DRAF - JASA - TAHUN - 2023

Nama Puskesmas : Sungai Raya
Bulan Feb-23
Jumlah Besaran Kapitasi Rp 80,216,200 Rp 32,086,480
Jumlah Kapitasi Rp 48,129,720
Jenis Ketenagaan
Kehadiran k8/k7
Tanggung Jawab
Kehadiran Penerimaan Kapitasi
Rangkap Tugas
Administratif
Jumlah Jumlah
Masa Kerja
Pendidikan
Presentase
PPh BPJS BPJS 1% Jasa Pelayanan
Program
Point Total
Jumlah Efektif
Jumlah Hari
No Nama Pegawai NIP/NRPTT Jabatan Variabel Seluruh Pajak yang diterima Tanda Tangan
Jasa Pelayanan
Kerja
Kerja
Ketenaga Point PPH k13*k14/k13
k12*k11 (60%) Ketenagaker Jasa Pelayanan
an 1%
k5+6+9+ jaan
10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20*17=21 20*19=22 19-20-21=22 23
1 dr. Dewi Suryati 19810116 200911 2 001 Ka PKM Dokter 150 10 20 15 100 260 75% 195 5658.35 Rp 48,129,720 15% 1% Rp - Rp 1,658,663 Rp 248,799 Rp 16,587 Rp 1,393,277 1
Ka. TU / Koor. D-IV

2 Erni novita, S.Tr. Keb 19771111 200701 2 018 80 15 20 20 50 20 165 100% 165 5658.35 Rp 48,129,720 5% 1% Rp - Rp 1,403,484 Rp 70,174 Rp 14,035 Rp 1,319,275 2
Bidan Kebidanan
3 Ns.Riza Wahyudini,M.Kep 19790710 200312 2 003 Staf KIA S-2 100 15 20 19 115 95% 109.25 5658.35 Rp 48,129,720 15% 1% Rp - Rp 929,277 Rp 139,391 Rp 9,293 Rp 780,592 3
Dokter Gigi/Pj.
4 drg. Rasiman Ade Putra R 19811113 200904 1 002 Mutu Dokter 150 10 20 19 10 170 95% 161.5 5658.35 Rp 48,129,720 15% 1% Rp - Rp 1,373,713 Rp 206,057 Rp 13,737 Rp 1,153,919 4
5 Efri Gustina,S.Tr.Keb 19740413 200312 2 001 PJ. SP2TP DIV 60 15 20 20 10 85 100% 85 5658.35 Rp 48,129,720 15% 1% Rp - Rp 723,007 Rp 108,451 Rp 7,230 Rp 607,326 5
Dokter Umum /
6 dr. Ayu Latihifah 19830703 200911 2 001 Koor. UKP Dokter 150 10 20 13 10 170 65% 110.5 5658.35 Rp 48,129,720 15% 1% Rp - Rp 939,909 Rp 140,986 Rp 9,399 Rp 789,524 6
7 dr. Tika Prasetya 19840315 201412 2 001 Dokter umum Dokter 150 5 20 13 155 65% 100.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 856,976 Rp 42,849 Rp 8,570 Rp 805,557 7
8 drg.Dwi Yanti Sriwahyuni R 19730112 200212 2 002 poli gigi dr gigi 50 20 20 0 70 0% 0 5658.35 Rp 48,129,720 5% 1% Rp - Rp - Rp - Rp - Rp - 8
9 Herawati 19670525 198903 2 005 Ka. Apotik DIII 50 20 20 18 10 80 90% 72 5658.35 Rp 48,129,720 5% 1% Rp - Rp 612,429 Rp 30,621 Rp 6,124 Rp 575,684 9
D-IV
10 Rainiza. ZA, S.Tr.Keb 19711229 199303 2 002 Pelaksana KB 80 15 20 17 95 85% 80.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 686,857 Rp 34,343 Rp 6,869 Rp 645,645 10
Kebidanan
Ka. MTBS/ka
11 Ainul Mardhiah,A.Md.Keb 19681219 199103 2 010 ispa DIII 60 25 20 19 20 105 95% 99.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 848,470 Rp 42,423 Rp 8,485 Rp 797,562 11
12 Nuriah,A.Md.Kep 19650612 198603 2 003 Staf Poli Umum DIII 60 20 20 20 80 100% 80 5658.35 Rp 48,129,720 5% 1% Rp - Rp 680,477 Rp 34,024 Rp 6,805 Rp 639,648 12
13 Nurjannah S.Tr.Keb 19740622 200701 2 005 Koor. Radies / PI D-IV 80 15 20 17 20 115 85% 97.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 831,458 Rp 41,573 Rp 8,315 Rp 781,570 13
14 Sri Asih Sunarsih, AMG 19820817 200312 2 003 Koor. Prog Gizi D-III 60 10 20 12 10 80 60% 48 5658.35 Rp 48,129,720 5% 1% Rp - Rp 408,286 Rp 20,414 Rp 4,083 Rp 383,789 14
15 Cut Devi Indriani, Am. Keb 19820817 200312 2 003 Koor. Imunisasi D-III 60 10 20 7 10 80 35% 28 5658.35 Rp 48,129,720 5% 1% Rp - Rp 238,167 Rp 11,908 Rp 2,382 Rp 223,877 15
Ka.Ruang
16 Syahyani,A.Md.Kes 19710813 199603 2 002 D-III 60 15 20 19 30 105 95% 99.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 848,470 Rp 42,423 Rp 8,485 Rp 797,562 16
Gigi/pptk/P2
17 A. Kadir,A.Md.Kep 19671231 198803 1 032 Ka. PU D-III 60 25 20 20 10 95 100% 95 5658.35 Rp 48,129,720 5% 1% Rp - Rp 808,067 Rp 40,403 Rp 8,081 Rp 759,583 17
18 Mufriadi,A.Md 19761119 200212 1 003 Staf TU D-III 50 15 20 17 65 85% 55.25 5658.35 Rp 48,129,720 5% 1% Rp - Rp 469,954 Rp 23,498 Rp 4,700 Rp 441,757 18
19 Abbas, Amk 19670415 199108 1 008 Koor. Pustu D-III 60 25 20 20 10 95 100% 95 5658.35 Rp 48,129,720 5% 1% Rp - Rp 808,067 Rp 40,403 Rp 8,081 Rp 759,583 19
20 Purnamawati,S.Kep 19800915 200212 2 003 Koor. Survailens S-I 80 10 20 16 10 100 80% 80 5658.35 Rp 48,129,720 5% 1% Rp - Rp 680,477 Rp 34,024 Rp 6,805 Rp 639,648 20
Pembantu
21 Khairiyati, SE 19740101 200112 2 004 Pengelola S1 60 15 20 20 10 85 100% 85 5658.35 Rp 48,129,720 5% 1% Rp - Rp 723,007 Rp 36,150 Rp 7,230 Rp 679,627 21
Barang
Koor.
22 Mia Dimiaty Am.Keb 19840313 200904 2 007 D-III 60 5 20 19 20 85 95% 80.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 686,857 Rp 34,343 Rp 6,869 Rp 645,645 22
Simpus/Sp2tp
23 Nuraini,S.Kep 19790101 200801 2 009 Koor. PTM S-I 60 15 20 11 10 85 55% 46.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 397,654 Rp 19,883 Rp 3,977 Rp 373,795 23
24 Darmawati Am.Keb 19770202 200701 2 002 Koor. Diare D-III 60 15 20 19 20 95 95% 90.25 5658.35 Rp 48,129,720 5% 1% Rp - Rp 767,663 Rp 38,383 Rp 7,677 Rp 721,603 24
25 Yusni Am.Keb 19790119 200604 2 002 recepsionis D-III 50 10 20 16 60 80% 48 5658.35 Rp 48,129,720 5% 1% Rp - Rp 408,286 Rp 20,414 Rp 4,083 Rp 383,789 25
26 Nuraini, AM. Keb 19750706 200701 2 004 Koor.Anak D-III 60 15 20 20 10 85 100% 85 5658.35 Rp 48,129,720 5% 1% Rp - Rp 723,007 Rp 36,150 Rp 7,230 Rp 679,627 26
27 Ernawati, AMK 19791210 200701 2 001 staf puskesmas D-III 60 15 20 10 75 50% 37.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 318,974 Rp 15,949 Rp 3,190 Rp 299,835 27
28 Safrina, Am.Keb 117609102007012000 staf puskesmas D-III 60 20 16 60 80% 5658.35 Rp 48,129,720 Rp - Rp - 28
29 Nani Rahmawati Am.Keb 19811003 200604 2 007 Koor.. Filiariasis D-III 60 5 20 19 10 75 95% 71.25 5658.35 Rp 48,129,720 5% 1% Rp - Rp 606,050 Rp 30,302 Rp 6,060 Rp 569,687 29
30 Lismaulia, Amd.Ak 19740312 200701 2 003 ka.lab D-III 60 5 20 13 10 75 65% 48.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 414,666 Rp 20,733 Rp 4,147 Rp 389,786 30
31 Nurhafda, AR,A.Md.Kep 19791192006042007 Koor. UKS D-III 60 10 20 20 10 80 100% 80 5658.35 Rp 48,129,720 5% 1% Rp - Rp 680,477 Rp 34,024 Rp 6,805 Rp 639,648 31
32 Aisyah Anwar Am.Keb 19740312 200701 2 003 koor. Frambusia D-III 60 20 20 20 10 90 100% 90 5658.35 Rp 48,129,720 5% 1% Rp - Rp 765,537 Rp 38,277 Rp 7,655 Rp 719,605 32
33 Sri Handayani Am.Keb 19770112 200801 2 002 Koor.HIV/AIDS D-III 60 15 20 16 10 85 80% 68 5658.35 Rp 48,129,720 5% 1% Rp - Rp 578,406 Rp 28,920 Rp 5,784 Rp 543,701 33
34 Armila Am.Keb 19770401 200701 2 003 Staf Usila D-III 60 15 20 20 75 100% 75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 637,947 Rp 31,897 Rp 6,379 Rp 599,670 34
Sri endang Rahmawati, Koor. PKPR /

35 A.Md.Keb 19740312 200701 2 003 Jampersal D-III 60 15 20 10 20 95 50% 47.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 404,033 Rp 20,202 Rp 4,040 Rp 379,791 35
Ka. Usila / PIS-PK

