DIKES Daftar Gaji

PEMERINTAH KABUPATEN LOMBOK BARAT
DAFTAR PEMBAYARAN GAJI INDUK PNSD

[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] DINAS KESEHATAN MASYARAKAT KABUPATEN LOMBOK BARAT
(030) D70300203000001 BULAN : DESEMBER 2022 HALAMAN : 1
NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NO KAWIN
-ANAK GAJI POKOK TUNJ.ESELON TUNJ.TERPENCIL BPJS KES POT.PAJAK TAPERA PK
TANGGAL LAHIR TUNJ.ISTRI/SMI TUNJ FUNG UMUM T K D TUNJ.JKK BPJS KES TAPERA PEG TANDA TANGAN
N I P -JMLH TUNJ.ANAK TJ.FUNGSIONAL TUNJ.BERAS TUNJ.JKM POT IWP 1 % HUTANG/LAIN-2 NO. DOSIR
STATUS PEGAWAI/GOLONGAN JIWA JUMLAH TJ.KHUSUS TUNJ.PAJAK TAPERA PK POT IWP 8 % BULOG NO. REKENING
NPWP PEMBULATAN POT.TAPERUM SEWA.RUMAH TPP
JUML.KOTOR POT.JKK POTONGAN
POT.JKM JUMLAH BERSIH
1 ARIEF SURYAWIRAWAN. ,APT K -1 4,326,700 2,025,000 0 0 34,413 0 1 .............
2 432,670 0 0 0 0 0
173,068 0 289,680 0 69,574
11-12-1971 4 4,932,438 0 34,413 0
197112112002121006 MKG:20 0 394,595 0 0222203326227
Pembina Tk.I-4B 51 0 0
490209640911000 7,281,582 0 498,582 0
Kenaikan Gaji BerkalaTMT - 2022-12-01 0 6,783,000
2 Ns, ZULKIPLI ,S.KEP.M.M. K -1 4,416,700 1,260,000 0 0 0 0 2 .............
2 441,670 0 0 0 0 0
176,668 0 289,680 0 62,950
11-11-1971 4 5,035,038 0 0 0
197111111992031007 MKG:24 0 402,803 0 022220582927
Pembina-4A 35 0 0
484270483921000 6,584,753 0 465,753 0
0 6,119,000
3 MOHAMMAD ABDULLAH.,MQIH ,S.KM K -1 4,699,300 980,000 0 0 0 0 3 .............
1 469,930 0 0 0 0 0
93,986 0 217,260 0 62,432
20-05-1969 3 5,263,216 0 0 0
196905201993121004 MKG:28 0 421,057 0
Pembina-4A 0 0222205886025
13 0
484269069915000 6,460,489 0 483,489 0
0 5,977,000
4 WINE FRIDA DWI PURWANI ,A.MG K -1 4,555,800 980,000 0 0 45,019 0 4 .............
2 455,580 0 0 0 0 0
182,232 0 289,680 0 61,736
22-12-1969 4 5,193,612 0 45,019 0
196912221990032002 MKG:26 0 415,489 0
Pembina-4A 0 0222205902025
33 0
6,508,344 0 522,244 0
0 5,986,100
5 H. MUJIBURRAHMAN ,S.KEP K -1 4,416,700 980,000 0 0 0 0 5 .............
2 441,670 0 0 0 0 0
176,668 0 289,680 0 60,150
31-12-1973 4 5,035,038 0 0 0
197312311992031003 MKG:24 0 402,803 0
Pembina-4A 35 0 0
6,304,753 0 462,953 0
0 5,841,800
6 DR, AHMAD TAUFIQ FATHONI K -1 4,024,400 980,000 0 0 145,150 0 6 .............
2 402,440 0 0 0 0 0
160,976 0 289,680 0 55,678
15-09-1976 4 4,587,816 0 145,150 0
197609152003121007 MKG:18 0 367,025 0 0222201081017
Pembina-4A 7 0 0
084126408915000 6,002,653 0 567,853 0
0 5,434,800
7 FAJAR PURNAWAN ,S.KM K -1 4,024,400 540,000 0 0 0 0 7 .............
2 402,440 0 0 0 0 0
160,976 0 289,680 0 51,278
31-12-1975 4 4,587,816 0 0 0
197512312000031016 MKG:19 0 367,025 0
Pembina-4A 7 0 0
5,417,503 0 418,303 0
0 4,999,200

NO KAWIN
8 DRG, JUNAIDI K -1 3,554,900 0 0 0 167,300 0 8 .............
1 355,490 0 0 0 0 0
71,098 1,200,000 217,260 0 51,815
07-12-1975 3 3,981,488 0 167,300 0
197512072010011008 MKG:10 0 318,519 0 0222200161224
Pembina-4A 86 0 0
889571501915000 5,566,134 0 537,634 0
0 5,028,500
SUB TOTAL PERGOLONGAN : IV 34,018,900 7,745,000 0 0 391,882 0
PEG: 8 3,401,890 0 0 0 0 0
IST: 8 JIWA= 30 1,195,672 1,200,000 2,172,600 0 475,613
38,616,462 0 391,882 0
ANK: 14 0 3,089,316 0
267 0 0
50,126,211 0 3,956,811
0 46,169,400
9 H. LALU PUTRANOM ,S.KM K -1 4,650,600 540,000 0 0 0 0 9 .............
1 465,060 0 0 0 0 0
93,012 0 217,260 0 57,487
31-12-1964 3 5,208,672 0 0 0
196412311987031279 MKG:30 0 416,694 0
Penata Tk.I-3D 0 0222201299224
49 0
484271762911000 5,965,981 0 474,181 0
0 5,491,800
10 ABDUL RAHMAN,AMKP K -1 4,508,600 540,000 0 0 94,550 0 10 .............
2 450,860 0 0 0 0 0
180,344 0 289,680 0 56,798
31-12-1967 4 5,139,804 0 94,550 0
196712311986031024 MKG:28 0 411,184 0 0222207795024
Penata Tk.I-3D 98 0 0
491297370915000 6,064,132 0 562,532 0
0 5,501,600
11 FRI NOVIANI K -0 4,237,500 540,000 0 0 0 0 11 .............
2 0 0 0 0 0 0
169,500 0 217,260 0 49,470
23-11-1973 3 4,407,000 0 0 0
197311231993022002 MKG:24 0 352,560 0 0222205893028
482472232915000 5,164,330 0 402,030 0
0 4,762,300
12 MUHAMMAD BISRI SYAMSURI,M ,S.KM TK-0 3,982,600 540,000 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 0 72,420 0 45,226
07-02-1977 1 3,982,600 0 0 0
197702072000121003 MKG:20 0 318,608 0 0222205882029
683248132724000 4,595,034 0 363,834 0
13 ARIF RAHMAN HAKIM, A. MD. KEP K -1 3,982,600 540,000 0 0 0 0 13 .............
2 398,260 0 0 0 0 0
159,304 0 289,680 0 50,802
25-04-1978 4 4,540,164 0 0 0
197804251997031004 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222205845020
71 0
084193366915000 5,369,915 0 414,015 0
0 4,955,900

NO KAWIN
14 YULIANA ,S.KM K -1 3,743,100 540,000 0 0 0 0 14 .............
2 374,310 0 0 0 0 0
149,724 0 289,680 0 48,071
01-01-1982 4 4,267,134 0 0 0
198201012006042024 MKG:16 0 341,371 0 0222205896021
484271432915000 5,096,842 0 389,442 0
0 4,707,400
15 DYAH HESTI NURUL HUDA.S.SI,APT K -0 3,518,100 540,000 0 0 0 0 15 .............
1 0 0 0 0 0 0
70,362 0 144,840 0 41,285
19-12-1980 2 3,588,462 0 0 0
198012182010012009 MKG:12 0 287,077 0 0222205719026
156678070915000 4,273,362 0 328,362 0
0 3,945,000
16 JAMRAH K -1 4,237,500 0 0 0 0 0 16 .............
1 423,750 0 0 0 0 0
84,750 960,000 217,260 0 57,060
04-08-1973 3 4,746,000 0 0 0
197308041993121001 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200173227
80 0
895910602911000 5,923,340 0 436,740 0
17 NI MADE SINARTINI WIDIASTUTI K -1 4,237,500 0 0 0 17,299 0 17 .............
1 423,750 0 0 0 0 0
84,750 850,000 217,260 0 55,960
12-05-1972 3 4,746,000 0 17,299 0
197205121993022005 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200710220
80 0
587444308915000 5,830,639 0 452,939 0
0 5,377,700
18 HENI IRAWATI ,AMD.KEP K -1 3,628,900 0 0 0 63,732 0 18 .............
2 362,890 0 0 0 0 0
145,156 600,000 289,680 0 47,369
10-01-1984 4 4,136,946 0 63,732 0
198401102006042011 MKG:14 0 330,956 0
Penata Tk.I-3D 0 0222201108229
99 0
573364973911000 5,090,457 0 442,057 0
0 4,648,400
19 I MADE WIRYASA K -1 4,370,900 0 0 0 202,950 0 19 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
21-09-1970 4 4,982,826 0 202,950 0
197009211990031005 MKG:26 0 398,626 0 0222200302221
484271192911000 5,975,504 0 656,404 0
0 5,319,100
20 BAIQ RIZA UKHIANA K -1 4,370,900 0 0 0 13,659 0 20 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
01-10-1970 4 4,982,826 0 13,659 0
197010071991032007 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222205908029
48 0
484269675915000 5,786,213 0 467,113 0
0 5,319,100

NO KAWIN
21 NI MADE BUDHI WIASTINI ,S.KM K -0 4,370,900 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 46,709
31-12-1972 1 4,370,900 0 0 0
197104271994022001 MKG:26 0 349,672 0 0222200925228
484272372911000 4,743,381 0 396,381 0
0 4,347,000
22 AHMAD SAEFULLAH K -1 4,508,600 0 0 0 162,400 0 22 .............
1 450,860 185,000 0 0 0 0
90,172 0 217,260 0 52,346
31-12-1967 3 5,049,632 0 162,400 0
196712311988031200 MKG:28 0 403,971 0 0222205848023
484272125915000 5,614,317 0 618,717 0
0 4,995,600
23 S U R A E D A H K -1 4,237,500 0 0 0 0 0 23 .............
1 423,750 185,000 0 0 0 0
84,750 0 217,260 0 49,310
05-05-1971 3 4,746,000 0 0 0
197105051992032020 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222201102225
30 0
48427162911000 5,148,290 0 428,990 0
0 4,719,300
24 BAIQ ASRI WARDATUN K -1 4,237,500 0 0 0 0 0 24 .............
1 423,750 185,000 0 0 0 0
84,750 0 217,260 0 49,310
18-02-1972 3 4,746,000 0 0 0
197202181992032011 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200710220
30 0
14725870191000 5,148,290 0 428,990 0
0 4,719,300
25 ABDUL MUHID K -1 4,237,500 0 0 0 0 0 25 .............
2 423,750 185,000 0 0 0 0
169,500 0 289,680 0 50,158
31-12-1972 4 4,830,750 0 0 0
197212311992031027 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200659220
88 0
484271499915000 5,305,518 0 436,618 0
0 4,868,900
26 S U K A R N O K -1 4,237,500 0 0 0 0 0 26 .............
1 423,750 185,000 0 0 0 0
84,750 0 217,260 0 49,310
31-12-1973 3 4,746,000 0 0 0
197312311993031025 MKG:24 0 379,680 0 0222200891220
484270954915000 5,148,290 0 428,990 0
0 4,719,300
27 AHMAD MUJAHIDIN K -1 4,108,100 0 0 0 0 0 27 .............
2 410,810 185,000 0 0 0 0
164,324 0 289,680 0 48,682
05-10-1969 4 4,683,234 0 0 0
196910051998031004 MKG:22 0 374,659 0
Penata Tk.I-3D 0 0222205843023
27 0
587444753911000 5,157,941 0 423,341 0
0 4,734,600

NO KAWIN
28 DRG, LINA KULSUM K -1 3,518,100 0 0 0 0 0 28 .............
2 351,810 185,000 0 0 0 0
140,724 0 289,680 0 41,956
22-06-1976 4 4,010,634 0 0 0
197606222006042010 MKG:12 0 320,851 0 0222200253223
4,485,407 0 362,807 0
0 4,122,600
29 MOH.ARMIN JAYADI ,S.KM K -1 3,518,100 0 0 0 0 0 29 .............
2 351,810 185,000 0 0 0 0
140,724 0 289,680 0 41,956
27-07-1985 4 4,010,634 0 0 0
198507272010011011 MKG:12 0 320,851 0 0222205830026
889581120911000 4,485,407 0 362,807 0
0 4,122,600
30 MUHAMMAD ZAINUDIN K -1 3,704,300 540,000 0 0 0 0 30 .............
2 370,430 0 0 0 0 0
148,172 0 289,680 0 47,629
11-03-1975 4 4,222,902 0 0 0
197503111998031005 MKG:18 0 337,832 0
Penata-3C 0 '0222205873028
79 0
587444803915000 5,052,661 0 385,461 0
0 4,667,200
31 MARDIANA. ,S.SI K -0 3,704,300 540,000 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 0 72,420 0 42,443
18-05-1978 1 3,704,300 0 0 0
197805121998032003 MKG:18 0 296,344 0
Penata-3C 0 0222201333226
67 0
88.958.067.6-915.000 4,316,787 0 338,787 0
0 3,978,000
32 INI KARYADI MAKBUL K -1 3,591,200 540,000 0 0 0 0 32 .............
2 359,120 0 0 0 0 0
143,648 0 289,680 0 46,340
05-06-1974 4 4,093,968 0 0 0
197406052003121013 MKG:16 0 327,517 0
Penata-3C 0 0222205905027
9 0
155039928915000 4,923,657 0 373,857 0
0 4,549,800
33 I MADE SANTIANA. ,S.KEP K -1 3,591,200 540,000 0 0 0 0 33 .............
2 359,120 0 0 0 0 0
143,648 0 289,680 0 46,340
20-12-1980 4 4,093,968 0 0 0
198012202000031004 MKG:16 0 327,517 0 0222205864027
Penata-3C 9 0 0
147259899915000 4,923,657 0 373,857 0
0 4,549,800
34 GUSNUL YAKIN DD-0 3,375,300 540,000 0 0 0 0 34 .............
2 0 0 0 0 0 0
135,012 0 217,260 0 40,503
10-09-1980 3 3,510,312 0 0 0
198009102010011011 MKG:13 0 280,825 0
Penata-3C 0 0222201309017
56 0
156648222914000 4,267,628 0 321,328 0
0 3,946,300

NO KAWIN
35 EDI SETIA BUDI K -1 3,591,200 0 0 0 0 0 35 .............
2 359,120 0 0 0 0 0
143,648 600,000 289,680 0 46,940
02-05-1978 4 4,093,968 0 0 0
197805022000121003 MKG:16 0 327,517 0 0222205844027
Penata-3C 9 0 0
573365095911000 4,983,657 0 374,457 0
0 4,609,200
36 JOICE STILLIATY KALUMATA K -1 3,481,600 0 0 0 24,750 0 36 .............
2 348,160 0 0 0 0 0
139,264 600,000 289,680 0 45,690
08-09-1982 4 3,969,024 0 24,750 0
198209082008012016 MKG:14 0 317,522 0 0222205919028
Penata-3C 8 0 0
570859660911000 4,883,462 0 387,962 0
0 4,495,500
37 IKA KHURRIANA.A.MD.AK K -1 3,272,200 0 0 0 143,300 0 37 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
17-11-1985 4 3,730,308 0 143,300 0
198511172010012027 MKG:10 0 298,425 0
Penata-3C 0 0222201191226
40 0
684873904914000 4,763,328 0 485,028 0
0 4,278,300
38 ENDARTO JASWADI ,S.ST. K -1 3,481,600 0 0 0 0 0 38 .............
2 348,160 0 0 0 0 0
139,264 500,000 289,680 0 44,690
01-05-1980 4 3,969,024 0 0 0
198005012006041017 MKG:14 0 317,522 0
Penata-3C 0 0222201371228
8 0
486576630913000 4,758,712 0 362,212 0
0 4,396,500
39 NI NYOMAN AYU ANGGRENI.A.MD.KE K -1 3,272,200 0 0 0 0 0 39 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
23-12-1980 4 3,730,308 0 0 0
198612232010012020 MKG:10 0 298,425 0
Penata-3C 40 0 0
4,520,028 0 340,728 0
Kenaikan PangkatTMT - 2022-10-01 0 4,179,300
40 NURHAYANI HASTUTI K -0 4,193,500 0 0 0 0 0 40 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 43,785
01-01-1970 1 4,193,500 0 0 0
197001011991032030 MKG:26 0 335,480 0 0222205855026
Penata-3C 45 0 0
484269626915000 4,450,965 0 379,265 0
0 4,071,700
41 EMILIA HANAFIAH K -1 3,591,200 0 0 0 193,150 0 41 .............
2 359,120 185,000 0 0 0 0
143,648 0 289,680 0 42,790
07-05-1977 4 4,093,968 0 193,150 0
197705072003122014 MKG:16 0 327,517 0
Penata-3C 0 0222205890026
59 0
897515425915000 4,761,857 0 563,457 0
0 4,198,400

NO KAWIN
42 DARTA PARWATA K -1 3,481,600 0 0 0 0 0 42 .............
2 348,160 185,000 0 0 0 0
139,264 0 289,680 0 41,540
10-04-1983 4 3,969,024 0 0 0
198304102006041005 MKG:14 0 317,522 0 0222205842029
Penata-3C 58 0 0
159838036915000 4,443,762 0 359,062 0
0 4,084,700
43 LALU MOH HUSAINI RAHMAN ,S.KM K -1 3,272,200 0 0 0 0 0 43 .............
2 327,220 185,000 0 0 0 0
130,888 0 289,680 0 39,153
02-06-1982 4 3,730,308 0 0 0
198206022011011014 MKG:10 0 298,425 0 0222205880020
Penata-3C 90 0 0
249875774914000 4,205,078 0 337,578 0
0 3,867,500
44 IHWAN FITRAHADI ,A.Md.Kep. K -1 3,272,200 0 0 0 0 0 44 .............
2 327,220 185,000 0 0 0 0
130,888 0 289,680 0 39,153
25-05-1987 4 3,730,308 0 0 0
198705252010011013 MKG:10 0 298,425 0
Penata-3C 0 0222200008214
90 0
5204072505870001 4,205,078 0 337,578 0
0 3,867,500
45 WAHYU LEGA MIRANDA ,SKM. K -1 3,272,200 0 0 0 0 0 45 .............
1 327,220 185,000 0 0 0 0
65,444 0 217,260 0 38,499
08-06-1988 3 3,664,864 0 0 0
198806082011011011 MKG:10 0 293,189 0
Penata-3C 0 0222205865020
64 0
546995556913000 4,067,188 0 331,688 0
0 3,735,500
46 NINING ARIANTI.A.MD K -1 3,139,400 540,000 0 0 0 0 46 .............
1 313,940 0 0 0 0 0
62,788 0 217,260 0 40,561
20-04-1976 3 3,516,128 0 0 0
197604202010012006 MKG:10 0 281,290 0
Penata Muda Tk.I-3B 0 0222204653029
63 0
589716562915000 4,273,451 0 321,851 0
0 3,951,600
47 AHMAD ZAINI ,AMD.KEP K -1 2,950,600 0 0 0 0 0 47 .............
1 295,060 0 0 0 0 0
59,012 495,000 217,260 0 37,997
03-08-1988 3 3,304,672 0 0 0
198808032011011008 MKG: 7 0 264,374 0 0222204420021
Penata Muda Tk.I-3B 39 0 0
15.984.159.2-915.000 4,016,971 0 302,371 0
0 3,714,600
48 FARUK NURMA MARDIANSYAH.A.MTE K -1 3,139,400 0 0 0 0 0 48 .............
2 313,940 0 0 0 0 0
125,576 450,000 289,680 0 40,289
15-03-1986 4 3,578,916 0 0 0
198603152010011016 MKG:10 0 286,313 0
4,318,602 0 326,602 0
0 3,992,000

NO KAWIN
49 JULIANI ASTUTI K -1 3,238,300 0 0 0 0 0 49 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
21-07-1975 4 3,691,662 0 0 0
197507212005012010 MKG:12 0 295,333 0 0222200147228
513365004911000 4,246,400 0 334,900 0
0 3,911,500
50 AFRIANA WIDIA UTAMI.KEB. ,AMD K -0 3,139,400 0 0 0 0 0 50 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
24-04-1987 1 3,139,400 0 0 0
198704242010012021 MKG:10 0 251,152 0 0222200170225
163570757915000 3,476,896 0 285,196 0
0 3,191,700
51 NURWIRASTRI K -0 4,023,300 0 0 0 0 0 51 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 42,083
18-07-1969 1 4,023,300 0 0 0
196907181991032008 MKG:26 0 321,864 0
27 0
587444662911000 4,280,747 0 363,947 0
0 3,916,800
52 M U H S A N ,S.ADM. K -1 3,781,400 0 0 0 0 0 52 .............
0 378,140 185,000 0 0 0 0
0 0 144,840 0 43,445
07-08-1971 2 4,159,540 0 0 0
197108071992031007 MKG:22 0 332,763 0
Penata Muda Tk.I-3B 0 ,0222205816021
28 0
587444746915000 4,489,408 0 376,208 0
0 4,113,200
53 I DW ARYA KARMA YOGA K -1 3,445,500 0 0 0 0 0 53 .............
2 344,550 185,000 0 0 0 0
137,820 0 289,680 0 41,129
28-12-1979 4 3,927,870 0 0 0
197912282008011014 MKG:16 0 314,230 0
9 0
472606193914000 4,402,559 0 355,359 0
0 4,047,200
54 ARIS ,AMK. K -1 3,340,300 0 0 0 0 0 54 .............
2 334,030 185,000 0 0 0 0
133,612 0 289,680 0 39,929
29-06-1982 4 3,807,942 0 0 0
198206292006041022 MKG:14 0 304,635 0 0222202976220
164038564714000 4,282,664 0 344,564 0
0 3,938,100
55 TAUFIQURRAHMAN.A.MD.GZ K -1 3,139,400 0 0 0 0 0 55 .............
2 313,940 185,000 0 0 0 0
125,576 0 289,680 0 37,639
21-05-1986 4 3,578,916 0 0 0
198605212010011006 MKG:10 0 286,313 0
56 0
672085990915000 4,053,652 0 323,952 0
0 3,729,700

NO KAWIN
56 IRMA LAILA SAGITA ,A.MKL. K -1 3,043,600 0 0 0 0 0 56 .............
1 304,360 185,000 0 0 0 0
60,872 0 217,260 0 35,938
05-06-1984 3 3,408,832 0 0 0
198406052011012022 MKG: 8 0 272,707 0
123132 3,811,145 0 308,645 0
0 3,502,500
57 HARERIAN MALAYO R ,AMD.KEP K -1 3,043,600 0 0 0 0 0 57 .............
2 304,360 185,000 0 0 0 0
121,744 0 289,680 0 36,547
23-08-1987 4 3,469,704 0 0 0
198708232011011010 MKG: 8 0 277,576 0 0222205841025
449530310915000 3,944,423 0 314,123 0
0 3,630,300
58 CECEP RAHMAT HIDAYAT TK-0 3,106,900 490,000 0 0 0 0 58 .............
0 0 0 0 0 0 0
0 0 72,420 0 35,969
05-01-1971 1 3,106,900 0 0 0
197101052009011004 MKG:12 0 248,552 0
Penata Muda-3A 1 0 0
3,669,321 0 284,521 0
0 3,384,800
59 AHMAD FIRDAUS AMG. K -1 3,106,900 0 0 0 0 0 59 .............
1 310,690 0 0 0 0 0
62,138 265,000 217,260 0 37,447
04-04-1976 3 3,479,728 0 0 0
197604042005011015 MKG:12 0 278,378 0
Penata Muda-3A 0 0222201017224
37 0
895910651911000 3,962,025 0 315,825 0
0 3,646,200
60 N U R D I N K -1 3,517,200 0 0 0 0 0 60 .............
2 351,720 185,000 0 0 0 0
140,688 0 289,680 0 41,946
31-12-1967 4 4,009,608 0 0 0
196712311993031120 MKG:20 0 320,769 0
Penata Muda-3A 0 0222205912021
27 0
587444688915000 4,484,315 0 362,715 0
0 4,121,600
61 TURMUZI K -1 3,204,700 0 0 0 0 0 61 .............
2 320,470 185,000 0 0 0 0
128,188 0 289,680 0 38,384
17-09-1978 4 3,653,358 0 0 0
197809172007011012 MKG:14 0 292,269 0 0222200894223
155721236915000 4,128,053 0 330,653 0
0 3,797,400
62 KRISTIN HARTININGTIAS K -1 3,106,900 0 0 0 0 0 62 .............
2 310,690 185,000 0 0 0 0
124,276 0 289,680 0 37,269
13-07-1982 4 3,541,866 0 0 0
198207132005012010 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200135225
72 0
490209681911000 4,016,618 0 320,618 0
0 3,696,000

NO KAWIN
63 NI LUH SARIASIH ,S.KM K -1 2,660,700 0 0 0 0 0 63 .............
0 266,070 185,000 0 0 0 0
0 0 144,840 0 31,118
05-08-1996 2 2,926,770 0 0 0
199608052020122016 MKG: 2 0 234,142 0 0220228003855
963962139911000 3,256,660 0 265,260 0
64 ALDEKA KRISTANTO ,S. Tr. Kes TK-0 2,063,520 0 0 0 0 0 64 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
02-08-1998 1 2,063,520 0 0 0
199808022022031005 MKG: 0 0 165,082 0 0220201497284
0 2,320,967 0 187,567 0
0 2,133,400
SUB TOTAL PERGOLONGAN : III 202,781,620 7,510,000 0 0 915,790 0
PEG: 56 16,306,630 4,810,000 0 0 0 0
IST: 45 JIWA= 180 5,722,654 8,250,000 13,035,600 0 2,453,808
224,810,904 0 915,790 0
ANK: 79 0 17,984,874 0
2,678 0 0
259,334,972 0 21,354,472
0 237,980,500
65 RD. LIANA ANGGRAENI K -1 3,074,700 0 0 0 0 0 65 .............
2 307,470 0 0 0 0 0
122,988 350,000 289,680 0 38,552
02-09-1979 4 3,505,158 0 0 0
197909022008012019 MKG:19 0 280,413 0
Pengatur Tk.I-2D 27 0 0
4,144,865 0 318,965 0
0 3,825,900
66 JOKO SUSILO K -1 2,801,500 0 0 0 0 0 66 .............
0 280,150 0 0 0 0 0
0 265,000 144,840 0 33,467
24-05-1982 2 3,081,650 0 0 0
198205242009011005 MKG:13 0 246,532 0 0222205910022
594323941911000 3,491,499 0 279,999 0
Tmt 2022-12-01 0 3,211,500
67 LALU ISKANDAR K -1 3,074,700 0 0 0 0 0 67 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
31-12-1966 4 3,505,158 0 0 0
196612312008011078 MKG:19 0 280,413 0 0222205837024
587444329915000 3,974,865 0 317,265 0
0 3,657,600
68 SISWANTO, MS K -1 3,074,700 0 0 0 0 0 68 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
17-02-1981 4 3,505,158 0 0 0
198102172008011010 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 0222205901020
27 0
587444621915000 3,974,865 0 317,265 0
UPDATE-2022-12-01 0 3,657,600

NO KAWIN
69 SUWITNO TEGUH ARIBOWO TK-0 2,980,800 0 0 0 0 0 69 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
15-03-1980 1 2,980,800 0 0 0
198003152010011005 MKG:18 0 238,464 0 0222205861025
778939173911000 3,233,272 0 270,072 0
0 2,963,200
70 SURIYASMINI TK-0 2,980,800 0 0 0 0 0 70 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
02-01-1983 1 2,980,800 0 0 0
198301022010012009 MKG:18 0 238,464 0 0222205822029
579689167911000 3,233,272 0 270,072 0
0 2,963,200
71 RINTANG K -1 2,980,800 0 0 0 0 0 71 .............
0 298,080 180,000 0 0 0 0
0 0 144,840 0 34,589
31-12-1964 2 3,278,880 0 0 0
196412312007011259 MKG:17 0 262,310 0
Pengatur Tk.I-2D 0 0222205891021
79 0
587444738915000 3,603,799 0 296,899 0
0 3,306,900
72 AYUNAN K -1 2,980,800 0 0 0 0 0 72 .............
0 298,080 180,000 0 0 0 0
0 0 144,840 0 34,589
31-12-1972 2 3,278,880 0 0 0
197212312009011032 MKG:17 0 262,310 0
Pengatur Tk.I-2D 0 0222205900027
79 0
675370696915000 3,603,799 0 296,899 0
0 3,306,900
73 H. MALADI RAHMAN ZAKIR K -1 2,980,800 0 0 0 0 0 73 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
22-06-1976 4 3,398,112 0 0 0
197606222007011013 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222205845020
38 0
587444704915000 3,867,830 0 307,630 0
0 3,560,200
74 BAGUS DWI SASTRIAWAN ,AMTE K -1 2,301,800 0 0 0 0 0 74 .............
1 230,180 0 0 0 0 0
46,036 360,000 217,260 0 29,380
17-08-1993 3 2,578,016 0 0 0
199308172019031006 MKG: 4 0 206,241 0 0220200276273
Pengatur-2C 45 0 0
910711811914000 3,155,321 0 235,621 0
0 2,919,700
75 RONI HAMZAH ,AMKL K -1 1,841,440 0 0 0 0 0 75 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
11-03-1992 3 2,062,413 0 0 0
199203112022031010 MKG: 3 0 164,993 0
Pengatur-2C 0 0220231012326
44 0
0 2,459,717 0 187,417 0
0 2,272,300

NO KAWIN
76 ABDUL HADY K -1 2,660,000 0 0 0 0 0 76 .............
2 266,000 180,000 0 0 0 0
106,400 0 289,680 0 32,124
20-05-1976 4 3,032,400 0 0 0
197605202010011008 MKG:15 0 242,592 0 0222205826025
Pengatur Muda Tk.I-2B 36 0 0
578260028911000 3,502,116 0 274,716 0
0 3,227,400
77 AHYAR ROSYIDI K -1 2,660,000 0 0 0 0 0 77 .............
2 266,000 180,000 0 0 0 0
106,400 0 289,680 0 32,124
31-12-1983 4 3,032,400 0 0 0
198312312010011015 MKG:15 0 242,592 0 0222205898028
168510568911000 3,502,116 0 274,716 0
0 3,227,400
78 FATHURRAHMAN K -0 2,660,000 0 0 0 0 0 78 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,400
24-07-1984 1 2,660,000 0 0 0
198407242010011006 MKG:15 0 212,800 0
Pengatur Muda Tk.I-2B 0 0222205828023
80 0
688075258915000 2,912,500 0 241,200 0
0 2,671,300
79 ZULHADI SAPUTRA TK-0 2,889,100 0 0 0 0 0 79 .............
0 0 0 0 0 0 0
0 220,000 72,420 0 31,091
04-10-1978 1 2,889,100 0 0 0
197810041998031004 MKG:23 0 231,128 0
Pengatur Muda-2A 0 0222201004227
99 0
684906746915000 3,181,619 0 262,219 0
0 2,919,400
80 RUSNADI K -1 2,398,600 0 0 0 0 0 80 .............
2 239,860 180,000 0 0 0 0
95,944 0 289,680 0 29,144
08-06-1984 4 2,734,404 0 0 0 0
198406082010011005 MKG:11 0 218,752 0
12 0
159838135915000 3,204,096 0 247,896 0
0 2,956,200
SUB TOTAL PERGOLONGAN : 44,340,540 0 0 0 0 0
PEG: 16 3,282,984 2,160,000 0 0 0 0
IST: 12 JIWA= 44 879,805 1,195,000 3,186,480 0 518,585
48,503,329 0 0 0
ANK: 16 0 3,880,266 0
742 0 0
55,045,551 0 4,398,851
0 50,646,700
81 SRIANI KUSUMADEWI K -1 2,117,700 0 0 0 0 0 81 .............
2 211,770 175,000 0 0 0 0
84,708 0 289,680 0 25,892
17-06-1984 4 2,414,178 0 0 0
198406172014062002 MKG:17 0 193,134 0
Juru Muda Tk.I-1B 0 0222205883023
68 0
747814184915000 2,878,926 0 219,026 0
0 2,659,900

NO KAWIN
SUB TOTAL PERGOLONGAN : I 2,117,700 0 0 0 0 0
PEG: 1 211,770 175,000 0 0 0 0
IST: 1 JIWA= 4 84,708 0 289,680 0 25,892
2,414,178 0 0 0
ANK: 2 0 193,134 0
68 0 0
2,878,926 0 219,026
0 2,659,900
TOTAL PER SATKER 283,258,760 15,255,000 0 0 1,307,672 0
PEG: 81 23,203,274 7,145,000 0 0 0 0
IST: 66 JIWA= 258 7,882,839 10,645,000 18,684,360 0 3,473,898
ANK: 111 314,344,873 0 1,307,672 0
0 25,147,590 0
0 0
3,755 0 29,929,160
367,385,660
0 337,456,500
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS GUNUNGSARI

NO KAWIN
1 DRG, FARIDA HIDAYATI K -0 5,266,100 0 0 0 25,907 0 1 .............
2 0 0 0 0 0 0
210,644 1,200,000 217,260 0 66,767
30-09-1966 3 5,476,744 0 25,907 0
196609131992032007 MKG:30 0 438,140 0 0222200432220
Pembina Utama Muda-4C 3 0 0
484271697915000 6,919,914 0 530,814 0
0 6,389,100
2 DADY SYAMRI ASWAL ,S.Farm.Apt. K -1 3,942,400 0 0 0 251,250 0 2 .............
2 394,240 0 0 0 0 0
157,696 1,200,000 289,680 0 56,943
20-10-1981 4 4,494,336 0 251,250 0
198110202008031001 MKG:14 0 359,547 0 0222200416227
147136600913000 6,235,340 0 667,740 0
0 5,567,600
3 UMI LATIFAH K -0 4,603,500 0 0 0 4,634 0 3 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 54,535
08-01-1969 1 4,603,500 0 4,634 0
196901081993032008 MKG:24 0 368,280 0
Pembina Tk.I-4B 0 0222200431227
95 0
484270459915000 5,530,649 0 427,449 0
0 5,103,200
4 HAERUN FAHNI, A. MD. KEB K -0 4,603,500 0 0 0 4,642 0 4 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 54,535
18-03-1969 1 4,603,500 0 4,642 0
196903181993021002 MKG:24 0 368,280 0
Pembina Tk.I-4B 0 0222200420228
95 0
484270442915000 5,530,657 0 427,457 0
0 5,103,200
5 DR, QUDRATINI FITRIANA K -1 4,024,400 0 0 0 31,667 0 5 .............
2 402,440 0 0 0 0 0
160,976 1,200,000 289,680 0 57,878
31-05-1976 4 4,587,816 0 31,667 0
197605312010012001 MKG:18 0 367,025 0
Pembina-4A 0 0222200424224
7 0
159840123915000 6,109,170 0 456,570 0
0 5,652,600
6 NI NENGAH UTIK K -1 4,416,700 0 0 0 26,351 0 6 .............
1 441,670 0 0 0 0 0
88,334 850,000 217,260 0 57,967
20-06-1971 3 4,946,704 0 26,351 0
197106201993032011 MKG:24 0 395,736 0 0222200281024
Pembina-4A 39 0 0
084191253911000 6,040,354 0 480,054 0
0 5,560,300
7 WADIAH RESTUHAYU PALUPI K -1 4,416,700 0 0 0 32,414 0 7 .............
2 441,670 0 0 0 0 0
176,668 850,000 289,680 0 58,850
31-10-1971 4 5,035,038 0 32,414 0
197110311993032005 MKG:24 0 402,803 0
Pembina-4A 0 0222202107026
35 0
484270707915000 6,207,167 0 494,067 0
0 5,713,100

NO KAWIN
8 BAIQ LINA ROSIANA ,S.SI K -1 4,416,700 0 0 0 25,357 0 8 .............
1 441,670 0 0 0 0 0
88,334 850,000 217,260 0 57,967
25-12-1971 3 4,946,704 0 25,357 0
197112251992032005 MKG:24 0 395,736 0 0222200659104
Pembina-4A 39 0 0
484270525911000 6,039,360 0 479,060 0
0 5,560,300
SUB TOTAL PERGOLONGAN : IV 35,690,000 0 0 0 402,222 0
PEG: 8 2,121,690 0 0 0 0 0
IST: 5 JIWA= 23 882,652 7,850,000 1,665,660 0 465,442
38,694,342 0 402,222 0
ANK: 10 0 3,095,547 0
387 0 0
48,612,611 0 3,963,211
0 44,649,400
9 LALU WIRAWAN SRI GEDE ,AMD K -1 4,508,600 0 0 0 46,150 0 9 .............
2 450,860 0 0 0 0 0
180,344 600,000 289,680 0 57,398
21-04-1968 4 5,139,804 0 46,150 0
196804211989031011 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200628222
98 0
484272653915000 6,075,732 0 514,732 0
0 5,561,000
10 I S K A N D A R K -1 4,370,900 0 0 0 48,050 0 10 .............
1 437,090 0 0 0 0 0
87,418 600,000 217,260 0 54,954
10-07-1966 3 4,895,408 0 48,050 0
196607101990031013 MKG:26 0 391,633 0 0222200234020
484270566015000 5,760,737 0 494,637 0
0 5,266,100
11 SRI MULIATI.NS ,S.KEP TK-0 3,410,600 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,106
31-12-1980 1 3,410,600 0 0 0
198012312011012013 MKG:10 0 272,848 0 0222201190222
700664865915000 4,083,054 0 312,954 0
0 3,770,100
12 DATU JAELANI K -1 4,650,600 0 0 0 0 0 12 .............
0 465,060 0 0 0 0 0
0 500,000 144,840 0 56,157
25-05-1968 2 5,115,660 0 0 0
196805251987031002 MKG:30 0 409,253 0 0222200159013
484272596911000 5,760,510 0 465,410 0
0 5,295,100
13 MARIATUN K -1 4,237,500 0 0 0 7,550 0 13 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
10-10-1970 4 4,830,750 0 7,550 0
197010101992032017 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222201907106
38 0
889571345915000 5,628,018 0 447,318 0
0 5,180,700

NO KAWIN
14 MURNI HASTUTI TK-0 4,237,500 0 0 0 58,900 0 14 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
13-10-1972 1 4,237,500 0 58,900 0
197210131992032009 MKG:24 0 339,000 0 0222200425228
484270509915000 4,868,875 0 445,275 0
0 4,423,600
15 YUMI ANJANI WIATI TK-0 4,237,500 0 0 0 53,050 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
01-03-1973 1 4,237,500 0 53,050 0
197303011993022005 MKG:24 0 339,000 0 0222200643222
484272679911000 4,863,025 0 439,425 0
0 4,423,600
16 N U R A I N I K -1 4,237,500 0 0 0 724 0 16 .............
1 423,750 0 0 0 0 0
84,750 500,000 217,260 0 52,460
10-04-1973 3 4,746,000 0 724 0
197304101993022003 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200718015
80 0
756485462914000 5,464,064 0 432,864 0
0 5,031,200
17 HERWIN HIDAYAT. ,AMD.KEP K -1 3,982,600 0 0 0 0 0 17 .............
2 398,260 0 0 0 0 0
159,304 500,000 289,680 0 50,402
29-09-1975 4 4,540,164 0 0 0
197509291996031001 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222200434229
71 0
587444274915000 5,329,915 0 413,615 0
0 4,916,300
18 NURLAELY KARIM. ,AMD JD-0 3,861,000 0 0 0 0 0 18 .............
1 0 0 0 0 0 0
77,220 500,000 144,840 0 44,382
16-10-1974 2 3,938,220 0 0 0
197410162002122002 MKG:18 0 315,058 0
Penata Tk.I-3D 0 0222200436227
80 0
587444324914000 4,583,140 0 359,440 0
19 SYAMSUL MUNIR. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 19 .............
1 327,220 0 0 0 0 0
65,444 600,000 217,260 0 42,649
15-11-1982 3 3,664,864 0 0 0
198211152009011006 MKG:11 0 293,189 0 0222200423221
Penata-3C 14 0 0
685929317915000 4,482,138 0 335,838 0
0 4,146,300
20 ENIK SRI SUPENI. ,AMD.KEP K -0 3,272,200 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 38,722
15-03-1980 1 3,272,200 0 0 0
198003152010012021 MKG:10 0 261,776 0
Penata-3C 0 0222200453225
78 0
889686269911000 3,944,698 0 300,498 0
0 3,644,200

NO KAWIN
21 DANANG WIDIARSO ,AMD TK-0 3,591,200 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 40,912
25-05-1976 1 3,591,200 0 0 0
197605252008011016 MKG:16 0 287,296 0 0222200449224
Penata-3C 88 0 0
587444290911000 4,163,708 0 328,208 0
0 3,835,500
22 GUSTI AYU WAYAN ALIT FISIAWATI K -1 3,591,200 0 0 0 186,450 0 22 .............
,Amd. Far. 2 359,120 0 0 0 0 0
143,648 500,000 289,680 0 45,940
06-03-1983 4 4,093,968 0 186,450 0
198303062001122001 MKG:16 0 327,517 0 0222200408221
Penata-3C 9 0 0
587444316911000 5,070,107 0 559,907 0
23 EVI HANDAYANI K -0 3,481,600 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,816
06-01-1983 1 3,481,600 0 0 0
198301062002122002 MKG:14 0 278,528 0
Penata-3C 0 0222200463221
24 0
458571700404000 4,054,044 0 318,344 0
0 3,735,700
24 LALU MUHAMAD ZAKIUDIN ,AMG K -1 3,272,200 0 0 0 0 0 24 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
31-12-1979 4 3,730,308 0 0 0
197912312010011047 MKG:10 0 298,425 0
Penata-3C 40 0 0
755391281913000 4,520,028 0 340,728 0
0 4,179,300
25 SIRIL HAYATI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 25 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
06-10-1986 4 3,730,308 0 0 0
198610062010012025 MKG:10 0 298,425 0
Penata-3C 0 0222200447226
40 0
871967428915000 4,520,028 0 340,728 0
26 IKA AGUSTIANA K -1 3,238,300 0 0 0 0 0 26 .............
2 323,830 0 0 0 0 0
129,532 495,000 289,680 0 41,867
23-08-1978 4 3,691,662 0 0 0
197808232005012014 MKG:12 0 295,333 0 0222203773028
889565917911000 4,476,400 0 337,200 0
0 4,139,200
27 BAIQ NINING YANTINI K -0 3,238,300 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
16-10-1982 1 3,238,300 0 0 0
198210162007012009 MKG:12 0 259,064 0
77 0
587444373911000 3,575,797 0 294,097 0
0 3,281,700

