11 November 202

PEMBAGIAN JASA BPJS
JASA PELAYANAN TANGGAL 1 s/d 28 Februari 2021
NO KETERANGAN JUMLAH
I Penunjang
- Instalasi Farmasi 15,613,900.39
- Instalasi Farmasi Obat Hemofilia) 1,365,336.00
- Instalasi Radiologi 5,796,696.21
- Instalasi Laboratorium 15,285,223.51
- Instalasi PA 241,572.28
- UTD 3,532,873.55
- Instalasi Gizi 6,010,303.56
Gizi Ventilator -
- Loundry
- Incinerator
- Tekhnisi 3,532,157.93
JUMLAH 51,378,063
II Rawat Jalan
- Poli Interna 2,740,502.88
- Poli Interna (Jasa Obat Hemofilia) 227,556.00
- Poli Obgyn 2,216,724.04
- Poli Gigi Nur 2,185,517.49
- Poli Gigi Nando 1,719,829.94
- Poli Anak 854,056.28
- Poli THT 1,309,078.51
- Poli Mata 1,561,619.30
- Poli Mata Oprasi 8,019,846.53
- Poli Saraf 1,487,512.77
- Poli rehab 778,401.19
- Poli jiwa -
- Poli Jantung 1,482,519.56
- Poli Kulkel 430,996.32
- Poli Bedah 2,539,590.47
- Poli Fisiotherapy 2,574,711.63
- Poli Gizi /Laktasi
- Adm Kir
- Karu Poliklinik 2,196,045.69
III Rawat Darurat (UGD ) 11,425,827.89

IRDO 9,208,149.28
IV Rawat Inap
- R. Interna klas 3 17,287,891.83
- R. Interna kelas 1,2 7,334,877.86
- R. Bedah 17,141,096.43
- R. HCU 2,824,079.58
- R. HCU Ventilator
- Anak 25,055,110.65
- vip 9,394,567.56
- ISOLASI 4,686,892.79
V Kamar Operasi
- Bedah Umum 3,938,438.34
- Bedah Obsgyn 4,864,711.82
- Bedah kult
- Bedah tht
- Mata 2,615,936.80
- Ortopedi
- Bedah Dari ICU Ventilator
- Anastesi 4,286,771.00
- P. Anastesi Dari ICU Ventilator
VI Kamar Bersalin ponek 10,435,147.27
Kamar Bersalin nifas 16,223,260.03
IX Jasa Sopir
X teknisi
JUMLAH 179,047,268
230,425,331
(45,018,199)
JASA MEDIS TANGGAL 1 s/d 31 Maret 2014
NO KETERANGAN JUMLAH
1 dr.Kisman Djafar,Sp.B 14,444,255.96

dr.Kisman Djafar,Sp.B Ventilator
2 dr. Mulyoni 9,316,473.14
dr. Mulyoni Ventilator
3 dr. Anak 17,670,761.58
dr. Anak Ventilator
4 dr, ortopedi
5 dr.Mata/ 5,137,006.67
dr. mata OK 40,285,426.72
6 dr.Interna 37,594,670.70
dr.Interna Ventilator + Jasa Obat Hemofilia 682,668.00
dr.Interna residen
7 dr obsgyn Andrew 41,882,628.82
dr obsgyn Andrew Ventilator
dr anastesi dr farid
dr residen obsgyn
8 dr. rehab 2,491,420.83
gigi Nur 6,647,615.69
9 gigi Nando 5,231,149.41
10 Dr. Anastesi dr gusman 8,371,911.41
Dr. Anastesi dr gusman Ventilator
11 dr Jantung 3,476,252.77
dr Saraf residen 1,968,539.09
12 dr fandi saraf 4,919,147.09
dr fandi saraf Ventilator
dr jiwa -
13 dr tht 3,355,236.00
14 dr Kulkel 1,494,862.80
dr Radiologi 5,488,097.83
15 dr ptologi Anatomi 1,368,909.61
16 dr Patologi Klinik 6,550,810.07
Dokter umum 25,950,122

Dokter umum Ventilator -
dr. internship
14 Penunjang Diagnostik
15 Ambulance
244,327,966
474,753,298
Check Point Get Point
474,753,297.60 474,753,297.60
322,853,784.00
151,899,513.60
474,753,297.60
474,753,297.60
474,753,297.60 -
BONUS MANAJEMEN MANAJEMEN PENGHASIL
A
2.5% 17.5% 15% 60%
390,348 2,732,433 9,368,340
144,917 1,014,422 3,478,018

382,131 2,674,914 9,171,134
6,039 42,275 144,943
88,322 618,253 2,119,724
150,258 1,051,803 3,606,182
- - -
- - -
88,304 618,128 2,119,295
1,250,318 8,752,227 - 30,007,636
68,513 479,588 1,644,301.73
55,418 387,927 1,330,034.42

54,638 382,466 1,311,310.49
42,996 300,970 1,031,897.97
21,351 149,460 512,433.77
32,727 229,089 785,447.11
39,040 273,283 936,971.58
200,496 1,403,473 4,811,907.92
37,188 260,315 892,507.66
19,460 136,220 467,040.71
- - -
37,063 259,441 889,511.74
10,775 75,424 258,597.79
63,490 444,428 1,523,754.28
64,368 450,575 1,544,826.98
- - -
- - -
54,901 384,308 1,317,627.41
285,646 1,999,520 9,140,662.31

230,204 1,381,222
- -
432,197 3,025,381 10,372,735.10
183,372 1,283,604 4,400,926.72
428,527 2,571,164
70,602 423,612
626,378 4,384,644 15,033,066.39

234,864 1,644,049 5,636,740.53
117,172 820,206 2,812,135.67
98,461 590,766
121,618 729,707
- -
- -
65,398 392,391
- -
107,169 643,016
260,879 1,565,272
405,582 2,433,489
- - -
- - -
4,470,493 18,774,371 10,730,639 66,654,438
5,720,811 27,526,599 10,730,639 96,662,075
BONUS MANAJEMEN MANAJEMEN PENGHASIL

A
2.5% 17.5% 15% 60%
-
361,106 2,166,638
232,912 1,397,471
441,769 3,092,383 10,602,457

-
- -
128,425 898,976 3,082,204.00
604,281 4,028,543 30,214,070.04
939,867 6,579,067 22,556,802.42
682,668.00
- - -
1,047,066 6,282,394
- -
- -
62,286 435,999 1,494,852.50
166,190 1,163,333 3,988,569.41
130,779 915,451 3,138,689.65
209,298 1,255,787
86,906 608,344 2,085,751.66
49,213 344,494 1,181,123.46
122,979 860,851 2,951,488.26
-
- - -
83,881 587,166 2,013,141.60
37,372 261,601 896,917.68
137,202 960,417 3,292,858.70
34,223 239,559 821,345.77
163,770 1,146,392 3,930,486.04
- - -
648,753 4,541,271 15,570,073.33
-
- - -
- -
- -
- -
-
- -
5,688,278 26,663,848 11,102,290 108,503,499
11,409,089 54,190,447 21,832,929 205,165,574
Sisa
-
Klaim
Obat Hemo RI 733,758,600 TOTAL INDEKS
2,275,560.00 RJ 342,330,000.00
17.50%
76,023,375.58 54,190,447
DIREKTUR 13,160,537
SEKERTARIS -
Pejabat Struktural 21,676,179
Tim Remunerasi 3,870,746
Tim Pengelola 2,322,448
Tim Keuangan 3,096,597
Bonus
Biaya umum 10,063,940
Jasa yg diremunerasi
Operasional
Penghasil
Kebersamaan
Total dibagi
Jasa 44% - -
Jumlah Yang dibagi. 464,702,433.33 -
Jumlah Kotor
Dir 18,462,820 Farmasi
Sekretaris Lab
Struktural 33,353,105 Radiologi
ADM 5,567,301 GIZI
Kontrak 9,757,116 UTD
Tim Remu 5,430,241 Ambulance
Tim Pengelola 4,059,044 Teknisi
Keuangan 6,581,290 CSSD
House Keeping
83,210,916.74
Jasa
Dir 18,462,819.78 Farmasi
Sekretaris - Lab
Struktural 30,409,350.23 Radiologi
ADM - GIZI
Kontrak - UTD
Tim Remu 5,430,241.11 Ambulance
Tim Pengelola 3,258,144.67 Teknisi
Keuangan 4,344,192.89 CSSD
House Keeping
61,904,748.69
Kebersamaan
Dir - Farmasi
Sekretaris Lab
Struktural 2,943,755 Radiologi
ADM 5,567,301 GIZI
Kontrak 9,757,116 UTD
Tim Remu Ambulance
Tim Pengelola 800,899 Teknisi
(474,753,297.60) Keuangan 2,237,097 CSSD
House Keeping
21,306,168.05
index
Dir Farmasi
Sekretaris - Lab
Struktural 977.70 Radiologi
ADM 1,849.05 GIZI
Kontrak 3,240.60 UTD
Tim Remu Ambulance
Tim Pengelola 266.00 Teknisi
Keuangan 743.00 CSSD
House Keeping
7,076.35
24,362.55
Dir - Farmasi
Sekretaris - Lab
Struktural 2,943,754.97 Radiologi
ADM 5,567,300.94 GIZI
Kontrak 9,757,116.05 UTD
Tim Remu - Ambulance
Tim Pengelola 800,898.87 Teknisi
Keuangan 2,237,097.21 CSSD
House Keeping
21,306,168.05
Dir - Farmasi
Sekretaris - Lab
Struktural - Radiologi
ADM - GIZI
Kontrak - UTD
Tim Pengelola - Teknisi
Keuangan - CSSD
House Keeping
-
Dir - Farmasi
Sekretaris - Lab
ADM - GIZI
Kontrak UTD
Keuangan - CSSD
House Keeping
-
Dir - Farmasi
Sekretaris - Lab
ADM - GIZI
Kontrak - UTD
Keuangan - CSSD
House Keeping
-
PENGHASIL KEBERSAMAAN JUMLAH
B
62.50% 20.0%
-
3,122,780 15,613,900
1,365,336 1,365,336
1,159,339 5,796,696
3,057,045 15,285,224
48,314 241,572
706,575 3,532,874
1,202,061 6,010,304
- -
- -
- -
706,432 3,532,158
1,365,336 10,002,545 51,378,063
548,101 2,740,503
227,556 227,556
443,345 2,216,724
437,103 2,185,517
343,966 1,719,830
170,811 854,056
261,816 1,309,079
312,324 1,561,619
1,603,969 8,019,847
297,503 1,487,513
155,680 778,401
- -
296,504 1,482,520
86,199 430,996
507,918 2,539,590
514,942 2,574,712
- -
- -
439,209 2,196,046
- 11,425,828
5,755,093 1,841,630 9,208,149
- -
3,457,578 17,287,892
1,466,976 7,334,878
10,713,185 3,428,219 17,141,096
1,765,050 564,816 2,824,080
- -
5,011,022 25,055,111
1,878,914 9,394,568
937,379 4,686,893
- -
2,461,524 787,688 3,938,438
3,040,445 972,942 4,864,712
- - -
- - -
1,634,961 523,187 2,615,937
- - -
- -
2,679,232 857,354 4,286,771
- -
6,521,967 2,087,029 10,435,147
10,139,538 3,244,652 16,223,260
- -
- -
44,938,550 33,478,777 179,047,268
46,303,886 43,481,322 230,425,331
PENGHASIL KEBERSAMAAN JUMLAH

B
62.50% 20.0%
9,027,660 2,888,851 14,444,256

- -
5,822,796 1,863,295 9,316,473
- -
3,534,152 17,670,762
-
- -
1,027,401 5,137,007
5,438,533 40,285,427
7,518,934 37,594,671
682,668
- -
26,176,643 8,376,526 41,882,629
- -
- - -
- - -
498,284 2,491,421
1,329,523 6,647,616
1,046,230 5,231,149
5,232,444.63 1,674,382 8,371,911
- -
695,251 3,476,253
393,708 1,968,539
983,829 4,919,147
-
- -
671,047 3,355,236
298,973 1,494,863
1,097,620 5,488,098
273,782 1,368,910
1,310,162 6,550,810
- -
5,190,024 25,950,122
-
- -
- -
- -
- -
- -
- -
46,259,543 46,110,507 244,327,966
92,563,429 89,591,829 474,753,298
297,729,003.64
154,763,042.79 -
29,756
15.00%
21,832,929 733,758,600.00
5,302,283 18,462,820 4.25

- -
8,733,172 30,409,350 7.00
1,559,495 5,430,241 1.25
935,697 3,258,145 0.75
1,247,596 4,344,193 1.00
5,704,545
4,054,687 14,118,627 3.25
81,727,920
474,753,298
601,335,302
1,076,088,600 -
297,729,004
- 89,591,829
Yg Mo D bagi
464,702,433
<=Masih Sisah Yg Mo D bagi
14,503,622 Poli 23,624,508

11,587,800 Bedah 13,414,864
4,931,077 HCU 5,589,191
8,383,273 Interna 3 13,295,414
3,363,225 Interna 1 6,900,273
1,927,276 VIP 8,139,399
4,809,926 Anak 18,807,829
1,792,782
563,941
51,862,921.47 89,771,478.38
10,733,676.23 Poli 19,485,727.56

9,316,077.48 Bedah 10,713,185.27
3,478,017.73 HCU 1,765,049.74
3,606,182.14 Interna 3 10,372,735.10
2,119,724.13 Interna 1 4,400,926.72
- VIP 5,636,740.53
2,526,762.23 Anak 15,033,066.39
407,467.47
-
32,187,907.41 67,407,431.31
298,543,938.58 -
3,769,945 Poli 4,138,780

2,271,723 Bedah 2,701,679
1,453,059 HCU 3,824,142
4,777,091 Interna 3 2,922,679
1,243,501 Interna 1 2,499,346
1,927,276 VIP 2,502,658
2,283,164 Anak 3,774,763
1,385,314
563,941
19,675,014.06 22,364,047.06
1252.10 Poli 1374.60
754.50 Bedah 897.30
482.60 HCU 1,270.10
1,586.60 Interna 3 970.70
413.00 Interna 1 830.10
640.10 VIP 831.20
758.30 Anak 1,253.70
460.10
187.30
6,534.60 7,427.70
3,769,945.38 Poli 4,138,780.39

2,271,722.54 Bedah 2,701,678.77
1,453,059.37 HCU 3,824,141.55
4,777,090.76 Interna 3 2,922,678.69
1,243,500.87 Interna 1 2,499,346.43
1,927,275.81 VIP 2,502,658.42
2,283,163.95 Anak 3,774,762.82
1,385,314.17
563,941.20
19,675,014.06 22,364,047.06
- Poli -
- Bedah -
- HCU -
- Interna 3 -
- Interna 1 -
- VIP -
- Anak -
-
-
- -
- Poli -
(0.00) Bedah -
- HCU -
- Interna 3 -
- Interna 1 -
- VIP -
- Anak -
-
-
(0.00) -
- Poli -
- Bedah -
- HCU -
- Interna 3 -
- Interna 1 -
- VIP -
- Anak -
- -
- -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- -
-
-
5,704,545
TEKNIS MEDIK 3 407,467
CSSD 3 407,467
TIM PPHP 1 135,822
CASE MANAGER 2 271,645
KOMITE MEDIK 3 407,467
KOMITE KEPERAWATAN 5 679,112
KOMITE FARMASI DAN TERA 2 271,645
KOMITE LAINNYA 2 271,645
KOMITE PPI 4 543,290
KOMITE PMKP 4 543,290
KOMITE PKRS 1 135,822
KOMITE PROGNAS 2 271,645
PPRA 2 271,645
KOMITE K3 1 135,822
Pengelola Website 3 407,467
DIKLAT 4 543,290
TIM AUDIT -
42 5,704,545
UGD 13,571,801 Karu Wakaru 14,118,627
Ok Anastesi 12,591,005 Komite -
Nifas 13,070,647 Diklat 543,290
Ponek 9,671,969 Tim Audit -
Irdo 8,694,031
ISOLASI 5,144,377
Dokter 162,451,371
225,195,199.89 14,661,917
UGD 9,140,662 Karu 14,118,626.89

Ok Anastesi 9,816,161 Diklat 543,289.96
Nifas 10,139,538 Tim Audit -
Ponek 6,521,967
Irdo 5,755,093
isolasi 2,812,136
Dokter 154,763,043
198,948,599.86 - 14,661,916.85
UGD 4,431,139 Karu

Ok Anastesi 2,774,844 Diklat
Nifas 2,931,109 Tim Audit
Ponek 3,150,001
Irdo 2,938,938
Satgas 2,332,242
Dokter 7,688,328
26,246,600.03
UGD 1471.70 Karu Wakaru
Ok Anastesi 921.60
Nifas 973.50
Ponek 1,046.20
Irdo 976.10
ISOLASI 774.60
Dokter 2,553.50
8,717.20 29,755.85 29,755.85
5,393.30
UGD 4,431,138.58
Ok Anastesi 2,774,843.60
Nifas 2,931,109.20
Ponek 3,150,001.49
Irdo 2,938,937.54
ISO 2,332,241.59
Dokter 7,688,328.04
26,246,600.03 89,591,829.21
UGD - -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
ISO -
Dokter -
- -
UGD - -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
ISO -
Dokter -
- (0.00)
UGD -
Ok Anastesi -
Nifas -
Ponek -
Irdo -
ISO -
Dokter -
- -
464,702,433.33
375,110,604.12 464,702,433.33
89,591,829.21
DAFTAR PENERIMAAN REMUNERASI JASA PELAYAN
BP RSUD TANI DAN NELAYAN BOALE
BULAN Nov-21
NO NAMA JABATAN
Juni
1 dr. Rahmawaty Dai, MARS DIREKTUR
JUMLAH
Direktur cuti 6 hari

AN REMUNERASI JASA PELAYANAN ASKES SOSIAL
RSUD TANI DAN NELAYAN BOALEMO
JASA MEDIS ( 5 % ) JUMLAH KOTOR PAJAK JUMLAH DITERIMA PEMBULATAN TANDA TANGAN
PPH
Rp 18,462,820 Rp - Rp - 1
Rp 18,462,820 Rp 18,462,820 Rp 2,769,422.97 Rp 15,693,397 1
Rp 18,462,820 Rp 18,462,820 Rp 2,769,423 Rp 15,693,397

INDEKS TIDAK TERKAIT PELAYANAN
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNG JAWAB
PEND.
NO NAMA JABATAN
BEBAN
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT
K/R
I Jasa pelayanan Lainnya

JASA KEBERSAMAAN
III
TOP MANAGEMENT
1 dr. Ruslyaraz, M. Kes Ka.Bid Pelayanan Medis IVB 2.80 s2 6.50 MK 3 - 5 2.5 F 7.0 Kabid 6.0 h21
KaBag Administrasi
2 Djaria Abdul Azis, S. Sos Umum Dan Keuangan
IVA 2.60 S1 6.00 MK 0 - 1 1.5 F 7.0 Kabid 6.0 h21
3 Hernawati Hamzah, SST Kabid Penunjang Medis IVA 2.60 S1 6.00 MK 0 - 1 1.5 F 7.0 Kabid 6.0 h21
Kepala Bidang
4 Sri Dewi Angraini Suratinoyo Keperawatan
IIID 2.40 s1 6.00 MK 3 - 5 2.5 F 7.0 Kabid 6.0 h21
KaSuBag Perencanaan
5 Jufri Yusup, SKM, M.Si dan Evaluasi
IIIC 2.20 s2 6.50 MK 0 - 1 1.5 F 7.0 Kasubid 5.5 h21
6 Karsum Y. Nauko, SKM Kasubag. Kepegawaian IIID 2.40 s1 6.00 MK 3 - 5 2.5 F 7.0 Kasubid 5.5 h21
7 Felmi Manoppo, SKM Kasie JangMed IIIC 2.20 s1 6.00 MK 1 - 3 2.0 F 7.0 Kasubid 5.5 h21
KaSie Penunjang Non
8 Marsela Dumbela, S.Si, M.M Medik
IIID 2.40 s2 6.50 MK 0 - 1 1.5 F 7.0 Kasubid 5.5 h21
9 Rusni Hamid,SE Kasubag Keuangan IIIC 2.20 s1 6.00 MK 0 - 1 1.5 F 7.0 Kasubid 5.5 h21
10 Fatma Habi, SST KaSie Pelayanan Medik IIID 2.40 S1 6.00 MK 9 3.0 F 7.0 Kasubid 5.5 h21
11 Abdul Azis Mukmin, SST Kasie Diagnosa dan RM IIID 2.40 s1 6.00 MK 0 - 1 1.5 F 7.0 Kasubid 5.5 h21
KaSie Asuhan
12 Nurtin Mahieu, SKM Keperawatan & IIIC 2.20 s1 6.00 MK 1 - 3 2.0 F 7.0 Kasubid 5.5 h21
Kebidanan
KaSie Mutu & Etika

13 Yulinda Ibrahim,A.Md.Kep Profesi
IIID 2.40 D3 5.00 MK 9 3.0 F 7.0 Kasubid 5.5 h21
Jumlah
Total
Masuk
rusni hamid
Keluar
helmi karim
DAFTAR PENERIMAAN REMUNERASI
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
Apr-21
INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI

JASA PELAYANAN LAINNYA
KINERJA SIKAP KERJA INDEKS
BONUS 2.5
TOTAL NILAI INDEKS
%
(-) nilai
indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA KEBERSAMAAN
Indeks indeks
Rp 89,591,829
TOTAL INDEKS SELURUH 29,756

- 977.70 977.70 30,409,350 Rp -
30,409,350
42.0 42.0 42.0 0.50 6.0 4.0 10.50 77.30 77.30 Rp 2,404,258 Rp 232,742
42.0 2 40.0 40.0 0.50 6.0 4.0 10.50 73.60 73.60 Rp 2,289,177 Rp 221,602
42.0 42.0 42.0 0.75 6.0 4.0 10.75 75.85 75.85 Rp 2,359,158 Rp 228,377
42.0 42.0 42.0 3.50 6.0 4.0 13.50 79.40 79.40 Rp 2,469,574 Rp 239,065
42.0 42.0 42.0 1.75 6.0 4.0 11.75 76.45 76.45 Rp 2,377,820 Rp 230,183
42.0 42.0 42.0 0.25 6.0 4.0 10.25 75.65 75.65 Rp 2,352,938 Rp 227,774
42.0 42.0 42.0 0.25 6.0 4.0 10.25 74.95 74.95 Rp 2,331,166 Rp 225,667
42.0 42.0 42.0 0.25 6.0 4.0 10.25 75.15 75.15 Rp 2,337,386 Rp 226,269
42.0 42.0 42.0 0.50 6.0 4.0 10.50 74.70 74.70 Rp 2,323,390 Rp 224,914
42.0 8 34.0 34.0 1.00 6.0 4.0 11.00 68.90 68.90 Rp 2,142,993 Rp 207,451
42.0 42.0 42.0 0.25 6.0 4.0 10.25 74.65 74.65 Rp 2,321,835 Rp 224,764
42.0 42.0 42.0 0.25 6.0 4.0 10.25 74.95 74.95 Rp 2,331,166 Rp 225,667
42.0 42.0 42.0 1.25 6.0 4.0 11.25 76.15 76.15 Rp 2,368,489 Rp 229,280
977.70 977.70 Rp 30,409,350 Rp 2,943,755 Rp -
10.0 978 978 Rp 30,409,350 Rp 2,943,755 Rp -

JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMEN JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
T%
2,637,000 395,550 2,241,450 - 2,241,450 2,241,450 2
2,510,779 376,617 2,134,162 - 2,134,162 2,134,162 2
2,587,535 388,130 2,199,405 - 2,199,405 2,199,405 3
2,708,639 135,432 2,573,207 - 2,573,207 2,573,207 5
2,608,003 130,400 2,477,603 - 2,477,603 2,477,603
2,580,712 129,036 2,451,677 - 2,451,677 2,451,677 7

2,556,833 127,842 2,428,991 - 2,428,991 2,428,991 8
2,563,655 128,183 2,435,473 - 2,435,473 2,435,473 2
2,548,304 127,415 2,420,889 - 2,420,889 2,420,889 9

2,350,444 117,522 2,232,922 - 2,232,922 2,232,922 10
2,546,598 127,330 2,419,269 - 2,419,269 2,419,269 11
2,556,833 127,842 2,428,991 - 2,428,991 2,428,991 12
2,597,769 129,888 2,467,881 - 2,467,881 2,467,881
Rp 33,353,105 Rp 2,441,187 Rp 30,911,919 Rp - Rp 30,911,919 Rp 30,911,919
Rp 33,353,105 Rp 2,441,187 Rp 30,911,919 Rp - Rp 30,911,919 Rp 30,911,919

Rp 3,033,179 Rp 2,687,423 Rp 5,720,602
2,649,213 2,990,053
5,639,266
44287
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI
JASA PELAYANAN LAINN
MASA KERJA
BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI INDEKS
NO NAMA JABATAN
nilai INDEKS
indeks BEBAN K/Rindeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA
indeks
JASA KEBERSAMAAN
III
TOTAL INDEKS SELURUH
ADMINISTRASI 1849.1
1 Rosmalinda Abdul Humas 3.0 G 6.5 staf 0.0 h22 28.0 28.0 28.0 0.25 6.0 2.0 8.25 50.15 50.2 Rp -
2 Susanti Adam, S.Sos Staf Umum 0.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.70 66.7 Rp -
3 Walida Nuwa Staf kepegawaian 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
4 Farmin Biya Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50 69.5 Rp -
5 Rusdiyanto Abas Staf Farmasi 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.10 66.1 Rp -
6 Yusni Ismail Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
7 Iswan Djafar Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
8 Mahyudin Dakiyo Satpam 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
9 Dahniar Salmin Rauf Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
10 Isna Pambi Adm. Perawatan Anak 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
11 Delpin Abadi Adm. OK 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
12 Non Non Laise Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
13 Sulastri Entengo Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.30 69.3 Rp -
14 Hardin Ishak Staf Farmasi 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
15 Amna Mobi Kasir 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
16 Wawin Adjami Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
17 Hasda Yusuf Musa Kasir 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
18 Maryam Saliko Kasir 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
19 Rosnawati Dengo Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
20 Nurmila Arief Adm. Tekhnisi 3.0 G 6.5 staf 0.0 h22 28.0 28.0 28.0 6.0 4.0 10.00 51.90 51.9 Rp -
21 Ronald. I.K. Entengo Adm. UTD 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.70 64.7 Rp -
22 Linda Bata Staf RM 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.9 Rp -
23 Arlin Ajiria, S.Kep Adm. Isolasi 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50 69.5 Rp -
24 Yulindawati Dj.Maku, SST Staf 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 70.15 70.2 Rp -
25 Fadli Alweni, S.AP Staf kepegawaian 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50 69.5 Rp -
26 Abdul Muthalib Mappa PJ. Security & Evakuasi 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.50 69.5 Rp -
27 Sapril Adam Pengadministrasi Umum 3.0 G 6.5 staf 0.0 h21 42.0 1 41.0 41.0 6.0 4.0 10.00 64.90 64.9 Rp -
28 Rizal Adipu Pengadministrasi Umum 1.5 G 6.5 staf 0.0 h20 56.0 56.0 56.0 0.25 6.0 4.0 10.25 78.65 78.7 Rp -
1,849.05 - 1,849.05 Rp -
AN BOALEMO
SA PELAYANAN LAINNYA
BONUS PAJAK PUNISHMENT
JUMLAH KOTOR JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA PEMBULATAN TANDA TANGAN
2.5 % ( PPH ) %
KEBERSAMAAN
Rp 89,591,829
#REF! #REF!
29,756
Rp 150,997 Rp - Rp 150,997 Rp - Rp 150,997 - Rp 150,997 Rp 150,997 Rp 150,997

Rp 200,827 Rp - Rp 200,827 Rp 10,041 Rp 190,786 - Rp 190,786 Rp 190,786 Rp 190,786
Rp 198,418 Rp - Rp 198,418 Rp - Rp 198,418 - Rp 198,418 Rp 198,418 Rp 198,418 cuti sakit
Rp -
Rp 5,567,301 Rp - Rp 5,567,301 Rp 72,886 Rp 5,494,415 Rp - Rp 5,494,415 Rp 5,494,415 Rp 5,494,415
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NEL
44287
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA INDEKS
PENDIDIKAN
NO NAMA JABATAN TOTAL NILAI INDEKS
BEBAN nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK AKHIR
K/R indeks

JASA KEBERSAMAAN
III
INSTALASI PELAYANAN MEDIK

Instalasi UGD
1 Suritno Tangiyo, S. Kep Karu IIIA 1.80 S1 6.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.80 71.80
2 Suriyanto Sarifudin Wakaru IId 1.60 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
3 Yurita Machmud, A.Md.kep Perawat UGD IIIB 2.00 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.00 71.00
4 Rohkmiyanti Mohamad, A.Md.Kep Perawat UGD IIC 1.40 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40 70.40
5 Amelia Marcelina,S.Kep,Ns Perawat UGD Iib 1.20 S1 6.00 MK 9 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
6 Fandaria A. Nusi, S.Kep. Ns Perawat UGD Iib 1.20 S1 6.00 MK 6 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
8 Mukmin Mutia Paula, S.Kep.Ns Perawat UGD Iib 1.20 S1 6.00 MK 3 - 5 2.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70 70.70
8 Marcella Djailani, A.Md.Kep Perawat Anak IIB 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
9 Zulkarnain Mopangga, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
10 Rio Ganda Saputra, S. Tr. Kep Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Harun Nasir,A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 9 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
12 Feriyanto Iyabu,A.Md.Kep Perawat UGD Iib 1.20 d3 5.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
13 Kersmial Lila, A.md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
14 Mohamat Hiyonu, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
15 Dedik Irawanto, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
16 Agus Sudrajat, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
17 Fitriyanto Wolango, A.Md.Kep Perawat UGD Iib 1.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
18 Agus, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 6 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
19 Syamsul Qamar Tahala, S.Tr.Kep Perawat UGD IIb 1.20 S1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70 69.70
20 Moh. Rizal Nihe, A.Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
21 Al Siti Nur Hariyati, S.Tr.Kep Perawat Isolasi IIB 1.20 S1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70 69.70
TOTAL INDEKS
JUMLAH - 1,472 - 1,472
CUTI
NERASI
ANI DAN NELAYAN BOALEMO
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA
JASA KEBERSAMAAN
Rp 89,591,829
Rp 65,844 Rp 13,505,957
9,140,662 Rp -
- Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
445,947 Rp 216,182 Rp - Rp 662,129 Rp 33,106 Rp 629,023 Rp - Rp 629,023 Rp 629,023 1

438,493 Rp 212,569 Rp - Rp 651,063 Rp - Rp 651,063 Rp - Rp 651,063 Rp 651,063 2
Rp 9,140,662.31 Rp 4,431,138.58 Rp - Rp 13,571,800.89 Rp 65,844.03 Rp 13,505,956.87 Rp - Rp 13,505,956.87 Rp 13,505,956.87

44287
INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI

KINERJA SIKAP KERJA INDEKS
NO NAMA JABATAN TOTAL NILAI INDEKS BONUS 2.5 %
nilai
KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA KEBERSAMAAN
indeks
I Jasa pelayanan Lainnya Rp 89,591,829

JASA KEBERSAMAAN
III
Instalasi UGD 2,812,136 Rp -
1 Natalia Makuta, S.Kep Karu h21 42.0 42.0 42.0 6.0 4.0 10.00 72.20 72.20 Rp 262,117 Rp 217,387 Rp -
2 Karmila Lagune, A.Md.Kep Wakaru h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40 Rp 259,213 Rp 214,978 Rp -
3 Susanti Veronika Umar, S.Tr.Kep Perawat UGD h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20 Rp 254,857 Rp 211,365 Rp -
7 Sri Delviaty Arbi, A.Md.Kep Perawat Interna Kls 1 & 2 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70 Rp 249,411 Rp 206,849 Rp -
5 Dendris Dunggio, S.Tr.Kep Perawat HCU h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60 Rp 256,309 Rp 212,569 Rp -
6 Zulfikar, A.md.Kep Perawat UGD h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20 Rp 254,857 Rp 211,365 Rp -
7 Andrew B. Pello, A.Md.Kep Klinik Jantung h21 42.0 42.0 42.0 6.0 4.0 10.00 71.00 71.00 Rp 257,761 Rp 213,774 Rp -
9 Rosniati Ishak, S.Kep.Ns Perawat Bedah h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60 Rp 256,309 Rp 212,569 Rp -
10 Aistria Mokoagow, S.Kep.Ns Perawat UGD h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20 Rp 254,857 Rp 211,365 Rp -
11 Elmi Sulistiyana Harun, S.Kep.Ns Perawat Interna Kls 3 & Isolasi h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60 Rp 256,309 Rp 212,569 Rp -
12 Ade Irma M. Nanue, A.Md, Kep Perawat Isolasi h21 42.0 42.0 42.0 6.0 4.0 10.00 68.90 68.90 Rp 250,137 Rp 207,451 Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
TOTAL INDEKS
JUMLAH - 774.60 - 774.60 Rp 2,812,136 Rp 2,332,242 Rp -
OALEMO
JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA
Rp 71,262 Rp 5,073,116
Rp 479,504 Rp 23,975 Rp 455,529 Rp - Rp 455,529 Rp 455,529 2

Rp 474,191 Rp 23,710 Rp 450,482 Rp - Rp 450,482 Rp 450,482 2
Rp 466,222 Rp - Rp 466,222 Rp - Rp 466,222 Rp 466,222 2
Rp 456,260 Rp - Rp 456,260 Rp - Rp 456,260 Rp 456,260
Rp 468,878 Rp - Rp 468,878 Rp - Rp 468,878 Rp 468,878
Rp 466,222 Rp - Rp 466,222 Rp - Rp 466,222 Rp 466,222
Rp 471,535 Rp 23,577 Rp 447,958 Rp - Rp 447,958 Rp 447,958
Rp 468,878 Rp - Rp 468,878 Rp - Rp 468,878 Rp 468,878
Rp 466,222 Rp - Rp 466,222 Rp - Rp 466,222 Rp 466,222
Rp 468,878 Rp - Rp 468,878 Rp - Rp 468,878 Rp 468,878
Rp 457,588 Rp - Rp 457,588 Rp - Rp 457,588 Rp 457,588 20
Rp - Rp - Rp - Rp - Rp - Rp -
Rp 5,144,377 Rp 71,262 Rp 5,073,116 Rp - Rp 5,073,116 Rp 5,073,116

KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA
NO NAMA JABATAN PENDIDIKAN
BEBAN
GOL indeks STRATA indeks MK indeks indeks
K/R
JASA KEBERSAMAAN
III

VIP
1 Sri Indah Nurmayanti, S.Kep Karu IIID 2.40 S1 6.00 MK 9 3.0 E 8.0
2 Indriyani Paputungan, A.Md.Kep Wakaru IIIc 2.20 D3 5.00 MK 6 3.0 E 8.0
3 Triyanto Timbul, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0
4 Tri Yunita, A.Md.Kep Perawat VIP IIIC 2.20 D3 5.00 MK 6 3.0 E 8.0
5 Eka W. Djakatara, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 5 3.0 E 8.0
10 Asni Suleman,A.Md.Kep Perawat OK IIB 1.20 D3 5.00 MK 6 3.0 E 8.0
6 Nurhuda Hatta, A.Md.Kep Perawat VIP IIB 1.20 D3 5.00 MK 5 3.0 E 8.0
8 Eka Ulan Purnamasari, S.Tr.Kep Perawat HCU IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0
9 Aprizal Koungo, A.Md.Kep Perawat VIP IIC 1.40 D3 5.00 MK 1 - 3 2.0 E 8.0
10 Rusni Karim, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0
8 Mellisa Ismail, A.Md.Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0
13 Sri Oktaviani Moha, A. Md, Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0
JUMLAH
keluar
Ramlah Podungge, S.Kep.Ns
Perhitungan Prosentase
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kuantitas Kinerja 30
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi Non Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka PusKTU/Pr Non Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran

% Jalankan Tupoksi
Range:0-30 hadir/hari kerjax15
kerjakan/jml tugasx15
Kualitas Kinerja Ktepatan Wkt Penyelesaian Kemandirian

Range:0-40 Hdr tepat/hr kerjax15
selesai tpt wkt/jml
kerjaka
tgsx15mndr/jml tgsX10
Reward Non Teladan Teladan I Kab Teladan I Prov Teladan I Nas

Range:0-15%Indeks 0 Plus 5% Plus 10% Plus 15%
Punishment Non Pelanggaran

Pelanggaran RPelanggaran Sdg Pelanggaran Brt
Range: 0-!00% Indeks 0 Minus 20% Minus 50% Minus 100%
PEMBAGIAN HONOR JASA PELAYANAN

BERDASARKAN REMUNERASI PUSKESMAS PANGI
TAHUN 2010
JASA PELAYANAN PERIODE: JANUARI 2007 s/d DESEMBER 2009
JASA PELAYANAN TGL. 1 s/d 31 M
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT
NO NAMA
GOL IND STRATA
INDEKS KHUS IND KERJA
I Jasa pelayanan med 40%
Japel Pelayanan Paramedis/dll 60%
II Jumlah Indeks Medis
Jumlah Indeks Paramedis/dll
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0
4 Husain Saud IIIB 2.60 SPK 3.00 8.0
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0
10 Astri Yunita IIA 1.60 SPK 3.00 6.0
11 Harsono IIC #REF! D3 Gizi 4.00 8.0
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0
16 Noni Adam IIA 1.60 SMA 2.50 4.0
17 Yamin Aliwu K 1.60 SMP 2.00 4.0
18 Norman Kobi K 1.60 SMA 2.50 4.0
19 Elan Radjak K 1.60 SMA 2.50 4.0
20 Melda Yadjitala K 1.60 SMA 2.50 4.0
JUMLAH
Kepala Puskesmas Pangi
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN B
44287
ANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI
TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI

INDEKS
(-) nilai
JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK
Indeks indeks
TOTAL INDEKS SE
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60
staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.40
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
- 831
III B III A II D II A IC
2.6 2.4 2.2 1.60 1.2
SLTA Kes
SLTA SLTP
3 2.5 2
Teladan I Nas
Plus 15%
Pelanggaran Brt
Minus 100%
LAYANAN TGL. 1 s/d 31 Maret 2006

BOBOT TANGG KINERJA SUBSIDI
BONUS
KERJA JAWAB KUANT PAJAK
### 30.0 0.00

8.00 30.0 0.00
5.00 3.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 30.0 0.00
8.00 27.0 0.00
8.00 28.0 0.00
8.00 28.0 0.00
8.00 30.0 0.00
5.00 25.0 0.00
5.00 30.0 0.00
5.00 20.0 0.00
5.00 25.0 0.00
mas Pangi
l, MPH
1 942
AN REMUNERASI
SAKIT TANI DAN NELAYAN BOALEMO
7
NILAI
INDEKS
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH )
AKHIR JASA KEBERSAMAAN
Rp 89,591,829
Rp 103,701
5,636,741 Rp -
71.40 484,195 Rp 214,978 Rp - Rp 699,174 Rp 34,959

70.20 476,058 Rp 211,365 Rp - Rp 687,423 Rp 34,371
68.70 465,886 Rp 206,849 Rp - Rp 672,734 Rp -
70.20 476,058 Rp 211,365 Rp - Rp 687,423 Rp 34,371
69.20 469,276 Rp 208,354 Rp - Rp 677,630 Rp -
69.20 469,276 Rp 208,354 Rp - Rp 677,630 Rp -
69.20 469,276 Rp 208,354 Rp - Rp 677,630 Rp -
69.60 471,989 Rp 209,559 Rp - Rp 681,547 Rp -
68.40 463,851 Rp 205,945 Rp - Rp 669,797 Rp -
69.20 469,276 Rp 208,354 Rp - Rp 677,630 Rp -
68.20 462,495 Rp 205,343 Rp - Rp 667,838 Rp -
67.70 459,104 Rp 203,838 Rp - Rp 662,942 Rp -
831 Rp 5,636,741 Rp 2,502,658 Rp - Rp 8,139,399 Rp 103,701

IB Hnr /Kontrak/PTT dr/drg.PTT
1 1.6 2.4
INDEX JASA PELAYANAN JUMLAH
TOTAL Medis Para medis dll KOTOR
Rp 3,200,000
Rp 4,800,000
#REF!
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Tilamuta, 29 Oktober 2010

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
PUNISHMENT
JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
#REF!
Rp 664,215 Rp - Rp 664,215 Rp 664,215 1

Rp 653,052 Rp - Rp 653,052 Rp 653,052
Rp 672,734 Rp - Rp 672,734 Rp 672,734 Cuti Melahirkan
Rp 653,052 Rp - Rp 653,052 Rp 653,052
Rp 677,630 Rp - Rp 677,630 Rp 677,630
Rp 677,630 Rp - Rp 677,630 Rp 677,630
Rp 677,630 Rp - Rp 677,630 Rp 677,630
Rp 681,547 Rp - Rp 681,547 Rp 681,547
Rp 669,797 Rp - Rp 669,797 Rp 669,797 25
Rp 677,630 Rp - Rp 677,630 Rp 677,630
Rp 667,838 Rp - Rp 667,838 Rp 667,838
Rp 662,942 Rp - Rp 662,942 Rp 662,942
Rp 8,035,698 Rp - Rp 8,035,698 Rp 8,035,698

PPH JUMLAH TANDA
Rp 0 DITERIMA TANGAN
#REF! 1
#REF! 2
#REF! 3
#REF! 4
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#REF! 13
#REF! 14
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#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TAHUN 2012
44287
PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
NO NAMA JABATAN NILAI
(-) nilai INDEKS
GOL indeks STRATA indeks MK indeks BEBAN K/R indeks JABATAN indeks KUANT indeks Indeks indeks TOTAL P D L T TOTAL PAJAK AKHIR
JASA KEBERSAMAAN
III
INSTALASI PELAYANAN MEDIK ### ### 0.0 0.00 0.00
Instalasi Rawat Inap OK

1 Sarifudin Jailani, S.Kep.Ns Perawat OK IIID 2.40 S1 6.00 MK 8 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 72.40 72.40
2 Sulha Talamowa, A.Md.Kep Perawat OK IIID 2.40 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
3 David Suleman, A.Md.Kep Perawat OK IIID 2.40 D3 5.00 MK 8 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
4 Moh.Syamsu Hidayat, A.Md.Kep Perawat OK IIIC 2.20 D3 5.00 MK 7 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
5 Nur Fitri Latidi,A.Md.Kep Perawat OK IIC 1.40 D3 5.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40 70.40
6 Rahmat Darise, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 5 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
7 Nur Fadilah, S.Kep.Ns Perawat OK IIB 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
8 Yulianti Ismail M. Ali, A.Md, Kep Perawat OK IIB 1.20 D3 5.00 MK 5 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
9 Rolin Hasan,A.Md.Kep Perawat OK IIB 1.20 D3 5.00 MK 6 3.0 C 9.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
10 Mirnawati Malae, S.Kep.Ns Perawat UGD Iib 1.20 S1 6.00 MK 1 - 3 2.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Ahmad Pakaya, S.Tr.Kep, Perawat Ns IID
Interna Kls 3 & Isolasi 1.60 s1 6.00 MK 0 - 1 1.5 C 9.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
778.90
ANASTESI
1 I Ketut Suwastika, A.Md.Kep Penata Anastesi IIIC 2.20 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 71.45 71.45
2 Irwan Djafar, A.Md.Kep Penata Anastesi IIIB 2.00 D3 5.00 MK 9 3.0 C 9.0 staf 0.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 71.25 71.25
142.70
TOTAL INDEKS
JUMLAH - 921.6 921.6
- 0
MENGETAHUI
DIREKTUR BLUD RSU TANI DAN NELAYAN
dr MUH JAMAL MPH, AAAK
NIP 196805112001121 003
ASI
DAN NELAYAN BOALEMO

BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
JASA KEBERSAMAAN
Rp 89,591,829
Rp 329,772 Rp 12,261,233
AL INDEKS SELURUH 29,756
Rp 7,136,929 Rp -
Rp -
7,136,929 Rp -
652,394 Rp 214,376 Rp - Rp 866,770 Rp - Rp 866,770 Rp - Rp 866,770 Rp 866,770
- Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
2,679,232
1,341,493 Rp 215,129 Rp - Rp 1,556,622 Rp 77,831 Rp 1,478,791 Rp - Rp 1,478,791 Rp 1,478,791 1
1,337,738 Rp 214,526 Rp - Rp 1,552,265 Rp 77,613 Rp 1,474,652 Rp - Rp 1,474,652 Rp 1,474,652 2
2,679,232 Rp -
Rp -
Rp 9,816,161 Rp 2,774,844 Rp - Rp 12,591,005 Rp 329,772 Rp 12,261,233 Rp - Rp 12,261,233 Rp 12,261,233
TILAMUTA, AGUSTUS 2013

