Daftar Gaji 13 Dinkes

PEMDA KABUPATEN SINTANG
DAFTAR PEMBAYARAN GAJI 13 PNSD

DINAS KESEHATAN KABUPATEN SINTANG
BULAN : JUNI 2023
HALAMAN : 1
NAMA PEGAWAI STS P E N G H A S I L A N P O T O N G A N

NO TANGGAL LAHIR KAWIN
N I P JMLH GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJS 4 % POT.PAJAK TAPERA PK JUMLAH BERSIH
STATUS PEGAWAI/GOLONGAN JIWA TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS 4 % TAPERA PEG TANDA TANGAN
NPWP TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM IWP 1 % HUTANG/LAIN-2 NO. REKENING
JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK IWP 8% BULOG NO. DOSIR
SEWA.RUMAH
PEMBULATAN POT.TAPERUM POTONGAN
JUML.KOTOR POT.JKK
POT.JKM
1 EDY HARMAINI,SE,M.Si K -1 4,949,400 2,025,000 0 0 94,150 0 7,785,600
1 494,940 0 0 0 0 0
21-07-1967 98,988 0 217,260 0 0 1 ...............
196707211996031004 3 5,543,328 0 94,150 0
0 0 0
( PNS-4C ) MKG:26 4025067741
0000 12 0 0
7,879,750 0 94,150
0
2 dr.ROSA TRI FINA,M.P.H K -1 4,326,700 1,260,000 0 0 71,188 0 6,482,200
2 432,670 0 0 0 0 0
28-08-1970 173,068 0 289,680 0 0 2 ...............
197008282002122006 4 4,932,438 0 71,188 0
0 0 0
( PNS-4B ) MKG:20 4025333799
ISI MAZSEH 82 0 0
6,553,388 0 71,188
0
3 PURWONO,S.Sos K -1 4,898,100 0 0 0 24,858 0 6,723,600
2 489,810 0 0 0 0 0
17-05-1967 195,924 850,000 289,680 0 0 3 ...............
196705171988011002 4 5,583,834 0 24,858 0
0 0 0
( PNS-4B ) MKG:29 4025333420
693965527706000 86 0 0
6,748,458 0 24,858
0
4 BAHRUL MAZI,S.K.M K -1 4,748,500 0 0 0 17,158 0 6,553,000
2 474,850 0 0 0 0 0
12-08-1973 189,940 850,000 289,680 0 0 4 ...............
197308121992021001 4 5,413,290 0 17,158 0
0 0 0
( PNS-4B ) MKG:26 4025334734
693965899706000 30 0 0
6,570,158 0 17,158
0
5 DARMADI,SKM,M.Kes K -1 4,847,300 980,000 0 0 50,288 0 6,456,900
0 484,730 0 0 0 0 0
02-02-1967 0 0 144,840 0 0 5 ...............
196702021990031007 2 5,332,030 0 50,288 0
0 0 0
( PNS-4A ) MKG:30 4025146005
693965360706000 30 0 0
6,507,188 0 50,288
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 BENNIE ENOS,S.IKom,M.A.P K -1 4,699,300 980,000 0 0 31,871 0 6,460,500
1 469,930 0 0 0 0 0
12-12-1969 93,986 0 217,260 0 0 6 ...............
196912211988121001 3 5,263,216 0 31,871 0
0 0 0
( PNS-4A ) MKG:28 4025069167
894841790706000 24 0 0
6,492,371 0 31,871
0
7 dr.BAGUS ZODIAK ADIBRATA K -1 3,782,400 980,000 0 0 0 0 5,581,700
2 378,240 0 0 0 0 0
08-08-1980 151,296 0 289,680 0 0 7 ...............
198008082010011020 4 4,311,936 0 0 0
0 0 0
( PNS-4A ) MKG:14 4025138959
898356589706000 84 0 0
5,581,700 0 0
0
8 JANGKAN,SKM,M.Kes K -0 4,847,300 540,000 0 0 11,888 0 5,629,100
1 0 0 0 0 0 0
01-12-1967 96,946 0 144,840 0 0 8 ...............
196712311987031035 2 4,944,246 0 11,888 0
0 0 0
( PNS-4A ) MKG:30 4025137634
145250627706000 14 0 0
5,640,988 0 11,888
0
9 BAMBANG HERMANTO,S.Kep,M.P.H K -1 4,151,100 540,000 0 0 0 0 5,562,000
2 415,110 0 0 0 0 0
26-06-1977 166,044 0 289,680 0 0 9 ...............
197706261997031007 4 4,732,254 0 0 0
0 0 0
( PNS-4A ) MKG:20 4025168700
588204263706000 66 0 0
5,562,000 0 0
0
10 NS.AZNI FIRMANIA,S.Kep,M.Si TK-0 4,024,400 540,000 0 0 0 0 4,636,900
0 0 0 0 0 0 0
28-04-1976 0 0 72,420 0 0 10 ...............
197604282003122005 1 4,024,400 0 0 0
0 0 0
( PNS-4A ) MKG:18 4025774561
588010488706000 80 0 0
4,636,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 WIEN MARYATI ASDISMA,S.Far,Apt K -1 3,782,400 0 0 0 33,483 0 5,653,600
1 378,240 0 0 0 0 0
04-02-1981 75,648 1,200,000 217,260 0 0 11 ...............
198102042008042003 3 4,236,288 0 33,483 0
0 0 0
( PNS-4A ) MKG:14 4025087947
675456727706000 52 0 0
5,687,083 0 33,483
0
12 FAUZANI,S.IP,M.Si K -1 4,847,300 0 0 0 33,179 0 6,496,300
1 484,730 0 0 0 0 0
08-12-1967 96,946 850,000 217,260 0 0 12 ...............
196712081987121001 3 5,428,976 0 33,179 0
0 0 0
( PNS-4A ) MKG:30 4025333878
898356795706000 64 0 0
6,529,479 0 33,179
0
13 NURFAJRIANSAH ,ST,M.Eng K -1 4,555,800 0 0 0 37,371 0 5,783,300
2 455,580 0 0 0 0 0
03-09-1971 182,232 300,000 289,680 0 0 13 ...............
197109031992031006 4 5,193,612 0 37,371 0
0 0 0
( PNS-4A ) MKG:26 4025334590
873000020706000 8 0 0
5,820,671 0 37,371
0
14 HASAN BASRI,S.K.M,M.P.H K -1 4,281,800 0 0 0 0 0 5,471,000
2 428,180 0 0 0 0 0
10-08-1974 171,272 300,000 289,680 0 0 14 ...............
197408101995031004 4 4,881,252 0 0 0
0 0 0
( PNS-4A ) MKG:22 4025334634
891434789706000 68 0 0
5,471,000 0 0
0
15 Hj.SRI FATMIYATI, K -1 4,416,700 0 0 0 17,563 0 5,354,000
A.Md.Kes,S.Sos,M.Si 1 441,670 190,000 0 0 0 0
28-01-1972 88,334 0 217,260 0 0 15 ...............
197201281991032002 3 4,946,704 0 17,563 0
0 0 0
( PNS-4A ) MKG:24 4025333789
783908650706000 36 0 0
5,371,563 0 17,563
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 NS,HARSONO,S.Kep K -1 4,151,100 0 0 0 0 0 5,212,000
2 415,110 190,000 0 0 0 0
23-10-1977 166,044 0 289,680 0 0 16 ...............
197710232000031002 4 4,732,254 0 0 0
0 0 0
( PNS-4A ) MKG:20 4025084034
588010777706000 66 0 0
5,212,000 0 0
0
17 M.MAHYUDI,S.Psi,M.Psi,Psikolog K -1 3,901,500 0 0 0 0 0 4,777,000
1 390,150 190,000 0 0 0 0
29-01-1979 78,030 0 217,260 0 0 17 ...............
197901292005021004 3 4,369,680 0 0 0
0 0 0
( PNS-4A ) MKG:16 4025334175
783908643706000 60 0 0
4,777,000 0 0
0
SUB TOTAL PERGOLONGAN : IV 75,211,100 7,845,000 0 0 422,997 0 100,618,700
PEG: 17 6,633,940 570,000 0 0 0 0
IST: 15 JIWA= 55 2,024,698 4,350,000 3,983,100 0 0
ANK: 23 83,869,738 0 422,997 0
0 0 0
862 0 0
101,041,697 0 422,997
0
18 SUPRIYADI,S.Sos K -1 4,650,600 540,000 0 0 19,621 0 5,800,500
0 465,060 0 0 0 0 0
16-07-1965 0 0 144,840 0 0 18 ...............
196507161986031017 2 5,115,660 0 19,621 0
0 0 0
( PNS-3D ) MKG:31 4025088633
145250460706000 0 0 0
5,820,121 0 19,621
0
19 M. SAID,S.Sos K -1 4,650,600 540,000 0 0 46,013 0 5,966,000
1 465,060 0 0 0 0 0
06-08-1966 93,012 0 217,260 0 0 19 ...............
196608061988011002 3 5,208,672 0 46,013 0
0 0 0
( PNS-3D ) MKG:30 4025064947
781661673706000 68 0 0
6,012,013 0 46,013
0
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 ROSARIA INDAH ,S,ST.,M.A.P K -1 4,108,100 540,000 0 0 18,596 0 5,358,400
1 410,810 0 0 0 0 0
10-03-1978 82,162 0 217,260 0 0 20 ...............
197803102005022002 3 4,601,072 0 18,596 0
0 0 0
( PNS-3D ) MKG:22 4025334995
677694671706000 68 0 0
5,376,996 0 18,596
0
21 M.IQBAL NATADIPURA,S.K.M,M.Si K -1 3,982,600 540,000 0 0 0 0 5,369,900
2 398,260 0 0 0 0 0
15-05-1978 159,304 0 289,680 0 0 21 ...............
197805151997031001 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025334897
073049488706000 56 0 0
5,369,900 0 0
0
22 IWAN PURWANTO,A.Md.Kes K -1 3,743,100 540,000 0 0 0 0 4,949,600
1 374,310 0 0 0 0 0
18-11-1978 74,862 0 217,260 0 0 22 ...............
197811182000031002 3 4,192,272 0 0 0
0 0 0
( PNS-3D ) MKG:17 4025334029
145251690706000 68 0 0
4,949,600 0 0
0
23 IIN RIANA,S.Si,Apt K -1 3,518,100 0 0 0 5,367 0 5,050,400
2 351,810 0 0 0 0 0
04-02-1979 140,724 750,000 289,680 0 0 23 ...............
197902042011012004 4 4,010,634 0 5,367 0
0 0 0
( PNS-3D ) MKG:12 4025252522
544497282706000 86 0 0
5,055,767 0 5,367
0
24 AWET SANDI,S.K.M K -1 3,982,600 0 0 0 0 0 5,429,900
2 398,260 0 0 0 0 0
16-08-1977 159,304 600,000 289,680 0 0 24 ...............
197708161997031003 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025245658
153216056706000 56 0 0
5,429,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 HERMANTO,S.K.M, M.P.H K -1 3,628,900 0 0 0 0 0 4,881,700
1 362,890 0 0 0 0 0
22-06-1979 72,578 600,000 217,260 0 0 25 ...............
197906222005021008 3 4,064,368 0 0 0
0 0 0
( PNS-3D ) MKG:15 4025444324
157923863706000 72 0 0
4,881,700 0 0
0
26 SOLEHUDDIN,S.ST TK-0 3,628,900 0 0 0 0 0 4,301,400
0 0 0 0 0 0 0
03-02-1977 0 600,000 72,420 0 0 26 ...............
197702032006041008 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025144088
891413825706000 80 0 0
4,301,400 0 0
0
27 AMUNSIUS HARUN,S.ST K -1 3,518,100 0 0 0 0 0 4,900,400
2 351,810 0 0 0 0 0
16-02-1980 140,724 600,000 289,680 0 0 27 ...............
198002162008041001 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:13 4025163058
872940515706000 86 0 0
4,900,400 0 0
0
28 SIGIT MARGO UTOMO,A.Md.Gizi K -1 3,982,600 0 0 0 0 0 5,329,900
2 398,260 0 0 0 0 0
28-07-1978 159,304 500,000 289,680 0 0 28 ...............
197807282000121005 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025335050
693965725706000 56 0 0
5,329,900 0 0
0
29 JOKO LUKITO PERMONO,A.Md.Gizi TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
06-06-1981 0 500,000 72,420 0 0 29 ...............
198106062006041017 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025165859
872941166706000 80 0 0
4,201,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 ADI SULISTYANTO,S.Si.T K -1 4,237,500 0 0 0 0 0 5,305,500
2 423,750 185,000 0 0 0 0
01-07-1972 169,500 0 289,680 0 0 30 ...............
197207011996031002 4 4,830,750 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025335198
693965675706000 70 0 0
5,305,500 0 0
0
31 VEDI NATA JAYA SAPUTRA,A.Md.Farm K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
27-04-1985 135,012 500,000 289,680 0 0 31 ...............
198504272008041001 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025083771
872940820706000 78 0 0
4,637,600 0 0
0
32 ANGELINA RINGKITI TK-0 3,375,300 0 0 0 0 0 3,947,800
SAMURA,A.Md.Keb 0 0 0 0 0 0 0
27-02-1986 0 500,000 72,420 0 0 32 ...............
198602272008032002 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025060640
880111414706000 80 0 0
3,947,800 0 0
0
33 JULAIHA,A.Md.Gizi K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
24-10-1982 130,888 500,000 289,680 0 0 33 ...............
198210242009032005 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025144436
898356365706000 12 0 0
4,520,000 0 0
0
34 ANDI YULIANTO WIBOWO,SKM K -1 3,704,300 0 0 0 0 0 4,551,100
1 370,430 185,000 0 0 0 0
31-07-1980 74,086 0 217,260 0 0 34 ...............
198007312006041013 3 4,148,816 0 0 0
0 0 0
( PNS-3C ) MKG:18 4025084174
872940416706000 24 0 0
4,551,100 0 0
0
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
35 YOPY ARISETIA,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,182,600
1 337,530 185,000 0 0 0 0
13-06-1979 67,506 0 217,260 0 0 35 ...............
197906132003121004 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:13 4025084573
988355557706000 4 0 0
4,182,600 0 0
0
36 SRI WAHYUNINGSIH,A.Md.Kep TK-0 3,375,300 0 0 0 0 0 3,632,800
0 0 185,000 0 0 0 0
29-06-1979 0 0 72,420 0 0 36 ...............
197906292000122002 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:13 4025333887
783908635706000 80 0 0
3,632,800 0 0
0
37 TRIYANTI,S.Sos K -1 3,272,200 0 0 0 0 0 4,205,000
2 327,220 185,000 0 0 0 0
26-10-1986 130,888 0 289,680 0 0 37 ...............
198610262010012018 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025116254
777693078706000 12 0 0
4,205,000 0 0
0
38 WESLY M SITUMORANG, S.KM K -1 2,773,200 0 0 0 0 0 3,751,200
2 277,320 0 0 0 0 0
12-06-1990 110,928 300,000 289,680 0 0 38 ...............
199006122019031001 4 3,161,448 0 0 0
0 0 0
( PNS-3B ) MKG: 3 4025782912
742889066706000 72 0 0
3,751,200 0 0
0
39 DITA SEPRIYANTIKA, S.KM TK-0 2,773,200 0 0 0 0 0 3,145,700
0 0 0 0 0 0 0
04-11-1995 0 300,000 72,420 0 0 39 ...............
199509042019032002 1 2,773,200 0 0 0
0 0 0
( PNS-3B ) MKG: 3 4025871290
907193981706000 80 0 0
3,145,700 0 0
0
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
40 INTAN ALIFAH AMALIA, S.KM TK-0 2,773,200 0 0 0 0 0 3,145,700
0 0 0 0 0 0 0
07-06-1997 0 300,000 72,420 0 0 40 ...............
199706072019032001 1 2,773,200 0 0 0
0 0 0
( PNS-3B ) MKG: 3 4025871281
907192603706000 80 0 0
3,145,700 0 0
0
41 ERIYANIDA,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,442,400
0 366,590 0 0 0 0 0
22-07-1977 0 265,000 144,840 0 0 41 ...............
197707222006042015 2 4,032,490 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025085880
898357058706000 70 0 0
4,442,400 0 0
0
42 EDIYANTO, S.Sos K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
26-06-1976 125,576 265,000 289,680 0 0 42 ...............
197606262006041005 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025066745
155359383706000 4 0 0
4,133,600 0 0
0
43 WELLIE BARSEBA,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
17-06-1990 125,576 265,000 289,680 0 0 43 ...............
199006172011011001 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025137332
798110938706000 4 0 0
4,133,600 0 0
0
44 SYAMSUDDIN K -1 4,280,800 0 0 0 0 0 5,038,800
0 428,080 185,000 0 0 0 0
21-04-1966 0 0 144,840 0 0 44 ...............
196604211987031006 2 4,708,880 0 0 0
0 0 0
( PNS-3B ) MKG:30 4025334501
588010546706000 80 0 0
5,038,800 0 0
0
BULAN : JUNI 2023
HALAMAN : 10

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
45 AKHMAD KARSIDI K -1 4,280,800 0 0 0 0 0 5,354,800
2 428,080 185,000 0 0 0 0
04-05-1966 171,232 0 289,680 0 0 45 ...............
196605041988031020 4 4,880,112 0 0 0
0 0 0
( PNS-3B ) MKG:30 4025064939
693965519706000 8 0 0
5,354,800 0 0
0
46 SONDAG TRIO RIA K -1 4,280,800 0 0 0 3,158 0 5,038,800
0 428,080 185,000 0 0 0 0
20-11-1968 0 0 144,840 0 0 46 ...............
196811201988032003 2 4,708,880 0 3,158 0
0 0 0
( PNS-3B ) MKG:30 4025333401
783908627706000 80 0 0
5,041,958 0 3,158
0
47 JENAH TK-0 4,150,100 0 0 0 0 0 4,407,600
0 0 185,000 0 0 0 0
05-08-1965 0 0 72,420 0 0 47 ...............
196508051988032009 1 4,150,100 0 0 0
0 0 0
( PNS-3B ) MKG:29 4025333365
693965816706000 80 0 0
4,407,600 0 0
0
48 DWI ANGGRAINI TK-0 4,150,100 0 0 0 0 0 4,407,600
0 0 185,000 0 0 0 0
10-08-1966 0 0 72,420 0 0 48 ...............
196608101990032011 1 4,150,100 0 0 0
0 0 0
( PNS-3B ) MKG:28 4025333528
693965493706000 80 0 0
4,407,600 0 0
0
49 ZULKIFLI TAHIR K -1 4,150,100 0 0 0 0 0 4,895,000
0 415,010 185,000 0 0 0 0
20-02-1967 0 0 144,840 0 0 49 ...............
196702201986031003 2 4,565,110 0 0 0
0 0 0
( PNS-3B ) MKG:28 4025333711
155358393706000 50 0 0
4,895,000 0 0
0
BULAN : JUNI 2023
HALAMAN : 11

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
50 HENNY ELIDA SIREGAR,A.M.Keb K -1 3,238,300 0 0 0 0 0 4,166,400
2 323,830 185,000 0 0 0 0
17-11-1986 129,532 0 289,680 0 0 50 ...............
198611172009052001 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025366579
886105188118000 58 0 0
4,166,400 0 0
0
51 RYOMI FISMAJARA ANINDY,A.Md.Kep TK-0 3,139,400 0 0 0 0 0 3,396,900
0 0 185,000 0 0 0 0
09-10-1987 0 0 72,420 0 0 51 ...............
198710092009021001 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:11 6025276165
700774862706000 80 0 0
3,396,900 0 0
0
52 VEKTOR SUBIARTO,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,053,600
2 313,940 185,000 0 0 0 0
20-05-1986 125,576 0 289,680 0 0 52 ...............
198605202010011014 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025177580
880111539706000 4 0 0
4,053,600 0 0
0
53 PRATAMA SUHARYADI ,S.A.P K -1 3,139,400 0 0 0 0 0 4,053,600
2 313,940 185,000 0 0 0 0
10-06-1986 125,576 0 289,680 0 0 53 ...............
198606102010011018 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025138479
0000 4 0 0
4,053,600 0 0
0
54 FITRAH HARIADI,S.Sos K -1 2,950,600 0 0 0 0 0 3,838,400
2 295,060 185,000 0 0 0 0
15-04-1991 118,024 0 289,680 0 0 54 ...............
199104152011011001 4 3,363,684 0 0 0
0 0 0
( PNS-3B ) MKG: 6 4025115207
ISI MAZSEH 36 0 0
3,838,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 12

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
55 SOPIA LENTI, S.A.B K -1 2,660,700 0 0 0 0 0 3,677,300
1 266,070 0 0 0 0 0
16-07-1993 53,214 480,000 217,260 0 0 55 ...............
199307162020122005 3 2,979,984 0 0 0
0 0 0
( PNS-3A ) MKG: 2 4025263427
746193838706000 56 0 0
3,677,300 0 0
0
56 CAHYA SANTOSO,A.Md,Far K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
03-07-1989 113,236 265,000 289,680 0 0 56 ...............
198907032014021005 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189316
708818141706000 94 0 0
3,782,000 0 0
0
57 ADRIANA PRINGGODANI,A.Md.Gizi K -1 2,830,900 0 0 0 0 0 3,757,000
2 283,090 0 0 0 0 0
17-04-1993 113,236 240,000 289,680 0 0 57 ...............
199304172015012001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200301
986348977706000 94 0 0
3,757,000 0 0
0
58 ASWANDI K -1 3,517,200 0 0 0 0 0 4,198,800
0 351,720 185,000 0 0 0 0
22-07-1966 0 0 144,840 0 0 58 ...............
196607221992031006 2 3,868,920 0 0 0
0 0 0
( PNS-3A ) MKG:21 4025146129
891413817706000 40 0 0
4,198,800 0 0
0
59 HENDRIKA KOESTIWANTO K -1 3,517,200 0 0 0 0 0 4,484,300
2 351,720 185,000 0 0 0 0
28-02-1977 140,688 0 289,680 0 0 59 ...............
197702282007011011 4 4,009,608 0 0 0
0 0 0
( PNS-3A ) MKG:20 4025063398
694041096706000 12 0 0
4,484,300 0 0
0
BULAN : JUNI 2023
HALAMAN : 13

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
60 AGUSTINA MARINA THEOPHANI,A.Md K -0 3,012,000 0 0 0 0 0 3,402,100
1 0 185,000 0 0 0 0
06-08-1989 60,240 0 144,840 0 0 60 ...............
198908062011012004 2 3,072,240 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025117897
798110987706000 20 0 0
3,402,100 0 0
0
61 DESY ANA SANGGARITA ,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,702,000
2 283,090 185,000 0 0 0 0
12-12-1992 113,236 0 289,680 0 0 61 ...............
199212122015022002 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 6025409971
726391378706000 94 0 0
3,702,000 0 0
0
62 LARAS HIDAYATI, S.KM K -1 2,660,700 0 0 0 0 0 3,382,300
1 266,070 185,000 0 0 0 0
11-04-1994 53,214 0 217,260 0 0 62 ...............
199404112020122008 3 2,979,984 0 0 0
0 0 0
( PNS-3A ) MKG: 2 4025262145
810341008706000 56 0 0
3,382,300 0 0
0
63 MELASINTA HASDARINI ,S.K.M TK-0 2,579,400 0 0 0 0 0 2,836,900
0 0 185,000 0 0 0 0
27-09-1992 0 0 72,420 0 0 63 ...............
199209272022032005 1 2,579,400 0 0 0
0 0 0
( PNS-3A ) MKG: 1 4025828874
666612825706000 80 0 0
2,836,900 0 0
0
SUB TOTAL PERGOLONGAN : III 160,614,500 2,700,000 0 0 92,755 0 201,148,300
PEG: 46 12,402,870 4,070,000 0 0 0 0
IST: 35 JIWA= 132 3,468,938 8,330,000 9,559,440 0 0
ANK: 51 176,486,308 0 92,755 0
0 0 0
2,552 0 0
201,241,055 0 92,755
0
BULAN : JUNI 2023
HALAMAN : 14

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
64 SURAJI K -1 3,074,700 0 0 0 0 0 3,974,900
2 307,470 180,000 0 0 0 0
13-03-1978 122,988 0 289,680 0 0 64 ...............
197803132009011005 4 3,505,158 0 0 0
0 0 0
( PNS-2D ) MKG:19 4025138550
158519645706000 62 0 0
3,974,900 0 0
0
65 USMAN YANTO K -1 2,949,900 0 0 0 0 0 3,569,800
0 294,990 180,000 0 0 0 0
28-04-1969 0 0 144,840 0 0 65 ...............
196904282010011002 2 3,244,890 0 0 0
0 0 0
( PNS-2C ) MKG:19 4025146030
781662051706000 70 0 0
3,569,800 0 0
0
66 GUNADI K -1 2,949,900 0 0 0 0 0 3,701,200
1 294,990 180,000 0 0 0 0
14-07-1970 58,998 0 217,260 0 0 66 ...............
197007142010011001 3 3,303,888 0 0 0
0 0 0
( PNS-2C ) MKG:19 4025138665
672107281706000 52 0 0
3,701,200 0 0
0
SUB TOTAL PERGOLONGAN : 8,974,500 0 0 0 0 0 11,245,900
PEG: 3 897,450 540,000 0 0 0 0
IST: 3 JIWA= 9 181,986 0 651,780 0 0
ANK: 3 10,053,936 0 0 0
0 0 0
184 0 0
11,245,900 0 0
0
67 ARUN TK-0 2,373,100 0 0 0 0 0 2,620,600
0 0 175,000 0 0 0 0
02-11-1973 0 0 72,420 0 0 67 ...............
197311022010011002 1 2,373,100 0 0 0
0 0 0
( PNS-1D ) MKG:19 4025117251
672107273706000 80 0 0
2,620,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 15

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
SUB TOTAL PERGOLONGAN : I 2,373,100 0 0 0 0 0 2,620,600
PEG: 1 0 175,000 0 0 0 0
IST: 0 JIWA= 1 0 0 72,420 0 0
ANK: 0 2,373,100 0 0 0
0 0 0
80 0 0
2,620,600 0 0
0
TOTAL PER SATKER 247,173,200 10,545,000 0 0 515,752 0 315,633,500
PEG: 67 19,934,260 5,355,000 0 0 0 0
IST: 53 JIWA= 197 5,675,622 12,680,000 14,266,740 0 0
ANK: 77 272,783,082 0 515,752 0
0 0 0
3,678 0 0
316,149,252 515,752
0
0
SINTANG,07 JUNI 2023

KEPALA DINAS KESEHATAN KABUPATEN SINTANG BENDAHARA PENGELUARAN PEMBUAT DAFTAR GAJI
EDY HARMAINI,SE,M.Si TRIYANTI,S.Sos TRIYANTI,S.Sos

NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
LABORATORIUM KESEHATAN KABUPATEN SINTANG
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 KAMARUDIN, A.Md.Kes K -1 4,508,600 540,000 0 0 1,333 0 5,806,900
1 450,860 0 0 0 0 0
04-09-1967 90,172 0 217,260 0 0 1 ...............
196709041990031006 3 5,049,632 0 1,333 0
0 0 0
( PNS-3D ) MKG:28 4025333591
496069196706000 8 0 0
5,808,233 0 1,333
0
2 FITRIAH TK-0 4,237,500 0 0 0 0 0 4,810,000
0 0 0 0 0 0 0
02-03-1971 0 500,000 72,420 0 0 2 ...............
197103021994032006 1 4,237,500 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025333631
675456628706000 80 0 0
4,810,000 0 0
0
3 SITI SARAH URIP,A.Md.AK TK-0 4,108,100 0 0 0 0 0 4,680,600
0 0 0 0 0 0 0
29-08-1975 0 500,000 72,420 0 0 3 ...............
197508291996032003 1 4,108,100 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025138592
499923449706000 80 0 0
4,680,600 0 0
0
4 HELMIANSYAH, A.Md.Kes K -1 3,861,000 0 0 0 0 0 5,191,300
2 386,100 0 0 0 0 0
02-10-1979 154,440 500,000 289,680 0 0 4 ...............
197910022000121003 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025084433
898356662706000 80 0 0
5,191,300 0 0
0
5 NOVI WAHYUNI,A.Md.AK K -0 3,272,200 0 0 0 0 0 4,082,500
1 0 0 0 0 0 0
27-11-1987 65,444 600,000 144,840 0 0 5 ...............
198711272010012013 2 3,337,644 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025139165
885351874706000 16 0 0
4,082,500 0 0
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 RITA CENDANAWANGI K -1 3,941,400 0 0 0 8,271 0 5,131,700
1 394,140 0 0 0 0 0
18-04-1974 78,828 500,000 217,260 0 0 6 ...............
197404182002122004 3 4,414,368 0 8,271 0
0 0 0
( PNS-3C ) MKG:22 4025083496
664688603706000 72 0 0
5,139,971 0 8,271
0
7 NORMA SUSANTI,A.Md.AK TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
29-11-1986 0 500,000 72,420 0 0 7 ...............
198611292008042001 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025083585
880111570706000 80 0 0
3,844,700 0 0
0
8 DWI LAURINA,A.Md.Ak TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
23-01-1985 0 500,000 72,420 0 0 8 ...............
198501232011012004 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025155969
798111027706000 80 0 0
3,844,700 0 0
0
9 PEBRIKA MIRANDA,A.Md.AK TK-0 3,272,200 0 0 0 0 0 3,344,700
0 0 0 0 0 0 0
18-02-1989 0 0 72,420 0 0 9 ...............
198902182011012002 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025144495
798111043706000 80 0 0
3,344,700 0 0
0
10 OCDITHARA CHRISTINE PUTRI MUTI K -1 2,830,900 0 0 0 0 0 3,687,900
,S.ST 1 283,090 0 0 0 0 0
08-10-1990 56,618 300,000 217,260 0 0 10 ...............
199010082015012001 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025199389
726566839706000 32 0 0
3,687,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 JOHANNES SINAGA ,S.Tr.Kes TK-0 2,830,900 0 0 0 0 0 3,203,400
0 0 0 0 0 0 0
19-06-1993 0 300,000 72,420 0 0 11 ...............
199306192015011001 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200093
726585698706000 80 0 0
3,203,400 0 0
0
12 LIYENTI WINARTI,A.Md.Kesling TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
15-12-1990 0 265,000 72,420 0 0 12 ...............
199012152015012001 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200182
726485337702000 80 0 0
3,168,400 0 0
0
13 VERONIKA SRIAYU SAMWIDYA,A.Md.AK TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
13-01-1993 0 265,000 72,420 0 0 13 ...............
199301132015012002 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025199281
726614092701000 80 0 0
3,168,400 0 0
0
14 DILLA DOMI TILLALYA,A.Md K -1 2,920,100 0 0 0 0 0 3,672,800
1 292,010 185,000 0 0 0 0
11-04-1984 58,402 0 217,260 0 0 14 ...............
198404112011011004 3 3,270,512 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025144517
798111035706000 28 0 0
3,672,800 0 0
0
SUB TOTAL PERGOLONGAN : III 47,989,100 540,000 0 0 9,604 0 57,638,000
PEG: 14 1,806,200 185,000 0 0 0 0
IST: 5 JIWA= 26 503,904 4,730,000 1,882,920 0 0
ANK: 7 50,299,204 0 9,604 0
0 0 0
876 0 0
57,647,604 0 9,604
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 47,989,100 540,000 0 0 9,604 0 57,638,000
PEG: 14 1,806,200 185,000 0 0 0 0
IST: 5 JIWA= 26 503,904 4,730,000 1,882,920 0 0
ANK: 7 50,299,204 0 9,604 0
0 0 0
876 0 0
57,647,604 9,604
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS SUNGAI DURIAN
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 drg.PIO AGATHO PATRIADI,Sert.Imp K -1 5,105,300 0 0 0 52,142 0 7,309,800
2 510,530 0 0 0 0 0
04-10-1969 204,212 1,200,000 289,680 0 0 1 ...............
196910041998031009 4 5,820,042 0 52,142 0
0 0 0
( PNS-4C ) MKG:28 4025334281
070454343706000 78 0 0
7,361,942 0 52,142
0
2 ARDIANTO,S.Farm,Apt K -1 4,066,500 0 0 0 0 0 6,125,500
2 406,650 0 0 0 0 0
14-01-1980 162,660 1,200,000 289,680 0 0 2 ...............
198001142006041006 4 4,635,810 0 0 0
0 0 0
( PNS-4B ) MKG:16 4025334686
477327241706000 10 0 0
6,125,500 0 0
0
3 dr.TUNIK ERAWATI K -0 3,942,400 0 0 0 0 0 5,517,400
2 0 0 0 0 0 0
01-06-1982 157,696 1,200,000 217,260 0 0 3 ...............
198206012009032009 3 4,100,096 0 0 0
0 0 0
( PNS-4B ) MKG:14 4025083232
152134433706000 44 0 0
5,517,400 0 0
0
4 dr.LISE PERNIKAWATI SIBUEA TK-0 4,024,400 0 0 0 0 0 4,846,900
0 0 0 0 0 0 0
02-05-1979 0 750,000 72,420 0 0 4 ...............
197905022006042028 1 4,024,400 0 0 0
0 0 0
( PNS-4A ) MKG:18 4025083861
894841634706000 80 0 0
4,846,900 0 0
0
SUB TOTAL PERGOLONGAN : IV 17,138,600 0 0 0 52,142 0 23,799,600
PEG: 4 917,180 0 0 0 0 0
IST: 2 JIWA= 12 524,568 4,350,000 869,040 0 0
ANK: 6 18,580,348 0 52,142 0
0 0 0
212 0 0
23,851,742 0 52,142
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
5 dr.HARYONO LINOH K -1 3,306,500 540,000 0 0 0 0 4,599,100
2 330,650 0 0 0 0 0
29-04-1970 132,260 0 289,680 0 0 5 ...............
197004292014081001 4 3,769,410 0 0 0
0 0 0
( PNS-3D ) MKG: 9 4025189235
090728791706000 10 0 0
4,599,100 0 0
0
6 dr.SARTIKA ASIH LUMBAN TUNGKUP K -1 3,306,500 0 0 0 0 0 4,532,000
0 330,650 0 0 0 0 0
19-06-1986 0 750,000 144,840 0 0 6 ...............
198606192015032003 2 3,637,150 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4025200743
660331620706000 10 0 0
4,532,000 0 0
0
7 dr.ALHADI PRATAMA K -1 3,306,500 0 0 0 0 0 4,809,100
2 330,650 0 0 0 0 0
30-12-1988 132,260 750,000 289,680 0 0 7 ...............
198812302017041001 4 3,769,410 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4125033011
727464273706000 10 0 0
4,809,100 0 0
0
8 dr.RENI SUCIARTI SURYA TK-0 3,306,500 0 0 0 0 0 4,129,000
0 0 0 0 0 0 0
20-05-1989 0 750,000 72,420 0 0 8 ...............
198905202017042003 1 3,306,500 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4025268321
549730059706000 80 0 0
4,129,000 0 0
0
9 MEMEK ,S.Tr.Gz K -1 4,108,100 0 0 0 21,446 0 5,418,400
1 410,810 0 0 0 0 0
06-06-1972 82,162 600,000 217,260 0 0 9 ...............
197206061996032004 3 4,601,072 0 21,446 0
0 0 0
( PNS-3D ) MKG:22 4025334603
675457535706000 68 0 0
5,439,846 0 21,446
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 HERLINA,SKM K -1 3,518,100 0 0 0 0 0 4,900,400
2 351,810 0 0 0 0 0
29-06-1983 140,724 600,000 289,680 0 0 10 ...............
198306292010012014 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:12 4025148059
872940911706000 86 0 0
4,900,400 0 0
0
11 FAHDILATUN,A.Md.Keb K -1 4,508,600 0 0 0 36,933 0 5,766,900
1 450,860 0 0 0 0 0
12-11-1965 90,172 500,000 217,260 0 0 11 ...............
196511121990032008 3 5,049,632 0 36,933 0
0 0 0
( PNS-3D ) MKG:28 4025334797
145251781706000 8 0 0
5,803,833 0 36,933
0
12 SRI WAHYUNI TK-1 4,508,600 0 0 0 29,425 0 5,604,300
0 450,860 0 0 0 0 0
27-03-1967 0 500,000 144,840 0 0 12 ...............
196703271989112002 2 4,959,460 0 29,425 0
0 0 0
( PNS-3D ) MKG:28 4025083291
152134466706000 0 0 0
5,633,725 0 29,425
0
13 SUHENDRO,A.Md K -1 4,237,500 0 0 0 0 0 5,463,300
1 423,750 0 0 0 0 0
07-07-1967 84,750 500,000 217,260 0 0 13 ...............
196707071993031010 3 4,746,000 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025335086
898354546706000 40 0 0
5,463,300 0 0
0
14 STIANINGSIH,A.Md.Kep TK-0 3,982,600 0 0 0 0 0 4,555,100
0 0 0 0 0 0 0
29-10-1975 0 500,000 72,420 0 0 14 ...............
197510292000032001 1 3,982,600 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025065102
694123514706000 80 0 0
4,555,100 0 0
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 NURHAYATI,A.Md.KL K -1 3,743,100 0 0 0 5,067 0 5,056,900
2 374,310 0 0 0 0 0
10-07-1976 149,724 500,000 289,680 0 0 15 ...............
197607102005022010 4 4,267,134 0 5,067 0
0 0 0
( PNS-3D ) MKG:16 4025117722
885361725706000 86 0 0
5,061,967 0 5,067
0
16 FITRI,A.Md.Kep TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
28-09-1976 0 500,000 72,420 0 0 16 ...............
197609282000122003 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025487660
448519967702000 80 0 0
4,315,600 0 0
0
17 ANNI LUTHFI,A.Md.Keb K -1 3,743,100 0 0 0 5,067 0 5,056,900
2 374,310 0 0 0 0 0
17-05-1978 149,724 500,000 289,680 0 0 17 ...............
197805172005022004 4 4,267,134 0 5,067 0
0 0 0
( PNS-3D ) MKG:16 4025197289
898356555706000 86 0 0
5,061,967 0 5,067
0
18 NINA INDRIANI,A.Md.Keb TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
18-06-1981 0 500,000 72,420 0 0 18 ...............
198106182005022002 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025334198
153218151706000 80 0 0
4,315,600 0 0
0
19 MERRY TAMBUNAN,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
17-05-1984 145,156 500,000 289,680 0 0 19 ...............
198405172006042009 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025085952
898356639706000 74 0 0
4,926,700 0 0
0
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 NINA MAYANANDA,A.Md.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
02-01-1985 0 500,000 72,420 0 0 20 ...............
198501022006042005 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025076546
898355912706000 80 0 0
4,201,400 0 0
0
21 NANANG RUSADI,A.Md.Kep K -1 3,518,100 0 0 0 0 0 4,800,400
2 351,810 0 0 0 0 0
30-04-1985 140,724 500,000 289,680 0 0 21 ...............
198504302009041002 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:12 4525231521
163574957706000 86 0 0
4,800,400 0 0
0
22 CHRISTINA MARGARETHA K -1 3,861,000 0 0 0 0 0 4,876,300
SINAMBELA,S.KEP 2 386,100 185,000 0 0 0 0
20-09-1979 154,440 0 289,680 0 0 22 ...............
197909202005022003 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025065081
ISI MAZSEH 80 0 0
4,876,300 0 0
0
23 WIDARTI,S.ST,M.Keb TK-0 3,821,000 0 0 0 0 0 4,493,500
0 0 0 0 0 0 0
06-08-1978 0 600,000 72,420 0 0 23 ...............
197808062005022002 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025084531
880111695706000 80 0 0
4,493,500 0 0
0
24 ISNAINI ,S.Tr.Gz K -1 3,481,600 0 0 0 0 0 4,858,800
2 348,160 0 0 0 0 0
03-11-1978 139,264 600,000 289,680 0 0 24 ...............
197811032000122001 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025137341
872941265706000 96 0 0
4,858,800 0 0
0
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 VERONIKA DWI TK-0 3,272,200 0 0 0 0 0 3,944,700
JUNIARTI,S.T.Keb,M.Si 0 0 0 0 0 0 0
28-06-1989 0 600,000 72,420 0 0 25 ...............
198906282011012010 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025142018
476113931706000 80 0 0
3,944,700 0 0
0
26 SYARIFAH HALIFAH K -1 3,481,600 0 0 0 0 0 4,758,800
2 348,160 0 0 0 0 0
20-06-1978 139,264 500,000 289,680 0 0 26 ...............
197806202003122005 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025334242
885361766706000 96 0 0
4,758,800 0 0
0
27 DIAH KOMALASARI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,382,200
1 327,220 0 0 0 0 0
08-03-1985 65,444 500,000 217,260 0 0 27 ...............
198503082011012006 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025145378
165177148706000 76 0 0
4,382,200 0 0
0
28 MARIYATI ,A.Md. Farm TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
29-06-1988 0 500,000 72,420 0 0 28 ...............
198806292011012011 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 2025714795
164330524702000 80 0 0
3,844,700 0 0
0
29 MARIA DEWI KUMALA SARI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
15-08-1988 130,888 500,000 289,680 0 0 29 ...............
198808152011012007 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025143189
798134896706000 12 0 0
4,520,000 0 0
0
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 BERY PERMANA,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,244,300
0 327,220 0 0 0 0 0
28-04-1989 0 500,000 144,840 0 0 30 ...............
198904282011011001 2 3,599,420 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025144649
798110946706000 40 0 0
4,244,300 0 0
0
31 IMI MARIANA,A.Md.Kep K -1 3,172,300 0 0 0 0 0 4,406,200
2 317,230 0 0 0 0 0
01-01-1987 126,892 500,000 289,680 0 0 31 ...............
198701012010012026 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025142964
872941125706000 98 0 0
4,406,200 0 0
0
32 MERIYATI,A.Md.Kep K -0 3,172,300 0 0 0 0 0 3,744,800
0 0 0 0 0 0 0
05-05-1987 0 500,000 72,420 0 0 32 ...............
198705052010012026 1 3,172,300 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025144355
880111596706000 80 0 0
3,744,800 0 0
0
33 MIRANTI WULANDARI ,S.K.M TK-0 3,139,400 490,000 0 0 0 0 3,701,900
0 0 0 0 0 0 0
07-04-1986 0 0 72,420 0 0 33 ...............
198604072011012002 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025144835
476111927706000 80 0 0
3,701,900 0 0
0
34 YULIA TUTI,S.Keb.Bd TK-0 3,665,900 0 0 0 0 0 4,038,400
0 0 0 0 0 0 0
03-07-1977 0 300,000 72,420 0 0 34 ...............
197707032006042020 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025137022
880111679706000 80 0 0
4,038,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
35 GRACE RIYANTI SIMBOLON,S.Keb.Bd TK-0 3,238,300 0 0 0 0 0 3,610,800
0 0 0 0 0 0 0
16-01-1988 0 300,000 72,420 0 0 35 ...............
198801162009032002 1 3,238,300 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025060623
880111448706000 80 0 0
3,610,800 0 0
0
36 ELISABETH,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
05-08-1976 73,318 265,000 217,260 0 0 36 ...............
197608032006042022 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025334202
898355888706000 32 0 0
4,588,100 0 0
0
37 YULI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
01-01-1977 0 265,000 72,420 0 0 37 ...............
197701012006042039 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083429
872941166706000 80 0 0
4,003,400 0 0
0
38 BENTY SWARASWATI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
29-03-1978 0 265,000 72,420 0 0 38 ...............
197803292006042014 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025334740
898355896706000 80 0 0
4,003,400 0 0
0
39 MARGARITA,A.Md.Keb K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
29-01-1990 125,576 265,000 289,680 0 0 39 ...............
199001292011012003 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025877042
162638126706000 4 0 0
4,133,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
40 DWI NOVITARI,S.Sos K -0 3,340,300 0 0 0 0 0 3,876,200
2 0 185,000 0 0 0 0
14-11-1981 133,612 0 217,260 0 0 40 ...............
198111142010012002 3 3,473,912 0 0 0
0 0 0
( PNS-3B ) MKG:14 4025117714
898355862706000 28 0 0
3,876,200 0 0
0
41 TITIN MARTINI,A.Md.Kep K -1 3,012,000 0 0 0 0 0 3,988,400
2 301,200 0 0 0 0 0
13-03-1987 120,480 265,000 289,680 0 0 41 ...............
198703132014022003 4 3,433,680 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025190462
708531843706000 40 0 0
3,988,400 0 0
0
42 PEBRIANA DUWI YANTI,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
21-02-1988 56,618 265,000 217,260 0 0 42 ...............
198802212014032002 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025467332
704131572705000 32 0 0
3,652,900 0 0
0
43 DITA AGUSTIN TK-0 2,830,900 0 0 0 0 0 3,168,400
WINARSIH,A.Md.Kesling 0 0 0 0 0 0 0
18-08-1991 0 265,000 72,420 0 0 43 ...............
199108182015012001 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200191
726585417706000 80 0 0
3,168,400 0 0
0
44 SELVIA ADHISTIYA K -1 2,830,900 0 0 0 0 0 3,652,900
MARHARANI,A.Md.Keb 1 283,090 0 0 0 0 0
16-10-1991 56,618 265,000 217,260 0 0 44 ...............
199110162014022005 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025195103
708762091706000 32 0 0
3,652,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 10

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
45 FIRNANDA ESTRA ADILA,A.Md.Keb TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
11-11-1992 0 265,000 72,420 0 0 45 ...............
199211112014022001 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188484
708923164706000 80 0 0
3,168,400 0 0
0
PEG: 41 8,472,580 370,000 0 0 0 0
IST: 24 JIWA= 102 2,570,070 17,235,000 7,386,840 0 0
ANK: 37 154,087,850 0 97,938 0
0 0 0
2,510 0 0
180,210,138 0 97,938
0
46 NITA DWI RAHAYU, A.Md.Keb TK-0 2,801,500 0 0 0 0 0 3,114,000
0 0 0 0 0 0 0
09-11-1989 0 240,000 72,420 0 0 46 ...............
198911092017042001 1 2,801,500 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267937
708650957706000 80 0 0
3,114,000 0 0
0
47 SOMARNIYAH, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
14-02-1988 108,640 240,000 289,680 0 0 47 ...............
198802142017042004 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025824097
664201779706000 80 0 0
3,626,000 0 0
0
48 KATRIANA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,499,200
1 271,600 0 0 0 0 0
27-08-1990 54,320 240,000 217,260 0 0 48 ...............
199008272017042004 3 3,041,920 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025124401
664471984706000 20 0 0
3,499,200 0 0
0
BULAN : JUNI 2023
HALAMAN : 11

