Biaya Perobatan PKS TH 2017

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LAPORAN BIAYA PEROBATAN DAN PERAWATAN

PERIODE : JANUARI 2017


UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam

KHL ( KARYAWAN HARIAN LEPAS )


1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan
2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6

TOTAL SELURUH
Dr.
Saldo Biaya Rawat
Status Keluarga Umum / Perobatan Luar Apotek
Jalan Dari Bulan Lalu
Spesialis

K/3 Rp 10,000,000.00
K/2 Rp 7,500,000.00
K/1 Rp 5,000,000.00
K/3 Rp 5,000,000.00
K/1 Rp 5,000,000.00
K/0 Rp 5,000,000.00

Rp 37,500,000.00 Rp - Rp - Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
TK/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00

Rp 125,000,000.00 Rp - Rp - Rp -

K/2 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,500,000.00

Rp 102,500,000.00 Rp - Rp - Rp -

Rp - Rp - Rp - Rp -

Rp 265,000,000.00 Rp - Rp - Rp -
Total Biaya Rawat
Puskesbun
Jalan sd Bulan Ini

Rawat Jalan Rawat Inap Kec. Kerja


Rp -
Rp -
Rp 37,202.20 Rp 37,202.20
Rp -
Rp 252,199.05 Rp 252,199.05
Rp -

Rp 289,401.25 Rp - Rp - Rp 289,401.25

Rp -
Rp -
Rp 100,088.40 Rp 100,088.40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 152,147.69 Rp 152,147.69
Rp -
Rp 166,646.91 Rp 166,646.91
Rp -
Rp -
Rp -
Rp 39,327.16 Rp 39,327.16
Rp -
Rp -
Rp -
Rp -
Rp 43,669.19 Rp 43,669.19
Rp 47,292.72 Rp 47,292.72
Rp 199,992.23 Rp 199,992.23
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 25,118.70 Rp 25,118.70
Rp -
Rp 71,790.07 Rp 71,790.07
Rp -
Rp 141,991.60 Rp 141,991.60
Rp 31,174.82 Rp 31,174.82
Rp -
Rp 89,425.08 Rp 89,425.08
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 1,108,664.57 Rp - Rp - Rp 1,108,664.57

Rp 130,776.40 Rp 130,776.40
Rp -
Rp 69,268.54 Rp 69,268.54
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
57680.02 Rp 57,680.02
Rp -
Rp -
Rp -
Rp 183,995.73 Rp 183,995.73
Rp -
Rp 7,522.32 Rp 7,522.32
Rp 71,221.40 Rp 71,221.40
Rp 38,152.24 Rp 38,152.24
Rp -
Rp 65,636.11 Rp 65,636.11
Rp -
Rp -
Rp -
Rp -
Rp 231,278.30 Rp 231,278.30
Rp -
Rp -
Rp -
Rp -
Rp 11,951.20 Rp 11,951.20
Rp 4,774.02 Rp 4,774.02
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 347,774.57 Rp 347,774.57

Rp 1,220,030.85 Rp - Rp - Rp 1,220,030.85
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp - Rp -

Rp 2,618,096.67 Rp - Rp - Rp 2,618,096.67
dr.Gigi Opname
Saldo Plafond Biaya Plafond Biaya Saldo Plafond
Rumah
Rawat Jalan Rawat Gigi Biaya Rawat Gigi
Sakit

Rp 10,000,000.00 Rp -
Rp 7,500,000.00 Rp -
Rp 4,962,797.80 Rp -
Rp 5,000,000.00 Rp -
Rp 4,747,800.95 Rp -
Rp 5,000,000.00 Rp -

Rp 37,210,598.75 Rp - Rp - Rp - Rp -

Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,399,911.60 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,347,852.31 Rp -
Rp 2,500,000.00 Rp -
Rp 2,333,353.09 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,460,672.84 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,456,330.81 Rp -
Rp 2,452,707.28 Rp -
Rp 2,300,007.77 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,474,881.30 Rp -
Rp 2,500,000.00 Rp -
Rp 2,428,209.93 Rp -
Rp 2,500,000.00 Rp -
Rp 2,358,008.40 Rp -
Rp 2,468,825.18 Rp -
Rp 2,500,000.00 Rp -
Rp 2,410,574.92 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -

Rp 123,891,335.43 Rp - Rp - Rp - Rp -

Rp 2,369,223.60 Rp -
Rp 2,500,000.00 Rp -
Rp 2,430,731.46 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,442,319.98 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,316,004.27 Rp -
Rp 2,500,000.00 Rp -
Rp 2,492,477.68 Rp -
Rp 2,428,778.60 Rp -
Rp 2,461,847.76 Rp -
Rp 2,500,000.00 Rp -
Rp 2,434,363.89 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,268,721.70 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,488,048.80 Rp -
Rp 2,495,225.98 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,500,000.00 Rp -
Rp 2,152,225.43 Rp -

Rp 101,279,969.15 Rp - Rp - Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp - Rp - Rp - Rp -

Rp 262,381,903.33 Rp - Rp - Rp - Rp -
Bantuan Subsidi Total Biaya
Kaca Mata Melahirkan Perobatan

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -

Rp - Rp - Rp -

Rp - Rp - Rp -
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LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : FEBRUARI 2017
UNIT KERJA : PKS TELAGA HIKMAH

Status
NO. NAMA UNIT JABATAN
Keluarga

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager K/3
2 Andi Fabiandy PKS TELAGA HIKMAH KTU K/2
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel K/1
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II K/3
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC K/1
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I K/0

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang K/1


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang K/3
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam K/3
4 Mulyadi M PKS TELAGA HIKMAH Satpam K/3
5 Hindarni PKS TELAGA HIKMAH Satpam K/1
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam K/3
7 Supariyanto PKS TELAGA HIKMAH Satpam K/3
8 Ilham PKS TELAGA HIKMAH Satpam K/3
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF K/3
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU K/2
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader K/1
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel K/2
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel TK/2
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi TK/2
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut K/3
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses K/3
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp K/1
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp K/2
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser K/3
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand K/3
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan K/2
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan K/2
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp K/2
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi K/0
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi K/3
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel K/2
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler K/2
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser K/2
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room K/2
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room K/1
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room K/1
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment K/2
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan L/0
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan L/0
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium K/2
36 Royantono PKS TELAGA HIKMAH Dispatch K/2
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi K/2
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab K/2
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik K/1
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik K/3
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi K/3
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler K/1
43 Suhendro PKS TELAGA HIKMAH Op. Boiler K/3
44 Kanedi PKS TELAGA HIKMAH Sortasi K/3
45 Sumadi PKS TELAGA HIKMAH Guru Agama K/1
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler TK/0
47 Purwanto PKS TELAGA HIKMAH Capstand K/3
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan L/0
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler L/0
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik K/1
51 Doni P PKS TELAGA HIKMAH Sortasi k/2

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer K/2


2 Anhari PKS TELAGA HIKMAH Analis Lab K/3
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp L/0
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listri L/0
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik L/0
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik K/1
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler L/0
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan L/0
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler K/1
10 Aan Milansyah PKS TELAGA HIKMAH Supir K/1
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel K/0
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik K/0
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik K/1
14 Ali Ahmad PKS TELAGA HIKMAH Tippler K/3
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik K/2
16 Andri Judarsa PKS TELAGA HIKMAH Satpam K/1
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi K/0
18 Radimin PKS TELAGA HIKMAH Op. Limbah K/3
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp K/2
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer K/0
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut L/0
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler K/1
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikas L/0
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch L/0
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi L/0
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab K/1
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader K/2
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp K/1
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel L/0
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp K/1
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik K/1
32 Eko Apriadi PKS TELAGA HIKMAH Capstand L/0
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand L/0
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik K/1
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik K/1
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab K/1
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP K/1
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi K/1
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand L/0
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand L/0
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam K/2

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6

TOTAL SELURUH
Dr.
Saldo Biaya Rawat Perobatan
Umum / Apotek Pusk
Jalan Dari Bulan Lalu Luar
Spesialis
Rawat Jalan
Rp 10,000,000.00
Rp 7,500,000.00
Rp 4,962,797.80
Rp 5,000,000.00
Rp 4,747,800.95 Rp 132,326.69
Rp 5,000,000.00 Rp 29,529.18

Rp 37,210,598.75 Rp - Rp - Rp - Rp 161,855.87

Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 38,783.82
Rp 2,500,000.00 Rp 43,809.22
Rp 2,500,000.00 Rp 193,291.50
Rp 2,500,000.00 Rp 75,088.28
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 89,978.65
Rp 2,500,000.00 Rp 36,458.02
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 38,610.12
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 29,631.05
Rp 2,500,000.00
Rp 2,500,000.00 Rp 100,751.04
Rp 2,500,000.00 Rp 99,521.25
Rp 2,500,000.00 Rp 31,354.44
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 43,476.18

Rp 127,500,000.00 Rp - Rp - Rp - Rp 820,753.57

Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 85722.14
Rp 2,500,000.00
Rp 2,500,000.00 Rp 35,909.36
Rp 2,500,000.00
Rp 2,500,000.00 Rp 78,164.87
Rp 2,500,000.00 Rp 270,343.02
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 223,719.95
Rp 2,500,000.00 Rp 43,889.94
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 14,532.39
Rp 2,500,000.00
Rp 2,500,000.00 Rp 47,130.56
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 173,938.43
Rp 2,500,000.00 Rp 143,465.42
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 39,587.58
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 208,345.61

Rp 102,500,000.00 Rp - Rp - Rp - Rp 1,364,749.27

Rp 10,930.56

Rp - Rp - Rp - Rp - Rp 10,930.56
Rp 267,210,598.75 Rp - Rp - Rp - Rp 2,358,289.27
Total Biaya Rawat Saldo Plafond Biaya
Puskesbun
Jalan sd Bulan Ini Rawat Jalan

Rawat Inap Kec. Kerja


Rp - Rp 10,000,000.00
Rp - Rp 7,500,000.00
Rp - Rp 4,962,797.80
Rp - Rp 5,000,000.00
Rp 132,326.69 Rp 4,615,474.26
Rp 29,529.18 Rp 4,970,470.82

Rp - Rp - Rp 161,855.87 Rp 37,048,742.88

Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 38,783.82 Rp 2,461,216.18
Rp 43,809.22 Rp 2,456,190.78
Rp 193,291.50 Rp 2,306,708.50
Rp 75,088.28 Rp 2,424,911.72
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 89,978.65 Rp 2,410,021.35
Rp 36,458.02 Rp 2,463,541.98
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 38,610.12 Rp 2,461,389.88
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 29,631.05 Rp 2,470,368.95
Rp - Rp 2,500,000.00
Rp 100,751.04 Rp 2,399,248.96
Rp 99,521.25 Rp 2,400,478.75
Rp 31,354.44 Rp 2,468,645.56
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 43,476.18 Rp 2,456,523.82

