Jaspel

DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN
PUSKESMAS PARE KABUPATEN TEMANGGUNG

BULAN SEPTEMBER 2018
JUMLAH PENERMAAN
NO. NAMA JABATAN NO. REKENING ( Rp )
1 dr. Fresinta maya W,MMR Kepala Puskesmas 3014049061 4,337,000
2 dr. Sihar Yulius Sitorus Dokter 3014048374 2,976,000
3 drg. Ratisari Triratna Dewi Dokter Gigi 3014048927 3,317,000
4 Farida Istiningsih, S.Kom Staf 3014041868 2,466,000
5 Warsiti Bidan 3014045731 1,467,000
6 Kuntari Bidan 3014055206 1,530,000
7 Endar Asih Kaptining Ati Perawat Gigi 3014163955 1,530,000

Sidit Supriyadi,SKM
8 Perawat 3014045600 1,786,000
Heny Hermawati
9 Perawat 3014024157 1,304,000
10 Setyo Wuryatmi Nutrisionis 3067003071 2,211,000
11 Niken Pratiwi Paramedis 3014045481 1,275,000

F. Tri Martina
12 Bidan 3014045448 1,530,000
13 Adlah Staf 3067002945 850,000
14 Sukaryanti Staf 3014045804 701,000
15 Previanto Wibowo Asisten Apoteker 3014024297 1,190,000

Christijanto Budi P
16 Analis 3014024301 1,793,000
Anik Rochayati
17 Bidan 3014120270 -
18 Dwi Ratna W Bidan 3014048498 1,141,000
19 Dwi Puji Andayani Bidan 3067004565 1,105,000

Wiwin Sugiyanti
20 Bidan 3014045456 1,190,000
21 Wida Febriyani Bidan 3014167811 1,105,000
22 Aliyah Sanitarian 3014040837 372,000
23 Slamet Pramubakti 3014024203 680,100
24 Pertiwi Kundalini Akunting 2014143532 680,000
25 Novitasari Candra Kiranawati Promkes 2014143079 680,000
26 Azif Kurniawan Pengemudi 2014143541 265,000
27 Bambang Setyo Budi Pramukantor 2014143371 265,000
37,746,100
Mengetahui Temanggung , Okto

JUMLAH PENERMAAN
NO. NAMA JABATAN NO. REKENING ( Rp )
Pimpinan BLUD Bendahara Penge
Puskesmas Pare
dr. Fresinta Maya Warnerina,MMR

NIP.19800602 200903 2 008 NIP.19741108 20050
KESEHATAN
NGGUNG
PENERIMAAN BERSIH SUMBER

PPh Ps 21 ( RP )
( Rp ) DANA
216,850 4,120,150
BLUD
148,800 2,827,200
BLUD
165,850 3,151,150 BLUD
123,300 2,342,700
BLUD
73,350 1,393,650
BLUD
76,500 1,453,500
BLUD
76,500 1,453,500
BLUD
89,300 1,696,700
BLUD
65,200 1,238,800
BLUD
110,550 2,100,450
BLUD
63,750 1,211,250
BLUD
76,500 1,453,500
BLUD
42,500 807,500
BLUD
35,050 665,950
BLUD
59,500 1,130,500
BLUD
89,650 1,703,350
BLUD
- -
BLUD
- 1,141,000
BLUD
- 1,105,000
BLUD
- 1,190,000
BLUD
- 1,105,000
BLUD
18,600 353,400
BLUD
- 680,100
BLUD
17,000 663,000
BLUD
17,000 663,000
BLUD
6,625 258,375
BLUD
6,625 258,375
BLUD
1,579,000 36,167,100
Temanggung , Oktober 2018

PENERIMAAN BERSIH SUMBER
PPh Ps 21 ( RP )
( Rp ) DANA
Bendahara Pengeluaran
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN
BULAN OKTOBER 2018
NO. NAMA JABATAN NO. REKENING
1 dr. Fresinta maya W,MMR Kepala Puskesmas 3014049061

2 dr. Sihar Yulius Sitorus Dokter 3014048374
3 drg. Ratisari Triratna Dewi Dokter Gigi 3014048927
4 Farida Istiningsih, S.Kom Staf 3014041868
5 Warsiti Bidan 3014045731
6 Kuntari Bidan 3014055206
7 Endar Asih Kaptining Ati Perawat Gigi 3014163955
Sidit Supriyadi,SKM
8 Perawat 3014045600
Heny Hermawati
9 Perawat 3014024157
10 Setyo Wuryatmi Nutrisionis 3067003071
11 Niken Pratiwi Paramedis 3014045481
F. Tri Martina
12 Bidan 3014045448
13 Adlah Staf 3067002945
14 Sukaryanti Staf 3014045804
15 Previanto Wibowo Asisten Apoteker 3014024297
Christijanto Budi P
16 Analis 3014024301
Anik Rochayati
17 Bidan 3014120270
18 Dwi Ratna W Bidan 3014048498
19 Dwi Puji Andayani Bidan 3067004565
Wiwin Sugiyanti
20 Bidan 3014045456
21 Wida Febriyani Bidan 3014167811
22 Aliyah Sanitarian 3014040837
23 Slamet Pramubakti 3014024203
24 Pertiwi Kundalini Akunting 2014143532
25 Novitasari Candra Kiranawati Promkes 2014143079
26 Azif Kurniawan Pengemudi 2014143541
27 Bambang Setyo Budi Pramukantor 2014143371
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
JASA PELAYANAN KESEHATAN
KABUPATEN TEMANGGUNG
OKTOBER 2018
PENERIMAAN
JUMLAH PENERMAAN SUMBER
PPh Ps 21 ( RP ) BERSIH ( Rp
( Rp )
) DANA
4,458,000.00 222,900 4,235,100 BLUD
3,059,000.00 152,950 2,906,050 BLUD
3,409,000.00 170,450 3,238,550 BLUD
2,535,000.00 126,750 2,408,250 BLUD
1,431,000.00 71,550 1,359,450 BLUD
1,573,000.00 78,650 1,494,350 BLUD
1,573,000.00 78,650 1,494,350 BLUD
1,835,000.00 91,750 1,743,250 BLUD
1,398,000.00 69,900 1,328,100 BLUD
1,852,000.00 92,600 1,759,400 BLUD
1,262,000.00 63,100 1,198,900 BLUD
1,515,000.00 75,750 1,439,250 BLUD
874,000.00 43,700 830,300 BLUD
783,000.00 39,150 743,850 BLUD
1,223,000.00 61,150 1,161,850 BLUD
1,923,000.00 96,150 1,826,850 BLUD
605,000.00 30,250 574,750 BLUD
1,223,000.00 61,150 1,161,850 BLUD
1,136,100.00 - 1,136,100 BLUD
1,042,000.00 - 1,042,000 BLUD
1,094,000.00 - 1,094,000 BLUD
534,000.00 26,700 507,300 BLUD
647,000.00 - 647,000 BLUD
699,000.00 34,950 664,050 BLUD
699,000.00 34,950 664,050 BLUD
270,000.00 13,500 256,500 BLUD
270,000.00 13,500 256,500
BLUD
38,922,100 1,750,150 37,171,950
Temanggung , Nopember 2018

Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMA JASA PELAYANAN KARYAWAN BLUD (70% JKN)
BULAN : JUNI 2018
JUMLAH PENERI MAAN PENERIMAAN BERSIH

NO NAMA
( Rp )
PPh Ps 21 ( RP )
( Rp ) TANDA TANGA
dr. Fresinta Maya W, MMR

1
19800602 200903 2 008 3,780,770 186,348 3,594,422 1
dr.Sihar Yulius Sitorus

2
19770706 201001 1 011 2,594,645 133,508 2,461,137
drg. Ratitasari Triratna D 2,891,175

3 148,766 2,742,409 3
19840505 201001 2 040
Farida Istiningsih, S.Kom 2,149,845
4 101,402 2,048,443
19660121 198603 2 008
Warsiti
5
19660812 198703 2 010 1,260,255 62,145 1,198,110 5
Kuntari 1,334,385
6 62,939 1,271,446
19700710 199203 2 009
Endar Asih Kaptining Ati, AMKG
7 19660520 198811 2 1,334,385 72,476 1,261,909 7
001
Sidit Supriyadi, SKM
8 19720123 1,482,650 83,919 1,398,731
199403 1 003
Heny Hermawati
9 19650524 198703 1,186,120 61,032 1,125,088 9
2 005
Setyo Wuryatmi, S.ST 2,223,980
10 114,435 2,109,545
19741108 200501 2 009
Niken Pratiwi 1,111,990
11 61,032 1,050,958 11
19820323 200312 2 003
F. Tri Martina
12 19780306 1,779,185 83,919 1,695,266
200501
Adlah 2 011
13 19710108 199402 2 741,325 38,145 703,180 13
001
Sukaryanti 19641110 815,460
14 41,960 773,500
198903 2 010
Previanto Wibowo 1,037,855
15 53,403 984,452 15
19731103 199502 1 002
Christijanto Budi P
16 19720520 1,630,920 80,422 1,550,498
199703 1 007
Anik Rochayati
17 19750919 200604 2 1,260,255 64,847 1,195,408 17
018
JUMLAH DIPINDAHKAN 28,615,200 1,450,698 27,164,502
JUMLAH PINDAHAN 28,615,200 1,450,698 27,164,502
Dwi Ratna Widyastuti 1,037,855

18 53,403 984,452
19860202 201001 2 032
Dwi Puji Andayani 963,725
19 - 963,725
19700911 200604 2 008 19
NO NAMA
( Rp )
PPh Ps 21 ( RP )
( Rp ) TANDA TANGA
Wiwin Sugiyanti
20 19780611 200701 1,037,855 - 1,037,855
2 006
Wida Febriani, Am.Keb 963,725
21 - 963,725
19840217 201704 2 013 21
22 Aliyah 1,111,990 21,457 1,090,533
Slamet 593,060
23 - 593,060
19760725 200701 1 006 23
24 Pertiwi Kundalini 593,060 30,516 562,544
25 Novitasari Candra Kiranawati 593,060 30,516 562,544

25
26 Azif Kuniawan 222,425 10,967 211,458
27 Bambang Setyo Budi 222,425 10,967 211,458 27
JUMLAH 35,954,380 1,608,524 34,345,856
Mengetahui Pare, 2018

Pimpinan BLUD Bendahara Pengeluaran
Puskesmas Pare Puskesmas Pare
dr. Fresinta Maya Warnerina,MMR Setyo Wuryatmi,S.ST

NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
NO NAMA
( Rp )
PPh Ps 21 ( RP )
( Rp ) TANDA TANGA
50,929,300
-
Jaspel Bulan Juni 2018
LAYANAN KARYAWAN BLUD (70% JKN)
E KABUPATEN TEMANGGUNG
AN : JUNI 2018
TANDA TANGAN
10
12
14
16
18
TANDA TANGAN
20
22
24
26
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMA JASA PELAYANAN KARYAWAN
PUSKESMAS PARE KABUPATEN TEMAN
BULAN : NOPEMBER 2018
POIN VARIABEL
NO NAMA NPWP JABATAN GOL Hari Total Prosentas JENIS
Tidak JABATA BEBAN
Kerja Kehadira e TENAG
Hadir N KERJA
Efektif n Kehadiran A
1 348530486533000 Pimpinan BLUD III d 25 10 15 0.60 150 100 0
19800602 200903 2 008
2 475903753533000 dr Puskesmas III c 25 25 1.00 150 0 20
19770706 201001 1 011
drg. Ratitasari Triratna D
3 695356485533000 dokter Gigi III c 25 2 23 0.92 150 40 0
19840505 201001 2 040
Farida Istiningsih, S.Kom
4 491050720524000 Plt. Ka TU III d 25 7 18 0.72 50 70 0
19660121 198603 2 008
Warsiti
5 597004415533000 Bidan III d 25 1 24 0.96 60 0 0
19660812 198703 2 010
Kuntari
6 597004449533000 Bidan III d 25 25 1.00 60 0 5
19700710 199203 2 009
7 19660520 198811 2 247461858533001 Perawat Gigi III d 25 1 24 0.96 60 0 5
001
8 19720123 199403 1 597004837533000 Perawat III d 25 25 1.00 60 20 5
003
Heny Hermawati
9 19650524 491838017524000 Perawat III d 25 25 1.00 50 0 5
198703 2 005
Setyo Wuryatmi, S.ST
10 491049987523000 Nutrisionis III b 25 25 1.00 60 60 0
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 Paramedis III c 25 1 24 0.96 60 0 5
19820323 200312 2 003
F. Tri Martina
12 597004548533000 Bidan III b 25 1 24 0.96 60 20 0
19780306 200501 2 011
Adlah
13 597004175524000 Staf III b 25 25 1.00 30 0 0
19710108 199402 2 001
Sukaryanti
14 597004464533000 Staf III b 25 16 9 0.36 30 0 0
19641110 198903 2 010
Previanto Wibowo 19731103
15 695356493524000 Asisten Apoteker III b 25 25 1.00 50 0 0
199502 1 002
Christijanto Budi P
16 695356501533000 Analis III a 25 25 1.00 60 30 0
19720520 199703 1 007
Anik Rochayati
17 491049888533000 Bidan III a 25 2 23 0.92 60 10 5
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN
Dwi Ratna Widyastuti 19860202

