PEMERINTAH KABUPATEN MUKOMUKO

DAFTAR PEMBAYARAN GAJI INDUK PNSD

[ PUSKESMAS TUNGGAL JAYA ] PUSKESMAS TUNGGAL JAYA
(078) D10200707800001 BULAN : APRIL 2023 HALAMAN : 1

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 DR, BAKTI MATONDANG K -1 4,651,800 0 0 252,679 65,158 0 1 .............
0 465,180 0 0 11,164 252,679 0
0 1,200,000 144,840 33,493 63,170
17-09-1969 2 5,116,980 0 65,158 0
196909172002121001 MKG:22 0 409,358 0
Pembina Utama Muda-4C 8 0 0
89.164.558.2-328.000 6,824,322 11,164 835,022 0
33,493 5,989,300
SUB TOTAL PERGOLONGAN : IV 4,651,800 0 0 252,679 65,158 0
PEG: 1 465,180 0 0 11,164 252,679 0
IST: 1 JIWA= 2 0 1,200,000 144,840 33,493 63,170
5,116,980 0 65,158 0
ANK: 0 0 409,358 0
8 0 0
6,824,322 11,164 835,022
33,493 5,989,300
2 HANAFI ALAM SAPUTRA ,S.KEP K -1 3,518,100 0 0 184,425 0 0 2 .............
2 351,810 0 0 8,443 184,425 0
140,724 600,000 289,680 25,330 46,106
22-06-1983 4 4,010,634 0 0 0
198306222009041001 MKG:12 0 320,851 0
Penata Tk.I-3D 43 0 0
15.968.415.8-328.000 5,118,555 8,443 585,155 0
25,330 4,533,400
3 LUKMANUL HAKIM K -0 4,508,600 0 0 200,344 17,213 0 3 .............
0 0 0 0 10,821 200,344 0
0 500,000 72,420 32,462 50,086
22-05-1967 1 4,508,600 0 17,213 0
196705221989031003 MKG:28 0 360,688 0
Penata Tk.I-3D 54 0 0
89.164.560.8-328.000 5,341,914 10,821 671,614 0
32,462 4,670,300
4 IDI JULIJONO K -1 4,508,600 0 0 218,378 23,104 0 4 .............
0 450,860 0 0 10,821 218,378 0
0 500,000 144,840 32,462 54,595
12-07-1967 2 4,959,460 0 23,104 0
196707121989121001 MKG:28 0 396,757 0
Penata Tk.I-3D 52 0 0
89.164.725.7-328.000 5,889,117 10,821 736,117 0
32,462 5,153,000
5 WARTONO K -1 4,237,500 0 0 213,230 0 0 5 .............
2 423,750 0 0 10,170 213,230 0
169,500 500,000 289,680 30,510 53,308
01-10-1973 4 4,830,750 0 0 0
197310011993031004 MKG:24 0 386,460 0
Penata Tk.I-3D 38 0 0
89.164.556.6-328.000 5,874,378 10,170 693,678 0
30,510 5,180,700
6 YENNY ,AMD.KEB K -1 3,743,100 0 0 190,685 15,829 0 6 .............
2 374,310 0 0 8,983 190,685 0
149,724 500,000 289,680 26,950 47,671
16-08-1982 4 4,267,134 0 15,829 0
198208162005022003 MKG:16 0 341,371 0
Penata Tk.I-3D 28 0 0
89.164.563.2-328.000 5,299,289 8,983 631,489 0
26,950 4,667,800
 PEMERINTAH KABUPATEN MUKOMUKO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ PUSKESMAS TUNGGAL JAYA ] PUSKESMAS TUNGGAL JAYA
(078) D10200707800001 BULAN : APRIL 2023 HALAMAN : 2

