,200 0.00281 586,500 0.00276 60,000 50,000 590,000 5,900,000
187 505 EDY YUWONO 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000
188 506 TUTI NASWATI 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000
189 507 ASIS WARI 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000
190 508 FADHIL 11 21,000,000 207,358 0.00344 584,375 0.00275 60,000 50,000 590,000 5,875,000
191 509 SUNDARI 11 145,239 0.00241 584,375 0.00275 60,000 50,000 590,000 5,875,000
192 510 ROYANAH 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000
193 511 DARYANTO BWK/ GIZI 11 - 125,479 0.00208 584,375 0.00275 60,000 50,000 590,000 5,875,000
194 512 Dr. KRISSANTI EKOSARI. 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000
195 514 BERTHA BAYU BINTARTI 11 - 123,300 0.00205 582,250 0.00274 60,000 50,000 590,000 5,850,000
196 515 SUKARDI 11 25,000,000 280,800 0.00466 582,250 0.00274 60,000 50,000 590,000 5,850,000
197 516 DR. WILLY YULIANTO 11 - 123,300 0.00205 582,250 0.00274 60,000 50,000 590,000 5,850,000
198 518 TRI RAHARDJO 11 35,000,000 146,566 0.00243 582,250 0.00274 60,000 50,000 590,000 5,850,000
199 519 SUHARJO 11 - 122,850 0.00204 580,125 0.00273 60,000 50,000 590,000 5,825,000
200 520 NANI HERAWATI, Amd. 11 10,000,000 164,661 0.00273 580,125 0.00273 60,000 50,000 590,000 5,825,000
201 521 SUPRIYANI 11 25,000,000 339,504 0.00563 578,000 0.00272 60,000 50,000 590,000 5,800,000
202 522 SUTEDJO 11 25,000,000 302,431 0.00502 578,000 0.00272 60,000 50,000 590,000 5,800,000
203 523 SUNALI 11 10,000,000 144,589 0.00240 578,000 0.00272 60,000 50,000 590,000 5,800,000
204 524 SRI KAENI 11 25,000,000 316,950 0.00526 575,875 0.00271 60,000 50,000 590,000 5,775,000
205 528 ABDUL WAHFI 11 20,000,000 163,221 0.00271 575,875 0.00271 60,000 50,000 590,000 5,775,000
206 529 KUSTANTO 11 - 195,992 0.00325 575,875 0.00271 60,000 50,000 590,000 5,775,000
207 530 DWI ADI PURNOMO 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000
208 531 DARSONO 11 - 222,096 0.00369 575,875 0.00271 60,000 50,000 590,000 5,775,000
209 532 DEWI MARLINA 11 - 122,850 0.00204 580,125 0.00273 60,000 50,000 740,000 5,675,000
210 533 HADI KUSMANTO 11 - 126,230 0.00209 577,575 0.00272 60,000 50,000 590,000 5,795,000
211 534 BUDI RAHARSO 11 12,000,000 304,601 0.00506 577,575 0.00272 60,000 50,000 590,000 5,795,000
212 535 RUSDIONO 11 - 122,310 0.00203 577,575 0.00272 60,000 50,000 590,000 5,795,000
213 536 HEDI JAYA 11 30,000,000 212,310 0.00352 577,575 0.00272 60,000 50,000 590,000 5,795,000
214 537 ROHMI 11 3,000,000 132,210 0.00219 577,575 0.00272 60,000 50,000 590,000 5,795,000
215 538 SRI PUJI EKOWATI 11 10,000,000 182,060 0.00302 577,575 0.00272 60,000 50,000 590,000 5,795,000
216 539 SUPRAYITNO 11 - 122,310 0.00203 577,575 0.00272 60,000 50,000 590,000 5,795,000
217 540 MARIA MAGDALENA SP 11 - 162,571 0.00270 577,575 0.00272 60,000 50,000 590,000 5,795,000
218 541 SRI BANGUN PRASETYA 11 20,000,000 373,253 0.00619 575,875 0.00271 60,000 50,000 590,000 5,775,000
219 542 ISSA MUKTI 11 112,230 0.00186 529,975 0.00250 60,000 50,000 530,000 5,295,000
220 544 KHAERUDIN 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000
221 545 SUSI SUKMAWATI 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000
222 546 SUKRISNO 11 30,000,000 283,230 0.00470 529,975 0.00250 60,000 50,000 530,000 5,295,000
223 547 GONDO SABDO 11 10,000,000 201,600 0.00335 569,500 0.00268 60,000 50,000 590,000 5,700,000
224 548 DARYANTO C/ SARANA 11 35,000,000 204,150 0.00339 567,375 0.00267 60,000 50,000 590,000 5,675,000
225 549 EDI WICAKSONO 11 10,000,000 146,430 0.00243 521,475 0.00246 60,000 50,000 530,000 5,195,000
226 550 UMI KHOLIFAH, AMK 11 - 134,073 0.00223 567,375 0.00267 60,000 50,000 590,000 5,675,000
227 551 ARINA YUNIARTI 11 - 174,352 0.00289 565,250 0.00266 60,000 50,000 590,000 5,650,000
LAMA
NO. RUMUS INDEX RUMUS INDEX
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN
(TAHUN)

228 553 AGUS RIYANSAH 11 17,000,000 457,819 0.00760 565,250 0.00266 60,000 50,000 590,000 5,650,000
229 554 NUNUNG RIZKI AMELIA 11 - 119,700 0.00199 565,250 0.00266 60,000 50,000 590,000 5,650,000
230 555 WITRIANA, AMK 11 - 135,712 0.00225 565,250 0.00266 60,000 50,000 590,000 5,650,000
231 556 RUDI KUSDIANTORO N 11 - 139,701 0.00232 565,250 0.00266 60,000 50,000 590,000 5,650,000
232 557 MASITO, AMK 11 - 119,700 0.00199 565,250 0.00266 60,000 50,000 590,000 5,650,000
233 560 SUHARSO 11 25,000,000 224,250 0.00372 563,125 0.00265 60,000 50,000 590,000 5,625,000
234 561 NUROHMI 11 - 130,996 0.00217 563,125 0.00265 60,000 50,000 590,000 5,625,000
235 562 SIH MUKMINATI 11 - 119,250 0.00198 563,125 0.00265 60,000 50,000 590,000 5,625,000
236 563 IMAM AGUS SUWANDI 11 10,000,000 164,250 0.00273 563,125 0.00265 60,000 50,000 590,000 5,625,000
237 564 SYAMSUDIN 11 25,000,000 138,853 0.00230 563,125 0.00265 60,000 50,000 590,000 5,625,000
238 565 LINA MARYANI 10 - 118,800 0.00197 561,000 0.00264 60,000 50,000 590,000 5,600,000
239 566 HERY KUSDIYANTO 10 40,000,000 176,853 0.00293 561,000 0.00264 60,000 50,000 590,000 5,600,000
240 568 EDY PRAMONO, SE. 10 118,800 0.00197 561,000 0.00264 60,000 50,000 590,000 5,600,000
241 570 NUR KHOLIFAH 10 - 193,750 0.00322 558,875 0.00263 60,000 50,000 590,000 5,575,000
242 571 PUJIANTO 10 - 118,350 0.00196 558,875 0.00263 60,000 50,000 590,000 5,575,000
243 572 ODILIA SOARES DACOSTA 10 - 164,227 0.00273 558,875 0.00263 60,000 50,000 590,000 5,575,000
244 575 NUR AZIS 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000
245 578 AGUS SUPRIAJI, AMK 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000
246 579 RIZKI WINDRAENI S, AMK 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000
247 581 KISWORO 10 - 117,360 0.00195 554,200 0.00261 60,000 50,000 590,000 5,520,000
248 582 SEFTIANA NURHAYATI 10 8,000,000 208,579 0.00346 554,200 0.00261 60,000 50,000 590,000 5,520,000
249 583 ANI ASTUTI 10 20,000,000 185,914 0.00309 554,200 0.00261 60,000 50,000 590,000 5,520,000
250 585 EKO PRIHATI 10 - 116,820 0.00194 551,650 0.00260 60,000 50,000 590,000 5,490,000
251 586 SITI ANDARIYANI 10 20,000,000 134,280 0.00223 549,100 0.00259 60,000 50,000 590,000 5,460,000
252 588 BAGUS SLAMET SETIAWAN 10 - 116,280 0.00193 549,100 0.00259 60,000 50,000 590,000 5,460,000
253 589 TOUFIKUROHMAN PURNOMO 10 115,740 0.00192 546,550 0.00258 60,000 50,000 590,000 5,430,000
254 590 ANGKAT SUPRIYANTO 10 15,000,000 225,947 0.00375 546,550 0.00258 60,000 50,000 590,000 5,430,000
255 591 AGUS MIFTAH 10 20,000,000 139,740 0.00232 546,550 0.00258 60,000 50,000 590,000 5,430,000
256 592 MINARTI 10 10,000,000 193,226 0.00321 546,550 0.00258 60,000 50,000 590,000 5,430,000
257 593 INDAH KURNIASIH 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000
258 595 AGUS SUMEDI 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000
259 596 KHIYAROTUL LAELI 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000
260 597 NURBAETI AWALIYAH 10 10,000,000 117,660 0.00195 541,450 0.00255 60,000 50,000 590,000 5,370,000
261 598 MUTINA DENIWATI 10 30,000,000 366,660 0.00608 541,450 0.00255 60,000 50,000 590,000 5,370,000
262 599 HESTI LISTIYAWATI 10 - 114,660 0.00190 541,450 0.00255 60,000 50,000 590,000 5,370,000
263 600 UMI SETIYANI 10 - 128,876 0.00214 541,450 0.00255 60,000 50,000 590,000 5,370,000
264 603 DILIYANA YUSTIANINGSIH 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000
265 604 LUTHFIYAH, AMK 10 2,000,000 131,544 0.00218 533,800 0.00252 60,000 50,000 590,000 5,280,000
266 605 FITRI YUNIATI, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000
267 606 EKA PRASETYAWATI, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000
268 607 DRAJAT PUJIANTO 10 - 144,565 0.00240 533,800 0.00252 60,000 50,000 590,000 5,280,000
269 608 RIYA SAFRIYA, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000
270 609 MARIA ULFAH, SSi.APT 10 - 116,087 0.00193 531,675 0.00251 60,000 50,000 595,000 5,250,000
271 610 SRI MULYANINGSIH 10 20,000,000 172,590 0.00286 531,675 0.00251 60,000 50,000 595,000 5,250,000
272 611 PUTRI SULISTYOWATI, AMK 10 - 139,819 0.00232 531,675 0.00251 60,000 50,000 595,000 5,250,000
273 612 FATTUROKHMI, AMK 10 30,000,000 204,853 0.00340 528,700 0.00249 60,000 50,000 590,000 5,220,000
274 613 DR. RUSZAENI, MMR 10 - 111,960 0.00186 528,700 0.00249 60,000 50,000 590,000 5,220,000
275 615 DR. FAJAR DANUAJI, SPA 10 - 111,960 0.00186 528,700 0.00249 60,000 50,000 590,000 5,220,000
276 616 SOFIANTI, AMK 10 - 224,391 0.00372 525,725 0.00248 60,000 50,000 585,000 5,190,000
277 617 TITI NOVAYANTI, AMK 10 - 111,330 0.00185 525,725 0.00248 60,000 50,000 585,000 5,190,000
278 618 YULI CITRA DEWI, AMD.KEB 10 - 277,732 0.00461 574,175 0.00271 60,000 50,000 635,000 5,710,000
279 619 SAURIP 10 - 110,070 0.00183 519,775 0.00245 60,000 50,000 575,000 5,130,000
280 621 ELY SUSBANDIYAH 10 - 118,611 0.00197 519,775 0.00245 60,000 50,000 575,000 5,130,000
281 622 SURYO TOPO SUWARSO 10 - 110,070 0.00183 519,775 0.00245 60,000 50,000 575,000 5,130,000
282 623 ANI ANDRIYANI 10 - 109,440 0.00182 516,800 0.00244 60,000 50,000 570,000 5,100,000
283 626 SITI MUNAWAROH 9 - 107,550 0.00178 507,875 0.00239 60,000 50,000 555,000 5,010,000
284 627 YENI MAWAR PUSPITA N 9 - 197,173 0.00327 504,900 0.00238 60,000 50,000 550,000 4,980,000
285 628 MULYATI 9 - 172,603 0.00286 501,925 0.00237 60,000 50,000 545,000 4,950,000
286 629 RULLY DWI PRABOWO L, SE. 9 15,000,000 150,660 0.00250 498,950 0.00235 60,000 50,000 540,000 4,920,000
287 630 FAJAR TIMOR RYADI 9 - 128,280 0.00213 498,950 0.00235 60,000 50,000 540,000 4,920,000
288 631 FATONI 9 12,000,000 121,503 0.00202 498,950 0.00235 60,000 50,000 540,000 4,920,000
289 632 DAKORI 9 10,000,000 126,660 0.00210 498,950 0.00235 60,000 50,000 540,000 4,920,000
290 633 SUGIARTO 9 20,000,000 443,771 0.00736 495,975 0.00234 60,000 50,000 535,000 4,890,000
291 634 Dr. KURNIASIH 9 - 114,750 0.00190 541,875 0.00255 60,000 50,000 595,000 5,370,000
292 635 ASRI MUTHYA RAMADHANI 9 20,000,000 161,515 0.00268 538,900 0.00254 60,000 50,000 590,000 5,340,000
293 636 RETNO MULYANINGRUM, Amd.OT 9 40,000,000 116,400 0.00193 493,000 0.00232 60,000 50,000 530,000 4,860,000
294 637 ENDAH NUR HANDAYANI, Amd.Fis 9 - 104,400 0.00173 493,000 0.00232 60,000 50,000 530,000 4,860,000
295 638 DEWI ARLINDA R, Amd.Keb. 9 10,000,000 125,400 0.00208 493,000 0.00232 60,000 50,000 530,000 4,860,000
296 639 NURI MAYANGSARI 9 - 116,997 0.00194 493,000 0.00232 60,000 50,000 530,000 4,860,000
297 640 ACHMAD MUNTOKO HARTO 9 - 106,201 0.00176 493,000 0.00232 60,000 50,000 530,000 4,860,000
298 641 TRI HENDRO PRAKOSO, Amd. 9 - 103,770 0.00172 490,025 0.00231 60,000 50,000 525,000 4,830,000
299 642 NILA DIANA 9 20,000,000 343,770 0.00571 490,025 0.00231 60,000 50,000 525,000 4,830,000
300 643 RIZKINA 9 20,000,000 145,770 0.00242 490,025 0.00231 60,000 50,000 525,000 4,830,000
301 644 FAJAR RIZKI KUSUMASTUTI 9 30,000,000 112,770 0.00187 490,025 0.00231 60,000 50,000 525,000 4,830,000
302 645 Drg. DIANI NURCAHYAWATI 9 - 103,140 0.00171 487,050 0.00229 60,000 50,000 520,000 4,800,000
303 647 IMAM SUPARTO 9 - 103,140 0.00171 487,050 0.00229 60,000 50,000 520,000 4,800,000
304 649 TITI MAEMUNAH 9 15,000,000 256,140 0.00425 487,050 0.00229 60,000 50,000 520,000 4,800,000
LAMA
NO. RUMUS INDEX RUMUS INDEX
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN
(TAHUN)

