RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR

Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019

Kode Rekening : 1.02.1.02.03.24.12.5.2.2.03.12
Jenis Jasa : Jasa Paramedis Ruang Rawat Anak

Jumlah Uang Rp 15,108,829

Persentase
Jumlah Variabel
Kehadiran
Perkalian
Per % Keha
for Be Be Total Pajak
Gol. Jum Je Be diran Jumlah Jasa Jumlah Jasa Jumlah Jasa Jumlah Kotor Jlh Diterima
No Nama NIP Ruang Jabatan Npwp Jum ma ban ban Posi Selu ruh 5% Tanda Tangan
lah nis
Persen Kete ban dan Pelayanan Pelayanan Langsung (Rp) (Rp)
lah
Hari
n Ker Ker tion
Tam Total Poin (Rp)
Ha (%) ce ja ja In Total
Ker naga ba
dir
ja an
In Uni Bere deks
han
Variabel
dek t siko
s

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

1 Eva Devi, Amd. Keb 19770107 200701 2 001 III/a Ka.Ruangan - 20 20 100% 40 30 30 0 50 0 150 150 29889 Rp 157,294,607 789,394 830,689 1,620,083 40,502 1,579,581 1

2 Marlina.S. Kep 19810901 201003 2 003 III/d Staf Ruang Anak 16.045.802.2-105.000 20 20 100% 45 20 30 0 25 0 120 120 29889 Rp 157,294,607 631,515 500,000 1,131,515 28,288 1,103,227 2

3 Fitriani. Amd. Keb 19811210 200801 2 003 III/c Staf Ruang Anak 16.186.826.0-105.000 20 20 100% 40 20 30 0 25 0 115 115 29889 Rp 157,294,607 605,202 500,000 1,105,202 27,630 1,077,572 3

4 Ns.Ika Sukmarita, S.Kep Staf Ruang Anak 20 20 100% 50 10 30 0 25 0 115 115 29889 Rp 157,294,607 605,202 500,000 1,105,202 - 1,105,202 4

5 Ns. Fitria Indriani, S.Kep Staf Ruang Anak - 12 20 60% 45 10 30 0 25 0 110 66 29889 Rp 157,294,607 347,333 300,000 647,333 - 647,333 5

6 Mistora, Amd. Keb 19780314 200801 2 002 III/a Staf Ruang Anak - 20 20 100% 40 20 30 0 25 0 115 115 29889 Rp 157,294,607 605,202 500,000 1,105,202 27,630 1,077,572 6

7 Dewi Maulida, Amd.Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 7

8 Masriza. Amd. Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 8

9 Winda Arnova. Amd. Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 9

10 Fazilah, Amd.Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 10

11 Nurazizah. Amd. Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 11

12 Ilma Fitri Rahmi, Amd. Keb - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 12

13 T. Amalia, S.Kep - - Staf Ruang Anak - 20 20 100% 40 5 30 0 25 0 100 100 29889 Rp 157,294,607 526,263 500,000 1,026,263 - 1,026,263 13

14 Linda Rahmayanti, Amd. Kep - - Staf Ruang Anak - 20 20 100% 40 10 30 0 25 0 105 105 29889 Rp 157,294,607 552,576 500,000 1,052,576 - 1,052,576 14

Jumlah …………………………………. 1516 7,978,140 7,130,689 15,108,829 124,050 14,984,779

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 Setuju dibayar : NIP. 19790508 200312 2 002
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR
Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019
Kode Rekening : 1.02.1.02.03.24.12.5.2.2.03.12
Jenis Jasa : Jasa Paramedis Poli Kir
Jumlah Uang Rp 1,786,567

Persentase
Jumlah Variabel
Kehadiran Perkalian
%
Per Be Keha Total Pajak
Gol. Je Be Be Jumlah Jasa Jumlah Jasa Jumlah Jasa Jumlah Kotor Jlh Diterima
No Nama NIP Ruang Jabatan Npwp Jum for ban Posi diran Selu 5% Tanda Tangan
Jum
Persen nis ban ban Pelayanan Pelayanan Langsung (Rp) (Rp)
lah Ha
lah
Kete
man
Ker
Ker tion
Tam Total dan ruh Poin (Rp)
dir
Hari (%) naga
ce
ja
ja In
ba Total
Ker ja In Bere deks
an
deks
Unit
siko
han Variabel

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

1 Muhammad Yasir, Amd.Kep Koordinator Poli Kir 20 20 100% 40 30 10 0 30 0 110 110 29889 Rp 157,294,607 578,889 Rp 440,425 1,019,314 - 1,019,314 1

2 Indah Mahzumi, Amd. Kep - Staf Poli Kir - 20 20 100% 40 20 10 0 20 0 90 90 29889 Rp 157,294,607 473,636 Rp 293,617 767,253 - 767,253 2

Jumlah …………………………………. 200 1,052,525 734,042 1,786,567 - 1,786,567

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 Setuju dibayar : NIP. 19790508 200312 2 002
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR
Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019

