Dikes Juli 2023

PEMERINTAH KABUPATEN LOMBOK BARAT
DAFTAR PEMBAYARAN GAJI INDUK PNSD

[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] DINAS KESEHATAN MASYARAKAT KABUPATEN LOMBOK BARAT
(030) D70300203000001 BULAN : JULI 2023 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 51,275 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 51,275 0
197112112002121006 MKG:20 0 394,595 0 0222203326227
Pembina Tk.I-4B 51 0 0
490209640911000 7,298,444 0 515,444 0
0 6,783,000
2 Ns, ZULKIPLI ,S.KEP.M.M. K -1 4,555,800 1,260,000 0 0 26,721 0 2 .............
2 455,580 0 0 0 0 0
182,232 0 289,680 0 64,536
11-11-1971 4 5,193,612 0 26,721 0
197111111992031007 MKG:26 0 415,489 0 022220582927
Pembina-4A 33 0 0
484270483921000 6,770,046 0 506,746 0
0 6,263,300
3 MOHAMMAD ABDULLAH.,MQIH ,S.KM K -1 4,699,300 980,000 0 0 31,871 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 31,871 0
196905201993121004 MKG:28 0 421,057 0
Pembina-4A 0 0222205886025
13 0
484269069915000 6,492,360 0 515,360 0
0 5,977,000
4 WINE FRIDA DWI PURWANI ,A.MG K -1 4,699,300 980,000 0 0 77,054 0 4 .............
2 469,930 0 0 0 0 0
187,972 0 289,680 0 63,372
22-12-1969 4 5,357,202 0 77,054 0
196912221990032002 MKG:28 0 428,576 0
Pembina-4A 0 0222205902025
66 0
6,704,002 0 569,002 0
0 6,135,000
5 H. MUJIBURRAHMAN ,S.KEP K -1 4,555,800 980,000 0 0 13,421 0 5 .............
2 455,580 0 0 0 0 0
182,232 0 289,680 0 61,736
31-12-1973 4 5,193,612 0 13,421 0
197312311992031003 MKG:26 0 415,489 0
Pembina-4A 33 0 0
6,476,746 0 490,646 0
0 5,986,100
6 DR, AHMAD TAUFIQ FATHONI K -1 4,024,400 980,000 0 0 0 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 0 0
197609152003121007 MKG:18 0 367,025 0 0222201081017
Pembina-4A 7 0 0
084126408915000 5,857,503 0 422,703 0
0 5,434,800
7 DRG, JUNAIDI K -1 3,554,900 0 0 0 0 0 7 .............
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 0 0
197512072010011008 MKG:10 0 318,519 0
Pembina-4A 0 0222200161224
86 0
889571501915000 5,398,834 0 370,334 0
0 5,028,500

NO KAWIN
SUB TOTAL PERGOLONGAN : IV 30,416,200 7,205,000 0 0 200,342 0
PEG: 7 3,041,620 0 0 0 0 0
IST: 7 JIWA= 26 1,051,564 1,200,000 1,882,920 0 429,143
34,509,384 0 200,342 0
ANK: 12 0 2,760,750 0
289 0 0
44,997,935 0 3,390,235
0 41,607,700
8 FRI NOVIANI K -0 4,237,500 540,000 0 0 0 0 8 .............
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
Penata Tk.I-3D 0 0222205893028
70 0
482472232915000 5,164,330 0 402,030 0
0 4,762,300
9 MUHAMMAD BISRI SYAMSURI,M ,S.KM TK-0 3,982,600 540,000 0 0 0 0 9 .............
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
Penata Tk.I-3D 0 0222205882029
14 0
683248132724000 4,595,034 0 363,834 0
0 4,231,200
10 ARIF RAHMAN HAKIM, A. MD. KEP K -1 3,982,600 540,000 0 0 0 0 10 .............
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 0222205845020
Penata Tk.I-3D 71 0 0
084193366915000 5,369,915 0 414,015 0
0 4,955,900
11 YULIANA ,S.KM K -1 3,743,100 540,000 0 0 6,967 0 11 .............
2 374,310 0 0 0 0 0
149,724 0 289,680 0 48,071
01-01-1982 4 4,267,134 0 6,967 0
198201012006042024 MKG:16 0 341,371 0 0222205896021
484271432915000 5,103,809 0 396,409 0
0 4,707,400
12 DYAH HESTI NURUL HUDA.S.SI,APT K -0 3,518,100 540,000 0 0 0 0 12 .............
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
13 JAMRAH K -1 4,237,500 0 0 0 7,583 0 13 .............
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 7,583 0
197308041993121001 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200173227
80 0
895910602911000 5,930,923 0 444,323 0
0 5,486,600

NO KAWIN
14 BAIQ RIZA UKHIANA K -1 4,370,900 0 0 0 37,363 0 14 .............
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 37,363 0
197010071991032007 MKG:26 0 398,626 0 0222205908029
484269675915000 5,809,917 0 490,817 0
0 5,319,100
15 AHMAD SAEFULLAH K -1 4,650,600 0 0 0 0 0 15 .............
1 465,060 185,000 0 0 0 0
93,012 0 217,260 0 53,937
31-12-1967 3 5,208,672 0 0 0
196712311988031200 MKG:30 0 416,694 0 0222205848023
484272125915000 5,611,031 0 470,631 0
0 5,140,400
16 I MADE WIRYASA K -1 4,508,600 0 0 0 0 0 16 .............
2 450,860 185,000 0 0 0 0
180,344 0 289,680 0 53,248
21-09-1970 4 5,139,804 0 0 0
197009211990031005 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200302221
48 0
484271192911000 5,614,532 0 464,432 0
0 5,150,100
17 S U R A E D A H K -1 4,370,900 0 0 0 15,013 0 17 .............
1 437,090 185,000 0 0 0 0
87,418 0 217,260 0 50,804
05-05-1971 3 4,895,408 0 15,013 0
197105051992032020 MKG:26 0 391,633 0
Penata Tk.I-3D 0 0222201102225
69 0
48427162911000 5,312,750 0 457,450 0
0 4,855,300
18 BAIQ ASRI WARDATUN K -1 4,370,900 0 0 0 15,013 0 18 .............
1 437,090 185,000 0 0 0 0
87,418 0 217,260 0 50,804
18-02-1972 3 4,895,408 0 15,013 0
197202181992032011 MKG:26 0 391,633 0
Penata Tk.I-3D 0 0222200710220
69 0
14725870191000 5,312,750 0 457,450 0
0 4,855,300
19 ABDUL MUHID K -1 4,370,900 0 0 0 0 0 19 .............
2 437,090 185,000 0 0 0 0
174,836 0 289,680 0 51,678
31-12-1972 4 4,982,826 0 0 0
197212311992031027 MKG:26 0 398,626 0 0222200659220
484271499915000 5,457,604 0 450,304 0
0 5,007,300
20 S U K A R N O K -1 4,237,500 0 0 0 0 0 20 .............
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
Penata Tk.I-3D 0 0222200891220
30 0
484270954915000 5,148,290 0 428,990 0
0 4,719,300

NO KAWIN
21 AHMAD MUJAHIDIN K -1 4,108,100 0 0 0 0 0 21 .............
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 0222205843023
587444753911000 5,157,941 0 423,341 0
0 4,734,600
22 HENI IRAWATI ,AMD.KEP K -1 3,628,900 0 0 0 0 0 22 .............
2 362,890 185,000 0 0 0 0
145,156 0 289,680 0 43,219
10-01-1984 4 4,136,946 0 0 0
198401102006042011 MKG:14 0 330,956 0 0222201108229
573364973911000 4,611,675 0 374,175 0
0 4,237,500
23 WAHYU LEGA MIRANDA ,SKM. K -1 3,518,100 0 0 0 0 0 23 .............
1 351,810 185,000 0 0 0 0
70,362 0 217,260 0 41,253
08-06-1988 3 3,940,272 0 0 0
198806082011011011 MKG:13 0 315,222 0
Penata Tk.I-3D 0 0222205865020
43 0
546995556913000 4,342,575 0 356,475 0
0 3,986,100
24 MOH.ARMIN JAYADI ,S.KM K -1 3,518,100 0 0 0 0 0 24 .............
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
Penata Tk.I-3D 0 0222205830026
93 0
889581120911000 4,485,407 0 362,807 0
0 4,122,600
25 MUHAMMAD ZAINUDIN K -1 3,821,000 540,000 0 0 0 0 25 .............
2 382,100 0 0 0 0 0
152,840 0 289,680 0 48,959
11-03-1975 4 4,355,940 0 0 0
197503111998031005 MKG:20 0 348,475 0
Penata-3C 0 '0222205873028
14 0
587444803915000 5,185,634 0 397,434 0
0 4,788,200
26 MARDIANA. ,S.SI K -0 3,821,000 540,000 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 0 72,420 0 43,610
18-05-1978 1 3,821,000 0 0 0
197805121998032003 MKG:20 0 305,680 0 0222201333226
Penata-3C 70 0 0
88.958.067.6-915.000 4,433,490 0 349,290 0
0 4,084,200
27 I MADE SANTIANA. ,S.KEP K -1 3,704,300 540,000 0 0 0 0 27 .............
2 370,430 0 0 0 0 0
148,172 0 289,680 0 47,629
20-12-1980 4 4,222,902 0 0 0
198012202000031004 MKG:18 0 337,832 0
Penata-3C 0 0222205864027
79 0
147259899915000 5,052,661 0 385,461 0
0 4,667,200

NO KAWIN
28 INI KARYADI MAKBUL K -1 3,591,200 540,000 0 0 0 0 28 .............
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 0222205905027
Penata-3C 9 0 0
155039928915000 4,923,657 0 373,857 0
0 4,549,800
29 GUSNUL YAKIN DD-0 3,481,600 540,000 0 0 0 0 29 .............
2 0 0 0 0 0 0
139,264 0 217,260 0 41,609
10-09-1980 3 3,620,864 0 0 0
198009102010011011 MKG:14 0 289,669 0 0222201309017
Penata-3C 54 0 0
156648222914000 4,378,178 0 331,278 0
0 4,046,900
30 EDI SETIA BUDI K -1 3,591,200 0 0 0 0 0 30 .............
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
Penata-3C 0 0222205844027
9 0
573365095911000 4,983,657 0 374,457 0
0 4,609,200
31 JOICE STILLIATY KALUMATA K -1 3,591,200 0 0 0 2,000 0 31 .............
2 359,120 0 0 0 0 0
143,648 600,000 289,680 0 46,940
08-09-1982 4 4,093,968 0 2,000 0
198209082008012016 MKG:16 0 327,517 0
Penata-3C 0 0222205919028
9 0
570859660911000 4,985,657 0 376,457 0
0 4,609,200
32 IKA KHURRIANA.A.MD.AK K -1 3,272,200 0 0 0 0 0 32 .............
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 0 0
198511172010012027 MKG:10 0 298,425 0
Penata-3C 0 0222201191226
40 0
684873904914000 4,620,028 0 341,728 0
0 4,278,300
33 ENDARTO JASWADI ,S.ST. K -1 3,481,600 0 0 0 0 0 33 .............
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 0222201371228
Penata-3C 8 0 0
486576630913000 4,758,712 0 362,212 0
0 4,396,500
34 NI NYOMAN AYU ANGGRENI.A.MD.KE K -1 3,272,200 0 0 0 0 0 34 .............
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
0 4,179,300

NO KAWIN
35 NURHAYANI HASTUTI K -0 4,193,500 0 0 0 0 0 35 .............
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
36 EMILIA HANAFIAH K -1 3,591,200 0 0 0 0 0 36 .............
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 0 0
197705072003122014 MKG:16 0 327,517 0 0222205890026
Penata-3C 59 0 0
897515425915000 4,568,707 0 370,307 0
0 4,198,400
37 ARIS ,AMK. K -1 3,481,600 0 0 0 0 0 37 .............
2 348,160 185,000 0 0 0 0
139,264 0 289,680 0 41,540
29-06-1982 4 3,969,024 0 0 0
198206292006041022 MKG:14 0 317,522 0
Penata-3C 0 0222202976220
58 0
164038564714000 4,443,762 0 359,062 0
0 4,084,700
38 DARTA PARWATA K -1 3,481,600 0 0 0 0 0 38 .............
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
Penata-3C 0 0222205842029
58 0
159838036915000 4,443,762 0 359,062 0
0 4,084,700
39 LALU MOH HUSAINI RAHMAN ,S.KM K -1 3,375,300 0 0 0 0 0 39 .............
2 337,530 185,000 0 0 0 0
135,012 0 289,680 0 40,328
02-06-1982 4 3,847,842 0 0 0
198206022011011014 MKG:12 0 307,827 0
Penata-3C 0 0222205880020
33 0
249875774914000 4,322,555 0 348,155 0
0 3,974,400
40 IHWAN FITRAHADI ,A.Md.Kep. K -1 3,272,200 0 0 0 0 0 40 .............
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 0222200008214
Penata-3C 90 0 0
5204072505870001 4,205,078 0 337,578 0
0 3,867,500
41 NINING ARIANTI.A.MD K -1 3,139,400 540,000 0 0 0 0 41 .............
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

NO KAWIN
42 FARUK NURMA MARDIANSYAH.A.MTE K -1 3,139,400 0 0 0 0 0 42 .............
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
Penata Muda Tk.I-3B 6 0 0
4,318,602 0 326,602 0
0 3,992,000
43 NURWIRASTRI K -0 4,023,300 0 0 0 0 0 43 .............
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 0222205869027
587444662911000 4,280,747 0 363,947 0
0 3,916,800
44 M U H S A N ,S.ADM. K -1 3,781,400 0 0 0 0 0 44 .............
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
45 I DW ARYA KARMA YOGA K -1 3,445,500 0 0 0 0 0 45 .............
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
46 JULIANI ASTUTI K -1 3,238,300 0 0 0 0 0 46 .............
2 323,830 185,000 0 0 0 0
129,532 0 289,680 0 38,767
21-07-1975 4 3,691,662 0 0 0
197507212005012010 MKG:12 0 295,333 0
58 0
513365004911000 4,166,400 0 334,100 0
0 3,832,300
47 TAUFIQURRAHMAN.A.MD.GZ K -1 3,139,400 0 0 0 0 0 47 .............
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 0222205820020
672085990915000 4,053,652 0 323,952 0
0 3,729,700
48 AHMAD ZAINI ,AMD.KEP K -1 2,950,600 0 0 0 0 0 48 .............
1 295,060 185,000 0 0 0 0
59,012 0 217,260 0 34,897
03-08-1988 3 3,304,672 0 0 0
198808032011011008 MKG: 7 0 264,374 0
39 0
15.984.159.2-915.000 3,706,971 0 299,271 0
0 3,407,700

NO KAWIN
49 CECEP RAHMAT HIDAYAT TK-0 3,204,700 490,000 0 0 0 0 49 .............
0 0 0 0 0 0 0
0 0 72,420 0 36,947
05-01-1971 1 3,204,700 0 0 0
197101052009011004 MKG:14 0 256,376 0
Penata Muda-3A 3 0 0
3,767,123 0 293,323 0
0 3,473,800
50 NI LUH SARIASIH ,S.KM K -1 2,660,700 0 0 0 0 0 50 .............
1 266,070 0 0 0 0 0
53,214 300,000 217,260 0 32,800
05-08-1996 3 2,979,984 0 0 0
199608052020122016 MKG: 2 0 238,399 0 0220228003855
963962139911000 3,497,299 0 271,199 0
UPDATE DATA KLUARGA-2023-07-01 0 3,226,100
51 ALDEKA KRISTANTO ,S. Tr. Kes TK-0 2,579,400 0 0 0 0 0 51 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 28,794
02-08-1998 1 2,579,400 0 0 0
199808022022031005 MKG: 1 0 206,352 0
Penata Muda-3A 0 0220201497284
26 0
0 2,951,846 0 235,146 0
0 2,716,700
52 AHMAD FIRDAUS AMG. K -1 3,106,900 0 0 0 0 0 52 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
04-04-1976 4 3,541,866 0 0 0
197604042005011015 MKG:12 0 283,349 0
Penata Muda-3A 0 0222201017224
72 0
895910651911000 4,096,618 0 321,418 0
53 N U R D I N K -1 3,627,900 0 0 0 0 0 53 .............
1 362,790 185,000 0 0 0 0
72,558 0 217,260 0 42,482
31-12-1967 3 4,063,248 0 0 0
196712311993031120 MKG:22 0 325,060 0
Penata Muda-3A 0 0222205912021
34 0
587444688915000 4,465,542 0 367,542 0
54 TURMUZI K -1 3,204,700 0 0 0 0 0 54 .............
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
55 KRISTIN HARTININGTIAS K -1 3,106,900 0 0 0 0 0 55 .............
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
56 JOKO SUSILO K -1 2,920,100 0 0 0 0 0 56 .............
0 292,010 185,000 0 0 0 0
0 0 144,840 0 33,971
24-05-1982 2 3,212,110 0 0 0
198205242009011005 MKG: 8 0 256,969 0 0222205910022
594323941911000 3,542,040 0 290,940 0
0 3,251,100
SUB TOTAL PERGOLONGAN : III 177,646,400 6,430,000 0 0 83,939 0
PEG: 49 14,460,470 4,810,000 0 0 0 0
IST: 40 JIWA= 160 5,139,972 5,575,000 11,587,200 0 2,140,618
197,246,842 0 83,939 0
ANK: 71 0 15,779,748 0
2,324 0 0
225,735,305 0 18,004,305
0 207,731,000
57 BAGUS DWI SASTRIAWAN ,AMTE K -1 2,552,700 0 0 0 0 0 57 .............
2 255,270 0 0 0 0 0
102,108 360,000 289,680 0 32,701
17-08-1993 4 2,910,078 0 0 0
199308172019031006 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0220200276273
49 0
910711811914000 3,559,807 0 265,507 0
0 3,294,300
58 RD. LIANA ANGGRAENI K -1 3,074,700 0 0 0 0 0 58 .............
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
59 LALU ISKANDAR K -1 3,074,700 0 0 0 0 0 59 .............
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
60 AYUNAN K -1 3,074,700 0 0 0 0 0 60 .............
0 307,470 180,000 0 0 0 0
0 0 144,840 0 35,622
31-12-1972 2 3,382,170 0 0 0
197212312009011032 MKG:19 0 270,574 0 0222205900027
675370696915000 3,707,096 0 306,196 0
0 3,400,900
61 SUWITNO TEGUH ARIBOWO TK-0 3,074,700 0 0 0 0 0 61 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 32,547
15-03-1980 1 3,074,700 0 0 0
198003152010011005 MKG:19 0 245,976 0
Pengatur Tk.I-2D 0 0222205861025
3 0
778939173911000 3,327,123 0 278,523 0
0 3,048,600

NO KAWIN
62 SISWANTO, MS K -1 3,074,700 0 0 0 0 0 62 .............
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 0222205901020
587444621915000 3,974,865 0 317,265 0
0 3,657,600
63 SURIYASMINI TK-0 3,074,700 0 0 0 0 0 63 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 32,547
02-01-1983 1 3,074,700 0 0 0
198301022010012009 MKG:19 0 245,976 0 0222205822029
579689167911000 3,327,123 0 278,523 0
0 3,048,600
64 H. MALADI RAHMAN ZAKIR K -1 2,980,800 0 0 0 0 0 64 .............
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
65 RONI HAMZAH ,AMKL K -1 2,301,800 0 0 0 0 0 65 .............
2 230,180 0 0 0 0 0
92,072 240,000 289,680 0 28,641
11-03-1992 4 2,624,052 0 0 0
199203112022031010 MKG: 4 0 209,924 0
Pengatur-2C 0 0220231012326
33 0
0 3,153,765 0 238,565 0
66 ABDUL HADY K -1 2,772,500 0 0 0 0 0 66 .............
2 277,250 180,000 0 0 0 0
110,900 0 289,680 0 33,407
20-05-1976 4 3,160,650 0 0 0
197605202010011008 MKG:16 0 252,852 0
Pengatur-2C 0 0222205826025
29 0
578260028911000 3,630,359 0 286,259 0
0 3,344,100
67 AHYAR ROSYIDI K -1 2,772,500 0 0 0 0 0 67 .............
2 277,250 180,000 0 0 0 0
110,900 0 289,680 0 33,407
31-12-1983 4 3,160,650 0 0 0
198312312010011015 MKG:16 0 252,852 0 0222205898028
Pengatur-2C 29 0 0
168510568911000 3,630,359 0 286,259 0
0 3,344,100
68 FATHURRAHMAN K -0 2,772,500 0 0 0 0 0 68 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 29,525
24-07-1984 1 2,772,500 0 0 0
198407242010011006 MKG:16 0 221,800 0
Pengatur-2C 0 0222205828023
5 0
688075258915000 3,024,925 0 251,325 0
0 2,773,600

NO KAWIN
69 ZULHADI SAPUTRA TK-0 2,980,000 0 0 0 0 0 69 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,600
04-10-1978 1 2,980,000 0 0 0
197810041998031004 MKG:25 0 238,400 0 0222201004227
Pengatur Muda-2A 80 0 0
684906746915000 3,232,500 0 270,000 0
0 2,962,500
70 RUSNADI K -1 2,398,600 0 0 0 0 0 70 .............
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 0222205872024
159838135915000 3,204,096 0 247,896 0
0 2,956,200
SUB TOTAL PERGOLONGAN : 39,979,600 0 0 0 0 0
PEG: 14 2,807,770 1,980,000 0 0 0 0
IST: 10 JIWA= 42 1,000,120 950,000 3,041,640 0 467,178
43,787,490 0 0 0
ANK: 18 0 3,503,000 0
448 0 0
49,759,578 0 3,970,178
0 45,789,400
71 SRIANI KUSUMADEWI K -1 2,117,700 0 0 0 0 0 71 .............
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 0222205883023
Juru Muda Tk.I-1B 68 0 0
747814184915000 2,878,926 0 219,026 0
0 2,659,900
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

NO KAWIN
TOTAL PER SATKER 250,159,900 13,635,000 0 0 284,281 0
PEG: 71 20,521,630 6,965,000 0 0 0 0
IST: 58 JIWA= 232 7,276,364 7,725,000 16,801,440 0 3,062,831
ANK: 103 277,957,894 0 284,281 0
0 22,236,632 0
0 0
3,129 0 25,583,744
323,371,744
0 297,788,000
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS GUNUNGSARI

NO KAWIN
1 DRG, FARIDA HIDAYATI K -0 5,266,100 0 0 0 51,963 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 51,963 0
196609131992032007 MKG:30 0 438,140 0 0222200432220
Pembina Utama Muda-4C 3 0 0
484271697915000 6,945,970 0 556,870 0
0 6,389,100
2 DADY SYAMRI ASWAL ,S.Farm.Apt. K -1 3,942,400 0 0 0 0 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 0 0
198110202008031001 MKG:14 0 359,547 0 0222200416227
147136600913000 5,984,090 0 416,490 0
0 5,567,600
3 UMI LATIFAH K -0 4,603,500 0 0 0 26,550 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 26,550 0
196901081993032008 MKG:24 0 368,280 0
Pembina Tk.I-4B 0 0222200431227
95 0
484270459915000 5,552,565 0 449,365 0
0 5,103,200
4 HAERUN FAHNI, A. MD. KEB K -0 4,603,500 0 0 0 26,550 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 26,550 0
196903181993021002 MKG:24 0 368,280 0
Pembina Tk.I-4B 0 0222200420228
95 0
484270442915000 5,552,565 0 449,365 0
0 5,103,200
5 DR, QUDRATINI FITRIANA K -1 4,024,400 0 0 0 52,783 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 52,783 0
197605312010012001 MKG:18 0 367,025 0
Pembina-4A 0 0222200424224
7 0
159840123915000 6,130,286 0 477,686 0
0 5,652,600
6 BAIQ LINA ROSIANA ,S.SI K -1 4,555,800 0 0 0 55,946 0 6 .............
1 455,580 0 0 0 0 0
91,116 850,000 217,260 0 59,525
25-12-1971 3 5,102,496 0 55,946 0
197112251992032005 MKG:26 0 408,200 0 0222200659104
Pembina-4A 69 0 0
484270525911000 6,225,771 0 523,671 0
0 5,702,100
7 NI NENGAH UTIK K -1 4,416,700 0 0 0 48,913 0 7 .............
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 48,913 0
197106201993032011 MKG:24 0 395,736 0
Pembina-4A 0 0222200281024
39 0
084191253911000 6,062,916 0 502,616 0
0 5,560,300

NO KAWIN
8 WADIAH RESTUHAYU PALUPI K -1 4,416,700 0 0 0 56,342 0 8 .............
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 56,342 0
197110311993032005 MKG:24 0 402,803 0 0222202107026
Pembina-4A 35 0 0
484270707915000 6,231,095 0 517,995 0
0 5,713,100
9 SRI MULIATI.NS ,S.KEP TK-0 3,666,900 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 45,169
31-12-1980 1 3,666,900 0 0 0
198012312011012013 MKG:12 0 293,352 0 0222201190222
Pembina-4A 1 0 0
700664865915000 4,589,321 0 338,521 0
0 4,250,800
SUB TOTAL PERGOLONGAN : IV 39,496,000 0 0 0 319,047 0
PEG: 9 2,135,600 0 0 0 0 0
IST: 5 JIWA= 24 885,434 8,700,000 1,738,080 0 512,169
42,517,034 0 319,047 0
ANK: 10 0 3,401,363 0
418 0 0
53,274,579 0 4,232,579
0 49,042,000
10 I S K A N D A R K -1 4,508,600 0 0 0 4,183 0 10 .............
1 450,860 0 0 0 0 0
90,172 600,000 217,260 0 56,496
10-07-1966 3 5,049,632 0 4,183 0
196607101990031013 MKG:28 0 403,971 0 0222200234020
484270566015000 5,871,150 0 464,650 0
0 5,406,500
11 LALU WIRAWAN SRI GEDE ,AMD K -1 4,508,600 0 0 0 0 0 11 .............
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 0 0
196804211989031011 MKG:28 0 411,184 0 0222200628222
484272653915000 6,029,582 0 468,582 0
0 5,561,000
12 DATU JAELANI K -1 4,650,600 0 0 0 17,721 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 17,721 0
196805251987031002 MKG:30 0 409,253 0 0222200159013
484272596911000 5,778,231 0 483,131 0
0 5,295,100
13 MARIATUN K -1 4,370,900 0 0 0 37,363 0 13 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
10-10-1970 4 4,982,826 0 37,363 0
197010101992032017 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222201907106
48 0
889571345915000 5,809,917 0 490,817 0
0 5,319,100

NO KAWIN
14 MURNI HASTUTI 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
13-10-1972 1 4,370,900 0 0 0
197210131992032009 MKG:26 0 349,672 0 0222200425228
484270509915000 4,943,381 0 398,381 0
0 4,545,000
15 YUMI ANJANI WIATI TK-0 4,237,500 0 0 0 0 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 0 0
197303011993022005 MKG:24 0 339,000 0 0222200643222
484272679911000 4,809,975 0 386,375 0
0 4,423,600
16 N U R A I N I K -1 4,237,500 0 0 0 23,233 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 23,233 0
197304101993022003 MKG:24 0 379,680 0
Penata Tk.I-3D 0 0222200718015
80 0
756485462914000 5,486,573 0 455,373 0
0 5,031,200
17 HERWIN HIDAYAT. ,AMD.KEP K -1 4,108,100 0 0 0 0 0 17 .............
2 410,810 0 0 0 0 0
164,324 500,000 289,680 0 51,832
29-09-1975 4 4,683,234 0 0 0
197509291996031001 MKG:22 0 374,659 0
Penata Tk.I-3D 0 0222200434229
77 0
587444274915000 5,472,991 0 426,491 0
0 5,046,500
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
0 4,223,700
19 DANANG WIDIARSO ,AMD TK-0 3,743,100 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 42,431
25-05-1976 1 3,743,100 0 0 0
197605252008011016 MKG:17 0 299,448 0 0222200449224
587444290911000 4,315,579 0 341,879 0
0 3,973,700
20 SYAMSUL MUNIR. ,AMD.KEP K -1 3,375,300 0 0 0 0 0 20 .............
1 337,530 0 0 0 0 0
67,506 600,000 217,260 0 43,803
15-11-1982 3 3,780,336 0 0 0
198211152009011006 MKG:12 0 302,427 0
Penata-3C 0 0222200423221
34 0
685929317915000 4,597,630 0 346,230 0
0 4,251,400

NO KAWIN
21 ENIK SRI SUPENI. ,AMD.KEP K -0 3,272,200 0 0 0 0 0 21 .............
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 0222200453225
Penata-3C 78 0 0
889686269911000 3,944,698 0 300,498 0
0 3,644,200
22 GUSTI AYU WAYAN ALIT FISIAWATI K -1 3,591,200 0 0 0 0 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 0 0
198303062001122001 MKG:16 0 327,517 0 0222200408221
Penata-3C 9 0 0
587444316911000 4,883,657 0 373,457 0
0 4,510,200
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 FITRIA YULI ASTUTI ,A.Md.Keb. 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
10-07-1987 4 3,730,308 0 0 0
198707102010012009 MKG:11 0 298,425 0
Penata-3C 0 0222205764010
40 0
797503257915000 4,520,028 0 340,728 0
0 4,179,300
25 LALU MUHAMAD ZAKIUDIN ,AMG 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
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
26 SIRIL HAYATI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 26 .............
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 0222200447226
Penata-3C 40 0 0
871967428915000 4,520,028 0 340,728 0
0 4,179,300
27 NI NYOMAN TRISNA UTAMI.K ,AMD TK-0 3,272,200 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
07-07-1988 1 3,272,200 0 0 0
198807072011012018 MKG:10 0 261,776 0
Penata-3C 0 0222206379029
78 0
458994290914000 3,844,698 0 299,498 0
0 3,545,200

