A Komitmen

DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN DANA KAPITASI JKN
KABUPATEN SIMALUNGUN TAHUN 2016

FKTP BATU ANAM
BULAN : JANUARI 2016
JUMLAH
NO NAMA NIP PENDIIKAN JABATAN GOL DITERIMA PPh-Psl 21 DITERIMA TANDA TANGAN
1 dr.Ernawati Tarigan 19650825000032000 S1 Dokter Umum Ka. UPTD IV/b 1,703,941 255,591 1,448,350 1
2 dr.Roni Monika Purba 198411182011012007 S1 Dokter Umum Dokter Pratama III/b 1,454,584 72,729 1,381,855 2
3 dr. Meiliani Halim 197605172005022002 S1 Dokter Umum Dokter Penyelia III /d 1,329,905 66,495 1,263,410 3
4 drg.Rumondang Sirait, M.Kes 140300402 S1 Dokter Gigi Dokter Gigi Pem. Madya IV/a 1,454,584 218,188 1,236,396 4
5 drg. Fericca Tri Widyastuti 198006252010012023 S1 Dokter Gigi Dokter Gigi III/d 1,454,584 72,729 1,381,855 5
6 Novita Sriulina Barus, Apt. 197611012011012005 S1 Farmasi Apoteker Apoteker Muda III /c 1,038,988 51,949 987,039 6
7 Oktavina Ginting,SKM 197510142000122001 S1Kesmas Tata Usaha III /c 955,869 47,793 908,076 7
8 Mega Oktaria Tarigan,SKM 198410142010012020 S1Kesmas Penyuluh Kesmas Pertama III /b 955,869 47,793 908,076 8
9 Zaleha,SKM 196405011988032003 S1Kesmas staf III /d 698,200 34,910 663,290 9
10 Verika K .Silalahi AM.Keb 197601062003122002 D-III Kebidanan Bidan Pelaksana II /d 540,274 - 540,274 10
11 Ruslan Pangaribuan AM.Keb 197108031993032002 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 11
12 Agustina Suryani P.AM.Keb 198708192009022002 D-III Kebidanan Bidan Pelaksana III/a 540,274 27,014 513,260 12
13 Ferawati Situmorang 198302252005022002 D-III Kebidanan Bidan Pelaksana III /b 531,962 26,598 505,364 13
14 Agnes Ema Uly S.S AM.Keb 197611112007012006 D-III Kebidanan Bidan II /d 531,962 - 531,962 14
15 Morris A.R Smjtk AM.Keb 197501202005022002 D-III Kebidanan Bidan Pelaksana II/d 540,274 - 540,274 15
16 Netty Ermina 196311301983032004 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 16
17 Reslindawati Girsang AM.Keb 197108181992032010 D-III Kebidanan Bidan Madya III /d 540,274 27,014 513,260 17
18 Darmagina I. S. AM.Keb 197104181991032002 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 18
19 Helen Siregar AM.Keb 197303281993032004 D-III Kebidanan Bidan Koordinator III /d 540,274 27,014 513,260 19
20 Herni J.Butar Butar AM.Keb 198207222005022003 D-III Kebidanan Bidan Pelaksana III /b 540,274 27,014 513,260 20
21 Citra Dewi Manik 198203112009022007 D-III Keperawatan Perawat Pelaksana III/a 540,274 27,014 513,260 21
22 Rumintan Munthe 196404271986032001 D-III Keperawatan Perawat Penyelia III /c 540,274 27,014 513,260 22
23 Hermina Simorangkir 196808031993032004 D-III Keperawatan Perawat Penyelia III /d 540,274 27,014 513,260 23
24 Marubun Silalahi 197010241991031003 D-III Keperawatan Perawat Penyelia III /c 523,650 26,183 497,467 24
25 Enna Florida Sinaga AM.Keb 197604192003122005 D-III Kebidanan Perawat Pratama II /d 540,274 - 540,274 25
26 Rohati 196401101998032003 D-III Keperawatan Perawat Penyelia III/c 531,962 26,598 505,364 26
27 Since Magdalena Manik 197611212005022001 D-III Keperawatan Perawat Penyelia III/a 432,219 21,611 410,608 27
28 Melyniarti Perangin-angin 197905242010012013 D-III Keperawatan Perawat II/d 540,274 - 540,274 28
29 Imelda Sirait 198006172009022004 D-III Keperawatan Perawat Pelaksana III/a 432,219 21,611 410,608 29
30 Berni F. Saragih, AM.Keb 197610092007012007 D-III Kebidanan Bidan Pratama Madya II/c 540,274 - 540,274 30
31 Betty Silalahi 197109211993032004 D-III Gizi Nutrisionis Penyelia III/c 540,274 27,014 513,260 31
JUMLAH
32 Rice E. M. Tampubolon 197301031996032006 D-III Gizi Nutrisionis Penyelia III/a 540,274 27,014 513,260 32
33 Purnama E. Silaban 197201101994022002 D-III Kes. Gigi Perawat Gigi Pelaksana III/b 540,274 27,014 513,260 33
34 Reni Siahaan 196202181985012002 SPK Perawat III/d 432,219 21,611 410,608 34
35 Juraidah Simorangkir 196508231992032002 D-I Kebidanan Bidan III/c 540,274 27,014 513,260 35
36 Mastiur Sagala 195806231984012001 SPK Perawat III/d 432,219 21,611 410,608 36
37 Nuralam Siahaan 196704021992032004 Bidan Bidan III/c 540,274 27,014 513,260 37
38 Yessy Monalisa Naibaho 197609302007012002 D-I Kebidanan Bidan Pratama Madya II/d 415,595 - 415,595 38
39 Sarmalina Damanik 197802222008012006 D-I Kebidanan Bidan Pelaksana II/b 415,595 - 415,595 39
40 Esde Simatupang 196611131989032001 Perawat Kesehatan Perawat Pelaksana III/d 540,274 27,014 513,260 40
41 Boksa Parhusip 195810011982032002 SPK Perawat Penyelia III/d 540,274 27,014 513,260 41
42 Sarmian Pandiangan 196807141990032003 SPK Perawat Penyelia III/c 540,274 27,014 513,260 42
43 Salmah Rinah Saragih 197405132007012004 D-I Kebidanan Bidan Pratama Madya II/b 415,595 - 415,595 43
44 Hotma Hutapea 196303271992032002 Bidan Bidan Kepala III/c 432,219 21,611 410,608 44
45 Reni Klara Sidauruk 197708292012122002 Bidan Bidan Pelaksana II/a 390,660 - 390,660 45
46 Hosna Sirait 196104241984122001 SPK Perawat Pelaksana III/d 432,219 21,611 410,608 46
47 Ani Pinem 196105121984011001 SPK Perawat Pelaksana III/d 432,219 21,611 410,608 47
48 Linnaria Saragih 197209091992032002 D-I Kebidanan Bidan Pelaksana III/c 432,219 21,611 410,608 48
49 Emma Saragih 195907251993092001 Perawat Kesehatan Perawat Penyelia III/d 523,650 26,183 497,467 49
50 Rumondang Panjaitan 196310241987032004 SPK Perawat Kepala III/d 432,219 21,611 410,608 50
51 Radian Simarmata 196605241988031008 SMA Staf III/c 432,219 21,611 410,608 51
52 Agustina E. Silalahi 197308191992032001 Bidan Bidan Madya III/d 540,274 27,014 513,260 52
53 Roslinda Sialagan 196612061987032001 SPK Perawat Penyelia III/c 531,962 26,598 505,364 53
54 Lasmi Anita Agnes 196209261986032004 SMAK Lab. Kesehatan Penyelia III/d 540,274 27,014 513,260 54
55 Kartini Siregar 196305121984012001 Bidan Bidan Pelaksana III/d 432,219 21,611 410,608 55
56 Juniar Manurung 197506262007012002 D-I Kebidanan Bidan Pelaksana II/c 307,541 - 307,541 56
57 Rosminar Sitorus 197509252007012003 D-I Kebidanan Bidan Pelaksana II/c 307,541 - 307,541 57
58 Sempurna Ginting 197003151993032003 Bidan Bidan Penyelia III/d 540,274 27,014 513,260 58
59 Tiur Sianipar 197202201992032001 Bidan Bidan Pelaksana III/b 432,219 21,611 410,608 59
60 Rosmawati Tarigan AM.Keb 197307292007012003 D-III Kebidanan Bidan Pelaksana II/c 540,274 - 540,274 60
61 Emmy S. Tarigan 197304171993032004 Bidan Bidan Kepala III/d 540,274 27,014 513,260 61
62 Siti Maryam Harahap 195901271982022003 Bidan Bidan Penyelia III/d 498,714 24,936 473,778 62
63 Tonggina Siburian 196310251986012001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 63
64 Sarianum Sinaga 195806011981072001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 64
65 Carimuli 196209121984012001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 65
66 Yenny A.V. Damanik 198604242015052001 D-III Kebidanan Bidan Pelaksana II/c 540,274 - 540,274 66
67 Elfridayanti Damanik 02.4.048.2729 AKBID Bidan Desa PTT 540,274 - 540,274 67
68 Melda Sriwarni Saragih 02.4.047.136763 AKBID Bidan Desa PTT 531,962 - 531,962 68
69 Evi Nauli Lubis 02.4.047.136725 AKBID Bidan Desa PTT 540,274 - 540,274 69
70 Blumi Evawani Purba 02.4.047.7324 AKBID Bidan Desa PTT 540,274 - 540,274 70
71 Melda Tiurlina Damanik 02.4.047.136761 AKBID Bidan Desa PTT 540,274 - 540,274 71
JUMLAH
72 Merys Natalina Purba 02.4.047.136719 AKBID Bidan Desa PTT 540,274 - 540,274 72
73 Julianita Saragih 02.4.047.136789 AKBID Bidan Desa PTT 540,274 - 540,274 73
74 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 540,274 - 540,274 74
75 Elfanita Purba 02.4.047.7321 AKBID Bidan Desa PTT 540,274 - 540,274 75
76 Jernih 02.4.048.2732 AKBID Bidan Desa PTT 540,274 - 540,274 76
77 Frawati Simarmata 02.4.047.136784 AKBID Bidan Desa PTT 540,274 - 540,274 77
78 Heppy Jenny Silitongah 02.4.012.833 AKBID Bidan Desa PTT 523,650 - 523,650 78
79 Susy Yanti Pardede 02.4.048.12655 AKBID Bidan Desa PTT 374,036 - 374,036 79
80 Cendo Siburian 02.4.047.3545 AKBID Bidan Desa PTT 540,274 - 540,274 80
81 Evi Novita Saragih 02.4.047.136710 AKBID Bidan Desa PTT 531,962 - 531,962 81
82 Maini Saragih 02.4.047.3571 AKBID Bidan Desa PTT 540,274 - 540,274 82
83 Toguwan Purba 02.4.047.136804 AKBID Bidan Desa PTT 540,274 - 540,274 83
84 Delima Silaen 02.4.3404.411 AKBID Bidan Desa PTT 540,274 - 540,274 84
85 Olyvia E. Simanjuntak 02.4.047.136730 AKBID Bidan Desa PTT 540,274 - 540,274 85
86 Rhesnika Sianturi AKBID Honda 540,274 - 540,274 86
87 Nur Azizah Ulfah Dalimunthe AKBID Honda 540,274 - 540,274 87
88 Lusmi Jumeita Damanik AKBID Honda 523,650 - 523,650 88
89 Budianto Siregar Perawat Honda 540,274 - 540,274 89
90 Mannari Tampubolon AKBID Honda 540,274 - 540,274 90
91 Meta Aprida Pakpahan AKBID Honda 540,274 - 540,274 91
92 Lia Damasta Girsang AKBID Honda 540,274 - 540,274 92
93 Novita Sari Sinaga AKBID Honda 540,274 - 540,274 93
94 Lena Sinaga AKBID Honda 540,274 - 540,274 94
95 Sutri Andayani AKBID Honda 540,274 - 540,274 95
96 Hotdi Lamrouli Manik AKBID Honda 540,274 - 540,274 96
97 Siska Andriany Sinaga AKBID Honda 540,274 - 540,274 97
98 Sylvia M.C. Simanjuntak AKBID Honda 540,274 - 540,274 98
99 Efi Wahyuni Siregar AKBID Honda 540,274 - 540,274 99
100 Rahma A. Siregar AKBID Honda 540,274 - 540,274 100
JUMLAH 57,277,350 1,943,746 55,333,604
TERBILANG : LIMA PULUH TUJUH JUTA DUA RATUS TUJUH PULUH TUJUH RIBU TIGA RATUS LIMA PULUH RUPIAH
LUNAS DIBAYAR TANGGAL :

