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    This document is a list of honorarium receipts for inpatient care duties at the Jelai Community Health Center for the month of February. It includes the names of 10 medical staff, their positions, how many shifts they worked in different categories, the daily rates, total earnings, tax deductions and net amounts. The totals at the bottom summarize the collective gross, tax and net earnings for the month.

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    RAWAT INAP 2021

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    SPJ Rawat inap jan-mar

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    This document is a list of honorarium receipts for inpatient care duties at the Jelai Community Health Center for the month of February. It includes the names of 10 medical staff, their positions, how many shifts they worked in different categories, the daily rates, total earnings, tax deductions and net amounts. The totals at the bottom summarize the collective gross, tax and net earnings for the month.

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    © All Rights Reserved
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    8 views7 pages

    SPJ Rawat Inap Jan-Mar

    Uploaded by

    saktiabie
    This document is a list of honorarium receipts for inpatient care duties at the Jelai Community Health Center for the month of February. It includes the names of 10 medical staff, their positions, how many shifts they worked in different categories, the daily rates, total earnings, tax deductions and net amounts. The totals at the bottom summarize the collective gross, tax and net earnings for the month.

    Copyright:

    © All Rights Reserved
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    of 7

    DAFTAR TANDA TERIMA HONORARIUM JAGA RAWAT INAP UPTD PUSKESMAS JELAI

    Bulan : Januari
    KOMPONEN SATUAN
    PANGKAT/ JUMLAH JUMLAH
    NO NAMA NIP GOL JABATAN PAGI HARI Jumlah Jumlah Jumlah KOTOR PPh 21 (5 %) BERSIH NO REKENING
    JUMLAH SORE JUMLAH MALAM JUMLAH
    LIBUR Jaga Jaga Jaga

    1 Penata Muda/ Perawat Ahli Rp 25,000 Rp 50,000 Rp 25,000 Rp 275,000 Rp 30,000 Rp 240,000 Rp 565,000 Rp 28,250 Rp
    401-201-
    536,750 000006727-3
    EKO SAKTIANTORO., S.Kep.Ners 19930223 201903 1 008 Pertama 2 11 8
    III.a

    Perawat 0401-201-
    2 NUR ATUN,A.Md.Keb 19880802 201001 2 001 Pengatur /II c Terampil Rp 25,000 2 Rp 50,000 Rp 25,000 9 Rp 225,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 575,000
    000003539-8

    Perawat
    3 HERO SEPTAHADENABU.A.MK 19930912 201903 1 007 Pengatur /II c Terampil Rp 25,000 0 Rp - Rp 25,000 10 Rp 250,000 Rp 30,000 10 Rp 300,000 Rp 550,000 Rp 550,000 401-201-
    000006742-7
    Penata Muda/ Perawat Ahli 0401-201-
    4 ASRI PURWASITA,S.Kep.Ners 19910623 201503 2 004 Rp 25,000 2 Rp 50,000 Rp 25,000 8 Rp 200,000 Rp 30,000 10 Rp 300,000 Rp 550,000 Rp 27,500 Rp 522,500
    III.a Pertama 000004780-9

    Perawat 401-201-
    5 BAYU SEPTOWIBOWO,A.Md.Kep 19930903 201903 1 009 Pengatur /II c
    Terampil Rp 25,000 1 Rp 25,000 Rp 25,000 9 Rp 225,000 Rp 30,000 11 Rp 330,000 Rp 580,000 Rp 580,000 000006777-0

    Penata 0401-201-
    6 JUMRATUL AWALIYAH., A.Md.Keb 19780802 200312 2 005 Bidan Mahir Rp 25,000 0 Rp - Rp 25,000 10 Rp 250,000 Rp 30,000 11 Rp 330,000 Rp 580,000 Rp 29,000 Rp 551,000
    Muda / III.a 000002879-1

    7 Penata Muda/ Perawat Ahli Rp 25,000 Rp 25,000 Rp 25,000 Rp 250,000 Rp 30,000 Rp 300,000 Rp 575,000 Rp 28,750 Rp
    401-201-
    546,250 000006545-9
    BAYU SUMANTRI., S.Kep.Ners 19930909 201903 1 013 1 10 10
    III.a Pertama

    Penata Muda/ Perawat Mahir Rp 0401-201-


    8 MUHAMAD ISWANDY,AMK 19750928 200312 1 002 25,000 1 Rp 25,000 Rp 25,000 10 Rp 250,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 28,750 Rp 546,250 000002878-2
    III.a

