Absen Prog Tahunan

DAFTAR KEHADIRAN TENAGA ASN DAN NON ASN
PER BULAN AGUSTUS 2020 s/d APRIL 2021
AGUSTUS SEPTEMBER OKTOBER NOVEMBE DESEMBER JANUARI FEBRUARI MARET APRIL TOTAL
NO NAMA PEGAWAI
2020 2020 2020 R 2020 2020 2021 2021 2021 2021 KEHADIRAN
Wardiman,SKM / 19651211
1
198703 1 005 17 26 24 25 23 25 23 26 25 214
Vika Shintia V, SKM /

2
19870208 200902 2 002 20 26 24 25 23 25 23 26 25 217
Dr Andreas / 19720812
3
200604 1 018 23 26 24 24 20 25 23 26 23 214
Ratman / 19660724 198703 1

4
006 20 25 24 23 21 25 23 26 24 211
Hasanudin / 19670623 199003
5 23 26 24 25 17 25 23 26 25 214
1 001
Elis Heryati / 19670503
6 21 26 24 24 15 11 19 23 21 184
198901 2 002
Solihah Hatnawati / 19671205
7
198901 2 002 23 26 24 25 23 23 23 25 25 217
Dadang Sumarya / 19671010
8
198901 1 005 23 26 24 23 23 23 23 26 22 213
Yayah Nurhayati / 19680404
9
199103 2 013 23 26 24 25 23 23 21 23 25 213
Ade Cahya / 19690412
10
199103 1 005 23 26 24 25 23 25 23 26 25 220
Suhanah / 19650103 198901 2
11
001 23 26 21 19 23 24 23 26 25 210
Sri Agustanti Fathonah.,
12 AMK./19800817 200501 2 23 13 24 25 22 23 23 25 24 202
018
Susy Permanisuci / 19850226
13
201001 2 012 22 26 24 22 23 25 23 26 24 215
Lilis Rukaedah / 19790813
14
200701 2 008 15 21 21 22 19 21 20 22 21 182
Sugiyarsi / 19740221 199302

15 23 26 24 25 22 25 23 26 25 219
2 001
Neni Triani / 19750108

16
200012 2 002 23 24 22 19 22 25 23 25 23 206
HJ Cicih Rundasih /
17
19680723 198803 2 002 23 25 22 23 19 23 11 20 23 189
Hj Canah Hasanah / 19710420

18
199203 2 010 23 26 23 23 21 25 23 25 24 213
Ening Yuningsih/ 19690912

19
198912 2 002 23 26 24 25 23 25 23 26 25 220
Entin S / 19671108 198803 2

20 23 26 24 23 22 25 23 26 25 217
007
Sri wantini / 19760110

21 23 26 24 24 22 25 23 25 24 216
200212 2 002
Teti Suharti / 19760613
22
200501 2 007 23 26 24 23 22 25 23 26 25 217
Iceu Royani / 19750429
23 23 26 24 24 22 25 16 26 24 210
200701 2 003
Eka Rosviani / 19731007
24 23 26 24 25 19 25 23 26 25 216
200604 2 012
Tijah / 19740714 200604 2
25
014 23 26 24 25 23 25 23 23 25 217
Nani Elda Liasari / 19771123
26
200801 2 006 23 26 24 25 23 25 23 26 25 220
Enok Maryam / 19770307
27
200604 2 004 23 26 24 25 22 19 23 26 25 213
Siti Fatimah / 19750425 2002
28
12 2 005 23 26 24 25 23 25 23 26 25 220
Een Sopiah / 19730703
29
200012 2001 23 25 22 19 18 23 20 22 24 196
Oha Rohawati / 19640813
30
198703 2 007 21 26 22 19 21 25 23 23 23 203
Asep Saefudin / 19681005
31
199103 1 005 23 26 23 23 19 25 20 26 24 209
Sena / 19690718 200701 1

32 23 26 23 25 23 25 23 26 24 218
009
Nida Apriyalita H / 19870408

33
201704 2 011 23 26 24 25 21 25 23 26 24 217
Yulianti / 19850813 201704 2

34
012 14 26 24 25 21 24 23 26 24 207
Susan Heryani / 19850714

35 23 20 24 25 22 25 23 26 24 212
201704 2 009
Tri Hartono Syarifudin.,

36 Amd.Kep./19930904 201903 23 25 18 25 22 25 23 26 23 210
1 005
AGUSTUS SEPTEMBER OKTOBER NOVEMBE DESEMBER JANUARI FEBRUARI MARET APRIL TOTAL
NO NAMA PEGAWAI
2020 2020 2020 R 2020 2020 2021 2021 2021 2021 KEHADIRAN
Dian Eka Pratama, Amd.Farm

37
/19931210 201903 1 007 23 25 23 19 23 25 23 26 25 212
38 Nenden Sugiharti / Sukwan 23 25 24 25 23 25 23 26 25 219
39 Surya Dinata / Sukwan 23 26 24 25 23 25 23 26 25 220
40 Hendi / Magang 23 26 24 25 23 25 23 26 25 220
41 Hary Hermansyah / Sukwan 23 26 24 25 23 25 23 26 25 220
42 Shinta Kurnia Dewi / Magang 23 26 24 25 23 25 23 26 24 219
43 Irena Eka Purwati / Magang 23 26 24 25 23 25 23 26 25 220
44 Susi Yuliana / magang 23 26 24 25 23 25 23 26 25 220
45 Ririn Panti Yuliani / Magang 23 26 24 25 23 25 23 26 25 220
46 Yulita Herliyanti / Magang 23 26 24 25 23 25 23 26 25 220
47 Ai Dena Lestari / Magang 23 - - 25 23 25 22 24 23 165
48 Nenden Srimulyati / Magang 23 26 24 25 23 25 23 26 25 220
49 Sausan Nur Afifah / Magang 23 26 24 25 23 25 23 25 23 217
50 Reni Novia A / Magang 23 26 24 25 23 25 23 26 25 220
51 Sinta Siti Masitoh / Magang 23 26 24 25 23 25 23 26 25 220
52 Fatimah Nur Imani / Magang 23 26 24 25 23 25 23 26 24 219

Mungky Pinati Arengi /
53
Magang 23 26 23 25 23 25 23 26 25 219
Mentari Fudji Adinata /
54
Magang 23 26 24 25 23 25 23 25 24 218
55 Meylinda, Amd. Kep/ Magang 23 26 24 25 23 25 23 26 24 219

Melly Apria Sundari, Amd.
56
Keb 17 26 24 23 23 25 23 26 24 211
57 Tita Rosita, AMG 23 25 23 22 22 25 23 24 24 211
58 Tintin Suhaeni 24 23 25 23 26 24 145
59 Nisa Ul Nisa Nyalintang 25 23 25 23 26 25 147

60 dr. Wini Agustin 25 23 26 25 99
61 Fenny Sella Amelia, SE 23 26 25 74
62 Yopie Haerunnisa, SKM 23 26 25 74
DAFTAR PENERIMAAN PAKAIAN DINAS LAPANGAN
BULAN JULI TAHUN 2021
TANDA TANGAN
NO NAMA PEGAWAI/ NIP
Laki-Laki Perempuan
1 Wardiman,SKM / 19651211 198703 1 005
2 Vika Shintia V, SKM / 19870208 200902 2 002
3 Dr Andreas / 19720812 200604 1 018
4 Ratman, AMK/ 19660724 198703 1 006
5 Hasannudin, Amd.Kep / 19670623 199003 1 001
6 Elis Heryati, AMKG / 19670503 198901 2 002
7 Solihah Hatnawati, AMK / 19671205 198901 2 002
8 Yayah Nurhayati, Amd.Kep / 19680404 199103 2 013
9 Ade Cahya, Amd.Kep / 19690412 199103 1 005
10 Suhanah, AMK / 19650103 198901 2 001
11 Sri Agustanti F,SKM./19800817 200501 2 018
12 Susy Permanisuci, S.Kep/ 19850226 201001 2 012
13 Lilis Rukaedah, AMK / 19790813 200701 2 008
14 Sugiyarsi, Am.keb/ 19740221 199302 2 001
15 Neni Triani, Am.Keb / 19750108 200012 2 002
16 Hj. Cicih Rundasih, Am.Keb / 19680723 198803 2 002
17 Hj.Canah Hasanah, S.Tr.Keb / 19710420 199203 2 010
18 Ening Yuningsih,Am.Keb/ 19690912 198912 2 002
19 Entin Sumatini,Am.Keb / 19671108 198803 2 007
20 Sri Wantini, Am.Keb / 19760110 200212 2 002
21 Teti Suharti, Am.Keb/ 19760613 200501 2 007
22 Iceu Royani, Am.Keb/ 19750429 200701 2 003
23 Eka Rosviani, Am.Keb/ 19731007 200604 2 012
24 Tijah, Am.Keb / 19740714 200604 2 014
25 Nani Elda Liasari,Am.Keb / 19771123 200801 2 006
26 Enok Maryam, Am.Keb / 19770307 200604 2 004
27 Siti Fatimah, Am.Keb / 19750425 2002 12 2 005
28 Een Sopiah, SKM / 19730703 200012 2001
29 Oha Rohawati / 19640813 198703 2 007
30 Asep Saefudin / 19681005 199103 1 005
31 Sena / 19690718 200701 1 009
32 Nida Apriyalita H, Am.Keb / 19870408 201704 2 011
33 Yulianti,Am.Keb / 19850813 201704 2 012
34 Susan Heryani, Am.Keb/ 19850714 201704 2 009
35 Tri Hartono Syarifudin., Amd.Kep./19930904 201903 1 005
36 Dian Eka Pratama, Amd.Farm /19931210 201903 1 007
37 Nenden Sugiharti, Amd.Ak / Sukwan
38 Surya Dinata / Sukwan
TANDA TANGAN
NO NAMA PEGAWAI/ NIP
39 Hendi / Magang
40 Hary Hermansyah / Sukwan
41 Shinta Kurnia Dewi, Amd.Keb / Magang
42 Irena Eka Purwati, Amd.Keb / Magang
43 Susi Yuliana, Amd.Keb / Magang
44 Ririn Panti Yuliani, Amd.Keb/ Magang
45 Yulita Herliyanti, Amd.Keb / Magang
46 Ai Dena Lestari, Amd.Keb / Magang
47 Nenden Srimulyati,Amd.Keb / Magang
48 Sausan Nur Afifah,Amd.Keb / Magang
49 Reni Novia Anggraeni, Amd.Kep / Magang
50 Sinta Siti Masitoh, Amd.Keb / Magang
51 Fatimah Nur Imani, Amd.Keb / Magang
52 Mentari Fudji Adinata, S.Farm.,Apt/ Magang
53 Meylinda, Amd. Kep/ Magang
54 Melly Apria Sundari, Amd. Keb/ Magang
55 Tita Rosita, AMG/ Magang
56 Tintin Suhaeni/ Magang
57 Nisa Ul Nisa Nyalintang, Amd.Keb/ Magang
58 dr. Wini Agustin/ Magang
59 Fenny Sella Amelia, SE/ Magang
60 Yopie Haerunnisa, SKM/ Magang
61 Rifki Sanjaya, Amd.Kep/ Magang
62 Iis
JUMLAH
Mengetahui/ Menyetujui, Situraja, …. …………....…. 2021

Kepala UPTD Puskesmas Situraja Petugas Barang
Wardiman, SKM Asep Saefudin

NIP. 19651211 198703 1 005 NIP. 19681005 199103 1 005
DAFTAR PENERIMAAN UANG VAKSIN
TAHUN 2021
JUMLAH
NO NAMA PEGAWAI TTD
UANG
1 Wardiman,SKM / 19651211 198703 1 005