305 650 ISMI ARSI AULIA 9 - 101,700 0.00169 480,250 0.00226 60,000 50,000 520,000 4,720,000
306 652 ZARKONI 9 - 101,250 0.00168 478,125 0.00225 60,000 50,000 505,000 4,710,000
307 653 YAKNI ASRI MULYANI 9 - 99,990 0.00166 472,175 0.00222 60,000 50,000 495,000 4,650,000
308 654 RAHAYU SRI MULYATI 9 15,000,000 153,990 0.00256 472,175 0.00222 60,000 50,000 495,000 4,650,000
309 656 YULI NUR AFANI 8 - 96,660 0.00160 456,450 0.00215 60,000 50,000 480,000 4,480,000
310 657 DENNY SUCI SARASWATI 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000
311 659 ITA ANGGRIANSARI 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000
312 660 DIAN KURNIAWAN 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000
313 661 Dr. IMAM DARJITO 7 - 97,470 0.00162 460,275 0.00217 60,000 50,000 475,000 4,530,000
314 662 DEWI AMBARWATI 7 - 97,470 0.00162 460,275 0.00217 60,000 50,000 475,000 4,530,000
315 667 NURASIAH 7 25,000,000 185,619 0.00308 457,300 0.00215 60,000 50,000 470,000 4,500,000
316 670 EBTA ARIYANI 7 - 186,562 0.00310 453,475 0.00214 60,000 50,000 465,000 4,460,000
317 671 NOVIKA DIANA PERMATASARI 7 - 215,860 0.00358 453,475 0.00214 60,000 50,000 465,000 4,460,000
318 673 ANGGI EKA PUSPITASARI 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000
319 674 ISNAENI SA'ADAH 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000
320 675 SALIM 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000
321 676 EKA RATNA SARI 7 15,000,000 169,097 0.00281 449,650 0.00212 60,000 50,000 460,000 4,420,000
322 677 RETNO KHASANAH WAHYU 7 - 94,410 0.00157 445,825 0.00210 60,000 50,000 455,000 4,380,000
323 678 ROCHMIATI 7 - 95,726 0.00159 442,000 0.00208 60,000 50,000 450,000 4,340,000
324 679 ARIEF SETIYONO, SKM 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000
325 680 AFTI DWI PRIYATI 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000
326 681 SUZANAH, AMK 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000
327 682 SHOLEH 7 5,000,000 175,434 0.00291 426,700 0.00201 60,000 50,000 430,000 4,180,000
328 685 SITI MARIYAH, AMK 6 - 87,120 0.00145 411,400 0.00194 60,000 50,000 410,000 4,020,000
329 686 REZZY PRIMANSYAH 6 40,000,000 135,120 0.00224 411,400 0.00194 60,000 50,000 410,000 4,020,000
330 687 MEGA ASMAWATI 6 - 87,734 0.00146 407,575 0.00192 60,000 50,000 405,000 3,980,000
331 688 SA'DY SUAEDY 6 - 86,310 0.00143 407,575 0.00192 60,000 50,000 405,000 3,980,000
332 689 IDAWATI 6 114,113 0.00189 403,750 0.00190 60,000 50,000 400,000 3,940,000
333 690 RETNONINGSRUM WIDYASARI 6 - 85,500 0.00142 403,750 0.00190 60,000 50,000 400,000 3,940,000
334 691 DR. ANITA SETIYANTI 6 - 84,690 0.00141 399,925 0.00188 60,000 50,000 395,000 3,900,000
335 692 ANNIES NURMAN SEKHA 6 - 84,690 0.00141 399,925 0.00188 60,000 50,000 395,000 3,900,000
336 693 EDY DERMA RAHARDJO 6 30,000,000 210,690 0.00350 399,925 0.00188 60,000 50,000 395,000 3,900,000
337 694 INDRAWATI PURWITOSARI 6 - 82,260 0.00137 388,450 0.00183 60,000 50,000 380,000 3,780,000
338 695 MUZAYIN HARYADI 6 - 77,400 0.00128 365,500 0.00172 60,000 50,000 350,000 3,540,000
339 696 ALDILA NANDA KUNTORO 6 - 77,400 0.00128 365,500 0.00172 60,000 50,000 350,000 3,540,000
340 697 KUMALASARI 6 3,000,000 83,733 0.00139 361,675 0.00170 60,000 50,000 345,000 3,500,000
341 698 AZIZAH FATMAWATI 6 - 76,590 0.00127 361,675 0.00170 60,000 50,000 345,000 3,500,000
342 699 SLAMET TANTO INDAH 6 40,000,000 82,447 0.00137 361,675 0.00170 60,000 50,000 345,000 3,500,000
343 700 dr. TEGUH SUKMA WIBOWO 6 - 73,350 0.00122 346,375 0.00163 60,000 50,000 325,000 3,340,000
344 701 BUDIARTO 5 25,000,000 125,040 0.00208 342,550 0.00161 60,000 50,000 320,000 3,300,000
345 704 dr. GUNTUR MT, SpAN.Msi 4 - 69,300 0.00115 327,250 0.00154 60,000 50,000 300,000 3,140,000
346 705 KONILAH 4 40,000,000 79,680 0.00132 319,600 0.00151 60,000 50,000 290,000 3,060,000
347 706 SRI WAHYUNI 4 15,000,000 135,919 0.00226 319,600 0.00151 60,000 50,000 290,000 3,060,000
348 709 DWI BASUKI YULI S 4 64,440 0.00107 304,300 0.00143 60,000 50,000 270,000 2,900,000
349 710 PANDU YUDHA PRATAMA 4 - 63,630 0.00106 300,475 0.00142 60,000 50,000 265,000 2,860,000
350 711 RATNA NOPIANA 4 - 63,630 0.00106 300,475 0.00142 60,000 50,000 265,000 2,860,000
351 712 RUKIJAN 4 9,000,000 90,900 0.00151 289,000 0.00136 60,000 50,000 250,000 2,740,000
352 713 Drs. ABDUROKHMAN 4 - 60,390 0.00100 285,175 0.00134 60,000 50,000 245,000 2,700,000
353 714 GATOT SUSWANTO 4 - 59,580 0.00099 281,350 0.00133 60,000 50,000 240,000 2,660,000
354 717 RINI MARTUTI 3 - 88,634 0.00147 273,700 0.00129 60,000 50,000 230,000 2,580,000
355 718 dr. HASTIM NS., Sp.PK 3 - 57,600 0.00096 272,000 0.00128 60,000 50,000 230,000 2,560,000
356 719 ANI SETYAWATI 3 10,000,000 71,340 0.00118 266,050 0.00125 60,000 50,000 220,000 2,500,000
357 721 LISNAWATI, AMD. KEB 3 - 52,290 0.00087 246,925 0.00116 60,000 50,000 195,000 2,300,000
358 723 SUPRIYANI B 3 25,000,000 78,240 0.00130 227,800 0.00107 60,000 50,000 170,000 2,100,000
359 724 EVA MUFAROH 3 10,000,000 60,240 0.00100 227,800 0.00107 60,000 50,000 170,000 2,100,000
360 725 M.NURHUDA 1 - 31,410 0.00052 148,325 0.00070 60,000 50,000 85,000 1,250,000
361 726 SITI DAROJAH 1 20,000,000 66,420 0.00110 143,650 0.00068 60,000 50,000 80,000 1,200,000
362 727 WARDOYO 1 40,000,000 74,460 0.00124 124,950 0.00059 60,000 50,000 60,000 1,000,000
JUMLAH 2,736,000,000 60,256,957 1 212,229,785 1 21,720,000 18,100,000 210,158,000 2,138,243,000

SLAWI, 31 DESEMBER 2019


PENGURUS KPRI " SEHAT " RSU dr. SOESELO SLAWI

SAPTO BUDI W, S.Kep, Ns. DARMAWAN, SH MH ZARKONI, S.Kom DESIE MAELANI A. S.Kep. Ns FITRI ARIFIYAH
Ketua Sekretaris Bendahara I Bendahara II Pembantu Umum
DAFTAR SIMPANAN , PINJAMAN DAN SISA HASIL USAHA
KP-RI "SEHAT" RSUD DOKTER SOESELO KABUPATEN TEGAL
PER : 1/1/2020 Tuesday, December 31, 2019

