ZAKAT & ZiS JASA JAMINAN KESEHATAN NASIONAL (JKN)

UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH

Tahun 2014
Bulan Agustus
Rp 40,657,500
Gol.
NO NIP / NrPTT Ruang Zakat 2.5 % Pemotongan Zis x 1%

1 2 3 4 5 6
1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 67,650

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp 43,259

3 Emmiyati 19640306 198703 2 002 III/d Rp 24,451

4 Darmawati 1967 1231 198803 2 012 III/d Rp 24,075

5 Nurmala 19690501 108903 2 009 III/d Rp 31,974

6 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 31,974

7 dr. Ariefa Evildha Rahim 19840906 201103 2 001 III/c Rp 60,939

8 Romisni 19740424 199302 2 001 III/c Rp 23,322

9 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 31,974

10 Elly [Link] 19800629 200212 2 002 III/b Rp 29,341

11 Isna Dewi 1968 0504 199603 2 002 III/a Rp 31,598

12 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 22,946

13 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 23,698

14 Ramlah 1972 0105 200604 2 008 III/a Rp 46,644

15 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 31,598

16 Sitti Syarifah 19820709 200604 2 008 III/a Rp 23,698

17 Amal Makrup 1973 0807 200604 1 011 II/d Rp 9,345

18 Mahrul Fuadi 19001770628 200504 1 II/d Rp 10,137

19 Suadah 19790911 200604 2 025 II/c Rp 7,761

20 Marina 1979 1026 200604 2 004 II/c Rp 7,919

21 dr. Asti maningsih - Kontrak Rp 65,453

22 [Link] - Kontrak Rp 65,453

23 Yetti Oktavianti 01.4.047.8047 PTT Rp 10,295

24 Nana Mulyana 01.4.047.8063 PTT Rp 10,295

25 Hurry Yanti o1.4.047.8055 PTT Rp 10,137

26 Neneng Hastuti 01.4.047.8048 PTT Rp 10,295

27 Syarifah Ayu Diana 01.4.047.8242 PTT Rp 9,186

28 Cut Yanti Puspita dewi Honorer Honorer Rp 9,662

29 Murni Kontrak Kontrak Rp 10,295

30 [Link] Kontrak Kontrak Rp 6,335

31 Isnaniah Kontrak Kontrak Rp 5,227

Rp 680,047 Rp 116,888

Mengetahui Banda Aceh, 02 Oktober 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 54,210,000
Rp 53,184,000

mei Rp 40,657,500
Rp 13,552,500
Rp 54,210,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 drg. Juwairiah Nasution [Link]

Zairina ,SKM.,[Link]

Emmiyati

Darmawati

jasa kapus

23

10 #REF!

13 #REF!

#REF!

#REF!
 DAFTAR PEMBAGIAN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL) TAHUN 2014
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Tahun 2014
Bulan Agustus
Rp 40,657,500
Kehadiran
Gol. Pemotongan PPh
NO Nama Pegawai NIP / NrPTT Var. Var. Poin Var. Var. Total Jumlah pasal 21 (15 dan
Jumlah sebelum
Zakat 2.5 %
Pemotongan Jumlah Uang
Tanda tangan
Ruang Pendidi masa Poin Jabata Penam Pengur Nilai 5%) Zakat & Infaq Zis x 1% Terima
kan kerja n bah ang
1 2 3 4 6 7 8 7 9 10 11 12 13 14 15 16 17 18

1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Dokter 18 150 28 23 0 201 Rp 3,183,544 Rp 477,532 Rp 2,706,012 Rp 67,650 Rp 2,638,362 1

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c S-2 12 60 30 25 0 115 Rp 1,821,431 Rp 91,072 Rp 1,730,359 Rp 43,259 Rp 1,687,100 2

3 Emmiyati 19640306 198703 2 002 III/d D-III 16 40 25 0 65 Rp 1,029,504 Rp 51,475 Rp 978,029 Rp 24,451 Rp 953,578 3

4 Darmawati 1967 1231 198803 2 012 III/d D-I 18 40 24 0 64 Rp 1,013,666 Rp 50,683 Rp 962,982 Rp 24,075 Rp 938,908 4

5 Nurmala 19690501 108903 2 009 III/d D-III 18 40 20 25 0 85 Rp 1,346,275 Rp 67,314 Rp 1,278,961 Rp 31,974 Rp 1,246,987 5

6 Armanusah, SKM 1969 0502 198903 2 001 III/c S-I 18 60 25 0 85 Rp 1,346,275 Rp 67,314 Rp 1,278,961 Rp 31,974 Rp 1,246,987 6

7 dr. Ariefa Evildha Rahim 19840906 201103 2 001 III/c Dokter - 150 12 0 162 Rp 2,565,841 Rp 128,292 Rp 2,437,549 Rp 60,939 Rp 2,376,611 7

8 Romisni 19740424 199302 2 001 III/c D-I 14 40 22 0 62 Rp 981,989 Rp 49,099 Rp 932,889 Rp 23,322 Rp 909,567 8

9 Ainul [Link] 1970 0923 199203 2 002 III/c S-1 15 60 25 0 85 Rp 1,346,275 Rp 67,314 Rp 1,278,961 Rp 31,974 Rp 1,246,987 9

10 Elly [Link] 19800629 200212 2 002 III/b S-1 9 60 18 0 78 Rp 1,235,405 Rp 61,770 Rp 1,173,635 Rp 29,341 Rp 1,144,294 10

11 Isna Dewi 1968 0504 199603 2 002 III/a S-1 10 60 24 0 84 Rp 1,330,436 Rp 66,522 Rp 1,263,914 Rp 31,598 Rp 1,232,317 11

12 Elfi Farisma 1981 0502 200604 1 011 III/a D-III 9 40 21 0 61 Rp 966,150 Rp 48,308 Rp 917,843 Rp 22,946 Rp 894,897 12

13 Asmaul Husna 1984 0705 200604 2 004 III/a D-III 9 40 23 0 63 Rp 997,827 Rp 49,891 Rp 947,936 Rp 23,698 Rp 924,237 13

14 Ramlah 1972 0105 200604 2 008 III/a Ners 6 100 24 0 124 Rp 1,963,977 Rp 98,199 Rp 1,865,779 Rp 46,644 Rp 1,819,134 14

15 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a S-1 7 60 24 0 84 Rp 1,330,436 Rp 66,522 Rp 1,263,914 Rp 31,598 Rp 1,232,317 15

16 Sitti Syarifah 19820709 200604 2 008 III/a D-III 4 40 23 0 63 Rp 997,827 Rp 49,891 Rp 947,936 Rp 23,698 Rp 924,237 16

17 Amal Makrup 1973 0807 200604 1 011 II/d D-III 11 40 19 0 59 Rp 934,473 Rp 934,473 Rp 9,345 Rp 925,128 17

18 Mahrul Fuadi 19001770628 200504 1 II/d D-III 11 40 24 0 64 Rp 1,013,666 Rp 1,013,666 Rp 10,137 Rp 1,003,529 18

19 Suadah 19790911 200604 2 025 II/c D-1 7 25 24 0 49 Rp 776,088 Rp 776,088 Rp 7,761 Rp 768,327 19
20 Marina 1979 1026 200604 2 004 II/c D-1 7 25 25 0 50 Rp 791,926 Rp 791,926 Rp 7,919 Rp 784,007 20

21 dr. Asti maningsih - Kontrak Dokter 0 150 24 0 174 Rp 2,755,904 Rp 137,795 Rp 2,618,109 Rp 65,453 Rp 2,552,656 21

Dokter
22 [Link] - Kontrak gigi 0 150 24 0 174 Rp 2,755,904 Rp 137,795 Rp 2,618,109 Rp 65,453 Rp 2,552,656 22

23 Yetti Oktavianti 01.4.047.8047 PTT D-III 0 40 25 0 65 Rp 1,029,504 Rp 1,029,504 Rp 10,295 Rp 1,019,209 23

24 Nana Mulyana 01.4.047.8063 PTT D-III 0 40 25 0 65 Rp 1,029,504 Rp 1,029,504 Rp 10,295 Rp 1,019,209 24

25 Hurry Yanti o1.4.047.8055 PTT D-III 0 40 24 0 64 Rp 1,013,666 Rp 1,013,666 Rp 10,137 Rp 1,003,529 25

26 Neneng Hastuti 01.4.047.8048 PTT D-III 0 40 25 0 65 Rp 1,029,504 Rp 1,029,504 Rp 10,295 Rp 1,019,209 26

27 Syarifah Ayu Diana 01.4.047.8242 PTT D-III 0 40 18 0 58 Rp 918,635 Rp 918,635 Rp 9,186 Rp 909,448 27

28 Cut Yanti Puspita dewi Honorer Honorer SMA 0 25 12 24 0 61 Rp 966,150 Rp 966,150 Rp 9,662 Rp 956,489 28

29 Murni Kontrak Kontrak D-III 0 40 25 0 65 Rp 1,029,504 Rp 1,029,504 Rp 10,295 Rp 1,019,209 29

30 [Link] Kontrak Kontrak <SMA 0 15 25 0 40 Rp 633,541 Rp 633,541 Rp 6,335 Rp 627,206 30

31 Isnaniah Kontrak Kontrak <SMA 0 15 18 0 33 Rp 522,671 Rp 522,671 Rp 5,227 Rp 517,445 31

Total Scor 2567 Rp 40,657,500 Rp 1,766,788 Rp 38,890,712 Rp 680,047 Rp 116,888 Rp 38,093,777

Mengetahui Banda Aceh, 02 Oktober 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
Rp 13,684,488
Rp 26,973,012
Rp 40,657,500
 Rp 54,210,000 52884000
Rp 53,184,000 53184000

mei Rp 40,657,500
Rp 13,552,500
Rp 54,210,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 jasa kapus

23

10 #REF!