2 Vika Shintia V, SKM / 19870208 200902 2 002
3 Dr Andreas / 19720812 200604 1 018
4 Ratman / 19660724 198703 1 006
5 Hasanudin / 19670623 199003 1 001
6 Elis Heryati / 19670503 198901 2 002
7 Solihah Hatnawati / 19671205 198901 2 002
8 Yayah Nurhayati / 19680404 199103 2 013
9 Ade Cahya / 19690412 199103 1 005
10 Suhanah / 19650103 198901 2 001
11 Sri Agustanti Fathonah., AMK./19800817 200501 2 018
12 Susy Permanisuci / 19850226 201001 2 012
13 Lilis Rukaedah / 19790813 200701 2 008
14 Sugiyarsi / 19740221 199302 2 001
15 Neni Triani / 19750108 200012 2 002
16 HJ Cicih Rundasih / 19680723 198803 2 002
17 Hj Canah Hasanah / 19710420 199203 2 010
18 Ening Yuningsih/ 19690912 198912 2 002
19 Entin S / 19671108 198803 2 007
20 Sri wantini / 19760110 200212 2 002
21 Teti Suharti / 19760613 200501 2 007
22 Iceu Royani / 19750429 200701 2 003
23 Eka Rosviani / 19731007 200604 2 012
24 Tijah / 19740714 200604 2 014
25 Nani Elda Liasari / 19771123 200801 2 006
26 Enok Maryam / 19770307 200604 2 004
27 Siti Fatimah / 19750425 2002 12 2 005
28 Een Sopiah / 19730703 200012 2001
29 Oha Rohawati / 19640813 198703 2 007
30 Asep Saefudin / 19681005 199103 1 005
31 Sena / 19690718 200701 1 009
32 Nida Apriyalita H / 19870408 201704 2 011
33 Yulianti / 19850813 201704 2 012
34 Susan Heryani / 19850714 201704 2 009
35 Tri Hartono Syarifudin., Amd.Kep./19930904 201903 1 005
37 Nenden Sugiharti / Sukwan
38 Surya Dinata / Sukwan
JUMLAH
NO NAMA PEGAWAI TTD
UANG
39 Hendi / Magang
40 Hary Hermansyah / Sukwan
41 Shinta Kurnia Dewi / Magang
42 Irena Eka Purwati / Magang
43 Susi Yuliana / magang
44 Ririn Panti Yuliani / Magang
45 Yulita Herliyanti / Magang
46 Ai Dena Lestari / Magang
47 Nenden Srimulyati / Magang
48 Sausan Nur Afifah / Magang
49 Reni Novia A / Magang
50 Sinta Siti Masitoh / Magang
51 Fatimah Nur Imani / Magang
52 Mentari Fudji Adinata / Magang
53 Meylinda, Amd. Kep/ Magang
54 Melly Apria Sundari, Amd. Keb
55 Tita Rosita, AMG
56 Tintin Suhaeni
57 Nisa Ul Ismi Putri Nyalintang
58 dr. Wini Agustin
59 Fenny Sella Amelia, SE
60 Yopie Haerunnisa, SKM
61 Rifki Sanjaya
JUMLAH
Mengetahui/ Menyetujui, Situraja, …. ………. 2021

Kepala UPTD Puskesmas Situraja Lunas Dibayar
Wardiman, SKM Vika Shintia Vivianti, SKM

NIP. 19651211 198703 1 005 NIP. 19870208 200902 2 002
DAFTAR PENERIMAAN UANG THR
TAHUN 2021
JUMLAH
NO NAMA PEGAWAI TTD
UANG
1 Wardiman,SKM / 19651211 198703 1 005 Rp 600,000

2 Vika Shintia V, SKM / 19870208 200902 2 002 Rp 600,000
3 Dr Andreas / 19720812 200604 1 018 Rp 600,000
4 Ratman / 19660724 198703 1 006 Rp 600,000
5 Hasanudin / 19670623 199003 1 001 Rp 600,000
6 Elis Heryati / 19670503 198901 2 002 Rp 600,000
7 Solihah Hatnawati / 19671205 198901 2 002 Rp 600,000
8 Dadang Sumarya / 19671010 198901 1 005 Rp 600,000
9 Yayah Nurhayati / 19680404 199103 2 013 Rp 600,000
10 Ade Cahya / 19690412 199103 1 005 Rp 600,000
11 Suhanah / 19650103 198901 2 001 Rp 600,000
12 Sri Agustanti Fathonah., AMK./19800817 200501 2 018 Rp 600,000
13 Susy Permanisuci / 19850226 201001 2 012 Rp 600,000
14 Lilis Rukaedah / 19790813 200701 2 008 Rp 600,000
15 Sugiyarsi / 19740221 199302 2 001 Rp 600,000
16 Neni Triani / 19750108 200012 2 002 Rp 600,000
17 HJ Cicih Rundasih / 19680723 198803 2 002 Rp 600,000
18 Hj Canah Hasanah / 19710420 199203 2 010 Rp 600,000
19 Ening Yuningsih/ 19690912 198912 2 002 Rp 600,000
20 Entin S / 19671108 198803 2 007 Rp 600,000
21 Sri wantini / 19760110 200212 2 002 Rp 600,000
22 Teti Suharti / 19760613 200501 2 007 Rp 600,000
23 Iceu Royani / 19750429 200701 2 003 Rp 600,000
24 Eka Rosviani / 19731007 200604 2 012 Rp 600,000
25 Tijah / 19740714 200604 2 014 Rp 600,000
26 Nani Elda Liasari / 19771123 200801 2 006 Rp 600,000
27 Enok Maryam / 19770307 200604 2 004 Rp 600,000
28 Siti Fatimah / 19750425 2002 12 2 005 Rp 600,000
29 Een Sopiah / 19730703 200012 2001 Rp 600,000
30 Oha Rohawati / 19640813 198703 2 007 Rp 600,000
31 Asep Saefudin / 19681005 199103 1 005 Rp 600,000
32 Sena / 19690718 200701 1 009 Rp 600,000
33 Nida Apriyalita H / 19870408 201704 2 011 Rp 600,000
34 Yulianti / 19850813 201704 2 012 Rp 600,000
35 Susan Heryani / 19850714 201704 2 009 Rp 600,000
36 Tri Hartono Syarifudin., Amd.Kep./19930904 201903 1 005 Rp 600,000
37 Dian Eka Pratama, Amd.Farm /19931210 201903 1 007 Rp 600,000
38 Nenden Sugiharti / Sukwan Rp 600,000
JUMLAH
NO NAMA PEGAWAI TTD
UANG
39 Surya Dinata / Sukwan Rp 600,000

JUMLAH DIPINDAHKAN Rp 23,400,000
JUMLAH PINDAHAN Rp 23,400,000
40 Hendi / Magang Rp 600,000
41 Hary Hermansyah / Sukwan Rp 600,000
42 Shinta Kurnia Dewi / Magang Rp 600,000
43 Irena Eka Purwati / Magang Rp 600,000
44 Susi Yuliana / magang Rp 600,000
45 Ririn Panti Yuliani / Magang Rp 600,000
46 Yulita Herliyanti / Magang Rp 600,000
47 Ai Dena Lestari / Magang Rp 600,000
48 Nenden Srimulyati / Magang Rp 600,000
49 Sausan Nur Afifah / Magang Rp 600,000
50 Reni Novia A / Magang Rp 600,000
51 Sinta Siti Masitoh / Magang Rp 600,000
52 Fatimah Nur Imani / Magang Rp 600,000
53 Mungky Pinati Arengi / Magang Rp 600,000
54 Mentari Fudji Adinata / Magang Rp 600,000
55 Meylinda, Amd. Kep/ Magang Rp 600,000
56 Melly Apria Sundari, Amd. Keb Rp 600,000
57 Tita Rosita, AMG Rp 600,000
58 Tintin Suhaeni Rp 600,000
59 Nisa Ul Nisa Nyalintang Rp 600,000
60 dr. Wini Agustin Rp 600,000
61 Fenny Sella Amelia, SE Rp 600,000
62 Yopie Haerunnisa, SKM Rp 600,000
JUMLAH Rp 37,200,000
Mengetahui/ Menyetujui, Situraja, …. Mei 2021


NIP. 19651211 198703 1 005 NIP. 19870208 200902 2 002
KEHADIRAN AGS 2020 s.d APRIL 2021
TAHUN 2021
JUMLAH
NO NAMA PEGAWAI TTD
UANG
1 Wardiman,SKM / 19651211 198703 1 005 Rp 266,000

3 Dr Andreas / 19720812 200604 1 018 Rp 250,000
4 Ratman / 19660724 198703 1 006 Rp 250,000
5 Hasanudin / 19670623 199003 1 001 Rp 250,000
6 Elis Heryati / 19670503 198901 2 002 Rp 220,000
10 Ade Cahya / 19690412 199103 1 005 Rp 266,000
11 Suhanah / 19650103 198901 2 001 Rp 250,000
15 Sugiyarsi / 19740221 199302 2 001 Rp 260,000
16 Neni Triani / 19750108 200012 2 002 Rp 245,000
20 Entin S / 19671108 198803 2 007 Rp 260,000
21 Sri wantini / 19760110 200212 2 002 Rp 260,000
22 Teti Suharti / 19760613 200501 2 007 Rp 260,000
23 Iceu Royani / 19750429 200701 2 003 Rp 250,000
24 Eka Rosviani / 19731007 200604 2 012 Rp 260,000
25 Tijah / 19740714 200604 2 014 Rp 260,000
27 Enok Maryam / 19770307 200604 2 004 Rp 250,000
28 Siti Fatimah / 19750425 2002 12 2 005 Rp 266,000
29 Een Sopiah / 19730703 200012 2001 Rp 230,000
30 Oha Rohawati / 19640813 198703 2 007 Rp 240,000
31 Asep Saefudin / 19681005 199103 1 005 Rp 245,000
32 Sena / 19690718 200701 1 009 Rp 260,000
34 Yulianti / 19850813 201704 2 012 Rp 245,000
35 Susan Heryani / 19850714 201704 2 009 Rp 250,000
JUMLAH
NO NAMA PEGAWAI TTD
UANG



NIP. 19651211 198703 1 005 NIP. 19870208 200902 2 002
SPPD (PERJALANAN DINAS)
TAHUN 2021
JUMLAH
NO NAMA PEGAWAI TTD
UANG
1 Wardiman,SKM / 19651211 198703 1 005 Rp 600,000

3 Dr Andreas / 19720812 200604 1 018 Rp 600,000
4 Ratman / 19660724 198703 1 006 Rp 600,000
5 Hasanudin / 19670623 199003 1 001 Rp 600,000
6 Elis Heryati / 19670503 198901 2 002 Rp 600,000
10 Ade Cahya / 19690412 199103 1 005 Rp 600,000
11 Suhanah / 19650103 198901 2 001 Rp 600,000
15 Sugiyarsi / 19740221 199302 2 001 Rp 600,000
16 Neni Triani / 19750108 200012 2 002 Rp 600,000
20 Entin S / 19671108 198803 2 007 Rp 600,000
21 Sri wantini / 19760110 200212 2 002 Rp 600,000
22 Teti Suharti / 19760613 200501 2 007 Rp 600,000
23 Iceu Royani / 19750429 200701 2 003 Rp 600,000
24 Eka Rosviani / 19731007 200604 2 012 Rp 600,000
25 Tijah / 19740714 200604 2 014 Rp 600,000
27 Enok Maryam / 19770307 200604 2 004 Rp 600,000
28 Siti Fatimah / 19750425 2002 12 2 005 Rp 600,000
29 Een Sopiah / 19730703 200012 2001 Rp 600,000
30 Oha Rohawati / 19640813 198703 2 007 Rp 600,000
31 Asep Saefudin / 19681005 199103 1 005 Rp 600,000
32 Sena / 19690718 200701 1 009 Rp 600,000
34 Yulianti / 19850813 201704 2 012 Rp 600,000
35 Susan Heryani / 19850714 201704 2 009 Rp 600,000
JUMLAH
NO NAMA PEGAWAI TTD
UANG



NIP. 19651211 198703 1 005 NIP. 19870208 200902 2 002
LAPORAN TAHUNAN PROGRAM
NO NAMA PEGAWAI Program Ket
1 Ratman, AMK Kusta, Lansia
2 Hasanudin, AMK TB
3 Elis Heryati, AMKG Gigi
4 Solihah Hatnawati, AMK Jiwa
5 Yayah Nurhayati, AMK Indera, Kesorga
6 Ade Cahya, AMK Pustu Cikadu
7 Suhanah, AMK Pustu Cijeler

UKS,
8 Sri Agustanti Fathonah Kecacingan
PISPK,
9 Susy Permanisuci Perkesmas
10 HJ Cicih Rundasih Pustu Sukatali
11 Hj Canah Hasanah KIA
12 Entin S Sumartini, AM.Keb Pustu Cijati
13 Sri wantini, Am.Keb P2ISPA
14 Teti Suharti, Am.Keb AUSREM
15 Iceu Royani, Am.Keb Imunisasi
16 Een Sopiah, SKM Kesling
17 Tri Hartono Syarifudin Surveilan, DBD
18 Dian Eka Pratama Gudang Obat
19 Nenden Sugiharti, Amd.Ak Laboratorium

Hepatitis,
20 Reni Novia Amd.Kep
HIV,Diare
21 Apt. Mentari Fudji Adinata Loket Obat
22 Meylinda, Amd. Kep PTM
23 Tita Rosita, AMG Gizi

