Japel Jamkes RSUD TN

8/19/2019 Japel Jamkes RSUD TN

1/70

PEMBAGIAN JASA MEDIS DANA JAMKESMAS 2010

PUSKESMAS PANGI

NO NAMA Jabatan JASA MEDIS PEMBULATAN

I. Medis 35%

1 dr. M. Jamal, MPH, AAAK Kpl. Pkm/ dokter p 1,!"1,2#$ p 1,!"0,000

2 dr. %&l'ara& Dr. P%&ke&ma& p 1,!"1,2#$ p 1,!"0,000

( dr). E*da*) S%l+&t+oat' Dr). P%&ke&ma& p 201,-- p 20",$00

Rp 3,88,5! Rp 3,88,5""

II. Se#ain Medis $5%

a. Be*daara Jamke&ma& 5%

1 H%&a+* Sa%d Bdaara.Jmk&m&/ KU p 00,""0 Rp $"","""

p 00,""0 Rp $"","""

. Paramed+& 3"%

1 A&*+ N. a&e*a B+da* Koord+*ator p $"0,000

2 Har'o*o M%&a PJ. B/K%&ta, ora* p "#0,000( De'l+ E. e*)ko*) B+d+de& Pa*)+/ . P%t+ p "0,000

" A&tr+ 3%*+ta +*a Prt Pol+/ PJ. Malar+a p "0,000

$ 3ola*da Kel%*) Pet. P%&t% .Ja'a p "#0,000

3e&t+ Sa*d+ 3o&e4, A.Md.Kep Prt Pol+/ PJ. Apotek p "$(,$00

# Ida Popo', A.Md. Ke. B+d.Po&ke&de& .Ja'a p "$(,$00

Rp 3,3"!,"! Rp 3,3"!,"""

5. Pet. No* Paramd& 3"%

1 Har&o*o, SKM P6. G+7+ / Promke& p (#$,02(

2 8ell' N. Dat%*&ola*), SKM P6. Ke&l+*) / S%r9e+la*& p (#$,02(

( Mar'am +malo, S.So& Bdr. :pera&+o*al p (#2,022" Sr+ 3%la*d+ Noo, SKM B*daar PAD/Pet.:at p (#0,$2(

$ No*+ Adam PJ. Med+5al e5ord p (#0,$2(

Norma* Ko+ Pet. Komp%ter p (#2,02(

# Ela* ad6ak Pet. Adm+*+&tra&+ p (0,02(

! Melda 3ad6+tala Pet. oket p (0,02(

- 3am+* Al+% Dr+9er Am%la*& p ($2,02(

Rp 3,3"!,"! Rp 3,3"!,&"$

J'(#a) t*ta# Rp ++,"8,!"$ Rp ++,"8,!"$

Pani, &" DMeneta)'i Benda)a-

0epa#a P's/es(as Pani

d-. M. Ja(a#, MP1, AAA0 1'sa


2/70

NIP +" 3$+ & NIP +$"


3/70

TANDA TAN2AN

p (,!!",$"# (,!!",$00

p (,(",$"#

p #,21",1$- #,21",20 0.0$"00(

p "2",(2 0;

(0;

11,0-!,#0 11.2-

p(#,"$(

ese(be- &"+" Ja(/es(as

in Sa'd


4/70

"8 +8$"3 + "&


5/70

PEMBAGIAN BIA3A ANSP: PE. UA GEDUNG

DAN PEN3UUHAN DANA JAMKESMAS 200-

PUSKESMAS PANGI$((.(((((

NO NAMA JASA MEDIS PEMBULATAN TANDA TAN2AN1 dr. M. Jamal p 2$,$00 p 2!$,000 1

2 dr. %&l'ara& p 2$,$00 p 2!$,000 2

( dr). E*da*) p 10#,2#( p 120,000 (

" H%&a+* Sa%d p 2$,$00 p 2!$,000 "

$ A&*+ a&e*a p 2$,$00 p 2!$,000 $

Har'o*o M%&a p 10#,2#( p 120,000

# De'l+ e*)ko*) p 2$,$00 p 2!$,000 #

! 3ola*da Kel%*) p 2$,$00 p 2!$,000 !

- Mar'am +malo p 2$,$00 p 2!$,000 -

10 A&tr+ 3%*+ta p 2$,$00 p 2!$,000 10

11 Har&o*o p 2$,$00 p 2!$,000 11

12 8ell' Dat%*&ola*) p 2$,$00 p 2!$,000 12

1( 3e&t+ p 2$,$00 p 2!$,000 1(

1" Ida Popo' p 2$,$00 p 2!$,000 1"

1$ Sr+ 3%la*d+ p 21",$"$ p 22$,000 1$

1 No*+ Adam p 2$,$00 p 2!$,000 1

1# 3am+* p 2$,$00 p 2!$,000 1#

1! :'o*) p 2$,$00 p 2!$,000 1!

