NO NAMA

PERT
APEL JML din staf visum
AKRE
1 2 JML
1 Hj. Juju Julaeha, SKM.,M.Si 4 4 2 0 2 1
2 drg. Teta Tedjaningrum 3 3 2 2 1
3 Hj Eti S. S.Kep,. Ners 3 3 2 2 1
4 Jani Budianingrum SIP 4 4 2 2 1
5 Komariah 3 3 1 1 1
6 Siti Asih Sutarsih, S.Kep 4 4 2 2 1
7 Erawati 4 4 0 0 1
8 Cucu Komalasari, AMKeb 4 4 2 2 1
9 Roni Hernawan AmdKl - - 2 2 0
10 Sri Yuni Harini, SKM 4 4 2 2 1
11 dr Ratih Agni - 1 1 0
12 Hj. Elis Eka Rostika, SKM 1 1 2 2 1
13 Pepi Revina, AmKeb 2 2 2 2 1
14 Intan Lusiana G, AMKG 3 3 2 2 1
15 Hj. Tintin Supriatin 4 4 2 2 1
16 R. Atin Suprihatin T 3 3 2 2 1
17 Aa Roland Melyana, AMK 4 4 2 2 1
18 Ipah Saripah S.Kep Ners 3 3 1 1 1
19 Nuraida Sofianti, A.MK 4 4 2 2 1
20 Dida Nurhidayah, SST 3 3 2 2 1
21 Siti Asiah, AMK 4 4 2 2 1
22 Reni Puspitawati, SKep 4 4 1 1 1
23 Neng Meymey, AMKeb 4 4 1 1 1
24 Caswati, S.Kep 2 2 2 2 1
25 Sabila Gantini, AMG 2 2 1 1 1
26 Heti Kumala Dewi Amkeb 2 2 1 1 1
27 Irma Pratisya - - 0 0 0
28 Agustin AMKeb 4 4 2 2 1
29 Eka Rostika, AmKeb 3 3 2 2 1
30 Arie Karlina Budiarti,Amkeb 3 3 2 2 1
31 Rita Mulyawati 4 4 2 2 1
32 Elin Subarliah - - 0 0 1
33 Eman Suherman 4 4 2 2 1
34 Nineu Perawati, AMKeb 1 1 1 1 1
35 Wina Adriani, AMKeb 4 4 1 1 1
36 Eka Anugerah, S.ST 4 4 0 0 1
37 Neni Shalihat, AMKeb 4 4 1 1 1
38 Tita Latifah, S.ST 4 4 1 1 1
39 Rita Setiawati, Amkeb 4 4 0 0 1
40 Nelly, AMKeb 4 4 0 0 1
41 dr. Sentot - 0
42 dr. Wulandari - 0
43 Dadan Sutisna SKM 1 1 2 2 0
44 Fitri Ariesta Widya, S.Kep 4 4 2 2 1
45 Neneh Surnaenah 4 4 2 2 1
46 Uum Cepiyana - - 0 0 0
47 Devi Haliyanto S, ST - - 0 0 0
48 Rita Rosita, Amkeb 4 4 1 1 1
49 Ucu Malela.AMK 4 4 2 2 1
50 Nisa, AMK 4 4 2 2 1
51 Fetty Fatimah,Amd. Kep 4 4 2 2 1
52 Tita Mustika, S,Farm., Apt 4 4 2 2 1
53 Eem Ati Kusmiati,Amkeb 4 4 2 2 1
54 Wina Ningsih, AMD.Kes 4 4 2 2 1
55 Indri Rindianti, S.E 9 9 0 0 0
56 Rosyaneu S, AMK 4 4 2 2 1
57 Dimas Permana Putra, Amd FT 1 1 0 0 0
58 Endah Sari Nuraeni, Amd Ak 4 4 2 2 1
59 Netty 4 4 0 0 1
60 Sinta Rosmaya 4 4 1 1 1
61 Egi Nurhansah, S.Kep. Ners 4 4 1 1 1
62 Teti Rosmanti 4 4 2 2 1
63 Della 4 4 1 1 1
64 Roni D 0 - 1 1 1
65 Dede 4 4 1 1 1
RK
JML INDEX
1 2 3
1 2
1 2
1 2
1 2 3
1 2 3
1 2 3
1 2 3
0 0 -
1 2 3
0 0 -
1 2 3
1 2 3
1 2
1 2
1 2
1 2
1 2 3
1 2 3
1 2 3
1 2 3
1 2 3
1 2
1 2
1 2 3
1 2 3
0 0 -
1 2 3
1 2 3
1 2 3
1 2 3
0 1 2
0 1 2
1 2 3
1 2 3
1 2 3
1 2 3
1 2 3
1 2
1 2 3
0 -
0 -
0 0 -
1 2 3
1 2
0 0 -
0 0 -
1 2 3
1 2 3
1 2 3
1 2 3
1 2 3
1 2 3
1 2 3
0 0 -
1 2 3
0 0 -
1 2 3
1 2 3
1 2 3
1 2 3
1 2
1 2
1 2 3
1 2
 VARIABEL KETENAGAAN KEHADIRAN INDIKATOR TAMBAHAN
STATUS KINERJA JUMLAH Pph Pasal 21
TOTAL PROGRAM TOTAL
MASA KERJA PENDIDKAN RESIKO KERJA JABATAN SELURUH KEHADIRAN APEL KEHADIRAN LOKBUL TAMBAHAN
KEPEGAWAIAN PELAYANAN VAR % ( 20%
INDIKATOR JUMLAH JASA JUMLAH UANG
PROPORSI 5% PROPORSI 15% PROPORSI 20% PROPORSI 20% JML JML POINT
PAGI ( 50% ) ( 30% )
)
NO NIP &nm
GOLONGAN JABATAN PENDIDIKAN PROPORSI 10% PROPORSI 30% KETENAGA KEHADIR LOYALITAS ( KOLOM 22 (30/TOT 30 x YANG DIERIMA
HARI HARI (perkalian
AN AN DAN +24+26+28+ JML JASA ) (Rp)
(=KOLOM MSK KERJA kolom 18 x PROPORS PROPORS 5% 6% 15%
Index Proporsi Index Proporsi Index Proporsi Index Proporsi Index Proporsi Index Proporsi 7+9+11+13+ KERJA EFEKTIF (=KOLOM INDEX INDEX INDEX PROPORSI DISPLIN 29 )
19/20%) kolom 21) I I
15+17)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 Hj. Juju Julaeha, SKM.,M.Si 197107081992032009/IV/A Ka Tu S1 Kesmas 5 0.0026 6 0.0014 6 0.0028 5 0.0026 4 0.0096 3 0.0060 0.0224 17 24 0.7083 0.0159 4 0.0100 2 0.0069 3 0.0113 5.7 5.7107 2,245,448 336,817 1,908,631
2 drg. Teta Tedjaningrum 197905232006042008/IV/a Dokter gigi S1 Kedokteran 5 0.0026 4 0.0009 9 0.0042 8 0.0041 1 0.0024 2 0.0040 0.0156 18 24 0.7500 0.0117 3 0.0075 2 0.0069 0 - 6.0 6.0261 2,239,947 335,992 1,903,955
3 Hj Eti S. S.Kep,. Ners 196705131989012001/IV/a Ners S1 Kep,Ners 5 0.0026 6 0.0014 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0146 18 24 0.7500 0.0110 3 0.0075 2 0.0069 1 0.0038 5.6 5.6542 2,018,182 302,727 1,715,455
4 Jani Budianingrum SIP 19650417198911 2 002/III/d Kep.Puskesmas S1 Pemerinta 5 0.0026 6 0.0014 4 0.0019 6 0.0031 8 0.0193 2 0.0040 0.0296 24 24 1.0000 0.0296 4 0.0100 2 0.0069 3 0.0113 8.0 8.0578 2,248,291 112,415 2,135,876
5 Komariah 196502251986032004/III/d Perawat SPK 5 0.0026 6 0.0014 3 0.0014 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 3 0.0075 1 0.0034 1 0.0038 4.0 4.0295 1,126,243 56,312 1,069,931
6 Siti Asih Sutarsih, S.Kep 196909041991032009/III/d Perawat S1 Keperawat 5 0.0026 6 0.0014 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0167 18 24 0.7500 0.0125 4 0.0100 2 0.0069 2 0.0075 3.2 3.1869 1,182,873 59,144 1,123,729
7 Erawati 196411241988032008/III/d Analis Kesehatan D1 Analis 5 0.0026 6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0157 24 24 1.0000 0.0157 4 0.0100 0 - 0 - 4.0 4.0257 1,124,448 56,222 1,068,226
8 Cucu Komalasari, AMKeb 196805191988032003/III/d Bidan D3 Kebidanan 5 0.0026 6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0157 21 24 0.8750 0.0138 4 0.0100 2 0.0069 1 0.0038 3.5 3.5344 1,124,489 56,224 1,068,265
9 Roni Hernawan AmdKl 196010301983022004/III/d Sanitarian D3 Sanitaria 5 0.0026 6 0.0014 6 0.0028 4 0.0020 1 0.0024 - 0.0000 0.0086 24 24 1.0000 0.0086 0 - 2 0.0069 0 - 3.5 3.5155 1,035,666 51,783 983,883
10 Sri Yuni Harini, SKM 197106171992032004/III/d Fungsional Promkes S1 KESMAS 5 0.0026 6 0.0014 6 0.0028 4 0.0020 1 0.0024 3 0.0060 0.0147 18 24 0.7500 0.0110 4 0.0100 2 0.0069 1 0.0038 5.3 5.2817 1,960,079 98,004 1,862,075
11 dr Ratih Agni 198707212014102002/IIIC Dokter Umum S1 Kedokteran 5 0.0026 2 0.0005 9 0.0042 8 0.0041 1 0.0024 - 0.0000 0.0111 6 24 0.2500 0.0028 0 - 1 0.0034 - 2.2 2.2062 614,375 30,719 583,656
12 Hj. Elis Eka Rostika, SKM 197109292006042002/IIIc Bidan S1 KESMAS 5 0.0026 4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0157 18 24 0.7500 0.0118 1 0.0025 2 0.0069 2 0.0075 5.3 5.2787 1,964,126 98,206 1,865,920
13 Pepi Revina, AmKeb 198104132005012009/IIIc bidan D3 Kebidanan 5 0.0026 4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0157 22 24 0.9167 0.0144 2 0.0050 2 0.0069 1 0.0038 3.4 3.4676 - 28,694 (28,694)
14 Intan Lusiana G, AMKG 19801009200512010/IIIC Perawat Gigi D3 Kep.Gigi 5 0.0026 4 0.0009 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0181 24 24 1.0000 0.0181 3 0.0075 2 0.0069 2 0.0075 7.0 7.0400 1,962,994 98,150 1,864,844
15 Hj. Tintin Supriatin 196411301985032004/IIIC Bendahara JKN D1 Gizi 5 0.0026 6 0.0014 2 0.0009 3 0.0015 3 0.0072 2 0.0040 0.0151 19 24 0.7917 0.0119 4 0.0100 2 0.0069 2 0.0075 5.5 5.5781 1,962,506 98,125 1,864,381
16 R. Atin Suprihatin T 196812211989032009/III/b Pelaksana/Bendahara SMA 5 0.0026 6 0.0014 2 0.0009 3 0.0015 1 0.0024 2 0.0040 0.0103 24 24 1.0000 0.0103 3 0.0075 2 0.0069 1 0.0038 3.70 3.73 802,495 40,125 762,370
17 Aa Roland Melyana, AMK 1980005292003121005/III/b Perawat D3 Keperawat 5 0.0026 5 0.0011 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0183 24 24 1.0000 0.0183 4 0.0100 2 0.0069 1 0.0038 3.8 3.7890 987,566 49,378 938,188
18 Ipah Saripah S.Kep Ners 197908102007012011/IIIB Ners S1 Kep,Ners 5 0.0026 4 0.0009 7 0.0033 7 0.0036 2 0.0048 3 0.0060 0.0186 24 24 1.0000 0.0186 3 0.0075 1 0.0034 2 0.0075 4.0 4.0371 814,157 40,708 773,449
19 Nuraida Sofianti, A.MK 198401242009022001/IIIB Perawat D3 Keperawat 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0150 18 24 0.7500 0.0113 4 0.0100 2 0.0069 2 0.0075 4.9 4.9107 1,823,819 91,191 1,732,628
20 Dida Nurhidayah, SST 198007252008012008/IIIB Bidan D4 Kebidanan 5 0.0026 4 0.0009 6 0.0028 7 0.0036 3 0.0072 3 0.0060 0.0206 17 24 0.7083 0.0146 3 0.0075 2 0.0069 2 0.0075 5.0 4.9948 1,964,933 98,247 1,866,686
21 Siti Asiah, AMK 198111012009022002/IIIa Perawat D3 Keperawat 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0150 24 24 1.0000 0.0150 4 0.0100 2 0.0069 2 0.0075 3.5 3.5395 985,980 49,299 936,681
