Tunjangan Daerah 2018

PEMERINTAH KABUPATEN BARITO UTARA
DINAS KESEHATAN
UPT PUSKESMAS LAHEI II
Jln. Padat Karya No. 7070, RT.07 Kelurahan Lahei II Kecamatan Lahei 73852
REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN JULI 2014
TIDAK HADIR
PANGKAT / GOL. JLH HARI JLH
NO NAMA / NIP TDK APEL P/S
RUANG KERJA IZIN DL SAKIT CUTI TK KEHADIRAN
APEL P/S TK
dr. TIUR MAIDA Penata Tk. I

1
19780324 200604 2 009 / IIId
23 - - - - - - - 23
R U S M A, A.Md.Kep. Penata Tk. I

2
19660814 198802 1 002 / IIId
23 - - - - - - - 23
SURIANSYAH Penata Tk. I

3
19660215 198901 1 003 / IIId 23 - - - - - - - 23
USMAN ALIPANDI, S.Sos

4
19620615 198803 1 011
Penata / IIIc 23 - - - - - - - 23
ANIS FATMAWATI, S.Farm.Apt

5 19840803 201001 2 025 Penata / IIIc 23 - - - - - - - 23
MISDAYANTI, A.Md.Keb. Penata Muda

7
19801227 200501 2 010 Tk. I / IIIb
23 - - - - - 23 - -
MERLY MUNADI, A.Md.Kep. Penata Muda

8
19800503 200501 1 008 Tk. I / IIIb
23 - - 1 2 - - - 20
AHMAD RIYADI Penata Muda

9
19690411 199803 1 010 / IIIa
23 - - - - - - - 23
JOKO SANTOSO A.Md.Kep. Pengatur Tk. I /

10
19791226 200903 1 003 IId
23 - - - - - - - 23
ENI OPFRIANTY,A,Md.Kep Pengatur Tk. I /

11
19871020 201001 2 015 IId
23 - - - - - - - 23
IRNAWATI, A.Md.AK Pengatur Tk. I /

12
19850712 201001 2 035 IId
23 - - - - - - - 23
CITRANITA NATA, AMG Pengatur Tk. I /

13
19831111 201001 2 028 IId
23 - - - 2 - - - 21
LISA DAMAYANTI, A.Md.Kep Pengatur Tk. I /

14
19860421 201001 2 029 IId
23 - - - - - - - 23
RAHMAT YANI, A.Md.Kep.
Pengatur Tk. I /
15 19851002 200604 1 IId 23 - - - - - - - 23
003
LEONARDO,AMK Pengatur Tk. I /
16
19880414 201001 1 005 IId 23 - - 1 2 - - - 20
WAHDAH, A.Md.KL Pengatur Tk. I /

17
19860118 201001 2 030 IId
23 - - - - - - - 23
MAHIBATUL MARWIYAH,A. Md.Keb Pengatur Tk. I /

18 19880113 201001 2 013 IId
23 - - - - - 23 - -
SALMA INDAH PURNAMASARI,A.Md.Gz

19 19891211 201101 2 006
Pengatur / IIc 23 - - - - - - - 23
SITI JALEHA,
20
19760725 200501 2 005
Pengatur / IIc 23 - - 1 2 - - - 20
RETNO PRAYETNO, A.Md.Kep
21 19880329 201101 1 Pengatur / IIc 23 - - - - - - - 23
004
WARSI MUKOCILO,A.Md.Kep
22 19780623 200604 2 Pengatur / IIc 23 - - 1 - - - - 22
014
MASNIAH
23
19740424 200604 2 040
Pengatur / IIc 23 - - - - - - - 23
QOWIATUL MUSTONAH
24
19780622 200604 2 019
Pengatur / IIc 23 - - TUBEL - -
SUGIANTI 19770408
25
200604 2 010
NURUL LIGA, A.Md.Kep.

26
19900814 201403 2 003
Pengatur / IIc 23 - - - - - - - 23
NORMINAWATI, A.Md.Keb.
27
15.4.034420
PTT 23 - - - - - - - 23
Lahei II, 26 Juli 2014
Mengetahui : Pembuat Daftar

Kepala UPT Puskesmas Lahei II
Usman Alipandi, S.Sos.

dr. TIUR MAIDA NIP. 19620615 198803 1 011
Penata Tk. I / IIId
NIP. 19780324 200604 2 009
DINAS KESEHATAN
REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN AGUSTUS 2014
TIDAK HADIR
APEL P/S TK

1
19780324 200604 2 009 / IIId
26 - - - - - - - 26

2
19660814 198802 1 002 / IIId
26 - - - - - - - 26

3
19660215 198901 1 003 / IIId
26 - - - - - - - 26
USMAN ALIPANDI, S.Sos

4
19620615 198803 1 011
Penata / IIIc 26 - - - - - - - 26

5 19840803 201001 2 025 Penata / IIIc 26 - - - - - - - 26

7
19801227 200501 2 010 Tk. I / IIIb 26 - - - - - 26 - -

8
19800503 200501 1 008 Tk. I / IIIb
26 - - 1 1 - - - 24

9
19690411 199803 1 010 / IIIa
26 - - - - - - - 26

10
19791226 200903 1 003 IId
26 - - - - - - - 26
ENI OPFRIANTY,A,Md.Kep Pengatur Tk. I /

11
19871020 201001 2 015 IId
26 - - - - - - - 26

12
19850712 201001 2 035 IId
26 - - - 1 - - - 25

13
19831111 201001 2 028 IId
26 - - - - - - - 26

14
19860421 201001 2 029 IId
26 - - - - - - - 26
Pengatur Tk. I /
15 19851002 200604 1 IId
26 - - - - - - - 26
003
16
19880414 201001 1 005 IId
26 - - 3 2 - - - 21

17
19860118 201001 2 030 IId
26 - - - - - 26 - -

18 19880113 201001 2 013 IId 26 - - - 2 - 26 - (2)

19 19891211 201101 2 006
SITI JALEHA,
20
19760725 200501 2 005
Pengatur / IIc 26 - - 1 1 - - - 24
21 19880329 201101 1 Pengatur / IIc 26 - - - 1 - - - 25
004
22 19780623 200604 2 Pengatur / IIc 26 - - - 1 - - - 25
014
MASNIAH
23
19740424 200604 2 040
Pengatur / IIc 26 - - - - - - - 26
QOWIATUL MUSTONAH
24
19780622 200604 2 019
SUGIANTI 19770408
25
200604 2 010

26
19900814 201403 2 003
Pengatur / IIc 26 - - - - - - - 26
NORMINAWATI, A.Md.Keb.
27
15.4.034420
PTT 26 - - - - - - - 26
Lahei II, 30 Agustus 2014


dr. TIUR MAIDA NIP. 19620615 198803 1 011
Penata Tk. I / IIId
NIP. 19780324 200604 2 009
DINAS KESEHATAN
REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN SEPTEMBER 2015
TIDAK HADIR
APEL P/S TK