1- Ela* p 2$,$00 p 2!$,000 1-

20 Mel' p 2$,$00 p 2!$,000 20

J'(#a) t*ta# Rp ,&,5+ Rp 5,3+","""

Pani, & Septe(be- &"+"

Meneta)'i Benda)a-a Ja(/es(as


d-. M. Ja(a#, MP1, AAA0 1'sain Sa'd

NIP +" 3$+ & NIP +$""8 +8$"3 + "&


6/70

PEMBAGIAN JASA MEDIS DANA HIBAH 2010

PUSKESMAS PANGI

NO NAMA NIP JABATAN TANDA TAN2AN

1 dr. M. Jamal p 1,$0",000 Ka. P%&ke&ma& p (,200,000

2 dr. %&l'ara& p 1,$0",000 Dokter P%&ke&ma&

( dr). E*da*) p 1-2,000 Dr. G+)+ P%&ke&ma&

" H%&a+* Sa%d p (1$,000 PJ. ata U&aa p ",!00,000

$ A&*+ a&e*a p (1$,000 B+da* Koord+*ator p 2!2,($(

Har'o*o M%&a p (1$,000 PJ. B < K%&ta

# De'l+ e*)ko*) p (1$,000 B+da* d+ De&a

! 3ola*da Kel%*) p (1$,000 PJ. Im%*+&a&+ < P%&t%

- Mar'am +malo p (1$,000 Be*daara :p&.

10 A&tr+ 3%*+ta p (1$,000 PJ. P2M

11 Har&o*o p (1$,000 PJ. G+7+ da* Promke&

12 8ell' Dat%*&ola*) p (1$,000 PJ. S%r9ela*& < Ke&l+*)

1( 3e&t+ Sa*d' 3o&e4 p (00,000 PJ. Apotek

1" Ida Popo' p (00,000 B+da* d+ De&a

1$ Sr+ 3%la*d+ p (00,000 Be*daara PAD

1 No*+ Adam p (00,000 PJ. e)+&ter Kart%

1# 3am+* p 1#$,000

1! Norma* Ko+ p 2"0,000

1- Ela* p 1#0,000

20 Mel' p 1!0,000

J'(#a) t*ta# Rp 8,""",""" "

Pani, +8 O/t*be- &"+"

Meneta)'i Benda)a-a Dana 1iba) Op. P0M


d-. M. Ja(a#, MP1, AAA0 1a-s*n*

NIP +" 3$+ & NIP +$!"&$ &"""+& + ""+


7/70

MUNEASI PUSKESMAS PANGI

HUN 2010

JASA PEA3ANAN G. 1 &/d (1 Maret 200

: NAMA MASA KEJA K:MPEENSI PENDIDIKAN B:B: ANGG KINEJA E=A

G: IND SAA INDEKS KHUS IND KEJA JA=AB IND IND

I Ja&a pela'a*a* med

Japel Pe*)a&+l Paramed+&/%*+t

II

J%mla I*dek&

1 dr. M. Jamal, MPH, AAAK IIID 0.(! S2? (.$0 -.0 1.00

2 dr. %&l'ara& III 0.( dr (.00 -.0 0.-0

( dr). E*da*) S%l+&t'or+*+ P 0.00 dr (.00 -.0 0.-0

" H%&a+* Sa%d IIIB 0.(" SPK 1.$0 -.0 0.!0 $ A&*+ a&e*a IIIB 0.(" B+da* D1 2.00 -.0 0.#$

Har'o*o M%&a IIIA 0.(2 SPK 1.$0 -.0 0.#$

# De'l+ e*)ko*) IIB 0.2" B+da* D1 2.00 -.0 0.#$

! 3ola*da Kel%*) IIA 0.22 SPK 1.$0 -.0 0.#$

- Mar'am +malo IIA 0.22 SA 1.00 -.0 0.#$

0 A&tr+ 3%*+ta IIA 0.22 SPK 1.$0 -.0 0.#$

1 Har&o*o II 0.2 D( 2.00 -.0 0.#$

2 8ell' Dat%*&ola*) IIB 0.2" D( 2.00 -.0 0.#$

( 3e&t+ Sa*d' 3o&e4, Amd.Kep II 0.2 D( 2.00 -.0 0.#$

" Ida Popo', Amd, Ke II 0.2 D( 2.00 -.0 0.#$

$ Sr+ 3%la*d+ Noo, SKM IIIA 0.(2 S1 2.$0 -.0 0.#$

No*+ Adam IIA 0.22 SA 1.00 -.0 0.0

# 3am+* Al+% K 0.00 SP 0.#$ -.0 0.0

! Norma* Ko+ K 0.00 SA 1.00 -.0 0.0

- Ela* ad6ak K 0.00 SA 1.00 -.0 0.0

20 Melda 3ad6+tala K 0.00 SA 1.00 -.0 0.0 21

22

2(

2"

2$

2

2#

JUMAH 120

Per+t%*)a* Pro&e*ta&e

Pa*)kat/Golo*)a* "

