REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU

Bulan: 10 Tahun: 2022

No Nama Jenis Ket Status SIP Masa Jumlah K DL/S DD DLDD Jumlah Jumlah H Rangkap Tanggun Jumlah Persentasi Total GOL JASA PPh PASAL 21 Potongan BPJS Jumlah di Terima TANDA
enagaan Kerja ehadiran Telat ari_Kerja Administr gJawab Point Kehadiran Point (Rp.) (Rp.) TANGAN
asi Program
1 MUSRIFAH 50 NON 25 22 0 0 0 3.9/jam 25 0 75 88.00% 66.00 5% 0.00 0.00 0.00 0.00 1
196412201987032008 (0/point)
NO REK: 0026978912
Keterangan: *
2 SUNARTO 25 NON 15 22 0 0 0 0.0/jam 25 0 40 88.00% 35.20 0% 0.00 0.00 0.00 0.00 2
196601272009011001 (0/point)
NO REK: 0022592432
Keterangan: *
3 ISMAWATI 60 2022-07-14 25 22 0 0 0 2.0/jam 25 10 95 88.00% 83.60 5% 0.00 0.00 0.00 0.00 3
196806041990012001 s/d (0/point)
NO REK: 0022242222 2027-06-04
Aktif
Keterangan: *
4 SUWARNO 25 NON 20 20 0 1 0 3.0/jam 25 0 45 84.00% 37.80 0% 0.00 0.00 0.00 0.00 4
196901062008011014 (0/point)
NO REK: 0022462725
Keterangan: *
5 RUDY SISWANTO 150 2022-07-21 10 19 2 0 0 4.8/jam 25 20 180 84.00% 151.20 15% 0.00 0.00 0.00 0.00 5
197108062007011008 s/d (0/point)
NO REK: 0022431617 2027-08-06
Aktif
Keterangan: *
6 YATIANININGSIH 100 2020-01-27 25 21 0 1 0 4.8/jam 25 100 0 225 88.00% 198.00 5% 0.00 0.00 0.00 0.00 6
197206081995032005 s/d (0/point)
NO REK: 0552055349 2027-06-08
Aktif
Keterangan: *
7 GENDUT HARIYANTO 50 NON 25 22 0 0 0 2.6/jam 25 10 85 88.00% 74.80 5% 0.00 0.00 0.00 0.00 7
197206181993031007 (0/point)
NO REK: 0026128463
Keterangan: *
8 SITI RUBIYANTI 80 2022-09-09 25 18 1 0 0 4.3/jam 25 10 115 76.00% 87.40 5% 0.00 0.00 0.00 0.00 8
197209101992032006 s/d (0/point)
NO REK: 0027003354 2023-09-10
Aktif
Keterangan: *
9 NANANG YUNIAWAN 50 NON 15 22 0 0 0 4.3/jam 25 10 75 88.00% 66.00 5% 0.00 0.00 0.00 0.00 9
197306062003121009 (0/point)
NO REK: 0552028872

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REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

