HONORARIUM PEGAWAI KONTRAK PUSKESMAS ( BLUD )

PUSKESMAS WAJAK
BULAN DESEMBER TAHUN 2022

IURAN
NO NAMA REK BPD PEGAWAI JUMLAH GAJI JUMLAH DITERIMA
BPJS

1 AINUL YAQIN 1626037468 Kontrak S1 1,100,000 30,683 1,069,317

2 WAHYU SURIYANI 1626044481 Kontrak S1 1,100,000 30,683 1,069,317

3 ANISA RAHMAWATI Kontrak S1 1,100,000 30,683 1,069,317

4 AVANTI ROSLINA NUR 0047728495 Kontrak S I 1,100,000 30,683 1,069,317

5 KARIMA YUSTIKA 1626022134 Kontrak D3 1,050,000 30,683 1,019,317

6 LINDA NOVINDIARNI 1626012571 Kontrak D3 1,050,000 30,683 1,019,317

7 NORMA DEWI.S 1626022126 Kontrak D3 1,050,000 30,683 1,019,317

8 KHOIRUL ANAM 1076020309 Kontrak D3 1,050,000 30,683 1,019,317

9 NEVI LIANA.SARI. 1076020414 Kontrak D3 1,050,000 30,683 1,019,317

10 MIMIN FARIDA SILVIA 1077280088 Kontrak D3 1,050,000 30,683 1,019,317

11 ZAHROTUL MUFIDAH 1626044472 Kontrak D3 1,050,000 30,683 1,019,317

12 TOPAN ADI MUBAROK 1626022029 Kontrak SLTA 950,000 30,683 919,317

13 FEBRIANTI 1626050081 Kontrak SLTA 950,000 30,683 919,317

14 JULIANTO 1626022177 Kontrak SD 925,000 30,683 894,317

15 BISRI MUSTOFA 0606523572 Kontrak SMP 925,000 30,683 894,317

JUMLAH 15,500,000 460,245 15,039,755

Mengetahui Pejabat Keuangan Pejabat Pelaksana Wajak , 22 DESEMBER 2022

Kuasa Pengguna Anggaran ( PA ) Teknik Kegiatan ( PPTK ) Bendahara Pengeluaran

drg. Hennie Noerhayati Hartini . SE Solikin Hazad.S.Kep. Ns Sujarwati. SE

Nip 197303292005012004 Nip 196501051988022003 Nip. 196705221991031004 Nip.19660628 199303 2006
NO NAMA KAPITASI
NEW

