DATA UMUM

PENERIMAAAN UANG KAPITASI JKN

BULAN MEI
TAHUN 2016
UANG YANG DITERIMA Rp 30,335,500
JUMLAH HARI KERJA 20

JUMAH INDEK KESELURUHAN

JUMLAH UANG PER INDEK Rp.

MEI 2016
PUSKESMAS SEKADAU
TANGGAL 31 MEI 2016

KEPALA PUSKESMAS
WILHELMUS PRANSEDA 19690927 199303 1 004

BENDAHARA
IMELDA TAE 19870309 200903 2 002
MEI 2016
 DAFTAR HADIR
RAPAT PEGAWAI PUSKESMAS SEKADAU
TANGGAL, APRIL 2016

NAMA NIP JABATAN TTD

1 WILHELMUS PRANSEDA, A.Md.Kep 19711118 199603 1 004 Kepala Puskesmas

2 FATIMAH, A.Md.Keb. 19591005 1983072 001 Bidan Penyelia

3 dr. RANTO Y. MANURUNG 19780512 200604 1 014 Dokter Puskesmas

4 SUHARTINI Br. MARPAUNG 19720410 199203 2 004 Perawat Penyelia

5 SRI NURHAYATI 19730613 199303 2 004 Bidan Penyelia

6 M. SABRI AR. 19661203 198603 1 003 Staf Tata Usaha

7 JULIADI 19620726 198603 1 011 Staf Tata Usaha

8 dr. BILMA RIASARI GUSPA 19820806 201101 2 006 Dokter Puskesmas

9 HERNITA, A.Md.KG 19791215 200312 2 008 Nutrisionis Lanjutan

10 NURAINI 19700515 199203 2 005 Staf Tata Usaha

11 R E N D R A, A.Md.Kep 19780725 200604 1 007 Perawat Pelaks. Lanjutan

12 MELINDA HANURA,A.Md.Kep 19870416 201001 2 021 Perawat Pelaks. Lanjutan

Perawat Pelaksana
13 RINA SETIAWATI,A.Md.Kep 19871202 201001 2 007 Lanjutan
14 drg. ISTER NOVITAWATI 19850613 201503 2 001 Dokter Gigi

15 NOVITA SARAGIH, S.Farm.Apt 19901102 201503 2 001 Apoteker

Perawat Pelaksana
16 YULIADI 19740425 199503 1 001 Lanjutan
17 ASTERIA HENI 19870810 200903 2 001 Perawat Pelaksana

