Dinas Kesehatan Juli 2023

PEMERINTAH KABUPATEN MANOKWARI SELATAN
DAFTAR PEMBAYARAN GAJI INDUK PNSD

[ DINAS KESEHATAN ] DINAS KESEHATAN
(007) D60901400700001 BULAN : JULI 2023 HALAMAN : 1
NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 DEMETRIUS WARAN, A. MK K -1 4,603,500 2,025,000 0 290,920 114,429 0 1 .............
2 460,350 0 550,000 11,048 290,920 0
184,140 0 434,360 33,145 72,730
04-12-1966 4 5,247,990 0 114,429 0
196612041990031010 MKG:24 0 419,839 0
Pembina Tk.I-4B 19 0 0
907288401955000 8,706,911 11,048 942,111 0
33,145 7,764,800
2 BERNADUS YOHANIS, SKM K -1 4,151,100 1,260,000 0 239,690 50,992 0 2 .............
2 415,110 0 525,000 9,963 239,690 0
166,044 0 434,360 29,888 59,923
23-08-1973 4 4,732,254 0 50,992 0
197308231998031009 MKG:20 0 378,580 0
Pembina-4A 89 0 0
000000000000000 7,282,236 9,963 769,036 0
29,888 6,513,200
3 DEREK ANTON RUMBARAR K -1 4,281,800 980,000 0 234,450 44,225 0 3 .............
2 428,180 0 525,000 10,276 234,450 0
171,272 0 434,360 30,829 58,613
28-02-1970 4 4,881,252 0 44,225 0
197002281994011001 MKG:22 0 390,500 0
Pembina-4A 1 0 0
488342999955000 7,140,393 10,276 768,893 0
30,829 6,371,500
4 DR. PAULINUS SAYORI K -1 3,554,900 980,000 0 201,303 3,738 0 4 .............
2 355,490 0 500,000 8,532 201,303 0
142,196 0 434,360 25,595 50,326
01-02-1982 4 4,052,586 0 3,738 0
198202012012031001 MKG:10 0 324,207 0
Pembina-4A 87 0 0
701970998955000 6,206,201 8,532 613,701 0
25,595 5,592,500
SUB TOTAL PERGOLONGAN : IV 16,591,300 5,245,000 0 966,363 213,384 0
PEG: 4 1,659,130 0 2,100,000 39,819 966,363 0
IST: 4 JIWA= 16 663,652 0 1,737,440 119,457 241,592
18,914,082 0 213,384 0
ANK: 8 0 1,513,126 0
196 0 0
29,335,741 39,819 3,093,741
119,457 26,242,000

NO KAWIN
5 JUNITA ALFIANA HISTIANA B. K -1 3,628,900 540,000 0 187,078 42,254 0 5 .............
2 362,890 0 500,000 8,709 187,078 0
145,156 0 434,360 26,128 46,769
24-04-1973 4 4,136,946 0 42,254 0
197304242000032008 MKG:14 0 330,956 0
Penata Tk.I-3D 19 0 0
488343104955000 5,875,494 8,709 641,894 0
26,128 5,233,600
6 PRAWATI YUNITA AHOREN K -0 3,518,100 540,000 0 162,324 0 0 6 .............
0 0 0 475,000 8,443 162,324 0
0 0 108,590 25,330 40,581
18-06-1979 1 3,518,100 0 0 0
197906182005022007 MKG:12 0 281,448 0
489208132955000 4,837,826 8,443 518,126 0
25,330 4,319,700
7 KELIOPAS JOHANES SEMBUK K -1 3,861,000 0 0 186,662 0 0 7 .............
2 386,100 0 475,000 9,266 186,662 0
154,440 265,000 434,360 27,799 46,665
27-08-1973 4 4,401,540 0 0 0
197308271997121002 MKG:18 0 352,123 0
859804569955000 5,799,715 9,266 622,515 0
27,799 5,177,200
8 MIMI INDEN K -1 3,272,200 980,000 0 188,412 43,517 0 8 .............
2 327,220 0 475,000 7,853 188,412 0
130,888 0 434,360 23,560 47,103
16-05-1986 4 3,730,308 0 43,517 0
198605162009092001 MKG:10 0 298,425 0
Penata-3C 60 0 0
168678480955000 5,883,070 7,853 608,870 0
23,560 5,274,200
9 KASINO K -1 3,481,600 540,000 0 180,361 0 0 9 .............
2 348,160 0 475,000 8,356 180,361 0
139,264 0 434,360 25,068 45,090
25-02-1979 4 3,969,024 0 0 0
197902251998031004 MKG:14 0 317,522 0
Penata-3C 28 0 0
488342866955000 5,632,197 8,356 576,397 0
25,068 5,055,800

NO KAWIN
10 NARTI SIKUMBANG, S.KEP K -1 3,375,300 0 0 165,914 15,500 0 10 .............
2 337,530 0 475,000 8,101 165,914 0
135,012 300,000 434,360 24,302 41,478
30-06-1986 4 3,847,842 0 15,500 0
198606302010042001 MKG:12 0 307,827 0
Penata-3C 3 0 0
000000000000000 5,271,022 8,101 563,122 0
24,302 4,707,900
11 ENNI KWANON WANDOKI, A.MD.KEP. K -1 3,272,200 0 0 158,812 6,958 0 11 .............
2 327,220 0 475,000 7,853 158,812 0
130,888 240,000 434,360 23,560 39,703
08-06-1988 4 3,730,308 0 6,958 0
198806082010042002 MKG:10 0 298,425 0
Penata-3C 60 0 0
168360873955000 5,076,911 7,853 535,311 0
23,560 4,541,600
12 MARTINA IBA K -1 3,139,400 540,000 0 164,757 13,413 0 12 .............
2 313,940 0 450,000 7,535 164,757 0
125,576 0 434,360 22,604 41,189
24-03-1978 4 3,578,916 0 13,413 0
197803242003122010 MKG:11 0 286,313 0
Penata Muda Tk.I-3B 26 0 0
488343203955000 5,211,611 7,535 535,811 0
22,604 4,675,800
13 NATALIA WIJAYANTI MAMBRAKU TK-0 3,139,400 0 0 136,176 0 0 13 .............
,A.Md.Kep 0 0 0 425,000 7,535 136,176 0
0 265,000 108,590 22,604 34,044
27-12-1984 1 3,139,400 0 0 0
198412272009092002 MKG:11 0 251,152 0
00000000000000000 4,104,311 7,535 451,511 0
22,604 3,652,800
14 BENI YUDA MARINI K -1 3,665,900 0 125,000 175,965 0 0 14 .............
2 366,590 0 425,000 8,798 175,965 0
146,636 220,000 434,360 26,394 43,991
11-01-1970 4 4,179,126 0 0 0
197001111992031009 MKG:21 0 334,330 0
786435727955000 5,594,678 8,798 589,478 0
26,394 5,005,200

NO KAWIN
15 MESKE RUMBIAK K -1 3,517,200 540,000 0 181,984 32,654 0 15 .............
2 351,720 0 425,000 8,441 181,984 0
140,688 0 434,360 25,324 45,496
14-10-1975 4 4,009,608 0 32,654 0
197510142006052001 MKG:20 0 320,769 0
Penata Muda-3A 97 0 0
786435610955000 5,657,468 8,441 614,668 0
25,324 5,042,800
16 YUSUP INDOW, S.Kep K -1 3,106,900 540,000 0 163,275 0 0 16 .............
2 310,690 0 425,000 7,457 163,275 0
124,276 0 434,360 22,370 40,819
19-08-1983 4 3,541,866 0 0 0
198308192005021003 MKG:12 0 283,349 0
486409279955000 5,134,370 7,457 517,270 0
22,370 4,617,100
17 FLAVIANA MULYATI , AMK. TK-0 3,012,000 0 125,000 130,080 0 0 17 .............
0 0 0 425,000 7,229 130,080 0
0 240,000 108,590 21,686 32,520
26-03-1985 1 3,012,000 0 0 0
198503262010042001 MKG:10 0 240,960 0
468413638955000 4,069,675 7,229 432,475 0
21,686 3,637,200
18 SEPTINUS CORNELIS RUMBIAK K -1 3,106,900 0 0 149,075 0 0 18 .............
2 310,690 185,000 325,000 7,457 149,075 0
124,276 0 434,360 22,370 37,269
19-09-1973 4 3,541,866 0 0 0
197309192008011014 MKG:12 0 283,349 0
702017153955000 4,665,220 7,457 499,520 0
22,370 4,165,700
19 MARYANCE TERBA INYOMUSI ,S.KM K -1 2,660,700 0 0 126,599 0 0 19 .............
1 266,070 185,000 425,000 6,386 126,599 0
53,214 0 325,770 19,157 31,650
09-03-1985 3 2,979,984 0 0 0
198503092021042001 MKG: 2 0 238,399 0
00.000.000.0-000.000 4,067,991 6,386 422,191 0
19,157 3,645,800

NO KAWIN
20 SELFIANA SPANIWI ,S.KM TK-0 2,660,700 0 0 113,828 0 0 20 .............
0 0 185,000 425,000 6,386 113,828 0
0 0 108,590 19,157 28,457
02-09-1987 1 2,660,700 0 0 0
198709022021042001 MKG: 2 0 212,856 0
00.000.000.0-000.000 3,518,684 6,386 380,684 0
19,157 3,138,000
21 AGUS FELIX SYORIS RAUNSAI ,S.KM TK-0 2,660,700 0 0 113,828 0 0 21 .............
0 0 185,000 425,000 6,386 113,828 0
0 0 108,590 19,157 28,457
02-05-1990 1 2,660,700 0 0 0
199005022021041002 MKG: 2 0 212,856 0
00.000.000.0-000.000 3,518,684 6,386 380,684 0
19,157 3,138,000
22 GLORIA ESTEVAN SAMBERI ,S.KM K -1 2,660,700 0 0 126,599 0 0 22 .............
1 266,070 185,000 425,000 6,386 126,599 0
53,214 0 325,770 19,157 31,650
26-11-1994 3 2,979,984 0 0 0
199411262021042001 MKG: 2 0 238,399 0
00.000.000.0-000.000 4,067,991 6,386 422,191 0
19,157 3,645,800
23 EKA JAYANDRA ,S.Farm K -1 2,660,700 0 0 124,471 0 0 23 .............
0 266,070 185,000 425,000 6,386 124,471 0
0 0 217,180 19,157 31,118
15-01-1995 2 2,926,770 0 0 0
199501152021041001 MKG: 2 0 234,142 0
00.000.000.0-000.000 3,903,974 6,386 415,274 0
19,157 3,488,700
SUB TOTAL PERGOLONGAN : III 60,400,500 4,220,000 250,000 2,936,200 154,296 0
PEG: 19 4,540,960 1,110,000 8,375,000 144,963 2,936,200 0
IST: 14 JIWA= 57 1,603,528 1,530,000 6,189,630 434,884 734,049
66,544,988 0 154,296 0
ANK: 24 0 5,323,600 0
931 0 0
91,890,892 144,963 9,727,992
434,884 82,162,900

