REKAP BELANJA BLUD

BULAN SEPTEMBER 1 2023

NPWP DINKES 00,292,652,5,646,000

Kode Jumlah npwp Potongan Jumlah

nama penerima rekening No rekening Bank faktur dilimpahkan ttd terima
PPN PPH baya transfer tunai

1 GAJI BLUD Sep-23 Rp 9,509,342 Rp 9,509,342

2 ASURANSI BPJS KESEHATAN Sep-23 Rp 2,376,782

Rp 2,376,782

3 ASURANSI TENAGA KERJA Sep-23 Rp 600,000

Rp 600,000

JASPEL AGUSTUS Rp 115,500,000 00,292,652,5,646,000 Rp 3,323,978 Rp 111,208,149

1 JASA PELAYANAN 1% 811113 Rp 967,873

IURAN BPJS 4%811412 Rp 3,877,653 Rp 3,877,653

2 MANAJEMEN MANAJEMAN AGUSTUS Rp 23,000,000 00,292,652,5,646,000 Rp 1,165,333 Rp 21,834,667

BANK SYARIAH
PT QUANTUM SISTEM INDONESIA CAB
APLIKASI BLUD 7201292845 Rp 750,000 63.414.182.4-012.000 Rp 2,900 Rp 747,100
INTERMATIKA PONDOK
KELAPA, JKT

7 ENDAH SAKTI SPPD Rp 2,500,000 Rp 2,500,000

BRI CABANG
JASA SAMPAH
PT. LEWIND 116,001,000,394,301 PONDOK Rp 2,154,998 01.979.130.0-641.000 Rp 213,558 Rp 43,100 Rp 2,900 Rp 1,895,440
MEDIS/AGUSTUS
CANDRA

BINTAR OPERASIONAL 0442438323 Rp 8,000,000 Rp 5,000,000 Rp 3,000,000

0BAT Rp 35,913,680 Rp 3,126,922 Rp 426,398 Rp 2,725,000 Rp 29,635,360

12 listik air telp LISTIK AIR TELP Rp 6,000,000 Rp 6,000,000

Rp 210,182,455 Rp 3,340,480 Rp 5,926,682 Rp 5,800 Rp 19,201,782 Rp 181,707,711

 KANTOR DINAS KESEHATAN KABUPATEN NGAWI
UPT PUSKESMAS SINE BULAN SEPTEMBER 2023
JASA DAN TANDA TERIMA
NO NAMA NO REKENING 1% 4% total DILIMPAHKAN
ASURANSI
1
598,129.00 Rp 24,532 Rp 122,661
1 ROY WAHYU SETIAWAN 1402015485 Rp 98,129 475,468

598,129.00 Rp 24,532 Rp 122,661

2 MUHAMMAD FAHMI NASIKIN 1402016023 Rp 98,129 475,468 2
3
598,129.00 Rp 24,532 Rp 122,661
3 AGUS RIYANTO 1406021111 Rp 98,129 475,468

598,129.00 Rp 24,532 Rp 122,661

4 ARTIKA PUTRI LESTARI 1402015540 Rp 98,129 475,468 4
5
598,129.00 Rp 24,532 Rp 122,661
5 TRENDY OKTA SAPUTRA 1402006176 Rp 98,129 475,468

598,129.00 Rp 24,532 Rp 122,661

6 MUAFIF ARROHMAN 1402015981 Rp 98,129 475,468 6
7
598,129.00 Rp 24,532 Rp 122,661
7 DEVI RAHMAWATI 1402015850 Rp 98,129 475,468

598,129.00 Rp 24,532 Rp 122,661

8 RADETYA PRIMA PERDANA 1402015558 Rp 98,129 475,468 8
9
598,128.00 Rp 24,532 Rp 122,661
9 PUPUT AYU WULANDARI 1362012364 Rp 98,129 475,467

598,128.00 Rp 24,532 Rp 122,661

10 CITA LESTARI 1402015591 Rp 98,129 475,467 10
11
598,128.00 Rp 24,532 Rp 122,661
11 SEPTIAN CANDRA DEWI 1402015531 Rp 98,129 475,467

