Dinas Kesehatan

PEMERINTAH KOTA MALANG
DAFTAR PEMBAYARAN GAJI 13 PNSD PNS/CPNS

DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 1
NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
N I P JMLH GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL TUNJ.ASKES POT.PAJAK TAPERA PK JUMLAH BERSIH
STATUS PEGAWAI/GOLONGAN JIWA TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK POT. BPJS KES TAPERA PEG TANDA TANGAN
NPWP TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM -- NO. REKENING
JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 10% HUTANG/LAIN-2 NO. DOSIR
POT.TAPERUM BULOG
PEMBULATAN SEWA.RUMAH
JUML.KOTOR POT.JKK POTONGAN
POT.JKM
1 DR. HUSNUL MUARIF K -1 4,603,500 2,025,000 0 0 76,667 0 7,398,200

1 460,350 0 0 0 0 0
06-07-1969 92,070 0 217,260 0 0 0 ...............
196907062000031009 3 5,155,920 0 76,667 0 0 0
( PNS-4B ) MKG:24 0
58.787.700.2-623.000 20 0 0
7,474,867 0 0000
76,667
0
2 DR. UMAR USMAN K -1 4,416,700 1,260,000 0 0 19,567 0 6,584,800

2 441,670 0 0 0 0 0
11-11-1969 176,668 0 289,680 0 0 0 ...............
196911111999031007 4 5,035,038 0 19,567 0 0 0
( PNS-4A ) MKG:24 0
09.772.247.4-628.000 82 0
6,604,367 0 0 0000
19,567
0
3 LATIFAH HANUN JD-0 5,000,000 980,000 0 0 50,617 0 6,052,500

0 0 0 0 0 0 0
24-08-1964 0 0 72,420 0 0 0 ...............
196408241985012001 1 5,000,000 0 50,617 0 0 0
( PNS-4A ) MKG:32 0 042335299
80 0 0
6,103,117 0 0000
50,617
0
4 DRG.BETTY ROSMAWATI TK-0 4,847,300 980,000 0 0 43,725 0 5,899,800

0 0 0 0 0 0 0
09-12-1964 0 0 72,420 0 0 0 ...............
196412091992032006 1 4,847,300 0 43,725 0 0 0
( PNS-4A ) MKG:30 0
08.722.298.0-652.001 80 0
5,943,525 0 0 0000
43,725
0
5 DWI WIJONO, SKM K -1 4,555,800 980,000 0 0 13,421 0 6,463,300

2 455,580 0 0 0 0 0
08-02-1970 182,232 0 289,680 0 0 0 ...............
197002081995011001 4 5,193,612 0 13,421 0 0 0
( PNS-4A ) MKG:26 0
8 0 0
6,476,721 0 0000
13,421
0
6 MIEFTA ETY WININDAR, SST K -0 4,024,400 980,000 0 0 0 0 5,382,700

2 0 0 0 0 0 0
20-05-1980 160,976 0 217,260 0 0 0 ...............
198005202003122008 3 4,185,376 0 0 0 0 0
( PNS-4A ) MKG:18 0
58.787.457.9-623.000 64 0 0
5,382,700 0 0000
0
0
7 SRI REJEKI, S.Sos, M.Si K -1 5,000,000 540,000 0 0 36,967 0 6,184,900

0 500,000 0 0 0 0 0
06-10-1965 0 0 144,840 0 0 0 ...............
196510061988032008 2 5,500,000 0 36,967 0 0 0
( PNS-4A ) MKG:32 0
58.707.459.5-652.000 60 0 0
6,221,867 0 0000
36,967
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 DR. ELLA NURILLA SARI TK-0 4,699,300 540,000 0 0 16,146 0 5,311,800

0 0 0 0 0 0 0
24-02-1967 0 0 72,420 0 0 0 ...............
196702241997032001 1 4,699,300 0 16,146 0 0 0
( PNS-4A ) MKG:28 0
80 0 0
5,327,946 0 0000
16,146
0
9 DIANA PRABANINGTYAS, S.SOS, JD-0 4,555,800 540,000 0 0 0 0 5,331,800

MM 1 0 0 0 0 0 0
12-05-1970 91,116 0 144,840 0 0 0 ...............
197005121991032004 2 4,646,916 0 0 0 0 0
( PNS-4A ) MKG:26 0
48.397.933.2-623.000 44 0
5,331,800 0 0 0000
0
0
10 AGUS WIDODO K -1 4,555,800 540,000 0 0 0 0 6,023,300

2 455,580 0 0 0 0 0
07-04-1971 182,232 0 289,680 0 0 0 ...............
197104071993031007 4 5,193,612 0 0 0 0 0
( PNS-4A ) MKG:26 0
58.787.749.9-623.000 8 0 0
6,023,300 0 0000
0
0
11 JETTY SILVIANA, SKM TK-0 4,416,700 540,000 0 0 3,396 0 5,029,200

0 0 0 0 0 0 0
26-10-1970 0 0 72,420 0 0 0 ...............
197010261995012001 1 4,416,700 0 3,396 0 0 0
( PNS-4A ) MKG:24 0
80 0
5,032,596 0 0 0000
3,396
0
12 SUKARDI, S.KM.M.Si TK-0 4,416,700 540,000 0 0 3,396 0 5,029,200

0 0 0 0 0 0 0
31-12-1972 0 0 72,420 0 0 0 ...............
197212311993031044 1 4,416,700 0 3,396 0 0 0
( PNS-4A ) MKG:24 0
47.382.994.3-626.000 80 0 0
5,032,596 0 0000
3,396
0
13 DR. BAYU TJHYAWIBAWA TK-0 4,281,800 540,000 0 0 0 0 4,894,300

0 0 0 0 0 0 0
16-01-1966 0 0 72,420 0 0 0 ...............
196601162002121003 1 4,281,800 0 0 0 0 0
( PNS-4A ) MKG:22 0
07.469.250.0-623.000 80 0 0
4,894,300 0 0000
0
0
14 MUHAMMAD ZAMRONI, DRG K -1 4,281,800 540,000 0 0 0 0 5,711,000

2 428,180 0 0 0 0 0
21-05-1969 171,272 0 289,680 0 0 0 ...............
196905212002121005 4 4,881,252 0 0 0 0 0
( PNS-4A ) MKG:22 0
15.468.742.0-652.000 68 0 0
5,711,000 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 ERIK PUJIASTUTIK,SE. K -1 4,151,100 540,000 0 0 0 0 5,562,000

2 415,110 0 0 0 0 0
22-05-1973 166,044 0 289,680 0 0 0 ...............
197305221996022001 4 4,732,254 0 0 0 0 0
( PNS-4A ) MKG:21 0
24.507.027.1-623.000 66 0 0
5,562,000 0 0000
0
0
16 DRA. CHUSNUL ARIFIANTI, APT TK-0 4,151,100 540,000 0 0 0 0 4,763,600

0 0 0 0 0 0 0
17-06-1965 0 0 72,420 0 0 0 ...............
196506172001122001 1 4,151,100 0 0 0 0 0
( PNS-4A ) MKG:20 0
06.585.771.6-623.000 80 0
4,763,600 0 0 0000
0
0
17 LILIK SUHARTI K -1 4,699,300 0 0 0 45,171 0 6,740,500

1 469,930 0 0 0 0 0
13-03-1967 93,986 1,260,000 217,260 0 0 0 ...............
196703131988022004 3 5,263,216 0 45,171 0 0 0
( PNS-4A ) MKG:28 0
08.727.674.7-623.000 24 0 0
6,785,671 0 0000
45,171
0
18 MUH. SOLIKIN K -1 4,416,700 0 0 0 92 0 6,174,800

2 441,670 0 0 0 0 0
13-03-1970 176,668 850,000 289,680 0 0 0 ...............
197003131995031003 4 5,035,038 0 92 0 0 0
( PNS-4A ) MKG:25 0
58.787.431.4-657.000 82 0
6,174,892 0 0 0000
92
0
19 ARSYILINA, SKM K -1 4,847,300 0 0 0 12,763 0 5,666,900

0 484,730 190,000 0 0 0 0
01-05-1966 0 0 144,840 0 0 0 ...............
196605011989102001 2 5,332,030 0 12,763 0 0 0
( PNS-4A ) MKG:30 0
58.787.454.6-652.000 30 0 0
5,679,663 0 0000
12,763
0
SUB TOTAL PERGOLONGAN : IV 85,921,100 12,605,000 0 0 321,928 0 110,204,600

PEG: 19 4,552,800 190,000 0 0 0 0
IST: 10 JIWA= 46 1,493,264 2,110,000 3,331,320 0 0 0
ANK: 17 91,967,164 0 321,928 0 0
0
1,116 0
110,526,528 0 321,928
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DWI SUNARYO K -1 4,797,000 540,000 0 0 26,892 0 5,961,600

0 479,700 0 0 0 0 0
06-12-1965 0 0 144,840 0 0 0 ...............
196512061985031005 2 5,276,700 0 26,892 0 0 0
( PNS-3D ) MKG:32 0
58.787.623.6-623.000 60 0 0
5,988,492 0 0000
26,892
0
2 DYAH SETIATIE, SKN K -1 4,650,600 540,000 0 0 0 0 6,131,400

2 465,060 0 0 0 0 0
01-09-1965 186,024 0 289,680 0 0 0 ...............
196509011989022004 4 5,301,684 0 0 0 0 0
( PNS-3D ) MKG:30 0
58.787.438.9-623.000 36 0
6,131,400 0 0 0000
0
0
3 KUSBIYANTO, S.KM K -1 4,650,600 540,000 0 0 0 0 6,131,400

2 465,060 0 0 0 0 0
25-10-1965 186,024 0 289,680 0 0 0 ...............
196510251988121004 4 5,301,684 0 0 0 0 0
( PNS-3D ) MKG:30 0
58.787.748.1-623.000 36 0 0
6,131,400 0 0
0
4 SRI WAHYUNI, S.SOS, M.AP TK-0 3,861,000 540,000 0 0 0 0 4,473,500

0 0 0 0 0 0 0
18-02-1972 0 0 72,420 0 0 0 ...............
197202181998032003 1 3,861,000 0 0 0 0 0
( PNS-3D ) MKG:18 0
59.865.433.3-623.000 80 0
4,473,500 0 0
0
0
5 EKO SUBAGIYO, ST K -1 3,743,100 0 0 0 0 0 5,156,900

2 374,310 0 0 0 0 0
16-04-1976 149,724 600,000 289,680 0 0 0 ...............
197604162000031003 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
44.028.602.9-623.000 86 0 0
5,156,900 0 0000
0
0
6 LULUT INDRI RIYANTI,A.Md K -1 4,237,500 0 0 0 0 0 5,620,500

.Farm 2 423,750 0 0 0 0 0
13-04-1969 169,500 500,000 289,680 0 0 0 ...............
196904131993032006 4 4,830,750 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.425.6-657.000 70 0 0
5,620,500 0 0000
0
0
7 TRI CAHYANINGSIH, AMD AN FARM K -1 3,861,000 0 0 0 0 0 5,191,300

2 386,100 0 0 0 0 0
24-11-1975 154,440 500,000 289,680 0 0 0 ...............
197511242001122002 4 4,401,540 0 0 0 0 0
( PNS-3D ) MKG:18 0
58.787.428.0-652.000 80 0 0
5,191,300 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SITI KHOIRIAH, SKM K -1 3,982,600 0 0 0 0 0 5,129,900

2 398,260 0 0 0 0 0
04-10-1975 159,304 300,000 289,680 0 0 0 ...............
197510042001122002 4 4,540,164 0 0 0 0 0
( PNS-3D ) MKG:20 0
58.787.440.5-654.000 56 0 0
5,129,900 0 0000
0
0
9 DR RULLY SUWARTININGSIH JD-0 3,743,100 0 0 0 0 0 4,147,900

1 0 185,000 0 0 0 0
09-10-1968 74,862 0 144,840 0 0 0 ...............
196810092008012013 2 3,817,962 0 0 0 0 0
( PNS-3D ) MKG:16 0
98 0
4,147,900 0 0 0000
0
0
10 NANOK SUTOMO, SE. TK-0 3,518,100 0 0 0 0 0 3,775,600

0 0 185,000 0 0 0 0
07-09-1976 0 0 72,420 0 0 0 ...............
197609072010011007 1 3,518,100 0 0 0 0 0
( PNS-3D ) MKG:12 0
80 0 0
3,775,600 0 0000
0
0
11 JENE VIDA CHRISTANTI ,S.Sos, TK-0 4,065,500 0 0 0 0 0 4,888,000

S.Farm, Apt 0 0 0 0 0 0 0
10-11-1970 0 750,000 72,420 0 0 0 ...............
197011101992032007 1 4,065,500 0 0 0 0 0
( PNS-3C ) MKG:24 0
58.787.482.7-652.000 80 0
4,888,000 0 0 0000
0
0
12 HESTIE YUNIARTI A.MK. TK-0 3,941,400 0 0 0 0 0 4,613,900

0 0 0 0 0 0 0
20-06-1975 0 600,000 72,420 0 0 0 ...............
197506201998032005 1 3,941,400 0 0 0 0 0
( PNS-3C ) MKG:22 0
49.168.584.8-401.000 80 0 0
4,613,900 0 0000
0
0
13 AGUS FARID MUBAROK, AMD K -1 3,704,300 0 0 0 0 0 5,112,600

2 370,430 0 0 0 0 0
14-08-1978 148,172 600,000 289,680 0 0 0 ...............
197808142001121005 4 4,222,902 0 0 0 0 0
( PNS-3C ) MKG:18 0
58.787.443.9-652.000 18 0 0
5,112,600 0 0000
0
0
14 ANIK SUGIANTI, AMD, KEB K -1 3,591,200 0 0 0 0 0 4,983,700

2 359,120 0 0 0 0 0
05-05-1981 143,648 600,000 289,680 0 0 0 ...............
198105052009032003 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
54.760.122.9-657.000 52 0 0
4,983,700 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 MARIA ECI BRUTARIGAN TK-0 4,065,500 0 0 0 0 0 4,323,000

0 0 185,000 0 0 0 0
22-10-1970 0 0 72,420 0 0 0 ...............
197010221992032003 1 4,065,500 0 0 0 0 0
( PNS-3C ) MKG:24 0
58.787.586.5.623.000 80 0 0
4,323,000 0 0000
0
0
16 PUJI RAHAYU,A.Md K -0 3,821,000 0 0 0 0 0 4,078,500

0 0 185,000 0 0 0 0
22-02-1976 0 0 72,420 0 0 0 ...............
197602221997032002 1 3,821,000 0 0 0 0 0
( PNS-3C ) MKG:20 0
66.831.065.9-952.000 80 0
4,078,500 0 0 0000
0
0
17 NANDIKA CANDRA ERMYTASARI K -1 3,340,300 0 0 0 0 0 4,258,400

1 334,030 0 0 0 0 0
21-03-1983 66,806 300,000 217,260 0 0 0 ...............
198303212006042020 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
45.528.098.2-652.000 4 0 0
4,258,400 0 0000
0
0
18 FAISA AFIFA,S.KM K -1 3,238,300 0 0 0 0 0 4,281,400

2 323,830 0 0 0 0 0
08-02-1977 129,532 300,000 289,680 0 0 0 ...............
197702082010012012 4 3,691,662 0 0 0 0 0
( PNS-3B ) MKG:12 0
08.732.051.1-623.000 58 0
4,281,400 0 0 0000
0
0
19 NURCAHYO SETIADI, AMD.FARM K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
06-10-1988 60,872 265,000 217,260 0 0 0 ...............
198810062011011003 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
8 0 0
3,891,100 0 0000
0
0
20 PUJO HARI WIDYANTO K -1 4,280,800 0 0 0 0 0 5,196,800

1 428,080 185,000 0 0 0 0
27-06-1964 85,616 0 217,260 0 0 0 ...............
196406271986031008 3 4,794,496 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.787.752.3-623.000 44 0 0
5,196,800 0 0000
0
0
21 EDI BUDAYA K -0 4,150,100 0 0 0 0 0 4,407,600

0 0 185,000 0 0 0 0
23-09-1964 0 0 72,420 0 0 0 ...............
196409231989031012 1 4,150,100 0 0 0 0 0
( PNS-3B ) MKG:28 0
58.787.426.4-657.000 80 0 0
4,407,600 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 DIAN NOVELITA A.MD TEM K -1 3,665,900 0 0 0 0 0 4,653,900

2 366,590 185,000 0 0 0 0
14-11-1976 146,636 0 289,680 0 0 0 ...............
197611142000032004 4 4,179,126 0 0 0 0 0
( PNS-3B ) MKG:20 0
35.095.151.3-623.000 94 0 0
4,653,900 0 0000
0
0
23 ENDAH SUSYANTY, A.MD.GIZI TK-0 3,445,500 0 0 0 0 0 3,703,000

0 0 185,000 0 0 0 0
25-03-1977 0 0 72,420 0 0 0 ...............
197703252010012006 1 3,445,500 0 0 0 0 0
( PNS-3B ) MKG:16 0
16.945.718.1-652.000 80 0
3,703,000 0 0 0000
0
0
24 AHMAD SOKHEH K -1 3,139,400 0 0 0 0 0 4,053,600

2 313,940 185,000 0 0 0 0
26-11-1972 125,576 0 289,680 0 0 0 ...............
197211262006041014 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
58.781.625.1-654.000 4 0 0
4,053,600 0 0000
0
0
25 DIAN NOVITA TK-0 3,627,900 0 0 0 0 0 3,885,400

0 0 185,000 0 0 0 0
15-11-1975 0 0 72,420 0 0 0 ...............
197511152009012001 1 3,627,900 0 0 0 0 0
( PNS-3A ) MKG:22 0
79.202.064.6-657.000 80 0
3,885,400 0 0 0000
0
0
26 DINA ISWARDANI TK-0 3,106,900 0 0 0 0 0 3,364,400

0 0 185,000 0 0 0 0
03-04-1976 0 0 72,420 0 0 0 ...............
197604032005012012 1 3,106,900 0 0 0 0 0
( PNS-3A ) MKG:12 0
58.792.225.3-652.000 80 0 0
3,364,400 0 0000
0
0
27 JOKO JULISWANTO K -1 3,012,000 0 0 0 0 0 3,908,400

2 301,200 185,000 0 0 0 0
04-07-1986 120,480 0 289,680 0 0 0 ...............
198607042006041002 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:11 0
58.787.575.8-623.000 40 0 0
3,908,400 0 0000
0
0
28 HUSNI MAKHRUSH ASH SHIDDIQI K -1 3,012,000 0 0 0 0 0 3,908,400

2 301,200 185,000 0 0 0 0
26-11-1986 120,480 0 289,680 0 0 0 ...............
198611262006041005 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:11 0
58.792.228.7-657.000 40 0 0
3,908,400 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 KUKUH KURNIAWATI, S.KM K -1 2,830,900 0 0 0 0 0 3,572,900

1 283,090 185,000 0 0 0 0
25-04-1988 56,618 0 217,260 0 0 0 ...............
198804252015032003 3 3,170,608 0 0 0 0 0
( PNS-3A ) MKG: 6 0
32 0 0
3,572,900 0 0000
0
0
30 CITRA PERDANA YANTI, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
13-06-1996 0 0 72,420 0 0 0 ...............
199606132020122005 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047673411
41.041.045.0-654.000 80 0
2,836,900 0 0
0
0
31 ANNEKE MEYVIA SILVIA, S.KM TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
22-05-1997 0 0 72,420 0 0 0 ...............
199705222020122002 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047735785
94.740.700.3-657.000 80 0 0
2,836,900 0 0
0
32 KARTIKA MEGA TAMA, S.KM. TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
13-06-1997 0 0 72,420 0 0 0 ...............
199706132020122005 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047782236
94.673.319.3-652.000 80 0
2,836,900 0 0
0
0
SUB TOTAL PERGOLONGAN : III 115,865,300 2,160,000 0 0 26,892 0 141,315,700

PEG: 32 6,678,110 3,145,000 0 0 0 0
IST: 18 JIWA= 81 2,284,314 5,315,000 5,866,020 0 0 0
ANK: 31 124,827,724 0 26,892 0 0
0
1,956 0
141,342,592 0 26,892
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SULICHAH JD-0 3,703,400 0 0 0 0 0 4,248,800

2 0 180,000 0 0 0 0
01-06-1964 148,136 0 217,260 0 0 0 ...............
196406012007012006 3 3,851,536 0 0 0 0 0
( PNS-2D ) MKG:31 0
58.792.212.1-652.000 4 0 0
4,248,800 0 0000
0
0
2S U G I T O K -1 3,590,300 0 0 0 0 0 4,562,700
2 359,030 180,000 0 0 0 0
08-09-1968 143,612 0 289,680 0 0 0 ...............
196809082007011023 4 4,092,942 0 0 0 0 0
( PNS-2D ) MKG:29 0
88.971.825.5-654.000 78 0
4,562,700 0 0 0000
0
0
3 SILVIA NINGSIH, AMD. KEP K -1 3,171,500 0 0 0 0 0 4,085,200

2 317,150 180,000 0 0 0 0
08-03-1979 126,860 0 289,680 0 0 0 ...............
197903082014072006 4 3,615,510 0 0 0 0 0
( PNS-2D ) MKG:21 0
10 0 0
4,085,200 0 0000
0
0
4 ROCHMAT PRIYO PONCO W. K -1 2,801,500 0 0 0 0 0 3,406,500

0 280,150 180,000 0 0 0 0
29-10-1980 0 0 144,840 0 0 0 ...............
198010292005011010 2 3,081,650 0 0 0 0 0
( PNS-2D ) MKG:14 0
10 0
3,406,500 0 0 0000
0
0
5 FIKTORIO NOFI.H, AMD K -1 2,449,100 0 0 0 0 0 3,261,700

2 244,910 180,000 0 0 0 0
22-06-1987 97,964 0 289,680 0 0 0 ...............
198706222015031001 4 2,791,974 0 0 0 0 0
( PNS-2C ) MKG: 7 0
46 0 0
3,261,700 0 0000
0
0
6 DJARIONO K -1 3,408,900 0 0 0 0 0 4,355,900

2 340,890 180,000 0 0 0 0
01-01-1970 136,356 0 289,680 0 0 0 ...............
197001012007011072 4 3,886,146 0 0 0 0 0
( PNS-2B ) MKG:31 0
74 0 0
4,355,900 0 0000
0
0
7 MUGILESTARI ISTININGWATI K -1 2,919,300 0 0 0 0 0 3,797,700

2 291,930 180,000 0 0 0 0
13-10-1979 116,772 0 289,680 0 0 0 ...............
197910132014072003 4 3,328,002 0 0 0 0 0
( PNS-2B ) MKG:21 0
18 0 0
3,797,700 0 0000
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
SUB TOTAL PERGOLONGAN : 22,044,000 0 0 0 0 0 27,718,500

PEG: 7 1,834,060 1,260,000 0 0 0 0
IST: 6 JIWA= 25 769,700 0 1,810,500 0 0 0
ANK: 12 24,647,760 0 0 0 0
0
240 0
27,718,500 0 0
0
0
DINAS KESEHATAN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SUDARMANTO K -1 2,686,500 0 0 0 0 0 3,275,000

0 268,650 175,000 0 0 0 0
14-05-1974 0 0 144,840 0 0 0 ...............
197405142008011006 2 2,955,150 0 0 0 0 0
( PNS-1D ) MKG:27 0
10 0 0
3,275,000 0 0000
0
0
2 DAVID HARIADI K -1 2,117,700 0 0 0 0 0 2,878,900

2 211,770 175,000 0 0 0 0
02-03-1982 84,708 0 289,680 0 0 0 ...............
198203022014071002 4 2,414,178 0 0 0 0 0
( PNS-1B ) MKG:17 0
42 0
2,878,900 0 0 0000
0
0
SUB TOTAL PERGOLONGAN : I 4,804,200 0 0 0 0 0 6,153,900

PEG: 2 480,420 350,000 0 0 0 0
IST: 2 JIWA= 6 84,708 0 434,520 0 0 0
ANK: 2 5,369,328 0 0 0 0
0
52 0
6,153,900 0 0
0
0
TOTAL PER SATKER 228,634,600 14,765,000 0 0 348,820 0 285,392,700
PEG: 60 13,545,390 4,945,000 0 0 0 0
IST: 36 JIWA= 158 4,631,986 7,425,000 11,442,360 0 0 0
ANK: 62 246,811,976 0 348,820 0 0
0
3,364 0 0
285,741,520 0 348,820
0
.........,30 JUNI 2022
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN PEMBUAT DAFTAR GAJI
DR. HUSNUL MUARIF NANOK SUTOMO, SE. EKO SOEPRIJANTO

NIP 196907062000031009 NIP 197609072010011007 NIP 196710282003121005
PUSKESMAS ARJOWINANGUN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG. FATCHUL MU'IN K -1 5,052,300 0 0 0 49,417 0 7,249,400

2 505,230 0 0 0 0 0
23-03-1964 202,092 1,200,000 289,680 0 0 0 ...............
196403231992031018 4 5,759,622 0 49,417 0 0 0
( PNS-4B ) MKG:30 0
36.936.421.1-652.000 98 0 0
7,298,817 0 0000
49,417
0
2 DR.FARIDA ANGRIJANI NUNA TK-0 4,463,000 0 0 0 36,833 0 5,735,500

0 0 0 0 0 0 0
01-05-1966 0 1,200,000 72,420 0 0 0 ...............
196605012002122001 1 4,463,000 0 36,833 0 0 0
( PNS-4B ) MKG:22 0
07.904.880.7-652.000 80 0
5,772,333 0 0 0000
36,833
0
3 FEBRIANI, DR K -1 3,666,900 0 0 0 0 0 5,220,000

2 366,690 0 0 0 0 0
12-02-1976 146,676 750,000 289,680 0 0 0 ...............
197602122010012002 4 4,180,266 0 0 0 0 0
( PNS-4A ) MKG:12 0
68.606.150.8-432.000 54 0 0
5,220,000 0 0000
0
0
SUB TOTAL PERGOLONGAN : IV 13,182,200 0 0 0 86,250 0 18,204,900

PEG: 3 871,920 0 0 0 0 0
IST: 2 JIWA= 9 348,768 3,150,000 651,780 0 0 0
ANK: 4 14,402,888 0 86,250 0 0
0
232 0
18,291,150 0 86,250
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 YUNI NURSANTI TK-0 4,508,600 490,000 0 0 5,167 0 5,071,100

0 0 0 0 0 0 0
10-06-1966 0 0 72,420 0 0 0 ...............
196606101988122001 1 4,508,600 0 5,167 0 0 0
( PNS-3D ) MKG:28 0
58.787.436.3-923.000 80 0 0
5,076,267 0 0000
5,167
0
2 MAHMUD AFANDI.A K -1 3,743,100 0 0 0 0 0 5,156,900

2 374,310 0 0 0 0 0
21-05-1971 149,724 600,000 289,680 0 0 0 ...............
197105212005011004 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.787.760.6-657.000 86 0
5,156,900 0 0 0000
0
0
3 MUSYAROFAH TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
18-08-1967 0 500,000 72,420 0 0 0 ...............
196708181989012002 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.746.5-623.000 80 0 0
5,086,742 0 0000
5,642
0
4 SUTJI NURHANDAYANI AMD KEB TK-0 4,370,900 0 0 0 0 0 4,943,400

0 0 0 0 0 0 0
26-08-1967 0 500,000 72,420 0 0 0 ...............
196708261991032009 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.754.9-623.000 80 0
4,943,400 0 0 0000
0
0
5 ENI YULIANINGSIH TK-0 4,237,500 0 0 0 0 0 4,810,000

0 0 0 0 0 0 0
20-07-1969 0 500,000 72,420 0 0 0 ...............
196907201992032010 1 4,237,500 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.745.7-623.000 80 0 0
4,810,000 0 0000
0
0
6 GUNANTO K -1 4,237,500 0 0 0 0 0 5,620,500

2 423,750 0 0 0 0 0
10-09-1969 169,500 500,000 289,680 0 0 0 ...............
196909101992031008 4 4,830,750 0 0 0 0 0
( PNS-3D ) MKG:24 0
08.731.243.5-623.000 70 0 0
5,620,500 0 0000
0
0
7 HASTO RETNO DEWI K -1 4,237,500 0 0 0 0 0 5,620,500

2 423,750 0 0 0 0 0
27-06-1970 169,500 500,000 289,680 0 0 0 ...............
197006271993012002 4 4,830,750 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.756.4-623.000 70 0 0
5,620,500 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SRI WAHYUNINGSIH TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
22-04-1971 0 500,000 72,420 0 0 0 ...............
197104221998032003 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
24.092.682.4-623.000 80 0 0
4,680,600 0 0000
0
0
9 SITI CHOLIFAH, A.Md.Kes TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
11-03-1973 0 500,000 72,420 0 0 0 ...............
197303111995032003 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.744.0-623.000 80 0
4,680,600 0 0
0
0
10 ERNIK EKARNAWATI, S.Kep.Ns TK-0 3,628,900 0 0 0 0 0 4,201,400

0 0 0 0 0 0 0
06-03-1977 0 500,000 72,420 0 0 0 ...............
197703062005012011 1 3,628,900 0 0 0 0 0
( PNS-3D ) MKG:14 0
58.787.500.6-654.000 80 0 0
4,201,400 0 0
0
11 DR MUHAMMAD AZHAR ROSYIDI K -1 3,075,500 0 0 0 0 0 4,545,800

2 307,550 0 0 0 0 0
24-09-1987 123,020 750,000 289,680 0 0 0 ...............
198709242015031002 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0
4,545,800 0 0 0000
0
0
12 SIH ASTUTIK K -1 3,704,300 0 0 0 0 0 5,012,600

2 370,430 0 0 0 0 0
23-10-1973 148,172 500,000 289,680 0 0 0 ...............
197310231998032011 4 4,222,902 0 0 0 0 0
( PNS-3C ) MKG:18 0
58.787.759.8-623.000 18 0 0
5,012,600 0 0000
0
0
13 DWI RETNO S, AMD K -0 3,481,600 0 0 0 0 0 4,196,100

1 0 0 0 0 0 0
31-03-1976 69,632 500,000 144,840 0 0 0 ...............
197603312005012006 2 3,551,232 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.751.5-652.000 28 0 0
4,196,100 0 0000
0
0
14 RIA PUSPITA ,Apt TK-0 2,773,200 0 0 0 0 0 3,170,700

0 0 0 0 0 0 0
28-04-1993 0 325,000 72,420 0 0 0 ...............
199304282019022003 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
80.009.461.7-652.000 80 0 0
3,170,700 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 CAHYO ARIE WAHYU I, AMD K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
16-11-1980 66,806 265,000 217,260 0 0 0 ...............
198011162005011008 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.755.6-623.000 4 0 0
4,223,400 0 0000
0
0
16 MELDA MAIYAR TK-0 3,238,300 0 0 0 0 0 3,575,800

0 0 0 0 0 0 0
07-05-1977 0 265,000 72,420 0 0 0 ...............
197705072005022001 1 3,238,300 0 0 0 0 0
( PNS-3B ) MKG:12 0
08.149.868.5-212.000 80 0
3,575,800 0 0 0000
0
0
17 IKA INDRIATI, A.MD.FARM K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
27-09-1981 125,576 265,000 289,680 0 0 0 ...............
198109272010012018 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
46.927.363.5-623.000 4 0 0
4,133,600 0 0000
0
0
18 FANY DWI P., AMD.KES TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
24-07-1982 0 265,000 72,420 0 0 0 ...............
198207242009031002 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.425.353.9-603.000 80 0
3,476,900 0 0 0000
0
0
19 SETIORINI, A.MD.GIZI TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
01-09-1984 0 265,000 72,420 0 0 0 ...............
198409012010012029 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.472.641.7-657.000 80 0 0
3,476,900 0 0000
0
0
20 NAILY HIDAYAH, AMD. KEP K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
20-06-1983 121,744 265,000 289,680 0 0 0 ...............
198306202011012003 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
45.455.353.8-654.000 16 0 0
4,024,400 0 0000
0
0
21 MILA KRISNAWATI, AMD.KEB K -1 3,043,600 0 0 0 0 0 3,757,800

0 304,360 0 0 0 0 0
06-05-1986 0 265,000 144,840 0 0 0 ...............
198605062011012008 2 3,347,960 0 0 0 0 0
( PNS-3B ) MKG: 8 0
54.728.881.1-654.000 0 0 0
3,757,800 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 SURIANTONO TK-0 4,023,300 0 0 0 0 0 4,280,800

0 0 185,000 0 0 0 0
05-05-1965 0 0 72,420 0 0 0 ...............
196505051987031028 1 4,023,300 0 0 0 0 0
( PNS-3B ) MKG:26 0
08.731.422.5-623.000 80 0 0
4,280,800 0 0000
0
0
23 dr. HAVRI BOGI PRIDANA PUTRA K -1 2,688,500 0 0 0 0 0 3,413,400

1 268,850 185,000 0 0 0 0
03-04-1991 53,770 0 217,260 0 0 0 ...............
199104032020121009 3 3,011,120 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0047783138
72.749.349.6-654.000 20 0
3,413,400 0 0
0
0
24 DINDA WIEKI RAHMAWATI, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
27-02-1996 0 0 72,420 0 0 0 ...............
199602272020122006 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047745977
96.963.715.6-657.000 80 0 0
2,836,900 0 0
0
SUB TOTAL PERGOLONGAN : III 86,098,600 490,000 0 0 10,809 0 103,991,200

PEG: 24 3,425,330 555,000 0 0 0 0
IST: 10 JIWA= 51 1,197,444 8,530,000 3,693,420 0 0 0
ANK: 17 90,721,374 0 10,809 0 0
0
1,406 0
104,002,009 0 10,809
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 KHUSNUL KHOTIMAH, A.MD.KEB K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
20-11-1986 105,324 240,000 289,680 0 0 0 ...............
198611202015032001 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
2 VIA ANGGI SAPUTRI ,A.Md K -1 2,374,300 0 0 0 0 0 3,236,500

1 237,430 0 0 0 0 0
11-07-1995 47,486 360,000 217,260 0 0 0 ...............
199507112019022004 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.858.647.2-654.000 24 0
3,236,500 0 0 0000
0
0
3 RENIK LISTIANI,A.Md.Keb TK-0 2,772,500 0 0 0 0 0 3,085,000

0 0 0 0 0 0 0
02-03-1978 0 240,000 72,420 0 0 0 ...............
197803022019052001 1 2,772,500 0 0 0 0 0
( PNS-2C ) MKG:15 0
66.625.833.0-623.000 80 0 0
3,085,000 0 0000
0
0
4 SAFIRA NURCHOLILA, A.Md.AK. K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
15-05-1994 46,036 0 217,260 0 0 0 ...............
199405152020122010 3 2,578,016 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0047752744
75.202.456.2-623.000 24 0
2,975,300 0 0
0
0
5 DANU BAYU PRASTIKA, A.Md.Keb TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
26-03-1996 0 0 72,420 0 0 0 ...............
199603262020122005 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047735751
96.978.761.3-654.000 80 0 0
2,554,300 0 0
0
6 AGNES YURI NARULITA YUDHA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes 0 0 180,000 0 0 0 0
12-09-1997 0 0 72,420 0 0 0 ...............
199709122020122002 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0816084521
95.646.166.9-646.000 80 0 0
2,554,300 0 0
0

PEG: 6 730,920 540,000 0 0 0 0
IST: 3 JIWA= 13 198,846 840,000 941,460 0 0 0
ANK: 4 15,615,066 0 0 0 0
0
374 0
17,936,900 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
TOTAL PER SATKER 113,966,100 490,000 0 0 97,059 0 140,133,000

PEG: 33 5,028,170 1,095,000 0 0 0 0
IST: 15 JIWA= 73 1,745,058 12,520,000 5,286,660 0 0 0
ANK: 25 120,739,328 0 97,059 0 0
0
2,012 0 0
140,230,059 0 97,059
0
.........,30 JUNI 2022
...... ...... ......
...... ...... ......