NO KAWIN
24 SENTICE Y. MANDACAN K -1 3,171,500 0 100,000 154,220 1,517 0 24 .............
2 317,150 0 375,000 7,612 154,220 0
126,860 240,000 434,360 22,835 38,555
16-08-1972 4 3,615,510 0 1,517 0
197208162000032004 MKG:21 0 289,241 0
Pengatur Tk.I-2D 26 0 0
488343179955000 4,951,080 7,612 513,980 0
22,835 4,437,100
25 MARICE MARINA M. BLESKADIT K -1 2,801,500 0 0 137,348 0 0 25 .............
2 280,150 0 375,000 6,724 137,348 0
112,060 240,000 434,360 20,171 34,337
09-11-1973 4 3,193,710 0 0 0
197311092005022003 MKG:13 0 255,497 0
488343237955000 4,407,377 6,724 454,077 0
20,171 3,953,300
26 YOFIANI ANDEMORA LINGGI ,A.Md TK-0 2,374,300 0 0 102,172 0 0 26 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
25-08-1990 1 2,374,300 0 0 0
199008252021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
27 SIMSON INSEN ,A.Md.Kep K -1 2,301,800 0 0 112,162 0 0 27 .............
2 230,180 180,000 350,000 5,524 112,162 0
92,072 0 434,360 16,573 28,041
19-08-1986 4 2,624,052 0 0 0
198608192021041001 MKG: 3 0 209,924 0
Pengatur-2C 53 0 0
00.000.000.0-000.000 3,722,724 5,524 372,224 0
16,573 3,350,500
28 HENOK AYAU ,A.Md.Kep K -1 2,301,800 0 0 112,162 0 0 28 .............
2 230,180 180,000 350,000 5,524 112,162 0
92,072 0 434,360 16,573 28,041
04-02-1987 4 2,624,052 0 0 0
198702042021041001 MKG: 3 0 209,924 0
Pengatur-2C 53 0 0
00.000.000.0-000.000 3,722,724 5,524 372,224 0
16,573 3,350,500

NO KAWIN
29 CLEMENS MANDATJAN ,A.Md.KL TK-0 2,301,800 0 0 99,272 0 0 29 .............
0 0 180,000 350,000 5,524 99,272 0
0 0 108,590 16,573 24,818
15-08-1988 1 2,301,800 0 0 0
198808152021041001 MKG: 3 0 184,144 0
Pengatur-2C 72 0 0
00.000.000.0-000.000 3,061,831 5,524 330,331 0
16,573 2,731,500
30 YOSEPUS WAKOMUNI K -1 2,830,200 0 0 136,257 0 0 30 .............
2 283,020 180,000 325,000 6,792 136,257 0
113,208 0 434,360 20,377 34,064
08-06-1976 4 3,226,428 0 0 0
197606082008011031 MKG:19 0 258,114 0
Pengatur Muda Tk.I-2B 90 0 0
455191320955000 4,329,304 6,792 455,604 0
20,377 3,873,700
31 MARTHEN TITOHU K -1 2,054,100 0 0 100,867 0 0 31 .............
2 205,410 180,000 300,000 4,930 100,867 0
82,164 0 434,360 14,790 25,217
13-01-1989 4 2,341,674 0 0 0
198901132021041001 MKG: 2 0 187,334 0
Pengatur Muda-2A 17 0 0
00.000.000.0-000.000 3,376,638 4,930 333,138 0
14,790 3,043,500
32 SEMUEL AIBU TK-0 2,054,100 0 0 89,364 0 0 32 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
10-07-1989 1 2,054,100 0 0 0
198907102021041001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100
33 COEN STEVI RUMADAS TK-0 2,054,100 0 0 89,364 0 0 33 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
27-04-1990 1 2,054,100 0 0 0
199004272021041001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100

NO KAWIN
34 EDI MANDACAN TK-0 2,054,100 0 0 89,364 0 0 34 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
28-04-1990 1 2,054,100 0 0 0
199004282021041001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100
35 YULIUS SAYORI K -1 2,054,100 0 0 100,867 0 0 35 .............
2 205,410 180,000 300,000 4,930 100,867 0
82,164 0 434,360 14,790 25,217
10-06-1990 4 2,341,674 0 0 0
199006102021041001 MKG: 2 0 187,334 0
00.000.000.0-000.000 3,376,638 4,930 333,138 0
14,790 3,043,500
36 EDY ADRIANUS SIBENA TK-0 2,054,100 0 0 89,364 0 0 36 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
12-05-1991 1 2,054,100 0 0 0
199105122021041001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100
37 FERONIKA INDWEK TK-0 2,054,100 0 0 89,364 0 0 37 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
22-10-1992 1 2,054,100 0 0 0
199210222021042001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100
38 MARCHELIUS SANDER ARISOI TK-0 2,054,100 0 0 89,364 0 0 38 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
06-03-1994 1 2,054,100 0 0 0
199403062021041001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100

NO KAWIN
39 PAULINCE DINA RIENGGUP TK-0 2,054,100 0 0 89,364 0 0 39 .............
0 0 180,000 300,000 4,930 89,364 0
0 0 108,590 14,790 22,341
14-04-1994 1 2,054,100 0 0 0
199404142021042001 MKG: 2 0 164,328 0
00.000.000.0-000.000 2,751,853 4,930 295,753 0
14,790 2,456,100
40 MAX MONCE MANDACAN K -1 2,054,100 0 0 100,867 0 0 40 .............
2 205,410 180,000 300,000 4,930 100,867 0
82,164 0 434,360 14,790 25,217
22-05-1994 4 2,341,674 0 0 0
199405222021041001 MKG: 2 0 187,334 0
00.000.000.0-000.000 3,376,638 4,930 333,138 0
14,790 3,043,500
41 WASTI BONGGOIBO K -1 2,054,100 0 0 100,867 0 0 41 .............
2 205,410 180,000 300,000 4,930 100,867 0
82,164 0 434,360 14,790 25,217
15-07-1994 4 2,341,674 0 0 0
199407152021042001 MKG: 2 0 187,334 0
00.000.000.0-000.000 3,376,638 4,930 333,138 0
14,790 3,043,500
42 YAN PITER BONGGOIBO K -1 2,054,100 0 0 99,224 0 0 42 .............
1 205,410 180,000 300,000 4,930 99,224 0
41,082 0 325,770 14,790 24,806
27-11-1995 3 2,300,592 0 0 0
199511272021041001 MKG: 2 0 184,047 0
00.000.000.0-000.000 3,225,397 4,930 327,797 0
14,790 2,897,600
43 SRI MARTA IRIANI AINUSI K -1 2,054,100 0 0 99,224 0 0 43 .............
1 205,410 180,000 300,000 4,930 99,224 0
41,082 0 325,770 14,790 24,806
28-06-1996 3 2,300,592 0 0 0
199606282021042001 MKG: 2 0 184,047 0
00.000.000.0-000.000 3,225,397 4,930 327,797 0
14,790 2,897,600

NO KAWIN
44 WELMINCE INDOUW K -1 2,022,200 0 0 99,412 0 0 44 .............
2 202,220 180,000 300,000 4,853 99,412 0
80,888 0 434,360 14,560 24,853
19-10-1985 4 2,305,308 0 0 0
198510192021042001 MKG: 0 0 184,425 0
00000000000 3,338,503 4,853 328,103 0
14,560 3,010,400
45 VICKY RINO MARKUS SAWASEMARIAI TK-0 2,022,200 0 0 88,088 0 0 45 .............
0 0 180,000 300,000 4,853 88,088 0
0 0 108,590 14,560 22,022
15-11-1986 1 2,022,200 0 0 0
198611152021041001 MKG: 0 0 161,776 0
00.000.000.0-000.000 2,718,299 4,853 291,299 0
14,560 2,427,000
46 WAHYU AWOM TK-0 2,022,200 0 0 88,088 0 0 46 .............
0 0 180,000 300,000 4,853 88,088 0
0 0 108,590 14,560 22,022
15-05-1991 1 2,022,200 0 0 0
199105152021041001 MKG: 0 0 161,776 0
00.000.000.0-000.000 2,718,299 4,853 291,299 0
14,560 2,427,000
47 FRITS LUIS FAIRYO TK-0 2,022,200 0 0 88,088 0 0 47 .............
0 0 180,000 300,000 4,853 88,088 0
0 0 108,590 14,560 22,022
20-11-1992 1 2,022,200 0 0 0
199211202021041001 MKG: 0 0 161,776 0
00.000.000.0-000.000 2,718,299 4,853 291,299 0
14,560 2,427,000
48 BATARA FAJAR SITUMORANG TK-0 2,022,200 0 0 88,088 0 0 48 .............
0 0 180,000 300,000 4,853 88,088 0
0 0 108,590 14,560 22,022
01-08-1994 1 2,022,200 0 0 0
199408012021041001 MKG: 0 0 161,776 0
00.000.000.0-000.000 2,718,299 4,853 291,299 0
14,560 2,427,000

NO KAWIN
49 IRMANDO KOMALIG TK-0 2,022,200 0 0 88,088 0 0 49 .............
0 0 180,000 300,000 4,853 88,088 0
0 0 108,590 14,560 22,022
21-03-1997 1 2,022,200 0 0 0
199703212021121001 MKG: 0 0 161,776 0
486409071955000 2,718,299 4,853 291,299 0
14,560 2,427,000
SUB TOTAL PERGOLONGAN : 56,919,400 0 100,000 2,620,909 1,517 0
PEG: 26 2,775,360 4,320,000 8,175,000 136,606 2,620,909 0
IST: 12 JIWA= 60 1,027,980 480,000 6,515,400 409,827 655,229
60,722,740 0 1,517 0
ANK: 22 0 4,857,819 0
1,308 0 0
83,483,307 136,606 8,681,907
409,827 74,801,400
TOTAL PER SATKER 133,911,200 9,465,000 350,000 6,523,472 369,197 0
PEG: 49 8,975,450 5,430,000 18,650,000 321,388 6,523,472 0
IST: 30 JIWA= 133 3,295,160 2,010,000 14,442,470 964,168 1,630,870
ANK: 54 146,181,810 0 369,197 0
0 11,694,545 0
0 0
2,435 321,388 21,503,640
204,709,940
964,168 183,206,300
KEPALA DINAS KESEHATAN MANOKWARI SELATAN,27 JUNI 2023

BENDAHARA PENGELUARAN
DEMETRIUS WARAN, A. MK ENNI KWANON WANDOKI, A.MD.KEP.