36 Mahdalena Am.Keb 19780614 200801 2 002 D-III 60 15 20 18 30 105 90% 94.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 803,814 Rp 40,191 Rp 8,038 Rp 755,585 36
/ Koor. Lansia
Bendahara
37 Irmayani, A.Md. Keb 19781028 200801 2 002 JKN/Pj aspak / D-III 60 15 20 20 50 20 145 100% 145 5658.35 Rp 48,129,720 5% 1% Rp - Rp 1,233,365 Rp 61,668 Rp 12,334 Rp 1,159,363 37
Koor.KB
38 Ns. Siti Aisyah, Skep 19800802 200701 2 001 Koor TB/Kusta Ners 100 10 20 9 20 130 45% 58.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 497,599 Rp 24,880 Rp 4,976 Rp 467,743 38
39 Ns.Nirmalawati, Skep 19841015 200604 2 001 Koor. Kesling Ners 100 5 20 9 10 115 45% 51.75 5658.35 Rp 48,129,720 5% 1% Rp - Rp 440,184 Rp 22,009 Rp 4,402 Rp 413,773 39
40 dr. Fitria Aini 19920811 201903 2 010 Koor. Jejaring Dokter 150 2 20 11 10 162 55% 89.1 5658.35 Rp 48,129,720 5% 1% Rp - Rp 757,881 Rp 37,894 Rp 7,579 Rp 712,408 40
Koor. Promkes/
41 Nelly. Z, SKM 19771107 200701 2 013 Koor. UKM / S-1 80 15 20 10 30 125 50% 62.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 531,623 Rp 26,581 Rp 5,316 Rp 499,725 41
Audit
42 Ns.Mariyana, S.Kep 198405508 200801 2003 Staf UGD Ners 100 5 20 20 105 100% 105 5658.35 Rp 48,129,720 5% 1% Rp - Rp 893,126 Rp 44,656 Rp 8,931 Rp 839,539 42
43 Malanasrina Am.Keb 19820101 201406 2 007 Koor. DBD D-III 60 10 20 10 10 80 50% 40 5658.35 Rp 48,129,720 5% 1% Rp - Rp 340,239 Rp 17,012 Rp 3,402 Rp 319,824 43
44 Siti Mutiah, AM. Keb 19820101 201406 2 007 Koor. Malaria D-III 60 10 20 7 10 80 35% 28 5658.35 Rp 48,129,720 5% 1% Rp - Rp 238,167 Rp 11,908 Rp 2,382 Rp 223,877 44
Koor.Hepatitis /
45 Syarifah Afra, AM. Keb 19781026 200604 2 010 D-III 60 15 20 15 20 95 75% 71.25 5658.35 Rp 48,129,720 5% 1% Rp - Rp 606,050 Rp 30,302 Rp 6,060 Rp 569,687 45
P2
Koor. kesja
46 Syahfariati Am.Keb 19750112 201212 2 002 D-III 60 10 20 19 20 90 95% 85.5 5658.35 Rp 48,129,720 5% 1% Rp - Rp 727,260 Rp 36,363 Rp 7,273 Rp 683,624 46
Or/Prolanis
Koor. Kesga /
47 Reni Safitri,AM.Keb 19820325 201406 2 004 P3 / Ka. KIA D-III 60 15 20 5 30 105 25% 26.25 5658.35 Rp 48,129,720 5% 1% Rp - Rp 223,282 Rp 11,164 Rp 2,233 Rp 209,885 47
48 Yusri 19790217 200091 001 staf pkm SMA 50 5 20 4 55 20% 11 5658.35 Rp 48,129,720 1% Rp - Rp 93,566 Rp - Rp 936 Rp 92,630 48
49 Afridayani, Amd. Kep 19820430 201212 2 001 Ka. UGD/Keswa D-III 50 15 20 10 20 85 50% 42.5 5658.35 Rp 48,129,720 1% Rp - Rp 361,503 Rp - Rp 3,615 Rp 357,888 49
Pengelola BOK,
Bendahara
50 Irwan Saputra, Amd. Kep 199311122020121005 D-III 60 2 20 10 10 72 50% 36 5658.35 Rp 48,129,720 1% Rp - Rp 306,215 Rp - Rp 3,062 Rp 303,153 50
Pengeluaran
Pembantu
51 Marlina Dewi, AM. Keb 19830629 201707 2 001 Koor. Bencana D-III 60 10 20 10 10 80 50% 40 5658.35 Rp 48,129,720 1% Rp - Rp 340,239 Rp - Rp 3,402 Rp 336,836 51
52 Rahayu wulan s,Am.Keb 19880814 201707 2 001 Bidan Desa D-III 60 10 20 20 70 100% 70 5658.35 Rp 48,129,720 1% Rp - Rp 595,417 Rp - Rp 5,954 Rp 589,463 52
53 Nopri Winda Sari 19851223 201707 2 001 Bidan Desa D-III 50 10 20 13 60 65% 39 5658.35 Rp 48,129,720 1% Rp - Rp 331,733 Rp - Rp 3,317 Rp 328,415 53
54 Sumiati,Am.Keb 19860404 201707 2 001 Bidan Desa D-III 60 10 20 20 70 100% 70 5658.35 Rp 48,129,720 1% Rp - Rp 595,417 Rp - Rp 5,954 Rp 589,463 54
55 Anisah Hariyanti,Am.Keb 19860515 201707 2 001 Bidan Desa D-III 60 10 20 20 70 100% 70 5658.35 Rp 48,129,720 1% Rp - Rp 595,417 Rp - Rp 5,954 Rp 589,463 55
56 Eva Susanti, AM. Keb 19851105 201707 2 001 Bidan Desa D-III 60 10 20 13 70 65% 45.5 5658.35 Rp 48,129,720 1% Rp - Rp 387,021 Rp - Rp 3,870 Rp 383,151 56
57 Desi Intan F,Am.keb 19850104 201707 2 001 Bidan Desa D-III 60 10 20 20 70 100% 70 5658.35 Rp 48,129,720 1% Rp - Rp 595,417 Rp - Rp 5,954 Rp 589,463 57
58 Vivin Sativa Y,Am.Keb 19870506 201707 2 001 Bidan Desa D-III 60 10 20 0 70 0% 0 5658.35 Rp 48,129,720 1% Rp - Rp - Rp - Rp - Rp - 58
59 Sri rahayu,Am.Keb 19870211 201707 2 001 Bidan Desa D-III 60 10 20 0 70 0% 0 5658.35 Rp 48,129,720 1% Rp - Rp - Rp - Rp - Rp - 59
60 Eka Maulidya, AM. Keb 19870101 201707 2 001 Bidan Desa D-III 60 10 20 8 70 40% 28 5658.35 Rp 48,129,720 1% Rp - Rp 238,167 Rp - Rp 2,382 Rp 235,785 60
61 Rita Fauzia,Am.Keb 19870925 201707 2 001 Bidan Desa D-III 60 10 20 15 70 75% 52.5 5658.35 Rp 48,129,720 1% Rp - Rp 446,563 Rp - Rp 4,466 Rp 442,097 61
62 Yuslina,Am.Keb 19840417 201707 2 001 Bidan Desa D-III 60 15 20 15 75 75% 56.25 5658.35 Rp 48,129,720 1% Rp - Rp 478,460 Rp - Rp 4,785 Rp 473,676 62
63 Putri Handayani R, AM. Keb 19861104 201707 2 001 Bidan Desa D-III 60 10 20 15 70 75% 52.5 5658.35 Rp 48,129,720 1% Rp - Rp 446,563 Rp - Rp 4,466 Rp 442,097 63
64 Yulistwo dewi W,Am.Keb 19890707 201707 2 001 Bidan Desa D-III 60 10 20 14 70 70% 49 5658.35 Rp 48,129,720 1% Rp - Rp 416,792 Rp - Rp 4,168 Rp 412,624 64
65 Misran 19650402 201212 1 002 Staf TU SMA 25 10 20 20 35 100% 35 5658.35 Rp 48,129,720 1% Rp - Rp 297,709 Rp - Rp 2,977 Rp 294,732 65
66 Nurmawati 19810808 199911 2 002 Ka. Kartu SMP 25 20 20 20 10 55 100% 55 5658.35 Rp 48,129,720 1% Rp - Rp 467,828 Rp - Rp 4,678 Rp 463,150 66
67 Saed Agel 19820801 20009 1 001 Staf Pkm SMP 25 5 20 0 30 0% 0 5658.35 Rp 48,129,720 1% Rp - Rp - Rp - Rp - Rp - 67
68 Said Agus Rijal Kontrak Daerah Sopir SPK 25 5 20 20 10 40 100% 40 5658.35 Rp 48,129,720 Rp 10,800 Rp 340,239 Rp - Rp - Rp 329,439 68
69 Safrina, STr. Keb Kontrak Daerah staf poli MTBS D-IV 80 2 20 18 82 90% 73.8 5658.35 Rp 48,129,720 Rp 10,800 Rp 627,740 Rp - Rp - Rp 616,940 69
70 Syafrina, Str. Keb Kontrak Daerah Staf UGD DIV 80 5 20 20 85 100% 85 5658.35 Rp 48,129,720 Rp 10,800 Rp 723,007 Rp - Rp - Rp 712,207 70
71 Cut Mutia, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 20 18 65 90% 58.5 5658.35 Rp 48,129,720 Rp 10,800 Rp 497,599 Rp - Rp - Rp 486,799 71
72 Maulidar Sari, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 20 20 65 100% 65 5658.35 Rp 48,129,720 Rp 10,800 Rp 552,888 Rp - Rp - Rp 542,088 72
73 Ariani Kontrak Daerah CS SMP 25 2 20 20 27 100% 27 5658.35 Rp 48,129,720 Rp 10,800 Rp 229,661 Rp - Rp - Rp 218,861 73
74 Ns.Renita Alfiana,S.Kep Kontrak JKN Staf UGD Ners 50 5 20 20 55 100% 55 5658.35 Rp 48,129,720 Rp 10,800 Rp 467,828 Rp - Rp 457,028 74
75 Usnatun Hasanah,AM.Keb Kontrak JKN Pcare D-III 30 2 20 19 32 95% 30.4 5658.35 Rp 48,129,720 Rp 10,800 Rp 258,581 Rp - Rp 247,781 75
76 Dwi Rahmayanti Kontrak JKN Staf BOK D-III 30 2 20 8 32 40% 12.8 5658.35 Rp 48,129,720 Rp 10,800 Rp 108,876 Rp - Rp 98,076 76
77 Nurafni, AMKL Kontrak JKN Staf BOK D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 77
78 Mulia Safira, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 17 32 85% 27.2 5658.35 Rp 48,129,720 Rp 10,800 Rp 231,362 Rp - Rp 220,562 78
79 Raudatul Jannah,Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 79
80 Santi Moida, AM. Keb Kontrak JKN staf UGD D-III 30 5 20 20 35 100% 35 5658.35 Rp 48,129,720 Rp 10,800 Rp 297,709 Rp - Rp 286,909 80
81 Hamidah,AMK Kontrak JKN staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 81
82 Fitria, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 18 32 90% 28.8 5658.35 Rp 48,129,720 Rp 10,800 Rp 244,972 Rp - Rp 234,172 82
83 Nurul Fajri, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5658.35 Rp 48,129,720 Rp 10,800 Rp 297,709 Rp - Rp 286,909 83
84 Marmi Fadillah,Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 84
85 Safrina, Amd. Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 85
86 Puspita Sari, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 86
87 Dina Fadillah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 87
88 Sri Handayani F, Am.Keb Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5658.35 Rp 48,129,720 Rp 10,800 Rp 297,709 Rp - Rp 286,909 88
89 Irmayani,AMK Kontrak JKN staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 89
90 Wahyuna, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 90
91 Devita Sari, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5658.35 Rp 48,129,720 Rp 10,800 Rp 297,709 Rp - Rp 286,909 91
92 Cut Irna Julita, Am.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5658.35 Rp 48,129,720 Rp 10,800 Rp 272,191 Rp - Rp 261,391 92
93 Eva Fitria,Am.Keb Kontrak JKN Staf Kartu D-III 30 2 20 18 32 90% 28.8 5658.35 Rp 48,129,720 Rp 10,800 Rp 244,972 Rp - Rp 234,172 93
94 Bella Syafrina,Am.Keb Kontrak JKN Staf TU D-III 30 2 20 18 32 90% 28.8 5658.35 Rp 48,129,720 Rp 10,800 Rp 244,972 Rp - Rp 234,172 94
95 Intan Fadillah, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 19 35 95% 33.25 5658.35 Rp 48,129,720 Rp 10,800 Rp 282,823 Rp - Rp 272,023 95
96 Siti Aisyah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 15 32 75% 24 5658.35 Rp 48,129,720 Rp 10,800 Rp 204,143 Rp - Rp 193,343 96
97 Nur Hasanah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 14 32 70% 22.4 5658.35 Rp 48,129,720 Rp 10,800 Rp 190,534 Rp - Rp 179,734 97
98 Putri Mindayani, AMd. Keb Kontrak JKN Ruang Kartu D-III 30 2 20 19 32 95% 30.4 5658.35 Rp 48,129,720 Rp 10,800 Rp 258,581 Rp - Rp 247,781 98
99 Cut Tia Risky Kontrak JKN Pcare SMA 12.5 2 20 16 14.5 80% 11.6 5658.35 Rp 48,129,720 Rp 10,800 Rp 98,669 Rp - Rp 87,869 99
100 Rosnita Kontrak JKN Rekam Medik D-III 30 2 20 15 32 75% 24 5658.35 Rp 48,129,720 Rp 10,800 Rp 204,143 Rp - Rp 193,343 100
5658.35 Rp291,600 Rp 48,129,720 Rp 2,123,025 Rp 382,054 Rp 45,268,241

Mengetahui Bendahara JKN
Kepala UPTD Puskesmas Sungai Raya UPTD Puskesmas Sungai Raya
dr.Dewi Suryati. IRMAYANI, A.Md.Keb

NIP: 19810116 200911 2 001 NIP: 19781028 200801 2 002
Bulan Jan-23
Jenis Ketenagaan
Kehadiran k8/k7
Tanggung Jawab
Rangkap Tugas
Administratif
Jumlah
Pendidikan
Masa Kerja
Presentase
PPh BPJS BPJS 1% Jasa Pelayanan
Program
Point Jumlah Total
Jumlah Efektif
Jumlah Hari
No Nama Pegawai NIP/NRPTT Jabatan Variabel Seluruh Point Pajak yang diterima Tanda Tangan
Jasa Pelayanan
Kerja
Kerja
Ketenaga k12*k11 PPH k13*k14/k13
(60%) Ketenagakerja Jasa Pelayanan
an 1%
k5+6+9+1 an
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20*17=21 20*19=22 19-20-21=22 23
1 dr. Dewi Suryati 19810116 200911 2 001 Ka PKM Dokter 150 10 21 13 100 260 62% 160.952381 5835.0238095 Rp 44,112,480 15% 1% Rp - Rp 1,216,792 Rp 182,519 Rp 12,168 Rp 1,022,105 1
Ka. TU / Koor. D-IV

2 Erni novita, S.Tr. Keb 19771111 200701 2 018 Bidan 80 15 21 21 50 20 165 100% 165 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 1,247,392 Rp 62,370 Rp 12,474 Rp 1,172,548 2
Kebidanan
3 Ns.Riza 19790710 200312 2 003 Staf KIA S-2 100 15 21 21 115 100% 115 5835.0238095 Rp 44,112,480 15% 1% Rp - Rp 869,394 Rp 130,409 Rp 8,694 Rp 730,291 3
Wahyudini,M.Kep
Dokter Gigi/Pj.
4 drg. Rasiman Ade Putra 19811113 200904 1 002 Dokter 150 10 21 19 10 170 90% 153.8095238 5835.0238095 Rp 44,112,480 15% 1% Rp - Rp 1,162,792 Rp 174,419 Rp 11,628 Rp 976,745 4
R Mutu
5 Efri Gustina,S.Tr.Keb 19740413 200312 2 001 PJ. SP2TP DIV 60 15 21 20 10 85 95% 80.95238095 5835.0238095 Rp 44,112,480 15% 1% Rp - Rp 611,996 Rp 91,799 Rp 6,120 Rp 514,077 5
Dokter Umum /
6 dr. Ayu Latihifah 19830703 200911 2 001 Koor. UKP Dokter 150 10 21 17 10 170 81% 137.6190476 5835.0238095 Rp 44,112,480 15% 1% Rp - Rp 1,040,393 Rp 156,059 Rp 10,404 Rp 873,930 6
7 dr. Tika Prasetya 19840315 201412 2 001 Dokter umum Dokter 150 5 21 6 155 29% 44.28571429 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 334,798 Rp 16,740 Rp 3,348 Rp 314,710 7
8 drg.Dwi Yanti 19730112 200212 2 002 poli gigi dr gigi 50 20 21 0 70 0% 0 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp - Rp - Rp - Rp - 8
Sriwahyuni R
9 Herawati 19670525 198903 2 005 Ka. Apotik DIII 50 20 21 20 10 80 95% 76.19047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 575,996 Rp 28,800 Rp 5,760 Rp 541,436 9
10 Rainiza. ZA, S.Tr.Keb D-IV

19711229 199303 2 002 Pelaksana KB 80 15 21 20 95 95% 90.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 683,995 Rp 34,200 Rp 6,840 Rp 642,956 10
Kebidanan
11 Ainul 19681219 199103 2 010 Ka. MTBS/ka ispa DIII 60 25 21 15 20 105 71% 75 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 566,996 Rp 28,350 Rp 5,670 Rp 532,976 11
Mardhiah,A.Md.Keb
12 Nuriah,A.Md.Kep 19650612 198603 2 003 Staf Poli Umum DIII 60 20 21 20 80 95% 76.19047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 575,996 Rp 28,800 Rp 5,760 Rp 541,436 12
13 Nurjannah S.Tr.Keb 19740622 200701 2 005 Koor. Radies / PI D-IV 80 15 21 16 20 115 76% 87.61904762 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 662,395 Rp 33,120 Rp 6,624 Rp 622,652 13
14 Sri Asih Sunarsih, AMG 19820817 200312 2 003 Koor. Prog Gizi D-III 60 10 21 8 10 80 38% 30.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 230,398 Rp 11,520 Rp 2,304 Rp 216,575 14
15 Cut Devi Indriani, Am. 19820817 200312 2 003 Koor. Imunisasi D-III 60 10 21 21 10 80 100% 80 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 604,796 Rp 30,240 Rp 6,048 Rp 568,508 15
Keb
Ka.Ruang
16 Syahyani,A.Md.Kes 19710813 199603 2 002 Gigi/pptk/P2 D-III 60 15 21 21 30 105 100% 105 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 793,795 Rp 39,690 Rp 7,938 Rp 746,167 16
17 A. Kadir,A.Md.Kep 19671231 198803 1 032 Ka. PU D-III 60 25 21 19 10 95 90% 85.95238095 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 649,796 Rp 32,490 Rp 6,498 Rp 610,808 17
18 Mufriadi,A.Md 19761119 200212 1 003 Staf TU D-III 50 15 21 10 65 48% 30.95238095 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 233,998 Rp 11,700 Rp 2,340 Rp 219,959 18
19 Abbas, Amk 19670415 199108 1 008 Koor. Pustu D-III 60 25 21 20 10 95 95% 90.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 683,995 Rp 34,200 Rp 6,840 Rp 642,956 19
20 Purnamawati,S.Kep 19800915 200212 2 003 Koor. Survailens S-I 80 10 21 20 10 100 95% 95.23809524 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 719,995 Rp 36,000 Rp 7,200 Rp 676,795 20
Pembantu
21 Khairiyati, SE 19740101 200112 2 004 Pengelola Barang S1 60 15 21 21 10 85 100% 85 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 642,596 Rp 32,130 Rp 6,426 Rp 604,040 21
Koor.
22 Mia Dimiaty Am.Keb 19840313 200904 2 007 Simpus/Sp2tp D-III 60 5 21 19 20 85 90% 76.9047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 581,396 Rp 29,070 Rp 5,814 Rp 546,512 22
23 Nuraini,S.Kep 19790101 200801 2 009 Koor. PTM S-I 60 15 21 10 10 85 48% 40.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 305,998 Rp 15,300 Rp 3,060 Rp 287,638 23
24 Darmawati Am.Keb 19770202 200701 2 002 Koor. Diare D-III 60 15 21 17 20 95 81% 76.9047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 581,396 Rp 29,070 Rp 5,814 Rp 546,512 24
25 Yusni Am.Keb 19790119 200604 2 002 recepsionis D-III 50 10 21 20 60 95% 57.14285714 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 431,997 Rp 21,600 Rp 4,320 Rp 406,077 25
26 Nuraini, AM. Keb 19750706 200701 2 004 Koor.Anak D-III 60 15 21 19 10 85 90% 76.9047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 581,396 Rp 29,070 Rp 5,814 Rp 546,512 26
27 Ernawati, AMK 19791210 200701 2 001 Staf Puskesmas D-III 60 15 21 19 75 90% 67.85714286 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 512,997 Rp 25,650 Rp 5,130 Rp 482,217 27
28 Safrina, Am.Keb 117609102007012000 Staf Puskesmas D-III 60 21 16 60 76% 45.71428571 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 345,598 Rp 17,280 Rp 3,456 Rp 324,862 28
29 Nani Rahmawati 19811003 200604 2 007 Koor.. Filiariasis D-III 60 5 21 21 10 75 100% 75 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 566,996 Rp 28,350 Rp 5,670 Rp 532,976 29
Am.Keb
30 Lismaulia, Amd.Ak 19740312 200701 2 003 ka.lab D-III 60 5 21 5 10 75 24% 17.85714286 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 134,999 Rp 6,750 Rp 1,350 Rp 126,899 30
31 Nurhafda, AR,A.Md.Kep 19791192006042007 Koor. UKS D-III 60 10 21 8 10 80 38% 30.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 230,398 Rp 11,520 Rp 2,304 Rp 216,575 31
32 Aisyah Anwar Am.Keb 19740312 200701 2 003 koor. Frambusia D-III 60 20 21 17 10 90 81% 72.85714286 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 550,796 Rp 27,540 Rp 5,508 Rp 517,748 32
33 Sri Handayani Am.Keb 19770112 200801 2 002 Koor.HIV/AIDS D-III 60 15 21 21 10 85 100% 85 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 642,596 Rp 32,130 Rp 6,426 Rp 604,040 33
Koor. PKPR /
35 Sri endang Rahmawati, 19740312 200701 2 003 Jampersal D-III 60 15 21 17 20 95 81% 76.9047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 581,396 Rp 29,070 Rp 5,814 Rp 546,512 35
A.Md.Keb
Ka. Usila / PIS-

