PANGKAT /

NO NAMA/NIP NPWP
GOLONGAN
1 2 3 4
1 dr. DAVID OLOAN, MARS
NIP.19650801 200003 1 001 PEMBINA / IV.a

2 MAISEL FIDAYESI, S.Farm, Apt.,MM

NIP.19790520 201102 2 001 PENATA TK.I/III69.120.787.3-211.000

3 dr. ANNISA INDRASARI

NIP.197611142006042029 PEMBINA / IV.a 68.428.179.3-216.000

4 TOMMY SJAPUTRA, ST
NIP.19731017 200604 1 007 PENATA / III.c 68.411.806.0-211.000

5 drg. ASRA HAVEN, MARS

48.947.693.7-202.000
NIP.197111152006041002 Pembina Tk.I / I

6 FELCA ROSIANA, S.Farm, Apt. PENATA / III.c

NIP. 19870130 201503 2 001 72.981.830.2-216.000

7 dr. MARRY ROULI SIMANJUNTAK PENATA TK.I/III35.138.923.4-116.000

NIP.197008212010012002

8 dr. EVA YULIETA DELIANA PEMBINA / IV.a

NIP.197307192007012002 09.214.066.4-403.000

9 Ns. MULIA DESNI, S.Kep PENATA TK.I/III

NIP.19741229 200501 2 006 87.533.855.0-204.000

10 MUHAMMAD ISNAINI, S.Kep 15.604.605.4-212.000

PENATA MUDA TK.I/
NIP.19870713 201001 1 003

11 DEWI SUSANTI, SE, MM PENATA TK.I/III08.153.011.5-213.000

NIP.198210042008012014
12 BAMBANG RIFAI, SE PEMBINA / IV.a 14.988.571.7-221.000
NIP.19641111 198711 1 001

13 DIEN MEDIANA, S.Sos, M. Si PEMBINA /

NIP. 19710507 199803 2 003 IV.a 14.965.019.4-331.000

14 ANDIKO ASNAWI PENATA / III C

NIP. 19810924 201503 1 003 14.645.032.5.216.000

51 dr. RINCE RESTIVIONA. Sp.A Penata / III.c 15.587.462.1-216.000

NIP. 19821210 200604 2 002

52 dr. T.AFRINA, Sp.M Penata / III.c 75.573.145.2-219.000

NIP. 19810715 201503 2 001

53 dr.SHERLY MUCHLIS, Sp.M Penata / III.c 68.051.769.5-216.000

NIP. 19810223 201008 2 001

54 dr.NOVA FARADILLA Penata / III.c

NIP. 198411052015032003 16.272.411.6.216.000

55 dr. NOFARENI, Sp.A Penata Muda Tk.I/08.122.707.6-216.001

NIP. 19661103 199903 2 003

56 dr. TAUFIQURRAHMAN, Sp.THT-KL 68.550.177.7-216.000

Penata Muda Tk.I
NIP.19800522 200902 1 002

57 dr. RIDHA AMALIAH, Sp.PK Penata / III.c 15 490 998 0 216 000
NIP.19831220 201001 2 016

58 dr. MAHENDRA, Sp.B 85 328 203 6 216 000

Penata Muda Tk.I/I
NIP.19850908 201903 1 001
CPNS (80%)
59 dr. RAMA FADILA,Sp.PD 85 825 222 4 216 000
Penata Muda Tk.I/I
NIP. 19890309 201903 1 001
CPNS (80%)
60 RIKA DESRIANA,S.Farm,Apt Penata Tk.I/ III.d57.812.902.5-216.000
NIP. 198212192010012010

61 GUSTINA ANDAYANI, S.Farm, Apt. Penata Tk.I/ III.d15.671.565.8-216.000

 15.671.565.8-216.000
NIP.198303122011022002

62 dr. RIRIS MARITO SIBARANI 75 634 556 7 216 000

Penata Muda Tk.I
NIP. 198704262019032001
CPNS (80%)
63 dr. MUTHIA DEWI 75 171 561 6 216 000
Penata Muda Tk.I
NIP.199110312019032001
CPNS (80%)
64 dr. CHALID GHOZALI DAULAY 80 292 712 9 216 000
Penata Muda Tk.I
NIP.199109192019031001
CPNS (80%)
65 dr. NAUFAL ANHARI 81 949 948 4 216 000
Penata Muda Tk.I
NIP.19940326201903101
CPNS (80%)
66 dr. RENNY ANGGRAINI 70 880 275 6 216 000
Penata Muda Tk.I
NIP.199001092019032001
CPNS (80%)
67 WIRDATY, SKM Penata Tk.I/ III.d68.051.769.5-216.000
NIP.197608282000122004

68 Ns. WIRDA NURJANAH, S.Kep Penata Tk.I/ III.d

NIP. 198105252005012009 77.737.793.8-216.000

69 Ns. IRNI YUSNITA, S.Kep Penata Tk.I /III.d PINDAHAN KAMPAR

NIP.197903202007012004

70 NOFLIZA, SST Penata Tk.I /III.d78.251.359.2-221.000

NIP.197711132005022001

71 Ns. RAHMATINA AULIA, S.Kep Penata Tk.I /III.d15.887.169.9-201.000

NIP.198310292009032002

165 ALETHEA ISFAHANIE,A.Md Pengatur / II.c 81 485 135 8 221 000

NIP. 199206192019032000
CPNS (80%)
166 ANGGA AXIERY, A.Md.Kes Pengatur / II.c 90 887 366 4 216 000
NIP. 199201302019031001
CPNS (80%)
167 TESHA ANGGRAENI,A.Md.RMIK Pengatur / II.c 70 686 827 0 216 000
NIP. 199212222019032003
 CPNS (80%)
168 DIAN PERMANA PUTRI,A.Md.P.K Pengatur / II.c 91 189 224 8 212 000
NIP. 199009012019032001
CPNS (80%)
169 SUKMA AWALIA, A.Md.Rad Pengatur / II.c 81 237 430 4 219 000
NIP. 199309042019032001
CPNS (80%)
170 MELLYKA SELVIRA YASA, A.Md.Rad Pengatur / II.c 72 793 478 8 213 000
NIP. 199309302019032001
CPNS (80%)
JUMLAH