22 Reni Puspitawati, SKep 198208302010012011/IIIa Perawat D3 Keperawat 5 0.0026 3 0.0007 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0160 24 24 1.0000 0.0160 4 0.0100 1 0.0034 2 0.0075 6.5 6.5370 1,823,962 91,198 1,732,764
23 Neng Meymey, AMKeb 198407202010012016/IIIA Bidan D3 Kebidanan 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0130 24 24 1.0000 0.0130 4 0.0100 1 0.0034 1 0.0038 3.9 3.9302 1,095,715 54,786 1,040,929
24 Caswati, S.Kep 197712162007012004/III/a perawat S1 Keperawat 5 0.0026 4 0.0009 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0142 24 24 1.0000 0.0142 2 0.0050 2 0.0069 1 0.0038 6.5 6.5299 1,748,196 87,410 1,660,786
25 Sabila Gantini, AMG 19890429 2011012003/IIIA Nutrisionis D3 Gizi 0 0.0000 3 0.0007 6 0.0028 4 0.0020 1 0.0024 3 0.0060 0.0140 - 24 - 0.0000 2 0.0050 1 0.0034 0 - 0.0 0.0084 - - -
26 Heti Kumala Dewi Amkeb 19771002 200501 2 011/IID bidan D3 Kebidanan 5 0.0026 4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 24 24 1.0000 0.0153 2 0.0050 1 0.0034 2 0.0075 6.0 6.0313 1,211,044 1,211,044
27 Irma Pratisya 198105302007012005/II/c Perawat SPK 5 0.0026 4 0.0009 3 0.0014 7 0.0036 1 0.0024 - 0.0000 0.0083 1 24 0.0417 0.0003 0 - 0 - 1 0.0038 0.0 0.0041 474,707 - 474,707
28 Agustin AMKeb 198409142017042011/IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 0 - 3.1 3.1317 874,259 - 874,259
29 Eka Rostika, AmKeb 198909302017042004 / IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 18 24 0.7500 0.0111 3 0.0075 2 0.0069 0 - 2.3 2.2755 812,739 - 812,739
30 Arie Karlina Budiarti,Amkeb 198409202017042007/ IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 20 24 0.8333 0.0123 3 0.0075 2 0.0069 0 - 2.5 2.5267 845,811 - 845,811
31 Rita Mulyawati 197106132007012007/II/b Pelaksana Administrasi SMA 5 0.0026 4 0.0009 2 0.0009 3 0.0015 1 0.0024 3 0.0060 0.0118 22 24 0.9167 0.0108 4 0.0100 2 0.0069 1 0.0038 3.2 3.2398 816,107 - 816,107
32 Elin Subarliah 196403192007012001/II/b Pelaksana Administrasi SMEA 5 0.0026 4 0.0009 2 0.0009 3 0.0015 1 0.0024 2 0.0040 0.0098 24 24 1.0000 0.0098 0 - 0 - 0 - 1.8 1.7598 450,000 - 450,000
33 Eman Suherman 196604132007011008/IIb Pelaksana Administrasi SMEA 5 0.0026 4 0.0009 2 0.0009 3 0.0015 1 0.0024 2 0.0040 0.0098 24 24 1.0000 0.0098 4 0.0100 2 0.0069 0 - 3.3 3.3267 835,843 835,843
34 Nineu Perawati, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 22 24 0.9167 0.0140 1 0.0025 1 0.0034 0 - 3.0 2.9991 839,574 41,979 797,595
35 Wina Adriani, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0150 23 24 0.9583 0.0144 4 0.0100 1 0.0034 0 - 2.9 2.9029 811,654 40,583 771,071
36 Eka Anugerah, S.ST _ Bidan PTT D4 Kebidanan 1 0.0005 3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 23 24 0.9583 0.0149 4 0.0100 0 - 1 0.0038 2.8 2.8078 809,415 40,471 768,944
37 Neni Shalihat, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0150 24 24 1.0000 0.0150 4 0.0100 1 0.0034 0 - 3.0 3.0285 810,836 40,542 770,294
38 Tita Latifah, S.ST _ Bidan PTT D4 Kebidanan 1 0.0005 3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 24 24 1.0000 0.0155 4 0.0100 1 0.0034 1 0.0038 3.0 3.0327 813,312 40,666 772,646
39 Rita Setiawati, Amkeb _ Bidan PTT D3 Kebidanan 1 0.0005 3 0.0007 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0130 24 24 1.0000 0.0130 4 0.0100 0 - 1 0.0038 3.0 3.0268 843,411 42,171 801,240
40 Nelly, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 24 24 1.0000 0.0155 4 0.0100 0 - 0 - 3.0 3.0255 843,656 42,183 801,473
41 dr. Sentot _ Dokter Umum S1 Kedokteran 0 - - 3,684,210 184,210 3,500,000
42 dr. Wulandari - Dokter Umum S1 Kedokteran 0 - - 3,684,210 184,210 3,500,000
43 Dadan Sutisna SKM _ Administrasi S1 KESMAS 1 0.0005 4 0.0009 6 0.0028 3 0.0015 1 0.0024 - 0.0000 0.0076 24 24 1.0000 0.0076 1 0.0025 2 0.0069 0 - 3.2 3.2170 833,810 50,029 783,781
44 Fitri Ariesta Widya, S.Kep _ Perawat S1 Keperawat 1 0.0005 2 0.0005 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0153 24 24 1.0000 0.0153 4 0.0100 2 0.0069 1 0.0038 3.0 3.0360 846,884 50,813 796,071
45 Neneh Surnaenah _ Administrasi SMA 1 0.0005 5 0.0011 2 0.0009 3 0.0015 1 0.0024 2 0.0040 0.0100 24 24 1.0000 0.0100 4 0.0100 2 0.0069 1 0.0038 3.0 3.0307 845,900 42,295 803,605
46 Uum Cepiyana _ Cleaning Service STM 1 0.0005 5 0.0011 2 0.0009 3 0.0015 1 0.0024 - 0.0000 0.0060 24 24 1.0000 0.0060 0 - 0 - 0 - 3.0 3.0060 838,258 50,295 787,963
47 Devi Haliyanto S, ST _ Bidan Poned D4 Kebidanan 1 0.0005 3 0.0007 6 0.0028 7 0.0036 1 0.0024 - 0.0000 0.0095 8 24 0.3333 0.0032 0 - 0 - 0 - 1.0 1.0032 707,807 35,390 672,417
48 Rita Rosita, Amkeb _ Bidan Poned D3 Kebidanan 1 0.0005 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0150 24 24 1.0000 0.0150 4 0.0100 1 0.0034 0 - 3.0 3.0285 842,906 50,574 792,332
49 Ucu Malela.AMK _ Perawat DIII Keperawa 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 1 0.0038 3.0 3.0355 847,421 42,371 805,050
50 Nisa, AMK _ Perawat DIII Keperawa 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 1 0.0038 3.0 3.0355 811,066 48,664 762,402
51 Fetty Fatimah,Amd. Kep _ Perawat DIII Keperawa 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 1 0.0038 3.0 3.0355 846,741 50,804 795,937
52 Tita Mustika, S,Farm., Apt _ Apoteker S1 Farmasi 1 0.0005 2 0.0005 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0157 24 24 1.0000 0.0157 4 0.0100 2 0.0069 1 0.0038 3.3 3.3364 927,955 46,398 881,557
53 Eem Ati Kusmiati,Amkeb _ Bidan Poned D3 Kebidanan 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 12 24 0.5000 0.0074 4 0.0100 2 0.0069 0 - 1.3 1.2743 534,464 26,723 507,741
54 Wina Ningsih, AMD.Kes _ Administrasi D3 Manajemen 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 1 0.0038 3.0 3.0355 846,106 42,305 803,801
55 Indri Rindianti, S.E _ Administrasi S1 Ekonomi 1 0.0005 2 0.0005 4 0.0019 3 0.0015 2 0.0048 - 0.0000 0.0087 19 24 0.7917 0.0069 9 0.0225 0 - 1 0.0038 2.5 2.5665 866,851 43,343 823,508
56 Rosyaneu S, AMK _ Perawat DIII Keperawa 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 1 0.0038 3.0 3.0355 844,631 50,678 793,953
57 Dimas Permana Putra, Amd FT fisioterapi D3 Fisioterapi 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 - 0.0000 0.0088 21 24 0.8750 0.0077 1 0.0025 0 - 0 - 1.9 1.9352 517,701 31,062 486,639
58 Endah Sari Nuraeni, Amd Ak - analis D3 Analis 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 2 0.0069 0 - 3.1 3.1317 843,445 50,607 792,838
59 Netty Bidan Poned D3 Kebidanan 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 4 0.0100 0 - 0 - 3.0 3.0248 787,000 47,220 739,780
60 Sinta Rosmaya Bidan Poned D3 Kebidanan 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 23 24 0.9583 0.0142 4 0.0100 1 0.0034 0 - 2.9 2.9026 816,922 49,015 767,907
61 Egi Nurhansah, S.Kep. Ners perawat S1 Keperawat 1 0.0005 2 0.0005 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0157 24 24 1.0000 0.0157 4 0.0100 1 0.0034 1 0.0038 3.2 3.2330 844,167 50,650 793,517
62 Teti Rosmanti Pramusaji SMK 1 0.0005 2 0.0005 2 0.0009 3 0.0015 1 0.0024 2 0.0040 0.0094 24 24 1.0000 0.0094 4 0.0100 2 0.0069 0 - 2.9 2.9263 760,360 45,622 714,738
63 Della Rekam Medis D3 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0128 24 24 1.0000 0.0128 4 0.0100 1 0.0034 1 0.0038 3.0 3.0300 844,631 50,678 793,953
64 Roni D Perawat D3 1 0.0005 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0148 24 24 1.0000 0.0148 0 - 1 0.0034 1 0.0038 3.0 3.0220 844,631 50,678 793,953
65 Dede Apoteker S1 1 0.0005 2 0.0005 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0137 24 24 1.0000 0.0137 4 0.0100 1 0.0034 1 0.0038 3.3 3.3310 927,955 46,398 881,557
JUMLAH 190 220 322 391 83 149 1 200 87 53 221 223 72,944,890 2,428,578 626,033 975,536 68,813,387
TANDA TANGAN