Strata Pe*d+d+ka*


8/70

Boot %pok&+ 10

a*))%*) Jaa 10

K%a*t+ta& K+*er6a (0

K%al+ta& K+*er6a "0

100

Ketera*)a*

Pa*)kat/Golo*)a* I E I D I I B I A III D III III B II D

a*)eC 1@" " (.! (. (." (.2 ( 2.! 2. 2.2

Strata Pe*d+d+ka* S( S2? Dr/dr)/Apt S2 S1 D( D1 SA Ke& SP

a*)eC 1,#$@ $.$ $ $ ".$ " (.$ ( 2

Boot %pok&+ )kp ( Md& )k )kp 2 Med+& Paramed+& No* Med+&

a*)e "@10 10 - ! ! "

a*))%*) Jaa Ka P%& KU/Pro)No* Pro)

a*)eC $@10 10 ! $

K%a*t+ta& K+*er6a +*)kat Kead+ra* ; Jala*ka* %pok&+

a*)eC0@(0 ad+r/ar+ ker6a1$ ker6aka*/6ml t%)a&1$

K%al+ta& K+*er6a Ktepata* =kt Had+ Pe*'ele&a+a* %)a& Kema*d+r+a*

a*)eC0@"0 dr tepat/r ker6a1 ele&a+ tpt kt/6ml t)&1 ker6aka m*dr/6ml t)&>10

eard No* elada* elada* I Ka elada* I Pro9 elada* I Na&

a*)eC0@1$;I*dek& 0 Pl%& $; Pl%& 10; Pl%& 1$;

P%*+&me*t No* Pela*))ara* Pela*))ara* +*)a* Pela*))ara* Sd) Pela*))ara* Brt

a*)eC 0@F00; I*dek& 0 M+*%& 20; M+*%& $0; M+*%& 100;


9/70

MBA2IAN 1ONOR JASA PELAANAN

RDASAR0AN REMUNERASI PUS0ESMAS PAN2I

1UN &"+"

ASA PELAANAN PERIODE JANUARI &""! s4d DESEMBER &"".

O NAMAMASA 0ERJA 0OMPETENSI PENDIDI0AN BOBOT TAN22 0INERJA

BONU2OL IND STRATA INDE0S 01US IND 0ERJA JA6AB 0UANT 0UAL

I Ja&a pela'a*a* med "0;

Japel Pela'a*a* Paramed+&/dll 0;

I J%mla I*dek& Med+&

J%mla I*dek& Paramed+&/dll

1 dr. M. Jamal, MPH, AAAK IIID (.00 S2? $.$0 10.0 10.00 (0.0 "0.0 0.0

2 dr. %&l'ara&, S.Ked III 2.!0 dr $.00 10.0 !.00 (0.0 "0.0 0.0

( dr). E*da*) S%l+&t'or+*+,SKG P 2."0 dr) $.00 !.0 $.00 (.0 ".0 0.0

" H%&a+* Sa%d IIIB 2.0 SPK (.00 !.0 !.00 (0.0 "0.0 0.0

$ A&*+ a&e*a IIIB 2.0 B+da* D1 (.$0 !.0 !.00 (0.0 "0.0 0.0

Har'o*o M%&a IIIA 2."0 SPK (.00 .0 !.00 (0.0 "0.0 0.0

# De'l+ e*)ko*) IIB 1.!0 B+da* D1 (.$0 .0 !.00 (0.0 "0.0 0.0

! 3ola*da Kel%*) IIA 1.0 SPK (.00 !.0 !.00 (0.0 "0.0 0.0

- Mar'am +malo IIA 1.0 SA 2.$0 ".0 !.00 (0.0 "0.0 0.0

0 A&tr+ 3%*+ta IIA 1.0 SPK (.00 .0 !.00 (0.0 "0.0 0.0

1 Har&o*o II 2.00 D( G+7+ ".00 !.0 !.00 (0.0 "0.0 0.0

2 8ell' Dat%*&ola*) IID 2.20 D( Ke&l+*) ".00 !.0 !.00 (0.0 "0.0 0.0

( 3e&t+ Sa*d' 3o&e4, Amd.Kep II 2.00 D( Kep ".00 .0 !.00 2#.0 (#.0 0.0

" Ida Popo', Amd, Ke II 2.00 D( B+da* ".00 .0 !.00 2!.0 (#.0 0.0

$ Sr+ 3%la*d+ Noo, SKM IIIA 2."0 S1Ke&ma& ".$0 .0 !.00 2!.0 (#.0 0.0

No*+ Adam IIA 1.0 SMA 2.$0 ".0 !.00 (0.0 "0.0 0.0

# 3am+* Al+% K 1.0 SMP 2.00 ".0 $.00 2$.0 2$.0 0.0

! Norma* Ko+ K 1.0 SMA 2.$0 ".0 $.00 (0.0 "0.0 0.0

- Ela* ad6ak K 1.0 SMA 2.$0 ".0 $.00 20.0 20.0 0.0

20 Melda 3ad6+tala K 1.0 SMA 2.$0 ".0 $.00 2$.0 2$.0 0.0

JUMLA1

Kepala P%&ke&ma& Pa*)+


10/70

d-. M. Ja(a#, MP1

NIP +" 3$+ &


11/70

0

PPH JUMAH ANDA

p 0 DIEIMA ANGAN

p #!,$0$ p (,121,"-$

p 1(,--# p 1#2,(( 1

p 1(,$!# p 1#,$# 2

p @ p 1,-(( (

p 12,$1( p 1$",((2 "

p 12,!11 p 1$!,00! $

p 12,"# p 1$(,#0

p @ p 1$!,!- #

p @ p 1$",(0( !

p @ p 1"-,!!# -

p @ p 1$",(0( 10

p @ p 1$-,0#( 11

p @ p 1$!,!- 12

p @ p 1$-,0#( 1(

p @ p 1$-,0#( 1"

p 1(,12- p 11,-(0 1$

p @ p 1"!,$2 1

p @ p 1"","11 1#

p @ p 1",1- 1!