Kode Rekening : 1.02.1.02.03.24.12.5.2.2.03.12

Jenis Jasa : Jasa Paramedis KZ

Jumlah Uang Rp 14,104,489

Persentase
Jumlah Variabel
Kehadiran Perkalian
%
Total
Be Keha Pajak
Gol. Jum Per for Be Be Selu Jumlah Jasa Jumlah Jasa Jumlah Jasa Jumlah Kotor Jlh Diterima
No Nama NIP Jabatan Npwp Jum Je ban Posi diran 5% Tanda Tangan
Ruang lah
Persen nis man ban ban ruh Pelayanan Pelayanan Langsung (Rp) (Rp)
lah
Hari ce Ker
Ker tion
Tam Total dan (Rp)
Ha (%) Keten ja In Poin
Ker In ja ba Total
dir agaan Bere deks
ja deks Unit
siko
han Variabel

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

1 Ruhana Am. Keb 19821106 200904 2 006 III/b Staf KZ 16.186.604.1-105.000 30 20 150% 40 30 40 0 50 50 210 315 29889 157,294,607 1,657,727 958,595 2,616,322 65,408 2,550,914 1

2 Suri Andriansyah. Am. Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 434,910 1,092,738 - 1,092,738 2

3 Raudhatul Jannah, Amd.Keb - - Staf KZ - 10 20 50% 40 20 40 0 25 0 125 63 29889 157,294,607 328,914 159,480 488,394 - 488,394 3

4 Rusdayanti, Amd.Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 434,910 1,092,738 - 1,092,738 4

5 Mahdalena, Amd.Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 434,910 1,092,738 - 1,092,738 5

6 Mahmutia. Amd. Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 334,910 992,738 - 992,738 6

7 Novia Astriana. Amd. Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 434,910 1,092,738 - 1,092,738 7

8 Eviyana, Amd.Keb - - Staf KZ - 17 20 85% 40 20 40 0 25 0 125 106 29889 157,294,607 559,154 271,116 830,270 - 830,270 8

9 Nurafni Zahara, Amd.Keb - - Staf KZ - 20 20 100% 40 10 40 0 25 0 115 115 29889 157,294,607 605,202 334,910 940,112 - 940,112 9

10 Nurmalawati, Amd.Keb - - Staf KZ - 20 20 100% 40 10 40 0 25 0 115 115 29889 157,294,607 605,202 334,910 940,112 - 940,112 10

11 Mira Afrina, Amd.Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 334,910 992,738 - 992,738 11

12 Ismayani, Amd. Keb - - Staf KZ - 20 20 100% 40 20 40 0 25 0 125 125 29889 157,294,607 657,828 334,910 992,738 - 992,738 12

13 Zarwani, Amd. Keb - - Staf KZ - 20 20 100% 40 10 40 0 25 0 115 115 29889 157,294,607 605,202 334,910 940,112 - 940,112 13

Jumlah …………………………………. 1704 8,966,198 5,138,291 14,104,489 65,408 14,039,081

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 Setuju dibayar : NIP. 19790508 200312 2 002
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR
Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019
Kode Rekening : 1.02.1.02.03.24.12.5.2.2.03.12
Jenis Jasa : Jasa Paramedis IGD
Jumlah Uang Rp 21,401,277

Persentase
Jumlah Variabel
Kehadiran Perkalian
%
Total
Keha Pajak
Gol. Per for Be Be Selu Jumlah Jasa Jumlah Jasa Jumlah Jasa Jumlah Kotor Jlh Diterima
No Nama NIP Jabatan Npwp Jum Jum Je Posi diran 5% Tanda Tangan
Ruang
Persen man ban ban Be ban ruh Pelayanan Pelayanan Langsung (Rp) (Rp)
lah lah nis
ce Ker Ker ja
tion
Tam Total dan (Rp)
Ha Hari (%) Keten In Poin
In ja Bere ba han Total
dir Ker ja agaan deks
deks Unit siko Variabel

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
1 Tisara, AMK 19820212 200801 2 003 III/b Ka.UGD 89.859.833.9-105.000 28 20 140% 40 30 60 0 50 0 180 252 29889 157,294,607 1,326,182 1,049,839 2,376,021 59,401 2,316,620 1

2 Fitriana - - Perawat IGD - 5 20 25% 25 10 60 0 15 0 110 28 29889 157,294,607 144,722 105,505 250,227 - 250,227 2

3 Ns. Mutia Rahmah S. Kep - - Perawat IGD - 21 20 105% 50 20 60 0 25 0 155 163 29889 157,294,607 856,492 481,540 1,338,032 - 1,338,032 3

4 Lina Mailiza. str, Keb - - Perawat IGD - 19 20 95% 45 20 60 0 15 0 140 133 29889 157,294,607 699,929 413,130 1,113,059 - 1,113,059 4

5 Wahyuni, Amd. Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 5

6 Ridwan, Amd.Kep - - Perawat IGD - 10 20 50% 40 20 60 0 25 0 145 73 29889 157,294,607 381,540 221,565 603,105 - 603,105 6