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58 ……………………
59 ……………………
60 ……………………
61 ……………………
62 ……………………
56 ……………………
56 ……………………
52 ……………………
 tot dokter dt pajak
84,277,960.0 7,368,420 76,909,540 76,909,540

84,277,960.0 7,000,000 10,113,355.20 4,030,147 - 63,134,458

1,970,175.1 2,245,448 336,817.20 336,817 8 5.67

2,078,976.6 2,239,947 335,992.05 335,992 8 6.00
1,950,649.8 2,018,182 302,727.30 302,727 8 5.63
2,779,900.8 2,248,291 112,414.55 112,415 8 8.00
1,390,159.1 1,126,243 56,312.15 56,312 4 4.00
1,099,474.3 1,182,873 59,143.65 59,144 4.2 3.15
1,388,851.5 1,124,448 56,222.40 56,222 4 4.00
1,219,357.4 1,124,489 56,224.45 56,224 4 3.50
1,212,831.1 1,035,666 51,783.30 51,783 3.5 3.50
1,822,142.8 1,960,079 98,003.95 98,004 7.0 5.25
761,138.6 614,375 30,718.75 30,719 2.2 2.20
1,821,136.7 1,964,126 98,206.30 98,206 7 5.25
1,196,299.9 573,887 28,694.35 28,694 3.75 3.44
2,428,766.0 1,962,994 98,149.70 98,150 7 7.00
1,924,396.4 1,962,506 98,125.30 98,125 7 5.54
1,286,289.2 802,495 40,124.75 40,125 3.70 3.70
1,307,173.6 987,566 49,378.30 49,378 3.8 3.75
1,392,778.3 814,157 40,707.85 40,708 4 4.00
1,694,171.9 1,823,819 91,190.95 91,191 6.5 4.88
1,723,189.8 1,964,933 98,246.65 98,247 7 4.96
1,221,102.1 985,980 49,299.00 49,299 3.5 3.50
2,255,216.7 1,823,962 91,198.10 91,198 6.50 6.50
1,355,913.7 1,095,715 54,785.75 54,786 3.9 3.90
2,252,763.3 1,748,196 87,409.80 87,410 6.5 6.50
2,914.6 - - - 0.0 -
2,080,751.6 1,211,044 6 6.00
1,421.1 474,707 0.0 -
1,080,422.3 874,259 3 3.10
785,037.0 812,739 3 2.25
871,711.4 845,811 3 2.50
1,117,727.4 816,107 3.50 3.21
607,125.0 450,000 1.75 1.75
1,147,695.3 835,843 3.3 3.30
1,034,676.2 839,574 41,978.70 41,979 3.3 2.98
1,001,471.1 811,654 40,582.70 40,583 3.0 2.88
968,675.4 809,415 40,470.75 40,471 2.90 2.78
1,044,811.6 810,836 40,541.80 40,542 3.0 3.00
1,046,274.2 813,312 40,665.60 40,666 3.0 3.00
1,044,229.2 843,411 42,170.55 42,171 3.0 3.00
1,043,782.7 843,656 42,182.80 42,183 3.0 3.00
3,684,210.0 3,684,210 184,210.50 184,210 -
3,684,210.0 3,684,210 184,210.50 184,210 -
1,109,862.0 833,810 50,028.60 50,029 3.2 3.20
1,047,385.4 846,884 50,813.04 50,813 3.0 3.00
1,045,577.3 845,900 42,295.00 42,295 3.0 3.00
1,037,057.0 838,258 50,295.48 50,295 3 3.00
346,083.0 707,807 35,390.35 35,390 3.0 1.00
1,044,811.6 842,906 50,574.36 50,574 3.00 3.00
1,047,224.7 847,421 42,371.05 42,371 3.0 3.00
1,047,224.7 811,066 48,663.96 48,664 3.0 3.00
1,047,224.7 846,741 50,804.46 50,804 3.0 3.00
1,151,044.4 927,955 46,397.75 46,398 3.3 3.30
439,627.5 534,464 26,723.20 26,723 2.5 1.25
1,047,224.7 846,106 42,305.30 42,305 3.0 3.00
885,418.1 866,851 43,342.55 43,343 3.2 2.53
1,047,224.7 844,631 50,677.86 50,678 3.0 3.00
667,625.1 517,701 31,062.06 31,062 2.2 1.93
1,080,422.3 843,445 50,606.70 50,607 3.1 3.10
1,043,543.6 787,000 47,220.00 47,220 3.0 3.00
1,001,396.0 816,922 49,015.32 49,015 3.0 2.88
1,115,355.4 844,167 50,650.02 50,650 3.2 3.20
1,009,540.8 760,360 45,621.60 45,622 2.90 2.90
1,045,340.5 844,631 50,677.86 50,678 3.0 3.00
1,042,585.1 844,631 50,677.86 50,678 3.0 3.00
1,149,160.2 927,955 46,397.75 46,398 3.3 3.30
84,277,960 73,518,777 4,131,503 4,131,503
(10,759,183)
DAFTAR PENERIMAAN JASA PELAYANAN PEGAWAI
UPT PUSKESMAS KOTAKALER
BULAN JANUARI 2019

