Draf RKA

RENCANA KERJA DAN ANGARAN
SATUAN KERJA PERANGKAT DAERAH

PEMERINTAH KABUPATEN OGAN ILIR
Tahun Anggaran 2016
Urusan Pemerintah
Bidang Pemerintahan
Unit Organisasi
Sub Unit Organisasi
Program
Kegiatan
Lokasi Kegiatan
Jumlah Tahun n-1
Jumlah Tahun n
Jumlah Tahun n+1
:
:
:
:
:
:
:
:
:
:
INDIKATOR
MASUKAN
KELUARAN
HASIL
Kelompok Sasaran Kegiatan
KODE
REKENING
1
1.02.
1.02.
1.02.
1.02.
1.02.
1.02
1.02.02
1.02.02.01
1.02.02.01.26
1.02.02.01.26. 19
Urusan Wajib
Kesehatan
Rumah Sakit Umum Daerah Ogan Ilir
Program Pengadaan, Peningkatan Sarana dan Prasarana Rumah Sakit / Rumah Sakit Jiwa / Rumah Sakit Paru-Paru/ Rumah Sakit Mata
Pengadaan Obat-Obatan Rumah Sakit
INDIKATOR DAN TOLAK UKUR KINERJA BELANJA LANGSUNG

TOLAK UKUR KINERJA
TARGET KINERJA
Jumlah Dana
Rp. 2.100.000.000
Tersedianya Obat-Obatan Rumah Sakit
1 Tahun
Terpenuhinya Kebutuhan Obat Rumah Sakit
100%
:
RINCIAN ANGGARAN BELANJA LANGSUNG MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAH
RINCIAN PERHITUNGAN
URAIAN
Volume
Satuan
BELANJA
BELANJA LANGSUNG
Belanja Barang dan Jasa
1
2
3
4
5
Pengadaan Obat-Obatan Rumah Sakit

- air untuk injeksi amp 25 mL
- akarbose tab 50 mg
- albendazol tab 400 mg
- alopurinol tab 100 mg
- alprazolam tab 0,5 mg
5,000
3,500
500
25,000
2,500
Vial
Tablet
Tablet
Tablet
Tablet
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
alprazolam tab 1 mg
Ambroxol syr 15 mg/ml
Ambroxol tab 30mg
amfoterisin B salep mata 1%
amilorid tab 5 mg
aminofilin inj 24 mg/mL
aminofilin tab 200 mg
amiodaron inj 150 mg/3 mL
amiodaron tab 200 mg
amitriptilin tab sal 25 mg
amlodipin tab 10 mg
amlodipin tab 5 mg
amoksisilin sir kering 125 mg/5 mL
amoksisilin tab 250 mg
amoksisilin kaplet 500 mg
antasida suspensi
antasida tab kunyah
Antibakteri, kombinasi : basitrasin 500 UI/g + polimiksin B 10.000 UI/g Salep
antihemoroid Supp Kombinasi
antimalaria kombinasi : Sulfadoksin 500 mg + pirimetamin 25 mg
artemether inj 80 mg/mL
artesunat serb inj 60 mg/mL (i.v./i.m.)
asam asetilsalisilat (asetosal) tab 100 mg
asam asetilsalisilat (asetosal) tab 80 mg
asam askorbat (vitamin C) tab 250 mg
asam askorbat (vitamin C) tab 50 mg
asam folat tab 1 mg
asam fusidat krim 3%
asam mefenamat 500mg
asam pipemidat kaps 400 mg
asam salisilat lar 0,1%
asam salisilat salep 5%
asam traneksamat inj 100 mg/mL
asam traneksamat tab 500 mg
asiklovir tab 400 mg
2,500
2,000
15,000
100
100
200
3,000
75
1,000
10,000
5,000
10,000
1,500
15,000
20,000
5,000
30,000
250
500
1,000
60
30
10,000
15,000
1,500
5,000
10,000
1,500
45,000
2,000
50
50
1,500
5,000
5,000
Tablet
Botol
Tablet
Tube
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tablet
Tablet
Botol
Kapsul
Kaplet
Botol
Tablet
Tube
Suppositoria
Tablet
Ampul
Vial
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Kaplet
Kapsul
botol
Tube
Ampul
Tablet
Tablet
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
asiklovir krim 5%
atapulgit tab 600mg
atenolol tab 50 mg
atropin inj 0,25 mg/mL
atropin tab 0,5 mg
azitromisin tab 500 mg
bahan tumpatan sementara lar, serb( A1, A2, A3, A3,5)
bedak salisil serb 2%
betahistin
betametason krim 0,1%
betametason tts mata 1 mg/mL
bisakodil sup 10 mg
bisakodil tab sal 5 mg
bisoprolol tab 5 mg
bromokriptin tab 2,5 mg
budesonid ih 200 mcg/dosis
citicholine inj 250 mg
citicholine inj 500 mg
citicholine tab 500 mg
coal tar lar 5 %
copper T set/buah
deksametason inj 5 mg/mL
deksametason tab 0,5 mg
desoksimetason krim 0,25% tube 5 gr
devitalisasi pasta (non arsen)
diazepam inj 5 mg/mL (i.v.)
diazepam lar rektal 5 mg/2,5 mL
diazepam tab 2 mg
diazepam tab 5 mg
dietilkarbamazin tab 100 mg
difenhidramin inj 10 mg/mL (i.v./i.m.)
digoksin tab 0,25 mg
diltiazem HCl inj 5 mg/5 mL
diltiazem HCl tab 30 mg
diltiazem kaps SR 100 mg
250
2,500
2,000
500
2,000
1,000
8
500
8,000
500
30
100
1,000
1,000
50
50
500
1,000
10,000
30
10
1,000
10,000
250
2
500
500
2,000
1,000
1,500
1,000
3,000
100
2,000
1,500
Tube
Tablet
Tablet
Ampul
Tablet
Tablet
syringe
Kotak
Tablet
Tube
Botol
Suppositoria
Tablet
Tablet
Tablet
unit
Ampul
Ampul
Tablet
Botol
set
Ampul
Tablet
Tube
Botol
Ampul
tube
Tablet
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
diltiazem kaps SR 200 mg