7 Marliah, Amd.Kep - - Perawat IGD - 10 20 50% 40 10 60 0 15 0 125 63 29889 157,294,607 328,914 221,565 550,479 - 550,479 7

8 Nurhayati. Amd, Keb - - Perawat IGD - 19 20 95% 40 10 60 0 15 0 125 119 29889 157,294,607 624,937 413,130 1,038,067 - 1,038,067 8

9 Muzammir, Amd. Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 9

10 Miswar,Amd.Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 10

11 Eri Suhendra,Amd.Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 11

12 Faisal Rizal, AMK - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 12

13 Vara Riana, Amd. Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 13

14 Rozalia, Amd. Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 14

15 Ns. Isma Maulida, S.Kep - - Perawat IGD - 21 20 105% 50 20 60 0 25 0 155 163 29889 157,294,607 856,492 481,540 1,338,032 - 1,338,032 15

16 Armahdi, Amd. Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 481,540 1,282,775 - 1,282,775 16

17 Tia Rahmika, Am.Kep - - Perawat IGD - 21 20 105% 40 20 60 0 25 0 145 152 29889 157,294,607 801,235 543,130 1,344,365 1,344,365 17

18 Cut Mutmainnah, Amd. Kep - - Perawat IGD - 18 20 90% 40 20 60 0 25 0 145 131 29889 157,294,607 686,773 500,919 1,187,692 - 1,187,692 18

Jumlah …………………………………. 2493 13,117,094 8,284,183 21,401,277 59,401 21,341,876

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 Setuju dibayar : NIP. 19790508 200312 2 002
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR
Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019
Kode Rekening : 1.02.1.02.03.01.24.12.5.2.2.03.12
Jenis Jasa : Pendorong pasien
Jumlah Uang Rp 2,097,261

Gol. Jumlah Kotor Pajak 15 % Jlh Diterima

No Nama NIP Jabatan NPWP Tanda Tangan
Ruang (Rp) (Rp) (Rp)

1 2 3 4 5 6 7 8 9 10

1 Samsul - - Pendorong Pasien - 419,452 - 419,452 1

2 Ridwan Panjaitan - - Pendorong Pasien - 419,452 - 419,452 2

3 Safwatul Aina Pendorong Pasien 419,452 419,452 3

4 Junaida Pendorong Pasien 419,452 419,452 4

5 Zulfikri - - Pendorong Pasien - 419,452 - 419,452 5

Jumlah …………………………………. 2,097,261 - 2,097,261

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 NIP. 19790508 200312 2 002
Setuju dibayar :
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 RSUD SULTAN ABDUL AZIZ SYAH PEUREULAK KABUPATEN ACEH TIMUR
Daftar : PEMBAGIAN JASA PELAYANAN JKN UNTUK BULAN DESEMBER 2019

Kode Rekening : 1.02.1.02.03.24.12.5.2.2.03.12

Jenis Jasa : Jasa Paramedis Ruang Kelas I

Jumlah Uang Rp 14,336,581

Persentase
Jumlah Variabel
Kehadiran Perkalian
%
Be Keha Total
Gol. Per for Be Jumlah Jasa Jumlah Jasa Jumlah Jasa Jumlah Kotor Pajak 5 Jlh Diterima
No Nama NIP Ruang Jabatan Npwp Jum
Jum
Jenis man
Be ban Posi
ban diran Seluruh Tanda Tangan
lah Persen ban Ker tion Pelayanan Pelayanan Langsung (Rp) % (Rp) (Rp)
lah Ha
Hari (%)
Keten ce
Ker ja In
Tam Total dan Poin
dir
Ker ja
agaan In
ja Unit Bere deks
ba Total
deks han Variabel
siko

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
1 Mawaddah, AM.Keb 19740717 200801 2 001 III/b Ka. Ruang Sultan 25 20 125% 40 30 50 0 50 10 180 225 29889 Rp 157,294,607 1,184,091 910,817 2,094,908 52,373 2,042,535 1

2 Ns. Juli Astuti, S.Kep 19810717 200102 2 001 III/c Ka. Ruang Sultan 911,427,896,108,000 23 20 115% 50 20 50 0 30 0 150 173 29889 Rp 157,294,607 907,803 504,000 1,411,803 35,295 1,376,508 2

3 Ns. Fani Adi Riska, S.Kep 19910719 201903 1 003 III/a Ka. Ruang Sultan - 11 20 55% 50 20 50 0 30 0 150 83 29889 Rp 157,294,607 434,167 245,000 679,167 16,979 662,187 3

4 Muhammad Effendi, Amd.Kep - - Ka. Ruang Sultan - 22 20 110% 40 20 50 0 25 0 135 149 29889 Rp 157,294,607 781,500 454,000 1,235,500 1,235,500 4

5 Ns. Herdiana, S.Kep - - Ka. Ruang Sultan - 22 20 110% 50 20 50 0 25 0 145 160 29889 Rp 157,294,607 839,389 454,000 1,293,389 1,293,389 5