13 #REF!

#REF!

#REF!
 DAFTAR PEMBAGIAN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL) TAHUN 2014
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Juli
Rp 40,414,500

NO Nama Pegawai NIP / NrPTT Gol. Ruang Jumlah Uang Terima Selisih bayar mei dan Juni Total Tanda tangan

1 2 3 4 5 6 7 8

1 [Link] 19681021 200212 2 001 0 #REF! #REF! 1

2 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 2,968,796 #REF! #REF! 2

3 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp 1,860,445 #REF! #REF! 3

4 Emmiyati 19640306 198703 2 002 III/d Rp 1,029,889 #REF! #REF! 4

5 Darmawati 1967 1231 198803 2 012 III/d Rp 1,029,889 #REF! #REF! 5

6 Nurmala 19690501 108903 2 009 III/d Rp 1,345,501 #REF! #REF! 6

7 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 1,362,112 #REF! #REF! 7

8 Romisni 19740424 199302 2 001 III/c Rp 1,029,889 #REF! #REF! 8

9 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 1,362,112 #REF! #REF! 9

10 Elly [Link] 19800629 200212 2 002 III/b Rp 1,362,112 #REF! #REF! 10

11 Isna Dewi 1968 0504 199603 2 002 III/a Rp 1,345,501 #REF! #REF! 11

12 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 996,667 #REF! #REF! 12

13 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 996,667 #REF! #REF! 13

14 Amal Makrup 1973 0807 200604 1 011 II/d Rp 1,067,176 #REF! #REF! 14

15 Ramlah 1972 0105 200604 2 008 III/a Rp 2,026,557 #REF! #REF! 15

16 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 1,362,112 #REF! #REF! 16

17 Sitti Syarifah 19820709 200604 2 008 III/a Rp 980,056 #REF! #REF! 17

18 Mahrul Fuadi 19001770628 200504 1 II/d Rp 1,029,889 #REF! #REF! 18

NO Nama Pegawai NIP / NrPTT Gol. Ruang Jumlah Uang Terima Selisih bayar mei dan Juni Total Tanda tangan

1 2 3 4 4 5 6 7

19 Suadah 19790911 200604 2 025 II/c Rp 804,756 #REF! #REF! 19

20 Marina 1979 1026 200604 2 004 II/c Rp 822,250 #REF! #REF! 20

21 dr. Asti maningsih - Kontrak Rp 3,009,087 #REF! #REF! 21

22 [Link] - Kontrak Rp 3,009,087 #REF! #REF! 22

23 Yetti Oktavianti 01.4.047.8047 PTT Rp 1,084,671 #REF! #REF! 23

24 Nana Mulyana 01.4.047.8063 PTT Rp 1,084,671 #REF! #REF! 24

25 Hurry Yanti o1.4.047.8055 PTT Rp 1,084,671 #REF! #REF! 25

26 Neneng Hastuti 01.4.047.8048 PTT Rp 1,084,671 #REF! #REF! 26

27 Syarifah Ayu Diana 01.4.047.8242 PTT Rp - Rp - Rp - 27

28 Cut Yanti Puspita dewi Honorer Honorer Rp 1,014,692 #REF! #REF! 28

29 Murni Kontrak Kontrak Rp 1,084,671 #REF! #REF! 29

30 [Link] Kontrak Kontrak Rp 647,304 #REF! #REF! 30

31 Isnaniah Kontrak Kontrak Rp 577,325 #REF! #REF! 31

Rp 38,463,224 #REF! #REF!

Mengetahui Banda Aceh, Juli 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 52,884,000
Rp 53,184,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 JUNI MEI

juni mei
4,419,322 3,103,176 2,543,303.00 3,514,438

793,840 3,086,219 4,113,908.00 1,315,750

1,038,152 1,068,307 1,036,446.00 1,125,313

964,648 1,034,392 985,887.00 1,004,125

1,454,673 1,339,622 1,466,191.00 1,436,938

1,479,174 1,407,451 1,542,029.00 1,454,250

989,150 932,649 910,050.00 1,073,375

1,503,675 1,390,494 1,516,750.00 1,471,563

1,283,164 1,407,451 1,440,912.00 1,298,438

1,503,675 1,356,580 1,516,750.00 1,471,563

891,145 1,034,392 960,608.00 1,056,063

jasa kapus 891,145 1,051,349 985,887.00 1,056,063

23 1,013,651 1,000,478 1,011,166.00 1,108,000

#REF! 2,483,725 2,068,784 2,527,916.00 2,164,063

10 #REF! 1,949,598 1,746,596 2,275,124.00 1,800,500

13 #REF! 989,150 1,034,392 960,608.00 1,090,688

#REF! 989,150 1,068,307 960,608.00 1,056,063

621,631 695,247 480,304.00 709,813

 621,631 796,991 631,979.00 848,313

25,880,299 26,622,877 27,866,426.00 26,055,319

3,708,786 2,882,732 3,766,595.00

3,733,287 2,696,202 1,659,632.00 3,029,688 5 26,622,877 13,040,123 39,663,000

940,147 1,068,307 960,608.00 3,029,688 6 25,880,299 14,007,703 39,888,002

989,150 1,068,307 985,887.00 1,056,063 7 26,595,462 13,819,038 40,414,500

989,150 1,034,392 935,329.00 1,108,000 8 26,973,012 13,684,488 40,657,500

1,038,152 1,051,349 985,887.00 1,090,688 9 26,539,144 14,280,356 40,819,500

891,145 966,563 834,212.00 1,125,313 10 27,065,974 14,482,526 41,548,500

1,013,651 1,068,307 1,011,166.00 1,004,125 11 27,720,775 14,966,225 42,687,000

401,120 644,375 379,187.00 1,090,688 12 19,282,870 10,435,129 29,717,999

303,115 559,589 278,071.00 692,500 206,680,413 108,715,588 315,396,001

14,007,703 13,040,123 11,796,574.00 605,938 315,396,000

39,663,000 39,663,000.00 13,832,691 (1)

39,888,010

39888000
 DAFTAR PEMBAGIAN SELISIH JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL)
UPTD PUSKESMAS JEULINGKE TAHUN 2014
Bulan : Mei juni
Rp 39,663,000 U
Kehadiran ya
an
NO Nama Pegawai NIP / NrPTT Gol. ng Selisih Mei Selisih Juni Jumlah Tanda tangan
Ruang Var.
Pendidikan g
P
se
1 2 3 4 5 ### ####
## 8 9

1 dr. Suraiya 19681021 200212 2 001 IV/a Dokter ###

### #REF! #REF! 1.

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c S-2 ###

### #REF! #REF! #REF! 2

3 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Dokter ###
### #REF! #REF! #REF! 3

4 Emmiyati 19640306 198703 2 002 III/d D-III ###

### #REF! #REF! #REF! 4

5 Darmawati 1967 1231 198803 2 012 III/d D-I ###

### #REF! #REF! #REF! 5

6 Nurmala 19690501 108903 2 009 III/d D-III ###

### #REF! #REF! #REF! 6 150

7 Armanusah, SKM 1969 0502 198903 2 001 III/c S-I ###

### #REF! #REF! #REF! 7 30

8 Romisni 19740424 199302 2 001 III/c D-I ###

### #REF! #REF! #REF! 8

9 Ainul [Link] 1970 0923 199203 2 002 III/c S-1 ###

### #REF! #REF! #REF! 9

10 Elly [Link] 19800629 200212 2 002 III/b S-1 ###

### #REF! #REF! #REF! 10

11 Isna Dewi 1968 0504 199603 2 002 III/a S-1 ###

### #REF! #REF! #REF! 11

12 Elfi Farisma 1981 0502 200604 1 011 III/a D-III ###

### #REF! #REF! #REF! 12

13 Asmaul Husna 1984 0705 200604 2 004 III/a D-III ###

### #REF! #REF! #REF! 13

14 Amal Makrup 1973 0807 200604 1 011 II/d D-III ###

### #REF! #REF! #REF! 14

15 Ramlah 1972 0105 200604 2 008 III/a Ners ###

### #REF! #REF! #REF! 15 10

16 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a S-1 ###
### #REF! #REF! #REF! 16 13

17 Sitti Syarifah 19820709 200604 2 008 III/a D-III ###

### #REF! #REF! #REF! 17
 J
u
m
18 Mahrul Fuadi 19001770628 200504 1 II/d ###l
D-III ### #REF! #REF! #REF! 18
a
h

Kehadiran U
Gol. a
NO Nama Pegawai NIP / NrPTT Var. Selisih Mei Selisih Juni Jumlah Tanda tangan
Ruang n
Pendidikan g
19 Suadah 19790911 200604 2 025 II/c D-1 ###
###T #REF! #REF! #REF! 19
e
20 Marina 1979 1026 200604 2 004 II/c ###r
D-1 ### #REF! #REF! #REF! 20
i
m
21 dr. Asti maningsih - Kontrak Dokter ###
###a #REF! #REF! #REF! 21

