NO NAMA NIP JAN FEB MAR APR

1 NANANG HANDAYANA,S.Kep 197512021995021002 11,409 11,409 11,426 11,461

2 dr.ARIYO SUSANTO 198412242014071001 22,379 22,379 22,412 22,483
3 drg.LINA LESTIA 199104142019032017 13,164 13,164 13,183 -
4 ARBAYAH,AKL 196511021987032009 8,776 8,776 8,789 8,817
5 Hj.SITI NORHASANAH 196907231989032005 4,388 4,388 4,834 4,849
6 BUHTINO,AMK 197010221994031003 7,021 7,021 7,471 7,494
7 GUSTI ADIYANI,Ns 198109162009041003 10,092 10,092 10,107 10,580
8 ELFA NORANNISA,S.Kep 198208222006042017 8,776 8,776 8,789 8,817
9 MAHFUZ AZIANOOR,AMK 198703232010011013 5,704 5,704 5,713 5,731
10 SRI LESTARI,A.Md.Keb 197706192005012007 12,286 12,286 12,304 12,343
11 RANITA,A.Md.Keb 196909092006042011 7,021 7,021 7,031 7,494
12 HEDDY NADIA,A.Md.Keb 199003232017042003 5,704 5,704 5,713 5,731
13 HIDA YANTI,AMG 199109042015032007 6,143 6,143 6,152 6,172
14 TRI YUSNA SARI,A.Md.FARM 199208232011012001 5,704 5,704 5,713 5,731
15 AHMAD ATHAILAH,A.Md.Kep 199412052019031009 5,266 5,266 5,274 5,290
16 AHYATUL FAJRI,AMD.RMIK 199504102019031013 5,265 5,265 5,273 5,290
17 INDRIYANTI,AMK 196305241983072003 8,337 8,337 8,350 8,376
18 dr. PUTERI AULIA RAHMI 198909142014122001 11,480 11,480 13,342 14,548
TOTAL
 MEI JUN JUL AGS SEP OKT NOP DES TOTAL JASPEL 1%
10,350 10,417 10,326 10,020 10,009 9,888 9,448 9,821 125,984
20,302 20,434 20,256 19,653 18,879 19,395 19,304 19,264 247,140
11,943 12,020 11,915 11,561 11,549 11,409 11,355 11,332 132,595
7,962 8,014 7,943 7,707 7,700 7,606 7,570 7,555 97,214
4,379 4,407 4,369 4,055 3,420 4,183 4,164 4,155 51,591
6,768 6,811 6,751 6,551 6,544 6,195 6,434 - 75,063
9,554 9,616 9,532 9,249 9,239 8,746 9,084 9,065 114,958
7,962 2,885 - 0 5,362 7,700 7,606 7,571 7,555 81,795
5,175 5,209 5,163 5,010 5,005 4,944 4,921 4,911 63,190
11,146 11,218 11,120 10,790 9,950 10,204 10,598 10,576 134,826
6,767 6,811 6,752 6,551 6,544 6,465 6,435 6,421 81,316
5,175 5,209 5,163 5,010 5,005 4,944 4,921 4,911 63,190
5,971 6,010 5,958 5,780 5,775 5,704 5,678 5,666 71,152
5,175 5,209 5,163 5,010 5,005 4,944 4,921 4,911 63,190
4,777 4,808 4,766 4,625 4,620 4,564 4,542 4,533 58,329
4,777 4,808 4,766 4,625 4,620 4,564 4,542 4,533 58,328
7,564 - - - - - - - 40,964
11,260 13,222 13,107 11,611 12,704 12,549 12,491 12,465 150,259
OTAL 1,711,082
NO NAMA NIP JAN FEB MAR APR
1 NANANG HANDAYANA,S.Kep 197512021995021002 45,634 45,634 45,702 45,845
2 dr.ARIYO SUSANTO 198412242014071001 89,516 89,516 89,648 89,932
3 drg.LINA LESTIA 199104142019032017 52,656 52,656 52,732 -
4 ARBAYAH,AKL 196511021987032009 35,103 35,103 35,155 35,268
5 Hj.SITI NORHASANAH 196907231989032005 17,552 17,552 19,336 19,396
6 BUHTINO,AMK 197010221994031003 28,084 28,084 29,884 29,976
7 GUSTI ADIYANI,Ns 198109162009041003 40,369 40,369 40,429 42,321
8 ELFA NORANNISA,S.Kep 198208222006042017 35,103 35,103 35,155 35,267
9 MAHFUZ AZIANOOR,AMK 198703232010011013 22,817 22,816 22,852 22,924
10 SRI LESTARI,A.Md.Keb 197706192005012007 49,146 49,146 49,218 49,374
11 RANITA,A.Md.Keb 196909092006042011 28,085 28,085 28,125 29,977
12 HEDDY NADIA,A.Md.Keb 199003232017042003 22,816 22,816 22,852 22,924
13 HIDA YANTI,AMG 199109042015032007 24,572 24,572 24,608 24,688
14 TRI YUSNA SARI,A.Md.FARM 199208232011012001 22,816 22,816 22,852 22,924
15 AHMAD ATHAILAH,A.Md.Kep 199412052019031009 21,063 21,063 21,095 21,159
16 AHYATUL FAJRI,AMD.RMIK 199504102019031013 21,061 21,061 21,093 21,161
17 INDRIYANTI,AMK 196305241983072003 33,348 33,348 33,400 33,504
18 dr. PUTERI AULIA RAHMI 198909142014122001 45,920 45,920 53,368 58,192
TOTAL
 MEI JUN JUL AGS SEP OKT NOP DES TOTAL JASPEL 4%
41,401 41,669 41,305 40,080 40,036 39,552 37,792 39,284 503,934
81,208 81,736 81,024 78,612 75,516 77,580 77,216 77,056 988,560
47,772 48,080 47,660 46,244 46,196 45,636 45,420 45,328 530,380
31,848 32,056 31,772 30,828 30,800 30,424 30,280 30,220 388,855
17,516 17,628 17,476 16,220 13,680 16,732 16,656 16,620 206,364
27,071 27,246 27,006 26,206 26,178 24,782 25,738 - 300,251
38,217 38,465 38,129 36,997 36,957 34,985 36,337 36,261 459,832
31,847 11,539 - 1 21,447 30,799 30,423 30,283 30,219 327,179
20,700 20,836 20,652 20,040 20,020 19,776 19,684 19,644 252,759
44,586 44,874 44,482 43,162 39,802 40,818 42,394 42,306 539,303
27,069 27,245 27,009 26,205 26,177 25,861 25,741 25,685 325,263
20,700 20,836 20,652 20,040 20,020 19,776 19,684 19,644 252,760
23,884 24,040 23,832 23,120 23,100 22,816 22,712 22,664 284,608
20,700 20,836 20,652 20,040 20,020 19,776 19,684 19,644 252,760
19,107 19,231 19,063 18,499 18,479 18,255 18,167 18,131 233,317
19,109 19,231 19,063 18,499 18,479 18,255 18,167 18,131 233,311
30,256 - - - - - - - 163,856
45,040 52,888 52,428 46,444 50,816 50,196 49,964 49,860 601,036
OTAL 6,844,328
 KERTA