36 Mahdalena Am.Keb 19780614 200801 2 002 PK / Koor. Lansia D-III 60 15 21 19 30 105 90% 95 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 718,195 Rp 35,910 Rp 7,182 Rp 675,103 36
Bendahara
37 Irmayani, A.Md. Keb 19781028 200801 2 002 JKN/Pj aspak / D-III 60 15 21 20 50 20 145 95% 138.0952381 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 1,043,993 Rp 52,200 Rp 10,440 Rp 981,353 37
Koor.KB
38 Ns. Siti Aisyah, Skep 19800802 200701 2 001 Koor TB/Kusta Ners 100 10 21 10 20 130 48% 61.9047619 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 467,997 Rp 23,400 Rp 4,680 Rp 439,917 38
39 Ns.Nirmalawati, Skep 19841015 200604 2 001 Koor. Kesling Ners 100 5 21 11 10 115 52% 60.23809524 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 455,397 Rp 22,770 Rp 4,554 Rp 428,073 39
40 dr. Fitria Aini 19920811 201903 2 010 Koor. Jejaring Dokter 150 2 21 18 10 162 86% 138.8571429 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 1,049,753 Rp 52,488 Rp 10,498 Rp 986,768 40
Koor. Promkes/
41 Nelly. Z, SKM 19771107 200701 2 013 Koor. UKM / S-1 80 15 21 11 30 125 52% 65.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 494,997 Rp 24,750 Rp 4,950 Rp 465,297 41
Audit
42 Ns.Mariyana, S.Kep 198405508 200801 2003 Staf UGD Ners 100 5 21 21 105 100% 105 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 793,795 Rp 39,690 Rp 7,938 Rp 746,167 42
43 Malanasrina Am.Keb 19820101 201406 2 007 Koor. DBD D-III 60 10 21 17 10 80 81% 64.76190476 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 489,597 Rp 24,480 Rp 4,896 Rp 460,221 43
44 Siti Mutiah, AM. Keb 19820101 201406 2 007 Koor. Malaria D-III 60 10 21 21 10 80 100% 80 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 604,796 Rp 30,240 Rp 6,048 Rp 568,508 44
Koor.Hepatitis /
45 Syarifah Afra, AM. Keb 19781026 200604 2 010 P2 D-III 60 15 21 20 20 95 95% 90.47619048 5835.0238095 Rp 44,112,480 5% 1% Rp - Rp 683,995 Rp 34,200 Rp 6,840 Rp 642,956 45
46 Syahfariati Am.Keb Koor. kesja 60 21 20 90 100% 90 5835.0238095 Rp 5% 1% Rp - Rp 680,395 Rp 34,020 Rp 6,804 Rp 639,572 46
19750112 201212 2 002 Or/Prolanis D-III 10 21 44,112,480
47 Reni Safitri,AM.Keb Koor. Kesga / 60 21 30 105 76% 80 5835.0238095 Rp 5% 1% Rp - Rp 604,796 Rp 30,240 Rp 6,048 Rp 568,508 47
19820325 201406 2 004 P3 / Ka. KIA D-III 15 16 44,112,480
48 Yusri 19790217 200091 001 staf pkm SMA 50 5 21 4 55 19% 10.47619048 5835.0238095 Rp 44,112,480 1% Rp - Rp 79,199 Rp - Rp 792 Rp 78,407 48
49 Afridayani, Amd. Kep 19820430 201212 2 001 Ka. UGD/Keswa D-III 50 15 21 16 20 85 76% 64.76190476 5835.0238095 Rp 44,112,480 1% Rp - Rp 489,597 Rp - Rp 4,896 Rp 484,701 49
Pengelola BOK,
50 Irwan Saputra, Amd. 199311122020121005
Bendahara
D-III 60 2 21 20 10 72 95% 68.57142857 5835.0238095 Rp 44,112,480 1% Rp - Rp 518,396 Rp - Rp 5,184 Rp 513,213 50
Kep Pengeluaran
Pembantu
51 Marlina Dewi, AM. Keb 19830629 201707 2 001 Koor. Bencana D-III 60 10 21 16 10 80 76% 60.95238095 5835.0238095 Rp 44,112,480 1% Rp - Rp 460,797 Rp - Rp 4,608 Rp 456,189 51
52 Rahayu wulan s,Am.Keb 19880814 201707 2 001 Bidan Desa D-III 60 10 21 20 70 95% 66.66666667 5835.0238095 Rp 44,112,480 1% Rp - Rp 503,997 Rp - Rp 5,040 Rp 498,957 52
53 Nopri Winda Sari 19851223 201707 2 001 Bidan Desa D-III 50 10 21 13 60 62% 37.14285714 5835.0238095 Rp 44,112,480 1% Rp - Rp 280,798 Rp - Rp 2,808 Rp 277,990 53
54 Sumiati,Am.Keb 19860404 201707 2 001 Bidan Desa D-III 60 10 21 21 70 100% 70 5835.0238095 Rp 44,112,480 1% Rp - Rp 529,196 Rp - Rp 5,292 Rp 523,904 54
55 Anisah 19860515 201707 2 001 Bidan Desa D-III 60 10 21 20 70 95% 66.66666667 5835.0238095 Rp 44,112,480 1% Rp - Rp 503,997 Rp - Rp 5,040 Rp 498,957 55
Hariyanti,Am.Keb
56 Eva Susanti, AM. Keb 19851105 201707 2 001 Bidan Desa D-III 60 10 21 14 70 67% 46.66666667 5835.0238095 Rp 44,112,480 1% Rp - Rp 352,798 Rp - Rp 3,528 Rp 349,270 56
57 Desi Intan F,Am.keb 19850104 201707 2 001 Bidan Desa D-III 60 10 21 21 70 100% 70 5835.0238095 Rp 44,112,480 1% Rp - Rp 529,196 Rp - Rp 5,292 Rp 523,904 57
58 Vivin Sativa Y,Am.Keb 19870506 201707 2 001 Bidan Desa D-III 60 10 21 0 70 0% 0 5835.0238095 Rp 44,112,480 1% Rp - Rp - Rp - Rp - Rp - 58
59 Sri rahayu,Am.Keb 19870211 201707 2 001 Bidan Desa D-III 60 10 21 0 70 0% 0 5835.0238095 Rp 44,112,480 1% Rp - Rp - Rp - Rp - Rp - 59
60 Eka Maulidya, AM. Keb 19870101 201707 2 001 Bidan Desa D-III 60 10 21 14 70 67% 46.66666667 5835.0238095 Rp 44,112,480 1% Rp - Rp 352,798 Rp - Rp 3,528 Rp 349,270 60
61 Rita Fauzia,Am.Keb 19870925 201707 2 001 Bidan Desa D-III 60 10 21 13 70 62% 43.33333333 5835.0238095 Rp 44,112,480 1% Rp - Rp 327,598 Rp - Rp 3,276 Rp 324,322 61
62 Yuslina,Am.Keb 19840417 201707 2 001 Bidan Desa D-III 60 15 21 14 75 67% 50 5835.0238095 Rp 44,112,480 1% Rp - Rp 377,997 Rp - Rp 3,780 Rp 374,217 62
63 Putri Handayani R, AM. 19861104 201707 2 001 Bidan Desa D-III 60 10 21 15 70 71% 50 5835.0238095 Rp 44,112,480 1% Rp - Rp 377,997 Rp - Rp 3,780 Rp 374,217 63
Keb
64 Yulistwo dewi 19890707 201707 2 001 Bidan Desa D-III 60 10 21 12 70 57% 40 5835.0238095 Rp 44,112,480 1% Rp - Rp 302,398 Rp - Rp 3,024 Rp 299,374 64
W,Am.Keb
68 Said Agus Rijal Kontrak Daerah Sopir SPK 25 5 21 21 10 40 100% 40 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 302,398 Rp - Rp - Rp 291,598 68
69 Safrina, STr. Keb Kontrak Daerah staf poli MTBS D-IV 80 2 21 18 82 86% 70.28571429 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 531,356 Rp - Rp - Rp 520,556 69
70 Syafrina, Str. Keb Kontrak Daerah Staf UGD DIV 80 5 21 21 85 100% 85 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 642,596 Rp - Rp - Rp 631,796 70
71 Cut Mutia, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 21 17 65 81% 52.61904762 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 397,797 Rp - Rp - Rp 386,997 71
72 Maulidar Sari, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 21 21 65 100% 65 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 491,397 Rp - Rp - Rp 480,597 72
73 Ariani Kontrak Daerah CS SMP 25 2 21 21 27 100% 27 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 204,119 Rp - Rp - Rp 193,319 73
74 Ns.Renita Alfiana,S.Kep Kontrak JKN Staf UGD Ners 50 5 21 21 55 100% 55 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 415,797 Rp - Rp 404,997 74
75 Usnatun Kontrak JKN Pcare D-III 30 2 21 20 32 95% 30.47619048 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 230,398 Rp - Rp 219,598 75
Hasanah,AM.Keb
76 Dwi Rahmayanti Kontrak JKN Staf BOK D-III 30 2 21 9 32 43% 13.71428571 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 103,679 Rp - Rp 92,879 76
77 Nurafni, AMKL Kontrak JKN Staf BOK D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 77
78 Mulia Safira, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 17 32 81% 25.9047619 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 195,839 Rp - Rp 185,039 78
79 Raudatul Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 79
Jannah,Amd.Keb
80 Santi Moida, AM. Keb Kontrak JKN staf UGD D-III 30 5 21 21 35 100% 35 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 264,598 Rp - Rp 253,798 80
81 Hamidah,AMK Kontrak JKN staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 81
82 Fitria, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 20 32 95% 30.47619048 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 230,398 Rp - Rp 219,598 82
83 Nurul Fajri, AM. Keb Kontrak JKN Staf UGD D-III 30 5 21 21 35 100% 35 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 264,598 Rp - Rp 253,798 83
84 Marmi Fadillah,Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 84
85 Safrina, Amd. Keb Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 85
86 Puspita Sari, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 86
87 Dina Fadillah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 87
88 Sri Handayani F, Kontrak JKN Staf UGD D-III 30 5 21 21 35 100% 35 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 264,598 Rp - Rp 253,798 88
Am.Keb
89 Irmayani,AMK Kontrak JKN staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 89
90 Wahyuna, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 21 32 100% 32 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 241,918 Rp - Rp 231,118 90
91 Devita Sari, AM. Keb Kontrak JKN Staf UGD D-III 30 5 21 21 35 100% 35 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 264,598 Rp - Rp 253,798 91
92 Cut Irna Julita, Am.Keb Kontrak JKN Staf UGD D-III 30 2 21 18 32 86% 27.42857143 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 207,359 Rp - Rp 196,559 92
93 Eva Fitria,Am.Keb Kontrak JKN Staf Kartu D-III 30 2 21 17 32 81% 25.9047619 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 195,839 Rp - Rp 185,039 93
94 Bella Syafrina,Am.Keb Kontrak JKN Staf TU D-III 30 2 21 12 32 57% 18.28571429 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 138,239 Rp - Rp 127,439 94
95 Intan Fadillah, AM. Keb Kontrak JKN Staf UGD D-III 30 5 21 21 35 100% 35 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 264,598 Rp - Rp 253,798 95
96 Siti Aisyah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 18 32 86% 27.42857143 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 207,359 Rp - Rp 196,559 96
97 Nur Hasanah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 21 18 32 86% 27.42857143 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 207,359 Rp - Rp 196,559 97
98 Putri Mindayani, AMd. Kontrak JKN Ruang Kartu D-III 30 2 21 20 32 95% 30.47619048 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 230,398 Rp - Rp 219,598 98
Keb
99 Cut Tia Risky Kontrak JKN Pcare SMA 12.5 2 21 15 14.5 71% 10.35714286 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 78,299 Rp - Rp 67,499 99
100 Rosnita Kontrak JKN Rekam Medik D-III 30 2 21 14 32 67% 21.33333333 5835.0238095 Rp 44,112,480 Rp 10,800 Rp 161,279 Rp - Rp 150,479 100
5835.02381 Rp356,400 Rp 44,112,480 Rp 1,930,685 Rp 354,403 Rp 41,470,992