DIKETAHUI/ISETUJUI:
KEPALA FKTP PUSKESMA BATU ANAM BENDAHARA KAPITASI JKN YANG MENERIMA
dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP :196508252000032002
JUMLAH
57,277,350
FKTP BATU ANAM
JUMLAH
6 Novita Sriulina Barus, Apt. 197611012011012005 S1 Farmasi Apoteker Apoteker Muda III /c 998,534 53,741 944,793 6
JUMLAH
JUMLAH
JUMLAH 57,077,350 2,051,028 55,026,322
TERBILANG : LIMA PULUH TUJUH JUTA DUA RATUS TUJUH PULUH TUJUH RIBU TIGA RATUS LIMA PULUH RIBU RUPIAH

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP :196508252000032002
JUMLAH
57,077,350
FKTP BATU ANAM
JUMLAH
JUMLAH
JUMLAH
JUMLAH 57,277,350 1,943,746 55,333,604
TERBILANG : LIMA PULUH TUJUH JUTA DUA RATUS TUJUH PULUH TUJUH RIBU TIGA RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
KEPALA FKTP PUSKESMA BATU ANAM BENDAHARA KAPITASI JKN PPTK YANG MENERIMA
dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
57,277,350
DAFTAR PERHITUNGAN NILAI JASA PELAYANAN KESEHATAN DANA KAPITASI JKN
JENIS KETENAGAAN DAN NILAI JABATAN/NILAI KEHADIRAN
TENAKES/NONKES
TENANO TERLAM
APOTEKER/ TENAKES SETARA D3/TENAKES TENAKES TATA
NO NAMA PENDIDIKAN NIP TENAGA MEDIS
NERS (S1/D4) <D3 MASA KRJA < D3
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30
1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 25

2 dr.Roni Monika Purba S1 Dokter Umum 198411182011012007 150 25
3 dr. Meiliani Halim S1 Dokter Umum 197605172005022002 150 25
4 drg.Rumondang Sirait, M.Kes S1 Dokter Gigi 140300402 150 25
5 drg. Fericca Tri Widyastuti S1 Dokter Gigi 198006252010012023 150 25
6 Novita Sriulina Barus, Apt. S1 Farmasi Apoteker 197611012011012005 100 25
7 Oktavina Ginting,SKM S1Kesehatan Masyarakat 197510142000122001 60 30 25
8 Mega Oktaria Tarigan,SKM S1 Kesehatan Masyarakat 198410142010012020 60 30 25
9 Zaleha,SKM S1 Kesehatan Masyarakat 196405011988032003 60 25
10 Verika K .Silalahi AM.Keb D-III Kebidanan 197601062003122002 40 25
11 Ruslan Pangaribuan AM.Keb D-III Kebidanan 197108031993032002 40 25
12 Agustina Suryani P.AM.Keb D-III Kebidanan 198708192009022002 40 25
13 Ferawati Situmorang D-III Kebidanan 198302252005022002 40 25
14 Agnes Ema Uly S.S AM.Keb D-III Kebidanan 197611112007012006 40 25
15 Morris A.R Smjtk AM.Keb D-III Kebidanan 197501202005022002 40 25
16 Netty Ermina Akademi Kebidanan 196311301983032004 40 25
17 Reslindawati Girsang AM.Keb D-III Kebidanan 197108181992032010 40 25
18 Darmagina I. S. AM.Keb D-III Kebidanan 197104181991032002 40 25
19 Helen Siregar AM.Keb D-III Kebidanan 197303281993032004 40 25
20 Herni J.Butar Butar AM.Keb D-III Kebidanan 198207222005022003 40 25
21 Citra Dewi Manik D-III Keperawatan 198203112009022007 40 25
22 Rumintan Munthe D-III Keperawatan 196404271986032001 40 25
23 Hermina Simorangkir D-III Keperawatan 196808031993032004 40 25
24 Marubun Silalahi D-III Keperawatan 197010241991031003 40 25
25 Enna Florida Sinaga AM.Keb D-III Kebidanan 197604192003122005 40 25
26 Rohati D-III Keperawatan 196401101998032003 40 25
27 Since Magdalena Manik D-III Keperawatan 197611212005022001 40 25
28 Melyniarti Perangin-angin D-III Keperawatan 197905242010012013 40 25
29 Imelda Sirait D-III Keperawatan 198006172009022004 40 25
30 Berni F. Saragih, AM.Keb D-III Kebidanan 197610092007012007 40 25
31 Betty Silalahi D-III Gizi 197109211993032004 40 25
32 Rice E. M. Tampubolon D-III Gizi 197301031996032006 40 25
33 Purnama E. Silaban D-III Kes. Gigi 197201101994022002 40 25
34 Reni Siahaan SPK 196202181985012002 40 25
35 Juraidah Simorangkir D-I Kebidanan 196508231992032002 40 25
36 Mastiur Sagala SPK 195806231984012001 40 25
37 Nuralam Siahaan Bidan 196704021992032004 40 25
38 Yessy Monalisa Naibaho D-I Kebidanan 197609302007012002 25 25
39 Sarmalina Damanik D-I Kebidanan 197802222008012006 25 25
40 Esde Simatupang Perawat Kesehatan 196611131989032001 40 25
41 Boksa Parhusip SPK 195810011982032002 40 25
42 Sarmian Pandiangan SPK 196807141990032003 40 25
43 Salmah Rinah Saragih D-I Kebidanan 197405132007012004 25 25
44 Hotma Hutapea Bidan 196303271992032002 40 25
45 Reni Klara Sidauruk Bidan 197708292012122002 25 12
46 Osna Sirait SPK 196104241984122001 40 25
47 Ani Pinem SPK 196105121984011001 40 25
48 Linnaria Saragih D-I Kebidanan 197209091992032002 40 25
49 Emma Saragih Perawat Kesehatan 195907251993092001 40 25
50 Rumondang Panjaitan SPK 196310241987032004 40 25
51 Radian Simarmata SMA 196605241988031008 15 12
52 Agustina E. Silalahi Bidan 197308191992032001 40 25
53 Roslinda Sialagan SPK 196612061987032001 40 25
54 Lasmi Anita Agnes SMAK 196209261986032004 40 25
55 Kartini Siregar Bidan 196305121984012001 40 25
56 Juniar Manurung D-I Kebidanan 197506262007012002 25 25
57 Rosminar Sitorus D-I Kebidanan 197509252007012003 25 25
58 Sempurna Ginting Bidan 197003151993032003 40 25
59 Tiur Sianipar Bidan 197202201992032001 40 25
60 Rosmawati Tarigan AM.Keb D-III Kebidanan 197307292007012003 40 25
61 Emmy S. Tarigan Bidan 197304171993032004 40 25
62 Siti Maryam Harahap Bidan 195901271982022003 40 25
63 Tonggina Siburian Bidan 196310251986012001 40 25
64 Sarianum Sinaga Bidan 195806011981072001 40 25
65 Carimuli Bidan 196209121984012001 40 25
66 Yenny A.V. Damanik D-III Kebidanan 198604242015052001 40 25
67 Elfridayanti Damanik AKBID 02.4.048.2729 40 25
68 Melda Sriwarni Saragih AKBID 02.4.047.136763 40 25
69 Evi Nauli Lubis AKBID 02.4.047.136725 40 25
70 Blumi Evawani Purba AKBID 02.4.047.7324 40 25
71 Melda Tiurlina Damanik AKBID 02.4.047.136761 40 25
72 Merys Natalina Purba AKBID 02.4.047.136719 40 25
73 Julianita Saragih AKBID 02.4.047.136789 40 25
74 Rodearni Ernyta AKBID 02.4.047.136728 40 25
75 Elfanita Purba AKBID 02.4.047.7321 40 25
76 Jernih AKBID 02.4.048.2732 40 25
77 Frawati Simarmata AKBID 02.4.047.136784 40 25
78 Heppy Jenny Silitongah AKBID 02.4.012.833 40 25
79 Susy Yanti Pardede AKBID 02.4.048.12655 40 25
80 Cendo Siburian AKBID 02.4.047.3545 40 25
81 Evi Novita Saragih AKBID 02.4.047.136710 40 25
82 Maini Saragih AKBID 02.4.047.3571 40 25
83 Toguwan Purba AKBID 02.4.047.136804 40 25
84 Delima Silaen AKBID 02.4.3404.411 40 25
85 Olyvia E. Simanjuntak AKBID 02.4.047.136730 40 25
86 Nur Azizah Ulfah Dalimunthe AKBID Honda 40 25
87 Resnika Sianturi AKBID Honda 40 25
88 Budianto Siregar Perawat Kesehatan Honda 40 25
89 Lusmi Jumeita Damanik AKBID Honda 40 25
90 Mannari Tampubolon AKBID Honda 40 25
91 Meta Aprida Pakpahan AKBID Honda 40 25
92 Lia Damasta Girsang AKBID Honda 40 25
93 Novita Sari Sinaga AKBID Honda 40 25
94 Lena Sinaga AKBID Honda 40 25
95 Sutri Andayani AKBID Honda 40 25
96 Hotdi Lamrouli Manik AKBID Honda 40 25
97 Siska Andriany Sinaga AKBID Honda 40 25
98 Sylvia M.C. Simanjuntak AKBID Honda 40 25
99 Efi Wahyuni Siregar AKBID Honda 40 25
100 Rahmah A. Sinaga AKBID Honda 40 25
TOTAL NILAI 750 100 180 3360 150 15 30 30 30 2474 0
7119
TASI JKN
JUMLA
H NILAI
205 57277350 7170 1,637,637 1,637,637 245,646 245,646

175 57277350 7170 1,397,983 1,397,983 69,899 73,807
175 57277350 7170 1,397,983 1,397,983 69,899 70,938
175 57277350 7170 1,397,983 1,397,983 209,697 220,552
175 57277350 7170 1,397,983 1,397,983 69,899 70,938
125 57277350 7170 998,559 998,534 49,928 53,741
115 57277350 7170 918,674 918,674 45,934 48,582
115 57277350 7170 918,674 918,674 45,934 49,012
85 57277350 7170 679,020 679,020 33,951 33,964
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,085
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 24,936
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,085
65 57277350 7170 519,251 519,251 25,963 26,655
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
50 57277350 7170 399,424 399,424
50 57277350 7170 399,424 399,424
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,515
65 57277350 7170 519,251 519,251 25,963 27,515
50 57277350 7170 399,424 399,424
65 57277350 7170 519,251 519,251 25,963 27,945
37 57277350 7170 295,573 399,424
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
27 57277350 7170 215,689 519,251 10,784 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
50 57277350 7170 399,424 399,424 19,971
50 57277350 7170 399,424 399,424 19,971
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251 25,963 27,945
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963 26,655
65 57277350 7170 519,251 519,251 25,963 22,356
65 57277350 7170 519,251 519,251 25,963 22,356
65 57277350 7170 519,251 519,251 25,963 22,356
65 57277350 7170 519,251 519,251 25,963 22,356
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251
65 ### 7170 519,251 519,251
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 ### 7170 519,251 519,251 25,963
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
65 57277350 7170 519,251 519,251
7119 56,869,938 57,277,350
TENAKES/NONKES
TENANO TERLAM
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30

