pce . oboon/Ten swe NPwP 2 orng os sonmo.o1i9s220812 KWITANSI Sudah terima dan: Bendahara Umum Deerah Kabupaten Karangasem Terbilang : = Dua ratus sembilan puluh dua juta lima ratus due puluh lima ribu rupiah = Untuk Keperiian _: Pembayaran Belanja asa Tena Kerja tenaga di Dinas Kesehatan dan UPTB Kabupaten Karangasem bulan Januari 2018, ‘Program Petayanan Administrasi Perkantoran.kegiatan Fenyediaan pendukung administrasi/teknis/keamanan pntopue, 12 HAR 2018 ‘Yang Menerima NIP.DAFTAR PERINCIAN PENERIMAAN UPAH TENAGA KONTRAK DAERAH PADA DINAS KESEHATAN KABUPATEN KARANGASEM ( PUSKESMAS KARANGASEM I! ) BULAN JANUAR! 2018 Ww tame Tamar Peafan’ | anita 6A [hari] — Wana iian [PRAY] —— Yang Ti Ten Kontrak Kerja Bulan {fo} ine) srerime. [re Agra a Paap Ifa27 167 akes_[stapomen 7 bie —1asooomo [ap t soomao 2 [nade Arana Keo 12/16 Dskes_[SKapines 1 Ts 1500.0 fp 138000060) a 3] Wayon Ay Astin, Se 12/1697 Deter [sro escinn 1s —100900.0 i ana 4 [tuinind AM Keb 14.2/152/ Oakes |Paramedis 4 [te 10500000. Tp 1.030.000,90- le 3 ae Resta Mayon Aid Gr [st42/ 53 Dates _[Pocaneds + Ts — 10000040 mp 10800000013 $0 + lirtigenseront asa piety bace_(rns Ce fe Nie 7 ]NRade Tiskayant Arta, Aaa kab ———Ja147155/Dsies Pwrameas Ap 15000000. fp .es00n000 [7 '[Wikadokc Len Subagenng Rath, AMa Kod —[8142/186/ Dates —[Paromeds hp 1.050.000 00 fe tesa Og eat 5—|Witiyoman Sod AM Re e242 157/Dster_reromed 1 tp —tosotoo.00| tp ——s0s00900 |. 0 [tia Ws Ady s:t2/is8/ ates aromeds | ne —esoo0 90} Tip 1.050 et: Wah Pot Nera Bee AIS s:k2/159/ bates Paramede 3} — 1osooeog0 | Te —sosnoooen |W Made Sparta Kab s:427160/ikes Parmeds 3 [te —050000.90| —= Tap 1 05600, a fat 13 [wh Ade Ga Prado ES [81427161 Oskar [Poor 3 [ke 050000, Re —1ssomom [5 _—OF [1G Agung a, [si 162/ Des Parone 3 [te 05000090] [ses 00,90 iy 35 Reming ie ryt ar AMSG fa 2/363/ Oates [rromet a [fe — 105000000] [ts esa 00000| 5 36 [Nut Dama Ayn, AMG. 3k. 64/ Dates [rae 3 [fe —asa0s0| [1.05000 90 ie 17 [Rade A Ati Prima AM Ka [94.27 1657s [Para 3 ap —1850000,00 1.980000 00 [7 |W Made Parsaningsth AML Bakes [Parad [te — tostooso0| —tne tessa i 18_[N Putiqurh ra When, AMS [2 it Datars [re 18000 60 igi 6s0000,99 | 20 | Wayans rin 177 Ones [Sa Optom 3 [te s2500000| Tass, 00 ia 71 |HRonang Owipnann 1717s SMA Digloms 3 [to 335 00000| rs ss oon.00 [7 BE 22 | MP Sudan ie2/172/ omnes [ste Diploma ep s25 00.00] [rp 7500090 a 33 [hromang vat beara oaes—a a Ve 2A Tiijoman Soden si42/i74/Ostes_[sw Dplona “ees fp s2500000, Be See aa si3 175 Oss sn DS [ts 2500000] | np ——sasomn EP 26 Wayan Artawan [818.2/176/ Dskes [SMA Dpioma [Rp —925.000,00. Rp 925,000.00. je Ze 27 [Ni Ketut Priyatn 114 2/177/ Diskes [SMA Diploma 1 [Rp 925.000,00- cs ‘925 000,00 | 77, set “Te — TE #1. woo.cene Aca 201 ur 4 Pera 2008 Feabat Pelasana fetnsKegiatan Bendahara Pengeivaran Dinas Kesehatan Kabfpaten Karangavem Dinas Kesehatan as ‘NIP. 19900706 201503 1 007$02 ~ CONF/ TCH /2B Belonjs = «== .02.1.02.01.01.195.22.03.12 ‘Sudah terima dat: Bendahara Umum Daerah Kabupaten Karangesem Terbilang : == Dua ratus sembilan puluh tujuh juta empat ratus ribu rupiat= Untuk Keperluan _: Pembayaran Belanja Jasa Tenaga Kerja Non Pegawai,( PUSKESMAS KARANGASEM I! ) BULAN PEBRUARI 2018 te ory Torr Fejanjan | uals a1GPR [Tamia] —Wonareuian — [Pmt] Yan Tends Tone Kontrak Kerja Bulan (Rp) ime) seria |W agg Sian Para, Sap ia 1697 kes tapers 1 [fe —11s0.0006 fe tisoaoome afr |W ase oa Sep si 18 Ose [Step 3 [te — 1150.00.00 fg 135000050 3] Woyan Ayu astrn, [a2 165/ Oates [Soyjana esa | fe 410.0000 | ——T 9p 300 000,00 3 fla nd Nowaden, Ama Ce fa.2/152/ Dukes [Parone 1] ke 1.00000 | ——T 9g. 000 Ic 3 [a.2/153/ Dates _[Pararei | m —10s0.00000 | tp ——ioso0m 05, 6 [s14.2/154/ Osees |Parareds [Re 1 050.000,00| | ta ——2.050:000,00. Ww 7 fe. 155/ Oakes [rarariadis 1] te —1050.00000 oo % [s14.2/156/ Osees |Pararvedis 3] Rp 1050.000,00- Rp 1030.000,00 est . Prarede [te —t0so.00000| [na 00 00 [3 a 0 Parsmedis [Re 11050 000,00 Re 2.080 000,00 at — 1 tp —10s0.00000 fg_s0soaono0 [a5 2 rare 1 [tp — 205000000 | Treo 00000. =A 2 i [tp —i.050.00000| = [re .080 00000 fas C= 14 [Gt Agung nar Ae 1 ® 100.0000] Tre ——s0000 00 ey 15 Jeomang Use ryt Ur A Maa 1 [fe —tososon0| Trp 1.80 00000 as 36 |rnet Dara Ayr AMA Rab [fe 200.0000 | Tp 0000 eat “17_|N Ntede Ayu AgustoniPrimandor, AN. Keb 1 | Rp 4.050.000,00 |_| np _3.050.000,00 | 37. OF 3s Inde ANd [s27 1667 Oakes [prom [te 105000000 | ——- tp 100.0000 aot 19 [NPutu Nguah Pra chan, AMaIRGS [81427 81/ Dies [Parad 1] —.0so. 00000 | —"T tp 1.050009 [> ASE} 2g a nae pa [tp sesracn| —- [ie "so ¥ 21 ]ikomang Detpayane [4.27 174/Dotes [Sw Dolor 1% 925.0000] Trp 525 a00 00 [3 Nes Sur [e182 1720s Ist Opin i [Re 95.00.00 fa 92500000 =H 7 ]iforang asia [eia27173/ ites [SA Dpion9 1 [tp 92500000] [np srs 00 00 [33 24 |i myoran Suara Tia.271747Oskes [sw Opler [tp 995.000, 00 | ——-T tp 325.0000 1 35 ]iade Nur rina [sie2/175/aes_[swx Dpioma [tp #35 coon |p ss. cono0 |p 26 |iWayenAtawen [sts2/176/ Dates [Sua Diploma 1p 325.0000] [np 99500090. pe ee 2] Prot [i427 177/Daxes [SHA Dgiona i]t 99500000 | —-} tp ——sas.00.00 27 area AS | Rp [RS 39 ee om ‘Amiapura,1 Maret 2018 Pejabat rks Kegatan fendahara Pengeluaran Dinas Kesehatan Harangasem Dinas Kesehatan 'NIP.19660328 198903 1 009 A ‘NIP. 19900706 201503 1 007Sudah terima dari Terbilang, Untuk Kepertuan Jumish Uang paral + 0a-eay /TeH 2018 Rekening Selanja :=—=—«1.02..0201.01.195.2.203.12 Kwirans! Bendahara Umum Daerah Kabupaten Karengasem {== Tiga Ratus ua Jute Enam Ratus Tujuh Puluh Lima Ribu Rupiah== + Pembayaran BelanjaJasa Tenaga Ketla Non Pegawal, teraga Dinas Kesehatan dan UPTO Kesehatan Kabupaten karangatem blan Maret 2018 | Amiapura, (fig) i 2018 Yang Menerima _[ Ey ‘NIP.19660328 198903 1009DAFTAR PERINCIAN PENERIMAAN UPAH TENAGA KONTRAK DAERAH PADA DINAS KESEHATAN KABUPATEN KARANGASEM ( PUSKESMAS KARANGASEM It). BULAN MARET 2018 wm — Tone Feraaiar | toaiitod ae —[homok] —Fonoian PRAT] Tar Noner Rearing Tod Tae Kontak | Bulan {Ao} ime) diterima . Ns Agang Sana a Sa pia 367 bates” [tapos 7 [as —sonoome |g sso lessens MT 2 Ye ade ara op est 1647 Dats stapes | ip 135000000] Tp 1380000900 [osno.tronnas « = Sica ay si, Se b342/ 365 Dstes eames [as 11000960 | [np 1 sono |ossaz 2002092 [3 Oh fiona Novae, Ad a 3h27159/Ostes[Pwrared 3] 105000000] Tp 168000900 [ossna.izaonee o $fwtadecneta Mona Aa tears oates_lPomear [st as5 00005] [ne Lesoomoo Toss noes — TSAR | is wayen Mev, ANAK 2437354 Dates [Param iis — 105000000 ——T mp ——1oso00 90 [oss 100227 ios T_|NiKadek Triskayanti Antari AMA Keb, [834.2/ 155/ Diskes [Parameds_ i [Ra 1.050.000,00 Re 4.050.000,00 ['053.02.12.00251.2 | 7. gP '|Wikaok on Scbagorng Fath AN Ted [81427 157 Des[roromecie 3] ns —10so100309 | ——[ np ——oso.om a0 [oss 0025 0 at [3h Sadie A 1597 Dies [pwranect {Tia —asonon | ——T np —fosonon go [oss ions s [3 JEST [rts eWay sey $507 bates” [raromed | —1.0s0000.00 | [np 1.60.00 [oss2-izan23e fo ear 1] at Nero Dewi 33597 ostes_raramc [is 08000300 Tp ——Kosononao |ossna tz onaes 3 [a 4 12 Ride SopariniA Md Rob ft 360 Dates” ara + [is 19500000 | [mp Koso a0 [oss cz tx00u787 ae aoe aaa Tie —toisomt ie — tena fossa es Tae te emingeg mer toatsos ea Bai +e —esomot — te 50020 ea 15 [Roman trai ar, ANB 3 195000000] [ap i esoo0n00 [oss on ose —[ 16 [Weiat Dra Ryn, AN Reb + [i> —tosonon00 | [ne ——tos0n0ne0 | ossonsr00n253 Tae [17 [NiMade Ayu Agustion! Panda, ANG Kab [ie 1950.00.00 | ne 1.6501000,00 | 05302.12 00231-6 _[7_<(R- Ta_]ta Made urwoningsh, AMAeb [sta 2/366/ Dckes[Parameds 3 [i 1056000000] | Rp__1.05000,60 | 053 02.17.00230-4 a7 a 13 nr rah ans Want ANATRED—[ni2 77 Dako 3 te — 105600050] [tp 165000000 or2.02. 