DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)

(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)

BULAN APRIL TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
JUMLAH
GOL KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON BESARAN TPP NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG JUMLAH SEBELUM (Rp) DITERIMA
(RP)
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 2,072,000 - 2,072,000 20,720 1.
IV/b 2,051,280 307,692 1,743,588

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4.

5 Staf - 1,000,000 10,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6.

7 Staf - 1,000,000 10,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500 8.

9 Staf - 1,000,000 10,000 9.

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

10 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 10.

11 Staf - 1,000,000 10,000 11.

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

12 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 12.

13 Staf - 1,000,000 10,000 13.

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 14.

15 Staf - 1,000,000 10,000 15.

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 16.

17 Staf - 1,000,000 10,000 17.

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 18.
19 Staf - 1,000,000 10,000 19.
ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

24 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000 26

27 Staf - 1,000,000 10,000 27

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

28 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 28

29 Staf - 1,000,000 10,000 29

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/c 1,000,000 - 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000

32 Staf - 1,000,000 10,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000 32

33 Staf - 1,000,000 10,000 33

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000

Jumlah 34,872,000 - 34,872,000 348,720 34,523,280 2,030,292 32,492,988

Masbagik, 18 Mei 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 REKAPITULASI ABSENSI KEHADIRAN KARYAWAN/KARYAWATI PNS UPT BLUD PUSKESMAS MASBAGIK
BULAN APRIL TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

TIDAK MASUK KERJA ( HADIR )

JUMLAH
GOL MASUK
No. NAMA NIP HARI
RUANG KERJA
KERJA
S I C TL TG TK PSW JUMLAH

-
1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 IV/b 25 25 -

- 1
2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 III/c 25 24 1

-
3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 IV/b 25 25 -

4 Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 25 23 2 2

5 B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 25 25 - -

6 Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 25 25 - -

7 Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 25 25 - -

8 ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 25 25 - -

9 BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 25 25 - -

10 MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 25 15 10 10

11 Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 25 25 - -

12 HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 25 25 - -

13 ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 25 25 - -

14 SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 25 25 - -

15 P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 25 25 - -

16 FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 25 25 - -

17 RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 25 25 - -

18 WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 25 25 - -

19 ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 25 25 - -

20 B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 25 25 -

21 HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 25 25 -

22 LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 25 25 -

23 Hj. DARTINI NIP.19720626 200604 2 007 III/a 25 25 -

1
24 MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 25 24 1

25 WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 25 25 -

26 NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 25 25 -

27 RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 25 25 -

28 HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 25 25 -

29 MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 25 25 -

30 RIMA MARDIATI NIP. 19840131 201001 2 002 II/c 25 25 - -

31 AZIZAH NIP. 19780521 201406 2 006 II/b 25 24 1 1

32 HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 25 25 -

33 LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 25 25 - -

Masbagik, 18 Mei 2022

Kepala Puskesmas Masbagik

H. MUSTAFA
NIP.19651231 198703 1 194
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN MEI TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) JUMLAH SEBELUM (Rp) DITERIMA
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 2,072,000 - 2,072,000 20,720 1.
IV/b 2,051,280 307,692 1,743,588

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4.

5 Staf - 1,000,000 10,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6.

7 Staf - 1,000,000 10,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500 8.

9 Staf - 1,000,000 10,000 9.

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

10 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 10.

11 Staf - 1,000,000 10,000 11.

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

12 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 12.

13 Staf - 1,000,000 10,000 13.

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 14.

15 Staf - 1,000,000 10,000 15.

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 16.

17 Staf - 1,000,000 10,000 17.

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 18.

19 Staf - 1,000,000 10,000 19.

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500
20 Staf - 1,000,000 10,000
B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

24 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000 26

27 Staf - 1,000,000 10,000 27

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

28 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 28

29 Staf - 1,000,000 10,000 29

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/c 1,000,000 - 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000

32 Staf - 1,000,000 10,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000 32

33 Staf - 1,000,000 10,000 33

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000

Jumlah 34,872,000 - 34,872,000 348,720 34,523,280 2,030,292 32,492,988

Masbagik,......Juni 2022
Mengetahui/Menyetujui 17,436,000
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 REKAPITULASI ABSENSI KEHADIRAN KARYAWAN/KARYAWATI PNS UPT BLUD PUSKESMAS MASBAGIK
BULAN MEI TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

TIDAK MASUK KERJA ( HADIR )