34 Reni Siahaan SPK 196202181985012002 40 12
46 Osna Sirait SPK 196104241984122001 40 12
47 Ani Pinem SPK 196105121984011001 40 12
62 Siti Maryam Harahap Bidan 195901271982022003 40 20
65 Carimuli Bidan 196209121984012001 40 12
76 Jernih AKBID 02.4.048.2732 40 25
84 Delima Silaen AKBID 02.4.3404.411 40 25
TOTAL NILAI 750 100 180 3400 150 0 30 30 30 2221 0
6891
TASI JKN
JUMLA
H NILAI
205 57277350 6891 1,703,941 1,703,941 255,591 255,591

175 57277350 6891 1,454,584 1,454,584 72,729 72,729
160 57277350 6891 1,329,905 1,329,905 66,495 66,495
175 57277350 6891 1,454,584 1,454,584 218,188 218,188
175 57277350 6891 1,454,584 1,454,584 72,729 72,729
125 57277350 6891 1,038,988 1,038,988 51,949 51,949
115 57277350 6891 955,869 955,869 47,793 47,793
115 57277350 6891 955,869 955,869 47,793 47,793
84 57277350 6891 698,200 698,200 34,910 34,910
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
64 57277350 6891 531,962 531,962 26,598 26,598
64 57277350 6891 531,962 531,962
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
63 57277350 6891 523,650 523,650 26,183 26,183
65 57277350 6891 540,274 540,274
64 57277350 6891 531,962 531,962 26,598 26,598
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274 27,014 27,014
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274 27,014 27,014
50 57277350 6891 415,595 415,595
50 57277350 6891 415,595 415,595
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
65 57277350 6891 540,274 540,274 27,014 27,014
50 57277350 6891 415,595 415,595
52 57277350 6891 432,219 432,219 21,611 21,611
47 57277350 6891 390,660 390,660
52 57277350 6891 432,219 432,219 21,611 21,611
52 57277350 6891 432,219 432,219 21,611 21,611
52 57277350 6891 432,219 432,219 21,611 21,611
63 57277350 6891 523,650 523,650 26,183 26,183
52 57277350 6891 432,219 432,219 21,611 21,611
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274 27,014 27,014
64 57277350 6891 531,962 531,962 26,598 26,598
65 57277350 6891 540,274 540,274 27,014 27,014
52 57277350 6891 432,219 432,219 21,611 21,611
37 57277350 6891 307,541 307,541
37 57277350 6891 307,541 307,541
65 57277350 6891 540,274 540,274 27,014 27,014
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014 27,014
60 57277350 6891 498,714 498,714 24,936 24,936
52 57277350 6891 432,219 432,219 21,611 21,611
52 57277350 6891 432,219 432,219 21,611 21,611
52 57277350 6891 432,219 432,219 21,611 21,611
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014
64 57277350 6891 531,962 531,962 26,598
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
63 57277350 6891 523,650 523,650 26,183
45 57277350 6891 374,036 374,036 18,702
65 57277350 6891 540,274 540,274 27,014
64 57277350 6891 531,962 531,962 26,598
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274 27,014
63 57277350 6891 523,650 523,650 26,183
65 57277350 6891 540,274 540,274 27,014
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
65 57277350 6891 540,274 540,274
6891 57,277,350 57,277,350
DAFTAR PENERIMAAN HONOR/ JASA PELAYANAN KESEHATAN BAGI PETUGAS KESEHATAN
FKTP BATU ANAM KABUPATEN SIMALUNGUN TAHUN 2016
BULAN FEBRUARI 2016
JUMLAH
6 Novita Sriulina Barus, Apt. 197611012011012005 S1 Farmasi Apoteker Apoteker Muda III /c 1,066,325 53,316 1,013,009 6
JUMLAH
62 Rheynatha Pardosi, A.MK 198012142006042005 D-III Kes. Gigi Perawat Gigi Pelaksana II/d 515,964 - 515,964 62
63 Daniati Simarmata 198601232006042002 Perawat Kesehatan Perawat II/c 550,361 - 550,361 63
67 Syafrida Habib 198007102008012032 D-I Kebidanan Bidan Pelaksana II/b 318,178 - 318,178 67
JUMLAH
JUMLAH 58,966,050 1,983,014 56,983,036
TERBILANG : LIMA PULUH DELAPAN JUTA SEMBILAN RATUS ENAM PULUH ENAM RIBU LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:

JUMLAH
NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
58,966,050
BULAN FEBRUARI 2016
JUMLAH
JUMLAH
JUMLAH
JUMLAH 58,966,050 1,983,014 56,983,036

DIKETAHUI/ISETUJUI:

JUMLAH
NIP :196508252000032002 NIP : 198410142010012010 NIP :196508252000032002
58,966,050
BULAN FEBRUARI 2016
JUMLAH
JUMLAH
JUMLAH
JUMLAH 58,966,050 1,983,014 56,983,036

DIKETAHUI/ISETUJUI:

JUMLAH
NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
58,966,050
BULAN : FEBRUARI 2016
TENAKES/NONKES
TENANO TERLAM
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30

34 Reni Siahaan SPK 196202181985012002 40 12
46 Osna Sirait SPK 196104241984122001 40 12
47 Ani Pinem SPK 196105121984011001 40 12
62 Daniati Simarmata D-III Perawat 198601232006042002 40 20
63 Rheynatha Pardosi, A.MK D-III Perawat gigi 198012142006042005 40 24
66 Carimuli Bidan 196209121984012001 40 12
67 Syafrida Habib Bidan Pelaksana 198007102008012032 25 12
78 Jernih AKBID 02.4.048.2732 40 24
TOTAL NILAI 750 100 180 3400 175 0 30 30 30 2162 0
6857
TASI JKN
JUMLA
H NILAI
204 58966050 6857 1,754,277 1,754,277 263,141 263,141