151903 — [9 20 [wh os Rao sita/ 347 oaks owas ip — 105000050] [te 1500600 op3. a ae 2i | Wan ha Pri st4.2/370/ Oakes [stiles [x3 — 92500090] ——-[ np S18 00000] os302 5007867 [>i | kong Opa i237 171 bates [sw gts [to 925. 000,00| tp 925.0909 o502. 15000379 =e Blt Sadar 2/72/ Oakes [SMA Dorn i |e $35 00090| —- 335. 060,90|o5x02 12. 000007 [a at itonra tio 2/8] ae [tp — sso | Tess ogo orton ios ee 35 [ikon Soden i437 74 Des 1] 37500000] | te 59800000] 0530215002355 — [7 26_Ihade Rah wera 142/175 Oakes Ista Diora | tp 99500000] tp 335.0000 o5x0 1300270 | 37 iwayan Arca 27 76 Oks [Sa Bio 1p 32506090] tp $95. 00000 | os302.13 002043 [37 Sata ta [i837 77/ bates [SHA Dora [5 —s9s00000] ——T np 5 pono | ossopizomaas 3 ee] bis —aesaome [ig [rs aso f ‘Amlapura,2 April 2018 Mengetahui Pengguna Anggaran Pejabat Peiaksans: Kegatan Bendahara Pengeluaran Dinas Kesehatan Kabupaten Kaangasem Dinar Kesehatan Karangater Dinas Kesehatan LNvoman Swastika Yoga Sindnudiptha SE 'NIP.19660328 198903 1.009 ‘NIP. 19900705 201503 1 007on 1 O2- 0Oyo/ TEM /2018 Nowe : aie Lenionaysiwsa20.s9/~— KWITANS! Sudsh terima dari: Bendahara Umum Daerah Kabupaten Kara! wo ‘vermont pes Tiga Ratus Jute Ratus Ribu Rupiah== Untuk Kepertuan = Pemibayaran BelanjaJasa Tenaga Kerja Non Pegawal, tenaga dl Dinas Kesehatan dan UPTO Kesehatan Kabupaten Rarangasemp Bulan April 2038 Program Pelayanan administrasi Perkant jasa tenaga pendukung aa Jumiah Ung + Rp ——-300.700.000,00 amiapura, 7 1%" 2018 PejabatPeaksans Tofhis Kegiatan. ~ ‘NiP.19660328 198903 1 009— ( PUSKESIAS KARANGASEM I) [BULAN aril 2038, = Ta Tamar enn | Ras HR [rin] — Henerivan [PA] Ye a anak Ke Tian |" (np) _|\(R0) | __ tema h rag Sa a So sea ie snes [Scape fap a soma so| ap seo ore fe tens Nas a 03/6 ase [stops |p isommmoo| —[ ns 1 ssommo0 [oss 0054 ;+ fe van Ai in, SE 523/169 Oakes [soe esa i]s stoop] [np sooomo | saorsz00763 13 [Lu ini Novadewi AMES [s1e2/ 152/ Oskes [Pacareds [Rp 2.050.00000 | | Rp 1.050.000,00 | 053.02 12.00246-9 jae Kade Resta Mayon, AMG Ge e3437 153) Dskes—[Paramsed +] Re 080 0060 ¥p—1so.00n00 | oss.02 tzonz3e-6 [Ae Ii Wnyan Mean AMA ia32/154/ Dishes [Pirarveds [Rp 1.050.000 09 [Rs 1.080.000,00 [05300212 002275 er INKedek Troan Antari ANGLECE ai#-2/355/ Dakes_[Pwrarseds [tp 1.050.000, ‘ip 16650.000,00 [053.02 12001812 —[ 7g et tar iSong wah Abd Fab —av0276/ Dses [aro |p —tosomo0| — The —tosoumo [esao2.iso023-0 eet Ini Nyoman Sudlastinc AMA Kg fa1a.2/157/ Des 3p Rp so. 000,00- ‘os0000 00 ossozu2o7-8 [3 SESS] faces {fis — Fost oonan| fe —t osm. [oon oort ao a paste eR ee — eel ecteee fed ike = +” [ip insiomon| ——-T Rp tos. ae a a Cs Pay AMET [pi osoomon| —[ ns Toso os TETRA i Gus Agung tan, AM Keb [Re is0.00,00- ip 1.0s0.000,00| 0530212. 00732-8 | orang in yan a ANS |p —ios0.15o905| ht eso.00000 | oss. 9 — [2 a kett Dama Arn, Aa Keb [ap —zasoomee| Tre ma es pation Prien A [ap —xasoom00| Trp ae urearings, XM $ [ie —tasoonmso| Th iO rang Pes Win, AIS [ip —tasoo000] Ths = Ta tah De Natal AMG [Re 1.050 000,00 ie ae ving a Piss t/a Bsr [Tes sisc0n00 | Tr ge a [i227 17 tessa br [ap —sosona0| Ts ppt fp Sori 513/173 bates [SMA oma [mp sus 00800| Ts aoe Titenarg as fsita/iny ae [sapere £— Ts —535 00000 | Tp sos ono [ 3 005 m3 Tionan Sua fstarira Bessa bons [ap sis non | [Rp sos oon [onions nae gee a fita/ 75 sess ba [tp —s0snoge0 | [seston [ esio2-izo2470 7 oyna ita/ire sesame baa + [tp —srs conan | Ts ——srsoonoo | osson 12 pase 2 — [77 coat Pa [427 17/ aes [SMADours [mp —srs.nong0 | = Rs sus [ sa 1200003 : eae Te [ie — a, 'NiP19660328 198903 1.009 ‘Amiapura, 2 Mei 2018 ‘Bendahara Pengeluaran Dinas KesehatanNomor + 20101 /T6HK/ 2018 newer ; Rekenigelonio —;—«Lozaezen0195.2.20212 