BENDAHARA ASKES
MIRNA IBRAHIM
NIP 197903042006042 019
44287
INDEKS TIDAK TERKAIT PELAYANAN SUBSIDI NILAI

PANGKAT / GOL INDEKS
NO NAMA JABATAN TOTAL NILAI INDEKS BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT %
GOL PAJAK AKHIR JASA KEBERSAMAAN

JASA KEBERSAMAAN
III Rp 656,458
Klinik Interna
1 Afrianti Arafah, A.md.Kep Poli Interna IIB 68.20 68.20 1,871,858 Rp 205,343 Rp - Rp 2,077,201 Rp - Rp 2,077,201 Rp -
Klinik Interna Geriatri

perawat interna geriatri
merangkap perawat THT
3 Sofyan Hasan, A.Md.Kep IIB 67.20 67.20 1,674,959 Rp 202,332 Rp - Rp 1,877,291 Rp - Rp 1,877,291 Rp -
merangkap klinik Jantung
klinik Jiwa
Klinik Gizi
Klinik Gizi merangkap Klinik
1 Sri Asta novia Nasim, AMG IIIC 69.20 0.00 - Rp 208,354 Rp - Rp 208,354 Rp 10,418 Rp 197,936 Rp -
Umum/KIR
Klinik Kebidanan
1 Jamila Gunung, A.Md.Keb Perawat VK/Keb IIID 69.40 69.40 665,017 Rp 208,956 Rp - Rp 873,974 Rp 43,699 Rp 830,275 Rp -
12 Desy Arisandi Tahala, A.Md, Keb Perawat VK/Keb IID 67.10 67.10 665,017 Rp 202,031 Rp - Rp 867,048 Rp - Rp 867,048 Rp -
Klinik THT
Klinik Syaraf
1 Yulda Anwar, A.Md.Kep Syaraf IIIB 69.00 69.00 446,254 Rp 207,752 Rp - Rp 654,006 Rp 32,700 Rp 621,306 Rp -
2 Sriyanti Palay, A.Md.Kep Syaraf IIIA 68.80 68.80 446,254 Rp 207,150 Rp - Rp 653,404 Rp 32,670 Rp 620,733 Rp -
Rp -
Klinik Gigi Rp - Rp - Rp - Rp - Rp - Rp -
1 Juriah, A.Md, Kes Poli Gigi IIIA 68.80 68.80 1,311,310 Rp 207,150 Rp - Rp 1,518,460 Rp 75,923 Rp 1,442,537 Rp -
2 Ni Made Sumini, A.M.Kg Klinik Gigi IIID 69.40 69.40 1,031,898 Rp 208,956 Rp - Rp 1,240,854 Rp 62,043 Rp 1,178,812 Rp -
Rp -
Klinik Ortopedy Rp - Rp - Rp - Rp - Rp - Rp -
Klinik Bedah Rp - Rp - Rp - Rp - Rp - Rp -
1 Nurfatni, A.md.Kep Perawat Bedah IIB 68.20 68.2 761,877 Rp 205,343 Rp - Rp 967,220 Rp - Rp 967,220 Rp -
29 Arfan Habu, A.Md.Kep Perawat OK IIID 69.40 69.4 761,877 Rp 208,956 Rp - Rp 970,833 Rp 48,542 Rp 922,292 Rp -
Klinik Anak Rp - Rp - Rp - Rp - Rp - Rp -
10 Maria Rinni Lilir, A.Md.Kep Poli Anak IIIA 68.80 68.80 512,434 Rp 207,150 Rp - Rp 719,584 Rp 35,979 Rp 683,604 Rp -
Klinik Jantung Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
Rp -
Klinik Mata Index Ruangan Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
1 Rafil Hanapi,S.Kep,Ns Poli Mata IIIA 68.30 1.00 68.30 1,917,229 Rp 205,644 Rp - Rp 2,122,873 Rp 106,144 Rp 2,016,730 Rp -
11 Surtin Kadir, S.Kep.Ns Poli Mata IID 69.60 1.00 69.60 1,953,721 Rp 209,559 Rp - Rp 2,163,279 Rp - Rp 2,163,279 Rp -
12 Yuridistira Baderan,A.Md.Kep Perawat Mata IIC 66.90 1.00 66.90 1,877,930 Rp 201,429 Rp - Rp 2,079,359 Rp - Rp 2,079,359 Rp -
Rp -
Fisioterapi Rp -
13 Renirisma, Amd Fis Fisioterapi IIIC 69.20 69.20 772,413 Rp 208,354 Rp - Rp 980,768 Rp 49,038 Rp 931,729 Rp -
14 Muh. Akbar, S.Ft.Physio Fisioterapi IIIA 69.30 69.30 772,413 Rp 208,655 Rp - Rp 981,069 Rp 49,053 Rp 932,015 Rp -
3 Ratnawati, S.Kep Perawat Rehab/ Wakaru IIIC 70.20 70.20 467,041 Rp 211,365 Rp - Rp 678,406 Rp 33,920 Rp 644,485 Rp -
Rp -
Klinik Kulit dan Kelamin Rp -
15 Hasna Bakue,A.Md.Kep kulit IIB 68.20 68.20 258,598 Rp 205,343 Rp - Rp 463,941 Rp - Rp 463,941 Rp -
Klinik Umum Rp - Rp - Rp - Rp - Rp - Rp -
1 Yolla Oktavia Pangau, A.Md.Kep Karu IIID 69.40 69.4 1,317,627 Rp 208,956 Rp - Rp 1,526,584 Rp 76,329 Rp 1,450,255 Rp -
Klinik Jiwa Rp - Rp - Rp - Rp - Rp - Rp -
17 Rp -
Rp -
Rp -
Rp -
TOTAL INDEKS
JUMLAH 1374.6 3.0 1305.4 Rp 19,485,728 Rp 4,138,780 Rp - Rp 23,624,508 Rp 656,458 Rp 22,968,050 Rp -
Rp 19,485,728
Rp -
CUTI
Perawat Klinik Kulit & Klinik
15 Dia Ade Fatma, A.Md.Kep IIB 0.00 0.00 - Rp - Rp - Rp - Rp - Rp -
Jiwa Rp -
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IC IB Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 4 1.2 1 1.6 2.4
Strata Pendidikan S3
Range: 1,75-6 6
Bobot Tupoksi Rgkp >

Range 4-10 10
Tanggung Jawab Ka Pus
Range: 5-10 10

Kualitas Kinerja Ktepata

Reward Non Teladan

Range:0-15%Indeks 0

Range: 0-!00% Indeks 0

TAHUN 2010
MASA KERJA SUBSIDI INDEX JASA PELAYANAN JUMLAH

NO NAMA
GOL PAJAK TOTAL Medis Para medis dll KOTOR
I Jasa pelayanan med 40% Rp 3,200,000
Japel Pelayanan Paramedis/dll 60% Rp 4,800,000
II Jumlah Indeks Medis #REF!
Jumlah Indeks Paramedis/dll #REF!
1 dr. M. Jamal, MPH, AAAK IIID #REF! #REF! #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF! #REF! #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF! #REF! #REF!
4 Husain Saud IIIB #REF! #REF! #REF!
5 Asni Lasena IIIB #REF! #REF! #REF!
6 Haryono Musa IIIA #REF! #REF! #REF!
7 Deyli Lengkong IIB #REF! #REF! #REF!
8 Yolanda Kelung IIA #REF! #REF! #REF!
9 Maryam Limalo IIA #REF! #REF! #REF!
10 Astri Yunita IIA #REF! #REF! #REF!
11 Harsono IIC #REF! #REF! #REF!
12 Felly Datunsolang IID #REF! #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! #REF! #REF!
14 Ida Popoy, Amd, Keb IIC #REF! #REF! #REF!
15 Sri Yulandi Noho, SKM IIIA #REF! #REF! #REF!
16 Noni Adam IIA #REF! #REF! #REF!
17 Yamin Aliwu K #REF! #REF! #REF!
18 Norman Kobi K #REF! #REF! #REF!
19 Elan Radjak K #REF! #REF! #REF!
20 Melda Yadjitala K #REF! #REF! #REF!
JUMLAH #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
Rp 22,968,050
Rp 2,077,201 Rp 2,077,201
Rp 1,877,291 Rp 1,877,291
Rp 197,936 Rp 197,936 2
Rp 830,275 Rp 830,275 69.40 Rp -

Rp 867,048 Rp 867,048
Rp 621,306 Rp 621,306
Rp 620,733 Rp 620,733 2
Rp - Rp -
Rp - Rp -
Rp 1,442,537 Rp 1,442,537 8
Rp 1,178,812 Rp 1,178,812 17
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 967,220 Rp 967,220
Rp 922,292 Rp 922,292 Rp 922,292 4
Rp - Rp -
Rp 683,604 Rp 683,604
Rp - Rp -
Rp - Rp -
Rp 2,016,730 Rp 2,016,730
Rp 2,163,279 Rp 2,163,279
Rp 2,079,359 Rp 2,079,359
Rp 931,729 Rp 931,729 16
Rp 932,015 Rp 932,015
Rp 644,485 Rp 644,485 14
Rp 463,941 Rp 463,941
Rp - Rp -
Rp 1,450,255 Rp 1,450,255
Rp - Rp -
Rp 22,968,050 Rp 22,968,050
Rp - Rp -
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
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#REF! 12
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#REF! 14
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#REF! 17
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#REF!
1
44287
PANGKAT KOMPETENSI
/ GOL PENDIDIKAN
(-) nilai INDEKS
GOL indeks STRATA indeks MK indeks BEBAN K/R indeks JABATAN indeks KUANT indeks Indeks indeks TOTAL P D L T TOTAL PAJAK AKHIR
JASA KEBERSAMAAN
III
Instalasi Rawat Inap ( Bedah )
1 Karmila, A.Md.Kep Karu IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
2 Hirmawati, A.Md.Kep Wakaru IIIC 2.20 D3 5.00 mk 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
3 Afriani Mahmud, A.Md.Kep Perawat Bedah IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
4 Siti Sundari, A.md, Kep Perawat Bedah IIC 1.40 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90 67.90
5 Nur Maya Rizeka Amalu, SKEPPerawat
NE Interna Kls 3 & Isolasi
IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 5 37.0 37.0 6.0 4.0 10.00 64.60 64.60
6 Risky Inaku, S. Kep,Ns Perawat Bedah IID 1.60 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
7 Ariyanto Maspekeh, A.Md.Kep Perawat Bedah IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
8 Suhartini, S.Kep.Ns Perawat Bedah IID 1.60 S1 6.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
9 Titin Restanti Kaharu, S.Kep.ns Perawat Bedah IID 1.60 S1 6.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10 70.10
10 Suhaeli Ningsih, A.Md.Kep Perawat Isolasi IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
11 Nurmutia Genti, A.Md.Kep Perawat Bedah IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
12 Sammia, S.Kep.Ns Perawat Bedah IID 1.60 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60 69.60
13 Abdul Rahman Yalini, A.Md, Kep Perawat Bedah IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
0.0
TOTAL INDEKS
JUMLAH - 897.30 897.30
Masuk
Siti Sundari
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1 SLTA Kes

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jmlkerjaka



TAHUN 2010
JASA PELAYANAN TGL. 1 s/d 31 Maret 2006
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX
NO NAMA BONUS
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF!
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 30.0 0.00 #REF!
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 30.0 0.00 #REF!
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 30.0 0.00 #REF!
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0 8.00 30.0 0.00 #REF!
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 30.0 0.00 #REF!
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 30.0 0.00 #REF!
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 30.0 0.00 #REF!
11 Harsono IIC #REF! D3 Gizi 4.00 8.0 8.00 30.0 0.00 #REF!
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0 8.00 30.0 0.00 #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0 8.00 27.0 0.00 #REF!
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0 8.00 28.0 0.00 #REF!
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0 8.00 28.0 0.00 #REF!
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00 #REF!
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00 #REF!
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00 #REF!
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00 #REF!
20 Melda Yadjitala K 1.60 SMA 2.50 4.0 5.00 25.0 0.00 #REF!
JUMLAH #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
ASI
DAN NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 89,591,829
Rp 157,426 #REF!
10,713,185 Rp -
838,143 Rp 211,365 Rp - Rp 1,049,508 Rp 52,475 Rp 997,033 Rp - Rp 997,033 Rp 997,033

838,143 Rp 211,365 Rp - Rp 1,049,508 Rp 52,475 Rp 997,033 Rp - Rp 997,033 Rp 997,033
838,143 Rp 211,365 Rp - Rp 1,049,508 Rp 52,475 Rp 997,033 Rp - Rp 997,033 Rp 997,033 3
810,682 Rp 204,440 Rp - Rp 1,015,122 Rp - Rp 1,015,122 Rp - Rp 1,015,122 Rp 1,015,122
Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp -

Hnr /Kontrak/PTT dr/drg.PTT
1.6 2.4
JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! 1
#REF! #REF! #REF! 2
#REF! #REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9
#REF! #REF! #REF! 10

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
DAFTAR PENERIM
BADAN LAYANAN UMUM DAERAH RUM
4
SUBSIDI NILAI
TOTAL INDEKS
INDEKS
PAJAK AKHIR JASA
JASA KEBERSAMAAN
III
Instalasi Rawat Inap ( HCU ) 1,765,050
1 Andariani R. Noho, A.Md.Kep Karu 71.20 71.20 98,946
2 Putri Kiki Pratiwi Helingo, A.MdKep Wakaru 71.20 71.20 98,946
3 Hastuti Suyitno, A.Md.Kep Perawat HCU 71.20 71.20 98,946
4 Willin Imran, A.Md.Kep Perawat HCU 71.20 71.20 98,946
5 Bachrun Reza Djufri, A.Md.Kep Perawat UGD 71.00 71.00 98,668
6 Safitri Iyabu, S. Kep, Ns Perawat HCU 71.60 71.60 99,502
7 Moh Fadli Mopangga, S.Kep.Ns Perawat HCU 71.10 71.10 98,807
8 Dian Octarina D.Ahmat,A.Md.Kep Perawat HCU 70.20 70.20 97,556
9 Arifah M. Noor,A.Md.Kep Perawat HCU 70.40 70.40 97,834
10 Poppy Sasmita Usu, S.Kep.Ns Perawat HCU 71.10 71.10 98,807
11 Nurfaizah Y. Rupu, S.Kep.Ns Perawat HCU 71.30 71.30 99,085
12 Moh. Frengki H. Domili,S.Kep.Ns Perawat HCU 70.30 70.30 97,695
13 Ratnanita Husain, S.Kep.Ns Perawat HCU 70.60 70.60 98,112
14 Gita Prastika S. Inaku,A.Md.Kep Perawat Isolasi 70.20 70.20 97,556
15 Yuliana Malanua, A.Md.Kep Perawat HCU 69.20 69.20 96,167
16 Ika Julianty Olii, A.Md, Kep Perawat HCU 69.90 69.90 97,140
17 Akmal Saputra Muhsin,A,Md,Kep Perawat HCU 68.70 68.70 95,472
18 Wahyu D. Latinapa, S.Tr.Kep, Ns Perawat Isolasi 69.70 69.70 96,862
TOTAL INDEKS 1270.10 1270.10

JUMLAH 1270.10 1270.10 Rp 1,765,050
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IC IB Hnr /Kontrak/PTT
Range: 1-4 1.2 1 1.6
Strata Pendidikan
Range: 1,75-6
Bobot Tupoksi
Range 4-10
Tanggung Jawab
Range: 5-10
Kuantitas Kinerja
Range:0-30
Kualitas Kinerja
Range:0-40
Reward
Range:0-15%Indeks
Punishment
Range: 0-!00% Indeks

TAHUN 2010
SUBSIDI INDEX JASA PELAYANAN

NO NAMA
PAJAK TOTAL Medis
1 dr. M. Jamal, MPH, AAAK #REF! #REF!
2 dr. Ruslyaras, S.Ked #REF! #REF!
3 drg. Endang Sulistyorini,SKG #REF! #REF!
4 Husain Saud #REF!
5 Asni Lasena #REF!
6 Haryono Musa #REF!
7 Deyli Lengkong #REF!
8 Yolanda Kelung #REF!
9 Maryam Limalo #REF!
10 Astri Yunita #REF!
11 Harsono #REF!
12 Felly Datunsolang #REF!
13 Yesti Sandy Yosef, Amd.Kep #REF!
14 Ida Popoy, Amd, Keb #REF!
15 Sri Yulandi Noho, SKM #REF!
16 Noni Adam #REF!
17 Yamin Aliwu #REF!
18 Norman Kobi #REF!
19 Elan Radjak #REF!
20 Melda Yadjitala #REF!
JUMLAH #REF! #REF!
ADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
44287
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT %
KEBERSAMAAN
Rp 89,591,829
Rp 124,823
29,756
Rp -
Rp 214,376 Rp - Rp 313,322 Rp 15,666 Rp 297,656 Rp -
Rp 214,376 Rp - Rp 313,322 Rp 15,666 Rp 297,656 Rp -
Rp 214,376 Rp - Rp 313,322 Rp 15,666 Rp 297,656 Rp -
Rp 214,376 Rp - Rp 313,322 Rp 15,666 Rp 297,656 Rp -
Rp 213,774 Rp - Rp 312,442 Rp 15,622 Rp 296,820 Rp -
Rp 215,580 Rp - Rp 315,082 Rp - Rp 315,082 Rp -
Rp 214,075 Rp - Rp 312,882 Rp - Rp 312,882 Rp -
Rp 211,365 Rp - Rp 308,922 Rp - Rp 308,922 Rp -
Rp 211,967 Rp - Rp 309,802 Rp - Rp 309,802 Rp -
Rp 214,075 Rp - Rp 312,882 Rp - Rp 312,882 Rp -
Rp 214,677 Rp - Rp 313,762 Rp 15,688 Rp 298,074 Rp -
Rp 211,666 Rp - Rp 309,362 Rp 15,468 Rp 293,894 Rp -
Rp 212,569 Rp - Rp 310,682 Rp - Rp 310,682 Rp -
Rp 211,365 Rp - Rp 308,922 Rp - Rp 308,922 Rp -
Rp 208,354 Rp - Rp 304,521 Rp - Rp 304,521 Rp -
Rp 210,462 Rp - Rp 307,601 Rp 15,380 Rp 292,221 Rp -
Rp 206,849 Rp - Rp 302,321 Rp - Rp 302,321 Rp -
Rp 209,860 Rp - Rp 306,721 Rp - Rp 306,721 Rp -
Rp 3,824,142 Rp - Rp 5,589,191 Rp 124,823 Rp 5,464,369 Rp -

dr/drg.PTT
2.4
JASA PELAYANAN JUMLAH

Para medis dll KOTOR
Rp 4,800,000
#REF!
#REF!
#REF!
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
#REF!
Rp 297,656 Rp 297,656 17 cuti April - mei

Rp 297,656 Rp 297,656
Rp 297,656 Rp 297,656 16
Rp 297,656 Rp 297,656 18
Rp 296,820 Rp 296,820 19
Rp 315,082 Rp 315,082
Rp 312,882 Rp 312,882
Rp 308,922 Rp 308,922 21
Rp 309,802 Rp 309,802 22
Rp 312,882 Rp 312,882
Rp 298,074 Rp 298,074
Rp 293,894 Rp 293,894
Rp 310,682 Rp 310,682
Rp 308,922 Rp 308,922
Rp 304,521 Rp 304,521
Rp 292,221 Rp 292,221
Rp 302,321 Rp 302,321
Rp 306,721 Rp 306,721
Rp -
Rp 5,464,369 Rp 5,464,369
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!
2010
1 001
KOMPETENSI
PANGKAT / GOL MASA KERJA
GOL indeks STRATA indeks MK

JASA KEBERSAMAAN
III

Instalasi Rawat Inap ( Interna Klas 1 & 2 )
1 Yuniarti Razak, A.Md.Kep Karu IIIB 2.00 D3 5.00 MK 9

1 Suswanti, A.Md.Kep Wakaru IIIb 2.00 D3 5.00 MK 9
3 Andris Abd Rahman,A.Md.Kep Perawat Interna Kls 1 & 2 IIC 1.40 D3 5.00 MK 0 - 1
4 Rizky Hamidah Assagaf Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 5
5 Nur Elsa Matiyeni, A.Md.Kep Perawat Interna Kls 1 & 2 IIC 1.40 D3 5.00 MK 5
6 Riska Hamka Genti, A.Md.Kep Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 5
8 Indrianingsih Gobel, A.Md.Kep Perawat Interna Kls 1 & 2 IIB 1.20 D3 5.00 MK 3 - 5
9 Jefri Sahi, S.Kep.Ns Perawat Interna Kls 1 & 2 IID 1.60 s1 6.00 MK 3 - 5
10 Elawati Djodjo, S. Kep. Ns Perawat Interna Kls 1 & 2 IID 1.60 s1 6.00 MK 0 - 1
17 Rizki Setyawati Sofyan, S.Tr.Kep Perawat Anak IID 1.60 D3 5.00 MK 1 - 3
5 Nurnaningsih Ayuba, S.Kep.Ns Perawat Isolasi IIB 1.20 D3 5.00 MK 3 - 5
4 Nela Afriyani Ali, S.Tr.Kep Perawat UGD Iib 1.20 s1 6.00 MK 1 - 3
TOTAL INDEKS
JUMLAH
Cuti
2 Sri Fujiyanti R.D, A.Md.Kep Perawat Interna Kls 1 & 2 IIIC 2.20 D3 5.00 MK 7
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A
Range: 1-4 4 3.8 3.6 3.4 3.2
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1

Range: 1,75-6 6 5.5 5 5 4.5
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi

Range 4-10 10 9 8 8 6

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jml
kerjaka
Reward Non Teladan Teladan I Kab Teladan I Prov

Range:0-15%Indeks 0 Plus 5% Plus 10%

Pelanggaran RPelanggaran Sdg
Range: 0-!00% Indeks 0 Minus 20% Minus 50%

TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN

NO NAMA
GOL IND STRATA
INDEKS KHUS
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00
4 Husain Saud IIIB 2.60 SPK 3.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50
6 Haryono Musa IIIA 2.40 SPK 3.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50
8 Yolanda Kelung IIA 1.60 SPK 3.00
9 Maryam Limalo IIA 1.60 SLTA 2.50
10 Astri Yunita IIA 1.60 SPK 3.00
11 Harsono IIC #REF! D3 Gizi 4.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50
16 Noni Adam IIA 1.60 SMA 2.50
17 Yamin Aliwu K 1.60 SMP 2.00
18 Norman Kobi K 1.60 SMA 2.50
19 Elan Radjak K 1.60 SMA 2.50
20 Melda Yadjitala K 1.60 SMA 2.50
JUMLAH
Kepala Puskesmas Pa
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN N
44287
EKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
BEBAN (-) nilai

indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL
K/R Indeks indeks
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00
III D III C III B III A II D II A
3 2.8 2.6 2.4 2.2 1.60
D3 D1 SLTA Kes
SLTA SLTP
4 3.5 3 2.5 2
Non Medis
4
Kemandirian
erjaka mndr/jml tgsX10
Teladan I Prov Teladan I Nas