JUMLAH
GOL MASUK
No. NAMA NIP HARI
RUANG KERJA
KERJA
S I C TL TG TK PSW JUMLAH

-
1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 IV/b 25 25 -

- 1
2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 III/c 25 24 1

-
3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 IV/b 25 25 -

4 Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 25 23 2 2

5 B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 25 25 - -

6 Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 25 25 - -

7 Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 25 25 - -

8 ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 25 25 - -

9 BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 25 25 - -

10 MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 25 15 10 10

11 Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 25 25 - -

12 HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 25 25 - -

13 ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 25 25 - -

14 SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 25 25 - -

15 P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 25 25 - -

16 FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 25 25 - -

17 RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 25 25 - -

18 WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 25 25 - -

19 ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 25 25 - -

20 B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 25 25 -

21 HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 25 25 -

22 LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 25 25 -

23 Hj. DARTINI NIP.19720626 200604 2 007 III/a 25 25 -

1
24 MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 25 24 1

25 WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 25 25 -

26 NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 25 25 -

27 RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 25 25 -

28 HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 25 25 -

29 MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 25 25 -

30 RIMA MARDIATI NIP. 19840131 201001 2 002 II/c 25 25 - -

31 AZIZAH NIP. 19780521 201406 2 006 II/b 25 24 1 1

32 HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 25 25 -

33 LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 25 25 - -

Masbagik, 18 Mei 2022

Kepala Puskesmas Masbagik

H. MUSTAFA
NIP.19651231 198703 1 194
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI( TPP ) 13 ( 50 %)

UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
JUMLAH
GOL KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON BESARAN TPP NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG JUMLAH SEBELUM (Rp) DITERIMA
(RP)
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 1,036,000 - 1,036,000 1.
IV/b 1,036,000 155,400 880,600

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU 900,000 - 900,000
III/c IV/b 900,000 45,000 855,000 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - 500,000 - 500,000 3.
IV/b 500,000 75,000 425,000

4 Staf - 500,000 500,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a - 500,000 75,000 425,000 4.

5 Staf - 500,000 500,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a - 500,000 75,000 425,000

6 Staf - 500,000 500,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a - 500,000 75,000 425,000 6.

7 Staf - 500,000 500,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d - 500,000 25,000 475,000

8 Staf - 500,000 500,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d - 500,000 25,000 475,000 8.

9 Staf - 500,000 500,000 9.

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a - 500,000 75,000 425,000

10 Staf - 500,000 500,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c - 500,000 25,000 475,000 10.

11 Staf - 500,000 500,000 11.

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d - 500,000 25,000 475,000

12 Staf - 500,000 500,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d - 500,000 25,000 475,000 12.

13 Staf - 500,000 500,000 13.

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c - 500,000 25,000 475,000

14 Staf - 500,000 500,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c - 500,000 25,000 475,000 14.

15 Staf - 500,000 500,000 15.

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c - 500,000 25,000 475,000

16 Staf - 500,000 500,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c - 500,000 25,000 475,000 16.

17 Staf - 500,000 500,000 17.

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c - 500,000 25,000 475,000

18 Staf - 500,000 500,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d - 500,000 25,000 475,000 18.

19 Staf - 500,000 500,000 19.

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c - 500,000 25,000 475,000
20 Staf - 500,000 500,000
B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 500,000 25,000 475,000 20

21 Staf - 500,000 500,000 21

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 500,000 25,000 475,000

22 Staf - 500,000 500,000

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 500,000 25,000 475,000 22

23 Staf - 500,000 500,000 23

Hj. DARTINI NIP.19720626 200604 2 007 III/a 500,000 25,000 475,000

24 Staf - 500,000 500,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 500,000 25,000 475,000 24

25 Staf - 500,000 500,000 25

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 500,000 25,000 475,000

26 Staf - 500,000 500,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 500,000 500,000 26

27 Staf - 500,000 500,000 27

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 500,000 - 500,000

28 Staf - 500,000 500,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 500,000 - 500,000 28

29 Staf - 500,000 500,000 29

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 500,000 - 500,000

30 Staf - 500,000 500,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/c - 500,000 - 500,000 30

31 Staf - 500,000 500,000 31

AZIZAH NIP. 19780521 201406 2 006 II/b 500,000 - 500,000

32 Staf - 500,000 500,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 500,000 - 500,000 32

33 Staf - 500,000 500,000 33

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d - 500,000 - 500,000

Jumlah - 17,436,000 - 17,436,000 1,025,400 16,410,600

Masbagik,......................................................2022
Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN JUNI TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) JUMLAH SEBELUM (Rp) DITERIMA
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 2,072,000 - 2,072,000 20,720 1.
IV/b 2,051,280 307,692 1,743,588

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4.