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 3 543,200 0 0 0 0 0
IST: 2 JIWA= 8 162,960 720,000 579,360 0 0
ANK: 3 8,939,660 0 0 0
0 0 0
180 0 0
10,239,200 0 0
0
TOTAL PER SATKER 168,417,300 1,030,000 0 0 150,080 0 214,151,000
PEG: 48 9,932,960 370,000 0 0 0 0
IST: 28 JIWA= 122 3,257,598 22,305,000 8,835,240 0 0
ANK: 46 181,607,858 0 150,080 0
0 0 0
2,902 0 0
214,301,080 150,080
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ANDI SUGIARTO,S.Ke,Ns K -1 3,518,100 0 0 0 0 0 4,900,400
2 351,810 0 0 0 0 0
03-09-1987 140,724 600,000 289,680 0 0 1 ...............
198709032011011001 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:12 4025145173
693532707706000 86 0 0
4,900,400 0 0
0
2 AGATA INCAK ,A.Md.Keb TK-0 4,237,500 0 0 0 0 0 4,810,000
0 0 0 0 0 0 0
22-09-1967 0 500,000 72,420 0 0 2 ...............
196709221993032001 1 4,237,500 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025137014
880111737706000 80 0 0
4,810,000 0 0
0
3 YUSUF CAHYANINGRAT,A.Md.Kep K -1 4,108,100 0 0 0 0 0 5,473,000
2 410,810 0 0 0 0 0
16-10-1975 164,324 500,000 289,680 0 0 3 ...............
197510161995031002 4 4,683,234 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025083674
880111836706000 86 0 0
5,473,000 0 0
0
4 PURWANTO DD-0 4,108,100 0 0 0 0 0 4,989,700
2 0 0 0 0 0 0
04-04-1976 164,324 500,000 217,260 0 0 4 ...............
197604041996021002 3 4,272,424 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025083968
675456883706000 16 0 0
4,989,700 0 0
0
5 S U S I A T I TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
27-10-1974 0 500,000 72,420 0 0 5 ...............
197410272000122003 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025083470
898355425706000 80 0 0
4,315,600 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 SUNARSIH,A.Md.Kep K -1 3,743,100 0 0 0 5,067 0 5,056,900
2 374,310 0 0 0 0 0
07-02-1983 149,724 500,000 289,680 0 0 6 ...............
198302072005022004 4 4,267,134 0 5,067 0
0 0 0
( PNS-3D ) MKG:16 4025083950
898355409706000 86 0 0
5,061,967 0 5,067
0
7 YUNI RAMADHANI,A.Md.Kep K -1 3,743,100 0 0 0 0 0 4,909,600
1 374,310 0 0 0 0 0
29-06-1983 74,862 500,000 217,260 0 0 7 ...............
198306292005022001 3 4,192,272 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025099295
675456826706000 68 0 0
4,909,600 0 0
0
8 MURTINI,A.M.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
20-05-1981 0 500,000 72,420 0 0 8 ...............
198405202006042008 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:15 4025169781
675456818706000 80 0 0
4,201,400 0 0
0
9 RIYANI ADI ARTI,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
15-11-1981 145,156 500,000 289,680 0 0 9 ...............
198111152006042013 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025083810
898355441706000 74 0 0
4,926,700 0 0
0
10 NUR IHSAN,A.Md.Kep TK-0 3,272,200 540,000 0 0 0 0 3,884,700
0 0 0 0 0 0 0
03-12-1983 0 0 72,420 0 0 10 ...............
198312032010011017 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025145769
898356340706000 80 0 0
3,884,700 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 BAMBANG HARIYANTO,A.Md.Kep K -1 3,591,200 490,000 0 0 0 0 4,729,500
1 359,120 0 0 0 0 0
28-05-1985 71,824 0 217,260 0 0 11 ...............
198505282009031004 3 4,022,144 0 0 0
0 0 0
( PNS-3C ) MKG:16 4025083348
891435976706000 96 0 0
4,729,500 0 0
0
12 dr. FITRI YANTI SISCA K -1 2,981,500 0 0 0 0 0 4,306,600
SIMANJUNTAK 1 298,150 0 0 0 0 0
29-05-1987 59,630 750,000 217,260 0 0 12 ...............
198705292019032002 3 3,339,280 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025871346
734866510952000 60 0 0
4,306,600 0 0
0
13 TATI SUMIRA ,A.Md.Keb K -1 3,704,300 0 0 0 3,067 0 5,012,600
2 370,430 0 0 0 0 0
10-06-1972 148,172 500,000 289,680 0 0 13 ...............
197206102000032007 4 4,222,902 0 3,067 0
0 0 0
( PNS-3C ) MKG:18 4025084280
675456867706000 18 0 0
5,015,667 0 3,067
0
14 F.B.NYANGKO.A.Md.Kep TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
03-05-1989 0 500,000 72,420 0 0 14 ...............
198905032010011002 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025138461
880111745706000 80 0 0
3,844,700 0 0
0
15 SUNARDI,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,402,600
2 337,530 0 0 0 0 0
24-10-1980 135,012 265,000 289,680 0 0 15 ...............
198010242005021002 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025084093
152134839706000 78 0 0
4,402,600 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 SIMSON ,SKM K -1 2,860,500 0 0 0 0 0 3,850,700
2 286,050 0 0 0 0 0
08-12-1992 114,420 300,000 289,680 0 0 16 ...............
199212082019031001 4 3,260,970 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4125037262
907075253706000 50 0 0
3,850,700 0 0
0
17 EVI SURYANI K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
04-03-1976 146,636 265,000 289,680 0 0 17 ...............
197603042006042019 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025069035
467045787706000 94 0 0
4,733,900 0 0
0
18 DIAN LESTARI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
27-09-1976 0 265,000 72,420 0 0 18 ...............
197609272006042013 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083895
885355768706000 80 0 0
4,003,400 0 0
0
19 M.E.MURNIATI TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
26-05-1977 0 265,000 72,420 0 0 19 ...............
197705262006042013 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025143359
675456834706000 80 0 0
4,003,400 0 0
0
20 EVI YULIANTI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
07-07-1977 0 265,000 72,420 0 0 20 ...............
197707072006042036 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025078506
898355391706000 80 0 0
4,003,400 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 ANI K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
19-08-1977 73,318 265,000 217,260 0 0 21 ...............
197708192006042017 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083267
675456800706000 32 0 0
4,588,100 0 0
0
22 RINI KURNIAWATI,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
01-02-1978 146,636 265,000 289,680 0 0 22 ...............
197802012006042021 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083569
158519553706000 94 0 0
4,733,900 0 0
0
23 SUMARYANTI,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
28-05-1978 73,318 265,000 217,260 0 0 23 ...............
197805282006042022 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083909
675456891706000 32 0 0
4,588,100 0 0
0
24 MANISA K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
11-02-1980 129,532 265,000 289,680 0 0 24 ...............
198002112006042014 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:13 4025084212
675456917760000 58 0 0
4,246,400 0 0
0
25 PONITRI,A.Md.Kep K -0 3,238,300 0 0 0 0 0 3,850,100
2 0 0 0 0 0 0
07-09-1982 129,532 265,000 217,260 0 0 25 ...............
198209072005022005 3 3,367,832 0 0 0
0 0 0
( PNS-3B ) MKG:12 4525259477
157923988706000 8 0 0
3,850,100 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
26 SANTI KURNIAWATI,A.Md.Kep TK-1 3,139,400 0 0 0 0 0 3,863,200
0 313,940 0 0 0 0 0
14-02-1989 0 265,000 144,840 0 0 26 ...............
198902142011012002 2 3,453,340 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025143286
166937870706000 20 0 0
3,863,200 0 0
0
27 YUNDAR INDRAWANTO ,S.Gz TK-0 2,660,700 0 0 0 0 0 3,033,200
0 0 0 0 0 0 0
09-08-1994 0 300,000 72,420 0 0 27 ...............
199408092019031001 1 2,660,700 0 0 0
0 0 0
( PNS-3A ) MKG: 2 4025871427
734092893706000 80 0 0
3,033,200 0 0
0
28 ELISA HENDRA,A.Md.KeP K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
17-11-1988 56,618 265,000 217,260 0 0 28 ...............
198811172014021001 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025191833
368521126706000 32 0 0
3,652,900 0 0
0
29 DEWINTA SUMARTARY,A.Md.Far TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
20-07-1992 0 265,000 72,420 0 0 29 ...............
199207202014022004 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188395
709121818706000 80 0 0
3,168,400 0 0
0
30 DEWI PURWANTI,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
27-11-1992 113,236 265,000 289,680 0 0 30 ...............
199211272014022002 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025193224
708650957706000 94 0 0
3,782,000 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 30 6,195,720 0 0 0 0 0
IST: 18 JIWA= 80 2,236,998 10,660,000 5,793,600 0 0
ANK: 32 112,379,518 0 8,134 0
0 0 0
1,982 0 0
129,873,234 0 8,134
0
31 WENEPRIDA LILIK APRIANI, K -0 2,801,500 0 0 0 0 0 3,242,400
A.Md.Keb 1 0 0 0 0 0 0
21-04-1983 56,030 240,000 144,840 0 0 31 ...............
198304212017042009 2 2,857,530 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025879983
664691789706000 30 0 0
3,242,400 0 0
0
32 MARIA WATI, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,499,200
1 271,600 0 0 0 0 0
04-08-1988 54,320 240,000 217,260 0 0 32 ...............
198808042017042004 3 3,041,920 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025267970
665156220706000 20 0 0
3,499,200 0 0
0
33 PURNAMA SARI SITUMEANG,A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,499,200
1 271,600 0 0 0 0 0
24-07-1989 54,320 240,000 217,260 0 0 33 ...............
198907242017042006 3 3,041,920 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025268241
666633862128000 20 0 0
3,499,200 0 0
0
34 EVAH LINDA SANJAYA,A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,439,800
2 255,270 0 0 0 0 0
29-10-1990 102,108 240,000 289,680 0 0 34 ...............
199010292019032001 4 2,910,078 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871320
907121602706000 42 0 0
3,439,800 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
35 OTONG GILBET SRIKANDI, AMK TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
03-06-1992 0 240,000 72,420 0 0 35 ...............
199206032019031002 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871362
768847535706000 80 0 0
2,865,200 0 0
0
36 NELY YULIARMI, A.Md.KG TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
17-07-1996 0 240,000 72,420 0 0 36 ...............
199607172020122004 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263036
967573684705000 80 0 0
2,686,800 0 0
0
37 SRI SUSANTI K -1 2,949,900 0 0 0 0 0 3,701,200
1 294,990 180,000 0 0 0 0
24-02-1979 58,998 0 217,260 0 0 37 ...............
197902242012122002 3 3,303,888 0 0 0
0 0 0
( PNS-2C ) MKG:19 4025169765
154510986706000 52 0 0
3,701,200 0 0
0
PEG: 7 1,093,460 180,000 0 0 0 0
IST: 4 JIWA= 17 325,776 1,440,000 1,231,140 0 0
ANK: 6 20,082,336 0 0 0
0 0 0
324 0 0
22,933,800 0 0
0
PUSKESMAN PANDAN
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 122,609,900 1,030,000 0 0 8,134 0 152,798,900
PEG: 37 7,289,180 180,000 0 0 0 0
IST: 22 JIWA= 97 2,562,774 12,100,000 7,024,740 0 0
ANK: 38 132,461,854 0 8,134 0
0 0 0
2,306 0 0
152,807,034 8,134
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ISMAIL, SKM K -1 4,508,600 540,000 0 0 12,575 0 5,644,300
0 450,860 0 0 0 0 0
04-04-1969 0 0 144,840 0 0 1 ...............
196904041989111001 2 4,959,460 0 12,575 0
0 0 0
( PNS-3D ) MKG:28 4025079464
496068586706000 0 0 0
5,656,875 0 12,575
0
2 ERHAMDI ,S.ST K -1 4,237,500 490,000 0 0 0 0 5,610,500
2 423,750 0 0 0 0 0
06-06-1973 169,500 0 289,680 0 0 2 ...............
197306061994031007 4 4,830,750 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025144037
898356571706000 70 0 0
5,610,500 0 0
0
3 dr.SITI MASIT0H K -1 3,410,600 0 0 0 0 0 4,927,800
2 341,060 0 0 0 0 0
26-07-1986 136,424 750,000 289,680 0 0 3 ...............
198607262015032001 4 3,888,084 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025200778
726467202706000 36 0 0
4,927,800 0 0
0
4 ABDUL MALIK K -1 4,650,600 0 0 0 6,613 0 5,926,000
1 465,060 0 0 0 0 0
17-07-1968 93,012 500,000 217,260 0 0 4 ...............
196807171988011001 3 5,208,672 0 6,613 0
0 0 0
( PNS-3D ) MKG:30 4025079499
898356597706000 68 0 0
5,932,613 0 6,613
0
5 ROSANTI,A.Md.Keb TK-0 4,508,600 0 0 0 5,642 0 5,081,100
0 0 0 0 0 0 0
29-12-1971 0 500,000 72,420 0 0 5 ...............
197112291990032001 1 4,508,600 0 5,642 0
0 0 0
( PNS-3D ) MKG:28 4025079430
894847573706000 80 0 0
5,086,742 0 5,642
0
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 ROSMAIDAH ROSANA,A.Md,Keb K -1 4,370,900 0 0 0 22,592 0 5,452,900
0 437,090 0 0 0 0 0
24-08-1970 0 500,000 144,840 0 0 6 ...............
197008241990122001 2 4,807,990 0 22,592 0
0 0 0
( PNS-3D ) MKG:26 4025068519
898356829706000 70 0 0
5,475,492 0 22,592
0
7 NINING MASRINI,A.MK K -1 3,861,000 0 0 0 11,129 0 5,191,300
2 386,100 0 0 0 0 0
17-04-1979 154,440 500,000 289,680 0 0 7 ...............
197904172002122006 4 4,401,540 0 11,129 0
0 0 0
( PNS-3D ) MKG:18 4025143774
474284361426000 80 0 0
5,202,429 0 11,129
0
8 dr. RISTI PANGESTU TK-0 2,981,500 0 0 0 0 0 3,804,000
0 0 0 0 0 0 0
15-02-1992 0 750,000 72,420 0 0 8 ...............
199202152019032003 1 2,981,500 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025871605
749190435706000 80 0 0
3,804,000 0 0
0
9 SURYONO,A.Md.Kep K -1 3,591,200 0 0 0 0 0 4,883,700
2 359,120 0 0 0 0 0
13-09-1977 143,648 500,000 289,680 0 0 9 ...............
197709122006041013 4 4,093,968 0 0 0
0 0 0
( PNS-3C ) MKG:16 4025083828
898355417706000 52 0 0
4,883,700 0 0
0
10 PUNYAN,A.Md.Kep TK-0 3,481,600 0 0 0 0 0 4,054,100
0 0 0 0 0 0 0
01-10-1976 0 500,000 72,420 0 0 10 ...............
197610012002121003 1 3,481,600 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025065200
894841873706000 80 0 0
4,054,100 0 0
0
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 AWALIYAWATI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
01-06-1987 130,888 500,000 289,680 0 0 11 ...............
198706012010012015 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025115258
781660782706000 12 0 0
4,520,000 0 0
0
12 MARSIANA ANGGRAENI,S.Kep.Ns TK-0 2,860,500 0 0 0 0 0 3,233,000
0 0 0 0 0 0 0
21-12-1992 0 300,000 72,420 0 0 12 ...............
199212212019032002 1 2,860,500 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4025252514
907514855706000 80 0 0
3,233,000 0 0
0
13 WENDY EFRISA, SKM K -1 2,773,200 0 0 0 0 0 3,495,400
0 277,320 0 0 0 0 0
27-03-1989 0 300,000 144,840 0 0 13 ...............
198903272019031001 2 3,050,520 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025871583
710463738706000 40 0 0
3,495,400 0 0
0
14 SARTINI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
02-08-1977 0 265,000 72,420 0 0 14 ...............
197708022006042022 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025084123
894841782706000 80 0 0
4,003,400 0 0
0
15 SITI HAMISAH TK-0 3,554,000 0 0 0 0 0 3,891,500
0 0 0 0 0 0 0
13-09-1977 0 265,000 72,420 0 0 15 ...............
197709132005022003 1 3,554,000 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025068501
898356449706000 80 0 0
3,891,500 0 0
0
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 SRI UTAMI KURNIASIH,A.Md.Kep K -1 3,554,000 0 0 0 0 0 4,606,300
2 355,400 0 0 0 0 0
14-02-1978 142,160 265,000 289,680 0 0 16 ...............
197802142006042016 4 4,051,560 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025068756
898356498706000 60 0 0
4,606,300 0 0
0
17 MARTINI K -1 3,445,500 0 0 0 0 0 4,482,600
2 344,550 0 0 0 0 0
01-03-1978 137,820 265,000 289,680 0 0 17 ...............
197803012006042021 4 3,927,870 0 0 0
0 0 0
( PNS-3B ) MKG:16 4025068241
ISI MAZSEH 50 0 0
4,482,600 0 0
0
18 WAHYU CAHYADI,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
25-01-1989 113,236 265,000 289,680 0 0 18 ...............
198901252014021001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025193232
708720370706000 94 0 0
3,782,000 0 0
0
19 WIDYA RIZKY NUGRAHENI,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
31-07-1991 113,236 265,000 289,680 0 0 19 ...............
199107312014022004 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189049
707503272701000 94 0 0
3,782,000 0 0
0
20 HENY VITRANY,A.Md.AK K -1 2,830,900 0 0 0 0 0 3,627,900
1 283,090 0 0 0 0 0
22-04-1989 56,618 240,000 217,260 0 0 20 ...............
198904222015012002 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025199362
726530207706000 32 0 0
3,627,900 0 0
0
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 20 5,016,800 0 0 0 0 0
IST: 14 JIWA= 54 1,390,982 7,430,000 3,910,680 0 0
ANK: 20 77,627,882 0 58,551 0
0 0 0
1,238 0 0
90,058,351 0 58,551
0
21 WITRA KARUNIA FITRI,A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
25-04-1990 108,640 240,000 289,680 0 0 21 ...............
199004252014022006 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025189324
664213600706000 80 0 0
3,626,000 0 0
0
22 YUNITA ASPRIANA,A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,372,500
0 271,600 0 0 0 0 0
01-08-1990 0 240,000 144,840 0 0 22 ...............
199008012017042002 2 2,987,600 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025998893
664776986706000 60 0 0
3,372,500 0 0
0
PEG: 2 543,200 0 0 0 0 0
IST: 2 JIWA= 6 108,640 480,000 434,520 0 0
ANK: 2 6,083,840 0 0 0
0 0 0
140 0 0
6,998,500 0 0
0
PUSKESMAS DEDAI
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 76,652,100 1,030,000 0 0 58,551 0 96,998,300
PEG: 22 5,560,000 0 0 0 0 0
IST: 16 JIWA= 60 1,499,622 7,910,000 4,345,200 0 0
ANK: 22 83,711,722 0 58,551 0
0 0 0
1,378 0 0
97,056,851 58,551
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 HERI KURNIADI,S.K.M K -1 3,982,600 540,000 0 0 0 0 5,369,900
2 398,260 0 0 0 0 0
06-05-1976 159,304 0 289,680 0 0 1 ...............
197605061997031005 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025063941
898356738706000 56 0 0
5,369,900 0 0
0
2 DJIT KIANA.Md.Kep K -1 4,370,900 0 0 0 3,842 0 5,452,900
0 437,090 0 0 0 0 0
12-09-1969 0 500,000 144,840 0 0 2 ...............
196909121991032006 2 4,807,990 0 3,842 0
0 0 0
( PNS-3D ) MKG:26 4025070696
147598684706000 70 0 0
5,456,742 0 3,842
0
3 ENDANG SULASTRI ,S.ST.,M.A.P K -1 3,941,400 490,000 0 0 14,788 0 5,272,900
2 394,140 0 0 0 0 0
26-03-1973 157,656 0 289,680 0 0 3 ...............
197303262006042014 4 4,493,196 0 14,788 0
0 0 0
( PNS-3C ) MKG:22 4025073971
872941034706000 24 0 0
5,287,688 0 14,788
0
4 DOMINIKA ,S.Tr.Gz TK-0 3,375,300 0 0 0 0 0 4,047,800
0 0 0 0 0 0 0
30-08-1984 0 600,000 72,420 0 0 4 ...............
198408302009032002 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025145301
898356530706000 80 0 0
4,047,800 0 0
0
5 THERESIA AKIEN,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
12-12-1985 135,012 500,000 289,680 0 0 5 ...............
198512122009022009 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:13 4025164909
872941042706000 78 0 0
4,637,600 0 0
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 ARISTO MARTIMBANG,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,497,600
1 337,530 0 0 0 0 0
11-07-1985 67,506 500,000 217,260 0 0 6 ...............
198507112009031004 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025145351
872940978706000 4 0 0
4,497,600 0 0
0
7 MONIKA SRILIA,A,Md.Keb K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
02-12-1985 135,012 500,000 289,680 0 0 7 ...............
198512022009032005 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025070637
675457071507000 78 0 0
4,637,600 0 0
0
8 DWI ISMARWATI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
18-05-1983 130,888 500,000 289,680 0 0 8 ...............
198305182010012022 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025146692
ISI MAZSEH 12 0 0
4,520,000 0 0
0
9 VERA YUNITA,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
24-06-1986 130,888 500,000 289,680 0 0 9 ...............
198606242010012021 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025148083
872940994706000 12 0 0
4,520,000 0 0
0
10 dr.NOVITA HARDIANI K -0 2,773,200 0 0 0 0 0 3,170,700
0 0 0 0 0 0 0
14-09-1989 0 325,000 72,420 0 0 10 ...............
198909142020122001 1 2,773,200 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025262498
908485600706000 80 0 0
3,170,700 0 0
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 drg.CHAERIKA P.ROSLIAWATI K -1 2,773,200 0 0 0 0 0 3,520,400
0 277,320 0 0 0 0 0
12-03-1993 0 325,000 144,840 0 0 11 ...............
199303122020122002 2 3,050,520 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025235814
76530 4118706000 40 0 0
3,520,400 0 0
0
12 SEPTIAN WAHID SUTIKNO,S.Kep.Ns K -1 2,860,500 0 0 0 0 0 3,850,700
2 286,050 0 0 0 0 0
14-11-1992 114,420 300,000 289,680 0 0 12 ...............
199209142019031002 4 3,260,970 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4125036771
900858283706000 50 0 0
3,850,700 0 0
0
13 ALIANA,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
16-11-1975 0 265,000 72,420 0 0 13 ...............
197511262006042019 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025063975
898356720706000 80 0 0
4,003,400 0 0
0
14 KOLUMBA ENUN,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
08-05-1975 73,318 265,000 217,260 0 0 14 ...............
197605082006042014 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025145475
675457048507000 32 0 0
4,588,100 0 0
0
15 ALINA,A.Md.Keb K -1 3,554,000 0 0 0 0 0 4,606,300
2 355,400 0 0 0 0 0
05-07-1978 142,160 265,000 289,680 0 0 15 ...............
197807052006042030 4 4,051,560 0 0 0
0 0 0
( PNS-3B ) MKG:19 4025076210
872941026706000 60 0 0
4,606,300 0 0
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 RUDI SUDARNA,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
06-02-1988 125,576 265,000 289,680 0 0 16 ...............
198802062011011002 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025145530
468488291706000 4 0 0
4,133,600 0 0
0
17 LIDJUN TK-0 4,150,100 0 0 0 0 0 4,407,600
0 0 185,000 0 0 0 0
04-04-1967 0 0 72,420 0 0 17 ...............
196704041986032001 1 4,150,100 0 0 0
0 0 0
( PNS-3B ) MKG:28 4025070661
872940929706000 80 0 0
4,407,600 0 0
0
18 JUNAIDI K -1 4,023,300 0 0 0 0 0 4,755,500
0 402,330 185,000 0 0 0 0
14-09-1965 0 0 144,840 0 0 18 ...............
196509141989031012 2 4,425,630 0 0 0
0 0 0
( PNS-3B ) MKG:27 4025063576
587169939706000 30 0 0
4,755,500 0 0
0
19 dr.ANTHONY EVAN SUKENDAR TK-0 3,043,600 0 0 0 0 0 3,116,100
0 0 0 0 0 0 0
21-09-1988 0 0 72,420 0 0 19 ...............
198809212017041001 1 3,043,600 0 0 0
0 0 0
( PNS-3B ) MKG: 8 4025807885
169207297701000 80 0 0
3,116,100 0 0
0
20 EMERENSIANA,A.Md.Kep K -1 3,305,700 0 0 0 0 0 4,323,200
2 330,570 0 0 0 0 0
12-03-1978 132,228 265,000 289,680 0 0 20 ...............
197803122006042026 4 3,768,498 0 0 0
0 0 0
( PNS-3A ) MKG:16 4025065307
675457055706000 22 0 0
4,323,200 0 0
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 FLORENTINA KARTIKA TK-0 2,830,900 0 0 0 0 0 3,168,400
WATUN,A.Md.Keb 0 0 0 0 0 0 0
16-02-1991 0 265,000 72,420 0 0 21 ...............
199102162014022005 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025187577
709000996706000 80 0 0
3,168,400 0 0
0
22 ROZA PUTRI NANDA, A.Md.KG K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
01-01-1992 56,618 265,000 217,260 0 0 22 ...............
199201012014022008 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025187852
709567648706000 32 0 0
3,652,900 0 0
0
23 LIS SURYATI, A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,727,800
1 292,010 0 0 0 0 0
13-06-1989 58,402 240,000 217,260 0 0 23 ...............
198906132017042004 3 3,270,512 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025188778
664407673706000 28 0 0
3,727,800 0 0
0
24 RINI, A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,858,600
2 292,010 0 0 0 0 0
02-07-1990 116,804 240,000 289,680 0 0 24 ...............
199007022017042002 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025269026
664409000706000 6 0 0
3,858,600 0 0
0
PEG: 24 6,095,830 370,000 0 0 0 0
IST: 18 JIWA= 68 1,735,792 6,885,000 4,924,560 0 0
ANK: 26 88,628,922 0 18,630 0
0 0 0
1,118 0 0
101,858,230 0 18,630
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 BUDIANSAH ,A.Md KG K -1 2,552,700 0 0 0 0 0 3,439,800
2 255,270 0 0 0 0 0
16-02-1992 102,108 240,000 289,680 0 0 25 ...............
199202162019031001 4 2,910,078 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125036789
868767328702000 42 0 0
3,439,800 0 0
0
26 IRINI ARYANI, A.Md.Far K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
24-06-1992 51,054 240,000 217,260 0 0 26 ...............
199206242019032002 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125036797
907248561706000 16 0 0
3,316,300 0 0
0
27 MARIA SHERLY BUCANG TK-0 2,552,700 0 0 0 0 0 2,865,200
INOI,A.Md.Kep 0 0 0 0 0 0 0
26-10-1992 0 240,000 72,420 0 0 27 ...............
199209262019032016 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125037122
907131585706000 80 0 0
2,865,200 0 0
0
28 JUWITA SARTIKA, A.Md.Kep TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
18-11-1990 0 240,000 72,420 0 0 28 ...............
199011182020122005 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262048
935283226706000 80 0 0
2,686,800 0 0
0
29 NOVI ASFIANA, A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
24-11-1991 94,972 240,000 289,680 0 0 29 ...............
199111242020122006 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262463
967268160706000 18 0 0
3,236,400 0 0
0
PUSKESMAS SERAWAI
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 NOVIA KATARINA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
28-11-1994 0 240,000 72,420 0 0 30 ...............
199411282020122005 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262501
935283226706000 80 0 0
2,686,800 0 0
0
31 HARIAH K -1 2,830,200 0 0 0 0 0 3,567,100
1 283,020 180,000 0 0 0 0
17-08-1969 56,604 0 217,260 0 0 31 ...............
196908172007012048 3 3,169,824 0 0 0
0 0 0
( PNS-2B ) MKG:20 4025066753
872941042706000 16 0 0
3,567,100 0 0
0
PEG: 7 1,030,990 180,000 0 0 0 0
IST: 4 JIWA= 17 304,738 1,440,000 1,231,140 0 0
ANK: 6 18,946,928 0 0 0
0 0 0
332 0 0
21,798,400 0 0
0
TOTAL PER SATKER 98,408,500 1,030,000 0 0 18,630 0 123,638,000
PEG: 31 7,126,820 550,000 0 0 0 0
IST: 22 JIWA= 85 2,040,530 8,325,000 6,155,700 0 0
ANK: 32 107,575,850 0 18,630 0
0 0 0
1,450 0 0
123,656,630 18,630
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 DONATUS LEO,A.Md.Kep K -1 3,861,000 540,000 0 0 0 0 5,231,300
2 386,100 0 0 0 0 0
22-08-1982 154,440 0 289,680 0 0 1 ...............
198208222002121005 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025144908
872940903706000 80 0 0
5,231,300 0 0
0
2 dr.DIAN KURNIA DEWI K -1 3,306,500 0 0 0 0 0 4,670,600
1 330,650 0 0 0 0 0
15-04-1985 66,130 750,000 217,260 0 0 2 ...............
198504152014022007 3 3,703,280 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4025195286
709010391706000 60 0 0
4,670,600 0 0
0
3 SRI SUPATMI, S.Kep,Ns K -1 3,743,100 0 0 0 5,067 0 5,056,900
2 374,310 0 0 0 0 0
22-04-1980 149,724 500,000 289,680 0 0 3 ...............
198004222003122006 4 4,267,134 0 5,067 0
0 0 0
( PNS-3D ) MKG:16 4025186899
675457386706000 86 0 0
5,061,967 0 5,067
0
4 SRI MEGAWATI ,A.Md. Far K -1 3,628,900 0 0 0 0 0 4,611,700
2 362,890 185,000 0 0 0 0
08-10-1982 145,156 0 289,680 0 0 4 ...............
198210082006042013 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025335069
588047126701000 74 0 0
4,611,700 0 0
0
5 SIGIT WALUYO,A.Md.Kep K -1 3,272,200 490,000 0 0 0 0 4,510,000
2 327,220 0 0 0 0 0
20-02-1988 130,888 0 289,680 0 0 5 ...............
198802202010011003 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025148113
898356233706000 12 0 0
4,510,000 0 0
0
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 dr.REZKY FITRIA YANDRA K -1 2,981,500 0 0 0 0 0 4,174,500
0 298,150 0 0 0 0 0
24-03-1993 0 750,000 144,840 0 0 6 ...............
199303242019032001 2 3,279,650 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4125036975
756853396706000 10 0 0
4,174,500 0 0
0
7 WIBOWO,S.Kep.Nes K -1 3,172,300 0 0 0 0 0 4,506,200
2 317,230 0 0 0 0 0
25-05-1989 126,892 600,000 289,680 0 0 7 ...............
198905252015021002 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 8 6825011305
725603880706000 98 0 0
4,506,200 0 0
0
8 MARKUS EDI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
20-11-1980 130,888 500,000 289,680 0 0 8 ...............
198011202010011017 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025147869
872941687706000 12 0 0
4,520,000 0 0
0
9 DAMIN,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
01-07-1981 130,888 500,000 289,680 0 0 9 ...............
198107012009041001 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025821811
166138164706000 12 0 0
4,520,000 0 0
0
10 SUSANA INDAWATI,A.Md.AK K -1 3,272,200 0 0 0 0 0 4,382,200
1 327,220 0 0 0 0 0
24-07-1982 65,444 500,000 217,260 0 0 10 ...............
198207242009032008 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025083798
880111828706000 76 0 0
4,382,200 0 0
0
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 YANNA SUCIYANTI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
18-10-1988 130,888 500,000 289,680 0 0 11 ...............
198810182010012008 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025145793
898356357706000 12 0 0
4,520,000 0 0
0
12 MARIA KRISTINA I'IN,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
03-11-1974 73,318 265,000 217,260 0 0 12 ...............
197411032006042014 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025085944
898356308706000 32 0 0
4,588,100 0 0
0
13 ESTER ASIAU,A.Md.Keb K -0 3,665,900 0 0 0 0 0 4,294,800
2 0 0 0 0 0 0
17-12-1977 146,636 265,000 217,260 0 0 13 ...............
197712172006042022 3 3,812,536 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025177181
898356316706000 4 0 0
4,294,800 0 0
0
14 LAYON,A.Md.Keb K -1 3,554,000 0 0 0 0 0 4,319,300
0 355,400 0 0 0 0 0
20-09-1977 0 265,000 144,840 0 0 14 ...............
197709202006042018 2 3,909,400 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025060488
ISI MAZSEH 60 0 0
4,319,300 0 0
0
15 NUR MAULUDIYAH K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
14-03-1976 129,532 265,000 289,680 0 0 15 ...............
197603142005022001 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025083593
898356324706000 58 0 0
4,246,400 0 0
0
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 SESILIA YANTI,A.Md.Farm TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
04-06-1984 0 265,000 72,420 0 0 16 ...............
198406042010012014 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025704989
588050997702000 80 0 0
3,476,900 0 0
0
17 GUSTIANSYAH,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
06-08-1992 56,618 265,000 217,260 0 0 17 ...............
199208062014021002 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188981
708652342706000 32 0 0
3,652,900 0 0
0
18 DAMSRI,A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,858,600
2 292,010 0 0 0 0 0
15-11-1988 116,804 240,000 289,680 0 0 18 ...............
198811152017042006 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025268186
664391141706000 6 0 0
3,858,600 0 0
0
19 FIRMA MUSTIKASARI, A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,727,800
1 292,010 0 0 0 0 0
18-05-1989 58,402 240,000 217,260 0 0 19 ...............
198905182017042004 3 3,270,512 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025268089
664389368706000 28 0 0
3,727,800 0 0
0
20 SADARILA, A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,858,600
2 292,010 0 0 0 0 0
26-01-1990 116,804 240,000 289,680 0 0 20 ...............
199001262017042005 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025130028
664400215706000 6 0 0
3,858,600 0 0
0
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 20 5,910,370 185,000 0 0 0 0
IST: 18 JIWA= 67 1,929,452 6,910,000 4,852,140 0 0
ANK: 29 73,748,822 0 5,067 0
0 0 0
838 0 0
86,731,867 0 5,067
0
21 GARDA WIRAJAYA,A.Md.Kep TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
02-03-1993 0 240,000 72,420 0 0 21 ...............
199303022019031001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871761
903319457706000 80 0 0
2,865,200 0 0
0
22 YATIM TK-0 3,074,700 0 0 0 0 0 3,327,200
0 0 180,000 0 0 0 0
27-05-1974 0 0 72,420 0 0 22 ...............
197405272007012016 1 3,074,700 0 0 0
0 0 0
( PNS-2D ) MKG:19 4025146854
898356282706000 80 0 0
3,327,200 0 0
0
23 D I A N A, A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
17-12-1994 94,972 240,000 289,680 0 0 23 ...............
199412172020122009 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235954
856408869701000 18 0 0
3,236,400 0 0
0
PEG: 3 237,430 180,000 0 0 0 0
IST: 1 JIWA= 6 94,972 480,000 434,520 0 0
ANK: 2 8,334,102 0 0 0
0 0 0
178 0 0
9,428,800 0 0
0
PUSKESMAS EMPARU
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 73,910,700 1,030,000 0 0 5,067 0 96,155,600
PEG: 23 6,147,800 365,000 0 0 0 0
IST: 19 JIWA= 73 2,024,424 7,390,000 5,286,660 0 0
ANK: 31 82,082,924 0 5,067 0
0 0 0
1,016 0 0
96,160,667 5,067
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 dr.MARCH FEREDRIK JAYA LUMBAN K -1 3,410,600 540,000 0 0 0 0 4,717,800
TOBING 2 341,060 0 0 0 0 0
14-03-1984 136,424 0 289,680 0 0 1 ...............
198403142014081001 4 3,888,084 0 0 0
0 0 0
( PNS-3D ) MKG:11 4025195421
058900317701000 36 0 0
4,717,800 0 0
0
2 drg.RIZKIA KURNIANINGRUM K -1 3,410,600 0 0 0 0 0 4,927,800
2 341,060 0 0 0 0 0
07-02-1987 136,424 750,000 289,680 0 0 2 ...............
198702072014022001 4 3,888,084 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025188662
665143004429000 36 0 0
4,927,800 0 0
0
3 RUSDIANI, A.Md.Keb. TK-0 4,508,600 0 0 0 5,642 0 5,081,100
0 0 0 0 0 0 0
09-10-1969 0 500,000 72,420 0 0 3 ...............
196910091988122001 1 4,508,600 0 5,642 0
0 0 0
( PNS-3D ) MKG:28 4025060518
898357041706000 80 0 0
5,086,742 0 5,642
0
4 A K I K -1 4,108,100 0 0 0 0 0 5,318,400
1 410,810 0 0 0 0 0
27-09-1969 82,162 500,000 217,260 0 0 4 ...............
196909271996031002 3 4,601,072 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025068659
675457188706000 68 0 0
5,318,400 0 0
0
5 MARYATI GURNING,A.Md.Farm K -1 4,108,100 0 0 0 16,696 0 5,318,400
1 410,810 0 0 0 0 0
17-07-1970 82,162 500,000 217,260 0 0 5 ...............
197007171995012002 3 4,601,072 0 16,696 0
0 0 0
( PNS-3D ) MKG:22 4025060364
898356902706000 68 0 0
5,335,096 0 16,696
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 MUJAROH,S.K.M K -1 3,982,600 0 0 0 0 0 5,329,900
2 398,260 0 0 0 0 0
15-03-1977 159,304 500,000 289,680 0 0 6 ...............
197703151997031006 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025084115
499923613702000 56 0 0
5,329,900 0 0
0
7 BERNADETA K -0 3,982,600 0 0 0 0 0 4,555,100
0 0 0 0 0 0 0
06-10-1978 0 500,000 72,420 0 0 7 ...............
197810061998032002 1 3,982,600 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025060534
898356936706000 80 0 0
4,555,100 0 0
0
8 YOGA SUGANDA, A.Md.Kep, S.K.M K -1 3,743,100 0 0 0 0 0 5,056,900
2 374,310 0 0 0 0 0
04-01-1981 149,724 500,000 289,680 0 0 8 ...............
198101042006041012 4 4,267,134 0 0 0
0 0 0
( PNS-3D ) MKG:17 4025060763
675457360706000 86 0 0
5,056,900 0 0
0
9 LAILA SARI,A.Md K -1 3,743,100 0 0 0 0 0 4,909,600
1 374,310 0 0 0 0 0
26-04-1976 74,862 500,000 217,260 0 0 9 ...............
197604262000122008 3 4,192,272 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025098272
898356985706000 68 0 0
4,909,600 0 0
0
10 KANISIUS K -1 4,602,400 490,000 0 0 0 0 6,026,500
2 460,240 0 0 0 0 0
28-12-1965 184,096 0 289,680 0 0 10 ...............
196512281986031009 4 5,246,736 0 0 0
0 0 0
( PNS-3C ) MKG:32 4025060500
898356951706000 84 0 0
6,026,500 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 dr. SRI HOTNAILI PANJAITAN K -1 2,890,500 0 0 0 0 0 4,204,700
1 289,050 0 0 0 0 0
02-06-1992 57,810 750,000 217,260 0 0 11 ...............
199206022019032002 3 3,237,360 0 0 0
0 0 0
( PNS-3C ) MKG: 2 4025871591
762030591706000 80 0 0
4,204,700 0 0
0
12 KUNCORO DARMO WIYOTO, A.Md K -1 3,704,300 0 0 0 0 0 5,012,600
2 370,430 0 0 0 0 0
31-05-1978 148,172 500,000 289,680 0 0 12 ...............
197805312000031001 4 4,222,902 0 0 0
0 0 0
( PNS-3C ) MKG:18 4025060496
898357017706000 18 0 0
5,012,600 0 0
0
13 YAN BUDIMAN K -1 3,591,200 0 0 0 0 0 4,883,700
2 359,120 0 0 0 0 0
28-02-1976 143,648 500,000 289,680 0 0 13 ...............
197602282000031003 4 4,093,968 0 0 0
0 0 0
( PNS-3C ) MKG:16 4025073547
898356969706000 52 0 0
4,883,700 0 0
0
14 ATIN HARTINI,A.Md K -0 3,591,200 0 0 0 0 0 4,452,200
2 0 0 0 0 0 0
09-07-1979 143,648 500,000 217,260 0 0 14 ...............
197907092003122011 3 3,734,848 0 0 0
0 0 0
( PNS-3C ) MKG:16 4025060372
898357025706000 92 0 0
4,452,200 0 0
0
15 NIKOLAUS NIKOLAS K -1 3,481,600 0 0 0 0 0 4,474,600
0 348,160 0 0 0 0 0
06-12-1976 0 500,000 144,840 0 0 15 ...............
197612062003121006 2 3,829,760 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025068641
675457170706000 0 0 0
4,474,600 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 WAHYU AFRIYATI,A.Md.Kep TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
18-02-1987 0 500,000 72,420 0 0 16 ...............
198702182010012012 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025143812
158519058706000 80 0 0
3,844,700 0 0
0
17 LILIS SURYANI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
06-10-1987 130,888 500,000 289,680 0 0 17 ...............
198710062010012011 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025143251
166018341706000 12 0 0
4,520,000 0 0
0
18 HELFINA,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
23-06-1988 130,888 500,000 289,680 0 0 18 ...............
198806232010012011 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025143855
158519124706000 12 0 0
4,520,000 0 0
0
19 ERNING TYAS.V.G.,A.Md.Kep TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
20-12-1981 0 500,000 72,420 0 0 19 ...............
198812202010012007 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025143391
781660667706000 80 0 0
3,844,700 0 0
0
20 MARTINA NERU.A.Md.Keb TK-0 3,821,000 0 0 0 0 0 4,158,500
0 0 0 0 0 0 0
16-06-1977 0 265,000 72,420 0 0 20 ...............
197706162005022004 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:21 4025060704
898356944706000 80 0 0
4,158,500 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 LIA HERYANI,A.Md.Keb. TK-0 3,375,300 0 0 0 0 0 3,712,800
0 0 0 0 0 0 0
18-07-1982 0 265,000 72,420 0 0 21 ...............
198207182009032006 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025060356
675457352706000 80 0 0
3,712,800 0 0
0
22 ANASTASIA,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,285,000
2 327,220 0 0 0 0 0
28-10-1986 130,888 265,000 289,680 0 0 22 ...............
198610282010012014 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025155632
166018051706000 12 0 0
4,285,000 0 0
0
23 dr. SITI AISYAH K -1 2,981,500 0 0 0 0 0 3,688,600
2 298,150 0 0 0 0 0
02-11-1990 119,260 0 289,680 0 0 23 ...............
199011022019032001 4 3,398,910 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025871575
724274121706000 10 0 0
3,688,600 0 0
0
24 APT.ANNISA RIZKI M, S.Farm K -1 2,773,200 0 0 0 0 0 3,520,400
0 277,320 0 0 0 0 0
17-08-1991 0 325,000 144,840 0 0 24 ...............
199108172020122002 2 3,050,520 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025233579
724583307706000 40 0 0
3,520,400 0 0
0
25 HERKULANUS MIKO PATRIAN SAMARAGA K -1 2,860,500 0 0 0 0 0 3,591,400
0 286,050 0 0 0 0 0
20-03-1995 0 300,000 144,840 0 0 25 ...............
199503202019031001 2 3,146,550 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4125036894
907387880706000 10 0 0
3,591,400 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
26 RINA TRI DEWI ASTUTI,A.Md.Keb K -1 3,781,400 0 0 0 0 0 4,717,500
1 378,140 0 0 0 0 0
26-01-1976 75,628 265,000 217,260 0 0 26 ...............
197601262006042016 3 4,235,168 0 0 0
0 0 0
( PNS-3B ) MKG:22 4025060828
675457279706000 72 0 0
4,717,500 0 0
0
27 BENEDIKTA,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
24-11-1973 146,636 265,000 289,680 0 0 27 ...............
197311242006042013 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025060844
675457337706000 94 0 0
4,733,900 0 0
0
28 SRI MULYANI TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
05-05-1975 0 265,000 72,420 0 0 28 ...............
197505052006042043 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025060755
675457220706000 80 0 0
4,003,400 0 0
0
29 BIBILIANA BILIN,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
21-11-1975 146,636 265,000 289,680 0 0 29 ...............
197511212006042017 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025060836
675457311706000 94 0 0
4,733,900 0 0
0
30 NURSIANA,A.Md.Keb K -0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
14-04-1976 0 265,000 72,420 0 0 30 ...............
197604142006042033 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025075574
166018713706000 80 0 0
4,003,400 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
31 MARIA SELVIA,A.Md.Keb TK-0 3,445,500 0 0 0 0 0 3,783,000
0 0 0 0 0 0 0
21-11-1970 0 265,000 72,420 0 0 31 ...............
197011212006042003 1 3,445,500 0 0 0
0 0 0
( PNS-3B ) MKG:16 4025068632
675457212706000 80 0 0
3,783,000 0 0
0
32 LYDIA RATNA,A.Md.Kep TK-0 3,238,300 0 0 0 0 0 3,575,800
0 0 0 0 0 0 0
23-07-1983 0 265,000 72,420 0 0 32 ...............
198307232011012006 1 3,238,300 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025143316
163226988706000 80 0 0
3,575,800 0 0
0
33 EZRIWENI.E,A.Md.Kep K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
13-01-1985 129,532 265,000 289,680 0 0 33 ...............
198501132009031007 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025084182
155359664706000 58 0 0
4,246,400 0 0
0
34 NURHAYATI SIMAMORA,A.Md.Kep K -0 3,139,400 0 0 0 0 0 3,612,100
1 0 0 0 0 0 0
29-11-1975 62,788 265,000 144,840 0 0 34 ...............
197511292010012009 2 3,202,188 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025148105
898356241706000 72 0 0
3,612,100 0 0
0
35 MAGDALENA NYIKTIWATI,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
12-08-1988 125,576 265,000 289,680 0 0 35 ...............
198808122011012008 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025143201
163696024706000 4 0 0
4,133,600 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
36 NURMIYATI,A.Md.Kep K -1 3,012,000 0 0 0 0 0 3,988,400
2 301,200 0 0 0 0 0
25-02-1980 120,480 265,000 289,680 0 0 36 ...............
198002252014022001 4 3,433,680 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025193534
710201815706000 40 0 0
3,988,400 0 0
0
37 DWI WIDYADARA,A.Md.Keb TK-0 3,012,000 0 0 0 0 0 3,324,500
0 0 0 0 0 0 0
16-12-1988 0 240,000 72,420 0 0 37 ...............
198812162017042004 1 3,012,000 0 0 0
0 0 0
( PNS-3A ) MKG:11 4125033054
664846441706000 80 0 0
3,324,500 0 0
0
38 NIKODEMUS,A.Md.Kep K -1 3,012,000 0 0 0 0 0 3,698,100
0 301,200 0 0 0 0 0
28-02-1987 0 240,000 144,840 0 0 38 ...............
198702282011011014 2 3,313,200 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025167274
163696297706000 60 0 0
3,698,100 0 0
0
39 INDRI ASTUTI, A.Md.Keb TK-0 2,920,100 0 0 0 0 0 3,232,600
0 0 0 0 0 0 0
29-11-1986 0 240,000 72,420 0 0 39 ...............
198611292017042008 1 2,920,100 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025268127
664756749706000 80 0 0
3,232,600 0 0
0
40 RESTI RESBANDIAH,A.Md.Keb K -0 2,920,100 0 0 0 0 0 3,363,400
1 0 0 0 0 0 0
02-04-1989 58,402 240,000 144,840 0 0 40 ...............
198904022017042003 2 2,978,502 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4321018985
664363249706000 58 0 0
3,363,400 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
41 MARIATHA SRI WAHYUNI, A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,858,600
2 292,010 0 0 0 0 0
02-03-1990 116,804 240,000 289,680 0 0 41 ...............
199003022017042004 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025268151
664205515706000 6 0 0
3,858,600 0 0
0
42 UUN YUSLIN KARTIANA,A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,727,800
1 292,010 0 0 0 0 0
20-04-1990 58,402 240,000 217,260 0 0 42 ...............
199004202017042003 3 3,270,512 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4325007856
664297744706000 28 0 0
3,727,800 0 0
0
43 YUSTINA IKA PATRIYANTI,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,757,000
2 283,090 0 0 0 0 0
27-07-1990 113,236 240,000 289,680 0 0 43 ...............
199007272017042003 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 7 4025267911
665012910705000 94 0 0
3,757,000 0 0
0
44 KAMARUDDIN K -1 3,627,900 0 0 0 0 0 4,465,600
1 362,790 185,000 0 0 0 0
05-09-1971 72,558 0 217,260 0 0 44 ...............
197109051992031005 3 4,063,248 0 0 0
0 0 0
( PNS-3A ) MKG:22 4025085855
898357009706000 92 0 0
4,465,600 0 0
0
PEG: 44 9,902,190 185,000 0 0 0 0
IST: 29 JIWA= 120 3,237,038 15,015,000 8,690,400 0 0
ANK: 47 163,991,428 0 22,338 0
0 0 0
2,572 0 0
188,936,738 0 22,338
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 10