diltiazem tab 30 mg
dimenhidrinat tab 50 mg
dobutamin inj 50 mg/mL
doksisiklin kaps 100 mg
domperidon susp 5 mg/5 mL
domperidon tab 10 mg
dopamin inj 40 mg/mL
efedrin inj 50 mg/mL
epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.)
ergokalsiferol (vitamin D2) kaps 50.000 UI
ergokalsiferol (vitamin D2) susp 10.000 UI/mL
ergotamin tab 1 mg
eritromisin kaps 250 mg
eritromisin sir 200 mg/5 mL
etambutol tab 250 mg
etanol 70% 1 liter
etil klorida semprot 100 mL
fenitoin Na kaps 100 mg
fenobarbital tab 30 mg
fenofibrat kaps 100 mg
fenoterol HBr aerosol 100 mcg/puf
ferro fumarat kaps lunak 300 mg
ferro sulfat tab salut 300 mg
fitomenadion (vitamin K 1) inj 2 mg/mL (i.m.)
fitomenadion (vitamin K 1) tab sal 10 mg
flufenazin inj 25 mg/mL (i.m.)
flukonazol inj 2 mg/mL
flukonazol kaps 150 mg
flunarizin 5 mg
fluoksetin kaps 10 mg
fluor kapl 1 mg
fluor tab 0,5 mg
flusinolon asetonid krim 0,025%
flutikason furoat intranasal spray
1,500
500
3,000
50
5,000
300
5,000
50
200
200
100
30
2,000
5,000
150
500
600
100
5,000
5,000
3,000
50
1,500
3,000
600
5,000
25
50
150
1,500
1,500
100
100
100
30
Tablet
Tablet
Tablet
vial
Tablet
Botol
Tablet
ampul
Ampul
Ampul
Kapsul
Botol
Tablet
Kapsul
Botol
Tablet
Botol
Botol
Tablet
Tablet
Kapsul
Box
Kapsul
Tablet
Ampul
Tablet
Ampul
Ampul
Kapsul
Tablet
Kapsul
Tablet
Tablet
Tube
botol
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
furosemid inj 10 mg/mL (i.v./i.m.)

furosemid tab 40 mg
Gabapentin 300mg
garam oralit kombinasi
gemfibrozil kaps 300 mg
gentamisin inj 40 mg/mL
gentamisin tts mata 0,3%
glass ionomer ART set
glibenklamid tab 5 mg
gliklazid tab 80 mg
glikuidon tab 30 mg
glimepirid tab 1 mg
glimepirid tab 2 mg
glipizid tab 5 mg
gliseril trinitrat kaps SR 2,5 mg
gliseril trinitrat kaps SR 5 mg
glucosamin 500mg
griseofulvin (micronized) tab scored 250 mg
gutta percha dan paper points 15 - 40 mm
gutta percha dan paper points 45 - 80 mm
haloperidol tab 1,5 mg
haloperidol tab 5 mg
hidrogen peroksida cairan 3%
hidroklorotiazid tab 25 mg
hidrokortison krim 1%
hiosina butilbromida inj 20 mg/mL
hiosina butilbromida tab 10 mg
human insulin long acting
human insulin mix insulin
human insulin short acting
ibuprofen sir 100 mg/5 mL
ibuprofen tab 400 mg
imidapril tab 5 mg
ipratropium bromida ih padat 20 mg
ipratropium bromida nebulizer 0,025%
300 Ampul
5,000 Tablet
1,000 Kapsul
7,000 Sachet
2,500 Kapsul
1,000 vial
150 botol
6 set
7,000 Tablet
1,500 Tablet
1,000 Tablet
800 Tablet
2,000 Tablet
1,000 Tablet
100 Kapsul
100 Tablet
4,000 Kaplet
200 Tablet
6 Kotak
6 Kotak
2,000 Tablet
1,000 Tablet
175 Botol
1,500 Tablet
250 Tube
200 ampul
2,000 Tablet
100 plexpen
75 plexpen
100 plexpen
150 Botol
5,000 Tablet
3,000 Tablet
20 Box
75 Box
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
irbesartan tab 150 mg