1 dr. DONY ###

2 NURHAYATI ###

3 EDY SURAHMAN ###

4 KRISTINA WIWIN PWS ###

5 ENDRA WIJAYA ,Amd.Kep ###

6 EFI KINANTI, Amd.Kep ###

7 FARIED ARDIANSYAH,Amd.Kep ###

8 FAHAZZAH INDRA LUKMANA,Amd.Kep ###

9 RIA ITALIAN, Amd.Kep ###

10 RADIK CAHYO PURNOMO,Amd.Kep ###

11 SILVIATUS SA'DIYAH , Amd.Kep ###

12 ERLIN DWI JAYANTI,Amd.Kep ###

13 IBNU MADHA AGUS TRI.W.Amd.Kep ###

14 KARIMA YUSTIKA,Amd.Keb ###

15 LINDA NOVINDIARNI,Amd.Keb ###

16 NOERMA DEWI SAFITRI,A.Md.Kes ###

17 KHOIRUL ANAM,Amd. Kep ###

18 NEVI LIANA SARI,Amd.Kep ###

19 MIMIN FARIDA SILVIA Amd.Keb ###

20 RIRIS FATMAWATI ###

21 ANDRIAN SISKA DWI HERNINA ###
1 HENNIE NOERHAYATI 0602072029

2 SUSJUMIATI 0047175755

3 SUJARWATI. 0602028321

4 HARTINI. 0602039161

5 WARNIAH IKA FAJARINGTYAS 0606026889

6 SOLIKIN HAZAD 1626012791

7 LINDAWATI 0047191891

8 SUTARI 0047176107

9 SUHARTATIK 0047176093

10 MAHFUDLOTIN HANIFAH 0602036138

11 RADITA PRAVITASARI 0047175909

12 dr. FAUZIAH DAMAYANTI 0602267814

13 dr. SILVIRA KURNIASIH 1077028672

14 EVI DELSIANI 0047366658

15 LILIK DWI ASTUTIK 0602132030

16 YENNY KUNCAHYO. 0602252132

17 EKO WIBI CAHYONO. 0162499572

18 AKHMADI 0602029263

19 FIFIN AMBARSARI. 1077013268

20 MERRY DWI DIANINGTYAS 0047235103

21 ELAN AISYAFURI 1622022202

22 ASHA JEHA KARTIKA 1077025061

23 YAMINI 0602142256

24 LILIK HIDAYATI. 0606013370

25 SARI DYAH KARTININGRUM 0602107329

26 SUGIATI ENNY . 0602229441

27 SRI SURYA CANDRA . 0602229459

28 DINAR NACITA. 0602229432

29 SELA NOVITASARI 0047708257

30 SARI PRATIWI DUPLIKAT 0047383021

31 ENRICCO SEPTIAN HARYONO 0602267458

32 MUFAHKIROH 1626012562
REKAP INDIKATOR PENILAIAN INSENTIF KARYAWAN UPT PUSKES
JANUARI TAHUN 2023

Hasil
/
capai Kehadiran
an
Kine Hari INDEKS
rja Hari INDIVI
efekt
( Per efekti % DU
NO NAMA if
form f FKn kehad
kerja
ance kerja iran
Pega
Inde 1
wai
x)
sip
8
6 7
(1+2+3+4+5
)
1 dr. Hennie Noerhayati 9 26 26 0 100 474
2 SUSJUMI`ATI,Amd.Keb 7 26 26 0 100 223
3 SUJARWATI,SE 8 26 26 0 100 210
4 HARTINI,SE 7 26 26 0 100 145
5 WARNIAH IKA.F,A.Md.Keb 7 26 26 0 100 188
6 SOLIKIN,S.Kep.Ns 8 26 24 2 92 203
7 LINDAHWATI,A.Md.Keb 7 26 26 0 100 160
8 SUTARI, A.Md.Keb 7 26 26 0 100 160
9 SUHARTATIK,A.Md.Keb 8 26 25 1 96 163
10 MAHFUDLOTIN HANIFAH 6 26 26 0 100 158
11 RADITA PRAVITASARI,Amd.Keb 8 26 26 0 100 148
12 dr. FAUZIAH DAMAYANTI 7 26 26 0 100 329
13 dr. SILFIRA KURNIANINGSIH 6 26 26 0 100 324
14 EVI DELSIANI,A.Md.Keb 7 26 26 0 100 154
15 LILIK DWI ASTUTIK,A.Md.Keb 7 26 26 0 100 146
16 YENNY KUNCAHYO,A.Md.Kep 8 26 26 0 100 159
17 EKO WIBI CAHYONO,A.Md 7 26 24 2 92 142
18 AKHMADI 7 26 25 1 96 109
19 FIFIN AMBARSARI,S.Kep.Ns 8 26 19 7 73 192
20 MERRY DWI DIANINGTYAS,A.Md.Gz 8 26 26 0 100 135
21 ELAN AISYAFURI ,S.Farm, Apt 7 26 25 1 96 169
22 ASHA JEHA KARTIKA , A.Md.Kes 7 26 25 1 96 111
23 YAMINI,Amd.Keb 7 26 26 0 100 154
24 LILIK HIDAYATI,A.Md.Keb 7 26 26 0 100 149
25 SARI DYAH KARTININGRUM, A.Md.Keb 7 26 26 0 100 150
26 SUGIATI ENNY GUSTANTI,A.Md.Keb 7 26 26 0 100 145
27 SRI SURYA CANDRA,A.Md.Keb 6 26 26 0 100 140
28 DINAR NACITA, A.Md.Keb 6 26 26 0 100 140
29 SELA NOVITASARI,A.Md.Kep 6 26 26 0 100 128
30 SARI PRASTIWI,A.Md.Kep 7 26 25 1 96 128
31 ENRICCO SEPTIAN HARYONO,A.Md.Kep 9 26 26 0 100 206
32 MUFAKHIROH,Amd.Keb 7 26 26 0 100 143
33 TITIN MAYASARI,Amd.Kep 6 26 0 26 - 128
34 NEVI ANISTYAWATI,Amd.Kep 7 26 26 0 100 128
26 26 0 100
35 1 dr. DONY 7 26 26 0 100 270
36 2 NURHAYATI 8 26 26 0 100 89
37 3 EDY SURAHMAN 7 26 26 0 100 137
38 4 KRISTINA WIWIN PWS 8 26 26 0 100 84
39 5 ENDRA WIJAYA ,Amd.Kep 6 26 26 0 100 122
40 6 EFI KINANTI, Amd.Kep 6 26 26 0 100 117
41 7 FARIED ARDIANSYAH,Amd.Kep 6 26 26 0 100 117
42 8 FAHAZZAH INDRA LUKMANA,Amd.Kep 6 26 26 0 100 117
43 9 RIA ITALIAN, Amd.Kep 6 26 26 0 100 117
44 10 RADIK CAHYO PURNOMO,Amd.Kep 6 26 26 0 100 120
45 11 SILVIATUS SA'DIYAH , Amd.Kep 6 26 26 0 100 112
46 12 ERLIN DWI JAYANTI,Amd.Kep 7 26 26 0 100 117
47 13 IBNU MADHA AGUS TRI.W.Amd.Kep 7 26 26 0 100 120
48 14 KARIMA YUSTIKA,Amd.Keb 5 26 26 0 100 112
49 15 LINDA NOVINDIARNI,Amd.Keb 5 26 26 0 100 112
50 16 NOERMA DEWI SAFITRI,A.Md.Kes 6 26 26 0 100 113
51 17 KHOIRUL ANAM,Amd. Kep 6 26 26 0 100 102
52 18 NEVI LIANA SARI,Amd.Kep 6 26 26 0 100 107
53 19 MIMIN FARIDA SILVIA Amd.Keb 5 26 26 0 100 107
54 20 RIRIS FATMAWATI 4 26 26 0 100 102
55 21 ANDRIAN SISKA DWI HERNINA 4 26 26 0 100 107
56 22 KATON RETNO SANDY 4 26 26 0 100 102
57 23 JEFRI SUS AFANDI 4 26 26 0 100 102
58 24 AINUL YAQIN,S.Pd 7 26 26 0 100 87
59 25 ANISA RAHMA ZAENAB 6 26 26 0 100 90
60 26 WAHYU SURYANI,S.Ak 7 26 26 0 100 84
61 27 ZAHROTUL MUFIDA.A.Md.Rmik 7 26 25 1 96 85
62 28 JULIANTO 8 26 26 0 100 69
63 29 TOFAN ADI MUBAROK 8 26 26 0 100 64
64 30 PEBRIANTI 9 26 25 1 96 59
65 31 BISRI MUSTOFA 8 26 26 0 100 59