1
19780324 200604 2 009 / IIId
26 - - - - - - - 26

2
19660814 198802 1 002 / IIId
26 - - - - - - - 26

3
19660215 198901 1 003 / IIId
26 - - - - - - 26

5 19840803 201001 2 025 Penata / IIIc 26 - - - - - - - 26

7
19801227 200501 2 010 Tk. I / IIIb
26 - - - - - - - 26

8
19800503 200501 1 008 Tk. I / IIIb 26 - - - - - 26

9
19690411 199803 1 010 / IIIa
26 - - - - - - - 26

10
19791226 200903 1 003 IId
26 - - - - - - - 26

11
19850712 201001 2 035 IId
26 - - - - - - 26

12
19831111 201001 2 028 IId
26 - - - - - 26

13
19860421 201001 2 029 IId
26 - - - - - - - 26
Pengatur Tk. I /
14 19851002 200604 1 IId
26 - - - - - - - 26
003
15
19880414 201001 1 005 IId
26 - - - - - 26

16
19860118 201001 2 030 IId
26 - - - - - - 26

17 19880113 201001 2 013 IId
26 - - - - - - 26

18 19891211 201101 2 006
SITI JALEHA,
19
19760725 200501 2 005
Pengatur / IIc 26 - - - - - - 26
20 19880329 201101 1 Pengatur / IIc 26 - - - - - - - 26
004
21 19780623 200604 2 Pengatur / IIc 26 - - - 2 - - - 24
014
MASNIAH
22
19740424 200604 2 040
Pengatur / IIc 26 - - - - - - - 26
QOWIATUL MUSTONAH
23
19780622 200604 2 019
SUGIANTI 19770408
24
200604 2 010
Pengatur / IIc 26 - - - - - - - 26

25
19900814 201403 2 003
Pengatur / IIc 26 - - - - - - - 26
Lahei II, 30 September 2015


dr. TIUR MAIDA NIP. 19620615 198803 1 011
Penata Tk. I / IIId
NIP. 19780324 200604 2 009

DINAS KESEHATAN
REKAPITULASI DAFTAR HADIR PEGAWAI TIDAK TETAP ( PTT ) BULAN JULI s.d SEPTEMBER 2014
SURAT PERNYATAAN MELAKSANAKAN TUGAS (SPMT) No. 800/311/Peg./PKM-ML/VI/2013, Tanggal 16 Juni 2013
BULAN : JULI 2014

TIDAK HADIR
APEL P/S TK
dr. ANNISA SETIYAWATI

2 KASTINI PTT 23 - - 5 - - - - 18
NRPTT. 15.1.0053481
BULAN : AGUSTUS 2014

TIDAK HADIR
APEL P/S TK

2 KASTINI PTT 26 - - 9 - - - - 17
NRPTT. 15.1.0053481
BULAN :SEPTEMBER 2014

TIDAK HADIR
APEL P/S TK

2 KASTINI PTT 26 - - - - - - - 26
NRPTT. 15.1.0053481


dr. TIUR MAIDA NIP. 19620615 198803 1 011
Penata Tk. I / IIId
NIP. 19780324 200604 2 009
DAFTAR PERMINTAAN TUNJANGAN TAMBAHAN PENGHASILAN PNS
DILINGKUNGAN UPT PUSKESMAS LAHEI II KECAMATAN LAHEI
UNTUK BULAN : JANUARI 2016
BESARNYA TUNJ. POTONGAN JLH YG

IZIN/SAKIT CUTI DLL JUMLAH JLH KOTOR PPH : JLH POT.
TAMBAHAN Tidak Apel P/S Apel P/S Tdk Tidak Kerja DITERIMA TANDA
NO NAMA NIP / GOLONGAN JABATAN / ESELON 2% 50% 5+6+7+8+9 4-10 Gol.IV = 15 % 10+12
PENGHASILAN 1% Kerja 2% TK 4% 11-12 DITERIMA
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka Sub Bag.TU 1,250,000 - - - - - - 1,250,000 62,500 62,500 1,187,500
Penata Tk. I / IIId
R U S M A, A.Md.Kep.
19660814 198802 1 002
2 Pelaksana 950,000 - - - - - - 950,000 47,500 47,500 902,500
Penata
Tk. I / IIId
4 19840803 201001 2 025 Apoteker 950,000 - - - - - - 950,000 47,500 47,500 902,500
Penata / IIIc
MISDAYANTI, A.Md.Keb.
5 19801227 200501 2 010 Pelaksana 950,000 - - - - 950,000 47,500 47,500 902,500
Penata Muda Tk. / IIIb
MERLY MUNADI, A.Md.Kep.
6 19800503 200501 1 008 Pelaksana 950,000 - - Err:522 - - - 950,000 47,500 47,500 902,500
AKHMAD RIYADI
7 19690411 199803 1 009 Pelaksana 950,000 - - - - - - 950,000 47,500 47,500 902,500
Penata Muda / IIIa
JOKO SANTOSO,A.Md.Kep.
8 19791226 200903 1 003 Pelaksana 950,000 - - - - - - 950,000 47,500 47,500 902,500
Penata Muda / IIIa
IRFANSYAH MALADI.AMK
9 19890724 201001 1 002 Pelaksana 800,000 - 800,000 800,000
Pengatur Tk I / Iid
IRNAWATI, A.Md.AK.
10 19850712 201001 2 035 Pranata Lab. Kes 800,000 - - - - - 800,000 - - 800,000
Pengatur Kt. I / IId
CITRANITA NATA, AMG
19831111 201001 2 028
11 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
Pengatur Kt. I /
IId
LISA DAMAYANTI, A.Md.Kep.
19860421 201001 2 029
12 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
Pengatur Kt. I /
IId
19851002 200604 1 003
13 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
Pengatur Kt. I /
IId
WAHDAH, A.Md.KL.
14 19860118 201001 2 030 Sanitarian 800,000 - - - - - - 800,000 - - 800,000
Pengatur Tk. I / Iid
MAHIBATUL MARWIYAH A.Md.Keb.

15 19881113 201001 2 012 Bidan 800,000 - - - - 800,000 - - 800,000
LEONARDO. AMK
16 19880414 201001 1 005 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
SUGIANTI
17 19770408 200604 2 010 Pelaksana 800,000 - - - - - - 550,000 - - 550,000
Pengatur Tk I / Iid
SALMA INDAH PURNAMASARI A.Md. Gz
18 19891211 201101 2 006
Pengatur / IIc
Pelaksana TUBEL - - -
SITI JALEHA
19 19760725 200501 2 005 Bidan 800,000 - - - - 800,000 - - 800,000
Pengatur / IIc
RETNO PRAYETNO, A.Md.Kep.
19880329
20 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
201101 1 004
Pengatur / IIc
MASNIAH
21 19740424 200604 2 040 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
Pengatur / IIc
WARSI MUKOCILO, A.Md.Keb.
19780623
22 Pelaksana 800,000 - - - - - - 800,000 - - 800,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH
23 19780622 200604 2 019 Pelaksana 800,000 - - 550,000 - - 550,000
Pengatur / IIc
24 19900814 201403 2 003 Pelaksana 800,000 - - - - 800,000 - - 800,000
Pengatur / IIc
J U M LAH 18,950,000 - - - - - - 18,450,000 347,500 347,500 18,102,500
Lahei II, 30 Januarii 2015

