Daftar Gaji

PEMERINTAH PROVINSI KALIMANTAN UTARA
DAFTAR PEMBAYARAN GAJI INDUK PNSD

[ DINAS KESEHATAN ] DINAS KESEHATAN
(003) D10800600300001 BULAN : MARET 2024 HALAMAN : 1
NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJSKES 4 % POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJSKES 4 % TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 USMAN, SKM. M.Kes K -1 5,927,800 3,250,000 0 400,308 154,461 0 1 .............
2 592,780 0 0 0 400,308 0
237,112 0 289,680 0 100,077
17-08-1968 4 6,757,692 0 154,461 0
196808171993121004 MKG:31 0 540,615 0
-4D 0 0092002888
20 0
14.462.195.0-951.000 10,852,161 0 1,195,461 0
0 9,656,700
2 dr. RUSTAN SAMSUDDIN K -1 5,023,800 0 0 236,685 15,517 0 2 .............
2 502,380 190,000 0 0 236,685 0
200,952 0 289,680 0 59,171
01-11-1967 4 5,727,132 0 15,517 0
196711012001121003 MKG:22 0 458,171 0
-4C 0 0098000372
30 0
00000000 6,459,044 0 769,544 0
0 5,689,500
3 PETRUS F RUNGGA ,S.KM K -1 5,128,300 1,260,000 0 284,250 73,960 0 3 .............
2 512,830 0 0 0 284,250 0
205,132 0 289,680 0 71,063
05-05-1970 4 5,846,262 0 73,960 0
197005051998031017 MKG:26 0 467,701 0
-4B 0 0072075516
22 0
77.473.121.0-727.0 7,754,174 0 896,974 0
0 6,857,200
4 AGUST SUWANDY. MPH ,S.KM K -1 4,971,700 1,260,000 0 277,110 54,131 0 4 .............
2 497,170 0 0 0 277,110 0
198,868 0 289,680 0 69,277
21-08-1974 4 5,667,738 0 54,131 0 0
197408211997031002 MKG:24 0 453,419 0
-4B 0 0072057945
78 0
47. 123.785.9-727. 7,548,737 0 853,937 0
0 6,694,800
5 YUAN ERENST SUKAWATIE, M. ,S.KM K -1 4,213,500 1,260,000 0 242,536 15,883 0 5 .............
2 421,350 0 0 0 242,536 0
168,540 0 289,680 0 60,634
26-10-1983 4 4,803,390 0 15,883 0 0
198310262006041010 MKG:16 0 384,271 0
-4A 0 0072313151
35 0
00.000.000.0-000.0 6,611,524 0 703,324 0
0 5,908,200

NO KAWIN
6 TRIANA KUSUMANINGSIH. N ,S.KEP K -1 4,084,900 1,260,000 0 236,671 46,549 0 6 .............
2 408,490 0 0 0 236,671 0
163,396 0 289,680 0 59,168
11-06-1980 4 4,656,786 0 46,549 0
198006112009032002 MKG:14 0 372,543 0
-4A 0 1202020310
45 0
15.026.700.3-723.0 6,489,731 0 714,931 0
0 5,774,800
7 HERIYANA, SKM M.Kes K -1 4,920,200 540,000 0 242,025 47,009 0 7 .............
1 492,020 0 0 0 242,025 0
98,404 0 217,260 0 60,506
30-04-1970 3 5,510,624 0 47,009 0
197004301998032004 MKG:26 0 440,850 0
-4A 0 1162018252
72 0
6,556,990 0 790,390 0
0 5,766,600
8 RUSTAM EFFENDY.MPH ,S.KM K -1 4,770,000 540,000 0 239,112 15,669 0 8 .............
2 477,000 0 0 0 239,112 0
190,800 0 289,680 0 59,778
12-10-1970 4 5,437,800 0 15,669 0
197010121999031008 MKG:24 0 435,024 0
-4A 0 0072102410
22 0
77.473.125.1.727.0 6,522,283 0 749,583 0
0 5,772,700
9 DADANG HERMANTO. M.KES ,S.KEP K -1 4,770,000 540,000 0 239,112 15,669 0 9 .............
2 477,000 0 0 0 239,112 0
190,800 0 289,680 0 59,778
27-11-1974 4 5,437,800 0 15,669 0 0
197411271994021001 MKG:24 0 435,024 0
-4A 0 0072083806
22 0
67.393.031.9-727.0 6,522,283 0 749,583 0
0 5,772,700
10 MUSTAQIM HARIYADI, SKM, M.PH K -1 4,483,100 0 0 212,029 0 0 10 .............
2 448,310 190,000 0 0 212,029 0
179,324 0 289,680 0 53,007
28-10-1972 4 5,110,734 0 0 0
197210282000031005 MKG:20 0 408,859 0
-4A 0 1072011402
52 0
000000 5,802,495 0 673,895 0
0 5,128,600