TOTAL
YAWAN UPT PUSKESMAS WAJAK

SKOR JASPEL ALOKASI ANGGARAN

INDIVIDU INDIVIDU INTENSIF
Pajak PPH Diterima kan

10
9
(9/ 11
(8*6*7)
total skor seluruh
peg) *11
426,600 11,738,837 1,760,825 9,978,011 Rp 168,183,420 20575020
144,950 3,988,618 199,431 3,789,187 Rp 168,183,420
159,600 4,391,745 219,587 4,172,158 Rp 168,183,420
98,600 2,713,196 135,660 2,577,536 Rp 168,183,420
131,600 3,621,263 181,063 3,440,200 Rp 168,183,420
140,538 3,867,225 193,361 3,673,863 Rp 168,183,420
115,200 3,169,981 158,499 3,011,482 Rp 168,183,420
112,000 3,081,926 154,096 2,927,830 Rp 168,183,420
117,548 3,234,594 161,730 3,072,864 Rp 168,183,420
94,800 2,608,630 130,432 2,478,199 Rp 168,183,420
111,000 3,054,409 152,720 2,901,689 Rp 168,183,420
223,720 6,156,148 307,807 5,848,340 Rp 168,183,420
200,880 5,527,655 276,383 5,251,272 Rp 168,183,420
107,800 2,966,354 148,318 2,818,036 Rp 168,183,420
102,200 2,812,258 140,613 2,671,645 Rp 168,183,420
127,200 3,500,188 175,009 3,325,178 Rp 168,183,420
85,200 2,344,465 117,223 2,227,242 Rp 168,183,420
73,365 2,018,810 100,940 1,917,869 Rp 168,183,420
105,231 2,895,656 144,783 2,750,873 Rp 168,183,420
108,000 2,971,857 148,593 2,823,265 Rp 168,183,420
105,625 2,906,504 145,325 2,761,179 Rp 168,183,420
74,712 2,055,852 2,055,852 Rp 168,183,420
107,800 2,966,354 2,966,354 Rp 168,183,420
104,300 2,870,044 2,870,044 Rp 168,183,420
105,000 2,889,306 2,889,306 Rp 168,183,420
101,500 2,792,996 2,792,996 Rp 168,183,420
84,000 2,311,445 2,311,445 Rp 168,183,420
84,000 2,311,445 2,311,445 Rp 168,183,420
76,800 2,113,321 2,113,321 Rp 168,183,420
80,000 2,201,376 2,201,376 Rp 168,183,420
175,100 4,818,261 4,818,261 Rp 168,183,420
 92,950 2,557,724 2,557,724 Rp 168,183,420
- - - Rp 168,183,420
89,600 2,465,541 2,465,541 Rp 168,183,420
109,458,439 Rp 168,183,420
197,100 5,423,640 5,423,640 Rp 168,183,420
66,750 1,836,773 1,836,773 Rp 168,183,420
89,050 2,450,406 2,450,406 Rp 168,183,420
63,000 1,733,583 1,733,583 Rp 168,183,420
76,860 2,114,972 2,114,972 Rp 168,183,420
73,710 2,028,293 2,028,293 Rp 168,183,420
73,710 2,028,293 2,028,293 Rp 168,183,420
73,710 2,028,293 2,028,293 Rp 168,183,420
73,710 2,028,293 2,028,293 Rp 168,183,420
75,600 2,080,300 2,080,300 Rp 168,183,420
70,560 1,941,613 1,941,613 Rp 168,183,420
78,390 2,157,073 2,157,073 Rp 168,183,420
78,000 2,146,341 2,146,341 Rp 168,183,420
56,000 1,540,963 1,540,963 Rp 168,183,420
56,000 1,540,963 1,540,963 Rp 168,183,420
67,800 1,865,666 1,865,666 Rp 168,183,420
56,100 1,543,715 1,543,715 Rp 168,183,420
64,200 1,766,604 1,766,604 Rp 168,183,420
53,500 1,472,170 1,472,170 Rp 168,183,420
40,800 1,122,702 1,122,702 Rp 168,183,420
42,800 1,177,736 1,177,736 Rp 168,183,420
40,800 1,122,702 1,122,702 Rp 168,183,420
40,800 1,122,702 1,122,702 Rp 168,183,420
60,900 1,675,797 1,675,797 Rp 168,183,420
54,000 1,485,929 1,485,929 Rp 168,183,420
58,800 1,618,011 1,618,011 Rp 168,183,420
57,212 1,574,301 1,574,301 Rp 168,183,420
55,200 1,518,949 1,518,949 Rp 168,183,420
51,200 1,408,881 1,408,881 Rp 168,183,420
51,058 1,404,965 1,404,965 Rp 168,183,420
47,200 1,298,812 1,298,812 Rp 168,183,420
56,259,440
6,111,938 277,641,859 5,152,400 163,031,020 Rp 168,183,420