NO KAWIN
28 HARERIAN MALAYO R ,AMD.KEP K -1 3,139,400 490,000 0 0 0 0 28 .............
2 313,940 0 0 0 0 0
125,576 0 289,680 0 40,689
23-08-1987 4 3,578,916 0 0 0
198708232011011010 MKG:10 0 286,313 0 0222205841025
449530310915000 4,358,602 0 327,002 0
0 4,031,600
29 INTAN KUMALASRI, AMKL. K -1 3,139,400 0 0 0 0 0 29 .............
2 313,940 0 0 0 0 0
125,576 600,000 289,680 0 41,789
28-01-1982 4 3,578,916 0 0 0
198201282010012021 MKG:10 0 286,313 0 0222200640221
159840206915000 4,468,602 0 328,102 0
0 4,140,500
30 dr, LALU BAYU KUSUMA ,S.Ked K -1 2,773,200 0 0 0 0 0 30 .............
2 277,320 0 0 0 0 0
110,928 325,000 289,680 0 34,864
04-02-1989 4 3,161,448 0 0 0
198902042020121006 MKG: 2 0 252,916 0
52 0
746270587915000 3,776,180 0 287,780 0
0 3,488,400
31 NURLAILI DESIMAWATI K -1 3,665,900 0 0 0 0 0 31 .............
2 366,590 0 0 0 0 0
146,636 300,000 289,680 0 44,791
31-12-1978 4 4,179,126 0 0 0
197812142005012011 MKG:20 0 334,330 0
15 0
889571337915000 4,768,821 0 379,121 0
0 4,389,700
32 FEBRIANY MASTIRA K -1 3,340,300 0 0 0 0 0 32 .............
2 334,030 0 0 0 0 0
133,612 300,000 289,680 0 41,079
23-02-1984 4 3,807,942 0 0 0
198402232008012005 MKG:14 0 304,635 0
92 0
573365129911000 4,397,714 0 345,714 0
0 4,052,000
33 IKA AGUSTIANA K -1 3,238,300 0 0 0 0 0 33 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
23-08-1978 4 3,691,662 0 0 0
197808232005012014 MKG:12 0 295,333 0 0222203773028
889565917911000 4,281,350 0 335,250 0
update-2023-07-01 0 3,946,100
34 BAIQ NINING YANTINI K -0 3,238,300 0 0 0 0 0 34 .............
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
35 MASMUNAH JD-0 3,238,300 0 0 0 0 0 35 .............
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 0222202658025
587444340911000 3,495,797 0 293,297 0
0 3,202,500
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 NANIK SRI MULYANI K -1 3,106,900 0 0 0 0 0 39 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
06-06-1981 4 3,541,866 0 0 0
198106062006042020 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200421222
72 0
587444381911000 4,096,618 0 321,418 0
0 3,775,200
40 KETUT SUARDANA TK-0 3,106,900 0 0 0 0 0 40 .............
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 0222200443221
587444357911000 3,444,371 0 282,271 0
0 3,162,100
41 SUMEKAR HANDAYANI ,AMD.KEB K -0 2,920,100 0 0 0 0 0 41 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
24-08-1989 1 2,920,100 0 0 0
198908242017042001 MKG: 9 0 233,608 0
Penata Muda-3A 0 0222201938222
39 0
703437459911000 3,257,559 0 265,459 0
0 2,992,100

NO KAWIN
42 MAHARANI SITI ANJANI ,AMD.KEB K -1 2,830,900 0 0 0 0 0 42 .............
1 283,090 0 0 0 0 0
56,618 265,000 217,260 0 34,356
29-06-1992 3 3,170,608 0 0 0
199206292017042001 MKG: 6 0 253,649 0 0222201915221
718382781911000 3,652,905 0 288,005 0
0 3,364,900
43 ARTHUR BUDI HARYONO K -1 3,204,700 0 0 0 0 0 43 .............
2 320,470 185,000 0 0 0 0
128,188 0 289,680 0 38,384
25-09-1974 4 3,653,358 0 0 0
197409252010011003 MKG:14 0 292,269 0 0222200450223
889581435911000 4,128,053 0 330,653 0
0 3,797,400
44 MURSID K -1 3,106,900 0 0 0 0 0 44 .............
0 310,690 185,000 0 0 0 0
0 0 144,840 0 36,026
31-12-1970 2 3,417,590 0 0 0
197012312007011202 MKG:13 0 273,407 0
3,747,433 0 309,433 0
0 3,438,000
SUB TOTAL PERGOLONGAN : III 123,688,100 490,000 0 0 82,500 0
PEG: 35 7,823,050 555,000 0 0 0 0
IST: 22 JIWA= 94 2,597,094 13,345,000 6,807,480 0 1,484,981
134,108,244 0 82,500 0
ANK: 37 0 10,728,661 0
1,618 0 0
155,389,842 0 12,296,142
0 143,093,700
45 R. SRI SULISTYANINGSIH TK-0 2,801,500 0 0 0 0 0 45 .............
,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 0220200013222
703412320911000 3,113,935 0 254,535 0
0 2,859,400
46 FIRMAN HADI K -1 3,074,700 0 0 0 0 0 46 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
02-05-1983 4 3,505,158 0 0 0
198305022009011014 MKG:19 0 280,413 0 0222200446222
587444332911000 3,974,865 0 317,265 0
0 3,657,600
PEG: 2 307,470 180,000 0 0 0 0
IST: 1 JIWA= 5 122,988 240,000 362,100 0 67,267
6,306,658 0 0 0
ANK: 2 0 504,533 0
42 0 0
7,088,800 0 571,800
0 6,517,000

NO KAWIN
TOTAL PER SATKER 169,060,300 490,000 0 0 401,547 0
PEG: 46 10,266,120 735,000 0 0 0 0
IST: 28 JIWA= 123 3,605,516 22,285,000 8,907,660 0 2,064,417
ANK: 49 182,931,936 0 401,547 0
0 14,634,557 0
0 0
2,078 0 17,100,521
215,753,221
0 198,652,700
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS MENINTING

NO KAWIN
1 DRG, FITRIYANI DIAN EKAWATI K -1 4,194,600 0 0 0 61,542 0 1 .............
2 419,460 0 0 0 0 0
167,784 1,200,000 289,680 0 59,818
12-09-1977 4 4,781,844 0 61,542 0
197709122006042030 MKG:19 0 382,548 0 0222200995223
084171297911000 6,333,108 0 503,908 0
0 5,829,200
2 F A T I M A H K -1 4,603,500 0 0 0 50,758 0 2 .............
0 460,350 0 0 0 0 0
0 850,000 144,840 0 59,139
31-12-1971 2 5,063,850 0 50,758 0
197112311993032025 MKG:25 0 405,108 0 0222200531223
4,8427071592e+014 6,109,505 0 515,005 0
0 5,594,500
3 HADI PURWANTO K -1 5,000,000 0 0 0 51,692 0 3 .............
0 500,000 0 0 0 0 0
0 850,000 144,840 0 63,500
11-08-1965 2 5,500,000 0 51,692 0
196508111986031009 MKG:32 0 440,000 0
Pembina-4A 0 0222200251225
60 0
4,8427063292e+014 6,546,592 0 555,192 0
0 5,991,400
4 F A U R I A H TK-0 4,555,800 0 0 0 24,396 0 4 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 54,058
31-12-1971 1 4,555,800 0 24,396 0
197112311995032005 MKG:26 0 364,464 0
Pembina-4A 0 0222200254227
2 0
4,8427072392e+014 5,502,618 0 442,918 0
0 5,059,700
5 ISTIQORIAH. ,S.SI TK-0 4,416,700 0 0 0 18,121 0 5 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 52,667
27-07-1973 1 4,416,700 0 18,121 0
197307271994032006 MKG:24 0 353,336 0
Pembina-4A 0 0222200256225
83 0
5,8744501691e+014 5,357,324 0 424,124 0
0 4,933,200
6 ZAINAL ABIDIN K -1 4,281,800 0 0 0 0 0 6 .............
2 428,180 0 0 0 0 0
171,272 850,000 289,680 0 57,313
31-12-1973 4 4,881,252 0 0 0
197312311996031005 MKG:22 0 390,500 0 0222200297229
Pembina-4A 81 0 0
1,5983845792e+014 6,021,013 0 447,813 0
0 5,573,200
PEG: 6 1,807,990 0 0 0 0 0
IST: 4 JIWA= 14 339,056 5,450,000 1,013,880 0 346,495
29,199,446 0 206,509 0
ANK: 4 0 2,335,956 0
325 0 0
35,870,160 0 2,888,960
0 32,981,200

NO KAWIN
7 IDA ROYATI ,S.SI K -1 4,237,500 490,000 0 0 22,758 0 7 .............
1 423,750 0 0 0 0 0
84,750 0 217,260 0 52,360
30-10-1973 3 4,746,000 0 22,758 0
197310301994032005 MKG:24 0 379,680 0 0222205847029
484269634911000 5,476,098 0 454,798 0
0 5,021,300
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 36,471 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 36,471 0
196612311987032116 MKG:30 0 409,253 0
Penata Tk.I-3D 0 0222200250220
10 0
4,8427067392e+014 5,796,981 0 501,881 0
0 5,295,100
10 NI LUH AYU KARYATI ASRI TK-0 4,508,600 0 0 0 5,642 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 5,642 0
196811171989012004 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200252229
54 0
4,8427090592e+014 5,086,716 0 416,416 0
0 4,670,300
11 SADRI. ,AMD.KEP K -1 4,508,600 0 0 0 0 0 11 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
31-12-1968 4 5,139,804 0 0 0
196812311990011011 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200276225
98 0
4,8427068192e+014 5,929,582 0 467,582 0
0 5,462,000
12 SRI TRISNAWATI TK-0 4,237,500 0 0 0 0 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 0 0
196510011990032011 MKG:24 0 339,000 0 0222202451025
5,8744428292e+014 4,809,975 0 386,375 0
0 4,423,600
13 SAYU NYOMAN NITIARI K -1 4,108,100 0 0 0 12,679 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 12,679 0
197208021995032003 MKG:22 0 374,659 0
Penata Tk.I-3D 0 0222200258223
27 0
5,7336488291e+014 5,250,620 0 436,820 0
0 4,813,800

NO KAWIN
14 NI NYOMAN PUJIYANTI K -1 4,108,100 0 0 0 5,533 0 14 .............
1 410,810 0 0 0 0 0
82,162 265,000 217,260 0 48,661
14-01-1975 3 4,601,072 0 5,533 0
197501141999032007 MKG:22 0 368,086 0 0222200259227
5,7336505391e+014 5,088,880 0 422,280 0
0 4,666,600
15 dr., ICA JUSTITIA K -1 2,981,500 0 0 0 0 0 15 .............
0 298,150 0 0 0 0 0
0 750,000 144,840 0 40,297
16-06-1989 2 3,279,650 0 0 0
198906162019032004 MKG: 4 0 262,372 0 0010200826270
Penata-3C 79 0 0
6,6748587491e+014 4,174,569 0 302,669 0
0 3,871,900
16 R U S M A N TK-0 3,481,600 0 0 0 0 0 16 .............
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
Penata-3C 0 0222200274227
24 0
4,7122585492e+014 4,154,044 0 319,344 0
0 3,834,700
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
123,020 600,000 289,680 0 41,061
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 4,395,847 0 321,547 0
PERAWAT MUDA-2023-07-01 0 4,074,300
18 LUKMANUL HAKIM, AMKL K -1 3,272,200 0 0 0 0 0 18 .............
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
19 AIRI RAHMAWATI.A.MD,KEB 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
29-01-1989 1 3,272,200 0 0 0
198901292011012017 MKG:10 0 261,776 0 0222200266221
Penata-3C 78 0 0
1,6793240991e+014 3,844,698 0 299,498 0
0 3,545,200
20 LINA ARINI K -1 3,238,300 0 0 0 0 0 20 .............
2 323,830 0 0 0 0 0
129,532 600,000 289,680 0 42,917
26-04-1985 4 3,691,662 0 0 0
198504262006042005 MKG:12 0 295,333 0
8 0
1,5888722492e+014 4,581,350 0 338,250 0
0 4,243,100

NO KAWIN
21 dr., NI MADE PEBRINA SARI K -1 2,773,200 0 0 0 0 0 21 .............
0 277,320 0 0 0 0 0
0 325,000 144,840 0 33,755
19-02-1994 2 3,050,520 0 0 0
199402192020122016 MKG: 2 0 244,042 0 0220231010436
822344438911000 3,520,397 0 277,797 0
0 3,242,600
22 WIDIANI K -1 3,238,300 0 0 0 0 0 22 .............
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 0222203171024
5,7336511192e+014 4,281,350 0 335,250 0
0 3,946,100
23 NI MADE NURINI K -1 3,665,900 0 0 0 0 0 23 .............
2 366,590 0 0 0 0 0
146,636 265,000 289,680 0 44,441
01-01-1976 4 4,179,126 0 0 0
197601012007012063 MKG:21 0 334,330 0
65 0
8,9582165092e+014 4,733,871 0 378,771 0
0 4,355,100
24 DESAK MADE ARYANI TK-0 3,554,000 0 0 0 0 0 24 .............
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
90 0
8,9582166892e+014 3,891,510 0 322,510 0
0 3,569,000
25 EVA AYU SENJASARI.A.MD.AK K -1 3,139,400 0 0 0 0 0 25 .............
2 313,940 0 0 0 0 0
125,576 240,000 289,680 0 38,189
24-05-1987 4 3,578,916 0 0 0
198705242011012017 MKG:10 0 286,313 0
6 0
5,4415311792e+014 4,108,602 0 324,502 0
0 3,784,100
26 MUHAMMAD ADI TK-0 3,627,900 0 0 0 0 0 26 .............
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 0222202553029
5,7336503892e+014 4,150,411 0 331,011 0
0 3,819,400
27 RAIHAN K -1 3,517,200 0 0 0 0 0 27 .............
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 0 0
197401012006042045 MKG:21 0 320,769 0
Penata Muda-3A 0 0222200183014
27 0
5,7825998892e+014 4,564,315 0 363,515 0
0 4,200,800

NO KAWIN
28 IDA FITRIANI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 28 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
20-04-1988 4 3,328,914 0 0 0
198804202017042001 MKG: 9 0 266,313 0 0222201909220
6,6916135892e+014 3,883,652 0 302,252 0
0 3,581,400
29 LALE IKA CAHYANI ROMDIAH K -1 2,920,100 0 0 0 0 0 29 .............
,AMD.KEB 1 292,010 0 0 0 0 0
58,402 265,000 217,260 0 35,355
29-04-1987 3 3,270,512 0 0 0
198704292017042003 MKG: 8 0 261,641 0 0222201910221
7,0341258591e+014 3,752,796 0 296,996 0
0 3,455,800
PEG: 23 5,635,460 0 0 0 0 0
IST: 16 JIWA= 62 1,612,658 9,320,000 4,490,040 0 997,235
89,913,418 0 83,083 0
ANK: 23 0 7,193,075 0
1,152 0 0
104,297,693 0 8,273,393
0 96,024,300
30 KOMANG ARMAYASIH K -1 3,271,400 0 0 0 0 0 30 .............
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 0222206229028
5,7826000292e+014 4,259,146 0 338,046 0
0 3,921,100
31 NI WAYAN SRI WIDARI K -0 3,171,500 0 0 0 0 0 31 .............
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 0222200083226
6,6010811992e+014 3,483,935 0 287,835 0
0 3,196,100
32 YULIANA ANGGER DEWANTARI K -1 2,552,700 0 0 0 0 0 32 .............
,A.Md.Far. 1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
08-07-1991 3 2,859,024 0 0 0
199107082019032018 MKG: 7 0 228,722 0 0012219679104
5,4295903692e+014 3,316,312 0 259,712 0
0 3,056,600
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 2,949,900 0 0 0 0 0 34 .............
0 0 0 0 0 0 0
0 360,000 72,420 0 33,099
31-12-1976 1 2,949,900 0 0 0
197612312010012003 MKG:19 0 235,992 0 0222200271225
Pengatur-2C 71 0 0
5,7825993991e+014 3,382,391 0 269,091 0
0 3,113,300
35 SITI MARDIANI K -1 2,398,600 0 0 0 0 0 35 .............
0 239,860 180,000 0 0 0 0
0 0 144,840 0 28,185
01-05-1980 2 2,638,460 0 0 0
198005012010012015 MKG:11 0 211,077 0 0060202135272
685882110195000 2,963,362 0 239,262 0
0 2,724,100
PEG: 6 1,120,350 360,000 0 0 0 0
IST: 4 JIWA= 15 301,142 1,080,000 1,086,300 0 201,864
18,746,392 0 0 0
ANK: 5 0 1,499,712 0
284 0 0
21,272,976 0 1,701,576
0 19,571,400
TOTAL PER SATKER 127,042,600 490,000 0 0 289,592 0
PEG: 35 8,563,800 360,000 0 0 0 0
IST: 24 JIWA= 91 2,252,856 15,850,000 6,590,220 0 1,545,594
ANK: 32 137,859,256 0 289,592 0
0 11,028,743 0
0 0
1,761 0 12,863,929
161,440,829
0 148,576,900
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PENIMBUNG

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 MENIK SUMARNI JD-0 4,699,300 0 0 0 19,804 0 2 .............
1 0 0 0 0 0 0
93,986 850,000 144,840 0 56,433
07-08-1969 2 4,793,286 0 19,804 0
196908071989032005 MKG:28 0 383,463 0 0222200887221
Pembina-4A 70 0 0
484270582915000 5,808,000 0 459,700 0
0 5,348,300
3 AKHMAD JUAINI K -1 4,555,800 0 0 0 7,246 0 3 .............
2 455,580 0 0 0 0 0
182,232 850,000 289,680 0 60,436
31-12-1972 4 5,193,612 0 7,246 0
197212311992031026 MKG:26 0 415,489 0
Pembina-4A 0 0222200213015
33 0
484270434915000 6,340,571 0 483,171 0
0 5,857,400
4 SRI WAHYUNINGSIH K -1 4,281,800 0 0 0 42,096 0 4 .............
1 428,180 0 0 0 0 0
85,636 850,000 217,260 0 56,456
03-07-1975 3 4,795,616 0 42,096 0
197507031995032002 MKG:22 0 383,649 0
Pembina-4A 0 0222200646224
29 0
472606177911000 5,905,001 0 482,201 0
0 5,422,800
5 HUSNIATY K -1 4,281,800 0 0 0 42,096 0 5 .............
1 428,180 0 0 0 0 0
85,636 850,000 217,260 0 56,456
23-03-1977 3 4,795,616 0 42,096 0
197703231996032001 MKG:22 0 383,649 0
Pembina-4A 0 0222200639220
29 0
573364890914000 5,905,001 0 482,201 0
0 5,422,800
6 NI KETUT METRI K -1 4,151,100 0 0 0 42,679 0 6 .............
2 415,110 0 0 0 0 0
166,044 850,000 289,680 0 55,823
07-03-1973 4 4,732,254 0 42,679 0
197303072000122002 MKG:20 0 378,580 0 0222200433225
Pembina-4A 69 0 0
970401063911000 5,914,682 0 477,082 0
0 5,437,600
SUB TOTAL PERGOLONGAN : IV 26,120,900 490,000 0 0 153,921 0
PEG: 6 1,727,050 0 0 0 0 0
IST: 4 JIWA= 19 779,578 4,250,000 1,375,980 0 333,675
28,627,528 0 153,921 0
ANK: 9 0 2,290,202 0
269 0 0
34,897,698 0 2,777,798
0 32,119,900

NO KAWIN
7 FAUZAN MA'ARI K -1 4,108,100 490,000 0 0 0 0 7 .............
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
8 NI KETUT KERTIASIH TK-0 4,508,600 0 0 0 22,267 0 8 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 53,586
27-07-1970 1 4,508,600 0 22,267 0
197007271990092006 MKG:28 0 360,688 0 0222200843224
484274913911000 5,453,341 0 436,541 0
0 5,016,800
9 JUNI HANAFI K -1 3,982,600 0 0 0 0 0 9 .............
2 398,260 0 0 0 0 0
159,304 850,000 289,680 0 53,902
04-06-1975 4 4,540,164 0 0 0
197506041998031002 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222200644226
71 0
799261698911000 5,679,915 0 417,115 0
0 5,262,800
10 SYAMSUR RAHMAN K -1 4,508,600 0 0 0 4,183 0 10 .............
1 450,860 0 0 0 0 0
90,172 600,000 217,260 0 56,496
13-11-1969 3 5,049,632 0 4,183 0
196911131990031011 MKG:28 0 403,971 0
Penata Tk.I-3D 0 0222200631229
75 0
159838663915000 5,871,150 0 464,650 0
0 5,406,500
11 NI PUTU AYU SUNIANTARI K -1 4,508,600 0 0 0 49,192 0 11 .............
2 450,860 0 0 0 0 0
180,344 600,000 289,680 0 57,398
28-12-1969 4 5,139,804 0 49,192 0
196912281993032005 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200430223
98 0
484270467911000 6,078,774 0 517,774 0
0 5,561,000
12 I PUTU ERYAWAN K -1 3,982,600 0 0 0 0 0 12 .............
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 0222200627228
162845721915000 5,429,915 0 414,615 0
0 5,015,300
13 YULIATI KARTINI K -1 3,743,100 0 0 0 9,817 0 13 .............
2 374,310 0 0 0 0 0
149,724 600,000 289,680 0 48,671
22-07-1980 4 4,267,134 0 9,817 0
198007222006042017 MKG:16 0 341,371 0
Penata Tk.I-3D 0 0222205210021
28 0
159838341915000 5,166,659 0 399,859 0
0 4,766,800

NO KAWIN
14 NI KETUT RANTI K -1 4,108,100 0 0 0 23,842 0 14 .............
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 23,842 0
197608161995032001 MKG:22 0 374,659 0 0222200197015
156648503914000 5,496,833 0 450,333 0
0 5,046,500
15 drg., IDA AYU PURWITA DEWI TK-0 2,981,500 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 37,315
10-12-1984 1 2,981,500 0 0 0
198412102019032003 MKG: 4 0 238,520 0 0222200316271
Penata-3C 15 0 0
844137794911000 3,803,935 0 275,835 0
0 3,528,100
16 SHERLY SUKMAWATI ,AMD.KEB K -0 3,272,200 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
29-11-1984 1 3,272,200 0 0 0
198411292010012020 MKG:11 0 261,776 0
Penata-3C 0 0222202177227
78 0
168188746913000 3,844,698 0 299,498 0
0 3,545,200
17 NOER LINA DESIANA ,AMD.KEP K -0 3,272,200 0 0 0 0 0 17 .............
2 0 0 0 0 0 0
130,888 500,000 217,260 0 39,031
15-12-1986 3 3,403,088 0 0 0
198612152010012030 MKG:10 0 272,247 0
Penata-3C 0 0222200630225
30 0
472606144915000 4,120,378 0 311,278 0
0 3,809,100
18 ATIK RAHMAWATI ,A.MG K -1 3,139,400 0 0 0 0 0 18 .............
2 313,940 0 0 0 0 0
125,576 500,000 289,680 0 40,789
17-10-1980 4 3,578,916 0 0 0 0
198010172010012011 MKG:10 0 286,313 0
895908390915000 4,368,602 0 327,102 0
0 4,041,500
19 WINDHA FEBRIASNITA WIJAYANTI, K -1 3,043,600 0 0 0 0 0 19 .............
2 304,360 0 0 0 0 0
121,744 500,000 289,680 0 39,697
01-02-1987 4 3,469,704 0 0 0 0
198702012011012011 MKG: 8 0 277,576 0
4,259,473 0 317,273 0
0 3,942,200
20 LALU ARIFUDDIN K -1 3,340,300 0 0 0 0 0 20 .............
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

NO KAWIN
21 MARIA AGUSFINA.A.MD.KEB K -1 3,139,400 0 0 0 0 0 21 .............
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
22 RAMLAH RITAWATI TK-0 3,106,900 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 34,069
31-12-1974 1 3,106,900 0 0 0
197412312007012054 MKG:12 0 248,552 0 0222200426222
895910677911000 3,479,321 0 282,621 0
0 3,196,700
23 BAIQ SIPAIYAH TK-0 3,517,200 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
31-12-1978 1 3,517,200 0 0 0
197812312008012043 MKG:20 0 281,376 0
Penata Muda-3A 0 0222200636229
78 0
161803044915000 3,854,698 0 319,198 0
0 3,535,500
24 IKA PERMATASARI ,AMD.KEB K -0 2,920,100 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
08-04-1988 1 2,920,100 0 0 0
198804082017042003 MKG: 8 0 233,608 0
Penata Muda-3A 0 0222201930221
39 0
669163537915000 3,257,559 0 265,459 0
0 2,992,100
25 WINDA SUSANTI WULAN ,AMD.KEB K -1 2,830,900 0 0 0 0 0 25 .............
2 283,090 0 0 0 0 0
113,236 265,000 289,680 0 34,922
28-05-1991 4 3,227,226 0 0 0
199105282017042002 MKG: 6 0 258,178 0
Penata Muda-3A 0 0222201929220
94 0
718313505915000 3,782,000 0 293,100 0
0 3,488,900
26 NI WAYAN NUNIK K -0 3,106,900 0 0 0 0 0 26 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,919
06-07-1969 1 3,106,900 0 0 0
196907062007012030 MKG:13 0 248,552 0 0222204905021
780606034915000 3,364,371 0 281,471 0
0 3,082,900
27 LALU AENAL MUDAWARI K -1 3,106,900 0 0 0 0 0 27 .............
2 310,690 185,000 0 0 0 0
124,276 0 289,680 0 37,269
15-06-1971 4 3,541,866 0 0 0
197106152007011035 MKG:13 0 283,349 0
Penata Muda-3A 0 0222203010024
72 0
780707600915000 4,016,618 0 320,618 0
0 3,696,000

NO KAWIN
PEG: 21 4,754,220 370,000 0 0 0 0
IST: 13 JIWA= 60 1,875,598 9,205,000 4,345,200 0 909,225
80,857,618 0 109,301 0
ANK: 26 0 6,468,609 0
1,216 0 0
95,378,335 0 7,487,135
0 87,891,200
28 SUKMAWATI K -0 2,980,800 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 450,000 72,420 0 34,308
26-02-1980 1 2,980,800 0 0 0
198002262007012011 MKG:17 0 238,464 0
Pengatur Tk.I-2D 0 0222200649226
52 0
472808168911000 3,503,272 0 272,772 0
0 3,230,500
29 HERNAWATI TK-0 3,374,400 0 0 0 0 0 29 .............
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
Pengatur Tk.I-2D 0 0222202566026
76 0
578259954911000 3,686,896 0 306,096 0
0 3,380,800
30 IDA AYU RATNA SARI DEWI TK-0 2,889,800 0 0 0 0 0 30 .............
,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 0222200160284
486414592914000 3,202,282 0 262,482 0
0 2,939,800
31 SATARI DD-0 3,074,700 0 0 0 0 0 31 .............
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 0222206247021
159616838915000 3,594,992 0 289,592 0
0 3,305,400
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 0 0 0 0 0
47,486 240,000 217,260 0 28,992
04-04-1990 3 2,659,216 0 0 0
199004042020122007 MKG: 5 0 212,737 0 0220200418283
Pengatur-2C 53 0 0
817846736914000 3,116,529 0 241,729 0
0 2,874,800
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
Pengatur Muda Tk.I-2B 36 0 0
897502506913000 3,502,116 0 274,716 0
0 3,227,400
PEG: 8 1,135,450 540,000 0 0 0 0
IST: 4 JIWA= 20 462,894 1,410,000 1,448,400 0 272,225
25,272,544 0 0 0
ANK: 8 0 2,021,803 0
384 0 0
28,671,328 0 2,294,028
0 26,377,300
TOTAL PER SATKER 124,022,900 980,000 0 0 263,222 0
PEG: 35 7,616,720 910,000 0 0 0 0
IST: 21 JIWA= 99 3,118,070 14,865,000 7,169,580 0 1,515,125
ANK: 43 134,757,690 0 263,222 0
0 10,780,614 0
0 0
1,869 0 12,558,961
158,947,361
0 146,388,400
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS LINGSAR

