DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES

BULAN JANUARI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,596 ORANG
JUMLAH PEGAWAI : 107 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,576,000

PENERIMAAN KAPITASI
KEHADIRAN RANG TANG DENGAN JUMLAH PESERTA
JENIS MAS KAP GUNG JML PRESE JUMLAH 18,596 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUGA
JML SADM
JAWA POINT NTASE TOTAL
BIAYA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI HARI INIST
B VARIA KEHAD SELURU JASA
OPERASIONA ( Rp ) 5% ) ( Rp )
AN KAN AN JA MASU PROG BEL IRAN H POINT PELAYANAN
KERJ RASI RAM L ( 30
K ( 70 % )
A %)
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 12 26 100 260 46 12,000 Rp 78,103,200 Rp 33,472,800 Rp 1,826,359 Rp 273,954 Rp 1,552,405 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 10 26 10 160 38 6,154 Rp 78,103,200 Rp 33,472,800 Rp 936,594 Rp 46,830 Rp 889,765 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 14 26 10 160 54 8,615 Rp 78,103,200 Rp 33,472,800 Rp 1,311,232 Rp 65,562 Rp 1,245,671 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 25 26 160 96 15,385 Rp 78,103,200 Rp 33,472,800 Rp 2,341,486 Rp 351,223 Rp 1,990,263 4

5 Muhammad Ali III Kasubag. SMA 25 25 26 26 30 80 100 8,000 Rp 78,103,200 Rp 33,472,800 Rp 1,217,573 Rp 60,879 Rp 1,156,694 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 17 26 10 95 65 6,212 Rp 78,103,200 Rp 33,472,800 Rp 945,375 Rp 47,269 Rp 898,106 6

7 Agustina Bintang III Bidan D3 60 25 4 26 10 95 15 1,462 Rp 78,103,200 Rp 33,472,800 Rp 222,441 Rp 11,122 Rp 211,319 7

8 Saribanong III perawat SPK 25 25 26 26 10 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 45,659 Rp 867,521 8

9 Petrus Milu Embang Tandi III Perawat (Bend.JKN) D3 60 25 24 26 50 10 145 92 13,385 Rp 78,103,200 Rp 33,472,800 Rp 2,037,093 Rp 101,855 Rp 1,935,238 9

10 Sukmawatie, B.Sc III Perawat D3 60 25 23 26 10 95 88 8,404 Rp 78,103,200 Rp 33,472,800 Rp 1,279,037 Rp 63,952 Rp 1,215,085 10

11 Sri Rahmat Yani Nur, S.Ke III Perawat S1 100 20 25 26 10 130 96 12,500 Rp 78,103,200 Rp 33,472,800 Rp 1,902,458 Rp 95,123 Rp 1,807,335 11

12 Rohani, Amd.KG III Perawat Gigi D3 60 20 24 26 80 92 7,385 Rp 78,103,200 Rp 33,472,800 Rp 1,123,913 Rp 56,196 Rp 1,067,718 12

13 Rosidah, SKM III Sanitarian S1 80 10 21 26 10 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 61,464 Rp 1,167,816 13

14 Israyana Yulianti, SKM III Sanitarian S1 80 10 13 26 10 100 50 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 38,049 Rp 722,934 14

15 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 6 26 10 60 23 1,385 Rp 78,103,200 Rp 33,472,800 Rp 210,734 Rp 10,537 Rp 200,197 15
16 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 11 26 70 42 2,962 Rp 78,103,200 Rp 33,472,800 Rp 450,736 Rp 22,537 Rp 428,199 16

17 Mayanti, AMF III Asisten Apoteker D3 60 10 25 26 10 80 96 7,692 Rp 78,103,200 Rp 33,472,800 Rp 1,170,743 Rp 58,537 Rp 1,112,206 17

18 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 4 26 10 100 15 1,538 Rp 78,103,200 Rp 33,472,800 Rp 234,149 Rp 11,707 Rp 222,441 18

19 Muhammad Ilham Tamrin III Perawat D3 60 10 14 26 10 80 54 4,308 Rp 78,103,200 Rp 33,472,800 Rp 655,616 Rp 32,781 Rp 622,835 19

20 Nur Damayanti, S.Kep, M. III Perawat S2 80 5 19 26 10 95 73 6,942 Rp 78,103,200 Rp 33,472,800 Rp 1,056,596 Rp 52,830 Rp 1,003,766 20

21 Rostini, AMG III Nutrisionis D3 60 10 6 26 70 23 1,615 Rp 78,103,200 Rp 33,472,800 Rp 245,856 Rp 12,293 Rp 233,563 21

22 Hj. Rosdiana III Pranata Lab. Kes. SMAK 25 25 26 26 50 100 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 38,049 Rp 722,934 22

23 Elsa Handayani, AMK III Perawat D3 60 5 13 26 10 75 50 3,750 Rp 78,103,200 Rp 33,472,800 Rp 570,737 Rp 28,537 Rp 542,200 23

24 Suriati, Amd, Keb III Bidan D3 60 5 11 26 10 75 42 3,173 Rp 78,103,200 Rp 33,472,800 Rp 482,932 Rp 24,147 Rp 458,785 24

25 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 26 26 65 100 6,500 Rp 78,103,200 Rp 33,472,800 Rp 989,278 Rp 49,464 Rp 939,814 25

26 Amsari Parida Amir, AMK III Perawat D3 60 5 15 26 10 75 58 4,327 Rp 78,103,200 Rp 33,472,800 Rp 658,543 Rp 32,927 Rp 625,616 26

27 Nadia Sri Damayanti, AMK III Perawat D3 60 5 11 26 10 75 42 3,173 Rp 78,103,200 Rp 33,472,800 Rp 482,932 Rp 24,147 Rp 458,785 27

28 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 6 26 10 75 23 1,731 Rp 78,103,200 Rp 33,472,800 Rp 263,417 Rp 13,171 Rp 250,246 28

29 Sitti Aminah Anas, A.Md.K III Bidan D3 60 5 5 26 10 75 19 1,442 Rp 78,103,200 Rp 33,472,800 Rp 219,514 Rp 10,976 Rp 208,539 29

30 Rahmah Yuliyana, AMK III Perawat D3 60 5 18 26 10 75 69 5,192 Rp 78,103,200 Rp 33,472,800 Rp 790,252 Rp 39,513 Rp 750,739 30

31 Hj. Syahraeni, S.Kep III Perawat S1 80 10 20 26 10 100 77 7,692 Rp 78,103,200 Rp 33,472,800 Rp 1,170,743 Rp 58,537 Rp 1,112,206 31

32 Andi Megawati, SKM III Teknisi Gigi S1 80 0 8 26 80 31 2,462 Rp 78,103,200 Rp 33,472,800 Rp 374,638 Rp 18,732 Rp 355,906 32

33 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 9 26 10 80 35 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 21,073 Rp 400,394 33

34 Andi Yulianti, Amd.Keb III Bidan D3 60 5 0 26 10 75 - - Rp 78,103,200 Rp 33,472,800 Rp - Rp - Rp - 34

35 Muhammad Nawir II Pengadministrasi SMK 25 5 21 26 30 81 2,423 Rp 78,103,200 Rp 33,472,800 Rp 368,784 Rp - Rp 368,784 35

36 Maesar Prayuda, AMK II Perawat D3 60 0 25 26 10 70 96 6,731 Rp 78,103,200 Rp 33,472,800 Rp 1,024,400 Rp - Rp 1,024,400 36

37 Anna Marsela, Amd. Kep II Perawat D3 60 0 12 26 10 70 46 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp - Rp 491,712 37

38 Wahyuni, Amd.Keb III Bidan D3 60 5 6 26 10 75 23 1,731 Rp 78,103,200 Rp 33,472,800 Rp 263,417 Rp 13,171 Rp 250,246 38

39 Herawati Said, Amd. Keb III Bidan D3 60 5 14 26 10 75 54 4,038 Rp 78,103,200 Rp 33,472,800 Rp 614,640 Rp 30,732 Rp 583,908 39

40 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 19 26 10 75 73 5,481 Rp 78,103,200 Rp 33,472,800 Rp 834,154 Rp 41,708 Rp 792,447 40
41 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp - Rp 878,057 41

42 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 20 26 10 70 77 5,385 Rp 78,103,200 Rp 33,472,800 Rp 819,520 Rp - Rp 819,520 42

43 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 22 26 10 70 85 5,923 Rp 78,103,200 Rp 33,472,800 Rp 901,472 Rp - Rp 901,472 43

44 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp - Rp 842,935 44

45 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 19 26 10 70 73 5,115 Rp 78,103,200 Rp 33,472,800 Rp 778,544 Rp - Rp 778,544 45

46 Nur Felinsiani, S.ST III Bidan D4 80 5 12 26 10 95 46 4,385 Rp 78,103,200 Rp 33,472,800 Rp 667,324 Rp 33,366 Rp 633,957 46

47 Sukma Dewi, AMK III Perawat Pustu D3 60 5 22 26 65 85 5,500 Rp 78,103,200 Rp 33,472,800 Rp 837,081 Rp 41,854 Rp 795,227 47

48 dr. Zainal Abidin Dokter Umum S1 150 25 26 150 96 14,423 Rp 78,103,200 Rp 33,472,800 Rp 2,195,143 Rp 54,879 Rp 2,140,265 48

49 Agustini Perkantoran SMEA 25 23 26 25 88 2,212 Rp 78,103,200 Rp 33,472,800 Rp 336,589 Rp 8,415 Rp 328,174 49

50 Rosmayanti, SKM S1 Kesmas S1 80 21 26 80 81 6,462 Rp 78,103,200 Rp 33,472,800 Rp 983,424 Rp 24,586 Rp 958,839 50

51 Hasmirawati, AMK Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 51

52 Muhrawati, AMK Perawat D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 52

53 Hamriana, Amd.Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 53

54 Yunarsih, AMAK Analis Kes. D3 60 0 26 60 - - Rp 78,103,200 Rp 33,472,800 Rp - Rp - Rp - 54

55 Andi Masmuliani Perkantoran SMA 25 26 26 25 100 2,500 Rp 78,103,200 Rp 33,472,800 Rp 380,492 Rp 9,512 Rp 370,979 55

56 Israwati, SP S1 Pertanian S1 50 26 26 50 100 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 19,025 Rp 741,958 56

57 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 57

58 Andi Armita Dewi, AMK Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 58

59 Sri Adrianti, A.Md.Kep Perawat D3 60 16 26 60 62 3,692 Rp 78,103,200 Rp 33,472,800 Rp 561,957 Rp 14,049 Rp 547,908 59

60 Mushfiah Zaenuddin, AMK Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 60

61 Nur Wahyuni, Amd.Kep Perawat D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 61

62 Lisdayanti, Amd.Keb Bidan D3 60 8 26 60 31 1,846 Rp 78,103,200 Rp 33,472,800 Rp 280,978 Rp 7,024 Rp 273,954 62

63 Dewi Sartika, Amd.Keb Bidan D3 60 12 26 60 46 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 10,537 Rp 410,931 63

64 Rosdiana, Amd.Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 15,805 Rp 616,396 64

65 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 13,698 Rp 442,892 65
66 Andi Isna, Amd.Keb Bidan D3 60 10 26 60 38 2,308 Rp 78,103,200 Rp 33,472,800 Rp 351,223 Rp 8,781 Rp 342,442 66

67 Muhammad Rum, Amd.Kep Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 67

68 Muhammad Subhan, Amd.Kep Perawat D3 60 15 26 60 58 3,462 Rp 78,103,200 Rp 33,472,800 Rp 526,834 Rp 13,171 Rp 513,664 68

69 Sulmiati, Amd.Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 15,805 Rp 616,396 69

70 Musdalifah MR, AMK Perawat D3 60 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 70

71 Isnayani, Amd.Keb Bidan D3 60 7 26 60 27 1,615 Rp 78,103,200 Rp 33,472,800 Rp 245,856 Rp 6,146 Rp 239,710 71

72 Rizaldi Razak, Amd.Kep Perawat D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 72

73 Yul Fitriana, Amd.Keb Bidan D3 60 10 26 60 38 2,308 Rp 78,103,200 Rp 33,472,800 Rp 351,223 Rp 8,781 Rp 342,442 73

74 Titin Sumarni, Amd.Keb Bidan D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 74

75 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 26 26 100 100 10,000 Rp 78,103,200 Rp 33,472,800 Rp 1,521,966 Rp 38,049 Rp 1,483,917 75

76 Andi Tenri Ellung Nomang, Amd. Bidan D3 60 15 26 60 58 3,462 Rp 78,103,200 Rp 33,472,800 Rp 526,834 Rp 13,171 Rp 513,664 76

77 Hastuti, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 77

78 Wahyuni Hamzah, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 78

79 Desi Asriana, S. ST Bidan D4 80 11 26 80 42 3,385 Rp 78,103,200 Rp 33,472,800 Rp 515,127 Rp 12,878 Rp 502,249 79

80 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 11,415 Rp 445,175 80

81 Dahling Ceaning servis SMA 25 25 26 25 96 2,404 Rp 78,103,200 Rp 33,472,800 Rp 365,857 Rp 10,976 Rp 354,882 81

82 Muh. Bahrum, Amd.Kep Perawat D3 60 21 26 60 81 4,846 Rp 78,103,200 Rp 33,472,800 Rp 737,568 Rp 18,439 Rp 719,129 82

83 Fitriani, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 14,751 Rp 476,961 83

84 Dini Yuliana Sari, AMK Perawat D3 60 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 84

85 Dewi Sartika, SKM Kesmas S1 80 18 26 80 69 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 85

86 Jumrawati, S.Kep Perawat S1 80 23 26 80 88 7,077 Rp 78,103,200 Rp 33,472,800 Rp 1,077,084 Rp 26,927 Rp 1,050,157 86

87 Andi Rusdiani, Amd.Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 26,342 Rp 851,716 87

88 Citra Pratiwi, Amd.Keb Bidan D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 11,415 Rp 445,175 88

89 Didik Sunarwan Sopir SMA 25 26 26 25 100 2,500 Rp 78,103,200 Rp 33,472,800 Rp 380,492 Rp 9,512 Rp 370,979 89

90 Egar Sandhika Perawat SMK 25 21 26 25 81 2,019 Rp 78,103,200 Rp 33,472,800 Rp 307,320 Rp 7,683 Rp 299,637 90
91 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 2 26 60 8 462 Rp 78,103,200 Rp 33,472,800 Rp 70,245 Rp 2,107 Rp 68,137 91

92 Andi Hasriani, S. Kep, Ns Perawat S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 30,732 Rp 1,198,548 92

93 Andi Marlianti Admin. Perkantoran SMA 25 17 26 25 65 1,635 Rp 78,103,200 Rp 33,472,800 Rp 248,783 Rp 7,463 Rp 241,319 93

94 Nur Maya, Amd. Kep Perawat D3 60 23 26 60 88 5,308 Rp 78,103,200 Rp 33,472,800 Rp 807,813 Rp 20,195 Rp 787,617 94

95 Meliana, Amd. Kep Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 95

96 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 15 26 100 58 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 96

97 Risnawati, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 97

98 Emil Pranata Putra Sopir SMA 60 12 26 60 46 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 10,537 Rp 410,931 98

99 Irna Supianti Said, Amd. Keb Bidan D3 60 17 26 60 65 3,923 Rp 78,103,200 Rp 33,472,800 Rp 597,079 Rp 14,927 Rp 582,152 99

100 Nurfaidah Ansar, Amd. Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 18,966 Rp 613,235 100

101 Hernawati, Amd. Keb Bidan D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 101

102 Ainun Mardiah, Amd. Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 102

103 Dede Frederika Febriyanti, S.Si, A Apoteker S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 30,732 Rp 1,198,548 103

104 Samsuri, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 21,073 Rp 681,372 104

105 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 36,878 Rp 1,192,402 105

106 Kiki Imriyani, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 21,073 Rp 681,372 106

107 Dewi Akhryani, Amd.Kep Perawat D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 107

JUMLAH 6,935 430 1,837 2,782 180 340 7,885 7,065 513,173 Rp 78,103,200 Rp 33,472,800 Rp 78,103,200 Rp 3,057,454 Rp 75,045,746

Mengetahui / Menyetujui : Benteng, 31 Januari 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
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513,173 PBI APBD PBI APBD 9,989 59,934,000
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513,173 NON PBI NON PBI 3,230 19,380,000
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Rp 35,122
513,173
Rp 35,122
513,173

Rp 42,517
513,173 36,530,254
NO NAMA GOL JABATAN DITERIMA TANDA TANGAN

1 dr. Frengki Wijaya IV Kepala Puskesmas Rp 1,102,208 1

2 drg. Yunda Iswari III Dokter Gigi Rp 631,733 2

3 dr. Inda Yuliana Astuti III Dokter Umum Rp 884,426 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi Rp 1,413,087 4

5 Muhammad Ali III Kasubag. Rp 821,253 5

6 Hj.Nur Azizal Hastati, AMK III Perawat Rp 637,655 6

7 Agustina Bintang III Bidan Rp 150,037 7

8 Saribanong III perawat Rp 615,940 8

9 Petrus Milu Embang Tandi, AMK III Perawat (Bend.JKN) Rp 1,374,019 9

10 Sukmawatie, B.Sc III Perawat Rp 862,710 10

11 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat Rp 1,283,208 11

12 Rohani, Amd.KG III Perawat Gigi Rp 758,080 12

13 Rosidah, SKM III Sanitarian Rp 829,150 13

14 Israyana Yulianti, SKM III Sanitarian Rp 513,283 14

15 Wa Ode Sinta Kalsum III Nutrisionis Rp 142,140 15

16 Nur Indah Kurnianti, AMD III Teknisi Gigi Rp 304,021 16

17 Mayanti, AMF III Asisten Apoteker Rp 789,666 17

18 Rostati, SKM, M. Kes III Pembimbing Kes. Rp 157,933 18

19 Muhammad Ilham Tamrin,AMK III Perawat Rp 442,213 19

20 Nur Damayanti, S.Kep, M. Kes III Perawat Rp 712,674 20

21 Rostini, AMG III Nutrisionis Rp 165,830 21

22 Hj. Rosdiana III Pranata Lab. Kes. Rp 513,283 22

23 Elsa Handayani, AMK III Perawat Rp 384,962 23

24 Suriati, Amd, Keb III Bidan Rp 325,737 24

25 Normalina,Amd.AK III Pranata Lab.Kes Rp 667,268 25

26 Amsari Parida Amir, AMK III Perawat Rp 444,187 26

27 Nadia Sri Damayanti, AMK III Perawat Rp 325,737 27

28 Nur Rahmawati, Amd.Keb III Bidan Rp 177,675 28

29 Sitti Aminah Anas, A.Md.Keb III Bidan Rp 148,062 29

30 Rahmah Yuliyana, AMK III Perawat Rp 533,025 30

31 Hj. Syahraeni, S.Kep III Perawat Rp 789,666 31

32 Andi Megawati, SKM III Teknisi Gigi Rp 252,693 32

33 Yurniati, Amd.AK III Pranata Lab.Kes Rp 284,280 33

34 Andi Yulianti, Amd.Keb III Bidan Rp - 34

35 Muhammad Nawir II Pengadministrasi Rp 261,837 35

36 Maesar Prayuda, AMK II Perawat Rp 727,324 36

37 Anna Marsela, Amd. Kep II Perawat Rp 349,116 37

38 Wahyuni, Amd.Keb III Bidan Rp 177,675 38

39 Herawati Said, Amd. Keb III Bidan Rp 414,575 39

40 Ridha Arbia, Amd.Keb III Bidan Pustu Rp 562,637 40

41 Ramlah, Amd.Keb II Bidan Pustu Rp 623,421 41

42 Andi Salmei, Amd.Keb II Bidan Pustu Rp 581,859 42

43 Nur Ilma, Amd.Keb II Bidan Pustu Rp 640,045 43

44 Irmawati, Amd.Keb II Bidan Pustu Rp 598,484 44

45 Andi Jumrianti, Amd.Keb II Bidan Pustu Rp 552,766 45

46 Nur Felinsiani, S.ST III Bidan Rp 450,110 46

47 Sukma Dewi, AMK III Perawat Pustu Rp 564,611 47

48 dr. Zainal Abidin Dokter Umum Rp 1,519,588 48

49 Agustini Perkantoran Rp 233,003 49

50 Rosmayanti, SKM S1 Kesmas Rp 680,775 50

51 Hasmirawati, AMK Perawat Rp 632,149 51

52 Muhrawati, AMK Perawat Rp 486,268 52

53 Hamriana, Amd.Keb Bidan Rp 607,835 53

54 Yunarsih, AMAK Analis Kes. Rp - 54

55 Andi Masmuliani Perkantoran Rp 263,395 55

56 Israwati, SP S1 Pertanian Rp 526,790 56

57 Reski Arisanti Amelia Safitri, AMK Perawat Rp 632,149 57

58 Andi Armita Dewi, AMK Perawat Rp 267,447 58

59 Sri Adrianti, A.Md.Kep Perawat Rp 389,015 59

60 Mushfiah Zaenuddin, AMK Perawat Rp 267,447 60

61 Nur Wahyuni, Amd.Kep Perawat Rp 486,268 61

62 Lisdayanti, Amd.Keb Bidan Rp 194,507 62

63 Dewi Sartika, Amd.Keb Bidan Rp 291,761 63

64 Rosdiana, Amd.Keb Bidan Rp 437,641 64

65 Sri Wahyuni Aznur, Amd.Keb Bidan Rp 314,453 65

66 Andi Isna, Amd.Keb Bidan Rp 243,134 66

67 Muhammad Rum, Amd.Kep Perawat Rp 267,447 67

68 Muhammad Subhan, Amd.Kep Perawat Rp 364,701 68

69 Sulmiati, Amd.Keb Bidan Rp 437,641 69

70 Musdalifah MR, AMK Perawat Rp 583,522 70

71 Isnayani, Amd.Keb Bidan Rp 170,194 71

72 Rizaldi Razak, Amd.Kep Perawat Rp 340,388 72

73 Yul Fitriana, Amd.Keb Bidan Rp 243,134 73

74 Titin Sumarni, Amd.Keb Bidan Rp 267,447 74

75 Andi Resti Wardani, S.Kep.Ns Perawat Rp 1,053,581 75

76 Andi Tenri Ellung Nomang, Amd.Keb Bidan Rp 364,701 76

77 Hastuti, Amd.Keb Bidan Rp 340,388 77

78 Wahyuni Hamzah, Amd.Keb Bidan Rp 340,388 78

79 Desi Asriana, S. ST Bidan Rp 356,597 79

80 Sri Wedari Yusuf, Amd. Farm Farmasi Rp 316,074 80

81 Dahling Ceaning servis Rp 251,966 81

82 Muh. Bahrum, Amd.Kep Perawat Rp 510,582 82

83 Fitriani, Amd.Keb Bidan Rp 338,642 83

84 Dini Yuliana Sari, AMK Perawat Rp 583,522 84

85 Dewi Sartika, SKM Kesmas Rp 583,522 85

86 Jumrawati, S.Kep Perawat Rp 745,611 86

87 Andi Rusdiani, Amd.Keb Bidan Rp 604,718 87

88 Citra Pratiwi, Amd.Keb Bidan Rp 316,074 88

89 Didik Sunarwan Sopir Rp 263,395 89

90 Egar Sandhika Perawat Rp 212,742 90

91 Andi Fauziyyah Patra, Amd. Keb Bidan Rp 48,377 91

92 Andi Hasriani, S. Kep, Ns Perawat Rp 850,969 92

93 Andi Marlianti Admin. Perkantoran Rp 171,337 93

94 Nur Maya, Amd. Kep Perawat Rp 559,208 94

95 Meliana, Amd. Kep Perawat Rp 632,149 95

96 Said Akbar Anwar, S.Kep.Ns Perawat Rp 607,835 96

97 Risnawati, Amd. Keb Bidan Rp 486,268 97

98 Emil Pranata Putra Sopir Rp 291,761 98

99 Irna Supianti Said, Amd. Keb Bidan Rp 413,328 99

100 Nurfaidah Ansar, Amd. Keb Bidan Rp 435,397 100

101 Hernawati, Amd. Keb Bidan Rp 632,149 101

102 Ainun Mardiah, Amd. Keb Bidan Rp 607,835 102

103 Dede Frederika Febriyanti, S.Si, Apt Apoteker Rp 850,969 103

104 Samsuri, Amd. Keb Bidan Rp 483,774 104

105 Samsir Abdul Patta, S.Kep.,Ns Perawat Rp 846,605 105

106 Kiki Imriyani, Amd. Keb Bidan Rp 483,774 106

107 Dewi Akhryani, Amd.Kep Perawat Rp 607,835 107

Rp 53,282,480
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN PEBRUARI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,621 ORANG
JUMLAH PEGAWAI : 106 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,726,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,621 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML
JML
TUG JAWA POINT NTASE TOTAL
BIAYA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI HARI ASA B VARIA KEHAD SELURU JASA
OPERASIONA ( Rp ) 5% ) ( Rp )
AN KAN AN JA MASU DMIN
KERJ ISTR
PROG BEL IRAN H POINT PELAYANAN
L ( 30
K RAM ( 70 % )
A ASI %)
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 8 23 100 260 35 9,043 Rp 78,208,200 Rp 33,517,800 Rp 1,688,881 Rp 253,332 Rp 1,435,549 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 6 23 10 160 26 4,174 Rp 78,208,200 Rp 33,517,800 Rp 779,484 Rp 38,974 Rp 740,510 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 4 23 10 160 17 2,783 Rp 78,208,200 Rp 33,517,800 Rp 519,656 Rp 25,983 Rp 493,673 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 21 23 160 91 14,609 Rp 78,208,200 Rp 33,517,800 Rp 2,728,193 Rp 409,229 Rp 2,318,964 4