NO KAWIN
11 dr. NOR HASANAH K -1 4,213,500 0 0 192,994 0 0 11 .............
0 421,350 190,000 0 0 192,994 0
0 0 144,840 0 48,249
10-07-1981 2 4,634,850 0 0 0
198107102008022004 MKG:17 0 370,788 0
-4A 0 1202015324
47 0
00000000 5,162,731 0 612,031 0
0 4,550,700
SUB TOTAL PERGOLONGAN : IV 52,506,800 9,910,000 0 2,802,832 438,848 0
PEG: 11 5,250,680 570,000 0 0 2,802,832 0
IST: 11 JIWA= 41 1,833,328 0 2,969,220 0 700,708
59,590,808 0 438,848 0
ANK: 19 0 4,767,265 0
445 0 0
76,282,153 0 8,709,653
0 67,572,500
12 FRANCKY F.J PAAT K -1 4,576,400 540,000 0 230,284 0 0 12 .............
2 457,640 0 0 0 230,284 0
183,056 0 289,680 0 57,571
02-02-1968 4 5,217,096 0 0 0 0
196802021994031013 MKG:24 0 417,368 0
-3D 0 0072088689
63 0
79.059.319.8-727.0 6,277,123 0 705,223 0
0 5,571,900
13 SUPRAWITNO ,S.KM K -1 4,042,500 540,000 0 205,938 0 0 13 .............
2 404,250 0 0 0 205,938 0
161,700 0 289,680 0 51,485
23-08-1981 4 4,608,450 0 0 0 0
198108232005021002 MKG:16 0 368,676 0
-3D 0 0072094832
31 0
78.472.340.5-727.0 5,644,099 0 626,099 0
0 5,018,000
14 ADELAIDE NOVRY S. NERS ,S.KEP K -0 4,042,500 540,000 0 183,300 0 0 14 .............
0 0 0 0 0 183,300 0
0 0 72,420 0 45,825
29-10-1981 1 4,042,500 0 0 0
198111292006042012 MKG:16 0 323,400 0
-3D 0 0122104915
5 0
00.000.000.0-000.0 4,838,225 0 552,525 0
0 4,285,700

NO KAWIN
15 RESKI AMALIYASARI. ,APT K -0 3,571,000 540,000 0 164,440 0 0 15 .............
0 0 0 0 0 164,440 0
0 0 72,420 0 41,110
29-09-1989 1 3,571,000 0 0 0
198909292015032002 MKG: 8 0 285,680 0
-3D 0 0072280491
70 0
72.632.962.6-727.0 4,347,930 0 491,230 0
0 3,856,700
16 EDMAN NOVIANTO, S.Kep.Ns. K -1 4,169,900 0 0 194,212 0 0 16 .............
1 416,990 185,000 0 0 194,212 0
83,398 0 217,260 0 48,553
21-11-1981 3 4,670,288 0 0 0
198111212003121004 MKG:18 0 373,623 0
-3D 0 0092027210
28 0
00000000 5,266,788 0 616,388 0
0 4,650,400
17 SRIWATY ,S.Si, A.pt K -0 3,919,100 0 0 167,299 0 0 17 .............
1 0 185,000 0 0 167,299 0
78,382 0 144,840 0 41,825
09-09-1978 2 3,997,482 0 0 0
197809092009032003 MKG:14 0 319,799 0
-3D 0 0072376579
2 0
XXXXXXXX 4,494,623 0 528,923 0
0 3,965,700
18 NULYN NESIA. ,APT K -1 3,571,000 0 0 170,238 0 0 18 .............
2 357,100 185,000 0 0 170,238 0
142,840 0 289,680 0 42,559
19-10-1989 4 4,070,940 0 0 0
198910192015032003 MKG: 8 0 325,675 0
-3D 0 0072278607
14 0
55.476.685.7-733.0 4,715,872 0 538,472 0
0 4,177,400
19 MARSURYANI ,S.KM K -0 4,000,600 540,000 0 181,624 0 0 19 .............
0 0 0 0 0 181,624 0
0 0 72,420 0 45,406
26-03-1985 1 4,000,600 0 0 0
198503262005022002 MKG:19 0 320,048 0
-3C 0 0072301650
34 0
00.000.000.0-000.0 4,794,678 0 547,078 0
0 4,247,600

