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PEMERINTAH KABUPATEN MANGGARAI BARAT

DAFTAR PEMBAYARAN GAJI INDUK PPPK


[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 FERDINANDUS YADI ,S.KM TK-1 2,966,500 0 0 0 0 0 1 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
06-05-1986 4 3,381,810 0 0 0
198605062023211003 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
91 498 414 1 924 000 3,856,577 0 145,577 0
0 3,711,000
2 FLORENTINA DAPUTRI SAHANDI ,S.Gz TK-1 2,966,500 0 0 0 0 0 2 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
07-07-1986 4 3,381,810 0 0 0
198607072023212006 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
11.234.965.9-924.000 3,856,577 0 145,577 0
0 3,711,000
3 DEODATUS JUMADI ,S.K.M TK-1 2,966,500 0 0 0 0 0 3 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
08-06-1987 4 3,381,810 0 0 0
198706082023211003 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
41.929.472.3-924.000 3,856,577 0 145,577 0
0 3,711,000
4 ELSYANA THERESIA LAWE ,S.Kep TK-0 2,966,500 0 0 0 0 0 4 .............
2 0 185,000 0 0 0 0
118,660 0 217,260 0 32,702
06-09-1987 3 3,085,160 0 0 0
198709062023212010 MKG: 0 0 100,268 0
Penata Muda-9 0 0
50 0
.NULL. 3,487,470 0 132,970 0
0 3,354,500
5 FRIDUS ARFANDI JEGADUT ,SKM K -1 2,966,500 0 0 0 0 0 5 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
26-07-1988 4 3,381,810 0 0 0
198807262023211003 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
72.413.290.7-952.000 3,856,577 0 145,577 0
0 3,711,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 2

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
6 SITI AISYA ,S.KM TK-1 2,966,500 0 0 0 0 0 6 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
26-09-1988 4 3,381,810 0 0 0
198809262023212007 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
91.432.760.6-924.000 3,856,577 0 145,577 0
0 3,711,000
7 ROSDIANA HAMBUT ,S.ST TK-1 2,966,500 0 0 0 0 0 7 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
28-09-1989 3 3,322,480 0 0 0
198909282023212006 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
718741127924000 3,724,756 0 143,056 0
0 3,581,700
8 STEFANUS SAUR ,SKM TK-0 2,966,500 0 0 0 0 0 8 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
07-10-1989 1 2,966,500 0 0 0
198910072023211005 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
73.579.995.9-924.000 3,223,926 0 127,926 0
0 3,096,000
9 PRISCHA GAUDENSIA SEPTIANI TK-1 2,966,500 0 0 0 0 0 9 .............
,S.Gz. 2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
20-12-1990 4 3,381,810 0 0 0
199012202023212011 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
62587725933942000 3,856,577 0 145,577 0
0 3,711,000
10 SABINUS WITOMI MADEN ,S.Farrn TK-1 2,966,500 0 0 0 0 0 10 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
30-12-1990 4 3,381,810 0 0 0
199012302023211002 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
39.556.292.9-924.000 3,856,577 0 145,577 0
0 3,711,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 3

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
11 ENGELBERTUS PONGKOR ,SKM TK-1 2,966,500 0 0 0 0 0 11 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
18-01-1991 4 3,381,810 0 0 0
199101182023211004 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
40.193.459.1-924.000 3,856,577 0 145,577 0
0 3,711,000
12 FLORIANUS HADUN ,SKM TK-1 2,966,500 0 0 0 0 0 12 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
24-03-1991 4 3,381,810 0 0 0
199103242023211003 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
13.418.482.9-924.000 3,856,577 0 145,577 0
0 3,711,000
13 FABIANUS DANTO ,S.KM TK-1 2,966,500 0 0 0 0 0 13 .............
0 296,650 185,000 0 0 0 0
0 0 144,840 0 34,482
06-06-1991 2 3,263,150 0 0 0
199106062023211006 MKG: 0 0 106,052 0
Penata Muda-9 0 0
44 0
65.085.353.4-924.000 3,593,034 0 140,534 0
0 3,452,500
14 ERMELIENSI MURNIATI ,S.K.M TK-1 2,966,500 0 0 0 0 0 14 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
15-06-1991 4 3,381,810 0 0 0
199106152023212013 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
85.916.024.4-924.000 3,856,577 0 145,577 0
0 3,711,000
15 BONEVORTIS VISTINIKA BAHA ,S.KM TK-0 2,966,500 0 0 0 0 0 15 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
15-07-1991 1 2,966,500 0 0 0
199107152023212015 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
76.780.764.7-924.000 3,223,926 0 127,926 0
0 3,096,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 4

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
16 MAXMILIANA AGUSTINA PRAMUNITA TK-1 2,966,500 0 0 0 0 0 16 .............
,S.Gz 1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
14-08-1991 3 3,322,480 0 0 0
199108142023212009 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
766603799924000 3,724,756 0 143,056 0
0 3,581,700
17 GABRIELA YOANI ANRI ,S.Tr.Keb. TK-1 2,966,500 0 0 0 0 0 17 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
11-09-1991 4 3,381,810 0 0 0
199109112023212010 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
43.203.536.8-924.000 3,856,577 0 145,577 0
0 3,711,000
18 KRESENSIA TRIFIKA JERTI ,S.Gz TK-1 2,966,500 0 0 0 0 0 18 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
14-09-1991 4 3,381,810 0 0 0
199109142023212006 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
634971063924000 3,856,577 0 145,577 0
0 3,711,000
19 FRANSISKA OLI MADI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 19 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
04-10-1991 3 3,322,480 0 0 0
199110042023212013 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
39.580.103.8-924.000 3,724,756 0 143,056 0
0 3,581,700
20 ROSMIATI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 20 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
02-05-1992 3 3,322,480 0 0 0
199205022023212017 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
91.564.981.8-924.000 3,724,756 0 143,056 0
0 3,581,700
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 5

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
21 SRI YENI DINARTI ,S.Tr.Keb TK-0 2,966,500 0 0 0 0 0 21 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
13-07-1992 1 2,966,500 0 0 0
199207132023212008 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
41.271.550.0-924.000 3,223,926 0 127,926 0
0 3,096,000
22 MAGDALENA NOVIA ,S.K.M. TK-1 2,966,500 0 0 0 0 0 22 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
23-09-1992 3 3,322,480 0 0 0
199209232023212013 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
62.560.589.4-924.000 3,724,756 0 143,056 0
0 3,581,700
23 HERLINDA JENAI ,SKM TK-1 2,966,500 0 0 0 0 0 23 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
07-10-1992 4 3,381,810 0 0 0
199210072023212013 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
62.472.908.3-924.000 3,856,577 0 145,577 0
0 3,711,000
24 THEODORA UCY RATNAWATI ,S.G.Z TK-0 2,966,500 0 0 0 0 0 24 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
28-01-1993 1 2,966,500 0 0 0
199301282023212006 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
621363175924000 3,223,926 0 127,926 0
0 3,096,000
25 DIDIANA KUSUMA BALU ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 25 .............
2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
21-02-1993 4 3,381,810 0 0 0
199302212023212006 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
62.376.451.1-924.000 3,856,577 0 145,577 0
0 3,711,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 6

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
26 PASKALISTA NEJAM ,S.KM TK-0 2,966,500 0 0 0 0 0 26 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
11-04-1993 1 2,966,500 0 0 0
199304112023212011 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
91.671.823.2-924.000 3,223,926 0 127,926 0
0 3,096,000
27 EUFROSINA YONASTI FENNY TK-1 2,966,500 0 0 0 0 0 27 .............
,S.Tr.Keb. 2 296,650 185,000 0 0 0 0
118,660 0 289,680 0 35,668
23-05-1993 4 3,381,810 0 0 0
199305232023212015 MKG: 0 0 109,909 0
Penata Muda-9 0 0
87 0
915241814-924000 3,856,577 0 145,577 0
0 3,711,000
28 MARIA MELANIA KEO ,S.Tr.Keb TK-0 2,966,500 0 0 0 0 0 28 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
24-05-1993 1 2,966,500 0 0 0
199305242023212013 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
955550801923000 3,223,926 0 127,926 0
0 3,096,000
29 SRY RAHAYUNI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 29 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
26-12-1993 3 3,322,480 0 0 0
199312262023212014 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
85.370.584.6-924.000 3,724,756 0 143,056 0
0 3,581,700
30 INVIOLA LUKAS LELO MASU ,SKM TK-0 2,966,500 0 0 0 0 0 30 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
16-02-1994 1 2,966,500 0 0 0
199402162023212009 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
80.942.148.0-923.000 3,223,926 0 127,926 0
0 3,096,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 7

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
31 PATRIANA NONI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 31 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
21-06-1994 3 3,322,480 0 0 0
199406212023212005 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
633879986924000 3,724,756 0 143,056 0
0 3,581,700
32 DARMAWATI ,S.Tr.Kep TK-0 2,966,500 0 0 0 0 0 32 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
10-09-1994 1 2,966,500 0 0 0
199409102023212007 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
.NULL. 3,223,926 0 127,926 0
0 3,096,000
33 FITRIANTI RIANI SARI ,STr.Keb TK-1 2,966,500 0 0 0 0 0 33 .............
0 296,650 185,000 0 0 0 0
0 0 144,840 0 34,482
23-09-1994 2 3,263,150 0 0 0
199409232023212010 MKG: 0 0 106,052 0
Penata Muda-9 0 0
44 0
63.904.423.9-924.000 3,593,034 0 140,534 0
0 3,452,500
34 CALISTUS MARTINUS OLA ,SKM TK-1 2,966,500 0 0 0 0 0 34 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
14-10-1994 3 3,322,480 0 0 0
199410142023211003 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
95.589.147.8-924.000 3,724,756 0 143,056 0
0 3,581,700
35 SULFAIDAH ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 35 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
21-12-1994 3 3,322,480 0 0 0
199412212023212009 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
412025975924000 3,724,756 0 143,056 0
0 3,581,700
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 8

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
36 YEHEZKIEL EMANUEL ,S.K.M TK-0 2,966,500 0 0 0 0 0 36 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
24-12-1994 1 2,966,500 0 0 0
199412242023211002 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
18.318.340.7-924.000 3,223,926 0 127,926 0
0 3,096,000
37 YOHANA DESI PURNAMA SARI TK-0 2,966,500 0 0 0 0 0 37 .............
,S.Tr.Keb 0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
24-12-1994 1 2,966,500 0 0 0
199412242023212013 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
86.517.038.5-924.000 3,223,926 0 127,926 0
0 3,096,000
38 ADHANIAR AMINUDDIN ,S.ST TK-0 2,966,500 0 0 0 0 0 38 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
28-12-1994 1 2,966,500 0 0 0
199412282023212016 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
413041393924000 3,223,926 0 127,926 0
0 3,096,000
39 MARIA IMAKULATA NOJENG ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 39 .............
1 296,650 185,000 0 0 0 0
59,330 0 217,260 0 35,075
31-05-1995 3 3,322,480 0 0 0
199505312023212006 MKG: 0 0 107,981 0
Penata Muda-9 0 0
16 0
323367789924000 3,724,756 0 143,056 0
0 3,581,700
40 IDRIS ,S.Tr.A.K. TK-0 2,966,500 0 0 0 0 0 40 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
02-10-1995 1 2,966,500 0 0 0
199510022023211004 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
96.459.410.5-924.000 3,223,926 0 127,926 0
0 3,096,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 9

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
41 HERLINDA ASTRIANI JELITA TK-0 2,966,500 0 0 0 0 0 41 .............
,S.Tr.Keb. 0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
06-01-1996 1 2,966,500 0 0 0
199601062023212004 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
96.520.441.5-924.000 3,223,926 0 127,926 0
0 3,096,000
42 PATRISIA KURNIATI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 42 .............
0 296,650 185,000 0 0 0 0
0 0 144,840 0 34,482
17-03-1996 2 3,263,150 0 0 0
199603172023212008 MKG: 0 0 106,052 0
Penata Muda-9 0 0
44 0
43.245.117.7-924.000 3,593,034 0 140,534 0
0 3,452,500
43 AGNESTI ALRIANTI ,S.Tr.Keb TK-1 2,966,500 0 0 0 0 0 43 .............
0 296,650 185,000 0 0 0 0
0 0 144,840 0 34,482
20-04-1996 2 3,263,150 0 0 0
199604202023212008 MKG: 0 0 106,052 0
Penata Muda-9 0 0
44 0
650434723924000 3,593,034 0 140,534 0
0 3,452,500
44 MARIA IMAKULATA ,S.Tr.Keb TK-0 2,966,500 0 0 0 0 0 44 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
15-05-1996 1 2,966,500 0 0 0
199605152023212002 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
39.558.835.3-924.000 3,223,926 0 127,926 0
0 3,096,000
45 KAROLINA SUNARTI ,A.Md.Kes TK-0 2,966,500 0 0 0 0 0 45 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,515
04-11-1996 1 2,966,500 0 0 0
199611042023212006 MKG: 0 0 96,411 0
Penata Muda-9 0 0
6 0
41.303.042.0-924.000 3,223,926 0 127,926 0
0 3,096,000
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 10

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
SUB TOTAL PERGOLONGAN : 133,492,500 0 0 0 0 0
PEG: 45 8,602,850 8,325,000 0 0 0 0
IST: 29 JIWA= 116 2,491,860 0 8,400,720 0 1,529,125
144,587,210 0 0 0
ANK: 42 0 4,699,086 0
1,781 0 0
161,314,711 0 6,228,211
0 155,086,500
46 MARIA HARIANI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 46 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
13-08-1981 1 2,647,200 0 0 0
198108132023212005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
752928168924000 2,899,706 0 114,306 0
0 2,785,400
47 BONEFASIUS DAMBUK ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 47 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
26-08-1982 4 3,017,808 0 0 0
198208262023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.558.654.0-924.000 3,487,557 0 130,057 0
0 3,357,500
48 ANITA PUSPITASARI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 48 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
09-06-1983 1 2,647,200 0 0 0
198306092023212003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
436098073924000 2,899,706 0 114,306 0
0 2,785,400
49 NURHAYATI ,A.Md.FT TK-1 2,647,200 0 0 0 0 0 49 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
16-05-1984 4 3,017,808 0 0 0
198405162023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
14.610.804.8-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 11

