Daftar Terima Honor Tenaga Pks Blud Uptd Puskesmas Wanareja I Bulan Januari Tahun 2021

DAFTAR TERIMA HONOR TENAGA PKS
BLUD UPTD PUSKESMAS WANAREJA I

BULAN JANUARI TAHUN 2021
KIP- TK. KEGAWAT

MASA KERJA RISIKO KERJA TG JAWAB KINERJA KEHADIRAN JASA PELAYANAN
PV=JUMLAH KOLOM
KETENAGAAN DARURATAN
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
NO NAMA KARYAWAN JABATAN KARYAWAN JUMLAH TERIMA
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
KOLOM (11) PELAYANAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
1 NURLAELY ROKHMAH PETUGAS PENDAFTARAN 0 0.000 60 0.014 30 0.020 15 0.017 5 0.005 10 0.011 0.068 20 20 100% 0.011 1,749,672
2 TITIN SETIANA PERAWAT 0 0.000 60 0.015 20 0.014 20 0.023 10 0.011 10 0.011 0.073 20 20 100% 0.012 1,894,733
3 WIDI SURANTO PERAWAT 0 0.000 60 0.015 20 0.014 20 0.023 5 0.005 10 0.011 0.068 20 20 100% 0.011 1,754,825
4 MARTINI PRAMU KEBERSIHAN 0 0.000 25 0.006 10 0.007 10 0.011 0 0.000 10 0.012 0.035 20 20 100% 0.006 910,513
5 DIAN IRAWATI SANITARIAN 0 0.000 60 0.014 20 0.014 15 0.017 10 0.011 10 0.011 0.068 20 20 100% 0.011 1,750,557
6 WARAS SUPRIYADI PERAWAT 0 0.000 100 0.024 10 0.007 10 0.011 0 0.000 10 0.011 0.054 20 20 100% 0.009 1,381,853
7 WIDIYANTI PUJI RAHAYU PERAWAT 0 0.000 100 0.024 20 0.014 10 0.011 5 0.005 10 0.011 0.065 20 20 100% 0.011 1,687,244
8 HARIYANTO PERAWAT 0 0.000 60 0.015 10 0.007 10 0.012 0 0.000 10 0.012 0.046 20 20 100% 0.008 1,181,033
9 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 0 0.000 60 0.015 10 0.007 10 0.012 0 0.000 10 0.012 0.046 20 20 100% 0.008 1,181,033
10 ARINDA PRAMUDITYA PERAWAT 0 0.000 60 0.015 10 0.007 0 0.000 5 0.005 10 0.012 0.038 20 20 100% 0.006 990,540
11 NURKHOTIMAH BIDAN 0 0.000 60 0.015 10 0.007 0 0.000 10 0.011 10 0.012 0.044 20 20 100% 0.007 1,130,447
12 AAN SUNANI BIDAN 0 0.000 60 0.015 10 0.007 0 0.000 5 0.006 10 0.012 0.039 20 20 100% 0.007 1,010,581
13 DESI SRI SANDY BIDAN 0 0.000 60 0.015 10 0.007 0 0.000 10 0.011 10 0.012 0.044 20 20 100% 0.007 1,130,447
14 UNI FAJAR SETYAWATI NUTRISIONIS 0 0.000 80 0.019 10 0.007 10 0.011 10 0.010 10 0.011 0.058 20 20 100% 0.010 1,485,363
15 FINDY AMBAR SAPUTRA PERAWAT 0 0.000 60 0.015 10 0.007 0 0.000 5 0.006 10 0.011 0.038 20 20 100% 0.006 991,025
16 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 0 0.000 60 0.015 10 0.007 10 0.012 10 0.011 10 0.012 0.057 20 20 100% 0.009 1,460,848
17 ANI YUNANI PRAMU KEBERSIHAN 0 0.000 25 0.006 10 0.007 0 0.000 10 0.011 10 0.011 0.034 20 20 100% 0.006 881,075
18 WATINI PRAMU KEBERSIHAN 0 0.000 25 0.006 10 0.007 0 0.000 5 0.005 10 0.011 0.029 20 20 100% 0.005 741,973
19 MARUTO PRAMU KEBERSIHAN 0 0.000 25 0.006 10 0.007 0 0.000 5 0.005 10 0.011 0.029 20 20 100% 0.005 741,973
20 MUGI RAHMAWATI PERAWAT GIGI 0 0.000 60 0.014 20 0.013 10 0.012 5 0.006 10 0.012 0.057 20 20 100% 0.010 1,479,495
21 WULAN PURNAMA PUTRI BIDAN DESA 0 0.000 60 0.015 10 0.007 0 0.000 5 0.006 10 0.012 0.039 20 20 100% 0.007 1,010,581
22 AGUS SUJATMIKO PENGEMUDI AMBULAN 0 0.000 25 0.006 10 0.007 10 0.011 0 0.000 10 0.011 0.036 20 20 100% #DIV/0! 0
23 YULIANTO PETUGAS KEAMANAN 0 0.000 25 0.006 10 0.007 10 0.011 0 0.000 10 0.011 0.036 20 20 100% #DIV/0! 0
24 RATNO ANDRIYANTO PETUGAS KEAMANAN 0 0.000 25 0.006 10 0.007 10 0.011 0 0.000 10 0.011 0.036 20 20 100% #DIV/0! 0
JUMLAH 0 0 1298 0.3123 307.4 0.2109 180.1 0.2036 121.7 0.132 242 0.2777 1.1365447 480 480 24 #DIV/0! 26545808.752
-
MENGETAHUI, WANAREJA, 17 FEBRUARI 2021
BENDAHARA PENGELUARAN
KEPALA BLUD
UPTD PUSKESMAS WANAREJA I BLUD UPTD PUSKESMAS
WANAREJA I
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
Dr. TEGUH WIBOWO CAHYONO

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
1. AGUS SUDRAJAT, SE (…………….…)
2. MURTINGATUN, SE (…………….…)
3. IBNU DIDIK MAHARDI, S.K.M. (…………….…)
4. SINTA SOETRISNO, S.Kep.Ners. (…………….…)
5. ATI KUSMIATI, A.Md.Keb. (…………….…)
6. ARI LESTARI RAHAYU, A.Md.Keb. (…………….…)
7. WEMI ARIYANTO (…………….…)
BULAN JANUARI TAHUN 2021
JASA PELAYANAN PAJAK
25% JASA JASA

PELAYANAN PELAYANAN 60% JUMLAH TERIMA
NO NAMA KARYAWAN JABATAN AKHIR
TANDA TANGAN
LANGSUNG DARI DAN 25%
TINDAKAN NON FINAL TIDAK FINAL
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
1 NURLAELY ROKHMAH PETUGAS PENDAFTARAN 0 1,749,672 104,980 1,644,692 45
2 TITIN SETIANA PERAWAT 147,725 2,042,458 122,547 1,919,910 46
3 WIDI SURANTO PERAWAT 147,725 1,902,550 114,153 1,788,397 47
4 MARTINI PRAMU KEBERSIHAN 93,660 1,004,173 60,250 943,923 48
5 DIAN IRAWATI SANITARIAN 0 1,750,557 105,033 1,645,523 49
6 WARAS SUPRIYADI PERAWAT 159,515 1,541,368 92,482 1,448,886 50
7 WIDIYANTI PUJI RAHAYU PERAWAT 159,515 1,846,759 110,806 1,735,954 51
8 HARIYANTO PERAWAT 147,725 1,328,758 79,725 1,249,032 52
9 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 147,725 1,328,758 79,725 1,249,032 53
10 ARINDA PRAMUDITYA PERAWAT 147,725 1,138,265 68,296 1,069,969 54
11 NURKHOTIMAH BIDAN 66,801 1,197,249 71,835 1,125,414 55
12 AAN SUNANI BIDAN 66,801 1,077,382 64,643 1,012,739 56
13 DESI SRI SANDY BIDAN 66,801 1,197,249 71,835 1,125,414 57
14 UNI FAJAR SETYAWATI NUTRISIONIS 0 1,485,363 89,122 1,396,241 58
15 FINDY AMBAR SAPUTRA PERAWAT 147,725 1,138,750 68,325 1,070,425 59
16 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 166,729 1,627,576 97,655 1,529,922 60
17 ANI YUNANI PRAMU KEBERSIHAN 93,660 974,735 58,484 916,250 61
18 WATINI PRAMU KEBERSIHAN 93,660 835,633 50,138 785,495 62
19 MARUTO PRAMU KEBERSIHAN 93,660 835,633 50,138 785,495 63
20 MUGI RAHMAWATI PERAWAT GIGI 0 1,479,495 88,770 1,390,725 64
21 WULAN PURNAMA PUTRI BIDAN DESA 66,801 1,077,382 64,643 1,012,739 65
22 AGUS SUJATMIKO PENGEMUDI AMBULAN 1,277,000 1,277,000 76,620 1,200,380 66
23 YULIANTO PETUGAS KEAMANAN 1,064,000 1,064,000 63,840 1,000,160 67
24 RATNO ANDRIYANTO PETUGAS KEAMANAN 1,064,000 1,064,000 63,840 1,000,160 68
JUMLAH 5,418,953 31,964,762 0 1,917,886 30,046,877
0 0
MENGETAHUI, WANAREJA, 17 FEBRUARI 2021
KEPALA BLUD BENDAHARA PENGELUARAN BLUD UPTD
UPTD PUSKESMAS WANAREJA I PUSKESMAS WANAREJA I
25% JASA JASA

PELAYANAN PELAYANAN 60% JUMLAH TERIMA TANDA TANGAN
LANGSUNG DARI DAN 25% FINAL TIDAK FINAL
TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN FEBRUARI TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
1 NURLAELY ROKHMAH PETUGAS PENDAFTARAN 0 0 60 0 30 0 20 0 5 0 15 0 0.073 19 19 100% 0.012 1,581,873
2 TITIN SETIANA PERAWAT 0 0 60 0 30 0 20 0 10 0 15 0 0.080 19 19 100% 0.013 1,722,220
3 WIDI SURANTO PERAWAT 0 0 60 0 30 0 20 0 5 0 15 0 0.074 19 19 100% 0.012 1,604,900
4 MARTINI PRAMU KEBERSIHAN 0 0 25 0 20 0 10 0 0 0 15 0 0.043 19 19 100% 0.007 932,595
5 DIAN IRAWATI SANITARIAN 0 0 60 0 30 0 15 0 10 0 15 0 0.074 19 19 100% 0.012 1,609,371
6 WARAS SUPRIYADI PERAWAT 0 0 100 0 20 0 10 0 0 0 15 0 0.060 19 19 100% 0.010 1,303,792
7 WIDIYANTI PUJI RAHAYU PERAWAT 0 0 100 0 30 0 10 0 5 0 15 0 0.071 19 19 100% 0.012 1,544,225
8 HARIYANTO PERAWAT 0 0 60 0 20 0 10 0 0 0 15 0 0.052 19 19 100% 0.009 1,133,281
9 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 0 0 60 0 20 0 10 0 0 0 15 0 0.052 19 19 100% 0.009 1,133,281
10 ARINDA PRAMUDITYA PERAWAT 0 0 60 0 20 0 0 0 5 0 15 0 0.046 19 19 100% 0.008 991,001
11 NURKHOTIMAH BIDAN 0 0 60 0 20 0 0 0 10 0 15 0 0.051 19 19 100% 0.009 1,108,320
12 AAN SUNANI BIDAN 0 0 60 0 20 0 0 0 5 0 15 0 0.046 19 19 100% 0.008 1,000,386
13 DESI SRI SANDY BIDAN 0 0 60 0 20 0 0 0 10 0 15 0 0.051 19 19 100% 0.009 1,108,320
14 UNI FAJAR SETYAWATI NUTRISIONIS 0 0 80 0 20 0 10 0 10 0 15 0 0.066 19 19 100% 0.011 1,417,728
15 FINDY AMBAR SAPUTRA PERAWAT 0 0 60 0 20 0 0 0 5 0 15 0 0.046 19 19 100% 0.008 1,000,386
16 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 0 0 60 0 20 0 10 0 10 0 15 0 0.063 19 19 100% 0.011 1,367,919
17 ANI YUNANI PRAMU KEBERSIHAN 0 0 25 0 20 0 0 0 10 0 15 0 0.043 19 19 100% 0.007 934,310
18 WATINI PRAMU KEBERSIHAN 0 0 25 0 20 0 0 0 5 0 15 0 0.037 19 19 100% 0.006 805,259
19 MARUTO PRAMU KEBERSIHAN 0 0 25 0 20 0 0 0 5 0 15 0 0.037 19 19 100% 0.006 805,259
20 MUGI RAHMAWATI PERAWAT GIGI 0 0 60 0 30 0 10 0 5 0 15 0 0.064 19 19 100% 0.011 1,381,381
21 WULAN PURNAMA PUTRI BIDAN DESA 0 0 60 0 20 0 0 0 5 0 15 0 0.046 19 19 100% 0.008 1,000,386
22 AGUS SUJATMIKO PENGEMUDI AMBULAN 0 0 25 0 20 0 10 0 5 0 15 0 0.044 19 19 100% #DIV/0! 1,277,000
23 YULIANTO PETUGAS KEAMANAN 0 0 25 0 20 0 10 0 5 0 15 0 0.044 19 19 100% #DIV/0! 1,064,000
24 RATNO ANDRIYANTO PETUGAS KEAMANAN 0 0 25 0 20 0 10 0 5 0 15 0 0.044 19 19 100% #DIV/0! 0
JUMLAH 0 0 1298 0.2909 539.5 0.3311 184.6 0.2054 136.7 0.132 348 0.3501 1.3094985 456 456 24 #DIV/0! 27,827,191
(0)
MENGETAHUI, WANAREJA, MARET 2021
KEPALA BLUD
WANAREJA I
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23