VARIABEL KETENAGAAN KEHADIRAN INDIKATOR TAMBAHAN

JUMLAH Pph Pasal 21
STATUS KINERJA TOTAL PROGRAM TOTAL
MASA KERJA PENDIDKAN RESIKO KERJA JABATAN VAR % SELURUH KEHADIRAN APEL KEHADIRAN LOKBUL
KEPEGAWAIAN PELAYANAN JML JML TAMBAHAN ( 20% INDIKATOR JUMLAH JASA JUMLAH UANG
PROPORSI 5% PROPORSI 15% PROPORSI 20% PROPORSI 20% KEHADIR POINT PAGI ( 50% ) ( 30% ) LOYALITAS ( KOLOM 22 (30/TOT 30 x JML JASA
NO NIP &
nmGOLONGAN JABATAN PENDIDIKAN PROPORSI 10% PROPORSI 30% KETENAGA HARI HARI (perkalian
) YANG DIERIMA TANDA TANGAN
AN AN DAN +24+26+28+ ) (Rp)
(=KOLOM MSK KERJA kolom 18 x 5% 6% 15%
(=KOLOM PROPORS PROPORS DISPLIN 29 )
Index Proporsi Index Proporsi Index Proporsi Index Proporsi Index Proporsi Index Proporsi 7+9+11+13+ KERJA EFEKTIF 19/20%) kolom 21) INDEX INDEX INDEX PROPORSI
I I
15+17)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
1 Hj. Juju Julaeha, SKM.,M.Si 197107081992032009/IV/A Ka Tu S1 Kesmas 5 0.0026 6 0.0014 6 0.0028 5 0.0026 4 0.0096 3 0.0060 0.0224 23 26 0.8846 0.0198 4 0.0105 2 0.0069 3 0.0118 7.1 7.1259 1,786,453 267,968 1,518,485 1 ……………………
2 drg. Teta Tedjaningrum 197905232006042008/IV/a Dokter gigi S1 Kedokteran 5 0.0026 4 0.0009 9 0.0042 8 0.0041 1 0.0024 2 0.0040 0.0157 26 26 1.0000 0.0157 3 0.0079 2 0.0069 0 - 8.0 8.0304 2,013,219 301,983 1,711,236 2 ……………………
3 Hj Eti S. S.Kep,. Ners 196705131989012001/IV/a Ners S1 Kep,Ners 5 0.0026 6 0.0014 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0147 25 26 0.9615 0.0141 3 0.0079 2 0.0069 1 0.0039 7.2 7.2443 1,816,144 272,422 1,543,722 3 ……………………
4 Jani Budianingrum SIP 19650417198911 2 002/III/d Kep.Puskesmas S1 Pemerintah 5 0.0026 6 0.0014 4 0.0019 6 0.0031 8 0.0193 2 0.0040 0.0296 22 26 0.8462 0.0251 4 0.0105 2 0.0069 3 0.0118 6.8 6.8234 1,710,628 85,531 1,625,097 4 ……………………
5 Komariah 196502251986032004/III/d Perawat SPK 5 0.0026 6 0.0014 3 0.0014 7 0.0036 1 0.0024 3 0.0060 0.0148 26 26 1.0000 0.0148 3 0.0079 1 0.0034 1 0.0039 4.0 4.0301 1,010,330 50,517 959,813 5 ……………………
6 Siti Asih Sutarsih, S.Kep 196909041991032009/III/d Perawat S1 Keperawata 5 0.0026 6 0.0014 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0167 26 26 1.0000 0.0167 4 0.0105 2 0.0069 2 0.0078 4.2 4.2419 1,063,441 53,172 1,010,269 6 ……………………
7 Erawati 196411241988032008/III/d Analis Kesehatan D1 Analis 5 0.0026 6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26 1.0000 0.0158 4 0.0105 0 - 0 - 4.0 4.0262 1,009,372 50,469 958,903 7 ……………………
8 Cucu Komalasari, AMKeb 196805191988032003/III/d Bidan D3 Kebidanan 5 0.0026 6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0158 23 26 0.8846 0.0139 4 0.0105 2 0.0069 1 0.0039 3.5 3.5737 895,921 44,796 851,125 8 ……………………
9 Roni Hernawan AmdKl 196010301983022004/III/d Sanitarian D3 Sanitaria 5 0.0026 6 0.0014 6 0.0028 4 0.0021 1 0.0024 - 0.0000 0.0086 25 26 0.9615 0.0083 0 - 2 0.0069 0 - 3.4 3.3806 847,509 42,375 805,134 9 ……………………
10 Sri Yuni Harini, SKM 197106171992032004/III/d Fungsional Promkes S1 KESMAS 5 0.0026 6 0.0014 6 0.0028 4 0.0021 1 0.0024 3 0.0060 0.0147 26 26 1.0000 0.0147 4 0.0105 2 0.0069 1 0.0039 7.0 7.0360 1,763,909 88,195 1,675,714 10 ……………………
11 dr Ratih Agni 198707212014102002/IIIC Dokter Umum S1 Kedokteran 5 0.0026 2 0.0005 9 0.0042 8 0.0041 1 0.0024 - 0.0000 0.0112 8 26 0.3077 0.0034 0 - 1 0.0034 - 2.2 2.2069 553,265 27,663 525,602 11 ……………………
12 Hj. Elis Eka Rostika, SKM 197109292006042002/IIIc Bidan S1 KESMAS 5 0.0026 4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26 1.0000 0.0158 1 0.0026 2 0.0069 2 0.0078 7.0 7.0331 1,763,198 88,160 1,675,038 12 ……………………
13 Pepi Revina, AmKeb 198104132005012009/IIIc bidan D3 Kebidanan 5 0.0026 4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26 1.0000 0.0158 2 0.0052 2 0.0069 1 0.0039 3.8 3.7818 948,100 47,405 900,695 13 ……………………
14 Intan Lusiana G, AMKG 19801009200512010/IIIC Perawat Gigi D3 Kep.Gigi 5 0.0026 4 0.0009 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0181 24 26 0.9231 0.0167 3 0.0079 2 0.0069 2 0.0078 6.5 6.5008 1,629,756 81,488 1,548,268 14 ……………………
15 Hj. Tintin Supriatin 196411301985032004/IIIC Bendahara JKN D1 Gizi 5 0.0026 6 0.0014 2 0.0009 3 0.0016 3 0.0072 2 0.0040 0.0151 26 26 1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 7.0 7.0403 1,764,999 88,250 1,676,749 15 ……………………
16 R. Atin Suprihatin T 196812211989032009/III/b Pelaksana/Bendahara SMA 5 0.0026 6 0.0014 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0103 26 26 1.0000 0.0103 3 0.0079 2 0.0069 1 0.0039 3.70 3.73 934,845 46,742 888,103 16 ……………………
17 Aa Roland Melyana, AMK 1980005292003121005/III/b Perawat D3 Keperawat 5 0.0026 5 0.0011 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0183 26 26 1.0000 0.0183 4 0.0105 2 0.0069 1 0.0039 3.8 3.7896 950,056 47,503 902,553 17 ……………………
18 Ipah Saripah S.Kep Ners 197908102007012011/IIIB Ners S1 Kep,Ners 5 0.0026 4 0.0009 7 0.0033 7 0.0036 2 0.0048 3 0.0060 0.0186 26 26 1.0000 0.0186 3 0.0079 1 0.0034 2 0.0078 4.0 4.0378 1,012,270 50,614 961,656 18 ……………………
19 Nuraida Sofianti, A.MK 198401242009022001/IIIB Perawat D3 Keperawat 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26 1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 6.5 6.5403 1,639,644 81,982 1,557,662 19 ……………………
20 Dida Nurhidayah, SST 198007252008012008/IIIB Bidan D4 Kebidanan 5 0.0026 4 0.0009 6 0.0028 7 0.0036 3 0.0072 3 0.0060 0.0206 23 26 0.8846 0.0182 3 0.0079 2 0.0069 2 0.0078 6.2 6.2331 1,562,636 78,132 1,484,504 20 ……………………
21 Siti Asiah, AMK 198111012009022002/IIIa Perawat D3 Keperawat 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26 1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 3.5 3.5403 887,547 44,377 843,170 21 ……………………
22 Reni Puspitawati, SKep 198208302010012011/IIIa Perawat D3 Keperawat 5 0.0026 3 0.0007 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0160 24 26 0.9231 0.0148 4 0.0105 1 0.0034 2 0.0078 6.0 6.0365 1,513,355 75,668 1,437,687 22 ……………………
23 Neng Meymey, AMKeb 198407202010012016/IIIA Bidan D3 Kebidanan 5 0.0026 3 0.0007 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0131 26 26 1.0000 0.0131 4 0.0105 1 0.0034 1 0.0039 3.9 3.9309 985,474 49,273 936,201 23 ……………………
24 Caswati, S.Kep 197712162007012004/III/a perawat S1 Keperawata 5 0.0026 4 0.0009 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0142 25 26 0.9615 0.0137 2 0.0052 2 0.0069 1 0.0039 6.3 6.2797 1,574,322 78,716 1,495,606 24 ……………………
25 Sabila Gantini, AMG 19890429 2011012003/IIIA Nutrisionis D3 Gizi 0 0.0000 3 0.0007 6 0.0028 4 0.0021 1 0.0024 3 0.0060 0.0140 14 26 0.5385 0.0075 2 0.0052 1 0.0034 0 - 3.2 3.2470 814,017 40,701 773,316 25 ……………………
26 Heti Kumala Dewi Amkeb 19771002 200501 2 011/IID bidan D3 Kebidanan 5 0.0026 4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 22 26 0.8462 0.0130 2 0.0052 1 0.0034 2 0.0078 5.1 5.1064 1,280,169 1,280,169 26 ……………………
27 Irma Pratisya 198105302007012005/II/c Perawat SPK 5 0.0026 4 0.0009 3 0.0014 7 0.0036 1 0.0024 - 0.0000 0.0083 - 26 - 0.0000 0 - 0 - 0 - 0.0 0.0000 - - - 27 ……………………
28 Agustin AMKeb 198409142017042011/IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26 1.0000 0.0149 4 0.0105 2 0.0069 0 - 3.1 3.1322 785,244 - 785,244 28 ……………………
29 Eka Rostika, AmKeb 198909302017042004 / IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26 1.0000 0.0149 3 0.0079 2 0.0069 0 - 3.0 3.0296 759,518 - 759,518 29 ……………………
30 Arie Karlina Budiarti,Amkeb 198409202017042007/ IIC Bidan Desa D3 Kebidanan 5 0.0026 2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 25 26 0.9615 0.0143 3 0.0079 2 0.0069 0 - 2.9 2.9136 730,448 - 730,448 30 ……………………
31 Rita Mulyawati 197106132007012007/II/b Pelaksana Administrasi SMA 5 0.0026 4 0.0009 2 0.0009 3 0.0016 1 0.0024 3 0.0060 0.0118 26 26 1.0000 0.0118 4 0.0105 2 0.0069 1 0.0039 3.5 3.5331 885,752 - 885,752 31 ……………………
32 Elin Subarliah 196403192007012001/II/b Pelaksana Administrasi SMEA 5 0.0026 4 0.0009 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0098 21 26 0.8077 0.0079 0 - 0 - 0 - 1.4 1.4214 356,343 - 356,343 32 ……………………
33 Eman Suherman 196604132007011008/IIb Pelaksana Administrasi SMEA 5 0.0026 4 0.0009 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0098 26 26 1.0000 0.0098 4 0.0105 2 0.0069 0 - 3.3 3.3272 834,124 834,124 33 ……………………
34 Nineu Perawati, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 25 26 0.9615 0.0147 1 0.0026 1 0.0034 0 - 3.1 3.1458 788,644 39,432 749,212 34 ……………………
35 Wina Adriani, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26 1.0000 0.0151 4 0.0105 1 0.0034 0 - 3.0 3.0290 759,367 37,968 721,399 35 ……………………
 tot dokter dt pajak
65,656,850.0 7,368,420 58,288,430 58,288,430