dr. TIUR MAIDA SURIANSYAH

Penata Tk. I / IIId NIP. 19661502 198901 1 003
NIP. 19780324 200604 2 009
UNTUK BULAN JULI S/D AGUSTUS 2015
BULAN : Juli 2015
TAMBAHAN Tidak Apel P/S Apel P/S Tdk Tidak Kerja DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON 2% 50% 5+6+7+8+9 4-10 Gol.IV = 15 % 10+12 TANDA TERIMA
PENGHASILAN 1% Kerja 2% TK 4% 11-12
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.Sub.Bag TU. 1,000,000 - - - - - - 1,000,000 50,000 50,000 950,000
Penata Tk. I / IIId
19660814 198802 1 002
2 Pelaksana 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata
Tk. I / IIId
3 19840803 201001 2 025 Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata / IIIc
4 19801227 200501 2 010 Pelaksana 700,000 - - - - - 700,000 35,000 35,000 665,000
5 19800503 200501 1 008 Pelaksana 700,000 - - - - - 700,000 35,000 35,000 665,000
AKHMAD RIYADI
6 19690411 199803 1 009 Pelaksana 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Muda / IIIa
7 19791226 200903 1 003 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
8 19890724 201001 1 002 Pelaksana 550,000 - 550,000 550,000
Pengatur / IIc
IRNAWATI, A.Md.AK.
9 19850712 201001 2 035 Perawat 550,000 - - - - 275,000 275,000 275,000 - 275,000 275,000
CITRANITA NATA, AMG
19831111 201001 2 028
10 Sanitarian 550,000 - - - - - - 550,000 - - 550,000
Pengatur Kt. I /
IId
19860421 201001 2 029
11 Pranata Lab. Kes 550,000 - - - - - - 550,000 - - 550,000
Pengatur Kt. I /
IId
19851002 200604 1 003
12 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur Kt. I /
IId
WAHDAH, A.Md.KL.
13 19860118 201001 2 030 Pelaksana 550,000 - - - - - 550,000 - - 550,000
14 19881113 201001 2 012 Pelaksana 550,000 - - - - - 550,000 - - 550,000
14 19881113 201001 2 012 Pelaksana 550,000 - - - - - 550,000 - - 550,000
LEONARDO. AMK
15 19880414 201001 1 005 Pelaksana 550,000 - - - - - 550,000 - - 550,000
TUBEL
16 19891211 201101 2 006 Pelaksana - - - - - - -
Pengatur / IIc
SITI JALEHA
17 19760725 200501 2 005 Bidan 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
19880329
18 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
201101 1 004
Pengatur / IIc
MASNIAH
19 19740424 200604 2 040 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
19780623
20 Pelaksana 550,000 - - - - - 550,000 - - 550,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH
21 19780622 200604 2 019
Pengatur / IIc
Pelaksana - -
TUBEL - - - - -
SUGIANTI
22 19770408 200604 2 010 Pelaksana 550,000 - 33,000 - - 33,000 550,000 - 33,000 517,000
Pengatur / IIc

23 19900814 201403 2 003 Pelaksana 550,000 - 550,000 - - 550,000
Pengatur / IIc
JUMLAH 12,750,000 - - 33,000 - 275,000 308,000 12,475,000 225,000 533,000 12,217,000
Lahei II, 30 Juli 2015


NIP. 19780324 200604 2 009
TAHUN 2015
BULAN : September 2015
TAMBAHAN Tidak Apel P/S Apel P/S Tdk Tidak Kerja DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON 2% 50% 5+6+7+8+9 4-10 Gol.IV = 15 % 10+12 TANDA TERIMA
PENGHASILAN 1% Kerja 2% TK 4% 11-12
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU 1,000,000 - - - - - - 1,000,000 50,000 50,000 950,000
Penata Tk. I / IIId
19660814 198802 1 002
2 Pelaksana 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata
Tk. I / IIId
3 19840803 201001 2 025 Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata / IIIc
4 19801227 200501 2 010 Pelaksana 700,000 - - - - - - 700,000 35,000 35,000 665,000
5 19800503 200501 1 008 Pelaksana 700,000 - - - - 700,000 35,000 35,000 665,000
AKHMAD RIYADI
6 19690411 199803 1 009 Pelaksana 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Muda / IIIa
7 19791226 200903 1 003 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
IRNAWATI, A.Md.AK.
8 19850712 201001 2 035 Perawat 550,000 - - - - - - 550,000 - - 550,000
CITRANITA NATA, AMG
19831111 201001 2 028
9 Sanitarian 550,000 - - - - - 550,000 - - 550,000
Pengatur Kt. I /
IId
19860421 201001 2 029
10 Pranata Lab. Kes 550,000 - - - - - 550,000 - - 550,000
Pengatur Kt. I /
IId
19851002 200604 1 003
11 Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur Kt. I /
Iid
WAHDAH, A.Md.KL.
12 19860118 201001 2 030 Pelaksana 550,000 - - - - - 550,000 - - 550,000
13 19881113 201001 2 012 Pelaksana 550,000 - - - - - 550,000 - - 550,000
LEONARDO. AMK
14 19880414 201001 1 005 Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur Tk. I / IId
15 006
/ IIc
19891211 201101 2
Pengatur
Pelaksana - -
TUBEL - - -
SITI JALEHA A.Md.Keb

16 19760725 200501 2 005 Bidan 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
19880329
17 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
201101 1 004
Pengatur / IIc
19890724 201001 1 002 Pelaksana 550,000 - 550,000 550,000
Pengatur / IIc
MASNIAH
18 19740424 200604 2 040 Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
WARSI MUKOCILO A.Md.Keb.
19780623
19 Pelaksana 550,000 - - - - - 550,000 - - 550,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH -
20 19780622 200604 2 019
Pengatur / IIc
Pelaksana - -
TUBEL - - - -
SUGIANTI A.Md.KG
19770408 200604 2 010
21 Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur Muda
Tk. I / IIb

22 19900814 201403 2 003 Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
J U M LA H 12,750,000 - - - - - - 12,750,000 225,000 225,000 12,525,000

Mengetahui :
Kepala UPT Puskesmas Lahei II Pembuat Daftar
dr. TIUR MAIDA

Penata Tk. I / IIId SURIANSYAH
NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003
DAFTAR PERMINTAAN TUNJANGAN TAMBAHAN PENGHASILAN PNS ( PROPESI )
UNTUK BULAN : SEPTEMBER 2015

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1
dr. TIUR MAIDA 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1
NIP. 19780324 Ka.PKM / IVa 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
200604 2 009
III/d
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
Lahei II, 2015


NIP. 19780324 200604 2 009
BULAN : Oktober 2015

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU 1,000,000 - - - - - - 1,000,000 50,000 50,000 950,000
Penata Tk. I / IIId
19660814 198802 1 002 Perawat Pelaksana
2 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Lanjutan
Tk. I / IIId
3 19840803 201001 2 025 Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata / IIIc
Bidan Pelaksana
4 19801227 200501 2 010 700,000 - - - - - - 700,000 35,000 35,000 665,000
Lanjutan
Penata Muda Tk. I / IIIb
Perawat Pelaksana
5 19800503 200501 1 008 700,000 - - - - 700,000 35,000 35,000 665,000
Lanjutan
Penata Muda Tk.I / IIIb
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Muda / IIIa
19791226 200903 1 003
7 Perawat Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur Tk. I /
Iid
IRNAWATI, A.Md.AK.
8 19850712 201001 2 035 Pranata Lab. Kes 550,000 - - - - - - 550,000 - - 550,000
CITRANITA NATA, AMG
19831111 201001 2 028
9 Nutrisionis 550,000 - - - - - 550,000 - - 550,000
Pengatur Tk. I /
IId
19860421 201001 2 029
10 Perawat Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur Tk. I /
IId
19851002 200604 1 003
Pengatur Tk. I /
Iid
WAHDAH, A.Md.KL.
12 19860118 201001 2 030 Sanitarian 550,000 - - - - - 550,000 - - 550,000
MAHIBATUL MARWIYAH A.Md.Keb .
13 19881113 201001 2 012 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
LEONARDO. AMK
14 19880414 201001 1 005 Perawat Pelaksana 550,000 - - - - - 550,000 - - 550,000
IRFANSYAH MALADI AS, AMK