Rp - Rp - Rp 820,753.57 Rp 126,679,246.43

Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 85,722.14 Rp 2,414,277.86
Rp - Rp 2,500,000.00
Rp 35,909.36 Rp 2,464,090.64
Rp - Rp 2,500,000.00
Rp 78,164.87 Rp 2,421,835.13
Rp 270,343.02 Rp 2,229,656.98
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 223,719.95 Rp 2,276,280.05
Rp 43,889.94 Rp 2,456,110.06
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 14,532.39 Rp 2,485,467.61
Rp - Rp 2,500,000.00
Rp 47,130.56 Rp 2,452,869.44
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 173,938.43 Rp 2,326,061.57
Rp 143,465.42 Rp 2,356,534.58
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 39,587.58 Rp 2,460,412.42
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 208,345.61 Rp 2,291,654.39

Rp - Rp - Rp 1,364,749.27 Rp 101,135,250.73

Rp - Rp -
Rp 204,010.92 Rp 10,930.56 Rp (10,930.56)
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 204,010.92 Rp 10,930.56 Rp (10,930.56)
Rp - Rp 204,010.92 Rp 2,358,289.27 Rp 264,852,309.48
Opname
Plafond Biaya Rawat Saldo Plafond Bantuan Kaca
dr.Gigi Rumah
Gigi Biaya Rawat Gigi Mata
Sakit

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - Rp - Rp - Rp - Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp - Rp - Rp - Rp - Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp - Rp - Rp - Rp - Rp -

Rp -
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Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Subsidi Total Biaya
Melahirkan Perobatan

Rp - Rp -
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LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : MARET 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6

TOTAL SELURUH
Saldo Biaya Rawat Dr.
Status Perobatan
Jalan Dari Bulan Umum / Apotek Puskesbun
Keluarga Luar
Lalu Spesialis
Rawat Jalan
K/3 Rp 10,000,000.00
K/2 Rp 7,500,000.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,615,474.26
K/0 Rp 4,970,470.82

Rp 37,048,742.88 Rp - Rp - Rp - Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00 Rp 25,848.44
K/3 Rp 2,500,000.00 Rp 20,361.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,461,216.18
K/3 Rp 2,456,190.78
K/1 Rp 2,306,708.50
K/2 Rp 2,424,911.72
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/3 Rp 2,410,021.35 Rp 113,023.64
K/2 Rp 2,463,541.98 Rp 58,532.04
K/2 Rp 2,500,000.00
K/2 Rp 2,500,000.00 Rp 109,901.33
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,461,389.88
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,470,368.95
K/2 Rp 2,500,000.00
K/2 Rp 2,399,248.96
K/2 Rp 2,400,478.75
K/1 Rp 2,468,645.56
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
TK/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
k/2 Rp 2,456,523.82

Rp 126,679,246.43 Rp - Rp - Rp - Rp 327,666.45

K/2 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,414,277.86
K/0 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00 Rp 119,776.42
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 80,314.11
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 101,219.68
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,500,000.00 Rp 169,127.88

Rp 102,414,277.86 Rp - Rp - Rp - Rp 470,438.09

Rp 10,930.56

Rp - Rp - Rp - Rp - Rp 10,930.56
### Rp - Rp - Rp - Rp 809,035.10
Total Biaya
Saldo Plafond
Puskesbun Rawat Jalan sd
Biaya Rawat Jalan
Bulan Ini
Rawat Inap Kec. Kerja
Rp - Rp 10,000,000.00
Rp - Rp 7,500,000.00
Rp - Rp 4,962,797.80
Rp - Rp 5,000,000.00
Rp - Rp 4,615,474.26
Rp - Rp 4,970,470.82

Rp - Rp - Rp - Rp 37,048,742.88

Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 25,848.44 Rp 2,474,151.56
Rp 20,361.00 Rp 2,479,639.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,461,216.18
Rp - Rp 2,456,190.78
Rp - Rp 2,306,708.50
Rp - Rp 2,424,911.72
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 113,023.64 Rp 2,296,997.71
Rp 58,532.04 Rp 2,405,009.94
Rp - Rp 2,500,000.00
Rp 109,901.33 Rp 2,390,098.67
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,461,389.88
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,470,368.95
Rp - Rp 2,500,000.00
Rp - Rp 2,399,248.96
Rp - Rp 2,400,478.75
Rp - Rp 2,468,645.56
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,456,523.82

Rp - Rp - Rp 327,666.45 Rp 126,351,579.98

Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,414,277.86
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 119,776.42 Rp 2,380,223.58
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 80,314.11 Rp 2,419,685.89
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 101,219.68 Rp 2,398,780.32
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp - Rp 2,500,000.00
Rp 169,127.88 Rp 2,330,872.12

Rp - Rp - Rp 470,438.09 Rp 101,943,839.77

Rp - Rp -
Rp 204,010.92 Rp 10,930.56 Rp (10,930.56)
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 204,010.92 Rp 10,930.56 Rp (10,930.56)
Rp - Rp 204,010.92 Rp 809,035.10 Rp265,333,232.07
Plafond Biaya Saldo Plafond Biaya Opname Bantuan Kaca
dr.Gigi
Rawat Gigi Rawat Gigi Rumah Sakit Mata

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - Rp - Rp - Rp - Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - Rp - Rp - Rp - Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - Rp - Rp - Rp - Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp -
Subsidi Total Biaya
Melahirkan Perobatan

Rp - Rp -
Rp - Rp -
Rp - Rp -

Rp - Rp -
Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : APRIL 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6

TOTAL SELURUH
Status
Saldo Biaya Rawat
Keluarg Puskesbun
Jalan Dari Bulan Lalu
a

Rawat
Rawat Jalan Kec. Kerja
Inap
K/3 Rp 10,000,000.00
K/2 Rp 7,500,000.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,615,474.26 Rp 143,822.00
K/0 Rp 4,970,470.82

Rp 37,048,742.88 Rp 143,822.00 Rp - Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00 Rp 66,285.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,474,151.56
K/3 Rp 2,479,639.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,461,216.18
K/3 Rp 2,456,190.78 Rp 18,124.00
K/1 Rp 2,306,708.50 Rp 22,007.00
K/2 Rp 2,424,911.72
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,426,210.00 Rp 73,790.00
K/2 Rp 2,500,000.00
K/2 Rp 2,491,102.00 Rp 8,898.00
K/0 Rp 2,500,000.00
K/3 Rp 2,277,490.71 Rp 19,507.00
K/2 Rp 2,405,009.94
K/2 Rp 2,500,000.00
K/2 Rp 2,283,779.67 Rp 208,166.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,461,389.88 Rp 126,889.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,470,368.95
K/2 Rp 2,500,000.00
K/2 Rp 2,399,248.96
K/2 Rp 2,400,478.75
K/1 Rp 2,468,645.56
K/3 Rp 2,471,888.00 Rp 28,112.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
TK/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
k/2 Rp 2,456,523.82

Rp 126,114,953.98 Rp 571,778.00 Rp - Rp -

K/2 Rp 2,500,000.00 Rp 102,073.00


K/3 Rp 2,437,771.00 Rp 62,229.70
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,403,492.00 Rp 96,508.00
K/1 Rp 2,500,000.00
K/1 Rp 2,371,932.86 Rp 42,345.00
K/0 Rp 2,500,000.00
K/0 Rp 2,460,690.00 Rp 39,310.00
K/1 Rp 2,500,000.00
K/3 Rp 2,380,223.58
K/2 Rp 2,500,000.00 Rp 174,605.00
K/1 Rp 2,500,000.00 Rp 45,115.00
K/0 Rp 2,500,000.00
K/3 Rp 2,437,675.00 Rp 62,325.40
K/2 Rp 2,500,000.00
K/0 Rp 2,492,684.00 Rp 16,576.00
L/0 Rp 2,500,000.00 Rp 45,851.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,419,685.89
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,398,780.32 Rp 82,054.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,330,872.12 Rp 96,014.00

Rp 101,633,806.77 Rp 865,006.10 Rp - Rp -

Rp 28,697.00

Rp - Rp 28,697.00 Rp - Rp -
Rp 264,797,503.63 Rp 1,609,303.10 Rp - Rp -
Saldo
Plafond
Plafond Opnam
Total Biaya Rawat Saldo Plafond Biaya Biaya Bantua
dr.Gigi Biaya e
Jalan sd Bulan Ini Rawat Jalan Rawat n Kaca
Rawat Rumah
Gigi Mata
Gigi Sakit

Rp - Rp 10,000,000.00 Rp -
Rp - Rp 7,500,000.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp 143,822.00 Rp 4,471,652.26 Rp -
Rp - Rp 4,970,470.82 Rp -

Rp 143,822.00 Rp 36,904,920.88 Rp - Rp - Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 66,285.00 Rp 2,433,715.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,474,151.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,461,216.18 Rp -
Rp 18,124.00 Rp 2,438,066.78 Rp -
Rp 22,007.00 Rp 2,284,701.50 Rp -
Rp - Rp 2,424,911.72 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 73,790.00 Rp 2,352,420.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 8,898.00 Rp 2,482,204.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 19,507.00 Rp 2,257,983.71 Rp -
Rp - Rp 2,405,009.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 208,166.00 Rp 2,075,613.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 126,889.00 Rp 2,334,500.88 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,470,368.95 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,399,248.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp - Rp 2,468,645.56 Rp -
Rp 28,112.00 Rp 2,443,776.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,456,523.82

Rp 571,778.00 Rp 125,543,175.98 Rp - Rp - Rp - Rp - Rp -

Rp 102,073.00 Rp 2,397,927.00 Rp -
Rp 62,229.70 Rp 2,375,541.30 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 96,508.00 Rp 2,306,984.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 42,345.00 Rp 2,329,587.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 39,310.00 Rp 2,421,380.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,380,223.58 Rp -
Rp 174,605.00 Rp 2,325,395.00 Rp -
Rp 45,115.00 Rp 2,454,885.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 62,325.40 Rp 2,375,349.60 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 16,576.00 Rp 2,476,108.00 Rp -
Rp 45,851.00 Rp 2,454,149.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,419,685.89 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 82,054.00 Rp 2,316,726.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 96,014.00 Rp 2,234,858.12 Rp -

Rp 865,006.10 Rp 100,768,800.67 Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp -
Rp 28,697.00 Rp (28,697.00) Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 28,697.00 Rp (28,697.00) Rp - Rp - Rp - Rp - Rp -
Rp 1,609,303.10 Rp 263,188,200.53 Rp - Rp - Rp - Rp - Rp -
Total
Subsidi Biaya
Melahir Perobat
kan an

Rp - Rp -
Rp - Rp -
Rp - Rp -

Rp - Rp -
Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : MEI 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6
TOTAL SELURUH
Status
Saldo Biaya Rawat
Keluarg Puskesbun
Jalan Dari Bulan Lalu
a

Rawat Kec.
Rawat Jalan
Inap Kerja
K/3 Rp 10,000,000.00
K/2 Rp 7,500,000.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,471,652.26 Rp 62,128.00
K/0 Rp 4,970,470.82

