dr.

Manda

ket jml kehadiran jml. Pasien insentif jumlah ttd

CHB 150,000.00 - 5,700,000.00
(600,000)
TINDAKAN IGD On Call OBSERVASI MEDIK - 125,000.00 -
ON CALL by phone 20,000.00 -
CM Praktek Menggantikan - 200,000.00 -
CM UMUM 28.00 25,000.00 700,000.00
Kavitasi BPJS 500,000.00 -
fee 1.00 5,000,000.00 5,000,000.00
total 5,700,000.00 5,100,000.00

dr. Rofiq

ket jml kehadiran jml. Pasien insentif jumlah ttd

CHB 1.00 1,000,000.00 1,000,000.00 7,410,000.00
POLI CHB Pemeriksaan 1.00 40,000.00 40,000.00
-
TINDAKAN IGD OBSERVASI MEDIK 50,000.00 -
VISITE 12.00 50,000.00 600,000.00
ON CALL by phone 44.00 25,000.00 1,100,000.00
CM BPJS 280.00 4,000.00 1,120,000.00
UMUM 30.00 25,000.00 750,000.00
BAKSOS 2.00 500,000.00 1,000,000.00
FEE CM 9.00 200,000.00 1,800,000.00
total 7,410,000.00 7,410,000.00

dr. Verra
ket jml kehadiran jml. Pasien insentif jumlah ttd
HC VISITE 50,000.00 -
CM BPJS 27.00 4,000.00 108,000.00
UMUM 2.00 25,000.00 50,000.00
FEE CM SORE 1.00 200,000.00 200,000.00
total 358,000.00 358,000.00

dr. Lisa
ket jml kehadiran jml. Pasien insentif jumlah ttd
FEE CM 3.00 200,000.00 600,000.00 1,311,000.00
UMUM 11.00 25,000.00 275,000.00
BPJS 109.00 4,000.00 436,000.00
 total 1,311,000.00 1,311,000.00

dr. Vanesa
ket jml kehadiran jml. Pasien insentif jumlah ttd
FEE CM 3.00 200,000.00 600,000.00 1,285,000.00
UMUM 13.00 25,000.00 325,000.00
BPJS 90.00 4,000.00 360,000.00
baksos - 500,000.00 -
Visite Rawat Inap 50,000.00 -
CHB PX IGD (On Call) 25,000.00 -
Cabut Kuku 40,000.00 -
Visite Rawat Inap 50,000.00 -
total 1,285,000.00 1,285,000.00

dr. Dewi

ket jml kehadiran jml. Pasien insentif jumlah ttd

CM Praktek Menggantikan 1.00 200,000.00 200,000.00 372,000.00
UMUM 1.00 20,000.00 20,000.00
BPJS 38.00 4,000.00 152,000.00
total 372,000.00 372,000.00

dr. Tiara

ket jml kehadiran jml. Pasien insentif jumlah ttd

CM Praktek 8.00 200,000.00 1,600,000.00 3,532,000.00
UMUM 32.00 25,000.00 800,000.00
BPJS 283.00 4,000.00 1,132,000.00
total 3,532,000.00 3,532,000.00

dr. Irfan

ket jml kehadiran jml. Pasien insentif jumlah ttd

POLI CHB Pemeriksaan 100,000.00 - -
-
TINDAKAN OBSERVASI MEDIK 50,000.00 -
VISITE 100,000.00 -
VAKSIN RJ 110,000.00 -
VAKSIN RJ + VISITE 150,000.00 -
-
TINDAKAN HC OBSERVASI MEDIK -
VISITE -
total - -
Nama : Finna Rosita Sari
Jabatan : Perawat IGD
Periode : September

ket jml kehadiran jml. Pasien insentif jumlah ttd

2,735,000.00
CHB FEE 1.00 - 2,700,000.00 2,700,000.00
Insentif 500,000.00 -
HC 1.00 35,000.00 35,000.00
HC Pasien covid 50,000.00 -
2,735,000.00

Bd. Risha

ket jml kehadiran jml. Pasien insentif jumlah ttd

2,435,000.00
CHB FEE 1 2,400,000.00 2,400,000.00
Insentif - 500,000.00 -
HC 1.00 35,000.00 35,000.00
HC Pasien covid 50,000.00 -
2,435,000.00

Bd. Rita

ket jml kehadiran jml. Pasien insentif jumlah ttd

CHB FEE 1 2,700,000.00 2,700,000.00 2,735,000.00
INSENTIF 500,000.00 -
HC 1.00 35,000.00 35,000.00
HC Pasien covid 50,000.00 -
yg di terima 2,735,000.00 2,735,000.00
Nama : Yune Dwi Maharani
Jabatan : Bidan Pleksana
Periode : September

ket jml kehadiran jml. Pasien insentif jumlah ttd

4,630,000.00
KURET 4.00 50,000.00 200,000.00
Persalinan 9.00 200,000.00 1,800,000.00
Persalinan BIDAN 1.00 270,000.00 270,000.00
KB - 5,000.00 -
fee 1.00 2,200,000.00 2,200,000.00
Observasi 3.00 20,000.00 60,000.00
SC b3 66,000.00 -
SC 1.00 100,000.00 100,000.00
total 4,630,000.00 4,630,000.00

