To : BSM Jakarta

Email : bataviasm@gmail.com BATAVIA SENTRA MEDIKA

Attn. : HRD Manager BASED STAFF TIMESHEET
From :
Subject : Timesheet
: Day On
: Day Off
Employee Name : Nurcahyo Tri Utomo
Position Site : Doctor Employee Number :

PERIODE MARET-APRIL 2024

TOTAL
Day
DESCRIPTION
25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 23 24 25
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Working day (s) x x x x x x x x x x x x x 13
Travel to Site (S) X x 2
Day Off(S) x x x x x x x x x x x x x 13
Travel From Site(S) x 1
TOTAL 29
NOTE : Use an "X" to mark the row that applies to the day where worked, traveling, days off or other
For other, this applies to special assignment, sick or speacial leave days,
Original time sheet (TS) must be submitted to Med Site Dept ASAP after back from site, If employee stay on site over end of the month,
TS for the month has to sendby 7th of the next month at the latest. Delay of TS submission could cause delay in wage payment to the employee.

Employee Signature BSM Confirmation by Client Site Confirmation by

(Signature) (Signature)

Employee Name Nurcahyo Tri Utomo BSM Person Name Lilis Ferawati Client Person Name Yanuar G
Doctor Rigsupt

Date 08-Apr-24 Date 08-Apr-24 Date 08-Apr-24

To : BSM Jakarta
Email : bataviasm@gmail.com BATAVIA SENTRA MEDIKA
Attn. : HRD Manager BASED STAFF TIMESHEET
From :
Subject : Timesheet
: Day On
: Day Off
Employee Name : dr. Radinal Rahman
Position Site : Doctor On Site Employee Number :

PERIODE MARET-APRIL 2024

TOTAL
Day
DESCRIPTION
25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 23 24 25
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Working day (s) x x x x x x x x x x x x x 13
Travel to Site (S) X x 2
Day Off(S) x x x x x x x x x x x x x 13
Travel From Site(S) x 1
TOTAL 29
NOTE : Use an "X" to mark the row that applies to the day where worked, traveling, days off or other
For other, this applies to special assignment, sick or speacial leave days,
Original time sheet (TS) must be submitted to Med Site Dept ASAP after back from site, If employee stay on site over end of the month,
TS for the month has to sendby 7th of the next month at the latest. Delay of TS submission could cause delay in wage payment to the employee.

Employee Signature BSM Confirmation by Client Site Confirmation by

(Signature) (Signature)

Employee Name Radinal Rahman BSM Person Name Lilis Ferawati Client Person Name Yanuar G
Doctor On Site Rigsupt

Date 08-Apr-24 Date 08-Apr-24 Date 08-Apr-24

To : BSM Jakarta
Email : bataviasm@gmail.com BATAVIA SENTRA MEDIKA
Attn. : HRD Manager BASED STAFF TIMESHEET
From :
Subject : Timesheet
: Day On
: Day Off
Employee Name : dr. Moch Zenal Mustopa
Position Site : Doctor On Site Employee Number :

PERIODE MARET-APRIL 2024

TOTAL
Day
DESCRIPTION
25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 23 24 25
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Working day (s) x x x x x x x x x x x x x 13
Travel to Site (S) X x 2
Day Off(S) x x x x x x x x x x x x x 13
Travel From Site(S) x 1
TOTAL 29
NOTE : Use an "X" to mark the row that applies to the day where worked, traveling, days off or other
For other, this applies to special assignment, sick or speacial leave days,
Original time sheet (TS) must be submitted to Med Site Dept ASAP after back from site, If employee stay on site over end of the month,
TS for the month has to sendby 7th of the next month at the latest. Delay of TS submission could cause delay in wage payment to the employee.

Employee Signature BSM Confirmation by Client Site Confirmation by

(Signature) (Signature)

Employee Name Moch Zenal Mustopa BSM Person Name Lilis Ferawati Client Person Name Yanuar G
Doctor On Site Rigsupt

Date 08-Apr-24 Date 08-Apr-24 Date 08-Apr-24