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
50 BAYU AZIS MAWAHIB ,AMK TK-0 2,647,200 0 0 0 0 0 50 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
30-08-1984 1 2,647,200 0 0 0
198408302023211002 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.489.949.8-924.000 2,899,706 0 114,306 0
0 2,785,400
51 MARIA YASINTA SUMEATUN ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 51 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
19-11-1984 4 3,017,808 0 0 0
198411192023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
828153270924000 3,487,557 0 130,057 0
0 3,357,500
52 MAKSIMUS MARLIN ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 52 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
17-04-1985 4 3,017,808 0 0 0
198504172023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
119509909924000 3,487,557 0 130,057 0
0 3,357,500
53 GERALDUS PATRI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 53 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
01-08-1985 4 3,017,808 0 0 0
198508012023211001 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.919.891.0-924.000 3,487,557 0 130,057 0
0 3,357,500
54 MUH.ISLAM ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 54 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-09-1985 4 3,017,808 0 0 0
198509292023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
16.120.640.4.924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 12

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
55 MELKIOR MANDUS ,AMK TK-0 2,647,200 0 0 0 0 0 55 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
03-10-1985 1 2,647,200 0 0 0
198510032023211001 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
638927608924000 2,899,706 0 114,306 0
0 2,785,400
56 BERNADETA JENIA ,A.Md.Gz TK-0 2,647,200 0 0 0 0 0 56 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
03-02-1986 1 2,647,200 0 0 0
198602032023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.374.279.8-924.000 2,899,706 0 114,306 0
0 2,785,400
57 KRISTINA ERNI ,AMK TK-1 2,647,200 0 0 0 0 0 57 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
26-03-1986 3 2,964,864 0 0 0
198603262023212005 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.848.604.3-924.000 3,362,207 0 127,807 0
0 3,234,400
58 BLASIUS KANTUR ,AMK TK-1 2,647,200 0 0 0 0 0 58 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-07-1986 4 3,017,808 0 0 0
198607222023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
83.321.573.0-924.000 3,487,557 0 130,057 0
0 3,357,500
59 REGINA LIMA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 59 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
04-08-1986 1 2,647,200 0 0 0
198608042023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
89.038.939.8-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 13

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
60 YULIATI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 60 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
05-08-1986 3 2,964,864 0 0 0
198608052023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
11.921.309.8-924.000 3,362,207 0 127,807 0
0 3,234,400
61 YULIANA SARDINA ,Amd,Kep TK-0 2,647,200 0 0 0 0 0 61 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
23-08-1986 1 2,647,200 0 0 0
198608232023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
16.543.409.3-924.000 2,899,706 0 114,306 0
0 2,785,400
62 SITI NURMA ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 62 .............
2 0 180,000 0 0 0 0
105,888 0 217,260 0 29,331
23-11-1986 3 2,753,088 0 0 0
198611232023212004 MKG: 3 0 89,475 0
Pengatur-7 0 0
58 0
91.938.403.2-924.000 3,150,406 0 118,806 0
0 3,031,600
63 ERNAWATI NURDIN ,A.md.kep TK-1 2,647,200 0 0 0 0 0 63 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-01-1987 4 3,017,808 0 0 0
198701292023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
419292776924000 3,487,557 0 130,057 0
0 3,357,500
64 YOHANES EDWARD LANJONG ,AMK TK-1 2,647,200 0 0 0 0 0 64 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
31-01-1987 4 3,017,808 0 0 0
198701312023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
65.117.497.1-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 14

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
65 EDELTRUDIS METI ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 65 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
19-03-1987 4 3,017,808 0 0 0
198703192023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.806.342.0-924.000 3,487,557 0 130,057 0
0 3,357,500
66 ETA LAMBA ,A.Md.keb TK-1 2,647,200 0 0 0 0 0 66 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
15-04-1987 4 3,017,808 0 0 0
198704152023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.490.811.7-924.000 3,487,557 0 130,057 0
0 3,357,500
67 FATIMA BHOGA ,A.Md.keb TK-0 2,647,200 0 0 0 0 0 67 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
01-05-1987 1 2,647,200 0 0 0
198705012023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
23.830.337.4-923.000 2,899,706 0 114,306 0
0 2,785,400
68 RATI PATASARI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 68 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
02-05-1987 1 2,647,200 0 0 0
198705022023212015 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
16.733.395.4-924.000 2,899,706 0 114,306 0
0 2,785,400
69 SILVIANA NIRMALA JUITA ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 69 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
19-05-1987 1 2,647,200 0 0 0
198705192023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
87.356.262.3-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 15

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
70 FLORENSIA ALEXTRI VIANI ,A.Md.AK TK-1 2,647,200 0 0 0 0 0 70 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
25-06-1987 4 3,017,808 0 0 0
198706252023212011 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
85.906.618.5-924.000 3,487,557 0 130,057 0
0 3,357,500
71 FILOMENA MIMAN ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 71 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
11-07-1987 1 2,647,200 0 0 0
198707112023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
72.517.233.2-924.000 2,899,706 0 114,306 0
0 2,785,400
72 SITI HAJAR ,AMAK TK-1 2,647,200 0 0 0 0 0 72 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-08-1987 4 3,017,808 0 0 0
198708052023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
74.571.743.9-924.000 3,487,557 0 130,057 0
0 3,357,500
73 YOVITA JENINA ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 73 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
09-08-1987 4 3,017,808 0 0 0
198708092023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.550.124.2-924.000 3,487,557 0 130,057 0
0 3,357,500
74 YUSTINA MOMANG ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 74 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
18-08-1987 4 3,017,808 0 0 0
198708192023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.439.231.0-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 16

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
75 DYAH PUSPITA KUSUMAJATI TK-1 2,647,200 0 0 0 0 0 75 .............
,A.Md.Keb 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-10-1987 4 3,017,808 0 0 0
198710142023212015 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
094783222521000 3,487,557 0 130,057 0
0 3,357,500
76 MARTINA LEDINANTO ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 76 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
23-10-1987 4 3,017,808 0 0 0
198710232023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
13.444.919.8-924.000 3,487,557 0 130,057 0
0 3,357,500
77 EVELINDA MAMU ,AMK TK-1 2,647,200 0 0 0 0 0 77 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-01-1988 4 3,017,808 0 0 0
198801222023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.343.645.8-924.000 3,487,557 0 130,057 0
0 3,357,500
78 NESTORIA SARINI WATI ,AMK TK-1 2,647,200 0 0 0 0 0 78 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
26-02-1988 4 3,017,808 0 0 0
198802262023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.127.955.3-924.000 3,487,557 0 130,057 0
0 3,357,500
79 SUMARDIN ,A.Md.Kep. TK-1 2,647,200 0 0 0 0 0 79 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-03-1988 4 3,017,808 0 0 0
198803052023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
11.875.485.2-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 17

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
80 FLORIANA JEMINA ,AMAK TK-1 2,647,200 0 0 0 0 0 80 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
11-03-1988 4 3,017,808 0 0 0
198803112023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
76.873.466.7-924.000 3,487,557 0 130,057 0
0 3,357,500
81 YUSTIANA DIANA JANONG ,AMK TK-1 2,647,200 0 0 0 0 0 81 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-03-1988 4 3,017,808 0 0 0
198803122023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
733796643924000 3,487,557 0 130,057 0
0 3,357,500
82 BERNADETA EMIL ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 82 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
27-03-1988 1 2,647,200 0 0 0
198803272023212003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65.033.130.9-924.000 2,899,706 0 114,306 0
0 2,785,400
83 SILVESTER MEO ,A.M.K TK-1 2,647,200 0 0 0 0 0 83 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
18-05-1988 4 3,017,808 0 0 0
198805182023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
61.602.755.3-924.000 3,487,557 0 130,057 0
0 3,357,500
84 KAROLUS HARTO ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 84 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
03-06-1988 2 2,911,920 0 0 0
198806032023211002 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
433528551-924000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 18

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
85 PRIMUS HAGU ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 85 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
09-06-1988 4 3,017,808 0 0 0
198806092023211001 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.183.342.5-924.000 3,487,557 0 130,057 0
0 3,357,500
86 MARIA IDA ASTIN ,A.Md.kep TK-1 2,647,200 0 0 0 0 0 86 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-07-1988 4 3,017,808 0 0 0
198807052023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.131.622.1-924.000 3,487,557 0 130,057 0
0 3,357,500
87 MARTINA HELMI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 87 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
21-07-1988 4 3,017,808 0 0 0
198807212023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
68.816.581.1-924.000 3,487,557 0 130,057 0
0 3,357,500
88 VERONIKA MANUL ,AMK TK-1 2,647,200 0 0 0 0 0 88 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
25-07-1988 3 2,964,864 0 0 0
198807252023212006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
650479728924 3,362,207 0 127,807 0
0 3,234,400
89 MARIA MAGDALENA ELFIRA ,A.Md.Gz TK-0 2,647,200 0 0 0 0 0 89 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
26-07-1988 1 2,647,200 0 0 0
198807262023212003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
73.431.398.4-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 19

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
90 MARIA ORILINA NESTI ,AMK TK-1 2,647,200 0 0 0 0 0 90 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
07-08-1988 4 3,017,808 0 0 0
198808072023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.176.130.1-924.000 3,487,557 0 130,057 0
0 3,357,500
91 KRISTIANA MULYATI ,AMK TK-1 2,647,200 0 0 0 0 0 91 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
08-08-1988 4 3,017,808 0 0 0
198808082023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
65.098.212.7-924.000 3,487,557 0 130,057 0
0 3,357,500
92 NURHUDAYA ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 92 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
16-08-1988 1 2,647,200 0 0 0
198808162023212005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.195.821.8-16.000 2,899,706 0 114,306 0
0 2,785,400
93 INNOSENSIUS SOTERINO HADING TK-1 2,647,200 0 0 0 0 0 93 .............
,A.Md.Kep 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
03-09-1988 3 2,964,864 0 0 0
198809032023211001 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
96.660.750.9-924.000 3,362,207 0 127,807 0
0 3,234,400
94 WENSESLAUS EDU ,AMK TK-0 2,647,200 0 0 0 0 0 94 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
28-09-1988 1 2,647,200 0 0 0
198809282023211004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
91.490.718.3-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 20

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
95 MARIA ERMELINDA HANGGUR TK-0 2,647,200 0 0 0 0 0 95 .............
,A.Md.Kep 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
01-10-1988 1 2,647,200 0 0 0
198810012023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.491.757.1-924.000 2,899,706 0 114,306 0
0 2,785,400
96 YUVENSIUS SARDIN ,A.M.K TK-1 2,647,200 0 0 0 0 0 96 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-10-1988 4 3,017,808 0 0 0
198810032023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.610.320.2-924.000 3,487,557 0 130,057 0
0 3,357,500
97 MARIA OKTAVIA HADIA ,A.Md.,Keb. TK-1 2,647,200 0 0 0 0 0 97 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
14-10-1988 2 2,911,920 0 0 0
198810142023212004 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
41.260.472.0-924.000 3,236,856 0 125,556 0
0 3,111,300
98 ERMELINDA OME LOU ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 98 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
20-10-1988 4 3,017,808 0 0 0
198810202023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
90.578.854.3-923.000 3,487,557 0 130,057 0
0 3,357,500
99 KRISTINA SURYA ,AMK TK-1 2,647,200 0 0 0 0 0 99 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
27-10-1988 4 3,017,808 0 0 0
198810272023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
76.666.789.3-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 21

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
100 RICKY OCTAVIANUS PHILHASAGA DEON TK-0 2,647,200 0 0 0 0 0 100 .............
,AMAK 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
29-10-1988 1 2,647,200 0 0 0
198810292023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65.017.534.2-924.000 2,899,706 0 114,306 0
0 2,785,400
101 RUSLIN ,A.Md.Kep. TK-1 2,647,200 0 0 0 0 0 101 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
30-10-1988 4 3,017,808 0 0 0
198810302023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.264.776.6-924.000 3,487,557 0 130,057 0
0 3,357,500
102 FERDINANDUS MULYANO MUJUR TK-1 2,647,200 0 0 0 0 0 102 .............
,A.Md.Kep 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
28-12-1988 4 3,017,808 0 0 0
198812282023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
65.105.873.7-924.000 3,487,557 0 130,057 0
0 3,357,500
103 MARSELUS ANGKAT ,AMK TK-1 2,647,200 0 0 0 0 0 103 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
09-04-1989 3 2,964,864 0 0 0
198904092023211003 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
92.823.806.2-924.000 3,362,207 0 127,807 0
0 3,234,400
104 ENGELBERTUS SURIA PALUNG ,AMd.Kl TK-1 2,647,200 0 0 0 0 0 104 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
11-04-1989 4 3,017,808 0 0 0
198904112023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.592.199.4-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 22

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
105 ROFINUS VINO TINTA ,A.Md.Ak TK-1 2,647,200 0 0 0 0 0 105 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-04-1989 4 3,017,808 0 0 0
198904142023211007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
638073619924000 3,487,557 0 130,057 0
0 3,357,500
106 BERNAT ERNI LILI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 106 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
05-05-1989 3 2,964,864 0 0 0
198905052023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
65.048.602.0-924.000 3,362,207 0 127,807 0
0 3,234,400
107 MARIA INDRA ITO ,A.Md,kep TK-0 2,647,200 0 0 0 0 0 107 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
08-05-1989 1 2,647,200 0 0 0
198905082023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.567.636.0-924.000 2,899,706 0 114,306 0
0 2,785,400
108 SITI NURWAHIDA ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 108 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
12-05-1989 3 2,964,864 0 0 0
198905122023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
70.414.520.0-924.000 3,362,207 0 127,807 0
0 3,234,400
109 FANITEA REANI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 109 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-05-1989 4 3,017,808 0 0 0
198905142023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
13.425.093.5-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 23

