REKAPITULASI PEROLEHAN JASA PELAYANAN JKN

BULAN JANUARI S/D DESEMBER 2022

JASA PELAYANAN
BULAN SEPTEMBER
NO NAMA PEGAWAI NIP 2022
BRUTO
1 2
1 dr. Agus Tri Cahyono 19800826 201001 1 009 5,045,440
2 dr. Hanif Wanadri Kautsar 19830217 201001 1 014 3,050,094
3 dr. Kerisfi Megah Purnama 198802072019032001 3,027,264
4 drg.Muhammad Iqbal, S.KG 198905102022031003 3,106,408
5 Nur Aini ,A,Md Kep 19690805 199303 2 008 1,582,883
6 Siti Ulfa Damayanti A,Md.Kep 19781205 200604 2 021 1,503,739
7 Dian Eko Prasetyo, S.Kep.Ns 19820320 200501 1 003 2,334,753
8 Qurotul Aini A.Md.Kep 19760710 200604 2 013 1,424,595
9 Erna Suswaningsri A,Md,Kep 19760314 200504 2 013 1,563,097
10 Tatik Mufidah A,Md,Kep 19721013 199803 2 007 1,602,669
11 Sugeng Mariyono, AMd.Kep 19730907 200604 1 014 1,464,167
12 Syafitri Miftakhul Jannah, A.Md. Kep 199606072019032004 1,325,665
13 Ayunda Karna Dwi Putra, S.Kep.,Ns 199005032020122017 2,077,534
14 Faridatul Ainia, A.Md 199503122020122018 1,246,520
15 Asyifa Felayati Nur Azani, A.Md. Kep 199409262020122018 1,246,520
16 Nuriyati, SST 19660502 198802 2 005 2,077,534
17 Fransiska Noviana ,A.Md.Keb 19830603 200501 2 007 1,424,595
18 Rahayu Susminarti, AMd.Keb 19730418 199302 2 001 1,582,883
19 Rini Dwi Utami, SST 19700803 199301 2 001 791,442
20 Nanin Suharti, AMd. Keb 19760225 200701 2 009 1,681,813
21 Sari Nurhayati, Amd.Keb 19781115 200801 2 012 1,622,455
22 Lilis Andrini, AMd.Keb. 19770609 200701 2 010 1,622,455
23 Raupa, AMd. Keb 19750601 200701 2 013 1,582,883
24 Kamilah ,SST 19791029 200801 2 023 1,780,743
25 Wiwik Asiyah, AMd. Keb 19710503 200504 2 023 1,582,883
26 Diyah Winarni, AMd.Keb 19690705 200604 2 008 1,582,883
27 Suciati, AMd.Keb 19780908 200801 2 015 1,622,455
28 Sri Handini, AMd. Keb 19740715 200701 2 016 1,483,953
29 Vera Faridah, AMd.Keb. 19780822 200701 2 007 1,523,525
30 Mega Fitria Isabella Aditya, AMd. Keb 19890503 201101 2 010 2,413,897
31 Lilik Yunarsih, AMd. Keb 19750510 200701 2 015 1,582,883
32 Raudlatul Jannah, SST 19721106 200604 2 010 2,057,748
33 Fitriah Nur Chamidah AMd.Keb. 19880505 201704 2 005 1,385,023
34 Inoki Fatmadiyanti, A.Md.Keb 19810807 201704 2 001 1,483,953
35 Anita Hidayati, AMd.Keb. 19850116 201704 2 005 1,385,023
36 Sulistina Rahayu, AMd.Keb. 19820409 201704 2 004 1,483,953
37 Ulfatul Qomariyah, Amd. Keb 197905142019052001 1,523,525
38 Rahmawati Ayu Purnamasari, Amd. Keb 198101062019052004 1,385,023
39 Eva Agustina, Amd. Keb 198008012019052001 1,385,023
40 Istiqomah, A.Md.Keb 198808182020122009 1,206,948
41 Yanish Aditya Mahendra, S.Farm., Apt 199604282019031001 2,037,962
42 Windha Titis Prisdhiyan, Amd. AK 19880110 201001 2 013 1,760,957
43 Sri Rejeki, A.Md.G 19690805 199003 2 006 929,944
44 Ery Damayani, A.Md. Kes 19841103 201101 2 011 1,325,665
45 Ida Zuraidah, A.Md. Farm 19810112 200902 2 004 1,385,023
46 Sulistyo Rini, A.Md. RMIK. 198901212020122008 1,067,685
47 Mahmud Al Askhar 19660704 199403 1 009 969,516
48 Subinasri 19650702 198711 2 002 875,152
49 Sri Kuswatun Ana, A.Md.Kep 198103252022212001 1,206,948
JUMLAH 82,415,699