NIP: 19810116 200911 2 001 NIP: 19781028 200801 2 002
Rp 44,112,480
Bulan Feb-23
Jumla
Jenis Ketenagaan
Kehadiran k8/k7
Jumlah
Tanggung Jawab
Kehadiran h Penerimaan Kapitasi
Rangkap Tugas
Administratif
Point
Pendidikan
Masa Kerja
Presentase
Total PPh BPJS BPJS 1% Jasa Pelayanan
Program
Variabe
Jumlah Efektif
Seluru
Jumlah Hari
No Nama Pegawai NIP/NRPTT Jabatan l h Pajak yang diterima Tanda Tangan
Jasa Pelayanan
Kerja
Kerja
Ketena Point PPH Ketenagak Jasa Pelayanan k13*k14/k13
gaan (60%) 1%
k12*k erjaan
k5+6+9 11
+10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20*17=21 20*19=22 19-20-21=22 23
1 dr. Dewi Suryati 19810116 200911 2 001 Ka PKM Dokter 150 10 20 15 100 260 75% 195 5723.1 Rp 48,129,720 15% 1% Rp - Rp 1,639,897 Rp 245,985 Rp 16,399 Rp 1,377,514 1
D-IV
2 Erni novita, S.Tr. Keb 19771111 200701 2 018 Ka. TU Kebida 80 15 20 20 50 10 155 100% 155 5723.1 Rp 48,129,720 5% 1% Rp - Rp 1,303,508 Rp 65,175 Rp 13,035 Rp 1,225,298 2
nan
3 Ns.Riza
19790710 200312 2 003 Staf KIA S-2 100 15 20 19 115 95% 109.3 5723.1 Rp 48,129,720 15% 1% Rp - Rp 918,763 Rp 137,814 Rp 9,188 Rp 771,761 3
Wahyudini,M.Kep
Dokter
4 drg. Rasiman Ade
19811113 200904 1 002 Gigi/Pj. Dokter 150 10 20 19 10 170 95% 161.5 5723.1 Rp 48,129,720 15% 1% Rp - Rp 1,358,171 Rp 203,726 Rp 13,582 Rp 1,140,864 4
Putra R Mutu
5 Efri Gustina,S.Tr.Keb 19740413 200312 2 001 PJ. SP2TP DIV 60 15 20 20 75 100% 75 5723.1 Rp 48,129,720 15% 1% Rp - Rp 630,730 Rp 94,609 Rp 6,307 Rp 529,813 5
Dokter
6 dr. Ayu Latihifah 19830703 200911 2 001 Umum Dokter 150 10 20 13 160 65% 104 5723.1 Rp 48,129,720 15% 1% Rp - Rp 874,612 Rp 131,192 Rp 8,746 Rp 734,674 6
Dokter
7 dr. Tika Prasetya 19840315 201412 2 001 umum Dokter 150 5 20 13 10 165 65% 107.3 5723.1 Rp 48,129,720 5% 1% Rp - Rp 901,943 Rp 45,097 Rp 9,019 Rp 847,827 7
8 drg.Dwi Yanti
19730112 200212 2 002 poli gigi dr gigi 50 20 20 0 70 0% 0 5723.1 Rp 48,129,720 5% 1% Rp - Rp - Rp - Rp - Rp - 8
Sriwahyuni R
Ka.
9 Herawati 19670525 198903 2 005 Apotik DIII 50 20 20 18 10 80 90% 72 5723.1 Rp 48,129,720 5% 1% Rp - Rp 605,500 Rp 30,275 Rp 6,055 Rp 569,170 9
D-IV
Pj. Prog
10 Rainiza. ZA, S.Tr.Keb 19711229 199303 2 002 KB Kebida 80 15 20 17 95 85% 80.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 679,086 Rp 33,954 Rp 6,791 Rp 638,340 10
nan
Ka.
11 Ainul 19681219 199103 2 010 MTBS/ka DIII 60 25 20 19 20 105 95% 99.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 838,870 Rp 41,944 Rp 8,389 Rp 788,538 11
Mardhiah,A.Md.Keb ispa
Staf Poli
12 Nuriah,A.Md.Kep 19650612 198603 2 003 Umum DIII 60 20 20 20 80 100% 80 5723.1 Rp 48,129,720 5% 1% Rp - Rp 672,778 Rp 33,639 Rp 6,728 Rp 632,412 12
13 Nurjannah S.Tr.Keb 19740622 200701 2 005 PJ.PI D-IV 80 15 20 17 10 105 85% 89.25 5723.1 Rp 48,129,720 5% 1% Rp - Rp 750,568 Rp 37,528 Rp 7,506 Rp 705,534 13
Pj. Prog
14 Sri Asih Sunarsih, 19820817 200312 2 003 Gizi D-III 60 10 20 8 10 80 40% 32 5723.1 Rp 48,129,720 5% 1% Rp - Rp 269,111 Rp 13,456 Rp 2,691 Rp 252,965 14
AMG
Pj.
15 Cut Devi Indriani, Am. 19820817 200312 2 003 Imunisasi D-III 60 10 20 7 10 80 35% 28 5723.1 Rp 48,129,720 5% 1% Rp - Rp 235,472 Rp 11,774 Rp 2,355 Rp 221,344 15
Keb
Ka.Ruang
Gigi/ppkt
16 Syahyani,A.Md.Kes 19710813 199603 2 002 /pj D-III 60 15 20 19 30 105 95% 99.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 838,870 Rp 41,944 Rp 8,389 Rp 788,538 16
kesling
17 A. Kadir,A.Md.Kep 19671231 198803 1 032 Ka. PU D-III 60 25 20 20 10 95 100% 95 5723.1 Rp 48,129,720 5% 1% Rp - Rp 798,924 Rp 39,946 Rp 7,989 Rp 750,989 17
18 Mufriadi,A.Md 19761119 200212 1 003 Staf TU D-III 50 20 17 50 85% 42.5 5723.1 Rp 48,129,720 5% 1% Rp - Rp 357,413 Rp 17,871 Rp 3,574 Rp 335,969 18
19 Abbas, Amk 19670415 199108 1 008 Pj. Usila D-III 60 25 20 20 10 95 100% 95 5723.1 Rp 48,129,720 5% 1% Rp - Rp 798,924 Rp 39,946 Rp 7,989 Rp 750,989 19
PJ
20 Purnamawati,S.Kep 19800915 200212 2 003 Malaria S-I 80 10 20 16 10 100 80% 80 5723.1 Rp 48,129,720 5% 1% Rp - Rp 672,778 Rp 33,639 Rp 6,728 Rp 632,412 20
Staf
21 Khairiyati, SE 19740101 200112 2 004 Kartu S1 60 10 20 20 10 80 100% 80 5723.1 Rp 48,129,720 5% 1% Rp - Rp 672,778 Rp 33,639 Rp 6,728 Rp 632,412 21
Pj.
22 Mia Dimiaty Am.Keb 19840313 200904 2 007 Jampersa D-III 60 5 20 19 20 85 95% 80.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 679,086 Rp 33,954 Rp 6,791 Rp 638,340 22
l/Sp2tp
23 Nuraini,S.Kep 19790101 200801 2 009 pj. PTM S-I 80 15 20 11 10 105 55% 57.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 485,662 Rp 24,283 Rp 4,857 Rp 456,522 23
24 Darmawati Am.Keb 19770202 200701 2 002 PJ. Diare D-III 60 15 20 19 10 85 95% 80.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 679,086 Rp 33,954 Rp 6,791 Rp 638,340 24
recepsio
25 Yusni Am.Keb 19790119 200604 2 002 nis D-III 50 10 20 16 10 70 80% 56 5723.1 Rp 48,129,720 5% 1% Rp - Rp 470,945 Rp 23,547 Rp 4,709 Rp 442,688 25
26 Nuraini, AM. Keb 19750706 200701 2 004 Pj KIA D-III 60 15 20 20 10 85 100% 85 5723.1 Rp 48,129,720 5% 1% Rp - Rp 714,827 Rp 35,741 Rp 7,148 Rp 671,937 26
27 Ernawati, AMK 19791210 200701 2 001 Pj.DBD D-III 60 15 20 10 10 85 50% 42.5 5723.1 Rp 48,129,720 5% 1% Rp - Rp 357,413 Rp 17,871 Rp 3,574 Rp 335,969 27
28 Safrina, Am.Keb Staf KIA D-III 60 20 16 60 80% 48 5723.1 Rp 48,129,720 5% 1% Rp - Rp 403,667 Rp 20,183 Rp 4,037 Rp 379,447 28
PJ.
29 Nani Rahmawati 19811003 200604 2 007 Filiariasis D-III 60 5 20 19 10 75 95% 71.25 5723.1 Rp 48,129,720 5% 1% Rp - Rp 599,193 Rp 29,960 Rp 5,992 Rp 563,242 29
Am.Keb
ka.lab/
30 Lismaulia, Amd.Ak 19740312 200701 2 003 Pembant D-III 60 5 20 13 10 75 65% 48.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 409,974 Rp 20,499 Rp 4,100 Rp 385,376 30
u barang
31 Nurhafda, 19791192006042007 Pj. UKS D-III 60 10 20 20 10 80 100% 80 5723.1 Rp 48,129,720 5% 1% Rp - Rp 672,778 Rp 33,639 Rp 6,728 Rp 632,412 31
AR,A.Md.Kep
32 Aisyah Anwar Am.Keb 19740312 200701 2 003 Staf Lab D-III 60 20 20 20 80 100% 80 5723.1 Rp 48,129,720 5% 1% Rp - Rp 672,778 Rp 33,639 Rp 6,728 Rp 632,412 32
33 Sri Handayani Am.Keb 19770112 200801 2 002 Pj.HIV D-III 60 15 20 13 10 85 65% 55.25 5723.1 Rp 48,129,720 5% 1% Rp - Rp 464,638 Rp 23,232 Rp 4,646 Rp 436,759 33
35 Sri endang 19740312 200701 2 003 PPK D-III 60 15 20 17 20 95 85% 80.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 679,086 Rp 33,954 Rp 6,791 Rp 638,340 35
Rahmawati, A.Md.Keb
36 Mahdalena Am.Keb 19780614 200801 2 002 Ka. Usila D-III 60 15 20 18 10 85 90% 76.5 5723.1 Rp 48,129,720 5% 1% Rp - Rp 643,344 Rp 32,167 Rp 6,433 Rp 604,744 36
Bendaha
37 Irmayani, A.Md. Keb 19781028 200801 2 002 ra JKN/Pj D-III 60 15 20 20 50 30 155 100% 155 5723.1 Rp 48,129,720 5% 1% Rp - Rp 1,303,508 Rp 65,175 Rp 13,035 Rp 1,225,298 37
aspak
Pj.
38 Ns. Siti Aisyah, Skep 19800802 200701 2 001 TB/Pram Ners 100 10 20 9 20 130 45% 58.5 5723.1 Rp 48,129,720 5% 1% Rp - Rp 491,969 Rp 24,598 Rp 4,920 Rp 462,451 38
busia
Pj.
39 Ns.Nirmalawati, Skep 19841015 200604 2 001 Perkesm Ners 100 5 20 9 10 115 45% 51.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 435,203 Rp 21,760 Rp 4,352 Rp 409,091 39
as
40 dr. Fitria Aini 19920811 201903 2 010 dr. UGD Dokter 150 2 20 11 10 162 55% 89.1 5723.1 Rp 48,129,720 5% 1% Rp - Rp 749,307 Rp 37,465 Rp 7,493 Rp 704,348 40
Pj
41 Nelly. Z, SKM 19771107 200701 2 013 Promkes/ S-1 80 15 20 17 20 115 85% 97.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 822,051 Rp 41,103 Rp 8,221 Rp 772,728 41
Pj UKM
42 Ns.Mariyana, S.Kep 198405508 200801 2003 Staf UGD Ners 100 5 20 20 10 115 100% 115 5723.1 Rp 48,129,720 5% 1% Rp - Rp 967,119 Rp 48,356 Rp 9,671 Rp 909,092 42
43 Malanasrina Am.Keb 19820101 201406 2 007 PJ. DBD D-III 60 10 20 10 10 80 50% 40 5723.1 Rp 48,129,720 5% 1% Rp - Rp 336,389 Rp 16,819 Rp 3,364 Rp 316,206 43
44 Siti Mutiah, AM. Keb 19820101 201406 2 007 PJ.Kusta D-III 60 10 20 7 10 80 35% 28 5723.1 Rp 48,129,720 5% 1% Rp - Rp 235,472 Rp 11,774 Rp 2,355 Rp 221,344 44
45 Syarifah Afra, AM. Keb 19781026 200604 2 010 Pj.Hepati D-III 60 10 20 15 10 80 75% 60 5723.1 Rp 48,129,720 5% 1% Rp - Rp 504,584 Rp 25,229 Rp 5,046 Rp 474,309 45
tis
Pj kesja
46 Syahfariati Am.Keb 19750112 201212 2 002 Or/Prola D-III 60 10 20 19 20 90 95% 85.5 5723.1 Rp 48,129,720 5% 1% Rp - Rp 719,032 Rp 35,952 Rp 7,190 Rp 675,890 46
nis
47 Reni Safitri,AM.Keb Pengelol 60 20 20 95 25% 23.75 5723.1 Rp 48,129,720 5% 1% Rp - Rp 199,731 Rp 9,987 Rp 1,997 Rp 187,747 47
19820325 201406 2 004 a KIA D-III 15 5
48 Yusri 19790217 200091 001 staf pkm SMA 50 5 20 4 55 20% 11 5723.1 Rp 48,129,720 1% Rp - Rp 92,507 Rp - Rp 925 Rp 91,582 48
Ka.
49 Afridayani, Amd. Kep 19820430 201212 2 001 UGD/Kes D-III 50 15 20 10 20 85 50% 42.5 5723.1 Rp 48,129,720 1% Rp - Rp 357,413 Rp - Rp 3,574 Rp 353,839 49
wa
Pengelola
50 Irwan Saputra, Amd. 199311122020121005 BOK, D-III 60 2 20 10 20 82 50% 41 5723.1 Rp 48,129,720 1% Rp - Rp 344,799 Rp - Rp 3,448 Rp 341,351 50
Kep
Survelens
51 Marlina Dewi, AM. Keb 19830629 201707 2 001 Staf UGD D-III 60 10 20 10 10 80 50% 40 5723.1 Rp 48,129,720 1% Rp - Rp 336,389 Rp - Rp 3,364 Rp 333,025 51
Bidan
52 Rahayu wulan 19880814 201707 2 001 D-III 60 10 20 20 70 100% 70 5723.1 Rp 48,129,720 1% Rp - Rp 588,681 Rp - Rp 5,887 Rp 582,794 52
s,Am.Keb Desa
Bidan
53 Nopri Winda Sari 19851223 201707 2 001 D-III 60 10 20 13 70 65% 45.5 5723.1 Rp 48,129,720 1% Rp - Rp 382,643 Rp - Rp 3,826 Rp 378,816 53
Desa
54 Sumiati,Am.Keb Bidan 60 20 70 100% 70 5723.1 Rp 48,129,720 1% Rp - Rp 588,681 Rp - Rp 5,887 Rp 582,794 54

19860404 201707 2 001 Desa D-III 10 20
Bidan
55 Anisah 19860515 201707 2 001 Desa/Ka. D-III 60 10 20 20 70 100% 70 5723.1 Rp 48,129,720 1% Rp - Rp 588,681 Rp - Rp 5,887 Rp 582,794 55
Hariyanti,Am.Keb pustu
Bidan
56 Eva Susanti, AM. Keb 19851105 201707 2 001 D-III 60 10 20 13 70 65% 45.5 5723.1 Rp 48,129,720 1% Rp - Rp 382,643 Rp - Rp 3,826 Rp 378,816 56
Desa
57 Desi Intan F,Am.keb Bidan 60 20 70 100% 70 5723.1 Rp 48,129,720 1% Rp - Rp 588,681 Rp - Rp 5,887 Rp 582,794 57
19850104 201707 2 001 Desa D-III 10 20
Bidan
58 Vivin Sativa Y,Am.Keb 19870506 201707 2 001 D-III 60 10 20 0 70 0% 0 5723.1 Rp 48,129,720 1% Rp - Rp - Rp - Rp - Rp - 58
Desa
Bidan
59 Sri rahayu,Am.Keb 19870211 201707 2 001 D-III 60 10 20 0 70 0% 0 5723.1 Rp 48,129,720 1% Rp - Rp - Rp - Rp - Rp - 59
Desa
60 Eka Maulidya, AM. Keb 19870101 201707 2 001 Bidan 60 20 70 40% 28 5723.1 Rp 48,129,720 1% Rp - Rp 235,472 Rp - Rp 2,355 Rp 233,118 60
Desa D-III 10 8
Bidan
61 Rita Fauzia,Am.Keb 19870925 201707 2 001 D-III 60 10 20 15 70 75% 52.5 5723.1 Rp 48,129,720 1% Rp - Rp 441,511 Rp - Rp 4,415 Rp 437,096 61
Desa
Bidan
62 Yuslina,Am.Keb 19840417 201707 2 001 D-III 60 15 20 15 75 75% 56.25 5723.1 Rp 48,129,720 1% Rp - Rp 473,047 Rp - Rp 4,730 Rp 468,317 62
Desa
Bidan
63 Putri Handayani R, 19861104 201707 2 001 D-III 60 10 20 15 70 75% 52.5 5723.1 Rp 48,129,720 1% Rp - Rp 441,511 Rp - Rp 4,415 Rp 437,096 63
AM. Keb Desa
Bidan
64 Yulistwo dewi 19890707 201707 2 001 D-III 60 10 20 14 70 70% 49 5723.1 Rp 48,129,720 1% Rp - Rp 412,077 Rp - Rp 4,121 Rp 407,956 64
W,Am.Keb Desa
68 Said Agus Rijal Kontrak Daerah Sopir SPK 25 5 20 20 10 40 100% 40 5723.1 Rp 48,129,720 Rp - Rp 336,389 Rp - Rp - Rp 336,389 68
staf poli
69 Safrina, STr. Keb Kontrak Daerah D-IV 80 2 20 18 82 90% 73.8 5723.1 Rp 48,129,720 Rp - Rp 620,638 Rp - Rp - Rp 620,638 69
MTBS
70 Syafrina, Str. Keb Kontrak Daerah Staf UGD DIV 80 5 20 20 85 100% 85 5723.1 Rp 48,129,720 Rp - Rp 714,827 Rp - Rp - Rp 714,827 70
71 Cut Mutia, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 20 18 10 75 90% 67.5 5723.1 Rp 48,129,720 Rp - Rp 567,657 Rp - Rp - Rp 567,657 71
72 Maulidar Sari, AM. Keb Kontrak Daerah Staf UGD D-III 60 5 20 20 65 100% 65 5723.1 Rp 48,129,720 Rp - Rp 546,632 Rp - Rp - Rp 546,632 72
73 Ariani Kontrak Daerah CS SMP 25 2 20 20 10 37 100% 37 5723.1 Rp 48,129,720 Rp - Rp 311,160 Rp - Rp - Rp 311,160 73
74 Ns.Renita Kontrak JKN Staf UGD Ners 50 5 20 20 55 100% 55 5723.1 Rp 48,129,720 Rp10,800 Rp 462,535 Rp - Rp 451,735 74
Alfiana,S.Kep
75 Usnatun Kontrak JKN Pcare D-III 30 2 20 19 32 95% 30.4 5723.1 Rp 48,129,720 Rp10,800 Rp 255,656 Rp - Rp 244,856 75
Hasanah,AM.Keb
76 Dwi Rahmayanti Kontrak JKN Staf BOK D-III 30 2 20 8 32 40% 12.8 5723.1 Rp 48,129,720 Rp10,800 Rp 107,645 Rp - Rp 96,845 76
77 Nurafni, AMKL Kontrak JKN Staf BOK D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 77
78 Mulia Safira, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 17 32 85% 27.2 5723.1 Rp 48,129,720 Rp10,800 Rp 228,745 Rp - Rp 217,945 78
79 Raudatul Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 79
Jannah,Amd.Keb
80 Santi Moida, AM. Keb Kontrak JKN staf UGD D-III 30 5 20 20 35 100% 35 5723.1 Rp 48,129,720 Rp10,800 Rp 294,341 Rp - Rp 283,541 80
81 Hamidah,AMK Kontrak JKN staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 81
82 Fitria, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 18 32 90% 28.8 5723.1 Rp 48,129,720 Rp10,800 Rp 242,200 Rp - Rp 231,400 82
83 Nurul Fajri, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5723.1 Rp 48,129,720 Rp10,800 Rp 294,341 Rp - Rp 283,541 83
84 Marmi Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 84
Fadillah,Amd.Keb
85 Safrina, Amd. Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 85
86 Puspita Sari, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 86
87 Dina Fadillah, Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 87
Amd.Keb
88 Sri Handayani F, Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5723.1 Rp 48,129,720 Rp10,800 Rp 294,341 Rp - Rp 283,541 88
Am.Keb
89 Irmayani,AMK Kontrak JKN staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 89
90 Wahyuna, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 90
91 Devita Sari, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 20 35 100% 35 5723.1 Rp 48,129,720 Rp10,800 Rp 294,341 Rp - Rp 283,541 91
92 Cut Irna Julita, Am.Keb Kontrak JKN Staf UGD D-III 30 2 20 20 32 100% 32 5723.1 Rp 48,129,720 Rp10,800 Rp 269,111 Rp - Rp 258,311 92
Staf
93 Eva Fitria,Am.Keb Kontrak JKN D-III 30 2 20 18 32 90% 28.8 5723.1 Rp 48,129,720 Rp10,800 Rp 242,200 Rp - Rp 231,400 93
Kartu
94 Bella Syafrina,Am.Keb Kontrak JKN Staf TU D-III 30 2 20 18 32 90% 28.8 5723.1 Rp 48,129,720 Rp10,800 Rp 242,200 Rp - Rp 231,400 94
95 Intan Fadillah, AM. Keb Kontrak JKN Staf UGD D-III 30 5 20 19 35 95% 33.25 5723.1 Rp 48,129,720 Rp10,800 Rp 279,623 Rp - Rp 268,823 95
96 Siti Aisyah, Amd.Keb Kontrak JKN Staf UGD D-III 30 2 20 15 32 75% 24 5723.1 Rp 48,129,720 Rp10,800 Rp 201,833 Rp - Rp 191,033 96
97 Nur Hasanah, Kontrak JKN Staf UGD D-III 30 2 20 14 32 70% 22.4 5723.1 Rp 48,129,720 Rp10,800 Rp 188,378 Rp - Rp 177,578 97
Amd.Keb
Ruang
98 Putri Mindayani, AMd. Kontrak JKN D-III 30 2 20 19 32 95% 30.4 5723.1 Rp 48,129,720 Rp10,800 Rp 255,656 Rp - Rp 244,856 98
Keb Kartu
99 Cut Tia Risky Kontrak JKN Pcare SMA 12.5 2 20 16 14.5 80% 11.6 5723.1 Rp 48,129,720 Rp10,800 Rp 97,553 Rp - Rp 86,753 99
100 Rosnita Rekam 30 20 32 75% 24 5723.1 Rp 48,129,720 Rp10,800 Rp 201,833 Rp - Rp 191,033 100
Kontrak JKN Medik D-III 2 15
5723 Rp291,600 Rp 48,129,720 Rp 2,099,531 Rp 381,579 Rp 45,357,010 Rp 48,129,720