NO KAWIN
20 HIKMAHWATI WAHID ,S.IP K -1 3,426,000 540,000 0 177,826 0 0 20 .............
2 342,600 0 0 0 177,826 0
137,040 0 289,680 0 44,456
26-12-1983 4 3,905,640 0 0 0
198312262015032001 MKG: 8 0 312,451 0
-3C 0 0072279271
87 0
72.621.800.1-727.0 4,913,233 0 534,733 0
0 4,378,500
21 OKCHTARIO KRISTIADHI ,S.KOM K -1 3,426,000 540,000 0 177,826 0 0 21 .............
2 342,600 0 0 0 177,826 0
137,040 0 289,680 0 44,456
26-10-1988 4 3,905,640 0 0 0
198810262015031004 MKG: 8 0 312,451 0
-3C 0 0072278682
87 0
00.000.000.0-000.0 4,913,233 0 534,733 0
0 4,378,500
22 SRI WIYANTI, SKM. M.P.H TK-0 3,878,500 0 0 162,540 0 0 22 .............
0 0 185,000 0 0 162,540 0
0 0 72,420 0 40,635
17-12-1977 1 3,878,500 0 0 0
197712172002122006 MKG:16 0 310,280 0
-3C 0 0122008147
95 0
00000000 4,298,555 0 513,455 0
0 3,785,100
23 YANNI, S.Kep.Ns K -1 3,878,500 0 0 184,260 0 0 23 .............
2 387,850 185,000 0 0 184,260 0
155,140 0 289,680 0 46,065
23-12-1979 4 4,421,490 0 0 0
197912232001122003 MKG:16 0 353,719 0
-3C 0 0092030806
14 0
0000000 5,080,444 0 584,044 0
0 4,496,400
24 SATRIYO SUGENG WIDODO, S.ST K -1 3,426,000 0 0 160,885 0 0 24 .............
1 342,600 185,000 0 0 160,885 0
68,520 0 217,260 0 40,221
02-04-1988 3 3,837,120 0 0 0
198804022015031003 MKG: 8 0 306,970 0
-3C 0 0072279883
11 0
00.000.000.0-000.0 4,400,276 0 508,076 0
0 3,892,200