5 Staf - 1,000,000 10,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6.

7 Staf - 1,000,000 10,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500 8.

9 Staf 1,000,000 10,000 9

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500

10 Staf - 1,000,000 10,000

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500 10

11 Staf - 1,000,000 10,000 11

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500

12 Staf - 1,000,000 10,000

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500
22 Staf - 1,000,000 10,000
HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500

24 Staf - 1,000,000 10,000

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000

28 Staf - 1,000,000 10,000

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000 28

29 Staf - 1,000,000 10,000 29

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000 30

31 Staf 1,000,000 10,000 31

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000

32 Staf - 1,000,000 10,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000 32

33 Staf - 1,000,000 10,000 33

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000

34 Staf - 1,000,000 10,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000

Jumlah 36,872,000 - 36,872,000 368,720 36,503,280 2,079,792 34,423,488

Masbagik,.......................................................2022
Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN JULI TAHUN 2022
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) JUMLAH SEBELUM (Rp) DITERIMA
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 2,072,000 - 2,072,000 20,720 1.
IV/b 2,051,280 307,692 1,743,588

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4.

5 Staf - 1,000,000 10,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6.

7 Staf - 1,000,000 10,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500 8.

9 Staf 1,000,000 10,000 9

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500

10 Staf - 1,000,000 10,000

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500 10

11 Staf - 1,000,000 10,000 11

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500

12 Staf - 1,000,000 10,000

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500
22 Staf - 1,000,000 10,000
HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500

24 Staf - 1,000,000 10,000

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000

28 Staf - 1,000,000 10,000

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000 28

29 Staf - 1,000,000 10,000 29

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000 30

31 Staf 1,000,000 10,000 31

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000

32 Staf - 1,000,000 10,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000 32

33 Staf - 1,000,000 10,000 33

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000

34 Staf - 1,000,000 10,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000

Jumlah 36,872,000 - 36,872,000 368,720 36,503,280 2,079,792 34,423,488

Masbagik, 3 Agustus 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN AGUSTUS TAHUN 2022

UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas IV/a 2,072,000 - 2,072,000 20,720 1.
IV/b 2,051,280 307,692 1,743,588

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4.

5 Staf - 1,000,000 10,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6.

7 Staf - 1,000,000 10,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500 8.

9 Staf 1,000,000 10,000 9

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500

10 Staf - 1,000,000 10,000

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500 10

11 Staf - 1,000,000 10,000 11

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500

12 Staf - 1,000,000 10,000

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500
24 Staf - 1,000,000 10,000
Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000

28 Staf - 1,000,000 10,000

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000 28

29 Staf - 1,000,000 10,000 29

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000 30

31 Staf 1,000,000 10,000 31

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000

32 Staf - 1,000,000 10,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000 32

33 Staf - 1,000,000 10,000 33

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000

34 Staf - 1,000,000 10,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000

Jumlah 36,872,000 - 36,872,000 368,720 36,503,280 2,079,792 34,423,488

Masbagik, ......................................................................... 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN OKTOBER TAHUN 2022

UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas 1,000,000 - 1,000,000 10,000 1.
IV/b 990,000 148,500 841,500

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 Staf - 1,000,000 10,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500 4

5 Staf - 1,000,000 10,000 5

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500 6

7 Staf - 1,000,000 10,000 7

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500

8 Staf - 1,000,000 10,000 8

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500

9 Staf 1,000,000 10,000

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500 9

10 Staf - 1,000,000 10,000 10

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

11 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 11

12 Staf - 1,000,000 10,000 12

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

13 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 13

14 Staf - 1,000,000 10,000 14

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

15 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 15

16 Staf - 1,000,000 10,000 16

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

17 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 17

18 Staf - 1,000,000 10,000 18

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

19 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 19

20 Staf - 1,000,000 10,000 20

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

21 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 21

22 Staf - 1,000,000 10,000 22

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500

23 Staf - 1,000,000 10,000

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 23
24 Staf - 1,000,000 10,000 24
Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

25 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500 25

26 Staf - 1,000,000 10,000 26

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

27 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 II/d 1,000,000 990,000 990,000 27