18 578697963533000 Bidan Desa III a 25 1 24 0.96 60 0 5
201001 2 032
Dwi Puji Andayani 19700911
19 491859013533000 Bidan Desa II d 25 25 1.00 50 0 5
200604 2 008
Wiwin Sugiyanti
20 597004563533000 Bidan II c 25 25 1.00 60 0 0
19780611 200701 2 006
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
Wida Febriani, Am.Keb 19840217
21 458453263533000 Bidan II c 25 25 1.00 60 0 5
201704 2 013
Siti Aliyah
22 781441084533000 Sanitarian III c 25 16 9 0.36 50 0 0
19660315 198711 2 001
Slamet
23 349671289533000 Pramu Bakti Ic 25 2 23 0.92 30 0 0
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 25 25 1.00 25 15 0
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 25 25 1.00 30 10 0
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 25 25 1.00 15 0 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 25 25 1.00 15 0 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
-
2,826,000.00
3,233,000.00
3,314,000.00
1,928,000.00
1,507,000.00
1,662,000.00
1,596,000.00
1,939,000.00
1,477,000.00
2,401,000.00
1,330,000.00
1,596,000.00
92,300.00
365,000.00
1,293,000.00
2,032,000.00
1,444,000.00
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
1,241,000.00
1,200,000.00
1,293,000.00
1,200,000.00
498,000.00
679,000.00
738,000.00
738,000.00
277,000.00
277,000.00
RYAWAN BLUD (70% JKN)
N TEMANGGUNG
2018
TOTAL JUMLA
TOTAL JASPEL JUMLAH PENERIMAAN
MASA POIN H
TOTAL YANG DITETAP PENERI MAAN
PPh Ps 21 (
BERSIH TANDA TANGAN
KERJ VARIA TOTAL KAN ( Rp )
RP )
( Rp )
A BEL POIN
5 255 153 2112 Rp 39,018,700 141,300 2,684,700 1

2,826,000
5 175 175 2112 Rp 39,018,700 161,650 3,071,350 2

3,233,000
5 195 179 2112 Rp 39,018,700 165,700 3,148,300 3

3,314,000
25 145 104 2112 Rp 39,018,700 96,400 1,831,600 4

1,928,000
25 85 82 2112 Rp 39,018,700 75,350 1,431,650 5

1,507,000
25 90 90 2112 Rp 39,018,700 83,100 1,578,900 6

1,662,000
25 90 86 2112 Rp 39,018,700 79,800 1,516,200 7

1,596,000
20 105 105 2112 Rp 39,018,700 96,950 1,842,050 8

1,939,000
25 80 80 2112 Rp 39,018,700 73,850 1,403,150 9

1,477,000
10 130 130 2112 Rp 39,018,700 120,050 2,280,950 10

2,401,000
10 75 72 2112 Rp 39,018,700 66,500 1,263,500 11

1,330,000
10 90 86 2112 Rp 39,018,700 79,800 1,516,200 12

1,596,000
20 50 50 2112 Rp 39,018,700 46,150 876,850 13

923,000
25 55 20 2112 Rp 39,018,700 18,250 346,750

365,000 14
20 70 70 2112 Rp 39,018,700 64,650 1,228,350 15

1,293,000
20 110 110 2112 Rp 39,018,700 101,600 1,930,400 16

2,032,000
10 85 78 2112 Rp 39,018,700 72,200 1,371,800 17

1,444,000
1671 Rp 39,018,700 1,543,300 29,322,700

30,866,000
1671 Rp 39,018,700 1,543,300 29,322,700

30,866,000
5 70 67 2112 Rp 39,018,700 62,050 1,178,950

1,241,000 18
10 65 65 2112 Rp 39,018,700 - 1,201,700

1,201,700 19
10 70 70 2112 Rp 39,018,700 - 1,293,000

1,293,000 20
TOTAL JUMLA
MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
KERJ VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
A BEL POIN
0 65 65 2112 Rp 39,018,700 - 1,200,000

1,200,000 21
25 75 27 2112 Rp 39,018,700 24,900 473,100 22

498,000
10 40 37 2112 Rp 39,018,700 - 679,000

679,000 23
0 40 40 2112 Rp 39,018,700 36,900 701,100

738,000 24
0 40 40 2112 Rp 39,018,700 36,900 701,100

738,000 25
0 15 15 2112 Rp 39,018,700 14,100 267,900

282,000 26
0 15 15 2112 Rp 39,018,700 14,100 267,900 27

282,000
2112 - 39,018,700 1,732,250 37,286,450
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMA JASA PELAYANAN KARYAWAN
PUSKESMAS PARE KABUPATEN TEMAN
BULAN : NOPEMBER 2018
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
1 348530486533000 Pimpinan BLUD III d 25 10 15 0.60 150 100 0
19800602 200903 2 008
2 475903753533000 dr Puskesmas III c 25 25 1.00 150 0 20
19770706 201001 1 011
3 695356485533000 dokter Gigi III c 25 2 23 0.92 150 40 0
19840505 201001 2 040
4 491050720524000 Plt. Ka TU III d 25 7 18 0.72 50 70 0
19660121 198603 2 008
Warsiti
5 597004415533000 Bidan III d 25 1 24 0.96 60 0 0
19660812 198703 2 010
Kuntari
6 597004449533000 Bidan III d 25 25 1.00 60 0 5
19700710 199203 2 009
7 19660520 198811 2 247461858533001 Perawat Gigi III d 25 1 24 0.96 60 0 5
001
8 19720123 199403 1 597004837533000 Perawat III d 25 25 1.00 60 20 5
003
Heny Hermawati
9 19650524 491838017524000 Perawat III d 25 25 1.00 50 0 5
198703 2 005
10 491049987523000 Nutrisionis III b 25 25 1.00 60 60 0
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 Paramedis III c 25 1 24 0.96 60 0 5
19820323 200312 2 003
F. Tri Martina
12 597004548533000 Bidan III b 25 1 24 0.96 60 20 0
19780306 200501 2 011
Adlah
13 597004175524000 Staf III b 25 25 1.00 30 0 0
19710108 199402 2 001
Sukaryanti
14 597004464533000 Staf III b 25 16 9 0.36 30 0 0
19641110 198903 2 010
15 695356493524000 Asisten Apoteker III b 25 25 1.00 50 0 0
199502 1 002
Christijanto Budi P
16 695356501533000 Analis III a 25 25 1.00 60 30 0
19720520 199703 1 007
Anik Rochayati
17 491049888533000 Bidan III a 25 2 23 0.92 60 10 5
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 Bidan Desa III a 25 1 24 0.96 60 0 5
201001 2 032
19 491859013533000 Bidan Desa II d 25 25 1.00 50 0 5
200604 2 008
Wiwin Sugiyanti
20 597004563533000 Bidan II c 25 25 1.00 60 0 0
19780611 200701 2 006
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
21 458453263533000 Bidan II c 25 25 1.00 60 0 5
201704 2 013
Siti Aliyah
22 781441084533000 Sanitarian III c 25 16 9 0.36 50 0 0
19660315 198711 2 001
Slamet
23 349671289533000 Pramu Bakti Ic 25 2 23 0.92 30 0 0
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 25 25 1.00 25 15 0
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 25 25 1.00 30 10 0
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 25 25 1.00 15 0 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 25 25 1.00 15 0 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
55,741,000
39,018,700.00
4,458,000.00
3,059,000.00
3,409,000.00
2,535,000.00
1,431,000.00
1,573,000.00
1,573,000.00
1,835,000.00
1,398,000.00
1,852,000.00
1,262,000.00
1,515,000.00
874,000.00
783,000.00
1,223,000.00
1,923,000.00
605,000.00
1,223,000.00
1,136,000.00
1,042,000.00
1,094,000.00
534,000.00
647,000.00
699,000.00
699,000.00
262,000.00
262,000.00
38,920,000
RYAWAN BLUD (70% UMUM)
N TEMANGGUNG
2018
TOTAL JUMLA
MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
KERJ VARIA TOTAL KAN ( Rp )
RP )
( Rp )
A BEL POIN
5 255 153 2112 Rp 10,994,900 795,464 39,773 755,691 1
5 175 175 2112 Rp 10,994,900 911,036 45,552 865,484 2
5 195 179 2112 Rp 10,994,900 933,942 46,697 887,245 3
25 145 104 2112 Rp 10,994,900 543,498 27,175 516,323 4
25 85 82 2112 Rp 10,994,900 424,803 21,240 403,563 5
25 90 90 2112 Rp 10,994,900 468,533 23,427 445,106 6
25 90 86 2112 Rp 10,994,900 449,791 22,490 427,302 7
20 105 105 2112 Rp 10,994,900 546,621 27,331 519,290 8
25 80 80 2112 Rp 10,994,900 416,473 20,824 395,650 9
10 130 130 2112 Rp 10,994,900 676,769 33,838 642,931 10
10 75 72 2112 Rp 10,994,900 374,826 18,741 356,085 11
10 90 86 2112 Rp 10,994,900 449,791 22,490 427,302 12
20 50 50 2112 Rp 10,994,900 260,296 13,015 247,281 13
25 55 20 2112 Rp 10,994,900 103,077 5,154 97,923

14
20 70 70 2112 Rp 10,994,900 364,414 18,221 346,194 15
20 110 110 2112 Rp 10,994,900 572,651 28,633 544,018 16
10 85 78 2112 Rp 10,994,900 407,103 20,355 386,748 17
1671 Rp 10,994,900 Rp 8,699,090 434,954 8,264,135
1671 Rp 10,994,900 Rp 8,699,090 434,954 8,264,135
5 70 67 2112 Rp 10,994,900 349,838 17,492 332,346

18
10 65 65 2112 Rp 10,994,900 338,385 - 338,385

19
10 70 70 2112 Rp 10,994,900 364,414 - 364,414

20
TOTAL JUMLA
MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
KERJ VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
A BEL POIN
0 65 65 2112 Rp 10,994,900 338,385 - 338,385

21
25 75 27 2112 Rp 10,994,900 140,560 7,028 133,532 22
10 40 37 2112 Rp 10,994,900 191,578 - 191,578

23
0 40 40 2112 Rp 10,994,900 208,237 10,412 197,825

24
0 40 40 2112 Rp 10,994,900 208,237 10,412 197,825

25
0 15 15 2112 Rp 10,994,900 78,089 3,904 74,184

26
0 15 15 2112 Rp 10,994,900 78,089 3,904 74,184 27
2112 - 10,994,900 488,107 10,506,793
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
REKAPITULASI PENDAPATAN JASA PELAYANAN KARYAWAN DARI PELAYANAN UMUM 70% DAN JKN 70%
PUSKESMAS PARE 2018
PELAYANAN UMUM
NO NAMA
FEB MAR APRIL MEI JUNI JULI AGT SEPT OKT
1
19800602 200903 2 008
1,205,541 1,160,122 672,059 1,666,162 210,396 1,205,968 1,030,694 790,698 653,047
2 19770706 828,598 829,336 461,922 1,193,160 144,390 822,003 708,622 542,637 448,169
201001 1 011
3
19840505 201001 2 040
828,598 829,336 461,922 1,329,521 160,891 915,946 789,607 604,652 499,389
4
19660121 198603 2 008
733,901 734,554 392,083 906,234 119,637 690,307 587,144 449,613 371,340
Warsiti
5 19660812 198703 2 010 497,159 497,602 240,309 555,387 70,132 401,960 344,188 252,584 209,620
Kuntari
6 19700710 199203 2 426,136 409,455 227,661 562,489 74,258 428,467 364,434 279,070 230,487
009
Endar Asih Kaptining Ati,
7 AMKG 426,136 426,515 237,559 647,716 64,357 381,129 336,401 279,070 230,487
19660520 198811 2 001
8 475,543 497,602 277,153 749,986 82,509 462,087 425,173 325,582 268,902
19720123 199403 1 003
Heny Hermawati
9 378,787 402,820 215,014 545,445 66,007 375,773 299,023 237,726 204,877
19650524 198703 2 005
10
19741108 200501 2 009
679,347 591,435 328,845 886,347 107,261 458,872 425,173 403,101 271,273
Niken Pratiwi
11 19820323 200312 2 339,674 355,430 202,365 545,445 61,881 348,473 292,014 232,559 184,959
003
F. Tri Martina
12 19780306 426,136 521,296 290,350 593,625 82,509 462,087 364,434 279,070 221,950
200501 2 011
Adlah
13 19710108 199402 284,091 253,601 158,373 340,903 41,254 234,858 202,463 155,039 128,048
2 001
Sukaryanti
14 19641110 198903 2 307,765 308,039 171,571 374,991 45,380 258,343 205,578 127,907 114,769
010
Previanto Wibowo
15
19731103 199502 1 002
331,439 331,735 184,769 477,264 57,755 328,801 283,449 217,055 179,268
Christijanto Budi P
16 19720520 518,774 545,939 290,341 718,737 90,759 520,185 445,419 326,874 281,706
199703 1 007
Anik Rochayati
17 19750919 378,788 363,960 227,661 545,190 70,132 202,906 - - 88,685
200604 2 018
JUMLAH DIPINDAHKAN 9,066,413 9,058,777 5,039,957 12,638,602 1,549,508 8,498,165 7,103,815 5,503,238 4,586,976
JUMLAH PINDAHAN 9,066,413 9,058,777 5,039,957 12,638,602 1,549,508 8,498,165 7,103,815 5,503,238 4,586,976
Dwi Ratna Widyastuti
18
19860202 201001 2 032
333,714 349,194 194,493 477,264 57,755 328,801 283,449 208,011 179,268
Dwi Puji Andayani
19
19700911 200604 2 008
348,883 448,964 250,062 408,186 56,453 354,904 255,743 212,159 175,224
Wiwin Sugiyanti
20 19780611 348,883 448,964 250,062 538,267 60,796 382,204 298,367 228,479 160,747
200701 2 006
Wida Febriani, Am.Keb
21
19840217 201704 2 013
323,963 324,252 173,075 447,061 56,453 354,904 277,055 212,159 168,734
Siti Aliyah
22
19660315 198711 2 001
72,052 159,232 69,299 191,758 16,503 88,794 81,764 67,830 78,252
Slamet
23
19760725 200701 1 006
249,202 249,425 133,135 275,114 34,740 210,002 163,938 130,559 99,843
24 Pertiwi Kundalini 118,371 118,477 65,989 272,722 33,003 187,886 161,971 124,031 102,439
Novitasari Candra
25
Kiranawati
118,371 118,477 65,989 272,722 33,003 187,886 161,971 124,031 102,439
26 Azif Kuniawan 71,022 72,085 37,944 107,863 12,376 71,564 60,739 46,900 38,509
27 Bambang Setyo Budi 71,022 72,085 36,207 107,863 12,376 71,564 60,739 46,900 38,509
JUMLAH 11,121,896 11,419,932 6,316,212 15,737,422 1,922,966 10,736,676 8,909,550 6,904,295 5,730,940


NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
JKN NOV TOTAL
NOV
755,691 2,684,700 12,035,078
865,484 3,071,350 9,915,670
887,245 3,148,300 10,455,406
516,323 1,831,600 7,332,736
403,563 1,431,650 4,904,154
445,106 1,578,900 5,026,463
427,302 1,516,200 4,972,872
519,290 1,842,050 5,925,877
395,650 1,403,150 4,524,272
642,931 2,280,950 7,075,535
356,085 1,263,500 4,182,384
427,302 1,516,200 5,184,960
247,281 876,850 2,922,762
97,923 346,750 2,359,017
346,194 1,228,350 3,966,078
544,018 1,930,400 6,213,153

386,748 1,371,800 3,635,870
8,264,135 29,322,700 100,632,287

8,264,135 29,322,700 100,632,287
332,346 1,178,950 3,923,244
338,385 1,201,700 4,050,663
364,414 1,293,000 4,374,183
338,385 1,200,000 3,876,041
133,532 473,100 1,432,115
191,578 679,000 2,416,536
197,825 701,100 2,083,814
197,825 701,100 2,083,814
74,184 267,900 861,086
74,184 267,900 859,349
10,506,793 37,286,450 126,593,132
2018 Pare, 2018

hara Pengeluaran Bendahara Pengeluaran
skesmas Pare Puskesmas Pare
o Wuryatmi,S.ST Setyo Wuryatmi,S.ST

41108 200501 2 009 NIP.19741108 200501 2 009
BULAN : OKTOBER 2018
POIN VARIABEL TOTAL JUMLA

TOTAL JASPEL JUMLAH
NO NAMA NPWP NIK JABATAN GOL Hari Total Prosentas JENIS MASA POIN H
PPh Ps 21 (
Tidak JABATA BEBAN
Kerja Kehadira e TENAG KERJ VARIA TOTAL KAN ( Rp )
RP )
Hadir N KERJA BEL POIN
Efektif n Kehadiran A A
1 348530486533000 3323064206800004 Pimpinan BLUD III d 27 27 1.00 150 100 0 5 255 255 2226 Rp 38,922,100 4,458,000.00 222,900
19800602 200903 2 008
2 475903753533000 3374064910830004 dr Puskesmas III c 27 27 1.00 150 0 20 5 175 175 2226 Rp 38,922,100 3,059,000.00 152,950
19770706 201001 1 011
3 695356485533000 3323044707670001 dokter Gigi III c 27 27 1.00 150 40 0 5 195 195 2226 Rp 38,922,100 3,409,000.00 170,450
19840505 201001 2 040
4 491050720524000 3371026101660001 Plt. Ka TU III d 27 27 1.00 50 70 0 25 145 145 2226 Rp 38,922,100 2,535,000.00 126,750
19660121 198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan III d 27 1 26 0.96 60 0 0 25 85 82 2226 Rp 38,922,100 1,431,000.00 71,550
19660812 198703 2 010
Kuntari
6 597004449533000 3323135007700001 Bidan III d 27 27 1.00 60 0 5 25 90 90 2226 Rp 38,922,100 1,573,000.00 78,650
19700710 199203 2 009
7 19660520 198811 2 247461858533001 3323084602780000 Perawat Gigi III d 27 27 1.00 60 0 5 25 90 90 2226 Rp 38,922,100 1,573,000.00 78,650
001
8 19720123 199403 1 597004837533000 3323132301720001 Perawat III d 27 27 1.00 60 20 5 20 105 105 2226 Rp 38,922,100 1,835,000.00 91,750
003
Heny Hermawati
9 19650524 491838017524000 3308196405650006 Perawat III d 27 27 1.00 50 0 5 25 80 80 2226 Rp 38,922,100 1,398,000.00 69,900
198703 2 005
10 491049987523000 3305054811740002 Nutrisionis III b 27 5 22 0.81 60 60 0 10 130 106 2226 Rp 38,922,100 1,852,000.00 92,600
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 3308206303820004 Paramedis III c 27 1 26 0.96 60 0 5 10 75 72 2226 Rp 38,922,100 1,262,000.00 63,100
19820323 200312 2 003
F. Tri Martina
12 597004548533000 3323134603780002 Bidan III b 27 1 26 0.96 60 20 0 10 90 87 2226 Rp 38,922,100 1,515,000.00 75,750
19780306 200501 2 011
Adlah
13 597004175524000 3308204801710003 Staf III b 27 27 1.00 30 0 0 20 50 50 2226 Rp 38,922,100 874,000.00 43,700
19710108 199402 2 001
Sukaryanti
14 597004464533000 3323035011640001 Staf III b 27 5 22 0.81 30 0 0 25 55 45 2226 Rp 38,922,100 783,000.00 39,150
19641110 198903 2 010
TOTAL JASPEL JUMLAH
PPh Ps 21 (
Tidak JABATA BEBAN VARIA TOTAL RP )
Kerja Kehadira e TENAG KERJ KAN ( Rp )
15 695356493524000 3371020311730002 Asisten Apoteker III b 27 27 1.00 50 0 0 20 70 70 2226 Rp 38,922,100 1,223,000.00 61,150
199502 1 002
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 27 27 1.00 60 30 0 20 110 110 2226 Rp 38,922,100 1,923,000.00 96,150
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 27 16 11 0.41 60 10 5 10 85 35 2226 Rp 38,922,100 605,000.00 30,250
19750919 200604 2 018
JUMLAH DIPINDAHKAN 1791 Rp 31,308,000 1,565,400

TOTAL JASPEL JUMLAH
PPh Ps 21 (
Tidak JABATA BEBAN VARIA TOTAL RP )
Kerja Kehadira e TENAG KERJ KAN ( Rp )
JUMLAH PINDAHAN 1791 Rp 31,308,000 1,565,400

18 578697963533000 3323034202860003 Bidan Desa III a 27 27 1.00 60 0 5 5 70 70 2226 Rp 38,922,100 1,223,000.00 61,150
201001 2 032
19 491859013533000 3323135109700000 Bidan Desa II d 27 27 1.00 50 0 5 10 65 65 2226 Rp 38,922,100 1,136,100.00 -
200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 27 4 23 0.85 60 0 0 10 70 60 2226 Rp 38,922,100 1,042,000.00 -
19780611 200701 2 006
21 458453263533000 3323036302840003 Bidan II c 27 1 26 0.96 60 0 5 0 65 63 2226 Rp 38,922,100 1,094,000.00 -
201704 2 013
Siti Aliyah
22 781441084533000 3323035503660004 Sanitarian III c 27 16 11 0.41 50 0 0 25 75 31 2226 Rp 38,922,100 534,000.00 26,700
19660315 198711 2 001
Slamet
23 349671289533000 3323042507760001 Pramu Bakti Ic 27 2 25 0.93 30 0 0 10 40 37 2226 Rp 38,922,100 647,000.00 -
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 3323156509930001 27 27 1.00 25 15 0 0 40 40 2226 Rp 38,922,100 699,000.00 34,950
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 3323036410930001 27 27 1.00 30 10 0 0 40 40 2226 Rp 38,922,100 699,000.00 34,950
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 27 27 1.00 15 0 0 0 15 15 2226 Rp 38,922,100 270,000.00 13,500
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 3323151606890001 27 27 1.00 15 0 0 0 15 15 2226 Rp 38,922,100 270,000.00 13,500
sebagai penjaga
JUMLAH 2226 38,922,100 1,750,150
Mengetahui Temanggung, 2 Nopember 2018


NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
4,235,100 1
2,906,050 2
3,238,550 3
2,408,250 4
1,359,450 5
1,494,350 6
1,494,350 7
1,743,250 8
1,328,100 9
1,759,400 10
1,198,900 11
1,439,250 12
830,300 13
743,850
14
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
1,161,850 15
1,826,850 16
574,750 17
29,742,600
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
29,742,600
1,161,850
18
1,136,100
19
1,042,000
20
1,094,000
21
507,300 22
647,000
23
664,050
24
664,050
25
256,500
26
256,500 27
37,171,950
mber 2018
uaran
e
.ST
1 2 009
DAFTAR PENERIMA JASA PELAYANAN KARYAWAN BL
PUSKESMAS PARE KABUPATEN TEMANGG
BULAN : OKTOBER 2018
POIN VARIABEL
NO NAMA NPWP JABATAN Hari Total Prosentas JENIS MASA
Tidak JABATA BEBAN
Kerja Kehadira e TENAG KERJ
Hadir N KERJA
1 348530486533000 Pimpinan BLUD 27 27 1.00 150 100 0 5
19800602 200903 2 008
2 475903753533000 dr Puskesmas 27 27 1.00 150 0 20 5
19770706 201001 1 011
3 695356485533000 dokter Gigi 27 27 1.00 150 40 0 5
19840505 201001 2 040
4 491050720524000 Plt. Ka TU 27 27 1.00 50 70 0 25
19660121 198603 2 008
Warsiti
5 597004415533000 Bidan 27 1 26 0.96 60 0 0 25
19660812 198703 2 010
Kuntari
6 597004449533000 Bidan 27 27 1.00 60 0 5 25
19700710 199203 2 009
7 19660520 198811 2 247461858533001 Perawat Gigi 27 27 1.00 60 0 5 25
001
8 19720123 199403 1 597004837533000 Perawat 27 27 1.00 60 20 5 20
003
Heny Hermawati
9 19650524 491838017524000 Perawat 27 27 1.00 50 0 5 25
198703 2 005
10 491049987523000 Nutrisionis 27 5 22 0.81 60 60 0 10
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 Paramedis 27 1 26 0.96 60 0 5 10
19820323 200312 2 003
F. Tri Martina
12 597004548533000 Bidan 27 1 26 0.96 60 20 0 10
19780306 200501 2 011
Adlah
13 597004175524000 Staf 27 27 1.00 30 0 0 20
19710108 199402 2 001
Sukaryanti
14 597004464533000 Staf 27 5 22 0.81 30 0 0 25
19641110 198903 2 010
15 695356493524000 Asisten Apoteker 27 27 1.00 50 0 0 20
199502 1 002
Christijanto Budi P
16 695356501533000 Analis 27 27 1.00 60 30 0 20
19720520 199703 1 007
Anik Rochayati
17 491049888533000 Bidan 27 16 11 0.41 60 10 5 10
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 Bidan Desa 27 27 1.00 60 0 5 5
201001 2 032
19 491859013533000 Bidan Desa 27 27 1.00 50 0 5 10
200604 2 008
Wiwin Sugiyanti
20 597004563533000 Bidan 27 4 23 0.85 60 0 0 10
19780611 200701 2 006
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
21 458453263533000 Bidan 27 1 26 0.96 60 0 5 0
201704 2 013
Siti Aliyah
22 781441084533000 Sanitarian 27 16 11 0.41 50 0 0 25
19660315 198711 2 001
Slamet
23 349671289533000 Pramu Bakti 27 2 25 0.93 30 0 0 10
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 27 27 1.00 25 15 0 0
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 27 27 1.00 30 10 0 0
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 27 27 1.00 15 0 0 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 27 27 1.00 15 0 0 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
55,603,000
38,922,100.00
4,458,000.00
3,059,000.00
3,409,000.00
2,535,000.00
1,431,000.00
1,573,000.00
1,573,000.00
1,835,000.00
1,398,000.00
1,852,000.00
1,262,000.00
1,515,000.00
874,000.00
783,000.00
1,223,000.00
1,923,000.00
605,000.00
1,223,000.00
1,136,000.00
1,042,000.00
1,094,000.00
534,000.00
647,000.00
699,000.00
699,000.00
262,000.00
262,000.00
38,920,000
AWAN BLUD (70% UMUM)
EMANGGUNG
18
TOTAL JUMLA
POIN H PPh Ps 21 (
TOTAL YANG DITETAP PENERI MAAN BERSIH TANDA TANGAN
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
255 255 2226 Rp 6,000,750 687,417 34,371 653,047 1
175 175 2226 Rp 6,000,750 471,757 23,588 448,169 2
195 195 2226 Rp 6,000,750 525,672 26,284 499,389 3
145 145 2226 Rp 6,000,750 390,884 19,544 371,340 4
85 82 2226 Rp 6,000,750 220,653 11,033 209,620 5
90 90 2226 Rp 6,000,750 242,618 12,131 230,487 6
90 90 2226 Rp 6,000,750 242,618 12,131 230,487 7
105 105 2226 Rp 6,000,750 283,054 14,153 268,902 8
80 80 2226 Rp 6,000,750 215,660 10,783 204,877 9
130 106 2226 Rp 6,000,750 285,550 14,278 271,273 10
75 72 2226 Rp 6,000,750 194,693 9,735 184,959 11
90 87 2226 Rp 6,000,750 233,632 11,682 221,950 12
50 50 2226 Rp 6,000,750 134,788 6,739 128,048 13
55 45 2226 Rp 6,000,750 120,810 6,040 114,769

14
70 70 2226 Rp 6,000,750 188,703 9,435 179,268 15
110 110 2226 Rp 6,000,750 296,533 14,827 281,706 16
85 35 2226 Rp 6,000,750 93,353 4,668 88,685 17
1791 Rp 4,828,396 241,420 4,586,976
1791 Rp 4,828,396 241,420 4,586,976
70 70 2226 Rp 6,000,750 188,703 9,435 179,268

18
65 65 2226 Rp 6,000,750 175,224 - 175,224

19
70 60 2226 Rp 6,000,750 160,747 - 160,747

20
TOTAL JUMLA
POIN H PPh Ps 21 (
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
65 63 2226 Rp 6,000,750 168,734 - 168,734

21
75 31 2226 Rp 6,000,750 82,370 4,119 78,252 22
40 37 2226 Rp 6,000,750 99,843 - 99,843