Rp 36,904,920.88 Rp 62,128.00 Rp - Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,433,715.00
K/1 Rp 2,500,000.00 Rp 63,313.00
K/3 Rp 2,500,000.00
K/3 Rp 2,474,151.56
K/3 Rp 2,479,639.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 187,043.00
K/2 Rp 2,500,000.00 Rp 175,978.00
TK/2 Rp 2,500,000.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,461,216.18
K/3 Rp 2,438,066.78 Rp 7,832.00
K/1 Rp 2,284,701.50
K/2 Rp 2,424,911.72 Rp 84,761.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/2 Rp 2,352,420.00
K/2 Rp 2,500,000.00 Rp 148,180.00
K/2 Rp 2,482,204.00
K/0 Rp 2,500,000.00
K/3 Rp 2,257,983.71
K/2 Rp 2,405,009.94
K/2 Rp 2,500,000.00
K/2 Rp 2,075,613.67
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,334,500.88 Rp 10,958.00
L/0 Rp 2,500,000.00 Rp 133,758.00
L/0 Rp 2,500,000.00
K/2 Rp 2,470,368.95
K/2 Rp 2,500,000.00 Rp 53,471.00
K/2 Rp 2,399,248.96 Rp 88,963.00
K/2 Rp 2,400,478.75
K/1 Rp 2,468,645.56 Rp 58,372.00
K/3 Rp 2,443,776.00
K/3 Rp 2,500,000.00 Rp 117,651.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00
TK/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
k/2 Rp 2,456,523.82

Rp 125,543,175.98 Rp 1,130,280.00 Rp - Rp -

K/2 Rp 2,397,927.00 Rp 126,910.00


K/3 Rp 2,375,541.30
L/0 Rp 2,500,000.00 Rp 32,966.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00 Rp 101,420.00
L/0 Rp 2,306,984.00
K/1 Rp 2,500,000.00
K/1 Rp 2,329,587.86
K/0 Rp 2,500,000.00
K/0 Rp 2,421,380.00
K/1 Rp 2,500,000.00
K/3 Rp 2,380,223.58 Rp 171,389.00
K/2 Rp 2,325,395.00 Rp 93,442.00
K/1 Rp 2,454,885.00
K/0 Rp 2,500,000.00
K/3 Rp 2,375,349.60
K/2 Rp 2,500,000.00
K/0 Rp 2,476,108.00
L/0 Rp 2,454,149.00 Rp 180,470.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00 Rp 84,427.00
L/0 Rp 2,500,000.00 Rp 21,873.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 73,603.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,419,685.89
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 137,746.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,316,726.32
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,234,858.12

Rp 100,768,800.67 Rp 1,024,246.00 Rp - Rp -

Rp - Rp - Rp - Rp -
Rp 263,216,897.53 Rp 2,216,654.00 Rp - Rp -
Saldo
Plafond
Plafond Opnam
Total Biaya Rawat Saldo Plafond Biaya Biaya Bantua
dr.Gigi Biaya e
Jalan sd Bulan Ini Rawat Jalan Rawat n Kaca
Rawat Rumah
Gigi Mata
Gigi Sakit

Rp - Rp 10,000,000.00 Rp -
Rp - Rp 7,500,000.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp 62,128.00 Rp 4,409,524.26 Rp -
Rp - Rp 4,970,470.82 Rp -

Rp 62,128.00 Rp 36,842,792.88 Rp - Rp - Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp 63,313.00 Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,474,151.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 187,043.00 Rp 2,312,957.00 Rp -
Rp 175,978.00 Rp 2,324,022.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,461,216.18 Rp -
Rp 7,832.00 Rp 2,430,234.78 Rp -
Rp - Rp 2,284,701.50 Rp -
Rp 84,761.00 Rp 2,340,150.72 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,352,420.00 Rp -
Rp 148,180.00 Rp 2,351,820.00 Rp -
Rp - Rp 2,482,204.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,257,983.71 Rp -
Rp - Rp 2,405,009.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,075,613.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 10,958.00 Rp 2,323,542.88 Rp -
Rp 133,758.00 Rp 2,366,242.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,470,368.95 Rp -
Rp 53,471.00 Rp 2,446,529.00 Rp -
Rp 88,963.00 Rp 2,310,285.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp 58,372.00 Rp 2,410,273.56 Rp -
Rp - Rp 2,443,776.00 Rp -
Rp 117,651.00 Rp 2,382,349.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,456,523.82

Rp 1,130,280.00 Rp 124,412,895.98 Rp - Rp - Rp - Rp - Rp -

Rp 126,910.00 Rp 2,271,017.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp 32,966.00 Rp 2,467,034.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 101,420.00 Rp 2,398,580.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,329,587.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,421,380.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 171,389.00 Rp 2,208,834.58 Rp -
Rp 93,442.00 Rp 2,231,953.00 Rp -
Rp - Rp 2,454,885.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,375,349.60 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,476,108.00 Rp -
Rp 180,470.00 Rp 2,273,679.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 84,427.00 Rp 2,415,573.00 Rp -
Rp 21,873.00 Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 73,603.00 Rp 2,426,397.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,419,685.89 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 137,746.00 Rp 2,362,254.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,316,726.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,234,858.12 Rp -

Rp 1,024,246.00 Rp 99,744,554.67 Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp 2,216,654.00 Rp 261,000,243.53 Rp - Rp - Rp - Rp - Rp -
Total
Subsidi Biaya
Melahir Perobat
kan an

Rp - Rp -
Rp - Rp -
Rp - Rp -

Rp - Rp -
Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : JUNI 2017
UNIT KERJA : PKS TELAGA HIKMAH

Status
NO. NAMA UNIT JABATAN
Keluarga

STAFF
1 Djoko Wismono PKS TELMill Manager K/3
2 Andi Fabiandy PKS TELKTU K/2
3 Selamat Riady PKS TELAsisten Bengkel K/1
4 Gunabalen PKS TELAsisten Proses II K/3
5 Ringkot Pandiangan PKS TELAsisten QC K/1
6 Indra Philip Tampubolan PKS TELAsisten Proses I K/0

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELKerani Gudang K/1


2 Komri PKS TELPemb Kr. Gudang K/3
3 Fikri M. Nur PKS TELKa. Satpam K/3
4 Mulyadi M PKS TELSatpam K/3
5 Hindarni PKS TELSatpam K/1
6 Tumin Purnomo PKS TELSatpam K/3
7 Supariyanto PKS TELSatpam K/3
8 Ilham PKS TELSatpam K/3
9 Tulus Sugiarto PKS TELSopir BG 8127 UF K/3
10 Misdiana PKS TELSopir BG 7540 AU K/2
11 Winoto PKS TELOp. Wheel Loader K/1
12 Subarjo PKS TELMandor Bengkel K/2
13 Eddy Susilo PKS TELKerani Bengkel TK/2
14 Suyatno PKS TELMekanik Pabrikasi TK/2
15 Agus Pitoyo PKS TELOp.Mesin Bubut K/3
16 Ibnu Hajar PKS TELMandor Proses K/3
17 Adil bin Badarudin PKS TELOp. Loading Ramp K/1
18 Suryadi PKS TELOp. Loading Ramp K/2
19 Tadi Siswanto PKS TELOp. Steriliser K/3
20 Muhammad Yasin PKS TELCapstand K/3
21 Turpuk T.Manurung PKS TELOp. Pressan K/2
22 Bisri Mustopa PKS TELOp. Pressan K/2
23 Juliadi.S PKS TELOp. Loading Ramp K/2
24 M. Tohir PKS TELOp.Klarifikasi K/0
25 Karminsih PKS TELOp.Klarifikasi K/3
26 Zulkifli PKS TELOp. Kernel K/2
27 Listika Jaya PKS TELOp. Boiler K/2
28 Sahuri PKS TELOp. Steriliser K/2
29 Alamsyah PKS TELOp.Engine Room K/2
30 Alex Munandar PKS TELOp.Engine Room K/1
31 Sutiono B PKS TELOp.Engine Room K/1
32 Toni Sulaiman PKS TELOp.Water Treatment K/2
33 Sukaemi PKS TELKerani Pembukuan L/0
34 Sri Susilowati PKS TELKerani Timbangan L/0
35 M. Dwi Apriadi PKS TELKa. Laboratorium K/2
36 Royantono PKS TELDispatch K/2
37 Misrun PKS TELMekanik Pabrikasi K/2
38 Ade Gunawan PKS TELAnalist Lab K/2
39 Sudirman PKS TELPembantu Mekanik K/1
40 Irwansyah Putra P. PKS TELMekanik Listrik K/3
41 Karyadi PKS TELMekanik Pabrikasi K/3
42 Ponimin bin Tasmadi PKS TELOp. Boiler K/1
43 Suhendro PKS TELOp. Boiler K/3
44 Kanedi PKS TELSortasi K/3
45 Sumadi PKS TELGuru Agama K/1
46 Abdillah PKS TELPop. Boiler TK/0
47 Purwanto PKS TELCapstand K/3
48 Yunita Karmila Sari PKS TELKr. Timbangan L/0
49 Try Agung Santoso PKS TELOp. Tippler L/0
50 Teguh Wiyono PKS TELPemb. Mekanik K/1
51 Doni P PKS TELSortasi k/2

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELPop. Sterillizer K/2


2 Anhari PKS TELAnalis Lab K/3
3 Fitra Praba Kusuma PKS TELPop. Loading Ramp L/0
4 Eka Krisdiyanto PKS TELPembantu Mekanik listrik L/0
5 Joko Riyanto PKS TELPembantu Mekanik L/0
6 Turjiono PKS TELPembantu Mekanik K/1
7 Dadang Ibnu Mukti PKS TELPop Boiler L/0
8 Agung Setiyo Budi PKS TELPemb. Kr Pembukuan L/0
9 Ahmad Rizqi Muthohar PKS TELPop. Boiler K/1
10 Aan Milansyah PKS TELSupir K/1
11 Edi Mulyadi PKS TELPop. Kernel K/0
12 Rudi Seswanto PKS TELPembantu Mekanik K/0
13 Ahmad Sulistiawan PKS TELPemb Mekanik Listrik K/1
14 Ali Ahmad PKS TELTippler K/3
15 Suherman PKS TELPembantu Mekanik K/2
16 Andri Judarsa PKS TELSatpam K/1
17 Syaiful Hermawan PKS TELSortasi K/0
18 Radimin PKS TELOp. Limbah K/3
19 Raduan PKS TELPop. Loading Ramp K/2
20 Handoko PKS TELPop. Sterillizer K/0
21 Edo Jaya Permana PKS TELPop. Mesin Bubut L/0
22 Beni Iskandar PKS TELPop. Tippler K/1
23 Muhammad Subur PKS TELPemb Mekanik Pabrikasi L/0
24 Yabes Kristian PKS TELPemb Dispatch L/0
25 Imam S PKS TELPop. Clarifikasi L/0
26 Suwandi PKS TELPemb. Analist Lab K/1
27 Tugiman Agus P PKS TELPop. Whell Loader K/2
28 Edi Mualib PKS TELPop. Loading Ramp K/1
29 Vredi Nelson PKS TELPop. Kernel L/0
30 Iswandi PKS TELPop. Loading Ramp K/1
31 Natan Eko Suntoro PKS TELPemb. Mekanik K/1
32 Eko Apriadi PKS TELCapstand L/0
33 Daniel Hartono Irawan PKS TELCapstand L/0
34 Hilmi Karim PKS TELPemb. Mekanik Listrik K/1
35 Noprianto PKS TELPemb. Mekanik K/1
36 Rian Marlian PKS TELPemb. Analist Lab K/1
37 Muhammad Soleh PKS TELPop. WTP K/1
38 Muhammad Iwan PKS TELSortasi K/1
39 Ahmad Meiladi PKS TELCapstand L/0
40 Nanda Primajani Iqbal PKS TELCapstand L/0
41 Iyan Zainal Hasan PKS TELSatpam K/2