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
45 KRISTINA SUNTAI,A.Md.Keb K -0 2,374,300 0 0 0 0 0 2,806,700
1 0 0 0 0 0 0
01-09-1989 47,486 240,000 144,840 0 0 45 ...............
198909012020122004 2 2,421,786 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262102
968057612706000 74 0 0
2,806,700 0 0
0
46 RESANDRA DIAN SUPATRA,A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
27-06-1990 94,972 240,000 289,680 0 0 46 ...............
199006272020122003 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263371
967395229706000 18 0 0
3,236,400 0 0
0
47 VINI VINA LISA, A.Md.Keb K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
16-08-1993 0 240,000 144,840 0 0 47 ...............
199308162020122006 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263842
909482812706000 30 0 0
2,996,600 0 0
0
48 VENCENSIA DELLA,A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
09-12-1994 47,486 240,000 217,260 0 0 48 ...............
199412092020122004 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263869
967335977706000 24 0 0
3,116,500 0 0
0
49 VERONIKA RIANI DEWI,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
29-12-1995 0 240,000 72,420 0 0 49 ...............
199512292020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263851
941120123706000 80 0 0
2,686,800 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 11

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
50 EMANUELA HYASIKA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
31-12-1995 0 240,000 72,420 0 0 50 ...............
199512312020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235997
920122934706000 80 0 0
2,686,800 0 0
0
51 KAROLINA K -1 2,949,900 0 0 0 0 0 3,832,600
2 294,990 180,000 0 0 0 0
15-10-1983 117,996 0 289,680 0 0 51 ...............
198310152014072004 4 3,362,886 0 0 0
0 0 0
( PNS-2C ) MKG:19 4025204404
729238410706000 34 0 0
3,832,600 0 0
0
52 ABDURRAHMAN TK-0 2,500,000 0 0 0 0 0 2,812,500
0 0 0 0 0 0 0
14-09-1980 0 240,000 72,420 0 0 52 ...............
198009142011011002 1 2,500,000 0 0 0
0 0 0
( PNS-2B ) MKG:11 4025141348
675151278706000 80 0 0
2,812,500 0 0
0
PEG: 8 1,007,280 180,000 0 0 0 0
IST: 4 JIWA= 18 307,940 1,680,000 1,303,560 0 0
ANK: 6 21,010,920 0 0 0
0 0 0
420 0 0
24,174,900 0 0
0
PUSKESMAS SEPAUK
BULAN : JUNI 2023
HALAMAN : 12

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 170,547,900 1,030,000 0 0 22,338 0 213,089,300
PEG: 52 10,909,470 365,000 0 0 0 0
IST: 33 JIWA= 138 3,544,978 16,695,000 9,993,960 0 0
ANK: 53 185,002,348 0 22,338 0
0 0 0
2,992 0 0
213,111,638 22,338
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 SUMADI,A.Md.Kep K -1 3,861,000 540,000 0 0 0 0 5,231,300
2 386,100 0 0 0 0 0
21-06-1978 154,440 0 289,680 0 0 1 ...............
197806212000031005 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025085626
675461198706000 80 0 0
5,231,300 0 0
0
2 SUGIMAN K -1 3,982,600 0 0 0 0 0 5,329,900
2 398,260 0 0 0 0 0
05-09-1974 159,304 500,000 289,680 0 0 2 ...............
197409051997031007 4 4,540,164 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025083178
872940432706000 56 0 0
5,329,900 0 0
0
3 EKA MURNIANINGSIH,A.Md.KG K -1 3,375,300 490,000 0 0 0 0 4,627,600
2 337,530 0 0 0 0 0
30-05-1984 135,012 0 289,680 0 0 3 ...............
198405302009032008 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025146706
872940499706000 78 0 0
4,627,600 0 0
0
4 ALEXSIUS DAMSUKI K -1 3,941,400 0 0 0 0 0 5,131,700
1 394,140 0 0 0 0 0
05-12-1975 78,828 500,000 217,260 0 0 4 ...............
197512051996021004 3 4,414,368 0 0 0
0 0 0
( PNS-3C ) MKG:22 4025077330
872940614706000 72 0 0
5,131,700 0 0
0
5 SUPRIYANTO JUNGGING ,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
06-09-1988 130,888 500,000 289,680 0 0 5 ...............
198809062010011003 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4525232480
164879892706000 12 0 0
4,520,000 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 DONI AFRIZAL,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,262,600
1 337,530 0 0 0 0 0
20-04-1978 67,506 265,000 217,260 0 0 6 ...............
197804202005021002 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025060976
872940440706000 4 0 0
4,262,600 0 0
0
7 RION HERBET IMANUEL K -1 2,860,500 0 0 0 0 0 3,721,100
ANIN,S.Kep.Ners 1 286,050 0 0 0 0 0
05-03-1989 57,210 300,000 217,260 0 0 7 ...............
198903052019031001 3 3,203,760 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4125036754
842517484706000 80 0 0
3,721,100 0 0
0
8 MARGARETHA NELIANA TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
03-02-1974 0 265,000 72,420 0 0 8 ...............
197402032006042013 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025068721
872940465706000 80 0 0
4,003,400 0 0
0
9 MILIANA,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
01-01-1977 146,636 265,000 289,680 0 0 9 ...............
197701012006042040 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083933
466192002706000 94 0 0
4,733,900 0 0
0
10 HENI SUNARTI,A.Md.Kep TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
06-12-1977 0 265,000 72,420 0 0 10 ...............
197712062006042017 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083615
872940457706000 80 0 0
4,003,400 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 M.ZURIANSYAH,A.Md.Kep K -1 3,445,500 0 0 0 0 0 4,482,600
2 344,550 0 0 0 0 0
26-07-1975 137,820 265,000 289,680 0 0 11 ...............
197507262006041017 4 3,927,870 0 0 0
0 0 0
( PNS-3B ) MKG:17 4025084221
872940424706000 50 0 0
4,482,600 0 0
0
12 EDUART TONY,A.Md.Kep K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
28-03-1989 121,744 265,000 289,680 0 0 12 ...............
198903282011011002 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025142794
160887741706000 16 0 0
4,024,400 0 0
0
13 dr.ARIFIN ADI PUTRA SIAHAAN K -1 2,860,500 0 0 0 0 0 3,421,100
1 286,050 0 0 0 0 0
30-04-1988 57,210 0 217,260 0 0 13 ...............
198804302017041001 3 3,203,760 0 0 0
0 0 0
( PNS-3B ) MKG: 5 4025268313
711467795121000 80 0 0
3,421,100 0 0
0
14 DEWI ERNI SATRIA,A.Md.Keb TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
18-10-1988 0 265,000 72,420 0 0 14 ...............
198810182014022003 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025191825
665843868706000 80 0 0
3,168,400 0 0
0
15 ANUAR SABAS,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
18-05-1990 56,618 265,000 217,260 0 0 15 ...............
199005182014021002 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188492
708632484706000 32 0 0
3,652,900 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
SUB TOTAL PERGOLONGAN : III 50,677,400 1,030,000 0 0 0 0 64,314,300
PEG: 15 4,051,470 0 0 0 0 0
IST: 12 JIWA= 46 1,303,216 3,920,000 3,331,320 0 0
ANK: 19 56,032,086 0 0 0
0 0 0
894 0 0
64,314,300 0 0
0
16 RICA NOVIANTRI, A.Md,Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
06-11-1987 112,060 240,000 289,680 0 0 16 ...............
198711062017042006 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025773409
664984267706000 10 0 0
3,723,400 0 0
0
17 YESSY SUSANA,A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
02-09-1990 56,030 240,000 217,260 0 0 17 ...............
199009022017042001 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267996
664389731706000 60 0 0
3,595,000 0 0
0
18 SRI ASTUTI,A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
07-01-1985 108,640 240,000 289,680 0 0 18 ...............
198501072017042010 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025268003
664442639706000 80 0 0
3,626,000 0 0
0
19 RIRIS HADIANA, A.Md.Keb TK-0 2,716,000 0 0 0 0 0 3,028,500
0 0 0 0 0 0 0
02-06-1991 0 240,000 72,420 0 0 19 ...............
199106022017042001 1 2,716,000 0 0 0
0 0 0
( PNS-2D ) MKG:11 4125033097
664410719706000 80 0 0
3,028,500 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 WISNU SRI PANGRIPTO,A.Md.Kesling K -1 2,633,100 0 0 0 0 0 3,406,400
1 263,310 0 0 0 0 0
07-10-1983 52,662 240,000 217,260 0 0 20 ...............
198310072015011001 3 2,949,072 0 0 0
0 0 0
( PNS-2D ) MKG: 9 4025200972
727008724702000 68 0 0
3,406,400 0 0
0
21 BASTIAN ANRA K -1 2,552,700 0 0 0 0 0 3,439,800
SIGALINGGING,A.Md,Kep 2 255,270 0 0 0 0 0
17-03-1991 102,108 240,000 289,680 0 0 21 ...............
199103172019031001 4 2,910,078 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025816850
907166425706000 42 0 0
3,439,800 0 0
0
22 ELISABET HERAWATI TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
21-01-1993 0 240,000 72,420 0 0 22 ...............
199301212019032001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871389
842776668706000 80 0 0
2,865,200 0 0
0
23 YOHANES TOMMY PRANTYO,A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
26-04-1994 51,054 240,000 217,260 0 0 23 ...............
199407262019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125037092
907156301706000 16 0 0
3,316,300 0 0
0
24 RESSI AUDIA PANGESTIKA,A.Md,Kep TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
05-12-1995 0 240,000 72,420 0 0 24 ...............
199512152019032001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871273
907024764706000 80 0 0
2,865,200 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 NATALIA DESI SUMARNI,A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
29-12-1992 47,486 240,000 217,260 0 0 25 ...............
199212292020122004 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262471
942725656706000 24 0 0
3,116,500 0 0
0
26 IMAS KARWATI, A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
18-10-1994 0 240,000 72,420 0 0 26 ...............
199410182020122003 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262790
675457469706000 80 0 0
2,686,800 0 0
0
27 DUWI ANDELINA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
12-01-1995 0 240,000 72,420 0 0 27 ...............
199501122020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235971
936791920706000 80 0 0
2,686,800 0 0
0
28 DEWI YOLANDASARI, A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
17-12-1996 0 240,000 72,420 0 0 28 ...............
199612172020122005 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235962
953985256706000 80 0 0
2,686,800 0 0
0
PEG: 13 1,843,180 0 0 0 0 0
IST: 7 JIWA= 30 530,040 3,120,000 2,172,600 0 0
ANK: 10 35,749,320 0 0 0
0 0 0
780 0 0
41,042,700 0 0
0
PUSKESMAS SENANING
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 84,053,500 1,030,000 0 0 0 0 105,357,000
PEG: 28 5,894,650 0 0 0 0 0
IST: 19 JIWA= 76 1,833,256 7,040,000 5,503,920 0 0
ANK: 29 91,781,406 0 0 0
0 0 0
1,674 0 0
105,357,000 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS NANGA KETUNGAU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ARWADI,SKM,M.Si K -1 4,555,800 540,000 0 0 3,721 0 5,859,800
1 455,580 0 0 0 0 0
28-11-1972 91,116 0 217,260 0 0 1 ...............
197211281992031004 3 5,102,496 0 3,721 0
0 0 0
( PNS-4A ) MKG:26 4025145157
ISI MAZSEH 44 0 0
5,863,521 0 3,721
0
SUB TOTAL PERGOLONGAN : IV 4,555,800 540,000 0 0 3,721 0 5,859,800
PEG: 1 455,580 0 0 0 0 0
IST: 1 JIWA= 3 91,116 0 217,260 0 0
ANK: 1 5,102,496 0 3,721 0
0 0 0
44 0 0
5,863,521 0 3,721
0
2 M E L K A S I U S,S.AP K -1 3,982,600 490,000 0 0 0 0 5,167,800
1 398,260 0 0 0 0 0
04-09-1977 79,652 0 217,260 0 0 2 ...............
197709041997031002 3 4,460,512 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025060925
872940739706000 28 0 0
5,167,800 0 0
0
3 ENY SUNARSIH,A.Md.Keb TK-0 3,982,600 0 0 0 0 0 4,555,100
0 0 0 0 0 0 0
05-09-1976 0 500,000 72,420 0 0 3 ...............
197609052005022012 1 3,982,600 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025085928
ISI MAZSEH 80 0 0
4,555,100 0 0
0
4 IBNU ARWAN,A.Md.Kep K -1 3,982,600 0 0 0 0 0 5,177,800
1 398,260 0 0 0 0 0
25-12-1977 79,652 500,000 217,260 0 0 4 ...............
197712251997031004 3 4,460,512 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025085791
880112099706000 28 0 0
5,177,800 0 0
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
5 YASON YOSEF,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
08-09-1977 145,156 500,000 289,680 0 0 5 ...............
197709082006041005 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025335152
675456602706000 74 0 0
4,926,700 0 0
0
6 KUSTITI,A.Md.Kep TK-0 3,704,300 0 0 0 0 0 4,276,800
0 0 0 0 0 0 0
05-08-1980 0 500,000 72,420 0 0 6 ...............
198008052005022003 1 3,704,300 0 0 0
0 0 0
( PNS-3C ) MKG:18 4025085685
587178997706000 80 0 0
4,276,800 0 0
0
7 NURYANA,A.Md.Kep K -1 3,172,300 0 0 0 0 0 4,406,200
2 317,230 0 0 0 0 0
04-10-1982 126,892 500,000 289,680 0 0 7 ...............
198210042010012022 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025147702
891436057706000 98 0 0
4,406,200 0 0
0
8 NOVI ACE YULIATI,A,Md.Kep K -1 3,172,300 0 0 0 0 0 4,406,200
2 317,230 0 0 0 0 0
28-11-1986 126,892 500,000 289,680 0 0 8 ...............
198611282010012025 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025145041
160885216706000 98 0 0
4,406,200 0 0
0
9 dr.GALIH MAIWAN HARYO SAPUTRO K -1 2,981,500 0 0 0 0 0 3,556,600
1 298,150 0 0 0 0 0
25-06-1992 59,630 0 217,260 0 0 9 ...............
199206252019031001 3 3,339,280 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025871192
808918817701000 60 0 0
3,556,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 HENDRA,S.KEP.Ners TK-0 2,860,500 0 0 0 0 0 3,233,000
0 0 0 0 0 0 0
14-05-1988 0 300,000 72,420 0 0 10 ...............
198805142019031002 1 2,860,500 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4025871885
741766737706000 80 0 0
3,233,000 0 0
0
11 ERNI,A.Md.Keb K -1 3,781,400 0 0 0 0 0 4,717,500
1 378,140 0 0 0 0 0
12-10-1972 75,628 265,000 217,260 0 0 11 ...............
197210122006042019 3 4,235,168 0 0 0
0 0 0
( PNS-3B ) MKG:22 4025086002
675456529706000 72 0 0
4,717,500 0 0
0
12 MULIANA,A.Md.Keb K -1 3,554,000 0 0 0 0 0 4,462,800
1 355,400 0 0 0 0 0
15-03-1976 71,080 265,000 217,260 0 0 12 ...............
197603152005022002 3 3,980,480 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025085987
675456552706000 60 0 0
4,462,800 0 0
0
13 MAGSIMUS ARBOBI,A.Md.Kep TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
29-05-1987 0 265,000 72,420 0 0 13 ...............
198705292011011002 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025145599
164422313706000 80 0 0
3,476,900 0 0
0
14 MARSELINA YENNY,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
29-11-1987 125,576 265,000 289,680 0 0 14 ...............
198711292011012008 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025147982
163695497706000 4 0 0
4,133,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 CHARLIE KURNIAWAN,A.Md.Kep K -1 3,012,000 0 0 0 0 0 3,988,400
2 301,200 0 0 0 0 0
17-06-1989 120,480 265,000 289,680 0 0 15 ...............
198906172014021006 4 3,433,680 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025189430
708593017706000 40 0 0
3,988,400 0 0
0
16 PRENSIDIANA FAMILIATY.A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
21-09-1990 113,236 265,000 289,680 0 0 16 ...............
199009212014022007 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188573
708843248706000 94 0 0
3,782,000 0 0
0
SUB TOTAL PERGOLONGAN : III 50,924,700 490,000 0 0 0 0 64,267,400
PEG: 15 3,723,790 0 0 0 0 0
IST: 11 JIWA= 43 1,123,874 4,890,000 3,114,060 0 0
ANK: 17 55,772,364 0 0 0
0 0 0
976 0 0
64,267,400 0 0
0
17 SRI USWATUN HASANAH, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
03-01-1990 112,060 240,000 289,680 0 0 17 ...............
199001032017042003 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4125033101
664180262706000 10 0 0
3,723,400 0 0
0
PEG: 1 280,150 0 0 0 0 0
IST: 1 JIWA= 4 112,060 240,000 289,680 0 0
ANK: 2 3,193,710 0 0 0
0 0 0
10 0 0
3,723,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 58,282,000 1,030,000 0 0 3,721 0 73,850,600
PEG: 17 4,459,520 0 0 0 0 0
IST: 13 JIWA= 50 1,327,050 5,130,000 3,621,000 0 0
ANK: 20 64,068,570 0 3,721 0
0 0 0
1,030 0 0
73,854,321 3,721
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 SYAFARUDDIN K -1 4,108,100 0 0 0 0 0 5,318,400
1 410,810 0 0 0 0 0
02-05-1968 82,162 500,000 217,260 0 0 1 ...............
196805021996031005 3 4,601,072 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025086011
675461172706000 68 0 0
5,318,400 0 0
0
2 HENDRA GUNAWAN K -1 4,108,100 0 0 0 0 0 5,473,000
2 410,810 0 0 0 0 0
02-05-1975 164,324 500,000 289,680 0 0 2 ...............
197505021995011001 4 4,683,234 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025084654
872940713706009 86 0 0
5,473,000 0 0
0
3 YUSNANDI,A.Md.Kep.SKM K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
05-02-1983 145,156 500,000 289,680 0 0 3 ...............
198302052006041002 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025060631
872940796706000 74 0 0
4,926,700 0 0
0
4 AGUS PRIATAMA, S.Far.Apt TK-0 2,981,500 490,000 0 0 0 0 3,544,000
0 0 0 0 0 0 0
27-08-1986 0 0 72,420 0 0 4 ...............
198608272019031001 1 2,981,500 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025871249
165177783706000 80 0 0
3,544,000 0 0
0
5 drg. KIKY HARIYANTHI HARAHAP TK-0 2,981,500 0 0 0 0 0 3,804,000
0 0 0 0 0 0 0
29-03-1989 0 750,000 72,420 0 0 5 ...............
198903292019032001 1 2,981,500 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4125036886
904883386706000 80 0 0
3,804,000 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 KAPRAWI K -1 3,704,300 0 0 0 0 0 5,012,600
2 370,430 0 0 0 0 0
05-07-1976 148,172 500,000 289,680 0 0 6 ...............
197607052003121006 4 4,222,902 0 0 0
0 0 0
( PNS-3C ) MKG:18 4025060933
872490846706000 18 0 0
5,012,600 0 0
0
7 EDI SAMSUDIN,A.Md.Kep K -1 3,481,600 0 0 0 0 0 4,758,800
2 348,160 0 0 0 0 0
23-12-1981 139,264 500,000 289,680 0 0 7 ...............
198112232005021002 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:15 4025085715
872940648706000 96 0 0
4,758,800 0 0
0
8 SUSIADI,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
04-11-1983 135,012 500,000 289,680 0 0 8 ...............
198311042006041003 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:13 4025085596
714950029706000 78 0 0
4,637,600 0 0
0
9 TUNING ASTATI,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
08-03-1986 135,012 500,000 289,680 0 0 9 ...............
198603082008042001 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025084239
872940655706000 78 0 0
4,637,600 0 0
0
10 HESTY HELALANGGY,A.Md.Keb K -1 3,272,200 0 0 0 0 0 4,382,200
1 327,220 0 0 0 0 0
16-01-1989 65,444 500,000 217,260 0 0 10 ...............
198901162010012003 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025145262
885355974706000 76 0 0
4,382,200 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 HERMAN A. Md. Kep, S.K.M K -1 3,172,300 0 0 0 0 0 4,406,200
2 317,230 0 0 0 0 0
03-03-1983 126,892 500,000 289,680 0 0 11 ...............
198303092010011026 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025144690
898356647706000 98 0 0
4,406,200 0 0
0
12 RICKY NATANIL SUCIPTA,A.Md.Kep K -1 3,043,600 540,000 0 0 0 0 4,166,100
1 304,360 0 0 0 0 0
27-12-1983 60,872 0 217,260 0 0 12 ...............
198312272010011015 3 3,408,832 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025146048
153219837706000 8 0 0
4,166,100 0 0
0
13 REYZHA WENA, S.Kep, Ns K -1 2,860,500 0 0 0 0 0 3,721,100
1 286,050 0 0 0 0 0
02-03-1992 57,210 300,000 217,260 0 0 13 ...............
199203022019031002 3 3,203,760 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4025871397
830952115706000 80 0 0
3,721,100 0 0
0
14 ROSAITA MERTIANA,A.Md.Keb TK-0 3,781,400 0 0 0 0 0 4,118,900
0 0 0 0 0 0 0
14-11-1975 0 265,000 72,420 0 0 14 ...............
197511142003122007 1 3,781,400 0 0 0
0 0 0
( PNS-3B ) MKG:22 4025080373
675461289706000 80 0 0
4,118,900 0 0
0
15 SRI MULYATI K -1 3,554,000 0 0 0 0 0 4,606,300
2 355,400 0 0 0 0 0
05-01-1980 142,160 265,000 289,680 0 0 15 ...............
198001052006042015 4 4,051,560 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025060895
155359300706000 60 0 0
4,606,300 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 RAHIMIN AHMAD,A.Md.Kep K -1 3,340,300 0 0 0 0 0 4,223,400
1 334,030 0 0 0 0 0
13-12-1981 66,806 265,000 217,260 0 0 16 ...............
198112132006041013 3 3,741,136 0 0 0
0 0 0
( PNS-3B ) MKG:15 4025068268
872940853706000 4 0 0
4,223,400 0 0
0
17 SINTAWATI,A.Md.Kep K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
10-03-1981 129,532 265,000 289,680 0 0 17 ...............
198103102011012002 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025145017
163696099706000 58 0 0
4,246,400 0 0
0
18 TRI SUCI ANGGRAINI,A.Md.Kep K -1 3,139,400 0 0 0 0 0 3,998,400
1 313,940 0 0 0 0 0
03-05-1984 62,788 265,000 217,260 0 0 18 ...............
198405032010012030 3 3,516,128 0 0 0
0 0 0
( PNS-3B ) MKG:11 4025143898
885355941706000 12 0 0
3,998,400 0 0
0
19 ETRI,A.Md.Kep K -1 3,043,600 0 0 0 0 0 3,891,100
1 304,360 0 0 0 0 0
02-12-1986 60,872 265,000 217,260 0 0 19 ...............
198612022010012022 3 3,408,832 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025143758
885355958706000 8 0 0
3,891,100 0 0
0
20 IRWAN DUDUNG,A.Md.Kep K -1 3,043,600 0 0 0 0 0 3,891,100
1 304,360 0 0 0 0 0
10-02-1987 60,872 265,000 217,260 0 0 20 ...............
198702102010011014 3 3,408,832 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025144509
153219811706000 8 0 0
3,891,100 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 ANDRI WAHYUDI,A.Md.Kep K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
06-10-1988 121,744 265,000 289,680 0 0 21 ...............
198810062010011004 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025145076
885355966706000 16 0 0
4,024,400 0 0
0
22 LIDYA SEPRIANI,A.Md.Keb K -1 3,043,600 0 0 0 0 0 3,891,100
1 304,360 0 0 0 0 0
25-09-1989 60,872 265,000 217,260 0 0 22 ...............
198909252011012001 3 3,408,832 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025142158
693532954706000 8 0 0
3,891,100 0 0
0
23 NATALIUS,A.Md.Kep K -1 2,950,600 0 0 0 0 0 3,918,400
2 295,060 0 0 0 0 0
16-12-1987 118,024 265,000 289,680 0 0 23 ...............
198712162011011003 4 3,363,684 0 0 0
0 0 0
( PNS-3B ) MKG: 7 4025145033
693532947706000 36 0 0
3,918,400 0 0
0
24 dr.JEFFRY K -1 2,950,600 0 0 0 0 0 3,522,000
1 295,060 0 0 0 0 0
13-01-1988 59,012 0 217,260 0 0 24 ...............
198801132017041001 3 3,304,672 0 0 0
0 0 0
( PNS-3B ) MKG: 7 4125032970
727807422114000 68 0 0
3,522,000 0 0
0
25 dr.KRISTIANTO YUSI ADIPUTRA K -1 2,860,500 0 0 0 0 0 3,550,700
2 286,050 0 0 0 0 0
18-03-1987 114,420 0 289,680 0 0 25 ...............
198703182014081001 4 3,260,970 0 0 0
0 0 0
( PNS-3B ) MKG: 5 4025192091
662131796706000 50 0 0
3,550,700 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
26 NAWAI SEPTORINA,A.Md.Kep TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
05-09-1987 0 265,000 72,420 0 0 26 ...............
198709052011012004 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 7 4025144924
163224454706000 80 0 0
3,168,400 0 0
0
27 ERIC FRENLI,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
14-05-1990 56,618 265,000 217,260 0 0 27 ...............
199005142014021002 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025191477
708921929706000 32 0 0
3,652,900 0 0
0
28 IIN SIMANJUNTAK,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
29-09-1990 113,236 265,000 289,680 0 0 28 ...............
199009292014022001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189014
709061865706000 94 0 0
3,782,000 0 0
0
29 AGUS SADRAK,A.Md.Kep K -1 2,744,500 0 0 0 0 0 3,556,100
1 274,450 0 0 0 0 0
03-08-1991 54,890 265,000 217,260 0 0 29 ...............
199108032014021004 3 3,073,840 0 0 0
0 0 0
( PNS-3A ) MKG: 5 4025189146
709056220706000 0 0 0
3,556,100 0 0
0
PEG: 29 8,074,460 0 0 0 0 0
IST: 25 JIWA= 92 2,481,366 9,260,000 6,662,640 0 0
ANK: 38 103,875,726 0 0 0
0 0 0
1,534 0 0
120,829,900 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 ESTHER SEPTIANA,A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
07-09-1988 112,060 240,000 289,680 0 0 30 ...............
198809072017042003 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025755770
664065638706000 10 0 0
3,723,400 0 0
0
31 DIONI OKTAVIANA,A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
09-10-1988 112,060 240,000 289,680 0 0 31 ...............
198810092017042005 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025887790
664185725706000 10 0 0
3,723,400 0 0
0
32 DUWITA SABTUAH,A.Md.Keb TK-0 2,801,500 0 0 0 0 0 3,114,000
0 0 0 0 0 0 0
02-12-1989 0 240,000 72,420 0 0 32 ...............
198912022017042005 1 2,801,500 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267791
664212008706000 80 0 0
3,114,000 0 0
0
33 AGUSTINA , A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,499,200
1 271,600 0 0 0 0 0
24-08-1989 54,320 240,000 217,260 0 0 33 ...............
198908242017042003 3 3,041,920 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025484474
664343803706000 20 0 0
3,499,200 0 0
0
34 HERMAGILDA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
20-04-1990 108,640 240,000 289,680 0 0 34 ...............
199004202017042002 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025267813
664727047706000 80 0 0
3,626,000 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
35 FELOMENA JULIA ESTI K -1 2,633,100 0 0 0 0 0 3,531,500
PING,A.Md.Keb 2 263,310 0 0 0 0 0
05-07-1991 105,324 240,000 289,680 0 0 35 ...............
199107052014022005 4 3,001,734 0 0 0
0 0 0
( PNS-2D ) MKG:10 4025195138
709134712706000 86 0 0
3,531,500 0 0
0
36 JONI TRYSINO, A.Md. Kep K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
09-06-1989 51,054 240,000 217,260 0 0 36 ...............
198906092019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871401
907112395706000 16 0 0
3,316,300 0 0
0
37 NERANOPBIMA, A.dm. Farm TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
29-11-1995 0 240,000 72,420 0 0 37 ...............
199511292019031001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871559
847954971706000 80 0 0
2,865,200 0 0
0
38 RUT SEMBIRING, A.Md.Keb K -1 2,687,800 0 0 0 0 0 3,593,800
2 268,780 0 0 0 0 0
11-06-1984 107,512 240,000 289,680 0 0 38 ...............
198406112017042011 4 3,064,092 0 0 0
0 0 0
( PNS-2C ) MKG:14 4025267767
664696358706000 28 0 0
3,593,800 0 0
0
39 YENTI HUTAHAEAN, A.Md.Keb K -1 2,687,800 0 0 0 0 0 3,467,600
1 268,780 0 0 0 0 0
20-01-1985 53,756 240,000 217,260 0 0 39 ...............
198501202017042011 3 3,010,336 0 0 0
0 0 0
( PNS-2C ) MKG:13 4025267759
664337342706000 4 0 0
3,467,600 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
40 LIDYA MAYA SARI,A.Md.Keb TK-0 2,605,800 0 0 0 0 0 2,918,300
0 0 0 0 0 0 0
26-06-1989 0 240,000 72,420 0 0 40 ...............
198906262017042006 1 2,605,800 0 0 0
0 0 0
( PNS-2C ) MKG:12 4025267872
664211687706000 80 0 0
2,918,300 0 0
0
41 ERNA YUSLENA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
13-03-1990 0 240,000 72,420 0 0 41 ...............
199003132020122003 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025228826
936954700706000 80 0 0
2,686,800 0 0
0
42 WINARNI UNTARI,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
09-07-1994 0 240,000 72,420 0 0 42 ...............
199407092020122007 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263940
836814566706000 80 0 0
2,686,800 0 0
0
43 HENDRIKA AGNES YULIANTI,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
13-07-1994 0 240,000 72,420 0 0 43 ...............
199407132020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263010
822422622706000 80 0 0
2,686,800 0 0
0
PEG: 14 2,159,640 0 0 0 0 0
IST: 8 JIWA= 35 704,726 3,360,000 2,534,700 0 0
ANK: 13 39,543,666 0 0 0
0 0 0
734 0 0
45,439,100 0 0
0
PUSKESMAS MERAKAI
BULAN : JUNI 2023
HALAMAN : 10