18 ENDAH RAHMAENI,A.Md.Far. 19860511 200803 2 001 Farmasi Pelaksana

19 IMELDA TAE, A.Md.Keb 19870309 200903 2 002 Bidan Pelaksana

20 DESI SUSANTI, A.Md.Kep 19870309 200903 2 003 Perawat Pelaksana

21 MIAN DAMIANUS, A.Md.Kep 19710808 199603 1 005 Perawat Pelaksana

22 OLIVIA, A.Md.Keb 19760815 200604 2 033 Bidan Pelaksana

23 ALBINA, A.Md.Keb 19690417 200604 2 014 Bidan Pelaksana

24 FAJRIA NUBIASIH, A.Md.KL 19860327 201001 2 016 Sanitasi Pelaksana

25 EVA KUMALASARI 19751204 200604 2 002 Pranata Lab.Kes Pelaksana

 NAMA NIP JABATAN TTD

26 PANCE KATERINA SINAGA, A.Md.Kep 19850220 201001 2 014 Perawat Pelaksana

27 ETIK WAHYUNI, A.Md.Kep 19791020 201001 2 014 Perawat Pelaksana

28 RR EMA AGUS SETYAWATI, A.Md.KG 19880327 201001 2 005 Perawat Gigi Pelaksana

29 DEASY, A.Md.Kep 19850701 201101 2 006 Perawat Pelaksana

30 SISWATI, A.Md.Keb 19760215 200604 2 027 Bidan Pelaksana

31 FERONIKA LINDA, A.Md.Keb 19760917 200604 2 023 Bidan Pelaksana

32 ENDANG TRIMAYASARI, A.Md.Keb 19761027 200604 2 019 Bidan Pelaksana

33 YULITASRI HANDAYANI 19820825 200604 2 010 Farmasi Pelaksana

34 AGUSTINUS SYAHRUL 19800801 200803 1 001 Perawat Pelaksana

35 ERIYA RISNAWATI, A.Md.Kep 19860316 201403 2 001 Perawat Pelaksana

36 AGRESIA, A.Md.Keb 19900825 201403 2 003 Bidan Pelaksana

37 MIELDA JUMARIA, A.Md.Keb 19890505 201403 2 001 Bidan Pelaksana

38 RITA PUJI LESTARI, A.Md.Keb 19890910 201503 2 001 Bidan Pelaksana

39 Ab. Eggi Sahari Honda

40 Katarina Sus Honda

41 Akbar rais Honda

42 Ratnawat Honda

43 Megawat Sumarni Honda

44 Artur Karbil R S Honda

45 Rini Karyat Honda

46 Herkulana PTT

47 Juniart PTT

49 Winayuna PTT

51 Roslina Manurung PTT

52 GC Ilmi PTT

53 Kikit Emerensiana Honda

54 Elisabet Laura Sara PTT

 NAMA NIP JABATAN TTD

55 Suhami Honda

56 Novi R Honda

57 Regina Honda

58 Afriyani Honda

59 Christna Megawat Honda

60 Agus Mansyah Honda

Mengetahui,
Kepala Puskesmas Sekadau

WILHELMUS PRANSEDA, Amd.Kep

NIP. 19711118 199603 1 004
 NAMA NIP JABATAN TTD

VARIABEL KETENAGAAN POIN

MEDIS 150
APOTEKER, NERS 100
NERS 100
NAKES S1 80
NAKES D4 80
NAKES D3 60
NON KESEHATAN D3 50
ASISTEN NAKES 50
NON KESEHATAN DIBAWAH D3 25

VARIABEL MASA KERJA POIN

0 0
1 0
2 0
3 0
4 0
5 5
6 5
7 5
8 5
9 5
10 5
11 10
12 10
13 10
14 10
15 10
16 15
17 15
18 15
19 15
20 15
21 20
22 20
23 20
NAMA NIP JABATAN TTD

24 20
25 20
26 25
27 25
28 25
29 25
30 25
31 25
32 25
33 25
34 25
35 25
36 25
37 25
38 25
39 25
40 25
41 25
42 25
43 25
44 25
45 25
46 25
47 25
48 25
49 25
50 25
 DAFTAR PEMBAGIAN
RAPAT PEGAWAI PUS
BULAN M

RANGKAP
JENIS
N0 NAMA JABATAN KETENAGAAN MASA KERJA TUGAS
ADMINISTRASI

1 FATIMAH, A.Md.Keb. Bidan Penyelia Err:509 Err:509 Err:509

dr. RANTO Y. MANURUNG
2 Dokter Puskesmas Err:509 Err:509 Err:509
SUHARTINI Br. MARPAUNG
3 Perawat Penyelia Err:509 Err:509 Err:509