NIP 196612041990031010 198806082010042002
[ DINAS KESEHATAN ] PUSKESMAS DATARAN ISIM

NO KAWIN
1 dr, FRANK DON ESPARANSA RUNTUBOI TK-0 2,688,500 0 0 114,940 0 0 1 .............
0 0 185,000 450,000 6,452 114,940 0
0 0 108,590 19,357 28,735
09-02-1990 1 2,688,500 0 0 0
199002092021041001 MKG: 0 0 215,080 0
00.000.000.0-000.000 3,572,864 6,452 384,564 0
19,357 3,188,300
2 MOCH. TAUFIK HIDAYAT, A.MD. KEP. K -1 2,920,100 0 100,000 142,757 0 0 2 .............
2 292,010 0 425,000 7,008 142,757 0
116,804 240,000 434,360 21,025 35,689
17-09-1990 4 3,328,914 0 0 0
199009172012031001 MKG: 8 0 266,313 0
750050312955000 4,699,092 7,008 472,792 0
21,025 4,226,300
SUB TOTAL PERGOLONGAN : III 5,608,600 0 100,000 257,697 0 0
PEG: 2 292,010 185,000 875,000 13,460 257,697 0
IST: 1 JIWA= 5 116,804 240,000 542,950 40,382 64,424
6,017,414 0 0 0
ANK: 2 0 481,393 0
53 0 0
8,271,956 13,460 857,356
40,382 7,414,600
3 KONI SAIBA K -1 2,889,800 0 100,000 139,063 0 0 3 .............
1 288,980 0 350,000 6,936 139,063 0
57,796 240,000 325,770 20,807 34,766
18-01-1984 3 3,236,576 0 0 0
198401182005021003 MKG:16 0 258,926 0
488862624955000 4,419,198 6,936 460,498 0
20,807 3,958,700
4 BENON IBA K -1 2,716,000 0 100,000 133,450 0 0 4 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
07-08-1986 4 3,096,240 0 0 0
198608072009091001 MKG:12 0 247,699 0
169026531955000 4,405,184 6,518 440,584 0
19,555 3,964,600

NO KAWIN
5 NELCI URBINAS, A.Md.Keb K -1 2,633,100 0 100,000 129,669 0 0 5 .............
,A.Md.Keb 2 263,310 0 375,000 6,319 129,669 0
105,324 240,000 434,360 18,958 32,417
12-05-1984 4 3,001,734 0 0 0
198405122017052005 MKG:10 0 240,139 0
665549606955000 4,306,102 6,319 427,502 0
18,958 3,878,600
6 RASMIATI ,A.Md.Keb TK-0 2,374,300 0 100,000 102,172 0 0 6 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
16-02-1988 1 2,374,300 0 0 0
198802162021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,237,952 5,698 340,452 0
17,095 2,897,500
7 ENDERYETHA WARNARES ,A.Md.Kes TK-0 2,374,300 0 100,000 102,172 0 0 7 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
24-08-1992 1 2,374,300 0 0 0
199208242021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,237,952 5,698 340,452 0
17,095 2,897,500
8 ONI IBA K -1 2,118,800 0 100,000 105,417 0 0 8 .............
2 211,880 0 300,000 5,085 105,417 0
84,752 220,000 434,360 15,255 26,354
11-10-1986 4 2,415,432 0 0 0
198610112010041001 MKG: 4 0 193,235 0
168360782955000 3,595,646 5,085 345,346 0
15,255 3,250,300
SUB TOTAL PERGOLONGAN : 15,106,300 0 600,000 711,943 0 0
PEG: 6 1,035,770 360,000 2,100,000 36,254 711,943 0
IST: 4 JIWA= 17 356,512 940,000 1,846,030 108,765 177,985
16,498,582 0 0 0
ANK: 7 0 1,319,887 0
460 0 0
23,202,034 36,254 2,354,834
108,765 20,847,200

NO KAWIN
TOTAL PER SATKER 20,714,900 0 700,000 969,640 0 0
PEG: 8 1,327,780 545,000 2,975,000 49,714 969,640 0
IST: 5 JIWA= 22 473,316 1,180,000 2,388,980 149,147 242,409
ANK: 9 22,515,996 0 0 0
0 1,801,280 0
0 0
513 49,714 3,212,190
31,473,990
149,147 28,261,800
.NULL. .........,27 JUNI 2023

.NULL.
.NULL.
...... ...... ......

NIP ......... ......... .........
[ DINAS KESEHATAN ] PUSKESMAS ORANSBARI

NO KAWIN
1 GIMAN K -1 4,699,300 0 0 234,288 43,083 0 1 .............
2 469,930 0 525,000 11,278 234,288 0
187,972 500,000 434,360 33,835 58,572
07-05-1965 4 5,357,202 0 43,083 0
196505072000121004 MKG:28 0 428,576 0
Pembina-4A 86 0 0
488342726955000 7,139,132 11,278 809,632 0
33,835 6,329,500
SUB TOTAL PERGOLONGAN : IV 4,699,300 0 0 234,288 43,083 0
PEG: 1 469,930 0 525,000 11,278 234,288 0
IST: 1 JIWA= 4 187,972 500,000 434,360 33,835 58,572
5,357,202 0 43,083 0
ANK: 2 0 428,576 0
86 0 0
7,139,132 11,278 809,632
33,835 6,329,500
2 KADINEM TK-0 4,508,600 0 0 200,344 42,683 0 2 .............
0 0 0 500,000 10,821 200,344 0
0 500,000 108,590 32,462 50,086
07-06-1966 1 4,508,600 0 42,683 0
196606071990032007 MKG:28 0 360,688 0
000000000000000 5,903,584 10,821 697,084 0
32,462 5,206,500
3 KORRY E. NAPITUPULU TK-0 4,370,900 0 0 194,836 36,142 0 3 .............
0 0 0 500,000 10,490 194,836 0
0 500,000 108,590 31,470 48,709
25-08-1969 1 4,370,900 0 36,142 0
196908251991032010 MKG:26 0 349,672 0
488342775955000 5,752,519 10,490 671,319 0
31,470 5,081,200
4 ROSNAWATI TK-0 4,370,900 0 0 194,836 36,142 0 4 .............
0 0 0 500,000 10,490 194,836 0
0 500,000 108,590 31,470 48,709
17-04-1970 1 4,370,900 0 36,142 0
197004171991032008 MKG:26 0 349,672 0
488342783955000 5,752,519 10,490 671,319 0
31,470 5,081,200

NO KAWIN
5 KASIM K -1 3,861,000 0 0 196,062 0 0 5 .............
2 386,100 0 500,000 9,266 196,062 0
154,440 500,000 434,360 27,799 49,015
25-07-1965 4 4,401,540 0 0 0
196507251994031008 MKG:18 0 352,123 0
488342817955000 6,069,065 9,266 634,265 0
27,799 5,434,800
6 TAMIN K -1 4,370,900 0 0 209,913 12,533 0 6 .............
2 437,090 0 500,000 10,490 209,913 0
174,836 265,000 434,360 31,470 52,478
09-12-1968 4 4,982,826 0 12,533 0
196812091988111002 MKG:26 0 398,626 0
488342874955000 6,446,610 10,490 715,510 0
31,470 5,731,100
7 SUPARTI K -1 4,370,900 0 0 209,913 68,783 0 7 .............
2 437,090 0 500,000 10,490 209,913 0
174,836 265,000 434,360 31,470 52,478
01-11-1969 4 4,982,826 0 68,783 0
196911011988112001 MKG:26 0 398,626 0
488342882955000 6,502,860 10,490 771,760 0
31,470 5,731,100
8 WAHYUNI JARWATI K -1 3,982,600 0 0 191,207 45,367 0 8 .............
2 398,260 0 475,000 9,558 191,207 0
159,304 240,000 434,360 28,675 47,802
18-01-1975 4 4,540,164 0 45,367 0
197501182000122004 MKG:21 0 363,213 0
488342916955000 5,964,422 9,558 685,822 0
28,675 5,278,600
9 JONI PADWA K -1 3,704,300 0 0 188,916 0 0 9 .............
2 370,430 0 475,000 8,890 188,916 0
148,172 500,000 434,360 26,671 47,229
11-09-1969 4 4,222,902 0 0 0
196909111990031011 MKG:18 0 337,832 0
Penata-3C 99 0 0
489208694955000 5,856,838 8,890 609,538 0
26,671 5,247,300