NO KAWIN
1 Drg., NUNIK AMZYANA K -1 3,822,000 0 0 0 42,371 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 42,371 0
198104172010012018 MKG:12 0 348,566 0 0222200686224
16.089.074.5-913.000 5,889,208 0 446,508 0
0 5,442,700
2 SRI SUWARNI K -1 5,052,300 0 0 0 89,042 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 89,042 0
196505191987012002 MKG:30 0 460,770 0 0222200449026
48.427.077.2-911.000 6,988,408 0 615,908 0
0 6,372,500
3 MUJAHID FITRIADI. ,S.KM K -1 4,699,300 0 0 0 13,821 0 3 .............
1 469,930 0 0 0 0 0
93,986 600,000 217,260 0 58,632
09-12-1969 3 5,263,216 0 13,821 0
196912091993031005 MKG:28 0 421,057 0
Pembina-4A 0 0222205897024
13 0
48.427.251.3.915.000 6,094,310 0 493,510 0
0 5,600,800
PEG: 3 1,357,360 0 0 0 0 0
IST: 3 JIWA= 11 448,958 2,650,000 796,620 0 180,299
15,379,918 0 145,234 0
ANK: 5 0 1,230,393 0
154 0 0
18,971,926 0 1,555,926
0 17,416,000
4 BAIQ SUZANA KURNIATI K -0 4,237,500 0 0 0 10,033 0 4 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 50,875
16-11-1971 1 4,237,500 0 10,033 0
197111161996032005 MKG:24 0 339,000 0 0222200702224
48.427.100.2-915.000 5,170,008 0 399,908 0
0 4,770,100
5 BAIQ SUMIARA ,A.MD.KEP K -1 4,650,600 0 0 0 44,113 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 44,113 0
196712311987032047 MKG:30 0 416,694 0 0222201712021
48.427.079.8-915.000 5,970,094 0 517,894 0
0 5,452,200
6 MUJI HARIANTO K -1 4,508,600 0 0 0 10,675 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 10,675 0
196509261989031006 MKG:28 0 396,757 0
Penata Tk.I-3D 0 0222200679220
52 0
57.192.001.6-915.000 5,615,027 0 462,027 0
0 5,153,000

NO KAWIN
7 NI NENGAH SUARTI K -1 4,370,900 0 0 0 29,975 0 7 .............
1 437,090 0 0 0 0 0
87,418 500,000 217,260 0 53,954
31-12-1970 3 4,895,408 0 29,975 0
197012311992032047 MKG:26 0 391,633 0 0222200701221
58.744.500.8-914.000 5,642,662 0 475,562 0
0 5,167,100
8 IDA AYU SWENDRI K -1 4,370,900 0 0 0 22,592 0 8 .............
0 437,090 0 0 0 0 0
0 500,000 144,840 0 53,080
29-07-1973 2 4,807,990 0 22,592 0
197307291992032003 MKG:26 0 384,639 0 0222200505226
48.427.096.2-911.000 5,475,511 0 460,311 0
0 5,015,200
9 H U R I A H K -1 4,237,500 0 0 0 15,967 0 9 .............
0 423,750 0 0 0 0 0
0 500,000 144,840 0 51,613
31-12-1972 2 4,661,250 0 15,967 0
197212311993032023 MKG:24 0 372,900 0
Penata Tk.I-3D 0 0222200698227
23 0
89.751.540.9-915.000 5,322,080 0 440,480 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
0 4,191,600
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
0 4,081,000
13 SAHDIYARTA K -1 3,821,000 0 0 0 0 0 13 .............
2 382,100 0 0 0 0 0
152,840 600,000 289,680 0 49,559
31-12-1970 4 4,355,940 0 0 0
197012311998031050 MKG:20 0 348,475 0
Penata-3C 0 0222203064025
14 0
46.428.377.9-915.000 5,245,634 0 398,034 0
0 4,847,600

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 ROYANI. ,AMD.KEP TK-0 3,272,200 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
15-05-1986 1 3,272,200 0 0 0 0
198605152010012023 MKG:10 0 261,776 0
Penata-3C 0 0222203408220
78 0
68.592.893.9-915.000 3,844,698 0 299,498 0
0 3,545,200
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 SRI FITRIYANI K -1 3,340,300 0 0 0 0 0 18 .............
2 334,030 0 0 0 0 0
133,612 300,000 289,680 0 41,079
21-12-1981 4 3,807,942 0 0 0
198112212007012005 MKG:15 0 304,635 0
92 0
58.744.523.0-915.000 4,397,714 0 345,714 0
0 4,052,000
19 HUSMA EKA NINGSIH K -1 3,340,300 0 0 0 0 0 19 .............
2 334,030 0 0 0 0 0
133,612 300,000 289,680 0 41,079
18-03-1983 4 3,807,942 0 0 0
198303182012122001 MKG:14 0 304,635 0 0222200340026
64.161.744.4-915.000 4,397,714 0 345,714 0
0 4,052,000
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 TUTY HARTIANI JD-0 3,627,900 0 0 0 0 0 23 .............
1 0 0 0 0 0 0
72,558 300,000 144,840 0 40,005
28-06-1973 2 3,700,458 0 0 0
197306282006042018 MKG:22 0 296,037 0
Penata Muda-3A 0 0222203163027
44 0
73.345.806.1-911.000 4,145,342 0 336,042 0
0 3,809,300
24 SRI MELINA ,AMD.KEB K -0 3,106,900 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 34,069
23-05-1984 1 3,106,900 0 0 0
198405232017042003 MKG:13 0 248,552 0
Penata Muda-3A 0 0222201931224
1 0
70.550.728.3-915.000 3,479,321 0 282,621 0
0 3,196,700
25 FITRIA YULIANA 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
31-07-1980 4 3,541,866 0 0 0
198007312005012011 MKG:12 0 283,349 0
Penata Muda-3A 0 0222200841226
22 0
68.591.787.4-915.000 4,131,568 0 321,768 0
0 3,809,800
26 WIWIK ZULYANI K -1 3,106,900 0 0 0 0 0 26 .............
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 0222200695225
58.744.495.1-915.000 4,131,568 0 321,768 0
0 3,809,800
27 ELY HERMAWATI ,AMD.KEB K -1 3,012,000 0 0 0 0 0 27 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
24-11-1987 4 3,433,680 0 0 0
198711242017042002 MKG:10 0 274,694 0
Penata Muda-3A 0 0222201921229
21 0
66.916.343.8-915.000 3,988,381 0 311,681 0
0 3,676,700

NO KAWIN
28 RINA HAERUNNISAK ,AMD.KEB K -1 2,920,100 0 0 0 0 0 28 .............
1 292,010 0 0 0 0 0
58,402 265,000 217,260 0 35,355
19-10-1988 3 3,270,512 0 0 0
198810192017042004 MKG: 9 0 261,641 0 0222201920225
70.303.505.5-915.000 3,752,796 0 296,996 0
0 3,455,800
29 YULIANA ZAEN ,AMD.KEB K -1 2,920,100 0 0 0 0 0 29 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
20-07-1988 4 3,328,914 0 0 0
198807202017042002 MKG: 8 0 266,313 0 0222201919226
66.916.298.4-915.000 3,883,652 0 302,252 0
0 3,581,400
PEG: 26 5,816,530 185,000 0 0 0 0
IST: 16 JIWA= 66 1,619,428 10,260,000 4,779,720 0 1,125,656
101,630,458 0 133,355 0
ANK: 24 0 8,130,436 0
1,314 0 0
117,479,847 0 9,389,447
0 108,090,400
30 SURYA HAYATI K -1 3,074,700 0 0 0 0 0 30 .............
1 307,470 180,000 0 0 0 0
61,494 0 217,260 0 36,237
10-05-1975 3 3,443,664 0 0 0
197505102009012005 MKG:19 0 275,493 0 0222200142100
58.744.489.4-915.000 3,840,930 0 311,730 0
0 3,529,200
31 ARMAN HADI 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
31-12-1974 4 3,398,112 0 0 0
197412312010011016 MKG:18 0 271,849 0 0222200684226
44.895.457.8-915.000 3,867,830 0 307,630 0
0 3,560,200
32 YARTIADI K -1 2,687,800 0 0 0 0 0 32 .............
2 268,780 180,000 0 0 0 0
107,512 0 289,680 0 32,441
31-12-1973 4 3,064,092 0 0 0
197312312009011029 MKG:13 0 245,127 0 0222200682228
Pengatur-2C 96 0 0
38.744.490.2-915.000 3,533,868 0 277,568 0
0 3,256,300
PEG: 3 874,330 540,000 0 0 0 0
IST: 3 JIWA= 11 288,238 0 796,620 0 104,459
9,905,868 0 0 0
ANK: 5 0 792,469 0
140 0 0
11,242,628 0 896,928
0 10,345,700

NO KAWIN
33 NI MADE SURYANI TK-0 2,373,100 0 0 0 0 0 33 .............
0 0 175,000 0 0 0 0
0 0 72,420 0 25,481
26-05-1983 1 2,373,100 0 0 0
198305262008012009 MKG:19 0 189,848 0 0222200699220
Juru Tk.I-1D 9 0 0
58.744.487.8-915.000 2,620,529 0 215,329 0
0 2,405,200
PEG: 1 0 175,000 0 0 0 0
IST: 0 JIWA= 1 0 0 72,420 0 25,481
2,373,100 0 0 0
ANK: 0 0 189,848 0
9 0 0
2,620,529 0 215,329
0 2,405,200
TOTAL PER SATKER 118,884,500 490,000 0 0 278,589 0
PEG: 33 8,048,220 900,000 0 0 0 0
IST: 22 JIWA= 89 2,356,624 12,910,000 6,445,380 0 1,435,895
ANK: 34 129,289,344 0 278,589 0
0 10,343,146 0
0 0
1,617 0 12,057,630
150,314,930
0 138,257,300
KEPALA PUSKESMAS LINGSAR ,23 JUNI 2023
H. RACHMAN SAHNAN PUTRA,

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS NARMADA

NO KAWIN
1 DR, I DW. GDE NGURAH AGUNG K -1 5,266,100 0 0 0 81,525 0 1 .............
0 526,610 0 0 0 0 0
0 1,200,000 144,840 0 69,927
17-01-1968 2 5,792,710 0 81,525 0
196504281996031003 MKG:30 0 463,417 0 0222200282224
Pembina Utama Muda-4C 94 0 0
071222744911000 7,219,169 0 614,869 0
0 6,604,300
2 NI KETUT MERTAWATI, ,SST K -0 4,603,500 0 0 0 26,550 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 26,550 0
197306011993032011 MKG:24 0 368,280 0 0222200295220
573365335915000 5,552,565 0 449,365 0
0 5,103,200
3 GLORIA ROSEMARI KAIRUPAN, S.FA TK-0 3,782,400 0 0 0 6,121 0 3 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 49,824
16-12-1983 1 3,782,400 0 6,121 0
198312162009012005 MKG:14 0 302,592 0
Pembina-4A 0 0222200315227
96 0
795883636911000 5,061,037 0 358,537 0
0 4,702,500
4 DRG, JOKO SUSANTO K -1 3,666,900 0 0 0 0 0 4 .............
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 0 0
198109062010011011 MKG:12 0 334,421 0
Pembina-4A 0 0222200311220
78 0
157247073915000 5,670,024 0 388,224 0
0 5,281,800
5 DR, NI PUTU PRADNYANI K -1 3,554,900 0 0 0 28,633 0 5 .............
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 28,633 0
198001132010012009 MKG:10 0 324,207 0
Pembina-4A 0 0222200305222
67 0
889582730914000 5,570,966 0 405,366 0
0 5,165,600
6 MUHAMAD BUKRI K -1 4,699,300 0 0 0 14,629 0 6 .............
2 469,930 0 0 0 0 0
187,972 850,000 289,680 0 62,072
31-12-1968 4 5,357,202 0 14,629 0
196812311990031068 MKG:28 0 428,576 0 0222200248228
Pembina-4A 66 0 0
484270699915000 6,511,577 0 505,277 0
0 6,006,300
7 SRI WIBAWA TK-0 4,416,700 0 0 0 18,121 0 7 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 52,667
31-08-1974 1 4,416,700 0 18,121 0
197408311994011002 MKG:24 0 353,336 0
Pembina-4A 0 0222200132223
83 0
484271291915000 5,357,324 0 424,124 0
0 4,933,200

NO KAWIN
8 YULIA ARIYANTI. ,S.KEP TK-0 3,901,500 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 47,515
02-07-1980 1 3,901,500 0 0 0
198007022005012022 MKG:16 0 312,120 0 0222200317225
Pembina-4A 15 0 0
474774858911000 4,823,935 0 359,635 0
0 4,464,300
PEG: 8 1,718,720 0 0 0 0 0
IST: 4 JIWA= 18 476,844 8,200,000 1,303,560 0 442,869
36,086,864 0 175,579 0
ANK: 6 0 2,886,949 0
594 0 0
45,766,597 0 3,505,397
0 42,261,200
9 SITI HUJRAH TK-0 4,370,900 490,000 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 0 72,420 0 48,609
24-05-1973 1 4,370,900 0 0 0
197305241992032004 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200511015
61 0
484272471915000 4,933,381 0 398,281 0
0 4,535,100
10 H I L W A T I TK-0 3,861,000 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 47,110
15-09-1978 1 3,861,000 0 0 0
197809152001122003 MKG:18 0 308,880 0 0222200296225
778939132915000 4,783,490 0 355,990 0
0 4,427,500
11 I WAYAN SUJANA. ,S.SI K -1 4,650,600 0 0 0 11,363 0 11 .............
1 465,060 0 0 0 0 0
93,012 600,000 217,260 0 58,087
31-12-1968 3 5,208,672 0 11,363 0
196812311988031089 MKG:30 0 416,694 0 0222200279227
484271184915000 6,037,344 0 486,144 0
0 5,551,200
12 NI KOMANG RIDAWATI K -1 4,508,600 0 0 0 29,425 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 29,425 0
196812311989032086 MKG:28 0 396,757 0 0222200312225
484271242915000 5,633,777 0 480,777 0
0 5,153,000
13 H A L I M A H TK-0 4,508,600 0 0 0 5,642 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
31-12-1969 1 4,508,600 0 5,642 0
196912311990032038 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200303224
54 0
484271243911000 5,086,716 0 416,416 0
0 4,670,300

NO KAWIN
14 R U S M I A T I K -1 4,237,500 0 0 0 30,500 0 14 .............
2 423,750 0 0 0 0 0
169,500 500,000 289,680 0 53,308
03-02-1974 4 4,830,750 0 30,500 0
197402031993022002 MKG:25 0 386,460 0 0222200203220
151223179915000 5,650,968 0 470,268 0
0 5,180,700
15 BAIQ HUSDIYANTI K -1 3,628,900 0 0 0 0 0 15 .............
0 362,890 0 0 0 0 0
0 500,000 144,840 0 44,918
10-04-1978 2 3,991,790 0 0 0
197804102007012021 MKG:14 0 319,343 0 0222200367221
889580692915000 4,636,661 0 364,261 0
0 4,272,400
16 drg, IDA RAHMATULLAH TK-0 3,481,600 0 0 0 0 0 16 .............
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
0 3,983,200
17 ASRIANI ,SKM K -1 3,591,200 0 0 0 0 0 17 .............
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 0 0
197709172003122008 MKG:16 0 321,772 0
Penata-3C 0 0222206883021
89 0
475899365912000 4,839,493 0 367,993 0
0 4,471,500
18 RITA SOSILO K -0 3,375,300 0 0 0 0 0 18 .............
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
19 NI PUTU EVEY LISMAYANTI, K -1 3,481,600 0 0 0 0 0 19 .............
,A.MD.KEP 1 348,160 0 0 0 0 0
69,632 500,000 217,260 0 43,994
30-04-1983 3 3,899,392 0 0 0
198304302007012004 MKG:15 0 311,951 0 0222200286221
Penata-3C 93 0 0
795966977913000 4,616,745 0 355,945 0
0 4,260,800
20 SELAMET HARIYADI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 20 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
26-05-1988 4 3,730,308 0 0 0
198805262010011001 MKG:11 0 298,425 0
Penata-3C 0 0222200323224
40 0
889580775915000 4,520,028 0 340,728 0
0 4,179,300

NO KAWIN
21 HASANAH. ,AMD.KEP TK-0 3,272,200 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
11-03-1985 1 3,272,200 0 0 0
198503112011012021 MKG:10 0 261,776 0 0222200084221
Penata-3C 78 0 0
642092225915000 3,844,698 0 299,498 0
0 3,545,200
22 NENY WAHDAYANTI SIAGIAN.A.MD.K K -0 3,272,200 0 0 0 0 0 22 .............
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
0 3,545,200
23 LIA LESTARI WIDIYANTI.A.MD.KEB 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
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
0 3,545,200
24 DESI FITRIA SUSILAWATI.K ,AMD TK-0 3,272,200 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
15-12-1988 1 3,272,200 0 0 0
198812152011012007 MKG:10 0 261,776 0
Penata-3C 0 0222200298223
78 0
666438289915000 3,844,698 0 299,498 0
0 3,545,200
25 JUHARTONO IBRAHIM K -1 4,193,500 0 0 0 0 0 25 .............
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
Penata-3C 0 0222200301226
33 0
484270731911000 5,255,303 0 432,103 0
0 4,823,200
26 NI KETUT SETIAWATI ARINI K -1 3,554,000 0 0 0 88 0 26 .............
2 355,400 0 0 0 0 0
142,160 600,000 289,680 0 46,516
02-11-1980 4 4,051,560 0 88 0
198011022005012019 MKG:18 0 324,125 0 0222200712229
587444522915000 4,941,329 0 370,729 0
0 4,570,600
27 RUSMIYATI.A,MD,KEB K -1 3,139,400 0 0 0 0 0 27 .............
1 313,940 0 0 0 0 0
62,788 500,000 217,260 0 40,161
10-12-1977 3 3,516,128 0 0 0
197712102010012005 MKG:10 0 281,290 0
63 0
578260648915000 4,233,451 0 321,451 0
0 3,912,000

NO KAWIN
28 dr., MUHYIDDIN K -1 2,773,200 0 0 0 0 0 28 .............
1 277,320 0 0 0 0 0
55,464 325,000 217,260 0 34,310
02-03-1992 3 3,105,984 0 0 0
199203022020121010 MKG: 2 0 248,479 0 0220200437281
801503723911000 3,648,289 0 282,789 0
0 3,365,500
29 I GUSTI AYU SUSANDI TK-0 3,340,300 0 0 0 0 0 29 .............
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 0222200300222
161803036915000 3,712,727 0 303,627 0
0 3,409,100
30 ATIMAN K -1 3,665,900 0 0 0 0 0 30 .............
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
65 0
587445099.915000 4,733,871 0 378,771 0
0 4,355,100
31 SWASTINI TK-0 3,554,000 0 0 0 0 0 31 .............
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
32 HELMI ASTUTI K -1 3,340,300 0 0 0 0 0 32 .............
2 334,030 0 0 0 0 0
133,612 265,000 289,680 0 40,729
17-04-1980 4 3,807,942 0 0 0
198004172008012029 MKG:15 0 304,635 0
42 0
587445198915000 4,362,664 0 345,364 0
0 4,017,300
33 FAIZATUL FATATI K -0 3,340,300 0 0 0 0 0 33 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,053
13-07-1980 1 3,340,300 0 0 0
198007132006042028 MKG:14 0 267,224 0 0222200320222
159839810915000 3,677,777 0 303,277 0
0 3,374,500
34 YULIANA ASTUTI TK-0 3,238,300 0 0 0 0 0 34 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
05-07-1982 1 3,238,300 0 0 0
198207052008012019 MKG:13 0 259,064 0
77 0
587445522915000 3,575,797 0 294,097 0
0 3,281,700

NO KAWIN
35 BAIQ FILI SRI PUTRI K -1 3,517,200 0 0 0 0 0 35 .............
2 351,720 0 0 0 0 0
140,688 265,000 289,680 0 42,746
21-12-1976 4 4,009,608 0 0 0
197612212007012020 MKG:21 0 320,769 0 0222200652223
587445057911000 4,564,315 0 363,515 0
0 4,200,800
36 ROSITA SURIANI ZOHRITA TK-0 3,517,200 0 0 0 0 0 36 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 37,822
30-11-1977 1 3,517,200 0 0 0
197711302007012019 MKG:20 0 281,376 0 0222200304228
159838903915000 3,854,698 0 319,198 0
0 3,535,500
37 NURWAHIDAH 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
19-08-1979 1 3,409,800 0 0 0
197908192007012015 MKG:18 0 272,784 0
Penata Muda-3A 0 0222200289222
12 0
573365343911000 3,747,232 0 309,532 0
0 3,437,700
38 AZHADI CAHYADI K -1 3,106,900 0 0 0 0 0 38 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
14-02-1982 4 3,541,866 0 0 0
198202142006041013 MKG:12 0 283,349 0
Penata Muda-3A 0 0222201319221
72 0
897515177915000 4,096,618 0 321,418 0
0 3,775,200
39 IDA AYU KADEK ASTININGSIH K -0 3,012,000 0 0 0 0 0 39 .............
,AMD.KEB 0 0 0 0 0 0 0
0 265,000 72,420 0 32,770
14-02-1987 1 3,012,000 0 0 0
198702142017042001 MKG:10 0 240,960 0
Penata Muda-3A 0 0222201933222
10 0
669164147915000 3,349,430 0 273,730 0
0 3,075,700
40 INDAYANI ,AMD.KEB 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
05-09-1987 4 3,433,680 0 0 0
198709052017042004 MKG:10 0 274,694 0 0222201934226
669163958915000 3,988,381 0 311,681 0
0 3,676,700
41 SANURI DANDI K -1 3,409,800 0 0 0 0 0 41 .............
2 340,980 0 0 0 0 0
136,392 240,000 289,680 0 41,272
22-08-1978 4 3,887,172 0 0 0
197808222005011011 MKG:18 0 310,974 0
Penata Muda-3A 0 0222200280226
94 0
587445263915000 4,416,946 0 352,246 0
0 4,064,700

NO KAWIN
PEG: 33 6,108,280 185,000 0 0 0 0
IST: 17 JIWA= 75 1,765,092 13,280,000 5,431,500 0 1,390,094
125,054,272 0 77,018 0
ANK: 25 0 10,004,342 0
1,764 0 0
144,519,554 0 11,471,454
0 133,048,100
42 SAHIMIN 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
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
43 SUSILA DAHLIANTI K -1 2,949,900 0 0 0 0 0 43 .............
2 294,990 0 0 0 0 0
117,996 240,000 289,680 0 36,029
04-08-1980 4 3,362,886 0 0 0
198008042012122001 MKG:19 0 269,031 0
Pengatur-2C 0 0222200327221
94 0
666439385915000 3,892,660 0 305,060 0
0 3,587,600
44 ASMA ATUN K -1 2,772,500 0 0 0 0 0 44 .............
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 0222200132223
Pengatur-2C 29 0 0
758119770914000 3,690,359 0 286,859 0
0 3,403,500
45 SUPARLAN K -1 2,772,500 0 0 0 0 0 45 .............
1 277,250 180,000 0 0 0 0
55,450 0 217,260 0 32,852
31-12-1967 3 3,105,200 0 0 0
196712312009011048 MKG:15 0 248,416 0 0222200310227
Pengatur-2C 8 0 0
897502464915000 3,502,468 0 281,268 0
0 3,221,200
46 SARIBAH YANTI TK-0 2,772,500 0 0 0 0 0 46 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 29,525
31-12-1972 1 2,772,500 0 0 0
197212312007012095 MKG:15 0 221,800 0 0222200306226
Pengatur-2C 5 0 0
587445164915000 3,024,925 0 251,325 0
0 2,773,600
47 MUNASIH K -1 2,772,500 0 0 0 0 0 47 .............
2 277,250 180,000 0 0 0 0
110,900 0 289,680 0 33,407
05-10-1973 4 3,160,650 0 0 0
197310052007012014 MKG:15 0 252,852 0
Pengatur-2C 0 0222200318229
29 0
587445180915000 3,630,359 0 286,259 0
0 3,344,100

NO KAWIN
48 ZULHAKIM K -1 2,398,600 0 0 0 0 0 48 .............
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 0222202563024
159617422915000 3,204,096 0 247,896 0
0 2,956,200
PEG: 7 1,664,680 900,000 0 0 0 0
IST: 6 JIWA= 24 610,422 480,000 1,738,080 0 230,745
21,694,402 0 0 0
ANK: 11 0 1,735,552 0
215 0 0
24,812,697 0 1,966,297
0 22,846,400
TOTAL PER SATKER 170,491,500 490,000 0 0 252,597 0
PEG: 48 9,491,680 1,085,000 0 0 0 0
IST: 27 JIWA= 117 2,852,358 21,960,000 8,473,140 0 2,063,708
ANK: 42 182,835,538 0 252,597 0
0 14,626,843 0
0 0
2,573 0 16,943,148
215,098,848
0 198,155,700
,23 JUNI 2023
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
0 5,696,300
2 JUNAIDI. ,S.KEP K -1 4,416,700 0 0 0 11,413 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 11,413 0
197304151992031007 MKG:25 0 395,736 0 0222200829016
Pembina-4A 39 0 0
48.427.121.8.911.000 6,025,416 0 465,116 0
0 5,560,300
3 MAS'UNIWATI ,S.SI K -1 4,416,700 0 0 0 41,492 0 3 .............
0 441,670 0 0 0 0 0
0 850,000 144,840 0 57,084
31-12-1972 2 4,858,370 0 41,492 0
197212311994012003 MKG:24 0 388,670 0
Pembina-4A 0 0222202386024
44 0
89.751.534.2.915.000 5,894,746 0 487,246 0
0 5,407,500
PEG: 3 1,289,990 0 0 0 0 0
IST: 3 JIWA= 9 250,994 2,900,000 651,780 0 173,409
14,440,884 0 52,905 0
ANK: 3 0 1,155,271 0
116 0 0
18,045,685 0 1,381,585
0 16,664,100
4 Z O H R I K -1 4,237,500 0 0 0 2,358 0 4 .............
1 423,750 0 0 0 0 0
84,750 850,000 217,260 0 55,960
31-12-1973 3 4,746,000 0 2,358 0
197312311994011003 MKG:24 0 379,680 0 0222200747224
89.751.541.7.915.000 5,815,698 0 437,998 0
0 5,377,700
5 SELAMET RIYADI K -1 4,508,600 0 0 0 10,675 0 5 .............
0 450,860 0 0 0 0 0
0 500,000 144,840 0 54,595
31-12-1965 2 4,959,460 0 10,675 0
196512311990011020 MKG:28 0 396,757 0 0222200742224
89.751.537.5.915.000 5,615,027 0 462,027 0
0 5,153,000
6 K A S M I A T I K -1 4,237,500 0 0 0 30,500 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 30,500 0
197212311993022010 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200743228
38 0
14.828.832.7.915.000 5,650,968 0 470,268 0
0 5,180,700

NO KAWIN
7 SAPARWADI K -1 3,591,200 490,000 0 0 0 0 7 .............
2 359,120 0 0 0 0 0
143,648 0 289,680 0 45,840
31-12-1979 4 4,093,968 0 0 0
197912312007011022 MKG:16 0 327,517 0 0222200759227
Penata-3C 9 0 0
89.751.523.5.915.000 4,873,657 0 373,357 0
0 4,500,300
8 dr., MAHYUNI SUWIKASARI K -0 2,981,500 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 750,000 72,420 0 37,315
17-06-1990 1 2,981,500 0 0 0
199006172019032007 MKG: 4 0 238,520 0 0010200824275
Penata-3C 15 0 0
71.729.690.9.915.000 3,803,935 0 275,835 0
0 3,528,100
9 MASJULIANA ,SKM. K -1 3,375,300 0 0 0 0 0 9 .............
0 337,530 0 0 0 0 0
0 600,000 144,840 0 43,128
14-08-1971 2 3,712,830 0 0 0
197108142012122001 MKG:12 0 297,026 0
Penata-3C 0 0222200769222
84 0
89.750.253.0.915.000 4,457,754 0 340,154 0
0 4,117,600
10 IINDAWATI.A.MD.KEB TK-0 3,272,200 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
26-01-1988 1 3,272,200 0 0 0
198801262011012012 MKG:10 0 261,776 0
Penata-3C 0 0222200780226
78 0
74.161.744.3.914.000 3,844,698 0 299,498 0
0 3,545,200
11 NUR KHOLIDA .A.MKG 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
05-12-1988 4 3,730,308 0 0 0
198812052011012010 MKG:10 0 298,425 0
Penata-3C 0 0222200271017
40 0
45.092.647.2.915.000 4,520,028 0 340,728 0
0 4,179,300
12 RIRIN HAERANI.A.MD,KEP K -1 3,139,400 0 0 0 0 0 12 .............
2 313,940 0 0 0 0 0
125,576 600,000 289,680 0 41,789
28-09-1988 4 3,578,916 0 0 0
198809282011012013 MKG:10 0 286,313 0 0222200750220
16.284.564.8.915.000 4,468,602 0 328,102 0
0 4,140,500
13 IDA ARYANTI K -1 3,445,500 0 0 0 0 0 13 .............
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
59 0
89.751.527.6.915.000 4,717,609 0 358,509 0
0 4,359,100

NO KAWIN
14 dr., NASTI YULI LESTARI K -1 2,773,200 0 0 0 0 0 14 .............
2 277,320 0 0 0 0 0
110,928 325,000 289,680 0 34,864
21-07-1987 4 3,161,448 0 0 0
198707212020122004 MKG: 2 0 252,916 0 0220200431282
154687032915000 3,776,180 0 287,780 0
0 3,488,400
15 NURHAYATI K -1 3,340,300 0 0 0 0 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 0 0
198005122006042027 MKG:14 0 304,635 0 0222200755220
89.751.538.3.915.000 4,362,664 0 345,364 0
0 4,017,300
16 IDA AYU PUTU WIDIYANI TK-0 3,238,300 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
05-12-1981 1 3,238,300 0 0 0
198112052007012007 MKG:13 0 259,064 0
77 0
89.751.529.2.915.000 3,575,797 0 294,097 0
0 3,281,700
17 ARISWANDI K -1 3,238,300 0 0 0 0 0 17 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
27-03-1977 4 3,691,662 0 0 0
197703272005011008 MKG:12 0 295,333 0
58 0
89.751.522.7.915.000 4,246,400 0 334,900 0
0 3,911,500
18 ZULKIFLI K -1 3,238,300 0 0 0 0 0 18 .............
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
19 HAMZANWADI ,AMKL 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
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
20 GUSTI AYU CINTHYA DEWI.A.MD.KE JD-0 3,139,400 0 0 0 0 0 20 .............
1 0 0 0 0 0 0
62,788 265,000 144,840 0 34,672
27-02-1985 2 3,202,188 0 0 0
198502272010012015 MKG:10 0 256,175 0
19 0
87.196.740.2.915.000 3,612,047 0 290,847 0
0 3,321,200