isoniazid tab 100 mg
isoniazid tab 300 mg
isosorbid dinitrat inj 10 mg/10 mL (i.v.)
isosorbid dinitrat tab 5 mg
kalium aspartat tab 300 mg
kalium klorida tab 600 mg
kalsium glukonat inj 100 mg/mL
kalsium hidroksida bubuk, pasta
kalsium karbonat tab 500 mg
kalsium laktat (kalk) tab 500 mg
kandesartan tab 16 mg
kandesartan tab 8 mg
kaptopril tab 12,5 mg
kaptopril tab 25 mg
kaptopril tab 50 mg
karbamazepin tab 200 mg
karbogliserin tts telinga 10 %
ketokonazol tab 200 mg
ketokonazol krim 2% 5 gr
ketoprofen sup 100 mg
ketorolak inj 30 mg/mL
klindamisin kaps 150 mg
klindamisin kaps 300 mg
klobazam tab 10 mg
klomifen sitrat tab 50 mg
klonidin tab 0,15 mg
klopidogrel tab 75 mg
kloramfenikol tts mata 1%
Kloramfenikol tts telinga
kloramfenikol kaps 250 mg
kloramfenikol salep kulit 2%
kloramfenikol salep mata 1%
kloramfenikol susp 125 mg/5 mL
klorfeniramin (CTM) tab 4 mg
5,000
500
500
200
7,000
2,000
5,000
75
12
5,000
2,000
3,000
3,000
10,000
7,000
250
800
150
5,000
300
500
2,000
3,000
3,000
5,000
100
3,000
5,000
300
300
1,000
250
300
500
20,000
Tablet
Tablet
Tablet
Box
Tablet
Tablet
Tablet
Box
Box
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
botol
Tablet
Tube
Suppositoria
ampul
kapsul
kapsul
Tablet
Tablet
Tablet
Tablet
botol
Botol
kapsul
Tube
Tube
Botol
Tablet
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
klorfenol kamfer mentol (CHKM)

klorpromazin tab 25 mg
klorpromazin tab sal 100 mg
kodein tab 10 mg
kolekalsiferol (vitamin D3) kaps lunak 0,25 mcg
koloid HES BM 130 000 lar inf 6%
kombinasi : benserazid 25 mg + levodopa 100 mg tab (Antiparkinson)
kombinasi : ergotamin 1 mg + kafein 50 mg (antimigren)
kombinasi : ferro sulfat 200 mg + asam folat 0,25 mg
kombinasi : ipratropium bromida 0,5 mg + salbutamol 2,5 mg Solution 0,025%
kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg
kombinasi : medroksi progesteron asetat + estradiol sipionat inj depot 25 mg + 5 mg
kombinasi: kaolin 550 mg + pektin 20 mg
Kombinasi : Parafin + Gliserin + Fenoltalein(Laxadine)
kotrimoksazol 480 mg
kotrimoksazol susp 240 mg
kuinin inj 25% (i.v.)
kuinin tab 200 mg
laktulosa sir 3,335 g/5 mL
lansoprazol inj 30 mg/mL
lansoprazol kaps 30 mg
levofloksasin inf 5 mg/mL
levofloksasin tab 500 mg
levotiroksin tab 100 mcg
lidokain cairan semprot 10%
lidokain gel 2%
lidokain HCl 2% + epinefrin 1 : 80.000 inj 2 mL
lidokain inj 2% (HCl)
lisinopril tab 10 mg
lisinopril tab 5 mg
loperamid tab 2 mg
lorazepam tab 2 mg
magnesium sulfat inj 40%
manitol lar infus 20%
meloxicam 7,5mg
6
100
200
2,500
2,000
50
2,500
3,000
5,000
100
200
150
Botol
Tablet
Tablet
Tablet
kapsul
Botol
Tablet
Tablet
Tablet
vial
Tablet
vial
5,000 Tablet
500 Botol
15,000 Tablet
500 Botol
20 Ampul
300 Tablet
100 Botol
300 Ampul
10,000 kapsul
100 botol
1,500 Tablet
1,000 Tablet
30 botol
250 syringe
10,000 Ampul
10,000 Ampul
3,000 Tablet
7,000 Tablet
5,000 Tablet
500 Tablet
200 ampul
150 Botol
10,000 Tablet
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
Meloxicam 15mg
metformin tab 500 mg
metilergometrin inj 0,2 mg/mL
metilergometrin tab salut 0,125 mg
metilprednisolon inj 125 mg/vial
metilprednisolon tab 4 mg
metoklopramid inj 5 mg/mL
metoklopramid sir 5 mg/5 mL
metoklopramid tab 5 mg
metronidazol lar inf 5 mg/mL
metronidazol ovula 500 mg
metronidazol tab 500 mg
mikonazol krim 2%
n-asetil sistein kaps 200 mg
natrium bikarbonat inj 8,4% (i.v.)
natrium diklofenak tab 25 mg
natrium diklofenak tab 50 mg
natrium fusidat krim 20 mg/g
nifedipin kaps 10 mg
nifedipin tab SR 30 mg
nistatin susp 100.000 UI/mL
nistatin tab salut 500.000 UI
norepinefrin inj 1 mg/mL
ofloksasin tts telinga 3%
oksimetazolin tts hidung 0,025%
oksitosin inj 10 UI/mL
olopatadin tts mata 0,1%
omeprazol inj 40 mg/10 mL
omeprazol kaps 20 mg
ondansetron inj 4 mg/2 mL
ondansetron tab 4 mg
ondansetron tab 8 mg
parasetamol drips (infus) 1000 mg/100 mL
parasetamol sir 120 mg/5 mL
Parasetamol supp
10,000
10,000
250
1,000
75
15,000
300
100
5,000
300
250
15,000
250
1,500
100
15,000
15,000
50
500
13,000
250
700
75
100
50
5,000
75
100
10,000
3,000
5,000
5,000
Tablet
Tablet
Ampul
Tablet
Vial
Tablet
Ampul
Botol
Tablet
Botol
Ovula
Tablet
Tube
kapsul
Tablet
Tablet
Tablet
Tube
kapsul
Tablet
Botol
Tablet
Ampul
Botol
Botol
Ampul
Botol
Ampul
kapsul
Ampul
Tablet
Tablet
100 Botol
3,000 Botol
300 Suppositoria
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
parasetamol tab 500 mg