p @ p 1",1- 1-

p @ p 1",1- 20

p #!,$0$ p (,121,"-$


12/70


13/70

PP1 JUMLA1PEMBULATAN

TANDA

p " DITERIMA TAN2AN

p 1,$20,--$ p 1,$00,000 1

p 1,"#-,(0( p 1,$00,000 2

p 1--,#0( p 200,000 (

p (20,(2$ p (1$,000 "

p (20,"( $

p (12,(2

p (12,2!2 #

p (1,!2! !

p (01,0-2 -

p (0-,!(" 10

p (21,#2" 11 p (22,"2" 12

p 2-(,#"! 1(

p 2-#,2"$ 1"

p (00,(-2 1$

p (01,0-2 1

p 1#$,1(0 1#

p 2"1,1-- 1!

p 1#1,#" 1-

p 1!1,!2$ 20

Rp 8,""","""

+lam%ta, 2- :ktoer 2010Be*daara H+a


14/70

1 a - s * n *

NIP +$!"&$ &"""+& + ""+


15/70

BIAYA JASA PELAYANAN RSUD-TN BOALEMO

Bulan Maret

NO JENIS PELAYANAN

JASA PELAYANAN

TOTAL R

Jasa Medik

JASASARANA

JasaPerawat Jasa Pel.Lainnya


16/70

+lam%ta, Maret 2011

Se/-eta-is

D-. M. Ja(a#, MP1, AAA0

NIPC 1"0 (1 -"2


17/70

PEMBA2IAN 1ONOR JASA PELAANAN PEJABAT STRU0TURAL

BERDASAR0AN REMUNERASI RSUD TANI DAN NELAAN

TA1UN &"++

PERIODE JANUARI s4d PEBRUARI &"++

N: NAMA MASA KEJA K:MPEENSI PENDIDI

G: IND SAA INDEKS KHUSI Ja&a pela'a*a* med


III

J%mla I*dek&

1 dr. Hi. Sukri Djakatara, Sp.A IA 0.00 S2? (.$0

2 dr. Hi. Muh. Jamal IIID 0.(! S2? (.$0

( Zulfiayu, S.Si., M.Si. Apt. IA 0.00 S2? (.$0

" I Putu Gede Subagio IIID 0.(! S2 (.00

$ ardijah !. "ggole, S.So# IIID 0.(! S1 2.$0

Sukardi Djakatara, S$M. M.$e# IIID 0.(! S2 (.00# Her%a&aty Ham'ah, SS( III 0.( S1 2.$0

! Hj. Djariah Abdul A'i# III 0.( S1 2.$0

- )a%ti Abdurrahma% I#mail, S$M III 0.( S1 2.$0

10 Mi#liaty III 0.( SA 1.00

11 Ita Meila%i !uma, S$M III 0.( S1 2.$0

12 dr. Dia% ikagu#ta% (ambu%a% IIIB 0.(" S1 2.$0

1( $ar#um ). "auko, S$M IIIB 0.(" S1 2.$0

JUMAH

Per+t%*)a* Pro&e*ta&e

Pa*)kat/Golo*)a* "

Strata Pe*d+d+ka*

Boot %pok&+ 10

a*))%*) Jaa 10

K%a*t+ta& K+*er6a (0

K%al+ta& K+*er6a "0

100

Ketera*)a*

Pa*)kat/Golo*)a* I E I D I I B I A

a*)eC 1@" " (.! (. (." (.2

Strata Pe*d+d+ka* S( S2? Dr/dr)/Apt S2 S1


18/70

a*)eC 1,#$@ $.$ $ $ ".$

Boot %pok&+ )kp ( Md& )k )kp 2 Med+& Paramed+&

a*)e "@10 10 - ! !

a*))%*) Jaa Ka P%& KU/Pro)No* Pro)

a*)eC $@10 10 ! $

K%a*t+ta& K+*er6a +*)kat Kead+ra* ; Jala*ka* %pok&+

a*)eC0@(0 ad+r/ar+ ker6a1$ ker6aka*/6ml t%)a&1$

K%al+ta& K+*er6a Ktepata* =kt Had+ Pe*'ele&a+a* %)a& Kema

a*)eC0@"0 dr tepat/r ker6a1 ele&a+ tpt kt/6ml t)&1 ker6aka m*

eard No* elada* elada* I Ka elada

a*)eC0@1$;I*dek& 0 Pl%& $; Pl%&

P%*+&me*t No* Pela*))ara* Pela*))ara* +*)a* Pela*))ara*

a*)eC 0@F00; I*dek& 0 M+*%& 20; M+*%

PEMBA2IAN 1ONOR JASA PELAANAN

BERDASAR0AN REMUNERASI PUS0ESMAS PAN2ITA1UN &"+"

JASA PELAANAN PERIODE JANUARI &""! s4d DESEMBER &""

NO NAMAMASA 0ERJA 0OMPETENSI PENDIDI

2OL IND STRATA INDE0S 01US


Japel Pela'a*a* Paramed+&/dll 0;