NO KAWIN
21 MAHNAN RESTU K -1 3,781,400 0 0 0 0 0 21 .............
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 0222200754227
897515201915000 4,637,515 0 383,015 0
0 4,254,500
22 ROHANA ,AMD.KEB. K -1 2,920,100 0 0 0 0 0 22 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
28-02-1986 4 3,328,914 0 0 0
198602282017042006 MKG: 8 0 266,313 0 0222201912228
669164436915000 3,883,652 0 302,252 0
0 3,581,400
23 PRIHATIN JULIA ,AMD.KEB JD-0 2,920,100 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
18-07-1987 1 2,920,100 0 0 0
198707182017042002 MKG: 8 0 233,608 0
Penata Muda-3A 0 0222201922223
39 0
66.916.271.1.915.000 3,257,559 0 265,459 0
0 2,992,100
24 WAHYUNI KURNIAWATI ,AMD.KEB K -0 2,920,100 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
19-08-1988 1 2,920,100 0 0 0
198808192017042002 MKG: 8 0 233,608 0
Penata Muda-3A 0 0222201932228
39 0
66.916.426.1.915.000 3,257,559 0 265,459 0
0 2,992,100
25 SEMU JUMADI K -1 3,106,900 0 0 0 0 0 25 .............
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: 22 5,534,510 370,000 0 0 0 0
IST: 16 JIWA= 65 1,800,858 8,010,000 4,707,300 0 900,222
81,152,068 0 43,533 0
ANK: 27 0 6,492,164 0
1,118 0 0
94,774,019 0 7,435,919
0 87,338,100
26 SWANDIMAN 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
31-12-1976 4 3,505,158 0 0 0
197612312008011036 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 0222200761221
27 0
89.751.524.3.915.000 3,974,865 0 317,265 0
0 3,657,600

NO KAWIN
27 ISNANI JD-0 3,074,700 0 0 0 0 0 27 .............
2 0 180,000 0 0 0 0
122,988 0 217,260 0 33,777
15-11-1985 3 3,197,688 0 0 0
198511152008012007 MKG:19 0 255,815 0 0222200762224
89.751.521.9.915.000 3,594,992 0 289,592 0
0 3,305,400
28 ANDAR HENDARTA K -1 2,980,800 0 0 0 0 0 28 .............
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 0222200893229
57.786.297.2.915.000 3,867,830 0 307,630 0
0 3,560,200
29 JUMAIN K -0 2,398,600 0 0 0 0 0 29 .............
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
Pengatur Muda-2A 0 0222200982018
54 0
89.751.535.9.915.000 2,651,074 0 217,674 0
0 2,433,400
PEG: 4 605,550 720,000 0 0 0 0
IST: 2 JIWA= 12 365,208 0 869,040 0 132,196
12,499,558 0 0 0
ANK: 6 0 999,965 0
163 0 0
14,088,761 0 1,132,161
0 12,956,600
30 SULHADI JAYADI K -1 2,300,700 0 0 0 0 0 30 .............
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

NO KAWIN
TOTAL PER SATKER 100,546,100 490,000 0 0 96,438 0
PEG: 30 7,660,120 1,265,000 0 0 0 0
IST: 22 JIWA= 90 2,509,088 10,910,000 6,517,800 0 1,233,805
ANK: 38 110,715,308 0 96,438 0
0 8,857,224 0
0 0
1,421 0 10,187,467
129,995,967
0 119,808,500
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS KEDIRI

NO KAWIN
1 DR, WIWIN APRIANI TK-0 3,942,400 0 0 0 13,342 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 13,342 0
197804082006042022 MKG:14 0 315,392 0 022.22.00358.22-9
48.426.982.4-911.000 5,228,258 0 380,158 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 0 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 0 0
197404192010011007 MKG:16 0 355,817 0
Pembina-4A 0 022.22.00346.22-6
4 0
08.414.896.4-911.000 5,937,394 0 412,294 0
0 5,525,100
4 MUSLIHARIS K -1 4,416,700 0 0 0 92 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 92 0
197106111993031007 MKG:24 0 402,803 0
Pembina-4A 0 022.22.00359.22-3
35 0
48.427.188.7-915.000 6,174,845 0 461,745 0
0 5,713,100
5 HENY WIDYAWATI RINI DUA LEHAN, K -0 4,416,700 0 0 0 18,121 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 18,121 0
197204081993022001 MKG:24 0 353,336 0
Pembina-4A 0 022.22.00821.22.6
83 0
48.427.156.4-915.000 5,357,324 0 424,124 0
0 4,933,200
6 A N D R I A N I K -1 4,416,700 0 0 0 56,342 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 56,342 0
197309111996032005 MKG:24 0 402,803 0 022.22.00347.22-1
Pembina-4A 35 0 0
48.427.186.1-911.000 6,231,095 0 517,995 0
0 5,713,100
7 ARIYANTI PUA JIWA K -0 4,151,100 0 0 0 6,133 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 6,133 0
197409211997032004 MKG:20 0 332,088 0
Pembina-4A 0 022.22.00336.22-0
79 0
89.751.554.0-915.000 5,079,732 0 388,232 0
0 4,691,500

NO KAWIN
8 N U R L E L A K -0 4,151,100 0 0 0 6,133 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 6,133 0
197603241997032002 MKG:20 0 332,088 0 022.22.00532.22-7
Pembina-4A 79 0 0
88.958.071.8-915.000 5,079,732 0 388,232 0
0 4,691,500
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 0 100,163 0
ANK: 8 0 2,922,903 0
477 0 0
45,275,328 0 3,460,328
0 41,815,000
9 HERLIANA ISFIANTI K -1 4,508,600 490,000 0 0 36,458 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 36,458 0
196606181989032011 MKG:28 0 403,971 0
Penata Tk.I-3D 0 0222200353229
75 0
484271812911000 5,793,425 0 495,825 0
0 5,297,600
10 NI MADE SRI WARDANI TK-0 4,370,900 0 0 0 16,054 0 10 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 52,209
15-02-1970 1 4,370,900 0 16,054 0 0
197002151990032004 MKG:26 0 349,672 0 022.22.00363.22-4
48.427.174.7-915.000 5,309,435 0 417,935 0
0 4,891,500
11 BAIQ ZUR'AIDA YULIANDARI K -1 3,982,600 0 0 0 22,133 0 11 .............
2 398,260 0 0 0 0 0
159,304 600,000 289,680 0 51,402
03-07-1978 4 4,540,164 0 22,133 0
197807031997032001 MKG:21 0 363,213 0 022.22.00349.22-8
57.337.778.5-914.000 5,452,048 0 436,748 0
0 5,015,300
12 LALU JANUAR AJAM. ,AMD.KEP K -1 3,861,000 0 0 0 0 0 12 .............
2 386,100 0 0 0 0 0
154,440 600,000 289,680 0 50,015
19-01-1977 4 4,401,540 0 0 0
197701192000031003 MKG:18 0 352,123 0 022.22.00362.22-1
57.33.7801.1-915.000 5,291,238 0 402,138 0
0 4,889,100
13 MAINI HARYATI K -0 3,743,100 0 0 0 0 0 13 .............
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
Penata Tk.I-3D 0 222200352225
59 0
88.958.0627-915.000 4,415,579 0 342,879 0
0 4,072,700

NO KAWIN
14 FATAHILLAH K -1 4,508,600 0 0 0 0 0 14 .............
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 0 0
196612311989011057 MKG:28 0 411,184 0 022.22.00338.22-9
48.427.180.4-911.000 5,929,582 0 467,582 0
0 5,462,000
15 NI MADE BUDHI WIASTINI ,S.KM K -0 4,370,900 0 0 0 0 0 15 .............
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
16 BAIQ RINA BUDIARTINI. ,AMD.KEB K -1 3,481,600 0 0 0 0 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 0 0
197903262005012014 MKG:14 0 317,522 0
Penata-3C 0 022.22.00720.22-6
8 0
58.744.439.9-915.000 4,758,712 0 362,212 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 2,981,500 0 0 0 0 0 18 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,665
17-12-1990 1 2,981,500 0 0 0
199012172019032004 MKG: 4 0 238,520 0
Penata-3C 0 022.22.00102.21-2
65 0
83.963.994.5-911.000 3,238,985 0 270,185 0
0 2,968,800
19 RAHMA YUNINGSIH, ,AMD.KEP TK-0 3,445,500 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 39,455
01-06-1978 1 3,445,500 0 0 0
197806012005012014 MKG:16 0 275,640 0 022.22.00354.22-3
88.956.624.6-911.000 4,017,995 0 315,095 0
0 3,702,900
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 apt., SAPTA SAKILA ,S.Farm. TK-0 2,773,200 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 325,000 72,420 0 30,982
12-02-1996 1 2,773,200 0 0 0
199602122020122011 MKG: 2 0 221,856 0 0220228003155
963945662543000 3,170,638 0 252,838 0
0 2,917,800
22 NI LUH RIANG ANGGRAENI K -1 3,781,400 0 0 0 0 0 22 .............
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 0 0
197312072006042016 MKG:22 0 344,864 0 022.22.00335.22-7
57.336.701.8-915.000 4,865,522 0 390,622 0
0 4,474,900
23 H A B I B A H K -0 3,238,300 0 0 0 0 0 23 .............
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
Penata Muda Tk.I-3B 0 022.22.03126.02-9
77 0
88.958.057.7-914.000 3,575,797 0 294,097 0
0 3,281,700
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
27 MULYANI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 27 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
15-12-1985 4 3,328,914 0 0 0
198512152017042002 MKG: 9 0 266,313 0
Penata Muda-3A 0 022.22.01906.22.9
58 0
66.916.492.3-915.000 3,883,652 0 302,252 0
0 3,581,400

NO KAWIN
28 HENY YULIA HERAWATI K -0 2,920,100 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
10-07-1985 1 2,920,100 0 0 0
198507102010012020 MKG: 8 0 233,608 0 022.22.00366.22-6
58.971.080.5.915.000 3,257,559 0 265,459 0
0 2,992,100
29 ENNY WIDIYAWATI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 29 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
26-06-1989 4 3,328,914 0 0 0
198906262017042003 MKG: 8 0 266,313 0 022.22.01911.22.4
66.916.389.1-915.000 3,883,652 0 302,252 0
0 3,581,400
30 FAHRI HAMDIYANI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 30 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
13-10-1989 4 3,328,914 0 0 0
198910132017042001 MKG: 8 0 266,313 0
Penata Muda-3A 0 022.22.01937.22-8
58 0
66.902.853.2-915.000 3,883,652 0 302,252 0
0 3,581,400
31 JAMILAH K -1 3,106,900 0 0 0 0 0 31 .............
1 310,690 185,000 0 0 0 0
62,138 0 217,260 0 36,647
31-12-1974 3 3,479,728 0 0 0
197412312007012059 MKG:13 0 278,378 0
Penata Muda-3A 0 022.22.00360.22-2
37 0
88.958.066.8-915.000 3,882,025 0 315,025 0
0 3,567,000
PEG: 23 4,891,090 370,000 0 0 0 0
IST: 14 JIWA= 63 1,804,126 8,155,000 4,562,460 0 959,818
86,966,816 0 74,645 0
ANK: 26 0 6,957,346 0
1,188 0 0
100,620,109 0 7,991,809
0 92,628,300
32 SITI MUNAWARAH ,AMD.KEB K -0 2,801,500 0 0 0 0 0 32 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 31,015
20-04-1988 1 2,801,500 0 0 0
198804202017042003 MKG:13 0 224,120 0 022.22.01936.22-4
66.585.240.6-915.000 3,173,935 0 255,135 0
0 2,918,800
33 BAIQ SAPTI ANGGARI WIRIANTI K -0 3,074,700 0 0 0 0 0 33 .............
,AMD.KEB 0 0 0 0 0 0 0
0 240,000 72,420 0 33,147
19-01-1985 1 3,074,700 0 0 0
198501192017042003 MKG:19 0 245,976 0
Pengatur Tk.I-2D 0 022.22.01907.22-3
3 0
16.214.897.7-915.000 3,387,123 0 279,123 0
0 3,108,000

NO KAWIN
34 HARVINA FITRI K -1 2,552,700 0 0 0 0 0 34 .............
2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
22-05-1990 4 2,910,078 0 0 0
199005222019032009 MKG: 7 0 232,806 0 022.02.00078.28-6
73.036.628.3-915.000 3,439,807 0 264,307 0
0 3,175,500
35 L. MUHAMAD ZULHADI K -1 3,074,700 0 0 0 0 0 35 .............
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 0 022.22.00343.22-4
88.958.072.6-915.000 3,974,865 0 317,265 0
0 3,657,600
36 SRI AYU MEGAWATI K -1 3,074,700 0 0 0 0 0 36 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
31-12-1984 4 3,505,158 0 0 0
198412312009012016 MKG:19 0 280,413 0
Pengatur Tk.I-2D 0 022.22.05748.22-7
27 0
16.284.562.2.915.000 3,974,865 0 317,265 0
0 3,657,600
37 BQ.WAHYUNI SUFIATUN 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
20-06-1974 4 3,398,112 0 0 0
197406262007012021 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 022.22.00351.22-0
38 0
15.724.636.4-915.000 3,867,830 0 307,630 0
0 3,560,200
38 SISWANDA EKASANDI K -1 2,980,800 0 0 0 0 0 38 .............
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
39 EMA PURNAMAYANTI ,A.Md.RMIK K -1 2,374,300 0 0 0 0 0 39 .............
2 237,430 0 0 0 0 0
94,972 360,000 289,680 0 30,667
07-08-1991 4 2,706,702 0 0 0
199108072020122003 MKG: 5 0 216,536 0 0220228003181
Pengatur-2C 21 0 0
745814145914000 3,356,403 0 247,203 0
0 3,109,200
PEG: 8 1,703,800 720,000 0 0 0 0
IST: 6 JIWA= 26 681,520 1,140,000 1,882,920 0 271,596
25,299,520 0 0 0
ANK: 12 0 2,023,962 0
218 0 0
29,042,658 0 2,295,558
0 26,747,100

NO KAWIN
TOTAL PER SATKER 137,281,300 1,030,000 0 0 174,808 0
PEG: 39 8,338,310 1,090,000 0 0 0 0
IST: 24 JIWA= 109 3,183,014 15,945,000 7,893,780 0 1,668,676
ANK: 46 148,802,624 0 174,808 0
0 11,904,211 0
0 0
1,883 0 13,747,695
174,938,095
0 161,190,400
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS KURIPAN

NO KAWIN
1 DRG, MUHAMMAD ABDUL AZIZ TK-0 3,782,400 0 0 0 6,121 0 1 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 49,824
21-08-1981 1 3,782,400 0 6,121 0
198108212009011009 MKG:14 0 302,592 0 0222200515229
Pembina-4A 96 0 0
08.420.106.0-911.000 5,061,037 0 358,537 0
0 4,702,500
2 DWI HANDAYANI K -1 4,847,300 0 0 0 70,679 0 2 .............
1 484,730 0 0 0 0 0
96,946 850,000 217,260 0 62,790
29-09-1967 3 5,428,976 0 70,679 0
196709291988032008 MKG:30 0 434,318 0 0222200719227
Pembina-4A 72 0 0
48.427.193.7-911.000 6,566,987 0 567,787 0
0 5,999,200
PEG: 2 484,730 0 0 0 0 0
IST: 1 JIWA= 4 96,946 2,050,000 289,680 0 112,614
9,211,376 0 76,800 0
ANK: 1 0 736,910 0
168 0 0
11,628,024 0 926,324
0 10,701,700
3 HUSNI ,S.KM K -1 4,650,600 540,000 0 0 0 0 3 .............
2 465,060 0 0 0 0 0
186,024 0 289,680 0 58,417
31-12-1965 4 5,301,684 0 0 0
196512311988011043 MKG:30 0 424,135 0 0222205913024
15.038.869.2-914.000 6,131,452 0 482,552 0
0 5,648,900
4 BAIQ SUSMARIANA, AMKP TK-0 3,743,100 0 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 45,931
26-01-1982 1 3,743,100 0 0 0
198201262005012016 MKG:16 0 299,448 0 0222200716225
58.744.442.3-911.000 4,665,579 0 345,379 0
0 4,320,200
5 SURYADINATA K -1 4,508,600 0 0 0 0 0 5 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
03-05-1969 4 5,139,804 0 0 0
196905031990031010 MKG:28 0 411,184 0 0222200730220
48.427.197.8-915.000 5,929,582 0 467,582 0
0 5,462,000
6 S A R I M E. ,AMD.KEP K -1 4,370,900 0 0 0 37,363 0 6 .............
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 37,363 0
197112311992032025 MKG:26 0 398,626 0
Penata Tk.I-3D 0 0222200714227
48 0
48.427.201.8-915.000 5,809,917 0 490,817 0
0 5,319,100

NO KAWIN
7 RAHMAWATI K -0 4,108,100 0 0 0 0 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 0 0
197303051998032004 MKG:22 0 328,648 0 0222200724222
57.336.481.7-914.000 4,680,529 0 374,729 0
0 4,305,800
8 USWATUN HASANAH K -0 3,821,000 490,000 0 0 0 0 8 .............
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
9 MUDAHAR K -1 3,941,400 0 0 0 0 0 9 .............
2 394,140 0 0 0 0 0
157,656 600,000 289,680 0 50,932
31-12-1971 4 4,493,196 0 0 0
197112311992031040 MKG:22 0 359,456 0
Penata-3C 0 0222200732229
12 0
15.983.921.6-915.000 5,382,888 0 410,388 0
10 SITI ATIKAH TK-0 3,591,200 0 0 0 0 0 10 .............
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
11 NUR ISMAYANI, ,AMD.KEB. K -0 3,481,600 0 0 0 0 0 11 .............
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
0 3,834,700
12 DIA'UL HAZZAH ,SKM TK-0 3,375,300 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 39,753
10-09-1986 1 3,375,300 0 0 0
198609102011012020 MKG:12 0 270,024 0 0222201218221
Penata-3C 57 0 0
54.698.083.0-925.000 4,047,777 0 309,777 0
0 3,738,000
13 SONIA WIDARI YATNI. ,AMD.KEP TK-0 3,272,200 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 38,722
12-03-1989 1 3,272,200 0 0 0
198903122011012013 MKG:10 0 261,776 0
Penata-3C 0 0222200885222
78 0
54.449.138.4-915.000 3,944,698 0 300,498 0
0 3,644,200

NO KAWIN
14 NANA SURANGGANI K -1 3,704,300 0 0 0 3,067 0 14 .............
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 3,067 0
198004151999032002 MKG:18 0 337,832 0 0222200717229
Penata-3C 79 0 0
58.744.445.6-914.000 5,015,728 0 388,128 0
0 4,627,600
15 ZIAHURRAHMAN K -1 3,591,200 0 0 0 0 0 15 .............
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
16 SRI MULYANI. A.MD.KEB. TK-0 3,481,600 0 0 0 0 0 16 .............
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
Penata-3C 0 0222200344228
24 0
58.744.449.8-915.000 4,054,044 0 318,344 0
0 3,735,700
17 ARMINI KORNETI, AM.KG. K -1 3,272,200 0 0 0 0 0 17 .............
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
0 3,915,400
18 ERNAWATI S.A.MD.KEB K -1 3,272,200 0 0 0 0 0 18 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
01-08-1988 4 3,730,308 0 0 0
198808012011012016 MKG:10 0 298,425 0
Penata-3C 0 0222200723228
40 0
16.504.186.4-915.000 4,520,028 0 340,728 0
0 4,179,300
19 DJATISWARA SATYADHARMA.K ,AMD K -1 3,139,400 0 0 0 0 0 19 .............
2 313,940 0 0 0 0 0
125,576 600,000 289,680 0 41,789
05-05-1984 4 3,578,916 0 0 0
198405052011011014 MKG:10 0 286,313 0 0222201318226
45.172.749.9-915.000 4,468,602 0 328,102 0
0 4,140,500
20 ERMA YULIZAR TK-0 3,340,300 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,053
20-04-1985 1 3,340,300 0 0 0
198504202008012006 MKG:14 0 267,224 0
57 0
89.509.808.5-915.000 3,677,777 0 303,277 0
0 3,374,500

NO KAWIN
21 BAIQ SUPIATUN K -1 3,900,500 0 0 0 0 0 21 .............
0 390,050 185,000 0 0 0 0
0 0 144,840 0 44,756
31-12-1966 2 4,290,550 0 0 0
196612311991032076 MKG:24 0 343,244 0 0222200727224
58.744.448.0-915.000 4,620,400 0 388,000 0
0 4,232,400
22 RASIHAN K -1 3,517,200 0 0 0 0 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 0 0
197512312007012054 MKG:20 0 320,769 0 0222200728228
58.744.453.0-915.000 4,564,315 0 363,515 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 WAHYU CIPTANING ASIH ,A.Md.Kep. K -1 2,830,900 0 0 0 0 0 25 .............
2 283,090 0 0 0 0 0
113,236 265,000 289,680 0 34,922
08-02-1990 4 3,227,226 0 0 0
199002082015022004 MKG: 6 0 258,178 0
Penata Muda-3A 0 0222200734227
94 0
75.264.114.2-914.000 3,782,000 0 293,100 0
0 3,488,900
26 BAIQ ISTIARINI ROHAYA ,AMD.KEB K -0 3,106,900 0 0 0 0 0 26 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 33,469
26-10-1988 1 3,106,900 0 0 0
198810262017042001 MKG:13 0 248,552 0 0222201898226
66.902.859.9-915.000 3,419,321 0 282,021 0
0 3,137,300
27 HENNI BUDIATI ,AMD.KEB K -0 3,012,000 0 0 0 0 0 27 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 32,520
10-06-1987 1 3,012,000 0 0 0
198706102017042001 MKG:10 0 240,960 0
Penata Muda-3A 0 0222201897222
60 0
66.902.876.3-915.000 3,324,480 0 273,480 0
0 3,051,000

NO KAWIN
28 TITIN HENDRAWATI K -0 3,517,200 0 0 0 0 0 28 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 37,022
28-04-1975 1 3,517,200 0 0 0
197504281997032002 MKG:20 0 281,376 0 0222200884228
58.744.451.4-914.000 3,774,698 0 318,398 0
update Tmt 2023-07-01 0 3,456,300
SUB TOTAL PERGOLONGAN : III 93,271,800 1,030,000 0 0 40,430 0
PEG: 26 4,790,410 370,000 0 0 0 0
IST: 13 JIWA= 61 1,629,256 10,255,000 4,417,620 0 1,113,465
99,691,466 0 40,430 0
ANK: 22 0 7,975,318 0
1,297 0 0
115,805,813 0 9,129,213
0 106,676,600
29 ADIES UTAMI PUTERI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 29 .............
2 280,150 0 0 0 0 0
112,060 300,000 289,680 0 34,937
08-01-1990 4 3,193,710 0 0 0
199001082017042001 MKG:13 0 255,497 0
Pengatur Tk.I-2D 0 0222201940225
44 0
70.343.766.5-911.000 3,783,434 0 290,434 0
0 3,493,000
30 MARIANA ,A.Md.Kep. K -1 2,552,700 0 0 0 0 0 30 .............
0 255,270 0 0 0 0 0
0 240,000 144,840 0 30,480
17-04-1988 2 2,807,970 0 0 0
198804172019032004 MKG: 7 0 224,638 0 0220200322270
91.028.356.3-914.000 3,192,818 0 255,118 0
0 2,937,700
31 SUHERTINA 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
01-02-1982 3 3,443,664 0 0 0
198202012009012011 MKG:19 0 275,493 0 0222205807029
16.851.122.8-911.000 3,840,930 0 311,730 0
0 3,529,200
32 BAIQ IKA MERDEKA WATI K -1 3,074,700 0 0 0 0 0 32 .............
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 0222205906020
75.652.692.7-914.000 3,840,930 0 311,730 0
0 3,529,200
33 LALU ABDURRAHIM 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
31-12-1969 3 3,338,496 0 0 0
196912312008011099 MKG:18 0 267,080 0
Pengatur Tk.I-2D 0 0222200711225
9 0
88.957.151.9-915.000 3,735,765 0 302,265 0
0 3,433,500

NO KAWIN
34 RENI NANAN SARI ,A.Md.RMIK K -1 2,374,300 0 0 0 0 0 34 .............
1 237,430 0 0 0 0 0
47,486 360,000 217,260 0 30,192
30-06-1996 3 2,659,216 0 0 0
199606302020122007 MKG: 5 0 212,737 0 0220228003273
Pengatur-2C 53 0 0
965513583914000 3,236,529 0 242,929 0
0 2,993,600
35 NI NYOMAN SAVITRI ,AMD.KEB K -1 2,687,800 0 0 0 0 0 35 .............
2 268,780 0 0 0 0 0
107,512 300,000 289,680 0 33,641
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 3,653,868 0 278,768 0
0 3,375,100
36 LALU SAHWANDI K -1 2,859,800 0 0 0 0 0 36 .............
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
Pengatur-2C 0 0222200729222
64 0
15.983.842.4-915.000 3,729,916 0 295,216 0
0 3,434,700
PEG: 8 2,240,630 720,000 0 0 0 0
IST: 8 JIWA= 26 564,054 1,200,000 1,882,920 0 271,311
25,210,984 0 0 0
ANK: 10 0 2,016,879 0
286 0 0
29,014,190 0 2,288,190
0 26,726,000
37 M.SAHIR K -1 2,373,100 0 0 0 0 0 37 .............
1 237,310 175,000 0 0 0 0
47,462 0 217,260 0 28,329
31-12-1977 3 2,657,872 0 0 0
197712312008011052 MKG:19 0 212,630 0 0222200725226
Juru Tk.I-1D 27 0 0
15.983.862.2-915.000 3,050,159 0 240,959 0
0 2,809,200
PEG: 1 237,310 175,000 0 0 0 0
IST: 1 JIWA= 3 47,462 0 217,260 0 28,329
2,657,872 0 0 0
ANK: 1 0 212,630 0
27 0 0
3,050,159 0 240,959
0 2,809,200

NO KAWIN
TOTAL PER SATKER 126,680,900 1,030,000 0 0 117,230 0
PEG: 37 7,753,080 1,265,000 0 0 0 0
IST: 23 JIWA= 94 2,337,718 13,505,000 6,807,480 0 1,525,719
ANK: 34 136,771,698 0 117,230 0
0 10,941,737 0
0 0
1,778 0 12,584,686
159,498,186
0 146,913,500
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS GERUNG

NO KAWIN
1 drg., YUNI RAHMAWATI K -1 3,942,400 0 0 0 41,571 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 41,571 0
198101232008032004 MKG:14 0 353,239 0 0222201007229
147135255913000 5,874,365 0 450,965 0
0 5,423,400
2 DR, LIM YEN NIE K -0 3,666,900 0 0 0 913 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 0 913 0
198210152010012014 MKG:12 0 293,352 0 0222203833024
Pembina-4A 1 0 0
597734318619000 4,940,234 0 342,934 0
0 4,597,300
3 H.HASMUNI BUDIAWAN K -1 4,555,800 0 0 0 18,446 0 3 .............
1 455,580 0 0 0 0 0
91,116 850,000 217,260 0 59,525
02-07-1968 3 5,102,496 0 18,446 0
196807021990031006 MKG:27 0 408,200 0
Pembina-4A 0 0222201350224
69 0
48427173915000 6,188,271 0 486,171 0
0 5,702,100
PEG: 3 849,820 0 0 0 0 0
IST: 2 JIWA= 7 169,964 3,250,000 506,940 0 164,349
13,184,884 0 60,930 0
ANK: 2 0 1,054,791 0
116 0 0
17,002,870 0 1,280,070
0 15,722,800
4 DWI ASTY FEBRIANTI ,S.KM TK-0 3,861,000 490,000 0 0 0 0 4 .............
0 0 0 0 0 0 0
0 0 72,420 0 43,510
06-02-1976 1 3,861,000 0 0 0
197602062007012017 MKG:18 0 308,880 0 0222205719026
249875774914000 4,423,490 0 352,390 0
0 4,071,100
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
0 5,527,200
6 NI WAYAN SUDIARTI. ,AMD.KEB TK-0 3,628,900 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 44,789
28-08-1979 1 3,628,900 0 0 0
197908282005012019 MKG:14 0 290,312 0
Penata Tk.I-3D 0 0222200155225
81 0
895821643915000 4,551,401 0 335,101 0
0 4,216,300