parasetamol tts 60 mg/0,6 mL
perak sulfadiazin krim 1%
permetrin krim 5 %
piracetam inj 3 gr
piracetam tab 800 mg
piracetam 1200mg
pirantel pamoat susp 125 mg/5 mL
pirantel pamoat tab scored 125 mg
pirazinamid tab 500 mg
piridoksin (vitamin B6) tab 10 mg
Polikresulen cairan 10 ml
povidon iodin lar 100 mg/mL 1 liter
prednison tab 5 mg
Pregabalin
propiltiourasil tab 100 mg
propranolol tab 10 mg
propranolol tab 40 mg
ramipril tab 2,5 mg
ramipril tab 5 mg
ranitidin inj 25 mg/mL
ranitidin tab 150 mg
retinol (vitamin A) kaps lunak 100.000 UI
retinol (vitamin A) kaps lunak 200.000 UI
rifampisin kaps 300 mg
risperidon tab sal 2 mg
salbutamol nebules vial 2,5 mg
salbutamol tab 2 mg
salbutamol tab 4 mg
sefadroksil kaps 500 mg
sefadroksil sir kering 125 mg/5 mL
sefepim serb inj 1000 mg/vial
sefiksim sir 100 mg/5 mL
sefiksim tab 100 mg
sefotaksim serb inj 1.000 mg/vial
30,000
800
50
100
250
7,000
7,000
150
4,000
500
5,000
125
600
5,000
2,000
5,000
3,000
5,000
7,000
7,000
7,250
20,000
500
500
5,000
3,000
1,500
7,000
5,000
20,000
500
500
200
2,500
7,000
Tablet
Botol
Tube
tube
Ampul
Tablet
Tablet
Botol
Tablet
Tablet
Tablet
Botol
Botol @ 1000 ml
Tablet
tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
kapsul
kapsul
kapsul
kapsul
Tablet
Vial
Tablet
Tablet
kapsul
Botol
Vial
Botol
Tablet
Vial
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
seftazidim serb inj 1.000 mg/vial

seftriakson serb inj 1.000 mg/vial
setirizin tab 10 mg
setirizin sir 5 mg/5 mL
sianokobalamin (vitamin B12) inj 500 mcg/mL
sianokobalamin (vitamin B12) tab 50 mcg
simvastatin tab sal 10 mg
siprofloksasin inf 2 mg/mL
siprofloksasin tab scored 500 mg
spironolakton tab 25 mg
streptomisin serb inj 1000 mg/vial
sukralfat susp 500 mg/5 mL
sukralfat tab 500 mg
teofilin tab 150 mg
terazosin HCl tab 1 mg
terbutalin tab 2,5 mg
tetanus toxoid inj
tetrakain tts mata 0,5%
tetrasiklin kaps 250 mg
tiamazol tab 5 mg
tiamin (vitamin B1) tab 50 mg
tramadol inj 50 mg/mL
triamsinolon asetonid nasal spray 55 mcg/puf
triheksifenidil tab 2 mg
valproat sir 250 mg/5 mL
valproat tab SR 250 mg
valproat tab SR 500 mg
valsartan tab 80 mg
verapamil tab 80 mg
vitamin B kompleks tab
warfarin tab 1 mg
zinc sir 20 mg/5 mL
zinc tab disp 20 mg
zinc sir 10 mg/mL
bismecon gel
150
7,000
10,000
250
5,000
10,000
3,000
200
20,000
5,000
100
300
2,500
5,000
2,500
2,500
30
100
5,000
3,000
7,000
5,500
30
5,000
100
2,000
2,000
2,500
3,000
15,000
5,000
250
5,000
250
Vial
Vial
Tablet
Botol
Ampul
Tablet
Tablet
Botol
Tablet
Tablet
Vial
Botol
Tablet
Tablet
Tablet
Tablet
Vial
Botol
kapsul
Tablet
Tablet
Ampul
Botol
Tablet
Botol
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Botol
Tablet
Botol
500 Tube
321
322
323
- Glukosa 40%
- Gentamisin SK
- hemafort
400 Botol
250 Tube
8,000 Tablet
Pengadaan Bahan Medis Habis Pakai
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Syringe 1cc tuberculin 27G x "