NO KAWIN
10 FERDINANDO RUMBRAWER K -1 3,821,000 0 0 184,838 0 0 10 .............
2 382,100 0 450,000 9,170 184,838 0
152,840 265,000 434,360 27,511 46,209
09-02-1973 4 4,355,940 0 0 0
197302091996021002 MKG:21 0 348,475 0
Penata-3C 84 0 0
488342841955000 5,726,903 9,170 616,203 0
27,511 5,110,700
11 FREDY SUPRIANTO SERO K -1 3,481,600 0 0 165,576 0 0 11 .............
1 348,160 0 475,000 8,356 165,576 0
69,632 240,000 325,770 25,068 41,394
19-08-1984 3 3,899,392 0 0 0
198408192006051004 MKG:14 0 311,951 0
Penata-3C 83 0 0
786436147955000 5,139,245 8,356 552,345 0
25,068 4,586,900
12 SADARIAN TANGDILIMTIN, A.MD. K -1 3,172,300 0 0 151,719 0 0 12 .............
KEP. 1 317,230 0 475,000 7,614 151,719 0
63,446 240,000 325,770 22,841 37,930
01-09-1983 3 3,552,976 0 0 0
198309012012032001 MKG: 8 0 284,238 0
Penata-3C 22 0 0
702847641955000 4,775,942 7,614 504,342 0
22,841 4,271,600
13 SITI SARIATON K -1 3,340,300 0 0 161,918 9,454 0 13 .............
2 334,030 0 450,000 8,017 161,918 0
133,612 240,000 434,360 24,050 40,479
03-02-1982 4 3,807,942 0 9,454 0
198202032006052001 MKG:14 0 304,635 0
148450430955000 5,135,753 8,017 548,553 0
24,050 4,587,200
14 YASNI K -1 3,139,400 0 0 150,245 0 0 14 .............
1 313,940 0 425,000 7,535 150,245 0
62,788 240,000 325,770 22,604 37,561
25-02-1981 3 3,516,128 0 0 0
198102252006052001 MKG:11 0 281,290 0
742636186955000 4,687,335 7,535 499,235 0
22,604 4,188,100

NO KAWIN
15 ALFRIDA BORO, A.MD. KEP. JD-0 3,139,400 0 0 137,688 0 0 15 .............
1 0 0 450,000 7,535 137,688 0
62,788 240,000 217,180 22,604 34,422
25-09-1981 2 3,202,188 0 0 0
198109252010042001 MKG:10 0 256,175 0
701570673955000 4,277,224 7,535 458,424 0
22,604 3,818,800
16 INDAH ASRIANTI S ,S.Farm.Apt TK-0 2,773,200 0 0 118,328 0 0 16 .............
0 0 185,000 450,000 6,656 118,328 0
0 0 108,590 19,967 29,582
30-09-1991 1 2,773,200 0 0 0
199109302021042001 MKG: 2 0 221,856 0
00.000.000.0-000.000 3,661,789 6,656 396,389 0
19,967 3,265,400
17 dr, FRANSISKA ROSDIANA LILING TK-0 2,688,500 0 0 114,940 0 0 17 .............
0 0 185,000 450,000 6,452 114,940 0
0 0 108,590 19,357 28,735
21-05-1988 1 2,688,500 0 0 0
198805212021042001 MKG: 0 0 215,080 0
00.000.000.0-000.000 3,572,864 6,452 384,564 0
19,357 3,188,300
18 dr., MERLINS RENATASIA WAROMI TK-0 2,688,500 0 0 114,940 0 0 18 .............
0 0 185,000 450,000 6,452 114,940 0
0 0 108,590 19,357 28,735
15-03-1990 1 2,688,500 0 0 0
199003152021042001 MKG: 0 0 215,080 0
00.000.000.0-000.000 3,572,864 6,452 384,564 0
19,357 3,188,300
19 ARINI WULANDARI,A.Md.Keb K -1 2,830,900 0 0 138,689 0 0 19 .............
2 283,090 0 425,000 6,794 138,689 0
113,236 240,000 434,360 20,382 34,672
09-08-1990 4 3,227,226 0 0 0
199008092017052005 MKG: 7 0 258,178 0
665530291955000 4,492,515 6,794 458,715 0
20,382 4,033,800

NO KAWIN
20 ONNA MISKIA RUMADAY, A.Md.Keb TK-0 2,830,900 0 0 122,836 0 0 20 .............
0 0 0 425,000 6,794 122,836 0
0 240,000 108,590 20,382 30,709
20-02-1989 1 2,830,900 0 0 0
198912202017052006 MKG: 6 0 226,472 0
769791591955000 3,754,593 6,794 407,193 0
20,382 3,347,400
21 WINNY CHRISANI HILLARY SIAHAAN, TK-0 2,830,900 0 0 122,836 0 0 21 .............
A.Md.Keb ,A.Md.Keb 0 0 0 425,000 6,794 122,836 0
0 240,000 108,590 20,382 30,709
22-03-1993 1 2,830,900 0 0 0
199303222017052001 MKG: 6 0 226,472 0
769604687955000 3,754,593 6,794 407,193 0
20,382 3,347,400
22 GRECELYA RAWEYAI ,S.KM TK-0 2,579,400 0 0 110,576 0 0 22 .............
0 0 185,000 425,000 6,191 110,576 0
0 0 108,590 18,572 27,644
12-08-1993 1 2,579,400 0 0 0
199308122021042001 MKG: 0 0 206,352 0
00.000.000.0-000.000 3,433,335 6,191 369,335 0
18,572 3,064,000
SUB TOTAL PERGOLONGAN : III 72,856,400 0 0 3,381,156 251,104 0
PEG: 21 4,007,520 740,000 9,725,000 174,855 3,381,156 0
IST: 11 JIWA= 52 1,469,930 5,455,000 5,646,680 524,564 845,287
78,333,850 0 251,104 0
ANK: 20 0 6,266,706 0
1,163 0 0
104,233,372 174,855 11,443,672
524,564 92,789,700
23 ROSITA AMSAMSYUM TK-0 3,171,500 0 0 136,460 0 0 23 .............
0 0 0 375,000 7,612 136,460 0
0 240,000 108,590 22,835 34,115
03-11-1975 1 3,171,500 0 0 0
197511032006052002 MKG:21 0 253,720 0
786435784955000 4,062,042 7,612 454,742 0
22,835 3,607,300

NO KAWIN
24 YOHANIS LAA ,A.Md K -1 2,374,300 0 0 113,569 0 0 24 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
24-10-1986 3 2,659,216 0 0 0
198610242021041001 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,651,391 5,698 377,491 0
17,095 3,273,900
25 MARTINA IBA ,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 25 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
20-05-1992 1 2,374,300 0 0 0
199205202021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
26 SITI NUR KASANAH ,A.Md K -1 2,374,300 0 0 113,569 0 0 26 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
06-03-1993 3 2,659,216 0 0 0
199303062021042001 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,651,391 5,698 377,491 0
17,095 3,273,900
27 YANE TARZIAH ,A.Md.AK K -1 2,374,300 0 0 113,569 0 0 27 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
12-04-1993 3 2,659,216 0 0 0
199304122021042001 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,651,391 5,698 377,491 0
17,095 3,273,900
28 DEWI YULIANINGRUM ,A.Md.Keb K -1 2,374,300 0 0 113,569 0 0 28 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
16-07-1993 3 2,659,216 0 0 0
199307162021042002 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,651,391 5,698 377,491 0
17,095 3,273,900

NO KAWIN
29 UMMI SYAFITRI ,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 29 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
23-03-1994 1 2,374,300 0 0 0
199403232021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
30 IDA NURBAIDA ,Amd.Keb K -1 2,374,300 0 0 115,468 0 0 30 .............
2 237,430 180,000 350,000 5,698 115,468 0
94,972 0 434,360 17,095 28,867
27-06-1995 4 2,706,702 0 0 0
199506272021042001 MKG: 5 0 216,536 0
Pengatur-2C 41 0 0
00.000.000.0-000.000 3,809,364 5,698 383,664 0
17,095 3,425,700
31 TAUFIK KUROHMAT TK-0 2,743,800 0 0 116,952 0 0 31 .............
0 0 180,000 325,000 6,585 116,952 0
0 0 108,590 19,755 29,238
15-09-1972 1 2,743,800 0 0 0
197209152015091001 MKG:18 0 219,504 0
12345 3,500,734 6,585 392,034 0
19,755 3,108,700
32 AGNES MANSUMBER TK-0 2,054,100 0 0 90,964 0 0 32 .............
0 0 0 300,000 4,930 90,964 0
0 220,000 108,590 14,790 22,741
09-01-1969 1 2,054,100 0 0 0
196901092003122008 MKG: 1 0 164,328 0
488342932955000 2,793,453 4,930 297,753 0
14,790 2,495,700
33 HERRY BERNAARD MANSUMBER K -1 2,632,400 0 0 125,132 0 0 33 .............
1 263,240 180,000 300,000 6,318 125,132 0
52,648 0 325,770 18,953 31,283
25-11-1977 3 2,948,288 0 0 0
197711252007011012 MKG:18 0 235,863 0
786435941955000 3,904,549 6,318 417,549 0
18,953 3,487,000

NO KAWIN
SUB TOTAL PERGOLONGAN : 27,221,900 0 0 1,243,596 0 0
PEG: 11 1,450,390 1,620,000 3,750,000 65,331 1,243,596 0
IST: 6 JIWA= 24 337,564 460,000 2,606,160 195,998 310,898
29,009,854 0 0 0
ANK: 7 0 2,320,787 0
671 0 0
38,951,610 65,331 4,136,610
195,998 34,815,000
TOTAL PER SATKER 104,777,600 0 0 4,859,040 294,187 0
PEG: 33 5,927,840 2,360,000 14,000,000 251,464 4,859,040 0
IST: 18 JIWA= 80 1,995,466 6,415,000 8,687,200 754,397 1,214,757
ANK: 29 112,700,906 0 294,187 0
0 9,016,069 0
0 0
1,920 251,464 16,389,914
150,324,114
754,397 133,934,200
.NULL. .........,27 JUNI 2023

.NULL.
.NULL.
...... ...... ......