NO KAWIN
25 AHMAD LUTHFAN MUSTAFID ,SP K -1 3,426,000 0 0 160,885 0 0 25 .............
1 342,600 185,000 0 0 160,885 0
68,520 0 217,260 0 40,221
28-06-1989 3 3,837,120 0 0 0
198906282015031001 MKG: 8 0 306,970 0
-3C 0 0072279808
11 0
00.000.000.0-000.0 4,400,276 0 508,076 0
0 3,892,200
26 WENTI GAMMARA, S.T K -0 3,426,000 0 0 144,440 0 0 26 .............
0 0 185,000 0 0 144,440 0
0 0 72,420 0 36,110
29-07-1989 1 3,426,000 0 0 0
198907292015032002 MKG: 8 0 274,080 0
-3C 0 0052401828
70 0
72.663.561.8-727.0 3,827,930 0 454,630 0
0 3,373,300
27 RENCHI MA'TAN, S.K.M K -0 3,426,000 0 0 144,440 0 0 27 .............
0 0 185,000 0 0 144,440 0
0 0 72,420 0 36,110
25-06-1990 1 3,426,000 0 0 0
199006252015032004 MKG: 8 0 274,080 0
-3C 0 0072278631
70 0
00.000.000.0-000.0 3,827,930 0 454,630 0
0 3,373,300
28 DHITA RATIH FRISTIANDARI, S.K. K -0 3,426,000 0 0 144,440 0 0 28 .............
0 0 185,000 0 0 144,440 0
0 0 72,420 0 36,110
16-02-1991 1 3,426,000 0 0 0
199102162015032002 MKG: 8 0 274,080 0
-3C 0 0072280512
70 0
00.000.000.0-000.0 3,827,930 0 454,630 0
0 3,373,300
29 SITI DWI KURNIA UTARI, S.ST K -1 3,426,000 0 0 160,885 0 0 29 .............
1 342,600 185,000 0 0 160,885 0
68,520 0 217,260 0 40,221
19-09-1991 3 3,837,120 0 0 0
199109192015032005 MKG: 8 0 306,970 0
-3C 0 0072279336
11 0
00.000.000.0-000.0 4,400,276 0 508,076 0
0 3,892,200

NO KAWIN
30 WIWIT KHUNTARI, S.K.M K -0 3,426,000 0 0 144,440 0 0 30 .............
0 0 185,000 0 0 144,440 0
0 0 72,420 0 36,110
03-12-1992 1 3,426,000 0 0 0
199212032015032003 MKG: 8 0 274,080 0
-3C 0 0072278445
70 0
00.000.000.0-000.0 3,827,930 0 454,630 0
0 3,373,300
31 Dr, RIRIH RIWAYATI ,S.Ked K -0 3,321,400 0 0 140,256 0 0 31 .............
0 0 185,000 0 0 140,256 0
0 0 72,420 0 35,064
10-12-1985 1 3,321,400 0 0 0
198512102018022001 MKG: 6 0 265,712 0
-3C 0 0072293860
56 0
0 3,719,132 0 441,032 0
0 3,278,100
32 ENI PRISKA DEWI SILABAN ,S.Kep., TK-0 3,089,300 0 0 135,572 0 0 32 .............
Ns. 0 0 0 0 0 135,572 0
0 300,000 72,420 0 33,893
22-02-1990 1 3,089,300 0 0 0
199002222019032009 MKG: 4 0 247,144 0
-3B 0 1162079251
17 0
.NULL. 3,597,309 0 416,609 0
0 3,180,700
33 BUTSI ANI DEWI RAHMAWATI K -1 4,345,100 0 0 205,537 13,570 0 33 .............
2 434,510 185,000 0 0 205,537 0
173,804 0 289,680 0 51,384
19-03-1973 4 4,953,414 0 13,570 0
197303191997032006 MKG:26 0 396,273 0
-3B 0 1202008425
63 0
87.405.736.7-723.0 5,647,264 0 666,764 0
0 4,980,500
34 DIANA RAHAYU TK-0 3,721,100 0 0 156,244 0 0 34 .............
0 0 185,000 0 0 156,244 0
0 0 72,420 0 39,061
14-08-1980 1 3,721,100 0 0 0
198008142005022005 MKG:16 0 297,688 0
-3B 0 0092093549
29 0
000000 4,134,793 0 492,993 0
0 3,641,800

