DAFTAR PEMBAYARAN TAMBAHAN PENGHASILAN PNS PUSKESMAS TUAN TUAN

DINAS KESEHATAN
BULAN SEPTEMBER 2021

Tambaha BESARAN
n POTONG
ESELON/ JUMLAH IURAN JUMLAH POTONGA
JENJANG KELAS Besaran Penghasi AN TAMBAHAN BPJS 4% DITERIMA POTONGAN N BPJS 4 % POTONGAN JUMLAH JUMLAH
NO NAMA NIP JABATAN Tambahan lan PENILAIA BPJS 1% YANG
JABATAN/ JABATAN PENGHASIL PEMBERI SEBELUM (PEMBERI PPh 21 POTONGAN
GOL/RUANG Penghasilan sebagai N AN KERJA POTONGAN (PPU) KERJA) DITERIMA
Pelaksan KEHADIR
aTeknis AN

7025038821 2 EKA ARIANTO #REF! Perawat ahli madya IIID 11 6,897,512 6,897,512 269,938 7,167,450 67,485 269,938 344,876 682,299 6,485,151

7025091561 1 HASAN BASRI #REF! Kepala Puskesmas IIID 9 5,473,728 5,473,728 218,949 5,692,677 54,737 218,949 273,686 547,372 5,145,305

7025605581 3 YULI FATMAWATI #REF! Dokter gigi ahli muda IIID 10 5,999,776 5,999,776 239,991 6,239,767 59,998 239,991 299,989 599,978 5,639,789

7025708398 4 DEWI ERMAWATI #REF! Apoteker ahli muda IIID 9 5,219,136 5,219,136 208,765 5,427,901 52,191 208,765 260,957 521,913 4,905,988

7025045186 5 ZULFA #REF! Bidan Ahli Muda IIID 9 5,219,136 5,219,136 208,765 5,427,901 52,191 208,765 260,957 521,913 4,905,988

7025085510 6 KASMALIA #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025052841 7 RUSNI #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025045348 8 MUSYARAFAH #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025064792 9 ERNI SURYANI #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025726884 10 SAMIYEM #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025057141 11 WIWIK KASIATIN #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025064776 12 MIMIK YULIANTINI #REF! Kepala Sub Bagian IIID 8 3,990,199 3,990,199 159,608 4,149,807 39,902 159,608 199,510 399,020 3,750,787
Tata Usaha

7025045321 13 PELITA SUSBATERRIANI SAKTI #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136
7025064806 14 INA ISTINA #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025045330 15 ERNA SEPTIANA #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025084891 16 TRI ERAWATI #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025091391 17 NENI ZURIYATI #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025038848 18 ERVINA RUSITA #REF! Bidan penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025053481 19 DINARIA SINAGA #REF! perawat penyelia IIID 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025055203 20 UTIN ADHA #REF! Perawat ahli muda IIIC 9 5,219,136 5,219,136 208,765 5,427,901 52,191 208,765 260,957 521,913 4,905,988

7025045739 21 KUSRENI #REF! Perawat Gigi Penyelia IIIC 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025045607 22 DEDY PURWANTO #REF! perawat penyelia IIIC 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025800588 23 RINI JAYANTI #REF! Bidan penyelia IIIC 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025728712 24 DR. CHAIRUNNISA.S #REF! Doker muda IIIB 10 5,999,776 5,999,776 239,991 6,239,767 59,998 239,991 299,989 599,978 5,639,789

7025047642 25 MASITHAH #REF! perawat penyelia IIIB 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025788626 26 SHOLEH #REF! Nutrisionis Pelaksana IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Lanjutan

7025055297 27 ELLINA #REF! Bidan Mahir Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

Bidan Mahir/
7025051534 28 NUNUNG RITA YUANA #REF! Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

Bidan Mahir/
7025051020 29 SUHARTATI #REF! Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025066825 30 JULIAWATI #REF! Bidan Mahir/ IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Lanjutan
 Perawat Pelaksana
7025055033 31 SUSANTI #REF! Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

Bidan Mahir/
7025042489 32 MAYA DESTRIANA #REF! Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025260109 33 YENI PURNAMASARI #REF! Perawat Pelaksana IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Lanjutan

perawat Pelaksana
7025457361 34 RENI MAYA SARI #REF! IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Lanjutan

7025303517 35 LISSA HARIYA INDAH #REF! Bidan Mahir Lanjutan IIIB 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

Pengadministasi
7025055670 36 AMATJUDIN #REF! Umum IIIB 5 2,451,570 2,451,570 98,063 2,549,633 24,516 98,063 122,579 245,158 2,304,475

