DAFTAR PEMBAYARAN PENGHASILAN PPNPN

BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

1 ABDUL SUPARMAN 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 207401009023507
7413063005160001 24-10-2017
157889882811000 1. ...............
2 BIWANA AMALIA 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 207401009031500
1017052012040241 24-10-2017
000000000063000 2. ...............
3 MARIA GORETI SASI, Amd. AK 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 179701000731508
5371050207140006 24-10-2017
815061270922000 3. ...............
4 drg. IMELDA GRACE SONDANG 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 179701000742509
1271012806060024 24-10-2017
666007174121000 4. ...............
5 UTIK SEPTIARINI 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009032506
6472079735300000 24-10-2017
666860440542000 5. ...............
6 HASRIANI 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 207401009009503
7371142712160019 24-10-2017
668454176801000 6. ...............
7 dr. FITRI SOVIA 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 179701000749501
1508131809150004 24-10-2017
155506280331000 7. ...............
8 DETTY IRMAYASARI 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 207401008996503
7313062707150005 24-10-2017
822942199808000 8. ...............
JUMLAH HALAMAN INI 73.836.000 2.373.392 1.216.540 3.589.932 70.246.068

9 MARIA BEATRIK SAKO, Amd. Gz 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 179701000752504
5303180305160001 24-10-2017
000000000063000 9. ...............

Halaman 1
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

10 ABD RACHMAN RAMLI 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 207401009018502
7413010304170002 24-10-2017
706461456805000 10. ...............
11 RESMITA 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401008999501
7307051012140002 24-10-2017
754127926806000 11. ...............
12 ROSFITA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009020509
7404312708150006 24-10-2017
664701430816000 12. ...............
13 drg. I MADE PARWICA 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 179701000743505
5108080410100009 24-10-2017
755009123902000 13. ...............
14 FIFIANI ANJELINA NATTI, S.Gz 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 179701000747509
5308192211120005 24-10-2017
000000000063000 14. ...............
15 NURUL INSANI 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 207401008998505
7371101108980280 24-10-2017
000000000063000 15. ...............
16 LILIS IRENE SINAMBELA 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 162401004487508
1210012005090783 24-10-2017
080651276116000 16. ...............
JUMLAH HALAMAN INI 64.378.000 1.871.112 1.084.800 2.955.912 61.422.088

17 RICHARDUS CHARLES USFUNAN, 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000741503
5303052701150001 24-10-2017
000000000063000 17. ...............
18 LA RABIA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009014508
8205162510100052 24-10-2017
000000000063000 18. ...............

Halaman 2
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

19 MELLY AFRIYATI 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 207401009000509
1171090905140002 24-10-2017
740652540101000 19. ...............
20 NURUL HUDA 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 162401004482508
7371122810140011 24-10-2017
000000000063000 20. ...............
21 YUDA WIDIA NUGRAHA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009038502
7471092701110010 24-10-2017
000000000063000 21. ...............
22 SITI HARDIYANTI ILHAM 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 207401009013502
7318050806081022 24-10-2017
000000000063000 22. ...............
23 RICE MANDOWA 1000 HK.01.07/MENKES/51 7.563.000 134.242 151.260 285.502 7.277.498 207401008997509
7324071112100077 24-10-2017
808565337803000 23. ...............
24 FYRA WAHYUNI ARSYAD 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009001505
7310042804070034 24-10-2017
000000000063000 24. ...............
JUMLAH HALAMAN INI 63.842.000 1.489.902 1.167.700 2.657.602 61.184.398

25 ADRIANA MONIZ, S.Farm 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000735502
5304121012064601 24-10-2017
589561224925000 25. ...............
26 dr. MAISARAH 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 179701000732504
1108061206060025 24-10-2017
000000000063000 26. ...............
27 ANDI ISNA PURNAMA SARI 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 162401004479505
7309022901051737 24-10-2017
828085225809000 27. ...............