NO KAWIN
35 RATNA BRAHWATI K -0 3,607,500 0 0 151,700 0 0 35 .............
0 0 185,000 0 0 151,700 0
0 0 72,420 0 37,925
07-02-1974 1 3,607,500 0 0 0
197402072010012002 MKG:14 0 288,600 0
-3B 0 1202002133
5 0
58.838.504.7-723.0 4,016,625 0 478,225 0
0 3,538,400
36 OPIK HIDAYAT ,S.Ak K -1 3,186,600 0 0 152,709 0 0 36 .............
2 318,660 185,000 0 0 152,709 0
127,464 0 289,680 0 38,177
30-03-1983 4 3,632,724 0 0 0
198303302018021001 MKG: 6 0 290,618 0
-3B 0 0072309642
91 0
0 4,260,204 0 481,504 0
0 3,778,700
37 CITRA PERTIWI ,S.Si K -0 3,186,600 0 0 134,864 0 0 37 .............
0 0 185,000 0 0 134,864 0
0 0 72,420 0 33,716
29-05-1984 1 3,186,600 0 0 0
198405292018022001 MKG: 6 0 254,928 0
-3B 0 0072308689
24 0
0 3,578,908 0 423,508 0
0 3,155,400
38 SITTI JUMERIAH ,S.Psi K -0 3,186,600 0 0 139,963 0 0 38 .............
2 0 185,000 0 0 139,963 0
127,464 0 217,260 0 34,991
23-05-1986 3 3,314,064 0 0 0
198605232018022001 MKG: 6 0 265,125 0
-3B 0 0072321642
92 0
0 3,856,379 0 440,079 0
0 3,416,300
39 APRIANA ASA ,S.kep JD-0 3,186,600 0 0 137,413 0 0 39 .............
1 0 185,000 0 0 137,413 0
63,732 0 144,840 0 34,353
17-04-1988 2 3,250,332 0 0 0
198804172018022001 MKG: 6 0 260,027 0
-3B 0 0072319311
8 0
84.390.552.2.727.000 3,717,593 0 431,793 0
0 3,285,800

NO KAWIN
40 MUHAMMAD FAZRIANSYAH ,SE TK-0 3,186,600 0 0 134,864 0 0 40 .............
0 0 185,000 0 0 134,864 0
0 0 72,420 0 33,716
21-07-1988 1 3,186,600 0 0 0
198807212018021001 MKG: 6 0 254,928 0
-3B 0 0088007158
24 0
0 3,578,908 0 423,508 0
0 3,155,400
41 CHRISTIVANI MURNI JUNIARFI BR K -1 3,186,600 0 0 147,610 0 0 41 .............
PARDEDE ,SKM 0 318,660 185,000 0 0 147,610 0
0 0 144,840 0 36,903
14-06-1990 2 3,505,260 0 0 0
199006142018022001 MKG: 6 0 280,421 0
-3B 0 1322211453
24 0
0 3,982,734 0 464,934 0
0 3,517,800
42 HAPSAYANA ,SKM K -1 3,186,600 0 0 150,160 0 0 42 .............
1 318,660 185,000 0 0 150,160 0
63,732 0 217,260 0 37,540
03-11-1994 3 3,568,992 0 0 0
199411032018022001 MKG: 6 0 285,519 0
-3B 0 0072254546
7 0
0 4,121,419 0 473,219 0
0 3,648,200
43 MEITY NUR FADILLAH ,S.Gz. K -1 3,089,300 0 0 145,801 0 0 43 .............
1 308,930 185,000 0 0 145,801 0
61,786 0 217,260 0 36,450
17-05-1991 3 3,460,016 0 0 0
199105172019032016 MKG: 4 0 276,801 0
-3B 0 0072293657
75 0
.NULL. 4,008,152 0 459,052 0
0 3,549,100
44 IIS AFRIYANTI ,S.Kep., Ns. K -1 3,089,300 0 0 145,801 0 0 44 .............
1 308,930 185,000 0 0 145,801 0
61,786 0 217,260 0 36,450
05-05-1992 3 3,460,016 0 0 0
199205052019032014 MKG: 4 0 276,801 0
-3B 0 0072294122
75 0
.NULL. 4,008,152 0 459,052 0
0 3,549,100