5 Muhammad Ali III Kasubag. SMA 25 25 20 23 30 80 87 6,957 Rp 78,208,200 Rp 33,517,800 Rp 1,299,140 Rp 64,957 Rp 1,234,183 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 15 23 10 95 65 6,196 Rp 78,208,200 Rp 33,517,800 Rp 1,157,046 Rp 57,852 Rp 1,099,194 6

7 Saribanong III perawat SPK 25 25 23 23 10 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 56,025 Rp 1,064,482 7

8 Petrus Milu Embang Tandi, AM III Perawat (Bend.JKN) D3 60 25 17 23 50 10 145 74 10,717 Rp 78,208,200 Rp 33,517,800 Rp 2,001,487 Rp 100,074 Rp 1,901,413 8

9 Sukmawatie, B.Sc III Perawat D3 60 25 23 23 10 95 100 9,500 Rp 78,208,200 Rp 33,517,800 Rp 1,774,137 Rp 88,707 Rp 1,685,431 9

10 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat S1 100 20 11 23 10 130 48 6,217 Rp 78,208,200 Rp 33,517,800 Rp 1,161,106 Rp 58,055 Rp 1,103,051 10

11 Rohani, Amd.KG III Perawat Gigi D3 60 20 20 23 80 87 6,957 Rp 78,208,200 Rp 33,517,800 Rp 1,299,140 Rp 64,957 Rp 1,234,183 11

12 Rosidah, SKM III Sanitarian S1 80 10 5 23 10 100 22 2,174 Rp 78,208,200 Rp 33,517,800 Rp 405,981 Rp 20,299 Rp 385,682 12

13 Israyana Yulianti, SKM III Sanitarian S1 80 10 2 23 10 100 9 870 Rp 78,208,200 Rp 33,517,800 Rp 162,392 Rp 8,120 Rp 154,273 13

14 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 2 23 10 60 9 522 Rp 78,208,200 Rp 33,517,800 Rp 97,435 Rp 4,872 Rp 92,564 14

15 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 11 23 70 48 3,348 Rp 78,208,200 Rp 33,517,800 Rp 625,211 Rp 31,261 Rp 593,950 15
16 Mayanti, AMF III Asisten Apoteker D3 60 10 13 23 10 80 57 4,522 Rp 78,208,200 Rp 33,517,800 Rp 844,441 Rp 42,222 Rp 802,219 16

17 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 3 23 10 100 13 1,304 Rp 78,208,200 Rp 33,517,800 Rp 243,589 Rp 12,179 Rp 231,409 17

18 Muhammad Ilham Tamrin,AMK III Perawat D3 60 10 6 23 10 80 26 2,087 Rp 78,208,200 Rp 33,517,800 Rp 389,742 Rp 19,487 Rp 370,255 18

19 Nur Damayanti, S.Kep, M. Kes III Perawat S2 80 5 5 23 10 95 22 2,065 Rp 78,208,200 Rp 33,517,800 Rp 385,682 Rp 19,284 Rp 366,398 19

20 Rostini, AMG III Nutrisionis D3 60 10 4 23 70 17 1,217 Rp 78,208,200 Rp 33,517,800 Rp 227,349 Rp 11,367 Rp 215,982 20

21 Elsa Handayani, AMK III Perawat D3 60 5 9 23 10 75 39 2,935 Rp 78,208,200 Rp 33,517,800 Rp 548,074 Rp 27,404 Rp 520,671 21

22 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 17 23 65 74 4,804 Rp 78,208,200 Rp 33,517,800 Rp 897,218 Rp 44,861 Rp 852,357 22

23 Amsari Parida Amir, AMK III Perawat D3 60 5 11 23 10 75 48 3,587 Rp 78,208,200 Rp 33,517,800 Rp 669,869 Rp 33,493 Rp 636,375 23

24 Nadia Sri Damayanti, AMK III Perawat D3 60 5 7 23 10 75 30 2,283 Rp 78,208,200 Rp 33,517,800 Rp 426,280 Rp 21,314 Rp 404,966 24

25 Rahmah Yuliyana, AMK III Perawat D3 60 5 11 23 10 75 48 3,587 Rp 78,208,200 Rp 33,517,800 Rp 669,869 Rp 33,493 Rp 636,375 25

26 Hj. Syahraeni, S.Kep III Perawat S1 80 10 18 23 10 100 78 7,826 Rp 78,208,200 Rp 33,517,800 Rp 1,461,532 Rp 73,077 Rp 1,388,455 26

27 Andi Megawati, SKM III Teknisi Gigi S1 80 0 13 23 80 57 4,522 Rp 78,208,200 Rp 33,517,800 Rp 844,441 Rp 42,222 Rp 802,219 27

28 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 16 23 10 80 70 5,565 Rp 78,208,200 Rp 33,517,800 Rp 1,039,312 Rp 51,966 Rp 987,346 28

29 Muhammad Nawir II Pengadministrasi SMK 25 5 19 23 30 83 2,478 Rp 78,208,200 Rp 33,517,800 Rp 462,818 Rp - Rp 462,818 29

30 Maesar Prayuda, AMK II Perawat D3 60 0 17 23 10 70 74 5,174 Rp 78,208,200 Rp 33,517,800 Rp 966,235 Rp - Rp 966,235 30

31 Anna Marsela, Amd. Kep II Perawat D3 60 0 10 23 10 70 43 3,043 Rp 78,208,200 Rp 33,517,800 Rp 568,374 Rp - Rp 568,374 31

32 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 16 23 10 75 70 5,217 Rp 78,208,200 Rp 33,517,800 Rp 974,355 Rp 48,718 Rp 925,637 32

33 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 22 23 60 96 5,739 Rp 78,208,200 Rp 33,517,800 Rp 1,071,790 Rp - Rp 1,071,790 33

34 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 17 23 10 70 74 5,174 Rp 78,208,200 Rp 33,517,800 Rp 966,235 Rp - Rp 966,235 34

35 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 18 23 10 70 78 5,478 Rp 78,208,200 Rp 33,517,800 Rp 1,023,072 Rp - Rp 1,023,072 35

36 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 19 23 60 83 4,957 Rp 78,208,200 Rp 33,517,800 Rp 925,637 Rp - Rp 925,637 36

37 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 16 23 10 70 70 4,870 Rp 78,208,200 Rp 33,517,800 Rp 909,398 Rp - Rp 909,398 37

38 Sukma Dewi, AMK III Perawat Pustu D3 60 5 16 23 65 70 4,522 Rp 78,208,200 Rp 33,517,800 Rp 844,441 Rp 42,222 Rp 802,219 38

39 dr. Zainal Abidin Dokter Umum S1 150 19 23 150 83 12,391 Rp 78,208,200 Rp 33,517,800 Rp 2,314,092 Rp 57,852 Rp 2,256,240 39

40 dr. Fanny Dokter Umum S1 150 5 23 150 22 3,261 Rp 78,208,200 Rp 33,517,800 Rp 608,972 Rp 15,224 Rp 593,747 40
41 Agustini Perkantoran SMEA 25 23 23 25 100 2,500 Rp 78,208,200 Rp 33,517,800 Rp 466,878 Rp 11,672 Rp 455,206 41

42 Rosmayanti, SKM S1 Kesmas S1 80 10 23 80 43 3,478 Rp 78,208,200 Rp 33,517,800 Rp 649,570 Rp 16,239 Rp 633,331 42

43 Hasmirawati, AMK Perawat D3 60 23 23 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 28,013 Rp 1,092,495 43

44 Muhrawati, AMK Perawat D3 60 6 23 60 26 1,565 Rp 78,208,200 Rp 33,517,800 Rp 292,306 Rp 7,308 Rp 284,999 44

45 Hamriana, Amd.Keb Bidan D3 60 23 23 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 28,013 Rp 1,092,495 45

46 Yunarsih, AMAK Analis Kes. D3 60 0 23 60 - - Rp 78,208,200 Rp 33,517,800 Rp - Rp - Rp - 46

47 Andi Masmuliani Perkantoran SMA 25 23 23 25 100 2,500 Rp 78,208,200 Rp 33,517,800 Rp 466,878 Rp 11,672 Rp 455,206 47

48 Israwati, SP S1 Pertanian S1 50 23 23 50 100 5,000 Rp 78,208,200 Rp 33,517,800 Rp 933,757 Rp 23,344 Rp 910,413 48

49 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 23 23 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 28,013 Rp 1,092,495 49

50 Andi Armita Dewi, AMK Perawat D3 60 11 23 60 48 2,870 Rp 78,208,200 Rp 33,517,800 Rp 535,895 Rp 13,397 Rp 522,498 50

51 Sri Adrianti, A.Md.Kep Perawat D3 60 13 23 60 57 3,391 Rp 78,208,200 Rp 33,517,800 Rp 633,331 Rp 15,833 Rp 617,497 51

52 Mushfiah Zaenuddin, AMK Perawat D3 60 7 23 60 30 1,826 Rp 78,208,200 Rp 33,517,800 Rp 341,024 Rp 8,526 Rp 332,499 52

53 Nur Wahyuni, Amd.Kep Perawat D3 60 3 23 60 13 783 Rp 78,208,200 Rp 33,517,800 Rp 146,153 Rp 3,654 Rp 142,499 53

54 Muhammad Rum, Amd.Kep Perawat D3 60 2 23 60 9 522 Rp 78,208,200 Rp 33,517,800 Rp 97,435 Rp 2,436 Rp 95,000 54

55 Muhammad Subhan, Amd.Kep Perawat D3 60 12 23 60 52 3,130 Rp 78,208,200 Rp 33,517,800 Rp 584,613 Rp 14,615 Rp 569,997 55

56 Musdalifah MR, AMK Perawat D3 60 18 23 60 78 4,696 Rp 78,208,200 Rp 33,517,800 Rp 876,919 Rp 21,923 Rp 854,996 56

57 Rizaldi Razak, Amd.Kep Perawat D3 60 15 23 60 65 3,913 Rp 78,208,200 Rp 33,517,800 Rp 730,766 Rp 18,269 Rp 712,497 57

58 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 23 23 100 100 10,000 Rp 78,208,200 Rp 33,517,800 Rp 1,867,513 Rp 46,688 Rp 1,820,825 58

59 Wahyuni Hamzah, Amd.Keb Bidan D3 60 15 23 60 65 3,913 Rp 78,208,200 Rp 33,517,800 Rp 730,766 Rp 18,269 Rp 712,497 59

60 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 13 23 60 57 3,391 Rp 78,208,200 Rp 33,517,800 Rp 633,331 Rp 15,833 Rp 617,497 60

61 Dahling Ceaning servis SMA 25 23 23 25 100 2,500 Rp 78,208,200 Rp 33,517,800 Rp 466,878 Rp 14,006 Rp 452,872 61

62 Muh. Bahrum, Amd.Kep Perawat D3 60 14 23 60 61 3,652 Rp 78,208,200 Rp 33,517,800 Rp 682,048 Rp 17,051 Rp 664,997 62

63 Dini Yuliana Sari, AMK Perawat D3 60 19 23 60 83 4,957 Rp 78,208,200 Rp 33,517,800 Rp 925,637 Rp 23,141 Rp 902,496 63

64 Dewi Sartika, SKM Kesmas S1 80 6 23 80 26 2,087 Rp 78,208,200 Rp 33,517,800 Rp 389,742 Rp 9,744 Rp 379,998 64

65 Jumrawati, S.Kep Perawat S1 80 19 23 80 83 6,609 Rp 78,208,200 Rp 33,517,800 Rp 1,234,183 Rp 30,855 Rp 1,203,328 65

66 Andi Rusdiani, Amd.Keb Bidan D3 60 23 23 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 33,615 Rp 1,086,893 66

67 Didik Sunarwan Sopir SMA 25 0 23 25 - - Rp 78,208,200 Rp 33,517,800 Rp - Rp - Rp - 67

68 Egar Sandhika Perawat SMK 25 18 23 25 78 1,957 Rp 78,208,200 Rp 33,517,800 Rp 365,383 Rp 9,135 Rp 356,248 68

69 Andi Hasriani, S. Kep, Ns Perawat S1 100 16 23 100 70 6,957 Rp 78,208,200 Rp 33,517,800 Rp 1,299,140 Rp 32,478 Rp 1,266,661 69

70 Andi Marlianti Admin. Perkantoran SMA 25 16 23 25 70 1,739 Rp 78,208,200 Rp 33,517,800 Rp 324,785 Rp 9,744 Rp 315,041 70

71 Nur Maya, Amd. Kep Perawat D3 60 17 23 60 74 4,435 Rp 78,208,200 Rp 33,517,800 Rp 828,201 Rp 20,705 Rp 807,496 71

72 Meliana, Amd. Kep Perawat D3 60 20 23 60 87 5,217 Rp 78,208,200 Rp 33,517,800 Rp 974,355 Rp 24,359 Rp 949,996 72

73 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 13 23 100 57 5,652 Rp 78,208,200 Rp 33,517,800 Rp 1,055,551 Rp 26,389 Rp 1,029,162 73

74 Risnawati, Amd. Keb Bidan D3 60 13 23 60 57 3,391 Rp 78,208,200 Rp 33,517,800 Rp 633,331 Rp 15,833 Rp 617,497 74

75 Emil Pranata Putra Sopir SMA 60 14 23 60 61 3,652 Rp 78,208,200 Rp 33,517,800 Rp 682,048 Rp 17,051 Rp 664,997 75

76 Hernawati, Amd. Keb Bidan D3 60 22 23 60 96 5,739 Rp 78,208,200 Rp 33,517,800 Rp 1,071,790 Rp 26,795 Rp 1,044,995 76

77 Ainun Mardiah, Amd. Keb Bidan D3 60 22 23 60 96 5,739 Rp 78,208,200 Rp 33,517,800 Rp 1,071,790 Rp 26,795 Rp 1,044,995 77

78 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 15 23 100 65 6,522 Rp 78,208,200 Rp 33,517,800 Rp 1,217,943 Rp 30,449 Rp 1,187,495 78

79 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 17 23 100 74 7,391 Rp 78,208,200 Rp 33,517,800 Rp 1,380,336 Rp 41,410 Rp 1,338,926 79

80 Dewi Akhryani, Amd.Kep Perawat D3 60 23 23 60 100 6,000 Rp 78,208,200 Rp 33,517,800 Rp 1,120,508 Rp 28,013 Rp 1,092,495 80

81 Agustina Bintang III Bidan D3 60 25 2 23 10 95 9 826 Rp 78,208,200 Rp 33,517,800 Rp 154,273 Rp 7,714 Rp 146,559 81

82 Suriati, Amd, Keb III Bidan D3 60 5 7 23 10 75 30 2,283 Rp 78,208,200 Rp 33,517,800 Rp 426,280 Rp 21,314 Rp 404,966 82

83 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 5 23 10 75 22 1,630 Rp 78,208,200 Rp 33,517,800 Rp 304,486 Rp 15,224 Rp 289,262 83

84 Sitti Aminah Anas, A.Md.Keb III Bidan D3 60 5 0 23 10 75 - - Rp 78,208,200 Rp 33,517,800 Rp - Rp - Rp - 84

85 Andi Yulianti, Amd.Keb III Bidan D3 60 5 0 23 10 75 - - Rp 78,208,200 Rp 33,517,800 Rp - Rp - Rp - 85

86 Wahyuni, Amd.Keb III Bidan D3 60 5 0 23 10 75 - - Rp 78,208,200 Rp 33,517,800 Rp - Rp - Rp - 86

87 Herawati Said, Amd. Keb III Bidan D3 60 5 7 23 10 75 30 2,283 Rp 78,208,200 Rp 33,517,800 Rp 426,280 Rp 21,314 Rp 404,966 87

88 Nur Felinsiani, S.ST III Bidan D4 80 5 3 23 10 95 13 1,239 Rp 78,208,200 Rp 33,517,800 Rp 231,409 Rp 11,570 Rp 219,839 88

89 Lisdayanti, Amd.Keb Bidan D3 60 6 23 60 26 1,565 Rp 78,208,200 Rp 33,517,800 Rp 292,306 Rp 7,308 Rp 284,999 89

90 Dewi Sartika, Amd.Keb Bidan D3 60 7 23 60 30 1,826 Rp 78,208,200 Rp 33,517,800 Rp 341,024 Rp 8,526 Rp 332,499 90
91 Rosdiana, Amd.Keb Bidan D3 60 12 23 60 52 3,130 Rp 78,208,200 Rp 33,517,800 Rp 584,613 Rp 14,615 Rp 569,997 91

92 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 13 23 60 57 3,391 Rp 78,208,200 Rp 33,517,800 Rp 633,331 Rp 19,000 Rp 614,331 92

93 Andi Isna, Amd.Keb Bidan D3 60 4 23 60 17 1,043 Rp 78,208,200 Rp 33,517,800 Rp 194,871 Rp 4,872 Rp 189,999 93

94 Isnayani, Amd.Keb Bidan D3 60 10 23 60 43 2,609 Rp 78,208,200 Rp 33,517,800 Rp 487,177 Rp 12,179 Rp 474,998 94

95 Yul Fitriana, Amd.Keb Bidan D3 60 3 23 60 13 783 Rp 78,208,200 Rp 33,517,800 Rp 146,153 Rp 3,654 Rp 142,499 95

96 Titin Sumarni, Amd.Keb Bidan D3 60 7 23 60 30 1,826 Rp 78,208,200 Rp 33,517,800 Rp 341,024 Rp 8,526 Rp 332,499 96

97 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 9 23 60 39 2,348 Rp 78,208,200 Rp 33,517,800 Rp 438,460 Rp 10,961 Rp 427,498 97

98 Hastuti, Amd.Keb Bidan D3 60 15 23 60 65 3,913 Rp 78,208,200 Rp 33,517,800 Rp 730,766 Rp 18,269 Rp 712,497 98

99 Desi Asriana, S. ST Bidan D4 80 13 23 80 57 4,522 Rp 78,208,200 Rp 33,517,800 Rp 844,441 Rp 21,111 Rp 823,330 99

100 Fitriani, Amd.Keb Bidan D3 60 11 23 60 48 2,870 Rp 78,208,200 Rp 33,517,800 Rp 535,895 Rp 13,397 Rp 522,498 100

101 Citra Pratiwi, Amd.Keb Bidan D3 60 7 23 60 30 1,826 Rp 78,208,200 Rp 33,517,800 Rp 341,024 Rp 8,526 Rp 332,499 101

102 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 6 23 60 26 1,565 Rp 78,208,200 Rp 33,517,800 Rp 292,306 Rp 8,769 Rp 283,537 102

103 Irna Supianti Said, Amd. Keb Bidan D3 60 16 23 60 70 4,174 Rp 78,208,200 Rp 33,517,800 Rp 779,484 Rp 19,487 Rp 759,997 103

104 Nurfaidah Ansar, Amd. Keb Bidan D3 60 9 23 60 39 2,348 Rp 78,208,200 Rp 33,517,800 Rp 438,460 Rp 13,154 Rp 425,306 104

105 Samsuri, Amd. Keb Bidan D3 60 20 23 60 87 5,217 Rp 78,208,200 Rp 33,517,800 Rp 974,355 Rp 29,231 Rp 945,124 105

106 Kiki Imriyani, Amd. Keb Bidan D3 60 20 23 60 87 5,217 Rp 78,208,200 Rp 33,517,800 Rp 974,355 Rp 29,231 Rp 945,124 106

JUMLAH 7,000 405 1,343 2,438 180 340 7,925 5,839 418,783 Rp 78,208,200 Rp 33,517,800 Rp 78,208,200 Rp 2,978,318 Rp 75,229,882

Mengetahui / Menyetujui : Benteng, 28 Pebruari 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,371 32,226,000
PBI APBD 10,026 60,156,000
NON PBI 3,223 19,338,000
SUSULAN 1 6,000
18,621 111,726,000 78,208,200 33,517,800

dr. Frengki Wijaya Rp 211,110

418,783
drg. Yunda Iswari Rp 129,914
418,783 PBI APBN PBI APBN 5,372 32,232,000
dr. Inda Yuliana Astut Rp 129,914
418,783 PBI APBD PBI APBD 9,989 59,934,000
drg. Sitti Alwiah Uta Rp 129,914
418,783 NON PBI NON PBI 3,230 19,380,000
Muhammad Ali Rp 64,957
418,783 SUSULAN NON PBI 5 30,000
Hj.Nur Azizal Hastat Rp 77,136
418,783 Err:522
Saribanong Rp 48,718 JASA
418,783
Petrus Milu Embang Rp 117,735
418,783
Sukmawatie, B.Sc Rp 77,136
418,783
Sri Rahmat Yani Nur Rp 105,555
418,783
Rohani, Amd.KG Rp 64,957
418,783
Rosidah, AKL Rp 81,196
418,783
Israyana Yulianti, AK Rp 81,196
418,783
Wa Ode Sinta Kalsu Rp 48,718
418,783
Nur Indah Kurnianti Rp 56,837
418,783
Mayanti, AMF Rp 64,957
418,783
Rostati, SKM, M. Ke Rp 81,196
418,783
Muhammad Ilham Ta Rp 64,957
418,783
Nur Damayanti, S.Ke Rp 77,136
418,783
Rostini, AMG Rp 56,837
418,783
Elsa Handayani, AM Rp 60,897
418,783
Normalina,Amd.AK Rp 52,778
418,783
Amsari Parida Amir, Rp 60,897
418,783
Nadia Sri Damayanti Rp 60,897
418,783
Rahmah Yuliyana, Rp 60,897
418,783
Hj. Syahraeni, S.Kep Rp 81,196
418,783
Andi Megawati, SKM Rp 64,957
418,783
Yurniati, Amd.AK Rp 64,957
418,783
Muhammad Nawir Rp 24,359
418,783
Maesar Prayuda, A Rp 56,837
418,783
Anna Marsela, Amd. Rp 56,837
418,783
Ridha Arbia, Amd.Ke Rp 60,897
418,783
Ramlah, Amd.Keb Rp 48,718
418,783
Andi Salmei, Amd.K Rp 56,837
418,783
Nur Ilma, Amd.Keb Rp 56,837
418,783
Irmawati, Amd.Keb Rp 48,718
418,783
Andi Jumrianti, Amd Rp 56,837
418,783
Sukma Dewi, AMK Rp 52,778
418,783
dr. Zainal Abidin Rp 121,794
418,783
dr. Stefani Rp 121,794
418,783
Agustini Rp 20,299
418,783
Rosmayanti, SKM Rp 64,957
418,783
Hasmirawati, AMK Rp 48,718
418,783
Muhrawati, AMK Rp 48,718
418,783
Hamriana, Amd.Keb Rp 48,718
418,783
Yunarsih, AMAK #DIV/0!
418,783
Andi Masmuliani Rp 20,299
418,783
Israwati, SP Rp 40,598
418,783
Reski Arisanti Amelia Rp 48,718
418,783
Andi Armita Dewi, A Rp 48,718
418,783
Sri Adrianti, A.Md.Ke Rp 48,718
418,783
Mushfiah Zaenuddin Rp 48,718
418,783
Nur Wahyuni, Amd.K Rp 48,718
418,783
Muhammad Rum, Am Rp 48,718
418,783
Muhammad Subhan, Rp 48,718
418,783
Musdalifah MR, AMK Rp 48,718
418,783
Rizaldi Razak, Amd. Rp 48,718
418,783
Andi Resti Wardani, Rp 81,196
418,783
Wahyuni Hamzah, A Rp 48,718
418,783
Sri Wedari Yusuf, A Rp 48,718
418,783
Dahling Rp 20,299
418,783
Muh. Bahrum, Amd. Rp 48,718
418,783
Dini Yuliana Sari, A Rp 48,718
418,783
Dewi Sartika, SKM Rp 64,957
418,783
Jumrawati, S.Kep Rp 64,957
418,783
Andi Rusdiani, Amd. Rp 48,718
418,783
Didik Sunarwan #DIV/0!
418,783
Egar Sandhika Rp 20,299
418,783
Andi Hasriani, S. Ke Rp 81,196
418,783
Andi Marlianti Rp 20,299
418,783
Nur Maya, Amd. Kep Rp 48,718
418,783
Meliana, Amd. Kep Rp 48,718
418,783
Said Akbar Anwar, S Rp 81,196
418,783
Risnawati, Amd. Keb Rp 48,718
418,783
Emil Pranata Putra Rp 48,718
418,783
Hernawati, Amd. Keb Rp 48,718
418,783
Ainun Mardiah, Amd. Rp 48,718
418,783
Dede Frederika FebriyRp 81,196
418,783
Samsir Abdul Patta, Rp 81,196
418,783
Dewi Akhryani, Amd Rp 48,718
418,783
Agustina Bintang Rp 77,136
418,783
Suriati, Amd, Keb Rp 60,897
418,783
Nur Rahmawati, Amd Rp 60,897
418,783
Sitti Aminah Anas, #DIV/0!
418,783
Andi Yulianti, Amd.K #DIV/0!
418,783
Wahyuni, Amd.Keb #DIV/0!
418,783
Herawati Said, Amd. Rp 60,897
418,783
Nur Felinsiani, Amd. Rp 77,136
418,783
Lisdayanti, Amd.Keb Rp 48,718
418,783
Dewi Sartika, Amd.K Rp 48,718
418,783
Rosdiana, Amd.Keb Rp 48,718
418,783
Sri Wahyuni Aznur, Rp 48,718
418,783
Andi Isna, Amd.Keb Rp 48,718
418,783
Isnayani, Amd.Keb Rp 48,718
418,783
Yul Fitriana, Amd.Ke Rp 48,718
418,783
Titin Sumarni, Amd. Rp 48,718
418,783
Andi Tenri Ellung N Rp 48,718
418,783
Hastuti, Amd.Keb Rp 48,718
418,783
Desi Asriana, S. ST Rp 64,957
418,783
Fitriani, Amd.Keb Rp 48,718
418,783
Citra Pratiwi, Amd. Rp 48,718
418,783
Andi Fauziyyah Pat Rp 48,718
418,783
Irna Supianti Said, Rp 48,718
418,783
Nurfaidah Ansar, A Rp 48,718
418,783
Samsuri, Amd. Keb Rp 48,718
418,783
Kiki Imriyani, Amd. Rp 48,718
418,783