KWITANS! Sudah terima dari: Bendahara Umum Daerah Kabupaten Karangasom Terbilang 25 Tiga Ratus Juta Tujuh Ratus Ribu Rupiah== Untuk Keperiuan _: Pembayaran Belanja Jasa Tenaga Kerja Non Pegawal, tenaga di Dinas Kesehatan dan UPTO Kesehatan Kabupaten Karangasem bulan Mei 2018 Program Pelayanan Administra Perkantoran,kegiatan Penyediaan jasa tenaga pendukung administrasi/teknis/keamanan Jumian Vang ‘Rp 300.700.000,00 pmtaguc, 04 JUN 2018 Yang Menerima Pejabat Pelaksana Tells Kegiatan. rr ‘NIP.19660328 198903 3.009,DAFTAR PERINCIAN PENERIMAAN UPAH TENAGA KONTRAK DAERAH 'PADA DINAS KESEHATAN KABUPATEN KARANGASEM ( PUSKESMAS KARANGASEM I) ‘BULAN MEI 2018 oma [s1a2/169/ Dees [s142/152/ Oates [5142/153/ Oke [ai432/154/ Oakes [81631 155/ Oakes [si4.2/156/ Oakes [si42/157/ dikes [sia 2/171/ Ookes [s142/172/ Dskes .2/ 173/ Dstes 4.2 174/ iskes 175/ Ose [a142/376/ Dishes [s142/77/ Osees a fae ee eee rrrrrrrrrrrr ffs) foe foes {1} } lelgleleleleeieieialelielleltelelelelsielzielaiaela| fa : ig is fi 'NIP.19660328 198903 1.009 ‘NIP. 19900706 201503 1.007pon s ea-bu2 /TUN/2el& Rekening Belanja = 1.02:1.02.0}.03.19.5.2.203.12 2, Sudah terima dari» Bendahara Umum Daerah Kabupaten Karangasem Terbilang. 28 Tiga Ratus Juta Tujuh Ratus Ribu Rupiah ‘Untuk Keperiuan = Pembayaran Belanja asa Tenaga Kerja Non Pegawal, ‘tenaga di Dinas Kesehatan dan UPTD Kesehatan ‘Kebupaten Karangasem bulan Jun 2018 Program PelayansnAdrinists Perantran Aegan Fenyedann < jasa tenaga pendukung administrai/teknis/keamanan Jumieh Vang: Rp marae 7 amiapure, (05 JUL 2018 a E eneraoeine'NIP.19660328 198903 1 009, ro Tama vane Romer Fekering Tanda Tar terme I |W 18 Agung Sosa Patra, 3p Wet isqoooa | essen aor 7 [is Header arias Ke hp 1,190000.00 | 053.0212 00235-4 3] Wayan Apu Astro ‘Rp 110,000.00 | 053.02 12.00239-2 “4 |lsh indeiNovadews, AMA COS "Rp 106,000.00] 053.012 60246-9 [5 Tit eadet testa Mayan Ae Se "Rp 1,050,000 00 053.02.12 0236-6 (6 [Ni Wayan Mri AM eb =| Re 1,050,600 00 [053.02 32 00727-5 7 [Nace Trishayani Antari AMAR [Re 1080 000.00 [053.0212 00251-2 5 |Nkadei Lei Subagering Rath, Abd ob =| Rep 1,080,000.00 [053.0235 00233-0 3 |pimyoman SudlastniA Ma Kg 1,.950,600,00 | 053.2-12.60357-8 30 [Puts tka wire, "tp 15,000.00] 053.0212 00238-1 Ei |W h Putu Nemala Deol AMER Ro 1,050,000.00 | 053.02 12.00248-3 32 |N Made SupariniA Ma. Keb Rp 108,600.00 53.02 12.00228.7 33 [lah Ade Ga Pradryani Ma Ea ‘Rp 1050,000.00 | 03.02.12 068.5 34 Jus Agung inean, And et inp 1050,000.00 | 053.02.12,00252-8 35_[Romang Uk Aryant Uta A Mae [Rp 1.080.000.00 | 0s3.02.18.00234:3 5 | retut Darma Ayuni AMA Keb | Ro 1,050,000.00 | 053.02 12.00279-9 17_|NMade Ayu Agustin’ Prevandar, AMG Wb "Rp 100,000.00 | 053.02 12.00231.6 28 [Ni Made Purwanngsh. ANd Kab ie 1.056.000,00 | 053.0213 60230-4 39 | Puta Npwra Prima Wiha, AMOK 1,980,000.00 | 072.6215 #9180°9 20 [Wats esi Nata AM Rp_1,080.000 00 | 072.0215 82732-2 21 |W Wayan Eta Prion [Re 975,000.00 | 033.02 35.00236-7 22 [tvomang Owipayans "Rp 915,000.00] 053.0215 002379 23 west Sodarins . 22 |tWomang Masta fe 25 |Inyoman Sudarsana me. 26 |IMade Ngurah Mera . 27_[IWayan Arta o 2 [rata Pyar Re Re 7a6s0 00000, ‘Amiapura, 2 Jul 2018, Bendahara Pengeluaran Dinas Kesehatan ae ‘NIP, 19900706 201503 1 007Romer : O2-0aI0 / Teh /2018 Rekening Belanja 1.02.1.02.01,01.19.5.2.2.03.12 ‘Sudah terima dan: Bendahara Umum Daerah Kabupaten Ksrangasem Terbitang, #== Dua Ratus Sembilan Puluh Sembilan Jute Tyjuh Ratus Tujuh Pulut Lima Ribu Rupiah== Untuk Kepertuan _: Pembayaran Belanja Jasa Tenaga Kerja Non Pegawal, ‘tenaga di Dinas Kesehatan dan UPTD Kesehatan Kabupaten Karangasem bulan Juli 2018 rogram Pelayanan Administrasi Perkantoran.keqiatan Penyedisan {asa tenaga pendukung administrasi/teknis/keamanan + Rp 299.775.000,00We Kame [ns LB Agung Sana Para SS [ns Ikadek Ariana Seo IN wiayan Ayu Astin, Seba [wh nde Nowadews AMG RS In kadek Resta Mayuni Aa Ge [ni Wayan Merion, AMd.xeb [Ni Kadek Tiskayant Antari, AMA IN Kade Leni Subagening Rath, AMAA Keb [814.2/156/ Dates [Paramedic IN Nyoman SudiastiniA Mg [s142/157/ Dskes [Paromeds [put Eka Wea Adnyana [s182/358/ Bakes [parame [uh Ade Cita PradnyaniA Md Kb Gust Agung ntan, AM. Keb MKomang ik AryantiUtan, AMALReD IN Retut Dare Ayuri, AMAL Keb [Wi Mage ays Agusan! Prmaedar Ad. Keb leleleleleleislzlais|elaielaleletela| t z 2 4 5 é 7 5 3 20 a [12 |W Made Supartin, At. Keb 3 i 15 16 v7 6 [N Made Purwaningsh, AMA Keb 2 z 2 z z > 7 2 2 In uh Putu Nemala DewiA RGR [sia 2/159/ ses [Params i r z z r z z x T 19 |W Puta Ngurah Prima Wednan, AMR 720] tun Des Matalin A Mg 21 |W Wayan Eta Prion ie C2202 ASATIET ber siarssoone7 —[7i 35300 500779 bz 22 |1Komang Dwipayana [aid 2/71/ Dishes [SMADipions 23 |W Pinu Sudiartin [si42/172/ Dskes [SMA Diploma 053.02.12.00280-7 1053.02.12.00260°5 195302.15.000355 153.02 12.00267-0 [Made Nurah Mertayase 14.2/175/ Dskes [SMA-Dipoma ‘sao. izo078e7 [27 CR | 27_[1Wayan Artawan [a14.2/176/ Dskes[sMA-Diploma z Z i x 24 |tWomang Masta [ata 2/737 iskes [SMA-Diploma z [is injenen stsans Tata ostes sa plone z r z z 26 [Ni ketu Privat tsar mamas pel ja] jelalelaieleialele) ‘Amiapura, 1 Agustus 2018 Bendahara Pengeluaran Dinas Kesehatan ss ‘NIP.19660328 198903 1 009, ‘NIP. 19900706 201503 1.007Nomor o2~exy/ tet rd Newer Rekening Selanja —:—=—=—.02.10201.02.1952.2.0312 KWITANS! ‘Suidah terima dari: Bendahara Umum Daerah Kabupaten Karangasem Terbilang #8 Tiga Ratus Juta Tujuh Ratus Ribu Rupiah == Untuk Keperiuan _ Pembayaran Bolanja Jasa Tenaga Kerja Non Pegawai, ‘tenaga di Dinas Kesehatan dan UPTO Kesehatan Kabupaten Karangasem bulan Agustus 2018 Program Pelayanan Administrasi Perkantoran kegiatan Penyediaan jasa tenaga pendukung administrasi/teknis/keamanan, Jumien Vang = Rp ——-300.700.000,00 nivtapue, 09 SEP 2018 Yang Menerima Pejabat Pelaksana Tejfis Kegiotan. E: ‘NiP.19660328 198903 1 009DAFTAR PERINCIAN PEt LUPAH TENAGA KONTRAK DAERAH PADA DINAS KESEHATAN KABUPATEN KARANGASEM ( KARANGASEM I) BULAN AGUSTUS 2018 we Tam Tania aOPA—[Raak]| —Woerran [PRAT] Var Tomer Rana Tad Tagan Sin | “tho stems 8 gang Sma Fa ap [kapoor Tp as oa rT = 2 fn ade Arana ep [Sepenen |p 11560050 ip 1is0000|oss2.12 002354 A 3 [i Wayan Ay Asi SEM sarjane Kesehatan 1p 3 190.000,00 54108 00900 | 3.00.1 000082 [50 Jah inde Novadews AMAR. [a142/152/ Oakes —[Paramedis 4 [fe 1.050 000.00 ‘Re 1.080,000,00 | 053.02-12 00246-9 oe 5 Kak Resta Mayan, AMEE ait2/153/OskesParameds 1 [1056.00.95 fp s.0s000005 | 05302 1200766 [= (6 _[NiWayan Meriani, A Md Keb [814.2/ 154/ Oiskes [Paramedis 4} Se__ sscmnee. = [Rp 7.950.000,00 | 053.02 12.00227.5 my TIN tadek Triskayanti Antan, ANE [a142/186/ bases —[Porarmedis [Rp 1050 000,00 ‘Re 1. 0s0.000,00 | 0s3.02-12 000512 [7 of [iad Le tape Rath ta Tab —[8142/154/ Dates[Paraeds 1] te —tosonoa0| [np —tosnoooo [osxonts.po23-0 o 9 [hc Rjoran Sia A Parra 1] ip — 05000009 | mp oso 00000 Tossa i200978 [a eee 22 Hee eg 11] sh Putu Nirmala DewiA Md Keb [Paranvedis 1 [fp 1.050:000,00. [ep “1.950.000,00 |'053.02.12.00248-3 [31 SEW Made Supa AM eb Parered 1 [tp —105600.99 tp 1.050000 [9502 13 003387. ae “13 _|Lh Ade Cita PradnyaniAMd Keb [Paramedts 1] Rp 3.050.000,00 cy 1.050,000,00 |'053.02.12.00240.5 | 33. & 6 |g Agung nie, Ate Pare x sm tp 1st 90 [os 008s rs 15 [tomang Ulta ar, ANE armed |p —osooooo0 | np ——oso.00 ao [oss sons 3 — [35 16 tut Oar Ayr, AM. Kab [ie —1.0s0.000.90 ‘Re 050 00009 | 0s3.0212.00220-9 Te a7 rinandr AE + [5 tose te —osoaooao | osaneiaonen-6 — [AE Ta ]te Made Purwaningss, AMAeb [Pararneds 1 [Ro 1.050.000,00 ‘Re 1050,000,00 | 053.02.12.00230-4 oy [Natu Rw