NO KAWIN
45 ALIF VIA RAHMADHANI ,S.Tr.Keb K -1 2,785,700 0 0 134,571 0 0 45 .............
0 278,570 0 0 0 134,571 0
0 300,000 144,840 0 33,643
22-01-1997 2 3,064,270 0 0 0
199701222022032009 MKG: 1 0 245,142 0
-3A 0 1822000399
75 0
417641107727000 3,643,756 0 413,356 0
0 3,230,400
46 KAMAN DANU, A.Md.Ak K -1 3,153,600 0 0 154,404 0 0 46 .............
2 315,360 0 0 0 154,404 0
126,144 265,000 289,680 0 38,601
01-03-1990 4 3,595,104 0 0 0
199003012014021002 MKG: 8 0 287,608 0
-3A 0 0142045231
25 0
0000000 4,304,213 0 480,613 0
0 3,823,600
47 S.STP, DEWI ALFINAALIMIN TK-0 2,873,500 0 0 122,340 0 0 47 .............
0 0 185,000 0 0 122,340 0
0 0 72,420 0 30,585
14-01-1998 1 2,873,500 0 0 0
199801142020082001 MKG: 3 0 229,880 0
-3A 0 0072376749
45 0
91.693.994.5-723.000 3,253,305 0 382,805 0
0 2,870,500
SUB TOTAL PERGOLONGAN : III 125,866,000 3,780,000 0 5,750,011 13,570 0
PEG: 36 6,339,110 4,810,000 0 0 5,750,011 0
IST: 18 JIWA= 83 2,090,068 865,000 6,010,860 0 1,437,501
134,295,178 0 13,570 0
ANK: 29 0 10,743,615 0
1,578 0 0
155,526,197 0 17,944,697
0 137,581,500
48 SRI HANDAYANI ,A.Md.Far. K -1 2,756,800 0 0 133,105 0 0 48 .............
1 275,680 0 0 0 133,105 0
55,136 240,000 217,260 0 33,276
20-01-1993 3 3,087,616 0 0 0
199301202019032010 MKG: 8 0 247,009 0
-2D 0 0072228715
9 0
.NULL. 3,677,990 0 413,390 0
0 3,264,600

NO KAWIN
49 BINTI YULIANA ,Amd.keb K -0 2,843,700 0 0 120,948 0 0 49 .............
0 0 180,000 0 0 120,948 0
0 0 72,420 0 30,237
13-12-1988 1 2,843,700 0 0 0
198812132018022001 MKG: 9 0 227,496 0
-2D 0 0122227634
13 0
0 3,217,081 0 378,681 0
0 2,838,400
50 JUITA ,Amd K -0 2,843,700 0 0 123,223 0 0 50 .............
1 0 180,000 0 0 123,223 0
56,874 0 144,840 0 30,806
04-12-1991 2 2,900,574 0 0 0
199112042018022001 MKG: 9 0 232,046 0
-2D 0 0072321359
38 0
0 3,348,675 0 386,075 0
0 2,962,600
51 YULIANA WIDHY JANUARTI SIWI K -1 2,843,700 0 0 134,598 0 0 51 .............
,Amd.keb 1 284,370 180,000 0 0 134,598 0
56,874 0 217,260 0 33,649
28-01-1993 3 3,184,944 0 0 0
199301282018022001 MKG: 9 0 254,796 0
-2D 0 0052381851
41 0
0 3,716,843 0 423,043 0
0 3,293,800
52 ARI FEBRILLA WAHYU WIJAYANTI TK-0 2,843,700 0 0 120,948 0 0 52 .............
,Amd 0 0 180,000 0 0 120,948 0
0 0 72,420 0 30,237
27-02-1994 1 2,843,700 0 0 0
199402272018022002 MKG: 9 0 227,496 0
-2D 0 0077002332
13 0
0 3,217,081 0 378,681 0
0 2,838,400
53 WAHYUNI ,A.Md TK-0 2,843,700 0 0 120,948 0 0 53 .............
0 0 180,000 0 0 120,948 0
0 0 72,420 0 30,237
26-07-1994 1 2,843,700 0 0 0
199407262018022002 MKG: 9 0 227,496 0
-2D 0 0072310756
13 0
0 3,217,081 0 378,681 0
0 2,838,400