598,128.00 Rp 24,532 Rp 122,661

12 MUSRIFAH NUR SAPUTRI 1402015523 Rp 98,129 475,467 12
13
598,128.00 Rp 24,532 Rp 122,661
13 DWI RATNASARI 1362012372 Rp 98,129 475,467

598,128.00 Rp 24,532 Rp 122,661

14 ENDAH SAKTI WULANDARI 1402016007 Rp 98,129 475,467 14
15
598,128.00 Rp 24,532 Rp 122,661
15 ALFINA NUR SYAMSIATI 1402015507 Rp 98,129 475,467

598,128.00 Rp 24,532 Rp 122,661

16 RUBI AUNUR RAFI 1402015477 Rp 98,129 475,467 16
17
598,128.00 Rp 24,532 Rp 122,661
17 SUROTO 1402015990 Rp 98,129 475,467

598,128.00 Rp 24,532 Rp 122,661

18 MIRZA AININ ARTYANI 1402015957 Rp 98,129 475,467 18
19
598,128.00 Rp 24,532 Rp 122,661
19 TRI ASTUTIK 1402018859 Rp 98,129 475,467

598,130.00 Rp 24,538 Rp 122,669

20 TRI HARYONO 1402018867 Rp 98,131 475,461 20

Rp 490,646
JUMLAH 11,962,570 #VALUE! Rp 1,962,582 2,453,228 9,509,342
MENGETAHUI KEPALA PUSKESAMAS SINE Sine, 07 SEPTEMBER 2023