    Apoteker Ahli 0401-201-


    9 STEFANI PUSPA B., S.Farm.Apt 19880508 201503 2 005 Penata / III.c Muda Rp 7,500 2 Rp 15,000 Rp 7,500 9 Rp 67,500 Rp 10,000 8 Rp 80,000 Rp 162,500 Rp 8,125 Rp 154,375 000004711-6

    Pengatur 0401-201-
    10 IRMA FITRIANA., A.Md.AK 19880114 201101 2 001 Analis Rp 7,500 3 Rp 22,500 Rp 7,500 8 Rp 60,000 Rp 10,000 8 Rp 80,000 Rp 162,500 Rp 162,500 000004019-7
    TKI/II d

    TOTAL Rp 262,500 Rp 2,052,500 Rp 2,560,000 Rp 4,875,000 Rp 150,375 Rp 4,724,625

    Mengetahui, Kuala Jelai, 31 Januari 2021


    Plt.Kepala UPTD Puskesmas Jelai Bendahara Pembantu Pengeluaran
    NUR AFNI.S.KM Eko Saktiantoro., S.Kep. Ners
    NIP.19801004 200312 2 005 NIP.19930223 201903 1 008
    DAFTAR TANDA TERIMA HONORARIUM JAGA RAWAT INAP UPTD PUSKESMAS JELAI

    Bulan : Februari
    KOMPONEN SATUAN
    PANGKAT/ JUMLAH JUMLAH
    NO NAMA NIP GOL JABATAN PAGI HARI Jumlah Jumlah Jumlah KOTOR PPh 21 (5 %) BERSIH NO REKENING
    JUMLAH SORE JUMLAH MALAM JUMLAH
    LIBUR Jaga Jaga Jaga

    1 Penata Muda/ Perawat Ahli Rp 25,000 Rp 25,000 Rp 25,000 Rp 200,000 Rp 30,000 Rp 300,000 Rp 525,000 Rp 26,250 Rp
    401-201-
    498,750 000006727-3
    EKO SAKTIANTORO., S.Kep.Ners 19930223 201903 1 008 Pertama 1 8 10
    III.a

    Perawat 0401-201-
    2 NUR ATUN,A.Md.Keb 19880802 201001 2 001 Pengatur /II c Terampil Rp 25,000 2 Rp 50,000 Rp 25,000 7 Rp 175,000 Rp 30,000 10 Rp 300,000 Rp 525,000 Rp 525,000
    000003539-8

    Perawat
    3 HERO SEPTAHADENABU.A.MK 19930912 201903 1 007 Pengatur /II c Terampil Rp 25,000 1 Rp 25,000 Rp 25,000 9 Rp 225,000 Rp 30,000 9 Rp 270,000 Rp 520,000 Rp 520,000 401-201-
    000006742-7
    Penata Muda/ Perawat Ahli 0401-201-
    4 ASRI PURWASITA,S.Kep.Ners 19910623 201503 2 004 Rp 25,000 1 Rp 25,000 Rp 25,000 9 Rp 225,000 Rp 30,000 9 Rp 270,000 Rp 520,000 Rp 26,000 Rp 494,000
    III.a Pertama 000004780-9

    Perawat 401-201-
    5 BAYU SEPTOWIBOWO,A.Md.Kep 19930903 201903 1 009 Pengatur /II c
    Terampil Rp 25,000 0 Rp - Rp 25,000 9 Rp 225,000 Rp 30,000 9 Rp 270,000 Rp 495,000 Rp 495,000 000006777-0

    Penata Muda / Bidan Mahir 0401-201-


    6 JUMRATUL AWALIYAH., A.Md.Keb 19780802 200312 2 005 Rp 25,000 0 Rp - Rp 25,000 9 Rp 225,000 Rp 30,000 9 Rp 270,000 Rp 495,000 Rp 24,750 Rp 470,250
    III.a 000002879-1

    7 Penata Muda/ Perawat Ahli Rp 25,000 Rp - Rp 25,000 Rp 275,000 Rp 30,000 Rp 240,000 Rp 515,000 Rp 25,750 Rp
    401-201-
    489,250 000006545-9
    BAYU SUMANTRI., S.Kep.Ners 19930909 201903 1 013 0 11 8
    III.a Pertama

    8 Penata Muda/ Perawat Rp 25,000 Rp 25,000 Rp 25,000 Rp 200,000 Rp 30,000 Rp 300,000 Rp 525,000 Rp 26,250 Rp
    0401-201-
    498,750 000002878-2
    MUHAMAD ISWANDY,AMK 19750928 200312 1 002 Mahir 1 8 10
    III.a