22 [Link] - Kontrak Dokter gigi###

### #REF! #REF! #REF! 22

23 Yetti Oktavianti 01.4.047.8047 PTT D-III ###

### #REF! #REF! #REF! 23

24 Nana Mulyana 01.4.047.8063 PTT D-III ###

### #REF! #REF! #REF! 24

25 Hurry Yanti o1.4.047.8055 PTT D-III ###

### #REF! #REF! #REF! 25

26 Neneng Hastuti 01.4.047.8048 PTT D-III ###

### #REF! #REF! #REF! 26

27 Syarifah Ayu Diana 01.4.047.8242 PTT D-III ###

### #REF! Rp - #REF! 27

28 Cut Yanti Puspita dewi Honorer Honorer SMA ###

### #REF! #REF! #REF! 28

29 Murni Kontrak Kontrak D-III ###

### #REF! #REF! #REF! 29

30 [Link] Kontrak Kontrak <SMA ###

### #REF! #REF! #REF! 30 #REF!

31 Isnaniah Kontrak Kontrak <SMA ###

### #REF! #REF! #REF! 31
###
###

Mengetahui Banda Aceh, Juni 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
[Link] #REF!
Zairina #REF!
[Link] #REF!
Emmiyati #REF!
Darmawati #REF!
nurmala #REF!
Arma #REF!
Romisni #REF!
Ainul #REF!
Elli #REF!
Isna dewi #REF!
Elfi Farisma #REF!
Asmaul husna #REF!
Amal makruf #REF!
Ramlah #REF!
TM #REF!
Suadah #REF!
Marina #REF!
Murni #REF!
#REF!
 #REF!

#REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF!

jasa kapus #REF!

23

#REF!

#REF!

#REF!

#REF!
Banda Aceh, Juni 2014
Pengelola Keuangan JKN

Nurmala
NIP.19690501 198903 2 009
 ZIS JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Bulan : Mei
Rp 39,663,000

NO Nama Pegawai NIP / NrPTT Gol. Ruang Pemotongan Zis x 1%

1 2 3 4 5
1 dr. Suraiya 19681021 200212 2 001 IV/a Rp 31,032
2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp -
3 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 30,862
4 Emmiyati 19640306 198703 2 002 III/d Rp 10,683
5 Darmawati 1967 1231 198803 2 012 III/d Rp 10,344
6 Nurmala 19690501 108903 2 009 III/d Rp 13,396
7 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 14,075
8 Romisni 19740424 199302 2 001 III/c Rp 9,326
9 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 13,905
10 Elly [Link] 19800629 200212 2 002 III/b Rp 14,075
11 Isna Dewi 1968 0504 199603 2 002 III/a Rp 13,566
12 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 10,344
13 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 10,513
14 Amal Makrup 1973 0807 200604 1 011 II/d Rp 10,005
15 Ramlah 1972 0105 200604 2 008 III/a Rp 20,688
16 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 17,466
17 Sitti Syarifah 19820709 200604 2 008 III/a Rp 10,344
18 Mahrul Fuadi 19001770628 200504 1 II/d Rp 10,683
19 Suadah 19790911 200604 2 025 II/c Rp 6,952
20 Marina 1979 1026 200604 2 004 II/c Rp 7,970
21 dr. Asti maningsih - Kontrak Rp 28,827
22 [Link] - Kontrak Rp 26,962
23 Yetti Oktavianti 01.4.047.8047 PTT Rp 10,683
24 Nana Mulyana 01.4.047.8063 PTT Rp 10,683
25 Hurry Yanti o1.4.047.8055 PTT Rp 2,339
26 Neneng Hastuti 01.4.047.8048 PTT Rp 10,513
27 Syarifah Ayu Diana 01.4.047.8242 PTT Rp -
28 Cut Yanti Puspita dewi Honorer Honorer Rp 9,666
29 Murni Kontrak Kontrak Rp 10,683
30 [Link] Kontrak Kontrak Rp 6,444
30 Isnaniah Kontrak Kontrak Rp 5,596
Rp 388,625

Mengetahui Banda Aceh, Juni 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Kapitasi bulanan

Rp 52,884,000
Rp 53,184,000
Rp 106,068,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000

Juli Rp 53,886,000
Rp 13,471,500
Rp 40,414,500
 jasa kapus
23
134,921
10 ###
13 ###
###
 ZIS JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Juni
Rp 39,888,000

NO Nama Pegawai NIP / NrPTT Gol. Ruang Pemotongan Zis x 1%

1 2 3 4 5

1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 35,144

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp 13,158
3 Emmiyati 19640306 198703 2 002 III/d Rp 11,253
4 Darmawati 1967 1231 198803 2 012 III/d Rp 10,041
5 Nurmala 19690501 108903 2 009 III/d Rp 14,369
6 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 14,543
7 Romisni 19740424 199302 2 001 III/c Rp 10,734
8 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 14,716
9 Elly [Link] 19800629 200212 2 002 III/b Rp 12,984
10 Isna Dewi 1968 0504 199603 2 002 III/a Rp 14,716
11 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 10,561
12 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 10,561
13 Amal Makrup 1973 0807 200604 1 011 II/d Rp 11,080
14 Ramlah 1972 0105 200604 2 008 III/a Rp 21,641
15 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 18,005
16 Sitti Syarifah 19820709 200604 2 008 III/a Rp 10,907
17 Mahrul Fuadi 19001770628 200504 1 II/d Rp 10,561
18 Suadah 19790911 200604 2 025 II/c Rp 7,098
19 Marina 1979 1026 200604 2 004 II/c Rp 8,483
20 dr. Asti maningsih - Kontrak Rp 30,297
21 [Link] - Kontrak Rp 30,297
22 Yetti Oktavianti 01.4.047.8047 PTT Rp 10,561
23 Nana Mulyana 01.4.047.8063 PTT Rp 11,080
24 Hurry Yanti o1.4.047.8055 PTT Rp 10,907
25 Neneng Hastuti 01.4.047.8048 PTT Rp 11,253
26 Syarifah Ayu Diana 01.4.047.8242 PTT Rp -
27 Cut Yanti Puspita dewi Honorer Honorer Rp 10,041
28 Murni Kontrak Kontrak Rp 10,907
29 [Link] Kontrak Kontrak Rp 6,925
30 Isnaniah Kontrak Kontrak Rp 6,059
Rp 398,880

Mengetahui Banda Aceh, Juni 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 52,884,000
Rp 53,184,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 jasa kapus
23
#REF!
10 #REF!
13 #REF!
#REF!
 PAJAK JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Bulan : Mei
Rp 39,663,000
Pemotongan PPh pasal
NO Nama Pegawai NIP / NrPTT Gol. Ruang 21 (15 dan 5%)

1 2 3 4 16
1 dr. Suraiya 19681021 200212 2 001 IV/a Rp 465,476
2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp -
3 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 462,933
4 Emmiyati 19640306 198703 2 002 III/d Rp 53,415
5 Darmawati 1967 1231 198803 2 012 III/d Rp 51,720
6 Nurmala 19690501 108903 2 009 III/d Rp 66,981
7 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 70,373
8 Romisni 19740424 199302 2 001 III/c Rp 46,632
9 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 69,525
10 Elly [Link] 19800629 200212 2 002 III/b Rp 70,373
11 Isna Dewi 1968 0504 199603 2 002 III/a Rp 67,829
12 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 51,720
13 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 52,567
14 Amal Makrup 1973 0807 200604 1 011 II/d

15 Ramlah 1972 0105 200604 2 008 III/a Rp 103,439

16 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 87,330
17 Sitti Syarifah 19820709 200604 2 008 III/a Rp 51,720
18 Mahrul Fuadi 19001770628 200504 1 II/d Rp 53,415
19 Suadah 19790911 200604 2 025 II/c
20 Marina 1979 1026 200604 2 004 II/c

21 dr. Asti maningsih - Kontrak

22 [Link] - Kontrak

23 Yetti Oktavianti 01.4.047.8047 PTT

24 Nana Mulyana 01.4.047.8063 PTT
25 Hurry Yanti o1.4.047.8055 PTT
26 Neneng Hastuti 01.4.047.8048 PTT
27 Syarifah Ayu Diana 01.4.047.8242 PTT
28 Cut Yanti Puspita dewi Honorer Honorer
29 Murni Kontrak Kontrak
30 [Link] Kontrak Kontrak
30 Isnaniah Kontrak Kontrak
Rp 1,825,448

Mengetahui Banda Aceh, Juni 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Kapitasi bulanan

Rp 52,884,000
Rp 53,184,000
Rp 106,068,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000

Juli Rp 53,886,000
Rp 13,471,500
Rp 40,414,500
 jasa kapus
23
134,921
10 ###
13 ###
###
 PAJAK JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Juni
Rp 39,888,000

NO Nama Pegawai NIP / NrPTT Gol. Ruang Pemotongan PPh pasal 21

(15 dan 5%)