Mengetahui,
Kepala UOBF
Puskesmas Sukorejo

dr.Agus Tri Cahyono

NIP.198008262010011009
 REKAPITULASI PENYETORAN IURAN BPJS
BULAN JANUARI S/D DESEMBER 2022

SETORAN BPJS 1%
NO NAMA PEGAWAI NIP SEPTEMBER 2022

JASPEL X 1%
1 2
1 dr. Agus Tri Cahyono 19800826 201001 1 009 50,454
2 dr. Hanif Wanadri Kautsar 19830217 201001 1 014 30,501
3 dr. Kerisfi Megah Purnama 198802072019032001 30,273
4 drg.Muhammad Iqbal, S.KG 198905102022031003 31,064
5 Nur Aini ,A,Md Kep 19690805 199303 2 008 15,829
6 Siti Ulfa Damayanti A,Md.Kep 19781205 200604 2 021 15,037
7 Dian Eko Prasetyo, S.Kep.Ns 19820320 200501 1 003 23,348
8 Qurotul Aini A.Md.Kep 19760710 200604 2 013 14,246
9 Erna Suswaningsri A,Md,Kep 19760314 200504 2 013 15,631
10 Tatik Mufidah A,Md,Kep 19721013 199803 2 007 16,027
11 Sugeng Mariyono, AMd.Kep 19730907 200604 1 014 14,642
12 Syafitri Miftakhul Jannah, A.Md. Kep 199606072019032004 13,257
13 Ayunda Karna Dwi Putra, S.Kep.,Ns 199005032020122017 20,775
14 Faridatul Ainia, A.Md 199503122020122018 12,465
15 Asyifa Felayati Nur Azani, A.Md. Kep 199409262020122018 12,465
16 Nuriyati, SST 19660502 198802 2 005 20,775
17 Fransiska Noviana ,A.Md.Keb 19830603 200501 2 007 14,246
18 Rahayu Susminarti, AMd.Keb 19730418 199302 2 001 15,829
19 Rini Dwi Utami, SST 19700803 199301 2 001 7,914
20 Nanin Suharti, AMd. Keb 19760225 200701 2 009 16,818
21 Sari Nurhayati, Amd.Keb 19781115 200801 2 012 16,225
22 Lilis Andrini, AMd.Keb. 19770609 200701 2 010 16,225
23 Raupa, AMd. Keb 19750601 200701 2 013 15,829
24 Kamilah ,SST 19791029 200801 2 023 17,807
25 Wiwik Asiyah, AMd. Keb 19710503 200504 2 023 15,829
26 Diyah Winarni, AMd.Keb 19690705 200604 2 008 15,829
27 Suciati, AMd.Keb 19780908 200801 2 015 16,225
28 Sri Handini, AMd. Keb 19740715 200701 2 016 14,840
29 Vera Faridah, AMd.Keb. 19780822 200701 2 007 15,235
30 Mega Fitria Isabella Aditya, AMd. Keb 19890503 201101 2 010 24,139
31 Lilik Yunarsih, AMd. Keb 19750510 200701 2 015 15,829
32 Raudlatul Jannah, SST 19721106 200604 2 010 20,577
33 Fitriah Nur Chamidah AMd.Keb. 19880505 201704 2 005 13,850
34 Inoki Fatmadiyanti, A.Md.Keb 19810807 201704 2 001 14,840
35 Anita Hidayati, AMd.Keb. 19850116 201704 2 005 13,850
36 Sulistina Rahayu, AMd.Keb. 19820409 201704 2 004 14,840
37 Ulfatul Qomariyah, Amd. Keb 197905142019052001 15,235
38 Rahmawati Ayu Purnamasari, Amd. Keb 198101062019052004 13,850
39 Eva Agustina, Amd. Keb 198008012019052001 13,850
40 Istiqomah, A.Md.Keb 198808182020122009 12,069
41 Yanish Aditya Mahendra, S.Farm., Apt 199604282019031001 20,380
42 Windha Titis Prisdhiyan, Amd. AK 19880110 201001 2 013 17,610
43 Sri Rejeki, A.Md.G 19690805 199003 2 006 9,299
44 Ery Damayani, A.Md. Kes 19841103 201101 2 011 13,257
45 Ida Zuraidah, A.Md. Farm 19810112 200902 2 004 13,850
46 Sulistyo Rini, A.Md. RMIK. 198901212020122008 10,677
47 Mahmud Al Askhar 19660704 199403 1 009 9,695
48 Subinasri 19650702 198711 2 002 8,752
49 Sri Kuswatun Ana, A.Md.Kep 198103252022212001 12,069
JUMLAH 824,157