- Bendahara

DR YENT RUSMAWATI BINTAR FEBRIANI DWI PUSPITASASRI

NIP:19870223 201001 2 023
-
 KANTOR DINAS KESEHATAN KABUPATEN NGAWI
PUSKESMAS SINE Bulan : Agustus 2023
NO NAMA JASA NO REKENING PPH iuran bpjs JML POT DILIMPAHKAN
1 dr. FITRI SAHYUNIARTI 4,232,406.48 1402005897 Rp 169,296 Rp 42,324 Rp 211,620 Rp 4,020,786
2 dr. Yeni suryani 3,343,987.39 0442050864 Rp 501,598 Rp 33,440 Rp 535,038 Rp 2,808,949
3 dr. DINA ARI FEPTA LINDA 2,027,913.14 1172006104 Rp 101,396 Rp 20,279 Rp 121,675 Rp 1,906,238
4 drg. TWORIKA RESTIKASARI 2,633,528.02 0102890949 Rp 131,676 Rp 26,335 Rp 158,012 Rp 2,475,516
5 Kaslan, Amd.Kep. 1,836,434.00 0442029270 Rp 91,822 Rp 18,364 Rp 110,186 Rp 1,726,248
6 Suharyani, Amd.Keb. 1,707,309.73 0442013655 Rp 85,365 Rp 17,073 Rp 102,439 Rp 1,604,871
7 Tutik Hariyantiningsih,Amd.Keb. 1,779,045.44 0442013755 Rp 88,952 Rp 17,790 Rp 106,743 Rp 1,672,303
8 Ismiyanti Prihandayani 1,069,413.79 0442429090 Rp 53,471 Rp 10,694 Rp 64,165 Rp 1,005,249
9 Nurmala dewi sofiana 2,039,501.22 0102893719 Rp 101,975 Rp 20,395 Rp 122,370 Rp 1,917,131
10 Joko Pramono 1,255,374.80 442429081 Rp 62,769 Rp 12,554 Rp 75,322 Rp 1,180,052
11 Abdur Rokhim, Amd.Kep. 2,068,747.31 0442429103 Rp 103,437 Rp 20,687 Rp 124,125 Rp 1,944,622
12 Jlonet Indratmoko 1,084,312.74 0442000701 Rp 54,216 Rp 10,843 Rp 65,059 Rp 1,019,254
13 Eny Nurhayati, S.Farm. 1,872,301.85 0442429260 Rp 93,615 Rp 18,723 Rp 112,338 Rp 1,759,964
14 Titik Handayani, Amd 1,506,449.76 0442429111 Rp 75,322 Rp 15,064 Rp 90,387 Rp 1,416,063
15 Fitriana Ari Winingsih, Amd.Kep. 1,915,343.27 0442044953 Rp 95,767 Rp 19,153 Rp 114,921 Rp 1,800,423
16 Desi Mariyana, AMK 1,764,698.29 1402005544 Rp 88,235 Rp 17,647 Rp 105,882 Rp 1,658,816
17 Dwi Ernawati, Amd. 2,065,988.25 0442429227 Rp 103,299 Rp 20,660 Rp 123,959 Rp 1,942,029
18 Nia Sumini, Amd.Kep. 1,872,301.85 0442429189 Rp 93,615 Rp 18,723 Rp 112,338 Rp 1,759,964
19 Tri Anayanti, Amd.Kep. 1,764,698.29 0442429243 Rp 88,235 Rp 17,647 Rp 105,882 Rp 1,658,816
20 Erna Tri Istanti, Amd.Kep. 1,492,102.62 0442429201 Rp 74,605 Rp 14,921 Rp 89,526 Rp 1,402,576
21 Ririn Krisdiana, Amd.Keb. 1,469,202.38 0442429138 Rp 73,460 Rp 14,692 Rp 88,152 Rp 1,381,050
22 Uswati Husna, Amd.Kep. 1,915,343.27 0442409544 Rp 95,767 Rp 19,153 Rp 114,921 Rp 1,800,423
23 Farida Zaqi, Amd.Kep. 1,456,234.77 0442429251 Rp 72,812 Rp 14,562 Rp 87,374 Rp 1,368,861
24 Suprapto, Amd.Kep. 1,561,079.26 0442424080 Rp 78,054 Rp 15,611 Rp 93,665 Rp 1,467,415
25 Bintar Febriani Dwi P. 1,814,913.29 0442438323 Rp 90,746 Rp 18,149 Rp 108,895 Rp 1,706,018
26 Yani Rahayu, Amd 1,470,581.91 0442438366 Rp 73,529 Rp 14,706 Rp 88,235 Rp 1,382,347
27 Anis Widiyanto 2,187,938.94 0442031045 Rp 109,397 Rp 21,879 Rp 131,276 Rp 2,056,663
28 Niken Panca Widayati 1,410,434.28 0102078969 Rp 70,522 Rp 14,104 Rp 84,626 Rp 1,325,808
29 Farida Imtihani 1,836,434.00 0442419213 Rp 91,822 Rp 18,364 Rp 110,186 Rp 1,726,248
30 Sayuk Ananingsih 1,563,838.33 0442429162 Rp 78,192 Rp 15,638 Rp 93,830 Rp 1,470,008
31 Wiwin Fajar Suryani 1,994,252.54 0442429146 Rp 83,428 Rp 15,195 Rp 98,623 Rp 1,895,630
32 Sri Arinah 1,323,247.81 0442423229 Rp 66,162 Rp 13,232 Rp 79,395 Rp 1,243,853
33 Emy Milah Ariyani 1,040,167.69 0442429197 Rp - Rp 10,402 Rp 10,402 Rp 1,029,766
34 Joko Susilo 717,357.03 0442438382 Rp - Rp 7,174 Rp 7,174 Rp 710,183
35 Insan Citra Dewi 753,224.88 1406247631 Rp - Rp 7,532 Rp 7,532 Rp 745,693
36 Sahab Pramudita 954,084.85 0442438331 Rp - Rp 9,541 Rp 9,541 Rp 944,544
