JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. CAROLINA A. P. SAERANG 197205062002122008 IV/c P.J Puskesmas 2,500,000 0 2,500,000 375,000
3 RUBEN .J. SUPIT, S.Kep 196704141990031013 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
9 NURJANA HASIM, AMKG 198411022009022003 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000
10 TETTY SITUMEANG, A.Md.Kes 197302211997032007 III/b Analis Kesehatan 1,000,000 0 1,000,000 50,000
11 DEIBY DEFNY POMBENGI, A.Md.Keb 197912082007012010 III/b Bidan 1,000,000 0 1,000,000 50,000
13 FADLAN ADELIN ROSA, S,Farm,Apt 199407152019031006 III/b Analis Kesehatan 1,000,000 0 1,000,000 50,000
15 VIRGINIA VEGA WELAN, S.Kep. Ns 198803052019032012 III/a Perawat 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
KECAMATAN TOMBARIRI
ESMAS TANAWANGKO
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. MODIE ROBIE TAMBOTO 196608202001121002 IV/a P.J Puskesmas 2,500,000 0 2,500,000 375,000
2 SONYA SELVIANI LALA, A.Md.Kep 197209101995032003 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
3 MAREIKE MONINGKA, A.Md.Farm 197310091994022002 III/d Asisten Apoteker 1,000,000 0 1,000,000 50,000
4 MEENY BETLI LEYLEY, A.Md.Kep 196805201991012002 III/d Perawat 1,000,000 0 1,000,000 50,000
8 I GEDE AGA D. KRISTIANTO, S.Kep. Ns 199103212020121010 III/a Perawat 1,000,000 0 1,000,000 50,000
9 BELLA ZEVANYA MANTIRI, S.Tr.Keb 199704242020122024 III/a Bidan 1,000,000 0 1,000,000 50,000
10 PRISKA ESTEFANE WOTULO, S.Kep. Ns 199110172019032020 III/a Perawat 1,000,000 0 1,000,000 50,000
11 SANDRA CECILIA TENDEAN, STr.Keb 198705292020122008 III/a Bidan 1,000,000 0 1,000,000 50,000
13 PRISSY THALIA NONUTU, S.Kep. Ns 199307152019032013 III/a Perawat 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN TOMBARIRI TIMUR
USKESMAS LOLAH
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 Drg. NATANAEL KRONES 198611202017041001 III/d P.J Puskesmas 2,000,000 0 2,000,000 100,000
2 KARTINI SINEKE, SST 196602241986122001 IV/b KTU Puskesmas 1,900,000 0 1,900,000 285,000
3 MIEN WALEWANGKO, S.Kep, Ns 196505241989032010 IV/b Perawat 1,000,000 0 1,000,000 150,000
4 dr. FIONA ELSARIA SEILLATUW 199008042017042001 III/d Dokter 2,000,000 0 2,000,000 100,000
5 KRISTHIN .M.M.W SUMILAT 197403291993032002 III/d Pelaksana 1,000,000 0 1,000,000 50,000
6 OLFINA GORAHE, A.Md.Keb 196809131992032007 III/d Bidan 1,000,000 0 1,000,000 50,000
7 JASENTA .J. TANGKA, A.Md.Keb 196706051990012002 III/d Bidan 1,000,000 0 1,000,000 50,000
8 CHRISTY .B. RARANTA, SST 198308182008032001 III/d Nutrisionis 1,000,000 0 1,000,000 50,000
9 SERLIANA S. LONGDONG, A.Md.Keb 197609142006042009 III/c Bidan 1,000,000 0 1,000,000 50,000
10 FIKE TELLY SERLY WURARAH, A.Md,.Keb 197511272006042004 III/c Bidan 1,000,000 0 1,000,000 50,000
11 NI WAYAN SUSANAWATI, AMKG 198412292009022002 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000
12 VIKE FRANSISKA WALEAN, A.Md.Keb 197702262007012010 III/b Bidan 1,000,000 0 1,000,000 50,000
13 IMELDA ADAM, AMd.Kep 198907232011022002 III/b Perawat 1,000,000 0 1,000,000 50,000
14 dr. AARON CHRISTOPHER RAMBI 199303312020121018 III/b Dokter 2,000,000 0 2,000,000 100,000
15 YULITHA ADELINA LEGI, A.Md.Keb 197807222006042007 III/b Bidan 1,000,000 0 1,000,000 50,000
16 JENNY TAMBOTO 196506061986032021 III/b Perawat 1,000,000 0 1,000,000 50,000
17 GORDIANUS L WEJAK, S.Farm.Apt 199005102020121003 III/b Apoteker 1,000,000 0 1,000,000 50,000
18 SYDONIA TYFANY PAAT, S.Kep Ns 199301192019032013 III/a Perawat 1,000,000 0 1,000,000 50,000
19 MARSEL WENSY KALUMATA, S.Kep. Ns 198603122019031004 III/a Perawat 1,000,000 0 1,000,000 50,000
20 SEPTI TURU ALLO, S.Kep. Ns 199509092020122018 III/a Perawat 1,000,000 0 1,000,000 50,000
21 HEVI SURYANI, A.Md.Keb 198912072020122014 II/c Bidan 1,000,000 0 1,000,000 0
22 SITI MEDIANA, AMd.Kes 199805212020122002 II/c Analis Kesehatan 1,000,000 0 1,000,000 0
23 IRVINA OLVEINI, A.Md.Kep 199010232020122003 II/c Perawat 1,000,000 0 1,000,000 0
24 AULIA AYU CANDRA, AMd.Keb 199311252020122009 II/c Bidan 1,000,000 0 1,000,000 0
J U M L A H 27,900,000 0 27,900,000 1,485,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
KECAMATAN MANDOLANG
USKESMAS TATELI
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
1,900,000 17,883 33,600 1,848,517 00802030069551 1
1,615,000 17,878 33,600 1,563,522 00802030045876 2
850,000 17,878 16,800 815,322 00802030054889 3
1,900,000 17,878 16,800 1,865,322 00802030069315 4
950,000 17,878 16,800 915,322 00802030045955 5
950,000 17,884 16,800 915,316 00802030045967 6
950,000 17,886 16,800 915,314 00802030045930 7
950,000 17,879 16,800 915,321 00802030064080 8
950,000 17,882 16,800 915,318 00802030103943 9
950,000 17,885 16,800 915,315 00802030102941 10
950,000 17,878 16,800 915,322 00802030118132 11
950,000 17,881 16,800 915,319 00802030112491 12
950,000 17,878 16,800 915,322 00802030064172 13
1,900,000 17,878 16,800 1,865,322 03502030000092 14
950,000 17,878 16,800 915,322 00802030103921 15
950,000 17,878 16,800 915,322 00802030045943 16
950,000 17,878 16,800 915,322 04202030000140 17
950,000 17,878 16,800 915,322 00802030070730 18
950,000 17,880 16,800 915,320 00802030072406 19
950,000 17,878 16,800 915,322 04202030000125 20
1,000,000 17,878 16,800 965,322 04302030000343 21
1,000,000 17,878 16,800 965,322 00102030194840 22
1,000,000 17,878 16,800 965,322 00802030074753 23
1,000,000 17,878 16,800 965,322 04302030000450 24
26,415,000 429,108 436,800 25,549,092
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21 JUMLAH
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.) (Rp.)