174 58966050 6857 1,496,295 1,496,295 74,815 74,815
174 58966050 6857 1,496,295 1,496,295 74,815 74,815
174 58966050 6857 1,496,295 1,496,295 224,444 224,444
174 58966050 6857 1,496,295 1,496,295 74,815 74,815
124 58966050 6857 1,066,325 1,066,325 53,316 53,316
114 58966050 6857 980,331 980,331 49,017 49,017
114 58966050 6857 980,331 980,331 49,017 49,017
82 58966050 6857 705,150 705,158 35,258 35,258
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361
63 58966050 6857 541,762 541,762 27,088 27,088
52 58966050 6857 447,169 447,169 22,358 22,358
64 58966050 6857 550,361 550,361
52 58966050 6857 447,169 447,169 22,358 22,358
63 58966050 6857 541,762 541,762
64 58966050 6857 550,361 550,361 27,518 27,518
63 58966050 6857 541,762 541,762 27,088 27,088
64 58966050 6857 550,361 550,361 27,518 27,518
52 58966050 6857 447,169 447,169 22,358 22,358
64 58966050 6857 550,361 550,361 27,518 27,518
52 58966050 6857 447,169 447,169 22,358 22,358
64 58966050 6857 550,361 550,361 27,518 27,518
49 58966050 6857 421,370 421,370
49 58966050 6857 421,370 421,370
62 58966050 6857 533,162 533,162 26,658 26,658
64 58966050 6857 550,361 550,361 27,518 27,518
64 58966050 6857 550,361 550,361 27,518 27,518
49 58966050 6857 421,370 421,370
52 58966050 6857 447,169 447,169 22,358 22,358
37 58966050 6857 318,178 318,178
52 58966050 6857 447,169 447,169 22,358 22,358
52 58966050 6857 447,169 447,169 22,358 22,358
52 58966050 6857 447,169 447,169 22,358 22,358
64 58966050 6857 550,361 550,361 27,518 27,518
52 58966050 6857 447,169 447,169 22,358 26,658
62 58966050 6857 533,162 533,162 26,658 26,658
64 58966050 6857 550,361 550,361 27,518 27,518
61 58966050 6857 524,563 524,563 26,228 26,658
64 58966050 6857 550,361 550,361 27,518 27,518
52 58966050 6857 447,169 447,169 22,358 22,358
37 58966050 6857 318,178 318,178
37 58966050 6857 318,178 318,178
64 58966050 6857 550,361 550,361 27,518 27,518
52 58966050 6857 447,169 447,169 22,358 22,358
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361 27,518 27,518
60 58966050 6857 515,964 515,964
64 58966050 6857 550,361 550,361
52 58966050 6857 447,169 447,169 22,358 22,358
52 58966050 6857 447,169 447,169 22,358 22,358
52 58966050 6857 447,169 447,169 22,358 22,358
37 58966050 6857 318,178 318,178
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
45 58966050 6857 386,973 386,973 19,349
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361 27,518
53 58966050 6857 455,768 455,768 22,788
64 58966050 6857 550,361 550,361 27,518
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
64 58966050 6857 550,361 550,361
6857 58,966,050 58,966,050
FKTP BATU ANAM
Pot
JUMLAH
NO NAMA NIP PENDIIKAN JABATAN GOL DITERIMA PPh-Psl 21 DITERIMA
50%
2 dr.Roni Monika Purba 198411182011012007 S1 Dokter Umum Dokter Pratama III/b 1,454,584 72,729 1,381,855 650,000
3 dr. Meiliani Halim 197605172005022002 S1 Dokter Umum Dokter Penyelia III /d 0 0 0 0
3 drg.Rumondang Sirait, M.Kes 140300402 S1 Dokter Gigi Dokter Gigi Pem. Madya IV/a 1,454,584 218,188 1,236,396 400,000
5 drg. Fericca Tri Widyastuti 198006252010012023 S1 Dokter Gigi Dokter Gigi III/d 1,454,584 72,729 1,381,855 400,000
6 Novita Sriulina Barus, Apt. 197611012011012005 S1 Farmasi Apoteker Apoteker Muda III /c 1,038,988 51,949 987,039 450,000
7 Oktavina Ginting,SKM 197510142000122001 S1Kesmas Tata Usaha III /c 955,869 47,793 908,076 450,000
9 Zaleha,SKM 196405011988032003 S1Kesmas staf III /d 698,200 34,910 663,290 350,000
10 Verika K .Silalahi AM.Keb 197601062003122002 D-III Kebidanan Bidan Pelaksana II /d 540,274 - 540,274 300,000
11 Ruslan Pangaribuan AM.Keb 197108031993032002 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 200,000
12 Agustina Suryani P.AM.Keb 198708192009022002 D-III Kebidanan Bidan Pelaksana III/a 540,274 27,014 513,260 250,000
13 Ferawati Situmorang 198302252005022002 D-III Kebidanan Bidan Pelaksana III /b 531,962 26,598 505,364 250,000
14 Agnes Ema Uly S.S AM.Keb 197611112007012006 D-III Kebidanan Bidan II /d 531,962 - 531,962 300,000
15 Morris A.R Smjtk AM.Keb 197501202005022002 D-III Kebidanan Bidan Pelaksana II/d 540,274 - 540,274 300,000
16 Netty Ermina 196311301983032004 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 300,000
17 Reslindawati Girsang AM.Keb 197108181992032010 D-III Kebidanan Bidan Madya III /d 540,274 27,014 513,260 300,000
18 Darmagina I. S. AM.Keb 197104181991032002 D-III Kebidanan Bidan Penyelia III /d 540,274 27,014 513,260 250,000
19 Helen Siregar AM.Keb 197303281993032004 D-III Kebidanan Bidan Koordinator III /d 540,274 27,014 513,260 300,000
20 Herni J.Butar Butar AM.Keb 198207222005022003 D-III Kebidanan Bidan Pelaksana III /b 540,274 27,014 513,260 300,000
21 Citra Dewi Manik 198203112009022007 D-III Keperawatan Perawat Pelaksana III/a 540,274 27,014 513,260 300,000
22 Rumintan Munthe 196404271986032001 D-III Keperawatan Perawat Penyelia III /c 540,274 27,014 513,260 300,000
23 Hermina Simorangkir 196808031993032004 D-III Keperawatan Perawat Penyelia III /d 540,274 27,014 513,260 300,000
24 Marubun Silalahi 197010241991031003 D-III Keperawatan Perawat Penyelia III /c 523,650 26,183 497,467 200,000
25 Enna Florida Sinaga AM.Keb 197604192003122005 D-III Kebidanan Perawat Pratama II /d 540,274 - 540,274 300,000
26 Rohati 196401101998032003 D-III Keperawatan Perawat Penyelia III/c 531,962 26,598 505,364 200,000
27 Since Magdalena Manik 197611212005022001 D-III Keperawatan Perawat Penyelia III/a 432,219 21,611 410,608 75,000
28 Melyniarti Perangin-angin 197905242010012013 D-III Keperawatan Perawat II/d 540,274 - 540,274 250,000
29 Imelda Sirait 198006172009022004 D-III Keperawatan Perawat Pelaksana III/a 432,219 21,611 410,608 75,000
30 Berni F. Saragih, AM.Keb 197610092007012007 D-III Kebidanan Bidan Pratama Madya II/c 540,274 - 540,274 250,000
31 Betty Silalahi 197109211993032004 D-III Gizi Nutrisionis Penyelia III/c 540,274 27,014 513,260 300,000
Pot
JUMLAH
50%
32 Rice E. M. Tampubolon 197301031996032006 D-III Gizi Nutrisionis Penyelia III/a 540,274 27,014 513,260 250,000
33 Purnama E. Silaban 197201101994022002 D-III Kes. Gigi Perawat Gigi Pelaksana III/b 540,274 27,014 513,260 300,000
34 Reni Siahaan 196202181985012002 SPK Perawat III/d 432,219 21,611 410,608 50,000
35 Juraidah Simorangkir 196508231992032002 D-I Kebidanan Bidan III/c 540,274 27,014 513,260 200,000
36 Mastiur Sagala 195806231984012001 SPK Perawat III/d 432,219 21,611 410,608 100,000
37 Nuralam Siahaan 196704021992032004 Bidan Bidan III/c 540,274 27,014 513,260 200,000
38 Yessy Monalisa Naibaho 197609302007012002 D-I Kebidanan Bidan Pratama Madya II/d 415,595 - 415,595 300,000
39 Sarmalina Damanik 197802222008012006 D-I Kebidanan Bidan Pelaksana II/b 415,595 - 415,595 300,000
40 Esde Simatupang 196611131989032001 Perawat Kesehatan Perawat Pelaksana III/d 540,274 27,014 513,260 250,000
41 Boksa Parhusip 195810011982032002 SPK Perawat Penyelia III/d 540,274 27,014 513,260 250,000
42 Sarmian Pandiangan 196807141990032003 SPK Perawat Penyelia III/c 540,274 27,014 513,260 300,000
43 Salmah Rinah Saragih 197405132007012004 D-I Kebidanan Bidan Pratama Madya II/b 415,595 - 415,595 200,000
44 Hotma Hutapea 196303271992032002 Bidan Bidan Kepala III/c 432,219 21,611 410,608 100,000
45 Reni Klara Sidauruk 197708292012122002 Bidan Bidan Pelaksana II/a 215,964 - 215,964 100,000
46 Hosna Sirait 196104241984122001 SPK Perawat Pelaksana III/d 432,219 21,611 410,608 75,000
47 Ani Pinem 196105121984011001 SPK Perawat Pelaksana III/d 432,219 21,611 410,608 75,000
48 Linnaria Saragih 197209091992032002 D-I Kebidanan Bidan Pelaksana III/c 432,219 21,611 410,608 75,000
49 Emma Saragih 195907251993092001 Perawat Kesehatan Perawat Penyelia III/d 523,650 26,183 497,467 200,000
50 Rumondang Panjaitan 196310241987032004 SPK Perawat Kepala III/d 432,219 21,611 410,608 75,000
51 Radian Simarmata 196605241988031008 SMA Staf III/c 215,964 10,764 205,200 125,000
52 Agustina E. Silalahi 197308191992032001 Bidan Bidan Madya III/d 540,274 27,014 513,260 250,000
53 Roslinda Sialagan 196612061987032001 SPK Perawat Penyelia III/c 531,962 26,598 505,364 200,000
54 Lasmi Anita Agnes 196209261986032004 SMAK Lab. Kesehatan Penyelia III/d 540,274 27,014 513,260 300,000
55 Kartini Siregar 196305121984012001 Bidan Bidan Pelaksana III/d 432,219 21,611 410,608 100,000
56 Juniar Manurung 197506262007012002 D-I Kebidanan Bidan Pelaksana II/c 307,541 - 307,541 75,000
57 Rosminar Sitorus 197509252007012003 D-I Kebidanan Bidan Pelaksana II/c 307,541 - 307,541 75,000
58 Sempurna Ginting 197003151993032003 Bidan Bidan Penyelia III/d 540,274 27,014 513,260 300,000
59 Tiur Sianipar 197202201992032001 Bidan Bidan Pelaksana III/b 432,219 21,611 410,608 50,000
60 Rosmawati Tarigan AM.Keb 197307292007012003 D-III Kebidanan Bidan Pelaksana II/c 540,274 - 540,274 200,000
61 Emmy S. Tarigan 197304171993032004 Bidan Bidan Kepala III/d 540,274 27,014 513,260 300,000
62 Siti Maryam Harahap 195901271982022003 Bidan Bidan Penyelia III/d 498,714 24,936 473,778 200,000
63 Tonggina Siburian 196310251986012001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 75,000
64 Sarianum Sinaga 195806011981072001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 75,000
65 Carimuli 196209121984012001 Bidan Bidan Penyelia III/d 432,219 21,611 410,608 75,000
66 Yenny A.V. Damanik 198604242015052001 D-III Kebidanan Bidan Pelaksana II/c 540,274 - 540,274 200,000
67 Elfridayanti Damanik 02.4.048.2729 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
68 Melda Sriwarni Saragih 02.4.047.136763 AKBID Bidan Desa PTT 531,962 - 531,962 100,000
69 Evi Nauli Lubis 02.4.047.136725 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
70 Blumi Evawani Purba 02.4.047.7324 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
71 Melda Tiurlina Damanik 02.4.047.136761 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
Pot
JUMLAH
50%
72 Merys Natalina Purba 02.4.047.136719 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
73 Julianita Saragih 02.4.047.136789 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
74 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
75 Elfanita Purba 02.4.047.7321 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
76 Jernih 02.4.048.2732 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
77 Frawati Simarmata 02.4.047.136784 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
78 Heppy Jenny Silitongah 02.4.012.833 AKBID Bidan Desa PTT 523,650 - 523,650 100,000
79 Susy Yanti Pardede 02.4.048.12655 AKBID Bidan Desa PTT 374,036 - 374,036 100,000
80 Cendo Siburian 02.4.047.3545 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
81 Evi Novita Saragih 02.4.047.136710 AKBID Bidan Desa PTT 531,962 - 531,962 100,000
82 Maini Saragih 02.4.047.3571 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
83 Toguwan Purba 02.4.047.136804 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
84 Delima Silaen 02.4.3404.411 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
85 Olyvia E. Simanjuntak 02.4.047.136730 AKBID Bidan Desa PTT 540,274 - 540,274 100,000
86 Rhesnika Sianturi AKBID Honda 540,274 - 540,274 75,000
87 Nur Azizah Ulfah Dalimunthe AKBID Honda 540,274 - 540,274 200,000
88 Lusmi Jumeita Damanik AKBID Honda 523,650 - 523,650 75,000
89 Budianto Siregar Perawat Honda 540,274 - 540,274 50,000
90 Mannari Tampubolon AKBID Honda 540,274 - 540,274 75,000
91 Meta Aprida Pakpahan AKBID Honda 540,274 - 540,274 75,000
92 Lia Damasta Girsang AKBID Honda 540,274 - 540,274 75,000
93 Novita Sari Sinaga AKBID Honda 540,274 - 540,274 75,000
94 Lena Sinaga AKBID Honda 540,274 - 540,274 75,000
95 Sutri Andayani AKBID Honda 540,274 - 540,274 75,000
96 Hotdi Lamrouli Manik AKBID Honda 540,274 - 540,274 200,000
97 Siska Andriany Sinaga AKBID Honda 540,274 - 540,274 75,000
98 Sylvia M.C. Simanjuntak AKBID Honda 540,274 - 540,274 75,000
99 Efi Wahyuni Siregar AKBID Honda 540,274 - 540,274 75,000
100 Rahma A. Siregar AKBID Honda 540,274 - 540,274 75,000
JUMLAH 57,277,350 1,980,090 55,297,260 20,035,000
TERBILANG : DUA PULUH LIMA TUJUH JUTA DUA RATUS TUJUH PULUH TUJUH RIBU TIGA RATUS LIMA PULUH RIBU RUPIAH

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP :196508252000032002
BULAN MARET 2016
JUMLAH
28 Siti Maryam 195901271982022003 Bidan Bidan Penyelia III /d 538,465 26,923 511,542 28
JUMLAH
JUMLAH
80 Heppy Jenny Silitonga 02.4.012.833 AKBID Bidan Desa PTT 538,465 - 538,465 80
JUMLAH 59,811,050 2,029,587 57,781,463
TERBILANG : LIMA PULUH SEMBILAN JUTA DELAPAN RATUS SEBELAS RIBU LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
59,811,050
59,811,050
BULAN MARET 2016
JUMLAH
JUMLAH

JUMLAH
JUMLAH 59,811,050 2,029,587 57,781,463
TERBILANG : LIMA PULUH SEMBILAN JUTA DELAPAN RATUS SEMI RIBU LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:

JUMLAH
NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002

BULAN MARET 2016
JUMLAH
JUMLAH

JUMLAH
JUMLAH 59,811,050 2,029,587 57,781,463
TERBILANG : LIMA PULUH SEMBILAN JUTA DELAPAN RATUS SEBELAS RIBU LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:

JUMLAH
NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
59,811,050
59,811,050
BULAN : MARET 2016
TENAKES/NONKES
TENANO TERLAM
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30

28 Siti Maryam Bidan 195901271982022003 40 25
50 Reni Siahaan SPK 196202181985012002 40 25
55 Osna Sirait SPK 196104241984122001 40 25
56 Ani Pinem SPK 196105121984011001 40 25
67 Carimuli Bidan 196209121984012001 40 25
78 Jernih AKBID 02.4.048.2732 40 25
TOTAL NILAI 750 100 180 3400 175 0 30 30 30 2525 0
7220
TASI JKN
JUMLA
H NILAI
205 59811050 7220 1,698,236 1,698,236 254,735 254,735