4 SRI NURHAYATI Bidan Penyelia Err:509 Err:509 Err:509

5 M. SABRI AR. Staf Tata Usaha Err:509 Err:509 Err:509

6 JULIADI Staf Tata Usaha Err:509 Err:509 Err:509

7 dr. BILMA RIASARI GUSPA Dokter Puskesmas Err:509 Err:509 Err:509

8 Err:509 Err:509 Err:509 Err:509 Err:509

9 HERNITA, A.Md.KG Nutrisionis Lanjutan Err:509 Err:509 Err:509

10 NURAINI Staf Tata Usaha Err:509 Err:509 Err:509

11 R E N D R A, A.Md.Kep Perawat Pelaks. Lanjutan Err:509 Err:509 Err:509

12 MELINDA HANURA,A.Md.Kep Perawat Pelaks. Lanjutan Err:509 Err:509 Err:509

13 RINA SETIAWATI,A.Md.Kep Perawat Pelaksana Lanjutan Err:509 Err:509 Err:509

14 drg. ISTER NOVITAWATI Dokter Gigi Err:509 Err:509 Err:509

15 NOVITA SARAGIH, S.Farm.Apt Apoteker Err:509 Err:509 Err:509

16 YULIADI Perawat Pelaksana Lanjutan Err:509 Err:509 Err:509

17 ASTERIA HENI Perawat Pelaksana Err:509 Err:509 Err:509

18 ENDAH RAHMAENI,A.Md.Far. Farmasi Pelaksana Err:509 Err:509 Err:509

19 IMELDA TAE, A.Md.Keb Bidan Pelaksana Err:509 Err:509 Err:509

20 DESI SUSANTI, A.Md.Kep Perawat Pelaksana Err:509 Err:509 Err:509

MIAN DAMIANUS, A.Md.Kep
21 Perawat Pelaksana Err:509 Err:509 Err:509

22 OLIVIA, A.Md.Keb Bidan Pelaksana Err:509 Err:509 Err:509

 RANGKAP
JENIS
N0 NAMA JABATAN KETENAGAAN MASA KERJA TUGAS
ADMINISTRASI

ALBINA, A.Md.Keb
23 Bidan Pelaksana Err:509 Err:509 Err:509

24 FAJRIA NUBIASIH, A.Md.KL Sanitasi Pelaksana Err:509 Err:509 Err:509

25 EVA KUMALASARI Pranata Lab.Kes Pelaksana Err:509 Err:509 Err:509

PANCE KATERINA SINAGA, A.Md.Kep
26 Perawat Pelaksana Err:509 Err:509 Err:509
ETIK WAHYUNI, A.Md.Kep
27 Perawat Pelaksana Err:509 Err:509 Err:509
RR EMA AGUS SETYAWATI, A.Md.KG
28 Perawat Gigi Pelaksana Err:509 Err:509 Err:509
DEASY, A.Md.Kep
29 Perawat Pelaksana Err:509 Err:509 Err:509
SISWATI, A.Md.Keb
30 Bidan Pelaksana Err:509 Err:509 Err:509
FERONIKA LINDA, A.Md.Keb
31 Bidan Pelaksana Err:509 Err:509 Err:509
ENDANG TRIMAYASARI, A.Md.Keb
32 Bidan Pelaksana Err:509 Err:509 Err:509

