BESA

NO NAMA NIP

1 RETNO SULISTIYAWATI, SKM 197603232007012012

2 SITI FATIMAH , AM Keb 196706021987032003
3 BAMBANG SARDOYO, AMK 196902151992021001
4 NOOR ZAINAH 197106251992022001
5 NURSIAH, Amd Kes 197112151990122001
6 NOOR HAYATI, AMKL 197203082000032007
7 AKHMAD SYAHBANI 197510101998031008
8 NASRULLAH, AMK 197807171998031005
9 SITI NURHIDAYAH, AMG 198308032005012007
10 NORANI HILDA, Amd Far 196811051992032013
11 RIANA DWININGSIH, AM Keb 197610012005012009
12 RAISITA, AM Keb 197707212006042022
13 RISNA KARMILA, AM Keb 197702222005012007
14 NATALIA KUSUMA, AM.KEB 198412202006042009
15 WIDIARSO, Amd Kes 198004142005011009
16 WIDIASTUTI, SST 198710272009042002
17 RINA YUNIARTI LESTARI, AMK 198606162008032003
18 ABDULLAH, Amd.Kep 198111272010011013
19 MUHAMMAD IHSAN ANSARI, AMK 198711042010011012
20 RAJIAH, AM.KEB 198805172011012008
21 FAHMI REZKY, S.Kep,.Ns 198906122010011001
22 DIDY IRAWAN, AMK 198911222011011001
23 DEWI RESKA ERMAWATI, AMK 198912212011012009
24 dr. Aditya Pradipta H 199101072020121003
25 drg. ANISA MAYA NUGRAHA 199305102020122016
26 Levia Imania,S.Tr.Keb 199601302020122004
27 Nurul Hikmah,Amd.Keb 199502012022022001
28 Naa'imatul Jannah,S.Kep.,Ns 198902242023212002
29 Noorlaila Heldawati,A.Md.Kep 199302082023212003
30 Tiara Ayu Dwi Astuti,A.Md.Keb 199709182023212001
31 Nurizzatil Kamilah,A.Md.Kes 199801172023212002
32 Muhammad Iqbal,AMG 198910072023211003
 LAMPIRAN
BESARAN TAMBAHAN PENGHASILAN PEGAWAI APARATUR SIPIL NEGARA TA
BULAN APRIL TAHUN 2023
PKM PANDAHAN

BEBAN KERJA
NAMA JABATAN BASIC TPP

LAMP 1
Kepala Puskesmas/Penyuluh Kesehatan Masyarakat Muda Rp 5,932,118 Rp 1,660,993
Bidan Penyelia Rp 4,767,877 Rp 1,001,254
Perawat Penyelia/Juru Bayar GajI Rp 4,767,877 Rp 1,001,254
Pelaksana/Perawat Gigi Penyelia Rp 4,203,818 Rp 294,267
Perawat Gigi Penyelia Rp 4,767,877 Rp 1,001,254
Sanitarian Penyelia Rp 4,767,877 Rp 1,001,254
Sanitarian Penyelia Rp 4,767,877 Rp 1,001,254
Perawat Penyelia Rp 4,767,877 Rp 1,001,254
Nutrisionis Penyelia Rp 4,767,877 Rp 1,001,254
Ass Apt Pelak. Lanj Rp 4,203,818 Rp 1,008,916
Bidan Penyelia Rp 4,767,877 Rp 1,001,254
Bidan Penyelia Rp 4,767,877 Rp 1,001,254
Bidan Penyelia Rp 4,767,877 Rp 1,001,254
Bidan Penyelia Rp 4,767,877 Rp 1,001,254
Pranata Lab Penyelia Rp 4,203,818 Rp 1,008,916
Bidan Ahli Muda Rp 5,932,118 Rp 889,818
Perawat Mahir Rp 4,203,818 Rp 882,802
Perawat Penyelia/Bendahara Pembantu Dinas Rp 4,203,818 Rp 1,008,916
Perawat Penyelia Rp 4,203,818 Rp 1,008,916
Bidan Pelaksana Lanjutan Rp 4,203,818 Rp 1,008,916
Kasubbag TU/Perawat Ahli muda Rp 4,767,877 Rp 2,383,939
Perawat Penyelia Rp 4,203,818 Rp 1,008,916
Perawat Mahir Rp 4,203,818 Rp 1,008,916
Dokter Umum Rp 5,932,118 Rp 3,559,271
Dokter Gigi Rp 5,932,118 Rp 3,559,271
Bidan Ahli Pertama Rp 4,767,877 Rp 810,539
Bidan Terampil Rp 3,653,069 Rp 840,206
Perawat Ahli pertama Rp 4,767,877 Rp 810,539
Perawat Terampil Rp 3,653,069 Rp 840,206
Bidan Terampil Rp 3,653,069 Rp 840,206
Sanitarian Terampil Rp 3,653,069 Rp 840,206
Nutrisionis Terampil Rp 3,653,069 Rp 840,206
AN
AI APARATUR SIPIL NEGARA TAMBAHAN
AHUN 2023
AHAN