175 59811050 7220 1,449,714 1,449,714 72,486 72,486
175 59811050 7220 1,449,714 1,449,714 72,486 72,486
175 59811050 7220 1,449,714 1,449,714 217,457 217,457
175 59811050 7220 1,449,714 1,449,714 72,486 72,486
125 59811050 7220 1,035,510 1,035,510 51,775 51,775
115 59811050 7220 952,669 952,669 47,633 47,633
115 59811050 7220 952,669 952,669 47,633 47,633
85 59811050 7220 704,147 704,157 35,207 35,207
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
50 59811050 7220 414,204 414,204
50 59811050 7220 414,204 414,204
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
50 59811050 7220 414,204 414,204
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
50 59811050 7220 414,204 414,204
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
50 59811050 7220 414,204 414,204
50 59811050 7220 414,204 414,204
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
65 59811050 7220 538,465 538,465 26,923 26,923
50 59811050 7220 414,204 414,204 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465 26,923
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
65 59811050 7220 538,465 538,465
7220 59,811,050 59,811,050
0
BULAN APRIL 2016
JUMLAH
7 Oktavina Ginting,SKM 197510142000122001 S1Kesmas Tata Usaha III /c 1,100,389 55,019 1,045,370 7
8 Mega Oktaria Tarigan,SKM 198410142010012020 S1Kesmas Penyuluh Kesmas Pertama III /b 1,090,904 54,545 1,036,359 8
24 Enna Florida Sinaga AM.Kep 197604192003122005 D-III Kebidanan Perawat Pratama II /d 616,597 - 616,597 24
JUMLAH
JUMLAH

95 Gugun Pardede AKBID Honda 493,278 - 493,278 95
96 Rahma A. Sinaga AKBID Honda 626,084 - 626,084 96
JUMLAH 61,242,350 2,066,550 59,175,800
TERBILANG : ENAM PULUH SATU JUTA DUA RATUS EMPAT PULUH DUA RIBU TIGA RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
61,242,350
BULAN APRIL 2016
JUMLAH
JUMLAH
JUMLAH

JUMLAH 61,242,350 2,066,550 59,175,800

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
61,242,350
BULAN APRIL 2016
JUMLAH
JUMLAH
JUMLAH

JUMLAH 61,242,350 2,066,550 59,175,800

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
61,242,350
61,242,350
BULAN : APRIL 2016
TENAKES/NONKES
TENANO TERLAM
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30

24 Enna Florida Sinaga AM.Kep D-III Kebidanan 197604192003122005 40 25
48 Reni Siahaan SPK 196202181985012002 40 12
52 Osna Sirait SPK 196104241984122001 40 12
53 Ani Pinem SPK 196105121984011001 40 12
63 Carimuli Bidan 196209121984012001 40 12
74 Jernih AKBID 02.4.048.2732 40 23
95 Gugun Pardede AKBID Honda 40 12
TOTAL NILAI 750 100 180 3200 175 0 30 30 30 1961 0
6456
TASI JKN
JUMLA
H NILAI
206 61242350 6456 1,954,139 1,954,139 293,121 293,121

176 61242350 6456 1,669,556 1,669,556 83,478 83,478
170 61242350 6456 1,612,639 1,612,639 80,632 80,632
164 61242350 6456 1,555,723 1,555,723 233,358 233,358
157 61242350 6456 1,489,320 1,489,320 74,466 74,466
125 61242350 6456 1,185,764 1,185,764 59,288 59,288
116 61242350 6456 1,100,389 1,100,389 55,019 55,019
115 61242350 6456 1,090,903 1,090,904 54,545 54,545
81 61242350 6456 768,375 768,375 38,419 38,419
62 61242350 6456 588,139 588,139
63 61242350 6456 597,625 597,625 29,881 29,881
66 61242350 6456 626,084 626,084 31,304 31,304
65 61242350 6456 616,597 616,597 30,830 30,830
58 61242350 6456 550,195 550,195
61 61242350 6456 578,653 578,653
62 61242350 6456 588,139 588,139 29,407 29,407
66 61242350 6456 626,084 626,084 31,304 31,304
66 61242350 6456 626,084 626,084 31,304 31,304
54 61242350 6456 512,250 512,250 25,613 25,613
63 61242350 6456 597,625 597,625 29,881 29,881
63 61242350 6456 597,625 597,625 29,881 29,881
65 61242350 6456 616,597 616,597 30,830 30,830
61 61242350 6456 578,653 578,653 28,933 28,933
65 61242350 6456 616,597 616,597
61 61242350 6456 578,653 578,653 28,933 28,933
61 61242350 6456 578,653 578,653
63 61242350 6456 597,625 597,625 29,881 29,881
60 61242350 6456 569,167 569,167 28,458 28,458
62 61242350 6456 588,139 588,139 29,407 29,407
66 61242350 6456 626,084 626,084 31,304 31,304
60 61242350 6456 569,167 569,167 28,458 28,458
46 61242350 6456 436,361 436,361
51 61242350 6456 483,792 483,792
64 61242350 6456 607,111 607,111 30,356 30,356
65 61242350 6456 616,597 616,597 30,830 30,830
40 61242350 6456 379,445 379,445
57 61242350 6456 540,708 540,708 27,035 27,035
65 61242350 6456 616,597 616,597 30,830 30,830
63 61242350 6456 597,625 597,625 29,881 29,881
59 61242350 6456 559,681 559,681 27,984 27,984
64 61242350 6456 607,111 607,111 30,356
64 61242350 6456 607,111 607,111 30,356 30,356
63 61242350 6456 597,625 597,625 29,881 29,881
62 61242350 6456 588,139 588,139
62 61242350 6456 588,139 588,139
65 61242350 6456 616,597 616,597 30,830 30,830
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
37 61242350 6456 350,986 350,986
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
37 61242350 6456 350,986 350,986
37 61242350 6456 350,986 350,986
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
52 61242350 6456 493,278 493,278 24,664 24,664
37 61242350 6456 350,986 350,986
58 61242350 6456 550,195 550,195 27,510
60 61242350 6456 569,167 569,167 28,458
61 61242350 6456 578,653 578,653 28,933
61 61242350 6456 578,653 578,653 28,933
66 61242350 6456 626,084 626,084 31,304
65 61242350 6456 616,597 616,597 30,830
65 61242350 6456 616,597 616,597 30,830
62 61242350 6456 588,139 588,139 29,407
66 61242350 6456 626,084 626,084 31,304
63 61242350 6456 597,625 597,625 29,881
65 61242350 6456 616,597 616,597 30,830
63 61242350 6456 597,625 597,625 29,881
64 61242350 6456 607,111 607,111 30,356
56 61242350 6456 531,222 531,222 26,561
64 61242350 6456 607,111 607,111 30,356
58 61242350 6456 550,195 550,195 27,510
63 61242350 6456 597,625 597,625
62 61242350 6456 588,139 588,139 29,407
66 61242350 6456 626,084 626,084 31,304
52 61242350 6456 493,278 493,278 24,664
65 61242350 6456 616,597 616,597 30,830
66 61242350 6456 626,084 626,084
65 61242350 6456 616,597 616,597
66 61242350 6456 626,084 626,084
63 61242350 6456 597,625 597,625
65 61242350 6456 616,597 616,597
66 61242350 6456 626,084 626,084
64 61242350 6456 607,111 607,111
66 61242350 6456 626,084 626,084
63 61242350 6456 597,625 597,625
52 61242350 6456 493,278 493,278
66 61242350 6456 626,084 626,084
6456 61,242,350 61,242,350
0
BULAN : APRIL 2016
TENAKES/NONKES
TENANO TERLAM
NKES < KAPUSK
USAHA
BEN.JKN HADIR BAT
D3 >7JAM
>10TH
150 100 60 40 25 15 30 30 30

24 Enna Florida Sinaga AM.Kep D-III Kebidanan 197604192003122005 40 26
48 Reni Siahaan SPK 196202181985012002 40 12
52 Osna Sirait SPK 196104241984122001 40 12
53 Ani Pinem SPK 196105121984011001 40 12
63 Carimuli Bidan 196209121984012001 40 12
74 Jernih AKBID 02.4.048.2732 40 26
95 Gugun Pardede AKBID Honda 40 26
TOTAL NILAI 750 100 180 3200 175 0 30 30 30 2244 0
6739
TASI JKN
JUMLA
H NILAI
206 61242350 6739 1,872,077 1,872,077 280,811 280,811

176 61242350 6739 1,599,444 1,599,444 79,972 79,972
176 61242350 6739 1,599,444 1,599,444 79,972 79,972
176 61242350 6739 1,599,444 1,599,444 239,917 239,917
176 61242350 6739 1,599,444 1,599,444 79,972 79,972
126 61242350 6739 1,145,057 1,145,025 57,253 57,253
116 61242350 6739 1,054,179 1,054,179 52,709 52,709
116 61242350 6739 1,054,179 1,054,179 52,709 52,709
86 61242350 6739 781,547 781,547 39,077 39,077
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
51 61242350 6739 463,475 463,475
51 61242350 6739 463,475 463,475
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
51 61242350 6739 463,475 463,475
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792 29,990 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990 29,990
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
37 61242350 6739 336,247 336,247
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
37 61242350 6739 336,247 336,247
37 61242350 6739 336,247 336,247
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
52 61242350 6739 472,563 472,563 23,628 23,628
37 61242350 6739 336,247 336,247
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792 29,990
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
66 61242350 6739 599,792 599,792
6739 61,242,350 61,242,350
0
BULAN APRIL 2016
JUMLAH
10 Verika K .Silalahi AM.Keb 197601062003122002 D-III Kebidanan Bidan Pelaksana II /d 599,792 599,792 10
14 Agnes Ema Uly S.S AM.Keb 197611112007012006 D-III Kebidanan Bidan II /d 599,792 599,792 14
15 Morris A.R Smjtk AM.Keb 197501202005022002 D-III Kebidanan Bidan Pelaksana II/d 599,792 599,792 15
24 Enna Florida Sinaga AM.Kep 197604192003122005 D-III Kebidanan Perawat Pratama II /d 599,792 599,792 24
26 Melyniarti Perangin-angin 197905242010012013 D-III Keperawatan Perawat II/d 599,792 599,792 26
JUMLAH
32 Yessy Monalisa Naibaho 197609302007012002 D-I Kebidanan Bidan Pratama Madya II/d 463,475 463,475 32
33 Sarmalina Damanik 197802222008012006 D-I Kebidanan Bidan Pelaksana II/b 463,475 463,475 33
36 Salmah Rinah Saragih 197405132007012004 D-I Kebidanan Bidan Pratama Madya II/b 463,475 463,475 36
42 Rosmawati Tarigan AM.Keb 197307292007012003 D-III Kebidanan Bidan Pelaksana II/c 599,792 599,792 42
44 Rheynatha Pardosi, A.MK 198012142006042005 D-III Kes. Gigi Perawat Gigi Pelaksana II/d 599,792 599,792 44
45 Yenny A.V. Damanik 198604242015052001 D-III Kebidanan Bidan Pelaksana II/c 599,792 599,792 45
52 Imelda Sirait 198006172009022004 D-III Keperawatan Perawat Pelaksana III/a 472,563 23,628 448,935 49 bln 5 tdk masuk lg
50 Reni Klara Sidauruk 197708292012122002 Bidan Bidan Pelaksana II/a 336,247 336,247 51 bln 5 tdk masuk lg
57 Juniar Manurung 197506262007012002 D-I Kebidanan Bidan Pelaksana II/c 336,247 336,247 56
58 Rosminar Sitorus 197509252007012003 D-I Kebidanan Bidan Pelaksana II/c 336,247 336,247 57
60 Daniati Simarmata 198601232006042002 Perawat Kesehatan Perawat II/c 472,563 472,563 59
62 Sarianum Sinaga 195806011981072001 Bidan Bidan Penyelia III/d 472,563 23,628 448,935 62 bln 5 tdk masuk lg
JUMLAH

JUMLAH 61,242,350 2,049,296 59,193,054

DIKETAHUI/ISETUJUI:

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002
JUMLAH
61,242,350
bln 5 tdk masuk lg
bln 5 tdk masuk lg
bln 5 tdk masuk lg