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 129,999,200 1,030,000 0 0 0 0 166,269,000
PEG: 43 10,234,100 0 0 0 0 0
IST: 33 JIWA= 127 3,186,092 12,620,000 9,197,340 0 0
ANK: 51 143,419,392 0 0 0
0 0 0
2,268 0 0
166,269,000 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ADRIANUS KUSMIRAN,A.Md.Kep K -1 4,151,100 540,000 0 0 0 0 5,406,500
1 415,110 0 0 0 0 0
30-03-1977 83,022 0 217,260 0 0 1 ...............
197703301996021001 3 4,649,232 0 0 0
0 0 0
( PNS-4A ) MKG:21 4025066524
898356266706000 8 0 0
5,406,500 0 0
0
SUB TOTAL PERGOLONGAN : IV 4,151,100 540,000 0 0 0 0 5,406,500
PEG: 1 415,110 0 0 0 0 0
IST: 1 JIWA= 3 83,022 0 217,260 0 0
ANK: 1 4,649,232 0 0 0
0 0 0
8 0 0
5,406,500 0 0
0
2 FAUL FAISAL,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
10-08-1979 145,156 500,000 289,680 0 0 2 ...............
197908102006041020 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025060470
675456966706000 74 0 0
4,926,700 0 0
0
3 BAMBANG K -1 4,461,800 490,000 0 0 7,879 0 5,542,900
0 446,180 0 0 0 0 0
06-03-1966 0 0 144,840 0 0 3 ...............
196603061988031017 2 4,907,980 0 7,879 0
0 0 0
( PNS-3C ) MKG:30 4025137979
141210294706000 80 0 0
5,550,779 0 7,879
0
4 VERONIKA UNON,S.ST TK-0 3,821,000 0 0 0 0 0 4,493,500
0 0 0 0 0 0 0
28-08-1978 0 600,000 72,420 0 0 4 ...............
197808282006042023 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025066541
898356274706000 80 0 0
4,493,500 0 0
0
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
5 NORSIANA,A.Md.Kep TK-0 3,375,300 0 0 0 0 0 3,947,800
0 0 0 0 0 0 0
23-11-1980 0 500,000 72,420 0 0 5 ...............
198011232009032003 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025084000
898356225706000 80 0 0
3,947,800 0 0
0
6 dr.IKA PURWANTI TK-0 2,773,200 0 0 0 0 0 3,170,700
0 0 0 0 0 0 0
18-03-1993 0 325,000 72,420 0 0 6 ...............
199303182020122005 1 2,773,200 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025262803
833622665706000 80 0 0
3,170,700 0 0
0
7 NORMAWATI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
04-08-1978 0 265,000 72,420 0 0 7 ...............
197808042006042018 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025069060
89.8356779706000 80 0 0
4,003,400 0 0
0
8 HENI RASEPPA, A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
27-09-1978 146,636 265,000 289,680 0 0 8 ...............
197809272006042020 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025076368
898356787706000 94 0 0
4,733,900 0 0
0
9 VERONIKA TUTI TK-0 3,554,000 0 0 0 0 0 3,891,500
KURNIAWATI,A.Md.Keb 0 0 0 0 0 0 0
22-07-1978 0 265,000 72,420 0 0 9 ...............
197807222006042015 1 3,554,000 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025144801
898356258706000 80 0 0
3,891,500 0 0
0
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 DIONISIUS YOPRIANUS K -1 3,238,300 0 0 0 0 0 4,246,400
BIRA,A.Md.Kep 2 323,830 0 0 0 0 0
05-12-1983 129,532 265,000 289,680 0 0 10 ...............
198312052008041001 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025083542
898356209706000 58 0 0
4,246,400 0 0
0
11 RUDIAH,A.Md.Keb K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
18-04-1978 125,576 265,000 289,680 0 0 11 ...............
198704182011012007 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025144240
468491873706000 4 0 0
4,133,600 0 0
0
12 WIDIATMO TRI WIBOWO,A.Md.Gizi K -1 2,744,500 0 0 0 0 0 3,591,100
1 274,450 0 0 0 0 0
16-11-1991 54,890 300,000 217,260 0 0 12 ...............
199111162015011001 3 3,073,840 0 0 0
0 0 0
( PNS-3A ) MKG: 4 4025199401
726477680702000 0 0 0
3,591,100 0 0
0
13 THERESIA,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,523,900
0 283,090 0 0 0 0 0
14-10-1989 0 265,000 144,840 0 0 13 ...............
198910142014022004 2 3,113,990 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025775746
708515291706000 70 0 0
3,523,900 0 0
0
SUB TOTAL PERGOLONGAN : III 40,899,100 490,000 0 0 7,879 0 50,205,400
PEG: 12 2,370,970 0 0 0 0 0
IST: 7 JIWA= 28 601,790 3,815,000 2,027,760 0 0
ANK: 9 43,871,860 0 7,879 0
0 0 0
780 0 0
50,213,279 0 7,879
0
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
14 PENIELLIA, A.Md.Kep TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
29-01-1990 0 240,000 72,420 0 0 14 ...............
199001292019032003 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125037076
907452767706000 80 0 0
2,865,200 0 0
0
15 SARI CAHYA NINGRUM, A.Md.KG TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
28-06-1991 0 240,000 72,420 0 0 15 ...............
199106282019032003 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125037050
905014023704000 80 0 0
2,865,200 0 0
0
16 REKO SUPRIYADI, A.Md.Kep TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
01-07-1994 0 240,000 72,420 0 0 16 ...............
199407012019031001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125037068
907435101706000 80 0 0
2,865,200 0 0
0
17 LEONARDUS AMIRUDDIN,A.Md.Kep K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
28-02-1992 0 240,000 144,840 0 0 17 ...............
199202282020121005 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262111
909237638706000 30 0 0
2,996,600 0 0
0
18 RISKA JAYANTI,A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
27-03-1996 47,486 240,000 217,260 0 0 18 ...............
199603272020122005 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263397
930869318706000 24 0 0
3,116,500 0 0
0
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
19 YOS HENRI PANGAYOMAN, A.Md.KG TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
04-01-1997 0 240,000 72,420 0 0 19 ...............
199701042020121001 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025264075
967438854706000 80 0 0
2,686,800 0 0
0
20 SILVIA ULANDARI,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
13-08-1997 0 240,000 72,420 0 0 20 ...............
199708132020122007 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263681
936226364706000 80 0 0
2,686,800 0 0
0
21 FELLISIA ERSADEA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
20-10-1998 0 240,000 72,420 0 0 21 ...............
199810202020122002 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262676
967062951706000 80 0 0
2,686,800 0 0
0
PEG: 8 474,860 0 0 0 0 0
IST: 2 JIWA= 11 47,486 1,920,000 796,620 0 0
ANK: 1 20,051,946 0 0 0
0 0 0
534 0 0
22,769,100 0 0
0
PUSKESMAS AMBALAU
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 64,579,800 1,030,000 0 0 7,879 0 78,381,000
PEG: 21 3,260,940 0 0 0 0 0
IST: 10 JIWA= 42 732,298 5,735,000 3,041,640 0 0
ANK: 11 68,573,038 0 7,879 0
0 0 0
1,322 0 0
78,388,879 7,879
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ENDI JULIANSAH ,A.Md. Kep K -1 4,108,100 540,000 0 0 0 0 5,203,800
0 410,810 0 0 0 0 0
24-04-1977 0 0 144,840 0 0 1 ...............
197704241996021001 2 4,518,910 0 0 0
0 0 0
( PNS-3D ) MKG:22 4425006610
894841725706000 50 0 0
5,203,800 0 0
0
2 dr.DESY REBECA BELAVONTA SIREGAR K -1 3,410,600 0 0 0 0 0 4,646,500
0 341,060 0 0 0 0 0
26-10-1987 0 750,000 144,840 0 0 2 ...............
198710262015032004 2 3,751,660 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025200760
664793825121000 0 0 0
4,646,500 0 0
0
3 EDDY SUSANTO K -1 4,237,500 0 0 0 0 0 5,620,500
2 423,750 0 0 0 0 0
09-05-1971 169,500 500,000 289,680 0 0 3 ...............
197105091991021001 4 4,830,750 0 0 0
0 0 0
( PNS-3D ) MKG:25 4025143707
891413866706000 70 0 0
5,620,500 0 0
0
4 SYAMSUL FAUZI, S.K.M K -1 4,108,100 0 0 0 0 0 5,473,000
2 410,810 0 0 0 0 0
25-02-1977 164,324 500,000 289,680 0 0 4 ...............
197702251996031002 4 4,683,234 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025144321
891413858706000 86 0 0
5,473,000 0 0
0
5 ANI BUDININGSIH,A.Md.Kep K -1 3,861,000 0 0 0 0 0 5,191,300
2 386,100 0 0 0 0 0
24-09-1981 154,440 500,000 289,680 0 0 5 ...............
198109242006042021 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025144711
891413783706000 80 0 0
5,191,300 0 0
0
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 TRI PIRAWATI,A.Md.Kep, S.K.M K -1 3,518,100 0 0 0 0 0 4,800,400
2 351,810 0 0 0 0 0
10-08-1983 140,724 500,000 289,680 0 0 6 ...............
198308102006042008 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:13 4025084077
675456537706000 86 0 0
4,800,400 0 0
0
7 EVA WITMAWATI,A.Md.Keb K -1 3,518,100 0 0 0 0 0 4,800,400
2 351,810 0 0 0 0 0
15-05-1984 140,724 500,000 289,680 0 0 7 ...............
198405152006042018 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:13 4025145572
782483309706000 86 0 0
4,800,400 0 0
0
8 MARYONO,A.Md.Kep K -1 3,481,600 490,000 0 0 0 0 4,748,800
2 348,160 0 0 0 0 0
15-11-1983 139,264 0 289,680 0 0 8 ...............
198211152006041009 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025083551
880111554706000 96 0 0
4,748,800 0 0
0
9 RISNAWATI,S.Kep, Ns K -1 3,272,200 0 0 0 0 0 4,620,000
2 327,220 0 0 0 0 0
20-10-1985 130,888 600,000 289,680 0 0 9 ...............
198510202010012030 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025775754
891436040706000 12 0 0
4,620,000 0 0
0
10 SUDITA ,SKM.,M.A.P K -1 3,821,000 0 0 0 2,183 0 4,996,800
1 382,100 0 0 0 0 0
05-06-1976 76,420 500,000 217,260 0 0 10 ...............
197606052002122008 3 4,279,520 0 2,183 0
0 0 0
( PNS-3C ) MKG:20 4025059978
891413809706000 20 0 0
4,998,983 0 2,183
0
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 NENGSI TRIWIDAYATI,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
27-07-1976 146,636 265,000 289,680 0 0 11 ...............
197607272006042022 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025145688
155356082706000 94 0 0
4,733,900 0 0
0
12 DWI KURNIA LESTARI,A.Md.Keb K -1 3,554,000 0 0 0 0 0 4,462,800
1 355,400 0 0 0 0 0
21-12-1977 71,080 265,000 217,260 0 0 12 ...............
197712212005022006 3 3,980,480 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025144045
894841592706000 60 0 0
4,462,800 0 0
0
13 MARIA FERI RINA,A.Md.Kep TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
30-06-1986 0 265,000 72,420 0 0 13 ...............
198606302011012004 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025140708
163695992706000 80 0 0
3,476,900 0 0
0
14 MARIETTA CHRISTINE,A.Md.KG K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
08-03-1989 125,576 265,000 289,680 0 0 14 ...............
198903082011012004 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025143600
163695711706000 4 0 0
4,133,600 0 0
0
15 HUMIA APRILA,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
25-04-1989 125,576 265,000 289,680 0 0 15 ...............
198904252011012006 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025144053
781649090706000 4 0 0
4,133,600 0 0
0
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 KHAIRUNI NIRMALA SARI,A,Md.Keb K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
15-01-1989 121,744 265,000 289,680 0 0 16 ...............
198901152010012009 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025145505
152584397706000 16 0 0
4,024,400 0 0
0
17 DEWI SARTIKA ,A.Md.Kep K -1 3,043,600 0 0 0 0 0 3,944,400
2 304,360 185,000 0 0 0 0
31-08-1983 121,744 0 289,680 0 0 17 ...............
198308312009042005 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 8 5525034269
1554316047001000 16 0 0
3,944,400 0 0
0
18 YOHANES,A.Md.AK K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
03-09-1990 113,236 265,000 289,680 0 0 18 ...............
199009032015011001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025201073
664383205701000 94 0 0
3,782,000 0 0
0
19 DWI ANDRIANI,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,523,900
0 283,090 0 0 0 0 0
21-07-1992 0 265,000 144,840 0 0 19 ...............
199207212014022003 2 3,113,990 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188344
708619069706000 70 0 0
3,523,900 0 0
0
PEG: 19 6,258,400 185,000 0 0 0 0
IST: 18 JIWA= 65 1,941,876 6,470,000 4,707,300 0 0
ANK: 28 73,923,676 0 2,183 0
0 0 0
1,024 0 0
86,319,183 0 2,183
0
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 EVIPANIA LILIS SURYANI, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
14-08-1990 108,640 240,000 289,680 0 0 20 ...............
199007142017042005 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025585882
664060142706000 80 0 0
3,626,000 0 0
0
21 DEWANTI KUSUMA WARDANI,A.Md,Keb K -1 2,716,000 0 0 0 0 0 3,499,200
1 271,600 0 0 0 0 0
04-05-1991 54,320 240,000 217,260 0 0 21 ...............
199105042017042001 3 3,041,920 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025887781
664505724706000 20 0 0
3,499,200 0 0
0
22 SARI HADINI, A.Md Gz K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
08-11-1994 51,054 240,000 217,260 0 0 22 ...............
199411082019032003 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125036916
809114929532000 16 0 0
3,316,300 0 0
0
PEG: 3 798,470 0 0 0 0 0
IST: 3 JIWA= 10 214,014 720,000 724,200 0 0
ANK: 4 8,997,184 0 0 0
0 0 0
116 0 0
10,441,500 0 0
0
PUSKESMAS MENSIKU
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 73,708,100 1,030,000 0 0 2,183 0 96,758,500
PEG: 22 7,056,870 185,000 0 0 0 0
IST: 21 JIWA= 75 2,155,890 7,190,000 5,431,500 0 0
ANK: 32 82,920,860 0 2,183 0
0 0 0
1,140 0 0
96,760,683 2,183
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 TITIN NURSELAN TK-0 4,237,500 540,000 0 0 0 0 4,850,000
0 0 0 0 0 0 0
09-03-1973 0 0 72,420 0 0 1 ...............
197303091993022002 1 4,237,500 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025083356
894841618706000 80 0 0
4,850,000 0 0
0
2 LILI SURIYANI,A.Md.Keb K -1 4,508,600 0 0 0 29,425 0 5,604,300
0 450,860 0 0 0 0 0
07-10-1968 0 500,000 144,840 0 0 2 ...............
196810071988122003 2 4,959,460 0 29,425 0
0 0 0
( PNS-3D ) MKG:28 4025083321
894841626706000 0 0 0
5,633,725 0 29,425
0
3 DAHNIAR, A.Md.Kep K -1 3,861,000 0 0 0 4,204 0 5,041,600
1 386,100 0 0 0 0 0
21-11-1977 77,220 500,000 217,260 0 0 3 ...............
197711211997031002 3 4,324,320 0 4,204 0
0 0 0
( PNS-3D ) MKG:19 4025083747
898356027706000 20 0 0
5,045,804 0 4,204
0
4 DINA PRANANDARI,A.Md.Kep K -1 3,861,000 0 0 0 4,204 0 5,041,600
1 386,100 0 0 0 0 0
25-11-1978 77,220 500,000 217,260 0 0 4 ...............
197811252006042013 3 4,324,320 0 4,204 0
0 0 0
( PNS-3D ) MKG:18 4025083402
898356019706000 20 0 0
5,045,804 0 4,204
0
5 HERIDA,A.Md.Kesling TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
01-09-1981 0 500,000 72,420 0 0 5 ...............
198109012005022007 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025083372
ISI MAZSEH 80 0 0
4,315,600 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 ANDREAS MURDANI,A.Md.Kep TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
20-06-1983 0 500,000 72,420 0 0 6 ...............
198306202006041008 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025060801
898356142706000 80 0 0
4,315,600 0 0
0
7 dr. CYNTHIA OKTORA DWIYANA TK-0 2,981,500 0 0 0 0 0 3,804,000
0 0 0 0 0 0 0
12-10-1991 0 750,000 72,420 0 0 7 ...............
199110122019032002 1 2,981,500 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025872504
805487535706000 80 0 0
3,804,000 0 0
0
8 SUHANDI,S.Kep.NS ,S.Kep.Nes K -1 3,172,300 0 0 0 0 0 4,370,300
1 317,230 0 0 0 0 0
23-02-1987 63,446 600,000 217,260 0 0 8 ...............
198702232015021001 3 3,552,976 0 0 0
0 0 0
( PNS-3C ) MKG: 8 6025277005
775933469706000 64 0 0
4,370,300 0 0
0
9 NATALIA, A.Md.Keb JD-0 3,821,000 0 0 0 0 0 4,542,300
1 0 0 0 0 0 0
23-03-1973 76,420 500,000 144,840 0 0 9 ...............
197303232003122006 2 3,897,420 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025083887
898355979706000 40 0 0
4,542,300 0 0
0
10 ADMIN,A.Md.Kep TK-0 3,704,300 0 0 0 0 0 4,276,800
0 0 0 0 0 0 0
09-10-1979 0 500,000 72,420 0 0 10 ...............
197910092006041018 1 3,704,300 0 0 0
0 0 0
( PNS-3C ) MKG:19 4025083801
894847532706000 80 0 0
4,276,800 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 LAURENSIUS,A.Md.Kep K -1 3,481,600 0 0 0 0 0 4,758,800
2 348,160 0 0 0 0 0
04-08-1979 139,264 500,000 289,680 0 0 11 ...............
197908042002121004 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:14 4025083917
ISI MAZSEH 96 0 0
4,758,800 0 0
0
12 USWATUN HASANAH,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
20-09-1982 135,012 500,000 289,680 0 0 12 ...............
198209202006042020 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025083704
675461412706000 78 0 0
4,637,600 0 0
0
13 SURYATI ANJELINA.E, A.Md.Kep K -1 3,172,300 0 0 0 0 0 4,270,300
1 317,230 0 0 0 0 0
16-09-1988 63,446 500,000 217,260 0 0 13 ...............
198809162010012018 3 3,552,976 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025138436
781655121706000 64 0 0
4,270,300 0 0
0
14 ADI HARSASIH ,A.Md. Kep K -1 3,481,600 0 0 0 0 0 4,443,800
2 348,160 185,000 0 0 0 0
11-03-1976 139,264 0 289,680 0 0 14 ...............
197603112003121006 4 3,969,024 0 0 0
0 0 0
( PNS-3C ) MKG:14 8525398554
588084962702000 96 0 0
4,443,800 0 0
0
15 SRI WAHYUNI K -1 3,554,000 490,000 0 0 0 0 4,687,800
1 355,400 0 0 0 0 0
29-11-1978 71,080 0 217,260 0 0 15 ...............
197711291999032002 3 3,980,480 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025076601
894841600706000 60 0 0
4,687,800 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 PARINAH,A.Md.Keb K -1 3,900,500 0 0 0 2,000 0 5,001,300
2 390,050 0 0 0 0 0
24-02-1975 156,020 265,000 289,680 0 0 16 ...............
197502242005022002 4 4,446,570 0 2,000 0
0 0 0
( PNS-3B ) MKG:24 4025083461
894847516706000 50 0 0
5,003,300 0 2,000
0
17 YUSNITA GUMILA SRIWATI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
17-02-1976 0 265,000 72,420 0 0 17 ...............
197602172006042018 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025083411
898356076706000 80 0 0
4,003,400 0 0
0
18 MELIANA BORO SAMOSIR,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
07-08-1976 0 265,000 72,420 0 0 18 ...............
197608072006042017 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025084069
591724240706000 80 0 0
4,003,400 0 0
0
19 LIDYA TAMBUNAN,A.Md.Keb K -1 3,445,500 0 0 0 0 0 4,341,300
1 344,550 0 0 0 0 0
18-04-1980 68,910 265,000 217,260 0 0 19 ...............
198004182006042029 3 3,858,960 0 0 0
0 0 0
( PNS-3B ) MKG:16 4025083976
898356084706000 80 0 0
4,341,300 0 0
0
20 SUMIATI,A.Md,Kep K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
05-05-1980 121,744 265,000 289,680 0 0 20 ...............
198005052009032005 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025084255
898356480706000 16 0 0
4,024,400 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 DITA NERIYANTI,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
18-10-1990 113,236 265,000 289,680 0 0 21 ...............
199010182014022002 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188514
709196661706000 94 0 0
3,782,000 0 0
0
22 JUNI HARTATI LUBIS,A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,858,600
2 292,010 0 0 0 0 0
09-06-1975 116,804 240,000 289,680 0 0 22 ...............
197506092008042001 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 8 4025083437
898356068706000 6 0 0
3,858,600 0 0
0
23 JIMMY ERRES SANJAYA,AMAK K -1 2,830,900 0 0 0 0 0 3,757,000
2 283,090 0 0 0 0 0
11-12-1992 113,236 240,000 289,680 0 0 23 ...............
199212112015011001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200794
726704450706000 94 0 0
3,757,000 0 0
0
PEG: 23 5,143,920 185,000 0 0 0 0
IST: 15 JIWA= 61 1,532,322 8,420,000 4,417,620 0 0
ANK: 23 87,677,742 0 39,833 0
0 0 0
1,438 0 0
101,771,633 0 39,833
0
24 DOMINGGUS EVY, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
12-02-1989 56,030 240,000 217,260 0 0 24 ...............
198902122017042007 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025268097
664174596706000 60 0 0
3,595,000 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 TEODORA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,372,500
0 271,600 0 0 0 0 0
06-05-1990 0 240,000 144,840 0 0 25 ...............
199005062017042008 2 2,987,600 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025268208
800351371706000 60 0 0
3,372,500 0 0
0
26 YOSEPA DIANA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
15-02-1991 108,640 240,000 289,680 0 0 26 ...............
199102152017042001 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025874442
664261922706000 80 0 0
3,626,000 0 0
0
27 SRI HARYATI,A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,439,800
2 255,270 0 0 0 0 0
04-04-1988 102,108 240,000 289,680 0 0 27 ...............
198804042019032002 4 2,910,078 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025872636
846457109706000 42 0 0
3,439,800 0 0
0
28 FELIKS SUHENDRI, A.Md.KL K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
13-06-1994 51,054 240,000 217,260 0 0 28 ...............
199406132019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025252646
907345185706000 16 0 0
3,316,300 0 0
0
29 IRMA MARISA, A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
26-09-1995 0 240,000 72,420 0 0 29 ...............
199509262020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262901
929082444706000 80 0 0
2,686,800 0 0
0
PUSKESMAS TEMPUNAK
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 6 1,333,890 0 0 0 0 0
IST: 5 JIWA= 17 317,832 1,440,000 1,231,140 0 0
ANK: 6 17,364,922 0 0 0
0 0 0
338 0 0
20,036,400 0 0
0
TOTAL PER SATKER 96,714,700 1,030,000 0 0 39,833 0 121,768,200
PEG: 29 6,477,810 185,000 0 0 0 0
IST: 20 JIWA= 78 1,850,154 9,860,000 5,648,760 0 0
ANK: 29 105,042,664 0 39,833 0
0 0 0
1,776 0 0
121,808,033 39,833
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ROY MARTADI K -1 3,628,900 540,000 0 0 0 0 4,821,700
NURMANSYAH,S.Sos,M.AP 1 362,890 0 0 0 0 0
06-08-1983 72,578 0 217,260 0 0 1 ...............
198308062003121002 3 4,064,368 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025098523
872940531706000 72 0 0
4,821,700 0 0
0
2 ACHMAD SAI'IN K -1 4,508,600 0 0 0 10,675 0 5,604,300
0 450,860 0 0 0 0 0
06-02-1969 0 500,000 144,840 0 0 2 ...............
196902061989111002 2 4,959,460 0 10,675 0
0 0 0
( PNS-3D ) MKG:28 4025074209
894841824706000 0 0 0
5,614,975 0 10,675
0
3 LUSIANI,A.Md.Keb TK-0 4,508,600 0 0 0 5,642 0 5,081,100
0 0 0 0 0 0 0
05-12-1969 0 500,000 72,420 0 0 3 ...............
196912051990022001 1 4,508,600 0 5,642 0
0 0 0
( PNS-3D ) MKG:28 4025080357
894841774706000 80 0 0
5,086,742 0 5,642
0
4 APOLONIA TK-0 4,370,900 0 0 0 0 0 4,943,400
0 0 0 0 0 0 0
18-06-1969 0 500,000 72,420 0 0 4 ...............
196906161991022003 1 4,370,900 0 0 0
0 0 0
( PNS-3D ) MKG:26 4025060411
894841899706000 80 0 0
4,943,400 0 0
0
5 S U W A R D I,A.Md.Kesling K -1 4,237,500 0 0 0 0 0 5,620,500
2 423,750 0 0 0 0 0
18-06-1970 169,500 500,000 289,680 0 0 5 ...............
197006181994031005 4 4,830,750 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025060461
894841766706000 70 0 0
5,620,500 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 MARYANTO,A.Md.Gizi K -1 3,861,000 0 0 0 0 0 5,191,300
2 386,100 0 0 0 0 0
02-08-1971 154,440 500,000 289,680 0 0 6 ...............
197108021995011001 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:19 4025060381
894841758706000 80 0 0
5,191,300 0 0
0
7 KARTINAH K -1 3,861,000 0 0 0 11,129 0 5,191,300
2 386,100 0 0 0 0 0
19-02-1973 154,440 500,000 289,680 0 0 7 ...............
197302192000032002 4 4,401,540 0 11,129 0
0 0 0
( PNS-3D ) MKG:18 4025085901
894841840706000 80 0 0
5,202,429 0 11,129
0
8 OKDARIUS, A.Md.Kep K -1 3,743,100 0 0 0 0 0 5,056,900
2 374,310 0 0 0 0 0
04-10-1979 149,724 500,000 289,680 0 0 8 ...............
197910042005021007 4 4,267,134 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025077399
885355727706000 86 0 0
5,056,900 0 0
0
9 ROSLIN,A.Md.Keb K -1 3,941,400 490,000 0 0 7,796 0 5,121,700
1 394,140 0 0 0 0 0
15-07-1970 78,828 0 217,260 0 0 9 ...............
197007152002122005 3 4,414,368 0 7,796 0
0 0 0
( PNS-3C ) MKG:22 4025085961
894841733706000 72 0 0
5,129,496 0 7,796
0
10 RIDHO FADHILAH, S.Farm.Apt K -1 2,981,500 0 0 0 0 0 4,306,600
1 298,150 0 0 0 0 0
30-04-1991 59,630 750,000 217,260 0 0 10 ...............
199104302019032001 3 3,339,280 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025252409
764728895706000 60 0 0
4,306,600 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 RAFIKA FRANSISKA,S.Kep.Ns K -1 3,375,300 0 0 0 0 0 4,737,600
2 337,530 0 0 0 0 0
25-02-1987 135,012 600,000 289,680 0 0 11 ...............
198702252009032004 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025073113
898356217706000 78 0 0
4,737,600 0 0
0
12 LIANA OKTAVINA ROMPIS,S.Kep. NS K -1 3,272,200 0 0 0 0 0 4,482,200
1 327,220 0 0 0 0 0
10-10-1979 65,444 600,000 217,260 0 0 12 ...............
197910102011012005 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025146714
152334603701000 76 0 0
4,482,200 0 0
0
13 MARGARETA SUSANA,A.Md.Kep TK-0 3,821,000 0 0 0 0 0 4,393,500
0 0 0 0 0 0 0
19-05-1978 0 500,000 72,420 0 0 13 ...............
197805192002122008 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025078379
872940952706000 80 0 0
4,393,500 0 0
0
14 CARBELA,A.Md.KG K -1 3,375,300 0 0 0 0 0 4,497,600
1 337,530 0 0 0 0 0
27-10-1980 67,506 500,000 217,260 0 0 14 ...............
198010272006041012 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:12 9525190991
972638316705000 4 0 0
4,497,600 0 0
0
15 SUSI SAMBURIANTI,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
11-09-1989 130,888 500,000 289,680 0 0 15 ...............
198909112010012002 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025143090
587172685706000 12 0 0
4,520,000 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 HENDRA OEKA,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,588,100
1 366,590 0 0 0 0 0
07-09-1975 73,318 265,000 217,260 0 0 16 ...............
197509072006042016 3 4,105,808 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025060526
894841741706000 32 0 0
4,588,100 0 0
0
17 MINARTY,A.Md.Keb K -1 3,554,000 0 0 0 0 0 4,606,300
2 355,400 0 0 0 0 0
12-04-1974 142,160 265,000 289,680 0 0 17 ...............
197404122006042012 4 4,051,560 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025060542
894841881706000 60 0 0
4,606,300 0 0
0
18 WORO SURYANINGSIH, A.Md.Kep K -1 3,340,300 0 0 0 0 0 4,362,700
2 334,030 0 0 0 0 0
27-01-1981 133,612 265,000 289,680 0 0 18 ...............
198101272006042020 4 3,807,942 0 0 0
0 0 0
( PNS-3B ) MKG:14 4025071064
894841816706000 78 0 0
4,362,700 0 0
0
19 MARIA PUDYANTARI,A.Md.Kep TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
17-05-1976 0 265,000 72,420 0 0 19 ...............
197605172006042008 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025068250
894841857706000 80 0 0
3,476,900 0 0
0
20 NIKKI KURNIA,A.Md.Keb K -1 3,139,400 0 0 0 0 0 3,863,200
0 313,940 0 0 0 0 0
12-07-1989 0 265,000 144,840 0 0 20 ...............
198907122011012005 2 3,453,340 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025147010
798110961706000 20 0 0
3,863,200 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 20 5,775,760 0 0 0 0 0
IST: 16 JIWA= 58 1,587,080 8,275,000 4,200,360 0 0
ANK: 22 80,960,340 0 35,242 0
0 0 0
1,200 0 0
94,502,142 0 35,242
0
21 ENI SARI, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
12-05-1988 56,030 240,000 217,260 0 0 21 ...............
198805122017042011 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267961
664172756706000 60 0 0
3,595,000 0 0
0
22 DAMIANI SANI, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
21-02-1989 112,060 240,000 289,680 0 0 22 ...............
198902212017042008 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267856
664725942706000 10 0 0
3,723,400 0 0
0
23 KURNIA PUTRI DANESA, A.Md.Keb TK-0 2,801,500 0 0 0 0 0 3,114,000
0 0 0 0 0 0 0
23-05-1989 0 240,000 72,420 0 0 23 ...............
198905232017042005 1 2,801,500 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267945
664173523706000 80 0 0
3,114,000 0 0
0
24 HERMENEGELDA,A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
18-02-1989 108,640 240,000 289,680 0 0 24 ...............
198902182017042005 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025268020
664101037706000 80 0 0
3,626,000 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 DEWI KASIYATUN, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
15-09-1991 108,640 240,000 289,680 0 0 25 ...............
199109152017042004 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:11 4125033003
664068244707000 80 0 0
3,626,000 0 0
0
26 YUANA,A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,439,800
2 255,270 0 0 0 0 0
14-11-1988 102,108 240,000 289,680 0 0 26 ...............
198809142019032002 4 2,910,078 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871621
907176341706000 42 0 0
3,439,800 0 0
0
27 TITIN NUR'AINI, A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
02-05-1996 94,972 240,000 289,680 0 0 27 ...............
199605022020122003 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263818
967501933706000 18 0 0
3,236,400 0 0
0
28 ANASTASIA K -1 2,859,800 0 0 0 0 0 3,729,900
2 285,980 180,000 0 0 0 0
03-02-1985 114,392 0 289,680 0 0 28 ...............
198502032014072002 4 3,260,172 0 0 0
0 0 0
( PNS-2C ) MKG:18 4025199826
729333237706000 48 0 0
3,729,900 0 0
0
PEG: 8 1,882,180 180,000 0 0 0 0
IST: 7 JIWA= 28 696,842 1,680,000 2,027,760 0 0
ANK: 13 24,202,322 0 0 0
0 0 0
418 0 0
28,090,500 0 0
0
PUSKESMAS KEBONG
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 95,220,800 1,030,000 0 0 35,242 0 122,557,400
PEG: 28 7,657,940 180,000 0 0 0 0
IST: 23 JIWA= 86 2,283,922 9,955,000 6,228,120 0 0
ANK: 35 105,162,662 0 35,242 0
0 0 0
1,618 0 0
122,592,642 35,242
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS TANJUNG PURI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 dr.NOVIA RACHMAWATI K -1 3,901,500 0 0 0 18,129 0 5,337,000
1 390,150 0 0 0 0 0
20-11-1978 78,030 750,000 217,260 0 0 1 ...............
197811202005022004 3 4,369,680 0 18,129 0
0 0 0
( PNS-4A ) MKG:16 4025139971
481846947706000 60 0 0
5,355,129 0 18,129
0
2 SUNARTI, S.K.M K -1 3,901,500 0 0 0 0 0 4,936,500
0 390,150 0 0 0 0 0
12-03-1978 0 500,000 144,840 0 0 2 ...............
197803122003122005 2 4,291,650 0 0 0
0 0 0
( PNS-4A ) MKG:16 4025334016
891414286706000 10 0 0
4,936,500 0 0
0
SUB TOTAL PERGOLONGAN : IV 7,803,000 0 0 0 18,129 0 10,273,500
PEG: 2 780,300 0 0 0 0 0
IST: 2 JIWA= 5 78,030 1,250,000 362,100 0 0
ANK: 1 8,661,330 0 18,129 0
0 0 0
70 0 0
10,291,629 0 18,129
0
3 dr.ANDAR JIMMY PINTABAR K -1 3,410,600 540,000 0 0 0 0 4,717,800
2 341,060 0 0 0 0 0
29-10-1986 136,424 0 289,680 0 0 3 ...............
198610292014021002 4 3,888,084 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025189197
773620372701000 36 0 0
4,717,800 0 0
0
4 DIMAS EKO KUSPRIHASTONO,S.Kep.Ns K -1 3,628,900 490,000 0 0 0 0 4,916,700
2 362,890 0 0 0 0 0
19-11-1982 145,156 0 289,680 0 0 4 ...............
198211152008041001 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025060810
898356993706000 74 0 0
4,916,700 0 0
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
5 drg.KATARINA RISTU JATI TK-0 3,628,900 0 0 0 0 0 4,451,400
0 0 0 0 0 0 0
02-03-1982 0 750,000 72,420 0 0 5 ...............
198203022014082001 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025194891
664262235706000 80 0 0
4,451,400 0 0
0
6 dr.YUDI HERTANTO K -1 3,628,900 0 0 0 0 0 5,031,700
1 362,890 0 0 0 0 0
09-12-1983 72,578 750,000 217,260 0 0 6 ...............
198312092014081001 3 4,064,368 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025188735
164449951701000 72 0 0
5,031,700 0 0
0
7 dr.FLORENTINA MARISSA TK-0 3,410,600 0 0 0 0 0 4,233,100
0 0 0 0 0 0 0
20-06-1986 0 750,000 72,420 0 0 7 ...............
198606202014082001 1 3,410,600 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025188689
468370119706000 80 0 0
4,233,100 0 0
0
8 IRMA AZIZAH K -1 3,306,500 0 0 0 0 0 4,670,600
NURSOLIHAH,S.FARM,Apt 1 330,650 0 0 0 0 0
18-08-1989 66,130 750,000 217,260 0 0 8 ...............
198908182014022004 3 3,703,280 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4025195171
709119671706000 60 0 0
4,670,600 0 0
0
9 SUMARNI,S.ST, M.Keb TK-0 3,743,100 0 0 0 0 0 4,415,600
0 0 0 0 0 0 0
26-04-1978 0 600,000 72,420 0 0 9 ...............
197804262002122013 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:17 4025083259
898356050706000 80 0 0
4,415,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 YULIAN PATRISIA,S.Kep,Ns K -1 3,743,100 0 0 0 9,817 0 5,156,900
2 374,310 0 0 0 0 0
03-07-1977 149,724 600,000 289,680 0 0 10 ...............
197707032005022007 4 4,267,134 0 9,817 0
0 0 0
( PNS-3D ) MKG:16 4025148156
675456958706000 86 0 0
5,166,717 0 9,817
0
11 WAHYUNI FATIMAH ,SKM TK-0 3,743,100 0 0 0 0 0 4,415,600
0 0 0 0 0 0 0
15-07-1979 0 600,000 72,420 0 0 11 ...............
197907152000122002 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025333674
675458582706000 80 0 0
4,415,600 0 0
0
12 RENA MARLINA,S.K.M K -1 3,518,100 0 0 0 0 0 4,900,400
2 351,810 0 0 0 0 0
01-09-1986 140,724 600,000 289,680 0 0 12 ...............
198609012010012015 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:12 4025148091
898356167706000 86 0 0
4,900,400 0 0
0
13 JUNITA HUTAGALUNG,A.Md.Kep TK-0 4,650,600 0 0 0 12,050 0 5,223,100
0 0 0 0 0 0 0
21-06-1967 0 500,000 72,420 0 0 13 ...............
196706211991022001 1 4,650,600 0 12,050 0
0 0 0
( PNS-3D ) MKG:30 4025334865
880125133706000 80 0 0
5,235,150 0 12,050
0
14 TUMINO K -1 4,508,600 0 0 0 0 0 5,929,500
2 450,860 0 0 0 0 0
30-03-1968 180,344 500,000 289,680 0 0 14 ...............
196803301988121001 4 5,139,804 0 0 0
0 0 0
( PNS-3D ) MKG:28 4025083330
155357932706000 16 0 0
5,929,500 0 0
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 SURIYATI,A.Md.Keb K -1 4,508,600 0 0 0 29,425 0 5,604,300
0 450,860 0 0 0 0 0
21-05-1969 0 500,000 144,840 0 0 15 ...............
196905211990012001 2 4,959,460 0 29,425 0
0 0 0
( PNS-3D ) MKG:28 4025335118
880111315706000 0 0 0
5,633,725 0 29,425
0
16 SUHARTO K -1 4,370,900 0 0 0 0 0 5,772,600
2 437,090 0 0 0 0 0
21-09-1970 174,836 500,000 289,680 0 0 16 ...............
197009211992031002 4 4,982,826 0 0 0
0 0 0
( PNS-3D ) MKG:26 4025335085
880125141706000 94 0 0
5,772,600 0 0
0
17 SUHARYANI,A.Md.KG TK-0 4,370,900 0 0 0 0 0 4,943,400
0 0 0 0 0 0 0
07-06-1973 0 500,000 72,420 0 0 17 ...............
197306071992032003 1 4,370,900 0 0 0
0 0 0
( PNS-3D ) MKG:26 4025333567
880125158706000 80 0 0
4,943,400 0 0
0
18 ENDANG JUNIAR NINGSIH,A.Md.Keb TK-0 4,237,500 0 0 0 0 0 4,810,000
0 0 0 0 0 0 0
26-06-1974 0 500,000 72,420 0 0 18 ...............
197406261993022003 1 4,237,500 0 0 0
0 0 0
( PNS-3D ) MKG:24 4025334783
153217419706000 80 0 0
4,810,000 0 0
0
19 SUYANTO K -1 4,108,100 0 0 0 0 0 5,473,000
2 410,810 0 0 0 0 0
21-08-1974 164,324 500,000 289,680 0 0 19 ...............
197408211996021002 4 4,683,234 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025060739
898356563706000 86 0 0
5,473,000 0 0
0
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 KATIK NURYANTI EKAWATI TK-0 3,982,600 0 0 0 0 0 4,555,100
,A.Md.Gizi 0 0 0 0 0 0 0
23-03-1973 0 500,000 72,420 0 0 20 ...............
197303232000122002 1 3,982,600 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025334088
872941224706000 80 0 0
4,555,100 0 0
0
21 HENI HENRIYANI K -1 3,982,600 0 0 0 10,350 0 5,177,800
1 398,260 0 0 0 0 0
17-08-1974 79,652 500,000 217,260 0 0 21 ...............
197408171997032005 3 4,460,512 0 10,350 0
0 0 0
( PNS-3D ) MKG:20 4025137227
880125174706000 28 0 0
5,188,150 0 10,350
0
22 ROSALIA,A.Md.Kep TK-0 3,982,600 0 0 0 0 0 4,555,100
0 0 0 0 0 0 0
17-09-1976 0 500,000 72,420 0 0 22 ...............
197609171998032003 1 3,982,600 0 0 0
0 0 0
( PNS-3D ) MKG:20 4025155641
587182338706000 80 0 0
4,555,100 0 0
0
23 SIWERDANI,A.Md TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
14-04-1974 0 500,000 72,420 0 0 23 ...............
197404142005022003 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025335057
675456685706000 80 0 0
4,315,600 0 0
0
24 ANDRIANI,A.Md.Keb TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
15-04-1974 0 500,000 72,420 0 0 24 ...............
197404152005022004 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025139114
880111398706000 80 0 0
4,315,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 RINA YUSNITA,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
13-05-1979 145,156 500,000 289,680 0 0 25 ...............
197905132000122001 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:15 4025334987
885356212706000 74 0 0
4,926,700 0 0
0
26 AMIN FATHEHAH HATI,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
12-09-1979 145,156 500,000 289,680 0 0 26 ...............
197909122006042010 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025063312
872940770706000 74 0 0
4,926,700 0 0
0
27 SITI MARYAM,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
05-01-1983 145,156 500,000 289,680 0 0 27 ...............
198301052006042011 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025335055
872941257706000 74 0 0
4,926,700 0 0
0
28 SRI WAHYUNI,A.Md.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
29-01-1984 0 500,000 72,420 0 0 28 ...............
198401292006042009 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025335072
891414294706000 80 0 0
4,201,400 0 0
0
29 SITTI SALEHA,A.M.Gizi K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
07-09-1984 145,156 500,000 289,680 0 0 29 ...............
198409072006042007 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025063479
872940788706000 74 0 0
4,926,700 0 0
0
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 LESTARI K -1 4,108,100 0 0 0 8,879 0 5,158,000
2 410,810 185,000 0 0 0 0
02-04-1975 164,324 0 289,680 0 0 30 ...............
197504021996032003 4 4,683,234 0 8,879 0
0 0 0
( PNS-3D ) MKG:22 4025065072
880125182706000 86 0 0
5,166,879 0 8,879
0
31 YULI WARASWATI K -1 3,591,200 0 0 0 0 0 4,883,700
2 359,120 0 0 0 0 0
21-12-1979 143,648 500,000 289,680 0 0 31 ...............
197912212003122005 4 4,093,968 0 0 0
0 0 0
( PNS-3C ) MKG:16 4025085979
898356298706000 52 0 0
4,883,700 0 0
0
32 GUNAWAN K -1 3,375,300 0 0 0 0 0 4,497,600
1 337,530 0 0 0 0 0
07-12-1981 67,506 500,000 217,260 0 0 32 ...............
198112072005021004 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025060747
894847433706000 4 0 0
4,497,600 0 0
0
33 RATNA KARMITA SARI,A.Md.Keb TK-0 3,375,300 0 0 0 0 0 3,947,800
0 0 0 0 0 0 0
19-09-1982 0 500,000 72,420 0 0 33 ...............
198509192009042002 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4525231912
166019596706000 80 0 0
3,947,800 0 0
0
34 MEILANI KURNIATY,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,382,200
1 327,220 0 0 0 0 0
20-05-1988 65,444 500,000 217,260 0 0 34 ...............
198805202010012006 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025144941
880111521706000 76 0 0
4,382,200 0 0
0
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
35 YUSDIANA, A.Md.Farm TK-0 3,375,300 0 0 0 0 0 3,712,800
0 0 0 0 0 0 0
10-10-1979 0 265,000 72,420 0 0 35 ...............
197910102005022005 1 3,375,300 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025334000
891414302706000 80 0 0
3,712,800 0 0
0
36 AMBID PEMSEPTA PRATAMA,A.Md.Farm K -1 3,375,300 0 0 0 0 0 4,402,600
2 337,530 0 0 0 0 0
24-09-1986 135,012 265,000 289,680 0 0 36 ...............
198609242009031004 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025083712
880111703706000 78 0 0
4,402,600 0 0
0
37 MERRY SELVI,A.Md.Keb TK-0 3,781,400 0 0 0 0 0 4,118,900
0 0 0 0 0 0 0
26-08-1975 0 265,000 72,420 0 0 37 ...............
197508262006042021 1 3,781,400 0 0 0
0 0 0
( PNS-3B ) MKG:22 4025334933
880125166706000 80 0 0
4,118,900 0 0
0
38 SUHARTATI,A.Md.Keb TK-0 3,781,400 0 0 0 0 0 4,118,900
0 0 0 0 0 0 0
20-04-1976 0 265,000 72,420 0 0 38 ...............
197604202005022001 1 3,781,400 0 0 0
0 0 0
( PNS-3B ) MKG:22 4025060968
898356472706000 80 0 0
4,118,900 0 0
0
39 EVA KOESMAYA,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
04-08-1977 0 265,000 72,420 0 0 39 ...............
197708042006042017 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025334794
872941281706000 80 0 0
4,003,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
40 MIRNAWATI,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
19-06-1978 0 265,000 72,420 0 0 40 ...............
197806192006042022 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025334936
872941299706000 80 0 0
4,003,400 0 0
0
41 ALBINA OKTINA,A.Md.Keb K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
13-12-1986 129,532 265,000 289,680 0 0 41 ...............
198612132009042004 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4525229918
165176983706000 58 0 0
4,246,400 0 0
0
42 DWI MULYANINGSIH,A.Ma.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
09-11-1987 125,576 265,000 289,680 0 0 42 ...............
198711092010012014 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025140783
158518340706000 4 0 0
4,133,600 0 0
0
43 MAS AMINAH K -1 4,280,800 0 0 0 10,458 0 5,196,800
1 428,080 185,000 0 0 0 0
07-05-1968 85,616 0 217,260 0 0 43 ...............
196805071988032006 3 4,794,496 0 10,458 0
0 0 0
( PNS-3B ) MKG:30 4025334923
872941174706000 44 0 0
5,207,258 0 10,458
0
44 HARRI KURNIAWAN,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
16-09-1987 113,236 265,000 289,680 0 0 44 ...............
198709162014021004 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189961
708743570706000 94 0 0
3,782,000 0 0
0
BULAN : JUNI 2023
HALAMAN : 10