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
110 ABDUL HADIB MUXIM ,AMd.Kep TK-0 2,647,200 0 0 0 0 0 110 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
20-05-1989 1 2,647,200 0 0 0
198905202023211002 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.342.821.6-924.000 2,899,706 0 114,306 0
0 2,785,400
111 MARIANA LALITA TRISNAWATI ,AMK TK-1 2,647,200 0 0 0 0 0 111 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
26-05-1989 4 3,017,808 0 0 0
198905262023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
39.534.396.5-924.000 3,487,557 0 130,057 0
0 3,357,500
112 ARYANI ,AMK TK-0 2,647,200 0 0 0 0 0 112 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
09-06-1989 1 2,647,200 0 0 0
198906092023212007 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
11.963.386.5-924.000 2,899,706 0 114,306 0
0 2,785,400
113 ELFRIDUS TARMAN ,AMAK TK-1 2,647,200 0 0 0 0 0 113 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-06-1989 4 3,017,808 0 0 0
198906122023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.220.147.3-924.000 3,487,557 0 130,057 0
0 3,357,500
114 SELVIANA BAUS ,A.Md.Kep. TK-1 2,647,200 0 0 0 0 0 114 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
19-06-1989 4 3,017,808 0 0 0
198906192023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.825.088.6-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 24

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
115 BENEDIKTUS ANGGUR ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 115 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
11-07-1989 4 3,017,808 0 0 0
198907112023211006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.848.535.9-924.000 3,487,557 0 130,057 0
0 3,357,500
116 MARIA SRIHARTI KASIASI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 116 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
26-07-1989 4 3,017,808 0 0 0
198907262023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
396038366924000 3,487,557 0 130,057 0
0 3,357,500
117 SISILIA NINMALSLAI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 117 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
30-07-1989 4 3,017,808 0 0 0
198907302023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.429.418.7-924.000 3,487,557 0 130,057 0
0 3,357,500
118 FERDINANDUS PANTAS ,AMK TK-1 2,647,200 0 0 0 0 0 118 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-08-1989 4 3,017,808 0 0 0
198908032023211005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.470.613.1-924.000 3,487,557 0 130,057 0
0 3,357,500
119 MAIYANI ,A.Md.,AK TK-1 2,647,200 0 0 0 0 0 119 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
04-08-1989 3 2,964,864 0 0 0
198908042023212006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
83.242.803.1-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 25

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
120 ROSVITA JAIMAN ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 120 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
07-08-1989 4 3,017,808 0 0 0
198908072023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.565.244.1-924.000 3,487,557 0 130,057 0
0 3,357,500
121 YENITA KURNIATI BAN ,A.Md.KL TK-0 2,647,200 0 0 0 0 0 121 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
12-08-1989 1 2,647,200 0 0 0
198908122023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
63.919.891.0-924.000 2,899,706 0 114,306 0
0 2,785,400
122 FATIMA IDAN ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 122 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-08-1989 4 3,017,808 0 0 0
198908122023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
26.540.106.7-924.000 3,487,557 0 130,057 0
0 3,357,500
123 WIRIENFRIDUS SURAYA ,AMK TK-1 2,647,200 0 0 0 0 0 123 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-08-1989 4 3,017,808 0 0 0
198908142023211007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.494.691.9-924.000 3,487,557 0 130,057 0
0 3,357,500
124 MAKSIMILIAN LEISTRIN ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 124 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-08-1989 4 3,017,808 0 0 0
198908142023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
664478930924000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 26

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
125 AGUSTINUS BAHAGIA GAHAM TK-1 2,647,200 0 0 0 0 0 125 .............
,A.Md.Rad 0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
29-08-1989 2 2,911,920 0 0 0
198908292023211002 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
713128981805000 3,236,856 0 125,556 0
0 3,111,300
126 MARGARETA LUJUM ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 126 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
01-09-1989 2 2,911,920 0 0 0
198909012023212007 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
93.146.691.6-924.000 3,236,856 0 125,556 0
0 3,111,300
127 SRI WAHYUNI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 127 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
16-09-1989 4 3,017,808 0 0 0
198909162023212011 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
13.444.903.2-924.000 3,487,557 0 130,057 0
0 3,357,500
128 MARIA SEPTIANI DEWINDA TK-0 2,647,200 0 0 0 0 0 128 .............
,A.Md.Keb. 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
16-09-1989 1 2,647,200 0 0 0
198909162023212012 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.494.691.9-924.000 2,899,706 0 114,306 0
0 2,785,400
129 YOSEFINA BERTI ,A.Md.Gz. TK-1 2,647,200 0 0 0 0 0 129 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
21-09-1989 4 3,017,808 0 0 0
198909212023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.567.109.4-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 27

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
130 VENANSIUS JELAHU ,A.Md.F TK-0 2,647,200 0 0 0 0 0 130 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
02-10-1989 1 2,647,200 0 0 0
198910022023211004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
623909371924000 2,899,706 0 114,306 0
0 2,785,400
131 ROSARIANA ROSMA ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 131 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
18-10-1989 4 3,017,808 0 0 0
198910182023212011 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
047166343924000 3,487,557 0 130,057 0
0 3,357,500
132 RELIANA JAIMAN ,Amd.Kep TK-1 2,647,200 0 0 0 0 0 132 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-11-1989 4 3,017,808 0 0 0
198911032023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
813932829924000 3,487,557 0 130,057 0
0 3,357,500
133 MERSIANA NGANUL ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 133 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
24-11-1989 4 3,017,808 0 0 0
198911242023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
16.710.348.0-952.000 3,487,557 0 130,057 0
0 3,357,500
134 KRISTIANA HENI MAWAR ,Amd.Kep TK-0 2,647,200 0 0 0 0 0 134 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
27-11-1989 1 2,647,200 0 0 0
198911272023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
16.512.988.3-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 28

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
135 NETI SURYANI HEMIN ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 135 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
06-12-1989 2 2,911,920 0 0 0
198912062023212005 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
00.579.177.7-924.000 3,236,856 0 125,556 0
0 3,111,300
136 ELISABET INTOVIANA ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 136 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
08-12-1989 4 3,017,808 0 0 0
198912082023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.252.675.4-924.000 3,487,557 0 130,057 0
0 3,357,500
137 YADOKUS ASISTAN DISMAN ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 137 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
13-12-1989 4 3,017,808 0 0 0
198912132023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
625717772-924000 3,487,557 0 130,057 0
0 3,357,500
138 LASARUS YOLANDA KARONG ,A.Md,Kep TK-1 2,647,200 0 0 0 0 0 138 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
17-12-1989 4 3,017,808 0 0 0
198912172023211005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.553.496.1-924.000 3,487,557 0 130,057 0
0 3,357,500
139 VALERIA VARIDA RATNA ,AMK TK-0 2,647,200 0 0 0 0 0 139 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
19-12-1989 1 2,647,200 0 0 0
198912192023212013 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
944701697924000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 29

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
140 MARIA EMILIANA PUSPAYATI TK-1 2,647,200 0 0 0 0 0 140 .............
,A.Md.keb 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-01-1990 4 3,017,808 0 0 0
199001052023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
75.234.481.2-924.000 3,487,557 0 130,057 0
0 3,357,500
141 MUHAMAD IDRIS ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 141 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-01-1990 4 3,017,808 0 0 0
199001142023211001 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
10.104.932.8-924.000 3,487,557 0 130,057 0
0 3,357,500
142 YOSEFA SURYA RATNA ,A.MK TK-0 2,647,200 0 0 0 0 0 142 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
21-01-1990 1 2,647,200 0 0 0
199001212023212004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
13.451.350.6-924.000 2,899,706 0 114,306 0
0 2,785,400
143 GAUDENSIA TENI SALUR ,AMAK TK-1 2,647,200 0 0 0 0 0 143 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-01-1990 4 3,017,808 0 0 0
199001222023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
27.159.332.9-924.000 3,487,557 0 130,057 0
0 3,357,500
144 EMILIANA MULTI ,AMAK TK-1 2,647,200 0 0 0 0 0 144 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
27-02-1990 4 3,017,808 0 0 0
199002272023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
94.166.668.7-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 30

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
145 MERNAWATI DEWI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 145 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
27-03-1990 1 2,647,200 0 0 0
199003272023212002 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
89.038.948.9-924.000 2,899,706 0 114,306 0
0 2,785,400
146 MOHAMAD ARIFIN ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 146 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-04-1990 4 3,017,808 0 0 0
199004142023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
91.871.684.6-924.000 3,487,557 0 130,057 0
0 3,357,500
147 VALERIANUS SUNARDI ,AMK TK-0 2,647,200 0 0 0 0 0 147 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
18-04-1990 1 2,647,200 0 0 0
199004182023211008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
91.481.174.0-924.000 2,899,706 0 114,306 0
0 2,785,400
148 FLAVIANUS IVAN RUSMIYADI ,AMAK TK-0 2,647,200 0 0 0 0 0 148 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-04-1990 1 2,647,200 0 0 0
199004242023211004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
82.798.161.4-924.000 2,899,706 0 114,306 0
0 2,785,400
149 WAHYUDIN TAGUNG ,AMK TK-1 2,647,200 0 0 0 0 0 149 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
28-04-1990 4 3,017,808 0 0 0
199004282023211008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
11.816.239.5-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 31

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
150 BENEDIKTA HADIA ,A.Md Farm TK-1 2,647,200 0 0 0 0 0 150 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
30-04-1990 4 3,017,808 0 0 0
199004302023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.379.027.6-924.000 3,487,557 0 130,057 0
0 3,357,500
151 BEATRIKS GISELA NELOS ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 151 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
08-05-1990 1 2,647,200 0 0 0
199005082023212013 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
91.826.232.0-924.000 2,899,706 0 114,306 0
0 2,785,400
152 WILIBRODUS NGGOANG ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 152 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
17-05-1990 4 3,017,808 0 0 0
199005172023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
650715659924000 3,487,557 0 130,057 0
0 3,357,500
153 YOSEPH MASRY SUTIRJO ,AMK TK-1 2,647,200 0 0 0 0 0 153 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
21-05-1990 3 2,964,864 0 0 0
199005212023211006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.370.202.4-924.000 3,362,207 0 127,807 0
0 3,234,400
154 BEATA EMER ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 154 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
23-05-1990 3 2,964,864 0 0 0
199005232023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.541.590.6-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 32

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
155 MARKUS VAN BASTEN ,AMK TK-0 2,647,200 0 0 0 0 0 155 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
25-05-1990 1 2,647,200 0 0 0
199005252023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.502.971.5-924.000 2,899,706 0 114,306 0
0 2,785,400
156 MARTA FATIMA ANAS ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 156 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-05-1990 4 3,017,808 0 0 0
199005292023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.413.336.9-924.000 3,487,557 0 130,057 0
0 3,357,500
157 MARIA MERLIN ,AMK TK-1 2,647,200 0 0 0 0 0 157 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
31-05-1990 4 3,017,808 0 0 0
199005312023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
71.412.138.1-924.000 3,487,557 0 130,057 0
0 3,357,500
158 PAULINA KOREL DINA ,AMd.Kep TK-0 2,647,200 0 0 0 0 0 158 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
04-06-1990 1 2,647,200 0 0 0
199006042023212005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.889.842.1-924.000 2,899,706 0 114,306 0
0 2,785,400
159 WILHELMUS JURU ,A.Md.RMIK TK-1 2,647,200 0 0 0 0 0 159 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-06-1990 4 3,017,808 0 0 0
199006142023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
95.967.620.6-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 33

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
160 LUDGARDIS SUNARTI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 160 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
16-06-1990 4 3,017,808 0 0 0
199006162023212012 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
859335341924000 3,487,557 0 130,057 0
0 3,357,500
161 YOLANNIA YOHANA AHUR ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 161 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
25-07-1990 3 2,964,864 0 0 0
199007252023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
96.943.568.4-924.000 3,362,207 0 127,807 0
0 3,234,400
162 ELVIRA GAUDENSIA ,AMK TK-1 2,647,200 0 0 0 0 0 162 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-08-1990 4 3,017,808 0 0 0
199008032023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
435133848924000 3,487,557 0 130,057 0
0 3,357,500
163 KLARA DEVAL KONARY ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 163 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
11-08-1990 3 2,964,864 0 0 0
199008112023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
13.437.989.0-924.000 3,362,207 0 127,807 0
0 3,234,400
164 ASMIATY IDRIS ,Amd.Keb. TK-0 2,647,200 0 0 0 0 0 164 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
17-08-1990 1 2,647,200 0 0 0
199008172023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
96.731.959.1-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 34

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
165 MARIA MAGDELENSIS JEHANA TK-1 2,647,200 0 0 0 0 0 165 .............
,A.Md.Kep 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
25-08-1990 4 3,017,808 0 0 0
199008252023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.149.056.2-924.000 3,487,557 0 130,057 0
0 3,357,500
166 FLORENTINA LOLA ,Amd.KL TK-1 2,647,200 0 0 0 0 0 166 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
24-09-1990 4 3,017,808 0 0 0
199009242023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
65.187.036.2-924.000 3,487,557 0 130,057 0
0 3,357,500
167 SRI RARA RESTI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 167 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
25-09-1990 4 3,017,808 0 0 0
199009252023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.808.465.7-924.000 3,487,557 0 130,057 0
0 3,357,500
168 LUSIA JELITA ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 168 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
13-10-1990 4 3,017,808 0 0 0
199010132023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.821.469.2-924.000 3,487,557 0 130,057 0
0 3,357,500
169 EVARISTA DOHAM ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 169 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
16-10-1990 4 3,017,808 0 0 0
199010162023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
76.318.927.1-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 35

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
170 YOSEFINA HARIYATI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 170 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
21-10-1990 4 3,017,808 0 0 0
199010212023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
16.598.534.2-924.000 3,487,557 0 130,057 0
0 3,357,500
171 MARIA YENI SUPARTIJEN ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 171 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
31-10-1990 3 2,964,864 0 0 0
199010312023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.778.496.8-924.000 3,362,207 0 127,807 0
0 3,234,400
172 RADINAL FANTIHAR ,AMK TK-1 2,647,200 0 0 0 0 0 172 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
07-11-1990 2 2,911,920 0 0 0
199011072023211007 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
966138976924000 3,236,856 0 125,556 0
0 3,111,300
173 FRANSISKA GABLENI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 173 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
13-11-1990 4 3,017,808 0 0 0
199011132023212004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.065.107.5-924.000 3,487,557 0 130,057 0
0 3,357,500
174 NOFARYANI NANDI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 174 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
15-11-1990 1 2,647,200 0 0 0
199011152023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.392.479.6-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 36