NIP. 196911262002121002 NIP. 197111201992031005
BULAN FEBRUARI TAHUN 2021
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
2 TITIN SETIANA PERAWAT 0 1,722,220 103,333 1,618,887 48
3 WIDI SURANTO PERAWAT 0 1,604,900 96,294 1,508,606 49
4 MARTINI PRAMU KEBERSIHAN 0 932,595 55,956 876,639 50
6 WARAS SUPRIYADI PERAWAT 0 1,303,792 78,228 1,225,564 52
7 WIDIYANTI PUJI RAHAYU PERAWAT 0 1,544,225 92,653 1,451,571 53
8 HARIYANTO PERAWAT 0 1,133,281 67,997 1,065,284 54
9 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 0 1,133,281 67,997 1,065,284 55
10 ARINDA PRAMUDITYA PERAWAT 0 991,001 59,460 931,541 56
11 NURKHOTIMAH BIDAN 0 1,108,320 66,499 1,041,821 57
12 AAN SUNANI BIDAN 0 1,000,386 60,023 940,363 58
13 DESI SRI SANDY BIDAN 0 1,108,320 66,499 1,041,821 59
15 FINDY AMBAR SAPUTRA PERAWAT 0 1,000,386 60,023 940,363 61
16 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 0 1,367,919 82,075 1,285,844 62
17 ANI YUNANI PRAMU KEBERSIHAN 0 934,310 56,059 878,252 63
18 WATINI PRAMU KEBERSIHAN 0 805,259 48,316 756,943 64
19 MARUTO PRAMU KEBERSIHAN 0 805,259 48,316 756,943 65
21 WULAN PURNAMA PUTRI BIDAN DESA 0 1,000,386 60,023 940,363 67
22 AGUS SUJATMIKO PENGEMUDI AMBULAN 0 1,277,000 76,620 1,200,380 68
23 YULIANTO PETUGAS KEAMANAN 0 1,064,000 63,840 1,000,160 69
JUMLAH 1,064,000 28,891,191 0 1,733,471 27,157,720
- 0
MENGETAHUI, WANAREJA, 05 MARET 2021
UPTD PUSKESMAS WANAREJA I (0) PUSKESMAS WANAREJA I
25% JASA JASA

TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29

NIP. 196911262002121002 NIP. 197111201992031005
DAFTAR PERHITUNGAN JASA PELAYANAN
BULAN MARET TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
Dr. TEGUH WIBOWO PEMIMPIN BLUD UPTD
1 NIP. 196911262002121002 PUSKESMAS WANAREJA I 21 0 150 0 30 0 20 0 110 0 15 0 0.247 19 19 100% 0.042 6,739,260
HAYATI
2 NIP. 196303271984092002 PERAWAT PENYELIA 34 0 50 0 30 0 20 0 15 0 15 0 0.138 19 19 100% 0.023 3,542,517
TUGIRIN
4 MURTINGATUN, S.E. ANALIS KINERJA 26 0 60 0 20 0 10 0 25 0 15 0 0.122 19 19 100% 0.021 3,114,113

NIP. 197003061990032006
AGUS SUDRAJAT, S.E. KEPALA SUB BAG TU / PEJABAT
5 21 0 60 0 10 0 10 0 95 0 15 0 0.184 19 19 100% 0.031 5,071,404
NIP. 196912051997031005 KEUANGAN
KAFIATUN NI'MAH, A.Md.Keb.
6 NIP. 197307061993012003 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.130 19 19 100% 0.022 3,330,386
SRI PURWANTI, A.Md.Keb.
CAHYONO, S.Kep.
9 IBNU DIDIK MAHARDI, S.K.M. ADMINKES MUDA 21 0 80 0 10 0 10 0 60 0 15 0 0.150 19 19 100% 0.025 3,849,218
NIP. 197501131999031002
SINTA SOETRISNO, S.Kep. Ners.
10 PERAWAT MUDA 21 0 100 0 30 0 15 0 25 0 15 0 0.136 19 19 100% 0.023 3,488,763
NIP. 197509052003122012
ATI KUSMIATI, A.Md. Keb
LAILY YUNIASTUTI, A.Md.Keb.
ARI LESTARI RAHAYU, A.Md.Keb.
14 YULIUS ADI PRASETYO, A.Md.KL. SANITARIAN MAHIR 18 0 60 0 30 0 10 0 35 0 15 0 0.128 19 19 100% 0.021 3,227,553
NIP. 197807242000121001
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
DWI ARI SETYO UTAMI,
15 S.Farm.,Apt. APOTEKER 2 0 100 0 20 0 10 0 20 0 15 0 0.090 19 19 100% 0.015 2,279,101
NIP. 199102012019022006
Dr. SYAIFUL RIZAL
16 DOKTER 2 0 150 0 30 0 20 0 45 0 15 0 0.148 19 19 100% 0.025 4,084,175
NIP. 199011242019021003
drg. NOVIANA EKA
17 SAPTANINGTYAS, NIP. DOKTER GIGI 0 0 150 0 20 0 15 0 30 0 15 0 0.092 19 19 100% 0.015 2,334,048
199111172020122026
18 KHUSNA FAIZAH, AM.Keb. BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.115 19 19 100% 0.019 2,894,772
NIP. 197601272006042009
19 DESI KARLIYANTI, A.Md.Keb. BIDAN MAHIR 20 0 60 0 30 0 20 0 5 0 15 0 0.109 19 19 100% 0.018 2,756,369
NIP. 197504032006042021
MUKAROMAH ISWAHYUNI,
20 AM.Keb. BIDAN MAHIR 20 0 60 0 30 0 20 0 20 0 15 0 0.126 19 19 100% 0.021 3,171,578
NIP. 197601022006042018
AHMAD AZKIA, S. Kep.,Ners.
21 PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.103 19 19 100% 0.017 2,598,683
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
22 NIP. 197210272006042015 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.118 19 19 100% 0.020 2,968,595
23 DIAN WAHYU EKAWATI, AM.Keb. BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.118 19 19 100% 0.020 2,968,595
NIP. 197403282006042010
DISI SEPTIA, S.K.M. NIP.
24 PENYULUH KESEHATAN MASYARA 0 0 80 0 10 0 10 0 0 0 15 0 0.043 19 19 100% 0.007 1,086,144
199009012020121013
EMIL YUNIA SUSANTI, S.Gz. NIP.
25 GIZI 0 0 80 0 10 0 10 0 0 0 15 0 0.043 19 19 100% 0.007 1,086,144
199505312020122015
RATIM HIDAYAT
26 PENGADMINISTRASI UMUM 18 0 25 0 20 0 10 0 15 0 15 0 0.091 19 19 100% 0.015 2,292,124
NIP. 197502032007011018
RATNA DWI AGUSTIANI,
27 A.Md.Keb. BIDAN TERAMPIL 18 0 60 0 30 0 20 0 0 0 15 0 0.101 19 19 100% 0.017 2,544,144
NIP. 198408152017042006
28 YUSTI FARIDA, A.Md.Keb. BIDAN TERAMPIL 15 0 60 0 30 0 20 0 15 0 15 0 0.113 19 19 100% 0.019 2,848,618
NIP. 198502082017042007
ADIK IRMA SURYANI, A.Md.Keb.
29 BIDAN TERAMPIL 17 0 60 0 20 0 15 0 5 0 15 0 0.092 19 19 100% 0.015 2,326,052
NIP. 198505212017042003
NENI FITRIYANA, A.Md.Keb.
30 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.099 19 19 100% 0.017 2,507,232
NIP. 198506302017042009
ERLIN NURLINA, A.Md.Keb.
31 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.099 19 19 100% 0.017 2,507,232
NIP. 198510262017042002
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
SELLY PURWANTI, A.Md.Keb.
32 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.098 19 19 100% 0.016 2,470,321
NIP. 198508082017042006
HERLINDA EKA RATNAWATI,
NIP. 198601102017042002
DARNIS HARIANTI, A.Md.Keb.
34 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.098 19 19 100% 0.016 2,470,321
NIP. 198606112017042006
35 SRI CAHYA NINGRUM, A.Md.Keb. BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.095 19 19 100% 0.016 2,396,498
NIP. 198603122017042004
36 MART DINA LESTARI, A.Md.Keb. BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.095 19 19 100% 0.016 2,396,498
NIP. 198703022017042006
RETNO, A.Md.AK.
37 PRANATA LAB KES TERAMPIL 5 0 60 0 30 0 15 0 10 0 15 0 0.087 19 19 100% 0.015 2,198,395
NIP. 199503282019022008
FITRIYANI, A.Md.Farm. NIP.
38 FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.054 19 19 100% 0.009 1,366,240
199812222020122003
FALA FARAH ANBIYA, A.Md.KG.
39 NIP. 199301222020122021 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.054 19 19 100% 0.009 1,366,240
40 TRINATA JAYA LAKSANA, AMK. PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.060 19 19 100% 0.010 1,507,742

NIP. 198509252020121005
WEMI ARIYANTO PENGELOLA SARANA DAN
41 23 0 50 0 20 0 15 0 40 0 15 0 0.137 19 19 100% 0.023 3,457,787
NIP. 197905122005011012 PRASARANA KANTOR
42 YUNI ASTUTI PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.074 19 19 100% 0.012 1,875,435
43 ETI HARTATI PETUGAS PENDAFTARAN 22 0 25 0 20 0 10 0 0 0 15 0 0.080 19 19 100% 0.013 2,024,561
44 EKA SURANINGSIH PERAWAT 15 0 60 0 20 0 10 0 5 0 15 0 0.084 19 19 100% 0.014 2,120,596
45 EKA SETIAWAN PERAWAT 13 0 50 0 20 0 10 0 5 0 15 0 0.078 19 19 100% 0.013 1,977,147
49 MARTINI PRAMU KEBERSIHAN 0 0 25 0 10 0 10 0 0 0 10 0 0.035 19 19 100% 0.006 883,926
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
55 ARINDA PRAMUDITYA PERAWAT 0 0 60 0 10 0 0 0 5 0 10 0 0.038 19 19 100% 0.006 956,128
57 AAN SUNANI BIDAN 0 0 60 0 10 0 0 0 5 0 10 0 0.039 19 19 100% 0.006 976,044
60 FINDY AMBAR SAPUTRA PERAWAT 0 0 60 0 10 0 0 0 5 0 10 0 0.038 19 19 100% 0.006 957,502
62 ANI YUNANI PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 10 0 10 0 0.034 19 19 100% 0.006 858,704
63 WATINI PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 5 0 10 0 0.029 19 19 100% 0.005 720,693
64 MARUTO PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 5 0 10 0 0.029 19 19 100% 0.005 720,693
66 WULAN PURNAMA PUTRI BIDAN DESA 0 0 60 0 10 0 0 0 5 0 10 0 0.039 19 19 100% 0.006 976,044
67 AGUS SUJATMIKO PENGEMUDI AMBULAN 0 0 25 0 10 0 10 0 5 0 10 0 0.035 19 19 100% #DIV/0! 0
68 YULIANTO PETUGAS KEAMANAN 0 0 25 0 10 0 10 0 5 0 10 0 0.035 19 19 100% #DIV/0! 0
69 RATNO ANDRIYANTO PETUGAS KEAMANAN 0 0 25 0 10 0 10 0 5 0 10 0 0.035 19 19 100% #DIV/0! 0
JUMLAH 684 1 4312 1 1427 1 885 1 912 1 887 1 5.913 1,254 1,254 100% 1 151,484,688
(0)
MENGETAHUI, WANAREJA, 5 APRIL 2021 (0)
KEPALA BLUD BENDAHARA PENGELUARAN
BLUD UPTD PUSKESMAS
UPTD PUSKESMAS WANAREJA I WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
TOTAL INDEKS
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN JASA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23
BULAN MARET TAHUN 2021 ###
###
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
1 NIP. 196911262002121002 PUSKESMAS WANAREJA I 1,034,854 7,774,115 1,166,117 6,607,999 1
HAYATI
2 NIP. 196303271984092002 PERAWAT PENYELIA 677,019 4,219,536 210,977 4,008,559 2
TUGIRIN
3 NIP. 196609141988031007 PERAWAT PENYELIA 0 2,811,131 140,557 2,670,574 3
4 MURTINGATUN, S.E. ANALIS KINERJA 0 3,114,113 155,706 2,958,407 4

NIP. 197003061990032006
5 744,660 5,816,064 290,803 5,525,261 5
NIP. 196912051997031005 KEUANGAN
6 NIP. 197307061993012003 BIDAN PENYELIA 246,195 3,576,581 178,829 3,397,752 6
CAHYONO, S.Kep.
8 NIP. 197111201992031005 PERAWAT PENYELIA 879,082 5,922,604 296,130 5,626,473 8
9 IBNU DIDIK MAHARDI, S.K.M. ADMINKES MUDA 781,983 4,631,201 231,560 4,399,641 9
NIP. 197501131999031002
10 PERAWAT MUDA 0 3,488,763 174,438 3,314,325 10
NIP. 197509052003122012
14 YULIUS ADI PRASETYO, A.Md.KL. SANITARIAN MAHIR 0 3,227,553 161,378 3,066,175 14