6 Ns. Dedek Irawati, S.Kep - - Ka. Ruang Sultan - 22 20 110% 50 20 50 0 25 0 145 160 29889 Rp 157,294,607 839,389 454,000 1,293,389 1,293,389 6

7 Ns. Fitria Indriani, S.Kep Ka. Ruang Sultan - 8 20 40% 45 10 30 0 25 0 110 44 29889 Rp 157,294,607 231,556 141,600 373,156 - 373,156 5

8 Yurisna, AMK - - Ka. Ruang Sultan - 8 20 40% 40 20 50 0 25 0 135 54 29889 Rp 157,294,607 284,182 141,600 425,782 425,782 4

9 Nova Maulida S.Kep - - Ka. Ruang Sultan - 23 20 115% 45 20 50 0 15 0 130 150 29889 Rp 157,294,607 786,762 504,000 1,290,762 1,290,762 7

10 Nurkamara, Amd.Kep - - Ka. Ruang Sultan - 22 20 110% 40 20 50 0 25 0 135 149 29889 Rp 157,294,607 781,500 454,000 1,235,500 1,235,500 8

11 Sri Wahyuni, Amd.Kep - - Ka. Ruang Sultan - 5 20 25% 40 20 50 0 25 0 135 34 29889 Rp 157,294,607 177,614 88,500 266,114 266,114 9

12 Ulul Azmi Amd.Kep - - Ka. Ruang Sultan - 22 20 110% 40 20 50 0 25 0 135 149 29889 Rp 157,294,607 781,500 454,000 1,235,500 1,235,500 10

13 Suandi,Amd.Kep - - Ka. Ruang Sultan - 22 20 110% 40 20 50 0 25 0 135 149 29889 Rp 157,294,607 781,500 454,000 1,235,500 1,235,500 11

14 Ismaturrahmi, Amd.Kep - - Ka. Ruang Sultan - 5 20 25% 40 20 50 0 25 0 135 34 29889 Rp 157,294,607 177,614 88,500 266,114 266,114 12

1708 8,988,564 5,348,017 14,336,581 104,647 14,231,934

Mengetahui, Peureulak, April 2020

Pejabat Pelaksana Teknis Kegiatan Bendahara Pengeluaran
( PPTK)

Armiadi, S.KL Rosmaida,AM.Keb

Nip. 19740312 200504 1 001 Setuju dibayar : NIP. 19790508 200312 2 002
Direktur RSUD SAAS Peureulak