Halaman 3
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

28 JOHANNA CLARISSA CHRESTELLA 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 162401004486502
3216061904070753 24-10-2017
722912862435000 28. ...............
29 RATI PUSPITA DEWI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009030504
5305010910120007 24-10-2017
000000000063000 29. ...............
30 STANISLAUS FALO, Amd. Gz 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 179701000750502
5303181909110001 24-10-2017
000000000063000 30. ...............
31 MARSELLA USATRESI, S.Gz 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000744501
5303031403080034 24-10-2017
808923916925000 31. ...............
32 LUTHFITASARI 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004473509
3175040501091388 24-10-2017
983770280005000 32. ...............
JUMLAH HALAMAN INI 60.242.000 1.265.880 1.117.420 2.383.300 57.858.700

33 IHSAN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009033502

7471081503910003 24-10-2017
800639221811000 33. ...............
34 AGNES SURRYA SANTOS UJU, 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 179701000746503
5304050501090003 24-10-2017
000000000063000 34. ...............
35 drg. MAYA SAFITRI 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 179701000751508
1371092910070051 24-10-2017
812169449201000 35. ...............
36 MUJIBURRAHMAN, Amd. Gz 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 179701000736508
6308052705130005 24-10-2017
000000000063000 36. ...............

Halaman 4
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

37 SUSANTI ANGKAT 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 162401004484500
1175012101053284 24-10-2017
000000000063000 37. ...............
38 NURKAYATI 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009022501
7403220710080002 24-10-2017
800282659816000 38. ...............
39 ROSIDA 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009039508
7404210305100002 24-10-2017
282901955816000 39. ...............
40 ARDIANTI LIMPO 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009004503
7310102901051969 24-10-2017
822467288809000 40. ...............
JUMLAH HALAMAN INI 61.378.000 1.425.888 1.084.800 2.510.688 58.867.312

41 YASINNURRASYAD A R 1000 HK.01.07/MENKES/51 8.595.000 183.263 160.000 343.263 8.251.737 207401009035504

3273022907108318 24-10-2017
820629459423000 41. ...............
42 TAUFIK 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 151001010388509
7310032808150001 24-10-2017
822067617809000 42. ...............
43 ARYANCE DJO DJAMI, Amd. Gz 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 179701000739506
5321010708150012 24-10-2017
000000000063000 43. ...............
44 drg. EPIFENI DOLOKSARIBU 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 179701000755502
1272030709079435 24-10-2017
820509826117000 44. ...............
45 SYAHRUL RAMADHAN RAHARJO 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009003507
7602011503170014 24-10-2017
827708751814000 45. ...............

Halaman 5
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

46 WAWAN ALWI 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 162401004480506
7302080607170002 24-10-2017
827873746808000 46. ...............
47 RIL WANI BABANG, Amd. KL 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 179701000734506
5311191103080392 24-10-2017
822691580926000 47. ...............
48 MAYA SUMANTI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004489500
1707012111070012 24-10-2017
759665300327000 48. ...............
JUMLAH HALAMAN INI 55.954.000 1.062.202 1.043.560 2.105.762 53.848.238

49 NIA ZURVIANI, AMD.KEP 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 034101063095503
7310032901050312 24-10-2017
731536645825000 49. ...............
50 ROSNIYASTUTI HASIM 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004481502
7302102204071100 24-10-2017
827898453806000 50. ...............
51 JULETA MATMOF, Amd. AK 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 179701000733500
5371042512072925 24-10-2017
827854621922000 51. ...............
52 NADYA YOSELIN 1000 HK.01.07/MENKES/51 11.181.000 510.483 160.000 670.483 10.510.517 162401004469500
1371091709080036 24-10-2017
000000000063000 52. ...............
53 HALIS HERMAWAN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009024503
7405160912130002 24-10-2017
169919925811000 53. ...............
54 HASWINDA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004477503
7311030211100012 24-10-2017
000000000063000 54. ...............