PENGGUNA ANGGARAN
Plt.KEPALA DINAS KESEHATAN
KOTA PEKANBARU

dr. ARNALDO EKA PUTRA, Sp.PD

Pembina / IV.a
NIP. 19761019 200604 1 009
 DAFTAR : PEMBAYARAN TAMBAHAN PENGHASILAN PEGA
RSD MADANI
DI LINGKUNGAN PEMERINTAH KOTA PEKANBAR
BERDASARKAN PERATURAN WALIKOTA PEKAN
BULAN : OKTOBER 2020

Besaran
REKENING BNI JABATAN /
Beban Kerja Capaian Aktivitas
SMART KELAS JABATAN
(Rp.)
5 6 7 8 9
DIREKTUR 2,422,390 100.00% 2,422,390
0647928749 / Kelas 14

KABAG TU 1,738,425 100.00% 1,738,425

0632188563 / KELAS 12

KABID KEPERAWATAN 1,344,022 100.00% 1,344,022

0632195343 / KELAS 11

KABID NON MEDIS 1,344,022 100.00% 1,344,022

0966841934
/ KELAS 11
KABID PELAYANAN MEDIS 1,344,022 100.00% 1,344,022
0792857279 / KELAS 11

0632196288 KASI REKAM MEDIS 1,016,980 100.00% 1,016,980

/ KELAS 9

0632188450 KASI ETIKA MUTU YANMED 1,016,980 100.00% 1,016,980

/ KELAS 9

KASI PENGENDALIAN MEDIS 1,016,980 100.00% 1,016,980

0649392251 / KELAS 9

KASI ASUHAN KEPERAWATA 1,016,980 100.00% 1,016,980

0632188336 / KELAS 9

0674813340 KASI ETIKA MUTU KEPERAWATAN 1,016,981 100.00% 1,016,981

/ KELAS 9

0632223383 KASUBBAG UMUM 1,016,980 100.00% 1,016,980

/ KELAS 9
 0902420908 KASUBBAG KEUANGAN 1,016,980 100.00% 1,016,980
/ KELAS 9

0969485472 KASUBBAG PROGRAM 1,016,980 100.00% 1,016,980

KELAS 9

KASI SARANA DAN PRASARAN 1,016,980 100.00% 1,016,980

0649901962 / KELAS 9

0902642693 Dokter Spesialis Anak 1,016,981 100.00% 1,016,981

/ Kelas 9

0764235659 Dokter Spesialis Mata 1,169,094 100.00% 1,169,094

/ Kelas 10

0632188788 Dokter Spesialis Mata 1,169,094 0.00% -

/ Kelas 10

Dokter Umum 1,169,094 100.00% 1,169,094

0632196299 / Kelas 10

0649688012 Dokter Spesialis Anak 1,016,981 100.00% 1,016,981

/ Kelas 9

0632196255 Dokter Spesialis THT-Kepala L 1,016,981 60.00% 610,189

/ Kelas 9

Err:509 Dokter 1,169,093 100.00% 1,169,093

/ Kelas 10

0805964766 Dokter Spesialis Bedah 813,585 42.50% 345,774

/ Kelas 9

0805945278 Dokter Spesialis Penyakit Dal 813,585 100.00% 813,585

/ Kelas 9

0662507686 Apoteker Muda 1,016,981 100.00% 1,016,981

/ Kelas 9

0755388005 Apoteker Muda 1,016,981 0.00% -

 0.00% -
/ Kelas 9

0900785393 Dokter Pertama 813,585 100.00% 813,585

/ Kelas 9

0900801032 Dokter Pertama 813,585 100.00% 813,585

/ Kelas 9

0812556307 Dokter Pertama 813,585 100.00% 813,585

/ Kelas 9

0854790427 Dokter Pertama 813,585 100.00% 813,585

/ Kelas 9

0902211463 Dokter Pertama 813,585 100.00% 813,585

/ Kelas 9

0632188788 Nutrisionis Muda 1,016,981 100.00% 1,016,981

/ Kelas 9

Perawat 1,016,981 100.00% 1,016,981

0632195659 / Kelas 9

Perawat Ahli Muda 100.00%

/ Kelas 9

0632194826 Bidan Muda 1,016,981 100.00% 1,016,981

/ Kelas 9

0662507948 Perawat Muda 1,016,981 100.00% 1,016,981

/ Kelas 9

0902066740 Perekam Medis Terampil 501,015 100.00% 501,015

0

0902065099 Perekam Medis Terampil 501,015 100.00% 501,015

0

0806956493 Perekam Medis Terampil 501,015 0.00% -

0
 0.00% -

0902071636 Perekam Medis Terampil 501,015 100.00% 501,015

0

0902050322 Radiografer Terampil 501,015 100.00% 501,015

0

0902041908 Radiografer Terampil 501,015 0.00% -

0

144,951,886 142,569,767
N PENGHASILAN PEGAWAI BERDASARKAN BEBAN KERJA

NTAH KOTA PEKANBARU PADA DINAS KESEHATAN

AN WALIKOTA PEKANBARU NOMOR 26 TAHUN 2020

Jumlah Uang
Jumlah
Potongan PPh 21 diterima
diterima
(Rp.)
10 11 Per Bulan
12 13 14 15
0.00% - (Rp.)
2,422,390 15% 363,359 2,059,031