NO KAWIN
54 INTAN DWININGTYASTUTI ,A.Md. K -0 2,756,800 0 0 117,472 0 0 54 .............
0 0 180,000 0 0 117,472 0
0 0 72,420 0 29,368
01-10-1988 1 2,756,800 0 0 0
198810012019032007 MKG: 7 0 220,544 0
-2D 0 0077050167
92 0
.NULL. 3,126,784 0 367,384 0
0 2,759,400
55 EMELISA WISARI LIMBONG TK-0 2,756,800 0 0 117,472 0 0 55 .............
,A.Md.Kep. 0 0 180,000 0 0 117,472 0
0 0 72,420 0 29,368
03-02-1995 1 2,756,800 0 0 0
199502032019032011 MKG: 7 0 220,544 0
-2D 0 0012994371
92 0
.NULL. 3,126,784 0 367,384 0
0 2,759,400
56 MENE DARA ,A.Md.Kep TK-0 2,564,200 0 0 112,168 0 0 56 .............
0 0 0 0 0 112,168 0
0 240,000 72,420 0 28,042
17-09-1996 1 2,564,200 0 0 0
199609172020122020 MKG: 5 0 205,136 0
-2C 0 0092726894
58 0
93.209.367.7-723.000 2,988,846 0 345,346 0
0 2,643,500
57 KORNELIUS GUN K -0 2,728,300 0 0 116,332 0 0 57 .............
0 0 180,000 0 0 116,332 0
0 0 72,420 0 29,083
08-10-1995 1 2,728,300 0 0 0
199510082015031001 MKG: 9 0 218,264 0
-2C 0 0072237668
27 0
00.000.000.0-000.0 3,097,079 0 363,679 0
0 2,733,400
58 ANGGIT REVIANA ,A.Md. K -0 2,564,200 0 0 109,768 0 0 58 .............
0 0 180,000 0 0 109,768 0
0 0 72,420 0 27,442
13-02-1989 1 2,564,200 0 0 0
198902132020122012 MKG: 5 0 205,136 0
-2C 0 0072397860
58 0
41.317.158.8-727.000 2,926,446 0 342,346 0
0 2,584,100

NO KAWIN
59 SHELYANALARISA ,Amd.Kep TK-0 2,564,200 0 0 109,768 0 0 59 .............
0 0 180,000 0 0 109,768 0
0 0 72,420 0 27,442
15-01-1997 1 2,564,200 0 0 0
199701152020122010 MKG: 5 0 205,136 0
-2C 0 0072417381
58 0
41.318.660.2-727.000 2,926,446 0 342,346 0
0 2,584,100
SUB TOTAL PERGOLONGAN : 32,909,800 0 0 1,436,750 0 0
PEG: 12 560,050 1,800,000 0 0 1,436,750 0
IST: 2 JIWA= 17 168,884 480,000 1,231,140 0 359,187
33,638,734 0 0 0
ANK: 3 0 2,691,099 0
512 0 0
38,587,136 0 4,487,036
0 34,100,100
TOTAL PER SATKER 211,282,600 13,690,000 0 9,989,593 452,418 0
PEG: 59 12,149,840 7,180,000 0 0 9,989,593 0
IST: 31 JIWA= 141 4,092,280 1,345,000 10,211,220 0 2,497,396
ANK: 51 227,524,720 0 452,418 0
0 18,201,979 0
0 0
2,535 0 31,141,386
270,395,486
0 239,254,100
KEPALA DINAS KESEHATAN ,29 FEBRUARI 2024