Plus 10% Plus 15%
Pelanggaran Sdg Pelanggaran Brt

Minus 50% Minus 100%

NSI PENDIDIKAN BOBOT TANGG KINERJA
BONUS
IND KERJA JAWAB KUANT
10.0 ### 30.0 0.00

10.0 8.00 30.0 0.00
8.0 5.00 3.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
4.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 27.0 0.00
6.0 8.00 28.0 0.00
6.0 8.00 28.0 0.00
4.0 8.00 30.0 0.00
4.0 5.00 25.0 0.00
4.0 5.00 30.0 0.00
4.0 5.00 20.0 0.00
4.0 5.00 25.0 0.00
dr. M. Jamal, MPH

NIP: 140 361 942
ENERIMAAN REMUNERASI
H RUMAH SAKIT TANI DAN NELAYAN BOALEMO
44287
SUBSIDI NILAI
TOTAL NILAI INDEKS
BONUS 2.5 % JUMLAH KOTOR
INDEKS
PAJAK AKHIR JASA KEBERSAMAAN
Rp 89,591,829
4,400,927 Rp -
70.00 70.00 371,118 Rp 210,763 Rp - Rp 581,881

70.00 70.00 371,118 Rp 210,763 Rp - Rp 581,881
67.90 67.90 359,984 Rp 204,440 Rp - Rp 564,424
69.20 69.20 366,876 Rp 208,354 Rp - Rp 575,231
69.40 69.40 367,937 Rp 208,956 Rp - Rp 576,893
69.20 69.20 366,876 Rp 208,354 Rp - Rp 575,231
68.70 68.70 364,226 Rp 206,849 Rp - Rp 571,074
70.10 70.10 371,648 Rp 211,064 Rp - Rp 582,712
69.10 69.10 366,346 Rp 208,053 Rp - Rp 574,399
68.60 68.60 363,695 Rp 206,548 Rp - Rp 570,243
68.70 68.70 364,226 Rp 206,849 Rp - Rp 571,074
69.20 69.20 366,876 Rp 208,354 Rp - Rp 575,231
830 830 Rp 4,400,927 Rp 2,499,346 Rp - Rp 6,900,273
70.20 70.20
IC IB Hnr /Kontrak/PTT dr/drg.PTT
1.2 1 1.6 2.4
SUBSIDI INDEX JASA PELAYANAN JUMLAH

PAJAK TOTAL Medis Para medis dll KOTOR
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
Tilamuta,
Bend
Ha
NIP: 19670
PUNISHMENT
PAJAK ( PPH ) JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
Rp 58,188 #REF!
Rp 29,094 Rp 552,787 Rp - Rp 552,787 Rp 552,787 1

Rp 29,094 Rp 552,787 Rp - Rp 552,787 Rp 552,787 3
Rp - Rp 564,424 Rp - Rp 564,424 Rp 564,424
Rp - Rp 575,231 Rp - Rp 575,231 Rp 575,231
Rp - Rp 576,893 Rp - Rp 576,893 Rp 576,893
Rp - Rp 575,231 Rp - Rp 575,231 Rp 575,231
Rp - Rp 571,074 Rp - Rp 571,074 Rp 571,074
Rp - Rp 582,712 Rp - Rp 582,712 Rp 582,712
Rp - Rp 574,399 Rp - Rp 574,399 Rp 574,399
Rp - Rp 570,243 Rp - Rp 570,243 Rp 570,243
Rp - Rp 571,074 Rp - Rp 571,074 Rp 571,074
Rp - Rp 575,231 Rp - Rp 575,231 Rp 575,231
Rp -
Rp 58,188 Rp 6,842,085 Rp - Rp 6,842,085 Rp 6,842,085

PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
cuti melahirkan november desember januari
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN
44287
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI

KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK
K/R Indeks indeks
JASA KEBERSAMAAN
III
TOTAL IN
Instalasi Rawat Inap ( Interna )
1 Salwiya Hadi, A.Md.Kep Karu IIIC 2.20 D3 5.00 MK 8 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
2 Yesti Sandy Yosef, A.Md.Kep Wakaru IIIC 2.20 D3 5.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
3 Hairun Mohamad,A.Md.Kep Perawat Interna Kls 3 & Isolasi IIC 1.40 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90
4 Sry Wahyuni Tumuwe, S.Kep, Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
5 Silvian Yusup,S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
6 Samiong Laitupa, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
7 Zuriyati S. Manto, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
8 Nurain Paraditha Aspiani, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
9 Novita Dalanggo, S.Kep.Ns Perawat Interna Kls 3 & Isolasi IID 1.60 s1 6.00 MK 3 - 5 2.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.10
10 Asti Sasmita Manggena,A.Md,Kep Perawat Interna Kls 3 & Isolasi IID 1.60 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
11 Sri Santi Rahman, A.Md.Kep Perawat Interna Kls 3 & Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
12 Intan Salsabilah P Abadi, A.Md.Kep Perawat Interna Kls 3 & Isolasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
13 Alvit Vandra Mansi, S. Tr. Kep, Ns Perawat Interna Kls 3 & Isolasi IIB 1.20 S1 6.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
14 Mansur Karim, A.Md.Kep Perawat Interna Kls 3 & Isolasi IID 1.60 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.10
TOTAL INDEKS
JUMLAH - 970.7
Masuk
Hairun Mohamad,A.Md.Kep
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi

selesai tpt wkt/jml
kerjaka



TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 30.0 0.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 30.0 0.00
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 30.0 0.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50 6.0 8.00 30.0 0.00
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 30.0 0.00
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 30.0 0.00
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 30.0 0.00
11 Harsono IIC #REF! D3 Gizi 4.00 8.0 8.00 30.0 0.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00 8.0 8.00 30.0 0.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00 6.0 8.00 27.0 0.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00 6.0 8.00 28.0 0.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
20 Melda Yadjitala K 1.60 SMA 2.50 4.0 5.00 25.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
AN NELAYAN BOALEMO
NILAI
INDEKS PUNISHMENT
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
%
Rp 89,591,829
Rp 96,151 #REF!
10,372,735 Rp -
Rp - Rp - Rp - 1
70.20 750,145 Rp 211,365 Rp - Rp 961,510 Rp 48,076 Rp 913,435 Rp - Rp 913,435 Rp 913,435
70.20 750,145 Rp 211,365 Rp - Rp 961,510 Rp 48,076 Rp 913,435 Rp - Rp 913,435 Rp 913,435 6
67.90 725,568 Rp 204,440 Rp - Rp 930,008 Rp - Rp 930,008 Rp - Rp 930,008 Rp 930,008
- Rp -
- Rp -
Rp -
971 Rp 10,372,735 Rp 2,922,679 Rp - Rp 13,295,414 Rp 96,151 Rp 13,199,263 Rp - Rp 13,199,263 Rp 13,199,263

1 1.6 2.4
INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

TOTAL Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! #REF! 1
#REF! #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
44287
SUBSIDI NILAI
TOTAL NILAI INDEKS
NO NAMA JABATAN BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH
INDEKS
JASA KEBERSAMAAN
III Rp 211,976
Instalasi Rawat Inap ( Anak ) 15,033,066 Rp -
1 Laksmi Yalini, A.Md.Kep Karu 70.70 70.70 847,761 Rp 212,870 Rp - Rp 1,060,631 Rp 53,032 Rp 1,007,600 Rp - Rp 1,007,600
2 Yuyun Nasir, A.Md.Kep Wakaru 70.70 70.70 847,761 Rp 212,870 Rp - Rp 1,060,631 Rp 53,032 Rp 1,007,600 Rp - Rp 1,007,600
3 Erda Matius, A.Md.Kep Perawat Anak 70.50 70.50 845,363 Rp 212,268 Rp - Rp 1,057,631 Rp 52,882 Rp 1,004,749 Rp - Rp 1,004,749
4 Nenty Rauf, A.Md.Kep Perawat Anak 70.70 70.70 847,761 Rp 212,870 Rp - Rp 1,060,631 Rp 53,032 Rp 1,007,600 Rp - Rp 1,007,600
5 Sri Talib, A.Md.Kep Perawat Anak 69.70 69.70 835,770 Rp 209,860 Rp - Rp 1,045,629 Rp - Rp 1,045,629 Rp - Rp 1,045,629
6 Edi Santoso, A.Md.Kep Perawat Anak 69.70 69.70 835,770 Rp 209,860 Rp - Rp 1,045,629 Rp - Rp 1,045,629 Rp - Rp 1,045,629
7 Agus Sapali, A.Md.Kep Perawat Anak 69.70 69.70 835,770 Rp 209,860 Rp - Rp 1,045,629 Rp - Rp 1,045,629 Rp - Rp 1,045,629
8 Indriani R. Pano, S.Kep.Ns Perawat Anak 70.60 70.60 846,562 Rp 212,569 Rp - Rp 1,059,131 Rp - Rp 1,059,131 Rp - Rp 1,059,131
9 Zulaiha Manjurungi, S.Kep.Ns Perawat Anak 70.60 70.60 846,562 Rp 212,569 Rp - Rp 1,059,131 Rp - Rp 1,059,131 Rp - Rp 1,059,131
10 Titi Julia Sune, A.Md.Kep Perawat Anak 69.20 69.20 829,774 Rp 208,354 Rp - Rp 1,038,129 Rp - Rp 1,038,129 Rp - Rp 1,038,129
11 Sri Nurhayati Dj Yonu, A.Md.Kep Perawat Anak 69.20 69.20 829,774 Rp 208,354 Rp - Rp 1,038,129 Rp - Rp 1,038,129 Rp - Rp 1,038,129
12 Putri Nurul Firdaus, S.Tr.Kep Perawat Anak 70.10 70.10 840,566 Rp 211,064 Rp - Rp 1,051,630 Rp - Rp 1,051,630 Rp - Rp 1,051,630
13 Linda Husain, A.Md.Kep Perawat Anak 68.70 68.70 823,779 Rp 206,849 Rp - Rp 1,030,628 Rp - Rp 1,030,628 Rp - Rp 1,030,628
14 Irna Desiyanti, S.Kep.Ns Perawat Anak 70.10 70.10 840,566 Rp 211,064 Rp - Rp 1,051,630 Rp - Rp 1,051,630 Rp - Rp 1,051,630
15 Fanie Isradianty, A.Md.Kep Perawat Anak 68.70 68.70 823,779 Rp 206,849 Rp - Rp 1,030,628 Rp - Rp 1,030,628 Rp - Rp 1,030,628
16 Rahmat Abdul Azis,A.Md,Kep Perawat Anak 68.20 68.20 817,783 Rp 205,343 Rp - Rp 1,023,127 Rp - Rp 1,023,127 Rp - Rp 1,023,127
17 Frilia A Asiku, A.Md.Keb Perawat Anak 68.20 68.20 817,783 Rp 205,343 Rp - Rp 1,023,127 Rp - Rp 1,023,127 Rp - Rp 1,023,127
18 Chairunnisa Abubakar, S.Tr,Keb Perawat VK/Keb 68.40 68.40 820,182 Rp 205,945 Rp - Rp 1,026,127 Rp - Rp 1,026,127 Rp - Rp 1,026,127
Rp -
TOTAL INDEKS
JUMLAH 1253.7 1,254 Rp 15,033,066 Rp 3,774,763 Rp - Rp 18,807,829 Rp 211,976 Rp 18,595,853 Rp - Rp 18,595,853
Masuk
1 Ika Julianty Olii
2
3
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IC IB Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 1.2 1 1.6 2.4
Strata Pendidikan
Range: 1,75-6
Bobot Tupoksi
Range 4-10
Tanggung Jawab
Range: 5-10
Kuantitas Kinerja
Range:0-30
Kualitas Kinerja
Range:0-40
Reward
Range:0-15%Indeks
Punishment

TAHUN 2010
SUBSIDI INDEX JASA PELAYANAN JUMLAH PPH
NO NAMA
PAJAK TOTAL Medis Para medis dll KOTOR Rp 0
1 dr. M. Jamal, MPH, AAAK #REF! #REF! #REF!
2 dr. Ruslyaras, S.Ked #REF! #REF! #REF!
3 drg. Endang Sulistyorini,SKG #REF! #REF! #REF!
4 Husain Saud #REF! #REF! #REF!
5 Asni Lasena #REF! #REF! #REF!
6 Haryono Musa #REF! #REF! #REF!
7 Deyli Lengkong #REF! #REF! #REF!
8 Yolanda Kelung #REF! #REF! #REF!
9 Maryam Limalo #REF! #REF! #REF!
10 Astri Yunita #REF! #REF! #REF!
11 Harsono #REF! #REF! #REF!
12 Felly Datunsolang #REF! #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep #REF! #REF! #REF!
14 Ida Popoy, Amd, Keb #REF! #REF! #REF!
15 Sri Yulandi Noho, SKM #REF! #REF! #REF!
16 Noni Adam #REF! #REF! #REF!
17 Yamin Aliwu #REF! #REF! #REF!
18 Norman Kobi #REF! #REF! #REF!
19 Elan Radjak #REF! #REF! #REF!
20 Melda Yadjitala #REF! #REF! #REF!
JUMLAH #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
JUMLAH DITERIMA TANDA TANGAN
#REF!
Rp 1,007,600 3
Rp 1,007,600 8
Rp 1,004,749 5
Rp 1,007,600
Rp 1,045,629 9
Rp 1,045,629 10
Rp 1,045,629 11
Rp 1,059,131
Rp 1,059,131
Rp 1,038,129
Rp 1,038,129
Rp 1,051,630
Rp 1,030,628
Rp 1,051,630
Rp 1,030,628
Rp 1,023,127
Rp 1,023,127
Rp 1,026,127
Rp 18,595,853
JUMLAH
DITERIMA
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
KOMPETENSI
PANGKAT / GOL MASA KERJA BOBOT KERJA
BEBAN
GOL indeks STRATA indeks MK indeks
K/R
JASA KEBERSAMAAN
III

Instalasi Rawat Inap ( VK )
1 Sri Sunarti Lasena, S.Tr.Keb Karu IIID 2.40 S1 6.00 MK 9 3.0 E
2 Fidyah Salawali, A.Md.Keb Poli Kebidanan IIIc 2.20 D3 5.00 MK 9 3.0 E
3 Nur Fajriah Dasri, STR.KEB Perawat VK/Keb IIIA 1.80 S1 6.00 MK 5 3.0 E
4 Vita Ekawati Duna, A.Md.Keb Perawat VK/Keb IIID 2.40 D3 5.00 MK 5 3.0 E
5 Sri Susilawaty Neu, A.Md.Keb Perawat VK/Keb IIIC 2.20 D3 5.00 MK 7 3.0 E
7 Sri Wahyuni Niati, S.Tr.Keb Poli Kebidanan IIID 2.40 S1 6.00 MK 9 3.0 E
8 Nur Fatrilia Hiola,S.Tr.Keb Perawat VK/Keb IIIA 1.80 S1 6.00 MK 0 - 1 1.5 E
10 Novia Anggriany Tumailang, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 E
13 Silsianeng Masiu, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 0 - 1 1.5 E
12 Mumun Siti Munawaroh, A.Md.Keb Perawat VK/Keb IIC 1.40 D3 5.00 MK 0 - 1 1.5 E
7 Nur Novya Muhrija, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 E
14 Viliensi Wahyu Abdul Azis, S. Tr. Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 E
10 Citra P. Maksum, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 E
11 Luthfiana W. Pido, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 0 - 1 1.5 E
15 Apria Siskawati Amu, A.md.Keb Perawat VK/Keb IID 1.60 D3 5.00 MK 5 3.0 E
TOTAL INDEKS
keluar
yuliana yahya
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D
Range: 1-4 4 3.8 3.6 3.4 3.2 3
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3
Range: 1,75-6 6 5.5 5 5 4.5 4
Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis ParamedisNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka PusKTU/PrNon Prog

Range: 5-10 10 8 5

% Jalankan Tupoksi

Reward Non Teladan Teladan I Kab Teladan I Prov

Range:0-15%Indeks 0 Plus 5% Plus 10%

Pelanggaran RPelanggaran Sdg
Range: 0-!00% Indeks 0 Minus 20% Minus 50%

TAHUN 2010
JASA PELAYANAN TGL. 1 s/d 3
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT
NO NAMA
GOL IND STRATA
INDEKS KHUS IND KERJA
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00
4 Husain Saud IIIB 2.60 SPK 3.00
5 Asni Lasena IIIB 2.60 Bidan D1 3.50
6 Haryono Musa IIIA 2.40 SPK 3.00
7 Deyli Lengkong IIB #REF!Bidan D1 3.50
8 Yolanda Kelung IIA 1.60 SPK 3.00
9 Maryam Limalo IIA 1.60 SLTA 2.50
10 Astri Yunita IIA 1.60 SPK 3.00
11 Harsono IIC #REF! D3 Gizi 4.00
12 Felly Datunsolang IID 2.20D3 Kesling4.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! D3 Kep 4.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan 4.00
15 Sri Yulandi Noho, SKM IIIA 2.40S1Kesmas4.50
16 Noni Adam IIA 1.60 SMA 2.50
17 Yamin Aliwu K 1.60 SMP 2.00
18 Norman Kobi K 1.60 SMA 2.50
19 Elan Radjak K 1.60 SMA 2.50
20 Melda Yadjitala K 1.60 SMA 2.50
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAY
44287
PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN
BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL NILAI

INDEKS
nilai
indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL
indeks
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.80
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.40
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.30
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 0.00
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.60
- 973.5
III C III B III A II D II A
2.8 2.6 2.4 2.2 1.60
D1 SLTA Kes
SLTA SLTP
3.5 3 2.5 2
Teladan I Nas
Plus 15%
Pelanggaran Brt
Minus 100%
A PELAYANAN TGL. 1 s/d 31 Maret 2006

BOBOT TANGG KINERJA SUBSIDI
BONUS
KERJA JAWAB KUANT
10.0 ### 30.0 0.00

10.0 8.00 30.0 0.00
8.0 5.00 3.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
4.0 8.00 30.0 0.00
6.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
8.0 8.00 30.0 0.00
6.0 8.00 27.0 0.00
6.0 8.00 28.0 0.00
6.0 8.00 28.0 0.00
4.0 8.00 30.0 0.00
4.0 5.00 25.0 0.00
4.0 5.00 30.0 0.00
4.0 5.00 20.0 0.00
4.0 5.00 25.0 0.00
uskesmas Pangi
Jamal, MPH
140 361 942
RIMAAN REMUNERASI
UMAH SAKIT TANI DAN NELAYAN BOALEMO
44287
SUBSIDI NILAI
INDEKS
BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH )
Rp 89,591,829
Rp 331,432
10,139,538 Rp -
71.40 743,670 Rp 214,978 Rp - Rp 958,648 Rp 47,932
70.20 731,172 Rp 211,365 Rp - Rp 942,537 Rp 47,127
70.80 737,421 Rp 213,172 Rp - Rp 950,592 Rp 47,530
70.40 733,255 Rp 211,967 Rp - Rp 945,222 Rp 47,261
70.20 731,172 Rp 211,365 Rp - Rp 942,537 Rp 47,127
71.40 743,670 Rp 214,978 Rp - Rp 958,648 Rp 47,932
69.30 721,798 Rp 208,655 Rp - Rp 930,453 Rp 46,523
68.20 710,340 Rp 205,343 Rp - Rp 915,684 Rp -
67.70 705,133 Rp 203,838 Rp - Rp 908,971 Rp -
0.00 - Rp - Rp - Rp - Rp -
68.20 710,340 Rp 205,343 Rp - Rp 915,684 Rp -
69.20 720,756 Rp 208,354 Rp - Rp 929,110 Rp -
69.20 720,756 Rp 208,354 Rp - Rp 929,110 Rp -
67.70 705,133 Rp 203,838 Rp - Rp 908,971 Rp -
69.60 724,922 Rp 209,559 Rp - Rp 934,481 Rp -
973.5 Rp 10,139,538 Rp 2,931,109 Rp - Rp 13,070,647 Rp 331,432

IC IB Hnr /Kontrak/PTT dr/drg.PTT
1.2 1 1.6 2.4
SUBSIDI INDEX JASA PELAYANAN JUMLAH
PAJAK TOTAL Medis Para medis dll KOTOR
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
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#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
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#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
Tilamuta, 29 Oktober
Bendahara Hiba
Harsono
NIP: 19670926 200012
JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
#REF!
Rp 910,716 Rp - Rp 910,716 Rp 910,716 3

Rp 895,410 Rp - Rp 895,410 Rp 895,410
Rp 903,063 Rp - Rp 903,063 Rp 903,063
Rp 897,961 Rp - Rp 897,961 Rp 897,961 7
Rp 895,410 Rp - Rp 895,410 Rp 895,410 8
Rp 910,716 Rp - Rp 910,716 Rp 910,716
Rp 883,930 Rp - Rp 883,930 Rp 883,930
Rp 915,684 Rp - Rp 915,684 Rp 915,684
Rp 908,971 Rp - Rp 908,971 Rp 908,971
Rp - Rp - Rp - Rp - CUTI
Rp 915,684 Rp - Rp 915,684 Rp 915,684
Rp 929,110 Rp - Rp 929,110 Rp 929,110
Rp 929,110 Rp - Rp 929,110 Rp 929,110
Rp 908,971 Rp - Rp 908,971 Rp 908,971
Rp 934,481 Rp - Rp 934,481 Rp 934,481
Rp 12,739,215 Rp - Rp 12,739,215 Rp 12,739,215

PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYA
44287

KOMPETENSI
INDEKS
BEBAN nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK
K/R indeks
JASA KEBERSAMAAN
III
TOTAL
Instalasi Rawat Inap (PONEK )
1 Fitriyanti Thaib, SST Karu IVA 2.60 S1 6.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 72.10
2 Sriyati Hasan, A.Md.Keb Wakaru IIId 2.40 D3 5.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.90
3 Novriyanti Tui, A.Md.Keb Perawat VK/Keb IIIc 2.20 D3 5.00 MK 5 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
4 Olvin Inado, A.Md.Kep Perawat VK/Keb IIB 1.20 D3 5.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
5 Mulyati Yunus Perawat VK/Keb IIB 1.20 D3 5.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
6 Rismawati Ntoi, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
6 Silviyawati Dai, S.Tr.Keb Perawat VK/Keb IID 1.60 S1 6.00 MK 5 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.10
14 Reka Riyana Saman, A.Md, Keb Perawat VK/Keb IIC 1.40 D3 5.00 MK 0 - 1 1.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.40
4 Deni Gita Novianti, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
9 Elys Mopangga, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
12 Nurjannah Saleh,S.ST Perawat VK/Keb IIIA 1.80 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.80
7 Desry Mosii, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
14 Lutfiah Abdullah, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
15 Mersiana Kadji, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
13 Irmawaty M. Bakue, A.Md, Keb Perawat VK/Keb IID 1.60 D3 5.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.60
TOTAL INDEKS
- 1046.2
MASA SANGGAH SAMPAI TANGGAL 16 MEI 2014
masuk
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2
SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
NO NAMA BONUS
GOL IND STRATA
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
N NELAYAN BOALEMO
NILAI
INDEKS
Rp 89,591,829
Rp 197,701 #REF!
6,521,967 Rp -
69.70 434,507 Rp 209,860 Rp - Rp 644,366 Rp - Rp 644,366 Rp - Rp 644,366 Rp 644,366 69.70 Rp -
69.70 434,507 Rp 209,860 Rp - Rp 644,366 Rp - Rp 644,366 Rp - Rp 644,366 Rp 644,366 69.70 Rp -
69.80 435,130 Rp 210,161 Rp - Rp 645,291 Rp 32,265 Rp 613,026 Rp - Rp 613,026 Rp 613,026 69.80 Rp -
- Rp -
- Rp -
1,046 Rp 6,521,967 Rp 3,150,001 Rp - Rp 9,671,969 Rp 197,701 Rp 9,474,267 Rp - Rp 9,474,267 Rp 9,474,267

1 1.6 2.4
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYA
44287

KOMPETENSI
INDEKS
BEBAN nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks (-) Indeks TOTAL P D L T TOTAL PAJAK
K/R indeks
JASA KEBERSAMAAN
III
TOTAL
Instalasi Rawat Inap (IRDO )
1 Witan Pakaya, STR.Keb Karu IIID 2.40 S1 6.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.90
2 Suyanti Buluati, A.Md.Keb Wakaru IIID 2.40 D3 5.00 MK 9 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.90
3 Ewit Harun, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
4 Rifkawati Ali, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
5 Intan Fitria Rukmana, A.Md, Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
6 Nurul Sucia Tengkeran, S.Tr.Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
7 Maya Afriyanti, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.70
8 Herlina, Amd. Keb Perawat Anak Kelas I,II,III/PICU IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
9 Sellawati Hela, A.Md.Keb Perawat OK IIB 1.20 D3 5.00 MK 0 - 1 1.5 D 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70
10 Jeihan M. Uno, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 3 - 5 2.5 D 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
11 Fina Febriani Amir, S. Tr. Keb Staf SP2RS IID 1.60 S1 6.00 MK 3 - 5 2.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60
12 Chindy Chintiya Singal, A.Md.Keb Perawat VK/Keb IIB 1.20 D3 5.00 MK 1 - 3 2.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70
13 Lindawati Lapasau, A.Md.Keb Perawat Anak Kelas I,II,III/PICU IIIC 2.20 D3 5.00 MK 7 3.0 D 8.5 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.70
14 Miranda Mahieu, S. Tr. Keb Perawat VK/Keb IIB 1.20 S1 6.00 MK 0 - 1 1.5 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20
2 Fendriyanti Gobel, S.Tr.keb Perawat VK/Keb IIIC 2.20 S1 6.00 MK 7 3.0 D 8.5 staf 0.0 h21 0.0 0.0
TOTAL INDEKS
- 976
CUTI
2 Fendriyanti Gobel, S.Tr.keb Perawat VK/Keb IIIC 2.20 S1 6.00 MK 7 3.0 D 8.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.70
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2
SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
NO NAMA BONUS
GOL IND STRATA
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
SI
AN NELAYAN BOALEMO
NILAI
INDEKS
Rp 89,591,829
Rp 126,567 #REF!
5,755,093 Rp -
69.20 408,004 Rp 208,354 Rp - Rp 616,358 Rp - Rp 616,358 Rp - Rp 616,358 Rp 616,358 69.20 Rp - Rp 208,354
- Rp -
- Rp -
-
-
-
976 Rp 5,755,093 Rp 2,938,938 Rp - Rp 8,694,031 Rp 126,567 Rp 8,567,464 Rp - Rp 8,567,464 Rp 8,567,464
71.70
1 1.6 2.4
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
Rp 208,354 Rp - Rp - Rp 208,354
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALE
44287
KOMPETENSI
PANGKAT / GOL PENDIDIKAN
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Gizi
1 Yunita Masilu, SST Staf IIIC 2.20 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
2 Muh. Ressa T. J. P. Putra, S. Tr. Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.30 68.30
3 Ade Putra R. Molou, S. Tr. Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.30 68.30
4 Andi Dian Rezki Yustikarini, S.Tr.Gz Staf IIIA 1.80 S1 6.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.30 68.30
5 Fatmayanti Botutihe,AMG Staf IIIC 2.20 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
6 Novita R. Djakatara, AMG Staf IIIc 2.20 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
7 Safria Iyabu, AMG Staf IIIB 2.00 D3 5.00 MK 7 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.00 69.00
8 Yusniyati Masiaga, AMG Staf IIIB 2.00 D3 5.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.50 67.50
9 Zul Ilyas Mohamad,A.Md.Gz Staf IIC 1.40 D3 5.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.90 66.90
10 Sri Yulan Buluati, AMG Staf IIC 1.40 D3 5.00 MK 3 - 5 2.5 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.90 67.90
11 Verawati Igirisa, AMG Staf IIB 1.20 D3 5.00 MK 5 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
12 Yulanda Abdulah, AMG Staf IIB 1.20 D3 5.00 MK 1 - 3 2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.20 67.20
30 Julis Kai, AMG Staf IIIC 2.20 D3 5.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 2 40.0 40.0 6.0 4.0 10.00 67.20 67.20
885.90
1 Hasni Ismail Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
2 Suwardi Husa Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
3 Dedi Malewo Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
4 Sulastri Hasan Staf Gizi IIC 1.40 SLTA 3.00 MK 9 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.40 64.40
5 Leli Saidi Staf Gizi ID 0.80 SLTA 3.00 MK 7 3.0 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80
6 Tantri Badu Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
7 Kisman Kamana Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
8 Lolans Djaini Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
11 Rizki Saidi Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 F 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
12 Agus Lahidjun Staf Gizi ID 0.80 SLTA 3.00 MK 3 - 5 2.5 f 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.30 63.30
13 Masni Balaga Staf Gizi ID 0.80 SLTA 3.00 MK 1 - 3 2.0 f 5.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.80 62.80
700.70
TOTAL INDEKS
JUMLAH 2.0 1587 1,587

ERASI
NI DAN NELAYAN BOALEMO

PUNISHMENT
%
JASA KEBERSAMAAN
Rp 89,591,829
Rp 167,879 Rp 8,215,394
L INDEKS SELURUH 29,756
Rp 3,606,182 Rp -
2,163,709 Rp -
Rp 167,792 Rp 206,849 Rp - Rp 374,641 Rp 18,732 Rp 355,909 Rp - Rp 355,909 Rp 355,909
Rp 169,013 Rp 208,354 Rp - Rp 377,367 Rp 18,868 Rp 358,499 Rp - Rp 358,499 Rp 358,499 4
Rp 168,525 Rp 207,752 Rp - Rp 376,277 Rp 18,814 Rp 357,463 Rp - Rp 357,463 Rp 357,463 6
Rp 163,396 Rp 201,429 Rp - Rp 364,825 Rp - Rp 364,825 Rp - Rp 364,825 Rp 364,825
Rp 1,442,473 Rp - 1
Rp 132,575 Rp 193,902 Rp - Rp 326,477 Rp - Rp 326,477 - Rp 326,477 Rp 326,477 2
Rp 130,310 Rp 190,590 Rp - Rp 320,900 Rp - Rp 320,900 - Rp 320,900 Rp 320,900
4,777,090.76
INDEKS 44287
TIDAK
TERKAI
SUBSIDI NILAI
T
PANGK
PELAY TOTAL JASA PELAYANAN LAINNYA
AT /
ANAN INDEKS PUNISHMENT
NO NAMA JABATAN GOL NILAI BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH JUMLAH BERSIH JUMLAH DITERIMA
%
INDEKS
GOL PAJAK AKHIR JASA KEBERSAMAAN

JASA KEBERSAMAAN
III Rp 28,583 Rp 3,334,642
TOTAL INDEKS SELURUH 29755.85
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi UTD 2,119,724 Rp -
1 Hardi Palilati PJ. UTD IID 69.60 69.60 357,222 Rp 209,559 Rp - Rp 566,781 Rp - Rp 566,781 Rp - Rp 566,781 Rp 566,781
2 Sri W.N. Usman, A.Md.Kep Perawat UTD IIIC 70.20 70.20 360,302 Rp 211,365 Rp - Rp 571,667 Rp 28,583 Rp 543,083 Rp - Rp 543,083 Rp 543,083
3 Selvin Tilahungaa, S.Tr.Kep Perawat UTD IID 70.10 70.10 359,789 Rp 211,064 Rp - Rp 570,852 Rp - Rp 570,852 Rp - Rp 570,852 Rp 570,852
4 Hadijah M. Abas, A.Md.Kep Perawat UTD IIB 68.20 68.20 350,037 Rp 205,343 Rp - Rp 555,380 Rp - Rp 555,380 Rp - Rp 555,380 Rp 555,380
5 Alwin Mooponu, A.Md.Kep Perawat OK IIB 68.20 68.20 350,037 Rp 205,343 Rp - Rp 555,380 Rp - Rp 555,380 Rp - Rp 555,380 Rp 555,380
6 Fitria Yuliana Adjami. AP.TTD Perawat UTD IIB 66.70 66.70 342,338 Rp 200,827 Rp - Rp 543,165 Rp - Rp 543,165 Rp - Rp 543,165 Rp 543,165
TOTAL INDEKS
JUMLAH 413.0 - 413.0 Rp 2,119,724 Rp 1,243,501 Rp - Rp 3,363,225 Rp 28,583 Rp 3,334,642 Rp - Rp 3,334,642 Rp 3,334,642
Cuti
TANDA TANGAN
68.20 Rp - #DIV/0! #DIV/0! #DIV/0! Rp - #DIV/0!

44287
SUBSIDI NILAI
TOTAL JASA PELAYANAN LAINNYA

INDEKS
NO NAMA JABATAN NILAI BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH
INDEKS

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Laboratorium PK 9,171,134 Rp -
1 Firman, A.Md.AK PJ. Lab 70.00 70.00 934,740 Rp 210,763 Rp - Rp 1,145,503 Rp 57,275 Rp 1,088,228 Rp - Rp 1,088,228
2 Wiwiek Handayani,A.Md.An.Kes Staf Lab 70.20 70.20 937,411 Rp 211,365 Rp - Rp 1,148,776 Rp 57,439 Rp 1,091,337 Rp - Rp 1,091,337
3 Wahyuni R, A.Md.AK Staf Lab 70.20 70.20 937,411 Rp 211,365 Rp - Rp 1,148,776 Rp 57,439 Rp 1,091,337 Rp - Rp 1,091,337
4 Suriati, A.Md.AK Staf Lab 69.20 69.20 924,057 Rp 208,354 Rp - Rp 1,132,411 Rp - Rp 1,132,411 Rp - Rp 1,132,411
5 Sopial Efendi, A.Md.Ak Staf Lab 68.20 68.20 910,704 Rp 205,343 Rp - Rp 1,116,047 Rp - Rp 1,116,047 Rp - Rp 1,116,047
6 Rizkianto Huwolo, A.Md.Ak Staf Lab 68.20 68.20 910,704 Rp 205,343 Rp - Rp 1,116,047 Rp - Rp 1,116,047 Rp - Rp 1,116,047
7 Darwis, A.Md, AK Staf Lab 67.70 67.70 904,027 Rp 203,838 Rp - Rp 1,107,865 Rp - Rp 1,107,865 Rp - Rp 1,107,865
8 Isran Huo, A. Md, Kes Staf Lab 67.70 67.70 904,027 Rp 203,838 Rp - Rp 1,107,865 Rp - Rp 1,107,865 Rp - Rp 1,107,865
9 Riski Naha, A.Md, Kes Staf Lab 67.70 67.70 904,027 Rp 203,838 Rp - Rp 1,107,865 Rp - Rp 1,107,865 Rp - Rp 1,107,865
10 Muhadjirin Hasan, A.Md, Kes Staf Lab 67.70 67.70 904,027 Rp 203,838 Rp - Rp 1,107,865 Rp - Rp 1,107,865 Rp - Rp 1,107,865
686.80 686.80
INSTALASI LAB. PA 144,943
12 Adrianus Adam, A.Md, Kes Staf Lab 67.70 67.70 144,943 Rp 203,838 Rp - Rp 348,781 Rp - Rp 348,781 Rp - Rp 348,781
Rp -
TOTAL INDEKS
JUMLAH 754.5 754.5 Rp 9,316,077 Rp 2,271,723 Rp - Rp 11,587,800 Rp 172,153 Rp 11,415,647 Rp - Rp 11,415,647
Cuti Melahirkan
JUMLAH DITERIMA TANDA TANGAN
Rp 1,088,228 1
Rp 1,091,337
Rp 1,091,337 4
Rp 1,132,411
Rp 1,116,047
Rp 1,116,047
Rp 1,107,865
Rp 1,107,865
Rp 1,107,865
Rp 1,107,865
Rp 348,781
Rp 11,415,647
44287
SUBSIDI NILAI
TOTAL INDEKS
NO NAMA JABATAN NILAI BONUS 2.5 % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA
INDEKS

JASA KEBERSAMAAN
III Rp 71,728 Rp 4,859,349
TOTAL INDEKS SELURUH 29756
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG Rp 3,478,018 Rp -
Instalasi Radiologi Rp -
1 Pranita Rachman, A.Md.Rad PJ. Rad 70.20 70.20 505,920 Rp 211,365 Rp - Rp 717,285 Rp 35,864 Rp 681,420 Rp - Rp 681,420 Rp 681,420
2 Erny Dachlan, A.Md.Rad PJ. Rad 70.20 70.20 505,920 Rp 211,365 Rp - Rp 717,285 Rp 35,864 Rp 681,420 Rp - Rp 681,420 Rp 681,420
3 Qoharruddin Basra, A.Md Rad Staf Rad 69.20 69.20 498,713 Rp 208,354 Rp - Rp 707,067 Rp - Rp 707,067 Rp - Rp 707,067 Rp 707,067
4 Fahmi Mustari, A.Md.Rad Staf Rad 69.20 69.20 498,713 Rp 208,354 Rp - Rp 707,067 Rp - Rp 707,067 Rp - Rp 707,067 Rp 707,067
5 Faisal, A.Md.Kes Staf Rad 68.20 68.20 491,506 Rp 205,343 Rp - Rp 696,849 Rp - Rp 696,849 Rp - Rp 696,849 Rp 696,849
6 Moh. Rezal F. Ismail,A.Md.Rad Staf Rad 67.90 67.90 489,344 Rp 204,440 Rp - Rp 693,784 Rp - Rp 693,784 Rp - Rp 693,784 Rp 693,784
7 Nurul Insani Rahmawati Syamad Staf Rad 67.70 67.70 487,903 Rp 203,838 Rp - Rp 691,740 Rp - Rp 691,740 Rp - Rp 691,740 Rp 691,740
TOTAL INDEKS
JUMLAH 482.6 482.6 Rp 3,478,018 Rp 1,453,059 Rp - Rp 4,931,077 Rp 71,728 Rp 4,859,349 Rp - Rp 4,859,349 Rp 4,859,349

TANDA TANGAN
1
2
3
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELAYAN
44287
KOMPETENSI TOTAL
NO NAMA JABATAN PENDIDIKAN NILAI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
TOTAL INDEKS SELU
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Instalasi Apotik 0.00
1 Sugiaty Talib, S.Si.Apt Staf Farmasi IIIc 2.20 S1 6.00 MK 6 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
2 Hairuddin S.Kau,S.Farm,Apt PJ Farmasi IIId 2.40 S1 6.00 MK 8 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.40 71.40
3 Wahyuni Saktiani, S.Farm.Apt Staf Farmasi IIIb 2.00 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.00 70.00
4 Finarti, S.Farm Staf Farmasi IIIC 2.20 S1 6.00 MK 7 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 71.20 71.20
5 Eram Hapulu,A.Md.Far Staf Farmasi IIC 1.40 D3 5.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.40 69.40
6 Ridha Yulistia Ishak Staf Farmasi IIIA 1.80 SLTA 3.00 MK 8 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.80 67.80
7 Andi Hasmiyah BS, S.Farm.Apt Staf Farmasi IID 1.60 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
8 Dewi Nurain Usman, S.Farm.Apt Staf Farmasi IID 1.60 S1 6.00 MK 5 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.60 70.60
9 Muniva AK. Nasib, S. Farm, Apt Staf Farmasi IID 1.60 S1 6.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.10 69.10
10 Ernawati, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 6 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 70.20 70.20
11 Novikawaty Putri Lestari Alamri, S.farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
12 Saprilia Kaku, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
13 Mir'atul Khairiyah, S.Farm Staf Farmasi IIB 1.20 S1 6.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
14 Wahyudi, A.Md.Far Staf Farmasi IIB 1.20 D3 5.00 MK 5 3.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
15 Sri Yuliana Masimudati, A.Md.Far Staf Farmasi IIB 1.20 D3 5.00 MK 6 3.0 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.20 69.20
16 Wilawanti Saliko, A.Md.Farm Staf Farmasi IIB 1.20 D3 5.00 MK 3 - 5 2.5 E 8.0 Staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.70 68.70
17 Linda Suleman, A.Md.Farm Staf Farmasi IIB 1.20 D3 5.00 MK 1 - 3 2.0 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 68.20 68.20
18 Rahmat Ardiansyah Putra, A.Md,Farm Staf Farmasi IIB 1.20 D3 5.00 MK 0 - 1 1.5 E 8.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.70 67.70
422.90
TOTAL INDEKS 829.20
JUMLAH - 1252.10 1252.10 1,252
KOMPETENSI TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Cuti Februari
RASI
DAN NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 89,591,829
Rp 209,436 Rp 13,538,247
10,733,676 Rp -
668,640.26 Rp 214,376 Rp - Rp 883,016 Rp 44,151 Rp 838,865 Rp - Rp 838,865 Rp 838,865 4
657,371.04 Rp 210,763 Rp - Rp 868,134 Rp 43,407 Rp 824,727 Rp - Rp 824,727 Rp 824,727
565,964.53 Rp 208,956 Rp - Rp 774,921 Rp - Rp 774,921 Rp - Rp 774,921 Rp 774,921 9
663,005.65 Rp 212,569 Rp - Rp 875,575 Rp - Rp 875,575 Rp - Rp 875,575 Rp 875,575
552,100.85 Rp 203,838 Rp - Rp 755,939 Rp - Rp 755,939
Rp -

JASA KEBERSAMAAN
44287
KOMPETENSI TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Tekhnisi Medis
1 Ronaldi Ahmad Tekhnisi Iid 1.60 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.10 66.10
3 Fendi Saidi Tekhnisi IIC 1.40 SLTA 3.00 MK 0 - 1 1.5 G 6.5 staf 0.0 h23 14.0 4 10.0 10.0 6.0 4.0 10.00 32.40 0.00
3 Fathan Ali Tekhnisi IIc 1.40 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.90 65.90
4 Agus Duna Tekhnisi ID 0.80 SLTA 3.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
5 Roy Aminullah Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
6 Frengki Andriyawan Lagili Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
7 Yanto Kasim Ibrahim Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
8 Zulkifli Gani Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
9 Alfred Mahmud Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
10 Steven Mooduto Tekhnisi ID 0.80 SLTA 3.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.30 65.30
ATEM
Tekhnisi
1 Muh.Djafar, A.Md.Term IIID 2.40 D3 5.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 69.40 69.40
Elektromedis
2 Mohamad Teguh Kurniawan Djur Tekhnisi IIc 1.40 D3 5.00 MK 1 - 3 2.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 67.40 67.40
TOTAL INDEKS
JUMLAH 758 726

Tidak Berkinerja
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF!
JUMLAH #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
I
N NELAYAN BOALEMO

JASA KEBERSAMAAN
Rp 89,591,829
Rp 30,765 Rp 4,779,161
L INDEKS SELURUH 29755.85
2,119,295 Rp -
- Rp 97,553 Rp - Rp 97,553 Rp - Rp 97,553 - Rp 97,553 Rp 97,553
192,398 Rp 198,418 Rp - Rp 390,816 Rp - Rp 390,816 - Rp 390,816 Rp 390,816
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
190,646 Rp 196,612 Rp - Rp 387,258 Rp - Rp 387,258 - Rp 387,258 Rp 387,258
407,467
406,350 Rp 208,956 Rp - Rp 615,306 Rp 30,765 Rp 584,541 Rp - Rp 584,541 Rp 584,541
400,511 Rp 202,935 Rp - Rp 603,445 Rp - Rp 603,445 - Rp 603,445 Rp 603,445

Hnr /Kontrak/PTT dr/drg.PTT
1.6 2.4
JASA PELAYANAN JUMLAH PPH JUMLAH TANDA

Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 3,200,000
Rp 4,800,000
#REF!
#REF!
#REF! #REF! #REF! 1
#REF! #REF! #REF! 2
#REF! #REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
44287
KOMPETENSI JASA PELAYANAN LAIN
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL INDEKS
PENDIDIKAN
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
2 Isna Sune Adm. House Kee IIC 1.40 SLTA 3.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 66.40 66.40 -
Incinerator
0.00 -
1 Waji Hulima House keeping IA 0.20 SD 1.00 MK 9 3.0 F 7.0 staf 0.0 h21 42.0 40.0 40.0 6.0 4.0 10.00 61.20 61.20 -
2 Yunus Potoroli House keeping IA 0.20 SD 1.00 MK 0 - 1 1.5 F 7.0 staf 0.0 h21 42.0 40.0 40.0 6.0 4.0 10.00 59.70 59.70 -
TOTAL INDEKS
JUMLAH 187.3 187 Rp -
Keluar
Femmy Ratusmanga
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II A IC IB Hnr /Kontrak/PTT
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2 1 1.6

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2

Range 4-10 10 9 8 8 6 4

Range: 5-10 10 8 5

% Jalankan Tupoksi




TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA SUBSIDI INDEX JASA PELAYANA
NO NAMA BONUS
GOL IND STRATA
INDEKS KHUS IND KERJA JAWAB KUANT PAJAK TOTAL Medis
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 ### 30.0 0.00 #REF! #REF!
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 30.0 0.00 #REF! #REF!
3 drg. Endang Sulistyorini,SKG PTT 2.40 drg 5.00 8.0 5.00 3.0 0.00 #REF! #REF!
JUMLAH #REF! #REF!
dr. M. Jamal, MPH