Bulan : Januari

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep 630902 931275 0004

2 dr.ARIYO SUSANTO 630902 241284 0005
3 drg.LINA LESTIA 630805 540491 0004
4 ARBAYAH,AKL 630902 421165 0004
5 Hj.SITI NORHASANAH 630902 630769 0001
6 BUHTINO,AMK 630902 221070 0002
7 GUSTI ADIYANI,Ns 630902 310981 0002
8 ELFA NORANNISA,S.Kep 630904 620882 0002
9 MAHFUZ AZIANOOR,AMK 630902 230387 0004
10 SRI LESTARI,A.Md.Keb 630902 590677 0004
11 RANITA,A.Md.Keb 630902 490969 0002
12 HEDDY NADIA,A.Md.Keb 630902 630390 0005
13 HIDA YANTI,AMG 630805 440991 0001
14 TRI YUSNA SARI,A.Md.FARM 637104 630892 0004
15 AHMAD ATHAILAH,A.Md.Kep 621302 051294 0001
16 AHYATUL FAJRI,AMD.RMIK 630901 100495 0005
17 INDRIYANTI,AMK 630902 640563 0002
18 dr. PUTERI AULIA RAHMI 630906 540989 0004
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3861000 386100 154440 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2150800 0 0 0 0
196511021987032009 1 2 4370900 437090 174836 0 500000
196907231989032005 0 0 4237500 0 0 0 500000
197010221994031003 1 1 3982600 398260 79652 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 2950600 295060 118024 0 265000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2526200 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2449100 0 0 0 240000
199412052019031009 1 1 1841440 184144 36829 0 0
199504102019031013 1 0 1841440 184144 0 0 0
196305241983072003 0 0 4650600 0 0 0 500000
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1140878 0 2185000 8,217,418 8,217,418

0 0 2237875 0 5700000 11,650,175 11,650,175
0 185000 1316397 0 0 3,652,197 3,652,197
0 0 877598 0 1425000 7,785,424 7,785,424
0 0 438799 0 1425000 6,601,299 6,601,299
0 0 702079 0 1425000 7,087,591 7,087,591
0 0 1009238 0 1425000 6,922,322 6,922,322
0 0 877598 0 1425000 6,343,734 6,343,734
0 0 570439 0 2090000 6,289,123 6,289,123
0 0 1228637 0 1425000 6,970,197 6,970,197
0 0 702079 0 1425000 6,186,055 6,186,055
0 0 570439 0 1000000 4,336,639 4,336,639
0 0 614319 0 1000000 4,407,019 4,407,019
0 0 570439 0 1500000 4,759,539 4,759,539
0 180000 526559 0 0 2,768,972 2,768,972
0 180000 526559 0 0 2,732,143 2,732,143
0 0 833718 0 1425000 7,409,318 7,409,318
0 0 1148037 0 4750000 9,629,537 9,629,537
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

82,174 328,697 410,871 48,915 21,850 11,409 45,634 MUNGKUR AGUNG
116,502 466,007 582,509 37,123 57,000 22,379 89,516 MUNGKUR AGUNG
36,522 146,088 182,610 23,358 - 13,164 52,656 MUNGKUR AGUNG
77,854 311,417 389,271 54,828 14,250 8,776 35,103 MUNGKUR AGUNG
66,013 264,052 330,065 47,375 14,250 4,388 17,552 MUNGKUR AGUNG
70,876 283,504 354,380 49,605 14,250 7,021 28,084 MUNGKUR AGUNG
69,223 276,893 346,116 44,881 14,250 10,092 40,369 MUNGKUR AGUNG
63,437 253,749 317,186 40,411 14,250 8,776 35,103 MUNGKUR AGUNG
62,891 251,565 314,456 36,287 20,900 5,704 22,817 MUNGKUR AGUNG
69,702 278,808 348,510 43,166 14,250 12,286 49,146 MUNGKUR AGUNG
61,861 247,442 309,303 40,590 14,250 7,021 28,085 MUNGKUR AGUNG
43,366 173,466 216,832 27,662 10,000 5,704 22,816 MUNGKUR AGUNG
44,070 176,281 220,351 27,927 10,000 6,143 24,572 MUNGKUR AGUNG
47,595 190,382 237,977 26,891 15,000 5,704 22,816 MUNGKUR AGUNG
27,690 110,759 138,449 22,424 - 5,266 21,063 MUNGKUR AGUNG
27,321 109,286 136,607 22,056 - 5,265 21,061 MUNGKUR AGUNG
74,093 296,373 370,466 51,506 14,250 8,337 33,348 MUNGKUR AGUNG
96,295 385,181 481,476 37,315 47,500 11,480 45,920 MUNGKUR AGUNG
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 KERTA

Bulan : Februari

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SRI LESTARI,A.Md.Keb
11 RANITA,A.Md.Keb
12 HEDDY NADIA,A.Md.Keb
13 HIDA YANTI,AMG
14 TRI YUSNA SARI,A.Md.FARM
15 AHMAD ATHAILAH,A.Md.Kep
16 AHYATUL FAJRI,AMD.RMIK
17 INDRIYANTI,AMK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3861000 386100 154440 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2150800 0 0 0 0
196511021987032009 1 2 4370900 437090 174836 0 500000
196907231989032005 0 0 4237500 0 0 0 500000
197010221994031003 1 1 3982600 398260 79652 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2526200 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2449100 0 0 0 240000
199412052019031009 1 1 1841440 184144 36829 0 0
199504102019031013 1 0 1841440 184144 0 0 0
196305241983072003 0 0 4650600 0 0 0 500000
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,140,878 0 2185000 8,217,418 8,217,418