(Rp.) % Rp.
1 dr. EVI KAWIHARJA 196611022000032005 IV/c P.J Puskesmas 2,500,000 0 2,500,000 375,000 2,125,000
2 JEHESWENDE.K. KARWUR, S.Kep 196708131989031009 IV/a KTU Puskesmas 1,900,000 0 1,900,000 285,000 1,615,000
3 NI MADE SUKARNI, SST 197406271996032002 IV/a Nutrisionis 1,000,000 0 1,000,000 150,000 850,000
4 MARTHA RYANNE MAKIKAMA, S.Kep 197207121993032012 III/d Perawat 1,000,000 0 1,000,000 50,000 950,000
5 FENNY WAGANIA, A.Md.Keb 196902151991032013 III/d Bidan 1,000,000 0 1,000,000 50,000 950,000
6 STEVANDA .W. PANDEY, S.Kep 197105201994032013 III/d Perawat 1,000,000 0 1,000,000 50,000 950,000
7 AKUR .B.R. GINTING, A.Md.Keb 196603111993032006 III/d Bidan 1,000,000 0 1,000,000 50,000 950,000
8 NORIE.M.E. SUMANTI, A.Md.Far 196811261993032003 III/d Asisten Apoteker 1,000,000 0 1,000,000 50,000 950,000
9 GRIEF R. F. HAMISY, S.Kep. Ns 198609072011022001 III/d Perawat 1,000,000 0 1,000,000 50,000 950,000
10 KOESLYN FEBRY KOLINU, S.Kep, Ns 197602102006042006 III/c Perawat 1,000,000 0 1,000,000 50,000 950,000
11 Ns. SISKA SELVIA KORAAG, S.Kep 198609112005012003 III/c Perawat 1,000,000 0 1,000,000 50,000 950,000
12 YUANLY MARE, A.Md, KG 197401142011022001 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000 950,000
13 YULITA RUMAGIT, AMKG 198807302011022001 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000 950,000
14 DEYSI TAROREH, A.Md.Keb 197709272006042006 III/b Bidan 1,000,000 0 1,000,000 50,000 950,000
15 NI MILANY WIDYAWATI, SST 198505032010012003 III/b Bidan 1,000,000 0 1,000,000 50,000 950,000
16 dr. FABIAN CAEZAR SIJARANAMUAL 199010172019031018 III/b Dokter 2,000,000 0 2,000,000 100,000 1,900,000
17 NI WAYAN ANGELLIA, S.Kep. Ns 199301262019032022 III/b Perawat 1,000,000 0 1,000,000 50,000 950,000
18 dr. MICHELLE R. J. SUMAMPOUW 199211252020122015 III/b Dokter 2,000,000 0 2,000,000 100,000 1,900,000
19 ESTERINA RANDA BUNGA, S.Kep. Ns 199401132019032012 III/b Perawat 1,000,000 0 1,000,000 50,000 950,000
20 dr. MICHELLE L. S. LOLOMBULAN 198605192020122011 III/b Dokter 2,000,000 0 2,000,000 100,000 1,900,000
21 LILI TRISANI ROMBE, S.Kep. Ns 198708272019032013 III/b Perawat 1,000,000 0 1,000,000 50,000 950,000
22 drg. FINNY KRISTIN MEWENGKANG 198909282020122022 III/b Dokter Gigi 2,000,000 0 2,000,000 100,000 1,900,000
23 AGUSTINA KUAMANO, S.Kep. Ns 199008192019032020 III/a Perawat 1,000,000 0 1,000,000 50,000 950,000
24 ASMIATI, SST 199302212020122012 III/a Bidan 1,000,000 0 1,000,000 50,000 950,000
25 AGNES, AMd.Keb 199110092017042001 III/a Bidan 1,000,000 0 1,000,000 50,000 950,000
26 KRISMA PARERUNGAN, A.Md.Keb 198812222017042008 III/a Bidan 1,000,000 0 1,000,000 50,000 950,000
J U M L A H 32,400,000 0 32,400,000 2,160,000 30,240,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
KECAMATAN PINELENG
KESMAS PINELENG
mohon, Lorong Walana Kode Pos: 95361
5783 Email: pkm.pineleng@gmail.com
ASN JLH.
BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.)
(Rp.) (Rp.)