19/70

II J%mla I*dek& Med+&


1 dr. M. Jamal, MPH, AAAK IIID (.00 S2? $.$0

2 dr. %&l'ara&, S.Ked III 2.!0 dr $.00

( dr). E*da*) S%l+&t'or+*+,SKG P 2."0 dr) $.00

" H%&a+* Sa%d IIIB 2.0 SPK (.00

$ A&*+ a&e*a IIIB 2.0 B+da* D1 (.$0

Har'o*o M%&a IIIA 2."0 SPK (.00

# De'l+ e*)ko*) IIB 1.!0 B+da* D1 (.$0

! 3ola*da Kel%*) IIA 1.0 SPK (.00

- Mar'am +malo IIA 1.0 SA 2.$0

10 A&tr+ 3%*+ta IIA 1.0 SPK (.00

11 Har&o*o II 2.00 D( G+7+ ".00

12 8ell' Dat%*&ola*) IID 2.20 D( Ke&l+*) ".00

1( 3e&t+ Sa*d' 3o&e4, Amd.Kep II 2.00 D( Kep ".00

1" Ida Popo', Amd, Ke II 2.00 D( B+da* ".00

1$ Sr+ 3%la*d+ Noo, SKM IIIA 2."0 S1Ke&ma& ".$0

1 No*+ Adam IIA 1.0 SMA 2.$0

1# 3am+* Al+% K 1.0 SMP 2.00

1! Norma* Ko+ K 1.0 SMA 2.$0

1- Ela* ad6ak K 1.0 SMA 2.$0

20 Melda 3ad6+tala K 1.0 SMA 2.$0

JUMLA1

Kepala P%&k

d-. M. Ja

NIP +"


20/70

AN B:B: ANGG KINEJA E=AD PUNISHM SUBSIDI

IND KEJA JA=AB KUAN IND KUA IND PAJAK

-.0 1.00 B @

-.0 0.-0 B 1.2$

-.0 0.-0 B @

-.0 0.!0 B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$

#!

III D III III B III A II D II II B II A I D I

( 2.! 2. 2." 2.2 2 1.! 1. 1." 1.2

D( D1 SA Ke& A U SP SD


21/70

" (.$ ( 2.$ 2 1.#$

No* Med+&

"

*d+r+a*

r/6ml t)&>10

* I Pro9 elada* I Na&

10; Pl%& 1$;

Sd) Pela*))ara* Brt

& $0; M+*%& 100;

.

AN BOBOT TAN22 0INERJABONUS PEN2URAi

SUBSIDI

IND 0ERJA JA6AB 0UANT 0UAL PAJA0


22/70

10.0 10.00 (0.0 "0.0 0.00 0.000

10.0 !.00 (0.0 "0.0 0.00 0.000

!.0 $.00 (.0 ".0 0.00 0.$2!

!.0 !.00 (0.0 "0.0 0.00 0.000

!.0 !.00 (0.0 "0.0 0.00 0.00$

.0 !.00 (0.0 "0.0 0.00 0.000

.0 !.00 (0.0 "0.0 0.00 0.000

!.0 !.00 (0.0 "0.0 0.00 0.000

".0 !.00 (0.0 "0.0 0.00 0.000

.0 !.00 (0.0 "0.0 0.00 0.000

!.0 !.00 (0.0 "0.0 0.00 0.000

!.0 !.00 (0.0 "0.0 0.00 0.000

.0 !.00 2#.0 (#.0 0.00 0.000

.0 !.00 2!.0 (#.0 0.00 0.000

.0 !.00 2!.0 (#.0 0.00 0.000

".0 !.00 (0.0 "0.0 0.00 0.000

".0 $.00 2$.0 2$.0 0.00 0.200

".0 $.00 (0.0 "0.0 0.00 0.1#0

".0 $.00 20.0 20.0 0.00 0.0#$

".0 $.00 2$.0 2$.0 0.00 0.1#

e&ma& Pa*)+

a#, MP1

3$+ &


23/70

JASA PEA3ANAN G. 1 &/d (1 Maret 200

INDE> JASA PEA3ANAN PPH JUMAH

:A Med+& Para med+& dll p 0 DIEIMA

p @ p @

2$!.1

1-.$0 p @ p @ p @ p @

21.0( p @ p @ p @ p @

1-."0 p @ p @ p @ p @

20."( p @ p @ p @ p @

1-.!! p @ p @ p @ p @

20.(! p @ p @ p @ p @1-.! p @ p @ p @ p @

1-.! p @ p @ p @ p @

1-.! p @ p @ p @ p @

1!.( p @ p @ p @ p @

1-.! p @ p @ p @ p @

1-.!" p @ p @ p @ p @

1-.!" p @ p @ p @ p @

2$!.10 p @

I B H*r /Ko*trak/P dr/dr).P

1 1. 2."


24/70

INDE JASA PELAANAN PP1 JUMLA1

TOTAL Medis Pa-a (edis d## Rp " DITERIMA

p (,200,000

p ",!00,000


25/70

20#.2(

1,(#2.0

-!.$0 p 1,$20,--$ p 1,$20,--$

-$.!0 p 1,"#-,(0( p 1,"#-,(0(

12.-( p 1--,#0( p 1--,#0(

-1.0 p (20,(2$ p (20,(2$

-1." p (20,"( p (20,"(

!-."0 p (12,(2 p (12,(2

!-.(0 p (12,2!2 p (12,2!2

-0.0 p (1,!2! p (1,!2!