Rp 58,234
418,783 36,496,118
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN MARET TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,574 ORANG
JUMLAH PEGAWAI : 110 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,444,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,574 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUG JAWA POINT NTASE TOTAL
JML ASA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% ) ( Rp )
AN KAN AN JA MASU HARI DMIN PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
KERJ ISTR RAM 30 % )
K ( 70 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 20 25 100 260 80 20,800 Rp 78,010,800 Rp 33,433,200 Rp 3,355,026 Rp 503,254 Rp 2,851,772 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 22 25 10 160 88 14,080 Rp 78,010,800 Rp 33,433,200 Rp 2,271,094 Rp 113,555 Rp 2,157,540 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 10 25 10 160 40 6,400 Rp 78,010,800 Rp 33,433,200 Rp 1,032,316 Rp 51,616 Rp 980,700 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 7 25 160 28 4,480 Rp 78,010,800 Rp 33,433,200 Rp 722,621 Rp 108,393 Rp 614,228 4

5 Muhammad Ali III Kasubag. SMA 25 25 22 25 30 80 88 7,040 Rp 78,010,800 Rp 33,433,200 Rp 1,135,547 Rp 56,777 Rp 1,078,770 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 25 25 10 95 100 9,500 Rp 78,010,800 Rp 33,433,200 Rp 1,532,343 Rp 76,617 Rp 1,455,726 6

7 Saribanong III perawat SPK 25 25 17 25 10 60 68 4,080 Rp 78,010,800 Rp 33,433,200 Rp 658,101 Rp 32,905 Rp 625,196 7

8 Petrus Milu Embang Tandi, AM III Perawat (Bend.JKN) D3 60 25 19 25 50 10 145 76 11,020 Rp 78,010,800 Rp 33,433,200 Rp 1,777,518 Rp 88,876 Rp 1,688,643 8

9 Sukmawatie, B.Sc III Perawat D3 60 25 25 25 10 95 100 9,500 Rp 78,010,800 Rp 33,433,200 Rp 1,532,343 Rp 76,617 Rp 1,455,726 9

10 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat S1 100 20 9 25 10 130 36 4,680 Rp 78,010,800 Rp 33,433,200 Rp 754,881 Rp 37,744 Rp 717,137 10

11 Rohani, Amd.KG III Perawat Gigi D3 60 20 21 25 80 84 6,720 Rp 78,010,800 Rp 33,433,200 Rp 1,083,931 Rp 54,197 Rp 1,029,735 11

12 Rosidah, SKM III Sanitarian S1 80 10 4 25 10 100 16 1,600 Rp 78,010,800 Rp 33,433,200 Rp 258,079 Rp 12,904 Rp 245,175 12

13 Israyana Yulianti, SKM III Sanitarian S1 80 10 1 25 10 100 4 400 Rp 78,010,800 Rp 33,433,200 Rp 64,520 Rp 3,226 Rp 61,294 13

14 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 9 25 10 60 36 2,160 Rp 78,010,800 Rp 33,433,200 Rp 348,407 Rp 17,420 Rp 330,986 14

15 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 10 25 70 40 2,800 Rp 78,010,800 Rp 33,433,200 Rp 451,638 Rp 22,582 Rp 429,056 15

16 Mayanti, AMF III Asisten Apoteker D3 60 10 13 25 10 80 52 4,160 Rp 78,010,800 Rp 33,433,200 Rp 671,005 Rp 33,550 Rp 637,455 16
17 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 12 25 10 100 48 4,800 Rp 78,010,800 Rp 33,433,200 Rp 774,237 Rp 38,712 Rp 735,525 17

18 Muhammad Ilham Tamrin,AMK III Perawat D3 60 10 10 25 10 80 40 3,200 Rp 78,010,800 Rp 33,433,200 Rp 516,158 Rp 25,808 Rp 490,350 18

19 Nur Damayanti, S.Kep, M. Kes III Perawat S2 80 5 12 25 10 95 48 4,560 Rp 78,010,800 Rp 33,433,200 Rp 735,525 Rp 36,776 Rp 698,749 19

20 Rostini, AMG III Nutrisionis D3 60 10 5 25 70 20 1,400 Rp 78,010,800 Rp 33,433,200 Rp 225,819 Rp 11,291 Rp 214,528 20

21 Elsa Handayani, AMK III Perawat D3 60 5 14 25 10 75 56 4,200 Rp 78,010,800 Rp 33,433,200 Rp 677,457 Rp 33,873 Rp 643,584 21

22 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 20 25 65 80 5,200 Rp 78,010,800 Rp 33,433,200 Rp 838,756 Rp 41,938 Rp 796,819 22

23 Amsari Parida Amir, AMK III Perawat D3 60 5 21 25 10 75 84 6,300 Rp 78,010,800 Rp 33,433,200 Rp 1,016,186 Rp 50,809 Rp 965,376 23

24 Nadia Sri Damayanti, AMK III Perawat D3 60 5 2 25 10 75 8 600 Rp 78,010,800 Rp 33,433,200 Rp 96,780 Rp 4,839 Rp 91,941 24

25 Rahmah Yuliyana, AMK III Perawat D3 60 5 10 25 10 75 40 3,000 Rp 78,010,800 Rp 33,433,200 Rp 483,898 Rp 24,195 Rp 459,703 25

26 Hj. Syahraeni, S.Kep III Perawat S1 80 10 9 25 10 100 36 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 29,034 Rp 551,644 26

27 Andi Megawati, SKM III Teknisi Gigi S1 80 0 8 25 80 32 2,560 Rp 78,010,800 Rp 33,433,200 Rp 412,926 Rp 20,646 Rp 392,280 27

28 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 5 25 10 80 20 1,600 Rp 78,010,800 Rp 33,433,200 Rp 258,079 Rp 12,904 Rp 245,175 28

29 Muhammad Nawir II Pengadministrasi SMK 25 5 21 25 30 84 2,520 Rp 78,010,800 Rp 33,433,200 Rp 406,474 Rp - Rp 406,474 29

30 Maesar Prayuda, AMK II Perawat D3 60 0 18 25 10 70 72 5,040 Rp 78,010,800 Rp 33,433,200 Rp 812,949 Rp - Rp 812,949 30

31 Anna Marsela, Amd. Kep II Perawat D3 60 0 11 25 10 70 44 3,080 Rp 78,010,800 Rp 33,433,200 Rp 496,802 Rp - Rp 496,802 31

32 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 18 25 10 75 72 5,400 Rp 78,010,800 Rp 33,433,200 Rp 871,016 Rp 43,551 Rp 827,465 32

33 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp - Rp 929,084 33

34 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 19 25 10 70 76 5,320 Rp 78,010,800 Rp 33,433,200 Rp 858,112 Rp - Rp 858,112 34

35 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 19 25 10 70 76 5,320 Rp 78,010,800 Rp 33,433,200 Rp 858,112 Rp - Rp 858,112 35

36 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 23 25 60 92 5,520 Rp 78,010,800 Rp 33,433,200 Rp 890,372 Rp - Rp 890,372 36

37 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 18 25 10 70 72 5,040 Rp 78,010,800 Rp 33,433,200 Rp 812,949 Rp - Rp 812,949 37

38 Sukma Dewi, AMK III Perawat Pustu D3 60 5 7 25 65 28 1,820 Rp 78,010,800 Rp 33,433,200 Rp 293,565 Rp 14,678 Rp 278,887 38

39 dr. Zainal Abidin Dokter Umum S1 150 25 25 150 100 15,000 Rp 78,010,800 Rp 33,433,200 Rp 2,419,490 Rp 60,487 Rp 2,359,002 39

40 dr. Stefani Dokter Umum S1 150 25 25 150 100 15,000 Rp 78,010,800 Rp 33,433,200 Rp 2,419,490 Rp 60,487 Rp 2,359,002 40

41 Agustini Perkantoran SMEA 25 25 25 25 100 2,500 Rp 78,010,800 Rp 33,433,200 Rp 403,248 Rp 10,081 Rp 393,167 41

42 Rosmayanti, SKM S1 Kesmas S1 80 6 25 80 24 1,920 Rp 78,010,800 Rp 33,433,200 Rp 309,695 Rp 7,742 Rp 301,952 42

43 Hasmirawati, AMK Perawat D3 60 20 25 60 80 4,800 Rp 78,010,800 Rp 33,433,200 Rp 774,237 Rp 19,356 Rp 754,881 43

44 Muhrawati, AMK Perawat D3 60 11 25 60 44 2,640 Rp 78,010,800 Rp 33,433,200 Rp 425,830 Rp 10,646 Rp 415,184 44

45 Hamriana, Amd.Keb Bidan D3 60 25 25 60 100 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 24,195 Rp 943,601 45

46 Yunarsih, AMAK Analis Kes. D3 60 20 25 60 80 4,800 Rp 78,010,800 Rp 33,433,200 Rp 774,237 Rp 19,356 Rp 754,881 46

47 Andi Masmuliani Perkantoran SMA 25 25 25 25 100 2,500 Rp 78,010,800 Rp 33,433,200 Rp 403,248 Rp 10,081 Rp 393,167 47

48 Israwati, SP S1 Pertanian S1 50 19 25 50 76 3,800 Rp 78,010,800 Rp 33,433,200 Rp 612,937 Rp 15,323 Rp 597,614 48

49 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 25 25 60 100 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 24,195 Rp 943,601 49

50 Andi Armita Dewi, AMK Perawat D3 60 25 25 60 100 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 24,195 Rp 943,601 50

51 Sri Adrianti, A.Md.Kep Perawat D3 60 17 25 60 68 4,080 Rp 78,010,800 Rp 33,433,200 Rp 658,101 Rp 16,453 Rp 641,649 51

52 Mushfiah Zaenuddin, AMK Perawat D3 60 3 25 60 12 720 Rp 78,010,800 Rp 33,433,200 Rp 116,136 Rp 2,903 Rp 113,232 52

53 Nur Wahyuni, Amd.Kep Perawat D3 60 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 53

54 Muhammad Rum, Amd.Kep Perawat D3 60 5 25 60 20 1,200 Rp 78,010,800 Rp 33,433,200 Rp 193,559 Rp 4,839 Rp 188,720 54

55 Muhammad Subhan, Amd.Kep Perawat D3 60 16 25 60 64 3,840 Rp 78,010,800 Rp 33,433,200 Rp 619,389 Rp 15,485 Rp 603,905 55

56 Musdalifah MR, AMK Perawat D3 60 22 25 60 88 5,280 Rp 78,010,800 Rp 33,433,200 Rp 851,660 Rp 21,292 Rp 830,369 56

57 Rizaldi Razak, Amd.Kep Perawat D3 60 18 25 60 72 4,320 Rp 78,010,800 Rp 33,433,200 Rp 696,813 Rp 17,420 Rp 679,393 57

58 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 23 25 100 92 9,200 Rp 78,010,800 Rp 33,433,200 Rp 1,483,954 Rp 37,099 Rp 1,446,855 58

59 Wahyuni Hamzah, Amd.Keb Bidan D3 60 16 25 60 64 3,840 Rp 78,010,800 Rp 33,433,200 Rp 619,389 Rp 15,485 Rp 603,905 59

60 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 60

61 Dahling Ceaning servis SMA 25 25 25 25 100 2,500 Rp 78,010,800 Rp 33,433,200 Rp 403,248 Rp 12,097 Rp 391,151 61

62 Muh. Bahrum, Amd.Kep Perawat D3 60 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 62

63 Dini Yuliana Sari, AMK Perawat D3 60 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 63

64 Dewi Sartika, SKM Kesmas S1 80 18 25 80 72 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 64

65 Jumrawati, S.Kep Perawat S1 80 17 25 80 68 5,440 Rp 78,010,800 Rp 33,433,200 Rp 877,468 Rp 21,937 Rp 855,532 65

66 Andi Rusdiani, Amd.Keb Bidan D3 60 23 25 60 92 5,520 Rp 78,010,800 Rp 33,433,200 Rp 890,372 Rp 26,711 Rp 863,661 66

67 Didik Sunarwan Sopir SMA 25 0 25 25 - - Rp 78,010,800 Rp 33,433,200 Rp - Rp - Rp - 67

68 Egar Sandhika Perawat SMK 25 8 25 25 32 800 Rp 78,010,800 Rp 33,433,200 Rp 129,039 Rp 3,226 Rp 125,813 68
69 Andi Hasriani, S. Kep, Ns Perawat S1 100 19 25 100 76 7,600 Rp 78,010,800 Rp 33,433,200 Rp 1,225,875 Rp 30,647 Rp 1,195,228 69

70 Andi Marlianti Admin. Perkantoran SMA 25 23 25 25 92 2,300 Rp 78,010,800 Rp 33,433,200 Rp 370,988 Rp 11,130 Rp 359,859 70

71 Nur Maya, Amd. Kep Perawat D3 60 16 25 60 64 3,840 Rp 78,010,800 Rp 33,433,200 Rp 619,389 Rp 15,485 Rp 603,905 71

72 Meliana, Amd. Kep Perawat D3 60 25 25 60 100 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 24,195 Rp 943,601 72

73 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 9 25 100 36 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 14,517 Rp 566,161 73

74 Risnawati, Amd. Keb Bidan D3 60 15 25 60 60 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 14,517 Rp 566,161 74

75 Emil Pranata Putra Sopir SMA 60 17 25 60 68 4,080 Rp 78,010,800 Rp 33,433,200 Rp 658,101 Rp 16,453 Rp 641,649 75

76 Hernawati, Amd. Keb Bidan D3 60 24 25 60 96 5,760 Rp 78,010,800 Rp 33,433,200 Rp 929,084 Rp 23,227 Rp 905,857 76

77 Ainun Mardiah, Amd. Keb Bidan D3 60 23 25 60 92 5,520 Rp 78,010,800 Rp 33,433,200 Rp 890,372 Rp 22,259 Rp 868,113 77

78 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 15 25 100 60 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 24,195 Rp 943,601 78

79 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 15 25 100 60 6,000 Rp 78,010,800 Rp 33,433,200 Rp 967,796 Rp 29,034 Rp 938,762 79

80 Dewi Akhryani, Amd.Kep Perawat D3 60 16 25 60 64 3,840 Rp 78,010,800 Rp 33,433,200 Rp 619,389 Rp 15,485 Rp 603,905 80

Nur Wahdaniar Amd.RMIK

81 Rekam Medik D3 60 22 25 60 88 5,280 Rp 78,010,800 Rp 33,433,200 Rp 851,660 Rp 25,550 Rp 826,111 81

Muhammad Ikhsan,Amd.Anakes
82 Analis Kes. D3 60 21 25 60 84 5,040 Rp 78,010,800 Rp 33,433,200 Rp 812,949 Rp 24,388 Rp 788,560 82

83 Agustina Bintang III Bidan D3 60 25 8 25 10 95 32 3,040 Rp 78,010,800 Rp 33,433,200 Rp 490,350 Rp 24,517 Rp 465,832 83

84 Suriati, Amd, Keb III Bidan D3 60 5 12 25 10 75 48 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 29,034 Rp 551,644 84

85 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 6 25 10 75 24 1,800 Rp 78,010,800 Rp 33,433,200 Rp 290,339 Rp 14,517 Rp 275,822 85

86 Sitti Aminah Anas, A.Md.Keb III Bidan D3 60 5 6 25 10 75 24 1,800 Rp 78,010,800 Rp 33,433,200 Rp 290,339 Rp 14,517 Rp 275,822 86

87 Andi Yulianti, Amd.Keb III Bidan D3 60 5 10 25 10 75 40 3,000 Rp 78,010,800 Rp 33,433,200 Rp 483,898 Rp 24,195 Rp 459,703 87

88 Wahyuni, Amd.Keb III Bidan D3 60 5 2 25 10 75 8 600 Rp 78,010,800 Rp 33,433,200 Rp 96,780 Rp 4,839 Rp 91,941 88

89 Herawati Said, Amd. Keb III Bidan D3 60 5 11 25 10 75 44 3,300 Rp 78,010,800 Rp 33,433,200 Rp 532,288 Rp 26,614 Rp 505,673 89

90 Nur Felinsiani, S.ST III Bidan D4 80 5 2 25 10 95 8 760 Rp 78,010,800 Rp 33,433,200 Rp 122,587 Rp 6,129 Rp 116,458 90

91 Lisdayanti, Amd.Keb Bidan D3 60 14 25 60 56 3,360 Rp 78,010,800 Rp 33,433,200 Rp 541,966 Rp 13,549 Rp 528,417 91

92 Dewi Sartika, Amd.Keb Bidan D3 60 9 25 60 36 2,160 Rp 78,010,800 Rp 33,433,200 Rp 348,407 Rp 8,710 Rp 339,696 92

93 Rosdiana, Amd.Keb Bidan D3 60 17 25 60 68 4,080 Rp 78,010,800 Rp 33,433,200 Rp 658,101 Rp 16,453 Rp 641,649 93

94 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 14 25 60 56 3,360 Rp 78,010,800 Rp 33,433,200 Rp 541,966 Rp 16,259 Rp 525,707 94
95 Andi Isna, Amd.Keb Bidan D3 60 13 25 60 52 3,120 Rp 78,010,800 Rp 33,433,200 Rp 503,254 Rp 12,581 Rp 490,673 95

96 Isnayani, Amd.Keb Bidan D3 60 6 25 60 24 1,440 Rp 78,010,800 Rp 33,433,200 Rp 232,271 Rp 5,807 Rp 226,464 96

97 Yul Fitriana, Amd.Keb Bidan D3 60 13 25 60 52 3,120 Rp 78,010,800 Rp 33,433,200 Rp 503,254 Rp 12,581 Rp 490,673 97

98 Titin Sumarni, Amd.Keb Bidan D3 60 6 25 60 24 1,440 Rp 78,010,800 Rp 33,433,200 Rp 232,271 Rp 5,807 Rp 226,464 98

99 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 9 25 60 36 2,160 Rp 78,010,800 Rp 33,433,200 Rp 348,407 Rp 8,710 Rp 339,696 99

100 Hastuti, Amd.Keb Bidan D3 60 17 25 60 68 4,080 Rp 78,010,800 Rp 33,433,200 Rp 658,101 Rp 16,453 Rp 641,649 100

101 Desi Asriana, S. ST Bidan D4 80 5 25 80 20 1,600 Rp 78,010,800 Rp 33,433,200 Rp 258,079 Rp 6,452 Rp 251,627 101

102 Fitriani, Amd.Keb Bidan D3 60 15 25 60 60 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 14,517 Rp 566,161 102

103 Citra Pratiwi, Amd.Keb Bidan D3 60 5 25 60 20 1,200 Rp 78,010,800 Rp 33,433,200 Rp 193,559 Rp 4,839 Rp 188,720 103

104 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 15 25 60 60 3,600 Rp 78,010,800 Rp 33,433,200 Rp 580,678 Rp 17,420 Rp 563,257 104

105 Irna Supianti Said, Amd. Keb Bidan D3 60 12 25 60 48 2,880 Rp 78,010,800 Rp 33,433,200 Rp 464,542 Rp 11,614 Rp 452,928 105

106 Nurfaidah Ansar, Amd. Keb Bidan D3 60 8 25 60 32 1,920 Rp 78,010,800 Rp 33,433,200 Rp 309,695 Rp 9,291 Rp 300,404 106

107 Samsuri, Amd. Keb Bidan D3 60 19 25 60 76 4,560 Rp 78,010,800 Rp 33,433,200 Rp 735,525 Rp 22,066 Rp 713,459 107

108 Kiki Imriyani, Amd. Keb Bidan D3 60 12 25 60 48 2,880 Rp 78,010,800 Rp 33,433,200 Rp 464,542 Rp 13,936 Rp 450,606 108

109 Wismala Dewi, Amd.Keb Bidan D3 60 10 25 60 40 2,400 Rp 78,010,800 Rp 33,433,200 Rp 387,118 Rp 11,614 Rp 375,505 109

110 Ismayana Aulia S.ST Bidan D3 80 8 25 80 32 2,560 Rp 78,010,800 Rp 33,433,200 Rp 412,926 Rp 12,388 Rp 400,538 110

JUMLAH 7,260 405 1,642 2,750 180 340 8,185 6,568 483,640 Rp 78,010,800 Rp 33,433,200 Rp 78,010,800 Rp 2,953,003 Rp 75,057,797