1 2 3 4 5
1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 527,166
2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp 65,788
3 Emmiyati 19640306 198703 2 002 III/d Rp 56,266
4 Darmawati 1967 1231 198803 2 012 III/d Rp 50,206
5 Nurmala 19690501 108903 2 009 III/d Rp 71,847
6 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 72,713
7 Romisni 19740424 199302 2 001 III/c Rp 53,669
8 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 73,578
9 Elly [Link] 19800629 200212 2 002 III/b Rp 64,922
10 Isna Dewi 1968 0504 199603 2 002 III/a Rp 73,578
11 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 52,803
12 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 52,803
13 Amal Makrup 1973 0807 200604 1 011 II/d
14 Ramlah 1972 0105 200604 2 008 III/a Rp 108,203
15 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a Rp 90,025
16 Sitti Syarifah 19820709 200604 2 008 III/a Rp 54,534
17 Mahrul Fuadi 19001770628 200504 1 II/d Rp 52,803
18 Suadah 19790911 200604 2 025 II/c
19 Marina 1979 1026 200604 2 004 II/c
20 dr. Asti maningsih - Kontrak
21 [Link] - Kontrak
22 Yetti Oktavianti 01.4.047.8047 PTT
23 Nana Mulyana 01.4.047.8063 PTT
24 Hurry Yanti o1.4.047.8055 PTT
25 Neneng Hastuti 01.4.047.8048 PTT
26 Syarifah Ayu Diana 01.4.047.8242 PTT
27 Cut Yanti Puspita dewi Honorer Honorer
28 Murni Kontrak Kontrak
29 [Link] Kontrak Kontrak
30 Isnaniah Kontrak Kontrak
Rp 1,520,903

Mengetahui Banda Aceh, Juni 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 52,884,000
Rp 53,184,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 jasa kapus
23
#REF!
10 #REF!
13 #REF!
#REF!
 ZIS JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Bulan Juli
Rp 40,414,500

NO Nama Pegawai NIP / NrPTT Pemotongan Zis x 1%

1 2 3 14
1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 Rp 35,343
2 Zairina ,SKM.,[Link] 19780426200112 2 002 Rp 19,792
3 Emmiyati 19640306 198703 2 002 Rp 10,956
4 Darmawati 1967 1231 198803 2 012 Rp 10,956
5 Nurmala 19690501 108903 2 009 Rp 14,314
6 Armanusah, SKM 1969 0502 198903 2 001 Rp 14,491
7 Romisni 19740424 199302 2 001 Rp 10,956
8 Ainul [Link] 1970 0923 199203 2 002 Rp 14,491
9 Elly [Link] 19800629 200212 2 002 Rp 14,491
10 Isna Dewi 1968 0504 199603 2 002 Rp 14,314
11 Elfi Farisma 1981 0502 200604 1 011 Rp 10,603
12 Asmaul Husna 1984 0705 200604 2 004 Rp 10,603
13 Amal Makrup 1973 0807 200604 1 011 Rp 10,780
14 Ramlah 1972 0105 200604 2 008 Rp 21,559
15 Teuku Meurah Azhari 1975 1212 200604 1 015 Rp 14,491
16 Sitti Syarifah 19820709 200604 2 008 Rp 10,426
17 Mahrul Fuadi 19001770628 200504 1 Rp 10,956
18 Suadah 19790911 200604 2 025 Rp 8,129
19 Marina 1979 1026 200604 2 004 Rp 8,306
20 dr. Asti maningsih - Rp 30,395
21 [Link] - Rp 30,395
22 Yetti Oktavianti 01.4.047.8047 Rp 10,956
23 Nana Mulyana 01.4.047.8063 Rp 10,956
24 Hurry Yanti o1.4.047.8055 Rp 10,956
25 Neneng Hastuti 01.4.047.8048 Rp 10,956
26 Syarifah Ayu Diana 01.4.047.8242 Rp -
27 Cut Yanti Puspita dewi Honorer Rp 10,249
28 Murni Kontrak Rp 10,956
29 [Link] Kontrak Rp 6,538
30 Isnaniah Kontrak Rp 5,832
Rp 404,145

Mengetahui Banda Aceh, 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 52,884,000
Rp 53,184,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 jasa kapus
23
#REF!
10 #REF!
13 #REF!
#REF!
 PAJAK JASA PELAYANAN JKN
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Bulan Juli
Rp 40,414,500
Pemotongan PPh pasal 21 (15
NO Nama Pegawai NIP / NrPTT dan 5%)
1 2 3 16
1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 Rp 530,142
2 Zairina ,SKM.,[Link] 19780426200112 2 002 Rp 98,960
3 Emmiyati 19640306 198703 2 002 Rp 54,781
4 Darmawati 1967 1231 198803 2 012 Rp 54,781
5 Nurmala 19690501 108903 2 009 Rp 71,569
6 Armanusah, SKM 1969 0502 198903 2 001 Rp 72,453
7 Romisni 19740424 199302 2 001 Rp 54,781
8 Ainul [Link] 1970 0923 199203 2 002 Rp 72,453
9 Elly [Link] 19800629 200212 2 002 Rp 72,453
10 Isna Dewi 1968 0504 199603 2 002 Rp 71,569
11 Elfi Farisma 1981 0502 200604 1 011 Rp 53,014
12 Asmaul Husna 1984 0705 200604 2 004 Rp 53,014
13 Amal Makrup 1973 0807 200604 1 011
14 Ramlah 1972 0105 200604 2 008 Rp 107,796
15 Teuku Meurah Azhari 1975 1212 200604 1 015 Rp 72,453
16 Sitti Syarifah 19820709 200604 2 008 Rp 52,131
17 Mahrul Fuadi 19001770628 200504 1 Rp 54,781
18 Suadah 19790911 200604 2 025
19 Marina 1979 1026 200604 2 004
20 dr. Asti maningsih -
21 [Link] -
22 Yetti Oktavianti 01.4.047.8047
23 Nana Mulyana 01.4.047.8063
24 Hurry Yanti o1.4.047.8055
25 Neneng Hastuti 01.4.047.8048
26 Syarifah Ayu Diana 01.4.047.8242
27 Cut Yanti Puspita dewi Honorer
28 Murni Kontrak
29 [Link] Kontrak
30 Isnaniah Kontrak
Rp 1,547,131

Mengetahui Banda Aceh, 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 52,884,000
Rp 53,184,000

mei Rp 39,663,000
Rp 13,221,000
Rp 52,884,000

juni Rp 39,888,000
Rp 13,296,000
Rp 53,184,000
 jasa kapus
23
#REF!
10 #REF!
13 #REF!
#REF!
 DAFTAR PEMBAGIAN JASA PELAYA
UPTD PUSKESMA
Bulan : Mei
Rp 39,663,000
Kehadiran
Gol. Var. Var.
NO Nama Pegawai NIP / NrPTT Ruang Pendidi Poin masa
kan kerja

6 7
1 2 3 4
1 dr. Suraiya 19681021 200212 2 001 IV/a Dokter 178 10

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c S-2 90 12

3 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Dokter 150 18

4 Emmiyati 19640306 198703 2 002 III/d D-III 40 16

5 Darmawati 1967 1231 198803 2 012 III/d D-I 40 18

6 Nurmala 19690501 108903 2 009 III/d D-III 60 18

7 Armanusah, SKM 1969 0502 198903 2 001 III/c S-I 60 18

8 Romisni 19740424 199302 2 001 III/c D-I 40 14

9 Ainul [Link] 1970 0923 199203 2 002 III/c S-1 60 15

10 Elly [Link] 19800629 200212 2 002 III/b S-1 60 9
11 Isna Dewi 1968 0504 199603 2 002 III/a S-1 60 10
12 Elfi Farisma 1981 0502 200604 1 011 III/a D-III 40 9
13 Asmaul Husna 1984 0705 200604 2 004 III/a D-III 40 9
14 Amal Makrup 1973 0807 200604 1 011 II/d D-III 40 11
15 Ramlah 1972 0105 200604 2 008 III/a Ners 100 6
16 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a S-1 90 7
17 Sitti Syarifah 19820709 200604 2 008 III/a D-III 40 4
Kehadiran
Gol. Var. Var.
NO Nama Pegawai NIP / NrPTT
Ruang Pendidi Poin masa
kan kerja
1 2 3 4 6 7
18 Mahrul Fuadi 19001770628 200504 1 II/d D-III 40 11
19 Suadah 19790911 200604 2 025 II/c D-1 25 7
20 Marina 1979 1026 200604 2 004 II/c D-1 25 7
21 dr. Asti maningsih - Kontrak Dokter 150 0
Dokter
22 [Link] - Kontrak 150
gigi 0
23 Yetti Oktavianti 01.4.047.8047 PTT D-III 40 0
24 Nana Mulyana 01.4.047.8063 PTT D-III 40 0
25 Hurry Yanti o1.4.047.8055 PTT D-III 40 0
26 Neneng Hastuti 01.4.047.8048 PTT D-III 40 0
27 Syarifah Ayu Diana 01.4.047.8242 PTT D-III 40 0
28 Cut Yanti Puspita dewi Honorer Honorer SMA 37 0
29 Murni Kontrak Kontrak D-III 40 0
30 [Link] Kontrak Kontrak <SMA 15 0
31 Isnaniah Kontrak Kontrak <SMA 15 0

Mengetahui
Kepala UPTD Puskesmas Jeulingke

drg. Juwairiah Nasution [Link]

NIP.19690729 199803 2 007
[Link] #REF!
Zairina #REF!
[Link] #REF!
Emmiyati #REF!
Darmawati #REF!
nurmala #REF!
Arma #REF!
Romisni #REF!
Ainul #REF!
Elli #REF!
Isna dewi #REF!
Elfi Farisma #REF!
Asmaul husna #REF!
Amal makruf #REF!
Ramlah #REF!
TM #REF!
Suadah #REF!
Marina #REF!
Murni #REF!
#REF!
AN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL)
UPTD PUSKESMAS JEULINGKE TAHUN 2014

Kehadiran
Pemotongan
Var. Var. Total Jumlah
Pemotongan Jumlah sebelum
Penam Pengur Nilai Zis x 1% pemotongan PPh PPh pasal 21 (15
dan 5%)
bah ang

10 11 12 13
14 15 16
0 0 178 #REF! #REF! #REF! #REF!