0 0 2,237,875 0 5700000 11,650,175 11,650,175
0 185000 1,316,397 0 0 3,652,197 3,652,197
0 0 877,598 0 1425000 7,785,424 7,785,424
0 0 438,799 0 1425000 6,601,299 6,601,299
0 0 702,079 0 1425000 7,087,591 7,087,591
0 0 1,009,238 0 1425000 6,922,322 6,922,322
0 0 877,598 0 1425000 6,343,734 6,343,734
0 0 570,439 0 2090000 6,395,143 6,395,143
0 0 1,228,637 0 1425000 6,970,197 6,970,197
0 0 702,079 0 1425000 6,186,055 6,186,055
0 0 570,439 0 1000000 4,336,639 4,336,639
0 0 614,319 0 1000000 4,407,019 4,407,019
0 0 570,439 0 1500000 4,759,539 4,759,539
0 180000 526,559 0 0 2,768,972 2,768,972
0 180000 526,559 0 0 2,732,143 2,732,143
0 0 833,718 0 1425000 7,409,318 7,409,318
0 0 1,148,037 0 4750000 9,629,537 9,629,537
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23

82,174 328,697 410,871 48,915 21,850 11,409 45,634

116,502 466,007 582,509 37,123 57,000 22,379 89,516
36,522 146,088 182,610 23,358 - 13,164 52,656
77,854 311,417 389,271 54,828 14,250 8,776 35,103
66,013 264,052 330,065 47,375 14,250 4,388 17,552
70,876 283,504 354,380 49,605 14,250 7,021 28,084
69,223 276,893 346,116 44,881 14,250 10,092 40,369
63,437 253,749 317,186 40,411 14,250 8,776 35,103
63,951 255,806 319,757 37,347 20,900 5,704 22,816
69,702 278,808 348,510 43,166 14,250 12,286 49,146
61,861 247,442 309,303 40,590 14,250 7,021 28,085
43,366 173,466 216,832 27,662 10,000 5,704 22,816
44,070 176,281 220,351 27,927 10,000 6,143 24,572
47,595 190,382 237,977 26,891 15,000 5,704 22,816
27,690 110,759 138,449 22,424 - 5,266 21,063
27,321 109,286 136,607 22,056 - 5,265 21,061
74,093 296,373 370,466 51,506 14,250 8,337 33,348
96,295 385,181 481,476 37,315 47,500 11,480 45,920
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 SATKER
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
 KERTA

Bulan : Maret

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SRI LESTARI,A.Md.Keb
11 RANITA,A.Md.Keb
12 HEDDY NADIA,A.Md.Keb
13 HIDA YANTI,AMG
14 TRI YUSNA SARI,A.Md.FARM
15 AHMAD ATHAILAH,A.Md.Kep
16 AHYATUL FAJRI,AMD.RMIK
17 INDRIYANTI,AMK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3861000 386100 154440 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2150800 0 0 0 0
196511021987032009 1 2 4370900 437090 174836 0 500000
196907231989032005 0 0 4237500 0 0 0 500000
197010221994031003 1 1 3982600 398260 79652 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2526200 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2449100 0 0 0 240000
199412052019031009 1 1 1841440 184144 36829 0 0
199504102019031013 1 0 1841440 184144 0 0 0
196305241983072003 0 0 4650600 0 0 0 500000
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,142,566 0 2300000 8,334,106 8,334,106

0 0 2,241,188 0 6000000 11,953,488 11,953,488
0 185000 1,318,346 0 0 3,654,146 3,654,146
0 0 878,897 0 1500000 7,861,723 7,861,723
0 0 483,393 0 1500000 6,720,893 6,720,893
0 0 747,063 0 1500000 7,207,575 7,207,575
0 0 1,010,732 0 1500000 6,998,816 6,998,816
0 0 878,897 0 1500000 6,420,033 6,420,033
0 0 571,283 0 2200000 6,505,987 6,505,987
0 0 1,230,456 0 1500000 7,047,016 7,047,016
0 0 703,118 0 1500000 6,262,094 6,262,094
0 0 571,283 0 1000000 4,337,483 4,337,483
0 0 615,228 0 1000000 4,407,928 4,407,928
0 0 571,283 0 1500000 4,760,383 4,760,383
0 180000 527,338 0 0 2,769,751 2,769,751
0 180000 527,338 0 0 2,732,922 2,732,922
0 0 834,952 0 1500000 7,485,552 7,485,552
0 0 1,334,166 0 5000000 10,065,666 10,065,666
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

83,341 333,364 416,705 48,915 23,000 11,426 45,702 MUNGKUR AGUNG
119,535 478,140 597,675 37,123 60,000 22,412 89,648 MUNGKUR AGUNG
36,541 146,166 182,707 23,358 - 13,183 52,732 MUNGKUR AGUNG
78,617 314,469 393,086 54,828 15,000 8,789 35,155 MUNGKUR AGUNG
67,209 268,836 336,045 47,375 15,000 4,834 19,336 MUNGKUR AGUNG
72,076 288,303 360,379 49,605 15,000 7,471 29,884 MUNGKUR AGUNG
69,988 279,953 349,941 44,881 15,000 10,107 40,429 MUNGKUR AGUNG
64,200 256,801 321,001 40,411 15,000 8,789 35,155 MUNGKUR AGUNG
65,060 260,239 325,299 37,347 22,000 5,713 22,852 MUNGKUR AGUNG
70,470 281,881 352,351 43,166 15,000 12,304 49,218 MUNGKUR AGUNG
62,621 250,484 313,105 40,590 15,000 7,031 28,125 MUNGKUR AGUNG
43,375 173,499 216,874 27,662 10,000 5,713 22,852 MUNGKUR AGUNG
44,079 176,317 220,396 27,927 10,000 6,152 24,608 MUNGKUR AGUNG
47,604 190,415 238,019 26,891 15,000 5,713 22,852 MUNGKUR AGUNG
27,698 110,790 138,488 22,424 - 5,274 21,095 MUNGKUR AGUNG
27,329 109,317 136,646 22,056 - 5,273 21,093 MUNGKUR AGUNG
74,856 299,422 374,278 51,506 15,000 8,350 33,400 MUNGKUR AGUNG
100,657 402,627 503,284 37,315 50,000 13,342 53,368 MUNGKUR AGUNG
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 KERTA