NIP ......... ......... .........
[ DINAS KESEHATAN ] PUSKESMAS RANSIKI

NO KAWIN
1 YULIA MANDACAN TK-0 3,743,100 0 125,000 160,324 663 0 1 .............
0 0 0 500,000 8,983 160,324 0
0 265,000 108,590 26,950 40,081
03-08-1973 1 3,743,100 0 663 0
197308031993012001 MKG:17 0 299,448 0
488343013955000 4,938,649 8,983 536,449 0
26,950 4,402,200
2 LINA INDEN K -1 3,481,600 0 0 178,761 31,125 0 2 .............
2 348,160 0 475,000 8,356 178,761 0
139,264 500,000 434,360 25,068 44,690
05-09-1983 4 3,969,024 0 31,125 0
198309052003122004 MKG:14 0 317,522 0
Penata-3C 28 0 0
488343187955000 5,621,722 8,356 605,522 0
25,068 5,016,200
3 RIBKA KREY JD-0 4,065,500 0 125,000 178,725 0 0 3 .............
2 0 0 475,000 9,757 178,725 0
162,620 240,000 325,770 29,272 44,681
01-08-1966 3 4,228,120 0 0 0
196608011987032011 MKG:24 0 338,250 0
Penata-3C 41 0 0
488343096955000 5,611,685 9,757 600,685 0
29,272 5,011,000
4 YAKOBUS TOANSIBA K -1 3,375,300 0 125,000 163,514 0 0 4 .............
2 337,530 0 475,000 8,101 163,514 0
135,012 240,000 434,360 24,302 40,878
14-06-1977 4 3,847,842 0 0 0
197706141997121001 MKG:13 0 307,827 0
Penata-3C 3 0 0
708181144955000 5,318,122 8,101 544,622 0
24,302 4,773,500
5 ADE GRACE NATALIA AIRORI K -0 3,272,200 0 125,000 140,488 0 0 5 .............
0 0 0 475,000 7,853 140,488 0
0 240,000 108,590 23,560 35,122
22-12-1978 1 3,272,200 0 0 0
197812222005022008 MKG:10 0 261,776 0
Penata-3C 8 0 0
488343229955000 4,392,699 7,853 468,799 0
23,560 3,923,900

NO KAWIN
6 AGATHA VIORITA YUNIKE K -1 3,043,600 0 0 150,788 0 0 6 .............
2 304,360 0 450,000 7,305 150,788 0
121,744 300,000 434,360 21,914 37,697
05-06-1990 4 3,469,704 0 0 0
199006052012032001 MKG: 9 0 277,576 0
706721339955000 4,834,080 7,305 495,280 0
21,914 4,338,800
7 ESAU AIBA K -1 3,445,500 0 125,000 166,715 0 0 7 .............
2 344,550 0 425,000 8,269 166,715 0
137,820 240,000 434,360 24,808 41,679
20-12-1977 4 3,927,870 0 0 0
197712202000031004 MKG:16 0 314,230 0
000000000000000 5,352,101 8,269 555,701 0
24,808 4,796,400
8 MARYKE AGUSTINA MANDATJAN K -1 3,238,300 0 125,000 157,266 8,688 0 8 .............
2 323,830 0 425,000 7,772 157,266 0
129,532 240,000 434,360 23,316 39,317
13-03-1973 4 3,691,662 0 8,688 0
197303132003122001 MKG:12 0 295,333 0
488343195955000 5,113,092 7,772 531,692 0
23,316 4,581,400
9 ADRIANA NAGA, AMD.KEP TK-0 3,043,600 0 0 131,344 0 0 9 .............
0 0 0 425,000 7,305 131,344 0
0 240,000 108,590 21,914 32,836
25-10-1988 1 3,043,600 0 0 0
198810252011042002 MKG: 9 0 243,488 0
41.757.979.4-955.000 3,977,787 7,305 436,887 0
21,914 3,540,900
10 SUHADA HANIFAH ,AMK TK-0 3,043,600 0 0 129,144 0 0 10 .............
0 0 185,000 425,000 7,305 129,144 0
0 0 108,590 21,914 32,286
15-08-1990 1 3,043,600 0 0 0
199008152012032001 MKG: 8 0 243,488 0
000000000000000 3,920,637 7,305 434,137 0
21,914 3,486,500

NO KAWIN
11 AWIN RIBKA ALDRIN RUMBIAK TK-0 2,773,200 0 0 118,328 0 0 11 .............
,S.Farm,Apt 0 0 185,000 450,000 6,656 118,328 0
0 0 108,590 19,967 29,582
14-08-1992 1 2,773,200 0 0 0
199208142021042001 MKG: 2 0 221,856 0
00000000 3,661,789 6,656 396,389 0
19,967 3,265,400
12 drg, ASRI OKTAVINA WULANDARI K -1 2,773,200 0 0 129,421 0 0 12 .............
0 277,320 185,000 450,000 6,656 129,421 0
0 0 217,180 19,967 32,355
30-10-1992 2 3,050,520 0 0 0
199210302021042001 MKG: 2 0 244,042 0
00.000.000.0-000.000 4,058,841 6,656 432,441 0
19,967 3,626,400
13 YOHANES KRIMADI K -1 2,920,100 0 125,000 143,757 0 0 13 .............
2 292,010 0 425,000 7,008 143,757 0
116,804 265,000 434,360 21,025 35,939
05-05-1971 4 3,328,914 0 0 0
197105051999031012 MKG: 8 0 266,313 0
488343039955000 4,750,142 7,008 474,042 0
21,025 4,276,100
14 MINCE INDEN K -1 3,012,000 0 100,000 146,947 0 0 14 .............
2 301,200 0 375,000 7,229 146,947 0
120,480 240,000 434,360 21,686 36,737
19-09-1984 4 3,433,680 0 0 0
198409192006052001 MKG:10 0 274,694 0
812134286955000 4,758,993 7,229 487,293 0
21,686 4,271,700
15 ELSAWINA TITUS, A.Md.Keb K -1 3,012,000 0 0 146,947 0 0 15 .............
,A.Md.Keb 2 301,200 0 425,000 7,229 146,947 0
120,480 240,000 434,360 21,686 36,737
16-03-1987 4 3,433,680 0 0 0
198703162017052004 MKG:10 0 274,694 0
665741765955000 4,708,993 7,229 487,293 0
21,686 4,221,700

NO KAWIN
16 EMILIA RENDEN, A.Md.Keb K -1 2,920,100 0 0 142,757 0 0 16 .............
2 292,010 0 425,000 7,008 142,757 0
116,804 240,000 434,360 21,025 35,689
09-09-1988 4 3,328,914 0 0 0
198809092017052006 MKG: 9 0 266,313 0
665741724955000 4,599,092 7,008 472,792 0
21,025 4,126,300
17 YENNI NOVY, A.Md.Keb ,A.Md.Keb K -1 2,920,100 0 0 142,757 0 0 17 .............
2 292,010 0 425,000 7,008 142,757 0
116,804 240,000 434,360 21,025 35,689
07-01-1991 4 3,328,914 0 0 0
199101072017052004 MKG: 8 0 266,313 0
545978827955000 4,599,092 7,008 472,792 0
21,025 4,126,300
18 DWI AYU AGUSTIA NINGSI, A.Md.Keb K -1 2,830,900 0 0 138,689 0 0 18 .............
,A.Md.Keb 2 283,090 0 425,000 6,794 138,689 0
113,236 240,000 434,360 20,382 34,672
16-08-1990 4 3,227,226 0 0 0
199008162017052010 MKG: 6 0 258,178 0
800271413955000 4,492,515 6,794 458,715 0
20,382 4,033,800
19 DEASY MARICE RUMBONDE, AMd.Keb K -1 2,830,900 0 0 136,424 0 0 19 .............
,A.Md.Keb 1 283,090 0 425,000 6,794 136,424 0
56,618 240,000 325,770 20,382 34,106
15-12-1990 3 3,170,608 0 0 0
199012152017052004 MKG: 6 0 253,649 0
800320020955000 4,325,055 6,794 451,355 0
20,382 3,873,700
20 SULASTRI LESTARI, A.Md.Keb TK-0 2,830,900 0 0 122,836 0 0 20 .............
,A.Md.Keb 0 0 0 425,000 6,794 122,836 0
0 240,000 108,590 20,382 30,709
21-07-1992 1 2,830,900 0 0 0
199207212017052002 MKG: 6 0 226,472 0
800260994955000 3,754,593 6,794 407,193 0
20,382 3,347,400

NO KAWIN
21 LOWES KOWI ,S.KM K -1 2,660,700 0 0 128,728 0 0 21 .............
2 266,070 185,000 425,000 6,386 128,728 0
106,428 0 434,360 19,157 32,182
05-07-1988 4 3,033,198 0 0 0
198807052021042001 MKG: 2 0 242,656 0
00.000.000.0-000.000 4,231,909 6,386 429,109 0
19,157 3,802,800
22 IMEN AHOREN ,S.Kep K -1 2,660,700 0 0 128,728 0 0 22 .............
2 266,070 185,000 425,000 6,386 128,728 0
106,428 0 434,360 19,157 32,182
05-05-1992 4 3,033,198 0 0 0
199205052021071001 MKG: 2 0 242,656 0
0000000000000000 4,231,909 6,386 429,109 0
19,157 3,802,800
23 ROSALINA SALOSA ,S.KM TK-0 2,660,700 0 0 113,828 0 0 23 .............
0 0 185,000 425,000 6,386 113,828 0
0 0 108,590 19,157 28,457
18-01-1995 1 2,660,700 0 0 0
199501182021042001 MKG: 2 0 212,856 0
00.000.000.0-000.000 3,518,684 6,386 380,684 0
19,157 3,138,000
SUB TOTAL PERGOLONGAN : III 70,557,800 0 975,000 3,297,216 40,476 0
PEG: 23 4,512,500 1,110,000 10,075,000 169,340 3,297,216 0
IST: 15 JIWA= 67 1,800,074 4,450,000 7,275,530 508,016 824,303
76,870,374 0 40,476 0
ANK: 29 0 6,149,630 0
1,229 0 0
104,772,181 169,340 10,988,981
508,016 93,783,200
24 FERONIKA SAYORI K -1 2,889,800 0 0 139,063 0 0 24 .............
1 288,980 0 375,000 6,936 139,063 0
57,796 240,000 325,770 20,807 34,766
06-04-1984 3 3,236,576 0 0 0
198404062006052001 MKG:16 0 258,926 0
786437376955000 4,344,198 6,936 460,498 0
20,807 3,883,700