28 Staf - 1,000,000 10,000 28

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

29 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 29

30 Staf - 1,000,000 10,000 30

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

31 Staf 1,000,000 10,000

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000 31

32 Staf - 1,000,000 10,000 32

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000

33 Staf - 1,000,000 10,000

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000 33

34 Staf - 1,000,000 10,000 34

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000

35 Staf - 1,000,000 10,000

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000 35

Jumlah 35,800,000 - 35,800,000 358,000 35,442,000 1,920,600 33,521,400

Masbagik, ......................................................................... 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,
0

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN NOVEMBER TAHUN 2022

UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas 1,000,000 - 1,000,000 10,000 1.
IV/b 990,000 148,500 841,500

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 EDI MUSTIADI,S.Kep.NS NIP.19750220 199803 1 007 Staf 1,000,000 10,000

IV/A 1,000,000 990,000 148,500 841,500 4

5 Staf - 1,000,000 10,000 5

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500 6

7 Staf - 1,000,000 10,000 7

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500

8 Staf - 1,000,000 10,000

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500 8

9 Staf - 1,000,000 10,000 9

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500

10 Staf 1,000,000 10,000

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500 10

11 Staf - 1,000,000 10,000 11

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

12 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500
24 Staf - 1,000,000 10,000
LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

28 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 III/a 1,000,000 990,000 49,500 940,500 28

29 Staf - 1,000,000 10,000 29

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

32 Staf 1,000,000 10,000

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000 32

33 Staf - 1,000,000 10,000 33

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000

34 Staf - 1,000,000 10,000

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000

36 Staf - 1,000,000 10,000

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000 36

Jumlah 36,800,000 - 36,800,000 368,000 36,432,000 2,118,600 34,313,400

Masbagik, ......................................................................... 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN DESEMBER TAHUN 2022

UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas 1,000,000 - 1,000,000 10,000 1.
IV/b 990,000 148,500 841,500

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 EDI MUSTIADI,S.Kep.NS NIP.19750220 199803 1 007 Staf 1,000,000 10,000

IV/A 1,000,000 990,000 148,500 841,500 4

5 Staf - 1,000,000 10,000 5

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500 6

7 Staf - 1,000,000 10,000 7

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500

8 Staf - 1,000,000 10,000

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500 8

9 Staf - 1,000,000 10,000 9

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500

10 Staf 1,000,000 10,000

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500 10

11 Staf - 1,000,000 10,000 11

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

12 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500
24 Staf - 1,000,000 10,000
LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

28 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 III/a 1,000,000 990,000 49,500 940,500 28

29 Staf - 1,000,000 10,000 29

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

32 Staf 1,000,000 10,000

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000 32

33 Staf - 1,000,000 10,000 33

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000

34 Staf - 1,000,000 10,000

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000

36 Staf - 1,000,000 10,000

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000 36

-
-

Jumlah 36,800,000 - 36,800,000 368,000 36,432,000 2,118,600 34,313,400

Masbagik, ......................................................................... 2022

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN JANUARI TAHUN 2023
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas 1,000,000 - 1,000,000 10,000 1.
IV/b 990,000 148,500 841,500

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 EDI MUSTIADI,S.Kep.NS NIP.19750220 199803 1 007 Staf 1,000,000 10,000

IV/A 1,000,000 990,000 148,500 841,500 4

5 Staf - 1,000,000 10,000 5

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500 6

7 Staf - 1,000,000 10,000 7

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500

8 Staf - 1,000,000 10,000

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500 8

9 Staf - 1,000,000 10,000 9

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500

10 Staf 1,000,000 10,000

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500 10

11 Staf - 1,000,000 10,000 11

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

12 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500
24 Staf - 1,000,000 10,000
LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

28 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 III/a 1,000,000 990,000 49,500 940,500 28

29 Staf - 1,000,000 10,000 29

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

32 Staf 1,000,000 10,000

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000 32

33 Staf - 1,000,000 10,000 33

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000

34 Staf - 1,000,000 10,000

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000

36 Staf - 1,000,000 10,000

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000 36

-
-

Jumlah 36,800,000 - 36,800,000 368,000 36,432,000 2,118,600 34,313,400

Masbagik, ......................................................................... 2023