17,884 33,600 2,073,516 00802030048670 1
17,878 33,600 1,563,522 00802030045450 2
17,879 16,800 815,321 00802030045657 3
17,878 16,800 915,322 00802030045590 4
17,879 16,800 915,321 00802030045438 5
17,882 16,800 915,318 00802030045611 6
17,885 16,800 915,315 00802030045505 7
17,878 16,800 915,322 00802030045608 8
17,878 16,800 915,322 00802030023273 9
17,881 16,800 915,319 00802030103967 10
17,878 16,800 915,322 00802030094400 11
17,878 16,800 915,322 00802030068531 12
17,880 16,800 915,320 00902030049371 13
17,883 16,800 915,317 00802030103841 14
17,878 16,800 915,322 00802030064101 15
17,886 16,800 1,865,314 00802030070704 16
17,878 16,800 915,322 00802030071080 17
17,878 16,800 1,865,322 04302030000365 18
17,878 16,800 915,322 00802030072594 19
17,878 16,800 1,865,322 04302030000380 20
17,880 16,800 915,320 00802030070693 21
17,878 16,800 1,865,322 00802030074355 22
17,878 16,800 915,322 00802030071021 23
17,878 16,800 915,322 00802030074296 24
17,878 16,800 915,322 00802030069503 25
17,878 16,800 915,322 00802030069724 26
464,867 470,400 29,304,733
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. MAUREND IVONE ANES, M.Kes 197305042006042008 IV/b P.J Puskesmas 2,500,000 0 2,500,000 375,000
2 Ns. CHRISTINE VREYNY SAKUL, S.Kep 198502212009022005 IV/a Perawat 1,000,000 0 1,000,000 150,000
3 PILEMON .E. DOODOH, A.Md.G 196703081994021001 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
5 dr. CITRA WAHYUNI THAMRIN 198501262017042008 III/d Dokter 2,000,000 0 2,000,000 100,000
7 HESTI JULIN WUNGOW, A.Md.Keb 197907302006042013 III/b Bidan 1,000,000 0 1,000,000 50,000
10 FRITS YUDI WOWOR, S.Kep. Ns 199007272019031014 III/a Perawat 1,000,000 0 1,000,000 50,000
11 MELISA CITRA KAUNANG, S.Kep. Ns 199503272019032024 III/a Perawat 1,000,000 0 1,000,000 50,000
12 NOVIE RONNIE MANOI, A.Md.KG 197511202003121007 III/a Perawat Gigi 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
H KECAMATAN TOMBULU
SKESMAS TOMBULU
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. YESTY GLORIA KAPARANG 197608292005012010 IV/c P.J Puskesmas 2,500,000 0 2,500,000 375,000
2 dr. FITRIAH FATHMAH SAID 197709252006042009 IV/b Dokter 2,000,000 0 2,000,000 300,000
3 VONNIE MIEKE EMOR 197401151993032002 IV/b Perawat 1,000,000 0 1,000,000 150,000
4 MEITY PALIT 196505251990032016 III/d Perawat 1,000,000 0 1,000,000 50,000
5 NONTJE TUMBEL 196811011990032007 III/d Perawat 1,000,000 0 1,000,000 50,000
6 dr. NATHALIE ANGELA GUMANSING 198712092017042002 III/d Dokter 2,000,000 0 2,000,000 100,000
7 MARSELA ASA, S.Kep, Ns 198705252011022001 III/d Perawat 1,000,000 0 1,000,000 50,000
8 RIETA JUSAK 197906272003122007 III/c Sanitarian 1,000,000 0 1,000,000 50,000
9 YUNIETA MAWERU 197906112006042031 III/c Perawat 1,000,000 0 1,000,000 50,000
10 FEMMY NELVY TURAMBI 197502102003122004 III/c Bidan 1,000,000 0 1,000,000 50,000
11 OLVIE HERMINA TUMONGGOR 196508041989032009 III/c KTU Puskesmas 1,900,000 0 1,900,000 95,000
12 JENLY SAUMANA 197407172006042005 III/c Bidan 1,000,000 0 1,000,000 50,000
13 JESIKA PRISKA SEEPANG, AMK 198801042009022001 III/c Perawat 1,000,000 0 1,000,000 50,000
14 OLNIE MAAPI 197810282006042006 III/c Bidan 1,000,000 0 1,000,000 50,000
15 IVONE SUSANA SUMANTI 197308282014082001 III/b Pelaksana 1,000,000 0 1,000,000 50,000
16 JEINY EMOR 197406202008022001 III/b Nutrisionis 1,000,000 0 1,000,000 50,000
17 drg. ZARA BIONIKA PLANGITEN 199002262020122011 III/b Dokter Gigi 2,000,000 0 2,000,000 100,000
18 SYENDRA HEDWIG PONGOH 197508072006042006 III/b Bidan 1,000,000 0 1,000,000 50,000
19 CLAUDIA PEARL LEGI.KEP, AMD 198604122011022001 III/b Perawat 1,000,000 0 1,000,000 50,000
20 HAMDANA RAMLI, S.FARM.Apt 199406092020122015 III/b Apoteker 1,000,000 0 1,000,000 50,000
21 NI NYOMAN ARSANI, STr.Keb 199607032020122014 III/a Bidan 1,000,000 0 1,000,000 50,000
22 MERDI SASUBE, STr.Keb 199503282020122015 III/a Bidan 1,000,000 0 1,000,000 50,000
23 YUFITHA CHRISTINE KOLLY, S.Kep. Ns 199106042019032019 III/a Perawat 1,000,000 0 1,000,000 50,000
24 RIRIS N. C. CHRISTY, A.Md.Keb 199412142020122015 II/c Bidan 1,000,000 0 1,000,000 0
25 DEBORA M. SIMBOLON, AMd.Keb 199411202020122020 II/c Bidan 1,000,000 0 1,000,000 0
26 AGUSTINA TUGAS PRATIWI, AMd.Kep 198608082020122003 II/c Perawat 1,000,000 0 1,000,000 0
J U M L A H 31,400,000 0 31,400,000 1,970,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN TONDANO SELATAN
PUSKESMAS KOYA
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
2,125,000 17,878 33,600 2,073,522 00802030094540 1
1,700,000 17,879 16,800 1,665,321 00802030102355 2
850,000 17,878 16,800 815,322 00802030023078 3
950,000 17,884 16,800 915,316 00802030042905 4
950,000 17,879 16,800 915,321 00802030107808 5
1,900,000 17,878 16,800 1,865,322 00802030070074 6
950,000 17,878 16,800 915,322 00802030023182 7
950,000 17,878 16,800 915,322 00802030079473 8
950,000 17,882 16,800 915,318 00802030068396 9
950,000 17,878 16,800 915,322 00802030079460 10