Mengetahui

dr. Hj. N. Efa Fatimah, MH.,M. Kes

Nama : Tria Dharmayanti
Jabatan : Bidan Pleksana
Periode : September

ket jml kehadiran jml. Pasien insentif jumlah ttd

3,510,000.00
KURET 3.00 50,000.00 150,000.00
Persalinan 7.00 200,000.00 1,400,000.00
Persalinan BIDAN - 270,000.00 -
KB - 5,000.00 -
fee 1.00 1,800,000.00 1,800,000.00
Observasi 4.00 40,000.00 160,000.00
SC b3 66,000.00 -
SC - 100,000.00 -
total 3,510,000.00 3,510,000.00

Mengetahui

dr. Hj. N. Efa Fatimah, MH.,M. Kes

Nama : Bd. Anis
Jabatan : Bidan Pleksana
Periode : September

ket jml kehadiran jml. Pasien insentif jumlah ttd

3,065,000.00
KURET 3.00 50,000.00 150,000.00
Persalinan 4.00 200,000.00 800,000.00
Persalinan BIDAN 270,000.00 -
KB 3.00 5,000.00 15,000.00
fee 1.00 2,000,000.00 2,000,000.00
Observasi 5.00 20,000.00 100,000.00
SC b3 66,000.00 -
SC - 100,000.00 -
total 3,065,000.00 3,065,000.00

Mengetahui

dr. Hj. N. Efa Fatimah, MH.,M. Kes

 BU OPIE

ket jml kehadiran jml. Pasien insentif jumlah ttd

1,950,000.00
- 250,000.00
fee 1.00 1,650,000.00 1,650,000.00

uang transprt 1.00 300,000.00 300,000.00

total 1,950,000.00
yg di terima 1,950,000.00 1,700,000.00

BU INDRI

ket jml kehadiran jml. Pasien insentif jumlah ttd

1,950,000.00

fee 1.00 1,650,000.00 1,650,000.00

insentif 1,950,000.00
uang transprt 1.00 300,000.00 300,000.00
JAGA
total 1,950,000.00
yg di terima 1,950,000.00
URI

ket jml kehadiran jml. Pasien insentif jumlah ttd

2,000,000.00
CHB
transfort 4.00 50,000.00 200,000.00
Fee 1.00 1,800,000.00 2,000,000.00
Jaga Minggu

jumlah 2,200,000.00 2,000,000.00

PENI

ket jml kehadiranjml. Pasien insentif jumlah ttd

1,800,000.00
CHB 1.00 1,800,000.00 1,800,000.00
transfort
Fee
j
Jaga Minggu
jumlah 1,800,000.00 1,800,000.00
 UKONG

ket jml kehadiran jml. Pasien insentif jumlah ttd

makan 15.00 10,000.00 150,000.00 1,460,000.00

insentif 20% 300,000.00 60,000.00

fee 1,400,000.00 1,400,000.00 1,460,000.00

total 1,610,000.00

Mang Ipid

ket jml kehadiran jml. Pasien insentif jumlah ttd

makan 15.00 10,000.00 150,000.00 1,460,000.00

insentif 20% 300,000.00 60,000.00

Fee 1.00 1,400,000.00 1,400,000.00

jumlah 1,610,000.00 1,460,000.00

firman

ket jml kehadiran jml. Pasien insentif jumlah ttd

transport 4.00 50,000.00 200,000.00 1,960,000.00

amblc Sept 30,000.00 - 1,000,000.00
Amblc NOV 30,000.00
insentif 20% 300,000.00 60,000.00
fee 1.00 1,900,000.00 1,900,000.00