37 Retno Wahyuni Purwaningsih 1,671,441.88 0442445095 Rp - Rp 16,714 Rp 16,714 Rp 1,654,727
38 Amir Mahmudi 695,836.32 1402005471 Rp - Rp 6,958 Rp 6,958 Rp 688,878
39 Dwi Suryani 1,434,714.06 1402014268 Rp - Rp 14,347 Rp 14,347 Rp 1,420,367
40 Devi Endah Infamayati 1,456,234.77 1402014306 Rp - Rp 14,562 Rp 14,562 Rp 1,441,672
41 Fitri Pitasari 1,527,970.47 0102371151 Rp - Rp 15,280 Rp 15,280 Rp 1,512,691
42 Arif Fatul Hidayah 1,492,102.62 1402014292 Rp - Rp 14,921 Rp 14,921 Rp 1,477,182
43 Emi Nurdiana Rohmati 1,377,325.50 1402014322 Rp - Rp 13,773 Rp 13,773 Rp 1,363,552
44 Dewi Fajarwati 1,635,574.03 1402014276 Rp - Rp 16,356 Rp 16,356 Rp 1,619,218
45 Ovi Mardiantini 1,377,325.50 1402014284 Rp - Rp 13,773 Rp 13,773 Rp 1,363,552
46 AULIA RAHMAN 1,786,219.01 0102891970 Rp - Rp 17,862 Rp 17,862 Rp 1,768,357
47 Wawan Arianto 1,362,978.36 0102892429 Rp - Rp 13,630 Rp 13,630 Rp 1,349,349
48 wahyu nurdian 1,327,110.51 0102890531 Rp - Rp 13,271 Rp 13,271 Rp 1,313,839
49 Pupita eryani 1,750,351.15 0102891821 Rp - Rp 17,504 Rp 17,504 Rp 1,732,848
50 Prihanita Loly M 1,434,714.06 1406020912 Rp - Rp 14,347 Rp 14,347 Rp 1,420,367
51 FITHRI WULANDARI A.md.Keb 1,549,491.19 0102832370 Rp - Rp 15,495 Rp 15,495 Rp 1,533,996
52 TERIKA BIAN KARIBTA A.Md,Keb 1,563,838.33 0102831926 Rp - Rp 15,638 Rp 15,638 Rp 1,548,200
53 NINING KUSUMAWATI,A.Md.Keb 1,563,838.33 0102832051 Rp - Rp 15,638 Rp 15,638 Rp 1,548,200
55 MARSETYO DWI WIDYATMOKO, SK 1,628,400.46 0102830954 Rp 81,420 Rp 16,284 Rp 97,704 Rp 1,530,696
56 ERNA FATHONAH, A.Md.Kep 1,657,094.74 0102832337 Rp - Rp 16,571 Rp 16,571 Rp 1,640,524
57 PUTRI DWI SUKMAWATI, A.Md.Kep 1,621,226.89 0102831055 Rp - Rp 16,212 Rp 16,212 Rp 1,605,015
58 HASBI WATORO, A.Md.Kep 1,657,094.74 0102831543 Rp - Rp 16,571 Rp 16,571 Rp 1,640,524
59 VITA DWI ARIYANI, A.Md.Kep 1,621,226.89 0102830784 Rp - Rp 16,212 Rp 16,212 Rp 1,605,015
60 ERLINA LATIFA DWI RESTI, A.Md.R - 0102831942 Rp - Rp - Rp - Rp -
61 DWI SETIANINGSIH, A.Md.KL. 1,269,721.94 0102830717 Rp - Rp 12,697 Rp 12,697 Rp 1,257,025
65 ROY WAHYU SETIAWAN 1,140,597.68 1402015485 Rp - Rp - Rp - Rp 1,140,598
66 MUHAMMAD FAHMI NASIKIN 939,737.71 1402016023 Rp - Rp - Rp - Rp 939,738
67 AGUS RIYANTO 1,085,968.18 1406021111 Rp - Rp - Rp - Rp 1,085,968
68 ARTIKA PUTRI LESTARI 939,737.71 1402015540 Rp - Rp - Rp - Rp 939,738
69 TRENDY OKTA SAPUTRA 939,737.71 1402006176 Rp - Rp - Rp - Rp 939,738
70 MUAFIF ARROHMAN 717,357.03 1402015981 Rp - Rp - Rp - Rp 717,357
71 DEVI RAHMAWATI 975,605.56 1402015850 Rp - Rp - Rp - Rp 975,606
72 RADETYA PRIMA PERDANA 1,154,944.82 1402015558 Rp - Rp - Rp - Rp 1,154,945
73 PUPUT AYU WULANDARI 1,097,556.26 1362012364 Rp - Rp - Rp - Rp 1,097,556
74 CITA LESTARI 903,869.86 1402015591 Rp - Rp - Rp - Rp 903,870
75 SEPTIAN CANDRA DEWI 903,869.86 1402015531 Rp - Rp - Rp - Rp 903,870
76 MUSRIFAH NUR SAPUTRI 882,349.15 1402015523 Rp - Rp - Rp - Rp 882,349
77 DWI RATNASARI 918,217.00 1362012372 Rp - Rp - Rp - Rp 918,217
78 ENDAH SAKTI WULANDARI 659,968.47 1402016007 Rp - Rp - Rp - Rp 659,968
79 ALFINA NUR SYAMSIATI 1,154,944.82 1402015507 Rp - Rp - Rp - Rp 1,154,945
80 RUBI AUNUR RAFI 1,119,076.97 1402015477 Rp - Rp - Rp - Rp 1,119,077
81 SUROTO 609,753.48 1402015990 Rp - Rp - Rp - Rp 609,753
82 MIRZA AININ ARTYANI 731,704.17 1402015957 Rp - Rp - Rp - Rp 731,704
83 TRI ASTUTIK 695,836.32 1402018859 Rp - Rp - Rp - Rp 695,836
84 TRI HARYONO 667,142.04 1402018867 Rp - Rp - Rp - Rp 667,142
JUMLAH 115,500,000 3,323,978 967,873 4,291,851 111,208,149