NIP ......... NIP ......... NIP .........
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG. INDRA RATNA SARI TK-0 4,651,800 0 0 0 45,354 0 5,924,300

0 0 0 0 0 0 0
15-09-1968 0 1,200,000 72,420 0 0 0 ...............
196809151999032005 1 4,651,800 0 45,354 0 0 0
( PNS-4C ) MKG:22 0
58.787.539.4-623 80 0 0
5,969,654 0 0000
45,354
0
2 DR. H. DESY SETYAWAN K -1 4,463,000 0 0 0 19,096 0 6,577,500

2 446,300 0 0 0 0 0
28-12-1970 178,520 1,200,000 289,680 0 0 0 ...............
197012282002121005 4 5,087,820 0 19,096 0 0 0
( PNS-4B ) MKG:22 0
14.143.343.3-652.000 0 0
6,596,596 0 0 0000
19,096
0
3 DRG. YUNI SUSILAWATY TK-0 4,194,600 0 0 0 24,725 0 5,467,100

0 0 0 0 0 0 0
10-06-1975 0 1,200,000 72,420 0 0 0 ...............
197506102006042021 1 4,194,600 0 24,725 0 0 0
( PNS-4B ) MKG:18 0
69.724.624.7-623.001 80 0 0
5,491,825 0 24,725
0
4 DR. EDY DWITANTO K -1 4,024,400 0 0 0 0 0 6,077,500

2 402,440 0 0 0 0 0
30-06-1973 160,976 1,200,000 289,680 0 0 0 ...............
197306302006041012 4 4,587,816 0 0 0 0 0
( PNS-4A ) MKG:19 0
58.792.370.7.657.000 4 0
6,077,500 0 0 0000
0
0

PEG: 4 848,740 0 0 0 0 0
IST: 2 JIWA= 10 339,496 4,800,000 724,200 0 0 0
ANK: 4 18,522,036 0 89,175 0 0
0
164 0
24,135,575 0 89,175
0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR. ADE IMELRY ADLI K -1 3,861,000 0 0 0 0 0 5,441,300

2 386,100 0 0 0 0 0
09-12-1973 154,440 750,000 289,680 0 0 0 ...............
197312092006042010 4 4,401,540 0 0 0 0 0
( PNS-3D ) MKG:18 0
07.464.650.6-652.001 80 0 0
5,441,300 0 0000
0
0
2 INDRA SISWATIN K -1 4,237,500 0 0 0 0 0 5,306,100

0 423,750 0 0 0 0 0
19-05-1965 0 500,000 144,840 0 0 0 ...............
196505191992012001 2 4,661,250 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.669.9-623.000 10 0
5,306,100 0 0 0000
0
0
3 YUNI FAJARWATI, AMD, KEB K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
23-06-1981 143,648 500,000 289,680 0 0 0 ...............
198106232003122004 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.680.6-623.000 52 0 0
4,883,700 0 0000
0
0
4 EMY SETYO PUSPITORINI A.MD K -1 3,481,600 0 0 0 0 0 4,616,700

KEP. 1 348,160 0 0 0 0 0
11-12-1977 69,632 500,000 217,260 0 0 0 ...............
197712112006042012 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
49.901.049.4-911.000 48 0
4,616,700 0 0 0000
0
0
5 SUMARNI,AMD.KEB TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
03-04-1978 0 500,000 72,420 0 0 0 ...............
197804032006042023 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.585.7-623.000 80 0 0
4,054,100 0 0000
0
0
6 GEFERA AKTININ B, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
18-02-1980 139,264 500,000 289,680 0 0 0 ...............
198002182005012016 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.666.5-657.000 96 0 0
4,758,800 0 0000
0
0
7 INDRIA SARI SHINTA.B, AMD.KEP K -1 3,272,200 0 0 0 0 0 4,244,300

0 327,220 0 0 0 0 0
09-07-1979 0 500,000 144,840 0 0 0 ...............
197907092009032006 2 3,599,420 0 0 0 0 0
( PNS-3C ) MKG:11 0
34.402.810.5-623.000 40 0 0
4,244,300 0 0000
0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 FITRIYAWATI AISYAH,AMD,KEP K -1 3,272,200 0 0 0 0 0 4,520,000

2 327,220 0 0 0 0 0
17-12-1979 130,888 500,000 289,680 0 0 0 ...............
197912172009032005 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:11 0
34.307.005.8-657.000 12 0 0
4,520,000 0 0000
0
0
9 DIAN SEPTININGRUM.PS.AMD K -1 3,272,200 0 0 0 0 0 4,520,000

2 327,220 0 0 0 0 0
21-09-1981 130,888 500,000 289,680 0 0 0 ...............
198109212009032005 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:11 0
34.403.639.7-623.000 12 0
4,520,000 0 0 0000
0
0
10 YANNI PRASETYOWATI, AMD K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
23-12-1980 133,612 265,000 289,680 0 0 0 ...............
198012232005012013 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.678.0-647.000 78 0 0
4,362,700 0 0000
0
0
11 FARIDA TRIHANDRIYANI, AMD.KES K -1 3,139,400 0 0 0 0 0 3,863,200

0 313,940 0 0 0 0 0
08-04-1982 0 265,000 144,840 0 0 0 ...............
198204082009032005 2 3,453,340 0 0 0 0 0
( PNS-3B ) MKG:10 0
35.977.528.5-657.000 20 0
3,863,200 0 0 0000
0
0
12 HANI FEBRIYANTI, AMD.GIZI K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
26-02-1980 60,872 265,000 217,260 0 0 0 ...............
198002262011012002 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
45.219.407.9-652.000 8 0 0
3,891,100 0 0000
0
0
13 HERI PURNOMO, AMD.KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
24-05-1984 0 265,000 72,420 0 0 0 ...............
198405242011011006 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0 0
3,381,100 0 0000
0
0
14 ESTI ARDIANA.W, AMD.KEB K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
15-09-1986 121,744 265,000 289,680 0 0 0 ...............
198609152011012008 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0 0
4,024,400 0 0000
0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 dr. ANGGIE DWI INDRASARI TK-0 2,688,500 0 0 0 0 0 2,946,000

0 0 185,000 0 0 0 0
18-11-1986 0 0 72,420 0 0 0 ...............
198611182020122003 1 2,688,500 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0047764432
72.331.893.7-609.000 80 0 0
2,946,000 0 0
0
16 HANDY SEPTIAN CHOIRUL ANNAS K -1 2,688,500 0 0 0 0 0 3,287,200

0 268,850 185,000 0 0 0 0
20-09-1993 0 0 144,840 0 0 0 ...............
199309202020121007 2 2,957,350 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0047697051
86.888.885.0-657.000 10 0
3,287,200 0 0
0
0
17 I'IN SUSANA, AMD.KEP K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
20-07-1979 120,480 265,000 289,680 0 0 0 ...............
197907202009032002 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
34.405.732.8-652.000 40 0 0
3,988,400 0 0000
0
0
18 INDA FEBRIANTI, A.MD.KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
06-05-1986 120,480 265,000 289,680 0 0 0 ...............
198605062009032005 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
89.241.399.8-624.000 40 0
3,988,400 0 0 0000
0
0
19 KARUNIA WINDIARTA, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
10-03-1996 0 0 72,420 0 0 0 ...............
199603102020122008 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0403018899
41.009.549.1-628.000 80 0 0
2,836,900 0 0
0
SUB TOTAL PERGOLONGAN : III 61,542,000 0 0 0 0 0 78,914,400

PEG: 19 4,974,890 555,000 0 0 0 0
IST: 15 JIWA= 54 1,325,948 6,605,000 3,910,680 0 0 0
ANK: 20 67,842,838 0 0 0 0
0
882 0
78,914,400 0 0
0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ARIK ERNAWATI ,A.Md.Keb TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
24-11-1984 0 240,000 72,420 0 0 0 ...............
198411242017042002 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0 0
3,202,300 0 0000
0
0
2 VERAWATI NURVIANA.S, AMD.KEB TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
22-06-1987 0 240,000 72,420 0 0 0 ...............
198706222009032003 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:15 0
19.415.962.3-654.000 80 0
3,202,300 0 0 0000
0
0
3 MAHARIYONO HUDI SANJAYA K -0 3,480,700 0 0 0 0 0 3,733,200

0 0 180,000 0 0 0 0
12-11-1965 0 0 72,420 0 0 0 ...............
196511122008011005 1 3,480,700 0 0 0 0 0
( PNS-2D ) MKG:27 0
34.131.165.2-623.000 80 0 0
3,733,200 0 0000
0
0
4 MASHURIANTI K -1 2,980,800 0 0 0 0 0 3,867,800

2 298,080 180,000 0 0 0 0
25-08-1967 119,232 0 289,680 0 0 0 ...............
196708252007012015 4 3,398,112 0 0 0 0 0
( PNS-2D ) MKG:17 0
58.787.667.3-623.000 8 0
3,867,800 0 0 0000
0
0
5 DIEKE NOVI SARI HANDAYANI TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.RMIK 0 0 0 0 0 0 0
16-11-1988 0 360,000 72,420 0 0 0 ...............
198811162019022002 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.799.874.4.623.000 80 0 0
2,806,800 0 0000
0
0
6 ANI YULIA WIDHIASTUTI K -1 2,772,500 0 0 0 0 0 3,690,400

2 277,250 0 0 0 0 0
31-07-1978 110,900 240,000 289,680 0 0 0 ...............
197807312019052001 4 3,160,650 0 0 0 0 0
( PNS-2C ) MKG:15 0
3573017107780004 70 0 0
3,690,400 0 0000
0
0
7 NOVI SETYAWATI, AMAK K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
23-04-1989 46,036 0 217,260 0 0 0 ...............
198904232020122004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047518300
74.667.382.1-652.000 24 0 0
2,975,300 0 0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 NI KOMANG ARI ASTUTI, A.Md. K -1 2,301,800 0 0 0 0 0 2,975,300

Kg 1 230,180 180,000 0 0 0 0
08-02-1993 46,036 0 217,260 0 0 0 ...............
199302082020122007 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047781752
96.975.310.2-623.000 24 0 0
2,975,300 0 0
0
9 FITRIANA KURNIANINGSIH, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes 0 0 180,000 0 0 0 0
27-10-1996 0 0 72,420 0 0 0 ...............
199610272020122013 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0046865341
95.570.666.8-542.000 80 0
2,554,300 0 0
0
0
10 SUSANTY KARTIKA DEWI, JD-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Farm 0 0 180,000 0 0 0 0
23-04-1985 0 0 72,420 0 0 0 ...............
198504232020122001 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0256106060
76.214.025.9-644.000 80 0 0
2,554,300 0 0
0
11 ISNAINI ASAROH, A.Md. Keb K -0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
23-10-1989 0 0 72,420 0 0 0 ...............
198910232020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0048150683
97.049.940.6-656.000 80 0
2,554,300 0 0
0
0
12 LYA VERA NIKA, A.Md.Gz K -1 2,301,800 0 0 0 0 0 2,856,900

0 230,180 180,000 0 0 0 0
20-05-1994 0 0 144,840 0 0 0 ...............
199405202020122007 2 2,531,980 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0602607062
76.793.132.2-922.000 80 0 0
2,856,900 0 0
0

PEG: 12 1,265,870 1,440,000 0 0 0 0
IST: 5 JIWA= 23 322,204 1,080,000 1,665,660 0 0 0
ANK: 6 32,786,774 0 0 0 0
0
766 0
36,973,200 0 0
0
0
PUSKESMAS ARJUNO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SOLEH DD-0 2,525,000 0 0 0 0 0 3,018,300

2 0 175,000 0 0 0 0
20-10-1979 101,000 0 217,260 0 0 0 ...............
197910202014071005 3 2,626,000 0 0 0 0 0
( PNS-1D ) MKG:23 0
40 0 0
3,018,300 0 0000
0
0
2 MOCHAMAD ROCHIM K -1 2,300,700 0 0 0 0 0 3,087,500

2 230,070 175,000 0 0 0 0
23-06-1972 92,028 0 289,680 0 0 0 ...............
197206232014071001 4 2,622,798 0 0 0 0 0
( PNS-1D ) MKG:17 0
22 0
3,087,500 0 0 0000
0
0

PEG: 2 230,070 350,000 0 0 0 0
IST: 1 JIWA= 7 193,028 0 506,940 0 0 0
ANK: 4 5,248,798 0 0 0 0
0
62 0
6,105,800 0 0
0
0
TOTAL PER SATKER 114,900,200 0 0 0 89,175 0 146,039,800
PEG: 37 7,319,570 2,345,000 0 0 0 0
IST: 23 JIWA= 94 2,180,676 12,485,000 6,807,480 0 0 0
ANK: 34 124,400,446 0 89,175 0 0
0
1,874 0 0
146,128,975 0 89,175
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 drg, RENNY PUSPITASARI K -1 4,151,100 0 0 0 3,054 0 6,222,000

2 415,110 0 0 0 0 0
13-09-1975 166,044 1,200,000 289,680 0 0 0 ...............
197509132005012012 4 4,732,254 0 3,054 0 0 0
( PNS-4A ) MKG:20 0
66 0 0
6,225,054 0 0000
3,054
0

PEG: 1 415,110 0 0 0 0 0
IST: 1 JIWA= 4 166,044 1,200,000 289,680 0 0 0
ANK: 2 4,732,254 0 3,054 0 0
0
66 0
6,225,054 0 3,054
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 TUTUT MARHAENI.K JD-0 4,650,600 490,000 0 0 463 0 5,378,500

1 0 0 0 0 0 0
24-12-1965 93,012 0 144,840 0 0 0 ...............
196512241987032011 2 4,743,612 0 463 0 0 0
( PNS-3D ) MKG:30 0
58.787.695.4-623.000 48 0 0
5,378,963 0 0000
463
0
2 DRG. YOSSY WIDYA. A K -1 3,410,600 0 0 0 0 0 4,927,800

2 341,060 0 0 0 0 0
11-12-1985 136,424 750,000 289,680 0 0 0 ...............
198512112011012004 4 3,888,084 0 0 0 0 0
( PNS-3D ) MKG:10 0
69.946.469.9-648.000 36 0
4,927,800 0 0 0000
0
0
3 VITTA SULISTYAWATI TK-0 4,237,500 0 0 0 0 0 4,810,000

0 0 0 0 0 0 0
20-01-1972 0 500,000 72,420 0 0 0 ...............
197201201996032004 1 4,237,500 0 0 0 0 0
( PNS-3D ) MKG:24 0
80 0 0
4,810,000 0 0000
0
0
4 SITI LATIFAH TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
24-03-1973 0 500,000 72,420 0 0 0 ...............
197303241994032003 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.701.0-623.000 80 0
4,680,600 0 0 0000
0
0
5M A S L I N A K -0 4,650,600 0 0 0 0 0 5,073,500
1 0 185,000 0 0 0 0
04-10-1966 93,012 0 144,840 0 0 0 ...............
196610041987032007 2 4,743,612 0 0 0 0 0
( PNS-3D ) MKG:30 0
58.787.693.9-654.000 48 0 0
5,073,500 0 0000
0
0
6 RATNA INDRAWATI, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
23-08-1982 139,264 500,000 289,680 0 0 0 ...............
198208232005012009 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
96 0 0
4,758,800 0 0000
0
0
7 SUSILOWATI, AMD.KEP TK-0 3,272,200 0 0 0 0 0 3,844,700

0 0 0 0 0 0 0
31-07-1975 0 500,000 72,420 0 0 0 ...............
197507312009032002 1 3,272,200 0 0 0 0 0
( PNS-3C ) MKG:11 0
45.184.814.7-623.000 80 0 0
3,844,700 0 0000
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 HIMMATUS TSUROYYA, AMD,KEP TK-0 3,272,200 0 0 0 0 0 3,844,700

0 0 0 0 0 0 0
28-10-1984 0 500,000 72,420 0 0 0 ...............
198410282009032007 1 3,272,200 0 0 0 0 0
( PNS-3C ) MKG:11 0
36.471.906.2-657.000 80 0 0
3,844,700 0 0000
0
0
9 dr, MAYKE MARIANE PARUNTU K -1 2,773,200 0 0 0 0 0 3,776,200

2 277,320 0 0 0 0 0
20-05-1986 110,928 325,000 289,680 0 0 0 ...............
198605202019022003 4 3,161,448 0 0 0 0 0
( PNS-3B ) MKG: 2 0
54.467.643.0-619.000 72 0
3,776,200 0 0 0000
0
0
10 MELLISA DIAH PITALOKA TK-0 2,773,200 0 0 0 0 0 3,170,700

,S.Farm, Apt 0 0 0 0 0 0 0
20-04-1990 0 325,000 72,420 0 0 0 ...............
199004202019022002 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
16.945.722.3-652.000 80 0 0
3,170,700 0 0000
0
0
11 LIAH DWI PUTRANTI, AMD.KEB K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
28-05-1982 133,612 265,000 289,680 0 0 0 ...............
198205282009032005 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:15 0
78 0
4,362,700 0 0 0000
0
0
12 NURUL KHOIRIYAH AMD K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
13-12-1978 133,612 265,000 289,680 0 0 0 ...............
197812132005012007 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.690.5-624.000 78 0 0
4,362,700 0 0000
0
0
13 NGESTI RAHMAWATI,AMD TK-0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
30-10-1979 0 265,000 72,420 0 0 0 ...............
197910302005012012 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
59.869.766.1-652.000 80 0 0
3,677,800 0 0000
0
0
14 FEBRY INDRI CHRISTANTI AMD K -0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
05-02-1983 0 265,000 72,420 0 0 0 ...............
198302052005012004 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
80 0 0
3,677,800 0 0000
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 MARGARETTA RURIN.P, AMD. KEB K -1 3,139,400 0 0 0 0 0 3,998,400

1 313,940 0 0 0 0 0
07-02-1978 62,788 265,000 217,260 0 0 0 ...............
197802072009032002 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
12 0 0
3,998,400 0 0000
0
0
16 MEILIA RAHMAWATI, A.MD.FARM K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
08-05-1985 125,576 265,000 289,680 0 0 0 ...............
198505082010012033 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
36.636.062.6-652.000 4 0
4,133,600 0 0 0000
0
0
17 INDAH FERAWATI, A.MD.KES.GI K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
17-02-1988 125,576 265,000 289,680 0 0 0 ...............
198802172010012021 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.239.371.6-657.000 4 0 0
4,133,600 0 0000
0
0
18 DEVITA AYU CANDRA.O, AMD.KEB TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
30-09-1988 0 265,000 72,420 0 0 0 ...............
198809302011012007 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
44.425.685.3-654.000 80 0
3,381,100 0 0 0000
0
0
19 TRI WAHYUNI, AMD.GIZI K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
08-02-1989 121,744 265,000 289,680 0 0 0 ...............
198902082011012007 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0 0
4,024,400 0 0000
0
0
20 FAUZIAH K -1 4,280,800 0 0 0 0 0 5,038,800

0 428,080 185,000 0 0 0 0
25-11-1964 0 0 144,840 0 0 0 ...............
196411251985032002 2 4,708,880 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.787.702.8-623.000 80 0 0
5,038,800 0 0000
0
0
21 WENI KARTIKA JD-0 4,280,800 0 0 0 0 0 4,538,300

0 0 185,000 0 0 0 0
12-01-1965 0 0 72,420 0 0 0 ...............
196501121987032014 1 4,280,800 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.787.692.1-623.000 80 0 0
4,538,300 0 0000
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 YUNUS KURNIAWAN AMd.Kep K -1 3,517,200 0 0 0 0 0 4,421,600

1 351,720 0 0 0 0 0
16-06-1976 70,344 265,000 217,260 0 0 0 ...............
197606161997031003 3 3,939,264 0 0 0 0 0
( PNS-3A ) MKG:20 0
58.787.518.8-654.000 76 0 0
4,421,600 0 0000
0
0
23 MOKHAMAD FARKHAN, A.MD TK-0 3,204,700 0 0 0 0 0 3,542,200

0 0 0 0 0 0 0
29-08-1972 0 265,000 72,420 0 0 0 ...............
197208292005011006 1 3,204,700 0 0 0 0 0
( PNS-3A ) MKG:14 0
80 0
3,542,200 0 0 0000
0
0
24 SITI ISTIQOMAH, AMD. KEP TK-0 2,920,100 0 0 0 0 0 3,257,600

0 0 0 0 0 0 0
30-06-1984 0 265,000 72,420 0 0 0 ...............
198406302011012005 1 2,920,100 0 0 0 0 0
( PNS-3A ) MKG: 8 0
80 0 0
3,257,600 0 0000
0
0
SUB TOTAL PERGOLONGAN : III 83,700,000 490,000 0 0 463 0 100,816,100

PEG: 24 3,660,580 555,000 0 0 0 0
IST: 11 JIWA= 55 1,345,892 7,080,000 3,983,100 0 0 0
ANK: 20 88,706,472 0 463 0 0
0
1,528 0
100,816,563 0 463
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SARI WULANDARI ,A.Md.Keb TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
20-04-1986 0 240,000 72,420 0 0 0 ...............
198604202017042013 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0 0
3,202,300 0 0000
0
0
2 LINDA KUSUMADEWI,AMD,KEP K -1 2,801,500 0 0 0 0 0 3,723,400

2 280,150 0 0 0 0 0
28-06-1988 112,060 240,000 289,680 0 0 0 ...............
198806282011012004 4 3,193,710 0 0 0 0 0
( PNS-2D ) MKG:13 0
10 0
3,723,400 0 0 0000
0
0
3 RISKA MARAYUNITA, A.Md.Keb K -0 2,801,500 0 0 0 0 0 3,114,000

0 0 0 0 0 0 0
29-06-1988 0 240,000 72,420 0 0 0 ...............
198806292017042002 1 2,801,500 0 0 0 0 0
( PNS-2D ) MKG:13 0
12345 80 0 0
3,114,000 0 0
0
4 DIDIK SUPRAYOGI K -1 3,703,400 0 0 0 0 0 4,398,600

0 370,340 180,000 0 0 0 0
06-11-1967 0 0 144,840 0 0 0 ...............
196711062007011013 2 4,073,740 0 0 0 0 0
( PNS-2D ) MKG:31 0
58.787.706.9-623.000 20 0
4,398,600 0 0 0000
0
0
5 FERRY AZHARI ,A.Md.RMIK TK-0 2,374,300 0 0 0 0 0 2,806,800

0 0 0 0 0 0 0
30-01-1994 0 360,000 72,420 0 0 0 ...............
199401302019021003 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
123456 80 0 0
2,806,800 0 0000
0
0
6 YUSSI WULAN SAFITRI ,A.Md.Keb TK-0 2,772,500 0 0 0 0 0 3,085,000

0 0 0 0 0 0 0
20-06-1985 0 240,000 72,420 0 0 0 ...............
198506202017042008 1 2,772,500 0 0 0 0 0
( PNS-2C ) MKG:15 0
80 0 0
3,085,000 0 0000
0
0

PEG: 6 650,490 180,000 0 0 0 0
IST: 2 JIWA= 10 112,060 1,320,000 724,200 0 0 0
ANK: 2 18,105,550 0 0 0 0
0
350 0
20,330,100 0 0
0
0
PUSKESMAS BARENG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
TOTAL PER SATKER 105,194,100 490,000 0 0 3,517 0 127,368,200

PEG: 31 4,726,180 735,000 0 0 0 0
IST: 14 JIWA= 69 1,623,996 9,600,000 4,996,980 0 0 0
ANK: 24 111,544,276 0 3,517 0 0
0
1,944 0 0
127,371,717 0 3,517
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS CIPTOMULYO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG. ISROHDIAH K -1 4,898,100 0 0 0 41,483 0 7,073,600

2 489,810 0 0 0 0 0
04-11-1966 195,924 1,200,000 289,680 0 0 0 ...............
196611041993122001 4 5,583,834 0 41,483 0 0 0
( PNS-4B ) MKG:28 0
08.721.805.3-623.000 86 0 0
7,115,083 0 0000
41,483
0
2 NURIMAN IMRAN K -1 4,847,300 0 0 0 33,179 0 6,496,300

1 484,730 0 0 0 0 0
19-04-1967 96,946 850,000 217,260 0 0 0 ...............
196704191990031005 3 5,428,976 0 33,179 0 0 0
( PNS-4A ) MKG:30 0
58.782.621.0-652.000 64 0
6,529,479 0 0 0000
33,179
0

PEG: 2 974,540 0 0 0 0 0
IST: 2 JIWA= 7 292,870 2,050,000 506,940 0 0 0
ANK: 3 11,012,810 0 74,662 0 0
0
150 0
13,644,562 0 74,662
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 MUCHLISHOH, SKM JD-0 4,237,500 490,000 0 0 0 0 4,957,100

1 0 0 0 0 0 0
27-11-1970 84,750 0 144,840 0 0 0 ...............
197011271997032003 2 4,322,250 0 0 0 0 0
( PNS-3D ) MKG:24 0
19.395.950.9-617 10 0 0
4,957,100 0 0000
0
0
2 MUTHMAINNAH K -1 3,861,000 0 0 0 0 0 5,291,300

2 386,100 0 0 0 0 0
17-11-1973 154,440 600,000 289,680 0 0 0 ...............
197311172000122002 4 4,401,540 0 0 0 0 0
( PNS-3D ) MKG:18 0
58.787.456.1-623.000 80 0
5,291,300 0 0 0000
0
0
3 DYNA ERAWATI, SSI K -1 3,743,100 0 0 0 0 0 5,156,900

2 374,310 0 0 0 0 0
22-01-1980 149,724 600,000 289,680 0 0 0 ...............
198001222005012016 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.792.382.2-623.000 86 0 0
5,156,900 0 0000
0
0
4 WAHYUTAMI TK-0 4,650,600 0 0 0 12,050 0 5,223,100

0 0 0 0 0 0 0
24-10-1966 0 500,000 72,420 0 0 0 ...............
196610241987032010 1 4,650,600 0 12,050 0 0 0
( PNS-3D ) MKG:30 0
45.275.006.0-623.000 80 0
5,235,150 0 0 0000
12,050
0
5 YUSWADI K -1 4,108,100 0 0 0 0 0 5,318,400

1 410,810 0 0 0 0 0
23-10-1969 82,162 500,000 217,260 0 0 0 ...............
196910231994031002 3 4,601,072 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.750.7-623.000 68 0 0
5,318,400 0 0000
0
0
6 LINDUNG INDARTI, AMD K -1 3,743,100 0 0 0 0 0 5,056,900

2 374,310 0 0 0 0 0
10-06-1982 149,724 500,000 289,680 0 0 0 ...............
198206102003122005 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.927.388.9-654.000 86 0 0
5,056,900 0 0000
0
0
7 DR FITRI WULANSARI K -1 3,075,500 0 0 0 0 0 4,411,900

1 307,550 0 0 0 0 0
24-05-1988 61,510 750,000 217,260 0 0 0 ...............
198805242015032001 3 3,444,560 0 0 0 0 0
( PNS-3C ) MKG: 6 0
80 0 0
4,411,900 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SARI HANDAYANI, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
18-11-1974 139,264 500,000 289,680 0 0 0 ...............
197411182005012009 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.381.4-652.000 96 0 0
4,758,800 0 0000
0
0
9 NERY WENDHRASTI,D. A.MD K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
29-04-1979 69,632 500,000 217,260 0 0 0 ...............
197904292005012012 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.385.5-625.000 48 0
4,616,700 0 0 0000
0
0
10 DEWI WULANDARI,AMD.KEP TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
23-01-1980 0 500,000 72,420 0 0 0 ...............
198001232006042028 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.510.5-623.000 80 0 0
4,054,100 0 0000
0
0
11 KRISDIANA SULISTYA,AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
12-04-1982 139,264 500,000 289,680 0 0 0 ...............
198204122005012014 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
59.889.413.7-613.000 96 0
4,758,800 0 0 0000
0
0
12 INDRA WULANDARI, AMD. FARM K -1 3,272,200 0 0 0 0 0 4,520,000

2 327,220 0 0 0 0 0
31-07-1984 130,888 500,000 289,680 0 0 0 ...............
198407312009032003 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:10 0
34.201.027.9-623.000 12 0 0
4,520,000 0 0000
0
0
13 CICI INDAH SETIOWATI, AMD,KEP K -1 3,272,200 0 0 0 0 0 4,520,000

2 327,220 0 0 0 0 0
08-11-1985 130,888 500,000 289,680 0 0 0 ...............
198511082009032003 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:10 0
54.423.390.1-623.000 12 0 0
4,520,000 0 0000
0
0
14 PRAWERI WAHYUNINGTYAS TK-0 2,773,200 0 0 0 0 0 3,170,700

,S.Farm, Apt 0 0 0 0 0 0 0
18-12-1990 0 325,000 72,420 0 0 0 ...............
199012182019022004 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
123456 80 0 0
3,170,700 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 dr, MUTIARA NURMASARI AZIZAH K -1 2,773,200 0 0 0 0 0 3,648,300

1 277,320 0 0 0 0 0
31-08-1992 55,464 325,000 217,260 0 0 0 ...............
199208312019022003 3 3,105,984 0 0 0 0 0
( PNS-3B ) MKG: 2 0
123456 56 0 0
3,648,300 0 0000
0
0
16 SRI DARYANTI A.MD KEP. K -1 3,445,500 0 0 0 0 0 4,482,600

2 344,550 0 0 0 0 0
31-12-1980 137,820 265,000 289,680 0 0 0 ...............
198012312003122009 4 3,927,870 0 0 0 0 0
( PNS-3B ) MKG:16 0
88.170.699.8-623.000 50 0
4,482,600 0 0 0000
0
0
17 I'IN NINGTYAS, A.MD TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
08-03-1982 0 265,000 72,420 0 0 0 ...............
198203082009032004 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
45.002.540.8-623.000 80 0 0
3,476,900 0 0000
0
0
18 TUTIK ANDRIANI, A.MD.KEB K -1 3,139,400 0 0 0 0 0 3,863,200

0 313,940 0 0 0 0 0
01-01-1984 0 265,000 144,840 0 0 0 ...............
198401012010012028 2 3,453,340 0 0 0 0 0
( PNS-3B ) MKG:10 0
20 0
3,863,200 0 0 0000
0
0
19 SULISTYARINI, AMD,KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
22-08-1977 0 265,000 72,420 0 0 0 ...............
197708222011012004 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
36.230.768.8-623.000 80 0 0
3,381,100 0 0000
0
0
20 NUR HARYATI, AMD,KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
25-10-1985 0 265,000 72,420 0 0 0 ...............
198510252011012007 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0 0
3,381,100 0 0000
0
0
21 SYARIFAH AINI.A, AMD.KEB K -1 2,950,600 0 0 0 0 0 3,918,400

2 295,060 0 0 0 0 0
14-02-1987 118,024 265,000 289,680 0 0 0 ...............
198702142011012010 4 3,363,684 0 0 0 0 0
( PNS-3B ) MKG: 7 0
45.245.930.8-623.000 36 0 0
3,918,400 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 SUHARTOYO SUTARJI K -1 4,280,800 0 0 0 0 0 5,354,800

2 428,080 185,000 0 0 0 0
02-02-1965 171,232 0 289,680 0 0 0 ...............
196502021987031019 4 4,880,112 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.787.5873-623.000 8 0 0
5,354,800 0 0000
0
0
23 MOCH. IDUL ADHA K -1 4,150,100 0 0 0 0 0 5,050,400

1 415,010 185,000 0 0 0 0
01-04-1966 83,002 0 217,260 0 0 0 ...............
196604011989021004 3 4,648,112 0 0 0 0 0
( PNS-3B ) MKG:28 0
58.792.383.0-623.000 28 0
5,050,400 0 0 0000
0
0
24 INDAH NINGTIYAS HIDAYATI, K -1 2,579,400 0 0 0 0 0 3,167,200

S.K.M. 0 257,940 185,000 0 0 0 0
20-10-1994 0 0 144,840 0 0 0 ...............
199410202020122006 2 2,837,340 0 0 0 0 0
( PNS-3A ) MKG: 1 0 1092041880
82.217.915.6-643.000 20 0 0
3,167,200 0 0
0

PEG: 24 5,883,900 555,000 0 0 0 0
IST: 17 JIWA= 67 1,857,788 8,690,000 4,852,140 0 0 0
ANK: 26 90,950,188 0 12,050 0 0
0
1,372 0
105,550,750 0 12,050
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 AGUSTINA DIYAN RAHAYU TK-0 2,889,800 0 0 0 0 0 3,202,300

,A.Md.Keb 0 0 0 0 0 0 0
19-08-1985 0 240,000 72,420 0 0 0 ...............
198508192017042009 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0 0
3,202,300 0 0000
0
0
2 EVI ROMADLONIYAH ,A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
30-05-1986 115,592 240,000 289,680 0 0 0 ...............
198605302017042004 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:16 0
48 0
3,824,100 0 0 0000
0
0
3 YOCHA ALIFFIA ADHANA TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
09-04-1998 0 360,000 72,420 0 0 0 ...............
199804092019022001 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.858.682.9-654.000 80 0 0
2,806,800 0 0000
0
0
4M U R N I K -1 3,665,000 0 0 0 0 0 4,647,800
2 366,500 180,000 0 0 0 0
31-12-1965 146,600 0 289,680 0 0 0 ...............
196512311985031035 4 4,178,100 0 0 0 0 0
( PNS-2C ) MKG:33 0
20 0
4,647,800 0 0 0000
0
0
5 A. E. TAUFIK AKBAR, A.Md.K.L K -1 2,301,800 0 0 0 0 0 3,093,800

2 230,180 180,000 0 0 0 0
14-03-1989 92,072 0 289,680 0 0 0 ...............
198903142020121001 4 2,624,052 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0047783143
73.004.115.9-619.000 68 0 0
3,093,800 0 0
0
6 UDHARI PRIHADHININGRATRI, K -1 2,301,800 0 0 0 0 0 3,093,800

A.Md.Keb. 2 230,180 180,000 0 0 0 0
12-11-1989 92,072 0 289,680 0 0 0 ...............
198911122020122003 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0422252720
45.139.680.8-623.000 68 0 0
3,093,800 0 0
0
7 MUCHTIYARU CHOTIB ACHBIBUDIN, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.A.K. 1 230,180 180,000 0 0 0 0
12-02-1991 46,036 0 217,260 0 0 0 ...............
199102122020121004 3 2,578,016 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0322853718
83.385.512.5-609.000 24 0 0
2,975,300 0 0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SEPTI MUSBIQA RETNO RUDIANTI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes 0 0 180,000 0 0 0 0
02-09-1996 0 0 72,420 0 0 0 ...............
199609022020122009 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0602272427
96.951.224.3-654.000 80 0 0
2,554,300 0 0
0

PEG: 8 1,346,020 900,000 0 0 0 0
IST: 5 JIWA= 22 492,372 840,000 1,593,240 0 0 0
ANK: 9 22,864,492 0 0 0 0
0
468 0
26,198,200 0 0
0
0
TOTAL PER SATKER 113,980,000 490,000 0 0 86,712 0 145,306,800
PEG: 34 8,204,460 1,455,000 0 0 0 0
IST: 24 JIWA= 96 2,643,030 11,580,000 6,952,320 0 0 0
ANK: 38 124,827,490 0 86,712 0 0
0
1,990 0 0
145,393,512 0 86,712
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR. WIDJATMIKO K -1 4,651,800 0 0 0 39,921 0 6,627,300

1 465,180 0 0 0 0 0
15-05-1969 93,036 1,200,000 217,260 0 0 0 ...............
196905152002121013 3 5,210,016 0 39,921 0 0 0
( PNS-4C ) MKG:22 0
69.724.624.7-652.000 24 0 0
6,667,221 0 0000
39,921
0
2 DWI RAHAYU KARTIKANINGRUM, TK-0 4,326,700 0 0 0 30,683 0 5,599,200

DRG 0 0 0 0 0 0 0
20-04-1974 0 1,200,000 72,420 0 0 0 ...............
197404202005012007 1 4,326,700 0 30,683 0 0 0
( PNS-4B ) MKG:20 0
49.670.763.9-652.000 80 0
5,629,883 0 0 0000
30,683
0
3 drg. RETNANING DIAN K -1 4,066,500 0 0 0 0 0 6,125,500

PRATIMARUKMI 2 406,650 0 0 0 0 0
29-05-1979 162,660 1,200,000 289,680 0 0 0 ...............
197905292005012015 4 4,635,810 0 0 0 0 0
( PNS-4B ) MKG:16 0
78.445.498.5-625.000 10 0 0
6,125,500 0 0
0
4 DR. YULI RAKHMAWATI K -1 3,666,900 0 0 0 0 0 5,670,000

2 366,690 0 0 0 0 0
13-07-1981 146,676 1,200,000 289,680 0 0 0 ...............
198107132009032003 4 4,180,266 0 0 0 0 0
( PNS-4A ) MKG:12 0
89.007.979.1-657.000 54 0
5,670,000 0 0 0000
0
0

PEG: 4 1,238,520 0 0 0 0 0
IST: 3 JIWA= 12 402,372 4,800,000 869,040 0 0 0
ANK: 5 18,352,792 0 70,604 0 0
0
168 0
24,092,604 0 70,604
0
0
PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 MOHAMAD NASAI,SE K -1 4,508,600 490,000 0 0 0 0 5,756,900

1 450,860 0 0 0 0 0
23-04-1967 90,172 0 217,260 0 0 0 ...............
196704231990121001 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:29 0
58.787.743.2-623.000 8 0 0
5,756,900 0 0000
0
0
2 MOH. ZAINUDIN K -0 4,508,600 0 0 0 0 0 5,406,300

2 0 0 0 0 0 0
08-12-1965 180,344 500,000 217,260 0 0 0 ...............
196512081988121001 3 4,688,944 0 0 0 0 0
( PNS-3D ) MKG:28 0
58.787.545.1-623.000 96 0
5,406,300 0 0 0000
0
0
3 KHUSNUL KHOTIMAH, S.SOS TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
19-06-1968 0 500,000 72,420 0 0 0 ...............
196806191989032007 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
80 0 0
5,086,742 0 0000
5,642
0
4S A M A N I K -1 4,508,600 0 0 0 10,675 0 5,604,300

0 450,860 0 0 0 0 0
21-12-1968 0 500,000 144,840 0 0 0 ...............
196812211989022001 2 4,959,460 0 10,675 0 0 0
( PNS-3D ) MKG:28 0
58.787.697.0-657.00 0 0
5,614,975 0 0 0000
10,675
0
5 KUSTININGTYAS K -1 4,237,500 0 0 0 0 0 5,620,500

2 423,750 0 0 0 0 0
02-02-1971 169,500 500,000 289,680 0 0 0 ...............
197102021992032010 4 4,830,750 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.665.7-657.000 70 0 0
5,620,500 0 0000
0
0
6 NI WAYAN SUKARNI TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
22-12-1974 0 500,000 72,420 0 0 0 ...............
197412221998032005 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
26.863.434.2-657.000 80 0 0
4,680,600 0 0000
0
0
7 SITI MUHIMATULI, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
28-02-1978 139,264 500,000 289,680 0 0 0 ...............
197802282005012026 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:15 0
58.792.362.4-657.000 96 0 0
4,758,800 0 0000
0
0
PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SRI ARI HERWANINGSIH, AMD K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
31-10-1971 69,632 500,000 217,260 0 0 0 ...............
197110312005012007 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.529.5-623.000 48 0 0
4,616,700 0 0000
0
0
9 NURJANNAH, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
11-07-1973 139,264 500,000 289,680 0 0 0 ...............
197307112005012006 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.714.3-603.000 96 0
4,758,800 0 0 0000
0
0
10 UNTUNG PRIBADI, AMD Kes.GIGI K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
09-11-1980 139,264 500,000 289,680 0 0 0 ...............
198011092005011008 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.568.3-652.000 96 0 0
4,758,800 0 0000
0
0
11 DWI LISA INDAHYANI, AMD K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
29-08-1983 69,632 500,000 217,260 0 0 0 ...............
198308292005012008 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
08.727.242.3-623.000 48 0
4,616,700 0 0 0000
0
0
12 HADIRA NURUL AINI,AMD.FARM K -1 3,481,600 0 0 0 0 0 4,758,800

MKN 2 348,160 0 0 0 0 0
15-12-1983 139,264 500,000 289,680 0 0 0 ...............
198312152006042017 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
96 0 0
4,758,800 0 0000
0
0
13 DR MAYA RISKITASARI K -1 3,075,500 0 0 0 0 0 3,661,900

1 307,550 0 0 0 0 0
30-03-1986 61,510 0 217,260 0 0 0 ...............
198603302015032001 3 3,444,560 0 0 0 0 0
( PNS-3C ) MKG: 6 0
80 0 0
3,661,900 0 0000
0
0
14 RIZA NURAYU FITRIANA ,S.Farm, K -1 2,773,200 0 0 0 0 0 3,776,200