Syringe disposable 3 cc x 23G x 1 "
Syringe disposable 5 cc x 22G x 1"
Syringe disposable 10 cc x 21G x 1"
Syringe 20 cc ec
Syringe 50 cc ec tip
Infus set Pediatric (60 drops/ml)
Infus set Dewasa (20 drops/ml)
Blood Transfusion set
Feeding Tube / NGT No.6 (100 cm)
Feeding Tube / NGT No. 8 (100 cm)
Feeding Tube / NGT No. 10 (100 cm)
Stomach Tube / NGT No. 12 (85 cm)
Stomach Tube / NGT No. 16 (85 cm)
Stomach Tube / NGT No 18
IV. Chateter No. 16
IV. Catheter No. 18
IV. Catheter No. 20
IV. Catheter No. 22
IV. Catheter No. 24
IV. catheter No. 26
Surgical Glove steril No. 6,5
Surgical Glove steril No. 7,5
Surgical Glove steril No. 8
Surgical Glove Non Steril size S
Surgical Glove Non Steril size M
Surgical Glove Non Steril size L
Folley Catheter 2 way No. 12
Folley catheter 2 way No. 16
200
250
150
25
2
2
5,000
5,000
100
100
200
200
100
200
200
500
500
3,000
3,000
5,000
1,000
2,000
2,000
1,000
50
75
75
20
20
Box/100
Box/100
Box/100
Box/100
Box/50
Box/20
bh
bh
bh
pcs
pcs
pcs
pcs
pcs
pcs
Bh
bh
bh
bh
bh
bh
psg
psg
psg
Box/100
Box/100
Box/100
Box/10
Box/10
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
Folley Catheter 2 way No. 18