Bulan : April

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SRI LESTARI,A.Md.Keb
11 RANITA,A.Md.Keb
12 HEDDY NADIA,A.Md.Keb
13 HIDA YANTI,AMG
14 TRI YUSNA SARI,A.Md.FARM
15 AHMAD ATHAILAH,A.Md.Kep
16 AHYATUL FAJRI,AMD.RMIK
17 INDRIYANTI,AMK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3982600 398260 159304 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2150800 0 0 0 0
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 1 3982600 398260 79652 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2449100 0 0 0 240000
199412052019031009 1 1 1841440 184144 36829 0 0
199504102019031013 1 0 1841440 184144 0 0 0
196305241983072003 0 0 4650600 0 0 0 500000
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,146,172 0 2300000 8,476,336 8,476,336

0 0 2,248,260 0 6000000 11,960,560 11,960,560
0 185000 1,322,506 0 10000000 13,658,306 12,000,000
0 0 881,671 0 1500000 8,021,475 8,021,475
0 0 484,919 0 1500000 6,855,819 6,855,819
0 0 749,420 0 1500000 7,209,932 7,209,932
0 0 1,058,005 0 1500000 7,046,089 7,046,089
0 0 881,671 0 1500000 6,422,807 6,422,807
0 0 573,086 0 2200000 6,507,790 6,507,790
0 0 1,234,339 0 1500000 7,050,899 7,050,899
0 0 749,420 0 1500000 6,308,396 6,308,396
0 0 573,086 0 1000000 4,529,086 4,529,086
0 0 617,169 0 1000000 4,409,869 4,409,869
0 0 573,086 0 1500000 4,762,186 4,762,186
0 180000 529,002 0 2000000 4,771,415 4,771,415
0 180000 529,002 0 2000000 4,734,586 4,734,586
0 0 837,587 0 1500000 7,488,187 7,488,187
0 0 1,454,756 0 5000000 10,186,256 10,186,256
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

84,763 339,053 423,816 50,302 23,000 11,461 45,845 MUNGKUR AGUNG
119,606 478,422 598,028 37,123 60,000 22,483 89,932 MUNGKUR AGUNG
120,000 480,000 600,000 23,358 96,642 - - MUNGKUR AGUNG
80,215 320,859 401,074 56,398 15,000 8,817 35,268 MUNGKUR AGUNG
68,558 274,233 342,791 48,709 15,000 4,849 19,396 MUNGKUR AGUNG
72,099 288,397 360,496 49,605 15,000 7,494 29,976 MUNGKUR AGUNG
70,461 281,844 352,305 44,881 15,000 10,580 42,321 MUNGKUR AGUNG
64,228 256,912 321,140 40,411 15,000 8,817 35,267 MUNGKUR AGUNG
65,078 260,312 325,390 37,347 22,000 5,731 22,924 MUNGKUR AGUNG
70,509 282,036 352,545 43,166 15,000 12,343 49,374 MUNGKUR AGUNG
63,084 252,336 315,420 40,590 15,000 7,494 29,977 MUNGKUR AGUNG
45,291 181,163 226,454 29,560 10,000 5,731 22,924 MUNGKUR AGUNG
44,099 176,395 220,494 27,927 10,000 6,172 24,688 MUNGKUR AGUNG
47,622 190,487 238,109 26,891 15,000 5,731 22,924 MUNGKUR AGUNG
47,714 190,857 238,571 22,424 20,000 5,290 21,159 MUNGKUR AGUNG
47,346 189,383 236,729 22,056 20,000 5,290 21,161 MUNGKUR AGUNG
74,882 299,527 374,409 51,506 15,000 8,376 33,504 MUNGKUR AGUNG
101,863 407,450 509,313 37,315 50,000 14,548 58,192 MUNGKUR AGUNG
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 KERTA

Bulan : Mei

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SRI LESTARI,A.Md.Keb
11 RANITA,A.Md.Keb
12 HEDDY NADIA,A.Md.Keb
13 HIDA YANTI,AMG
14 TRI YUSNA SARI,A.Md.FARM
15 AHMAD ATHAILAH,A.Md.Kep
16 AHYATUL FAJRI,AMD.RMIK
17 INDRIYANTI,AMK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 2 3982600 398260 159304 490000 0

198412242014071001 2 3172300 0 0 540000 0
199104142019032017 0 2688500 0 0 0 0
196511021987032009 2 4508600 450860 180344 0 500000
196907231989032005 0 4370900 0 0 0 500000
197010221994031003 1 3982600 398260 79652 0 500000
198109162009041003 2 3410600 341060 136424 0 600000
198208222006042017 1 3340300 334030 66806 0 300000
198703232010011013 2 3043600 304360 121744 0 265000
197706192005012007 2 3554000 355400 142160 0 265000
196909092006042011 1 3409800 340980 68196 0 240000
199003232017042003 0 2716000 0 0 0 240000
199109042015032007 0 2552700 0 0 0 240000
199208232011012001 0 2526200 0 0 0 240000
199412052019031009 1 2301800 230180 46036 0 0
199504102019031013 0 2301800 230180 0 0 0
196305241983072003 0 4650600 0 0 0 500000
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 2 1,035,019 0 2300000 8,365,185 8,365,185

0 2 2,030,230 0 6000000 11,742,532 11,742,532
0 0 1,194,253 0 5000000 8,882,753 8,882,753
0 2 796,169 0 1500000 7,935,975 7,935,975
0 0 437,893 0 1500000 6,808,793 6,808,793
0 1 676,743 0 1500000 7,137,256 7,137,256
0 2 955,403 0 1500000 6,943,489 6,943,489
0 1 796,169 0 1500000 6,337,306 6,337,306
0 2 517,510 0 2200000 6,452,216 6,452,216
0 2 1,114,636 0 1500000 6,931,198 6,931,198
0 1 676,743 0 1500000 6,235,720 6,235,720
0 0 517,510 0 1000000 4,473,510 4,473,510
0 0 597,127 0 1000000 4,389,827 4,389,827
0 0 517,510 0 1000000 4,283,710 4,283,710
0 1 477,701 0 0 3,055,718 3,055,718
0 0 477,701 0 1000000 4,009,681 4,009,681
0 0 756,360 0 1500000 7,406,960 7,406,960
0 0 1,126,010 0 5000000 9,857,510 9,857,510
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYAN
Iuran 5%
bawah ump AN AN