Apt 2 277,320 0 0 0 0 0
30-04-1990 110,928 325,000 289,680 0 0 0 ...............
199004302019022004 4 3,161,448 0 0 0 0 0
( PNS-3B ) MKG: 2 0
66.574.915.6-652.000 72 0 0
3,776,200 0 0000
0
0
PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 SRI EKO JUMIANTI,AMD.KEP K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
27-01-1984 66,806 265,000 217,260 0 0 0 ...............
198401272006042015 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.712.7-653.000 4 0 0
4,223,400 0 0000
0
0
16 MUKO IMAS MEI.F, AMD.KEB K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
28-05-1987 125,576 265,000 289,680 0 0 0 ...............
198705282009032006 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
4 0
4,133,600 0 0 0000
0
0
17 HERRY WIDODO K -1 4,280,800 0 0 0 0 0 5,354,800

2 428,080 185,000 0 0 0 0
15-08-1965 171,232 0 289,680 0 0 0 ...............
196508151986031024 4 4,880,112 0 0 0 0 0
( PNS-3B ) MKG:30 0
8 0 0
5,354,800 0 0000
0
0
18 dr. AQIDATUL IZZAH K -0 2,688,500 0 0 0 0 0 2,946,000

0 0 185,000 0 0 0 0
21-12-1991 0 0 72,420 0 0 0 ...............
199112212020122005 1 2,688,500 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0046818636
80.360.770.4-652.000 80 0
2,946,000 0 0
0
0
19 ERVINA FEBRIANTI DEWI TK-0 2,579,400 0 0 0 0 0 2,836,900

SAFITRI, S.KM 0 0 185,000 0 0 0 0
16-02-1997 0 0 72,420 0 0 0 ...............
199702162020122006 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0
94.724.994.2-653.000 80 0 0
2,836,900 0 0
0

PEG: 19 5,075,350 555,000 0 0 0 0
IST: 14 JIWA= 56 1,672,388 6,355,000 4,055,520 0 0 0
ANK: 23 75,894,438 0 16,317 0 0
0
1,142 0
87,367,417 0 16,317
0
0
PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DIAN LESTARI ,A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
31-01-1982 115,592 240,000 289,680 0 0 0 ...............
198201312017042002 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:15 0
48 0 0
3,824,100 0 0000
0
0
2 ARIS BUDI ASMANTO TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
21-04-1982 0 240,000 72,420 0 0 0 ...............
198204212006041022 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:15 0
58.787.726.7-629.000 80 0
3,202,300 0 0 0000
0
0
3 DONY OKTAVIANTO, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
22-10-1985 52,662 240,000 217,260 0 0 0 ...............
198510222015031001 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
4 ALIF NURIL AZIZAH, A.MD. Gz K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
15-01-1991 105,324 240,000 289,680 0 0 0 ...............
199101152015032002 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
12589 86 0
3,531,500 0 0
0
0
5 SITI THOIFAH, A,MD.KEP K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
17-01-1991 52,662 240,000 217,260 0 0 0 ...............
199101172015032003 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
6 PUJI ASTUTIK JD-0 3,820,000 0 0 0 0 0 4,072,500

0 0 180,000 0 0 0 0
07-03-1968 0 0 72,420 0 0 0 ...............
196803072007012023 1 3,820,000 0 0 0 0 0
( PNS-2D ) MKG:33 0
80 0 0
4,072,500 0 0000
0
0
7 RICA ASIH SURYANI ,A.Md.RMIK K -1 2,374,300 0 0 0 0 0 3,236,500

1 237,430 0 0 0 0 0
29-09-1991 47,486 360,000 217,260 0 0 0 ...............
199109292019022002 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.883.014.4-654.000 24 0 0
3,236,500 0 0000
0
0
PUSKESMAS CISADEA
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 DEWI SORAYA.MR. AMD.KEP JD-0 2,687,800 0 0 0 0 0 3,066,400

1 0 180,000 0 0 0 0
24-02-1989 53,756 0 144,840 0 0 0 ...............
198902242011012006 2 2,741,556 0 0 0 0 0
( PNS-2C ) MKG:13 0
14.402.230.8.657.000 4 0 0
3,066,400 0 0000
0
0
9 LESTARI DWI UTAMI, A.Md.KL TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
11-01-1995 0 0 72,420 0 0 0 ...............
199501112020122005 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1852010874
90.959.440.0-609.000 80 0
2,554,300 0 0
0
0
10 AISYAH NOVIANDINI, A.Md.Kepgi TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
07-11-1996 0 0 72,420 0 0 0 ...............
199611072020122008 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0267751242
95.296.563.0-617.000 80 0 0
2,554,300 0 0
0

PEG: 10 1,316,340 720,000 0 0 0 0
IST: 5 JIWA= 23 427,482 1,560,000 1,665,660 0 0 0
ANK: 8 28,908,422 0 0 0 0
0
618 0
32,854,700 0 0
0
0
TOTAL PER SATKER 113,023,200 490,000 0 0 86,921 0 144,227,800
PEG: 33 7,630,210 1,275,000 0 0 0 0
IST: 22 JIWA= 91 2,502,242 12,715,000 6,590,220 0 0 0
ANK: 36 123,155,652 0 86,921 0 0
0
1,928 0 0
144,314,721 0 86,921
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 IDA MEGAWATI, DR TK-0 4,748,500 0 0 0 49,717 0 6,021,000

0 0 0 0 0 0 0
12-04-1970 0 1,200,000 72,420 0 0 0 ...............
197004121998032008 1 4,748,500 0 49,717 0 0 0
( PNS-4B ) MKG:27 0
07.468.675.9-623.000 80 0 0
6,070,717 0 0000
49,717
0
2 DR.SODIG PURNOMO DD-0 4,463,000 0 0 0 36,833 0 5,735,500

0 0 0 0 0 0 0
04-10-1970 0 1,200,000 72,420 0 0 0 ...............
197010042002121005 1 4,463,000 0 36,833 0 0 0
( PNS-4B ) MKG:22 0
26.473.632.3-657.000 80 0
5,772,333 0 0 0000
36,833
0

PEG: 2 0 0 0 0 0 0
IST: 0 JIWA= 2 0 2,400,000 144,840 0 0 0
ANK: 0 9,211,500 0 86,550 0 0
0
160 0
11,843,050 0 86,550
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ARUM ENDAH.K, S.FARM. K -1 3,410,600 0 0 0 0 0 4,927,800

2 341,060 0 0 0 0 0
03-07-1987 136,424 750,000 289,680 0 0 0 ...............
198707032011012005 4 3,888,084 0 0 0 0 0
( PNS-3D ) MKG:11 0
36 0 0
4,927,800 0 0000
0
0
2 PUJI RAHAYU, AMD.GIZI TK-0 3,743,100 0 0 0 0 0 4,415,600

0 0 0 0 0 0 0
29-09-1972 0 600,000 72,420 0 0 0 ...............
197209292003122003 1 3,743,100 0 0 0 0 0
( PNS-3D ) MKG:16 0
34.494.709.8-652.000 80 0
4,415,600 0 0 0000
0
0
3 HASANAH K -1 4,508,600 0 0 0 0 0 5,929,500

2 450,860 0 0 0 0 0
19-06-1964 180,344 500,000 289,680 0 0 0 ...............
196406191988032011 4 5,139,804 0 0 0 0 0
( PNS-3D ) MKG:28 0
58.792.400.2-652.000 16 0 0
5,929,500 0 0000
0
0
4 SRI RAHAYU K -1 4,508,600 0 0 0 10,675 0 5,604,300

0 450,860 0 0 0 0 0
26-03-1966 0 500,000 144,840 0 0 0 ...............
196603261988032008 2 4,959,460 0 10,675 0 0 0
( PNS-3D ) MKG:28 0
58.792.403.6-652.000 0 0
5,614,975 0 0 0000
10,675
0
5 MURTI UTAMI, A.MD. KEB K -1 4,237,500 0 0 0 0 0 5,306,100

0 423,750 0 0 0 0 0
27-08-1973 0 500,000 144,840 0 0 0 ...............
197308271993012002 2 4,661,250 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.083.590.8-601.000 10 0 0
5,306,100 0 0000
0
0
6 ELIF YUNIARTI TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
19-06-1971 0 500,000 72,420 0 0 0 ...............
197106191998032007 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.792.398.8-652.000 80 0 0
4,680,600 0 0000
0
0
7 BUDI ARI BOWO, A.Md.AK K -1 3,982,600 0 0 0 0 0 5,177,800

1 398,260 0 0 0 0 0
08-09-1974 79,652 500,000 217,260 0 0 0 ...............
197409081996031002 3 4,460,512 0 0 0 0 0
( PNS-3D ) MKG:20 0
58.792.396.2-628.000 28 0 0
5,177,800 0 0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 ANNE WIDIA K,AMD,GIGI K -1 3,481,600 490,000 0 0 0 0 4,748,800

2 348,160 0 0 0 0 0
13-11-1981 139,264 0 289,680 0 0 0 ...............
198111132006042026 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.224.6-652.000 96 0 0
4,748,800 0 0000
0
0
9 drg, EVA NURFAIZAH HIDAYATI K -1 3,272,200 0 0 0 0 0 4,770,000

2 327,220 0 0 0 0 0
28-05-1983 130,888 750,000 289,680 0 0 0 ...............
198305282011012007 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:10 0
12 0
4,770,000 0 0 0000
0
0
10 ANWAR NURIS, AMD K -1 3,591,200 0 0 0 0 0 4,983,700

2 359,120 0 0 0 0 0
07-04-1977 143,648 600,000 289,680 0 0 0 ...............
197704072003121006 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
77.340.236-7-623.000 52 0 0
4,983,700 0 0000
0
0
11 LUTFIANA ARIFIYANTI, AMD TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
12-09-1979 0 500,000 72,420 0 0 0 ...............
197909122005012012 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.395.4-657.000 80 0
4,054,100 0 0 0000
0
0
12 YUNI DIAHNINGSIH, AMD K -0 3,481,600 0 0 0 0 0 4,338,200

2 0 0 0 0 0 0
24-06-1981 139,264 500,000 217,260 0 0 0 ...............
198106242005012009 3 3,620,864 0 0 0 0 0
( PNS-3C ) MKG:14 0
76 0 0
4,338,200 0 0000
0
0
13 LILIK YULIATI, AMD.KES TK-0 3,272,200 0 0 0 0 0 3,844,700

0 0 0 0 0 0 0
04-06-1979 0 500,000 72,420 0 0 0 ...............
197906042009032002 1 3,272,200 0 0 0 0 0
( PNS-3C ) MKG:10 0
16.950.485.0-654.000 80 0 0
3,844,700 0 0000
0
0
14 dr.DESTY PERMATANINGTYAS K -1 2,773,200 0 0 0 0 0 3,648,300

1 277,320 0 0 0 0 0
12-12-1990 55,464 325,000 217,260 0 0 0 ...............
199012122019022004 3 3,105,984 0 0 0 0 0
( PNS-3B ) MKG: 2 0
72.680.626.8.654.000 56 0 0
3,648,300 0 0000
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 ADITYA HAJAR SEPTI, R, S.KEP K -0 3,139,400 0 0 0 0 0 3,647,100

1 0 0 0 0 0 0
04-09-1986 62,788 300,000 144,840 0 0 0 ...............
198609042011012006 2 3,202,188 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.642.272.6-652.000 72 0 0
3,647,100 0 0000
0
0
16 WIWIN WULANDARI, A.MD.KEB TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
30-03-1980 0 265,000 72,420 0 0 0 ...............
198003302010012015 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
80 0
3,476,900 0 0 0000
0
0
17 NINIK INDARWATI, AMD.KEB K -0 3,139,400 0 0 0 0 0 3,612,100

1 0 0 0 0 0 0
16-06-1980 62,788 265,000 144,840 0 0 0 ...............
198006162009032008 2 3,202,188 0 0 0 0 0
( PNS-3B ) MKG:10 0
72 0 0
3,612,100 0 0000
0
0
18 YUYUN OKTASARI, A.MD. KEP K -0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
11-10-1981 0 265,000 72,420 0 0 0 ...............
198110112010012016 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
80 0
3,476,900 0 0 0000
0
0
19 FIFIN EKA NURACHMAH, S.Gz K -1 3,139,400 0 0 0 0 0 3,863,200

0 313,940 0 0 0 0 0
11-01-1983 0 265,000 144,840 0 0 0 ...............
198301112010012015 2 3,453,340 0 0 0 0 0
( PNS-3B ) MKG:10 0
12369 20 0 0
3,863,200 0 0
0
20 MARIANA DIAN NURHAYAH,AMD.KEB K -1 3,139,400 0 0 0 0 0 3,998,400

1 313,940 0 0 0 0 0
14-03-1986 62,788 265,000 217,260 0 0 0 ...............
198603142009032004 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.752.508.9-652.000 12 0 0
3,998,400 0 0000
0
0
21 RIANIATI DAHLAN, A.MD.KEP TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
01-05-1987 0 265,000 72,420 0 0 0 ...............
198705012010012025 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
80 0 0
3,476,900 0 0000
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 LINA SRIYATUN, AMD, KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
31-12-1980 0 265,000 72,420 0 0 0 ...............
198012312011012002 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
55.316.286.8-657.000 80 0 0
3,381,100 0 0000
0
0
23 TRI DEWI FRANSISKA, AMD, KEB TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
18-12-1981 0 265,000 72,420 0 0 0 ...............
198112182011012005 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0
3,381,100 0 0 0000
0
0
24 ARI ROSYIDA, AMD, KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
06-01-1986 0 265,000 72,420 0 0 0 ...............
198601062011012008 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0 0
3,381,100 0 0000
0
0
25 DIYAN VIANI ERIKA.S, AMD.KEB TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
07-08-1987 0 265,000 72,420 0 0 0 ...............
198708072011012013 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0
3,381,100 0 0 0000
0
0
26 AN'AM MARIYAH ULFAH, AMD,KEB K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
01-02-1988 60,872 265,000 217,260 0 0 0 ...............
198802012011012012 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
98.626.075.0-624.000 8 0 0
3,891,100 0 0000
0
0
27 DIAN KARYA.K, AMD.KEB K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
31-01-1989 60,872 265,000 217,260 0 0 0 ...............
198901312011012005 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
54.839.572.2-652.000 8 0 0
3,891,100 0 0000
0
0
28 KHOLIFAH K -1 4,280,800 0 0 0 0 0 5,196,800

1 428,080 185,000 0 0 0 0
28-01-1965 85,616 0 217,260 0 0 0 ...............
196501281987032004 3 4,794,496 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.792.410.1.652.000 44 0 0
5,196,800 0 0000
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 TJITJIK AGUL KARJANI K -1 3,554,000 0 0 0 0 0 4,526,300

2 355,400 185,000 0 0 0 0
14-08-1971 142,160 0 289,680 0 0 0 ...............
197108141998032008 4 4,051,560 0 0 0 0 0
( PNS-3B ) MKG:18 0
60 0 0
4,526,300 0 0000
0
0
30 N U R Y A N I, A.Md.Kes K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
02-05-1977 120,480 265,000 289,680 0 0 0 ...............
197705022006042049 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
58.787.577.4-657.000 40 0
3,988,400 0 0
0
0
31 ERISTA NISAUL LAILA, A.MD. K -1 3,012,000 0 0 0 0 0 3,988,400

KEB 2 301,200 0 0 0 0 0
21-05-1987 120,480 265,000 289,680 0 0 0 ...............
198705212010012017 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0 0
3,988,400 0 0000
0
0
32 DWI MURLIATI, AMD.KEB K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
17-11-1983 116,804 265,000 289,680 0 0 0 ...............
198311172011012002 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 9 0
6 0
3,883,600 0 0 0000
0
0
33 ADINA PUSPANINGNGRUM. AMD K -1 2,920,100 0 0 0 0 0 3,883,600

AN.KES 2 292,010 0 0 0 0 0
04-04-1987 116,804 265,000 289,680 0 0 0 ...............
198704042011012008 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
47.715.023.9-654.000 6 0 0
3,883,600 0 0000
0
0
34 JAUHARI OKA REUWPASSA K -0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
29-01-1990 0 0 72,420 0 0 0 ...............
199001292020122009 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 2036050431
71.661.236.1-523.000 80 0 0
2,836,900 0 0
0

PEG: 34 6,583,110 555,000 0 0 0 0
IST: 19 JIWA= 83 2,017,400 11,565,000 6,010,860 0 0 0
ANK: 30 122,969,010 0 10,675 0 0
0
1,730 0
141,602,275 0 10,675
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 RIRIN DIAWATI ,A.Md.Keb TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
03-03-1982 0 240,000 72,420 0 0 0 ...............
198203032017042003 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0 0
3,202,300 0 0000
0
0
2 BANDRIANI K -1 2,980,800 0 0 0 0 0 3,603,800

0 298,080 180,000 0 0 0 0
10-05-1967 0 0 144,840 0 0 0 ...............
196705102007012039 2 3,278,880 0 0 0 0 0
( PNS-2D ) MKG:17 0
58.792.404.4-652.000 80 0
3,603,800 0 0 0000
0
0
3 NANDA EKA DEWI AMARTA TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
24-06-1997 0 360,000 72,420 0 0 0 ...............
199706242019022001 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
86.652.975.3-625.000 80 0 0
2,806,800 0 0000
0
0
4 AFRILLIA RAHMAYANI, A.Md. Kes TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
14-04-1998 0 0 72,420 0 0 0 ...............
199804142020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 047755981
96.975.177.5-543.000 80 0
2,554,300 0 0
0
0
5 WINDARAYU WIDRI ARTI, AMd. K -0 2,301,800 0 0 0 0 0 2,554,300

Keb 0 0 180,000 0 0 0 0
17-04-1990 0 0 72,420 0 0 0 ...............
199004172020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 2032101838
84.491.498.6-913.000 80 0 0
2,554,300 0 0
0
6 ADISTYA GALIH PRATAMA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.K.L 0 0 180,000 0 0 0 0
20-09-1994 0 0 72,420 0 0 0 ...............
199409202020121006 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 1932016640
96.976.433.1-617.000 80 0 0
2,554,300 0 0
0

PEG: 6 298,080 720,000 0 0 0 0
IST: 1 JIWA= 7 0 600,000 506,940 0 0 0
ANK: 0 15,448,380 0 0 0 0
0
480 0
17,275,800 0 0
0
0
PUSKESMAS DINOYO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 BUDIONO K -1 2,053,100 0 0 0 0 0 2,691,800

1 205,310 175,000 0 0 0 0
24-08-1983 41,062 0 217,260 0 0 0 ...............
198308242014071003 3 2,299,472 0 0 0 0 0
( PNS-1B ) MKG:15 0
68 0 0
2,691,800 0 0000
0
0

PEG: 1 205,310 175,000 0 0 0 0
IST: 1 JIWA= 3 41,062 0 217,260 0 0 0
ANK: 1 2,299,472 0 0 0 0
0
68 0
2,691,800 0 0
0
0
TOTAL PER SATKER 140,783,400 490,000 0 0 97,225 0 173,315,700
PEG: 43 7,086,500 1,450,000 0 0 0 0
IST: 21 JIWA= 95 2,058,462 14,565,000 6,879,900 0 0 0
ANK: 31 149,928,362 0 97,225 0 0
0
2,438 0 0
173,412,925 0 97,225
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG.ERVIN FARIANTIN JD-0 5,266,100 0 0 0 62,517 0 6,716,300

1 0 0 0 0 0 0
11-10-1964 105,322 1,200,000 144,840 0 0 0 ...............
196410111992032005 2 5,371,422 0 62,517 0 0 0
( PNS-4C ) MKG:30 0
38 0 0
6,778,817 0 0000
62,517
0
2 DR. DEWI KURNIATI K -1 4,651,800 0 0 0 28,813 0 6,792,800

2 465,180 0 0 0 0 0
14-06-1973 186,072 1,200,000 289,680 0 0 0 ...............
197306142002122003 4 5,303,052 0 28,813 0 0 0
( PNS-4C ) MKG:22 0
68 0
6,821,613 0 0 0000
28,813
0
3 RATNAWATI TK-0 4,555,800 0 0 0 24,396 0 5,478,300

0 0 0 0 0 0 0
19-07-1966 0 850,000 72,420 0 0 0 ...............
196607191994022001 1 4,555,800 0 24,396 0 0 0
( PNS-4A ) MKG:26 0
58.787668.1-623.000 80 0 0
5,502,696 0 0000
24,396
0

PEG: 3 465,180 0 0 0 0 0
IST: 1 JIWA= 7 291,394 3,250,000 506,940 0 0 0
ANK: 3 15,230,274 0 115,726 0 0
0
186 0
19,103,126 0 115,726
0
0
PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 P I T O N O SAP K -1 4,508,600 490,000 0 0 0 0 5,756,900

1 450,860 0 0 0 0 0
10-01-1965 90,172 0 217,260 0 0 0 ...............
196501101986031024 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:28 0
59.792.354.1-652.000 8 0 0
5,756,900 0 0000
0
0
2 ULFA RAMA, S. KEP K -1 3,410,600 0 0 0 0 0 4,637,200

1 341,060 0 0 0 0 0
10-04-1984 68,212 600,000 217,260 0 0 0 ...............
198404102011012007 3 3,819,872 0 0 0 0 0
( PNS-3D ) MKG:11 0
16.950.409.9-654.000 68 0
4,637,200 0 0 0000
0
0
3 SRI HANDAYANI A.Md.Kep TK-0 4,797,000 0 0 0 18,658 0 5,369,500

0 0 0 0 0 0 0
11-10-1964 0 500,000 72,420 0 0 0 ...............
196410111988032005 1 4,797,000 0 18,658 0 0 0
( PNS-3D ) MKG:32 0
58.787.525.3-652.000 80 0 0
5,388,158 0 0000
18,658
0
4 WIHENI TK-0 4,797,000 0 0 0 18,658 0 5,369,500

0 0 0 0 0 0 0
29-11-1964 0 500,000 72,420 0 0 0 ...............
196411291985032003 1 4,797,000 0 18,658 0 0 0
( PNS-3D ) MKG:32 0
58.787.734.1-623.000 80 0
5,388,158 0 0 0000
18,658
0
5 SUPARTI ANENG TK-0 4,650,600 0 0 0 12,050 0 5,223,100

0 0 0 0 0 0 0
01-01-1965 0 500,000 72,420 0 0 0 ...............
196501011987032025 1 4,650,600 0 12,050 0 0 0
( PNS-3D ) MKG:30 0
58.787.731.7-623.000 80 0 0
5,235,150 0 0000
12,050
0
6 SRI RETNO RINI K -1 4,370,900 0 0 0 0 0 5,772,600

2 437,090 0 0 0 0 0
03-02-1968 174,836 500,000 289,680 0 0 0 ...............
196802031991032010 4 4,982,826 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.590.7.623.000 94 0 0
5,772,600 0 0000
0
0
7 I GUSTI AYU KARTININGSIH TK-0 4,237,500 0 0 0 0 0 4,810,000

0 0 0 0 0 0 0
18-02-1972 0 500,000 72,420 0 0 0 ...............
197202181993022002 1 4,237,500 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787/739.0-623.000 80 0 0
4,810,000 0 0000
0
0
PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 NURAINUN NAMPIRA TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
07-08-1972 0 500,000 72,420 0 0 0 ...............
197208071994032003 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
80 0 0
4,680,600 0 0000
0
0
9 DR WIDA SEKARANI PARAMITA TK-0 3,075,500 0 0 0 0 0 3,898,000

0 0 0 0 0 0 0
05-04-1988 0 750,000 72,420 0 0 0 ...............
198804052015032001 1 3,075,500 0 0 0 0 0
( PNS-3C ) MKG: 6 0
80 0
3,898,000 0 0 0000
0
0
10 UMI SHIOLIKATIN, AMD K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
27-02-1981 69,632 500,000 217,260 0 0 0 ...............
198102272005012011 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.497.5-623.000 48 0 0
4,616,700 0 0000
0
0
11 LISA RISTIYANI ,S.Farm, Apt JD-0 2,773,200 0 0 0 0 0 3,426,400

2 0 0 0 0 0 0
13-03-1985 110,928 325,000 217,260 0 0 0 ...............
198503132019022003 3 2,884,128 0 0 0 0 0
( PNS-3B ) MKG: 2 0
73.329.257.6-657.000 12 0
3,426,400 0 0 0000
0
0
12 UMI ZUHROH TK-0 3,445,500 0 0 0 0 0 3,783,000

0 0 0 0 0 0 0
21-02-1977 0 265,000 72,420 0 0 0 ...............
197702212000032001 1 3,445,500 0 0 0 0 0
( PNS-3B ) MKG:16 0
58.792.912.7-623.000 80 0 0
3,783,000 0 0000
0
0
13 DIAN MULYAWAN, AMD K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
30-10-1982 66,806 265,000 217,260 0 0 0 ...............
198210302005011003 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.474.4-657.000 4 0 0
4,223,400 0 0000
0
0
14 DWI RAHAYU KUSTANTI, A.MD K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
08-06-1983 66,806 265,000 217,260 0 0 0 ...............
198306082005012010 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.738.2-623.000 4 0 0
4,223,400 0 0000
0
0
PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 ARI DWI KARYA.L,AMD.KEP K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
23-01-1987 121,744 265,000 289,680 0 0 0 ...............
198701232009031002 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0 0
4,024,400 0 0000
0
0
16 YAYUK TRIWULAN, AMD, FARM K -1 2,950,600 0 0 0 0 0 3,918,400

2 295,060 0 0 0 0 0
03-03-1977 118,024 265,000 289,680 0 0 0 ...............
197703032011012004 4 3,363,684 0 0 0 0 0
( PNS-3B ) MKG: 7 0
55.340.526.7-503.000 36 0
3,918,400 0 0 0000
0
0
17 ELLIS WIDIASTUTI K -1 3,012,000 0 0 0 0 0 3,988,400

SETJO,AMD,KEB 2 301,200 0 0 0 0 0
25-02-1986 120,480 265,000 289,680 0 0 0 ...............
198602252009032004 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0 0
3,988,400 0 0000
0
0
18 RATIH WIDYANINGTYAS,AMD.KEB K -1 3,012,000 0 0 0 0 0 3,855,700

1 301,200 0 0 0 0 0
17-04-1986 60,240 265,000 217,260 0 0 0 ...............
198604172009032002 3 3,373,440 0 0 0 0 0
( PNS-3A ) MKG:10 0
0 0
3,855,700 0 0 0000
0
0
19 IFKA HANNING RETNO FIRDAUS TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
04-11-1993 0 0 72,420 0 0 0 ...............
199311042020122010 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047785529
96.850.642.8-625.000 80 0 0
2,836,900 0 0
0

PEG: 19 3,447,050 185,000 0 0 0 0
IST: 10 JIWA= 45 1,067,880 7,030,000 3,258,900 0 0 0
ANK: 16 73,449,230 0 49,366 0 0
0
970 0
84,463,466 0 49,366
0
0
PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SRIMAR YULIANTY, A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
16-03-1982 115,592 240,000 289,680 0 0 0 ...............
198203162017042002 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:16 0
12369 48 0 0
3,824,100 0 0
0
2 DEWI FATIMA ,A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
10-11-1983 115,592 240,000 289,680 0 0 0 ...............
198311102017042005 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:16 0
48 0
3,824,100 0 0 0000
0
0
3 ANDREAN ASMARA, AMD, KES GI TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
28-12-1979 0 240,000 72,420 0 0 0 ...............
197912282010011020 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:15 0
80 0 0
3,202,300 0 0000
0
0
4 ERLINA WIDOWATI, A.MD.KEB K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
18-09-1989 52,662 240,000 217,260 0 0 0 ...............
198909182015032001 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0
3,406,400 0 0 0000
0
0
5 MAULIVIA CHANDRA RIZKI K -1 2,374,300 0 0 0 0 0 3,116,600

,A.Md.RMIK 0 237,430 0 0 0 0 0
09-08-1995 0 360,000 144,840 0 0 0 ...............
199508092019022004 2 2,611,730 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.864.157.4-623.000 30 0 0
3,116,600 0 0000
0
0
6 NUR INDAH ISNIAWATI, A.Md.Keb K -1 2,301,800 0 0 0 0 0 3,093,800

2 230,180 180,000 0 0 0 0
05-01-1988 92,072 0 289,680 0 0 0 ...............
198801052020122005 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047606055
46.201.158.6-652.000 68 0 0
3,093,800 0 0
0
7 ANISAH SURYA VITASARI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes 0 0 180,000 0 0 0 0
07-04-1997 0 0 72,420 0 0 0 ...............
199704072020122008 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0048240127
96.993.372.0-617.000 80 0 0
2,554,300 0 0
0
PUSKESMAS GRIBIG
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM

PEG: 7 1,308,880 360,000 0 0 0 0
IST: 5 JIWA= 19 375,918 1,320,000 1,375,980 0 0 0
ANK: 7 19,965,198 0 0 0 0
0
422 0
23,021,600 0 0
0
0
TOTAL PER SATKER 101,688,400 490,000 0 0 165,092 0 126,423,100
PEG: 29 5,221,110 545,000 0 0 0 0
IST: 16 JIWA= 71 1,735,192 11,600,000 5,141,820 0 0 0
ANK: 26 108,644,702 0 165,092 0 0
0
1,578 0 0
126,588,192 0 165,092
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR ENDANG RETNONINGRUM JD-0 4,463,000 0 0 0 14,267 0 6,058,800

2 0 0 0 0 0 0
18-11-1969 178,520 1,200,000 217,260 0 0 0 ...............
196911182002122008 3 4,641,520 0 14,267 0 0 0
( PNS-4B ) MKG:22 0
08.722.282.4-623.001 20 0 0
6,073,067 0 0000
14,267
0
2 NINA MAYASARI DR K -0 4,066,500 0 0 0 0 0 5,646,500

2 0 0 0 0 0 0
17-08-1977 162,660 1,200,000 217,260 0 0 0 ...............
197708172006042041 3 4,229,160 0 0 0 0 0
( PNS-4B ) MKG:17 0
48.076.796.1-811.000 80 0
5,646,500 0 0 0000
0
0
3 SENITRI ARIYANI, SST K -1 5,211,500 0 0 0 62,188 0 6,727,500

0 521,150 0 0 0 0 0
09-11-1964 0 850,000 144,840 0 0 0 ...............
196411091988012001 2 5,732,650 0 62,188 0 0 0
( PNS-4B ) MKG:32 0
58.787.540.2-623.000 10 0 0
6,789,688 0 0000
62,188
0
4 ENDANG LISTYOWATI K -1 4,898,100 0 0 0 35,746 0 6,553,200

S.Kep,Ners.M.MKes 1 489,810 0 0 0 0 0
21-09-1967 97,962 850,000 217,260 0 0 0 ...............
196709211988122001 3 5,485,872 0 35,746 0 0 0
( PNS-4B ) MKG:28 0
58.787.530.3-623.000 68 0
6,588,946 0 0 0000
35,746
0
5 DRG.TEJANING TYAS.W TK-0 3,901,500 0 0 0 11,496 0 5,174,000

0 0 0 0 0 0 0
16-04-1977 0 1,200,000 72,420 0 0 0 ...............
197704162005012016 1 3,901,500 0 11,496 0 0 0
( PNS-4A ) MKG:16 0
58.787.698.8-623.000 80 0 0
5,185,496 0 0000
11,496
0
6 drg, TRI WAHYUNI ROHMAWATI TK-0 3,666,900 0 0 0 913 0 4,939,400

0 0 0 0 0 0 0
26-07-1979 0 1,200,000 72,420 0 0 0 ...............
197907262009032006 1 3,666,900 0 913 0 0 0
( PNS-4A ) MKG:12 0
89.295.478.5-629.000 80 0 0
4,940,313 0 0000
913
0

PEG: 6 1,010,960 0 0 0 0 0
IST: 2 JIWA= 13 439,142 6,500,000 941,460 0 0 0
ANK: 5 27,657,602 0 124,610 0 0
0
338 0
35,224,010 0 124,610
0
0
PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ERIKA PRAWIDA, S.KM K -1 3,518,100 490,000 0 0 0 0 4,647,600

1 351,810 0 0 0 0 0
10-03-1985 70,362 0 217,260 0 0 0 ...............
198503102010012038 3 3,940,272 0 0 0 0 0
( PNS-3D ) MKG:12 0
35.951.615.0-657.000 68 0 0
4,647,600 0 0000
0
0
2 JUKHRIYAH TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
01-06-1966 0 500,000 72,420 0 0 0 ...............
196606011988032014 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.656.6-623.000 80 0
5,086,742 0 0 0000
5,642
0
3U T A M I TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
10-10-1968 0 500,000 72,420 0 0 0 ...............
196810101989022002 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.792.366.5-652.000 80 0 0
5,086,742 0 0000
5,642
0
4 ENDAH WULANDARI,SKM K -1 4,508,600 0 0 0 0 0 5,766,900

1 450,860 0 0 0 0 0
11-05-1969 90,172 500,000 217,260 0 0 0 ...............
196905111991032005 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:28 0
15.710.304.5-216.000 8 0
5,766,900 0 0 0000
0
0
5 INDRA NIRMALA, AMD TK-0 3,704,300 0 0 0 0 0 4,276,800

0 0 0 0 0 0 0
17-06-1975 0 500,000 72,420 0 0 0 ...............
197506172001122001 1 3,704,300 0 0 0 0 0
( PNS-3C ) MKG:18 0
58.787.657.4-623.000 80 0 0
4,276,800 0 0000
0
0
6 RIRIN KRISTIANINGSIH, AMD K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
01-09-1974 143,648 500,000 289,680 0 0 0 ...............
197409012003122010 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.654.1-654.000 52 0 0
4,883,700 0 0000
0
0
7 RETNO INDARTI, AMD, KEB TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
14-04-1978 0 500,000 72,420 0 0 0 ...............
197804142003122008 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
53.787.499.1-654.000 80 0 0
4,054,100 0 0000
0
0
PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 ANISA MILA.P. AMD.KEP K -1 3,272,200 0 0 0 0 0 4,520,000

2 327,220 0 0 0 0 0
31-12-1984 130,888 500,000 289,680 0 0 0 ...............
198412312009032007 4 3,730,308 0 0 0 0 0
( PNS-3C ) MKG:11 0
55.583.342.5-657.000 12 0 0
4,520,000 0 0000
0
0
9 MEIRA IKA SARI ,S.Farm, Apt K -1 2,773,200 0 0 0 0 0 3,520,400

0 277,320 0 0 0 0 0
21-05-1993 0 325,000 144,840 0 0 0 ...............
199305212019022005 2 3,050,520 0 0 0 0 0
( PNS-3B ) MKG: 2 0
81.404.303.0-623.000 40 0
3,520,400 0 0 0000
0
0
10 ARU SUCIATI KARTINI, AMD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
21-04-1983 125,576 265,000 289,680 0 0 0 ...............
198304212009032008 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
89.029.694.0-654.000 4 0 0
4,133,600 0 0000
0
0
11 FIRA DWIJAYANTI, AMD K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
28-03-1985 125,576 265,000 289,680 0 0 0 ...............
198503282009032006 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.191.458.8-652.000 4 0
4,133,600 0 0 0000
0
0
12 AULIA RACHMAN HAKIM, AMD.KEP K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
07-01-1986 60,872 265,000 217,260 0 0 0 ...............
198601072011011007 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 9 0
8 0 0
3,891,100 0 0000
0
0
13 RUBIANI K -1 4,150,100 0 0 0 0 0 5,050,400

1 415,010 185,000 0 0 0 0
03-01-1967 83,002 0 217,260 0 0 0 ...............
196701031988112002 3 4,648,112 0 0 0 0 0
( PNS-3B ) MKG:28 0
58.787.661.6-654.000 28 0 0
5,050,400 0 0000
0
0
14 dr MEGA WIRAGRENDA ALIF FIOLA K -1 2,688,500 0 0 0 0 0 3,413,400

1 268,850 185,000 0 0 0 0
27-08-1991 53,770 0 217,260 0 0 0 ...............
199108272020122006 3 3,011,120 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0046762622
76.933.245.3-624.000 20 0 0
3,413,400 0 0
0
PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 MOCHAMAD NASRULLAH. K -1 3,012,000 0 0 0 0 0 3,855,700

A.MD.KES.GI 1 301,200 0 0 0 0 0
05-06-1977 60,240 265,000 217,260 0 0 0 ...............
197706052010011016 3 3,373,440 0 0 0 0 0
( PNS-3A ) MKG:10 0
0 0 0
3,855,700 0 0000
0
0
16 AGUSTIN MUSHARI.S, AMD. KEB K -0 3,012,000 0 0 0 0 0 3,482,100

1 0 0 0 0 0 0
08-08-1981 60,240 265,000 144,840 0 0 0 ...............
198108082009032006 2 3,072,240 0 0 0 0 0
( PNS-3A ) MKG:10 0
89.026.092.0-626.000 20 0
3,482,100 0 0 0000
0
0
17 SITI FATIMAH, A.MD KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
17-10-1987 120,480 265,000 289,680 0 0 0 ...............
198710172010012010 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0 0
3,988,400 0 0000
0
0
18 SHANTI AGUSTIN.K, AMD, KEP K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
23-08-1981 116,804 265,000 289,680 0 0 0 ...............
198108232011012001 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
54.488.495.0-623.000 6 0
3,883,600 0 0 0000
0
0
19 ALIF PRIMATUR.NS, AMD,KL K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
19-09-1987 116,804 265,000 289,680 0 0 0 ...............
198709192011012002 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
6 0 0
3,883,600 0 0000
0
0
20 MUKHAMMAD MUNIR, AMD,KES K -1 2,920,100 0 0 0 0 0 3,752,800

1 292,010 0 0 0 0 0
13-11-1987 58,402 265,000 217,260 0 0 0 ...............
198711132011011005 3 3,270,512 0 0 0 0 0
( PNS-3A ) MKG: 8 0
47.715.019-7-624.000 28 0 0
3,752,800 0 0000
0
0

PEG: 20 4,860,860 370,000 0 0 0 0
IST: 15 JIWA= 57 1,416,836 6,210,000 4,127,940 0 0 0
ANK: 22 74,101,396 0 11,284 0 0
0
664 0
85,311,284 0 11,284
0
0
PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 LIA PRIBAWANINGSIH, AMD,KEB K -1 2,801,500 0 0 0 0 0 3,595,000