23
40 40 2226 Rp 6,000,750 107,830 5,392 102,439

24
40 40 2226 Rp 6,000,750 107,830 5,392 102,439

25
15 15 2226 Rp 6,000,750 40,536 2,027 38,509

26
15 15 2226 Rp 6,000,750 40,536 2,027 38,509 27
2226 - 6,000,750 269,810 5,730,940
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMA JASA PELAYANAN KAR
PUSKESMAS PARE KABUPATEN
BULAN : SEPTEMBER
POIN VARIABEL
NO NAMA NPWP NIK JABATAN GOL Hari Total Prosentas
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
1 348530486533000 3323064206800004 Pimpinan BLUD III c 24 0 24 1.00
19800602 200903 2 008
2 475903753533000 3374064910830004 dr Puskesmas III c 24 0 24 1.00
19770706 201001 1 011
3 695356485533000 3323044707670001 dokter Gigi III c 24 0 24 1.00
19840505 201001 2 040
4 491050720524000 3371026101660001 Plt. Ka TU III c 24 0 24 1.00
19660121 198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan III d 24 1 23 0.96
19660812 198703 2 010
Kuntari
6 597004449533000 3323135007700001 Bidan III d 24 0 24 1.00
19700710 199203 2 009
7 19660520 198811 2 247461858533001 3323084602780000 Perawat Gigi III d 24 0 24 1.00
001
8 19720123 199403 1 597004837533000 3323132301720001 Perawat III d 24 0 24 1.00
003
Heny Hermawati
9 19650524 491838017524000 3308196405650006 Perawat III d 24 1 23 0.96
198703 2 005
10 491049987523000 3305054811740002 Nutrisionis III b 24 0 24 1.00
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 3308206303820004 Paramedis III b 24 0 24 1.00
19820323 200312 2 003
F. Tri Martina
12 597004548533000 3323134603780002 Bidan IIIb 24 0 24 1.00
19780306 200501 2 011
Adlah
13 597004175524000 3308204801710003 Staf III b 24 0 24 1.00
19710108 199402 2 001
Sukaryanti
14 597004464533000 3323035011640001 Staf III b 24 6 18 0.75
19641110 198903 2 010
15 695356493524000 3371020311730002 Asisten Apoteker III a 24 0 24 1.00
199502 1 002
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 24 1 23 0.96
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 24 24 0 0.00
19750919 200604 2 018
JUMLAH DIPINDAHKAN
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
JUMLAH PINDAHAN

18 578697963533000 3323034202860003 Bidan Desa IIIa 24 1 23 0.96
201001 2 032
19 491859013533000 3323135109700000 Bidan Desa II d 24 0 24 1.00
200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 24 0 24 1.00
19780611 200701 2 006
21 458453263533000 3323036302840003 Bidan II c 24 0 24 1.00
201704 2 013
Siti Aliyah
22 781441084533000 3323035503660004 Sanitarian III c 24 17 7 0.29
19660315 198711 2 001
Slamet
23 349671289533000 3323042507760001 Pramu Bakti Ic 24 0 24 1.00
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 3323156509930001 24 0 24 1.00
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 3323036410930001 24 0 24 1.00
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 24 0 24 1.00
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 3323151606890001 24 0 24 1.00
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
-
ANAN KARYAWAN BLUD (70% JKN)
BUPATEN TEMANGGUNG
TEMBER 2018
VARIABEL TOTAL JUMLA

JENIS MASA POIN H
TOTAL YANG DITETAP PENERMAAN
PPh Ps 21 (
BERSIH TANDA TANGAN
JABATA BEBAN
TENAG KERJ VARIA TOTAL KAN ( Rp )
RP )
( Rp )
N KERJA BEL POIN
A A
150 100 0 5 255 255 2219 Rp 37,746,100 4,337,000 216,850 4,120,150 1
150 0 20 5 175 175 2219 Rp 37,746,100 2,976,000 148,800 2,827,200 2
150 40 0 5 195 195 2219 Rp 37,746,100 3,317,000 165,850 3,151,150 3
50 70 0 25 145 145 2219 Rp 37,746,100 2,466,000 123,300 2,342,700 4
60 0 5 25 90 86 2219 Rp 37,746,100 1,467,000 73,350 1,393,650 5
60 0 5 25 90 90 2219 Rp 37,746,100 1,530,000 76,500 1,453,500 6
60 0 5 25 90 90 2219 Rp 37,746,100 1,530,000 76,500 1,453,500 7
60 20 5 20 105 105 2219 Rp 37,746,100 1,786,000 89,300 1,696,700 8
50 0 5 25 80 77 2219 Rp 37,746,100 1,304,000 65,200 1,238,800 9
60 60 0 10 130 130 2219 Rp 37,746,100 2,211,000 110,550 2,100,450 10
60 0 5 10 75 75 2219 Rp 37,746,100 1,275,000 63,750 1,211,250 11
60 20 0 10 90 90 2219 Rp 37,746,100 1,530,000 76,500 1,453,500 12
30 0 0 20 50 50 2219 Rp 37,746,100 850,000 42,500 807,500 13
30 0 0 25 55 41 2219 Rp 37,746,100 701,000 35,050 665,950

14
50 0 0 20 70 70 2219 Rp 37,746,100 1,190,000 59,500 1,130,500 15
60 30 0 20 110 105 2219 Rp 37,746,100 1,793,000 89,650 1,703,350 16
60 10 10 80 0 2219 Rp 37,746,100 - - - 17
1780 30,263,000 1,513,150 28,749,850

JENIS MASA POIN H
TOTAL YANG DITETAP PENERMAAN
PPh Ps 21 (
BERSIH TANDA TANGAN
JABATA BEBAN VARIA TOTAL RP )
TENAG KERJ KAN ( Rp ) ( Rp )
N KERJA BEL POIN
A A
1780 30,263,000 1,513,150 28,749,850
60 0 5 5 70 67 2219 Rp 37,746,100 1,141,000 - 1,141,000

18
50 0 5 10 65 65 2219 Rp 37,746,100 1,105,000 - 1,105,000

19
60 0 0 10 70 70 2219 Rp 37,746,100 1,190,000 - 1,190,000

20
60 0 5 0 65 65 2219 Rp 37,746,100 1,105,000 - 1,105,000

21
50 0 0 25 75 22 2219 Rp 37,746,100 372,000 18,600 353,400 22
30 0 0 10 40 40 2219 Rp 37,746,100 680,100 - 680,100

23
25 15 0 0 40 40 2219 Rp 37,746,100 680,000 17,000 663,000

24
30 10 0 0 40 40 2219 Rp 37,746,100 680,000 17,000 663,000

25
15 0 0 0 15 15 2219 Rp 37,746,100 265,000 6,625 258,375

26
15 0 0 0 15 15 2219 Rp 37,746,100 265,000 6,625 258,375 27
2219 - 37,746,100 1,579,000 36,167,100
Temanggung , Oktober 2018

Puskesmas Pare
0.00
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
BULAN : SEPTEMBER 2018
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
1 348530486533000 Pimpinan BLUD 24 0 24 1.00 150 100 0 5
19800602 200903 2 008
2 475903753533000 dr Puskesmas 24 0 24 1.00 150 0 20 5
19770706 201001 1 011
3 695356485533000 dokter Gigi 24 0 24 1.00 150 40 0 5
19840505 201001 2 040
4 491050720524000 Plt. Ka TU 24 0 24 1.00 50 70 0 25
19660121 198603 2 008
Warsiti
5 597004415533000 Bidan 24 1 23 0.96 60 0 0 25
19660812 198703 2 010
Kuntari
6 597004449533000 Bidan 24 0 24 1.00 60 0 5 25
19700710 199203 2 009
7 19660520 198811 2 247461858533001 Perawat Gigi 24 0 24 1.00 60 0 5 25
001
8 19720123 199403 1 597004837533000 Perawat 24 0 24 1.00 60 20 5 20
003
Heny Hermawati
9 19650524 491838017524000 Perawat 24 1 23 0.96 50 0 5 25
198703 2 005
10 491049987523000 Nutrisionis 24 0 24 1.00 60 60 0 10
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 Paramedis 24 0 24 1.00 60 0 5 10
19820323 200312 2 003
F. Tri Martina
12 597004548533000 Bidan 24 0 24 1.00 60 20 0 10
19780306 200501 2 011
Adlah
13 597004175524000 Staf 24 0 24 1.00 30 0 0 20
19710108 199402 2 001
Sukaryanti
14 597004464533000 Staf 24 6 18 0.75 30 0 0 25
19641110 198903 2 010
15 695356493524000 Asisten Apoteker 24 0 24 1.00 50 0 0 20
199502 1 002
Christijanto Budi P
16 695356501533000 Analis 24 1 23 0.96 60 30 0 20
19720520 199703 1 007
Anik Rochayati
17 491049888533000 Bidan 24 24 0 0.00 60 10 5 10
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 Bidan Desa 24 1 23 0.96 60 0 5 5
201001 2 032
19 491859013533000 Bidan Desa 24 0 24 1.00 50 0 5 10
200604 2 008
Wiwin Sugiyanti
20 597004563533000 Bidan 24 0 24 1.00 60 0 0 10
19780611 200701 2 006
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
21 458453263533000 Bidan 24 0 24 1.00 60 0 5 0
201704 2 013
Siti Aliyah
22 781441084533000 Sanitarian 24 17 7 0.29 50 0 0 25
19660315 198711 2 001
Slamet
23 349671289533000 Pramu Bakti 24 0 24 1.00 30 0 0 10
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 24 0 24 1.00 25 15 0 0
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 24 0 24 1.00 30 10 0 0
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 24 0 24 1.00 15 0 0 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 24 0 24 1.00 15 0 0 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
EMANGGUNG
018
TOTAL JUMLA
POIN H PPh Ps 21 (
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
255 255 2214 Rp 7,226,450 832,314 41,616 790,698 1
175 175 2214 Rp 7,226,450 571,196 28,560 542,637 2
195 195 2214 Rp 7,226,450 636,476 31,824 604,652 3
145 145 2214 Rp 7,226,450 473,277 23,664 449,613 4
85 81 2214 Rp 7,226,450 265,878 13,294 252,584 5
90 90 2214 Rp 7,226,450 293,758 14,688 279,070 6
90 90 2214 Rp 7,226,450 293,758 14,688 279,070 7
105 105 2214 Rp 7,226,450 342,718 17,136 325,582 8
80 77 2214 Rp 7,226,450 250,238 12,512 237,726 9
130 130 2214 Rp 7,226,450 424,317 21,216 403,101 10
75 75 2214 Rp 7,226,450 244,798 12,240 232,559 11
90 90 2214 Rp 7,226,450 293,758 14,688 279,070 12
50 50 2214 Rp 7,226,450 163,199 8,160 155,039 13
55 41 2214 Rp 7,226,450 134,639 6,732 127,907

14
70 70 2214 Rp 7,226,450 228,479 11,424 217,055 15
110 105 2214 Rp 7,226,450 344,078 17,204 326,874 16
85 0 2214 Rp 7,226,450 - - - 17
1775 Rp 5,792,882 289,644 5,503,238
1775 Rp 5,792,882 289,644 5,503,238
70 67 2214 Rp 7,226,450 218,959 10,948 208,011

18
65 65 2214 Rp 7,226,450 212,159 - 212,159

19
70 70 2214 Rp 7,226,450 228,479 - 228,479

20
TOTAL JUMLA
POIN H PPh Ps 21 (
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
65 65 2214 Rp 7,226,450 212,159 - 212,159

21
75 22 2214 Rp 7,226,450 71,400 3,570 67,830 22
40 40 2214 Rp 7,226,450 130,559 - 130,559

23
40 40 2214 Rp 7,226,450 130,559 6,528 124,031

24
40 40 2214 Rp 7,226,450 130,559 6,528 124,031

25
15 15 2214 Rp 7,226,450 49,368 2,468 46,900

26
15 15 2214 Rp 7,226,450 49,368 2,468 46,900 27
2214 - 7,226,450 322,155 6,904,295
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
BULAN : AGUSTUS 2
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
19800602 200903 2 008
19770706 201001 1 011
3 695356485533000 3323044707670001 dokter Gigi III c 26 0 26 1.00
19840505 201001 2 040
4 491050720524000 3371026101660001 Plt. Ka TU III c 26 0 26 1.00
19660121 198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan III d 26 0 26 1.00
19660812 198703 2 010
Kuntari
6 597004449533000 3323135007700001 Bidan III d 26 0 26 1.00
19700710 199203 2 009
001
8 19720123 199403 1 597004837533000 3323132301720001 Perawat III d 26 0 26 1.00
003
Heny Hermawati
9 19650524 491838017524000 3308196405650006 Perawat III d 26 2 24 0.92
198703 2 005
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 3308206303820004 Paramedis III b 26 1 25 0.96
19820323 200312 2 003
F. Tri Martina
12 597004548533000 3323134603780002 Bidan IIIb 26 0 26 1.00
19780306 200501 2 011
Adlah
13 597004175524000 3308204801710003 Staf III b 26 0 26 1.00
19710108 199402 2 001
Sukaryanti
14 597004464533000 3323035011640001 Staf III b 26 2 24 0.92
19641110 198903 2 010
199502 1 002
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 26 0 26 1.00
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 26 26 0 0.00
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 3323034202860003 Bidan Desa IIIa 26 0 26 1.00
201001 2 032
19 491859013533000 3323135109700000 Bidan Desa II d 26 2 24 0.92
200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 26 0 26 1.00
19780611 200701 2 006
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
21 458453263533000 3323036302840003 Bidan II c 26 0 26 1.00
201704 2 013
Siti Aliyah
22 781441084533000 3323035503660004 Sanitarian III c 26 19 7 0.27
19660315 198711 2 001
Slamet
23 349671289533000 3323042507760001 Pramu Bakti Ic 26 1 25 0.96
19760725 200701 1 006
Suporting Staf
Akuntan
Suporting Staf
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 26 0 26 1.00
sebagai sopir
Suporting Staf
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
37430400
-
BUPATEN TEMANGGUNG
GUSTUS 2018