BULAN MEI 2016
JUMLAH
1 Drg. Rumondang Sirait, M.Kes 196605251993032008 S. 1 KEDOK GIGI DOKTER GIGI IV/a 1,551,842 232,776 1,319,066 1
2 Dr. Roni Monika Purba 198411182011012007 S.1 KEDOKTERAN DOKTER PERTAMA III/b 1,638,323 81,916 1,556,407 2
3 Dr. Fericca Tri Widyastuti 198006252010012023 S.1 KEDOKTERAN DOKTER GIGI III/d 1,414,915 70,746 1,344,169 3
4 Oktavina Ginting, SKM 197510142000012001 S. 1 KesMas KA. TATA USAHA III /d 1,381,284 69,064 1,312,220 4
5 Purnama Silaban 197201101994022002 D.III Kes. Gigi PENANGGUNGJAWAB GIGI III /d 994,524 49,726 944,798 5
6 Netty Ermina 196311301983032004 D.1 BIDAN PROG. PROMKES/ PMK (DBD) III /d 867,206 43,360 823,846 6
7 Helen Siregar 197303281993032004 D.3 BIDAN PROG. KIA ( BIDAN KORDINATOR) III /d 951,284 47,564 903,720 7
8 Betty Silalahi 197109211993032004 D. 3 GIZI PROG. GIZI III /d 994,524 49,726 944,798 8
9 Lasmi Anita Agnes 196209261986032004 SMAK PROG.PMK ( HIV-AIDS) III /d 691,843 34,592 657,251 9
10 Verika Silalahi 197601062003122002 D.III Bidan PROG.PMK ( TB) II /d 994,524 - 994,524 10
11 Mega Oktaria Tarigan, SKM 198410142010012010 S. 1 KesMas BENDAHARA DANA KAPITASI III /b 1,491,778 74,592 1,417,186 11
12 Sempurna Ginting 197003151993032003 BIDAN PROG. KIA ( PETUGAS KIA/KB) III /d 581,340 29,067 552,273 12
13 Morris A.R Simajuntak 197501202005022002 D.3 BIDAN PROG. KESLING / PMK (DIARE) II/d 845,586 - 845,586 13
14 Emmy S. Tarigan 197304171993032000 D.1 BIDAN PROG.PMK (IMUNISASI) III /d 607,765 30,388 577,377 14
15 Agnes Ema Uly S. 197611112007012006 D.3 BIDAN PROG.PMK (ISPA) II/d 828,770 - 828,770 15
16 Rumintan Munthe 196404271986032001 D.3 PERAWAT PROG. SP2TP III /d 1,004,133 50,207 953,926 16
17 Novita Sari Barus, Apt 197611012011012005 Apoteker Muda PENGELOLA OBAT III /c 1,270,781 63,539 1,207,242 17
18 Enna F. Sinaga 197604199203122005 D.3 PERAWAT PENANGGUNGJAWAB POLI (UMUM) II/d 994,524 - 994,524 18
19 Rislindawaty Girsang 197108181992032010 D.3 BIDAN PENANGGUNGJAWAB POLI (RUJUKAN) III /d 908,044 45,402 862,642 19
20 Yessy Monalisa Naibaho 197609302007012002 D.1 BIDAN PENANGGUNGJAWAB INVENTARIS II/d 442,011 - 442,011 20
21 Rheynatha Pardosi 198012142006042005 D.III Kes. Gigi PROG. PROMKES (UKS) II/d 648,603 - 648,603 21
22 Zaleha, SKM 196405011988032003 S. 1 KesMas STAF PUSKESMAS III /d 884,022 44,201 839,821 22
23 Ruslan Pangaribuan 197108031993032002 D.3 BIDAN STAF PUSKESMAS III /d 845,586 42,279 803,307 23
24 Agustina Suryani Purba 198708192009032002 D.3 BIDAN STAF PUSKESMAS III/a 718,268 35,913 682,355 24
25 Ferawati Situmorang 198302252005022002 D.3 BIDAN STAF PUSKESMAS III /b 605,363 30,268 575,095 25
26 Darmagina Siallagan 197104181991032002 D.3 BIDAN STAF PUSKESMAS III /d 884,022 44,201 839,821 26
27 Citra Dewi Damanik 198203112009022007 D.3 PERAWAT STAF PUSKESMAS III/a 718,268 35,913 682,355 27
28 Hermina Simorangkir 196808031993032004 D.3 PERAWAT STAF PUSKESMAS III/d 845,586 42,279 803,307 28
29 Rohati 196401101998032003 D.3 PERAWAT STAF PUSKESMAS III /c 720,670 36,033 684,637 29
30 Melyniarti Perangin-angin 197905242010012013 D.3 PERAWAT STAF PUSKESMAS II/d 624,581 - 624,581 30
31 Siti Maryam Harahap 195901271982022003 BIDAN STAF PUSKESMAS III/d 504,469 25,223 479,246 31
32 Rice E. Tampubolon 197301031996032006 D. 3 GIZI STAF PUSKESMAS III/c 828,770 41,439 787,331 32
JUMLAH
33 Nuralam Siahaan 196704021992032004 BIDAN STAF PUSKESMAS III/d 497,262 24,863 472,399 33
34 Sarmalina Damanik 197802222008012006 D.1 BIDAN STAF PUSKESMAS II/b 331,508 - 331,508 34
35 Esde Simatupang 196611131989032001 PERAWAT STAF PUSKESMAS III/d 480,447 24,022 456,425 35
36 Boksa Parhusip 195810011982032002 SPK STAF PUSKESMAS III/d 552,514 27,626 524,888 36
37 Salmah Rinah Saragih 197405132007012004 D.1 BIDAN STAF PUSKESMAS II/d 317,095 - 317,095 37
38 Radian Simarmata 196605241988031008 SMA STAF PUSKESMAS III/c 552,514 27,626 524,888 38
39 Agustina E. Silalahi 197308191992032001 BIDAN STAF PUSKESMAS II/c 497,262 24,863 472,399 39
40 Roslinda Siallagan 196612061987032001 SPK STAF PUSKESMAS III/d 480,447 24,022 456,425 40
41 Rosmawati Tarigan 197307292007012003 D.3 BIDAN STAF PUSKESMAS II/d 687,039 - 687,039 41
42 Yenny A.V. Damanik 198604242015052001 D.3 BIDAN STAF PUSKESMAS II/c 663,016 - 663,016 42
43 Juraidah Simorangkir 196508231992032002 D.1 BIDAN STAF PUSKESMAS III/d 497,262 24,863 472,399 43
44 Emma Saragih 195907251993092001 PERAWAT STAF PUSKESMAS III/d 475,642 23,782 451,860 44
45 Mastiur Sagala 195806231984012001 SPK KAPUSTU III/d 384,357 19,218 365,139 45
46 Hotma Hutapea 196303271992032002 BIDAN KAPUSTU III/c 345,922 17,296 328,626 46
47 Rumondang Panjaitan 196310241987032004 SPK KAPUSTU III/d 384,357 19,218 365,139 47
48 Kartini Siregar 196305121984022001 BIDAN KAPUSTU III/d 384,357 19,218 365,139 48
49 Reni Siahaan 196202181985012002 SPK STAF PUSTU III/d 384,357 19,218 365,139 49
50 Reni Klara Sidauruk 197708292012122002 BIDAN STAF PUSTU II/a 168,156 - 168,156 50
51 Osna Sirait 196104241984122001 SPK STAF PUSTU III/d 384,357 19,218 365,139 51
52 Ani Pinem 196105121984011001 SPK STAF PUSTU III/d 384,357 19,218 365,139 52
53 Juniar Manurung 197506262007012002 D.1 BIDAN STAF PUSTU II/c 201,788 - 201,788 53
54 Rosminar Sitorus 197509252007012003 D.1 BIDAN STAF PUSTU II/c 201,788 - 201,788 54
55 Tiur Sianipar 197202201992032001 BIDAN STAF PUSTU III/b 345,922 17,296 328,626 55
56 Daniati Simarmata 198601232006042002 D.3 PERAWAT STAF PUSTU II/c 499,664 - 499,664 56
57 Since Magdalena Manik 197611212005022001 D.3 PERAWAT STAF PUSTU III/a 538,100 26,905 511,195 57
58 Tonggina Siburian 196310251986012001 BIDAN STAF PUSTU III/d 384,357 19,218 365,139 58
59 Sarianum Sinaga 195806111981072001 BIDAN STAF PUSTU III/d 384,357 19,218 365,139 59
60 Carimuli 196209121984012001 BIDAN STAF PUSTU III/d 384,357 19,218 365,139 60
61 Elfridayanti Damanik 02.4.048.2729 D.3 BIDAN BIDAN PTT - 687,039 - 687,039 61
62 Melda Sriwarni Saragih 02.4.047.137763 D.3 BIDAN BIDAN PTT - 687,039 - 687,039 62
63 Evi Nauli Lubis 02.4.047.136725 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 63
64 Blumi Evawani Purba 02.4.047.7324 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 64
65 Melda Tiurlina Damanik 02.4.047.136761 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 65
66 Merys Natalina Purba 02.4.047.136719 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 66
67 Julianita Saragih 02.4.047.136789 D.3 BIDAN BIDAN PTT - 749,497 - 749,497 67
68 Rodearni Ernyta 02.4.047.136728 D.3 BIDAN BIDAN PTT - 687,039 - 687,039 68
69 Elfanita Purba 02.4.047.7321 D.3 BIDAN BIDAN PTT - 749,497 - 749,497 69
JUMLAH
70 Jernih 02.4.048.2732 D.3 BIDAN BIDAN PTT - 749,497 - 749,497 70

71 Frawati Simarmata 02.4.047.136784 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 71
72 Heppy Jenni Silitonga 02.4.012.833 D.3 BIDAN BIDAN PTT - 655,810 - 655,810 72
73 Cendo Mestika Siburian 02.4.047.3545 D.3 BIDAN BIDAN PTT - 718,268 - 718,268 73
74 Evi Novita Saragih 02.4.047.136710 D.3 BIDAN BIDAN PTT - 624,581 - 624,581 74
75 Maini Saragih 02.4.047.3571 D.3 BIDAN BIDAN PTT - 749,497 - 749,497 75
76 Toguwan Purba 02.4.047.136804 D.3 BIDAN BIDAN PTT - 687,039 - 687,039 76
77 Olyvia E. Simanjuntak 02.4.047.136730 D.3 BIDAN BIDAN PTT - 655,810 - 655,810 77
78 Nur Azizah Dalimunthe - D.3 BIDAN TENAGA KERJA SUKARELA - 605,363 - 605,363 78
79 Rhesnika Sianturi - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 79
80 Lusmi Jumeita Damanik - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 80
81 Meta Aprida Pakpahan - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 81
82 Lia Damasta Girsang - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 82
83 Novita Sari Sinaga - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 83
84 Lena Sinaga - D.3 BIDAN TENAGA KERJA SUKARELA - 461,229 - 461,229 84
85 Sutri Andayani - D.3 BIDAN TENAGA KERJA SUKARELA - 663,016 - 663,016 85
86 Hotdi L. Manik - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 86
87 Siska Andriany Sinaga - D.3 BIDAN TENAGA KERJA SUKARELA - 663,016 - 663,016 87
88 Sylvia M.C. Simanjuntak - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 88
89 Rahma A. Sinaga - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 89
90 Gugun Pardede - D.3 BIDAN TENAGA KERJA SUKARELA - 691,843 - 691,843 90
91 Budianto Sregar - D.3 PERAWAT TENAGA KERJA SUKARELA - 663,016 - 663,016 91
JUMLAH 62,349,950 1,786,540 60,563,410
TERBILANG : ENAM PULUH DUA JUTA TIGA RATUS EMPAT PULUH SEMBILAN RIBU SEMBILAN RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
KEPALA FKTP BATU ANAM BENDAHARA KAPITASI JKN PPTK YANG MENERIMA
Dr. RUSPAL SIMARMATA MEGA OKTARIA TARIGAN EMMY S. TARIGAN Drg. RUMONDANG SIRAIT
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP :19660525 199303 2 008
JUMLAH
62,349,950
-
BULAN MEI 2016
JUMLAH
NO NAMA NIP PENDIIKAN JABATAN GOL DITERIMAPPh-Psl 21 TANDA TANGAN
DITERIMA
S1 DOKTER
1 Drg. Rumondang Sirait, M.Kes 196605251993032008 GIGI DOKTER GIGI IV/a 1,551,842 232,776 1,319,066 1
2 Dr. Roni Monika Purba 198411182011012007 S1
S1 DOKTER
DOKTER DOKTER PERTAMA III/b 1,638,323 81,916 1,556,407 2
3 Dr. Fericca Tri Widyastuti 198006252010012023 GIGI DOKTER GIGI III/d 1,414,915 70,746 1,344,169 3
JUMLAH
DITERIMA
JUMLAH
DITERIMA