1 280,150 0 0 0 0 0
28-02-1988 56,030 240,000 217,260 0 0 0 ...............
198802282011012004 3 3,137,680 0 0 0 0 0
( PNS-2D ) MKG:13 0
54.323.472.8-854.000 60 0 0
3,595,000 0 0000
0
0
2 GALUH TRIANA SARI, AMD, KEB K -1 2,801,500 0 0 0 0 0 3,595,000

1 280,150 0 0 0 0 0
07-08-1988 56,030 240,000 217,260 0 0 0 ...............
198808072011012005 3 3,137,680 0 0 0 0 0
( PNS-2D ) MKG:13 0
60 0
3,595,000 0 0 0000
0
0
3 KARTIKA EKA PAKSI, A.MD.KEB K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
04-09-1989 105,324 240,000 289,680 0 0 0 ...............
198909042015032002 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
4 SUPRIYADI K -1 3,820,000 0 0 0 0 0 4,675,700

1 382,000 180,000 0 0 0 0
14-09-1964 76,400 0 217,260 0 0 0 ...............
196409142007011010 3 4,278,400 0 0 0 0 0
( PNS-2D ) MKG:33 0
58.787.659.0-623.000 40 0
4,675,700 0 0 0000
0
0
5 HENDY FIRMANSYAH ROSADY K -1 2,301,800 0 0 0 0 0 3,273,800

,A.Md.RMIK 2 230,180 0 0 0 0 0
17-06-1989 92,072 360,000 289,680 0 0 0 ...............
198906172019021003 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 4 0
71.515.369.8.654.000 68 0 0
3,273,800 0 0000
0
0
6 WIJI ASTUTIK ,A.Md.Keb K -1 2,772,500 0 0 0 0 0 3,562,500

1 277,250 0 0 0 0 0
27-07-1985 55,450 240,000 217,260 0 0 0 ...............
198507272017042006 3 3,105,200 0 0 0 0 0
( PNS-2C ) MKG:15 0
40 0 0
3,562,500 0 0000
0
0
7 INDAH KOMALASARI WULANDARI K -1 2,772,500 0 0 0 0 0 3,502,500

,A.Md.Keb 1 277,250 180,000 0 0 0 0
16-02-1985 55,450 0 217,260 0 0 0 ...............
198502162017042006 3 3,105,200 0 0 0 0 0
( PNS-2C ) MKG:15 0
40 0 0
3,502,500 0 0000
0
0
PUSKESMAS JANTI
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 MASYFI'ATUL FIKRIYAH, K -1 2,301,800 0 0 0 0 0 3,093,800

A.Md.Keb 2 230,180 180,000 0 0 0 0
26-01-1991 92,072 0 289,680 0 0 0 ...............
199101262020122008 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0602701023
83.009.779.6-654.000 68 0 0
3,093,800 0 0
0
9 DINDA PURNA SYAFITRI, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.K.L 1 230,180 180,000 0 0 0 0
05-05-1993 46,036 0 217,260 0 0 0 ...............
199305052020122004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0026173515
41.036.315.4-654.000 24 0
2,975,300 0 0
0
0

PEG: 9 2,450,650 720,000 0 0 0 0
IST: 9 JIWA= 30 634,864 1,320,000 2,172,600 0 0 0
ANK: 12 27,592,014 0 0 0 0
0
486 0
31,805,100 0 0
0
0
TOTAL PER SATKER 118,537,700 490,000 0 0 135,894 0 152,204,500
PEG: 35 8,322,470 1,090,000 0 0 0 0
IST: 26 JIWA= 100 2,490,842 14,030,000 7,242,000 0 0 0
ANK: 39 129,351,012 0 135,894 0 0
0
1,488 0 0
152,340,394 0 135,894
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS KEDUNGKANDANG
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG. ASTIN KURNIA WIDYATUTI K -1 3,782,400 0 0 0 0 0 5,653,600

1 378,240 0 0 0 0 0
25-05-1982 75,648 1,200,000 217,260 0 0 0 ...............
198205252008032003 3 4,236,288 0 0 0 0 0
( PNS-4A ) MKG:14 0
52 0 0
5,653,600 0 0000
0
0
2 DR. KHOLIDA NUR'AINI TK-0 3,666,900 0 0 0 913 0 4,939,400

0 0 0 0 0 0 0
01-11-1974 0 1,200,000 72,420 0 0 0 ...............
197411012009032003 1 3,666,900 0 913 0 0 0
( PNS-4A ) MKG:12 0
14.402.251.4-657.000 80 0
4,940,313 0 0 0000
913
0
3 DR SARI ANDARI K -1 3,666,900 0 0 0 0 0 5,670,000

2 366,690 0 0 0 0 0
15-08-1980 146,676 1,200,000 289,680 0 0 0 ...............
198008152009032002 4 4,180,266 0 0 0 0 0
( PNS-4A ) MKG:12 0
54 0 0
5,670,000 0 0000
0
0
4 WIDIASTUTI , S.ST TK-0 4,416,700 0 0 0 18,121 0 5,339,200

0 0 0 0 0 0 0
25-09-1971 0 850,000 72,420 0 0 0 ...............
197109251995032001 1 4,416,700 0 18,121 0 0 0
( PNS-4A ) MKG:24 0
77.337.812.0-623.000 80 0
5,357,321 0 0 0000
18,121
0
5 DR. LISNA K -1 4,281,800 0 0 0 0 0 5,921,000

2 428,180 0 0 0 0 0
06-01-1968 171,272 750,000 289,680 0 0 0 ...............
196801062002122004 4 4,881,252 0 0 0 0 0
( PNS-4A ) MKG:22 0
58.792.324.4-652.000 68 0 0
5,921,000 0 0000
0
0

PEG: 5 1,173,110 0 0 0 0 0
IST: 3 JIWA= 13 393,596 5,200,000 941,460 0 0 0
ANK: 5 21,381,406 0 19,034 0 0
0
334 0
27,542,234 0 19,034
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 TONI ZAINAL ARIFIN,S.KEP K -1 3,743,100 0 0 0 0 0 5,156,900

2 374,310 0 0 0 0 0
26-06-1980 149,724 600,000 289,680 0 0 0 ...............
198006262006041016 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
86 0 0
5,156,900 0 0000
0
0
2 POEOJO EDHI HANDAYANI K -1 4,508,600 0 0 0 0 0 5,766,900

1 450,860 0 0 0 0 0
20-07-1966 90,172 500,000 217,260 0 0 0 ...............
196607201989011002 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:28 0
8 0
5,766,900 0 0 0000
0
0
3 YULIA DAMAYANTI, DR TK-0 3,518,100 0 0 0 0 0 3,590,600

0 0 0 0 0 0 0
22-07-1983 0 0 72,420 0 0 0 ...............
198307222009012004 1 3,518,100 0 0 0 0 0
( PNS-3D ) MKG:12 0
25.848.918.6-629.000 80 0 0
3,590,600 0 0000
0
0
4 KURNIATANININGRUM TK-0 4,602,400 490,000 0 0 9,400 0 5,164,900

0 0 0 0 0 0 0
24-09-1964 0 0 72,420 0 0 0 ...............
196409241988032007 1 4,602,400 0 9,400 0 0 0
( PNS-3C ) MKG:32 0
35.110.505.1-657.000 80 0
5,174,300 0 0 0000
9,400
0
5 DEWI PUSPITASARI, S.FARM. APT K -1 3,075,500 0 0 0 0 0 4,545,800

2 307,550 0 0 0 0 0
03-03-1990 123,020 750,000 289,680 0 0 0 ...............
199003032015032001 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 7 0
50 0 0
4,545,800 0 0000
0
0
6 ASTIKA RISTIKAWATI,S.Kep,NS K -0 3,375,300 0 0 0 0 0 4,047,800

0 0 0 0 0 0 0
11-06-1983 0 600,000 72,420 0 0 0 ...............
198306112006042017 1 3,375,300 0 0 0 0 0
( PNS-3C ) MKG:12 0
58.787.620.2.652.000 80 0 0
4,047,800 0 0
0
7 SEPTIANI AMD KEB K -1 4,065,500 0 0 0 0 0 5,424,400

2 406,550 0 0 0 0 0
12-05-1972 162,620 500,000 289,680 0 0 0 ...............
197205121993032004 4 4,634,670 0 0 0 0 0
( PNS-3C ) MKG:24 0
50 0 0
5,424,400 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 KASIMAN A.MD GIZI K -1 3,821,000 0 0 0 0 0 5,145,700

2 382,100 0 0 0 0 0
12-09-1971 152,840 500,000 289,680 0 0 0 ...............
197109121996031003 4 4,355,940 0 0 0 0 0
( PNS-3C ) MKG:20 0
89.030.132.8-623.000 80 0 0
5,145,700 0 0000
0
0
9 LULUK ERNAWATI, AMD TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
21-09-1974 0 500,000 72,420 0 0 0 ...............
197409212005012006 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.581.6-657.000 80 0
4,054,100 0 0 0000
0
0
10 NINIK MASNIYAH JD-0 4,023,300 0 0 0 0 0 4,513,700

1 0 0 0 0 0 0
26-08-1968 80,466 265,000 144,840 0 0 0 ...............
196808261991032006 2 4,103,766 0 0 0 0 0
( PNS-3B ) MKG:26 0
47.778.513.3.626.000 94 0 0
4,513,700 0 0000
0
0
11 WAHYU HIDAYATI, AMD K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
28-12-1978 133,612 265,000 289,680 0 0 0 ...............
197812282005012010 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
36.778.977.3-629.000 78 0
4,362,700 0 0 0000
0
0
12 ARY WAHYUNI AMD TK-0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
19-01-1980 0 265,000 72,420 0 0 0 ...............
198001192005012011 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
80 0 0
3,677,800 0 0000
0
0
13 SULIKA,AMD.KEB K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
28-04-1981 133,612 265,000 289,680 0 0 0 ...............
198104282006042025 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.597.2-657.000 78 0 0
4,362,700 0 0000
0
0
14 ADE IMA OVAIDA,AMD.FARM K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
03-05-1982 133,612 265,000 289,680 0 0 0 ...............
198205032006042036 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
78 0 0
4,362,700 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 RATIH WIJASTUTIK, AMD.KEP TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
22-06-1979 0 265,000 72,420 0 0 0 ...............
197906222009032004 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
48.274.611.2-623.000 80 0 0
3,476,900 0 0000
0
0
16 PITA ANALIA,AMD.KEB K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
15-11-1983 125,576 265,000 289,680 0 0 0 ...............
198311152009032002 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
4 0
4,133,600 0 0 0000
0
0
17 LINDA PUTRI, AMD,KEP K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
27-01-1988 121,744 265,000 289,680 0 0 0 ...............
198801272011012004 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
54.560.583.4-623.000 16 0 0
4,024,400 0 0000
0
0
18 SUSI DWI LISTIANI K -1 4,415,600 0 0 0 0 0 5,187,000

0 441,560 185,000 0 0 0 0
06-11-1964 0 0 144,840 0 0 0 ...............
196411061994032005 2 4,857,160 0 0 0 0 0
( PNS-3B ) MKG:32 0
58.787.583.2-652.000 0 0
5,187,000 0 0 0000
0
0
19 LULUK ERNAWATI TK-0 4,150,100 0 0 0 0 0 4,407,600

0 0 185,000 0 0 0 0
07-04-1968 0 0 72,420 0 0 0 ...............
196804071989032014 1 4,150,100 0 0 0 0 0
( PNS-3B ) MKG:28 0
58.181.510.9-623.000 80 0 0
4,407,600 0 0000
0
0
20 ANIS SETYOWATI,AMD.KES K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
06-05-1980 120,480 265,000 289,680 0 0 0 ...............
198005062009032003 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0 0
3,988,400 0 0000
0
0
21 MIMIN INDAYANI, AMD.KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
06-07-1980 120,480 265,000 289,680 0 0 0 ...............
198007062009032002 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
55.347.1-623.000 40 0 0
3,988,400 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 RELA SENJAYANI, A.MD.KEP TK-0 3,012,000 0 0 0 0 0 3,349,500

0 0 0 0 0 0 0
08-07-1986 0 265,000 72,420 0 0 0 ...............
198607082010012028 1 3,012,000 0 0 0 0 0
( PNS-3A ) MKG:10 0
80 0 0
3,349,500 0 0000
0
0
23 RIZKA ROMADONA, A.MD.GIZI K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
18-04-1988 120,480 265,000 289,680 0 0 0 ...............
198804182010012015 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0
3,988,400 0 0 0000
0
0
24 AJENG DEWI AMBARWATI, TK-0 3,012,000 0 0 0 0 0 3,349,500

A.MD.KEB 0 0 0 0 0 0 0
13-08-1988 0 265,000 72,420 0 0 0 ...............
198808132010012012 1 3,012,000 0 0 0 0 0
( PNS-3A ) MKG:10 0
46.372.097.9-654.000 80 0 0
3,349,500 0 0000
0
0
25 JOHAN PERMANA ADI, AMD,KEP K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
18-09-1987 116,804 265,000 289,680 0 0 0 ...............
198709182011011003 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
6 0
3,883,600 0 0 0000
0
0
26 MAYNITA SARI,SKM K -1 2,579,400 0 0 0 0 0 3,415,200

2 257,940 185,000 0 0 0 0
12-05-1991 103,176 0 289,680 0 0 0 ...............
199105122020122009 4 2,940,516 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047783208
41.046.415.0-623.000 4 0 0
3,415,200 0 0
0

PEG: 26 5,436,870 555,000 0 0 0 0
IST: 16 JIWA= 72 1,988,418 7,660,000 5,214,240 0 0 0
ANK: 30 97,448,488 0 9,400 0 0
0
1,472 0
111,378,600 0 9,400
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SEPTIA NURVITASARI, AMD. KEB K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
03-09-1990 52,662 240,000 217,260 0 0 0 ...............
199009032015032002 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
2 YURIKA RIMAWANTI, A.MD.KEB K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
30-09-1992 52,662 240,000 217,260 0 0 0 ...............
199209302015032003 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0
3,406,400 0 0 0000
0
0
3 SUCIPTO K -1 3,820,000 0 0 0 0 0 4,824,500

2 382,000 180,000 0 0 0 0
17-01-1965 152,800 0 289,680 0 0 0 ...............
196501172007011009 4 4,354,800 0 0 0 0 0
( PNS-2D ) MKG:33 0
36.263.496.6-623.000 20 0 0
4,824,500 0 0000
0
0
4 WAGIMIN BUDIONO K -1 3,820,000 0 0 0 0 0 4,675,700

1 382,000 180,000 0 0 0 0
15-09-1966 76,400 0 217,260 0 0 0 ...............
196609152007011018 3 4,278,400 0 0 0 0 0
( PNS-2D ) MKG:33 0
58.787.5998623000 40 0
4,675,700 0 0 0000
0
0
5 PADANG MARRETTHA BINTARI K -1 2,374,300 0 0 0 0 0 3,236,500

PULUNTANU ,A.Md.PK 1 237,430 0 0 0 0 0
04-03-1990 47,486 360,000 217,260 0 0 0 ...............
199003042019022001 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
71.735.608.3-652.000 24 0 0
3,236,500 0 0000
0
0
6 ENDAH PURWATI ,A.Md.Keb K -1 2,772,500 0 0 0 0 0 3,502,500

1 277,250 180,000 0 0 0 0
04-11-1984 55,450 0 217,260 0 0 0 ...............
198411042017042009 3 3,105,200 0 0 0 0 0
( PNS-2C ) MKG:15 0
40 0 0
3,502,500 0 0000
0
0
7 ANGGI RAHMA FITRIANA, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Kep 1 230,180 180,000 0 0 0 0
04-02-1988 46,036 0 217,260 0 0 0 ...............
198802042020122003 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1077021155
96.209.930.5-657.000 24 0 0
2,975,300 0 0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 WINDA SIH MAHANANI, AMd. Keb K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
23-12-1988 46,036 0 217,260 0 0 0 ...............
198812232020122003 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047383013
74.738.420.4-623.000 24 0 0
2,975,300 0 0
0
9 NURSALINA TRISNAWATI, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Keb 1 230,180 180,000 0 0 0 0
04-01-1992 46,036 0 217,260 0 0 0 ...............
199201042020122004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047752752
74.629.012.1-623.000 24 0
2,975,300 0 0
0
0
10 NURMA ADE NURIANDINI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A,Md.Kep 0 0 180,000 0 0 0 0
17-07-1992 0 0 72,420 0 0 0 ...............
199207172020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047752850
81.880.463.5-627.000 80 0 0
2,554,300 0 0
0
11 YUNIDA NAWANG SANDRA, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Kep 1 230,180 180,000 0 0 0 0
10-06-1993 46,036 0 217,260 0 0 0 ...............
199306102020122005 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1076285515
41026.808.0-657.000 24 0
2,975,300 0 0
0
0
12 VENI FINITA VALERI, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Kepgi 1 230,180 180,000 0 0 0 0
02-12-1993 46,036 0 217,260 0 0 0 ...............
199312022020122005 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047746027
96.414.726.8-623.000 24 0 0
2,975,300 0 0
0
13 RIZKIA INDI ASTRIA, A.Md.Kes TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
11-09-1996 0 0 72,420 0 0 0 ...............
199609112020122005 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 4 0
96.981.543.0-623.000 80 0 0
2,554,300 0 0
0
14 NURIL LIANA YASIN, A.MD.A.K. TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
31-03-1995 0 0 72,420 0 0 0 ...............
199503312020122006 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 00671118472
74.900.234.1-529.000 80 0 0
2,554,300 0 0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 BAMBANG HARYONO DD-0 3,516,300 0 0 0 0 0 3,768,800

0 0 180,000 0 0 0 0
02-07-1965 0 0 72,420 0 0 0 ...............
196507022007011020 1 3,516,300 0 0 0 0 0
( PNS-2B ) MKG:33 0
80 0 0
3,768,800 0 0000
0
0
16 JUMAIN K -1 2,980,000 0 0 0 0 0 3,602,900

0 298,000 180,000 0 0 0 0
24-04-1965 0 0 144,840 0 0 0 ...............
196504241990121002 2 3,278,000 0 0 0 0 0
( PNS-2A ) MKG:25 0
58.787.601.2-654.000 60 0
3,602,900 0 0 0000
0
0

PEG: 16 3,254,200 2,340,000 0 0 0 0
IST: 12 JIWA= 40 667,640 840,000 2,896,800 0 0 0
ANK: 12 46,885,540 0 0 0 0
0
760 0
52,963,100 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SOLI K -1 2,373,100 0 0 0 0 0 3,170,100

2 237,310 175,000 0 0 0 0
30-06-1980 94,924 0 289,680 0 0 0 ...............
198006302014071002 4 2,705,334 0 0 0 0 0
( PNS-1D ) MKG:19 0
86 0 0
3,170,100 0 0000
0
0
2 MOCHAMAD EFENDI DD-0 2,117,700 0 0 0 0 0 2,594,700

2 0 175,000 0 0 0 0
11-02-1980 84,708 0 217,260 0 0 0 ...............
198002112014071001 3 2,202,408 0 0 0 0 0
( PNS-1B ) MKG:17 0
32 0
2,594,700 0 0 0000
0
0

PEG: 2 237,310 350,000 0 0 0 0
IST: 1 JIWA= 7 179,632 0 506,940 0 0 0
ANK: 4 4,907,742 0 0 0 0
0
118 0
5,764,800 0 0
0
0
TOTAL PER SATKER 157,292,400 490,000 0 0 28,434 0 197,620,300
PEG: 49 10,101,490 3,245,000 0 0 0 0
IST: 32 JIWA= 132 3,229,286 13,700,000 9,559,440 0 0 0
ANK: 51 170,623,176 0 28,434 0 0
0
2,684 0 0
197,648,734 0 28,434
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS KENDALKEREP
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR. DINI TITISARI K -1 4,024,400 0 0 0 0 0 6,077,500

2 402,440 0 0 0 0 0
25-01-1975 160,976 1,200,000 289,680 0 0 0 ...............
197501252005012020 4 4,587,816 0 0 0 0 0
( PNS-4A ) MKG:18 0
4 0 0
6,077,500 0 0000
0
0
2 DR.FIDIA ANGGRAINI K -1 3,666,900 0 0 0 0 0 5,524,200

1 366,690 0 0 0 0 0
05-01-1983 73,338 1,200,000 217,260 0 0 0 ...............
198301052009032006 3 4,106,928 0 0 0 0 0
( PNS-4A ) MKG:13 0
34.380.704.6-623.000 12 0
5,524,200 0 0 0000
0
0
SUB TOTAL PERGOLONGAN : IV 7,691,300 0 0 0 0 0 11,601,700

PEG: 2 769,130 0 0 0 0 0
IST: 2 JIWA= 7 234,314 2,400,000 506,940 0 0 0
ANK: 3 8,694,744 0 0 0 0
0
16 0
11,601,700 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR. ANAK AGUNG I NGURAH.K K -1 3,743,100 0 0 0 0 0 5,306,900

2 374,310 0 0 0 0 0
12-06-1973 149,724 750,000 289,680 0 0 0 ...............
197306122005012009 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.792.361.6-623.000 86 0 0
5,306,900 0 0000
0
0
2 LINDA HERAWATI DRG. TK-0 3,518,100 0 0 0 0 0 4,340,600

0 0 0 0 0 0 0
07-05-1980 0 750,000 72,420 0 0 0 ...............
198005072010012015 1 3,518,100 0 0 0 0 0
( PNS-3D ) MKG:12 0
67.506.228.5-623.000 80 0
4,340,600 0 0 0000
0
0
3 NOVITA YUNIARTI, S.FARM.APT K -1 3,410,600 0 0 0 0 0 4,927,800

2 341,060 0 0 0 0 0
19-06-1981 136,424 750,000 289,680 0 0 0 ...............
198106192011012006 4 3,888,084 0 0 0 0 0
( PNS-3D ) MKG:10 0
36 0 0
4,927,800 0 0000
0
0
4 SUPRATNI A.MK TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
07-08-1964 0 500,000 72,420 0 0 0 ...............
196408071992032003 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.627.7-652.000 80 0
5,086,742 0 0 0000
5,642
0
5 TITIK HARIATI K -1 4,508,600 0 0 0 10,675 0 5,604,300

0 450,860 0 0 0 0 0
18-11-1965 0 500,000 144,840 0 0 0 ...............
196511181988032011 2 4,959,460 0 10,675 0 0 0
( PNS-3D ) MKG:28 0
58.787.616.0-652.000 0 0 0
5,614,975 0 0000
10,675
0
6 VERONICA INDRIATI, K -1 4,108,100 0 0 0 0 0 5,318,400

A.Md.Kes.Lingk 1 410,810 0 0 0 0 0
11-09-1972 82,162 500,000 217,260 0 0 0 ...............
197209111994032003 3 4,601,072 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.526.1-652.000 68 0 0
5,318,400 0 0
0
7 EIRA SARI EKA WARNI, A.Md.Kes TK-0 4,108,100 0 0 0 0 0 4,680,600

0 0 0 0 0 0 0
19-12-1974 0 500,000 72,420 0 0 0 ...............
197412191995032001 1 4,108,100 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.609.5-657.000 80 0 0
4,680,600 0 0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 ANITA SARI, AMD K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
24-04-1976 143,648 500,000 289,680 0 0 0 ...............
197604242003122005 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.613.7.625.000 52 0 0
4,883,700 0 0000
0
0
9 DEVI OLIVIA SORAYA,AMD.GIZI K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
16-06-1974 139,264 500,000 289,680 0 0 0 ...............
197406162006042028 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.360.8-652.000 96 0
4,758,800 0 0 0000
0
0
10 WULAN MUSTIKASARI,AMD.KEB K -0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
28-10-1984 0 500,000 72,420 0 0 0 ...............
198410282006042022 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.715.0-652.000 80 0 0
4,054,100 0 0000
0
0
11 DEWI ISTIROHA, SE K -1 3,554,000 490,000 0 0 0 0 4,544,300

0 355,400 0 0 0 0 0
25-04-1967 0 0 144,840 0 0 0 ...............
196704252014072002 2 3,909,400 0 0 0 0 0
( PNS-3B ) MKG:18 0
60 0
4,544,300 0 0 0000
0
0
12 ETIK LATHIFATUN.H, A.MD.KEP K -1 3,238,300 0 0 0 0 0 4,246,400

2 323,830 0 0 0 0 0
27-03-1985 129,532 265,000 289,680 0 0 0 ...............
198503272009032005 4 3,691,662 0 0 0 0 0
( PNS-3B ) MKG:12 0
36.047.182.5-652.000 58 0 0
4,246,400 0 0000
0
0
13 IRA WAHYU MAULIDA K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
25-02-1978 125,576 265,000 289,680 0 0 0 ...............
197802252006042024 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
58.787.578.2-652.000 4 0 0
4,133,600 0 0000
0
0
14 ARIO YUDHO.W, AMD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
07-10-1984 125,576 265,000 289,680 0 0 0 ...............
198410072009031002 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.434.675.2-654.000 4 0 0
4,133,600 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 RENNY MEITA K -1 3,139,400 0 0 0 0 0 4,133,600

ARIFIYANTI,A.M.d.Kep 2 313,940 0 0 0 0 0
19-05-1985 125,576 265,000 289,680 0 0 0 ...............
198505192009012005 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.675.791.5-652.000 4 0 0
4,133,600 0 0000
0
0
16 RENNY SEPTINING WULANSARI, K -1 3,139,400 0 0 0 0 0 3,998,400

A.MD.KEP 1 313,940 0 0 0 0 0
27-05-1986 62,788 265,000 217,260 0 0 0 ...............
198605272010012020 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
55.702.259.7-259.628 12 0
3,998,400 0 0 0000
0
0
17 ONE ERWIN.J, AMD.KEP TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
12-12-1986 0 265,000 72,420 0 0 0 ...............
198612122009031005 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.994.913.0-652.000 80 0 0
3,476,900 0 0000
0
0
18 FITRI RESTI PRATAMA, A.MD.KEP TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
01-06-1987 0 265,000 72,420 0 0 0 ...............
198706012010012016 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
64.256.757.2-654.000 80 0
3,476,900 0 0 0000
0
0
19 IMA CHAIRUL AMALA, AMD,KES.GI K -1 3,139,400 0 0 0 0 0 3,998,400

1 313,940 0 0 0 0 0
05-09-1987 62,788 265,000 217,260 0 0 0 ...............
198709052010012019 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
35.206.968.6-621.000 12 0 0
3,998,400 0 0000
0
0
20 AGUS SUSANTO, AMD.KEP K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
29-08-1985 60,872 265,000 217,260 0 0 0 ...............
198508292011011004 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
55.991.061.7-655.000 8 0 0
3,891,100 0 0000
0
0
21 RIZKI HANDAYANI, AMB,KEB K -1 3,043,600 0 0 0 0 0 3,757,800

0 304,360 0 0 0 0 0
26-02-1987 0 265,000 144,840 0 0 0 ...............
198702262011012008 2 3,347,960 0 0 0 0 0
( PNS-3B ) MKG: 8 0
0 0 0
3,757,800 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 DEWI KUSUMA WARDHANI, AMD.KEB K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
25-09-1987 121,744 265,000 289,680 0 0 0 ...............
198709252011012004 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
87.394.868.1-652.000 16 0 0
4,024,400 0 0000
0
0
23 SELVI, AMD,KEP TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
29-03-1988 0 265,000 72,420 0 0 0 ...............
198803292011012008 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0
3,381,100 0 0 0000
0
0
24 DANNY REKRA HARIYANI, AMD,KEB K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
06-06-1988 121,744 265,000 289,680 0 0 0 ...............
198806062011012010 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0 0
4,024,400 0 0000
0
0
25 ERMAYANTI, AMD.KEB TK-0 3,043,600 0 0 0 0 0 3,381,100

0 0 0 0 0 0 0
12-09-1988 0 265,000 72,420 0 0 0 ...............
198809122011012004 1 3,043,600 0 0 0 0 0
( PNS-3B ) MKG: 8 0
80 0
3,381,100 0 0 0000
0
0
26 DEVIA TRI MUSTIKANINGTYAS, K -1 3,043,600 0 0 0 0 0 4,024,400

AMD.KEP 2 304,360 0 0 0 0 0
01-12-1988 121,744 265,000 289,680 0 0 0 ...............
198812012011012007 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0 0
4,024,400 0 0000
0
0
27 FIVA KURNIA, AMD.KEB K -1 3,043,600 0 0 0 0 0 3,891,100

1 304,360 0 0 0 0 0
06-12-1989 60,872 265,000 217,260 0 0 0 ...............
198912062011012003 3 3,408,832 0 0 0 0 0
( PNS-3B ) MKG: 8 0
8 0 0
3,891,100 0 0000
0
0
28 SRI SUYATNI K -1 4,150,100 0 0 0 0 0 4,895,000

0 415,010 185,000 0 0 0 0
18-03-1967 0 0 144,840 0 0 0 ...............
196703181986022001 2 4,565,110 0 0 0 0 0
( PNS-3B ) MKG:28 0
58.787.611.1-652.000 50 0 0
4,895,000 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 dr. ILMANIA NORMA AINI K -1 2,688,500 0 0 0 0 0 3,413,400

1 268,850 185,000 0 0 0 0
26-10-1992 53,770 0 217,260 0 0 0 ...............
199210262020122006 3 3,011,120 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0046772938
76.650.923.6-652.000 20 0 0
3,413,400 0 0
0
30 TIASAMANA YUANTI, AMD.KEP K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
20-11-1987 120,480 265,000 289,680 0 0 0 ...............
198711202009032001 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0
3,988,400 0 0 0000
0
0
31 DEWI FATIMAH, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
14-03-1996 0 0 72,420 0 0 0 ...............
199603142020122006 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 2032101995
96.963.347.8-623.000 80 0 0
2,836,900 0 0
0

PEG: 31 7,344,470 555,000 0 0 0 0
IST: 22 JIWA= 83 1,944,284 10,255,000 6,010,860 0 0 0
ANK: 30 113,295,254 0 16,317 0 0
0
1,386 0
130,623,817 0 16,317
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 RENI FATMAWATI ,A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
07-05-1985 115,592 240,000 289,680 0 0 0 ...............
198505072017042008 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:16 0
48 0 0
3,824,100 0 0000
0
0
2 ISRIFA ELLY WINDRIANA TK-0 2,889,800 0 0 0 0 0 3,202,300

,A.Md.Keb 0 0 0 0 0 0 0
17-11-1986 0 240,000 72,420 0 0 0 ...............
198611172017042006 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0
3,202,300 0 0 0000
0
0
3 AMALIATUS SOLIKHA, AMD.KEB K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
25-10-1990 52,662 240,000 217,260 0 0 0 ...............
199010252015032002 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
4 LELY SALISATUL FAUZIYAH TK-0 2,301,800 0 0 0 0 0 2,734,300

,A.Md.Kes 0 0 0 0 0 0 0
27-06-1997 0 360,000 72,420 0 0 0 ...............
199706272019022001 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0
90.945.3.136-654.000 80 0
2,734,300 0 0 0000
0
0
5 CATUR PUJI SUSANTI, AMd. Keb TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
13-04-1991 0 0 72,420 0 0 0 ...............
199104132020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047752884
76.478.900.4-654.000 80 0 0
2,554,300 0 0
0
6 ROBBY FIRMAN HIDAYAT, K -1 2,301,800 0 0 0 0 0 2,975,300

A.M.d.AK. 1 230,180 180,000 0 0 0 0
26-11-1991 46,036 0 217,260 0 0 0 ...............
199111262020121004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0596155511
84.543.481.0-624.000 24 0 0
2,975,300 0 0
0
7 MOCHAMAD FIRMANSYAH, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.K.L. 0 0 180,000 0 0 0 0
18-05-1990 0 0 72,420 0 0 0 ...............
199005182020121003 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0047764599
54.782.764.2-616.000 80 0 0
2,554,300 0 0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM

PEG: 7 782,470 540,000 0 0 0 0
IST: 3 JIWA= 14 214,290 1,080,000 1,013,880 0 0 0
ANK: 4 18,616,660 0 0 0 0
0
460 0
21,251,000 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 MARTOHA K -1 2,686,500 0 0 0 0 0 3,527,300

2 268,650 175,000 0 0 0 0
12-10-1972 107,460 0 289,680 0 0 0 ...............
197210122008011008 4 3,062,610 0 0 0 0 0
( PNS-1D ) MKG:27 0
10 0 0
3,527,300 0 0000
0
0
2 ATIM SURAHMAD K -1 2,447,900 0 0 0 0 0 3,134,000

1 244,790 175,000 0 0 0 0
11-03-1974 48,958 0 217,260 0 0 0 ...............
197403112014071001 3 2,741,648 0 0 0 0 0
( PNS-1D ) MKG:21 0
92 0
3,134,000 0 0 0000
0
0

PEG: 2 513,440 350,000 0 0 0 0
IST: 2 JIWA= 7 156,418 0 506,940 0 0 0
ANK: 3 5,804,258 0 0 0 0
0
102 0
6,661,300 0 0
0
0
TOTAL PER SATKER 134,452,100 490,000 0 0 16,317 0 170,121,500
PEG: 42 9,409,510 1,445,000 0 0 0 0
IST: 29 JIWA= 111 2,549,306 13,735,000 8,038,620 0 0 0
ANK: 40 146,410,916 0 16,317 0 0
0
1,964 0 0
170,137,817 0 16,317
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS KENDALSARI
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 NUR HIDADAYATI DRG K -1 4,463,000 0 0 0 30,383 0 6,415,900

1 446,300 0 0 0 0 0
22-10-1972 89,260 1,200,000 217,260 0 0 0 ...............
197210222002122002 3 4,998,560 0 30,383 0 0 0
( PNS-4B ) MKG:22 0
80 0 0
6,446,283 0 0000
30,383
0
2 DRG. SATINDRI SETYO.P TK-0 4,699,300 0 0 0 26,121 0 5,521,800

0 0 0 0 0 0 0
19-09-1968 0 750,000 72,420 0 0 0 ...............
196809191993122002 1 4,699,300 0 26,121 0 0 0
( PNS-4A ) MKG:28 0
24.108.331-0-628.000 80 0
5,547,921 0 0 0000
26,121
0

PEG: 2 446,300 0 0 0 0 0
IST: 1 JIWA= 4 89,260 1,950,000 289,680 0 0 0
ANK: 1 9,697,860 0 56,504 0 0
0
160 0
11,994,204 0 56,504
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 KETUT WIDIYATI,SE K -1 4,370,900 490,000 0 0 3,367 0 5,442,900

0 437,090 0 0 0 0 0
08-05-1969 0 0 144,840 0 0 0 ...............
196905081989102001 2 4,807,990 0 3,367 0 0 0
( PNS-3D ) MKG:26 0
70 0 0
5,446,267 0 0000
3,367
0
2 DR. USEP ERYADI K -1 3,861,000 0 0 0 0 0 5,441,300

2 386,100 0 0 0 0 0
09-03-1975 154,440 750,000 289,680 0 0 0 ...............
197503092006041010 4 4,401,540 0 0 0 0 0
( PNS-3D ) MKG:18 0
08.724.955.3-623.000 80 0
5,441,300 0 0 0000
0
0
3 DR. KIKI ULFANINGTYAS TK-0 3,518,100 0 0 0 0 0 4,340,600

0 0 0 0 0 0 0
25-08-1982 0 750,000 72,420 0 0 0 ...............
198208252009032004 1 3,518,100 0 0 0 0 0
( PNS-3D ) MKG:12 0
58.787.487.6-652.001 80 0 0
4,340,600 0 0000
0
0
4 LILIK SUPIATI TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
28-01-1967 0 500,000 72,420 0 0 0 ...............
196701281988032007 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.644.2-552.000 80 0
5,086,742 0 0 0000
5,642
0
5 ENDAH DWI SETYORINI K -1 3,982,600 0 0 0 0 0 5,177,800

1 398,260 0 0 0 0 0
20-04-1970 79,652 500,000 217,260 0 0 0 ...............
197004201997032005 3 4,460,512 0 0 0 0 0
( PNS-3D ) MKG:20 0
34.328.553.2-652.000 28 0 0
5,177,800 0 0000
0
0
6 PADMIASIH SANTOSO, A.Md.Farm K -1 3,982,600 0 0 0 0 0 5,177,800

1 398,260 0 0 0 0 0
11-12-1970 79,652 500,000 217,260 0 0 0 ...............
197012111997032003 3 4,460,512 0 0 0 0 0
( PNS-3D ) MKG:20 0
58.787.519.6-623.000 28 0 0
5,177,800 0 0
0
7 RINA RAHAYU, AMD K -1 3,743,100 0 0 0 0 0 5,056,900

2 374,310 0 0 0 0 0
24-03-1982 149,724 500,000 289,680 0 0 0 ...............
198203242003122006 4 4,267,134 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.792.337.6-662.000 86 0 0
5,056,900 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8S U Y A M T I K -1 3,941,400 0 0 0 0 0 5,382,900
2 394,140 0 0 0 0 0
18-01-1972 157,656 600,000 289,680 0 0 0 ...............
197201181995032002 4 4,493,196 0 0 0 0 0
( PNS-3C ) MKG:22 0
24 0 0
5,382,900 0 0000
0
0
9 SUGIONO,AMD.KEP K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
12-02-1974 139,264 500,000 289,680 0 0 0 ...............
197402122006041023 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
96 0
4,758,800 0 0 0000
0
0
10 RIBKA KRISTINA, AMD K -1 3,481,600 0 0 0 0 0 4,474,600

0 348,160 0 0 0 0 0
20-04-1975 0 500,000 144,840 0 0 0 ...............
197504202005012010 2 3,829,760 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.344.2-623.000 0 0 0
4,474,600 0 0000
0
0
11 ERLIE ARIANDIE, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
20-09-1978 139,264 500,000 289,680 0 0 0 ...............
197809202005012019 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.642.6-624.000 96 0
4,758,800 0 0 0000
0
0
12 WIGIARTI, AMD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
06-09-1980 139,264 500,000 289,680 0 0 0 ...............
198009062005012011 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.350.9-623.000 96 0 0
4,758,800 0 0000
0
0
13 SUSANTI,AMD.KEP TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
29-03-1983 0 500,000 72,420 0 0 0 ...............
198303292006042021 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.346.7-654.000 80 0 0
4,054,100 0 0000
0
0
14 ULA FAJRIYAH,AMD.GIZI TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
05-08-1983 0 500,000 72,420 0 0 0 ...............
198308052006042022 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.643.4-623.000 80 0 0
4,054,100 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 SUKMA PRIMA YUDHA, APT K -1 3,375,300 0 0 0 0 0 4,042,700