dr. Dharma Widya

Nip. 19790106 200604 1 004
 POSTING JKN NOVEMBER 2019
No Nama NO REKENING POSTING

1 2 3 4
1 Rafiah, S. Kep 04302035902374 1,956,112
2 Asliyah, Amd.Kep 04302035908832 1,102,838
3 Mariani, S.Kep 04302036300345 479,463
4 Nurafni, Amd.Kep 04302036407486 1,363,203
5 Marliah,Amd.Kep 04302410130410 1,131,116
6 Murtina, S.Kep 04302036504303 1,045,412
7 Nurhayati, Amd. Kep 04302036203959 1,131,116
8 Suryani. Amd. Kep 04302036504455 1,131,116
9 Afridayani, Amd. Kep 04302036503531 1,284,999
10 Azhar, AMK 04302030096112 876,473
11 Fikarruddin,S.Kep 04302036504893 757,928
12 Nurlita. Sst 04302035902404 2,227,966
13 Ina Mora. Amd.keb 04302036504740 1,303,254
14 Yurisna. AMK 04302036601061 1,359,663
15 Maimun, Amd.Kep 04302036503590 1,359,662
16 Zulakli Akbar, Amd.Kep 04302036601001 1,359,662
17 Bukhari, Amd. Kep 04302410123690 1,359,662
18 Amri, Amd.Kep 04302036408478 1,359,662
19 Cut Fajriani, Amd.Kep 04302036601761 1,359,662
20 Chusyairi, Amd.Kep 04302036503566 1,359,662
21 Angga Maulana, Amd.Kep 04302036506579 1,359,662
22 Zulfahmi, Amd.Kep 04302036504017 1,359,662
23 Munar, Amd.Kep 04302036503554 1,359,662
24 Ilham Purnama, Amd.Kep 04302036504133 1,359,662
25 Rauzah, Amd.Kep 04302036503645 1,359,662
26 M. Rodwan, Amd.Kep 04302036503669 1,359,662
27 Irmayani, STr.Kep 04302410125672 1,387,866
28 Ruhana Am. Keb 04202036420863 2,082,443
29 Suri Andriansyah. Am. Keb 04302036011074 1,195,439
30 Raudhatul Jannah, Amd.Keb 04302036504511 1,095,439
31 Rusdayanti, Amd.Keb 04302036600419 1,195,439
32 Mahdalena, Amd.Keb 04302036503499 1,195,439
33 Mahmutia. Amd. Keb 04202026600364 1,095,439
34 Novia Astriana. Amd. Keb 04302036504029 1,269,796
35 Eviyana. Amd Keb 04302036503426 678,117
36 Nur Afni Zahara, Amd. Keb 04302410125602 1,039,032
37 Nurmalawati, Amd.keb 53102410005190 1,039,032
38 Ismayani, Amd. Keb 04302400109571 1,095,439
39 Zarwani, Amd. Keb 04302400108031 1,039,032
40 Mariani, SKM 04302036502227 1,339,074
41 Faranita, S. Kep 04302036600912 980,700
42 Rita Mala. Amd.RO 04302400131864 1,008,904
43 Zulfikar,ST 04302036506521 2,458,160
44 Lian Derisa,Amd.Kep 04302036600901 1,570,836
45 Saifullah, AMK 04202400190100 1,570,836
46 Nasruddin 04202036205599 1,570,836
47 Rosmawar, S.Kep 04302035804430 2,319,853
48 Risnawati, S. Kep 04302030094425 1,567,356
49 Ns.Desi Andriani,S.Kep 04302036601084 2,034,555
50 Ns. Febbi Fadilla D,S. Kep 04302200018314 1,275,274
51 M.Iqbal.Amd.Kep 04302036010411 1,291,403
52 Ismuhadi.Amd.Kep 04302036505231 1,354,979
53 Muhammad.Amd.Kep 04302036302184 1,224,251
54 Bustami.Amd.Kep 04302035805291 1,291,403
55 Irmayani, Amd.Kep 04302036503724 1,220,676
56 Rahmatul Latifah. Amd. Keb 04302036503751 1,299,856
57 Yusrawati, Amd.Kep 04302036407498 1,321,403
58 Azhari, Amd.Kep 04302410130491 1,354,979
59 Fakhrur Razi, Amd. Kep 04302036601254 1,354,979
60 Nuraini, AMK 04302036305057 2,489,619
61 Rosnaliza, S. Kep 04302036502239 1,755,735
62 Jumiati, S.Kep 04302036504731 1,542,024
63 Nurhayati, Amd. Kep 04302200012386 1,441,296
64 Mustafa, Amd.Kep 04202036304875 1,441,296
65 Eva Rosdiana, Amd. Kep 04302410124014 1,441,296
66 Maulina Dewi, Amd.Kep 04002200013814 1,414,297
67 Deli, AMK 04302036301404 1,206,015
68 Irwan Syaputra S. Kep 04302410123340 1,542,024
69 Ns. Ika Sukmarita, S. Kep 04302036503271 570,553
70 Sabrina, Amd.Kep 04302400131746 1,372,663
71 Zahara, Amd. Kep 04302036600973 1,531,528
72 Nisa Lestari. Amd. Keb 04302036503888 1,157,224
73 Wahyuni. Amd. Keb 04302036504910 1,157,224
74 Agus Mahadi. Amd. Kep 04302036504674 1,372,663
75 Tia Amrita.Amd.Kep 04302410130480 1,468,295
76 Asnawiyah, Amd.Kep 04302036008762 1,512,477
77 Hendra Saputra, Amd.Kep 04202410157105 1,372,663
78 Darmiani, Amd. Kep 04302410122021 960,864