DAFTAR PENERIMAAN BUKU AGENDA KERJA
TANGGAL 13 DESEMBER
TAHUN 2021
NO NAMA PEGAWAI JUMLAH TTD
1 Wardiman,SKM 1 Buah
2 Yeye Sukmara, SKM 1 Buah
3 dr Andreas 1 Buah
4 drg Encep Dudun 1 Buah
5 Ratman, AMK 1 Buah
6 Hasanudin, AMK 1 Buah
7 Elis Heryati, AMKG 1 Buah
8 Solihah Hatnawati, AMK 1 Buah
9 Yayah Nurhayati, AMK 1 Buah
10 Ade Cahya, AMK 1 Buah
11 Suhanah, AMK 1 Buah
12 Sri Agustanti Fathonah 1 Buah
13 Susy Permanisuci 1 Buah
14 Lilis Rukaedah, Amd.Kep 1 Buah
15 Sugiyarsi, Am.Keb 1 Buah
16 Neni Triani, Am.Keb 1 Buah
17 HJ Cicih Rundasih 1 Buah
18 Hj Canah Hasanah 1 Buah
19 Ening Yuningsih, Am.Keb 1 Buah
20 Entin S Sumartini, AM.Keb 1 Buah
21 Sri wantini, Am.Keb 1 Buah
22 Teti Suharti, Am.Keb 1 Buah
23 Iceu Royani, Am.Keb 1 Buah
24 Eka Rosviani, Am.Keb 1 Buah
25 Tijah, Am.Keb 1 Buah
26 Nani Elda Liasari, Am.Keb 1 Buah
27 Enok Maryam, Am.Keb 1 Buah
28 Siti Fatimah, Am.Keb 1 Buah
29 Een Sopiah, SKM 1 Buah
30 Oha Rohawati 1 Buah
31 Asep Saefudin 1 Buah
32 Sena 1 Buah
33 Nida Apriyalita H 1 Buah
34 Yulianti, Am.Keb 1 Buah
35 Susan Heryani, Am.Keb 1 Buah
36 Tri Hartono Syarifudin 1 Buah
37 Dian Eka Pratama 1 Buah

NO NAMA PEGAWAI JUMLAH TTD
38 Nenden Sugiharti, Amd.Ak 1 Buah
39 Surya Dinata 1 Buah
40 Hendi 1 Buah
41 Hary Hermansyah, SST 1 Buah
42 Shinta Kurnia Amd.Keb 1 Buah
43 Irena Eka Amd.Keb 1 Buah
44 Susi Yuliana, Amd.Keb 1 Buah
45 Ririn Panti Amd.Keb 1 Buah
46 Yulita Herliyanti, Amd.Keb 1 Buah
47 Ai Dena Lestari, Amd.Keb 1 Buah
48 Nenden Srimulyati, 1 Buah
49 Sausan Nur Afifah, 1 Buah
50 Reni Novia Amd.Kep 1 Buah
51 Sinta Siti Masitoh 1 Buah
52 Fatimah Nur Imani 1 Buah
53 Apt. Mentari Fudji Adinata 1 Buah
54 Meylinda, Amd. Kep 1 Buah
55 Melly Apria, Amd. Keb 1 Buah
56 Tita Rosita, AMG 1 Buah
57 Tintin Suhaeni 1 Buah
58 Nisa Ul Ismi Putri 1 Buah
59 Fenny Sella Amelia, SE 1 Buah
60 Yopie Haerunnisa, SKM 1 Buah
61 Rifki Sanjaya, Amd.Kep 1 Buah
62 Iis Nurhayati, Amd.Keb 1 Buah
63 1 Buah
JUMLAH 63 Pcs
Mengetahui/ Menyetujui, Situraja, 13 Desember 2021

Kepala UPTD Puskesmas Situraja Bendahara Pengeluaran BLUD
Wardiman, SKM Yeye Sukmara, SKM

NIP. 19651211 198703 1 005 NIP. 19730809 199503 2 002
DAFTAR PENERIMAAN PAKAIAN BATIK TRADISIONAL
TANGGAL 27 OKTOBER
TAHUN 2021
JUMLAH
ONGKOS
NO NAMA PEGAWAI PAKAIAN TTD
JAHIT
BATIK
1 Wardiman,SKM 1 Pcs Rp 70,000
2 Yeye Sukmara, SKM 1 Pcs Rp 70,000
3 dr Andreas 1 Pcs Rp 70,000
4 drg Encep Dudun 1 Pcs Rp 70,000
5 Ratman, AMK 1 Pcs Rp 70,000
6 Hasanudin, AMK 1 Pcs Rp 70,000
7 Elis Heryati, AMKG 1 Pcs Rp 70,000
8 Solihah Hatnawati, AMK 1 Pcs Rp 70,000
9 Yayah Nurhayati, AMK 1 Pcs Rp 70,000
10 Ade Cahya, AMK 1 Pcs Rp 70,000
11 Suhanah, AMK 1 Pcs Rp 70,000
12 Sri Agustanti Fathonah 1 Pcs Rp 70,000
13 Susy Permanisuci 1 Pcs Rp 70,000
14 Lilis Rukaedah, Amd.Kep 1 Pcs Rp 70,000
15 Sugiyarsi, Am.Keb 1 Pcs Rp 70,000
16 Neni Triani, Am.Keb 1 Pcs Rp 70,000
17 HJ Cicih Rundasih 1 Pcs Rp 70,000
18 Hj Canah Hasanah 1 Pcs Rp 70,000
19 Ening Yuningsih, Am.Keb 1 Pcs Rp 70,000
20 Entin S Sumartini, AM.Keb 1 Pcs Rp 70,000
21 Sri wantini, Am.Keb 1 Pcs Rp 70,000
22 Teti Suharti, Am.Keb 1 Pcs Rp 70,000
23 Iceu Royani, Am.Keb 1 Pcs Rp 70,000
24 Eka Rosviani, Am.Keb 1 Pcs Rp 70,000
25 Tijah, Am.Keb 1 Pcs Rp 70,000
26 Nani Elda Liasari, Am.Keb 1 Pcs Rp 70,000
27 Enok Maryam, Am.Keb 1 Pcs Rp 70,000
28 Siti Fatimah, Am.Keb 1 Pcs Rp 70,000
29 Een Sopiah, SKM 1 Pcs Rp 70,000
30 Oha Rohawati 1 Pcs Rp 70,000
31 Asep Saefudin 1 Pcs Rp 70,000
32 Sena 1 Pcs Rp 70,000
33 Nida Apriyalita H 1 Pcs Rp 70,000
34 Yulianti, Am.Keb 1 Pcs Rp 70,000
35 Susan Heryani, Am.Keb 1 Pcs Rp 70,000
36 Tri Hartono Syarifudin 1 Pcs Rp 70,000

JUMLAH
ONGKOS
JAHIT
BATIK
37 Dian Eka Pratama 1 Pcs Rp 70,000
38 Nenden Sugiharti, Amd.Ak 1 Pcs Rp 70,000
39 Surya Dinata 1 Pcs Rp 70,000
40 Hendi 1 Pcs Rp 70,000
41 Hary Hermansyah, SST 1 Pcs Rp 70,000
42 Shinta Kurnia Amd.Keb 1 Pcs Rp 70,000
43 Irena Eka Amd.Keb 1 Pcs Rp 70,000
44 Susi Yuliana, Amd.Keb 1 Pcs Rp 70,000
45 Ririn Panti Amd.Keb 1 Pcs Rp 70,000
46 Yulita Herliyanti, Amd.Keb 1 Pcs Rp 70,000
47 Ai Dena Lestari, Amd.Keb 1 Pcs Rp 70,000
48 Nenden Srimulyati, 1 Pcs Rp 70,000
49 Sausan Nur Afifah, 1 Pcs Rp 70,000
50 Reni Novia Amd.Kep 1 Pcs Rp 70,000
51 Sinta Siti Masitoh 1 Pcs Rp 70,000
52 Fatimah Nur Imani 1 Pcs Rp 70,000
53 Apt. Mentari Fudji Adinata 1 Pcs Rp 70,000
54 Meylinda, Amd. Kep 1 Pcs Rp 70,000
55 Melly Apria, Amd. Keb 1 Pcs Rp 70,000
56 Tita Rosita, AMG 1 Pcs Rp 70,000
57 Tintin Suhaeni 1 Pcs Rp 70,000
58 Nisa Ul Ismi Putri 1 Pcs Rp 70,000
59 dr. Wini Agustin 1 Pcs Rp 70,000
60 Fenny Sella Amelia, SE 1 Pcs Rp 70,000
61 Yopie Haerunnisa, SKM 1 Pcs Rp 70,000
62 Rifki Sanjaya, Amd.Kep 1 Pcs Rp 70,000
63 Iis Nurhayati, Amd.Keb 1 Pcs Rp 70,000
JUMLAH 63 Pcs Rp 4,340,000
Mengetahui/ Menyetujui, Situraja, 27 Oktober 2021

Wardiman, SKM Yeye Sukmara, SKM

NIP. 19651211 198703 1 005 NIP. 19730809 199503 2 002
TANGGAL 27 OKTOBER
TAHUN 2021
JUMLAH
ONGKOS
JAHIT
BATIK
43 Irena Eka Purwati, Amd.Keb 1 Pcs Rp 70,000

44 Susi Yuliana, Amd.Keb 1 Pcs Rp 70,000
45 Ririn Panti Yuliani, Amd.Keb 1 Pcs Rp 70,000
46 Yulita Herliyanti, Amd.Keb 1 Pcs Rp 70,000
47 Ai Dena Lestari, Amd.Keb 1 Pcs Rp 70,000
48 Nenden Srimulyati, Amd.Keb 1 Pcs Rp 70,000
49 Sausan Nur Afifah, Amd.Keb 1 Pcs Rp 70,000
50 Reni Novia Anggraeni, Amd.Kep 1 Pcs Rp 70,000
51 Sinta Siti Masitoh, Amd.Keb 1 Pcs Rp 70,000
52 Fatimah Nur Imani, Amd.Keb 1 Pcs Rp 70,000
53 Apt. Mentari Fudji Adinata, S.Farm 1 Pcs Rp 70,000
54 Meylinda, Amd. Kep 1 Pcs Rp 70,000
55 Melly Apria Sundari, Amd. Keb 1 Pcs Rp 70,000
56 Tita Rosita, AMG 1 Pcs Rp 70,000
57 Tintin Suhaeni 1 Pcs Rp 70,000
58 Nisa Ul Ismi Putri Nyalintang, Amd.Keb 1 Pcs Rp 70,000
59 dr. Wini Agustin 1 Pcs Rp 70,000
60 Fenny Sella Amelia, SE 1 Pcs Rp 70,000
61 Yopie Haerunnisa, SKM 1 Pcs Rp 70,000
62 Rifki Sanjaya, Amd.Kep 1 Pcs Rp 70,000
63 Iis Nurhayati, Amd.Keb 1 Pcs Rp 70,000
JUMLAH 63 Pcs Rp 4,340,000

Wardiman, SKM Sugiyarsi, Am.Keb

NIP. 19651211 198703 1 005 NIP. 19740221 199302 2 001
KARYAWAN NON ASN
TAHUN 2021
JUMLAH
BATIK
1 Nenden Sugiharti, Amd.Ak 1 Pcs 1
2 Surya Dinata 1 Pcs 2
3 Hendi 1 Pcs 3
4 Hary Hermansyah, SST 1 Pcs 4
5 Shinta Kurnia Dewi, Amd.Keb 1 Pcs 5
6 Irena Eka Purwati, Amd.Keb 1 Pcs 6
7 Susi Yuliana, Amd.Keb 1 Pcs 7
8 Ririn Panti Yuliani, Amd.Keb 1 Pcs 8
9 Yulita Herliyanti, Amd.Keb 1 Pcs 9
10 Ai Dena Lestari, Amd.Keb 1 Pcs 10
11 Nenden Srimulyati, Amd.Keb 1 Pcs 11
12 Sausan Nur Afifah, Amd.Keb 1 Pcs 12
13 Reni Novia Anggraeni, Amd.Kep 1 Pcs 13
14 Sinta Siti Masitoh, Amd.Keb 1 Pcs 14
15 Fatimah Nur Imani, Amd.Keb 1 Pcs 15
16 Apt. Mentari Fudji Adinata, S.Farm 1 Pcs 16
17 Meylinda, Amd. Kep 1 Pcs 17
18 Melly Apria Sundari, Amd. Keb 1 Pcs 18
19 Tita Rosita, AMG 1 Pcs 19
20 Tintin Suhaeni 1 Pcs 20
21 Nisa Ul Ismi Putri Nyalintang, Amd.Keb 1 Pcs 21
22 dr. Wini Agustin 1 Pcs 22
23 Fenny Sella Amelia, SE 1 Pcs 23
24 Yopie Haerunnisa, SKM 1 Pcs 24
25 Rifki Sanjaya, Amd.Kep 1 Pcs 25
26 Iis Nurhayati, Amd.Keb 1 Pcs 26
JUMLAH 26 Pcs
Mengetahui/ Menyetujui, Situraja, ….. ……………. 2021