PRESTASI PRESTASI KONDISI KONDISI KONDISI KELANGKAA

BEBAN KERJA BEBAN KERJA
KERJA KERJA KERJA KERJA KERJA N PROFESI

LAMP 2 LAMP 2 LAMP 1 LAMP 2 LAMP 1 LAMP 2 LAMP 2 LAMP 1

Rp 355,927 Rp 3,559,271 Rp 296,606
Rp 619,824 Rp 476,788
Rp 619,824 Rp 190,715 Rp 476,788
Rp 588,535 Rp 1,050,955
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 588,535 Rp 420,382
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 619,824 Rp 476,788
Rp 588,535 Rp 420,382
Rp 533,891 Rp 296,606 Rp 593,212
Rp 588,535 Rp 420,382
Rp 588,535 Rp 1,135,031 Rp 420,382 Rp 210,191
Rp 588,535 Rp 420,382
Rp 588,535 Rp 420,382
Rp 286,073 - Rp 1,191,969 - Rp 238,394 - -
Rp 588,535 Rp 420,382
Rp 588,535 Rp 420,382
Rp 533,891 Rp 889,818 Rp 593,212
Rp 533,891 Rp 889,818 Rp 593,212
Rp 619,824 Rp 238,394 Rp 476,788
Rp 401,838 Rp 365,307 Rp 182,653
Rp 619,824 Rp 238,394 Rp 476,788
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
KELANGK KELANGK
AAN AAN JUMLAH
PROFESI PROFESI TPP/BULAN/OKETERANGAN
RANG
LAMP 2 LAMP 2
Rp 5,872,797
Rp 2,097,866
Rp 2,288,581
Rp 1,933,757
Rp 2,097,866
Rp 2,097,866
Rp 2,097,866
Rp 2,097,866
Rp 2,097,866
Rp 2,017,833
Rp 2,097,866
Rp 2,097,866
Rp 2,097,866
Rp 2,097,866
Rp 2,017,833
Rp 2,313,527
Rp 1,891,719
Rp 3,363,055
Rp 2,017,833
Rp 2,017,833
- - Rp 4,100,375
Rp 2,017,833
Rp 2,017,833
Rp 5,576,192
Rp 5,576,192
Rp 2,145,545
Rp 1,790,004 Rp 69,937,402
Rp 2,145,545
Rp 1,790,004
Rp 1,790,004
Rp 1,790,004
Rp 1,790,004 Rp 9,305,561
 DAFTAR TANDA TERIMA TUNJANGAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)