NO KAWIN
28 INTAN KUMALASRI, AMKL. K -1 3,139,400 0 0 0 0 0 28 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
28-01-1982 4 3,578,916 0 0 0
198201282010012021 MKG:10 0 286,313 0 0222200640221
159840206915000 4,133,652 0 324,752 0
0 3,808,900
29 FITRIA YULI ASTUTI ,A.Md.Keb. K -1 3,139,400 0 0 0 0 0 29 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
10-07-1987 4 3,578,916 0 0 0
198707102010012009 MKG:10 0 286,313 0 0222205764010
797503257915000 4,133,652 0 324,752 0
0 3,808,900
30 NI NYOMAN TRISNA UTAMI.K ,AMD TK-0 3,043,600 0 0 0 0 0 30 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
07-07-1988 1 3,043,600 0 0 0
198807072011012018 MKG: 8 0 243,488 0
54 0
458994290914000 3,381,074 0 276,574 0
0 3,104,500
31 MASMUNAH JD-0 3,238,300 0 0 0 0 0 31 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 34,233
31-12-1973 1 3,238,300 0 0 0
197312312007012143 MKG:12 0 259,064 0
77 0
587444340911000 3,495,797 0 293,297 0
0 3,202,500
32 dr, LALU BAYU KUSUMA ,S.Ked K -1 2,688,500 0 0 0 0 0 32 .............
2 268,850 185,000 0 0 0 0
107,540 0 289,680 0 32,499
04-02-1989 4 3,064,890 0 0 0
198902042020121006 MKG: 1 0 245,191 0
20 0
746270587915000 3,539,590 0 277,690 0
0 3,261,900
33 AHMAD JUNAEDI K -1 3,106,900 0 0 0 0 0 33 .............
2 310,690 0 0 0 0 0
124,276 495,000 289,680 0 40,369
16-10-1980 4 3,541,866 0 0 0
198010162007011008 MKG:12 0 283,349 0 0222200445228
4,326,618 0 323,718 0
0 4,002,900
34 NURLAILI DESIMAWATI K -1 3,517,200 0 0 0 0 0 34 .............
2 351,720 0 0 0 0 0
140,688 300,000 289,680 0 43,096
31-12-1978 4 4,009,608 0 0 0
197812142005012011 MKG:20 0 320,769 0
Penata Muda-3A 0 0222200419229
77 0
889571337915000 4,599,365 0 363,865 0
0 4,235,500

NO KAWIN
35 FEBRIANY MASTIRA K -1 3,106,900 0 0 0 0 0 35 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
23-02-1984 4 3,541,866 0 0 0
198402232008012005 MKG:12 0 283,349 0 0222200435223
573365129911000 4,131,568 0 321,768 0
0 3,809,800
36 ISFRANSYAH K -1 3,517,200 0 0 0 0 0 36 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
03-05-1971 4 4,009,608 0 0 0
197105032008012011 MKG:20 0 320,769 0 0222200162011
889571329915000 4,564,315 0 363,515 0
0 4,200,800
37 LILIK YULI WULANDARI TK-0 3,409,800 0 0 0 0 0 37 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,748
12-07-1979 1 3,409,800 0 0 0
197907122008012022 MKG:18 0 272,784 0
Penata Muda-3A 0 0222200524221
12 0
578260010915000 3,747,232 0 309,532 0
0 3,437,700
38 BAIQ SUSANTI TK-0 3,305,700 0 0 0 0 0 38 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,707
20-03-1979 1 3,305,700 0 0 0
197903202008012018 MKG:16 0 264,456 0
Penata Muda-3A 0 0222200413225
43 0
587444258915000 3,643,163 0 300,163 0
0 3,343,000
39 KETUT SUARDANA TK-0 3,106,900 0 0 0 0 0 39 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,719
14-10-1982 1 3,106,900 0 0 0
198210142007011004 MKG:12 0 248,552 0
Penata Muda-3A 0 0222200443221
51 0
587444357911000 3,444,371 0 282,271 0
0 3,162,100
40 NANIK SRI MULYANI K -1 3,012,000 0 0 0 0 0 40 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
06-06-1981 4 3,433,680 0 0 0
198106062006042020 MKG:11 0 274,694 0 0222200421222
587444381911000 3,988,381 0 311,681 0
41 ARTHUR BUDI HARYONO K -1 3,106,900 0 0 0 0 0 41 .............
2 310,690 185,000 0 0 0 0
124,276 0 289,680 0 37,269
25-09-1974 4 3,541,866 0 0 0
197409252010011003 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200450223
72 0
889581435911000 4,016,618 0 320,618 0
0 3,696,000

NO KAWIN
SUB TOTAL PERGOLONGAN : III 116,402,400 0 0 0 400,874 0
PEG: 33 7,096,820 555,000 0 0 0 0
IST: 20 JIWA= 89 2,492,312 12,975,000 6,445,380 0 1,395,218
125,991,532 0 400,874 0
ANK: 36 0 10,079,322 0
1,628 0 0
146,369,414 0 11,875,414
0 134,494,000
42 R. SRI SULISTYANINGSIH TK-0 2,801,500 0 0 0 0 0 42 .............
,A.Md.Keb.. 0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
22-04-1977 1 2,801,500 0 0 0
197704222019052003 MKG:13 0 224,120 0
Pengatur Tk.I-2D 0 0220200013222
15 0
703412320911000 3,113,935 0 254,535 0
0 2,859,400
43 SUMEKAR HANDAYANI ,AMD.KEB K -0 2,801,500 0 0 0 0 0 43 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
24-08-1989 1 2,801,500 0 0 0
198908242017042001 MKG:13 0 224,120 0
Pengatur Tk.I-2D 0 0222201938222
15 0
703437459911000 3,113,935 0 254,535 0
0 2,859,400
44 MAHARANI SITI ANJANI ,AMD.KEB K -1 2,716,000 0 0 0 0 0 44 .............
1 271,600 0 0 0 0 0
54,320 240,000 217,260 0 32,819
29-06-1992 3 3,041,920 0 0 0
199206292017042001 MKG:11 0 243,354 0 0222201915221
718382781911000 3,499,273 0 276,173 0
45 FIRMAN HADI K -1 2,980,800 0 0 0 0 0 45 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
02-05-1983 4 3,398,112 0 0 0
198305022009011014 MKG:18 0 271,849 0 0222200446222
587444332911000 3,867,830 0 307,630 0
0 3,560,200
46 MURSID K -1 2,980,800 0 0 0 0 0 46 .............
0 298,080 180,000 0 0 0 0
0 0 144,840 0 34,589
31-12-1970 2 3,278,880 0 0 0
197012312007011202 MKG:17 0 262,310 0
3,603,799 0 296,899 0
0 3,306,900
PEG: 5 867,760 360,000 0 0 0 0
IST: 3 JIWA= 11 173,552 720,000 796,620 0 164,019
15,321,912 0 0 0
ANK: 3 0 1,225,753 0
240 0 0
17,198,772 0 1,389,772
0 15,809,000

NO KAWIN
TOTAL PER SATKER 166,373,000 0 0 0 803,096 0
PEG: 46 10,086,270 915,000 0 0 0 0
IST: 28 JIWA= 123 3,548,516 21,545,000 8,907,660 0 2,024,679
ANK: 49 180,007,786 0 803,096 0
0 14,400,622 0
0 0
2,255 0 17,228,397
212,180,797
0 194,952,400
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS MENINTING

NO KAWIN
1 NI NYOMAN ARYANITI. ,S.KM JD-0 4,151,100 490,000 0 0 0 0 1 .............
2 0 0 0 0 0 0
166,044 0 217,260 0 48,071
21-09-1973 3 4,317,144 0 0 0
197309212000032008 MKG:20 0 345,372 0 0222205856021
Pembina-4A 39 0 0
484270517915000 5,024,443 0 393,443 0
0 4,631,000
2 DRG, FITRIYANI DIAN EKAWATI K -1 4,024,400 0 0 0 30,947 0 2 .............
2 402,440 0 0 0 0 0
160,976 1,200,000 289,680 0 57,878
12-09-1977 4 4,587,816 0 30,947 0
197709122006042030 MKG:18 0 367,025 0 0222200995223
Pembina-4A 7 0 0
084171297911000 6,108,450 0 455,850 0
0 5,652,600
3 HADI PURWANTO K -1 4,847,300 0 0 0 0 0 3 .............
0 484,730 0 0 0 0 0
0 850,000 144,840 0 61,820
11-08-1965 2 5,332,030 0 0 0
196508111986031009 MKG:30 0 426,562 0
Pembina-4A 0 0222200251225
12 0
4,8427063292e+014 6,326,882 0 488,382 0
0 5,838,500
4 F A T I M A H K -1 4,416,700 0 0 0 18,322 0 4 .............
0 441,670 0 0 0 0 0
0 850,000 144,840 0 57,084
31-12-1971 2 4,858,370 0 18,322 0
197112311993032025 MKG:24 0 388,670 0
Pembina-4A 0 0222200531223
44 0
4,8427071592e+014 5,871,576 0 464,076 0
0 5,407,500
5 ZAINAL ABIDIN K -1 4,151,100 0 0 0 223,550 0 5 .............
2 415,110 0 0 0 0 0
166,044 850,000 289,680 0 55,823
31-12-1973 4 4,732,254 0 223,550 0
197312311996031005 MKG:21 0 378,580 0
Pembina-4A 0 0222200297229
69 0
1,5983845792e+014 6,095,553 0 657,953 0
0 5,437,600
6 ISTIQORIAH. ,S.SI TK-0 4,281,800 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 48,818
27-07-1973 1 4,281,800 0 0 0
197307271994032006 MKG:22 0 342,544 0 0222200256225
Pembina-4A 42 0 0
5,8744501691e+014 4,954,262 0 391,362 0
0 4,562,900
SUB TOTAL PERGOLONGAN : IV 25,872,400 490,000 0 0 272,819 0
PEG: 6 1,743,950 0 0 0 0 0
IST: 4 JIWA= 16 493,064 4,350,000 1,158,720 0 329,494
28,109,414 0 272,819 0
ANK: 6 0 2,248,753 0
213 0 0
34,381,166 0 2,851,066
0 31,530,100

NO KAWIN
7 F A U R I A H TK-0 4,237,500 0 0 0 1,900 0 7 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 48,375
31-12-1971 1 4,237,500 0 1,900 0
197112311995032005 MKG:24 0 339,000 0 0222200254227
4,8427072392e+014 4,911,875 0 389,275 0
0 4,522,600
8 SRI MULIANI TK-0 3,628,900 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 42,289
20-09-1981 1 3,628,900 0 0 0
198109202006042014 MKG:14 0 290,312 0 0222200260226
5,7825997091e+014 4,301,401 0 332,601 0
0 3,968,800
9 NI PUTU SUPARMI K -1 4,650,600 0 0 0 11,411 0 9 .............
0 465,060 0 0 0 0 0
0 500,000 144,840 0 56,157
31-12-1966 2 5,115,660 0 11,411 0
196612311987032116 MKG:30 0 409,253 0
Penata Tk.I-3D 0 0222200250220
10 0
4,8427067392e+014 5,771,921 0 476,821 0
0 5,295,100
10 NI LUH AYU KARYATI ASRI TK-0 4,508,600 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
17-11-1968 1 4,508,600 0 0 0
196811171989012004 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200252229
54 0
4,8427090592e+014 5,081,074 0 410,774 0
0 4,670,300
11 SADRI. ,AMD.KEP K -1 4,370,900 0 0 0 202,950 0 11 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
31-12-1968 4 4,982,826 0 202,950 0
196812311990011011 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222200276225
48 0
4,8427068192e+014 5,975,504 0 656,404 0
0 5,319,100
12 SRI TRISNAWATI TK-0 4,237,500 0 0 0 58,900 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
01-10-1965 1 4,237,500 0 58,900 0
196510011990032011 MKG:24 0 339,000 0 0222202451025
5,8744428292e+014 4,868,875 0 445,275 0
0 4,423,600
13 SAYU NYOMAN NITIARI K -1 4,108,100 0 0 0 0 0 13 .............
2 410,810 0 0 0 0 0
164,324 265,000 289,680 0 49,482
02-08-1972 4 4,683,234 0 0 0
197208021995032003 MKG:22 0 374,659 0
Penata Tk.I-3D 0 0222200258223
27 0
5,7336488291e+014 5,237,941 0 424,141 0
0 4,813,800

NO KAWIN
14 dr., ICA JUSTITIA K -1 2,890,500 0 0 0 0 0 14 .............
0 289,050 0 0 0 0 0
0 750,000 144,840 0 39,296
16-06-1989 2 3,179,550 0 0 0
198906162019032004 MKG: 3 0 254,364 0 0010200826270
Penata-3C 70 0 0
6,6748587491e+014 4,074,460 0 293,660 0
0 3,780,800
15 R U S M A N TK-0 3,481,600 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,816
06-10-1975 1 3,481,600 0 0 0
197510062001121003 MKG:14 0 278,528 0 0222200274227
Penata-3C 24 0 0
4,7122585492e+014 4,154,044 0 319,344 0
0 3,834,700
16 LUKMANUL HAKIM, AMKL K -1 3,272,200 0 0 0 0 0 16 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
21-03-1986 4 3,730,308 0 0 0
198603212010011007 MKG:10 0 298,425 0
Penata-3C 0 0222202888027
40 0
5,7825999692e+014 4,520,028 0 340,728 0
0 4,179,300
17 ZULFI WIRMAN HADI ,S.Kep.Ners. K -1 3,075,500 0 0 0 0 0 17 .............
2 307,550 0 0 0 0 0
123,020 300,000 289,680 0 38,061
02-07-1988 4 3,506,070 0 0 0
198807022014031004 MKG: 6 0 280,486 0
Penata-3C 0 0222203090221
97 0
7,1148216692e+014 4,095,847 0 318,547 0
0 3,777,300
18 NI NYOMAN PUJIYANTI K -1 3,821,000 0 0 0 87,500 0 18 .............
1 382,100 0 0 0 0 0
76,420 265,000 217,260 0 45,445
14-01-1975 3 4,279,520 0 87,500 0
197501141999032007 MKG:20 0 342,362 0
Penata-3C 0 0222200259227
27 0
5,7336505391e+014 4,849,307 0 475,307 0
0 4,374,000
19 LINA ARINI K -1 3,139,400 0 0 0 0 0 19 .............
2 313,940 0 0 0 0 0
125,576 495,000 289,680 0 40,739
26-04-1985 4 3,578,916 0 0 0
198504262006042005 MKG:11 0 286,313 0 0222200595229
1,5888722492e+014 4,363,652 0 327,052 0
0 4,036,600
20 WIDIANI K -1 3,238,300 0 0 0 0 0 20 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
31-12-1980 4 3,691,662 0 0 0
198012312007012013 MKG:12 0 295,333 0
8 0
5,7336511192e+014 4,281,350 0 335,250 0
0 3,946,100

NO KAWIN
21 DESAK MADE ARYANI TK-0 3,554,000 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 38,190
25-08-1980 1 3,554,000 0 0 0
198008252005012018 MKG:18 0 284,320 0 0222200265226
8,9582166892e+014 3,891,510 0 322,510 0
0 3,569,000
22 AIRI RAHMAWATI.A.MD,KEB K -0 3,043,600 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
29-01-1989 1 3,043,600 0 0 0
198901292011012017 MKG: 8 0 243,488 0 0222200266221
1,6793240991e+014 3,381,074 0 276,574 0
0 3,104,500
23 dr., NI MADE PEBRINA SARI K -1 2,773,200 0 0 0 0 0 23 .............
0 277,320 185,000 0 0 0 0
0 0 144,840 0 32,355
19-02-1994 2 3,050,520 0 0 0
199402192020122016 MKG: 2 0 244,042 0
37 0
822344438911000 3,380,397 0 276,397 0
24 MUHAMMAD ADI TK-0 3,627,900 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 450,000 72,420 0 40,779
16-09-1966 1 3,627,900 0 0 0
196609161992031010 MKG:22 0 290,232 0
Penata Muda-3A 0 0222202553029
91 0
5,7336503892e+014 4,150,411 0 331,011 0
0 3,819,400
25 RAIHAN K -1 3,517,200 0 0 0 193,600 0 25 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
01-01-1974 4 4,009,608 0 193,600 0
197401012006042045 MKG:21 0 320,769 0
Penata Muda-3A 0 0222200183014
27 0
5,7825998892e+014 4,757,915 0 557,115 0
0 4,200,800
26 NI MADE NURINI K -1 3,517,200 0 0 0 193,600 0 26 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
01-01-1976 4 4,009,608 0 193,600 0
197601012007012063 MKG:20 0 320,769 0 0222200268228
8,9582165092e+014 4,757,915 0 557,115 0
0 4,200,800
27 EVA AYU SENJASARI.A.MD.AK K -1 2,920,100 0 0 0 0 0 27 .............
0 292,010 0 0 0 0 0
0 240,000 144,840 0 34,521
24-05-1987 2 3,212,110 0 0 0
198705242011012017 MKG: 8 0 256,969 0
Penata Muda-3A 0 0222200264222
40 0
5,4415311792e+014 3,596,990 0 291,490 0
0 3,305,500

NO KAWIN
PEG: 21 4,529,420 185,000 0 0 0 0
IST: 13 JIWA= 51 1,205,972 8,425,000 3,693,420 0 899,592
81,349,192 0 749,861 0
ANK: 17 0 6,507,938 0
1,018 0 0
94,403,491 0 8,157,391
0 86,246,100
28 KOMANG ARMAYASIH K -1 3,271,400 0 0 0 0 0 28 .............
2 327,140 0 0 0 0 0
130,856 240,000 289,680 0 39,694
10-10-1973 4 3,729,396 0 0 0
197310102007012032 MKG:24 0 298,352 0
Pengatur Tk.I-2D 0 0222206229028
70 0
5,7826000292e+014 4,259,146 0 338,046 0
0 3,921,100
29 NI WAYAN SRI WIDARI K -0 3,171,500 0 0 0 0 0 29 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 34,115
19-05-1978 1 3,171,500 0 0 0
197805192012122001 MKG:21 0 253,720 0
Pengatur Tk.I-2D 0 0222200083226
15 0
6,6010811992e+014 3,483,935 0 287,835 0
0 3,196,100
30 IDA FITRIANI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 30 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
20-04-1988 4 3,193,710 0 0 0
198804202017042001 MKG:13 0 255,497 0 0222201909220
6,6916135892e+014 3,723,434 0 289,834 0
0 3,433,600
31 LALE IKA CAHYANI ROMDIAH K -1 2,716,000 0 0 0 0 0 31 .............
,AMD.KEB 1 271,600 0 0 0 0 0
54,320 240,000 217,260 0 32,819
29-04-1987 3 3,041,920 0 0 0
198704292017042003 MKG:11 0 243,354 0 0222201910221
7,0341258591e+014 3,499,273 0 276,173 0
0 3,223,100
32 YULIANA ANGGER DEWANTARI K -1 2,474,700 0 0 0 0 0 32 .............
,A.Md.Far. 1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
08-07-1991 3 2,771,664 0 0 0
199107082019032018 MKG: 6 0 221,733 0 0012219679104
5,4295903692e+014 3,228,950 0 251,850 0
0 2,977,100
33 MARYANI K -1 2,980,800 0 0 0 0 0 33 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
27-08-1981 4 3,398,112 0 0 0
198108272010012001 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222200272229
38 0
8,7373824991e+014 3,867,830 0 307,630 0
0 3,560,200

NO KAWIN
34 SARIFAH TK-0 2,859,800 0 0 0 0 0 34 .............
0 0 0 0 0 0 0
0 360,000 72,420 0 32,198
31-12-1976 1 2,859,800 0 0 0
197612312010012003 MKG:17 0 228,784 0 0222200271225
Pengatur-2C 62 0 0
5,7825993991e+014 3,292,282 0 260,982 0
0 3,031,300
PEG: 7 1,424,440 180,000 0 0 0 0
IST: 5 JIWA= 20 465,962 1,560,000 1,448,400 0 239,061
22,166,102 0 0 0
ANK: 8 0 1,773,289 0
348 0 0
25,354,850 0 2,012,350
0 23,342,500
TOTAL PER SATKER 121,761,900 490,000 0 0 1,022,680 0
PEG: 34 7,697,810 365,000 0 0 0 0
IST: 22 JIWA= 87 2,164,998 14,335,000 6,300,540 0 1,468,147
ANK: 31 131,624,708 0 1,022,680 0
0 10,529,980 0
0 0
1,579 0 13,020,807
154,139,507
0 141,118,700
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PENIMBUNG

NO KAWIN
1 MENIK SUMARNI JD-0 4,699,300 0 0 0 0 0 1 .............
1 0 0 0 0 0 0
93,986 850,000 144,840 0 56,433
07-08-1969 2 4,793,286 0 0 0
196908071989032005 MKG:28 0 383,463 0 0222200887221
Pembina-4A 70 0 0
484270582915000 5,788,196 0 439,896 0
0 5,348,300
2 AKHMAD JUAINI K -1 4,416,700 0 0 0 0 0 2 .............
2 441,670 0 0 0 0 0
176,668 850,000 289,680 0 58,850
31-12-1972 4 5,035,038 0 0 0
197212311992031026 MKG:24 0 402,803 0 0222200213015
Pembina-4A 35 0 0
484270434915000 6,174,753 0 461,653 0
0 5,713,100
3 HUSNIATY K -1 4,151,100 0 0 0 13,439 0 3 .............
1 415,110 0 0 0 0 0
83,022 850,000 217,260 0 54,992
23-03-1977 3 4,649,232 0 13,439 0
197703231996032001 MKG:20 0 371,939 0
Pembina-4A 0 0222200639220
39 0
573364890914000 5,729,970 0 440,370 0
0 5,289,600
4 NI KETUT METRI K -1 4,024,400 0 0 0 14,362 0 4 .............
2 402,440 0 0 0 0 0
160,976 850,000 289,680 0 54,378
07-03-1973 4 4,587,816 0 14,362 0
197303072000122002 MKG:18 0 367,025 0
Pembina-4A 0 0222200433225
7 0
970401063911000 5,741,865 0 435,765 0
0 5,306,100
PEG: 4 1,259,220 0 0 0 0 0
IST: 3 JIWA= 13 514,652 3,400,000 941,460 0 224,653
19,065,372 0 27,801 0
ANK: 6 0 1,525,230 0
151 0 0
23,434,784 0 1,777,684
0 21,657,100
5 FAUZAN MA'ARI K -1 4,108,100 490,000 0 0 0 0 5 .............
2 410,810 0 0 0 0 0
164,324 0 289,680 0 51,732
12-04-1970 4 4,683,234 0 0 0
197004121995031002 MKG:22 0 374,659 0 0222200635225
799261706915000 5,462,991 0 426,391 0
0 5,036,600
6 Ns., SRI WAHYUNINGSIH ,S.Kep. K -1 4,108,100 0 0 0 18,156 0 6 .............
2 410,810 0 0 0 0 0
164,324 850,000 289,680 0 55,332
03-07-1975 4 4,683,234 0 18,156 0
197507031995032002 MKG:22 0 374,659 0
Penata Tk.I-3D 0 0222200646224
77 0
472606177911000 5,841,147 0 448,147 0
Tmt 2022-12-01 0 5,393,000

NO KAWIN
7 SYAMSUR RAHMAN K -1 4,370,900 0 0 0 0 0 7 .............
1 437,090 0 0 0 0 0
87,418 600,000 217,260 0 54,954
13-11-1969 3 4,895,408 0 0 0
196911131990031011 MKG:26 0 391,633 0 0222200631229
159838663915000 5,712,687 0 446,587 0
0 5,266,100
8 NI PUTU AYU SUNIANTARI K -1 4,370,900 0 0 0 18,407 0 8 .............
2 437,090 0 0 0 0 0
174,836 600,000 289,680 0 55,828
28-12-1969 4 4,982,826 0 18,407 0
196912281993032005 MKG:26 0 398,626 0 0222200430223
484270467911000 5,890,961 0 472,861 0
0 5,418,100
9 I PUTU ERYAWAN K -1 3,982,600 0 0 0 0 0 9 .............
2 398,260 0 0 0 0 0
159,304 600,000 289,680 0 51,402
13-07-1975 4 4,540,164 0 0 0
197507131997031008 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222200627228
71 0
162845721915000 5,429,915 0 414,615 0
0 5,015,300
10 JUNI HANAFI K -1 3,861,000 0 0 0 0 0 10 .............
2 386,100 0 0 0 0 0
154,440 600,000 289,680 0 50,015
04-06-1975 4 4,401,540 0 0 0
197506041998031002 MKG:18 0 352,123 0
Penata Tk.I-3D 0 0222200644226
18 0
799261698911000 5,291,238 0 402,138 0
0 4,889,100
11 NI KETUT KERTIASIH TK-0 4,370,900 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
27-07-1970 1 4,370,900 0 0 0
197007271990092006 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200843224
61 0
484274913911000 4,943,381 0 398,381 0
0 4,545,000
12 NI KETUT RANTI K -1 4,108,100 0 0 0 1,556 0 12 .............
2 410,810 0 0 0 0 0
164,324 500,000 289,680 0 51,832
16-08-1976 4 4,683,234 0 1,556 0
197608161995032001 MKG:22 0 374,659 0 0222200197015
156648503914000 5,474,547 0 428,047 0
0 5,046,500
13 drg., IDA AYU PURWITA DEWI TK-0 2,890,500 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 36,405
10-12-1984 1 2,890,500 0 0 0
198412102019032003 MKG: 3 0 231,240 0
Penata-3C 0 0222200316271
25 0
844137794911000 3,712,945 0 267,645 0
0 3,445,300

NO KAWIN
14 YULIA KARTINI K -1 3,591,200 0 0 0 0 0 14 .............
2 359,120 0 0 0 0 0
143,648 600,000 289,680 0 46,940
22-07-1980 4 4,093,968 0 0 0
198007222006042017 MKG:16 0 327,517 0 0222205210021
Penata-3C 9 0 0
159838341915000 4,983,657 0 374,457 0
0 4,609,200
15 NOER LINA DESIANA ,AMD.KEP K -0 3,139,400 0 0 0 0 0 15 .............
2 0 0 0 0 0 0
125,576 500,000 217,260 0 37,650
15-12-1986 3 3,264,976 0 0 0
198612152010012030 MKG:10 0 261,198 0 0222200630225
472606144915000 3,982,248 0 298,848 0
Tmt 2022-12-01 0 3,683,400
16 LALU ARIFUDDIN K -1 3,340,300 0 0 0 0 0 16 .............
1 334,030 0 0 0 0 0
66,806 495,000 217,260 0 42,361
16-11-1980 3 3,741,136 0 0 0
198011162007011003 MKG:14 0 299,291 0
56 0
683393821914000 4,453,452 0 341,652 0
0 4,111,800
17 ATIK RAHMAWATI ,A.MG K -1 3,139,400 0 0 0 0 0 17 .............
2 313,940 0 0 0 0 0
125,576 300,000 289,680 0 38,789
17-10-1980 4 3,578,916 0 0 0 0
198010172010012011 MKG:10 0 286,313 0
895908390915000 4,168,602 0 325,102 0
0 3,843,500
18 SHERLY SUKMAWATI ,AMD.KEB K -0 3,139,400 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
29-11-1984 1 3,139,400 0 0 0
198411292010012020 MKG:10 0 251,152 0
76 0
168188746913000 3,476,896 0 285,196 0
0 3,191,700
19 MARIA AGUSFINA.A.MD.KEB K -1 3,139,400 0 0 0 0 0 19 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
15-08-1987 4 3,578,916 0 0 0
198708152010012008 MKG:10 0 286,313 0 0222200638227
472606136915000 4,133,652 0 324,752 0
0 3,808,900
20 WINDHA FEBRIASNITA WIJAYANTI, K -1 3,043,600 0 0 0 0 0 20 .............
2 304,360 0 0 0 0 0
121,744 240,000 289,680 0 37,097
01-02-1987 4 3,469,704 0 0 0 0
198702012011012011 MKG: 8 0 277,576 0
3,999,473 0 314,673 0
0 3,684,800

NO KAWIN
21 WAYAN AGOES KUSUMA JAYA K -1 4,280,800 0 0 0 0 0 21 .............
2 428,080 185,000 0 0 0 0
171,232 0 289,680 0 50,651
19-01-1965 4 4,880,112 0 0 0
196501191987031010 MKG:30 0 390,409 0 0222200634220
484270889915000 5,354,860 0 441,060 0
0 4,913,800
22 RAMLAH RITAWATI TK-0 3,012,000 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 33,120
31-12-1974 1 3,012,000 0 0 0
197412312007012054 MKG:10 0 240,960 0 0222200426222
895910677911000 3,384,480 0 274,080 0
0 3,110,400
23 BAIQ SIPAIYAH TK-0 3,409,800 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,748
31-12-1978 1 3,409,800 0 0 0
197812312008012043 MKG:18 0 272,784 0
Penata Muda-3A 0 0222200636229
12 0
161803044915000 3,747,232 0 309,532 0
0 3,437,700
SUB TOTAL PERGOLONGAN : III 69,406,400 490,000 0 0 38,119 0
PEG: 19 4,944,440 185,000 0 0 0 0
IST: 13 JIWA= 58 1,949,128 8,230,000 4,200,360 0 852,048
76,299,968 0 38,119 0
ANK: 26 0 6,103,997 0
917 0 0
89,444,364 0 6,994,164
0 82,450,200
24 SUKMAWATI K -0 2,980,800 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 360,000 72,420 0 33,408
26-02-1980 1 2,980,800 0 0 0
198002262007012011 MKG:17 0 238,464 0 0222200649226
472808168911000 3,413,272 0 271,872 0
0 3,141,400
25 HERNAWATI TK-0 3,374,400 0 0 0 0 0 25 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 36,144
06-07-1970 1 3,374,400 0 0 0
197007062007012030 MKG:26 0 269,952 0 0222202566026
578259954911000 3,686,896 0 306,096 0
0 3,380,800
26 IDA AYU RATNA SARI DEWI TK-0 2,889,800 0 0 0 0 0 26 .............
,A.Md.Keb.. 0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
27-02-1978 1 2,889,800 0 0 0
197802272019052002 MKG:16 0 231,184 0
Pengatur Tk.I-2D 0 0222200160284
62 0
486414592914000 3,202,282 0 262,482 0
0 2,939,800

NO KAWIN
27 IKA PERMATASARI ,AMD.KEB K -0 2,801,500 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
08-04-1988 1 2,801,500 0 0 0
198804082017042003 MKG:13 0 224,120 0 0222201930221
669163537915000 3,113,935 0 254,535 0
0 2,859,400
28 WINDA SUSANTI WULAN ,AMD.KEB K -1 2,716,000 0 0 0 0 0 28 .............
2 271,600 0 0 0 0 0
108,640 240,000 289,680 0 33,362
28-05-1991 4 3,096,240 0 0 0
199105282017042002 MKG:11 0 247,699 0 0222201929220
718313505915000 3,625,961 0 281,061 0
29 SATARI DD-0 3,074,700 0 0 0 0 0 29 .............
2 0 180,000 0 0 0 0
122,988 0 217,260 0 33,777
14-11-1982 3 3,197,688 0 0 0
198211142009011005 MKG:19 0 255,815 0
Pengatur Tk.I-2D 0 0222206247021
44 0
159616838915000 3,594,992 0 289,592 0
0 3,305,400
30 NI WAYAN NUNIK K -0 2,980,800 0 0 0 0 0 30 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
06-07-1969 1 2,980,800 0 0 0
196907062007012030 MKG:17 0 238,464 0
Pengatur Tk.I-2D 0 0222204905021
52 0
780606034915000 3,233,272 0 270,072 0
0 2,963,200
31 LALU AENAL MUDAWARI K -1 2,980,800 0 0 0 0 0 31 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
15-06-1971 4 3,398,112 0 0 0
197106152007011035 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222203010024
38 0
780707600915000 3,867,830 0 307,630 0
0 3,560,200
32 HURITAYANI K -1 2,980,800 0 0 0 0 0 32 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
09-01-1981 4 3,398,112 0 0 0
198101092010012003 MKG:17 0 271,849 0 0222203772024
599982154911000 3,867,830 0 307,630 0
0 3,560,200
33 ZAENAL MUTTAQIN K -1 3,339,400 0 0 0 0 0 33 .............
1 333,940 0 0 0 0 0
66,788 240,000 217,260 0 39,801
01-06-1972 3 3,740,128 0 0 0
197206011992031007 MKG:27 0 299,210 0
Pengatur-2C 0 0222205256024
23 0
543436968915000 4,197,411 0 339,011 0
0 3,858,400

NO KAWIN
34 LITA FAWZIAH ,Amd.Keb K -1 2,374,300 0 0 0 0 0 34 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
04-04-1990 3 2,659,216 0 0 0
199004042020122007 MKG: 5 0 212,737 0 0220200418283
Pengatur-2C 53 0 0
817846736914000 3,056,529 0 241,129 0
35 MARNO K -1 2,660,000 0 0 0 0 0 35 .............
2 266,000 180,000 0 0 0 0
106,400 0 289,680 0 32,124
31-12-1982 4 3,032,400 0 0 0
198212312008011031 MKG:15 0 242,592 0 0222200647228
897502506913000 3,502,116 0 274,716 0
0 3,227,400
PEG: 12 1,705,130 1,080,000 0 0 0 0
IST: 6 JIWA= 30 690,766 1,560,000 2,172,600 0 401,891
37,549,196 0 0 0
ANK: 12 0 3,003,935 0
530 0 0
42,362,326 0 3,405,826
0 38,956,500
TOTAL PER SATKER 121,851,200 490,000 0 0 65,920 0
PEG: 35 7,908,790 1,265,000 0 0 0 0
IST: 22 JIWA= 101 3,154,546 13,190,000 7,314,420 0 1,478,592
ANK: 44 132,914,536 0 65,920 0
0 10,633,162 0
0 0
1,598 0 12,177,674
155,241,474
0 143,063,800
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS LINGSAR

NO KAWIN
1 Drg., NUNIK AMZYANA K -1 3,822,000 0 0 0 22,544 0 1 .............
2 382,200 0 0 0 0 0
152,880 1,200,000 289,680 0 55,571
17-04-1981 4 4,357,080 0 22,544 0
198104172010012018 MKG:12 0 348,566 0 0222200686224
16.089.074.5-913.000 5,869,381 0 426,681 0
2 SRI SUWARNI K -1 5,052,300 0 0 0 62,794 0 2 .............
2 505,230 0 0 0 0 0
202,092 850,000 289,680 0 66,096
19-05-1965 4 5,759,622 0 62,794 0
196505191987012002 MKG:30 0 460,770 0 0222200449026
48.427.077.2-911.000 6,962,160 0 589,660 0
3 MUJAHID FITRIADI. ,S.KM K -1 4,555,800 0 0 0 0 0 3 .............
1 455,580 0 0 0 0 0
91,116 600,000 217,260 0 57,025
09-12-1969 3 5,102,496 0 0 0
196912091993031005 MKG:26 0 408,200 0
Pembina-4A 0 0222205897024
69 0
48.427.251.3.915.000 5,919,825 0 465,225 0
0 5,454,600
PEG: 3 1,343,010 0 0 0 0 0
IST: 3 JIWA= 11 446,088 2,650,000 796,620 0 178,692
15,219,198 0 85,338 0
ANK: 5 0 1,217,536 0
210 0 0
18,751,366 0 1,481,566
0 17,269,800
4 BAIQ SUZANA KURNIATI K -0 4,237,500 0 0 0 57,800 0 4 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 48,375
16-11-1971 1 4,237,500 0 57,800 0
197111161996032005 MKG:24 0 339,000 0 0222200702224
48.427.100.2-915.000 4,967,775 0 445,175 0
Tmt 2022-12-01 0 4,522,600
5 BAIQ SUMIARA K -1 4,650,600 0 0 0 19,317 0 5 .............
1 465,060 0 0 0 0 0
93,012 500,000 217,260 0 57,087
31-12-1967 3 5,208,672 0 19,317 0
196712311987032047 MKG:30 0 416,694 0 0222201712021
48.427.079.8-915.000 5,945,298 0 493,098 0
0 5,452,200
6 MUJI HARIANTO K -1 4,508,600 0 0 0 0 0 6 .............
0 450,860 0 0 0 0 0
0 500,000 144,840 0 54,595
22-09-1965 2 4,959,460 0 0 0
196509261989031006 MKG:28 0 396,757 0
Penata Tk.I-3D 0 0222200679220
52 0
57.192.001.6-915.000 5,604,352 0 451,352 0
0 5,153,000

NO KAWIN
7 NI NENGAH SUARTI K -1 4,237,500 0 0 0 737 0 7 .............
1 423,750 0 0 0 0 0
84,750 500,000 217,260 0 52,460
31-12-1970 3 4,746,000 0 737 0
197012311992032047 MKG:24 0 379,680 0 0222200701221
58.744.500.8-914.000 5,464,077 0 432,877 0
0 5,031,200
8 H U R I A H K -1 4,237,500 0 0 0 0 0 8 .............
0 423,750 0 0 0 0 0
0 500,000 144,840 0 51,613
31-12-1972 2 4,661,250 0 0 0
197212311993032023 MKG:24 0 372,900 0 0222200698227
89.751.540.9-915.000 5,306,113 0 424,513 0
0 4,881,600
9 IDA AYU SWENDRI K -1 4,237,500 0 0 0 0 0 9 .............
0 423,750 0 0 0 0 0
0 500,000 144,840 0 51,613
29-07-1973 2 4,661,250 0 0 0
197307291992032003 MKG:24 0 372,900 0
Penata Tk.I-3D 0 0222200505226
23 0
48.427.096.2-911.000 5,306,113 0 424,513 0
0 4,881,600
10 ZAENI K -1 3,982,600 0 0 0 0 0 10 .............
1 398,260 0 0 0 0 0
79,652 500,000 217,260 0 49,605
31-12-1972 3 4,460,512 0 0 0
197212311996032014 MKG:20 0 356,841 0
Penata Tk.I-3D 0 0222200693227
74 0
58.744.503.2-915.000 5,177,846 0 406,446 0
0 4,771,400
11 ROHMIATI ZALILAH K -0 3,982,600 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 44,826
17-10-1975 1 3,982,600 0 0 0
197510172000122003 MKG:20 0 318,608 0
Penata Tk.I-3D 0 0222200683222
14 0
58.744.494.4-914.000 4,555,034 0 363,434 0
12 NURHAINI SA'ADAH. ,AMD.KEB TK-0 3,861,000 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 43,610
29-04-1980 1 3,861,000 0 0 0
198004292002122005 MKG:18 0 308,880 0 0222200842221
87.444.334.4-915.000 4,433,490 0 352,490 0
13 SAHDIYARTA K -1 3,704,300 0 0 0 0 0 13 .............
2 370,430 0 0 0 0 0
148,172 600,000 289,680 0 48,229
31-12-1970 4 4,222,902 0 0 0
197012311998031050 MKG:18 0 337,832 0
Penata-3C 0 0222203064025
79 0
46.428.377.9-915.000 5,112,661 0 386,061 0
0 4,726,600

NO KAWIN
14 PUTU NARALIA OKTAVIYANTI TK-0 3,591,200 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 40,912
01-10-1980 1 3,591,200 0 0 0
198010012000122004 MKG:16 0 287,296 0 0222200316220
Penata-3C 88 0 0
49.244.450.0-911.000 4,163,708 0 328,208 0
0 3,835,500
15 MUSTIANI TK-0 3,591,200 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 40,912
31-12-1980 1 3,591,200 0 0 0
198012312008012033 MKG:16 0 287,296 0 0222200694220
Penata-3C 88 0 0
58.744.515.6-915.000 4,163,708 0 328,208 0
0 3,835,500
16 RABIATUL ASTUTI.AK. ,AMD K -1 3,272,200 0 0 0 0 0 16 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
08-01-1982 4 3,730,308 0 0 0
198201082010012019 MKG:10 0 298,425 0
Penata-3C 0 0222200689226
40 0
88.941.097.3-915.000 4,520,028 0 340,728 0
0 4,179,300
17 MARNIWATI K -1 3,238,300 490,000 0 0 0 0 17 .............
1 323,830 0 0 0 0 0
64,766 0 217,260 0 41,169
16-05-1978 3 3,626,896 0 0 0
197805162007012025 MKG:12 0 290,152 0
65 0
89.587.039.2-915.000 4,334,221 0 331,321 0
0 4,002,900
18 ROYANI. ,AMD.KEP TK-0 3,139,400 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 36,394
15-05-1986 1 3,139,400 0 0 0 0
198605152010012023 MKG:10 0 251,152 0
26 0
68.592.893.9-915.000 3,711,846 0 287,546 0
Tmt 2022-12-01 0 3,424,300
19 RATANO K -1 3,238,300 0 0 0 0 0 19 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
06-11-1976 4 3,691,662 0 0 0
197611062007011019 MKG:12 0 295,333 0 0222200690225
89.750.252.2-915.000 4,281,350 0 335,250 0
0 3,946,100
20 DEWI KUSUMAWATI TK-0 3,554,000 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 38,190
21-10-1978 1 3,554,000 0 0 0
197810212005012008 MKG:18 0 284,320 0
90 0
68.591.786.6-915.000 3,891,510 0 322,510 0
0 3,569,000

NO KAWIN
21 NURHAMIDAH K -1 3,238,300 0 0 0 0 0 21 .............
2 323,830 185,000 0 0 0 0
129,532 0 289,680 0 38,767
26-12-1976 4 3,691,662 0 0 0
197612262007012015 MKG:12 0 295,333 0 0222205859022
71338882911000 4,166,400 0 334,100 0
0 3,832,300
22 NOVENY RAHAYU DIARTI JD-0 3,204,700 0 0 0 0 0 22 .............
2 0 0 0 0 0 0
128,188 450,000 217,260 0 37,829
04-11-1982 3 3,332,888 0 0 0
198211042002122002 MKG:14 0 266,631 0 0222202600028
67.360.794.1-915.000 4,000,160 0 304,460 0
0 3,695,700
23 SRI FITRIYANI K -1 3,204,700 0 0 0 0 0 23 .............
2 320,470 0 0 0 0 0
128,188 300,000 289,680 0 39,534
21-12-1981 4 3,653,358 0 0 0
198112212007012005 MKG:14 0 292,269 0
Penata Muda-3A 0 0222200681224
65 0
58.744.523.0-915.000 4,243,103 0 331,803 0
0 3,911,300
24 HUSMA EKA NINGSIH K -1 3,106,900 0 0 0 0 0 24 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
18-03-1983 4 3,541,866 0 0 0
198303182012122001 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200340026
22 0
64.161.744.4-915.000 4,131,568 0 321,768 0
0 3,809,800
25 WIWIK ZULYANI K -1 3,106,900 0 0 0 0 0 25 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
10-10-1985 4 3,541,866 0 0 0
198510102008012003 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200695225
22 0
58.744.495.1-915.000 4,131,568 0 321,768 0
0 3,809,800
26 TUTY HARTIANI JD-0 3,627,900 0 0 0 0 0 26 .............
1 0 0 0 0 0 0
72,558 265,000 144,840 0 39,655
28-06-1973 2 3,700,458 0 0 0
197306282006042018 MKG:22 0 296,037 0 0222203163027
73.345.806.1-911.000 4,110,392 0 335,692 0
0 3,774,700
27 FITRIA YULIANA K -1 3,106,900 0 0 0 0 0 27 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
31-07-1980 4 3,541,866 0 0 0
198007312005012011 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200841226
72 0
68.591.787.4-915.000 4,096,618 0 321,418 0
0 3,775,200