Kapas Pembalut / absorben 250 gram
Kassa hydrophil 40 x 80 cm
Kassa pembalut 2 m x 80 cm
Kassa pembalut hydrophil 4 m x 15 cm
Kassa pembalut hydrophil 4 m x 3 cm
Kassa hydrophil steril 16 x 16 cm
Catgut Plain 3/0 + jarum 1/2 GT 35 mm
Catgut Plain 2/0 + jarum 1/2 GT 35 mm
Catgut Chromic 2/0 + jarum 1/2 GT 35 mm
Silk 2/0 + jarum 1/2 GT 35 mm
Silk 3/0 + jarum 1/2 GT 35 mm
Urine bag
Plester 7,50 cm x 4,5 m
Alkohol Swab
Glass Ukur 100mL
Antiseptic surgical hand scrub 500 cc + dispenser (Chlorhexidine)
IV. Dressing 67P
Plester Elastis (Elastis Perban) ukuran 10 cm x 4,55 m
Plester Plastik Waterprof
Suction chateter Fr. 8
wing needle 23 G
wing needle 25 G
wing needle 27 G
Disposable Needle 25 G x 1"
Disposable Needle 27 G x 1/2"
Scalpel Blade # 22
Scalpel Blade # 10
Sofratulle/ Bioplacenton Tulle
20
300
400
1,000
5,000
5,000
5,000
200
200
200
200
50
100
250
600
800
450
5
250
20
10
100
30
30
30
30
30
50
50
50
750
750
1
1
75
Box/10
roll
roll
roll
roll
roll
box/16
Box/24
Box/24
Box/24
Box/24
Box/24
Box/36
Box/36
bh
roll
Box/100
bh
botol
Box/100
roll
Pack
pcs
pcs
pcs
pcs
pcs
Bh
Bh
Bh
pcs
pcs
Box/100
Box/100
Box/10
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
Kondom Cateter
Kertas EKG
Cat gut Plain 2/0 Caset 100 M
Cat gut Plain 3/0 Caset 100 M
Cat gut Cromic 2/0 Caset 100 M
Cat gut Cromic 3/0 Caset 100 M
Silk 2/0 Caset 100 M
Silk 3/0 Caset 100 M
Larutan Clorin 1000 ml
Currasponge/ Spongostan
Cangkang Kapsul "00"
Cangkang Kapsul "0"
Cangkang Kapsul "1"
Pot Salep 10 cc
Pot Salep 15 cc
Pot Salep 20 cc
Pot Salep 30 cc
Pot Salep 40 cc
Surgical Mask Plus 3 Ply Plus Earloop
Gelang Identitas (pink, biru muda, orange, merah) dewasa
Gelang Identitas (pink, biru muda, orange, merah) anak
Apron plastik panjang (130 cm)
USG Gel botol 250 ml
Handscoon Panjang/Sarung Tangan Ginecology panjang
Handscoon Rumah Tangga
Umbilical Cord Klem Steril Nylon
Film Rontgen uk. 24x30
Film Rontgen uk. 30x40
Larutan Fixer 20 ltr
Larutan Devloper Reflenisher 20 ltr
Tissue Gulung
Nasal Oxygen Canula - child Straight
Nasal Oxygen Canula - Adult Straight
Tempat limbah tajam / Sharp container 7 liter
Larutan Steril ( Lysol) 1 liter
150
50
4
4
4
4
5
5
175
10
1
1
1
100
100
100
100
100
500
40
40
20
50
75
75
100
2
3
1
1
300
75
75
35
50
pcs
box
roll
roll
roll
roll
roll
roll
Botol
Box
Bks/1000
Bks/1000
Bks/1000
Bh
Bh
Bh
Bh
Bh
Box/50
Box/100
Box/100
Pack/25
botol
psg
psg
Box/50
Box/100
Box/100
Gallon
Gallon
Roll
pcs
pcs
Box
botol
Total
Formulir
RKA SKPD
2.2.1
kit Paru-Paru/ Rumah Sakit Mata
TARGET KINERJA
00.000
AERAH
TUNGAN
JUMLAH
(Rp)
Harga
Satuan
5
6
2,100,000,000
2,100,000,000
2,100,000,000
4,025
897
402
101
207
20,125,000
3,139,500
201,000
2,525,000
517,500
268
4,830
250
21,275
138
4,612
95
14,350
1,495
135
392
221
2,875
242
311
2,435
85
3,035
3,100
652
26,565
38,990
130
178
182
115
58
6,798
185
2,088
2,500
2,500
3,565
2,850
397
670,000
9,660,000
3,750,000
2,127,500
461,200
19,000
285,000
1,076,250
1,495,000
1,350,000
1,960,000
2,210,000
4,312,500
3,630,000
6,220,000
12,175,000
2,550,000
758,750
1,550,000
652,000
1,593,900
1,169,700
1,300,000
2,670,000
273,000
575,000
580,000
10,197,000
8,325,000
4,176,000
125,000
125,000
5,347,500
14,250,000
1,985,000
4,253
242
426
1,631
89
5,175
330,000
1,438
1,250
1,748
28,870
6,950
525
770
284,152
121,900
17,352
32,350
7,298
287,500
70,000
1,908
74
7,070
483,000
5,048
13,980
52
71
165
1,265
115
56,350
155
4,428
1,063,250
605,000
852,000
815,500
178,000
5,175,000
2,640,000
719,000
10,000,000
874,000
866,100
695,000
525,000
770,000
14,207,600
6,095,000
8,676,000
32,350,000
72,980,000
8,625,000
700,000
1,908,000
740,000
1,767,500
966,000
2,524,000
6,990,000
104,000
71,000
247,500
1,265,000
345,000
5,635,000
310,000
6,642,000
178
191324750
190,868,750
14
335494750
335,038,750
456,000
4,849
205
120
32,241
328
3,922
196
11,270
15,755
9,781
782
9,200
5,482
572
9,077
361
2,962
127,575
161
76
266
83,835
1,089
70
4,120
759
63,250
45,782
26,565
6,486
505
55
45
2,875
112,700
7,273,500
102,500
360,000
1,612,050
1,640,000
1,176,600
980,000
563,500
3,151,000
1,956,200
78,200
276,000
10,964,000
2,860,000
1,361,550
180,500
1,777,200
12,757,500
805,000
380,000
798,000
4,191,750
1,633,500
210,000
2,472,000
3,795,000
1,581,250
2,289,100
3,984,750
9,729,000
757,500
5,500
4,500
287,500
3,381,000
456,000
395055300
394,599,300
456,000
2,208
108
9,680
342
349
4,105
3,856
425,000
67
279
1,147
305
502
3,450
1,717
2,497
2,027
265
44,000
44,000
83
115
29,000
50
3,104
5,434
405
184,896
87,543
87,543
4,225
176
2,560
92,000
94,500
662,400
540,000
9,680,000
2,394,000
872,500
4,105,000
578,400
2,550,000
469,000
418,500
1,147,000
244,000
1,004,000
3,450,000
171,700
249,700
8,108,000