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
175 GENOVEVA JAIMUN ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 175 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-11-1990 1 2,647,200 0 0 0
199011242023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
395586159924000 2,899,706 0 114,306 0
0 2,785,400
176 DIONESIA VOANI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 176 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-11-1990 4 3,017,808 0 0 0
199011292023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.082.185.8-924.000 3,487,557 0 130,057 0
0 3,357,500
177 MARIA PRIMASARI JARUT ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 177 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-12-1990 4 3,017,808 0 0 0
199012122023212012 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
97.754.006.1-805.000 3,487,557 0 130,057 0
0 3,357,500
178 MARYATI ,A.Md.kep TK-1 2,647,200 0 0 0 0 0 178 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
20-12-1990 3 2,964,864 0 0 0
199012202023212010 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.867.540.5-924.000 3,362,207 0 127,807 0
0 3,234,400
179 VELISITAS NURHAYATI MANDUR TK-0 2,647,200 0 0 0 0 0 179 .............
,A.Md.Kep 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
14-01-1991 1 2,647,200 0 0 0
199101142023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.459.485.3-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 37

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
180 LINDA FITRI WULANDARI ,AMd.Kep TK-0 2,647,200 0 0 0 0 0 180 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-02-1991 1 2,647,200 0 0 0
199102242023212014 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
10.104.932.8-924.000 2,899,706 0 114,306 0
0 2,785,400
181 HERMANUS DANGGUT ,A.M.K TK-0 2,647,200 0 0 0 0 0 181 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
04-03-1991 1 2,647,200 0 0 0
199103042023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
618934798924000 2,899,706 0 114,306 0
0 2,785,400
182 NUR SARDIYANTI ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 182 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
04-03-1991 4 3,017,808 0 0 0
199103042023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
625963038924000 3,487,557 0 130,057 0
0 3,357,500
183 MATILDE MANTILI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 183 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
17-03-1991 1 2,647,200 0 0 0
199103172023212004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
161217393924000 2,899,706 0 114,306 0
0 2,785,400
184 FILOMENA ENDANG ,Amd.Keb TK-0 2,647,200 0 0 0 0 0 184 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
17-03-1991 1 2,647,200 0 0 0
199103172023212007 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.592.199.4-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 38

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
185 MARIA LENITA LESTI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 185 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
19-03-1991 4 3,017,808 0 0 0
199103192023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.825.006.8-924.000 3,487,557 0 130,057 0
0 3,357,500
186 PASKALINA ELFRIDA MULYATI TK-1 2,647,200 0 0 0 0 0 186 .............
,A.Md.Kep 0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
29-03-1991 2 2,911,920 0 0 0
199103292023212010 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
843924796924000 3,236,856 0 125,556 0
0 3,111,300
187 PASKALINA SINARTI ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 187 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
01-04-1991 3 2,964,864 0 0 0
199104012023212014 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.486.805.5-924000 3,362,207 0 127,807 0
0 3,234,400
188 PETRUS ADRIANUS ,A,Md,Kep K -1 2,647,200 0 0 0 0 0 188 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
12-04-1991 3 2,964,864 0 0 0
199104122023211006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
96.439.491.0-924.000 3,362,207 0 127,807 0
0 3,234,400
189 MAGDALENA AVILA SARINA ,A.Md.K TK-1 2,647,200 0 0 0 0 0 189 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-04-1991 4 3,017,808 0 0 0
199104222023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
96.937.889.2-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 39

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
190 YOSEF GORBIN DENO ,AMAK TK-0 2,647,200 0 0 0 0 0 190 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
28-04-1991 1 2,647,200 0 0 0
199104282023211005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.037.341.5-924.000 2,899,706 0 114,306 0
0 2,785,400
191 FRANSISKA JUSTRI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 191 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
28-04-1991 4 3,017,808 0 0 0
199104282023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
39.570.010.7-924.000 3,487,557 0 130,057 0
0 3,357,500
192 WIHELMINA LIMUN ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 192 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-05-1991 4 3,017,808 0 0 0
199105122023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.258.283.1-924.000 3,487,557 0 130,057 0
0 3,357,500
193 MARIA MURNIATI PANDI ,Amd.Keb. TK-1 2,647,200 0 0 0 0 0 193 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-05-1991 4 3,017,808 0 0 0
199105142023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.463.768.2-924.000 3,487,557 0 130,057 0
0 3,357,500
194 YUSTINA JUITA ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 194 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
01-06-1991 3 2,964,864 0 0 0
199106012023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
75.848.273.1-952.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 40

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
195 SITI HADIJA ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 195 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
23-06-1991 3 2,964,864 0 0 0
199106232023212013 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
434910824924000 3,362,207 0 127,807 0
0 3,234,400
196 SADAM HUSEN ,A.Md.kep TK-1 2,647,200 0 0 0 0 0 196 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
09-08-1991 3 2,964,864 0 0 0
199108092023211002 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
650718315924000 3,362,207 0 127,807 0
0 3,234,400
197 ROSMIRATI MASIR ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 197 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
11-08-1991 4 3,017,808 0 0 0
199108112023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
42.316.818.6-924.000 3,487,557 0 130,057 0
0 3,357,500
198 YOVITA ANUNG ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 198 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
20-08-1991 4 3,017,808 0 0 0
199108202023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
92.876.341.6-924.000 3,487,557 0 130,057 0
0 3,357,500
199 DOMINIKUS EDI ,A.M.K TK-1 2,647,200 0 0 0 0 0 199 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
26-08-1991 2 2,911,920 0 0 0
199108262023211001 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
84.241.559.8-924.000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 41

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
200 FATIMA NASTI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 200 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-08-1991 4 3,017,808 0 0 0
199108292023212006 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
91.560.137.1-924.000 3,487,557 0 130,057 0
0 3,357,500
201 APOLONIA NENSI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 201 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
02-09-1991 2 2,911,920 0 0 0
199109022023212009 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
92.638.405.8-924.000 3,236,856 0 125,556 0
0 3,111,300
202 MARIA EMILIANA HENI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 202 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
19-10-1991 1 2,647,200 0 0 0
199110192023212013 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
92.479.595.8-924.000 2,899,706 0 114,306 0
0 2,785,400
203 KRISTIANUS NGANCE ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 203 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
24-10-1991 3 2,964,864 0 0 0
199110242023211003 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
94.296.980.9-924.000 3,362,207 0 127,807 0
0 3,234,400
204 JEFRIANUS TARSO ,AMK TK-0 2,647,200 0 0 0 0 0 204 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-10-1991 1 2,647,200 0 0 0
199110242023211007 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65.039.693.0-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 42

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
205 VATIMA OCENURYATI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 205 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
27-10-1991 4 3,017,808 0 0 0
199110272023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
13.384.297.2-924.000 3,487,557 0 130,057 0
0 3,357,500
206 SAKARIAS LUDUNG ,AMK TK-1 2,647,200 0 0 0 0 0 206 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-11-1991 4 3,017,808 0 0 0
199111052023211003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
625271390924000 3,487,557 0 130,057 0
0 3,357,500
207 ALEKSANDER HARTONO ,A.md.gz TK-0 2,647,200 0 0 0 0 0 207 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
10-11-1991 1 2,647,200 0 0 0
199111102023211004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65040523692400 2,899,706 0 114,306 0
0 2,785,400
208 SILVIA FITRIANI MEGA ,AMK TK-1 2,647,200 0 0 0 0 0 208 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
20-11-1991 4 3,017,808 0 0 0
199111202023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
61.853.722.9-924.000 3,487,557 0 130,057 0
0 3,357,500
209 RIKARDUS JUKUNG RADU ,A.Md.Kep. TK-1 2,647,200 0 0 0 0 0 209 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-12-1991 4 3,017,808 0 0 0
199112052023211004 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
47.732.482.7-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 43

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
210 ERLINAWATI ,A.Md,Keb TK-1 2,647,200 0 0 0 0 0 210 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
01-01-1992 4 3,017,808 0 0 0
199201012023212016 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
76.918.132.2-924.000 3,487,557 0 130,057 0
0 3,357,500
211 MARGARETA TRISTA ,Amd. Keb. TK-1 2,647,200 0 0 0 0 0 211 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
18-01-1992 4 3,017,808 0 0 0
199201182023212016 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
624978060924000 3,487,557 0 130,057 0
0 3,357,500
212 ANASTASIA DIANAWATI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 212 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
22-01-1992 2 2,911,920 0 0 0
199201222023212010 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
96.610.450.7-924.000 3,236,856 0 125,556 0
0 3,111,300
213 SAULFA LATIF ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 213 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
23-01-1992 4 3,017,808 0 0 0
199201232023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
11.941.385.4-924.000 3,487,557 0 130,057 0
0 3,357,500
214 ROSDELIMA NURYATI ,A.md.Ak TK-1 2,647,200 0 0 0 0 0 214 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
13-02-1992 3 2,964,864 0 0 0
199202132023212013 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
91.744.767.4-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 44

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
215 FERDINANDUS DISMAN SEKENG ,A.M.K TK-1 2,647,200 0 0 0 0 0 215 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
21-02-1992 3 2,964,864 0 0 0
199202212023211007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
65.047.938.9-924.000 3,362,207 0 127,807 0
0 3,234,400
216 YASINTA DANUL ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 216 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
15-03-1992 3 2,964,864 0 0 0
199203152023212013 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.559.300.9-924.000 3,362,207 0 127,807 0
0 3,234,400
217 NURHIDAYAH ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 217 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
17-03-1992 4 3,017,808 0 0 0
199203172023212013 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
92.204.263.5-924.000 3,487,557 0 130,057 0
0 3,357,500
218 DEWI MUTMAINNAH ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 218 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
22-03-1992 1 2,647,200 0 0 0
199203222023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
96.610.524.9-924.000 2,899,706 0 114,306 0
0 2,785,400
219 VINSENSIA DELSI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 219 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-04-1992 4 3,017,808 0 0 0
199204052023212015 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.534.010.4-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 45

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
220 PASKALIS GONSIUS FIRMAN TK-1 2,647,200 0 0 0 0 0 220 .............
,A.Md.Kep 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
19-04-1992 3 2,964,864 0 0 0
199204192023211004 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
92.213.986.0-924.000 3,362,207 0 127,807 0
0 3,234,400
221 MARIA SENSALIA HARNAS ,Amd.AK TK-1 2,647,200 0 0 0 0 0 221 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
02-05-1992 4 3,017,808 0 0 0
199205022023212018 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
13.464.855.9-924.000 3,487,557 0 130,057 0
0 3,357,500
222 MARIA KARMELITA DOY ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 222 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
16-05-1992 1 2,647,200 0 0 0
199205162023212014 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.185.948.1-923.000 2,899,706 0 114,306 0
0 2,785,400
223 MARSIANA SERLIN ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 223 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
29-05-1992 2 2,911,920 0 0 0
199205292023212013 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
91.632.558.2-924.000 3,236,856 0 125,556 0
0 3,111,300
224 NINING RAHMAWATI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 224 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
09-06-1992 1 2,647,200 0 0 0
199206092023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
952505444924000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 46

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
225 HELDIANA MAMUL ,A.md,Keb TK-0 2,647,200 0 0 0 0 0 225 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
09-06-1992 1 2,647,200 0 0 0
199206092023212012 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.221.828.7-924.000 2,899,706 0 114,306 0
0 2,785,400
226 ROSALIA ANI IBUK ,A.Md,Keb TK-1 2,647,200 0 0 0 0 0 226 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-06-1992 4 3,017,808 0 0 0
199206122023212020 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
959606203924000 3,487,557 0 130,057 0
0 3,357,500
227 ANTONIA KASAM ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 227 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
13-06-1992 4 3,017,808 0 0 0
199206132023212007 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.237.325.6-924.000 3,487,557 0 130,057 0
0 3,357,500
228 FRANSISKA YASINTA JELITA TK-0 2,647,200 0 0 0 0 0 228 .............
,A.Md.Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
18-06-1992 1 2,647,200 0 0 0
199206182023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
624027314924000 2,899,706 0 114,306 0
0 2,785,400
229 JAINUDIN ALI JUFRI ,AMK TK-1 2,647,200 0 0 0 0 0 229 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
27-06-1992 3 2,964,864 0 0 0
199206272023211008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
769383340941000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 47

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
230 SITI SUMARNI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 230 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-07-1992 4 3,017,808 0 0 0
199207032023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
11.842.091.8-924.000 3,487,557 0 130,057 0
0 3,357,500
231 EDELBURGA DAWEL ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 231 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
08-07-1992 1 2,647,200 0 0 0
199207082023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
39.558.845.2-924.000 2,899,706 0 114,306 0
0 2,785,400
232 SUSANA NALUS ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 232 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
17-07-1992 3 2,964,864 0 0 0
199207172023212019 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
91.563.593.2-924.000 3,362,207 0 127,807 0
0 3,234,400
233 FILOMENA YUNASTI ,Amd.Keb TK-0 2,647,200 0 0 0 0 0 233 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
10-08-1992 1 2,647,200 0 0 0
199208102023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.534.071.6-924.000 2,899,706 0 114,306 0
0 2,785,400
234 RATNA HADIA ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 234 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
11-08-1992 3 2,964,864 0 0 0
199208112023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
41.846.132.3-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 48

