FORMAT PENILAIAN KINERJA TENAGA KESEHATAN PADA PUSKESMAS

INDIKATOR KINERJA (Total skor indikator 100)

penilaian kinerja 40%
PELAKSANAAN TUGAS (25)

NO

NAMA

Sikap & Perilaku Kerja (15)

PRODUKTIVITAS (75

Kerjasama (10)

Loya litas Tangg Moti vasi advokasi &

Hub.
(5)
jawab (5)
(5)
koordinasi (5) Harmonis (5)
1

H. Ahmat, S.Kep. MM

Ridwan, SH

dr. Lusi Dwitama Lery

HJ. Marhamah.S.Kep

Lalu Satrianadi .S.Kep

H.Ridwan .S.Kep

Sriningsih. Amd,Kep

Siti Romatullloh

H.Seman

10

Nurhayati, ST

11

Muliatun

12

Marlina Hidayati Amkl

13

Baiq Zohrah

14

Baiq Ratnaningsih Amd.kep

15

Hariani Rosanti A.MG

16

Herman Jumaidi, Amd.kep

17

Ely Mariana

18

Zohratul Aini, AMKG

19

Husnaini Amd.Keb

20

Miskiah

21

Baiq Sri Utari RN, Amd.Keb

22

Lalu Muh. Irsan

23

Susanti

24

Muh. Suwally Hadi

25

Bq. Mery Sintana, Amd.Keb

26

Ina Haji Eta

27

H. Hernan, S.Kep

28

Asrul Hamidi And,Kep

29

Rohyatul Aini Amd.Kep

30

Mas'ud JP, Amd.Kep

31

Sumiati Amd.Keb

32

Nurhasanah, Amd.Kep

33

Suhardi

34

Nurul Asmayati, AMKL

35

BQ.Muspita Rini, Amd.Kep

36

Rena Nopviarni, Amd. Kep

37

St.Emyati, AMKL

38

Harlin Normali.SKM

39

Abd.sakur, Amd.Kep

40

Nana Anggraini S, Amd.Kep

41

Gita Asmarani, Amd.kep

42

Joni Aswandi, Amd.Kep

43

L.Haerussopian, Amd.kep

44

L.watoni Usman, Amd.Kep

45

Alimsyah, Amd.Kep

46

Anitasari, AMKG

5
3
5
3
3
1
3
3
1
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

5
3
5
1
1
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

5
3
5
3
3
3
3
3
1
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

Bob

5
5
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5

5
5
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5

Capaian
kegiatan (60)

60
30
60
20
20
20
20
30
20
20
18
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
6
8
20
20
20
20

INDIKATOR KINERJA (Total skor indikator 100)

penilaian kinerja 40%
PELAKSANAAN TUGAS (25)

NO

NAMA

Sikap & Perilaku Kerja (15)

PRODUKTIVITAS (75

Kerjasama (10)