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

83,652 334,607 418,259 50,302 23,000 10,350 41,401 MUNGKUR AGUNG
117,425 469,701 587,126 37,123 60,000 20,302 81,208 MUNGKUR AGUNG
88,828 355,310 444,138 26,885 50,000 11,943 47,772 MUNGKUR AGUNG
79,360 317,439 396,799 56,398 15,000 7,962 31,848 MUNGKUR AGUNG
68,088 272,352 340,440 48,709 15,000 4,379 17,516 MUNGKUR AGUNG
71,373 285,490 356,863 49,605 15,000 6,768 27,071 MUNGKUR AGUNG
69,435 277,740 347,175 44,881 15,000 9,554 38,217 MUNGKUR AGUNG
63,373 253,492 316,865 40,411 15,000 7,962 31,847 MUNGKUR AGUNG
64,522 258,089 322,611 37,347 22,000 5,175 20,700 MUNGKUR AGUNG
69,312 277,248 346,560 43,166 15,000 11,146 44,586 MUNGKUR AGUNG
62,357 249,429 311,786 40,590 15,000 6,767 27,069 MUNGKUR AGUNG
44,735 178,940 223,675 29,560 10,000 5,175 20,700 MUNGKUR AGUNG
43,898 175,593 219,491 27,927 10,000 5,971 23,884 MUNGKUR AGUNG
42,837 171,348 214,185 27,662 10,000 5,175 20,700 MUNGKUR AGUNG
30,557 122,229 152,786 25,780 - 4,777 19,107 MUNGKUR AGUNG
40,097 160,387 200,484 25,320 10,000 4,777 19,109 MUNGKUR AGUNG
74,070 296,278 370,348 51,506 15,000 7,564 30,256 MUNGKUR AGUNG
98,575 394,300 492,875 37,315 50,000 11,260 45,040 MUNGKUR AGUNG
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 KERTA

Bulan : Juni

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3982600 398260 159304 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2688500 0 0 0 0
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197207122006042038 1 2 3665900 366590 146636 0 300000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2526200 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 0
199504102019031013 1 1 2301800 230180 46036 0 0
198909142014122001 0 0 2981500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,041,755 0 2300000 8,371,919 8,371,919

0 0 2,043,442 0 6000000 11,755,742 11,755,742
0 185000 1,202,024 0 5000000 9,075,524 9,075,524
0 0 801,350 0 1500000 7,941,154 7,941,154
0 0 440,742 0 1500000 6,811,642 6,811,642
0 0 681,147 0 1500000 7,062,007 7,062,007
0 0 961,620 0 1500000 6,949,704 6,949,704
0 0 288,486 0 1500000 5,829,622 5,829,622
0 0 520,877 0 2200000 6,455,581 6,455,581
0 0 721,215 0 1500000 6,700,341 6,700,341
0 0 1,121,889 0 1500000 6,938,449 6,938,449
0 0 681,147 0 1500000 6,240,123 6,240,123
0 0 520,877 0 1000000 4,476,877 4,476,877
0 0 601,012 0 1000000 4,393,712 4,393,712
0 0 520,877 0 1500000 4,787,077 4,787,077
0 180000 480,810 0 1000000 4,238,826 4,238,826
0 180000 480,810 0 1000000 4,238,826 4,238,826
0 0 1,322,227 0 5000000 10,053,727 10,053,727
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

83,719 334,877 418,596 50,302 23,000 10,417 41,669 MUNGKUR AGUNG
117,557 470,230 587,787 37,123 60,000 20,434 81,736 MUNGKUR AGUNG
90,755 363,021 453,776 28,735 50,000 12,020 48,080 MUNGKUR AGUNG
79,412 317,646 397,058 56,398 15,000 8,014 32,056 MUNGKUR AGUNG
68,116 272,466 340,582 48,709 15,000 4,407 17,628 MUNGKUR AGUNG
70,620 282,480 353,100 48,809 15,000 6,811 27,246 MUNGKUR AGUNG
69,497 277,988 347,485 44,881 15,000 9,616 38,465 MUNGKUR AGUNG
58,296 233,185 291,481 40,411 15,000 2,885 11,539 MUNGKUR AGUNG
64,556 258,223 322,779 37,347 22,000 5,209 20,836 MUNGKUR AGUNG
67,003 268,014 335,017 44,791 15,000 7,212 28,847 MUNGKUR AGUNG
69,384 277,538 346,922 43,166 15,000 11,218 44,874 MUNGKUR AGUNG
62,401 249,605 312,006 40,590 15,000 6,811 27,245 MUNGKUR AGUNG
44,769 179,075 223,844 29,560 10,000 5,209 20,836 MUNGKUR AGUNG
43,937 175,748 219,685 27,927 10,000 6,010 24,040 MUNGKUR AGUNG
47,871 191,483 239,354 27,662 15,000 5,209 20,836 MUNGKUR AGUNG
42,388 169,553 211,941 27,580 10,000 4,808 19,231 MUNGKUR AGUNG
42,388 169,553 211,941 27,580 10,000 4,808 19,231 MUNGKUR AGUNG
100,537 402,149 502,686 37,315 50,000 13,222 52,888 MUNGKUR AGUNG
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 KERTA

Bulan : Juli

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 2 3982600 398260 159304 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197207122006042038 1 2 3665900 366590 146636 0 300000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2526200 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 240000
199504102019031013 1 1 2301800 230180 46036 0 360000
198909142014122001 0 0 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,032,642 0 2300000 8,362,806 8,362,806

0 0 2,025,567 0 6000000 11,737,867 11,737,867
0 0 1,191,510 0 5000000 9,205,010 9,205,010
0 0 794,340 0 1500000 7,934,144 7,934,144
0 0 436,887 0 1500000 6,807,787 6,807,787
0 0 675,189 0 1500000 7,056,049 7,056,049
0 0 953,208 0 1500000 6,941,292 6,941,292
0 0 - 0 1500000 5,541,136 5,541,136
0 0 516,321 0 2200000 6,451,025 6,451,025
0 0 714,906 0 1500000 6,694,032 6,694,032
0 0 1,112,076 0 1500000 6,928,636 6,928,636
0 0 675,189 0 1500000 6,234,165 6,234,165
0 0 516,321 0 1000000 4,472,321 4,472,321
0 0 595,755 0 1000000 4,388,455 4,388,455
0 0 516,321 0 1500000 4,782,521 4,782,521
0 0 476,604 0 1000000 4,294,620 4,294,620
0 0 476,604 0 1000000 4,414,620 4,414,620
0 0 1,310,661 0 5000000 10,136,161 10,136,161
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23