65,656,850.0 7,000,000 7,878,822.00 3,601,139 - 47,176,889

1,786,453.1 1,786,453 267,967.95 267,968 8 7.08

2,013,218.5 2,013,219 301,982.85 301,983 8 8.00
1,816,144.4 1,816,144 272,421.60 272,422 8 7.21
1,710,628.3 1,710,628 85,531.40 85,531 8 6.77
1,010,329.8 1,010,330 50,516.50 50,517 4 4.00
1,063,440.6 1,063,441 53,172.05 53,172 4.2 4.20
1,009,372.0 1,009,372 50,468.60 50,469 4 4.00
895,921.0 895,921 44,796.05 44,796 4 3.54
847,509.0 847,509 42,375.45 42,375 3.5 3.37
1,763,909.1 1,763,909 88,195.45 88,195 7.0 7.00
553,265.4 553,265 27,663.25 27,663 2.2 2.20
1,763,198.1 1,763,198 88,159.90 88,160 7 7.00
948,099.6 948,100 47,405.00 47,405 3.75 3.75
1,629,756.3 1,629,756 81,487.80 81,488 7 6.46
1,764,998.9 1,764,999 88,249.95 88,250 7 7.00
934,844.8 934,845 46,742.25 46,742 3.70 3.70
950,055.8 950,056 47,502.80 47,503 3.8 3.75
1,012,270.2 1,012,270 50,613.50 50,614 4 4.00
1,639,643.7 1,639,644 81,982.20 81,982 6.5 6.50
1,562,635.6 1,562,636 78,131.80 78,132 7 6.19
887,546.8 887,547.00 44,377.35 44,377 3.5 3.50
1,513,354.6 1,513,355 75,667.75 75,668 6.50 6.00
985,474.0 985,474 49,273.70 49,273 3.9 3.90
1,574,321.9 1,574,322 78,716.10 78,716 6.5 6.25
814,016.6 814,017 40,700.85 40,701 6.0 3.23
1,280,169.4 1,280,169 6 5.08
- - 0.0 -
785,244.0 785,244 3 3.10
759,517.8 759,518 3 3.00
730,447.8 730,448 3 2.88
885,752.1 885,752 3.50 3.50
356,343.3 356,343 1.75 1.41
834,124.4 834,124 3.3 3.30
788,644.5 788,644 39,432.20 39,432 3.3 3.13
759,366.6 759,367 37,968.35 37,968 3.0 3.00
 DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN
PUSKESMAS KOTAKALER
BULAN APRIL 2018
JUMLAH UANG YANG
NO NAMA JABATAN
DIERIMA (Rp)
1 2 3 4
1 Hj. Juju Julaeha, SKM.,M.Si Ka Tu 1,518,485
2 drg. Teta Tedjaningrum Dokter gigi 1,711,236
3 Hj Eti S. S.Kep,. Ners Ners 1,543,722
4 Jani Budianingrum SIP Kep.Puskesmas 1,625,097
5 Komariah Perawat 959,813
6 Siti Asih Sutarsih, S.Kep Perawat 1,010,269
7 Erawati Analis Kesehatan 958,903
8 Cucu Komalasari, AMKeb Bidan 851,125
9 Roni Hernawan AmdKl Sanitarian 805,134
10 Sri Yuni Harini, SKM Fungsional Promkes 1,675,714
11 dr Ratih Agni Dokter Umum 525,602
12 Hj. Elis Eka Rostika, SKM Bidan 1,675,038
13 Pepi Revina, AmKeb bidan 900,695
14 Intan Lusiana G, AMKG Perawat Gigi 1,548,268
15 Hj. Tintin Supriatin Bendahara JKN 1,676,749
16 R. Atin Suprihatin T Pelaksana/Bendahara 888,103
17 Aa Roland Melyana, AMK Perawat 902,553
18 Ipah Saripah S.Kep Ners Ners 961,656
19 Nuraida Sofianti, A.MK Perawat 1,557,662
20 Dida Nurhidayah, SST Bidan 1,484,504
21 Siti Asiah, AMK Perawat 843,170
22 Reni Puspitawati, SKep Perawat 1,437,687
23 Neng Meymey, AMKeb Bidan 936,201
24 Caswati, S.Kep perawat 1,495,606
25 Sabila Gantini, AMG 773,316
26 Heti Kumala Dewi Amkeb bidan 1,280,169
27 Irma Pratisya Perawat -
28 Agustin AMKeb Bidan Desa 785,244
29 Eka Rostika, AmKeb Bidan Desa 759,518
30 Arie Karlina Budiarti,Amkeb Bidan Desa 730,448
31 Rita Mulyawati Pelaksana Administrasi 885,752
32 Elin Subarliah Pelaksana Administrasi 356,343
33 Eman Suherman Pelaksana Administrasi 834,124
34 Nineu Perawati, AMKeb Bidan PTT 749,212
35 Wina Adriani, AMKeb Bidan PTT 721,399
36 Eka Anugerah, S.ST Bidan PTT 644,392
37 Neni Shalihat, AMKeb Bidan PTT 721,399
38 Tita Latifah, S.ST Bidan PTT 722,444
39 Rita Setiawati, Amkeb Bidan PTT 693,432
40 Nelly, AMKeb Bidan PTT 720,688
41 dr. Sentot Dokter Umum 3,500,000
42 dr. Wulandari Dokter Umum 3,500,000
43 Dadan Sutisna SKM Administrasi 729,077
44 Fitri Ariesta Widya, S.Kep Perawat 715,598
45 Neneh Surnaenah Administrasi 721,957
46 Uum Cepiyana Cleaning Service 708,392
47 Devi Haliyanto S, ST Bidan Poned -
48 Rita Rosita, Amkeb Bidan Poned 713,805
49 Ucu Malela.AMK Perawat 723,099
50 Nisa, AMK Perawat 715,488
51 Fetty Fatimah,Amd. Kep Perawat 715,488
52 Tita Mustika, S,Farm., Apt Apoteker 794,770
 53 Eem Ati Kusmiati,Amkeb Bidan Poned 395,756
54 Wina Ningsih, AMD.Kes Administrasi 695,483
55 Indri Rindianti, S.E Administrasi -
56 Rosyaneu S, AMK Perawat 688,162
57 Dimas Permana Putra, Amd FT fisioterapi 501,119
58 Endah Sari Nuraeni, Amd Ak analis 738,129
59 Netty 712,938
60 Sinta Rosmaya 713,751
61 Egi Nurhansah, S.Kep. Ners 762,026
62 Teti Rosmanti 689,707
63 Della 553,466
64 Roni D 547,247
65 Dede 579,122
JUMLAH
Mengetahui : Sumedang, 8 Mei 2018
Kepala UPT Pusk Kotakaler Bendaharan

JANI BUDIANINGRUM INTAN LUSIANA GANJAR

NIP.19650417189112002 NIP. 19801009 200501 2 010
 JUMLAH UANG
total yg hrs
NO NAMA YANG DIERIMA TANDA TANGAN
diterima
(Rp)

1 2 3 4 potongan
1 Hj. Juju Julaeha, SKM.,M.Si 1,518,485 1,093,485 1 …………………… 425,000
2 drg. Teta Tedjaningrum 1,711,236 1,171,236 2 …………………… 540,000
3 Hj Eti S. S.Kep,. Ners 1,543,722 1,053,722 3 …………………… 490,000
4 Jani Budianingrum SIP 1,625,097 1,205,097 4 …………………… 420,000
5 Sri Yuni Harini, SKM 1,675,714 1,075,714 5 …………………… 600,000
6 Hj. Elis Eka Rostika, SKM 1,675,038 1,075,038 6 …………………… 600,000
7 Intan Lusiana G, AMKG 1,548,268 1,088,268 7 …………………… 460,000
8 Hj. Tintin Supriatin 1,676,749 1,096,749 8 …………………… 580,000
9 Nuraida Sofianti, A.MK 1,557,662 1,000,662 9 …………………… 557,000
10 Dida Nurhidayah, SST 1,484,504 1,024,504 10 …………………… 460,000
11 Reni Puspitawati, SKep 1,437,687 1,000,687 11 …………………… 437,000
12 caswati 1,495,606 1,000,606 12 …………………… 495,000
13 Sabila Gantini, AMG 773,316 573,316 13 …………………… 200,000
14 Heti Kumala Dewi Amkeb 1,280,169 900,169 14 …………………… 380,000
21,003,253 14,359,253 6,644,000
DAFTAR PENERIMAAN JASA PELAYANAN PEGAWAI
UPT PUSKESMAS KOTAKALER
BULAN JANUARI 2019