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN FEBRUARI TAHUN 2023
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL JUMLAH BESARAN JUMLAH KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG TPP (RP) POTONGAN SEBELUM (Rp) DITERIMA
PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 H. MUSTAFA, S.Kep. NIP.19651231 198703 1 194 Kepala Puskesmas 1,000,000 - 1,000,000 10,000 1.
IV/b 990,000 148,500 841,500

2 SANUSI FADLI, S.Kep NIP. 19810617 200101 1 002 KTU - 1,800,000 18,000
III/c IV/b 1,800,000 1,782,000 89,100 1,692,900 2. `

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - - 1,000,000 10,000 3.
IV/b 1,000,000 990,000 148,500 841,500

4 EDI MUSTIADI,S.Kep.NS NIP.19750220 199803 1 007 Staf 1,000,000 10,000

IV/A 1,000,000 990,000 148,500 841,500 4

5 Staf - 1,000,000 10,000 5

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a 1,000,000 - 990,000 148,500 841,500

6 Staf - 1,000,000 10,000

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a 1,000,000 - 990,000 148,500 841,500 6

7 Staf - 1,000,000 10,000 7

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a 1,000,000 - 990,000 148,500 841,500

8 Staf - 1,000,000 10,000

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d 1,000,000 - 990,000 49,500 940,500 8

9 Staf - 1,000,000 10,000 9

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d 1,000,000 - 990,000 49,500 940,500

10 Staf 1,000,000 10,000

H.ALI HASAN SADRI,A.Md.Kep NIP.19691214 198903 1 003 III/d 1,000,000 990,000 49,500 940,500 10

11 Staf - 1,000,000 10,000 11

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a 1,000,000 - 990,000 148,500 841,500

12 Staf - 1,000,000 10,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c 1,000,000 - 990,000 49,500 940,500 12

13 Staf - 1,000,000 10,000 13

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d 1,000,000 - 990,000 49,500 940,500

14 Staf - 1,000,000 10,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d 1,000,000 - 990,000 49,500 940,500 14

15 Staf - 1,000,000 10,000 15

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c 1,000,000 - 990,000 49,500 940,500

16 Staf - 1,000,000 10,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c 1,000,000 - 990,000 49,500 940,500 16

17 Staf - 1,000,000 10,000 17

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c 1,000,000 - 990,000 49,500 940,500

18 Staf - 1,000,000 10,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c 1,000,000 - 990,000 49,500 940,500 18

19 Staf - 1,000,000 10,000 19

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c 1,000,000 - 990,000 49,500 940,500

20 Staf - 1,000,000 10,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d 1,000,000 - 990,000 49,500 940,500 20

21 Staf - 1,000,000 10,000 21

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c 1,000,000 - 990,000 49,500 940,500

22 Staf - 1,000,000 10,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 1,000,000 990,000 49,500 940,500 22

23 Staf - 1,000,000 10,000 23

HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 1,000,000 990,000 49,500 940,500
24 Staf - 1,000,000 10,000
LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 1,000,000 990,000 49,500 940,500 24

25 Staf - 1,000,000 10,000 25

Hj. DARTINI NIP.19720626 200604 2 007 III/a 1,000,000 990,000 49,500 940,500

26 Staf - 1,000,000 10,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/b 1,000,000 990,000 49,500 940,500 26

27 Staf - 1,000,000 10,000 27

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 1,000,000 990,000 49,500 940,500

28 Staf - 1,000,000 10,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 III/a 1,000,000 990,000 49,500 940,500 28

29 Staf - 1,000,000 10,000 29

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 1,000,000 990,000 - 990,000

30 Staf - 1,000,000 10,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 1,000,000 990,000 - 990,000 30

31 Staf - 1,000,000 10,000 31

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 1,000,000 990,000 - 990,000

32 Staf 1,000,000 10,000

VINDI VIDYA VITRI AYU A.MD.Keb NIP. 19890101201704 2 004 II/d 1,000,000 990,000 990,000 32

33 Staf - 1,000,000 10,000 33

RIMA MARDIATI NIP. 19840131 201001 2 002 II/d 1,000,000 - 990,000 - 990,000

34 Staf - 1,000,000 10,000

AZIZAH NIP. 19780521 201406 2 006 II/b 1,000,000 990,000 - 990,000 34

35 Staf - 1,000,000 10,000 35

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 1,000,000 990,000 - 990,000

36 Staf - 1,000,000 10,000

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d 1,000,000 - 990,000 - 990,000 36