NO KAWIN
PEG: 24 5,507,110 185,000 0 0 0 0
IST: 15 JIWA= 62 1,562,066 9,645,000 4,490,040 0 1,052,502
94,929,776 0 77,854 0
ANK: 23 0 7,594,383 0
1,269 0 0
109,818,939 0 8,724,739
0 101,094,200
28 SRI MELINA ,AMD.KEB K -0 2,980,800 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 32,208
23-05-1984 1 2,980,800 0 0 0
198405232017042003 MKG:17 0 238,464 0
Pengatur Tk.I-2D 0 0222201931224
52 0
70.550.728.3-915.000 3,293,272 0 270,672 0
0 3,022,600
29 ELY HERMAWATI ,AMD.KEB K -1 2,889,800 0 0 0 0 0 29 .............
2 288,980 0 0 0 0 0
115,592 240,000 289,680 0 35,344
24-11-1987 4 3,294,372 0 0 0
198711242017042002 MKG:15 0 263,550 0
Pengatur Tk.I-2D 0 0222201921229
42 0
66.916.343.8-915.000 3,824,094 0 298,894 0
0 3,525,200
30 YULIANA ZAEN ,AMD.KEB K -1 2,801,500 0 0 0 0 0 30 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
20-07-1988 4 3,193,710 0 0 0
198807202017042002 MKG:13 0 255,497 0 0222201919226
66.916.298.4-915.000 3,723,434 0 289,834 0
0 3,433,600
31 RINA HAERUNNISAK ,AMD.KEB K -1 2,801,500 0 0 0 0 0 31 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
19-10-1988 3 3,137,680 0 0 0
198810192017042004 MKG:13 0 251,014 0 0222201920225
70.303.505.5-915.000 3,594,991 0 284,791 0
0 3,310,200
32 SURYA HAYATI K -1 2,980,800 0 0 0 0 0 32 .............
1 298,080 180,000 0 0 0 0
59,616 0 217,260 0 35,185
10-05-1975 3 3,338,496 0 0 0
197505102009012005 MKG:17 0 267,080 0 0222200142100
58.744.489.4-915.000 3,735,765 0 302,265 0
0 3,433,500
33 ARMAN HADI K -1 2,859,800 0 0 0 0 0 33 .............
2 285,980 180,000 0 0 0 0
114,392 0 289,680 0 34,402
31-12-1974 4 3,260,172 0 0 0
197412312010011016 MKG:17 0 260,814 0
Pengatur-2C 0 0222200684226
64 0
44.895.457.8-915.000 3,729,916 0 295,216 0
0 3,434,700

NO KAWIN
34 YARTIADI K -1 2,500,000 0 0 0 0 0 34 .............
2 250,000 180,000 0 0 0 0
100,000 0 289,680 0 30,300
31-12-1973 4 2,850,000 0 0 0
197312312009011029 MKG:11 0 228,000 0 0222200682228
38.744.490.2-915.000 3,319,700 0 258,300 0
0 3,061,400
PEG: 7 1,683,340 540,000 0 0 0 0
IST: 6 JIWA= 23 557,690 960,000 1,665,660 0 235,553
22,055,230 0 0 0
ANK: 10 0 1,764,419 0
282 0 0
25,221,172 0 1,999,972
0 23,221,200
35 NI MADE SURYANI TK-0 2,300,700 0 0 0 0 0 35 .............
0 0 175,000 0 0 0 0
0 0 72,420 0 24,757
26-05-1983 1 2,300,700 0 0 0
198305262008012009 MKG:17 0 184,056 0
Juru Tk.I-1D 0 0222200699220
93 0
58.744.487.8-915.000 2,548,213 0 208,813 0
0 2,339,400
PEG: 1 0 175,000 0 0 0 0
IST: 0 JIWA= 1 0 0 72,420 0 24,757
2,300,700 0 0 0
ANK: 0 0 184,056 0
93 0 0
2,548,213 0 208,813
0 2,339,400
TOTAL PER SATKER 123,405,600 490,000 0 0 163,192 0
PEG: 35 8,533,460 900,000 0 0 0 0
IST: 24 JIWA= 97 2,565,844 13,255,000 7,024,740 0 1,491,504
ANK: 38 134,504,904 0 163,192 0
0 10,760,394 0
0 0
1,854 0 12,415,090
156,339,690
0 143,924,600
KEPALA PUSKESMAS LINGSAR ,21 NOPEMBER 2022
H. RACHMAN SAHNAN PUTRA,

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS NARMADA

NO KAWIN
1 DR, I DW. GDE NGURAH AGUNG K -1 5,105,300 0 0 0 68,038 0 1 .............
0 510,530 0 0 0 0 0
0 1,200,000 144,840 0 68,158
17-01-1968 2 5,615,830 0 68,038 0
196504281996031003 MKG:28 0 449,266 0 0222200282224
071222744911000 7,028,762 0 585,462 0
0 6,443,300
2 NI KETUT MERTAWATI, ,SST K -0 4,603,500 0 0 0 4,634 0 2 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 54,535
31-12-1973 1 4,603,500 0 4,634 0
197306011993032011 MKG:24 0 368,280 0 0222200295220
573365335915000 5,530,649 0 427,449 0
0 5,103,200
3 DRG, JOKO SUSANTO K -1 3,666,900 0 0 0 230,900 0 3 .............
2 366,690 0 0 0 0 0
146,676 1,200,000 289,680 0 53,803
06-09-1981 4 4,180,266 0 230,900 0
198109062010011011 MKG:12 0 334,421 0
Pembina-4A 0 0222200311220
78 0
157247073915000 5,900,924 0 619,124 0
0 5,281,800
4 DR, NI PUTU PRADNYANI K -1 3,554,900 0 0 0 9,737 0 4 .............
2 355,490 0 0 0 0 0
142,196 1,200,000 289,680 0 52,526
13-01-1980 4 4,052,586 0 9,737 0
198001132010012009 MKG:10 0 324,207 0
Pembina-4A 0 0222200305222
67 0
889582730914000 5,552,070 0 386,470 0
0 5,165,600
5 MUHAMAD BUKRI K -1 4,555,800 0 0 0 130,458 0 5 .............
2 455,580 0 0 0 0 0
182,232 850,000 289,680 0 60,436
31-12-1968 4 5,193,612 0 130,458 0
196812311990031068 MKG:26 0 415,489 0
Pembina-4A 0 0222200248228
33 0
484270699915000 6,463,783 0 606,383 0
0 5,857,400
6 SRI WIBAWA TK-0 4,281,800 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 51,318
31-08-1974 1 4,281,800 0 0 0
197408311994011002 MKG:22 0 342,544 0 0222200132223
Pembina-4A 42 0 0
484271291915000 5,204,262 0 393,862 0
0 4,810,400
7 YULIA ARIYANTI. ,S.KEP TK-0 3,782,400 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 46,324
02-07-1980 1 3,782,400 0 0 0
198007022005012022 MKG:15 0 302,592 0
Pembina-4A 0 0222200317225
96 0
474774858911000 4,704,916 0 348,916 0

NO KAWIN
PEG: 7 1,688,290 0 0 0 0 0
IST: 4 JIWA= 17 471,104 7,000,000 1,231,140 0 387,100
31,709,994 0 443,767 0
ANK: 6 0 2,536,799 0
465 0 0
40,385,366 0 3,367,666
0 37,017,700
8 SITI HUJRAH TK-0 4,237,500 490,000 0 0 35,700 0 8 .............
0 0 0 0 0 0 0
0 0 72,420 0 47,275
24-05-1973 1 4,237,500 0 35,700 0
197305241992032004 MKG:24 0 339,000 0
Penata Tk.I-3D 0 0222200511015
55 0
484272471915000 4,835,675 0 421,975 0
0 4,413,700
9 H I L W A T I TK-0 3,861,000 0 0 0 125,750 0 9 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 47,110
15-09-1978 1 3,861,000 0 125,750 0
197809152001122003 MKG:18 0 308,880 0
Penata Tk.I-3D 0 0222200296225
70 0
778939132915000 4,909,240 0 481,740 0
0 4,427,500
10 GLORIA ROSEMARI KAIRUPAN, S.FA TK-0 3,518,100 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 42,681
16-12-1983 1 3,518,100 0 0 0
198312162009012005 MKG:12 0 281,448 0 0222200315227
795883636911000 4,340,529 0 324,129 0
0 4,016,400
11 I WAYAN SUJANA. ,S.SI K -1 4,508,600 0 0 0 37,800 0 11 .............
1 450,860 0 0 0 0 0
90,172 600,000 217,260 0 56,496
31-12-1968 3 5,049,632 0 37,800 0
196812311988031089 MKG:28 0 403,971 0 0222200279227
484271184915000 5,904,767 0 498,267 0
0 5,406,500
12 NI KOMANG RIDAWATI K -1 4,508,600 0 0 0 5,891 0 12 .............
0 450,860 0 0 0 0 0
0 500,000 144,840 0 54,595
31-12-1968 2 4,959,460 0 5,891 0
196812311989032086 MKG:28 0 396,757 0 0222200312225
484271242915000 5,610,243 0 457,243 0
0 5,153,000
13 H A L I M A H TK-0 4,370,900 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
31-12-1969 1 4,370,900 0 0 0
196912311990032038 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200303224
61 0
484271243911000 4,943,381 0 398,381 0
0 4,545,000

NO KAWIN
14 drg, IDA RAHMATULLAH TK-0 3,481,600 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 42,316
04-03-1981 1 3,481,600 0 0 0
198103042015032001 MKG:14 0 278,528 0
Penata-3C 24 0 0
665671251914000 4,304,044 0 320,844 0
DOKTER GIGI MUDA-2022-12-01 0 3,983,200
15 ASRIANI ,SKM K -1 3,591,200 0 0 0 37,000 0 15 .............
1 359,120 0 0 0 0 0
71,824 600,000 217,260 0 46,221
17-09-1977 3 4,022,144 0 37,000 0
197709172003122008 MKG:16 0 321,772 0 0222206883021
Penata-3C 89 0 0
475899365912000 4,876,493 0 404,993 0
0 4,471,500
16 RITA SOSILO K -0 3,375,300 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 39,753
24-11-1977 1 3,375,300 0 0 0
197711242005012011 MKG:12 0 270,024 0
Penata-3C 0 0222200308224
57 0
897515334915000 4,047,777 0 309,777 0
0 3,738,000
17 R U S M I A T I K -1 3,941,400 0 0 0 0 0 17 .............
2 394,140 0 0 0 0 0
157,656 500,000 289,680 0 49,932
03-02-1974 4 4,493,196 0 0 0
197402031993022002 MKG:22 0 359,456 0
Penata-3C 0 0222200203220
12 0
151223179915000 5,282,888 0 409,388 0
0 4,873,500
18 BAIQ HUSDIYANTI K -1 3,375,300 0 0 0 0 0 18 .............
0 337,530 0 0 0 0 0
0 500,000 144,840 0 42,128
10-04-1978 2 3,712,830 0 0 0
197804102007012021 MKG:12 0 297,026 0
Penata-3C 0 0222200367221
84 0
889580692915000 4,357,754 0 339,154 0
0 4,018,600
19 NENY WAHDAYANTI SIAGIAN.A.MD.K K -0 3,272,200 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
01-01-1986 1 3,272,200 0 0 0
198601012010012041 MKG:10 0 261,776 0 0222200382012
Penata-3C 78 0 0
159839927915000 3,844,698 0 299,498 0
20 LIA LESTARI WIDIYANTI.A.MD.KEB K -0 3,272,200 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
28-07-1988 1 3,272,200 0 0 0
198807282010012011 MKG:10 0 261,776 0
Penata-3C 0 0222200299227
78 0
160218517915000 3,844,698 0 299,498 0

NO KAWIN
21 JUHARTONO IBRAHIM K -1 4,193,500 0 0 0 0 0 21 .............
2 419,350 185,000 0 0 0 0
167,740 0 289,680 0 49,656
26-06-1968 4 4,780,590 0 0 0
196806261991031014 MKG:26 0 382,447 0 0222200301226
Penata-3C 33 0 0
484270731911000 5,255,303 0 432,103 0
0 4,823,200
22 NI PUTU EVEY LISMAYANTI, K -1 3,340,300 0 0 0 0 0 22 .............
,A.MD.KEP 1 334,030 0 0 0 0 0
66,806 495,000 217,260 0 42,361
30-04-1983 3 3,741,136 0 0 0
198304302007012004 MKG:14 0 299,291 0 0222200286221
795966977913000 4,453,452 0 341,652 0
0 4,111,800
23 SELAMET HARIYADI. ,AMD.KEP K -1 3,139,400 0 0 0 0 0 23 .............
2 313,940 0 0 0 0 0
125,576 495,000 289,680 0 40,739
26-05-1988 4 3,578,916 0 0 0
198805262010011001 MKG:10 0 286,313 0
56 0
889580775915000 4,363,652 0 327,052 0
0 4,036,600
24 HASANAH. ,AMD.KEP TK-0 3,043,600 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 35,386
11-03-1985 1 3,043,600 0 0 0
198503112011012021 MKG: 8 0 243,488 0
54 0
642092225915000 3,611,074 0 278,874 0
0 3,332,200
25 I GUSTI AYU SUSANDI TK-0 3,340,300 0 0 0 0 0 25 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 36,403
13-05-1970 1 3,340,300 0 0 0
197005132008012021 MKG:14 0 267,224 0
7 0
161803036915000 3,712,727 0 303,627 0
0 3,409,100
26 ATIMAN K -1 3,665,900 0 0 0 0 0 26 .............
2 366,590 0 0 0 0 0
146,636 265,000 289,680 0 44,441
31-12-1970 4 4,179,126 0 0 0
197012311997031040 MKG:20 0 334,330 0 0222200903221
587445099.915000 4,733,871 0 378,771 0
0 4,355,100
27 SWASTINI TK-0 3,554,000 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 38,190
31-12-1972 1 3,554,000 0 0 0
197212312006042101 MKG:18 0 284,320 0
90 0
499010538615000 3,891,510 0 322,510 0
0 3,569,000

NO KAWIN
28 NI KETUT SETIAWATI ARINI K -1 3,554,000 0 0 0 0 0 28 .............
2 355,400 0 0 0 0 0
142,160 265,000 289,680 0 43,166
27-10-1969 4 4,051,560 0 0 0
198011022005012019 MKG:18 0 324,125 0 0222200712229
587444522915000 4,606,291 0 367,291 0
29 RUSMIYATI.A,MD,KEB K -1 3,139,400 0 0 0 0 0 29 .............
1 313,940 0 0 0 0 0
62,788 265,000 217,260 0 37,811
10-12-1977 3 3,516,128 0 0 0
197712102010012005 MKG:10 0 281,290 0 0222200326226
578260648915000 3,998,401 0 319,101 0
0 3,679,300
30 HERI SURAHMAN PUTRA .A.MD.AK K -1 3,043,600 0 0 0 0 0 30 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
04-12-1986 4 3,469,704 0 0 0
198612042011011008 MKG: 8 0 277,576 0
39 0
666320080915000 4,024,423 0 314,923 0
0 3,709,500
31 DESI FITRIA SUSILAWATI.K ,AMD TK-0 3,043,600 0 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
15-12-1988 1 3,043,600 0 0 0
198812152011012007 MKG: 8 0 243,488 0
54 0
666438289915000 3,381,074 0 276,574 0
0 3,104,500
32 dr., MUHYIDDIN K -1 2,773,200 0 0 0 0 0 32 .............
1 277,320 185,000 0 0 0 0
55,464 0 217,260 0 32,910
02-03-1992 3 3,105,984 0 0 0
199203022020121010 MKG: 2 0 248,479 0
45 0
801503723911000 3,508,289 0 281,389 0
33 ROSITA SURIANI ZOHRITA TK-0 3,517,200 0 0 0 0 0 33 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 40,122
30-11-1977 1 3,517,200 0 0 0
197711302007012019 MKG:20 0 281,376 0 0222200304228
159838903915000 4,084,698 0 321,498 0
0 3,763,200
34 FAIZATUL FATATI K -0 3,204,700 0 0 0 0 0 34 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 36,997
13-07-1980 1 3,204,700 0 0 0
198007132006042028 MKG:14 0 256,376 0
Penata Muda-3A 0 0222200320222
53 0
159839810915000 3,772,173 0 293,373 0
0 3,478,800

NO KAWIN
35 AZHADI CAHYADI K -1 3,106,900 0 0 0 0 0 35 .............
2 310,690 0 0 0 0 0
124,276 495,000 289,680 0 40,369
14-02-1982 4 3,541,866 0 0 0
198202142006041013 MKG:12 0 283,349 0 0222201319221
897515177915000 4,326,618 0 323,718 0
0 4,002,900
36 NURWAHIDAH TK-0 3,409,800 0 0 0 0 0 36 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,748
19-08-1979 1 3,409,800 0 0 0
197908192007012015 MKG:18 0 272,784 0 0222200289222
573365343911000 3,747,232 0 309,532 0
0 3,437,700
37 HELMI ASTUTI K -1 3,204,700 0 0 0 0 0 37 .............
2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
17-04-1980 4 3,653,358 0 0 0
198004172008012029 MKG:14 0 292,269 0
Penata Muda-3A 0 0222200281221
15 0
587445198915000 4,208,053 0 331,453 0
0 3,876,600
38 YULIANA ASTUTI TK-0 3,106,900 0 0 0 0 0 38 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,719
05-07-1982 1 3,106,900 0 0 0
198207052008012019 MKG:12 0 248,552 0
Penata Muda-3A 0 0222200314223
51 0
587445522915000 3,444,371 0 282,271 0
0 3,162,100
39 SANURI DANDI K -1 3,305,700 0 0 0 0 0 39 .............
2 330,570 0 0 0 0 0
132,228 240,000 289,680 0 40,085
22-08-1978 4 3,768,498 0 0 0
197808222005011011 MKG:16 0 301,480 0
Penata Muda-3A 0 0222200280226
87 0
587445263915000 4,298,265 0 341,565 0
0 3,956,700
PEG: 32 5,639,170 370,000 0 0 0 0
IST: 16 JIWA= 71 1,593,258 13,045,000 5,141,820 0 1,331,380
119,233,028 0 242,141 0
ANK: 23 0 9,538,643 0
1,675 0 0
138,523,664 0 11,112,164
0 127,411,500
40 BAIQ FILI SRI PUTRI K -1 3,374,400 0 0 0 0 0 40 .............
2 337,440 0 0 0 0 0
134,976 240,000 289,680 0 40,868
21-12-1976 4 3,846,816 0 0 0
197612212007012020 MKG:25 0 307,745 0
Pengatur Tk.I-2D 0 0222200652223
17 0
587445057911000 4,376,513 0 348,613 0
0 4,027,900

NO KAWIN
41 IDA AYU KADEK ASTININGSIH K -0 2,889,800 0 0 0 0 0 41 .............
,AMD.KEB 0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
14-02-1987 1 2,889,800 0 0 0
198702142017042001 MKG:15 0 231,184 0 0222201933222
669164147915000 3,202,282 0 262,482 0
0 2,939,800
42 INDAYANI ,AMD.KEB K -1 2,889,800 0 0 0 0 0 42 .............
2 288,980 0 0 0 0 0
115,592 240,000 289,680 0 35,344
05-09-1987 4 3,294,372 0 0 0
198709052017042004 MKG:15 0 263,550 0 0222201934226
669163958915000 3,824,094 0 298,894 0
0 3,525,200
43 SAHIMIN K -1 2,980,800 0 0 0 0 0 43 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
13-12-1970 4 3,398,112 0 0 0
197012312007011203 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222200292229
38 0
587445206915000 3,867,830 0 307,630 0
0 3,560,200
44 SUSILA DAHLIANTI K -1 2,859,800 0 0 0 0 0 44 .............
2 285,980 0 0 0 0 0
114,392 240,000 289,680 0 35,002
04-08-1980 4 3,260,172 0 0 0
198008042012122001 MKG:18 0 260,814 0
Pengatur-2C 0 0222200327221
64 0
666439385915000 3,789,916 0 295,816 0
0 3,494,100
45 ASMA ATUN K -1 2,772,500 0 0 0 0 0 45 .............
2 277,250 0 0 0 0 0
110,900 240,000 289,680 0 34,007
31-12-1983 4 3,160,650 0 0 0
198312312014062009 MKG:16 0 252,852 0
Pengatur-2C 0 0222200132223
29 0
758119770914000 3,690,359 0 286,859 0
0 3,403,500
46 SUPARLAN K -1 2,578,800 0 0 0 0 0 46 .............
1 257,880 180,000 0 0 0 0
51,576 0 217,260 0 30,683
31-12-1967 3 2,888,256 0 0 0
196712312009011048 MKG:13 0 231,060 0 0222200310227
897502464915000 3,285,543 0 261,743 0
0 3,023,800
47 SARIBAH YANTI TK-0 2,578,800 0 0 0 0 0 47 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 27,588
31-12-1972 1 2,578,800 0 0 0
197212312007012095 MKG:13 0 206,304 0
72 0
587445164915000 2,831,292 0 233,892 0
0 2,597,400

NO KAWIN
48 MUNASIH K -1 2,578,800 0 0 0 0 0 48 .............
2 257,880 180,000 0 0 0 0
103,152 0 289,680 0 31,198
05-10-1973 4 2,939,832 0 0 0
197310052007012014 MKG:13 0 235,187 0 0222200318229
587445180915000 3,409,585 0 266,385 0
0 3,143,200
49 IDA AYU MADE RENI K -1 2,500,000 0 0 0 0 0 49 .............
2 250,000 180,000 0 0 0 0
100,000 0 289,680 0 30,300
02-06-1984 4 2,850,000 0 0 0
198406022009012005 MKG:11 0 228,000 0 0222200285226
587444506914000 3,319,700 0 258,300 0
0 3,061,400
50 ZULHAKIM K -1 2,398,600 0 0 0 0 0 50 .............
2 239,860 180,000 0 0 0 0
95,944 0 289,680 0 29,144
14-03-1980 4 2,734,404 0 0 0
198003142010011012 MKG:11 0 218,752 0
12 0
159617422915000 3,204,096 0 247,896 0
0 2,956,200
51 SUARDI K -1 2,325,300 0 0 0 0 0 51 .............
2 232,530 180,000 0 0 0 0
93,012 0 289,680 0 28,308
05-08-1977 4 2,650,842 0 0 0
197705082010011014 MKG: 9 0 212,067 0
53 0
3,120,575 0 240,375 0
0 2,880,200
PEG: 12 2,725,880 1,260,000 0 0 0 0
IST: 10 JIWA= 41 1,038,776 1,200,000 2,969,220 0 389,521
36,492,056 0 0 0
ANK: 19 0 2,919,364 0
509 0 0
41,921,785 0 3,308,885
0 38,612,900

NO KAWIN
TOTAL PER SATKER 174,278,600 490,000 0 0 685,908 0
PEG: 51 10,053,340 1,630,000 0 0 0 0
IST: 30 JIWA= 129 3,103,138 21,245,000 9,342,180 0 2,108,001
ANK: 48 187,435,078 0 685,908 0
0 14,994,806 0
0 0
2,649 0 17,788,715
220,830,815
0 203,042,100
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SEDAU

NO KAWIN
1 DRG, I PUTU MARTAWAN K -1 4,066,500 0 0 0 0 0 1 .............
2 406,650 0 0 0 0 0
162,660 1,200,000 289,680 0 58,358
03-03-1976 4 4,635,810 0 0 0
197603032010011012 MKG:17 0 370,865 0 0222200735220
15.038.711.6.914.000 6,125,523 0 429,223 0
2 JUNAIDI. ,S.KEP K -1 4,416,700 0 0 0 0 0 2 .............
1 441,670 0 0 0 0 0
88,334 850,000 217,260 0 57,967
15-04-1973 3 4,946,704 0 0 0
197304151992031007 MKG:25 0 395,736 0 0222200829016
Pembina-4A 39 0 0
48.427.121.8.911.000 6,014,003 0 453,703 0
0 5,560,300
3 MAS'UNIWATI ,S.SI K -1 4,281,800 0 0 0 12,919 0 3 .............
0 428,180 0 0 0 0 0
0 850,000 144,840 0 55,600
31-12-1972 2 4,709,980 0 12,919 0
197212311994012003 MKG:23 0 376,798 0
Pembina-4A 0 0222202386024
78 0
89.751.534.2.915.000 5,717,817 0 445,317 0
0 5,272,500
PEG: 3 1,276,500 0 0 0 0 0
IST: 3 JIWA= 9 250,994 2,900,000 651,780 0 171,925
14,292,494 0 12,919 0
ANK: 3 0 1,143,399 0
150 0 0
17,857,343 0 1,328,243
0 16,529,100
4 Z O H R I K -1 4,108,100 0 0 0 33,750 0 4 .............
1 410,810 0 0 0 0 0
82,162 850,000 217,260 0 54,511
31-12-1973 3 4,601,072 0 33,750 0
197312311994011003 MKG:22 0 368,086 0 0222200747224
89.751.541.7.915.000 5,702,147 0 456,347 0
Tmt 2022-12-01 0 5,245,800
5 SELAMET RIYADI K -1 4,370,900 0 0 0 44,900 0 5 .............
0 437,090 0 0 0 0 0
0 500,000 144,840 0 53,080
31-12-1965 2 4,807,990 0 44,900 0
196512311990011020 MKG:26 0 384,639 0 0222200742224
89.751.537.5.915.000 5,497,819 0 482,619 0
0 5,015,200
6 K A S M I A T I K -1 4,237,500 0 0 0 7,550 0 6 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
31-12-1972 4 4,830,750 0 7,550 0
197212311993022010 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200743228
38 0
14.828.832.7.915.000 5,628,018 0 447,318 0
0 5,180,700

NO KAWIN
7 MARTINA FERDINA DALIMA PAUS K -1 3,861,000 0 0 0 12,450 0 7 .............
0 386,100 0 0 0 0 0
0 500,000 144,840 0 47,471
13-06-1965 2 4,247,100 0 12,450 0
196506231996032002 MKG:19 0 339,768 0 0222200745226
08.420.278.7.911.000 4,904,489 0 399,689 0
0 4,504,800
8 NI SRI MURTINI.KEB ,AMD K -1 3,628,900 0 0 0 0 0 8 .............
2 362,890 0 0 0 0 0
145,156 500,000 289,680 0 46,369
05-09-1979 4 4,136,946 0 0 0
197909052003122005 MKG:14 0 330,956 0 0222200748228
89.751.506.0.915.000 4,926,725 0 377,325 0
0 4,549,400
9 SAPARWADI K -1 3,481,600 490,000 0 0 0 0 9 .............
2 348,160 0 0 0 0 0
139,264 0 289,680 0 44,590
31-12-1979 4 3,969,024 0 0 0
197912312007011022 MKG:14 0 317,522 0
Penata-3C 0 0222200759227
8 0
89.751.523.5.915.000 4,748,712 0 362,112 0
0 4,386,600
10 dr., MAHYUNI SUWIKASARI K -0 2,890,500 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 36,405
17-06-1990 1 2,890,500 0 0 0
199006172019032007 MKG: 3 0 231,240 0
Penata-3C 0 0010200824275
25 0
71.729.690.9.915.000 3,712,945 0 267,645 0
0 3,445,300
11 MASJULIANA ,SKM. K -1 3,238,300 0 0 0 0 0 11 .............
0 323,830 0 0 0 0 0
0 600,000 144,840 0 41,621
14-08-1971 2 3,562,130 0 0 0
197108142012122001 MKG:12 0 284,970 0
21 0
89.750.253.0.915.000 4,306,991 0 326,591 0
Tmt 2022-12-01 0 3,980,400
12 IDA ARYANTI K -1 3,445,500 0 0 0 0 0 12 .............
2 344,550 0 0 0 0 0
137,820 500,000 289,680 0 44,279
25-07-1976 4 3,927,870 0 0 0
197607252001122003 MKG:16 0 314,230 0 0222200751225
89.751.527.6.915.000 4,717,609 0 358,509 0
13 GUSTI AYU CINTHYA DEWI.A.MD.KE JD-0 3,139,400 0 0 0 0 0 13 .............
1 0 0 0 0 0 0
62,788 500,000 144,840 0 37,022
27-02-1985 2 3,202,188 0 0 0
198502272010012015 MKG:10 0 256,175 0
69 0
87.196.740.2.915.000 3,847,097 0 293,197 0
0 3,553,900

NO KAWIN
14 RIRIN HAERANI.A.MD,KEP K -1 3,043,600 0 0 0 0 0 14 .............
2 304,360 0 0 0 0 0
121,744 300,000 289,680 0 37,697
28-09-1988 4 3,469,704 0 0 0
198809282011012013 MKG: 8 0 277,576 0 0222200750220
16.284.564.8.915.000 4,059,473 0 315,273 0
0 3,744,200
15 NURHAYATI K -1 3,340,300 0 0 0 141,050 0 15 .............
2 334,030 0 0 0 0 0
133,612 265,000 289,680 0 40,729
12-05-1980 4 3,807,942 0 141,050 0
198005122006042027 MKG:14 0 304,635 0 0222200755220
89.751.538.3.915.000 4,503,714 0 486,414 0
0 4,017,300
16 ZULKIFLI K -1 3,238,300 0 0 0 0 0 16 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
01-02-1979 4 3,691,662 0 0 0
197902012006041019 MKG:12 0 295,333 0
58 0
89.751.532.6.915.000 4,246,400 0 334,900 0
0 3,911,500
17 HAMZANWADI ,AMKL K -1 3,139,400 0 0 0 0 0 17 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
14-11-1982 4 3,578,916 0 0 0
198211142010011020 MKG:10 0 286,313 0
66.182.138.9.913.000 4,133,652 0 324,752 0
0 3,808,900
18 IINDAWATI.A.MD.KEB TK-0 3,043,600 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
26-01-1988 1 3,043,600 0 0 0
198801262011012012 MKG: 8 0 243,488 0
54 0
74.161.744.3.914.000 3,381,074 0 276,574 0
0 3,104,500
19 NUR KHOLIDA .A.MKG K -1 3,043,600 0 0 0 0 0 19 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
05-12-1988 4 3,469,704 0 0 0
198812052011012010 MKG: 8 0 277,576 0 0222200271017
45.092.647.2.915.000 4,024,423 0 314,923 0
0 3,709,500
20 MAHNAN RESTU K -1 3,781,400 0 0 0 0 0 20 .............
1 378,140 185,000 0 0 0 0
75,628 0 217,260 0 44,202
18-01-1966 3 4,235,168 0 0 0
196601181992031009 MKG:22 0 338,813 0
87 0
897515201915000 4,637,515 0 383,015 0
0 4,254,500

NO KAWIN
21 dr., NASTI YULI LESTARI K -1 2,773,200 0 0 0 0 0 21 .............
2 277,320 185,000 0 0 0 0
110,928 0 289,680 0 33,464
21-07-1987 4 3,161,448 0 0 0
198707212020122004 MKG: 2 0 252,916 0 0220200431282
154687032915000 3,636,180 0 286,380 0
22 ARISWANDI K -1 3,106,900 0 0 0 0 0 22 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
27-03-1977 4 3,541,866 0 0 0
197703272005011008 MKG:12 0 283,349 0 0222200752229
89.751.522.7.915.000 4,096,618 0 321,418 0
0 3,775,200
23 IDA AYU PUTU WIDIYANI TK-0 3,012,000 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 32,770
05-12-1981 1 3,012,000 0 0 0
198112052007012007 MKG:10 0 240,960 0
Penata Muda-3A 0 0222200781221
10 0
89.751.529.2.915.000 3,349,430 0 273,730 0
0 3,075,700
24 SEMU JUMADI K -1 3,106,900 0 0 0 0 0 24 .............
2 310,690 185,000 0 0 0 0
124,276 0 289,680 0 37,269
11-02-1974 4 3,541,866 0 0 0
197402112007011017 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200756225
72 0
89.751.539.1.915.000 4,016,618 0 320,618 0
0 3,696,000
PEG: 21 5,894,540 555,000 0 0 0 0
IST: 17 JIWA= 65 1,804,006 7,355,000 4,707,300 0 871,295
78,729,446 0 239,700 0
ANK: 27 0 6,298,354 0
1,203 0 0
92,077,649 0 7,409,349
0 84,668,300
25 ROHANA ,AMD.KEB. K -1 2,801,500 0 0 0 0 0 25 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
28-02-1986 4 3,193,710 0 0 0
198602282017042006 MKG:13 0 255,497 0 0222201912228
669164436915000 3,723,434 0 289,834 0
0 3,433,600
26 WAHYUNI KURNIAWATI ,AMD.KEB K -0 2,801,500 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
19-08-1988 1 2,801,500 0 0 0
198808192017042002 MKG:13 0 224,120 0
Pengatur Tk.I-2D 0 0222201932228
15 0
66.916.426.1.915.000 3,113,935 0 254,535 0
0 2,859,400

NO KAWIN
27 PRIHATIN JULIA ,AMD.KEB JD-0 2,716,000 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 29,560
18-07-1987 1 2,716,000 0 0 0
198707182017042002 MKG:11 0 217,280 0 0222201922223
66.916.271.1.915.000 3,028,440 0 246,840 0
0 2,781,600
28 SWANDIMAN K -1 3,074,700 0 0 0 0 0 28 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
31-12-1976 4 3,505,158 0 0 0
197612312008011036 MKG:19 0 280,413 0 0222200761221
89.751.524.3.915.000 3,974,865 0 317,265 0
0 3,657,600
29 LILIK SETIANI TK-0 2,980,800 0 0 0 0 0 29 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
11-04-1981 1 2,980,800 0 0 0
198104112010012002 MKG:18 0 238,464 0
Pengatur Tk.I-2D 0 0222200768228
52 0
68.487.338.3.915.000 3,233,272 0 270,072 0
0 2,963,200
30 ANDAR HENDARTA K -1 2,980,800 0 0 0 0 0 30 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
15-07-1974 4 3,398,112 0 0 0
197407152010011008 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222200893229
38 0
57.786.297.2.915.000 3,867,830 0 307,630 0
0 3,560,200
31 ISNANI JD-0 2,980,800 0 0 0 0 0 31 .............
2 0 180,000 0 0 0 0
119,232 0 217,260 0 32,800
15-11-1985 3 3,100,032 0 0 0
198511152008012007 MKG:17 0 248,003 0
Pengatur Tk.I-2D 0 0222200762224
11 0
89.751.521.9.915.000 3,497,303 0 280,803 0
0 3,216,500
32 JUMAIN K -0 2,398,600 0 0 0 0 0 32 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,786
31-12-1967 1 2,398,600 0 0 0
196712132009011002 MKG:11 0 191,888 0 0222200982018
Pengatur Muda-2A 54 0 0
89.751.535.9.915.000 2,651,074 0 217,674 0
0 2,433,400
PEG: 8 885,700 900,000 0 0 0 0
IST: 3 JIWA= 19 473,512 720,000 1,375,980 0 257,139
24,093,912 0 0 0
ANK: 8 0 1,927,514 0
261 0 0
27,090,153 0 2,184,653
0 24,905,500

NO KAWIN
33 SULHADI JAYADI K -1 2,300,700 0 0 0 0 0 33 .............
2 230,070 175,000 0 0 0 0
92,028 0 289,680 0 27,978
31-12-1984 4 2,622,798 0 0 0
198412312010011010 MKG:17 0 209,824 0 0222200763228
Juru Tk.I-1D 24 0 0
73.845.787.8.915.000 3,087,502 0 237,802 0
0 2,849,700
PEG: 1 230,070 175,000 0 0 0 0
IST: 1 JIWA= 4 92,028 0 289,680 0 27,978
2,622,798 0 0 0
ANK: 2 0 209,824 0
24 0 0
3,087,502 0 237,802
0 2,849,700
TOTAL PER SATKER 108,831,300 490,000 0 0 252,619 0
PEG: 33 8,286,810 1,630,000 0 0 0 0
IST: 24 JIWA= 97 2,620,540 10,975,000 7,024,740 0 1,328,337
ANK: 40 119,738,650 0 252,619 0
0 9,579,091 0
0 0
1,638 0 11,160,047
140,112,647
0 128,952,600
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS KEDIRI

NO KAWIN
1 DR, WIWIN APRIANI TK-0 3,942,400 0 0 0 0 0 1 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 51,424
08-04-1978 1 3,942,400 0 0 0
197804082006042022 MKG:14 0 315,392 0 022.22.00358.22-9
48.426.982.4-911.000 5,214,916 0 366,816 0
0 4,848,100
2 S A H R U J I ,SE K -1 4,699,300 540,000 0 0 0 0 2 .............
2 469,930 0 0 0 0 0
187,972 0 289,680 0 58,972
31-12-1967 4 5,357,202 0 0 0
196712311989031130 MKG:28 0 428,576 0 022.22.00656.22.9
Pembina-4A 66 0 0
49.020.965.7-911.000 6,186,948 0 487,548 0
0 5,699,400
3 DR, H.SABARUDDIN K -1 3,901,500 0 0 0 96,350 0 3 .............
2 390,150 0 0 0 0 0
156,060 1,200,000 289,680 0 56,477
19-04-1974 4 4,447,710 0 96,350 0
197404192010011007 MKG:16 0 355,817 0
Pembina-4A 0 022.22.00346.22-6
4 0
08.414.896.4-911.000 6,033,744 0 508,644 0
0 5,525,100
4 MUSLIHARIS K -1 4,416,700 0 0 0 0 0 4 .............
2 441,670 0 0 0 0 0
176,668 850,000 289,680 0 58,850
11-06-1971 4 5,035,038 0 0 0
197106111993031007 MKG:24 0 402,803 0
Pembina-4A 0 022.22.00359.22-3
35 0
48.427.188.7-915.000 6,174,753 0 461,653 0
0 5,713,100
5 HENY WIDYAWATI RINI DUA LEHAN, K -0 4,416,700 0 0 0 0 0 5 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 52,667
08-04-1972 1 4,416,700 0 0 0
197204081993022001 MKG:24 0 353,336 0
Pembina-4A 0 022.22.00821.22.6
83 0
48.427.156.4-915.000 5,339,203 0 406,003 0
0 4,933,200
6 A N D R I A N I K -1 4,416,700 0 0 0 32,414 0 6 .............
2 441,670 0 0 0 0 0
176,668 850,000 289,680 0 58,850
11-09-1973 4 5,035,038 0 32,414 0
197309111996032005 MKG:24 0 402,803 0 022.22.00347.22-1
Pembina-4A 35 0 0
48.427.186.1-911.000 6,207,167 0 494,067 0
0 5,713,100
7 ARIYANTI PUA JIWA K -0 4,151,100 0 0 0 149,650 0 7 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 50,011
21-09-1974 1 4,151,100 0 149,650 0
197409211997032004 MKG:20 0 332,088 0
Pembina-4A 0 022.22.00336.22-0
79 0
89.751.554.0-915.000 5,223,249 0 531,749 0

NO KAWIN
8 N U R L E L A K -0 4,151,100 0 0 0 149,650 0 8 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 50,011
24-03-1976 1 4,151,100 0 149,650 0
197603241997032002 MKG:20 0 332,088 0 022.22.00532.22-7
Pembina-4A 79 0 0
88.958.071.8-915.000 5,223,249 0 531,749 0
PEG: 8 1,743,420 0 0 0 0 0
IST: 4 JIWA= 20 697,368 6,650,000 1,448,400 0 437,262
36,536,288 0 428,064 0
ANK: 8 0 2,922,903 0
477 0 0
45,603,229 0 3,788,229
0 41,815,000
9 HERLIANA ISFIANTI K -1 4,508,600 490,000 0 0 12,490 0 9 .............
1 450,860 0 0 0 0 0
90,172 0 217,260 0 55,396
18-06-1966 3 5,049,632 0 12,490 0
196606181989032011 MKG:28 0 403,971 0
Penata Tk.I-3D 0 0222200353229
75 0
484271812911000 5,769,457 0 471,857 0
0 5,297,600
10 LALU JANUAR AJAM. ,AMD.KEP K -1 3,743,100 0 0 0 0 0 10 .............
2 374,310 0 0 0 0 0
149,724 600,000 289,680 0 48,671
19-01-1977 4 4,267,134 0 0 0
197701192000031003 MKG:16 0 341,371 0 022.22.00362.22-1
57.33.7801.1-915.000 5,156,842 0 390,042 0
0 4,766,800
11 MAINI HARYATI K -0 3,743,100 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 43,431
08-12-1981 1 3,743,100 0 0 0
198112082000122001 MKG:16 0 299,448 0 222200352225
88.958.0627-915.000 4,415,579 0 342,879 0
12 FATAHILLAH K -1 4,508,600 0 0 0 247,056 0 12 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
31-12-1966 4 5,139,804 0 247,056 0
196612311989011057 MKG:28 0 411,184 0 022.22.00338.22-9
48.427.180.4-911.000 6,176,638 0 714,638 0
0 5,462,000
13 NI MADE SRI WARDANI TK-0 4,237,500 0 0 0 58,900 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
15-02-1970 1 4,237,500 0 58,900 0 0
197002151990032004 MKG:24 0 339,000 0
Penata Tk.I-3D 0 022.22.00363.22-4
55 0
48.427.174.7-915.000 4,868,875 0 445,275 0
0 4,423,600

NO KAWIN
14 MOH. YUSUF ,S.KM K -0 4,508,600 0 0 0 44,800 0 14 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 47,736
31-12-1964 1 4,508,600 0 44,800 0
196412311988121014 MKG:28 0 360,688 0 022.22.05833.02-8
48.427.198.6-915.000 4,890,824 0 453,224 0
0 4,437,600
15 BAIQ ZUR'AIDA YULIANDARI K -1 3,821,000 0 0 0 0 0 15 .............
2 382,100 0 0 0 0 0
152,840 600,000 289,680 0 49,559
03-07-1978 4 4,355,940 0 0 0
197807031997032001 MKG:20 0 348,475 0 022.22.00349.22-8
Penata-3C 14 0 0
57.337.778.5-914.000 5,245,634 0 398,034 0
0 4,847,600
16 BAIQ RINA BUDIARTINI. ,AMD.KEB K -1 3,481,600 0 0 0 75,200 0 16 .............
2 348,160 0 0 0 0 0
139,264 500,000 289,680 0 44,690
26-03-1979 4 3,969,024 0 75,200 0
197903262005012014 MKG:14 0 317,522 0
Penata-3C 0 022.22.00720.22-6
8 0
58.744.439.9-915.000 4,833,912 0 437,412 0
0 4,396,500
17 SITI AISAH.AMKL K -1 3,272,200 0 0 0 0 0 17 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
05-09-1978 4 3,730,308 0 0 0
197809052010012011 MKG:10 0 298,425 0
Penata-3C 0 022.22.00350.22-7
40 0
88.958.081.7-915.000 4,520,028 0 340,728 0
0 4,179,300
18 drg., GREMITA KUSUMA DEWI ,SKG. TK-0 2,890,500 0 0 0 0 0 18 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 30,755
17-12-1990 1 2,890,500 0 0 0
199012172019032004 MKG: 3 0 231,240 0
Penata-3C 0 022.22.00102.21-2
75 0
83.963.994.5-911.000 3,147,995 0 261,995 0
0 2,886,000
19 RAHMA YUNINGSIH, ,AMD.KEP TK-0 3,340,300 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 38,403
01-06-1978 1 3,340,300 0 0 0
197806012005012014 MKG:14 0 267,224 0 022.22.00354.22-3
88.956.624.6-911.000 3,912,727 0 305,627 0
0 3,607,100
20 MITUN SURYADI K -1 3,238,300 0 0 0 0 0 20 .............
2 323,830 0 0 0 0 0
129,532 495,000 289,680 0 41,867
01-04-1984 4 3,691,662 0 0 0
198404042005011004 MKG:12 0 295,333 0
58 0
895910594915000 4,476,400 0 337,200 0
0 4,139,200