Loya litas Tangg Moti vasi advokasi &

Hub.
(5)
jawab (5)
(5)
koordinasi (5) Harmonis (5)
47

Laili Miranti, AMKG

48

Lidiya Febriana, Amd.Keb

49

ST.Aisyatul sahri, Amd.Kep

50

Novi Permatasari, Amd.Kep

51

Ahmad Suriadi, Amd.Kep

52

Moh.Ali musyiri, Amd.Kep

53

Khaeroni Rizqi, Amd.Keb

54

Septiawan Raedani, Amd.Kep

55

Rizaliana, Amd.Keb

56

BQ.Zohriah, Amd.Kep

57

Ahmad Mashuri, Amd.Kep

58

Ilham Jayadi, S.Kep

59

Muhidin

60

Hartini

61

Widiya, Amd.Keb

62

Desi Arisanti, Amd.Keb

63

Sri Hayuni, Amd.Keb

64

Zulfira Ria sitafani, Amd.Keb

65

Ida Yulianti, Amd.Keb

66

Ririn Yuliari, Amd.Keb

67

Mery Astuti, Amd.Keb

68

Nilasari, Amd.Keb

69

Fatimatuzzohra, Amd.Keb

70

Wardatul Hukmiati, Amd.Keb

71

Roslina Januarti, S.Kep

72

L.M.Ilyas, Amd.Kep

73

Nurul Huda, Amd.Kep

74

Maman, Amd.Kep

75

Ratnawati, Amd.Keb

76

Lina Pujianti, Amd.Keb

77

Dian Komalasari, Amd.Keb

78

Sri Himayati, Amd.Keb

79

Siti Ulfayanti, amd.keb

80

Siti asyah, Amd.Keb

81

Sofa hariani, Amd.Keb

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
1
3
3
3
3
3
3
3
3
3

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
1
3
3
3
3
3
3
3
3
3

Bob

5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5

5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5

Capaian
kegiatan (60)

20
20
20
20
20
20
7
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20

PUSKESMAS
Bobot

PRODUKTIVITAS (75)

JUMLAH

NILAI KINERJA
(Jml x 40/100)

100
64
100
47
42
45
44
57
30
42
40
52
47
47
47
47
42
42
42
42
42
42
42
42
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
33
35
47
47
47
47

40
25.6
40
18.8
16.8
18
17.6
22.8
12
16.8
16
20.8
18.8
18.8
18.8
18.8
16.8
16.8
16.8
16.8
16.8
16.8
16.8
16.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
13.2
14
18.8
18.8
18.8
18.8

kelengkapan data
pelaksanaan
Kegiatan (15)

15
15
15
10
5
10
5
10
5
5
5
15
10
10
10
10
5
5
5
5
5
5
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

Bobot

PRODUKTIVITAS (75)

JUMLAH

NILAI KINERJA
(Jml x 40/100)

47
47
47
47
47
47
34
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
47
30
47
47
47
47
47
47
47
47
47

18.8
18.8
18.8
18.8
18.8
18.8
13.6
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
12
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8

kelengkapan data
pelaksanaan
Kegiatan (15)

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
10
10
10
10
10
10
10
10
10

PENGHITUNGAN JASA PELAYANAN PROGRAM J

DINAS KESEHATAN KABUPATEN LOMB
PUSKESMAS
BULAN

:
:

Rensing
Januari 2016
PERHITUNGAN VARIABEL NON KINERJA (KETENAGAAN DAN HARI KERJA EFEKTIF)

NO

NAMA

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

H. Ahmat, S.Kep. MM
Ridwan, SH
dr. Lusi Dwitama Lery
HJ. Marhamah.S.Kep
Lalu Satrianadi .S.Kep
H.Ridwan .S.Kep
Sriningsih. Amd,Kep
Siti Romatullloh
H.Seman
Nurhayati, ST
Muliatun
Marlina Hidayati Amkl
Baiq Zohrah
Baiq Ratnaningsih
Amd.kep
Hariani Rosanti A.MG
Herman Jumaidi, Amd.kep
Ely Mariana
Zohratul Aini, AMKG
Husnaini Amd.Keb
Miskiah
Baiq Sri Utari RN,
Amd.Keb
Lalu Muh. Irsan
Susanti
Muh. Suwally Hadi
Bq. Mery Sintana,
Amd.Keb

GOL

PENDIDIKAN

VARIABEL KETENAGAAN
PENDIDIKAN

JABATAN

HARI
KERJA

STATUS
KEPEG

BEBAN
KERJA

MASA
KERJA

10

60
40
150
60
60
60
40
40
15
60
40
40
15
40
40
40
40
40
40
40
40
15
15

30
30

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

15
15
5
15
15
15
15
15
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
5
5

IV/A
S1 KES
III-B S 1 NON KES
III-c S 1 Kedokteran
IV/A
S1 KES
III-C
S1 KES
III-C
S1 KES
III-B
D III
III-BSMAK (MK : 20THN)
III-B SMA Pekarya
III-A
S 1 KesLing
III-A D I (MK : 15 THN )
II-D
D III
II-D
SLTA
II-D
D III
II-D
D III
II-D
D III
II-C D I (MK : 16 THN)
II-C
D III
II-C
D III
II-C D I (MK : 20 THN)
II-C
D III
II-B
SMA
II-A
SMA
I-B
SLTA
II-D