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
7 NOVA PENI DIANTI ,AMD.KEP K -0 3,375,300 0 0 145,612 0 0 7 .............
0 0 0 0 8,101 145,612 0
0 265,000 72,420 24,302 36,403
10-11-1985 1 3,375,300 0 0 0
198511102008032001 MKG:12 0 270,024 0
Penata-3C 7 0 0
15.968.363.0-328.000 3,890,742 8,101 484,442 0
24,302 3,406,300
8 MONALISA ,S.K.M K -1 2,860,500 0 0 137,862 0 0 8 .............
0 286,050 0 0 6,865 137,862 0
0 300,000 144,840 20,596 34,466
12-05-1991 2 3,146,550 0 0 0
199105122019032009 MKG: 4 0 251,724 0
Penata Muda Tk.I-3B 0 0 0
76.993.864.8-328.000 3,756,713 6,865 451,513 0
20,596 3,305,200
9 TRI HENDRAYANI EKA K -1 3,665,900 0 0 177,765 46 0 9 .............
2 366,590 0 0 8,798 177,765 0
146,636 265,000 289,680 26,394 44,441
25-01-1978 4 4,179,126 0 46 0
197801252006042011 MKG:21 0 334,330 0
Penata Muda Tk.I-3B 65 0 0
15.851.207.9-328.000 4,946,874 8,798 591,774 0
26,394 4,355,100
10 MARTININGSIH, A. MD. KEB K -1 3,238,300 0 0 158,266 0 0 10 .............
2 323,830 0 0 7,772 158,266 0
129,532 265,000 289,680 23,316 39,567
17-10-1985 4 3,691,662 0 0 0
198510172009042001 MKG:12 0 295,333 0
Penata Muda Tk.I-3B 58 0 0
89.164.561.9-328.000 4,435,754 7,772 524,254 0
23,316 3,911,500
11 AFRIDA YENTI ,AMD.KEP K -1 3,139,400 0 0 148,734 0 0 11 .............
0 313,940 0 0 7,535 148,734 0
0 265,000 144,840 22,604 37,183
19-04-1984 2 3,453,340 0 0 0
198404192010012023 MKG:10 0 276,267 0
Penata Muda Tk.I-3B 70 0 0
15968.365.5-328.000 4,042,123 7,535 492,323 0
22,604 3,549,800
12 RAMA ERWIAN BUDHIYANTA, A.Md.Kep K -1 3,139,400 0 0 151,245 0 0 12 .............
,AMD.KEP 1 313,940 0 0 7,535 151,245 0
62,788 265,000 217,260 22,604 37,811
25-12-1989 3 3,516,128 0 0 0
198912252011011002 MKG:10 0 281,290 0
Penata Muda Tk.I-3B 13 0 0
16.389.017.1-328.000 4,179,785 7,535 500,485 0
22,604 3,679,300
13 NOPLIANTON ,0 K -1 2,660,700 0 0 133,328 0 0 13 .............
2 266,070 0 0 6,386 133,328 0
106,428 300,000 289,680 19,157 33,332
09-11-1987 4 3,033,198 0 0 0
198711092020121008 MKG: 2 0 242,656 0
Penata Muda-3A 0 0050206045282
10 0
912721453311000 3,781,759 6,386 434,859 0
19,157 3,346,900
 PEMERINTAH KABUPATEN MUKOMUKO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ PUSKESMAS TUNGGAL JAYA ] PUSKESMAS TUNGGAL JAYA
(078) D10200707800001 BULAN : APRIL 2023 HALAMAN : 3