Mengetahui / Menyetujui : Benteng, 31 Maret 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,371 32,226,000
PBI APBD 10,026 60,156,000
NON PBI 3,223 19,338,000
SUSULAN 1 6,000
18,621 111,726,000 78,208,200 33,517,800

dr. Frengki Wijaya Rp 167,751

483,640
drg. Yunda Iswari Rp 103,232 5,372 32,232,000
483,640 PBI APBN PBI APBN
dr. Inda Yuliana Astut Rp 103,232
483,640 PBI APBD PBI APBD 9,989 59,934,000
drg. Sitti Alwiah Uta Rp 103,232 3,230 19,380,000
483,640 NON PBI NON PBI
Muhammad Ali Rp 51,616 5 30,000
483,640 SUSULAN NON PBI
Hj.Nur Azizal Hastat Rp 61,294
483,640 Err:522
Saribanong Rp 38,712 JASA
483,640
Petrus Milu Embang Rp 93,554
483,640
Sukmawatie, B.Sc Rp 61,294
483,640
Sri Rahmat Yani Nur Rp 83,876
483,640
Rohani, Amd.KG Rp 51,616
483,640
Rosidah, AKL Rp 64,520
483,640
Israyana Yulianti, AK Rp 64,520
483,640
Wa Ode Sinta Kalsu Rp 38,712
483,640
Nur Indah Kurnianti Rp 45,164
483,640
Mayanti, AMF Rp 51,616
483,640
Rostati, SKM, M. Ke Rp 64,520
483,640
Muhammad Ilham Ta Rp 51,616
483,640
Nur Damayanti, S.Ke Rp 61,294
483,640
Rostini, AMG Rp 45,164
483,640
Elsa Handayani, AM Rp 48,390
483,640
Normalina,Amd.AK Rp 41,938
483,640
Amsari Parida Amir, Rp 48,390
483,640
Nadia Sri Damayanti Rp 48,390
483,640
Rahmah Yuliyana, Rp 48,390
483,640
Hj. Syahraeni, S.Kep Rp 64,520
483,640
Andi Megawati, SKM Rp 51,616
483,640
Yurniati, Amd.AK Rp 51,616
483,640
Muhammad Nawir Rp 19,356
483,640
Maesar Prayuda, A Rp 45,164
483,640
Anna Marsela, Amd. Rp 45,164
483,640
Ridha Arbia, Amd.Ke Rp 48,390
483,640
Ramlah, Amd.Keb Rp 38,712
483,640
Andi Salmei, Amd.K Rp 45,164
483,640
Nur Ilma, Amd.Keb Rp 45,164
483,640
Irmawati, Amd.Keb Rp 38,712
483,640
Andi Jumrianti, Amd Rp 45,164
483,640
Sukma Dewi, AMK Rp 41,938
483,640
dr. Zainal Abidin Rp 96,780
483,640
dr. Stefani Rp 96,780
483,640
Agustini Rp 16,130
483,640
Rosmayanti, SKM Rp 51,616
483,640
Hasmirawati, AMK Rp 38,712
483,640
Muhrawati, AMK Rp 38,712
483,640
Hamriana, Amd.Keb Rp 38,712
483,640
Yunarsih, AMAK Rp 38,712
483,640
Andi Masmuliani Rp 16,130
483,640
Israwati, SP Rp 32,260
483,640
Reski Arisanti Amel Rp 38,712
483,640
Andi Armita Dewi, A Rp 38,712
483,640
Sri Adrianti, A.Md.Ke Rp 38,712
483,640
Mushfiah Zaenuddin Rp 38,712
483,640
Nur Wahyuni, Amd.K Rp 38,712
483,640
Muhammad Rum, Am Rp 38,712
483,640
Muhammad Subhan, Rp 38,712
483,640
Musdalifah MR, AMK Rp 38,712
483,640
Rizaldi Razak, Amd. Rp 38,712
483,640
Andi Resti Wardani, Rp 64,520
483,640
Wahyuni Hamzah, A Rp 38,712
483,640
Sri Wedari Yusuf, A Rp 38,712
483,640
Dahling Rp 16,130
483,640
Muh. Bahrum, Amd. Rp 38,712
483,640
Dini Yuliana Sari, A Rp 38,712
483,640
Dewi Sartika, SKM Rp 51,616
483,640
Jumrawati, S.Kep Rp 51,616
483,640
Andi Rusdiani, Amd. Rp 38,712
483,640
Didik Sunarwan #DIV/0!
483,640
Egar Sandhika Rp 16,130
483,640
Andi Hasriani, S. Ke Rp 64,520
483,640
Andi Marlianti Rp 16,130
483,640
Nur Maya, Amd. Kep Rp 38,712
483,640
Meliana, Amd. Kep Rp 38,712
483,640
Said Akbar Anwar, S Rp 64,520
483,640
Risnawati, Amd. Keb Rp 38,712
483,640
Emil Pranata Putra Rp 38,712
483,640
Hernawati, Amd. Keb Rp 38,712
483,640
Ainun Mardiah, Amd. Rp 38,712
483,640
Dede Frederika FebriyRp 64,520
483,640
Samsir Abdul Patta, Rp 64,520
483,640
Dewi Akhryani, Amd Rp 38,712
483,640
Nur Wahdaniar Amd Rp 38,712
483,640
Muhammad Ikhsan,A Rp 38,712
483,640
Agustina Bintang Rp 61,294
483,640
Suriati, Amd, Keb Rp 48,390
483,640
Nur Rahmawati, Amd Rp 48,390
483,640
Sitti Aminah Anas, 48389.794061699
483,640
Andi Yulianti, Amd.K Rp 48,390
483,640
Wahyuni, Amd.Keb Rp 48,390
483,640
Herawati Said, Amd. Rp 48,390
483,640
Nur Felinsiani, Amd. Rp 61,294
483,640
Lisdayanti, Amd.Keb Rp 38,712
483,640
Dewi Sartika, Amd.K Rp 38,712
483,640
Rosdiana, Amd.Keb Rp 38,712
483,640
Sri Wahyuni Aznur, Rp 38,712
483,640
Andi Isna, Amd.Keb Rp 38,712
483,640
Isnayani, Amd.Keb Rp 38,712
483,640
Yul Fitriana, Amd.Ke Rp 38,712
483,640
Titin Sumarni, Amd. Rp 38,712
483,640
Andi Tenri Ellung N Rp 38,712
483,640
Hastuti, Amd.Keb Rp 38,712
483,640
Desi Asriana, S. ST Rp 51,616
483,640
Fitriani, Amd.Keb Rp 38,712
483,640
Citra Pratiwi, Amd.K Rp 38,712
483,640
Andi Fauziyyah Patr Rp 38,712
483,640
Irna Supianti Said, Rp 38,712
483,640
Nurfaidah Ansar, Am Rp 38,712
483,640
Samsuri, Amd. Keb Rp 38,712
483,640
Kiki Imriyani, Amd. Rp 38,712
483,640
Wismala Dewi, Amd. Rp 38,712
483,640
Ismayana Aulia S.ST Rp 51,616
483,640

Rp 47,510
483,640 36,386,203

2,953,003
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN JANUARI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,596 ORANG
JUMLAH PEGAWAI : 107 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,576,000

PENERIMAAN KAPITASI
KEHADIRAN RANG TANG DENGAN JUMLAH PESERTA
JENIS MAS KAP GUNG JML PRESE JUMLAH 18,596 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUGA
JML SADM
JAWA POINT NTASE TOTAL
BIAYA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI HARI INIST
B VARIA KEHAD SELURU JASA
OPERASIONA ( Rp ) 5% ) ( Rp )
AN KAN AN JA MASU PROG BEL IRAN H POINT PELAYANAN
KERJ RASI RAM L ( 30
K ( 70 % )
A %)
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 12 26 100 260 46 12,000 Rp 78,103,200 Rp 33,472,800 1,826,359.26 Rp 273,954 Rp 1,552,405 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 10 26 10 160 38 6,154 Rp 78,103,200 Rp 33,472,800 Rp 936,594 Rp 46,830 Rp 889,765 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 14 26 10 160 54 8,615 Rp 78,103,200 Rp 33,472,800 Rp 1,311,232 Rp 65,562 Rp 1,245,671 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 25 26 160 96 15,385 Rp 78,103,200 Rp 33,472,800 Rp 2,341,486 Rp 351,223 Rp 1,990,263 4

5 Muhammad Ali III Kasubag. SMA 25 25 26 26 30 80 100 8,000 Rp 78,103,200 Rp 33,472,800 Rp 1,217,573 Rp 60,879 Rp 1,156,694 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 17 26 10 95 65 6,212 Rp 78,103,200 Rp 33,472,800 Rp 945,375 Rp 47,269 Rp 898,106 6

7 Agustina Bintang III Bidan D3 60 25 4 26 10 95 15 1,462 Rp 78,103,200 Rp 33,472,800 Rp 222,441 Rp 11,122 Rp 211,319 7

8 Saribanong III perawat SPK 25 25 26 26 10 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 45,659 Rp 867,521 8

9 Petrus Milu Embang Tandi III Perawat (Bend.JKN) D3 60 25 24 26 50 10 145 92 13,385 Rp 78,103,200 Rp 33,472,800 Rp 2,037,093 Rp 101,855 Rp 1,935,238 9

10 Sukmawatie, B.Sc III Perawat D3 60 25 23 26 10 95 88 8,404 Rp 78,103,200 Rp 33,472,800 Rp 1,279,037 Rp 63,952 Rp 1,215,085 10

11 Sri Rahmat Yani Nur, S.Ke III Perawat S1 100 20 25 26 10 130 96 12,500 Rp 78,103,200 Rp 33,472,800 Rp 1,902,458 Rp 95,123 Rp 1,807,335 11

12 Rohani, Amd.KG III Perawat Gigi D3 60 20 24 26 80 92 7,385 Rp 78,103,200 Rp 33,472,800 Rp 1,123,913 Rp 56,196 Rp 1,067,718 12

13 Rosidah, SKM III Sanitarian S1 80 10 21 26 10 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 61,464 Rp 1,167,816 13

14 Israyana Yulianti, SKM III Sanitarian S1 80 10 13 26 10 100 50 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 38,049 Rp 722,934 14

15 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 6 26 10 60 23 1,385 Rp 78,103,200 Rp 33,472,800 Rp 210,734 Rp 10,537 Rp 200,197 15
16 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 11 26 70 42 2,962 Rp 78,103,200 Rp 33,472,800 Rp 450,736 Rp 22,537 Rp 428,199 16

17 Mayanti, AMF III Asisten Apoteker D3 60 10 25 26 10 80 96 7,692 Rp 78,103,200 Rp 33,472,800 Rp 1,170,743 Rp 58,537 Rp 1,112,206 17

18 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 4 26 10 100 15 1,538 Rp 78,103,200 Rp 33,472,800 Rp 234,149 Rp 11,707 Rp 222,441 18

19 Muhammad Ilham Tamrin III Perawat D3 60 10 14 26 10 80 54 4,308 Rp 78,103,200 Rp 33,472,800 Rp 655,616 Rp 32,781 Rp 622,835 19

20 Nur Damayanti, S.Kep, M. III Perawat S2 80 5 19 26 10 95 73 6,942 Rp 78,103,200 Rp 33,472,800 Rp 1,056,596 Rp 52,830 Rp 1,003,766 20

21 Rostini, AMG III Nutrisionis D3 60 10 6 26 70 23 1,615 Rp 78,103,200 Rp 33,472,800 Rp 245,856 Rp 12,293 Rp 233,563 21

22 Hj. Rosdiana III Pranata Lab. Kes. SMAK 25 25 26 26 50 100 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 38,049 Rp 722,934 22

23 Elsa Handayani, AMK III Perawat D3 60 5 13 26 10 75 50 3,750 Rp 78,103,200 Rp 33,472,800 Rp 570,737 Rp 28,537 Rp 542,200 23

24 Suriati, Amd, Keb III Bidan D3 60 5 11 26 10 75 42 3,173 Rp 78,103,200 Rp 33,472,800 Rp 482,932 Rp 24,147 Rp 458,785 24

25 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 26 26 65 100 6,500 Rp 78,103,200 Rp 33,472,800 Rp 989,278 Rp 49,464 Rp 939,814 25

26 Amsari Parida Amir, AMK III Perawat D3 60 5 15 26 10 75 58 4,327 Rp 78,103,200 Rp 33,472,800 Rp 658,543 Rp 32,927 Rp 625,616 26

27 Nadia Sri Damayanti, AMK III Perawat D3 60 5 11 26 10 75 42 3,173 Rp 78,103,200 Rp 33,472,800 Rp 482,932 Rp 24,147 Rp 458,785 27

28 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 6 26 10 75 23 1,731 Rp 78,103,200 Rp 33,472,800 Rp 263,417 Rp 13,171 Rp 250,246 28

29 Sitti Aminah Anas, A.Md.K III Bidan D3 60 5 5 26 10 75 19 1,442 Rp 78,103,200 Rp 33,472,800 Rp 219,514 Rp 10,976 Rp 208,539 29

30 Rahmah Yuliyana, AMK III Perawat D3 60 5 18 26 10 75 69 5,192 Rp 78,103,200 Rp 33,472,800 Rp 790,252 Rp 39,513 Rp 750,739 30

31 Hj. Syahraeni, S.Kep III Perawat S1 80 10 20 26 10 100 77 7,692 Rp 78,103,200 Rp 33,472,800 Rp 1,170,743 Rp 58,537 Rp 1,112,206 31

32 Andi Megawati, SKM III Teknisi Gigi S1 80 0 8 26 80 31 2,462 Rp 78,103,200 Rp 33,472,800 Rp 374,638 Rp 18,732 Rp 355,906 32

33 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 9 26 10 80 35 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 21,073 Rp 400,394 33

34 Andi Yulianti, Amd.Keb III Bidan D3 60 5 0 26 10 75 - - Rp 78,103,200 Rp 33,472,800 Rp - Rp - Rp - 34

35 Muhammad Nawir II Pengadministrasi SMK 25 5 21 26 30 81 2,423 Rp 78,103,200 Rp 33,472,800 Rp 368,784 Rp - Rp 368,784 35

36 Maesar Prayuda, AMK II Perawat D3 60 0 25 26 10 70 96 6,731 Rp 78,103,200 Rp 33,472,800 Rp 1,024,400 Rp - Rp 1,024,400 36

37 Anna Marsela, Amd. Kep II Perawat D3 60 0 12 26 10 70 46 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp - Rp 491,712 37

38 Wahyuni, Amd.Keb III Bidan D3 60 5 6 26 10 75 23 1,731 Rp 78,103,200 Rp 33,472,800 Rp 263,417 Rp 13,171 Rp 250,246 38

39 Herawati Said, Amd. Keb III Bidan D3 60 5 14 26 10 75 54 4,038 Rp 78,103,200 Rp 33,472,800 Rp 614,640 Rp 30,732 Rp 583,908 39

40 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 19 26 10 75 73 5,481 Rp 78,103,200 Rp 33,472,800 Rp 834,154 Rp 41,708 Rp 792,447 40
41 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp - Rp 878,057 41

42 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 20 26 10 70 77 5,385 Rp 78,103,200 Rp 33,472,800 Rp 819,520 Rp - Rp 819,520 42

43 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 22 26 10 70 85 5,923 Rp 78,103,200 Rp 33,472,800 Rp 901,472 Rp - Rp 901,472 43

44 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp - Rp 842,935 44

45 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 19 26 10 70 73 5,115 Rp 78,103,200 Rp 33,472,800 Rp 778,544 Rp - Rp 778,544 45

46 Nur Felinsiani, S.ST III Bidan D4 80 5 12 26 10 95 46 4,385 Rp 78,103,200 Rp 33,472,800 Rp 667,324 Rp 33,366 Rp 633,957 46

47 Sukma Dewi, AMK III Perawat Pustu D3 60 5 22 26 65 85 5,500 Rp 78,103,200 Rp 33,472,800 Rp 837,081 Rp 41,854 Rp 795,227 47

48 dr. Zainal Abidin Dokter Umum S1 150 25 26 150 96 14,423 Rp 78,103,200 Rp 33,472,800 Rp 2,195,143 Rp 54,879 Rp 2,140,265 48

49 Agustini Perkantoran SMEA 25 23 26 25 88 2,212 Rp 78,103,200 Rp 33,472,800 Rp 336,589 Rp 8,415 Rp 328,174 49

50 Rosmayanti, SKM S1 Kesmas S1 80 21 26 80 81 6,462 Rp 78,103,200 Rp 33,472,800 Rp 983,424 Rp 24,586 Rp 958,839 50

51 Hasmirawati, AMK Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 51

52 Muhrawati, AMK Perawat D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 52

53 Hamriana, Amd.Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 53

54 Yunarsih, AMAK Analis Kes. D3 60 0 26 60 - - Rp 78,103,200 Rp 33,472,800 Rp - Rp - Rp - 54

55 Andi Masmuliani Perkantoran SMA 25 26 26 25 100 2,500 Rp 78,103,200 Rp 33,472,800 Rp 380,492 Rp 9,512 Rp 370,979 55

56 Israwati, SP S1 Pertanian S1 50 26 26 50 100 5,000 Rp 78,103,200 Rp 33,472,800 Rp 760,983 Rp 19,025 Rp 741,958 56

57 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 57

58 Andi Armita Dewi, AMK Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 58

59 Sri Adrianti, A.Md.Kep Perawat D3 60 16 26 60 62 3,692 Rp 78,103,200 Rp 33,472,800 Rp 561,957 Rp 14,049 Rp 547,908 59

60 Mushfiah Zaenuddin, AMK Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 60

61 Nur Wahyuni, Amd.Kep Perawat D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 61

62 Lisdayanti, Amd.Keb Bidan D3 60 8 26 60 31 1,846 Rp 78,103,200 Rp 33,472,800 Rp 280,978 Rp 7,024 Rp 273,954 62

63 Dewi Sartika, Amd.Keb Bidan D3 60 12 26 60 46 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 10,537 Rp 410,931 63

64 Rosdiana, Amd.Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 15,805 Rp 616,396 64

65 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 13,698 Rp 442,892 65
66 Andi Isna, Amd.Keb Bidan D3 60 10 26 60 38 2,308 Rp 78,103,200 Rp 33,472,800 Rp 351,223 Rp 8,781 Rp 342,442 66

67 Muhammad Rum, Amd.Kep Perawat D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 67

68 Muhammad Subhan, Amd.Kep Perawat D3 60 15 26 60 58 3,462 Rp 78,103,200 Rp 33,472,800 Rp 526,834 Rp 13,171 Rp 513,664 68

69 Sulmiati, Amd.Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 15,805 Rp 616,396 69

70 Musdalifah MR, AMK Perawat D3 60 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 70

71 Isnayani, Amd.Keb Bidan D3 60 7 26 60 27 1,615 Rp 78,103,200 Rp 33,472,800 Rp 245,856 Rp 6,146 Rp 239,710 71

72 Rizaldi Razak, Amd.Kep Perawat D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 72

73 Yul Fitriana, Amd.Keb Bidan D3 60 10 26 60 38 2,308 Rp 78,103,200 Rp 33,472,800 Rp 351,223 Rp 8,781 Rp 342,442 73

74 Titin Sumarni, Amd.Keb Bidan D3 60 11 26 60 42 2,538 Rp 78,103,200 Rp 33,472,800 Rp 386,345 Rp 9,659 Rp 376,687 74

75 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 26 26 100 100 10,000 Rp 78,103,200 Rp 33,472,800 Rp 1,521,966 Rp 38,049 Rp 1,483,917 75

76 Andi Tenri Ellung Nomang, Amd. Bidan D3 60 15 26 60 58 3,462 Rp 78,103,200 Rp 33,472,800 Rp 526,834 Rp 13,171 Rp 513,664 76

77 Hastuti, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 77

78 Wahyuni Hamzah, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 12,293 Rp 479,419 78

79 Desi Asriana, S. ST Bidan D4 80 11 26 80 42 3,385 Rp 78,103,200 Rp 33,472,800 Rp 515,127 Rp 12,878 Rp 502,249 79

80 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 11,415 Rp 445,175 80

81 Dahling Ceaning servis SMA 25 25 26 25 96 2,404 Rp 78,103,200 Rp 33,472,800 Rp 365,857 Rp 10,976 Rp 354,882 81

82 Muh. Bahrum, Amd.Kep Perawat D3 60 21 26 60 81 4,846 Rp 78,103,200 Rp 33,472,800 Rp 737,568 Rp 18,439 Rp 719,129 82

83 Fitriani, Amd.Keb Bidan D3 60 14 26 60 54 3,231 Rp 78,103,200 Rp 33,472,800 Rp 491,712 Rp 14,751 Rp 476,961 83

84 Dini Yuliana Sari, AMK Perawat D3 60 24 26 60 92 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 84

85 Dewi Sartika, SKM Kesmas S1 80 18 26 80 69 5,538 Rp 78,103,200 Rp 33,472,800 Rp 842,935 Rp 21,073 Rp 821,862 85

86 Jumrawati, S.Kep Perawat S1 80 23 26 80 88 7,077 Rp 78,103,200 Rp 33,472,800 Rp 1,077,084 Rp 26,927 Rp 1,050,157 86

87 Andi Rusdiani, Amd.Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 26,342 Rp 851,716 87

88 Citra Pratiwi, Amd.Keb Bidan D3 60 13 26 60 50 3,000 Rp 78,103,200 Rp 33,472,800 Rp 456,590 Rp 11,415 Rp 445,175 88

89 Didik Sunarwan Sopir SMA 25 26 26 25 100 2,500 Rp 78,103,200 Rp 33,472,800 Rp 380,492 Rp 9,512 Rp 370,979 89

90 Egar Sandhika Perawat SMK 25 21 26 25 81 2,019 Rp 78,103,200 Rp 33,472,800 Rp 307,320 Rp 7,683 Rp 299,637 90
91 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 2 26 60 8 462 Rp 78,103,200 Rp 33,472,800 Rp 70,245 Rp 2,107 Rp 68,137 91

92 Andi Hasriani, S. Kep, Ns Perawat S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 30,732 Rp 1,198,548 92

93 Andi Marlianti Admin. Perkantoran SMA 25 17 26 25 65 1,635 Rp 78,103,200 Rp 33,472,800 Rp 248,783 Rp 7,463 Rp 241,319 93

94 Nur Maya, Amd. Kep Perawat D3 60 23 26 60 88 5,308 Rp 78,103,200 Rp 33,472,800 Rp 807,813 Rp 20,195 Rp 787,617 94

95 Meliana, Amd. Kep Perawat D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 95

96 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 15 26 100 58 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 96

97 Risnawati, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 17,561 Rp 684,885 97

98 Emil Pranata Putra Sopir SMA 60 12 26 60 46 2,769 Rp 78,103,200 Rp 33,472,800 Rp 421,468 Rp 10,537 Rp 410,931 98

99 Irna Supianti Said, Amd. Keb Bidan D3 60 17 26 60 65 3,923 Rp 78,103,200 Rp 33,472,800 Rp 597,079 Rp 14,927 Rp 582,152 99

100 Nurfaidah Ansar, Amd. Keb Bidan D3 60 18 26 60 69 4,154 Rp 78,103,200 Rp 33,472,800 Rp 632,201 Rp 18,966 Rp 613,235 100

101 Hernawati, Amd. Keb Bidan D3 60 26 26 60 100 6,000 Rp 78,103,200 Rp 33,472,800 Rp 913,180 Rp 22,829 Rp 890,350 101

102 Ainun Mardiah, Amd. Keb Bidan D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 102

103 Dede Frederika Febriyanti, S.Si, A Apoteker S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 30,732 Rp 1,198,548 103

104 Samsuri, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 21,073 Rp 681,372 104

105 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 21 26 100 81 8,077 Rp 78,103,200 Rp 33,472,800 Rp 1,229,280 Rp 36,878 Rp 1,192,402 105

106 Kiki Imriyani, Amd. Keb Bidan D3 60 20 26 60 77 4,615 Rp 78,103,200 Rp 33,472,800 Rp 702,446 Rp 21,073 Rp 681,372 106

107 Dewi Akhryani, Amd.Kep Perawat D3 60 25 26 60 96 5,769 Rp 78,103,200 Rp 33,472,800 Rp 878,057 Rp 21,951 Rp 856,106 107

JUMLAH 6,935 430 1,837 2,782 180 340 7,885 7,065 513,173 Rp 78,103,200 Rp 33,472,800 Rp 78,103,200 Rp 3,057,454 Rp 75,045,746

Mengetahui / Menyetujui : Benteng, 31 Januari 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
Rp 152,197
513,173
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513,173 PBI APBD PBI APBD 9,989 59,934,000
Rp 93,659
513,173 NON PBI NON PBI 3,230 19,380,000
Rp 46,830
513,173 SUSULAN NON PBI 5 30,000
Rp 55,610
513,173
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513,173 Err:522 111,576,000 78,103,200
Rp 35,122 JASA
513,173
Rp 84,879
513,173
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513,173
Rp 76,098
513,173
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Rp 43,903
513,173
Rp 43,903
513,173
Rp 58,537
513,173
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513,173
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513,173
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513,173
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513,173
Rp 35,122
513,173
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#DIV/0!
513,173
Rp 14,634
513,173
Rp 29,269
513,173
Rp 35,122
513,173
Rp 35,122
513,173
Rp 35,122
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513,173
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513,173
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513,173
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513,173
Rp 58,537
513,173
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513,173
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513,173
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513,173
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513,173
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513,173
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513,173
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Rp 35,122
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513,173
Rp 35,122
513,173

Rp 42,517
513,173 36,530,254
NO NAMA GOL JABATAN DITERIMA TANDA TANGAN

1 dr. Frengki Wijaya IV Kepala Puskesmas Rp 1,102,208 1

2 drg. Yunda Iswari III Dokter Gigi Rp 631,733 2

3 dr. Inda Yuliana Astuti III Dokter Umum Rp 884,426 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi Rp 1,413,087 4