53,000
264,000
264,000
166,000
115,000
5,075,000
75,000
776,000
1,086,800
810,000
18,489,600
6,565,725
8,754,300
633,750
880,000
7,680,000
1,840,000
7,087,500
3.0727272727
1,721
79
191
40,227
107
811
1,817
8,970
260,000
59
84
5,916
3,743
71
102
162
296
2,466
357
3,442
3,130
2,920
436
1,017
1,035
2,264
246
3,910
3,375
3,200
336
4,447
1,840
4,445
61
8,605,000
39,500
95,500
8,045,400
749,000
1,622,000
9,085,000
672,750
3,120,000
295,000
168,000
17,748,000
11,229,000
710,000
714,000
40,500
236,800
369,900
1,785,000
1,032,600
1,565,000
5,840,000
1,308,000
3,051,000
5,175,000
226,400
738,000
19,550,000
1,012,500
960,000
336,000
1,111,750
552,000
2,222,500
1,220,000
528423815
535,208,675
-6,784,860
142,000
82
171
604
2,990
38,000
1,812
164
50
6,888
2,520
6,460
211
14,315
167
2,555
7,500
810
17,500
94,350
544
48,200
637
980
171,500
46,000
1,650
1,010
725
420
106
1,588
6,350
71,300
755
852,000
8,200
34,200
1,510,000
5,980,000
1,900,000
4,530,000
492,000
250,000
688,800
504,000
969,000
1,055,000
7,157,500
2,505,000
1,277,500
150,000
243,000
1,750,000
28,305,000
5,440,000
4,820,000
955,500
980,000
5,145,000
11,500,000
16,500,000
10,100,000
2,175,000
2,940,000
530,000
794,000
1,270,000
10,695,000
7,550,000
689,066,575
682281715
-6,784,860
1,308
132
3,163
186
25,860
242
2,000
3,220
124
11,800
4,650
190
3,500
5,506
7,500
161
213
7,540
127
4,030
42,350
773
62,000
57,500
33,300
2,190
78,200
43,700
252
25,000
873
1,450
42,446
1,720
9,167
13,080,000
1,320,000
790,750
186,000
1,939,500
3,630,000
600,000
322,000
620,000
3,540,000
1,162,500
2,850,000
875,000
8,259,000
750,000
2,415,000
3,195,000
377,000
63,500
52,390,000
10,587,500
541,100
4,650,000
5,750,000
1,665,000
10,950,000
5,865,000
4,370,000
2,520,000
75,000,000
4,365,000
7,250,000
4,244,600
5,160,000
2,750,100
97
8,050
27,770
13,200
23,090
1,084
1,747
10,040
354
253
55
20,692
44,383
137
14,250
385
91
126
1,144
690
1,369
145
314
554
736
1,194
15,000
71
109
597
5,824
51,805
10,350
999
3,623
2,910,000
6,440,000
1,388,500
1,320,000
5,772,500
7,588,000
12,229,000
1,506,000
1,416,000
126,500
275,000
2,586,500
26,629,800
685,000
28,500,000
1,925,000
273,000
630,000
8,008,000
4,830,000
9,925,250
2,900,000
157,000
277,000
3,680,000
3,582,000
22,500,000
497,000
545,000
11,940,000
2,912,000
25,902,500
2,070,000
2,497,500
25,361,000
1038877515
1,055,191,125
-16,313,610
19,600
4,025
214
9,659
1,300
69
200
17,250
299
368
4,407
15,928
519
288
2,023
115
231,000
13,200
177
647
52
2,898
103,500
56
48,070
3,212
6,268
4,485
269
127
147
8,936
572
18,080
12,650
2,940,000
28,175,000
2,140,000
2,414,750
6,500,000
690,000
600,000
3,450,000
5,980,000
1,840,000
440,700
4,778,400
1,297,500
1,440,000
5,057,500
287,500
6,930,000
1,320,000
885,000
1,941,000
364,000
15,939,000
3,105,000
280,000
4,807,000
6,424,000
12,536,000
11,212,500
807,000
1,905,000
735,000
2,234,000
2,860,000
4,520,000
6,325,000
4,554
2,373
840
1,821,600
593,250
6,720,000
1,406,575,375
78,500
78,500
90,563
111,694
90,563
82,110
4,227
3,864
4,347
9,298
9,298
9,298
8,900
8,900
8,900
4,589
4,589
4,589
4,589
4,589
4,951
5,048
5,048
5,048
70,398
70,398
70,398
96,600
96,600
15,700,000
19,625,000
13,584,450
2,792,350
181,126
164,220
21,135,000
19,320,000
434,700
929,800
1,859,600
1,859,600
890,000
1,780,000
1,780,000
2,294,500
2,294,500
13,767,000
13,767,000
22,945,000
4,951,000
10,096,000
10,096,000
5,048,000
3,519,900
5,279,850
5,279,850
1,932,000
1,932,000
96,600
15,094
126,788
9,298
2,536
713
7,004
161,805
161,805
161,805
161,805
161,805
132,825
132,825
3,623
40,860
12,075
150,000
75,469
265,650
55,000
7,600
5,247
5,247
5,247
5,247
5,247
1,691
1,691
1,691
615
615
362,250
362,250
119,600
1,932,000
4,528,200
50,715,200
9,298,000
12,680,000
3,565,000
35,020,000
32,361,000
32,361,000
32,361,000
32,361,000
8,090,250
13,282,500
33,206,250
2,173,800
32,688,000
5,433,750
750,000
18,867,250
5,313,000
550,000
760,000
157,410
157,410
157,410
157,410
157,410
84,550
84,550
84,550
461,250
461,250
362,250
362,250
8,970,000
46,000
215,000
1,135,710
1,100,420
1,135,710
1,100,420
513,250
470,400
22,050
676,000
222,750
207,900
178,100
350
399
459
570
698
26,560
117,990
105,570
118,200
27,000
12,500
13,750
1,208
2,527,470
4,018,900
866,800
1,404,149
3,132
12,880
12,880
101,250
49,500
6,900,000
10,750,000
4,542,840
4,401,680
4,542,840
4,401,680
2,566,250
2,352,000
3,858,750
6,760,000
222,750
207,900
178,100
35,000
39,900
45,900
57,000
69,800
13,280,000
4,719,600
4,222,800
2,364,000
1,350,000
937,500
1,031,250
120,800
5,054,940
12,056,700
866,800
1,404,149
939,600
966,000
966,000
3,543,750
2,475,000
222,581
693,424,625
2,100,000,000
Indralaya,
Kasi. Penunjang Medis,
Muhammad Ridwan, S. Kep.