NO KAWIN
21 NI LUH RIANG ANGGRAENI K -1 3,781,400 0 0 0 249,700 0 21 .............
2 378,140 0 0 0 0 0
151,256 265,000 289,680 0 45,758
07-12-1973 4 4,310,796 0 249,700 0
197312072006042016 MKG:22 0 344,864 0 022.22.00335.22-7
57.336.701.8-915.000 5,115,222 0 640,322 0
0 4,474,900
22 H A B I B A H K -0 3,238,300 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
13-12-1974 1 3,238,300 0 0 0
197412312005012029 MKG:12 0 259,064 0 022.22.03126.02-9
88.958.057.7-914.000 3,575,797 0 294,097 0
0 3,281,700
23 apt., SAPTA SAKILA ,S.Farm. TK-0 2,773,200 0 0 0 0 0 23 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 29,582
12-02-1996 1 2,773,200 0 0 0
199602122020122011 MKG: 2 0 221,856 0
18 0
963945662543000 3,030,638 0 251,438 0
24 JURIATI TK-0 3,517,200 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
20-12-1972 1 3,517,200 0 0 0
197212202007012013 MKG:20 0 281,376 0
Penata Muda-3A 0 022.22.00364.22-8
78 0
15.158.777.1-915.000 3,854,698 0 319,198 0
0 3,535,500
25 ROAINI K -1 3,204,700 0 0 0 0 0 25 .............
2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
31-12-1976 4 3,653,358 0 0 0
197612312008012028 MKG:14 0 292,269 0
Penata Muda-3A 0 022.22.00341.22-6
15 0
88.958.068.4-915.000 4,208,053 0 331,453 0
0 3,876,600
26 DIAN EKAWATI, ,AMD.KEP. K -1 3,204,700 0 0 0 0 0 26 .............
2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
18-01-1983 4 3,653,358 0 0 0
198301182006042010 MKG:14 0 292,269 0 022.22.00365.22-2
48.657.688.7-913.000 4,208,053 0 331,453 0
0 3,876,600
PEG: 18 3,676,420 370,000 0 0 0 0
IST: 10 JIWA= 47 1,380,396 6,385,000 3,403,740 0 773,147
70,069,716 0 688,146 0
ANK: 19 0 5,605,579 0
770 0 0
81,407,372 0 7,066,872
0 74,340,500

NO KAWIN
27 BAIQ SAPTI ANGGARI WIRIANTI K -0 2,980,800 0 0 0 0 0 27 .............
,AMD.KEB 0 0 0 0 0 0 0
0 240,000 72,420 0 32,208
19-01-1985 1 2,980,800 0 0 0
198501192017042003 MKG:17 0 238,464 0 022.22.01907.22-3
16.214.897.7-915.000 3,293,272 0 270,672 0
0 3,022,600
28 MULYANI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 28 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
15-12-1985 4 3,193,710 0 0 0
198512152017042002 MKG:13 0 255,497 0 022.22.01906.22.9
66.916.492.3-915.000 3,723,434 0 289,834 0
0 3,433,600
29 ENNY WIDIYAWATI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 29 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
26-06-1989 4 3,193,710 0 0 0
198906262017042003 MKG:13 0 255,497 0
Pengatur Tk.I-2D 0 022.22.01911.22.4
44 0
66.916.389.1-915.000 3,723,434 0 289,834 0
0 3,433,600
30 FAHRI HAMDIYANI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 30 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
13-10-1989 4 3,193,710 0 0 0
198910132017042001 MKG:13 0 255,497 0
Pengatur Tk.I-2D 0 022.22.01937.22-8
44 0
66.902.853.2-915.000 3,723,434 0 289,834 0
0 3,433,600
31 HENY YULIA HERAWATI K -0 2,716,000 0 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 29,560
10-07-1985 1 2,716,000 0 0 0
198507102010012020 MKG:11 0 217,280 0
Pengatur Tk.I-2D 0 022.22.00366.22-6
20 0
58.971.080.5.915.000 3,028,440 0 246,840 0
0 2,781,600
32 HARVINA FITRI K -1 2,474,700 0 0 0 0 0 32 .............
2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
22-05-1990 4 2,821,158 0 0 0
199005222019032009 MKG: 6 0 225,693 0 022.02.00078.28-6
73.036.628.3-915.000 3,350,905 0 256,305 0
0 3,094,600
33 L. MUHAMAD ZULHADI K -1 3,074,700 0 0 0 0 0 33 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
14-01-1973 4 3,505,158 0 0 0
197301142009011004 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 022.22.00343.22-4
27 0
88.958.072.6-915.000 3,974,865 0 317,265 0
0 3,657,600

NO KAWIN
34 BQ.WAHYUNI SUFIATUN K -1 2,980,800 0 0 0 0 0 34 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
20-06-1974 4 3,398,112 0 0 0
197406262007012021 MKG:17 0 271,849 0 022.22.00351.22-0
15.724.636.4-915.000 3,867,830 0 307,630 0
0 3,560,200
35 JAMILAH K -1 2,980,800 0 0 0 0 0 35 .............
1 298,080 180,000 0 0 0 0
59,616 0 217,260 0 35,185
31-12-1974 3 3,338,496 0 0 0
197412312007012059 MKG:17 0 267,080 0 022.22.00360.22-2
88.958.066.8-915.000 3,735,765 0 302,265 0
0 3,433,500
36 SISWANDA EKASANDI K -1 2,980,800 0 0 0 0 0 36 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
08-10-1981 4 3,398,112 0 0 0
198110082007011004 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 022.22.00339.22-3
38 0
16.027.704.8-915.000 3,867,830 0 307,630 0
0 3,560,200
37 SRI AYU MEGAWATI K -1 2,980,800 0 0 0 0 0 37 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
31-12-1984 4 3,398,112 0 0 0
198412312009012016 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 022.22.05748.22-7
38 0
16.284.562.2.915.000 3,867,830 0 307,630 0
0 3,560,200
38 SITI MUNAWARAH ,AMD.KEB K -0 2,772,500 0 0 0 0 0 38 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,125
20-04-1988 1 2,772,500 0 0 0
198804202017042003 MKG:15 0 221,800 0
Pengatur-2C 0 022.22.01936.22-4
5 0
66.585.240.6-915.000 3,084,925 0 251,925 0
0 2,833,000
39 EMA PURNAMAYANTI ,A.Md.RMIK K -1 2,374,300 0 0 0 0 0 39 .............
2 237,430 180,000 0 0 0 0
94,972 0 289,680 0 28,867
07-08-1991 4 2,706,702 0 0 0
199108072020122003 MKG: 5 0 216,536 0 0220228003181
Pengatur-2C 21 0 0
745814145914000 3,176,403 0 245,403 0
PEG: 13 2,825,140 1,080,000 0 0 0 0
IST: 10 JIWA= 42 1,070,440 1,680,000 3,041,640 0 433,763
40,616,280 0 0 0
ANK: 19 0 3,249,304 0
447 0 0
46,418,367 0 3,683,067
0 42,735,300

NO KAWIN
TOTAL PER SATKER 135,829,100 1,030,000 0 0 1,116,210 0
PEG: 39 8,244,980 1,450,000 0 0 0 0
IST: 24 JIWA= 109 3,148,204 14,715,000 7,893,780 0 1,644,172
ANK: 46 147,222,284 0 1,116,210 0
0 11,777,786 0
0 0
1,694 0 14,538,168
173,428,968
0 158,890,800
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS KURIPAN

NO KAWIN
1 DRG, MUHAMMAD ABDUL AZIZ TK-0 3,666,900 0 0 0 0 0 1 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 48,669
21-08-1981 1 3,666,900 0 0 0
198108212009011009 MKG:12 0 293,352 0 0222200515229
Pembina-4A 1 0 0
08.420.106.0-911.000 4,939,321 0 342,021 0
0 4,597,300
2 DWI HANDAYANI K -1 4,699,300 0 0 0 37,746 0 2 .............
1 469,930 0 0 0 0 0
93,986 850,000 217,260 0 61,132
29-09-1967 3 5,263,216 0 37,746 0
196709291988032008 MKG:28 0 421,057 0 0222200719227
Pembina-4A 13 0 0
48.427.193.7-911.000 6,368,235 0 519,935 0
0 5,848,300
PEG: 2 469,930 0 0 0 0 0
IST: 1 JIWA= 4 93,986 2,050,000 289,680 0 109,801
8,930,116 0 37,746 0
ANK: 1 0 714,409 0
14 0 0
11,307,556 0 861,956
0 10,445,600
3 HUSNI ,S.KM K -1 4,508,600 540,000 0 0 94,550 0 3 .............
2 450,860 0 0 0 0 0
180,344 0 289,680 0 56,798
31-12-1965 4 5,139,804 0 94,550 0
196512311988011043 MKG:28 0 411,184 0 0222205913024
15.038.869.2-914.000 6,064,132 0 562,532 0
0 5,501,600
4 BAIQ SUSMARIANA, AMKP TK-0 3,628,900 0 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 42,289
26-01-1982 1 3,628,900 0 0 0
198201262005012016 MKG:14 0 290,312 0 0222200716225
58.744.442.3-911.000 4,301,401 0 332,601 0
0 3,968,800
5 SURYADINATA K -1 4,370,900 0 0 0 202,950 0 5 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
03-05-1969 4 4,982,826 0 202,950 0
196905031990031010 MKG:26 0 398,626 0 0222200730220
48.427.197.8-915.000 5,975,504 0 656,404 0
0 5,319,100
6 S A R I M E. ,AMD.KEP K -1 4,237,500 0 0 0 7,550 0 6 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
31-12-1971 4 4,830,750 0 7,550 0
197112311992032025 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200714227
38 0
48.427.201.8-915.000 5,628,018 0 447,318 0
0 5,180,700

NO KAWIN
7 RAHMAWATI K -0 4,108,100 0 0 0 118,300 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
05-03-1973 1 4,108,100 0 118,300 0
197303051998032004 MKG:22 0 328,648 0 0222200724222
57.336.481.7-914.000 4,798,829 0 493,029 0
0 4,305,800
8 MUDAHAR K -1 3,941,400 0 0 0 0 0 8 .............
1 394,140 0 0 0 0 0
78,828 600,000 217,260 0 50,144
31-12-1971 3 4,414,368 0 0 0
197112311992031040 MKG:22 0 353,149 0 0222200732229
Penata-3C 65 0 0
15.983.921.6-915.000 5,231,693 0 403,293 0
0 4,828,400
9 SITI ATIKAH TK-0 3,591,200 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 41,912
21-04-1978 1 3,591,200 0 0 0
197804212008012030 MKG:16 0 287,296 0
Penata-3C 0 0222200726221
88 0
58.744.449.8-915.000 4,263,708 0 329,208 0
0 3,934,500
10 NUR ISMAYANI, ,AMD.KEB. K -0 3,481,600 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,816
13-12-1983 1 3,481,600 0 0 0
198312132007012003 MKG:14 0 278,528 0
Penata-3C 0 0222200731225
24 0
59.390.568.0-404.000 4,154,044 0 319,344 0
Tmt 2022-12-01 0 3,834,700
11 DIA'UL HAZZAH ,SKM TK-0 3,272,200 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 38,722
10-09-1986 1 3,272,200 0 0 0
198609102011012020 MKG:10 0 261,776 0
Penata-3C 0 0222201218221
78 0
54.698.083.0-925.000 3,944,698 0 300,498 0
0 3,644,200
12 S A I U N K -1 3,704,300 0 0 0 0 0 12 .............
2 370,430 0 0 0 0 0
148,172 500,000 289,680 0 47,229
11-01-1976 4 4,222,902 0 0 0
197601111999031004 MKG:18 0 337,832 0 0222200888224
Penata-3C 79 0 0
58.744.444.9-915.000 5,012,661 0 385,061 0
0 4,627,600
13 NANA SURANGGANI K -1 3,704,300 0 0 0 203,932 0 13 .............
2 370,430 0 0 0 0 0
148,172 500,000 289,680 0 47,229
15-04-1980 4 4,222,902 0 203,932 0
198004151999032002 MKG:18 0 337,832 0
Penata-3C 0 0222200717229
79 0
58.744.445.6-914.000 5,216,593 0 588,993 0
0 4,627,600

NO KAWIN
14 ZIAHURRAHMAN K -1 3,591,200 0 0 0 0 0 14 .............
2 359,120 0 0 0 0 0
143,648 500,000 289,680 0 45,940
19-06-1979 4 4,093,968 0 0 0
197906192002121005 MKG:17 0 327,517 0 0222201188229
Penata-3C 9 0 0
57.826.010.1-915.000 4,883,657 0 373,457 0
0 4,510,200
15 SRI MULYANI. A.MD.KEB. TK-0 3,481,600 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,816
25-11-1978 1 3,481,600 0 0 0
197811252002122005 MKG:14 0 278,528 0 0222200344228
Penata-3C 24 0 0
58.744.449.8-915.000 4,054,044 0 318,344 0
16 ARMINI KORNETI, AM.KG. K -1 3,272,200 0 0 0 0 0 16 .............
0 327,220 0 0 0 0 0
0 500,000 144,840 0 40,994
01-03-1986 2 3,599,420 0 0 0
198203012010012019 MKG:10 0 287,954 0
Penata-3C 0 0222200718223
88 0
88.958.070.0-915.000 4,244,348 0 328,948 0
17 DJATISWARA SATYADHARMA.K ,AMD K -1 3,043,600 0 0 0 0 0 17 .............
2 304,360 0 0 0 0 0
121,744 495,000 289,680 0 39,647
05-05-1984 4 3,469,704 0 0 0
198405052011011014 MKG: 8 0 277,576 0
39 0
45.172.749.9-915.000 4,254,423 0 317,223 0
0 3,937,200
18 SONIA WIDARI YATNI. ,AMD.KEP TK-0 3,043,600 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 33,436
12-03-1989 1 3,043,600 0 0 0
198903122011012013 MKG: 8 0 243,488 0
4 0
54.449.138.4-915.000 3,416,024 0 276,924 0
0 3,139,100
19 ERNAWATI S.A.MD.KEB K -1 3,043,600 0 0 0 0 0 19 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
01-08-1988 3 3,408,832 0 0 0
198808012011012016 MKG: 8 0 272,707 0 0222200723228
16.504.186.4-915.000 3,891,145 0 309,445 0
0 3,581,700
20 BAIQ SUPIATUN K -1 3,900,500 0 0 0 156,450 0 20 .............
0 390,050 185,000 0 0 0 0
0 0 144,840 0 44,756
31-12-1966 2 4,290,550 0 156,450 0
196612311991032076 MKG:24 0 343,244 0
10 0
58.744.448.0-915.000 4,776,850 0 544,450 0
0 4,232,400

NO KAWIN
21 TITIN HENDRAWATI K -0 3,517,200 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
28-04-1975 1 3,517,200 0 0 0
197504281997032002 MKG:20 0 281,376 0 0222200884228
58.744.451.4-914.000 3,854,698 0 319,198 0
0 3,535,500
22 RASIHAN K -1 3,517,200 0 0 0 193,600 0 22 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
31-12-1975 4 4,009,608 0 193,600 0
197512312007012054 MKG:20 0 320,769 0 0222200728228
58.744.453.0-915.000 4,757,915 0 557,115 0
0 4,200,800
23 DEWI KUMALASARI KURNIATY TK-0 3,517,200 0 0 0 0 0 23 .............
NINGSIH 0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
15-10-1977 1 3,517,200 0 0 0
197710152008012016 MKG:20 0 281,376 0
Penata Muda-3A 0 0222200733223
78 0
58.744.446.4-915.000 3,854,698 0 319,198 0
0 3,535,500
24 HERLINA ,A.MD.GZ. K -1 3,204,700 0 0 0 0 0 24 .............
2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
28-12-1981 4 3,653,358 0 0 0
198112282014072004 MKG:15 0 292,269 0
Penata Muda-3A 0 5100300174048
15 0
874295223915000 4,208,053 0 331,453 0
0 3,876,600
25 ERMA YULIZAR TK-0 3,106,900 0 0 0 0 0 25 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,719
20-04-1985 1 3,106,900 0 0 0
198504202008012006 MKG:12 0 248,552 0
Penata Muda-3A 0 0222200440011
51 0
89.509.808.5-915.000 3,444,371 0 282,271 0
0 3,162,100
PEG: 23 4,804,000 185,000 0 0 0 0
IST: 13 JIWA= 56 1,494,992 9,385,000 4,055,520 0 991,976
89,087,492 0 977,332 0
ANK: 20 0 7,126,999 0
1,163 0 0
104,231,507 0 9,096,307
0 95,135,200
26 HENNI BUDIATI ,AMD.KEB K -0 2,889,800 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
10-06-1987 1 2,889,800 0 0 0
198706102017042001 MKG:15 0 231,184 0
Pengatur Tk.I-2D 0 0222201897222
62 0
66.902.876.3-915.000 3,202,282 0 262,482 0
0 2,939,800

NO KAWIN
27 BAIQ ISTIARINI ROHAYA ,AMD.KEB K -0 2,889,800 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
26-10-1988 1 2,889,800 0 0 0
198810262017042001 MKG:15 0 231,184 0 0222201898226
66.902.859.9-915.000 3,202,282 0 262,482 0
0 2,939,800
28 ADIES UTAMI PUTERI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 28 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
08-01-1990 3 3,137,680 0 0 0
199001082017042001 MKG:13 0 251,014 0 0222201940225
70.343.766.5-911.000 3,594,991 0 284,791 0
0 3,310,200
29 WAHYU CIPTANING ASIH ,A.Md.Kep. K -1 2,633,100 0 0 0 0 0 29 .............
2 263,310 0 0 0 0 0
105,324 240,000 289,680 0 32,417
08-02-1990 4 3,001,734 0 0 0
199002082015022004 MKG: 9 0 240,139 0
Pengatur Tk.I-2D 0 0222200734227
42 0
75.264.114.2-914.000 3,531,456 0 272,556 0
PKT N KGB-2022-12-01 0 3,258,900
30 MARIANA ,A.Md.Kep. K -1 2,474,700 0 0 0 0 0 30 .............
0 247,470 0 0 0 0 0
0 240,000 144,840 0 29,622
17-04-1988 2 2,722,170 0 0 0
198804172019032004 MKG: 6 0 217,774 0
Pengatur Tk.I-2D 0 0220200322270
86 0
91.028.356.3-914.000 3,107,096 0 247,396 0
0 2,859,700
31 BAIQ IKA MERDEKA WATI K -1 3,074,700 0 0 0 0 0 31 .............
1 307,470 180,000 0 0 0 0
61,494 0 217,260 0 36,237
17-08-1983 3 3,443,664 0 0 0
198308172008012024 MKG:19 0 275,493 0
Pengatur Tk.I-2D 0 0222205906020
6 0
75.652.692.7-914.000 3,840,930 0 311,730 0
0 3,529,200
32 LALU ABDURRAHIM K -1 2,980,800 0 0 0 0 0 32 .............
1 298,080 180,000 0 0 0 0
59,616 0 217,260 0 35,185
31-12-1969 3 3,338,496 0 0 0
196912312008011099 MKG:18 0 267,080 0 0222200711225
88.957.151.9-915.000 3,735,765 0 302,265 0
0 3,433,500
33 SUHERTINA K -1 2,980,800 0 0 0 0 0 33 .............
1 298,080 180,000 0 0 0 0
59,616 0 217,260 0 35,185
01-02-1982 3 3,338,496 0 0 0
198202012009012011 MKG:17 0 267,080 0
Pengatur Tk.I-2D 0 0222205807029
9 0
16.851.122.8-911.000 3,735,765 0 302,265 0
0 3,433,500

NO KAWIN
34 NI NYOMAN SAVITRI ,AMD.KEB K -1 2,687,800 0 0 0 0 0 34 .............
2 268,780 0 0 0 0 0
107,512 240,000 289,680 0 33,041
02-09-1988 4 3,064,092 0 0 0
198809022017042003 MKG:13 0 245,127 0 0222201899221
Pengatur-2C 96 0 0
70.343.755.8-911.000 3,593,868 0 278,168 0
0 3,315,700
35 LALU SAHWANDI K -1 2,859,800 0 0 0 0 0 35 .............
2 285,980 180,000 0 0 0 0
114,392 0 289,680 0 34,402
12-01-1977 4 3,260,172 0 0 0
197701122010011005 MKG:17 0 260,814 0 0222200729222
Pengatur-2C 64 0 0
15.983.842.4-915.000 3,729,916 0 295,216 0
0 3,434,700
36 RENI NANAN SARI ,A.Md.RMIK K -1 2,374,300 0 0 0 0 0 36 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
30-06-1996 3 2,659,216 0 0 0
199606302020122007 MKG: 5 0 212,737 0
Pengatur-2C 0 0220228003273
53 0
965513583914000 3,056,529 0 241,129 0
PEG: 11 2,486,750 900,000 0 0 0 0
IST: 9 JIWA= 31 611,470 1,440,000 2,245,020 0 360,854
33,745,320 0 0 0
ANK: 11 0 2,699,626 0
540 0 0
38,330,880 0 3,060,480
0 35,270,400
37 M.SAHIR K -1 2,207,300 0 0 0 0 0 37 .............
1 220,730 175,000 0 0 0 0
44,146 0 217,260 0 26,472
31-12-1977 3 2,472,176 0 0 0
197712312008011052 MKG:17 0 197,774 0 0222200725226
Juru-1C 10 0 0
15.983.862.2-915.000 2,864,446 0 224,246 0
0 2,640,200
PEG: 1 220,730 175,000 0 0 0 0
IST: 1 JIWA= 3 44,146 0 217,260 0 26,472
2,472,176 0 0 0
ANK: 1 0 197,774 0
10 0 0
2,864,446 0 224,246
0 2,640,200

NO KAWIN
TOTAL PER SATKER 124,009,100 540,000 0 0 1,015,078 0
PEG: 37 7,981,410 1,260,000 0 0 0 0
IST: 24 JIWA= 94 2,244,594 12,875,000 6,807,480 0 1,489,103
ANK: 33 134,235,104 0 1,015,078 0
0 10,738,808 0
0 0
1,727 0 13,242,989
156,734,389
0 143,491,400
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS GERUNG

NO KAWIN
1 drg., YUNI RAHMAWATI K -1 3,942,400 0 0 0 20,595 0 1 .............
1 394,240 0 0 0 0 0
78,848 1,200,000 217,260 0 56,155
23-01-1981 3 4,415,488 0 20,595 0
198101232008032004 MKG:14 0 353,239 0 0222201007229
147135255913000 5,853,389 0 429,989 0
0 5,423,400
2 DR, LIM YEN NIE K -0 3,666,900 0 0 0 0 0 2 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 48,669
15-10-1982 1 3,666,900 0 0 0
198210152010012014 MKG:12 0 293,352 0 0222203833024
Pembina-4A 1 0 0
597734318619000 4,939,321 0 342,021 0
0 4,597,300
PEG: 2 394,240 0 0 0 0 0
IST: 1 JIWA= 4 78,848 2,400,000 289,680 0 104,824
8,082,388 0 20,595 0
ANK: 1 0 646,591 0
47 0 0
10,792,710 0 772,010
0 10,020,700
3 DWI ASTY FEBRIANTI ,S.KM TK-0 3,743,100 490,000 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 0 72,420 0 42,331
06-02-1976 1 3,743,100 0 0 0
197602062007012017 MKG:16 0 299,448 0 0222205719026
249875774914000 4,305,579 0 341,779 0
0 3,963,800
4 H.HASMUNI BUDIAWAN K -1 4,508,600 0 0 0 0 0 4 .............
1 450,860 0 0 0 0 0
90,172 850,000 217,260 0 58,996
02-07-1968 3 5,049,632 0 0 0
196807021990031006 MKG:28 0 403,971 0 0222201350224
48427173915000 6,116,967 0 462,967 0
0 5,654,000
5 AMRI MURSYIDIN, A. MD. KEP K -1 4,237,500 0 0 0 0 0 5 .............
2 423,750 0 0 0 0 0
169,500 850,000 289,680 0 56,808
09-09-1974 4 4,830,750 0 0 0
197409091993031001 MKG:24 0 386,460 0 0222200179220
484272455915000 5,970,468 0 443,268 0
Tmt 2022-12-01 0 5,527,200
6 I KETUT SUSANA. ,S.SI K -1 4,508,600 0 0 0 0 0 6 .............
1 450,860 0 0 0 0 0
90,172 600,000 217,260 0 56,496
31-12-1968 3 5,049,632 0 0 0
196812311988031088 MKG:28 0 403,971 0
Penata Tk.I-3D 0 0222200160221
75 0
484272117911000 5,866,967 0 460,467 0
0 5,406,500

NO KAWIN
7 NOVITA ASRI WIDIASTUTI.N ,S.KEP TK-0 3,410,600 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,106
12-11-1985 1 3,410,600 0 0 0
198511122011012025 MKG:10 0 272,848 0 0222200137223
451802375911000 4,083,054 0 312,954 0
0 3,770,100
8 MUHAMAD LAIZI K -1 4,650,600 0 0 0 14,300 0 8 .............
2 465,060 0 0 0 0 0
186,024 500,000 289,680 0 58,017
31-12-1966 4 5,301,684 0 14,300 0
196612311987031108 MKG:30 0 424,135 0 0222200178227
484272075911000 6,105,752 0 496,452 0
0 5,609,300
9 HARYUNADI K -1 4,508,600 0 0 0 0 0 9 .............
1 450,860 0 0 0 0 0
90,172 500,000 217,260 0 55,496
31-12-1967 3 5,049,632 0 0 0
196512311988031245 MKG:28 0 403,971 0
Penata Tk.I-3D 0 0222200152223
75 0
484272158911000 5,766,967 0 459,467 0
0 5,307,500
10 SYARA'IYAH TK-0 4,508,600 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
05-03-1967 1 4,508,600 0 0 0
196703051988032014 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200143222
54 0
484272216911000 5,081,074 0 410,774 0
0 4,670,300
11 LALU KHAIRIL DD-0 4,508,600 0 0 0 45,300 0 11 .............
1 0 0 0 0 0 0
90,172 500,000 144,840 0 50,988
31-12-1967 2 4,598,772 0 45,300 0
196712311988031198 MKG:28 0 367,902 0
Penata Tk.I-3D 0 0222200148222
78 0
484272166911000 5,288,990 0 464,190 0
0 4,824,800
12 I GEDE SUDARTA K -1 4,370,900 0 0 0 67,050 0 12 .............
1 437,090 0 0 0 0 0
87,418 500,000 217,260 0 53,954
20-10-1968 3 4,895,408 0 67,050 0
196810201990011001 MKG:26 0 391,633 0 0222200146224
484272133915000 5,679,737 0 512,637 0
0 5,167,100
13 NI MADE SRI ASTUTI TK-0 4,370,900 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
25-10-1969 1 4,370,900 0 0 0
196910251990032005 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200136229
61 0
484272440911000 4,943,381 0 398,381 0
0 4,545,000

NO KAWIN
14 BAIQ PUSPA ASRIANI TK-0 4,370,900 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
27-10-1969 1 4,370,900 0 0 0
196910271990032009 MKG:26 0 349,672 0 0222200987226
484272364911000 4,943,381 0 398,381 0
0 4,545,000
15 NENENG SERIANAH K -0 4,237,500 0 0 0 58,900 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
28-01-1968 1 4,237,500 0 58,900 0
196801281992032008 MKG:24 0 339,000 0 0222200153227
157720970915000 4,868,875 0 445,275 0
0 4,423,600
16 DORCE YULTI DJU JD-0 4,237,500 0 0 0 53,812 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
31-12-1971 1 4,237,500 0 53,812 0
197210181993032009 MKG:24 0 339,000 0
Penata Tk.I-3D 0 0222200167228
55 0
159840339915000 4,863,787 0 440,187 0
0 4,423,600
17 PANUT EKOPRIYONO DD-0 4,108,100 0 0 0 0 0 17 .............
2 0 0 0 0 0 0
164,324 500,000 217,260 0 47,724
16-05-1974 3 4,272,424 0 0 0
197405161995031002 MKG:22 0 341,794 0
Penata Tk.I-3D 0 0222200150225
34 0
578259905915000 4,989,718 0 389,518 0
0 4,600,200
18 BUDIMAN S. K -1 3,861,000 0 0 0 0 0 18 .............
2 386,100 0 0 0 0 0
154,440 500,000 289,680 0 49,015
04-05-1977 4 4,401,540 0 0 0
197705041998031005 MKG:18 0 352,123 0
Penata Tk.I-3D 0 0222200159220
18 0
084196096911000 5,191,238 0 401,138 0
0 4,790,100
19 NI WAYAN SUDIARTI. ,AMD.KEB TK-0 3,628,900 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 41,289
28-08-1979 1 3,628,900 0 0 0
197908282005012019 MKG:14 0 290,312 0 0222200155225
895821643915000 4,201,401 0 331,601 0
0 3,869,800
20 A R T I N I JD-0 4,508,600 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 0 72,420 0 45,086
17-11-1965 1 4,508,600 0 0 0
196511171988032008 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200157223
54 0
484272091911000 4,581,074 0 405,774 0
KD HITUNG = 1 Tmt 2022-12-01 0 4,175,300

NO KAWIN
21 IDA FITRIANI TK-0 3,481,600 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,816
13-09-1977 1 3,481,600 0 0 0 0
197709132006042007 MKG:14 0 278,528 0 0222201340229
Penata-3C 24 0 0
897515532915000 4,154,044 0 319,344 0
0 3,834,700
22 SUCI DAMAYANTI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 22 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
09-09-1986 4 3,730,308 0 0 0
198609092010012021 MKG:10 0 298,425 0 0222200138227
Penata-3C 40 0 0
889580733915000 4,620,028 0 341,728 0
0 4,278,300
23 TRISTIANA YULIANTI.A.MD.AK K -0 3,272,200 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
13-03-1983 1 3,272,200 0 0 0
198303132010012026 MKG:10 0 261,776 0
Penata-3C 0 0222200177223
78 0
451679823915000 3,844,698 0 299,498 0
0 3,545,200
24 ALFIAN MUNAYADI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 24 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
02-11-1988 4 3,730,308 0 0 0
198811022010011003 MKG:10 0 298,425 0
Penata-3C 0 0222200330019
40 0
688075233915000 4,520,028 0 340,728 0
25 NI LUH PUTU DIANTARI ,AMD.KEP K -1 3,139,400 0 0 0 0 0 25 .............
2 313,940 0 0 0 0 0
125,576 600,000 289,680 0 41,789
23-01-1986 4 3,578,916 0 0 0
198601232009032003 MKG:10 0 286,313 0
6 0
896029873831000 4,468,602 0 328,102 0
Tmt 2022-12-01 0 4,140,500
26 ADITYA ANDRIAWAN ,AMD.KEP K -1 3,043,600 0 0 0 0 0 26 .............
2 304,360 0 0 0 0 0
121,744 495,000 289,680 0 39,647
22-06-1988 4 3,469,704 0 0 0
198806222011011010 MKG: 9 0 277,576 0 0222201366223
700666696915000 4,254,423 0 317,223 0
0 3,937,200
27 MURHANI K -1 3,238,300 0 0 0 0 0 27 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
31-12-1982 4 3,691,662 0 0 0
198212312007012013 MKG:13 0 295,333 0
8 0
897515474915000 4,281,350 0 335,250 0

NO KAWIN
28 HARYANI.A.MKL TK-0 3,043,600 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 33,436
05-07-1983 1 3,043,600 0 0 0
198307052011012021 MKG: 8 0 243,488 0 0222200164226
664560448915000 3,416,024 0 276,924 0
0 3,139,100
29 NI NYOMAN SRI SUKARTHI K -1 3,665,900 0 0 0 231,900 0 29 .............
2 366,590 0 0 0 0 0
146,636 265,000 289,680 0 44,441
11-02-1977 4 4,179,126 0 231,900 0
197702112007012018 MKG:20 0 334,330 0 0222200142228
159841287915000 4,965,771 0 610,671 0
0 4,355,100
30 DEWI FITRIANI K -1 3,238,300 0 0 0 0 0 30 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
05-08-1974 4 3,691,662 0 0 0
197408052005012013 MKG:12 0 295,333 0
58 0
895910578915000 4,246,400 0 334,900 0
0 3,911,500
31 ANDY PUTRIANA,A,MD.KEB K -1 3,043,600 0 0 0 0 0 31 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
07-12-1985 3 3,408,832 0 0 0
198512072011012014 MKG: 8 0 272,707 0
Penata Muda Tk.I-3B 0 '0220231015314
53 0
553389826911000 3,891,145 0 309,445 0
0 3,581,700
32 BAIQ HARDIYANTI.A.MD.GZ. K -1 3,043,600 0 0 0 0 0 32 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
12-01-1987 4 3,469,704 0 0 0
198701122011012020 MKG: 8 0 277,576 0
39 0
664559937915000 4,024,423 0 314,923 0
0 3,709,500
33 dr., IMAM MARDANI K -1 2,773,200 0 0 0 0 0 33 .............
1 277,320 185,000 0 0 0 0
55,464 0 217,260 0 32,910
22-03-1993 3 3,105,984 0 0 0
199303222020121006 MKG: 2 0 248,479 0 0220201150311
850753997914000 3,508,289 0 281,389 0
34 Apt., THARIQ KAWIRIAN ,S. Farm. K -1 2,688,500 0 0 0 0 0 34 .............
1 268,850 185,000 0 0 0 0
53,770 0 217,260 0 31,961
18-09-1992 3 3,011,120 0 0 0
199209182020121006 MKG: 1 0 240,890 0
71 0
853347821914000 3,413,451 0 272,851 0
0 3,140,600

NO KAWIN
PEG: 32 6,506,460 370,000 0 0 0 0
IST: 18 JIWA= 82 2,329,040 13,855,000 5,938,440 0 1,440,457
129,330,800 0 471,262 0
ANK: 32 0 10,346,467 0
1,584 0 0
150,457,086 0 12,258,186
0 138,198,900
35 DIAN ARIESSANTY K -1 2,980,800 0 0 0 0 0 35 .............
1 298,080 0 0 0 0 0
59,616 360,000 217,260 0 36,985
04-04-1973 3 3,338,496 0 0 0
197304042007012018 MKG:17 0 267,080 0
Pengatur Tk.I-2D 0 0222200154220
9 0
897515482915000 3,915,765 0 304,065 0
0 3,611,700
36 NURUL HIDAYAH ,AMD.KEB K -1 2,889,800 0 0 0 0 0 36 .............
1 288,980 0 0 0 0 0
57,796 240,000 217,260 0 34,766
30-06-1985 3 3,236,576 0 0 0
198506302017042006 MKG:15 0 258,926 0
Pengatur Tk.I-2D 0 0222201913222
56 0
669028904915000 3,693,892 0 293,692 0
0 3,400,200
37 ENY FEBRIYANTHI ,AMD.KEB. K -0 2,889,800 0 0 0 0 0 37 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
04-02-1987 1 2,889,800 0 0 0
198702042017052002 MKG:15 0 231,184 0
664412640907000 3,202,282 0 262,482 0
0 2,939,800
38 NANI NURBAITI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 38 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
25-03-1989 3 3,137,680 0 0 0
198903252017042001 MKG:13 0 251,014 0 0222201895224
484271150911000 3,594,991 0 284,791 0
0 3,310,200
39 AKI WIRA SENTANU K -1 3,171,500 0 0 0 0 0 39 .............
2 317,150 180,000 0 0 0 0
126,860 0 289,680 0 37,955
31-12-1968 4 3,615,510 0 0 0
196812312007011270 MKG:21 0 289,241 0 0222200149226
578259874915000 4,085,196 0 327,196 0
0 3,758,000
40 SRI HARTINI K -0 3,074,700 0 0 0 0 0 40 .............
1 0 180,000 0 0 0 0
61,494 0 144,840 0 33,162
05-11-1981 2 3,136,194 0 0 0
198111052006042024 MKG:19 0 250,896 0
Pengatur Tk.I-2D 0 0222200999229
24 0
153807995915000 3,461,058 0 284,058 0
0 3,177,000

NO KAWIN
41 SAHIRMAN K -1 2,980,800 0 0 0 0 0 41 .............
0 298,080 180,000 0 0 0 0
0 0 144,840 0 34,589
31-12-1965 2 3,278,880 0 0 0
196512312007011245 MKG:17 0 262,310 0 0222200156229
490209756911000 3,603,799 0 296,899 0
0 3,306,900
42 BAIQ ZAITUN AZMI K -1 2,980,800 0 0 0 0 0 42 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
18-07-1977 4 3,398,112 0 0 0
197707182010012010 MKG:17 0 271,849 0 0222200175225
685885204915000 3,867,830 0 307,630 0
0 3,560,200
43 RAHMAWATI K -0 2,859,800 0 0 0 0 0 43 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 30,398
03-04-1984 1 2,859,800 0 0 0
198404032014062006 MKG:18 0 228,784 0
Pengatur-2C 0 0222200174220
62 0
738024405915000 3,112,282 0 259,182 0
0 2,853,100
PEG: 9 1,780,520 900,000 0 0 0 0
IST: 6 JIWA= 23 481,028 1,080,000 1,665,660 0 308,711
28,891,048 0 0 0
ANK: 8 0 2,311,284 0
387 0 0
32,537,095 0 2,619,995
0 29,917,100
TOTAL PER SATKER 154,734,100 490,000 0 0 491,857 0
PEG: 43 8,681,220 1,270,000 0 0 0 0
IST: 25 JIWA= 109 2,888,916 17,335,000 7,893,780 0 1,853,992
ANK: 41 166,304,236 0 491,857 0
0 13,304,342 0
0 0
2,018 0 15,650,191
193,786,891
0 178,136,700
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PERAMPUAN

NO KAWIN
1 DRG, CANDRA MARYATI K -1 3,554,900 0 0 0 9,387 0 1 .............
2 355,490 0 0 0 0 0
142,196 1,200,000 289,680 0 52,526
21-03-1983 4 4,052,586 0 9,387 0
198303212009012006 MKG:11 0 324,207 0 0222200969224
Pembina-4A 67 0 0
676497001911000 5,551,720 0 386,120 0
0 5,165,600
2 DR, I KOMANG SUTRISNA BUDIYASA K -1 3,554,900 0 0 0 0 0 2 .............
2 355,490 0 0 0 0 0
142,196 1,200,000 289,680 0 52,526
21-05-1985 4 4,052,586 0 0 0
198505212011011009 MKG:10 0 324,207 0 0222201107225
Pembina-4A 67 0 0
781524814915000 5,542,333 0 376,733 0
0 5,165,600
3 NI WAYAN ARMINI, A. MD. KEP TK-0 4,699,300 0 0 0 8,519 0 3 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 55,493
31-12-1965 1 4,699,300 0 8,519 0
196512311988032198 MKG:28 0 375,944 0
Pembina-4A 0 0222201342227
17 0
484271903915000 5,630,256 0 439,956 0
0 5,190,300
4 ROSMAYADI. MPH ,S.KM K -1 4,555,800 0 0 0 70,800 0 4 .............
2 455,580 0 0 0 0 0
182,232 600,000 289,680 0 57,936
12-12-1968 4 5,193,612 0 70,800 0
196812121990031014 MKG:26 0 415,489 0
Pembina-4A 0 0222200334223
33 0
484269527911000 6,154,125 0 544,225 0
0 5,609,900
PEG: 4 1,166,560 0 0 0 0 0
IST: 3 JIWA= 13 466,624 3,850,000 941,460 0 218,481
17,998,084 0 88,706 0
ANK: 6 0 1,439,847 0
184 0 0
22,878,434 0 1,747,034
0 21,131,400
5 MUHAMMAD KASIM K -1 4,370,900 490,000 0 0 0 0 5 .............
1 437,090 0 0 0 0 0
87,418 0 217,260 0 53,854
15-05-1970 3 4,895,408 0 0 0
197005151991011001 MKG:26 0 391,633 0 0222200994229
156678203915000 5,602,687 0 445,487 0
0 5,157,200
6 ASHABUL MAIMUNAH K -1 3,982,600 0 0 0 0 0 6 .............
2 398,260 0 0 0 0 0
159,304 600,000 289,680 0 51,402
31-12-1974 4 4,540,164 0 0 0
197412311996032005 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222201113224
71 0
778937466915000 5,429,915 0 414,615 0
0 5,015,300

NO KAWIN
7 TUTY ANDAYANI SINWIN, SST. K -0 3,861,000 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 44,610
13-06-1973 1 3,861,000 0 0 0
197306132002122009 MKG:18 0 308,880 0 0222201110222
587444472915000 4,533,490 0 353,490 0
8 LALU EKA HERMAWANSYAH K -1 3,861,000 0 0 0 0 0 8 .............
2 386,100 0 0 0 0 0
154,440 600,000 289,680 0 50,015
26-01-1977 4 4,401,540 0 0 0
197701261998031007 MKG:18 0 352,123 0 0222201024227
778937482911000 5,291,238 0 402,138 0
0 4,889,100
9 NI KETUT MARETNI K -1 4,650,600 0 0 0 12,119 0 9 .............
0 465,060 0 0 0 0 0
0 500,000 144,840 0 56,157
31-12-1964 2 5,115,660 0 12,119 0
196412311989032137 MKG:30 0 409,253 0
Penata Tk.I-3D 0 0222205290021
10 0
484271614915000 5,772,629 0 477,529 0
0 5,295,100
10 NI MADE SUCITAWATI K -1 4,370,900 0 0 0 13,657 0 10 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
31-12-1971 4 4,982,826 0 13,657 0
197112311990032004 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222201114228
48 0
484271671911000 5,786,211 0 467,111 0
0 5,319,100
11 I DEWA AYU PUTRI PURNAMAWATI TK-0 4,237,500 0 0 0 58,900 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
28-04-1972 1 4,237,500 0 58,900 0
197204281992032012 MKG:24 0 339,000 0
Penata Tk.I-3D 0 0222201103229
55 0
889566261915000 4,868,875 0 445,275 0
0 4,423,600
12 N U RA I N I AMD. KEB K -1 4,237,500 0 0 0 7,558 0 12 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
31-12-1973 4 4,830,750 0 7,558 0
197312311993022010 MKG:24 0 386,460 0 0222200172223
484272257915000 5,628,026 0 447,326 0
0 5,180,700
13 NI NYOMAN PARA SULISTYAWATHI K -0 4,108,100 0 0 0 118,300 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
27-08-1974 1 4,108,100 0 118,300 0
197408271995032002 MKG:22 0 328,648 0
Penata Tk.I-3D 0 0222201116226
9 0
573364809915000 4,798,829 0 493,029 0
0 4,305,800