JUMLAH
BATIK
NIP. 19651211 198703 1 005 NIP. 19681005 199103 1 005
KARYAWAN ASN
TAHUN 2021
JUMLAH
BATIK
1 Wardiman,SKM / 19651211 198703 1 005 1 Pcs 1

2 Yeye Sukmara, SKM / 19730809 199503 2 002 1 Pcs 2
3 dr Andreas / 19720812 200604 1 018 1 Pcs 3
4 drg Encep Dudun Saepudin / 19680930 200212 1 005 1 Pcs 4
5 Ratman, AMK / 19660724 198703 1 006 1 Pcs 5
6 Hasanudin, AMK / 19670623 199003 1 001 1 Pcs 6
7 Elis Heryati, AMKG / 19670503 198901 2 002 1 Pcs 7
8 Solihah Hatnawati, AMK/ 19671205 198901 2 002 1 Pcs 8
9 Yayah Nurhayati, AMK / 19680404 199103 2 013 1 Pcs 9
10 Ade Cahya, AMK / 19690412 199103 1 005 1 Pcs 10
11 Suhanah, AMK / 19650103 198901 2 001 1 Pcs 11
12 Sri Agustanti Fathonah., AMK./19800817 200501 2 018 1 Pcs 12
13 Susy Permanisuci, Amd.Kep / 19850226 201001 2 012 1 Pcs 13
14 Lilis Rukaedah, Amd.Kep/ 19790813 200701 2 008 1 Pcs 14
15 Sugiyarsi, Am.Keb/ 19740221 199302 2 001 1 Pcs 15
16 Neni Triani, Am.Keb/ 19750108 200012 2 002 1 Pcs 16
17 HJ Cicih Rundasih, STr.Keb / 19680723 198803 2 002 1 Pcs 17
18 Hj Canah Hasanah, STr.Keb / 19710420 199203 2 010 1 Pcs 18
19 Ening Yuningsih, Am.Keb/ 19690912 198912 2 002 1 Pcs 19
20 Entin S Sumartini, AM.Keb / 19671108 198803 2 007 1 Pcs 20
21 Sri wantini, Am.Keb / 19760110 200212 2 002 1 Pcs 21
22 Teti Suharti, Am.Keb / 19760613 200501 2 007 1 Pcs 22
23 Iceu Royani, Am.Keb/ 19750429 200701 2 003 1 Pcs 23
24 Eka Rosviani, Am.Keb / 19731007 200604 2 012 1 Pcs 24
25 Tijah, Am.Keb / 19740714 200604 2 014 1 Pcs 25
26 Nani Elda Liasari, Am.Keb / 19771123 200801 2 006 1 Pcs 26
27 Enok Maryam, Am.Keb/ 19770307 200604 2 004 1 Pcs 27
28 Siti Fatimah, Am.Keb/ 19750425 2002 12 2 005 1 Pcs 28
29 Een Sopiah, SKM / 19730703 200012 2001 1 Pcs 29
30 Oha Rohawati / 19640813 198703 2 007 1 Pcs 30
31 Asep Saefudin / 19681005 199103 1 005 1 Pcs 31
32 Sena / 19690718 200701 1 009 1 Pcs 32
33 Nida Apriyalita H / 19870408 201704 2 011 1 Pcs 33
34 Yulianti, Am.Keb / 19850813 201704 2 012 1 Pcs 34
35 Susan Heryani, Am.Keb/ 19850714 201704 2 009 1 Pcs 35
36 Tri Hartono Syarifudin., Amd.Kep /19930904 201903 1 005 1 Pcs 36
37 Dian Eka Pratama, Amd.Farm /19931210 201903 1 007 1 Pcs 37
JUMLAH 37 Pcs

JUMLAH
BATIK

NIP. 19651211 198703 1 005 NIP. 19681005 199103 1 005
SKUMPTK
KARYAWAN ASN
TAHUN 2021
SUDAH
NO NAMA PEGAWAI
MENGUMPULKAN
1 Wardiman,SKM / 19651211 198703 1 005

2 Yeye Sukmara, SKM / 19730809 199503 2 002
3 dr Andreas / 19720812 200604 1 018
4 drg Encep Dudun Saepudin / 19680930 200212 1 005
5 Ratman, AMK / 19660724 198703 1 006
6 Hasanudin, AMK / 19670623 199003 1 001
7 Elis Heryati, AMKG / 19670503 198901 2 002
8 Solihah Hatnawati, AMK/ 19671205 198901 2 002
9 Yayah Nurhayati, AMK / 19680404 199103 2 013
10 Ade Cahya, AMK / 19690412 199103 1 005
11 Suhanah, AMK / 19650103 198901 2 001
12 Sri Agustanti Fathonah., AMK./19800817 200501 2 018
13 Susy Permanisuci, Amd.Kep / 19850226 201001 2 012
14 Lilis Rukaedah, Amd.Kep/ 19790813 200701 2 008
15 Sugiyarsi, Am.Keb/ 19740221 199302 2 001
16 Neni Triani, Am.Keb/ 19750108 200012 2 002
17 HJ Cicih Rundasih, STr.Keb / 19680723 198803 2 002
18 Hj Canah Hasanah, STr.Keb / 19710420 199203 2 010
19 Ening Yuningsih, Am.Keb/ 19690912 198912 2 002
20 Entin S Sumartini, AM.Keb / 19671108 198803 2 007
21 Sri wantini, Am.Keb / 19760110 200212 2 002
22 Teti Suharti, Am.Keb / 19760613 200501 2 007
23 Iceu Royani, Am.Keb/ 19750429 200701 2 003
24 Eka Rosviani, Am.Keb / 19731007 200604 2 012
25 Tijah, Am.Keb / 19740714 200604 2 014
26 Nani Elda Liasari, Am.Keb / 19771123 200801 2 006
27 Enok Maryam, Am.Keb/ 19770307 200604 2 004
28 Siti Fatimah, Am.Keb/ 19750425 2002 12 2 005
29 Een Sopiah, SKM / 19730703 200012 2001
30 Oha Rohawati / 19640813 198703 2 007
31 Asep Saefudin / 19681005 199103 1 005
32 Sena / 19690718 200701 1 009
33 Nida Apriyalita H / 19870408 201704 2 011
34 Yulianti, Am.Keb / 19850813 201704 2 012
35 Susan Heryani, Am.Keb/ 19850714 201704 2 009
36 Tri Hartono Syarifudin., Amd.Kep /19930904 201903 1 005
DAFTAR PENERIMAAN JASA PELAYANAN BLUD PUSKESMAS SITURAJA
PROGRAM : 1.01.02.1.01.02.01.23 Program Pelayanan Kesehatan pada BLUD

KEGIATAN : 1.01.02.1.01.02.01.23.014 Pelayanan Kesehatan PPK BLUD Puskesmas Situraja
LOKASI KEGIATAN : PUSKESMAS SITURAJA
KODE AKUN : 5.1.3.01
BULAN : PEBRUARI 2019
INDIKATOR KEHADIRAN Persent

ase
Kehadir
an PPH Psl 21
status pegawai (10% X Total Jasa) Masa kerja(5% X Total Jasa) pendidikan (15% X Total Jasa) Resiko Kerja(20%X Total Jasa) Jabatan(20% X Total Jasa) kinerja pelayanan(30% X Total Jasa)
No Nama Pegawai Gol Jabatan (% Total

Perkalian Perkalian Perkalian Jumlah Pemba
Perkalian Jumlah Hari
Perkalian index X index X index X Hari gian
Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Masuk Kerja Kerja Kolom
index X Persentas Persenta Persenta
Index X Persentase kolom 6 X kolom 6 X Index Persentas kolom 9 X Rp. kolom 6 X Index Persentase kolom 12 X Rp. kolom 15 X Index e kolom 15 X Rp. kolom 19 X Index se kolom 18 X Rp. kolom 23 X Index se kolom 21 X Rp. kolom 27 X 29
kehadiran kolom 7 Rp.48.737,81 e 21.877,72 kolom 7 55.241,83 kolom 16 55.241,83 kolom 20 277.225,74 kolom 24 363.334,05 kolom 28 15%
kehadiran kehadira kehadira kehadira dibagi
kehadiran n n n kolom
30)
1 2 3 4 5 6 8 7 8 9 10 13 11 12 13 17 14 15 16 19 17 18 19 25 20 21 22 28 23 24 25 26 27
Dr. Hj. Deti R., MHKes /

1 19651231 200212 2 010 IV/A Kepala PKM 5 5.00 243,689 243,689 5 5.00 109,389 109,389 9 9.00 497,177 497,176 8 8.00 456,661 456,661 8 8.00 2,217,806 2,217,806 3 3.00 1,090,002 1,090,002 23 23 100% 4,614,723 4,614,724 673,802
2 Jejen Zaenal M /
196205011985011001 III/C Kasubag TU 5 4.57 222,499 222,499 6 5.48 119,852 119,852 6 5.48 302,629 302,629 5 4.57 260,594 260,594 4 3.65 1,012,477 1,012,477 2.4 2.19 796,175 796,175 21 23 91% 2,714,226 2,714,226
3 Drg. Encep Dudun / IV/B Dokter Gigi 5 5.00 243,689 243,689 5 5.00 109,389 109,389 9 9.00 497,176 497,176 8 8.00 456,661 456,661 1 1.00 277,226 277,226 3 3.00 1,090,002 1,090,002 23 23 100% 2,674,143 2,674,143 389,370
19680930 200212 1 002
4 200604 1 018 IV/A Dokter Umum 5 5.00 243,689 243,689 4 4.00 87,511 87,511 9 9.00 497,176 497,176 8 8.00 456,661 456,661 2 2.00 554,451 554,451 3 3.00 1,090,002 1,090,002 23 23 100% 2,929,491 2,929,490 426,833
5 Ratman / 19660724
198703 1 006 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 726,668 726,668 23 23 100% 2,054,636 2,054,636
6 Hasanudin / 19670623 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 726,668 726,668 23 23 100% 2,054,636 2,054,636
199003 1 001
7 198901 2 002 III/D perawat gg 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.7 1.70 617,668 617,668 23 23 100% 1,945,636 1,945,636
8 Solihah Hatnawati /
19671205 198901 2 002 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 726,668 726,668 23 23 100% 2,054,636 2,054,636
9 Dadang Sumarya / III/D Perawat Pustu 5 4.13 201,308 201,308 6 4.96 108,437 108,437 3 2.48 136,904 136,904 7 5.78 330,086 330,086 1 0.83 229,013 229,013 1 0.83 300,146 300,146 19 23 83% 1,305,894 1,305,894
19671010 198901 1 005
Yayah Nurhayati /
10 19680404 199103 2 013 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 726,668 726,668 23 23 100% 2,054,636 2,054,636
11 Ade Cahya / 19690412

199103 1 005 III/C Perawat Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
12 Suhanah / 19650103 III/D Perawat Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
198901 2 001
Susy Permanisuci /
13 19850226 201001 2 012 III/A Perawat 5 5.00 243,689 243,689 3 3.00 65,633 65,633 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 726,668 726,668 23 23 100% 2,044,245 2,044,245
14 Lilis Rukaedah / 19790813

200701 2 008 III/A Pet. Portir 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,210 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.20 436,001 436,001 23 23 100% 1,720,214 1,720,215
15 Sugiyarsi / 19740221 III/D BIDKOR/Bendahara 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 3 3.00 831,677 831,677 3 3.00 1,090,002 1,090,002 23 23 100% 2,972,422 2,972,422
199302 2 001 pengeluaran

16 200012 2 002 III/B PJ Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 2 2.00 554,451 554,451 3 2.50 908,335 908,335 23 23 100% 2,513,529 2,513,529
17 HJ Cicih Rundasih / III/D Bidan Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,303
19680723 198803 2 002
18 Hj Canah Hasanah /
19710420 199203 2 010 III/D Bidan Puskesmas 5 5.00 243,689 243,689 6 6.00 131,266 131,266 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.9 1.90 690,335 690,335 23 23 100% 2,073,545 2,073,545
JUMLAH DIPINDAHKAN 90 88.70 4,322,832 4,322,831 99 97.43 2,131,648 2,131,651 103 101.96 5,632,267 5,632,265 127 125.35 7,155,177 7,155,177 32 31.48 8,726,587 8,726,584 35 35.32 12,832,010 12,832,011 431 438 98% 40,800,520 40,800,520 1,490,005
ase
Kehadir
an PPH Psl 21