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
235 PIUS X. CARLES ,A.Md.Gz TK-0 2,647,200 0 0 0 0 0 235 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
21-08-1992 1 2,647,200 0 0 0
199208212023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
42.991.945.9-924.000 2,899,706 0 114,306 0
0 2,785,400
236 GUSTINIANI BERTIN ,A.Md.keb TK-1 2,647,200 0 0 0 0 0 236 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
05-09-1992 3 2,964,864 0 0 0
199209052023212010 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
96.151.115.1-924.000 3,362,207 0 127,807 0
0 3,234,400
237 SELVI SULIYANSTRI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 237 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
22-09-1992 2 2,911,920 0 0 0
199209222023212010 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
63.407.659.0-924.000 3,236,856 0 125,556 0
0 3,111,300
238 GIUSTRINIANI NASRINA JEMADA TK-0 2,647,200 0 0 0 0 0 238 .............
,Amd.Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
22-09-1992 1 2,647,200 0 0 0
199209222023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
656729340924000 2,899,706 0 114,306 0
0 2,785,400
239 EVVI NOVITASARI ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 239 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
02-10-1992 3 2,964,864 0 0 0
199210022023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
90.937.750.9-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 49

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
240 MARIA OKTAFIANY PRATIWI TK-1 2,647,200 0 0 0 0 0 240 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
02-10-1992 3 2,964,864 0 0 0
199210022023212012 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
82.250.624.2-924.000 3,362,207 0 127,807 0
0 3,234,400
241 MARIA AVILA AYU ,A.Md.Keb. TK-0 2,647,200 0 0 0 0 0 241 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
07-10-1992 1 2,647,200 0 0 0
199210072023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
64.095.830.2-924.000 2,899,706 0 114,306 0
0 2,785,400
242 YASINTA LUDES ,A.Md.Gz TK-0 2,647,200 0 0 0 0 0 242 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
17-10-1992 1 2,647,200 0 0 0
199210172023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
39.525.095.4-924.000 2,899,706 0 114,306 0
0 2,785,400
243 MARSELINA BERTI ,A.Md Keb TK-1 2,647,200 0 0 0 0 0 243 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
30-10-1992 4 3,017,808 0 0 0
199210302023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
91.680.704.3-924.000 3,487,557 0 130,057 0
0 3,357,500
244 DIONISIUS JEHURUN ,A.Md.Gz TK-1 2,647,200 0 0 0 0 0 244 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
17-11-1992 3 2,964,864 0 0 0
199211172023211001 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
12.141.119.3-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 50

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
245 MECHTILDIS DELVIANA JEMAUN TK-1 2,647,200 0 0 0 0 0 245 .............
,A.Md.Keb. 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
19-11-1992 3 2,964,864 0 0 0
199211192023212014 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
94.363.033.5-924.000 3,362,207 0 127,807 0
0 3,234,400
246 MARIA BELIAN BELINA NURTI TK-0 2,647,200 0 0 0 0 0 246 .............
,A.Md,Gz 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
28-11-1992 1 2,647,200 0 0 0
199211282023212015 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
638585406924000 2,899,706 0 114,306 0
0 2,785,400
247 VINSENSIUS OMAN ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 247 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
10-12-1992 3 2,964,864 0 0 0
199212102023211002 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.558.843.9-924.000 3,362,207 0 127,807 0
0 3,234,400
248 VENERABILIS MISENI MBATUNG TK-1 2,647,200 0 0 0 0 0 248 .............
,A.Md.Keb. 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
21-12-1992 3 2,964,864 0 0 0
199212212023212015 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
71.378.072.4-924.000 3,362,207 0 127,807 0
0 3,234,400
249 ENSILIA ORNI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 249 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
29-12-1992 3 2,964,864 0 0 0
199212292023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
43.209.493.6-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 51

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
250 TANTIANA MENIK ,A.Md.Keb. TK-1 2,647,200 0 0 0 0 0 250 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
12-01-1993 4 3,017,808 0 0 0
199301122023212012 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.065.157.0-924.000 3,487,557 0 130,057 0
0 3,357,500
251 KRISTO MAJAPAHIT ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 251 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
21-01-1993 4 3,017,808 0 0 0
199301212023211001 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
638228874924000 3,487,557 0 130,057 0
0 3,357,500
252 YOSEPHA MARIA ,A.Md.keb TK-1 2,647,200 0 0 0 0 0 252 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-01-1993 4 3,017,808 0 0 0
199301222023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
133842583924000 3,487,557 0 130,057 0
0 3,357,500
253 RINI HAIRRUNISAH ,A.Md,Keb TK-0 2,647,200 0 0 0 0 0 253 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
02-02-1993 1 2,647,200 0 0 0
199302022023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
53.547.997.6-924.000 2,899,706 0 114,306 0
0 2,785,400
254 MARGARETA MERNA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 254 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
22-02-1993 1 2,647,200 0 0 0
199302222023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
91.616.496.5-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 52

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
255 ANGELINA MUTIARA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 255 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-03-1993 1 2,647,200 0 0 0
199303242023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.194.540.1-924.000 2,899,706 0 114,306 0
0 2,785,400
256 FILNITRIS ARWIWIN ULE ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 256 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
25-03-1993 3 2,964,864 0 0 0
199303252023212012 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
65.026.149.8-924.000 3,362,207 0 127,807 0
0 3,234,400
257 MARGARETA KARTONA HASAN ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 257 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
28-03-1993 4 3,017,808 0 0 0
199303282023212012 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
650430747924 3,487,557 0 130,057 0
0 3,357,500
258 ROSLINA MAHONG GORSIN ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 258 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
24-04-1993 4 3,017,808 0 0 0
199304242023212015 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
431935394924000 3,487,557 0 130,057 0
0 3,357,500
259 ERMINA SURYATI ,A.Md.Keb. TK-0 2,647,200 0 0 0 0 0 259 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
05-05-1993 1 2,647,200 0 0 0
199305052023212024 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
39.569.898.8-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 53

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
260 GISELA MAYELLA KARINA ,A.Md.Keb. TK-1 2,647,200 0 0 0 0 0 260 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
07-05-1993 4 3,017,808 0 0 0
199305072023212014 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
401265921924000 3,487,557 0 130,057 0
0 3,357,500
261 BEATRIX KURNIATI ,Amd.AK TK-1 2,647,200 0 0 0 0 0 261 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
09-05-1993 4 3,017,808 0 0 0
199305092023212014 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
93.664.797.3-924.000 3,487,557 0 130,057 0
0 3,357,500
262 MARIA CHAROLINA BAYUNI ,Amd.AK. TK-1 2,647,200 0 0 0 0 0 262 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-05-1993 4 3,017,808 0 0 0
199305142023212003 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
53.590.129.2-924.000 3,487,557 0 130,057 0
0 3,357,500
263 IDA ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 263 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
15-05-1993 3 2,964,864 0 0 0
199305152023212020 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.395.546.5-924.000 3,362,207 0 127,807 0
0 3,234,400
264 LUSIA SETIA ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 264 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
05-06-1993 4 3,017,808 0 0 0
199306052023212017 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
92.529.786.3-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 54

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
265 FLAFIANA PURNAMA DUDE ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 265 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
07-06-1993 1 2,647,200 0 0 0
199306072023212015 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
41.144.937.4-924.000 2,899,706 0 114,306 0
0 2,785,400
266 DIANA VIVINDA OLIVA DIRMAN TK-1 2,647,200 0 0 0 0 0 266 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
10-06-1993 3 2,964,864 0 0 0
199306102023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
80.033.968.1-924.000 3,362,207 0 127,807 0
0 3,234,400
267 PASKALINA APRIYANI MIPRA ILAT K -1 2,647,200 0 0 0 0 0 267 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
04-07-1993 3 2,964,864 0 0 0
199307042023212002 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
395532088924000 3,362,207 0 127,807 0
0 3,234,400
268 KRISTIANUS EDISON MAHUN TK-1 2,647,200 0 0 0 0 0 268 .............
,A.Md.Kep 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
27-07-1993 4 3,017,808 0 0 0
199307272023211002 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
73.458.399.0-956.000 3,487,557 0 130,057 0
0 3,357,500
269 AGUSTINA BISAEND SUKA HATI TK-1 2,647,200 0 0 0 0 0 269 .............
,Amd.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
14-08-1993 3 2,964,864 0 0 0
199308142023212018 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.547.425.9-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 55

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
270 MARIA VIANI ARLIN ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 270 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
23-08-1993 1 2,647,200 0 0 0
199308232023212014 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
.NULL. 2,899,706 0 114,306 0
0 2,785,400
271 SIMFORIANUS DUMAS ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 271 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
28-08-1993 2 2,911,920 0 0 0
199308282023211001 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
39.534.584.6-924.000 3,236,856 0 125,556 0
0 3,111,300
272 LIDIA NURHAYATI ,Amd.Keb TK-0 2,647,200 0 0 0 0 0 272 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
19-09-1993 1 2,647,200 0 0 0
199309192023212005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
63.816.973.0-924.000 2,899,706 0 114,306 0
0 2,785,400
273 RONI GUALA ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 273 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
03-10-1993 1 2,647,200 0 0 0
199310032023212012 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
94.740.693.0-924.000 2,899,706 0 114,306 0
0 2,785,400
274 ROSALIA SETIAWAN ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 274 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
03-10-1993 4 3,017,808 0 0 0
199310032023212013 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
63.867.474.7-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 56

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
275 MARIA OKTAVIANI NINGSIH TK-1 2,647,200 0 0 0 0 0 275 .............
,A.Md.keb 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-10-1993 4 3,017,808 0 0 0
199310142023212013 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.187.709.1-924.000 3,487,557 0 130,057 0
0 3,357,500
276 DELFIANA NURHAYATI JELITA TK-1 2,647,200 0 0 0 0 0 276 .............
,A.md.Keb 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
18-10-1993 4 3,017,808 0 0 0
199310182023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
946205382924000 3,487,557 0 130,057 0
0 3,357,500
277 YAKOBUS WATU ASA ,A.Md.RMIK TK-1 2,647,200 0 0 0 0 0 277 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
27-11-1993 2 2,911,920 0 0 0
199311272023211001 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
81.410.813.0-924.000 3,236,856 0 125,556 0
0 3,111,300
278 SELVIANA NOVI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 278 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
11-12-1993 1 2,647,200 0 0 0
199312112023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
96.439.491.0-924.000 2,899,706 0 114,306 0
0 2,785,400
279 FRANSISKA KABRINI MARYANTI TK-1 2,647,200 0 0 0 0 0 279 .............
,A.Md.Keb. 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
22-12-1993 3 2,964,864 0 0 0
199312222023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.572.246.7-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 57

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
280 DETI SAFITRI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 280 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-12-1993 4 3,017,808 0 0 0
199312292023212016 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
39.599.506.1-924.000 3,487,557 0 130,057 0
0 3,357,500
281 FELISIA HIDAFIR ,AMd.Keb TK-0 2,647,200 0 0 0 0 0 281 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
30-12-1993 1 2,647,200 0 0 0
199312302023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.599.669.9-924.000 2,899,706 0 114,306 0
0 2,785,400
282 YASINTA ASRIANI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 282 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
11-01-1994 1 2,647,200 0 0 0
199401112023212004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
432440626924000 2,899,706 0 114,306 0
0 2,785,400
283 SCHOLASTIKA IVO MIDIN ,A.Md.Keb. TK-0 2,647,200 0 0 0 0 0 283 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
10-02-1994 1 2,647,200 0 0 0
199402102023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
42.182.572.0-924.000 2,899,706 0 114,306 0
0 2,785,400
284 ROSMIATI ,A.Md.Keb. TK-0 2,647,200 0 0 0 0 0 284 .............
1 0 180,000 0 0 0 0
52,944 0 144,840 0 28,801
14-02-1994 2 2,700,144 0 0 0
199402142023212010 MKG: 3 0 87,755 0
Pengatur-7 0 0
72 0
91.528.162.0-924.000 3,025,056 0 116,556 0
0 2,908,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 58

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
285 SRI ASRIANI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 285 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
15-02-1994 4 3,017,808 0 0 0
199402152023212010 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
11.951.577.3-924.000 3,487,557 0 130,057 0
0 3,357,500
286 YULIANA PURNAMA SARI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 286 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
22-02-1994 3 2,964,864 0 0 0
199402222023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.807.900.4-924.000 3,362,207 0 127,807 0
0 3,234,400
287 NOFINDA SERIRATNA ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 287 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
04-03-1994 3 2,964,864 0 0 0
199403042023212012 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.558.513.8-924.000 3,362,207 0 127,807 0
0 3,234,400
288 FRANSISKA JENI KURNIATI TK-1 2,647,200 0 0 0 0 0 288 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
18-03-1994 3 2,964,864 0 0 0
199403182023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.771.952.7-924.000 3,362,207 0 127,807 0
0 3,234,400
289 MARIA BETHESDA PRISICILA WANGGA TK-1 2,647,200 0 0 0 0 0 289 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
21-03-1994 3 2,964,864 0 0 0
199403212023212005 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
81.750.484.8-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 59

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
290 YASINTA NIRMANURATI ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 290 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
28-03-1994 3 2,964,864 0 0 0
199403282023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.560.300.6-924.000 3,362,207 0 127,807 0
0 3,234,400
291 ARFIAN ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 291 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
13-04-1994 2 2,911,920 0 0 0
199404132023212006 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
43.232.308.7-924.000 3,236,856 0 125,556 0
0 3,111,300
292 KASMIYATI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 292 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
02-06-1994 3 2,964,864 0 0 0
199406022023212006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.552.681.9-924.000 3,362,207 0 127,807 0
0 3,234,400
293 SURI MAYAN ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 293 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
26-06-1994 4 3,017,808 0 0 0
199406202023212012 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
5315056606940002 3,487,557 0 130,057 0
0 3,357,500
294 FREDERIKUS ADEMA JENI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 294 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
27-06-1994 1 2,647,200 0 0 0
199406272023211004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.565.571.7-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 60