STATUS
KEPEGAWAIAN
NO NIP &nm
GOLONGAN JABATAN PENDIDIKAN PROPORSI 10%

Index Proporsi

1 2 3 4 5 6 7
1 Hj. Juju Julaeha, SKM.,M.Si 197107081992032009/IV/A Ka Tu S1 Kesmas 5 0.0026
2 drg. Teta Tedjaningrum 197905232006042008/IV/a Dokter gigi S1 Kedokteran 5 0.0026
3 Hj Eti S. S.Kep,. Ners 196705131989012001/IV/a Ners S1 Kep,Ners 5 0.0026
4 Jani Budianingrum SIP 19650417198911 2 002/III/d Kep.Puskesmas S1 Pemerintah 5 0.0026
5 Komariah 196502251986032004/III/d Perawat SPK 5 0.0026
6 Siti Asih Sutarsih, S.Kep 196909041991032009/III/d Perawat S1 Keperawat 5 0.0026
7 Erawati 196411241988032008/III/d Analis Kesehatan D1 Analis 5 0.0026
8 Cucu Komalasari, AMKeb 196805191988032003/III/d Bidan D3 Kebidanan 5 0.0026
9 Roni Hernawan AmdKl 196010301983022004/III/d Sanitarian D3 Sanitaria 5 0.0026
10 Sri Yuni Harini, SKM 197106171992032004/III/d Fungsional Promkes S1 KESMAS 5 0.0026
11 dr Ratih Agni 198707212014102002/IIIC Dokter Umum S1 Kedokteran 5 0.0026
12 Hj. Elis Eka Rostika, SKM 197109292006042002/IIIc Bidan S1 KESMAS 5 0.0026
13 Pepi Revina, AmKeb 198104132005012009/IIIc bidan D3 Kebidanan 5 0.0026
14 Intan Lusiana G, AMKG 19801009200512010/IIIC Perawat Gigi D3 Kep.Gigi 5 0.0026
15 Hj. Tintin Supriatin 196411301985032004/IIIC Bendahara JKN D1 Gizi 5 0.0026
16 R. Atin Suprihatin T 196812211989032009/III/b Pelaksana/Bendahara SMA 5 0.0026
17 Aa Roland Melyana, AMK 1980005292003121005/III/b Perawat D3 Keperawat 5 0.0026
18 Ipah Saripah S.Kep Ners 197908102007012011/IIIB Ners S1 Kep,Ners 5 0.0026
19 Nuraida Sofianti, A.MK 198401242009022001/IIIB Perawat D3 Keperawat 5 0.0026
20 Dida Nurhidayah, SST 198007252008012008/IIIB Bidan D4 Kebidanan 5 0.0026
21 Siti Asiah, AMK 198111012009022002/IIIa Perawat D3 Keperawat 5 0.0026
22 Reni Puspitawati, SKep 198208302010012011/IIIa Perawat D3 Keperawat 5 0.0026
23 Neng Meymey, AMKeb 198407202010012016/IIIA Bidan D3 Kebidanan 5 0.0026
24 Caswati, S.Kep 197712162007012004/III/a perawat S1 Keperawat 5 0.0026
25 Sabila Gantini, AMG 19890429 2011012003/IIIA Nutrisionis D3 Gizi 0 0.0000
26 Heti Kumala Dewi Amkeb 19771002 200501 2 011/IID bidan D3 Kebidanan 5 0.0026
27 Irma Pratisya 198105302007012005/II/c Perawat SPK 5 0.0026
28 Agustin AMKeb 198409142017042011/IIC Bidan Desa D3 Kebidanan 5 0.0026
29 Eka Rostika, AmKeb 198909302017042004 / IIC Bidan Desa D3 Kebidanan 5 0.0026
30 Arie Karlina Budiarti,Amkeb 198409202017042007/ IIC Bidan Desa D3 Kebidanan 5 0.0026
31 Rita Mulyawati 197106132007012007/II/b Pelaksana Administrasi SMA 5 0.0026
32 Elin Subarliah 196403192007012001/II/b Pelaksana Administrasi SMEA 5 0.0026
33 Eman Suherman 196604132007011008/IIb Pelaksana Administrasi SMEA 5 0.0026
34 Nineu Perawati, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005
 35 Wina Adriani, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005

36 Eka Anugerah, S.ST _ Bidan PTT D4 Kebidanan 1 0.0005

37 Neni Shalihat, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005
38 Tita Latifah, S.ST _ Bidan PTT D4 Kebidanan 1 0.0005
39 Rita Setiawati, Amkeb _ Bidan PTT D3 Kebidanan 1 0.0005
40 Nelly, AMKeb _ Bidan PTT D3 Kebidanan 1 0.0005
41 dr. Sentot _ Dokter Umum S1 Kedokteran
42 dr. Wulandari - Dokter Umum S1 Kedokteran
43 Dadan Sutisna SKM _ Administrasi S1 KESMAS 1 0.0005
44 Fitri Ariesta Widya, S.Kep _ Perawat S1 Keperawat 1 0.0005
45 Neneh Surnaenah _ Administrasi SMA 1 0.0005
46 Uum Cepiyana _ Cleaning Service STM 1 0.0005
47 Devi Haliyanto S, ST _ Bidan Poned D4 Kebidanan 1 0.0005
48 Rita Rosita, Amkeb _ Bidan Poned D3 Kebidanan 1 0.0005
49 Ucu Malela.AMK _ Perawat DIII Keperawa 1 0.0005
50 Nisa, AMK _ Perawat DIII Keperawa 1 0.0005
51 Fetty Fatimah,Amd. Kep _ Perawat DIII Keperawa 1 0.0005
52 Tita Mustika, S,Farm., Apt _ Apoteker S1 Farmasi 1 0.0005
53 Eem Ati Kusmiati,Amkeb _ Bidan Poned D3 Kebidanan 1 0.0005
54 Wina Ningsih, AMD.Kes _ Administrasi D3 Manajemen 1 0.0005
55 Indri Rindianti, S.E _ Administrasi S1 Ekonomi 1 0.0005
56 Rosyaneu S, AMK _ Perawat DIII Keperawa 1 0.0005
57 Dimas Permana Putra, Amd FT fisioterapi D3 Fisioterapi 1 0.0005
58 Endah Sari Nuraeni, Amd Ak - analis D3 Analis 1 0.0005
59 Netty - Bidan Poned D3 Kebidanan 1 0.0005
60 Sinta Rosmaya - Bidan Poned D3 Kebidanan 1 0.0005
61 Egi Nurhansah, S.Kep. Ners - perawat S1 Keperawat 1 0.0005
62 Teti Rosmanti - Pramusaji SMK 1 0.0005
63 Della - Rekam Medis D3 1 0.0005
64 Roni D - Perawat D3 1 0.0005
65 Dede - Apoteker S1 1 0.0005
JUMLAH 190

Mengetahui :
Kepala UPT Puskesmas Kotakaler

Selaku Pimpinan BLUD

Jani Budianingrum.SIP
NIP : 19650417 198911 2002
 VARIABEL KETENAGAAN KEHADIRAN
KINERJA TOTAL
MASA KERJA PENDIDKAN RESIKO KERJA JABATAN VAR
PELAYANAN JML JML
PROPORSI 5% PROPORSI 15% PROPORSI 20% PROPORSI 20%
PROPORSI 30% KETENAGA HARI HARI
AN
(=KOLOM MSK KERJA
Index Proporsi Index Proporsi Index Proporsi Index Proporsi Index Proporsi 7+9+11+13+ KERJA EFEKTIF
15+17)
8 9 10 11 12 13 14 15 16 17 18 20
6 0.0014 6 0.0028 5 0.0026 4 0.0096 3 0.0060 0.0224 23 26
4 0.0009 9 0.0042 8 0.0041 1 0.0024 2 0.0040 0.0157 26 26
6 0.0014 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0147 25 26
6 0.0014 4 0.0019 6 0.0031 8 0.0193 2 0.0040 0.0296 22 26
6 0.0014 3 0.0014 7 0.0036 1 0.0024 3 0.0060 0.0148 26 26
6 0.0014 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0167 26 26
6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26
6 0.0014 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0158 23 26
6 0.0014 6 0.0028 4 0.0021 1 0.0024 - 0.0000 0.0086 25 26
6 0.0014 6 0.0028 4 0.0021 1 0.0024 3 0.0060 0.0147 26 26
2 0.0005 9 0.0042 8 0.0041 1 0.0024 - 0.0000 0.0112 8 26
4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26
4 0.0009 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26
4 0.0009 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0181 24 26
6 0.0014 2 0.0009 3 0.0016 3 0.0072 2 0.0040 0.0151 26 26
6 0.0014 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0103 26 26
5 0.0011 5 0.0023 7 0.0036 3 0.0072 2 0.0040 0.0183 26 26
4 0.0009 7 0.0033 7 0.0036 2 0.0048 3 0.0060 0.0186 26 26
3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26
4 0.0009 6 0.0028 7 0.0036 3 0.0072 3 0.0060 0.0206 23 26
3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26
3 0.0007 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0160 24 26
3 0.0007 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0131 26 26
4 0.0009 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0142 25 26
3 0.0007 6 0.0028 4 0.0021 1 0.0024 3 0.0060 0.0140 14 26
4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 22 26
4 0.0009 3 0.0014 7 0.0036 1 0.0024 - 0.0000 0.0083 - 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 25 26
4 0.0009 2 0.0009 3 0.0016 1 0.0024 3 0.0060 0.0118 26 26
4 0.0009 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0098 21 26
4 0.0009 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0098 26 26
4 0.0009 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0153 25 26
 3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26