Perkalian index X index X index X Masuk Kerja Hari gian
Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
X Persentase kolom 6 X kolom 6 X index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta kolom 18 X Rp. Persenta kolom 21 X Rp.
Index Index Persentas kolom 9 X Rp. kolom 6 X Index Persentase
kolom 15 X Index e
kolom 19 X Index se
kolom 23 X Index se
kolom 27 X
29
kehadiran kolom 7 Rp.48.737,81 e 21.877,72 kolom 7
kehadiran
55.241,83 kolom 16
kehadira
55.241,83 kolom 20
kehadira
277.225,74 kolom 24
kehadira
363.334,05 kolom 28
dibagi 15%
kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 90 88.70 4,322,832 4,322,831 99 97.43 2,131,648 2,131,651 103 101.96 5,632,267 5,632,265 127 125.35 7,155,177 7,155,177 32 31.48 8,726,587 8,726,584 35 35.32 12,832,010 12,832,011 431 438 98% 40,800,520 40,800,520 1,490,005
19 Ening Yuningsih/ 19690912 III/D Bidan Poned

198912 2 002 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
20 Entin S / 19671108 198803 III/D Pj Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
2 007
21 200212 2 002 II/D Pelaksana KIA 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 1.70 617,668 617,668 23 23 100% 1,945,636 1,945,636
22 Teti Suharti / 19760613

200501 2 007 III/A Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
23 Iceu Royani / 19750429 III/A Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
200701 2 003
24 200604 2 012 III/B Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
25 Tijah
014
/ 19740714 200604 2 III/B Bidan Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
26 Nani Elda Liasari / III/A Bidan Desa 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,647,547 1,647,547
19771123 200801 2 006
27 200604 2 004 III/A Bidan Desa 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,647,547 1,647,547
28 Siti Fatimah / 19750425

2002 12 2 005 III/B Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,691,302 1,691,302
29 Sadiah / 19610414 198409 III/B Jurim 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 4 4.00 228,330 228,330 1 1.00 277,226 277,226 2 2.00 726,668 726,668 23 23 100% 1,717,663 1,717,663
2 001
30 200012 2001 III/D Sanitarian 5 4.57 222,499 222,499 5 4.57 99,877 99,877 5 4.57 252,191 252,191 4 3.65 208,476 208,476 1 0.91 253,119 253,119 1 0.91 331,740 331,740 21 23 91% 1,367,901 1,367,902
31 Isak Winata / 19620605 III/B Bendahara 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 3 3.00 831,677 831,677 3 3.00 1,090,002 1,090,002 23 23 100% 2,578,366 2,578,366
198603 1 022 Penerimaan
32 Neni Isnaeni / 19650923 III/B Administrasi 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 1 1.00 277,226 277,226 0.3 0.30 109,000 109,000 23 23 100% 1,042,913 1,042,913
198603 2 005
33 Oha Rohawati / 19640813 III/B Pet. Gizi 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 4 4.00 228,330 228,330 1 1.00 277,226 277,226 2 1.50 545,001 545,001 23 23 100% 1,535,996 1,535,996
198703 2 007
34 Asep Saefudin / 19681005 II/C Pet Obat-Petugas 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 2 2.00 554,451 554,451 2 1.50 545,001 545,001 23 23 100% 1,756,139 1,756,139
199103 1 005 Aset
35 Sena / 19690718 200701 1 II/B Bndhr BOK 5 5.00 243,689 243,689 4 4.00 87,511 87,511 2 2.00 110,484 110,484 3 3.00 171,248 171,248 2 2.00 554,451 554,451 3 2.50 908,335 908,335 23 23 100% 2,075,718 2,075,718
009
Nida Apriyalita H /
36 19870408 201704 2 011 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,625,669 1,625,669
37 Yulianti / 19850813 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1 1.00 363,334 363,334 23 23 100% 1,625,669 1,625,669
201704 2 012

38 201704 2 009 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1 1.00 363,334 363,334 23 23 100% 1,625,669 1,625,668
39 Hj. Siti Jamilah / 19700115 III/D Pelaksana KIA 5 5.00 243,689 243,689 0 - - - 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.7 1.70 617,668 617,668 23 23 100% 1,869,612 1,869,611
199012 2 001

40 AMK./19800817 200501 2 III/B Perawat 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.0 2.00 726,668 726,668 23 23 100% 2,010,881 2,010,880
018
41 Telly Milawati / Sukwan SKW Prat Magang 1 1.00 48,738 48,738 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.5 1.50 545,001 545,001 23 23 100% 1,612,385 1,612,384
42 Nenden Sugiharti / Sukwan SKW Analis Magang 1 1.00 48,738 48,738 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1 1.30 472,334 472,334 23 23 100% 1,539,718 1,539,717
43 Surya Dinata / Sukwan SKW PP Sukwan 1 1.00 48,738 48,738 4 4.00 87,511 87,511 1 1.00 55,242 55,242 1 1.00 57,083 57,083 1 1.00 277,225 277,226 2 2.00 726,668 726,668 23 23 100% 1,252,467 1,252,467
44 Hendi / Magang SKW Asisten Apt 1 1.00 48,738 48,738 3 3.00 65,634 65,633 3 3.00 165,725 165,725 4 4.00 228,330 228,330 1 1.00 277,225 277,226 1 1.20 436,001 436,001 23 23 100% 1,221,653 1,221,653
JUMLAH DIPINDAHKAN 204 202 9,857,752 9,857,751 220 218.00 4,769,337 4,769,343 210 208.52 11,519,124 11,519,122 275 273.00 15,583,544 15,583,544 62 61.39 17,019,250 17,019,250 67 70.43 25,589,773 25,589,775 1,027 1,036 99% 84,338,786 84,338,779 1,490,005
ase
Kehadir
an PPH Psl 21

Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
X Persentase kolom 6 X kolom 6 X index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta kolom 18 X Rp. Persenta kolom 21 X Rp.
kolom 15 X Index e
kolom 19 X Index se
kolom 23 X Index se
kolom 27 X
29
kehadiran
55.241,83 kolom 16
kehadira
55.241,83 kolom 20
kehadira
277.225,74 kolom 24
kehadira
363.334,05 kolom 28
dibagi 15%
kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 204 202 9,857,752 9,857,751 220 218.00 4,769,337 4,769,343 210 208.52 11,519,124 11,519,122 275 273.00 15,583,544 15,583,544 62 61.39 17,019,250 17,019,250 67 70.43 25,589,773 25,589,775 1,027 1,036 99% 84,338,786 84,338,779 1,490,005
45 Titing Marlina / Magang SKW Staf Magang 1 1.00 48,738 48,738 3 3.00 65,634 65,633 6 6.00 331,451 331,451 4 4.00 228,330 228,330 1 1.00 277,226 277,226 1.5 1.50 545,001 545,001 23 23 100% 1,496,379 1,496,380
46 Hary Hermansyah / Sukwan SKW Portir 1 1.00 48,738 48,738 3 3.00 65,634 65,633 6 6.00 331,451 331,451 3 3.00 171,248 171,248 1 1.00 277,226 277,226 2.0 2.00 726,668 726,668 23 23 100% 1,620,964 1,620,965
Shinta Kurnia Dewi /

47 Magang SKW Bidan Magang 1 1.00 48,738 48,738 3 3.00 65,634 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,430,718 1,430,719
48 Irena Eka Purwati / Magang SKW Bidan Magang 1 1.00 48,738 48,738 3 3.00 65,634 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,430,718 1,430,719
49 Susi Yuliana / magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,408,840 1,408,841
50 Ririn Panti Yuliani / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,408,840 1,408,841
51 Yulita Herliyanti / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,408,840 1,408,841
52 Ai Dena Lestari / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,408,840 1,408,841
Nenden Srimulyati /
54 Sausan
Magang
Nur Afifah / SKW Bidan Magang 1 1.00 48,738 48,738 1 1.00 21,878 21,878 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,386,963 1,386,963
55 Reni Novia A / Magang SKW Perawat Magang 1 1.00 48,738 48,738 1 1.00 21,878 21,878 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.5 1.50 545,001 545,001 23 23 100% 1,568,630 1,568,630
56 Sinta Siti Masitoh / Magang SKW Bidan Magang 1 1.00 48,738 48,738 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 363,334 363,334 23 23 100% 1,365,085 1,365,084
57 Fatimah
Magang
Nur Imani / SKW Bidan Magang 1 1.00 48,738 48,737 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 363,335 363,334 23 23 100% 1,365,085 1,365,084
58 Mungky Pinati Arengi / SKW Bidan Magang 1 1.00 48,738 48,737 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 363,335 363,334 23 23 100% 1,365,085 1,365,084
Magang
59 Mentari Fudji Adinata / SKW Apoteker Magang 1 1.00 48,738 48,737 0 - - - 7 7.00 386,693 386,693 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 363,335 363,334 23 23 100% 1,475,568 1,475,568
Magang
Jumlah 219 217 10,588,819 10,588,818 244 242 5,294,409 5,294,408 289 288 15,883,227 15,883,227 373 371 21,177,636 21,177,637 77 76 21,177,636 21,177,636 84 87 31,766,454 31,766,454 1,372 1,381 99% 105,888,181 105,888,180.00 1,490,005
Terbilang seratus lima juta delapan ratus delapan puluh delapan ribu seratus delapan puluh satu rupiah dan dua puluh delapan sen
Mengetahui/Menyetujui
Pimpinan BLUD UPT Puskesmas Situraja
dr. Hj. R. Deti Rahmawati, MHKes

NIP. 19651231 200212 2 010
ELAYANAN BLUD PUSKESMAS SITURAJA
PPH Psl 21
Jumlah Yang Tanda Tangan

Diterima
6% 5%
28 29 30 31
Rp 3,940,922 1
........
111,154 Rp 2,603,072 2
........
Rp 2,284,773 3
........
Rp 2,502,657 4
........
99,732 Rp 1,954,904 5
........
99,732 Rp 1,954,904 6
........
94,469 Rp 1,851,167 7
........
99,732 Rp 1,954,904 8
........
64,982 Rp 1,240,912 9
........
99,732 Rp 1,954,904 10
........
82,188 Rp 1,609,114 11
........
82,188 Rp 1,609,114 12
........
99,257 Rp 1,944,988 13
........
83,583 Rp 1,636,632 14
........
144,365 Rp 2,828,057 15
........
104,005 Rp 2,409,524 16
........
63,221 Rp 1,628,082 17
........
100,673 Rp 1,972,872 18
........
1,429,013 Rp 37,881,502
PPH Psl 21

Diterima
6% 5%
- 1,429,013 Rp 37,881,502
82,188 Rp 1,609,114 19
........
82,188 Rp 1,609,114 20
........
Rp 1,945,636 21
........
82,188 Rp 1,609,114 22
........
82,188 Rp 1,609,114 23
........
82,188 Rp 1,609,114 24
........
82,188 Rp 1,609,114 25
........
80,074 Rp 1,567,473 26
........
80,074 Rp 1,567,473 27
........
82,188 Rp 1,609,114 28
........
83,278 Rp 1,634,385 29
........
69,965 Rp 1,297,937 30
........
125,122 Rp 2,453,244 31
........
50,665 Rp 992,248 32
........
74,506 Rp 1,461,490 33
........
Rp 1,756,139 34
........
Rp 2,075,718 35
........
Rp 1,625,669 36
........
Rp 1,625,669 37
........
Rp 1,625,668 38
........
90,824 Rp 1,778,787 39
........
97,618 Rp 1,913,262 40
........
94,059 Rp 1,518,325 41
........
86,393 Rp 1,453,324 42
........
72,834 Rp 1,179,633 43
........
71,234 Rp 1,150,419 44
........
324,520 2,756,455 Rp 79,767,799

PPH Psl 21

Diterima
6% 5%
324,520 2,756,455 Rp 79,767,799
87,253 Rp 1,409,127 45
........
94,433 Rp 1,526,532 46
........
83,533 Rp 1,347,186 47
........
83,533 Rp 1,347,186 48
........
68,554 Rp 1,340,287 49
........
82,265 Rp 1,326,576 50
........
82,265 Rp 1,326,576 51
........
82,265 Rp 1,326,576 52
........
68,554 Rp 1,340,287 53
........
Rp 1,386,963 54
........
91,523 Rp 1,477,107 55
........
79,729 Rp 1,285,355 56
........
79,729 Rp 1,285,355 57
........
79,729 Rp 1,285,355 58
........
86,198 Rp 1,389,370 59
........
1,405,529 2,825,009 100,167,637
elapan puluh delapan ribu seratus delapan puluh satu rupiah dan dua puluh delapan sen
Sumedang, 2019
Lunas dibayar,
Bendahara Pengeluaran BLUD UPT Puskesmas Situraja
Sugiyarsi , AMKeb
NIP. 19740221 199302 2 001