1,805,000 17,883 33,600 1,753,517 00802030042978 11
950,000 17,878 16,800 915,322 00802030102721 12
950,000 17,878 16,800 915,322 00802030118121 13
950,000 17,881 16,800 915,319 00802030103891 14
950,000 17,878 16,800 915,322 00802030061111 15
950,000 17,878 16,800 915,322 00802030116021 16
1,900,000 17,886 16,800 1,865,314 00802030074871 17
950,000 17,880 16,800 915,320 00802030102732 18
950,000 17,878 16,800 915,322 00802030023157 19
950,000 17,878 16,800 915,322 00802030073946 20
950,000 17,885 16,800 915,315 00102030194851 21
950,000 17,878 16,800 915,322 00802030074532 22
950,000 17,878 16,800 915,322 00802030070881 23
1,000,000 17,878 16,800 965,322 00802030074366 24
1,000,000 17,880 16,800 965,320 00802030074613 25
1,000,000 17,878 16,800 965,322 00802030074742 26
29,430,000 464,867 470,400 28,494,733
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. MARLY BILLY REGOH 198003092011021001 IV/b P.J Puskesmas 2,000,000 0 2,000,000 300,000
6 SESTY SEILA VERGOUW, A.Md.Keb 198201162008032001 III/d Bidan 1,000,000 0 1,000,000 50,000
8 PAULEKE .D. SUPIT, A.Md.Kep 196612051992031009 III/c Perawat 1,000,000 0 1,000,000 50,000
9 NONCE RIPKA SUMAREANGIN, S.Tr.KL 197611172009022001 III/c Sanitarian 1,000,000 0 1,000,000 50,000
10 dr. KRETY DEBORA WELONG 198712122017042001 III/c Dokter 2,000,000 0 2,000,000 100,000
14 dr. BRAIYEN FRIDER ELIAS KOLAMBAN 198903222022021001 III/b Dokter 1,600,000 0 1,600,000 80,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN TONDANO TIMUR
KESMAS PAPAKELAN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. JEIN PINANGKAAN 197507032006042006 IV/b P.J Puskesmas 2,000,000 0 2,000,000 300,000
2 Ns. RINY OLVIANE GOSAL, S.Kep 198501122009022002 IV/a Perawat 1,000,000 0 1,000,000 150,000
3 SUHARNI NGURAWAN, A.Md.Kep 196604101989112002 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
5 BETSY DECY LOLONG, A.Md.Keb 197006021991032011 III/d Bidan 1,000,000 0 1,000,000 50,000
7 DYANA TAKARENDEHANG, AMKG 198201082009022003 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000
11 OLIVIA ANGELIA SIPAHELUT, A.Md.Farm 199308092020122013 II/c Asisten Apoteker 1,000,000 0 1,000,000 0
13 DINA NOVITA KO'E, AMd.AK 199311082020122007 II/c Analis Kesehatan 1,000,000 0 1,000,000 0
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN TONDANO UTARA
KESMAS TONSEALAMA
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. LUCYANA KAENG 197006302000122001 IV/c P.J Puskesmas 2,500,000 0 2,500,000 375,000
2 RENNY NOVA GONI, S.Kep, Ns 196811171991032009 IV/b Perawat 1,000,000 0 1,000,000 150,000
3 INGRID D. E. MAUKAR, A.Md.Kep 197502071999032001 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
5 dr. ANUGRAH PERDANA MASLOMAN 198812102014121001 III/c Dokter 2,000,000 0 2,000,000 100,000
6 INGGRID AMELIA LEGI, A.Md.Keb 198106092009022003 III/c Bidan 1,000,000 0 1,000,000 50,000
7 JANE EFRITA MUMEK, S.Tr.Keb 197401032007012010 III/b Bidan 1,000,000 0 1,000,000 50,000
8 STEPHANI HESTI PIJOH, S.Tr.Keb 197510232006042004 III/b Bidan 1,000,000 0 1,000,000 50,000
9 dr. INRI AURELIE HELENA OWAY 199108142019032022 III/b Dokter 2,000,000 0 2,000,000 100,000
10 LISA NASTASYA LINTUURAN, S.Kep, Ns 198706192019032008 III/a Perawat 1,000,000 0 1,000,000 50,000
18 FITRANI BANGA PADANG, AMd.AK 199204052020122005 II/c Analis Kesehatan 1,000,000 0 1,000,000 0
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
KECAMATAN REMBOKEN
KESMAS REMBOKEN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr ROMMY MICHAEL INGKIRIWANG 197805252006041007 IV/b P.J Puskesmas 2,500,000 0 2,500,000 375,000
2 Ns. SELVIE SERLY RUMAGIT, S.Kep, M.kes 197409142006042006 IV/a Perawat 1,000,000 0 1,000,000 150,000
3 MILKATILDA BURUNG, A.Md. Kep 196508201991032003 III/c Perawat 1,000,000 0 1,000,000 50,000
5 VERONIKA L. RUNTUWENE, A.Md. Keb 196702131994032002 III/d Bidan 1,000,000 0 1,000,000 50,000
6 Ns. JESIKA FEYBI KALIGIS, S.Kep 198607272009022003 III/d Perawat 1,000,000 0 1,000,000 50,000
7 ROKKY J. M. LOMBOGIA, A.Md. Kes 197905292003121004 III/c Sanitarian 1,000,000 0 1,000,000 50,000
8 drg. AYU KEZIA WALEAN 198902152020122007 III/b Dokter Gigi 2,000,000 0 2,000,000 100,000
11 NORI DJEINI RORONG, A.Md.Keb 197806182006042008 III/b Bidan 1,000,000 0 1,000,000 50,000
13 STEFHANIE MEGIE ABRAHAM, S.Kep. Ns 198807142019032021 III/a Perawat 1,000,000 0 1,000,000 50,000
14 MARIANUS YOSEPH KAIS BANI, S.Gz 199211212020121010 III/a Nutrisionis 1,000,000 0 1,000,000 50,000
15 SIFRA M. P. WAHANI, SST., M.Kes 198910312017042005 III/a Perawat 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
H KECAMATAN KAKAS
USKESMAS KAKAS
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. MEIVIE JEANNE TUMIWA 197205202002122008 IV/c P.J Puskesmas 2,500,000 0 2,500,000 375,000
3 dr. GRACE LUSIANA SUMENDAP 197610162011082001 IV/a Dokter 2,000,000 0 2,000,000 300,000
4 YANTI MASLIN SUOTH, AMd.Keb 197703232006042011 III/b Bidan 1,000,000 0 1,000,000 50,000