JUMLAH 62,349,950 1,786,540 60,563,410

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004NIP :19660525 199303 2 008
JUMLAH
DITERIMA
62,349,950
-
BULAN MEI 2016
JUMLAH
DITERIMA
S1 DOKTER
S1 DOKTER
JUMLAH
DITERIMA
JUMLAH
DITERIMA

JUMLAH 62,349,950 1,786,540 60,563,410

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004NIP :19660525 199303 2 008
JUMLAH
DITERIMA
62,349,950
-
BULAN MEI 2016
JUMLAH
DITERIMA
S1 DOKTER
S1 DOKTER
JUMLAH
DITERIMA
JUMLAH
DITERIMA

JUMLAH 62,349,950 1,786,540 60,563,410

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004NIP :19660525 199303 2 008
JUMLAH
DITERIMA
62,349,950
-
BULAN JUNI 2016
JUMLAH
1 Drg. Rumondang Sirait, M.Kes 196605251993032008 S1 DOKTER GIGI DOKTER GIGI IV/a 1,807,070 267739 1,539,331 1
2 Dr. Roni Monika Purba 198411182011012007 S1 DOKTER DOKTER PERTAMA III/b 1,784,924 90353 1,694,571 2 267739
3 Dr. Fericca Tri Widyastuti 198006252010012023 S1 DOKTER GIGI DOKTER GIGI III/d 1,716,273 85814 1,630,459 3
5 Purnama Silaban 197201101994022002 D.III Kes. Gigi PENANGGUNGJAWAB GIGI III /d 996,546 49827 946,719 5
6 Netty Ermina 196311301983032004 D.1 BIDAN PROG. PROMKES/ PMK (DBD) III /d 1,051,909 52595 999,314 6
7 Helen Siregar 197303281993032004 D.3 BIDAN PROG. KIA ( BIDAN KORDINATOR) III /d 996,546 49827 946,719 7
8 Betty Silalahi 197109211993032004 D. 3 GIZI PROG. GIZI III /d 996,546 49827 946,719 8
9 Lasmi Anita Agnes 196209261986032004 SMAK PROG.PMK ( HIV-AIDS) III /d 690,938 34547 656,391 9
10 Verika Silalahi 197601062003122002 D.III Bidan PROG.PMK ( TB) II /d 1,036,408 51820 984,588 10
11 Mega Oktaria Tarigan, SKM 198410142010012010 S. 1 KesMas BENDAHARA DANA KAPITASI III /b 1,494,819 74741 1,420,078 11
12 Sempurna Ginting 197003151993032003 BIDAN PROG. KIA ( PETUGAS KIA/KB) III /d 609,000 30450 578,550 12
14 Emmy S. Tarigan 197304171993032000 D.1 BIDAN PROG.PMK (IMUNISASI) III /d 609,000 30450 578,550 14
16 Rumintan Munthe 196404271986032001 D.3 PERAWAT PROG. SP2TP III /d 1,051,909 52595 999,314 16
17 Novita Sari Barus, Apt 197611012011012005 Apoteker Muda PENGELOLA OBAT III /c 1,273,364 63668 1,209,696 17
19 Rislindawaty Girsang 197108181992032010 D.3 BIDAN PENANGGUNGJAWAB POLI (RUJUKAN) III /d 996,546 49827 946,719 19
22 Zaleha, SKM 196405011988032003 S. 1 KesMas STAF PUSKESMAS III /d 1,222,430 61121 1,161,309 22
23 Ruslan Pangaribuan 197108031993032002 D.3 BIDAN STAF PUSKESMAS III /d 885,818 44291 841,527 23
24 Agustina Suryani Purba 198708192009032002 D.3 BIDAN STAF PUSKESMAS III/a 719,728 35986 683,742 24
25 Darmagina Siallagan 197104181991032002 D.3 BIDAN STAF PUSKESMAS III /d 814,953 40748 774,205 25
26 Citra Dewi Damanik 198203112009022007 D.3 PERAWAT STAF PUSKESMAS III/a 719,728 35986 683,742 26
27 Hermina Simorangkir 196808031993032004 D.3 PERAWAT STAF PUSKESMAS III/d 885,818 44291 841,527 27
28 Marubun Silalahi 197010241991031003 D.3 PERAWAT STAF PUSKESMAS III /c 885,818 44291 841,527 28
29 Rohati 196401101998032003 D.3 PERAWAT STAF PUSKESMAS III /c 797,237 39862 757,375 29
31 Siti Maryam Harahap 195901271982022003 BIDAN STAF PUSKESMAS III/d 553,637 27682 525,955 31
32 Rice E. Tampubolon 197301031996032006 D. 3 GIZI STAF PUSKESMAS III/c 830,455 41523 788,932 32
JUMLAH
33 Nuralam Siahaan 196704021992032004 BIDAN STAF PUSKESMAS III/d 498,273 24914 473,359 33
35 Esde Simatupang 196611131989032001 PERAWAT STAF PUSKESMAS III/d 575,782 28789 546,993 35
36 Boksa Parhusip 195810011982032002 SPK STAF PUSKESMAS III/d 575,782 28789 546,993 36
38 Radian Simarmata 196605241988031008 SMA STAF PUSKESMAS III/c 553,637 27682 525,955 38
39 Agustina E. Silalahi 197308191992032001 BIDAN STAF PUSKESMAS II/c 458,411 22921 435,490 39
40 Roslinda Siallagan 196612061987032001 SPK STAF PUSKESMAS III/d 553,637 27682 525,955 40
43 Juraidah Simorangkir 196508231992032002 D.1 BIDAN STAF PUSKESMAS III/d 498,273 24914 473,359 43
44 Emma Saragih 195907251993092001 PERAWAT STAF PUSKESMAS III/d 478,342 23917 454,425 44
45 Hotma Hutapea 196303271992032002 BIDAN KAPUSTU III/c 318,895 15945 302,950 45
46 Rumondang Panjaitan 196310241987032004 SPK KAPUSTU III/d 354,327 17716 336,611 46
47 Kartini Siregar 196305121984022001 BIDAN KAPUSTU III/d 354,327 17716 336,611 47
48 Reni Siahaan 196202181985012002 SPK STAF PUSTU III/d 354,327 17716 336,611 48
50 Osna Sirait 196104241984122001 SPK STAF PUSTU III/d 354,327 17716 336,611 50
51 Ani Pinem 196105121984011001 SPK STAF PUSTU III/d 354,327 17716 336,611 51
54 Tiur Sianipar 197202201992032001 BIDAN STAF PUSTU III/b 318,895 15945 302,950 54
56 Since Magdalena Manik 197611212005022001 D.3 PERAWAT STAF PUSTU III/a 496,058 24803 471,255 56
57 Tonggina Siburian 196310251986012001 BIDAN STAF PUSTU III/d 354,327 17716 336,611 57
58 Carimuli 196209121984012001 BIDAN STAF PUSTU III/d 354,327 17716 336,611 58
59 Syafrida Habib 198007102008012032 BIDAN STAF PUSTU II/b 212,596 - 212,596 59
60 Imelda Sirait 198006172009022004 D.3 BIDAN STAF PUSTU III/a 460,626 23031 437,595 60
JUMLAH

JUMLAH 63,324,950 1,929,645 61,395,305
TERBILANG : ENAM PULUH TIGA JUTA TIGA RATUS DUA PULUH EMPAT RIBU SEMBILAN RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP :19660525 199303 2 008
JUMLAH
63,324,950
BULAN JUNI 2016
JUMLAH
2 Dr. Roni Monika Purba 198411182011012007 S1 DOKTER DOKTER PERTAMA III/b 1,784,924 267739 1,517,185 2
JUMLAH
JUMLAH

JUMLAH 63,324,950 1,929,645 61,395,305

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP :19660525 199303 2 008
JUMLAH
63,324,950
BULAN JUNI 2016
JUMLAH
2 Dr. Roni Monika Purba 198411182011012007 S1 DOKTER DOKTER PERTAMA III/b 1,784,924 267739 1,517,185 2
JUMLAH
JUMLAH

JUMLAH 63,324,950 1,929,645 61,395,305

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP :19660525 199303 2 008
JUMLAH
63,324,950
BULAN JULI 2016
JUMLAH
1 Dr. Ruspal Simarmata 196810141999031000 S1 DOKTER DOKTER UMUM IV/b 2,968,247 445,237 2,523,010 1
2 Drg. Rumondang Sirait, M.Kes 196605251993032008 S1 DOKTER GIGI DOKTER GIGI IV/a 1,586,799 238,020 1,348,779 2
3 Drg. Fericca Tri Widyastuti 198006252010012023 S1 DOKTER GIGI DOKTER GIGI III/d 1,446,787 72,339 1,374,448 3
4 Oktavina Ginting, SKM 197510142000012001 S. 1 Kes Mas KA. TATA USAHA III /d 1,341,776 67,089 1,274,687 4
6 Netty Ermina 196311301983032004 D.1 BIDAN PROG. PROMKES/ PMK (DBD) III /d 1,019,752 50,988 968,764 6
18 Enna F. Sinaga 197604199203122005 D.3 PERAWAT PENANGGUNGJAWAB POLI (UMUM) II/d 1,008,084 - 1,008,084 18
22 Zaleha, SKM 196405011988032003 S. 1 KesMas STAF PUSKESMAS III /d 1,234,436 61,722 1,172,714 22
23 Herni J. Butar-butar 198207222005022003 D.3 BIDAN STAF PUSKESMAS III/b 522,710 26,136 496,574 23
29 Marubun Silalahi 197010241991031003 D.3 PERAWAT STAF PUSKESMAS III /c 858,738 42,937 815,801 29
JUMLAH
45 Tiur Sianipar 197202201992032001 BIDAN STAF PUSKESMAS III/b 483,040 24,152 458,888 45
59 Imelda Sirait 198006172009022004 D.3 BIDAN STAF PUSTU III/a 606,717 30,336 576,381 59
JUMLAH

JUMLAH 65,009,750 2,261,538 62,748,212
TERBILANG : ENAM PULUH LIMA JUTA SEMBILAN RIBU TUJUH RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
Dr. RUSPAL SIMARMATA MEGA OKTARIA TARIGAN EMMY S. TARIGAN Dr. RUSPAL SIMARMATA
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
JUMLAH
65,009,750
BULAN AGUSTUS 2016
JUMLAH
3 Dr. Rosmawaty N. Munthe 197908272010012015 S1 DOKTER DOKTER UMUM III/c 1,765,298 88,265 1,677,033 3
JUMLAH
JUMLAH