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELCD / Perawatan


2 Agus Eko Prasetyo PKS TELCD / Perawatan
3 Ismun PKS TELCD / Perawatan
4
5
6
TOTAL SELURUH
Dr.
Saldo Biaya Rawat Umum /
Perobat Apotek Puskesbun
Jalan Dari Bulan Lalu Spesiali
an Luar
s

Rawat Kec.
Rawat Jalan
Inap Kerja
Rp 10,000,000.00
Rp 7,500,000.00
Rp 4,962,797.80
Rp 5,000,000.00
Rp 4,409,524.26
Rp 4,970,470.82

Rp 36,842,792.88 Rp - Rp - Rp - Rp - Rp - Rp -

Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,433,715.00
Rp 2,436,687.00
Rp 2,500,000.00
Rp 2,474,151.56 Rp 211,922.00
Rp 2,479,639.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,312,957.00
Rp 2,324,022.00
Rp 2,500,000.00 Rp 79,254.00
Rp 2,500,000.00
Rp 2,461,216.18
Rp 2,430,234.78
Rp 2,284,701.50
Rp 2,340,150.72
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,352,420.00
Rp 2,351,820.00
Rp 2,482,204.00
Rp 2,500,000.00
Rp 2,257,983.71
Rp 2,405,009.94
Rp 2,500,000.00
Rp 2,075,613.67
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,323,542.88 Rp 76,547.00
Rp 2,366,242.00
Rp 2,500,000.00
Rp 2,470,368.95
Rp 2,446,529.00
Rp 2,310,285.96
Rp 2,400,478.75
Rp 2,410,273.56
Rp 2,443,776.00
Rp 2,382,349.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00 Rp 43,503.00
Rp 2,456,523.82

Rp 124,412,895.98 Rp - Rp - Rp - Rp 411,226.00 Rp - Rp -

Rp 2,271,017.00
Rp 2,375,541.30
Rp 2,467,034.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,398,580.00
Rp 2,306,984.00
Rp 2,500,000.00
Rp 2,329,587.86
Rp 2,500,000.00
Rp 2,421,380.00 Rp 14,936.00
Rp 2,500,000.00
Rp 2,208,834.58
Rp 2,231,953.00 Rp 46,589.00
Rp 2,454,885.00 Rp 60,855.00
Rp 2,500,000.00
Rp 2,375,349.60 Rp 442,758.00
Rp 2,500,000.00
Rp 2,476,108.00 Rp 40,857.00
Rp 2,273,679.00
Rp 2,500,000.00
Rp 2,415,573.00
Rp 2,478,127.00
Rp 2,500,000.00
Rp 2,426,397.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,419,685.89
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,362,254.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,316,726.32
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,234,858.12

Rp 99,744,554.67 Rp - Rp - Rp - Rp 605,995.00 Rp - Rp -

Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp 261,000,243.53 Rp - Rp - Rp - Rp 1,017,221.00 Rp - Rp -
Saldo
Plafond
Plafond Opnam
Total Biaya Rawat Saldo Plafond Biaya Biaya Bantua
dr.Gigi Biaya e
Jalan sd Bulan Ini Rawat Jalan Rawat n Kaca
Rawat Rumah
Gigi Mata
Gigi Sakit

Rp - Rp 10,000,000.00 Rp -
Rp - Rp 7,500,000.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp - Rp 4,409,524.26 Rp -
Rp - Rp 4,970,470.82 Rp -

Rp - Rp 36,842,792.88 Rp - Rp - Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp - Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 211,922.00 Rp 2,262,229.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,312,957.00 Rp -
Rp - Rp 2,324,022.00 Rp -
Rp 79,254.00 Rp 2,420,746.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,461,216.18 Rp -
Rp - Rp 2,430,234.78 Rp -
Rp - Rp 2,284,701.50 Rp -
Rp - Rp 2,340,150.72 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,352,420.00 Rp -
Rp - Rp 2,351,820.00 Rp -
Rp - Rp 2,482,204.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,257,983.71 Rp -
Rp - Rp 2,405,009.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,075,613.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 76,547.00 Rp 2,246,995.88 Rp -
Rp - Rp 2,366,242.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,470,368.95 Rp -
Rp - Rp 2,446,529.00 Rp -
Rp - Rp 2,310,285.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp - Rp 2,410,273.56 Rp -
Rp - Rp 2,443,776.00 Rp -
Rp - Rp 2,382,349.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 43,503.00 Rp 2,456,497.00 Rp -
Rp - Rp 2,456,523.82

Rp 411,226.00 Rp 124,001,669.98 Rp - Rp - Rp - Rp - Rp -

Rp - Rp 2,271,017.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp - Rp 2,467,034.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,398,580.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,329,587.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 14,936.00 Rp 2,406,444.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,208,834.58 Rp -
Rp 46,589.00 Rp 2,185,364.00 Rp -
Rp 60,855.00 Rp 2,394,030.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 442,758.00 Rp 1,932,591.60 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 40,857.00 Rp 2,435,251.00 Rp -
Rp - Rp 2,273,679.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,415,573.00 Rp -
Rp - Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,426,397.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,419,685.89 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,362,254.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,316,726.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,234,858.12 Rp -

Rp 605,995.00 Rp 99,138,559.67 Rp - Rp - Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp 1,017,221.00 Rp 259,983,022.53 Rp - Rp - Rp - Rp - Rp -
Total
Subsidi Biaya
Melahir Perobat
kan an

Rp - Rp -
Rp - Rp -
Rp - Rp -

Rp - Rp -
Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : JULI 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam
42 Edi susilo PKS TELAGA HIKMAH bengkel

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6
TOTAL SELURUH
Dr.
Status
Saldo Biaya Rawat Umum /
Keluarg Perobat Apotek Puskesbun
Jalan Dari Bulan Lalu Spesiali
a an Luar
s

Rawat
Rawat Jalan
Inap
K/3 Rp 10,000,000.00
K/2 Rp 7,500,000.00 Rp 79,387.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,409,524.26
K/0 Rp 4,970,470.82 Rp 48,847.00

Rp 36,842,792.88 Rp - Rp - Rp - Rp 128,234.00 Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00 Rp 67,304.00
K/3 Rp 2,433,715.00
K/1 Rp 2,436,687.00
K/3 Rp 2,500,000.00
K/3 Rp 2,262,229.56 Rp 83,870.00
K/3 Rp 2,479,639.00
K/3 Rp 2,500,000.00
K/2 Rp 2,500,000.00 Rp 153,829.00
K/1 Rp 2,312,957.00
K/2 Rp 2,324,022.00 Rp 32,059.00
TK/2 Rp 2,420,746.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,461,216.18 Rp 34,144.00
K/3 Rp 2,430,234.78 Rp 162,181.00
K/1 Rp 2,284,701.50 Rp 210,927.00
K/2 Rp 2,340,150.72
K/3 Rp 2,500,000.00 Rp 110,606.00
K/3 Rp 2,500,000.00 Rp 67,061.00
K/2 Rp 2,352,420.00
K/2 Rp 2,351,820.00
K/2 Rp 2,482,204.00 Rp 241,860.00
K/0 Rp 2,500,000.00 Rp 214,588.00
K/3 Rp 2,257,983.71 Rp 28,062.00
K/2 Rp 2,405,009.94 Rp 211,893.00
K/2 Rp 2,500,000.00
K/2 Rp 2,075,613.67 Rp 354,641.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,246,995.88 Rp 49,876.00
L/0 Rp 2,366,242.00 Rp 29,906.00
L/0 Rp 2,500,000.00
K/2 Rp 2,470,368.95
K/2 Rp 2,446,529.00
K/2 Rp 2,310,285.96
K/2 Rp 2,400,478.75
K/1 Rp 2,410,273.56 Rp 30,107.00
K/3 Rp 2,443,776.00
K/3 Rp 2,382,349.00
K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 139,439.00
TK/0 Rp 2,500,000.00
K/3 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,456,497.00 Rp 106,158.00
k/2 Rp 2,456,523.82 Rp 39,722.00

Rp 124,001,669.98 Rp - Rp - Rp - Rp 2,368,233.00 Rp -

K/2 Rp 2,271,017.00 Rp 20,268.00


K/3 Rp 2,375,541.30
L/0 Rp 2,467,034.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,398,580.00 Rp 45,622.00
L/0 Rp 2,306,984.00
K/1 Rp 2,500,000.00 Rp 19,816.00
K/1 Rp 2,329,587.86 Rp 99,165.00
K/0 Rp 2,500,000.00
K/0 Rp 2,406,444.00 Rp 53,859.00
K/1 Rp 2,500,000.00
K/3 Rp 2,208,834.58 Rp 209,587.00
K/2 Rp 2,185,364.00
K/1 Rp 2,394,030.00
K/0 Rp 2,500,000.00
K/3 Rp 1,932,591.60 Rp 10,840.00
K/2 Rp 2,500,000.00 Rp 66,607.00
K/0 Rp 2,435,251.00 Rp 26,003.00
L/0 Rp 2,273,679.00 Rp 23,788.00
K/1 Rp 2,500,000.00
L/0 Rp 2,415,573.00
L/0 Rp 2,478,127.00
L/0 Rp 2,500,000.00
K/1 Rp 2,426,397.00 Rp 21,008.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,419,685.89
K/1 Rp 2,500,000.00 Rp 68,344.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,362,254.00 Rp 114,265.00
K/1 Rp 2,500,000.00 Rp 293,324.00
K/1 Rp 2,500,000.00
K/1 Rp 2,316,726.32 Rp 57,949.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,234,858.12 Rp 184,787.00
K Rp 2,500,000.00 Rp 72,599.00

Rp 101,638,559.67 Rp - Rp - Rp - Rp 1,387,831.00 Rp -

Rp 96,658.00

Rp - Rp - Rp - Rp - Rp 96,658.00 Rp -
Rp 262,483,022.53 Rp - Rp - Rp - Rp 3,980,956.00 Rp -
Saldo
Plafond
Plafond Opnam
Total Biaya Rawat Saldo Plafond Biaya Biaya
sbun dr.Gigi Biaya e
Jalan sd Bulan Ini Rawat Jalan Rawat
Rawat Rumah
Gigi
Gigi Sakit

Kec.
Kerja
Rp - Rp 10,000,000.00 Rp -
Rp 79,387.00 Rp 7,420,613.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp - Rp 4,409,524.26 Rp -
Rp 48,847.00 Rp 4,921,623.82 Rp -