0.00% - 1,738,425 5% 86,921 1,651,504

0.00% - 1,344,022 15% 201,603 1,142,419

0.00% - 1,344,022 5% 67,201 1,276,821

0.00% - 1,344,022 15% 201,603 1,142,419

0.00% - 1,016,980 5% 50,849 966,131

0.00% - 1,016,980 5% 50,849 966,131

0.00% - 1,016,980 15% 152,547 864,433

0.00% - 1,016,980 5% 50,849 966,131

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 1,016,980 5% 50,849 966,131

0.00% - 1,016,980 15% 152,547 864,433

0.00% - 1,016,980 15% 152,547 864,433

0.00% - 1,016,980 5% 50,849 966,131

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 1,169,094 5% 58,455 1,110,639

0.00% - - 5% - -

0.00% - - 5% - -

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 610,189 5% 30,509 579,680

0.00% - 1,169,093 5% 58,455 1,110,638

0.00% - 345,774 5% 17,289 328,485

0.00% - 813,585 5% 40,679 772,906

0.00% - 1,016,981 5% 50,849 966,132

0.00% - - 5% - -
0.00% - - -

0.00% - 813,585 5% 40,679 772,906

0.00% - 813,585 5% 40,679 772,906

0.00% - 813,585 5% 40,679 772,906

0.00% - 813,585 5% 40,679 772,906

0.00% - 813,585 5% 40,679 772,906

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 5%

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 1,016,981 5% 50,849 966,132

0.00% - 501,015 - 501,015

0.00% - 501,015 - 501,015

0.00% - - - -
0.00% - - -

0.00% - 501,015 - 501,015

0.00% - 501,015 - 501,015

0.00% - - - -

142,569,767 9,354,895 133,214,872

Pekanbaru, November 2021

BENDAHARA PENGELUARAN

NELFINA, A.Md.Kep.
Penata Muda / III.a
NIP. 19761227 199803 2 002

0
 PANGKAT / REKENING
NO NAMA/NIP NPWP
GOLONGAN BNI SMART
1 2 3 5
1 dr. DAVID OLOAN, MARS
NIP.19650801 200003 1 001 PEMBINA / IV.a 0647928749

2 MAISEL FIDAYESI, S.Farm, Ap

NIP.19790520 201102 2 001 PENATA TK.I/III.d 69.120.787.3-211.000 0632188563

3 dr. ANNISA INDRASARI 68.428.179.3-216.000 0632195343

NIP.197611142006042029 PEMBINA / IV.a

4 TOMMY SJAPUTRA, ST 0966841934

NIP.19731017 200604 1 007 PENATA TK.I/III.d 68.411.806.0-211.000

5 drg. ASRA HAVEN, MARS 0792857279

48.947.693.7-202.000
NIP.197111152006041002 Pembina Tk.I / IV.b

6 FELCA ROSIANA, S.Farm, Apt. PEMBINA / IV.a 0632196288

NIP. 19870130 201503 2 001 72.981.830.2-216.000

7 dr. MARRY ROULI SIMANJ Penata Tk.I/III.d 35.138.923.4-116.000 0632188450

NIP.197008212010012002

8 dr. EVA YULIETA DELIANA PEMBINA / IV.a 0649392251

NIP.197307192007012002 09.214.066.4-403.000

9 Ns. MULIA DESNI, S.Kep PENATA TK.I/III.d 0632196153

NIP.19741229 200501 2 006 87.533.855.0-204.000

10 MUHAMMAD ISNAINI, S.KPENATA MUDA TK.I/III.b 15.604.605.4-212.000 0674813340

NIP.19870713 201001 1 003

11 DEWI SUSANTI, SE, MM PENATA TK.I/III.c 08.153.011.5-213.000 0632223383

NIP.198210042008012014
12 BAMBANG RIFAI, SE PEMBINA / IV.a 14.988.571.7-221.000 0902420908
NIP.19641111 198711 1 001

13 DIEN MEDIANA, S.Sos, M. Si PEMBINA / IV.a 14.965.019.4-331.000 0969485472

NIP. 19710507 199803 2 003

14 ANDIKO ASNAWI PENATA / III C

NIP. 19810924 201503 1 003 14.645.032.5.216.000 0649901962

51 dr. RINCE RESTIVIONA. Sp.A Penata / III.c 15.587.462.1-216.000 0902642693

NIP. 19821210 200604 2 002

52 dr. T.AFRINA, Sp.M Penata / III.c 75.573.145.2-219.000 0764235659

NIP. 19810715 201503 2 001

53 dr.SHERLY MUCHLIS, Sp.M Penata / III.c 15.889.389.1-213.000 1106427221

NIP. 19810223 201008 2 001

54 dr.NOVA FARADILLA Penata / III.c

NIP. 198411052015032003 16.272.411.6.216.000 0632196299

55 dr. NOFARENI, Sp.A Penata Muda Tk.I/ III.b 08.122.707.6-216.001 0649688012

NIP. 19661103 199903 2 003

56 dr. TAUFIQURRAHMAN, Sp.Penata Muda Tk.I/III.b 68.550.177.7-216.000 0632196255

NIP.19800522 200902 1 002

57 dr. RIDHA AMALIAH, Sp.PK Penata / III.c 15 490 998 0 216 000 Err:509
NIP.19831220 201001 2 016

58 dr. MAHENDRA, Sp.B Penata Muda Tk.I/III.b85 328 203 6 216 000 0805964766
NIP.19850908 201903 1 001
CPNS (80%)
59 dr. RAMA FADILA,Sp.PD Penata Muda Tk.I/III.b85 825 222 4 216 000 0805945278
NIP. 19890309 201903 1 001
CPNS (80%)
60 RIKA DESRIANA,S.Farm,Apt Penata Tk.I/III.d 57.812.902.5-216.000 0662507686
NIP. 198212192010012010
61 GUSTINA ANDAYANI, S.Farm, A Penata Tk.I/III.d 15.671.565.8-216.000 0755388005
NIP.198303122011022002