D III

HARI KERJA

15
40

30

PENGURANGAN POIN HAR

JML HR
KERJA

POIN
PERHARI

TIDAK APEL PAGI

TIDAK APEL
SIANG

11=5+ sd 10

12

13=11/12

14

15

189
169
239
159
159
159
139
139
109
154
134
134
109
134
164
134
134
134
134
134
134
109
104
104
129

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

7.88
7.04
9.96
6.63
6.63
6.63
5.79
5.79
4.54
6.42
5.58
5.58
4.54
5.58
6.83
5.58
5.58
5.58
5.58
5.58
5.58
4.54
4.33
4.33
5.38

JML POIN

1
1
4
12
10
5
5
0
10
0
5
5
5
5
0
5
0
5
0
5
0
5
0
5
0

3.94
3.52
19.92
39.75
33.13
16.56
14.48
0.00
22.71
0.00
13.96
13.96
11.35
13.96
0.00
13.96
0.00
13.96
0.00
13.96
0.00
11.35
0.00
10.83
0.00

2
0
3
1
6
5
4
0
5
0
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

PERHITUNGAN VARIABEL NON KINERJA (KETENAGAAN DAN HARI KERJA EFEKTIF)

NO

NAMA

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

Ina Haji Eta

H. Hernan, S.Kep
Asrul Hamidi And,Kep
Rohyatul Aini Amd.Kep
Mas'ud JP, Amd.Kep
Sumiati Amd.Keb
Nurhasanah, Amd.Kep
Suhardi
Nurul Asmayati, AMKL
BQ.Muspita Rini, Amd.Kep
Rena Nopviarni, Amd. Kep
St.Emyati, AMKL
Harlin Normali.SKM
Abd.sakur, Amd.Kep
Nana Anggraini S,
Amd.Kep
Gita Asmarani, Amd.kep
Joni Aswandi, Amd.Kep
L.Haerussopian, Amd.kep
L.watoni Usman, Amd.Kep
Alimsyah, Amd.Kep
Anitasari, AMKG
Laili Miranti, AMKG
Lidiya Febriana, Amd.Keb
ST.Aisyatul sahri, Amd.Kep
Novi Permatasari,
Amd.Kep
Ahmad Suriadi, Amd.Kep
Moh.Ali musyiri, Amd.Kep
Khaeroni Rizqi, Amd.Keb
Septiawan Raedani,
Amd.Kep
Rizaliana, Amd.Keb

GOL

PENDIDIKAN

VARIABEL KETENAGAAN
PENDIDIKAN

JABATAN

HARI
KERJA

STATUS
KEPEG

BEBAN
KERJA

MASA
KERJA

10

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

50
50
50
50
50
50
50
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

5
5
5
5
5
5
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

II-C D I (MK : 12 THN)

40

IV/A
II-D
II-C
III-B
II-C
II-C

60
40
40
40
40
40
25
40
40
40
40
60
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40

S1
D III
D3
D3
D3
D3
D1
D III
D III
D III
D III
S1 KES
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III

HARI KERJA

PENGURANGAN POIN HAR

JML HR
KERJA

POIN
PERHARI

TIDAK APEL PAGI

TIDAK APEL
SIANG

11=5+ sd 10

12

13=11/12

14

15

129
149
129
129
129
129
129
79
94
94
94
94
114
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

5.38
6.21
5.38
5.38
5.38
5.38
5.38
3.29
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

JML POIN

5
0
5
0
5
0
5
5
0
5
0
5
0
0
5
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0

13.44
0.00
13.44
0.00
13.44
0.00
13.44
8.23
0.00
9.79
0.00
9.79
0.00
0.00
9.79
0.00
0.00
0.00
0.00
0.00
0.00
9.79
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