Rp - Rp 128,234.00 Rp 36,714,558.88 Rp - Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 67,304.00 Rp 2,432,696.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp - Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 83,870.00 Rp 2,178,359.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 153,829.00 Rp 2,346,171.00 Rp -
Rp - Rp 2,312,957.00 Rp -
Rp 32,059.00 Rp 2,291,963.00 Rp -
Rp - Rp 2,420,746.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 34,144.00 Rp 2,427,072.18 Rp -
Rp 162,181.00 Rp 2,268,053.78 Rp -
Rp 210,927.00 Rp 2,073,774.50 Rp -
Rp - Rp 2,340,150.72 Rp -
Rp 110,606.00 Rp 2,389,394.00 Rp -
Rp 67,061.00 Rp 2,432,939.00 Rp -
Rp - Rp 2,352,420.00 Rp -
Rp - Rp 2,351,820.00 Rp -
Rp 241,860.00 Rp 2,240,344.00 Rp -
Rp 214,588.00 Rp 2,285,412.00 Rp -
Rp 28,062.00 Rp 2,229,921.71 Rp -
Rp 211,893.00 Rp 2,193,116.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 354,641.00 Rp 1,720,972.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 49,876.00 Rp 2,197,119.88 Rp -
Rp 29,906.00 Rp 2,336,336.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,470,368.95 Rp -
Rp - Rp 2,446,529.00 Rp -
Rp - Rp 2,310,285.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp 30,107.00 Rp 2,380,166.56 Rp -
Rp - Rp 2,443,776.00 Rp -
Rp - Rp 2,382,349.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 139,439.00 Rp 2,360,561.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 106,158.00 Rp 2,350,339.00 Rp -
Rp 39,722.00 Rp 2,416,801.82

Rp - Rp 2,368,233.00 Rp 121,633,436.98 Rp - Rp - Rp - Rp -

Rp 20,268.00 Rp 2,250,749.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp - Rp 2,467,034.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 45,622.00 Rp 2,352,958.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp 19,816.00 Rp 2,480,184.00 Rp -
Rp 99,165.00 Rp 2,230,422.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 53,859.00 Rp 2,352,585.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 209,587.00 Rp 1,999,247.58 Rp -
Rp - Rp 2,185,364.00 Rp -
Rp - Rp 2,394,030.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 10,840.00 Rp 1,921,751.60 Rp -
Rp 66,607.00 Rp 2,433,393.00 Rp -
Rp 26,003.00 Rp 2,409,248.00 Rp -
Rp 23,788.00 Rp 2,249,891.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,415,573.00 Rp -
Rp - Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 21,008.00 Rp 2,405,389.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,419,685.89 Rp -
Rp 68,344.00 Rp 2,431,656.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 114,265.00 Rp 2,247,989.00 Rp -
Rp 293,324.00 Rp 2,206,676.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 57,949.00 Rp 2,258,777.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 184,787.00 Rp 2,050,071.12 Rp -
Rp 72,599.00 Rp 2,427,401.00

Rp - Rp 1,387,831.00 Rp 100,250,728.67 Rp - Rp - Rp - Rp -

Rp - Rp - Rp -
Rp 96,658.00 Rp (96,658.00) Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp 96,658.00 Rp (96,658.00) Rp - Rp - Rp - Rp -
Rp - Rp 3,980,956.00 Rp 258,502,066.53 Rp - Rp - Rp - Rp -
Total
Bantua Subsidi Biaya
n Kaca Melahir Perobat
Mata kan an

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : AGUSTUS 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam
42 Edi susilo PKS TELAGA HIKMAH bengkel

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4
5
6
TOTAL SELURUH
Dr.
Status
Saldo Biaya Rawat Umum /
Keluarg Perobat Apotek Puskesbun
Jalan Dari Bulan Lalu Spesiali
a an Luar
s

Rawat
Rawat Jalan
Inap
K/3 Rp 10,000,000.00
K/2 Rp 7,420,613.00 Rp 61,905.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,409,524.26 Rp 31,369.00
K/0 Rp 4,921,623.82

Rp 36,714,558.88 Rp - Rp - Rp - Rp 93,274.00 Rp -

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,432,696.00 Rp 90,051.00
K/3 Rp 2,433,715.00
K/1 Rp 2,436,687.00
K/3 Rp 2,500,000.00
K/3 Rp 2,178,359.56 Rp 53,339.00
K/3 Rp 2,479,639.00
K/3 Rp 2,500,000.00
K/2 Rp 2,346,171.00
K/1 Rp 2,312,957.00 Rp 48,384.00
K/2 Rp 2,291,963.00 Rp 122,626.00
TK/2 Rp 2,420,746.00
TK/2 Rp 2,500,000.00
K/3 Rp 2,427,072.18
K/3 Rp 2,268,053.78
K/1 Rp 2,073,774.50
K/2 Rp 2,340,150.72
K/3 Rp 2,389,394.00
K/3 Rp 2,432,939.00 Rp 33,425.00
K/2 Rp 2,352,420.00
K/2 Rp 2,351,820.00 Rp 66,926.00
K/2 Rp 2,240,344.00
K/0 Rp 2,285,412.00 Rp 13,296.00
K/3 Rp 2,229,921.71 Rp 179,949.00
K/2 Rp 2,193,116.94
K/2 Rp 2,500,000.00
K/2 Rp 1,720,972.67 Rp 72,213.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,197,119.88 Rp 65,161.00
L/0 Rp 2,336,336.00 Rp 17,559.00
L/0 Rp 2,500,000.00
K/2 Rp 2,470,368.95 Rp 51,152.00
K/2 Rp 2,446,529.00 Rp 38,928.00
K/2 Rp 2,310,285.96 Rp 21,754.00
K/2 Rp 2,400,478.75
K/1 Rp 2,380,166.56 Rp 116,425.00
K/3 Rp 2,443,776.00
K/3 Rp 2,382,349.00
K/1 Rp 2,500,000.00 Rp 27,313.00
K/3 Rp 2,500,000.00 Rp 73,577.00
K/3 Rp 2,500,000.00
K/1 Rp 2,360,561.00 Rp 244,939.00
TK/0 Rp 2,500,000.00 Rp 55,793.00
K/3 Rp 2,500,000.00 Rp 10,510.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,350,339.00 Rp 87,852.00
k/2 Rp 2,416,801.82 Rp 35,326.00

Rp 121,633,436.98 Rp - Rp - Rp - Rp 1,526,498.00 Rp -

K/2 Rp 2,250,749.00 Rp 30,241.00


K/3 Rp 2,375,541.30
L/0 Rp 2,467,034.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,500,000.00
L/0 Rp 2,352,958.00 Rp 511,616.00
L/0 Rp 2,306,984.00
K/1 Rp 2,480,184.00
K/1 Rp 2,230,422.86 Rp 203,120.00
K/0 Rp 2,500,000.00
K/0 Rp 2,352,585.00 Rp 45,168.00
K/1 Rp 2,500,000.00
K/3 Rp 1,999,247.58 Rp 151,778.00
K/2 Rp 2,185,364.00
K/1 Rp 2,394,030.00
K/0 Rp 2,500,000.00
K/3 Rp 1,921,751.60 Rp 121,908.00
K/2 Rp 2,433,393.00 Rp 126,558.00
K/0 Rp 2,409,248.00 Rp 55,899.00
L/0 Rp 2,249,891.00
K/1 Rp 2,500,000.00
L/0 Rp 2,415,573.00 Rp 72,472.00
L/0 Rp 2,478,127.00
L/0 Rp 2,500,000.00
K/1 Rp 2,405,389.00
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00 Rp 140,710.00
L/0 Rp 2,500,000.00
K/1 Rp 2,419,685.89 Rp 106,754.00
K/1 Rp 2,431,656.00 Rp 8,331.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,247,989.00 Rp 142,526.00
K/1 Rp 2,206,676.00
K/1 Rp 2,500,000.00
K/1 Rp 2,258,777.32
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,050,071.12
K Rp 2,427,401.00 Rp 162,533.00

Rp 100,250,728.67 Rp - Rp - Rp - Rp 1,879,614.00 Rp -

Rp 19,358.00

Rp - Rp - Rp - Rp - Rp 19,358.00 Rp -
Rp 258,598,724.53 Rp - Rp - Rp - Rp 3,518,744.00 Rp -
Saldo
Plafond
Plafond Opnam
Total Biaya Rawat Saldo Plafond Biaya Biaya
bun dr.Gigi Biaya e
Jalan sd Bulan Ini Rawat Jalan Rawat
Rawat Rumah
Gigi
Gigi Sakit

Kec.
Kerja
Rp - Rp 10,000,000.00 Rp -
Rp 61,905.00 Rp 7,358,708.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp 31,369.00 Rp 4,378,155.26 Rp -
Rp - Rp 4,921,623.82 Rp -

Rp - Rp 93,274.00 Rp 36,621,284.88 Rp - Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 90,051.00 Rp 2,342,645.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp - Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 53,339.00 Rp 2,125,020.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,346,171.00 Rp -
Rp 48,384.00 Rp 2,264,573.00 Rp -
Rp 122,626.00 Rp 2,169,337.00 Rp -
Rp - Rp 2,420,746.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,427,072.18 Rp -
Rp - Rp 2,268,053.78 Rp -
Rp - Rp 2,073,774.50 Rp -
Rp - Rp 2,340,150.72 Rp -
Rp - Rp 2,389,394.00 Rp -
Rp 33,425.00 Rp 2,399,514.00 Rp -
Rp - Rp 2,352,420.00 Rp -
Rp 66,926.00 Rp 2,284,894.00 Rp -
Rp - Rp 2,240,344.00 Rp -
Rp 13,296.00 Rp 2,272,116.00 Rp -
Rp 179,949.00 Rp 2,049,972.71 Rp -
Rp - Rp 2,193,116.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 72,213.00 Rp 1,648,759.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 65,161.00 Rp 2,131,958.88 Rp -
Rp 17,559.00 Rp 2,318,777.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 51,152.00 Rp 2,419,216.95 Rp -
Rp 38,928.00 Rp 2,407,601.00 Rp -
Rp 21,754.00 Rp 2,288,531.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp 116,425.00 Rp 2,263,741.56 Rp -
Rp - Rp 2,443,776.00 Rp -
Rp - Rp 2,382,349.00 Rp -
Rp 27,313.00 Rp 2,472,687.00 Rp -
Rp 73,577.00 Rp 2,426,423.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 244,939.00 Rp 2,115,622.00 Rp -
Rp 55,793.00 Rp 2,444,207.00 Rp -
Rp 10,510.00 Rp 2,489,490.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 87,852.00 Rp 2,262,487.00 Rp -
Rp 35,326.00 Rp 2,381,475.82