BULAN : April 2023

SKPD : Puskesmas Pandahan

BESARAN TPP POTON POTONGAN

LAMPIRAN 1 & 2 GAN JUMLAH
NO NIP NAMA JABATAN NO REKENING TANDA TANGAN
PPH Pasal 21 BPJS 1% Baznas TERIMA
TPP
1 197603232007012012 RETNO SULISTIYAWATI, SKM Kepala Puskesmas/Penyuluh Kesmas Muda 006.03.28.05285.2 209,508 58,728 25,000 5,579,561
Rp 5,872,797
2 196706021987032003 SITI FATIMAH , AM Keb Bidan Penyelia 006.03.28.05652.0 80,896 20,979 10,000 1,985,991
Rp 2,097,866
3 196902151992021001 BAMBANG SARDOYO, AMK Perawat Penyelia 006.03.28.05654.5 71,067 22,888 10,000 2,184,626
Rp 2,288,581
4 197106251992022001 NOOR ZAINAH Pelaksana/Perawat Gigi Penyelia 006.03.28.05657.3 54,354 19,338 10,000 1,850,065
Rp 1,933,757
5 197112151990122001 NURSIAH, Amd Kes Perawat Gigi Penyelia 006.03.28.05653.7 80,325 20,979 10,000 1,986,562
Rp 2,097,866
6 197203082000032007 NOOR HAYATI, AMKL Sanitarian Penyelia 006.03.28.05658.4 62,800 20,979 10,000 2,004,087
Rp 2,097,866
7 197510101998031008 AKHMAD SYAHBANI Sanitarian Penyelia 006.03.28.05660.9 74,263 20,979 10,000 1,992,624
Rp 2,097,866
8 197807171998031005 NASRULLAH, AMK Perawat Penyelia 006.03.28.05661.3 42,033 20,979 10,000 2,024,854
Rp 2,097,866
9 198308032005012007 SITI NURHIDAYAH, AMG Nutrisionis Penyelia 006.03.28.05662.4 29,713 20,979 10,000 2,037,174
Rp 2,097,866
10 196811051992032013 NORANI HILDA, Amd Far Ass Apt Pelak. Lanj 006.03.28.05659.8 49,675 20,178 10,000 1,937,980
Rp 2,017,833
11 197610012005012009 RIANA DWININGSIH, AM Keb Bidan Penyelia 006.03.28.05664.1 60,942 20,979 10,000 2,005,945
Rp 2,097,866
12 197707212006042022 RAISITA, AM Keb Bidan Penyelia 006.03.28.05665.6 55,513 20,979 10,000 2,011,374
Rp 2,097,866
13 197702222005012007 RISNA KARMILA, AM Keb Bidan Penyelia 006.03.28.05666.6 33,721 20,979 10,000 2,033,166
Rp 2,097,866
14 198412202006042009 NATALIA KUSUMA, AM.KEB Bidan Penyelia 006.03.28.05667.1 40,196 20,979 10,000 2,026,691
Rp 2,097,866
15 198004142005011009 WIDIARSO, Amd Kes Pranata lab.kes Pelaksana lanjutan 006.03.28.05671.1 3,175 20,178 10,000 1,984,480
Rp 2,017,833
16 198710272009042002 WIDIASTUTI, SST Bidan Ahli Muda 006.03.28.05670.6 33,383 23,135 10,000 2,247,009
Rp 2,313,527
17 198606162008032003 RINA YUNIARTI LESTARI, AMK Perawat Mahir 006.03.28.05668.8 2,333 18,917 10,000 1,860,469
Rp 1,891,719
18 198111272010011013 ABDULLAH, Amd.Kep Perawat Mahir/Bendahara Pembantu Dinas 006.03.28.05672.8 66,779 33,631 10,000 3,252,645
Rp 3,363,055
19 198711042010011012 MUHAMMAD IHSAN ANSARI, AMK Perawat Mahir 006.03.28.05673.4 - 20,178 10,000 1,987,655
Rp 2,017,833
20 198805172011012008 RAJIAH, AM.KEB Bidan Pelaksana Lanjutan 006.03.28.05676.2 - 20,178 10,000 1,987,655
Rp 2,017,833
21 198906122010011001 FAHMI REZKY, S.Kep,.Ns Kasubbag TU/Perawat Ahli Muda 006.03.28.05674.3 105,779 41,004 25,000 3,928,592
Rp 4,100,375
22 198911222011011001 DIDY IRAWAN, AMK Perawat Mahir 006.03.28.05678.7 2,883 20,178 10,000 1,984,772
Rp 2,017,833
23 198912212011012009 DEWI RESKA ERMAWATI, AMK Perawat Mahir 006.03.28.05679.0 - 20,178 10,000 1,987,655
Rp 2,017,833
24 199101072020121003 dr. Aditya Pradipta H Dokter Umum 006.03.01.27112.2 142,883 55,762 10,000 5,367,547
Rp 5,576,192
25 199305102020122016 drg. ANNISA MAYA NUGRAHA Dokter Gigi 006.03.28.07486.8 183,888 55,762 10,000 5,326,542
Rp 5,576,192
26 19960130 202012 2 004 Levia Imania,S.Tr.Keb Bidan Ahli Pertama 006.03.28.07465.7 - 21,455 10,000 2,114,090
Rp 2,145,545
27 199502012022022001 Nurul Hikmah,Amd.Keb Bidan Terampil 3200399257 - 17,900 10,000 1,762,104
Rp 1,790,004
TOTAL 69,937,402 1,486,109 699,378 137,389,317