PAJAK
PPH 4,291,851 Sine,07 SEPTEMBER 2023
KONTRIBUSI
DILIMPAHKAN 111,208,149 Bendahara

TOTAL 115,500,000
BINTAR FEBRIANI DWI PUSPITASARI
NIP 19870223201001 2 023
 KANTOR DINAS KESEHATAN KABUPATEN NGAWI
PUSKESMAS SINE Bulan: Agustus 2023
NO NAMA JASA NO REKENING PPH JML POT DILIMPAHKAN
1 dr. FITRI SAHYUNIARTI Rp 7,206,667 1402005897 360,333 360,333 6,846,333
2 AULIA RAHMAN Rp 613,333 0102891970 - - 613,333
3 DEWI FAJARWATI Rp 460,000 1402014276 - 460,000
4 FITRIANA ARI WININGSIH Rp 460,000 0442044953 23,000 23,000 437,000
5 drg. TWORIKA RESTIKASARI Rp 460,000 0102890949 23,000 23,000 437,000
7 ANIS WIDIYANTO Rp 3,986,667 0442031045 199,333 199,333 3,787,333
8 MARSETYO D WIDYATMOKO Rp 306,667 1402015981 15,333 15,333 291,333
9 ENDAH SAKTI WULANDARI Rp 460,000 1402016007 - - 460,000
10 EMI MILAH ARIYANI Rp 1,073,333 0442429197 53,667 53,667 1,019,667
11 BINTAR FEBRIANI DP Rp 2,606,667 0442438323 130,333 130,333 2,476,333
12 NIA SUMINI Rp 920,000 0442429189 46,000 46,000 874,000
13 USWATI HUSNA Rp 1,993,333 0442409544 99,667 99,667 1,893,667
14 dr.DINA ARI FEPTA LINDA Rp 613,333 1172006104 30,667 30,667 582,667
15 TUTIK HARIYANTININGSIH Rp 460,000 0442013755 23,000 23,000 437,000
16 dr. YENI SURYANI Rp 920,000 0442050864 138,000 138,000 782,000
17 KASLAN Rp 460,000 0442029270 23,000 23,000 437,000
JUMLAH 23,000,000 1,165,333 1,165,333 21,834,667

PAJAK 1,165,333
PPH Sine 07 SEPTEMBER 2023
KONTRIBUSI
DILIMPAHKAN 21,834,667 Bendahara

TOTAL 23,000,000 BINTAR FEBRIANI DWI PUSPITASARI