BULAN : PEBRUARI 2019

ase
Kehadir
an PPH Psl 21

Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Masuk Kerja Kerja Kolom
Index X Persentase kolom 6 X kolom 6 X Index Persentas kolom 9 X Rp. kolom 6 X Index Persentase kolom 12 X Rp. kolom 15 X Index e kolom 15 X Rp. kolom 19 X Index se 277.225,74 kolom 23 X Index se kolom 21 X Rp. kolom 27 X 29
kehadiran kolom 7 Rp.48.737,81 e 21.877,72 kolom 7 55.241,83 kolom 16 57082,58 kolom 20 kolom 24 255.009,75 kolom 28 15%
kehadiran n n n kolom
30)
1 2 3 4 5 6 8 7 8 9 10 13 11 12 13 17 14 15 16 19 17 18 19 25 20 21 22 28 23 24 25 26 27

1 19651231 200212 2 010 IV/A Kepala PKM 5 5.00 243,689 243,689 5 5.00 109,389 109,389 9 9.00 497,177 497,176 8 8.00 456,661 456,661 8 8.00 2,217,806 2,217,806 3 3.00 766,260 765,029 23 23 100% 4,289,750 4,290,982 673,802
2 Jejen Zaenal M /
196205011985011001 III/C Kasubag TU 5 4.57 222,499 222,499 6 5.48 119,852 119,852 6 5.48 302,629 302,629 5 4.57 260,594 260,594 4 3.65 1,012,477 1,012,477 2.4 2.19 559,703 558,804 21 23 91% 2,476,855 2,477,754
3 Drg. Encep Dudun / IV/B Dokter Gigi 5 5.00 243,689 243,689 5 5.00 109,389 109,389 9 9.00 497,176 497,176 8 8.00 456,661 456,661 1 1.00 277,226 277,226 3 3.00 766,260 765,029 23 23 100% 2,349,170 2,350,401 389,370
19680930 200212 1 002
4 200604 1 018 IV/A Dokter Umum 5 5.00 243,689 243,689 4 4.00 87,511 87,511 9 9.00 497,176 497,176 8 8.00 456,661 456,661 2 2.00 554,451 554,451 3 3.00 766,260 765,029 23 23 100% 2,604,518 2,605,748 426,833
5 Ratman / 19660724
198703 1 006 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,888,990 1,889,892
6 Hasanudin / 19670623 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,888,990 1,889,892
199003 1 001
7 198901 2 002 III/D perawat gg 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
19671205 198901 2 002 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,888,990 1,889,892
9 Dadang Sumarya / III/D Perawat Pustu 5 4.13 201,308 201,308 6 4.96 108,437 108,437 3 2.48 136,904 136,904 7 5.78 330,086 330,086 1 0.83 229,013 229,013 2 1.65 421,998 421,320 19 23 83% 1,427,069 1,427,746
19671010 198901 1 005
Yayah Nurhayati /
10 19680404 199103 2 013 III/D Perawat 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,888,990 1,889,892
11 Ade Cahya / 19690412

199103 1 005 III/C Perawat Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
12 Suhanah / 19650103 III/D Perawat Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
198901 2 001
Susy Permanisuci /
13 19850226 201001 2 012 III/A Perawat 5 5.00 243,689 243,689 3 3.00 65,633 65,633 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.20 613,008 561,021 23 23 100% 1,878,598 1,930,585

200701 2 008 III/A Pet. Portir 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,210 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,794,232 1,795,054
15 Sugiyarsi / 19740221 III/D BIDKOR/Bendahara 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 3 3.00 831,677 831,677 3 3.00 766,260 765,029 23 23 100% 2,647,449 2,648,680

16 200012 2 002 III/B PJ Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 2 2.00 554,451 554,451 3 2.50 638,550 637,524 23 23 100% 2,242,718 2,243,744
17 HJ Cicih Rundasih / III/D Bidan Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,210 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,809
19680723 198803 2 002
19710420 199203 2 010 III/D Bidan Puskesmas 5 5.00 243,689 243,689 6 6.00 131,266 131,266 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,944,232 1,945,134
JUMLAH DIPINDAHKAN 90 88.70 4,322,832 4,322,831 99 97.43 2,131,648 2,131,651 103 101.96 5,632,267 5,632,265 127 125.35 7,155,177 7,155,177 32 31.48 8,726,587 8,726,584 35 41.54 10,662,119 10,593,992 431 438 98% 38,562,501 38,630,629 1,490,005
ase
Kehadir
an PPH Psl 21

Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
X Persentase kolom 6 X kolom 6 X index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta Persenta kolom 21 X Rp.
kolom 15 X Index e
kolom 19 X Index se 277.225,74 kolom 23 X Index se
kolom 27 X
29
kehadiran
55.241,83 kolom 16
kehadira
57082,58 kolom 20
kehadira
kolom 24
kehadira
255.009,75 kolom 28
dibagi 15%
kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 90 88.70 4,322,832 4,322,831 99 97.43 2,131,648 2,131,651 103 101.96 5,632,267 5,632,265 127 125.35 7,155,177 7,155,177 32 31.48 8,726,587 8,726,584 35 41.54 10,662,119 10,593,992 431 438 98% 38,562,501 38,630,629 1,490,005

198912 2 002 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
20 Entin S / 19671108 198803 III/D Pj Pustu 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
2 007
21 200212 2 002 II/D Pelaksana KIA 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808

200501 2 007 III/A Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
23 Iceu Royani / 19750429 III/A Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
200701 2 003
24 200604 2 012 III/B Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,837,988 1,838,808
25 Tijah
014
/ 19740714 200604 2 III/B Bidan Poned 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,837,988 1,838,807
26 Nani Elda Liasari / III/A Bidan Desa 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,794,232 1,795,052
19771123 200801 2 006
27 200604 2 004 III/A Bidan Desa 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,794,232 1,795,052

2002 12 2 005 III/B Bidan Desa 5 5.00 243,689 243,689 6 6.00 131,266 131,266 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,837,988 1,838,807
29 Sadiah / 19610414 198409 III/B Jurim 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 4 4.00 228,330 228,330 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,501,015 1,501,834
2 001
30 200012 2001 III/D Sanitarian 5 4.57 222,499 222,499 5 4.57 99,877 99,877 5 4.57 252,191 252,191 4 3.65 208,476 208,476 1 0.91 253,119 253,119 2 1.83 466,419 465,670 21 23 91% 1,501,831 1,502,581
31 Isak Winata / 19620605 III/B Bendahara 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 3 3.00 831,677 831,677 3 3.00 766,260 765,029 23 23 100% 2,253,393 2,254,624
32 Neni Isnaeni / 19650923 III/B Administrasi 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 1 1.00 277,226 277,226 1 1.00 255,420 255,010 23 23 100% 1,188,922 1,189,333
198603 2 005
33 Oha Rohawati / 19640813 III/B Pet. Gizi 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 4 4.00 228,330 228,330 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,501,015 1,501,834
198703 2 007
34 Asep Saefudin / 19681005 II/C Pet Obat-Petugas 5 5.00 243,689 243,689 6 6.00 131,266 131,266 2 2.00 110,484 110,484 3 3.00 171,248 171,248 2 2.00 554,451 554,451 3 3.00 766,260 765,029 23 23 100% 1,976,168 1,977,398
199103 1 005 Aset
35 Sena / 19690718 200701 1 II/B Bndhr BOK 5 5.00 243,689 243,689 4 4.00 87,511 87,511 2 2.00 110,484 110,484 3 3.00 171,248 171,248 2 2.00 554,451 554,451 3 3.00 766,260 765,029 23 23 100% 1,932,412 1,933,643
009
Nida Apriyalita H /
36 19870408 201704 2 011 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,840 510,020 23 23 100% 1,772,355 1,773,175
37 Yulianti / 19850813 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2 2.00 510,839 510,020 23 23 100% 1,772,355 1,773,174
201704 2 012

38 201704 2 009 II/C Bidan Desa 5 5.00 243,689 243,689 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2 2.00 510,839 510,020 23 23 100% 1,772,355 1,773,173
39 Hj. Siti Jamilah / 19700115 III/D Pelaksana KIA 5 5.00 243,689 243,689 0 - - - 6 6.00 331,451 331,451 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,812,965 1,813,867
199012 2 001

40 AMK./19800817 200501 2 III/B Perawat 5 5.00 243,689 243,689 4 4.00 87,511 87,511 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,845,234 1,846,136
018
41 Telly Milawati / Sukwan SKW Prat Magang 1 1.00 48,738 48,738 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,628,405 1,629,307
42 Nenden Sugiharti / Sukwan SKW Analis Magang 1 1.00 48,738 48,738 3 3.00 65,633 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2 2.00 510,839 510,020 23 23 100% 1,577,403 1,578,222
43 Surya Dinata / Sukwan SKW PP Sukwan 1 1.00 48,738 48,738 4 4.00 87,511 87,511 1 1.00 55,242 55,242 1 1.00 57,083 57,083 1 1.00 277,225 277,226 2.2 2.20 561,924 561,021 23 23 100% 1,086,820 1,087,723
44 Hendi / Magang SKW Asisten Apt 1 1.00 48,738 48,738 3 3.00 65,634 65,633 3 3.00 165,725 165,725 4 4.00 228,330 228,330 1 1.00 277,225 277,226 2 2.00 510,839 510,020 23 23 100% 1,295,672 1,296,491
JUMLAH DIPINDAHKAN 204 202 9,857,752 9,857,751 220 218.00 4,769,337 4,769,343 210 208.52 11,519,124 11,519,122 275 273.00 15,583,544 15,583,544 62 61.39 17,019,250 17,019,250 67 96.17 24,614,704 24,524,177 1,027 1,036 99% 83,273,188 83,363,710 1,490,005
ase
Kehadir
an PPH Psl 21

Perkalian index Perkalian Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
X Persentase kolom 6 X kolom 6 X index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta Persenta kolom 21 X Rp.
kolom 15 X Index e
kolom 19 X Index se 277.225,74 kolom 23 X Index se
kolom 27 X
29
kehadiran
55.241,83 kolom 16
kehadira
57082,58 kolom 20
kehadira
kolom 24
kehadira
255.009,75 kolom 28
dibagi 15%
kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 204 202 9,857,752 9,857,751 220 218.00 4,769,337 4,769,343 210 208.52 11,519,124 11,519,122 275 273.00 15,583,544 15,583,544 62 61.39 17,019,250 17,019,250 67 96.17 24,614,704 24,524,177 1,027 1,036 99% 83,273,188 83,363,710 1,490,005
45 Titing Marlina / Magang SKW Staf Magang 1 1.00 48,738 48,738 3 3.00 65,634 65,633 6 6.00 331,451 331,451 4 4.00 228,330 228,330 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,461,398 1,462,218
46 Hary Hermansyah / Sukwan SKW Portir 1 1.00 48,738 48,738 3 3.00 65,634 65,633 6 6.00 331,451 331,451 3 3.00 171,248 171,248 1 1.00 277,226 277,226 2.7 2.70 689,634 688,526 23 23 100% 1,582,822 1,583,931