83,628 334,512 418,140 50,302 23,000 10,326 41,305

117,379 469,515 586,894 37,123 60,000 20,256 81,024
92,050 368,200 460,250 30,135 50,000 11,915 47,660
79,341 317,366 396,707 56,398 15,000 7,943 31,772
68,078 272,311 340,389 48,709 15,000 4,369 17,476
70,560 282,242 352,802 48,809 15,000 6,751 27,006
69,413 277,652 347,065 44,881 15,000 9,532 38,129
55,411 221,645 277,056 40,411 15,000 - 0 - 1
64,510 258,041 322,551 37,347 22,000 5,163 20,652
66,940 267,761 334,701 44,791 15,000 7,149 28,595
69,286 277,145 346,431 43,166 15,000 11,120 44,482
62,342 249,367 311,709 40,590 15,000 6,752 27,009
44,723 178,893 223,616 29,560 10,000 5,163 20,652
43,885 175,538 219,423 27,927 10,000 5,958 23,832
47,825 191,301 239,126 27,662 15,000 5,163 20,652
42,946 171,785 214,731 28,180 10,000 4,766 19,063
44,146 176,585 220,731 29,380 10,000 4,766 19,063
101,362 405,446 506,808 38,255 50,000 13,107 52,428
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 SATKER
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
 KERTA

Bulan : Agustus

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 1 3982600 398260 79652 490000 0

198412242014071001 0 0 3172300 0 0 540000 0
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197207122006042038 1 2 3665900 366590 146636 0 300000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2526200 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 240000
199504102019031013 1 1 2301800 230180 46036 0 360000
198909142014122001 0 0 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1,001,940 0 2300000 8,252,452 8,252,452

0 0 1,965,344 0 6000000 11,677,644 11,677,644
0 0 1,156,085 0 5000000 9,169,585 9,169,585
0 0 770,723 0 1500000 7,910,527 7,910,527
0 0 405,467 0 1500000 6,776,367 6,776,367
0 0 655,115 0 1500000 7,035,975 7,035,975
0 0 924,868 0 1500000 6,912,952 6,912,952
0 0 536,155 0 1500000 6,077,291 6,077,291
0 0 500,970 0 2200000 6,435,674 6,435,674
0 0 693,651 0 1500000 6,672,777 6,672,777
0 0 1,079,012 0 1500000 6,895,572 6,895,572
0 0 655,115 0 1500000 6,214,091 6,214,091
0 0 500,970 0 1000000 4,456,970 4,456,970
0 0 578,042 0 1000000 4,370,742 4,370,742
0 0 500,970 0 1500000 4,767,170 4,767,170
0 0 462,434 0 1000000 4,280,450 4,280,450
0 0 462,434 0 1000000 4,400,450 4,400,450
0 0 1,161,111 0 5000000 9,986,611 9,986,611
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

82,525 330,098 412,623 49,505 23,000 10,020 40,080 MUNGKUR AGUNG
116,776 467,106 583,882 37,123 60,000 19,653 78,612 MUNGKUR AGUNG
91,696 366,783 458,479 30,135 50,000 11,561 46,244 MUNGKUR AGUNG
79,105 316,421 395,526 56,398 15,000 7,707 30,828 MUNGKUR AGUNG
67,764 271,055 338,819 48,709 15,000 4,055 16,220 MUNGKUR AGUNG
70,360 281,439 351,799 48,809 15,000 6,551 26,206 MUNGKUR AGUNG
69,130 276,518 345,648 44,881 15,000 9,249 36,997 MUNGKUR AGUNG
60,773 243,092 303,865 40,411 15,000 5,362 21,447 MUNGKUR AGUNG
64,357 257,427 321,784 37,347 22,000 5,010 20,040 MUNGKUR AGUNG
66,728 266,911 333,639 44,791 15,000 6,937 27,747 MUNGKUR AGUNG
68,956 275,823 344,779 43,166 15,000 10,790 43,162 MUNGKUR AGUNG
62,141 248,564 310,705 40,590 15,000 6,551 26,205 MUNGKUR AGUNG
44,570 178,279 222,849 29,560 10,000 5,010 20,040 MUNGKUR AGUNG
43,707 174,830 218,537 27,927 10,000 5,780 23,120 MUNGKUR AGUNG
47,672 190,687 238,359 27,662 15,000 5,010 20,040 MUNGKUR AGUNG
42,805 171,218 214,023 28,180 10,000 4,625 18,499 MUNGKUR AGUNG
44,005 176,018 220,023 29,380 10,000 4,625 18,499 MUNGKUR AGUNG
99,866 399,464 499,330 38,255 50,000 11,611 46,444 MUNGKUR AGUNG
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 KERTA

Bulan : September

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 1 3982600 398260 79652 490000 0

198412242014071001 1 0 3172300 0 0 540000 0
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 0 0 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
197207122006042038 1 2 3665900 366590 146636 0 300000
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 1 2 2716000 0 0 0 240000
199109042015032007 1 2 2552700 0 0 0 240000
199208232011012001 0 0 2526200 0 0 0 240000
199412052019031009 0 0 2301800 230180 46036 0 240000
199504102019031013 0 0 2301800 230180 46036 0 360000
198909142014122001 1 1 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 1000935 0 2300000 8,251,447 8,251,447

0 0 1887858 0 6000000 11,600,158 11,600,158
0 0 1,154,925 0 5000000 9,168,425 9,168,425
0 0 769,950 0 1500000 7,909,754 7,909,754
0 0 342,036 0 1500000 6,712,936 6,712,936
0 0 654,458 0 1500000 7,035,318 7,035,318
0 0 923,940 0 1500000 6,912,024 6,912,024
0 0 769,950 0 1500000 6,311,086 6,311,086
0 0 500,468 0 2200000 6,435,172 6,435,172
0 0 692,955 0 1500000 6,672,081 6,672,081
0 0 995,012 0 1500000 6,811,572 6,811,572
0 0 654,458 0 1500000 6,213,434 6,213,434
0 0 500,468 0 1000000 4,456,468 4,456,468
0 0 577,463 0 1000000 4,370,163 4,370,163
0 0 500,468 0 1000000 4,266,668 4,266,668
0 0 461,970 0 1000000 4,279,986 4,279,986
0 0 461,970 0 1000000 4,399,986 4,399,986
0 0 1,270,418 0 5000000 10,095,918 10,095,918
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYANA PELAYANA
Iuran 5%
bawah ump N N