Rp - Rp 1,526,498.00 Rp 120,106,938.98 Rp - Rp - Rp - Rp -

Rp 30,241.00 Rp 2,220,508.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp - Rp 2,467,034.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 511,616.00 Rp 1,841,342.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp - Rp 2,480,184.00 Rp -
Rp 203,120.00 Rp 2,027,302.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 45,168.00 Rp 2,307,417.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 151,778.00 Rp 1,847,469.58 Rp -
Rp - Rp 2,185,364.00 Rp -
Rp - Rp 2,394,030.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 121,908.00 Rp 1,799,843.60 Rp -
Rp 126,558.00 Rp 2,306,835.00 Rp -
Rp 55,899.00 Rp 2,353,349.00 Rp -
Rp - Rp 2,249,891.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 72,472.00 Rp 2,343,101.00 Rp -
Rp - Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,405,389.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 140,710.00 Rp 2,359,290.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 106,754.00 Rp 2,312,931.89 Rp -
Rp 8,331.00 Rp 2,423,325.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 142,526.00 Rp 2,105,463.00 Rp -
Rp - Rp 2,206,676.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,258,777.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,050,071.12 Rp -
Rp 162,533.00 Rp 2,264,868.00

Rp - Rp 1,879,614.00 Rp 98,371,114.67 Rp - Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 19,358.00 Rp (19,358.00) Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp 19,358.00 Rp (19,358.00) Rp - Rp - Rp - Rp -
Rp - Rp 3,518,744.00 Rp 255,079,980.53 Rp - Rp - Rp - Rp -
Total
Bantua Subsidi Biaya
n Kaca Melahir Perobat
Mata kan an

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : SEPTEMBER 2017
UNIT KERJA : PKS TELAGA HIKMAH

NO. NAMA UNIT JABATAN

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Manager
2 Andi Fabiandy PKS TELAGA HIKMAH KTU
3 Selamat Riady PKS TELAGA HIKMAH Asisten Bengkel
4 Gunabalen PKS TELAGA HIKMAH Asisten Proses II
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten QC
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten Proses I

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani Gudang


2 Komri PKS TELAGA HIKMAH Pemb Kr. Gudang
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satpam
4 Mulyadi M PKS TELAGA HIKMAH Satpam
5 Hindarni PKS TELAGA HIKMAH Satpam
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam
7 Supariyanto PKS TELAGA HIKMAH Satpam
8 Ilham PKS TELAGA HIKMAH Satpam
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG 8127 UF
10 Misdiana PKS TELAGA HIKMAH Sopir BG 7540 AU
11 Winoto PKS TELAGA HIKMAH Op. Wheel Loader
12 Subarjo PKS TELAGA HIKMAH Mandor Bengkel
13 Eddy Susilo PKS TELAGA HIKMAH Kerani Bengkel
14 Suyatno PKS TELAGA HIKMAH Mekanik Pabrikasi
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin Bubut
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor Proses
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Loading Ramp
18 Suryadi PKS TELAGA HIKMAH Op. Loading Ramp
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steriliser
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pressan
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pressan
23 Juliadi.S PKS TELAGA HIKMAH Op. Loading Ramp
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifikasi
25 Karminsih PKS TELAGA HIKMAH Op.Klarifikasi
26 Zulkifli PKS TELAGA HIKMAH Op. Kernel
27 Listika Jaya PKS TELAGA HIKMAH Op. Boiler
28 Sahuri PKS TELAGA HIKMAH Op. Steriliser
29 Alamsyah PKS TELAGA HIKMAH Op.Engine Room
30 Alex Munandar PKS TELAGA HIKMAH Op.Engine Room
31 Sutiono B PKS TELAGA HIKMAH Op.Engine Room
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water Treatment
33 Sukaemi PKS TELAGA HIKMAH Kerani Pembukuan
34 Sri Susilowati PKS TELAGA HIKMAH Kerani Timbangan
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Laboratorium
36 Royantono PKS TELAGA HIKMAH Dispatch
37 Misrun PKS TELAGA HIKMAH Mekanik Pabrikasi
38 Ade Gunawan PKS TELAGA HIKMAH Analist Lab
39 Sudirman PKS TELAGA HIKMAH Pembantu Mekanik
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik Listrik
41 Karyadi PKS TELAGA HIKMAH Mekanik Pabrikasi
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boiler
43 Suhendro PKS TELAGA HIKMAH Op. Boiler
44 Kanedi PKS TELAGA HIKMAH Sortasi
45 Sumadi PKS TELAGA HIKMAH Guru Agama
46 Abdillah PKS TELAGA HIKMAH Pop. Boiler
47 Purwanto PKS TELAGA HIKMAH Capstand
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timbangan
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippler
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Mekanik
51 Doni P PKS TELAGA HIKMAH Sortasi

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Sterillizer


2 Anhari PKS TELAGA HIKMAH Analis Lab
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loading Ramp
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu Mekanik listrik
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu Mekanik
6 Turjiono PKS TELAGA HIKMAH Pembantu Mekanik
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boiler
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr Pembukuan
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boiler
10 Aan Milansyah PKS TELAGA HIKMAH Supir
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kernel
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu Mekanik
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb Mekanik Listrik
14 Ali Ahmad PKS TELAGA HIKMAH Tippler
15 Suherman PKS TELAGA HIKMAH Pembantu Mekanik
16 Andri Judarsa PKS TELAGA HIKMAH Satpam
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi
18 Radimin PKS TELAGA HIKMAH Op. Limbah
19 Raduan PKS TELAGA HIKMAH Pop. Loading Ramp
20 Handoko PKS TELAGA HIKMAH Pop. Sterillizer
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mesin Bubut
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tippler
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mekanik Pabrikasi
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dispatch
25 Imam S PKS TELAGA HIKMAH Pop. Clarifikasi
26 Suwandi PKS TELAGA HIKMAH Pemb. Analist Lab
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whell Loader
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loading Ramp
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kernel
30 Iswandi PKS TELAGA HIKMAH Pop. Loading Ramp
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Mekanik
32 Eko Apriadi PKS TELAGA HIKMAH Capstand
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mekanik Listrik
35 Noprianto PKS TELAGA HIKMAH Pemb. Mekanik
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Analist Lab
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WTP
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam
42 Edi susilo PKS TELAGA HIKMAH bengkel

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4 Miftahul Huda PKS TELAGA HIKMAH CD / Perawatan
5
6
TOTAL SELURUH
Dr.
Status Saldo Biaya Rawat Umum /
Perobat Apotek Puskesbun
Keluarga Jalan Dari Bulan Lalu Spesiali
an Luar
s

Rawat Jalan

K/3 Rp 10,000,000.00
K/2 Rp 7,358,708.00
K/1 Rp 4,962,797.80
K/3 Rp 5,000,000.00
K/1 Rp 4,378,155.26
K/0 Rp 4,921,623.82 Rp 17,742.00

Rp 36,621,284.88 Rp - Rp - Rp - Rp 17,742.00

K/1 Rp 2,500,000.00
K/3 Rp 2,500,000.00
K/3 Rp 2,342,645.00
K/3 Rp 2,433,715.00
K/1 Rp 2,436,687.00
K/3 Rp 2,500,000.00
K/3 Rp 2,125,020.56
K/3 Rp 2,479,639.00
K/3 Rp 2,500,000.00
K/2 Rp 2,346,171.00
K/1 Rp 2,264,573.00
K/2 Rp 2,169,337.00
TK/2 Rp 2,420,746.00
TK/2 Rp 2,500,000.00 Rp 28,084.00
K/3 Rp 2,427,072.18
K/3 Rp 2,268,053.78
K/1 Rp 2,073,774.50 Rp 48,929.00
K/2 Rp 2,340,150.72 Rp 98,889.00
K/3 Rp 2,389,394.00
K/3 Rp 2,399,514.00
K/2 Rp 2,352,420.00
K/2 Rp 2,284,894.00
K/2 Rp 2,240,344.00
K/0 Rp 2,272,116.00 Rp 20,697.00
K/3 Rp 2,049,972.71 Rp 86,573.00
K/2 Rp 2,193,116.94 Rp 101,771.00
K/2 Rp 2,500,000.00
K/2 Rp 1,648,759.67
K/2 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/1 Rp 2,500,000.00
K/2 Rp 2,131,958.88 Rp 80,498.00
L/0 Rp 2,318,777.00
L/0 Rp 2,500,000.00 Rp 165,522.00
K/2 Rp 2,419,216.95
K/2 Rp 2,407,601.00
K/2 Rp 2,288,531.96
K/2 Rp 2,400,478.75
K/1 Rp 2,263,741.56
K/3 Rp 2,443,776.00 Rp 32,548.00
K/3 Rp 2,382,349.00
K/1 Rp 2,472,687.00 Rp 221,194.00
K/3 Rp 2,426,423.00
K/3 Rp 2,500,000.00
K/1 Rp 2,115,622.00
TK/0 Rp 2,444,207.00
K/3 Rp 2,489,490.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/1 Rp 2,262,487.00
k/2 Rp 2,381,475.82

Rp 120,106,938.98 Rp - Rp - Rp - Rp 884,705.00

K/2 Rp 2,220,508.00 Rp 8,384.00


K/3 Rp 2,375,541.30
L/0 Rp 2,467,034.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00 Rp 39,628.00
K/1 Rp 2,500,000.00
L/0 Rp 1,841,342.00
L/0 Rp 2,306,984.00
K/1 Rp 2,480,184.00
K/1 Rp 2,027,302.86 Rp 78,658.00
K/0 Rp 2,500,000.00
K/0 Rp 2,307,417.00
K/1 Rp 2,500,000.00 Rp 144,396.00
K/3 Rp 1,847,469.58 Rp 97,149.00
K/2 Rp 2,185,364.00 Rp 500,659.00
K/1 Rp 2,394,030.00
K/0 Rp 2,500,000.00
K/3 Rp 1,799,843.60 Rp 10,708.00
K/2 Rp 2,306,835.00
K/0 Rp 2,353,349.00 Rp 37,678.00
L/0 Rp 2,249,891.00 Rp 81,335.00
K/1 Rp 2,500,000.00
L/0 Rp 2,343,101.00
L/0 Rp 2,478,127.00
L/0 Rp 2,500,000.00
K/1 Rp 2,405,389.00
K/2 Rp 2,500,000.00
K/1 Rp 2,359,290.00
L/0 Rp 2,500,000.00
K/1 Rp 2,312,931.89
K/1 Rp 2,423,325.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00 Rp 33,588.00
K/1 Rp 2,105,463.00 Rp 164,390.00
K/1 Rp 2,206,676.00
K/1 Rp 2,500,000.00
K/1 Rp 2,258,777.32 Rp 112,187.00
K/1 Rp 2,500,000.00
L/0 Rp 2,500,000.00
L/0 Rp 2,500,000.00
K/2 Rp 2,050,071.12
K Rp 2,264,868.00

Rp 98,371,114.67 Rp - Rp - Rp - Rp 1,308,760.00

Rp 41,359.00

Rp 22,149.00

Rp - Rp - Rp - Rp - Rp 63,508.00
Rp 255,099,338.53 Rp - Rp - Rp - Rp 2,274,715.00
Saldo
Plafond
Plafond
Total Biaya Rawat Saldo Plafond Biaya Biaya
Puskesbun dr.Gigi Biaya
Jalan sd Bulan Ini Rawat Jalan Rawat
Rawat
Gigi
Gigi