0 337,530 185,000 0 0 0 0
15-06-1985 0 0 144,840 0 0 0 ...............
198506152010011024 2 3,712,830 0 0 0 0 0
( PNS-3C ) MKG:12 0
35.139.576.9-652.000 30 0 0
4,042,700 0 0000
0
0
16 dr.BONITA SUHARTO K -1 3,445,500 0 0 0 0 0 4,259,900

0 344,550 0 0 0 0 0
06-01-1975 0 325,000 144,840 0 0 0 ...............
197501062019052001 2 3,790,050 0 0 0 0 0
( PNS-3B ) MKG:16 0
71.321.267.8-652.000 10 0
4,259,900 0 0 0000
0
0
17 SILVIA PRATIWI,AMD.KEB K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
24-12-1981 133,612 265,000 289,680 0 0 0 ...............
198112242006042021 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
78 0 0
4,362,700 0 0000
0
0
18 THOIFATUL HASANAH, AMD TK-0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
12-10-1982 0 265,000 72,420 0 0 0 ...............
198210122005012013 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.792.331.,9623.000 80 0
3,677,800 0 0 0000
0
0
19 WIWIN INDAH K,AMD K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
18-03-1983 66,806 265,000 217,260 0 0 0 ...............
198303182006042023 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.792.330.1-654.000 4 0 0
4,223,400 0 0000
0
0
20 AMILIA INDARYANI,A.MD,KEB K -1 3,340,300 0 0 0 0 0 4,084,200

0 334,030 0 0 0 0 0
19-04-1983 0 265,000 144,840 0 0 0 ...............
198304192006042020 2 3,674,330 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.792.345.9-628.000 30 0 0
4,084,200 0 0000
0
0
21 AULIA TRI PUSPITA C.AMD,KEB K -1 3,340,300 0 0 0 0 0 4,223,400

1 334,030 0 0 0 0 0
27-02-1984 66,806 265,000 217,260 0 0 0 ...............
198402272006042015 3 3,741,136 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.792.334.3-623.000 4 0 0
4,223,400 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 IRAWATI,AMD.KEB K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
03-09-1985 125,576 265,000 289,680 0 0 0 ...............
198509032009032003 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
4 0 0
4,133,600 0 0000
0
0
23 IKE YUANITA ANGGRAENI, K -1 3,139,400 0 0 0 0 0 4,133,600

AMD.KEP 2 313,940 0 0 0 0 0
11-06-1986 125,576 265,000 289,680 0 0 0 ...............
198606112009032006 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.280.512.4-657.000 4 0
4,133,600 0 0 0000
0
0
24 JOKO WAHYUDI K -1 3,900,500 0 0 0 0 0 4,770,900

1 390,050 185,000 0 0 0 0
24-04-1968 78,010 0 217,260 0 0 0 ...............
196804241989031009 3 4,368,560 0 0 0 0 0
( PNS-3B ) MKG:24 0
80 0 0
4,770,900 0 0000
0
0
25 SUGIH ARTI, A.MD.KEP K -1 3,012,000 0 0 0 0 0 3,855,700

1 301,200 0 0 0 0 0
15-09-1985 60,240 265,000 217,260 0 0 0 ...............
198509152010012026 3 3,373,440 0 0 0 0 0
( PNS-3A ) MKG:10 0
45.033.511.2-648.000 0 0
3,855,700 0 0 0000
0
0
26 SUCI CANDRAWATI, AMD, KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
23-05-1986 120,480 265,000 289,680 0 0 0 ...............
198605232009032002 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
34.231.154.5-652.000 40 0 0
3,988,400 0 0000
0
0
27 AYU FITRIANINGTYAS, AMD,KEB K -1 2,920,100 0 0 0 0 0 3,622,000

0 292,010 0 0 0 0 0
11-06-1988 0 265,000 144,840 0 0 0 ...............
198806112011012007 2 3,212,110 0 0 0 0 0
( PNS-3A ) MKG: 8 0
45.057.079.1-623.000 50 0 0
3,622,000 0 0000
0
0
28 HANDIKA MAULANA, S.K.M K -1 2,579,400 0 0 0 0 0 3,291,200

1 257,940 185,000 0 0 0 0
06-08-1994 51,588 0 217,260 0 0 0 ...............
199408062020121011 3 2,888,928 0 0 0 0 0
( PNS-3A ) MKG: 1 0 2032102339
41.026.979.9-626.000 12 0 0
3,291,200 0 0
0
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM

PEG: 28 7,969,280 555,000 0 0 0 0
IST: 23 JIWA= 78 1,867,610 10,075,000 5,648,760 0 0 0
ANK: 27 107,859,890 0 9,009 0 0
0
1,350 0
124,639,009 0 9,009
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 QURROTU A'YUNIN ,A.Md.Keb K -1 2,889,800 0 0 0 0 0 3,824,100

2 288,980 0 0 0 0 0
19-08-1986 115,592 240,000 289,680 0 0 0 ...............
198608192017042004 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:16 0
48 0 0
3,824,100 0 0000
0
0
2 ELLIYA RIFANATUL ULFA, TK-0 2,633,100 0 0 0 0 0 2,945,600

A.MD.KEB 0 0 0 0 0 0 0
28-11-1986 0 240,000 72,420 0 0 0 ...............
198611282015032001 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0
2,945,600 0 0 0000
0
0
3 YUSIARWATI K -1 3,820,000 0 0 0 0 0 4,526,900

0 382,000 180,000 0 0 0 0
07-10-1965 0 0 144,840 0 0 0 ...............
196510072007012012 2 4,202,000 0 0 0 0 0
( PNS-2D ) MKG:33 0
58.792.347.5-623.000 60 0 0
4,526,900 0 0000
0
0
4 WASIS K -1 3,590,300 0 0 0 0 0 4,418,400

1 359,030 180,000 0 0 0 0
14-03-1971 71,806 0 217,260 0 0 0 ...............
197103142008011013 3 4,021,136 0 0 0 0 0
( PNS-2D ) MKG:29 0
67.958.482.1,654.000 4 0
4,418,400 0 0 0000
0
0
5 CHAIRUL SALEH K -1 2,980,800 0 0 0 0 0 3,735,800

1 298,080 180,000 0 0 0 0
20-08-1967 59,616 0 217,260 0 0 0 ...............
196708202007011022 3 3,338,496 0 0 0 0 0
( PNS-2D ) MKG:17 0
58.792.339.2-652.000 44 0 0
3,735,800 0 0000
0
0
6 ANGGITA PUTRI JATMIKO TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
16-09-1996 0 360,000 72,420 0 0 0 ...............
199609162019022003 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.855.969.3-652.000 80 0 0
2,806,800 0 0000
0
0
7 MUCHAMAD AGUS SUPRIYANTO K -1 3,339,400 0 0 0 0 0 4,276,600

2 333,940 180,000 0 0 0 0
16-02-1970 133,576 0 289,680 0 0 0 ...............
197002161992031006 4 3,806,916 0 0 0 0 0
( PNS-2C ) MKG:27 0
08.723.267.4-623.000 4 0 0
4,276,600 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 KIKI RIZKI UTAMI, A.Md.Kepgi TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
02-07-1994 0 0 72,420 0 0 0 ...............
199407022020122007 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 2032102363
41.058.466.8-602.000 80 0 0
2,554,300 0 0
0
9 LUSIA PRILA ROSANTI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kep. 0 0 180,000 0 0 0 0
19-03-1996 0 0 72,420 0 0 0 ...............
199603192020122008 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1087023440
96.976.911.6-657.000 80 0
2,554,300 0 0
0
0
10 AYU IKA NUR FITRIA, A.Md.Kes. TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
18-03-1998 0 0 72,420 0 0 0 ...............
199803182020122002 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0267751200
96.968.792.2-617.000 80 0 0
2,554,300 0 0
0
11 IKE FITRIA R.D, A.Md.Keb K -0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
02-05-1989 0 0 72,420 0 0 0 ...............
198905022020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0047535743
26.280.154.1-623.000 80 0
2,554,300 0 0
0
0
12 VIVIN AVIANTI, A.Md.Kep TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
17-06-1996 0 0 72,420 0 0 0 ...............
199606172020122011 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 1087023431
96.975.787.1-657.000 80 0 0
2,554,300 0 0
0

PEG: 12 1,662,030 1,620,000 0 0 0 0
IST: 5 JIWA= 23 380,590 840,000 1,665,660 0 0 0
ANK: 6 35,179,320 0 0 0 0
0
720 0
39,305,700 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SUKADI K -1 2,324,200 0 0 0 0 0 3,114,300

2 232,420 175,000 0 0 0 0
10-05-1975 92,968 0 289,680 0 0 0 ...............
197505102014071003 4 2,649,588 0 0 0 0 0
( PNS-1B ) MKG:23 0
32 0 0
3,114,300 0 0000
0
0
2 YULIONO K -1 2,117,700 0 0 0 0 0 2,649,400

0 211,770 175,000 0 0 0 0
08-07-1969 0 0 144,840 0 0 0 ...............
196907082014071001 2 2,329,470 0 0 0 0 0
( PNS-1B ) MKG:17 0
90 0
2,649,400 0 0 0000
0
0

PEG: 2 444,190 350,000 0 0 0 0
IST: 2 JIWA= 6 92,968 0 434,520 0 0 0
ANK: 2 4,979,058 0 0 0 0
0
122 0
5,763,700 0 0
0
0
TOTAL PER SATKER 144,763,900 490,000 0 0 65,513 0 181,637,100
PEG: 44 10,521,800 2,525,000 0 0 0 0
IST: 31 JIWA= 111 2,430,428 12,865,000 8,038,620 0 0 0
ANK: 36 157,716,128 0 65,513 0 0
0
2,352 0 0
181,702,613 0 65,513
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG.AGUS PRASETYO K -1 5,266,100 0 0 0 60,413 0 7,493,100

2 526,610 0 0 0 0 0
02-08-1964 210,644 1,200,000 289,680 0 0 0 ...............
196408021989101001 4 6,003,354 0 60,413 0 0 0
( PNS-4C ) MKG:31 0
66 0 0
7,553,513 0 0000
60,413
0
2 DR.MUTMAINAH TK-0 4,151,100 0 0 0 22,758 0 5,423,600

0 0 0 0 0 0 0
08-07-1975 0 1,200,000 72,420 0 0 0 ...............
197507082005012008 1 4,151,100 0 22,758 0 0 0
( PNS-4A ) MKG:20 0
89.891.045.0-656.000 80 0
5,446,358 0 0 0000
22,758
0
3 DRG. ISNAINI TK-0 3,782,400 0 0 0 6,121 0 5,054,900

0 0 0 0 0 0 0
21-05-1973 0 1,200,000 72,420 0 0 0 ...............
197305212008042001 1 3,782,400 0 6,121 0 0 0
( PNS-4A ) MKG:14 0
80 0 0
5,061,021 0 0000
6,121
0
4 DR. IRHAM NIZAMI K -1 3,666,900 0 0 0 2,146 0 5,378,500

0 366,690 0 0 0 0 0
20-07-1976 0 1,200,000 144,840 0 0 0 ...............
197607202009031002 2 4,033,590 0 2,146 0 0 0
( PNS-4A ) MKG:12 0
08.735.694.5-623.000 70 0
5,380,646 0 0 0000
2,146
0

PEG: 4 893,300 0 0 0 0 0
IST: 2 JIWA= 8 210,644 4,800,000 579,360 0 0 0
ANK: 2 17,970,444 0 91,438 0 0
0
296 0
23,441,538 0 91,438
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 AHMAD SYAIHUDIN ANWARI K -1 4,508,600 0 0 0 0 0 5,929,500

2 450,860 0 0 0 0 0
10-08-1966 180,344 500,000 289,680 0 0 0 ...............
196608101988031011 4 5,139,804 0 0 0 0 0
( PNS-3D ) MKG:28 0
58.787.561.8-652.000 16 0 0
5,929,500 0 0000
0
0
2 ANDIK SANTOSO K -1 4,508,600 0 0 0 0 0 5,766,900

1 450,860 0 0 0 0 0
18-06-1967 90,172 500,000 217,260 0 0 0 ...............
196706181988121001 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:28 0
58.787.437.1-652.000 8 0
5,766,900 0 0 0000
0
0
3 AIK MARJATI TK-0 4,370,900 0 0 0 0 0 4,943,400

0 0 0 0 0 0 0
30-09-1969 0 500,000 72,420 0 0 0 ...............
196909301991022001 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
80 0 0
4,943,400 0 0000
0
0
4 LINDA HARIANI, AMD K -1 3,628,900 0 0 0 0 0 4,926,700

2 362,890 0 0 0 0 0
05-02-1981 145,156 500,000 289,680 0 0 0 ...............
198102052005012014 4 4,136,946 0 0 0 0 0
( PNS-3D ) MKG:15 0
58.787.555.5-623.000 74 0
4,926,700 0 0 0000
0
0
5 DRG. CAMELIA FINDA. A TK-0 3,861,000 0 0 0 0 0 4,258,500

0 0 0 0 0 0 0
13-01-1975 0 325,000 72,420 0 0 0 ...............
197501132003122007 1 3,861,000 0 0 0 0 0
( PNS-3D ) MKG:18 0
25.416.066.6-652.000 80 0 0
4,258,500 0 0000
0
0
6 JOKO HARI SETIAWAN TK-0 4,461,800 490,000 0 0 3,054 0 5,024,300

0 0 0 0 0 0 0
01-01-1965 0 0 72,420 0 0 0 ...............
196501011986031038 1 4,461,800 0 3,054 0 0 0
( PNS-3C ) MKG:30 0
80 0 0
5,027,354 0 0000
3,054
0
7 IDA YUSMIYA K -1 4,193,500 0 0 0 0 0 5,414,000

1 419,350 0 0 0 0 0
09-12-1971 83,870 500,000 217,260 0 0 0 ...............
197112091991022001 3 4,696,720 0 0 0 0 0
( PNS-3C ) MKG:26 0
20 0 0
5,414,000 0 0000
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 IKE APRILIA K -1 3,591,200 0 0 0 0 0 4,883,700

PUSPITARINI,A.Md,SKM 2 359,120 0 0 0 0 0
18-04-1980 143,648 500,000 289,680 0 0 0 ...............
198004182002122005 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
123456789 52 0 0
4,883,700 0 0000
0
0
9 INDAH KURNIAWATI, AMD.KEB K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
25-09-1980 143,648 500,000 289,680 0 0 0 ...............
198009252003122003 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.493.4-624.000 52 0
4,883,700 0 0 0000
0
0
10 DIYAH SETYOWATI, AMD TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
10-09-1974 0 500,000 72,420 0 0 0 ...............
197409102005012007 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
80 0 0
4,054,100 0 0000
0
0
11 ANDI MARIANTO,AMD K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
17-03-1982 69,632 500,000 217,260 0 0 0 ...............
198203172006041012 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.511.3-652.000 48 0
4,616,700 0 0 0000
0
0
12 ATHIROTIN HALAWIYAH ,S.Farm, K -1 2,773,200 0 0 0 0 0 3,648,300

Apt 1 277,320 0 0 0 0 0
08-11-1993 55,464 325,000 217,260 0 0 0 ...............
199311082019022003 3 3,105,984 0 0 0 0 0
( PNS-3B ) MKG: 2 0
819620303623000 56 0 0
3,648,300 0 0000
0
0
13 ELINA NOVA TIMORA KD, AMD TK-0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
17-11-1982 0 265,000 72,420 0 0 0 ...............
198211172005012012 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.569.1-652.000 80 0 0
3,677,800 0 0000
0
0
14 MUNAWAROH, AMD.FARM TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
24-01-1979 0 265,000 72,420 0 0 0 ...............
197901242009032001 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
54.727.409.2-654.000 80 0 0
3,476,900 0 0000
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 TRIAN LUTFIANTI,AMD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
18-07-1985 125,576 265,000 289,680 0 0 0 ...............
198507182009032003 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
14.401.970.0-657.000 4 0 0
4,133,600 0 0000
0
0
16 MAGDALENA DYAH.P, AMD.KEB TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
25-09-1986 0 265,000 72,420 0 0 0 ...............
198609252009032004 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
45.600.797.0-657.000 80 0
3,476,900 0 0 0000
0
0
17 CHANDRA YUANIKA SARI,AMD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
27-09-1986 125,576 265,000 289,680 0 0 0 ...............
198609272009032002 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.489.273.2-652.000 4 0 0
4,133,600 0 0000
0
0
18 YUSTINA SRI HASTUTI JD-0 4,280,800 0 0 0 0 0 4,696,300

1 0 185,000 0 0 0 0
17-10-1964 85,616 0 144,840 0 0 0 ...............
196410171987032016 2 4,366,416 0 0 0 0 0
( PNS-3B ) MKG:30 0
58.787.567.5.652.000 44 0
4,696,300 0 0 0000
0
0
19 dr. DYTA KURNIA DWI AFIFAH K -1 2,688,500 0 0 0 0 0 3,413,400

1 268,850 185,000 0 0 0 0
18-07-1993 53,770 0 217,260 0 0 0 ...............
199307182020122005 3 3,011,120 0 0 0 0 0
( PNS-3B ) MKG: 1 0 2032101723
82.314.704.6-643.000 20 0 0
3,413,400 0 0
0
20 WAWAT WATINI, AMD K -1 3,204,700 0 0 0 0 0 4,208,100

2 320,470 0 0 0 0 0
06-06-1981 128,188 265,000 289,680 0 0 0 ...............
198106062005012019 4 3,653,358 0 0 0 0 0
( PNS-3A ) MKG:14 0
62 0 0
4,208,100 0 0000
0
0
21 NURUL DIAN KRISANTI,AMD.KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
03-03-1984 120,480 265,000 289,680 0 0 0 ...............
198403032009032004 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
46.599.258.4-657.000 40 0 0
3,988,400 0 0000
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 ENGGAL IRIFA ARSYAD, AMD.KEB K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
10-01-1991 116,804 265,000 289,680 0 0 0 ...............
199101102011012002 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
44.393.508.5-623.000 6 0 0
3,883,600 0 0000
0
0
23 MAHDA KHAIRINA, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

0 0 185,000 0 0 0 0
03-08-1995 0 0 72,420 0 0 0 ...............
199508032020122009 1 2,579,400 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047752825
90.046.609.5-652.000 80 0
2,836,900 0 0
0
0

PEG: 23 4,838,090 555,000 0 0 0 0
IST: 14 JIWA= 61 1,667,944 7,270,000 4,417,620 0 0 0
ANK: 24 87,541,534 0 3,054 0 0
0
1,146 0
100,278,354 0 3,054
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SILMI NUR MAULIDAH, TK-0 2,801,500 0 0 0 0 0 3,114,000

AMD.KES.GI 0 0 0 0 0 0 0
05-11-1988 0 240,000 72,420 0 0 0 ...............
198811052011012005 1 2,801,500 0 0 0 0 0
( PNS-2D ) MKG:13 0
80 0 0
3,114,000 0 0000
0
0
2 ANNISA KURNIA DEWI HARDIYANTI TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
21-06-1996 0 360,000 72,420 0 0 0 ...............
199606212019022003 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
907913172654000 80 0
2,806,800 0 0 0000
0
0
3 DINA KRISTIANA SUMADI K -1 2,772,500 0 0 0 0 0 3,690,400

,A.Md.Keb 2 277,250 0 0 0 0 0
30-07-1983 110,900 240,000 289,680 0 0 0 ...............
198307302017042001 4 3,160,650 0 0 0 0 0
( PNS-2C ) MKG:15 0
70 0 0
3,690,400 0 0000
0
0
4 NURUL CHOTIMAH ,A.Md.Keb K -1 2,772,500 0 0 0 0 0 3,502,500

1 277,250 180,000 0 0 0 0
25-04-1983 55,450 0 217,260 0 0 0 ...............
198304252017042006 3 3,105,200 0 0 0 0 0
( PNS-2C ) MKG:15 0
40 0
3,502,500 0 0 0000
0
0
5 NISA ADZKIYA, A.Md.AK K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
23-08-1986 46,036 0 217,260 0 0 0 ...............
198608232020122004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 2032102185
96.976.911.6-657.000 24 0 0
2,975,300 0 0
0
6 MICHELLE CYNTHIA PURNAMA, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Keb 1 230,180 180,000 0 0 0 0
17-10-1991 46,036 0 217,260 0 0 0 ...............
199110172020122002 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0048150331
73.753.978.3-505.000 24 0 0
2,975,300 0 0000
0
0
7 FENNY NURBAITA, A.Md.Kep K -0 2,301,800 0 0 0 0 0 2,672,700

1 0 180,000 0 0 0 0
19-02-1992 46,036 0 144,840 0 0 0 ...............
199202192020122002 2 2,347,836 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047752809
41.096.157.7.652.000 24 0 0
2,672,700 0 0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 MAULIDIANNE HARI SAPUTRI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md. 0 0 180,000 0 0 0 0
31-08-1993 0 0 72,420 0 0 0 ...............
199308312020122010 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 2032102304
80.380.211.5-604.000 80 0 0
2,554,300 0 0
0
9 SHEILMA ALTECIA, Amd.KL TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
03-04-1994 0 0 72,420 0 0 0 ...............
199404032020122006 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 1852053204
46.634.980.0-606.000 80 0
2,554,300 0 0
0
0

PEG: 9 1,014,860 1,080,000 0 0 0 0
IST: 4 JIWA= 19 304,458 840,000 1,375,980 0 0 0
ANK: 6 23,549,118 0 0 0 0
0
502 0
26,845,600 0 0
0
0
PUSKESMAS MOJOLANGU
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SUGENG HARIANTO K -1 2,117,700 0 0 0 0 0 2,878,900

2 211,770 175,000 0 0 0 0
07-08-1975 84,708 0 289,680 0 0 0 ...............
197508072014071002 4 2,414,178 0 0 0 0 0
( PNS-1B ) MKG:17 0
42 0 0
2,878,900 0 0000
0
0

PEG: 1 211,770 175,000 0 0 0 0
IST: 1 JIWA= 4 84,708 0 289,680 0 0 0
ANK: 2 2,414,178 0 0 0 0
0
42 0
2,878,900 0 0
0
0
TOTAL PER SATKER 122,249,500 490,000 0 0 94,492 0 153,349,900
PEG: 37 6,958,020 1,810,000 0 0 0 0
IST: 21 JIWA= 92 2,267,754 12,910,000 6,662,640 0 0 0
ANK: 34 131,475,274 0 94,492 0 0
0
1,986 0 0
153,444,392 0 94,492
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 drg.ENDAH YUNIASTUTI K -1 4,194,600 0 0 0 16,817 0 6,115,300

1 419,460 0 0 0 0 0
18-06-1972 83,892 1,200,000 217,260 0 0 0 ...............
197206182002122003 3 4,697,952 0 16,817 0 0 0
( PNS-4B ) MKG:18 0
24.172.796.5-648.001 88 0 0
6,132,117 0 0000
16,817
0
2 DRG. HELMIE WIBISONO K -1 3,901,500 0 0 0 0 0 5,937,400

2 390,150 0 0 0 0 0
02-02-1977 156,060 1,200,000 289,680 0 0 0 ...............
197702022005011007 4 4,447,710 0 0 0 0 0
( PNS-4A ) MKG:16 0
08.727.596.2-623.000 10 0
5,937,400 0 0 0000
0
0
3 ERNY TRI HARDINI TK-0 4,847,300 0 0 0 37,550 0 5,769,800

0 0 0 0 0 0 0
16-05-1967 0 850,000 72,420 0 0 0 ...............
196705161989032012 1 4,847,300 0 37,550 0 0 0
( PNS-4A ) MKG:30 0
58.787.699.6-623.000 80 0 0
5,807,350 0 0000
37,550
0
4 SUNARLIS, S.Kep.Ners K -1 4,555,800 0 0 0 7,246 0 6,333,300

2 455,580 0 0 0 0 0
09-02-1968 182,232 850,000 289,680 0 0 0 ...............
196802091990032009 4 5,193,612 0 7,246 0 0 0
( PNS-4A ) MKG:26 0
58.787.546.9-623.000 8 0
6,340,546 0 0 0000
7,246
0

PEG: 4 1,265,190 0 0 0 0 0
IST: 3 JIWA= 12 422,184 4,100,000 869,040 0 0 0
ANK: 5 19,186,574 0 61,613 0 0
0
186 0
24,217,413 0 61,613
0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 NANIK RUBIATI, SE TK-0 4,370,900 490,000 0 0 0 0 4,933,400

0 0 0 0 0 0 0
27-12-1967 0 0 72,420 0 0 0 ...............
196712271987032001 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.533.7-623.000 80 0 0
4,933,400 0 0000
0
0
2 DINNA INDARTI DRG. K -1 3,518,100 0 0 0 0 0 4,907,600

1 351,810 0 0 0 0 0
17-07-1978 70,362 750,000 217,260 0 0 0 ...............
197807172010012012 3 3,940,272 0 0 0 0 0
( PNS-3D ) MKG:12 0
36.717977.7-623.000 68 0
4,907,600 0 0 0000
0
0
3 DR. DEVILLIYA AGUSTIN K -1 3,410,600 0 0 0 0 0 4,927,800

NIKMATUS.S 2 341,060 0 0 0 0 0
30-08-1982 136,424 750,000 289,680 0 0 0 ...............
198208302011012002 4 3,888,084 0 0 0 0 0
( PNS-3D ) MKG:10 0
36 0 0
4,927,800 0 0000
0
0
4 MAIRIYAH K -1 4,508,600 0 0 0 10,675 0 5,604,300

0 450,860 0 0 0 0 0
07-06-1965 0 500,000 144,840 0 0 0 ...............
196506071988032011 2 4,959,460 0 10,675 0 0 0
( PNS-3D ) MKG:28 0
58.787.747.3-623.000 0 0
5,614,975 0 0 0000
10,675
0
5 SRI HIDAYATI.M K -1 4,508,600 0 0 0 0 0 5,766,900

1 450,860 0 0 0 0 0
18-09-1965 90,172 500,000 217,260 0 0 0 ...............
196509181992032006 3 5,049,632 0 0 0 0 0
( PNS-3D ) MKG:28 0
58.787.543.6-623.000 8 0 0
5,766,900 0 0000
0
0
6 NI NYOMAN WIDIANI TK-0 4,370,900 0 0 0 0 0 4,943,400

0 0 0 0 0 0 0
07-01-1970 0 500,000 72,420 0 0 0 ...............
197001071990032006 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.551.9-623.000 80 0 0
4,943,400 0 0000
0
0
7 SUHARTIK TITIK.S TK-0 4,237,500 0 0 0 0 0 4,810,000

0 0 0 0 0 0 0
04-08-1971 0 500,000 72,420 0 0 0 ...............
197108041992032007 1 4,237,500 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.544.4-623.000 80 0 0
4,810,000 0 0000
0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SOFIANA INDRIATI, A.Md.Keb. K -1 4,108,100 0 0 0 0 0 5,473,000

2 410,810 0 0 0 0 0
07-07-1972 164,324 500,000 289,680 0 0 0 ...............
197207071993032001 4 4,683,234 0 0 0 0 0
( PNS-3D ) MKG:22 0
12369 86 0 0
5,473,000 0 0
0
9 EKOWATI WIKANDINI JD-0 4,237,500 0 0 0 0 0 4,652,100

1 0 185,000 0 0 0 0
10-03-1967 84,750 0 144,840 0 0 0 ...............
196703101992032014 2 4,322,250 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.541.0-654.000 10 0
4,652,100 0 0 0000
0
0
10 dr, GAMAR K -1 3,704,300 0 0 0 0 0 5,116,100

1 370,430 0 0 0 0 0
25-02-1970 74,086 750,000 217,260 0 0 0 ...............
197002252012122001 3 4,148,816 0 0 0 0 0
( PNS-3C ) MKG:18 0
24 0 0
5,116,100 0 0000
0
0
11 SUDJAROH, S.KM TK-0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
15-01-1978 0 500,000 72,420 0 0 0 ...............
197801152006042017 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
80 0
4,054,100 0 0 0000
0
0
12 DR CANDRA ADITIARSO K -1 3,075,500 0 0 0 0 0 3,795,800

2 307,550 0 0 0 0 0
14-03-1988 123,020 0 289,680 0 0 0 ...............
198803142015031001 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0 0
3,795,800 0 0000
0
0
13 SARAH NURLAILAH ,S.farm.Apt TK-0 2,773,200 0 0 0 0 0 3,170,700

0 0 0 0 0 0 0
21-03-1994 0 325,000 72,420 0 0 0 ...............
199403212019022007 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
90.864.547.6-654.000 80 0 0
3,170,700 0 0000
0
0
14 NGESTHISRI SRI LESTARI, AMD TK-0 3,340,300 0 0 0 0 0 3,677,800

KEP 0 0 0 0 0 0 0
30-12-1974 0 265,000 72,420 0 0 0 ...............
197412302005012005 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.531.1-623.000 80 0 0
3,677,800 0 0000
0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 DEDI DWI INDARTO, AMD,FARM K -1 3,043,600 0 0 0 0 0 3,757,800

0 304,360 0 0 0 0 0
13-02-1988 0 265,000 144,840 0 0 0 ...............
198802132011011001 2 3,347,960 0 0 0 0 0
( PNS-3B ) MKG: 8 0
0 0 0
3,757,800 0 0000
0
0
16 ACHMADIAN KURNIAWAN AMD KEP K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
21-08-1988 121,744 265,000 289,680 0 0 0 ...............
198808212011011004 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
16 0
4,024,400 0 0 0000
0
0
17 dr. SITI NURRAKHMA ARUM K -0 2,688,500 0 0 0 0 0 2,946,000

KURNIA 0 0 185,000 0 0 0 0
13-03-1990 0 0 72,420 0 0 0 ...............
199003132020122007 1 2,688,500 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0047755964
70.241.531.6-652.000 80 0 0
2,946,000 0 0
0
18 MEILIA KURNIAWATI, A.MD.GIZI K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
09-05-1984 120,480 265,000 289,680 0 0 0 ...............
198405092010012020 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
45.127.835.2-623.000 40 0
3,988,400 0 0 0000
0
0
19 BINTI NAFIAH, AMD.KEB K -1 3,012,000 0 0 0 0 0 3,855,700

1 301,200 0 0 0 0 0
18-08-1984 60,240 265,000 217,260 0 0 0 ...............
198408182009032006 3 3,373,440 0 0 0 0 0
( PNS-3A ) MKG:10 0
0 0 0
3,855,700 0 0000
0
0
20 NUNIK MASFIA YAHYA, A.Md.Kep. K -1 2,920,100 0 0 0 0 0 3,752,800

1 292,010 0 0 0 0 0
24-06-1988 58,402 265,000 217,260 0 0 0 ...............
198806242011012007 3 3,270,512 0 0 0 0 0
( PNS-3A ) MKG: 8 0
1239 28 0 0
3,752,800 0 0
0
21 VISKA YOLANDA, S.K.M K -1 2,579,400 0 0 0 0 0 3,167,200

0 257,940 185,000 0 0 0 0
03-07-1995 0 0 144,840 0 0 0 ...............
199507032020122007 2 2,837,340 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047735769
83.769.825.7-623.000 20 0 0
3,167,200 0 0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM

PEG: 21 4,444,450 555,000 0 0 0 0
IST: 13 JIWA= 50 1,104,004 7,165,000 3,621,000 0 0 0
ANK: 16 79,493,354 0 10,675 0 0
0
946 0
91,335,975 0 10,675
0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 EKO YUNIATI, AMD, KES GIGI K -1 2,801,500 0 0 0 0 0 3,723,400

2 280,150 0 0 0 0 0
04-06-1984 112,060 240,000 289,680 0 0 0 ...............
198406042011012002 4 3,193,710 0 0 0 0 0
( PNS-2D ) MKG:13 0
10 0 0
3,723,400 0 0000
0
0
2 FARAH DILA EKA RAHMADIAN TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
20-08-1997 0 360,000 72,420 0 0 0 ...............
199708202019022001 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.863.689.7.623.000 80 0
2,806,800 0 0 0000
0
0
3 FIDIYA MIRZA RAHMAN,A,Md.Keb TK-0 2,772,500 0 0 0 0 0 3,085,000

0 0 0 0 0 0 0
02-03-1981 0 240,000 72,420 0 0 0 ...............
198103022019052002 1 2,772,500 0 0 0 0 0
( PNS-2C ) MKG:15 0
66.509.265.6-623.000 80 0 0
3,085,000 0 0000
0
0
4 RIZAL SEPTIAN, A.Md.Kep K -1 2,301,800 0 0 0 0 0 3,093,800

2 230,180 180,000 0 0 0 0
29-09-1988 92,072 0 289,680 0 0 0 ...............
198809292020121003 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047571481
82.060.644.0-623.000 68 0
3,093,800 0 0
0
0
5 MARTHA HIDAYATI, A.Md.Kep K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
13-03-1989 46,036 0 217,260 0 0 0 ...............
198903132020122006 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047735947
76.390.056.0-625.000 24 0 0
2,975,300 0 0
0
6 ARISKA WULANDARI, A.Md TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
09-06-1993 0 0 72,420 0 0 0 ...............
199306092020122010 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0047735921
80.450.559.2-655.000 80 0 0
2,554,300 0 0
0
7 PUTRI NUR BARLIANTI, A.Md.Kep K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
05-12-1995 46,036 0 217,260 0 0 0 ...............
199512052020122003 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047714729
94.757.944.7-623.000 24 0 0
2,975,300 0 0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 YANITA CITRA DEVI VINASTHIKA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes 0 0 180,000 0 0 0 0
20-01-1997 0 0 72,420 0 0 0 ...............
199701202020122007 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1862028968
96.059.434.9-609.000 80 0 0
2,554,300 0 0
0
9 YOVINSA WIDYA PUTRI AKIMAS, K -1 2,301,800 0 0 0 0 0 3,093,800

AMd.Keb 2 230,180 180,000 0 0 0 0
20-11-1990 92,072 0 289,680 0 0 0 ...............
199011202020122001 4 2,624,052 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0602306551
98.840.254.5-654.000 68 0
3,093,800 0 0
0
0
10 AMELIA OKTAVIANI, A.MdKeb TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
06-10-1993 0 0 72,420 0 0 0 ...............
199310062020122002 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0047735777
41.046.949.8-623.000 80 0 0
2,554,300 0 0
0
11 NIRMA KRISTI UMAMI, A.Md.Kes TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
07-06-2020 0 0 72,420 0 0 0 ...............
199806072020122002 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0047735939
96.84.839.6-623.000 80 0
2,554,300 0 0
0
0
12 SUGIANTO K -1 3,270,600 0 0 0 0 0 3,922,500

0 327,060 180,000 0 0 0 0
02-11-1968 0 0 144,840 0 0 0 ...............
196811022014071001 2 3,597,660 0 0 0 0 0
( PNS-2A ) MKG:31 0
0 0 0
3,922,500 0 0000
0
0

PEG: 12 1,527,930 1,620,000 0 0 0 0
IST: 6 JIWA= 26 388,276 840,000 1,882,920 0 0 0
ANK: 8 31,549,506 0 0 0 0
0
674 0
35,893,100 0 0
0
0
PUSKESMAS MULYOREJO
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 BAMBANG SUWONDO K -1 2,053,100 0 0 0 0 0 2,805,300

2 205,310 175,000 0 0 0 0
09-03-1979 82,124 0 289,680 0 0 0 ...............
197903092014071004 4 2,340,534 0 0 0 0 0
( PNS-1B ) MKG:15 0
86 0 0
2,805,300 0 0000
0
0

PEG: 1 205,310 175,000 0 0 0 0
IST: 1 JIWA= 4 82,124 0 289,680 0 0 0
ANK: 2 2,340,534 0 0 0 0
0
86 0
2,805,300 0 0
0
0
TOTAL PER SATKER 123,130,500 490,000 0 0 72,288 0 154,179,500
PEG: 38 7,442,880 2,350,000 0 0 0 0
IST: 23 JIWA= 92 1,996,588 12,105,000 6,662,640 0 0 0
ANK: 31 132,569,968 0 72,288 0 0
0
1,892 0 0
154,251,788 0 72,288
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS PANDANWANGI
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 IKA AGUSTIEN HAIRIZAH DRG TK-0 4,066,500 0 0 0 18,942 0 5,339,000

0 0 0 0 0 0 0
01-08-1971 0 1,200,000 72,420 0 0 0 ...............
197108012005022004 1 4,066,500 0 18,942 0 0 0
( PNS-4B ) MKG:16 0
49.674.629.8-214.000 80 0 0
5,357,942 0 0000
18,942
0
2 DR. SRI PURWANI TK-0 4,066,500 0 0 0 18,942 0 5,339,000

0 0 0 0 0 0 0
08-07-1974 0 1,200,000 72,420 0 0 0 ...............
197407082005012014 1 4,066,500 0 18,942 0 0 0
( PNS-4B ) MKG:16 0
35.132.656.6-652.000 80 0
5,357,942 0 0 0000
18,942
0
3 DRG. AS'ADAH RAHMI TK-0 4,281,800 0 0 0 28,658 0 5,554,300

0 0 0 0 0 0 0
21-09-1972 0 1,200,000 72,420 0 0 0 ...............
197209212005012008 1 4,281,800 0 28,658 0 0 0
( PNS-4A ) MKG:22 0
80 0 0
5,582,958 0 0000
28,658
0

PEG: 3 0 0 0 0 0 0
IST: 0 JIWA= 3 0 3,600,000 217,260 0 0 0
ANK: 0 12,414,800 0 66,542 0 0
0
240 0
16,298,842 0 66,542
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ERMA LISTYOWATI TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
30-12-1968 0 500,000 72,420 0 0 0 ...............
196812301989022005 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
89.007.980.9-652.000 80 0 0
5,086,742 0 0000
5,642
0
2 R I A N, A.Md.Keb K -1 4,370,900 0 0 0 0 0 5,772,600

2 437,090 0 0 0 0 0
01-09-1966 174,836 500,000 289,680 0 0 0 ...............
196609011989112002 4 4,982,826 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.671.5-657.000 94 0
5,772,600 0 0
0
0
3 ENDAH WULANDARI,E K -1 4,370,900 0 0 0 0 0 5,612,700