0 0 0 C U T I
1 0 151 #REF! #REF! #REF! #REF!

1 0 41 Rp 1,036,446 Rp 10,364 Rp 1,026,081 Rp 51,822

0 1 39 Rp 985,887 Rp 9,859 Rp 976,028 Rp 49,294

0 2 58 Rp 1,466,191 Rp 14,662 Rp 1,451,529 Rp 73,310

1 0 61 Rp 1,542,029 Rp 15,420 Rp 1,526,608 Rp 77,101

0 4 36 Rp 910,050 Rp 9,100 Rp 900,949 Rp 45,502

0 0 60 Rp 1,516,750 Rp 15,167 Rp 1,501,582 Rp 75,837

0 3 57 Rp 1,440,912 Rp 14,409 Rp 1,426,503 Rp 72,046
0 0 60 Rp 1,516,750 Rp 15,167 Rp 1,501,582 Rp 75,837
0 2 38 Rp 960,608 Rp 9,606 Rp 951,002 Rp 48,030
0 1 39 Rp 985,887 Rp 9,859 Rp 976,028 Rp 49,294
0 0 40 Rp 1,011,166 Rp 10,112 Rp 1,001,055
0 0 100 Rp 2,527,916 Rp 25,279 Rp 2,502,637 Rp 126,396
0 0 90 Rp 2,275,124 Rp 22,751 Rp 2,252,373 Rp 113,756
0 2 38 Rp 960,608 Rp 9,606 Rp 951,002 Rp 48,030
Kehadiran
Pemotongan
Var. Var. Total Jumlah
Pemotongan Jumlah sebelum
PPh pasal 21 (15
Penam Pengur Nilai Zis x 1% pemotongan PPh dan 5%)
bah ang
10 11 12 13 14 15 16
0 2 38 Rp 960,608 Rp 9,606 Rp 951,002 Rp 48,030
0 6 19 Rp 480,304 Rp 4,803 Rp 475,501
 0 0 25 Rp 631,979 Rp 6,320 Rp 625,659
0 1 149 Rp 3,766,595 Rp 37,666 Rp 3,728,929
0 0 0 #REF! #REF! #REF!
0 2 38 Rp 960,608 Rp 9,606 Rp 951,002
0 1 39 Rp 985,887 Rp 9,859 Rp 976,028
0 3 37 Rp 935,329 Rp 9,353 Rp 925,976
0 1 39 Rp 985,887 Rp 9,859 Rp 976,028
0 0 0 C U T I
0 4 33 Rp 834,212 Rp 8,342 Rp 825,870
0 0 40 Rp 1,011,166 Rp 10,112 Rp 1,001,055
0 0 15 Rp 379,187 Rp 3,792 Rp 375,396
0 4 11 Rp 278,071 Rp 2,781 Rp 275,290
Total Scor 1569 #REF! #REF! #REF! #REF!

Banda Aceh, Ju
Pengelola Keuangan

NIP.19690501 19890
 Jumlah Uang
Terima Tanda tangan

17 18
#REF! 1.

Rp - 2

#REF! 3

Rp 974,259 4

Rp 926,734 5
#REF!
Rp 1,378,220 6
150 #REF!
Rp 1,449,507 7
30 #REF!
Rp 855,447 8
#REF!
Rp 1,425,745 9
Rp 1,354,457 10
Rp 1,425,745 11
Rp 902,972 12 jasa kapus
Rp 926,734 13 23
Rp 1,001,055 14 #REF!
Rp 2,376,241 15 10 #REF!
Rp 2,138,617 16 13 #REF!
Rp 902,972 17 #REF!

Jumlah Uang
Tanda tangan
Terima

17 18
Rp 902,972 18
Rp 475,501 19
 Rp 625,659 20
Rp 3,728,929 21
#REF! 22
Rp 951,002 23
Rp 976,028 24
Rp 925,976 25
Rp 976,028 26
Rp - 27
Rp 825,870 28
Rp 1,001,055 29
Rp 375,396 30
Rp 275,290 31
#REF!

Banda Aceh, Juni 2014

Pengelola Keuangan JKN

Nurmala
NIP.19690501 198903 2 009
 #REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

jasa kapus #REF!

 DAFTAR PEMBAGIAN JASA PELAYAN
UPTD PUSKESMAS
Bulan : Juni
Rp 39,888,000

Gol.
NO Nama Pegawai NIP / NrPTT Ruang Var. Var.
Pendid Poin masa
ikan kerja
1 2 3 4 6 7

1 drg. Juwairiah Nasution [Link] 19681021 200212 2 001 IV/a Dokter 178 10

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c S-2 75 12

3 Emmiyati 19640306 198703 2 002 III/d D-III 40 16

4 Darmawati 1967 1231 198803 2 012 III/d D-I 40 18

5 Nurmala 19690501 108903 2 009 III/d D-III 60 18

6 Armanusah, SKM 1969 0502 198903 2 001 III/c S-I 60 18

7 Romisni 19740424 199302 2 001 III/c D-I 40 14

8 Ainul [Link] 1970 0923 199203 2 002 III/c S-1 60 15

9 Elly [Link] 19800629 200212 2 002 III/b S-1 60 9

10 Isna Dewi 1968 0504 199603 2 002 III/a S-1 60 10

11 Elfi Farisma 1981 0502 200604 1 011 III/a D-III 40 9

12 Asmaul Husna 1984 0705 200604 2 004 III/a D-III 40 9

13 Amal Makrup 1973 0807 200604 1 011 II/d D-III 40 11

14 Ramlah 1972 0105 200604 2 008 III/a Ners 100 6

15 Teuku Meurah Azhari 1975 1212 200604 1 015 III/a S-1 75 7

16 Sitti Syarifah 19820709 200604 2 008 III/a D-III 40 4

17 Mahrul Fuadi 19001770628 200504 1 II/d D-III 40 11

18 Suadah 19790911 200604 2 025 II/c D-1 25 7

19 Marina 1979 1026 200604 2 004 II/c D-1 25 7

20 dr. Asti maningsih - Kontrak Dokter 150 0

Dokter
21 [Link] - Kontrak 150 0
gigi
22 Yetti Oktavianti 01.4.047.8047 PTT D-III 40 0

23 Nana Mulyana 01.4.047.8063 PTT D-III 40 0

24 Hurry Yanti o1.4.047.8055 PTT D-III 40 0

25 Neneng Hastuti 01.4.047.8048 PTT D-III 40 0

26 Syarifah Ayu Diana 01.4.047.8242 PTT D-III 40 0
27 Cut Yanti Puspita dewi Honorer Honorer SMA 37 0
28 Murni Kontrak Kontrak D-III 40 0
29 [Link] kontrak Bakti <SMA 15 0
30 isnaniah bakti Kontrak <SMA 15 0

Mengetahui
Kepala UPTD Puskesmas Jeulingke

drg. Juwairiah Nasution [Link]

NIP.19690729 199803 2 007
[Link] #REF!
Zairina #REF!
[Link] #REF!
Emmiyati #REF!
Darmawati #REF!
nurmala #REF!
Arma #REF!
Romisni #REF!
Ainul #REF!
Elli #REF!
Isna dewi #REF!
Elfi Farisma #REF!
Asmaul husna #REF!
Amal makruf #REF!
Ramlah #REF!
TM #REF!
Suadah #REF!
Marina #REF!
Murni #REF!
#REF!
IAN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL)
UPTD PUSKESMAS JEULINGKE TAHUN 2014

Kehadiran Pemotongan
Total Pemotongan Jumlah sebelum
Var. Var. Nilai Jumlah Zis x 1% pemotongan PPh PPh pasal 21 (15
Penam Pengur dan 5%)
bah ang
10 11 12 13 14 15 16

1 0 179 #REF! #REF! #REF! #REF!

0 16 75 #REF! #REF! #REF! #REF!

1 0 41 #REF! #REF! #REF! #REF!

0 2 38 #REF! #REF! #REF! #REF!

0 2 58 #REF! #REF! #REF! #REF!

0 1 59 #REF! #REF! #REF! #REF!