NIP. 197807242000121001
25% JASA JASA

TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
15 S.Farm.,Apt. APOTEKER 0 2,279,101 113,955 2,165,146 15
NIP. 199102012019022006
Dr. SYAIFUL RIZAL
16 DOKTER 968,813 5,052,989 252,649 4,800,339 16
NIP. 199011242019021003
drg. NOVIANA EKA
17 SAPTANINGTYAS, NIP. DOKTER GIGI 0 2,334,048 116,702 2,217,346 17
199111172020122026
18 KHUSNA FAIZAH, AM.Keb. BIDAN MAHIR 231,121 3,125,893 156,295 2,969,599 18
NIP. 197601272006042009
19 DESI KARLIYANTI, A.Md.Keb. BIDAN MAHIR 231,121 2,987,490 149,375 2,838,116 19
NIP. 197504032006042021
20 AM.Keb. BIDAN MAHIR 231,121 3,402,699 170,135 3,232,564 20
NIP. 197601022006042018
21 PERAWAT PERTAMA 0 2,598,683 129,934 2,468,749 21
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
22 NIP. 197210272006042015 BIDAN MAHIR 241,170 3,209,766 160,488 3,049,277 22
23 DIAN WAHYU EKAWATI, AM.Keb. BIDAN MAHIR 241,170 3,209,766 160,488 3,049,277 23
NIP. 197403282006042010
24 PENYULUH KESEHATAN MASYARA 241,170 1,327,315 66,366 1,260,949 24
199009012020121013
25 GIZI 241,170 1,327,315 66,366 1,260,949 25
199505312020122015
RATIM HIDAYAT
26 PENGADMINISTRASI UMUM 0 2,292,124 2,292,124 26
NIP. 197502032007011018
27 A.Md.Keb. BIDAN TERAMPIL 221,071 2,765,215 2,765,215 27
NIP. 198408152017042006
28 YUSTI FARIDA, A.Md.Keb. BIDAN TERAMPIL 205,997 3,054,615 3,054,615 28
NIP. 198502082017042007
29 BIDAN TERAMPIL 216,047 2,542,099 2,542,099 29
NIP. 198505212017042003
30 BIDAN TERAMPIL 216,047 2,723,279 2,723,279 30
NIP. 198506302017042009
31 BIDAN TERAMPIL 216,047 2,723,279 2,723,279 31
NIP. 198510262017042002
25% JASA JASA

TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
32 BIDAN TERAMPIL 211,022 2,681,343 2,681,343 32
NIP. 198508082017042006
33 A.Md.Keb. BIDAN TERAMPIL 211,022 2,681,343 2,681,343 33
NIP. 198601102017042002
34 BIDAN TERAMPIL 211,022 2,681,343 2,681,343 34
NIP. 198606112017042006
35 SRI CAHYA NINGRUM, A.Md.Keb. BIDAN TERAMPIL 200,972 2,597,470 2,597,470 35
NIP. 198603122017042004
36 MART DINA LESTARI, A.Md.Keb. BIDAN TERAMPIL 200,972 2,597,470 2,597,470 36
NIP. 198703022017042006
RETNO, A.Md.AK.
37 PRANATA LAB KES TERAMPIL 234,840 2,433,235 2,433,235 37
NIP. 199503282019022008
38 FARMASI 0 1,366,240 1,366,240 38
199812222020122003
39 NIP. 199301222020122021 PERAWAT GIGI 0 1,366,240 1,366,240 39
40 TRINATA JAYA LAKSANA, AMK. PERAWAT 0 1,507,742 1,507,742 40

NIP. 198509252020121005
41 0 3,457,787 3,457,787 41
42 YUNI ASTUTI PERAWAT 238,162 2,113,597 105,680 2,007,917 42
43 ETI HARTATI PETUGAS PENDAFTARAN 0 2,024,561 101,228 1,923,333 43
44 EKA SURANINGSIH PERAWAT 0 2,120,596 106,030 2,014,566 44
45 EKA SETIAWAN PERAWAT 358,598 2,335,745 116,787 2,218,958 45
47 TITIN SETIANA PERAWAT 238,162 2,084,926 125,096 1,959,830 47
48 WIDI SURANTO PERAWAT 238,162 1,946,523 116,791 1,829,732 48
49 MARTINI PRAMU KEBERSIHAN 172,845 1,056,771 63,406 993,365 49
51 WARAS SUPRIYADI PERAWAT 312,810 1,642,352 98,541 1,543,811 51
52 WIDIYANTI PUJI RAHAYU PERAWAT 312,810 1,946,290 116,777 1,829,512 52
53 HARIYANTO PERAWAT 238,162 1,379,706 82,782 1,296,924 53
54 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 238,162 1,379,706 82,782 1,296,924 54
25% JASA JASA

TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
55 ARINDA PRAMUDITYA PERAWAT 238,162 1,194,291 71,657 1,122,633 55
56 NURKHOTIMAH BIDAN 111,343 1,205,874 72,352 1,133,522 56
57 AAN SUNANI BIDAN 111,343 1,087,388 65,243 1,022,144 57
58 DESI SRI SANDY BIDAN 111,343 1,205,874 72,352 1,133,522 58
60 FINDY AMBAR SAPUTRA PERAWAT 238,162 1,195,664 71,740 1,123,925 60
61 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 186,360 1,604,710 96,283 1,508,427 61
62 ANI YUNANI PRAMU KEBERSIHAN 172,845 1,031,549 61,893 969,656 62
63 WATINI PRAMU KEBERSIHAN 172,845 893,538 53,612 839,926 63
64 MARUTO PRAMU KEBERSIHAN 172,845 893,538 53,612 839,926 64
66 WULAN PURNAMA PUTRI BIDAN DESA 111,343 1,087,388 65,243 1,022,144 66
67 AGUS SUJATMIKO PENGEMUDI AMBULAN 1,277,000 1,277,000 76,620 1,200,380 67
68 YULIANTO PETUGAS KEAMANAN 1,064,000 1,064,000 63,840 1,000,160 68
JUMLAH 17,584,388 169,069,075 5,194,651 2,389,263 161,485,162
- 0
MENGETAHUI, WANAREJA, 05 APRIL 2021
(0)

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
25% JASA JASA

TINDAKAN NON
KAPITASI DAN
UMUM
1 2 3 24 25 26 27 28 29
KIP- TK. KEGAWAT

MASA KERJA RISIKO KERJA TG JAWAB KINERJA KEHADIRAN JASA PELAY
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
TOTAL INDEKS 60% DARI
HARI KERJA
JML HADIR
NO NAMA KARYAWAN JABATAN KARYAWAN KAPITASI, 25%
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
KOLOM (11) KAPITASI DAN
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
TUGIRIN
MURTINGATUN, S.E.
3 NIP. 197003061990032006 ANALIS KINERJA 26 0 60 0 20 0 10 0 25 0 15 0 0.125 19 19 100% 0.021 142,919,305
4 AGUS SUDRAJAT, S.E. KEPALA SUB BAG TU / PEJABAT 21 0 60 0 10 0 10 0 95 0 15 0 0.189 19 19 100% 0.0315 142,919,305
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.134 19 19 100% 0.022 142,919,305
NIP. 197307061993012003
CAHYONO, S.Kep.
IBNU DIDIK MAHARDI, S.K.M.
8 NIP. 197501131999031002 ADMINKES MUDA 21 0 80 0 10 0 10 0 60 0 15 0 0.154 19 19 100% 0.026 142,919,305
9 SINTA SOETRISNO, S.Kep. Ners. PERAWAT MUDA 21 0 100 0 30 0 15 0 25 0 15 0 0.140 19 19 100% 0.023 142,919,305
NIP. 197509052003122012
10 BIDAN PENYELIA 16 0 60 0 30 0 20 0 40 0 15 0 0.145 19 19 100% 0.024 142,919,305
NIP. 198206062005012014
YULIUS ADI PRASETYO, A.Md.KL.
13 NIP. 197807242000121001 SANITARIAN MAHIR 18 0 60 0 30 0 10 0 35 0 15 0 0.131 19 19 100% 0.022 142,919,305
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Dr. SYAIFUL RIZAL
15 DOKTER 2 0 150 0 30 0 20 0 45 0 15 0 0.151 19 19 100% 0.025 142,919,305
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
KHUSNA FAIZAH, AM.Keb.
17 BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.118 19 19 100% 0.020 142,919,305
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.105 19 19 100% 0.017 142,919,305
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 142,919,305
NIP. 197210272006042015
DIAN WAHYU EKAWATI, AM.Keb.
22 NIP. 197403282006042010 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 142,919,305
23 DISI SEPTIA, S.K.M. NIP. PENYULUH KESEHATAN MASYARA 0 0 80 0 10 0 10 0 0 0 15 0 0.044 19 19 100% 0.007 142,919,305
199009012020121013
24 GIZI 0 0 80 0 10 0 10 0 0 0 15 0 0.044 19 19 100% 0.007 142,919,305
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
YUSTI FARIDA, A.Md.Keb.
27 NIP. 198502082017042007 BIDAN TERAMPIL 15 0 60 0 30 0 20 0 15 0 15 0 0.116 19 19 100% 0.019 142,919,305
28 ADIK IRMA SURYANI, A.Md.Keb. BIDAN TERAMPIL 17 0 60 0 20 0 15 0 5 0 15 0 0.095 19 19 100% 0.016 142,919,305
NIP. 198505212017042003
29 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 142,919,305
NIP. 198506302017042009
30 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 142,919,305
NIP. 198510262017042002
31 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 142,919,305
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIP. 198601102017042002
33 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 142,919,305
NIP. 198606112017042006
SRI CAHYA NINGRUM, A.Md.Keb.
34 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.097 19 19 100% 0.016 142,919,305
NIP. 198603122017042004
NIP. 198703022017042006
36 RETNO, A.Md.AK. PRANATA LAB KES TERAMPIL 5 0 60 0 30 0 15 0 10 0 15 0 0.089 19 19 100% 0.015 142,919,305
NIP. 199503282019022008
37 FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 142,919,305
199812222020122003
38 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 142,919,305
NIP. 199301222020122021
TRINATA JAYA LAKSANA, AMK.
39 NIP. 198509252020121005 PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.061 19 19 100% 0.010 142,919,305
40 WEMI ARIYANTO PENGELOLA SARANA DAN 23 0 50 0 20 0 15 0 40 0 15 0 0.141 19 19 100% 0.023 142,919,305

YUNI ASTUTI
41 PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.076 19 19 100% 0.013 142,919,305
NIP. 198304102021212008
48 MARTINI PRAMU KEBERSIHAN 0 0 25 0 10 0 10 0 0 0 10 0 0.036 19 19 100% 0.006 142,919,305
54 ARINDA PRAMUDITYA PERAWAT 0 0 60 0 10 0 0 0 5 0 10 0 0.039 19 19 100% 0.006 142,919,305
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
56 AAN SUNANI BIDAN 0 0 60 0 10 0 0 0 5 0 10 0 0.039 19 19 100% 0.007 142,919,305
61 ANI YUNANI PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 10 0 10 0 0.035 19 19 100% 0.006 142,919,305
62 WATINI PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 5 0 10 0 0.029 19 19 100% 0.005 142,919,305
63 MARUTO PRAMU KEBERSIHAN 0 0 25 0 10 0 0 0 5 0 10 0 0.029 19 19 100% 0.005 142,919,305
68 RATNO ANDRIYANTO PETUGAS KEAMANAN 0 0 25 0 10 0 10 0 5 0 10 0 0.036 19 19 100% #DIV/0! 142,919,305
JUMLAH 650 1 4262 1 1397 1 865 1 892 1 872 1 6 1,235 1,235 100% 1 142,919,305

BLUD UPTD PUSKESMAS

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
25% JASA JASA

25% DARI JUMLAH TERIMA
NO NAMA KARYAWAN JABATAN PELAYANAN
PELAYANAN JUMLAH TERIMA LANGSUNG DARI PELAYANAN 60% AKHIR
TANDA TANGAN
LANGSUNG NON JASA DAN 25% FINAL TIDAK FINAL
TINDAKAN NON
KAPITASI DAN PELAYANAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 NIP. 196911262002121002 PUSKESMAS WANAREJA I 12,025,125 6,437,845 1,128,312 7,566,157 1,134,924 6,431,233 1
TUGIRIN
2 NIP. 196609141988031007 PERAWAT PENYELIA 12,025,125 2,695,811 0 2,695,811 134,791 2,561,021 2
MURTINGATUN, S.E.
3 NIP. 197003061990032006 ANALIS KINERJA 12,025,125 2,981,833 0 2,981,833 149,092 2,832,741 3
4 AGUS SUDRAJAT, S.E. KEPALA SUB BAG TU / PEJABAT 12,025,125 4,917,888 373,218 5,291,106 264,555 5,026,551 4
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 12,025,125 3,184,350 111,596 3,295,946 164,797 3,131,149 5
NIP. 197307061993012003
6 NIP. 197406011993022002 BIDAN PENYELIA 12,025,125 2,917,341 111,596 3,028,937 151,447 2,877,490 6
CAHYONO, S.Kep.
7 NIP. 197111201992031005 PERAWAT PENYELIA 12,025,125 4,892,079 514,659 5,406,738 270,337 5,136,401 7
8 NIP. 197501131999031002 ADMINKES MUDA 12,025,125 4,095,139 405,609 4,500,748 225,037 4,275,711 8
9 SINTA SOETRISNO, S.Kep. Ners. PERAWAT MUDA 12,025,125 3,330,379 0 3,330,379 166,519 3,163,860 9
NIP. 197509052003122012
10 BIDAN PENYELIA 12,025,125 3,461,847 95,583 3,557,430 177,871 3,379,558 10
NIP. 198206062005012014
13 NIP. 197807242000121001 SANITARIAN MAHIR 12,025,125 3,126,132 0 3,126,132 156,307 2,969,826 13
14 S.Farm.,Apt. APOTEKER 12,025,125 2,192,391 0 2,192,391 109,620 2,082,771 14
NIP. 199102012019022006
25% JASA JASA