3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 24 26

3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26
3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 26 26
3 0.0007 5 0.0023 7 0.0036 1 0.0024 2 0.0040 0.0131 25 26
3 0.0007 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0155 26 26

4 0.0009 6 0.0028 3 0.0016 1 0.0024 - 0.0000 0.0077 25 26

2 0.0005 6 0.0028 7 0.0036 1 0.0024 3 0.0060 0.0153 26 26
5 0.0011 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0101 26 26
5 0.0011 2 0.0009 3 0.0016 1 0.0024 - 0.0000 0.0060 26 26
3 0.0007 6 0.0028 7 0.0036 1 0.0024 - 0.0000 0.0095 - 26
3 0.0007 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0151 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 17 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 25 26
2 0.0005 4 0.0019 3 0.0016 2 0.0048 - 0.0000 0.0087 - 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 25 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 - 0.0000 0.0088 25 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 7 0.0033 7 0.0036 1 0.0024 3 0.0060 0.0158 26 26
2 0.0005 2 0.0009 3 0.0016 1 0.0024 2 0.0040 0.0094 26 26
2 0.0005 5 0.0023 3 0.0016 1 0.0024 2 0.0040 0.0108 26 26
2 0.0005 5 0.0023 7 0.0036 1 0.0024 3 0.0060 0.0149 26 26
2 0.0005 7 0.0033 7 0.0036 1 0.0024 2 0.0040 0.0138 26 26
220 322 387 83 149 1
KEHADIRAN INDIKATOR TAMBAHAN
JUMLAH
PROGRAM TOTAL
% SELURUH KEHADIRAN APEL KEHADIRAN LOKBUL
TAMBAHAN ( 20% INDIKATOR
KEHADIR POINT PAGI ( 50% ) ( 30% )
) LOYALITAS ( KOLOM 22
AN (perkalian DAN +24+26+28+
(=KOLOM kolom 18 x PROPORS PROPORS DISPLIN 29 )
19/20%) kolom 21) INDEX I
INDEX
I
INDEX PROPORSI

21 22 23 24 25 26 27 28 29 30
0.8846 0.0198 4 0.0105 2 0.0069 3 0.0118 7.1 7.1259
1.0000 0.0157 3 0.0079 2 0.0069 0 - 8.0 8.0304
0.9615 0.0141 3 0.0079 2 0.0069 1 0.0039 7.2 7.2443
0.8462 0.0251 4 0.0105 2 0.0069 3 0.0118 6.8 6.8234
1.0000 0.0148 3 0.0079 1 0.0034 1 0.0039 4.0 4.0301
1.0000 0.0167 4 0.0105 2 0.0069 2 0.0078 4.2 4.2419
1.0000 0.0158 4 0.0105 0 - 0 - 4.0 4.0262
0.8846 0.0139 4 0.0105 2 0.0069 1 0.0039 3.5 3.5737
0.9615 0.0083 0 - 2 0.0069 0 - 3.4 3.3806
1.0000 0.0147 4 0.0105 2 0.0069 1 0.0039 7.0 7.0360
0.3077 0.0034 0 - 1 0.0034 - 2.2 2.2069
1.0000 0.0158 1 0.0026 2 0.0069 2 0.0078 7.0 7.0331
1.0000 0.0158 2 0.0052 2 0.0069 1 0.0039 3.8 3.7818
0.9231 0.0167 3 0.0079 2 0.0069 2 0.0078 6.5 6.5008
1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 7.0 7.0403
1.0000 0.0103 3 0.0079 2 0.0069 1 0.0039 3.70 3.73
1.0000 0.0183 4 0.0105 2 0.0069 1 0.0039 3.8 3.7896
1.0000 0.0186 3 0.0079 1 0.0034 2 0.0078 4.0 4.0378
1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 6.5 6.5403
0.8846 0.0182 3 0.0079 2 0.0069 2 0.0078 6.2 6.2331
1.0000 0.0151 4 0.0105 2 0.0069 2 0.0078 3.5 3.5403
0.9231 0.0148 4 0.0105 1 0.0034 2 0.0078 6.0 6.0365
1.0000 0.0131 4 0.0105 1 0.0034 1 0.0039 3.9 3.9309
0.9615 0.0137 2 0.0052 2 0.0069 1 0.0039 6.3 6.2797
0.5385 0.0075 2 0.0052 1 0.0034 0 - 3.2 3.2470
0.8462 0.0130 2 0.0052 1 0.0034 2 0.0078 5.1 5.1064
- 0.0000 0 - 0 - 0 - 0.0 0.0000
1.0000 0.0149 4 0.0105 2 0.0069 0 - 3.1 3.1322
1.0000 0.0149 3 0.0079 2 0.0069 0 - 3.0 3.0296
0.9615 0.0143 3 0.0079 2 0.0069 0 - 2.9 2.9136
1.0000 0.0118 4 0.0105 2 0.0069 1 0.0039 3.5 3.5331
0.8077 0.0079 0 - 0 - 0 - 1.4 1.4214
1.0000 0.0098 4 0.0105 2 0.0069 0 - 3.3 3.3272
0.9615 0.0147 1 0.0026 1 0.0034 0 - 3.1 3.1458
1.0000 0.0151 4 0.0105 1 0.0034 0 - 3.0 3.0290

0.9231 0.0143 4 0.0105 0 - 1 0.0039 2.7 2.7057

1.0000 0.0151 4 0.0105 1 0.0034 0 - 3.0 3.0290
1.0000 0.0155 4 0.0105 1 0.0034 1 0.0039 3.0 3.0334
0.9615 0.0126 4 0.0105 0 - 1 0.0039 2.9 2.9116
1.0000 0.0155 4 0.0105 0 - 0 - 3.0 3.0260
0 - -
0 - -
0.9615 0.0074 1 0.0026 2 0.0069 0 - 3.1 3.0938
1.0000 0.0153 4 0.0105 2 0.0069 1 0.0039 3.0 3.0366
1.0000 0.0101 4 0.0105 2 0.0069 1 0.0039 3.0 3.0313
1.0000 0.0060 0 - 0 - 0 - 3.0 3.0060
- 0.0000 0 - 0 - 0 - 0.0 0.0000
1.0000 0.0151 4 0.0105 1 0.0034 0 - 3.0 3.0290
1.0000 0.0149 4 0.0105 2 0.0069 1 0.0039 3.0 3.0361
1.0000 0.0149 4 0.0105 2 0.0069 1 0.0039 3.0 3.0361
1.0000 0.0149 4 0.0105 2 0.0069 1 0.0039 3.0 3.0361
1.0000 0.0158 4 0.0105 2 0.0069 1 0.0039 3.3 3.3371
0.6538 0.0097 4 0.0105 2 0.0069 0 - 1.6 1.6617
0.9615 0.0143 4 0.0105 2 0.0069 1 0.0039 2.9 2.9202
- 0.0000 0 - 0 - 0 - 0.0 0.0000
0.9615 0.0143 4 0.0105 2 0.0069 1 0.0039 2.9 2.9202
0.9615 0.0085 1 0.0026 0 - 0 - 2.1 2.1265
1.0000 0.0149 4 0.0105 2 0.0069 0 - 3.1 3.1322
1.0000 0.0149 4 0.0105 0 - 0 - 3.0 3.0253
1.0000 0.0149 4 0.0105 1 0.0034 0 - 3.0 3.0288
1.0000 0.0158 4 0.0105 1 0.0034 1 0.0039 3.2 3.2336
1.0000 0.0094 4 0.0105 2 0.0069 0 - 2.9 2.9267
1.0000 0.0108 4 0.0105 1 0.0034 1 0.0039 2.3 2.3486
1.0000 0.0149 0 - 1 0.0034 1 0.0039 2.3 2.3222
1.0000 0.0138 4 0.0105 1 0.0034 1 0.0039 2.4 2.4316
191 87 51 231 233
 Pph Pasal 21
JUMLAH JASA JUMLAH UANG
(30/TOT 30 x JML JASA YANG DIERIMA TANDA TANGAN
) 5% 6% 15% (Rp)

31 32 33 34 35 36
1,786,453 267,968 1,518,485 1 ……………………
2,013,219 301,983 1,711,236 2 ……………………
1,816,144 272,422 1,543,722 3 ……………………
1,710,628 85,531 1,625,097 4 ……………………
1,010,330 50,517 959,813 5 ……………………
1,063,441 53,172 1,010,269 6 ……………………
1,009,372 50,469 958,903 7 ……………………
895,921 44,796 851,125 8 ……………………
847,509 42,375 805,134 9 ……………………
1,763,909 88,195 1,675,714 10 ……………………
553,265 27,663 525,602 11 ……………………
1,763,198 88,160 1,675,038 12 ……………………
948,100 47,405 900,695 13 ……………………
1,629,756 81,488 1,548,268 14 ……………………
1,764,999 88,250 1,676,749 15 ……………………
934,845 46,742 888,103 16 ……………………
950,056 47,503 902,553 17 ……………………
1,012,270 50,614 961,656 18 ……………………
1,639,644 81,982 1,557,662 19 ……………………
1,562,636 78,132 1,484,504 20 ……………………
887,547 44,377 843,170 21 ……………………
1,513,355 75,668 1,437,687 22 ……………………
985,474 49,273 936,201 23 ……………………
1,574,322 78,716 1,495,606 24 ……………………
814,017 40,701 773,316 25 ……………………
1,280,169 1,280,169 26 ……………………
- - - 27 ……………………
785,244 - 785,244 28 ……………………
759,518 - 759,518 29 ……………………
730,448 - 730,448 30 ……………………
885,752 - 885,752 31 ……………………
356,343 - 356,343 32 ……………………
834,124 834,124 33 ……………………
788,644 39,432 749,212 34 ……………………
 759,367 37,968 721,399 35 ……………………