15 19890724 201001 1 002 Perawat Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur Tk I / Iid
SALMA INDAH PURNAMASARI A.Md.
16
Gz
201101 2 006
Pengatur / IIc
19891211
Nutrisionis - -
TUBEL - - -

17 19760725 200501 2 005 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
19880329
201101 1 004
Pengatur / IIc
MASNIAH
19 19740424 200604 2 040 Bidan Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
19780623
20 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH -
21 19780622 200604 2 019
Pengatur / IIc
Bidan Pelaksana - -
TUBEL - - - -
SUGIANTI A.Md.KG
Perawat Gigi
22 19770408 200604 2 010 550,000 - - - - - 550,000 - - 550,000
Pelaksana
Pengatur / Iic

Pengatur / IIc
J U M LA H 12,750,000 - - - - - 12,750,000 225,000 225,000 12,525,000
Lahei II, 27 Oktober 2015

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003
UNTUK BULAN : OKTOBER 2015
POTONGAN
BESARNYA TUNJ. JLH YG
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 Ka.PKM / IVa 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
200604 2 009
Penata Tk I /IIId
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
POTONGAN
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. PINONDANG DOLOKSARIBU
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
NRPTT. 15.1.0056642
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
Lahei II, 27 Oktober 2015

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003

BULAN : November 2015

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
JUMLAH JLH KOTOR PPH : JLH POT.
NO NAMA NIP / GOLONGAN JABATAN / ESELON 5+6+7+8+9 4-10 Gol.IV = 15 % 10+12
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU 1,000,000 - - - - - - 1,000,000 50,000 50,000 950,000
Penata Tk. I / IIId
2 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Lanjutan
Tk. I / IIId
3 19840803 201001 2 025 Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata / IIIc
Bidan Pelaksana
4 19801227 200501 2 010 700,000 - - - - - - 700,000 35,000 35,000 665,000
Lanjutan
Perawat Pelaksana
5 19800503 200501 1 008 700,000 - - - - 700,000 35,000 35,000 665,000
Lanjutan
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Muda / IIIa
19791226 200903 1 003
Pengatur Tk. I /
Iid
IRNAWATI, A.Md.AK.
8 19850712 201001 2 035 Pranata Lab. Kes 550,000 - - - - - - 550,000 - - 550,000
CITRANITA NATA, AMG
19831111 201001 2 028
9 Nutrisionis 550,000 - - - - - 550,000 - - 550,000
Pengatur Tk. I /
IId
19860421 201001 2 029
Pengatur Tk. I /
IId
19851002 200604 1 003
Pengatur Tk. I /
Iid
WAHDAH, A.Md.KL.
12 19860118 201001 2 030 Sanitarian 550,000 - - - - - 550,000 - - 550,000
13 19881113 201001 2 012 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
LEONARDO. AMK
Pengatur Tk I / Iid
16
Gz
201101 2 006
Pengatur / IIc
19891211
Nutrisionis - -
TUBEL - - -

17 19760725 200501 2 005 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
19880329
201101 1 004
Pengatur / IIc
MASNIAH
19 19740424 200604 2 040 Bidan Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
19780623
20 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH -
21 19780622 200604 2 019
Pengatur / IIc
Bidan Pelaksana - -
TUBEL - - - -
SUGIANTI A.Md.KG
Perawat Gigi
22 19770408 200604 2 010 550,000 - - - - - 550,000 - - 550,000
Pelaksana
Pengatur / Iic

Pengatur / IIc
J U M LA H 12,750,000 - - - - - 12,750,000 225,000 225,000 12,525,000
Lahei II, 30 November 2015

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003
UNTUK BULAN : November 2015
POTONGAN
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
NIP. 19780324
1 Ka.PKM / IVa 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
200604 2 009
Penata Tk I /IIId
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
POTONGAN
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
NRPTT. 15.1.0056642
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
Lahei II, 30 November 2015

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003

BULAN : Desember 2015

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
JUMLAH JLH KOTOR PPH : JLH POT.
NO NAMA NIP / GOLONGAN JABATAN / ESELON 5+6+7+8+9 4-10 Gol.IV = 15 % 10+12
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU 1,000,000 - - - - - - 1,000,000 50,000 50,000 950,000
Penata Tk. I / IIId
2 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Lanjutan
Tk. I / IIId
3 19840803 201001 2 025 Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata / IIIc
Bidan Pelaksana
4 19801227 200501 2 010 700,000 - - - - - - 700,000 35,000 35,000 665,000
Lanjutan
Perawat Pelaksana
5 19800503 200501 1 008 700,000 - - - - 700,000 35,000 35,000 665,000
Lanjutan
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 700,000 - - - - - - 700,000 35,000 35,000 665,000
Penata Muda / IIIa
19791226 200903 1 003
Pengatur Tk. I /
Iid
IRNAWATI, A.Md.AK.
8 19850712 201001 2 035 Pranata Lab. Kes 550,000 - - - - - - 550,000 - - 550,000
CITRANITA NATA, AMG
19831111 201001 2 028
9 Nutrisionis 550,000 - - - - - 550,000 - - 550,000
Pengatur Tk. I /
IId
19860421 201001 2 029
Pengatur Tk. I /
IId
19851002 200604 1 003
Pengatur Tk. I /
Iid
WAHDAH, A.Md.KL.
12 19860118 201001 2 030 Sanitarian 550,000 - - - - - 550,000 - - 550,000
13 19881113 201001 2 012 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
LEONARDO. AMK
Pengatur Tk I / Iid
16
Gz
201101 2 006
Pengatur / IIc
19891211
Nutrisionis - -
TUBEL - - -

17 19760725 200501 2 005 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
Pengatur / IIc
19880329
201101 1 004
Pengatur / IIc
MASNIAH
19 19740424 200604 2 040 Bidan Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
19780623
20 Bidan Pelaksana 550,000 - - - - - 550,000 - - 550,000
200604 2 014
Pengatur / IIc
QOWIATOL MUSTONAH -
21 19780622 200604 2 019
Pengatur / IIc
Bidan Pelaksana - -
TUBEL - - - -
SUGIANTI A.Md.KG
Perawat Gigi
22 19770408 200604 2 010 550,000 - - - - - 550,000 - - 550,000
Pelaksana
Pengatur / Iic

Pengatur / IIc
J U M LA H 12,750,000 - - - - - 12,750,000 225,000 225,000 12,525,000
Lahei II, 01 Desember 2015

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003
UNTUK BULAN : Desember 2015
POTONGAN
( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
NIP. 19780324
1 Ka.PKM / IVa 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
200604 2 009
Penata Tk I /IIId
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
NRPTT. 15.1.0056642
J U M LA H 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003

( (Rp.) (Rp.) Gol. III = 5 % (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
(Rp.) Rp. )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
QOWIATOL MUSTONAH
1 19780622 200604 2 019 Bidan Pelaksana 550,000 - - - - - - 550,000 - - 550,000
Pengatur / IIc
J U M LA H 550,000 - - - - - - 550,000 - - 550,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19661502 198901 1 003
BULAN : Januari 2018