5 OLVIE NANCY PAI, AMKL 198310222010012001 III/b Sanitarian 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
AH KECAMATAN KAKAS
USKESMAS KAKAS
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. PATRICIUS VALENTINUS RORING 196407212002121002 IV/c P. J. Kapus 2,500,000 0 2,500,000 375,000
9 PINGKAN TULUNGEN, A.Md.KG 198308022006042019 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000
10 ESTI EINE SAMBEKA, S.Kep. 198607202008032002 III/c Perawat 1,000,000 0 1,000,000 50,000
11 SYANTY SILFANE WALEAN, A.Md.KL 198103312006042014 III/b Sanitarian 1,000,000 0 1,000,000 50,000
12 dr. JULIA THEREESIA PIOH 198807012002022002 III/b Dokter 1,600,000 0 1,600,000 80,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN LANGOWAN TIMUR
SKESMAS WOLAANG
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. RIA KAROLINA TUMIWA 197609182005012011 IV/b P. J. Puskesmas 2,500,000 0 2,500,000 375,000
3 DJENI DIANE ASSA, A.Md.Kep 196901131992032007 III/d Perawat 1,000,000 0 1,000,000 50,000
4 IVANA SENDI MANITIK, S.Kep. Ns 198609272011022001 III/d Perawat 1,000,000 0 1,000,000 50,000
5 ANITA GRACE WALEAN 197208102003122003 III/b Asisten Apoteker 1,000,000 0 1,000,000 50,000
6 AUDY FRANGKY MUMU, SST 197002181994021001 III/c Sanitarian 1,000,000 0 1,000,000 50,000
7 ROTUA GULTOM, A.Md.AK 197407042009022001 III/c Analis Kesehatan 1,000,000 0 1,000,000 50,000
10 dr. YULITA INDRI EMOR 198507212019032011 III/b Dokter 2,000,000 0 2,000,000 100,000
11 DJEINE DEYSIE ROBOT, A.Md.Keb 197801112006042007 III/b Bidan 1,000,000 0 1,000,000 50,000
12 ROLLY JEANER RATTU, S,Farm 197506022003121009 III/b Asisten Apoteker 1,000,000 0 1,000,000 50,000
13 EVIANTI KAMU, A.Md.Kep 197802022006042010 III/b KTU Puskesmas 1,900,000 0 1,900,000 95,000
14 NIKITA MAYUMI MAWEI, S.Kep. Ns 199006172019032017 III/a Perawat 1,000,000 0 1,000,000 50,000
15 RIEDEL BERLIAN RAMPI, S.Kep. Ns 198706102019031010 III/a Perawat 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN LANGOWAN UTARA
ESMAS WALANTAKAN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. HENDRIE ERIEL.E.PANDELAKI 197506172008031003 IV/b P. J. Puskesmas 2,500,000 0 2,500,000 375,000
2 IVON VEYBE SUMOLANG, A.Md.Kep 197902012006042014 III/d Perawat 1,000,000 0 1,000,000 50,000
3 HERKE SELVIE REMBET, A.Md.Kep 198309112006042017 III/d Perawat 1,000,000 0 1,000,000 50,000
4 MARTO EFRAIN WALEAN 197203021997031008 III/c KTU Puskesmas 1,900,000 0 1,900,000 95,000
8 dr. MOHAMMAD REZA HUSAIN 199201262020121006 III/b Dokter 2,000,000 0 2,000,000 100,000
9 ROOSJE KATRIN ANNEKE MAMOTO 196704072006042001 III/b Bidan 1,000,000 0 1,000,000 50,000
11 SHERLY YANDA CILVIA KAWUNG 197909062007012013 III/a Bidan 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
AMATAN LANGOWAN SELATAN
SKESMAS MANEMBO
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. HELDY CLAUDYA TIMONTILING 198905162017042007 III/d P. J. Puskesmas 2,000,000 0 2,000,000 100,000
2 DINTJE .E. WONTE,A.Md.Keb 197112021991032006 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
5 RINTO ROCKY SEMBEL, S.Kep.Ns 198407082009021002 III/d Perawat 1,000,000 0 1,000,000 50,000
11 NOVRITA RITA CHERLY TURANGAN 197411082006042003 III/b Bidan 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN LANGOWAN BARAT
KESMAS TUMARATAS
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. FELIKS .N. MAMESAH 196504191999031006 IV/c P. J. Puskesmas 2,500,000 0 2,500,000 375,000
3 JOLANDA JOVITA SUMIGAR, S.Kep.Ns 198507042009022004 IV/a Perawat 1,000,000 0 1,000,000 150,000
5 LICEE J. S. MOKOAGOW, A.Md. Kep 196709021989032002 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
6 SHERLY RUNTUKAHU, A.Md. Kep 196709261989112001 III/d Perawat 1,000,000 0 1,000,000 50,000
7 drg. RECKY ANDREW LALUJAN 198808262017041001 III/d Dokter Gigi 2,000,000 0 2,000,000 100,000
8 JENNY JULIANA PANTOW, A.Md. Kep 196906021992032013 III/d Perawat 1,000,000 0 1,000,000 50,000
9 YOKE.S. MAWIKERE, A.Md. Kep 196603301988022002 III/d Perawat 1,000,000 0 1,000,000 50,000
10 VONNE POLA MAMESAH, A.Md. Kes 196502251986032006 III/d Sanitarian 1,000,000 0 1,000,000 50,000
11 KRISTIANA MARINGKA, A.Md. Kes 197507241997032005 III/c Perawat Gigi 1,000,000 0 1,000,000 50,000
12 SISILIA SONYA PAENDONG, A.Md. Keb 197709212006042002 III/c Bidan 1,000,000 0 1,000,000 50,000
13 dr. GRACIA SONIA LINTUURAN 198912132022022002 III/b Dokter 1,600,000 0 1,600,000 80,000
14 FERA FEBE WOWOR, A.Md. Keb 197802082006042005 III/b Bidan 1,000,000 0 1,000,000 50,000
15 AMBA PULU' MASIKU, SSi.Apt 198611192020122006 III/b Apoteker 1,000,000 0 1,000,000 50,000
16 ASTRIT SISTRIA TENDA, AMKL 198404302006042010 III/b Sanitarian 1,000,000 0 1,000,000 50,000
17 YESSI ANGELISA SEPANG, S.Kep.Ns 198608142009022003 III/b Perawat 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
H KECAMATAN TOMPASO
USKESMAS TOMPASO
JLH.
JUMLAH BPJS-TK ASN CARE
DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.) (Rp.)
(Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. HESTY HELNY YUANITA ZEKE 198006112009022002 IV/b P. J, Puskesmas 2,500,000 0 2,500,000 375,000
2 GRAVIE .R.N. BUYUNG, Amd. Keb 197111231993032004 III/d Bidan 1,000,000 0 1,000,000 50,000
3 HERTJE SALOME UMBOH, SST 197609202007012012 III/c Bidan 1,000,000 0 1,000,000 50,000
4 SILVANA TITIE LANNY LAMPUS 197709292006042007 III/c Bidan 1,000,000 0 1,000,000 50,000
5 JENNY JACINTA SILOM, Amd. Keb 197008212006042004 III/b KTU Puskesmas 1,900,000 0 1,900,000 95,000
6 NATALIA CHRISTIRIA LENGKEY, S. Kep 198412312006042005 III/b Perawat 1,000,000 0 1,000,000 50,000
7 ASRI PAMELA SUPIT, SKep. Ns 199102222019032014 III/b Perawat 1,000,000 0 1,000,000 50,000
8 VIVI JULITA SIMBAWA, AMDKEB 198507012008022001 III/a Bidan 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN TOMPASO BARAT
SMAS TOMPASO BARAT
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. MARTINI YANTI OROH 197903112006042008 IV/c P. J. Puskesmas 2,500,000 0 2,500,000 375,000
2 MARSELIN.I. LOLOWANG, S.Kep,Ns 198304262009022002 IV/a Perawat 1,000,000 0 1,000,000 150,000
3 FRISKA STELLA GIROTH, S.Si, Apt 198209232006042016 III/d Apoteker 1,000,000 0 1,000,000 50,000
4 NURMIHAYAT, AMKG 196602211987032004 III/d Perawat Gigi 1,000,000 0 1,000,000 50,000
5 HELY ESTHER SINGAL 197108151994032009 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
6 JULIANA .B L. KUMOKONG 196706261988122001 III/d Sanitarian 1,000,000 0 1,000,000 50,000
7 CALVIN VARRY PAENDONG 197301251993031005 III/d Perawat 1,000,000 0 1,000,000 50,000
8 FALDY LEO SUMAKUL, S.Kep Ns 198408112009021005 III/c Perawat 1,000,000 0 1,000,000 50,000
9 DEISI KALENGKONGAN, A.Md.Ft 198012242006042010 III/c Fisioterapis 1,000,000 0 1,000,000 50,000
10 VERLING .F. TIMPOROK 196602221998032005 III/c Perawat 1,000,000 0 1,000,000 50,000
11 LOUFRA FRESTI WOKAS, A.Md.Keb 198109082005012019 III/c Bidan 1,000,000 0 1,000,000 50,000
12 OKTOVIN KAMBEY, A.Md.Keb 197410122006042006 III/b Bidan 1,000,000 0 1,000,000 50,000
13 dr. CHRISTY NELWAN 199112172020122015 III/b Dokter 2,000,000 0 2,000,000 100,000
14 VICA NATALYA RAU, A.Md.Keb 198704172009022004 III/b Bidan 1,000,000 0 1,000,000 50,000
15 ESTHER YUNITA NAYOAN, S.Kep Ns 198706082009022005 III/b Perawat 1,000,000 0 1,000,000 50,000
16 PATRICIA ADRIAANSZ, S.Kep. Ns 199408102019032016 III/a Perawat 1,000,000 0 1,000,000 50,000
17 GRACE NOVA SANTI 197304192005012009 III/a Perawat 1,000,000 0 1,000,000 50,000
18 GEIBY WALADOW, S.Kep.Ns 199103182019032019 III/a Perawat 1,000,000 0 1,000,000 50,000
19 BESSE IRMASARY, AMd.Keb 199212272017042001 III/a Bidan 1,000,000 0 1,000,000 50,000
20 INGGRIT SAPAER, A.Md.KL 199105102020122010 II/c Sanitarian 1,000,000 0 1,000,000 0
21 ANGGRIANI ANGGUN TAMPI, A.Md.Kep 199408262020122007 II/c Perawat 1,000,000 0 1,000,000 0
22 PRICILIA ARINA, A.Md.Kep 199201222019032016 II/c Perawat 1,000,000 0 1,000,000 0
23 ADE SUCI HAZANI, A.Md.Keb 199310292020122016 II/c Bidan 1,000,000 0 1,000,000 0
24 VEREN TESA MEWO, AMd.Kep 199808132020122002 II/c Perawat 1,000,000 0 1,000,000 0
25 HERMI AMELIA MAMESAH, AMd.Kep 199708272020122013 II/c Perawat 1,000,000 0 1,000,000 0
J U M L A H 22,400,000 0 22,400,000 1,470,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
ECAMATAN KAWANGKOAN
ESMAS KAWANGKOAN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
2,125,000 17,878 33,600 2,073,522 00802030097967 1
850,000 17,878 16,800 815,322 00802030117814 2
950,000 17,878 16,800 915,322 00802030097930 3
950,000 17,878 16,800 915,322 00802030053836 4
1,805,000 17,878 33,600 1,753,522 00802030054269 5
950,000 17,878 16,800 915,322 00802030109118 6
950,000 17,878 16,800 915,322 00802030107510 7
950,000 17,878 16,800 915,322 00802030118454 8
950,000 17,878 16,800 915,322 00802030106713 9
950,000 17,878 16,800 915,322 00802030054543 10
950,000 17,878 16,800 915,322 00802030094516 11
950,000 17,878 16,800 915,322 00802030103657 12
1,900,000 17,878 16,800 1,865,322 00802030074112 13
950,000 17,878 16,800 915,322 00802030117917 14
950,000 17,878 16,800 915,322 00802030119241 15
950,000 17,878 16,800 915,322 00802030071135 16
950,000 17,878 16,800 915,322 00802030003391 17
950,000 17,878 16,800 915,322 00802030072174 18
950,000 17,878 16,800 915,322 00802030069945 19
1,000,000 17,878 16,800 965,322 04602030000256 20
1,000,000 17,878 16,800 965,322 00602030050996 21
1,000,000 17,878 16,800 965,322 00802030072303 22
1,000,000 17,878 16,800 965,322 04602030000234 23
1,000,000 17,878 16,800 965,322 00602030051114 24
1,000,000 17,878 16,800 965,322 00602030051044 25
20,930,000 339,682 352,800 20,237,518
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL J A B A T A N TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. DEYSI IVONEKE.J. PANTOW 197812192006042003 IV/b P. J. Puskesmas 2,500,000 0 2,500,000 125,000
2 CORRY .O. REMBET, A.Md.Kep 196810221988032006 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
3 NORTJE .M. ROMPAS, A.Md.Keb 197106281993032005 III/d Bidan 1,000,000 0 1,000,000 50,000
5 DEVI DONALD PALIT, A.Md. Kes 197112301994031005 III/d Sanitarian 1,000,000 0 1,000,000 50,000
6 CICILIA ENJELINA MALONDA, S. Kep 198505052006042009 III/d Perawat 1,000,000 0 1,000,000 50,000