18=17 x1% 19=17x4% 20=18+19 21 22 23

82,514 330,058 412,572 49,505 23,000 10,009 40,036

116,002 464,006 580,008 37,123 60,000 18,879 75,516
91,684 366,737 458,421 30,135 50,000 11,549 46,196
79,098 316,390 395,488 56,398 15,000 7,700 30,800
67,129 268,517 335,646 48,709 15,000 3,420 13,680
70,353 281,413 351,766 48,809 15,000 6,544 26,178
69,120 276,481 345,601 44,881 15,000 9,239 36,957
63,111 252,443 315,554 40,411 15,000 7,700 30,799
64,352 257,407 321,759 37,347 22,000 5,005 20,020
66,721 266,883 333,604 44,791 15,000 6,930 27,719
68,116 272,463 340,579 43,166 15,000 9,950 39,802
62,134 248,537 310,671 40,590 15,000 6,544 26,177
44,565 178,259 222,824 29,560 10,000 5,005 20,020
43,702 174,807 218,509 27,927 10,000 5,775 23,100
42,667 170,667 213,334 27,662 10,000 5,005 20,020
42,800 171,199 213,999 28,180 10,000 4,620 18,479
44,000 175,999 219,999 29,380 10,000 4,620 18,479
100,959 403,837 504,796 38,255 50,000 12,704 50,816
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 SATKER
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
 KERTA

Bulan : Oktober

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 1 3982600 398260 79652 490000 0

198412242014071001 0 0 3172300 0 0 0 750000
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
198612262010012027 1 2 3272200 327220 130888 490000 0
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2633100 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 240000
199504102019031013 1 1 2301800 230180 46036 0 360000
198909142014122001 0 0 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 988742 0 4600000 10,539,254 10,539,254

0 0 1939455 0 6000000 11,861,755 11,861,755
0 0 1,140,856 0 5000000 9,154,356 9,154,356
0 0 760,570 0 3000000 9,400,374 9,400,374
0 0 418,314 0 3000000 8,289,214 8,289,214
0 0 619,548 0 3000000 8,500,408 8,500,408
0 0 874,656 0 3000000 8,362,740 8,362,740
0 0 760,570 0 3000000 7,801,706 7,801,706
0 0 494,371 0 4400000 8,629,075 8,629,075
0 0 684,513 0 4600000 9,504,821 9,504,821
0 0 1,020,432 0 3000000 8,336,992 8,336,992
0 0 646,485 0 3000000 7,705,461 7,705,461
0 0 494,371 0 2000000 5,450,371 5,450,371
0 0 570,428 0 2000000 5,363,128 5,363,128
0 0 494,371 0 2000000 5,367,471 5,367,471
0 0 456,342 0 2000000 5,274,358 5,274,358
0 0 456,342 0 2000000 5,394,358 5,394,358
0 0 1,254,941 0 5000000 10,080,441 10,080,441
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23

105,393 421,570 526,963 49,505 46,000 9,888 39,552

118,618 474,470 593,088 39,223 60,000 19,395 77,580
91,544 366,174 457,718 30,135 50,000 11,409 45,636
94,004 376,015 470,019 56,398 30,000 7,606 30,424
82,892 331,569 414,461 48,709 30,000 4,183 16,732
85,004 340,016 425,020 48,809 30,000 6,195 24,782
83,627 334,510 418,137 44,881 30,000 8,746 34,985
78,017 312,068 390,085 40,411 30,000 7,606 30,423
86,291 345,163 431,454 37,347 44,000 4,944 19,776
95,048 380,193 475,241 42,203 46,000 6,845 27,380
83,370 333,480 416,850 43,166 30,000 10,204 40,818
77,055 308,218 385,273 40,590 30,000 6,465 25,861
54,504 218,015 272,519 29,560 20,000 4,944 19,776
53,631 214,525 268,156 27,927 20,000 5,704 22,816
53,675 214,699 268,374 28,731 20,000 4,944 19,776
52,744 210,974 263,718 28,180 20,000 4,564 18,255
53,944 215,774 269,718 29,380 20,000 4,564 18,255
100,804 403,218 504,022 38,255 50,000 12,549 50,196
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 SATKER
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
MUNGKUR AGUNG
 KERTA

Bulan : Nopember

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUHTINO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….....

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 1 3982600 398260 79652 490000 0

198412242014071001 0 0 3172300 0 0 0 750000
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010221994031003 1 0 3982600 398260 0 0 500000
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
198612262010012027 1 2 3272200 327220 130888 490000 0
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2633100 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 240000
199504102019031013 1 1 2301800 230180 46036 0 360000
198909142014122001 0 0 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 944776 0 2300000 8,195,288 8,195,288

0 0 1930433 0 6000000 11,852,733 11,852,733
0 0 1135549 0 5000000 9,149,049 9,149,049
0 0 757032 0 1500000 7,896,836 7,896,836
0 0 416,368 0 1500000 6,787,268 6,787,268
0 0 643,478 0 1500000 7,024,338 7,024,338
0 0 908,439 0 1500000 6,896,523 6,896,523
0 0 757,032 0 1500000 6,298,168 6,298,168
0 0 492,071 0 2200000 6,426,775 6,426,775
0 0 681,329 0 2300000 7,201,637 7,201,637
0 0 1,059,845 0 1500000 6,876,405 6,876,405
0 0 643,478 0 1500000 6,202,454 6,202,454
0 0 492,071 0 1000000 4,448,071 4,448,071
0 0 567,774 0 1000000 4,360,474 4,360,474
0 0 492,071 0 1000000 4,365,171 4,365,171
0 0 454,219 0 1000000 4,272,235 4,272,235
0 0 454,219 0 1000000 4,392,235 4,392,235
0 0 1,249,104 0 5000000 10,074,604 10,074,604
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYAN
Iuran 5%
bawah ump AN AN

18=17 x1% 19=17x4% 20=18+19 21 22 23 SATKER

81,953 327,812 409,765 49,505 23,000 9,448 37,792 MUNGKUR AGUNG
118,527 474,109 592,636 39,223 60,000 19,304 77,216 MUNGKUR AGUNG
91,490 365,962 457,452 30,135 50,000 11,355 45,420 MUNGKUR AGUNG
78,968 315,873 394,841 56,398 15,000 7,570 30,280 MUNGKUR AGUNG
67,873 271,491 339,364 48,709 15,000 4,164 16,656 MUNGKUR AGUNG
70,243 280,974 351,217 48,809 15,000 6,434 25,738 MUNGKUR AGUNG
68,965 275,861 344,826 44,881 15,000 9,084 36,337 MUNGKUR AGUNG
62,982 251,927 314,909 40,411 15,000 7,571 30,283 MUNGKUR AGUNG
64,268 257,071 321,339 37,347 22,000 4,921 19,684 MUNGKUR AGUNG
72,016 288,065 360,081 42,203 23,000 6,813 27,252 MUNGKUR AGUNG
68,764 275,056 343,820 43,166 15,000 10,598 42,394 MUNGKUR AGUNG
62,025 248,098 310,123 40,590 15,000 6,435 25,741 MUNGKUR AGUNG
44,481 177,923 222,404 29,560 10,000 4,921 19,684 MUNGKUR AGUNG
43,605 174,419 218,024 27,927 10,000 5,678 22,712 MUNGKUR AGUNG
43,652 174,607 218,259 28,731 10,000 4,921 19,684 MUNGKUR AGUNG
42,722 170,889 213,611 28,180 10,000 4,542 18,167 MUNGKUR AGUNG
43,922 175,689 219,611 29,380 10,000 4,542 18,167 MUNGKUR AGUNG
100,746 402,984 503,730 38,255 50,000 12,491 49,964 MUNGKUR AGUNG
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 KE