25% DARI PELAYANAN PELAYANAN 60% JUMLAH TERIMA
NO NAMA KARYAWAN JABATAN PELAYANAN JUMLAH TERIMA AKHIR
TANDA TANGAN
LANGSUNG NON JASA LANGSUNG DARI DAN 25% FINAL TIDAK FINAL
KAPITASI DAN PELAYANAN TINDAKAN NON
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
Dr. SYAIFUL RIZAL
15 DOKTER 12,025,125 4,006,012 389,271 4,395,283 219,764 4,175,519 15
NIP. 199011242019021003
drg. NOVIANA EKA
16 SAPTANINGTYAS, NIP. DOKTER GIGI 12,025,125 2,242,654 0 2,242,654 112,133 2,130,521 16
199111172020122026
17 BIDAN MAHIR 12,025,125 2,807,403 104,733 2,912,136 145,607 2,766,530 17
NIP. 197601272006042009
18 DESI KARLIYANTI, A.Md.Keb. BIDAN MAHIR 12,025,125 2,673,899 104,733 2,778,632 138,932 2,639,700 18
NIP. 197504032006042021
19 AM.Keb. BIDAN MAHIR 12,025,125 3,074,412 104,733 3,179,146 158,957 3,020,188 19
NIP. 197601022006042018
20 PERAWAT PERTAMA 12,025,125 2,500,600 228,048 2,728,648 136,432 2,592,216 20
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 12,025,125 2,880,695 109,308 2,990,004 149,500 2,840,503 21
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 12,025,125 2,880,695 109,308 2,990,004 149,500 2,840,503 22
23 DISI SEPTIA, S.K.M. NIP. PENYULUH KESEHATAN MASYARA 12,025,125 1,042,271 109,308 1,151,579 57,579 1,094,000 23
199009012020121013
24 GIZI 12,025,125 1,042,271 109,308 1,151,579 57,579 1,094,000 24
199505312020122015
RATIM HIDAYAT
25 PENGADMINISTRASI UMUM 12,025,125 2,226,035 0 2,226,035 2,226,035 25
NIP. 197502032007011018
26 A.Md.Keb. BIDAN TERAMPIL 12,025,125 2,467,102 100,158 2,567,260 2,567,260 26
NIP. 198408152017042006
27 NIP. 198502082017042007 BIDAN TERAMPIL 12,025,125 2,757,678 93,295 2,850,973 2,850,973 27
28 ADIK IRMA SURYANI, A.Md.Keb. BIDAN TERAMPIL 12,025,125 2,255,751 97,870 2,353,622 2,353,622 28
NIP. 198505212017042003
29 BIDAN TERAMPIL 12,025,125 2,430,456 97,870 2,528,327 2,528,327 29
NIP. 198506302017042009
30 BIDAN TERAMPIL 12,025,125 2,430,456 97,870 2,528,327 2,528,327 30
NIP. 198510262017042002
31 BIDAN TERAMPIL 12,025,125 2,393,810 95,583 2,489,393 2,489,393 31
NIP. 198508082017042006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
33 BIDAN TERAMPIL 12,025,125 2,393,810 95,583 2,489,393 2,489,393 33
NIP. 198606112017042006
34 BIDAN TERAMPIL 12,025,125 2,320,518 91,008 2,411,526 2,411,526 34
NIP. 198603122017042004
35 MART DINA LESTARI, A.Md.Keb. BIDAN TERAMPIL 12,025,125 2,320,518 91,008 2,411,526 2,411,526 35
NIP. 198703022017042006
36 RETNO, A.Md.AK. PRANATA LAB KES TERAMPIL 12,025,125 2,119,963 339,220 2,459,183 2,459,183 36
NIP. 199503282019022008
37 FARMASI 12,025,125 1,316,679 0 1,316,679 1,316,679 37
199812222020122003
38 PERAWAT GIGI 12,025,125 1,316,679 0 1,316,679 1,316,679 38
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 12,025,125 1,453,046 151,498 1,604,544 1,604,544 39
40 WEMI ARIYANTO PENGELOLA SARANA DAN 12,025,125 3,354,268 0 3,354,268 3,354,268 40

YUNI ASTUTI
41 PERAWAT 12,025,125 1,803,228 212,161 2,015,389 100,769 1,914,620 41
NIP. 198304102021212008
42 ETI HARTATI PETUGAS PENDAFTARAN 12,025,125 1,972,105 0 1,972,105 98,605 1,873,500 42
43 EKA SURANINGSIH PERAWAT 12,025,125 2,055,389 0 2,055,389 102,769 1,952,619 43
44 EKA SETIAWAN PERAWAT 12,025,125 1,915,525 0 1,915,525 95,776 1,819,749 44
45 NURLAELY ROKHMAH PETUGAS PENDAFTARAN 12,025,125 1,765,647 0 1,765,647 105,939 1,659,708 45
46 TITIN SETIANA PERAWAT 12,025,125 1,776,497 212,161 1,988,658 119,319 1,869,339 46
47 WIDI SURANTO PERAWAT 12,025,125 1,642,993 212,161 1,855,154 111,309 1,743,844 47
48 MARTINI PRAMU KEBERSIHAN 12,025,125 849,717 155,477 1,005,194 60,312 944,882 48
49 DIAN IRAWATI SANITARIAN 12,025,125 1,640,373 0 1,640,373 98,422 1,541,950 49
50 WARAS SUPRIYADI PERAWAT 12,025,125 1,275,246 212,161 1,487,406 89,244 1,398,162 50
51 WIDIYANTI PUJI RAHAYU PERAWAT 12,025,125 1,434,724 212,161 1,646,885 98,813 1,548,071 51
52 HARIYANTO PERAWAT 12,025,125 1,096,155 212,161 1,308,316 78,499 1,229,817 52
53 AVIF FAIZAL TAUFIQUROHMAN PERAWAT 12,025,125 1,096,155 212,161 1,308,316 78,499 1,229,817 53
54 ARINDA PRAMUDITYA PERAWAT 12,025,125 917,116 212,161 1,129,277 67,757 1,061,520 54
55 NURKHOTIMAH BIDAN 12,025,125 1,050,620 50,233 1,100,853 66,051 1,034,802 55
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
56 AAN SUNANI BIDAN 12,025,125 936,319 50,233 986,552 59,193 927,359 56
57 DESI SRI SANDY BIDAN 12,025,125 1,050,620 50,233 1,100,853 66,051 1,034,802 57
58 UNI FAJAR SETYAWATI NUTRISIONIS 12,025,125 1,381,165 0 1,381,165 82,870 1,298,295 58
59 FINDY AMBAR SAPUTRA PERAWAT 12,025,125 918,553 212,161 1,130,714 67,843 1,062,871 59
60 NURYATI DWI HANDAYANI PRANATA LAB KESEHATAN 12,025,125 1,363,164 145,380 1,508,544 90,513 1,418,031 60
61 ANI YUNANI PRAMU KEBERSIHAN 12,025,125 825,385 155,477 980,861 58,852 922,010 61
62 WATINI PRAMU KEBERSIHAN 12,025,125 692,188 155,477 847,665 50,860 796,805 62
63 MARUTO PRAMU KEBERSIHAN 12,025,125 692,188 155,477 847,665 50,860 796,805 63
64 MUGI RAHMAWATI PERAWAT GIGI 12,025,125 1,382,541 0 1,382,541 82,952 1,299,589 64
65 WULAN PURNAMA PUTRI BIDAN DESA 12,025,125 936,319 50,233 986,552 59,193 927,359 65
66 AGUS SUJATMIKO PENGEMUDI AMBULAN 12,025,125 0 1,277,000 1,277,000 76,620 1,200,380 66
67 YULIANTO PETUGAS KEAMANAN 12,025,125 0 1,064,000 1,064,000 63,840 1,000,160 67
68 RATNO ANDRIYANTO PETUGAS KEAMANAN 12,025,125 0 1,064,000 1,064,000 63,840 1,000,160 68
JUMLAH 12,025,125 142,919,305 12,025,125 154,944,430 4,696,351 2,245,572 148,002,507
154,944,430 0 (0) 0
MENGETAHUI, (0) (0) WANAREJA, 05 APRIL 2021
(0)

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
TUGIRIN
MURTINGATUN, S.E.
4 AGUS SUDRAJAT, S.E. KEPALA SUB BAG TU / PEJABAT 21 0.03 60 0.01 10 0.01 10 0.01 85 0.10 15 0.02 0.178 19 19 100% 0.0296 153,809,040
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.134 19 19 100% 0.022 153,809,040
NIP. 197307061993012003
CAHYONO, S.Kep.
7 NIP. 197111201992031005 PERAWAT PENYELIA 24 0.04 100 0.02 20 0.01 15 0.02 60 0.07 15 0.02 0.177 19 19 100% 0.0294 153,809,040
NIP. 197509052003122012
10 BIDAN PENYELIA 16 0 60 0 30 0 20 0 40 0 15 0 0.145 19 19 100% 0.024 153,809,040
NIP. 198206062005012014
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Dr. SYAIFUL RIZAL
15 DOKTER 2 0 150 0 30 0 20 0 45 0 15 0 0.151 19 19 100% 0.025 153,809,040
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.118 19 19 100% 0.020 153,809,040
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.105 19 19 100% 0.017 153,809,040
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 153,809,040
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 153,809,040
199009012020121013
24 GIZI 0 0 80 0 10 0 10 0 0 0 15 0 0.044 19 19 100% 0.007 153,809,040
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 153,809,040
NIP. 198506302017042009
30 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 153,809,040
NIP. 198510262017042002
31 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 153,809,040
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIP. 198601102017042002
33 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 153,809,040
NIP. 198606112017042006
34 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.097 19 19 100% 0.016 153,809,040
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 153,809,040
199812222020122003
38 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 153,809,040
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.061 19 19 100% 0.010 153,809,040

YUNI ASTUTI
41 PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.076 19 19 100% 0.013 153,809,040
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
56 AAN SUNANI BIDAN 0 0 60 0 10 0 0 0 10 0 10 0 0.045 19 19 100% 0.008 153,809,040
JUMLAH 650 1 4262 1 1399 1 866 1 891 1 872 1 6 1,235 1,235 100% 1 153,809,040

BLUD UPTD PUSKESMAS

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
25% JASA JASA

TANDA TANGAN
TINDAKAN NON
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 NIP. 196911262002121002 PUSKESMAS WANAREJA I 11,608,800 6,930,723 636,605 7,567,328 1,135,099 6,432,227 1
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 11,608,800 3,426,060 159,357 3,585,417 179,271 3,406,146 5
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 11,608,800 3,725,475 136,490 3,861,965 193,098 3,668,867 10
NIP. 198206062005012014
NIP. 199102012019022006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
Dr. SYAIFUL RIZAL
15 DOKTER 11,608,800 4,311,080 389,595 4,700,676 235,034 4,465,642 15
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 11,608,800 3,020,005 149,557 3,169,561 158,478 3,011,083 17
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 11,608,800 2,690,469 185,364 2,875,833 143,792 2,732,041 20
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 11,608,800 3,098,881 156,090 3,254,971 162,749 3,092,223 21
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 11,608,800 3,098,881 156,090 3,254,971 162,749 3,092,223 22
23 DISI SEPTIA, S.K.M. NIP. PENYULUH KESEHATAN MASYARA 11,608,800 1,121,098 156,090 1,277,188 63,859 1,213,328 23
199009012020121013
24 GIZI 11,608,800 1,121,098 156,090 1,277,188 63,859 1,213,328 24
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 11,608,800 2,613,949 139,757 2,753,706 2,753,706 29
NIP. 198506302017042009
30 BIDAN TERAMPIL 11,608,800 2,613,949 139,757 2,753,706 2,753,706 30
NIP. 198510262017042002
31 BIDAN TERAMPIL 11,608,800 2,574,511 136,490 2,711,001 2,711,001 31
NIP. 198508082017042006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
33 BIDAN TERAMPIL 11,608,800 2,574,511 136,490 2,711,001 2,711,001 33
NIP. 198606112017042006
34 BIDAN TERAMPIL 11,608,800 2,495,635 129,957 2,625,592 2,625,592 34
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 11,608,800 1,416,031 0 1,416,031 1,416,031 37
199812222020122003
38 PERAWAT GIGI 11,608,800 1,416,031 0 1,416,031 1,416,031 38
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 11,608,800 1,562,610 130,441 1,693,051 1,693,051 39