79 Ns.Dody Prabowo, S. Kep 52202400010401 1,497,703
80 Dewi Sartika. Amk 04302035710023 1,527,699
81 Evi Suriani, S. Kep 04302410130395 1,125,327
82 Liana. Amd.Keb 04302036503797 912,435
83 Nurmalia.Amd. Keb 04302400133496 892,527
84 Salamah. Amd. Keb 04302036600778 892,527
85 Rika Afridayanti, Amd. Keb 04302036504492 892,527
86 Nurlaili, Amd. Keb 04302036601035 892,527
87 Cinthia Bella, Amd. Kep 04302036602300 614,602
88 Evi Yanti, Amd. Keb 04302036504791 892,527
89 Rosmayanti, Amd. Keb 04302036601096 892,527
90 Raudhatul Jannah, Amd. Keb 04302410123583 914,324
91 Sudarmini, Amd, Keb 04302410123421 864,324
92 Rafiah, Amd. Keb 04302035702749 819,518
93 Irma Wahyuni, Str. Keb 04302035711295 964,692
94 Nurhafifah 04202036603349 992,191
95 Fina Rahmi. Amd. Keb 04302036503384 904,817
96 Eva Devi, Amd. Keb 04302035902362 1,702,468
97 Marlina.S. Kep 04302036101063 1,176,006
98 Fitriani. Amd. Keb 04302035908959 1,148,507
99 Ns. Ika Sukmarita, S. Kep 04302036503271 724,567
100 Fitria Indriani. S. Kep 04302410119512 1,149,752
101 Mistora, Amd. Keb 04302035908910 1,148,507
102 Dewi Maulida, Amd.Keb 04302036601023 1,121,548
103 Masriza. Amd. Keb 04302036503827 1,121,548
104 Winda Arnova. Amd. Keb 04302036504923 1,121,548
105 Fazilah, Amd.Keb 04302036600936 1,121,548
106 Nurazizah. Amd. Keb 04302036600997 1,121,548
107 Ilma Fitri Rahmi, Amd. Keb 04302410120105 1,121,548
108 T. Amalia, S.Kep 04302200018443 1,093,345
109 Linda Rahmayanti, Amd. Kep 04302036505083 1,121,548
110 Tisara, AMK 04302035705659 2,408,130
111 Fitriana 04302035904917 931,831
112 Ns. Mutia Rahmah S. Kep 04302410121914 1,425,388
113 Wahyuni, Amd. Kep 04302036503441 1,405,242
114 Ridwan, Amd.Kep 04302036503921 1,405,242
115 Nurhayati,Amd.Keb 04302036503876 1,128,117
116 Muzamir, Amd. Kep 04302410121284 1,405,242
117 Miswar,Amd.Kep 04302036503701 1,405,242
118 Eri Suhendra,Amd.Kep 04302036503581 1,405,242
119 Faisal Rizal, AMK 04302036601497 1,405,242
120 Vara Riana, Amd. Kep 04302410123126 1,366,294
121 Rozalia, Amd. Kep 04302200009704 1,366,294
122 NS. Isma Maulida, S.Kep 04302200009763 1,425,388
123 Armahdi, Amd. Kep 52202410000257 1,366,294
124 Tiya Rahmika, Amd.Kep 04302410121295 1,466,294
125 Cut Mutmainnah, Amd. Kep 04302036408490 1,505,242
126 Adnan, AMK 04302036504972 1,535,276
127 Faisal, AMK 04302410129430 924,967
128 Meli Oktaviani, S.Kep 04302036504273 1,073,465
129 Rika Fitriani. Amd. Kep 04302036503608 868,557
130 Nurlaili,Amk 04302035908935 1,279,716
131 Lidia Agustina 04302036602805 887,326
132 Annisa Nova, S.ST 04302410121041 797,262
133 Rahmat Rizal, Amd. Kep 04302036503943 910,077
134 Ns. Evita, S.Kep 04302410124364 3,006,524
135 Yulianti, Amd.Kep 04302036409094 1,834,092
136 Latifurahmi. Amd,Keb 04302036504285 1,247,016
137 Agus Juanda, Amd. Kep 04302036504005 1,708,448
138 Cut Ramadhani, Amd.Kep 52202410001519 1,479,069
139 Masran Adami, AMD.Kep 04302036504777 1,234,196
140 Nurrahmadiana, AMK 04302036503981 1,373,647
141 Zulfan Hardiansyah. Amd. Kep 04302400132251 1,481,209
142 Faisal. Amd. Kep 04302036602544 1,285,232
143 Siti Aisyah, Amd.Kep 04302410127853 1,481,209
144 Nikmah Ridhati,Amd.Keb 04302036503542 1,247,016
145 Zulkarnain Amd.Kep 04302036601163 1,217,589
146 Yeni Oktavia Amd.Kep 04302200013996 1,481,209
147 Siti Supra Amd.Kep 04302036507353 1,481,209
148 Ns.Nurjannah S.Kep 04402200001824 1,610,837
149 Fajar Wahyuni Amd. Kep 04302208063495 1,551,743
150 Bahagia Nurhayati, Amd. Kep 04302036505137 1,708,448
151 Mariati Amd.Kep 04302036504686 1,551,743
152 Muhammad Rizki, Amd. Kep 51802200004903 1,481,209
153 Hariani, Amd. Kep 04302035906318 1,184,490
154 Dewi Ratna. Str.Kep 04302036504194 865,775
155 Ns. Arbaiyah, S. Kep 04302036010151 950,387