LAMA
NO. RUMUS INDEX RUMUS INDEX JUMLAH J
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA SIMPANAN(SP,
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN SG,SW,SHR) PI
(TAHUN)

1 61 TARYONO A 35 18,000,000 185,418 0.00308 824,585 0.00389 60,000 50,000 811,000 8,480,000 9,701,000
2 107 SYAMSI 31 30,000,000 370,693 0.00615 821,525 0.00387 60,000 50,000 811,000 8,444,000 9,665,000
3 108 TARJONO APOTIK 31 20,000,000 317,952 0.00528 821,440 0.00387 60,000 50,000 811,000 8,443,000 9,664,000
4 120 UMIYATI 31 - 196,187 0.00326 820,420 0.00387 60,000 50,000 811,000 8,431,000 9,652,000
5 123 TRININGSIH 31 13,000,000 216,636 0.00360 820,420 0.00387 60,000 50,000 811,000 8,431,000 9,652,000
6 133 LASMINAH 31 - 186,685 0.00310 818,890 0.00386 60,000 50,000 811,000 8,413,000 9,634,000
7 135 TJASWADI 31 - 177,849 0.00295 818,295 0.00386 60,000 50,000 811,000 8,406,000 9,627,000
8 138 SUHARTATI 29 - 172,872 0.00287 816,340 0.00385 60,000 50,000 811,000 8,383,000 9,604,000
9 145 RISWAN 29 - 233,965 0.00388 768,145 0.00362 60,000 50,000 751,000 7,876,000 9,037,000
10 153 ENOK KOMARIYAH 28 - 162,666 0.00270 768,145 0.00362 60,000 50,000 751,000 7,876,000 9,037,000
11 159 HAKIMAH 28 15,000,000 188,811 0.00313 768,145 0.00362 60,000 50,000 751,000 7,876,000 9,037,000
12 160 KISMONO 28 30,000,000 189,666 0.00315 768,145 0.00362 60,000 50,000 751,000 7,876,000 9,037,000
13 161 EDI SUDIRNO 28 - 288,441 0.00479 768,145 0.00362 60,000 50,000 751,000 7,876,000 9,037,000
14 166 BAMBANG SUSISWO 28 - 268,705 0.00446 767,890 0.00362 60,000 50,000 751,000 7,873,000 9,034,000
15 167 SAENI 28 6,000,000 216,103 0.00359 767,295 0.00362 60,000 50,000 751,000 7,866,000 9,027,000
16 168 TUKINI 28 10,000,000 232,276 0.00385 767,125 0.00361 60,000 50,000 751,000 7,864,000 9,025,000
17 173 TASRIPAH 28 - 240,858 0.00400 766,870 0.00361 60,000 50,000 751,000 7,861,000 9,022,000
18 176 SRI WARKONAH 28 30,000,000 270,342 0.00449 766,615 0.00361 60,000 50,000 751,000 7,858,000 9,019,000
19 177 SUJIASIH 27 40,000,000 282,511 0.00469 766,615 0.00361 60,000 50,000 751,000 7,858,000 9,019,000
20 178 AMINAH 27 - 162,342 0.00269 766,615 0.00361 60,000 50,000 751,000 7,858,000 9,019,000
21 179 SRI HENYARTI 27 - 193,083 0.00320 766,105 0.00361 60,000 50,000 751,000 7,852,000 9,013,000
22 181 BAMBANG ADI PRAYITNO 27 20,000,000 312,180 0.00518 765,850 0.00361 60,000 50,000 751,000 7,849,000 9,010,000
23 183 MARYONO 27 35,000,000 225,126 0.00374 765,595 0.00361 60,000 50,000 751,000 7,846,000 9,007,000
24 186 DR. ENDAH PANCAWATI 27 - 160,272 0.00266 756,840 0.00357 60,000 50,000 751,000 7,743,000 8,904,000
25 192 CATUR BUDI WIDIANTO 27 - 163,818 0.00272 773,585 0.00365 60,000 50,000 751,000 7,940,000 9,101,000
26 194 MOHAMMAD MUSHLIH 27 5,000,000 171,318 0.00284 773,585 0.00365 60,000 50,000 751,000 7,940,000 9,101,000
27 197 WASUM 27 12,000,000 364,420 0.00605 773,330 0.00364 60,000 50,000 751,000 7,937,000 9,098,000
28 198 TRI ASMOROWATI 27 - 163,710 0.00272 773,075 0.00364 60,000 50,000 751,000 7,934,000 9,095,000
29 201 HARSONO 27 20,000,000 217,602 0.00361 772,565 0.00364 60,000 50,000 751,000 7,928,000 9,089,000
30 205 TUMINAH 27 - 163,440 0.00271 771,800 0.00364 60,000 50,000 751,000 7,919,000 9,080,000
31 206 DJUNIANTO 26 30,000,000 226,548 0.00376 772,310 0.00364 60,000 50,000 751,000 7,925,000 9,086,000
32 207 DIDI VIDIANTO, BE 26 - 206,482 0.00343 770,780 0.00363 60,000 50,000 751,000 7,907,000 9,068,000
33 208 ARWADI 26 - 163,224 0.00271 770,780 0.00363 60,000 50,000 751,000 7,907,000 9,068,000
34 215 USTATI 26 30,000,000 285,468 0.00474 769,675 0.00363 60,000 50,000 751,000 7,894,000 9,055,000
35 216 SUHARSIH A. 26 40,000,000 318,990 0.00529 769,675 0.00363 60,000 50,000 751,000 7,894,000 9,055,000
36 220 SITI SUMARNI 26 - 214,372 0.00356 769,335 0.00363 60,000 50,000 751,000 7,890,000 9,051,000
37 221 SUNIDAH 26 20,000,000 259,639 0.00431 768,995 0.00362 60,000 50,000 751,000 7,886,000 9,047,000
38 223 DJOHAN IMAM BASUKI 26 - 168,631 0.00280 768,995 0.00362 60,000 50,000 751,000 7,886,000 9,047,000
39 224 ENDANG URBAETI 26 - 162,252 0.00269 766,190 0.00361 60,000 50,000 738,000 7,866,000 9,014,000
40 227 ISMAWATI 25 30,000,000 318,453 0.00528 719,525 0.00339 60,000 50,000 676,000 7,379,000 8,465,000
41 228 dr. MARIA YUNITA 25 - 215,987 0.00358 719,440 0.00339 60,000 50,000 676,000 7,378,000 8,464,000
42 231 KANTI SETYAWATI 25 20,000,000 262,232 0.00435 719,440 0.00339 60,000 50,000 676,000 7,378,000 8,464,000
43 236 DYAH HERJANTI 25 40,000,000 662,275 0.01099 762,195 0.00359 60,000 50,000 730,000 7,827,000 8,967,000
44 242 KRISNA WIDIASTUTI 24 - 233,802 0.00388 760,070 0.00358 60,000 50,000 725,000 7,807,000 8,942,000
45 244 YUSUF GUNAWAN 24 - 205,376 0.00341 760,155 0.00358 60,000 50,000 726,000 7,807,000 8,943,000
46 249 HERU AGUS SETIAWAN 24 40,000,000 232,434 0.00386 757,605 0.00357 60,000 50,000 720,000 7,783,000 8,913,000
47 250 RUSWANDI 23 2,000,000 275,146 0.00457 756,755 0.00357 60,000 50,000 718,000 7,775,000 8,903,000
48 251 IIN PURLINAYANI 23 - 182,834 0.00303 760,155 0.00358 60,000 50,000 718,000 7,815,000 8,943,000
49 252 SRI SULAMI 23 - 158,454 0.00263 748,255 0.00353 60,000 50,000 718,000 7,675,000 8,803,000
50 253 ATI SUHAEMI 23 20,000,000 288,430 0.00479 748,255 0.00353 60,000 50,000 718,000 7,675,000 8,803,000
51 254 HERMI SRI MANTI 23 20,000,000 212,454 0.00353 748,255 0.00353 60,000 50,000 718,000 7,675,000 8,803,000
52 256 AGUS SULADI 23 - 157,806 0.00262 745,195 0.00351 60,000 50,000 718,000 7,639,000 8,767,000
53 260 M. EDI ATOILAH 22 - 157,374 0.00261 743,155 0.00350 60,000 50,000 714,000 7,619,000 8,743,000
54 261 NI LUH YUNI RATNAWATI 22 40,000,000 360,923 0.00599 742,390 0.00350 60,000 50,000 714,000 7,610,000 8,734,000
55 264 PARTI 22 205,684 0.00341 738,650 0.00348 60,000 50,000 705,000 7,575,000 8,690,000
56 266 SUHERINOMO 21 - 156,096 0.00259 737,120 0.00347 60,000 50,000 702,000 7,560,000 8,672,000
57 270 WINADI 21 - 155,664 0.00258 735,080 0.00346 60,000 50,000 698,000 7,540,000 8,648,000
58 271 NUR IZA SUSI TRIANA 21 40,000,000 270,831 0.00449 734,060 0.00346 60,000 50,000 696,000 7,530,000 8,636,000
59 272 HARTOYO 21 - 227,891 0.00378 734,060 0.00346 60,000 50,000 696,000 7,530,000 8,636,000
60 273 JOKO PRAMONO 21 35,000,000 227,035 0.00377 734,060 0.00346 60,000 50,000 696,000 7,530,000 8,636,000
61 277 PANGESTUTININGSIH 21 - 155,268 0.00258 733,210 0.00345 60,000 50,000 696,000 7,520,000 8,626,000
62 281 TRI PRIYO SANTOSO 20 - 157,892 0.00262 731,510 0.00345 60,000 50,000 691,000 7,505,000 8,606,000
63 282 WIDIANINGSIH 20 - 154,908 0.00257 731,510 0.00345 60,000 50,000 691,000 7,505,000 8,606,000
64 284 HAMIDAH SRI NINDYARINI 20 - 206,440 0.00343 731,510 0.00345 60,000 50,000 691,000 7,505,000 8,606,000
65 285 LELI CAHAYANI 20 25,000,000 453,729 0.00753 731,510 0.00345 60,000 50,000 691,000 7,505,000 8,606,000 1
66 287 FITRI ARIFIAH 20 - 255,914 0.00425 731,000 0.00344 60,000 50,000 690,000 7,500,000 8,600,000
67 289 HERU SUPIONO 20 - 154,800 0.00257 731,000 0.00344 60,000 50,000 690,000 7,500,000 8,600,000
68 290 MOKHAMAD KHALIMI 20 - 154,494 0.00256 729,555 0.00344 60,000 50,000 688,000 7,485,000 8,583,000
69 291 SAPTO BUDI WIRATMOKO 20 40,000,000 154,080 0.00256 727,600 0.00343 60,000 50,000 685,000 7,465,000 8,560,000
70 292 SLAMET SOLEHUDIN 19 - 153,270 0.00254 723,775 0.00341 60,000 50,000 680,000 7,425,000 8,515,000
71 293 NURJANAH 19 - 153,270 0.00254 723,775 0.00341 60,000 50,000 680,000 7,425,000 8,515,000
72 295 BAMBANG SUSILO 19 - 142,668 0.00237 673,710 0.00317 60,000 50,000 679,000 6,837,000 7,926,000
73 301 TURSINAH 19 40,000,000 488,964 0.00811 722,330 0.00340 60,000 50,000 678,000 7,410,000 8,498,000 1
LAMA
NO. RUMUS INDEX RUMUS INDEX JUMLAH J
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA SIMPANAN(SP,
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN SG,SW,SHR) PI
(TAHUN)