NIP: 140 361 942
OALEMO
A PELAYANAN LAINNYA
PUNISHMENT
%
KEBERSAMAAN
Rp 89,591,829
Rp - Rp 563,941
29,756
Rp 199,924 Rp - Rp 199,924 Rp 199,924 - Rp 199,924 Rp 199,924 2

Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp - - Rp - Rp - 3
Rp 184,267 Rp - Rp 184,267 Rp - Rp 184,267 - Rp 184,267 Rp 184,267 4
Rp 179,751 Rp - Rp 179,751 Rp - Rp 179,751 - Rp 179,751 Rp 179,751
Rp -
Rp 563,941 Rp - Rp 563,941 Rp - Rp 563,941 Rp - Rp 563,941 Rp 563,941

dr/drg.PTT
2.4
SA PELAYANAN JUMLAH PPH JUMLAH TANDA

Para medis dll KOTOR Rp 0 DITERIMA TANGAN
Rp 4,800,000
#REF!
#REF! #REF! 1
#REF! #REF! 2
#REF! #REF! 3
#REF! #REF! #REF! 4
#REF! #REF! #REF! 5
#REF! #REF! #REF! 6
#REF! #REF! #REF! 7
#REF! #REF! #REF! 8
#REF! #REF! #REF! 9
#REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
SUBSI
NILAI
DI
INDEKS
NO NAMA JABATAN TOTAL NILAI INDEKS
PAJAK AKHIR
1 Niastin Dauna, S. AP PJ. CSSD 70.20 70.20

2 Wiwin Djibura Adm CSSD 65.90 65.90
3 Yanto Pukoli staf CSSD 64.80 64.80
4 Mohamad Iksan Gani staf CSSD 64.80 64.80
5 Noldi Ibrahim staf CSSD 64.80 64.80
6 Syabri Gani staf CSSD 64.80 64.80
7 Syahrun Tahala staf CSSD 64.80 64.80
460.1 - 460
Masuk
BONUS 2.5
JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH
%
JASA KEBERSAMAAN
Rp 89,591,829
407,467 Rp -
62,170 Rp 211,365 Rp - Rp 273,535 Rp 13,677 Rp 259,858

58,361 Rp 198,418 Rp - Rp 256,780 Rp - Rp 256,780
57,387 Rp 195,106 Rp - Rp 252,493 Rp - Rp 252,493
57,387 Rp 195,106 Rp - Rp 252,493 Rp - Rp 252,493
57,387 Rp 195,106 Rp - Rp 252,493 Rp - Rp 252,493
57,387 Rp 195,106 Rp - Rp 252,493 Rp - Rp 252,493
57,387 Rp 195,106 Rp - Rp 252,493 Rp - Rp 252,493
Rp 407,467 Rp 1,385,314 Rp - Rp 1,792,782 Rp 13,677 Rp 1,779,105

PUNISHMENT
%
JUMLAH BERSIH JUMLAH DITERIMA
Rp 259,858 Rp 259,858
Rp 256,780 Rp 256,780
Rp 252,493 Rp 252,493
Rp 252,493 Rp 252,493
Rp 252,493 Rp 252,493
Rp 252,493 Rp 252,493
Rp 252,493 Rp 252,493
Rp - Rp 1,779,105 Rp 1,779,105
44287
KOMPETENSI JASA PELAYANAN LAINN
PANGKAT / GOL MASA KERJA BOBOT KERJA TANGGUNG JAWAB KINERJA SIKAP KERJA TOTAL INDEKS
PENDIDIKAN
INDEKS
BEBAN (-) nilai
GOL indeks STRATA indeks MK indeks indeks JABATAN indeks KUANT indeks TOTAL P D L T TOTAL PAJAK AKHIR JASA
K/R Indeks indeks

JASA KEBERSAMAAN
III
KELOMPOK FUNGSIONAL
INSTALASI PENUNJANG
Ambulance
-
-
1 Steven Abdullah Sopir IIC 1.40 SLTA 3.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.40 65.40 -
2 Ibrahim Hapulu PJ. Sopir IIC 1.40 SLTA 3.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 65.40 65.40 -
3 Ruli Djabura Sopir IB 0.40 SLTP 2.00 MK 8 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.40 63.40 -
4 Rustam Hiola Sopir IA 0.20 SD 1.00 MK 9 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.20 62.20 -
5 Riski Nangi Sopir IA 0.20 SD 1.00 MK 6 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 62.20 62.20 -
6 Bahrudin Lababa Sopir ID 0.80 SLTA 3.00 MK 3 - 5 2.5 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.30 64.30 -
7 Ayub Samsuriadi Sopir ID 0.80 SLTA 3.00 MK 5 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.80 64.80 -
8 Farid Marhaba Sopir ID 0.80 SLTA 3.00 MK 5 3.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 64.80 64.80 -
9 Hisam Djupu Sopir ID 0.80 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80 -
10 Frengki Dunggio Sopir ID 0.80 SLTA 3.00 MK 1 - 3 2.0 H 6.0 staf 0.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 63.80 63.80 -
TOTAL INDEKS
JUMLAH 640 640 Rp -
Keluar
Iwan Setiawan Liputo
ALEMO
PELAYANAN LAINNYA
PUNISHMENT
%
KEBERSAMAAN
Rp 89,591,829
Rp - Rp 1,927,276
29,756
1
Rp - Rp - Rp - Rp - Rp - - Rp - Rp -
Rp 196,913 Rp - Rp 196,913 Rp - Rp 196,913 - Rp 196,913 Rp 196,913
Rp 196,913 Rp - Rp 196,913 Rp - Rp 196,913 - Rp 196,913 Rp 196,913 2
Rp 190,891 Rp - Rp 190,891 Rp - Rp 190,891 - Rp 190,891 Rp 190,891 4
Rp 187,278 Rp - Rp 187,278 Rp - Rp 187,278 - Rp 187,278 Rp 187,278 5
Rp 187,278 Rp - Rp 187,278 Rp - Rp 187,278 - Rp 187,278 Rp 187,278 6
Rp 193,601 Rp - Rp 193,601 Rp - Rp 193,601 - Rp 193,601 Rp 193,601 6
Rp 195,106 Rp - Rp 195,106 Rp - Rp 195,106 - Rp 195,106 Rp 195,106
Rp 195,106 Rp - Rp 195,106 Rp - Rp 195,106 - Rp 195,106 Rp 195,106
Rp 192,095 Rp - Rp 192,095 Rp - Rp 192,095 - Rp 192,095 Rp 192,095
Rp 192,095 Rp - Rp 192,095 Rp - Rp 192,095 - Rp 192,095 Rp 192,095
-
Rp -
Rp 1,927,276 Rp - Rp 1,927,276 Rp - Rp 1,927,276 Rp - Rp 1,927,276 Rp 1,927,276

DAFTAR PENERIMAAN REMUNE
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI D
44287

KOMPETENSI
MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA TOTAL
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
JASA KEBERSAMAAN
III
JASA MEDIS
DOKTER SPESIALIS, GIGI DAN UMUM
Dokter Spesialis
1 dr.Kisman Djafar,Sp.B Spesialis Bedah IVD 3.20 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 82.20
2 dr. Wahyudin Dangkua, Sp.PD Spesialis penyakit dalam IIID 2.40 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.40
3 dr. Gusman Aru Alitu, Sp.An Spesialis Anastesi IVA 2.60 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.60
4 dr. Indah Musdalifah, Sp.A Spesialis Anak IIID 2.40 s2+ 7.00 MK 9 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.40
5 dr. Hendra, Sp.Rad Spesialis Radiologi IIIC 2.20 s2+ 7.00 MK 5 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.20
6 dr. Fikri Wahidji, Sp.JP Spesialis Jantung IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
7 dr. dr. Cory Indriyati Wigati, Sp.D.V Spesialis Kulit dan Kelamin IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
8 dr. Mulyoni Polapa, Sp.B Spesialis Bedah IIIC 2.20 s2+ 7.00 MK 8 3.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.20
9 dr. wilda heike lokey SPESIALS THT IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
10 dr. Torajasa Achamar, Sp.PK Spesialis Patologi Klinik IIIB 2.00 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.50
11 dr. Fetty Fatimah, Sp.PA Spesialis Patologi Anatomi IIID 2.40 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.90
12 dr. Andrew Bernhard Christian Rattu, SPOG Spesialis Obsgyn IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
13 dr. Kurnia Sukmonowati, Sp.RM Spesialis Rehabilitasi Medik IVA 2.60 s2+ 7.00 MK 3 - 5 2.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 81.10
14 dr. Nurazizah Juzmi, Sp. M, M. Kes Spesialis Mata IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
1 - residen interna IIIB 0.00 0.0 A 10.0 0.0 0.0 0.0 0.0
2 dr. Elies Oktaviani residen Saraf IIIB 2.00 s2+ 6.50 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.00
1 dr. M. Bahtiar Fandi,Sp.N Spesialis Saraf IIIB 2.00 s2+ 7.00 MK 1 - 3 2.0 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.00
3 dr. Sofyan Almahdi, Sp.KJ Spesialis Kesehatan Jiwa IIIB 2.00 s2+ 7.00 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.50
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Dokter Gigi
1 drg. Nuryani Haji Abd. Rachman, SKG Dokter Gigi IVC 3.00 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.70
2 drg. Adnan Ali Masi Dokter Gigi IIIA 1.80 dr 6.20 MK 0 - 1 1.5 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.00
Dokter umum
1 dr. Faisal Muhamad Dokter Pelaksana IVc 3.00 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 79.70
2 dr. Rastina Dokter Pelaksana IVc 3.00 dr 6.20 mk 6 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.70
3 dr. Prasbe Agoes Dokter Pelaksana IVA 2.60 dr 6.20 mk 7 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.30
4 dr. Istin T.Ibrahim Dokter Pelaksana IIID 2.40 dr 6.20 mk 7 3.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 80.10
1,027.30
0.00
1 dr. Beatrix Kumowal IIIA 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
2 dr. Fajrian Rizkia Lubis IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
3 dr. Hesty Elisabeth IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
4 dr. Ririen Sylvia Sagita Bilondatu IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
5 dr. Farid Djafar IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
6 dr. Nur Audia Latamba IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
7 dr. Wahyuni Sartika Dewi Surya IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
8 dr. Yahya Djafar IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
9 dr. Farah Mokoginta IIIa 1.80 dr 6.20 MK 1 - 3 2.0 B 9.5 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 78.50
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
TOTAL INDEKS
JUMLAH 2553.5
Selesai Iship tgl 13 November 2020

dr. Arnetia Darmasala Dokter Internship IIIA
dr. Kristian Lihardo Girsang Dokter Internship IIIA
dr. Maria Sharon Dokter Internship IIIA
dr. Pingkan Widilisa Cesiliaa Kalumata Dokter Internship IIIA
dr. Rahmatia Anwar Dokter Internship IIIA
dr. Tifani Sutrisno Dokter Internship IIIA
dr. Yahya Djafar Dokter Internship IIIA
Keluar
2 dr. Marcella Politon, Sp.M Spesialis Mata IIIB 2.00 S2 6.50 MK 0 - 1 1.5 A 10.0 dok 7.0 h21 42.0 42.0 42.0 6.0 4.0 10.00 0.00
1 dr. Rizka Lizaprianty Asri Dokter Pertama IIIB 2.00 dr 6.20 MK 3 - 5 2.5 B 9.5 dok 7.0 h21 42.0 42.0 42.0 0.25 6.0 4.0 10.25 0.00
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 1.60 1.2

SLTA SLTP
Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2
Bobot Tupoksi Rgkp >3 Mds RgRgkp 2 Medis ParamedisNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka Pus KTU/PrNon Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran % Jalankan Tupoksi

Kualitas Kinerja Ktepatan Wkt Hadir Penyelesaian Kemandirian


Punishment Non Pelanggaran Pelanggaran RPelanggaran Sdg Pelanggaran Brt


TAHUN 2010
KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks

NO NAMA BONUS
GOL IND STRATA
5 Asni Lasena IIIB 2.60Bidan D13.50 8.0 8.00 30.0 0.00
7 Deyli Lengkong IIB #REF!Bidan D13.50 6.0 8.00 30.0 0.00
11 Harsono IIC #REF!D3 Gizi 4.00 8.0 8.00 30.0 0.00
13 Yesti Sandy Yosef, Amd.Kep IIC #REF!D3 Kep 4.00 6.0 8.00 27.0 0.00
14 Ida Popoy, Amd, Keb IIC #REF!D3 Bidan4.00 6.0 8.00 28.0 0.00
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 30.0 0.00
17 Yamin Aliwu K 1.60 SMP 2.00 4.0 5.00 25.0 0.00
18 Norman Kobi K 1.60 SMA 2.50 4.0 5.00 30.0 0.00
19 Elan Radjak K 1.60 SMA 2.50 4.0 5.00 20.0 0.00
JUMLAH

KOMPETENSI
INDEKS
BEBAN (-) nilai
K/R Indeks indeks
dr. M. Jamal, MPH

NIP: 140 361 942
N REMUNERASI
AKIT TANI DAN NELAYAN BOALEMO
NILAI
INDEKS
Rp 89,591,829

2553.50
82.20 Rp 9,027,660 Rp 247,496 Rp - Rp 9,275,156 Rp 1,391,273 Rp 7,883,882 Rp - Rp 7,883,882 Rp 7,883,882 1

81.40 Rp 23,239,470 Rp 245,087 Rp - Rp 23,484,558 Rp 1,174,228 Rp 22,310,330 Rp - Rp 22,310,330 Rp 22,310,330
81.60 Rp 5,232,445 Rp 245,689 Rp - Rp 5,478,134 Rp 821,720 Rp 4,656,414 Rp - Rp 4,656,414 Rp 4,656,414 3
81.20 Rp 3,292,859 Rp 244,485 Rp - Rp 3,537,344 Rp 176,867 Rp 3,360,476 Rp - Rp 3,360,476 Rp 3,360,476
80.00 Rp 896,918 Rp 240,872 Rp - Rp 1,137,790 Rp 56,889 Rp 1,080,900 Rp - Rp 1,080,900 Rp 1,080,900
79.50 2,013,142 Rp 239,366 Rp - Rp 2,252,508 Rp 112,625 Rp 2,139,883 Rp - Rp 2,139,883 Rp 2,139,883
80.90 Rp 821,346 Rp 243,582 Rp - Rp 1,064,927 Rp 53,246 Rp 1,011,681 Rp - Rp 1,011,681 Rp 1,011,681
Rp - Rp -
Rp -
79.50 Rp - Rp 239,366 Rp - Rp 239,366 Rp 11,968 Rp 227,398 Rp - Rp 227,398 Rp 227,398

NILAI
INDEKS

Rp 139,192,969
Rp 15,570,073
79.70 1,207,958 239,968.57 Rp - 1,447,926.17 217,188.93 1,230,737.25 Rp - 1,230,737.25 1,230,737.25 15
80.70 1,223,114 242,979.47 Rp - 1,466,093.38 219,914.01 1,246,179.37 Rp - 1,246,179.37 1,246,179.37 17
80.30 1,217,051 241,775.11 Rp - 1,458,826.49 218,823.97 1,240,002.52 Rp - 1,240,002.52 1,240,002.52 19
80.10 1,214,020 241,172.93 Rp - 1,455,193.05 72,759.65 1,382,433.40 Rp - 1,382,433.40 1,382,433.40 20
- - Rp - - - - Rp - - -
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25

78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
78.50 1,189,770 236,355.49 Rp - 1,426,125.53 71,306.28 1,354,819.25 Rp - 1,354,819.25 1,354,819.25
Rp 15,570,073 Rp - -
NILAI
INDEKS
2553.50 Rp -
Rp -
2,553.50 Rp 154,763,043 Rp 7,688,328 Rp - Rp 162,451,371 Rp 10,631,940 Rp 151,819,431 Rp - Rp 151,819,431 Rp 151,819,431
Rp -
0.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
0.00 - - Rp - - - - Rp - - -
NILAI
INDEKS

1 1.6 2.4
NILAI
INDEKS

Rp 3,200,000
Rp 4,800,000
#REF!
#REF!

Bendahara Hibah
NILAI
INDEKS
Harsono
NIP: 19670926 200012 1 001
#REF! #REF!
dr. Kisman Djafar, Sp.B L Dokter Spesialis Bedah

dr. Moh. Rizal Alayidrus L Dokter Spesialis Jantung
dr. Torajasa Achamar, Sp.PK.Blomed L Spesialis Patologi Klinik
dr. Nur Aziza Juzmi, Sp.M P Dokter Spesialis Mata
dr. Wilda Heike Lokey P Dokter Spesialis THT
dr. Andre Christian Widya, Sp.OG L Dokter Spesialis Obsgyn
dr. Jieni Hardiyanto L Residen Obsgyn
TIM PENGELOLA REMUNERASI BULAN APRIL
INDEKS TIDAK TERKAIT PELAYANAN INDEKS TERKAIT DENGAN PELAYANAN

NO NAMA JABATAN PANGKAT / GOL KOMPETENSI PEND. MASA KERJA BOBOT KERJA TANGGUNGJAWAB KINERJA SIKAP KERJA
nilai
GOL indeks STRATA indeks MK indeksBEBAN K/Rindeks JABATAN indeks KUANT indeks (-) Indeks
indeks
TOTAL P D L
JASA KEBERSAMAAN
JASA MEDIS
TIM PENGELOLA REMUNERASI
1 Fadjriah. N. Fattah, Amd.Kom Pengelola Klem Rawat Jalan BPJS IIC 1.40 D3 5.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
2 Sahrul Ali Saputra Pengelola Klem Rawat Inap BPJS IIB 1.20 S1 6.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 6 36.0 36.0 6.0
3 Septian S. Mootalu, A.Md, Kes Koder IIB 1.20 D3 5.00 MK 1 - 3 2.0 G 6.5 Staf 0.0 h21 42.0 42.0 42.0 6.0
4 Sri Zein Hutuo, SKM Pengelola Dana Talangan IIB 1.20 S1 6.00 MK 7 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
JUMLAH
IIID 2.40 S1 6.00 MK 9 3.0 G 6.5 staf 0.0 h21 42.0 42.0 42.0 6.0
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D IV C IV B IV A III D III C III B III A II D II C II B
Range: 1-4 4 3.8 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 2 1.8
Strata Pendidikan S3 S2+ Dr/drg/Apt S2 S1 D3 D1 SLTA KesSLTA SLTP SD

Range: 1,75-6 6 5.5 5 5 4.5 4 3.5 3 2.5 2 1.75
Bobot Tupoksi Rgkp >3 Mds RgkpRgkp 2 Medis ParameNon Medis

Range 4-10 10 9 8 8 6 4
Tanggung Jawab Ka Pus KTU/Prog Non Prog

Range: 5-10 10 8 5
Kuantitas Kinerja Tingkat Kehadiran % Jalankan Tupoksi

Range:0-30 hadir/hari kerjax15 kerjakan/jml tugasx15
Kualitas Kinerja Ktepatan Wkt Hadir Penyelesaian TugaKemandirian

Range:0-40 Hdr tepat/hr kerjax15 selesai tpt wkt/jmlkerjaka

Punishment Non Pelanggaran Pelanggaran RingaPelanggaran Sdg Pelanggaran Brt


TAHUN 2010
MASA KERJA KOMPETENSI PENDIDIKAN BOBOT TANGG KINERJA
NO NAMA
GOL IND STRATAINDEKSKHUS IND KERJA JAWAB KUANT KUAL
1 dr. M. Jamal, MPH, AAAK IIID 3.00 S2+ 5.50 10.0 10.00 ### ###
2 dr. Ruslyaras, S.Ked IIIC 2.80 dr 5.00 10.0 8.00 ### ###
3 drg. Endang Sulistyorini,SKG PTT #REF! drg 5.00 8.0 5.00 3.0 4.0
4 Husain Saud IIIB 2.60 SPK 3.00 8.0 8.00 ### ###
5 Asni Lasena IIIB 2.60 Bidan D1 3.50 8.0 8.00 ### ###
6 Haryono Musa IIIA 2.40 SPK 3.00 6.0 8.00 ### ###
7 Deyli Lengkong IIB 1.80 Bidan D1 3.50 6.0 8.00 ### ###
8 Yolanda Kelung IIA 1.60 SPK 3.00 8.0 8.00 ### ###
9 Maryam Limalo IIA 1.60 SLTA 2.50 4.0 8.00 ### ###
10 Astri Yunita IIA 1.60 SPK 3.00 6.0 8.00 ### ###
11 Harsono IIC 2.00 D3 Gizi 4.00 8.0 8.00 ### ###
12 Felly Datunsolang IID 2.20 D3 Kesling 4.00 8.0 8.00 ### ###
13 Yesti Sandy Yosef, Amd.Kep IIC 2.00 D3 Kep 4.00 6.0 8.00 ### ###
14 Ida Popoy, Amd, Keb IIC 2.00 D3 Bidan 4.00 6.0 8.00 ### ###
15 Sri Yulandi Noho, SKM IIIA 2.40 S1Kesmas 4.50 6.0 8.00 ### ###
16 Noni Adam IIA 1.60 SMA 2.50 4.0 8.00 ### ###
17 Yamin Aliwu K #REF! SMP 2.00 4.0 5.00 ### ###
18 Norman Kobi K #REF! SMA 2.50 4.0 5.00 ### ###
19 Elan Radjak K #REF! SMA 2.50 4.0 5.00 ### ###
20 Melda Yadjitala K #REF! SMA 2.50 4.0 5.00 ### ###
JUMLAH
dr. M. Jamal, MPH

NIP: 140 361 942
R PENERIMAAN REMUNERASI
DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
LA REMUNERASI BULAN APRIL TAHUN 2014
ELAYANAN
JASA PELAYANAN LAINNYA JUMLAH
SIKAP KERJA TOTAL NILAI INDEKS % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH DITERIMA TANDA TANGAN
BERSIH
T TOTAL JASA KEBERSAMAAN
89591829.21
29755.85
100% 3,258,145 0.00