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
14 ULFAHANNA RISYA PUTRI, A.Md.Kep. K -0 2,830,900 0 0 122,836 0 0 14 .............
0 0 0 0 6,794 122,836 0
0 240,000 72,420 20,382 30,709
02-08-1991 1 2,830,900 0 0 0
199108022015022001 MKG: 6 0 226,472 0
Penata Muda-3A 61 0 0
72.561.186.7-328.000 3,293,393 6,794 407,193 0
20,382 2,886,200
SUB TOTAL PERGOLONGAN : III 45,426,300 0 0 2,182,710 56,192 0
PEG: 13 3,471,150 0 0 109,024 2,182,710 0
IST: 10 JIWA= 36 905,332 4,765,000 2,607,120 327,069 545,678
49,802,782 0 56,192 0
ANK: 13 0 3,984,223 0
499 0 0
59,850,396 109,024 7,204,896
327,069 52,645,500
15 NOVI YANTI DAMANIK, A.Md.Keb K -0 2,801,500 0 0 126,142 0 0 15 .............
2 0 0 0 6,724 126,142 0
112,060 240,000 217,260 20,171 31,536
15-09-1989 3 2,913,560 0 0 0
198909152017042004 MKG:13 0 233,085 0
Pengatur Tk.I-2D 1 0 0
76.953.374.6-328.000 3,523,858 6,724 417,658 0
20,171 3,106,200
16 HAMMI EFRIANTI K -1 2,716,000 0 0 129,104 0 0 16 .............
0 271,600 0 0 6,518 129,104 0
0 240,000 144,840 19,555 32,276
26-04-1990 2 2,987,600 0 0 0
199004262017042004 MKG:11 0 239,008 0
Pengatur Tk.I-2D 44 0 0
76.984.644.5-328.000 3,527,661 6,518 426,461 0
19,555 3,101,200
17 NOVRANDA EKA PUTRA ,A.MD.Kep K -1 2,552,700 0 0 123,961 0 0 17 .............
1 255,270 0 0 6,126 123,961 0
51,054 240,000 217,260 18,379 30,990
04-11-1990 3 2,859,024 0 0 0
199011042019031006 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 28 0 0
84.296.481.9-328.000 3,464,778 6,126 408,178 0
18,379 3,056,600
18 ADE NURMAYANTI ,AMKG TK-0 2,552,700 0 0 111,708 0 0 18 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
05-01-1992 1 2,552,700 0 0 0
199201052019032011 MKG: 7 0 204,216 0
Pengatur Tk.I-2D 23 0 0
90.605.934.0-307.000 3,001,356 6,126 368,356 0
18,379 2,633,000
19 NURAIVI ,0 TK-0 2,552,700 0 0 111,708 0 0 19 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
12-12-1994 1 2,552,700 0 0 0
199412122019032007 MKG: 7 0 204,216 0
Pengatur Tk.I-2D 23 0 0
83.687.082.4-328.000 3,001,356 6,126 368,356 0
18,379 2,633,000
 PEMERINTAH KABUPATEN MUKOMUKO
DAFTAR PEMBAYARAN GAJI INDUK PNSD
[ PUSKESMAS TUNGGAL JAYA ] PUSKESMAS TUNGGAL JAYA
(078) D10200707800001 BULAN : APRIL 2023 HALAMAN : 4

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
20 RENA PASARI ,A.Md.AK TK-0 2,552,700 0 0 111,708 0 0 20 .............
0 0 0 0 6,126 111,708 0
0 240,000 72,420 18,379 27,927
30-06-1995 1 2,552,700 0 0 0
199506302019032010 MKG: 7 0 204,216 0
Pengatur Tk.I-2D 23 0 0
90.020.667.3-327.000 3,001,356 6,126 368,356 0
18,379 2,633,000
SUB TOTAL PERGOLONGAN : 15,728,300 0 0 714,331 0 0
PEG: 6 526,870 0 0 37,746 714,331 0
IST: 2 JIWA= 11 163,114 1,440,000 796,620 113,242 178,583
16,418,284 0 0 0
ANK: 3 0 1,313,463 0
142 0 0
19,520,365 37,746 2,357,365
113,242 17,163,000
TOTAL PER SATKER 65,806,400 0 0 3,149,720 121,350 0
PEG: 20 4,463,200 0 0 157,934 3,149,720 0
IST: 13 JIWA= 49 1,068,446 7,405,000 3,548,580 473,804 787,431
ANK: 16 71,338,046 0 121,350 0
0 5,707,044 0
0 0
649 157,934 10,397,283
86,195,083
473,804 75,797,800

KEPALA DINAS KESEHATAN/PA KABUPATEN MUKOMUKO,24 MARET 20

BENDAHARA PENGELUARAN
PEMBUAT DAFTAR GAJI

BUSTAM BUSTOMO HERI CANDRA, A.MD.Kep NOFRIDA.

NIP 196712181988031004 198103142010011007 198111192005022003