74 302 SALIYEM 19 - 152,802 0.00254 721,565 0.00340 60,000 50,000 677,000 7,402,000 8,489,000
75 306 SUPRIATI MEI 19 - 150,480 0.00250 710,600 0.00335 60,000 50,000 660,000 7,290,000 8,360,000
76 316 RATNA PUTRI RIASARI 18 - 188,965 0.00314 691,900 0.00326 60,000 50,000 620,000 7,110,000 8,140,000
77 320 SUTARDJO 17 - 168,418 0.00279 691,560 0.00326 60,000 50,000 616,000 7,110,000 8,136,000
78 324 Dr. WAHYU ROSHARJANTO 16 - 147,492 0.00245 696,490 0.00328 60,000 50,000 674,000 7,110,000 8,194,000
79 325 Dr. JAENUDIN 16 - 146,412 0.00243 691,390 0.00326 60,000 50,000 614,000 7,110,000 8,134,000
80 326 SIJAMTORO 16 - 146,358 0.00243 691,135 0.00326 60,000 50,000 611,000 7,110,000 8,131,000
81 329 SUYOTO 16 - 163,291 0.00271 642,515 0.00303 60,000 50,000 549,000 6,600,000 7,559,000
82 330 Dr. MOCH. IRPAN 16 - 147,582 0.00245 696,915 0.00328 60,000 50,000 609,000 7,180,000 8,199,000
83 334 TEGOEH POEDJIANTO 16 - 147,582 0.00245 696,915 0.00328 60,000 50,000 609,000 7,180,000 8,199,000
84 341 DARMAWAN 16 30,000,000 155,007 0.00257 693,515 0.00327 60,000 50,000 599,000 7,150,000 8,159,000
85 345 HARYATI AGUS SETIYARINI 16 25,000,000 268,191 0.00445 693,515 0.00327 60,000 50,000 599,000 7,150,000 8,159,000
86 350 ROSETYAWATI 16 - 146,250 0.00243 690,625 0.00325 60,000 50,000 595,000 7,120,000 8,125,000
87 352 MUKSONI 16 - 146,430 0.00243 691,475 0.00326 60,000 50,000 595,000 7,130,000 8,135,000
88 356 SLAMET SUGONDO 15 157,806 0.00262 745,195 0.00351 60,000 50,000 647,000 7,710,000 8,767,000
89 358 EDI PRIYONO 15 20,000,000 191,641 0.00318 678,895 0.00320 60,000 50,000 587,000 6,990,000 7,987,000
90 359 IMAN ROKHMAN 15 26,000,000 424,566 0.00705 678,895 0.00320 60,000 50,000 587,000 6,990,000 7,987,000 1
91 361 KHANIFAH G 15 - 144,609 0.00240 677,195 0.00319 60,000 50,000 587,000 6,970,000 7,967,000
92 363 M. RIFAI AMIN 15 25,000,000 471,196 0.00782 675,495 0.00318 60,000 50,000 587,000 6,950,000 7,947,000 1
93 364 MURYANI 15 20,000,000 228,709 0.00380 675,495 0.00318 60,000 50,000 587,000 6,950,000 7,947,000
94 365 NURUL IFFAH SETYANINGSIH 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000 7,950,000
95 367 SUHARSO, AM.AK 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000 7,950,000
96 368 WINAENI 15 - 143,100 0.00237 675,750 0.00318 60,000 50,000 590,000 6,950,000 7,950,000
97 369 BUDI RIYANTO 15 15,000,000 174,600 0.00290 675,750 0.00318 60,000 50,000 590,000 6,950,000 7,950,000
98 373 AGUS SALIM 15 12,000,000 208,980 0.00347 714,850 0.00337 60,000 50,000 590,000 7,410,000 8,410,000
99 374 SIH BOWO LEKSONO 15 3,000,000 200,356 0.00333 670,650 0.00316 60,000 50,000 590,000 6,890,000 7,890,000
100 376 ELIYSABET IRAWATI 15 - 150,775 0.00250 665,550 0.00314 60,000 50,000 590,000 6,830,000 7,830,000
101 379 ESTIN NAFIDAH 14 - 188,172 0.00312 658,750 0.00310 60,000 50,000 590,000 6,750,000 7,750,000
102 382 TEGUH GUNAWAN 14 - 137,880 0.00229 651,100 0.00307 60,000 50,000 590,000 6,660,000 7,660,000
103 383 INDAH MULIAWANTI 14 - 137,880 0.00229 651,100 0.00307 60,000 50,000 590,000 6,660,000 7,660,000
104 384 IDA ROKHANA 14 - 168,282 0.00279 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
105 385 NUR TITIN SUGIARTI 14 - 177,594 0.00295 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
106 389 RINA TRESNAWATI 14 - 137,430 0.00228 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
107 390 AMIN YUNIANTO 14 - 157,723 0.00262 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
108 391 Dra. NURHAYATI, APT. 14 15,000,000 141,930 0.00236 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
109 392 WASIATUR ROHMAH AFIATIN 14 - 147,375 0.00245 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
110 393 DIAH WIDIYATI, Amd.KEB. 14 - 140,381 0.00233 648,975 0.00306 60,000 50,000 590,000 6,635,000 7,635,000
111 397 SRI NUR SETIYAWATI, SKM. 14 - 137,520 0.00228 649,400 0.00306 60,000 50,000 595,000 6,635,000 7,640,000
112 398 MUSTOPA 14 - 136,980 0.00227 646,850 0.00305 60,000 50,000 590,000 6,610,000 7,610,000
113 404 AKHMAD HADI SULTHONI 13 10,000,000 183,120 0.00304 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
114 406 ROSIDAH 13 5,000,000 185,483 0.00308 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
115 408 EVI HERVIANI 13 - 132,120 0.00219 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
116 409 SRI WIDATI 13 - 147,785 0.00245 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
117 411 ETI LIDIYAWATI, AMK. 13 30,000,000 271,692 0.00451 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
118 412 DESIE MAELANI AGHNIA, AMK. 13 40,000,000 132,335 0.00220 623,900 0.00294 60,000 50,000 595,000 6,335,000 7,340,000
119 413 WINANI 13 15,000,000 195,660 0.00325 626,450 0.00295 60,000 50,000 595,000 6,365,000 7,370,000
120 414 WIANTIN FULASIH 13 10,000,000 238,094 0.00395 620,925 0.00293 60,000 50,000 595,000 6,300,000 7,305,000
121 415 SITI ARSIHYANTI SARI 12 15,000,000 150,748 0.00250 612,425 0.00289 60,000 50,000 595,000 6,200,000 7,205,000
122 417 MOHAMAD SUGENG 12 - 129,240 0.00214 610,300 0.00288 60,000 50,000 595,000 6,175,000 7,180,000
123 419 MOH. LUTFIYUL HAKIM, AMK. 12 - 129,240 0.00214 610,300 0.00288 60,000 50,000 595,000 6,175,000 7,180,000
124 420 SITI AMINATUN 12 - 173,388 0.00288 610,300 0.00288 60,000 50,000 595,000 6,175,000 7,180,000
125 421 MUCHTADI 12 15,000,000 314,057 0.00521 608,175 0.00287 60,000 50,000 595,000 6,150,000 7,155,000
126 423 TANSARI WIBOWO 12 - 163,357 0.00271 608,175 0.00287 60,000 50,000 595,000 6,150,000 7,155,000
127 424 WAKHYU INDRIANI 12 - 134,777 0.00224 608,175 0.00287 60,000 50,000 595,000 6,150,000 7,155,000
128 425 CIPTANINGSIH 12 - 154,303 0.00256 608,175 0.00287 60,000 50,000 595,000 6,150,000 7,155,000
129 426 SRI YANTI 12 - 129,757 0.00215 606,050 0.00286 60,000 50,000 595,000 6,125,000 7,130,000
130 428 THOHA 12 4,000,000 141,726 0.00235 605,625 0.00285 60,000 50,000 590,000 6,125,000 7,125,000
131 429 ENDANG SRI REJEKI 12 150,558 0.00250 605,625 0.00285 60,000 50,000 590,000 6,125,000 7,125,000
132 431 MUZAYANAH 12 127,800 0.00212 603,500 0.00284 60,000 50,000 590,000 6,100,000 7,100,000
133 432 MUSLIKUN 12 30,000,000 259,952 0.00431 603,500 0.00284 60,000 50,000 590,000 6,100,000 7,100,000
134 433 DJOKO SUSENO 12 - 127,800 0.00212 603,500 0.00284 60,000 50,000 590,000 6,100,000 7,100,000
135 436 TUTI HARTANTI 12 30,000,000 244,350 0.00406 601,375 0.00283 60,000 50,000 590,000 6,075,000 7,075,000
136 438 SIDIK PRAMONO 12 - 133,407 0.00221 599,250 0.00282 60,000 50,000 590,000 6,050,000 7,050,000
137 439 DIAN WIDIATI 12 20,000,000 181,697 0.00302 599,250 0.00282 60,000 50,000 590,000 6,050,000 7,050,000
138 440 SARIFUDIN 12 - 125,550 0.00208 592,875 0.00279 60,000 50,000 590,000 5,975,000 6,975,000
139 441 SUGENG RIADI 12 - 127,102 0.00211 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
140 442 RETNO INDRASTUTI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
141 443 WAHUDI 12 15,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
142 444 SUSILO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
143 445 SANTI PUJI RAHAYU 12 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
144 447 SITI NURHAMIDAH 12 - 149,872 0.00249 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
145 448 SRI NINGSIH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
146 449 SRI EKA ANGGRAENI 12 - 149,989 0.00249 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
147 450 DARYANTO R 12 - 205,726 0.00341 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
148 451 WALUYO 12 129,299 0.00215 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
149 452 SUMARNO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
150 453 SITI SALAMAH 12 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
LAMA
NO. RUMUS INDEX RUMUS INDEX JUMLAH J
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA SIMPANAN(SP,
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN SG,SW,SHR) PI
(TAHUN)