YUNI ASTUTI
41 PERAWAT 11,608,800 1,939,380 152,218 2,091,598 104,580 1,987,018 41
NIP. 198304102021212008
54 ARINDA PRAMUDITYA PERAWAT 11,608,800 1,142,687 152,218 1,294,905 77,694 1,217,211 54
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
56 AAN SUNANI BIDAN 11,608,800 1,159,177 71,732 1,230,909 73,855 1,157,054 56
59 FINDY AMBAR SAPUTRA PERAWAT 11,608,800 1,132,719 152,218 1,284,937 77,096 1,207,841 59
61 ANI YUNANI PRAMU KEBERSIHAN 11,608,800 888,450 111,549 1,000,000 60,000 940,000 61
65 WULAN PURNAMA PUTRI BIDAN DESA 11,608,800 1,159,177 71,732 1,230,909 73,855 1,157,054 65
JUMLAH 11,608,800 153,809,040 11,608,800 165,417,840 4,926,324 2,406,249 158,085,267
165,417,840 (0) 0 0
MENGETAHUI, 0 0 WANAREJA, 05 JUNI 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN JUNI TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.134 19 19 100% 0.022 155,001,590
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 16 0 60 0 30 0 20 0 40 0 15 0 0.145 19 19 100% 0.024 155,001,590
NIP. 198206062005012014
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Dr. SYAIFUL RIZAL
15 DOKTER 2 0 150 0 30 0 20 0 45 0 15 0 0.150 19 19 100% 0.025 155,001,590
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.118 19 19 100% 0.020 155,001,590
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.105 19 19 100% 0.017 155,001,590
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 155,001,590
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 19 19 100% 0.020 155,001,590
199009012020121013
24 GIZI 0 0 80 0 10 0 10 0 0 0 15 0 0.044 19 19 100% 0.007 155,001,590
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 155,001,590
NIP. 198506302017042009
30 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 19 19 100% 0.017 155,001,590
NIP. 198510262017042002
31 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 155,001,590
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIP. 198601102017042002
33 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 19 19 100% 0.017 155,001,590
NIP. 198606112017042006
34 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.097 19 19 100% 0.016 155,001,590
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 155,001,590
199812222020122003
38 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 19 19 100% 0.009 155,001,590
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.061 19 19 100% 0.010 155,001,590

YUNI ASTUTI
41 PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.076 19 19 100% 0.013 155,001,590
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
56 AAN SUNANI BIDAN 0 0 60 0 10 0 0 0 10 0 10 0 0.045 19 19 100% 0.008 155,001,590
JUMLAH 650 1 4272 1 1399 1 866 1 891 1 872 1 6 1,235 1,235 100% 0.985 155,001,590

BLUD UPTD PUSKESMAS

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
25% JASA JASA

TANDA TANGAN
TINDAKAN NON
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 12,487,150 3,451,773 172,427 3,624,200 181,210 3,442,990 5
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 12,487,150 3,753,509 147,685 3,901,194 195,060 3,706,134 10
NIP. 198206062005012014
NIP. 199102012019022006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
Dr. SYAIFUL RIZAL
15 DOKTER 12,487,150 4,342,099 431,901 4,774,000 238,700 4,535,300 15
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 12,487,150 3,042,569 161,823 3,204,392 160,220 3,044,172 17
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 12,487,150 2,709,910 179,634 2,889,544 144,477 2,745,067 20
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 12,487,150 3,122,057 168,892 3,290,949 164,547 3,126,402 21
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 12,487,150 3,122,057 168,892 3,290,949 164,547 3,126,402 22
23 DISI SEPTIA, S.K.M. NIP. PENYULUH KESEHATAN MASYARA 12,487,150 1,128,882 0 1,128,882 56,444 1,072,438 23
199009012020121013
24 GIZI 12,487,150 1,128,882 0 1,128,882 56,444 1,072,438 24
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 12,487,150 2,633,365 151,220 2,784,585 2,784,585 29
NIP. 198506302017042009
30 BIDAN TERAMPIL 12,487,150 2,633,365 151,220 2,784,585 2,784,585 30
NIP. 198510262017042002
31 BIDAN TERAMPIL 12,487,150 2,593,621 147,685 2,741,306 2,741,306 31
NIP. 198508082017042006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
33 BIDAN TERAMPIL 12,487,150 2,593,621 147,685 2,741,306 2,741,306 33
NIP. 198606112017042006
34 BIDAN TERAMPIL 12,487,150 2,514,133 140,616 2,654,749 2,654,749 34
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 12,487,150 1,426,329 0 1,426,329 1,426,329 37
199812222020122003
38 PERAWAT GIGI 12,487,150 1,426,329 0 1,426,329 1,426,329 38
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 12,487,150 1,574,044 126,049 1,700,093 1,700,093 39

YUNI ASTUTI
41 PERAWAT 12,487,150 1,953,565 148,513 2,102,078 105,104 1,996,974 41
NIP. 198304102021212008
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
56 AAN SUNANI BIDAN 12,487,150 1,167,308 77,615 1,244,923 74,695 1,170,227 56
JUMLAH 12,487,150 155,001,590 12,487,150 167,488,740 5,099,298 2,417,758 159,971,684
167,488,740 0 - 0 (0)
MENGETAHUI, 0 0 WANAREJA, 05 JUNI 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN JULI TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.133 21 21 100% 0.022 157,114,695
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 16 0 60 0 30 0 20 0 40 0 15 0 0.145 21 21 100% 0.024 157,114,695
NIP. 198206062005012014
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Dr. SYAIFUL RIZAL
15 DOKTER 2 0 150 0 30 0 20 0 45 0 15 0 0.150 21 21 100% 0.025 157,114,695
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.118 21 21 100% 0.020 157,114,695
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.105 21 21 100% 0.017 157,114,695
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 21 21 100% 0.020 157,114,695
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.121 21 21 100% 0.020 157,114,695
199009012020121013
24 GIZI 0 0 80 0 10 0 10 0 0 0 15 0 0.044 21 21 100% 0.007 157,114,695
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 21 21 100% 0.017 157,114,695
NIP. 198506302017042009
30 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.102 21 21 100% 0.017 157,114,695
NIP. 198510262017042002
31 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 21 21 100% 0.017 157,114,695
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
NIP. 198601102017042002
33 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.100 21 21 100% 0.017 157,114,695
NIP. 198606112017042006
34 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.097 21 21 100% 0.016 157,114,695
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 21 21 100% 0.009 157,114,695
199812222020122003
38 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.055 21 21 100% 0.009 157,114,695
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.061 21 21 100% 0.010 157,114,695

YUNI ASTUTI
41 PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.076 21 21 100% 0.013 157,114,695
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
56 AAN SUNANI BIDAN 0 0 60 0 10 0 0 0 10 0 10 0 0.045 21 21 100% 0.008 157,114,695
JUMLAH 650 1 4272 1 1399 1 866 1 901 1 872 1 6 1,363 1,363 100% 1.0 157,114,695
MENGETAHUI, WANAREJA, 4 AGUSTUS 2021

BLUD UPTD PUSKESMAS

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN JULI TAHUN 2021
25% JASA JASA

TANDA TANGAN
TINDAKAN NON
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 14,996,875 3,492,305 159,423 3,651,727 182,586 3,469,141 5
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 14,996,875 3,791,629 136,547 3,928,176 196,409 3,731,767 10
NIP. 198206062005012014
NIP. 199102012019022006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
Dr. SYAIFUL RIZAL
15 DOKTER 14,996,875 4,397,848 223,609 4,621,457 231,073 4,390,384 15
NIP. 199011242019021003
drg. NOVIANA EKA
199111172020122026
17 BIDAN MAHIR 14,996,875 3,080,785 149,619 3,230,404 161,520 3,068,883 17
NIP. 197601272006042009
NIP. 197504032006042021
NIP. 197601022006042018
20 PERAWAT PERTAMA 14,996,875 2,740,329 344,576 3,084,905 154,245 2,930,659 20
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
21 BIDAN MAHIR 14,996,875 3,161,357 156,155 3,317,511 165,876 3,151,636 21
NIP. 197210272006042015
22 NIP. 197403282006042010 BIDAN MAHIR 14,996,875 3,161,357 156,155 3,317,511 165,876 3,151,636 22
23 DISI SEPTIA, S.K.M. NIP. PENYULUH KESEHATAN MASYARA 14,996,875 1,144,272 0 1,144,272 57,214 1,087,058 23
199009012020121013
24 GIZI 14,996,875 1,144,272 0 1,144,272 57,214 1,087,058 24
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
NIP. 198505212017042003
29 BIDAN TERAMPIL 14,996,875 2,669,265 139,815 2,809,080 2,809,080 29
NIP. 198506302017042009
30 BIDAN TERAMPIL 14,996,875 2,669,265 139,815 2,809,080 2,809,080 30
NIP. 198510262017042002
31 BIDAN TERAMPIL 14,996,875 2,628,979 136,547 2,765,526 2,765,526 31
NIP. 198508082017042006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
33 BIDAN TERAMPIL 14,996,875 2,628,979 136,547 2,765,526 2,765,526 33
NIP. 198606112017042006
34 BIDAN TERAMPIL 14,996,875 2,548,408 130,011 2,678,418 2,678,418 34
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
37 FARMASI 14,996,875 1,445,774 0 1,445,774 1,445,774 37
199812222020122003
38 PERAWAT GIGI 14,996,875 1,445,774 0 1,445,774 1,445,774 38
NIP. 199301222020122021
39 NIP. 198509252020121005 PERAWAT 14,996,875 1,595,503 240,834 1,836,337 1,836,337 39

YUNI ASTUTI
41 PERAWAT 14,996,875 1,978,567 287,523 2,266,090 113,305 2,152,786 41
NIP. 198304102021212008
48 MARTINI PRAMU KEBERSIHAN 14,996,875 933,035 160,704 1,093,739 65,624 1,028,115 48
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
56 AAN SUNANI BIDAN 14,996,875 1,179,959 77,615 1,257,574 75,454 1,182,119 56
61 ANI YUNANI PRAMU KEBERSIHAN 14,996,875 903,930 160,704 1,064,634 63,878 1,000,756 61
JUMLAH 14,996,875 157,114,695 14,996,875 172,111,570 5,233,174 2,534,464 164,343,932
172,111,570 0 - 0 (0)
MENGETAHUI, 0 0 WANAREJA, 4 AGUSTUS 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN AGUSTUS TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 23 0 60 0 30 0 20 0 20 0 15 0 0.132 21 21 100% 0.022 131,398,120
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 16 0 60 0 30 0 20 0 40 0 15 0 0.145 21 21 100% 0.024 131,398,120
NIP. 198206062005012014
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 20 0 60 0 30 0 20 0 10 0 15 0 0.116 21 21 100% 0.019 131,398,120
NIP. 197601272006042009
DESI KARLIYANTI, A.Md.Keb.
17 BIDAN MAHIR 20 0 60 0 30 0 20 0 5 0 15 0 0.110 21 21 100% 0.018 131,398,120
NIP. 197504032006042021
NIP. 197601022006042018
19 AHMAD AZKIA, S. Kep.,Ners. PERAWAT PERTAMA 2 0 100 0 30 0 15 0 20 0 15 0 0.104 21 21 100% 0.017 131,398,120
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
20 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.119 21 21 100% 0.020 131,398,120
NIP. 197210272006042015
21 BIDAN MAHIR 22 0 60 0 30 0 20 0 10 0 15 0 0.119 21 21 100% 0.020 131,398,120
NIP. 197403282006042010
22 199009012020121013 PENYULUH KESEHATAN MASYARA 0 0 80 0 10 0 15 0 0 0 15 0 0.047 21 21 100% 0.008 131,398,120
23 EMIL YUNIA SUSANTI, S.Gz. NIP. GIZI 0 0 80 0 10 0 15 0 0 0 15 0 0.047 21 21 100% 0.008 131,398,120
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 15 0 60 0 30 0 20 0 15 0 15 0 0.114 21 21 100% 0.019 131,398,120
NIP. 198502082017042007
28 NENI FITRIYANA, A.Md.Keb. BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.100 21 21 100% 0.017 131,398,120

NIP. 198506302017042009
29 BIDAN TERAMPIL 17 0 60 0 30 0 20 0 0 0 15 0 0.100 21 21 100% 0.017 131,398,120
NIP. 198510262017042002
30 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.098 21 21 100% 0.016 131,398,120
NIP. 198508082017042006
NIP. 198601102017042002
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
32 BIDAN TERAMPIL 16 0 60 0 30 0 20 0 0 0 15 0 0.098 21 21 100% 0.016 131,398,120
NIP. 198606112017042006
33 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.095 21 21 100% 0.016 131,398,120
NIP. 198603122017042004
MART DINA LESTARI, A.Md.Keb.
34 BIDAN TERAMPIL 14 0 60 0 30 0 20 0 0 0 15 0 0.095 21 21 100% 0.016 131,398,120
NIP. 198703022017042006
NIP. 199503282019022008
36 FITRIYANI, A.Md.Farm. NIP. FARMASI 4 0 60 0 20 0 15 0 0 0 15 0 0.054 21 21 100% 0.009 131,398,120
199812222020122003
37 PERAWAT GIGI 4 0 60 0 20 0 15 0 0 0 15 0 0.054 21 21 100% 0.009 131,398,120
NIP. 199301222020122021
38 PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.059 21 21 100% 0.010 131,398,120
NIP. 198509252020121005
39 NIP. 197905122005011012 PRASARANA KANTOR 23 0 60 0 20 0 15 0 40 0 15 0 0.144 21 21 100% 0.024 131,398,120
40 YUNI ASTUTI PERAWAT 0 0 60 0 30 0 15 0 5 0 15 0 0.074 21 21 100% 0.012 131,398,120