NO KAWIN
7 NOVITA ASRI WIDIASTUTI.N ,S.KEP TK-0 3,518,100 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 43,681
12-11-1985 1 3,518,100 0 0 0
198511122011012025 MKG:12 0 281,448 0 0222200137223
451802375911000 4,440,529 0 325,129 0
0 4,115,400
8 I KETUT SUSANA. ,S.SI K -1 4,650,600 0 0 0 11,363 0 8 .............
1 465,060 0 0 0 0 0
93,012 600,000 217,260 0 58,087
31-12-1968 3 5,208,672 0 11,363 0
196812311988031088 MKG:30 0 416,694 0 0222200160221
484272117911000 6,037,344 0 486,144 0
0 5,551,200
9 A R T I N I JD-0 4,650,600 0 0 0 12,050 0 9 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 51,506
17-11-1965 1 4,650,600 0 12,050 0
196511171988032008 MKG:30 0 372,048 0
Penata Tk.I-3D 0 0222200157223
34 0
484272091911000 5,235,104 0 435,604 0
0 4,799,500
10 HARYUNADI K -1 4,650,600 0 0 0 6,613 0 10 .............
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 6,613 0
196512311988031245 MKG:30 0 416,694 0
Penata Tk.I-3D 0 0222200152223
49 0
484272158911000 5,932,594 0 480,394 0
0 5,452,200
11 MUHAMAD LAIZI K -1 4,650,600 0 0 0 0 0 11 .............
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 0 0
196612311987031108 MKG:30 0 424,135 0
Penata Tk.I-3D 0 0222200178227
88 0
484272075911000 6,091,452 0 482,152 0
0 5,609,300
12 SYARA'IYAH TK-0 4,650,600 0 0 0 12,050 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 51,506
05-03-1967 1 4,650,600 0 12,050 0
196703051988032014 MKG:30 0 372,048 0 0222200143222
484272216911000 5,235,104 0 435,604 0
0 4,799,500
13 LALU KHAIRIL DD-0 4,650,600 0 0 0 938 0 13 .............
1 0 0 0 0 0 0
93,012 500,000 144,840 0 52,436
31-12-1967 2 4,743,612 0 938 0
196712311988031198 MKG:30 0 379,489 0
Penata Tk.I-3D 0 0222200148222
73 0
484272166911000 5,389,463 0 432,863 0
0 4,956,600

NO KAWIN
14 I GEDE SUDARTA K -1 4,508,600 0 0 0 0 0 14 .............
1 450,860 0 0 0 0 0
90,172 500,000 217,260 0 55,496
20-10-1968 3 5,049,632 0 0 0
196810201990011001 MKG:28 0 403,971 0 0222200146224
484272133915000 5,766,967 0 459,467 0
0 5,307,500
15 NI MADE SRI ASTUTI TK-0 4,508,600 0 0 0 5,642 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
25-10-1969 1 4,508,600 0 5,642 0
196910251990032005 MKG:28 0 360,688 0 0222200136229
484272440911000 5,086,716 0 416,416 0
0 4,670,300
16 BAIQ PUSPA ASRIANI TK-0 4,508,600 0 0 0 5,642 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
27-10-1969 1 4,508,600 0 5,642 0
196910271990032009 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200987226
54 0
484272364911000 5,086,716 0 416,416 0
0 4,670,300
17 NENENG SERIANAH K -0 4,370,900 0 0 0 0 0 17 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
28-01-1968 1 4,370,900 0 0 0
196801281992032008 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222200153227
61 0
157720970915000 4,943,381 0 398,381 0
0 4,545,000
18 DORCE YULTI DJU JD-0 4,237,500 0 0 0 0 0 18 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 47,375
18-10-1972 1 4,237,500 0 0 0
197210181993032009 MKG:24 0 339,000 0
Penata Tk.I-3D 0 0222200167228
55 0
159840339915000 4,809,975 0 386,375 0
0 4,423,600
19 PANUT EKOPRIYONO DD-0 4,108,100 0 0 0 0 0 19 .............
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 0222200150225
578259905915000 4,989,718 0 389,518 0
0 4,600,200
20 BUDIMAN S. K -1 3,982,600 0 0 0 0 0 20 .............
2 398,260 0 0 0 0 0
159,304 500,000 289,680 0 50,402
04-05-1977 4 4,540,164 0 0 0
197705041998031005 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222200159220
71 0
084196096911000 5,329,915 0 413,615 0
0 4,916,300

NO KAWIN
21 DRG, LINA KULSUM K -1 3,518,100 0 0 0 0 0 21 .............
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
22 IDA FITRIANI TK-0 3,481,600 0 0 0 0 0 22 .............
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
23 SUCI DAMAYANTI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 23 .............
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
Penata-3C 0 0222200138227
40 0
889580733915000 4,620,028 0 341,728 0
0 4,278,300
24 TRISTIANA YULIANTI.A.MD.AK K -0 3,272,200 0 0 0 0 0 24 .............
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
25 ANDY PUTRIANA,A,MD.KEB K -1 3,272,200 0 0 0 0 0 25 .............
1 327,220 0 0 0 0 0
65,444 500,000 217,260 0 41,649
07-12-1985 3 3,664,864 0 0 0
198512072011012014 MKG:10 0 293,189 0
Penata-3C 0 '0220231015314
14 0
553389826911000 4,382,138 0 334,838 0
0 4,047,300
26 BAIQ HARDIYANTI.A.MD.GZ. K -1 3,272,200 0 0 0 0 0 26 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
12-01-1987 4 3,730,308 0 0 0
198701122011012020 MKG:10 0 298,425 0 0222200180221
Penata-3C 40 0 0
664559937915000 4,520,028 0 340,728 0
0 4,179,300
27 ALFIAN MUNAYADI. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 27 .............
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
0 4,179,300

NO KAWIN
28 NI LUH PUTU DIANTARI ,AMD.KEP K -1 3,238,300 0 0 0 0 0 28 .............
2 323,830 0 0 0 0 0
129,532 600,000 289,680 0 42,917
23-01-1986 4 3,691,662 0 0 0
198601232009032003 MKG:12 0 295,333 0 0222200151229
896029873831000 4,581,350 0 338,250 0
0 4,243,100
29 HARYANI.A.MKL TK-0 3,139,400 0 0 0 0 0 29 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 37,394
05-07-1983 1 3,139,400 0 0 0
198307052011012021 MKG:10 0 251,152 0 0222200164226
664560448915000 3,811,846 0 288,546 0
0 3,523,300
30 ADITYA ANDRIAWAN ,AMD.KEP K -1 3,139,400 0 0 0 0 0 30 .............
2 313,940 0 0 0 0 0
125,576 495,000 289,680 0 40,739
22-06-1988 4 3,578,916 0 0 0
198806222011011010 MKG:10 0 286,313 0
56 0
700666696915000 4,363,652 0 327,052 0
0 4,036,600
31 Apt., THARIQ KAWIRIAN ,S. Farm. K -1 2,773,200 0 0 0 0 0 31 .............
1 277,320 0 0 0 0 0
55,464 325,000 217,260 0 34,310
18-09-1992 3 3,105,984 0 0 0
199209182020121006 MKG: 2 0 248,479 0
45 0
853347821914000 3,648,289 0 282,789 0
0 3,365,500
32 dr., IMAM MARDANI K -1 2,773,200 0 0 0 0 0 32 .............
1 277,320 0 0 0 0 0
55,464 325,000 217,260 0 34,310
22-03-1993 3 3,105,984 0 0 0
199303222020121006 MKG: 2 0 248,479 0
45 0
850753997914000 3,648,289 0 282,789 0
0 3,365,500
33 MURHANI K -1 3,340,300 0 0 0 0 0 33 .............
2 334,030 0 0 0 0 0
133,612 300,000 289,680 0 41,079
31-12-1982 4 3,807,942 0 0 0
198212312007012013 MKG:14 0 304,635 0 0222200158227
897515474915000 4,397,714 0 345,714 0
0 4,052,000
34 NI NYOMAN SRI SUKARTHI K -1 3,665,900 0 0 0 0 0 34 .............
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 0 0
197702112007012018 MKG:20 0 334,330 0
65 0
159841287915000 4,733,871 0 378,771 0
0 4,355,100

NO KAWIN
35 DEWI FITRIANI K -1 3,238,300 0 0 0 0 0 35 .............
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 0222200983221
895910578915000 4,246,400 0 334,900 0
0 3,911,500
36 NURUL HIDAYAH ,AMD.KEB K -1 3,012,000 0 0 0 0 0 36 .............
1 301,200 0 0 0 0 0
60,240 265,000 217,260 0 36,384
30-06-1985 3 3,373,440 0 0 0
198506302017042006 MKG:10 0 269,875 0 0222201913222
669028904915000 3,855,759 0 306,259 0
0 3,549,500
37 NANI NURBAITI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 37 .............
1 292,010 0 0 0 0 0
58,402 265,000 217,260 0 35,355
25-03-1989 3 3,270,512 0 0 0
198903252017042001 MKG: 8 0 261,641 0
Penata Muda-3A 0 0222201895224
24 0
484271150911000 3,752,796 0 296,996 0
0 3,455,800
38 AKI WIRA SENTANU K -1 3,305,700 0 0 0 0 0 38 .............
2 330,570 185,000 0 0 0 0
132,228 0 289,680 0 39,535
31-12-1968 4 3,768,498 0 0 0
196812312007011270 MKG:17 0 301,480 0
Penata Muda-3A 0 0222200149226
37 0
578259874915000 4,243,215 0 341,015 0
0 3,902,200
39 SAHIRMAN K -1 3,106,900 0 0 0 0 0 39 .............
0 310,690 185,000 0 0 0 0
0 0 144,840 0 36,026
31-12-1965 2 3,417,590 0 0 0
196512312007011245 MKG:13 0 273,407 0
Penata Muda-3A 0 0222200156229
3 0
490209756911000 3,747,433 0 309,433 0
0 3,438,000
PEG: 36 7,780,070 555,000 0 0 0 0
IST: 22 JIWA= 95 2,673,878 16,055,000 6,879,900 0 1,619,414
144,841,348 0 54,298 0
ANK: 37 0 11,587,310 0
1,776 0 0
168,877,322 0 13,261,022
0 155,616,300
40 DIAN ARIESSANTY K -1 2,980,800 0 0 0 0 0 40 .............
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

NO KAWIN
41 ENY FEBRIYANTHI ,AMD.KEB. K -0 2,980,800 0 0 0 0 0 41 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 32,208
04-02-1987 1 2,980,800 0 0 0
198702042017052002 MKG:17 0 238,464 0
664412640907000 3,293,272 0 270,672 0
0 3,022,600
42 SRI HARTINI K -0 3,074,700 0 0 0 0 0 42 .............
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 0222200999229
153807995915000 3,461,058 0 284,058 0
0 3,177,000
43 BAIQ ZAITUN AZMI 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
18-07-1977 4 3,398,112 0 0 0
197707182010012010 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222200175225
38 0
685885204915000 3,867,830 0 307,630 0
0 3,560,200
44 RAHMAWATI K -0 2,949,900 0 0 0 0 0 44 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,299
03-04-1984 1 2,949,900 0 0 0
198404032014062006 MKG:19 0 235,992 0
Pengatur-2C 0 0222200174220
71 0
738024405915000 3,202,391 0 267,291 0
0 2,935,100
PEG: 5 596,160 540,000 0 0 0 0
IST: 2 JIWA= 11 240,342 600,000 796,620 0 169,435
15,803,502 0 0 0
ANK: 4 0 1,264,281 0
194 0 0
17,740,316 0 1,433,716
0 16,306,600

NO KAWIN
TOTAL PER SATKER 161,519,500 490,000 0 0 115,228 0
PEG: 44 9,226,050 1,095,000 0 0 0 0
IST: 26 JIWA= 113 3,084,184 19,905,000 8,183,460 0 1,953,198
ANK: 43 173,829,734 0 115,228 0
0 13,906,382 0
0 0
2,086 0 15,974,808
203,620,508
0 187,645,700
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PERAMPUAN

NO KAWIN
1 DR, I KOMANG SUTRISNA BUDIYASA K -1 3,822,000 0 0 0 0 0 1 .............
2 382,200 0 0 0 0 0
152,880 1,200,000 289,680 0 55,571
21-05-1985 4 4,357,080 0 0 0
198505212011011009 MKG:12 0 348,566 0 0222201107225
781524814915000 5,846,837 0 404,137 0
0 5,442,700
2 DRG, CANDRA MARYATI K -1 3,782,400 0 0 0 40,338 0 2 .............
2 378,240 0 0 0 0 0
151,296 1,200,000 289,680 0 55,119
21-03-1983 4 4,311,936 0 40,338 0
198303212009012006 MKG:14 0 344,955 0 0222200969224
Pembina-4A 58 0 0
676497001911000 5,842,012 0 440,412 0
0 5,401,600
3 NI WAYAN ARMINI, A. MD. KEP TK-0 4,847,300 0 0 0 37,550 0 3 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 56,973
31-12-1965 1 4,847,300 0 37,550 0
196512311988032198 MKG:30 0 387,784 0
Pembina-4A 0 0222201342227
37 0
484271903915000 5,807,307 0 482,307 0
0 5,325,000
4 ASHABUL MAIMUNAH K -1 4,281,800 0 0 0 49,404 0 4 .............
2 428,180 0 0 0 0 0
171,272 850,000 289,680 0 57,313
31-12-1974 4 4,881,252 0 49,404 0
197412311996032005 MKG:22 0 390,500 0
Pembina-4A 0 0222201113224
81 0
778937466915000 6,070,417 0 497,217 0
0 5,573,200
5 ROSMAYADI. MPH ,S.KM K -1 4,699,300 0 0 0 2,754 0 5 .............
2 469,930 0 0 0 0 0
187,972 600,000 289,680 0 59,572
12-12-1968 4 5,357,202 0 2,754 0
196812121990031014 MKG:28 0 428,576 0
Pembina-4A 0 0222200334223
66 0
484269527911000 6,249,702 0 490,902 0
0 5,758,800
PEG: 5 1,658,550 0 0 0 0 0
IST: 4 JIWA= 17 663,420 4,700,000 1,231,140 0 284,548
23,754,770 0 130,046 0
ANK: 8 0 1,900,381 0
319 0 0
29,816,275 0 2,314,975
0 27,501,300
6 MUHAMMAD KASIM K -1 4,370,900 490,000 0 0 0 0 6 .............
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
Penata Tk.I-3D 0 0222200994229
19 0
156678203915000 5,602,687 0 445,487 0
0 5,157,200

NO KAWIN
7 LALU EKA HERMAWANSYAH K -1 3,982,600 0 0 0 0 0 7 .............
2 398,260 0 0 0 0 0
159,304 600,000 289,680 0 51,402
26-01-1977 4 4,540,164 0 0 0
197701261998031007 MKG:20 0 363,213 0 0222201024227
778937482911000 5,429,915 0 414,615 0
0 5,015,300
8 TUTY ANDAYANI SINWIN, SST. K -0 3,861,000 0 0 0 0 0 8 .............
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
0 4,180,000
9 NI MADE SUCITAWATI K -1 4,508,600 0 0 0 44,442 0 9 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
31-12-1971 4 5,139,804 0 44,442 0
197112311990032004 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222201114228
98 0
484271671911000 5,974,024 0 512,024 0
0 5,462,000
10 I DEWA AYU PUTRI PURNAMAWATI TK-0 4,370,900 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
28-04-1972 1 4,370,900 0 0 0
197204281992032012 MKG:26 0 349,672 0
Penata Tk.I-3D 0 0222201103229
61 0
889566261915000 4,943,381 0 398,381 0
0 4,545,000
11 N U RA I N I AMD. KEB K -1 4,237,500 0 0 0 30,500 0 11 .............
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 30,500 0
197312311993022010 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200172223
38 0
484272257915000 5,650,968 0 470,268 0
0 5,180,700
12 NI NYOMAN PARA SULISTYAWATHI K -0 4,108,100 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
27-08-1974 1 4,108,100 0 0 0
197408271995032002 MKG:22 0 328,648 0 0222201116226
573364809915000 4,680,529 0 374,729 0
0 4,305,800
13 YETI NURHAYATI TK-0 3,982,600 0 0 0 0 0 13 .............
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
Penata Tk.I-3D 0 0222201025013
14 0
573364858914000 4,555,034 0 363,434 0
0 4,191,600

NO KAWIN
14 IZA UMAMI ,A.Md.Kep. K -1 3,861,000 0 0 0 11,129 0 14 .............
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 11,129 0
198112312002122006 MKG:18 0 352,123 0 0222201023223
084181247911000 5,202,367 0 412,267 0
0 4,790,100
15 RAHMAWATI K -1 3,743,100 0 0 0 0 0 15 .............
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 0 0
197211102003122006 MKG:16 0 335,382 0 0222201111226
873742811911000 4,909,605 0 382,305 0
0 4,527,300
16 PUTRI DINI SYAFI'I. ,AMD.KEP K -0 3,628,900 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 41,289
05-02-1984 1 3,628,900 0 0 0
198402052006042015 MKG:15 0 290,312 0
Penata Tk.I-3D 0 0222201120227
81 0
885934612915001 4,201,401 0 331,601 0
0 3,869,800
17 NI NENGAH DESIYANA SARI ,drg. K -1 2,981,500 0 0 0 0 0 17 .............
0 298,150 0 0 0 0 0
0 750,000 144,840 0 40,297
11-12-1989 2 3,279,650 0 0 0
198912112019032005 MKG: 4 0 262,372 0
Penata-3C 0 0220200002225
79 0
758211825911000 4,174,569 0 302,669 0
0 3,871,900
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
0 4,609,200
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 SANTI ANDAYANI BUDI K -0 3,375,300 0 0 0 0 0 20 .............
1 0 0 0 0 0 0
67,506 500,000 144,840 0 39,428
18-11-1981 2 3,442,806 0 0 0
198111182005012012 MKG:13 0 275,424 0
Penata-3C 0 0222201025220
6 0
573364833911000 4,087,652 0 314,852 0
0 3,772,800

NO KAWIN
21 DESY SOFIANA.KEB ,AMD TK-0 3,375,300 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 38,753
03-12-1985 1 3,375,300 0 0 0
198512032009012007 MKG:12 0 270,024 0 0222201094222
Penata-3C 57 0 0
685929432915000 3,947,777 0 308,777 0
0 3,639,000
22 SURYANSYAH ABDILLAH. ,AMD.KEP K -1 3,272,200 0 0 0 0 0 22 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
18-06-1986 4 3,730,308 0 0 0
198606182010011009 MKG:11 0 298,425 0 0222200889228
Penata-3C 40 0 0
87.373.823.1-912.000 4,520,028 0 340,728 0
0 4,179,300
23 L. MA'BUD SAPANDIARI, ,SKM K -1 3,591,200 0 0 0 0 0 23 .............
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
Penata-3C 0 0222201109223
59 0
486200405913000 4,568,707 0 370,307 0
0 4,198,400
24 NI WAYAN INTARIYANI.A.MD.KEB K -1 3,139,400 0 0 0 0 0 24 .............
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
6 0
871996740914000 4,368,602 0 327,102 0
0 4,041,500
25 AIS FITRI ANANDA ,SKM K -1 2,860,500 0 0 0 0 0 25 .............
1 286,050 0 0 0 0 0
57,210 300,000 217,260 0 35,038
27-07-1992 3 3,203,760 0 0 0
199207272019032031 MKG: 4 0 256,301 0
19 0
769122664914000 3,721,039 0 291,339 0
0 3,429,700
26 SUWITNO YUGO PAWESTRI K -1 3,238,300 0 0 0 0 0 26 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
13-11-1983 4 3,691,662 0 0 0
198311132007012009 MKG:13 0 295,333 0 0222201104223
573369457915000 4,246,400 0 334,900 0
0 3,911,500
27 BAIQ BUDIAWATI 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
31-12-1983 1 3,238,300 0 0 0
198312312007012003 MKG:13 0 259,064 0
77 0
573364841915000 3,575,797 0 294,097 0
0 3,281,700

NO KAWIN
28 ANDRI PANGESTU TK-0 3,238,300 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,033
31-03-1978 1 3,238,300 0 0 0
197803312006042015 MKG:12 0 259,064 0 0222201095226
573364965911000 3,575,797 0 294,097 0
0 3,281,700
29 IRYANNI ,A.MKL K -0 3,139,400 0 0 0 0 0 29 .............
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 0052213695108
165524661912000 3,476,896 0 285,196 0
0 3,191,700
30 I GUSTI AYU AGUNG SRI KARTINI TK-0 4,415,600 0 0 0 0 0 30 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 46,006
21-04-1966 1 4,415,600 0 0 0
196604211986032024 MKG:32 0 353,248 0
34 0
084153055915000 4,673,054 0 399,254 0
0 4,273,800
31 EKA PETTI NOVIKALATRI TK-0 3,204,700 0 0 0 0 0 31 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 34,697
18-11-1984 1 3,204,700 0 0 0
198411182008012003 MKG:14 0 256,376 0
Penata Muda-3A 0 0222201117221
53 0
778937474911000 3,542,173 0 291,073 0
0 3,251,100
32 IDA AYU PUTU SUCI WIDYASARI JD-0 3,012,000 0 0 0 0 0 32 .............
,AMD.KEB 0 0 0 0 0 0 0
0 265,000 72,420 0 32,770
06-11-1988 1 3,012,000 0 0 0
198811062017042001 MKG:10 0 240,960 0
Penata Muda-3A 0 0222201927223
10 0
669029068915000 3,349,430 0 273,730 0
0 3,075,700
33 DEVI CYNTHIA FEBRIANI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 33 .............
0 292,010 0 0 0 0 0
0 265,000 144,840 0 34,771
06-02-1988 2 3,212,110 0 0 0
198802062017042002 MKG: 9 0 256,969 0 0222201900225
703309484914000 3,622,040 0 291,740 0
0 3,330,300
34 NURHAYATI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 34 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
12-12-1986 4 3,328,914 0 0 0
198612122017042005 MKG: 8 0 266,313 0
Penata Muda-3A 0 0222201901229
58 0
669029902915000 3,883,652 0 302,252 0

NO KAWIN
PEG: 29 5,649,040 370,000 0 0 0 0
IST: 16 JIWA= 71 1,871,568 11,570,000 5,141,820 0 1,233,916
110,961,408 0 86,071 0
ANK: 26 0 8,876,912 0
1,400 0 0
128,620,699 0 10,196,899
0 118,423,800
35 SAHTUM ,A.Md.Farm. K -1 2,552,700 0 0 0 0 0 35 .............
1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
07-06-1987 3 2,859,024 0 0 0
198706072019032010 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 0220228001125
28 0
542959671915000 3,316,312 0 259,712 0
0 3,056,600
36 MASNI TK-0 3,304,800 0 0 0 0 0 36 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 34,848
04-08-1973 1 3,304,800 0 0 0
197308041994032006 MKG:29 0 264,384 0
Pengatur Muda Tk.I-2B 0 0222201099222
12 0
676495849914000 3,557,232 0 299,232 0
0 3,258,000
37 MAHDI K -1 2,660,000 0 0 0 0 0 37 .............
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
198312312009011024 MKG:15 0 242,592 0 0222201118224
159838689915000 3,502,116 0 274,716 0
0 3,227,400
PEG: 3 521,270 360,000 0 0 0 0
IST: 2 JIWA= 8 157,454 240,000 579,360 0 97,962
9,196,224 0 0 0
ANK: 3 0 735,698 0
76 0 0
10,375,660 0 833,660
0 9,542,000

NO KAWIN
TOTAL PER SATKER 133,391,100 490,000 0 0 216,117 0
PEG: 37 7,828,860 730,000 0 0 0 0
IST: 22 JIWA= 96 2,692,442 16,510,000 6,952,320 0 1,616,426
ANK: 37 143,912,402 0 216,117 0
0 11,512,991 0
0 0
1,795 0 13,345,534
168,812,634
0 155,467,100
KEPALA PUSKESMAS PERAMPUAN ,23 JUNI 2023

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SIGERONGAN

NO KAWIN
1 DR, NI MADE NOVI PURNAMI K -1 3,822,000 0 0 0 42,371 0 1 .............
2 382,200 0 0 0 0 0
152,880 1,200,000 289,680 0 55,571
09-11-1984 4 4,357,080 0 42,371 0
198411092011012018 MKG:12 0 348,566 0 0222200902226
59.998.223.8-911.000 5,889,208 0 446,508 0
0 5,442,700
2 NI MADE NARI K -1 4,847,300 0 0 0 70,679 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 70,679 0
196612291987032006 MKG:30 0 434,318 0 0222200500016
Pembina-4A 72 0 0
15.983.993.5-915.000 6,566,987 0 567,787 0
0 5,999,200
PEG: 2 866,930 0 0 0 0 0
IST: 2 JIWA= 7 249,826 2,050,000 506,940 0 118,361
9,786,056 0 113,050 0
ANK: 3 0 782,884 0
149 0 0
12,456,195 0 1,014,295
0 11,441,900
3 A SA R I ,S.KM TK-0 4,508,600 490,000 0 0 5,167 0 3 .............
0 0 0 0 0 0 0
0 0 72,420 0 49,986
27-09-1966 1 4,508,600 0 5,167 0
196609271988121002 MKG:28 0 360,688 0 0222200657223
15.667.880.7-915.000 5,076,241 0 415,841 0
0 4,660,400
4 SUHARIYAH K -1 4,237,500 0 0 0 47,125 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 47,125 0
196603101993022003 MKG:24 0 386,460 0 0222206396027
58.744.513.1-914.000 6,017,593 0 490,393 0
0 5,527,200
5 SARI MURNI K -1 4,108,100 0 0 0 28,592 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 28,592 0
196812311991032071 MKG:23 0 374,659 0 0222200895227
58.744.514.9-915.000 5,601,583 0 456,083 0
0 5,145,500
6 NENGAH PURWADI ,S.KM K -0 3,518,100 0 0 0 0 0 6 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 41,181
29-10-1980 1 3,518,100 0 0 0
198010292011011008 MKG:12 0 281,448 0
Penata Tk.I-3D 0 0222200915223
9 0
16.034.047.7-914.000 4,190,529 0 322,629 0
0 3,867,900

NO KAWIN
7 BAIQ FARIDA MEGAROSAWANTI, A.M TK-0 4,370,900 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
12-02-1972 1 4,370,900 0 0 0
197202121992032014 MKG:26 0 349,672 0 0222200905228
48.427.264.6-915.000 4,943,381 0 398,381 0
0 4,545,000
8 NI NENGAH YUDHI HARTATI TK-0 4,370,900 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
14-06-1974 1 4,370,900 0 0 0
197406141993022003 MKG:26 0 349,672 0 0222200907226
48.427.098.8-911.000 4,943,381 0 398,381 0
0 4,545,000
9 SITI RAODAH.KEB. ,AMD K -1 4,237,500 0 0 0 30,500 0 9 .............
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 30,500 0
197310061993022002 MKG:24 0 386,460 0
Penata Tk.I-3D 0 0222200906222
38 0
15.158.780.5-915.000 5,650,968 0 470,268 0
0 5,180,700
10 drg., MUHAMMAD QODRI K -1 2,981,500 0 0 0 0 0 10 .............
2 298,150 0 0 0 0 0
119,260 750,000 289,680 0 41,489
21-12-1989 4 3,398,910 0 0 0
198912212019031010 MKG: 4 0 271,913 0
Penata-3C 0 0220200104214
12 0
84.153.481.1-101.000 4,438,602 0 313,402 0
0 4,125,200
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 3,591,200 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 40,912
27-03-1981 1 3,591,200 0 0 0
198103272001122001 MKG:16 0 287,296 0 0222200700226
Penata-3C 88 0 0
58.744.492.8-915.000 4,163,708 0 328,208 0
0 3,835,500
13 THOHRIAH A.MD.KG TK-0 3,272,200 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
29-06-1981 1 3,272,200 0 0 0
198106292011012009 MKG:10 0 261,776 0
Penata-3C 0 0222200914229
78 0
66.990.498.9-915.000 3,844,698 0 299,498 0
0 3,545,200