NO KAWIN
14 YETI NURHAYATI TK-0 3,982,600 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 44,826
03-10-1977 1 3,982,600 0 0 0
197710032000122002 MKG:20 0 318,608 0 0222201025013
573364858914000 4,555,034 0 363,434 0
15 IZA UMAMI ,A.Md.Kep. K -1 3,861,000 0 0 0 0 0 15 .............
2 386,100 0 0 0 0 0
154,440 500,000 289,680 0 49,015
31-12-1981 4 4,401,540 0 0 0
198112312002122006 MKG:18 0 352,123 0 0222201023223
084181247911000 5,191,238 0 401,138 0
16 RAHMAWATI K -1 3,743,100 0 0 0 1,150 0 16 .............
1 374,310 0 0 0 0 0
74,862 500,000 217,260 0 46,923
10-11-1972 3 4,192,272 0 1,150 0
197211102003122006 MKG:16 0 335,382 0
Penata Tk.I-3D 0 0222201111226
73 0
873742811911000 4,910,755 0 383,455 0
0 4,527,300
17 NI NENGAH DESIYANA SARI ,drg. K -1 2,890,500 0 0 0 0 0 17 .............
0 289,050 0 0 0 0 0
0 750,000 144,840 0 39,296
11-12-1989 2 3,179,550 0 0 0
198912112019032005 MKG: 3 0 254,364 0
Penata-3C 0 0220200002225
70 0
758211825911000 4,074,460 0 293,660 0
0 3,780,800
18 LALU HASBULLAH K -1 3,591,200 0 0 0 0 0 18 .............
2 359,120 0 0 0 0 0
143,648 600,000 289,680 0 46,940
31-12-1977 4 4,093,968 0 0 0
197712312001121005 MKG:16 0 327,517 0
Penata-3C 0 0222201115222
9 0
573364940915000 4,983,657 0 374,457 0
19 IKA RAHMAITA ,AMD.KEP K -1 3,272,200 0 0 0 0 0 19 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
16-05-1983 4 3,730,308 0 0 0
198305162010012021 MKG:10 0 298,425 0 0222201119228
Penata-3C 40 0 0
778937490911000 4,620,028 0 341,728 0
0 4,278,300
20 PUTRI DINI SYAFI'I. ,AMD.KEP K -0 3,481,600 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,816
05-02-1984 1 3,481,600 0 0 0
198402052006042015 MKG:14 0 278,528 0
Penata-3C 0 0222201120227
24 0
885934612915001 4,054,044 0 318,344 0
0 3,735,700

NO KAWIN
21 L. MA'BUD SAPANDIARI, ,SKM K -1 3,591,200 0 0 0 0 0 21 .............
2 359,120 185,000 0 0 0 0
143,648 0 289,680 0 42,790
17-09-1980 4 4,093,968 0 0 0
198009172000121004 MKG:16 0 327,517 0 0222201109223
Penata-3C 59 0 0
486200405913000 4,568,707 0 370,307 0
0 4,198,400
22 NI WAYAN INTARIYANI.A.MD.KEB K -1 3,139,400 0 0 0 0 0 22 .............
2 313,940 0 0 0 0 0
125,576 500,000 289,680 0 40,789
11-11-1979 4 3,578,916 0 0 0
197911112010012008 MKG:10 0 286,313 0 0222201100227
871996740914000 4,368,602 0 327,102 0
0 4,041,500
23 DESY SOFIANA.KEB ,AMD TK-0 3,139,400 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 36,394
03-12-1985 1 3,139,400 0 0 0
198512032009012007 MKG:10 0 251,152 0
26 0
685929432915000 3,711,846 0 287,546 0
0 3,424,300
24 AIS FITRI ANANDA ,SKM K -1 2,773,200 0 0 0 0 0 24 .............
1 277,320 0 0 0 0 0
55,464 300,000 217,260 0 34,060
27-07-1992 3 3,105,984 0 0 0
199207272019032031 MKG: 3 0 248,479 0
95 0
769122664914000 3,623,339 0 282,539 0
0 3,340,800
25 SANTI ANDAYANI BUDI K -0 3,238,300 0 0 0 0 0 25 .............
1 0 0 0 0 0 0
64,766 265,000 144,840 0 35,681
18-11-1981 2 3,303,066 0 0 0
198111182005012012 MKG:12 0 264,245 0
20 0
573364833911000 3,712,926 0 299,926 0
0 3,413,000
26 ANDRI PANGESTU TK-0 3,139,400 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
31-03-1978 1 3,139,400 0 0 0
197803312006042015 MKG:10 0 251,152 0 0222201095226
573364965911000 3,476,896 0 285,196 0
0 3,191,700
27 IRYANNI ,A.MKL K -0 3,139,400 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
05-11-1983 1 3,139,400 0 0 0
198311052011012010 MKG:10 0 251,152 0
76 0
165524661912000 3,476,896 0 285,196 0
0 3,191,700

NO KAWIN
28 SURYANSYAH ABDILLAH. ,AMD.KEP K -1 3,139,400 0 0 0 0 0 28 .............
1 313,940 0 0 0 0 0
62,788 265,000 217,260 0 37,811
18-06-1986 3 3,516,128 0 0 0
198606182010011009 MKG:10 0 281,290 0 0222200889228
87.373.823.1-912.000 3,998,401 0 319,101 0
0 3,679,300
29 I GUSTI AYU AGUNG SRI KARTINI TK-0 4,280,800 0 0 0 0 0 29 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 44,658
21-04-1966 1 4,280,800 0 0 0
196604211986032024 MKG:30 0 342,464 0 0222205187027
084153055915000 4,538,222 0 387,122 0
0 4,151,100
30 SUWITNO YUGO PAWESTRI K -1 3,106,900 0 0 0 0 0 30 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
13-11-1983 4 3,541,866 0 0 0
198311132007012009 MKG:12 0 283,349 0
Penata Muda-3A 0 0222201104223
72 0
573369457915000 4,096,618 0 321,418 0
0 3,775,200
31 BAIQ BUDIAWATI K -0 3,106,900 0 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,719
31-12-1983 1 3,106,900 0 0 0
198312312007012003 MKG:12 0 248,552 0
Penata Muda-3A 0 0222200581100
51 0
573364841915000 3,444,371 0 282,271 0
0 3,162,100
32 EKA PETTI NOVIKALATRI TK-0 3,106,900 0 0 0 0 0 32 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,719
18-11-1984 1 3,106,900 0 0 0
198411182008012003 MKG:12 0 248,552 0
Penata Muda-3A 0 0222201117221
51 0
778937474911000 3,444,371 0 282,271 0
0 3,162,100
PEG: 28 5,858,160 370,000 0 0 0 0
IST: 16 JIWA= 69 1,825,854 11,405,000 4,996,980 0 1,213,527
109,087,514 0 211,684 0
ANK: 25 0 8,727,000 0
1,133 0 0
126,562,311 0 10,152,211
0 116,410,100
33 IDA AYU PUTU SUCI WIDYASARI JD-0 2,889,800 0 0 0 0 0 33 .............
,AMD.KEB 0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
06-11-1988 1 2,889,800 0 0 0
198811062017042001 MKG:15 0 231,184 0
Pengatur Tk.I-2D 0 0222201927223
62 0
669029068915000 3,202,282 0 262,482 0
0 2,939,800

NO KAWIN
34 NURHAYATI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 34 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
12-12-1986 3 3,137,680 0 0 0
198612122017042005 MKG:13 0 251,014 0 0222201901229
669029902915000 3,594,991 0 284,791 0
0 3,310,200
35 DEVI CYNTHIA FEBRIANI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 35 .............
0 280,150 0 0 0 0 0
0 240,000 144,840 0 33,217
06-02-1988 2 3,081,650 0 0 0
198802062017042002 MKG:13 0 246,532 0 0222201900225
703309484914000 3,466,549 0 279,749 0
0 3,186,800
36 SAHTUM ,A.Md.Farm. K -1 2,474,700 0 0 0 0 0 36 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
07-06-1987 3 2,771,664 0 0 0
198706072019032010 MKG: 6 0 221,733 0
Pengatur Tk.I-2D 0 0220228001125
26 0
542959671915000 3,228,950 0 251,850 0
0 2,977,100
37 MASNI TK-0 3,203,900 0 0 0 0 0 37 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 33,839
04-08-1974 1 3,203,900 0 0 0
197308041994032006 MKG:27 0 256,312 0
31 0
676495849914000 3,456,351 0 290,151 0
0 3,166,200
38 MAHDI K -1 2,578,800 0 0 0 0 0 38 .............
2 257,880 180,000 0 0 0 0
103,152 0 289,680 0 31,198
31-12-1983 4 2,939,832 0 0 0
198312312009011024 MKG:13 0 235,187 0
73 0
159838689915000 3,409,585 0 266,385 0
0 3,143,200
PEG: 6 1,065,650 360,000 0 0 0 0
IST: 4 JIWA= 14 208,676 960,000 1,013,880 0 193,446
18,024,526 0 0 0
ANK: 4 0 1,441,962 0
302 0 0
20,358,708 0 1,635,408
0 18,723,300

NO KAWIN
TOTAL PER SATKER 134,518,600 490,000 0 0 300,390 0
PEG: 38 8,090,370 730,000 0 0 0 0
IST: 23 JIWA= 96 2,501,154 16,215,000 6,952,320 0 1,625,454
ANK: 35 145,110,124 0 300,390 0
0 11,608,809 0
0 0
1,619 0 13,534,653
169,799,453
0 156,264,800
KEPALA PUSKESMAS PERAMPUAN ,21 NOPEMBER 2022

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SIGERONGAN

NO KAWIN
1 DR, NI MADE NOVI PURNAMI K -1 3,446,400 0 0 0 4,350 0 1 .............
2 344,640 0 0 0 0 0
137,856 1,200,000 289,680 0 51,289
09-11-1984 4 3,928,896 0 4,350 0
198411092011012018 MKG: 9 0 314,312 0 0222200902226
Pembina-4A 25 0 0
59.998.223.8-911.000 5,422,951 0 369,951 0
0 5,053,000
2 NI MADE NARI K -1 4,847,300 0 0 0 44,947 0 2 .............
1 484,730 0 0 0 0 0
96,946 850,000 217,260 0 62,790
29-12-1966 3 5,428,976 0 44,947 0
196612291987032006 MKG:30 0 434,318 0 0222200500016
Pembina-4A 72 0 0
15.983.993.5-915.000 6,541,255 0 542,055 0
0 5,999,200
PEG: 2 829,370 0 0 0 0 0
IST: 2 JIWA= 7 234,802 2,050,000 506,940 0 114,079
9,357,872 0 49,297 0
ANK: 3 0 748,630 0
97 0 0
11,964,206 0 912,006
0 11,052,200
3 A SA R I ,S.KM TK-0 4,508,600 490,000 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 0 72,420 0 49,986
27-09-1966 1 4,508,600 0 0 0
196609271988121002 MKG:28 0 360,688 0 0222200657223
15.667.880.7-915.000 5,071,074 0 410,674 0
0 4,660,400
4 SUHARIYAH K -1 4,237,500 0 0 0 24,183 0 4 .............
2 423,750 0 0 0 0 0
169,500 850,000 289,680 0 56,808
10-03-1966 4 4,830,750 0 24,183 0
196603101993022003 MKG:24 0 386,460 0 0222206396027
58.744.513.1-914.000 5,994,651 0 467,451 0
0 5,527,200
5 SARI MURNI K -1 4,108,100 0 0 0 6,288 0 5 .............
2 410,810 0 0 0 0 0
164,324 600,000 289,680 0 52,832
31-12-1968 4 4,683,234 0 6,288 0
196812311991032071 MKG:23 0 374,659 0 0222200895227
58.744.514.9-915.000 5,579,279 0 433,779 0
0 5,145,500
6 NENGAH PURWADI ,S.KM K -0 3,410,600 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 40,106
29-10-1980 1 3,410,600 0 0 0
198010292011011008 MKG:11 0 272,848 0
Penata Tk.I-3D 0 0222200915223
34 0
16.034.047.7-914.000 4,083,054 0 312,954 0
0 3,770,100

NO KAWIN
7 BAIQ FARIDA MEGAROSAWANTI, A.M TK-0 4,237,500 0 0 0 58,900 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
12-02-1972 1 4,237,500 0 58,900 0
197202121992032014 MKG:24 0 339,000 0 0222200905228
48.427.264.6-915.000 4,868,875 0 445,275 0
0 4,423,600
8 SITI RAODAH.KEB. ,AMD K -1 4,237,500 0 0 0 7,558 0 8 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
06-10-1973 4 4,830,750 0 7,558 0
197310061993022002 MKG:24 0 386,460 0 0222200906222
15.158.780.5-915.000 5,628,026 0 447,326 0
0 5,180,700
9 NI NENGAH YUDHI HARTATI TK-0 4,237,500 0 0 0 58,900 0 9 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
14-06-1974 1 4,237,500 0 58,900 0
197406141993022003 MKG:24 0 339,000 0
Penata Tk.I-3D 0 0222200907226
55 0
48.427.098.8-911.000 4,868,875 0 445,275 0
0 4,423,600
10 drg., MUHAMMAD QODRI K -1 2,890,500 0 0 0 0 0 10 .............
2 289,050 0 0 0 0 0
115,620 750,000 289,680 0 40,452
21-12-1989 4 3,295,170 0 0 0
198912212019031010 MKG: 3 0 263,614 0
Penata-3C 0 0220200104214
16 0
84.153.481.1-101.000 4,334,866 0 304,066 0
0 4,030,800
11 FATMA ARIANTI,KEP. ,AMD K -1 3,272,200 0 0 0 0 0 11 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
17-04-1987 4 3,730,308 0 0 0
198704172010012028 MKG:10 0 298,425 0
Penata-3C 0 0222200919029
40 0
16.180.314,3-915.000 4,620,028 0 341,728 0
0 4,278,300
12 SRI MARTINI TK-0 3,481,600 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,816
27-03-1981 1 3,481,600 0 0 0
198103272001122001 MKG:14 0 278,528 0 0222200700226
Penata-3C 24 0 0
58.744.492.8-915.000 4,054,044 0 318,344 0
0 3,735,700
13 BAIQ RATNA UTAMI AYU NINGDIAH. K -1 3,272,200 0 0 0 0 0 13 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
30-07-1987 4 3,730,308 0 0 0
198707302010012007 MKG:10 0 298,425 0
Penata-3C 40 0 0
4,520,028 0 340,728 0
0 4,179,300

NO KAWIN
14 LIANA ERMAYANI.AMKL K -1 3,272,200 0 0 0 0 0 14 .............
2 327,220 0 0 0 0 0
130,888 265,000 289,680 0 39,953
30-01-1982 4 3,730,308 0 0 0
198201302010012019 MKG:10 0 298,425 0 0222200916227
Penata-3C 90 0 0
15.664.866.9-914.000 4,285,078 0 338,378 0
0 3,946,700
15 NI KETUT DIYARNI.A.MD.GZ. TK-0 2,950,600 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 32,156
21-04-1977 1 2,950,600 0 0 0
197704212011012007 MKG: 7 0 236,048 0 0222200910223
16.886.791.9-914.000 3,288,104 0 268,204 0
0 3,019,900
16 THOHRIAH A.MD.KG TK-0 2,950,600 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 32,156
29-06-1981 1 2,950,600 0 0 0
198106292011012009 MKG: 7 0 236,048 0
84 0
66.990.498.9-915.000 3,288,104 0 268,204 0
0 3,019,900
17 WAYAN ARMINI WIDYABTARI.A.MD.K K -1 2,950,600 0 0 0 0 0 17 .............
2 295,060 0 0 0 0 0
118,024 265,000 289,680 0 36,287
31-03-1987 4 3,363,684 0 0 0
198703312011012015 MKG: 7 0 269,095 0
3,918,382 0 305,382 0
0 3,613,000
18 TITIN SARASWATI K -1 3,106,900 0 0 0 0 0 18 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
22-04-1977 4 3,541,866 0 0 0
197704222005012014 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200901222
22 0
58.744.498.5-911.000 4,131,568 0 321,768 0
0 3,809,800
19 NI WAYAN WARTI K -1 3,106,900 0 0 0 0 0 19 .............
0 310,690 0 0 0 0 0
0 300,000 144,840 0 37,176
25-04-1983 2 3,417,590 0 0 0
198304252005012014 MKG:12 0 273,407 0 0222200896220
58.744.507.3-911.000 3,862,483 0 310,583 0
0 3,551,900
20 ABDUL MALIK K -1 3,627,900 0 0 0 0 0 20 .............
2 362,790 0 0 0 0 0
145,116 265,000 289,680 0 44,008
21-02-1975 4 4,135,806 0 0 0
197502211995031004 MKG:22 0 330,864 0
Penata Muda-3A 0 0222200596225
86 0
58.744.502.4-911.000 4,690,572 0 374,872 0
0 4,315,700

NO KAWIN
21 APRIAWAN SURAHMAN K -1 3,012,000 0 0 0 0 0 21 .............
0 301,200 185,000 0 0 0 0
0 0 144,840 0 34,982
02-05-1981 2 3,313,200 0 0 0
198105022010011013 MKG:10 0 265,056 0 0222204854025
3,643,138 0 300,038 0
0 3,343,100
PEG: 19 4,109,450 185,000 0 0 0 0
IST: 12 JIWA= 51 1,399,024 7,825,000 3,693,420 0 808,801
72,379,974 0 155,829 0
ANK: 20 0 5,790,399 0
1,006 0 0
84,730,229 0 6,755,029
0 77,975,200
22 NURHASANAH ,A.Md.Keb.. K -1 2,889,800 0 0 0 0 0 22 .............
2 288,980 0 0 0 0 0
115,592 240,000 289,680 0 35,344
29-10-1980 4 3,294,372 0 0 0
198010292019052003 MKG:16 0 263,550 0
Pengatur Tk.I-2D 0 0220200422272
42 0
66.916.311.5-915.000 3,824,094 0 298,894 0
0 3,525,200
23 WIWIN ARISANDI ,AMD.KEB K -1 2,889,800 0 0 0 0 0 23 .............
2 288,980 0 0 0 0 0
115,592 240,000 289,680 0 35,344
15-11-1987 4 3,294,372 0 0 0
198711152017042001 MKG:15 0 263,550 0 0222201904220
66.916.226.5-915.000 3,824,094 0 298,894 0
0 3,525,200
24 SRI MAHDAYANI ,AMD.KEB K -1 2,633,100 0 0 0 0 0 24 .............
2 263,310 0 0 0 0 0
105,324 240,000 289,680 0 32,417
04-03-1989 4 3,001,734 0 0 0
198903042017042001 MKG:10 0 240,139 0 0222201903227
66.916.261.2-915.000 3,531,456 0 272,556 0
0 3,258,900
25 RETNO SARI DEWI ,AMD.KEB K -1 2,552,700 0 0 0 0 0 25 .............
1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
14-09-1992 3 2,859,024 0 0 0
199209142017042001 MKG: 8 0 228,722 0 0222201905225
71.831.2317-915.000 3,316,312 0 259,712 0
0 3,056,600
26 NI PUTU MAHAYANTI ,A.Md.A.K. K -0 2,474,700 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 27,147
27-04-1986 1 2,474,700 0 0 0
198604272019032007 MKG: 6 0 197,976 0
Pengatur Tk.I-2D 0 0222200369314
3 0
45.601.279.8.915.000 2,787,123 0 225,123 0
0 2,562,000

NO KAWIN
27 NURNA HATI K -1 2,980,800 0 0 0 0 0 27 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
15-06-1967 4 3,398,112 0 0 0
196706152007072034 MKG:17 0 271,849 0 0222200897225
58.054.936.8-911.000 3,867,830 0 307,630 0
0 3,560,200
28 RIPAAN MARIATI TK-0 2,980,800 0 0 0 0 0 28 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
15-08-1971 1 2,980,800 0 0 0
197108152007012032 MKG:17 0 238,464 0 0222200909224
57.345.389.1-915.000 3,233,272 0 270,072 0
0 2,963,200
29 IWAN JAYADI K -1 3,444,600 0 0 0 0 0 29 .............
1 344,460 0 0 0 0 0
68,892 240,000 217,260 0 40,980
26-01-1971 3 3,857,952 0 0 0
197101261993031005 MKG:29 0 308,636 0
Pengatur-2C 0 0222200911227
4 0
88.958060.1-911.000 4,315,216 0 349,616 0
0 3,965,600
30 BAIQ ARVIANI AKMASARIE ,S.Pd TK-0 2,859,800 0 0 0 0 0 30 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 30,398
30-07-1983 1 2,859,800 0 0 0
198307302014072003 MKG:18 0 228,784 0
Pengatur-2C 0 5100300660047
62 0
73.996.623.2-915.000 3,112,282 0 259,182 0
0 2,853,100
31 QURRATUL 'AINI ,A.Md.Gz K -1 2,374,300 0 0 0 0 0 31 .............
2 237,430 180,000 0 0 0 0
94,972 0 289,680 0 28,867
16-05-1992 4 2,706,702 0 0 0
199205162020122013 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228003925
21 0
766541965914000 3,176,403 0 245,403 0
PEG: 10 1,976,510 720,000 0 0 0 0
IST: 7 JIWA= 29 670,658 1,440,000 2,100,180 0 328,876
30,727,568 0 0 0
ANK: 12 0 2,458,206 0
334 0 0
34,988,082 0 2,787,082
0 32,201,000

NO KAWIN
TOTAL PER SATKER 103,245,600 490,000 0 0 205,126 0
PEG: 31 6,915,330 905,000 0 0 0 0
IST: 21 JIWA= 87 2,304,484 11,315,000 6,300,540 0 1,251,756
ANK: 35 112,465,414 0 205,126 0
0 8,997,235 0
0 0
1,437 0 10,454,117
131,682,517
0 121,228,400
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS DASAN TAPEN

NO KAWIN
1 ZULHANA ,S.KM K -0 4,699,300 540,000 0 0 0 0 1 .............
0 0 0 0 0 0 0
0 0 72,420 0 52,393
04-09-1969 1 4,699,300 0 0 0
196909041993032009 MKG:28 0 375,944 0 0222205870026
Pembina-4A 17 0 0
48.415.077.6-915.000 5,311,737 0 428,337 0
0 4,883,400
2 I WAYAN SURYADIKA K -1 4,699,300 0 0 0 0 0 2 .............
2 469,930 0 0 0 0 0
187,972 600,000 289,680 0 59,572
20-02-1965 4 5,357,202 0 0 0
196502201988121001 MKG:28 0 428,576 0 0222201331228
Pembina-4A 66 0 0
48.427.165.5-915.000 6,246,948 0 488,148 0
0 5,758,800
SUB TOTAL PERGOLONGAN : IV 9,398,600 540,000 0 0 0 0
PEG: 2 469,930 0 0 0 0 0
IST: 1 JIWA= 5 187,972 600,000 362,100 0 111,965
10,056,502 0 0 0
ANK: 2 0 804,520 0
83 0 0
11,558,685 0 916,485
0 10,642,200
3 BANGUN SUCIATI, AMD. K -1 3,628,900 0 0 0 0 0 3 .............
2 362,890 0 0 0 0 0
145,156 780,000 289,680 0 49,169
30-10-1981 4 4,136,946 0 0 0
198110302008012010 MKG:15 0 330,956 0
5,206,725 0 380,125 0
0 4,826,600
4 SUJIRMAN.S.ST K -1 4,237,500 0 0 0 215,750 0 4 .............
2 423,750 0 0 0 0 0
169,500 600,000 289,680 0 54,308
31-12-1972 4 4,830,750 0 215,750 0
197212311993031056 MKG:24 0 386,460 0 0222201351228
15.436.789.0-923.000 5,936,218 0 656,518 0
0 5,279,700
5 JA'PAR K -1 4,370,900 0 0 0 202,950 0 5 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
31-12-1968 4 4,982,826 0 202,950 0
196812311990031065 MKG:26 0 398,626 0 0222201245229
48.427.210.9-911.000 5,975,504 0 656,404 0
0 5,319,100
6 MOHTAR K -1 4,370,900 0 0 0 202,950 0 6 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
31-12-1969 4 4,982,826 0 202,950 0
196912311988031013 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222205307029
48 0
48.427.152.3-911.000 5,975,504 0 656,404 0
0 5,319,100

NO KAWIN
7 SITI EKA RATNA ERLYANA.K ,AMD K -0 4,108,100 0 0 0 129,650 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
31-12-1971 1 4,108,100 0 129,650 0
197208221993022004 MKG:22 0 328,648 0 0222201348220
08.416.331.0.915.000 4,810,179 0 504,379 0
0 4,305,800
8 BAIQ RUMINSIH K -1 3,982,600 0 0 0 0 0 8 .............
2 398,260 0 0 0 0 0
159,304 500,000 289,680 0 50,402
31-12-1971 4 4,540,164 0 0 0
197112312006042087 MKG:20 0 363,213 0 0222228000974
57.336.529.3-915.000 5,329,915 0 413,615 0
0 4,916,300
9 DYAH NOOR HIDAYATI TK-0 3,704,300 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 42,043
02-04-1978 1 3,704,300 0 0 0
197804021998032001 MKG:18 0 296,344 0
Penata-3C 0 0222200345222
67 0
57.336.501.2-915.000 4,276,787 0 338,387 0
0 3,938,400
10 MUHAMAD MULIADI K -1 3,591,200 0 0 0 0 0 10 .............
2 359,120 0 0 0 0 0
143,648 500,000 289,680 0 45,940
26-07-1976 4 4,093,968 0 0 0
197607262008011011 MKG:16 0 327,517 0
Penata-3C 0 0222201332222
9 0
49.129.753.7-915.000 4,883,657 0 373,457 0
0 4,510,200
11 BAIQ DIAN FATMAWATI ,AMD TK-0 3,591,200 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 40,912
12-11-1980 1 3,591,200 0 0 0
198011122003122007 MKG:16 0 287,296 0
Penata-3C 0 0222205554024
88 0
66.916.514.4-915.000 4,163,708 0 328,208 0
0 3,835,500
12 ZULFATUL MELKI.KEB. ,AMD K -1 3,272,200 0 0 0 0 0 12 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
23-02-1981 4 3,730,308 0 0 0
198102232010012006 MKG:10 0 298,425 0 0222201327227
Penata-3C 40 0 0
68.807.524.1-915.000 4,520,028 0 340,728 0
13 LALU HABIBULLAH.AM.KG K -1 3,272,200 0 0 0 0 0 13 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
14-03-1982 4 3,730,308 0 0 0
198203142010011011 MKG:10 0 298,425 0
Penata-3C 0 0222201323220
40 0
159841261915000 4,520,028 0 340,728 0

NO KAWIN
14 SITI HADIJAH. ,AMD.KEP K -1 3,139,400 0 0 0 0 0 14 .............
2 313,940 0 0 0 0 0
125,576 500,000 289,680 0 40,789
09-05-1985 4 3,578,916 0 0 0
198505092009012010 MKG:10 0 286,313 0 0222201329225
68.638.838.0-915.000 4,368,602 0 327,102 0
Tmt 2022-12-01 0 4,041,500
15 ROSI. ,AMD.KEP JD-0 3,139,400 0 0 0 0 0 15 .............
1 0 0 0 0 0 0
62,788 495,000 144,840 0 36,972
22-08-1979 2 3,202,188 0 0 0
197908222010012020 MKG:10 0 256,175 0 0222201335224
16.124.091.6-915.000 3,842,047 0 293,147 0
0 3,548,900
16 NI PUTU EKA PRAYANTI. ,AMD.KEP K -1 3,043,600 0 0 0 0 0 16 .............
2 304,360 0 0 0 0 0
121,744 495,000 289,680 0 39,647
06-11-1984 4 3,469,704 0 0 0
198411062011012010 MKG: 8 0 277,576 0
39 0
54.495.824.2-915.000 4,254,423 0 317,223 0
0 3,937,200
17 E R W I N, ,AMD.KEP K -1 3,043,600 0 0 0 0 0 17 .............
2 304,360 0 0 0 0 0
121,744 495,000 289,680 0 39,647
07-06-1986 4 3,469,704 0 0 0
198606072011011018 MKG: 8 0 277,576 0
4,254,423 0 317,223 0
0 3,937,200
18 NIRMALAWATI.A,MD,KEP TK-0 3,043,600 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 35,386
10-09-1986 1 3,043,600 0 0 0
198609102011012025 MKG: 8 0 243,488 0
54 0
66.909.823.8-915.000 3,611,074 0 278,874 0
0 3,332,200
19 SRI KARTINI TK-0 3,139,400 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 34,394
21-04-1979 1 3,139,400 0 0 0
197904212006042020 MKG:11 0 251,152 0 0222201003223
48.657.686.1-913.000 3,511,846 0 285,546 0
0 3,226,300
20 ARI ANDRIANSYAH ,SKM K -1 2,773,200 0 0 0 0 0 20 .............
1 277,320 0 0 0 0 0
55,464 300,000 217,260 0 34,060
06-10-1988 3 3,105,984 0 0 0
198810062019031002 MKG: 3 0 248,479 0
95 0
74.320.547.8-914.000 3,623,339 0 282,539 0
0 3,340,800

NO KAWIN
21 SUSI ERNAWATI TK-0 3,238,300 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
18-02-1977 1 3,238,300 0 0 0
197702182005012010 MKG:12 0 259,064 0 0222201343220
58.744.491.0-914.000 3,575,797 0 294,097 0
0 3,281,700
22 SRI SUSILAWATI ,A.MD.AK K -1 3,139,400 0 0 0 0 0 22 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
19-02-1980 4 3,578,916 0 0 0
198002192009032005 MKG:10 0 286,313 0 0222201339221
16.128.424.5-922.000 4,133,652 0 324,752 0
0 3,808,900
23 MILA JUNIYANTI.A.MD.KEB TK-0 3,139,400 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
25-06-1987 1 3,139,400 0 0 0
198706252010012008 MKG:10 0 251,152 0
76 0
68.592.941.6-915.000 3,476,896 0 285,196 0
0 3,191,700
24 KHATTUN ROHMATULLAH.A.MD.KEB K -1 3,043,600 0 0 0 0 0 24 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
30-09-1984 3 3,408,832 0 0 0 0
198409302010012026 MKG: 8 0 272,707 0
3,891,145 0 309,445 0
0 3,581,700
25 TINI HARIANI.KEB ,AMD TK-0 3,043,600 0 0 0 0 0 25 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
31-12-1986 1 3,043,600 0 0 0
198612312011012015 MKG: 8 0 243,488 0
3,381,074 0 276,574 0
0 3,104,500
26 BAIQ SAUMI FASIHA.KEB ,AMD K -1 3,043,600 0 0 0 0 0 26 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
28-04-1989 4 3,469,704 0 0 0
198904282011012015 MKG: 8 0 277,576 0 0222201372222
45.239.122.0-915.000 4,024,423 0 314,923 0
0 3,709,500
27 SUKRIYADI TK-0 3,106,900 490,000 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 0 72,420 0 35,969
08-07-1975 1 3,106,900 0 0 0
197507082009011004 MKG:12 0 248,552 0
Penata Muda-3A 0 0222203473226
1 0
685929358911000 3,669,321 0 284,521 0
0 3,384,800

NO KAWIN
28 EVA FEBRIANI K -0 3,012,000 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 33,120
04-02-1985 1 3,012,000 0 0 0
198502042008012003 MKG:10 0 240,960 0 0222201344225
88.958.065.0-915.000 3,384,480 0 274,080 0
0 3,110,400
29 BAIQ ENITA ROHAYANI TK-0 3,517,200 0 0 0 0 0 29 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
11-07-1975 1 3,517,200 0 0 0
197507112007012024 MKG:20 0 281,376 0 0222201349225
58.054.622.4-915.000 3,854,698 0 319,198 0
0 3,535,500
PEG: 27 5,195,280 0 0 0 0 0
IST: 15 JIWA= 71 2,024,564 11,115,000 5,141,820 0 1,105,610
98,956,044 0 751,300 0
ANK: 29 0 7,916,483 0
1,329 0 0
116,455,493 0 9,773,393
0 106,682,100
30 RAUHUL HAZMI ,AMD.KEB. K -0 2,889,800 0 0 0 0 0 30 .............
1 0 0 0 0 0 0
57,796 240,000 144,840 0 31,876
11-05-1986 2 2,947,596 0 0 0
198611052017042005 MKG:15 0 235,808 0 0222201890224
66.916.471.7-915.000 3,332,484 0 267,684 0
0 3,064,800
31 FEMI TRIDIANI HARTINING TYAS K -1 2,801,500 0 0 0 0 0 31 .............
,AMD.KEB 2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
19-03-1990 4 3,193,710 0 0 0
199003192017042003 MKG:13 0 255,497 0 0222201896228
70.343.727.7-911.000 3,723,434 0 289,834 0
0 3,433,600
32 NURUL LASMINI ,A.Md.Gz. K -1 2,474,700 0 0 0 0 0 32 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
06-10-1993 3 2,771,664 0 0 0
199310062019032009 MKG: 6 0 221,733 0 0222228000974
76.982.916.9-915.000 3,228,950 0 251,850 0
0 2,977,100
33 SUMIATI K -1 3,074,700 0 0 0 0 0 33 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
11-03-1977 4 3,505,158 0 0 0
197703112008012021 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 0222201330224
27 0
97.039.351.8-915.000 3,974,865 0 317,265 0
0 3,657,600

NO KAWIN
PEG: 4 835,090 180,000 0 0 0 0
IST: 3 JIWA= 13 342,338 720,000 941,460 0 133,182
12,418,128 0 0 0
ANK: 6 0 993,451 0
145 0 0
14,259,733 0 1,126,633
0 13,133,100
TOTAL PER SATKER 112,375,500 1,030,000 0 0 751,300 0
PEG: 33 6,500,300 180,000 0 0 0 0
IST: 19 JIWA= 89 2,554,874 12,435,000 6,445,380 0 1,350,757
ANK: 37 121,430,674 0 751,300 0
0 9,714,454 0
0 0
1,557 0 11,816,511
142,273,911
0 130,457,400
KEPALA PUSKESMAS DASAN TAPEN ,21 NOPEMBER 2022

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS BANYUMULEK

NO KAWIN
1 DR, QUDUSIYAH FAHRIATI K -1 3,901,500 0 0 0 0 0 1 .............
2 390,150 0 0 0 0 0
156,060 1,200,000 289,680 0 56,477
28-09-1972 4 4,447,710 0 0 0
197209282005012007 MKG:16 0 355,817 0 0222200275220
Pembina-4A 4 0 0
48.426.990.7-915.000 5,937,394 0 412,294 0
0 5,525,100
2 DRG, FARAH AISA MEGA IFANI K -1 3,666,900 0 0 0 14,594 0 2 .............
2 366,690 0 0 0 0 0
146,676 1,200,000 289,680 0 53,803
01-03-1985 4 4,180,266 0 14,594 0
198503012010012007 MKG:12 0 334,421 0 0222201346223
Pembina-4A 78 0 0
68.807.519.1-612.000 5,684,618 0 402,818 0
0 5,281,800
PEG: 2 756,840 0 0 0 0 0
IST: 2 JIWA= 8 302,736 2,400,000 579,360 0 110,280
8,627,976 0 14,594 0
ANK: 4 0 690,238 0
82 0 0
11,622,012 0 815,112
0 10,806,900
3 FATMAWATI NURHAYANINGSIH JD-0 4,650,600 490,000 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 0 72,420 0 51,406
25-04-1968 1 4,650,600 0 0 0
196804251990032010 MKG:30 0 372,048 0 0222200249222
48.427.230.7.915.000 5,213,054 0 423,454 0
0 4,789,600
4 H A I R U D I N K -1 4,370,900 0 0 0 157,800 0 4 .............
2 437,090 0 0 0 0 0
174,836 850,000 289,680 0 58,328
31-12-1969 4 4,982,826 0 157,800 0
196912311990011005 MKG:26 0 398,626 0 0222203875022
48.427.182.0-911.000 6,280,354 0 614,754 0
Tmt 2022-12-01 0 5,665,600
5 ARFIT NAEN K -0 3,743,100 0 0 0 0 0 5 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 43,431
25-02-1979 1 3,743,100 0 0 0
197902252000122002 MKG:16 0 299,448 0 0222201092224
57.336.527.7-914.000 4,415,579 0 342,879 0
0 4,072,700
6 NI WAYAN SUDARMIN ,AMD.GZ TK-0 3,628,900 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 42,289
05-10-1981 1 3,628,900 0 0 0
198110052006042021 MKG:14 0 290,312 0
Penata Tk.I-3D 0 0222200976227
81 0
16.311.121.4-913.000 4,301,401 0 332,601 0
0 3,968,800

NO KAWIN
7 NI WAYAN SUMINARNI TK-0 3,743,100 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 42,431
28-08-1976 1 3,743,100 0 0 0
197608282006042025 MKG:17 0 299,448 0 0222201000220
57.336.486.6-914.000 4,315,579 0 341,879 0
0 3,973,700
8 NI MADE DWI MARTINI K -1 3,743,100 0 0 0 0 0 8 .............
2 374,310 0 0 0 0 0
149,724 500,000 289,680 0 47,671
22-03-1983 4 4,267,134 0 0 0
198303222005012011 MKG:16 0 341,371 0 0222200997220
15.038.673.8-914.000 5,056,842 0 389,042 0
0 4,667,800
9 SULHIATI K -1 3,591,200 0 0 0 13,500 0 9 .............
2 359,120 0 0 0 0 0
143,648 500,000 289,680 0 45,940
04-08-1973 4 4,093,968 0 13,500 0 0
197308042001122005 MKG:16 0 327,517 0
Penata-3C 0 0222201002229
9 0
16.021.682.6-915.000 4,897,157 0 386,957 0
0 4,510,200
10 EDI MULIJATI SIDIK ,AMD.KEP K -1 3,272,200 0 0 0 0 0 10 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
31-12-1987 4 3,730,308 0 0 0
198712312010011008 MKG:10 0 298,425 0
Penata-3C 0 0222203819028
40 0
87.199.676.5-915.000 4,520,028 0 340,728 0
0 4,179,300
11 SAFARIANI HERDIANA ,AM.G. K -1 3,172,300 0 0 0 0 0 11 .............
2 317,230 0 0 0 0 0
126,892 500,000 289,680 0 41,164
29-12-1981 4 3,616,422 0 0 0
198112292009012005 MKG: 8 0 289,314 0
Penata-3C 76 0 0
87.444.362.5-915 4,406,178 0 330,478 0
0 4,075,700
12 dr., ASRI MEIY ANDINI TK-0 2,890,500 0 0 0 0 0 12 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 30,755
23-05-1993 1 2,890,500 0 0 0
199305232019032018 MKG: 3 0 231,240 0 0220200066281
Penata-3C 75 0 0
80.193.315.1-915.000 3,147,995 0 261,995 0
0 2,886,000
13 WIWIK LINDIA FETTI. ,AMD.KEP K -0 3,139,400 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 36,394
04-05-1987 1 3,139,400 0 0 0
198705042010012029 MKG:10 0 251,152 0
26 0
88.957.152.7-915.000 3,711,846 0 287,546 0
Tmt 2022-12-01 0 3,424,300

NO KAWIN
14 MAIMUNAH. ,AMD.KEP JD-0 3,043,600 0 0 0 0 0 14 .............
2 0 0 0 0 0 0
121,744 300,000 217,260 0 34,653
18-01-1984 3 3,165,344 0 0 0
198401182011012012 MKG: 8 0 253,228 0 0222204350029
16.393.103.6.915.000 3,682,681 0 287,881 0
0 3,394,800
15 RATNA KUSUMARINI, K -1 3,139,400 0 0 0 0 0 15 .............
1 313,940 0 0 0 0 0
62,788 265,000 217,260 0 37,811
14-10-1976 3 3,516,128 0 0 0
197610142010012009 MKG:10 0 281,290 0 0222205911026
57.383.370.4-009.000 3,998,401 0 319,101 0
0 3,679,300
16 SRI KOMALASARI.G ,AMD K -1 3,139,400 0 0 0 0 0 16 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
08-04-1984 4 3,578,916 0 0 0
198404082010012021 MKG:10 0 286,313 0
56 0
47.260.744.9-912.000 4,133,652 0 324,752 0
0 3,808,900
17 NI NYOMAN SARMINI.A.MD.AK K -1 3,043,600 0 0 0 0 0 17 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
16-10-1989 4 3,469,704 0 0 0
198910162011012010 MKG: 8 0 277,576 0
39 0
728655143915000 4,024,423 0 314,923 0
0 3,709,500
18 ERY HADIYANI PUJI ASTUTI K -1 3,517,200 0 0 0 0 0 18 .............
2 351,720 0 0 0 0 0
140,688 300,000 289,680 0 43,096
07-02-1978 4 4,009,608 0 0 0
197802072007012017 MKG:20 0 320,769 0
Penata Muda-3A 0 0222200996227
77 0
88.958.074.2-915.000 4,599,365 0 363,865 0
0 4,235,500
19 SITI SURYANINGSIH K -1 3,106,900 0 0 0 0 0 19 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
20-09-1982 4 3,541,866 0 0 0
198209202007012007 MKG:12 0 283,349 0 0222203789027
57.336.499.9-915.000 4,131,568 0 321,768 0
0 3,809,800
20 NURHASANAH K -1 3,106,900 0 0 0 0 0 20 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
15-12-1985 4 3,541,866 0 0 0
198512152007012001 MKG:12 0 283,349 0
Penata Muda-3A 0 0222203820027
22 0
57.336.532.7-911.000 4,131,568 0 321,768 0
0 3,809,800

NO KAWIN
21 ATUN RAHMIATUN TK-0 3,409,800 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,748
10-06-1978 1 3,409,800 0 0 0
197806102008012035 MKG:18 0 272,784 0 0222200990223
89.751.530.0-915.000 3,747,232 0 309,532 0
0 3,437,700
22 NI WAYAN PADMI LESTARI TK-0 3,409,800 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,748
12-10-1979 1 3,409,800 0 0 0
197910122008012029 MKG:18 0 272,784 0 0222200992220
15.983.972.9-915.000 3,747,232 0 309,532 0
0 3,437,700
PEG: 20 3,720,310 185,000 0 0 0 0
IST: 11 JIWA= 54 1,547,080 7,575,000 3,910,680 0 823,792
74,129,290 0 171,300 0
ANK: 23 0 5,930,343 0
865 0 0
86,462,135 0 6,925,435
0 79,536,700
23 OKTIYARIN WAHYU NINGRUM K -1 2,889,800 0 0 0 0 0 23 .............
,AMD.KEB 1 288,980 0 0 0 0 0
57,796 240,000 217,260 0 34,766
20-10-1988 3 3,236,576 0 0 0
198810202017042001 MKG:15 0 258,926 0 0222201893226
16.393.334.4-915.000 3,693,892 0 293,692 0
0 3,400,200
24 BAIQ DESI ARNI FATMAWATI TK-0 2,801,500 0 0 0 0 0 24 .............
,AMD.KEB 0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
09-12-1988 1 2,801,500 0 0 0
198812092017042003 MKG:13 0 224,120 0 0222201894221
70.341.248.6-911.000 3,113,935 0 254,535 0
0 2,859,400
25 MOHAMAD ICHSAN EFENDI K -1 2,474,700 0 0 0 0 0 25 .............
,A.Md.Kep. 2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
08-08-1989 4 2,821,158 0 0 0
198908082019031018 MKG: 6 0 225,693 0 0220228001022
84.374.789.0-914.000 3,350,905 0 256,305 0
0 3,094,600
26 LALU PUJIMAN K -1 2,859,800 0 0 0 0 0 26 .............
2 285,980 0 0 0 0 0
114,392 360,000 289,680 0 36,202
01-11-1971 4 3,260,172 0 0 0
197111012010011003 MKG:17 0 260,814 0
Pengatur-2C 0 0222200989224
64 0
68.807.522.5.915.000 3,909,916 0 297,016 0
0 3,612,900