678,307 33,915 644,392 36 ……………………

759,367 37,968 721,399 37 ……………………
760,467 38,023 722,444 38 ……………………
729,928 36,496 693,432 39 ……………………
758,619 37,931 720,688 40 ……………………
3,684,210 184,210 3,500,000 41 ……………………
3,684,210 184,210 3,500,000 42 ……………………
775,614 46,537 729,077 43 ……………………
761,274 45,676 715,598 44 ……………………
759,955 37,998 721,957 45 ……………………
753,608 45,216 708,392 46 ……………………
- - - 47 ……………………
759,367 45,562 713,805 48 ……………………
761,157 38,058 723,099 49 ……………………
761,157 45,669 715,488 50 ……………………
761,157 45,669 715,488 51 ……………………
836,600 41,830 794,770 52 ……………………
416,585 20,829 395,756 53 ……………………
732,087 36,604 695,483 54 ……………………
- - - 55 ……………………
732,087 43,925 688,162 56 ……………………
533,105 31,986 501,119 57 ……………………
785,244 47,115 738,129 58 ……………………
758,445 45,507 712,938 59 ……………………
759,310 45,559 713,751 60 ……………………
810,666 48,640 762,026 61 ……………………
733,731 44,024 689,707 62 ……………………
588,794 35,328 553,466 56 ……………………
582,178 34,931 547,247 56 ……………………
609,602 30,480 579,122 52 ……………………
65,656,850 2,177,681 581,085 842,373 61,985,452

Sumedang………………………..2017 2018

Bendahara

Intan Lusiana Ganjar.AMKG

NIP : 19801009 2005 12010
 tot dokter dt pajak
65,656,850.0 7,368,420 58,288,430 58,288,430

65,656,850.0 7,000,000 7,878,822.00 3,601,139 - 47,176,889

1,786,453.1 1,786,453 267,967.95 267,968 8 7.08

2,013,218.5 2,013,219 301,982.85 301,983 8 8.00
1,816,144.4 1,816,144 272,421.60 272,422 8 7.21
1,710,628.3 1,710,628 85,531.40 85,531 8 6.77
1,010,329.8 1,010,330 50,516.50 50,517 4 4.00
1,063,440.6 1,063,441 53,172.05 53,172 4.2 4.20
1,009,372.0 1,009,372 50,468.60 50,469 4 4.00
895,921.0 895,921 44,796.05 44,796 4 3.54
847,509.0 847,509 42,375.45 42,375 3.5 3.37
1,763,909.1 1,763,909 88,195.45 88,195 7.0 7.00
553,265.4 553,265 27,663.25 27,663 2.2 2.20
1,763,198.1 1,763,198 88,159.90 88,160 7 7.00
948,099.6 948,100 47,405.00 47,405 3.75 3.75
1,629,756.3 1,629,756 81,487.80 81,488 7 6.46
1,764,998.9 1,764,999 88,249.95 88,250 7 7.00
934,844.8 934,845 46,742.25 46,742 3.70 3.70
950,055.8 950,056 47,502.80 47,503 3.8 3.75
1,012,270.2 1,012,270 50,613.50 50,614 4 4.00
1,639,643.7 1,639,644 81,982.20 81,982 6.5 6.50
1,562,635.6 1,562,636 78,131.80 78,132 7 6.19
887,546.8 887,547.00 44,377.35 44,377 3.5 3.50
1,513,354.6 1,513,355 75,667.75 75,668 6.50 6.00
985,474.0 985,474 49,273.70 49,273 3.9 3.90
1,574,321.9 1,574,322 78,716.10 78,716 6.5 6.25
814,016.6 814,017 40,700.85 40,701 6.0 3.23
1,280,169.4 1,280,169 6 5.08
- - 0.0 -
785,244.0 785,244 3 3.10
759,517.8 759,518 3 3.00
730,447.8 730,448 3 2.88
885,752.1 885,752 3.50 3.50
356,343.3 356,343 1.75 1.41
834,124.4 834,124 3.3 3.30
788,644.5 788,644 39,432.20 39,432 3.3 3.13
 759,366.6 759,367 37,968.35 37,968 3.0 3.00

678,307.2 678,307 33,915.35 33,915 2.90 2.68

759,366.6 759,367 37,968.35 37,968 3.0 3.00
760,466.5 760,467 38,023.35 38,023 3.0 3.00
729,927.7 729,928 36,496.40 36,496 3.0 2.88
758,618.9 758,619 37,930.95 37,931 3.0 3.00
3,684,210.0 3,684,210 184,210.50 184,210 -
3,684,210.0 3,684,210 184,210.50 184,210 -
775,614.1 775,614 46,536.84 46,537 3.2 3.08
761,274.0 761,274 45,676.44 45,676 3.0 3.00
759,954.8 759,955 37,997.75 37,998 3.0 3.00
753,608.1 753,608 45,216.48 45,216 3 3.00
- - - - 0.0 -
759,366.6 759,367 45,562.02 45,562 3.00 3.00
761,157.2 761,157 38,057.85 38,058 3.0 3.00
761,157.2 761,157 45,669.42 45,669 3.0 3.00
761,157.2 761,157 45,669.42 45,669 3.0 3.00
836,600.5 836,600 41,830.00 41,830 3.3 3.30
416,584.8 416,585 20,829.25 20,829 2.5 1.63
732,087.2 732,087 36,604.35 36,604 3.0 2.88
………………… - - - 0.0 -
732,087.2 732,087 43,925.22 43,925 3.0 2.88
533,104.9 533,105 31,986.30 31,986 2.2 2.12
785,244.0 785,244 47,114.64 47,115 3.1 3.10
758,445.2 758,445 45,506.70 45,507 3.0 3.00
759,309.6 759,310 45,558.60 45,559 3.0 3.00
810,666.1 810,666 48,639.96 48,640 3.2 3.20
733,730.9 733,731 44,023.86 44,024 2.90 2.90
588,794.5 588,794 35,327.64 35,328 2.32 2.32
582,178.4 582,178 34,930.68 34,931 2.30 2.30
609,602.2 609,602 30,480.10 30,480 2.40 2.40
65,656,850 65,656,850 3,671,402 3,671,398
-
 DAFTAR PENERIMAANVISUM
PUSKESMAS KOTAKALER
BULAN APRIL 2019

NO NAMA JABATAN VISUM RKB CAT.HAR

1 Hj. Juju Julaeha, SKM.,M.Si Ka Tu

2 drg. Teta Tedjaningrum Dokter gigi
3 Hj Eti S. S.Kep,. Ners Ners
4 Jani Budianingrum SIP Kep.Puskesmas
5 Komariah Perawat
6 Siti Asih Sutarsih, S.Kep Perawat
7 Erawati Analis Kesehatan
8 Cucu Komalasari, AMKeb Bidan
9 Roni Hernawan AmdKl Sanitarian
10 Sri Yuni Harini, SKM Fungsional Promkes
11 dr Ratih Agni Dokter Umum
12 Hj. Elis Eka Rostika, SKM Bidan
13 Pepi Revina, AmKeb bidan
14 Intan Lusiana G, AMKG Perawat Gigi
15 Hj. Tintin Supriatin Bendahara JKN
16 R. Atin Suprihatin T Pelaksana/Bendahara
17 Aa Roland Melyana, AMK Perawat
18 Ipah Saripah S.Kep Ners Ners
19 Nuraida Sofianti, A.MK Perawat
20 Dida Nurhidayah, SST Bidan
21 Siti Asiah, AMK Perawat
22 Reni Puspitawati, SKep Perawat
23 Neng Meymey, AMKeb Bidan
24 Caswati, S.Kep perawat
25 Sabila Gantini, AMG
26 Heti Kumala Dewi Amkeb bidan
27 Irma Pratisya Perawat
28 Agustin AMKeb Bidan Desa
29 Eka Rostika, AmKeb Bidan Desa
30 Arie Karlina Budiarti,Amkeb Bidan Desa
31 Rita Mulyawati Pelaksana Administrasi
32 Elin Subarliah Pelaksana Administrasi
33 Eman Suherman Pelaksana Administrasi
34 Nineu Perawati, AMKeb Bidan PTT
35 Wina Adriani, AMKeb Bidan PTT
36 Eka Anugerah, S.ST Bidan PTT
37 Neni Shalihat, AMKeb Bidan PTT
38 Tita Latifah, S.ST Bidan PTT
39 Rita Setiawati, Amkeb Bidan PTT
40 Nelly, AMKeb Bidan PTT
41 dr. Sentot Dokter Umum
42 dr. Wulandari Dokter Umum
43 Dadan Sutisna SKM Administrasi
44 Fitri Ariesta Widya, S.Kep Perawat
45 Neneh Surnaenah Administrasi
46 Uum Cepiyana Cleaning Service
47 Devi Haliyanto S, ST Bidan Poned
48 Rita Rosita, Amkeb Bidan Poned
49 Ucu Malela.AMK Perawat
50 Nisa, AMK Perawat
51 Fetty Fatimah,Amd. Kep Perawat
52 Tita Mustika, S,Farm., Apt Apoteker
53 Eem Ati Kusmiati,Amkeb Bidan Poned
54 Wina Ningsih, AMD.Kes Administrasi
55 Indri Rindianti, S.E Administrasi
56 Rosyaneu S, AMK Perawat
57 Dimas Permana Putra, Amd FT fisioterapi
58 Netty
59 Sinta Rosmaya
60 Egi Nurhansah, S.Kep. Ners
61 Teti Rosmanti
62 Della
63 Roni D
64 Dede
65 Lilis
66 Fitri
67 Yuri