Keterangan: *
10 EKA LUSIYANI 60 2022-06-29 25 22 0 0 0 3.2/jam 25 10 95 88.00% 83.60 5% 0.00 0.00 0.00 0.00 10
197306302007012006 s/d (0/point)
NO REK: 0552056485 2027-06-30
Aktif
Keterangan: *
11 TRI HARTADI 50 NON 15 22 0 0 0 0.2/jam 25 20 85 88.00% 74.80 5% 0.00 0.00 0.00 0.00 11
197501102005011008 (0/point)
NO REK: 0552045793
Keterangan: *
12 PURWATI 60 2019-08-23 20 21 1 0 0 3.1/jam 25 10 90 88.00% 79.20 5% 0.00 0.00 0.00 0.00 12
197508012007012015 s/d (0/point)
NO REK: 0022462717 2024-08-01
Aktif
Keterangan: *
13 INDAH KARYANINGSIH 25 NON 15 22 0 0 0 4.2/jam 25 0 0 40 88.00% 35.20 0% 0.00 0.00 0.00 0.00 13
197703262009012007 (0/point)
NO REK: 0026205239
Keterangan: *
14 SONIKA KURNIAWAN 60 2018-09-18 10 22 0 0 0 1.9/jam 25 20 90 88.00% 79.20 5% 0.00 0.00 0.00 0.00 14
197801182011011001 s/d (0/point)
NO REK: 1592008854 2023-01-18
Aktif
Keterangan: *
15 SHOFFAN HADI 50 NON 15 21 0 0 1 4.6/jam 25 10 75 88.00% 66.00 0% 0.00 0.00 0.00 0.00 15
197904292005011011 (0/point)
NO REK: 0552035828
Keterangan: *
16 ERNAWATI DEWI 60 2022-03-01 15 18 0 1 0 5.9/jam 25 30 10 115 76.00% 87.40 5% 0.00 0.00 0.00 0.00 16
KARTIKASARI s/d (0/point)
198202022006042032 2027-02-02
NO REK: 0552056680 Aktif
Keterangan: *
17 HERI SASMITO 60 2019-05-10 15 19 2 1 0 14.4/jam 25 10 75 80.00% 60.00 5% 0.00 0.00 0.00 0.00 17
198203272005011007 s/d (2/point)
NO REK: 0552056477 2022-03-27
Tidak Aktif
Keterangan: *
18 KALUNG LUTVIA 60 2022-03-01 15 19 0 0 0 6.3/jam 22 0 75 86.36% 64.77 5% 0.00 0.00 0.00 0.00 18
KURNIAWATI s/d (0/point)
198302232006042017 2027-02-23
NO REK: 0022422782 Aktif

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REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

Keterangan: *
19 WIDA ILMI HASANAH 60 2021-04-26 10 16 0 1 1 4.9/jam 25 10 80 72.00% 57.60 5% 0.00 0.00 0.00 0.00 19
198910162011012008 s/d (0/point)
NO REK: 0022783815 2026-10-16
Aktif
Keterangan: *
20 Kiki Prysta Arysandy 150 2019-03-28 5 22 0 0 0 3.3/jam 25 20 175 88.00% 154.00 5% 0.00 0.00 0.00 0.00 20
198702242014122001 s/d (0/point)
NO REK: 0027003184 2024-02-24
Aktif
Keterangan: *
21 drg. DWI NOVITASARI 150 2020-12-17 5 19 1 0 0 8.2/jam 25 0 10 165 76.00% 125.40 6% 0.00 0.00 0.00 0.00 21
3509194911840012 s/d (1/point)
NO REK: 0033048424 2025-11-09
Aktif
Keterangan: *
22 ENDANG WAGI ASTUTIK 60 2018-09-18 5 20 0 0 0 3.8/jam 23 0 65 86.96% 56.52 0% 0.00 0.00 0.00 0.00 22
3510116912830001 s/d (0/point)
NO REK: 0556790124 2022-12-29
Aktif
Keterangan: *
23 DEWI PUJI ASTUTI 60 2018-04-06 10 20 0 0 0 1.8/jam 25 10 80 80.00% 64.00 0% 0.00 0.00 0.00 0.00 23
3510025411750002 s/d (0/point)
NO REK: 0022977768 2023-11-14
Aktif
Keterangan: *
24 FENI EKA CAHYAWATI 60 2019-08-23 10 22 0 0 0 1.2/jam 25 20 90 88.00% 79.20 0% 0.00 0.00 0.00 0.00 24
3510116007780002 s/d (0/point)
NO REK: 0022977717 2024-07-20
Aktif
Keterangan: *
25 UUN SIATUN JAMILA 60 2019-05-02 5 19 1 0 0 1.8/jam 25 20 85 80.00% 68.00 0% 0.00 0.00 0.00 0.00 25
3274016904860001 s/d (0/point)
NO REK: 1592005740 2027-04-29
Aktif
Keterangan: *
26 HERI BAYU LESWONO 25 NON 25 21 0 1 0 0.0/jam 25 10 60 88.00% 52.80 0% 0.00 0.00 0.00 0.00 26
3510112710670004 (0/point)
NO REK: 0026201861
Keterangan: *
27 INDRIATININGSIH 25 NON 25 22 0 0 0 3.1/jam 25 10 60 88.00% 52.80 0% 0.00 0.00 0.00 0.00 27
3510115510690005 (0/point)
NO REK: 0022977733

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REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