JENIS MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
JABATA BEBAN
RP )
( Rp )
N KERJA BEL POIN
A A
150 100 0 5 255 255 2188 Rp 37,426,900 4,361,000.00 218,050 4,142,950 1
150 0 20 5 175 175 2188 Rp 37,426,900 2,993,000.00 149,650 2,843,350 2
150 40 0 5 195 195 2188 Rp 37,426,900 3,335,000.00 166,750 3,168,250 3
50 70 0 25 145 145 2188 Rp 37,426,900 2,480,000.00 124,000 2,356,000 4
60 0 0 25 85 85 2188 Rp 37,426,900 1,453,000.00 72,650 1,380,350 5
60 0 5 25 90 90 2188 Rp 37,426,900 1,539,000.00 76,950 1,462,050 6
60 0 5 25 90 83 2188 Rp 37,426,900 1,421,000.00 71,050 1,349,950 7
60 20 5 20 105 105 2188 Rp 37,426,900 1,796,000.00 89,800 1,706,200 8
50 0 5 25 80 74 2188 Rp 37,426,900 1,263,000.00 63,150 1,199,850 9
60 60 0 10 130 105 2188 Rp 37,426,900 1,796,000.00 89,800 1,706,200 10
60 0 5 10 75 72 2188 Rp 37,426,900 1,233,000.00 61,650 1,171,350 11
60 20 0 10 90 90 2188 Rp 37,426,900 1,539,000.00 76,950 1,462,050 12
30 0 0 20 50 50 2188 Rp 37,426,900 855,000.00 42,750 812,250 13
30 0 0 25 55 51 2188 Rp 37,426,900 868,000.00 43,400 824,600

14
50 0 0 20 70 70 2188 Rp 37,426,900 1,197,000.00 59,850 1,137,150 15
60 30 0 20 110 110 2188 Rp 37,426,900 1,881,000.00 94,050 1,786,950 16
60 10 5 10 85 0 2188 Rp 37,426,900 - - - 17
1755 Rp 30,010,000 1,500,500 28,509,500
1755 Rp 30,010,000 1,500,500 28,509,500
60 0 5 5 70 70 2188 Rp 37,426,900 1,197,000.00 59,850 1,137,150

18
50 0 5 10 65 60 2188 Rp 37,426,900 1,026,000.00 51,300 974,700

19
60 0 0 10 70 70 2188 Rp 37,426,900 1,197,000.00 59,850 1,137,150

20
JENIS MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
N KERJA BEL POIN
A A
60 0 5 0 65 65 2188 Rp 37,426,900 1,111,000.00 55,550 1,055,450

21
50 0 0 25 75 20 2188 Rp 37,426,900 346,900.00 17,345 329,555 22
30 0 0 10 40 38 2188 Rp 37,426,900 658,000.00 32,900 625,100

23
25 15 0 0 40 40 2188 Rp 37,426,900 684,000.00 34,200 649,800

24
30 10 0 0 40 40 2188 Rp 37,426,900 684,000.00 34,200 649,800

25
15 0 0 0 15 15 2188 Rp 37,426,900 257,000.00 12,850 244,150

26
15 0 0 0 15 15 2188 Rp 37,426,900 256,000.00 12,800 243,200 27
2188 - 37,426,900 1,871,345 35,555,555
37,426,900.00
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
BULAN : AGUSTUS 2018
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
1 348530486533000 Pimpinan BLUD 26 0 26 1.00 150 100 0 5
19800602 200903 2 008
2 475903753533000 dr Puskesmas 26 0 26 1.00 150 0 20 5
19770706 201001 1 011
3 695356485533000 dokter Gigi 26 0 26 1.00 150 40 0 5
19840505 201001 2 040
4 491050720524000 Plt. Ka TU 26 0 26 1.00 50 70 0 25
19660121 198603 2 008
Warsiti
5 597004415533000 Bidan 26 0 26 1.00 60 0 0 25
19660812 198703 2 010
Kuntari
6 597004449533000 Bidan 26 0 26 1.00 60 0 5 25
19700710 199203 2 009
7 19660520 198811 2 247461858533001 Perawat Gigi 26 2 24 0.92 60 0 5 25
001
8 19720123 199403 1 597004837533000 Perawat 26 0 26 1.00 60 20 5 20
003
Heny Hermawati
9 19650524 491838017524000 Perawat 26 2 24 0.92 50 0 5 25
198703 2 005
10 491049987523000 Nutrisionis 26 5 21 0.81 60 60 0 10
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 Paramedis 26 1 25 0.96 60 0 5 10
19820323 200312 2 003
F. Tri Martina
12 597004548533000 Bidan 26 0 26 1.00 60 20 0 10
19780306 200501 2 011
Adlah
13 597004175524000 Staf 26 0 26 1.00 30 0 0 20
19710108 199402 2 001
Sukaryanti
14 597004464533000 Staf 26 2 24 0.92 30 0 0 25
19641110 198903 2 010
15 695356493524000 Asisten Apoteker 26 0 26 1.00 50 0 0 20
199502 1 002
Christijanto Budi P
16 695356501533000 Analis 26 0 26 1.00 60 30 0 20
19720520 199703 1 007
Anik Rochayati
17 491049888533000 Bidan 26 26 0 0.00 60 10 5 10
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 Bidan Desa 26 0 26 1.00 60 0 5 5
201001 2 032
19 491859013533000 Bidan Desa 26 2 24 0.92 50 0 5 10
200604 2 008
Wiwin Sugiyanti
20 597004563533000 Bidan 26 0 26 1.00 60 0 0 10
19780611 200701 2 006
POIN VARIABEL
Tidak JABATA BEBAN
Hadir N KERJA
21 458453263533000 CPNS 26 0 26 1.00 60 0 5 0
201704 2 013
Siti Aliyah
22 781441084533000 Sanitarian 26 19 7 0.27 50 0 0 25
19660315 198711 2 001
Slamet
23 349671289533000 Pramu Bakti 26 1 25 0.96 30 0 0 10
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 26 0 26 1.00 25 15 0 0
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 26 0 26 1.00 30 10 0 0
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 26 0 26 1.00 15 0 0 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 26 0 26 1.00 15 0 0 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
EMANGGUNG
18
TOTAL JUMLA
POIN H PPh Ps 21 (
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
255 255 2188 Rp 9,326,100 1,084,941 54,247 1,030,694 1
175 175 2188 Rp 9,326,100 745,918 37,296 708,622 2
195 195 2188 Rp 9,326,100 831,165 41,558 789,607 3
145 145 2188 Rp 9,326,100 618,046 30,902 587,144 4
85 85 2188 Rp 9,326,100 362,303 18,115 344,188 5
90 90 2188 Rp 9,326,100 383,615 19,181 364,434 6
90 83 2188 Rp 9,326,100 354,106 17,705 336,401 7
105 105 2188 Rp 9,326,100 447,551 22,378 425,173 8
80 74 2188 Rp 9,326,100 314,761 15,738 299,023 9
130 105 2188 Rp 9,326,100 447,551 22,378 425,173 10
75 72 2188 Rp 9,326,100 307,384 15,369 292,014 11
90 90 2188 Rp 9,326,100 383,615 19,181 364,434 12
50 50 2188 Rp 9,326,100 213,119 10,656 202,463 13
55 51 2188 Rp 9,326,100 216,398 10,820 205,578

14
70 70 2188 Rp 9,326,100 298,367 14,918 283,449 15
110 110 2188 Rp 9,326,100 468,862 23,443 445,419 16
85 0 2188 Rp 9,326,100 - - - 17
1755 Rp 7,477,700 373,885 7,103,815
1755 Rp 7,477,700 373,885 7,103,815
70 70 2188 Rp 9,326,100 298,367 14,918 283,449

18
65 60 2188 Rp 9,326,100 255,743 - 255,743

19
70 70 2188 Rp 9,326,100 298,367 - 298,367

20
TOTAL JUMLA
POIN H PPh Ps 21 (
VARIA TOTAL RP )
KAN ( Rp ) ( Rp )
BEL POIN
65 65 2188 Rp 9,326,100 277,055 - 277,055

21
75 20 2188 Rp 9,326,100 86,067 4,303 81,764 22
40 38 2188 Rp 9,326,100 163,938 - 163,938

23
40 40 2188 Rp 9,326,100 170,495 8,525 161,971

24
40 40 2188 Rp 9,326,100 170,495 8,525 161,971

25
15 15 2188 Rp 9,326,100 63,936 3,197 60,739

26
15 15 2188 Rp 9,326,100 63,936 3,197 60,739 27
2188 - 9,326,100 416,550 8,909,550
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
BULAN : JULI 201
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
19800602 200903 2 008
19770706 201001 1 011
3 695356485533000 3323044707670001 dokter Gigi III c 26 0 26 1.00
19840505 201001 2 040
4 491050720524000 3371026101660001 Plt. Ka TU III c 26 0 26 1.00
19660121 198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan III d 26 0 26 1.00
19660812 198703 2 010
Kuntari
6 597004449533000 3323135007700001 Bidan III d 26 0 26 1.00
19700710 199203 2 009
001
8 19720123 199403 1 597004837533000 3323132301720001 Perawat III d 26 0 26 1.00
003
Heny Hermawati
9 19650524 491838017524000 3308196405650006 Perawat III d 26 0 26 1.00
198703 2 005
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 3308206303820004 Paramedis III b 26 0 26 1.00
19820323 200312 2 003
F. Tri Martina
12 597004548533000 3323134603780002 Bidan IIIb 26 0 26 1.00
19780306 200501 2 011
Adlah
13 597004175524000 3308204801710003 Staf III b 26 0 26 1.00
19710108 199402 2 001
Sukaryanti
14 597004464533000 3323035011640001 Staf III b 26 0 26 1.00
19641110 198903 2 010
199502 1 002
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 26 0 26 1.00
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 26 11 15 0.58
19750919 200604 2 018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN

18 578697963533000 3323034202860003 Bidan Desa IIIa 26 0 26 1.00
201001 2 032
19 491859013533000 3323135109700000 Bidan Desa II d 26 0 26 1.00
200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 26 0 26 1.00
19780611 200701 2 006
POIN VARIABEL
Tidak
Kerja Kehadira e
Hadir
Efektif n Kehadiran
21 458453263533000 3323036302840003 CPNS II c 26 0 26 1.00
201704 2 013
Siti Aliyah
22 781441084533000 3323035503660004 Sanitarian III c 26 19 7 0.27
19660315 198711 2 001
Slamet
23 349671289533000 3323042507760001 Pramu Bakti Ic 26 1 25 0.96
19760725 200701 1 006
Suporting Staf
Akuntan
Suporting Staf
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 26 0 26 1.00
sebagai sopir
Suporting Staf
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
BUPATEN TEMANGGUNG
JULI 2018

JENIS MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
JABATA BEBAN
RP )
( Rp )
N KERJA BEL POIN
A A
150 100 0 5 255 255 2297 Rp 37,219,840 Rp 4,131,900 186,348 3,945,552 1
150 0 20 5 175 175 2297 Rp 37,219,840 Rp 2,835,600 133,508 2,702,092 2
150 40 0 5 195 195 2297 Rp 37,219,840 Rp 3,159,700 148,766 3,010,934 3
50 70 0 25 145 145 2297 Rp 37,219,840 Rp 2,349,500 101,402 2,248,098 4
60 0 0 25 85 85 2297 Rp 37,219,840 Rp 1,377,300 62,145 1,315,155 5
60 0 5 25 90 90 2297 Rp 37,219,840 Rp 1,458,300 62,939 1,395,361 6
60 0 5 25 90 83 2297 Rp 37,219,840 Rp 1,346,100 72,476 1,273,624 7
60 20 0 20 100 100 2297 Rp 37,219,840 Rp 1,620,300 83,919 1,536,381 8
50 0 5 25 80 80 2297 Rp 37,219,840 Rp 1,296,200 61,032 1,235,168 9
80 60 0 10 150 121 2297 Rp 37,219,840 Rp 1,963,100 114,435 1,848,665 10
60 0 5 10 75 75 2297 Rp 37,219,840 Rp 1,215,200 61,032 1,154,168 11
80 30 0 10 120 120 2297 Rp 37,219,840 Rp 1,944,400 83,919 1,860,481 12
30 0 0 20 50 50 2297 Rp 37,219,840 Rp 810,200 38,145 772,055 13
30 0 0 25 55 55 2297 Rp 37,219,840 Rp 891,200 41,960 849,240

14
50 0 0 20 70 70 2297 Rp 37,219,840 Rp 1,134,200 53,403 1,080,797 15
60 30 0 20 110 110 2297 Rp 37,219,840 Rp 1,782,400 80,422 1,701,978 16
60 10 5 10 85 49 2297 Rp 37,219,840 Rp 794,600 64,847 729,753 17
1858 Rp 30,110,200 1,450,698 28,659,502
1858 Rp 30,110,200 1,450,698 28,659,502
60 0 5 5 70 70 2297 Rp 37,219,840 Rp 1,134,200 53,403 1,080,797

18
50 0 5 10 65 65 2297 Rp 37,219,840 Rp 1,053,200 - 1,053,200

19
60 0 0 10 70 70 2297 Rp 37,219,840 Rp 1,134,200 - 1,134,200

20
JENIS MASA POIN H
PPh Ps 21 (
BERSIH TANDA TANGAN
N KERJA BEL POIN
A A
60 0 5 0 65 65 2297 Rp 37,219,840 Rp 1,053,200 - 1,053,200

21
50 0 0 25 75 20 2297 Rp 37,219,840 Rp 327,500 21,457 306,043 22
30 0 0 10 40 38 2297 Rp 37,219,840 Rp 623,300 - 623,300