NIP: 19810116 200911 2 001 NIP: 19781028 200801 2 002
REKENING PLUS NOMINAL CD NO NAMA KETERANGAN Rekening Perusahaan
0000000007140716892 + 1,022,105 C 0001 dr. Dewi Suryati PEMBAYARAN JASA JKN 00000007141083729
0000000007140180224 + 1,172,548 C 0002 Erni novita, S.Tr. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759448 + 730,291 C 0003 Ns.Riza Wahyudini,M.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139758735 + 976,745 C 0004 drg. Rasiman Ade Putra R PEMBAYARAN JASA JKN 00000007141083729
0000000007139758662 + 514,077 C 0005 Efri Gustina,S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007019683901 + 873,930 C 0006 dr. Ayu Latihifah PEMBAYARAN JASA JKN 00000007141083729
0000000007139753342 + 314,710 C 0007 dr. Tika Prasetya PEMBAYARAN JASA JKN 00000007141083729
0000000007178712866 + - C 0008 drg.Dwi Yanti Sriwahyuni R PEMBAYARAN JASA JKN 00000007141083729
0000000007139755067 + 541,436 C 0009 Herawati PEMBAYARAN JASA JKN 00000007141083729
0000000007139123144 + 642,956 C 0010 Rainiza. ZA, S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768196 + 532,976 C 0011 Ainul Mardhiah,A.Md.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752761 + 541,436 C 0012 Nuriah,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007138303459 + 622,652 C 0013 Nurjannah S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139760117 + 216,575 C 0014 Sri Asih Sunarsih, AMG PEMBAYARAN JASA JKN 00000007141083729
0000000007139762813 + 568,508 C 0015 Cut Devi Indriani, Am. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768428 + 746,167 C 0016 Syahyani,A.Md.Kes PEMBAYARAN JASA JKN 00000007141083729
0000000007139751501 + 610,808 C 0017 A. Kadir,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007141291674 + 219,959 C 0018 Mufriadi,A.Md PEMBAYARAN JASA JKN 00000007141083729
0000000007139123117 + 642,956 C 0019 Abbas, Amk PEMBAYARAN JASA JKN 00000007141083729
0000000007139751935 + 676,795 C 0020 Purnamawati,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139734429 + 604,040 C 0021 Khairiyati, SE PEMBAYARAN JASA JKN 00000007141083729
0000000007139957142 + 546,512 C 0022 Mia Dimiaty Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139122358 + 287,638 C 0023 Nuraini,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139764708 + 546,512 C 0024 Darmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752297 + 406,077 C 0025 Yusni Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762686 + 546,512 C 0026 Nuraini, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139751641 + 482,217 C 0027 Ernawati, AMK PEMBAYARAN JASA JKN 00000007141083729
0000000001052768628 + 324,862 C 0028 Safrina, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755248 + 532,976 C 0029 Nani Rahmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139763046 + 126,899 C 0030 Lismaulia, Amd.Ak PEMBAYARAN JASA JKN 00000007141083729
0000000007139758115 + 216,575 C 0031 Nurhafda, AR,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139832366 + 517,748 C 0032 Aisyah Anwar Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755477 + 604,040 C 0033 Sri Handayani Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139756357 + 532,976 C 0034 Armila Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139764476 + 546,512 C 0035 Sri endang Rahmawati, A.Md.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752637 + 675,103 C 0036 Mahdalena Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139754497 + 981,353 C 0037 Irmayani, A.Md. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139956588 + 439,917 C 0038 Ns. Siti Aisyah, Skep PEMBAYARAN JASA JKN 00000007141083729
0000000007139751347 + 428,073 C 0039 Ns.Nirmalawati, Skep PEMBAYARAN JASA JKN 00000007141083729
0000000007139670927 + 986,768 C 0040 dr. Fitria Aini PEMBAYARAN JASA JKN 00000007141083729
0000000007139754284 + 465,297 C 0041 Nelly. Z, SKM PEMBAYARAN JASA JKN 00000007141083729
0000000001175004452 + 746,167 C 0042 Ns.Mariyana, S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139757388 + 460,221 C 0043 Malanasrina Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139754942 + 568,508 C 0044 Siti Mutiah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139761884 + 642,956 C 0045 Syarifah Afra, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759057 + 639,572 C 0046 Syahfariati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139757542 + 568,508 C 0047 Reni Safitri,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
7150057404 + 78,407 C 0048 Yusri PEMBAYARAN JASA JKN 00000007141083729
0000000007139758301 + 484,701 C 0049 Afridayani, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007146459972 + 513,213 C 0050 Irwan Saputra, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139764174 + 456,189 C 0051 Marlina Dewi, AM. Keb PEMBAYARAN JASA JKN 00000007141083729 84,228,177 total
0000000007191027501 + 498,957 C 0052 Rahayu wulan s,Am.Keb PEMBAYARAN JASA JKN 00000007141083729 39,476,301 posting
0000000007139760918 + 277,990 C 0053 Nopri Winda Sari PEMBAYARAN JASA JKN 00000007141083729 44,751,876
0000000007139756058 + 523,904 C 0054 Sumiati,Am.Keb PEMBAYARAN JASA JKN 00000007141083729 13,502,339
0000000007191056366 + 498,957 C 0055 Anisah Hariyanti,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139763798 + 349,270 C 0056 Eva Susanti, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139760338 + 523,904 C 0057 Desi Intan F,Am.keb PEMBAYARAN JASA JKN 00000007141083729
0000000007154545616 + - C 0058 Vivin Sativa Y,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153058681 + - C 0059 Sri rahayu,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153061763 + 349,270 C 0060 Eka Maulidya, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007140216768 + 324,322 C 0061 Rita Fauzia,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007189735418 + 374,217 C 0062 Yuslina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755857 + 374,217 C 0063 Putri Handayani R, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759219 + 299,374 C 0064 Yulistwo dewi W,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139750874 + 224,530 C 0065 Misran PEMBAYARAN JASA JKN 00000007141083729
0000000007139884118 + 411,639 C 0066 Nurmawati PEMBAYARAN JASA JKN 00000007141083729
7201224122 + - C 0067 Saed Agel PEMBAYARAN JASA JKN 00000007141083729
0000000007139756686 + 291,598 C 0068 Said Agus Rijal PEMBAYARAN JASA JKN 00000007141083729
0000000007139757119 + 520,556 C 0069 Safrina, STr. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139753849 + 631,796 C 0070 Syafrina, Str. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000001051666417 + 386,997 C 0071 Cut Mutia, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768517 + 480,597 C 0072 Maulidar Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007197555477 + 193,319 C 0073 Ariani PEMBAYARAN JASA JKN 00000007141083729
0000000007139764317 + 404,997 C 0074 Ns.Renita Alfiana,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007152841501 + 219,598 C 0075 Usnatun Hasanah,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152786632 + 92,879 C 0076 Dwi Rahmayanti PEMBAYARAN JASA JKN 00000007141083729
0000000007152787892 + 231,118 C 0077 Nurafni, AMKL PEMBAYARAN JASA JKN 00000007141083729
0000000007152829517 + 185,039 C 0078 Mulia Safira, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152843083 + 231,118 C 0079 Raudatul Jannah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762228 + 253,798 C 0080 Santi Moida, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
7139757259 + 231,118 C 0081 Hamidah,AMK PEMBAYARAN JASA JKN 00000007141083729
0000000007152799939 + 219,598 C 0082 Fitria, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139756554 + 253,798 C 0083 Nurul Fajri, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152797995 + 231,118 C 0084 Marmi Fadillah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152796948 + 231,118 C 0085 Safrina, Amd. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152812428 + 231,118 C 0086 Puspita Sari, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152801388 + 231,118 C 0087 Dina Fadillah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759747 + 253,798 C 0088 Sri Handayani F, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762578 + 231,118 C 0089 Irmayani,AMK PEMBAYARAN JASA JKN 00000007141083729
0000000007152800918 + 231,118 C 0090 Wahyuna, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153061992 + 253,798 C 0091 Devita Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007193451521 + 196,559 C 0092 Cut Irna Julita, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007193358521 + 185,039 C 0093 Eva Fitria,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000001048735343 + 127,439 C 0094 Bella Syafrina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
7139122172 + 253,798 C 0095 Intan Fadillah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
7152794888 + 196,559 C 0096 Siti Aisyah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
7152806552 + 196,559 C 0097 Nur Hasanah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
7230779998 + 219,598 C 0098 Putri Mindayani, AMd. Keb PEMBAYARAN JASA JKN 00000007141083729
7227658511 + 67,499 C 0099 Cut Tia Risky PEMBAYARAN JASA JKN 00000007141083729
7230779605 + 150,479 C 0100 Rosnita PEMBAYARAN JASA JKN 00000007141083729
Jumlah yang diposting : 41,470,992

Pajak : 1,930,685
BPJS 1% : 354,403
BPJS Ketenagakerjaan
Kontrak : 356,400
44,112,480
0000000007140716892 + 1,377,514 C 0001 dr. Dewi Suryati PEMBAYARAN JASA JKN 00000007141083729
0000000007140180224 + 1,225,298 C 0002 Erni novita, S.Tr. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759448 + 771,761 C 0003 Ns.Riza Wahyudini,M.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139758735 + 1,140,864 C 0004 drg. Rasiman Ade Putra R PEMBAYARAN JASA JKN 00000007141083729
0000000007139758662 + 529,813 C 0005 Efri Gustina,S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007019683901 + 734,674 C 0006 dr. Ayu Latihifah PEMBAYARAN JASA JKN 00000007141083729
0000000007139753342 + 847,827 C 0007 dr. Tika Prasetya PEMBAYARAN JASA JKN 00000007141083729
0000000007178712866 + - C 0008 drg.Dwi Yanti Sriwahyuni R PEMBAYARAN JASA JKN 00000007141083729
0000000007139755067 + 569,170 C 0009 Herawati PEMBAYARAN JASA JKN 00000007141083729
0000000007139123144 + 638,340 C 0010 Rainiza. ZA, S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768196 + 788,538 C 0011 Ainul Mardhiah,A.Md.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752761 + 632,412 C 0012 Nuriah,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007138303459 + 705,534 C 0013 Nurjannah S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139760117 + 252,965 C 0014 Sri Asih Sunarsih, AMG PEMBAYARAN JASA JKN 00000007141083729
0000000007139762813 + 221,344 C 0015 Cut Devi Indriani, Am. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768428 + 788,538 C 0016 Syahyani,A.Md.Kes PEMBAYARAN JASA JKN 00000007141083729
0000000007139751501 + 750,989 C 0017 A. Kadir,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007141291674 + 335,969 C 0018 Mufriadi,A.Md PEMBAYARAN JASA JKN 00000007141083729
0000000007139123117 + 750,989 C 0019 Abbas, Amk PEMBAYARAN JASA JKN 00000007141083729
0000000007139751935 + 632,412 C 0020 Purnamawati,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139734429 + 632,412 C 0021 Khairiyati, SE PEMBAYARAN JASA JKN 00000007141083729
0000000007139957142 + 638,340 C 0022 Mia Dimiaty Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139122358 + 456,522 C 0023 Nuraini,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139764708 + 638,340 C 0024 Darmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752297 + 442,688 C 0025 Yusni Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762686 + 671,937 C 0026 Nuraini, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139751641 + 335,969 C 0027 Ernawati, AMK PEMBAYARAN JASA JKN 00000007141083729
0000000001052768628 + 379,447 C 0028 Safrina, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755248 + 563,242 C 0029 Nani Rahmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139763046 + 385,376 C 0030 Lismaulia, Amd.Ak PEMBAYARAN JASA JKN 00000007141083729
0000000007139758115 + 632,412 C 0031 Nurhafda, AR,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139832366 + 632,412 C 0032 Aisyah Anwar Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755477 + 436,759 C 0033 Sri Handayani Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139756357 + 592,886 C 0034 Armila Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139764476 + 638,340 C 0035 Sri endang Rahmawati, A.Md.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139752637 + 604,744 C 0036 Mahdalena Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139754497 + 1,225,298 C 0037 Irmayani, A.Md. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139956588 + 462,451 C 0038 Ns. Siti Aisyah, Skep PEMBAYARAN JASA JKN 00000007141083729
0000000007139751347 + 409,091 C 0039 Ns.Nirmalawati, Skep PEMBAYARAN JASA JKN 00000007141083729
0000000007139670927 + 704,348 C 0040 dr. Fitria Aini PEMBAYARAN JASA JKN 00000007141083729
0000000007139754284 + 772,728 C 0041 Nelly. Z, SKM PEMBAYARAN JASA JKN 00000007141083729
0000000001175004452 + 909,092 C 0042 Ns.Mariyana, S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139757388 + 316,206 C 0043 Malanasrina Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139754942 + 221,344 C 0044 Siti Mutiah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139761884 + 474,309 C 0045 Syarifah Afra, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759057 + 675,890 C 0046 Syahfariati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139757542 + 187,747 C 0047 Reni Safitri,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
7150057404 + 91,582 C 0048 Yusri PEMBAYARAN JASA JKN 00000007141083729
0000000007139758301 + 353,839 C 0049 Afridayani, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007146459972 + 341,351 C 0050 Irwan Saputra, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007139764174 + 333,025 C 0051 Marlina Dewi, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007191027501 + 582,794 C 0052 Rahayu wulan s,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139760918 + 378,816 C 0053 Nopri Winda Sari PEMBAYARAN JASA JKN 00000007141083729
0000000007139756058 + 582,794 C 0054 Sumiati,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007191056366 + 582,794 C 0055 Anisah Hariyanti,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139763798 + 378,816 C 0056 Eva Susanti, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139760338 + 582,794 C 0057 Desi Intan F,Am.keb PEMBAYARAN JASA JKN 00000007141083729
0000000007154545616 + - C 0058 Vivin Sativa Y,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153058681 + - C 0059 Sri rahayu,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153061763 + 233,118 C 0060 Eka Maulidya, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007140216768 + 437,096 C 0061 Rita Fauzia,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007189735418 + 468,317 C 0062 Yuslina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139755857 + 437,096 C 0063 Putri Handayani R, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759219 + 407,956 C 0064 Yulistwo dewi W,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139750874 + 291,397 C 0065 Misran PEMBAYARAN JASA JKN 00000007141083729
0000000007139884118 + 457,910 C 0066 Nurmawati PEMBAYARAN JASA JKN 00000007141083729
7201224122 + - C 0067 Saed Agel PEMBAYARAN JASA JKN 00000007141083729
0000000007139756686 + 336,389 C 0068 Said Agus Rijal PEMBAYARAN JASA JKN 00000007141083729
0000000007139757119 + 620,638 C 0069 Safrina, STr. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139753849 + 714,827 C 0070 Syafrina, Str. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000001051666417 + 567,657 C 0071 Cut Mutia, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139768517 + 546,632 C 0072 Maulidar Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007197555477 + 311,160 C 0073 Ariani PEMBAYARAN JASA JKN 00000007141083729
0000000007139764317 + 451,735 C 0074 Ns.Renita Alfiana,S.Kep PEMBAYARAN JASA JKN 00000007141083729
0000000007152841501 + 244,856 C 0075 Usnatun Hasanah,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152786632 + 96,845 C 0076 Dwi Rahmayanti PEMBAYARAN JASA JKN 00000007141083729
0000000007152787892 + 258,311 C 0077 Nurafni, AMKL PEMBAYARAN JASA JKN 00000007141083729
0000000007152829517 + 217,945 C 0078 Mulia Safira, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152843083 + 258,311 C 0079 Raudatul Jannah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762228 + 283,541 C 0080 Santi Moida, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
7139757259 + 258,311 C 0081 Hamidah,AMK PEMBAYARAN JASA JKN 00000007141083729
0000000007152799939 + 231,400 C 0082 Fitria, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139756554 + 283,541 C 0083 Nurul Fajri, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152797995 + 258,311 C 0084 Marmi Fadillah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152796948 + 258,311 C 0085 Safrina, Amd. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152812428 + 258,311 C 0086 Puspita Sari, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007152801388 + 258,311 C 0087 Dina Fadillah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139759747 + 283,541 C 0088 Sri Handayani F, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007139762578 + 258,311 C 0089 Irmayani,AMK PEMBAYARAN JASA JKN 00000007141083729
0000000007152800918 + 258,311 C 0090 Wahyuna, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007153061992 + 283,541 C 0091 Devita Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007193451521 + 258,311 C 0092 Cut Irna Julita, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000007193358521 + 231,400 C 0093 Eva Fitria,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
0000000001048735343 + 231,400 C 0094 Bella Syafrina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
7139122172 + 268,823 C 0095 Intan Fadillah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
7152794888 + 191,033 C 0096 Siti Aisyah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
7152806552 + 177,578 C 0097 Nur Hasanah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
7230779998 + 244,856 C 0098 Putri Mindayani, AMd. Keb PEMBAYARAN JASA JKN 00000007141083729
7227658511 + 86,753 C 0099 Cut Tia Risky PEMBAYARAN JASA JKN 00000007141083729
7230779605 + 191,033 C 0100 Rosnita PEMBAYARAN JASA JKN 00000007141083729