151 454 SARDJONO SANITASI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
152 455 WIJAYANTI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
153 457 FIRDAUS ARIFIANTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
154 458 KASMINTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
155 459 DARMINTO 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
156 460 SRI ROHATI 12 10,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
157 461 ROPIKOH 12 3,000,000 126,000 0.00209 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
158 462 WAHYUNINGSIH 12 10,000,000 178,600 0.00296 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
159 463 INDAH HATI HARMANTI 12 20,000,000 167,100 0.00277 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
160 464 TARJONO sarana 12 20,000,000 263,100 0.00437 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
161 465 SAHURI 12 15,000,000 206,100 0.00342 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
162 466 WAINAH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
163 467 WAETUN 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
164 468 SAMITO 12 10,000,000 139,284 0.00231 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
165 470 MUSROKHA 12 10,000,000 151,920 0.00252 589,900 0.00278 60,000 50,000 590,000 5,940,000 6,940,000
166 471 ROCHILAH 12 35,000,000 284,004 0.00471 589,900 0.00278 60,000 50,000 590,000 5,940,000 6,940,000
167 472 WARTININGSIH 12 124,920 0.00207 589,900 0.00278 60,000 50,000 590,000 5,940,000 6,940,000
168 473 MUTIAWATI 12 - 133,084 0.00221 589,900 0.00278 60,000 50,000 590,000 5,940,000 6,940,000
169 474 PUJI MARIANI 12 25,000,000 319,920 0.00531 589,900 0.00278 60,000 50,000 590,000 5,940,000 6,940,000
170 475 MURNIATI 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
171 477 TRI SULISTIYANINGSIH 12 - 125,100 0.00208 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
172 478 SAIMAH 12 - 177,029 0.00294 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
173 479 SUNARTO 12 15,000,000 201,293 0.00334 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000
174 480 TORINO 12 40,000,000 449,100 0.00745 590,750 0.00278 60,000 50,000 590,000 5,950,000 6,950,000 1
175 483 MUHAMAD ABDULLAH 12 124,650 0.00207 588,625 0.00277 60,000 50,000 590,000 5,925,000 6,925,000
176 484 NUROKHMAH 12 - 124,650 0.00207 588,625 0.00277 60,000 50,000 590,000 5,925,000 6,925,000
177 485 SOETJI PRIJATIN 12 - 177,112 0.00294 588,625 0.00277 60,000 50,000 590,000 5,925,000 6,925,000
178 488 WINARSO 12 - 126,782 0.00210 588,625 0.00277 60,000 50,000 590,000 5,925,000 6,925,000
179 489 SRI HASTUTI 11 - 149,082 0.00247 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
180 494 KHANIFAH S 11 - 133,560 0.00222 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
181 499 M. IHSANUDIN, S.Si.Apt. 11 5,000,000 131,700 0.00219 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
182 500 SUKIRMAN 11 - 148,998 0.00247 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
183 501 MUNAWAROH 11 10,000,000 164,609 0.00273 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
184 502 EKO SRI MUNINGGAR 11 - 124,200 0.00206 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
185 503 WULAN PARING MULYANI 11 - 124,200 0.00206 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
186 504 ROKHAENI 11 25,000,000 169,200 0.00281 586,500 0.00276 60,000 50,000 590,000 5,900,000 6,900,000
187 505 EDY YUWONO 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
188 506 TUTI NASWATI 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
189 507 ASIS WARI 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
190 508 FADHIL 11 21,000,000 207,358 0.00344 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
191 509 SUNDARI 11 145,239 0.00241 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
192 510 ROYANAH 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
193 511 DARYANTO BWK/ GIZI 11 - 125,479 0.00208 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
194 512 Dr. KRISSANTI EKOSARI. 11 - 123,750 0.00205 584,375 0.00275 60,000 50,000 590,000 5,875,000 6,875,000
195 514 BERTHA BAYU BINTARTI 11 - 123,300 0.00205 582,250 0.00274 60,000 50,000 590,000 5,850,000 6,850,000
196 515 SUKARDI 11 25,000,000 280,800 0.00466 582,250 0.00274 60,000 50,000 590,000 5,850,000 6,850,000
197 516 DR. WILLY YULIANTO 11 - 123,300 0.00205 582,250 0.00274 60,000 50,000 590,000 5,850,000 6,850,000
198 518 TRI RAHARDJO 11 35,000,000 146,566 0.00243 582,250 0.00274 60,000 50,000 590,000 5,850,000 6,850,000
199 519 SUHARJO 11 - 122,850 0.00204 580,125 0.00273 60,000 50,000 590,000 5,825,000 6,825,000
200 520 NANI HERAWATI, Amd. 11 10,000,000 164,661 0.00273 580,125 0.00273 60,000 50,000 590,000 5,825,000 6,825,000
201 521 SUPRIYANI 11 25,000,000 339,504 0.00563 578,000 0.00272 60,000 50,000 590,000 5,800,000 6,800,000
202 522 SUTEDJO 11 25,000,000 302,431 0.00502 578,000 0.00272 60,000 50,000 590,000 5,800,000 6,800,000
203 523 SUNALI 11 10,000,000 144,589 0.00240 578,000 0.00272 60,000 50,000 590,000 5,800,000 6,800,000
204 524 SRI KAENI 11 25,000,000 316,950 0.00526 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
205 528 ABDUL WAHFI 11 20,000,000 163,221 0.00271 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
206 529 KUSTANTO 11 - 195,992 0.00325 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
207 530 DWI ADI PURNOMO 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
208 531 DARSONO 11 - 222,096 0.00369 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
209 532 DEWI MARLINA 11 - 122,850 0.00204 580,125 0.00273 60,000 50,000 740,000 5,675,000 6,825,000
210 533 HADI KUSMANTO 11 - 126,230 0.00209 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
211 534 BUDI RAHARSO 11 12,000,000 304,601 0.00506 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
212 535 RUSDIONO 11 - 122,310 0.00203 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
213 536 HEDI JAYA 11 30,000,000 212,310 0.00352 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
214 537 ROHMI 11 3,000,000 132,210 0.00219 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
215 538 SRI PUJI EKOWATI 11 10,000,000 182,060 0.00302 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
216 539 SUPRAYITNO 11 - 122,310 0.00203 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
217 540 MARIA MAGDALENA SP 11 - 162,571 0.00270 577,575 0.00272 60,000 50,000 590,000 5,795,000 6,795,000
218 541 SRI BANGUN PRASETYA 11 20,000,000 373,253 0.00619 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
219 542 ISSA MUKTI 11 112,230 0.00186 529,975 0.00250 60,000 50,000 530,000 5,295,000 6,235,000
220 544 KHAERUDIN 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
221 545 SUSI SUKMAWATI 11 - 121,950 0.00202 575,875 0.00271 60,000 50,000 590,000 5,775,000 6,775,000
222 546 SUKRISNO 11 30,000,000 283,230 0.00470 529,975 0.00250 60,000 50,000 530,000 5,295,000 6,235,000
223 547 GONDO SABDO 11 10,000,000 201,600 0.00335 569,500 0.00268 60,000 50,000 590,000 5,700,000 6,700,000
224 548 DARYANTO C/ SARANA 11 35,000,000 204,150 0.00339 567,375 0.00267 60,000 50,000 590,000 5,675,000 6,675,000
225 549 EDI WICAKSONO 11 10,000,000 146,430 0.00243 521,475 0.00246 60,000 50,000 530,000 5,195,000 6,135,000
226 550 UMI KHOLIFAH, AMK 11 - 134,073 0.00223 567,375 0.00267 60,000 50,000 590,000 5,675,000 6,675,000
227 551 ARINA YUNIARTI 11 - 174,352 0.00289 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000
LAMA
NO. RUMUS INDEX RUMUS INDEX JUMLAH J
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA SIMPANAN(SP,
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN SG,SW,SHR) PI
(TAHUN)

228 553 AGUS RIYANSAH 11 17,000,000 457,819 0.00760 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000 1
229 554 NUNUNG RIZKI AMELIA 11 - 119,700 0.00199 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000
230 555 WITRIANA, AMK 11 - 135,712 0.00225 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000
231 556 RUDI KUSDIANTORO N 11 - 139,701 0.00232 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000
232 557 MASITO, AMK 11 - 119,700 0.00199 565,250 0.00266 60,000 50,000 590,000 5,650,000 6,650,000
233 560 SUHARSO 11 25,000,000 224,250 0.00372 563,125 0.00265 60,000 50,000 590,000 5,625,000 6,625,000
234 561 NUROHMI 11 - 130,996 0.00217 563,125 0.00265 60,000 50,000 590,000 5,625,000 6,625,000
235 562 SIH MUKMINATI 11 - 119,250 0.00198 563,125 0.00265 60,000 50,000 590,000 5,625,000 6,625,000
236 563 IMAM AGUS SUWANDI 11 10,000,000 164,250 0.00273 563,125 0.00265 60,000 50,000 590,000 5,625,000 6,625,000
237 564 SYAMSUDIN 11 25,000,000 138,853 0.00230 563,125 0.00265 60,000 50,000 590,000 5,625,000 6,625,000
238 565 LINA MARYANI 10 - 118,800 0.00197 561,000 0.00264 60,000 50,000 590,000 5,600,000 6,600,000
239 566 HERY KUSDIYANTO 10 40,000,000 176,853 0.00293 561,000 0.00264 60,000 50,000 590,000 5,600,000 6,600,000
240 568 EDY PRAMONO, SE. 10 118,800 0.00197 561,000 0.00264 60,000 50,000 590,000 5,600,000 6,600,000
241 570 NUR KHOLIFAH 10 - 193,750 0.00322 558,875 0.00263 60,000 50,000 590,000 5,575,000 6,575,000
242 571 PUJIANTO 10 - 118,350 0.00196 558,875 0.00263 60,000 50,000 590,000 5,575,000 6,575,000
243 572 ODILIA SOARES DACOSTA 10 - 164,227 0.00273 558,875 0.00263 60,000 50,000 590,000 5,575,000 6,575,000
244 575 NUR AZIS 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000 6,550,000
245 578 AGUS SUPRIAJI, AMK 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000 6,550,000
246 579 RIZKI WINDRAENI S, AMK 10 - 117,900 0.00196 556,750 0.00262 60,000 50,000 590,000 5,550,000 6,550,000
247 581 KISWORO 10 - 117,360 0.00195 554,200 0.00261 60,000 50,000 590,000 5,520,000 6,520,000
248 582 SEFTIANA NURHAYATI 10 8,000,000 208,579 0.00346 554,200 0.00261 60,000 50,000 590,000 5,520,000 6,520,000
249 583 ANI ASTUTI 10 20,000,000 185,914 0.00309 554,200 0.00261 60,000 50,000 590,000 5,520,000 6,520,000
250 585 EKO PRIHATI 10 - 116,820 0.00194 551,650 0.00260 60,000 50,000 590,000 5,490,000 6,490,000
251 586 SITI ANDARIYANI 10 20,000,000 134,280 0.00223 549,100 0.00259 60,000 50,000 590,000 5,460,000 6,460,000
252 588 BAGUS SLAMET SETIAWAN 10 - 116,280 0.00193 549,100 0.00259 60,000 50,000 590,000 5,460,000 6,460,000
253 589 TOUFIKUROHMAN PURNOMO 10 115,740 0.00192 546,550 0.00258 60,000 50,000 590,000 5,430,000 6,430,000
254 590 ANGKAT SUPRIYANTO 10 15,000,000 225,947 0.00375 546,550 0.00258 60,000 50,000 590,000 5,430,000 6,430,000
255 591 AGUS MIFTAH 10 20,000,000 139,740 0.00232 546,550 0.00258 60,000 50,000 590,000 5,430,000 6,430,000
256 592 MINARTI 10 10,000,000 193,226 0.00321 546,550 0.00258 60,000 50,000 590,000 5,430,000 6,430,000
257 593 INDAH KURNIASIH 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000 6,400,000
258 595 AGUS SUMEDI 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000 6,400,000
259 596 KHIYAROTUL LAELI 10 - 115,200 0.00191 544,000 0.00256 60,000 50,000 590,000 5,400,000 6,400,000
260 597 NURBAETI AWALIYAH 10 10,000,000 117,660 0.00195 541,450 0.00255 60,000 50,000 590,000 5,370,000 6,370,000
261 598 MUTINA DENIWATI 10 30,000,000 366,660 0.00608 541,450 0.00255 60,000 50,000 590,000 5,370,000 6,370,000 1
262 599 HESTI LISTIYAWATI 10 - 114,660 0.00190 541,450 0.00255 60,000 50,000 590,000 5,370,000 6,370,000
263 600 UMI SETIYANI 10 - 128,876 0.00214 541,450 0.00255 60,000 50,000 590,000 5,370,000 6,370,000
264 603 DILIYANA YUSTIANINGSIH 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
265 604 LUTHFIYAH, AMK 10 2,000,000 131,544 0.00218 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
266 605 FITRI YUNIATI, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
267 606 EKA PRASETYAWATI, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
268 607 DRAJAT PUJIANTO 10 - 144,565 0.00240 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
269 608 RIYA SAFRIYA, AMK 10 - 113,040 0.00188 533,800 0.00252 60,000 50,000 590,000 5,280,000 6,280,000
270 609 MARIA ULFAH, SSi.APT 10 - 116,087 0.00193 531,675 0.00251 60,000 50,000 595,000 5,250,000 6,255,000
271 610 SRI MULYANINGSIH 10 20,000,000 172,590 0.00286 531,675 0.00251 60,000 50,000 595,000 5,250,000 6,255,000
272 611 PUTRI SULISTYOWATI, AMK 10 - 139,819 0.00232 531,675 0.00251 60,000 50,000 595,000 5,250,000 6,255,000
273 612 FATTUROKHMI, AMK 10 30,000,000 204,853 0.00340 528,700 0.00249 60,000 50,000 590,000 5,220,000 6,220,000
274 613 DR. RUSZAENI, MMR 10 - 111,960 0.00186 528,700 0.00249 60,000 50,000 590,000 5,220,000 6,220,000
275 615 DR. FAJAR DANUAJI, SPA 10 - 111,960 0.00186 528,700 0.00249 60,000 50,000 590,000 5,220,000 6,220,000
276 616 SOFIANTI, AMK 10 - 224,391 0.00372 525,725 0.00248 60,000 50,000 585,000 5,190,000 6,185,000
277 617 TITI NOVAYANTI, AMK 10 - 111,330 0.00185 525,725 0.00248 60,000 50,000 585,000 5,190,000 6,185,000
278 618 YULI CITRA DEWI, AMD.KEB 10 - 277,732 0.00461 574,175 0.00271 60,000 50,000 635,000 5,710,000 6,755,000
279 619 SAURIP 10 - 110,070 0.00183 519,775 0.00245 60,000 50,000 575,000 5,130,000 6,115,000
280 621 ELY SUSBANDIYAH 10 - 118,611 0.00197 519,775 0.00245 60,000 50,000 575,000 5,130,000 6,115,000
281 622 SURYO TOPO SUWARSO 10 - 110,070 0.00183 519,775 0.00245 60,000 50,000 575,000 5,130,000 6,115,000
282 623 ANI ANDRIYANI 10 - 109,440 0.00182 516,800 0.00244 60,000 50,000 570,000 5,100,000 6,080,000
283 626 SITI MUNAWAROH 9 - 107,550 0.00178 507,875 0.00239 60,000 50,000 555,000 5,010,000 5,975,000
284 627 YENI MAWAR PUSPITA N 9 - 197,173 0.00327 504,900 0.00238 60,000 50,000 550,000 4,980,000 5,940,000
285 628 MULYATI 9 - 172,603 0.00286 501,925 0.00237 60,000 50,000 545,000 4,950,000 5,905,000
286 629 RULLY DWI PRABOWO L, SE. 9 15,000,000 150,660 0.00250 498,950 0.00235 60,000 50,000 540,000 4,920,000 5,870,000
287 630 FAJAR TIMOR RYADI 9 - 128,280 0.00213 498,950 0.00235 60,000 50,000 540,000 4,920,000 5,870,000
288 631 FATONI 9 12,000,000 121,503 0.00202 498,950 0.00235 60,000 50,000 540,000 4,920,000 5,870,000
289 632 DAKORI 9 10,000,000 126,660 0.00210 498,950 0.00235 60,000 50,000 540,000 4,920,000 5,870,000
290 633 SUGIARTO 9 20,000,000 443,771 0.00736 495,975 0.00234 60,000 50,000 535,000 4,890,000 5,835,000 1
291 634 Dr. KURNIASIH 9 - 114,750 0.00190 541,875 0.00255 60,000 50,000 595,000 5,370,000 6,375,000
292 635 ASRI MUTHYA RAMADHANI 9 20,000,000 161,515 0.00268 538,900 0.00254 60,000 50,000 590,000 5,340,000 6,340,000
293 636 RETNO MULYANINGRUM, Amd.OT 9 40,000,000 116,400 0.00193 493,000 0.00232 60,000 50,000 530,000 4,860,000 5,800,000
294 637 ENDAH NUR HANDAYANI, Amd.Fis 9 - 104,400 0.00173 493,000 0.00232 60,000 50,000 530,000 4,860,000 5,800,000
295 638 DEWI ARLINDA R, Amd.Keb. 9 10,000,000 125,400 0.00208 493,000 0.00232 60,000 50,000 530,000 4,860,000 5,800,000
296 639 NURI MAYANGSARI 9 - 116,997 0.00194 493,000 0.00232 60,000 50,000 530,000 4,860,000 5,800,000
297 640 ACHMAD MUNTOKO HARTO 9 - 106,201 0.00176 493,000 0.00232 60,000 50,000 530,000 4,860,000 5,800,000
298 641 TRI HENDRO PRAKOSO, Amd. 9 - 103,770 0.00172 490,025 0.00231 60,000 50,000 525,000 4,830,000 5,765,000
299 642 NILA DIANA 9 20,000,000 343,770 0.00571 490,025 0.00231 60,000 50,000 525,000 4,830,000 5,765,000 1
300 643 RIZKINA 9 20,000,000 145,770 0.00242 490,025 0.00231 60,000 50,000 525,000 4,830,000 5,765,000
301 644 FAJAR RIZKI KUSUMASTUTI 9 30,000,000 112,770 0.00187 490,025 0.00231 60,000 50,000 525,000 4,830,000 5,765,000
302 645 Drg. DIANI NURCAHYAWATI 9 - 103,140 0.00171 487,050 0.00229 60,000 50,000 520,000 4,800,000 5,730,000
303 647 IMAM SUPARTO 9 - 103,140 0.00171 487,050 0.00229 60,000 50,000 520,000 4,800,000 5,730,000
304 649 TITI MAEMUNAH 9 15,000,000 256,140 0.00425 487,050 0.00229 60,000 50,000 520,000 4,800,000 5,730,000
LAMA
NO. RUMUS INDEX RUMUS INDEX JUMLAH J
MENJADI IURAN SIMPANAN SIMPANAN SIMPANAN
NO ANGGOT NAMA ANGGOTA PINJAMAN JASA JASA JASA JASA SIMPANAN(SP,
ANGGOTA GEDUNG POKOK GEDUNG WAJIB
A USAHA USAHA SIMPANAN SIMPANAN SG,SW,SHR) PI
(TAHUN)