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
45 SUKITARINI TRI PUTRI,A.Md.Keb TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
21-05-1989 0 265,000 72,420 0 0 45 ...............
198905212014032002 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4525271639
664946894706000 80 0 0
3,168,400 0 0
0
46 RAHMANI RAMI,A.Md.Keb TK-0 3,204,700 0 0 0 0 0 3,517,200
0 0 0 0 0 0 0
20-09-1984 0 240,000 72,420 0 0 46 ...............
198409202017042010 1 3,204,700 0 0 0
0 0 0
( PNS-3A ) MKG:14 4025268143
667351407706000 80 0 0
3,517,200 0 0
0
47 MEGALISA WATI,A.Md.Keb TK-0 2,920,100 0 0 0 0 0 3,232,600
0 0 0 0 0 0 0
22-01-1990 0 240,000 72,420 0 0 47 ...............
199001222017042009 1 2,920,100 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4125033151
664257680706000 80 0 0
3,232,600 0 0
0
48 SUPARTINI,A.Md.AK K -1 2,830,900 0 0 0 0 0 3,757,000
2 283,090 0 0 0 0 0
28-08-1989 113,236 240,000 289,680 0 0 48 ...............
198908282015012001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025199371
726590375706000 94 0 0
3,757,000 0 0
0
49 DEWI ISTIAWATI,S.Tr.Keb K -1 2,830,900 0 0 0 0 0 3,627,900
1 283,090 0 0 0 0 0
26-10-1990 56,618 240,000 217,260 0 0 49 ...............
199010262014022004 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189294
708620158706000 32 0 0
3,627,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 11