NO KAWIN
14 WAYAN ARMINI WIDYABTARI.A.MD.K 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
31-03-1987 4 3,730,308 0 0 0
198703312011012015 MKG:10 0 298,425 0
Penata-3C 40 0 0
4,520,028 0 340,728 0
0 4,179,300
15 BAIQ RATNA UTAMI AYU NINGDIAH. K -1 3,272,200 0 0 0 0 0 15 .............
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
16 LIANA ERMAYANI.AMKL K -1 3,272,200 0 0 0 0 0 16 .............
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
Penata-3C 0 0222200916227
90 0
15.664.866.9-914.000 4,285,078 0 338,378 0
0 3,946,700
17 NI KETUT DIYARNI.A.MD.GZ. TK-0 3,139,400 0 0 0 0 0 17 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 37,394
21-04-1977 1 3,139,400 0 0 0
197704212011012007 MKG:10 0 251,152 0
26 0
16.886.791.9-914.000 3,811,846 0 288,546 0
0 3,523,300
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 .............
2 310,690 0 0 0 0 0
124,276 300,000 289,680 0 38,419
25-04-1983 4 3,541,866 0 0 0
198304252005012014 MKG:12 0 283,349 0 0222200896220
58.744.507.3-911.000 4,131,568 0 321,768 0
0 3,809,800
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 WIWIN ARISANDI ,AMD.KEB K -1 3,012,000 0 0 0 0 0 21 .............
2 301,200 0 0 0 0 0
120,480 265,000 289,680 0 36,987
15-11-1987 4 3,433,680 0 0 0
198711152017042001 MKG:10 0 274,694 0 0222201904220
66.916.226.5-915.000 3,988,381 0 311,681 0
0 3,676,700
22 SRI MAHDAYANI ,AMD.KEB JD-0 2,920,100 0 0 0 0 0 22 .............
2 0 0 0 0 0 0
116,804 265,000 217,260 0 33,019
04-03-1989 3 3,036,904 0 0 0
198903042017042001 MKG: 8 0 242,952 0 0222201903227
66.916.261.2-915.000 3,519,171 0 275,971 0
0 3,243,200
23 RETNO SARI DEWI ,AMD.KEB K -1 2,830,900 0 0 0 0 0 23 .............
1 283,090 0 0 0 0 0
56,618 265,000 217,260 0 34,356
14-09-1992 3 3,170,608 0 0 0
199209142017042001 MKG: 6 0 253,649 0
Penata Muda-3A 0 0222201905225
37 0
71.831.2317-915.000 3,652,905 0 288,005 0
0 3,364,900
24 NURNA HATI 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
15-06-1967 4 3,541,866 0 0 0
196706152007012034 MKG:13 0 283,349 0
Penata Muda-3A 0 0222200897225
72 0
58.054.936.8-911.000 4,016,618 0 320,618 0
0 3,696,000
25 RIPAAN MARIATI TK-0 3,106,900 0 0 0 0 0 25 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 32,919
15-08-1971 1 3,106,900 0 0 0
197108152007012032 MKG:13 0 248,552 0
Penata Muda-3A 0 0222200909224
51 0
57.345.389.1-915.000 3,364,371 0 281,471 0
0 3,082,900
26 APRIAWAN SURAHMAN K -1 3,106,900 0 0 0 0 0 26 .............
0 310,690 185,000 0 0 0 0
0 0 144,840 0 36,026
02-05-1981 2 3,417,590 0 0 0
198105022010011013 MKG:12 0 273,407 0 0222204854025
3,747,433 0 309,433 0
0 3,438,000
PEG: 24 5,055,180 555,000 0 0 0 0
IST: 15 JIWA= 68 1,957,982 9,425,000 4,924,560 0 1,008,334
90,363,262 0 111,384 0
ANK: 29 0 7,229,061 0
1,073 0 0
105,870,279 0 8,348,779
0 97,521,500

NO KAWIN
27 NURHASANAH ,A.Md.Keb.. K -1 2,980,800 0 0 0 0 0 27 .............
2 298,080 0 0 0 0 0
119,232 240,000 289,680 0 36,381
29-10-1980 4 3,398,112 0 0 0
198010292019052003 MKG:17 0 271,849 0 0220200422272
66.916.311.5-915.000 3,927,830 0 308,230 0
Kenaikan Gaji BerkalaTMT - 2023-03-01 0 3,619,600
28 NI PUTU MAHAYANTI ,A.Md.A.K. K -0 2,552,700 0 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 27,927
27-04-1986 1 2,552,700 0 0 0
198604272019032007 MKG: 7 0 204,216 0 0222200369314
45.601.279.8.915.000 2,865,143 0 232,143 0
0 2,633,000
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 QURRATUL 'AINI ,A.Md.Gz K -1 2,374,300 0 0 0 0 0 30 .............
2 237,430 0 0 0 0 0
94,972 240,000 289,680 0 29,467
16-05-1992 4 2,706,702 0 0 0
199205162020122013 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228003925
21 0
766541965914000 3,236,403 0 246,003 0
0 2,990,400
31 BAIQ ARVIANI AKMASARIE ,S.Pd TK-0 2,949,900 0 0 0 0 0 31 .............
0 0 180,000 0 0 0 0
0 0 72,420 0 31,299
30-07-1983 1 2,949,900 0 0 0
198307302014072003 MKG:19 0 235,992 0
Pengatur-2C 0 5100300660047
71 0
73.996.623.2-915.000 3,202,391 0 267,291 0
0 2,935,100
PEG: 5 879,970 180,000 0 0 0 0
IST: 3 JIWA= 13 283,096 960,000 941,460 0 166,054
15,465,366 0 0 0
ANK: 5 0 1,237,229 0
157 0 0
17,546,983 0 1,403,283
0 16,143,700

NO KAWIN
TOTAL PER SATKER 106,321,700 490,000 0 0 224,434 0
PEG: 31 6,802,080 735,000 0 0 0 0
IST: 20 JIWA= 88 2,490,904 12,435,000 6,372,960 0 1,292,749
ANK: 37 115,614,684 0 224,434 0
0 9,249,174 0
0 0
1,379 0 10,766,357
135,873,457
0 125,107,100
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS DASAN TAPEN

NO KAWIN
1 ZULHANA ,S.KM K -0 4,847,300 540,000 0 0 22,825 0 1 .............
0 0 0 0 0 0 0
0 0 72,420 0 53,873
04-09-1969 1 4,847,300 0 22,825 0
196909041993032009 MKG:30 0 387,784 0 0222205870026
Pembina-4A 37 0 0
48.415.077.6-915.000 5,482,582 0 464,482 0
0 5,018,100
2 I WAYAN SURYADIKA K -1 4,699,300 0 0 0 14,629 0 2 .............
2 469,930 0 0 0 0 0
187,972 850,000 289,680 0 62,072
20-02-1965 4 5,357,202 0 14,629 0
196502201988121001 MKG:28 0 428,576 0 0222201331228
Pembina-4A 66 0 0
48.427.165.5-915.000 6,511,577 0 505,277 0
0 6,006,300
PEG: 2 469,930 0 0 0 0 0
IST: 1 JIWA= 5 187,972 850,000 362,100 0 115,945
10,204,502 0 37,454 0
ANK: 2 0 816,360 0
103 0 0
11,994,159 0 969,759
0 11,024,400
3 BANGUN SUCIATI, AMD. K -1 3,743,100 0 0 0 18,367 0 3 .............
2 374,310 0 0 0 0 0
149,724 780,000 289,680 0 50,471
30-10-1981 4 4,267,134 0 18,367 0
198110302008012010 MKG:16 0 341,371 0
5,355,209 0 410,209 0
0 4,945,000
4 SUJIRMAN.S.ST K -1 4,237,500 0 0 0 0 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 0 0
197212311993031056 MKG:24 0 386,460 0 0222201351228
15.436.789.0-923.000 5,720,468 0 440,768 0
0 5,279,700
5 JA'PAR K -1 4,508,600 0 0 0 0 0 5 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
31-12-1968 4 5,139,804 0 0 0
196812311990031065 MKG:28 0 411,184 0 0222201245229
48.427.210.9-911.000 5,929,582 0 467,582 0
0 5,462,000
6 MOHTAR K -1 4,508,600 0 0 0 0 0 6 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
31-12-1969 4 5,139,804 0 0 0
196912311988031013 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222205307029
98 0
48.427.152.3-911.000 5,929,582 0 467,582 0
0 5,462,000

NO KAWIN
7 SITI EKA RATNA ERLYANA.K ,AMD K -0 4,108,100 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
22-08-1972 1 4,108,100 0 0 0
197208221993022004 MKG:22 0 328,648 0 0222201348220
08.416.331.0.915.000 4,680,529 0 374,729 0
0 4,305,800
8 BAIQ RUMINSIH K -1 3,982,600 0 0 0 17,383 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 17,383 0
197112312006042087 MKG:20 0 363,213 0 0222228000974
57.336.529.3-915.000 5,347,298 0 430,998 0
0 4,916,300
9 DYAH NOOR HIDAYATI TK-0 3,982,600 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 44,826
02-04-1978 1 3,982,600 0 0 0
197804021998032001 MKG:20 0 318,608 0
Penata Tk.I-3D 0 0222200345222
14 0
57.336.501.2-915.000 4,555,034 0 363,434 0
0 4,191,600
10 MUHAMAD MULIADI K -1 3,743,100 0 0 0 0 0 10 .............
2 374,310 0 0 0 0 0
149,724 500,000 289,680 0 47,671
26-07-1976 4 4,267,134 0 0 0
197607262008011011 MKG:17 0 341,371 0
Penata Tk.I-3D 0 0222201332222
28 0
49.129.753.7-915.000 5,056,842 0 389,042 0
0 4,667,800
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 SUSI ERNAWATI TK-0 3,375,300 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 38,753
18-02-1977 1 3,375,300 0 0 0
197702182005012010 MKG:13 0 270,024 0 0222201343220
Penata-3C 57 0 0
58.744.491.0-914.000 3,947,777 0 308,777 0
0 3,639,000
13 ROSI. ,AMD.KEP JD-0 3,272,200 0 0 0 0 0 13 .............
1 0 0 0 0 0 0
65,444 500,000 144,840 0 38,376
22-08-1979 2 3,337,644 0 0 0
197908222010012020 MKG:11 0 267,012 0
Penata-3C 0 0222201335224
4 0
16.124.091.6-915.000 3,982,488 0 305,388 0
Kenaikan PangkatTMT - 2023-04-01 0 3,677,100

NO KAWIN
14 ZULFATUL MELKI.KEB. ,AMD 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
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
0 4,179,300
15 LALU HABIBULLAH.AM.KG K -1 3,272,200 0 0 0 0 0 15 .............
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 0222201323220
Penata-3C 40 0 0
159841261915000 4,520,028 0 340,728 0
0 4,179,300
16 NI PUTU EKA PRAYANTI. ,AMD.KEP 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
06-11-1984 4 3,730,308 0 0 0
198411062011012010 MKG:10 0 298,425 0
Penata-3C 0 0222201336228
40 0
54.495.824.2-915.000 4,520,028 0 340,728 0
0 4,179,300
17 E R W I N, ,AMD.KEP 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
07-06-1986 4 3,730,308 0 0 0
198606072011011018 MKG:10 0 298,425 0
Penata-3C 40 0 0
4,520,028 0 340,728 0
0 4,179,300
18 BAIQ SAUMI FASIHA.KEB ,AMD K -1 3,272,200 0 0 0 0 0 18 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
28-04-1989 4 3,730,308 0 0 0
198904282011012015 MKG:10 0 298,425 0
Penata-3C 0 0222201372222
40 0
45.239.122.0-915.000 4,520,028 0 340,728 0
0 4,179,300
19 NIRMALAWATI.A,MD,KEP TK-0 3,272,200 0 0 0 0 0 19 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 37,672
10-09-1986 1 3,272,200 0 0 0
198609102011012025 MKG:10 0 261,776 0 0222201326223
Penata-3C 28 0 0
66.909.823.8-915.000 3,839,648 0 299,448 0
0 3,540,200
20 TINI HARIANI.KEB ,AMD TK-0 3,043,600 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 36,436
31-12-1986 1 3,043,600 0 0 0
198612312011012015 MKG: 8 0 243,488 0
3,716,024 0 279,924 0
0 3,436,100

NO KAWIN
21 SITI HADIJAH. ,AMD.KEP K -1 3,238,300 0 0 0 0 0 21 .............
2 323,830 0 0 0 0 0
129,532 500,000 289,680 0 41,917
09-05-1985 4 3,691,662 0 0 0
198505092009012010 MKG:12 0 295,333 0 0222201329225
68.638.838.0-915.000 4,481,350 0 337,250 0
0 4,144,100
22 EVA FEBRIANI K -0 3,238,300 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 35,383
04-02-1985 1 3,238,300 0 0 0
198502042008012003 MKG:13 0 259,064 0 0222201344225
88.958.065.0-915.000 3,610,747 0 294,447 0
0 3,316,300
23 SRI KARTINI TK-0 3,238,300 0 0 0 0 0 23 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 35,383
21-04-1979 1 3,238,300 0 0 0
197904212006042020 MKG:12 0 259,064 0
27 0
48.657.686.1-913.000 3,610,747 0 294,447 0
0 3,316,300
24 ARI ANDRIANSYAH ,SKM K -1 2,860,500 0 0 0 0 0 24 .............
1 286,050 0 0 0 0 0
57,210 300,000 217,260 0 35,038
06-10-1988 3 3,203,760 0 0 0
198810062019031002 MKG: 4 0 256,301 0
19 0
74.320.547.8-914.000 3,721,039 0 291,339 0
0 3,429,700
25 SRI SUSILAWATI ,A.MD.AK K -1 3,238,300 0 0 0 0 0 25 .............
2 323,830 0 0 0 0 0
129,532 265,000 289,680 0 39,567
19-02-1980 4 3,691,662 0 0 0
198002192009032005 MKG:12 0 295,333 0
58 0
16.128.424.5-922.000 4,246,400 0 334,900 0
0 3,911,500
26 MILA JUNIYANTI.A.MD.KEB 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
25-06-1987 1 3,139,400 0 0 0
198706252010012008 MKG:10 0 251,152 0 0222201338226
68.592.941.6-915.000 3,476,896 0 285,196 0
0 3,191,700
27 KHATTUN ROHMATULLAH.A.MD.KEB K -1 3,043,600 0 0 0 0 0 27 .............
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

NO KAWIN
28 SUKRIYADI TK-0 3,204,700 490,000 0 0 0 0 28 .............
0 0 0 0 0 0 0
0 0 72,420 0 36,947
08-07-1975 1 3,204,700 0 0 0
197507082009011004 MKG:14 0 256,376 0 0222203473226
685929358911000 3,767,123 0 293,323 0
0 3,473,800
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 5,346,520 0 0 0 0 0
IST: 15 JIWA= 71 2,085,970 11,935,000 5,141,820 0 1,143,058
101,880,790 0 35,750 0
ANK: 29 0 8,150,466 0
1,114 0 0
119,484,474 0 9,329,274
0 110,155,200
30 RAUHUL HAZMI ,AMD.KEB. K -0 2,889,800 0 0 0 0 0 30 .............
1 0 0 0 0 0 0
57,796 300,000 144,840 0 32,476
11-05-1986 2 2,947,596 0 0 0
198611052017042005 MKG:15 0 235,808 0 0222201890224
66.916.471.7-915.000 3,392,484 0 268,284 0
0 3,124,200
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
112,060 300,000 289,680 0 34,937
19-03-1990 4 3,193,710 0 0 0
199003192017042003 MKG:13 0 255,497 0 0222201896228
70.343.727.7-911.000 3,783,434 0 290,434 0
0 3,493,000
32 NURUL LASMINI ,A.Md.Gz. K -1 2,552,700 0 0 0 0 0 32 .............
1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
06-10-1993 3 2,859,024 0 0 0
199310062019032009 MKG: 7 0 228,722 0 0222228000974
76.982.916.9-915.000 3,316,312 0 259,712 0
0 3,056,600
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: 4 842,890 180,000 0 0 0 0
IST: 3 JIWA= 13 343,898 840,000 941,460 0 135,255
12,505,488 0 0 0
ANK: 6 0 1,000,440 0
147 0 0
14,467,095 0 1,135,695
0 13,331,400
TOTAL PER SATKER 115,313,600 1,030,000 0 0 73,204 0
PEG: 33 6,659,340 180,000 0 0 0 0
IST: 19 JIWA= 89 2,617,840 13,625,000 6,445,380 0 1,394,258
ANK: 37 124,590,780 0 73,204 0
0 9,967,266 0
0 0
1,364 0 11,434,728
145,945,728
0 134,511,000
KEPALA PUSKESMAS DASAN TAPEN ,23 JUNI 2023

NIP 196105121982031009
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS BANYUMULEK

NO KAWIN
1 DR, QUDUSIYAH FAHRIATI K -1 3,901,500 0 0 0 46,463 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 46,463 0
197209282005012007 MKG:16 0 355,817 0 0222200275220
Pembina-4A 4 0 0
48.426.990.7-915.000 5,983,857 0 458,757 0
0 5,525,100
2 DRG, FARAH AISA MEGA IFANI K -1 3,782,400 0 0 0 40,338 0 2 .............
2 378,240 0 0 0 0 0
151,296 1,200,000 289,680 0 55,119
01-03-1985 4 4,311,936 0 40,338 0
198503012010012007 MKG:14 0 344,955 0 0222201346223
Pembina-4A 58 0 0
68.807.519.1-612.000 5,842,012 0 440,412 0
0 5,401,600
3 H A I R U D I N K -1 4,555,800 0 0 0 7,246 0 3 .............
2 455,580 0 0 0 0 0
182,232 850,000 289,680 0 60,436
31-12-1969 4 5,193,612 0 7,246 0
196912311990011005 MKG:27 0 415,489 0
Pembina-4A 0 0222203875022
33 0
48.427.182.0-911.000 6,340,571 0 483,171 0
0 5,857,400
PEG: 3 1,223,970 0 0 0 0 0
IST: 3 JIWA= 12 489,588 3,250,000 869,040 0 172,032
13,953,258 0 94,047 0
ANK: 6 0 1,116,261 0
95 0 0
18,166,440 0 1,382,340
0 16,784,100
4 FATMAWATI NURHAYANINGSIH JD-0 4,650,600 490,000 0 0 11,575 0 4 .............
0 0 0 0 0 0 0
0 0 72,420 0 51,406
25-04-1968 1 4,650,600 0 11,575 0
196804251990032010 MKG:30 0 372,048 0 0222200249222
48.427.230.7.915.000 5,224,629 0 435,029 0
0 4,789,600
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 3,861,000 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 43,610
28-08-1976 1 3,861,000 0 0 0
197608282006042025 MKG:18 0 308,880 0 0222201000220
57.336.486.6-914.000 4,433,490 0 352,490 0
0 4,081,000
8 NI MADE DWI MARTINI K -1 3,743,100 0 0 0 5,067 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 5,067 0
198303222005012011 MKG:16 0 341,371 0 0222200997220
15.038.673.8-914.000 5,061,909 0 394,109 0
0 4,667,800
9 SULHIATI K -1 3,591,200 0 0 0 0 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 0 0 0
197308042001122005 MKG:16 0 327,517 0
Penata-3C 0 0222201002229
9 0
16.021.682.6-915.000 4,883,657 0 373,457 0
0 4,510,200
10 SAFARIANI HERDIANA ,AM.G. K -1 3,375,300 0 0 0 0 0 10 .............
2 337,530 0 0 0 0 0
135,012 500,000 289,680 0 43,478
29-12-1981 4 3,847,842 0 0 0
198112292009012005 MKG:12 0 307,827 0
Penata-3C 83 0 0
87.444.362.5-915 4,637,605 0 351,305 0
0 4,286,300
11 RATNA KUSUMARINI, K -1 3,272,200 0 0 0 0 0 11 .............
1 327,220 0 0 0 0 0
65,444 500,000 217,260 0 41,649
14-10-1976 3 3,664,864 0 0 0
197610142010012009 MKG:11 0 293,189 0
Penata-3C 0 0222205911026
14 0
57.383.370.4-009.000 4,382,138 0 334,838 0
0 4,047,300
12 WIWIK LINDIA FETTI. ,AMD.KEP K -0 3,272,200 0 0 0 0 0 12 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
04-05-1987 1 3,272,200 0 0 0
198705042010012029 MKG:10 0 261,776 0 0222200981222
Penata-3C 78 0 0
88.957.152.7-915.000 3,844,698 0 299,498 0
0 3,545,200
13 EDI MULIJATI SIDIK ,AMD.KEP 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
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

NO KAWIN
14 dr., ASRI MEIY ANDINI TK-0 2,981,500 0 0 0 0 0 14 .............
0 0 185,000 0 0 0 0
0 0 72,420 0 31,665
23-05-1993 1 2,981,500 0 0 0
199305232019032018 MKG: 4 0 238,520 0 0220200066281
Penata-3C 65 0 0
80.193.315.1-915.000 3,238,985 0 270,185 0
0 2,968,800
15 SITI SURYANINGSIH K -1 3,238,300 0 0 0 0 0 15 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
20-09-1982 4 3,691,662 0 0 0
198209202007012007 MKG:13 0 295,333 0 0222203789027
57.336.499.9-915.000 4,281,350 0 335,250 0
16 MAIMUNAH. ,AMD.KEP JD-0 3,139,400 0 0 0 0 0 16 .............
2 0 0 0 0 0 0
125,576 300,000 217,260 0 35,650
18-01-1984 3 3,264,976 0 0 0
198401182011012012 MKG:10 0 261,198 0
12 0
16.393.103.6.915.000 3,782,248 0 296,848 0
0 3,485,400
17 ATUN RAHMIATUN TK-0 3,554,000 0 0 0 0 0 17 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 38,190
10-06-1978 1 3,554,000 0 0 0
197806102008012035 MKG:18 0 284,320 0
90 0
89.751.530.0-915.000 3,891,510 0 322,510 0
0 3,569,000
18 SRI KOMALASARI.G ,AMD K -1 3,139,400 0 0 0 0 0 18 .............
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
19 NI NYOMAN SARMINI.A.MD.AK 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
16-10-1989 4 3,578,916 0 0 0
198910162011012010 MKG:10 0 286,313 0 0222201015226
728655143915000 4,133,652 0 324,752 0
0 3,808,900
20 NURHASANAH K -1 3,204,700 0 0 0 0 0 20 .............
2 320,470 0 0 0 0 0
128,188 300,000 289,680 0 39,534
15-12-1985 4 3,653,358 0 0 0
198512152007012001 MKG:14 0 292,269 0
Penata Muda-3A 0 0222203820027
65 0
57.336.532.7-911.000 4,243,103 0 331,803 0
0 3,911,300

NO KAWIN
21 NI WAYAN PADMI LESTARI 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
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
22 BAIQ DESI ARNI FATMAWATI TK-0 2,920,100 0 0 0 0 0 22 .............
,AMD.KEB 0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
09-12-1988 1 2,920,100 0 0 0
198812092017042003 MKG: 8 0 233,608 0 0222201894221
70.341.248.6-911.000 3,257,559 0 265,459 0
0 2,992,100
PEG: 19 2,997,580 185,000 0 0 0 0
IST: 9 JIWA= 47 1,259,164 6,925,000 3,403,740 0 769,932
69,393,144 0 16,642 0
ANK: 19 0 5,551,451 0
899 0 0
80,414,425 0 6,338,025
0 74,076,400
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 MOHAMAD ICHSAN EFENDI K -1 2,552,700 0 0 0 0 0 24 .............
,A.Md.Kep. 2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
08-08-1989 4 2,910,078 0 0 0
198908082019031018 MKG: 7 0 232,806 0 0220228001022
84.374.789.0-914.000 3,439,807 0 264,307 0
0 3,175,500
25 LALU PUJIMAN K -1 2,949,900 0 0 0 0 0 25 .............
2 294,990 0 0 0 0 0
117,996 360,000 289,680 0 37,229
01-11-1971 4 3,362,886 0 0 0
197111012010011003 MKG:19 0 269,031 0 0222200989224
Pengatur-2C 94 0 0
68.807.522.5.915.000 4,012,660 0 306,260 0
0 3,706,400
26 BAIQ SRI WINARNI K -1 2,859,800 0 0 0 0 0 26 .............
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
Pengatur-2C 0 0222203595024
64 0
70.610.726.5-911.000 3,789,916 0 295,816 0
0 3,494,100

NO KAWIN
PEG: 4 1,125,220 0 0 0 0 0
IST: 4 JIWA= 15 392,292 1,080,000 1,086,300 0 138,498
12,769,712 0 0 0
ANK: 7 0 1,021,577 0
263 0 0
14,936,275 0 1,160,075
0 13,776,200
TOTAL PER SATKER 88,628,300 490,000 0 0 110,689 0
PEG: 26 5,346,770 185,000 0 0 0 0
IST: 16 JIWA= 74 2,141,044 11,255,000 5,359,080 0 1,080,462
ANK: 32 96,116,114 0 110,689 0
0 7,689,289 0
0 0
1,257 0 8,880,440
113,517,140
0 104,636,700
,23 JUNI 2023
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 NOVI KRISTANTI K -1 4,370,900 0 0 0 46,600 0 2 .............
1 437,090 0 0 0 0 0
87,418 850,000 217,260 0 57,454
26-11-1972 3 4,895,408 0 46,600 0
197211261992032007 MKG:26 0 391,633 0
Penata Tk.I-3D 0 0222200162228
19 0
484272141915000 6,009,287 0 495,687 0
3 Dr., I KOMANG ARYA DUARSA K -1 3,306,500 0 0 0 0 0 3 .............
1 330,650 0 0 0 0 0
66,130 750,000 217,260 0 44,533
11-12-1987 3 3,703,280 0 0 0
198712112015021002 MKG: 8 0 296,262 0 0222201022229
660870262911000 4,670,595 0 340,795 0
0 4,329,800
4 ERMINA ZAENAB ,AMD K -0 3,861,000 0 0 0 0 0 4 .............
2 0 0 0 0 0 0
154,440 600,000 217,260 0 46,154
28-03-1977 3 4,015,440 0 0 0
197703282002122005 MKG:18 0 321,235 0 0222201578022
889571584915000 4,832,789 0 367,389 0
5 SRI LESTARI ,S.KEP.NS K -1 3,518,100 0 0 0 0 0 5 .............
2 351,810 0 0 0 0 0
140,724 600,000 289,680 0 46,106
02-03-1984 4 4,010,634 0 0 0
198403022011012008 MKG:12 0 320,851 0 0222201217226
579484213915000 4,900,357 0 366,957 0
0 4,533,400
6 I KETUT SUKAYASA K -1 4,508,600 0 0 0 0 0 6 .............
2 450,860 0 0 0 0 0
180,344 500,000 289,680 0 56,398
01-05-1970 4 5,139,804 0 0 0
197005011990031007 MKG:28 0 411,184 0
Penata Tk.I-3D 0 0222200970223
98 0
484272398911000 5,929,582 0 467,582 0
0 5,462,000

NO KAWIN
7 I GUSTI AYU YULIANI TK-0 4,370,900 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 48,709
01-07-1973 1 4,370,900 0 0 0
197307011992032002 MKG:26 0 349,672 0 0222200924224
123123132 4,943,381 0 398,381 0
0 4,545,000
8 NI NENGAH WISKAWENI K -1 4,108,100 0 0 0 23,842 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 23,842 0
197412161998032005 MKG:22 0 374,659 0 0222200971227
573365186915000 5,496,833 0 450,333 0
9 SARINI K -1 4,065,500 0 0 0 14,542 0 9 .............
1 406,550 0 0 0 0 0
81,310 500,000 217,260 0 50,534
17-07-1970 3 4,553,360 0 14,542 0
197007171994032015 MKG:24 0 364,269 0
Penata-3C 0 0222200754012
83 0
889571485915000 5,285,245 0 429,345 0
10 LENI ROSITA K -1 3,591,200 0 0 0 0 0 10 .............
0 359,120 0 0 0 0 0
0 500,000 144,840 0 44,503
04-10-1981 2 3,950,320 0 0 0
198110042007012007 MKG:16 0 316,026 0
Penata-3C 0 0222200713223
69 0
587444431915000 4,595,229 0 360,529 0
11 HANUM TRI HAPSARI ,SKM. TK-0 2,860,500 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 31,605
29-04-1993 1 2,860,500 0 0 0
199304292019032017 MKG: 4 0 228,840 0
25 0
910172378501000 3,232,945 0 260,445 0
0 2,972,500
12 R A M E L I K -1 4,023,300 0 0 0 0 0 12 .............
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 0222200979229
573365178915000 5,061,341 0 414,641 0
0 4,646,700
13 NURUL HIKMAWATI TK-0 3,204,700 490,000 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 0 72,420 0 36,947
23-07-1977 1 3,204,700 0 0 0
197707232010012003 MKG:14 0 256,376 0
Penata Muda-3A 0 0222205840020
3 0
970400222914000 3,767,123 0 293,323 0
0 3,473,800

NO KAWIN
14 JA'FAR K -1 3,106,900 0 0 0 0 0 14 .............
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
15 ESTY PRIHARTINI K -1 3,517,200 0 0 0 0 0 15 .............
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 0222205257028
889571477915000 4,564,315 0 363,515 0
0 4,200,800
16 LUH JUNI ARTANI 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
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
17 NISWATUL AUDAH ,AMD.KEB K -1 2,920,100 0 0 0 0 0 17 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
19-06-1986 4 3,328,914 0 0 0
198606192017042001 MKG: 9 0 266,313 0
Penata Muda-3A 0 0222201928227
58 0
669030033915000 3,883,652 0 302,252 0
0 3,581,400
PEG: 16 4,404,840 185,000 0 0 0 0
IST: 12 JIWA= 49 1,537,870 6,695,000 3,548,580 0 716,582
64,288,210 0 84,984 0
ANK: 21 0 5,143,057 0
849 0 0
75,292,623 0 5,944,623
0 69,348,000
18 HENI KUSUMAWATI ,AMD.KEB K -1 2,889,800 0 0 0 0 0 18 .............
2 288,980 0 0 0 0 0
115,592 265,000 289,680 0 35,594
11-09-1986 4 3,294,372 0 0 0
198609112017042001 MKG:15 0 263,550 0 0222201918222
669371262915000 3,849,144 0 299,144 0
0 3,550,000
19 DESAK MADE DUWI APRILIYANI K -1 2,552,700 0 0 0 0 0 19 .............
,A.MD.FAR 2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
24-04-1993 4 2,910,078 0 0 0
199304242019032026 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0220200124283
49 0
910623230914000 3,439,807 0 264,307 0
0 3,175,500