NIP. 198304102021212008
Dr. MUTIMMUL IFADAH DOKTER UMUM 0 0 150 0 20 0 15 0 0 0 15 0 0.082 21 21 100% 0.014 131,398,120
55 AAN SUNANI BIDAN 0 0 60 0 10 0 5 0 10 0 10 0 0.050 21 21 100% 0.008 131,398,120
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
JUMLAH 648 1 4270 1 1460 1 920 1 855 1 870 1 6 1,363 1,363 100% 1.0 131,398,120
MENGETAHUI, WANAREJA, 4 AGUSTUS 2021

KEPALA BLUD BLUD UPTD PUSKESMAS
UPTD PUSKESMAS WANAREJA I
WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN AGUSTUS TAHUN 2021
25% JASA JASA

TANDA TANGAN
TINDAKAN NON
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 NIP. 196911262002121002 PUSKESMAS WANAREJA I 5,669,200 5,598,862 160,347 5,759,209 863,881 4,895,328 1
TUGIRIN
MURTINGATUN, S.E.
NIP. 196912051997031005 KEUANGAN
5 BIDAN PENYELIA 5,669,200 2,900,716 105,065 3,005,781 150,289 2,855,492 5
NIP. 197307061993012003
CAHYONO, S.Kep.
NIP. 197509052003122012
10 BIDAN PENYELIA 5,669,200 3,176,179 90,495 3,266,674 163,334 3,103,340 10
NIP. 198206062005012014
NIP. 199102012019022006
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 5,669,200 2,543,312 98,821 2,642,133 132,107 2,510,026 17
NIP. 197601272006042009
17 BIDAN MAHIR 5,669,200 2,415,303 98,821 2,514,124 125,706 2,388,418 18
NIP. 197504032006042021
NIP. 197601022006042018
19 AHMAD AZKIA, S. Kep.,Ners. PERAWAT PERTAMA 5,669,200 2,277,133 84,301 2,361,434 118,072 2,243,362 20
NIP. 199105202019021004
SUGIHARTI, AM.Keb.
20 BIDAN MAHIR 5,669,200 2,610,903 102,984 2,713,887 135,694 2,578,193 21
NIP. 197210272006042015
21 BIDAN MAHIR 5,669,200 2,610,903 102,984 2,713,887 135,694 2,578,193 22
NIP. 197403282006042010
22 199009012020121013 PENYULUH KESEHATAN MASYARA 5,669,200 1,035,950 0 1,035,950 51,797 984,152 23
23 EMIL YUNIA SUSANTI, S.Gz. NIP. GIZI 5,669,200 1,035,950 0 1,035,950 51,797 984,152 24
199505312020122015
RATIM HIDAYAT
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 5,669,200 2,502,341 88,414 2,590,755 2,590,755 27
NIP. 198502082017042007
28 NENI FITRIYANA, A.Md.Keb. BIDAN TERAMPIL 5,669,200 2,185,907 92,577 2,278,484 2,278,484 29
NIP. 198506302017042009
29 BIDAN TERAMPIL 5,669,200 2,185,907 92,577 2,278,484 2,278,484 30
NIP. 198510262017042002
30 BIDAN TERAMPIL 5,669,200 2,152,111 90,495 2,242,607 2,242,607 31
NIP. 198508082017042006
NIP. 198601102017042002
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
32 BIDAN TERAMPIL 5,669,200 2,152,111 90,495 2,242,607 2,242,607 33
NIP. 198606112017042006
33 BIDAN TERAMPIL 5,669,200 2,084,520 86,332 2,170,852 2,170,852 34
NIP. 198603122017042004
MART DINA LESTARI, A.Md.Keb.
34 BIDAN TERAMPIL 5,669,200 2,084,520 86,332 2,170,852 2,170,852 35
NIP. 198703022017042006
NIP. 199503282019022008
36 FITRIYANI, A.Md.Farm. NIP. FARMASI 5,669,200 1,182,035 0 1,182,035 1,182,035 37
199812222020122003
37 PERAWAT GIGI 5,669,200 1,182,035 0 1,182,035 1,182,035 38
NIP. 199301222020122021
38 PERAWAT 5,669,200 1,302,033 81,099 1,383,132 1,383,132 39
NIP. 198509252020121005
39 NIP. 197905122005011012 PRASARANA KANTOR 5,669,200 3,143,732 0 3,143,732 3,143,732 40
40 YUNI ASTUTI PERAWAT 5,669,200 1,620,367 81,099 1,701,466 85,073 1,616,392 41

NIP. 198304102021212008
Dr. MUTIMMUL IFADAH DOKTER UMUM 5,669,200 1,803,946 0 1,803,946 90,197 1,713,749
47 MARTINI PRAMU KEBERSIHAN 5,669,200 1,036,995 50,622 1,087,616 65,257 1,022,359 48
55 AAN SUNANI BIDAN 5,669,200 1,084,479 77,615 1,162,094 69,726 1,092,369 56
25% JASA JASA

TANDA TANGAN
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
65 AGUS SUJATMIKO PENGEMUDI AMBULAN 5,669,200 1,277,000 0 1,277,000 76,620 1,200,380 66
66 YULIANTO PETUGAS KEAMANAN 5,669,200 518,290 545,710 1,064,000 63,840 1,000,160 67
JUMLAH 5,669,200 131,398,120 5,669,200 137,067,320 3,795,091 2,245,842 131,026,387
137,067,320 0 (0) 0 (0)
MENGETAHUI, (0) (0) WANAREJA, 3 SEPTEMBER 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
8. drg. NOVIANA EKA S. (…………….…)
KIP- TK. KEGAWAT

MASA KERJA KETENAGAAN RISIKO KERJA DARURATAN TG JAWAB KINERJA KEHADIRAN JASA PELAY
PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

1 21 0.04 150 0.04 30 0.02 30 0.02 120 0.13 90 0.02 0.264 22 22 100% 0.044 148,618,485
NIP. 196911262002121002 PUSKESMAS WANAREJA I
TUGIRIN
2 PERAWAT PENYELIA 28 0.05 60 0.01 20 0.01 20 0.02 0 0.00 90 0.02 0.105 22 22 100% 0.017 148,618,485
NIP. 196609141988031007
MURTINGATUN, S.E.
3 NIP. 197003061990032006 ANALIS KINERJA 26 0.05 60 0.01 20 0.01 20 0.02 15 0.02 90 0.02 0.121 22 22 100% 0.020 148,618,485
4 NIP. 196912051997031005 KEUANGAN 21 0.04 60 0.01 30 0.02 20 0.02 70 0.08 90 0.02 0.179 22 22 100% 0.0298 148,618,485
5 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.132 22 22 100% 0.022 148,618,485
NIP. 197307061993012003
6 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 148,618,485
NIP. 197406011993022002
CAHYONO, S.Kep.
8 NIP. 197501131999031002 ADMINKES MUDA 21 0.04 80 0.02 30 0.02 20 0.02 50 0.05 90 0.02 0.162 22 22 100% 0.027 148,618,485
9 NIP. 197509052003122012 PERAWAT MUDA 21 0.04 100 0.02 20 0.01 20 0.02 25 0.03 90 0.02 0.133 22 22 100% 0.022 148,618,485
10 BIDAN PENYELIA 16 0.03 60 0.01 30 0.02 30 0.02 65 0.07 90 0.02 0.172 22 22 100% 0.029 148,618,485
NIP. 198206062005012014
11 BIDAN PENYELIA 15 0.02 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.102 22 22 100% 0.017 148,618,485
NIP. 198106102006042025
12 NIP. 198007012007012009 BIDAN PENYELIA 15 0.02 60 0.01 20 0.01 20 0.02 50 0.05 90 0.02 0.132 22 22 100% 0.022 148,618,485
13 NIP. 197807242000121001 SANITARIAN MAHIR 18 0.03 60 0.01 20 0.01 10 0.01 40 0.04 90 0.02 0.123 22 22 100% 0.020 148,618,485
14 S.Farm.,Apt. APOTEKER 2 0.00 100 0.02 20 0.01 20 0.02 15 0.02 90 0.02 0.087 22 22 100% 0.014 148,618,485
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

drg. NOVIANA EKA
15 SAPTANINGTYAS, NIP. DOKTER GIGI 0 0.00 150 0.03 30 0.02 20 0.01 40 0.04 90 0.01 0.105 22 22 100% 0.018 148,618,485
199111172020122026
16 BIDAN MAHIR 20 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 148,618,485
NIP. 197601272006042009
17 BIDAN MAHIR 20 0.03 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.112 22 22 100% 0.019 148,618,485
NIP. 197504032006042021
18 AM.Keb. BIDAN MAHIR 20 0.03 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.123 22 22 100% 0.020 148,618,485
NIP. 197601022006042018
19 AHMAD AZKIA, S. Kep.,Ners. PERAWAT PERTAMA 2 0.00 100 0.02 30 0.02 30 0.02 25 0.03 90 0.02 0.112 22 22 100% 0.019 148,618,485
NIP. 199105202019021004
20 SUGIHARTI, AM.Keb. BIDAN MAHIR 22 0.04 60 0.01 30 0.02 20 0.02 10 0.01 90 0.02 0.113 22 19 86% 0.016 148,618,485
NIP. 197210272006042015
21 BIDAN MAHIR 22 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 148,618,485
NIP. 197403282006042010
22 PENYULUH KESEHATAN MASYARA 0 0.00 80 0.02 20 0.01 10 0.01 10 0.01 90 0.01 0.056 22 22 100% 0.009 148,618,485
199009012020121013
23 EMIL YUNIA SUSANTI, S.Gz. NIP. GIZI 0 0.00 80 0.02 20 0.01 10 0.01 10 0.01 90 0.01 0.056 22 22 100% 0.009 148,618,485
199505312020122015
24 RATIM HIDAYAT PENGADMINISTRASI UMUM 18 0.03 25 0.01 10 0.01 10 0.01 15 0.02 90 0.02 0.080 22 22 100% 0.013 148,618,485
NIP. 197502032007011018
25 A.Md.Keb. BIDAN TERAMPIL 18 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 148,618,485
NIP. 198408152017042006
26 BIDAN TERAMPIL 15 0.02 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.113 22 22 100% 0.019 148,618,485
NIP. 198502082017042007
27 BIDAN TERAMPIL 17 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 148,618,485
NIP. 198505212017042003
28 NENI FITRIYANA, A.Md.Keb. BIDAN TERAMPIL 17 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 148,618,485
NIP. 198506302017042009
29 ERLIN NURLINA, A.Md.Keb. BIDAN TERAMPIL 17 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 148,618,485
NIP. 198510262017042002
30 SELLY PURWANTI, A.Md.Keb. BIDAN TERAMPIL 16 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 148,618,485
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

NIP. 198601102017042002
32 BIDAN TERAMPIL 16 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 148,618,485
NIP. 198606112017042006
33 BIDAN TERAMPIL 14 0.02 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.097 22 22 100% 0.016 148,618,485
NIP. 198603122017042004
34 MART DINA LESTARI, A.Md.Keb. BIDAN TERAMPIL 14 0.02 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.097 22 22 100% 0.016 148,618,485
NIP. 198703022017042006
35 RETNO, A.Md.AK. PRANATA LAB KES TERAMPIL 5 0.01 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.088 22 22 100% 0.015 148,618,485
NIP. 199503282019022008
36 FITRIYANI, A.Md.Farm. NIP. FARMASI 4 0.00 60 0.01 20 0.01 20 0.01 0 0.00 90 0.01 0.049 22 22 100% 0.008 148,618,485
199812222020122003
37 PERAWAT 4 0.00 60 0.01 30 0.02 30 0.02 0 0.00 90 0.01 0.060 22 22 100% 0.010 148,618,485
NIP. 198509252020121005
38 23 0.04 60 0.01 20 0.01 20 0.02 25 0.03 90 0.02 0.123 22 22 100% 0.020 148,618,485
39 YUNI ASTUTI PERAWAT 0 0.00 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.084 22 22 100% 0.014 148,618,485
NIP. 198304102021212008
40 ETI HARTATI PETUGAS PENDAFTARAN 22 0.04 25 0.01 20 0.01 10 0.01 0 0.00 90 0.02 0.079 22 22 100% 0.013 148,618,485
41 EKA SURANINGSIH PERAWAT 15 0.02 60 0.01 20 0.01 20 0.02 5 0.01 90 0.02 0.083 22 22 100% 0.014 148,618,485
42 EKA SETIAWAN PERAWAT 13 0.02 50 0.01 30 0.02 20 0.02 20 0.02 90 0.02 0.103 22 22 100% 0.017 148,618,485
43 Dr. MUTIMMUL IFADAH 0 0.00 150 0.04 30 0.02 30 0.02 15 0.02 90 0.02 0.112 22 22 100% 0.019 148,618,485
47 MARTINI PRAMU KEBERSIHAN 0 0.00 25 0.01 20 0.01 10 0.01 0 0.00 90 0.02 0.042 22 22 100% 0.007 148,618,485
53 ARINDA PRAMUDITYA PERAWAT 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 148,618,485
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