7 dr. ANASTASYA JAQUALINE UMBAS 199201252020122017 III/b Dokter 2,000,000 0 2,000,000 100,000
9 VANDA GRACE LESLI OGI, A.Md.Keb 197701302007012011 III/a Bidan 1,000,000 0 1,000,000 50,000
10 GRACE HUWAE, A.Md. Kep 197808142014082001 III/a Perawat 1,000,000 0 1,000,000 50,000
11 SANDRA REFINA REGAR, A.Md. Kes 197807082010012008 III/a Perawat Gigi 1,000,000 0 1,000,000 50,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
MATAN KAWANGKOAN BARAT
AS KAWANGKOAN BARAT
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 JOLA .R.W. MANARISIP, S.Kep.Ns 196706201991032010 IV/b Perawat 1,000,000 0 1,000,000 150,000
2 ALCE SILINTOWE MOULA, S.Tr.Keb 197604042006042004 III/d Bidan 1,000,000 0 1,000,000 50,000
3 dr. IRENE STINNEKE LIMBAT 198310282017042002 III/d P. J. Puskesmas 2,000,000 0 2,000,000 100,000
4 SIENTJE OLVIE SINGAL 197209151993032002 III/d Perawat 1,000,000 0 1,000,000 50,000
5 OLFA KAUNANG, AMKG 197310031993032005 III/d Perawat Gigi 1,000,000 0 1,000,000 50,000
6 MIKE .Ch. MANAJANG 196503091990012002 III/d Perawat 1,000,000 0 1,000,000 50,000
7 MAYA MARLINA TAMON, A.Md.Keb 198003142007012009 III/c Bidan 1,000,000 0 1,000,000 50,000
8 OLIVIA M. CH. MANDAGI, A.Md.Keb 198010302002122006 III/c Bidan 1,000,000 0 1,000,000 50,000
9 YOICE VEIBE MONTOLALU 196812221989032005 III/c KTU Puskesmas 1,900,000 0 1,900,000 95,000
10 HESTY TIRONE.M. PONTOH, S.Kep,Ns. 198605272009022002 III/c Perawat 1,000,000 0 1,000,000 50,000
11 HADIDJAH ISHAK 197606302006042008 III/b Perawat 1,000,000 0 1,000,000 50,000
12 GREITY IVONY MONTOLALU, A.Md.Keb 197606152006042024 III/b Bidan 1,000,000 0 1,000,000 50,000
13 VERONIKA XAVERA TUMBUAN, AMKL 198201202009022004 III/b Sanitarian 1,000,000 0 1,000,000 50,000
14 CHERRY SANDRA ROSYE ANIS, A.Md.Keb 197306102006042006 III/b Bidan 1,000,000 0 1,000,000 50,000
15 dr. WISELY FRISKA SONDAKH 198701112020122006 III/b Dokter 1,000,000 0 1,000,000 50,000
16 MERCY MARLINA TUWO, S.Tr. KL 198105072006042014 III/b Sanitarian 1,000,000 0 1,000,000 50,000
17 SELVIA NELITHA HAMU 197709132006042026 III/b Bidan 1,000,000 0 1,000,000 50,000
18 VIRGINIA E. A. LUMANGKUN, S.Kep.Ns 198704112020122011 III/a Perawat 1,000,000 0 1,000,000 50,000
19 GLEYDIS P. LUMINTANG, S.Kep.Ns 199310232020122009 III/a Perawat 1,000,000 0 1,000,000 50,000
20 GREISYE K. A. LONGKENG, A.Md.Keb 197708042007012008 III/a Bidan 1,000,000 0 1,000,000 50,000
21 NURAISYA LATJUBE, AMd.Keb,A.Md.Keb 199803272020122009 II/c Bidan 1,000,000 0 1,000,000 0
22 FRISKA MAREYKE MOTO, A.Md.Far 199103262020122012 II/c Farmasi 1,000,000 0 1,000,000 0
23 ESTER TURANG, A.Md.Keb 199708042022022005 II/c Bidan 800,000 0 800,000 0
J U M L A H 24,700,000 0 24,700,000 1,195,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
H KECAMATAN SONDER
USKESMAS SONDER
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
850,000 17,878 16,800 815,322 00802030050409 1
950,000 17,878 16,800 915,322 00802030067321 2
1,900,000 17,878 33,600 1,848,522 00802030069540 3
950,000 17,878 16,800 915,322 00802030050780 4
950,000 17,878 16,800 915,322 00802030050823 5
950,000 17,878 16,800 915,322 00802030050689 6
950,000 17,878 16,800 915,322 00802030112294 7
950,000 17,878 16,800 915,322 00802030050902 8
1,805,000 17,878 33,600 1,753,522 00802030050810 9
950,000 17,878 16,800 915,322 00802030117899 10
950,000 17,878 16,800 915,322 00802030102677 11
950,000 17,878 16,800 915,322 00802030102719 12
950,000 17,878 16,800 915,322 00802030119227 13
950,000 17,878 16,800 915,322 00802030102691 14
950,000 17,878 16,800 915,322 00602030051033 15
950,000 17,878 16,800 915,322 00802030097955 16
950,000 17,878 16,800 915,322 00802030103797 17
950,000 17,878 16,800 915,322 00602030051011 18
950,000 17,878 16,800 915,322 04602030000223 19
950,000 17,878 16,800 915,322 00802030112521 20
1,000,000 17,878 16,800 965,322 00902030062861 21
1,000,000 17,878 16,800 965,322 00602030051103 22
800,000 17,878 16,800 765,322 00802030080121 23
23,505,000 411,194 420,000 22,673,806
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. SANDRA S R LINTUURAN, M.Kes 196404141998032003 IV/c P. J. Puskesmas 2,000,000 0 2,000,000 300,000
2 HESTI OROH, S.Pd 196612111988032014 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
3 SISKA OROH, A.Md.Kep 198408172006042016 III/d Perawat 1,000,000 0 1,000,000 50,000
4 DEAVIE SUMOLANG, A.Md.Keb 196512151991032012 III/d Bidan 1,000,000 0 1,000,000 50,000
5 ROUVIE MARAMIS, A.Md.Keb 197712112006042010 III/b Bidan 1,000,000 0 1,000,000 50,000
6 VEISYE .J. SEPANG, A.Md.Kep 197407081994032003 III/d Perawat 1,000,000 0 1,000,000 50,000
7 dr. DWI KARTIKA MASLOMAN 198812052017042003 III/d Dokter 2,000,000 0 2,000,000 100,000
8 SELVIE DEICE KILIS, A.Md.Keb 197512172003122002 III/c Bidan 1,000,000 0 1,000,000 50,000
9 JONES LEONARD RONDONUWU, AMKL 197906242003121006 III/c Sanitarian 1,000,000 0 1,000,000 50,000
10 MEIKE TANGKOWIT, A.Md.Keb 197705022006042011 III/c Bidan 1,000,000 0 1,000,000 50,000
11 NETTY .E. SIWU 196511171988102001 III/b Pelaksana 1,000,000 0 1,000,000 50,000
12 DEWI AYU P. WAHID, S,Farm,Apt 199008162019032017 III/b Apoteker 1,000,000 0 1,000,000 50,000
13 JUFRI D. M. WALELENG, A.Md.Kep 197805252000031003 II/d Perawat 1,000,000 0 1,000,000 0