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 47 9,410,380 370,000 0 0 0 0
IST: 26 JIWA= 116 3,090,264 19,510,000 8,400,720 0 0
ANK: 43 184,070,344 0 80,979 0
0 0 0
3,236 0 0
213,465,279 0 80,979
0
50 MAHILDA KUNRAI, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
21-09-1989 56,030 240,000 217,260 0 0 50 ...............
198909212017042005 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025268178
664001252706000 60 0 0
3,595,000 0 0
0
PEG: 1 280,150 0 0 0 0 0
IST: 1 JIWA= 3 56,030 240,000 217,260 0 0
ANK: 1 3,137,680 0 0 0
0 0 0
60 0 0
3,595,000 0 0
0
TOTAL PER SATKER 182,174,200 1,030,000 0 0 99,108 0 227,252,800
PEG: 50 10,470,830 370,000 0 0 0 0
IST: 29 JIWA= 124 3,224,324 21,000,000 8,980,080 0 0
ANK: 45 195,869,354 0 99,108 0
0 0 0
3,366 0 0
227,351,908 99,108
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 DARWIN K -1 4,370,900 540,000 0 0 0 0 5,652,700
1 437,090 0 0 0 0 0
23-07-1969 87,418 0 217,260 0 0 1 ...............
196907231990121001 3 4,895,408 0 0 0
0 0 0
( PNS-3D ) MKG:26 4025065269
655159842706000 32 0 0
5,652,700 0 0
0
2 WIRYADI ,S.K.M K -1 3,743,100 490,000 0 0 0 0 5,046,900
2 374,310 0 0 0 0 0
18-08-1982 149,724 0 289,680 0 0 2 ...............
198208182006041011 4 4,267,134 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025065676
880111620706000 86 0 0
5,046,900 0 0
0
3 dr.TAHIR AHMAD K -1 3,410,600 0 0 0 0 0 4,787,200
1 341,060 0 0 0 0 0
14-04-1983 68,212 750,000 217,260 0 0 3 ...............
198304142014081001 3 3,819,872 0 0 0
0 0 0
( PNS-3D ) MKG:10 4025189278
452911613405000 68 0 0
4,787,200 0 0
0
4 SAMIN K -1 4,108,100 0 0 0 0 0 5,473,000
2 410,810 0 0 0 0 0
04-01-1974 164,324 500,000 289,680 0 0 4 ...............
197401041995031002 4 4,683,234 0 0 0
0 0 0
( PNS-3D ) MKG:22 7025057885
155337702703000 86 0 0
5,473,000 0 0
0
5 ROBI MASKURI,A.Md K -1 4,108,100 0 0 0 0 0 5,318,400
1 410,810 0 0 0 0 0
24-05-1974 82,162 500,000 217,260 0 0 5 ...............
197405241996031002 3 4,601,072 0 0 0
0 0 0
( PNS-3D ) MKG:22 4025708950
163252646706000 68 0 0
5,318,400 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 ANTONIUS ANTON,A.Md.Gizi K -1 3,861,000 0 0 0 0 0 5,191,300
2 386,100 0 0 0 0 0
20-08-1973 154,440 500,000 289,680 0 0 6 ...............
197308202006041015 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025085821
880111661706000 80 0 0
5,191,300 0 0
0
7 SELUMINATA,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,781,700
1 362,890 0 0 0 0 0
22-08-1978 72,578 500,000 217,260 0 0 7 ...............
197808222002122005 3 4,064,368 0 0 0
0 0 0
( PNS-3D ) MKG:15 4025084506
895355540706000 72 0 0
4,781,700 0 0
0
8 UMI ASYRAFI,A.Md.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
01-05-1982 0 500,000 72,420 0 0 8 ...............
198205012006042027 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:15 4025066664
880111638706000 80 0 0
4,201,400 0 0
0
9 BASILIUS,A.Md.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
23-07-1978 0 500,000 72,420 0 0 9 ...............
197807232002121005 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025066320
880111547706000 80 0 0
4,201,400 0 0
0
10 YUANITA RACHMAN,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
10-02-1985 135,012 500,000 289,680 0 0 10 ...............
198502102009032008 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025076805
587172719706000 78 0 0
4,637,600 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 WULANDARI, S.K.M K -1 3,375,300 0 0 0 0 0 4,497,600
1 337,530 0 0 0 0 0
25-08-1987 67,506 500,000 217,260 0 0 11 ...............
198708252009042002 3 3,780,336 0 0 0
0 0 0
( PNS-3C ) MKG:12 4525232773
164881112706000 4 0 0
4,497,600 0 0
0
12 FLORENTINUS JHONHENDRA,S.Kep.Ns K -1 2,860,500 0 0 0 0 0 3,721,100
1 286,050 0 0 0 0 0
05-07-1994 57,210 300,000 217,260 0 0 12 ...............
199407052019031002 3 3,203,760 0 0 0
0 0 0
( PNS-3B ) MKG: 4 4025871974
839769747706000 80 0 0
3,721,100 0 0
0
13 DULINA,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
04-02-1977 146,636 265,000 289,680 0 0 13 ...............
197702042006042017 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025174742
898355573706000 94 0 0
4,733,900 0 0
0
14 MIM UTARI DEWI,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
30-09-1977 146,636 265,000 289,680 0 0 14 ...............
197709302006042018 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025099651
ISI MAZSEH 94 0 0
4,733,900 0 0
0
15 MERLIAN SARI ,S.K.M K -1 3,238,300 0 0 0 0 0 4,109,200
1 323,830 0 0 0 0 0
01-09-1978 64,766 265,000 217,260 0 0 15 ...............
197809012009032002 3 3,626,896 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025066451
880111562706000 44 0 0
4,109,200 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 MARFIN ANANDA,A.Md.Far K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
17-04-1988 125,576 265,000 289,680 0 0 16 ...............
198804172010011006 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025144746
880111505706000 4 0 0
4,133,600 0 0
0
17 PAUL RINTO KURNIAWAN K -1 2,830,900 0 0 0 0 0 3,782,000
EDHY,A.Md.Kesling 2 283,090 0 0 0 0 0
08-08-1988 113,236 265,000 289,680 0 0 17 ...............
198808082015011001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200964
726132202706000 94 0 0
3,782,000 0 0
0
18 DOMAN SUMARLIN.A.Md.Kep K -1 2,744,500 0 0 0 0 0 3,556,100
1 274,450 0 0 0 0 0
05-03-1985 54,890 265,000 217,260 0 0 18 ...............
198503052014021002 3 3,073,840 0 0 0
0 0 0
( PNS-3A ) MKG: 5 4025192066
547760769706000 0 0 0
3,556,100 0 0
0
19 LEONEDES SUSIANTO,A.Md.Kep K -1 2,744,500 0 0 0 0 0 3,556,100
1 274,450 0 0 0 0 0
08-08-1991 54,890 265,000 217,260 0 0 19 ...............
199108082014021003 3 3,073,840 0 0 0
0 0 0
( PNS-3A ) MKG: 5 4025193305
709051767706000 0 0 0
3,556,100 0 0
0
20 WINDU PAMUNGKAS,A.Md.Kep K -1 2,744,500 0 0 0 0 0 3,556,100
1 274,450 0 0 0 0 0
27-08-1992 54,890 265,000 217,260 0 0 20 ...............
199208272014021001 3 3,073,840 0 0 0
0 0 0
( PNS-3A ) MKG: 5 4025189065
708762687706000 0 0 0
3,556,100 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 20 6,161,570 0 0 0 0 0
IST: 18 JIWA= 64 1,800,106 7,170,000 4,634,880 0 0
ANK: 26 76,835,176 0 0 0
0 0 0
1,144 0 0
89,671,200 0 0
0
21 KURNIA ZUMIZTI,A.Md.Keb TK-0 2,801,500 0 0 0 0 0 3,114,000
0 0 0 0 0 0 0
18-04-1986 0 240,000 72,420 0 0 21 ...............
198604182017042009 1 2,801,500 0 0 0
0 0 0
( PNS-2D ) MKG:13 4125033046
664361144706000 80 0 0
3,114,000 0 0
0
22 APOLONIA CHRISTINA YESSY, K -1 2,801,500 0 0 0 0 0 3,723,400
A.Md.Keb 2 280,150 0 0 0 0 0
07-04-1989 112,060 240,000 289,680 0 0 22 ...............
198904072017042004 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025123005
664204062706000 10 0 0
3,723,400 0 0
0
23 SESILIA BETARIA BETSI,A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
01-10-1989 56,030 240,000 217,260 0 0 23 ...............
198910012017042006 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025268054
864398765706000 60 0 0
3,595,000 0 0
0
24 MAYA SYLVINA, A.Md.Far K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
08-07-1994 51,054 240,000 217,260 0 0 24 ...............
199407082019032003 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025232378
907543631706000 16 0 0
3,316,300 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 KARUNIAWATI, A.Md,Kesling K -1 2,449,100 0 0 0 0 0 3,321,700
2 244,910 0 0 0 0 0
16-09-1985 97,964 240,000 289,680 0 0 25 ...............
198509162019032001 4 2,791,974 0 0 0
0 0 0
( PNS-2C ) MKG: 7 4025816868
842517484706000 46 0 0
3,321,700 0 0
0
26 SUCI PUJI ROMDANI,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
24-04-1989 0 240,000 72,420 0 0 26 ...............
198904242020122005 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263702
909343600706000 80 0 0
2,686,800 0 0
0
27 MERLIFANNY, A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
23-05-1991 0 240,000 72,420 0 0 27 ...............
199105232020122004 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262323
936579044706000 80 0 0
2,686,800 0 0
0
28 YENI KRISTINA,A.Md.Kep K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
05-09-1991 0 240,000 144,840 0 0 28 ...............
199109052020122002 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263958
908456320706000 30 0 0
2,996,600 0 0
0
29 MARIA ELLA KRISTINA,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
12-02-1995 0 240,000 72,420 0 0 29 ...............
199502122020122004 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262331
936553304706000 80 0 0
2,686,800 0 0
0
PUSKESMAS NANGA MAU
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
30 NOVIANA WULANDARI,A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
07-11-1995 47,486 240,000 217,260 0 0 30 ...............
199511072020122004 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262366
936745629706000 24 0 0
3,116,500 0 0
0
PEG: 10 1,535,340 0 0 0 0 0
IST: 6 JIWA= 23 364,594 2,400,000 1,665,660 0 0
ANK: 7 27,177,734 0 0 0
0 0 0
506 0 0
31,243,900 0 0
0
TOTAL PER SATKER 94,151,300 1,030,000 0 0 0 0 120,915,100
PEG: 30 7,696,910 0 0 0 0 0
IST: 24 JIWA= 87 2,164,700 9,570,000 6,300,540 0 0
ANK: 33 104,012,910 0 0 0
0 0 0
1,650 0 0
120,915,100 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 HENDRIKUS MARTEN,S.Kep K -1 3,628,900 540,000 0 0 0 0 4,821,700
1 362,890 0 0 0 0 0
14-07-1982 72,578 0 217,260 0 0 1 ...............
198207142003121005 3 4,064,368 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025077119
587172784706000 72 0 0
4,821,700 0 0
0
2 SOLIHIN,A.Md.Kep K -1 3,861,000 0 0 0 0 0 5,191,300
2 386,100 0 0 0 0 0
18-06-1980 154,440 500,000 289,680 0 0 2 ...............
198006182003121003 4 4,401,540 0 0 0
0 0 0
( PNS-3D ) MKG:18 4025147028
591724166706000 80 0 0
5,191,300 0 0
0
3 SAMSUL HIDAYAT K -1 3,375,300 490,000 0 0 0 0 4,627,600
2 337,530 0 0 0 0 0
10-10-1980 135,012 0 289,680 0 0 3 ...............
198010102005021003 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025085812
898356688706000 78 0 0
4,627,600 0 0
0
4 HENNI MAHESTA,A.Md.Kep K -1 3,272,200 0 0 0 0 0 4,520,000
2 327,220 0 0 0 0 0
14-08-1986 130,888 500,000 289,680 0 0 4 ...............
198608142009032011 4 3,730,308 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025137898
898356605706000 12 0 0
4,520,000 0 0
0
5 TRI MULYANI,A.Md.Keb TK-0 3,272,200 0 0 0 0 0 3,844,700
0 0 0 0 0 0 0
20-11-1986 0 500,000 72,420 0 0 5 ...............
198611202009032011 1 3,272,200 0 0 0
0 0 0
( PNS-3C ) MKG:11 4025147061
675456487706000 80 0 0
3,844,700 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 APUNG,A.Md.Kep K -1 3,172,300 0 0 0 0 0 4,270,300
1 317,230 0 0 0 0 0
20-06-1982 63,446 500,000 217,260 0 0 6 ...............
198206202010011014 3 3,552,976 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025147494
898356654706000 64 0 0
4,270,300 0 0
0
7 PUJIWATI,A.Md.Kep K -1 3,172,300 0 0 0 0 0 4,406,200
2 317,230 0 0 0 0 0
15-06-1984 126,892 500,000 289,680 0 0 7 ...............
198406152010012027 4 3,616,422 0 0 0
0 0 0
( PNS-3C ) MKG: 9 4025148032
898356670706000 98 0 0
4,406,200 0 0
0
8 RACHMAT APRIYAL,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,402,600
2 337,530 0 0 0 0 0
10-04-1981 135,012 265,000 289,680 0 0 8 ...............
198104102005021003 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025066699
898356621706000 78 0 0
4,402,600 0 0
0
9 TITI HERAWATI TK-0 4,602,400 0 0 0 0 0 4,859,900
0 0 185,000 0 0 0 0
28-11-1965 0 0 72,420 0 0 9 ...............
196511281986032008 1 4,602,400 0 0 0
0 0 0
( PNS-3C ) MKG:32 4025060712
898356712706000 80 0 0
4,859,900 0 0
0
10 EMILIA DIANA. A, A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
01-03-1975 0 265,000 72,420 0 0 10 ...............
197503012002122003 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025146676
898356704706000 80 0 0
4,003,400 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 AGUSTINA,A.Md.Keb TK-0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
17-08-1976 0 265,000 72,420 0 0 11 ...............
197608172006042029 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025158925
898356746706000 80 0 0
4,003,400 0 0
0
12 ETY SUSANTI,A.Md.Keb K -1 3,238,300 0 0 0 0 0 3,972,000
0 323,830 0 0 0 0 0
09-11-1973 0 265,000 144,840 0 0 12 ...............
197311092005022002 2 3,562,130 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025146609
898356761706000 30 0 0
3,972,000 0 0
0
13 YULIA FRANSITA,A.Md.Keb K -1 2,920,100 0 0 0 0 0 3,883,600
2 292,010 0 0 0 0 0
06-03-1978 116,804 265,000 289,680 0 0 13 ...............
197803062008042001 4 3,328,914 0 0 0
0 0 0
( PNS-3A ) MKG: 8 4025060615
675456495706000 6 0 0
3,883,600 0 0
0
PEG: 13 3,001,570 185,000 0 0 0 0
IST: 9 JIWA= 36 935,072 3,825,000 2,607,120 0 0
ANK: 14 49,158,742 0 0 0
0 0 0
838 0 0
56,806,700 0 0
0
14 EMY RAHIMI, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
02-01-1986 112,060 240,000 289,680 0 0 14 ...............
198601022017042007 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025267821
664357761706000 10 0 0
3,723,400 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 URIYANA,A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
02-08-1987 112,060 240,000 289,680 0 0 15 ...............
198708022017042010 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025268267
664178738706000 10 0 0
3,723,400 0 0
0
16 ESTER ANANIAS, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
15-09-1986 108,640 240,000 289,680 0 0 16 ...............
198609152017042009 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025268275
664418217706000 80 0 0
3,626,000 0 0
0
17 DEVI ASTARINA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
23-09-1987 108,640 240,000 289,680 0 0 17 ...............
198709232017042009 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025268291
664652476706000 80 0 0
3,626,000 0 0
0
18 LENI, A.Md.Keb TK-0 2,716,000 0 0 0 0 0 3,028,500
0 0 0 0 0 0 0
05-10-1988 0 240,000 72,420 0 0 18 ...............
198810052017042008 1 2,716,000 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025124575
664870458706000 80 0 0
3,028,500 0 0
0
19 JULIA SUSANA, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,626,000
2 271,600 0 0 0 0 0
20-01-1989 108,640 240,000 289,680 0 0 19 ...............
198901202017042007 4 3,096,240 0 0 0
0 0 0
( PNS-2D ) MKG:12 4025268216
664003381706000 80 0 0
3,626,000 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 DETI,A.Md.Keb TK-0 2,716,000 0 0 0 0 0 3,028,500
0 0 0 0 0 0 0
15-06-1990 0 240,000 72,420 0 0 20 ...............
199006152017042003 1 2,716,000 0 0 0
0 0 0
( PNS-2D ) MKG:11 4025268119
664252509706000 80 0 0
3,028,500 0 0
0
21 KRISTINA KURNIATI,A.Md Kep TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
26-02-1988 0 240,000 72,420 0 0 21 ...............
198802262019032001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871532
900417866706000 80 0 0
2,865,200 0 0
0
22 SUDIYANTO,A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
16-05-1991 51,054 240,000 217,260 0 0 22 ...............
199105162019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025872709
907067615706000 16 0 0
3,316,300 0 0
0
23 ANDY NURMANSYAH,A.Md.KG K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
29-04-1994 51,054 240,000 217,260 0 0 23 ...............
199404292019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125036762
905914859701000 16 0 0
3,316,300 0 0
0
24 DESI ADE PUTRI MANALU,A.Md.Keb K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
19-12-1990 0 240,000 144,840 0 0 24 ...............
199012192020122005 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235946
967324716706000 30 0 0
2,996,600 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
25 MIMI MARSUSANTI,A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
18-03-1991 47,486 240,000 217,260 0 0 25 ...............
199103182020122001 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262358
824048391706000 24 0 0
3,116,500 0 0
0
26 REZEKI FITRI YANI,A.MD.Keb K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
17-09-1994 0 240,000 144,840 0 0 26 ...............
199409172020122006 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263389
842415424706000 30 0 0
2,996,600 0 0
0
27 SRI RETNOWATI,A.Md.Keb K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
29-09-1996 0 240,000 144,840 0 0 27 ...............
199609292020122005 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263699
967441874706000 30 0 0
2,996,600 0 0
0
28 RUDIANTO TK-0 2,660,000 0 0 0 0 0 2,912,500
0 0 180,000 0 0 0 0
05-06-1986 0 0 72,420 0 0 28 ...............
198606052014071002 1 2,660,000 0 0 0
0 0 0
( PNS-2B ) MKG:15 4025205320
729084533706000 80 0 0
2,912,500 0 0
0
PEG: 15 2,835,360 180,000 0 0 0 0
IST: 11 JIWA= 39 699,634 3,360,000 2,824,380 0 0
ANK: 13 42,533,294 0 0 0
0 0 0
726 0 0
48,898,400 0 0
0
PUSKESMAS TEBIDAH
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 84,220,400 1,030,000 0 0 0 0 105,705,100
PEG: 28 5,836,930 365,000 0 0 0 0
IST: 20 JIWA= 75 1,634,706 7,185,000 5,431,500 0 0
ANK: 27 91,692,036 0 0 0
0 0 0
1,564 0 0
105,705,100 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS DARA JUANTI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 dr.EDY K -1 3,518,100 540,000 0 0 0 0 4,840,400
2 351,810 0 0 0 0 0
18-07-1981 140,724 0 289,680 0 0 1 ...............
198107182014081002 4 4,010,634 0 0 0
0 0 0
( PNS-3D ) MKG:12 4025189341
664935178701000 86 0 0
4,840,400 0 0
0
2 HERIBERTUS DWI K -1 3,410,600 0 0 0 0 0 4,787,200
HARTANTO,S.Farm.Apt 1 341,060 0 0 0 0 0
28-01-1984 68,212 750,000 217,260 0 0 2 ...............
198401282009031005 3 3,819,872 0 0 0
0 0 0
( PNS-3D ) MKG:11 4025060593
898356852706000 68 0 0
4,787,200 0 0
0
3 dr.MUTIA ANDITA PUTRI K -1 3,306,500 0 0 0 0 0 4,809,100
2 330,650 0 0 0 0 0
03-07-1988 132,260 750,000 289,680 0 0 3 ...............
198807032014022001 4 3,769,410 0 0 0
0 0 0
( PNS-3D ) MKG: 8 4025189871
664122538706000 10 0 0
4,809,100 0 0
0
4 MAS RUMARWATI,S.ST K -0 3,743,100 0 0 0 0 0 4,562,900
1 0 0 0 0 0 0
09-07-1979 74,862 600,000 144,840 0 0 4 ...............
197907092006042024 2 3,817,962 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025084107
880111513706000 98 0 0
4,562,900 0 0
0
5 HAIRUDDIN K -1 4,650,600 0 0 0 0 0 6,091,400
2 465,060 0 0 0 0 0
01-10-1966 186,024 500,000 289,680 0 0 5 ...............
196610011987031012 4 5,301,684 0 0 0
0 0 0
( PNS-3D ) MKG:30 4025334514
ISI MAZSEH 36 0 0
6,091,400 0 0
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 PAULUS FILLO K -1 4,370,900 0 0 0 0 0 5,612,700
1 437,090 0 0 0 0 0
28-04-1970 87,418 500,000 217,260 0 0 6 ...............
197004281991011002 3 4,895,408 0 0 0
0 0 0
( PNS-3D ) MKG:26 4025079979
898356977706000 32 0 0
5,612,700 0 0
0
7 ERNING PURWANTI,A.Md.Keb TK-0 4,237,500 0 0 0 0 0 4,810,000
0 0 0 0 0 0 0
21-06-1973 0 500,000 72,420 0 0 7 ...............
197306211992032002 1 4,237,500 0 0 0
0 0 0
( PNS-3D ) MKG:25 4025334790
ISI MAZSEH 80 0 0
4,810,000 0 0
0
8 MUKLISIN,A.Md,Kep K -1 3,743,100 0 0 0 0 0 5,056,900
2 374,310 0 0 0 0 0
10-09-1973 149,724 500,000 289,680 0 0 8 ...............
197309102003121006 4 4,267,134 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025144291
898356456706000 86 0 0
5,056,900 0 0
0
9 SRI NURHAYATI,A.Md.Gizi TK-0 3,743,100 0 0 0 0 0 4,315,600
0 0 0 0 0 0 0
14-08-1978 0 500,000 72,420 0 0 9 ...............
197808142000122003 1 3,743,100 0 0 0
0 0 0
( PNS-3D ) MKG:16 4025334177
880111364706000 80 0 0
4,315,600 0 0
0
10 ISTA B. MURTININGSIH,A.Md K -1 3,743,100 0 0 0 5,067 0 5,056,900
2 374,310 0 0 0 0 0
13-03-1980 149,724 500,000 289,680 0 0 10 ...............
198003132003122009 4 4,267,134 0 5,067 0
0 0 0
( PNS-3D ) MKG:16 4025334854
880111406706000 86 0 0
5,061,967 0 5,067
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 HERLINDA,A.Md.Kep K -1 3,628,900 0 0 0 0 0 4,926,700
2 362,890 0 0 0 0 0
27-01-1983 145,156 500,000 289,680 0 0 11 ...............
198301272006042009 4 4,136,946 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025334834
880111430706000 74 0 0
4,926,700 0 0
0
12 LIDUWINA,A.Md.Kep TK-0 3,628,900 0 0 0 0 0 4,201,400
0 0 0 0 0 0 0
21-05-1984 0 500,000 72,420 0 0 12 ...............
198405212006042010 1 3,628,900 0 0 0
0 0 0
( PNS-3D ) MKG:14 4025334887
880111307706000 80 0 0
4,201,400 0 0
0
13 OSKAR NABABAN,S.Kep.Nes TK-0 3,172,300 0 0 0 0 0 3,844,800
0 0 0 0 0 0 0
27-10-1986 0 600,000 72,420 0 0 13 ...............
198610272014021002 1 3,172,300 0 0 0
0 0 0
( PNS-3C ) MKG: 8 6725037498
701800716706000 80 0 0
3,844,800 0 0 0000
0
14 RINDA DAMAYANTI TK-0 3,941,400 0 0 0 0 0 4,513,900
0 0 0 0 0 0 0
23-07-1975 0 500,000 72,420 0 0 14 ...............
197507232003122007 1 3,941,400 0 0 0
0 0 0
( PNS-3C ) MKG:22 4025144975
894841832706000 80 0 0
4,513,900 0 0
0
15 SRI HERAWATI,A.Md.Kep TK-0 3,821,000 0 0 0 0 0 4,393,500
0 0 0 0 0 0 0
14-08-1976 0 500,000 72,420 0 0 15 ...............
197608142002122010 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025335066
675458491706000 80 0 0
4,393,500 0 0
0
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
16 MIRANTI,A.Md.Kep K -1 3,375,300 0 0 0 0 0 4,637,600
2 337,530 0 0 0 0 0
23-08-1985 135,012 500,000 289,680 0 0 16 ...............
198508232009042002 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4525242531
898357447706000 78 0 0
4,637,600 0 0
0
17 DINA KARAWATI,S.Kep,Ns K -1 3,139,400 490,000 0 0 0 0 4,223,400
1 313,940 0 0 0 0 0
15-08-1985 62,788 0 217,260 0 0 17 ...............
198508152010012021 3 3,516,128 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025140627
591585773445000 12 0 0
4,223,400 0 0
0
18 RENI KUSMAWATI ,A.Md.Kep K -0 3,665,900 0 0 0 0 0 4,003,400
0 0 0 0 0 0 0
08-03-1977 0 265,000 72,420 0 0 18 ...............
197703081998032003 1 3,665,900 0 0 0
0 0 0
( PNS-3B ) MKG:20 5525014071
872951074702000 80 0 0
4,003,400 0 0
0
19 ROMI FAJAR PRASTYA,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
26-04-1987 125,576 265,000 289,680 0 0 19 ...............
198704262010011009 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025144622
898356506706000 4 0 0
4,133,600 0 0
0
20 AGUSTINA VICTORIA VANIA,A.Md.Keb K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
08-08-1987 125,576 265,000 289,680 0 0 20 ...............
198708082010012022 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025143308
781660493706000 4 0 0
4,133,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
21 HUSNIAR AFRIANI,A.Md.AK K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
08-09-1987 125,576 265,000 289,680 0 0 21 ...............
198709082010012001 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025704806
784392110706000 4 0 0
4,133,600 0 0
0
22 WIDIA WAHYUNINGSIH,A.Md.Far K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
13-05-1988 125,576 265,000 289,680 0 0 22 ...............
198805132011012011 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025138398
160887345706000 4 0 0
4,133,600 0 0
0
23 DESY FAJRIANTI WASHAR,A.Md.KG TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
09-12-1988 0 265,000 72,420 0 0 23 ...............
198812092010012004 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 9525205492
163219249705000 80 0 0
3,476,900 0 0
0
24 YUNI ANDRIANI,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
15-06-1989 125,576 265,000 289,680 0 0 24 ...............
198906152011012004 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025181480
705510485706000 4 0 0
4,133,600 0 0
0
25 HENI ANGGRIANI,A.Md.Keb K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
30-09-1989 125,576 265,000 289,680 0 0 25 ...............
198909302011012004 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025149063
788111142706000 4 0 0
4,133,600 0 0
0
BULAN : JUNI 2023
HALAMAN : 6