NO KAWIN
27 BAIQ SRI WINARNI K -1 2,859,800 0 0 0 0 0 27 .............
2 285,980 0 0 0 0 0
114,392 240,000 289,680 0 35,002
01-01-1984 4 3,260,172 0 0 0
198401012014062014 MKG:17 0 260,814 0 0222203595024
Pengatur-2C 64 0 0
70.610.726.5-911.000 3,789,916 0 295,816 0
0 3,494,100
28 MARDIAN YUNANDA ,A.Md.KG K -1 2,374,300 0 0 0 0 0 28 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
04-07-1993 3 2,659,216 0 0 0
199307042020121006 MKG: 5 0 212,737 0 0220201192311
Pengatur-2C 53 0 0
901979393914000 3,056,529 0 241,129 0
PEG: 6 1,345,840 180,000 0 0 0 0
IST: 5 JIWA= 19 433,054 1,320,000 1,375,980 0 195,389
18,038,794 0 0 0
ANK: 8 0 1,443,104 0
319 0 0
20,915,093 0 1,638,493
0 19,276,600
TOTAL PER SATKER 92,690,200 490,000 0 0 185,894 0
PEG: 28 5,822,990 365,000 0 0 0 0
IST: 18 JIWA= 81 2,282,870 11,295,000 5,866,020 0 1,129,461
ANK: 35 100,796,060 0 185,894 0
0 8,063,685 0
0 0
1,266 0 9,379,040
118,999,240
0 109,620,200
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS JEMBATAN KEMBAR

NO KAWIN
1 IWAN KUSMAYADI AS ,S.Kep. K -1 3,901,500 0 0 0 0 0 1 .............
2 390,150 0 0 0 0 0
156,060 850,000 289,680 0 52,977
02-03-1979 4 4,447,710 0 0 0
197903022003121005 MKG:16 0 355,817 0
Pembina-4A 4 0 0
495251845911000 5,587,394 0 408,794 0
0 5,178,600
SUB TOTAL PERGOLONGAN : IV 3,901,500 0 0 0 0 0
PEG: 1 390,150 0 0 0 0 0
IST: 1 JIWA= 4 156,060 850,000 289,680 0 52,977
4,447,710 0 0 0
ANK: 2 0 355,817 0
4 0 0
5,587,394 0 408,794
0 5,178,600
2 ERMINA ZAENAB ,AMD K -0 3,743,100 0 0 0 0 0 2 .............
2 0 0 0 0 0 0
149,724 600,000 217,260 0 44,928
28-03-1977 3 3,892,824 0 0 0
197703282002122005 MKG:16 0 311,426 0
Penata Tk.I-3D 0 0222201578022
70 0
889571584915000 4,710,154 0 356,354 0
0 4,353,800
3 SRI LESTARI ,S.KEP.NS K -1 3,410,600 0 0 0 190,850 0 3 .............
2 341,060 0 0 0 0 0
136,424 600,000 289,680 0 44,881
02-03-1984 4 3,888,084 0 190,850 0
198403022011012008 MKG:11 0 311,047 0 0222201217226
579484213915000 4,968,678 0 546,778 0
0 4,421,900
4 SUKANAWATI, A,MD.KEB. TK-0 4,797,000 0 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 52,970
31-12-1964 1 4,797,000 0 0 0
196412311985112038 MKG:32 0 383,760 0 0222203876026
484272299915000 5,369,430 0 436,730 0
0 4,932,700
5 I KETUT SUKAYASA K -1 4,370,900 0 0 0 202,950 0 5 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
01-05-1963 4 4,982,826 0 202,950 0
197005011990031007 MKG:26 0 398,626 0 0222200970223
484272398911000 5,975,504 0 656,404 0
0 5,319,100
6 NOVI KRISTANTI K -1 4,237,500 0 0 0 7,550 0 6 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
26-11-1972 4 4,830,750 0 7,550 0
197211261992032007 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200162228
38 0
484272141915000 5,628,018 0 447,318 0
0 5,180,700

NO KAWIN
7 I GUSTI AYU YULIANI TK-0 4,237,500 0 0 0 58,900 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
01-07-1973 1 4,237,500 0 58,900 0
197307011992032002 MKG:24 0 339,000 0 0222200924224
123123132 4,868,875 0 445,275 0
0 4,423,600
8 NI NENGAH WISKAWENI K -1 4,108,100 0 0 0 1,883 0 8 .............
2 410,810 0 0 0 0 0
164,324 500,000 289,680 0 51,832
16-12-1974 4 4,683,234 0 1,883 0
197412161998032005 MKG:22 0 374,659 0 0222200971227
573365186915000 5,474,874 0 428,374 0
0 5,046,500
9 Dr., I KOMANG ARYA DUARSA K -1 2,981,500 0 0 0 0 0 9 .............
1 298,150 0 0 0 0 0
59,630 750,000 217,260 0 40,893
11-12-1987 3 3,339,280 0 0 0
198712112015021002 MKG: 4 0 267,142 0
Penata-3C 0 0222201022229
95 0
660870262911000 4,306,635 0 308,035 0
0 3,998,600
10 SARINI K -1 3,941,400 0 0 0 0 0 10 .............
2 394,140 0 0 0 0 0
157,656 500,000 289,680 0 49,932
17-07-1970 4 4,493,196 0 0 0
197007171994032015 MKG:22 0 359,456 0
Penata-3C 0 0222200754012
12 0
889571485915000 5,282,888 0 409,388 0
0 4,873,500
11 LENI ROSITA TK-0 3,481,600 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,816
04-10-1981 1 3,481,600 0 0 0
198110042007012007 MKG:14 0 278,528 0
Penata-3C 0 0222200713223
24 0
587444431915000 4,054,044 0 318,344 0
0 3,735,700
12 GIGIN VIRGINIA AGUSTIN K -0 3,481,600 0 0 0 0 0 12 .............
,A.Md.Kep. 0 0 185,000 0 0 0 0
0 0 72,420 0 36,666
30-08-1981 1 3,481,600 0 0 0
198108302007012008 MKG:14 0 278,528 0 0222200978225
Penata-3C 74 0 0
795932367913000 3,739,094 0 315,194 0
0 3,423,900
13 R A M E L I K -1 4,023,300 0 0 0 0 0 13 .............
2 402,330 185,000 0 0 0 0
160,932 0 289,680 0 47,716
31-12-1966 4 4,586,562 0 0 0
196612311986031085 MKG:26 0 366,925 0
99 0
573365178915000 5,061,341 0 414,641 0
0 4,646,700

NO KAWIN
14 NURUL HIKMAWATI TK-0 3,106,900 490,000 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 0 72,420 0 35,969
23-07-1977 1 3,106,900 0 0 0
197707232010012003 MKG:12 0 248,552 0 0222205840020
970400222914000 3,669,321 0 284,521 0
0 3,384,800
15 JA'FAR K -1 3,106,900 0 0 0 0 0 15 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
11-01-1982 4 3,541,866 0 0 0
198201112007011007 MKG:12 0 283,349 0 0222200977220
573365160915000 4,131,568 0 321,768 0
0 3,809,800
16 HANUM TRI HAPSARI ,SKM. TK-0 2,660,700 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 29,607
29-04-1993 1 2,660,700 0 0 0
199304292019032017 MKG: 2 0 212,856 0
Penata Muda-3A 0 0220100068283
43 0
910172378501000 3,033,163 0 242,463 0
0 2,790,700
17 ESTY PRIHARTINI K -1 3,517,200 0 0 0 0 0 17 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
12-04-1978 4 4,009,608 0 0 0
197804122008012208 MKG:20 0 320,769 0
Penata Muda-3A 0 0222205257028
27 0
889571477915000 4,564,315 0 363,515 0
0 4,200,800
18 LUH JUNI ARTANI K -1 3,012,000 0 0 0 0 0 18 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
22-06-1988 4 3,433,680 0 0 0
198806222010012009 MKG:10 0 274,694 0
Penata Muda-3A 0 0222204820024
21 0
498850536902000 3,988,381 0 311,681 0
0 3,676,700
PEG: 17 3,670,940 370,000 0 0 0 0
IST: 10 JIWA= 48 1,558,470 6,580,000 3,476,160 0 748,873
67,447,210 0 462,133 0
ANK: 21 0 5,395,777 0
780 0 0
78,826,283 0 6,606,783
0 72,219,500
19 HENI KUSUMAWATI ,AMD.KEB K -1 2,889,800 0 0 0 0 0 19 .............
2 288,980 0 0 0 0 0
115,592 240,000 289,680 0 35,344
11-09-1986 4 3,294,372 0 0 0
198609112017042001 MKG:15 0 263,550 0
Pengatur Tk.I-2D 0 0222201918222
42 0
669371262915000 3,824,094 0 298,894 0
0 3,525,200

NO KAWIN
20 NISWATUL AUDAH ,AMD.KEB K -1 2,801,500 0 0 0 0 0 20 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
19-06-1986 4 3,193,710 0 0 0
198606192017042001 MKG:13 0 255,497 0 0222201928227
669030033915000 3,723,434 0 289,834 0
0 3,433,600
21 DESAK MADE DUWI APRILIYANI K -1 2,474,700 0 0 0 0 0 21 .............
,A.MD.FAR 2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
24-04-1993 4 2,821,158 0 0 0
199304242019032026 MKG: 6 0 225,693 0 0220200124283
910623230914000 3,350,905 0 256,305 0
0 3,094,600
22 BAIQ SITI RAMLAH K -1 2,980,800 0 0 0 0 0 22 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
31-12-1970 4 3,398,112 0 0 0
197012312010012008 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222200986222
38 0
889580619915000 3,867,830 0 307,630 0
0 3,560,200
23 DIAN REMAMI ,A.md. Keb TK-0 2,374,300 0 0 0 0 0 23 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
10-01-1987 1 2,374,300 0 0 0
198701102020122007 MKG: 5 0 189,944 0
Pengatur-2C 0 0
67 0
0 2,626,787 0 215,487 0
24 SRI NURINDRIYANI ,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 24 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
13-05-1995 1 2,374,300 0 0 0
199505132020122015 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228003100
67 0
962741831914000 2,626,787 0 215,487 0
PEG: 6 1,114,680 540,000 0 0 0 0
IST: 4 JIWA= 18 445,872 720,000 1,303,560 0 187,160
17,455,952 0 0 0
ANK: 8 0 1,396,477 0
325 0 0
20,019,837 0 1,583,637
0 18,436,200

NO KAWIN
TOTAL PER SATKER 82,014,700 490,000 0 0 462,133 0
PEG: 24 5,175,770 910,000 0 0 0 0
IST: 15 JIWA= 70 2,160,402 8,150,000 5,069,400 0 989,010
ANK: 31 89,350,872 0 462,133 0
0 7,148,071 0
0 0
1,109 0 8,599,214
104,433,514
0 95,834,300
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PELANGAN

NO KAWIN
1 I KOMANG SUDIBIA K -1 4,555,800 0 0 0 0 0 1 .............
2 455,580 0 0 0 0 0
182,232 850,000 289,680 0 60,436
28-02-1968 4 5,193,612 0 0 0
196802281990011002 MKG:26 0 415,489 0 0222208651029
Pembina-4A 33 0 0
484272448915000 6,333,325 0 475,925 0
0 5,857,400
SUB TOTAL PERGOLONGAN : IV 4,555,800 0 0 0 0 0
PEG: 1 455,580 0 0 0 0 0
IST: 1 JIWA= 4 182,232 850,000 289,680 0 60,436
5,193,612 0 0 0
ANK: 2 0 415,489 0
33 0 0
6,333,325 0 475,925
0 5,857,400
2 SRI SUHARTINI JD-0 3,743,100 490,000 0 0 0 0 2 .............
2 0 0 0 0 0 0
149,724 0 217,260 0 43,828
23-10-1980 3 3,892,824 0 0 0
198010232003122005 MKG:16 0 311,426 0
Penata Tk.I-3D 0 0222206600026
70 0
895910669915000 4,600,154 0 355,254 0
0 4,244,900
3 FAUZIAH TK-0 3,743,100 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 43,431
15-06-1979 1 3,743,100 0 0 0
197906152003122011 MKG:16 0 299,448 0 0222201013228
895910610915000 4,415,579 0 342,879 0
0 4,072,700
4 ZULQUTBI K -1 3,821,000 0 0 0 0 0 4 .............
2 382,100 0 0 0 0 0
152,840 600,000 289,680 0 49,559
27-12-1975 4 4,355,940 0 0 0
197512271997031004 MKG:20 0 348,475 0 0222200975223
Penata-3C 14 0 0
573365137915000 5,245,634 0 398,034 0
0 4,847,600
5 JASWADI.AM.KG K -0 3,139,400 490,000 0 0 0 0 5 .............
0 0 0 0 0 0 0
0 0 72,420 0 36,294
26-11-1979 1 3,139,400 0 0 0
197911262010011008 MKG:10 0 251,152 0 0222200980228
889571543915000 3,701,846 0 287,446 0
0 3,414,400
6 ARI WIWIT WIDIATMANTO ,SKM TK-0 2,773,200 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 30,732
28-08-1989 1 2,773,200 0 0 0
198908282019031002 MKG: 3 0 221,856 0
68 0
732662085915000 3,145,688 0 252,588 0
0 2,893,100

NO KAWIN
7 SITI NURUL HIKMAH.A.MKL K -1 3,043,600 0 0 0 0 0 7 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
04-06-1976 3 3,408,832 0 0 0
197606042011012009 MKG: 8 0 272,707 0 0222201016221
689679356915000 3,891,145 0 309,445 0
0 3,581,700
8 I NYOMAN KONDRE ,AMG K -1 3,043,600 0 0 0 0 0 8 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
31-12-1981 3 3,408,832 0 0 0
198112312010011042 MKG: 8 0 272,707 0 0222201018228
165044397913000 3,891,145 0 309,445 0
0 3,581,700
9 IRA YULIANTI.A.MD.KEB K -1 3,043,600 0 0 0 0 0 9 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
16-07-1988 4 3,469,704 0 0 0
198807162011012022 MKG: 8 0 277,576 0
39 0
162149678915000 4,024,423 0 314,923 0
0 3,709,500
10 DOGOL SURYO NUGROHO K -1 3,139,400 0 0 0 0 0 10 .............
2 313,940 0 0 0 0 0
125,576 240,000 289,680 0 38,189
09-07-1975 4 3,578,916 0 0 0
197507092006041002 MKG:10 0 286,313 0
6 0
486576838913000 4,108,602 0 324,502 0
0 3,784,100
11 IMAM SAHRUL K -1 3,900,500 0 0 0 0 0 11 .............
2 390,050 185,000 0 0 0 0
156,020 0 289,680 0 46,316
23-12-1970 4 4,446,570 0 0 0
197012231992031002 MKG:24 0 355,726 0
92 0
895910560915000 4,921,342 0 402,042 0
0 4,519,300
12 RAMINI K -1 3,106,900 0 0 0 0 0 12 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
04-08-1984 4 3,541,866 0 0 0
198408042008012006 MKG:12 0 283,349 0 0222201012224
897502431915000 4,096,618 0 321,418 0
0 3,775,200
13 I WAYAN SABDIARTHA K -1 3,012,000 0 0 0 0 0 13 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
29-12-1979 4 3,433,680 0 0 0
197912292007011014 MKG:10 0 274,694 0
Penata Muda-3A 0 0222201006225
21 0
895910644911000 3,988,381 0 311,681 0
0 3,676,700

NO KAWIN
SUB TOTAL PERGOLONGAN : III 39,509,400 980,000 0 0 0 0
PEG: 12 2,611,060 185,000 0 0 0 0
IST: 8 JIWA= 36 1,072,404 3,065,000 2,607,120 0 474,228
43,192,864 0 0 0
ANK: 16 0 3,455,429 0
573 0 0
50,030,557 0 3,929,657
0 46,100,900
14 HASIBAH ,A.Md.RMIK. K -1 2,474,700 0 0 0 0 0 14 .............
0 247,470 0 0 0 0 0
0 360,000 144,840 0 30,822
16-12-1992 2 2,722,170 0 0 0
199212162019032014 MKG: 6 0 217,774 0
Pengatur Tk.I-2D 0 0220200310272
86 0
910189455914000 3,227,096 0 248,596 0
0 2,978,500
15 SITA SETIA PRATIWI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 15 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
16-07-1987 3 3,137,680 0 0 0
198707162017042001 MKG:13 0 251,014 0
Pengatur Tk.I-2D 0 0222203991022
51 0
703437731911000 3,594,991 0 284,791 0
0 3,310,200
16 KHORIDATUL BAHIYAH ,AMD.KEB K -1 2,801,500 0 0 0 0 0 16 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
16-08-1987 4 3,193,710 0 0 0
198708162017042004 MKG:13 0 255,497 0 0222201917228
703437798911000 3,723,434 0 289,834 0
0 3,433,600
17 NURLAILA SUMARYANI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 17 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
11-03-1990 4 3,193,710 0 0 0
199003112017042001 MKG:13 0 255,497 0 0222201916224
669030181915000 3,723,434 0 289,834 0
0 3,433,600
18 NI WAYAN KISKA SEPTIANI DEWI K -1 2,716,000 0 0 0 0 0 18 .............
,AMD.KEB 1 271,600 0 0 0 0 0
54,320 240,000 217,260 0 32,819
28-09-1992 3 3,041,920 0 0 0
199209282017042001 MKG:11 0 243,354 0 0222204246022
718312358915000 3,499,273 0 276,173 0
19 JUNIARTI NINGSIH K -1 2,474,700 0 0 0 0 0 19 .............
2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
06-06-1991 4 2,821,158 0 0 0
199106062019032020 MKG: 6 0 225,693 0
Pengatur Tk.I-2D 0 0220200321276
67 0
834249104914000 3,350,905 0 256,305 0
0 3,094,600

NO KAWIN
20 BAIQ ADE WINARNI ,A.Md.Ak. K -1 2,474,700 0 0 0 0 0 20 .............
0 247,470 0 0 0 0 0
0 240,000 144,840 0 29,622
02-12-1992 2 2,722,170 0 0 0
199212022019032014 MKG: 6 0 217,774 0 0220200085286
910111947914000 3,107,096 0 247,396 0
0 2,859,700
21 LALU MUHAMMAD HAERUL WARDI K -1 2,474,700 0 0 0 0 0 21 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
29-03-1993 3 2,771,664 0 0 0
199303292019031012 MKG: 6 0 221,733 0 0220228001195
559683750915000 3,228,950 0 251,850 0
0 2,977,100
22 RIZKY HUTOMOAJI PUJO PRASETYO K -1 2,474,700 0 0 0 0 0 22 .............
,A.Md.Kep. 1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
11-11-1993 3 2,771,664 0 0 0
199311112019031004 MKG: 6 0 221,733 0
Pengatur Tk.I-2D 0 0220200324272
26 0
841251036911000 3,228,950 0 251,850 0
0 2,977,100
23 LATIFATUL HIKMAH ,A.Md.Farm. K -1 2,474,700 0 0 0 0 0 23 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
17-08-1994 3 2,771,664 0 0 0
199408172019032021 MKG: 6 0 221,733 0
Pengatur Tk.I-2D 0 0220200090282
26 0
910189364914000 3,228,950 0 251,850 0
24 LIZA WINDIYANI ,AMKL TK-0 2,474,700 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 27,147
05-05-1997 1 2,474,700 0 0 0
199705052019032002 MKG: 6 0 197,976 0
Pengatur Tk.I-2D 0 0220200361313
3 0
910702703914000 2,787,123 0 225,123 0
0 2,562,000
25 MAILAN NINGRUM ,A.Md.Farm TK-0 2,374,300 0 0 0 0 0 25 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
16-03-1996 1 2,374,300 0 0 0
199603162020122015 MKG: 5 0 189,944 0 0220200442286
Pengatur-2C 67 0 0
963647052914000 2,626,787 0 215,487 0
26 KURATUL AINI ,A.Md.Keb K -1 2,301,800 0 0 0 0 0 26 .............
0 230,180 180,000 0 0 0 0
0 0 144,840 0 27,120
13-11-1996 2 2,531,980 0 0 0
199611132020122009 MKG: 4 0 202,558 0
Pengatur-2C 0 0220228003704
58 0
964579221914000 2,856,878 0 229,678 0
0 2,627,200

NO KAWIN
27 LALU ANOM SUSILA ATMAJA K -1 2,830,200 0 0 0 0 0 27 .............
0 283,020 0 0 0 0 0
0 240,000 144,840 0 33,532
20-03-1976 2 3,113,220 0 0 0
197603301998031003 MKG:19 0 249,058 0 0222201021225
933192585914000 3,498,090 0 282,590 0
0 3,215,500
28 SUHAIMIN K -1 2,660,000 0 0 0 0 0 28 .............
2 266,000 180,000 0 0 0 0
106,400 0 289,680 0 32,124
16-03-1984 4 3,032,400 0 0 0
198403162009011006 MKG:15 0 242,592 0 0222205565023
895910586915000 3,502,116 0 274,716 0
0 3,227,400
PEG: 15 3,376,070 540,000 0 0 0 0
IST: 13 JIWA= 41 688,340 3,000,000 2,969,220 0 462,143
42,674,110 0 0 0
ANK: 13 0 3,413,930 0
743 0 0
49,184,073 0 3,876,073
0 45,308,000
TOTAL PER SATKER 82,674,900 980,000 0 0 0 0
PEG: 28 6,442,710 725,000 0 0 0 0
IST: 22 JIWA= 81 1,942,976 6,915,000 5,866,020 0 996,807
ANK: 31 91,060,586 0 0 0
0 7,284,848 0
0 0
1,349 0 8,281,655
105,547,955
0 97,266,300
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SEKOTONG

NO KAWIN
1 DRG, I NYOMAN ADNYANA PUTRA K -1 4,281,800 980,000 0 0 0 0 1 .............
2 428,180 0 0 0 0 0
171,272 0 289,680 0 58,613
31-12-1971 4 4,881,252 0 0 0
197112312002121015 MKG:22 0 390,500 0 0222201196226
Pembina-4A 81 0 0
4,8427242292e+014 6,151,013 0 449,113 0
2 I KETUT PARWA. ,AMD.KEP K -1 4,416,700 0 0 0 80,400 0 2 .............
1 441,670 0 0 0 0 0
88,334 850,000 217,260 0 57,967
31-12-1971 3 4,946,704 0 80,400 0
197112311993031041 MKG:25 0 395,736 0 0222201009227
Pembina-4A 39 0 0
4,8427246392e+014 6,094,403 0 534,103 0
0 5,560,300
PEG: 2 869,850 0 0 0 0 0
IST: 2 JIWA= 7 259,606 850,000 506,940 0 116,580
9,827,956 0 80,400 0
ANK: 3 0 786,236 0
120 0 0
12,245,416 0 983,216
0 11,262,200
3 HERMAN JAYADI.KEP. ,A.MK K -1 3,861,000 490,000 0 0 0 0 3 .............
2 386,100 0 0 0 0 0
154,440 0 289,680 0 48,915
31-12-1978 4 4,401,540 0 0 0
197812311998031005 MKG:18 0 352,123 0 0222201308220
8,9751510292e+014 5,181,238 0 401,038 0
0 4,780,200
4 RINI SUNARISASI K -1 4,797,000 0 0 0 33,331 0 4 .............
2 479,700 0 0 0 0 0
191,880 500,000 289,680 0 59,686
31-03-1964 4 5,468,580 0 33,331 0
196412311984012002 MKG:32 0 437,486 0 0222201313226
4,8427253991e+014 6,291,603 0 530,503 0
0 5,761,100
5 DESAK PUTU KUSDEWI JD-0 4,370,900 0 0 0 0 0 5 .............
2 0 0 0 0 0 0
174,836 500,000 217,260 0 50,457
10-08-1968 3 4,545,736 0 0 0
196808101990032006 MKG:26 0 363,659 0 0222201311228
4,8427250592e+014 5,263,016 0 414,116 0
0 4,848,900
6 DAHLIARTI K -1 4,237,500 0 0 0 309 0 6 .............
1 423,750 0 0 0 0 0
84,750 500,000 217,260 0 52,460
15-01-1970 3 4,746,000 0 309 0
197001151993022002 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222201309225
80 0
8,9751508692e+014 5,463,649 0 432,449 0
0 5,031,200

NO KAWIN
7 dr., FAIRUZ SYAHFI IMAM K -1 2,890,500 0 0 0 0 0 7 .............
2 289,050 0 0 0 0 0
115,620 750,000 289,680 0 40,452
02-11-1990 4 3,295,170 0 0 0
199011022019031004 MKG: 3 0 263,614 0 0220200373311
Penata-3C 16 0 0
7,6184595791e+014 4,334,866 0 304,066 0
0 4,030,800
8 BAIQ WIJANI K -1 3,481,600 0 0 0 0 0 8 .............
2 348,160 0 0 0 0 0
139,264 600,000 289,680 0 45,690
24-08-1974 4 3,969,024 0 0 0
197408242006042005 MKG:14 0 317,522 0 0222201321223
Penata-3C 8 0 0
8,9751518592e+014 4,858,712 0 363,212 0
Tmt 2022-12-01 0 4,495,500
9 NI KETUT KUSUMAWATI K -0 3,238,300 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
27-01-1979 1 3,238,300 0 0 0
197901272005012009 MKG:12 0 259,064 0
77 0
8,9591062892e+014 3,575,797 0 294,097 0
0 3,281,700
10 KADEK NOVI MARLINAWATI.A.MD.KE K -1 3,043,600 0 0 0 0 0 10 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
01-11-1987 4 3,469,704 0 0 0
198711012011012019 MKG: 8 0 277,576 0
39 0
8,9069720492e+014 4,024,423 0 314,923 0
0 3,709,500
11 ITA SULASMINI, ,S.Farm.,Apt. TK-0 2,950,600 0 0 0 0 0 11 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,356
23-12-1985 1 2,950,600 0 0 0
198512232006042006 MKG: 6 0 236,048 0
84 0
3,208,104 0 267,404 0
0 2,940,700
12 dr., I NYOMAN TEGUH APRIANA K -1 2,773,200 0 0 0 0 0 12 .............
2 277,320 185,000 0 0 0 0
110,928 0 289,680 0 33,464
30-04-1988 4 3,161,448 0 0 0
198804302020121008 MKG: 2 0 252,916 0 0220200448285
825394364911000 3,636,180 0 286,380 0
13 dr, MARISKIA WIDHA UTAMI K -1 2,773,200 0 0 0 0 0 13 .............
2 277,320 185,000 0 0 0 0
110,928 0 289,680 0 33,464
10-08-1990 4 3,161,448 0 0 0
199008102020122019 MKG: 2 0 252,916 0
52 0
727136103911000 3,636,180 0 286,380 0

NO KAWIN
14 HAIRUDIN K -1 3,204,700 0 0 0 0 0 14 .............
2 320,470 0 0 0 0 0
128,188 495,000 289,680 0 41,484
09-06-1982 4 3,653,358 0 0 0
198206092006041012 MKG:14 0 292,269 0 0222201194228
1,4514556192e+014 4,438,053 0 333,753 0
0 4,104,300
15 NURMAYANTI K -1 3,106,900 0 0 0 0 0 15 .............
2 310,690 0 0 0 0 0
124,276 495,000 289,680 0 40,369
08-02-1986 4 3,541,866 0 0 0
198602082008012001 MKG:12 0 283,349 0 0222201312222
8,9751512892e+014 4,326,618 0 323,718 0
0 4,002,900
16 SINTA DEWI SUSANTI ,A.MG K -1 3,012,000 0 0 0 0 0 16 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
23-07-1987 4 3,433,680 0 0 0
198707232010012012 MKG:10 0 274,694 0
Penata Muda-3A 0 0222201315224
21 0
8,9590827592e+014 3,988,381 0 311,681 0
0 3,676,700
17 EDI KURNIAWAN K -1 2,660,700 0 0 0 0 0 17 .............
2 266,070 185,000 0 0 0 0
106,428 0 289,680 0 32,182
08-03-1988 4 3,033,198 0 0 0
198803082019031004 MKG: 2 0 242,656 0
Penata Muda-3A 0 0222201742104
60 0
720466804915000 3,507,938 0 274,838 0
0 3,233,100
PEG: 15 3,984,190 740,000 0 0 0 0
IST: 12 JIWA= 52 1,683,762 4,635,000 3,765,840 0 619,346
56,069,652 0 33,640 0
ANK: 25 0 4,485,572 0
626 0 0
65,734,758 0 5,138,558
0 60,596,200
18 RIAN DARMANSYAH ,A.Md.RMIK. K -1 2,474,700 0 0 0 0 0 18 .............
2 247,470 0 0 0 0 0
98,988 360,000 289,680 0 31,812
29-04-1993 4 2,821,158 0 0 0
199304292019031012 MKG: 6 0 225,693 0 0220228001070
9,1012216792e+014 3,470,905 0 257,505 0
0 3,213,400
19 BAIQ SUKMANINGSIH K -1 3,074,700 0 0 0 0 0 19 .............
1 307,470 0 0 0 0 0
61,494 240,000 217,260 0 36,837
07-04-1978 3 3,443,664 0 0 0
197804072006042025 MKG:19 0 275,493 0
Pengatur Tk.I-2D 0 0222201358021
6 0
897515511915000 3,900,930 0 312,330 0
0 3,588,600

NO KAWIN
20 NURUL FITRIANI ,AMD.KEB K -0 2,801,500 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
04-04-1989 1 2,801,500 0 0 0
198904042017042002 MKG:13 0 224,120 0 0222201926229
6,6902961392e+014 3,113,935 0 254,535 0
0 2,859,400
21 BAIQ HUSNUL HOTIMAH ,AMD.KEB K -1 2,716,000 0 0 0 0 0 21 .............
2 271,600 0 0 0 0 0
108,640 240,000 289,680 0 33,362
31-12-1987 4 3,096,240 0 0 0
198712312017042004 MKG:11 0 247,699 0 0222201914226
7,1831286192e+014 3,625,961 0 281,061 0
22 GDE PRADNYANA WIJAYA ,A.Md.Kep. K -1 2,633,100 0 0 0 0 0 22 .............
0 263,310 0 0 0 0 0
0 240,000 144,840 0 31,364
09-08-1992 2 2,896,410 0 0 0
199208092015021002 MKG: 9 0 231,713 0
Pengatur Tk.I-2D 0 0222201324225
27 0
7,3980978892e+014 3,281,277 0 263,077 0
0 3,018,200
23 BAIQ JANIAR RESTUVANI K -0 2,474,700 0 0 0 0 0 23 .............
,A.Md.A.K. 0 0 0 0 0 0 0
0 240,000 72,420 0 27,147
04-01-1992 1 2,474,700 0 0 0
199201042019032016 MKG: 6 0 197,976 0
Pengatur Tk.I-2D 0 0222203395022
3 0
8,8957155092e+014 2,787,123 0 225,123 0
0 2,562,000
24 EKA FATMALA HANDAYANI K -1 2,474,700 0 0 0 0 0 24 .............
2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
06-07-1993 4 2,821,158 0 0 0
199306072019032011 MKG: 6 0 225,693 0
Pengatur Tk.I-2D 0 0220228001162
67 0
9,1069547792e+014 3,350,905 0 256,305 0
UPDATE-2022-12-01 0 3,094,600
25 AMRIANDANA ,A.Md.KG. K -1 2,474,700 0 0 0 0 0 25 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
10-07-1993 3 2,771,664 0 0 0
199307102019031002 MKG: 6 0 221,733 0 0220200339273
9,1097028491e+014 3,228,950 0 251,850 0
0 2,977,100
26 KAMARIAH TK-0 2,980,800 0 0 0 0 0 26 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
03-04-1972 1 2,980,800 0 0 0
197204032007012023 MKG:17 0 238,464 0
Pengatur Tk.I-2D 0 0222201320229
52 0
8,9751511091e+014 3,233,272 0 270,072 0
0 2,963,200

NO KAWIN
27 MUHAMAD TAUFIK K -1 2,660,000 0 0 0 0 0 27 .............
1 266,000 180,000 0 0 0 0
53,200 0 217,260 0 31,592
10-03-1979 3 2,979,200 0 0 0
197903102008011016 MKG:15 0 238,336 0 0222201317222
8,9751513692e+014 3,376,528 0 269,928 0
0 3,106,600
28 PURNAWATI TK-0 2,660,000 0 0 0 0 0 28 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 28,400
11-01-1983 1 2,660,000 0 0 0 0
198301112010012001 MKG:15 0 212,800 0 0222201310224
5,7826012792e+014 2,912,500 0 241,200 0
0 2,671,300
PEG: 11 1,850,790 540,000 0 0 0 0
IST: 7 JIWA= 27 470,804 2,040,000 1,955,340 0 343,266
31,746,494 0 0 0
ANK: 9 0 2,539,720 0
452 0 0
36,282,286 0 2,882,986
0 33,399,300
29 SAPWAN K -1 2,447,900 0 0 0 0 0 29 .............
2 244,790 175,000 0 0 0 0
97,916 0 289,680 0 29,656
10-11-1980 4 2,790,606 0 0 0
198011102012121003 MKG:21 0 223,248 0 0222201370224
Juru Tk.I-1D 18 0 0
6,6010807792e+014 3,255,304 0 252,904 0
0 3,002,400
PEG: 1 244,790 175,000 0 0 0 0
IST: 1 JIWA= 4 97,916 0 289,680 0 29,656
2,790,606 0 0 0
ANK: 2 0 223,248 0
18 0 0
3,255,304 0 252,904
0 3,002,400

NO KAWIN
TOTAL PER SATKER 90,973,000 1,470,000 0 0 114,040 0
PEG: 29 6,949,620 1,455,000 0 0 0 0
IST: 22 JIWA= 90 2,512,088 7,525,000 6,517,800 0 1,108,848
ANK: 39 100,434,708 0 114,040 0
0 8,034,776 0
0 0
1,216 0 9,257,664
117,517,764
0 108,260,100
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS LABUAPI

NO KAWIN
1 I GEDE ARYANATA K -1 4,555,800 490,000 0 0 71,000 0 1 .............
1 455,580 0 0 0 0 0
91,116 0 217,260 0 55,925
27-01-1970 3 5,102,496 0 71,000 0
197001271990031006 MKG:26 0 408,200 0 0222205889027
Pembina-4A 69 0 0
48.427.146.5-915.000 5,880,825 0 535,125 0
0 5,345,700
2 T A E B I K -1 4,847,300 0 0 0 44,947 0 2 .............
1 484,730 0 0 0 0 0
96,946 850,000 217,260 0 62,790
31-12-1963 3 5,428,976 0 44,947 0
196312311987031317 MKG:30 0 434,318 0 0222204750023
Pembina-4A 72 0 0
48.427.151.5.911.000 6,541,255 0 542,055 0
0 5,999,200
PEG: 2 940,310 0 0 0 0 0
IST: 2 JIWA= 6 188,062 850,000 434,520 0 118,715
10,531,472 0 115,947 0
ANK: 2 0 842,518 0
141 0 0
12,422,080 0 1,077,180
0 11,344,900
3 ZURAINI TK-0 3,628,900 0 0 0 76,400 0 3 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 44,789
17-12-1979 1 3,628,900 0 76,400 0
197912172000122002 MKG:14 0 290,312 0 0222200655225
49.884.767.2.915.999 4,627,801 0 411,501 0
0 4,216,300
4 S A M I D A H K -0 4,650,600 0 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 51,506
27-04-1966 1 4,650,600 0 0 0
196604271987032010 MKG:30 0 372,048 0 0222201088015
48.427.148.1.911.000 5,223,054 0 423,554 0
0 4,799,500
5 H. M A R D A N K -1 4,508,600 0 0 0 0 0 5 .............
1 450,860 0 0 0 0 0
90,172 500,000 217,260 0 55,496
17-07-1966 3 5,049,632 0 0 0
196607171988031018 MKG:28 0 403,971 0 0222200994010
48.427.086.3-915.000 5,766,967 0 459,467 0
0 5,307,500
6 R O H A Y A T I K -1 4,508,600 0 0 0 20,088 0 6 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
10-03-1969 4 5,139,804 0 20,088 0
196903101988032004 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200722224
98 0
48.427.173.9.915.000 5,949,670 0 487,670 0
0 5,462,000

NO KAWIN
7 K A R T I N E M TK-0 4,237,500 0 0 0 58,900 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
31-12-1968 1 4,237,500 0 58,900 0
196812311990032051 MKG:24 0 339,000 0 0222206237025
57.336.526.9.915.000 4,868,875 0 445,275 0
0 4,423,600
8 HENDRAWATI K -1 3,743,100 0 0 0 0 0 8 .............
0 374,310 0 0 0 0 0
0 500,000 144,840 0 46,174
19-01-1978 2 4,117,410 0 0 0
197801192006042024 MKG:16 0 329,393 0 022220112221
4,762,267 0 375,567 0
0 4,386,700
9 NURUL ILHAM JD-0 3,591,200 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 41,912
30-01-1977 1 3,591,200 0 0 0
197701302000122003 MKG:16 0 287,296 0
Penata-3C 0 0222200665221
88 0
57.336.531.9.915.000 4,263,708 0 329,208 0
0 3,934,500
10 LALU RUSLI SALIM K -1 3,481,600 0 0 0 0 0 10 .............
2 348,160 0 0 0 0 0
139,264 600,000 289,680 0 45,690
12-01-1978 4 3,969,024 0 0 0
197801122008011014 MKG:15 0 317,522 0
Penata-3C 0 0222200398010
8 0
07.522.981.5.911.000 4,858,712 0 363,212 0
0 4,495,500
11 MEGAWATI.A.MD.AK K -0 3,272,200 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 38,722
05-04-1982 1 3,272,200 0 0 0
198204052010012018 MKG:10 0 261,776 0
Penata-3C 0 0222200708228
78 0
87.196.743.6.911.000 3,944,698 0 300,498 0
0 3,644,200
12 HARTAWAN. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 12 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
20-02-1984 4 3,730,308 0 0 0
198402202010011026 MKG:10 0 298,425 0 0222200704222
Penata-3C 40 0 0
87.196.739.4.915.000 4,620,028 0 341,728 0
0 4,278,300
13 DEWI WAHYUNINGSIH K -0 3,704,300 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 42,043
15-05-1980 1 3,704,300 0 0 0
198005151999032003 MKG:18 0 296,344 0
Penata-3C 0 0222200666224
67 0
57.336.490.8.911.000 4,276,787 0 338,387 0
0 3,938,400

NO KAWIN
14 EKA SATRIANI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 14 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
17-09-1988 4 3,730,308 0 0 0
198809172010012008 MKG:10 0 298,425 0 0222200667228
Penata-3C 40 0 0
57.826.004.4915.000 4,520,028 0 340,728 0
15 KADEK JULIANTINI ,A.MA.KEP K -0 3,172,300 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 36,723
08-07-1987 1 3,172,300 0 0 0
198707082009012002 MKG: 8 0 253,784 0 5100300247041
Penata-3C 87 0 0
874442908915000 3,744,807 0 290,507 0
0 3,454,300
16 NI KETUT AYU SUTRININGSIH, A.M K -0 2,950,600 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 34,506
15-09-1988 1 2,950,600 0 0 0
198809152010012009 MKG: 7 0 236,048 0
34 0
44.945.313.3.911.000 3,523,054 0 270,554 0
0 3,252,500
17 RIKA AFRIANI TK-0 3,554,000 0 0 0 0 0 17 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 38,540
09-02-1976 1 3,554,000 0 0 0
197602092003122012 MKG:18 0 284,320 0
40 0
57.336.530.1.915.000 3,926,460 0 322,860 0
0 3,603,600
18 MUTIA JANNAH TK-0 3,238,300 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 35,383
22-01-1982 1 3,238,300 0 0 0
198201222005012010 MKG:12 0 259,064 0
27 0
68.487.413.4.911.000 3,610,747 0 294,447 0
0 3,316,300
19 RINI PURNA SUYATMI TK-0 3,665,900 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 39,309
30-09-1974 1 3,665,900 0 0 0
197409302000122003 MKG:21 0 293,272 0 0222202165224
88.958.064.3.915.000 4,003,381 0 332,581 0
0 3,670,800
20 DIANI RAHAYU LESTARI. ,AMD.KEP K -0 3,043,600 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
26-10-1987 1 3,043,600 0 0 0
198710262011012024 MKG: 8 0 243,488 0
54 0
16.064.964.6.915.000 3,381,074 0 276,574 0
0 3,104,500

NO KAWIN
21 ZAEDAR RUHNI K -1 3,517,200 0 0 0 193,600 0 21 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
14-09-1976 4 4,009,608 0 193,600 0
197609142007012015 MKG:20 0 320,769 0 0222201098228
57.336.498.1.911.000 4,757,915 0 557,115 0
0 4,200,800
22 JUMIAH K -1 3,106,900 0 0 0 0 0 22 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
02-06-1984 4 3,541,866 0 0 0
198406022008012009 MKG:12 0 283,349 0 0222200673227
57.336.520.2.911.000 4,096,618 0 321,418 0
0 3,775,200
23 I GUSTI PUTU PUWADI K -1 3,012,000 0 0 0 0 0 23 .............
1 301,200 185,000 0 0 0 0
60,240 0 217,260 0 35,584
22-02-1978 3 3,373,440 0 0 0
197802222009011003 MKG:11 0 269,875 0
Penata Muda-3A 0 0222200676229
59 0
57.336.491.6.915.000 3,775,759 0 305,459 0
0 3,470,300
PEG: 21 3,242,240 185,000 0 0 0 0
IST: 9 JIWA= 44 996,760 9,410,000 3,186,480 0 889,657
79,370,800 0 348,988 0
ANK: 14 0 6,349,665 0
1,142 0 0
92,502,410 0 7,588,310
0 84,914,100
24 NITA ARIYANI IZZATI ,A.MA.KEP K -0 2,889,800 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 31,898
03-05-1988 1 2,889,800 0 0 0
198805032017042003 MKG:15 0 231,184 0 0082205295021
13212 3,262,282 0 263,082 0
0 2,999,200
25 BAIQ ASTUTI KAMARIAH TK-0 2,889,800 0 0 0 0 0 25 .............
,A.Md.Keb.. 0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
20-05-1981 1 2,889,800 0 0 0
198105202019052002 MKG:15 0 231,184 0 0220200167284
66.916.464.2.915.000 3,202,282 0 262,482 0
0 2,939,800
26 MERLY MANDRAYANI ,AMD.KEB K -0 2,801,500 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 30,415
04-03-1989 1 2,801,500 0 0 0
198903042017042002 MKG:13 0 224,120 0
Pengatur Tk.I-2D 0 0222201892222
15 0
66.916.333.9.915.000 3,113,935 0 254,535 0
0 2,859,400