NO KAWIN
25 PAULUS IBA K -1 2,801,500 0 100,000 137,348 0 0 25 .............
2 280,150 0 375,000 6,724 137,348 0
112,060 240,000 434,360 20,171 34,337
24-07-1985 4 3,193,710 0 0 0
198507242006051001 MKG:13 0 255,497 0
000000000000000 4,507,377 6,724 454,077 0
20,171 4,053,300
26 MAYA SERMUMES, A.MD.KEP. TK-0 2,633,100 0 100,000 114,924 0 0 26 .............
0 0 0 375,000 6,319 114,924 0
0 240,000 108,590 18,958 28,731
13-07-1986 1 2,633,100 0 0 0
198607132012032001 MKG: 9 0 210,648 0
701845604955000 3,596,980 6,319 379,580 0
18,958 3,217,400
27 FRANSINA IMBIRI, A.Md.Keb K -1 2,552,700 0 0 123,961 0 0 27 .............
1 255,270 0 375,000 6,126 123,961 0
51,054 240,000 325,770 18,379 30,990
24-04-1989 3 2,859,024 0 0 0
198904242017052010 MKG: 8 0 228,722 0
000000000000000 3,948,278 6,126 408,178 0
18,379 3,540,100
28 SPERLING ORIDEK RUMPAIDU, A.MD. TK-0 2,374,300 0 100,000 104,572 0 0 28 .............
KEP. 0 0 0 350,000 5,698 104,572 0
0 240,000 108,590 17,095 26,143
08-02-1985 1 2,374,300 0 0 0
198502082010041001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
000000000000000 3,300,352 5,698 343,452 0
17,095 2,956,900
29 NELCE ADRIANCE MARANI,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 29 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
12-11-1979 1 2,374,300 0 0 0
197911122020052001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
351454996955000 3,137,952 5,698 340,452 0
17,095 2,797,500

NO KAWIN
30 RITA YUNITA WABDARON ,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 30 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
06-03-1989 1 2,374,300 0 0 0
198903062021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
31 MELDAWATI ,A.Md.Gz TK-0 2,374,300 0 0 102,172 0 0 31 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
15-06-1990 1 2,374,300 0 0 0
199006152021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
32 ESTHIN VERGIANA WAKUM ,A.Md.Kes TK-0 2,374,300 0 0 102,172 0 0 32 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
25-04-1992 1 2,374,300 0 0 0
199204252021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
33 NOVA IRIANA KUMBANGSILA ,A.Md.F K -1 2,374,300 0 0 115,468 0 0 33 .............
2 237,430 180,000 350,000 5,698 115,468 0
94,972 0 434,360 17,095 28,867
17-11-1992 4 2,706,702 0 0 0
199211172021042001 MKG: 5 0 216,536 0
Pengatur-2C 41 0 0
00.000.000.0-000.000 3,809,364 5,698 383,664 0
17,095 3,425,700
34 DORTEA DOANSIBA ,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 34 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
20-01-1993 1 2,374,300 0 0 0
199301202021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500

NO KAWIN
35 FAINA ,A.Md.Gz K -1 2,374,300 0 0 113,569 0 0 35 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
03-03-1994 3 2,659,216 0 0 0
199403032021042001 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,651,391 5,698 377,491 0
17,095 3,273,900
36 JULFAM SYARIF ODE ,A.Md.KL TK-0 2,374,300 0 0 102,172 0 0 36 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
31-08-1995 1 2,374,300 0 0 0
199508312021041001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
37 MAYANG INTAN WINDIARTI ,A.Md.Keb TK-0 2,374,300 0 0 102,172 0 0 37 .............
0 0 180,000 350,000 5,698 102,172 0
0 0 108,590 17,095 25,543
17-03-1996 1 2,374,300 0 0 0
199603172021042001 MKG: 5 0 189,944 0
Pengatur-2C 97 0 0
00.000.000.0-000.000 3,137,952 5,698 340,452 0
17,095 2,797,500
38 MERY IBA K -1 2,349,700 0 100,000 114,867 0 0 38 .............
1 234,970 0 325,000 5,639 114,867 0
46,994 240,000 325,770 16,918 28,717
06-05-1984 3 2,631,664 0 0 0
198405062006052001 MKG: 7 0 210,533 0
640907846955000 3,759,874 5,639 376,674 0
16,918 3,383,200
39 YULIUS MANDACAN K -1 2,423,700 0 100,000 119,321 0 0 39 .............
2 242,370 0 325,000 5,817 119,321 0
96,948 220,000 434,360 17,451 29,830
28-07-1987 4 2,763,018 0 0 0
198707282009091001 MKG: 9 0 221,041 0
876870783955000 3,985,060 5,817 393,460 0
17,451 3,591,600

NO KAWIN
40 JOSEPHINA PASKALINA AWOM TK-0 2,054,100 0 100,000 90,964 0 0 40 .............
0 0 0 300,000 4,930 90,964 0
0 220,000 108,590 14,790 22,741
11-03-1986 1 2,054,100 0 0 0
198603112009092001 MKG: 1 0 164,328 0
743266504955000 2,893,453 4,930 297,753 0
14,790 2,595,700
SUB TOTAL PERGOLONGAN : 41,447,600 0 600,000 1,889,261 0 0
PEG: 17 1,776,600 1,620,000 5,950,000 99,471 1,889,261 0
IST: 7 JIWA= 34 507,310 1,880,000 3,692,060 298,424 472,315
43,731,510 0 0 0
ANK: 10 0 3,498,520 0
1,265 0 0
59,761,991 99,471 6,257,991
298,424 53,504,000
TOTAL PER SATKER 112,005,400 0 1,575,000 5,186,477 40,476 0
PEG: 40 6,289,100 2,730,000 16,025,000 268,811 5,186,477 0
IST: 22 JIWA= 101 2,307,384 6,330,000 10,967,590 806,440 1,296,618
ANK: 39 120,601,884 0 40,476 0
0 9,648,150 0
0 0
2,494 268,811 17,246,972
164,534,172
806,440 147,287,200
.NULL. .........,27 JUNI 2023

.NULL.
.NULL.
...... ...... ......

NIP ......... ......... .........
[ DINAS KESEHATAN ] PUSKESMAS MOMIWAREN

NO KAWIN
1 PIETER TARIBABA K -1 3,861,000 0 125,000 186,662 0 0 1 .............
2 386,100 0 500,000 9,266 186,662 0
154,440 265,000 434,360 27,799 46,665
06-02-1975 4 4,401,540 0 0 0
197502061996031004 MKG:18 0 352,123 0
808644959955000 5,949,715 9,266 622,515 0
27,799 5,327,200
2 dr.KERY BAYU SANTOSO KATJONG TK-0 2,688,500 0 0 114,940 0 0 2 .............
0 0 185,000 450,000 6,452 114,940 0
0 0 108,590 19,357 28,735
10-03-1987 1 2,688,500 0 0 0
198703102021041001 MKG: 0 0 215,080 0
00000000 3,572,864 6,452 384,564 0
19,357 3,188,300
3 SILAS NELWAN GEFILEM, A.MD. KEP. TK-0 3,204,700 0 100,000 137,788 0 0 3 .............
0 0 0 350,000 7,691 137,788 0
0 240,000 108,590 23,074 34,447
24-01-1984 1 3,204,700 0 0 0
198401242012031001 MKG:15 0 256,376 0
711897041955000 4,171,876 7,691 459,376 0
23,074 3,712,500
4 NUR SUCIARTY, A.Md.Keb ,A.Md.Keb TK-0 2,830,900 0 0 122,836 0 0 4 .............
0 0 0 425,000 6,794 122,836 0
0 240,000 108,590 20,382 30,709
05-05-1988 1 2,830,900 0 0 0
198805052017052013 MKG: 7 0 226,472 0
665529533955000 3,754,593 6,794 407,193 0
20,382 3,347,400
5 KASMAWATI.S, A.Md,Keb ,A.Md.Keb K -1 2,830,900 0 0 136,424 0 0 5 .............
1 283,090 0 425,000 6,794 136,424 0
56,618 240,000 325,770 20,382 34,106
04-05-1989 3 3,170,608 0 0 0
198905042017052003 MKG: 7 0 253,649 0
665611711955000 4,325,055 6,794 451,355 0
20,382 3,873,700

NO KAWIN
6 MUSDALIPA, A.Md.Keb ,A.Md.Keb K -1 2,830,900 0 0 138,689 0 0 6 .............
2 283,090 0 425,000 6,794 138,689 0
113,236 240,000 434,360 20,382 34,672
16-11-1991 4 3,227,226 0 0 0
199111162017052003 MKG: 6 0 258,178 0
665614442955000 4,492,515 6,794 458,715 0
20,382 4,033,800
7 LELINA DOLOKSARIBU, A.Md.Keb K -1 2,830,900 0 125,000 136,489 0 0 7 .............
,A.Md.Keb 2 283,090 185,000 425,000 6,794 136,489 0
113,236 0 434,360 20,382 34,122
26-06-1989 4 3,227,226 0 0 0
198906262017052008 MKG: 7 0 258,178 0
665533964955000 4,560,265 6,794 455,965 0
20,382 4,104,300
8 BERGITA ASROU ,S.KM TK-0 2,579,400 0 0 110,576 0 0 8 .............
0 0 185,000 425,000 6,191 110,576 0
0 0 108,590 18,572 27,644
13-01-1990 1 2,579,400 0 0 0
199001132021042001 MKG: 0 0 206,352 0
00.000.000.0-000.000 3,433,335 6,191 369,335 0
18,572 3,064,000
SUB TOTAL PERGOLONGAN : III 23,657,200 0 350,000 1,084,404 0 0
PEG: 8 1,235,370 555,000 3,425,000 56,776 1,084,404 0
IST: 4 JIWA= 19 437,530 1,225,000 2,063,210 170,330 271,100
25,330,100 0 0 0
ANK: 7 0 2,026,408 0
398 0 0
34,260,218 56,776 3,609,018
170,330 30,651,200
9 YULIANCE WAIYAI K -1 2,716,000 0 100,000 133,450 0 0 9 .............
2 271,600 0 375,000 6,518 133,450 0
108,640 240,000 434,360 19,555 33,362
12-01-1971 4 3,096,240 0 0 0
197101122005022001 MKG:12 0 247,699 0
488343245955000 4,405,184 6,518 440,584 0
19,555 3,964,600