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
26 SUPARDI,A.Md.Kep K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
28-12-1987 121,744 265,000 289,680 0 0 26 ...............
198712282010011002 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025143669
872941091706000 16 0 0
4,024,400 0 0
0
27 NUR AINI RUSIDAH,S.S.T K -1 2,830,900 0 0 0 0 0 3,817,000
2 283,090 0 0 0 0 0
04-07-1990 113,236 300,000 289,680 0 0 27 ...............
199007042017042004 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025722774
166939140706000 94 0 0
3,817,000 0 0
0
28 DESI KURNIAWATI,A.Md.Keb TK-0 3,106,900 0 0 0 0 0 3,444,400
0 0 0 0 0 0 0
18-12-1981 0 265,000 72,420 0 0 28 ...............
198112182005022003 1 3,106,900 0 0 0
0 0 0
( PNS-3A ) MKG:12 4025143987
550814123706000 80 0 0
3,444,400 0 0
0
29 LATIFAH, A.Md.Kep TK-0 3,012,000 0 0 0 0 0 3,349,500
0 0 0 0 0 0 0
04-11-1977 0 265,000 72,420 0 0 29 ...............
197711042010012011 1 3,012,000 0 0 0
0 0 0
( PNS-3A ) MKG:10 4025138827
872942164706000 80 0 0
3,349,500 0 0
0
30 T.EKA JULIANA K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
21-01-1980 56,618 265,000 217,260 0 0 30 ...............
198001212011012003 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025143740
476113923706000 32 0 0
3,652,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 7

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
31 JOKO SANTOSA,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
25-03-1983 113,236 265,000 289,680 0 0 31 ...............
198303252014021001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189171
708696521706000 94 0 0
3,782,000 0 0
0
32 YESI KURNIATI, A.Md.Keb TK-0 2,830,900 0 0 0 0 0 3,168,400
0 0 0 0 0 0 0
08-01-1986 0 265,000 72,420 0 0 32 ...............
198601082014032003 1 2,830,900 0 0 0
0 0 0
( PNS-3A ) MKG: 6 3121014652
163226996706000 80 0 0
3,168,400 0 0
0
33 ANNISA SHOLEHAT,A,Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
06-11-1988 113,236 265,000 289,680 0 0 33 ...............
198811062014022005 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188859
166937821706000 94 0 0
3,782,000 0 0
0
34 ISMANIYAR,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
16-02-1990 113,236 265,000 289,680 0 0 34 ...............
199002162014022004 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189243
708812615706000 94 0 0
3,782,000 0 0
0
35 AGUSTINA,A.Md.Kep K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
19-08-1992 56,618 265,000 217,260 0 0 35 ...............
199208192014022001 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189383
709032759706000 32 0 0
3,652,900 0 0
0
BULAN : JUNI 2023
HALAMAN : 8

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
36 RISQI RAHMANIA,A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
06-10-1992 113,236 265,000 289,680 0 0 36 ...............
199210062014022001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025191671
708749338706000 94 0 0
3,782,000 0 0
0
PEG: 36 7,858,280 0 0 0 0 0
IST: 24 JIWA= 104 2,886,520 13,270,000 7,531,680 0 0
ANK: 44 131,370,000 0 5,067 0
0 0 0
2,120 0 0
153,208,867 0 5,067
0
37 MERRY SILALAHI,A.Md.Keb TK-0 2,889,800 0 0 0 0 0 3,202,300
0 0 0 0 0 0 0
30-05-1988 0 240,000 72,420 0 0 37 ...............
198805302017042008 1 2,889,800 0 0 0
0 0 0
( PNS-2D ) MKG:15 4125033178
664688603706000 80 0 0
3,202,300 0 0
0
PEG: 1 0 0 0 0 0 0
IST: 0 JIWA= 1 0 240,000 72,420 0 0
ANK: 0 2,889,800 0 0 0
0 0 0
80 0 0
3,202,300 0 0
0
BULAN : JUNI 2023
HALAMAN : 9

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
TOTAL PER SATKER 123,515,000 1,030,000 0 0 5,067 0 156,406,100
PEG: 37 7,858,280 0 0 0 0 0
IST: 24 JIWA= 105 2,886,520 13,510,000 7,604,100 0 0
ANK: 44 134,259,800 0 5,067 0
0 0 0
2,200 0 0
156,411,167 5,067
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS LEBANG
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 DAVID HERMAINI,SKM K -1 3,375,300 490,000 0 0 0 0 4,627,600
2 337,530 0 0 0 0 0
06-09-1985 135,012 0 289,680 0 0 1 ...............
198509062009031003 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025060437
885356535706000 78 0 0
4,627,600 0 0
0
2 MASIAH,A.Md.Kep K -1 3,821,000 0 0 0 0 0 4,910,700
2 382,100 0 0 0 0 0
01-01-1978 152,840 265,000 289,680 0 0 2 ...............
197801012006042042 4 4,355,940 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025060348
880100458706000 80 0 0
4,910,700 0 0
0
3 SRI MUHARNI K -1 3,554,000 0 0 0 0 0 4,462,800
1 355,400 0 0 0 0 0
05-07-1977 71,080 265,000 217,260 0 0 3 ...............
197707052006042031 3 3,980,480 0 0 0
0 0 0
( PNS-3B ) MKG:18 4025084158
591490073706000 60 0 0
4,462,800 0 0
0
4 FERY FIRDANUR, A.Md.Kesling TK-0 3,139,400 0 0 0 0 0 3,476,900
0 0 0 0 0 0 0
11-12-1989 0 265,000 72,420 0 0 4 ...............
198912112011011001 1 3,139,400 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025142042
162330658706000 80 0 0
3,476,900 0 0
0
5 A'AN TRIPRAYODHA,A.Md.Kep K -1 2,830,900 490,000 0 0 0 0 4,007,000
2 283,090 0 0 0 0 0
04-10-1991 113,236 0 289,680 0 0 5 ...............
199110042014021003 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189286
708747241706000 94 0 0
4,007,000 0 0
0
PUSKESMAS LEBANG
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 RISKY ATMAJA,A.Md.Far K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
13-01-1992 113,236 265,000 289,680 0 0 6 ...............
199201132014021001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025189472
709005896706000 94 0 0
3,782,000 0 0
0
PEG: 6 1,641,210 0 0 0 0 0
IST: 5 JIWA= 20 585,404 1,060,000 1,448,400 0 0
ANK: 9 21,778,114 0 0 0
0 0 0
486 0 0
25,267,000 0 0
0
7 FIRRANIA RANIPUSPITA, A.Md.Gizi TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
02-11-1993 0 240,000 72,420 0 0 7 ...............
199311022019032002 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025872873
769125261926000 80 0 0
2,865,200 0 0
0
8 BENI HERBIANTO, A.Md.Kep K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
01-05-1996 51,054 240,000 217,260 0 0 8 ...............
199605012019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4125036801
907186050706000 16 0 0
3,316,300 0 0
0
9 AYUNI PUSPITA SARI,A.Md.KG K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
06-01-1993 47,486 240,000 217,260 0 0 9 ...............
199301062020122003 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235377
847968559706000 24 0 0
3,116,500 0 0
0
PUSKESMAS LEBANG
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 V.J.MEILIANA F, A.Md.Keb K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
19-05-1996 94,972 240,000 289,680 0 0 10 ...............
199605192020122010 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263877
921059374706000 18 0 0
3,236,400 0 0
0
11 FITRI ARBIANSYAH K -1 2,859,800 0 0 0 0 0 3,729,900
2 285,980 180,000 0 0 0 0
07-09-1978 114,392 0 289,680 0 0 11 ...............
197809072014071001 4 3,260,172 0 0 0
0 0 0
( PNS-2C ) MKG:18 4025202291
72.888.356.2-706.000 48 0 0
3,729,900 0 0
0
PEG: 5 1,016,110 180,000 0 0 0 0
IST: 4 JIWA= 15 307,904 960,000 1,086,300 0 0
ANK: 6 14,037,814 0 0 0
0 0 0
186 0 0
16,264,300 0 0
0
TOTAL PER SATKER 32,265,300 980,000 0 0 0 0 41,531,300
PEG: 11 2,657,320 180,000 0 0 0 0
IST: 9 JIWA= 35 893,308 2,020,000 2,534,700 0 0
ANK: 15 35,815,928 0 0 0
0 0 0
672 0 0
41,531,300 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS SERANGAS
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 ANANIAS AGUS DWI LEKSONO K -1 3,743,100 540,000 0 0 146 0 4,949,600
1 374,310 0 0 0 0 0
18-08-1975 74,862 0 217,260 0 0 1 ...............
197508182000121003 3 4,192,272 0 146 0
0 0 0
( PNS-3D ) MKG:16 4025060852
872940762706000 68 0 0
4,949,746 0 146
0
2 AGUS DWIYONO,S.Kep.Ns K -1 3,375,300 490,000 0 0 0 0 4,627,600
2 337,530 0 0 0 0 0
02-08-1983 135,012 0 289,680 0 0 2 ...............
198308022009031005 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025084247
155359631706000 78 0 0
4,627,600 0 0
0
3 dr. RANI LESTARI BANJARNAHOR TK-0 2,981,500 0 0 0 0 0 3,804,000
0 0 0 0 0 0 0
29-07-1994 0 750,000 72,420 0 0 3 ...............
199407292019032002 1 2,981,500 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4125036860
818306748121000 80 0 0
3,804,000 0 0
0
4 MUSPRANDI,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,168,600
2 313,940 0 0 0 0 0
25-05-1989 125,576 300,000 289,680 0 0 4 ...............
198905252011011003 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025145190
781661038706000 4 0 0
4,168,600 0 0
0
5 SITI HIDAYAH,A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
02-04-1977 146,636 265,000 289,680 0 0 5 ...............
197704022006042021 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025698474
581490040706000 94 0 0
4,733,900 0 0
0
PUSKESMAS SERANGAS
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 ARIE SUSANTI, A.Md.Keb K -1 3,665,900 0 0 0 0 0 4,733,900
2 366,590 0 0 0 0 0
30-01-1978 146,636 265,000 289,680 0 0 6 ...............
197801302006042016 4 4,179,126 0 0 0
0 0 0
( PNS-3B ) MKG:20 4025084191
155359607706000 94 0 0
4,733,900 0 0
0
7 NOVI WAHYUNI,A.Md.KG K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
26-11-1985 129,532 265,000 289,680 0 0 7 ...............
198511262009032005 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025084697
155359656706000 58 0 0
4,246,400 0 0
0
8 MAULIDA,A.Md.Gizi K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
02-01-1986 125,576 265,000 289,680 0 0 8 ...............
198601022011012007 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025145394
159271238706000 4 0 0
4,133,600 0 0
0
9 HELMI SYAHRIZA,A.Md.Kep K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
07-01-1988 125,576 265,000 289,680 0 0 9 ...............
198801072011011004 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025143588
163224322706000 4 0 0
4,133,600 0 0
0
10 HERY VICTORIA K -1 3,139,400 0 0 0 0 0 4,133,600
DARMOKUSUMO,A.Md.Kep 2 313,940 0 0 0 0 0
22-04-1988 125,576 265,000 289,680 0 0 10 ...............
198804222010011002 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:10 4025177903
891436149706000 4 0 0
4,133,600 0 0
0
PUSKESMAS SERANGAS
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
11 PUTRA WIBENERO NI K -1 2,830,900 0 0 0 0 0 3,782,000
NILOUW,A.Md,Far 2 283,090 0 0 0 0 0
25-05-1988 113,236 265,000 289,680 0 0 11 ...............
198805252014021002 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025191761
709198790706000 94 0 0
3,782,000 0 0
0
12 MARDIAH,A.Md.Kesling K -1 2,830,900 0 0 0 0 0 3,782,000
2 283,090 0 0 0 0 0
22-09-1991 113,236 265,000 289,680 0 0 12 ...............
199109222015012001 4 3,227,226 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025200107
726904832701000 94 0 0
3,782,000 0 0
0
13 IKEIRENE SITUMORANG.A.Md.Keb K -1 2,830,900 0 0 0 0 0 3,652,900
1 283,090 0 0 0 0 0
09-09-1992 56,618 265,000 217,260 0 0 13 ...............
199209092014022001 3 3,170,608 0 0 0
0 0 0
( PNS-3A ) MKG: 6 4025188646
708882998706000 32 0 0
3,652,900 0 0
0
PEG: 13 3,873,880 0 0 0 0 0
IST: 12 JIWA= 47 1,418,072 3,435,000 3,403,740 0 0
ANK: 22 47,012,252 0 146 0
0 0 0
708 0 0
54,881,846 0 146
0
14 ELLYSA CHRISTIANA, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,595,000
1 280,150 0 0 0 0 0
10-04-2017 56,030 240,000 217,260 0 0 14 ...............
199004102017042005 3 3,137,680 0 0 0
0 0 0
( PNS-2D ) MKG:13 4025268038
664520004705000 60 0 0
3,595,000 0 0
0
PUSKESMAS SERANGAS
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 HOTMA PARSAULIAN PANE, Amd. AK TK-0 2,552,700 0 0 0 0 0 2,865,200
0 0 0 0 0 0 0
04-02-1995 0 240,000 72,420 0 0 15 ...............
199502042019032001 1 2,552,700 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025871770
907234009706000 80 0 0
2,865,200 0 0
0
16 ERISON, A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
15-07-1988 47,486 240,000 217,260 0 0 16 ...............
198807152020121004 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235989
166938860706000 24 0 0
3,116,500 0 0
0
17 SRI HARDIYANTI,A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,236,400
2 237,430 0 0 0 0 0
23-09-1989 94,972 240,000 289,680 0 0 17 ...............
198909232020122003 4 2,706,702 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263737
815784103706000 18 0 0
3,236,400 0 0
0
18 CAROLINA JUNIATI,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
03-06-1991 0 240,000 72,420 0 0 18 ...............
199106032020122001 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235768
909765638706000 80 0 0
2,686,800 0 0
0
19 INGGA SAFITRI,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
08-02-1996 0 240,000 72,420 0 0 19 ...............
199602082020122009 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262919
868557992704000 80 0 0
2,686,800 0 0
0
PUSKESMAS SERANGAS
BULAN : JUNI 2023
HALAMAN : 5

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
20 FLORENTINA MIKI,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
15-05-1996 0 240,000 72,420 0 0 20 ...............
199605152020122006 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262609
840024385706000 80 0 0
2,686,800 0 0
0
21 ARIFAH PUJI ASTUTI,A.Md K -1 2,374,300 0 0 0 0 0 2,996,600
0 237,430 0 0 0 0 0
04-09-1996 0 240,000 144,840 0 0 21 ...............
199609042020122004 2 2,611,730 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025235512
942049065706000 30 0 0
2,996,600 0 0
0
PEG: 8 992,440 0 0 0 0 0
IST: 4 JIWA= 16 198,488 1,920,000 1,158,720 0 0
ANK: 4 20,790,928 0 0 0
0 0 0
452 0 0
23,870,100 0 0
0
TOTAL PER SATKER 61,320,300 1,030,000 0 0 146 0 78,751,800
PEG: 21 4,866,320 0 0 0 0 0
IST: 16 JIWA= 63 1,616,560 5,355,000 4,562,460 0 0
ANK: 26 67,803,180 0 146 0
0 0 0
1,160 0 0
78,751,946 146
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
PUSKESMAS JELIMPAU
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 dr. RUSDI DALIUS BOYA K -1 2,981,500 0 0 0 0 0 4,306,600
1 298,150 0 0 0 0 0
19-03-1986 59,630 750,000 217,260 0 0 1 ...............
198603192019031001 3 3,339,280 0 0 0
0 0 0
( PNS-3C ) MKG: 4 4025872865
466683448706000 60 0 0
4,306,600 0 0
0
2 MARGARETHA NAU,A.Md.Kep TK-0 3,821,000 0 0 0 0 0 4,393,500
0 0 0 0 0 0 0
11-10-1974 0 500,000 72,420 0 0 2 ...............
197410112006042015 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025186619
675458665706000 80 0 0
4,393,500 0 0
0
3 RESELIA NAMBI,A.Md.Kep K -1 3,591,200 0 0 0 0 0 4,739,500
1 359,120 0 0 0 0 0
23-09-1974 71,824 500,000 217,260 0 0 3 ...............
197409231998032009 3 4,022,144 0 0 0
0 0 0
( PNS-3C ) MKG:17 4025083925
872941075706000 96 0 0
4,739,500 0 0
0
4 DEDY ASHARI,A.Md.Farm K -1 3,375,300 0 0 0 0 0 4,402,600
2 337,530 0 0 0 0 0
16-04-1983 135,012 265,000 289,680 0 0 4 ...............
198304162003121004 4 3,847,842 0 0 0
0 0 0
( PNS-3C ) MKG:12 4025083577
872941158706000 78 0 0
4,402,600 0 0
0
5 AHMAD MUDASIR,A.Md.Kep K -1 3,340,300 540,000 0 0 0 0 4,637,700
2 334,030 0 0 0 0 0
05-05-1982 133,612 0 289,680 0 0 5 ...............
198205052006041013 4 3,807,942 0 0 0
0 0 0
( PNS-3B ) MKG:14 4025083755
898355433706000 78 0 0
4,637,700 0 0
0
PUSKESMAS JELIMPAU
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 LAMBERTA,A.Md.Kep K -1 3,043,600 490,000 0 0 0 0 4,249,400
2 304,360 0 0 0 0 0
06-10-1988 121,744 0 289,680 0 0 6 ...............
198810062011012007 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025148130
798134888706000 16 0 0
4,249,400 0 0
0
7 SUARNI K -1 3,238,300 0 0 0 0 0 4,246,400
2 323,830 0 0 0 0 0
18-08-1976 129,532 265,000 289,680 0 0 7 ...............
197608182005022003 4 3,691,662 0 0 0
0 0 0
( PNS-3B ) MKG:12 4025083739
465274827706000 58 0 0
4,246,400 0 0
0
8 ANTONIUS AKIN K -1 3,139,400 0 0 0 0 0 4,133,600
2 313,940 0 0 0 0 0
01-12-1972 125,576 265,000 289,680 0 0 8 ...............
197212012002121005 4 3,578,916 0 0 0
0 0 0
( PNS-3B ) MKG:11 4025079936
872941083706000 4 0 0
4,133,600 0 0
0
9 EKA NURSITAWATI,A,Md.Keb K -1 3,043,600 0 0 0 0 0 4,024,400
2 304,360 0 0 0 0 0
09-09-1989 121,744 265,000 289,680 0 0 9 ...............
198909092011012005 4 3,469,704 0 0 0
0 0 0
( PNS-3B ) MKG: 9 4025143081
798134615706000 16 0 0
4,024,400 0 0
0
PEG: 9 2,575,320 0 0 0 0 0
IST: 8 JIWA= 31 898,674 2,810,000 2,245,020 0 0
ANK: 14 33,048,194 0 0 0
0 0 0
486 0 0
39,133,700 0 0
0
PUSKESMAS JELIMPAU
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
10 DEWI ASTUTI, A.Md.Keb TK-0 2,801,500 0 0 0 0 0 3,114,000
0 0 0 0 0 0 0
30-06-1987 0 240,000 72,420 0 0 10 ...............
198706302017042008 1 2,801,500 0 0 0
0 0 0
( PNS-2D ) MKG:14 4125033062
664848165706000 80 0 0
3,114,000 0 0
0
11 YESI NATALIA, A.Md.Keb K -1 2,801,500 0 0 0 0 0 3,723,400
2 280,150 0 0 0 0 0
25-12-1988 112,060 240,000 289,680 0 0 11 ...............
198812252017042003 4 3,193,710 0 0 0
0 0 0
( PNS-2D ) MKG:14 4125033127
548908706706000 10 0 0
3,723,400 0 0
0
12 KAMALIA NINGSIH, A.Md.Keb K -1 2,716,000 0 0 0 0 0 3,372,500
0 271,600 0 0 0 0 0
12-10-1988 0 240,000 144,840 0 0 12 ...............
198810122017042005 2 2,987,600 0 0 0
0 0 0
( PNS-2D ) MKG:11 4125033071
665006664706000 60 0 0
3,372,500 0 0
0
13 NI NYOMAN SUASTHINI,A.Md.Keb TK-0 2,633,100 0 0 0 0 0 2,945,600
0 0 0 0 0 0 0
18-12-1991 0 240,000 72,420 0 0 13 ...............
199112182014022003 1 2,633,100 0 0 0
0 0 0
( PNS-2D ) MKG:10 4025191795
708922612706000 80 0 0
2,945,600 0 0
0
14 FLAVIANUS ALFIAN,A.Md.AK K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
13-02-1992 51,054 240,000 217,260 0 0 14 ...............
199202132019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025872971
907113278706000 16 0 0
3,316,300 0 0
0
PUSKESMAS JELIMPAU
BULAN : JUNI 2023
HALAMAN : 4

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
15 ARBEIN GAGAS ANDOLA,A.Md.Gizi K -1 2,552,700 0 0 0 0 0 3,316,300
1 255,270 0 0 0 0 0
01-09-1996 51,054 240,000 217,260 0 0 15 ...............
199609012019031001 3 2,859,024 0 0 0
0 0 0
( PNS-2D ) MKG: 7 4025252344
907141071706000 16 0 0
3,316,300 0 0
0
PEG: 6 1,062,290 0 0 0 0 0
IST: 4 JIWA= 14 214,168 1,440,000 1,013,880 0 0
ANK: 4 17,333,958 0 0 0
0 0 0
262 0 0
19,788,100 0 0
0
TOTAL PER SATKER 45,631,700 1,030,000 0 0 0 0 58,921,800
PEG: 15 3,637,610 0 0 0 0 0
IST: 12 JIWA= 45 1,112,842 4,250,000 3,258,900 0 0
ANK: 18 50,382,152 0 0 0
0 0 0
748 0 0
58,921,800 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018
RUMAH SAKIT PRATAMA SERAWAI
BULAN : JUNI 2023
HALAMAN : 1

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
1 MOSES UMBU,A.Md.Kep TK-0 3,821,000 490,000 0 0 0 0 4,383,500
0 0 0 0 0 0 0
06-02-1979 0 0 72,420 0 0 1 ...............
197902062002121003 1 3,821,000 0 0 0
0 0 0
( PNS-3C ) MKG:20 4025075451
872940960706000 80 0 0
4,383,500 0 0
0
2 DANIL,S.Kep,Ns K -1 3,272,200 0 0 0 0 0 4,482,200
1 327,220 0 0 0 0 0
12-04-1986 65,444 600,000 217,260 0 0 2 ...............
198604122011011006 3 3,664,864 0 0 0
0 0 0
( PNS-3C ) MKG:10 4025145521
155445109706000 76 0 0
4,482,200 0 0
0
3 APT.NOVIA OVI TRY K -1 2,773,200 0 0 0 0 0 3,648,300
PERMATASARI,S.Parm 1 277,320 0 0 0 0 0
02-11-1995 55,464 325,000 217,260 0 0 3 ...............
199511022020122002 3 3,105,984 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025262480
916415441706000 56 0 0
3,648,300 0 0
0
4 dr.SALMAN ALFATH K -1 2,773,200 0 0 0 0 0 3,451,200
2 277,320 0 0 0 0 0
03-04-1989 110,928 0 289,680 0 0 4 ...............
198904032020121002 4 3,161,448 0 0 0
0 0 0
( PNS-3B ) MKG: 2 4025263711
168479731705000 72 0 0
3,451,200 0 0
0
5 Ns.HERI PURNOMO,S,Kep TK-0 2,660,700 0 0 0 0 0 3,033,200
0 0 0 0 0 0 0
17-06-1993 0 300,000 72,420 0 0 5 ...............
199306172020121003 1 2,660,700 0 0 0
0 0 0
( PNS-3A ) MKG: 2 4025262781
919311241706000 80 0 0
3,033,200 0 0
0
BULAN : JUNI 2023
HALAMAN : 2

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
6 FITRIANI,A.Md.Keb TK-0 2,920,100 0 0 0 0 0 3,232,600
0 0 0 0 0 0 0
26-04-1990 0 240,000 72,420 0 0 6 ...............
199004262017042003 1 2,920,100 0 0 0
0 0 0
( PNS-3A ) MKG: 9 4025484482
664787131706000 80 0 0
3,232,600 0 0
0
7 SUHARJO K -1 3,517,200 0 0 0 0 0 4,198,800
0 351,720 185,000 0 0 0 0
08-04-1966 0 0 144,840 0 0 7 ...............
196604081992031012 2 3,868,920 0 0 0
0 0 0
( PNS-3A ) MKG:21 4025098469
872941016706000 40 0 0
4,198,800 0 0
0
PEG: 7 1,233,580 185,000 0 0 0 0
IST: 4 JIWA= 15 231,836 1,465,000 1,086,300 0 0
ANK: 4 23,203,016 0 0 0
0 0 0
484 0 0
26,429,800 0 0
0
8 MITA PUSPITA SARI,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 2,686,800
0 0 0 0 0 0 0
17-06-1990 0 240,000 72,420 0 0 8 ...............
199006172020122001 1 2,374,300 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025262340
765282876706000 80 0 0
2,686,800 0 0
0
9 PRAYITNO,A.Md.Kep K -1 2,374,300 0 0 0 0 0 3,116,500
1 237,430 0 0 0 0 0
13-09-1993 47,486 240,000 217,260 0 0 9 ...............
199309132020121001 3 2,659,216 0 0 0
0 0 0
( PNS-2C ) MKG: 5 4025263231
939909719706000 24 0 0
3,116,500 0 0
0
BULAN : JUNI 2023
HALAMAN : 3

SEWA.RUMAH
JUML.KOTOR POT.JKK
POT.JKM
PEG: 2 237,430 0 0 0 0 0
IST: 1 JIWA= 4 47,486 480,000 289,680 0 0
ANK: 1 5,033,516 0 0 0
0 0 0
104 0 0
5,803,300 0 0
0
TOTAL PER SATKER 26,486,200 490,000 0 0 0 0 32,233,100
PEG: 9 1,471,010 185,000 0 0 0 0
IST: 5 JIWA= 19 279,322 1,945,000 1,375,980 0 0
ANK: 5 28,236,532 0 0 0
0 0 0
588 0 0
32,233,100 0
0
0


NIP 196707211996031004 NIP 198610262010012018 NIP 198610262010012018

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