-
-

Jumlah 36,800,000 - 36,800,000 368,000 36,432,000 2,118,600 34,313,400

Masbagik, ......................................................................... 2023

Mengetahui/Menyetujui
Kepala Puskesmas Masbagik Bendahara Pengeluaran,

H. MUSTAFA RINI HANDAYANI, A.Md.Keb

NIP.19651231 198703 1 194 NIP.19860820 200901 2 002
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN JULI TAHUN 2023
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
JUMLAH
GOL KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON BESARAN TPP NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG JUMLAH SEBELUM (Rp) DITERIMA
(RP)
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 RINA EKAWATI, S.ST.MM NIP.19791226 200212 2 002 Kepala Puskesmas III/d 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 1.

2 NURHADI, S.KEP.NS NIP. 19680423 198803 1 004 KTU IV/b IV/b 1,800,000 - 1,800,000 18,000 1,782,000 267,300 1,514,700
2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf IV/b - 1,000,000 - 1,000,000 10,000 990,000 148,500 841,500 3.

4 drg. SRI MARHAENI NIP. 19770331 201001 2 006 Staf IV/a - 1,000,000 - 1,000,000 10,000 990,000 148,500 841,500
4.

5 B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 Staf IV/a - 1,000,000 - 1,000,000 10,000 990,000 148,500 841,500 5.

6 dr. SITI HIDAYATI NIP. 19840801 201101 2 012 Staf IV/a - 1,000,000 - 1,000,000 10,000 990,000 148,500 841,500
6.

7 Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 Staf III/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 7.

8 H.ALI HASAN SADRI , A.Md.Kep NIP. 19691214 198903 1 003 Staf III/d 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
8

9 ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 Staf III/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 9

10 BAIQ IDALINI, ST NIP. 19760222199803 2 007 Staf IV/a - 1,000,000 - 1,000,000 10,000 990,000 148,500 841,500
10

11 MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 11

12 Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 Staf III/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
12

13 HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 Staf III/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 13

14 ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
14

15 SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 15

18 NUR'AINI, A.Md.Keb NIP. 19860820 200901 2 002 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
16

16 P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 17

17 FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
18

19 WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 Staf III/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500 19

20 ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 Staf III/c - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
20
21 HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 Staf III/d - 1,000,000 1,000,000 10,000 990,000 49,500 940,500 21

22 LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 Staf III/b - 1,000,000 1,000,000 10,000 990,000 49,500 940,500
22

23 Hj. DARTINI NIP.19720626 200604 2 007 Staf III/a - 1,000,000 1,000,000 10,000 990,000 49,500 940,500 23

24 MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 Staf III/a - 1,000,000 1,000,000 10,000 990,000 49,500 940,500
24

25 WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 Staf III/a - 1,000,000 1,000,000 10,000 990,000 49,500 940,500 25

26 NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 Staf III/a - 1,000,000 1,000,000 10,000 990,000 49,500 940,500
26

27 RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 Staf II/d - 1,000,000 1,000,000 10,000 990,000 - 990,000 27

28 HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 Staf II/d - 1,000,000 1,000,000 10,000 990,000 - 990,000
28

29 MUHAMMAD RUSLI NIP. 19750202 201406 1 003 Staf II/c - 1,000,000 1,000,000 10,000 990,000 - 990,000 29

30 RIMA MARDIATI NIP. 19840131 201001 2 002 Staf II/c - 1,000,000 - 1,000,000 10,000 990,000 - 990,000
30

31 AZIZAH NIP. 19780521 201406 2 006 Staf II/b - 1,000,000 1,000,000 10,000 990,000 - 990,000 31

32 HENDRI SUMANTRI NIP. 19790716 200901 1 103 Staf II/d - 1,000,000 1,000,000 10,000 990,000 - 990,000
32

33 VINDI VIDYA VITRI AYU,A.Md.Keb NIP. 19890101 201704 2 004 Staf II/d - 1,000,000 1,000,000 10,000 990,000 990,000 33

34 LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 Staf II/d - 1,000,000 - 1,000,000 10,000 990,000 49,500 940,500
34

35 WARTI, A.Md.Per NIP. 19930923 202203 2 014 Staf II/c - 1,000,000 1,000,000 10,000 990,000 990,000 35

36 NINDYA APRIANI HARDIN, A.Md.Farm NIP. 19970407 202203 2 109 Staf II/c - 1,000,000 1,000,000 10,000 990,000 990,000
36

Jumlah 36,800,000 - 36,800,000 368,000 36,432,000 2,049,300 34,382,700

- - - -
Masbagik, ……………………………….
Mengetahui/Menyetujui
Kepala UPT BLUD Puskesmas Masbagik Bendahara Pengeluaran,