Mengetahui,
Kepala UOBF
Puskesmas Sukorejo

dr.Agus Tri Cahyono

NIP.198008262010011009
 REKAPITULASI PENYETORAN IURAN BPJS
BULAN JANUARI S/D DESEMBER 2022

BPJS 1% KURANG
NO NAMA PEGAWAI NIP BAYAR BULAN
FEBRUARI 2022

1 2 5
1 dr. Agus Tri Cahyono 19800826 201001 1 009 1,925
2 dr. Hanif Wanadri Kautsar 19830217 201001 1 014 1,162
3 dr. Kerisfi Megah Purnama 198802072019032001 1,097
4 Nur Aini ,A,Md Kep 19690805 199303 2 008 581
5 Siti Ulfa Damayanti A,Md.Kep 19781205 200604 2 021 508
6 Dian Eko Prasetyo, S.Kep.Ns 19820320 200501 1 003 799
7 Qurotul Aini A.Md.Kep 19760710 200604 2 013 508
8 Erna Suswaningsri A,Md,Kep 19760314 200504 2 013 545
9 Tatik Mufidah A,Md,Kep 19721013 199803 2 007 545
10 Sugeng Mariyono, AMd.Kep 19730907 200604 1 014 508
11 Syafitri Miftakhul Jannah, A.Md. Kep 199606072019032004 472
12 Ayunda Karna Dwi Putra, S.Kep.,Ns 199005032020122017 734
13 Faridatul Ainia, A.Md 199503122020122018 443
14 Asyifa Felayati Nur Azani, A.Md. Kep 199409262020122018 443
15 Nuriyati, SST 19660502 198802 2 005 763
16 Fransiska Noviana ,A.Md.Keb 19830603 200501 2 007 508
17 Rahayu Susminarti, AMd.Keb 19730418 199302 2 001 581
18 Rini Dwi Utami, SST 19700803 199301 2 001 690
19 Nanin Suharti, AMd. Keb 19760225 200701 2 009 617
20 Sari Nurhayati, Amd.Keb 19781115 200801 2 012 581
21 Lilis Andrini, AMd.Keb. 19770609 200701 2 010 581
22 Raupa, AMd. Keb 19750601 200701 2 013 581
23 Kamilah ,SST 19791029 200801 2 023 654
24 Wiwik Asiyah, AMd. Keb 19710503 200504 2 023 581
25 Diyah Winarni, AMd.Keb 19690705 200604 2 008 581
26 Suciati, AMd.Keb 19780908 200801 2 015 581
27 Sri Handini, AMd. Keb 19740715 200701 2 016 581
28 Vera Faridah, AMd.Keb. 19780822 200701 2 007 545
29 Mega Fitria Isabella Aditya, AMd. Keb 19890503 201101 2 010 832
30 Lilik Yunarsih, AMd. Keb 19750510 200701 2 015 581
31 Raudlatul Jannah, SST 19721106 200604 2 010 726
32 Fitriah Nur Chamidah AMd.Keb. 19880505 201704 2 005 508
33 Inoki Fatmadiyanti, A.Md.Keb 19810807 201704 2 001 545
34 Anita Hidayati, AMd.Keb. 19850116 201704 2 005 508
35 Sulistina Rahayu, AMd.Keb. 19820409 201704 2 004 545
36 Ulfatul Qomariyah, Amd. Keb 197905142019052001 545
37 Rahmawati Ayu Purnamasari, Amd. Keb 198101062019052004 508
38 Eva Agustina, Amd. Keb 198008012019052001 508
39 Istiqomah, A.Md.Keb 198808182020122009 443
40 Yanish Aditya Mahendra, S.Farm., Apt 199604282019031001 734
41 Windha Titis Prisdhiyan, Amd. AK 19880110 201001 2 013 617
42 Sri Rejeki, A.Md.G 19690805 199003 2 006 581
43 Ery Damayani, A.Md. Kes 19841103 201101 2 011 472
44 Ida Zuraidah, A.Md. Farm 19810112 200902 2 004 508
45 Sulistyo Rini, A.Md. RMIK. 198901212020122008 443
46 Mahmud Al Askhar 19660704 199403 1 009 341
47 Subinasri 19650702 198711 2 002 363
JUMLAH 29,003

Mengetahui,
Kepala UOBF
Puskesmas Sukorejo

dr.Agus Tri Cahyono

NIP.198008262010011009