91 Lenna Sinaga D.3 BIDAN TENAGA KERJA SUKARELA - 525,647 - 525,647 91
92 Mannaria Tampubolon D.3 BIDAN TENAGA KERJA SUKARELA - 525,647 - 525,647 92
JUMLAH 66,452,750 2,305,291 64,147,459
TERBILANG : ENAM PULUH ENAM JUTA EMPAT RATUS LIMA PULUH DUA RIBU TUJUH RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
JUMLAH
66,452,750
BULAN SEPTEMBER 2016
JUMLAH
17 Rumintan Munthe 196404271986032001 D.3 PERAWAT PROG. SP2TP III /d 946,485 47,324 899,161 17
JUMLAH
47 Ferawati Situmorang 198301252005022002 D.3 BIDAN STAF PUSKESMAS III/b 697,410 34,870 662,540 47
48 Marice Marpaung 198106232011012010 S.1 PERAWAT STAF PUSKESMAS III/a 846,855 42,343 804,512 48
58 Daniati Simarmata 198601232006042002 D.3 PERAWAT STAF PUSTU II/c 647,595 32,379 615,216 58
JUMLAH

92 Lenna Sinaga - D.3 BIDAN TENAGA KERJA SUKARELA - 498,150 - 498,150 92
93 Mannaria Tampubolon - D.3 BIDAN TENAGA KERJA SUKARELA - 498,150 - 498,150 93
JUMLAH 64,319,450 2,318,609 62,000,841
TERBILANG : ENAM PULUH EMPAT JUTA TIGA RATUS SEMBILAN BELAS RIBU EMPAT RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
JUMLAH
64,319,450
BULAN OKTOBER 2016
JUMLAH
4 Dr. Roni Monica Purba 198411182011012007 S1 DOKTER DOKTER UMUM III/b 1,607,915 80,396 1,527,519 4
17 Radian Simarmata 196605241988031008 SMA PENANGGUNGJAWAB INVENTARIS III/c 622,419 31,121 591,298 17
18 Rumintan Munthe 196404271986032001 D.3 PERAWAT PROG. SP2TP III /d 985,496 49,275 936,221 18
22 Yessy Monalisa Naibaho 197609302007012002 D.1 BIDAN PROG.PMK (ISPA) II/d 414,946 - 414,946 22
JUMLAH
41 Agnes Ema Uly S. 197611112007012006 D.3 BIDAN STAF PUSKESMAS II/d 674,287 - 674,287 41
49 Marice Marpaung 198106232011012010 S.1 PERAWAT STAF PUSKESMAS III/a 881,760 44,088 837,672 49
JUMLAH
JUMLAH 67,127,450 2,401,499 64,725,951
TERBILANG : ENAM PULUH TUJUH JUTA SERATUS DUA PULUH TUJUH RIBU EMPAT RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
JUMLAH
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
BULAN NOVEMBER 2016
JUMLAH
JUMLAH
39 Sarmian Pandiangan 196807141990032003 SPK STAF PUSKESMAS III/c 545,295 27,265 518,030 39
42 Agustina E. Silalahi 197308191992032001 BIDAN STAF PUSKESMAS III/d 490,765 24,538 466,227 42
JUMLAH

84 Lia Damastiha Girsang - D.3 BIDAN TENAGA KERJA SUKARELA - 352,344 - 352,344 84
JUMLAH 69,315,350 2,478,365 66,836,985
TERBILANG : ENAM PULUH SEMBILAN JUTA TIGA RATUS LIMA BELAS RIBU TIGA RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
JUMLAH
69,315,350
BULAN DESEMBER 2016
JUMLAH
3 Dr. Rosmawaty N. Munthe 197908272010012015 S1 DOKTER DOKTER UMUM III/d 1,649,040 82,452 1,566,588 3
JUMLAH
39 Sarmian Pandiangan 196807141990032003 SPK STAF PUSKESMAS III/c 531,948 26,597 505,351 39
42 Agustina E. Silalahi 197308191992032001 BIDAN STAF PUSKESMAS III/d 478,754 23,938 454,816 42
59 Daniati Simarmata 198601232006042002 D.3 PERAWAT STAF PUSTU III/a 691,533 34,577 656,956 59
JUMLAH

84 Lia Damastiha Girsang - D.3 BIDAN TENAGA KERJA SUKARELA - 638,338 - 638,338 84
JUMLAH 70,695,950 2,548,030 68,147,920
TERBILANG : TUJUH PULUH JUTA ENAM RATUS SEMBILAN PULUH LIMA RIBU SEMBILAN RATUS LIMA PULUH RUPIAH

DIKETAHUI/ISETUJUI:
NIP : 19681014 199903 1 001 NIP : 19841014 201001 2 010 NIP:197304171993032004 NIP : 19681014 199903 1 001
JUMLAH
70,695,950
PEMERINTAH KABUPATEN SIMALUNGUN
DINAS KESEHATAN
UPTD BATU ANAM
Jl. Asahan Km. VI
Kode Pos : 21151
NO NAMA NIP JABATAN TANDA TANGAN
1 dr.Ruspal Simarmata 196810141999031001 Kepala Puskesmas 1

2 dr.Roni Monika Purba 198411182011012007 Dokter Umum 2
3 dr. Rosmawaty Munthe 197908272010012015 Dokter Umum 3
4 drg.Rumondang Sirait, M.Kes 196605251993032008 Dokter Gigi 4
5 Oktavina Ginting,SKM 197510142000122001 Tata Usaha 5
6 Novita Sriulina Barus, Apt. 197611012011012005 Staff Puskesmas 6
7 Mega Oktaria Tarigan,SKM 198410142010012020 Staff Puskesmas 7
8 Zaleha,SKM 196405011988032003 Staff Puskesmas 8
9 Purnama E. Silaban 197201101994022002 Staff Puskesmas 9
10 Verika K .Silalahi AM.Keb 197601062003122002 Staff Puskesmas 10
11 Ruslan Pangaribuan AM.Keb 197108031993032002 Staff Puskesmas 11
12 Agustina Suryani P.AM.Keb 198708192009022002 Staff Puskesmas 12
13 Ferawati Situmorang 198302252005022002 Staff Puskesmas 13
14 Netty Ermina 196311301983032004 Staff Puskesmas 15
15 Rislindawati Girsang AM.Keb 197108181992032010 Staff Puskesmas 16
16 Emmy S. Tarigan 197304171993032004 Staff Puskesmas 17
17 Helen Siregar AM.Keb 197303281993032004 Staff Puskesmas 18
18 Rumintan Munthe 196404271986032001 Staff Puskesmas 19
19 Hermina Simorangkir 196808031993032004 Staff Puskesmas 20
20 Emma Saragih 195907251993092001 Staff Puskesmas 21
21 Sarmian Pandiangan 196807141990032003 Staff Puskesmas 22
22 Enna Florida Sinaga AM.Kep 197604192003122005 Staff Puskesmas 23
23 Rohati 196401101998032003 Staff Puskesmas 24
24 Betty Silalahi 197109211993032004 Staff Puskesmas 25
25 Salmah Rinah Saragih 197405132007012004 Staff Puskesmas 26
26 Radian Simarmata 196605241988031008 Staff Puskesmas 27
27 Roslinda Sialagan 196612061987032001 Staff Puskesmas 28
28 Lasmi Anita Agnes 196209261986032004 Staff Puskesmas 29
29 Sempurna Ginting 197003151993032003 Staff Puskesmas 30
30 Yenny A.V. Damanik 198604242015052001 Staff Puskesmas 31
31 Imelda Sirait 198006172009022004 Staff Puskesmas 32
32 Hotma Hutapea 196303271992032002 Staff Puskesmas 33
33 Hosna Sirait 196104241984122001 Staff Puskesmas 34
34 Ani Pinem 196105121984011001 Staff Puskesmas 35
35 Rumondang Panjaitan 196310241987032004 Staff Puskesmas 36
36 Carimuli 196209121984012001 Staff Puskesmas 37
37 Elfridayanti Damanik 02.4.048.2729 Bidan PTT Pusat 38
38 Melda Sriwarni Saragih 02.4.047.136763 Bidan PTT Pusat 39
39 Merys Natalina Purba 02.4.047.136719 Bidan PTT Pusat 40
40 Julianita Saragih 02.4.047.136789 Bidan PTT Pusat 41
41 Rodearni Ernyta 02.4.047.136728 Bidan PTT Pusat 42
42 Elfanita Purba 02.4.047.7321 Bidan PTT Pusat 43
43 Frawati Simarmata 02.4.047.136784 Bidan PTT Pusat 44
44 Cendo Siburian 02.4.047.3545 Bidan PTT Pusat 45
45 Maini Saragih 02.4.047.3571 Bidan PTT Pusat 46
46 Olyvia E. Simanjuntak 02.4.047.136730 Bidan PTT Pusat 47
47 Nur Azizah Ulfah Dalimunthe Honor Daerah 48
48 Rhesnika Sianturi Honor Daerah 49
49 Budianto Siregar Honor Daerah 50
50 Lusmi Jumeita Damanik Honor Daerah 51
51 Meta Aprida Pakpahan Honor Daerah 52
52 Novita Sari Sinaga Honor Daerah 53
53 Sylvia M.C. Simanjuntak Honor Daerah 54
54 Tatti Nainggolan Honor Daerah 55
55 Rahma A. Sinaga Honor Daerah 56
56 Yenyen Sialoho Honor Daerah 57
Kode Pos : 21151
197510142000122001

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DAFTAR PENERIMAAN JASA PELAYANAN KESEHATAN DANA KAPITASI JKN

KABUPATEN SIMALUNGUN TAHUN 2016

JUMLAH 57,277,350 1,943,746 55,333,604

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN dr.ERNAWATI TARIGAN

JUMLAH 57,077,350 2,051,028 55,026,322

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN dr.ERNAWATI TARIGAN

JUMLAH 57,277,350 1,943,746 55,333,604

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 25

205 57277350 7170 1,637,637 1,637,637 245,646 245,646

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 25

205 57277350 6891 1,703,941 1,703,941 255,591 255,591

JUMLAH 58,966,050 1,983,014 56,983,036

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002

JUMLAH 58,966,050 1,983,014 56,983,036

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP :196508252000032002

JUMLAH 58,966,050 1,983,014 56,983,036

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 24

204 58966050 6857 1,754,277 1,754,277 263,141 263,141

JUMLAH 57,277,350 1,980,090 55,297,260 20,035,000

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN dr.ERNAWATI TARIGAN

JUMLAH 59,811,050 2,029,587 57,781,463

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

32 Nuralam Siahaan 196704021992032004 Bidan Bidan III/c 538,465 26,923 511,542 32

JUMLAH 59,811,050 2,029,587 57,781,463

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002

32 Nuralam Siahaan 196704021992032004 Bidan Bidan III/c 538,465 26,923 511,542 32

JUMLAH 59,811,050 2,029,587 57,781,463

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

NIP :196508252000032002 NIP : 198410142010012010 NIP:197304171993032004 NIP :196508252000032002

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 25

205 59811050 7220 1,698,236 1,698,236 254,735 254,735

72 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 588,139 - 588,139 72

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

72 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 588,139 - 588,139 72

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

72 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 588,139 - 588,139 72

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 26

206 61242350 6456 1,954,139 1,954,139 293,121 293,121

1 dr.Ernawati Tarigan S1 Dokter Umum 19650825000032000 150 30 26

206 61242350 6739 1,872,077 1,872,077 280,811 280,811

72 Rodearni Ernyta 02.4.047.136728 AKBID Bidan Desa PTT 599,792 - 599,792 72

LUNAS DIBAYAR TANGGAL :

dr.ERNAWATI TARIGAN MEGA OKTARIA TARIGAN EMMY S. TARIGAN dr.ERNAWATI TARIGAN