1 437,090 0 0 0 0 0
19-03-1969 87,418 500,000 217,260 0 0 0 ...............
196903191993032008 3 4,895,408 0 0 0 0 0
( PNS-3D ) MKG:26 0
25.473.195.3-652.000 32 0 0
5,612,700 0 0000
0
0
4 ENDANG SUHARTATIK K -1 4,325,600 490,000 0 0 0 0 5,552,000

1 432,560 0 0 0 0 0
09-06-1965 86,512 0 217,260 0 0 0 ...............
196506091987122002 3 4,844,672 0 0 0 0 0
( PNS-3C ) MKG:28 0
08.731.422.5-623.001 68 0
5,552,000 0 0 0000
0
0
5 DR AULIA NUR AINI K -1 3,075,500 0 0 0 0 0 4,545,800

2 307,550 0 0 0 0 0
25-11-1987 123,020 750,000 289,680 0 0 0 ...............
198711252015032001 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0 0
4,545,800 0 0000
0
0
6 SYAIFUL ARIEF K -1 3,821,000 0 0 0 0 0 5,145,700

2 382,100 0 0 0 0 0
23-05-1974 152,840 500,000 289,680 0 0 0 ...............
197405231996031002 4 4,355,940 0 0 0 0 0
( PNS-3C ) MKG:21 0
58.787.629.3-652.000 80 0 0
5,145,700 0 0000
0
0
7 SRI WAHYUNI A.MD KEP. TK-0 3,591,200 0 0 0 0 0 4,163,700

0 0 0 0 0 0 0
29-10-1975 0 500,000 72,420 0 0 0 ...............
197510292003122012 1 3,591,200 0 0 0 0 0
( PNS-3C ) MKG:16 0
89.050.116.1-623.000 80 0 0
4,163,700 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 CONDRO NEGORO, A.MD. KEP K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
16-03-1982 139,264 500,000 289,680 0 0 0 ...............
198203162008011011 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:15 0
79.205.818.2-652.000 96 0 0
4,758,800 0 0000
0
0
9 ENY NOOR ROCHMAWATI, A.MD K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
03-07-1976 139,264 500,000 289,680 0 0 0 ...............
197607032005012010 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
25.461.880.4-652.000 96 0
4,758,800 0 0 0000
0
0
10 INDAH SETYA KUSUMA K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
20-04-1980 139,264 500,000 289,680 0 0 0 ...............
198004202005012013 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.538.6-652.000 96 0 0
4,758,800 0 0000
0
0
11 LULLY WIDADIANTI, AMD K -0 3,481,600 0 0 0 0 0 4,054,100

0 0 0 0 0 0 0
22-03-1982 0 500,000 72,420 0 0 0 ...............
198203222005012008 1 3,481,600 0 0 0 0 0
( PNS-3C ) MKG:14 0
25.473.060.9-657.000 80 0
4,054,100 0 0 0000
0
0
12 VITA KURNIA PRATIWI ,S.Farm, K -1 2,773,200 0 0 0 0 0 3,776,200

Apt 2 277,320 0 0 0 0 0
24-01-1985 110,928 325,000 289,680 0 0 0 ...............
198501242019022005 4 3,161,448 0 0 0 0 0
( PNS-3B ) MKG: 2 0
08.730.659.3-623.000 72 0 0
3,776,200 0 0000
0
0
13 dr, LATIFA SARY K -1 2,773,200 0 0 0 0 0 3,648,300

1 277,320 0 0 0 0 0
23-07-1991 55,464 325,000 217,260 0 0 0 ...............
199107232019022002 3 3,105,984 0 0 0 0 0
( PNS-3B ) MKG: 2 0
74.477.032.2.731.000 56 0 0
3,648,300 0 0000
0
0
14 ENIS RETNOWATI, S.KM JD-0 3,238,300 0 0 0 0 0 3,748,000

1 0 0 0 0 0 0
26-06-1982 64,766 300,000 144,840 0 0 0 ...............
198206262010012025 2 3,303,066 0 0 0 0 0
( PNS-3B ) MKG:12 0
94 0 0
3,748,000 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 WATININGSIH TK-0 3,340,300 0 0 0 0 0 3,677,800

0 0 0 0 0 0 0
04-12-1974 0 265,000 72,420 0 0 0 ...............
197412042001122002 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
24.252.104.5-652.001 80 0 0
3,677,800 0 0000
0
0
16 AMILUS DYAH UTAMA, AMD,KEP K -1 3,043,600 0 0 0 0 0 4,024,400

2 304,360 0 0 0 0 0
20-11-1985 121,744 265,000 289,680 0 0 0 ...............
198511202011012007 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
89.007.978.3-652.000 16 0
4,024,400 0 0 0000
0
0
17 DYAH WINANTU TK-0 4,280,800 0 0 0 0 0 4,538,300

0 0 185,000 0 0 0 0
28-09-1965 0 0 72,420 0 0 0 ...............
196509281986032017 1 4,280,800 0 0 0 0 0
( PNS-3B ) MKG:30 0
25.473.226.6-652.000 80 0 0
4,538,300 0 0000
0
0
18 NURNANINGTYAS JD-0 4,023,300 0 0 0 0 0 4,280,800

0 0 185,000 0 0 0 0
12-10-1965 0 0 72,420 0 0 0 ...............
196510121989122001 1 4,023,300 0 0 0 0 0
( PNS-3B ) MKG:26 0
08.731.434.0-623.000 80 0
4,280,800 0 0 0000
0
0
19 JEMI MUTIARA BR. BARUS K -1 3,305,700 0 0 0 0 0 4,323,200

2 330,570 0 0 0 0 0
17-06-1980 132,228 265,000 289,680 0 0 0 ...............
198006172000122001 4 3,768,498 0 0 0 0 0
( PNS-3A ) MKG:16 0
22 0 0
4,323,200 0 0000
0
0
20 RODHIYATI BETA RIDHI, TK-0 3,012,000 0 0 0 0 0 3,349,500

A.MD.GIZI 0 0 0 0 0 0 0
04-11-1984 0 265,000 72,420 0 0 0 ...............
198411042010012017 1 3,012,000 0 0 0 0 0
( PNS-3A ) MKG:10 0
44.349.291.3-623.000 80 0 0
3,349,500 0 0000
0
0
21 YULI WAHYUTI, AMD, KEB TK-0 2,920,100 0 0 0 0 0 3,257,600

0 0 0 0 0 0 0
10-07-1976 0 265,000 72,420 0 0 0 ...............
197607102011012003 1 2,920,100 0 0 0 0 0
( PNS-3A ) MKG: 8 0
80 0 0
3,257,600 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 GUMAN ARDI SAPUTRA, AMD,KEP K -1 2,920,100 0 0 0 0 0 3,752,800

1 292,010 0 0 0 0 0
05-01-1988 58,402 265,000 217,260 0 0 0 ...............
198801052011011004 3 3,270,512 0 0 0 0 0
( PNS-3A ) MKG: 8 0
28 0 0
3,752,800 0 0000
0
0

PEG: 22 4,522,450 370,000 0 0 0 0
IST: 13 JIWA= 58 1,585,950 7,790,000 4,200,360 0 0 0
ANK: 23 83,729,100 0 5,642 0 0
0
1,540 0
96,586,642 0 5,642
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 SITI BADRIYAH K -1 3,590,300 0 0 0 0 0 4,562,700

2 359,030 180,000 0 0 0 0
29-04-1970 143,612 0 289,680 0 0 0 ...............
197004292008012004 4 4,092,942 0 0 0 0 0
( PNS-2D ) MKG:29 0
25.473.058.3-652.000 78 0 0
4,562,700 0 0000
0
0
2 ELOK MUSTIKAWENI ,A.Md.Kes TK-0 2,374,300 0 0 0 0 0 2,806,800

0 0 0 0 0 0 0
16-09-1996 0 360,000 72,420 0 0 0 ...............
199609162019022002 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.883.109.2.654.000 80 0
2,806,800 0 0 0000
0
0
3 NANDA KUMALA BIRACHMATIKA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.A.K. 0 0 180,000 0 0 0 0
29-07-1994 0 0 72,420 0 0 0 ...............
199407292020122009 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1282031333
82.550.349.3-609.000 80 0 0
2,554,300 0 0
0
4 AYU PRASETYANINGTYAS, A.Md.AK TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
15-11-1996 0 0 72,420 0 0 0 ...............
199611152020122005 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0732041737
96.007.617.2-603.000 80 0
2,554,300 0 0
0
0
5 MARGARETA DESSY FABIOLA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes. 0 0 180,000 0 0 0 0
08-12-1996 0 0 72,420 0 0 0 ...............
199612082020122006 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 3 0 1632014356
86.270.369.1-654.000 80 0 0
2,554,300 0 0
0

PEG: 5 359,030 720,000 0 0 0 0
IST: 1 JIWA= 8 143,612 360,000 579,360 0 0 0
ANK: 2 13,372,642 0 0 0 0
0
398 0
15,032,400 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
TOTAL PER SATKER 102,905,500 490,000 0 0 72,184 0 127,845,700

PEG: 30 4,881,480 1,090,000 0 0 0 0
IST: 14 JIWA= 69 1,729,562 11,750,000 4,996,980 0 0 0
ANK: 25 109,516,542 0 72,184 0 0
0
2,178 0 0
127,917,884 0 72,184
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS RAMPALCELAKET
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DRG.WAHYU NUGROHO K -1 5,105,300 0 0 0 52,142 0 7,309,800

2 510,530 0 0 0 0 0
01-10-1966 204,212 1,200,000 289,680 0 0 0 ...............
196610011993121001 4 5,820,042 0 52,142 0 0 0
( PNS-4C ) MKG:28 0
24.710.615.6-652.000 78 0 0
7,361,942 0 0000
52,142
0
2 DR. MOH. ALI SAHIB K -1 3,554,900 0 0 0 0 0 5,542,300

2 355,490 0 0 0 0 0
10-06-1983 142,196 1,200,000 289,680 0 0 0 ...............
198306102011011003 4 4,052,586 0 0 0 0 0
( PNS-4A ) MKG:10 0
46.706.553.8-657.000 34 0
5,542,300 0 0 0000
0
0

PEG: 2 866,020 0 0 0 0 0
IST: 2 JIWA= 8 346,408 2,400,000 579,360 0 0 0
ANK: 4 9,872,628 0 52,142 0 0
0
112 0
12,904,242 0 52,142
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 WARSIATI TK-0 4,370,900 0 0 0 0 0 4,943,400

0 0 0 0 0 0 0
12-01-1967 0 500,000 72,420 0 0 0 ...............
196701121988122002 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.688.9-652.000 80 0 0
4,943,400 0 0000
0
0
2 SUKEMI SATTU.RD K -1 4,370,900 0 0 0 0 0 5,612,700

1 437,090 0 0 0 0 0
07-12-1968 87,418 500,000 217,260 0 0 0 ...............
196812071990022001 3 4,895,408 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.689.7-654.000 32 0
5,612,700 0 0 0000
0
0
3 LULUK SRI REJEKI A.Md.Farm K -1 4,237,500 0 0 0 0 0 5,463,300

,A.Md.Farm 1 423,750 0 0 0 0 0
06-04-1969 84,750 500,000 217,260 0 0 0 ...............
196904061992032008 3 4,746,000 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.508.9-623.000 40 0 0
5,463,300 0 0000
0
0
4 MARDALENA DISWATI TK-0 4,508,600 0 0 0 0 0 4,766,100

0 0 185,000 0 0 0 0
29-04-1966 0 0 72,420 0 0 0 ...............
196604291988022001 1 4,508,600 0 0 0 0 0
( PNS-3D ) MKG:28 0
29.472.155.8-652.000 80 0
4,766,100 0 0 0000
0
0
5 NANANG SETYAWAN,S .GZ K -1 3,272,200 0 0 0 0 0 4,482,200

1 327,220 0 0 0 0 0
12-02-1981 65,444 600,000 217,260 0 0 0 ...............
198102122011011002 3 3,664,864 0 0 0 0 0
( PNS-3C ) MKG:10 0
14.402.256.3-657.000 76 0 0
4,482,200 0 0000
0
0
6 HANA LELI M TK-0 4,065,500 0 0 0 0 0 4,638,000

0 0 0 0 0 0 0
28-08-1970 0 500,000 72,420 0 0 0 ...............
197008281993032009 1 4,065,500 0 0 0 0 0
( PNS-3C ) MKG:24 0
58.787.524.6-623.000 80 0 0
4,638,000 0 0000
0
0
7 TRI ENDANG KURNIAWATI, A.MD K -1 3,481,600 0 0 0 0 0 4,474,600

0 348,160 0 0 0 0 0
27-05-1976 0 500,000 144,840 0 0 0 ...............
197605272005012010 2 3,829,760 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.528.7-657.000 0 0 0
4,474,600 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 GEMA OLIN TK-0 3,554,000 490,000 0 0 0 0 4,116,500

0 0 0 0 0 0 0
28-11-1974 0 0 72,420 0 0 0 ...............
197411281998032008 1 3,554,000 0 0 0 0 0
( PNS-3B ) MKG:18 0
80 0 0
4,116,500 0 0000
0
0
9 AYU KARTIKA PERTIWI ,S.Farm, TK-0 2,773,200 0 0 0 0 0 3,170,700

Apt 0 0 0 0 0 0 0
13-10-1990 0 325,000 72,420 0 0 0 ...............
199010132019022003 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
90.837.253.5-326.000 80 0
3,170,700 0 0 0000
0
0
10 dr, MENTARI PUSPA HANDAYANI TK-0 2,773,200 0 0 0 0 0 3,170,700

0 0 0 0 0 0 0
08-07-1992 0 325,000 72,420 0 0 0 ...............
199207082019022005 1 2,773,200 0 0 0 0 0
( PNS-3B ) MKG: 2 0
76.685.037.4-623.000 80 0 0
3,170,700 0 0000
0
0
11 ROFIUTIN MAULIDA, AMD. FARM K -0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
07-01-1983 0 265,000 72,420 0 0 0 ...............
198301072010012017 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
36.243.053.0-623.000 80 0
3,476,900 0 0 0000
0
0
12 LAYLI ADVIANI, A.MD.KEB JD-0 3,139,400 0 0 0 0 0 3,747,300

2 0 0 0 0 0 0
12-09-1983 125,576 265,000 217,260 0 0 0 ...............
198309122010012024 3 3,264,976 0 0 0 0 0
( PNS-3B ) MKG:10 0
87.291.414.8-624.000 64 0 0
3,747,300 0 0000
0
0
13 YOANITA ARIESTYANINGRUM.AMD.K K -1 3,139,400 0 0 0 0 0 3,998,400

1 313,940 0 0 0 0 0
10-04-1984 62,788 265,000 217,260 0 0 0 ...............
198404102009032009 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
26.351.747.6-657.000 12 0 0
3,998,400 0 0000
0
0
14 EVA HUMAIDAH K -1 3,139,400 0 0 0 0 0 3,998,400

KURMASARI,AMD.KEB 1 313,940 0 0 0 0 0
09-12-1985 62,788 265,000 217,260 0 0 0 ...............
198512092009032004 3 3,516,128 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.439.581.9-652.000 12 0 0
3,998,400 0 0000
0
0
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 DINA LESTARI, A.MD.KES.GI K -0 3,012,000 0 0 0 0 0 3,349,500

0 0 0 0 0 0 0
13-04-1982 0 265,000 72,420 0 0 0 ...............
198204132010012017 1 3,012,000 0 0 0 0 0
( PNS-3A ) MKG:10 0
36.482.891.3-652.999 80 0 0
3,349,500 0 0000
0
0
16 NURUZ ZAKIYAH, AMD,KEB K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
23-07-1986 120,480 265,000 289,680 0 0 0 ...............
198607232009032005 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
40 0
3,988,400 0 0 0000
0
0
17 WAWAN ANDRIYANTO, AMD.KEP K -1 2,920,100 0 0 0 0 0 3,752,800

1 292,010 0 0 0 0 0
08-07-1984 58,402 265,000 217,260 0 0 0 ...............
198407082011011004 3 3,270,512 0 0 0 0 0
( PNS-3A ) MKG: 8 0
28 0 0
3,752,800 0 0000
0
0
18 SHINTA TRINOVIA KUMALASARI, K -1 2,579,400 0 0 0 0 0 3,291,200

S.K.M. 1 257,940 185,000 0 0 0 0
12-11-1996 51,588 0 217,260 0 0 0 ...............
199611122020122007 3 2,888,928 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0046806857
96.970.497.2-623.000 12 0
3,291,200 0 0
0
0

PEG: 18 3,015,250 370,000 0 0 0 0
IST: 9 JIWA= 38 719,234 5,605,000 2,751,960 0 0 0
ANK: 11 65,223,184 0 0 0 0
0
956 0
74,441,100 0 0
0
0
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 TRI AMBAR SETYOWATI ,A.Md.Keb TK-0 2,889,800 0 0 0 0 0 3,202,300

0 0 0 0 0 0 0
08-08-1983 0 240,000 72,420 0 0 0 ...............
198308082017042005 1 2,889,800 0 0 0 0 0
( PNS-2D ) MKG:16 0
80 0 0
3,202,300 0 0000
0
0
2 SAMSUL HUDA ,AMD.KEP K -1 2,889,800 0 0 0 0 0 3,764,100

2 288,980 180,000 0 0 0 0
01-01-1976 115,592 0 289,680 0 0 0 ...............
197601012006041038 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:15 0
58.787.604.6-652.000 48 0
3,764,100 0 0 0000
0
0
3 BAYU YUDHA PRANATA ,A.Md.Kes TK-0 2,374,300 0 0 0 0 0 2,806,800

0 0 0 0 0 0 0
24-02-1997 0 360,000 72,420 0 0 0 ...............
199702242019021002 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.820.7707.652.000 80 0 0
2,806,800 0 0000
0
0
4 MOH. TAUFIK, A.MD.KEP K -1 2,772,500 0 0 0 0 0 3,690,400

2 277,250 0 0 0 0 0
09-02-1979 110,900 240,000 289,680 0 0 0 ...............
197902092010011006 4 3,160,650 0 0 0 0 0
( PNS-2C ) MKG:15 0
70 0
3,690,400 0 0 0000
0
0
5 AYUNING NUGRAENI ,A.Md.Keb K -1 2,772,500 0 0 0 0 0 3,690,400

2 277,250 0 0 0 0 0
21-06-1984 110,900 240,000 289,680 0 0 0 ...............
198406212017042006 4 3,160,650 0 0 0 0 0
( PNS-2C ) MKG:15 0
70 0 0
3,690,400 0 0000
0
0
6 RENDRA PERDANA PUTRA, A.Md K -1 2,301,800 0 0 0 0 0 2,975,300

Kepgi 1 230,180 180,000 0 0 0 0
04-04-1992 46,036 0 217,260 0 0 0 ...............
199204042020121008 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047728029
75.026.132.3-619.000 24 0 0
2,975,300 0 0
0
7 DELLA KAULIKA, A.Md.Gz. TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
24-03-1995 0 0 72,420 0 0 0 ...............
199503242020122009 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 2032101758
96.968.706.0-652.000 80 0 0
2,554,300 0 0
0
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM

PEG: 7 1,073,660 540,000 0 0 0 0
IST: 4 JIWA= 18 383,428 1,080,000 1,303,560 0 0 0
ANK: 7 19,759,588 0 0 0 0
0
452 0
22,683,600 0 0
0
0
TOTAL PER SATKER 88,451,400 490,000 0 0 52,142 0 109,976,800
PEG: 27 4,954,930 910,000 0 0 0 0
IST: 15 JIWA= 64 1,449,070 9,085,000 4,634,880 0 0 0
ANK: 22 94,855,400 0 52,142 0 0
0
1,520 0 0
110,028,942 0 52,142
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 BAMBANG ARIEF.P, Apt K -1 3,901,500 0 0 0 0 0 5,937,400

2 390,150 0 0 0 0 0
10-04-1973 156,060 1,200,000 289,680 0 0 0 ...............
197304102005011009 4 4,447,710 0 0 0 0 0
( PNS-4A ) MKG:16 0
64.336.673.8-657.000 10 0 0
5,937,400 0 0000
0
0
SUB TOTAL PERGOLONGAN : IV 3,901,500 0 0 0 0 0 5,937,400

PEG: 1 390,150 0 0 0 0 0
IST: 1 JIWA= 4 156,060 1,200,000 289,680 0 0 0
ANK: 2 4,447,710 0 0 0 0
0
10 0
5,937,400 0 0
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR MIKA RAHMADIANA K -1 3,518,100 0 0 0 0 0 5,050,400

2 351,810 0 0 0 0 0
04-01-1981 140,724 750,000 289,680 0 0 0 ...............
198101042009032003 4 4,010,634 0 0 0 0 0
( PNS-3D ) MKG:12 0
44.350.477.4-652.000 86 0 0
5,050,400 0 0000
0
0
2 DRG. RATNA YULIA.W, K -1 3,410,600 0 0 0 0 0 4,927,800

2 341,060 0 0 0 0 0
08-07-1980 136,424 750,000 289,680 0 0 0 ...............
198007082011012003 4 3,888,084 0 0 0 0 0
( PNS-3D ) MKG:10 0
55.819.602.8-652.000 36 0
4,927,800 0 0 0000
0
0
3 MUFARICHAH,AMD.KEP TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
22-09-1967 0 500,000 72,420 0 0 0 ...............
196709221988032006 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.566.7-652.000 80 0 0
5,086,742 0 0000
5,642
0
4 SUKANING RAHAJENG TK-0 4,508,600 0 0 0 5,642 0 5,081,100

0 0 0 0 0 0 0
26-09-1967 0 500,000 72,420 0 0 0 ...............
196709261989032007 1 4,508,600 0 5,642 0 0 0
( PNS-3D ) MKG:28 0
58.787.588.7-623.000 80 0
5,086,742 0 0 0000
5,642
0
5 ISTIQOMQH TK-0 4,370,900 0 0 0 0 0 4,943,400

0 0 0 0 0 0 0
24-04-1970 0 500,000 72,420 0 0 0 ...............
197004241991032010 1 4,370,900 0 0 0 0 0
( PNS-3D ) MKG:26 0
58.787.489.2-657.000 80 0 0
4,943,400 0 0000
0
0
6 DR SRI AMIRETNO DAMAYANTI K -1 3,075,500 0 0 0 0 0 4,545,800

2 307,550 0 0 0 0 0
27-10-1983 123,020 750,000 289,680 0 0 0 ...............
198310272015032001 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0 0
4,545,800 0 0000
0
0
7 HANIK ROSIDAH, A.Md.Farm. K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
12-02-1974 143,648 500,000 289,680 0 0 0 ...............
197402122000122002 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
14.807.018.8-724.000 52 0 0
4,883,700 0 0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 LILIK NUR AZIZAH, SPD TK-0 3,554,000 490,000 0 0 0 0 4,116,500

0 0 0 0 0 0 0
20-06-1977 0 0 72,420 0 0 0 ...............
197706202014072001 1 3,554,000 0 0 0 0 0
( PNS-3B ) MKG:18 0
80 0 0
4,116,500 0 0000
0
0
9 drg.WIWIK DWI CAHYO UTAMI TK-0 3,445,500 0 0 0 0 0 3,843,000

0 0 0 0 0 0 0
05-05-1975 0 325,000 72,420 0 0 0 ...............
197505052019052001 1 3,445,500 0 0 0 0 0
( PNS-3B ) MKG:16 0
34.929.396.9-657.000 80 0
3,843,000 0 0 0000
0
0
10 WEMPY RIBUT PRATONDO, K -1 3,043,600 0 0 0 0 0 4,059,400

S.Kep.Ns 2 304,360 0 0 0 0 0
17-03-1983 121,744 300,000 289,680 0 0 0 ...............
198303172011011006 4 3,469,704 0 0 0 0 0
( PNS-3B ) MKG: 8 0
45.058.008.9-602.000 16 0 0
4,059,400 0 0
0
11 FESTINA WURYANTI K -0 3,340,300 0 0 0 0 0 3,677,800

MAHESI,A.Md.Keb 0 0 0 0 0 0 0
20-10-1979 0 265,000 72,420 0 0 0 ...............
197910202006042013 1 3,340,300 0 0 0 0 0
( PNS-3B ) MKG:14 0
123456789 80 0
3,677,800 0 0 0000
0
0
12 MARGARETHA TYAS M,AMD.GIGI K -1 3,340,300 0 0 0 0 0 4,362,700

2 334,030 0 0 0 0 0
05-06-1983 133,612 265,000 289,680 0 0 0 ...............
198306052006042019 4 3,807,942 0 0 0 0 0
( PNS-3B ) MKG:14 0
58.787.452.0-604.000 78 0 0
4,362,700 0 0000
0
0
13 GUNARSIH, AMD, KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
12-02-1980 125,576 265,000 289,680 0 0 0 ...............
198002122009032002 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
34.118.592.4-655.000 4 0 0
4,133,600 0 0000
0
0
14 MAIDA NURYANI, AMD, KEB K -1 3,139,400 0 0 0 0 0 3,863,200

0 313,940 0 0 0 0 0
20-06-1982 0 265,000 144,840 0 0 0 ...............
198206202009032007 2 3,453,340 0 0 0 0 0
( PNS-3B ) MKG:10 0
45.077.447.6-617.000 20 0 0
3,863,200 0 0000
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 RISKA AHSANUNIKMAH, A.MD.FARM K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
14-05-1984 125,576 265,000 289,680 0 0 0 ...............
198405142010012023 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
36.033.903.9-652.000 4 0 0
4,133,600 0 0000
0
0
16 MAULIA NURSUSIA.R, AMD.KEB K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
01-03-1986 125,576 265,000 289,680 0 0 0 ...............
198603012009032004 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.340.037.9-657.000 4 0
4,133,600 0 0 0000
0
0
17 GIGIH TULASMA, AMD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
29-11-1986 125,576 265,000 289,680 0 0 0 ...............
198611292009031002 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.743.394.7-654.000 4 0 0
4,133,600 0 0000
0
0
18 NANNI KHOIRUL.H, AMD.KEB TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
28-08-1987 0 265,000 72,420 0 0 0 ...............
198708282009032003 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.394.230.5-657.000 80 0
3,476,900 0 0 0000
0
0
19 dr. RADITYA AVIANDHAKA K -1 2,688,500 0 0 0 0 0 3,413,400

1 268,850 185,000 0 0 0 0
08-10-1990 53,770 0 217,260 0 0 0 ...............
199010082020121005 3 3,011,120 0 0 0 0 0
( PNS-3B ) MKG: 1 0 0047752787
76.513.961.3-652.000 20 0 0
3,413,400 0 0
0
20 EMMY ARIESNAWATY,AMD.KEB TK-0 3,204,700 0 0 0 0 0 3,542,200

0 0 0 0 0 0 0
10-12-1975 0 265,000 72,420 0 0 0 ...............
197512102006042024 1 3,204,700 0 0 0 0 0
( PNS-3A ) MKG:14 0
58.792.358.2-657.000 80 0 0
3,542,200 0 0000
0
0
21 ONE PUTRI DISTALIA, A.MD.KEB K -1 3,012,000 0 0 0 0 0 3,855,700

1 301,200 0 0 0 0 0
06-12-1985 60,240 265,000 217,260 0 0 0 ...............
198512062010012027 3 3,373,440 0 0 0 0 0
( PNS-3A ) MKG:10 0
0 0 0
3,855,700 0 0000
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 RODIYATUN TOYYIBA, AMD.KEB K -1 2,920,100 0 0 0 0 0 3,752,800

1 292,010 0 0 0 0 0
25-11-1986 58,402 265,000 217,260 0 0 0 ...............
198611252011012008 3 3,270,512 0 0 0 0 0
( PNS-3A ) MKG: 8 0
36.07.341.4-657.000 28 0 0
3,752,800 0 0000
0
0
23 AGUNG SETIAWAN, AMD.KEP K -1 2,920,100 0 0 0 0 0 3,883,600

2 292,010 0 0 0 0 0
24-11-1988 116,804 265,000 289,680 0 0 0 ...............
198811242011011002 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
6 0
3,883,600 0 0 0000
0
0
24 WILLIS WAHYUNINGTYAS, AMD.KEB TK-0 2,920,100 0 0 0 0 0 3,257,600

0 0 0 0 0 0 0
30-06-1989 0 265,000 72,420 0 0 0 ...............
198906302011012005 1 2,920,100 0 0 0 0 0
( PNS-3A ) MKG: 8 0
64.254.805.1-657.000 80 0 0
3,257,600 0 0000
0
0
25 ANITA RESKY DININGRUM.S, K -1 2,920,100 0 0 0 0 0 3,622,000

AMD.KESLING 0 292,010 0 0 0 0 0
06-09-1989 0 265,000 144,840 0 0 0 ...............
198909062011012004 2 3,212,110 0 0 0 0 0
( PNS-3A ) MKG: 8 0
45.204.516.4-615.000 50 0
3,622,000 0 0 0000
0
0
26 SILVIA TIAS PUTRI, S.K.M K -1 2,579,400 0 0 0 0 0 3,167,200

0 257,940 185,000 0 0 0 0
21-03-1994 0 0 144,840 0 0 0 ...............
199403212020122006 2 2,837,340 0 0 0 0 0
( PNS-3A ) MKG: 1 0 0047746001
96.895995.7-657.000 20 0 0
3,167,200 0 0
0

PEG: 26 5,271,650 370,000 0 0 0 0
IST: 17 JIWA= 68 1,590,692 8,585,000 4,924,560 0 0 0
ANK: 25 92,570,942 0 11,284 0 0
0
1,198 0
106,952,984 0 11,284
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ZELLA CORY DEWI.T, AMD.KEB K -1 2,801,500 0 0 0 0 0 3,466,500

0 280,150 0 0 0 0 0
20-05-1987 0 240,000 144,840 0 0 0 ...............
198705202011012012 2 3,081,650 0 0 0 0 0
( PNS-2D ) MKG:13 0
10 0 0
3,466,500 0 0000
0
0
2 ERNAWATI YULIA K -0 2,980,800 0 0 0 0 0 3,233,300

0 0 180,000 0 0 0 0
06-09-1966 0 0 72,420 0 0 0 ...............
196609062007012012 1 2,980,800 0 0 0 0 0
( PNS-2D ) MKG:17 0
58.787.503.0-652.000 80 0
3,233,300 0 0 0000
0
0
3 NUR AZIZAH ESKA NOVITA TK-0 2,374,300 0 0 0 0 0 2,806,800

,A.Md.Kes 0 0 0 0 0 0 0
15-12-1996 0 360,000 72,420 0 0 0 ...............
199612152019022004 1 2,374,300 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.935.917.6-657.000 80 0 0
2,806,800 0 0000
0
0
4 DATU SARI RAHMAWATI ,A.Md.Keb K -1 2,772,500 0 0 0 0 0 3,690,400

2 277,250 0 0 0 0 0
27-10-1981 110,900 240,000 289,680 0 0 0 ...............
198110272017042001 4 3,160,650 0 0 0 0 0
( PNS-2C ) MKG:15 0
70 0
3,690,400 0 0 0000
0
0
5 INDAH PERMATA SARI ROSALIA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Keb 0 0 180,000 0 0 0 0
24-03-1989 0 0 72,420 0 0 0 ...............
198903242020122003 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 2022000767
84.089.497.6-652.000 80 0 0
2,554,300 0 0
0
6 DINI ERVINA WULANDARIM, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Gz 1 230,180 180,000 0 0 0 0
14-10-1991 46,036 0 217,260 0 0 0 ...............
199110142020122004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 1087023466
96.854.941.0-657.000 24 0 0
2,975,300 0 0
0
7 LUSIANA CHINTYA DEVI, A.Md K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
15-02-1992 46,036 0 217,260 0 0 0 ...............
199202152020122006 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0232745550
72.241.593.2-528.000 24 0 0
2,975,300 0 0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 CHOIROTUN NISA', A.Md.Keb. TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
29-05-1993 0 0 72,420 0 0 0 ...............
199305292020122007 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0592160251
96.893.934.8-657.000 80 0 0
2,554,300 0 0
0
9 FATIMAH A.Md.Kep. K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
29-07-1994 46,036 0 217,260 0 0 0 ...............
199407292020122008 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047755956
41.025.461.9-652.000 24 0
2,975,300 0 0
0
0
10 TIARA PUSPA RAMDHANI, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kes. 0 0 180,000 0 0 0 0
16-01-1997 0 0 72,420 0 0 0 ...............
199701162020122005 1 2,301,800 0 0 0 0 0
( CPNS-2C ) MKG: 4 0 0048240119
96.990.250.1-652.000 80 0 0
2,554,300 0 0
0
11 ADINDA EKA NARARIYA, TK-0 2,301,800 0 0 0 0 0 2,554,300

A.Md.Kep. 0 0 180,000 0 0 0 0
13-05-1998 0 0 72,420 0 0 0 ...............
199805132020122002 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0046814452
96.886.304.3-652.000 80 0
2,554,300 0 0
0
0
12 NITA ROVI SUSANTI, A.Md.Kep K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
16-03-1987 46,036 0 217,260 0 0 0 ...............
198703162020122002 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0047265428
74.601.716.9-657.000 24 0 0
2,975,300 0 0
0
13 LUVIARNA FEBRI PRANDARI, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Keb 1 230,180 180,000 0 0 0 0
08-02-1992 46,036 0 217,260 0 0 0 ...............
199202082020122005 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0592107457
84.974.199.6-657.000 24 0 0
2,975,300 0 0
0
14 S U K A D I K -1 3,106,100 0 0 0 0 0 4,010,700
2 310,610 180,000 0 0 0 0
15-07-1975 124,244 0 289,680 0 0 0 ...............
197507152008011018 4 3,540,954 0 0 0 0 0
( PNS-2B ) MKG:25 0
53.737.492.6-652.000 66 0 0
4,010,700 0 0000
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 SUPARMI K -1 2,578,800 0 0 0 0 0 3,409,600

2 257,880 180,000 0 0 0 0
21-05-1968 103,152 0 289,680 0 0 0 ...............
196805212007012014 4 2,939,832 0 0 0 0 0
( PNS-2B ) MKG:13 0
58.787.434.2-662.000 88 0 0
3,409,600 0 0000
0
0

PEG: 15 2,276,790 2,160,000 0 0 0 0
IST: 9 JIWA= 35 568,476 840,000 2,534,700 0 0 0
ANK: 11 40,175,466 0 0 0 0
0
834 0
45,711,000 0 0
0
0
PUSKESMAS POLOWIJEN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 AGUS ERWIN PURNOMO DD-0 2,373,100 0 0 0 0 0 2,740,500

1 0 175,000 0 0 0 0
04-02-1981 47,462 0 144,840 0 0 0 ...............
198102042014071002 2 2,420,562 0 0 0 0 0
( PNS-1D ) MKG:19 0
98 0 0
2,740,500 0 0000
0
0
2 WENI HANDOYO TK-0 2,117,700 0 0 0 0 0 2,365,200

0 0 175,000 0 0 0 0
03-04-1978 0 0 72,420 0 0 0 ...............
197804032014071001 1 2,117,700 0 0 0 0 0
( PNS-1B ) MKG:17 0
80 0
2,365,200 0 0 0000
0
0

PEG: 2 0 350,000 0 0 0 0
IST: 0 JIWA= 3 47,462 0 217,260 0 0 0
ANK: 1 4,538,262 0 0 0 0
0
178 0
5,105,700 0 0
0
0
TOTAL PER SATKER 131,431,100 490,000 0 0 11,284 0 163,695,800
PEG: 44 7,938,590 2,880,000 0 0 0 0
IST: 27 JIWA= 110 2,362,690 10,625,000 7,966,200 0 0 0
ANK: 39 141,732,380 0 11,284 0 0
0
2,220 0 0
163,707,084 0 11,284
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

UPT LAB. KESEHATAN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 RIESWANTI SUNNING,K, K -0 3,861,000 0 0 0 0 0 4,732,700

A.Md.An.Kes. 2 0 0 0 0 0 0
29-05-1977 154,440 500,000 217,260 0 0 0 ...............
197705292001122002 3 4,015,440 0 0 0 0 0
( PNS-3D ) MKG:18 0
58.787.679.8-652.000 0 0 0
4,732,700 0 0
0
2 RUDI HARTONO, AMD TK-0 3,591,200 490,000 0 0 0 0 4,153,700

0 0 0 0 0 0 0
16-08-1971 0 0 72,420 0 0 0 ...............
197108162001121003 1 3,591,200 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.434.8-654.000 80 0
4,153,700 0 0 0000
0
0
3 RETNO PURBOSARI, AMD TK-0 3,821,000 0 0 0 0 0 4,078,500

0 0 185,000 0 0 0 0
29-03-1975 0 0 72,420 0 0 0 ...............
197503291999012001 1 3,821,000 0 0 0 0 0
( PNS-3C ) MKG:20 0
58.787.483.5-623.000 80 0 0
4,078,500 0 0000
0
0
4 TATIK OKMIATI, AMD KES TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
26-10-1979 0 265,000 72,420 0 0 0 ...............
197910262009032001 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
49.636.431.7-623.000 80 0
3,476,900 0 0 0000
0
0
5 WELLY OLIVIA, A.Md.An.Kes K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
29-05-1980 125,576 265,000 289,680 0 0 0 ...............
198005292010012017 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.648.819.9-657.000 4 0 0
4,133,600 0 0
0

PEG: 5 313,940 185,000 0 0 0 0
IST: 1 JIWA= 10 280,016 1,030,000 724,200 0 0 0
ANK: 4 18,145,956 0 0 0 0
0
244 0
20,575,400 0 0
0
0
UPT LAB. KESEHATAN
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 NUR KHOLIFAH TK-0 2,801,500 0 0 0 0 0 3,054,000

0 0 180,000 0 0 0 0
07-02-1979 0 0 72,420 0 0 0 ...............
197902072005012011 1 2,801,500 0 0 0 0 0
( PNS-2D ) MKG:14 0
80 0 0
3,054,000 0 0000
0
0

PEG: 1 0 180,000 0 0 0 0
IST: 0 JIWA= 1 0 0 72,420 0 0 0
ANK: 0 2,801,500 0 0 0 0
0
80 0
3,054,000 0 0
0
0
TOTAL PER SATKER 20,353,500 490,000 0 0 0 0 23,629,400
PEG: 6 313,940 365,000 0 0 0 0
IST: 1 JIWA= 11 280,016 1,030,000 796,620 0 0 0
ANK: 4 20,947,456 0 0 0 0
0
324 0 0
23,629,400 0 0
0
.........,30 JUNI 2022
...... ...... ......
NIP NIP NIP