305 650 ISMI ARSI AULIA 9 - 101,700 0.00169 480,250 0.00226 60,000 50,000 520,000 4,720,000 5,650,000
306 652 ZARKONI 9 - 101,250 0.00168 478,125 0.00225 60,000 50,000 505,000 4,710,000 5,625,000
307 653 YAKNI ASRI MULYANI 9 - 99,990 0.00166 472,175 0.00222 60,000 50,000 495,000 4,650,000 5,555,000
308 654 RAHAYU SRI MULYATI 9 15,000,000 153,990 0.00256 472,175 0.00222 60,000 50,000 495,000 4,650,000 5,555,000
309 656 YULI NUR AFANI 8 - 96,660 0.00160 456,450 0.00215 60,000 50,000 480,000 4,480,000 5,370,000
310 657 DENNY SUCI SARASWATI 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000 5,450,000
311 659 ITA ANGGRIANSARI 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000 5,450,000
312 660 DIAN KURNIAWAN 8 - 98,100 0.00163 463,250 0.00218 60,000 50,000 480,000 4,560,000 5,450,000
313 661 Dr. IMAM DARJITO 7 - 97,470 0.00162 460,275 0.00217 60,000 50,000 475,000 4,530,000 5,415,000
314 662 DEWI AMBARWATI 7 - 97,470 0.00162 460,275 0.00217 60,000 50,000 475,000 4,530,000 5,415,000
315 667 NURASIAH 7 25,000,000 185,619 0.00308 457,300 0.00215 60,000 50,000 470,000 4,500,000 5,380,000
316 670 EBTA ARIYANI 7 - 186,562 0.00310 453,475 0.00214 60,000 50,000 465,000 4,460,000 5,335,000
317 671 NOVIKA DIANA PERMATASARI 7 - 215,860 0.00358 453,475 0.00214 60,000 50,000 465,000 4,460,000 5,335,000
318 673 ANGGI EKA PUSPITASARI 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000 5,335,000
319 674 ISNAENI SA'ADAH 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000 5,335,000
320 675 SALIM 7 - 96,030 0.00159 453,475 0.00214 60,000 50,000 465,000 4,460,000 5,335,000
321 676 EKA RATNA SARI 7 15,000,000 169,097 0.00281 449,650 0.00212 60,000 50,000 460,000 4,420,000 5,290,000
322 677 RETNO KHASANAH WAHYU 7 - 94,410 0.00157 445,825 0.00210 60,000 50,000 455,000 4,380,000 5,245,000
323 678 ROCHMIATI 7 - 95,726 0.00159 442,000 0.00208 60,000 50,000 450,000 4,340,000 5,200,000
324 679 ARIEF SETIYONO, SKM 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000 5,065,000
325 680 AFTI DWI PRIYATI 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000 5,065,000
326 681 SUZANAH, AMK 7 - 91,170 0.00151 430,525 0.00203 60,000 50,000 435,000 4,220,000 5,065,000
327 682 SHOLEH 7 5,000,000 175,434 0.00291 426,700 0.00201 60,000 50,000 430,000 4,180,000 5,020,000
328 685 SITI MARIYAH, AMK 6 - 87,120 0.00145 411,400 0.00194 60,000 50,000 410,000 4,020,000 4,840,000
329 686 REZZY PRIMANSYAH 6 40,000,000 135,120 0.00224 411,400 0.00194 60,000 50,000 410,000 4,020,000 4,840,000
330 687 MEGA ASMAWATI 6 - 87,734 0.00146 407,575 0.00192 60,000 50,000 405,000 3,980,000 4,795,000
331 688 SA'DY SUAEDY 6 - 86,310 0.00143 407,575 0.00192 60,000 50,000 405,000 3,980,000 4,795,000
332 689 IDAWATI 6 114,113 0.00189 403,750 0.00190 60,000 50,000 400,000 3,940,000 4,750,000
333 690 RETNONINGSRUM WIDYASARI 6 - 85,500 0.00142 403,750 0.00190 60,000 50,000 400,000 3,940,000 4,750,000
334 691 DR. ANITA SETIYANTI 6 - 84,690 0.00141 399,925 0.00188 60,000 50,000 395,000 3,900,000 4,705,000
335 692 ANNIES NURMAN SEKHA 6 - 84,690 0.00141 399,925 0.00188 60,000 50,000 395,000 3,900,000 4,705,000
336 693 EDY DERMA RAHARDJO 6 30,000,000 210,690 0.00350 399,925 0.00188 60,000 50,000 395,000 3,900,000 4,705,000
337 694 INDRAWATI PURWITOSARI 6 - 82,260 0.00137 388,450 0.00183 60,000 50,000 380,000 3,780,000 4,570,000
338 695 MUZAYIN HARYADI 6 - 77,400 0.00128 365,500 0.00172 60,000 50,000 350,000 3,540,000 4,300,000
339 696 ALDILA NANDA KUNTORO 6 - 77,400 0.00128 365,500 0.00172 60,000 50,000 350,000 3,540,000 4,300,000
340 697 KUMALASARI 6 3,000,000 83,733 0.00139 361,675 0.00170 60,000 50,000 345,000 3,500,000 4,255,000
341 698 AZIZAH FATMAWATI 6 - 76,590 0.00127 361,675 0.00170 60,000 50,000 345,000 3,500,000 4,255,000
342 699 SLAMET TANTO INDAH 6 40,000,000 82,447 0.00137 361,675 0.00170 60,000 50,000 345,000 3,500,000 4,255,000
343 700 dr. TEGUH SUKMA WIBOWO 6 - 73,350 0.00122 346,375 0.00163 60,000 50,000 325,000 3,340,000 4,075,000
344 701 BUDIARTO 5 25,000,000 125,040 0.00208 342,550 0.00161 60,000 50,000 320,000 3,300,000 4,030,000
345 704 dr. GUNTUR MT, SpAN.Msi 4 - 69,300 0.00115 327,250 0.00154 60,000 50,000 300,000 3,140,000 3,850,000
346 705 KONILAH 4 40,000,000 79,680 0.00132 319,600 0.00151 60,000 50,000 290,000 3,060,000 3,760,000
347 706 SRI WAHYUNI 4 15,000,000 135,919 0.00226 319,600 0.00151 60,000 50,000 290,000 3,060,000 3,760,000
348 709 DWI BASUKI YULI S 4 64,440 0.00107 304,300 0.00143 60,000 50,000 270,000 2,900,000 3,580,000
349 710 PANDU YUDHA PRATAMA 4 - 63,630 0.00106 300,475 0.00142 60,000 50,000 265,000 2,860,000 3,535,000
350 711 RATNA NOPIANA 4 - 63,630 0.00106 300,475 0.00142 60,000 50,000 265,000 2,860,000 3,535,000
351 712 RUKIJAN 4 9,000,000 90,900 0.00151 289,000 0.00136 60,000 50,000 250,000 2,740,000 3,400,000
352 713 Drs. ABDUROKHMAN 4 - 60,390 0.00100 285,175 0.00134 60,000 50,000 245,000 2,700,000 3,355,000
353 714 GATOT SUSWANTO 4 - 59,580 0.00099 281,350 0.00133 60,000 50,000 240,000 2,660,000 3,310,000
354 717 RINI MARTUTI 3 - 88,634 0.00147 273,700 0.00129 60,000 50,000 230,000 2,580,000 3,220,000
355 718 dr. HASTIM NS., Sp.PK 3 - 57,600 0.00096 272,000 0.00128 60,000 50,000 230,000 2,560,000 3,200,000
356 719 ANI SETYAWATI 3 10,000,000 71,340 0.00118 266,050 0.00125 60,000 50,000 220,000 2,500,000 3,130,000
357 721 LISNAWATI, AMD. KEB 3 - 52,290 0.00087 246,925 0.00116 60,000 50,000 195,000 2,300,000 2,905,000
358 723 SUPRIYANI B 3 25,000,000 78,240 0.00130 227,800 0.00107 60,000 50,000 170,000 2,100,000 2,680,000
359 724 EVA MUFAROH 3 10,000,000 60,240 0.00100 227,800 0.00107 60,000 50,000 170,000 2,100,000 2,680,000
360 725 M.NURHUDA 1 - 31,410 0.00052 148,325 0.00070 60,000 50,000 85,000 1,250,000 1,745,000
361 726 SITI DAROJAH 1 20,000,000 66,420 0.00110 143,650 0.00068 60,000 50,000 80,000 1,200,000 1,690,000
362 727 WARDOYO 1 40,000,000 74,460 0.00124 124,950 0.00059 60,000 50,000 60,000 1,000,000 1,470,000
JUMLAH 2,736,000,000 60,256,957 1 212,229,785 1 21,720,000 18,100,000 210,158,000 2,138,243,000 2,496,821,000 48