total 2,160,000.00 960,000.00

 firman

ket jml kehadiran jml. Pasien insentif jumlah ttd

transport 4.00 50,000.00 200,000.00 -

-
Fee 1,900,000.00
200,000.00
total -
 REKUP GAJI KARYAWAN
KLINIK CITRA HARAPAN BUNDA
Apr-23

NO REKENING NAMA JUMLAH KETERANGAN

1 1820001622851 Ani Safitri 3,245,000 Gaji Bulan April

2 1820014678114 Ayep Saepudin 220,000 Gaji Bulan April

3 1820001633163 Desti Handayani 4,284,000 Gaji Bulan April

4 1820001628718 Devi Afrianti 2,240,000 Gaji Bulan April

5 1820001631266 dr. Manda Febriani Putri 5,100,000 Gaji Bulan April

6 1820006616445 dr. Rofiq 7,410,000 Gaji Bulan April

7 1320016633340 dr. Irfan 5,430,000 Gaji Bulan April

8 1820003579323 dr. Vanessa 1,285,000 Gaji Bulan April

9 1820003576592 dr. Vera 358,000 Gaji Bulan April

10 1820009873258 Bd. Nani 700,000 Gaji Bulan April

11 1820001630995 Finna Rosita Sari 2,238,300 Gaji Bulan April

12 1820001633577 Firman Kusnandar 1,020,000 Gaji Bulan April

13 1820001628791 Herman Permana 1,820,000 Gaji Bulan April

14 1820001628734 Melda Yulia 3,195,000 Gaji Bulan April

15 1820001622661 Ria Maria 3,424,000 Gaji Bulan April

16 1820001628742 Rina Sumarlinawati 530,000 Gaji Bulan April

17 1820001633262 Risha Pury Sobarna 1,855,000 Gaji Bulan April

18 1820003200342 Siti Anis Fauziah 3,035,000 Gaji Bulan April

19 1820001631001 Sri Indriyani 1,710,000 Gaji Bulan April

20 1820001631019 Tria Dharmayanti 3,480,000 Gaji Bulan April

21 1820001633536 Uriyah Arlisya 1,820,000 Gaji Bulan April

22 1820001622935 Yune Dwi Maharani 4,600,000 Gaji Bulan April

23 1820003091956 Ipid 1,640,000 Gaji Bulan April

24 9000044307883 Asep wahidin 1,470,000 Gaji Bulan April

Jumlah CHB 62,109,300 Gaji Bulan April

Klinik Citra Medika Gaji Bulan April

26 1820002228765 dr. Intan 5,000,000 Gaji Bulan April

27 1820004285052 dr. Lisa 1,311,000 Gaji Bulan April

28 1820004285177 dr. Tiara 3,532,000 Gaji Bulan April

29 1820001622661 dr. Dewi 372,000 Gaji Bulan April

30 1820001633551 Ajeng Kartika Putri 2,170,000 Gaji Bulan April

31 1820004281705 Mohamad Arfah (NDO) 1,505,000 Gaji Bulan April

32 1820001623594 Hanny Andriani 1,620,000 Gaji Bulan April

33 1820010108512 Mala Nurmala 2,596,000 Gaji Bulan April

34 1820001633544 Siti Rita Puspitasari 2,155,000 Gaji Bulan April

35 1820001629047 Venni Gustiami 1,620,000 Gaji Bulan April

36 1820007498926 Emmi Septiahani 1,540,000 Gaji Bulan April

37 1820007813744 Feni Noviska 1,500,000 Gaji Bulan April

Jumlah CM 24,921,000 Gaji Bulan April

38 1820003749918 The Aan 1,970,000 Gaji Bulan April

39 1820003749959 The Wida 1,620,000 Gaji Bulan April

TOTAL Rp 90,620,300 Gaji Bulan April

Herry Budiawan/ Melda
40 1820007479520 Yulia (Koperai) 11,166,700 Gaji Bulan April

101,787,000

Mengetahui:

dr. Hj. N. Efa Fatimah, MH., M.Kes

 REKUP GAJI KARYAWAN
CMC
Apr-23

NO REKENING NAMA GAJI Insentif Transfortasi Gaji JUMLAH KETERANGAN

1 1692291822 Dinda Batari Maya 1,500,000 200,000 1,700,000 1,700,000 Gaji Bulan April

2 1692289813 Mega Andi Wiguna 1,500,000 200,000 1,700,000 1,700,000 Gaji Bulan April

3 1692289777 Ratna Dewi 1,200,000 200,000 1,400,000 1,400,000 Gaji Bulan April

4 Gaji Bulan April

5 Gaji Bulan April

4,800,000

Mengetahui:

dr. Hj. N. Efa Fatimah, MH., M.Kes

 BI MIRA

ket jml kehadiran jml. Pasien insentif jumlah ttd

fee 1.00 1,200,000.00 1,200,000.00 1,200,000.00

transfort 4.00 50,000.00 200,000.00

total 1,400,000.00 1,200,000.00

MANG WAWAN

ket jml kehadiran jml. Pasien insentif jumlah ttd

fee 1.00 1,200,000.00 1,200,000.00 1,400,000.00

INSENTIF 1.00 200,000.00 200,000.00
UANG TRANSPT 4.00 50,000.00 200,000.00
1,400,000.00
jumlah 1,600,000.00

KANG DODI

ket jml kehadiran jml. Pasien insentif jumlah ttd

fee 1.00 1,200,000.00 1,200,000.00 1,200,000.00

200,000.00
uang makan 1.00 300,000.00 300,000.00

uang transport 4.00 50,000.00 200,000.00 1,000,000.00

jumlah 1,700,000.00