RSUD
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 DR. RINA ISTAROWATI K -1 4,194,600 980,000 0 0 0 0 6,051,600

2 419,460 0 0 0 0 0
25-10-1975 167,784 0 289,680 0 0 0 ...............
197510252003122005 4 4,781,844 0 0 0 0 0
( PNS-4B ) MKG:18 0
76 0 0
6,051,600 0 0000
0
0
2 DR. ANDI SULISTYO.H, SpPD K -1 4,194,600 0 0 0 5,292 0 6,271,600

2 419,460 0 0 0 0 0
28-05-1978 167,784 1,200,000 289,680 0 0 0 ...............
197805282003121003 4 4,781,844 0 5,292 0 0 0
( PNS-4B ) MKG:18 0
08.730.799.7-623.000 76 0
6,276,892 0 0 0000
5,292
0
3 S U K E M I S.ST K -1 5,052,300 0 0 0 54,288 0 6,552,400

0 505,230 0 0 0 0 0
28-11-1964 0 850,000 144,840 0 0 0 ...............
196411281987032010 2 5,557,530 0 54,288 0 0 0
( PNS-4B ) MKG:30 0
59.876.561.8-652.000 30 0 0
6,606,688 0 0000
54,288
0
4 DR. ALDRIANA YUSRAN TK-0 3,901,500 540,000 0 0 0 0 4,514,000

0 0 0 0 0 0 0
27-12-1972 0 0 72,420 0 0 0 ...............
197212272005012013 1 3,901,500 0 0 0 0 0
( PNS-4A ) MKG:16 0
15.466.376.9-924.000 80 0
4,514,000 0 0 0000
0
0
5 DR. AGUS SUHARTONO, SP.OG K -1 4,555,800 0 0 0 23,871 0 6,683,300

2 455,580 0 0 0 0 0
26-08-1964 182,232 1,200,000 289,680 0 0 0 ...............
196408261997011001 4 5,193,612 0 23,871 0 0 0
( PNS-4A ) MKG:26 0
08.724.597.3-652.000 8 0 0
6,707,171 0 0000
23,871
0
6 DR SHELLY WIDIYANTI K -1 4,024,400 0 0 0 0 0 6,077,500

2 402,440 0 0 0 0 0
01-09-1971 160,976 1,200,000 289,680 0 0 0 ...............
197109012006042015 4 4,587,816 0 0 0 0 0
( PNS-4A ) MKG:18 0
4 0 0
6,077,500 0 0000
0
0
7 dr.R.A.SITI JUHARIYAH,Sp.P TK-0 4,024,400 0 0 0 17,042 0 5,296,900

0 0 0 0 0 0 0
14-04-1974 0 1,200,000 72,420 0 0 0 ...............
197404142002122005 1 4,024,400 0 17,042 0 0 0
( PNS-4A ) MKG:18 0
74.324.038.4-652.000 80 0 0
5,313,942 0 17,042
0
RSUD
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 DRG WEDIANTO SUWARSONO, SP.KG TK-0 4,024,400 0 0 0 17,042 0 5,296,900

0 0 0 0 0 0 0
06-10-1977 0 1,200,000 72,420 0 0 0 ...............
197710062006041009 1 4,024,400 0 17,042 0 0 0
( PNS-4A ) MKG:18 0
80 0 0
5,313,942 0 0000
17,042
0
9 DR. IMELDA K -1 3,901,500 0 0 0 2,004 0 5,787,000

1 390,150 0 0 0 0 0
03-04-1978 78,030 1,200,000 217,260 0 0 0 ...............
197804032005012009 3 4,369,680 0 2,004 0 0 0
( PNS-4A ) MKG:16 0
47.598.148.6-652.001 60 0
5,789,004 0 0 0000
2,004
0
10 ARIF WIRAMUKTI, APT. K -1 3,666,900 0 0 0 0 0 5,670,000

2 366,690 0 0 0 0 0
26-03-1983 146,676 1,200,000 289,680 0 0 0 ...............
198303262010011015 4 4,180,266 0 0 0 0 0
( PNS-4A ) MKG:12 0
35.142.577.2-623.000 54 0 0
5,670,000 0 0000
0
0
11 MESINEM K -1 4,555,800 0 0 0 29,646 0 6,006,300

0 455,580 0 0 0 0 0
09-01-1967 0 850,000 144,840 0 0 0 ...............
196701091990032005 2 5,011,380 0 29,646 0 0 0
( PNS-4A ) MKG:27 0
08.728.132.5-623.000 80 0
6,035,946 0 0 0000
29,646
0
12 M U S T A R I K -1 4,555,800 0 0 0 7,246 0 6,333,300

2 455,580 0 0 0 0 0
15-09-1968 182,232 850,000 289,680 0 0 0 ...............
196809151990011002 4 5,193,612 0 7,246 0 0 0
( PNS-4A ) MKG:26 0
58.787.618.6-623.000 8 0 0
6,340,546 0 0000
7,246
0
13 NURUL HIDAYATI SST Gizi K -1 4,416,700 0 0 0 11,413 0 6,014,000

1 441,670 0 0 0 0 0
02-03-1972 88,334 850,000 217,260 0 0 0 ...............
197203021996032003 3 4,946,704 0 11,413 0 0 0
( PNS-4A ) MKG:24 0
58.787.724.2-652.000 36 0 0
6,025,413 0 0000
11,413
0
14 DRG. TRI WAHYU.H K -1 4,555,800 0 0 0 0 0 5,483,300

2 455,580 0 0 0 0 0
21-02-1965 182,232 0 289,680 0 0 0 ...............
196502211998031001 4 5,193,612 0 0 0 0 0
( PNS-4A ) MKG:26 0
14.116.101.8-652.000 8 0 0
5,483,300 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
SUB TOTAL PERGOLONGAN : IV 59,624,500 1,520,000 0 0 167,844 0 82,038,100

PEG: 14 4,767,420 0 0 0 0 0
IST: 11 JIWA= 41 1,356,280 11,800,000 2,969,220 0 0 0
ANK: 16 65,748,200 0 167,844 0 0
0
680 0
82,205,944 0 167,844
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 IDHA ERFININGSIH TK-0 4,650,600 540,000 0 0 13,950 0 5,263,100

0 0 0 0 0 0 0
04-04-1966 0 0 72,420 0 0 0 ...............
196604041987032014 1 4,650,600 0 13,950 0 0 0
( PNS-3D ) MKG:30 0
58.792.417.6-623.000 80 0 0
5,277,050 0 0000
13,950
0
2 DR. NURUL FAUZI TK-0 3,982,600 0 0 0 0 0 4,805,100

0 0 0 0 0 0 0
10-07-1971 0 750,000 72,420 0 0 0 ...............
197107102001122003 1 3,982,600 0 0 0 0 0
( PNS-3D ) MKG:20 0
07.159.143.2-652.001 80 0
4,805,100 0 0 0000
0
0
3 DR. NUNIK EVELINE.H TK-0 3,743,100 0 0 0 0 0 4,565,600

0 0 0 0 0 0 0
07-12-1976 0 750,000 72,420 0 0 0 ...............
197612072005012012 1 3,743,100 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.787.703.6-623.000 80 0 0
4,565,600 0 0000
0
0
4 DRG. HESTI MUHARINI K -0 3,743,100 0 0 0 0 0 4,860,100

2 0 0 0 0 0 0
30-12-1976 149,724 750,000 217,260 0 0 0 ...............
197612302005012005 3 3,892,824 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.787.509.7-652.000 16 0
4,860,100 0 0 0000
0
0
5 DR.HUSNUL TK-0 3,743,100 0 0 0 0 0 4,565,600

ASARIATI,SP.A.,M.Biomed 0 0 0 0 0 0 0
17-08-1978 0 750,000 72,420 0 0 0 ...............
197808172006042041 1 3,743,100 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.792.369.9-567.000 80 0 0
4,565,600 0 0000
0
0
6 DR.S U S A N T I K -0 3,743,100 0 0 0 0 0 4,712,900

1 0 0 0 0 0 0
10-05-1981 74,862 750,000 144,840 0 0 0 ...............
198105102006042034 2 3,817,962 0 0 0 0 0
( PNS-3D ) MKG:16 0
58.787.674.9-623.000 98 0 0
4,712,900 0 0000
0
0
7 DR. DICKY KURNIAWAN. T K -1 3,518,100 0 0 0 0 0 5,050,400

2 351,810 0 0 0 0 0
14-12-1977 140,724 750,000 289,680 0 0 0 ...............
197712142009031003 4 4,010,634 0 0 0 0 0
( PNS-3D ) MKG:12 0
08.726.920.5-623.000 86 0 0
5,050,400 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 SAMIRA SAID ALKATIRY, S.Kep, TK-0 3,982,600 0 0 0 0 0 4,655,100

Ners, M.MKes 0 0 0 0 0 0 0
18-01-1978 0 600,000 72,420 0 0 0 ...............
197801181996032001 1 3,982,600 0 0 0 0 0
( PNS-3D ) MKG:20 0
123456 80 0 0
4,655,100 0 0
0
9 SISWANTO K -1 4,237,500 0 0 0 0 0 5,463,300

1 423,750 0 0 0 0 0
16-06-1965 84,750 500,000 217,260 0 0 0 ...............
196506161992031012 3 4,746,000 0 0 0 0 0
( PNS-3D ) MKG:24 0
58.787.550.1-623.000 40 0
5,463,300 0 0 0000
0
0
10 MUH. ARIF ZUDIANTO, A.Md.Kep K -1 4,108,100 0 0 0 0 0 5,473,000

2 410,810 0 0 0 0 0
08-08-1971 164,324 500,000 289,680 0 0 0 ...............
197108081995031002 4 4,683,234 0 0 0 0 0
( PNS-3D ) MKG:22 0
58.787.535.2-623.000 86 0 0
5,473,000 0 0
0
11 TIKA MINDARTI, SE K -1 3,861,000 0 0 0 0 0 4,876,300

2 386,100 185,000 0 0 0 0
11-06-1979 154,440 0 289,680 0 0 0 ...............
197906112010012001 4 4,401,540 0 0 0 0 0
( PNS-3D ) MKG:18 0
80 0
4,876,300 0 0 0000
0
0
12 DR. BERTIANA PRISCA.H TK-0 3,375,300 0 0 0 0 0 4,597,800

0 0 0 0 0 0 0
25-10-1984 0 1,150,000 72,420 0 0 0 ...............
198410252009032004 1 3,375,300 0 0 0 0 0
( PNS-3C ) MKG:12 0
80 0 0
4,597,800 0 0000
0
0
13 DR.AGUNG PRASETYO WIBOWO K -1 3,591,200 0 0 0 0 0 5,133,700

2 359,120 0 0 0 0 0
24-02-1979 143,648 750,000 289,680 0 0 0 ...............
197902242006041019 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
58.787.487.6-625.000 52 0 0
5,133,700 0 0000
0
0
14 DR. GREGORIO SATRIO.P TK-0 3,075,500 0 0 0 0 0 3,898,000

0 0 0 0 0 0 0
12-06-1990 0 750,000 72,420 0 0 0 ...............
199006122015031002 1 3,075,500 0 0 0 0 0
( PNS-3C ) MKG: 6 0
80 0 0
3,898,000 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 DR. DEWA GEDE.C K -1 3,075,500 0 0 0 0 0 4,545,800

2 307,550 0 0 0 0 0
06-10-1990 123,020 750,000 289,680 0 0 0 ...............
199010062015031002 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0 0
4,545,800 0 0000
0
0
16 DR SOLITA VASYA SIREGAR TK-0 3,075,500 0 0 0 0 0 3,898,000

0 0 0 0 0 0 0
06-11-1990 0 750,000 72,420 0 0 0 ...............
199011062015032002 1 3,075,500 0 0 0 0 0
( PNS-3C ) MKG: 6 0
80 0
3,898,000 0 0 0000
0
0
17 TAUFIKURRAHMAN,S.KEP K -1 3,591,200 0 0 0 0 0 4,695,200

0 359,120 0 0 0 0 0
02-07-1976 0 600,000 144,840 0 0 0 ...............
197607022006041019 2 3,950,320 0 0 0 0 0
( PNS-3C ) MKG:16 0
40 0 0
4,695,200 0 0000
0
0
18 NINUK NUFAYATI, S.KEP.NS TK-0 3,591,200 0 0 0 0 0 4,263,700

0 0 0 0 0 0 0
08-11-1977 0 600,000 72,420 0 0 0 ...............
197711082007012022 1 3,591,200 0 0 0 0 0
( PNS-3C ) MKG:16 0
80 0
4,263,700 0 0 0000
0
0
19 LUSIATI, S.Kep. Ns K -1 3,704,300 0 0 0 0 0 4,866,100

1 370,430 0 0 0 0 0
26-10-1975 74,086 500,000 217,260 0 0 0 ...............
197510261999032004 3 4,148,816 0 0 0 0 0
( PNS-3C ) MKG:18 0
123 24 0 0
4,866,100 0 0
0
20 ENDANG MUJI,H, AMD,KES K -1 3,591,200 0 0 0 0 0 4,883,700

2 359,120 0 0 0 0 0
23-03-1978 143,648 500,000 289,680 0 0 0 ...............
197803232003122010 4 4,093,968 0 0 0 0 0
( PNS-3C ) MKG:16 0
52 0 0
4,883,700 0 0000
0
0
21 S U W O T O, A.Md Kep. K -1 3,481,600 0 0 0 0 0 4,758,800

2 348,160 0 0 0 0 0
07-12-1975 139,264 500,000 289,680 0 0 0 ...............
197512072001121003 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:15 0
58.787.512.1-657.000 96 0 0
4,758,800 0 0
0
RSUD
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 SIGIT WAHYUDI, AMD.Kes.Lingk. K -1 3,481,600 0 0 0 0 0 4,616,700

1 348,160 0 0 0 0 0
27-04-1977 69,632 500,000 217,260 0 0 0 ...............
197704272005011008 3 3,899,392 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.787.536.0-623.000 48 0 0
4,616,700 0 0
0
23 FADIAH AGUSTINA, K -1 3,481,600 0 0 0 0 0 4,758,800

AMD.Kes.Lingk. 2 348,160 0 0 0 0 0
10-08-1980 139,264 500,000 289,680 0 0 0 ...............
198008102005012011 4 3,969,024 0 0 0 0 0
( PNS-3C ) MKG:14 0
58.792.379.8-657.000 96 0
4,758,800 0 0
0
0
24 IVO MARGARETHA FUNAY, TK-0 3,272,200 0 0 0 0 0 3,844,700

A.MD.KEP 0 0 0 0 0 0 0
21-03-1986 0 500,000 72,420 0 0 0 ...............
198603212010012021 1 3,272,200 0 0 0 0 0
( PNS-3C ) MKG:10 0
80 0 0
3,844,700 0 0000
0
0
25 DR. WISNIARDHY SUARNATA.P K -1 3,075,500 0 0 0 0 0 3,795,800

2 307,550 0 0 0 0 0
09-01-1990 123,020 0 289,680 0 0 0 ...............
199001092015031003 4 3,506,070 0 0 0 0 0
( PNS-3C ) MKG: 6 0
50 0
3,795,800 0 0 0000
0
0
26 LASTIKO HUZAINI, S.FARM. APT K -1 2,950,600 0 0 0 0 0 3,978,400

2 295,060 0 0 0 0 0
18-06-1987 118,024 325,000 289,680 0 0 0 ...............
198706182015031002 4 3,363,684 0 0 0 0 0
( PNS-3B ) MKG: 6 0
36 0 0
3,978,400 0 0000
0
0
27 DORA CYNTHIA, S.KEB K -1 2,950,600 0 0 0 0 0 3,822,000

1 295,060 0 0 0 0 0
04-01-1991 59,012 300,000 217,260 0 0 0 ...............
199101042015032001 3 3,304,672 0 0 0 0 0
( PNS-3B ) MKG: 6 0
68 0 0
3,822,000 0 0000
0
0
28 DYAKSA PUTRI WIDYASTUTI, TK-0 2,950,600 0 0 0 0 0 3,323,100

S.KEP.NS 0 0 0 0 0 0 0
08-07-1991 0 300,000 72,420 0 0 0 ...............
199107082015032002 1 2,950,600 0 0 0 0 0
( PNS-3B ) MKG: 6 0
80 0 0
3,323,100 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 EKA WIDIASTUTI, A.MD.KEP K -1 3,139,400 0 0 0 0 0 4,133,600

2 313,940 0 0 0 0 0
06-10-1983 125,576 265,000 289,680 0 0 0 ...............
198310062010012018 4 3,578,916 0 0 0 0 0
( PNS-3B ) MKG:10 0
44.767.409-4-657.000 4 0 0
4,133,600 0 0000
0
0
30 GALIH MEGAWATI, A.MD.KEB TK-0 3,139,400 0 0 0 0 0 3,476,900

0 0 0 0 0 0 0
22-05-1988 0 265,000 72,420 0 0 0 ...............
198805222010012023 1 3,139,400 0 0 0 0 0
( PNS-3B ) MKG:10 0
80 0
3,476,900 0 0 0000
0
0
31 NUR INDAHYATI, A.MD.KEB TK-0 3,554,000 0 0 0 0 0 3,866,500

0 0 0 0 0 0 0
19-06-1973 0 240,000 72,420 0 0 0 ...............
197306192006042002 1 3,554,000 0 0 0 0 0
( PNS-3B ) MKG:18 0
80 0 0
3,866,500 0 0000
0
0
32 TITIK INDRIANA, SSI K -1 3,445,500 0 0 0 0 0 4,402,600

2 344,550 185,000 0 0 0 0
07-12-1973 137,820 0 289,680 0 0 0 ...............
197312072014072001 4 3,927,870 0 0 0 0 0
( PNS-3B ) MKG:16 0
50 0
4,402,600 0 0 0000
0
0
33 FITRI SURYANINGSIH, S.SI K -1 3,445,500 0 0 0 0 0 4,402,600

2 344,550 185,000 0 0 0 0
14-09-1977 137,820 0 289,680 0 0 0 ...............
197709142014072001 4 3,927,870 0 0 0 0 0
( PNS-3B ) MKG:16 0
50 0 0
4,402,600 0 0000
0
0
34 DR. DHENI PRAMUDIA.H K -1 2,950,600 0 0 0 0 0 3,653,400

2 295,060 0 0 0 0 0
21-09-1984 118,024 0 289,680 0 0 0 ...............
198409212015031001 4 3,363,684 0 0 0 0 0
( PNS-3B ) MKG: 6 0
36 0 0
3,653,400 0 0000
0
0
35 DR. WILDAN AULIA FIRDAUS K -1 2,950,600 0 0 0 0 0 3,522,000

1 295,060 0 0 0 0 0
12-12-1986 59,012 0 217,260 0 0 0 ...............
198612122015031002 3 3,304,672 0 0 0 0 0
( PNS-3B ) MKG: 6 0
68 0 0
3,522,000 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 6

POT.TAPERUM BULOG
POT.JKM
36 DR. NUR HUDA SATRIA.K K -1 2,950,600 0 0 0 0 0 3,522,000

1 295,060 0 0 0 0 0
26-03-1989 59,012 0 217,260 0 0 0 ...............
198903262015031001 3 3,304,672 0 0 0 0 0
( PNS-3B ) MKG: 6 0
68 0 0
3,522,000 0 0000
0
0
37 RINA ASTUTIK,A.Md.Rad K -1 3,012,000 0 0 0 0 0 4,873,400

2 301,200 0 0 0 0 0
21-06-1980 120,480 1,150,000 289,680 0 0 0 ...............
198006212010012005 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
123456 40 0
4,873,400 0 0
0
0
38 AGUS WAHYUDI,S, AMD.RAD K -1 2,920,100 0 0 0 0 0 4,768,600

2 292,010 0 0 0 0 0
31-08-1980 116,804 1,150,000 289,680 0 0 0 ...............
198008312011011002 4 3,328,914 0 0 0 0 0
( PNS-3A ) MKG: 8 0
49.969.850.462.3-000 6 0 0
4,768,600 0 0000
0
0
39 ENY FITRIANTI.W, AMD TK-0 3,204,700 0 0 0 0 0 3,542,200

0 0 0 0 0 0 0
28-08-1981 0 265,000 72,420 0 0 0 ...............
198108282003122007 1 3,204,700 0 0 0 0 0
( PNS-3A ) MKG:14 0
69.779.015.2-652.000 80 0
3,542,200 0 0 0000
0
0
40 INNA ZULLAEKHA, AMD, KES K -1 3,012,000 0 0 0 0 0 3,988,400

2 301,200 0 0 0 0 0
05-07-1983 120,480 265,000 289,680 0 0 0 ...............
198307052010012028 4 3,433,680 0 0 0 0 0
( PNS-3A ) MKG:10 0
57.615.462.9-543.000 40 0 0
3,988,400 0 0000
0
0
41 SAMSUL ARIFIN, A.MD.KEP K -1 2,744,500 0 0 0 0 0 3,683,500

2 274,450 0 0 0 0 0
07-12-1981 109,780 265,000 289,680 0 0 0 ...............
198112072015031001 4 3,128,730 0 0 0 0 0
( PNS-3A ) MKG: 5 0
90 0 0
3,683,500 0 0000
0
0
42 LUSI AGUSTINA, AMD, KEP K -1 2,744,500 0 0 0 0 0 3,683,500

2 274,450 0 0 0 0 0
10-08-1982 109,780 265,000 289,680 0 0 0 ...............
198208102015032002 4 3,128,730 0 0 0 0 0
( PNS-3A ) MKG: 5 0
90 0 0
3,683,500 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 7

POT.TAPERUM BULOG
POT.JKM
43 SETIA ANGGRAENI, AMD.KEP K -1 2,744,500 0 0 0 0 0 3,683,500

2 274,450 0 0 0 0 0
11-09-1982 109,780 265,000 289,680 0 0 0 ...............
198209112015032001 4 3,128,730 0 0 0 0 0
( PNS-3A ) MKG: 5 0
90 0 0
3,683,500 0 0000
0
0
44 AHMAD JUNAIDI, AMD.KEP K -1 2,744,500 0 0 0 0 0 3,556,100

1 274,450 0 0 0 0 0
21-10-1986 54,890 265,000 217,260 0 0 0 ...............
198610212015031003 3 3,073,840 0 0 0 0 0
( PNS-3A ) MKG: 5 0
0 0
3,556,100 0 0 0000
0
0
45 BAIQ SRI RAHAYU RAHMATULLAH, K -1 2,744,500 0 0 0 0 0 3,556,100

A.MA.KEP 1 274,450 0 0 0 0 0
28-05-1991 54,890 265,000 217,260 0 0 0 ...............
199105282015032005 3 3,073,840 0 0 0 0 0
( PNS-3A ) MKG: 5 0
0 0 0
3,556,100 0 0000
0
0
46 AGISTA PARAMITHA SARI, K -1 2,744,500 0 0 0 0 0 3,556,100

A.MD.KEP 1 274,450 0 0 0 0 0
03-08-1991 54,890 265,000 217,260 0 0 0 ...............
199108032015032001 3 3,073,840 0 0 0 0 0
( PNS-3A ) MKG: 5 0
0 0
3,556,100 0 0 0000
0
0
47 FREDI CAHYO UTOMO, A.MD.KEP K -1 2,744,500 0 0 0 0 0 3,556,100

1 274,450 0 0 0 0 0
18-10-1991 54,890 265,000 217,260 0 0 0 ...............
199110182015031001 3 3,073,840 0 0 0 0 0
( PNS-3A ) MKG: 5 0
0 0 0
3,556,100 0 0000
0
0
48 LULUK SETYOWATI, A.MD.KEP TK-0 2,744,500 0 0 0 0 0 3,082,000

0 0 0 0 0 0 0
12-11-1991 0 265,000 72,420 0 0 0 ...............
199111122015032002 1 2,744,500 0 0 0 0 0
( PNS-3A ) MKG: 5 0
80 0 0
3,082,000 0 0000
0
0
49 ZANURIAH MAULUDIA, A.MD.KEP TK-0 2,744,500 0 0 0 0 0 3,082,000

0 0 0 0 0 0 0
14-01-1992 0 265,000 72,420 0 0 0 ...............
199201142015032001 1 2,744,500 0 0 0 0 0
( PNS-3A ) MKG: 5 0
80 0 0
3,082,000 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 8

POT.TAPERUM BULOG
POT.JKM
50 WINDA AGUSTININGSIH, A.MD.KEP K -1 2,744,500 0 0 0 0 0 3,428,800

0 274,450 0 0 0 0 0
13-08-1992 0 265,000 144,840 0 0 0 ...............
199208132015032001 2 3,018,950 0 0 0 0 0
( PNS-3A ) MKG: 5 0
10 0 0
3,428,800 0 0000
0
0

PEG: 50 10,248,190 555,000 0 0 0 0
IST: 32 JIWA= 135 3,445,370 21,625,000 9,776,700 0 0 0
ANK: 53 178,491,060 0 13,950 0 0
0
2,940 0
211,004,650 0 13,950
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 ELLY NURDIANA, AMD,RAD K -1 2,889,800 0 0 0 0 0 4,734,100

2 288,980 0 0 0 0 0
03-08-1975 115,592 1,150,000 289,680 0 0 0 ...............
197508032009032003 4 3,294,372 0 0 0 0 0
( PNS-2D ) MKG:15 0
35.658.341.9-652.000 48 0 0
4,734,100 0 0000
0
0
2 RIKA KARTINI, AMD.RAD K -1 2,801,500 0 0 0 0 0 4,633,400

2 280,150 0 0 0 0 0
09-02-1983 112,060 1,150,000 289,680 0 0 0 ...............
198302092011012005 4 3,193,710 0 0 0 0 0
( PNS-2D ) MKG:13 0
44.951.096.5-657.000 10 0
4,633,400 0 0 0000
0
0
3 DIAN PERTIWI AJI, A.MD K -1 2,633,100 0 0 0 0 0 4,191,300

0 263,310 0 0 0 0 0
18-08-1991 0 1,150,000 144,840 0 0 0 ...............
199108182015032002 2 2,896,410 0 0 0 0 0
( PNS-2D ) MKG: 9 0
50 0 0
4,191,300 0 0000
0
0
4 DIAN RUSMITA, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
02-11-1982 52,662 240,000 217,260 0 0 0 ...............
198211022015032001 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0
3,406,400 0 0 0000
0
0
5 IZZA ROHMAN.N, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
07-03-1988 105,324 240,000 289,680 0 0 0 ...............
198803072015031001 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
6 SUSANTI, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
18-05-1988 105,324 240,000 289,680 0 0 0 ...............
198805182015032002 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
7 DAMAYANTI EKA PUTRI, AMD.KEP TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
18-07-1988 0 240,000 72,420 0 0 0 ...............
198807182015032001 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0 0
2,945,600 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 MARIA ULFA, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
18-04-1989 105,324 240,000 289,680 0 0 0 ...............
198904182015032003 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
9 TIA FITRI,A, AMD, KEP K -1 2,633,100 0 0 0 0 0 3,281,300

0 263,310 0 0 0 0 0
08-05-1989 0 240,000 144,840 0 0 0 ...............
198905082015032002 2 2,896,410 0 0 0 0 0
( PNS-2D ) MKG: 9 0
50 0
3,281,300 0 0 0000
0
0
10 DIAN MUSTIKA P, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
25-10-1989 52,662 240,000 217,260 0 0 0 ...............
198910252015032001 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
11 NURKHAULIA, AMD.KEB TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
01-02-1990 0 240,000 72,420 0 0 0 ...............
199002012015032001 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0
2,945,600 0 0 0000
0
0
12 ENDAH FEBRIYANTI, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,531,500

2 263,310 0 0 0 0 0
07-02-1990 105,324 240,000 289,680 0 0 0 ...............
199002072015032001 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
13 WARINDA ETIKA RAMADHANI, K -1 2,633,100 0 0 0 0 0 3,531,500

AMD.KEB 2 263,310 0 0 0 0 0
21-04-1990 105,324 240,000 289,680 0 0 0 ...............
199004212015032002 4 3,001,734 0 0 0 0 0
( PNS-2D ) MKG: 9 0
86 0 0
3,531,500 0 0000
0
0
14 DILLA PRANARAYANTI,AMD, KEP K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
23-04-1990 52,662 240,000 217,260 0 0 0 ...............
199004232015032004 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 MUHAMMAD HENDRIK, AMD.KEP K -1 2,633,100 0 0 0 0 0 3,281,300

0 263,310 0 0 0 0 0
05-05-1990 0 240,000 144,840 0 0 0 ...............
199005052015031002 2 2,896,410 0 0 0 0 0
( PNS-2D ) MKG: 9 0
50 0 0
3,281,300 0 0000
0
0
16 YOKI RUSTAM, AMD.KEP TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
21-08-1990 0 240,000 72,420 0 0 0 ...............
199008212015031001 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0
2,945,600 0 0 0000
0
0
17 RIRIN NURMAWATI, A.MD.KEB TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
21-11-1990 0 240,000 72,420 0 0 0 ...............
199011212015032002 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0 0
2,945,600 0 0000
0
0
18 SILVY LAILY DAMAYANTI, A.MD. K -1 2,633,100 0 0 0 0 0 3,406,400

KEB 1 263,310 0 0 0 0 0
18-12-1990 52,662 240,000 217,260 0 0 0 ...............
199012182015032004 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0
3,406,400 0 0 0000
0
0
19 ADIB DWI CAHYONO, A.MD.KEP TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
12-03-1991 0 240,000 72,420 0 0 0 ...............
199103122015031002 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0 0
2,945,600 0 0000
0
0
20 FITRIA RESTU APRILIA, A.MD.AK TK-0 2,633,100 0 0 0 0 0 2,945,600

0 0 0 0 0 0 0
16-04-1991 0 240,000 72,420 0 0 0 ...............
199104162015032001 1 2,633,100 0 0 0 0 0
( PNS-2D ) MKG: 9 0
80 0 0
2,945,600 0 0000
0
0
21 VIONA FIRDAUSI, A.MD.KEB K -1 2,633,100 0 0 0 0 0 3,406,400

1 263,310 0 0 0 0 0
24-06-1991 52,662 240,000 217,260 0 0 0 ...............
199106242015032002 3 2,949,072 0 0 0 0 0
( PNS-2D ) MKG: 9 0
68 0 0
3,406,400 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 IKO NOVITASARI WAHYUNINGTYAS, K -1 2,633,100 0 0 0 0 0 3,281,300

A.MD.KEP 0 263,310 0 0 0 0 0
18-11-1991 0 240,000 144,840 0 0 0 ...............
199111182015032003 2 2,896,410 0 0 0 0 0
( PNS-2D ) MKG: 9 0
50 0 0
3,281,300 0 0000
0
0
23 WIDYA BUDI HARIANI K -0 3,703,400 0 0 0 0 0 4,102,400

1 0 180,000 0 0 0 0
30-12-1967 74,068 0 144,840 0 0 0 ...............
196712302007012011 2 3,777,468 0 0 0 0 0
( PNS-2D ) MKG:32 0
67.958.871.5-652.000 92 0
4,102,400 0 0 0000
0
0
24 RAHMI YULIANDINI, A.MD K -1 2,716,000 0 0 0 0 0 3,439,200

1 271,600 180,000 0 0 0 0
12-11-1986 54,320 0 217,260 0 0 0 ...............
198611122014032001 3 3,041,920 0 0 0 0 0
( PNS-2D ) MKG:11 0
20 0 0
3,439,200 0 0000
0
0
25 APRIANA KUSUMANINGTYAS, A.MD K -1 2,716,000 0 0 0 0 0 3,312,500

0 271,600 180,000 0 0 0 0
07-04-1988 0 0 144,840 0 0 0 ...............
198804072014032002 2 2,987,600 0 0 0 0 0
( PNS-2D ) MKG:11 0
60 0
3,312,500 0 0 0000
0
0
26 DICKI TRISANTO TK-0 2,772,500 0 0 0 0 0 3,085,000

0 0 0 0 0 0 0
13-01-1977 0 240,000 72,420 0 0 0 ...............
197701132006041011 1 2,772,500 0 0 0 0 0
( PNS-2C ) MKG:15 0
58.787.716.8-643.000 80 0 0
3,085,000 0 0000
0
0
27 ADE YOGA SEBASTIAN, A.MD.AK K -1 2,526,200 0 0 0 0 0 3,286,700

1 252,620 0 0 0 0 0
04-01-1992 50,524 240,000 217,260 0 0 0 ...............
199201042015031001 3 2,829,344 0 0 0 0 0
( PNS-2C ) MKG: 9 0
96 0 0
3,286,700 0 0000
0
0
28 FITRI DWI YANTI ,A.Md.Kes K -1 2,374,300 0 0 0 0 0 3,116,500

1 237,430 0 0 0 0 0
26-04-1989 47,486 240,000 217,260 0 0 0 ...............
198904262019022005 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
70.670.538.1-623.000 24 0 0
3,116,500 0 0000
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 FINDA ARINI SARAWASWATI K -1 2,374,300 0 0 0 0 0 3,116,500

,A.Md.Kes 1 237,430 0 0 0 0 0
19-02-1990 47,486 240,000 217,260 0 0 0 ...............
199002192019022005 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
90.838.859.8-623.000 24 0 0
3,116,500 0 0000
0
0
30 SINTA ARINI WIBOWO ,A.Md.Kes K -1 2,374,300 0 0 0 0 0 2,996,600

0 237,430 0 0 0 0 0
01-11-1992 0 240,000 144,840 0 0 0 ...............
199211012019022005 2 2,611,730 0 0 0 0 0
( PNS-2C ) MKG: 5 0
123456 30 0
2,996,600 0 0 0000
0
0
31 LUTVI CATUR APRILIA ,A.Md.Kes K -1 2,374,300 0 0 0 0 0 3,116,500

1 237,430 0 0 0 0 0
20-04-1993 47,486 240,000 217,260 0 0 0 ...............
199304202019022007 3 2,659,216 0 0 0 0 0
( PNS-2C ) MKG: 5 0
81.436.231.5-623.000 24 0 0
3,116,500 0 0000
0
0
32 AHMAD SATRIYO ADI NEGORO K -1 2,374,300 0 0 0 0 0 2,996,600

,A.Md.Kes 0 237,430 0 0 0 0 0
28-05-1995 0 240,000 144,840 0 0 0 ...............
199505282019021006 2 2,611,730 0 0 0 0 0
( PNS-2C ) MKG: 5 0
84.560.911.4-625.000 30 0
2,996,600 0 0 0000
0
0
33 NILA PRAMUDAWARDHANI K -1 2,301,800 0 0 0 0 0 3,035,300

,A.Md.Kes 1 230,180 0 0 0 0 0
24-10-1992 46,036 240,000 217,260 0 0 0 ...............
199210242019022004 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0
98.470.448.6-623.000 24 0 0
3,035,300 0 0000
0
0
34 NOOR RAHMAN.S.N, AMD, KEP TK-0 2,526,200 0 0 0 0 0 2,778,700

0 0 180,000 0 0 0 0
08-12-1989 0 0 72,420 0 0 0 ...............
198912082015031001 1 2,526,200 0 0 0 0 0
( PNS-2C ) MKG: 9 0
80 0 0
2,778,700 0 0000
0
0
35 UMI KALSUM, A.Md.KeB TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
09-03-1988 0 0 72,420 0 0 0 ...............
198803092020122004 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0046704100
82.073.041.4-657.000 80 0 0
2,554,300 0 0
0
RSUD
BULAN : JULI 2022
HALAMAN : 6

POT.TAPERUM BULOG
POT.JKM
36 TRIO TEGUH WIBOWO, A.Md.Kep K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
27-05-1989 46,036 0 217,260 0 0 0 ...............
198905272020121002 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047540470
70760985.1-654.000 24 0 0
2,975,300 0 0
0
37 ANNISA' NURHIDAYAH, A.Md.Kep K -0 2,301,800 0 0 0 0 0 2,672,700

1 0 180,000 0 0 0 0
20-08-1992 46,036 0 144,840 0 0 0 ...............
199208202020122007 2 2,347,836 0 0 0 0 0
( PNS-2C ) MKG: 4 0 85.594.147.2-657.00
85.594.147.2-657.000 24 0
2,672,700 0 0
0
0
38 DEKA AKBAR PAMBUDI, A.Md K -1 2,301,800 0 0 0 0 0 2,975,300

1 230,180 180,000 0 0 0 0
22-08-1993 46,036 0 217,260 0 0 0 ...............
199308222020121003 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047784475
82.168.170.7-655.000 24 0 0
2,975,300 0 0
0
39 FIFIE DINI SETYORINI, K -1 2,301,800 0 0 0 0 0 2,856,900

A.Md.Kep 0 230,180 180,000 0 0 0 0
28-10-1993 0 0 144,840 0 0 0 ...............
199310282020122004 2 2,531,980 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047728991
85.502.704.1-653.000 80 0
2,856,900 0 0
0
0
40 RENITA YOGA SWARI, A.Md.Kep. K -1 2,301,800 0 0 0 0 0 2,856,900

0 230,180 180,000 0 0 0 0
20-10-1994 0 0 144,840 0 0 0 ...............
199410202020122005 2 2,531,980 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047728975
96.881.239.6-657.000 80 0 0
2,856,900 0 0
0
41 ANITA VALENTINA ARIASTUTI, K -1 2,301,800 0 0 0 0 0 2,975,300

A.Md.Kep. 1 230,180 180,000 0 0 0 0
22-03-1995 46,036 0 217,260 0 0 0 ...............
199503222020122009 3 2,578,016 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047729017
95.998.016.0-623.000 24 0 0
2,975,300 0 0
0
42 ELZA MANDELLA SARI, A.Md TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
21-08-1996 0 0 72,420 0 0 0 ...............
199608212020122007 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 0047728983
41.036.677.7-623.000 80 0 0
2,554,300 0 0
0
RSUD
BULAN : JULI 2022
HALAMAN : 7

POT.TAPERUM BULOG
POT.JKM
43 SISKA ASTRIA, A.Md.Gz TK-0 2,301,800 0 0 0 0 0 2,554,300

0 0 180,000 0 0 0 0
06-05-1998 0 0 72,420 0 0 0 ...............
199805062020122005 1 2,301,800 0 0 0 0 0
( PNS-2C ) MKG: 4 0 3507134605980001
41.037.685.9-654.000 80 0 0
2,554,300 0 0
0
44 FAHRIZAL AFIFUDDIN , K -1 2,301,800 0 0 0 0 0 2,856,900