4.0 10.00 67.90 30.5 Rp 993,734 Rp 204,440 Rp 1,198,174 Rp - Rp 1,198,174 Rp 1,198,174 Rp 1,198,174 3
4.0 10.00 62.70 28 Rp 912,281 Rp 188,783 Rp 1,101,064 Rp - Rp 1,101,064 Rp 1,101,064 Rp 1,101,064
4.0 10.00 66.70 34 Rp 1,107,769 Rp 200,827 Rp 1,308,596 Rp - Rp 1,308,596 Rp 1,308,596 Rp 1,308,596
4.0 10.00 68.70 7.5 Rp 244,361 Rp 206,849 Rp 451,210 Rp - Rp 451,210 Rp 451,210 Rp 451,210
266.00 100.0 Rp 3,258,145 Rp 800,899 Rp 4,059,044 Rp - Rp 4,059,044 Rp - Rp 4,059,044 Rp 4,059,044
MIRNA IBRAHIM
NIP 19790304 200604 2 019
4.0 10.00 69.90
II A IC IB
1.60 1.2 1
SUBSIDI INDEX PPH JUMLAH TANDA

BONUS
PAJAK TOTAL Rp 0 DITERIMA TANGAN
0.00 #REF! #REF! 1

0.00 #REF! #REF! 2
0.00 #REF! #REF! 3
0.00 #REF! #REF! 4
0.00 #REF! #REF! 5
0.00 #REF! #REF! 6
0.00 #REF! #REF! 7
0.00 #REF! #REF! 8
0.00 #REF! #REF! 9
0.00 #REF! #REF! 10
0.00 #REF! #REF! 11
0.00 #REF! #REF! 12
0.00 #REF! #REF! 13
0.00 #REF! #REF! 14
0.00 #REF! #REF! 15
0.00 #REF! #REF! 16
0.00 #REF! #REF! 17
0.00 #REF! #REF! 18
0.00 #REF! #REF! 19
0.00 #REF! #REF! 20
#REF! #REF!
BADAN LAYAN
TIM PE
INDEKS TERKAIT DENGAN PELAYANAN
KINERJA SIKAP KERJA

NO NAMA JABATAN
nilai
KUANT indeks (-) Indeks TOTAL P D L
indeks

JASA KEBERSAMAAN
JASA MEDIS
TIM PENGELOLA REMUNERASI
1 Armila Bendahara APBD h21 42.0 42.0 42.0 6.0

2 Serni Pade, SE Bendahara BLUD h21 42.0 42.0 42.0 6.0
3 Doni R Luneto, SE Bendahara Penerimaan h21 42.0 42.0 42.0 6.0
Penyusun Laporan
4 Fenti Ali h21 42.0 42.0 42.0 6.0
Keuangan
5 Iyan Mariyati Tahala Operator SIMDA h21 42.0 42.0 42.0 6.0
6 Helce Pinaria Bendahara Pembantu h21 42.0 42.0 42.0 6.0
7 Adeyanti Niuwa Bendahara Pembantu h21 42.0 42.0 42.0 6.0
8 Yusna Nihe Bendahara Pembantu h21 42.0 42.0 42.0 6.0
10 Dedty Melindawati Staf Keuangan h21 42.0 42.0 42.0 6.0
11 Arton Manto Staf Keuangan h21 42.0 42.0 42.0 6.0
12 Rahmawati Moko, SE Staf Keuangan h21 42.0 42.0 42.0 6.0
JUMLAH
MENGETAHUI
DIREKTUR BLUD RSUD TANI DAN NELAYAN
dr MUH JAMAL MPH, AAAK

NIP 196805112001121 003
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan III A II D II C II B
Range: 1-4 2.4 2.2 2 1.8
Strata Pendidikan SLTA U SLTP SD

Range: 1,75-6 2.5 2 1.75
Bobot Tupoksi
Range 4-10
Tanggung Jawab
Range: 5-10
Kuantitas Kinerja
Range:0-30
Kualitas Kinerja
Range:0-40
Reward
Range:0-15%Indeks
Punishment

TAHUN 2010
KINERJA
NO NAMA
KUANT KUAL
1 dr. M. Jamal, MPH, AAAK 30.0 ###
2 dr. Ruslyaras, S.Ked 30.0 ###
3 drg. Endang Sulistyorini,SKG 3.0 4.0
4 Husain Saud 30.0 ###
5 Asni Lasena 30.0 ###
6 Haryono Musa 30.0 ###
7 Deyli Lengkong 30.0 ###
8 Yolanda Kelung 30.0 ###
9 Maryam Limalo 30.0 ###
10 Astri Yunita 30.0 ###
11 Harsono 30.0 ###
12 Felly Datunsolang 30.0 ###
13 Yesti Sandy Yosef, Amd.Kep 27.0 ###
14 Ida Popoy, Amd, Keb 28.0 ###
15 Sri Yulandi Noho, SKM 28.0 ###
16 Noni Adam 30.0 ###
17 Yamin Aliwu 25.0 ###
18 Norman Kobi 30.0 ###
19 Elan Radjak 20.0 ###
20 Melda Yadjitala 25.0 ###
JUMLAH
TIM PENGELOLA KEUANGAN BULAN SEPTEMBER TAHUN 2014
AN PELAYANAN
TOTAL
SIKAP KERJA % JUMLAH PAJAK
NILAI
INDEKS KOTOR (PPH)
T TOTAL JASA KEBERSAMAAN
Rp 89,591,829
Rp 29,756
100% 4,344,193 -
4.0 10.00 69.50 8 Rp 369,719 Rp 209,257 Rp 578,976 Rp 28,949
4.0 10.00 69.70 11 Rp 508,363 Rp 209,860 Rp 718,223 Rp 35,911
4.0 10.00 68.70 10 Rp 462,148 Rp 206,849 Rp 668,997 Rp 33,450
4.0 10.00 66.40 9 Rp 415,933 Rp 199,924 Rp 615,857 Rp -

4.0 10.00 66.90 12 Rp 554,578 Rp 201,429 Rp 756,007 Rp -
4.0 10.00 65.90 6 Rp 277,289 Rp 198,418 Rp 475,707 Rp -
4.0 10.00 65.90 6 Rp 277,289 Rp 198,418 Rp 475,707 Rp -
4.0 10.00 65.90 6 Rp 277,289 Rp 198,418 Rp 475,707 Rp -
4.0 10.00 67.70 10 Rp 462,148 Rp 203,838 Rp 665,986 Rp -
4.0 10.00 67.70 10 Rp 462,148 Rp 203,838 Rp 665,986 Rp -
4.0 10.00 68.70 6 Rp 277,289 Rp 206,849 Rp 484,138 Rp -
743.00 94 4,344,193 2,237,097 6,581,290 98,310
AHUI
TANI DAN NELAYAN
MPH, AAAK
001121 003
II A
1.60
BONUS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
Rp 550,027 Rp 550,027 Rp 550,027 1

Rp 682,311 Rp 682,311 Rp 682,311
Rp 635,547 Rp 635,547 Rp 635,547 2
Rp 615,857 Rp 615,857 Rp 615,857

Rp 756,007 Rp 756,007 Rp 756,007 3 Cuti Melahirkan
Rp 475,707 Rp 475,707 Rp 475,707
Rp 475,707 Rp 475,707 Rp 475,707
Rp 475,707 Rp 475,707 Rp 475,707
Rp 665,986 Rp 665,986 Rp 665,986
Rp 665,986 Rp 665,986 Rp 665,986
Rp 484,138 Rp 484,138 Rp 484,138 cuti
6,482,980 - 6,482,980 6,482,980
MIRNA IBRAHIM
NIP 19790304 200604 2 019
PPH JUMLAH TANDA
#REF! 1
#REF! 2
#REF! 3
#REF! 4
#REF! 5
#REF! 6
#REF! 7
#REF! 8
#REF! 9
#REF! 10
#REF! 11
#REF! 12
#REF! 13
#REF! 14
#REF! 15
#REF! 16
#REF! 17
#REF! 18
#REF! 19
#REF! 20
#REF!
REMUNERASI RSTN BOALEMO
BULAN MEI TAHUN 2014
TENAGA KONTRAK INDEK
S
TIDAK
TERKA INDEKS TERKAIT PELAYANAN INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA
IT
PANG
PELAY
KAT / KINERJA PUNIS
NO NAMA JABATAN ANAN
GOL HMEN
T
(-) TANGA
GOL KUANT Indeks nilai indeks JLH TOTAL Medis kebersamaan KOTOR Rp 0 DITERIMA
Indeks N
I Jasa pelayanan med Rp 89,591,829

Japel Penghasil Paramedis/unit
III Rp - Rp 9,757,116
3240.6 29,756
Tenaga Penunjang Kegiatan RS
Tenaga Penunjang Administrasi
Amnaris Yalini, SE Bag. SEP IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Irfan Karuana, S.Si Loket Pendaftaran IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Anisa Dyahpratiwi Sadu Loket Pendaftaran IIC h21 42.0 42.0 42.0 66.90 Rp - Rp 201,429 Rp 201,429 Rp - Rp - Rp 201,429
Zulhisyam, SE Adm. Radiologi IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Moh. Rizka, S.Kom Staf Unit Pengelola Rujukan IID H21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Mutia Rahmatia Hippy, S.Si Staf Kepegawaian IID h21 42.0 3 39.0 39.0 66.10 Rp - Rp 199,020 Rp 199,020 Rp - Rp - Rp 199,020
Hilda Sahida Putri, S.Si Staf Kepegawaian IIB h21 42.0 42.0 42.0 67.20 Rp - Rp 202,332 Rp 202,332 Rp - Rp - Rp 202,332
Yuyun Yolanda Ngabito, A.Md.Kes Staf Rekam Medik IIC h21 42.0 42.0 42.0 71.40 Rp - Rp 214,978 Rp 214,978 Rp - Rp - Rp 214,978
Novaline Harun, A.Md.Kes Staf Rekam Medik IIC h21 42.0 42.0 42.0 66.40 Rp - Rp 199,924 Rp 199,924 Rp - Rp - Rp 199,924
Aisa Rasyid adm apotik IIB h21 42.0 42.0 42.0 65.70 Rp - Rp 197,816 Rp 197,816 Rp - Rp - Rp 197,816
Ruis Nipu, S.Pdi Staf Kepegawaian IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Feriyanto Kasim Staf Rekam Medik IIB h21 42.0 42.0 42.0 65.70 Rp - Rp 197,816 Rp 197,816 Rp - Rp - Rp 197,816
Moh. Ilyas, SE Staf Perencanaan IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Lisvan Uwete, SE Staf Rekam Medik IID h21 42.0 42.0 42.0 68.60 Rp - Rp 206,548 Rp 206,548 Rp - Rp - Rp 206,548
Yulan Saliko, SM Adm UGD IID h21 42.0 42.0 42.0 68.60 Rp - Rp 206,548 Rp 206,548 Rp - Rp - Rp 206,548
Restiyati Mayulu, S.Pd adm apotik IID h21 42.0 42.0 42.0 68.60 Rp - Rp 206,548 Rp 206,548 Rp - Rp - Rp 206,548
Witran Maliwu, Amd Adm VIP IIC h21 42.0 42.0 42.0 67.40 Rp - Rp 202,935 Rp 202,935 Rp - Rp - Rp 202,935
Yolanda Daud, SE Adm. Lab IID h21 42.0 42.0 42.0 69.10 Rp - Rp 208,053 Rp 208,053 Rp - Rp - Rp 208,053
Pical Mahmud, SE Adm HK IID h21 42.0 2 40.0 40.0 66.60 Rp - Rp 200,526 Rp 200,526 Rp - Rp - Rp 200,526
Feronika Nusi, SKM Adm Lab Patologi Anatomi IID h21 42.0 42.0 42.0 68.10 Rp - Rp 205,042 Rp 205,042 Rp - Rp - Rp 205,042
Laila Dai, SKM Adm Sp2RS IID h21 42.0 42.0 42.0 68.10 Rp - Rp 205,042 Rp 205,042 Rp - Rp - Rp 205,042
Adrianti Maasia, S.M Adm. Interna Kls I dan II IID h21 42.0 42.0 42.0 68.10 Rp - Rp 205,042 Rp 205,042 Rp - Rp - Rp 205,042
Fitriyani Andini Parewa,SKM Adm. Interna Kls III dan Isolasi IID h21 42.0 42.0 42.0 68.10 Rp - Rp 205,042 Rp 205,042 Rp - Rp - Rp 205,042
Salfiana Dida,S.M Adm. NIFAS IID h21 42.0 42.0 42.0 68.10 Rp - Rp 205,042 Rp 205,042 Rp - Rp - Rp 205,042
Astuti Mada, S.I, Kom Admission IID h21 42.0 42.0 42.0 67.60 Rp - Rp 203,537 Rp 203,537 Rp - Rp - Rp 203,537
Sri Novalinda Igirisa, S.M adm HCU IID h21 42.0 42.0 42.0 67.60 Rp - Rp 203,537 Rp 203,537 Rp - Rp - Rp 203,537
Masyfa Twiyaningsih Umar,S.M Adm Bedah IID h21 42.0 42.0 42.0 67.60 Rp - Rp 203,537 Rp 203,537 Rp - Rp - Rp 203,537
Yusma Nihe, SM Kasir IID h21 42.0 42.0 42.0 67.60 Rp - Rp 203,537 Rp 203,537 Rp - Rp - Rp 203,537
Inton Limalo Evakuasi IIB h21 42.0 42.0 42.0 64.20 Rp - Rp 193,300 Rp 193,300 Rp - Rp - Rp 193,300
Refliyanto S. Nuwa Evakuasi IIB h21 42.0 42.0 42.0 65.70 Rp - Rp 197,816 Rp 197,816 Rp - Rp - Rp 197,816
frengki hajatu Evakuasi IIB h21 42.0 42.0 42.0 65.70 Rp - Rp 197,816 Rp 197,816 Rp - Rp - Rp 197,816
Romiyanto Laima Evakuasi IIB h21 42.0 42.0 42.0 65.20 Rp - Rp 196,311 Rp 196,311 Rp - Rp - Rp 196,311
Risman Kaida Evakuasi IIB h21 42.0 42.0 42.0 64.70 Rp - Rp 194,805 Rp 194,805 Rp - Rp - Rp 194,805
Hendra Kude Evakuasi IIB h21 42.0 42.0 42.0 64.70 Rp - Rp 194,805 Rp 194,805 Rp - Rp - Rp 194,805
Landi Sigali Satpam IIB h21 42.0 1 41.0 41.0 63.70 Rp - Rp 191,794 Rp 191,794 Rp - Rp - Rp 191,794
Aldi Kamumu Satpam IIB h21 42.0 2 40.0 40.0 62.70 Rp - Rp 188,783 Rp 188,783 Rp - Rp - Rp 188,783
Muksyin Deandi Abdul Muthalib Mappa Satpam IIB h21 42.0 42.0 42.0 64.70 Rp - Rp 194,805 Rp 194,805 Rp - Rp - Rp 194,805
Saftar Rahmola Satpam IIB h21 42.0 1 41.0 41.0 63.20 Rp - Rp 190,289 Rp 190,289 Rp - Rp - Rp 190,289
Alex Kamumu Satpam IIB h21 42.0 42.0 42.0 64.20 Rp - Rp 193,300 Rp 193,300 Rp - Rp - Rp 193,300
Fadil Musa Satpam IIB h21 42.0 42.0 42.0 64.20 Rp - Rp 193,300 Rp 193,300 Rp - Rp - Rp 193,300
Rahmat Abdul Satpam IIB h21 42.0 42.0 42.0 64.20 Rp - Rp 193,300 Rp 193,300 Rp - Rp - Rp 193,300
Irwan Maikolo Satpam IIB h21 42.0 42.0 42.0 64.20 Rp - Rp 193,300 Rp 193,300 Rp - Rp - Rp 193,300
Mikdad Mohamad Satpam IIB h21 42.0 1 41.0 41.0 63.20 Rp - Rp 190,289 Rp 190,289 Rp - Rp - Rp 190,289
Haina Maku Laundry IIB h21 42.0 42.0 42.0 65.20 Rp - Rp 196,311 Rp 196,311 Rp - Rp - Rp 196,311
Isdiaty Laundry IC h21 42.0 42.0 42.0 62.40 Rp - Rp 187,880 Rp 187,880 Rp - Rp - Rp 187,880
Trisna Mopangga Laundry IIB h21 42.0 42.0 42.0 64.70 Rp - Rp 194,805 Rp 194,805 Rp - Rp - Rp 194,805
1 Rustamin Hiola, S.AP Staf Gizi IID h21 42.0 42.0 42.0 68.60 Rp - Rp 206,548 Rp 206,548 Rp - Rp - Rp 206,548
2 Aymun Sunga Front Office IIB h22 28.0 5 23.0 23.0 46.20 Rp - Rp 139,103 Rp 139,103 Rp - Rp - Rp 139,103
3 Wulandari Yusup Front Office IIB h21 42.0 42.0 42.0 65.20 Rp - Rp 196,311 Rp 196,311 Rp - Rp - Rp 196,311
JUMLAH 5.0 3,240.60 Rp - Rp 9,757,116 Rp 9,757,116 Rp - Rp - Rp 9,757,116
keluar
salma paskowa
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E III A II D I B Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 4 2.4 2.2 1 1.6 2.4
Strata Pendidikan S3 SLTA SLTP

Range: 1,75-6 6 2.5 2
Bobot Tupoksi Rgkp >

Range 4-10 10

Range: 5-10 10

Kualitas Kinerja Ktepat

Reward Non Teladan

Range:0-15%Indeks 0

HONOR JASA PELAYANAN

EMUNERASI PUSKESMAS PANGI
TAHUN 2010
DE: JANUARI 2007 s/d DESEMBER 2009
MASA KERJA KINERJA INDEX JASA PELAYANAN JUMLAH PPH JUMLAH TANDA
NO NAMA
GOL KUANT TOTAL Medis Para medis dll KOTOR Rp 0 DITERIMA TANGAN
I Jasa pelayanan med 40% ###
1 dr. M. Jamal, MPH, AAAK IIID 30.0 #REF! #REF! #REF! #REF! 1
2 dr. Ruslyaras, S.Ked IIIC 30.0 #REF! #REF! #REF! #REF! 2
3 drg. Endang Sulistyorini,SKG PTT 3.0 #REF! #REF! #REF! #REF! 3
4 Husain Saud IIIB 30.0 #REF! #REF! #REF! #REF! 4
5 Asni Lasena IIIB 30.0 #REF! #REF! #REF! #REF! 5
6 Haryono Musa IIIA 30.0 #REF! #REF! #REF! #REF! 6
7 Deyli Lengkong IIB 30.0 #REF! #REF! #REF! #REF! 7
8 Yolanda Kelung IIA 30.0 #REF! #REF! #REF! #REF! 8
9 Maryam Limalo IIA 30.0 #REF! #REF! #REF! #REF! 9
10 Astri Yunita IIA 30.0 #REF! #REF! #REF! #REF! 10
11 Harsono IIC 30.0 #REF! #REF! #REF! #REF! 11
12 Felly Datunsolang IID 30.0 #REF! #REF! #REF! #REF! 12
13 Yesti Sandy Yosef, Amd.Kep IIC 27.0 #REF! #REF! #REF! #REF! 13
14 Ida Popoy, Amd, Keb IIC 28.0 #REF! #REF! #REF! #REF! 14
15 Sri Yulandi Noho, SKM IIIA 28.0 #REF! #REF! #REF! #REF! 15
16 Noni Adam IIA 30.0 #REF! #REF! #REF! #REF! 16
17 Yamin Aliwu K 25.0 #REF! #REF! #REF! #REF! 17
18 Norman Kobi K 30.0 #REF! #REF! #REF! #REF! 18
19 Elan Radjak K 20.0 #REF! #REF! #REF! #REF! 19
20 Melda Yadjitala K 25.0 #REF! #REF! #REF! #REF! 20
JUMLAH #REF! #REF! #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHUN 2014
NO NAMA JABATAN GOL % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN

JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI REMUNERASI
100% 5,430,241 0
1 Drg. Adnan Ali Masi Ketua 4 Rp 944,390 47,219 Rp 897,170 Rp 897,170 Rp 897,170
2 dr. Fetty Fatimah, Sp. PA Sekretaris 1 Rp 236,097 11,805 Rp 224,293 Rp 224,293 Rp 224,293
3 dr. Indah Musdalifah, Sp. A Perwakilan Dokter Spesialis 1 Rp 236,097 11,805 Rp 224,293 Rp 224,293 Rp 224,293
4 Fatma Habi, A.Md.Kep Perwakilan Perawat 2 Rp 472,195 23,610 Rp 448,585 Rp 448,585 Rp 448,585
5 Fendriyanti Gobel,S.Tr.keb Perwakilan Bidan 2 Rp 472,195 23,610 Rp 448,585 Rp 448,585 Rp 448,585
6 Hairuddin S.Kau,S.Farm Perwakilan Penunjang 2 Rp 472,195 23,610 Rp 448,585 Rp 448,585 Rp 448,585 5
7 Mutia Rahmatia Hippy, S.Si Perwakilan Manajemen 2 Rp 472,195 Rp 472,195 Rp 472,195 Rp 472,195
8 Moh. Rizka, S. Kom Penghitung Data Akhir 4.5 Rp 1,062,438 Rp 1,062,438 Rp 1,062,438 Rp 1,062,438 7
9 Syahrul Ali Saputr, SH Penghitung Data Akhir 4.5 Rp 1,062,438 Rp 1,062,438 Rp 1,062,438 Rp 1,062,438 9
10 Rp - 0 Rp - Rp - Rp -
11 Rp - 0 Rp - Rp - Rp - 11
12 Rp - 0 Rp - Rp - Rp -
13 Rp - 0 Rp - Rp - Rp -
14 Rp - 0 Rp - Rp - Rp - 13
15 Rp - 0 Rp - Rp - Rp -
16 Rp - 0 Rp - Rp - Rp -
17 Rp - 0 Rp - Rp - Rp -
18 Rp - 0 Rp - Rp - Rp -
JUMLAH 23 Rp 5,430,241 141,658 Rp 5,288,583 Rp - Rp 5,288,583 Rp 5,288,583
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E dr/drg.PTT
Range: 1-4 4 2.4
Range: 1,75-6 6
Bobot Tupoksi Rgkp >3