NO KAWIN
10 TREVENA ORPA ORISU ,A.Md.F K -1 2,374,300 0 0 115,468 0 0 10 .............
2 237,430 180,000 350,000 5,698 115,468 0
94,972 0 434,360 17,095 28,867
26-10-1993 4 2,706,702 0 0 0
199310262021042001 MKG: 5 0 216,536 0
Pengatur-2C 41 0 0
00.000.000.0-000.000 3,809,364 5,698 383,664 0
17,095 3,425,700
11 HASBI ABIDIN ,AMAK K -1 2,301,800 0 0 110,321 0 0 11 .............
1 230,180 180,000 350,000 5,524 110,321 0
46,036 0 325,770 16,573 27,580
05-03-1988 3 2,578,016 0 0 0
198803052021041001 MKG: 3 0 206,241 0
Pengatur-2C 35 0 0
00.000.000.0-000.000 3,566,239 5,524 366,239 0
16,573 3,200,000
12 RINI ANGRAINI ,A.Md Far K -1 2,301,800 0 0 112,162 0 0 12 .............
2 230,180 180,000 350,000 5,524 112,162 0
92,072 0 434,360 16,573 28,041
10-08-1988 4 2,624,052 0 0 0
198808102021042001 MKG: 3 0 209,924 0
Pengatur-2C 53 0 0
00.000.000.0-000.000 3,722,724 5,524 372,224 0
16,573 3,350,500
13 WINDY DWI UTAMI ,A.Md.Keb TK-0 2,301,800 0 0 99,272 0 0 13 .............
0 0 180,000 350,000 5,524 99,272 0
0 0 108,590 16,573 24,818
04-07-1995 1 2,301,800 0 0 0
199507042021042001 MKG: 3 0 184,144 0
Pengatur-2C 72 0 0
00.000.000.0-000.000 3,061,831 5,524 330,331 0
16,573 2,731,500
14 LINI HANDAYANI ,A.Md.Keb TK-0 2,301,800 0 0 99,272 0 0 14 .............
0 0 180,000 350,000 5,524 99,272 0
0 0 108,590 16,573 24,818
20-08-1995 1 2,301,800 0 0 0
199508202021042001 MKG: 3 0 184,144 0
Pengatur-2C 72 0 0
00.000.000.0-000.000 3,061,831 5,524 330,331 0
16,573 2,731,500

NO KAWIN
15 MARTHINA AINUSI K -1 2,277,900 0 100,000 113,472 0 0 15 .............
2 227,790 0 325,000 5,467 113,472 0
91,116 240,000 434,360 16,401 28,368
15-11-1984 4 2,596,806 0 0 0
198411152006052001 MKG: 5 0 207,744 0
707550117955000 3,831,552 5,467 371,452 0
16,401 3,460,100
PEG: 7 1,197,180 900,000 2,450,000 39,779 783,417 0
IST: 5 JIWA= 21 432,836 480,000 2,280,390 119,343 195,854
18,205,416 0 0 0
ANK: 9 0 1,456,432 0
380 0 0
25,458,725 39,779 2,594,825
119,343 22,863,900
TOTAL PER SATKER 40,232,600 0 550,000 1,867,821 0 0
PEG: 15 2,432,550 1,455,000 5,875,000 96,555 1,867,821 0
IST: 9 JIWA= 40 870,366 1,705,000 4,343,600 289,673 466,954
ANK: 16 43,535,516 0 0 0
0 3,482,840 0
0 0
778 96,555 6,203,843
59,718,943
289,673 53,515,100
KEPALA PUSKESMAS MOMIWAREN MANOKWARI SELATAN,27 JUNI 2023

IZAK MORIN
NIP 196210021988031010
[ DINAS KESEHATAN ] PUSKESMAS NENEY

NO KAWIN
1 MARIANA NENENG EFENDI, A.Md.Keb K -1 2,830,900 0 125,000 136,424 0 0 1 .............
,A.Md.Keb 1 283,090 0 425,000 6,794 136,424 0
56,618 240,000 325,770 20,382 34,106
23-05-1992 3 3,170,608 0 0 0
199205232017052003 MKG: 6 0 253,649 0
800260283955000 4,450,055 6,794 451,355 0
20,382 3,998,700
PEG: 1 283,090 0 425,000 6,794 136,424 0
IST: 1 JIWA= 3 56,618 240,000 325,770 20,382 34,106
3,170,608 0 0 0
ANK: 1 0 253,649 0
77 0 0
4,450,055 6,794 451,355
20,382 3,998,700
2 DEVI JULIA SIAGIAN ,A.Md.Keb K -1 2,374,300 0 100,000 111,669 0 0 2 .............
0 237,430 180,000 350,000 5,698 111,669 0
0 0 217,180 17,095 27,917
11-07-1995 2 2,611,730 0 0 0
199507112021042001 MKG: 5 0 208,938 0
Pengatur-2C 45 0 0
00.000.000.0-000.000 3,593,417 5,698 371,317 0
17,095 3,222,100
3 FRANSISKA MAGAL DOUW ,A.Md.Keb TK-0 2,301,800 0 100,000 99,272 0 0 3 .............
0 0 180,000 350,000 5,524 99,272 0
0 0 108,590 16,573 24,818
25-02-1994 1 2,301,800 0 0 0
199402252021042001 MKG: 3 0 184,144 0
Pengatur-2C 72 0 0
00.000.000.0-000.000 3,161,831 5,524 330,331 0
16,573 2,831,500
PEG: 2 237,430 360,000 700,000 11,222 210,941 0
IST: 1 JIWA= 3 0 0 325,770 33,668 52,735
4,913,530 0 0 0
ANK: 0 0 393,082 0
117 0 0
6,755,248 11,222 701,648
33,668 6,053,600
[ DINAS KESEHATAN ] PUSKESMAS NENEY

NO KAWIN
TOTAL PER SATKER 7,507,000 0 325,000 347,365 0 0
PEG: 3 520,520 360,000 1,125,000 18,016 347,365 0
IST: 2 JIWA= 6 56,618 240,000 651,540 54,050 86,841
ANK: 1 8,084,138 0 0 0
0 646,731 0
0 0
194 18,016 1,153,003
11,205,303
54,050 10,052,300

NIP
[ DINAS KESEHATAN ] PUSKESMAS TAHOTA

NO KAWIN
1 DIANA TANGKE SALLE, A.Md.Keb TK-0 2,920,100 0 100,000 126,404 0 0 1 .............
,A.Md.Keb 0 0 0 425,000 7,008 126,404 0
0 240,000 108,590 21,025 31,601
10-10-1989 1 2,920,100 0 0 0
198910102017052020 MKG: 8 0 233,608 0
665408274955000 3,948,146 7,008 419,646 0
21,025 3,528,500
PEG: 1 0 0 425,000 7,008 126,404 0
IST: 0 JIWA= 1 0 240,000 108,590 21,025 31,601
2,920,100 0 0 0
ANK: 0 0 233,608 0
19 0 0
3,948,146 7,008 419,646
21,025 3,528,500
2 KILION SAYORI K -1 2,889,800 0 100,000 141,375 0 0 2 .............
2 288,980 0 375,000 6,936 141,375 0
115,592 240,000 434,360 20,807 35,344
14-09-1983 4 3,294,372 0 0 0
198309142004121001 MKG:15 0 263,550 0
00000000 4,612,912 6,936 468,012 0
20,807 4,144,900
3 MARIA RUMFABE, A.Md.Keb TK-0 2,552,700 0 100,000 111,708 0 0 3 .............
,A.Md.Keb 0 0 0 375,000 6,126 111,708 0
0 240,000 108,590 18,379 27,927
15-08-1988 1 2,552,700 0 0 0
198808152017052006 MKG: 8 0 204,216 0
800258998955000 3,512,556 6,126 368,356 0
18,379 3,144,200
4 MINAH ,A.Md.Keb K -1 2,374,300 0 100,000 113,569 0 0 4 .............
1 237,430 180,000 350,000 5,698 113,569 0
47,486 0 325,770 17,095 28,392
09-02-1989 3 2,659,216 0 0 0
198902092021042001 MKG: 5 0 212,737 0
Pengatur-2C 43 0 0
00.000.000.0-000.000 3,751,391 5,698 377,491 0
17,095 3,373,900
[ DINAS KESEHATAN ] PUSKESMAS TAHOTA

NO KAWIN
5 SUHARTINI PATODING ,Amd.Keb TK-0 2,301,800 0 100,000 99,272 0 0 5 .............
0 0 180,000 350,000 5,524 99,272 0
0 0 108,590 16,573 24,818
21-04-1987 1 2,301,800 0 0 0
198704212021042001 MKG: 3 0 184,144 0
Pengatur-2C 72 0 0
00.000.000.0-000.000 3,161,831 5,524 330,331 0
16,573 2,831,500
PEG: 4 526,410 360,000 1,450,000 24,284 465,924 0
IST: 2 JIWA= 9 163,078 480,000 977,310 72,854 116,481
10,808,088 0 0 0
ANK: 3 0 864,647 0
230 0 0
15,038,690 24,284 1,544,190
72,854 13,494,500
TOTAL PER SATKER 13,038,700 0 500,000 592,328 0 0
PEG: 5 526,410 360,000 1,875,000 31,292 592,328 0
IST: 2 JIWA= 10 163,078 720,000 1,085,900 93,879 148,082
ANK: 3 13,728,188 0 0 0
0 1,098,255 0
0 0
249 31,292 1,963,836
18,986,836
93,879 17,023,000