Keterangan: *
28 WINARTI 100 2022-06-28 20 21 0 0 0 2.9/jam 25 20 140 84.00% 117.60 0% 0.00 0.00 0.00 0.00 28
3510105610760005 s/d (0/point)
NO REK: 0022977814 2027-10-16
Aktif
Keterangan: *
29 SITI NURCHASANAH 60 2021-06-23 20 19 0 0 0 2.6/jam 23 0 80 82.61% 66.09 0% 0.00 0.00 0.00 0.00 29
3510115008780006 s/d (0/point)
NO REK: 0022977792 2026-08-10
Aktif
Keterangan: *
30 INEKE POERWANINGRUM 60 2019-05-02 15 18 0 0 0 7.1/jam 22 0 75 77.27% 57.95 0% 0.00 0.00 0.00 0.00 30
3510164804790001 s/d (1/point)
NO REK: 0022982010 2027-04-08
Aktif
Keterangan: *
31 BUDI HARIYONO 60 2021-02-04 5 21 0 0 1 2.0/jam 25 0 30 95 88.00% 83.60 0% 0.00 0.00 0.00 0.00 31
3510112911720003 s/d (0/point)
NO REK: 0022977784 2022-11-29
Aktif
Keterangan: *
32 SUANAH 25 NON 5 21 0 1 0 3.7/jam 25 0 30 88.00% 26.40 0% 0.00 0.00 0.00 0.00 32
3510174604820001 (0/point)
NO REK: 0022910990
Keterangan: *
33 ERLIYANA PERMATA SARI 60 2019-10-16 10 20 0 0 0 2.0/jam 25 10 80 80.00% 64.00 0% 0.00 0.00 0.00 0.00 33
198210222017042002 s/d (0/point)
NO REK: 0022977741 2024-10-22
Aktif
Keterangan: *
34 TETRA WULAN SAFITRI 60 2019-08-23 10 21 0 0 1 2.5/jam 25 10 80 88.00% 70.40 0% 0.00 0.00 0.00 0.00 34
198606102017042008 s/d (0/point)
NO REK: 0022977725 2024-06-10
Aktif
Keterangan: *
35 YANUARIA PUTRI LESTARI 60 2018-12-31 10 21 0 0 0 2.4/jam 25 50 0 120 84.00% 100.80 0% 0.00 0.00 0.00 0.00 35
198501212017042004 s/d (0/point)
NO REK: 0022977709 2023-01-21
Aktif
Keterangan: *
36 FENI FERIDIAWATI 60 2019-08-23 10 20 1 0 0 2.3/jam 25 20 90 84.00% 75.60 0% 0.00 0.00 0.00 0.00 36
198306072017042006 s/d (0/point)
NO REK: 0022977750 2024-06-07

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REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

Aktif
Keterangan: *
37 RINI SETIYANINGSIH 60 2022-06-29 10 20 0 0 0 3.2/jam 25 20 90 80.00% 72.00 0% 0.00 0.00 0.00 0.00 37
198404122017042005 s/d (0/point)
NO REK: 0027046622 2027-04-12
Aktif
Keterangan: *
38 Rully Soeprayogie 60 2022-09-29 15 20 0 0 0 5.4/jam 23 0 75 86.96% 65.22 5% 0.00 0.00 0.00 0.00 38
197509192002121004 s/d (0/point)
NO REK: 0022114034 2027-09-19
Aktif
Keterangan: *
39 Irwin Ulil Hidayah 100 2021-02-24 20 0 1 0 5.2/jam 25 20 120 84.00% 100.80 0% 0.00 0.00 0.00 0.00 39
199103122022212002 s/d (0/point)
NO REK: 0026315433 2026-03-12
Aktif
Keterangan: *
40 Susanti 60 2021-04-27 0 19 0 0 0 4.4/jam 25 20 80 76.00% 60.80 0% 0.00 0.00 0.00 0.00 40
3510116710880004 s/d (0/point)
NO REK: 0026316065 2026-10-27
Aktif
Keterangan: *
41 ANNA TRISNA DEWI, A.Md. 60 2022-07-13 22 0 0 0 0.6/jam 25 30 90 88.00% 79.20 0% 0.00 0.00 0.00 0.00 41
Kep s/d (0/point)
199409142019032003 2027-09-14
NO REK: 1592010344 Aktif
Keterangan: *
42 MUHAMMAD 60 2022-06-08 18 0 1 0 7.5/jam 25 10 70 72.00% 50.40 0% 0.00 0.00 0.00 0.00 42
NURARDIANSYAH R., A.Md. s/d (1/point)
Kep 2027-03-13
198803132019031001 Aktif
NO REK: 1592010328
Keterangan: *
43 ARIF SANTOSO,. A.Md. Kep 60 2019-06-14 19 0 0 0 5.9/jam 25 0 50 76.00% 38.00 0% 0.00 0.00 0.00 0.00 43
198808232019031007 s/d (0/point)
NO REK: 1592010361 2022-08-23
Tidak Aktif
Keterangan: *
44 VERLIANA EKA PRASETYA, 60 2022-06-30 22 0 0 0 0.0/jam 25 10 70 88.00% 61.60 0% 0.00 0.00 0.00 0.00 44
A.Md. Kep s/d (0/point)
199407122019032006 2027-07-12
NO REK: 0026304814 Aktif
Keterangan: *