Range 4-10 10

Range: 5-10 10

Kualitas Kinerja Ktepatan Wkt Hadir

Reward Non Teladan

Range:0-15%Indeks 0

TAHUN 2010
MASA JASA
KERJA
PELAYANAN PPH JUMLAH
NO NAMA
GOLPara medis dll Rp 0 DITERIMA
Japel Pelayanan Paramedis/dll 60% ###
1 dr. M. Jamal, MPH, AAAK IIID #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF!
4 Husain Saud IIIB #REF! #REF!
5 Asni Lasena IIIB #REF! #REF!
6 Haryono Musa IIIA #REF! #REF!
7 Deyli Lengkong IIB #REF! #REF!
8 Yolanda Kelung IIA #REF! #REF!
9 Maryam Limalo IIA #REF! #REF!
10 Astri Yunita IIA #REF! #REF!
11 Harsono IIC #REF! #REF!
12 Felly Datunsolang IID #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! #REF!
14 Ida Popoy, Amd, Keb IIC #REF! #REF!
15 Sri Yulandi Noho, SKM IIIA #REF! #REF!
16 Noni Adam IIA #REF! #REF!
17 Yamin Aliwu K #REF! #REF!
18 Norman Kobi K #REF! #REF!
19 Elan Radjak K #REF! #REF!
20 Melda Yadjitala K #REF! #REF!
JUMLAH #REF! #REF!
Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TANDA TANGAN
10
12
14
16
TANDA
TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHUN 2014
NO NAMA JABATAN GOL % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA

JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI KEPALA RUANGAN 14,118,627 Rp -
Kepala Ruangan + Supervisor 12,118,627
1 Sarifudin Jailani, S. Kep Karu OK IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
2 Natalia Makuta, S. Kep Karu Isolasi A IIIC 4.0 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
3 Sri Sunarti Lasena Karu Nifas IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
4 Yola Octavia Pangau Karu Poliklinik IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
5 Laksmi Yalini, A.Md, Kep Karu Anak IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
6 Karmila, A.Md, Kep Karu Bedah IIIC 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
7 Salwiyah Hadi, A.Md, Kep Karu Interna 3 IIIC 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
8 Sri Indah Nurmayanti, S. Kep Karu VIP/ISOlasi B IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
9 Fitriyanti Thaib, SST Karu PONEK Iva 4 Rp 430,885 Rp 64,633 Rp 366,252 Rp 366,252 Rp 366,252
10 Suritno Tangio, S. Kep Karu IGD IIIA 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
11 Witan Pakaya, S. Tr. Keb Karu IRDO IIID 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
12 Yuniarti Razak, A.Md, Kep Karu Interna 1 & 2 IIIB 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
13 Andariani R. Noho, A.Md.Kep Karu ICU IIIC 4 Rp 430,885 Rp 21,544 Rp 409,340 Rp 409,340 Rp 409,340
Wakil Kepala Ruangan + Supervisor Rp -
1 Putri Kiki P. Helingo Wakaru ICU IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
2 Sulha Talamoa, A.Md, Kep Wakaru OK IIID 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
3 Suriyanto Sarifudin Wakaru IGD IID 2.5 Rp 269,303 Rp - Rp 269,303 Rp 269,303 Rp 269,303
4 Sriyati Hasan, A. Md, Keb Wakaru PONEK IIID 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
5 Yesti Sandi Yosef WaKaru Interna Kls III IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
6 Yuyun Nasir, A.Md, Kep Wakaru Anak IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
7 Hirmawati, A.Md, Kep Wakaru Bedah IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
8 Indriani Paputungan, A.Md, Kep Wakaru VIP IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
9 Suswanti, A. Md, Kep WaKaru Interna 1 & 2 IIIB 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
10 Ratnawati, S.Kep Wakaru Poliklinik IIIC 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
11 Fidyah Salawali Wakaru NIFAS IIID 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
12 Suyanti Buluati, A.Md, Keb Wakaru IRDO IIID 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
13 Karmila Lagune, A.Md, Kep Wakaru Isolasi IIID 2.5 Rp 269,303 Rp 13,465 Rp 255,838 Rp 255,838 Rp 255,838
Karu Penunjang Medik Rp - Rp - Rp - Rp - Rp -
1 Firman, A.Md, AK Karu Laboratorium IIIB 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
2 Yunita Masilu Karu Instalasi Gizi IIIC 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
4 Niastin Dauna, S. AP Karu CSSD IIIC 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
5 Pranita Rahman, A.Md, Tek. Rad Karu Radiologi IIIC 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
6 Hardi Palilati, A. Md, Kes UTD IIC 3 Rp 323,163 Rp - Rp 323,163 Rp 323,163 Rp 323,163
7 Hairuddin S. Kau, S. Farm, Apt Farmasi IIID 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
8 Renirisma, A.Md, Fis Fisioterapi IIID 3 Rp 323,163 Rp 16,158 Rp 307,005 Rp 307,005 Rp 307,005
Karu Non Medik Rp - Rp - Rp - Rp - Rp -
1 Abdul Muthalib Mappa, SE Karu Security & Evakuasi IIIB 1.75 Rp 188,512 Rp 9,426 Rp 179,086 Rp 179,086 Rp 179,086
2 Ibrahim Hapulu Karu SOPIR IIC 1.75 Rp 188,512 Rp - Rp 188,512 Rp 188,512 Rp 188,512
3 Ronaldi Ahmad Karu Tekhnisi IIC 1.75 Rp 188,512 Rp - Rp 188,512 Rp 188,512 Rp 188,512
4 Yulindawati Dj.Maku, SST Karu HK IIID 1.75 Rp 188,512 Rp 9,426 Rp 179,086 Rp 179,086 Rp 179,086
Rp - Rp - Rp -
Penata Anastesi Rp - Rp - Rp -
1 Irwan Herman Djafar, A.Md, Kep Penata Anastesi Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
2 I Ketut Suwastika, A.Md, Kep Penata Anastesi Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
17 Rp - Rp - Rp - Rp - Rp -
18 Rp - Rp - Rp - Rp - Rp -
JUMLAH 112.5 Rp 14,118,627 Rp 600,545 Rp 13,518,082 Rp - Rp 13,518,082 Rp 13,518,082
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E Hnr /Kontrak/PTT dr/drg.PTT
Range: 1-4 4 1.6 2.4
Range: 1,75-6 6
Bobot Tupoksi Rgkp >3

Range 4-10 10

Range: 5-10 10


Reward Non Teladan

Range:0-15%Indeks 0


TAHUN 2010
MASA KERJA JASA PELAYANAN PPH JUMLAH
NO NAMA
GOL Medis Para medis dll Rp 0 DITERIMA
Japel Pelayanan Paramedis/dll 60% ###
1 dr. M. Jamal, MPH, AAAK IIID #REF! #REF!
2 dr. Ruslyaras, S.Ked IIIC #REF! #REF!
3 drg. Endang Sulistyorini,SKG PTT #REF! #REF!
4 Husain Saud IIIB #REF! #REF!
5 Asni Lasena IIIB #REF! #REF!
6 Haryono Musa IIIA #REF! #REF!
7 Deyli Lengkong IIB #REF! #REF!
8 Yolanda Kelung IIA #REF! #REF!
9 Maryam Limalo IIA #REF! #REF!
10 Astri Yunita IIA #REF! #REF!
11 Harsono IIC #REF! #REF!
12 Felly Datunsolang IID #REF! #REF!
13 Yesti Sandy Yosef, Amd.Kep IIC #REF! #REF!
14 Ida Popoy, Amd, Keb IIC #REF! #REF!
15 Sri Yulandi Noho, SKM IIIA #REF! #REF!
16 Noni Adam IIA #REF! #REF!
17 Yamin Aliwu K #REF! #REF!
18 Norman Kobi K #REF! #REF!
19 Elan Radjak K #REF! #REF!
20 Melda Yadjitala K #REF! #REF!
JUMLAH #REF! #REF! #REF!

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
TANDA TANGAN
5
6
7
9
10
11
12
13
14
16
TANDA
TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NE
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHU
Index
JUMLAH
NO NAMA JABATAN
KOTOR
TIM AUDIT -
NAMA Jabatan
1 dr. Fetty Fatimah, Sp.PA Ketua 0 Rp -
2 Jufri Yusup, SKM, M.Si Sekretaris 3 Rp -
3 dr. Ummu Kalsum Anggota 1 Rp -
4 dr. Sofyan Almahdi, Sp.J Anggota 1 Rp -
5 Hairuddin S.Kau,S.Farm,Apt Anggota 1 Rp -
6 Iyan Mariyati Tahala Anggota 1 Rp -
7 Yulinda Ibrahim,A.Md.Kep Anggota 1 Rp -
8 Sri Sunarti Lasena, S.Tr.Keb Anggota 1 Rp -
9 Sarifudin Jailani, S.Kep.Ns Anggota 1 Rp -
10 Moh.Rizka Anggota 0 Rp -
Jumlah 10 Rp -
AAN REMUNERASI
AH SAKIT TANI DAN NELAYAN BOALEMO
ASI BULAN APRIL TAHUN 2014
PAJAK ( PPH JLH STLAH PUNISHMENT JUMLAH JUMLAH

TANDA TANGAN
) PPH % BERSIH DITERIMA
Rp -
- Rp - Rp - Rp - 2
- Rp - Rp - Rp -
- Rp - Rp - Rp -
- Rp - Rp - Rp -
- Rp - Rp - Rp - 5
Rp - Rp - Rp - 6
- Rp - Rp - Rp -
- Rp - Rp - Rp - 7
- Rp - Rp - Rp - 9
Rp - Rp - Rp - 10
Rp - Rp - Rp - Rp - Rp - Rp 21 Rp 18
#REF! #REF!
BADAN LAYANAN UMUM DAERAH RUMAH SAKIT TANI DAN NELA
TIM KOMPENSASI REMUNERASI BULAN APRIL TAHUN
JUMLAH PAJAK
NO NAMA JABATAN
KOTOR ( PPH )
TIM DIKLAT 543,290 Rp -

1 Karsum Y. Nauko, SKM Ketua Tim Pengelola Rp 60,366 3,018.28
3 Susanti Adam, S. Sos Administrasi Rp 60,366 3,018.28
4 Suritno Tangio, S. Kep Penanggung Jawab Diklat Rp 60,366 3,018.28

5 Yulindawati Maku, SST Anggota Rp 60,366 3,018.28
6 Nur Elsa Fitriani Matiyeni, A.Md, Kep Anggota Rp 60,366
7 Moh. Fadli Mopangga, S. Kep, Ns Anggota Rp 60,366
8 Rizal Adipu Anggota Rp 60,366
9 Walida Nuwa Anggota Rp 60,366
10 Ruis Nipu, S. Pd.I Anggota Rp 60,366
Jumlah Rp 543,290 Rp 12,073

AN REMUNERASI
H SAKIT TANI DAN NELAYAN BOALEMO
SI BULAN APRIL TAHUN 2014
JLH STLAH JUMLAH JUMLAH

PUNISHMENT % TANDA TANGAN
PPH BERSIH DITERIMA
Rp 57,347 Rp 57,347 Rp 57,347
Rp 57,347 Rp 57,347 Rp 57,347
Rp 57,347 Rp 57,347 Rp 57,347

Rp 57,347 Rp 57,347 Rp 57,347
Rp 60,366 Rp 60,366 Rp 60,366
Rp 60,366 Rp 60,366 Rp 60,366
Rp 60,366 Rp 60,366 Rp 60,366
Rp 60,366 Rp 60,366 Rp 60,366
Rp 60,366 Rp 60,366 Rp 60,366
Rp 531,217 Rp - Rp 531,217 Rp 531,217

TIM KOMPENSASI REMUNERASI BULAN APR
INDEKS TERKAIT DENGAN PELAYANAN

NO NAMA JABATAN GOL KINERJA SIKAP KERJA
(-) nilai
KUANT indeks KUAL indeks TOTAL P D L T
Indeks indeks
JASA KEBERSAMAAN
JASA MEDIS
TIM KOMPENSASI KOMITE-KOMITE
KOMITE MEDIK
1 dr. Mulyoni Polapa, Sp.B Ketua
2 dr. Indah Musdalifah, Sp.A Sekretaris
3 dr. Fetty Fatimah, Sp.PA Sub Komite Kredensial
4
5
6
7
KOMITE FARMASI DAN TERAPI
dr. Mulyoni Polapa, Sp. B Ketua
Hairuddin S. Kau, S. Farm, Apt Sekretaris
dr. Kisman Djafar, Sp. B SMF Bedah
dr. Wahyudin Dangkua, Sp. PD SMF Interna
dr. Indah Musdalifah, Sp. A SMF Anak
dr. Andrew B.C. Rattu, Sp.OG SMF Obgyn
dr. Gusman Alitu, Sp.An SMF Anastesi
dr. Nur Azizah Juzmi, Sp. M SMF Mata
dr. M. Bahtiar Fandi, Sp.N SMF Neurologi
drg. Nuryani H. Abdulrahman SMG Gigi
dr. Rastina SMF IGD
Sugiaty Thalib, S.Si.Apt SMF Farmasi
KOMITE KEPERAWATAN
1 Ratnawati, S. kep Ketua
2 Poppy Sasmita, S. Kepn, Ns Wakil Ketua
3 Fatma Habi, SST Sub Komite Kredensial
4 Sri Indah Nurmayanti, S. Kep Sub Komite Kredensial
5 Karmila, A.Md, Kep Sub Komite Etika dan Disiplin
6 Sarifudin Jailani, S. Kep, NS Sub Komite Etika dan Disiplin
7 Putri Kiki Helingo, A.Md, Kep Sub Komite Mutu
8
9
12 KOMITE PPI
KOMITE NAKES LAINNYA
KOMITE PMKP
KOMITE PKRS
PROGNAS
PPRA
KOMITE K3
TIM PPHP
CASE MANAGER
Arlin Ajiria, S. Kep
TIM DIKLAT
1 Karsum Y. Nauko, SKM
2 Helmi Karim, SE
3 Susanti Adam, S. Sos
4 Suritno Tangio, S. Kep
5 Yulindawati Maku, SST
6 Nur Elsa Fitriani Matiyeni, A.Md, Kep
7 Moh. Fadli Mopangga, S. Kep, Ns
8 Rizal Adipu
9 Walida Nuwa
10 Ruis Nipu, S. Pd.I
PENGELOLA WEBSITE
TIM AUDIT
17
18
JUMLAH
Pangkat/Golongan 4
Strata Pendidikan 6
Bobot Tupoksi 10
Tanggung Jawab 10
Kualitas Kinerja 40
100
Keterangan
Pangkat/Golongan IV E IV D III A II D II C II B
Range: 1-4 4 3.8 2.4 2.2 2 1.8
Strata Pendidikan S3 S2+ SLTA Um SLTP SD

Range: 1,75-6 6 5.5 2.5 2 1.75
Bobot Tupoksi Rgkp >3 Mds Rgkp

Range 4-10 10 9
Tanggung Jawab Ka Pus KTU/Prog

Range: 5-10 10 8


Reward Non Teladan

Range:0-15%Indeks 0


TAHUN 2010
MASA KERJA KINERJA

NO NAMA
GOL IND KUANT KUAL
1 dr. M. Jamal, MPH, AAAK IIID #REF! 30.0 40.0
2 dr. Ruslyaras, S.Ked IIIC #REF! 30.0 40.0
3 drg. Endang Sulistyorini,SKG PTT 2.40 3.0 4.0
4 Husain Saud IIIB #REF! 30.0 40.0
5 Asni Lasena IIIB #REF! 30.0 40.0
6 Haryono Musa IIIA 2.40 30.0 40.0
7 Deyli Lengkong IIB 1.80 30.0 40.0
8 Yolanda Kelung IIA 1.60 30.0 40.0
9 Maryam Limalo IIA 1.60 30.0 40.0
10 Astri Yunita IIA 1.60 30.0 40.0
11 Harsono IIC 2.00 30.0 40.0
12 Felly Datunsolang IID 2.20 30.0 40.0
13 Yesti Sandy Yosef, Amd.Kep IIC 2.00 27.0 37.0
14 Ida Popoy, Amd, Keb IIC 2.00 28.0 37.0
15 Sri Yulandi Noho, SKM IIIA 2.40 28.0 37.0
16 Noni Adam IIA 1.60 30.0 40.0
17 Yamin Aliwu K 1.60 25.0 25.0
18 Norman Kobi K 1.60 30.0 40.0
19 Elan Radjak K 1.60 20.0 20.0
20 Melda Yadjitala K 1.60 25.0 25.0
JUMLAH
R PENERIMAAN REMUNERASI
DAERAH RUMAH SAKIT TANI DAN NELAYAN BOALEMO
SI REMUNERASI BULAN APRIL TAHUN 2014
SUBSIDI NILAI
TOTAL NILAI
AP KERJA
INDEKS
INDEKS % JUMLAH KOTOR PAJAK ( PPH ) JLH STLAH PPH PUNISHMENT % JUMLAH BERSIH JUMLAH DITERIMA TANDA TANGAN
TOTAL PAJAK AKHIR
100%
6 2
30
5
Rp - Rp - Rp - Rp - Rp - 16
Rp - Rp - Rp - Rp - Rp -
41 Rp - Rp - Rp - Rp - Rp - Rp -
II A IC IB Hnr /Kontrak/PTT dr/drg.PTT
1.60 1.2 1 1.6 2.4
SUBSIDI INDEX JASA PELAYANAN PPH JUMLAH TANDA

BONUS
PAJAK TOTAL Medis Para medis dll Rp 0 DITERIMA TANGAN
Rp3,200,000
###
#REF!
#REF!
0.00 #REF! #REF! #REF! 1
0.00 #REF! #REF! #REF! 2
0.00 #REF! #REF! #REF! 3
0.00 #REF! #REF! #REF! 4
0.00 #REF! #REF! #REF! 5
0.00 #REF! #REF! #REF! 6
0.00 #REF! #REF! #REF! 7
0.00 #REF! #REF! #REF! 8
0.00 #REF! #REF! #REF! 9
0.00 #REF! #REF! #REF! 10
0.00 #REF! #REF! #REF! 11
0.00 #REF! #REF! #REF! 12
0.00 #REF! #REF! #REF! 13
0.00 #REF! #REF! #REF! 14
0.00 #REF! #REF! #REF! 15
0.00 #REF! #REF! #REF! 16
0.00 #REF! #REF! #REF! 17
0.00 #REF! #REF! #REF! 18
0.00 #REF! #REF! #REF! 19
0.00 #REF! #REF! #REF! 20

Bendahara Hibah
Harsono
NIP: 19670926 200012 1 001
pegawai masuk oktober
No Ruangan
1
2
3
pegawai keluar
1 dr. Jefrey James David Suatan Residen Syaraf IIIB 2.00 S2 6.50 MK 0 - 1 1.5
2 dr. Harry Rudolf
dokter tamu masuk

1
2
3
A 10.0 dok 7.0 h21 42.0 42.0 42.0
6.0 4.0 10.00 79.00 79.00 ### ### Rp -
### Rp116,181 ### Rp - ### ###

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PEMBAGIAN JASA BPJS

JASA PELAYANAN TANGGAL 1 s/d 28 Februari 2021

III Rawat Darurat (UGD ) 11,425,827.89

1 dr.Kisman Djafar,Sp.B 14,444,255.96

Dokter umum 25,950,122

390,348 2,732,433 9,368,340

144,917 1,014,422 3,478,018

68,513 479,588 1,644,301.73

55,418 387,927 1,330,034.42

285,646 1,999,520 9,140,662.31

626,378 4,384,644 15,033,066.39

BONUS MANAJEMEN MANAJEMEN PENGHASIL

441,769 3,092,383 10,602,457

PENGHASIL KEBERSAMAAN JUMLAH

9,027,660 2,888,851 14,444,256

5,302,283 18,462,820 4.25

14,503,622 Poli 23,624,508

10,733,676.23 Poli 19,485,727.56

3,769,945 Poli 4,138,780

3,769,945.38 Poli 4,138,780.39

UGD 9,140,662 Karu 14,118,626.89

UGD 4,431,139 Karu

8,717.20 29,755.85 29,755.85

1 dr. Rahmawaty Dai, MARS DIREKTUR

Direktur cuti 6 hari

Rp 18,462,820 Rp 18,462,820 Rp 2,769,422.97 Rp 15,693,397 1

Rp 18,462,820 Rp 18,462,820 Rp 2,769,423 Rp 15,693,397

I Jasa pelayanan Lainnya

KaSie Mutu & Etika

INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI

TOTAL INDEKS SELURUH 29,756

977.70 977.70 Rp 30,409,350 Rp 2,943,755 Rp -

10.0 978 978 Rp 30,409,350 Rp 2,943,755 Rp -

2,637,000 395,550 2,241,450 - 2,241,450 2,241,450 2

2,510,779 376,617 2,134,162 - 2,134,162 2,134,162 2

2,587,535 388,130 2,199,405 - 2,199,405 2,199,405 3

2,708,639 135,432 2,573,207 - 2,573,207 2,573,207 5

2,608,003 130,400 2,477,603 - 2,477,603 2,477,603

2,580,712 129,036 2,451,677 - 2,451,677 2,451,677 7

2,563,655 128,183 2,435,473 - 2,435,473 2,435,473 2

2,548,304 127,415 2,420,889 - 2,420,889 2,420,889 9

2,556,833 127,842 2,428,991 - 2,428,991 2,428,991 12

2,597,769 129,888 2,467,881 - 2,467,881 2,467,881

Rp 33,353,105 Rp 2,441,187 Rp 30,911,919 Rp - Rp 30,911,919 Rp 30,911,919

Rp 33,353,105 Rp 2,441,187 Rp 30,911,919 Rp - Rp 30,911,919 Rp 30,911,919

Rp 150,997 Rp - Rp 150,997 Rp - Rp 150,997 - Rp 150,997 Rp 150,997 Rp 150,997

I Jasa pelayanan Lainnya

INSTALASI PELAYANAN MEDIK

JASA PELAYANAN LAINNYA

445,947 Rp 216,182 Rp - Rp 662,129 Rp 33,106 Rp 629,023 Rp - Rp 629,023 Rp 629,023 1

Rp 9,140,662.31 Rp 4,431,138.58 Rp - Rp 13,571,800.89 Rp 65,844.03 Rp 13,505,956.87 Rp - Rp 13,505,956.87 Rp 13,505,956.87

INDEKS TERKAIT DENGAN PELAYANAN SUBSIDI NILAI

I Jasa pelayanan Lainnya Rp 89,591,829

Rp 479,504 Rp 23,975 Rp 455,529 Rp - Rp 455,529 Rp 455,529 2

Rp 5,144,377 Rp 71,262 Rp 5,073,116 Rp - Rp 5,073,116 Rp 5,073,116

INSTALASI PELAYANAN MEDIK

Bobot Tupoksi Rgkp >Mds RgRgkp 2 Medis Paramedi Non Medis

Tanggung Jawab Ka PusKTU/Pr Non Prog

Kuantitas Kinerja Tingkat Kehadiran

Kualitas Kinerja Ktepatan Wkt Penyelesaian Kemandirian

Reward Non Teladan Teladan I Kab Teladan I Prov Teladan I Nas

Punishment Non Pelanggaran

PEMBAGIAN HONOR JASA PELAYANAN

Kepala Puskesmas Pangi