NO KAWIN
20 BAIQ SITI RAMLAH K -1 2,980,800 0 0 0 0 0 20 .............
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 0222200986222
889580619915000 3,867,830 0 307,630 0
0 3,560,200
21 DIAN REMAMI ,A.md. Keb TK-0 2,374,300 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
10-01-1987 1 2,374,300 0 0 0
198701102020122007 MKG: 5 0 189,944 0 0
Pengatur-2C 67 0 0
0 2,686,787 0 216,087 0
0 2,470,700
22 SRI NURINDRIYANI ,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
13-05-1995 1 2,374,300 0 0 0
199505132020122015 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228003100
67 0
962741831914000 2,686,787 0 216,087 0
0 2,470,700
PEG: 5 842,330 180,000 0 0 0 0
IST: 3 JIWA= 14 336,932 985,000 1,013,880 0 155,162
14,351,162 0 0 0
ANK: 6 0 1,148,093 0
313 0 0
16,530,355 0 1,303,255
0 15,227,100
TOTAL PER SATKER 75,418,900 490,000 0 0 84,984 0
PEG: 22 5,637,320 365,000 0 0 0 0
IST: 16 JIWA= 67 2,030,862 8,530,000 4,852,140 0 924,721
ANK: 29 83,087,082 0 84,984 0
0 6,646,967 0
0 0
1,166 0 7,656,672
97,410,372
0 89,753,700
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS PELANGAN

NO KAWIN
1 I KOMANG SUDIBIA K -1 4,699,300 0 0 0 0 0 1 .............
0 469,930 0 0 0 0 0
0 850,000 144,840 0 60,192
28-02-1968 2 5,169,230 0 0 0
196802281990011002 MKG:28 0 413,538 0 0222208651029
Pembina-4A 60 0 0
484272448915000 6,164,130 0 473,730 0
0 5,690,400
SUB TOTAL PERGOLONGAN : IV 4,699,300 0 0 0 0 0
PEG: 1 469,930 0 0 0 0 0
IST: 1 JIWA= 2 0 850,000 144,840 0 60,192
5,169,230 0 0 0
ANK: 0 0 413,538 0
60 0 0
6,164,130 0 473,730
0 5,690,400
2 FAUZIAH TK-0 3,743,100 0 0 0 0 0 2 .............
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
Penata Tk.I-3D 0 0222201013228
59 0
895910610915000 4,415,579 0 342,879 0
0 4,072,700
3 SRI SUHARTINI JD-0 3,743,100 0 0 0 0 0 3 .............
2 0 0 0 0 0 0
149,724 500,000 217,260 0 43,928
23-10-1980 3 3,892,824 0 0 0
198010232003122005 MKG:16 0 311,426 0 0222206600026
895910669915000 4,610,154 0 355,354 0
0 4,254,800
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 SITI NURUL HIKMAH.A.MKL K -1 3,139,400 0 0 0 0 0 6 .............
1 313,940 0 0 0 0 0
62,788 500,000 217,260 0 40,161
04-06-1976 3 3,516,128 0 0 0
197606042011012009 MKG:10 0 281,290 0
63 0
689679356915000 4,233,451 0 321,451 0
0 3,912,000

NO KAWIN
7 ARI WIWIT WIDIATMANTO ,SKM TK-0 2,860,500 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 31,605
28-08-1989 1 2,860,500 0 0 0
198908282019031002 MKG: 4 0 228,840 0 0220228001206
732662085915000 3,232,945 0 260,445 0
0 2,972,500
8 IRA YULIANTI.A.MD.KEB K -1 3,139,400 0 0 0 0 0 8 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
16-07-1988 4 3,578,916 0 0 0
198807162011012022 MKG:10 0 286,313 0 0222205547020
162149678915000 4,133,652 0 324,752 0
0 3,808,900
9 I NYOMAN KONDRE ,AMG K -1 3,043,600 0 0 0 0 0 9 .............
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
53 0
165044397913000 3,891,145 0 309,445 0
0 3,581,700
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 4,023,300 0 0 0 0 0 11 .............
2 402,330 185,000 0 0 0 0
160,932 0 289,680 0 47,716
23-12-1970 4 4,586,562 0 0 0
197012231992031002 MKG:26 0 366,925 0
99 0
895910560915000 5,061,341 0 414,641 0
0 4,646,700
12 NURLAILA SUMARYANI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 12 .............
2 292,010 0 0 0 0 0
116,804 300,000 289,680 0 36,289
11-03-1990 4 3,328,914 0 0 0
199003112017042001 MKG: 9 0 266,313 0 0222201916224
669030181915000 3,918,602 0 302,602 0
0 3,616,000
13 RAMINI K -1 3,204,700 0 0 0 0 0 13 .............
2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
04-08-1984 4 3,653,358 0 0 0
198408042008012006 MKG:14 0 292,269 0
Penata Muda-3A 0 0222201012224
15 0
897502431915000 4,208,053 0 331,453 0
0 3,876,600

NO KAWIN
14 I WAYAN SABDIARTHA K -1 3,106,900 0 0 0 0 0 14 .............
2 310,690 0 0 0 0 0
124,276 265,000 289,680 0 38,069
29-12-1979 4 3,541,866 0 0 0
197912292007011014 MKG:12 0 283,349 0 0222201006225
895910644911000 4,096,618 0 321,418 0
15 SITA SETIA PRATIWI ,AMD.KEB K -1 2,920,100 0 0 0 0 0 15 .............
1 292,010 0 0 0 0 0
58,402 265,000 217,260 0 35,355
16-07-1987 3 3,270,512 0 0 0
198707162017042001 MKG: 9 0 261,641 0 0222203991022
703437731911000 3,752,796 0 296,996 0
0 3,455,800
16 NI WAYAN KISKA SEPTIANI DEWI K -1 2,830,900 0 0 0 0 0 16 .............
,AMD.KEB 1 283,090 0 0 0 0 0
56,618 265,000 217,260 0 34,356
28-09-1992 3 3,170,608 0 0 0
199209282017042001 MKG: 6 0 253,649 0
Penata Muda-3A 0 0222204246022
37 0
718312358915000 3,652,905 0 288,005 0
0 3,364,900
SUB TOTAL PERGOLONGAN : III 48,774,900 490,000 0 0 0 0
PEG: 15 3,528,880 185,000 0 0 0 0
IST: 11 JIWA= 46 1,322,596 4,630,000 3,331,320 0 589,313
53,626,376 0 0 0
ANK: 20 0 4,290,110 0
627 0 0
62,263,323 0 4,879,423
0 57,383,900
17 HASIBAH ,A.Md.RMIK. K -1 2,552,700 0 0 0 0 0 17 .............
0 255,270 0 0 0 0 0
0 360,000 144,840 0 31,680
16-12-1992 2 2,807,970 0 0 0
199212162019032014 MKG: 7 0 224,638 0 0220200310272
910189455914000 3,312,818 0 256,318 0
0 3,056,500
18 KHORIDATUL BAHIYAH ,AMD.KEB K -1 2,801,500 0 0 0 0 0 18 .............
2 280,150 0 0 0 0 0
112,060 265,000 289,680 0 34,587
16-08-1987 4 3,193,710 0 0 0
198708162017042004 MKG:13 0 255,497 0 0222201917228
703437798911000 3,748,484 0 290,084 0
0 3,458,400
19 JUNIARTI NINGSIH K -1 2,552,700 0 0 0 0 0 19 .............
2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
06-06-1991 4 2,910,078 0 0 0
199106062019032020 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0220200321276
49 0
834249104914000 3,439,807 0 264,307 0
0 3,175,500

NO KAWIN
20 BAIQ ADE WINARNI ,A.Md.Ak. K -1 2,552,700 0 0 0 0 0 20 .............
0 255,270 0 0 0 0 0
0 240,000 144,840 0 30,480
02-12-1992 2 2,807,970 0 0 0
199212022019032014 MKG: 7 0 224,638 0 0220200085286
910111947914000 3,192,818 0 255,118 0
0 2,937,700
21 LALU MUHAMMAD HAERUL WARDI K -1 2,552,700 0 0 0 0 0 21 .............
2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
29-03-1993 4 2,910,078 0 0 0
199303292019031012 MKG: 7 0 232,806 0 0220228001195
559683750915000 3,439,807 0 264,307 0
0 3,175,500
22 RIZKY HUTOMOAJI PUJO PRASETYO K -1 2,552,700 0 0 0 0 0 22 .............
,A.Md.Kep. 1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
11-11-1993 3 2,859,024 0 0 0
199311112019031004 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 0220200324272
28 0
841251036911000 3,316,312 0 259,712 0
0 3,056,600
23 LATIFATUL HIKMAH ,A.Md.Farm. K -1 2,552,700 0 0 0 0 0 23 .............
2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
17-08-1994 4 2,910,078 0 0 0
199408172019032021 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0220200090282
49 0
910189364914000 3,439,807 0 264,307 0
0 3,175,500
24 LIZA WINDIYANI ,AMKL TK-0 2,552,700 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 27,927
05-05-1997 1 2,552,700 0 0 0
199705052019032002 MKG: 7 0 204,216 0
Pengatur Tk.I-2D 0 0220200361313
23 0
910702703914000 2,865,143 0 232,143 0
0 2,633,000
25 MAILAN NINGRUM ,A.Md.Farm TK-0 2,374,300 0 0 0 0 0 25 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
16-03-1996 1 2,374,300 0 0 0
199603162020122015 MKG: 5 0 189,944 0 0220200442286
Pengatur-2C 67 0 0
963647052914000 2,686,787 0 216,087 0
0 2,470,700
26 KURATUL AINI ,A.Md.Keb K -1 2,374,300 0 0 0 0 0 26 .............
0 237,430 0 0 0 0 0
0 240,000 144,840 0 28,517
13-11-1996 2 2,611,730 0 0 0
199611132020122009 MKG: 5 0 208,938 0
Pengatur-2C 0 0220228003704
85 0
964579221914000 2,996,655 0 237,455 0
0 2,759,200

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: 12 2,598,220 180,000 0 0 0 0
IST: 10 JIWA= 33 575,838 2,785,000 2,389,860 0 370,483
34,083,258 0 0 0
ANK: 11 0 2,726,661 0
526 0 0
39,438,644 0 3,097,144
0 36,341,500
TOTAL PER SATKER 84,383,400 490,000 0 0 0 0
PEG: 28 6,597,030 365,000 0 0 0 0
IST: 22 JIWA= 81 1,898,434 8,265,000 5,866,020 0 1,019,988
ANK: 31 92,878,864 0 0 0
0 7,430,309 0
0 0
1,213 0 8,450,297
107,866,097
0 99,415,800
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS SEKOTONG

NO KAWIN
1 I KETUT PARWA. ,AMD.KEP K -1 4,416,700 0 0 0 11,413 0 1 .............
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 11,413 0
197112311993031041 MKG:25 0 395,736 0 0222201009227
Pembina-4A 39 0 0
4,8427246392e+014 6,025,416 0 465,116 0
0 5,560,300
PEG: 1 441,670 0 0 0 0 0
IST: 1 JIWA= 3 88,334 850,000 217,260 0 57,967
4,946,704 0 11,413 0
ANK: 1 0 395,736 0
39 0 0
6,025,416 0 465,116
0 5,560,300
2 HERMAN JAYADI.KEP. ,A.MK K -1 3,982,600 490,000 0 0 0 0 2 .............
2 398,260 0 0 0 0 0
159,304 0 289,680 0 50,302
31-12-1978 4 4,540,164 0 0 0
197812311998031005 MKG:20 0 363,213 0
Penata Tk.I-3D 0 0222201308220
71 0
8,9751510292e+014 5,319,915 0 413,515 0
0 4,906,400
3 DESAK PUTU KUSDEWI JD-0 4,508,600 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
10-08-1968 1 4,508,600 0 0 0
196808101990032006 MKG:28 0 360,688 0 0222201311228
4,8427250592e+014 5,081,074 0 410,774 0
0 4,670,300
4 DAHLIARTI K -1 4,237,500 0 0 0 23,233 0 4 .............
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 23,233 0
197001151993022002 MKG:24 0 379,680 0 0222201309225
8,9751508692e+014 5,486,573 0 455,373 0
0 5,031,200
5 dr., FAIRUZ SYAHFI IMAM K -1 2,981,500 0 0 0 0 0 5 .............
2 298,150 0 0 0 0 0
119,260 750,000 289,680 0 41,489
02-11-1990 4 3,398,910 0 0 0
199011022019031004 MKG: 4 0 271,913 0 0220200373311
Penata-3C 12 0 0
7,6184595791e+014 4,438,602 0 313,402 0
0 4,125,200
6 BAIQ WIJANI K -1 3,481,600 0 0 0 0 0 6 .............
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
Penata-3C 0 0222201321223
8 0
8,9751518592e+014 4,858,712 0 363,212 0
0 4,495,500

NO KAWIN
7 KADEK NOVI MARLINAWATI.A.MD.KE K -1 3,272,200 0 0 0 0 0 7 .............
2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
01-11-1987 4 3,730,308 0 0 0
198711012011012019 MKG:10 0 298,425 0 0222201368220
Penata-3C 40 0 0
8,9069720492e+014 4,520,028 0 340,728 0
0 4,179,300
8 HAIRUDIN K -1 3,340,300 0 0 0 0 0 8 .............
2 334,030 0 0 0 0 0
133,612 495,000 289,680 0 43,029
09-06-1982 4 3,807,942 0 0 0
198206092006041012 MKG:14 0 304,635 0 0222201194228
1,4514556192e+014 4,592,664 0 347,664 0
0 4,245,000
9 dr., I NYOMAN TEGUH APRIANA K -1 2,773,200 0 0 0 0 0 9 .............
2 277,320 0 0 0 0 0
110,928 325,000 289,680 0 34,864
30-04-1988 4 3,161,448 0 0 0
198804302020121008 MKG: 2 0 252,916 0
52 0
825394364911000 3,776,180 0 287,780 0
0 3,488,400
10 dr, MARISKIA WIDHA UTAMI K -1 2,773,200 0 0 0 0 0 10 .............
2 277,320 0 0 0 0 0
110,928 325,000 289,680 0 34,864
10-08-1990 4 3,161,448 0 0 0
199008102020122019 MKG: 2 0 252,916 0
52 0
727136103911000 3,776,180 0 287,780 0
0 3,488,400
11 NI KETUT KUSUMAWATI K -0 3,238,300 0 0 0 0 0 11 .............
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
12 SINTA DEWI SUSANTI ,A.MG K -1 3,139,400 0 0 0 0 0 12 .............
2 313,940 0 0 0 0 0
125,576 265,000 289,680 0 38,439
23-07-1987 4 3,578,916 0 0 0
198707232010012012 MKG:10 0 286,313 0 0222201315224
8,9590827592e+014 4,133,652 0 324,752 0
0 3,808,900
13 ITA SULASMINI, ,S.Farm.,Apt. TK-0 3,238,300 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 0 72,420 0 32,383
23-12-1985 1 3,238,300 0 0 0
198512232006042006 MKG:12 0 259,064 0
27 0
3,310,747 0 291,447 0
0 3,019,300

NO KAWIN
14 NURMAYANTI K -1 3,106,900 0 0 0 0 0 14 .............
2 310,690 0 0 0 0 0
124,276 500,000 289,680 0 40,419
08-02-1986 4 3,541,866 0 0 0
198602082008012001 MKG:12 0 283,349 0 0222201312222
8,9751512892e+014 4,331,568 0 323,768 0
0 4,007,800
15 NURUL FITRIANI ,AMD.KEB K -0 2,920,100 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 31,851
04-04-1989 1 2,920,100 0 0 0
198904042017042002 MKG: 8 0 233,608 0 0222201926229
6,6902961392e+014 3,257,559 0 265,459 0
0 2,992,100
16 EDI KURNIAWAN K -1 2,744,500 0 0 0 0 0 16 .............
2 274,450 185,000 0 0 0 0
109,780 0 289,680 0 33,137
08-03-1988 4 3,128,730 0 0 0
198803082019031004 MKG: 4 0 250,298 0
Penata Muda-3A 0 0222201742104
25 0
720466804915000 3,603,435 0 283,435 0
0 3,320,000
PEG: 15 3,583,290 185,000 0 0 0 0
IST: 11 JIWA= 47 1,348,566 5,290,000 3,403,740 0 606,349
54,670,056 0 23,233 0
ANK: 21 0 4,373,604 0
657 0 0
64,062,686 0 5,003,186
0 59,059,500
17 RIAN DARMANSYAH ,A.Md.RMIK. K -1 2,552,700 0 0 0 0 0 17 .............
2 255,270 0 0 0 0 0
102,108 360,000 289,680 0 32,701
29-04-1993 4 2,910,078 0 0 0
199304292019031012 MKG: 7 0 232,806 0 0220228001070
9,1012216792e+014 3,559,807 0 265,507 0
0 3,294,300
18 BAIQ SUKMANINGSIH K -1 3,074,700 0 0 0 0 0 18 .............
1 307,470 0 0 0 0 0
61,494 265,000 217,260 0 37,087
07-04-1978 3 3,443,664 0 0 0
197804072006042025 MKG:19 0 275,493 0 0222201358021
897515511915000 3,925,980 0 312,580 0
0 3,613,400
19 GDE PRADNYANA WIJAYA ,A.Md.Kep. K -1 2,716,000 0 0 0 0 0 19 .............
0 271,600 0 0 0 0 0
0 265,000 144,840 0 32,526
09-08-1992 2 2,987,600 0 0 0
199208092015021002 MKG:11 0 239,008 0
Pengatur Tk.I-2D 0 0222201324225
94 0
7,3980978892e+014 3,397,534 0 271,534 0
0 3,126,000

NO KAWIN
20 BAIQ HUSNUL HOTIMAH ,AMD.KEB K -1 2,716,000 0 0 0 0 0 20 .............
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
0 3,344,900
21 BAIQ JANIAR RESTUVANI K -0 2,552,700 0 0 0 0 0 21 .............
,A.Md.A.K. 0 0 0 0 0 0 0
0 240,000 72,420 0 27,927
04-01-1992 1 2,552,700 0 0 0
199201042019032016 MKG: 7 0 204,216 0 0222203395022
8,8957155092e+014 2,865,143 0 232,143 0
0 2,633,000
22 EKA FATMALA HANDAYANI K -1 2,552,700 0 0 0 0 0 22 .............
2 255,270 0 0 0 0 0
102,108 240,000 289,680 0 31,501
06-07-1993 4 2,910,078 0 0 0
199306072019032011 MKG: 7 0 232,806 0
Pengatur Tk.I-2D 0 0220228001162
49 0
9,1069547792e+014 3,439,807 0 264,307 0
0 3,175,500
23 AMRIANDANA ,A.Md.KG. K -1 2,552,700 0 0 0 0 0 23 .............
1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
10-07-1993 3 2,859,024 0 0 0
199307102019031002 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 0220200339273
28 0
9,1097028491e+014 3,316,312 0 259,712 0
0 3,056,600
24 KAMARIAH TK-0 2,980,800 0 0 0 0 0 24 .............
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
25 MUHAMAD TAUFIK K -1 2,743,800 0 0 0 0 0 25 .............
1 274,380 180,000 0 0 0 0
54,876 0 217,260 0 32,531
10-03-1979 3 3,073,056 0 0 0
197903102008011016 MKG:17 0 245,844 0 0222201317222
8,9751513692e+014 3,470,375 0 278,375 0
0 3,192,000
26 PURNAWATI TK-0 2,660,000 0 0 0 0 0 26 .............
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
80 0
5,7826012792e+014 2,912,500 0 241,200 0
0 2,671,300

NO KAWIN
PEG: 10 1,890,860 540,000 0 0 0 0
IST: 7 JIWA= 26 480,280 1,850,000 1,882,920 0 318,633
29,473,240 0 0 0
ANK: 9 0 2,357,858 0
531 0 0
33,746,691 0 2,676,491
0 31,070,200
27 SAPWAN K -1 2,447,900 0 0 0 0 0 27 .............
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
Juru Tk.I-1D 0 0222201370224
18 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
TOTAL PER SATKER 83,704,900 490,000 0 0 34,646 0
PEG: 27 6,160,610 900,000 0 0 0 0
IST: 20 JIWA= 80 2,015,096 7,990,000 5,793,600 0 1,012,605
ANK: 33 91,880,606 0 34,646 0
0 7,350,446 0
0 0
1,245 0 8,397,697
107,090,097
0 98,692,400
,23 JUNI 2023
NIP
[ DINAS KESEHATAN KABUPATEN LOMBOK BARAT ] PUSKESMAS LABUAPI

NO KAWIN
1 I GEDE ARYANATA K -1 4,699,300 490,000 0 0 8,596 0 1 .............
1 469,930 0 0 0 0 0
93,986 0 217,260 0 57,532
27-01-1970 3 5,263,216 0 8,596 0
197001271990031006 MKG:28 0 421,057 0 0222205889027
Pembina-4A 13 0 0
48.427.146.5-915.000 5,979,085 0 487,185 0
0 5,491,900
2 T A E B I K -1 4,847,300 0 0 0 33,179 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 33,179 0
196312311987031317 MKG:30 0 434,318 0 0222204750023
Pembina-4A 72 0 0
48.427.151.5.911.000 6,529,487 0 530,287 0
0 5,999,200
3 ZURAINI TK-0 3,901,500 0 0 0 0 0 3 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 47,515
17-12-1979 1 3,901,500 0 0 0
197912172000122002 MKG:17 0 312,120 0
Pembina-4A 0 0222200655225
15 0
49.884.767.2.915.999 4,823,935 0 359,635 0
0 4,464,300
PEG: 3 954,660 0 0 0 0 0
IST: 2 JIWA= 7 190,932 1,700,000 506,940 0 167,837
14,593,692 0 41,775 0
ANK: 2 0 1,167,495 0
100 0 0
17,332,507 0 1,377,107
0 15,955,400
4 S A M I D A H K -0 4,650,600 0 0 0 12,050 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 12,050 0
196604271987032010 MKG:30 0 372,048 0 0222201088015
48.427.148.1.911.000 5,235,104 0 435,604 0
0 4,799,500
5 H. M A R D A N K -1 4,650,600 0 0 0 6,613 0 5 .............
1 465,060 0 0 0 0 0
93,012 500,000 217,260 0 57,087
17-07-1966 3 5,208,672 0 6,613 0
196607171988031018 MKG:30 0 416,694 0 0222200994010
48.427.086.3-915.000 5,932,594 0 480,394 0
0 5,452,200
6 R O H A Y A T I K -1 4,650,600 0 0 0 44,113 0 6 .............
1 465,060 0 0 0 0 0
93,012 500,000 217,260 0 57,087
10-03-1969 3 5,208,672 0 44,113 0
196903101988032004 MKG:30 0 416,694 0
Penata Tk.I-3D 0 0222200722224
49 0
48.427.173.9.915.000 5,970,094 0 517,894 0
0 5,452,200

NO KAWIN
7 K A R T I N E M TK-0 4,237,500 0 0 0 0 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 0 0
196812311990032051 MKG:24 0 339,000 0 0222206237025
57.336.526.9.915.000 4,809,975 0 386,375 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 RIKA AFRIANI TK-0 3,704,300 0 0 0 0 0 9 .............
0 0 0 0 0 0 0
0 600,000 72,420 0 43,043
09-02-1976 1 3,704,300 0 0 0
197602092003122012 MKG:19 0 296,344 0
Penata-3C 0 0222200671229
67 0
57.336.530.1.915.000 4,376,787 0 339,387 0
0 4,037,400
10 NURUL ILHAM JD-0 3,591,200 0 0 0 0 0 10 .............
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
11 LALU RUSLI SALIM K -1 3,591,200 0 0 0 0 0 11 .............
2 359,120 0 0 0 0 0
143,648 600,000 289,680 0 46,940
12-01-1978 4 4,093,968 0 0 0
197801122008011014 MKG:16 0 327,517 0
Penata-3C 0 0222200398010
9 0
07.522.981.5.911.000 4,983,657 0 374,457 0
0 4,609,200
12 MEGAWATI.A.MD.AK K -0 3,272,200 0 0 0 0 0 12 .............
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 0222200708228
Penata-3C 78 0 0
87.196.743.6.911.000 3,944,698 0 300,498 0
0 3,644,200
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 KADEK JULIANTINI ,A.MA.KEP K -0 3,375,300 0 0 0 0 0 14 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 38,753
08-07-1987 1 3,375,300 0 0 0
198707082009012002 MKG:12 0 270,024 0 5100300247041
Penata-3C 57 0 0
874442908915000 3,947,777 0 308,777 0
0 3,639,000
15 NI KETUT AYU SUTRININGSIH, A.M K -0 3,272,200 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
15-09-1988 1 3,272,200 0 0 0
198809152010012009 MKG:11 0 261,776 0 0220201648312
Penata-3C 78 0 0
44.945.313.3.911.000 3,844,698 0 299,498 0
0 3,545,200
16 EKA SATRIANI. ,AMD.KEP 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
17-09-1988 4 3,730,308 0 0 0
198809172010012008 MKG:10 0 298,425 0
Penata-3C 0 0222200667228
40 0
57.826.004.4915.000 4,520,028 0 340,728 0
0 4,179,300
17 MUTIA JANNAH TK-0 3,238,300 0 0 0 0 0 17 .............
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
18 RINI PURNA SUYATMI TK-0 3,665,900 0 0 0 0 0 18 .............
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
61 0
88.958.064.3.915.000 4,003,381 0 332,581 0
0 3,670,800
19 IRMA LAILA SAGITA ,A.MKL. K -1 3,139,400 0 0 0 0 0 19 .............
1 313,940 185,000 0 0 0 0
62,788 0 217,260 0 37,011
05-06-1984 3 3,516,128 0 0 0
198406052011012022 MKG:10 0 281,290 0
123132 3,918,401 0 318,301 0
0 3,600,100
20 NITA ARIYANI IZZATI ,A.MA.KEP K -0 3,106,900 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 34,069
03-05-1988 1 3,106,900 0 0 0
198805032017042003 MKG:12 0 248,552 0
Penata Muda-3A 0 0082205295021
1 0
13212 3,479,321 0 282,621 0

NO KAWIN
21 MERLY MANDRAYANI ,AMD.KEB K -0 2,920,100 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 32,201
04-03-1989 1 2,920,100 0 0 0
198903042017042002 MKG: 9 0 233,608 0 0222201892222
66.916.333.9.915.000 3,292,609 0 265,809 0
0 3,026,800
22 ZAEDAR RUHNI K -1 3,517,200 0 0 0 0 0 22 .............
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 0 0
197609142007012015 MKG:20 0 320,769 0 0222201098228
57.336.498.1.911.000 4,564,315 0 363,515 0
0 4,200,800
23 JUMIAH K -1 3,106,900 0 0 0 0 0 23 .............
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
Penata Muda-3A 0 0222200673227
72 0
57.336.520.2.911.000 4,096,618 0 321,418 0
0 3,775,200
24 BAIQ NISPIYANI ,AMD.KEB K -0 3,012,000 0 0 0 0 0 24 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 32,770
26-03-1987 1 3,012,000 0 0 0
198703262017042001 MKG:10 0 240,960 0
Penata Muda-3A 0 0222201891228
10 0
89.428.789.5.911.000 3,349,430 0 273,730 0
0 3,075,700
25 SUNDUSIAH ,AMD.KEB K -1 2,920,100 0 0 0 0 0 25 .............
0 292,010 0 0 0 0 0
0 265,000 144,840 0 34,771
05-10-1989 2 3,212,110 0 0 0
198910052017042003 MKG: 8 0 256,969 0
Penata Muda-3A 0 0222201925225
90 0
66.979.101.4.915.000 3,622,040 0 291,740 0
0 3,330,300
26 MUTASAM K -1 3,517,200 0 0 0 0 0 26 .............
2 351,720 185,000 0 0 0 0
140,688 0 289,680 0 41,946
31-12-1968 4 4,009,608 0 0 0
196812312007011277 MKG:21 0 320,769 0 0222202035027
88.939.703.0.911.000 4,484,315 0 362,715 0
0 4,121,600
27 I GUSTI PUTU PUWADI K -1 3,012,000 0 0 0 0 0 27 .............
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

NO KAWIN
SUB TOTAL PERGOLONGAN : III 84,871,300 0 0 0 62,776 0
PEG: 24 3,912,050 555,000 0 0 0 0
IST: 11 JIWA= 49 989,240 9,125,000 3,548,580 0 994,526
89,772,590 0 62,776 0
ANK: 14 0 7,181,808 0
1,164 0 0
103,065,110 0 8,239,110
0 94,826,000
28 BAIQ ASTUTI KAMARIAH TK-0 2,889,800 0 0 0 0 0 28 .............
,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
Pengatur Tk.I-2D 0 0220200167284
62 0
66.916.464.2.915.000 3,202,282 0 262,482 0
0 2,939,800
29 RINA RIZKI AMALIA ,AMD.KEP. K -1 2,552,700 0 0 0 0 0 29 .............
1 255,270 0 0 0 0 0
51,054 240,000 217,260 0 30,990
11-09-1994 3 2,859,024 0 0 0
199411092019032028 MKG: 7 0 228,722 0
Pengatur Tk.I-2D 0 0220200082283
28 0
91.075.109.8.914.000 3,316,312 0 259,712 0
0 3,056,600
30 I PUTU BERATHA K -1 3,074,700 0 0 0 0 0 30 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
29-10-1979 4 3,505,158 0 0 0
197910292008011012 MKG:19 0 280,413 0 0222205823023
15.664.821.4.914.000 3,974,865 0 317,265 0
0 3,657,600
31 AKHMAD SIBAWAI K -1 2,500,000 0 0 0 0 0 31 .............
2 250,000 180,000 0 0 0 0
100,000 0 289,680 0 30,300
21-08-1976 4 2,850,000 0 0 0
197608212010011004 MKG:11 0 228,000 0 0222203805223
451472237915000 3,319,700 0 258,300 0
0 3,061,400
PEG: 4 812,740 360,000 0 0 0 0
IST: 3 JIWA= 12 274,042 480,000 869,040 0 129,440
12,103,982 0 0 0
ANK: 5 0 968,319 0
137 0 0
13,813,159 0 1,097,759
0 12,715,400