NO KAWIN
27 SUNDUSIAH ,AMD.KEB K -1 2,801,500 0 0 0 0 0 27 .............
0 280,150 0 0 0 0 0
0 240,000 144,840 0 33,217
05-10-1989 2 3,081,650 0 0 0
198910052017042003 MKG:13 0 246,532 0 0222201925225
66.979.101.4.915.000 3,466,549 0 279,749 0
0 3,186,800
28 BAIQ NISPIYANI ,AMD.KEB K -0 2,716,000 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 29,560
26-03-1987 1 2,716,000 0 0 0
198703262017042001 MKG:12 0 217,280 0 0222201891228
89.428.789.5.911.000 3,028,440 0 246,840 0
0 2,781,600
29 RINA RIZKI AMALIA ,AMD.KEP. K -1 2,474,700 0 0 0 0 0 29 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
11-09-1994 3 2,771,664 0 0 0
199411092019032028 MKG: 6 0 221,733 0
Pengatur Tk.I-2D 0 0220200082283
26 0
91.075.109.8.914.000 3,228,950 0 251,850 0
0 2,977,100
30 MUTASAM K -1 3,374,400 0 0 0 0 0 30 .............
2 337,440 180,000 0 0 0 0
134,976 0 289,680 0 40,268
31-12-1968 4 3,846,816 0 0 0
196812312007011277 MKG:25 0 307,745 0
Pengatur Tk.I-2D 0 0222202035027
17 0
88.939.703.0.911.000 4,316,513 0 348,013 0
0 3,968,500
31 I PUTU BERATHA K -1 2,980,800 0 0 0 0 0 31 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
29-10-1979 4 3,398,112 0 0 0
197910292008011012 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222205823023
38 0
15.664.821.4.914.000 3,867,830 0 307,630 0
0 3,560,200
PEG: 8 1,163,140 360,000 0 0 0 0
IST: 4 JIWA= 17 303,702 1,500,000 1,231,140 0 262,554
24,395,342 0 0 0
ANK: 5 0 1,951,627 0
299 0 0
27,486,781 0 2,214,181
0 25,272,600

NO KAWIN
TOTAL PER SATKER 107,463,400 490,000 0 0 464,935 0
PEG: 31 5,345,690 545,000 0 0 0 0
IST: 15 JIWA= 67 1,488,524 11,760,000 4,852,140 0 1,270,926
ANK: 21 114,297,614 0 464,935 0
0 9,143,810 0
0 0
1,582 0 10,879,671
132,411,271
0 121,531,600
KEPALA PUSKESMAS LABUAPI ,21 NOPEMBER 2022

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] RSUD AWET MUDA NARMADA

NO KAWIN
1 DR, A.A. NGURAH PUTRA SURYANAT DD-0 4,949,400 1,260,000 0 0 39,063 0 1 .............
0 0 0 0 0 0 0
0 0 72,420 0 62,094
24-12-1964 1 4,949,400 0 39,063 0
196412241998031007 MKG:27 0 395,952 0
6,320,909 0 497,109 0
PengabdianTMT - 2022-12-01 0 5,823,800
2 NI KETUT BUDIASIH K -1 4,603,500 0 0 0 33,906 0 2 .............
1 460,350 0 0 0 0 0
92,070 850,000 217,260 0 60,059
20-06-1967 3 5,155,920 0 33,906 0
196706201992032010 MKG:24 0 412,474 0
6,257,139 0 506,439 0
0 5,750,700
3 MINAREP TK-0 4,603,500 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 52,035
31-12-1972 1 4,603,500 0 0 0
197212311992032027 MKG:25 0 368,280 0
5,276,015 0 420,315 0
0 4,855,700
4 BAIQ WIDIANAWATI ,S.FARM,APT TK-0 3,554,900 540,000 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 0 72,420 0 40,949
22-11-1980 1 3,554,900 0 0 0
198011222011012012 MKG:11 0 284,392 0
Pembina-4A 21 0 0
4,167,341 0 325,341 0
0 3,842,000
5 DR,NI WAYAN SRI WANGI TK-0 3,554,900 540,000 0 0 0 0 5 .............
0 0 0 0 0 0 0
0 0 72,420 0 40,949
01-01-1985 1 3,554,900 0 0 0
198501012011012028 MKG:10 0 284,392 0
Pembina-4A 0 0222201337222
21 0
70.062.229.3-915.000 4,167,341 0 325,341 0
0 3,842,000
6 DR, RR.EKA PURWANINGSIH TK-0 3,666,900 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 48,669
05-07-1983 1 3,666,900 0 0 0
198307052009012011 MKG:12 0 293,352 0
Pembina-4A 1 0 0
4,939,321 0 342,021 0
0 4,597,300
7 DIAN WIRASTINA, S.FAR ,APT K -1 3,666,900 0 0 0 8,138 0 7 .............
1 366,690 0 0 0 0 0
73,338 1,200,000 217,260 0 53,069
25-07-1983 3 4,106,928 0 8,138 0
198307252009012009 MKG:12 0 328,554 0
Pembina-4A 35 0 0
5,532,361 0 389,761 0
0 5,142,600

NO KAWIN
8 NI MADE SUKRINI K -0 4,699,300 0 0 0 9,119 0 8 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 55,493
11-07-1968 1 4,699,300 0 9,119 0
196707111989032017 MKG:28 0 375,944 0
Pembina-4A 17 0 0
5,630,856 0 440,556 0
0 5,190,300
9 DEWI HERYANTI ,Amd.Kep. K -0 4,699,300 0 0 0 8,519 0 9 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 55,493
31-12-1968 1 4,699,300 0 8,519 0
197002061989032006 MKG:28 0 375,944 0
Pembina-4A 17 0 0
5,630,256 0 439,956 0
0 5,190,300
10 DRG, ZUHRI KURNIAWAN TK-0 4,024,400 0 0 0 32,850 0 10 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 47,744
27-02-1977 1 4,024,400 0 32,850 0
197702272007011011 MKG:18 0 321,952 0
Pembina-4A 76 0 0
4,879,746 0 402,546 0
0 4,477,200
SUB TOTAL PERGOLONGAN : IV 42,023,000 2,340,000 0 0 131,595 0
PEG: 10 827,040 0 0 0 0 0
IST: 2 JIWA= 14 165,408 6,300,000 1,013,880 0 516,554
43,015,448 0 131,595 0
ANK: 2 0 3,441,236 0
362 0 0
52,801,285 0 4,089,385
0 48,711,900
11 TUTIK KURNIAWATI ,SE TK-0 3,743,100 980,000 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 0 72,420 0 47,231
23-02-1977 1 3,743,100 0 0 0
197702232000032004 MKG:17 0 299,448 0
4,795,579 0 346,679 0
0 4,448,900
12 DR, ERICK GUNAWAN K -0 3,518,100 980,000 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 0 72,420 0 44,981
08-10-1982 1 3,518,100 0 0 0
198210082010011023 MKG:12 0 281,448 0
4,570,529 0 326,429 0
0 4,244,100
13 RAHMA ISMAUTARIDASIHARM.A ,SP TK-0 3,410,600 980,000 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 0 72,420 0 43,906
24-08-1986 1 3,410,600 0 0 0
198608242011012022 MKG:10 0 272,848 0
4,463,054 0 316,754 0
0 4,146,300

NO KAWIN
14 I MADE TAMA ENDRAWAN K -1 3,982,600 540,000 0 0 0 0 14 .............
2 398,260 0 0 0 0 0
159,304 0 289,680 0 50,802
24-09-1969 4 4,540,164 0 0 0
197408171997031008 MKG:20 0 363,213 0 0222201101220
573365251914000 5,369,915 0 414,015 0
0 4,955,900
15 MUHAMMAD ISNAINI JAUHARI K -1 3,861,000 540,000 0 0 0 0 15 .............
2 386,100 0 0 0 0 0
154,440 0 289,680 0 49,415
29-01-1979 4 4,401,540 0 0 0
197901291999031001 MKG:18 0 352,123 0
5,231,238 0 401,538 0
0 4,829,700
16 ARIE RUSMAYANI ,SE K -1 3,861,000 540,000 0 0 61,055 0 16 .............
2 386,100 0 0 0 0 0
154,440 0 289,680 0 49,415
14-05-1979 4 4,401,540 0 61,055 0
197905142009012006 MKG:18 0 352,123 0
Penata Tk.I-3D 0 0222205724020
18 0
587444613914000 5,292,293 0 462,593 0
0 4,829,700
17 ROMY HUSMAWAN ,S.KM K -1 3,743,100 540,000 0 0 0 0 17 .............
2 374,310 0 0 0 0 0
149,724 0 289,680 0 48,071
13-09-1982 4 4,267,134 0 0 0
198209132006041011 MKG:16 0 341,371 0
Penata Tk.I-3D 0 0222205894022
28 0
486576259913000 5,096,842 0 389,442 0
0 4,707,400
18 H. JAMALUDIN K -1 4,650,600 0 0 0 0 0 18 .............
1 465,060 0 0 0 0 0
93,012 500,000 217,260 0 57,087
31-12-1967 3 5,208,672 0 0 0
196712311988031201 MKG:30 0 416,694 0
5,925,981 0 473,781 0
0 5,452,200
19 NURHAYATI JD-0 4,370,900 0 0 0 122,100 0 19 .............
1 0 0 0 0 0 0
87,418 500,000 144,840 0 49,583
02-05-1960 2 4,458,318 0 122,100 0
196905021990122001 MKG:26 0 356,665 0
5,225,348 0 528,348 0
0 4,697,000
20 NI KETUT PUSPAYASIH K -1 4,237,500 0 0 0 7,550 0 20 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
07-04-1973 4 4,830,750 0 7,550 0
197304071993022003 MKG:24 0 386,460 0
5,628,018 0 447,318 0
0 5,180,700

NO KAWIN
21 SYARIEF JUNAIDI, AM.KP K -1 3,982,600 0 0 0 0 0 21 .............
2 398,260 0 0 0 0 0
159,304 500,000 289,680 0 50,402
31-12-1968 4 4,540,164 0 0 0
197506071997031005 MKG:20 0 363,213 0
5,329,915 0 413,615 0
0 4,916,300
22 MASITHA TUHAREA ,A.MD.KEP K -0 3,743,100 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 42,431
07-04-1977 1 3,743,100 0 0 0
197704072006052004 MKG:16 0 299,448 0
001 4,315,579 0 341,879 0
0 3,973,700
23 NI KADEK MAHARANI, AMKP TK-0 3,628,900 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 41,289
20-06-1982 1 3,628,900 0 0 0
198206202005012010 MKG:14 0 290,312 0
4,201,401 0 331,601 0
0 3,869,800
24 SARWAN PAYANADI ,S.KM K -1 3,481,600 540,000 0 0 0 0 24 .............
2 348,160 0 0 0 0 0
139,264 0 289,680 0 45,090
05-11-1979 4 3,969,024 0 0 0
197911052007011014 MKG:14 0 317,522 0
Penata-3C 8 0 0
4,798,712 0 362,612 0
0 4,436,100
25 SRI RAHAYU ,S.Adm. K -1 3,481,600 540,000 0 0 0 0 25 .............
2 348,160 0 0 0 0 0
139,264 0 289,680 0 45,090
05-02-1982 4 3,969,024 0 0 0
198202052006042017 MKG:14 0 317,522 0
Penata-3C 8 0 0
895870343915000 4,798,712 0 362,612 0
0 4,436,100
26 DR, TINA TK-0 3,375,300 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 41,253
07-08-1978 1 3,375,300 0 0 0
197808072010012019 MKG:12 0 270,024 0 0222205718022
Penata-3C 57 0 0
4,197,777 0 311,277 0
0 3,886,500
27 NI LUH PUTU EKAYANTI,AMD. K -1 3,481,600 0 0 0 0 0 27 .............
2 348,160 0 0 0 0 0
139,264 600,000 289,680 0 45,690
22-08-1982 4 3,969,024 0 0 0
198208222005012010 MKG:14 0 317,522 0
Penata-3C 8 0 0
4,858,712 0 363,212 0
Tmt 2022-12-01 0 4,495,500

NO KAWIN
28 ADMI YANTI K -1 4,065,500 0 0 0 0 0 28 .............
2 406,550 0 0 0 0 0
162,620 500,000 289,680 0 51,347
28-10-1972 4 4,634,670 0 0 0
197210281992032011 MKG:24 0 370,774 0
Penata-3C 71 0 0
5,424,421 0 422,121 0
0 5,002,300
29 ALI RUSNI ,AMD.KEB. K -0 3,375,300 0 0 0 0 0 29 .............
1 0 0 0 0 0 0
67,506 500,000 144,840 0 39,428
19-03-1985 2 3,442,806 0 0 0
198503192010011012 MKG:12 0 275,424 0 0172218450011
Penata-3C 6 0 0
756930582913000 4,087,652 0 314,852 0
0 3,772,800
30 MUSLIMATUL HIDAYAH ,AMD.AK K -1 3,172,300 0 0 0 0 0 30 .............
2 317,230 0 0 0 0 0
126,892 500,000 289,680 0 41,164
17-12-1980 4 3,616,422 0 0 0
198012172011012009 MKG: 8 0 289,314 0
Penata-3C 76 0 0
123 4,406,178 0 330,478 0
0 4,075,700
31 LALU SAMSUL RIZAL ,SE TK-0 3,238,300 0 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 520,000 72,420 0 37,583
14-07-1966 1 3,238,300 0 0 0
196607142007011028 MKG:12 0 259,064 0
123132 3,830,747 0 296,647 0
0 3,534,100
32 NI KADEK ANI LILIS SUTRIANI K -1 3,139,400 0 0 0 0 0 32 .............
,A.Md.Kep. 2 313,940 0 0 0 0 0
125,576 495,000 289,680 0 40,739
03-04-1986 4 3,578,916 0 0 0
198604032010012022 MKG:10 0 286,313 0
753603224913000 4,363,652 0 327,052 0
0 4,036,600
33 SUKARAM HADI.KEP ,A.MA K -1 3,043,600 0 0 0 0 0 33 .............
2 304,360 0 0 0 0 0
121,744 495,000 289,680 0 39,647
31-12-1982 4 3,469,704 0 0 0
198212312011011021 MKG: 8 0 277,576 0
4,254,423 0 317,223 0
0 3,937,200
34 SAPTUTI HARIYANTI. ,AMD.KEP JD-0 3,139,400 0 0 0 0 0 34 .............
2 0 0 0 0 0 0
125,576 300,000 217,260 0 35,650
19-10-1985 3 3,264,976 0 0 0
198510192010012024 MKG:10 0 261,198 0
3,782,248 0 296,848 0
0 3,485,400

NO KAWIN
35 NURMINATI ,SKM K -1 2,773,200 0 0 0 0 0 35 .............
2 277,320 0 0 0 0 0
110,928 300,000 289,680 0 34,614
20-09-1988 4 3,161,448 0 0 0
198809202019032016 MKG: 3 0 252,916 0 0220200123292
910240043915000 3,751,130 0 287,530 0
0 3,463,600
36 MUJIYATI TK-0 3,554,000 0 0 0 0 0 36 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 38,190
13-01-1975 1 3,554,000 0 0 0
197501132006052002 MKG:18 0 284,320 0
3,891,510 0 322,510 0
0 3,569,000
37 NURUL QAMAR ,A.Md.Keb. TK-0 3,139,400 0 0 0 0 0 37 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
31-07-1988 1 3,139,400 0 0 0
198807312010012012 MKG:10 0 251,152 0
3,476,896 0 285,196 0
0 3,191,700
38 WIWIN FIBRIANTI.KEB ,AMD JD-0 3,043,600 0 0 0 0 0 38 .............
2 0 0 0 0 0 0
121,744 265,000 217,260 0 34,303
28-02-1989 3 3,165,344 0 0 0
198902282011012010 MKG: 9 0 253,228 0
27 0
456051234915000 3,647,631 0 287,531 0
0 3,360,100
39 NI MADE MEGAPUTRI SUHARDINITA K -1 3,043,600 0 0 0 0 0 39 .............
,A.Md. 0 304,360 0 0 0 0 0
0 265,000 144,840 0 36,130
02-05-1989 2 3,347,960 0 0 0
198905022011012004 MKG: 9 0 267,837 0
3,757,867 0 303,967 0
0 3,453,900
40 NI PUTU SUWINDRA DEWI K -1 3,043,600 0 0 0 0 0 40 .............
,A.Md.Keb. 1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
30-12-1988 3 3,408,832 0 0 0
198812302011012009 MKG: 8 0 272,707 0
542271176907000 3,891,145 0 309,445 0
0 3,581,700
41 YULIAN PURNAMASARI, ,AMD.KEB. K -1 3,043,600 0 0 0 0 0 41 .............
1 304,360 0 0 0 0 0
60,872 265,000 217,260 0 36,738
10-02-1989 3 3,408,832 0 0 0
198902102011012003 MKG: 8 0 272,707 0
3,891,145 0 309,445 0
0 3,581,700

NO KAWIN
42 MUHAMAD NATSIR K -1 3,665,900 0 0 0 0 0 42 .............
2 366,590 185,000 0 0 0 0
146,636 0 289,680 0 43,641
18-08-1975 4 4,179,126 0 0 0
197508181995031002 MKG:20 0 334,330 0
4,653,871 0 377,971 0
0 4,275,900
43 RAHMI HAIRANI.A.MD K -1 3,139,400 0 0 0 0 0 43 .............
2 313,940 185,000 0 0 0 0
125,576 0 289,680 0 37,639
21-05-1986 4 3,578,916 0 0 0
198605212009012007 MKG:10 0 286,313 0
4,053,652 0 323,952 0
0 3,729,700
44 dr, LISNA ARIFIANI K -1 2,773,200 0 0 0 0 0 44 .............
2 277,320 185,000 0 0 0 0
110,928 0 289,680 0 33,464
16-08-1988 4 3,161,448 0 0 0
198808162020122006 MKG: 2 0 252,916 0
52 0
159840396915000 3,636,180 0 286,380 0
45 dr., R. ARMAND BUDI PRASETYA K -1 2,773,200 0 0 0 0 0 45 .............
0 277,320 185,000 0 0 0 0
0 0 144,840 0 32,355
16-12-1989 2 3,050,520 0 0 0
198912162020121005 MKG: 2 0 244,042 0
37 0
801630328911000 3,380,397 0 276,397 0
46 dr., IDA AYU PADMITA UTAMI K -0 2,773,200 0 0 0 0 0 46 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 29,582
07-10-1990 1 2,773,200 0 0 0
199010072020122012 MKG: 2 0 221,856 0
18 0
720024918914000 3,030,638 0 251,438 0
47 dr, IDA BAGUS YUDA ANDIKA K -1 2,150,800 0 0 0 0 0 47 .............
,M.Biomed SpOG 2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
18-04-1984 4 2,451,912 0 0 0
198404182022031001 MKG: 0 0 196,153 0 0100200546275
0 2,926,622 0 222,522 0
0 2,704,100
48 LINDA KURNIAWATI ,S.Kep, Ns K -1 2,150,800 0 0 0 0 0 48 .............
2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
25-10-1987 4 2,451,912 0 0 0
198710252022032005 MKG: 0 0 196,153 0
30 0
0 2,926,622 0 222,522 0
0 2,704,100

NO KAWIN
49 Ns.., AHMAD ADITYA ALGANI K -1 2,150,800 0 0 0 0 0 49 .............
,S.Kep 1 215,080 185,000 0 0 0 0
43,016 0 217,260 0 25,939
15-08-1988 3 2,408,896 0 0 0
198808152022031004 MKG: 0 0 192,712 0 0220201434284
0 2,811,251 0 218,651 0
0 2,592,600
50 Ns.., NI MADE MEGGA YENIARTINI K -1 2,150,800 0 0 0 0 0 50 .............
,S.Kep 2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
31-01-1989 4 2,451,912 0 0 0
198901312022032005 MKG: 0 0 196,153 0 0220228014731
0 2,926,622 0 222,522 0
0 2,704,100
51 dr.., I KETUT ADI SURYANA TK-0 2,150,800 0 0 0 0 0 51 .............
,Sp.PD 0 0 185,000 0 0 0 0
0 0 72,420 0 23,358
18-04-1989 1 2,150,800 0 0 0
198904182022031010 MKG: 0 0 172,064 0
2 0
0 2,408,222 0 195,422 0
0 2,212,800
52 RIADI M. ZEN ,S.Kep.,Ns K -1 2,150,800 0 0 0 0 0 52 .............
1 215,080 185,000 0 0 0 0
43,016 0 217,260 0 25,939
25-04-1990 3 2,408,896 0 0 0
199004252022031004 MKG: 0 0 192,712 0
95 0
0 2,811,251 0 218,651 0
0 2,592,600
53 EKA YULINDA TARI ,S.Kep.,Ns K -1 2,150,800 0 0 0 0 0 53 .............
2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
29-06-1990 4 2,451,912 0 0 0
199006292022032009 MKG: 0 0 196,153 0
30 0
0 2,926,622 0 222,522 0
0 2,704,100
54 IWAN PURWANTO K -1 2,150,800 0 0 0 0 0 54 .............
2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
13-11-1990 4 2,451,912 0 0 0
199011132022031003 MKG: 0 0 196,153 0 0220228014591
0 2,926,622 0 222,522 0
0 2,704,100
55 Ns.., AHMAD MUSTOFA SAFOAN K -1 2,150,800 0 0 0 0 0 55 .............
,S.Kep 0 215,080 185,000 0 0 0 0
0 0 144,840 0 25,509
14-02-1991 2 2,365,880 0 0 0
199102142022031011 MKG: 0 0 189,270 0
59 0
0 2,695,779 0 214,779 0
0 2,481,000

NO KAWIN
56 I KOMANG AGUS PRAWIRA TK-0 2,150,800 0 0 0 0 0 56 .............
,S.Kep.,Ners 0 0 185,000 0 0 0 0
0 0 72,420 0 23,358
16-03-1991 1 2,150,800 0 0 0
199103162022031003 MKG: 0 0 172,064 0 0220201442285
0 2,408,222 0 195,422 0
0 2,212,800
57 apt.., PUTRI RETNO WULANDARI K -1 2,150,800 0 0 0 0 0 57 .............
,S.Farm. 2 215,080 185,000 0 0 0 0
86,032 0 289,680 0 26,369
22-06-1991 4 2,451,912 0 0 0
199106222022032010 MKG: 0 0 196,153 0 0220228014613
0 2,926,622 0 222,522 0
0 2,704,100
58 NI KOMANG ARYANI ,S.Kep.,Ners K -1 2,150,800 0 0 0 0 0 58 .............
1 215,080 185,000 0 0 0 0
43,016 0 217,260 0 25,939
14-11-1991 3 2,408,896 0 0 0
199111142022032007 MKG: 0 0 192,712 0
95 0
0 2,811,251 0 218,651 0
0 2,592,600
59 NURHUDA SURYA PRATAMA ,S.Kep., K -1 2,150,800 0 0 0 0 0 59 .............
Ns. 1 215,080 185,000 0 0 0 0
43,016 0 217,260 0 25,939
10-01-1994 3 2,408,896 0 0 0
199401102022031009 MKG: 0 0 192,712 0
95 0
0 2,811,251 0 218,651 0
0 2,592,600
60 apt.., AHMAD JAUHARI ,S.Farm. TK-0 2,150,800 0 0 0 0 0 60 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 23,358
17-05-1996 1 2,150,800 0 0 0
199605172022031015 MKG: 0 0 172,064 0
2 0
0 2,408,222 0 195,422 0
0 2,212,800
61 apt.., AHMAD FADLI ROBBY TK-0 2,150,800 0 0 0 0 0 61 .............
,S.Farm 0 0 185,000 0 0 0 0
0 0 72,420 0 23,358
08-08-1997 1 2,150,800 0 0 0
199708082022031011 MKG: 0 0 172,064 0 0220228014672
0 2,408,222 0 195,422 0
0 2,212,800
62 NI MADE SUDARMI TK-0 3,106,900 0 0 0 0 0 62 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 36,019
19-09-1984 1 3,106,900 0 0 0
198409192008012008 MKG:12 0 248,552 0
3,674,371 0 284,571 0
0 3,389,800

NO KAWIN
63 SRI HIDAYATI TK-0 3,627,900 0 0 0 0 0 63 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 39,279
30-12-1976 1 3,627,900 0 0 0
197612302007012025 MKG:22 0 290,232 0
4,000,411 0 329,511 0
0 3,670,900
64 Ns, BAHRUN ,S.Kep. K -1 3,204,700 0 0 0 0 0 64 .............
2 320,470 0 0 0 0 0
128,188 300,000 289,680 0 39,534
08-06-1978 4 3,653,358 0 0 0
197806082006041018 MKG:14 0 292,269 0
1231 4,243,103 0 331,803 0
0 3,911,300
65 MAQBULA AVIANI K -1 3,106,900 0 0 0 0 0 65 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
07-05-1979 4 3,541,866 0 0 0
197905072007012017 MKG:12 0 283,349 0
4,131,568 0 321,768 0
0 3,809,800
66 NURUL HIDAYAH K -1 3,106,900 0 0 0 0 0 66 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
20-10-1979 4 3,541,866 0 0 0
197910202008012025 MKG:12 0 283,349 0
4,131,568 0 321,768 0
0 3,809,800
67 HUSAIRI TK-0 3,106,900 0 0 0 0 0 67 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,919
19-06-1976 1 3,106,900 0 0 0
197606192009011009 MKG:12 0 248,552 0
3,364,371 0 281,471 0
0 3,082,900
68 MIA PURNAMA ,S.Kom TK-0 2,063,520 0 0 0 0 0 68 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
13-03-1989 1 2,063,520 0 0 0
198903132022032006 MKG: 0 0 165,082 0 0220201489283
0 2,320,967 0 187,567 0
0 2,133,400
69 HANI LAILI KATARI ,SST TK-0 2,063,520 0 0 0 0 0 69 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
07-12-1994 1 2,063,520 0 0 0
199412072022032022 MKG: 0 0 165,082 0
Penata Muda-3A 0 0220228014753
27 0
0 2,320,967 0 187,567 0
0 2,133,400

NO KAWIN
70 NI PUTU ERLITA OKANDARI TK-0 2,063,520 0 0 0 0 0 70 .............
,S.Tr.Kes. 0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
21-03-1995 1 2,063,520 0 0 0
199503212022032019 MKG: 0 0 165,082 0 0220228014635
0 2,320,967 0 187,567 0
0 2,133,400
71 ULFATISA CAHYANI ,S.Kom TK-0 2,063,520 0 0 0 0 0 71 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
24-05-1995 1 2,063,520 0 0 0
199505242022032019 MKG: 0 0 165,082 0 0220210502282
0 2,320,967 0 187,567 0
0 2,133,400
72 MUHAMMAD IKMAYONI ,S.Kom K -1 2,063,520 0 0 0 0 0 72 .............
1 206,352 185,000 0 0 0 0
41,270 0 217,260 0 24,961
29-10-1995 3 2,311,142 0 0 0
199510292022031005 MKG: 0 0 184,891 0
Penata Muda-3A 0 0220228014694
50 0
0 2,713,452 0 209,852 0
0 2,503,600
73 NUR HILDAYANTI UTAMI ,S.Kom. K -1 2,063,520 0 0 0 0 0 73 .............
1 206,352 185,000 0 0 0 0
41,270 0 217,260 0 24,961
05-03-1996 3 2,311,142 0 0 0
199603052022032018 MKG: 0 0 184,891 0
Penata Muda-3A 0 0220201493200
50 0
0 2,713,452 0 209,852 0
0 2,503,600
74 TONY CHRISTIAN NIFU ,S.Tr.Kes. TK-0 2,063,520 0 0 0 0 0 74 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
18-08-1996 1 2,063,520 0 0 0
199608182022031013 MKG: 0 0 165,082 0
Penata Muda-3A 0 0220228014624
27 0
0 2,320,967 0 187,567 0
0 2,133,400
75 NI MADE DWI CHANDRA SUARTHI TK-0 2,063,520 0 0 0 0 0 75 .............
,S.Tr Kes. 0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
15-08-1997 1 2,063,520 0 0 0
199708152022032015 MKG: 0 0 165,082 0 0220228014742
0 2,320,967 0 187,567 0
0 2,133,400
76 NI LUH PUTU GITA GANDI ,S.Tr K -1 2,063,520 0 0 0 0 0 76 .............
Kes. 0 206,352 185,000 0 0 0 0
0 0 144,840 0 24,549
08-12-1997 2 2,269,872 0 0 0
199712082022032017 MKG: 0 0 181,590 0
Penata Muda-3A 0 0220228014646
27 0
0 2,599,739 0 206,139 0
0 2,393,600

NO KAWIN
77 MERY TRIANA ASTUTI ,S.Tr.Kes TK-0 2,063,520 0 0 0 0 0 77 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
01-03-1998 1 2,063,520 0 0 0
199803012022032020 MKG: 0 0 165,082 0 0220201490284
0 2,320,967 0 187,567 0
0 2,133,400
78 RATNA SAPUTRI MAHSUN ,S.Tr.Kes. TK-0 2,063,520 0 0 0 0 0 78 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
19-04-1998 1 2,063,520 0 0 0
199804192022032019 MKG: 0 0 165,082 0 0220201496283
0 2,320,967 0 187,567 0
0 2,133,400
79 RIFKI KHALIDI ASYHAER TK-0 2,063,520 0 0 0 0 0 79 .............
,S.Tr.Kes. 0 0 185,000 0 0 0 0
0 0 72,420 0 22,485
11-07-1998 1 2,063,520 0 0 0
199807112022031011 MKG: 0 0 165,082 0
Penata Muda-3A 0 0220201494201
27 0
0 2,320,967 0 187,567 0
0 2,133,400
SUB TOTAL PERGOLONGAN : III 200,777,340 6,180,000 0 0 190,705 0
PEG: 69 11,570,756 6,105,000 0 0 0 0
IST: 39 JIWA= 175 4,159,940 11,245,000 12,673,500 0 2,400,376
216,508,036 0 190,705 0
ANK: 67 0 17,320,648 0
2,888 0 0
252,905,129 0 19,911,729
0 232,993,400
80 JAELANI ,A.Md.RMIK. K -1 2,474,700 0 0 0 0 0 80 .............
0 247,470 0 0 0 0 0
0 360,000 144,840 0 30,822
21-08-1995 2 2,722,170 0 0 0
199508212019031006 MKG: 6 0 217,774 0
843392424915000 3,227,096 0 248,596 0
0 2,978,500
81 EKA WAHYUNI ,AMG K -1 2,474,700 0 0 0 0 0 81 .............
2 247,470 0 0 0 0 0
98,988 240,000 289,680 0 30,612
21-05-1985 4 2,821,158 0 0 0
198505212019032003 MKG: 6 0 225,693 0
895908358915000 3,350,905 0 256,305 0
0 3,094,600
82 BAIQ MALIDA SETYARINI YUSUP K -1 2,474,700 0 0 0 0 0 82 .............
,AMKL 0 247,470 0 0 0 0 0
0 240,000 144,840 0 29,622
02-09-1993 2 2,722,170 0 0 0
199309022019032017 MKG: 6 0 217,774 0
910759802914000 3,107,096 0 247,396 0
0 2,859,700

NO KAWIN
83 ENDANG PURNOMO K -1 2,474,700 0 0 0 0 0 83 .............
1 247,470 0 0 0 0 0
49,494 240,000 217,260 0 30,117
29-04-1994 3 2,771,664 0 0 0
199404292019032012 MKG: 6 0 221,733 0
910682921914000 3,228,950 0 251,850 0
0 2,977,100
84 RYAN AZMI ,A.Md.Farm. TK-0 2,474,700 0 0 0 0 0 84 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 27,147
03-03-1996 1 2,474,700 0 0 0
199603032019031005 MKG: 6 0 197,976 0
910981463914000 2,787,123 0 225,123 0
0 2,562,000
85 MARLINA SUKMAWATI K -0 2,980,800 0 0 0 0 0 85 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
07-05-1977 1 2,980,800 0 0 0
197705072007012036 MKG:17 0 238,464 0
3,233,272 0 270,072 0
0 2,963,200
86 SUHAIRI K -1 2,980,800 0 0 0 0 0 86 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
15-05-1977 4 3,398,112 0 0 0
197705152007011020 MKG:17 0 271,849 0
3,867,830 0 307,630 0
0 3,560,200
87 ELIANI SETIA NINGSIH JD-0 2,859,800 0 0 0 0 0 87 .............
2 0 0 0 0 0 0
114,392 240,000 217,260 0 32,142
18-03-1978 3 2,974,192 0 0 0
197803182008012016 MKG:17 0 237,935 0
Pengatur-2C 25 0 0
3,431,477 0 270,077 0
0 3,161,400
88 NURUL HIDAYATI ,A.Md.Kep. TK-0 2,374,300 0 0 0 0 0 88 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
15-04-1990 1 2,374,300 0 0 0
199004152020122010 MKG: 5 0 189,944 0 0220228004113
Pengatur-2C 67 0 0
459986535915000 2,626,787 0 215,487 0
89 LUH DE ARTAMI ,A.Md.Kep K -0 2,374,300 0 0 0 0 0 89 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
21-05-1990 1 2,374,300 0 0 0
199005212020122007 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228003306
67 0
728415696914000 2,626,787 0 215,487 0

NO KAWIN
90 SOPIAN HARIS ,A.Md.Perkes K -1 2,374,300 0 0 0 0 0 90 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
04-07-1990 3 2,659,216 0 0 0
199007042020121005 MKG: 5 0 212,737 0 0220200430281
Pengatur-2C 53 0 0
964625586915000 3,056,529 0 241,129 0
91 MANGGARINI DEWI ERNOWO K -0 2,374,300 0 0 0 0 0 91 .............
,A.Md.Far 0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
07-11-1991 1 2,374,300 0 0 0
199111072020122010 MKG: 5 0 189,944 0 0220228003026
Pengatur-2C 67 0 0
927069187914000 2,626,787 0 215,487 0
92 BAIQ RISMA DWI MILASARI K -0 2,374,300 0 0 0 0 0 92 .............
,A.Md.Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
03-07-1994 1 2,374,300 0 0 0
199407032020122010 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228003553
67 0
965546104914000 2,626,787 0 215,487 0
93 ANGGER SURADANA PASEK ,A.Md.Gz K -1 2,374,300 0 0 0 0 0 93 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
29-08-1995 3 2,659,216 0 0 0
199508292020121013 MKG: 5 0 212,737 0
Pengatur-2C 0 0220228003041
53 0
964157614914000 3,056,529 0 241,129 0
94 JOHAN TARMIZI ,A.Md.Kep K -1 2,374,300 0 0 0 0 0 94 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
17-07-1996 3 2,659,216 0 0 0
199607172020121008 MKG: 5 0 212,737 0
Pengatur-2C 0 0220200464280
53 0
843375592914000 3,056,529 0 241,129 0
95 I GEDE MEKEL YADNYA ,A.Md.Kes TK-0 2,374,300 0 0 0 0 0 95 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
02-01-1997 1 2,374,300 0 0 0
199701022020121006 MKG: 5 0 189,944 0 0220228003914
Pengatur-2C 67 0 0
955075395914000 2,626,787 0 215,487 0
96 DYAH AYU PUTRI SARI HARTIANI TK-0 1,841,440 0 0 0 0 0 96 .............
,A.Md 1 0 180,000 0 0 0 0
36,829 0 144,840 0 20,583
21-07-1986 2 1,878,269 0 0 0
198607212022032002 MKG: 3 0 150,262 0
Pengatur-2C 0 0220228014462
36 0
0 2,203,145 0 170,845 0
0 2,032,300

NO KAWIN
97 MURTINI ,A.Md.Perkes K -1 1,841,440 0 0 0 0 0 97 .............
2 184,144 180,000 0 0 0 0
73,658 0 289,680 0 22,792
16-09-1987 4 2,099,242 0 0 0
198709162022032003 MKG: 3 0 167,939 0 0220201431281
Pengatur-2C 9 0 0
0 2,568,931 0 190,731 0
0 2,378,200
98 DITA SRI LESTARI ,A.Md. Farm TK-0 1,841,440 0 0 0 0 0 98 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
30-09-1988 1 1,841,440 0 0 0
198809302022032005 MKG: 3 0 147,315 0 0220228014521
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
99 MARLIA FUJIYANTI ,A.Md.Keb K -1 1,841,440 0 0 0 0 0 99 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
14-03-1989 3 2,062,413 0 0 0
198903142022032006 MKG: 3 0 164,993 0
Pengatur-2C 0 0220228014506
44 0
0 2,459,717 0 187,417 0
0 2,272,300
100 NANING SRIMALYAGUSTINA K -1 1,841,440 0 0 0 0 0 100 .............
,A.Md.Keb 2 184,144 180,000 0 0 0 0
73,658 0 289,680 0 22,792
13-08-1989 4 2,099,242 0 0 0
198908132022032013 MKG: 3 0 167,939 0
Pengatur-2C 0 0220201504284
9 0
0 2,568,931 0 190,731 0
0 2,378,200
101 ULIYA HULUL AZMI ,A.Md.Bid K -1 1,841,440 0 0 0 0 0 101 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
18-11-1990 3 2,062,413 0 0 0
199011182022032009 MKG: 3 0 164,993 0
Pengatur-2C 0 0220201503283
44 0
0 2,459,717 0 187,417 0
0 2,272,300
102 DEBY KRISNA YANTI ,A.Md.PerKes. K -1 1,841,440 0 0 0 0 0 102 .............
2 184,144 180,000 0 0 0 0
73,658 0 289,680 0 22,792
30-07-1991 4 2,099,242 0 0 0
199107302022032007 MKG: 3 0 167,939 0 0220201433283
Pengatur-2C 9 0 0
0 2,568,931 0 190,731 0
0 2,378,200
103 YANIS MALATRY BUDIYANTI ,Amd.Gz TK-0 1,841,440 0 0 0 0 0 103 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
03-08-1991 1 1,841,440 0 0 0
199108032022032013 MKG: 3 0 147,315 0
Pengatur-2C 0 0220201482283
69 0
0 2,093,929 0 167,529 0
0 1,926,400

NO KAWIN
104 HERNANDI ADI PERDANA ,A.Md.Farm TK-0 1,841,440 0 0 0 0 0 104 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
20-04-1992 1 1,841,440 0 0 0
199204202022031009 MKG: 3 0 147,315 0 0220228014683
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
105 LALU AKHMAD MUNAWAR IBRAHIM K -1 1,841,440 0 0 0 0 0 105 .............
,A.Md.Rad 0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
11-06-1992 2 2,025,584 0 0 0
199206112022031009 MKG: 3 0 162,047 0 0220201500280
Pengatur-2C 79 0 0
0 2,350,503 0 184,103 0
0 2,166,400
106 AYU MANG ENITA LATRI ,A.md.Keb K -1 1,841,440 0 0 0 0 0 106 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
01-07-1992 3 2,062,413 0 0 0
199207012022032016 MKG: 3 0 164,993 0
Pengatur-2C 0 0220201480281
44 0
0 2,459,717 0 187,417 0
0 2,272,300
107 REZA ALIZA RAHMANIAR ,A.md,Keb TK-0 1,841,440 0 0 0 0 0 107 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
21-07-1992 1 1,841,440 0 0 0
199207212022032008 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014495
69 0
0 2,093,929 0 167,529 0
0 1,926,400
108 UTARI SASTRI ,A.Md. Rad K -1 1,841,440 0 0 0 0 0 108 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
23-09-1992 3 2,062,413 0 0 0
199209232022032014 MKG: 3 0 164,993 0
Pengatur-2C 0 0220202136271
44 0
0 2,459,717 0 187,417 0
0 2,272,300
109 DINI ARISNA ,Amd. Keb. K -1 1,841,440 0 0 0 0 0 109 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
03-10-1992 2 2,025,584 0 0 0
199210032022032015 MKG: 3 0 162,047 0 0220228014580
Pengatur-2C 79 0 0
0 2,350,503 0 184,103 0
0 2,166,400
110 ZIA NIZAR MANZURI ,A.Md.Kep K -1 1,841,440 0 0 0 0 0 110 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
07-12-1992 2 2,025,584 0 0 0
199212072022031008 MKG: 3 0 162,047 0
Pengatur-2C 0 0220201436286
79 0
0 2,350,503 0 184,103 0
0 2,166,400

NO KAWIN
111 ABDILLAH RAHMADIPUTRA ,A.Md TK-0 1,841,440 0 0 0 0 0 111 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
18-12-1992 1 1,841,440 0 0 0
199212182022031013 MKG: 3 0 147,315 0 0220201407201
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
112 APRIAN REZIYA LATA ,A.Md.Far K -1 1,841,440 0 0 0 0 0 112 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
06-04-1993 2 2,025,584 0 0 0
199304062022032007 MKG: 3 0 162,047 0 0220228014565
Pengatur-2C 79 0 0
0 2,350,503 0 184,103 0
0 2,166,400
113 MULIANA ,A.md.keb K -1 1,841,440 0 0 0 0 0 113 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
12-06-1993 2 2,025,584 0 0 0
199306122022032014 MKG: 3 0 162,047 0
Pengatur-2C 0 0220201441284
79 0
0 2,350,503 0 184,103 0
0 2,166,400
114 SAKAI LAKSMI ALMIRA A. K -1 1,841,440 0 0 0 0 0 114 .............
,A.Md.Keb 1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
24-07-1993 3 2,062,413 0 0 0
199307242022032013 MKG: 3 0 164,993 0
Pengatur-2C 0 0220201405286
44 0
0 2,459,717 0 187,417 0
0 2,272,300
115 I WAYAN PRASTA ,A.Md.Farm TK-0 1,841,440 0 0 0 0 0 115 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
01-08-1993 1 1,841,440 0 0 0
199308012022031013 MKG: 3 0 147,315 0
Pengatur-2C 0 0220210445281
69 0
0 2,093,929 0 167,529 0
0 1,926,400
116 OPAN HIZWANDI ,A.Md.Farm. K -1 1,841,440 0 0 0 0 0 116 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
03-10-1993 3 2,062,413 0 0 0
199310032022031007 MKG: 3 0 164,993 0 0220201499286
Pengatur-2C 44 0 0
0 2,459,717 0 187,417 0
0 2,272,300
117 ABDUL KADIR JAILANI ,A.Md. TEM TK-0 1,841,440 0 0 0 0 0 117 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
26-05-1994 1 1,841,440 0 0 0
199405262022031012 MKG: 3 0 147,315 0
Pengatur-2C 0 0220201486280
69 0
0 2,093,929 0 167,529 0
0 1,926,400