    Apoteker Ahli 0401-201-


    9 STEFANI PUSPA B., S.Farm.Apt 19880508 201503 2 005 Penata / III.c Muda Rp 7,500 2 Rp 15,000 Rp 7,500 9 Rp 67,500 Rp 10,000 8 Rp 80,000 Rp 162,500 Rp 8,125 Rp 154,375 000004711-6

    Pengatur 0401-201-
    10 IRMA FITRIANA., A.Md.AK 19880114 201101 2 001 Analis Rp 7,500 2 Rp 15,000 Rp 7,500 9 Rp 67,500 Rp 10,000 8 Rp 80,000 Rp 162,500 Rp 162,500 000004019-7
    TKI/II d

    TOTAL Rp 180,000 Rp 1,885,000 Rp 2,380,000 Rp 4,445,000 Rp 137,125 Rp 4,307,875

    Mengetahui, Kuala Jelai, 28 Februari 2021


    Plt.Kepala UPTD Puskesmas Jelai Bendahara Pembantu Pengeluaran
    NUR AFNI.S.KM Eko Saktiantoro., S.Kep. Ners
    NIP.19801004 200312 2 005 NIP.19930223 201903 1 008
    DAFTAR TANDA TERIMA HONORARIUM JAGA RAWAT INAP UPTD PUSKESMAS JELAI

    Bulan : Maret
    KOMPONEN SATUAN
    PANGKAT/ JUMLAH JUMLAH
    NO NAMA NIP GOL JABATAN PAGI HARI Jumlah Jumlah Jumlah KOTOR PPh 21 (5 %) BERSIH NO REKENING
    JUMLAH SORE JUMLAH MALAM JUMLAH
    LIBUR Jaga Jaga Jaga

    Penata Muda/ Perawat Ahli 401-201-


    1 EKO SAKTIANTORO., S.Kep.Ners 19930223 201903 1 008 Rp 25,000 2 Rp 50,000 Rp 25,000 9 Rp 225,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 28,750 Rp 546,250 000006727-3
    III.a Pertama

    Perawat 0401-201-
    2 NUR ATUN,A.Md.Keb 19880802 201001 2 001 Pengatur /II c Terampil Rp 25,000 2 Rp 50,000 Rp 25,000 9 Rp 225,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 575,000
    000003539-8

    Perawat
    3 HERO SEPTAHADENABU.A.MK 19930912 201903 1 007 Pengatur /II c Terampil Rp 25,000 0 Rp - Rp 25,000 10 Rp 250,000 Rp 30,000 11 Rp 330,000 Rp 580,000 Rp 580,000 401-201-
    000006742-7
    Penata Muda/ Perawat Ahli 0401-201-
    4 ASRI PURWASITA,S.Kep.Ners 19910623 201503 2 004 Rp 25,000 2 Rp 50,000 Rp 25,000 9 Rp 225,000 Rp 30,000 11 Rp 330,000 Rp 605,000 Rp 30,250 Rp 574,750
    III.a Pertama 000004780-9

    Perawat 401-201-
    5 BAYU SEPTOWIBOWO,A.Md.Kep 19930903 201903 1 009 Pengatur /II c Terampil Rp 25,000 0 Rp - Rp 25,000 11 Rp 275,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 575,000 000006777-0

    Penata 0401-201-
    6 JUMRATUL AWALIYAH., A.Md.Keb 19780802 200312 2 005 Bidan Mahir Rp 25,000 0 Rp - Rp 25,000 11 Rp 275,000 Rp 30,000 10 Rp 300,000 Rp 575,000 Rp 28,750 Rp 546,250
    Muda / III.a 000002879-1

    Penata Muda/ Perawat Ahli 401-201-


    7 BAYU SUMANTRI., S.Kep.Ners 19930909 201903 1 013 Rp 25,000 1 Rp 25,000 Rp 25,000 9 Rp 225,000 Rp 30,000 10 Rp 300,000 Rp 550,000 Rp 27,500 Rp 522,500 000006545-9
    III.a Pertama

    Penata Muda/ Perawat Mahir Rp 0401-201-


    8 MUHAMAD ISWANDY,AMK 19750928 200312 1 002 25,000 1 Rp 25,000 Rp 25,000 9 Rp 225,000 Rp 30,000 10 Rp 300,000 Rp 550,000 Rp 27,500 Rp 522,500 000002878-2
    III.a

    Apoteker Ahli 0401-201-


    9 STEFANI PUSPA B., S.Farm.Apt 19880508 201503 2 005 Penata / III.c Muda Rp 7,500 1 Rp 7,500 Rp 7,500 10 Rp 75,000 Rp 10,000 10 Rp 100,000 Rp 182,500 Rp 9,125 Rp 173,375 000004711-6