!.10 p (01,0-2 p (01,0-2

!!.0 p (0-,!(" p (0-,!("

-2.00 p (21,#2" p (21,#2"

-2.20 p (22,"2" p (22,"2"

!".00 p 2-(,#"! p 2-(,#"!

!$.00 p 2-#,2"$ p 2-#,2"$

!$.-0 p (00,(-2 p (00,(-2

!.10 p (01,0-2 p (01,0-2

$0.0! p 1#$,1(0 p 1#$,1(0

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$1.-- p 1!1,!2$ p 1!1,!2$

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26/70

0

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2

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PEMBULATANTANDA

TAN2AN


28/70

p 1,$00,000 1

p 1,$00,000 2

p 200,000 (

p (1$,000 "

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29/70

PEMBA2IAN 1ONOR JASA PELAANAN TENA2A MEDIS DAN PARAMEDIS


TA1UN &"++


NO NAMA

MASA 0ERJA 0OMPETENSI PENDIDI0

2OL IND STRATA INDE0S 01USI Ja&a pela'a*a* med


III

J%mla I*dek&

1 dr. *ahma&aty Dai III 0.( S1 2.$0

2 dr. +ai#al Muhammad III 0.( S1 2.$0

( drg. Muliaty III 0.( S1 2.$0

" dr. ahyudi% Da%gkua IIIB 0.(" S1 2.$0

$ dr. Ira% -ahar IIIB 0.(" S1 2.$0

dr I%dah Mu#dalifah IIIB 0.(" S1 2.$0# dr. Ira&a% Hu%toyu%go IIIB 0.(" S1 2.$0

! dr. Mulyo%i Polapa IIIB 0.(" S1 2.$0

- dr. Ja#a&arjo Puhi IIIB 0.(" S1 2.$0

10 dr. mmu $al#um A'i# IIIB 0.(" S1 2.$0

11 dr. Herle%a I%draya%i K 0.00 S1 2.$0

JUMAH

PERA6AT

NO NAMAMASA 0ERJA 0OMPETENSI PENDIDI0




III

J%mla I*dek&

1 Sri Parti&i, S.$ep. IIIA 0.(2 S1 2.$0

2 Ma/&iyah )u#uf, Amd.$ep. IIIA 0.(2 S1 2.$0

( +arida Ma%juru%gi, Amd.$ep. IID 0.2! D( 2.00

" )olla 01taia Pa%gau, Amd.$ep. IID 0.2! D( 2.00

$ Sulha (alamoa, A.Md.$ep IID 0.2! D( 2.00

+atma Habi, Amd.$ep. IID 0.2! D( 2.00

# Daid Sulema%, Amd.$ep. IID 0.2! D( 2.00! )ula%di $oem, Amd.$ep. IID 0.2! D( 2.00

- Jubaeda Aba#, Amd.$ep. II 0.2 D( 2.00

10 Ika Julia%ti 0lii, Amd.kep. II 0.2 D( 2.00

11 Sri I%dah "urmaya%ti, Amd.$ep II 0.2 D( 2.00

12 $armila $ !agu%e, Amd.$ep. II 0.2 D( 2.00

1( )uli%da Ibrahim, Amd.$ep. II 0.2 D( 2.00


30/70

1" Sitti *. Maadjili. Amd.$ep. II 0.2 D( 2.00

1$ Arfa% Habu, Amd.$ep. II 0.2 D( 2.00

1 Sarifudi% Jaila%i, Amd.$ep. II 0.2 D( 2.00

1# *at%a&aty, Amd.$ep. II 0.2 D( 2.00

1! )o%i (alib, Amd. $ep II 0.2 D( 2.00

1- $armila, Amd.$ep. II 0.2 D( 2.0020 )u%iarti *a'ak, Amd. $ep II 0.2 D( 2.00

21 illi% Imra%, Amd.$ep. II 0.2 D( 2.00

22 Agu#, Amd.$ep II 0.2 D( 2.00

2( Ha#tuti A%driya%i Suyit%o, Amd.$ep. II 0.2 D( 2.00

2" (ri )u%ita, A.Md. $ep II 0.2 D( 2.00

2$ A%daria%i *. "oho, A.Md.$ep II 0.2 D( 2.00

2 Sri +ujiya%ti *ahayu Dam#i,A.Md.$ep II 0.2 D( 2.00

2# 2li# Pitoy, A.Md.$ep II 0.2 D( 2.00

2! -a1hru% *e'a Djufri, A.Md.$ep II 0.2 D( 2.00

2- +aramitha A%jaya%i, A.Md.$ep II 0.2 D( 2.00(0 "atalia Makuta, A.Md. $ep II 0.2 D( 2.00