62 dr. RIRIS MARITO SIBARANIPenata Muda Tk.I/III.b 75 634 556 7 216 000 0900785393
NIP. 198704262019032001
CPNS (80%)
63 dr. MUTHIA DEWI Penata Muda Tk.I/III.b 75 171 561 6 216 000 0900801032
NIP.199110312019032001
CPNS (80%)
64 dr. CHALID GHOZALI DAULPenata Muda Tk.I/III.b 80 292 712 9 216 000 0812556307
NIP.199109192019031001
CPNS (80%)
65 dr. NAUFAL ANHARI Penata Muda Tk.I/III.b 81 949 948 4 216 000 0854790427
NIP.19940326201903101
CPNS (80%)
66 dr. RENNY ANGGRAINI Penata Muda Tk.I/III.b 70 880 275 6 216 000 0902211463
NIP.199001092019032001
CPNS (80%)
67 WIRDATY, SKM Penata Tk.I/III.d 68.051.769.5-216.000 0632188788
NIP.197608282000122004

68 Ns. WIRDA NURJANAH, S.Penata Tk.I/ III.d

NIP. 198105252005012009 77.737.793.8-216.000 0632195659

161 DIKO PRATOWO RAHADIANT Pengatur / II.c 74 906 667 6 216 000 0902782947
NIP. 198904212019031001
CPNS (80%)
162 ISNA FITRIANI, A.Md.Kep Pengatur / II.c 90 922 302 6 216 000 0901623750
NIP 199503252019032001
CPNS (80%)
163 ROBI CAHYADI,A.Md.Ak Pengatur / II.c 85 451 399 1 216 000 0902165695
NIP. 199602102019031001
CPNS (80%)
164 RIYANITA ARHAMAH,A.Md. Pengatur / II.c 90 542 391 9 201 000 0902384742
NIP. 199701032019032002
CPNS (80%)
165 ALETHEA ISFAHANIE,A.Md Pengatur / II.c 81 485 135 8 221 000 0902066740
NIP. 199206192019032000
CPNS (80%)
166 ANGGA AXIERY, A.Md.Kes Pengatur / II.c 90 887 366 4 216 000 0902065099
NIP. 199201302019031001
CPNS (80%)
167 TESHA ANGGRAENI,A.Md.R Pengatur / II.c 70 686 827 0 216 000 0806956493
NIP. 199212222019032003
CPNS (80%)
168 DIAN PERMANA PUTRI,A.Md Pengatur / II.c 91 189 224 8 212 000 0902071636
NIP. 199009012019032001
CPNS (80%)
169 SUKMA AWALIA, A.Md.Rad Pengatur / II.c 81 237 430 4 219 000 0902050322
NIP. 199309042019032001
CPNS (80%)
170 MELLYKA SELVIRA YASA, A. Pengatur / II.c 72 793 478 8 213 000 0902041908
NIP. 199309302019032001
CPNS (80%)
JUMLAH

PENGGUNA ANGGARAN
Plt.KEPALA DINAS KESEHATAN
KOTA PEKANBARU

dr. ARNALDO EKA PUTRA, Sp.PD

Pembina / IV.a
NIP. 19761019 200604 1 009
 DAFTAR : PEMBAYARAN TAMBAHAN PENGHASILAN PEGAWAI BERDASARKA
DI LINGKUNGAN PEMERINTAH KOTA PEKANBARU PADA RSD MAD
BERDASARKAN PERATURAN WALIKOTA PEKANBARU NOMOR 26
BULAN : OKTOBER 2020

Besaran
JABATAN /
Prestasi Kerja Capaian Aktivitas Potongan
KELAS JABATAN
(Rp.)
4 5 6 7 8 9
DIREKTUR 4,360,305 100.00% 4,360,305 0.00% -
/ Kelas 14

KABAG TU 3,129,172 100.00% 3,129,172 0.00% -

/ KELAS 12

KABID KEPERAWATAN 2,419,241 100.00% 2,419,241 0.00% -

/ KELAS 11

2,419,241 100.00% 2,419,241 0.00% -

KABID NON MEDIS
/ KELAS 11
KABID PELAYANAN MEDIS 2,419,241 100.00% 2,419,241 0.00% -
/ KELAS 11

KASI REKAM MEDIS 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

KASI ETIKA MUTU YANMED 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

KASI PENGENDALIAN MEDIS 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

KASI ASUHAN KEPERAWATAN 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

KASI ETIKA MUTU KEPERAWATAN 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

KASUBBAG UMUM 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9
KASUBBAG KEUANGAN 1,830,566 100.00% 1,830,566 0.00% -
/ KELAS 9