14 YULIANA ELUSAI SASOLOA,A.Md.Keb 199407102022022003 II/c Bidan 1,000,000 0 1,000,000 0
J U M L A H 16,900,000 0 16,900,000 945,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
AH KECAMATAN ERIS
KESMAS TANDENGAN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
1,700,000 17,878 33,600 1,648,522 00802030026614 1
1,805,000 17,878 33,600 1,753,522 00802030050160 2
950,000 17,878 16,800 915,322 00802030098090 3
950,000 17,878 16,800 915,322 00802030050215 4
950,000 17,878 16,800 915,322 00802030103827 5
950,000 17,878 16,800 915,322 00802030050239 6
1,900,000 17,878 16,800 1,865,322 00802030069886 7
950,000 17,878 16,800 915,322 00802030079369 8
950,000 17,878 16,800 915,322 00802030079424 9
950,000 17,878 16,800 915,322 00802030104182 10
950,000 17,878 16,800 915,322 00802030050185 11
950,000 17,878 16,800 915,322 00802030070236 12
1,000,000 17,878 16,800 965,322 00802030082952 13
1,000,000 17,878 16,800 965,322 00802030079605 14
15,955,000 250,292 268,800 15,435,908
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. DEVIS CHRISTIAN PUA 198612212017041001 III/d P. J. Puskesmas 2,000,000 0 2,000,000 100,000
2 MERRY R. Y. LENGKONG, S.Si.T 198203022009022003 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
3 DEESI MONINGKA, A.Md.Keb 196512061990022003 III/d Bidan 1,000,000 0 1,000,000 50,000
4 TREYVIE TAMPI, A.Md.Kep 196601291988122001 III/d Perawat 1,000,000 0 1,000,000 50,000
5 MARLYN K.M.RAWUNG,A.Md.Kep 197911272008032001 III/d Perawat 1,000,000 0 1,000,000 50,000
6 OLGA PALAR, A.Md.Keb 196610021989112001 III/d Bidan 1,000,000 0 1,000,000 50,000
7 TRESINA RAWUNG, A.Md.Keb 197101101991032004 III/d Bidan 1,000,000 0 1,000,000 50,000
8 DEFFY GOSAL, A.Md.Kep 198703142009022004 III/c Perawat 1,000,000 0 1,000,000 50,000
9 FEINE FERRA WAROUW, A.Md.Keb 197502252006042006 III/b Bidan 1,000,000 0 1,000,000 50,000
10 DEIBY FRIDA SINGAL, A.Md.Keb 197512122006042004 III/b Bidan 1,000,000 0 1,000,000 50,000
11 MAYA FEIBY MAILENSUN, A.Md.Keb 197702032006042003 III/b Bidan 1,000,000 0 1,000,000 50,000
12 JOIS HEFLY BULU, A.Md.Kep 198708172020122004 II/c Perawat 1,000,000 0 1,000,000 0
J U M L A H 13,900,000 0 13,900,000 645,000
CAT :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
AH KECAMATAN KOMBI
PUSKESMAS KOMBI
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
1,900,000 17,878 33,600 1,848,522 00802030069326 1
1,805,000 17,878 33,600 1,753,522 00802030119160 2
950,000 17,878 16,800 915,322 00802030046972 3
950,000 17,878 16,800 915,322 00802030047009 4
950,000 17,878 16,800 915,322 00802030115866 5
950,000 17,878 16,800 915,322 00802030047058 6
950,000 17,878 16,800 915,322 00802030047011 7
950,000 17,878 16,800 915,322 00802030119264 8
950,000 17,878 16,800 915,322 00802030102801 9
950,000 17,878 16,800 915,322 00802030103581 10
950,000 17,878 16,800 915,322 00802030103578 11
1,000,000 17,878 16,800 965,322 00802030074554 12
13,255,000 214,536 235,200 12,805,264
JUMLAH PENGURANGAN
(ABSENSI) JUMLAH PPh Psl. 21
NO N A M A NIP GOL JABATAN TPP-TKD
(Rp.) (Rp.)
(Rp.) % Rp.
1 dr. FERYNA FALENTINE JACOBS 198402022017042006 III/d P. J. Puskesmas 2,000,000 0 2,000,000 100,000
2 HANDRY .M. SEPANG, A.Md.Kes 196604161988021001 III/d KTU Puskesmas 1,900,000 0 1,900,000 95,000
3 dr. JULY MEGAWATI SALAMON 198707302017042002 III/d Dokter 2,000,000 0 2,000,000 100,000
4 SINTHA FLORANCE SUAWAH, S.Tr.Keb 197701052005012010 III/c Bidan 1,000,000 0 1,000,000 50,000
5 VEISJE SISKE SEPANG, AMK 198709132010012002 III/c Perawat 1,000,000 0 1,000,000 50,000
6 dr. REYNER JUAN ROLOS 199011162020121007 III/b Dokter 2,000,000 0 2,000,000 100,000
7 STELLA GIMON, A.Md.KL 197603152006042005 III/b Sanitarian 1,000,000 0 1,000,000 50,000
8 MEYLAN S. G. WORANG, A.Md.Keb 197712032006042004 III/b Bidan 1,000,000 0 1,000,000 50,000
9 YURITHA DIANA WORANG, A.Md.Keb 197407242006042002 III/a Bidan 1,000,000 0 1,000,000 50,000
10 VIA KHARISMA PUTRIAJI, A.Md.Keb 199211092017042001 III/a Bidan 1,000,000 0 1,000,000 50,000
11 PHILOMENA JOSEFI LOHO, S.Kep. Ns 198907162019032009 III/a Perawat 1,000,000 0 1,000,000 50,000
12 AGUSTINUS.J. TAMBOTO 197110181992031007 III/a Pelaksana 1,000,000 0 1,000,000 50,000
J U M L A H 15,900,000 0 15,900,000 795,000
CATATAN :
- PPh Psl. 21 =
Gol. IV = 15 %
Gol. III = 5 %
Gol. II = 0
- Yang diisi adalah kolom berwarna Abu-Abu
- Daftar Dimasukkan ke Dinas Kesehatan Tanggal 1 s/d Tanggal 3 Bulan Berikutnya (Soft Copy).
- Halaman "CATATAN" Tidak Perlu dicetak
CAMATAN LEMBEAN TIMUR
USKESMAS SERETAN
ASN JLH.
JUMLAH BPJS-TK
CARE DITERIMA NO. REK TANDA TANGAN
(Rp.) (Rp.)
(Rp.) (Rp.)
1,900,000 17,878 33,600 1,848,522 00802030069761 1
1,805,000 17,878 33,600 1,753,522 00802030107572 2
1,900,000 17,878 16,800 1,865,322 00802030069665 3
950,000 17,878 16,800 915,322 00802030094449 4
950,000 17,878 16,800 915,322 00802030059841 5
1,900,000 17,878 16,800 1,865,322 04202030000103 6
950,000 17,878 16,800 915,322 00802030098111 7
950,000 17,878 16,800 915,322 00802030103000 8
950,000 17,878 16,800 915,322 00802030102999 9
950,000 17,878 16,800 915,322 00802030069256 10
950,000 17,878 16,800 915,322 00802030070914 11
950,000 17,878 16,800 915,322 00802030041779 12
15,105,000 214,536 235,200 14,655,264