55 AAN SUNANI BIDAN 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 148,618,485
57 FINDY AMBAR SAPUTRA PERAWAT 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 148,618,485
59 ANI YUNANI PRAMU KEBERSIHAN 0 0.00 25 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.037 22 22 100% 0.006 148,618,485
60 WATINI PRAMU KEBERSIHAN 0 0.00 25 0.01 10 0.01 0 0.00 0 0.00 90 0.02 0.029 22 22 100% 0.005 148,618,485
61 MARUTO PRAMU KEBERSIHAN 0 0.00 25 0.01 10 0.01 0 0.00 0 0.00 90 0.02 0.029 22 22 100% 0.005 148,618,485
64 AGUS SUJATMIKO PENGEMUDI AMBULAN 0 0.00 25 0.01 20 0.01 10 0.01 0 0.00 90 0.02 0.042 22 22 100% #DIV/0! 148,618,485
65 YULIANTO PETUGAS KEAMANAN 0 0.00 25 0.01 20 0.01 10 0.01 0 0.00 90 0.02 0.042 22 22 100% #DIV/0! 148,618,485
66 RATNO ANDRIYANTO PETUGAS KEAMANAN 0 0.00 25 0.01 20 0.01 10 0.01 0 0.00 90 0.02 0.042 22 22 100% #DIV/0! 148,618,485
JUMLAH 644 1.00 4051 0.98 1492 0.98 1,302 0.99 911 0.99 5670 0.94 6 1,386 1,383 100% 1 148,618,485

KEPALA BLUD
WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
25% JASA JASA

NO NAMA KARYAWAN JABATAN PELAYANAN PELAYANAN 60% TANDA TANGAN
PELAYANAN JUMLAH TERIMA AKHIR
LANGSUNG NON JASA TINDAKAN NON FINAL TIDAK FINAL
KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 7,733,825 7,060,846 1,115,023 8,175,870 1,226,380 6,949,489 1
TUGIRIN
2 PERAWAT PENYELIA 7,733,825 2,592,898 0 2,592,898 129,645 2,463,253 2
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 7,733,825 4,961,144 137,549 5,098,693 254,935 4,843,758 4
5 BIDAN PENYELIA 7,733,825 3,265,125 110,966 3,376,090 168,805 3,207,286 5
NIP. 197307061993012003
6 BIDAN PENYELIA 7,733,825 2,993,288 110,966 3,104,254 155,213 2,949,041 6
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 7,733,825 3,289,393 0 3,289,393 164,470 3,124,924 9
10 BIDAN PENYELIA 7,733,825 4,260,726 110,966 4,371,692 218,585 4,153,107 10
NIP. 198206062005012014
11 BIDAN PENYELIA 7,733,825 2,537,962 110,966 2,648,928 132,446 2,516,481 11
NIP. 198106102006042025
12 NIP. 198007012007012009 BIDAN PENYELIA 7,733,825 3,269,092 0 3,269,092 163,455 3,105,637 12
NIP. 199102012019022006
25% DARI 25% JASA JASA

TANDA TANGAN
LANGSUNG NON JASA FINAL TIDAK FINAL
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 7,733,825 2,409,408 0 2,409,408 120,470 2,288,938 16
NIP. 197601272006042009
17 BIDAN MAHIR 7,733,825 2,765,625 110,966 2,876,591 143,830 2,732,761 17
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
20 SUGIHARTI, AM.Keb. BIDAN MAHIR 7,733,825 2,420,811 110,966 2,531,777 126,589 2,405,188 20
NIP. 197210272006042015
21 BIDAN MAHIR 7,733,825 2,993,288 110,966 3,104,254 155,213 2,949,041 21
NIP. 197403282006042010
22 PENYULUH KESEHATAN MASYARA 7,733,825 1,381,134 110,966 1,492,100 74,605 1,417,495 22
199009012020121013
23 EMIL YUNIA SUSANTI, S.Gz. NIP. GIZI 7,733,825 1,381,134 110,966 1,492,100 74,605 1,417,495 23
199505312020122015
24 RATIM HIDAYAT PENGADMINISTRASI UMUM 7,733,825 1,982,724 0 1,982,724 1,982,724 24
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 7,733,825 2,809,798 107,718 2,917,516 2,917,516 26
NIP. 198502082017042007
27 BIDAN TERAMPIL 7,733,825 2,409,408 107,718 2,517,126 2,517,126 27
NIP. 198505212017042003
NIP. 198506302017042009
29 ERLIN NURLINA, A.Md.Keb. BIDAN TERAMPIL 7,733,825 2,629,707 107,718 2,737,424 2,737,424 29
NIP. 198510262017042002
30 SELLY PURWANTI, A.Md.Keb. BIDAN TERAMPIL 7,733,825 2,629,707 107,718 2,737,424 2,737,424 30
NIP. 198508082017042006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
32 BIDAN TERAMPIL 7,733,825 2,629,707 107,718 2,737,424 2,737,424 32
NIP. 198606112017042006
33 BIDAN TERAMPIL 7,733,825 2,402,043 107,718 2,509,761 2,509,761 33
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 7,733,825 1,494,172 110,039 1,604,211 1,604,211 37
NIP. 198509252020121005
38 7,733,825 3,044,826 0 3,044,826 3,044,826 38

NIP. 198304102021212008
43 Dr. MUTIMMUL IFADAH 7,733,825 1,900,000 0 1,900,000 95,000 1,805,000 43
47 MARTINI PRAMU KEBERSIHAN 7,733,825 1,050,343 51,818 1,102,161 66,130 1,036,031 47

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
55 AAN SUNANI BIDAN 7,733,825 1,098,366 104,470 1,202,836 72,170 1,130,666 55
65 YULIANTO PETUGAS KEAMANAN 7,733,825 1,064,000 0 1,064,000 63,840 1,000,160 65
66 RATNO ANDRIYANTO PETUGAS KEAMANAN 7,733,825 1,064,000 0 1,064,000 63,840 1,000,160 66
JUMLAH 7,733,825 148,618,485 7,733,825 156,352,309 4,658,415 2,427,606 149,266,283
156,352,310 0 0 0
MENGETAHUI, 1 1 WANAREJA, 05 Oktober 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN OKTOBER TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

1 21 0.04 150 0.04 30 0.02 30 0.02 120 0.13 90 0.02 0.264 22 22 100% 0.044 127,253,745
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 21 0.04 60 0.01 30 0.02 20 0.02 70 0.08 90 0.02 0.179 22 22 100% 0.0298 127,253,745
5 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.132 22 22 100% 0.022 127,253,745
NIP. 197307061993012003
6 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 127,253,745
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 21 0.04 100 0.02 20 0.01 20 0.02 25 0.03 90 0.02 0.133 22 22 100% 0.022 127,253,745
10 BIDAN PENYELIA 16 0.03 60 0.01 30 0.02 30 0.02 65 0.07 90 0.02 0.172 22 22 100% 0.029 127,253,745
NIP. 198206062005012014
11 BIDAN PENYELIA 15 0.02 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.102 22 22 100% 0.017 127,253,745
NIP. 198106102006042025
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 20 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 127,253,745
NIP. 197601272006042009
17 BIDAN MAHIR 20 0.03 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.112 22 22 100% 0.019 127,253,745
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 22 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 127,253,745
NIP. 197403282006042010
199009012020121013
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 15 0.02 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.113 22 22 100% 0.019 127,253,745
NIP. 198502082017042007
27 BIDAN TERAMPIL 17 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 127,253,745
NIP. 198505212017042003
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

NIP. 198601102017042002
32 BIDAN TERAMPIL 16 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 127,253,745
NIP. 198606112017042006
33 BIDAN TERAMPIL 14 0.02 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.097 22 22 100% 0.016 127,253,745
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 4 0.00 60 0.01 30 0.02 30 0.02 0 0.00 90 0.01 0.060 22 22 100% 0.010 127,253,745
NIP. 198509252020121005
38 23 0.04 60 0.01 20 0.01 20 0.02 25 0.03 90 0.02 0.123 22 22 100% 0.020 127,253,745
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

55 AAN SUNANI BIDAN 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 127,253,745
JUMLAH 644 1.00 4051 0.98 1492 0.98 1,302 0.99 911 0.99 5670 0.94 6 1,386 1,383 100% 1 127,253,745

KEPALA BLUD
WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN OKTOBER TAHUN 2021
25% JASA JASA

KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 9,308,625 5,901,048 1,031,829 6,932,877 1,039,932 5,892,944 1
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 9,308,625 4,103,190 190,922 4,294,112 214,706 4,079,406 4
5 BIDAN PENYELIA 9,308,625 2,795,745 177,052 2,972,797 148,640 2,824,157 5
NIP. 197307061993012003
6 BIDAN PENYELIA 9,308,625 2,562,986 177,052 2,740,039 137,002 2,603,037 6
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 9,308,625 2,816,525 0 2,816,525 140,826 2,675,698 9
10 BIDAN PENYELIA 9,308,625 3,648,223 177,052 3,825,275 191,264 3,634,011 10
NIP. 198206062005012014
11 BIDAN PENYELIA 9,308,625 2,173,116 152,052 2,325,168 116,258 2,208,910 11
NIP. 198106102006042025
NIP. 199102012019022006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
drg. NOVIANA EKA
15 SAPTANINGTYAS, NIP. DOKTER GIGI 9,308,625 2,231,837 99,420 2,331,256 116,563 2,214,694 15
199111172020122026
16 BIDAN MAHIR 9,308,625 2,063,043 0 2,063,043 103,152 1,959,890 16
NIP. 197601272006042009
17 BIDAN MAHIR 9,308,625 2,368,051 152,052 2,520,103 126,005 2,394,098 17
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 9,308,625 2,562,986 177,052 2,740,039 137,002 2,603,037 21
NIP. 197403282006042010
22 PENYULUH KESEHATAN MASYARA 9,308,625 1,182,589 0 1,182,589 59,129 1,123,459 22
199009012020121013
23 EMIL YUNIA SUSANTI, S.Gz. NIP. GIZI 9,308,625 1,182,589 0 1,182,589 59,129 1,123,459 23
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 9,308,625 2,405,874 147,602 2,553,476 2,553,476 26
NIP. 198502082017042007
27 BIDAN TERAMPIL 9,308,625 2,063,043 46,964 2,110,007 2,110,007 27
NIP. 198505212017042003
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
32 BIDAN TERAMPIL 9,308,625 2,251,672 147,602 2,399,273 2,399,273 32
NIP. 198606112017042006
33 BIDAN TERAMPIL 9,308,625 2,056,736 147,602 2,204,338 2,204,338 33
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 9,308,625 1,279,376 152,737 1,432,114 1,432,114 37
NIP. 198509252020121005
38 9,308,625 2,607,116 0 2,607,116 2,607,116 38

NIP. 198304102021212008

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
55 AAN SUNANI BIDAN 9,308,625 940,470 143,151 1,083,621 65,017 1,018,604 55
62 MUGI RAHMAWATI PERAWAT GIGI 9,308,625 1,224,696 64,330 1,289,026 77,342 1,211,685 62
JUMLAH 9,308,625 127,253,745 9,308,625 136,562,370 3,995,983 2,197,864 130,368,524
136,562,370 0 0 0
MENGETAHUI, 0 0 WANAREJA, 05 Nopember 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN NOPEMBER TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

1 21 0.04 150 0.04 30 0.02 30 0.02 120 0.13 90 0.02 0.264 22 22 100% 0.044 134,203,447
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 21 0.04 60 0.01 30 0.02 20 0.02 70 0.08 90 0.02 0.179 22 22 100% 0.0299 134,203,447
5 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.132 22 22 100% 0.022 134,203,447
NIP. 197307061993012003
6 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 134,203,447
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 21 0.04 100 0.02 20 0.01 20 0.02 25 0.03 90 0.02 0.133 22 22 100% 0.022 134,203,447
10 BIDAN PENYELIA 16 0.03 60 0.01 30 0.02 30 0.02 65 0.07 90 0.02 0.172 22 22 100% 0.029 134,203,447
NIP. 198206062005012014
11 BIDAN PENYELIA 15 0.02 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.103 22 22 100% 0.017 134,203,447
NIP. 198106102006042025
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 20 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 134,203,447
NIP. 197601272006042009
17 BIDAN MAHIR 20 0.03 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.112 22 22 100% 0.019 134,203,447
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 22 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 134,203,447
NIP. 197403282006042010
199009012020121013
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 15 0.02 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.114 22 22 100% 0.019 134,203,447
NIP. 198502082017042007
27 BIDAN TERAMPIL 17 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 134,203,447
NIP. 198505212017042003
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

NIP. 198601102017042002
32 BIDAN TERAMPIL 16 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 134,203,447
NIP. 198606112017042006
33 BIDAN TERAMPIL 14 0.02 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.097 22 22 100% 0.016 134,203,447
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 4 0.00 60 0.01 30 0.02 30 0.02 0 0.00 90 0.01 0.060 22 22 100% 0.010 134,203,447
NIP. 198509252020121005
38 23 0.04 60 0.01 20 0.01 20 0.02 25 0.03 90 0.02 0.123 22 22 100% 0.020 134,203,447
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

55 AAN SUNANI BIDAN 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 134,203,447
JUMLAH 644 1.00 4051 0.98 1472 0.98 1,312 0.98 911 0.99 5670 0.94 6 1,386 1,386 100% 1 134,203,447