168,183,420.00
JP
269,516,500.00 1,016,590 12,755,426 254,092 63,523
161,709,900.00 300,947 4,289,564 171,583 42,896
413,740 4,805,485 192,219 48,055
379,262 3,092,457 123,698 30,925
294,892 3,916,155 156,646 39,162
272,369 4,139,594 165,584 41,396
272,796 3,442,777 137,711 34,428
272,379 3,354,305 134,172 33,543
297,376 3,531,969 141,279 35,320
195,598 2,804,229 112,169 28,042
273,364 3,327,773 133,111 33,278
444,386 6,600,533 264,021 66,005
460,343 5,987,997 239,520 59,880
265,483 3,231,837 129,273 32,318
219,600 3,031,858 121,274 30,319
262,035 3,762,223 150,489 37,622
210,872 2,555,337 102,213 25,553
173,453 2,192,262 87,690 21,923
330,623 3,226,278 129,051 32,263
223,778 3,195,635 127,825 31,956
260,127 3,166,631 126,665 31,666
191,355 2,247,207 89,888 22,472
249,968 3,216,322 128,653 32,163
237,105 3,107,149 124,286 31,071
249,968 3,139,274 125,571 31,393
211,303 3,004,298 120,172 30,043
203,915 2,515,359 100,614 25,154
201,300 2,512,745 100,510 25,127
181,864 2,295,185 91,807 22,952
181,258 2,382,633 95,305 23,826
274,226 5,092,487 203,699 50,925
 228,911 2,786,635 111,465 27,866

9,251,182 118,709,621 4,492,260 1,123,065

REKAP INDIKATOR PENILAIAN INSENTIF KARYAWAN UPT PUSKES
JANUARI TAHUN 2023

Penga
laman
Kerja
dan
Ketrampilan , Ilmu
masa
Pengetahuan &
kerja
perilaku
( Basi
c
Index
MASA )
NO NAMA GOLONGAN
KERJA