0 1 39 #REF! #REF! #REF! #REF!

0 0 60 #REF! #REF! #REF! #REF!

0 9 51 #REF! #REF! #REF! #REF!

0 0 60 #REF! #REF! #REF! #REF!

0 5 35 #REF! #REF! #REF! #REF!

0 5 35 #REF! #REF! #REF! #REF!

0 0 40 #REF! #REF! #REF!

0 0 100 #REF! #REF! #REF! #REF!

0 1 74 #REF! #REF! #REF! #REF!

0 1 39 #REF! #REF! #REF! #REF!

0 1 39 #REF! #REF! #REF! #REF!

 0 1 24 #REF! #REF! #REF!

0 1 24 #REF! #REF! #REF!

0 0 150 #REF! #REF! #REF!

1 0 151 #REF! #REF! #REF!

0 3 37 #REF! #REF! #REF!

0 1 39 #REF! #REF! #REF!

0 1 39 #REF! #REF! #REF!

1 0 41 #REF! #REF! #REF!

0 0 0 Rp - C U T
0 2 35 #REF! #REF! #REF!
0 0 40 #REF! #REF! #REF!
1 0 15 #REF! #REF! #REF!
0 4 11 #REF! #REF! #REF!
Total Scor 1628 #REF! #REF! #REF! #REF!

Banda Aceh, Jun

Pengelola Keuangan

NIP.19690501 198903
Jumlah Uang
Terima Tanda tangan

17 18
1.
#REF!

#REF!
2 #REF!
#REF!
3 60 #REF!
#REF!
4 30 #REF!
#REF!
5
#REF!
6
#REF!
7
#REF!
8
#REF!
9
#REF!
10
#REF!
11
#REF!
12
#REF!
13
#REF!
14
#REF!
15
#REF!
16
#REF!
17
 #REF!
18
#REF!
19
#REF!
20
#REF!
21
#REF!
22
#REF!
23
#REF!
24
#REF!
25
I 26
#REF! 27
#REF! 28
#REF! 29
#REF! 30
#REF!

Banda Aceh, Juni 2014

Pengelola Keuangan JKN

Nurmala
NIP.19690501 198903 2 009
#REF! #REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF!
 J
u
m
l
a
ZIS DAN ZAKAT JKN (JAMINAN KESEHATAN
NASIONAL) TAHUN 2014
h
UPTD PUSKESMAS JEULINGKE
s
KOTA BANDA ACEH
Tahun 2014 e
b
Bulan Oktober e
Rp 41,548,500 l
u
m Pemotongan Zis x
NO Nama Pegawai NIP / NrPTT Zakat 2.5 % Jumlah
1%
Z
1 2 3 ###
a 15 16 16
1 drg. Juwairiah Nasution [Link] ### kRp
119690729 1998032 007 71,587 Rp 71,587
a
2 Zairina ,SKM.,[Link] ### t Rp
19780426200112 2 002 45,103 Rp 45,103
3 Emmiyati ### &Rp
19640306 198703 2 002 25,885 Rp 25,885
4 Darmawati ### I Rp
1967 1231 198803 2 012 24,709 Rp 24,709
n
5 Nurmala 19690501 108903 2 009
### f Rp 33,337 Rp 33,337
a
6 Armanusah, SKM 1969 0502 198903 2 001
### qRp 33,337 Rp 33,337
7 dr. Ariefa Evildha Rahim 19840906 201103 2 001
### Rp 67,851 Rp 67,851
8 Romisni 19740424 199302 2 001
### Rp 24,709 Rp 24,709
9 Ainul [Link] 1970 0923 199203 2 002
### Rp 33,337 Rp 33,337
10 Elly [Link] 19800629 200212 2 002
### Rp - Rp -
11 Isna Dewi 1968 0504 199603 2 002
### Rp 32,945 Rp 32,945
12 Elfi Farisma 1981 0502 200604 1 011
### Rp 22,748 Rp 22,748
13 Asmaul Husna 1984 0705 200604 2 004
### Rp 23,140 Rp 23,140
14 Ramlah 1972 0105 200604 2 008
### Rp 49,417 Rp 49,417
15 Teuku Meurah Azhari 1975 1212 200604 1 015
### Rp 33,729 Rp 33,729
16 Sitti Syarifah 19820709 200604 2 008
### Rp 25,101 Rp 25,101
17 Amal Makrup 1973 0807 200604 1 011
### Rp 25,885 Rp 25,885
18 Mahrul Fuadi 19001770628 200504 ###
1 Rp 9,413 Rp 9,413
19 Suadah 19790911 200604 2 025
### Rp 8,257 Rp 8,257
20 Marina 1979 1026 200604 2 004
### Rp 8,257 Rp 8,257
21 dr. Asti maningsih - ### Rp 69,027 Rp 69,027
22 [Link] - ### Rp 69,027 Rp 69,027
23 Yetti Oktavianti 01.4.047.8047 ### Rp 10,899 Rp 10,899
24 Nana Mulyana 01.4.047.8063 ### Rp 10,899 Rp 10,899
25 Hurry Yanti o1.4.047.8055 ### Rp 10,899 Rp 10,899
26 Neneng Hastuti 01.4.047.8048 ### Rp 10,899 Rp 10,899
27 Syarifah Ayu Diana 01.4.047.8242 ### Rp 10,734 Rp 10,734
28 Cut Yanti Puspita dewi Honorer ### Rp 9,743 Rp 9,743
29 Murni Kontrak ### Rp 9,908 Rp 9,908
30 [Link] Kontrak ### Rp 6,771 Rp 6,771
31 Isnaniah Kontrak ### Rp 5,945 Rp 5,945
### Rp 710,874 Rp 112,624 Rp 823,498

Mengetahui Banda Aceh, November 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 55,398,000

oktober Rp 41,548,500
Rp 13,849,500
Rp 55,398,000
 J
u
m
ZIS DAN ZAKAT JKN (JAMINAN KESEHATAN
l NASIONAL) TAHUN 2014
a
UPTD PUSKESMAS JEULINGKE KOTA
h BANDA ACEH
Tahun 2014 s
Bulan November e
b
Rp 42,687,000 e
l
u
m Pemotongan Jumlah Uang
NO Nama Pegawai NIP / NrPTT Zakat 2.5 % Zis x 1% Terima
Z
a
1 2 3 ###
k 15 16 17
1 drg. Juwairiah Nasution [Link] ### aRp
119690729 1998032 007 74,425 Rp 74,425
t
2 Zairina ,SKM.,[Link] 19780426200112 2 002
### Rp 46,944 Rp 46,944
3 Emmiyati ### &Rp
19640306 198703 2 002 26,766 Rp 26,766
4 Darmawati 1967 1231 198803 2 012
### I Rp 25,942 Rp 25,942
5 Nurmala ### nRp
19690501 108903 2 009 34,590 Rp 34,590
f
6 Armanusah, SKM 1969 0502 198903 2 001
### aRp 34,590 Rp 34,590
q
7 dr. Ariefa Evildha Rahim 19840906 201103 2 001
### Rp 72,062 Rp 72,062
8 Romisni 19740424 199302 2 001
### Rp 24,295 Rp 24,295
9 Ainul [Link] 1970 0923 199203 2 002
### Rp 34,590 Rp 34,590
10 Elly [Link] 19800629 200212 2 002
### Rp - Rp -
11 Isna Dewi 1968 0504 199603 2 002
### Rp 34,590 Rp 34,590
12 Elfi Farisma 1981 0502 200604 1 011
### Rp 23,884 Rp 23,884
13 Asmaul Husna 1984 0705 200604 2 004
### Rp 24,295 Rp 24,295
14 Ramlah 1972 0105 200604 2 008
### Rp 50,238 Rp 50,238
15 Teuku Meurah Azhari,SKM 1975 1212 200604 1 015
### Rp 35,002 Rp 35,002
16 Sitti Syarifah 19820709 200604 2 008
### Rp 25,531 Rp 25,531
17 Amal Makrup 1973 0807 200604 1 011
### Rp 25,119 Rp 25,119
18 Mahrul Fuadi 19001770628 200504 ###
1 Rp 10,750 Rp 10,750
19 Suadah 19790911 200604 2 025
### Rp 7,976 Rp 7,976
20 Marina 1979 1026 200604 2 004
### Rp 8,496 Rp 8,496
21 dr. Asti maningsih - ### Rp 71,651 Rp 71,651
22 [Link] - ### Rp 70,827 Rp 70,827
23 Yetti Oktavianti 01.4.047.8047 ### Rp 10,056 Rp 10,056
24 Nana Mulyana 01.4.047.8063 ### Rp 10,403 Rp 10,403
25 Hurry Yanti o1.4.047.8055 ### Rp 10,576 Rp 10,576
26 Neneng Hastuti 01.4.047.8048 ### Rp 10,750 Rp 10,750
27 Syarifah Ayu Diana 01.4.047.8242 ### Rp 10,576 Rp 10,576
28 Cut Yanti Puspita dewi Honorer ### Rp 10,056 Rp 10,056
29 Murni Kontrak ### Rp 11,097 Rp 11,097
30 [Link] Kontrak ### Rp 6,935 Rp 6,935
31 Isnaniah Kontrak ### Rp 5,895 Rp 5,895
### Rp 735,341 Rp 113,566 Rp 848,907