KASUBBAG PROGRAM 1,830,566 100.00% 1,830,566 0.00% -

KELAS 9

KASI SARANA DAN PRASARANA 1,830,566 100.00% 1,830,566 0.00% -

/ KELAS 9

Dokter Spesialis Anak 1,830,566 100.00% 1,830,566 0.00% -

/ Kelas 9

Dokter Spesialis Mata 2,104,368 100.00% 2,104,368 0.00% -

/ Kelas 10

Dokter Spesialis Mata 2,104,368 100.00% 2,104,368 0.00% -

/ Kelas 10

Dokter Umum 2,104,368 100.00% 2,104,368 0.00% -

/ Kelas 10

Dokter Spesialis Anak 1,830,566 0.00% - 0.00% -

/ Kelas 9

Dokter Spesialis THT-Kepala Leher 1,830,566 0.00% - 0.00% -

/ Kelas 9

Dokter 2,104,368 0.00% - 0.00% -

/ Kelas 10

Dokter Spesialis Bedah 1,464,453 0.00% - 0.00% -

/ Kelas 9

Dokter Spesialis Penyakit Dalam 1,464,453 0.00% - 0.00% -

/ Kelas 9

Apoteker Muda 1,830,566 0.00% - 0.00% -

/ Kelas 9
Apoteker Muda 1,830,566 0.00% - 0.00% -
/ Kelas 9

Dokter Pertama 1,464,453 100.00% 1,464,453 0.00% -

/ Kelas 9

Dokter Pertama 1,464,453 0.00% - 0.00% -

/ Kelas 9

Dokter Pertama 1,464,453 0.00% - 0.00% -

/ Kelas 9

Dokter Pertama 1,464,453 0.00% - 0.00% -

/ Kelas 9

Dokter Pertama 1,464,453 0.00% - 0.00% -

/ Kelas 9

Nutrisionis Muda 1,830,566 0.00% - 0.00% -

/ Kelas 9

Perawat 1,830,566 0.00% - 0.00% -

/ Kelas 9

Perawat Pelaksana 901,827 0.00% - 0.00% -

Kelas 6

Perawat Pelaksana 901,827 0.00% - 0.00% -

Kelas 6

Pranata Laboratorium Pelaksana 901,827 0.00% - 0.00% -

Kelas 6

Sanitarian Pelaksana 901,827 0.00% - 0.00% -

Kelas 6

Perekam Medis Terampil 901,827 0.00% - 0.00% -

Kelas 6
Perekam Medis Terampil 901,827 0.00% - 0.00% -
Kelas 6

Perekam Medis Terampil 901,827 0.00% - 0.00% -

Kelas 6

Perekam Medis Terampil 901,827 0.00% - 0.00% -

Kelas 6

Radiografer Terampil 901,827 0.00% - 0.00% -

Kelas 6

Radiografer Terampil 901,827 100.00% 901,827 0.00% -

Kelas 6

267,627,349 261,831,741 -

Pekanbaru, Novemb
BENDAHARA PENGEL

NELFINA, A.Md.K

NIP. 19761227 199803

0
 AN PEGAWAI BERDASARKAN PRESTASI KERJA
EKANBARU PADA RSD MADANI
A PEKANBARU NOMOR 26 TAHUN 2020

Jumlah
Jumlah Uang
PPh 21
diterima diterima
10 11 12 (Rp.)
13
4,360,305 15% 654,046 3,706,259

3,129,172 5% 156,459 2,972,713

2,419,241 15% 362,886 2,056,355

2,419,241 5% 120,962 2,298,279

2,419,241 15% 362,886 2,056,355

1,830,566 5% 91,528 1,739,038

1,830,566 5% 91,528 1,739,038

1,830,566 15% 274,585 1,555,981

1,830,566 5% 91,528 1,739,038

1,830,566 5% 91,528 1,739,038

1,830,566 5% 91,528 1,739,038

1,830,566 15% 274,585 1,555,981

1,830,566 15% 274,585 1,555,981

1,830,566 5% 91,528 1,739,038

1,830,566 5% 91,528 1,739,038

2,104,368 5% 105,218 1,999,150

2,104,368 5% 105,218 1,999,150

2,104,368 5% 105,218 1,999,150

- 5% - 1,739,038

- 5% - 1,739,038

- 5% - 1,999,150

- 5% - 1,391,230

- 5% - 1,391,230

- 5% - 1,739,038
 - 5% - 1,739,038

1,464,453 5% 73,223 1,391,230

- 5% - 1,391,230

- 5% - 1,391,230

- 5% - 1,391,230

- 5% - 1,391,230

- 5% - 1,739,038

- 5% - 1,739,038

901,827 - 901,827

901,827 - 901,827

901,827 - 901,827

901,827 - 901,827

901,827 - 901,827
 901,827 - 901,827

901,827 - 901,827

901,827 - 901,827

901,827 - 901,827

901,827 - 901,827

261,831,741 16,922,865 244,908,876

Pekanbaru, November 2021

BENDAHARA PENGELUARAN

NELFINA, A.Md.Kep.
Penata Muda / III.a
NIP. 19761227 199803 2 002
 PANGKAT / REKENING BNI
NAMA/NIP NPWP
GOLONGAN SMART
2 3 5
dr. DAVID OLOAN, MARS 0647928749
NIP.19650801 200003 1 001 PEMBINA / IV.a