Bulan : Desember

NIK
No. Nama Pegawai NOKA (Nomor Induk
Kependudukan)

1 2 3 4

1 NANANG HANDAYANA,S.Kep
2 dr.ARIYO SUSANTO
3 drg.LINA LESTIA
4 ARBAYAH,AKL
5 Hj.SITI NORHASANAH
6 BUDHTIONO,AMK
7 GUSTI ADIYANI,Ns
8 ELFA NORANNISA,S.Kep
9 MAHFUZ AZIANOOR,AMK
10 SUHARNI,S.S.It
11 SRI LESTARI,A.Md.Keb
12 RANITA,A.Md.Keb
13 HEDDY NADIA,A.Md.Keb
14 HIDA YANTI,AMG
15 TRI YUSNA SARI,A.Md.FARM
16 AHMAD ATHAILAH,A.Md.Kep
17 AHYATUL FAJRI,AMD.RMIK
18 dr. PUTERI AULIA RAHMI
 KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN PNS DAERAH & IW PEMDA PUSKESMAS ….

Tunjangan Keluarga Tunjangan Jabatan

Jumlah
NIP Jumlah
Istri/Sua Gaji Pokok
(Nomor Induk Pegawai) Anak
mi
Tunjangan Tunjangan Tunjangan Tunjangan
Istri Anak Eselon Fungsional

5 6 7 8 9 10 11 12

197512021995021002 1 1 3982600 398260 79652 490000 0

198412242014071001 0 0 3172300 0 0 0 750000
199104142019032017 0 0 2688500 0 0 0 325000
196511021987032009 1 2 4508600 450860 180344 0 500000
196907231989032005 0 0 4370900 0 0 0 500000
197010231990031003 #N/A #N/A #N/A #N/A #N/A #N/A #N/A
198109162009041003 1 2 3410600 341060 136424 0 600000
198208222006042017 1 1 3340300 334030 66806 0 300000
198703232010011013 1 2 3043600 304360 121744 0 265000
198612262010012027 1 2 3272200 327220 130888 490000 0
197706192005012007 1 2 3554000 355400 142160 0 265000
196909092006042011 1 1 3409800 340980 68196 0 240000
199003232017042003 0 0 2716000 0 0 0 240000
199109042015032007 0 0 2552700 0 0 0 240000
199208232011012001 0 0 2633100 0 0 0 240000
199412052019031009 1 1 2301800 230180 46036 0 240000
199504102019031013 1 1 2301800 230180 46036 0 360000
198909142014122001 0 0 3075500 0 0 0 750000
IW PEMDA PUSKESMAS ….....

angan Jabatan
Tambahan Tambahan Total Take Dasar
Tunjangan Tunjangan Jasa
penghasila Penghasilan Home Pay Perhitungan
Umum Profesi Pelayanan
n Pegawai (TPP) (THP) Iuran (DPI)
Tunjangan
Struktural

13 14 15 16 17 18 16 = 7+8+9+10+11+12+13+14+15
17=16 dengan maksimal 12 juta

0 0 982107 0 2300000 8,232,619 8,232,619

0 0 1926441 0 6000000 11,848,741 11,848,741
0 0 1133201 0 5000000 9,146,701 9,146,701
0 0 755,467 0 1500000 7,895,271 7,895,271
0 0 415,507 0 1500000 6,786,407 6,786,407
#N/A #N/A 642,147 #N/A #N/A #N/A #N/A
0 0 906,561 0 1500000 6,894,645 6,894,645
0 0 755,467 0 1500000 6,296,603 6,296,603
0 0 491,054 0 2200000 6,425,758 6,425,758
0 0 679,920 0 2300000 7,200,228 7,200,228
0 0 1,057,654 0 1500000 6,874,214 6,874,214
0 0 642,147 0 1500000 6,201,123 6,201,123
0 0 491,054 0 1000000 4,447,054 4,447,054
0 0 566,600 0 1000000 4,359,300 4,359,300
0 0 491,054 0 1000000 4,364,154 4,364,154
0 0 453,280 0 1000000 4,271,296 4,271,296
0 0 453,280 0 1000000 4,391,296 4,391,296
0 0 1,246,521 0 5000000 10,072,021 10,072,021
 1% induk 1% JASA 4% JASA
Total
Iuran 1% Iuran 4% tnpa batas 1% TPP PELAYAN PELAYANA
Iuran 5%
bawah ump AN N

18=17 x1% 19=17x4% 20=18+19 21 22 23

82,326 329,305 411,631 49,505 23,000 9,821 39,284

118,487 473,950 592,437 39,223 60,000 19,264 77,056
91,467 365,868 457,335 30,135 50,000 11,332 45,328
78,953 315,811 394,764 56,398 15,000 7,555 30,220
67,864 271,456 339,320 48,709 15,000 4,155 16,620
#N/A #N/A #N/A #N/A #N/A #N/A #N/A
68,946 275,786 344,732 44,881 15,000 9,065 36,261
62,966 251,864 314,830 40,411 15,000 7,555 30,219
64,258 257,030 321,288 37,347 22,000 4,911 19,644
72,002 288,009 360,011 42,203 23,000 6,799 27,196
68,742 274,969 343,711 43,166 15,000 10,576 42,306
62,011 248,045 310,056 40,590 15,000 6,421 25,685
44,471 177,882 222,353 29,560 10,000 4,911 19,644
43,593 174,372 217,965 27,927 10,000 5,666 22,664
43,642 174,566 218,208 28,731 10,000 4,911 19,644
42,713 170,852 213,565 28,180 10,000 4,533 18,131
43,913 175,652 219,565 29,380 10,000 4,533 18,131
100,720 402,881 503,601 38,255 50,000 12,465 49,860
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 SATKER
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