Mengetahui Banda Aceh, Desember 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan JKN

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 56,916,000

oktober Rp 42,687,000
Rp 14,229,000
Rp 56,916,000
 PAJAK JKN TAHUN 2014
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH

Tahun 2014
Bulan November
Rp 42,687,000

NO Nama Pegawai NIP / NrPTT Gol. Ruang Pemotongan PPh pasal

21 (15 dan 5%)
1 2 3 4 13
1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Rp 525,352
2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c Rp 98,829
3 Emmiyati 19640306 198703 2 002 III/d Rp 56,350
4 Darmawati 1967 1231 198803 2 012 III/d Rp 54,616
5 Nurmala 19690501 108903 2 009 III/d Rp 72,821
6 Armanusah, SKM 1969 0502 198903 2 001 III/c Rp 72,821
7 dr. Ariefa Evildha Rahim 19840906 201103 2 001 III/c Rp 151,710
8 Romisni 19740424 199302 2 001 III/c Rp 51,148
9 Ainul [Link] 1970 0923 199203 2 002 III/c Rp 72,821
10 Elly [Link] 19800629 200212 2 002 III/b Rp -
11 Isna Dewi 1968 0504 199603 2 002 III/a Rp 72,821
12 Elfi Farisma 1981 0502 200604 1 011 III/a Rp 50,281
13 Asmaul Husna 1984 0705 200604 2 004 III/a Rp 51,148
14 Ramlah 1972 0105 200604 2 008 III/a Rp 105,764
15 Teuku Meurah Azhari,SKM 1975 1212 200604 1 015 III/a Rp 73,688
16 Sitti Syarifah 19820709 200604 2 008 III/a Rp 53,749
17 Amal Makrup 1973 0807 200604 1 011 III/a Rp 52,882
18 Mahrul Fuadi 19001770628 200504 1 II/d
19 Suadah 19790911 200604 2 025 II/c
20 Marina 1979 1026 200604 2 004 II/c
21 dr. Asti maningsih - Kontrak Rp 150,844
22 [Link] - Kontrak Rp 149,110
23 Yetti Oktavianti 01.4.047.8047 PTT
24 Nana Mulyana 01.4.047.8063 PTT
25 Hurry Yanti o1.4.047.8055 PTT
26 Neneng Hastuti 01.4.047.8048 PTT
27 Syarifah Ayu Diana 01.4.047.8242 PTT
28 Cut Yanti Puspita dewi Honorer Honorer
29 Murni Kontrak Kontrak
30 [Link] Kontrak Kontrak
31 Isnaniah Kontrak Kontrak
Rp 1,916,754

Mengetahui Banda Aceh, Desember 2014

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan JKN

drg. Juwairiah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Rp 56,916,000

oktober Rp 42,687,000
Rp 14,229,000
Rp 56,916,000
 DAFTAR PEMBAGIAN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL) TAHUN 2015
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Tahun 2015
Bulan Januari
Rp 50,413,500
Kehadiran
Pemotongan
Gol. Var. Var. Var. Var. Total Jumlah sebelum Pemotongan Jumlah Uang
NO Nama Pegawai NIP / NrPTT Ruang Pendidi masa Poin Nilai Jumlah PPh pasal 21 (15 Zakat & Infaq Zakat 2.5 % Zis x 1% Terima Tanda tangan
Poin Jabatan Penam Pengur dan 5%)
kan kerja bah ang
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1 drg. Juwairiah Nasution [Link] 119690729 1998032 007 IV/a Dokter 18 150 180 25 0 355 Rp 6,005,635 Rp 900,845 Rp 5,104,790 Rp 127,620 Rp 4,977,170 1

2 Zairina ,SKM.,[Link] 19780426200112 2 002 III/c S-2 12 60 90 25 0 175 Rp 2,960,524 Rp 148,026 Rp 2,812,498 Rp 70,312 Rp 2,742,186 2

3 Emmiyati 19640306 198703 2 002 III/d D-III 16 40 5 25 0 70 Rp 1,184,210 Rp 59,210 Rp 1,124,999 Rp 28,125 Rp 1,096,874 3

4 Darmawati 1967 1231 198803 2 012 III/d D-I 18 40 24 0 64 Rp 1,082,706 Rp 54,135 Rp 1,028,571 Rp 25,714 Rp 1,002,856 4

5 Nurmala 19690501 108903 2 009 III/d D-IV 20 60 80 25 0 165 Rp 2,791,352 Rp 139,568 Rp 2,651,784 Rp 66,295 Rp 2,585,489 5

6 Armanusah, SKM 1969 0502 198903 2 001 III/c S-I 18 60 25 0 85 Rp 1,437,969 Rp 71,898 Rp 1,366,071 Rp 34,152 Rp 1,331,919 6

7 dr. Ariefa Evildha Rahim 19840906 201103 2 001 III/c Dokter 3 150 25 0 175 Rp 2,960,524 Rp 148,026 Rp 2,812,498 Rp 70,312 Rp 2,742,186 7

8 Romisni 19740424 199302 2 001 III/c D-I 14 40 23 0 63 Rp 1,065,789 Rp 53,289 Rp 1,012,499 Rp 25,312 Rp 987,187 8

9 Ainul [Link] 1970 0923 199203 2 002 III/c S-1 15 60 25 0 85 Rp 1,437,969 Rp 71,898 Rp 1,366,071 Rp 34,152 Rp 1,331,919 9

10 Isna Dewi 1968 0504 199603 2 002 III/a S-1 10 60 25 0 85 Rp 1,437,969 Rp 71,898 Rp 1,366,071 Rp 34,152 Rp 1,331,919 10

11 Elfi Farisma 1981 0502 200604 1 011 III/a D-III 9 40 24 0 64 Rp 1,082,706 Rp 54,135 Rp 1,028,571 Rp 25,714 Rp 1,002,856 11

12 Asmaul Husna 1984 0705 200604 2 004 III/a D-III 9 40 25 0 65 Rp 1,099,623 Rp 54,981 Rp 1,044,642 Rp 26,116 Rp 1,018,526 12

13 Ramlah 1972 0105 200604 2 008 III/a Ners 6 100 5 25 0 130 Rp 2,199,247 Rp 109,962 Rp 2,089,284 Rp 52,232 Rp 2,037,052 13

14 Teuku Meurah Azhari,SKM 1975 1212 200604 1 015 III/a S-1 7 60 5 25 0 90 Rp 1,522,555 Rp 76,128 Rp 1,446,428 Rp 36,161 Rp 1,410,267 14

15 Sitti Syarifah 19820709 200604 2 008 III/a D-III 4 40 25 0 65 Rp 1,099,623 Rp 54,981 Rp 1,044,642 Rp 26,116 Rp 1,018,526 15

16 Amal Makrup 1973 0807 200604 1 011 III/a D-III 11 40 10 25 0 75 Rp 1,268,796 Rp 63,440 Rp 1,205,356 Rp 30,134 Rp 1,175,222 16

17 Mahrul Fuadi 19001770628 200504 1 II/d D-III 11 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 17
 Kehadiran
Pemotongan
Gol. Var. Var. Var. Var. Total Jumlah sebelum Pemotongan Jumlah Uang
NO Nama Pegawai NIP / NrPTT Ruang Pendidi masa Poin Nilai Jumlah PPh pasal 21 (15 Zakat & Infaq Zakat 2.5 % Zis x 1% Terima Tanda tangan
Poin Jabatan Penam Pengur dan 5%)
kan kerja bah ang
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

18 Siti Aisyah 19860227 200904 2 006 II/d D-III 7 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 18

19 Suadah 19790911 200604 2 025 II/c D-1 7 0 0 0 0 Rp - Rp - Rp - Rp - 19

20 Marina 1979 1026 200604 2 004 II/c D-1 7 25 25 0 50 Rp 845,864 Rp 845,864 Rp 8,459 Rp 837,405 20

21 dr. Asti maningsih - Kontrak Dokter 0 150 25 0 175 Rp 2,960,524 Rp 148,026 Rp 2,812,498 Rp 70,312 Rp 2,742,186 21

Dokter
22 [Link] - Kontrak gigi 0 150 25 0 175 Rp 2,960,524 Rp 148,026 Rp 2,812,498 Rp 70,312 Rp 2,742,186 22

23 Yetti Oktavianti 01.4.047.8047 PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 23

24 Nana Mulyana 01.4.047.8063 PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 24

25 Hurry Yanti o1.4.047.8055 PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 25

26 Neneng Hastuti 01.4.047.8048 PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 26

27 Syarifah Ayu Diana 01.4.047.8242 PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 27

28 Merry Feronika [Link] PTT D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 28

29 Cut Yanti Puspita dewi Honorer Honorer SMA 0 25 30 25 0 80 Rp 1,353,383 Rp 1,353,383 Rp 13,534 Rp 1,339,849 29

30 Murni Kontrak Kontrak D-III 0 40 25 0 65 Rp 1,099,623 Rp 1,099,623 Rp 10,996 Rp 1,088,627 30

31 Isnaniah Kontrak Kontrak D-III 0 40 24 0 64 Rp 1,082,706 Rp 1,082,706 Rp 10,827 Rp 1,071,879 31

32 [Link] Kontrak Kontrak <SMA 0 15 25 0 40 Rp 676,691 Rp 676,691 Rp 6,767 Rp 669,924 32