Pajak : 2,099,531
BPJS 1% : 381,579
Kontrak : 291,600
48,129,720
99 Cut Tia Risky Kontrak JKN Pelaksana P-care SMA 12.5 22 19 12.5 86% 10.79545 5158.205 Rp 50,190,136 Rp10,800 Rp 105,041 Rp - Rp 94,241 99
Pelaksana Rekam D-IV

100 Rosnita, S.Tr.Keb Kontrak JKN 30 22 0 30 0% 0.00000 5158.205 Rp 50,190,136 Rp - Rp - 100
Medik Kebidanan
5158.205 Rp334,800 Rp 50,190,136 Rp 2,411,133 Rp 420,024 Rp 47,024,179


NIP: 19810116 200911 2 001 NIP: 19781028 200801 2 002
REKENING PLUS NOMINAL CD NO
0000000007140716892 + 1,931,878 C 0001
0000000007140180224 + 960,366 C 0002
0000000007139759448 + 854,485 C 0003
0000000007139758735 + 1,326,309 C 0004
0000000007139758662 + 694,733 C 0005
0000000007019683901 + 1,326,309 C 0006
0000000007139753342 + 708,842 C 0007
0000000007178712866 + - C 0008
0000000007139755067 + 731,708 C 0009
0000000007139123144 + 473,947 C 0010
0000000007139768196 + 916,713 C 0011
0000000007139752761 + 698,448 C 0012
0000000007138303459 + 764,967 C 0013
0000000007139760117 + 424,058 C 0014
0000000007139762813 + 365,854 C 0015
0000000007139768428 + 567,489 C 0016
0000000007139751501 + 960,366 C 0017
0000000007141291674 + 353,382 C 0018
0000000007139123117 + 671,425 C 0019
0000000007139751935 + 611,142 C 0020
0000000007139734429 + 731,708 C 0021
0000000007139957142 + 777,439 C 0022
0000000007139122358 + 523,836 C 0023
0000000007139764708 + 282,705 C 0024
0000000007139752297 + 203,714 C 0025
0000000007139762686 + 600,749 C 0026
0000000007139751641 + 436,530 C 0027
0000000001052768628 + 394,956 C 0028
0000000007139755248 + 467,711 C 0029
0000000007139763046 + 218,265 C 0030
0000000007139758115 + 777,439 C 0031
0000000007139832366 + 411,586 C 0032
0000000007139755477 + 530,072 C 0033
0000000007139756357 + 685,976 C 0034
0000000007139764476 + 513,443 C 0035
0000000007139752637 + 473,947 C 0036
0000000007139754497 + 1,145,372 C 0037
0000000007139956588 + 648,559 C 0038
0000000007139751347 + 573,725 C 0039
0000000007139670927 + 1,077,606 C 0040
0000000007139754284 + 621,536 C 0041
0000000001175004452 + 916,713 C 0042
0000000007139757388 + 232,816 C 0043
0000000007139754942 + 465,632 C 0044
0000000007139761884 + 636,087 C 0045
0000000007139759057 + 785,754 C 0046
0000000007139757542 + 394,956 C 0047
7150057404 + 52,543 C 0048
0000000007139758301 + 446,614 C 0049
0000000007146459972 + 523,677 C 0050
0000000007139764174 + 490,400 C 0051
0000000007191027501 + 674,300 C 0052
0000000007139760918 + 288,986 C 0053
0000000007139756058 + 674,300 C 0054
0000000007191056366 + 674,300 C 0055
0000000007139763798 + 492,589 C 0056
0000000007139760338 + 674,300 C 0057
0000000007154545616 + 643,650 C 0058
0000000007153058681 + - C 0059
0000000007153061763 + - C 0060
0000000007140216768 + 429,100 C 0061
0000000007189735418 + 492,589 C 0062
0000000007139755857 + 492,589 C 0063
0000000007139759219 + 429,100 C 0064
0000000007139750874 + 315,257 C 0065
0000000007139884118 + 505,725 C 0066
7201224122 + - C 0067
0000000007139756686 + 110,827 C 0068
0000000007139757119 + 325,333 C 0069
0000000007139753849 + 360,715 C 0070
0000000001051666417 + 307,641 C 0071
0000000007139768517 + 267,836 C 0072
0000000007197555477 + 188,226 C 0073
0000000007139764317 + 276,682 C 0074
0000000007152841501 + 281,105 C 0075
0000000007152786632 + - C 0076
0000000007152787892 + 267,836 C 0077
0000000007152829517 + 228,031 C 0078
0000000007152843083 + 281,105 C 0079
0000000007139762228 + 281,105 C 0080
7139757259 + 281,105 C 0081
0000000007152799939 + 267,836 C 0082
0000000007139756554 + 267,836 C 0083
0000000007152797995 + 267,836 C 0084
0000000007152796948 + 267,836 C 0085
0000000007152812428 + 267,836 C 0086
0000000007152801388 + 267,836 C 0087
0000000007139759747 + 267,836 C 0088
0000000007139762578 + 267,836 C 0089
0000000007152800918 + 267,836 C 0090
0000000007153061992 + 267,836 C 0091
0000000007193451521 + 267,836 C 0092
0000000007193358521 + 228,031 C 0093
0000000001048735343 + 267,836 C 0094
7139122172 + 188,226 C 0095
7152794888 + 174,958 C 0096
7152806552 + 228,031 C 0097
7230779998 + 267,836 C 0098
7227658511 + 94,241 C 0099
7230779605 + - C 0100
Pajak : 2,411,133
BPJS 1% : 420,024
Kontrak : 334,800
50,190,136
NAMA KETERANGAN Rekening Perusahaan
dr. Dewi Suryati PEMBAYARAN JASA JKN 00000007141083729
Erni novita, S.Tr. Keb PEMBAYARAN JASA JKN 00000007141083729
Ns.Riza Wahyudini,M.Kep PEMBAYARAN JASA JKN 00000007141083729
drg. Rasiman Ade Putra R PEMBAYARAN JASA JKN 00000007141083729
Efri Gustina,S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
dr. Ayu Latihifah PEMBAYARAN JASA JKN 00000007141083729
dr. Tika Prasetya PEMBAYARAN JASA JKN 00000007141083729
drg.Dwi Yanti Sriwahyuni R PEMBAYARAN JASA JKN 00000007141083729
Herawati PEMBAYARAN JASA JKN 00000007141083729
Rainiza. ZA, S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
Ainul Mardhiah,A.Md.Keb PEMBAYARAN JASA JKN 00000007141083729
Nuriah,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
Nurjannah S.Tr.Keb PEMBAYARAN JASA JKN 00000007141083729
Sri Asih Sunarsih, AMG PEMBAYARAN JASA JKN 00000007141083729
Cut Devi Indriani, Am. Keb PEMBAYARAN JASA JKN 00000007141083729
Syahyani,A.Md.Kes PEMBAYARAN JASA JKN 00000007141083729
A. Kadir,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
Mufriadi,A.Md PEMBAYARAN JASA JKN 00000007141083729
Abbas, Amk PEMBAYARAN JASA JKN 00000007141083729
Purnamawati,S.Kep PEMBAYARAN JASA JKN 00000007141083729
Khairiyati, SE PEMBAYARAN JASA JKN 00000007141083729
Mia Dimiaty Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Nuraini,S.Kep PEMBAYARAN JASA JKN 00000007141083729
Darmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Yusni Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Nuraini, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Ernawati, AMK PEMBAYARAN JASA JKN 00000007141083729
Safrina, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Nani Rahmawati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Lismaulia, Amd.Ak PEMBAYARAN JASA JKN 00000007141083729
Nurhafda, AR,A.Md.Kep PEMBAYARAN JASA JKN 00000007141083729
Aisyah Anwar Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Sri Handayani Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Armila Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Sri endang Rahmawati, A.Md.KePEMBAYARAN JASA JKN 00000007141083729
Mahdalena Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Irmayani, A.Md. Keb PEMBAYARAN JASA JKN 00000007141083729
Ns. Siti Aisyah, Skep PEMBAYARAN JASA JKN 00000007141083729
Ns.Nirmalawati, Skep PEMBAYARAN JASA JKN 00000007141083729
dr. Fitria Aini PEMBAYARAN JASA JKN 00000007141083729
Nelly. Z, SKM PEMBAYARAN JASA JKN 00000007141083729
Ns.Mariyana, S.Kep PEMBAYARAN JASA JKN 00000007141083729
Malanasrina Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Siti Mutiah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Syarifah Afra, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Syahfariati Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Reni Safitri,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
Yusri PEMBAYARAN JASA JKN 00000007141083729
Afridayani, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
Irwan Saputra, Amd. Kep PEMBAYARAN JASA JKN 00000007141083729
Marlina Dewi, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Rahayu wulan s,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Nopri Winda Sari PEMBAYARAN JASA JKN 00000007141083729
Sumiati,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Anisah Hariyanti,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Eva Susanti, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Desi Intan F,Am.keb PEMBAYARAN JASA JKN 00000007141083729
Vivin Sativa Y,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Sri rahayu,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Eka Maulidya, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Rita Fauzia,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Yuslina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Putri Handayani R, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Yulistwo dewi W,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Misran PEMBAYARAN JASA JKN 00000007141083729
Nurmawati PEMBAYARAN JASA JKN 00000007141083729
Saed Agel PEMBAYARAN JASA JKN 00000007141083729
Said Agus Rijal PEMBAYARAN JASA JKN 00000007141083729
Safrina, STr. Keb PEMBAYARAN JASA JKN 00000007141083729
Syafrina, Str. Keb PEMBAYARAN JASA JKN 00000007141083729
Cut Mutia, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Maulidar Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Ariani PEMBAYARAN JASA JKN 00000007141083729
Ns.Renita Alfiana,S.Kep PEMBAYARAN JASA JKN 00000007141083729
Usnatun Hasanah,AM.Keb PEMBAYARAN JASA JKN 00000007141083729
Dwi Rahmayanti PEMBAYARAN JASA JKN 00000007141083729
Nurafni, AMKL PEMBAYARAN JASA JKN 00000007141083729
Mulia Safira, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Raudatul Jannah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Santi Moida, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Hamidah,AMK PEMBAYARAN JASA JKN 00000007141083729
Fitria, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Nurul Fajri, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Marmi Fadillah,Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Safrina, Amd. Keb PEMBAYARAN JASA JKN 00000007141083729
Puspita Sari, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Dina Fadillah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Sri Handayani F, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Irmayani,AMK PEMBAYARAN JASA JKN 00000007141083729
Wahyuna, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Devita Sari, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Cut Irna Julita, Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Eva Fitria,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Bella Syafrina,Am.Keb PEMBAYARAN JASA JKN 00000007141083729
Intan Fadillah, AM. Keb PEMBAYARAN JASA JKN 00000007141083729
Siti Aisyah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Nur Hasanah, Amd.Keb PEMBAYARAN JASA JKN 00000007141083729
Putri Mindayani, AMd. Keb PEMBAYARAN JASA JKN 00000007141083729
Cut Tia Risky PEMBAYARAN JASA JKN 00000007141083729
Rosnita PEMBAYARAN JASA JKN 00000007141083729
Nama : Sungai Raya
Puskesmas
Bulan Apr-23
Jumlah
Besaran Rp 84,869,580
Kapitasi Rp 50,921,748
Jumlah
Kapitasi Rp 33,947,832
Jenis Ketenagaan
Kehadiran k8/k7
Tanggung Jawab
Rangkap Tugas
Administratif
Pendidikan
Masa Kerja
Presentase
Jumlah Efektif
PPh BPJS BPJS 1%
Program
Jumlah Total Jasa Pelayanan
Jumlah Hari
Nama Jumlah
No Pegawai NIP/NRPTT Jabatan Seluruh Point Jasa Pelayanan Pajak yang diterima Tanda Tangan
Kerja
Kerja
Point k12*k11 PPH Jasa Pelayanan k13*k14/k13
Variabel (60%)
Ketenagaa 1% Ketenagakerj
aan
n
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20*17=21 20*19=22 19-20-21=22 23
dr. Dewi 19810116 200911 Ka Dokter

1 150 10 14 13 100 260 93% 241.42857 5485.929 Rp 50,921,748 15% 1% Rp - Rp 2,241,000 Rp 336,150 Rp 22,410 Rp 1,882,440 1
Suryati 2 001 Puskesmas Umum
Ka.TU/
Erni
Koordinator D-IV
novita, 19771111 200701
2 Bidan / Kebida 80 15 14 11 50 20 165 79% 129.64286 5485.929 Rp 50,921,748 5% 1% Rp - Rp 1,203,377 Rp 60,169 Rp 12,034 Rp 1,131,174 2
S.Tr. 2 018
Pelaksan nan
Keb
Kesga
Ns.Riza
Pelaksana
Wahyudi 19790710 200312
3 Pelayanan S-2 100 15 14 12 115 86% 98.57143 5485.929 Rp 50,921,748 15% 1% Rp - Rp 914,964 Rp 137,245 Rp 9,150 Rp 768,570 3
ni,M.Ke 2 003
Kesga / KB
p
drg.
Dokter
Rasiman 19811113 200904 Dokter
4 Gigi/Pj. 150 10 14 9 10 170 64% 109.28571 5485.929 Rp 50,921,748 15% 1% Rp - Rp 1,014,417 Rp 152,163 Rp 10,144 Rp 852,110 4
Ade 1 002 Gigi
Mutu
Putra R
Pj. UKM
Efri Pengemban DIV
19740413 200312
5 Gustina, ggan / Kebida 60 15 14 13 10 85 93% 78.92857 5485.929 Rp 50,921,748 15% 1% Rp - Rp 732,635 Rp 109,895 Rp 7,326 Rp 615,413 5
2 001
S.Tr.Keb Pelaksana nan
MTBS
Dokter
Pelayanan
dr. Ayu 19830703 200911 Dokter
6 Usila / 150 10 14 5 10 170 36% 60.71429 5485.929 Rp 50,921,748 15% 1% Rp - Rp 563,565 Rp 84,535 Rp 5,636 Rp 473,395 6
Latihifah 2 001 Umum
PJ.UKPFar
masi/LAB
Dokter
dr. Tika 19840315 201412 Dokter
7 Pelayanan 150 5 14 10 155 71% 110.71429 5485.929 Rp 50,921,748 5% 1% Rp - Rp 1,027,677 Rp 51,384 Rp 10,277 Rp 966,017 7
Prasetya 2 001 Umum
Umum
drg.Dwi
Yanti 19730112 200212 Dokter
8 dr. Poli gigi 50 20 14 0 70 0% 0.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp - Rp - Rp - Rp - 8
Sriwahy 2 002 Gigi
uni R
Ka.
DIII
19670525 198903 Apotik /
9 Herawati Farmas 50 20 14 14 10 80 100% 80.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 742,580 Rp 37,129 Rp 7,426 Rp 698,025 9
2 005 Pelaksana
i
Kestrad
Pelaksana
Rainiza. KB D-IV
19711229 199303
10 ZA, KESPRO / Kebida 80 15 14 7 95 50% 47.50000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 440,907 Rp 22,045 Rp 4,409 Rp 414,452 10
2 002
S.Tr.Keb Pelaksana nan
Kesga
Ka.Ruang
Ainul
MTBS / Pj DIII
Mardhia 19681219 199103
11 ISPA / Kebida 60 25 14 13 20 105 93% 97.50000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 905,019 Rp 45,251 Rp 9,050 Rp 850,718 11
h,A.Md. 2 010
Pelaksana nan
Keb
Diare
Pelaksana D-III
Nuriah,A 19650612 198603
12 Pelayanan Kepera 60 20 14 13 80 93% 74.28571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 689,538 Rp 34,477 Rp 6,895 Rp 648,166 12
.Md.Kep 2 003
Umum watan
Nurjanna D-IV
19740622 200701 Ka.PI / PJ
13 h, Kebida 80 15 14 10 20 115 71% 82.14286 5485.929 Rp 50,921,748 5% 1% Rp - Rp 762,470 Rp 38,124 Rp 7,625 Rp 716,722 13
2 005 Rabis
S.Tr.Keb nan
Pj. Prog
Sri Asih
19820817 200312 GIZI / D-III
14 Sunarsih, 60 15 14 5 10 85 36% 30.35714 5485.929 Rp 50,921,748 5% 1% Rp - Rp 281,783 Rp 14,089 Rp 2,818 Rp 264,876 14
2 003 Pelaksana Gizi
AMG
MTBS
Pj.
Cut Devi D-III
19820817 200312 Imunisasi /
15 Indriani, Kebida 60 10 14 4 10 80 29% 22.85714 5485.929 Rp 50,921,748 5% 1% Rp - Rp 212,166 Rp 10,608 Rp 2,122 Rp 199,436 15
2 003 Pelaksana
Am. Keb nan
Promkes
Ka.Ruang
Syahyani
Gigi / D-III
, 19710813 199603
16 PPTK Keseha 60 15 14 0 30 105 0% 0.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp - Rp - Rp - Rp - 16
A.Md.Ke 2 002
/Ketua TIM tan
s
P1
Ka.
A. Pelayanan D-III
19671231 198803
17 Kadir,A. Umum / Kepera 60 25 14 14 20 105 100% 105.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 974,636 Rp 48,732 Rp 9,746 Rp 916,158 17
1 032
Md.Kep Pj.Perkesm watan
as
Pelaksana D-III
Mufriadi, 19761119 200212
18 Administras Inform 50 10 14 10 60 71% 42.85714 5485.929 Rp 50,921,748 5% 1% Rp - Rp 397,811 Rp 19,891 Rp 3,978 Rp 373,942 18
A.Md 1 003
i atika
Pj. Pustu /
Pelaksana D-III
Abbas, 19670415 199108
19 PTM / Kepera 60 25 14 14 10 95 100% 95.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 881,814 Rp 44,091 Rp 8,818 Rp 828,905 19
Amk 1 008
Pelaksana watan
Lansia
PJ.
Surveilens /
Purnama S-I
19800915 200212 PJ.
20 wati,S.K Kepera 80 15 14 9 20 115 64% 73.92857 5485.929 Rp 50,921,748 5% 1% Rp - Rp 686,223 Rp 34,311 Rp 6,862 Rp 645,050 20
2 003 Akupresur/
ep watan
Pelaksana
PIS-PK
Pembantu S1
Khairiyat 19740101 200112
21 Pengurus Ekono 60 10 14 14 10 80 100% 80.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 742,580 Rp 37,129 Rp 7,426 Rp 698,025 21
i, SE 2 004
Barang mi
Mia D-III
19840313 200904 Pj.P-Care /
22 Dimiaty Kebida 60 5 14 11 20 85 79% 66.78571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 619,922 Rp 30,996 Rp 6,199 Rp 582,726 22
2 007 SP2TP
Am.Keb nan
Pj. PTM /
Pelaksana S-I
Nuraini, 19790101 200801
23 Lansia / Kepera 80 15 14 12 10 105 86% 90.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 835,402 Rp 41,770 Rp 8,354 Rp 785,278 23
S.Kep 2 009
Pelaksana watan
Prolanis
Ka.
Pelayanan
Darmaw D-III
19770202 200701 Persalinan /
24 ati Kebida 60 15 14 2 20 95 14% 13.57143 5485.929 Rp 50,921,748 5% 1% Rp - Rp 125,973 Rp 6,299 Rp 1,260 Rp 118,415 24
2 002 PJ. Diare /
Am.Keb nan
Pelaksan
Filariasis
Pelaksana D-III
Yusni 19790119 200604
25 Pelayanan Kebida 50 10 14 12 10 70 86% 60.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 556,935 Rp 27,847 Rp 5,569 Rp 523,519 25
Am.Keb 2 002
MTBS nan
Pj Anak /
D-III
Nuraini, 19750706 200701 Pelaksana
26 Kebida 60 15 14 14 10 85 100% 85.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 788,991 Rp 39,450 Rp 7,890 Rp 741,652 26
AM. Keb 2 004 Pelayanan
nan
Kesga
Pelaksana D-III
Ernawati 19791210 200701
27 Pelayanan Kepera 60 15 14 14 75 100% 75.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 696,169 Rp 34,808 Rp 6,962 Rp 654,398 27
, AMK 2 001
Umum wan
Pelaksana D-III
Safrina,
28 Pelayanan Kebida 50 15 14 12 65 86% 55.71429 5485.929 Rp 50,921,748 5% 1% Rp - Rp 517,154 Rp 25,858 Rp 5,172 Rp 486,125 28
Am.Keb
Kesga/KB nan
PJ.
Nani Filariasis /
D-III
Rahmaw 19811003 200604 Pelaksana
ati 2 007 Diare /
nan
Am.Keb Pelaksana
UGD
ka.Laborato
D-III
Lismauli rium /
19740312 200701 Analis
30 a, Pelaksana 60 5 14 9 10 75 64% 48.21429 5485.929 Rp 50,921,748 5% 1% Rp - Rp 447,537 Rp 22,377 Rp 4,475 Rp 420,685 30
2 003 Keseha
Amd.Ak TB-
tan
KUSTA
Nurhafda Pj. UKS /