Pia Whar AMS Pores 1] tp —1oscom3| —[np —— 10500000 [onzon ssaniaos — [8g | 20 ftctoh Oe natin Ag aramea | tp —0so00090 | [wp 05000900 |oaz.0015 2732.3 ae St | Wagan a Pir A Bplora [ip 93500000 Re s2500000 | oss02s001967 [71 A 22 |ieomang Owen Ix Diora 1 [te 935.000 ip 92500900 | 053.02.1502379 eo afer Sudan [sMADpiome 1 | tp 92500900, 5a nono |osan0-iz on2en 7 [a 3 |omang Man [A Dion 1p 5.00.00, ip 995 0000 | oss. 1 onze me 35 [iyonn Sora [sta Dior 1 |p 995.00. faa too| tenon saps 1 BT 726 [i Made Ngurah Mertjase [SMA Dipioma | Rp 925.000,00. ‘Rp 925.000,00 | 053.02 12.00247-0 be. aT liwnen Aten fa Dior [ip 935.005 ip sis om00 | ossaz zones [7 7Pb 28 [Ni Rett Privat [s142/177/ Oskes [SMA Dipiom 1 {= 132500000 | | Rp 92500000 | 05302 12.00083-3 i [Tie prs [nef as ‘Amlapura, 3 September 2018 Bendahara Pengeluaran ‘Dinas Kesehatan ae | Nyoman Swastika Yoga Sindhudiptha,st ‘NIP. 19900706 201503 1.00702. -0368 (164 (208 Belanja —«: == 1.02.2.02.01.01.195.2.2.03.12 Sudah terima dari: Bendahara Umum Daerah Kabupaten Karangasem Terbilang + == Dua Ratus Sembilan Puluh Sembilan Juta Tujuh Ratus Tujuh Puluh Lima Ribu Rupiah == Untuk Keperiuan _ Pembayaran Belanja Jasa Tenaga Kerja Non Pegawai, ‘tenaga di Dinas Kesehatan dan UPTD Kesehatan ‘Kabupaten Karangasem bulan September 2018 Program Pelayanan Administrasi Perkantoran,kegiatan Penyediaan {asa tenaga pendukung administrasi/teknis/keamanan, Amlapura,Q 1 007 2018 Yang Menerima Mengetahul/Setuju dibayar: Penguna Anggaran Dinas Kesehatan Kabupaten Karangaser Ay "dG. UGustl Bags Putra Pertama_ ‘Nip. 29710608 200604 1 006( PUSKESMAS KARANGASEM I) ‘BULAN SEPTEMBER 2018 ve Tama Danish] — Fanoriaan | PPRAT] Yan Tana Raine Tada Tanga in| (to) __| (fo) | _ teria 1 [re ego sea a Sap 7 ie —Lssommm ip iso mnopo | ooarazooET [AE } 2 [Ws TKadek Ariana, Kep_ 2 1.350,000,00 Ro. '3.150,000,00 | 053.02.12 0235-4 s [a 5 werseectonna Bat “pisos — sta essa ooees Te [la nd vide, AM Ta [as 408000000 | [np taso.o09p0| osx onze moe Slaten hs oped +The —tesononan | —[ he —tesonooas tester emies—Ts 9 (6 [WWayan Meriant, AMd Ke 3 [Re —1.950.000,00 | Tne 1.050.000,00 | 083.0212 90237°5 <7 fae ee ee ifs — tees iessonter eerie too 15 |W xadek Leni Subapening Rain, ANd. Keb | Ro 1.050.000,00_ "kp 1.050.000,00 | 053.02 15.002330. [spe a [hp .050.000,00. ‘Rp 1.050,000,00 | 053.02.2.00087.8 [3 Oa 30 [rues Ea Wir Ady 3 [is tsp ‘tp 1050 00.0 0540217002381 fear Ht fea eerthones aOR a a ee ee 2 |Wi Made Spar ME Hab i [ia —1oso.00000 o_—.0s0000 00 [osa.oz 12002287 ia Fe 3 ]luh Ade Cs Pradyani A Ea 3 [te 195000000] Trp 1.050 00000 |osaoz.izomees [EE 14 [Gusti Agung intan, AM Keb I [Rp 1.00.000,00. ‘Rp 1.050.000,00 | 053.02.12.00237-8 a 15 Romang it Aryant Ur, AMER + [tp — 1950.09.00 ‘tg 1.050.00000 [053.02 15002943 [35 op ag fists mend a a per ee 17 [hi Made Ayu Agustin’ Pronandar AMAT RZD Te 05600000 ip 480 00000 | ossz iz ces 6 [a7 TW 18 [Ni Made Purwoningsh, AMa Keb 3} to 1.050.000 00 Rp 1.080,000,00 053.02.12.00230-4 Te oe 35] Putu gush Pina Widhan, Ana Keb 1] % 3.050.000 00 to 08000000 |oxz02ssanieos [ia Dot ee Se ee tel eae ba A 21 |i Wayan Eka Prise 2 [Re ___9251000,00 cI ‘92 000,00 | 053.02.15.00036.7 [33 7 22 |ikomang Dwyane [tp —925:000,00| [tp 925 ooo | ossa7 as 00793 iz eee ie aemem ea ae 24 ]lkomang Mata cary ert eee 1 [ip —925.000,00 | [tp 935 000.00 053,02 2 002455 fae 25 lihyonan Sderaa [142 i74/Oates [SA Dpiore 1 [tp 235.0090] [np 925.0090 | os3a7 s00n3s's [759 lien geome sic Tay oaiss_[sux pose ips set tame erates mk 27 iwayan Arama 427 7a Daies_[SWA Door ile — seen ee 25ers 142/177/ Des [SMA Dotoma 1 [te 925.0000 te 37500000] 053.02 12002633 ha EC I Arlapura, 1 Oitaber 2018 Mengetahul __ Pengguna Anggaran PejabatPelaksana Thins Kegiatan Bendahara Pengeuaran Dinas Kesehatan