MAISEL FIDAYESI, S.Farm, Apt

NIP.19790520 201102 2 001 PENATA TK.I/III.d 69.120.787.3-211.000 0632188563

dr. ANNISA INDRASARI 68.428.179.3-216.000 0632195343

NIP.197611142006042029 PEMBINA / IV.a

TOMMY SJAPUTRA, ST 0966841934

NIP.19731017 200604 1 007 PENATA / III.c 68.411.806.0-211.000

drg. ASRA HAVEN, MARS 48.947.693.7-202.000 0792857279

NIP.197111152006041002 Pembina Tk.I / IV.b

FELCA ROSIANA, S.Farm, Apt. PENATA / III.c 0632196288

NIP. 19870130 201503 2 001 72.981.830.2-216.000

dr. MARRY ROULI SIMANJUNT PENATA TK.I/III.d 35.138.923.4-116.000 0632188450

NIP.197008212010012002

dr. EVA YULIETA DELIANA PEMBINA / IV.a 0649392251

NIP.197307192007012002 09.214.066.4-403.000

Ns. MULIA DESNI, S.Kep PENATA TK.I/III.d 0632196153

NIP.197107181996022001 87.533.855.0-204.000

MUHAMMAD ISNAINI, S.KepPENATA MUDA TK.I/III.b 15.604.605.4-212.000 0674813340

NIP.19870713 201001 1 003

DEWI SUSANTI, SE, MM PENATA/ III.C 08.153.011.5-213.000 0632223383

NIP.198210042008012014
BAMBANG RIFAI, SE PEMBINA / IV.a 14.988.571.7-221.000 0902420908
NIP.19641111 198711 1 001

DIEN MEDIANA, S.Sos, M. Si PEMBINA / IV.a 14.965.019.4-331.000 0969485472

NIP. 19710507 199803 2 003

ANDIKO ASNAWI PENATA / III C

NIP. 19810924 201503 1 003 14.645.032.5.216.000 0649901962

dr. RINCE RESTIVIONA. Sp.A Penata / III.c 15.587.462.1-216.000 0

NIP. 19821210 200604 2 002

dr. T.AFRINA, Sp.M Penata / III.c 75.573.145.2-219.000 0764235659

NIP. 19810715 201503 2 001

dr.SHERLY MUCHLIS, Sp.M Penata / III.c 15.889.389.1-213.000 1106427221

NIP. 19810223 201008 2 001

dr.NOVA FARADILLA Penata / III.c

NIP. 198411052015032003 16.272.411.6.216.000 0632196299

dr. NOFARENI, Sp.A Penata / III.c 08.122.707.6-216.001 0649688012

NIP. 19661103 199903 2 003

dr. TAUFIQURRAHMAN, Sp.THPenata Muda Tk.I/III.b 68.550.177.7-216.000 0632196255

NIP.19800522 200902 1 002

dr. RIDHA AMALIAH, Sp.PK Penata / III.c 15 490 998 0 216 000 0918096847
NIP.19831220 201001 2 016

dr. MAHENDRA, Sp.B Penata Muda Tk.I/III.b 85 328 203 6 216 000 0805964766
NIP.19850908 201903 1 001
CPNS (80%)
dr. RAMA FADILA,Sp.PD Penata Muda Tk.I/III.b 85 825 222 4 216 000 0805945278
NIP. 19890309 201903 1 001
CPNS (80%)
RIKA DESRIANA,S.Farm,Apt PENATA TK.I/III.d 57.812.902.5-216.000 0662507686
NIP. 198212192010012010

GUSTINA ANDAYANI, S.Farm, A PENATA TK.I/III.d 15.671.565.8-216.000 0755388005

NIP.198303122011022002

dr. RIRIS MARITO SIBARANI Penata Muda Tk.I/III.b 75 634 556 7 216 000 0900785393
NIP. 198704262019032001
CPNS (80%)
dr. MUTHIA DEWI Penata Muda Tk.I/III.b 75 171 561 6 216 000 0900801032
NIP.199110312019032001
CPNS (80%)
dr. CHALID GHOZALI DAULA Penata Muda Tk.I/III.b 80 292 712 9 216 000 0812556307
NIP.199109192019031001
CPNS (80%)
dr. NAUFAL ANHARI Penata Muda Tk.I/III.b 81 949 948 4 216 000 0854790427
NIP.19940326201903101
CPNS (80%)
dr. RENNY ANGGRAINI Penata Muda Tk.I/III.b 70 880 275 6 216 000 0902211463
NIP.199001092019032001
CPNS (80%)
WIRDATY, SKM PENATA TK.I/III.d 68.051.769.5-216.000 0632188788
NIP.197608282000122004

Ns. WIRDA NURJANAH, S.Kep Penata Tk.I/ III.d

NIP. 198105252005012009 77.737.793.8-216.000 0632195659

Ns. IRNI YUSNITA, S.Kep Penata / III.c

NIP.197903202007012004

NOFLIZA, SST 0 78.251.359.2-221.000 0632194826

NIP.197711132005022001

ANGGA AXIERY, A.Md.Kes Pengatur / II.c 90 887 366 4 216 000 0902065099
NIP. 199201302019031001
CPNS (80%)
TESHA ANGGRAENI,A.Md.RMI Pengatur / II.c 70 686 827 0 216 000 0806956493
NIP. 199212222019032003
CPNS (80%)
DIAN PERMANA PUTRI,A.Md.P Pengatur / II.c 91 189 224 8 212 000 0902071636
NIP. 199009012019032001
CPNS (80%)
SUKMA AWALIA, A.Md.Rad Pengatur / II.c 81 237 430 4 219 000 0902050322
NIP. 199309042019032001
CPNS (80%)
MELLYKA SELVIRA YASA, A.M Pengatur / II.c 72 793 478 8 213 000 0902041908
NIP. 199309302019032001
CPNS (80%)
JUMLAH

PENGGUNA ANGGARAN
Plt.KEPALA DINAS KESEHATAN
KOTA PEKANBARU

dr. ARNALDO EKA PUTRA, Sp.PD

Pembina / IV.a
NIP. 19761019 200604 1 009
 DAFTAR : PEMBAYARAN TAMBAHAN PENGHASILAN PEGAWAI BERDASARKAN KO
DI LINGKUNGAN PEMERINTAH KOTA PEKANBARU PADA RSD MADANI
BERDASARKAN PERATURAN WALIKOTA PEKANBARU NOMOR 26 TAHUN
BULAN : OKTOBER 2020

JABATAN / Besaran Kondis

Capaian Aktivitas Potongan
KELAS JABATAN Kerja (Rp)
4 5 6 7 8 9
DIREKTUR 1,453,435 100.00% 1,453,435 0.00% -
/ Kelas 14