KEPALA BLUD
WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN NOPEMBER TAHUN 2021
25% JASA JASA

KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 8,986,350 6,203,908 548,712 6,752,619 1,012,893 5,739,727 1
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
3 NIP. 197003061990032006 ANALIS KINERJA 8,986,350 2,711,062 70,099 2,781,161 139,058 2,642,103 3
4 NIP. 196912051997031005 KEUANGAN 8,986,350 4,309,172 162,455 4,471,627 223,581 4,248,046 4
5 BIDAN PENYELIA 8,986,350 2,950,608 183,033 3,133,641 156,682 2,976,959 5
NIP. 197307061993012003
6 BIDAN PENYELIA 8,986,350 2,705,138 183,033 2,888,171 144,409 2,743,762 6
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 8,986,350 2,971,796 0 2,971,796 148,590 2,823,206 9
10 BIDAN PENYELIA 8,986,350 3,849,642 183,033 4,032,676 201,634 3,831,042 10
NIP. 198206062005012014
11 BIDAN PENYELIA 8,986,350 2,293,975 162,617 2,456,592 122,830 2,333,762 11
NIP. 198106102006042025
NIP. 199102012019022006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 8,986,350 2,177,164 0 2,177,164 108,858 2,068,306 16
NIP. 197601272006042009
17 BIDAN MAHIR 8,986,350 2,499,556 162,617 2,662,173 133,109 2,529,064 17
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 8,986,350 2,705,138 183,033 2,888,171 144,409 2,743,762 21
NIP. 197403282006042010
199009012020121013
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 8,986,350 2,539,445 157,846 2,697,291 2,697,291 26
NIP. 198502082017042007
27 BIDAN TERAMPIL 8,986,350 2,177,164 0 2,177,164 2,177,164 27
NIP. 198505212017042003
28 NENI FITRIYANA, A.Md.Keb. BIDAN TERAMPIL 8,986,350 2,224,911 0 2,224,911 2,224,911 28
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
32 BIDAN TERAMPIL 8,986,350 2,376,821 157,846 2,534,668 2,534,668 32
NIP. 198606112017042006
33 BIDAN TERAMPIL 8,986,350 2,171,240 157,846 2,329,086 2,329,086 33
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 8,986,350 1,350,990 129,964 1,480,954 1,480,954 37
NIP. 198509252020121005
38 8,986,350 2,750,951 0 2,750,951 2,750,951 38

NIP. 198304102021212008

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
55 AAN SUNANI BIDAN 8,986,350 992,558 153,076 1,145,634 68,738 1,076,896 55
JUMLAH 8,986,350 134,203,447 8,986,350 143,189,797 4,152,921 2,283,932 136,752,945
143,189,797 (0) 0 0
MENGETAHUI, 0 0 WANAREJA, 2 DESEMBER 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN DESEMBER TAHUN 2021
KIP- TK. KEGAWAT

PV=JUMLAH KOLOM
PV (KOLOM
(4+5+6+7+8+9)
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

1 21 0.04 150 0.04 30 0.02 30 0.02 120 0.13 90 0.02 0.264 22 22 100% 0.044 135,864,695
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 21 0.04 60 0.01 30 0.02 20 0.02 70 0.08 90 0.02 0.179 22 22 100% 0.0299 135,864,695
5 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.132 22 22 100% 0.022 135,864,695
NIP. 197307061993012003
6 BIDAN PENYELIA 23 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 135,864,695
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 21 0.04 100 0.02 20 0.01 20 0.02 25 0.03 90 0.02 0.133 22 22 100% 0.022 135,864,695
10 BIDAN PENYELIA 16 0.03 60 0.01 30 0.02 30 0.02 65 0.07 90 0.02 0.172 22 22 100% 0.029 135,864,695
NIP. 198206062005012014
11 BIDAN PENYELIA 15 0.02 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.103 22 22 100% 0.017 135,864,695
NIP. 198106102006042025
NIP. 199102012019022006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 20 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 135,864,695
NIP. 197601272006042009
17 BIDAN MAHIR 20 0.03 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.112 22 22 100% 0.019 135,864,695
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 22 0.04 60 0.01 30 0.02 30 0.02 10 0.01 90 0.02 0.121 22 22 100% 0.020 135,864,695
NIP. 197403282006042010
199009012020121013
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 15 0.02 60 0.01 30 0.02 30 0.02 20 0.02 90 0.02 0.114 22 22 100% 0.019 135,864,695
NIP. 198502082017042007
27 BIDAN TERAMPIL 17 0.03 60 0.01 20 0.01 20 0.02 10 0.01 90 0.02 0.097 22 22 100% 0.016 135,864,695
NIP. 198505212017042003
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

NIP. 198601102017042002
32 BIDAN TERAMPIL 16 0.03 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.106 22 22 100% 0.018 135,864,695
NIP. 198606112017042006
33 BIDAN TERAMPIL 14 0.02 60 0.01 30 0.02 30 0.02 5 0.01 90 0.02 0.097 22 22 100% 0.016 135,864,695
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 4 0.00 60 0.01 30 0.02 30 0.02 0 0.00 90 0.01 0.060 22 22 100% 0.010 135,864,695
NIP. 198509252020121005
38 23 0.04 60 0.01 20 0.01 20 0.02 25 0.03 90 0.02 0.123 22 22 100% 0.020 135,864,695
NIP. 198304102021212008
KIP- TK. KEGAWAT
PV=JUMLAH KOLOM
(4+5+6+7+8+9)
PV (KOLOM
10) DIBAGI
PROSENTASE
HARI KERJA
JML HADIR
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
INDEKS
SKOR
SKOR
SKOR
SKOR
SKOR
SKOR
DIKALIKAN DARI NON
UMUM
1 2 3 4 5.00 6 7.00 8 9.00 10 11.00 12 13.00 14 15.00 16 17 18 19 20 21

55 AAN SUNANI BIDAN 0 0.00 60 0.01 10 0.01 10 0.01 0 0.00 90 0.02 0.044 22 22 100% 0.007 135,864,695
JUMLAH 644 1.00 4051 0.98 1472 0.98 1,312 0.98 911 0.99 5670 0.94 6 1,386 1,386 100% 1 135,864,695

KEPALA BLUD
WANAREJA I

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI
BULAN DESEMBER TAHUN 2021
25% JASA JASA

KAPITASI DAN
UMUM
UMUM
1 2 3 22 23 24 25 26 27 28 29
1 11,502,175 6,293,168 2,248,939 8,542,107 1,281,316 7,198,615 1
TUGIRIN
NIP. 196609141988031007
MURTINGATUN, S.E.
4 NIP. 196912051997031005 KEUANGAN 11,502,175 4,374,979 287,027 4,662,006 233,100 4,397,549 4
5 BIDAN PENYELIA 11,502,175 2,987,132 165,252 3,152,384 157,619 2,982,722 5
NIP. 197307061993012003
6 BIDAN PENYELIA 11,502,175 2,738,623 165,252 2,903,876 145,194 2,746,639 6
NIP. 197406011993022002
CAHYONO, S.Kep.
9 NIP. 197509052003122012 PERAWAT MUDA 11,502,175 3,008,583 0 3,008,583 150,429 2,858,154 9
10 BIDAN PENYELIA 11,502,175 3,897,295 165,252 4,062,548 203,127 3,847,377 10
NIP. 198206062005012014
11 BIDAN PENYELIA 11,502,175 2,322,371 150,669 2,473,040 123,652 2,339,324 11
NIP. 198106102006042025
NIP. 199102012019022006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
drg. NOVIANA EKA
199111172020122026
16 BIDAN MAHIR 11,502,175 2,204,114 0 2,204,114 110,206 2,093,909 16
NIP. 197601272006042009
17 BIDAN MAHIR 11,502,175 2,530,497 150,669 2,681,166 134,058 2,537,044 17
NIP. 197504032006042021
NIP. 197601022006042018
NIP. 199105202019021004
NIP. 197210272006042015
21 BIDAN MAHIR 11,502,175 2,738,623 165,252 2,903,876 145,194 2,746,639 21
NIP. 197403282006042010
199009012020121013
199505312020122015
NIP. 197502032007011018
NIP. 198408152017042006
26 BIDAN TERAMPIL 11,502,175 2,570,880 146,249 2,717,129 2,706,846 26
NIP. 198502082017042007
27 BIDAN TERAMPIL 11,502,175 2,204,114 0 2,204,114 2,204,114 27
NIP. 198505212017042003
28 NENI FITRIYANA, A.Md.Keb. BIDAN TERAMPIL 11,502,175 2,252,452 0 2,252,452 2,252,452 28
NIP. 198506302017042009
NIP. 198510262017042002
NIP. 198508082017042006

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
NIP. 198601102017042002
32 BIDAN TERAMPIL 11,502,175 2,406,243 146,249 2,552,492 2,542,209 32
NIP. 198606112017042006
33 BIDAN TERAMPIL 11,502,175 2,198,117 146,249 2,344,366 2,334,083 33
NIP. 198603122017042004
NIP. 198703022017042006
NIP. 199503282019022008
199812222020122003
37 PERAWAT 11,502,175 1,367,713 229,622 1,597,335 1,570,930 37
NIP. 198509252020121005
38 11,502,175 2,785,003 0 2,785,003 2,785,003 38

NIP. 198304102021212008

TANDA TANGAN
UMUM KAPITASI DAN
UMUM
1 2 3 22 23 24 25 26 27 28 29
55 AAN SUNANI BIDAN 11,502,175 1,004,845 141,829 1,146,674 68,800 1,068,499 55
JUMLAH 11,502,175 135,864,695 12,214,502 148,079,197 4,476,761 2,383,711 140,550,073
147,366,870 0 (712,327) 0
MENGETAHUI, (712,327) (712,327) WANAREJA, 28 DESEMBER 2021

NIP. 196911262002121002 NIP. 197111201992031005
TIM REMUNERASI

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DAFTAR TERIMA HONOR TENAGA PKS

BLUD UPTD PUSKESMAS WANAREJA I

KIP- TK. KEGAWAT

Dr. TEGUH WIBOWO CAHYONO

JASA PELAYANAN PAJAK

25% JASA JASA

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

KIP- TK. KEGAWAT

Dr. TEGUH WIBOWO CAHYONO

JASA PELAYANAN PAJAK

25% JASA JASA

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

KIP- TK. KEGAWAT

4 MURTINGATUN, S.E. ANALIS KINERJA 26 0 60 0 20 0 10 0 25 0 15 0 0.122 19 19 100% 0.021 3,114,113

40 TRINATA JAYA LAKSANA, AMK. PERAWAT 4 0 60 0 30 0 15 0 0 0 15 0 0.060 19 19 100% 0.010 1,507,742

Dr. TEGUH WIBOWO CAHYONO

25% JASA JASA

4 MURTINGATUN, S.E. ANALIS KINERJA 0 3,114,113 155,706 2,958,407 4

14 YULIUS ADI PRASETYO, A.Md.KL. SANITARIAN MAHIR 0 3,227,553 161,378 3,066,175 14

25% JASA JASA

25% JASA JASA

40 TRINATA JAYA LAKSANA, AMK. PERAWAT 0 1,507,742 1,507,742 40

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

25% JASA JASA

KIP- TK. KEGAWAT

40 WEMI ARIYANTO PENGELOLA SARANA DAN 23 0 50 0 20 0 15 0 40 0 15 0 0.141 19 19 100% 0.023 142,919,305

MENGETAHUI, WANAREJA, 5 APRIL 2021

Dr. TEGUH WIBOWO CAHYONO

JASA PELAYANAN PAJAK

25% JASA JASA

25% JASA JASA

25% JASA JASA

40 WEMI ARIYANTO PENGELOLA SARANA DAN 12,025,125 3,354,268 0 3,354,268 3,354,268 40

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

KIP- TK. KEGAWAT

40 WEMI ARIYANTO PENGELOLA SARANA DAN 23 0 50 0 20 0 15 0 40 0 15 0 0.141 19 19 100% 0.023 153,809,040

MENGETAHUI, WANAREJA, 5 APRIL 2021

Dr. TEGUH WIBOWO CAHYONO

JASA PELAYANAN PAJAK

25% JASA JASA

25% JASA JASA

25% JASA JASA

40 WEMI ARIYANTO PENGELOLA SARANA DAN 11,608,800 3,610,178 0 3,610,178 3,610,178 40

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

KIP- TK. KEGAWAT

40 WEMI ARIYANTO PENGELOLA SARANA DAN 23 0 60 0 20 0 15 0 40 0 15 0 0.143 19 19 100% 0.024 155,001,590

MENGETAHUI, WANAREJA, 5 APRIL 2021

Dr. TEGUH WIBOWO CAHYONO

JASA PELAYANAN PAJAK

25% JASA JASA

25% JASA JASA

25% JASA JASA

40 WEMI ARIYANTO PENGELOLA SARANA DAN 12,487,150 3,697,935 0 3,697,935 3,697,935 40

25% JASA JASA

Dr. TEGUH WIBOWO CAHYONO

KIP- TK. KEGAWAT

40 WEMI ARIYANTO PENGELOLA SARANA DAN 23 0 60 0 20 0 15 0 40 0 15 0 0.143 21 21 100% 0.024 157,114,695

MENGETAHUI, WANAREJA, 4 AGUSTUS 2021