POTONGAN
BESARNYA
TUNJ. Cuti Besar dan Tidak Masuk Kerja JUMLAH PPH : Gol.IV JLH POT. JLH YG DITERIMA
Tidak Apel Apel P/S Tdk Tidak Kerja Cuti Karena Alasan TK >10 hari, Cuti 5+6+7+8+9 JLH KOTOR
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN = 15 % Gol. III = 10+12 11-12 TANDA DITERIMA
P/S 1% Kerja 2% TK 4% Penting Selain diluar tanggungan 4-10 (Rp.)
PENGHASILAN (Rp.) 5% (Rp.) (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) Keperluan Ibadah Negara 100%
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
19660814 198802 1 002
2 Perawat Penyelia 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk.
I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
5 19800503 200501 1 008 Perawat Penyelia 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda Tk I / IIIb
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
19831111 201001 2 028
9 Nutrisionis Lanjutan 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

10 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
IRFANSYAH MALADI AS, S.Kep
12 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL.
Sanitarian Pelaksana
15 19860118 201001 2 030 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
SITI JALEHA, A.Md.Keb
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
19 19880329 201101 Perawat Pelaksana 1,250,000 - - - - - - 1,250,000 - - 1,250,000
1 004 Pengatur / IIc
19780623 200604 2
20 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
014 Pengatur Tk I/
Iid
QOWIATOL MUSTONAH, A.Md.Keb
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
22 19900814 201403 2 003 Perawat Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
NORMINAWATI, A.Md.Keb
23 19891130 201705 2 002 Bidan Pelaksana 1,250,000 1,250,000 1,250,000
Pengatur / IIc
TIANA KALELUNI, A.Md.Keb

24 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LAH 34,300,000 - - - - - 34,300,000 1,152,500 1,152,500 33,147,500
Lahei II, Februari 2018

Mengetahui :
dr. TIUR MAIDA

Penata Tk. I / IIId IRFANSYAH MALADI AS, S.Kep
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Februari 2018
POTONGAN
BESARNYA
TUNJ. Cuti Besar dan Tidak Masuk Kerja JUMLAH PPH : Gol.IV JLH POT. JLH YG DITERIMA
Tidak Apel Apel P/S Tdk Tidak Kerja Cuti Karena Alasan TK >10 hari, Cuti 5+6+7+8+9 JLH KOTOR
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN = 15 % Gol. III = 10+12 11-12 TANDA DITERIMA
P/S 1% Kerja 2% TK 4% Penting Selain diluar tanggungan 4-10 (Rp.)
PENGHASILAN (Rp.) 5% (Rp.) (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) Keperluan Ibadah Negara 100%
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA

1
NIP. 19780324 200604 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
2 009
Penata Tk I /IIId

NIP.19880123 201705 2 001
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
Penata Muda TK I /IIIb
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LAH 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
Jalan Padat Karya No. 7070, RT. 07 Kelurahan Lahei II Kecamatan Lahei 73852
AMPRAHAN TUNJANGAN PNS DAN BERDASARKAN KELANGKAAN PROFESI DOKTER UMUM DAN DOKTER GIGI PUSKESMAS LAHEI II
BULAN : Januari 2018
Jumlah Kotor (Rp) Potongan Pajak (Rp) Potongan Kehadiran (Rp)

Pajak Yang Jumlah Potongan Jumlah Keseluruhan Jumlah yang
No Unit Kerja Jumlah Kotor
Disetor Kehadiran Potongan Diterima (6-15)
Januari Februari Januari Februari
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Pusk. Lahei II 34,300,000 34,300,000 68,600,000 1,152,500 1,152,500 2,305,000 2,305,000 66,295,000
2 dr. Tiur Maida 5,000,000 5,000,000 10,000,000 250,000 250,000 500,000 500,000 9,500,000
3 dr.Pinondang Doloksaribu 5,000,000 5,000,000 10,000,000 250,000 250,000 500,000 500,000 9,500,000
Jumlah 44,300,000 44,300,000 - 88,600,000 1,652,500 1,652,500 - 3,305,000 - - - - 3,305,000 85,295,000

Mengetahui / Menyetujui : Pembuat Daftar
Kepala Puskesmas Lahei II
dr. TIUR MAIDA IRFANSYAH MALADI AS, S.Kep

NIP. 19780324 200604 2 009
TTD
17
uari 2018
Daftar
ADI AS, S.Kep

01001 1 002
BULAN : Februari 2018

POTONGAN
BESARNYA
Cuti Besar dan Tidak Masuk Kerja JUMLAH PPH : JLH YG
TUNJ. JLH POT.
Tidak Apel Apel P/S Tdk Tidak Kerja Cuti Karena Alasan TK >10 hari, Cuti 5+6+7+8+9 JLH KOTOR Gol.IV = 15 DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN 10+12 TANDA DITERIMA
4-10 (Rp.) % Gol. III = 5 11-12
PENGHASILAN P/S 1% Kerja 2% TK 4% Penting Selain diluar tanggungan (Rp.) (Rp.)
(Rp.) (Rp.) (Rp.) Keperluan Ibadah Negara 100% % (Rp.)
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
19660814 198802 1 002
Penata Tk.
I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
19831111 201001 2 028
Penata Muda / IIIa

10 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
12 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL.
15 19860118 201001 2 030 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
19780623 200604 2
20 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
014 Pengatur Tk I/
Iid
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
24 19891130 201705 2 002 Bidan Pelaksana 1,250,000 1,250,000 1,250,000
Pengatur / IIc

25 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LAH 34,300,000 - - - - - 34,300,000 1,152,500 1,152,500 33,147,500

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Februari 2018
BESARNYA POTONGAN PPH : JLH YG
TUNJ. IZIN/SAKIT JUMLAH JLH POT.
Tidak Apel Apel P/S Tdk CUTI DLL JLH KOTOR Gol.IV = 15 DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN 2% Tidak Kerja TK 5+6+7+8+9 10+12 TANDA DITERIMA
4-10 (Rp.) % Gol. III = 5 11-12
PENGHASILAN P/S 1% Kerja 2%
4% (Rp.)
50% (Rp.) (Rp.)
(Rp.) (Rp.) ( Rp. ) % (Rp.)
(Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
2 009
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
2 009
Penata Tk I /IIId
J U M LAH 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
BESARNYA POTONGAN
PPH : JLH YG
TUNJ. IZIN/SAKIT JUMLAH JLH POT.
Tidak Apel Apel P/S Tdk CUTI DLL JLH KOTOR Gol.IV = 15 DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN 2% Tidak Kerja TK 5+6+7+8+9 10+12 TANDA DITERIMA
4-10 (Rp.) % Gol. III = 5 11-12
PENGHASILAN P/S 1% Kerja 2%
4% (Rp.)
50% (Rp.) (Rp.)
(Rp.) (Rp.) ( Rp. ) % (Rp.)
(Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
NIP.19880123 201705 2 001
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LAH 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
BULAN : Februari 2018

Januari Februari Januari Februari
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Pusk. Lahei II 34,300,000 34,300,000 1,152,500 1,152,500 1,152,500 33,147,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 250,000 4,750,000

2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 250,000 4,750,000
3 dr.Pinondang Doloksaribu 5,000,000 5,000,000 250,000 250,000 250,000 4,750,000
Jumlah 44,300,000 - - 44,300,000 1,652,500 - - 1,652,500 - - - - 1,652,500 42,647,500