    Pengatur 0401-201-
    10 IRMA FITRIANA., A.Md.AK 19880114 201101 2 001 Analis Rp 7,500 1 Rp 7,500 Rp 7,500 9 Rp 67,500 Rp 10,000 11 Rp 110,000 Rp 185,000 Rp 185,000 000004019-7
    TKI/II d

    TOTAL Rp 215,000 Rp 2,067,500 Rp 2,670,000 Rp 4,952,500 Rp 151,875 Rp 4,800,625

    Mengetahui, Kuala Jelai, 31 Maret 2021


    Plt.Kepala UPTD Puskesmas Jelai Bendahara Pembantu Pengeluaran
    NUR AFNI.S.KM Eko Saktiantoro., S.Kep. Ners
    NIP.19801004 200312 2 005 NIP.19930223 201903 1 008
    REKAP DAFTAR TERIMA HONORARIUM JAGA RAWAT INAP
    UPTD PUSKESMAS JELAI

    Bulan : Januari - Maret


    PANGKAT/ BULAN
    NO NAMA NIP JABATAN JUMLAH KOTOR PPh 21 (5%) JUMLAH BERSIH NO REKENING
    GOL JANUARI FEBRUARI MARET
    Penata Muda/ Perawat Ahli
    1 EKO SAKTIANTORO., S.Kep.Ners 19930223 201903 1 008 Rp 565,000 Rp 525,000 Rp 575,000 Rp 1,665,000 Rp 83,250 Rp 1,581,750 401-201-000006727-3
    III.a Pertama
    Perawat
    2 NUR ATUN,A.Md.Keb 19880802 201001 2 001 Pengatur /II c Rp 575,000 Rp 525,000 Rp 575,000 Rp 1,675,000 Rp 1,675,000 0401-201-000003539-8
    Terampil
    Perawat
    3 HERO SEPTAHADENABU. A.MK 19930912 201903 1 007 Pengatur /II c Rp 550,000 Rp 520,000 Rp 580,000 Rp 1,650,000 Rp 1,650,000
    Terampil 401-201-000006742-7
    Penata Muda/ Perawat Ahli
    4 ASRI PURWASITA, S.Kep.Ners 19910623 201503 2 004 Rp 550,000 Rp 520,000 Rp 605,000 Rp 1,675,000 Rp 83,750 Rp 1,591,250 0401-201-000004780-9
    III.a Pertama
    Perawat
    5 BAYU SEPTOWIBOWO, A.Md.Kep 19930903 201903 1 009 Pengatur /II c Rp 580,000 Rp 495,000 Rp 575,000 Rp 1,650,000 Rp 1,650,000 401-201-000006777-0
    Terampil
    Penata Muda/
    6 JUMRATUL AWALIYAH., A.Md.Keb 19780802 200312 2 005 Bidan Mahir Rp 580,000 Rp 495,000 Rp 575,000 Rp 1,650,000 Rp 82,500 Rp 1,567,500 0401-201-000002879-1
    III.a
    Penata Muda/ Perawat Ahli
    7 BAYU SUMANTRI., S.Kep.Ners 19930909 201903 1 013 Rp 575,000 Rp 515,000 Rp 550,000 Rp 1,640,000 Rp 82,000 Rp 1,558,000 401-201-000006545-9
    III.a Pertama
    Penata Muda/
    8 MUHAMAD ISWANDY,AMK 19750928 200312 1 002 Perawat Mahir Rp 575,000 Rp 525,000 Rp 550,000 Rp 1,650,000 Rp 82,500 Rp 1,567,500 0401-201-000002878-2
    III.a
    Apoteker Ahli
    9 STEFANI PUSPA B., S.Farm.Apt 19880508 201503 2 005 Penata / III.c Rp 162,500 Rp 162,500 Rp 182,500 Rp 507,500 Rp 25,375 Rp 482,125 0401-201-000004711-6
    Muda
    Pengatur TKI/II
    10 IRMA FITRIANA., A.Md.AK 19880114 201101 2 001 Analis Rp 162,500 Rp 162,500 Rp 185,000 Rp 510,000 Rp 510,000 0401-201-000004019-7
    d
    TOTAL Rp 4,875,000 Rp 4,445,000 Rp 4,952,500 Rp 14,272,500 Rp 439,375 Rp 13,833,125

    Mengetahui, Kuala Jelai, 1 April 2021


    Plt.Kepala UPTD Puskesmas Jelai Bendahara Pembantu Pengeluaran

    NUR AFNI.S.KM Eko Saktiantoro., S.Kep. Ners


    NIP.19801004 200312 2 005 NIP.19930223 201903 1 008

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