SLAWI, 31 DESEMBER 2019


PENGURUS KPRI " SEHAT " RSU dr. SOESELO SLAWI

SAPTO BUDI W, S.Kep, Ns. DARMAWAN, SH MH ZARKONI, S.Kom DESIE MAELANI A. S.Kep. Ns FITRI ARIFIYAH
Ketua Sekretaris Bendahara I Bendahara II Pembantu Umum
DAFTAR HADIR RAPAT ANGGOTA TAHUNAN
KPRI SEHAT
RSUD DOKTER SOESELO KABUPATEN TEGAL
TANGGAL :

NO
NO NAMA TANDA TANGAN
ANGGOTA

1 61 TARYONO A 1 ..........................
2 107 SYAMSI 2 ..........................
3 108 TARJONO APOTIK 3 ..........................
4 120 UMIYATI 4 ..........................
5 123 TRININGSIH 5 ..........................
6 133 LASMINAH 6 ..........................
7 135 TJASWADI 7 ..........................
8 138 SUHARTATI 8 ..........................
9 145 RISWAN 9 ..........................
10 153 ENOK KOMARIYAH 10 ..........................
11 159 HAKIMAH 11 ..........................
12 160 KISMONO 12 ..........................
13 161 EDI SUDIRNO 13 ..........................
14 166 BAMBANG SUSISWO 14 ..........................
15 167 SAENI 15 ..........................
16 168 TUKINI 16 ..........................
17 173 TASRIPAH 17 ..........................
18 176 SRI WARKONAH 18 ..........................
19 177 SUJIASIH 19 ..........................
20 178 AMINAH 20 ..........................
21 179 SRI HENYARTI 21 ..........................
22 181 BAMBANG ADI PRAYITNO 22 ..........................
23 183 MARYONO 23 ..........................
24 186 DR. ENDAH PANCAWATI 24 ..........................
25 192 CATUR BUDI WIDIANTO 25 ..........................
26 194 MOHAMMAD MUSHLIH 26 ..........................
27 197 WASUM 27 ..........................
28 198 TRI ASMOROWATI 28 ..........................
29 201 HARSONO 29 ..........................
30 205 TUMINAH 30 ..........................
31 206 DJUNIANTO 31 ..........................
32 207 DIDI VIDIANTO, BE 32 ..........................
33 208 ARWADI 33 ..........................
34 215 USTATI 34 ..........................
35 216 SUHARSIH A. 35 ..........................
36 220 SITI SUMARNI 36 ..........................
37 221 SUNIDAH 37 ..........................
38 223 DJOHAN IMAM BASUKI 38 ..........................
39 224 ENDANG URBAETI 39 ..........................
40 227 ISMAWATI 40 ..........................
41 228 dr. MARIA YUNITA 41 ..........................
42 231 KANTI SETYAWATI 42 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

43 236 DYAH HERJANTI 43 ..........................


44 242 KRISNA WIDIASTUTI 44 ..........................
45 244 YUSUF GUNAWAN 45 ..........................
46 249 HERU AGUS SETIAWAN 46 ..........................
47 250 RUSWANDI 47 ..........................
48 251 IIN PURLINAYANI 48 ..........................
49 252 SRI SULAMI 49 ..........................
50 253 ATI SUHAEMI 50 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

51 254 HERMI SRI MANTI 51 ..........................


52 256 AGUS SULADI 52 ..........................
53 260 M. EDI ATOILAH 53 ..........................
54 261 NI LUH YUNI RATNAWATI 54 ..........................
55 264 PARTI 55 ..........................
56 266 SUHERINOMO 56 ..........................
57 270 WINADI 57 ..........................
58 271 NUR IZA SUSI TRIANA 58 ..........................
59 272 HARTOYO 59 ..........................
60 273 JOKO PRAMONO 60 ..........................
61 277 PANGESTUTININGSIH 61 ..........................
62 281 TRI PRIYO SANTOSO 62 ..........................
63 282 WIDIANINGSIH 63 ..........................
64 284 HAMIDAH SRI NINDYARINI 64 ..........................
65 285 LELI CAHAYANI 65 ..........................
66 287 FITRI ARIFIAH 66 ..........................
67 289 HERU SUPIONO 67 ..........................
68 290 MOKHAMAD KHALIMI 68 ..........................
69 291 SAPTO BUDI WIRATMOKO 69 ..........................
70 292 SLAMET SOLEHUDIN 70 ..........................
71 293 NURJANAH 71 ..........................
72 295 BAMBANG SUSILO 72 ..........................
73 301 TURSINAH 73 ..........................
74 302 SALIYEM 74 ..........................
75 306 SUPRIATI MEI 75 ..........................
76 316 RATNA PUTRI RIASARI 76 ..........................
77 320 SUTARDJO 77 ..........................
78 324 Dr. WAHYU ROSHARJANTO 78 ..........................
79 325 Dr. JAENUDIN 79 ..........................
80 326 SIJAMTORO 80 ..........................
81 329 SUYOTO 81 ..........................
82 330 Dr. MOCH. IRPAN 82 ..........................
83 334 TEGOEH POEDJIANTO 83 ..........................
84 341 DARMAWAN 84 ..........................
85 345 HARYATI AGUS SETIYARINI 85 ..........................
86 350 ROSETYAWATI 86 ..........................
87 352 MUKSONI 87 ..........................
88 356 SLAMET SUGONDO 88 ..........................
89 358 EDI PRIYONO 89 ..........................
90 359 IMAN ROKHMAN 90 ..........................
91 361 KHANIFAH G 91 ..........................
92 363 M. RIFAI AMIN 92 ..........................
93 364 MURYANI 93 ..........................
94 365 NURUL IFFAH SETYANINGSIH 94 ..........................
95 367 SUHARSO, AM.AK 95 ..........................
96 368 WINAENI 96 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

97 369 BUDI RIYANTO 97 ..........................


98 373 AGUS SALIM 98 ..........................
99 374 SIH BOWO LEKSONO 99 ..........................
100 376 ELIYSABET IRAWATI 100 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

101 379 ESTIN NAFIDAH 101 ..........................


102 382 TEGUH GUNAWAN 102 ..........................
103 383 INDAH MULIAWANTI 103 ..........................
104 384 IDA ROKHANA 104 ..........................
105 385 NUR TITIN SUGIARTI 105 ..........................
106 389 RINA TRESNAWATI 106 ..........................
107 390 AMIN YUNIANTO 107 ..........................
108 391 Dra. NURHAYATI, APT. 108 ..........................
109 392 WASIATUR ROHMAH AFIATIN 109 ..........................
110 393 DIAH WIDIYATI, Amd.KEB. 110 ..........................
111 397 SRI NUR SETIYAWATI, SKM. 111 ..........................
112 398 MUSTOPA 112 ..........................
113 404 AKHMAD HADI SULTHONI 113 ..........................
114 406 ROSIDAH 114 ..........................
115 408 EVI HERVIANI 115 ..........................
116 409 SRI WIDATI 116 ..........................
117 411 ETI LIDIYAWATI, AMK. 117 ..........................
118 412 DESIE MAELANI AGHNIA, AMK. 118 ..........................
119 413 WINANI 119 ..........................
120 414 WIANTIN FULASIH 120 ..........................
121 415 SITI ARSIHYANTI SARI 121 ..........................
122 417 MOHAMAD SUGENG 122 ..........................
123 419 MOH. LUTFIYUL HAKIM, AMK. 123 ..........................
124 420 SITI AMINATUN 124 ..........................
125 421 MUCHTADI 125 ..........................
126 423 TANSARI WIBOWO 126 ..........................
127 424 WAKHYU INDRIANI 127 ..........................
128 425 CIPTANINGSIH 128 ..........................
129 426 SRI YANTI 129 ..........................
130 428 THOHA 130 ..........................
131 429 ENDANG SRI REJEKI 131 ..........................
132 431 MUZAYANAH 132 ..........................
133 432 MUSLIKUN 133 ..........................
134 433 DJOKO SUSENO 134 ..........................
135 436 TUTI HARTANTI 135 ..........................
136 438 SIDIK PRAMONO 136 ..........................
137 439 DIAN WIDIATI 137 ..........................
138 440 SARIFUDIN 138 ..........................
139 441 SUGENG RIADI 139 ..........................
140 442 RETNO INDRASTUTI 140 ..........................
141 443 WAHUDI 141 ..........................
142 444 SUSILO 142 ..........................
143 445 SANTI PUJI RAHAYU 143 ..........................
144 447 SITI NURHAMIDAH 144 ..........................
145 448 SRI NINGSIH 145 ..........................
146 449 SRI EKA ANGGRAENI 146 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

147 450 DARYANTO R 147 ..........................


148 451 WALUYO 148 ..........................
149 452 SUMARNO 149 ..........................
150 453 SITI SALAMAH 150 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

151 454 SARDJONO SANITASI 151 ..........................