Tingk
at Jumla
SIP h
Th pendi
dikan

a b a+b

1 2

1 dr. Hennie Noerhayati PEMBINA TK.I/ IVB 18 15 150 5 155

2 SUSJUMI`ATI,Amd.Keb PENATA TK.I / III D 29 25 60 10 70
3 SUJARWATI,SE PENATA TK.I / III D 29 25 50 5 55
4 HARTINI,SE PENATA TK.I / III D 28 25 50 5 55
5 WARNIAH IKA.F,A.Md.Keb PENATA TK I/ III D 26 25 80 10 90
6 SOLIKIN,S.Kep.Ns PENATA TK I/ III D 26 20 100 10 110
7 LINDAHWATI,A.Md.Keb PENATA TK I/ III D 26 20 60 10 70
8 SUTARI, A.Md.Keb PENATA TK I/ III D 25 20 60 10 70
9 SUHARTATIK,A.Md.Keb PENATA TK I/ III D 25 20 60 10 70
10 MAHFUDLOTIN HANIFAH PENATA /III C 25 20 60 10 70
11 RADITA PRAVITASARI,Amd.Keb PENAMA MUDA TK. 14 I 10 60 10 70
12 dr. FAUZIAH DAMAYANTI PENAMA MUDA TK. 3I 0 150 50 200
13 dr. SILFIRA KURNIANINGSIH PENATA MUDA TK.I2/ 0 150 50 200
14 EVI DELSIANI,A.Md.Keb PENATA MUDA TK.I17 / 15 60 10 70
15 LILIK DWI ASTUTIK,A.Md.Keb PENATA MUDA TK.I15 / 10 60 10 70
16 YENNY KUNCAHYO,A.Md.Kep PENATA MUDA TK.I11 / 10 60 10 70
17 EKO WIBI CAHYONO,A.Md PENATA MUDA / III 12 10 60 5 65
18 AKHMADI PENATA MUDA / III 25 20 25 5 30
19 FIFIN AMBARSARI,S.Kep.Ns PENATA MUDA / III 11 5 100 10 110
20 MERRY DWI DIANINGTYAS,A.Md.Gz PENATA MUDA / III 10 5 50 5 55
21 ELAN AISYAFURI ,S.Farm, Apt PENATA MUDA TK. I2 / 0 100 5 105
22 ASHA JEHA KARTIKA , A.Md.Kes PENGATUR / II C 2 0 50 5 55
23 YAMINI,Amd.Keb PENATA MUDA / III 25 20 60 10 70
24 LILIK HIDAYATI,A.Md.Keb PENATA MUDA / III 20 15 60 10 70
25 SARI DYAH KARTININGRUM, A.Md.K PENGATUR TK I / II 25 20 60 10 70
26 SUGIATI ENNY GUSTANTI,A.Md.Keb PENGATUR TK I / II 18 15 60 10 70
27 SRI SURYA CANDRA,A.Md.Keb PENGATUR TK I / II 17 10 60 10 70
28 DINAR NACITA, A.Md.Keb PENGATUR TK I / II 16 10 60 10 70
29 SELA NOVITASARI,A.Md.Kep PENGATUR / II C 5 0 60 10 70
30 SARI PRASTIWI,A.Md.Kep PENGATUR / II C 5 0 60 10 70
31 ENRICCO SEPTIAN HARYONO,A.Md.KPENGATUR / II C 5 0 60 10 70
32 MUFAKHIROH,Amd.Keb PENGATUR / II C 19 15 60 10 70
33 TITIN MAYASARI,Amd.Kep GOLONGAN/ VII 1 0 60 10 70
34 NEVI ANISTYAWATI,Amd.Kep GOLONGAN/ VII 1 0 60 10 70

35 dr. DONY KONTRAK DINKES 1 0 150 10 160

36 NURHAYATI K2 34 25 25 5 30
37 EDY SURAHMAN K2 27 25 60 10 70
38 KRISTINA WIWIN PWS K2 23 20 25 5 30
39 ENDRA WIJAYA ,Amd.Kep KONTRAK BLUD 11 10 60 10 70
40 EFI KINANTI, Amd.Kep KONTRAK BLUD 10 5 60 10 70
41 FARIED ARDIANSYAH,Amd.Kep KONTRAK BLUD 10 5 60 10 70
42 FAHAZZAH INDRA LUKMANA,Amd.K KONTRAK BLUD 8 5 60 10 70
43 RIA ITALIAN, Amd.Kep KONTRAK BLUD 8 5 60 10 70
44 RADIK CAHYO PURNOMO,Amd.Kep KONTRAK BLUD 8 5 60 10 70
45 SILVIATUS SA'DIYAH , Amd.Kep KONTRAK BLUD 0 0 60 10 70
46 ERLIN DWI JAYANTI,Amd.Kep KONTRAK BLUD 8 5 60 10 70
47 IBNU MADHA AGUS TRI.W.Amd.Kep KONTRAK BLUD 6 5 60 10 70
48 KARIMA YUSTIKA,Amd.Keb KONTRAK BLUD 10 5 60 10 70
49 LINDA NOVINDIARNI,Amd.Keb KONTRAK BLUD 6 5 60 10 70
50 NOERMA DEWI SAFITRI,A.Md.Kes KONTRAK BLUD 6 5 60 10 70
51 KHOIRUL ANAM,Amd. Kep KONTRAK BLUD 5 0 60 5 65
52 NEVI LIANA SARI,Amd.Kep KONTRAK BLUD 5 0 60 10 70
53 MIMIN FARIDA SILVIA Amd.Keb KONTRAK BLUD 2 0 60 10 70
54 RIRIS FATMAWATI KONTRAK BLUD 0 0 60 5 65
55 ANDRIAN SISKA DWI HERNINA KONTRAK BLUD 0 0 60 10 70
56 KATON RETNO SANDY KONTRAK BLUD 0 0 60 5 65
57 JEFRI SUS AFANDI KONTRAK BLUD 0 0 60 5 65
58 AINUL YAQIN,S.Pd KONTRAK BLUD 3 0 50 5 55
59 ANISA RAHMA ZAENAB KONTRAK BLUD 0 0 50 5 55
60 WAHYU SURYANI,S.Ak KONTRAK BLUD 3 0 50 5 55
61 ZAHROTUL MUFIDA.A.Md.Rmik KONTRAK BLUD 3 0 50 5 55
62 JULIANTO KONTRAK BLUD 13 10 25 5 30
63 TOFAN ADI MUBAROK KONTRAK BLUD 6 5 25 5 30
64 PEBRIANTI KONTRAK BLUD 3 0 25 5 30
65 BISRI MUSTOFA KONTRAK BLUD 1 0 25 5 30