Kabupaten Karangasem Dinas Kesehatan Karangniem Dinas Kesehatan ‘NIP.19660328 198903 1 009 ‘NIP. 19900706 201503 1 007Nomor 2 B-baas) te /70u8 Newe : Rekening Selanja = ;-==—«4.024.0203.01.195.2203.12 KWITANSI Sudah terima dari: Bendahara Umum Daerah Kabupaten Karangasam Terbilang #8 Dua Ratus Sembilan Puluh Sembilan Juta-Tujuh Ratus Tujuh Puluh Lima Ribu Rupiah == Untuk Keperiuan _: Pembayaran Belanja Jasa Tenaga Kerja Non Pegawal, tenaga di Dinas Kesehatan dan UPTD Kesehatan Kabupaten Karangasem bulan Oktober 2018 Program Pelayanan Administrasi Perkantoran,kegiatan Penyediaan {asa tenaga pendukung administrasi/teknis/keamanan Jumiah Yang Rp ——-299.773.000,00 ‘Amiapura, NOW 2018 Tanetenering_! ‘NIP.19660328 198903 1.003 Mengetahui/Setuju dibayar: Pengguna Anggaran ‘Resetitan Kabupaten Karangasem a »'NiP.19660328 198903 1.009 ((PUSKESMAS KARANGASEM it) BULAN OKTOBER 2018 te Tame TonarPefanjan | Kualasa\Gea man] —Honorfeaan ami] Yaar Tomar Raa Tana ne Kontak Kerja Bulan (Ro) tae) ierima 7 |814.2/ 167/ Dishes |S Kep+Ners a 4 150,000,00 | =z EET essen izooms7 |i | 2 [314.2/ 166/ Ouskes [SKepeNers [Rp 1.350.000,00 ac 4.150.000,00 ['053.02.12.00235-4 2. = Hl i427 169/Dakes_[Sarjona Keaton 1 | ta 300.0900 | Trg. 19000000 | o53.02.1-000382 [5 a 3142/3817 Dates [Paraness [re 108.0000 | ——- tp 980 000.00 [ossaz 1 a02es : 143707 bates [are [as —sosooon 50 | np 1950. 00000 |os3.07 z002ue6 Th é 143/14] kes [Poraved 3 [te —10s0.80.00 ‘hp 1.050 00,00 [053.02 3002375 a + tgiaz/ 9) baker [rome 3] —tosnoog90| —[ 1p —iosomoae [sso sronsta— [TP 3]N deka Subopenng Rah, AME, Keb —[8142/156/ Oakes Paraness [te 1050-90000. ip 1.050 00000 | s3.02.1500283-0 a 3 |W yon Suds AMA Hg 343/159 Oakes _[Parareds 5] 405000000] —- ip aso conoo [osaon ireonsra Toth ZT —| 1 [Pes Bea Wa Adon 4.2/5 Bakes [Para 3} —10s0-00000 ip 1.050.00,00 | 0530212000381 hoot 11 |r Pt Nera Dew 114.27 59/ bakes [proved 3 [Re 1.050.000.00 ip 405000000 [053023200063 — [rt 12 [Ni Made SparinAM Reb 42/160) Dates [Poramed [fp —s0.90000 hp 050.050,0 | 053.02 120028-7 | 13_|luh Ade Gita PradryaniA Md. Keb [142/161/ Dates [Parameds [Rp 11050.000,00 Rp 1.050.000,00 | 053.02,1200246:5 | 13. -Of 14 ]iGwstAgugintan, Ade 142/107 aes [paroreds |e —1.05000000,| ———T ip aso anno [053.02 1002326 Frm 15 [Romang uit yn ar AME 343/167 kes [Prared | 0.00.90 ‘ip 10s. con | 0s3.0215.002343 [15 gf 15 |r net Dar Ayr Ad ia./ 4) Dates [Prared | 19500000] ——-[ ip 05000000 [053021100226 ieee 17] ace Ay Agustin imandar ANG Rab [a4 2 65) Onkes [Params 3 |p 0500900 [pos 000 | oz zen [7 Ta [N bade Prange is:/16/ kes [rare 1 [i 105000000] ——-[ tp —Losacono [os302 3.00330. iat —| 19 [Ni Putu Nur rsa Widhars, AMD [6142/81 Okes [Parad 1 [Re 105000000 | Tap —Loso.coneo [on2.02 35501808 [75 20] Wish Desi Natali Mag. “[a14 2/ 344/ Oskes —[Paramedis z 7.059,000,00 fp 1.050.000,00 | 032102 15 82732:2 i] Wao Prin (4/1707 Dates [sx Dpiona 1 [re —s2s.00000 ip 925.0000 | 053.02 15.008367 —| 22 |ikomang Dweayona 151427717 Dates [sw Diploma [i s2s.00000 ig $:00000 | 05302.35.002379 3 Thats Suri [42/1727 stes|swA pions 3 [1m 325.0000] Tp 91500000 [os.02 3.002807 [3 2 ]ikomang nats i427 1737 Dots [sa Diioms 1 [te —a25.00000] ——-[ np 97500000 [05802 3.002085 35 |tmyoman Saran 1 [tp ——925.00900 ie osm isoonss [SA 36 [ted ura eta st Bios Te ——s2s00n00} —— o5302 1100207 27_]iWayan ation ssa Gems [Rp 995 00000 3a Yrs rot 16142/177/Dakes [sx Dotoms [rp —925.00000 e_pacsaoass [Re [ne asa | ‘Amiapura, 1 Nopember 2018 PejabatPeaksana Tis Kepatan Bendahara Pengeluaran Dinas Kesehatan Kab uphten Karangasem Dinas Kesehatan Nicoman Swastica Yoga Singhudiotha ‘MiP, 19900706 201503 1 007ioe 22-0830 Prutt/iow& Newer Rekening Selanja —«: == .02.102.01.01.195.22.03.12 KwiTANs! Sudah terima dari = Bertdahara Umum Daerah