PERHITUNGAN VARIABEL NON KINERJA (KETENAGAAN DAN HARI KERJA EFEKTIF)

NO

1
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81

NAMA

GOL

BQ.Zohriah, Amd.Kep
Ahmad Mashuri, Amd.Kep
Ilham Jayadi, S.Kep
Muhidin
Hartini
Widiya, Amd.Keb
PTT
Desi Arisanti, Amd.Keb
Sri Hayuni, Amd.Keb
Zulfira Ria sitafani,
Amd.Keb
Ida Yulianti, Amd.Keb
Ririn Yuliari, Amd.Keb
Mery Astuti, Amd.Keb
Nilasari, Amd.Keb
Fatimatuzzohra, Amd.Keb
Wardatul Hukmiati,
Amd.Keb
Roslina Januarti, S.Kep
L.M.Ilyas, Amd.Kep
Nurul Huda, Amd.Kep
Maman, Amd.Kep
Ratnawati, Amd.Keb
Lina Pujianti, Amd.Keb
Dian Komalasari, Amd.Keb
Sri Himayati, Amd.Keb
Siti Ulfayanti, amd.keb
Siti asyah, Amd.Keb
Sofa hariani, Amd.Keb

TOTAL

PENDIDIKAN

VARIABEL KETENAGAAN

HARI KERJA

PENDIDIKAN

JABATAN

HARI
KERJA

STATUS
KEPEG

BEBAN
KERJA

MASA
KERJA

10

D III
D III

40
40
60
15
15
40
40
40
40
40
40
40
40
40
40
60
40
40
40
40
40
40
40
40
40
40

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

S1
SMA
SMA
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III
S1
D III
D III
D III
D III
D III
D III
D III
D III
D III
D III

3,340

90

MENGETAHUI,

2,580

810

300

PENGURANGAN POIN HAR

JML HR
KERJA

POIN
PERHARI

TIDAK APEL PAGI

TIDAK APEL
SIANG

11=5+ sd 10

12

13=11/12

14

15

94
94
114
69
69
94
94
94
94
94
94
94
94
94
94
114
94
94
94
94
94
94
94
94
94
94

24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24
24

3.92
3.92
4.75
2.88
2.88
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

JML POIN

9,064

0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
3
4
1

0.00
9.79
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
3.92
5.88
7.83
1.96

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

153

401.81

168

PERHITUNGAN VARIABEL NON KINERJA (KETENAGAAN DAN HARI KERJA EFEKTIF)

NO

NAMA

GOL

PENDIDIKAN

VARIABEL KETENAGAAN

HARI KERJA

PENDIDIKAN

JABATAN

HARI
KERJA

STATUS
KEPEG

BEBAN
KERJA

MASA
KERJA

10

KEPALA DINAS KESEHATAN

KABUPATEN LOMBOK TIMUR

_____________________________
NIP

JML POIN
11=5+ sd 10

PENGURANGAN POIN HAR

JML HR
KERJA

POIN
PERHARI

TIDAK APEL PAGI

TIDAK APEL
SIANG

12

13=11/12

14

15

N PROGRAM JAMINAN KESEHATAN NASIONAL

UPATEN LOMBOK TIMUR TAHUN 2016

TIF)

PERHITUNGAN POIN SELURUH VARIABEL

KETENAGAAN & HARI EFEKTIF
(BOBOT 60)

GURANGAN POIN HARI KERJA

TIDAK APEL
SIANG

TIDAK MASUK

15

16
7.88
0.00
14.94
3.31
19.88
16.56
11.58
0.00
11.35
0.00
5.58
5.58
4.54
5.58
6.83
5.58
5.58
5.58
5.58
5.58
5.58
4.54
4.33
4.33
5.38

1
1
2
0
5
4
1
0
6
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

7.88
7.04
19.92
0.00
33.13
26.50
5.79
0.00
27.25
0.00
5.58
5.58
4.54
5.58
6.83
5.58
5.58
5.58
5.58
5.58
5.58
4.54
4.33
4.33
5.38

JML

KINERJA
(BOBOT 40)