(1 Sri 2li )u#a#%ita *iai, A.Md.$ep II 0.2 D( 2.00

(2 Sri ahyu%i "i%g#i #ma%, A.Md.$ep II 0.2 D( 2.00

(( Irfha%, A.Md.$ep II 0.2 D( 2.00

(" +itria%i, A.Md.$ep II 0.2 D( 2.00

($ I $etut Su&a#tika, A.Md.$ep II 0.2 D( 2.00

( Amalia Mu%ier, A.Md.$ep II 0.2 D( 2.00

(# Moh. Syam#ul Hidayat, A.Md.$ep II 0.2 D( 2.00

(! "e%ty *auf,A.Md.$ep II 0.2 D( 2.00

(- !ak#mi )ali%i, A.Md.$ep II 0.2 D( 2.00"0 )ulia%a Ha#adi, A.Md.$ep II 0.2 D( 2.00

"1 Hirma&ati, A.Md.$ep II 0.2 D( 2.00

"2 Afria%i Mahmud, A.Md.$ep II 0.2 D( 2.00

"( Agu#ti% Potutu, A.Md.$ep II 0.2 D( 2.00

"" Sa%u#i Dari#, A.Md.$ep II 0.2 D( 2.00

"$ +atrah Malahedi, A.Md. $ep II 0.2 D( 2.00

" Marli%a (halib, A..Md.$ep II 0.2 D( 2.00

"# Sal&iyah Hadi, A.Md.$ep II 0.2 D( 2.00

"! +ieter Dj. M. A1hir, A.Md.$ep II 0.2 D( 2.00

"- I%driya%i Paputu%ga%, A.Md.$ep II 0.2 D( 2.00

$0 )uyu% "a#ir, A.Md.$ep II 0.2 D( 2.00

JUMAH

BIDAN





31/70


III

J%mla I*dek&

1 ita% Pakaya, Amd.$eb. IID 0.2! D( 2.00

2 +itriya%ti (haib, Amd.$eb. IIIA 0.(2 D( 2.00

( Sri Su%arti !a#e%a, Amd.$eb. IID 0.2! D( 2.00" I%dira (e%gkera%, Amd.$eb II 0.2 D( 2.00

$ Sri )ati Ha#a%, Amd.$eb II 0.2 D( 2.00

Sri ahyu%i "iati, Amd.$eb. II 0.2 D( 2.00

# Suya%ti -uluati, Amd.$eb. II 0.2 D( 2.00

! Jamila Gu%u%g, A.Md.$eb II 0.2 D( 2.00

- !idiya&ati !apa#au, A.Md.$eb II 0.2 D( 2.00

10 +e%driya%ti Gobel, A.Md.$eb II 0.2 D( 2.00

11 Ameliya, A.Md.$eb II 0.2 D( 2.00

12 I#ma&ati, A.Md.$ep II 0.2 D( 2.00

1( Sri Su#ila&aty "eu, A.Md.$eb II 0.2 D( 2.001" Ha#%iah, A.Md.$eb II 0.2 D( 2.00

1$ Herli%a, A.Md.$eb II 0.2 D( 2.00

JUMAH

BIDAN





III J%mla I*dek&

1 Iyo%g !amatoa II 0.2 SPK 1.$0

2 Ir&a% Jafar IIB 0.2" SPK 1.$0

( !idiya&ati I#ra IIB 0.2" SPK 1.$0

" )ulia% A%gio IIB 0.2" SPK 1.$0

$ Suriya%to Sarifudi% IIA 0.22 SPK 1.$0

Maria *i%i !ilir IIA 0.22 SPK 1.$0

# *atma%e%g#ih IIA 0.22 SPK 1.$0

! Surit%o (a%ggio IIA 0.22 SPK 1.$0

- "i Made Sumi%i, A.M.$g II 0.2 D( 2.00

10 Sofia%ti (alibo IIB 0.2" SPK 1.$011 Hardi Palilati IIA 0.22 SPK 1.$0

12 Juriyah IIA 0.22 SPK 1.$0

1 Djayadi A'i#, S.Si. Apt. III 0.( S1 2.$0

2 Dyah 2ra&ati,S.+arm.Apt IIIB 0.(" S1 2.$0

( Hermi% ". ri, S.Si IIIB 0.(" S1 2.$0

" Hairuddi% S.$au, S.+arm IIIA 0.(2 S1 2.$0


32/70

$ +i%arti, S.+arm IIIA 0.(2 S1 2.$0

2ka Ze#mitha, Amd.+ar II 0.2 D( 2.00

# *idha )uli#tia I#hak IIA 0.22 SA 1.00

1 *i#tia Marelu, S$M IIIA 0.(2 S1 2.$0

2 Melti Du%ggio, S$M IIIA 0.(2 S1 2.$0( *afika Saleh, S$M IIIA 0.(2 S1 2.$0

" "urbaeti JS, S$M IIIA 0.(2 S1 2.$0

$ *u#li -adu IIB 0.2" SA 1.00

1 Moh. )ami% Alim, AMG IIIA 0.(2 D( 2.00

2 )uli%da&ati Dj. Maku, AMG IIIA 0.(2 D( 2.00

( )uya% *o#a, AMG IID 0.2! D( 2.00

" Abdul A'i# Mukmi%, AMG IID 0.2! D( 2.00

$ "ur%a%i%g#ih I#a, AMG IID 0.2! D( 2.00

)u%ita Ma#ilu, AMG II 0.2 D( 2.00

# Safria Iyabu, AMG II 0.2 D( 2.00! Juli# $ai, AMG II 0.2 D( 2.00

1 Marba&i SA. Zakaria, Amd. +i# IID 0.2! D( 2.00

1 A%di Pa#i%ri%gi Amd.*ad. IID 0.2! D( 2.00

2 Ha#%a, Amd.*ad. II 0.2 D( 2.00

( 2r%y Dahla%, A.Md.*ad II 0.2 D( 2.00

" Pra%ita *ahma%, A.Md.(ek.*ad II 0.2 D( 2.00

1 Muh. Jafar, Amd.(em. IID 0.2! D( 2.00

1 i&iek Ha%daya%i, A%ake# II 0.2 D( 2.00

2 +irma% IIB 0.2" SA 1.00

JUMAH


33/70

PEMBA2IAN 1ONOR JASA PELAANAN

BERDASAR0AN REMUNERASI PUS0ESMAS PAN2I

TA1UN &"+"