Halaman 6
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

55 NALIA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009002501

7302102304070601 24-10-2017
736089178806000 55. ...............
56 OLGA HADIWIJAYA SUHENDA 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004497503
7171052302080151 24-10-2017
000000000063000 56. ...............
JUMLAH HALAMAN INI 49.254.000 743.954 921.460 1.665.414 47.588.586

57 OKTAVIA FREITAS NAHAK, S.Gz 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000745507
5301182003120037 24-10-2017
156886962922000 57. ...............
58 IKRAR LIDYA SARI 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 207401009042501
3404070604170005 24-10-2017
809544992953000 58. ...............
59 HASYIM AMG 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009029503
7471062902080147 24-10-2017
000000000063000 59. ...............
60 HIJRIANI 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004488504
7301041607080007 24-10-2017
000000000063000 60. ...............
61 AKBAR BUDI TANGGUDA, Amd. Gz 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 179701000738500
8271060112090001 24-10-2017
000000000063000 61. ...............
62 SANAKI MINGGU 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004496507
8271011004050368 24-10-2017
000000000063000 62. ...............
63 DWI RACHMADHINA DEWANTI 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009037506
3578260201084162 24-10-2017
822470068619000 63. ...............

Halaman 7
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

64 NANDA FERDINAL YANTI 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004470501
1109022011060039 24-10-2017
000000000063000 64. ...............
JUMLAH HALAMAN INI 55.268.000 878.253 1.071.740 1.949.993 53.318.007

65 SOCHRAYANTI ADMAR 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004485506
730202170507OOO1 24-10-2017
000000000063000 65. ...............
66 NUR SAKINAH 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 207401009008507
7317210412090047 24-10-2017
827844606803000 66. ...............
67 AKHSANIL FITRI MARHADI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009005509
7317042905150001 24-10-2017
000000000063000 67. ...............
68 DEVI GUSNI YANTI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009007501
1305170803100005 24-10-2017
809991201201000 68. ...............
69 HASAN 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004483504
7371100908170028 24-10-2017
827711615804000 69. ...............
70 YANARIA ELISABETH TAWA, Amd. 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 179701000748505
5308182305110004 24-10-2017
000000000063000 70. ...............
71 ANIKE ANASUKEM YARANGGA, 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000740507
9202120511116000 24-10-2017
000000000063000 71. ...............
72 TENTIANA MARIA WADA, S.Gz 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 179701000753500
5308182910090001 24-10-2017
000000000063000 72. ...............

Halaman 8
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

JUMLAH HALAMAN INI 46.206.000 394.783 924.120 1.318.903 44.887.097

73 NISFAHUL LAIL 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009025509
7402021602090001 24-10-2017
091234654321123 73. ...............
74 SISWANTO 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009036500
7405040304940002 24-10-2017
000000000063000 74. ...............
75 JEPRI PRANATA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009027501
1709011304100055 24-10-2017
827664756328000 75. ...............
76 HASNI KAIMUDIN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009010504
8101142002080496 24-10-2017
000000000063000 76. ...............
77 IMELDA ROSA INDIRA 1000 HK.01.07/MENKES/51 9.681.000 287.871 160.000 447.871 9.233.129 207401009015504
5171031801120015 24-10-2017
000000000063000 77. ...............
78 ZULFIKAR HASBULLAH 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 162401004491507
7371141805001513 24-10-2017
827881780801000 78. ...............
79 NOVIANTY SURBAKTI, S.Tr. Gz 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 179701000737504
1207051609093481 24-10-2017
814323168031000 79. ...............
80 SULFAN 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009034508
7405092103080203 24-10-2017
809103013811000 80. ...............
JUMLAH HALAMAN INI 53.840.000 810.423 1.043.180 1.853.603 51.986.397

Halaman 9
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

81 ANTHONIA ALEX BANUNAEK, S.Gz 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 179701000754506
5371032512072498 24-10-2017
000000000063000 81. ...............
82 IRMAYANI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009011500
7316041608021558 24-10-2017
000000000063000 82. ...............
83 ELVI RIVIANTI SIHOTANG 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004468504
1471012805090011 24-10-2017
807042783216000 83. ...............
84 ARNINA 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009017506
7410011408083532 24-10-2017
000000000063000 84. ...............
85 DEFRIAN MUHAMMAD 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004490501
1101081302120004 24-10-2017
822473278106000 85. ...............
86 AYU ANASTASIA 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004474505
7371110804080003 24-10-2017
000000000063000 86. ...............
87 KURNIA SHALEHA 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004493509
8101170108080001 24-10-2017
000000000063000 87. ...............
88 ISHAINI LARASATI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004478509
1871130201150007 24-10-2017
000000000063000 88. ...............
JUMLAH HALAMAN INI 41.548.000 173.532 830.960 1.004.492 40.543.508