23
25 15 0 0 40 40 2297 Rp 37,219,840 Rp 648,200 30,516 617,684

24
30 10 0 0 40 40 2297 Rp 37,219,840 Rp 648,200 30,516 617,684

25
15 0 0 0 15 15 2297 Rp 37,219,840 Rp 243,820 10,967 232,853

26
15 0 0 0 15 15 2297 Rp 37,219,840 Rp 243,820 10,967 232,853 27
4155 - 37,219,840 1,608,524 35,611,316
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
DAFTAR PENERIMA JASA PELAYANAN KARYAWA
PUSKESMAS PARE KABUPATEN TEM
BULAN : JULI 2018
POIN VARIABEL
NO NAMA NPWP NIK JABATAN Hari Total Prosentas JENIS
Tidak JABATA
Hadir N
1 348530486533000 3323064206800004 Pimpinan BLUD 26 0 26 1.00 150 100
19800602 200903 2 008
2 19770706 475903753533000 3374064910830004 dr Puskesmas 26 0 26 1.00 150 0
201001 1 011
3 695356485533000 3323044707670001 dokter Gigi 26 0 26 1.00 150 40
19840505 201001 2 040
4 491050720524000 3371026101660001 Plt. Ka TU 26 0 26 1.00 50 70
19660121 198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan 26 0 26 1.00 60 0
19660812 198703 2 010
Kuntari
6 597004449533000 3323135007700001 Bidan 26 0 26 1.00 60 0
19700710 199203 2 009
7 AMKG 247461858533001 3323084602780000 Perawat Gigi 26 2 24 0.92 60 0
19660520 198811
Sidit Supriyadi, SKM 2 001
8 19720123 597004837533000 3323132301720001 Perawat 26 0 26 1.00 60 20
199403 1 003
Heny Hermawati
9 491838017524000 3308196405650006 Perawat 26 0 26 1.00 50 0
19650524 198703 2 005
10 491049987523000 3305054811740002 Nutrisionis 26 5 21 0.81 60 60
19741108 200501 2 009
Niken Pratiwi
11 383072865533000 3308206303820004 Paramedis 26 0 26 1.00 60 0
19820323 200312 2 003
F. Tri Martina
12 19780306 200501 597004548533000 3323134603780002 Bidan 26 0 26 1.00 60 30
2 011
Adlah
13 19710108 199402 2 597004175524000 3308204801710003 Staf 26 0 26 1.00 30 0
001
Sukaryanti 19641110
14 597004464533000 3323035011640001 Staf 26 0 26 1.00 30 0
198903 2 010
Previanto Wibowo
15 695356493524000 3371020311730002 Asisten Apoteker 26 0 26 1.00 50 0
19731103 199502 1 002
Christijanto Budi P
16 19720520 695356501533000 3322192005720001 Analis 26 0 26 1.00 60 30
199703
Anik 1 007
Rochayati
17 19750919 200604 2 491049888533000 3323195909750001 Bidan 26 11 15 0.58 60 10
018
JUMLAH DIPINDAHKAN
JUMLAH PINDAHAN
Dwi Ratna Widyastuti
18 578697963533000 3323034202860003 Bidan Desa 26 0 26 1.00 60 0
19860202 201001 2 032
Dwi Puji Andayani
19 491859013533000 3323135109700000 Bidan Desa 26 0 26 1.00 50 0
19700911 200604 2 008
Wiwin Sugiyanti
20 19780611 200701 597004563533000 3323135106780001 Bidan 26 0 26 1.00 60 0
2 006
Wida Febriani, Am.Keb
21 458453263533000 3323036302840003 CPNS 26 0 26 1.00 60 0
19840217 201704 2 013
22 Aliyah 781441084533000 3323035503660004 Sanitarian 26 19 7 0.27 50 0
Slamet
23 349671289533000 3323042507760001 Pramu Bakti 26 1 25 0.96 30 0
19760725 200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 3323156509930001 26 0 26 1.00 25 15
Akuntan
Suporting Staf
25 Novitasari Candra Kiranawati 818972010533000 3323036410930001 26 0 26 1.00 30 10
Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 26 0 26 1.00 15 0
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 3323151606890001 26 0 26 1.00 15 0
sebagai penjaga
JUMLAH
Mengetahui
Pimpinan BLUD
Puskesmas Pare

NIP.19800602 200903 2 008
RYAWAN BLUD (70% UMUM)
N TEMANGGUNG
18
TOTAL JUMLA JUMLAH

TOTAL JASPEL PENERIMAAN
MASA POIN H
TOTAL YANG DITETAP
PENERI PPh Ps 21 (
BERSIH TANDA TANGAN
BEBAN VARIA TOTAL MAAN RP )
KERJ KAN ( Rp )
KERJA BEL POIN ( Rp )
A
0 5 255 255 2261 Rp 12,345,200 Rp 1,392,316 186,348 1,205,968 1
20 5 175 175 2261 Rp 12,345,200 Rp 955,511 133,508 822,003 2
0 5 195 195 2261 Rp 12,345,200 Rp 1,064,712 148,766 915,946 3
0 25 145 145 2261 Rp 12,345,200 Rp 791,709 101,402 690,307 4
0 25 85 85 2261 Rp 12,345,200 Rp 464,105 62,145 401,960 5
5 25 90 90 2261 Rp 12,345,200 Rp 491,406 62,939 428,467 6
5 25 90 83 2261 Rp 12,345,200 Rp 453,605 72,476 381,129 7
0 20 100 100 2261 Rp 12,345,200 Rp 546,006 83,919 462,087 8
5 25 80 80 2261 Rp 12,345,200 Rp 436,805 61,032 375,773 9
0 10 130 105 2261 Rp 12,345,200 Rp 573,307 114,435 458,872 10
5 10 75 75 2261 Rp 12,345,200 Rp 409,505 61,032 348,473 11
0 10 100 100 2261 Rp 12,345,200 Rp 546,006 83,919 462,087 12
0 20 50 50 2261 Rp 12,345,200 Rp 273,003 38,145 234,858 13
0 25 55 55 2261 Rp 12,345,200 Rp 300,303 41,960 258,343

14
0 20 70 70 2261 Rp 12,345,200 Rp 382,204 53,403 328,801 15
0 20 110 110 2261 Rp 12,345,200 Rp 600,607 80,422 520,185 16
5 10 85 49 2261 Rp 12,345,200 Rp 267,753 64,847 202,906 17
1890 1822 9,948,863 1,450,698 8,498,165

1890 1822 9,948,863 1,450,698 8,498,165
5 5 70 70 2261 Rp 12,345,200 Rp 382,204 53,403 328,801

18
5 10 65 65 2261 Rp 12,345,200 Rp 354,904 - 354,904
19
0 10 70 70 2261 Rp 12,345,200 Rp 382,204 - 382,204
20
5 0 65 65 2261 Rp 12,345,200 Rp 354,904 - 354,904
21
0 25 75 20 2261 Rp 12,345,200 Rp 110,251 21,457 88,794 22
0 10 40 38 2261 Rp 12,345,200 Rp 210,002 - 210,002

23
0 0 40 40 2261 Rp 12,345,200 Rp 218,402 30,516 187,886
24
0 0 40 40 2261 Rp 12,345,200 Rp 218,402 30,516 187,886
25
0 0 15 15 2261 Rp 12,345,200 Rp 82,531 10,967 71,564
26
0 0 15 15 2261 Rp 12,345,200 Rp 82,531 10,967 71,564 27
2385 2261 - 12,345,200 1,608,524 10,736,676
Pare, 2018
Puskesmas Pare
Setyo Wuryatmi,S.ST
NIP.19741108 200501 2 009
Pendapatan BLURetri - 70% - total penerimaan retri jkn
Mei JKN 51,027,100 35,718,970 51,027,100
1,205,968
Persalinan umu 1,400,000 10% 140,000 70% 35,718,970
PERHITUNGAN ASLI TANPA PEMBULATAN 35,858,970 Persln 10% 140,000
Penerimaan pajak bersih 35,858,970

3,726,964.0 186,348.2 3,540,615.8 17,103 3,744,067.0
922,857.8 46,142.9 876,714.9 17,103 939,960.8
1,028,327.2 51,416.4 976,910.9 17,103 1,045,430.2
764,653.6 38,232.7 726,420.9 17,103 781,756.6
448,245.2 22,412.3 425,832.9 17,103 465,348.2
474,612.6 23,730.6 450,881.9 17,103 491,715.6
438,103.9 21,905.2 416,198.7 17,103 455,206.9
527,347.3 26,367.4 500,979.9 17,103 544,450.3
421,877.8 21,093.9 400,783.9 17,103 438,980.8
553,714.7 27,685.7 526,028.9 17,103 570,817.7
395,510.5 19,775.5 375,734.9 17,103 412,613.5
527,347.3 26,367.4 500,979.9 17,103 544,450.3
263,673.6 13,183.7 250,490.0 17,103 280,776.6
290,041.0 14,502.1 275,539.0 17,103 307,144.0
369,143.1 18,457.2 350,685.9 17,103 386,246.1
580,082.0 29,004.1 551,077.9 17,103 597,185.0
258,603.0 12,930.1 245,672.8 17,103 275,706.0
11,991,104.5 599,555.2 11,391,549.2
11,991,104.5 599,555.2 11,391,549.2
369,143.1 18,457.2 350,685.9 17,103 386,246.1
342,775.7 - 342,775.7 17,103 359,878.7
369,143.1 - 369,143.1 17,103 386,246.1
342,775.7 - 342,775.7 17,103 359,878.7
106,483.6 5,324.2 101,159.4 17,103 123,586.6
202,825.9 - 202,825.9 17,103 219,928.9
210,938.9 10,546.9 200,392.0 17,103 228,041.9
210,938.9 10,546.9 200,392.0 17,103 228,041.9
79,102.1 3,955.1 75,147.0 17,103 96,205.1
79,102.1 3,955.1 75,147.0 17,103 96,205.1
14,304,334 652,341 13,651,993
(1,959,134) 46,065,250 1,977,418 44,087,832
(1,959,134)
(85,180)
34,173,504
Persalinan 17
13,480,000
80% 10,784,000
10% 1,348,000 1,488,000
BULAN : JUNI 2018
POIN VARIABEL TOTAL

JUMLAH JUMLAH PENERI
POIN TOTAL JASPEL YANG PPh Ps 21
NO NAMA NPWP NIK JABATAN GOL Hari Kerja Tidak Total Prosentase JENIS BEBAN MASA VARIAB TOTAL MAAN
JABATAN DITETAP KAN ( RP )
Efektif Hadir Kehadiran Kehadiran TENAGA KERJA KERJA POIN ( Rp )
EL
1
19800602 200903 2 008 348530486533000 3323064206800004 Pimpinan BLUD III c 15 0 15 1.00 150 100 0 5 255 2425 35,954,380 186,348
3,780,770
2 19770706 475903753533000 3374064910830004 dr Puskesmas III c 15 0 15 1.00 150 0 20 5 175 2425 35,954,380 133,508
201001 1 011 2,594,645
3 695356485533000 3323044707670001 dokter Gigi III c 15 0 15 1.00 150 40 0 5 195 2425 148,766
19840505 201001 2 040 2,891,175
4 19660121 491050720524000 3371026101660001 Plt. Ka TU III c 15 0 15 1.00 50 70 0 25 145 2425 35,954,380 101,402
2,149,845
198603 2 008
Warsiti
5
19660812 198703 2 010 597004415533000 3323135208660002 Bidan III d 15 0 15 1.00 60 0 0 25 85 2425 35,954,380 62,145
1,260,255
Kuntari 35,954,380
6 597004449533000 3323135007700001 Bidan III d 15 0 15 1.00 60 0 5 25 90 2425 62,939
19700710 199203 2 009 1,334,385
7 AMKG 247461858533001 3323084602780000 Perawat Gigi III d 15 2 13 0.87 60 0 5 25 90 2425 35,954,380 72,476
19660520 198811 2 001 1,334,385
8 597004837533000 3323132301720001 Perawat III d 15 0 15 1.00 60 20 0 20 100 2425 35,954,380 83,919
1,482,650
19720123 199403 1 003
Heny Hermawati
9 491838017524000 3308196405650006 Perawat III d 15 0 15 1.00 50 0 5 25 80 2425 35,954,380 61,032
19650524 198703 2 005 1,186,120
10 19741108 200501 2 491049987523000 3305054811740002 Nutrisionis III b 15 0 15 1.00 80 60 0 10 150 2425 35,954,380 114,435
2,223,980
009
Niken Pratiwi
11 19820323 383072865533000 3308206303820004 Paramedis III b 15 0 15 1.00 60 0 5 10 75 2425 35,954,380 61,032
1,111,990
200312
F. 2 003
Tri Martina
12 597004548533000 3323134603780002 Bidan IIIb 15 0 15 1.00 80 30 0 10 120 2425 35,954,380 83,919
1,779,185
19780306 200501 2 011
POIN VARIABEL TOTAL
POIN ( Rp )
Adlah Efektif Hadir Kehadiran Kehadiran TENAGA KERJA KERJA EL
13 597004175524000 3308204801710003 Staf III b 15 0 15 1.00 30 0 0 20 50 2425 35,954,380 38,145

19710108 199402 2 001 741,325
Sukaryanti 35,954,380
14 597004464533000 3323035011640001 Staf III b 15 0 15 1.00 30 0 0 25 55 2425 41,960
19641110 198903 2 010 815,460
15 695356493524000 3371020311730002 Asisten Apoteker III a 15 0 15 1.00 50 0 0 20 70 2425 53,403
19731103 199502 1 002 1,037,855
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 15 0 15 1.00 60 30 0 20 110 2425 35,954,380 80,422
1,630,920
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 15 0 15 1.00 60 10 5 10 85 2425 35,954,380 64,847
1,260,255
19750919 200604 2 018
JUMLAH DIPINDAHKAN 1930 0 1,450,698
28,615,200
POIN VARIABEL TOTAL
EL
JUMLAH PINDAHAN 1930 28,615,200 1,450,698
Dwi Ratna Widyastuti 35,954,380 1,037,855

18 578697963533000 3323034202860003 Bidan Desa IIIa 15 0 15 1.00 60 0 5 5 70 2425 53,403
19860202 201001 2 032
Dwi Puji Andayani 35,954,380 963,725
19 491859013533000 3323135109700000 Bidan Desa II d 15 0 15 1.00 50 0 5 10 65 2425 -
19700911 200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 15 0 15 1.00 60 0 0 10 70 2425 35,954,380 1,037,855 -
19780611 200701 2 006
Wida Febriani, Am.Keb 35,954,380 963,725
21 458453263533000 3323036302840003 CPNS II c 15 0 15 1.00 60 0 5 0 65 2425 -
19840217 201704 2 013
22 Aliyah 781441084533000 3323035503660004 Sanitarian III c 15 11 4 0.27 50 0 0 25 75 2425 35,954,380 1,111,990 21,457
Slamet
23 19760725 349671289533000 3323042507760001 Pramu Bakti Ic 15 0 15 1.00 30 0 0 10 40 2425 35,954,380 593,060 -
200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 3323156509930001
Akuntan 15 0 15 1.00 25 15 0 0 40 2425 35,954,380 593,060 30,516
Novitasari Candra Suporting Staf