JASA PELAANAN PERIODE JANUARI &""! s4d DESEMBER &""

NO NAMAMASA 0ERJA 0OMPETENSI PENDIDI



Japel Pela'a*a* Paramed+&/dll 0;II J%mla I*dek& Med+&


1 dr. M. Jamal, MPH, AAAK IIID E8F S2? E8F

2 dr. %&l'ara&, S.Ked III E8F dr E8F

( dr). E*da*) S%l+&t'or+*+,SKG P E8F dr) E8F

" H%&a+* Sa%d IIIB E8F SPK E8F

$ A&*+ a&e*a IIIB E8F B+da* D1 E8F

Har'o*o M%&a IIIA E8F SPK E8F

# De'l+ e*)ko*) IIB E8F B+da* D1 E8F

! 3ola*da Kel%*) IIA E8F SPK E8F

- Mar'am +malo IIA E8F SA E8F

10 A&tr+ 3%*+ta IIA E8F SPK E8F

11 Har&o*o II E8F D( G+7+ E8F

12 8ell' Dat%*&ola*) IID E8F D( Ke&l+*) E8F

1( 3e&t+ Sa*d' 3o&e4, Amd.Kep II E8F D( Kep E8F

1" Ida Popo', Amd, Ke II E8F D( B+da* E8F

1$ Sr+ 3%la*d+ Noo, SKM IIIA E8F S1Ke&ma& E8F1 No*+ Adam IIA E8F SMA E8F

1# 3am+* Al+% K E8F SMP E8F

1! Norma* Ko+ K E8F SMA E8F

1- Ela* ad6ak K E8F SMA E8F

20 Melda 3ad6+tala K E8F SMA E8F


34/70

JUMLA1

Kepala P%&k

d-. M. Ja

NIP +"


35/70

AN BOBOT TAN22 0INERJA RE6ARD PUNIS1ME SUBSIDI

IND 0ERJA JA6AB 0UANT IND 0UAL IND PAJA0

-.0 1.00 B 1.2$

-.0 0.-0 B 1.2$

-.0 0.-0 B 1.2$

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-.0 0.#$ B 1.2$

-.0 0.#$ B 1.2$-.0 0.#$ B 1.2$

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36/70

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37/70

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38/70

-.0 0.#$ 1.2$

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39/70

AN BOBOT TAN22 0INERJABONUS PEN2URAi

SUBSIDI

IND 0ERJA JA6AB 0UANT 0UAL PAJA0

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

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E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.00$

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

E8F E8F (0.0 "0.0 0.00 0.000

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40/70

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41/70

JASA PEA3ANAN G. 1 &/d (1 Maret 200 PINDE JASA PELAANAN PP1 JUMLA1

TOTAL Medis Pa-a (edis d## Rp " DITERIMAp (,200,000

p ",!00,000

p @ p @

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20.01 p 2$#,($( p @ p 1-,(01 p 2(!,0$2

1-.!- p 2$$,!10 p @ p 1-,1! p 2(,2"

1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-

1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-

1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-

1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-

1-.!" p 2$$,1# p @ p 1-,1(# p 2(,02-

1!.2$ p 2(",#1# p @ p @ p 2(",#1#

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1!.01 p 2(1,(1 p @ p @ p 2(1,(1

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42/70

12.01 p 1$","( p @ p @ p 1$","(

12.01 p 1$","( p @ p @ p 1$","(

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43/70

p ",!00,000

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1#."- p 22",-"( p @ p @ p 22",-"(1#."# p 22",! p @ p @ p 22",!

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p (,200,000

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46/70

7RE9 7RE9 7RE9 7RE9

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Be*daara H+a

1 a - s * n *

NIP +$!"&$ &"""+


47/70

EI:DEC JANUAI &/d PEBUAI 2011TANDA

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51/70

PEMBULATANTANDA

TAN2AN

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52/70

2010

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53/70

PEMBA2IAN 1ONOR JASA PELAANAN STA MANAJEMEN


TA1UN &"++


MANAJEMEN





III

J%mla I*dek&

1 +itrie (ariga%, S. Ikom IIIA 0.(2 S1 2.$0

2 Adi#ti M. -otutihe, S2 IIIA 0.(2 S1 2.$0

( 2kie Potale, S2 IIIA 0.(2 S1 2.$0

" Helmi $arim, Amd II 0.2 D( 2.00

$ *ita (aha IIB 0.2" SA 1.00

I#&a%di Daud IIB 0.2" SA 1.00

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