156 Cut Meurah Hadiah. S. Kep 04302036502020 1,970,616
157 Ani Rofita. Amk 04302036505332 1,096,932
158 Badriah Ulul Laifah, Amd.Kep 04302036503128 1,117,473
159 Yuammar, Amd.Kep 04302036507456 1,171,668
160 Ikhwani Saufa, Amd.Keb 04302036507391 1,174,354
161 Marlinda 04302410119862 1,272,396
162 Ratna Mutia, Amd.kep 04302036503487 1,117,473
163 Andi Jospian, Amd. Kep 04302036203558 1,029,703
164 Juliana, Amd. Kep 04302410119136 1,171,668
165 Usman Akbar. Amd. Kep 04302410118731 1,205,244
166 Saryulis, Amd Kep 70002200018073 541,948
167 Nurfadillah 04302200000184 1,171,668
168 Ns. Muhammad Fahzil, S.Kep 01002036214617 1,137,619
169 Muslim, Amd.Kep 04002200020350 1,205,244
170 Muhammad AB, Amd. Kep 04302410130185 650,338
171 Ns. Nurul Khamsiah, S. Kep 04302410123476 1,230,762
172 Ns. Saniah, S. Kep 04302400110374 1,303,286
173 Ernawati, Amd. Keb 04302035908984 1,716,709
174 Yusnidar. Amd. Keb 04302036507331 963,253
175 Rahmayana. Amd. Keb 04302036304752 952,920
176 Nurul A'la, Amd. Keb 04302410122323 932,920
177 Nasriani. Amd. Keb 04302036504807 952,920
178 Eka Liana. Amd. Keb 04302036504108 952,920
179 Nurlailan Nahar. Amd. Keb 04302036503505 1,153,793
180 Rahma Idris. Amd. Keb 04302036601072 952,920
181 Eka Rahayu Amd.Keb 04302036505070 963,253
182 Mutia Sa'dah. Amd. Keb 04302036504821 932,920
183 Ayu Zulfiani, Amd. Keb 04302410121321 932,920
184 Novita, S. Tr. Keb 04302400110260 932,920
185 Lismaini, Amd. Keb 04302410123480 932,920
186 Annisa Fitri Amd.Keb 04302036602477 932,920
187 Noviana Amd.Keb 04302036503864 932,920
188 Nur Azizah, Amd. Keb 04302410125720 932,920
189 Munidar, S. Kep 04302035902696 1,420,358
190 Eka Marlinsyah. Amd. Kep 04302410130432 999,186
191 Ns.Dora Hastura, S.Kep 70002200056913 850,524
192 Dora Andrianur, Amd. Keb 04302036503760 907,749
193 Yusra Ramadhani. Amd. Keb 04302036503694 907,749
194 Siti Rahmi, Amd.Keb 04302036600353 907,749
195 Dian Mahzumi. S.Kep 04302036503773 935,713
196 Ns. Erny Mauridha, S. Kep 04302030025023 1,048,528
197 Nur Akmal, Amd. Kep 04302410121435 907,749
198 Sulasmiati. Amd. Keb 04302400107036 907,749
199 Sri Wahyuni, Amd. Kep 04302036301027 907,749
200 Nuraini, Amd. Kep 04302200000464 907,749
201 Samsul 04302410123045 445,544
202 Ridwan Panjaitan 04302410122883 445,544
203 Zulfikri 04302410122043 445,544
204 Safwatul Aina 04302400132284 445,544
205 Junaida 04302400132424 445,544
206 Yusnidar. Am. Keb 04002035704860 2,126,952
207 Mahfuzah. Amd. Keb 04302036203649 1,085,201
208 Sri Wahyuni. Amd. Keb 04302036505401 1,085,201
209 Eviyana. Amd Keb 04302036503426 423,311
210 Nurdiah, Am. Keb 04302036504935 1,085,201
211 Ermaya Agustina, Amd.Keb 04302036601231 1,085,201
212 Widia Safitri, S.Tr.Keb 04302036504819 695,346
213 Lidya Zahara, Amd. Keb 04302036504789 1,085,201
214 Muhammad Yasier, AMK 04302036504224 1,110,482
215 Indah Mahzumi, Amd.Kep 04302036407322 797,369
216 Mawaddah, AM.Keb 04302036600237 1,862,845
217 Ns. Juli Astuti, S.Kep 04302030034516 1,409,969
218 Ns. Fani Adi Riska, S.Kep 04202410185131 1,409,969
219 Muhammad Effendi, Amd.Kep 04302200000066 2,223,782
220 Ns. Herdiana, S. Kep 04302410121306 1,167,908
221 Ns. Dedek Irawati, S.Kep 04302200013974 1,167,908
222 Nova Maulida,S.Kep 04302036507274 1,083,297
223 Nurkamara. Amd. Kep 04302036600365 1,111,501
224 Sriwahyuni Amd.Kep 04302410122592 1,111,501
225 Ulul Azmi Amd.Kep 03302036500353 1,111,501
226 Suandi,Amd.Kep 04302400132041 1,111,501
227 Ismaturrahmi, Amd.Kep 04302400124956 1,111,501
228 Rosmayanti 04302036601096 836,815
229 Rosmaida, Am.Keb 04302036402427 665,010
230 Hariani, Amd. Kep 04302035906318 52,630
231 DANA SOSIAL RSUD SAAS PEUREULAK 04302400133813 12,100,000
JUMLAH 290,674,888