BENDAHARA PENGELUARAN
USMAN. M.KES ANGGIT REVIANA

NIP 196808171993121004 198902132020122012
[ DINAS KESEHATAN ] UPTD INSTALASI FARMASI

NO KAWIN
1 JOMEIDAWATHY, S,Si, Apt K -1 3,571,000 540,000 0 181,581 0 0 1 .............
1 357,100 0 0 0 181,581 0
71,420 0 217,260 0 45,395
10-05-1988 3 3,999,520 0 0 0
198805102014032003 MKG: 9 0 319,962 0
-3D 0 0072378512
77 0
000000 4,938,438 0 546,938 0
0 4,391,500
2 FADRIAN MENTHAN, ,S.SOS K -1 3,426,000 540,000 0 177,826 0 0 2 .............
2 342,600 0 0 0 177,826 0
137,040 0 289,680 0 44,456
04-05-1990 4 3,905,640 0 0 0
199005042015031002 MKG: 8 0 312,451 0
-3C 0 0072210743
87 0
00.000.000.0-000.0 4,913,233 0 534,733 0
0 4,378,500
3 LANNY KHORISAFITRIE, S.T K -1 3,426,000 0 0 160,885 0 0 3 .............
1 342,600 185,000 0 0 160,885 0
68,520 0 217,260 0 40,221
15-07-1981 3 3,837,120 0 0 0
198107152015032003 MKG: 8 0 306,970 0
-3C 0 0072279468
11 0
00.000.000.0-000.0 4,400,276 0 508,076 0
0 3,892,200
4 ANDI CENDRA PERTIWI, S.K.M K -0 3,426,000 0 0 144,440 0 0 4 .............
0 0 185,000 0 0 144,440 0
0 0 72,420 0 36,110
22-12-1990 1 3,426,000 0 0 0
199012222015032006 MKG: 8 0 274,080 0
-3C 0 0072279239
70 0
00.000.000.0-000.0 3,827,930 0 454,630 0
0 3,373,300
5 Apt., SRI MUNIARTI ,S. Farm. K -1 2,995,000 0 0 144,780 0 0 5 .............
0 299,500 0 0 0 144,780 0
0 325,000 144,840 0 36,195
09-06-1989 2 3,294,500 0 0 0
198906092020122010 MKG: 2 0 263,560 0
-3B 0 0052382556
15 0
05.879.497.5-723.000 3,909,135 0 444,535 0
0 3,464,600

NO KAWIN
6 ELLY MARIANIE, A.Md. Far K -0 3,497,300 0 0 150,492 0 0 6 .............
0 0 0 0 0 150,492 0
0 265,000 72,420 0 37,623
17-06-1983 1 3,497,300 0 0 0
198306172009062001 MKG:12 0 279,784 0
-3B 0 0072214901
87 0
3,985,299 0 467,899 0
0 3,517,400
7 YUANITA ARIES ERNAWATI, AM.d. K -1 3,153,600 0 0 151,204 0 0 7 .............
Keb 2 315,360 185,000 0 0 151,204 0
126,144 0 289,680 0 37,801
24-04-1990 4 3,595,104 0 0 0
199004242014032005 MKG: 8 0 287,608 0
-3A 0 0122202933
25 0
000000 4,221,013 0 476,613 0
0 3,744,400
SUB TOTAL PERGOLONGAN : III 23,494,900 1,080,000 0 1,111,208 0 0
PEG: 7 1,657,160 555,000 0 0 1,111,208 0
IST: 5 JIWA= 18 403,124 590,000 1,303,560 0 277,801
25,555,184 0 0 0
ANK: 6 0 2,044,415 0
372 0 0
30,195,324 0 3,433,424
0 26,761,900
8 HENYKE ,A.Md.Far. K -1 2,756,800 0 0 133,105 0 0 8 .............
1 275,680 0 0 0 133,105 0
55,136 240,000 217,260 0 33,276
09-03-1997 3 3,087,616 0 0 0
199703092019032003 MKG: 8 0 247,009 0
-2D 0 0072320751
9 0
.NULL. 3,677,990 0 413,390 0
0 3,264,600
SUB TOTAL PERGOLONGAN : 2,756,800 0 0 133,105 0 0
PEG: 1 275,680 0 0 0 133,105 0
IST: 1 JIWA= 3 55,136 240,000 217,260 0 33,276
3,087,616 0 0 0
ANK: 1 0 247,009 0
9 0 0
3,677,990 0 413,390
0 3,264,600

NO KAWIN
TOTAL PER SATKER 26,251,700 1,080,000 0 1,244,313 0 0
PEG: 8 1,932,840 555,000 0 0 1,244,313 0
IST: 6 JIWA= 21 458,260 830,000 1,520,820 0 311,077
ANK: 7 28,642,800 0 0 0
0 2,291,424 0
0 0
381 0 3,846,814
33,873,314
0 30,026,500
KEPALA DINAS KESEHATAN ,29 FEBRUARI 2024

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USMAN. M.KES ANGGIT REVIANA

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KEPALA DINAS KESEHATAN ,29 FEBRUARI 2024

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