NURHAYATI, ST MARLIA HARDI, S.Tr.Keb

NIP.19751212 199603 2 002 NIP.19910601 201902 2 003
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL)
BULAN JULI TAHUN 2023
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
JUMLAH
GOL KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON BESARAN TPP NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG JUMLAH SEBELUM (Rp) DITERIMA
(RP)
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 6 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 LAILATUL MUNAWAROH,S.Kep.Ns NIP.19850326 202221 2 001 Staf - 1,000,000 - 1,000,000 10,000 990,000 1.
IX 49,500 940,500

2 HAMZANWADI, A.Md.Kep NIP. 19841231 202221 1 001 Staf - 1,000,000 - 1,000,000 10,000 990,000
VII - 990,000 2.

3 ROSIHANA, A.Md.Keb NIP. 19851231 202221 2 001 Staf - - 1,000,000 10,000 990,000 3.
VII 1,000,000 - 990,000

Jumlah 3,000,000 - 3,000,000 30,000 2,970,000 49,500 2,920,500

- - - -
Masbagik, ……………………………….
Mengetahui/Menyetujui
Kepala UPT BLUD Puskesmas Masbagik Bendahara Pengeluaran,

NURHAYATI, ST MARLIA HARDI, S.Tr.Keb

NIP.19751212 199603 2 002 NIP.19910601 201902 2 003
 DAFTAR PENERIMAAN TAMBAHAN PENGHASILAN PEGAWAI (TPP)
(UANG TAMBAHAN PENGHASILAN BERDASARKAN BEBAN KERJA TOTAL) THR 50%
BULAN MARET TAHUN 2023
UPT BLUD PUSKESMAS MASBAGIK DINAS KESEHATAN KABUPATEN LOMBOK TIMUR

JUMLAH
GOL KOTOR PPh. PASAL 21 JUMLAH
No. NAMA JABATAN ESELON BESARAN TPP NILAI SPP IWP (1%) TANDA TANGAN KET
NIP RUANG JUMLAH SEBELUM (Rp) DITERIMA
50%
POTONGAN PAJAK
11 = 10x%
1 2 3 4 5 7 8=6-7 9 = 6 x 1% 10 = 8 - 9 12=10-11 15 16
pajak

1 RINA EKAWATI, S.ST.MM NIP.19791226 200212 2 002 Kepala Puskesmas 500,000 - 500,000 1.
III/d 500,000 25,000 475,000

2 NURHADI, S.KEP.NS NIP. 19680423 198803 1 004 KTU 900,000 - 900,000

IV/b IV/b 900,000 135,000 765,000 2.

3 HJ. SRI HATUN,S.Kep NIP. 19651231 198603 2 187 Staf - 500,000 - 500,000 3.
IV/b 500,000 75,000 425,000

4 Staf - 500,000 500,000

Drg. SRI MARHAENI NIP. 19770331 201001 2 006 IV/a - 500,000 75,000 425,000 4.

5 Staf - 500,000 500,000 5.

B. WARDATUN HARIATI, S.Kep.Ners NIP, 19710825 199903 2 067 IV/a - 500,000 75,000 425,000

6 Staf - 500,000 500,000

Dr. SITI HIDAYATI NIP. 19840801 201101 2 012 IV/a - 500,000 75,000 425,000 6.

7 Staf - 500,000 500,000 7.

Hj. ERNA MARDIANA, A.md.Kep NIP. 19681231 198803 2 121 III/d - 500,000 25,000 475,000

8 Staf 500,000 500,000

H.ALI HASAN SADRI , A.Md.Kep NIP. 19691214 198903 1 003 III/d - 500,000 25,000 475,000

9 Staf - 500,000 500,000

ERNAWATI, A.Md.Keb. NIP. 19721231 199303 2 002 III/d - 500,000 25,000 475,000 8.

10 Staf - 500,000 500,000 9.

BAIQ IDALINI, ST NIP. 19760222199803 2 007 IV/a - 500,000 75,000 425,000

11 Staf - 500,000 500,000

MUHAMAD SYUKRI, S.Kep. NIP. 19730323 199703 1 004 III/c - 500,000 25,000 475,000 10.