Peureulak, 04 MARET 2020

Bendahara Pengeluaran
RSUD SAAS Peureulak

Rosmaida. AM. Keb

NIP.19790508 200312 2 002
DAN SOSIAL JUMLAH BERSIH

5 6
10,000 1,946,112
10,000 1,092,838
10,000 469,463
10,000 1,353,203
10,000 1,121,116
10,000 1,035,412
10,000 1,121,116
10,000 1,121,116
10,000 1,274,999
10,000 866,473
10,000 747,928
2,227,966
1,303,254
1,359,663
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,359,662
1,387,866 Ernawati, Amd. Keb
2,082,443
10,000 1,185,439
1,095,439
1,195,439
10,000 1,185,439
10,000 1,085,439
1,269,796
678,117
1,039,032
1,039,032
10,000 1,085,439
 1,039,032
10,000 1,329,074
10,000 970,700
10,000 998,904
10,000 2,448,160
1,570,836
1,570,836
1,570,836
2,319,853
1,567,356
2,034,555
1,275,274 Rp 66,380,939
1,291,403
1,354,979
1,224,251
1,291,403
1,220,676
1,299,856
1,321,403
1,354,979
1,354,979
10,000 2,479,619
10,000 1,745,735
1,542,024
10,000 1,431,296
10,000 1,431,296
1,441,296
10,000 1,404,297
1,206,015
10,000 1,532,024
570,553
1,372,663
10,000 1,521,528
10,000 1,147,224
10,000 1,147,224
665,010 707,653
10,000 1,458,295
10,000 1,502,477
1,372,663
960,864
1,497,703
10,000 1,517,699
10,000 1,115,327
10,000 902,435
10,000 882,527
10,000 882,527
10,000 882,527
10,000 882,527
10,000 604,602
10,000 882,527
10,000 882,527
10,000 904,324
10,000 854,324
819,518
964,692
992,191
904,817
10,000 1,692,468
10,000 1,166,006
10,000 1,138,507
10,000 714,567
10,000 1,139,752 Rp 59,912,769
10,000 1,138,507
1,121,548
10,000 1,111,548
10,000 1,111,548
10,000 1,111,548
10,000 1,111,548
10,000 1,111,548
10,000 1,083,345
10,000 1,111,548
10,000 2,398,130 Lina Mailiza. str, Keb
10,000 921,831
10,000 1,415,388
10,000 1,395,242
10,000 1,395,242
10,000 1,118,117
10,000 1,395,242
10,000 1,395,242
10,000 1,395,242
10,000 1,395,242
10,000 1,356,294
10,000 1,356,294
10,000 1,415,388
10,000 1,356,294
10,000 1,456,294
10,000 1,495,242
10,000 1,525,276
10,000 914,967
10,000 1,063,465
10,000 858,557
10,000 1,269,716
10,000 877,326
10,000 787,262
10,000 900,077
10,000 2,996,524
1,834,092
1,247,016
1,708,448
1,479,069
1,234,196 SUDAH posting
1,373,647
1,481,209
1,285,232 Irfan Alga, Amd.Kep
1,481,209
1,247,016
1,217,589
1,481,209
1,481,209
1,610,837
1,551,743
1,708,448 Rp 67,288,751
1,551,743
1,481,209
10,000 1,174,490
10,000 855,775
10,000 940,387
10,000 1,960,616
10,000 1,086,932
10,000 1,107,473
10,000 1,161,668
10,000 1,164,354
10,000 1,262,396
10,000 1,107,473
1,029,703
10,000 1,161,668
10,000 1,195,244
10,000 531,948
10,000 1,161,668
 1,137,619
1,205,244
650,338
10,000 1,220,762
10,000 1,293,286 Hasniati, Amd. Keb
10,000 1,706,709
963,253
10,000 942,920
10,000 922,920
10,000 942,920
952,920
1,153,793
952,920
963,253
932,920
932,920
10,000 922,920
10,000 922,920
10,000 922,920
10,000 922,920
10,000 922,920
10,000 1,410,358
10,000 989,186
10,000 840,524
10,000 897,749
10,000 897,749
10,000 897,749
10,000 925,713
10,000 1,038,528
10,000 897,749
10,000 897,749
10,000 897,749
10,000 897,749 Rp 52,912,596
445,544
445,544
445,544
445,544
445,544
10,000 2,116,952
10,000 1,075,201
10,000 1,075,201
423,311
10,000 1,075,201
 10,000 1,075,201
10,000 685,346
10,000 1,075,201
10,000 1,100,482
10,000 787,369
10,000 1,852,845
10,000 1,399,969
10,000 1,399,969
2,223,782
10,000 1,157,908
10,000 1,157,908
10,000 1,073,297
10,000 1,101,501
10,000 1,101,501
10,000 1,101,501
1,111,501
10,000 1,101,501
30,000 806,815
665,010
52,630
12,100,000 42,124,823
2,055,010 288,619,878 288,619,878 -
Fauziah, S.Kep 04302036600948 - 30,000 CUTI

04302035908984 10,000 (10,000)

Mislahati, Amd.Kep 043020365 - cuti
04302036601096 rosmayanti
Rosmayanti, Amd. Keb 04302036601096 30,000 (30,000) cuti

Julianti, Amd. Keb 04302036504880 cuti

Dewi Maulida, Amd.Keb cuti

04302036602465 - 10,000 (10,000)

 Fahrul Razi. Amd. K 04302036504901

Cut Rahma, Amd.Kep 901,298 rpdw

04302036600845
04302035908961 10,000 (10,000)
04302036601096 rosmayanti
Cut Ramadhani, Amd.Kep 52202410001519