5 Muhammad Ali III Kasubag. Rp 821,253 5

6 Hj.Nur Azizal Hastati, AMK III Perawat Rp 637,655 6

7 Agustina Bintang III Bidan Rp 150,037 7

8 Saribanong III perawat Rp 615,940 8

9 Petrus Milu Embang Tandi, AMK III Perawat (Bend.JKN) Rp 1,374,019 9

10 Sukmawatie, B.Sc III Perawat Rp 862,710 10

11 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat Rp 1,283,208 11

12 Rohani, Amd.KG III Perawat Gigi Rp 758,080 12

13 Rosidah, SKM III Sanitarian Rp 829,150 13

14 Israyana Yulianti, SKM III Sanitarian Rp 513,283 14

15 Wa Ode Sinta Kalsum III Nutrisionis Rp 142,140 15

16 Nur Indah Kurnianti, AMD III Teknisi Gigi Rp 304,021 16

17 Mayanti, AMF III Asisten Apoteker Rp 789,666 17

18 Rostati, SKM, M. Kes III Pembimbing Kes. Rp 157,933 18

19 Muhammad Ilham Tamrin,AMK III Perawat Rp 442,213 19

20 Nur Damayanti, S.Kep, M. Kes III Perawat Rp 712,674 20

21 Rostini, AMG III Nutrisionis Rp 165,830 21

22 Hj. Rosdiana III Pranata Lab. Kes. Rp 513,283 22

23 Elsa Handayani, AMK III Perawat Rp 384,962 23

24 Suriati, Amd, Keb III Bidan Rp 325,737 24

25 Normalina,Amd.AK III Pranata Lab.Kes Rp 667,268 25

26 Amsari Parida Amir, AMK III Perawat Rp 444,187 26

27 Nadia Sri Damayanti, AMK III Perawat Rp 325,737 27

28 Nur Rahmawati, Amd.Keb III Bidan Rp 177,675 28

29 Sitti Aminah Anas, A.Md.Keb III Bidan Rp 148,062 29

30 Rahmah Yuliyana, AMK III Perawat Rp 533,025 30

31 Hj. Syahraeni, S.Kep III Perawat Rp 789,666 31

32 Andi Megawati, SKM III Teknisi Gigi Rp 252,693 32

33 Yurniati, Amd.AK III Pranata Lab.Kes Rp 284,280 33

34 Andi Yulianti, Amd.Keb III Bidan Rp - 34

35 Muhammad Nawir II Pengadministrasi Rp 261,837 35

36 Maesar Prayuda, AMK II Perawat Rp 727,324 36

37 Anna Marsela, Amd. Kep II Perawat Rp 349,116 37

38 Wahyuni, Amd.Keb III Bidan Rp 177,675 38

39 Herawati Said, Amd. Keb III Bidan Rp 414,575 39

40 Ridha Arbia, Amd.Keb III Bidan Pustu Rp 562,637 40

41 Ramlah, Amd.Keb II Bidan Pustu Rp 623,421 41

42 Andi Salmei, Amd.Keb II Bidan Pustu Rp 581,859 42

43 Nur Ilma, Amd.Keb II Bidan Pustu Rp 640,045 43

44 Irmawati, Amd.Keb II Bidan Pustu Rp 598,484 44

45 Andi Jumrianti, Amd.Keb II Bidan Pustu Rp 552,766 45

46 Nur Felinsiani, S.ST III Bidan Rp 450,110 46

47 Sukma Dewi, AMK III Perawat Pustu Rp 564,611 47

48 dr. Zainal Abidin Dokter Umum Rp 1,519,588 48

49 Agustini Perkantoran Rp 233,003 49

50 Rosmayanti, SKM S1 Kesmas Rp 680,775 50

51 Hasmirawati, AMK Perawat Rp 632,149 51

52 Muhrawati, AMK Perawat Rp 486,268 52

53 Hamriana, Amd.Keb Bidan Rp 607,835 53

54 Yunarsih, AMAK Analis Kes. Rp - 54

55 Andi Masmuliani Perkantoran Rp 263,395 55

56 Israwati, SP S1 Pertanian Rp 526,790 56

57 Reski Arisanti Amelia Safitri, AMK Perawat Rp 632,149 57

58 Andi Armita Dewi, AMK Perawat Rp 267,447 58

59 Sri Adrianti, A.Md.Kep Perawat Rp 389,015 59

60 Mushfiah Zaenuddin, AMK Perawat Rp 267,447 60

61 Nur Wahyuni, Amd.Kep Perawat Rp 486,268 61

62 Lisdayanti, Amd.Keb Bidan Rp 194,507 62

63 Dewi Sartika, Amd.Keb Bidan Rp 291,761 63

64 Rosdiana, Amd.Keb Bidan Rp 437,641 64

65 Sri Wahyuni Aznur, Amd.Keb Bidan Rp 314,453 65

66 Andi Isna, Amd.Keb Bidan Rp 243,134 66

67 Muhammad Rum, Amd.Kep Perawat Rp 267,447 67

68 Muhammad Subhan, Amd.Kep Perawat Rp 364,701 68

69 Sulmiati, Amd.Keb Bidan Rp 437,641 69

70 Musdalifah MR, AMK Perawat Rp 583,522 70

71 Isnayani, Amd.Keb Bidan Rp 170,194 71

72 Rizaldi Razak, Amd.Kep Perawat Rp 340,388 72

73 Yul Fitriana, Amd.Keb Bidan Rp 243,134 73

74 Titin Sumarni, Amd.Keb Bidan Rp 267,447 74

75 Andi Resti Wardani, S.Kep.Ns Perawat Rp 1,053,581 75

76 Andi Tenri Ellung Nomang, Amd.Keb Bidan Rp 364,701 76

77 Hastuti, Amd.Keb Bidan Rp 340,388 77

78 Wahyuni Hamzah, Amd.Keb Bidan Rp 340,388 78

79 Desi Asriana, S. ST Bidan Rp 356,597 79

80 Sri Wedari Yusuf, Amd. Farm Farmasi Rp 316,074 80

81 Dahling Ceaning servis Rp 251,966 81

82 Muh. Bahrum, Amd.Kep Perawat Rp 510,582 82

83 Fitriani, Amd.Keb Bidan Rp 338,642 83

84 Dini Yuliana Sari, AMK Perawat Rp 583,522 84

85 Dewi Sartika, SKM Kesmas Rp 583,522 85

86 Jumrawati, S.Kep Perawat Rp 745,611 86

87 Andi Rusdiani, Amd.Keb Bidan Rp 604,718 87

88 Citra Pratiwi, Amd.Keb Bidan Rp 316,074 88

89 Didik Sunarwan Sopir Rp 263,395 89

90 Egar Sandhika Perawat Rp 212,742 90

91 Andi Fauziyyah Patra, Amd. Keb Bidan Rp 48,377 91

92 Andi Hasriani, S. Kep, Ns Perawat Rp 850,969 92

93 Andi Marlianti Admin. Perkantoran Rp 171,337 93

94 Nur Maya, Amd. Kep Perawat Rp 559,208 94

95 Meliana, Amd. Kep Perawat Rp 632,149 95

96 Said Akbar Anwar, S.Kep.Ns Perawat Rp 607,835 96

97 Risnawati, Amd. Keb Bidan Rp 486,268 97

98 Emil Pranata Putra Sopir Rp 291,761 98

99 Irna Supianti Said, Amd. Keb Bidan Rp 413,328 99

100 Nurfaidah Ansar, Amd. Keb Bidan Rp 435,397 100

101 Hernawati, Amd. Keb Bidan Rp 632,149 101

102 Ainun Mardiah, Amd. Keb Bidan Rp 607,835 102

103 Dede Frederika Febriyanti, S.Si, Apt Apoteker Rp 850,969 103

104 Samsuri, Amd. Keb Bidan Rp 483,774 104

105 Samsir Abdul Patta, S.Kep.,Ns Perawat Rp 846,605 105

106 Kiki Imriyani, Amd. Keb Bidan Rp 483,774 106

107 Dewi Akhryani, Amd.Kep Perawat Rp 607,835 107

Rp 53,282,480
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN APRIL TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,639 ORANG
JUMLAH PEGAWAI : 111 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,834,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,639 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUG JAWA POINT NTASE TOTAL
JML ASA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% ) ( Rp )
AN KAN AN JA MASU HARI DMIN PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
KERJ ISTR RAM 30 % )
K ( 70 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 19 23 100 260 83 21,478 Rp 78,283,800 Rp 33,550,200 Rp 3,634,263 Rp 545,140 Rp 3,089,124 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 5 23 10 160 22 3,478 Rp 78,283,800 Rp 33,550,200 Rp 588,545 Rp 29,427 Rp 559,117 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 11 23 10 160 48 7,652 Rp 78,283,800 Rp 33,550,200 Rp 1,294,798 Rp 64,740 Rp 1,230,058 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 22 23 160 96 15,304 Rp 78,283,800 Rp 33,550,200 Rp 2,589,597 Rp 388,439 Rp 2,201,157 4

5 Muhammad Ali III Kasubag. SMA 25 25 21 23 30 80 91 7,304 Rp 78,283,800 Rp 33,550,200 Rp 1,235,944 Rp 61,797 Rp 1,174,147 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 12 23 10 95 52 4,957 Rp 78,283,800 Rp 33,550,200 Rp 838,676 Rp 41,934 Rp 796,742 6

7 Saribanong III perawat SPK 25 25 23 23 10 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 50,762 Rp 964,478 7

8 Petrus Milu Embang Tandi, AM III Perawat (Bend.JKN) D3 60 25 15 23 50 10 145 65 9,457 Rp 78,283,800 Rp 33,550,200 Rp 1,600,106 Rp 80,005 Rp 1,520,101 8

9 Sukmawatie, B.Sc III Perawat D3 60 25 17 23 10 95 74 7,022 Rp 78,283,800 Rp 33,550,200 Rp 1,188,125 Rp 59,406 Rp 1,128,718 9

10 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat S1 100 20 7 23 10 130 30 3,957 Rp 78,283,800 Rp 33,550,200 Rp 669,470 Rp 33,473 Rp 635,996 10

11 Rohani, Amd.KG III Perawat Gigi D3 60 20 17 23 80 74 5,913 Rp 78,283,800 Rp 33,550,200 Rp 1,000,526 Rp 50,026 Rp 950,500 11

12 Rosidah, SKM III Sanitarian S1 80 10 1 23 10 100 4 435 Rp 78,283,800 Rp 33,550,200 Rp 73,568 Rp 3,678 Rp 69,890 12

13 Israyana Yulianti, SKM III Sanitarian S1 80 10 13 23 10 100 57 5,652 Rp 78,283,800 Rp 33,550,200 Rp 956,385 Rp 47,819 Rp 908,566 13

14 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 5 23 10 60 22 1,304 Rp 78,283,800 Rp 33,550,200 Rp 220,704 Rp 11,035 Rp 209,669 14

15 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 10 23 70 43 3,043 Rp 78,283,800 Rp 33,550,200 Rp 514,977 Rp 25,749 Rp 489,228 15

16 Mayanti, AMF III Asisten Apoteker D3 60 10 12 23 10 80 52 4,174 Rp 78,283,800 Rp 33,550,200 Rp 706,254 Rp 35,313 Rp 670,941 16
17 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 5 23 10 100 22 2,174 Rp 78,283,800 Rp 33,550,200 Rp 367,840 Rp 18,392 Rp 349,448 17

18 Muhammad Ilham Tamrin,AMK III Perawat D3 60 10 8 23 10 80 35 2,783 Rp 78,283,800 Rp 33,550,200 Rp 470,836 Rp 23,542 Rp 447,294 18

19 Nur Damayanti, S.Kep, M. Kes III Perawat S2 80 5 9 23 10 95 39 3,717 Rp 78,283,800 Rp 33,550,200 Rp 629,007 Rp 31,450 Rp 597,557 19

20 Rostini, AMG III Nutrisionis D3 60 10 3 23 70 13 913 Rp 78,283,800 Rp 33,550,200 Rp 154,493 Rp 7,725 Rp 146,768 20

21 Elsa Handayani, AMK III Perawat D3 60 5 10 23 10 75 43 3,261 Rp 78,283,800 Rp 33,550,200 Rp 551,761 Rp 27,588 Rp 524,173 21

22 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 16 23 65 70 4,522 Rp 78,283,800 Rp 33,550,200 Rp 765,108 Rp 38,255 Rp 726,853 22

23 Amsari Parida Amir, AMK III Perawat D3 60 5 9 23 10 75 39 2,935 Rp 78,283,800 Rp 33,550,200 Rp 496,585 Rp 24,829 Rp 471,755 23

24 Nadia Sri Damayanti, AMK III Perawat D3 60 5 7 23 10 75 30 2,283 Rp 78,283,800 Rp 33,550,200 Rp 386,232 Rp 19,312 Rp 366,921 24

25 Rahmah Yuliyana, AMK III Perawat D3 60 5 9 23 10 75 39 2,935 Rp 78,283,800 Rp 33,550,200 Rp 496,585 Rp 24,829 Rp 471,755 25

26 Hj. Syahraeni, S.Kep III Perawat S1 80 10 15 23 10 100 65 6,522 Rp 78,283,800 Rp 33,550,200 Rp 1,103,521 Rp 55,176 Rp 1,048,345 26

27 Andi Megawati, SKM III Teknisi Gigi S1 80 0 3 23 80 13 1,043 Rp 78,283,800 Rp 33,550,200 Rp 176,563 Rp 8,828 Rp 167,735 27

28 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 8 23 10 80 35 2,783 Rp 78,283,800 Rp 33,550,200 Rp 470,836 Rp 23,542 Rp 447,294 28

29 Muhammad Nawir II Pengadministrasi SMK 25 5 20 23 30 87 2,609 Rp 78,283,800 Rp 33,550,200 Rp 441,409 Rp - Rp 441,409 29

30 Maesar Prayuda, AMK II Perawat D3 60 0 17 23 10 70 74 5,174 Rp 78,283,800 Rp 33,550,200 Rp 875,460 Rp - Rp 875,460 30

31 Anna Marsela, Amd. Kep II Perawat D3 60 0 3 23 10 70 13 913 Rp 78,283,800 Rp 33,550,200 Rp 154,493 Rp - Rp 154,493 31

32 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 15 23 10 75 65 4,891 Rp 78,283,800 Rp 33,550,200 Rp 827,641 Rp 41,382 Rp 786,259 32

33 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 22 23 60 96 5,739 Rp 78,283,800 Rp 33,550,200 Rp 971,099 Rp - Rp 971,099 33

34 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 15 23 10 70 65 4,565 Rp 78,283,800 Rp 33,550,200 Rp 772,465 Rp - Rp 772,465 34

35 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 18 23 10 70 78 5,478 Rp 78,283,800 Rp 33,550,200 Rp 926,958 Rp - Rp 926,958 35

36 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 22 23 60 96 5,739 Rp 78,283,800 Rp 33,550,200 Rp 971,099 Rp - Rp 971,099 36

37 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 10 23 10 70 43 3,043 Rp 78,283,800 Rp 33,550,200 Rp 514,977 Rp - Rp 514,977 37

38 Sukma Dewi, AMK III Perawat Pustu D3 60 5 19 23 65 83 5,370 Rp 78,283,800 Rp 33,550,200 Rp 908,566 Rp 45,428 Rp 863,138 38

39 Julianti AMK II Perawat D3 60 0 8 23 60 35 2,087 Rp 78,283,800 Rp 33,550,200 Rp 353,127 Rp 17,656 Rp 335,470 39

40 dr. Zainal Abidin Dokter Umum S1 150 23 23 150 100 15,000 Rp 78,283,800 Rp 33,550,200 Rp 2,538,099 Rp 63,452 Rp 2,474,646 40

41 dr. Stefani Dokter Umum S1 150 21 23 150 91 13,696 Rp 78,283,800 Rp 33,550,200 Rp 2,317,395 Rp 57,935 Rp 2,259,460 41

42 Agustini Perkantoran SMEA 25 20 23 25 87 2,174 Rp 78,283,800 Rp 33,550,200 Rp 367,840 Rp 9,196 Rp 358,644 42

43 Rosmayanti, SKM S1 Kesmas S1 80 17 23 80 74 5,913 Rp 78,283,800 Rp 33,550,200 Rp 1,000,526 Rp 25,013 Rp 975,513 43

44 Hasmirawati, AMK Perawat D3 60 23 23 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 25,381 Rp 989,859 44

45 Muhrawati, AMK Perawat D3 60 7 23 60 30 1,826 Rp 78,283,800 Rp 33,550,200 Rp 308,986 Rp 7,725 Rp 301,261 45

46 Hamriana, Amd.Keb Bidan D3 60 18 23 60 78 4,696 Rp 78,283,800 Rp 33,550,200 Rp 794,535 Rp 19,863 Rp 774,672 46

47 Yunarsih, AMAK Analis Kes. D3 60 13 23 60 57 3,391 Rp 78,283,800 Rp 33,550,200 Rp 573,831 Rp 14,346 Rp 559,485 47

48 Andi Masmuliani Perkantoran SMA 25 23 23 25 100 2,500 Rp 78,283,800 Rp 33,550,200 Rp 423,016 Rp 10,575 Rp 412,441 48

49 Israwati, SP S1 Pertanian S1 50 23 23 50 100 5,000 Rp 78,283,800 Rp 33,550,200 Rp 846,033 Rp 21,151 Rp 824,882 49

50 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 23 23 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 25,381 Rp 989,859 50

51 Andi Armita Dewi, AMK Perawat D3 60 23 23 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 25,381 Rp 989,859 51

52 Sri Adrianti, A.Md.Kep Perawat D3 60 12 23 60 52 3,130 Rp 78,283,800 Rp 33,550,200 Rp 529,690 Rp 13,242 Rp 516,448 52

53 Mushfiah Zaenuddin, AMK Perawat D3 60 2 23 60 9 522 Rp 78,283,800 Rp 33,550,200 Rp 88,282 Rp 2,207 Rp 86,075 53

54 Nur Wahyuni, Amd.Kep Perawat D3 60 11 23 60 48 2,870 Rp 78,283,800 Rp 33,550,200 Rp 485,549 Rp 12,139 Rp 473,411 54

55 Muhammad Rum, Amd.Kep Perawat D3 60 8 23 60 35 2,087 Rp 78,283,800 Rp 33,550,200 Rp 353,127 Rp 8,828 Rp 344,299 55

56 Muhammad Subhan, Amd.Kep Perawat D3 60 10 23 60 43 2,609 Rp 78,283,800 Rp 33,550,200 Rp 441,409 Rp 11,035 Rp 430,373 56

57 Musdalifah MR, AMK Perawat D3 60 14 23 60 61 3,652 Rp 78,283,800 Rp 33,550,200 Rp 617,972 Rp 15,449 Rp 602,523 57

58 Rizaldi Razak, Amd.Kep Perawat D3 60 14 23 60 61 3,652 Rp 78,283,800 Rp 33,550,200 Rp 617,972 Rp 15,449 Rp 602,523 58

59 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 23 23 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 1,692,066 Rp 42,302 Rp 1,649,764 59

60 Wahyuni Hamzah, Amd.Keb Bidan D3 60 7 23 60 30 1,826 Rp 78,283,800 Rp 33,550,200 Rp 308,986 Rp 7,725 Rp 301,261 60

61 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 22 23 60 96 5,739 Rp 78,283,800 Rp 33,550,200 Rp 971,099 Rp 24,277 Rp 946,821 61

62 Dahling Ceaning servis SMA 25 22 23 25 96 2,391 Rp 78,283,800 Rp 33,550,200 Rp 404,624 Rp 12,139 Rp 392,486 62

63 Muh. Bahrum, Amd.Kep Perawat D3 60 19 23 60 83 4,957 Rp 78,283,800 Rp 33,550,200 Rp 838,676 Rp 20,967 Rp 817,709 63

64 Dini Yuliana Sari, AMK Perawat D3 60 15 23 60 65 3,913 Rp 78,283,800 Rp 33,550,200 Rp 662,113 Rp 16,553 Rp 645,560 64

65 Dewi Sartika, SKM Kesmas S1 80 17 23 80 74 5,913 Rp 78,283,800 Rp 33,550,200 Rp 1,000,526 Rp 25,013 Rp 975,513 65

66 Jumrawati, S.Kep Perawat S1 80 9 23 80 39 3,130 Rp 78,283,800 Rp 33,550,200 Rp 529,690 Rp 13,242 Rp 516,448 66

67 Andi Rusdiani, Amd.Keb Bidan D3 60 16 23 60 70 4,174 Rp 78,283,800 Rp 33,550,200 Rp 706,254 Rp 21,188 Rp 685,066 67

68 Didik Sunarwan Sopir SMA 25 0 23 25 - - Rp 78,283,800 Rp 33,550,200 Rp - Rp - Rp - 68

69 Andi Hasriani, S. Kep, Ns Perawat S1 100 6 23 100 26 2,609 Rp 78,283,800 Rp 33,550,200 Rp 441,409 Rp 11,035 Rp 430,373 69

70 Andi Marlianti Admin. Perkantoran SMA 25 21 23 25 91 2,283 Rp 78,283,800 Rp 33,550,200 Rp 386,232 Rp 11,587 Rp 374,645 70

71 Nur Maya, Amd. Kep Perawat D3 60 16 23 60 70 4,174 Rp 78,283,800 Rp 33,550,200 Rp 706,254 Rp 17,656 Rp 688,597 71

72 Meliana, Amd. Kep Perawat D3 60 19 23 60 83 4,957 Rp 78,283,800 Rp 33,550,200 Rp 838,676 Rp 20,967 Rp 817,709 72

73 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 11 23 100 48 4,783 Rp 78,283,800 Rp 33,550,200 Rp 809,249 Rp 20,231 Rp 789,018 73

74 Risnawati, Amd. Keb Bidan D3 60 15 23 60 65 3,913 Rp 78,283,800 Rp 33,550,200 Rp 662,113 Rp 16,553 Rp 645,560 74

75 Emil Pranata Putra Sopir SMA 60 17 23 60 74 4,435 Rp 78,283,800 Rp 33,550,200 Rp 750,394 Rp 18,760 Rp 731,635 75

76 Hernawati, Amd. Keb Bidan D3 60 22 23 60 96 5,739 Rp 78,283,800 Rp 33,550,200 Rp 971,099 Rp 24,277 Rp 946,821 76

77 Ainun Mardiah, Amd. Keb Bidan D3 60 23 23 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 25,381 Rp 989,859 77

78 Eko Pratama Putra Apoteker S1 100 12 23 100 52 5,217 Rp 78,283,800 Rp 33,550,200 Rp 882,817 Rp 22,070 Rp 860,747 78

79 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 23 23 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 1,692,066 Rp 42,302 Rp 1,649,764 79

80 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 15 23 100 65 6,522 Rp 78,283,800 Rp 33,550,200 Rp 1,103,521 Rp 33,106 Rp 1,070,416 80

81 Dewi Akhryani, Amd.Kep Perawat D3 60 23 23 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,015,240 Rp 25,381 Rp 989,859 81

82 Nur Wahdaniar Amd.RMIK Rekam Medik D3 60 22 23 60 96 5,739 Rp 78,283,800 Rp 33,550,200 Rp 971,099 Rp 29,133 Rp 941,966 82

83 Muhammad Ikhsan,Amd.Anakes Analis Kes. D3 60 21 23 60 91 5,478 Rp 78,283,800 Rp 33,550,200 Rp 926,958 Rp 27,809 Rp 899,149 83

84 Agustina Bintang III Bidan D3 60 25 7 23 10 95 30 2,891 Rp 78,283,800 Rp 33,550,200 Rp 489,228 Rp 24,461 Rp 464,766 84

85 Suriati, Amd, Keb III Bidan D3 60 5 5 23 10 75 22 1,630 Rp 78,283,800 Rp 33,550,200 Rp 275,880 Rp 13,794 Rp 262,086 85

86 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 5 23 10 75 22 1,630 Rp 78,283,800 Rp 33,550,200 Rp 275,880 Rp 13,794 Rp 262,086 86

87 Sitti Aminah Anas, A.Md.Keb III Bidan D3 60 5 5 23 10 75 22 1,630 Rp 78,283,800 Rp 33,550,200 Rp 275,880 Rp 13,794 Rp 262,086 87

88 Andi Yulianti, Amd.Keb III Bidan D3 60 5 8 23 10 75 35 2,609 Rp 78,283,800 Rp 33,550,200 Rp 441,409 Rp 22,070 Rp 419,338 88

89 Wahyuni, Amd.Keb III Bidan D3 60 5 3 23 10 75 13 978 Rp 78,283,800 Rp 33,550,200 Rp 165,528 Rp 8,276 Rp 157,252 89

90 Herawati Said, Amd. Keb III Bidan D4 80 5 12 23 10 95 52 4,957 Rp 78,283,800 Rp 33,550,200 Rp 838,676 Rp 41,934 Rp 796,742 90

91 Nur Felinsiani, S.ST III Bidan S2 80 5 1 23 10 95 4 413 Rp 78,283,800 Rp 33,550,200 Rp 69,890 Rp 3,494 Rp 66,395 91

92 Lisdayanti, Amd.Keb Bidan D3 60 14 23 60 61 3,652 Rp 78,283,800 Rp 33,550,200 Rp 617,972 Rp 15,449 Rp 602,523 92

93 Dewi Sartika, Amd.Keb Bidan D3 60 3 23 60 13 783 Rp 78,283,800 Rp 33,550,200 Rp 132,423 Rp 3,311 Rp 129,112 93

94 Rosdiana, Amd.Keb Bidan D3 60 13 23 60 57 3,391 Rp 78,283,800 Rp 33,550,200 Rp 573,831 Rp 14,346 Rp 559,485 94

95 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 8 23 60 35 2,087 Rp 78,283,800 Rp 33,550,200 Rp 353,127 Rp 10,594 Rp 342,533 95

