RINCIAN JASA PELAYANAN PASIEN COVID-19 1

KELOMPOK PARAMEDIK DAN NON MEDIK

BULAN : AGUSTUS(3) 2021

Index Jasa Tak Langsung RAWAT Jasa Langsung

No No. Rekening NAMA RUANG Gol Pajak Netto
Tk.Lsg Lsg Bruto Pajak JALAN R.Inap Pajak

1 1021 172932 Ns. Feranema Widyanti, S.Kep HD III.A 0.05 - - - - - - - - -

2 1022 374440 Iwan Kurniawan, AMK HD HD III.A 0.05 46 - - 886,245 44,312 - - - 841,933
3 1022 016179 Irfan Khamil, Amd.Kep HD II.D - 46 60 - 886,245 - - 291,249 - 1,177,494
4 1022 016411 Sondang Dame.M, Amd.Kep HD III.A 0.05 46 - - 886,245 44,312 - - - 841,933
5 1022 024449 Amelia Susanti,Amd.Kep HD III.A 0.05 45 - - 866,979 43,349 - - - 823,630
6 1022 016004 Aziz Mathori, Amd.Kep HD III.B 0.05 46 - - 886,245 44,312 - - - 841,933
7 1022 293130 Siti Khairiah, Amd.Kep HD III.D 0.05 48 - - 924,777 46,239 - - - 878,538
8 1022 010111 Theodora Ira, S.Kep HD III.C 0.05 - - - - - - - - -
9 1022 009857 Andi Putra, Amd.Kep HD III.C 0.05 46 60 - 886,245 44,312 - 291,249 14,562 1,118,619
10 1022 016527 Teguh Pramono, Amd.Kep HD III.B 0.05 46 - - 886,245 44,312 - - - 841,933
11 1022 015997 Reny Ocktavia , Amd.Kep HD III.A 0.05 46 - - 886,245 44,312 - - - 841,933
12 - - - - - - - - - - - - - -
13 1021 172908 Agus Salim, Amd.Kep HD - - 43 60 ### 828,446 - - 291,249 - 1,119,695
14 1012 147887 Elisabeth Boru, S.Kep.,Ners HD - - 44 60 ### 847,713 - - 291,249 - 1,138,961
15 1012 147895 Elviana Nindia, S.Kep.,Ners HD - - 44 60 ### 847,713 - - 291,249 - 1,138,961
16 1022 004251 Sumanto HD II.C - 30 - - 577,986 - - - - 577,986
17 1022 004324 Samsul Hadi HD II.C - 33 - - 635,784 - - - - 635,784

Jumlah 11,733,113 355,461 - 1,456,244 14,562 12,819,333

0

Mengetahui
Kepala Ruangan/inst/Unit Kerja Pembuat Daftar

( ) ( )