89 A FEBRI ADYAKSA JASMAN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004492503
7305022501054961 24-10-2017
000000000063000 89. ...............

Halaman 10
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

90 MUSLIMAH S. 1000 HK.01.07/MENKES/51 7.981.000 154.096 159.620 313.716 7.667.284 207401009026505

7316032012160002 24-10-2017
809111594802000 90. ...............
91 ATIKAH 1000 HK.01.07/MENKES/51 6.331.000 75.721 126.620 202.341 6.128.659 162401004494505
6311052702120009 24-10-2017
000000000063000 91. ...............
92 NUR FATIMAH SARI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004476507
7471082101090027 24-10-2017
000000000063000 92. ...............
93 NURSALAMAH DEMLINUR PUTRI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004471507
1403916120702030 24-10-2017
801418799219000 93. ...............
94 RINITA ZURAIDA 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009012506
1801062207090009 24-10-2017
000000000063000 94. ...............
95 ELSY VINOLIA TUKU 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004495501
7371020512001229 24-10-2017
000000000063000 95. ...............
96 ST NIMRAH BAHARUDDIN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 162401004475501
7317050405160001 24-10-2017
000000000063000 96. ...............
JUMLAH HALAMAN INI 44.702.000 323.345 894.040 1.217.385 43.484.615

97 SALIM 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009040509

7472061602089991 24-10-2017
588732487219000 97. ...............
98 A. ASRINA ASMAR 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 207401009028507
7302052405100032 24-10-2017
822357844806000 98. ...............

Halaman 11
 DAFTAR PEMBAYARAN PENGHASILAN PPNPN
BULANAN
No. DPP: 000014
BULAN : JANUARI 2018

SATUAN KERJA : BIRO UMUM (465930)

ANAK SATKER : NS INDIVIDU BACTH II DESEMBER(45)
KEMENTERIAN : KEMENTERIAN KESEHATAN (024)

NAMA NOMOR
STATUS JUMLAH IURAN JAMINAN JUMLAH JUMLAH NOMOR REKENING
NO NIK TANGGAL PPh PASAL 21
TK/K1/K2/K3 SK/PERJANJIAN/ PENGHASILAN KESEHATAN POTONGAN BERSIH TANDA TANGAN
NPWP
KONTRAK KERJA

99 DARNI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009006505

7313090204080773 24-10-2017
000000000063000 99. ...............
100 WIEBRI AUSTIEN 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401008995507
1771032801080085 24-10-2017
813981974325000 100. ...............
101 ANDI NURHARDIANTI 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401008994501
7206081803081924 24-10-2017
000000000063000 101. ...............
102 SRIYANI NANINGSIH TANGAHU 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009041505
7103242101160002 24-10-2017
077237741822000 102. ...............
103 FETRI YARNIS 1000 HK.01.07/MENKES/51 6.255.000 72.113 125.100 197.213 6.057.787 162401004472503
1308072412080017 24-10-2017
825190176202000 103. ...............
104 ANDI ASNIDA ASMAR 1000 HK.01.07/MENKES/51 4.827.000 4.283 96.540 100.823 4.726.177 207401009016500
7302052424051032 24-10-2017
822266912806000 104. ...............
JUMLAH HALAMAN INI 42.900.000 237.754 858.000 1.095.754 41.804.246

JUMLAH TOTAL 713.348.000 13.050.420 13.258.320 26.308.740 687.039.260

, 22-02-2018
Pejabat Pembuat Komitmen

Erna Ningsih, SKM, MKM

NIP. 197912272005012003

Halaman 12