Total Scor 2980 Rp 50,413,500 Rp 2,428,476 Rp 47,985,024 Rp 853,244 Rp 138,553 Rp 46,993,227

Mengetahui Banda Aceh, Februari 2015

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Kehadiran
Pemotongan
Gol. Var. Var. Var. Var. Total Jumlah sebelum Pemotongan Jumlah Uang
NO Nama Pegawai NIP / NrPTT Ruang Pendidi masa Poin Nilai Jumlah PPh pasal 21 (15 Zakat & Infaq Zakat 2.5 % Zis x 1% Terima Tanda tangan
Poin Jabatan Penam Pengur dan 5%)
kan kerja bah ang
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Rp 67,218,000 52884000
53184000

oktober Rp 50,413,500
Rp 16,804,500
Rp 67,218,000
 DAFTAR PEMBAGIAN JASA PELAYANAN JKN (JAMINAN KESEHATAN NASIONAL) TAHUN 2015
UPTD PUSKESMAS JEULINGKE KOTA BANDA ACEH
Tahun 2015
Bulan Januari
Rp 50,413,500
Kehadiran
Pemotongan Jumlah sebelum
NO Nama Pegawai Var. Var. Poin Var. Var. Total Jumlah PPh pasal 21 (15 Zakat 2.5 %
Pemotongan Jumlah Uang Pengurangan tidak
Jumlah Uang Terima Tanda tangan
Pendid masa Poin Jabat Pena Pengu Nilai dan 5%) Zakat & Infaq Zis x 1% Terima Apel
ikan kerja an mbah rang
1 2 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 drg. Juwairiah Nasution [Link] Dokter 18 150 28 25 0 203 Rp 3,869,165 Rp 580,375 Rp 3,288,790 Rp 82,220 Rp 3,206,570 1 Rp 2,500 Rp 3,204,070 1

2 Zairina ,SKM.,[Link] S-2 12 60 30 25 0 115 Rp 2,191,891 Rp 109,595 Rp 2,082,297 Rp 52,057 Rp 2,030,239 5 Rp 12,500 Rp 2,017,739 2

3 Emmiyati D-III 16 40 25 0 65 Rp 1,238,895 Rp 61,945 Rp 1,176,950 Rp 29,424 Rp 1,147,527 - Rp - Rp 1,147,527 3

4 Darmawati D-I 18 40 24 0 64 Rp 1,219,835 Rp 60,992 Rp 1,158,843 Rp 28,971 Rp 1,129,872 3 Rp 7,500 Rp 1,122,372 4

5 Nurmala D-III 18 40 20 25 0 85 Rp 1,620,094 Rp 81,005 Rp 1,539,089 Rp 38,477 Rp 1,500,612 12 Rp 30,000 Rp 1,470,612 5

6 Armanusah, SKM S-I 18 60 25 0 85 Rp 1,620,094 Rp 81,005 Rp 1,539,089 Rp 38,477 Rp 1,500,612 2 Rp 5,000 Rp 1,495,612 6

7 dr. Ariefa Evildha Rahim Dokter 3 150 25 0 175 Rp 3,335,487 Rp 166,774 Rp 3,168,712 Rp 79,218 Rp 3,089,495 11 Rp 27,500 Rp 3,061,995 7

8 Romisni D-I 14 40 23 0 63 Rp 1,200,775 Rp 60,039 Rp 1,140,736 Rp 28,518 Rp 1,112,218 13 Rp 32,500 Rp 1,079,718 8

9 Ainul [Link] S-1 15 60 25 0 85 Rp 1,620,094 Rp 81,005 Rp 1,539,089 Rp 38,477 Rp 1,500,612 3 Rp 7,500 Rp 1,493,112 9

10 Isna Dewi S-1 10 60 25 0 85 Rp 1,620,094 Rp 81,005 Rp 1,539,089 Rp 38,477 Rp 1,500,612 8 Rp 20,000 Rp 1,480,612 10

11 Elfi Farisma D-III 9 40 24 0 64 Rp 1,219,835 Rp 60,992 Rp 1,158,843 Rp 28,971 Rp 1,129,872 12 Rp 30,000 Rp 1,099,872 11

12 Asmaul Husna D-III 9 40 25 0 65 Rp 1,238,895 Rp 61,945 Rp 1,176,950 Rp 29,424 Rp 1,147,527 3 Rp 7,500 Rp 1,140,027 12

13 Ramlah Ners 6 100 25 0 125 Rp 2,382,491 Rp 119,125 Rp 2,263,366 Rp 56,584 Rp 2,206,782 2 Rp 5,000 Rp 2,201,782 13

14 Teuku Meurah Azhari,SKM S-1 7 60 25 0 85 Rp 1,620,094 Rp 81,005 Rp 1,539,089 Rp 38,477 Rp 1,500,612 - Rp - Rp 1,500,612 14

15 Sitti Syarifah D-III 4 40 25 0 65 Rp 1,238,895 Rp 61,945 Rp 1,176,950 Rp 29,424 Rp 1,147,527 5 Rp 12,500 Rp 1,135,027 15

16 Amal Makrup D-III 11 40 25 0 65 Rp 1,238,895 Rp 61,945 Rp 1,176,950 Rp 29,424 Rp 1,147,527 22 Rp 55,000 Rp 1,092,527 16

17 Mahrul Fuadi D-III 11 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 24 Rp 60,000 Rp 1,166,506 17

 Kehadiran
Pemotongan Jumlah sebelum
NO Nama Pegawai Var. Var. Poin Var. Var. Total Jumlah PPh pasal 21 (15 Zakat 2.5 %
Pemotongan Jumlah Uang Pengurangan tidak
Jumlah Uang Terima Tanda tangan
Pendid masa Poin Jabat Pena Pengu Nilai dan 5%) Zakat & Infaq Zis x 1% Terima Apel
ikan kerja an mbah rang
1 2 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

18 Siti Aisyah D-III 7 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 15 Rp 37,500 Rp 1,189,006 18

19 Suadah D-1 7 0 0 0 0 Rp - Rp - Rp - Rp - - Rp - Rp - 19

20 Marina D-1 7 25 25 0 50 Rp 952,996 Rp 952,996 Rp 9,530 Rp 943,466 - Rp - Rp 943,466 20

21 dr. Asti maningsih Dokter 0 150 25 0 175 Rp 3,335,487 Rp 166,774 Rp 3,168,712 Rp 79,218 Rp 3,089,495 16 Rp 40,000 Rp 3,049,495 21

22 [Link] Dokter 0 150 25 0 175 Rp 3,335,487 Rp 166,774 Rp 3,168,712 Rp 79,218 Rp 3,089,495 2 Rp 5,000 Rp 3,084,495 22
gigi

23 Yetti Oktavianti D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 9 Rp 22,500 Rp 1,204,006 23

24 Nana Mulyana D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 3 Rp 7,500 Rp 1,219,006 24

25 Hurry Yanti D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 13 Rp 32,500 Rp 1,194,006 25

26 Neneng Hastuti D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 6 Rp 15,000 Rp 1,211,506 26

27 Syarifah Ayu Diana D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 9 Rp 22,500 Rp 1,204,006 27

28 Merry Feronika D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 15 Rp 37,500 Rp 1,189,006 28

29 Cut Yanti Puspita dewi SMA 0 25 12 25 0 62 Rp 1,181,715 Rp 1,181,715 Rp 11,817 Rp 1,169,898 9 Rp 22,500 Rp 1,147,398 29

30 Murni D-III 0 40 25 0 65 Rp 1,238,895 Rp 1,238,895 Rp 12,389 Rp 1,226,506 1 Rp 2,500 Rp 1,224,006 30

31 Isnaniah <SMA 0 40 24 0 64 Rp 1,219,835 Rp 1,219,835 Rp 12,198 Rp 1,207,637 3 Rp 7,500 Rp 1,200,137 31

32 [Link] <SMA 0 15 25 0 40 Rp 762,397 Rp 762,397 Rp 7,624 Rp 754,773 - Rp - Rp 754,773 32

Total Scor 2645 Rp 50,413,500 Rp 2,144,241 Rp 48,269,259 Rp 825,056 Rp 152,670 Rp 47,291,532 Rp 567,500 Rp 46,724,032

Mengetahui Banda Aceh, Februari 2015

Kepala UPTD Puskesmas Jeulingke Pengelola Keuangan Jaminan Kesehatan Nasional (JKN)

drg. Juwairiyah Nasution [Link] Nurmala

NIP.19690729 199803 2 007 NIP.19690501 198903 2 009
 Kehadiran
Pemotongan Jumlah sebelum
NO Nama Pegawai Var. Var. Poin Var. Var. Total Jumlah PPh pasal 21 (15 Zakat 2.5 %
Pemotongan Jumlah Uang Pengurangan tidak
Jumlah Uang Terima Tanda tangan
Pendid masa Poin Jabat Pena Pengu Nilai dan 5%) Zakat & Infaq Zis x 1% Terima Apel
ikan kerja an mbah rang
1 2 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

52884000
53184000

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