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
295 YENIDIANA MANTO ,Amd.Keb. TK-1 2,647,200 0 0 0 0 0 295 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
28-06-1994 4 3,017,808 0 0 0
199406282023212009 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
62.555.607.1-924.000 3,487,557 0 130,057 0
0 3,357,500
296 HILDAGIANTRINI TAMBE ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 296 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
29-08-1994 4 3,017,808 0 0 0
199408292023212005 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.493.922.9-924.000 3,487,557 0 130,057 0
0 3,357,500
297 DASTI IGNASIA IRWATI ,AMd.keb TK-1 2,647,200 0 0 0 0 0 297 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
02-09-1994 4 3,017,808 0 0 0
199409022023212011 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
43.214.386.5-924.000 3,487,557 0 130,057 0
0 3,357,500
298 SUSI SUSANTI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 298 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-10-1994 1 2,647,200 0 0 0
199410242023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
85.351.851.2-912.000 2,899,706 0 114,306 0
0 2,785,400
299 ANGELINA NOVITA SURYANI TK-1 2,647,200 0 0 0 0 0 299 .............
,A.Md.Keb 2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
02-11-1994 4 3,017,808 0 0 0
199411022023212011 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
91.532.395.0-924.000 3,487,557 0 130,057 0
0 3,357,500
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 61

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
300 KRISTOFORUS JEHAMAT ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 300 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
06-11-1994 1 2,647,200 0 0 0
199411062023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
39.581.131.8-924.000 2,899,706 0 114,306 0
0 2,785,400
301 ROSNAINY ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 301 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
14-12-1994 4 3,017,808 0 0 0
199412142023212015 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
803087352924000 3,487,557 0 130,057 0
0 3,357,500
302 GABRIEL NATALIUS LEDAR ,AMK TK-0 2,647,200 0 0 0 0 0 302 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
24-12-1994 1 2,647,200 0 0 0
199412242023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
84.247.320.9-924.000 2,899,706 0 114,306 0
0 2,785,400
303 FULGENSIUS MAYO ANGKAK ,Amd.Kep TK-1 2,647,200 0 0 0 0 0 303 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
03-01-1995 3 2,964,864 0 0 0
199501032023211004 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
84.917.191.3-923.000 3,362,207 0 127,807 0
0 3,234,400
304 FIFIN ANGGRIANI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 304 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
08-01-1995 3 2,964,864 0 0 0
199501082023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
85.346.198.6-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 62

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
305 IVANTI SURYATI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 305 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
08-01-1995 3 2,964,864 0 0 0
199501082023212010 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
43.192.042.0-924.000 3,362,207 0 127,807 0
0 3,234,400
306 FRANSISKA SARTIKA WANTU TK-1 2,647,200 0 0 0 0 0 306 .............
,A.Md.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
15-01-1995 3 2,964,864 0 0 0
199501152023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.428.882.5-924.000 3,362,207 0 127,807 0
0 3,234,400
307 ERMENILDA SYAHRONI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 307 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
29-01-1995 3 2,964,864 0 0 0
199501292023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.487.101.8-924.000 3,362,207 0 127,807 0
0 3,234,400
308 AMELIA SINAR ,A.Md.Kep TK-1 2,647,200 0 0 0 0 0 308 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
10-02-1995 3 2,964,864 0 0 0
199502102023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
90.846.717.8-924.000 3,362,207 0 127,807 0
0 3,234,400
309 STEFANA HARIATI JEMADU ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 309 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
22-02-1995 3 2,964,864 0 0 0
199502222023212013 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
11.951.557.5-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 63

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
310 MARIA MOUNTHES DO EZRA ,A.Md,Keb TK-0 2,647,200 0 0 0 0 0 310 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
09-03-1995 1 2,647,200 0 0 0
199503092023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
625498803924000 2,899,706 0 114,306 0
0 2,785,400
311 BENEDIKTA ANGELINA PURNAMA ANCE TK-1 2,647,200 0 0 0 0 0 311 .............
,A.Md.Keb 0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
16-03-1995 2 2,911,920 0 0 0
199503162023212005 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
434800595924000 3,236,856 0 125,556 0
0 3,111,300
312 VENANSIUS SUYONO MANTUR ,A.Md.AK TK-0 2,647,200 0 0 0 0 0 312 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
18-05-1995 1 2,647,200 0 0 0
199505182023211001 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.198.653.8-924.000 2,899,706 0 114,306 0
0 2,785,400
313 MARIA NEFLIANI JARTI ,AMd.Kep TK-1 2,647,200 0 0 0 0 0 313 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
24-05-1995 3 2,964,864 0 0 0
199505242023212006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.803.699.6-924.000 3,362,207 0 127,807 0
0 3,234,400
314 MARIA GORETI MEI ,A.Md.kep TK-1 2,647,200 0 0 0 0 0 314 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
26-05-1995 2 2,911,920 0 0 0
199505262023212006 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
43.144.734.1-924.000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 64

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
315 MARIA VIVIANA SURIANI ,A.Md.Keb. TK-0 2,647,200 0 0 0 0 0 315 .............
1 0 180,000 0 0 0 0
52,944 0 144,840 0 28,801
29-05-1995 2 2,700,144 0 0 0
199505292023212007 MKG: 3 0 87,755 0
Pengatur-7 0 0
72 0
39.592.795.7-924.000 3,025,056 0 116,556 0
0 2,908,500
316 ITA PURNAMASARI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 316 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
04-06-1995 4 3,017,808 0 0 0
199506042023212013 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
93.537.469.4-924.000 3,487,557 0 130,057 0
0 3,357,500
317 FREDERIKUS PANTALEON ,Amd.Kes. TK-0 2,647,200 0 0 0 0 0 317 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
30-06-1995 1 2,647,200 0 0 0
199506302023211001 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65.071.805.9-924.000 2,899,706 0 114,306 0
0 2,785,400
318 YULIANUS DIRMAN ,A.Md.kep TK-0 2,647,200 0 0 0 0 0 318 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
10-07-1995 1 2,647,200 0 0 0
199507102023211003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
63.995.286.0-924.000 2,899,706 0 114,306 0
0 2,785,400
319 HELENA MARIA MANUNG ,AMd.Farm TK-1 2,647,200 0 0 0 0 0 319 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
10-07-1995 2 2,911,920 0 0 0
199507102023212005 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
62.579.733.7-924.000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 65

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
320 VERAWATI NURHAYATI ,AMd.Keb TK-1 2,647,200 0 0 0 0 0 320 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
15-07-1995 3 2,964,864 0 0 0
199507152023212010 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
.NULL. 3,362,207 0 127,807 0
0 3,234,400
321 YOSEFA SULASTRI HANDRAYANI TK-1 2,647,200 0 0 0 0 0 321 .............
,AMd.Keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
29-07-1995 3 2,964,864 0 0 0
199507292023212010 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
034687558804000 3,362,207 0 127,807 0
0 3,234,400
322 AMBROSIA TITI SURYATI ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 322 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
30-07-1995 3 2,964,864 0 0 0
199507302023212005 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.497.711.2-924.000 3,362,207 0 127,807 0
0 3,234,400
323 HELENA BERTI WAWUNG ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 323 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
08-08-1995 3 2,964,864 0 0 0
199508082023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62 521 927 4 924 000 3,362,207 0 127,807 0
0 3,234,400
324 HIPPOLYANA KARNOVA SARI ,Amd.Kep TK-0 2,647,200 0 0 0 0 0 324 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
13-08-1995 1 2,647,200 0 0 0
199508132023212010 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
41.178.843.3-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 66

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
325 ERMILINDA NIMU ,A.Md.Keb K -1 2,647,200 0 0 0 0 0 325 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
02-10-1995 3 2,964,864 0 0 0
199510022023212008 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62 380 239 4 924 000 3,362,207 0 127,807 0
0 3,234,400
326 SATRIANI ADIN ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 326 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
25-11-1995 2 2,911,920 0 0 0
199511252023212006 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
916920747924000 3,236,856 0 125,556 0
0 3,111,300
327 LUSIA YASINTHA BHOKO ,AMd.Kep TK-0 2,647,200 0 0 0 0 0 327 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
13-12-1995 1 2,647,200 0 0 0
199512132023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.477.799.1-923.000 2,899,706 0 114,306 0
0 2,785,400
328 FATMARI ENDANG ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 328 .............
2 264,720 180,000 0 0 0 0
105,888 0 289,680 0 31,978
22-01-1996 4 3,017,808 0 0 0
199601222023212008 MKG: 3 0 98,079 0
Pengatur-7 0 0
69 0
91.564.981.8-924.000 3,487,557 0 130,057 0
0 3,357,500
329 FAIZA ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 329 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
12-02-1996 3 2,964,864 0 0 0
199602122023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
609219340924000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 67

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
330 EUFRASIA MURNI ,A.Md,Keb TK-1 2,647,200 0 0 0 0 0 330 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
11-03-1996 3 2,964,864 0 0 0
199603112023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
.NULL. 3,362,207 0 127,807 0
0 3,234,400
331 RATIH AFRIANITA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 331 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
12-03-1996 1 2,647,200 0 0 0
199603122023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.526.266.2-924.000 2,899,706 0 114,306 0
0 2,785,400
332 ISTIQAMAH ,A.Md.Rad TK-0 2,647,200 0 0 0 0 0 332 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
14-03-1996 1 2,647,200 0 0 0
199603142023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
41.297.619.3-924.000 2,899,706 0 114,306 0
0 2,785,400
333 VIKTORIANUS AFRI ,A.Md.Kep TK-0 2,647,200 0 0 0 0 0 333 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
15-04-1996 1 2,647,200 0 0 0
199604152023211001 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
39.548.327.4-924.000 2,899,706 0 114,306 0
0 2,785,400
334 MARIA KRISTIANI TRINCENTARI TK-1 2,647,200 0 0 0 0 0 334 .............
,A.Md.Keb 0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
10-05-1996 2 2,911,920 0 0 0
199605112023212009 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
90.526.074.1-924.000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 68

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
335 HERMILINDA YANITA HAMSU ,AMd.Keb TK-0 2,647,200 0 0 0 0 0 335 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
19-05-1996 1 2,647,200 0 0 0
199605192023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
395244593924000 2,899,706 0 114,306 0
0 2,785,400
336 OLIVA YUNITA ELIAS ,A.Md.KL TK-1 2,647,200 0 0 0 0 0 336 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
10-06-1996 3 2,964,864 0 0 0
199606102023212011 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
96.060.768.7-924.000 3,362,207 0 127,807 0
0 3,234,400
337 HARYATI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 337 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
28-06-1996 1 2,647,200 0 0 0
199606282023212004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
93.379.130.3-924.000 2,899,706 0 114,306 0
0 2,785,400
338 MARIA SOFIANA YENING ,A.Md.Gz TK-0 2,647,200 0 0 0 0 0 338 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
03-07-1996 1 2,647,200 0 0 0
199607032023212008 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
65.069.340.1-924.000 2,899,706 0 114,306 0
0 2,785,400
339 NASPY MUDMAINA ,Amd.Keb TK-1 2,647,200 0 0 0 0 0 339 .............
0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
28-07-1996 2 2,911,920 0 0 0
199607282023212010 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
42.258.232.0-924.000 3,236,856 0 125,556 0
0 3,111,300
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 69

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
340 AUSEBIA RAMBULAN FATMA JAYA TK-0 2,647,200 0 0 0 0 0 340 .............
,AMd.Kep 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
29-08-1996 1 2,647,200 0 0 0
199608292023212009 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
657243663924000 2,899,706 0 114,306 0
0 2,785,400
341 TERESIA SAKTIANY DEDEO ,A.Md.Keb TK-1 2,647,200 0 0 0 0 0 341 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
01-10-1996 3 2,964,864 0 0 0
199610012023212009 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.558.294.5-924.000 3,362,207 0 127,807 0
0 3,234,400
342 AYU WAHYU INDRASARI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 342 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
01-10-1996 1 2,647,200 0 0 0
199610012023212011 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
634189179924000 2,899,706 0 114,306 0
0 2,785,400
343 SYAHIDA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 343 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
04-11-1996 1 2,647,200 0 0 0
199611042023212004 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.428.034.3-924.000 2,899,706 0 114,306 0
0 2,785,400
344 ODILI, A ROSINTA JEMINA TK-0 2,647,200 0 0 0 0 0 344 .............
,A.Md.Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
13-12-1996 1 2,647,200 0 0 0
199612132023212003 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
63.098.430.0-924.000 2,899,706 0 114,306 0
0 2,785,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 70

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
345 FERIDIANA NEVITA LENSI ,Amd.Keb TK-0 2,647,200 0 0 0 0 0 345 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
08-01-1997 1 2,647,200 0 0 0
199701082023212005 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
625720529924000 2,899,706 0 114,306 0
0 2,785,400
346 SKOLASTIKA IRWANTI ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 346 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
10-02-1997 1 2,647,200 0 0 0
199702102023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
62.373.570.1-924.000 2,899,706 0 114,306 0
0 2,785,400
347 ASTITIN ,A.md.Keb TK-1 2,647,200 0 0 0 0 0 347 .............
1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
25-04-1997 3 2,964,864 0 0 0
199704252023212007 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
63.429.310.4-924.000 3,362,207 0 127,807 0
0 3,234,400
348 YULIANA SRIHERTA ,A.Md.Keb TK-0 2,647,200 0 0 0 0 0 348 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
26-07-1997 1 2,647,200 0 0 0
199707262023212006 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
634018303924000 2,899,706 0 114,306 0
0 2,785,400
349 NELCIANA SARIANTI MANUL TK-1 2,647,200 0 0 0 0 0 349 .............
,A.Md.keb 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
10-02-1998 3 2,964,864 0 0 0
199802102023212006 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
62.558.851.2-924.000 3,362,207 0 127,807 0
0 3,234,400
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 71