NIP. 19780324 200604 2 009
TTD
17
ruari 2018
Daftar
ADI AS, S.Kep

01001 1 002
BULAN : Maret 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
19660814 198802 1 002
Penata Tk.
I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
19831111 201001 2 028
Penata Muda / IIIa

10 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
12 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL.
15 19860118 201001 2 030 1,500,000 - - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
19780623 200604 2
20 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
014 Pengatur Tk I/
Iid
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
24 19891130 201705 2 002 Bidan Pelaksana 1,250,000 1,250,000 1,250,000
Pengatur / IIc

25 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 34,300,000 - - - - - 34,300,000 1,152,500 1,152,500 33,147,500
Lahei II, Maret 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Maret 2018
BESARNYA POTONGAN Cuti Besar dan Tidak Masuk Kerja PPH : JLH YG
TUNJ. JUMLAH JLH POT.
Tidak Apel Apel P/S Tdk Tidak KerjaCuti Karena Alasan TK >10 hari, Cuti 5+6+7+8+9 JLH KOTOR Gol.IV = 15 DITERIMA
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
NIP. 19780324 200604
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
2 009
Penata Tk I /IIId
NIP.19880123 201705 2 001
1 Dokter Umum 5,000,000 - - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
BULAN : Maret 2018

TTD
Maret Maret
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 34,300,000 34,300,000 1,152,500 1,152,500 1,152,500 33,147,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 250,000 4,750,000
Jumlah 44,300,000 - - 44,300,000 1,652,500 - - 1,652,500 - - - - 1,652,500 42,647,500


NIP. 19780324 200604 2 009
BULAN : April 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
Tidak Apel Apel P/S Tdk Tidak Kerja Cuti Karena Alasan TK >10 hari, Cuti JLH KOTOR Gol.IV = 15 DITERIMA
NO NAMA NIP / GOLONGAN JABATAN / ESELON TAMBAHAN 5+6+7+8+9 10+12 TANDA DITERIMA
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 20,500 - - - 20,500 2,029,500 102,500 123,000 1,927,000
Penata Tk. I / IIId
19660814 198802 1 002
2 Perawat Penyelia 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Tk.
I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Lanjutan
Penata / IIIc
5 19800503 200501 1 008 Perawat Penyelia 1,500,000 15,000 - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
19831111 201001 2 028
9 Nutrisionis Lanjutan 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Muda / IIIa

10 19860421 201001 2 029 Perawat Mahir 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Muda / IIIa
12 19890724 201001 1 002 Perawat Mahir 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 15,000 - - - 15,000 1,485,000 75,000 90,000 1,410,000
Penata Muda / IIIa
WAHDAH, A.Md.KL.
15 19860118 201001 2 030 1,500,000 15,000 - - - - 15,000 1,485,000 75,000 90,000 1,410,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 12,500 - - - - 12,500 1,237,500 - 12,500 1,237,500
Pelaksana
Pengatur Tk I / Iid
17 Bidan Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 12,500 - - - - 12,500 1,237,500 - 12,500 1,237,500
Pengatur Tk I/ Iid
19 19880329 201101 Perawat Pelaksana 1,250,000 12,500 - - - - 12,500 1,237,500 - 12,500 1,237,500
19780623 200604 2
20 Bidan Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
014 Pengatur Tk I/
Iid
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
Pengatur Tk I/ Iid
23 19900814 201403 2 003 Perawat Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
Pengatur / IIc
24 19891130 201705 2 002 Bidan Pelaksana 1,250,000 12,500 12,500 1,237,500 12,500 1,237,500
Pengatur / IIc

25 19890615 201705 2 002 Bidan Pelaksana 1,250,000 12,500 - - - 12,500 1,237,500 - 12,500 1,237,500
Pengatur / IIc
J U M LA H 34,300,000 343,000 - - - 343,000 33,957,000 1,152,500 1,495,500 32,804,500
Lahei II, April 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : April 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 Dokter Umum 5,000,000 50,000 - - - - 50,000 4,950,000 250,000 300,000 4,700,000
2 009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 50,000 - - - - 50,000 4,950,000 250,000 300,000 4,700,000
J U M LA H 10,000,000 100,000 - - - - 100,000 9,900,000 500,000 600,000 9,400,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
BULAN : April 2018

TTD
April April April
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 34,300,000 34,300,000 1,152,500 1,152,500 343,000 343,000 1,495,500 32,804,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 50,000 50,000 300,000 4,700,000
3 dr.Pinondang Doloksaribu 5,000,000 5,000,000 250,000 250,000 50,000 50,000 300,000 4,700,000
Jumlah 44,300,000 - - 44,300,000 1,652,500 - - 1,652,500 443,000 - - 443,000 2,095,500 42,204,500


NIP. 19780324 200604 2 009
BULAN : Mei 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
2 19660814 198802 1 002 Perawat Penyelia 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk. I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
5 19800503 200501 1 008 Perawat Penyelia 1,500,000 - - - 1,500,000 75,000 75,000 1,425,000
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
9 19831111 201001 2 028 Nutrisionis Lanjutan 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
12 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
15 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
20 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
23 19900814 201403 2 003 Perawat Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
24 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

25 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 34,300,000 - - - - - 34,300,000 1,152,500 1,152,500 33,147,500
Lahei II, Mei 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Mei 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000
Lahei II, Mei 2018

Mengetahui :
dr. TIUR MAIDA
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
Jalan Padat Karya No. 7070, RT. 07 Kelurahan Lahei II Kecamatan Lahei 73852, Email pkmlh2@baritoutarakab.go.id
BULAN : Mei 2018

TTD
April April April
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 34,300,000 34,300,000 1,152,500 1,152,500 - - 1,152,500 33,147,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 44,300,000 - - 44,300,000 1,652,500 - - 1,652,500 - - - - 1,652,500 42,647,500
Lahei II, Mei 2018


NIP. 19780324 200604 2 009
DAFTAR PERMINTAAN TUNJANGAN HARI RAYA (THR)
BULAN : Juni 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
3 19840803 201001 2 025 Apoteker Muda 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Penata Tk I/ IIId
Bidan Pelaksana
4 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
7 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
8 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
10 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
12 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
13 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
14 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
15 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
17 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
18 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
20 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
21 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
24 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

25 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 34,300,000 - - - - - 34,300,000 1,152,500 1,152,500 33,147,500
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DAFTAR PERMINTAAN TUNJANGAN HARI RAYA (THR PROPESI )
UNTUK BULAN : Juni 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN
AMPRAHAN TUNJANGAN HARI RAYA (THR) PUSKESMAS LAHEI II
BULAN : Juni 2018

TTD
April April April
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 34,300,000 34,300,000 1,152,500 1,152,500 - - 1,152,500 33,147,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 44,300,000 - - 44,300,000 1,652,500 - - 1,652,500 - - - - 1,652,500 42,647,500
Lahei II, Juni 2018


NIP. 19780324 200604 2 009
BULAN : Juni 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN
BULAN : Juni 2018

TTD
Juni Juni Juni
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500
Lahei II, Juni 2018


NIP. 19780324 200604 2 009
BULAN : Juli 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Juli 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Juli 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000
Lahei II, Juli 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN
BULAN : Juli 2018

TTD
Juli Juli Juli
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500
Lahei II, Juli 2018