TOTAL
AN UPT PUSKESMAS WAJAK

Hasil
Ting Jabatan yang /
kat disandang capai Kehadiran
Resik
Kega ( Position Index) an IND
o
wat Kine EKS
Kerj SKOR JASPEL
Daru rja INDI
a INDIVIDU INDIVIDU
ratan ( Per VID
( Ris
( Em form U
k
ergen ance
Inde Hari
cy Inde Hari efekt
x)
Inde Kep x) efekti if %
x) angk Jab Juml f FKn kehad
atan ah kerja
atan kerja iran
Pega
1
wai
a b a+b sip
10
8
9
3 4 5 6 7 (9/
(1+2+3 (8*6*7)
total skor seluruh
+4+5)
peg) *11
150 10 44 100 144 9 26 26 0 100 474 426,600 2,342,382
50 5 38 35 73 7 26 26 0 100 223 144,950 795,894
50 2 38 40 78 8 26 26 0 100 210 159,600 876,334
20 2 38 5 43 7 26 26 0 100 145 98,600 541,395
25 5 38 5 43 7 26 26 0 100 188 131,600 722,591
25 5 38 5 43 8 26 24 2 92.308 203 140,538 771,671
25 5 38 2 40 7 26 26 0 100 160 115,200 632,542
25 5 38 2 40 7 26 26 0 100 160 112,000 614,971
25 5 38 5 43 8 26 25 1 96.154 163 117,548 645,435
25 5 36 2 38 7 26 26 0 100 158 110,600 607,284
25 5 36 2 38 8 26 26 0 100 148 111,000 609,481
75 10 34 10 44 6 26 26 0 100 329 203,980 1,120,017
75 10 34 5 39 6 26 26 0 100 324 194,400 1,067,415
25 5 34 5 39 7 26 26 0 100 154 107,800 591,910
25 5 34 2 36 7 26 26 0 100 146 102,200 561,161
30 5 34 10 44 7 26 26 0 100 159 111,300 611,128
30 3 32 2 34 7 26 24 2 92.308 142 85,200 467,818
20 5 32 2 34 7 26 25 1 96.154 109 73,365 402,836
30 5 32 10 42 8 26 19 7 73.077 192 105,231 577,803
30 3 32 10 42 7 26 26 0 100 135 94,500 518,882
25 3 34 2 36 7 26 25 1 96.154 169 105,625 579,968
25 3 26 2 28 7 26 25 1 96.154 111 74,712 410,227
25 5 32 2 34 7 26 26 0 100 154 107,800 591,910
25 5 32 2 34 7 26 26 0 100 149 104,300 572,692
25 5 28 2 30 7 26 26 0 100 150 105,000 576,536
25 5 28 2 30 6 26 26 0 100 145 87,000 477,701
25 5 28 2 30 6 26 26 0 100 140 84,000 461,229
25 5 28 2 30 7 26 26 0 100 140 98,000 538,100
25 5 26 2 28 6 26 26 0 100 128 76,800 421,695
25 5 26 2 28 7 26 25 1 96.154 128 80,000 439,265
50 5 26 55 81 9 26 26 0 100 206 175,100 961,442
25 5 26 2 28 7 26 26 0 100 143 92,950 510,371
25 5 26 2 28 7 26 0 26 0 128 - -
25 5 26 2 28 7 26 26 0 100 128 89,600 491,977
0 0
0 0
75 10 10 15 25 7 26 26 0 100 270 197,100 1,082,240
20 2 10 2 12 8 26 26 0 100 89 66,750 366,512
25 5 10 2 12 7 26 26 0 100 137 89,050 488,957
20 2 10 2 12 8 26 26 0 100 84 63,000 345,921
25 5 10 2 12 7 26 26 0 100 122 79,300 435,422
25 5 10 2 12 7 26 26 0 100 117 81,900 449,698
25 5 10 2 12 7 26 26 0 100 117 81,900 449,698
25 5 10 2 12 7 26 26 0 100 117 81,900 449,698
25 5 10 2 12 7 26 26 0 100 117 78,390 430,425
25 5 10 5 15 7 26 26 0 100 120 84,000 461,229
25 5 10 2 12 7 26 26 0 100 112 72,800 399,731
25 5 10 2 12 7 26 26 0 100 117 81,900 449,698
25 5 10 5 15 7 26 26 0 100 120 84,000 461,229
25 5 5 2 7 7 26 26 0 100 112 72,800 399,731
25 5 5 2 7 7 26 26 0 100 112 72,800 399,731
25 3 5 5 10 7 26 26 0 100 113 79,100 434,324
25 5 5 2 7 7 26 26 0 100 102 71,400 392,044
25 5 5 2 7 7 26 26 0 100 107 74,900 411,262
25 5 5 2 7 7 26 26 0 100 107 69,550 381,886
25 5 5 2 7 4 26 26 0 100 102 40,800 224,025
25 5 5 2 7 4 26 26 0 100 107 42,800 235,007
25 5 5 2 7 4 26 26 0 100 102 40,800 224,025
25 5 5 2 7 4 26 26 0 100 102 40,800 224,025
20 2 5 5 10 8 26 26 0 100 87 69,600 382,161
25 3 5 2 7 6 26 26 0 100 90 54,000 296,504
20 2 5 2 7 9 26 26 0 100 84 72,240 396,657
20 3 5 2 7 8 26 25 1 96.154 85 65,385 359,015
20 2 5 2 7 9 26 26 0 100 69 62,100 340,980
20 2 5 2 7 9 26 26 0 100 64 57,600 316,271
20 2 5 2 7 9 26 25 1 96.154 59 51,058 280,348
20 2 5 2 7 9 25 25 0 100 59 53,100 291,562
12,260,018
6,259,922 34,372,082
 ALOKASI ANGGARAN
INTENSIF
Pajak PPH Diterima kan