NO KAWIN
118 SUSI YULIANI ,A.Md.TEM TK-0 1,841,440 0 0 0 0 0 118 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
27-07-1994 1 1,841,440 0 0 0
199407272022032015 MKG: 3 0 147,315 0 0220228014510
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
119 YULI ASTRI INDRA DEWI K -1 1,841,440 0 0 0 0 0 119 .............
,A.Md.Kep. 1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
29-07-1994 3 2,062,413 0 0 0
199407292022032015 MKG: 3 0 164,993 0 0220201495282
Pengatur-2C 44 0 0
0 2,459,717 0 187,417 0
0 2,272,300
120 KARUNA WIDYTARANI ,A.Md.Farm K -1 1,841,440 0 0 0 0 0 120 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
08-12-1994 2 2,025,584 0 0 0
199412082022032009 MKG: 3 0 162,047 0
Pengatur-2C 0 0220201443286
79 0
0 2,350,503 0 184,103 0
0 2,166,400
121 BAIQ WINDA ANJANI PUTRI TK-0 1,841,440 0 0 0 0 0 121 .............
,AMD.KEB 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
29-12-1994 1 1,841,440 0 0 0
199412292022032014 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014764
69 0
0 2,093,929 0 167,529 0
0 1,926,400
122 KADEK FERINA WIYANTI DEWI ,Amd. TK-0 1,841,440 0 0 0 0 0 122 .............
Keb 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
05-01-1995 1 1,841,440 0 0 0
199501052022032022 MKG: 3 0 147,315 0
Pengatur-2C 0 0220201438281
69 0
0 2,093,929 0 167,529 0
0 1,926,400
123 NONIA URSILA QISTY ,A.Md.Keb. TK-0 1,841,440 0 0 0 0 0 123 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
28-01-1995 1 1,841,440 0 0 0
199501282022032020 MKG: 3 0 147,315 0 0220201651284
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
124 LALU ARMEDI UMBARAN ,A.Md. TK-0 1,841,440 0 0 0 0 0 124 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
03-03-1995 1 1,841,440 0 0 0
199503032022031012 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014716
69 0
0 2,093,929 0 167,529 0
0 1,926,400

NO KAWIN
125 LALU RIUH SURYANTARA PUTRA K -1 1,841,440 0 0 0 0 0 125 .............
,A.Md.Rad 1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
26-03-1995 3 2,062,413 0 0 0
199503262022031010 MKG: 3 0 164,993 0 0220228014705
Pengatur-2C 44 0 0
0 2,459,717 0 187,417 0
0 2,272,300
126 HARNI ,AMKL K -1 1,841,440 0 0 0 0 0 126 .............
2 184,144 180,000 0 0 0 0
73,658 0 289,680 0 22,792
29-05-1995 4 2,099,242 0 0 0
199505292022032016 MKG: 3 0 167,939 0 0220228014484
Pengatur-2C 9 0 0
0 2,568,931 0 190,731 0
0 2,378,200
127 LALU REZA HANAFI ,A.Md.Rad. TK-0 1,841,440 0 0 0 0 0 127 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
02-06-1995 1 1,841,440 0 0 0
199506022022031017 MKG: 3 0 147,315 0
Pengatur-2C 0 0220202184270
69 0
0 2,093,929 0 167,529 0
0 1,926,400
128 IKA ROSDIAN PRIHATIN ,A.Md.Kep. K -1 1,841,440 0 0 0 0 0 128 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
15-06-1995 2 2,025,584 0 0 0
199506152022032030 MKG: 3 0 162,047 0
Pengatur-2C 0 0220231015001
79 0
0 2,350,503 0 184,103 0
0 2,166,400
129 LINDA SURYANI ,A.Md.Keb TK-0 1,841,440 0 0 0 0 0 129 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
06-07-1995 1 1,841,440 0 0 0
199507062022032016 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014532
69 0
0 2,093,929 0 167,529 0
0 1,926,400
130 ROYANI AGUSTINA ,A.Md.Kep TK-0 1,841,440 0 0 0 0 0 130 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
18-08-1995 1 1,841,440 0 0 0
199508182022032016 MKG: 3 0 147,315 0 0220201492286
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
131 MAR'ATUN SOLIHAH ,A.Md.Farm TK-0 1,841,440 0 0 0 0 0 131 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
27-08-1995 1 1,841,440 0 0 0
199508272022032018 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014543
69 0
0 2,093,929 0 167,529 0
0 1,926,400

NO KAWIN
132 INDAFIQ KURNIA SETIAWAN K -1 1,841,440 0 0 0 0 0 132 .............
,A.Md.Rad 0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
11-09-1995 2 2,025,584 0 0 0
199509112022031011 MKG: 3 0 162,047 0 0220202169276
Pengatur-2C 79 0 0
0 2,350,503 0 184,103 0
0 2,166,400
133 SULTAN ALBADRUL MUNIR ,A.Md. K -1 1,841,440 0 0 0 0 0 133 .............
0 184,144 180,000 0 0 0 0
0 0 144,840 0 22,056
24-04-1996 2 2,025,584 0 0 0
199604242022031014 MKG: 3 0 162,047 0 0220228014650
Pengatur-2C 79 0 0
0 2,350,503 0 184,103 0
0 2,166,400
134 KHAERIL ANWAR ,A.Md K -1 1,841,440 0 0 0 0 0 134 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
09-05-1996 3 2,062,413 0 0 0
199605092022031008 MKG: 3 0 164,993 0
Pengatur-2C 0 0220228014602
44 0
0 2,459,717 0 187,417 0
0 2,272,300
135 FARIDATUL ILMA ,A.Md.RMIK TK-0 1,841,440 0 0 0 0 0 135 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
07-07-1996 1 1,841,440 0 0 0
199607072022032014 MKG: 3 0 147,315 0
Pengatur-2C 0 0220201432282
69 0
0 2,093,929 0 167,529 0
0 1,926,400
136 IDA AYU LANDITA ARASWARI K -1 1,841,440 0 0 0 0 0 136 .............
,A.Md.Kep 2 184,144 180,000 0 0 0 0
73,658 0 289,680 0 22,792
11-07-1996 4 2,099,242 0 0 0
199607112022032019 MKG: 3 0 167,939 0
Pengatur-2C 0 0220201470206
9 0
0 2,568,931 0 190,731 0
0 2,378,200
137 IVO FAZRIANI DAMANIK ,A.Md.RMIK TK-0 1,841,440 0 0 0 0 0 137 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
16-09-1996 1 1,841,440 0 0 0
199609162022032026 MKG: 3 0 147,315 0 0220228014473
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
138 KHAIRUL FATA ,A.Md K -1 1,841,440 0 0 0 0 0 138 .............
1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
06-10-1996 3 2,062,413 0 0 0
199610062022031004 MKG: 3 0 164,993 0
Pengatur-2C 0 0220201654280
44 0
0 2,459,717 0 187,417 0
0 2,272,300

NO KAWIN
139 ZUHRUL CHAIRY ,A.Md.Kep TK-0 1,841,440 0 0 0 0 0 139 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
19-04-1997 1 1,841,440 0 0 0
199704192022031008 MKG: 3 0 147,315 0 0220201437280
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
140 YUNI PUSPA ARMAWATI ,A.Md. TK-0 1,841,440 0 0 0 0 0 140 .............
Farm. 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
25-06-1997 1 1,841,440 0 0 0
199706252022032017 MKG: 3 0 147,315 0 0220228014576
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
141 AMALIA SAFITRI ASSIDIQI ,A.Md K -1 1,841,440 0 0 0 0 0 141 .............
Gz. 1 184,144 180,000 0 0 0 0
36,829 0 217,260 0 22,424
14-09-1997 3 2,062,413 0 0 0
199709142022032024 MKG: 3 0 164,993 0
Pengatur-2C 0 0220201481282
44 0
0 2,459,717 0 187,417 0
0 2,272,300
142 MUHAMMAD ANDREANSYAH ,A. Md. Gz TK-0 1,841,440 0 0 0 0 0 142 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
06-10-1997 1 1,841,440 0 0 0
199710062022031011 MKG: 3 0 147,315 0
Pengatur-2C 0 0220202167274
69 0
0 2,093,929 0 167,529 0
0 1,926,400
143 SITI LAILA QOMARIAH ,A.Md Gz. TK-0 1,841,440 0 0 0 0 0 143 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
08-05-1998 1 1,841,440 0 0 0
199805082022032024 MKG: 3 0 147,315 0
Pengatur-2C 0 0220201404205
69 0
0 2,093,929 0 167,529 0
0 1,926,400
144 SHAH IQBAL IKRAMAN AKBAR TK-0 1,841,440 0 0 0 0 0 144 .............
,A.Md.Farm 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
01-06-1998 1 1,841,440 0 0 0
199806012022031013 MKG: 3 0 147,315 0 0220201444280
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
145 WIRANA ECY SEPTANA'IM ,A.Md. TK-0 1,841,440 0 0 0 0 0 145 .............
Kep. 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
21-09-1998 1 1,841,440 0 0 0
199809212022032016 MKG: 3 0 147,315 0
Pengatur-2C 0 0220228014554
69 0
0 2,093,929 0 167,529 0
0 1,926,400

NO KAWIN
146 I KETUT ADI PERMANA ,A.Md.Kes TK-0 1,841,440 0 0 0 0 0 146 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
02-09-1999 1 1,841,440 0 0 0
199909022022031005 MKG: 3 0 147,315 0 0220228014720
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
147 NOVI KRISTIANI SIDAURUK TK-0 1,841,440 0 0 0 0 0 147 .............
,A.Md.Kes 0 0 180,000 0 0 0 0
0 0 72,420 0 20,214
08-11-1999 1 1,841,440 0 0 0
199911082022032008 MKG: 3 0 147,315 0 0220201429206
Pengatur-2C 69 0 0
0 2,093,929 0 167,529 0
0 1,926,400
PEG: 68 6,603,850 11,160,000 0 0 0 0
IST: 33 JIWA= 133 1,334,802 1,560,000 9,631,860 0 1,566,017
143,882,832 0 0 0
ANK: 32 0 11,510,622 0
3,947 0 0
166,238,639 0 13,076,639
0 153,162,000
TOTAL PER SATKER 378,744,520 8,520,000 0 0 322,300 0
PEG: 147 19,001,646 17,265,000 0 0 0 0
IST: 74 JIWA= 322 5,660,150 19,105,000 23,319,240 0 4,482,947
ANK: 101 403,406,316 0 322,300 0
0 32,272,506 0
0 0
7,197 0 37,077,753
471,945,053
0 434,867,300
,21 NOPEMBER 2022
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS EYAT MAYANG

NO KAWIN
1 J A D I R I K -1 5,000,000 0 0 0 36,191 0 1 .............
1 500,000 0 0 0 0 0
100,000 850,000 217,260 0 64,500
13-07-1964 3 5,600,000 0 36,191 0
196407131985111003 MKG:32 0 448,000 0 0222200920228
Pembina-4A 40 0 0
484272281915000 6,703,491 0 548,691 0
PEG: 1 500,000 0 0 0 0 0
IST: 1 JIWA= 3 100,000 850,000 217,260 0 64,500
5,600,000 0 36,191 0
ANK: 1 0 448,000 0
40 0 0
6,703,491 0 548,691
0 6,154,800
2 SRI BIMAWATI K -1 4,508,600 0 0 0 5,046 0 2 .............
0 450,860 0 0 0 0 0
0 500,000 144,840 0 54,595
25-10-1968 2 4,959,460 0 5,046 0 0
196810251989032005 MKG:28 0 396,757 0
Penata Tk.I-3D 0 0222200922226
52 0
484272273915000 5,609,398 0 456,398 0
UPDATE-2022-12-01 0 5,153,000
3 SRI WAHYUNI TK-0 4,370,900 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
07-08-1971 1 4,370,900 0 0 0
197108071991022001 MKG:26 0 349,672 0 0222200923221
484272406911000 4,943,381 0 398,381 0
0 4,545,000
4 AKMAL ROSAMALI ,AMD.KEP K -0 4,237,500 0 0 0 126,100 0 4 .............
1 0 0 0 0 0 0
84,750 500,000 144,840 0 48,223
19-11-1971 2 4,322,250 0 126,100 0
197111191992031006 MKG:24 0 345,780 0 0222200427226
484272356911000 5,093,203 0 520,103 0
UPDATE-2022-12-01 0 4,573,100
5 ROHMAH K -1 3,743,100 0 0 0 32,282 0 5 .............
2 374,310 0 0 0 0 0
149,724 500,000 289,680 0 47,671
08-07-1981 4 4,267,134 0 32,282 0
198107082006042017 MKG:17 0 341,371 0 0222200974229
889571592915000 5,089,124 0 421,324 0
0 4,667,800
6 AKHMAD SARIFUDIN K -1 3,861,000 0 0 0 0 0 6 .............
2 386,100 0 0 0 0 0
154,440 300,000 289,680 0 47,015
31-12-1978 4 4,401,540 0 0 0
197812311999031004 MKG:18 0 352,123 0
Penata Tk.I-3D 0 0222200272010
18 0
4,991,238 0 399,138 0
0 4,592,100

NO KAWIN
7 USWATUN HASANAH K -0 3,821,000 490,000 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 0 72,420 0 43,110
30-08-1972 1 3,821,000 0 0 0
197208301997032005 MKG:20 0 305,680 0 0222200171229
Penata-3C 70 0 0
889580759911000 4,383,490 0 348,790 0
0 4,034,700
8 S U M A R T I TK-0 3,941,400 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 44,414
31-12-1970 1 3,941,400 0 0 0
197012311994011013 MKG:22 0 315,312 0 0222201314221
Penata-3C 6 0 0
897515169915000 4,513,826 0 359,726 0
0 4,154,100
9 DIAH PUJI LESTARI.A.MD.KEB K -1 3,139,400 0 0 0 0 0 9 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
18-11-1987 4 3,578,916 0 0 0
198711182010012010 MKG:10 0 286,313 0
56 0
685885246915000 4,133,652 0 324,752 0
0 3,808,900
10 LALU SYARIF HIDAYATULLAH K -1 3,139,400 0 0 0 0 0 10 .............
,A.Md.Farm 2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
23-10-1988 4 3,578,916 0 0 0
198810232010011006 MKG:10 0 286,313 0
56 0
4,133,652 0 324,752 0
0 3,808,900
11 dr, ZIAUDDIN ZAIDAR K -1 2,773,200 0 0 0 0 0 11 .............
1 277,320 185,000 0 0 0 0
55,464 0 217,260 0 32,910
27-06-1989 3 3,105,984 0 0 0
198906272020121007 MKG: 2 0 248,479 0
45 0
803214071914000 3,508,289 0 281,389 0
12 NI KOMANG SUARI MELINDA DEWI K -1 2,660,700 0 0 0 0 0 12 .............
,S.Tr.Kes 1 266,070 185,000 0 0 0 0
53,214 0 217,260 0 31,650
31-05-1996 3 2,979,984 0 0 0
199605312020122015 MKG: 2 0 238,399 0 0220228003575
862504628907000 3,382,249 0 270,049 0
13 GEOFANI SIMARMATA ,S.Tr.Kes TK-0 2,660,700 0 0 0 0 0 13 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 28,457
07-01-1997 1 2,660,700 0 0 0
199701072020122008 MKG: 2 0 212,856 0
Penata Muda-3A 0 0220228004076
93 0
918755380122000 2,918,213 0 241,313 0

NO KAWIN
PEG: 12 2,382,540 555,000 0 0 0 0
IST: 7 JIWA= 30 748,744 3,330,000 2,172,600 0 503,632
45,988,184 0 163,428 0
ANK: 11 0 3,679,055 0
503 0 0
52,699,715 0 4,346,115
0 48,353,600
14 RAHMAYANI AL-UMMAH ,A.Md.Kep. K -1 2,552,700 0 0 0 0 0 14 .............
2 255,270 0 0 0 0 0
102,108 265,000 289,680 0 31,751
15-03-1991 4 2,910,078 0 0 0
199103152015022003 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0222200988221
99 0
740214200915000 3,464,857 0 264,557 0
Tmt 2022-12-01 0 3,200,300
15 HUSNIATI LU'LU ILMARJAN TK-0 3,074,700 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 33,147
02-05-1980 1 3,074,700 0 0 0
198005022008012028 MKG:20 0 245,976 0
Pengatur Tk.I-2D 0 0222200984224
3 0
573365145915000 3,387,123 0 279,123 0
0 3,108,000
16 EKA PUSPASARI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 16 .............
1 280,150 0 0 0 0 0
56,030 240,000 217,260 0 33,777
06-08-1984 3 3,137,680 0 0 0
198408062017042001 MKG:13 0 251,014 0 0222201935221
843781802914000 3,594,991 0 284,791 0
0 3,310,200
17 I GUSTI AYU SULISTIAWATI K -1 2,801,500 0 0 0 0 0 17 .............
,AMD.KEB 2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
07-08-1988 4 3,193,710 0 0 0
198808072017042005 MKG:13 0 255,497 0 0222201902223
705507556915000 3,723,434 0 289,834 0
0 3,433,600
18 AYUNA MARDIASTUTI ,AMD.KEB K -1 2,772,500 0 0 0 0 0 18 .............
2 277,250 0 0 0 0 0
110,900 240,000 289,680 0 34,007
17-07-1987 4 3,160,650 0 0 0
198707172017042002 MKG:15 0 252,852 0 0222201908227
Pengatur-2C 29 0 0
669371320915000 3,690,359 0 286,859 0
0 3,403,500
19 NOVIT WIDYA RAHAYU ,A.Md.Kep K -1 2,374,300 0 0 0 0 0 19 .............
1 237,430 180,000 0 0 0 0
47,486 0 217,260 0 28,392
13-11-1993 3 2,659,216 0 0 0
199311132020122007 MKG: 5 0 212,737 0
Pengatur-2C 0 02202280031804
53 0
967593401915000 3,056,529 0 241,129 0

NO KAWIN
20 SYOFIANDI ARONI ,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 20 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
07-03-1996 1 2,374,300 0 0 0
199603072020121006 MKG: 5 0 189,944 0 0220228003796
Pengatur-2C 67 0 0
963808621914000 2,626,787 0 215,487 0
21 NADIA IKA RAMDHANI ,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 21 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
30-12-1997 1 2,374,300 0 0 0
199712302020122008 MKG: 5 0 189,944 0 0220228002912
Pengatur-2C 67 0 0
951248913914000 2,626,787 0 215,487 0
22 SRI AMALIA UTAMI ,Amd.Kep K -1 2,301,800 0 0 0 0 0 22 .............
2 230,180 180,000 0 0 0 0
92,072 0 289,680 0 28,041
20-09-1988 4 2,624,052 0 0 0
198809202020122011 MKG: 4 0 209,924 0
Pengatur-2C 0 0220228002691
33 0
164334351915000 3,093,765 0 237,965 0
0 2,855,800
23 EFRYDA SUSIANA ,Amd.Kep K -1 2,301,800 0 0 0 0 0 23 .............
2 230,180 180,000 0 0 0 0
92,072 0 289,680 0 28,041
17-04-1990 4 2,624,052 0 0 0
199004172020122010 MKG: 4 0 209,924 0
Pengatur-2C 0 0220228003951
33 0
964238612915000 3,093,765 0 237,965 0
0 2,855,800
24 HURLIADI K -1 2,660,000 0 0 0 0 0 24 .............
2 266,000 180,000 0 0 0 0
106,400 0 289,680 0 32,124
30-07-1973 4 3,032,400 0 0 0
197307302010011002 MKG:15 0 242,592 0
36 0
889571469915000 3,502,116 0 274,716 0
0 3,227,400
PEG: 11 2,056,610 1,080,000 0 0 0 0
IST: 8 JIWA= 33 719,128 1,225,000 2,389,860 0 334,703
31,165,138 0 0 0
ANK: 14 0 2,493,210 0
515 0 0
35,860,513 0 2,827,913
0 33,032,600

NO KAWIN
TOTAL PER SATKER 76,246,300 490,000 0 0 199,619 0
PEG: 24 4,939,150 1,635,000 0 0 0 0
IST: 16 JIWA= 66 1,567,872 5,405,000 4,779,720 0 902,835
ANK: 26 82,753,322 0 199,619 0
0 6,620,265 0
0 0
1,058 0 7,722,719
95,263,719
0 87,541,000
KEPALA DINAS KESEHATAN MASYARAKAT ,21 NOPEMBER 2022

BENDAHARA PENGELUARAN
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SURANADI

NO KAWIN
1 SUHERMANTO K -1 4,898,100 0 0 0 9,670 0 1 .............
1 489,810 0 0 0 0 0
97,962 850,000 217,260 0 63,359
31-12-1968 3 5,485,872 0 9,670 0
196812311989031064 MKG:28 0 438,870 0 0222204920021
484270780915000 6,562,899 0 511,899 0
0 6,051,000
2 KARIYAWAN ,SKM K -1 4,024,400 490,000 0 0 116,700 0 2 .............
2 402,440 0 0 0 0 0
160,976 0 289,680 0 50,778
31-12-1972 4 4,587,816 0 116,700 0
197212311998031048 MKG:18 0 367,025 0 0220200172282
Pembina-4A 7 0 0
891278889951000 5,484,203 0 534,503 0
0 4,949,700
PEG: 2 892,250 0 0 0 0 0
IST: 2 JIWA= 7 258,938 850,000 506,940 0 114,137
10,073,688 0 126,370 0
ANK: 3 0 805,895 0
104 0 0
12,047,102 0 1,046,402
0 11,000,700
3 BILLIA MILKAN, ,SST K -1 4,237,500 0 0 0 37,600 0 3 .............
2 423,750 0 0 0 0 0
169,500 600,000 289,680 0 54,308
24-04-1971 4 4,830,750 0 37,600 0
197104241993031009 MKG:24 0 386,460 0 0222200687228
484270541915000 5,758,068 0 478,368 0
0 5,279,700
4 LALU MANSYUR K -1 4,237,500 0 0 0 215,750 0 4 .............
2 423,750 0 0 0 0 0
169,500 600,000 289,680 0 54,308
31-12-1973 4 4,830,750 0 215,750 0
197312311993031024 MKG:24 0 386,460 0 0222200642228
159838895915000 5,936,218 0 656,518 0
0 5,279,700
5 I KOMANG SUKARIANA. ,AMD K -1 4,508,600 0 0 0 117,350 0 5 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
19-07-1967 4 5,139,804 0 117,350 0
196707191988031007 MKG:28 0 411,184 0 0222200739227
484271366915000 6,046,932 0 584,932 0
0 5,462,000
6 J U A E N I TK-0 4,370,900 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
13-02-1968 1 4,370,900 0 0 0
196802131990032004 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200697223
61 0
484271275915000 4,943,381 0 398,381 0
0 4,545,000

NO KAWIN
7 ALBERT HENDRA AYU JALDI. ,AMD K -1 4,108,100 0 0 0 0 0 7 .............
2 410,810 0 0 0 0 0
164,324 500,000 289,680 0 51,832
01-09-1975 4 4,683,234 0 0 0
197509011995031001 MKG:22 0 374,659 0 0222200746221
897515193915000 5,472,991 0 426,491 0
0 5,046,500
8 NI WAYAN DWIARI ,AMD K -1 3,272,200 0 0 0 0 0 8 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
04-02-1986 4 3,730,308 0 0 0
198602042009032003 MKG:11 0 298,425 0 0222200654220
Penata-3C 40 0 0
159679539922000 4,520,028 0 340,728 0
9 RISPAINI NURHASANAH ,S.Sos. K -1 3,941,400 0 0 0 0 0 9 .............
2 394,140 185,000 0 0 0 0
157,656 0 289,680 0 46,782
24-08-1973 4 4,493,196 0 0 0
197308241994022001 MKG:22 0 359,456 0
Penata-3C 0 0102201595021
62 0
574370060912000 4,967,938 0 406,238 0
0 4,561,700
10 ISNAINUL FAHMI ,A.Md.Kep. K -1 3,139,400 0 0 0 0 0 10 .............
2 313,940 0 0 0 0 0
125,576 300,000 289,680 0 38,789
06-03-1988 4 3,578,916 0 0 0
198803062010011008 MKG:10 0 286,313 0
6 0
16182218913000 4,168,602 0 325,102 0
0 3,843,500
11 FITRIANA K -1 3,238,300 0 0 0 0 0 11 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
31-12-1982 4 3,691,662 0 0 0
198212312007012011 MKG:12 0 295,333 0
58 0
587445107915000 4,246,400 0 334,900 0
12 BAIQ LARASIPAH.A.MD.KEB K -0 3,139,400 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
05-10-1986 1 3,139,400 0 0 0
198610052010012038 MKG:10 0 251,152 0 022220077224
685885261915000 3,476,896 0 285,196 0
0 3,191,700
13 I. A. ULLY PRIMA PRATIWI, K -0 3,139,400 0 0 0 0 0 13 .............
,AMD.KEB. 0 0 0 0 0 0 0
0 265,000 72,420 0 34,044
10-07-1987 1 3,139,400 0 0 0
198707102010012035 MKG:10 0 251,152 0
76 0
547066035907000 3,476,896 0 285,196 0
0 3,191,700

NO KAWIN
14 BAIQ ZUHRO YULIATI.A.MKL TK-0 3,043,600 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,086
12-07-1981 1 3,043,600 0 0 0
198107122011012008 MKG: 8 0 243,488 0 0222201193224
165739421915000 3,381,074 0 276,574 0
0 3,104,500
15 MARTINA KUSAMYATI.A.MD.KEB K -1 3,043,600 0 0 0 0 0 15 .............
2 304,360 0 0 0 0 0
121,744 265,000 289,680 0 37,347
27-03-1989 4 3,469,704 0 0 0
198903272011012015 MKG: 8 0 277,576 0 0222200771235
452398361915000 4,024,423 0 314,923 0
0 3,709,500
16 drg., SASKY M.S. RAHMAN K -1 2,773,200 0 0 0 0 0 16 .............
1 277,320 185,000 0 0 0 0
55,464 0 217,260 0 32,910
04-01-1990 3 3,105,984 0 0 0
199001042020121006 MKG: 2 0 248,479 0
45 0
852266477101000 3,508,289 0 281,389 0
17 RINA ADRIANI KUSUMA DEWI K -1 3,106,900 0 0 0 0 0 17 .............
,A.Md.Kep. 2 310,690 0 0 0 0 0
124,276 495,000 289,680 0 40,369
07-10-1981 4 3,541,866 0 0 0
198110072005012016 MKG:12 0 283,349 0
Penata Muda-3A 0 0220200005283
72 0
795922558913000 4,326,618 0 323,718 0
0 4,002,900
18 MAHDAYATI K -1 3,106,900 0 0 0 0 0 18 .............
2 310,690 0 0 0 0 0
124,276 495,000 289,680 0 40,369
01-12-1982 4 3,541,866 0 0 0
198212012007012007 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200757229
72 0
897515052951000 4,326,618 0 323,718 0
0 4,002,900
19 ASTIN HURIANI TK-0 3,409,800 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 37,098
05-03-1979 1 3,409,800 0 0 0
197903052007012026 MKG:18 0 272,784 0 0222200760227
897515268915000 3,782,282 0 309,882 0
0 3,472,400
20 NI PUTU EKA KARUNIAWATI K -1 3,409,800 0 0 0 0 0 20 .............
2 340,980 0 0 0 0 0
136,392 265,000 289,680 0 41,522
28-10-1978 4 3,887,172 0 0 0
197810282008012021 MKG:18 0 310,974 0
Penata Muda-3A 0 0222200764222
44 0
15.744.767.3.915.000 4,441,896 0 352,496 0
0 4,089,400

NO KAWIN
21 NONCIE MANDALIN NUSA TK-0 3,204,700 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,697
20-11-1977 1 3,204,700 0 0 0
197711202008012014 MKG:14 0 256,376 0 0222200819223
897515318915000 3,542,173 0 291,073 0
0 3,251,100
22 THIA ARIZONNA MANDHASARI JD-0 2,830,900 0 0 0 0 0 22 .............
1 0 0 0 0 0 0
56,618 265,000 144,840 0 31,525
23-01-1983 2 2,887,518 0 0 0
198301232010012014 MKG: 7 0 231,001 0 0222201105227
728879131911000 3,297,426 0 262,526 0
Tmt 2022-12-01 0 3,034,900
23 DINI YULI ASTUTI ,SKL TK-0 2,660,700 0 0 0 0 0 23 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 28,457
13-07-1994 1 2,660,700 0 0 0
199407132020122011 MKG: 2 0 212,856 0
Penata Muda-3A 0 0220228003623
93 0
964361455915000 2,918,213 0 241,313 0
PEG: 21 4,612,340 555,000 0 0 0 0
IST: 13 JIWA= 60 1,846,090 6,910,000 4,345,200 0 858,464
78,381,230 0 370,700 0
ANK: 26 0 6,270,498 0
1,232 0 0
90,563,362 0 7,499,662
0 83,063,700
24 GITA APRILIA EKAWINDA ,AMD.KEB K -0 2,889,800 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 31,298
27-04-1988 1 2,889,800 0 0 0
198804272017042001 MKG:15 0 231,184 0 0222201923227
669162919915000 3,202,282 0 262,482 0
0 2,939,800
25 ANA YULIA ,AMD.KEB K -1 2,801,500 0 0 0 0 0 25 .............
2 280,150 0 0 0 0 0
112,060 240,000 289,680 0 34,337
07-05-1988 4 3,193,710 0 0 0
198805072017042002 MKG:13 0 255,497 0 0222201924220
705507341915000 3,723,434 0 289,834 0
0 3,433,600
26 SUDIARTONO K -1 3,074,700 0 0 0 0 0 26 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
12-04-1974 4 3,505,158 0 0 0
197404122008011024 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 0222200179221
27 0
666138718915000 3,974,865 0 317,265 0
0 3,657,600

NO KAWIN
27 MUHAMMAD RIPAI K -1 2,980,800 0 0 0 0 0 27 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
24-12-1968 4 3,398,112 0 0 0
196812242007011015 MKG:17 0 271,849 0 0222200223011
641469135915000 3,867,830 0 307,630 0
0 3,560,200
28 RATMINAH TK-0 2,980,800 0 0 0 0 0 28 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,608
04-04-1969 1 2,980,800 0 0 0
196904042007012036 MKG:17 0 238,464 0 0222200758223
897515367915000 3,233,272 0 270,072 0
0 2,963,200
29 NURJANNAH K -1 2,980,800 0 0 0 0 0 29 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
31-12-1980 4 3,398,112 0 0 0
198012312009012026 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222205808023
38 0
889397311915000 3,867,830 0 307,630 0
0 3,560,200
30 AZWAR ANAS K -1 2,772,500 0 0 0 0 0 30 .............
2 277,250 0 0 0 0 0
110,900 240,000 289,680 0 34,007
20-03-1982 4 3,160,650 0 0 0
198203202007011009 MKG:15 0 252,852 0
Pengatur-2C 0 0222200672015
29 0
688075209915000 3,690,359 0 286,859 0
0 3,403,500
31 SUCITA YANTI ,Amd.Kep K -1 2,374,300 0 0 0 0 0 31 .............
2 237,430 180,000 0 0 0 0
94,972 0 289,680 0 28,867
09-07-1989 4 2,706,702 0 0 0
198907092020122006 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228003402
21 0
852428606914000 3,176,403 0 245,403 0
32 NI MADE PARAMITA BUDAYANING K -1 2,374,300 0 0 0 0 0 32 .............
PUTRI ,A.Md.Keb 2 237,430 180,000 0 0 0 0
94,972 0 289,680 0 28,867
13-01-1993 4 2,706,702 0 0 0
199301132020122006 MKG: 5 0 216,536 0 0220228003844
Pengatur-2C 21 0 0
832146104902000 3,176,403 0 245,403 0
33 ZURRIYATUN THOYIBAH ,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 33 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 25,543
28-03-1995 1 2,374,300 0 0 0
199503282020122010 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228002890
67 0
865769640914000 2,626,787 0 215,487 0

NO KAWIN
34 NYOMAN GITA LESTARI ,A.Md.Keb K -1 2,301,800 0 0 0 0 0 34 .............
1 230,180 180,000 0 0 0 0
46,036 0 217,260 0 27,580
31-08-1989 3 2,578,016 0 0 0
198908312020122007 MKG: 4 0 206,241 0 0220228003984
Pengatur-2C 45 0 0
874429103914000 2,975,321 0 233,821 0
0 2,741,500
35 RIA MAYA PURY ,A.Md.Kep K -0 2,301,800 0 0 0 0 0 35 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 24,818
01-01-1990 1 2,301,800 0 0 0
199001012020122010 MKG: 4 0 184,144 0 0220228004124
Pengatur-2C 42 0 0
965474729914000 2,554,262 0 208,962 0
0 2,345,300
PEG: 12 2,166,070 1,620,000 0 0 0 0
IST: 8 JIWA= 35 820,392 720,000 2,534,700 0 375,339
35,193,862 0 0 0
ANK: 15 0 2,815,509 0
486 0 0
40,069,048 0 3,190,848
0 36,878,200
36 NASIRUN K -1 2,300,700 0 0 0 0 0 36 .............
2 230,070 175,000 0 0 0 0
92,028 0 289,680 0 27,978
31-12-1969 4 2,622,798 0 0 0
196912312010011029 MKG:18 0 209,824 0 02222203156221
Juru Tk.I-1D 24 0 0
684873417915000 3,087,502 0 237,802 0
0 2,849,700
PEG: 1 230,070 175,000 0 0 0 0
IST: 1 JIWA= 4 92,028 0 289,680 0 27,978
2,622,798 0 0 0
ANK: 2 0 209,824 0
24 0 0
3,087,502 0 237,802
0 2,849,700

NO KAWIN
TOTAL PER SATKER 115,353,400 490,000 0 0 497,070 0
PEG: 36 7,900,730 2,350,000 0 0 0 0
IST: 24 JIWA= 106 3,017,448 8,480,000 7,676,520 0 1,375,918
ANK: 46 126,271,578 0 497,070 0
0 10,101,726 0
0 0
1,846 0 11,974,714
145,767,014
0 133,792,300
KEPALA DINAS KESEHATAN MASYARAKAT ,21 NOPEMBER 2022

BENDAHARA PENGELUARAN
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SESELA

NO KAWIN
1 DR, IDA BAGUS OKA SUTEJA K -1 4,066,500 0 0 0 0 0 1 .............
2 406,650 0 0 0 0 0
162,660 1,200,000 289,680 0 58,358
16-11-1978 4 4,635,810 0 0 0
197811162005011010 MKG:16 0 370,865 0
6,125,523 0 429,223 0
0 5,696,300
2 RUSMAN EFFENDI ,S.SI K -1 4,281,800 540,000 0 0 0 0 2 .............
2 428,180 0 0 0 0 0
171,272 0 289,680 0 54,213
31-12-1975 4 4,881,252 0 0 0
197512311995031006 MKG:22 0 390,500 0 0222205836021
Pembina-4A 81 0 0
48.426.957.6-915.000 5,711,013 0 444,713 0
0 5,266,300
3 DR, INDRAYANI TK-0 3,901,500 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 51,015
31-10-1978 1 3,901,500 0 0 0
197810312006042016 MKG:16 0 312,120 0
Pembina-4A 0 0222205707023
15 0
795940832914000 5,173,935 0 363,135 0
0 4,810,800
4 ERNI ZOHRAH. ,S.SI K -0 4,151,100 0 0 0 104,234 0 4 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 50,011
15-11-1977 1 4,151,100 0 104,234 0
197711151996032001 MKG:21 0 332,088 0
Pembina-4A 0 0222205054024
79 0
77.893.753.2-911.000 5,177,833 0 486,333 0
0 4,691,500
PEG: 4 834,830 0 0 0 0 0
IST: 2 JIWA= 10 333,932 3,250,000 724,200 0 213,597
17,569,662 0 104,234 0
ANK: 4 0 1,405,573 0
208 0 0
22,188,304 0 1,723,404
0 20,464,900
5 HAERONI ,S.KM K -1 3,518,100 0 0 0 2,050 0 5 .............
2 351,810 0 0 0 0 0
140,724 600,000 289,680 0 46,106
31-12-1977 4 4,010,634 0 2,050 0
197712312010012016 MKG:12 0 320,851 0 0222200462226
15.984.021.4-915.000 4,902,407 0 369,007 0
0 4,533,400
6 J O H A R A N A H K -0 3,982,600 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 44,826
02-11-1975 1 3,982,600 0 0 0
197511021996032003 MKG:20 0 318,608 0
Penata Tk.I-3D 0 0222200972220
14 0
88.957.153.5-915.000 4,555,034 0 363,434 0
0 4,191,600

NO KAWIN
7 S A I N U N K -1 4,650,600 0 0 0 15,550 0 7 .............
1 465,060 0 0 0 0 0
93,012 265,000 217,260 0 54,737
11-06-1965 3 5,208,672 0 15,550 0
196506111987031008 MKG:30 0 416,694 0 0222200422226
084203546915000 5,706,581 0 486,981 0
0 5,219,600
8 I NYOMAN ADI SURYANTO. ,S.KM TK-0 3,743,100 0 0 0 0 0 8 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 39,281
03-10-1973 1 3,743,100 0 0 0
197310031997031004 MKG:16 0 299,448 0 0222201216222
15.213.570.3-915.000 4,000,529 0 338,729 0
0 3,661,800
9 HJ. SAKDIAH ,AMD.KEP JD-0 3,821,000 0 0 0 0 0 9 .............
2 0 0 0 0 0 0
152,840 500,000 217,260 0 44,738
31-12-1974 3 3,973,840 0 0 0
197412311996032004 MKG:20 0 317,907 0
Penata-3C 0 0222200913225
45 0
57.336.506.1-915.000 4,691,145 0 362,645 0
0 4,328,500
10 LIA ARIANTINI JD-0 3,591,200 0 0 0 0 0 10 .............
2 0 0 0 0 0 0
143,648 500,000 217,260 0 42,348
04-07-1980 3 3,734,848 0 0 0
198006042001122004 MKG:16 0 298,788 0
Penata-3C 0 0222200417220
28 0
58.744.424.1-911.000 4,452,136 0 341,136 0
0 4,111,000
11 HENDRA SUNDARI WIDIATI ,AMG. K -1 3,272,200 0 0 0 0 0 11 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
27-12-1977 4 3,730,308 0 0 0
197712272010012010 MKG:10 0 298,425 0
Penata-3C 0 0222203393221
40 0
15.921.149.9-913.000 4,520,028 0 340,728 0
0 4,179,300
12 DEWI SUSETIYOWATI, AMG K -1 3,272,200 0 0 0 0 0 12 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
18-03-1986 4 3,730,308 0 0 0
198603182010012012 MKG:10 0 298,425 0 0222200321226
Penata-3C 40 0 0
44.789.698.6-911.000 4,520,028 0 340,728 0
13 M. HELMY NURYADIN K -1 3,340,300 490,000 0 0 0 0 13 .............
2 334,030 0 0 0 0 0
133,612 0 289,680 0 42,979
19-07-1969 4 3,807,942 0 0 0
196907192008011008 MKG:14 0 304,635 0
92 0
816387567914000 4,587,714 0 347,614 0
0 4,240,100

NO KAWIN
14 EKA MARDIANA ,AMD.KEP K -1 3,139,400 0 0 0 0 0 14 .............
2 313,940 0 0 0 0 0
125,576 600,000 289,680 0 41,789
01-03-1985 4 3,578,916 0 0 0
198503012010012023 MKG:10 0 286,313 0 0222203421223
68.592.919.2-911.000 4,468,602 0 328,102 0
0 4,140,500
15 MUHAMAD ALI AFWAN .A,MD,KEP TK-0 3,043,600 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 35,386
13-10-1981 1 3,043,600 0 0 0
198110132011011016 MKG: 8 0 243,488 0 0222201316228
88.518.219.6-911.000 3,611,074 0 278,874 0
0 3,332,200
16 JARSIAH TK-0 3,781,400 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 40,464
10-11-1970 1 3,781,400 0 0 0
197011102006042018 MKG:22 0 302,512 0
56 0
15.984.065.1-915.000 4,118,876 0 342,976 0
0 3,775,900
17 KURNIAWATI JD-0 3,340,300 0 0 0 0 0 17 .............
1 0 0 0 0 0 0
66,806 265,000 144,840 0 36,721
23-06-1979 2 3,407,106 0 0 0
197906232006042017 MKG:14 0 272,568 0
43 0
15.910.229.2-915.000 3,816,989 0 309,289 0
0 3,507,700
18 LINA SUSILAWATI K -1 3,627,900 0 0 0 104,750 0 18 .............
2 362,790 0 0 0 0 0
145,116 300,000 289,680 0 44,358
26-08-1975 4 4,135,806 0 104,750 0
197508262007012019 MKG:22 0 330,864 0
Penata Muda-3A 0 0222200418225
36 0
88.957.131.1-915.000 4,830,272 0 479,972 0
0 4,350,300
19 EGA TRISNA DEWI ,AMD.KEB. K -1 3,012,000 0 0 0 0 0 19 .............
2 301,200 0 0 0 0 0
120,480 300,000 289,680 0 37,337
15-10-1987 4 3,433,680 0 0 0
198710152009012003 MKG:10 0 274,694 0 0082204486024
166244285915000 4,023,431 0 312,031 0
0 3,711,400
20 M. RAMADHANI PUTRAWAN K -0 2,744,500 0 0 0 0 0 20 .............
,A.Md.Kep. 0 0 0 0 0 0 0
0 300,000 72,420 0 30,445
14-03-1992 1 2,744,500 0 0 0
199203142015021001 MKG: 4 0 219,560 0
Penata Muda-3A 0 0222201020220
85 0
74.227.389.9-911.000 3,117,005 0 250,005 0
0 2,867,000

NO KAWIN
21 NI PUTU SAPTA PURNAMA DEWI TK-0 3,204,700 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,697
10-01-1982 1 3,204,700 0 0 0
198201102014062001 MKG:14 0 256,376 0 0222200010229
72.882.086.1-911.000 3,542,173 0 291,073 0
0 3,251,100
22 SRI ULFA SYAFII ,A.MA K -0 3,305,700 0 0 0 0 0 22 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 34,907
12-12-1980 1 3,305,700 0 0 0
198012122009012003 MKG:17 0 264,456 0 0222205814022
58.744.483.7-911.000 3,563,163 0 299,363 0
0 3,263,800
PEG: 18 2,783,270 370,000 0 0 0 0
IST: 8 JIWA= 46 1,383,590 6,155,000 3,331,320 0 735,725
66,557,660 0 122,350 0
ANK: 20 0 5,324,612 0
857 0 0
77,027,187 0 6,182,687
0 70,844,500
23 KAIMUDDIN K -1 2,980,800 0 0 0 0 0 23 .............
2 298,080 180,000 0 0 0 0
119,232 0 289,680 0 35,781
24-11-1977 4 3,398,112 0 0 0
197711242007011010 MKG:17 0 271,849 0 0222205874022
89.750.255.5-915.000 3,867,830 0 307,630 0
0 3,560,200
PEG: 1 298,080 180,000 0 0 0 0
IST: 1 JIWA= 4 119,232 0 289,680 0 35,781
3,398,112 0 0 0
ANK: 2 0 271,849 0
38 0 0
3,867,830 0 307,630
0 3,560,200

NO KAWIN
TOTAL PER SATKER 81,772,500 1,030,000 0 0 226,584 0
PEG: 23 3,916,180 550,000 0 0 0 0
IST: 11 JIWA= 60 1,836,754 9,405,000 4,345,200 0 985,103
ANK: 26 87,525,434 0 226,584 0
0 7,002,034 0
0 0
1,103 0 8,213,721
103,083,321
0 94,869,600
KEPALA PUSKESMAS GUNUNGSARI ,21 NOPEMBER 2022
NI MADE AMBARYATI
NIP 196112301987012001

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PEMERINTAH KABUPATEN LOMBOK BARAT

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NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

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NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

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NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

KEPALA PUSKESMAS LINGSAR ,21 NOPEMBER 2022

H. RACHMAN SAHNAN PUTRA,

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

,21 NOPEMBER 2022

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

NAMA PEGAWAI -STS P E N G H A S I L A N P O T O N G A N

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