Rawat Kec.
Inap Kerja
Rp - Rp 10,000,000.00 Rp -
Rp - Rp 7,358,708.00 Rp -
Rp - Rp 4,962,797.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp - Rp 4,378,155.26 Rp -
Rp 17,742.00 Rp 4,903,881.82 Rp -

Rp - Rp - Rp 17,742.00 Rp 36,603,542.88 Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,342,645.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp - Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,125,020.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,346,171.00 Rp -
Rp - Rp 2,264,573.00 Rp -
Rp - Rp 2,169,337.00 Rp -
Rp - Rp 2,420,746.00 Rp -
Rp 28,084.00 Rp 2,471,916.00 Rp -
Rp - Rp 2,427,072.18 Rp -
Rp - Rp 2,268,053.78 Rp -
Rp 48,929.00 Rp 2,024,845.50 Rp -
Rp 98,889.00 Rp 2,241,261.72 Rp -
Rp - Rp 2,389,394.00 Rp -
Rp - Rp 2,399,514.00 Rp -
Rp - Rp 2,352,420.00 Rp -
Rp - Rp 2,284,894.00 Rp -
Rp - Rp 2,240,344.00 Rp -
Rp 20,697.00 Rp 2,251,419.00 Rp -
Rp 86,573.00 Rp 1,963,399.71 Rp -
Rp 101,771.00 Rp 2,091,345.94 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 1,648,759.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 80,498.00 Rp 2,051,460.88 Rp -
Rp - Rp 2,318,777.00 Rp -
Rp 165,522.00 Rp 2,334,478.00 Rp -
Rp - Rp 2,419,216.95 Rp -
Rp - Rp 2,407,601.00 Rp -
Rp - Rp 2,288,531.96 Rp -
Rp - Rp 2,400,478.75 Rp -
Rp - Rp 2,263,741.56 Rp -
Rp 32,548.00 Rp 2,411,228.00 Rp -
Rp - Rp 2,382,349.00 Rp -
Rp 221,194.00 Rp 2,251,493.00 Rp -
Rp - Rp 2,426,423.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,115,622.00 Rp -
Rp - Rp 2,444,207.00 Rp -
Rp - Rp 2,489,490.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,262,487.00 Rp -
Rp - Rp 2,381,475.82

Rp - Rp - Rp 884,705.00 Rp 119,222,233.98 Rp - Rp - Rp -

Rp 8,384.00 Rp 2,212,124.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp - Rp 2,467,034.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 39,628.00 Rp 2,460,372.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 1,841,342.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp - Rp 2,480,184.00 Rp -
Rp 78,658.00 Rp 1,948,644.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,307,417.00 Rp -
Rp 144,396.00 Rp 2,355,604.00 Rp -
Rp 97,149.00 Rp 1,750,320.58 Rp -
Rp 500,659.00 Rp 1,684,705.00 Rp -
Rp - Rp 2,394,030.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 10,708.00 Rp 1,789,135.60 Rp -
Rp - Rp 2,306,835.00 Rp -
Rp 37,678.00 Rp 2,315,671.00 Rp -
Rp 81,335.00 Rp 2,168,556.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,343,101.00 Rp -
Rp - Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,405,389.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,359,290.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,312,931.89 Rp -
Rp - Rp 2,423,325.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 33,588.00 Rp 2,466,412.00 Rp -
Rp 164,390.00 Rp 1,941,073.00 Rp -
Rp - Rp 2,206,676.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 112,187.00 Rp 2,146,590.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,050,071.12 Rp -
Rp - Rp 2,264,868.00

Rp - Rp - Rp 1,308,760.00 Rp 97,062,354.67 Rp - Rp - Rp -

Rp - Rp - Rp -
Rp 41,359.00 Rp (41,359.00) Rp -
Rp - Rp - Rp -
Rp 22,149.00 Rp (22,149.00) Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp 63,508.00 Rp (63,508.00) Rp - Rp - Rp -
Rp - Rp - Rp 2,274,715.00 Rp 252,824,623.53 Rp - Rp - Rp -
Total
Opnam
Bantua Subsidi Biaya
e
n Kaca Melahir Perobat
Rumah
Mata kan an
Sakit

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
LAPORAN BIAYA PEROBATAN DAN PERAWATAN
PERIODE : OKTOBER 2017
UNIT KERJA : PKS TELAGA HIKMAH

Status
NO. NAMA UNIT JABATANKeluarg
a

STAFF
1 Djoko Wismono PKS TELAGA HIKMAH Mill Mana K/3
2 Andi Fabiandy PKS TELAGA HIKMAH KTU K/2
3 Selamat Riady PKS TELAGA HIKMAH Asisten B K/1
4 Gunabalen PKS TELAGA HIKMAH Asisten P K/3
5 Ringkot Pandiangan PKS TELAGA HIKMAH Asisten K/1
6 Indra Philip Tampubolan PKS TELAGA HIKMAH Asisten P K/0

PB ( PEGAWAI BULANAN )

1 Basuki Mulyanto PKS TELAGA HIKMAH Kerani G K/1


2 Komri PKS TELAGA HIKMAH Pemb Kr. K/3
3 Fikri M. Nur PKS TELAGA HIKMAH Ka. Satp K/3
4 Mulyadi M PKS TELAGA HIKMAH Satpam K/3
5 Hindarni PKS TELAGA HIKMAH Satpam K/1
6 Tumin Purnomo PKS TELAGA HIKMAH Satpam K/3
7 Supariyanto PKS TELAGA HIKMAH Satpam K/3
8 Ilham PKS TELAGA HIKMAH Satpam K/3
9 Tulus Sugiarto PKS TELAGA HIKMAH Sopir BG K/3
10 Misdiana PKS TELAGA HIKMAH Sopir BG K/2
11 Winoto PKS TELAGA HIKMAH Op. Whee K/1
12 Subarjo PKS TELAGA HIKMAH Mandor B K/2
13 Eddy Susilo PKS TELAGA HIKMAH Kerani B TK/2
14 Suyatno PKS TELAGA HIKMAH Mekanik P TK/2
15 Agus Pitoyo PKS TELAGA HIKMAH Op.Mesin K/3
16 Ibnu Hajar PKS TELAGA HIKMAH Mandor P K/3
17 Adil bin Badarudin PKS TELAGA HIKMAH Op. Load K/1
18 Suryadi PKS TELAGA HIKMAH Op. Load K/2
19 Tadi Siswanto PKS TELAGA HIKMAH Op. Steril K/3
20 Muhammad Yasin PKS TELAGA HIKMAH Capstand K/3
21 Turpuk T.Manurung PKS TELAGA HIKMAH Op. Pres K/2
22 Bisri Mustopa PKS TELAGA HIKMAH Op. Pres K/2
23 Juliadi.S PKS TELAGA HIKMAH Op. Load K/2
24 M. Tohir PKS TELAGA HIKMAH Op.Klarifi K/0
25 Karminsih PKS TELAGA HIKMAH Op.Klarifi K/3
26 Zulkifli PKS TELAGA HIKMAH Op. Kerne K/2
27 Listika Jaya PKS TELAGA HIKMAH Op. Boile K/2
28 Sahuri PKS TELAGA HIKMAH Op. Steril K/2
29 Alamsyah PKS TELAGA HIKMAH Op.Engin K/2
30 Alex Munandar PKS TELAGA HIKMAH Op.Engin K/1
31 Sutiono B PKS TELAGA HIKMAH Op.Engin K/1
32 Toni Sulaiman PKS TELAGA HIKMAH Op.Water K/2
33 Sukaemi PKS TELAGA HIKMAH Kerani P L/0
34 Sri Susilowati PKS TELAGA HIKMAH Kerani T L/0
35 M. Dwi Apriadi PKS TELAGA HIKMAH Ka. Labor K/2
36 Royantono PKS TELAGA HIKMAH Dispatch K/2
37 Misrun PKS TELAGA HIKMAH Mekanik P K/2
38 Ade Gunawan PKS TELAGA HIKMAH Analist L K/2
39 Sudirman PKS TELAGA HIKMAH Pembantu K/1
40 Irwansyah Putra P. PKS TELAGA HIKMAH Mekanik L K/3
41 Karyadi PKS TELAGA HIKMAH Mekanik P K/3
42 Ponimin bin Tasmadi PKS TELAGA HIKMAH Op. Boile K/1
43 Suhendro PKS TELAGA HIKMAH Op. Boile K/3
44 Kanedi PKS TELAGA HIKMAH Sortasi K/3
45 Sumadi PKS TELAGA HIKMAH Guru Ag K/1
46 Abdillah PKS TELAGA HIKMAH Pop. Boil TK/0
47 Purwanto PKS TELAGA HIKMAH Capstand K/3
48 Yunita Karmila Sari PKS TELAGA HIKMAH Kr. Timb L/0
49 Try Agung Santoso PKS TELAGA HIKMAH Op. Tippl L/0
50 Teguh Wiyono PKS TELAGA HIKMAH Pemb. Me K/1
51 Doni P PKS TELAGA HIKMAH Sortasi k/2
52 Kiki Pranata PKS TELAGA HIKMAH Proses k

KHT ( KARYAWAN HARIAN TETAP )

1 Dody Saputra PKS TELAGA HIKMAH Pop. Steri K/2


2 Anhari PKS TELAGA HIKMAH Analis La K/3
3 Fitra Praba Kusuma PKS TELAGA HIKMAH Pop. Loa L/0
4 Eka Krisdiyanto PKS TELAGA HIKMAH Pembantu L/0
5 Joko Riyanto PKS TELAGA HIKMAH Pembantu L/0
6 Turjiono PKS TELAGA HIKMAH Pembantu K/1
7 Dadang Ibnu Mukti PKS TELAGA HIKMAH Pop Boile L/0
8 Agung Setiyo Budi PKS TELAGA HIKMAH Pemb. Kr L/0
9 Ahmad Rizqi Muthohar PKS TELAGA HIKMAH Pop. Boil K/1
10 Aan Milansyah PKS TELAGA HIKMAH Supir K/1
11 Edi Mulyadi PKS TELAGA HIKMAH Pop. Kern K/0
12 Rudi Seswanto PKS TELAGA HIKMAH Pembantu K/0
13 Ahmad Sulistiawan PKS TELAGA HIKMAH Pemb MekaK/1
14 Ali Ahmad PKS TELAGA HIKMAH Tippler K/3
15 Suherman PKS TELAGA HIKMAH Pembantu K/2
16 Andri Judarsa PKS TELAGA HIKMAH Satpam K/1
17 Syaiful Hermawan PKS TELAGA HIKMAH Sortasi K/0
18 Radimin PKS TELAGA HIKMAH Op. Limb K/3
19 Raduan PKS TELAGA HIKMAH Pop. Loa K/2
20 Handoko PKS TELAGA HIKMAH Pop. Steri K/0
21 Edo Jaya Permana PKS TELAGA HIKMAH Pop. Mes L/0
22 Beni Iskandar PKS TELAGA HIKMAH Pop. Tipp K/1
23 Muhammad Subur PKS TELAGA HIKMAH Pemb Mek L/0
24 Yabes Kristian PKS TELAGA HIKMAH Pemb Dis L/0
25 Imam S PKS TELAGA HIKMAH Pop. Clari L/0
26 Suwandi PKS TELAGA HIKMAH Pemb. Ana K/1
27 Tugiman Agus P PKS TELAGA HIKMAH Pop. Whe K/2
28 Edi Mualib PKS TELAGA HIKMAH Pop. Loa K/1
29 Vredi Nelson PKS TELAGA HIKMAH Pop. Kern L/0
30 Iswandi PKS TELAGA HIKMAH Pop. Loa K/1
31 Natan Eko Suntoro PKS TELAGA HIKMAH Pemb. Me K/1
32 Eko Apriadi PKS TELAGA HIKMAH Capstand L/0
33 Daniel Hartono Irawan PKS TELAGA HIKMAH Capstand L/0
34 Hilmi Karim PKS TELAGA HIKMAH Pemb. Mek K/1
35 Noprianto PKS TELAGA HIKMAH Pemb. Me K/1
36 Rian Marlian PKS TELAGA HIKMAH Pemb. Ana K/1
37 Muhammad Soleh PKS TELAGA HIKMAH Pop. WT K/1
38 Muhammad Iwan PKS TELAGA HIKMAH Sortasi K/1
39 Ahmad Meiladi PKS TELAGA HIKMAH Capstand L/0
40 Nanda Primajani Iqbal PKS TELAGA HIKMAH Capstand L/0
41 Iyan Zainal Hasan PKS TELAGA HIKMAH Satpam K/2
42 Edi susilo PKS TELAGA HIKMAH bengkel K