48 Irena Eka Purwati / Magang SKW Bidan Magang 1 1.00 48,738 48,738 3 3.00 65,634 65,633 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,577,403 1,578,224
49 Susi Yuliana / magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,555,526 1,556,346
50 Ririn Panti Yuliani / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,555,526 1,556,346
51 Yulita Herliyanti / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 1.5 1.50 383,130 382,515 23 23 100% 1,428,021 1,428,637
52 Ai Dena Lestari / Magang SKW Bidan Magang 1 1.00 48,738 48,738 2 2.00 43,756 43,755 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,555,526 1,556,346
Nenden Srimulyati /
54 Sausan
Magang
Nur Afifah / SKW Bidan Magang 1 1.00 48,738 48,738 1 1.00 21,878 21,878 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,533,648 1,534,468
55 Reni Novia A / Magang SKW Perawat Magang 1 1.00 48,738 48,738 1 1.00 21,878 21,878 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,226 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,533,648 1,534,468
56 Sinta Siti Masitoh / Magang SKW Bidan Magang 1 1.00 48,738 48,738 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.0 2.00 510,839 510,020 23 23 100% 1,511,770 1,512,589
57 Fatimah
Magang
Nur Imani / SKW Bidan Magang 1 1.00 48,738 48,737 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 255,420 255,010 23 23 100% 1,256,761 1,257,169
58 Mungky Pinati Arengi / SKW Bidan Magang 1 1.00 48,738 48,737 0 - - - 5 5.00 276,209 276,209 7 7.00 399,578 399,578 1 1.00 277,225 277,226 1.0 1.00 255,420 255,010 23 23 100% 1,256,761 1,257,169
Magang
59 Mentari Fudji Adinata / SKW Apoteker Magang 1 1.00 48,738 48,737 0 - - - 7 7.00 386,693 386,693 7 7.00 399,578 399,578 1 1.00 277,225 277,226 2.0 2.00 510,840 510,020 23 23 100% 1,622,254 1,623,073
Magang
Jumlah 219 217 10,588,819 10,588,818 244 242 5,294,409 5,294,408 289 288 15,883,227 15,883,227 373 371 21,177,636 21,177,637 77 76 21,177,636 21,177,636 84 124 31,817,538 31,715,452 1,372 1,381 99% 105,837,179 105,939,264 1,490,005
Terbilang Seratus Juta Empat Ratus Tiga Puluh Tujuh Ribu Rupiah
Mengetahui/Menyetujui
Pimpinan BLUD UPT Puskesmas Situraja
dr. Hj. R. Deti Rahmawati, MHKes

NIP. 19651231 200212 2 010
ELAYANAN BLUD PUSKESMAS SITURAJA
PPH Psl 21

Diterima
6% 5%
28 29 30 31
Rp 3,617,180 1
........
111,154 Rp 2,366,600 2
........
Rp 1,961,031 3
........
Rp 2,178,915 4
........
99,732 Rp 1,790,160 5
........
99,732 Rp 1,790,160 6
........
94,469 Rp 1,744,339 7
........
99,732 Rp 1,790,160 8
........
64,982 Rp 1,362,764 9
........
99,732 Rp 1,790,160 10
........
82,188 Rp 1,756,620 11
........
82,188 Rp 1,756,620 12
........
99,257 Rp 1,831,328 13
........
83,583 Rp 1,711,471 14
........
144,365 Rp 2,504,315 15
........
104,005 Rp 2,139,739 16
........
63,221 Rp 1,775,588 17
........
100,673 Rp 1,844,461 18
........
1,429,013 Rp 35,711,611
PPH Psl 21

Diterima
6% 5%
- 1,429,013 Rp 35,711,611
82,188 Rp 1,756,620 19
........
82,188 Rp 1,756,620 20
........
Rp 1,838,808 21
........
82,188 Rp 1,756,620 22
........
82,188 Rp 1,756,620 23
........
82,188 Rp 1,756,620 24
........
82,188 Rp 1,756,619 25
........
80,074 Rp 1,714,978 26
........
80,074 Rp 1,714,978 27
........
82,188 Rp 1,756,619 28
........
83,278 Rp 1,418,556 29
........
69,965 Rp 1,432,616 30
........
125,122 Rp 2,129,502 31
........
50,665 Rp 1,138,668 32
........
74,506 Rp 1,427,328 33
........
Rp 1,977,398 34
........
Rp 1,933,643 35
........
Rp 1,773,175 36
........
Rp 1,773,174 37
........
Rp 1,773,173 38
........
90,824 Rp 1,723,043 39
........
97,618 Rp 1,748,518 40
........
94,059 Rp 1,535,248 41
........
86,393 Rp 1,491,829 42
........
72,834 Rp 1,014,889 43
........
71,234 Rp 1,225,257 44
........
324,520 2,756,455 Rp 78,792,730

PPH Psl 21

Diterima
6% 5%
324,520 2,756,455 Rp 78,792,730
87,253 Rp 1,374,965 45
........
94,433 Rp 1,489,498 46
........
83,533 Rp 1,494,691 47
........
83,533 Rp 1,494,691 48
........
68,554 Rp 1,487,792 49
........
82,265 Rp 1,474,081 50
........
82,265 Rp 1,346,372 51
........
82,265 Rp 1,474,081 52
........
68,554 Rp 1,487,792 53
........
Rp 1,534,468 54
........
91,523 Rp 1,442,945 55
........
79,729 Rp 1,432,860 56
........
79,729 Rp 1,177,440 57
........
79,729 Rp 1,177,440 58
........
86,198 Rp 1,536,875 59
........
1,405,529 2,825,009 100,218,721
Seratus Juta Empat Ratus Tiga Puluh Tujuh Ribu Rupiah
Sumedang, 2019
Lunas dibayar,
Sugiyarsi , AMKeb
NIP. 19740221 199302 2 001

BULAN : JANUARI 2019

ase
Kehadir
an PPH Psl 21
No Nama Pegawai Gol Jabatan Total Jumlah Yang Tanda Tangan

Jumlah (% Diterima
Perkalian Perkalian Hari
index X Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Masuk Kerja Kolom
Index Persentas kolom 6 X Index Persentas kolom 9 X Rp. Index Persentase kolom 12 X Rp. Index e kolom 15 X Rp. Index se kolom 18 X Rp. Index se kolom 21 X Rp. Kerja 29
e Rp.47.034,62 e 21.134,36 53.909,21 55.780,45 270.888,17 350.879,47 15% 6% 5%
kehadiran kehadiran n n n kolom
30)
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 19651231 200212 2 010 IV/A Kepala PKM 5 5.00 235,173 5 5.00 105,672 9 9.00 485,183 8 8.00 446,244 8 8.00 2,167,105 3 3.00 1,052,638 26 26 100% 4,492,015 673,802 Rp 3,818,213 1
........
2 Jejen Zaenal M /
196205011985011001 III/C Kasubag TU 5 3.85 180,902 6 4.62 97,543 6 4.62 248,812 5 3.85 214,540 4 3.08 833,502 2.4 1.85 647,777 20 26 77% 2,223,076 111,154 Rp 2,111,922 2
........
3 Drg. Encep Dudun / IV/B Dokter Gigi 5 5.00 235,173 5 5.00 105,672 9 9.00 485,183 8 8.00 446,244 1 1.00 270,888 3 3.00 1,052,638 26 26 100% 2,595,798 389,370 Rp 2,206,428 3
19680930 200212 1 002 ........
4 200604 1 018 IV/A Dokter Umum 5 5.00 235,173 4 4.00 84,537 9 9.00 485,183 8 8.00 446,244 2 2.00 541,776 3 3.00 1,052,638 26 26 100% 2,845,551 426,833 Rp 2,418,718 4
........
5 Ratman / 19660724
198703 1 006 III/D Perawat 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,994,635 99,732 Rp 1,894,903 5
........
6 Hasanudin / 19670623 III/D Perawat 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,994,635 99,732 Rp 1,894,903 6
199003 1 001 ........
7 198901 2 002 III/D perawat gg 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1.7 1.70 596,495 26 26 100% 1,889,371 94,469 Rp 1,794,902 7
........
19671205 198901 2 002 III/D Perawat 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,994,635 99,732 Rp 1,894,903 8
........
9 Dadang Sumarya / III/D Perawat Pustu 5 4.23 198,993 6 5.08 107,298 3 2.54 136,846 7 5.92 330,392 1 0.85 229,213 1 0.85 296,898 22 26 85% 1,299,640 64,982 Rp 1,234,658 9
19671010 198901 1 005 ........
Yayah Nurhayati /
10 19680404 199103 2 013 III/D Perawat 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,994,635 99,732 Rp 1,894,903 10
........
11 Ade Cahya / 19690412

199103 1 005 III/C Perawat Pustu 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1.0 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 11
........
12 Suhanah / 19650103 III/D Perawat Pustu 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 12
198901 2 001 ........
Susy Permanisuci /
13 19850226 201001 2 012 III/A Perawat 5 5.00 235,173 3 3.00 63,403 6 6.00 323,455 7 7.00 390,463 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,985,141 99,257 Rp 1,885,884 13
........

200701 2 008 III/A Pet. Portir 5 5.00 235,173 4 4.00 84,537 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.20 421,055 26 26 100% 1,671,662 83,583 Rp 1,588,079 14
........
15 Sugiyarsi / 19740221 III/D BIDKOR/Bendahara 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 3 3.00 812,665 3 3.00 1,052,638 26 26 100% 2,887,291 144,365 Rp 2,742,926 15
........
16 200012 2 002 III/B PJ Poned 5 3.85 180,902 6 4.62 97,543 5 3.85 207,343 7 5.38 300,356 2 1.54 416,751 2.5 2.50 877,199 20 26 77% 2,080,094 104,005 Rp 1,976,089 16
........
17 HJ Cicih Rundasih / III/D Bidan Poned 5 3.85 180,902 6 4.62 97,543 5 3.85 207,343 7 5.38 300,356 1 0.77 208,376 1 0.77 269,907 20 26 77% 1,264,427 63,221 Rp 1,201,206 17
19680723 198803 2 002
........
19710420 199203 2 010 III/D Bidan Puskesmas 5 5.00 235,173 6 6.00 126,806 6 6.00 323,455 7 7.00 390,463 1 1.00 270,888 1.9 1.90 666,671 26 26 100% 2,013,456 100,673 Rp 1,912,783 18
........
JUMLAH DIPINDAHKAN 90 85.77 4,034,121 99 93.92 1,985,002 103 98.85 5,328,717 127 121.54 6,779,469 32 30.23 8,189,156 35 34.76 12,197,107 469 492 95% 38,513,572 1,490,005 1,429,013 Rp 35,594,554
ase
Kehadir
an PPH Psl 21

Jumlah (% Diterima
Perkalian index X index X index X Masuk Hari gian
index X Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta kolom 18 X Rp. Persenta kolom 21 X Rp. Kerja
Index Persentas kolom 6 X Index Persentas kolom 9 X Rp. Index Persentase Index e Index se Index se 29
e Rp.47.034,62 e 21.134,36
kehadiran
53.909,21
kehadira
55.780,45
kehadira
270.888,17
kehadira
350.879,47
dibagi 15% 6% 5%
kehadiran kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 90 85.77 4,034,121 99 93.92 1,985,002 103 98.85 5,328,717 127 121.54 6,779,469 32 30.23 8,189,156 35 34.76 12,197,107 469 492 95% 38,513,572 1,490,005 - 1,429,013 Rp 35,594,554

198912 2 002 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 19
........
20 Entin S / 19671108 198803 III/D Pj Pustu 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 20
2 007 ........
21 200212 2 002 II/D Pelaksana KIA 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1.7 1.70 596,495 26 26 100% 1,889,371 Rp 1,889,371 21
........

200501 2 007 III/A Bidan Desa 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 22
........
23 Iceu Royani / 19750429 III/A Bidan Desa 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 23
200701 2 003 ........
24 200604 2 012 III/B Bidan Desa 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 24
........
25 Tijah
014
/ 19740714 200604 2 III/B Bidan Poned 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,643,755 82,188 Rp 1,561,567 25
........
26 Nani Elda Liasari / III/A Bidan Desa 5 5.00 235,173 4 4.00 84,537 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,879 26 26 100% 1,601,486 80,074 Rp 1,521,412 26
19771123 200801 2 006 ........
27 200604 2 004 III/A Bidan Desa 5 5.00 235,173 4 4.00 84,537 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,601,487 80,074 Rp 1,521,413 27
........