96 Andi Isna, Amd.Keb Bidan D3 60 13 23 60 57 3,391 Rp 78,283,800 Rp 33,550,200 Rp 573,831 Rp 14,346 Rp 559,485 96

97 Isnayani, Amd.Keb Bidan D3 60 8 23 60 35 2,087 Rp 78,283,800 Rp 33,550,200 Rp 353,127 Rp 8,828 Rp 344,299 97

98 Yul Fitriana, Amd.Keb Bidan D3 60 5 23 60 22 1,304 Rp 78,283,800 Rp 33,550,200 Rp 220,704 Rp 5,518 Rp 215,187 98

99 Titin Sumarni, Amd.Keb Bidan D3 60 4 23 60 17 1,043 Rp 78,283,800 Rp 33,550,200 Rp 176,563 Rp 4,414 Rp 172,149 99

100 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 6 23 60 26 1,565 Rp 78,283,800 Rp 33,550,200 Rp 264,845 Rp 6,621 Rp 258,224 100

101 Hastuti, Amd.Keb Bidan D3 60 15 23 60 65 3,913 Rp 78,283,800 Rp 33,550,200 Rp 662,113 Rp 16,553 Rp 645,560 101

102 Desi Asriana, S. ST Bidan D4 80 10 23 80 43 3,478 Rp 78,283,800 Rp 33,550,200 Rp 588,545 Rp 14,714 Rp 573,831 102

103 Fitriani, Amd.Keb Bidan D3 60 8 23 60 35 2,087 Rp 78,283,800 Rp 33,550,200 Rp 353,127 Rp 8,828 Rp 344,299 103

104 Citra Pratiwi, Amd.Keb Bidan D3 60 4 23 60 17 1,043 Rp 78,283,800 Rp 33,550,200 Rp 176,563 Rp 4,414 Rp 172,149 104

105 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 15 23 60 65 3,913 Rp 78,283,800 Rp 33,550,200 Rp 662,113 Rp 19,863 Rp 642,249 105

106 Irna Supianti Said, Amd. Keb Bidan D3 60 12 23 60 52 3,130 Rp 78,283,800 Rp 33,550,200 Rp 529,690 Rp 13,242 Rp 516,448 106

107 Nurfaidah Ansar, Amd. Keb Bidan D3 60 9 23 60 39 2,348 Rp 78,283,800 Rp 33,550,200 Rp 397,268 Rp 11,918 Rp 385,350 107

108 Samsuri, Amd. Keb Bidan D3 60 12 23 60 52 3,130 Rp 78,283,800 Rp 33,550,200 Rp 529,690 Rp 15,891 Rp 513,800 108

109 Kiki Imriyani, Amd. Keb Bidan D3 60 3 23 60 13 783 Rp 78,283,800 Rp 33,550,200 Rp 132,423 Rp 3,973 Rp 128,450 109

110 Wismala Dewi, Amd.Keb Bidan D3 60 11 23 60 48 2,870 Rp 78,283,800 Rp 33,550,200 Rp 485,549 Rp 14,566 Rp 470,983 110

111 Ismayana Aulia S.ST Bidan D3 80 2 23 80 9 696 Rp 78,283,800 Rp 33,550,200 Rp 117,709 Rp 3,531 Rp 114,178 111

JUMLAH 7,415 405 1,423 2,553 180 340 8,340 6,187 462,652 Rp 78,283,800 Rp 33,550,200 Rp 78,283,800 Rp 3,202,621 Rp 75,081,179

Mengetahui / Menyetujui : Benteng, 30 April 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,355 32,130,000
PBI APBD 10,016 60,096,000
NON PBI 3,253 19,518,000
SUSULAN 15 90,000
18,639 111,834,000 78,283,800 33,550,200

dr. Frengki Wijaya Rp 191,277

462,652
drg. Yunda Iswari Rp 117,709 5,372 32,232,000
462,652 PBI APBN PBI APBN
dr. Inda Yuliana Astut Rp 117,709
462,652 PBI APBD PBI APBD 9,989 59,934,000
drg. Sitti Alwiah Uta Rp 117,709 3,230 19,380,000
462,652 NON PBI NON PBI
Muhammad Ali Rp 58,854 5 30,000
462,652 SUSULAN NON PBI
Hj.Nur Azizal Hastat Rp 69,890
462,652 Err:522
Saribanong Rp 44,141 JASA
462,652
Petrus Milu Embang Rp 106,674
462,652
Sukmawatie, B.Sc Rp 69,890
462,652
Sri Rahmat Yani Nur Rp 95,639
462,652
Rohani, Amd.KG Rp 58,854
462,652
Rosidah, AKL Rp 73,568
462,652
Israyana Yulianti, AK Rp 73,568
462,652
Wa Ode Sinta Kalsu Rp 44,141
462,652
Nur Indah Kurnianti Rp 51,498
462,652
Mayanti, AMF Rp 58,854
462,652
Rostati, SKM, M. Ke Rp 73,568
462,652
Muhammad Ilham Ta Rp 58,854
462,652
Nur Damayanti, S.Ke Rp 69,890
462,652
Rostini, AMG Rp 51,498
462,652
Elsa Handayani, AM Rp 55,176
462,652
Normalina,Amd.AK Rp 47,819
462,652
Amsari Parida Amir, Rp 55,176
462,652
Nadia Sri Damayanti Rp 55,176
462,652
Rahmah Yuliyana, Rp 55,176
462,652
Hj. Syahraeni, S.Kep Rp 73,568
462,652
Andi Megawati, SKM Rp 58,854
462,652
Yurniati, Amd.AK Rp 58,854
462,652
Muhammad Nawir Rp 22,070
462,652
Maesar Prayuda, A Rp 51,498
462,652
Anna Marsela, Amd. Rp 51,498
462,652
Ridha Arbia, Amd.Ke Rp 55,176
462,652
Ramlah, Amd.Keb Rp 44,141
462,652
Andi Salmei, Amd.K Rp 51,498
462,652
Nur Ilma, Amd.Keb Rp 51,498
462,652
Irmawati, Amd.Keb Rp 44,141
462,652
Andi Jumrianti, Amd Rp 51,498
462,652
Sukma Dewi, AMK Rp 47,819
462,652
Rp 44,141
462,652
dr. Zainal Abidin Rp 110,352
462,652
dr. Stefani Rp 110,352
462,652
Agustini Rp 18,392
462,652
 Rosmayanti, SKM Rp 58,854
462,652
Hasmirawati, AMK Rp 44,141
462,652
Muhrawati, AMK Rp 44,141
462,652
Hamriana, Amd.Keb Rp 44,141
462,652
Yunarsih, AMAK Rp 44,141
462,652
Andi Masmuliani Rp 18,392
462,652
Israwati, SP Rp 36,784
462,652
Reski Arisanti Amel Rp 44,141
462,652
Andi Armita Dewi, A Rp 44,141
P 462,652
Sri Adrianti, A.Md.Ke Rp 44,141
P 462,652
Mushfiah Zaenuddin Rp 44,141
p 462,652
Nur Wahyuni, Amd.K Rp 44,141
462,652
Muhammad Rum, Am Rp 44,141
462,652
Muhammad Subhan, Rp 44,141
462,652
Musdalifah MR, AMK Rp 44,141
462,652
Rizaldi Razak, Amd. Rp 44,141
462,652
Andi Resti Wardani, Rp 73,568
462,652
Wahyuni Hamzah, A Rp 44,141
462,652
Sri Wedari Yusuf, A Rp 44,141
462,652
Dahling Rp 18,392
462,652
Muh. Bahrum, Amd. Rp 44,141
462,652
Dini Yuliana Sari, A Rp 44,141
462,652
Dewi Sartika, SKM Rp 58,854
462,652
Jumrawati, S.Kep Rp 58,854
462,652
Andi Rusdiani, Amd. Rp 44,141
462,652
Didik Sunarwan #DIV/0!
462,652
Andi Hasriani, S. Ke Rp 73,568
462,652
Andi Marlianti Rp 18,392
462,652
Nur Maya, Amd. Kep Rp 44,141
462,652
Meliana, Amd. Kep Rp 44,141
462,652
Said Akbar Anwar, S Rp 73,568
462,652
Risnawati, Amd. Keb Rp 44,141
462,652
Emil Pranata Putra Rp 44,141
462,652
Hernawati, Amd. Keb Rp 44,141
462,652
Ainun Mardiah, Amd. Rp 44,141
462,652
Dede Frederika FebriyRp 73,568
462,652
Dede Frederika FebriyRp 73,568
462,652
Samsir Abdul Patta, Rp 73,568
462,652
Dewi Akhryani, Amd Rp 44,141
462,652
Nur Wahdaniar Amd Rp 44,141
462,652
Muhammad Ikhsan,A Rp 44,141
462,652
Agustina Bintang Rp 69,890
462,652
Suriati, Amd, Keb Rp 55,176
462,652
Nur Rahmawati, Amd Rp 55,176
462,652
Sitti Aminah Anas, 55,176
462,652
Andi Yulianti, Amd.K Rp 55,176
462,652
Wahyuni, Amd.Keb Rp 55,176
462,652
Herawati Said, Amd. Rp 69,890
462,652
Nur Felinsiani, Amd. Rp 69,890
462,652
Lisdayanti, Amd.Keb Rp 44,141
462,652
Dewi Sartika, Amd.K Rp 44,141
462,652
Rosdiana, Amd.Keb Rp 44,141
462,652
Sri Wahyuni Aznur, Rp 44,141
462,652
Andi Isna, Amd.Keb Rp 44,141
462,652
Isnayani, Amd.Keb Rp 44,141
462,652
Yul Fitriana, Amd.Ke Rp 44,141
462,652
Titin Sumarni, Amd. Rp 44,141
462,652
Andi Tenri Ellung N Rp 44,141
462,652
Hastuti, Amd.Keb Rp 44,141
462,652
Desi Asriana, S. ST Rp 58,854
462,652
Fitriani, Amd.Keb Rp 44,141
462,652
Citra Pratiwi, Amd.K Rp 44,141
462,652
Andi Fauziyyah Patr Rp 44,141
462,652
Irna Supianti Said, Rp 44,141
462,652
Nurfaidah Ansar, Am Rp 44,141
462,652
Samsuri, Amd. Keb Rp 44,141
462,652
Kiki Imriyani, Amd. Rp 44,141
462,652
Wismala Dewi, Amd. Rp 44,141
462,652
Ismayana Aulia S.ST Rp 58,854
462,652

Rp 55,013
462,652 36,752,821

2,953,003
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN MEI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,639 ORANG
JUMLAH PEGAWAI : 111 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,834,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,639 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUG JAWA POINT NTASE TOTAL
JML ASA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% /2,5 %) ( Rp )
AN KAN AN JA MASU HARI DMIN PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
KERJ ISTR RAM 30 % )
K ( 70 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Muhammad Ali III Kasubag. SMA 25 25 24 24 30 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 1

2 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 2

3 Saribanong III perawat SPK 25 25 24 24 10 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,332,490 Rp 66,625 Rp 1,265,866 3

4 Petrus Milu Embang Tandi, AM III Perawat (Bend.JKN) D3 60 25 24 24 50 10 145 100 14,500 Rp 78,283,800 Rp 33,550,200 Rp 3,220,185 Rp 161,009 Rp 3,059,175 4

5 Sukmawatie, B.Sc III Perawat D3 60 25 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 5

6 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat S1 100 20 24 24 10 130 100 13,000 Rp 78,283,800 Rp 33,550,200 Rp 2,887,062 Rp 144,353 Rp 2,742,709 6

7 Rohani, Amd.KG III Perawat Gigi D3 60 20 24 24 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 7

8 Rosidah, SKM III Sanitarian S1 80 10 24 24 10 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 2,220,817 Rp 111,041 Rp 2,109,776 8

9 Israyana Yulianti, SKM III Sanitarian S1 80 10 24 24 10 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 2,220,817 Rp 111,041 Rp 2,109,776 9

10 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 24 24 10 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,332,490 Rp 66,625 Rp 1,265,866 10

11 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 24 24 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp 77,729 Rp 1,476,843 11

12 Mayanti, AMF III Asisten Apoteker D3 60 10 24 24 10 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 12

13 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 24 24 10 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 2,220,817 Rp 111,041 Rp 2,109,776 13

14 Muhammad Ilham Tamrin,AMK III Perawat D3 60 10 24 24 10 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 14

15 Nur Damayanti, S.Kep, M. Kes III Perawat S2 80 5 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 15

16 Rostini, AMG III Nutrisionis D3 60 10 24 24 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp 77,729 Rp 1,476,843 16
17 Elsa Handayani, AMK III Perawat D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 17

18 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 24 24 65 100 6,500 Rp 78,283,800 Rp 33,550,200 Rp 1,443,531 Rp 72,177 Rp 1,371,355 18

19 Amsari Parida Amir, AMK III Perawat D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 19

20 Nadia Sri Damayanti, AMK III Perawat D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 20

21 Rahmah Yuliyana, AMK III Perawat D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 21

22 Hj. Syahraeni, S.Kep III Perawat S1 80 10 24 24 10 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 2,220,817 Rp 111,041 Rp 2,109,776 22

23 Andi Megawati, SKM III Teknisi Gigi S1 80 0 24 24 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 23

24 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 24 24 10 80 100 8,000 Rp 78,283,800 Rp 33,550,200 Rp 1,776,654 Rp 88,833 Rp 1,687,821 24

25 Eko Pratama Putra III Apoteker S1 100 24 24 100 100 10,000 Rp 78,283,800 Rp 33,550,200 Rp 2,220,817 111,041 Rp 2,109,776 25

26 Muhammad Nawir II Pengadministrasi SMK 25 5 24 24 30 100 3,000 Rp 78,283,800 Rp 33,550,200 Rp 666,245 Rp - Rp 666,245 26

27 Maesar Prayuda, AMK II Perawat D3 60 0 24 24 10 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp - Rp 1,554,572 27

28 Anna Marsela, Amd. Kep II Perawat D3 60 0 24 24 10 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp - Rp 1,554,572 28

29 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 29

30 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 24 24 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,332,490 Rp - Rp 1,332,490 30

31 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 24 24 10 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp - Rp 1,554,572 31

32 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 24 24 10 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp - Rp 1,554,572 32

33 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 24 24 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,332,490 Rp - Rp 1,332,490 33

34 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 24 24 10 70 100 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,554,572 Rp - Rp 1,554,572 34

35 Sukma Dewi, AMK III Perawat Pustu D3 60 5 24 24 65 100 6,500 Rp 78,283,800 Rp 33,550,200 Rp 1,443,531 Rp 72,177 Rp 1,371,355 35

36 Julianti AMK II Perawat D3 60 0 24 24 60 100 6,000 Rp 78,283,800 Rp 33,550,200 Rp 1,332,490 Rp - Rp 1,332,490 36

37 Agustina Bintang III Bidan D3 60 25 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 37

38 Suriati, Amd, Keb III Bidan D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 38

39 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 39

40 Sitti Aminah Anas, A.Md.Keb III Bidan D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 40

41 Andi Yulianti, Amd.Keb III Bidan D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 41

42 Wahyuni, Amd.Keb III Bidan D3 60 5 24 24 10 75 100 7,500 Rp 78,283,800 Rp 33,550,200 Rp 1,665,613 Rp 83,281 Rp 1,582,332 42
43 Herawati Said, Amd. Keb III Bidan D4 80 5 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 43

44 Nur Felinsiani, S.ST III Bidan S2 80 5 24 24 10 95 100 9,500 Rp 78,283,800 Rp 33,550,200 Rp 2,109,776 Rp 105,489 Rp 2,004,287 44

JUMLAH 2,740 385 1,056 1,056 80 320 3,525 4,400 352,500 Rp 78,283,800 Rp 33,550,200 Rp 78,283,800 Rp 3,292,361 Rp 74,991,439

Mengetahui / Menyetujui : Benteng, 31 Mei 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,355 32,130,000
PBI APBD 10,016 60,096,000
NON PBI 3,253 19,518,000
SUSULAN 15 90,000
18,639 111,834,000 78,283,800 33,550,200

Muhammad Ali Rp 74,027 5 30,000

352,500 SUSULAN NON PBI
Hj.Nur Azizal Hastat Rp 87,907
352,500 Err:522
Saribanong Rp 55,520 JASA
352,500
Petrus Milu Embang Rp 134,174
352,500
Sukmawatie, B.Sc Rp 87,907
352,500
Sri Rahmat Yani Nur Rp 120,294
352,500
Rohani, Amd.KG Rp 74,027
352,500
Rosidah, AKL Rp 92,534
352,500
Israyana Yulianti, AK Rp 92,534
352,500
Wa Ode Sinta Kalsu Rp 55,520
352,500
Nur Indah Kurnianti Rp 64,774
352,500
Mayanti, AMF Rp 74,027
352,500
Rostati, SKM, M. Ke Rp 92,534
352,500
Muhammad Ilham Ta Rp 74,027
352,500
Nur Damayanti, S.Ke Rp 87,907
352,500
Rostini, AMG Rp 64,774
352,500
Elsa Handayani, AM Rp 69,401
352,500
Normalina,Amd.AK Rp 60,147
352,500
Amsari Parida Amir, Rp 69,401
352,500
Nadia Sri Damayanti Rp 69,401
352,500
Rahmah Yuliyana, Rp 69,401
352,500
Hj. Syahraeni, S.Kep Rp 92,534
352,500
Andi Megawati, SKM Rp 74,027
352,500
Yurniati, Amd.AK Rp 74,027
352,500
Dede Frederika FebriyRp 92,534
352,500
Muhammad Nawir Rp 27,760
352,500
Maesar Prayuda, A Rp 64,774
352,500
Anna Marsela, Amd. Rp 64,774
352,500
Ridha Arbia, Amd.Ke Rp 69,401
352,500
Ramlah, Amd.Keb Rp 55,520
352,500
Andi Salmei, Amd.K Rp 64,774
352,500
Nur Ilma, Amd.Keb Rp 64,774
352,500
Irmawati, Amd.Keb Rp 55,520
352,500
Andi Jumrianti, Amd Rp 64,774
352,500
Sukma Dewi, AMK Rp 60,147
352,500
Rp 55,520
352,500
Agustina Bintang Rp 87,907
352,500
Suriati, Amd, Keb Rp 69,401
352,500
Nur Rahmawati, Amd Rp 69,401
352,500
Sitti Aminah Anas, 69,401
352,500
Andi Yulianti, Amd.K Rp 69,401
352,500
Wahyuni, Amd.Keb Rp 69,401
352,500
Herawati Said, Amd. Rp 87,907
352,500
Nur Felinsiani, Amd. Rp 87,907
352,500

Rp 74,132
352,500 36,842,561

2,953,003
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN MEI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,639 ORANG
JUMLAH PEGAWAI : 111 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,834,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,639 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML TUG JAWA POINT NTASE TOTAL
JML ASA DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% /2,5 %) ( Rp )
AN KAN AN JA MASU HARI DMIN PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
KERJ ISTR RAM 30 % )
K ( 70 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 19 24 100 260 79 20,583 Rp 78,283,800 Rp 33,550,200 Rp 3,639,736 Rp 545,960 Rp 3,093,776 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 5 24 10 160 21 3,333 Rp 78,283,800 Rp 33,550,200 Rp 589,431 Rp 29,472 Rp 559,959 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 11 24 10 160 46 7,333 Rp 78,283,800 Rp 33,550,200 Rp 1,296,748 Rp 64,837 Rp 1,231,911 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 22 24 160 92 14,667 Rp 78,283,800 Rp 33,550,200 Rp 2,593,496 Rp 389,024 Rp 2,204,472 4

5 Muhammad Ali III Kasubag. SMA 25 25 21 24 30 80 88 7,000 Rp 78,283,800 Rp 33,550,200 Rp 1,237,805 Rp 61,890 Rp 1,175,915 5

6 Hj.Nur Azizal Hastati, AMK III Perawat D3 60 25 12 24 10 95 50 4,750 Rp 78,283,800 Rp 33,550,200 Rp 839,939 Rp 41,997 Rp 797,942 6

7 Saribanong III perawat SPK 25 25 23 24 10 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 50,838 Rp 965,930 7

8 Petrus Milu Embang Tandi, AM III Perawat (Bend.JKN) D3 60 25 15 24 50 10 145 63 9,063 Rp 78,283,800 Rp 33,550,200 Rp 1,602,515 Rp 80,126 Rp 1,522,390 8

9 Sukmawatie, B.Sc III Perawat D3 60 25 17 24 10 95 71 6,729 Rp 78,283,800 Rp 33,550,200 Rp 1,189,914 Rp 59,496 Rp 1,130,418 9

10 Sri Rahmat Yani Nur, S.Kep.Ns III Perawat S1 100 20 7 24 10 130 29 3,792 Rp 78,283,800 Rp 33,550,200 Rp 670,478 Rp 33,524 Rp 636,954 10

11 Rohani, Amd.KG III Perawat Gigi D3 60 20 17 24 80 71 5,667 Rp 78,283,800 Rp 33,550,200 Rp 1,002,033 Rp 50,102 Rp 951,931 11

12 Rosidah, SKM III Sanitarian S1 80 10 1 24 10 100 4 417 Rp 78,283,800 Rp 33,550,200 Rp 73,679 Rp 3,684 Rp 69,995 12

13 Israyana Yulianti, SKM III Sanitarian S1 80 10 13 24 10 100 54 5,417 Rp 78,283,800 Rp 33,550,200 Rp 957,825 Rp 47,891 Rp 909,934 13

14 Wa Ode Sinta Kalsum III Nutrisionis SPAG 25 25 5 24 10 60 21 1,250 Rp 78,283,800 Rp 33,550,200 Rp 221,037 Rp 11,052 Rp 209,985 14

15 Nur Indah Kurnianti, AMD III Teknisi Gigi D3 60 10 10 24 70 42 2,917 Rp 78,283,800 Rp 33,550,200 Rp 515,752 Rp 25,788 Rp 489,964 15

16 Mayanti, AMF III Asisten Apoteker D3 60 10 12 24 10 80 50 4,000 Rp 78,283,800 Rp 33,550,200 Rp 707,317 Rp 35,366 Rp 671,951 16
17 Rostati, SKM, M. Kes III Pembimbing Kes. S2 80 10 5 24 10 100 21 2,083 Rp 78,283,800 Rp 33,550,200 Rp 368,394 Rp 18,420 Rp 349,975 17

18 Muhammad Ilham Tamrin,AMK III Perawat D3 60 10 8 24 10 80 33 2,667 Rp 78,283,800 Rp 33,550,200 Rp 471,545 Rp 23,577 Rp 447,968 18

19 Nur Damayanti, S.Kep, M. Kes III Perawat S2 80 5 9 24 10 95 38 3,563 Rp 78,283,800 Rp 33,550,200 Rp 629,954 Rp 31,498 Rp 598,457 19

20 Rostini, AMG III Nutrisionis D3 60 10 3 24 70 13 875 Rp 78,283,800 Rp 33,550,200 Rp 154,726 Rp 7,736 Rp 146,989 20

21 Elsa Handayani, AMK III Perawat D3 60 5 10 24 10 75 42 3,125 Rp 78,283,800 Rp 33,550,200 Rp 552,592 Rp 27,630 Rp 524,962 21

22 Normalina,Amd.AK III Pranata Lab.Kes D3 60 5 16 24 65 67 4,333 Rp 78,283,800 Rp 33,550,200 Rp 766,260 Rp 38,313 Rp 727,947 22

23 Amsari Parida Amir, AMK III Perawat D3 60 5 9 24 10 75 38 2,813 Rp 78,283,800 Rp 33,550,200 Rp 497,332 Rp 24,867 Rp 472,466 23

24 Nadia Sri Damayanti, AMK III Perawat D3 60 5 7 24 10 75 29 2,188 Rp 78,283,800 Rp 33,550,200 Rp 386,814 Rp 19,341 Rp 367,473 24

25 Rahmah Yuliyana, AMK III Perawat D3 60 5 9 24 10 75 38 2,813 Rp 78,283,800 Rp 33,550,200 Rp 497,332 Rp 24,867 Rp 472,466 25

26 Hj. Syahraeni, S.Kep III Perawat S1 80 10 15 24 10 100 63 6,250 Rp 78,283,800 Rp 33,550,200 Rp 1,105,183 Rp 55,259 Rp 1,049,924 26

27 Andi Megawati, SKM III Teknisi Gigi S1 80 0 3 24 80 13 1,000 Rp 78,283,800 Rp 33,550,200 Rp 176,829 Rp 8,841 Rp 167,988 27

28 Yurniati, Amd.AK III Pranata Lab.Kes D3 60 10 8 24 10 80 33 2,667 Rp 78,283,800 Rp 33,550,200 Rp 471,545 Rp 23,577 Rp 447,968 28

29 Eko Pratama Putra III Apoteker S1 100 12 24 100 50 5,000 Rp 78,283,800 Rp 33,550,200 Rp 884,146 44,207 Rp 839,939 29

30 Muhammad Nawir II Pengadministrasi SMK 25 5 20 24 30 83 2,500 Rp 78,283,800 Rp 33,550,200 Rp 442,073 Rp - Rp 442,073 30