11
JP
351,357 1,991,025 Rp 34,372,082 20575020 269,516,500.00 1,016,590
39,795 756,099 Rp 34,372,082 161,709,900.00 300,947
43,817 832,518 Rp 34,372,082 413,740
27,070 514,325 Rp 34,372,082 379,262
36,130 686,462 Rp 34,372,082 294,892
38,584 733,087 Rp 34,372,082 272,369
31,627 600,915 Rp 34,372,082 272,796
30,749 584,223 Rp 34,372,082 272,379
32,272 613,163 Rp 34,372,082 297,376
30,364 576,920 Rp 34,372,082 195,598
30,474 579,007 Rp 34,372,082 273,364
56,001 1,064,016 Rp 34,372,082 444,386
53,371 1,014,044 Rp 34,372,082 460,343
29,596 562,315 Rp 34,372,082 265,483
28,058 533,103 Rp 34,372,082 219,600
30,556 580,572 Rp 34,372,082 262,035
23,391 444,427 Rp 34,372,082 210,872
20,142 382,694 Rp 34,372,082 173,453
28,890 548,913 Rp 34,372,082 330,623
25,944 492,938 Rp 34,372,082 223,778
28,998 550,969 Rp 34,372,082 260,127
410,227 Rp 34,372,082 191,355
591,910 Rp 34,372,082 249,968
572,692 Rp 34,372,082 237,105
576,536 Rp 34,372,082 249,968
 477,701 Rp 34,372,082 211,303
461,229 Rp 34,372,082 203,915
538,100 Rp 34,372,082 201,300
421,695 Rp 34,372,082 181,864
439,265 Rp 34,372,082 181,258
961,442 Rp 34,372,082 274,226
510,371 Rp 34,372,082 228,911
- Rp 34,372,082
491,977 Rp 34,372,082
Rp 34,372,082
Rp 34,372,082 9,251,182
1,082,240 Rp 34,372,082
366,512 Rp 34,372,082
488,957 Rp 34,372,082
345,921 Rp 34,372,082
435,422 Rp 34,372,082
449,698 Rp 34,372,082
449,698 Rp 34,372,082
449,698 Rp 34,372,082
430,425 Rp 34,372,082
461,229 Rp 34,372,082
399,731 Rp 34,372,082
449,698 Rp 34,372,082
461,229 Rp 34,372,082
399,731 Rp 34,372,082
399,731 Rp 34,372,082
434,324 Rp 34,372,082
392,044 Rp 34,372,082
411,262 Rp 34,372,082
381,886 Rp 34,372,082
224,025 Rp 34,372,082
235,007 Rp 34,372,082
224,025 Rp 34,372,082
224,025 Rp 34,372,082
382,161 Rp 34,372,082
296,504 Rp 34,372,082
396,657 Rp 34,372,082
359,015 Rp 34,372,082
340,980 Rp 34,372,082
316,271 Rp 34,372,082
280,348 Rp 34,372,082
291,562 Rp 34,372,082