12 Staf - 500,000 500,000 11.

Hj. A'ISYAH, A.Md.Keb. NIP. 19801023 200212 2 008 III/d - 500,000 25,000 475,000

13 Staf - 500,000 500,000

HASMI HANDAYANI, SKM. NIP. 19760801 200701 2 021 III/d - 500,000 25,000 475,000 12.

14 Staf - 500,000 500,000 13.

ENDANG HERLINA, A.Md.Keb. NIP. 19740604 200212 2 007 III/c - 500,000 25,000 475,000

15 Staf - 500,000 500,000

SRI WAHYULI A.Md.Keb NIP. 19850714 200901 2 007 III/c - 500,000 25,000 475,000 14.

16 Staf - 500,000 500,000 15.

P A E G A H, A.Md.Rmik NIP. 19671217 198803 2 004 III/c - 500,000 25,000 475,000

17 Staf - 500,000 500,000

FARIDA KOMALASARI, A.MKL. NIP. 19800525 200701 2 022 III/c - 500,000 25,000 475,000 16.

18 Staf - 500,000 500,000 17.

RINI HANDAYANI, A.Md.Keb NIP. 19860820 200901 2 002 III/c - 500,000 25,000 475,000

19 Staf - 500,000 500,000

WIDI HIDAYATI, A. Md. Kep NIP. 19711121 199103 2 003 III/d - 500,000 25,000 475,000 18.

20 Staf - 500,000 500,000 19.

ISMAYADI, S.Farm.Apt NIP. 19841112 200604 1 011 III/c - 500,000 25,000 475,000

21 Staf - 500,000 500,000

B. RATHSA INDAH P. RM NIP. 19650308 198801 2 002 III/b 500,000 25,000 475,000 20
22 Staf - 500,000 500,000 21
HJ. BAIQ PITRIANI NIP. 19741231 199303 2 003 III/d 500,000 25,000 475,000

23 Staf - 500,000 500,000

LELY ISNAINI, A.Md.Keb. NIP.19781008 200501 2 014 III/b 500,000 25,000 475,000 22

24 Staf - 500,000 500,000 23

Hj. DARTINI NIP.19720626 200604 2 007 III/a 500,000 25,000 475,000

25 Staf - 500,000 500,000

MARLIA HARDI, S.Tr. Keb NIP. 19910601 201902 2 003 III/a 500,000 25,000 475,000 24

26 Staf - 500,000 500,000 25

WIDYA HASTUTY,S.Kep,Ners NIP. 19821003 201406 2 010 III/a 500,000 25,000 475,000

27 Staf - 500,000 500,000

NURLAILI SURYANI, A.Md.G NIP. 19820706 201406 2 006 III/a 500,000 25,000 475,000 26

28 Staf - 500,000 500,000 27

RENI HANDAYANI, A.Md.Keb NIP. 19870718 201704 2 004 II/d 500,000 - 500,000

29 Staf - 500,000 500,000

HAMIDAH ROMDLANI, A.Md.Keb NIP. 19890506 201704 2 006 II/d 500,000 - 500,000 28

30 Staf - 500,000 500,000 29

MUHAMMAD RUSLI NIP. 19750202 201406 1 003 II/c 500,000 - 500,000

31 Staf - 500,000 500,000

RIMA MARDIATI NIP. 19840131 201001 2 002 II/c - 500,000 - 500,000 30

32 Staf - 500,000 500,000 31

AZIZAH NIP. 19780521 201406 2 006 II/b 500,000 - 500,000

33 Staf - 500,000 500,000

HENDRI SUMANTRI NIP. 19790716 200901 1 103 II/d 500,000 - 500,000 32

34 Staf - 500,000 500,000

VINDI VIDYA VITRI AYU,A.Md.Keb NIP. 19890101 201704 2 004 II/d 500,000 500,000

35 Staf - 500,000 500,000 33

LALU YUYUN KURNIAWAN NIP. 19740613 200701 1 021 II/d - 500,000 - 500,000

Jumlah 17,900,000 - 17,900,000 - 17,900,000 1,035,000 16,865,000

Masbagik, ………………………………
Mengetahui/Menyetujui
Plt.Kepala Puskesmas Masbagik Bendahara Pengeluaran,

RINA EKAWATI, S.ST.MM RINI HANDAYANI, A.Md.Keb

NIP.19791226 200212 2 002 NIP.19860820 200901 2 002