NIP. 19780324 200604 2 009
DAFTAR PERMINTAAN TAMBAHAN PENGHASILAN TUNJANGAN DAERAH 13
BULAN : Juni 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DAFTAR PERMINTAAN TAMBAHAN PENGHASILAN TUNJANGAN DAERAH 13 ( PROPESI )
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000
Lahei II, Juni 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN
DAFTAR AMPRAHAN TAMBAHAN PENGHASILAN TUNJANGAN DAERAH 13 PUSKESMAS LAHEI II
BULAN : Juni 2018

TTD
Juni Juni Juni
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500
Lahei II, Juni 2018


NIP. 19780324 200604 2 009
DAFTAR PERMINTAAN TUNJANGAN TAMBAHAN PENGHASILAN PNS SUSULAN
Bulan : Mei 2017
POTONGAN JLH YG
BESARNYA TUNJ. CUTI DLL JUMLAH JLH PPH : JLH POT.
IZIN/SAKIT DITERIMA
JABATAN / TAMBAHAN Tidak Apel P/S Apel P/S Tdk KOTOR Gol.IV = 10+12
NO NAMA NIP / GOLONGAN 2% Tidak Kerja TK 5+6+7+8+ 11-12 TANDA DITERIMA
ESELON PENGHASILAN 1% Kerja 2% 50% 4-10 15 % Gol.
4% (Rp.) 9 (Rp.)
(Rp.) (Rp.) (Rp.) (Rp.) III = 5 % (Rp.)
(Rp.) (Rp.)
1 2 3 4 5 6 7 8 ( Rp.
9 ) 10 11 12 13 14 15
NORMINAWATI, A.Md.Keb .
Bidan
1 19891130 201705 2 002 800,000 800,000 800,000
Pelaksana
Pengatur Tk. I / Iic
TIANA KALELUNI, A.Md.Keb .
Bidan
2 19890615 201705 2 002 800,000 - - - - - - 800,000 - - 800,000
Pelaksana
Pengatur Tk. I / Iic
J U M LAH 1,600,000 - - - - - - 1,600,000 - - 1,600,000
Lahei II, 12 Juni 2017

Mengetahui :
dr. TIUR MAIDA

Penata Tk. I / IIId IRFANSYAH MALADI, S.Kep
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
TAMBAHAN PENGHASILAN SUSULAN ub. JANUARI DAN FEBUARI 2016
PUSKESMAS LAHEI II KECAMATAN LAHEI
BESARNYA
JLH YG
KENAIKAN TUNJ. JANUARI - PPH :
JABATAN / DITERIMA TANDA
NO NAMA NIP / GOLONGAN TAMBAHAN FEBUARI Gol.IV = 15 %
ESELON 5-6 DITERIMA
PENGHASILAN 2016 Gol. III = 5 %
(Rp.)
(Rp.)
1 2 3 4 5 6 7 8
SURIANSYAH
Ka.SUBBAG.TU
1 19660215 198901 1 003 300,000 600,000 30000 570,000
/ IV b
Penata Tk. I / IIId
R U S M A, A.Md.Kep. Perawat
2 19660814 198802 1 002 Pelaksana 250,000 500,000 25000 475,000
Penata Tk. I / IIId Lanjutan
3 19840803 201001 2 025 Apoteker 250,000 500,000 25000 475,000
Penata / IIIc
MISDAYANTI, A.Md.Keb. Bidan
4 19801227 200501 2 010 Pelaksana 250,000 500,000 25000 475,000
Penata Muda Tk. I / IIIb Lanjutan
MERLY MUNADI, A.Md.Kep. Perawat
5 19800503 200501 1 008 Pelaksana 250,000 500,000 25000 475,000
Penata Muda Tk.I / IIIb Lanjutan
AKHMAD RIYADI
6 19690411 199803 1 009 Ast. Apoteker 250,000 500,000 25000 475,000
Penata Muda / IIIa
JOKO SANTOSO,A.Md.Kep. Perawat
7 19791226 200903 1 003 Pelaksana 250,000 500,000 25000 475,000
Penata Muda / IIIa Lanjutan
IRNAWATI, A.Md.AK.
Pranata Lab.
8 19850712 201001 2 035 250,000 500,000 500,000
Kes
CITRANITA NATA, AMG
9 19831111 201001 2 028 Nutrisionis 250,000 500,000 500,000
Perawat
10 19860421 201001 2 029 250,000 500,000 500,000
Pelaksana
Perawat
11 19851002 200604 1 003 250,000 500,000 500,000
Pelaksana
WAHDAH, A.Md.KL.
12 19860118 201001 2 030 Sanitarian 250,000 500,000 500,000

Bidan
13 19881113 201001 2 012 250,000 500,000 500,000
Pelaksana
LEONARDO. AMK
Perawat
14 19880414 201001 1 005 250,000 500,000 500,000
Pelaksana
Perawat
15 19890724 201001 1 002 250,000 500,000 500,000
Pelaksana
Pengatur Tk I / Iid
SUGIANTI A.Md.KG
Perawat Gigi
16 19770408 200604 2 010 250,000 500,000 500,000
Pelaksana
Pengatur Tk I / Iid
Bidan
17 19760725 200501 2 005 250,000 500,000 500,000
Pelaksana
Pengatur / IIc

Perawat
18 19880329 201101 1 250,000 500,000 500,000
Pelaksana
004 Pengatur / IIc
MASNIAH
Bidan
19 19740424 200604 2 040 250,000 500,000 500,000
Pelaksana
Pengatur / IIc
Bidan
20 19780623 200604 2 014 250,000 500,000 500,000
Pelaksana
Pengatur / IIc
QOWIATOL MUSTONAH
Bidan
21 19780622 200604 2 019 250,000 500,000 500,000
Pelaksana
Pengatur / IIc
QOWIATOL MUSTONAH
Bidan
21 19780622 200604 2 019 250,000 500,000 500,000
Pelaksana
Pengatur / IIc
19891211 201101 2
22 Nutrisionis TUBEL
006
Pengatur / IIc
Perawat
23 19900814 201403 2 003 250,000 500,000 500,000
Pelaksana
Pengatur / IIc
JUMLAH 11,100,000 180000 10,920,000
Lahei II, 01 April 2016

Mengetahui :
dr. TIUR MAIDA

Penata Tk. I / IIId IRFANSYAH MALADI AS, AMK
NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
BULAN : Agustus 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Agustus 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Agustus 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN
BULAN : Agustus 2018

TTD
Agustus Agustus Agustus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500


NIP. 19780324 200604 2 009

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, September 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : September 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN

TTD
Agustus Agustus Agustus
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500


NIP. 19780324 200604 2 009

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Oktober 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Oktober 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN

TTD
Oktober Oktober Oktober
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000
Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500


NIP. 19780324 200604 2 009
BULAN : November 2018

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LA H 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, November 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : November 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LA H 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
DINAS KASEHATAN
BULAN : November dan Desember 2018

TTD
November Desember November Desember November Desember
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Pusk. Lahei II 32,800,000 32,800,000 65,600,000 1,077,500 1,077,500 2,155,000 - - 2,155,000 63,445,000
2 dr. Tiur Maida 5,000,000 5,000,000 10,000,000 250,000 250,000 500,000 - - 500,000 9,500,000
3 dr.Pinondang Doloksaribu 5,000,000 5,000,000 10,000,000 250,000 250,000 500,000 500,000 9,500,000
Jumlah 42,800,000 42,800,000 - 85,600,000 1,577,500 1,577,500 - 3,155,000 - - - - 3,155,000 82,445,000