KABAG TU 695,372 100.00% 695,372 0.00% -

/ KELAS 12

KABID KEPERAWATAN 537,609 100.00% 537,609 0.00% -

/ KELAS 11

KABID NON MEDIS 537,609 100.00% 537,609 0.00% -

/ KELAS 11

KABID PELAYANAN MEDIS 537,609 100.00% 537,609 0.00% -

/ KELAS 11

KASI REKAM MEDIS 406,793 100.00% 406,793 0.00% -

/ KELAS 9

KASI ETIKA MUTU YANMED 406,793 100.00% 406,793 0.00% -

/ KELAS 9

KASI PENGENDALIAN MEDIS 406,793 100.00% 406,793 0.00% -

/ KELAS 9

KASI ASUHAN KEPERAWATA 406,793 100.00% 406,793 0.00% -

/ KELAS 9

KASI ETIKA MUTU KEPERAW 406,793 100.00% 406,793 0.00% -

/ KELAS 9

KASUBBAG UMUM 406,793 100.00% 406,793 0.00% -

/ KELAS 9
KASUBBAG KEUANGAN 406,793 100.00% 406,793 0.00% -
/ KELAS 9

KASUBBAG PROGRAM 406,793 100.00% 406,793 0.00% -

KASI SARANA DAN PRASARANA 406,793 100.00% 406,793 0.00% -

/ KELAS 9

Dokter Spesialis Anak 406,793 100.00% 406,793 0.00% -

/ Kelas 9

Dokter Spesialis Mata 467,638 100.00% 467,638 0.00% -

/ Kelas 10

Dokter Spesialis Mata 467,638 100.00% 467,638 0.00% -

/ Kelas 10

Dokter Umum 467,638 100.00% 467,638 0.00% -

/ Kelas 10

Dokter Spesialis Anak 406,793 0.00% 406,793 0.00% -

/ Kelas 9

Dokter Spesialis THT-Kepala Leh 406,793 0.00% 406,793 0.00% -

/ Kelas 9

Dokter 467,638 0.00% 467,638 0.00% -

/ Kelas 10

Dokter Spesialis Bedah 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Dokter Spesialis Penyakit Dalam 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Apoteker Muda 406,793 0.00% 406,793 0.00% -

 0.00% 406,793 0.00% -
/ Kelas 9

Apoteker Muda 406,793 0.00% 406,793 0.00% -

/ Kelas 9

Dokter Pertama 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Dokter Pertama 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Dokter Pertama 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Dokter Pertama 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Dokter Pertama 325,434 0.00% 325,434 0.00% -

/ Kelas 9

Nutrisionis Muda 406,793 0.00% 406,793 0.00% -

/ Kelas 9

Perawat 406,793 100.00% 406,793 0.00% -

/ Kelas 9

Perawat Ahli Muda 100.00% - 0.00% -

/ Kelas 9

Bidan Muda 406,793 0.00% 406,793 0.00% -

/ Kelas 9

Perekam Medis Terampil 200,406 0.00% 200,406 0.00% -

Kelas 6

Perekam Medis Terampil 200,406 0.00% 200,406 0.00% -

Kelas 6
Perekam Medis Terampil 200,406 0.00% 200,406 0.00% -
Kelas 6

Radiografer Terampil 200,406 0.00% 200,406 0.00% -

Kelas 6

Radiografer Terampil 200,406 0.00% 200,406 0.00% -

Kelas 6

59,995,946 58,708,031 -

Pekanbaru, Novem
BENDAHARA PENG

NELFINA, A.M

NIP. 19761227 199

AWAI BERDASARKAN KONDISI KERJA
ARU PADA RSD MADANI
NBARU NOMOR 26 TAHUN 2020

Jumlah Uang
Jumlah
PPh 21 diterima
diterima
(Rp.)
Per Bulan
10 11 12 13
1,453,435 15% 218,015 1,235,420

695,372 5% 34,769 660,603

537,609 15% 80,641 456,968

537,609 5% 26,880 510,729

537,609 15% 80,641 456,968

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

406,793 15% 61,019 345,774

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

406,793 15% 61,019 345,774

406,793 15% 61,019 345,774

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

467,638 5% 23,382 444,256

467,638 5% 23,382 444,256

467,638 5% 23,382 444,256

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

467,638 5% 23,382 444,256

325,434 5% 16,272 309,162

325,434 5% 16,272 309,162

406,793 5% 20,340 386,453

406,793 20,340

406,793 5% 20,340 386,453

325,434 5% 16,272 309,162

325,434 5% 16,272 309,162

325,434 5% 16,272 309,162

325,434 5% 16,272 309,162

325,434 5% 16,272 309,162

406,793 5% 20,340 386,453

406,793 5% 20,340 386,453

- 5% - -

406,793 5% 20,340 386,453

200,406 - 200,406

200,406 - 200,406
 200,406 - 200,406

200,406 - 200,406

200,406 - 200,406

58,708,031 3,835,260 54,872,771

Pekanbaru, November 2021

BENDAHARA PENGELUARAN

NELFINA, A.Md.Kep.
Penata Muda / III.a
NIP. 19761227 199803 2 002
NO NAMA NIP

1 2

1 dr. DAVID OLOAN, MARS NIP. 196508012000031001

2 MAISEL FIDAYESI, S.Farm, Apt.,MM NIP.19790520 201102 2 001

3 dr. ANNISA INDRASARI NIP.197611142006042029

4 TOMMY SJAPUTRA, ST NIP. 197310172006041007

5 drg. ASRA HAVEN, MARS NIP.197111152006041002

6 FELCA ROSIANA, S.Farm, APT NIP.196909071996022001

7 dr. MARRY ROULI SIMANJUNTAK, S.Ked NIP.196909071996022001

8 dr. EVA YULIETA DELIANA NIP.197307192007012002

9 Ns. MULIA DESNI, S.Kep NIP.197412292005012006

10 MUHAMMAD ISNAINI, S. Kep NIP.198707132010011003

11 DEWI SUSANTI, SE, MM NIP.198210042008012014

12 BAMBANG RIFAI, SE NIP.196411111987111001

13 DIEN MEDIENA, S. Sos, M. Si NIP.197105071998032003

14 ANDIKO ASNAWI NIP.198109242015031003

161 DIKO PRATOWO RAHADIANTO, A.Md.Kep NIP. 198904212019031001

162 ISNA FITRIANI, A.Md.Kep NIP 199503252019032001

163 ROBI CAHYADI,A.Md.Ak NIP. 199602102019031001

164 RIYANITA ARHAMAH,A.Md.Kes NIP. 199701032019032002

165 ALETHEA ISFAHANIE,A.Md NIP. 199206192019032000

166 ANGGA AXIERY, A.Md.Kes NIP. 199201302019031001

167 TESHA ANGGRAENI,A.Md.RMIK NIP. 199212222019032003

168 DIAN PERMANA PUTRI,A.Md.P.K NIP. 199009012019032001

169 SUKMA AWALIA, A.Md.Rad NIP. 199309042019032001

170 MELLYKA SELVIRA YASA, A.Md.Rad NIP. 199309302019032001

JUMLAH

PENGGUNA ANGGARAN
Plt.KEPALA DINAS KESEHATAN
KOTA PEKANBARU

dr. ARNALDO EKA PUTRA, Sp.PD

Pembina / IV.a
NIP. 19761019 200604 1 009
 DAFTAR :