152 455 WIJAYANTI 152 ..........................
153 457 FIRDAUS ARIFIANTO 153 ..........................
154 458 KASMINTO 154 ..........................
155 459 DARMINTO 155 ..........................
156 460 SRI ROHATI 156 ..........................
157 461 ROPIKOH 157 ..........................
158 462 WAHYUNINGSIH 158 ..........................
159 463 INDAH HATI HARMANTI 159 ..........................
160 464 TARJONO sarana 160 ..........................
161 465 SAHURI 161 ..........................
162 466 WAINAH 162 ..........................
163 467 WAETUN 163 ..........................
164 468 SAMITO 164 ..........................
165 470 MUSROKHA 165 ..........................
166 471 ROCHILAH 166 ..........................
167 472 WARTININGSIH 167 ..........................
168 473 MUTIAWATI 168 ..........................
169 474 PUJI MARIANI 169 ..........................
170 475 MURNIATI 170 ..........................
171 477 TRI SULISTIYANINGSIH 171 ..........................
172 478 SAIMAH 172 ..........................
173 479 SUNARTO 173 ..........................
174 480 TORINO 174 ..........................
175 483 MUHAMAD ABDULLAH 175 ..........................
176 484 NUROKHMAH 176 ..........................
177 485 SOETJI PRIJATIN 177 ..........................
178 488 WINARSO 178 ..........................
179 489 SRI HASTUTI 179 ..........................
180 494 KHANIFAH S 180 ..........................
181 499 M. IHSANUDIN, S.Si.Apt. 181 ..........................
182 500 SUKIRMAN 182 ..........................
183 501 MUNAWAROH 183 ..........................
184 502 EKO SRI MUNINGGAR 184 ..........................
185 503 WULAN PARING MULYANI 185 ..........................
186 504 ROKHAENI 186 ..........................
187 505 EDY YUWONO 187 ..........................
188 506 TUTI NASWATI 188 ..........................
189 507 ASIS WARI 189 ..........................
190 508 FADHIL 190 ..........................
191 509 SUNDARI 191 ..........................
192 510 ROYANAH 192 ..........................
193 511 DARYANTO BWK/ GIZI 193 ..........................
194 512 Dr. KRISSANTI EKOSARI. 194 ..........................
195 514 BERTHA BAYU BINTARTI 195 ..........................
196 515 SUKARDI 196 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

197 516 DR. WILLY YULIANTO 197 ..........................


198 518 TRI RAHARDJO 198 ..........................
199 519 SUHARJO 199 ..........................
200 520 NANI HERAWATI, Amd. 200 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

201 521 SUPRIYANI 201 ..........................


202 522 SUTEDJO 202 ..........................
203 523 SUNALI 203 ..........................
204 524 SRI KAENI 204 ..........................
205 528 ABDUL WAHFI 205 ..........................
206 529 KUSTANTO 206 ..........................
207 530 DWI ADI PURNOMO 207 ..........................
208 531 DARSONO 208 ..........................
209 532 DEWI MARLINA 209 ..........................
210 533 HADI KUSMANTO 210 ..........................
211 534 BUDI RAHARSO 211 ..........................
212 535 RUSDIONO 212 ..........................
213 536 HEDI JAYA 213 ..........................
214 537 ROHMI 214 ..........................
215 538 SRI PUJI EKOWATI 215 ..........................
216 539 SUPRAYITNO 216 ..........................
217 540 MARIA MAGDALENA SP 217 ..........................
218 541 SRI BANGUN PRASETYA 218 ..........................
219 542 ISSA MUKTI 219 ..........................
220 544 KHAERUDIN 220 ..........................
221 545 SUSI SUKMAWATI 221 ..........................
222 546 SUKRISNO 222 ..........................
223 547 GONDO SABDO 223 ..........................
224 548 DARYANTO C/ SARANA 224 ..........................
225 549 EDI WICAKSONO 225 ..........................
226 550 UMI KHOLIFAH, AMK 226 ..........................
227 551 ARINA YUNIARTI 227 ..........................
228 553 AGUS RIYANSAH 228 ..........................
229 554 NUNUNG RIZKI AMELIA 229 ..........................
230 555 WITRIANA, AMK 230 ..........................
231 556 RUDI KUSDIANTORO N 231 ..........................
232 557 MASITO, AMK 232 ..........................
233 560 SUHARSO 233 ..........................
234 561 NUROHMI 234 ..........................
235 562 SIH MUKMINATI 235 ..........................
236 563 IMAM AGUS SUWANDI 236 ..........................
237 564 SYAMSUDIN 237 ..........................
238 565 LINA MARYANI 238 ..........................
239 566 HERY KUSDIYANTO 239 ..........................
240 568 EDY PRAMONO, SE. 240 ..........................
241 570 NUR KHOLIFAH 241 ..........................
242 571 PUJIANTO 242 ..........................
243 572 ODILIA SOARES DACOSTA 243 ..........................
244 575 NUR AZIS 244 ..........................
245 578 AGUS SUPRIAJI, AMK 245 ..........................
246 579 RIZKI WINDRAENI S, AMK 246 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

247 581 KISWORO 247 ..........................


248 582 SEFTIANA NURHAYATI 248 ..........................
249 583 ANI ASTUTI 249 ..........................
250 585 EKO PRIHATI 250 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

251 586 SITI ANDARIYANI 251 ..........................


252 588 BAGUS SLAMET SETIAWAN 252 ..........................
253 589 TOUFIKUROHMAN PURNOMO 253 ..........................
254 590 ANGKAT SUPRIYANTO 254 ..........................
255 591 AGUS MIFTAH 255 ..........................
256 592 MINARTI 256 ..........................
257 593 INDAH KURNIASIH 257 ..........................
258 595 AGUS SUMEDI 258 ..........................
259 596 KHIYAROTUL LAELI 259 ..........................
260 597 NURBAETI AWALIYAH 260 ..........................
261 598 MUTINA DENIWATI 261 ..........................
262 599 HESTI LISTIYAWATI 262 ..........................
263 600 UMI SETIYANI 263 ..........................
264 603 DILIYANA YUSTIANINGSIH 264 ..........................
265 604 LUTHFIYAH, AMK 265 ..........................
266 605 FITRI YUNIATI, AMK 266 ..........................
267 606 EKA PRASETYAWATI, AMK 267 ..........................
268 607 DRAJAT PUJIANTO 268 ..........................
269 608 RIYA SAFRIYA, AMK 269 ..........................
270 609 MARIA ULFAH, SSi.APT 270 ..........................
271 610 SRI MULYANINGSIH 271 ..........................
272 611 PUTRI SULISTYOWATI, AMK 272 ..........................
273 612 FATTUROKHMI, AMK 273 ..........................
274 613 DR. RUSZAENI, MMR 274 ..........................
275 615 DR. FAJAR DANUAJI, SPA 275 ..........................
276 616 SOFIANTI, AMK 276 ..........................
277 617 TITI NOVAYANTI, AMK 277 ..........................
278 618 YULI CITRA DEWI, AMD.KEB 278 ..........................
279 619 SAURIP 279 ..........................
280 621 ELY SUSBANDIYAH 280 ..........................
281 622 SURYO TOPO SUWARSO 281 ..........................
282 623 ANI ANDRIYANI 282 ..........................
283 626 SITI MUNAWAROH 283 ..........................
284 627 YENI MAWAR PUSPITA N 284 ..........................
285 628 MULYATI 285 ..........................
286 629 RULLY DWI PRABOWO L, SE. 286 ..........................
287 630 FAJAR TIMOR RYADI 287 ..........................
288 631 FATONI 288 ..........................
289 632 DAKORI 289 ..........................
290 633 SUGIARTO 290 ..........................
291 634 Dr. KURNIASIH 291 ..........................
292 635 ASRI MUTHYA RAMADHANI 292 ..........................
293 636 RETNO MULYANINGRUM, Amd.OT 293 ..........................
294 637 ENDAH NUR HANDAYANI, Amd.Fis 294 ..........................
295 638 DEWI ARLINDA R, Amd.Keb. 295 ..........................
296 639 NURI MAYANGSARI 296 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

297 640 ACHMAD MUNTOKO HARTO 297 ..........................


298 641 TRI HENDRO PRAKOSO, Amd. 298 ..........................
299 642 NILA DIANA 299 ..........................
300 643 RIZKINA 300 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

301 644 FAJAR RIZKI KUSUMASTUTI 301 ..........................


302 645 Drg. DIANI NURCAHYAWATI 302 ..........................
303 647 IMAM SUPARTO 303 ..........................
304 649 TITI MAEMUNAH 304 ..........................
305 650 ISMI ARSI AULIA 305 ..........................
306 652 ZARKONI 306 ..........................
307 653 YAKNI ASRI MULYANI 307 ..........................
308 654 RAHAYU SRI MULYATI 308 ..........................
309 656 YULI NUR AFANI 309 ..........................
310 657 DENNY SUCI SARASWATI 310 ..........................
311 659 ITA ANGGRIANSARI 311 ..........................
312 660 DIAN KURNIAWAN 312 ..........................
313 661 Dr. IMAM DARJITO 313 ..........................
314 662 DEWI AMBARWATI 314 ..........................
315 667 NURASIAH 315 ..........................
316 670 EBTA ARIYANI 316 ..........................
317 671 NOVIKA DIANA PERMATASARI 317 ..........................
318 673 ANGGI EKA PUSPITASARI 318 ..........................
319 674 ISNAENI SA'ADAH 319 ..........................
320 675 SALIM 320 ..........................
321 676 EKA RATNA SARI 321 ..........................
322 677 RETNO KHASANAH WAHYU 322 ..........................
323 678 ROCHMIATI 323 ..........................
324 679 ARIEF SETIYONO, SKM 324 ..........................
325 680 AFTI DWI PRIYATI 325 ..........................
326 681 SUZANAH, AMK 326 ..........................
327 682 SHOLEH 327 ..........................
328 685 SITI MARIYAH, AMK 328 ..........................
329 686 REZZY PRIMANSYAH 329 ..........................
330 687 MEGA ASMAWATI 330 ..........................
331 688 SA'DY SUAEDY 331 ..........................
332 689 IDAWATI 332 ..........................
333 690 RETNONINGSRUM WIDYASARI 333 ..........................
334 691 DR. ANITA SETIYANTI 334 ..........................
335 692 ANNIES NURMAN SEKHA 335 ..........................
336 693 EDY DERMA RAHARDJO 336 ..........................
337 694 INDRAWATI PURWITOSARI 337 ..........................
338 695 MUZAYIN HARYADI 338 ..........................
339 696 ALDILA NANDA KUNTORO 339 ..........................
340 697 KUMALASARI 340 ..........................
341 698 AZIZAH FATMAWATI 341 ..........................
342 699 SLAMET TANTO INDAH 342 ..........................
343 700 dr. TEGUH SUKMA WIBOWO 343 ..........................
344 701 BUDIARTO 344 ..........................
345 704 dr. GUNTUR MT, SpAN.Msi 345 ..........................
346 705 KONILAH 346 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

347 706 SRI WAHYUNI 347 ..........................


348 709 DWI BASUKI YULI S 348 ..........................
349 710 PANDU YUDHA PRATAMA 349 ..........................
350 711 RATNA NOPIANA 350 ..........................
NO
NO NAMA TANDA TANGAN
ANGGOTA

351 712 RUKIJAN 351 ..........................


352 713 Drs. ABDUROKHMAN 352 ..........................
353 714 GATOT SUSWANTO 353 ..........................
354 717 RINI MARTUTI 354 ..........................
355 718 dr. HASTIM NS., Sp.PK 355 ..........................
356 719 ANI SETYAWATI 356 ..........................
357 721 LISNAWATI, AMD. KEB 357 ..........................
358 723 SUPRIYANI B 358 ..........................
359 724 EVA MUFAROH 359 ..........................
360 725 M.NURHUDA 360 ..........................
361 726 SITI DAROJAH 361 ..........................
362 727 WARDOYO 362 ..........................
JUMLAH

Slawi, April 2020


Ketua KPRI Sehat

SAPTO BUDI WIRATMOKO, S.Kep, Ns.

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