35,954,380 593,060
25 818972010533000 3323036410930001 15 0 15 1.00 30 10 0 0 40 2425 30,516
Kiranawati Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001
sebagai sopir 15 0 15 1.00 15 0 0 0 15 2425 35,954,380 222,425 10,967
Suporting Staf
27 Bambang Setyo Budi 820924108533000 3323151606890001
sebagai penjaga
15 0 15 1.00 15 0 0 0 15 2425 35,954,380 222,425 10,967
JUMLAH 2425 - 35,954,380 1,608,524

POIN VARIABEL TOTAL
EL

NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
POIN VARIABEL TOTAL
EL
34,345,856
50,929,300 35,650,510 3,780,770
2,594,645 -
Jaspel Bulan Juni 2018 51,363,400 2,891,175
35,954,380 2,149,845
1,260,255
1,334,385
1,334,385
1,482,650
1,186,120
2,223,980
1,111,990
1,779,185
741,325
815,460
1,037,855
1,630,920
1,260,255
1,037,855
963,725
1,037,855
963,725
1,111,990
593,060
POIN VARIABEL TOTAL
EL
593,060
593,060
222,425
222,425
35,954,380
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
3,594,422 1
2,461,137 2
2,742,409 3
2,048,443 4
1,198,110 5
1,271,446 6
1,261,909 7
1,398,731 8
1,125,088 9
2,109,545 10
1,050,958 11
1,695,266 12
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
703,180 13
773,500
14
984,452 15
1,550,498 16
1,195,408 17
27,164,502
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
27,164,502
984,452
18
963,725
19
1,037,855
20
963,725
21
1,090,533 22
593,060
23
562,544
24
562,544
25
211,458
26
211,458 27
34,345,856
2018
ngeluaran
s Pare
PENERIMAAN
BERSIH TANDA TANGAN
( Rp )
tmi,S.ST
00501 2 009
Pendapatan BLURetri - 70% - total penerimaan retri jkn Persalinan 17
Mei JKN 51,027,100 35,718,970 51,027,100 13,480,000
3,594,422
Persalinan u 1,400,000 10% 140,000 70% 35,718,970 80% 10,784,000
PERHITUNGAN ASLI TANPA PEMBULATAN 35,858,970 Persln 10% 140,000 10% 1,348,000 1,488,000
3,726,964.0 186,348.2 17,103
3,540,615.8 3,744,067.0
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
599,638,943.5 29,981,947.2
569,656,996.3
599,638,943.5 29,981,947.2
569,656,996.3
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 - 17,103
37,244,498.7 37,261,601.7
37,244,498.7 - 17,103
37,244,498.7 37,261,601.7
37,244,498.7 - 17,103
37,244,498.7 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 - 17,103
37,244,498.7 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
37,244,498.7 1,862,224.9 17,103
35,382,273.8 37,261,601.7
972,083,931 41,155,297 930,928,634
### 46,065,250 1,977,418 44,087,832
(936,129,551)
(40,701,285)
34,173,504
7,302,774
(0)
51,027,100 35,718,970
BULAN : MEI 2018
POIN VARIABEL TOTAL

JUMLAH TOTAL JASPEL JUMLAH PENERI PENERIMAAN
POIN PPh Ps 21
NO NAMA NPWP NIK JABATAN GOL Hari Kerja Tidak Total Prosentase JENIS BEBAN MASA VARIAB TOTAL YANG DITETAP MAAN BERSIH
JABATAN ( RP )
Efektif Hadir Kehadiran Kehadiran TENAGA KERJA KERJA POIN KAN ( Rp ) ( Rp )
EL
1 348530486533000 3323064206800004 Pimpinan BLUD III c 24 2 22 0.92 150 100 0 5 255 234 35,718,970 3,568,081 178,404 3,389,677
19800602 200903 2 008
2 19770706 475903753533000 3374064910830004 dr Puskesmas III c 24 0 24 1.00 150 0 20 5 175 175 35,718,970 2,671,290 133,565 2,537,725
201001 1 011
3 695356485533000 3323044707670001 dokter Gigi III c 24 0 24 1.00 150 40 0 5 195 195 35,718,970 148,829 2,827,752
19840505 201001 2 040
4 19660121 491050720524000 3371026101660001 Plt. Ka TU III c 24 2 22 0.92 50 70 0 25 145 133 35,718,970 2,028,909 101,445 1,927,464
198603 2 008
Warsiti
5 597004415533000 3323135208660002 Bidan III d 24 1 23 0.96 60 0 0 25 85 81 35,718,970 1,243,422 62,171 1,181,251
19660812 198703 2 010
Kuntari 1,259,323
6 597004449533000 3323135007700001 Bidan III d 24 2 22 0.92 60 0 5 25 90 83 35,718,970 62,966 1,196,357
19700710 199203 2 009
7 AMKG 247461858533001 3323084602780000 Perawat Gigi III d 24 0 24 1.00 60 0 10 25 95 95 35,718,970 1,450,129 72,507 1,377,622
19660520 198811 2 001
8 597004837533000 3323132301720001 Perawat III d 24 0 24 1.00 60 20 10 20 110 110 35,718,970 1,679,097 83,955 1,595,142
19720123 199403 1 003
Heny Hermawati
9 491838017524000 3308196405650006 Perawat III d 24 0 24 1.00 50 0 5 25 80 80 35,718,970 1,221,161 61,058 1,160,103
19650524 198703 2 005
10 19741108 200501 2 491049987523000 3305054811740002 Nutrisionis III b 24 0 24 1.00 80 60 0 10 150 150 35,718,970 2,289,678 114,484 2,175,194
009
Niken Pratiwi
11 19820323 383072865533000 3308206303820004 Paramedis III b 24 0 24 1.00 60 0 10 10 80 80 35,718,970 1,221,161 61,058 1,160,103
200312
F. 2 003
Tri Martina
12 597004548533000 3323134603780002 Bidan III a 24 0 24 1.00 80 20 0 10 110 110 35,718,970 1,679,097 83,955 1,595,142
Adlah
19780306 200501 2 011
13 597004175524000 3308204801710003 Staf III b 24 0 24 1.00 30 0 0 20 50 50 35,718,970 763,226 38,161 725,065
19710108 199402 2 001
POIN VARIABEL TOTAL
POIN PPh Ps 21
JABATAN ( RP )
EL
Sukaryanti 839,548
14 597004464533000 3323035011640001 Staf III b 24 0 24 1.00 30 0 0 25 55 55 35,718,970 41,977 797,571
19641110 198903 2 010
15 695356493524000 3371020311730002 Asisten Apoteker III a 24 0 24 1.00 50 0 0 20 70 70 35,718,970 53,426 1,015,090
19731103 199502 1 002
Christijanto Budi P
16 695356501533000 3322192005720001 Analis III a 24 1 23 0.96 60 30 0 20 110 105 35,718,970 1,609,135 80,457 1,528,678
19720520 199703 1 007
Anik Rochayati
17 491049888533000 3323195909750001 Bidan III a 24 0 24 1.00 60 10 5 10 85 85 35,718,970 1,297,484 64,874 1,232,610
19750919 200604 2 018
JUMLAH DIPINDAHKAN 1891 0 28,865,838 1,443,292 27,422,546
POIN VARIABEL TOTAL
POIN PPh Ps 21
JABATAN ( RP )
EL
JUMLAH PINDAHAN 1891 28,865,838 1,443,292 27,422,546
Dwi Ratna Widyastuti 1,068,516

18 578697963533000 3323034202860003 Bidan Desa II d 24 0 24 1.00 60 0 5 5 70 70 35,718,970 - 1,068,516
19860202 201001 2 032
Dwi Puji Andayani 868,169
19 3323135109700000 Bidan Desa II d 24 3 21 0.88 50 0 5 10 65 57 35,718,970 - 868,169
19700911 200604 2 008
Wiwin Sugiyanti
20 597004563533000 3323135106780001 Bidan II c 24 0 24 1.00 60 0 5 10 75 75 35,718,970 1,144,839 - 1,144,839
19780611 200701 2 006
Wida Febriani, Am.Keb 1,097,137
21 458453263533000 3323036302840003 CPNS II c 24 1 23 0.96 60 0 5 10 75 72 35,718,970 - 1,097,137
19840217 201704 2 013
22 Aliyah 781441084533000 3323035503660004 Sanitarian III c 24 15 9 0.38 50 0 0 25 75 28 35,718,970 429,315 21,466 407,849
Slamet
23 19760725 3323042507760001 Pramu Bakti Ic 24 1 23 0.96 30 0 0 10 40 38 35,718,970 585,140 - 585,140
200701 1 006
Suporting Staf
24 Pertiwi Kundalini 820898609533000 3323156509930001 24 0 24 1.00 25 15 0 0 40 40 35,718,970 610,581 30,529 580,052
Akuntan

610,581
25 818972010533000 3323036410930001 24 0 24 1.00 30 10 0 0 40 40 35,718,970 30,529 580,052
Kiranawati Promkes
Suporting Staf
26 Azif Kuniawan 820980282533000 3323150703950001 24 1 23 0.96 15 0 0 0 15 14 35,718,970 219,427 10,971 208,456
sebagai sopir
Suporting Staf
27 Bambang Setyo Budi 820924108533000 3323151606890001 24 1 23 0.96 15 0 0 0 15 14 35,718,970 219,427 10,971 208,456
sebagai penjaga
JUMLAH 2,340 35,718,970 1,547,758 34,171,212
-
POIN VARIABEL TOTAL
POIN PPh Ps 21
JABATAN ( RP )
EL

NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
POIN VARIABEL TOTAL
POIN PPh Ps 21
JABATAN ( RP )
EL
34,171,212
50,929,300 35,650,510
-
TANDA TANGAN
10
11
12
13
TANDA TANGAN
14
15
16
17
TANDA TANGAN
18
19
20
21
22
23
24
25
26
27
TANDA TANGAN
Pendapatan BLURetri - 70% - total penerimaan retri jkn Persalinan 17
Mei JKN 51,027,100 35,718,970 51,027,100 13,480,000
Persalinan u 1,400,000 10% 140,000 70% 35,718,970 80% 10,784,000

3,568,080.9 178,404.0 17,103
3,389,676.8 3,585,183.9
2,671,290.5 133,564.5 17,103
2,537,726.0 2,688,393.5
2,976,580.8 148,829.0 17,103
2,827,751.8 2,993,683.8
2,028,908.7 101,445.4 17,103
1,927,463.3 2,046,011.7
1,243,422.1 62,171.1 17,103
1,181,251.0 1,260,525.1
1,259,322.7 62,966.1 17,103
1,196,356.5 1,276,425.7
1,450,129.1 72,506.5 17,103
1,377,622.7 1,467,232.1
1,679,096.9 83,954.8 17,103
1,595,142.0 1,696,199.9
1,221,161.4 61,058.1 17,103
1,160,103.3 1,238,264.4
2,289,677.6 114,483.9 17,103
2,175,193.7 2,306,780.6
1,221,161.4 61,058.1 17,103
1,160,103.3 1,238,264.4
1,679,096.9 83,954.8 17,103
1,595,142.0 1,696,199.9
763,225.9 38,161.3 17,103
725,064.6 780,328.9
839,548.4 41,977.4 17,103
797,571.0 856,651.4
1,068,516.2 53,425.8 17,103
1,015,090.4 1,085,619.2
1,609,134.5 80,456.7 17,103
1,528,677.8 1,626,237.5
1,297,484.0 64,874.2 17,103
1,232,609.8 1,314,587.0
28,865,837.8 1,443,291.9
27,422,546.0
28,865,837.8 1,443,291.9
27,422,546.0
1,068,516.2 - 17,103
1,068,516.2 1,085,619.2
868,169.4 - 17,103
868,169.4 885,272.4
1,144,838.8 - 17,103
1,144,838.8 1,161,941.8
1,097,137.2 - 17,103
1,097,137.2 1,114,240.2
429,314.5 21,465.7 17,103
407,848.8 446,417.5
585,139.8 - 17,103
585,139.8 602,242.8
610,580.7 30,529.0 17,103
580,051.6 627,683.7
610,580.7 30,529.0 17,103
580,051.6 627,683.7
219,427.4 10,971.4 17,103
208,456.1 236,530.4
219,427.4 10,971.4 17,103
208,456.1 236,530.4
35,718,970 1,547,758 34,171,212
46,065,250 1,977,418 44,087,832
-
-
34,173,504
7,302,774
51,027,100 35,718,970
PENDAPATAN FEBRUAI 2018
PEMBAGIAN
No Uraian Jumlah
80% 10% 10% Jml
1 Rawat jalan - - - -
2 UKS/anak - - - -
3 Tindakan - - - -
4 Caten - - - -
5 Persalinan Jan 18 - - - -
6 Persalinan 2017 - - - -
JUMLAH - - - - -
PEMBAGIAN
No Uraian Jumlah
70% 30% Jml
7 Konfirmasi BPJS 52,891,000 37,023,700 15,867,300 52,891,000
JML PENDAPATAN 52,891,000
NO URAIAN SUMBER JUMLAH KET.