Pengadministasi
7025770549 37 TUTIK ASTUTI #REF! Umum IIIB 5 2,451,570 2,451,570 98,063 2,549,633 24,516 98,063 122,579 245,158 2,304,475

7025073872 38 IRYANTI HASTUTI #REF! Bidan Ahli Pertama IIIA 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

7025038732 39 PRIHARTININGSIH 19790826 200502 2 005 Bidan Ahli Pertama IIIA 8 4,194,825 4,194,825 167,793 4,362,618 41,948 167,793 209,741 419,482 3,943,136

Asisten Apoteker
7025244134 40 DESVIONA PANJAITAN #REF! IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Pelaksana Lanjutan

7025051844 41 MELINDA KENCANA WATY #REF! Bidan pelaksana IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
lanjutan

7025302171 42 MISWALIANI #REF! Perawat Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025050031 43 AMRI RAMZI #REF! Perawat Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025244119 44 NURMA LAILA #REF! Perawat Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

Pranata laboratorium
7025062544 45 SYARIFAH NUR'AINI #REF! pelaksana lanjutan IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025708321 46 MAYA SUSANTI #REF! Sanitarian Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025089523 47 FEBRIANTI #REF! Nutrisionis Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647
Lanjutan
4525294841 48 HILDHA HANDAYANI #REF! Sanitarian Mahir IIIA 7 3,698,561 3,698,561 147,942 3,846,503 36,986 147,942 184,928 369,856 3,476,647

7025056714 49 ERLYN OCTIANTY #REF! Bidan Terampil IID 6 3,214,006 3,214,006 128,560 3,342,566 32,140 128,560 160,700 321,400 3,021,166

7025041539 50 RINI #REF! Asisten Apoteker IID 6 3,214,006 3,214,006 128,560 3,342,566 32,140 128,560 160,700 321,400 3,021,166
Pelaksana

Pengadministasi
7025073333 51 FAUZAN #REF! IID 5 2,451,570 2,451,570 98,063 2,549,633 24,516 98,063 122,579 245,158 2,304,475
Umum

7025091994 52 DINA MARDIANA 19771011 200801 2 013 Perawat Pelaksana IIB 6 3,214,006 3,214,006 128,560 3,342,566 32,140 128,560 160,700 321,400 3,021,166

Pengadministasi
7025279047 53 MUHAMMAD SAUFI #REF! Umum IB 5 2,451,570 2,451,570 98,063 2,549,633 24,516 98,063 122,579 245,158 2,304,475

KOLOM YANG BERWARNA TOLONG ISI

KOLOM JABATAN di isi sesuai SK jabatan/ SK infasing / SK fungsional

Mengetahui,
Kepala UPTD Puskesmas Tuan-Tuan Ketapang, 3 Nopember 2021
Bendahara Pengeluaran Pembantu

HASAN BASRI, SKM

NIP. 19680311 198903 1 011 TUTIK ASTUTI, SE'
NIP. 19760818 200701 2 025
3. LAMPIRKAN SK NYA

CONTOH FORMAT TPP, DI ISI DGN

BENAR, SESUAI KONDISI PUSKESMAS
MASING MASING
 TANDA
1% 4%
TANGAN

5,251,540 6,748,460 67,485 269,938 67,485 269,938 (0) 0 344,876 344,876 (0)

0 54,737 54,737 218,949 218,949 0 273,686 273,686 0

(0) 59,998 59,998 239,991 239,991 0 299,989 299,989 (0)

0 52,191 52,191 208,765 208,765 0 260,957 260,957 (0)

0 52,191 52,191 208,765 208,765 0 260,957 260,957 (0)

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

(0) 39,902 39,902 159,608 159,608 (0) 199,510 199,510 (0)

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

 0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 52,191 52,191 208,765 208,765 0 260,957 260,957 (0)

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

(0) 59,998 59,998 239,991 239,991 0 299,989 299,989 (0)

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 24,516 24,516 98,063 98,063 (0) 122,579 122,579 (1)

(0) 24,516 24,516 98,063 98,063 (0) 122,579 122,579 (1)

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

0 41,948 41,948 167,793 167,793 - 209,741 209,741 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

(0) 36,986 36,986 147,942 147,942 0 184,928 184,928 0

0 32,140 32,140 128,560 128,560 0 160,700 160,700 0

0 32,140 32,140 128,560 128,560 0 160,700 160,700 0

(0) 24,516 24,516 98,063 98,063 (0) 122,579 122,579 (1)

0 32,140 32,140 128,560 128,560 0 160,700 160,700 0

(0) 24,516 24,516 98,063 98,063 (0) 122,579 122,579 (1)

DGN
SMAS