33 YULITASRI HANDAYANI Farmasi Pelaksana Err:509 Err:509 Err:509

34 AGUSTINUS SYAHRUL Perawat Pelaksana Err:509 Err:509 Err:509

35 ERIYA RISNAWATI, A.Md.Kep Perawat Pelaksana Err:509 Err:509 Err:509

36 AGRESIA, A.Md.Keb Bidan Pelaksana Err:509 Err:509 Err:509

37 MIELDA JUMARIA, A.Md.Keb Bidan Pelaksana Err:509 Err:509 Err:509

38 RITA PUJI LESTARI, A.Md.Keb Bidan Pelaksana Err:509 Err:509 Err:509

39 Ab. Eggi Sahari Honda Err:509 Err:509 Err:509

40 Katarina Sus Honda Err:509 Err:509 Err:509

41 Akbar rais Honda Err:509 Err:509 Err:509

42 Ratnawat Honda Err:509 Err:509 Err:509

43 Megawat Sumarni Honda Err:509 Err:509 Err:509

44 Artur Karbil R S Honda Err:509 Err:509 Err:509

45 Rini Karyat Honda Err:509 Err:509 Err:509

46 Herkulana PTT Err:509 Err:509 Err:509

 RANGKAP
JENIS
N0 NAMA JABATAN KETENAGAAN MASA KERJA TUGAS
ADMINISTRASI

47 Juniart PTT Err:509 Err:509 Err:509

48 Winayuna PTT Err:509 Err:509 Err:509

49 Roslina Manurung PTT Err:509 Err:509 Err:509

50 GC Ilmi PTT Err:509 Err:509 Err:509

51 Kikit Emerensiana Honda Err:509 Err:509 Err:509

52 Elisabet Laura Sara PTT Err:509 Err:509 Err:509

53 Suhami Honda Err:509 Err:509 Err:509

54 Novi R Honda Err:509 Err:509 Err:509

55 Regina Honda Err:509 Err:509 Err:509

56 Afriyani Honda Err:509 Err:509 Err:509

57 Christna Megawat Honda Err:509 Err:509 Err:509

58 Agus Mansyah Honda Err:509 Err:509 Err:509

59 Err:509 Err:509 Err:509 Err:509 Err:509

60 Err:509 Err:509 Err:509 Err:509 Err:509

KEPALA FKTP SEKADAU

WILHELMUS PRANSEDA
NIP. 19690927 199303 1 004

PEMBAGIAN BERDASARKAN PERMENKES NOMOR 21 TAHUN 2016

 RANGKAP
JENIS
N0 NAMA JABATAN KETENAGAAN MASA KERJA TUGAS
ADMINISTRASI
TAR PEMBAGIAN DANA KAPITASI JKN
PAT PEGAWAI PUSKESMAS SEKADAU
BULAN MEI 2016

KEHADIRAN
TANGGUNG JAWAB JUMLAH
JML HARI JUMLAH UANG YANG
PROGRAM YANG JUMLAH POINT JML HARI PERSENTASE KESELURUHAN TANDA TANGAN
MASUK DITERIMA
DIPEGANG KERJA KEHADIRAN POINT
KERJA

Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509

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 KEHADIRAN
TANGGUNG JAWAB JUMLAH
JML HARI JUMLAH UANG YANG
PROGRAM YANG JUMLAH POINT JML HARI PERSENTASE KESELURUHAN TANDA TANGAN
MASUK DITERIMA
DIPEGANG KERJA KEHADIRAN POINT
KERJA

Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509

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 KEHADIRAN
TANGGUNG JAWAB JUMLAH
JML HARI JUMLAH UANG YANG
PROGRAM YANG JUMLAH POINT JML HARI PERSENTASE KESELURUHAN TANDA TANGAN
MASUK DITERIMA
DIPEGANG KERJA KEHADIRAN POINT
KERJA

Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509

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Err:509 Err:509

SEKADAU, 31 MEI 2016

BENDAHARA FKTP

IMELDA TAE
NIP. 19870309 200903 2 002
KETERANGAN
KETERANGAN
 KETERANGAN

2016
KTP

03 2 002
 Kode Rekening : 1.02.1.02.01.161.2
Tahun Anggaran : 2014

KUITANSI

Sudah Terima Dari : Kepala FKTP Sekadau

Besarnya Uang : #NAME?

Untuk Pembayaran : Jasa Dan Pelayanan Program Upaya Kesehatan Masyarakat dan Penanggulangan
masalah Kesehatan di FKTP Sekadau bersumber dana Kapitasi Bulan MEI 2016
dengan rincian terlampir

Rp Err:509

Lunas Dibayar
Pada tanggal :

Bendahara JKN
Puskesmas Sekadau

RENDRA
NIP.19780725 200604 1 007

Mengetahui : Sekadau, 31 MEI 2016

Pejabat Pelaksana Teknis Kegiatan KEPALA DINAS KESEHATAN Yang Menerima
Kepala FKTP Sekadau KABUPATEN SEKADAU

WILHELMUS PRANSEDA Dr. WIRDAN MAHZUMI, M.Kes WILHELMUS PRANSEDA

NIP. 19690927 199303 1 004 NIP. 19611017 199503 1 001 NIP. 19690927 199303 1 004