TOTAL POIN

HARGA PER
POIN

JUMLAH (Rp)

PAJAK

23

24

JML

NILAI

NILAI

17=14+15+16

18=11-17

19=18x60/100

20

21=19+20

22

19.69
10.56
54.77
43.06
86.13
59.63
31.85
0.00
61.31
0.00
25.13
25.13
20.44
25.13
13.67
25.13
11.17
25.13
11.17
25.13
11.17
20.44
8.67
19.50
10.75

169.31
158.44
184.23
115.94
72.88
99.38
107.15
139.00
47.69
154.00
108.88
108.88
88.56
108.88
150.33
108.88
122.83
108.88
122.83
108.88
122.83
88.56
95.33
84.50
118.25

101.59
95.06
110.54
69.56
43.73
59.63
64.29
83.40
28.61
92.40
65.33
65.33
53.14
65.33
90.20
65.33
73.70
65.33
73.70
65.33
73.70
53.14
57.20
50.70
70.95

40.0
25.6
40.0
18.8
16.8
18.0
17.6
22.8
12.0
16.8
16.0
20.8
18.8
18.8
18.8
18.8
16.8
16.8
16.8
16.8
16.8
16.8
16.8
16.8
18.8

141.6
120.7
150.5
88.4
60.5
77.6
81.9
106.2
40.6
109.2
81.3
86.1
71.9
84.1
109.0
84.1
90.5
82.1
90.5
82.1
90.5
69.9
74.0
67.5
89.8

9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7

1,365,563
1,163,748
1,451,882
852,226
583,743
748,666
789,777
1,024,262
391,694
1,053,196
784,352
830,646
693,812
811,357
1,051,267
811,357
872,841
792,067
872,841
792,067
872,841
674,523
713,704
651,014
865,608

JUMLAH DITERIMA

25 (23-24)
204,834
58,187
72,594
127,834
29,187
37,433
39,489
51,213
19,585
52,660
39,218
-

1,160,728
1,105,561
1,379,288
724,392
554,556
711,233
750,288
973,049
372,109
1,000,536
745,134
830,646
693,812
811,357
1,051,267
811,357
872,841
792,067
872,841
792,067
872,841
674,523
713,704
651,014
865,608

TIF)

PERHITUNGAN POIN SELURUH VARIABEL

KETENAGAAN & HARI EFEKTIF
(BOBOT 60)

GURANGAN POIN HARI KERJA

TIDAK APEL
SIANG

TIDAK MASUK

15

16
5.38
6.21
5.38
5.38
5.38
5.38
5.38
3.29
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

5.38
6.21
5.38
5.38
5.38
5.38
5.38
3.29
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

JML

KINERJA
(BOBOT 40)

TOTAL POIN

HARGA PER
POIN

JUMLAH (Rp)

PAJAK

23

24

JML

NILAI

NILAI

17=14+15+16

18=11-17

19=18x60/100

20

21=19+20

22

24.19
12.42
24.19
10.75
24.19
10.75
24.19
14.81
7.83
17.63
7.83
17.63
9.50
7.83
17.63
7.83
7.83
7.83
7.83
7.83
7.83
17.63
7.83
7.83
7.83
7.83
7.83
7.83
7.83
7.83

104.81
136.58
104.81
118.25
104.81
118.25
104.81
64.19
86.17
76.38
86.17
76.38
104.50
86.17
76.38
86.17
86.17
86.17
86.17
86.17
86.17
76.38
86.17
86.17
86.17
86.17
86.17
86.17
86.17
86.17

62.89
81.95
62.89
70.95
62.89
70.95
62.89
38.51
51.70
45.83
51.70
45.83
62.70
51.70
45.83
51.70
51.70
51.70
51.70
51.70
51.70
45.83
51.70
51.70
51.70
51.70
51.70
51.70
51.70
51.70

18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
13.2
14.0
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
13.6
18.8
18.8