D-III
, 197911920060420 Pelaksan
31 Kepera 60 15 14 14 10 85 100% 85.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 788,991 Rp 39,450 Rp 7,890 Rp 741,652 31
AR,A.M 07 Pelayanan
watan
d.Kep UGD
Pj.
Aisyah Prambusia/ D-III
19740312 200701
32 Anwar Pelksana Kebida 60 20 14 10 10 90 71% 64.28571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 596,716 Rp 29,836 Rp 5,967 Rp 560,913 32
2 003
Am.Keb pelayanan nan
Persalinan
Pj.HIV/
Sri AIDS/
D-III
Handaya 19770112 200801 Sipilis/
ni 2 002 Pelaksana
nan
Am.Keb Pelayanan
Farmasi
Pelaksana D-III
Armila 19770401 200701
34 Pelayanan Kebida 60 15 14 14 75 100% 75.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 696,169 Rp 34,808 Rp 6,962 Rp 654,398 34
Am.Keb 2 003
Lansia nan
Pj.PKPR /
Sri Jampersal /
endang Pelaksana
D-III
Rahmaw 19740312 200701 Malaria /
ati, 2 003 DBD /
nan
A.Md.Ke Pelaksana
b Pelayanan
Persalinan
Mahdale D-III
19780614 200801 Ka.Usila /
36 na Kebida 60 15 14 14 20 95 100% 95.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 881,814 Rp 44,091 Rp 8,818 Rp 828,905 36
2 002 Pj.Usila
Am.Keb nan
Bendahara
JKN / Pj
aspak /
Irmayani D-III
19781028 200801 Pj.KB
37 , A.Md. Kebida 60 15 14 9 50 20 145 64% 93.21429 5485.929 Rp 50,921,748 5% 1% Rp - Rp 865,238 Rp 43,262 Rp 8,652 Rp 813,324 37
2 002 KESPRO /
Keb nan
Pelaksanaa
Pelayanan
KIA
Pj. TB /
Ns. Siti Prambusia /
19800802 200701
38 Aisyah, Pelaksana Ners 100 10 14 8 20 130 57% 74.28571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 689,538 Rp 34,477 Rp 6,895 Rp 648,166 38
2 001
S.kep Pelayanan
Umum
Pj.
Ns.Nirm Kesling /
19841015 200604
39 alawati, Pelaksana Ners 100 5 14 10 10 115 71% 82.14286 5485.929 Rp 50,921,748 5% 1% Rp - Rp 762,470 Rp 38,124 Rp 7,625 Rp 716,722 39
2 001
Skep Pelayanan
Umum
dr. Fitria 19920811 201903 dr. UGD / Dokter

40 150 2 14 4 10 162 29% 46.28571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 429,635 Rp 21,482 Rp 4,296 Rp 403,857 40
Aini 2 010 Pj. Jejaring Umum
Pj
Promkes /
S-1
Nelly. Z, 19771107 200701 Pj UKM
41 Kesma 80 15 14 11 20 115 79% 90.35714 5485.929 Rp 50,921,748 5% 1% Rp - Rp 838,717 Rp 41,936 Rp 8,387 Rp 788,394 41
SKM 2 013 Esensial /
s
Pelaksana
Imunisasi
Ns.Mariy
198405508 Pj. P2P /
42 ana, Ners 100 5 14 14 105 100% 105.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 974,636 Rp 48,732 Rp 9,746 Rp 916,158 42
200801 2003 Staf UGD
S.Kep
PJ. DBD /
Malanasr D-III
19820101 201406 Pelaksana
43 ina Kebida 60 10 14 13 10 80 93% 74.28571 5485.929 Rp 50,921,748 5% 1% Rp - Rp 689,538 Rp 34,477 Rp 6,895 Rp 648,166 43
2 007 KB
Am.Keb nan
KESPRO
Siti PJ.Malaria/ D-III

19820101 201406
44 Mutiah, Pelaksana Kebida 60 10 14 14 10 80 100% 80.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 742,580 Rp 37,129 Rp 7,426 Rp 698,025 44
2 007
AM. Keb Imunisasi nan
Pj.Hepatitis
Syarifah / Ketua D-III
19781026 200604
45 Afra, TIM P2 / Kebida 60 15 14 11 20 95 79% 74.64286 5485.929 Rp 50,921,748 5% 1% Rp - Rp 692,853 Rp 34,643 Rp 6,929 Rp 651,282 45
2 010
AM. Keb Pelaksan nan
HIV/AIDS
Pj kesja OR
Syahfari / Prolanis / D-III
19750112 201212
46 ati Pelaksana Kebida 60 10 14 14 20 90 100% 90.00000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 835,402 Rp 41,770 Rp 8,354 Rp 785,278 46
2 002
Am.Keb Pelayanan nan
Kesga / KB
Reni D-III
19820325 201406 Ka. KIA /
47 Safitri,A Kebida 60 15 14 7 20 95 50% 47.50000 5485.929 Rp 50,921,748 5% 1% Rp - Rp 440,907 Rp 22,045 Rp 4,409 Rp 414,452 47
2 004 Pj.Kesga
M.Keb nan
19790217 200091 Koordinator
48 Yusri SMA 25 5 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 1% Rp - Rp 278,467 Rp - Rp 2,785 Rp 275,683 48
001 Arsip
Afridaya Ka.Pelayan D-III

19820430 201212
49 ni, Amd. an UGD/ Kepera 50 15 14 11 20 85 79% 66.78571 5485.929 Rp 50,921,748 1% Rp - Rp 619,922 Rp - Rp 6,199 Rp 613,722 49
2 001
Kep Pj.Keswa watan
Bendahara
pengeluara
Irwan n
D-III
Saputra, 199311122020121 Pembantu(
50 Kepera 60 2 14 5 30 92 36% 32.85714 5485.929 Rp 50,921,748 1% Rp - Rp 304,988 Rp - Rp 3,050 Rp 301,938 50
Amd. 005 BOK) /
watan
Kep Pj.Pusling /
Pelaksana
Gizi
Pj. Bencana
Marlina D-III
19830629 201707 / Pelaksana
51 Dewi, Kebida 60 10 14 14 10 80 100% 80.00000 5485.929 Rp 50,921,748 1% Rp - Rp 742,580 Rp - Rp 7,426 Rp 735,154 51
2 001 Pelayanan
AM. Keb nan
UGD
Rahayu
Bidan Desa D-III
wulan 19880814 201707
52 Sungai Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 52
s,Am.Ke 2 001
Simpang nan
b
Nopri Bidan Desa D-III

19851223 201707
53 Winda Gajah Kebida 50 10 14 14 60 100% 60.00000 5485.929 Rp 50,921,748 1% Rp - Rp 556,935 Rp - Rp 5,569 Rp 551,366 53
2 001
Sari Meuntah nan
Bidan Desa D-III

Sumiati, 19860404 201707
54 Paya Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 54
Am.Keb 2 001
Keutapang nan
Anisah Bidan Desa D-III

19860515 201707
55 Hariyanti Seunebok Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 55
2 001
,Am.Keb Aceh nan
Eva Bidan Desa D-III
19851105 201707
56 Susanti, Seunebok Kebida 60 15 14 11 75 79% 58.92857 5485.929 Rp 50,921,748 1% Rp - Rp 546,990 Rp - Rp 5,470 Rp 541,520 56
2 001
AM. Keb Pase nan
Desi
D-III
Intan 19850104 201707 Bidan Desa
57 Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 57
F,Am.ke 2 001 Alue Itam
nan
b
Vivin
D-III
Sativa 19870506 201707 Bidan Desa
58 Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 58
Y,Am.K 2 001 Bukit Drien
nan
eb
Sri Bidan Desa D-III

19870211 201707
59 rahayu,A Krueng Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 59
2 001
m.Keb Lingka nan
Eka
Bidan Desa D-III
Maulidy 19870101 201707
60 Labuhan Kebida 60 10 14 0 70 0% 0.00000 5485.929 Rp 50,921,748 1% Rp - Rp - Rp - Rp - Rp - 60
a, AM. 2 001
Keude nan
Keb
Rita Bidan Desa D-III

19870925 201707
61 Fauzia, Geulumpan Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 61
2 001
Am.Keb g Payong nan
Bidan Desa D-III

Yuslina, 19840417 201707
62 Alue Kebida 60 15 14 14 75 100% 75.00000 5485.929 Rp 50,921,748 1% Rp - Rp 696,169 Rp - Rp 6,962 Rp 689,207 62
Am.Keb 2 001
Rangan nan
Putri
Bidan Desa D-III
Handaya 19861104 201707
63 Kuala Kebida 60 15 14 14 75 100% 75.00000 5485.929 Rp 50,921,748 1% Rp - Rp 696,169 Rp - Rp 6,962 Rp 689,207 63
ni R, 2 001
Parek nan
AM. Keb
Yulistwo
Bidan Desa D-III
dewi 19890707 201707
64 Bukit Kebida 60 10 14 14 70 100% 70.00000 5485.929 Rp 50,921,748 1% Rp - Rp 649,757 Rp - Rp 6,498 Rp 643,260 64
W,Am.K 2 001
Seulamat nan
eb
Pj.Rumah
Tangga /
19650402 201212
65 Misran Pelaksana SMA 25 10 14 0 35 0% 0.00000 5485.929 Rp 50,921,748 1% Rp - Rp - Rp - Rp - Rp - 65
1 002
Rekam
Medik
Nurmaw 19810808 199911 Ka.

66 SMP 25 20 14 13 10 55 93% 51.07143 5485.929 Rp 50,921,748 1% Rp - Rp 474,058 Rp - Rp 4,741 Rp 469,317 66
ati 2 002 Pendaftaran
Pelaksana
Saed 19820801 20009 1
67 Rekam SMP 25 14 0 25 0% 0.00000 5485.929 Rp 50,921,748 1% Rp - Rp - Rp - Rp - Rp - 67
Agel 001
Medik
Supir
Said
Ambulance
68 Agus Kontrak Daerah SPK 12.5 14 14 12.5 100% 12.50000 5485.929 Rp 50,921,748 Rp10,800 Rp 116,028 Rp - Rp - Rp 105,228 68
/ Pelaksana
Rijal
Pusling
Pelaksana
Pelayanan D-IV
Safrina,
69 Kontrak Daerah MTBS / Kebida 40 14 14 40 100% 40.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 371,290 Rp - Rp - Rp 360,490 69
STr. Keb
ISPA / nan
Diare
Pelaksana
Syafrina, D-IV
Pelayanan
70 S.Tr. Kontrak Daerah Kebida 40 14 14 40 100% 40.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 371,290 Rp - Rp - Rp 360,490 70
UGD /
Keb nan
Persalinan
Reseptionis
Cut D-III
/ Pelaksana
71 Mutia, Kontrak Daerah Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp - Rp 267,667 71
PKPR /
AM. Keb nan
UKS
Maulidar Pelaksana D-III
72 Sari, Kontrak Daerah Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp - Rp 267,667 72
AM. Keb UGD nan
Cleaning
73 Ariani Kontrak Daerah SMP 12.5 14 14 12.5 100% 12.50000 5485.929 Rp 50,921,748 Rp10,800 Rp 116,028 Rp - Rp - Rp 105,228 73
Service
Operator
Ns.Renit Komputer
a SIRUP /
74 Kontrak JKN Ners 50 14 0 50 0% 0.00000 5485.929 Rp 50,921,748 Rp - Rp - 74
Alfiana,S JKN /
.Kep Pelaksana
Admistrasi
Pelaksana
Usnatun P-care / D-III
75 Hasanah, Kontrak JKN PTM / Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 75
AM.Keb Kesja OR / nan
Prolanis
Dwi
Rahmaya Pelaksana D-III
76 Kontrak JKN 30 14 0 30 0% 0.00000 5485.929 Rp 50,921,748 Rp - Rp - 76
nti, Gizi Gizi
AMG
D-III
Nurafni, Pelaksana
77 Kontrak JKN Keslin 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 77
AMKL Kesling
g
Mulia Opeator
D-III
Safira, PIS-PK/Pel
78 Kontrak JKN Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 78
Amd.Ke aksana
nan
b Filariasis
Pelaksana
Raudatul D-III
HIV/AIDS/
79 Jannah,A Kontrak JKN Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 79
Pelayanan
md.Keb nan
Persalinan
Santi Pelaksan D-III
80 Moida, Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 80
AM. Keb Pustu nan
Pelaksan D-III
Hamidah
81 Kontrak JKN Pelayanan Kepera 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 81
,AMK
Pustu watan
Fitria, Pelaksana D-III

82 Amd.Ke Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 82
b UGD nan
Nurul Pelaksana D-III

83 Fajri, Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 83
AM. Keb Persalinan nan
Marmi
Pelaksana D-III
Fadillah,
84 Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 84
Amd.Ke
Persalinan nan
b
Safrina, Pelaksana D-III