NIP
[ DINAS KESEHATAN ] RUMAH SAKIT PRATAMA ELIA WARAN

NO KAWIN
1 dr, dr. Iwan Panangian Butar K -1 4,066,500 1,260,000 0 235,832 47,604 0 1 .............
Butar 2 406,650 0 550,000 9,760 235,832 0
162,660 0 434,360 29,279 58,958
13-01-1971 4 4,635,810 0 47,604 0
197101132003121002 MKG:16 0 370,865 0
Pembina Tk.I-4B 53 0 0
142939727955000 7,202,698 9,760 752,298 0
29,279 6,450,400
2 YANCE LESNUSSA K -1 4,416,700 980,000 0 240,602 51,517 0 2 .............
2 441,670 0 525,000 10,600 240,602 0
176,668 0 434,360 31,800 60,150
15-05-1966 4 5,035,038 0 51,517 0
196605151990031021 MKG:24 0 402,803 0
Pembina-4A 55 0 0
488342742955000 7,308,972 10,600 797,472 0
31,800 6,511,500
SUB TOTAL PERGOLONGAN : IV 8,483,200 2,240,000 0 476,434 99,121 0
PEG: 2 848,320 0 1,075,000 20,360 476,434 0
IST: 2 JIWA= 8 339,328 0 868,720 61,079 119,108
9,670,848 0 99,121 0
ANK: 4 0 773,668 0
108 0 0
14,511,670 20,360 1,549,770
61,079 12,961,900
3 SUKONO K -1 3,982,600 980,000 0 220,807 26,863 0 3 .............
2 398,260 0 500,000 9,558 220,807 0
159,304 0 434,360 28,675 55,202
11-08-1972 4 4,540,164 0 26,863 0
197208111994031008 MKG:20 0 363,213 0
488342833955000 6,740,518 9,558 704,318 0
28,675 6,036,200
4 OKTOVINA SAYORI K -1 4,370,900 0 0 209,913 68,783 0 4 .............
2 437,090 0 500,000 10,490 209,913 0
174,836 265,000 434,360 31,470 52,478
24-10-1968 4 4,982,826 0 68,783 0
196810241989032010 MKG:26 0 398,626 0
488342890955000 6,502,860 10,490 771,760 0
31,470 5,731,100

NO KAWIN
5 ASER IRIANTO IMBIRI, A.MD. K -1 3,172,300 980,000 0 183,857 0 0 5 .............
2 317,230 0 475,000 7,614 183,857 0
126,892 0 434,360 22,841 45,964
04-02-1979 4 3,616,422 0 0 0
197902042009091001 MKG: 8 0 289,314 0
Penata-3C 96 0 0
460559842955000 5,720,190 7,614 549,590 0
22,841 5,170,600
6 INDRI YULIANAWATI TK-0 3,821,000 0 0 172,840 8,846 0 6 .............
0 0 0 475,000 9,170 172,840 0
0 500,000 108,590 27,511 43,210
21-07-1977 1 3,821,000 0 8,846 0
197707212006052006 MKG:20 0 305,680 0
Penata-3C 0 0 0
700862451955000 5,122,957 9,170 567,257 0
27,511 4,555,700
7 ZAINUL ASROFI ,A.Md.Kep K -1 3,172,300 0 0 155,257 0 0 7 .............
2 317,230 0 475,000 7,614 155,257 0
126,892 265,000 434,360 22,841 38,814
25-11-1983 4 3,616,422 0 0 0
198311252010011007 MKG: 8 0 289,314 0
Penata-3C 46 0 0
00.000.000.0-000.000 4,976,540 7,614 513,840 0
22,841 4,462,700
8 MARTINA SAYORI K -1 3,591,200 0 0 173,359 23,021 0 8 .............
2 359,120 0 450,000 8,619 173,359 0
143,648 240,000 434,360 25,857 43,340
06-03-1969 4 4,093,968 0 23,021 0
196903062000022005 MKG:16 0 327,517 0
Penata-3C 29 0 0
488342924955000 5,449,213 8,619 601,713 0
25,857 4,847,500
9 YUNIWATI DAISIU K -1 3,591,200 0 0 173,359 23,021 0 9 .............
2 359,120 0 450,000 8,619 173,359 0
143,648 240,000 434,360 25,857 43,340
09-07-1978 4 4,093,968 0 23,021 0
197807092005022004 MKG:16 0 327,517 0
Penata-3C 29 0 0
488342957955000 5,449,213 8,619 601,713 0
25,857 4,847,500

NO KAWIN
10 dr, NIKOLAS SITORUS K -1 2,773,200 0 0 129,421 0 0 10 .............
0 277,320 185,000 450,000 6,656 129,421 0
0 0 217,180 19,967 32,355
28-07-1991 2 3,050,520 0 0 0
199107282021041001 MKG: 2 0 244,042 0
00.000.000.0-000.000 4,058,841 6,656 432,441 0
19,967 3,626,400
11 ESRON INDEN K -1 3,106,900 0 100,000 151,275 0 0 11 .............
2 310,690 0 425,000 7,457 151,275 0
124,276 240,000 434,360 22,370 37,819
02-04-1986 4 3,541,866 0 0 0
198604022006051001 MKG:13 0 283,349 0
786437434955000 4,922,370 7,457 502,270 0
22,370 4,420,100
12 OKTAVIANI, A.Md.Keb ,A.Md.Keb TK-0 2,920,100 0 0 126,404 0 0 12 .............
0 0 0 425,000 7,008 126,404 0
0 240,000 108,590 21,025 31,601
12-10-1987 1 2,920,100 0 0 0
198710122017052007 MKG: 8 0 233,608 0
000000000000000 3,848,146 7,008 419,646 0
21,025 3,428,500
13 TRIYANTI INA SUNARJO, A.Md, Keb TK-0 2,830,900 0 0 122,836 0 0 13 .............
0 0 0 425,000 6,794 122,836 0
0 240,000 108,590 20,382 30,709
21-07-1990 1 2,830,900 0 0 0
199007212017052004 MKG: 7 0 226,472 0
665601373955000 3,754,593 6,794 407,193 0
20,382 3,347,400
14 YULIENI TK-0 2,920,100 0 0 125,604 0 0 14 .............
0 0 0 425,000 7,008 125,604 0
0 220,000 108,590 21,025 31,401
24-04-1979 1 2,920,100 0 0 0
197904242009092002 MKG: 8 0 233,608 0
662699446955000 3,827,346 7,008 418,646 0
21,025 3,408,700

NO KAWIN
15 EKA LESTARI NINGSIH, A.Md. Keb K -1 2,830,900 0 0 136,489 0 0 15 .............
,A.Md.Keb 2 283,090 185,000 425,000 6,794 136,489 0
113,236 0 434,360 20,382 34,122
12-01-1993 4 3,227,226 0 0 0
199301122017052001 MKG: 6 0 258,178 0
769604927955000 4,435,265 6,794 455,965 0
20,382 3,979,300
16 ANETA ADRIANA WARAN ,S.KM TK-0 2,660,700 0 0 113,828 0 0 16 .............
0 0 185,000 425,000 6,386 113,828 0
0 0 108,590 19,157 28,457
04-08-1988 1 2,660,700 0 0 0
198808042021042001 MKG: 2 0 212,856 0
00.000.000.0-000.000 3,518,684 6,386 380,684 0
19,157 3,138,000
SUB TOTAL PERGOLONGAN : III 45,744,300 1,960,000 100,000 2,195,249 150,534 0
PEG: 14 3,059,150 555,000 6,325,000 109,787 2,195,249 0
IST: 9 JIWA= 39 1,112,732 2,450,000 4,235,010 329,360 548,812
49,916,182 0 150,534 0
ANK: 16 0 3,993,294 0
614 0 0
68,326,736 109,787 7,327,036
329,360 60,999,700
17 SATIUS DEMHI K -1 2,716,000 0 0 132,650 0 0 17 .............
2 271,600 0 375,000 6,518 132,650 0
108,640 220,000 434,360 19,555 33,162
11-12-1988 4 3,096,240 0 0 0
198812112009091001 MKG:11 0 247,699 0
843702564955000 4,284,384 6,518 439,584 0
19,555 3,844,800
18 SAMUEL PETRUS NOYA ,A.Md DD-0 2,374,300 0 0 104,071 0 0 18 .............
1 0 180,000 350,000 5,698 104,071 0
47,486 0 217,180 17,095 26,018
01-09-1984 2 2,421,786 0 0 0
198409012021041001 MKG: 5 0 193,743 0
Pengatur-2C 95 0 0
00.000.000.0-000.000 3,295,925 5,698 346,625 0
17,095 2,949,300

NO KAWIN
SUB TOTAL PERGOLONGAN : 5,090,300 0 0 236,721 0 0
PEG: 2 271,600 180,000 725,000 12,216 236,721 0
IST: 1 JIWA= 6 156,126 220,000 651,540 36,650 59,180
5,518,026 0 0 0
ANK: 3 0 441,442 0
156 0 0
7,580,309 12,216 786,209
36,650 6,794,100
TOTAL PER SATKER 59,317,800 4,200,000 100,000 2,908,404 249,655 0
PEG: 18 4,179,070 735,000 8,125,000 142,363 2,908,404 0
IST: 12 JIWA= 53 1,608,186 2,670,000 5,755,270 427,089 727,100
ANK: 23 65,105,056 0 249,655 0
0 5,208,404 0
0 0
878 142,363 9,663,015
90,418,715
427,089 80,755,700
DIREKTUR RUMAH SAKIT MANOKWARI SELATAN,27 JUNI 2023

dr. Iwan Panangian Butar Butar

NIP 197101132003121002

Dinas Kesehatan Juli 2023

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Dinas Kesehatan Juli 2023

Diunggah oleh

Hak Cipta:

Format Tersedia

PEMERINTAH KABUPATEN MANOKWARI SELATAN

DAFTAR PEMBAYARAN GAJI INDUK PNSD

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

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

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

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

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

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

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

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

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

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

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

KEPALA DINAS KESEHATAN MANOKWARI SELATAN,27 JUNI 2023

DEMETRIUS WARAN, A. MK ENNI KWANON WANDOKI, A.MD.KEP.

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

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

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

.NULL. .........,27 JUNI 2023

...... ...... ......

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

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

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

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

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

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

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

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

.NULL. .........,27 JUNI 2023

...... ...... ......

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

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

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

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

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

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

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

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

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

.NULL. .........,27 JUNI 2023

...... ...... ......

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

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

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

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

KEPALA PUSKESMAS MOMIWAREN MANOKWARI SELATAN,27 JUNI 2023

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

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

KEPALA DINAS KESEHATAN MANOKWARI SELATAN,27 JUNI 2023

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

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

KEPALA DINAS KESEHATAN MANOKWARI SELATAN,27 JUNI 2023

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

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

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

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

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

DIREKTUR RUMAH SAKIT MANOKWARI SELATAN,27 JUNI 2023

dr. Iwan Panangian Butar Butar

Anda mungkin juga menyukai