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
350 ESTAVIL MESARI SUTYARA TK-1 2,647,200 0 0 0 0 0 350 .............
,A.Md.Farm 0 264,720 180,000 0 0 0 0
0 0 144,840 0 30,919
08-03-1998 2 2,911,920 0 0 0
199803082023212002 MKG: 3 0 94,637 0
Pengatur-7 0 0
96 0
41.810.320.6-924.000 3,236,856 0 125,556 0
0 3,111,300
351 KRISTIANI ROSARIA SAVERIN TK-1 2,647,200 0 0 0 0 0 351 .............
,A.Md,RMIK 1 264,720 180,000 0 0 0 0
52,944 0 217,260 0 31,449
03-10-1998 3 2,964,864 0 0 0
199810032023212002 MKG: 3 0 96,358 0
Pengatur-7 0 0
83 0
638305409924000 3,362,207 0 127,807 0
0 3,234,400
352 KORNELIA OKTOVIANI ROSTINA TK-0 2,647,200 0 0 0 0 0 352 .............
,A.Md.Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 28,272
04-10-1998 1 2,647,200 0 0 0
199810042023212002 MKG: 3 0 86,034 0
Pengatur-7 0 0
86 0
43.227.591.5-924.000 2,899,706 0 114,306 0
0 2,785,400
SUB TOTAL PERGOLONGAN : 812,690,400 0 0 0 0 0
PEG: 307 56,120,640 55,260,000 0 0 0 0
IST: 212 JIWA= 836 16,783,248 0 60,543,120 0 9,408,552
885,594,288 0 0 0
ANK: 317 0 28,781,830 0
24,274 0 0
1,001,421,682 0 38,190,382
0 963,231,300
353 YOSEPHINA MARIANA PEDO TK-0 3,091,900 0 0 0 0 0 353 .............
,S.Kep.,Ns 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
03-03-1982 1 3,091,900 0 0 0
198203032023212004 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
73.414.597.2-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 72

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
354 Ns, EMANUEL BONEVANTURA GIUS TK-1 3,091,900 0 0 0 0 0 354 .............
,S.Kep 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
19-07-1983 4 3,524,766 0 0 0
198307192023211001 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
92.120.503.5-924.000 3,999,453 0 151,653 0
0 3,847,800
355 DIANASIA SISKA ADU ,S.Kep TK-1 3,091,900 0 0 0 0 0 355 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
06-12-1984 3 3,462,928 0 0 0
198412062023212008 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
90.883.276.9-924.000 3,865,224 0 149,024 0
0 3,716,200
356 DONA ESTIFANIA PASKALISTA NODOR K -0 3,091,900 0 0 0 0 0 356 .............
,S.kep 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
07-04-1985 1 3,091,900 0 0 0
198504072023212005 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
39.631.728.1-924.000 3,349,356 0 133,256 0
0 3,216,100
357 MIKAEL HARUN ,S.Kep.,Ns TK-0 3,091,900 0 0 0 0 0 357 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
08-05-1985 1 3,091,900 0 0 0
198505082023211003 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
26.424.031.8-924.000 3,349,356 0 133,256 0
0 3,216,100
358 Ns., VERONIKA DELIMA ,S.Kep TK-0 3,091,900 0 0 0 0 0 358 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
17-08-1985 1 3,091,900 0 0 0
198508172023212016 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
74.090.910.6-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 73

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
359 SITI HAYA VATINI ,S.Kep.Ners TK-1 3,091,900 0 0 0 0 0 359 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
29-11-1985 4 3,524,766 0 0 0
198511292023212003 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
40.147.274.1-924.000 3,999,453 0 151,653 0
0 3,847,800
360 YULIANUS KRISMANTO DARU TK-1 3,091,900 0 0 0 0 0 360 .............
,S.Kep,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
14-03-1986 4 3,524,766 0 0 0
198603142023211002 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
39.569.766.7-924.000 3,999,453 0 151,653 0
0 3,847,800
361 SITI HAJAR ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 361 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
24-03-1986 4 3,524,766 0 0 0
198603242023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
91.542.679.5-924.000 3,999,453 0 151,653 0
0 3,847,800
362 YOHANA MUDALI FANTIANI TK-1 3,091,900 0 0 0 0 0 362 .............
,S.Kep.,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
12-05-1986 4 3,524,766 0 0 0
198605122023212013 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
96.173.848.1-924.000 3,999,453 0 151,653 0
0 3,847,800
363 MARIA ROSA HASUMPEIN ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 363 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
28-10-1986 4 3,524,766 0 0 0
198610282023212008 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
62.550.077.2-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 74

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
364 ELISABETH LENI ,S.Kep TK-0 3,091,900 0 0 0 0 0 364 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
28-10-1986 1 3,091,900 0 0 0
198610282023212009 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
91.510.036.6-924.000 3,349,356 0 133,256 0
0 3,216,100
365 SILVIA NURTATI ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 365 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
04-11-1986 4 3,524,766 0 0 0
198611042023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
650321490924000 3,999,453 0 151,653 0
0 3,847,800
366 Ns, FIRMINA ROSANI SUMARTY TK-1 3,091,900 0 0 0 0 0 366 .............
,S.Kep 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
11-03-1987 4 3,524,766 0 0 0
198703112023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
92.168.138.3-924.000 3,999,453 0 151,653 0
0 3,847,800
367 Ns, MELANIA DARMAWATI ,S.kep TK-1 3,091,900 0 0 0 0 0 367 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
04-04-1987 3 3,462,928 0 0 0
198704042023212009 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
73.701.056.1-924.000 3,865,224 0 149,024 0
0 3,716,200
368 BEATA SANTI MAJU ,SKep.,Ns. TK-0 3,091,900 0 0 0 0 0 368 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
08-04-1987 1 3,091,900 0 0 0
198704082023212015 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
72.218.121.1-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 75

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
369 Ns, MARIA HERTI MAJI DATH ,S.Kep TK-1 3,091,900 0 0 0 0 0 369 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
06-05-1987 3 3,462,928 0 0 0
198705062023212008 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
62.573.832.3-924.000 3,865,224 0 149,024 0
0 3,716,200
370 BADARIA ,S.KEP,Ns TK-1 3,091,900 0 0 0 0 0 370 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
09-07-1987 4 3,524,766 0 0 0
198707092023212013 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
66.419.167.3-924.000 3,999,453 0 151,653 0
0 3,847,800
371 Ns, MARIA HERLINA KAMAN ,S.Kep TK-0 3,091,900 0 0 0 0 0 371 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
05-08-1987 1 3,091,900 0 0 0
198708052023212010 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
16.043.172.2-924.000 3,349,356 0 133,256 0
0 3,216,100
372 drg, YUSA TK-1 3,091,900 0 0 0 0 0 372 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
18-08-1987 3 3,462,928 0 0 0
198708182023211005 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
86.517.038.5-924.000 3,865,224 0 149,024 0
0 3,716,200
373 FLORENSIANA SUNARTI ,S.Kep.Ns TK-1 3,091,900 0 0 0 0 0 373 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
05-09-1987 4 3,524,766 0 0 0
198709052023212007 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
82.752.022.2-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 76

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
374 ELISABET ADAMULIATI ,S.Kep. TK-1 3,091,900 0 0 0 0 0 374 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
28-09-1987 4 3,524,766 0 0 0
198709282023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
74.635.834.0-924.000 3,999,453 0 151,653 0
0 3,847,800
375 YOHANES HARYANTO ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 375 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
29-11-1987 4 3,524,766 0 0 0
198711292023211003 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
73.719.762.4-924.000 3,999,453 0 151,653 0
0 3,847,800
376 Ns, RIKARDUS NURDIN NANGKOM K -1 3,091,900 0 0 0 0 0 376 .............
,S.Kep 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
16-12-1987 4 3,524,766 0 0 0
198712162023211003 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
010955623801000 3,999,453 0 151,653 0
0 3,847,800
377 Ns, SERVINA YOVITA LEREM ,S.Kep TK-1 3,091,900 0 0 0 0 0 377 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
08-01-1988 4 3,524,766 0 0 0
198801082023212014 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
90.266.656.9-924.000 3,999,453 0 151,653 0
0 3,847,800
378 Ns, KURNIATI HABIBAH ,S.Kep TK-1 3,091,900 0 0 0 0 0 378 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
10-01-1988 3 3,462,928 0 0 0
198801102023212006 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
65.089.214.4-924.000 3,865,224 0 149,024 0
0 3,716,200
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 77

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
379 Ns, WILHELMINA SELIA ,S.Kep TK-1 3,091,900 0 0 0 0 0 379 .............
0 309,190 185,000 0 0 0 0
0 0 144,840 0 35,861
23-03-1988 2 3,401,090 0 0 0
198803232023212013 MKG: 0 0 110,535 0
Penata Muda Tk.I-10 0 0
66 0
80.188.547.6-924.000 3,730,996 0 146,396 0
0 3,584,600
380 KRISTIANA DETI SAJUTIN ,S.Kep.Ns TK-0 3,091,900 0 0 0 0 0 380 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
01-04-1988 1 3,091,900 0 0 0
198804012023212006 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
16.257.587.2-924.000 3,349,356 0 133,256 0
0 3,216,100
381 MARSELINA HELIVANTY SUNARTIN TK-1 3,091,900 0 0 0 0 0 381 .............
,S.KEP.,Ns 1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
02-06-1988 3 3,462,928 0 0 0
198806022023212005 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
71.051.342.5-924.000 3,865,224 0 149,024 0
0 3,716,200
382 JUMRAINI ANITA SADIR ,S.Kep.Ns TK-1 3,091,900 0 0 0 0 0 382 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
25-06-1988 4 3,524,766 0 0 0
198806252023212004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
82.168.833.0-924.000 3,999,453 0 151,653 0
0 3,847,800
383 AMALIA KURNIA MING ,S.Kep.,Ns TK-1 3,091,900 0 0 0 0 0 383 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
10-07-1988 4 3,524,766 0 0 0
198807102023212011 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
96.934.406.8-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 78

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
384 NI PUTU SRI DWI WILAYANTI TK-0 3,091,900 0 0 0 0 0 384 .............
,S.Kep.,Ns 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
25-08-1988 1 3,091,900 0 0 0
198808252023212005 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
89.038.923.2-924.000 3,349,356 0 133,256 0
0 3,216,100
385 NURAINI ,S.kep.Ns TK-0 3,091,900 0 0 0 0 0 385 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
13-10-1988 1 3,091,900 0 0 0
198810132023212003 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
69.249.393.5-912.000 3,349,356 0 133,256 0
0 3,216,100
386 Ns, GREGORIUS EDUARDUS WIJAYA TK-1 3,091,900 0 0 0 0 0 386 .............
,S.Kep 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
18-11-1988 4 3,524,766 0 0 0
198811182023211002 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
11.315.036.1-924.000 3,999,453 0 151,653 0
0 3,847,800
387 EMILIANA ALFIYANI DALIMA ,S.Kep TK-0 3,091,900 0 0 0 0 0 387 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
05-01-1989 1 3,091,900 0 0 0
198901052023212008 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
39.563.126.0-924.000 3,349,356 0 133,256 0
0 3,216,100
388 IRVAN ZUANA ,S.Kep,.Ns TK-1 3,091,900 0 0 0 0 0 388 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
06-01-1989 4 3,524,766 0 0 0
198901062023212004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
91.497.135.3-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 79

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
389 SIPRIANI CERLINA DEWI ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 389 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
18-03-1989 4 3,524,766 0 0 0
198903182023212004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
39.546.584.2-924.000 3,999,453 0 151,653 0
0 3,847,800
390 AKBAR ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 390 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
09-05-1989 4 3,524,766 0 0 0
198905092023211004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
13.418.481.1-924.000 3,999,453 0 151,653 0
0 3,847,800
391 MARIA ELVIRA YOLANDA WANGGA TK-1 3,091,900 0 0 0 0 0 391 .............
,S.Kep,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
16-05-1989 4 3,524,766 0 0 0
198905162023212008 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
71.045.559.3-924.000 3,999,453 0 151,653 0
0 3,847,800
392 PATRIKSIUS BATIN MUDA ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 392 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
23-06-1989 4 3,524,766 0 0 0
198906232023211003 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
63.814.774.4-924.000 3,999,453 0 151,653 0
0 3,847,800
393 WALTERIUS DARU ,S.Kep,Ns TK-0 3,091,900 0 0 0 0 0 393 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
05-09-1989 1 3,091,900 0 0 0
198909052023211005 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
39.319.409.7-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 80

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
394 Ns, FLORIANA NONI ,S.Kep TK-1 3,091,900 0 0 0 0 0 394 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
08-10-1989 4 3,524,766 0 0 0
198910082023212009 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
62.523.295.4-924.000 3,999,453 0 151,653 0
0 3,847,800
395 YOLANDIANUS OKTOVANDI HARJUM TK-0 3,091,900 0 0 0 0 0 395 .............
JENGKO ,S.Kep,Ns 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
20-10-1989 1 3,091,900 0 0 0
198910202023211006 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
43.201.582.4-942.000 3,349,356 0 133,256 0
0 3,216,100
396 Ns, ZULKIFLI ,S.Kep. TK-1 3,091,900 0 0 0 0 0 396 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
22-10-1989 3 3,462,928 0 0 0
198910222023211006 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
96.860.729.1-924.000 3,865,224 0 149,024 0
0 3,716,200
397 ERMELINDA HELENDRIANA ,S.Kep,Ns TK-1 3,091,900 0 0 0 0 0 397 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
29-10-1989 4 3,524,766 0 0 0
198910292023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
162573166924000 3,999,453 0 151,653 0
0 3,847,800
398 Ns, MARIA ESI ,S.Kep TK-1 3,091,900 0 0 0 0 0 398 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
18-12-1989 4 3,524,766 0 0 0
198912182023212002 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
63.911.455-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 81

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
399 NATALIA IRAWATI NURMALA TK-1 3,091,900 0 0 0 0 0 399 .............
,S.Kep.,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
24-01-1990 4 3,524,766 0 0 0
199001242023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
62.526.356.1-924.000 3,999,453 0 151,653 0
0 3,847,800
400 MARINA DEWI JELATU ,S.Kep,Ns. TK-1 3,091,900 0 0 0 0 0 400 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
12-02-1990 4 3,524,766 0 0 0
199002122023212007 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
15.730.730.7-924.000 3,999,453 0 151,653 0
0 3,847,800
401 YASINTA HELENA NARI ,S.Kep.Ns TK-1 3,091,900 0 0 0 0 0 401 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
19-02-1990 3 3,462,928 0 0 0
199002192023212008 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
62.559.717.4-924.000 3,865,224 0 149,024 0
0 3,716,200
402 Ns, MARGARETA SURYANI ,S.Kep TK-1 3,091,900 0 0 0 0 0 402 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
22-02-1990 4 3,524,766 0 0 0
199002222023212004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
82.478.622.2-924.000 3,999,453 0 151,653 0
0 3,847,800
403 THERESIA HELIN ,S.Kep.Ns TK-0 3,091,900 0 0 0 0 0 403 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
01-04-1990 1 3,091,900 0 0 0
199004012023212014 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
82.576.276.8-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 82