31 Maesar Prayuda, AMK II Perawat D3 60 0 17 24 10 70 71 4,958 Rp 78,283,800 Rp 33,550,200 Rp 876,779 Rp - Rp 876,779 31

32 Anna Marsela, Amd. Kep II Perawat D3 60 0 3 24 10 70 13 875 Rp 78,283,800 Rp 33,550,200 Rp 154,726 Rp - Rp 154,726 32

33 Ridha Arbia, Amd.Keb III Bidan Pustu D3 60 5 15 24 10 75 63 4,688 Rp 78,283,800 Rp 33,550,200 Rp 828,887 Rp 41,444 Rp 787,443 33

34 Ramlah, Amd.Keb II Bidan Pustu D3 60 0 22 24 60 92 5,500 Rp 78,283,800 Rp 33,550,200 Rp 972,561 Rp - Rp 972,561 34

35 Andi Salmei, Amd.Keb II Bidan Pustu D3 60 0 15 24 10 70 63 4,375 Rp 78,283,800 Rp 33,550,200 Rp 773,628 Rp - Rp 773,628 35

36 Nur Ilma, Amd.Keb II Bidan Pustu D3 60 0 18 24 10 70 75 5,250 Rp 78,283,800 Rp 33,550,200 Rp 928,354 Rp - Rp 928,354 36

37 Irmawati, Amd.Keb II Bidan Pustu D3 60 0 22 24 60 92 5,500 Rp 78,283,800 Rp 33,550,200 Rp 972,561 Rp - Rp 972,561 37

38 Andi Jumrianti, Amd.Keb II Bidan Pustu D3 60 0 10 24 10 70 42 2,917 Rp 78,283,800 Rp 33,550,200 Rp 515,752 Rp - Rp 515,752 38

39 Sukma Dewi, AMK III Perawat Pustu D3 60 5 19 24 65 79 5,146 Rp 78,283,800 Rp 33,550,200 Rp 909,934 Rp 45,497 Rp 864,437 39

40 Julianti AMK II Perawat D3 60 0 8 24 60 33 2,000 Rp 78,283,800 Rp 33,550,200 Rp 353,659 Rp - Rp 353,659 40

41 dr. Zainal Abidin Dokter Umum S1 150 23 24 150 96 14,375 Rp 78,283,800 Rp 33,550,200 Rp 2,541,921 Rp 63,548 Rp 2,478,373 41

42 dr. Stefani Dokter Umum S1 150 21 24 150 88 13,125 Rp 78,283,800 Rp 33,550,200 Rp 2,320,884 Rp 58,022 Rp 2,262,862 42
43 Agustini Perkantoran SMEA 25 20 24 25 83 2,083 Rp 78,283,800 Rp 33,550,200 Rp 368,394 Rp 9,210 Rp 359,184 43

44 Rosmayanti, SKM S1 Kesmas S1 80 17 24 80 71 5,667 Rp 78,283,800 Rp 33,550,200 Rp 1,002,033 Rp 25,051 Rp 976,982 44

45 Hasmirawati, AMK Perawat D3 60 23 24 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 25,419 Rp 991,349 45

46 Muhrawati, AMK Perawat D3 60 7 24 60 29 1,750 Rp 78,283,800 Rp 33,550,200 Rp 309,451 Rp 7,736 Rp 301,715 46

47 Hamriana, Amd.Keb Bidan D3 60 18 24 60 75 4,500 Rp 78,283,800 Rp 33,550,200 Rp 795,732 Rp 19,893 Rp 775,839 47

48 Yunarsih, AMAK Analis Kes. D3 60 13 24 60 54 3,250 Rp 78,283,800 Rp 33,550,200 Rp 574,695 Rp 14,367 Rp 560,328 48

49 Andi Masmuliani Perkantoran SMA 25 23 24 25 96 2,396 Rp 78,283,800 Rp 33,550,200 Rp 423,654 Rp 10,591 Rp 413,062 49

50 Israwati, SP S1 Pertanian S1 50 23 24 50 96 4,792 Rp 78,283,800 Rp 33,550,200 Rp 847,307 Rp 21,183 Rp 826,124 50

51 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 23 24 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 25,419 Rp 991,349 51

52 Andi Armita Dewi, AMK Perawat D3 60 23 24 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 25,419 Rp 991,349 52

53 Sri Adrianti, A.Md.Kep Perawat D3 60 12 24 60 50 3,000 Rp 78,283,800 Rp 33,550,200 Rp 530,488 Rp 13,262 Rp 517,226 53

54 Mushfiah Zaenuddin, AMK Perawat D3 60 2 24 60 8 500 Rp 78,283,800 Rp 33,550,200 Rp 88,415 Rp 2,210 Rp 86,204 54

55 Nur Wahyuni, Amd.Kep Perawat D3 60 11 24 60 46 2,750 Rp 78,283,800 Rp 33,550,200 Rp 486,281 Rp 12,157 Rp 474,124 55

56 Muhammad Rum, Amd.Kep Perawat D3 60 8 24 60 33 2,000 Rp 78,283,800 Rp 33,550,200 Rp 353,659 Rp 8,841 Rp 344,817 56

57 Muhammad Subhan, Amd.Kep Perawat D3 60 10 24 60 42 2,500 Rp 78,283,800 Rp 33,550,200 Rp 442,073 Rp 11,052 Rp 431,021 57

58 Musdalifah MR, AMK Perawat D3 60 14 24 60 58 3,500 Rp 78,283,800 Rp 33,550,200 Rp 618,903 Rp 15,473 Rp 603,430 58

59 Rizaldi Razak, Amd.Kep Perawat D3 60 14 24 60 58 3,500 Rp 78,283,800 Rp 33,550,200 Rp 618,903 Rp 15,473 Rp 603,430 59

60 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 23 24 100 96 9,583 Rp 78,283,800 Rp 33,550,200 Rp 1,694,614 Rp 42,365 Rp 1,652,249 60

61 Wahyuni Hamzah, Amd.Keb Bidan D3 60 7 24 60 29 1,750 Rp 78,283,800 Rp 33,550,200 Rp 309,451 Rp 7,736 Rp 301,715 61

62 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 22 24 60 92 5,500 Rp 78,283,800 Rp 33,550,200 Rp 972,561 Rp 24,314 Rp 948,247 62

63 Dahling Ceaning servis SMA 25 22 24 25 92 2,292 Rp 78,283,800 Rp 33,550,200 Rp 405,234 Rp 12,157 Rp 393,077 63

64 Muh. Bahrum, Amd.Kep Perawat D3 60 19 24 60 79 4,750 Rp 78,283,800 Rp 33,550,200 Rp 839,939 Rp 20,998 Rp 818,941 64

65 Dini Yuliana Sari, AMK Perawat D3 60 15 24 60 63 3,750 Rp 78,283,800 Rp 33,550,200 Rp 663,110 Rp 16,578 Rp 646,532 65

66 Dewi Sartika, SKM Kesmas S1 80 17 24 80 71 5,667 Rp 78,283,800 Rp 33,550,200 Rp 1,002,033 Rp 25,051 Rp 976,982 66

67 Jumrawati, S.Kep Perawat S1 80 9 24 80 38 3,000 Rp 78,283,800 Rp 33,550,200 Rp 530,488 Rp 13,262 Rp 517,226 67

68 Andi Rusdiani, Amd.Keb Bidan D3 60 16 24 60 67 4,000 Rp 78,283,800 Rp 33,550,200 Rp 707,317 Rp 21,220 Rp 686,098 68
69 Didik Sunarwan Sopir SMA 25 0 24 25 - - Rp 78,283,800 Rp 33,550,200 Rp - Rp - Rp - 69

70 Andi Hasriani, S. Kep, Ns Perawat S1 100 6 24 100 25 2,500 Rp 78,283,800 Rp 33,550,200 Rp 442,073 Rp 11,052 Rp 431,021 70

71 Andi Marlianti Admin. Perkantoran SMA 25 21 24 25 88 2,188 Rp 78,283,800 Rp 33,550,200 Rp 386,814 Rp 11,604 Rp 375,210 71

72 Nur Maya, Amd. Kep Perawat D3 60 16 24 60 67 4,000 Rp 78,283,800 Rp 33,550,200 Rp 707,317 Rp 17,683 Rp 689,634 72

73 Meliana, Amd. Kep Perawat D3 60 19 24 60 79 4,750 Rp 78,283,800 Rp 33,550,200 Rp 839,939 Rp 20,998 Rp 818,941 73

74 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 11 24 100 46 4,583 Rp 78,283,800 Rp 33,550,200 Rp 810,468 Rp 20,262 Rp 790,206 74

75 Risnawati, Amd. Keb Bidan D3 60 15 24 60 63 3,750 Rp 78,283,800 Rp 33,550,200 Rp 663,110 Rp 16,578 Rp 646,532 75

76 Emil Pranata Putra Sopir SMA 60 17 24 60 71 4,250 Rp 78,283,800 Rp 33,550,200 Rp 751,524 Rp 18,788 Rp 732,736 76

77 Hernawati, Amd. Keb Bidan D3 60 22 24 60 92 5,500 Rp 78,283,800 Rp 33,550,200 Rp 972,561 Rp 24,314 Rp 948,247 77

78 Ainun Mardiah, Amd. Keb Bidan D3 60 23 24 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 25,419 Rp 991,349 78

79 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 23 24 100 96 9,583 Rp 78,283,800 Rp 33,550,200 Rp 1,694,614 Rp 42,365 Rp 1,652,249 79

80 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 15 24 100 63 6,250 Rp 78,283,800 Rp 33,550,200 Rp 1,105,183 Rp 33,155 Rp 1,072,028 80

81 Dewi Akhryani, Amd.Kep Perawat D3 60 23 24 60 96 5,750 Rp 78,283,800 Rp 33,550,200 Rp 1,016,768 Rp 25,419 Rp 991,349 81

82 Nur Wahdaniar Amd.RMIK Rekam Medik D3 60 22 24 60 92 5,500 Rp 78,283,800 Rp 33,550,200 Rp 972,561 Rp 29,177 Rp 943,384 82

83 Muhammad Ikhsan,Amd.Anakes Analis Kes. D3 60 21 24 60 88 5,250 Rp 78,283,800 Rp 33,550,200 Rp 928,354 Rp 27,851 Rp 900,503 83

84 Agustina Bintang III Bidan D3 60 25 7 24 10 95 29 2,771 Rp 78,283,800 Rp 33,550,200 Rp 489,964 Rp 24,498 Rp 465,466 84

85 Suriati, Amd, Keb III Bidan D3 60 5 5 24 10 75 21 1,563 Rp 78,283,800 Rp 33,550,200 Rp 276,296 Rp 13,815 Rp 262,481 85

86 Nur Rahmawati, Amd.Keb III Bidan D3 60 5 5 24 10 75 21 1,563 Rp 78,283,800 Rp 33,550,200 Rp 276,296 Rp 13,815 Rp 262,481 86

87 Sitti Aminah Anas, A.Md.Keb III Bidan D3 60 5 5 24 10 75 21 1,563 Rp 78,283,800 Rp 33,550,200 Rp 276,296 Rp 13,815 Rp 262,481 87

88 Andi Yulianti, Amd.Keb III Bidan D3 60 5 8 24 10 75 33 2,500 Rp 78,283,800 Rp 33,550,200 Rp 442,073 Rp 22,104 Rp 419,970 88

89 Wahyuni, Amd.Keb III Bidan D3 60 5 3 24 10 75 13 938 Rp 78,283,800 Rp 33,550,200 Rp 165,777 Rp 8,289 Rp 157,489 89

90 Herawati Said, Amd. Keb III Bidan D4 80 5 12 24 10 95 50 4,750 Rp 78,283,800 Rp 33,550,200 Rp 839,939 Rp 41,997 Rp 797,942 90

91 Nur Felinsiani, S.ST III Bidan S2 80 5 1 24 10 95 4 396 Rp 78,283,800 Rp 33,550,200 Rp 69,995 Rp 3,500 Rp 66,495 91

92 Lisdayanti, Amd.Keb Bidan D3 60 14 24 60 58 3,500 Rp 78,283,800 Rp 33,550,200 Rp 618,903 Rp 15,473 Rp 603,430 92

93 Dewi Sartika, Amd.Keb Bidan D3 60 3 24 60 13 750 Rp 78,283,800 Rp 33,550,200 Rp 132,622 Rp 3,316 Rp 129,306 93

94 Rosdiana, Amd.Keb Bidan D3 60 13 24 60 54 3,250 Rp 78,283,800 Rp 33,550,200 Rp 574,695 Rp 14,367 Rp 560,328 94

95 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 78,283,800 Rp 33,550,200 Rp 353,659 Rp 10,610 Rp 343,049 95

96 Andi Isna, Amd.Keb Bidan D3 60 13 24 60 54 3,250 Rp 78,283,800 Rp 33,550,200 Rp 574,695 Rp 14,367 Rp 560,328 96

97 Isnayani, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 78,283,800 Rp 33,550,200 Rp 353,659 Rp 8,841 Rp 344,817 97

98 Yul Fitriana, Amd.Keb Bidan D3 60 5 24 60 21 1,250 Rp 78,283,800 Rp 33,550,200 Rp 221,037 Rp 5,526 Rp 215,511 98

99 Titin Sumarni, Amd.Keb Bidan D3 60 4 24 60 17 1,000 Rp 78,283,800 Rp 33,550,200 Rp 176,829 Rp 4,421 Rp 172,409 99

100 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 6 24 60 25 1,500 Rp 78,283,800 Rp 33,550,200 Rp 265,244 Rp 6,631 Rp 258,613 100

101 Hastuti, Amd.Keb Bidan D3 60 15 24 60 63 3,750 Rp 78,283,800 Rp 33,550,200 Rp 663,110 Rp 16,578 Rp 646,532 101

102 Desi Asriana, S. ST Bidan D4 80 10 24 80 42 3,333 Rp 78,283,800 Rp 33,550,200 Rp 589,431 Rp 14,736 Rp 574,695 102

103 Fitriani, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 78,283,800 Rp 33,550,200 Rp 353,659 Rp 8,841 Rp 344,817 103

104 Citra Pratiwi, Amd.Keb Bidan D3 60 4 24 60 17 1,000 Rp 78,283,800 Rp 33,550,200 Rp 176,829 Rp 4,421 Rp 172,409 104

105 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 15 24 60 63 3,750 Rp 78,283,800 Rp 33,550,200 Rp 663,110 Rp 19,893 Rp 643,217 105

106 Irna Supianti Said, Amd. Keb Bidan D3 60 12 24 60 50 3,000 Rp 78,283,800 Rp 33,550,200 Rp 530,488 Rp 13,262 Rp 517,226 106

107 Nurfaidah Ansar, Amd. Keb Bidan D3 60 9 24 60 38 2,250 Rp 78,283,800 Rp 33,550,200 Rp 397,866 Rp 11,936 Rp 385,930 107

108 Samsuri, Amd. Keb Bidan D3 60 12 24 60 50 3,000 Rp 78,283,800 Rp 33,550,200 Rp 530,488 Rp 15,915 Rp 514,573 108

109 Kiki Imriyani, Amd. Keb Bidan D3 60 3 24 60 13 750 Rp 78,283,800 Rp 33,550,200 Rp 132,622 Rp 3,979 Rp 128,643 109

110 Wismala Dewi, Amd.Keb Bidan D3 60 11 24 60 46 2,750 Rp 78,283,800 Rp 33,550,200 Rp 486,281 Rp 14,588 Rp 471,692 110

JUMLAH 7,335 405 1,421 2,640 180 340 8,260 5,921 442,708 Rp 78,283,800 Rp 33,550,200 Rp 78,283,800 Rp 3,208,328 Rp 75,075,472

Mengetahui / Menyetujui : Benteng, 31 Mei 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,355 32,130,000
PBI APBD 10,016 60,096,000
NON PBI 3,253 19,518,000
SUSULAN 15 90,000
18,639 111,834,000 78,283,800 33,550,200

dr. Frengki Wijaya Rp 191,565

442,708
drg. Yunda Iswari Rp 117,886 5,372 32,232,000
442,708 PBI APBN PBI APBN
dr. Inda Yuliana Astut Rp 117,886
442,708 PBI APBD PBI APBD 9,989 59,934,000
drg. Sitti Alwiah Uta Rp 117,886 3,230 19,380,000
442,708 NON PBI NON PBI
Muhammad Ali Rp 58,943 5 30,000
442,708 SUSULAN NON PBI
Hj.Nur Azizal Hastat Rp 69,995
442,708 Err:522
Saribanong Rp 44,207 JASA
442,708
Petrus Milu Embang Rp 106,834
442,708
Sukmawatie, B.Sc Rp 69,995
442,708
Sri Rahmat Yani Nur Rp 95,783
442,708
Rohani, Amd.KG Rp 58,943
442,708
Rosidah, AKL Rp 73,679
442,708
Israyana Yulianti, AK Rp 73,679
442,708
Wa Ode Sinta Kalsu Rp 44,207
442,708
Nur Indah Kurnianti Rp 51,575
442,708
Mayanti, AMF Rp 58,943
442,708
Rostati, SKM, M. Ke Rp 73,679
442,708
Muhammad Ilham Ta Rp 58,943
442,708
Nur Damayanti, S.Ke Rp 69,995
442,708
Rostini, AMG Rp 51,575
442,708
Elsa Handayani, AM Rp 55,259
442,708
Normalina,Amd.AK Rp 47,891
442,708
Amsari Parida Amir, Rp 55,259
442,708
Nadia Sri Damayanti Rp 55,259
442,708
Rahmah Yuliyana, Rp 55,259
442,708
Hj. Syahraeni, S.Kep Rp 73,679
442,708
Andi Megawati, SKM Rp 58,943
442,708
Yurniati, Amd.AK Rp 58,943
442,708
Dede Frederika FebriyRp 73,679
442,708
Muhammad Nawir Rp 22,104
442,708
Maesar Prayuda, A Rp 51,575
442,708
Anna Marsela, Amd. Rp 51,575
442,708
Ridha Arbia, Amd.Ke Rp 55,259
442,708
Ramlah, Amd.Keb Rp 44,207
442,708
Andi Salmei, Amd.K Rp 51,575
442,708
Nur Ilma, Amd.Keb Rp 51,575
442,708
Irmawati, Amd.Keb Rp 44,207
442,708
Andi Jumrianti, Amd Rp 51,575
442,708
Sukma Dewi, AMK Rp 47,891
442,708
Rp 44,207
442,708
dr. Zainal Abidin Rp 110,518
442,708
dr. Stefani Rp 110,518
442,708
 Agustini Rp 18,420
442,708
Rosmayanti, SKM Rp 58,943
442,708
Hasmirawati, AMK Rp 44,207
442,708
Muhrawati, AMK Rp 44,207
442,708
Hamriana, Amd.Keb Rp 44,207
442,708
Yunarsih, AMAK Rp 44,207
442,708
Andi Masmuliani Rp 18,420
442,708
Israwati, SP Rp 36,839
442,708
Reski Arisanti Amel Rp 44,207
442,708
Andi Armita Dewi, A Rp 44,207
P 442,708
Sri Adrianti, A.Md.Ke Rp 44,207
P 442,708
Mushfiah Zaenuddin Rp 44,207
p 442,708
Nur Wahyuni, Amd.K Rp 44,207
442,708
Muhammad Rum, Am Rp 44,207
442,708
Muhammad Subhan, Rp 44,207
442,708
Musdalifah MR, AMK Rp 44,207
442,708
Rizaldi Razak, Amd. Rp 44,207
442,708
Andi Resti Wardani, Rp 73,679
442,708
Wahyuni Hamzah, A Rp 44,207
442,708
Sri Wedari Yusuf, A Rp 44,207
442,708
Dahling Rp 18,420
442,708
Muh. Bahrum, Amd. Rp 44,207
442,708
Dini Yuliana Sari, A Rp 44,207
442,708
Dewi Sartika, SKM Rp 58,943
442,708
Jumrawati, S.Kep Rp 58,943
442,708
Andi Rusdiani, Amd. Rp 44,207
442,708
Didik Sunarwan #DIV/0!
442,708
Andi Hasriani, S. Ke Rp 73,679
442,708
Andi Marlianti Rp 18,420
442,708
Nur Maya, Amd. Kep Rp 44,207
442,708
Meliana, Amd. Kep Rp 44,207
442,708
Said Akbar Anwar, S Rp 73,679
442,708
Risnawati, Amd. Keb Rp 44,207
442,708
Emil Pranata Putra Rp 44,207
442,708
Hernawati, Amd. Keb Rp 44,207
442,708
Ainun Mardiah, Amd. Rp 44,207
442,708
Dede Frederika FebriyRp 73,679
442,708
Samsir Abdul Patta, Rp 73,679
442,708
Dewi Akhryani, Amd Rp 44,207
442,708
Nur Wahdaniar Amd Rp 44,207
442,708
Muhammad Ikhsan,A Rp 44,207
442,708
Agustina Bintang Rp 69,995
442,708
Suriati, Amd, Keb Rp 55,259
442,708
Nur Rahmawati, Amd Rp 55,259
442,708
Sitti Aminah Anas, 55,259
442,708
Andi Yulianti, Amd.K Rp 55,259
442,708
Wahyuni, Amd.Keb Rp 55,259
442,708
Herawati Said, Amd. Rp 69,995
442,708
Nur Felinsiani, Amd. Rp 69,995
442,708
Lisdayanti, Amd.Keb Rp 44,207
442,708
Dewi Sartika, Amd.K Rp 44,207
442,708
Rosdiana, Amd.Keb Rp 44,207
442,708
Sri Wahyuni Aznur, Rp 44,207
442,708
Andi Isna, Amd.Keb Rp 44,207
442,708
Isnayani, Amd.Keb Rp 44,207
442,708
Yul Fitriana, Amd.Ke Rp 44,207
442,708
Titin Sumarni, Amd. Rp 44,207
442,708
Andi Tenri Ellung N Rp 44,207
442,708
Hastuti, Amd.Keb Rp 44,207
442,708
Desi Asriana, S. ST Rp 58,943
442,708
Fitriani, Amd.Keb Rp 44,207
442,708
Citra Pratiwi, Amd.K Rp 44,207
442,708
Andi Fauziyyah Patr Rp 44,207
442,708
Irna Supianti Said, Rp 44,207
442,708
Nurfaidah Ansar, Am Rp 44,207
442,708
Samsuri, Amd. Keb Rp 44,207
442,708
Kiki Imriyani, Amd. Rp 44,207
442,708
Wismala Dewi, Amd. Rp 44,207
442,708

Rp 55,091
442,708 36,758,528

2,953,003
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN MEI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,639 ORANG
JUMLAH PEGAWAI : 65 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,834,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,639 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML
JML
TUG JAWA POINT NTASE TOTAL
DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI HARI ASA B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% /2,5 %) ( Rp )
AN KAN AN JA MASU DMIN
KERJ ISTR
PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
K RAM ( 60 % ) 40 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 21 24 100 260 88 22,750 Rp 67,100,400 Rp 44,733,600 Rp 4,132,516 Rp 619,877 Rp 3,512,638 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 21 24 10 160 88 14,000 Rp 67,100,400 Rp 44,733,600 Rp 2,543,087 Rp 127,154 Rp 2,415,932 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 15 24 10 160 63 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,816,490 Rp 90,825 Rp 1,725,666 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 19 24 160 79 12,667 Rp 67,100,400 Rp 44,733,600 Rp 2,300,888 Rp 345,133 Rp 1,955,755 4

5 dr. Zainal Abidin Dokter Umum S1 150 24 24 150 100 15,000 Rp 67,100,400 Rp 44,733,600 Rp 2,724,736 Rp 68,118 Rp 2,656,617 5

6 dr. Stefani Dokter Umum S1 150 23 24 150 96 14,375 Rp 67,100,400 Rp 44,733,600 Rp 2,611,205 Rp 65,280 Rp 2,545,925 6

7 Agustini Perkantoran SMEA 25 23 24 25 96 2,396 Rp 67,100,400 Rp 44,733,600 Rp 435,201 Rp 10,880 Rp 424,321 7

8 Rosmayanti, SKM S1 Kesmas S1 80 19 24 80 79 6,333 Rp 67,100,400 Rp 44,733,600 Rp 1,150,444 Rp 28,761 Rp 1,121,683 8

9 Hasmirawati, AMK Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 9

10 Muhrawati, AMK Perawat D3 60 6 24 60 25 1,500 Rp 67,100,400 Rp 44,733,600 Rp 272,474 Rp 6,812 Rp 265,662 10

11 Hamriana, Amd.Keb Bidan D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 11

12 Yunarsih, AMAK Analis Kes. D3 60 21 24 60 88 5,250 Rp 67,100,400 Rp 44,733,600 Rp 953,657 Rp 23,841 Rp 929,816 12

13 Andi Masmuliani Perkantoran SMA 25 24 24 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 454,123 Rp 11,353 Rp 442,770 13