MENGETAHUI Pandahan, April 2023

KEPALA PUSKESMAS PANDAHAN ADMIN TPP PEMBUAT DAFTAR JURU GAJI

RETNO SULISTIYAWATI, SKM FAHMI REZKY, S.Kep,.Ns BAMBANG SARDOYO, AMK

NIP. 197603232007012012 NIP. 198906122010011001 NIP.196902151992021001
NO NAMA NIP

1 Naa'imatul Jannah,S.Kep.,Ns 198902242023212002

2 Noorlaila Heldawati,A.Md.Kep 199302082023212003
3 Tiara Ayu Dwi Astuti,A.Md.Keb 199709182023212001
4 Nurizzatil Kamilah,A.Md.Kes 199801172023212002
5 Muhammad Iqbal,AMG 198910072023211003
 LAMPIRAN
BESARAN TAMBAHAN PENGHASILAN PEGAWAI P3K TAMBAHAN
BULAN MEI TAHUN 2023
PKM PANDAHAN

BEBAN KERJA
NAMA JABATAN BASIC TPP

LAMP 1
Perawat Ahli pertama Rp 4,767,877 Rp 810,539
Perawat Terampil Rp 3,653,069 Rp 840,206
Bidan Terampil Rp 3,653,069 Rp 840,206
Sanitarian Terampil Rp 3,653,069 Rp 840,206
Nutrisionis Terampil Rp 3,653,069 Rp 840,206
 IRAN
ILAN PEGAWAI P3K TAMBAHAN
TAHUN 2023
NDAHAN

PRESTASI PRESTASI KONDISI KONDISI KONDISI KELANGKAA

BEBAN KERJA BEBAN KERJA
KERJA KERJA KERJA KERJA KERJA N PROFESI

LAMP 2 LAMP 2 LAMP 1 LAMP 2 LAMP 1 LAMP 2 LAMP 2 LAMP 1

Rp 619,824 Rp 238,394 Rp 476,788
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
Rp 401,838 Rp 365,307 Rp 182,653
KELANGK KELANGK
AAN AAN JUMLAH
PROFESI PROFESI TPP/BULAN/OKETERANGAN
RANG
LAMP 2 LAMP 2
Rp 2,145,545
Rp 1,790,004
Rp 1,790,004
Rp 1,790,004
Rp 1,790,004 Rp 9,305,561