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
404 ALFISYAHRIN PATAHABBY ,S.Kep.,Ns TK-1 3,091,900 0 0 0 0 0 404 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
16-04-1990 3 3,462,928 0 0 0
199004162023212006 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
76.877.102.4-924.000 3,865,224 0 149,024 0
0 3,716,200
405 ELYSABETH INGRIDA LAWE ,S.Kep TK-1 3,091,900 0 0 0 0 0 405 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
05-07-1990 4 3,524,766 0 0 0
199007052023212013 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
650403405924000 3,999,453 0 151,653 0
0 3,847,800
406 NS, PAULINUS D.B.R. PANTAS SABAR TK-1 3,091,900 0 0 0 0 0 406 .............
,S.Kep 0 309,190 185,000 0 0 0 0
0 0 144,840 0 35,861
12-07-1990 2 3,401,090 0 0 0
199007122023211001 MKG: 0 0 110,535 0
Penata Muda Tk.I-10 0 0
66 0
395699002924000 3,730,996 0 146,396 0
0 3,584,600
407 GETRUDIS YULITA JAIMAN ,S.Kep.Ns TK-1 3,091,900 0 0 0 0 0 407 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
23-07-1990 3 3,462,928 0 0 0
199007232023212010 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
63.351.410.4-924.000 3,865,224 0 149,024 0
0 3,716,200
408 CHARLES LEOPOLD SUPAURJO TANJO TK-1 3,091,900 0 0 0 0 0 408 .............
,S.Kep.,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
02-08-1990 4 3,524,766 0 0 0
199008022023211003 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
76.308.354.0-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 83

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
409 HILDEGARDIS KURNIATI GARU TK-1 3,091,900 0 0 0 0 0 409 .............
,S.Kep.,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
17-09-1990 4 3,524,766 0 0 0
199009172023212007 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
65.045.190.9-924.000 3,999,453 0 151,653 0
0 3,847,800
410 apt, MARIA FRANSISKA AMBUK TK-1 3,091,900 0 0 0 0 0 410 .............
,S.Farm. 0 309,190 185,000 0 0 0 0
0 0 144,840 0 35,861
06-10-1990 2 3,401,090 0 0 0
199010062023212005 MKG: 0 0 110,535 0
Penata Muda Tk.I-10 0 0
66 0
929500825924000 3,730,996 0 146,396 0
0 3,584,600
411 Ns, WILFRIDUS DARMADI ,S.Kep TK-1 3,091,900 0 0 0 0 0 411 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
12-10-1990 3 3,462,928 0 0 0
199010122023211004 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
62.578.129.9-924.000 3,865,224 0 149,024 0
0 3,716,200
412 ANGELA MERICI YULIANI MEO TK-1 3,091,900 0 0 0 0 0 412 .............
,S.Kep.Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
01-03-1991 4 3,524,766 0 0 0
199103012023212014 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
907736474923000 3,999,453 0 151,653 0
0 3,847,800
413 MARIA CHRISTINA AFRILIA ELENG TK-0 3,091,900 0 0 0 0 0 413 .............
,S.Kep.,Ns 1 0 185,000 0 0 0 0
61,838 0 144,840 0 33,387
09-04-1991 2 3,153,738 0 0 0
199104092023212011 MKG: 0 0 102,496 0
Penata Muda Tk.I-10 0 0
5 0
80.199.534.1-924.000 3,483,583 0 135,883 0
0 3,347,700
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 84

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
414 YULIANA SRI HASTUTI ,S.Kep.,Ns. TK-1 3,091,900 0 0 0 0 0 414 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
12-04-1991 3 3,462,928 0 0 0
199104122023212004 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
81.889.986.6-924.000 3,865,224 0 149,024 0
0 3,716,200
415 YOSEP BURDIN ,S.Kep.,Ns TK-1 3,091,900 0 0 0 0 0 415 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
16-04-1991 4 3,524,766 0 0 0
199104162023211002 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
65.083.847.7-924.000 3,999,453 0 151,653 0
0 3,847,800
416 Ns, EDWARDRIKUS PRAHONTO TAU TK-1 3,091,900 0 0 0 0 0 416 .............
,S.Kep 1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
13-05-1991 3 3,462,928 0 0 0
199105132023211009 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
82.768.242.8-924.000 3,865,224 0 149,024 0
0 3,716,200
417 SERAFIANUS HARUN ,S.Kep.,Ns TK-1 3,091,900 0 0 0 0 0 417 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
15-07-1991 4 3,524,766 0 0 0
199107152023211004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
63.806.069.9-924.000 3,999,453 0 151,653 0
0 3,847,800
418 MARIA GAUDENSIA MANIL ,S.Kep.Ns TK-1 3,091,900 0 0 0 0 0 418 .............
0 309,190 185,000 0 0 0 0
0 0 144,840 0 35,861
12-09-1991 2 3,401,090 0 0 0
199109122023212006 MKG: 0 0 110,535 0
Penata Muda Tk.I-10 0 0
66 0
96.428.987.0-924.000 3,730,996 0 146,396 0
0 3,584,600
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 85

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
419 Ns, MUHAMAD MARDIN ,S.Kep TK-1 3,091,900 0 0 0 0 0 419 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
14-03-1992 4 3,524,766 0 0 0
199203142023211004 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
92.072.389.7-924.000 3,999,453 0 151,653 0
0 3,847,800
420 DANIEL HERMANTYO APRIYANTO TK-0 3,091,900 0 0 0 0 0 420 .............
,S.Kep.,Ns 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
03-04-1992 1 3,091,900 0 0 0
199204032023211007 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
96.619.625.5-924.000 3,349,356 0 133,256 0
0 3,216,100
421 LIBERINUS SATRIANUS RANU TK-1 3,091,900 0 0 0 0 0 421 .............
,S.Kep,Ns 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
04-04-1992 4 3,524,766 0 0 0
199204042023211006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
62.385.526.9-924.000 3,999,453 0 151,653 0
0 3,847,800
422 Ns, PORTASIA URIA RINDA ,S.Kep TK-1 3,091,900 0 0 0 0 0 422 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
16-05-1992 3 3,462,928 0 0 0
199205162023212018 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
416248565924000 3,865,224 0 149,024 0
0 3,716,200
423 Ns, EDIANDRI SELDON ,S.Kep TK-1 3,091,900 0 0 0 0 0 423 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
24-06-1992 3 3,462,928 0 0 0
199206242023211006 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
43.393.018.7-924.000 3,865,224 0 149,024 0
0 3,716,200
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 86

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
424 SYAHRUDIN TAUFIQ TAHER TK-1 3,091,900 0 0 0 0 0 424 .............
,S.Kep.,Ns 1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
13-07-1992 3 3,462,928 0 0 0
199207132023211005 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
91.681.082.3-924.000 3,865,224 0 149,024 0
0 3,716,200
425 VERONIKA SARTIANA NABUR TK-1 3,091,900 0 0 0 0 0 425 .............
,S.Kep,Ns 0 309,190 185,000 0 0 0 0
0 0 144,840 0 35,861
22-09-1992 2 3,401,090 0 0 0
199209222023212012 MKG: 0 0 110,535 0
Penata Muda Tk.I-10 0 0
66 0
63.778.763.1-924.000 3,730,996 0 146,396 0
0 3,584,600
426 Ns, KRISTIANA PUTRI TK-0 3,091,900 0 0 0 0 0 426 .............
PRIHATNINGSIH AMPUR ,S.Kep 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
12-10-1992 1 3,091,900 0 0 0
199210122023212014 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
010955623801000 3,349,356 0 133,256 0
0 3,216,100
427 YOSEP SUNARIO ,S.Kep.,Ns. TK-0 3,091,900 0 0 0 0 0 427 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
17-12-1992 1 3,091,900 0 0 0
199212172023211004 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
96.540.287.8-924.000 3,349,356 0 133,256 0
0 3,216,100
428 Ns, HILDA HAMNU ,S.Kep TK-1 3,091,900 0 0 0 0 0 428 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
09-02-1993 4 3,524,766 0 0 0
199302092023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
93.068.859.3-924.000 3,999,453 0 151,653 0
0 3,847,800
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 87

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
429 Ns., MARIA FATIMA DIMUL ,S.Kep. TK-1 3,091,900 0 0 0 0 0 429 .............
2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
14-02-1993 4 3,524,766 0 0 0
199302142023212006 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
62.361.295.9-924.000 3,999,453 0 151,653 0
0 3,847,800
430 SITI RAMLINA ,S.Kep,Ns TK-0 3,091,900 0 0 0 0 0 430 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
13-03-1993 1 3,091,900 0 0 0
199303132023212016 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
85.326.145.1-924.000 3,349,356 0 133,256 0
0 3,216,100
431 Ns, YULIUS GUNAWAN ,S.Kep TK-1 3,091,900 0 0 0 0 0 431 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
14-07-1993 3 3,462,928 0 0 0
199307142023211002 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
63.416.359.6-924.000 3,865,224 0 149,024 0
0 3,716,200
432 Ns, MARIA AVELINA PURNAWATI TK-1 3,091,900 0 0 0 0 0 432 .............
,S.Kep 2 309,190 185,000 0 0 0 0
123,676 0 289,680 0 37,098
27-01-1994 4 3,524,766 0 0 0
199401272023212008 MKG: 0 0 114,555 0
Penata Muda Tk.I-10 0 0
7 0
39.534.520.0-924.000 3,999,453 0 151,653 0
0 3,847,800
433 ADRIANUS HARJON MOY ,S.Kep TK-1 3,091,900 0 0 0 0 0 433 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
28-01-1994 3 3,462,928 0 0 0
199401282023211003 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
63.813.673.9-924.000 3,865,224 0 149,024 0
0 3,716,200
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 88

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
434 ADOLFUS JEHAMIN ,S.kep.,Ns TK-1 3,091,900 0 0 0 0 0 434 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
17-06-1994 3 3,462,928 0 0 0
199406172023211001 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
62.373.570.1-924.000 3,865,224 0 149,024 0
0 3,716,200
435 ROBERTUS SUNARTO JOMPONG TK-0 3,091,900 0 0 0 0 0 435 .............
,S.Kep.,Ns 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
26-01-1995 1 3,091,900 0 0 0
199501262023211001 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
65.107.507.9-924.000 3,349,356 0 133,256 0
0 3,216,100
436 SAFERINUS BAHAGIA ,S.KEP.,Ns TK-1 3,091,900 0 0 0 0 0 436 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
11-03-1995 3 3,462,928 0 0 0
199503112023211002 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
638222968924000 3,865,224 0 149,024 0
0 3,716,200
437 Ns, YUSTINUS TRIPUTRANTO DELIS TK-0 3,091,900 0 0 0 0 0 437 .............
,S.Kep. 0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
14-05-1995 1 3,091,900 0 0 0
199505142023211003 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
639483957924000 3,349,356 0 133,256 0
0 3,216,100
438 AFAIT EFENDI BIN ,S.Kep.,Ns TK-0 3,091,900 0 0 0 0 0 438 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
18-05-1995 1 3,091,900 0 0 0
199505182023211002 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
86.204.694.3-924.000 3,349,356 0 133,256 0
0 3,216,100
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 89

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
439 JAINAL ABIDIN ,S.Kep.,Ns TK-1 3,091,900 0 0 0 0 0 439 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
20-10-1995 3 3,462,928 0 0 0
199510202023211007 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
63.439.421.7-924.000 3,865,224 0 149,024 0
0 3,716,200
440 SISILIA EDRIANA ,S.Kep.,Ns TK-0 3,091,900 0 0 0 0 0 440 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
22-07-1996 1 3,091,900 0 0 0
199607222023212011 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
39.597.747.3-924.000 3,349,356 0 133,256 0
0 3,216,100
441 Ns., YOHANES ARMAN ,S.Kep TK-0 3,091,900 0 0 0 0 0 441 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,769
19-08-1996 1 3,091,900 0 0 0
199608192023211002 MKG: 0 0 100,487 0
Penata Muda Tk.I-10 0 0
36 0
625991898924000 3,349,356 0 133,256 0
0 3,216,100
442 Ns, YAHYU HARTINI ,S.Kep TK-1 3,091,900 0 0 0 0 0 442 .............
1 309,190 185,000 0 0 0 0
61,838 0 217,260 0 36,479
07-09-1996 3 3,462,928 0 0 0
199609072023212003 MKG: 0 0 112,545 0
Penata Muda Tk.I-10 0 0
36 0
62.595.902.8-924.000 3,865,224 0 149,024 0
0 3,716,200
SUB TOTAL PERGOLONGAN : I 278,271,000 0 0 0 0 0
PEG: 90 20,406,540 16,650,000 0 0 0 0
IST: 66 JIWA= 257 6,245,638 0 18,611,940 0 3,215,739
304,923,178 0 0 0
ANK: 101 0 9,910,007 0
2,228 0 0
340,187,346 0 13,125,746
0 327,061,600
PEMERINTAH KABUPATEN MANGGARAI BARAT
DAFTAR PEMBAYARAN GAJI INDUK PPPK
[ PPPK DINAS KESEHATAN ] PPPK DINAS KESEHATAN
(058) D50700605800001 BULAN : DESEMBER 2023 HALAMAN : 90

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 BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES 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 IWP 1*3,25% BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
TOTAL PER SATKER 1,224,453,900 0 0 0 0 0
PEG: 442 85,130,030 80,235,000 0 0 0 0
IST: 307 JIWA= 1209 25,520,746 0 87,555,780 0 14,153,416
ANK: 460 1,335,104,676 0 0 0
0 43,390,923 0
0 0
28,283 0 57,544,339
1,502,923,739
0 1,445,379,400

KEPALA PPPK DINAS KESEHATAN LABUAN BAJO,27 NOPEMBER 2023


BENDAHARA PENGELUARAN

PAULUS MAMI ASRI AGUS


NIP 196504141987011002 198708192015031005

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