2002 12 2 005 III/B Bidan Desa 5 5.00 235,173 6 6.00 126,806 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,643,756 82,188 Rp 1,561,568 28
........
29 Sadiah / 19610414 198409 III/B Jurim 5 5.00 235,173 6 6.00 126,806 2 2.00 107,818 4 4.00 223,122 1 1.00 270,888 2 2.00 701,759 26 26 100% 1,665,566 83,278 Rp 1,582,288 29
2 001 ........
30 200012 2001 III/D Sanitarian 5 4.81 226,128 5 4.81 101,608 5 4.81 259,179 4 3.85 214,540 1 0.96 260,469 1 0.96 337,384 25 26 96% 1,399,308 69,965 Rp 1,329,343 30
........
31 Isak Winata / 19620605 III/B Bendahara 5 5.00 235,173 6 6.00 126,806 2 2.00 107,818 3 3.00 167,341 3 3.00 812,665 3 3.00 1,052,638 26 26 100% 2,502,441 125,122 Rp 2,377,319 31
........
32 Neni Isnaeni / 19650923 III/B Administrasi 5 5.00 235,173 6 6.00 126,806 2 2.00 107,818 3 3.00 167,341 1 1.00 270,888 0.3 0.30 105,264 26 26 100% 1,013,290 50,665 Rp 962,625 32
198603 2 005
........
33 Oha Rohawati / 19640813 III/B Pet. Gizi 5 5.00 235,173 6 6.00 126,806 2 2.00 107,818 4 4.00 223,122 1 1.00 270,888 1.5 1.50 526,319 26 26 100% 1,490,126 74,506 Rp 1,415,620 33
198703 2 007
........
34 Asep Saefudin / 19681005 II/C Pet Obat-Petugas 5 5.00 235,173 6 6.00 126,806 2 2.00 107,818 3 3.00 167,341 2 2.00 541,776 1.5 1.50 526,319 26 26 100% 1,705,233 Rp 1,705,233 34
199103 1 005 Aset
........
35 Sena / 19690718 200701 1 II/B Bndhr BOK 5 5.00 235,173 4 4.00 84,537 2 2.00 107,818 3 3.00 167,341 2 2.00 541,776 2.5 2.50 877,199 26 26 100% 2,013,844 Rp 2,013,844 35
009 ........
Nida Apriyalita H /
36 19870408 201704 2 011 II/C Bidan Desa 5 5.00 235,173 3 3.00 63,403 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,580,353 Rp 1,580,353 36
........
37 Yulianti / 19850813 II/C Bidan Desa 5 5.00 235,173 3 3.00 63,403 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,580,353 Rp 1,580,353 37
201704 2 012 ........
38 201704 2 009 II/C Bidan Desa 5 5.00 235,173 3 3.00 63,403 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,580,353 Rp 1,580,353 38
........
39 Hj. Siti Jamilah / 19700115 III/D Pelaksana KIA 5 5.00 235,173 0 - - 6 6.00 323,455 7 7.00 390,463 1 1.00 270,888 1.7 1.70 596,495 26 26 100% 1,816,474 90,824 Rp 1,725,650 39
199012 2 001
........
40 AMK./19800817 200501 2 III/B Perawat 5 5.00 235,173 4 4.00 84,537 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 2 2.00 701,759 26 26 100% 1,952,366 97,618 Rp 1,854,748 40
018
........
41 Telly Milawati / Sukwan SKW Prat Magang 1 1.00 47,035 3 3.00 63,403 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1.5 1.50 526,319 26 26 100% 1,567,654 94,059 Rp 1,473,595 41
........
42 Nenden Sugiharti / Sukwan SKW Analis Magang 1 0.96 45,226 3 2.88 60,965 5 4.81 259,179 7 6.73 375,445 1 0.96 260,469 1.3 1.25 438,599 25 26 96% 1,439,883 86,393 Rp 1,353,490 42
........
43 Surya Dinata / Sukwan SKW PP Sukwan 1 1.00 47,035 4 4.00 84,537 1 1.00 53,909 1 1.00 55,780 1 1.00 270,888 2 2.00 701,759 26 26 100% 1,213,908 72,834 Rp 1,141,074 43
........
44 Hendi / Magang SKW Asisten Apt 1 1.00 47,035 3 3.00 63,404 3 3.00 161,728 4 4.00 223,122 1 1.00 270,888 1.2 1.20 421,055 26 26 100% 1,187,232 71,234 Rp 1,115,998 44
........
JUMLAH DIPINDAHKAN 204 200 9,385,213 220 214.62 4,535,754 210 205.46 11,076,265 275 269.12 15,011,372 62 60.15 16,294,959 67 69.87 24,517,023 1,143 1,168 98% 80,820,586 1,490,005 324,520 2,756,455 Rp 76,249,606
ase
Kehadir
an PPH Psl 21

Jumlah (% Diterima
Perkalian index X index X index X Masuk Hari gian
index X Perkalian index X Perkalian Perkalian Perkalian Perkalian Perkalian Kerja Kolom
index X kolom 12 X Rp. Persentas kolom 15 X Rp. Persenta kolom 18 X Rp. Persenta kolom 21 X Rp. Kerja
Index Persentas kolom 6 X Index Persentas kolom 9 X Rp. Index Persentase Index e Index se Index se 29
e Rp.47.034,62 e 21.134,36
kehadiran
53.909,21
kehadira
55.780,45
kehadira
270.888,17
kehadira
350.879,47
dibagi 15% 6% 5%
kehadiran kehadiran
n n n kolom
30)
JUMLAH PINDAHAN 204 200 9,385,213 220 214.62 4,535,754 210 205.46 11,076,265 275 269.12 15,011,372 62 60.15 16,294,959 67 69.87 24,517,023 1,143 1,168 98% 80,820,586 1,490,005 324,520 2,756,455 Rp 76,249,606
45 Titing Marlina / Magang SKW Staf Magang 1 1.00 47,035 3 3.00 63,404 6 6.00 323,455 4 4.00 223,122 1 1.00 270,888 1.5 1.50 526,319 26 26 100% 1,454,223 87,253 Rp 1,366,970 45
........
46 Hary Hermansyah / Sukwan SKW Portir 1 1.00 47,035 3 3.00 63,404 6 6.00 323,455 3 3.00 167,341 1 1.00 270,888 2.0 2.00 701,759 26 26 100% 1,573,882 94,433 Rp 1,479,449 46
........
47 Magang SKW Bidan Magang 1 1.00 47,035 3 3.00 63,404 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,392,216 83,533 Rp 1,308,683 47
........
48 Irena Eka Purwati / Magang SKW Bidan Magang 1 1.00 47,035 3 3.00 63,404 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,392,216 83,533 Rp 1,308,683 48
........
49 Susi Yuliana / magang SKW Bidan Magang 1 1.00 47,035 2 2.00 42,269 5 5.00 269,546 7 7.00 390,463 1 1.00 270,888 1 1.00 350,880 26 26 100% 1,371,081 68,554 Rp 1,302,527 49
........
50 Ririn Panti Yuliani / Magang SKW Bidan Magang 1 1.00 47,035 2 2.00 42,269 5 5.00 269,546 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,371,083 82,265 Rp 1,288,818 50
........
51 Yulita Herliyanti / Magang SKW Bidan Magang 1 1.00 47,035 2 2.00 42,269 5 5.00 269,546 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,371,083 82,265 Rp 1,288,818 51
........
52 Ai Dena Lestari / Magang SKW Bidan Magang 1 1.00 47,035 2 2.00 42,269 5 5.00 269,546 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,371,083 82,265 Rp 1,288,818 52
........
Nenden Srimulyati /
53 Magang SKW Bidan Magang 1 1.00 47,035 2 2.00 42,269 5 5.00 269,547 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,371,084 68,554 Rp 1,302,530 53
........
54 Sausan
Magang
Nur Afifah / SKW Bidan Magang 1 - - 1 - - 5 - - 7 0.00 - 1 - - 1 - - - 26 0% - Rp - 54
........
55 Reni Novia A / Magang SKW Perawat Magang 1 1.00 47,035 1 1.00 21,135 5 5.00 269,547 7 7.00 390,464 1 1.00 270,889 1.5 1.50 526,319 26 26 100% 1,525,389 91,523 Rp 1,433,866 55
........
56 Sinta Siti Masitoh / Magang SKW Bidan Magang 1 1.00 47,035 0 - - 5 5.00 269,547 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,328,815 79,729 Rp 1,249,086 56
........
57 Fatimah
Magang
Nur Imani / SKW Bidan Magang 1 1.00 47,034 0 - - 5 5.00 269,547 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,328,814 79,729 Rp 1,249,085 57
........
58 Mungky Pinati Arengi / SKW Bidan Magang 1 1.00 47,034 0 - - 5 5.00 269,547 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,328,814 79,729 Rp 1,249,085 58
Magang ........
59 Mentari Fudji Adinata / SKW Apoteker Magang 1 1.00 47,034 0 - - 7 7.00 377,364 7 7.00 390,464 1 1.00 270,889 1 1.00 350,880 26 26 100% 1,436,631 86,198 Rp 1,350,433 59
Magang ........
Jumlah 219 214 10,043,700 244 238 5,021,850 289 279 15,065,550 373 360 20,087,400 77 74 20,087,400 84 86 30,131,100 1,507 1,558 97% 100,437,000 1,490,005 1,405,529 2,825,009 94,716,457
Terbilang Seratus Juta Empat Ratus Tiga Puluh Tujuh Ribu Rupiah
Mengetahui/Menyetujui Sumedang, 2019

Pimpinan BLUD UPT Puskesmas Situraja Lunas dibayar,
dr. Hj. R. Deti Rahmawati, MHKes Sugiyarsi , AMKeb

NIP. 19651231 200212 2 010 NIP. 19740221 199302 2 001

Absen Prog Tahunan

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DAFTAR KEHADIRAN TENAGA ASN DAN NON ASN

PER BULAN AGUSTUS 2020 s/d APRIL 2021

Vika Shintia V, SKM /

Ratman / 19660724 198703 1

Sugiyarsi / 19740221 199302

Neni Triani / 19750108

Hj Canah Hasanah / 19710420

Ening Yuningsih/ 19690912

Entin S / 19671108 198803 2

Sri wantini / 19760110

Sena / 19690718 200701 1

Nida Apriyalita H / 19870408

Yulianti / 19850813 201704 2

Susan Heryani / 19850714

Tri Hartono Syarifudin.,

Dian Eka Pratama, Amd.Farm

38 Nenden Sugiharti / Sukwan 23 25 24 25 23 25 23 26 25 219

39 Surya Dinata / Sukwan 23 26 24 25 23 25 23 26 25 220

40 Hendi / Magang 23 26 24 25 23 25 23 26 25 220

41 Hary Hermansyah / Sukwan 23 26 24 25 23 25 23 26 25 220

42 Shinta Kurnia Dewi / Magang 23 26 24 25 23 25 23 26 24 219

43 Irena Eka Purwati / Magang 23 26 24 25 23 25 23 26 25 220

44 Susi Yuliana / magang 23 26 24 25 23 25 23 26 25 220

45 Ririn Panti Yuliani / Magang 23 26 24 25 23 25 23 26 25 220

46 Yulita Herliyanti / Magang 23 26 24 25 23 25 23 26 25 220

47 Ai Dena Lestari / Magang 23 - - 25 23 25 22 24 23 165

48 Nenden Srimulyati / Magang 23 26 24 25 23 25 23 26 25 220

49 Sausan Nur Afifah / Magang 23 26 24 25 23 25 23 25 23 217

50 Reni Novia A / Magang 23 26 24 25 23 25 23 26 25 220

51 Sinta Siti Masitoh / Magang 23 26 24 25 23 25 23 26 25 220

52 Fatimah Nur Imani / Magang 23 26 24 25 23 25 23 26 24 219

55 Meylinda, Amd. Kep/ Magang 23 26 24 25 23 25 23 26 24 219

57 Tita Rosita, AMG 23 25 23 22 22 25 23 24 24 211

58 Tintin Suhaeni 24 23 25 23 26 24 145

59 Nisa Ul Nisa Nyalintang 25 23 25 23 26 25 147

Mengetahui/ Menyetujui, Situraja, …. …………....…. 2021

Wardiman, SKM Asep Saefudin

1 Wardiman,SKM / 19651211 198703 1 005

Mengetahui/ Menyetujui, Situraja, …. ………. 2021

Wardiman, SKM Vika Shintia Vivianti, SKM

1 Wardiman,SKM / 19651211 198703 1 005 Rp 600,000

39 Surya Dinata / Sukwan Rp 600,000

Mengetahui/ Menyetujui, Situraja, …. Mei 2021

Wardiman, SKM Vika Shintia Vivianti, SKM

1 Wardiman,SKM / 19651211 198703 1 005 Rp 266,000

38 Nenden Sugiharti / Sukwan Rp 260,000

Mengetahui/ Menyetujui, Situraja, …. Mei 2021

Wardiman, SKM Vika Shintia Vivianti, SKM

1 Wardiman,SKM / 19651211 198703 1 005 Rp 600,000

38 Nenden Sugiharti / Sukwan Rp 600,000

Mengetahui/ Menyetujui, Situraja, …. Mei 2021

Wardiman, SKM Vika Shintia Vivianti, SKM

NO NAMA PEGAWAI Program Ket

1 Ratman, AMK Kusta, Lansia

3 Elis Heryati, AMKG Gigi

4 Solihah Hatnawati, AMK Jiwa

5 Yayah Nurhayati, AMK Indera, Kesorga

6 Ade Cahya, AMK Pustu Cikadu

7 Suhanah, AMK Pustu Cijeler

11 Hj Canah Hasanah KIA

12 Entin S Sumartini, AM.Keb Pustu Cijati

13 Sri wantini, Am.Keb P2ISPA