IGD UMUM/ NOMOR JASA BPJS SUSULAN AGUSTUS/SEPTEMBER, REGULER & UMUM BULAN DESEMBER 2021

NO
PERAWAT REKENING BPJS UMUM SUSULAN AGUSTUS SUSULAN SEPTEMBER TOTAL PPH TTD
1 INDRAHAYU, S.Kep.,Ns BNI 0798119586 Rp2,301,213 Rp343,600 Rp75,317 Rp104,133 Rp2,824,263 15% 1
2 SUMARNI, A.Md.Kep BNI 0798119927 Rp1,643,625 Rp309,236 Rp93,133 Rp2,045,994 5% 2
3 CATUR ARIS SUMANTRI, S,ST BNI 0798119950 Rp1,643,625 Rp309,236 Rp90,725 Rp93,133 Rp2,136,719 5% 3
4 SUKAMTO M DELUMA, A.Md.Kep BNI 1332432368 Rp1,205,325 Rp269,336 Rp90,725 Rp93,133 Rp1,658,519 5% 4
5 IMELDA, A.Md.Kep BNI 0798119961 Rp1,819,168 Rp459,418 Rp42,023 Rp128,709 Rp2,449,318 5% 5
6 SARINI HAFID, S.Kep.,Ns BNI 0798120091 Rp1,643,625 Rp309,236 Rp90,725 Rp93,133 Rp2,136,719 5% 6
7 FORTINANDO M, A.Md.Kep BNI 0798119994 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 7
8 HIDAYATULLAH, S.Kep.,Ns BNI 0830957011 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 8
9 DIDIT SAPUTRA, A.Md.Kep BNI 0798120035 Rp1,534,050 Rp309,236 Rp90,725 Rp93,133 Rp2,027,144 5% 9
10 DELIANA, A.Md.Kep BNI 0798118447 Rp1,095,750 Rp309,236 Rp45,362 Rp93,133 Rp1,543,481 5% 10
11 ASRIANTO, A.Md.Kep BNI 0798118334 Rp1,314,900 Rp309,236 Rp45,362 Rp93,133 Rp1,762,631 5% 11
12 RAMLI, A.Md.Kep BNI 0798119767 Rp1,205,325 Rp309,236 Rp45,362 Rp93,133 Rp1,653,056 5% 12
13 KAHARIA, A.Md.Kep BNI 1305254341 Rp1,314,900 Rp309,236 Rp90,725 Rp93,133 Rp1,807,994 5% 13
14 ANDRI KRISTIAN, A.Md.Kep BNI 0628317926 Rp1,095,750 Rp309,236 Rp90,725 Rp93,133 Rp1,588,844 5% 14
15 KASYDAN, A.Md.Kep BNI 0567295330 Rp986,148 Rp309,236 Rp90,725 Rp93,133 Rp1,479,242 5% 15
16 RAHMADAN, A.Md.Kep BNI 1317694742 Rp1,095,750 Rp309,236 Rp90,725 Rp93,133 Rp1,588,844 5% 16
17 RISWANYUDI, A.Md.Kep BNI 1305644068 Rp986,148 Rp309,236 Rp90,725 Rp93,133 Rp1,479,242 5% 17
18 TRISNO, S.Kep.,Ns BNI 1058261469 Rp1,314,900 Rp309,236 Rp90,725 Rp93,133 Rp1,807,994 5% 18
19 IRWAN ZUSANTO, A.Md.Kep BNI 1305192621 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 19
20 SUWANDI, A.Md.Kep BNI 1305672277 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 20
21 AGUSMAN, A.Md.Kep BNI 1301978481 Rp1,095,750 Rp309,236 Rp90,725 Rp93,133 Rp1,588,844 5% 21
22 ISRAWATI, A.Md.Kep BNI 1171740725 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 22
23 RIA REZKI OKTAVINI, S.Kep.,Ns BNI 0871197313 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 23
24 SUKRIADI, A.Md.Kep BNI 1317951790 Rp986,148 Rp309,236 Rp90,725 Rp93,133 Rp1,479,242 5% 24
25 AGUNG PRASETYO, S.Kep.,Ns BNI 1305228854 Rp1,205,325 Rp309,236 Rp90,725 Rp93,133 Rp1,698,419 5% 25
26 REZA PRIYANTO, A.Md.Kep BNI 1305648198 Rp1,095,750 Rp309,236 Rp90,725 Rp93,133 Rp1,588,844 5% 26
27 ADAWIYAH, S.Kep.,Ns BNI 1130387741 Rp986,148 Rp99,750 Rp64,391 Rp93,133 Rp1,243,422 5% 27
28 BUDI UTOMO, A.Md.Kep BNI 798116303 Rp986,148 Rp269,336 Rp90,725 Rp93,133 Rp1,439,342 5% 28
29 SUDIRMAN, A.Md.Kep BNI 1305670961 Rp1,095,750 Rp309,236 Rp90,725 Rp93,133 Rp1,588,844 5% 29
30 MUH. MAKFUD, A.Md.Kep BNI 0390327779 Rp1,095,750 Rp259,361 Rp45,362 Rp46,566 Rp1,447,039 30
31 ASIKA, S. Kep.,Ns BNI 0800597175 Rp1,095,750 Rp154,618 Rp90,725 Rp93,133 Rp1,434,226 5% 31
32 LILI RAHMAWATI BNI 915124520 Rp394,693 Rp93,707 Rp24,746 Rp29,162 Rp542,308 5% 32

TOTAL Rp39,469,364 Rp9,370,790 Rp2,474,600 Rp2,916,294 Rp54,231,048

Tolitoli, 24 DESEMBER 2021
MENGETAHUI
KEPALA RUANGAN

INDRAHAYU, S.Kep.Ns
NIP.19780625 199903 2002