A.Md.RMIK 0 230,180 180,000 0 0 0 0
22-06-1994 0 0 144,840 0 0 0 ...............
199406222020121007 2 2,531,980 0 0 0 0 0
( PNS-2C ) MKG: 3 0 0602228649
82.116.229.4-654.000 80 0
2,856,900 0 0
0
0
45 AGUNG HARIADI K -1 2,830,200 0 0 0 0 0 3,696,200

2 283,020 180,000 0 0 0 0
28-12-1973 113,208 0 289,680 0 0 0 ...............
197312282014071001 4 3,226,428 0 0 0 0 0
( PNS-2B ) MKG:19 0
92 0 0
3,696,200 0 0000
0
0
46 MUH. YUSUF DAMANHURI K -1 2,632,400 0 0 0 0 0 3,470,700

2 263,240 180,000 0 0 0 0
19-04-1985 105,296 0 289,680 0 0 0 ...............
198504192014071002 4 3,000,936 0 0 0 0 0
( PNS-2A ) MKG:17 0
84 0
3,470,700 0 0 0000
0
0
47 ZAINIL ABIDIN K -1 2,552,000 0 0 0 0 0 3,379,000

2 255,200 180,000 0 0 0 0
01-04-1978 102,080 0 289,680 0 0 0 ...............
197804012014071001 4 2,909,280 0 0 0 0 0
( PNS-2A ) MKG:15 0
40 0 0
3,379,000 0 0000
0
0

PEG: 47 8,651,160 3,060,000 0 0 0 0
IST: 34 JIWA= 117 1,889,716 9,930,000 8,473,140 0 0 0
ANK: 36 131,060,376 0 0 0 0
0
2,884 0
152,526,400 0 0
0
0
RSUD
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
TOTAL PER SATKER 344,941,500 2,060,000 0 0 181,794 0 445,555,200

PEG: 111 23,666,770 3,615,000 0 0 0 0
IST: 77 JIWA= 293 6,691,366 43,355,000 21,219,060 0 0 0
ANK: 105 375,299,636 0 181,794 0 0
0
6,504 0 0
445,736,994 0 181,794
0
MALANG,30 JUNI 2022
KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN PEMBUAT DAFTAR GAJI
DR. SUPRANOTO M.Kes HUSNI MAKHRUSH ASH SHIDDIQI EKO BUDI UTOMO, S.KOM
NIP 195912191988021002 NIP 198611262006041005 NIP 197709242011011003
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 dr. MEGAWATI DHARMA IRIANI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
02-02-1987 0 0 72,420 0 0 0 ...............
198702022022033001 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0
63.981.599.2.657.00 80 0 0
2,408,300 0 0
0
2 dr. ADITYA SHINTA APRILIANA K -1 2,150,800 0 0 0 0 0 2,926,600

2 215,080 185,000 0 0 0 0
19-04-1987 86,032 0 289,680 0 0 0 ...............
198704192022032001 4 2,451,912 0 0 0 0 0
64.222.625.2-652.000 8 0
2,926,600 0 0
0
0
3 dr. INEZ ARDWITIYANI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
27-11-1989 0 0 72,420 0 0 0 ...............
198911272022032002 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082892
54.849.803.9-623.000 80 0 0
2,408,300 0 0
0
4 apt. RIZAL FIRDAUS, S.Farm TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
14-02-1990 0 0 72,420 0 0 0 ...............
199002142022031003 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0047817510
80.703.312.1-721.000 80 0
2,408,300 0 0
0
0
5 dr. GIA NOOR PRATAMI K -1 2,150,800 0 0 0 0 0 2,695,800

0 215,080 185,000 0 0 0 0
28-11-1990 0 0 144,840 0 0 0 ...............
199011282022032004 2 2,365,880 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0047650747
65.151.002.6-623.000 80 0 0
2,695,800 0 0
0
6 dr. FIKA ERTITRI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
05-02-1991 0 0 72,420 0 0 0 ...............
199102052022032003 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0596173969
26.631.592.8-618.000 80 0 0
2,408,300 0 0
0
7 dr. CHOLIFAH APRILIANA K -1 2,150,800 0 0 0 0 0 2,695,800

0 215,080 185,000 0 0 0 0
11-04-1991 0 0 144,840 0 0 0 ...............
199104112022032003 2 2,365,880 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0047800901
72.769.066.1-618.000 80 0 0
2,695,800 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 dr. DHIYA ASFARINA K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
20-09-1991 43,016 0 217,260 0 0 0 ...............
199109202022032005 3 2,408,896 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082558
85.252.074.1-831.000 44 0 0
2,811,200 0 0
0
9 IKA NISWATUL CHAMIDAH K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
16-11-1991 43,016 0 217,260 0 0 0 ...............
199111162022032001 3 2,408,896 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082884
75.081.547.4-654.000 44 0
2,811,200 0 0
0
0
10 dr. TITA SWASTIANA ADI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
02-05-1992 0 0 72,420 0 0 0 ...............
199205022022032002 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082612
76.121.100.2-617.000 80 0 0
2,408,300 0 0
0
11 DEVITA PRIMA NURMASARI K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
24-08-1992 43,016 0 217,260 0 0 0 ...............
199208242022032007 3 2,408,896 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0277037882
74.933.010.6-612.000 44 0
2,811,200 0 0
0
0
12 dr. NURUL AZMI ROSMALA PUTRI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
10-10-1992 0 0 72,420 0 0 0 ...............
199210102022032005 1 2,150,800 0 0 0 0 0
76.513.882.1-652.000 80 0 0
2,408,300 0 0
0
13 dr.MUHAMMAD SAIFUL RIZAL K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
26-11-1992 43,016 0 217,260 0 0 0 ...............
199211262022031004 3 2,408,896 0 0 0 0 0
83.139.490.3-624.000 44 0 0
2,811,200 0 0
0
14 drg. FIRDAUSIA HERU VELASYTA TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
10-12-1992 0 0 72,420 0 0 0 ...............
199212102022032002 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082787
65.091.302.3-623.000 80 0 0
2,408,300 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 dr. AULIA NUR CAHYANI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
16-06-1993 0 0 72,420 0 0 0 ...............
199306162022032005 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082451
85.345.614.3-657.000 80 0 0
2,408,300 0 0
0
16 dr. EDELEN NAULI PURBA K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
03-08-1993 43,016 0 217,260 0 0 0 ...............
199308032022032003 3 2,408,896 0 0 0 0 0
82.904.319.9-541.000 44 0
2,811,200 0 0
0
0
17 apt. AGUSTIN INDA WIJAYATI, K -1 2,150,800 0 0 0 0 0 2,926,600

S.Farm 2 215,080 185,000 0 0 0 0
16-08-1993 86,032 0 289,680 0 0 0 ...............
199308162022032003 4 2,451,912 0 0 0 0 0
65.144.156.0-623.000 8 0 0
2,926,600 0 0
0
18 dr. AFIFAH RIZKIANA TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
16-08-1993 0 0 72,420 0 0 0 ...............
199308162022032004 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082264
85.620.694.1-721.000 80 0
2,408,300 0 0
0
0
19 dr. GUSTIKA AYU SISWANDINI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
16-08-1993 0 0 72,420 0 0 0 ...............
199308162022032005 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082825
82.307.586.6-623.000 80 0 0
2,408,300 0 0
0
20 drg. FITRI AMELIA K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
06-09-1993 43,016 0 217,260 0 0 0 ...............
199309062022032005 3 2,408,896 0 0 0 0 0
63.950.434.9-652.000 44 0 0
2,811,200 0 0
0
21 dr. RIZKYALLAH GARUDA SAKTI TK-0 2,150,800 0 0 0 0 0 2,408,300

PUTRI S 0 0 185,000 0 0 0 0
29-04-1994 0 0 72,420 0 0 0 ...............
199404292022032006 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043106431
92.841.430.9-626.000 80 0 0
2,408,300 0 0000
0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 dr. YUNITA IKA PRATIWI K -1 2,150,800 0 0 0 0 0 2,695,800

0 215,080 185,000 0 0 0 0
04-06-1994 0 0 144,840 0 0 0 ...............
199406042022032008 2 2,365,880 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043106643
94.700.098.0-653.000 80 0 0
2,695,800 0 0
0
23 dr. NUR SOFIANA K -1 2,150,800 0 0 0 0 0 2,695,800

0 215,080 185,000 0 0 0 0
06-06-1994 0 0 144,840 0 0 0 ...............
199406062022032007 2 2,365,880 0 0 0 0 0
86.230.040.7-657.000 80 0
2,695,800 0 0
0
0
24 dr. KARDIANA IZZA ELL MILLA K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
12-06-1994 43,016 0 217,260 0 0 0 ...............
199406122022032005 3 2,408,896 0 0 0 0 0
85.472.150.3-654.000 44 0 0
2,811,200 0 0
0
25 dr. HANNY PRASETIANA YURIANTI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
03-08-1994 0 0 72,420 0 0 0 ...............
199408032022032009 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082833
85.568.399.1-623.000 80 0
2,408,300 0 0
0
0
26 apt. RATRI SEPTYANING PALUPI, K -1 2,150,800 0 0 0 0 0 2,695,800

S.Farm 0 215,080 185,000 0 0 0 0
10-09-1994 0 0 144,840 0 0 0 ...............
199409102022032008 2 2,365,880 0 0 0 0 0
85.112.237.4-652.000 80 0 0
2,695,800 0 0
0
27 dr. INDIRA TIYAKUSUMA K -1 2,150,800 0 0 0 0 0 2,695,800

0 215,080 185,000 0 0 0 0
23-09-1994 0 0 144,840 0 0 0 ...............
199409232022032005 2 2,365,880 0 0 0 0 0
86.280.901.9-649.000 80 0 0
2,695,800 0 0
0
28 drg. CHADELLA ANDINI PUTRI TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
12-12-1994 0 0 72,420 0 0 0 ...............
199412122022032004 1 2,150,800 0 0 0 0 0
42.203.002.3-517.000 80 0 0
2,408,300 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 dr. NUNGKI SAMAHAH KURNIAWATI K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
16-12-1994 43,016 0 217,260 0 0 0 ...............
199412162022032006 3 2,408,896 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043083201
92.932.936.5-603.000 44 0 0
2,811,200 0 0
0
30 IRMALIA LEVINA PONTJONOTO TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
27-02-1995 0 0 72,420 0 0 0 ...............
199502272022032013 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082914
93.551.293.9-654.000 80 0
2,408,300 0 0
0
0
31 dr. ZHAFRANTO DWI ROSATYA K -1 2,150,800 0 0 0 0 0 2,811,200

1 215,080 185,000 0 0 0 0
02-05-1995 43,016 0 217,260 0 0 0 ...............
199505022022031006 3 2,408,896 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043106678
84.774.403.4-655.000 44 0 0
2,811,200 0 0
0
32 dr NADIA FARAH FADHILA TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
19-05-1995 0 0 72,420 0 0 0 ...............
199505192022032005 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043083171
94.829.617.3-652.000 80 0
2,408,300 0 0
0
0
33 dr. ELEONORA ELSA SUCAHYO TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
31-07-1995 0 0 72,420 0 0 0 ...............
199507312022032008 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082871
91.232.464.7-652.000 80 0 0
2,408,300 0 0
0
34 apt. ROSIDA DEWI TK-0 2,150,800 0 0 0 0 0 2,408,300

AGUSNINGTYAS, S.Farm 0 0 185,000 0 0 0 0
15-08-1995 0 0 72,420 0 0 0 ...............
199508152022032005 1 2,150,800 0 0 0 0 0
84.484.981.0-652.000 80 0 0
2,408,300 0 0
0
35 dr. ELLI MAULIDYA TK-0 2,150,800 0 0 0 0 0 2,408,300

0 0 185,000 0 0 0 0
29-07-1996 0 0 72,420 0 0 0 ...............
199607292022032006 1 2,150,800 0 0 0 0 0
( CPNS-3B ) MKG: 0 0 0043082880
94.891.997.2-657.000 80 0 0
2,408,300 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 6

POT.TAPERUM BULOG
POT.JKM
36 SISKA DWI JAYANTI, S.Psi K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
17-07-1989 0 0 144,840 0 0 0 ...............
198907172022032004 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106520
95.467.749.8-654.000 88 0 0
2,599,800 0 0
0
37 ANASTASAIA PRASTIWI SWITENG TK-0 2,063,520 0 0 0 0 0 2,321,000

SIWI,S.KM 0 0 185,000 0 0 0 0
09-02-1990 0 0 72,420 0 0 0 ...............
199002092022032001 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0327041223
95.757.983.2-606.000 60 0
2,321,000 0 0
0
0
38 ADIAPAKSI NASTITI TK-0 2,063,520 0 0 0 0 0 2,321,000

PRIMUDYASIWI,S.KM 0 0 185,000 0 0 0 0
02-08-1990 0 0 72,420 0 0 0 ...............
199008022022032004 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082108
63.946.469.2-628.000 60 0 0
2,321,000 0 0
0
39 NURIS FIKRIANA MAULIDDAH, TK-0 2,063,520 0 0 0 0 0 2,321,000

S.KM. 0 0 185,000 0 0 0 0
18-10-1990 0 0 72,420 0 0 0 ...............
199010182022032008 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0048151019
76.682.762.0-603.000 60 0
2,321,000 0 0
0
0
40 KARUNIA FRISKA PRATAMA, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
02-05-1991 0 0 72,420 0 0 0 ...............
199105022022031002 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 1923008604
63.195.818.8-624.000 60 0 0
2,321,000 0 0
0
41 IKA ARMA RANI,S.KM K -1 2,063,520 0 0 0 0 0 2,827,100

2 206,352 185,000 0 0 0 0
25-05-1991 82,541 0 289,680 0 0 0 ...............
199105252022032003 4 2,352,413 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082876
71.835.053.1-627.000 7 0 0
2,827,100 0 0
0
42 ANISA KUSUMA HARDHANI, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
23-10-1991 0 0 72,420 0 0 0 ...............
199110232022032004 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082396
81.565.816.6-654.000 60 0 0
2,321,000 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 7

POT.TAPERUM BULOG
POT.JKM
43 CITRA SILANINGTYAS TK-0 2,063,520 0 0 0 0 0 2,321,000

PERTIWI,S.KM 0 0 185,000 0 0 0 0
14-04-1992 0 0 72,420 0 0 0 ...............
199204142022032005 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082531
94.502.991.6-654.000 60 0 0
2,321,000 0 0
0
44 FARADINA NUR ANNIDA, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
30-06-1992 0 0 72,420 0 0 0 ...............
199206302022032002 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082752
81.557.646.3-654.000 60 0
2,321,000 0 0
0
0
45 PRAMELIA SEPTIYANTI, S.KM. K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
03-09-1992 0 0 144,840 0 0 0 ...............
199209032022032005 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106309
72.387.557.1-618.000 88 0 0
2,599,800 0 0
0
46 BELLA KARTINI ROCHMANIA, K -1 2,063,520 0 0 0 0 0 2,713,500

S.KM. 1 206,352 185,000 0 0 0 0
21-04-1993 41,270 0 217,260 0 0 0 ...............
199304212022032004 3 2,311,142 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082477
81.568.273.7-624.000 98 0
2,713,500 0 0
0
0
47 NURUL KHOLIFAH, S.KM K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
05-06-1994 0 0 144,840 0 0 0 ...............
199406052022032009 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0046808711
63.981.634.7-604.000 88 0 0
2,599,800 0 0
0
48 MUHAMMAD HARDIANSYAH, S.KM TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
23-08-1994 0 0 72,420 0 0 0 ...............
199408232022031006 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0048421393
65.087.709.5-623.000 60 0 0
2,321,000 0 0
0
49 UMMU FARIHAH,S.KM TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
30-10-1994 0 0 72,420 0 0 0 ...............
199410302022032008 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106589
90.708.702.7-645.000 60 0 0
2,321,000 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 8

POT.TAPERUM BULOG
POT.JKM
50 ERNI DWIYANTI,S.KM K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
03-11-1994 0 0 144,840 0 0 0 ...............
199411032022032008 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082710
41.795.600.0-652.000 88 0 0
2,599,800 0 0
0
51 ARDANISWORO LINTANG TK-0 2,063,520 0 0 0 0 0 2,321,000

WICAKSANI,S.KM 0 0 185,000 0 0 0 0
17-12-1994 0 0 72,420 0 0 0 ...............
199412172022032007 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043004425
93.966.028.8-654.000 60 0
2,321,000 0 0
0
0
52 SARAH CHRISTIAWAN, S.KM. K -1 2,063,520 0 0 0 0 0 2,713,500

1 206,352 185,000 0 0 0 0
19-03-1995 41,270 0 217,260 0 0 0 ...............
199503192022032003 3 2,311,142 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043303201
84.570.987.2-607.000 98 0 0
2,713,500 0 0
0
53 ANIS WULANDARI, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
11-09-1995 0 0 72,420 0 0 0 ...............
199509112022032006 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082300
94.917.755.4-654.000 60 0
2,321,000 0 0
0
0
54 WIDYA NUR AZIZZAH, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
12-11-1995 0 0 72,420 0 0 0 ...............
199511122022032007 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043303406
92.576.202.2-617.000 60 0 0
2,321,000 0 0
0
55 DWI RATNA PARAMITHA, S.KM. K -1 2,063,520 0 0 0 0 0 2,713,500

1 206,352 185,000 0 0 0 0
04-01-1996 41,270 0 217,260 0 0 0 ...............
199601042022032006 3 2,311,142 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082639
65.006.294.6-623.000 98 0 0
2,713,500 0 0
0
56 FENIDA RIANY PUTRI, S.KM K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
09-01-1996 0 0 144,840 0 0 0 ...............
199601092022032003 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082779
91.287.926.9-608.000 88 0 0
2,599,800 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 9

POT.TAPERUM BULOG
POT.JKM
57 ADNAN RAMADHAN, S.KM TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
27-01-1996 0 0 72,420 0 0 0 ...............
199601272022031001 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082256
53.553.311.1-657.000 60 0 0
2,321,000 0 0
0
58 WAHYU KURNIAWATI, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
04-02-1996 0 0 72,420 0 0 0 ...............
199602042022032006 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106597
94.787.930.0-653.000 60 0
2,321,000 0 0
0
0
59 MUHAMMAD AINURROHMAN, S.KM. K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
07-06-1996 0 0 144,840 0 0 0 ...............
199606072022031004 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043083147
92.978.501.2-649.000 88 0 0
2,599,800 0 0
0
60 ANDY JUNIAR SYAHFUDIN, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
15-06-1996 0 0 72,420 0 0 0 ...............
199606152022031010 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082345
86.395.434.3-617.000 60 0
2,321,000 0 0
0
0
61 ERIENA MELATI SUKMA, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
17-06-1996 0 0 72,420 0 0 0 ...............
199606172022032008 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043095293
94.109.963.2-627.000 60 0 0
2,321,000 0 0
0
62 YUALITA PUTRI PAMUNGKAS, S.KM K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
29-06-1996 0 0 144,840 0 0 0 ...............
199606292022032008 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106627
93.805.458.2-654.000 88 0 0
2,599,800 0 0
0
63 BERNADETA SEKAR PUTRI TK-0 2,063,520 0 0 0 0 0 2,321,000

LARASATI, S.KM 0 0 185,000 0 0 0 0
02-08-1996 0 0 72,420 0 0 0 ...............
199608022022032002 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043082507
63.063.029.1-615.000 60 0 0
2,321,000 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 10

POT.TAPERUM BULOG
POT.JKM
64 SONIA RAHMA, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
08-11-1996 0 0 72,420 0 0 0 ...............
199611082022032003 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106546
65.075.508.5-657.000 60 0 0
2,321,000 0 0
0
65 MUTIA YUSUF WARDHANI, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
08-12-1996 0 0 72,420 0 0 0 ...............
199612082022032006 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0048417906
41.223.059.1-657.000 60 0
2,321,000 0 0
0
0
66 MOHAMMAD APRIYAN NUGROHO,S.KM TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
23-04-1997 0 0 72,420 0 0 0 ...............
199704232022031003 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043083112
63.947.250.5-657.000 60 0 0
2,321,000 0 0
0
67 SRIWIDI ASTUTI, S.KM. K -1 2,063,520 0 0 0 0 0 2,599,800

0 206,352 185,000 0 0 0 0
22-09-1997 0 0 144,840 0 0 0 ...............
199709222022032004 2 2,269,872 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106554
65.014.754.9-657.000 88 0
2,599,800 0 0
0
0
68 AULIA EKA BIMESTI, S.KM. TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
04-10-1997 0 0 72,420 0 0 0 ...............
199710042022032005 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0047783160
53.646.831.7-623.000 60 0 0
2,321,000 0 0
0
69 DEWI PUJI AYUNINGRUM,S.KM TK-0 2,063,520 0 0 0 0 0 2,321,000

0 0 185,000 0 0 0 0
26-03-1998 0 0 72,420 0 0 0 ...............
199803262022031998 1 2,063,520 0 0 0 0 0
( CPNS-3A ) MKG: 0 0 0043106686
63.890.566.1-657.000 60 0 0
2,321,000 0 0
0
SUB TOTAL PERGOLONGAN : III 145,437,680 0 0 0 0 0 173,506,200

PEG: 69 6,132,584 12,765,000 0 0 0 0
IST: 29 JIWA= 116 765,559 0 8,400,720 0 0 0
ANK: 18 152,335,823 0 0 0 0
0
4,657 0
173,506,200 0 0
0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
1 HENY SETYO WULANDARI,A.Md.KL TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
08-05-1987 0 0 72,420 0 0 0 ...............
198705082022032002 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0017119486
88.741.037.1-643.000 40 0 0
2,093,900 0 0
0
2 ANDRIK BUDI KARTIKA, A.Md.TEM TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
27-05-1987 0 0 72,420 0 0 0 ...............
198705272022031002 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0046078306
74.673.459.9-657.000 40 0
2,093,900 0 0
0
0
3 SHANDY LURININGTYAS,A.Md.AK K -1 1,841,440 0 0 0 0 0 2,569,000

2 184,144 180,000 0 0 0 0
31-08-1990 73,658 0 289,680 0 0 0 ...............
199008312022032002 4 2,099,242 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106481
89.015.432.1-601.000 78 0 0
2,569,000 0 0
0
4 BENNY RUSTANTIONO,A.Md.K.G TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
08-05-1991 0 0 72,420 0 0 0 ...............
199105082022031001 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082493
63.337.204.0-608.000 40 0
2,093,900 0 0
0
0
5 MARENA DWI RETNANI, A.Md.KL K -1 1,841,440 0 0 0 0 0 2,350,500

0 184,144 180,000 0 0 0 0
04-03-1992 0 0 144,840 0 0 0 ...............
199203042022032008 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 1862017821
75.004.566.8-609.000 76 0 0
2,350,500 0 0
0
6 RIZKY DEWI K -0 1,841,440 0 0 0 0 0 2,093,900

ANGGRAENI,A.Md.Kepgi 0 0 180,000 0 0 0 0
27-03-1993 0 0 72,420 0 0 0 ...............
199303272022032003 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106422
74.569.311.9-625.000 40 0 0
2,093,900 0 0
0
7 SUNTIA MUNAWAROH,A.Md.Kep.Gi TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
19-04-1993 0 0 72,420 0 0 0 ...............
199304192022032008 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043204700
84.548.967.3-602.000 40 0 0
2,093,900 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 2

POT.TAPERUM BULOG
POT.JKM
8 MUHAMMAD FATHURRAHMAN, K -1 1,841,440 0 0 0 0 0 2,459,700

A.Md.KL 1 184,144 180,000 0 0 0 0
04-05-1993 36,829 0 217,260 0 0 0 ...............
199305042022031007 3 2,062,413 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043083139
41.145.798.9-447.000 27 0 0
2,459,700 0 0
0
9 DINA MERLYNANINGRUM,A.Md.KL K -1 1,841,440 0 0 0 0 0 2,350,500

0 184,144 180,000 0 0 0 0
28-05-1993 0 0 144,840 0 0 0 ...............
199305282022032008 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082591
74.348.061.8-647.000 76 0
2,350,500 0 0
0
0
10 NOVA CRISTY AMBARSARI, TK-0 1,841,440 0 0 0 0 0 2,093,900

A.Md.KL. 0 0 180,000 0 0 0 0
05-11-1993 0 0 72,420 0 0 0 ...............
199311052022032002 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043083198
63.930.728.9-621.000 40 0 0
2,093,900 0 0
0
11 HIKMAHTUL K -1 1,841,440 0 0 0 0 0 2,459,700

KHOLIFAH,A.Md.Kep.Gi 1 184,144 180,000 0 0 0 0
20-02-1994 36,829 0 217,260 0 0 0 ...............
199402202022032004 3 2,062,413 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082841
91.746.207.9-624.000 27 0
2,459,700 0 0
0
0
12 INTAN ANGGRAENI,A.Md.KL TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
10-03-1994 0 0 72,420 0 0 0 ...............
199403102022032006 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0048082906
80.912.517.2-522.000 40 0 0
2,093,900 0 0
0
13 RIZKY AMALIA WULANDARI, K -1 1,841,440 0 0 0 0 0 2,350,500

A.Md.Kep.Gi 0 184,144 180,000 0 0 0 0
20-03-1994 0 0 144,840 0 0 0 ...............
199403202022032006 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106414
63.941.841.7-623.000 76 0 0
2,350,500 0 0
0
14 PUTRI RIZKI WULANDARI,A.Md.KL TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
06-07-1994 0 0 72,420 0 0 0 ...............
199407062022032006 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106325
75.378.145.9-625.000 40 0 0
2,093,900 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 3

POT.TAPERUM BULOG
POT.JKM
15 EKA MARTIKASARI,A.Md.KL K -1 1,841,440 0 0 0 0 0 2,350,500

0 184,144 180,000 0 0 0 0
13-03-1995 0 0 144,840 0 0 0 ...............
199503132022032011 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082663
65.059.409.6-621.000 76 0 0
2,350,500 0 0
0
16 RIZQY RULLY PRATAMA,A.Md.TEM K -1 1,841,440 0 0 0 0 0 2,459,700

1 184,144 180,000 0 0 0 0
28-03-1995 36,829 0 217,260 0 0 0 ...............
199503282022031004 3 2,062,413 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043328409
90.730.679.9-606.000 27 0
2,459,700 0 0
0
0
17 EUGENIA SESILIA MOTO KAPITAN TK-0 1,841,440 0 0 0 0 0 2,093,900

,A.Md.KG 0 0 180,000 0 0 0 0
28-03-1995 0 0 72,420 0 0 0 ...............
199503282022032007 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082736
95.238.831.2-428.000 40 0 0
2,093,900 0 0
0
18 RISFUZIAH PITALOKA,A.Md.TEM TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
14-07-1995 0 0 72,420 0 0 0 ...............
199507142022032007 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106392
63.958.374.9-617.000 40 0
2,093,900 0 0
0
0
19 IKA NURLAILY FAUZIAH,A.Md.TEM K -1 1,841,440 0 0 0 0 0 2,459,700

1 184,144 180,000 0 0 0 0
07-08-1995 36,829 0 217,260 0 0 0 ...............
199508072022032008 3 2,062,413 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043545817
82.119.822.3-603.000 27 0 0
2,459,700 0 0
0
20 THERESA F. MARIETHA TK-0 1,841,440 0 0 0 0 0 2,093,900

BEATRIX,A.Md.KL 0 0 180,000 0 0 0 0
04-03-1996 0 0 72,420 0 0 0 ...............
199603042002032005 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106571
63.963.466.6-623.000 40 0 0
2,093,900 0 0
0
21 RESITA SARAH F,A.Md.KL K -1 1,841,440 0 0 0 0 0 2,350,500

0 184,144 180,000 0 0 0 0
14-06-1996 0 0 144,840 0 0 0 ...............
199606142022032005 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0592163187
95.336.649.9-307.000 76 0 0
2,350,500 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 4

POT.TAPERUM BULOG
POT.JKM
22 NURUL ALLIYAH ,A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
27-06-1996 0 0 72,420 0 0 0 ...............
199606272022032009 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106279
93.161.517.3-648.000 40 0 0
2,093,900 0 0
0
23 NENO PUTRI DWIYANTI, A.Md.Kes K -1 1,841,440 0 0 0 0 0 2,350,500

0 184,144 180,000 0 0 0 0
22-09-1996 0 0 144,840 0 0 0 ...............
199609222022032004 2 2,025,584 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0046891490
53.726.118.2-654.000 76 0
2,350,500 0 0
0
0
24 LASMARIA NABABAN,A.Md TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
02-11-1996 0 0 72,420 0 0 0 ...............
199611022022032005 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082973
86.116.029.9-311.000 40 0 0
2,093,900 0 0
0
25 ARIADNA PUTRI IGA TK-0 1,841,440 0 0 0 0 0 2,093,900

FANDIATI,A.Md.Kes 0 0 180,000 0 0 0 0
20-04-1997 0 0 72,420 0 0 0 ...............
199704202022032008 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082434
63.943.086.7-649.000 40 0
2,093,900 0 0
0
0
26 ADE RIZKY PRATAMAPUTRA, TK-0 1,841,440 0 0 0 0 0 2,093,900

A.Md.Kes 0 0 180,000 0 0 0 0
01-06-1997 0 0 72,420 0 0 0 ...............
199706012022031004 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082094
19.510.946.7-603.000 40 0 0
2,093,900 0 0
0
27 DENMA DYAH AYU TK-0 1,841,440 0 0 0 0 0 2,093,900

PUSPITA,A.Md.Kes 0 0 180,000 0 0 0 0
29-10-1997 0 0 72,420 0 0 0 ...............
199710292022032009 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106694
95.640.985.8-646.000 40 0 0
2,093,900 0 0
0
28 SAYYIDAH MU'ÁMALA,A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
30-10-1997 0 0 72,420 0 0 0 ...............
199710302022032010 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043874241
41.140.531.9-654.000 40 0 0
2,093,900 0 0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 5

POT.TAPERUM BULOG
POT.JKM
29 ADE NOVIYATI,A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
28-11-1997 0 0 72,420 0 0 0 ...............
199711282022032005 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106724
95.648.322.6-621.000 40 0 0
2,093,900 0 0
0
30 LUTFI YASINTA YAHYA, A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
13-12-1997 0 0 72,420 0 0 0 ...............
199712132022032002 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0047736471
92.389.003.2-603.000 40 0
2,093,900 0 0
0
0
31 INTAN PUSPITASARI, A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
09-03-1998 0 0 72,420 0 0 0 ...............
199803092022032005 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0047713374
53.583.749.6-623.000 40 0 0
2,093,900 0 0
0
32 SAFIRA PINTASARI,A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
26-03-1998 0 0 72,420 0 0 0 ...............
199803262022032008 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106465
95.813.997.4-654.000 40 0
2,093,900 0 0
0
0
33 TAZKYA NAFS EL HAWWA, TK-0 1,841,440 0 0 0 0 0 2,093,900

A.M.d.Kes 0 0 180,000 0 0 0 0
18-06-1998 0 0 72,420 0 0 0 ...............
199806182022032007 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043106562
43.608.858.7-619.000 40 0 0
2,093,900 0 0
0
34 ANGGITA DWI SAFITRI, A.Md.Kes TK-0 1,841,440 0 0 0 0 0 2,093,900

0 0 180,000 0 0 0 0
16-12-1998 0 0 72,420 0 0 0 ...............
199812162022032003 1 1,841,440 0 0 0 0 0
( CPNS-2C ) MKG: 3 0 0043082370
63.904.184.7-621.000 40 0 0
2,093,900 0 0
0

PEG: 34 2,025,584 6,120,000 0 0 0 0
IST: 11 JIWA= 51 220,974 0 3,693,420 0 0 0
ANK: 6 64,855,518 0 0 0 0
0
1,562 0
74,670,500 0 0
0
0
CPNS 2021 DINKES
BULAN : JULI 2022
HALAMAN : 1

POT.TAPERUM BULOG
POT.JKM
TOTAL PER SATKER 208,046,640 0 0 0 0 0 248,176,700

PEG: 103 8,158,168 18,885,000 0 0 0 0
IST: 40 JIWA= 167 986,533 0 12,094,140 0 0 0
ANK: 24 217,191,341 0 0 0 0
0
6,219 0 0
248,176,700 0 0
0
.........,30 JUNI 2022
Plt. KEPALA DINAS KESEHATAN BENDAHARA PENGELUARAN PEMBUAT DAFTAR GAJI
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PEMERINTAH KOTA MALANG

DAFTAR PEMBAYARAN GAJI 13 PNSD PNS/CPNS

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

1 DR. HUSNUL MUARIF K -1 4,603,500 2,025,000 0 0 76,667 0 7,398,200

2 DR. UMAR USMAN K -1 4,416,700 1,260,000 0 0 19,567 0 6,584,800

3 LATIFAH HANUN JD-0 5,000,000 980,000 0 0 50,617 0 6,052,500

4 DRG.BETTY ROSMAWATI TK-0 4,847,300 980,000 0 0 43,725 0 5,899,800

5 DWI WIJONO, SKM K -1 4,555,800 980,000 0 0 13,421 0 6,463,300

6 MIEFTA ETY WININDAR, SST K -0 4,024,400 980,000 0 0 0 0 5,382,700

7 SRI REJEKI, S.Sos, M.Si K -1 5,000,000 540,000 0 0 36,967 0 6,184,900

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

8 DR. ELLA NURILLA SARI TK-0 4,699,300 540,000 0 0 16,146 0 5,311,800

9 DIANA PRABANINGTYAS, S.SOS, JD-0 4,555,800 540,000 0 0 0 0 5,331,800

10 AGUS WIDODO K -1 4,555,800 540,000 0 0 0 0 6,023,300

11 JETTY SILVIANA, SKM TK-0 4,416,700 540,000 0 0 3,396 0 5,029,200

12 SUKARDI, S.KM.M.Si TK-0 4,416,700 540,000 0 0 3,396 0 5,029,200

13 DR. BAYU TJHYAWIBAWA TK-0 4,281,800 540,000 0 0 0 0 4,894,300

14 MUHAMMAD ZAMRONI, DRG K -1 4,281,800 540,000 0 0 0 0 5,711,000

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

15 ERIK PUJIASTUTIK,SE. K -1 4,151,100 540,000 0 0 0 0 5,562,000

16 DRA. CHUSNUL ARIFIANTI, APT TK-0 4,151,100 540,000 0 0 0 0 4,763,600

17 LILIK SUHARTI K -1 4,699,300 0 0 0 45,171 0 6,740,500

18 MUH. SOLIKIN K -1 4,416,700 0 0 0 92 0 6,174,800

19 ARSYILINA, SKM K -1 4,847,300 0 0 0 12,763 0 5,666,900

SUB TOTAL PERGOLONGAN : IV 85,921,100 12,605,000 0 0 321,928 0 110,204,600

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

1 DWI SUNARYO K -1 4,797,000 540,000 0 0 26,892 0 5,961,600

2 DYAH SETIATIE, SKN K -1 4,650,600 540,000 0 0 0 0 6,131,400

3 KUSBIYANTO, S.KM K -1 4,650,600 540,000 0 0 0 0 6,131,400

4 SRI WAHYUNI, S.SOS, M.AP TK-0 3,861,000 540,000 0 0 0 0 4,473,500

5 EKO SUBAGIYO, ST K -1 3,743,100 0 0 0 0 0 5,156,900

6 LULUT INDRI RIYANTI,A.Md K -1 4,237,500 0 0 0 0 0 5,620,500

7 TRI CAHYANINGSIH, AMD AN FARM K -1 3,861,000 0 0 0 0 0 5,191,300

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

8 SITI KHOIRIAH, SKM K -1 3,982,600 0 0 0 0 0 5,129,900

9 DR RULLY SUWARTININGSIH JD-0 3,743,100 0 0 0 0 0 4,147,900

10 NANOK SUTOMO, SE. TK-0 3,518,100 0 0 0 0 0 3,775,600

11 JENE VIDA CHRISTANTI ,S.Sos, TK-0 4,065,500 0 0 0 0 0 4,888,000

12 HESTIE YUNIARTI A.MK. TK-0 3,941,400 0 0 0 0 0 4,613,900

13 AGUS FARID MUBAROK, AMD K -1 3,704,300 0 0 0 0 0 5,112,600

14 ANIK SUGIANTI, AMD, KEB K -1 3,591,200 0 0 0 0 0 4,983,700

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

15 MARIA ECI BRUTARIGAN TK-0 4,065,500 0 0 0 0 0 4,323,000

16 PUJI RAHAYU,A.Md K -0 3,821,000 0 0 0 0 0 4,078,500

17 NANDIKA CANDRA ERMYTASARI K -1 3,340,300 0 0 0 0 0 4,258,400

18 FAISA AFIFA,S.KM K -1 3,238,300 0 0 0 0 0 4,281,400

19 NURCAHYO SETIADI, AMD.FARM K -1 3,043,600 0 0 0 0 0 3,891,100

20 PUJO HARI WIDYANTO K -1 4,280,800 0 0 0 0 0 5,196,800

21 EDI BUDAYA K -0 4,150,100 0 0 0 0 0 4,407,600

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

22 DIAN NOVELITA A.MD TEM K -1 3,665,900 0 0 0 0 0 4,653,900

23 ENDAH SUSYANTY, A.MD.GIZI TK-0 3,445,500 0 0 0 0 0 3,703,000

24 AHMAD SOKHEH K -1 3,139,400 0 0 0 0 0 4,053,600

25 DIAN NOVITA TK-0 3,627,900 0 0 0 0 0 3,885,400

26 DINA ISWARDANI TK-0 3,106,900 0 0 0 0 0 3,364,400

27 JOKO JULISWANTO K -1 3,012,000 0 0 0 0 0 3,908,400

28 HUSNI MAKHRUSH ASH SHIDDIQI K -1 3,012,000 0 0 0 0 0 3,908,400

NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

29 KUKUH KURNIAWATI, S.KM K -1 2,830,900 0 0 0 0 0 3,572,900

30 CITRA PERDANA YANTI, S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900

31 ANNEKE MEYVIA SILVIA, S.KM TK-0 2,579,400 0 0 0 0 0 2,836,900

32 KARTIKA MEGA TAMA, S.KM. TK-0 2,579,400 0 0 0 0 0 2,836,900