NIP. 19780324 200604 2 009

POTONGAN
BESARNYA
TUNJ. JLH POT.
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
50 % (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
SURIANSYAH
1 19660215 198901 1 003 Ka.SUBBAG.TU/ IV b 2,050,000 - - - - 2,050,000 102,500 102,500 1,947,500
Penata Tk. I / IIId
Penata Tk. I / IIId
Bidan Pelaksana
3 19801227 200501 2 010 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata / IIIc
Penata / IIIc
AKHMAD RIYADI
5 19690411 199803 1 009 Ast. Apoteker 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Perawat Pelaksana
6 19791226 200903 1 003 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
IRNAWATI, A.Md.AK.
Pranata Lab. Kes
7 19850712 201001 2 035 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
CITRANITA NATA, AMG
Penata Muda / IIIa
9 19860421 201001 2 029 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
10 19851002 200604 1 003 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
11 19890724 201001 1 002 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa

Bidan Pelaksana
12 19881113 201001 2 012 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
LEONARDO. S.Kep
13 19880414 201001 1 005 Perawat Mahir 1,500,000 - - - - 1,500,000 75,000 75,000 1,425,000
Penata Muda / IIIa
WAHDAH, A.Md.KL
14 19860118 201001 2 030 1,500,000 - - - - - 1,500,000 75,000 75,000 1,425,000
Lanjutan
Penata Muda / IIIa
SUGIANTI A.Md.KG
Perawat Gigi
15 19770408 200604 2 010 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pelaksana
Pengatur Tk I / Iid
16 19760725 200501 2 005 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
MASNIAH
17 19740424 200604 2 040 Bidan Pelaksana 1,250,000 - - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
19 19780623 200604 2 014 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
20 19780622 200604 2 019 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur Tk I/ Iid
Pengatur / IIc
22 19891130 201705 2 002 Bidan Pelaksana 1,250,000 - 1,250,000 - 1,250,000
Pengatur / IIc

23 19890615 201705 2 002 Bidan Pelaksana 1,250,000 - - - - 1,250,000 - - 1,250,000
Pengatur / IIc
J U M LAH 32,800,000 - - - - - 32,800,000 1,077,500 1,077,500 31,722,500
Lahei II, Desember 2018

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002
UNTUK BULAN : Desember 2018
4-10 (Rp.) % Gol. III = 5 11-12
(Rp.)
1 2 3 4 5 6 7 50 %8(Rp.) (Rp.)
9 10 11 12 13 14 15
dr. TIUR MAIDA
1
NIP. 19780324 200604 2 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
009
Penata Tk I /IIId
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
1
NIP.19880123 201705 2 001 Dokter Umum 5,000,000 - - - - - 5,000,000 250,000 250,000 4,750,000
J U M LAH 10,000,000 - - - - - - 10,000,000 500,000 500,000 9,500,000

Mengetahui :
dr. TIUR MAIDA

NIP. 19780324 200604 2 009 NIP. 19890724 201001 1 002

DINAS KASEHATAN

Oktober Oktober Oktober
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Pusk. Lahei II 32,800,000 32,800,000 1,077,500 1,077,500 - - 1,077,500 31,722,500
2 dr. Tiur Maida 5,000,000 5,000,000 250,000 250,000 - - 250,000 4,750,000

Jumlah 42,800,000 - - 42,800,000 1,577,500 - - 1,577,500 - - - - 1,577,500 41,222,500


NIP. 19780324 200604 2 009
TTD
17
ember 2018
Daftar
ADI AS, S.Kep

01001 1 002

Tunjangan Daerah 2018

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PEMERINTAH KABUPATEN BARITO UTARA

REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN JULI 2014

dr. TIUR MAIDA Penata Tk. I

R U S M A, A.Md.Kep. Penata Tk. I

SURIANSYAH Penata Tk. I

USMAN ALIPANDI, S.Sos

ANIS FATMAWATI, S.Farm.Apt

MISDAYANTI, A.Md.Keb. Penata Muda

MERLY MUNADI, A.Md.Kep. Penata Muda

AHMAD RIYADI Penata Muda

JOKO SANTOSO A.Md.Kep. Pengatur Tk. I /

ENI OPFRIANTY,A,Md.Kep Pengatur Tk. I /

IRNAWATI, A.Md.AK Pengatur Tk. I /

CITRANITA NATA, AMG Pengatur Tk. I /

LISA DAMAYANTI, A.Md.Kep Pengatur Tk. I /

WAHDAH, A.Md.KL Pengatur Tk. I /

MAHIBATUL MARWIYAH,A. Md.Keb Pengatur Tk. I /

SALMA INDAH PURNAMASARI,A.Md.Gz

NURUL LIGA, A.Md.Kep.

Lahei II, 26 Juli 2014

Mengetahui : Pembuat Daftar

Usman Alipandi, S.Sos.

REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN AGUSTUS 2014

dr. TIUR MAIDA Penata Tk. I

R U S M A, A.Md.Kep. Penata Tk. I

SURIANSYAH Penata Tk. I

USMAN ALIPANDI, S.Sos

ANIS FATMAWATI, S.Farm.Apt

MISDAYANTI, A.Md.Keb. Penata Muda

MERLY MUNADI, A.Md.Kep. Penata Muda

AHMAD RIYADI Penata Muda

JOKO SANTOSO A.Md.Kep. Pengatur Tk. I /

ENI OPFRIANTY,A,Md.Kep Pengatur Tk. I /

IRNAWATI, A.Md.AK Pengatur Tk. I /

CITRANITA NATA, AMG Pengatur Tk. I /

LISA DAMAYANTI, A.Md.Kep Pengatur Tk. I /

WAHDAH, A.Md.KL Pengatur Tk. I /

MAHIBATUL MARWIYAH,A. Md.Keb Pengatur Tk. I /

SALMA INDAH PURNAMASARI,A.Md.Gz

NURUL LIGA, A.Md.Kep.

Lahei II, 30 Agustus 2014

Mengetahui : Pembuat Daftar

Usman Alipandi, S.Sos.

REKAPITULASI DAFTAR HADIR PNS/HONORER BULAN SEPTEMBER 2015

dr. TIUR MAIDA Penata Tk. I

R U S M A, A.Md.Kep. Penata Tk. I

SURIANSYAH Penata Tk. I

ANIS FATMAWATI, S.Farm.Apt

MISDAYANTI, A.Md.Keb. Penata Muda

MERLY MUNADI, A.Md.Kep. Penata Muda

AHMAD RIYADI Penata Muda

JOKO SANTOSO A.Md.Kep. Pengatur Tk. I /

IRNAWATI, A.Md.AK Pengatur Tk. I /

CITRANITA NATA, AMG Pengatur Tk. I /

LISA DAMAYANTI, A.Md.Kep Pengatur Tk. I /

WAHDAH, A.Md.KL Pengatur Tk. I /

MAHIBATUL MARWIYAH,A. Md.Keb Pengatur Tk. I /

SALMA INDAH PURNAMASARI,A.Md.Gz

NURUL LIGA, A.Md.Kep.

Lahei II, 30 September 2015

Mengetahui : Pembuat Daftar

Usman Alipandi, S.Sos.

PEMERINTAH KABUPATEN BARITO UTARA