NO KAWIN
TOTAL PER SATKER 109,336,600 490,000 0 0 104,551 0
PEG: 31 5,679,450 915,000 0 0 0 0
IST: 16 JIWA= 68 1,454,214 11,305,000 4,924,560 0 1,291,803
ANK: 21 116,470,264 0 104,551 0
0 9,317,622 0
0 0
1,401 0 10,713,976
134,210,776
0 123,496,800
KEPALA PUSKESMAS LABUAPI ,23 JUNI 2023

NIP 196105121982031009
[ 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 40,896 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 40,896 0
196407131985111003 MKG:32 0 448,000 0 0222200920228
Pembina-4A 40 0 0
484272281915000 6,708,196 0 553,396 0
0 6,154,800
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 40,896 0
ANK: 1 0 448,000 0
40 0 0
6,708,196 0 553,396
0 6,154,800
2 AKHMAD SARIFUDIN K -1 3,861,000 0 0 0 0 0 2 .............
2 386,100 0 0 0 0 0
154,440 600,000 289,680 0 50,015
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
5,291,238 0 402,138 0
0 4,889,100
3 SRI BIMAWATI K -1 4,508,600 0 0 0 29,425 0 3 .............
0 450,860 0 0 0 0 0
0 500,000 144,840 0 54,595
25-10-1968 2 4,959,460 0 29,425 0 0
196810251989032005 MKG:28 0 396,757 0 0222200922226
484272273915000 5,633,777 0 480,777 0
0 5,153,000
4 SRI WAHYUNI TK-0 4,370,900 0 0 0 0 0 4 .............
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
5 AKMAL ROSAMALI ,AMD.KEP K -1 4,370,900 0 0 0 0 0 5 .............
2 437,090 0 0 0 0 0
174,836 500,000 289,680 0 54,828
19-11-1971 4 4,982,826 0 0 0
197111191992031006 MKG:26 0 398,626 0 0222200427226
484272356911000 5,772,554 0 453,454 0
0 5,319,100
6 ROHMAH K -1 3,861,000 0 0 0 11,129 0 6 .............
2 386,100 0 0 0 0 0
154,440 500,000 289,680 0 49,015
08-07-1981 4 4,401,540 0 11,129 0
198107082006042017 MKG:18 0 352,123 0
Penata Tk.I-3D 0 0222200974229
18 0
889571592915000 5,202,367 0 412,267 0
0 4,790,100

NO KAWIN
7 S A I U N K -1 3,704,300 490,000 0 0 0 0 7 .............
2 370,430 0 0 0 0 0
148,172 0 289,680 0 47,129
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 5,002,661 0 384,961 0
0 4,617,700
8 S U M A R T I TK-0 4,065,500 0 0 0 0 0 8 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 45,655
31-12-1970 1 4,065,500 0 0 0
197012311994011013 MKG:24 0 325,240 0 0222201314221
Penata-3C 75 0 0
897515169915000 4,637,995 0 370,895 0
0 4,267,100
9 LALU SYARIF HIDAYATULLAH K -1 3,272,200 0 0 0 0 0 9 .............
,A.Md.Farm 2 327,220 0 0 0 0 0
130,888 500,000 289,680 0 42,303
23-10-1988 4 3,730,308 0 0 0
198810232010011006 MKG:10 0 298,425 0
Penata-3C 0 0222200622228
40 0
4,520,028 0 340,728 0
0 4,179,300
10 DIAH PUJI LESTARI.A.MD.KEB K -1 3,139,400 0 0 0 0 0 10 .............
2 313,940 0 0 0 0 0
125,576 500,000 289,680 0 40,789
18-11-1987 4 3,578,916 0 0 0
198711182010012010 MKG:10 0 286,313 0
6 0
685885246915000 4,368,602 0 327,102 0
0 4,041,500
11 dr, ZIAUDDIN ZAIDAR K -1 2,773,200 0 0 0 0 0 11 .............
1 277,320 0 0 0 0 0
55,464 325,000 217,260 0 34,310
27-06-1989 3 3,105,984 0 0 0
198906272020121007 MKG: 2 0 248,479 0
45 0
803214071914000 3,648,289 0 282,789 0
0 3,365,500
12 NI KOMANG SUARI MELINDA DEWI K -1 2,660,700 0 0 0 0 0 12 .............
,S.Tr.Kes 1 266,070 0 0 0 0 0
53,214 300,000 217,260 0 32,800
31-05-1996 3 2,979,984 0 0 0
199605312020122015 MKG: 2 0 238,399 0 0220228003575
862504628907000 3,497,299 0 271,199 0
0 3,226,100
13 GEOFANI SIMARMATA ,S.Tr.Kes TK-0 2,660,700 0 0 0 0 0 13 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 29,607
07-01-1997 1 2,660,700 0 0 0
199701072020122008 MKG: 2 0 212,856 0
Penata Muda-3A 0 0220228004076
43 0
918755380122000 3,033,163 0 242,463 0
0 2,790,700

NO KAWIN
14 I GUSTI AYU SULISTIAWATI K -1 2,920,100 0 0 0 0 0 14 .............
,AMD.KEB 2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
07-08-1988 4 3,328,914 0 0 0
198808072017042005 MKG: 9 0 266,313 0 0222201902223
705507556915000 3,883,652 0 302,252 0
0 3,581,400
PEG: 13 3,507,140 0 0 0 0 0
IST: 10 JIWA= 39 1,113,834 5,290,000 2,824,380 0 565,694
50,789,474 0 40,554 0
ANK: 16 0 4,063,158 0
598 0 0
59,435,006 0 4,669,406
0 54,765,600
15 AYUNA MARDIASTUTI ,AMD.KEB K -1 2,980,800 0 0 0 0 0 15 .............
2 298,080 0 0 0 0 0
119,232 300,000 289,680 0 36,981
17-07-1987 4 3,398,112 0 0 0
198707172017042002 MKG:17 0 271,849 0
Pengatur Tk.I-2D 0 0222201908227
38 0
669371320915000 3,987,830 0 308,830 0
0 3,679,000
16 HUSNIATI LU'LU ILMARJAN TK-0 3,074,700 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 33,397
02-05-1980 1 3,074,700 0 0 0
198005022008012028 MKG:20 0 245,976 0 0222200984224
573365145915000 3,412,173 0 279,373 0
0 3,132,800
17 EKA PUSPASARI ,AMD.KEB K -1 2,801,500 0 0 0 0 0 17 .............
1 280,150 0 0 0 0 0
56,030 265,000 217,260 0 34,027
06-08-1984 3 3,137,680 0 0 0
198408062017042001 MKG:13 0 251,014 0 0222201935221
843781802914000 3,619,941 0 285,041 0
0 3,334,900
18 RAHMAYANI AL-UMMAH ,A.Md.Kep. K -1 2,716,000 0 0 0 0 0 18 .............
2 271,600 0 0 0 0 0
108,640 265,000 289,680 0 33,612
15-03-1991 4 3,096,240 0 0 0
199103152015022003 MKG:11 0 247,699 0 0222200988221
740214200915000 3,651,011 0 281,311 0
0 3,369,700
19 SRI AMALIA UTAMI ,Amd.Kep K -1 2,374,300 0 0 0 0 0 19 .............
2 237,430 0 0 0 0 0
94,972 240,000 289,680 0 29,467
20-09-1988 4 2,706,702 0 0 0
198809202020122011 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228002691
21 0
164334351915000 3,236,403 0 246,003 0
0 2,990,400

NO KAWIN
20 EFRYDA SUSIANA ,Amd.Kep K -1 2,374,300 0 0 0 0 0 20 .............
2 237,430 0 0 0 0 0
94,972 240,000 289,680 0 29,467
17-04-1990 4 2,706,702 0 0 0
199004172020122010 MKG: 5 0 216,536 0 0220228003951
Pengatur-2C 21 0 0
964238612915000 3,236,403 0 246,003 0
0 2,990,400
21 NOVIT WIDYA RAHAYU ,A.Md.Kep K -1 2,374,300 0 0 0 0 0 21 .............
1 237,430 0 0 0 0 0
47,486 240,000 217,260 0 28,992
13-11-1993 3 2,659,216 0 0 0
199311132020122007 MKG: 5 0 212,737 0 02202280031804
Pengatur-2C 53 0 0
967593401915000 3,116,529 0 241,729 0
0 2,874,800
22 NADIA IKA RAMDHANI ,A.Md.Kep TK-0 2,374,300 0 0 0 0 0 22 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
30-12-1997 1 2,374,300 0 0 0
199712302020122008 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228002912
67 0
951248913914000 2,686,787 0 216,087 0
0 2,470,700
23 SYOFIANDI ARONI ,A.Md.Kep 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
07-03-1996 1 2,374,300 0 0 0
199603072020121006 MKG: 5 0 189,944 0
Pengatur-2C 0 0220228003796
67 0
963808621914000 2,626,787 0 215,487 0
0 2,411,300
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: 10 1,828,120 360,000 0 0 0 0
IST: 7 JIWA= 29 627,732 2,055,000 2,100,180 0 309,753
28,560,352 0 0 0
ANK: 12 0 2,284,827 0
448 0 0
33,075,980 0 2,594,580
0 30,481,400

NO KAWIN
TOTAL PER SATKER 77,273,000 490,000 0 0 81,450 0
PEG: 24 5,835,260 360,000 0 0 0 0
IST: 18 JIWA= 71 1,841,566 8,195,000 5,141,820 0 939,947
ANK: 29 84,949,826 0 81,450 0
0 6,795,985 0
0 0
1,086 0 7,817,382
99,219,182
0 91,401,800
KEPALA DINAS KESEHATAN MASYARAKAT ,23 JUNI 2023

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

NO KAWIN
1 SUHERMANTO K -1 4,898,100 0 0 0 35,746 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 35,746 0
196812311989031064 MKG:28 0 438,870 0 0222204920021
484270780915000 6,588,975 0 537,975 0
0 6,051,000
2 KARIYAWAN ,SKM K -1 4,151,100 490,000 0 0 0 0 2 .............
2 415,110 0 0 0 0 0
166,044 0 289,680 0 52,223
31-12-1972 4 4,732,254 0 0 0
197212311998031048 MKG:20 0 378,580 0 0220200172282
Pembina-4A 69 0 0
891278889951000 5,512,003 0 430,803 0
0 5,081,200
PEG: 2 904,920 0 0 0 0 0
IST: 2 JIWA= 7 264,006 850,000 506,940 0 115,582
10,218,126 0 35,746 0
ANK: 3 0 817,450 0
166 0 0
12,100,978 0 968,778
0 11,132,200
3 BILLIA MILKAN, ,SST K -1 4,237,500 0 0 0 0 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 0 0
197104241993031009 MKG:24 0 386,460 0 0222200687228
484270541915000 5,720,468 0 440,768 0
0 5,279,700
4 LALU MANSYUR K -1 4,237,500 0 0 0 0 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 0 0
197312311993031024 MKG:24 0 386,460 0 0222200642228
159838895915000 5,720,468 0 440,768 0
0 5,279,700
5 I KOMANG SUKARIANA. ,AMD K -1 4,650,600 0 0 0 0 0 5 .............
2 465,060 0 0 0 0 0
186,024 500,000 289,680 0 58,017
19-07-1967 4 5,301,684 0 0 0
196707191988031007 MKG:30 0 424,135 0 0222200739227
484271366915000 6,091,452 0 482,152 0
0 5,609,300
6 J U A E N I TK-0 4,508,600 0 0 0 5,642 0 6 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 50,086
13-02-1968 1 4,508,600 0 5,642 0
196802131990032004 MKG:28 0 360,688 0
Penata Tk.I-3D 0 0222200697223
54 0
484271275915000 5,086,716 0 416,416 0
0 4,670,300

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 ISNAINUL FAHMI ,A.Md.Kep. K -1 3,272,200 0 0 0 0 0 8 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
06-03-1988 4 3,730,308 0 0 0
198803062010011008 MKG:11 0 298,425 0 0222200823224
Penata-3C 40 0 0
16182218913000 4,620,028 0 341,728 0
0 4,278,300
9 NI WAYAN DWIARI ,AMD K -1 3,272,200 0 0 0 0 0 9 .............
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
Penata-3C 0 0222200654220
40 0
159679539922000 4,520,028 0 340,728 0
0 4,179,300
10 BAIQ LARASIPAH.A.MD.KEB K -0 3,272,200 0 0 0 0 0 10 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
05-10-1986 1 3,272,200 0 0 0
198610052010012038 MKG:11 0 261,776 0
Penata-3C 0 022220077224
78 0
685885261915000 3,844,698 0 299,498 0
0 3,545,200
11 BAIQ ZUHRO YULIATI.A.MKL TK-0 3,272,200 0 0 0 0 0 11 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 37,722
12-07-1981 1 3,272,200 0 0 0
198107122011012008 MKG:10 0 261,776 0
Penata-3C 0 0222201193224
78 0
165739421915000 3,844,698 0 299,498 0
0 3,545,200
12 MARTINA KUSAMYATI.A.MD.KEB 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
27-03-1989 4 3,730,308 0 0 0
198903272011012015 MKG:10 0 298,425 0 0222200771235
Penata-3C 40 0 0
452398361915000 4,520,028 0 340,728 0
0 4,179,300
13 RISPAINI NURHASANAH ,S.Sos. K -1 4,065,500 0 0 0 6,688 0 13 .............
2 406,550 185,000 0 0 0 0
162,620 0 289,680 0 48,197
24-08-1973 4 4,634,670 0 6,688 0
197308241994022001 MKG:24 0 370,774 0
Penata-3C 0 0102201595021
21 0
574370060912000 5,116,059 0 425,659 0
0 4,690,400

NO KAWIN
14 drg., SASKY M.S. RAHMAN K -1 2,773,200 0 0 0 0 0 14 .............
1 277,320 0 0 0 0 0
55,464 325,000 217,260 0 34,310
04-01-1990 3 3,105,984 0 0 0
199001042020121006 MKG: 2 0 248,479 0 0220200462285
852266477101000 3,648,289 0 282,789 0
0 3,365,500
15 NI PUTU EKA KARUNIAWATI K -1 3,665,900 0 0 0 0 0 15 .............
2 366,590 0 0 0 0 0
146,636 265,000 289,680 0 44,441
28-10-1978 4 4,179,126 0 0 0
197810282008012021 MKG:20 0 334,330 0 0222200764222
15.744.767.3.915.000 4,733,871 0 378,771 0
0 4,355,100
16 NONCIE MANDALIN NUSA TK-0 3,340,300 0 0 0 0 0 16 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 36,053
20-11-1977 1 3,340,300 0 0 0
197711202008012014 MKG:15 0 267,224 0
57 0
897515318915000 3,677,777 0 303,277 0
0 3,374,500
17 FITRIANA K -1 3,238,300 0 0 0 0 0 17 .............
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
0 3,911,500
18 I. A. ULLY PRIMA PRATIWI, K -0 3,139,400 0 0 0 0 0 18 .............
,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
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 DINI YULI ASTUTI ,SKL TK-0 2,660,700 0 0 0 0 0 20 .............
0 0 0 0 0 0 0
0 300,000 72,420 0 29,607
13-07-1994 1 2,660,700 0 0 0
199407132020122011 MKG: 2 0 212,856 0
Penata Muda-3A 0 0220228003623
43 0
964361455915000 3,033,163 0 242,463 0
0 2,790,700

NO KAWIN
21 RINA ADRIANI KUSUMA DEWI K -1 3,204,700 0 0 0 0 0 21 .............
,A.Md.Kep. 2 320,470 0 0 0 0 0
128,188 265,000 289,680 0 39,184
07-10-1981 4 3,653,358 0 0 0
198110072005012016 MKG:14 0 292,269 0 0220200005283
795922558913000 4,208,053 0 331,453 0
0 3,876,600
22 MAHDAYATI 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
01-12-1982 4 3,541,866 0 0 0
198212012007012007 MKG:12 0 283,349 0 0222200757229
897515052951000 4,096,618 0 321,418 0
0 3,775,200
23 GITA APRILIA EKAWINDA ,AMD.KEB K -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
27-04-1988 1 3,012,000 0 0 0
198804272017042001 MKG:10 0 240,960 0
Penata Muda-3A 0 0222201923227
10 0
669162919915000 3,349,430 0 273,730 0
0 3,075,700
24 ANA YULIA ,AMD.KEB K -1 2,920,100 0 0 0 0 0 24 .............
2 292,010 0 0 0 0 0
116,804 265,000 289,680 0 35,939
07-05-1988 4 3,328,914 0 0 0
198805072017042002 MKG: 9 0 266,313 0
Penata Muda-3A 0 0222201924220
58 0
705507341915000 3,883,652 0 302,252 0
0 3,581,400
25 THIA ARIZONNA MANDHASARI JD-0 2,920,100 0 0 0 0 0 25 .............
1 0 0 0 0 0 0
58,402 265,000 144,840 0 32,435
23-01-1983 2 2,978,502 0 0 0
198301232010012014 MKG: 8 0 238,280 0
Penata Muda-3A 0 0222201105227
73 0
728879131911000 3,388,415 0 270,715 0
0 3,117,700
SUB TOTAL PERGOLONGAN : III 79,560,200 0 0 0 12,330 0
PEG: 23 5,002,490 185,000 0 0 0 0
IST: 14 JIWA= 65 2,003,934 8,610,000 4,707,300 0 953,618
86,566,624 0 12,330 0
ANK: 28 0 6,925,332 0
1,226 0 0
100,082,480 0 7,891,280
0 92,191,200
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 NURJANNAH K -1 3,074,700 0 0 0 0 0 27 .............
2 307,470 180,000 0 0 0 0
122,988 0 289,680 0 36,852
31-12-1980 4 3,505,158 0 0 0
198012312009012026 MKG:19 0 280,413 0 0222205808023
889397311915000 3,974,865 0 317,265 0
0 3,657,600
28 MUHAMMAD RIPAI K -1 2,980,800 0 0 0 0 0 28 .............
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
29 RATMINAH 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
04-04-1969 1 2,980,800 0 0 0
196904042007012036 MKG:17 0 238,464 0
Pengatur Tk.I-2D 0 0222200758223
52 0
897515367915000 3,233,272 0 270,072 0
0 2,963,200
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 0 0 0 0 0
94,972 240,000 289,680 0 29,467
09-07-1989 4 2,706,702 0 0 0
198907092020122006 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228003402
21 0
852428606914000 3,236,403 0 246,003 0
0 2,990,400
32 RIA MAYA PURY ,A.Md.Kep K -0 2,374,300 0 0 0 0 0 32 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
01-01-1990 1 2,374,300 0 0 0
199001012020122010 MKG: 5 0 189,944 0 0220228004124
Pengatur-2C 67 0 0
965474729914000 2,686,787 0 216,087 0
0 2,470,700
33 NI MADE PARAMITA BUDAYANING K -1 2,374,300 0 0 0 0 0 33 .............
PUTRI ,A.Md.Keb 2 237,430 0 0 0 0 0
94,972 240,000 289,680 0 29,467
13-01-1993 4 2,706,702 0 0 0
199301132020122006 MKG: 5 0 216,536 0
Pengatur-2C 0 0220228003844
21 0
832146104902000 3,236,403 0 246,003 0
0 2,990,400

NO KAWIN
34 ZURRIYATUN THOYIBAH ,A.Md.Keb TK-0 2,374,300 0 0 0 0 0 34 .............
0 0 0 0 0 0 0
0 240,000 72,420 0 26,143
28-03-1995 1 2,374,300 0 0 0
199503282020122010 MKG: 5 0 189,944 0 0220228002890
Pengatur-2C 67 0 0
865769640914000 2,686,787 0 216,087 0
0 2,470,700
35 NYOMAN GITA LESTARI ,A.Md.Keb K -1 2,301,800 0 0 0 0 0 35 .............
1 230,180 0 0 0 0 0
46,036 240,000 217,260 0 28,180
31-08-1989 3 2,578,016 0 0 0
198908312020122007 MKG: 4 0 206,241 0 0220228003984
Pengatur-2C 45 0 0
874429103914000 3,035,321 0 234,421 0
0 2,800,900
PEG: 10 1,895,310 720,000 0 0 0 0
IST: 7 JIWA= 30 712,088 1,440,000 2,172,600 0 314,500
29,289,898 0 0 0
ANK: 13 0 2,343,192 0
394 0 0
33,622,892 0 2,657,692
0 30,965,200
36 NASIRUN K -1 2,373,100 0 0 0 0 0 36 .............
2 237,310 175,000 0 0 0 0
94,924 0 289,680 0 28,803
31-12-1969 4 2,705,334 0 0 0
196912312010011029 MKG:19 0 216,427 0 02222203156221
Juru Tk.I-1D 16 0 0
684873417915000 3,170,030 0 245,230 0
0 2,924,800
PEG: 1 237,310 175,000 0 0 0 0
IST: 1 JIWA= 4 94,924 0 289,680 0 28,803
2,705,334 0 0 0
ANK: 2 0 216,427 0
16 0 0
3,170,030 0 245,230
0 2,924,800

NO KAWIN
TOTAL PER SATKER 117,665,000 490,000 0 0 48,076 0
PEG: 36 8,040,030 1,080,000 0 0 0 0
IST: 24 JIWA= 106 3,074,952 10,900,000 7,676,520 0 1,412,503
ANK: 46 128,779,982 0 48,076 0
0 10,302,401 0
0 0
1,802 0 11,762,980
148,976,380
0 137,213,400
KEPALA DINAS KESEHATAN MASYARAKAT ,23 JUNI 2023

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

NO KAWIN
1 DR, IDA BAGUS OKA SUTEJA K -1 4,194,600 0 0 0 5,292 0 1 .............
2 419,460 0 0 0 0 0
167,784 1,200,000 289,680 0 59,818
16-11-1978 4 4,781,844 0 5,292 0
197811162005011010 MKG:18 0 382,548 0
6,276,858 0 447,658 0
0 5,829,200
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 4,024,400 0 0 0 17,042 0 3 .............
0 0 0 0 0 0 0
0 1,200,000 72,420 0 52,244
31-10-1978 1 4,024,400 0 17,042 0
197810312006042016 MKG:18 0 321,952 0
Pembina-4A 0 0222205707023
76 0
795940832914000 5,313,938 0 391,238 0
0 4,922,700
4 NI MADE SINARTINI WIDIASTUTI K -1 4,416,700 0 0 0 48,913 0 4 .............
1 441,670 0 0 0 0 0
88,334 850,000 217,260 0 57,967
12-05-1972 3 4,946,704 0 48,913 0
197205121993022005 MKG:24 0 395,736 0
Pembina-4A 0 0222200710220
39 0
587444308915000 6,062,916 0 502,616 0
0 5,560,300
5 ERNI ZOHRAH. ,S.SI K -0 4,281,800 0 0 0 12,033 0 5 .............
0 0 0 0 0 0 0
0 850,000 72,420 0 51,318
15-11-1977 1 4,281,800 0 12,033 0
197711151996032001 MKG:22 0 342,544 0
Pembina-4A 0 0222205054024
42 0
77.893.753.2-911.000 5,216,295 0 405,895 0
0 4,810,400
6 HAERONI ,S.KM K -1 3,666,900 0 0 0 17,771 0 6 .............
2 366,690 0 0 0 0 0
146,676 850,000 289,680 0 50,303
31-12-1977 4 4,180,266 0 17,771 0
197712312010012016 MKG:13 0 334,421 0 0222200462226
Pembina-4A 78 0 0
15.984.021.4-915.000 5,337,795 0 402,495 0
0 4,935,300
PEG: 6 1,656,000 0 0 0 0 0
IST: 4 JIWA= 17 574,066 4,950,000 1,231,140 0 325,863
27,096,266 0 101,051 0
ANK: 7 0 2,167,701 0
358 0 0
33,918,815 0 2,594,615
0 31,324,200

NO KAWIN
7 J O H A R A N A H K -0 4,108,100 0 0 0 0 0 7 .............
0 0 0 0 0 0 0
0 500,000 72,420 0 46,081
02-11-1975 1 4,108,100 0 0 0
197511021996032003 MKG:22 0 328,648 0 0222200972220
88.957.153.5-915.000 4,680,529 0 374,729 0
0 4,305,800
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 EKA MARDIANA ,AMD.KEP K -1 3,272,200 0 0 0 0 0 9 .............
2 327,220 0 0 0 0 0
130,888 600,000 289,680 0 43,303
01-03-1985 4 3,730,308 0 0 0
198503012010012023 MKG:10 0 298,425 0
Penata-3C 0 0222203421223
40 0
68.592.919.2-911.000 4,620,028 0 341,728 0
0 4,278,300
10 HJ. SAKDIAH ,AMD.KEP JD-0 3,941,400 0 0 0 0 0 10 .............
2 0 0 0 0 0 0
157,656 500,000 217,260 0 45,991
31-12-1974 3 4,099,056 0 0 0
197412311996032004 MKG:22 0 327,924 0
Penata-3C 0 0222200913225
99 0
57.336.506.1-915.000 4,816,415 0 373,915 0
0 4,442,500
11 LIA ARIANTINI JD-0 3,591,200 0 0 0 0 0 11 .............
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
12 HENDRA SUNDARI WIDIATI ,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
27-12-1977 4 3,730,308 0 0 0
197712272010012010 MKG:10 0 298,425 0 0222203393221
Penata-3C 40 0 0
15.921.149.9-913.000 4,520,028 0 340,728 0
0 4,179,300
13 DEWI SUSETIYOWATI, AMG 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
18-03-1986 4 3,730,308 0 0 0
198603182010012012 MKG:10 0 298,425 0
Penata-3C 0 0222200321226
40 0
44.789.698.6-911.000 4,520,028 0 340,728 0
0 4,179,300

NO KAWIN
14 M. HELMY NURYADIN K -1 3,340,300 490,000 0 0 0 0 14 .............
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 0222200269222
816387567914000 4,587,714 0 347,614 0
0 4,240,100
15 MUHAMAD ALI AFWAN .A,MD,KEP TK-0 3,139,400 0 0 0 0 0 15 .............
0 0 0 0 0 0 0
0 495,000 72,420 0 36,344
13-10-1981 1 3,139,400 0 0 0
198110132011011016 MKG:10 0 251,152 0 0222201316228
88.518.219.6-911.000 3,706,896 0 287,496 0
0 3,419,400
16 LINA SUSILAWATI K -1 3,781,400 0 0 0 0 0 16 .............
2 378,140 0 0 0 0 0
151,256 300,000 289,680 0 46,108
26-08-1975 4 4,310,796 0 0 0
197508262007012019 MKG:23 0 344,864 0
96 0
88.957.131.1-915.000 4,900,572 0 390,972 0
0 4,509,600
17 EGA TRISNA DEWI ,AMD.KEB. K -1 3,238,300 0 0 0 0 0 17 .............
2 323,830 0 0 0 0 0
129,532 300,000 289,680 0 39,917
15-10-1987 4 3,691,662 0 0 0
198710152009012003 MKG:12 0 295,333 0
8 0
166244285915000 4,281,350 0 335,250 0
0 3,946,100
18 JARSIAH TK-0 3,781,400 0 0 0 0 0 18 .............
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
19 KURNIAWATI JD-0 3,340,300 0 0 0 0 0 19 .............
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 0222206374029
15.910.229.2-915.000 3,816,989 0 309,289 0
0 3,507,700
20 M. RAMADHANI PUTRAWAN K -0 2,830,900 0 0 0 0 0 20 .............
,A.Md.Kep. 0 0 0 0 0 0 0
0 300,000 72,420 0 31,309
14-03-1992 1 2,830,900 0 0 0
199203142015021001 MKG: 6 0 226,472 0
Penata Muda-3A 0 0222201020220
61 0
74.227.389.9-911.000 3,203,381 0 257,781 0
0 2,945,600

NO KAWIN
21 NI PUTU SAPTA PURNAMA DEWI TK-0 3,305,700 0 0 0 0 0 21 .............
0 0 0 0 0 0 0
0 265,000 72,420 0 35,707
10-01-1982 1 3,305,700 0 0 0
198201102014062001 MKG:16 0 264,456 0 0222200010229
72.882.086.1-911.000 3,643,163 0 300,163 0
0 3,343,000
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
SUB TOTAL PERGOLONGAN : III 55,263,800 490,000 0 0 0 0
PEG: 16 2,017,660 370,000 0 0 0 0
IST: 6 JIWA= 39 1,175,174 5,290,000 2,824,380 0 646,066
58,456,634 0 0 0
ANK: 17 0 4,676,531 0
783 0 0
67,431,797 0 5,322,597
0 62,109,200
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 83,110,800 1,030,000 0 0 101,051 0
PEG: 23 3,971,740 550,000 0 0 0 0
IST: 11 JIWA= 60 1,868,472 10,240,000 4,345,200 0 1,007,710
ANK: 26 88,951,012 0 101,051 0
0 7,116,081 0
0 0
1,179 0 8,224,842
105,218,442
0 96,993,600
KEPALA PUSKESMAS GUNUNGSARI ,23 JUNI 2023
NI MADE AMBARYATI
NIP 196112301987012001

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PEMERINTAH KABUPATEN LOMBOK BARAT

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H. RACHMAN SAHNAN PUTRA,

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