14 Israwati, SP S1 Pertanian S1 50 24 24 50 100 5,000 Rp 67,100,400 Rp 44,733,600 Rp 908,245 Rp 22,706 Rp 885,539 14

15 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 15

16 Andi Armita Dewi, AMK Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 16

17 Sri Adrianti, A.Md.Kep Perawat D3 60 19 24 60 79 4,750 Rp 67,100,400 Rp 44,733,600 Rp 862,833 Rp 21,571 Rp 841,262 17

18 Mushfiah Zaenuddin, AMK Perawat D3 60 7 24 60 29 1,750 Rp 67,100,400 Rp 44,733,600 Rp 317,886 Rp 7,947 Rp 309,939 18

19 Nur Wahyuni, Amd.Kep Perawat D3 60 8 24 60 33 2,000 Rp 67,100,400 Rp 44,733,600 Rp 363,298 Rp 9,082 Rp 354,216 19

20 Muhammad Rum, Amd.Kep Perawat D3 60 9 24 60 38 2,250 Rp 67,100,400 Rp 44,733,600 Rp 408,710 Rp 10,218 Rp 398,493 20

21 Muhammad Subhan, Amd.Kep Perawat D3 60 19 24 60 79 4,750 Rp 67,100,400 Rp 44,733,600 Rp 862,833 Rp 21,571 Rp 841,262 21

22 Musdalifah MR, AMK Perawat D3 60 22 24 60 92 5,500 Rp 67,100,400 Rp 44,733,600 Rp 999,070 Rp 24,977 Rp 974,093 22

23 Rizaldi Razak, Amd.Kep Perawat D3 60 12 24 60 50 3,000 Rp 67,100,400 Rp 44,733,600 Rp 544,947 Rp 13,624 Rp 531,323 23

24 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 24 24 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,816,490 Rp 45,412 Rp 1,771,078 24

25 Wahyuni Hamzah, Amd.Keb Bidan D3 60 9 24 60 38 2,250 Rp 67,100,400 Rp 44,733,600 Rp 408,710 Rp 10,218 Rp 398,493 25

26 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 22 24 60 92 5,500 Rp 67,100,400 Rp 44,733,600 Rp 999,070 Rp 24,977 Rp 974,093 26

27 Dahling Ceaning servis SMA 25 24 24 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 454,123 Rp 13,624 Rp 440,499 27

28 Muh. Bahrum, Amd.Kep Perawat D3 60 14 24 60 58 3,500 Rp 67,100,400 Rp 44,733,600 Rp 635,772 Rp 15,894 Rp 619,877 28

29 Dini Yuliana Sari, AMK Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 29

30 Dewi Sartika, SKM Kesmas S1 80 18 24 80 75 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 30

31 Jumrawati, S.Kep Perawat S1 80 21 24 80 88 7,000 Rp 67,100,400 Rp 44,733,600 Rp 1,271,543 Rp 31,789 Rp 1,239,755 31

32 Andi Rusdiani, Amd.Keb Bidan D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 32,697 Rp 1,057,197 32

33 Didik Sunarwan Sopir SMA 25 24 24 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 454,123 Rp 11,353 Rp 442,770 33

34 Andi Hasriani, S. Kep, Ns Perawat S1 100 13 24 100 54 5,417 Rp 67,100,400 Rp 44,733,600 Rp 983,932 Rp 24,598 Rp 959,334 34

35 Andi Marlianti Admin. Perkantoran SMA 25 22 24 25 92 2,292 Rp 67,100,400 Rp 44,733,600 Rp 416,279 Rp 12,488 Rp 403,791 35

36 Nur Maya, Amd. Kep Perawat D3 60 23 24 60 96 5,750 Rp 67,100,400 Rp 44,733,600 Rp 1,044,482 Rp 26,112 Rp 1,018,370 36

37 Meliana, Amd. Kep Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 37

38 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 14 24 100 58 5,833 Rp 67,100,400 Rp 44,733,600 Rp 1,059,619 Rp 26,490 Rp 1,033,129 38
39 Risnawati, Amd. Keb Bidan D3 60 20 24 60 83 5,000 Rp 67,100,400 Rp 44,733,600 Rp 908,245 Rp 22,706 Rp 885,539 39

40 Emil Pranata Putra Sopir SMA 60 22 24 60 92 5,500 Rp 67,100,400 Rp 44,733,600 Rp 999,070 Rp 24,977 Rp 974,093 40

41 Hernawati, Amd. Keb Bidan D3 60 23 24 60 96 5,750 Rp 67,100,400 Rp 44,733,600 Rp 1,044,482 Rp 26,112 Rp 1,018,370 41

42 Ainun Mardiah, Amd. Keb Bidan D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 42

43 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 21 24 100 88 8,750 Rp 67,100,400 Rp 44,733,600 Rp 1,589,429 Rp 39,736 Rp 1,549,693 43

44 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 14 24 100 58 5,833 Rp 67,100,400 Rp 44,733,600 Rp 1,059,619 Rp 31,789 Rp 1,027,831 44

45 Dewi Akhryani, Amd.Kep Perawat D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 45

46 Nur Wahdaniar Amd.RMIK Rekam Medik D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 32,697 Rp 1,057,197 46

47 Muhammad Ikhsan,Amd.Anakes Analis Kes. D3 60 19 24 60 79 4,750 Rp 67,100,400 Rp 44,733,600 Rp 862,833 Rp 25,885 Rp 836,948 47

48 Lisdayanti, Amd.Keb Bidan D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 48

49 Dewi Sartika, Amd.Keb Bidan D3 60 14 24 60 58 3,500 Rp 67,100,400 Rp 44,733,600 Rp 635,772 Rp 15,894 Rp 619,877 49

50 Rosdiana, Amd.Keb Bidan D3 60 17 24 60 71 4,250 Rp 67,100,400 Rp 44,733,600 Rp 772,008 Rp 19,300 Rp 752,708 50

51 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 18 24 60 75 4,500 Rp 67,100,400 Rp 44,733,600 Rp 817,421 Rp 24,523 Rp 792,898 51

52 Andi Isna, Amd.Keb Bidan D3 60 23 24 60 96 5,750 Rp 67,100,400 Rp 44,733,600 Rp 1,044,482 Rp 26,112 Rp 1,018,370 52

53 Isnayani, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 67,100,400 Rp 44,733,600 Rp 363,298 Rp 9,082 Rp 354,216 53

54 Yul Fitriana, Amd.Keb Bidan D3 60 14 24 60 58 3,500 Rp 67,100,400 Rp 44,733,600 Rp 635,772 Rp 15,894 Rp 619,877 54

55 Titin Sumarni, Amd.Keb Bidan D3 60 14 24 60 58 3,500 Rp 67,100,400 Rp 44,733,600 Rp 635,772 Rp 15,894 Rp 619,877 55

56 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 67,100,400 Rp 44,733,600 Rp 363,298 Rp 9,082 Rp 354,216 56

57 Hastuti, Amd.Keb Bidan D3 60 18 24 60 75 4,500 Rp 67,100,400 Rp 44,733,600 Rp 817,421 Rp 20,436 Rp 796,985 57

58 Desi Asriana, S. ST Bidan D4 80 24 24 80 100 8,000 Rp 67,100,400 Rp 44,733,600 Rp 1,453,192 Rp 36,330 Rp 1,416,863 58

59 Fitriani, Amd.Keb Bidan D3 60 21 24 60 88 5,250 Rp 67,100,400 Rp 44,733,600 Rp 953,657 Rp 23,841 Rp 929,816 59

60 Citra Pratiwi, Amd.Keb Bidan D3 60 8 24 60 33 2,000 Rp 67,100,400 Rp 44,733,600 Rp 363,298 Rp 9,082 Rp 354,216 60

61 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 22 24 60 92 5,500 Rp 67,100,400 Rp 44,733,600 Rp 999,070 Rp 29,972 Rp 969,098 61

62 Irna Supianti Said, Amd. Keb Bidan D3 60 24 24 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 1,089,894 Rp 27,247 Rp 1,062,647 62
63 Nurfaidah Ansar, Amd. Keb Bidan D3 60 16 24 60 67 4,000 Rp 67,100,400 Rp 44,733,600 Rp 726,596 Rp 21,798 Rp 704,798 63

64 Samsuri, Amd. Keb Bidan D3 60 23 24 60 96 5,750 Rp 67,100,400 Rp 44,733,600 Rp 1,044,482 Rp 31,334 Rp 1,013,148 64

65 Wismala Dewi, Amd.Keb Bidan D3 60 14 24 60 58 3,500 Rp 67,100,400 Rp 44,733,600 Rp 635,772 Rp 19,073 Rp 616,699 65

JUMLAH 4,535 20 1,233 1,560 100 20 4,675 5,138 369,396 Rp 67,100,400 Rp 44,733,600 Rp 67,100,400 Rp 2,636,655 Rp 64,463,745

Mengetahui / Menyetujui : Benteng, 31 Mei 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,355 32,130,000
PBI APBD 10,016 60,096,000
NON PBI 3,253 19,518,000
SUSULAN 15 90,000
18,639 111,834,000 78,283,800 33,550,200

dr. Frengki Wijaya Rp 196,786

369,396
drg. Yunda Iswari Rp 121,099
369,396
dr. Inda Yuliana Astut Rp 121,099
369,396
drg. Sitti Alwiah Uta Rp 121,099
369,396
dr. Zainal Abidin Rp 113,531
369,396
dr. Stefani Rp 113,531
369,396
Agustini Rp 18,922
369,396
Rosmayanti, SKM Rp 60,550
369,396
Hasmirawati, AMK Rp 45,412
369,396
Muhrawati, AMK Rp 45,412
369,396
Hamriana, Amd.Keb Rp 45,412
369,396
Yunarsih, AMAK Rp 45,412
369,396
Andi Masmuliani Rp 18,922
369,396
Israwati, SP Rp 37,844
369,396
 Reski Arisanti Amelia Rp 45,412
369,396
Andi Armita Dewi, A Rp 45,412
P 369,396
Sri Adrianti, A.Md.Ke Rp 45,412
P 369,396
Mushfiah Zaenuddin Rp 45,412
p 369,396
Nur Wahyuni, Amd.K Rp 45,412
369,396
Muhammad Rum, Am Rp 45,412
369,396
Muhammad Subhan, Rp 45,412
369,396
Musdalifah MR, AMK Rp 45,412
369,396
Rizaldi Razak, Amd. Rp 45,412
369,396
Andi Resti Wardani, Rp 75,687
369,396
Wahyuni Hamzah, A Rp 45,412
369,396
Sri Wedari Yusuf, A Rp 45,412
369,396
Dahling Rp 18,922
369,396
Muh. Bahrum, Amd. Rp 45,412
369,396
Dini Yuliana Sari, A Rp 45,412
369,396
Dewi Sartika, SKM Rp 60,550
369,396
Jumrawati, S.Kep Rp 60,550
369,396
Andi Rusdiani, Amd. Rp 45,412
369,396
Didik Sunarwan Rp 18,922
369,396
Andi Hasriani, S. Ke Rp 75,687
369,396
Andi Marlianti Rp 18,922
369,396
Nur Maya, Amd. Kep Rp 45,412
369,396
Meliana, Amd. Kep Rp 45,412
369,396
Said Akbar Anwar, S Rp 75,687
369,396
Risnawati, Amd. Keb Rp 45,412
369,396
Emil Pranata Putra Rp 45,412
369,396
Hernawati, Amd. Keb Rp 45,412
369,396
Ainun Mardiah, Amd. Rp 45,412
369,396
Dede Frederika FebriyRp 75,687
369,396
Samsir Abdul Patta, Rp 75,687
369,396
Dewi Akhryani, Amd Rp 45,412
369,396
Nur Wahdaniar Amd Rp 45,412
369,396
Muhammad Ikhsan,A Rp 45,412
369,396
Lisdayanti, Amd.Keb Rp 45,412
369,396
Dewi Sartika, Amd.K Rp 45,412
369,396
Rosdiana, Amd.Keb Rp 45,412
369,396
Sri Wahyuni Aznur, Rp 45,412
369,396
Andi Isna, Amd.Keb Rp 45,412
369,396
Isnayani, Amd.Keb Rp 45,412
369,396
Yul Fitriana, Amd.Ke Rp 45,412
369,396
Titin Sumarni, Amd. Rp 45,412
369,396
Andi Tenri Ellung N Rp 45,412
369,396
Hastuti, Amd.Keb Rp 45,412
369,396
Desi Asriana, S. ST Rp 60,550
369,396
Fitriani, Amd.Keb Rp 45,412
369,396
Citra Pratiwi, Amd.K Rp 45,412
369,396
Andi Fauziyyah Patr Rp 45,412
369,396
Irna Supianti Said, Rp 45,412
369,396
Nurfaidah Ansar, Am Rp 45,412
369,396
Samsuri, Amd. Keb Rp 45,412
369,396
Wismala Dewi, Amd. Rp 45,412
369,396

Rp 54,420
369,396 47,370,255

2,953,003
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN PESERTA JKN ( DANA KAPITASI ) BAGI PETUGAS PUSKESMAS PUSTU DAN POSKEDES
BULAN JUNI TAHUN 2019

PUSKESMAS : BENTENG
JUMLAH PESERTA : 18,639 ORANG
JUMLAH PEGAWAI : 65 ORANG
BESARAN KAPITASI : 6000 PERJIWA / BULAN
TOTAL KAPITASI : Rp 111,834,000.00

RAN PENERIMAAN KAPITASI

GKA
KEHADIRAN TANG DENGAN JUMLAH PESERTA
JENIS MAS P GUNG JML PRESE JUMLAH 18,639 JIWA JUMLAH PPH PASAL JUMLAH
GOL PEN KETE A JML
JML
TUG JAWA POINT NTASE TOTAL
DITERIMA 21 ( 15% / DIBAYARKAN TANDA TANGAN
NO NAMA PETUGAS ONG JABATAN DIDI NAGA KER HARI HARI ASA B VARIA KEHAD SELURU JASA BIAYA ( Rp ) 5% /2,5 %) ( Rp )
AN KAN AN JA MASU DMIN
KERJ ISTR
PROG BEL IRAN H POINT PELAYANAN OPERASIONAL(
K RAM ( 60 % ) 40 % )
A ASI
KERJA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 dr. Frengki Wijaya IV Kepala Puskesmas S1 150 10 18 18 100 260 100 26,000 Rp 67,100,400 Rp 44,733,600 Rp 3,685,797 Rp 552,869 Rp 3,132,927 1

2 drg. Yunda Iswari III Dokter Gigi S1 150 0 18 18 10 160 100 16,000 Rp 67,100,400 Rp 44,733,600 Rp 2,268,183 Rp 113,409 Rp 2,154,773 2

3 dr. Inda Yuliana Astuti III Dokter Umum S1 150 0 18 18 10 160 100 16,000 Rp 67,100,400 Rp 44,733,600 Rp 2,268,183 Rp 113,409 Rp 2,154,773 3

4 drg. Sitti Alwiah Utama IV Dokter Gigi S1 150 10 18 18 160 100 16,000 Rp 67,100,400 Rp 44,733,600 Rp 2,268,183 Rp 340,227 Rp 1,927,955 4

5 dr. Zainal Abidin Dokter Umum S1 150 18 18 150 100 15,000 Rp 67,100,400 Rp 44,733,600 Rp 2,126,421 Rp 53,161 Rp 2,073,261 5

6 dr. Stefani Dokter Umum S1 150 25 18 150 139 20,833 Rp 67,100,400 Rp 44,733,600 Rp 2,953,363 Rp 73,834 Rp 2,879,529 6

7 Agustini Perkantoran SMEA 25 18 18 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 354,404 Rp 8,860 Rp 345,543 7

8 Rosmayanti, SKM S1 Kesmas S1 80 18 18 80 100 8,000 Rp 67,100,400 Rp 44,733,600 Rp 1,134,091 Rp 28,352 Rp 1,105,739 8

9 Hasmirawati, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 9

10 Muhrawati, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 10

11 Hamriana, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 11

12 Yunarsih, AMAK Analis Kes. D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 12

13 Andi Masmuliani Perkantoran SMA 25 18 18 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 354,404 Rp 8,860 Rp 345,543 13

14 Israwati, SP S1 Pertanian S1 50 18 18 50 100 5,000 Rp 67,100,400 Rp 44,733,600 Rp 708,807 Rp 17,720 Rp 691,087 14

15 Reski Arisanti Amelia Safitri, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 15

16 Andi Armita Dewi, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 16

17 Sri Adrianti, A.Md.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 17

18 Mushfiah Zaenuddin, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 18

19 Nur Wahyuni, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 19

20 Muhammad Rum, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 20

21 Muhammad Subhan, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 21

22 Musdalifah MR, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 22

23 Rizaldi Razak, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 23

24 Andi Resti Wardani, S.Kep.Ns Perawat D3 100 18 18 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,417,614 Rp 35,440 Rp 1,382,174 24

25 Wahyuni Hamzah, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 25

26 Sri Wedari Yusuf, Amd. Farm Farmasi D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 26

27 Dahling Ceaning servis SMA 25 18 18 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 354,404 Rp 10,632 Rp 343,771 27

28 Muh. Bahrum, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 28

29 Dini Yuliana Sari, AMK Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 29

30 Dewi Sartika, SKM Kesmas S1 80 18 18 80 100 8,000 Rp 67,100,400 Rp 44,733,600 Rp 1,134,091 Rp 28,352 Rp 1,105,739 30

31 Jumrawati, S.Kep Perawat S1 80 18 18 80 100 8,000 Rp 67,100,400 Rp 44,733,600 Rp 1,134,091 Rp 28,352 Rp 1,105,739 31

32 Andi Rusdiani, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 32

33 Didik Sunarwan Sopir SMA 25 18 18 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 354,404 Rp 8,860 Rp 345,543 33

34 Andi Hasriani, S. Kep, Ns Perawat S1 100 18 18 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,417,614 Rp 35,440 Rp 1,382,174 34

35 Andi Marlianti Admin. Perkantoran SMA 25 18 18 25 100 2,500 Rp 67,100,400 Rp 44,733,600 Rp 354,404 Rp 10,632 Rp 343,771 35

36 Nur Maya, Amd. Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 36

37 Meliana, Amd. Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 37

38 Said Akbar Anwar, S.Kep.Ns Perawat S1 100 18 18 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,417,614 Rp 35,440 Rp 1,382,174 38
39 Risnawati, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 39

40 Emil Pranata Putra Sopir SMA 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 40

41 Hernawati, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 41

42 Ainun Mardiah, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 42

43 Dede Frederika Febriyanti, S.Si, Apt Apoteker S1 100 18 18 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,417,614 Rp 35,440 Rp 1,382,174 43

44 Samsir Abdul Patta, S.Kep.,Ns Perawat S1 100 18 18 100 100 10,000 Rp 67,100,400 Rp 44,733,600 Rp 1,417,614 Rp 42,528 Rp 1,375,086 44

45 Dewi Akhryani, Amd.Kep Perawat D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 45

46 Nur Wahdaniar Amd.RMIK Rekam Medik D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 46

47 Muhammad Ikhsan,Amd.Anakes Analis Kes. D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 47

48 Lisdayanti, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 48

49 Dewi Sartika, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 49

50 Rosdiana, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 50

51 Sri Wahyuni Aznur, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 51

52 Andi Isna, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 52

53 Isnayani, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 53

54 Yul Fitriana, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 54

55 Titin Sumarni, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 55

56 Andi Tenri Ellung Nomang, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 56

57 Hastuti, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 57

58 Desi Asriana, S. ST Bidan D4 80 18 18 80 100 8,000 Rp 67,100,400 Rp 44,733,600 Rp 1,134,091 Rp 28,352 Rp 1,105,739 58

59 Fitriani, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 59

60 Citra Pratiwi, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 60

61 Andi Fauziyyah Patra, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 61

62 Irna Supianti Said, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 21,264 Rp 829,304 62
63 Nurfaidah Ansar, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 63

64 Samsuri, Amd. Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 64

65 Wismala Dewi, Amd.Keb Bidan D3 60 18 18 60 100 6,000 Rp 67,100,400 Rp 44,733,600 Rp 850,568 Rp 25,517 Rp 825,051 65

JUMLAH 4,535 20 1,177 1,170 100 20 4,675 6,539 473,333 Rp 67,100,400 Rp 44,733,600 Rp 67,100,400 Rp 2,579,821 Rp 64,520,579

Mengetahui / Menyetujui : Benteng, 29 Juni 2019

Kepala UPTD Puskesmas Benteng Bendahara JKN

Dr. FRENGKI WIJAYA PETRUS MILU E.T, AMK

Pangkat : Pembina Tk.I Nip 19710704 199103 1 009
NIP. 19790926 200604 1 023
PBI APBN 5,355 32,130,000
PBI APBD 10,016 60,096,000
NON PBI 3,253 19,518,000
SUSULAN 15 90,000
18,639 111,834,000 78,283,800 33,550,200

dr. Frengki Wijaya Rp 204,766

473,333
drg. Yunda Iswari Rp 126,010
473,333
dr. Inda Yuliana Astut Rp 126,010
473,333
drg. Sitti Alwiah Uta Rp 126,010
473,333
dr. Zainal Abidin Rp 118,135
473,333
dr. Stefani Rp 118,135
473,333
Agustini Rp 19,689
473,333
Rosmayanti, SKM Rp 63,005
473,333
Hasmirawati, AMK Rp 47,254
473,333
Muhrawati, AMK Rp 47,254
473,333
Hamriana, Amd.Keb Rp 47,254
473,333
Yunarsih, AMAK Rp 47,254
473,333
Andi Masmuliani Rp 19,689
473,333
Israwati, SP Rp 39,378
473,333
 Reski Arisanti Amelia Rp 47,254
473,333
Andi Armita Dewi, A Rp 47,254
P 473,333
Sri Adrianti, A.Md.Ke Rp 47,254
P 473,333
Mushfiah Zaenuddin Rp 47,254
p 473,333
Nur Wahyuni, Amd.K Rp 47,254
473,333
Muhammad Rum, Am Rp 47,254
473,333
Muhammad Subhan, Rp 47,254
473,333
Musdalifah MR, AMK Rp 47,254
473,333
Rizaldi Razak, Amd. Rp 47,254
473,333
Andi Resti Wardani, Rp 78,756
473,333
Wahyuni Hamzah, A Rp 47,254
473,333
Sri Wedari Yusuf, A Rp 47,254
473,333
Dahling Rp 19,689
473,333
Muh. Bahrum, Amd. Rp 47,254
473,333
Dini Yuliana Sari, A Rp 47,254
473,333
Dewi Sartika, SKM Rp 63,005
473,333
Jumrawati, S.Kep Rp 63,005
473,333
Andi Rusdiani, Amd. Rp 47,254
473,333
Didik Sunarwan Rp 19,689
473,333
Andi Hasriani, S. Ke Rp 78,756
473,333
Andi Marlianti Rp 19,689
473,333
Nur Maya, Amd. Kep Rp 47,254
473,333
Meliana, Amd. Kep Rp 47,254
473,333
Said Akbar Anwar, S Rp 78,756
473,333
Risnawati, Amd. Keb Rp 47,254
473,333
Emil Pranata Putra Rp 47,254
473,333
Hernawati, Amd. Keb Rp 47,254
473,333
Ainun Mardiah, Amd. Rp 47,254
473,333
Dede Frederika FebriyRp 78,756
473,333
Samsir Abdul Patta, Rp 78,756
473,333
Dewi Akhryani, Amd Rp 47,254
473,333
Nur Wahdaniar Amd Rp 47,254
473,333
Muhammad Ikhsan,A Rp 47,254
473,333
Lisdayanti, Amd.Keb Rp 47,254
473,333
Dewi Sartika, Amd.K Rp 47,254
473,333
Rosdiana, Amd.Keb Rp 47,254
473,333
Sri Wahyuni Aznur, Rp 47,254
473,333
Andi Isna, Amd.Keb Rp 47,254
473,333
Isnayani, Amd.Keb Rp 47,254
473,333
Yul Fitriana, Amd.Ke Rp 47,254
473,333
Titin Sumarni, Amd. Rp 47,254
473,333
Andi Tenri Ellung N Rp 47,254
473,333
Hastuti, Amd.Keb Rp 47,254
473,333
Desi Asriana, S. ST Rp 63,005
473,333
Fitriani, Amd.Keb Rp 47,254
473,333
Citra Pratiwi, Amd.K Rp 47,254
473,333
Andi Fauziyyah Patr Rp 47,254
473,333
Irna Supianti Said, Rp 47,254
473,333
Nurfaidah Ansar, Am Rp 47,254
473,333
Samsuri, Amd. Keb Rp 47,254
473,333
Wismala Dewi, Amd. Rp 47,254
473,333

Rp 57,010
473,333 47,313,421

2,953,003
 34
6

2.00
 4 1 39
4 10
23 5 28
45 24 71
3 3
0
0
0