81.7
100.8
81.7
89.8
81.7
89.8
81.7
57.3
70.5
64.6
70.5
64.6
81.5
70.5
64.6
64.9
65.7
70.5
70.5
70.5
70.5
64.6
70.5
70.5
70.5
70.5
70.5
65.3
70.5
70.5

9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7

787,848
971,699
787,848
865,608
787,848
865,608
787,848
552,759
679,948
623,286
679,948
623,286
786,039
679,948
623,286
625,938
633,654
679,948
679,948
679,948
679,948
623,286
679,948
679,948
679,948
679,948
679,948
629,796
679,948
679,948

JUMLAH DITERIMA

25 (23-24)
-

787,848
971,699
787,848
865,608
787,848
865,608
787,848
552,759
679,948
623,286
679,948
623,286
786,039
679,948
623,286
625,938
633,654
679,948
679,948
679,948
679,948
623,286
679,948
679,948
679,948
679,948
679,948
629,796
679,948
679,948

TIF)

PERHITUNGAN POIN SELURUH VARIABEL

KETENAGAAN & HARI EFEKTIF
(BOBOT 60)

GURANGAN POIN HARI KERJA

TIDAK APEL
SIANG

TIDAK MASUK

15

16

JML

KINERJA
(BOBOT 40)

TOTAL POIN

HARGA PER
POIN

JUMLAH (Rp)

PAJAK

23

24

JML

NILAI

NILAI

17=14+15+16

18=11-17

19=18x60/100

20

21=19+20

22
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7
9644.7

3.92
3.92
4.75
2.88
2.88
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

3.92
3.92
4.75
2.88
2.88
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
4.75
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92
3.92

7.83
17.63
9.50
5.75
5.75
7.83
7.83
7.83
7.83
7.83
7.83
7.83
7.83
7.83
7.83
9.50
7.83
7.83
7.83
7.83
7.83
7.83
11.75
13.71
15.67
9.79

86.17
76.38
104.50
63.25
63.25
86.17
86.17
86.17
86.17
86.17
86.17
86.17
86.17
86.17
86.17
104.50
86.17
86.17
86.17
86.17
86.17
86.17
82.25
80.29
78.33
84.21

51.70
45.83
62.70
37.95
37.95
51.70
51.70
51.70
51.70
51.70
51.70
51.70
51.70
51.70
51.70
62.70
51.70
51.70
51.70
51.70
51.70
51.70
49.35
48.18
47.00
50.53

18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
12.0
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8
18.8

70.5
64.6
81.5
56.8
56.8
70.5
70.5
70.5
70.5
70.5
70.5
70.5
70.5
70.5
70.5
81.5
63.7
70.5
70.5
70.5
70.5
70.5
68.2
67.0
65.8
69.3

395.88

91

437.88

1235.56

7828.44

4697.06

1524.00

6221.06

JUMLAH DITERIMA

25 (23-24)

679,948
623,286
786,039
547,334
547,334
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
786,039
614,365
679,948
679,948
679,948
679,948
679,948
657,283
645,951
634,618
668,616

679,948
623,286
786,039
547,334
547,334
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
679,948
786,039
614,365
679,948
679,948
679,948
679,948
679,948
657,283
645,951
634,618
668,616

60,000,000

732,234

59,267,766

......................,..................2016
KEPALA PUSKESMAS

TIF)

PERHITUNGAN POIN SELURUH VARIABEL

KETENAGAAN & HARI EFEKTIF
(BOBOT 60)

GURANGAN POIN HARI KERJA

TIDAK APEL
SIANG

TIDAK MASUK

15

16

JML
17=14+15+16

KINERJA
(BOBOT 40)

JML

NILAI

NILAI

18=11-17

19=18x60/100

20

TOTAL POIN
21=19+20

HARGA PER
POIN

JUMLAH (Rp)

PAJAK

22

23

24

.................................

________________________
NIP

JUMLAH DITERIMA

25 (23-24)

TANDA TANGAN

25
1
2
3
4
5
6
7
8
9
10
11
12

TANDA TANGAN

25

TANDA TANGAN

25

TANDA TANGAN

25