85 Amd. Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 85
Keb Persalinan nan
Puspita
Pelaksana D-III
Sari,
Amd.Ke
Persalinan nan
b
Dina
Pelaksanaa D-III
Fadillah,
Amd.Ke
UGD nan
b
Sri
Pelaksana D-III
Handaya
ni F,
Persalinan nan
Am.Keb
Pelaksanaa D-III
Irmayani
89 Kontrak JKN Pelayanan Kepera 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 89
, AMK
UGD watan
Wahyun
Pelaksana D-III
a,
Amd.Ke
Persalinan nan
b
Devita Pelaksana D-III

91 Sari, Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 91
AM. Keb Persalinan nan
Cut Irna Pelaksanaa D-III

92 Julita, Kontrak JKN Pelayanan Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 92
Am.Keb UGD nan
Pelaksana
Eva D-III
Pelayanan
93 Fitria,A Kontrak JKN Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 93
Rekam
m.Keb nan
Medik
Operator
Bella Hafis/Pelak D-III
94 Syafrina, Kontrak JKN sana Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 94
Am.Keb Administras nan
i
Operator
SDMK /
Pelaksana
Intan D-III
Kesga /
95 Fadillah, Kontrak JKN Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 95
Pelaksana
AM. Keb nan
Hepatitis /
Pelaksana
Admistrasi
Informasi /
Siti Reseptionis
D-III
Aisyah, / Pelaksana
96 Kontrak JKN Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 96
Amd.Ke PI /
nan
b Pelaksana
Rabies
Pelaksana
Bendahara
Nurhasa
Pengeluara D-III
nah,
97 Kontrak JKN n Pembantu Kebida 30 14 14 30 100% 30.00000 5485.929 Rp 50,921,748 Rp10,800 Rp 278,467 Rp - Rp 267,667 97
Amd.Ke
/ PKPR / nan
b
Administras
i
Putri
Pelaksana D-III
Mindaya
ni, AMd.
Pendaftaran nan
Keb
Cut Tia Pelaksana

99 Kontrak JKN SMA 12.5 14 14 12.5 100% 12.50000 5485.929 Rp 50,921,748 Rp10,800 Rp 116,028 Rp - Rp 105,228 99
Risky P-care
Pelaksana D-IV
Rosnita,
100 Kontrak JKN Rekam Kebida 30 14 0 30 0% 0.00000 5485.929 Rp 50,921,748 Rp - Rp - 100
S.Tr.Keb
Medik nan
5485.929 Rp324,000 Rp 50,921,748 Rp 2,184,411 Rp 428,694 Rp 47,984,643


NIP: 19810116 200911 2 001 NIP: 19781028 200801 2 002
Rp 50,921,748
PEMBAYARAN
0000000007140716892 + 1,882,440 C 0001 dr. Dewi Suryati JASA JKN 00000007141083729
Erni novita, S.Tr. PEMBAYARAN
0000000007140180224 + 1,131,174 C 0002 Keb JASA JKN 00000007141083729
Ns.Riza PEMBAYARAN
0000000007139759448 + 768,570 C 0003 Wahyudini,M.Kep JASA JKN 00000007141083729
drg. Rasiman Ade PEMBAYARAN
0000000007139758735 + 852,110 C 0004 Putra R JASA JKN 00000007141083729
PEMBAYARAN
0000000007139758662 + 615,413 C 0005 Efri Gustina,S.Tr.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007019683901 + 473,395 C 0006 dr. Ayu Latihifah JASA JKN 00000007141083729
PEMBAYARAN
0000000007139753342 + 966,017 C 0007 dr. Tika Prasetya JASA JKN 00000007141083729
drg.Dwi Yanti PEMBAYARAN
0000000007178712866 + - C 0008 Sriwahyuni R JASA JKN 00000007141083729
PEMBAYARAN
0000000007139755067 + 698,025 C 0009 Herawati JASA JKN 00000007141083729
PEMBAYARAN
0000000007139123144 + 414,452 C 0010 Rainiza. ZA, S.Tr.Keb JASA JKN 00000007141083729
Ainul PEMBAYARAN
0000000007139768196 + 850,718 C 0011 Mardhiah,A.Md.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139752761 + 648,166 C 0012 Nuriah,A.Md.Kep JASA JKN 00000007141083729
PEMBAYARAN
0000000007138303459 + 716,722 C 0013 Nurjannah S.Tr.Keb JASA JKN 00000007141083729
Sri Asih Sunarsih, PEMBAYARAN
0000000007139760117 + 264,876 C 0014 AMG JASA JKN 00000007141083729
Cut Devi Indriani, PEMBAYARAN

0000000007139762813 + 199,436 C 0015 Am. Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139768428 + - C 0016 Syahyani,A.Md.Kes JASA JKN 00000007141083729
PEMBAYARAN
0000000007139751501 + 916,158 C 0017 A. Kadir,A.Md.Kep JASA JKN 00000007141083729
PEMBAYARAN
0000000007141291674 + 373,942 C 0018 Mufriadi,A.Md JASA JKN 00000007141083729
PEMBAYARAN
0000000007139123117 + 828,905 C 0019 Abbas, Amk JASA JKN 00000007141083729
PEMBAYARAN
0000000007139751935 + 645,050 C 0020 Purnamawati,S.Kep JASA JKN 00000007141083729
PEMBAYARAN
0000000007139734429 + 698,025 C 0021 Khairiyati, SE JASA JKN 00000007141083729
Mia Dimiaty PEMBAYARAN
0000000007139957142 + 582,726 C 0022 Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139122358 + 785,278 C 0023 Nuraini,S.Kep JASA JKN 00000007141083729
PEMBAYARAN
0000000007139764708 + 118,415 C 0024 Darmawati Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139752297 + 523,519 C 0025 Yusni Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139762686 + 741,652 C 0026 Nuraini, AM. Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139751641 + 654,398 C 0027 Ernawati, AMK JASA JKN 00000007141083729
PEMBAYARAN
0000000001052768628 + 486,125 C 0028 Safrina, Am.Keb JASA JKN 00000007141083729
Nani Rahmawati PEMBAYARAN
0000000007139755248 + 654,398 C 0029 Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139763046 + 420,685 C 0030 Lismaulia, Amd.Ak JASA JKN 00000007141083729
Nurhafda, PEMBAYARAN
0000000007139758115 + 741,652 C 0031 AR,A.Md.Kep JASA JKN 00000007141083729
Aisyah Anwar PEMBAYARAN
0000000007139832366 + 560,913 C 0032 Am.Keb JASA JKN 00000007141083729
Sri Handayani PEMBAYARAN
0000000007139755477 + 529,751 C 0033 Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139756357 + 654,398 C 0034 Armila Am.Keb JASA JKN 00000007141083729
Sri endang
Rahmawati, PEMBAYARAN
0000000007139764476 + 532,867 C 0035 A.Md.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139752637 + 828,905 C 0036 Mahdalena Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139754497 + 813,324 C 0037 Irmayani, A.Md. Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139956588 + 648,166 C 0038 Ns. Siti Aisyah, Skep JASA JKN 00000007141083729
Ns.Nirmalawati, PEMBAYARAN
0000000007139751347 + 716,722 C 0039 Skep JASA JKN 00000007141083729
PEMBAYARAN
0000000007139670927 + 403,857 C 0040 dr. Fitria Aini JASA JKN 00000007141083729
PEMBAYARAN
0000000007139754284 + 788,394 C 0041 Nelly. Z, SKM JASA JKN 00000007141083729
PEMBAYARAN
0000000001175004452 + 916,158 C 0042 Ns.Mariyana, S.Kep JASA JKN 00000007141083729
Malanasrina PEMBAYARAN
0000000007139757388 + 648,166 C 0043 Am.Keb JASA JKN 00000007141083729
Siti Mutiah, AM. PEMBAYARAN
0000000007139754942 + 698,025 C 0044 Keb JASA JKN 00000007141083729
Syarifah Afra, AM. PEMBAYARAN
0000000007139761884 + 651,282 C 0045 Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139759057 + 785,278 C 0046 Syahfariati Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139757542 + 414,452 C 0047 Reni Safitri,AM.Keb JASA JKN 00000007141083729
PEMBAYARAN
7150057404 + 275,683 C 0048 Yusri JASA JKN 00000007141083729
Afridayani, Amd. PEMBAYARAN
0000000007139758301 + 613,722 C 0049 Kep JASA JKN 00000007141083729
Irwan Saputra, PEMBAYARAN
0000000007146459972 + 301,938 C 0050 Amd. Kep JASA JKN 00000007141083729
Marlina Dewi, AM. PEMBAYARAN
0000000007139764174 + 735,154 C 0051 Keb JASA JKN 00000007141083729
Rahayu wulan PEMBAYARAN
0000000007191027501 + 643,260 C 0052 s,Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139760918 + 551,366 C 0053 Nopri Winda Sari JASA JKN 00000007141083729
PEMBAYARAN
0000000007139756058 + 643,260 C 0054 Sumiati,Am.Keb JASA JKN 00000007141083729
Anisah PEMBAYARAN
0000000007191056366 + 643,260 C 0055 Hariyanti,Am.Keb JASA JKN 00000007141083729
Eva Susanti, AM. PEMBAYARAN
0000000007139763798 + 541,520 C 0056 Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139760338 + 643,260 C 0057 Desi Intan F,Am.keb JASA JKN 00000007141083729
Vivin Sativa PEMBAYARAN
0000000007154545616 + 643,260 C 0058 Y,Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007153058681 + 643,260 C 0059 Sri rahayu,Am.Keb JASA JKN 00000007141083729
Eka Maulidya, AM. PEMBAYARAN
0000000007153061763 + - C 0060 Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007140216768 + 643,260 C 0061 Rita Fauzia,Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007189735418 + 689,207 C 0062 Yuslina,Am.Keb JASA JKN 00000007141083729
Putri Handayani R, PEMBAYARAN
0000000007139755857 + 689,207 C 0063 AM. Keb JASA JKN 00000007141083729
Yulistwo dewi PEMBAYARAN
0000000007139759219 + 643,260 C 0064 W,Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139750874 + - C 0065 Misran JASA JKN 00000007141083729
PEMBAYARAN
0000000007139884118 + 469,317 C 0066 Nurmawati JASA JKN 00000007141083729
PEMBAYARAN
7201224122 + - C 0067 Saed Agel JASA JKN 00000007141083729
PEMBAYARAN
0000000007139756686 + 105,228 C 0068 Said Agus Rijal JASA JKN 00000007141083729
PEMBAYARAN
0000000007139757119 + 360,490 C 0069 Safrina, STr. Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139753849 + 360,490 C 0070 Syafrina, Str. Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000001051666417 + 267,667 C 0071 Cut Mutia, AM. Keb JASA JKN 00000007141083729
Maulidar Sari, AM. PEMBAYARAN
0000000007139768517 + 267,667 C 0072 Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007197555477 + 105,228 C 0073 Ariani JASA JKN 00000007141083729
Ns.Renita PEMBAYARAN
0000000007139764317 + - C 0074 Alfiana,S.Kep JASA JKN 00000007141083729
Usnatun PEMBAYARAN
0000000007152841501 + 267,667 C 0075 Hasanah,AM.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007152786632 + - C 0076 Dwi Rahmayanti JASA JKN 00000007141083729
PEMBAYARAN
0000000007152787892 + 267,667 C 0077 Nurafni, AMKL JASA JKN 00000007141083729
Mulia Safira, PEMBAYARAN
0000000007152829517 + 267,667 C 0078 Amd.Keb JASA JKN 00000007141083729
Raudatul PEMBAYARAN
0000000007152843083 + 267,667 C 0079 Jannah,Amd.Keb JASA JKN 00000007141083729
Santi Moida, AM. PEMBAYARAN
0000000007139762228 + 267,667 C 0080 Keb JASA JKN 00000007141083729
PEMBAYARAN
7139757259 + 267,667 C 0081 Hamidah,AMK JASA JKN 00000007141083729
PEMBAYARAN
0000000007152799939 + 267,667 C 0082 Fitria, Amd.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139756554 + 267,667 C 0083 Nurul Fajri, AM. Keb JASA JKN 00000007141083729
Marmi PEMBAYARAN
0000000007152797995 + 267,667 C 0084 Fadillah,Amd.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007152796948 + 267,667 C 0085 Safrina, Amd. Keb JASA JKN 00000007141083729
Puspita Sari, PEMBAYARAN
0000000007152812428 + 267,667 C 0086 Amd.Keb JASA JKN 00000007141083729
Dina Fadillah, PEMBAYARAN
0000000007152801388 + 267,667 C 0087 Amd.Keb JASA JKN 00000007141083729
Sri Handayani F, PEMBAYARAN
0000000007139759747 + 267,667 C 0088 Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007139762578 + 267,667 C 0089 Irmayani,AMK JASA JKN 00000007141083729
PEMBAYARAN
0000000007152800918 + 267,667 C 0090 Wahyuna, Amd.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007153061992 + 267,667 C 0091 Devita Sari, AM. Keb JASA JKN 00000007141083729
Cut Irna Julita, PEMBAYARAN
0000000007193451521 + 267,667 C 0092 Am.Keb JASA JKN 00000007141083729
PEMBAYARAN
0000000007193358521 + 267,667 C 0093 Eva Fitria,Am.Keb JASA JKN 00000007141083729
Bella PEMBAYARAN
0000000001048735343 + 267,667 C 0094 Syafrina,Am.Keb JASA JKN 00000007141083729
Intan Fadillah, AM. PEMBAYARAN
7139122172 + 267,667 C 0095 Keb JASA JKN 00000007141083729
PEMBAYARAN
7152794888 + 267,667 C 0096 Siti Aisyah, Amd.Keb JASA JKN 00000007141083729
Nur Hasanah, PEMBAYARAN
7152806552 + 267,667 C 0097 Amd.Keb JASA JKN 00000007141083729
Putri Mindayani, PEMBAYARAN
7230779998 + 267,667 C 0098 AMd. Keb JASA JKN 00000007141083729
PEMBAYARAN
7227658511 + 105,228 C 0099 Cut Tia Risky JASA JKN 00000007141083729
PEMBAYARAN
7230779605 + - C 0100 Rosnita JASA JKN 00000007141083729
Pajak : 2,184,411
BPJS 1% : 428,694
Kontrak : 324,000
50,921,748

DRAF - JASA - TAHUN - 2023

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Nama Puskesmas : Sungai Raya

Ka. TU / Koor. D-IV

28 Safrina, Am.Keb 117609102007012000 staf puskesmas D-III 60 20 16 60 80% 5658.35 Rp 48,129,720 Rp - Rp - 28

Sri endang Rahmawati, Koor. PKPR /

Ka. Usila / PIS-PK

5658.35 Rp291,600 Rp 48,129,720 Rp 2,123,025 Rp 382,054 Rp 45,268,241

dr.Dewi Suryati. IRMAYANI, A.Md.Keb

Ka. TU / Koor. D-IV

10 Rainiza. ZA, S.Tr.Keb D-IV

Ka. Usila / PIS-

5835.02381 Rp356,400 Rp 44,112,480 Rp 1,930,685 Rp 354,403 Rp 41,470,992

dr.Dewi Suryati. IRMAYANI, A.Md.Keb

54 Sumiati,Am.Keb Bidan 60 20 70 100% 70 5723.1 Rp 48,129,720 1% Rp - Rp 588,681 Rp - Rp 5,887 Rp 582,794 54

73 Ariani Kontrak Daerah CS SMP 25 2 20 20 10 37 100% 37 5723.1 Rp 48,129,720 Rp - Rp 311,160 Rp - Rp - Rp 311,160 73

5723 Rp291,600 Rp 48,129,720 Rp 2,099,531 Rp 381,579 Rp 45,357,010 Rp 48,129,720

dr.Dewi Suryati. IRMAYANI, A.Md.Keb

Jumlah yang diposting : 41,470,992

Jumlah yang diposting : 45,357,010

Pelaksana Rekam D-IV

5158.205 Rp334,800 Rp 50,190,136 Rp 2,411,133 Rp 420,024 Rp 47,024,179

dr.Dewi Suryati. IRMAYANI, A.Md.Keb

dr. Dewi 19810116 200911 Ka Dokter

Nurhafda Pj. UKS /

dr. Fitria 19920811 201903 dr. UGD / Dokter

Siti PJ.Malaria/ D-III

Afridaya Ka.Pelayan D-III

Nopri Bidan Desa D-III

Bidan Desa D-III

Anisah Bidan Desa D-III

Sri Bidan Desa D-III

Rita Bidan Desa D-III

Bidan Desa D-III

Nurmaw 19810808 199911 Ka.

Fitria, Pelaksana D-III

Nurul Pelaksana D-III

Safrina, Pelaksana D-III

Devita Pelaksana D-III

Cut Irna Pelaksanaa D-III

Cut Tia Pelaksana

5485.929 Rp324,000 Rp 50,921,748 Rp 2,184,411 Rp 428,694 Rp 47,984,643

dr.Dewi Suryati. IRMAYANI, A.Md.Keb

Cut Devi Indriani, PEMBAYARAN

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