Kabupaten Karangasem Terbilang 1: 8= Dua Ratus Sembilan Pululi Sembilan Juta Tajuh Ratus Tujuh Puluh Lima Ribu Rupiah == Untuk Keperivan > Pembayaran Selanjs4asa Tenaga Kerja Non Pegawai, tenaga di Dinas Kesehatan dan UPTD Kesehatan Kabupaten Karangasem buten Napember 2018. Program Pelayanan Administrasi Perkantoran,kegiatan Penyediaan {asa tenaga pendukung administrasi/teknis/keamanan Jumiah Uang = Ap -299.775.000,00 ‘Nip, 19660328 198903 1 008 Mengetahui/Setujy dibayarDAFTAR PERNCIN PENERIMAAN UPAMTENAGA KONTRAK DAERAK Oo 'PADA DINAS KESEHATAN KABUPATEN KARANGASEM. ( PUSKESMAS KARANGASEM It) ‘BULAN NOPEMBER 2018 | i TomorPejnjan | __ Walliasla DPA ona NC Ag Ssna Ptr, a [6/1677 Osos apne Ws Hades Arona. ep [e182 168 Ontes[s rapier IMWayan Ayu fate. 16 Dskes_[sna esc Fanarfian | RIT] Yara Tomer Rake Tas Tagan (mo) _| ino) | __ tei ele i z fats cat Bre ANADESS Kadek Leni Subagening Razin, AMA. Keb [Ni Nyoman SudiastiniA Md Kg [Putu Eka Wire Adnyana fata pow ras Boon ed aro ah Ae es espa fgg a ona ta a sat rs pn, AN Ye fc oA gan Pindar ANE INiMade Purwangshh, Mad Keb fsa an Pre wan ASE fs bes Roa [eines ae [nanan rae faba Ses femee fiom seis ina gay aa iWayen rae Tarkett rat '053.0212.00240.7 '335,000,06 [053.02 12.00249'5 1925.000,08 | 053.02.15.02355 | 35, PE 925,000.00 '325 000,00 | 053.02 12.00247 ¢ '053.02.12.00234-2 (053.02 1200283-3 z ssf soe sl asa is fm ‘NIP. 19900706 201503 1 007Nomor 62-0908 / 764 / 2.018 Nowe : Aekening Betania 102:102.01.01.195.2.20312 BKWITANS! Sudahterima dari» Bendahara Umum Daerah Kabupaten Karangasem Terbilang # == Tiga Ratus Satu Juta Enam Retus Dua Puluh Lima Ribu Rupiah == Untuk Keperiuan _: Pembayaran Betanja Jasa Tenaga Kera Non Pegawai, tenaga di Dinas Kesehatan dan UPTD Kesehatan Kabupaten Karangasem bulan Desember 2018 Program Pelayanan Administrasi Perkantoran,kegiatan Penyediaan {asa tenaga pendukung administrasi/teknis/keamanan Jumieh Uang =: Rp ——_301.625.000,00 21 DEC 2018 voi cnet Pejabst Pelaksana Tekfls Kegiatan. | Nengah Widiasarl,SKM.M.Kes ‘Nif 19660328 198903 1 009 Mongetahui/Setulu dbayar: Pengguna Anggaran Dinas Kesehatan Kabupaten Karangasem oN[DAFTAR PERINCIAN PENERIMAAN UPAH TENAGA KONTRAK DAERAH 'PADA DINAS KESEHATAN KABUPATEN KARANGASEM ‘NIP.19660328 198903 1.009, Pa ‘LNvoman Swastika Yore Sindhudiotha,sE ‘NIP. 19900706 203503 1 007 ( PUSKESMAS KARANGASEM 1) ‘SULAN DESERRER 2018, co tom Toor Ferien | Wasa a GPK [sah] — Nonariasn —] RAT] —Yang mae | ae ota Ban] tre) _| (to) |__ tere 1a egos ra ain 1677 Oates Sapo + Tie : ¥ 2 /814.2/ 168/Diskes |S KepeNers_ i | Rp [2 3 ai42/ 169 Dakes Soon esata +The t fsi42/ 152 onies rua Te ae = siaa7 7 Dstes—Pwremesi +H fe2/354/ bakes avi iT ae $ ei 27355/ ine +The 7 aia 356/oskes rari Ths $ si43/157/Oakes roamed ihe 15 Daaes [Pramas iTr roma b1aa7se/akes~ ores i Ist ones—franaae [hp ed fay s61/Dskes[araneds t eaonienes [et —] [#14.2/ 162/ Dishes |Paramedis 1 [Re 4.050.000,00 | 053.02:12.00232-8 a aia. oskesraramesi ihe osooon6o [essa ones [5a sia. seas ram +The oso | of302 12002789 ee iaa7 165k —Paari mC saan [sno 1200076 — [17 — ete 3087s i The sno [ oss. 12 003304 ag fiea/ ist oases He eee ear eae — to e142/304 bakes [aris aT ee a ba siea/ teak Hf ie — Saemonr osarieernes — age 142/171 Oate sn Os ith ae O50 18000173 BE [si42/172/Dskes |5MADipioms afro 0530212002007 [35 FF |814.2/ 173/ Diskes [SMA Diploma 2 Ro "925,000,00 | 053.02.12.00249-5 ee Teia2772/Onte [sx pions Tie = [ko —— $25 ooo [esta isons — [Ee (is027175/outes—[swaosone The ~ [ap sas oso [os3.001100007-0 be [au 37k sx Dslona ac fe 0000 | ossuz zone [37 su42/1777Oates an pine sh te sas ooo [oan mats al 3 1 ma | 1 Arlapura, 31 Desember 2018 PejabatPeatsanafTetnsKepatan fendahara Pengeuaran Dinas Kesehatan KatupatenKarangasem ‘Dinas Kesehatan