KHL ( KARYAWAN HARIAN LEPAS )

1 Anggi Sugianto PKS TELAGA HIKMAH CD / Perawatan


2 Agus Eko Prasetyo PKS TELAGA HIKMAH CD / Perawatan
3 Ismun PKS TELAGA HIKMAH CD / Perawatan
4 Miftahul Huda PKS TELAGA HIKMAH CD / Perawatan
5 Maryatno PKS TELAGA HIKMAH ast ACI
6
TOTAL SELURUH
Dr.
Saldo Biaya Rawat Jalan Umum /
Perobat Apotek Puskesbun
Dari Bulan Lalu Spesiali
an Luar
s

Rawat
Rawat Jalan
Inap
Rp 10,000,000.00
Rp 7,358,708.00
Rp 4,962,797.80 Rp 12,072.00
Rp 5,000,000.00
Rp 4,378,155.26 Rp 11,997.00
Rp 4,903,881.82

Rp 36,603,542.88 Rp - Rp - Rp - Rp 24,069.00 Rp -

Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,342,645.00
Rp 2,433,715.00
Rp 2,436,687.00
Rp 2,500,000.00
Rp 2,125,020.56 Rp 44,639.00
Rp 2,479,639.00
Rp 2,500,000.00
Rp 2,346,171.00
Rp 2,264,573.00 Rp 132,209.00
Rp 2,169,337.00
Rp 2,420,746.00
Rp 2,471,916.00
Rp 2,427,072.18
Rp 2,268,053.78
Rp 2,024,845.50
Rp 2,241,261.72
Rp 2,389,394.00
Rp 2,399,514.00
Rp 2,352,420.00 Rp 27,444.00
Rp 2,284,894.00 Rp 177,945.00
Rp 2,240,344.00
Rp 2,251,419.00
Rp 1,963,399.71 Rp 43,373.00
Rp 2,091,345.94
Rp 2,500,000.00 Rp 224,012.00
Rp 1,648,759.67 Rp 144,215.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,051,460.88
Rp 2,318,777.00 Rp 16,026.00
Rp 2,334,478.00 Rp 107,394.00
Rp 2,419,216.95
Rp 2,407,601.00
Rp 2,288,531.96
Rp 2,400,478.75 Rp 113,326.00
Rp 2,263,741.56
Rp 2,411,228.00
Rp 2,382,349.00
Rp 2,251,493.00 Rp 50,196.00
Rp 2,426,423.00
Rp 2,500,000.00
Rp 2,115,622.00
Rp 2,444,207.00 Rp 46,621.00
Rp 2,489,490.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,262,487.00
Rp 2,381,475.82
Rp 2,500,000.00 Rp 41,145.00

Rp 121,722,233.98 Rp - Rp - Rp - Rp 1,168,545.00 Rp -

Rp 2,212,124.00 Rp 104,858.00
Rp 2,375,541.30
Rp 2,467,034.00
Rp 2,500,000.00 Rp 31,518.00
Rp 2,460,372.00
Rp 2,500,000.00
Rp 1,841,342.00
Rp 2,306,984.00
Rp 2,480,184.00
Rp 1,948,644.86 Rp 60,618.00
Rp 2,500,000.00
Rp 2,307,417.00
Rp 2,355,604.00 Rp 299,288.00
Rp 1,750,320.58 Rp 63,030.00
Rp 1,684,705.00
Rp 2,394,030.00
Rp 2,500,000.00
Rp 1,789,135.60
Rp 2,306,835.00 Rp 167,199.00
Rp 2,315,671.00 Rp 104,978.00
Rp 2,168,556.00 Rp 39,770.00
Rp 2,500,000.00
Rp 2,343,101.00
Rp 2,478,127.00
Rp 2,500,000.00
Rp 2,405,389.00
Rp 2,500,000.00
Rp 2,359,290.00
Rp 2,500,000.00
Rp 2,312,931.89
Rp 2,423,325.00 Rp 56,181.00
Rp 2,500,000.00
Rp 2,466,412.00 Rp 8,156.00
Rp 1,941,073.00
Rp 2,206,676.00 Rp 116,044.00
Rp 2,500,000.00
Rp 2,146,590.32
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,500,000.00
Rp 2,050,071.12 Rp 335,830.00
Rp 2,264,868.00

Rp 97,062,354.67 Rp - Rp - Rp - Rp 1,387,470.00 Rp -

Rp 157,695.00

Rp - Rp - Rp - Rp - Rp 157,695.00 Rp -
Rp 255,388,131.53 Rp - Rp - Rp - Rp 2,737,779.00 Rp -
Saldo
Plafond
Plafond
Total Biaya Rawat Saldo Plafond Biaya Biaya
un dr.Gigi Biaya
Jalan sd Bulan Ini Rawat Jalan Rawat
Rawat
Gigi
Gigi

Kec.
Kerja
Rp - Rp 10,000,000.00 Rp -
Rp - Rp 7,358,708.00 Rp -
Rp 12,072.00 Rp 4,950,725.80 Rp -
Rp - Rp 5,000,000.00 Rp -
Rp 11,997.00 Rp 4,366,158.26 Rp -
Rp - Rp 4,903,881.82 Rp -

Rp - Rp 24,069.00 Rp 36,579,473.88 Rp - Rp - Rp -

Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,342,645.00 Rp -
Rp - Rp 2,433,715.00 Rp -
Rp - Rp 2,436,687.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 44,639.00 Rp 2,080,381.56 Rp -
Rp - Rp 2,479,639.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,346,171.00 Rp -
Rp 132,209.00 Rp 2,132,364.00 Rp -
Rp - Rp 2,169,337.00 Rp -
Rp - Rp 2,420,746.00 Rp -
Rp - Rp 2,471,916.00 Rp -
Rp - Rp 2,427,072.18 Rp -
Rp - Rp 2,268,053.78 Rp -
Rp - Rp 2,024,845.50 Rp -
Rp - Rp 2,241,261.72 Rp -
Rp - Rp 2,389,394.00 Rp -
Rp - Rp 2,399,514.00 Rp -
Rp 27,444.00 Rp 2,324,976.00 Rp -
Rp 177,945.00 Rp 2,106,949.00 Rp -
Rp - Rp 2,240,344.00 Rp -
Rp - Rp 2,251,419.00 Rp -
Rp 43,373.00 Rp 1,920,026.71 Rp -
Rp - Rp 2,091,345.94 Rp -
Rp 224,012.00 Rp 2,275,988.00 Rp -
Rp 144,215.00 Rp 1,504,544.67 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,051,460.88 Rp -
Rp 16,026.00 Rp 2,302,751.00 Rp -
Rp 107,394.00 Rp 2,227,084.00 Rp -
Rp - Rp 2,419,216.95 Rp -
Rp - Rp 2,407,601.00 Rp -
Rp - Rp 2,288,531.96 Rp -
Rp 113,326.00 Rp 2,287,152.75 Rp -
Rp - Rp 2,263,741.56 Rp -
Rp - Rp 2,411,228.00 Rp -
Rp - Rp 2,382,349.00 Rp -
Rp 50,196.00 Rp 2,201,297.00 Rp -
Rp - Rp 2,426,423.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,115,622.00 Rp -
Rp 46,621.00 Rp 2,397,586.00 Rp -
Rp - Rp 2,489,490.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,262,487.00 Rp -
Rp - Rp 2,381,475.82 Rp -
Rp 41,145.00 Rp 2,458,855.00 Rp -

Rp - Rp 1,168,545.00 Rp 120,553,688.98 Rp - Rp - Rp -

Rp 104,858.00 Rp 2,107,266.00 Rp -
Rp - Rp 2,375,541.30 Rp -
Rp - Rp 2,467,034.00 Rp -
Rp 31,518.00 Rp 2,468,482.00 Rp -
Rp - Rp 2,460,372.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 1,841,342.00 Rp -
Rp - Rp 2,306,984.00 Rp -
Rp - Rp 2,480,184.00 Rp -
Rp 60,618.00 Rp 1,888,026.86 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,307,417.00 Rp -
Rp 299,288.00 Rp 2,056,316.00 Rp -
Rp 63,030.00 Rp 1,687,290.58 Rp -
Rp - Rp 1,684,705.00 Rp -
Rp - Rp 2,394,030.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 1,789,135.60 Rp -
Rp 167,199.00 Rp 2,139,636.00 Rp -
Rp 104,978.00 Rp 2,210,693.00 Rp -
Rp 39,770.00 Rp 2,128,786.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,343,101.00 Rp -
Rp - Rp 2,478,127.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,405,389.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,359,290.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,312,931.89 Rp -
Rp 56,181.00 Rp 2,367,144.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 8,156.00 Rp 2,458,256.00 Rp -
Rp - Rp 1,941,073.00 Rp -
Rp 116,044.00 Rp 2,090,632.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,146,590.32 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp - Rp 2,500,000.00 Rp -
Rp 335,830.00 Rp 1,714,241.12 Rp -
Rp - Rp 2,264,868.00

Rp - Rp 1,387,470.00 Rp 95,674,884.67 Rp - Rp - Rp -

Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 157,695.00 Rp (157,695.00) Rp -
Rp - Rp - Rp -
Rp - Rp 157,695.00 Rp (157,695.00) Rp - Rp - Rp -
Rp - Rp 2,737,779.00 Rp 252,650,352.53 Rp - Rp - Rp -
Total
Opnam
Bantua Subsidi Biaya
e
n Kaca Melahir Perobat
Rumah
Mata kan an
Sakit

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -

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