NO. REKENING BNI JABATAN /

NPWP
SMART KELAS JABATAN

3 5 4

0647928749 DIREKTUR /KELAS 14

69.120.787.3-211.000 0632188563 KABAG TU / KELAS 12

68.428.179.3-216.000 0632195343 KABID KEPERAWATAN/KELAS 11

68.411.806.0-211.000 0966841934 KABID NON MEDIS / KELAS 11

48.947.693.7-202.000 0792857279 KABID PELAYANAN MEDIS / KLS 11

72.981.830.2-216.000 0632196288 KASI REKAM MEDIS / KELAS 9

35.138.923.4-116.000 0632188450 KASI ETIKA MUTU YANMED / KLS 9

09.214.066.4-403.000 0649392251 KASI PENGENDALIAN MEDIS / KLS 9

87.533.855.0-204.000 0632196153 KASI ASUHAN KEPERAWATAN / KLS 9

15.604.605.4-212.000 0674813340 KASI ETIKA MUTU KEPERAWATAN/KLS

08.153.011.5-213.000 0632223383 KASUBBAG UMUM / KELAS 9

14.988.571.7-221.000 0902420908 KASUBBAG KEUANGAN / KELAS 9

14.965.019.4-331.000 0969485472 KASUBBAG PROGRAM / KELAS 9

14.645.032.5.216.000 0649901962 KASI SARANA DAN PRASARANA/KLS 9

74 906 667 6 216 000 0902782947 0

90 922 302 6 216 000 0901623750 0

85 451 399 1 216 000 0902165695 Pranata Laboratorium Pelaksana/Kls 6

90 542 391 9 201 000 0902384742 Sanitarian Pelaksana / Kelas 6

81 485 135 8 221 000 0902066740 Perekam Medis Terampil / Kelas 6

90 887 366 4 216 000 0902065099 Perekam Medis Terampil / Kelas 6

70 686 827 0 216 000 0806956493 Perekam Medis Terampil / Kelas 6

91 189 224 8 212 000 0902071636 Perekam Medis Terampil / Kelas 6

81 237 430 4 219 000 0902050322 Radiografer Terampil / Kelas 6

72 793 478 8 213 000 0902041908 Radiografer Terampil / Kelas 6

PEMBAYARAN TAMBAHAN PENGHASILAN PEGAWAI
DI LINGKUNGAN PEMERINTAH KOTA PEKANBARU PADA RSD MADANI
DINAS KESEHATAN
BERDASARKAN PERATURAN WALIKOTA PEKANBARU NOMOR TAHUN 2020
BULAN : OKTOBER 2020

Jumlah Uang
Kelangkaan Profesi
Jumlah Uang Jumlah Uang Prestasi Jumlah Uang Kondisi (Rp.)
Beban Kerja
(Rp.) Kerja (Rp.) Kerja (Rp.)

5 7 9 10

2,059,031 3,706,259 1,235,420 -

1,651,504 2,972,713 660,603 -

1,142,419 2,056,355 456,968

1,276,821 2,298,279 510,729 -

1,142,419 2,056,355 456,968 -

966,131 1,739,038 386,453 -

966,131 1,739,038 386,453 -

864,433 1,555,981 345,774 -

966,131 1,739,038 386,453 -

966,132 1,739,038 386,453 -

966,131 1,739,038 386,453 -

864,433 1,555,981 345,774 -

864,433 1,555,981 345,774

966,131 1,739,038 386,453 -

356,973 1,070,920 237,983

684,653 1,232,375 273,861

356,973 1,070,920 237,983

626,268 1,127,284 250,508

626,268 1,127,284 250,508

 626,268 1,127,284 250,508

626,268 1,127,284 250,508

626,268 1,127,284 250,508

626,268 1,127,284 250,508

356,972 1,070,920 237,983

133,214,872 244,908,876 54,872,771 30,597,790

Pekanbaru
BENDAHAR

NELFI

NIP. 1976
Pertimbangan Objektif
Lainnya (Rp.)
Jumlah Uang diterima
Jumlah Uang (Rp.) IWP 1% 2020 (Rp.)
(Rp.)

11 12 14 15

- 7,000,710 62,923 6,937,787

- 5,284,820 55,630 5,229,190

3,655,742 43,009 3,612,733

4,085,829 43,009 4,042,820

3,655,742 43,009 3,612,733

3,091,622 32,543 3,059,079

3,091,622 32,544 3,059,078

2,766,188 32,543 2,733,645

3,091,622 - 3,091,622

3,091,623 32,543 3,059,080

3,091,622 32,543 3,059,079

2,766,188 32,543 2,733,645

2,766,188 32,543 2,733,645

3,091,622 32,543 3,059,079

1,665,876 16,033 1,649,843

2,190,889 16,033 2,174,856

1,665,876 16,033 1,649,843

2,004,060 16,033 1,988,027

2,004,060 16,033 1,988,027

 2,004,060 16,032 1,988,028

2,004,060 16,033 1,988,027

2,004,060 16,033 1,988,027

2,004,060 16,033 1,988,027

1,665,875 15,666 1,650,209

285,579 463,879,888 4,866,098 459,013,790

Pekanbaru, November 2021

BENDAHARA PENGELUARAN

NELFINA, A.Md.Kep.
Penata Muda / III.a
NIP. 19761227 199803 2 002
 TANDA TANGAN

16

8
9

10

11

12

13

14

161

162

163

164

165
 166

167

168

169

170