1,017,184 33,354,898 Rp 34,372,082

34,372,082.00
3,358,972 254,092 63,523
1,096,840 43,874 10,968
1,290,074 51,603 12,901
920,656 36,826 9,207
1,017,484 40,699 10,175
1,044,040 41,762 10,440
905,338 36,214 9,053
887,350 35,494 8,874
942,811 37,712 9,428
802,883 32,115 8,029
882,845 35,314 8,828
1,564,403 62,576 15,644
1,527,757 61,110 15,278
857,393 34,296 8,574
780,762 31,230 7,808
873,163 34,927 8,732
678,690 27,148 6,787
576,288 23,052 5,763
908,425 36,337 9,084
742,660 29,706 7,427
840,094 33,604 8,401
601,582 24,063 6,016
841,878 33,675 8,419
809,797 32,392 8,098
826,504 33,060 8,265
 689,004 27,560 6,890
665,143 26,606 6,651
739,400 29,576 7,394
603,558 24,142 6,036
620,523 24,821 6,205
1,235,668 49,427 12,357
739,283 29,571 7,393

30,871,269 1,354,584 338,646

 REKAPITULASI JASA PELAYAN PPPK
DANA BADAN LAYANAN UMUM DAERAH ( BLUD ) PUSKESMAS WAJAK
BULAN JANUARI TAHUN 2023

NO NAMA REK BPD JABATAN / GOL KAPITASI RETRIBUSI PAJAK IURAN BPJS 1 % JML DI TERIMA

1 Titin Mayasari 1622012746 Perawat Terampil / VII 2,274,536 364,058 - 26,386 2,612,208

2 Nevi Anistiyawati 1077019509 Perawat Terampil / VII 2,465,541 491,977 - 29,575 2,927,943

JUMLAH 4,740,077 856,035 - 55,961.12 5,540,151

Mengetahui Pejabat Keuangan Pejabat Pelaksana Wajak , 23 JANUARI 2023

Kuasa Pengguna Anggaran ( PA ) Teknis Kegiatan (PPTK) Bendahara Pengeluaran

drg. Hennie Noerhayati Hartini . SE Solikin Hazad.S.Kep. Ns Sujarwati. SE

Nip 197303292005012004 Nip 196501051988022003 Nip. 196705221991031004 Nip.19660628 199303 2006
 IURAN BPJS 4 %

105,544

118,301

223,844
 Nama rek lama pemilik rek
1 FAHAZZAH INDRA LUKMANA,Amd#REF! Titin
2 RIA ITALIAN, Amd.Kep #REF! nevi liana
3 RADIK CAHYO PURNOMO,Amd.K #REF! fahaza
4 SILVIATUS SA'DIYAH , Amd.Kep #REF! ria
5 ERLIN DWI JAYANTI,Amd.Kep #REF! radik
6 IBNU MADHA AGUS TRI.W.Amd.K#REF! silvi
7 KARIMA YUSTIKA,Amd.Keb #REF! erlin
8 LINDA NOVINDIARNI,Amd.Keb #REF! ibnu
9 NOERMA DEWI SAFITRI,A.Md.Ke #REF! karima
10 KHOIRUL ANAM,Amd. Kep #REF! linda novin
11 NEVI LIANA SARI,Amd.Kep #REF! norma
12 MIMIN FARIDA SILVIA Amd.Keb #REF! anam
13 RIRIS FATMAWATI #REF! nevi liana
14 ANDRIAN SISKA DWI HERNINA #REF! mimim
15 KATON RETNO SANDY #REF! anisa
16 JEFRI SUS AFANDI #REF!
17 AINUL YAQIN,S.Pd #REF! wahyu
18 ANISA RAHMA ZAENAB #REF! zahrotul
19 WAHYU SURYANI,S.Ak #REF! juli
20 ZAHROTUL MUFIDA.A.Md.Rmik #REF! topan
21 JULIANTO #REF! febri
22 TOFAN ADI MUBAROK #REF! bisri
23 PEBRIANTI #REF! sari
24 BISRI MUSTOFA #REF! rico
JUMLAH #REF!
 rek. baru pagu trasf kurang lebih
0047569605
1626010730
1622012711
0602301583
1626010721
0602300463
1626022134
1626012571
1626022126
1076020309
1076020414
1077280088
1622027832
1622027824
107627796
1623017091
1626037468
1622025368
1626044481
1626044472
1626022177
1626022029
1626050081
0606523572