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REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

45 DWI FITRIANINGSIH, A.Md. 60 2022-05-11 0 0 0 0 0.0/jam 25 20 80 0.00% 0.00 0% 0.00 0.00 0.00 0.00 45
Kep s/d (0/point)
199004282019032004 2027-04-28
NO REK: 0026114861 Aktif
Keterangan: *
46 SRI WINARSIH, A.Md. Farm 60 2021-03-29 19 0 0 0 5.3/jam 25 10 70 76.00% 53.20 0% 0.00 0.00 0.00 0.00 46
199401032019032006 s/d (0/point)
NO REK: 0026304521 2025-01-03
Aktif
Keterangan: *
47 EDO ZULKIFLI ANIS, A.Md. 60 2022-05-11 21 0 0 1 4.3/jam 25 20 80 88.00% 70.40 0% 0.00 0.00 0.00 0.00 47
Kep s/d (0/point)
3510111607940001 2027-03-18
NO REK: 1592010549 Aktif
Keterangan: *
48 INTAN CHARISMA DEWI 60 2022-08-01 20 0 0 0 6.3/jam 25 0 60 80.00% 48.00 0% 0.00 0.00 0.00 0.00 48
3510106409900002 s/d (0/point)
NO REK: 0026376017 2026-09-24
Aktif
Keterangan: *
49 DELIMA TRI 60 2021-01-29 22 0 0 0 0.8/jam 25 10 70 88.00% 61.60 0% 0.00 0.00 0.00 0.00 49
WAHYUNI,A.Md.AK s/d (0/point)
3510114912950002 2024-12-09
NO REK: 1596022061 Aktif
Keterangan: *
50 SUSILA EKA DHARMA 80 2021-04-26 14 2 0 0 3.8/jam 25 10 90 64.00% 57.60 0% 0.00 0.00 0.00 0.00 50
3510115508930003 s/d (0/point)
NO REK: 1596019150 2025-08-15
Aktif
Keterangan: *
51 dr. DIMAS WICAKSONO 150 2021-12-23 19 0 0 1 4.2/jam 25 10 160 80.00% 128.00 5% 0.00 0.00 0.00 0.00 51
199401302020121005 s/d (0/point)
NO REK: 0027104487 2027-01-30
Aktif
Keterangan: *
52 SITI ZULAIKHA, A.Md.Kep 60 2021-10-12 19 0 1 1 3.9/jam 25 20 80 84.00% 67.20 0% 0.00 0.00 0.00 0.00 52
198611122020122003 s/d (0/point)
NO REK: 0992671491 2026-11-12
Aktif
Keterangan: *
53 FAIQ FIRMAN NURHAKIM 60 2022-05-11 22 0 0 0 0.2/jam 25 10 70 88.00% 61.60 0% 0.00 0.00 0.00 0.00 53
199101132022031004 s/d (0/point)
NO REK: 0027190413 2024-01-13

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 REKAPITULASI PENILAIAN SEBAGAI DASAR PERHITUNGAN JASA PELAYANAN KESEHATAN JKN PUSKESMAS KALIBARU
Bulan: 10 Tahun: 2022

Aktif
Keterangan: *

total Nilai:0
total Pajak: 0
total Potongan BPJS: 0

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