70% BPJS + Semua
1 Jasa Pelayanan Karyawan 37,023,700 Karyawan
10%
10% perslnan - Non Bidan

2017
2 Jasa Pelayanan Loket RJ + Anak - Pelaksana
Tindakan msh
3 Jasa Pelayanan Tindakan - Pelaksana
campur
4 Jasa Pelayanan Caten - Pelaksana
5 Jasa Pelayanan Persalinan - Pelaksana
30% BPJS +
6 Operasional Puskesmas 15,867,300 Puskesmas
10%
52,891,000
DAFTAR PENERIMA JASA PELAYANAN KARYAWAN NON KAPITASI BPJS (JUNI & JULI 2017)
BULAN : JANUARI 2018
JUMLAH TOTAL JASPEL PENERIMAAN

JUMLAH PENERI PPh Ps 21
NO NAMA NPWP NIK JABATAN GOL TOTAL YANG DITETAP
MAAN ( Rp ) ( RP )
BERSIH TANDA TANGAN
POIN KAN ( Rp )

1 348530486533000 3323064206800004 Pimpinan BLUD III c 6 1,348,000 144,429 7,221 137,208 1
19800602 200903 2 008
Heny Hermawati
2 491838017524000 3308196405650006 Perawat III d 4 1,348,000 96,286 4,814 91,472 2
19650524 198703 2 005
3 19770706 475903753533000 3374064910830004 dr Puskesmas III c 5 1,348,000 120,357 6,018 114,339 3
201001 1 011
4 AMKG 247461858533001 3323084602780000 Perawat Gigi III d 4 1,348,000 96,286 4,814 91,472 4
19660520 198811 2 001
Gaminem
5 781441142533000 1119212001690001 Perawat III d 4 1,348,000 96,286 4,814 91,472 5
19670215 199103 2 011
6 597004837533000 3323132301720001 Perawat III d 4 1,348,000 96,286 4,814 91,472 6
19720123 199403 1 003
Siti Susanti, SKM 72,214
7 597004472533000 3323034903710003 Sanitarian III c 3 1,348,000 3,611 68,603 7
19710309 199503 2 001
8 19660121 198603 2 491050720524000 3371026101660001 Plt. Ka TU III c 2 1,348,000 48,143 2,407 45,736 8
drg. Ratitasari Triratna
008
Dewi 120,357
9 695356485533000 3323044707670001 dokter Gigi III c 5 1,348,000 6,018 114,339 9
19840505 201001 2
040
Sukaryanti
10 597004464533000 3323035011640001 Staf III b 2 1,348,000 48,143 2,407 45,736
19641110 198903 2 010 10
Adlah
11 19710108 597004175524000 3308204801710003 Staf III b 2 1,348,000 48,143 2,407 45,736 11
199402 2 001
Niken Pratiwi
12 19820323 383072865533000 3308206303820004 Paramedis III b 4 1,348,000 96,286 4,814 91,472 12
200312 2 003
JUMLAH DIPINDAHKAN 1,083,216 54,159 1,029,057
MAAN ( Rp ) ( RP )
BERSIH TANDA TANGAN
POIN KAN ( Rp )
JUMLAH PINDAHAN 1,083,216 54,159 1,029,057

13 19741108 200501 2 491049987523000 3305054811740002 Nutrisionis III b 3 1,348,000 72,214 3,611 68,603 13
009
Previanto Wibowo 72,214
14 695356493524000 3371020311730002 Asisten Apoteker III a 3 1,348,000 3,611 68,603 14
19731103 199502 1 002
Christijanto Budi P
15 695356501533000 3322192005720001 Analis III a 3 1,348,000 72,214 3,611 68,603 15
19720520
Slamet 199703 1 007
16 19760725 200701 Pramu Bakti Ic 2 1,348,000 48,143 - 48,143
1 006
JUMLAH 56 1,348,000 64,993 1,283,007


NIP.19800602 200903 2 008 NIP.19741108 200501 2 009
MAAN ( Rp ) ( RP )
BERSIH TANDA TANGAN
POIN KAN ( Rp )
Suporting Staf
Pertiwi Kundalini 820898609533000 3323156509930001 0 1,348,000 - - - 25
Akuntan
-
818972010533000 3323036410930001
Promkes 0 1,348,000 - -
Kiranawati 26
Suporting Staf
Azif Kuniawan 820980282533000 3323150703950001 0 1,348,000 - - - 27
sebagai sopir
Suporting Staf
Bambang Setyo Budi 820924108533000 3323151606890001 0 1,348,000 - - - 28
sebagai penjaga
Pendapatan BLURetri 11,066,500 70% 7,746,550 total penerimaan retri jkn Persalinan 17
Januari JKN 54,541,000 38,178,700 65,607,500 13,480,000
Persalinan u 1,400,000 10% 140,000 70% 45,925,250 80% 10,784,000

144,428.57 7,221.4
137,207
96,285.71 4,814.3
91,471
120,357.14 6,017.9
114,339
96,285.71 4,814.3
91,471
96,285.71 4,814.3
91,471
96,285.71 4,814.3
91,471
72,214.29 3,610.7
68,604
48,142.86 2,407.1
45,736
120,357.14 6,017.9
114,339
48,142.86 2,407.1
45,736
48,142.86 2,407.1
45,736
96,285.71 4,814.3
91,471
1,083,214.29 54,160.7
1,029,054
1,083,214.29 54,160.7
1,029,054
72,214.29 3,610.7
68,604
72,214.29
72,214.29 3,610.7
68,604
48,142.86 -
48,143
1,348,000 169,703.6 3,272,511
46,065,250 1,977,418 44,087,832

#REF!
Total #REF!
Pajak #REF!
Jumlah #REF!
34,173,504
7,302,774
-
ABSENSI APEL BULAN...........................
PUSKESMAS PARE
TANGGAL
NO NAMA NO
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 dr. Fresinta Maya W, MMR 1
2 Warsiti 2
3 Heny Hermawati 3
4 dr.Sihar Yulius Sitorus 4
5 Endar Asih Kaptining Ati, 5
AMKG
Gaminem
6 6
7 Kuntari 7
8 Sidit Supriyadi, SKM 8
9 Aliyah 9
10 Farida Istiningsih, S.Kom 10
11 drg. Ratitasari Triratna Dewi 11
12 Sukaryanti 12
13 Adlah 13
14 Niken Pratiwi 14
15 Previanto Wibowo 15
16 Setyo Wuryatmi, S.ST 16
17 Christijanto Budi P 17
18 F. Tri Martina 18
19 Anik Rochayati 19
20 Dwi Puji Andayani 20
21 Wiwin Sugiyanti 21
22 Dwi Ratna Widyastut 22
23 Slamet 23
24 Wida Febriani, Am.Keb 24
25 Pertiwi Kundalini 25
26 Novitasari Candra K 26
27 Azif Kuniawan 27
28 Bambang Setyo Budi 28
29 Fahrunicha 29
30 Ajeng 30
31 Lestri 31
32 Sigit 32
33 Budi 33
34
NB ; Diisi tanda centang oleh komandan apel
Ijin Apel Ijin IJIN Total Total Ijin Apel Ijin IJIN Total
NAMA NO NAMA
Apel menit Keluar Menit Hari dr. Fresinta Apel menit Keluar Menit
dr. Fresinta Maya W, 10 600 0 840 1440 3.4 1 Heny 10 300 0 840 1140
Maya
WarsitiW,
MMR
Warsiti
Heny Hermawati 0 0 0 420 420 1.0 2 Hermawati
MMR
dr.Sihar
0 0 0 420 420
4 240 0 240 0.6 3 Yulius Asih
Endar
4 120 0 120
dr.Sihar Yulius Sitorus 0 0 0.0 4 0 0
Sitorus
Kaptining
Endar Asih Kaptining 0 0 0 0.0 5 0 0 0
Ati, AMKG
Gaminem
Ati, AMKG
Gaminem 0 0 0.0 6 Sidit
0 0
0 0 840 840 2.0 7 Kuntari 0 0 840 840
Kuntari Supriyadi,
Sidit Supriyadi, SKM 0 0 0 0.0 8 0 0 0
SKM
Aliyah 2 120 120 0.3 9 Farida
Aliyah
drg.
2 60 60
Farida Istiningsih, S.Kom 0 0 840 840 2.0 10 Istiningsih, 0 0 840 840
Ratitasari
S.Kom
drg. Ratitasari Triratna 3 180 420 600 1.4 11 3 90 0 90
Triratna
Dewi Sukaryanti
Sukaryanti 2 120 120 0.3 12 Adlah
Dewi 2 60 60
Adlah 0 0 0.0 13 Niken 0 0
Niken Pratiwi 6 360 0 360 0.9 14 Pratiwi 6 180 0 180
Previanto
Previanto Wibowo 0 0 0.0 15 Wibowo
Setyo 0 0
Setyo Wuryatmi, S.ST 12 720 0 0 720 1.7 16 Christijanto 12 360 0 0 360
Wuryatmi,
Christijanto Budi P 24 1440 0 1440 3.4 17 Budi
F. Tri P
S.ST 24 720 0 720
F. Tri Martina 0 0 0.0 18 Martina
Anik 0 0
Anik Rochayati 0 0 120 0 120 0.3 19 Rochayati 0 0 120 0 120
Dwi Puji
Dwi Puji Andayani 7 420 420 1.0 20 Wiwin
Andayani 4 120 1260 1380
Wiwin Sugiyanti 0 0 0 0.0 21 Sugiyanti 0 0 0
0 0 0 0 0.0 22 Dwi Ratna 0 0 0 0
Dwi Ratna Widyastut Slamet
Slamet Widyastut
2 120 420 540 1.3 23 Wida 2 60 420 480
Wida Febriani, Am.Keb 2 120 420 540 1.3 24 Febriani, 2 60 420 480
Pertiwi Kundalini 0 0 0.0 25 Am.Keb
Pertiwi Kundalini 0 0
Novitasari Candra K 0 0 0.0 26 Novitasari Candra K 0 0
Azif Kuniawan 0 420 420 1.0 27 Azif Kuniawan 0 420 420
Bambang Setyo Budi 0 0 420 420 1.0 28 Bambang Se 0 0 420 420
Fahrunicha 0 0 0.0 29 Fahrunicha 0 0
Ajeng 4 240 240 0.6 30 Ajeng 4 120 120
Lestri 0 0 0.0 31 Lestri 0 0
Sigit 0 0 0.0 32 Sigit 0 0
Budi 0 0 0.0 33 Budi 0 0
Retno 0 0 0.0 34 Retno 0 0
Total
Hari
2.9
1.1
0.3
0.0 13 420 5460
0.0 11 360 3960
0.0 9420
2.1 24
0.0 392.5
0.2
2.1
0.2
0.2
0.0
0.5
0.0
0.9
1.8
0.0
0.3
3.5
0.0
0.0
1.2
1.2
0.0
0.0
1.1
1.1
0.0
0.3
0.0
0.0
0.0
0.0

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DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN

PUSKESMAS PARE KABUPATEN TEMANGGUNG

1 dr. Fresinta maya W,MMR Kepala Puskesmas 3014049061 4,337,000

2 dr. Sihar Yulius Sitorus Dokter 3014048374 2,976,000

3 drg. Ratisari Triratna Dewi Dokter Gigi 3014048927 3,317,000

4 Farida Istiningsih, S.Kom Staf 3014041868 2,466,000

5 Warsiti Bidan 3014045731 1,467,000

6 Kuntari Bidan 3014055206 1,530,000

7 Endar Asih Kaptining Ati Perawat Gigi 3014163955 1,530,000

10 Setyo Wuryatmi Nutrisionis 3067003071 2,211,000

11 Niken Pratiwi Paramedis 3014045481 1,275,000

13 Adlah Staf 3067002945 850,000

14 Sukaryanti Staf 3014045804 701,000

15 Previanto Wibowo Asisten Apoteker 3014024297 1,190,000

18 Dwi Ratna W Bidan 3014048498 1,141,000

19 Dwi Puji Andayani Bidan 3067004565 1,105,000

21 Wida Febriyani Bidan 3014167811 1,105,000

22 Aliyah Sanitarian 3014040837 372,000

23 Slamet Pramubakti 3014024203 680,100

24 Pertiwi Kundalini Akunting 2014143532 680,000

25 Novitasari Candra Kiranawati Promkes 2014143079 680,000

26 Azif Kurniawan Pengemudi 2014143541 265,000

27 Bambang Setyo Budi Pramukantor 2014143371 265,000

Mengetahui Temanggung , Okto

dr. Fresinta Maya Warnerina,MMR

PENERIMAAN BERSIH SUMBER

Temanggung , Oktober 2018

NO. NAMA JABATAN NO. REKENING

1 dr. Fresinta maya W,MMR Kepala Puskesmas 3014049061

dr. Fresinta Maya Warnerina,MMR

Temanggung , Nopember 2018

JUMLAH PENERI MAAN PENERIMAAN BERSIH

dr. Fresinta Maya W, MMR

dr.Sihar Yulius Sitorus

drg. Ratitasari Triratna D 2,891,175

JUMLAH PINDAHAN 28,615,200 1,450,698 27,164,502

Dwi Ratna Widyastuti 1,037,855

22 Aliyah 1,111,990 21,457 1,090,533

24 Pertiwi Kundalini 593,060 30,516 562,544

25 Novitasari Candra Kiranawati 593,060 30,516 562,544

26 Azif Kuniawan 222,425 10,967 211,458

27 Bambang Setyo Budi 222,425 10,967 211,458 27

JUMLAH 35,954,380 1,608,524 34,345,856

Mengetahui Pare, 2018

dr. Fresinta Maya Warnerina,MMR Setyo Wuryatmi,S.ST

Dwi Ratna Widyastuti 19860202

dr. Fresinta Maya Warnerina,MMR

5 255 153 2112 Rp 39,018,700 141,300 2,684,700 1

5 175 175 2112 Rp 39,018,700 161,650 3,071,350 2

5 195 179 2112 Rp 39,018,700 165,700 3,148,300 3

25 145 104 2112 Rp 39,018,700 96,400 1,831,600 4

25 85 82 2112 Rp 39,018,700 75,350 1,431,650 5

25 90 90 2112 Rp 39,018,700 83,100 1,578,900 6

25 90 86 2112 Rp 39,018,700 79,800 1,516,200 7

20 105 105 2112 Rp 39,018,700 96,950 1,842,050 8

25 80 80 2112 Rp 39,018,700 73,850 1,403,150 9

10 130 130 2112 Rp 39,018,700 120,050 2,280,950 10

10 75 72 2112 Rp 39,018,700 66,500 1,263,500 11

10 90 86 2112 Rp 39,018,700 79,800 1,516,200 12

20 50 50 2112 Rp 39,018,700 46,150 876,850 13

25 55 20 2112 Rp 39,018,700 18,250 346,750

20 70 70 2112 Rp 39,018,700 64,650 1,228,350 15

20 110 110 2112 Rp 39,018,700 101,600 1,930,400 16