NIP. 197101181997031006
2015

Tahun Anggaran 2016
Urusan Pemerintah
Bidang Pemerintahan
Unit Organisasi
Sub Unit Organisasi
Program
Kegiatan
Lokasi Kegiatan
Jumlah Tahun n-1
Jumlah Tahun n
Jumlah Tahun n+1
:
:
:
:
:
:
:
:
:
:
1
1.02. 1.02
1.02. 1.02.02
1.02. 1.02.02.01
1.02. 1.02.02.22
1.02. 1.02.02.22. 03
Kabupaten Ogan Ilir
Urusan Wajib
Kesehatan
Program Pencegahan dan Penanggulangan Penyakit Menular
Pengadaan Vaksin Penyakit Menular
Rp. 30.000.000 (Tigapuluh juta rupiah)

TOLAK UKUR KINERJA
INDIKATOR
MASUKAN
KELUARAN
HASIL
KODE
REKENING
1
TARGET KINERJA
Jumlah Dana
Rp. 30.000.000
Tersedianya Vaksin Penyakit Menular
1 Tahun
Terpenuhinya Kebutuhan Vaksin Rumah Sakit
100%
:
RINCIAN PERHITUNGAN
URAIAN
Volume
Satuan
2
BELANJA
BELANJA LANGSUNG
Pengadaan Vaksin Penyakit Menular
- Vaksin Anti Bisa Ular
- Vaksin Anti Rabies (serum anti rabies Inj. 200 UI/ml)
- Vaksin Anti Tetanus (Human Tetanus Imunoglobulin Inj. i.m. 250 UI)
- Vaksin Hepatitis (Hepatitis B Imunoglobulin)
6
9
100
6
Vial
Vial
Ampul
Vial
Indralaya,
2015
NIP. 197101181997031006
Formulir
RKA
SKPD 2.2.1
TARGET KINERJA
DAERAH
RHITUNGAN
JUMLAH
(Rp)
Harga
Satuan
5
njang Medis,
ad Ridwan, S. Kep.
6
50,000,000
50,000,000
50,000,000
496,550
81,800
179,205
1,394,000
2015
2,979,300
736,200
17,920,500
8,364,000
30,000,000
01181997031006

Tahun Anggaran 2016
Urusan Pemerintah
Bidang Pemerintahan
Unit Organisasi
Sub Unit Organisasi
Program
Kegiatan
Lokasi Kegiatan
Jumlah Tahun n-1
Jumlah Tahun n
Jumlah Tahun n+1
:
:
:
:
:
:
:
:
:
:
1
1.02. 1.02
1.02. 1.02.02
1.02. 1.02.02.01
1.02. 1.02.02.01.15
1.02. 1.02.02.01.15.07
Urusan Wajib
Kesehatan
Program Obat dan Perbekalan Kesehatan
Peningkatan Pelayanan Farmasi

TOLAK UKUR KINERJA
INDIKATOR
MASUKAN
KELUARAN
HASIL
KODE
REKENING
TARGET KINERJA
Jumlah Dana
Rp. 40.000.000
Tersedianya Sarana Penunjang Pelayanan Farmasi
100%
Meningkatnya Pelayanan Farmasi
1 Tahun
:
RINCIAN PERHITUNGAN
URAIAN
Volume
Satuan
2
BELANJA
BELANJA LANGSUNG
Pengadaan Alat Kesehatan Farmasi
- Mortar (alat penumbuk obat) 13 cm
- Medicine Packet SI-20-S
- Sealing Equipments-S
- Pulverizer-S
- Plastik Spoon-S
- Pallet Ukuran 1200 x 1200 x 160 mm
- Lemari Vaksin
- Lemari Obat Narkotik Ukuran P = 80 cm, L = 60 cm, T = 120 cm bahan Plat Baja
- Rak Obat Besi siku Ukuran 180 x 120 x 45 cm
2
2
2
1
1
1
3
5
Bh
Bh
Bh
Box/60.000
Set
Set
pcs
Bh
1
2
5
Unit
Unit
unit
Harga
Satuan
5
130,000
97,500
65,000
5,047,350
4,117,575
2,191,613
59,772
325,000
5,497,146
1,000,000
2,500,000
Belanja Bahan Cetak & Buku Bacaan

- Cetak Salinan Resep
- Cetak Etiket Obat Oral
- Cetak etiket obat Luar
- Cetak Surat Pesanan Narkotik (kertas karbon warna rangkap 3)
- Belanja Buku ISO
- Belanja Buku MIMS
- Belanja Buku Farmakope
10
10
10
2
1
1
1
Rim
Rim
Rim
Rim
Bh
Bh
Bh
Indralaya,

NIP. 197101181997031006
168,750
168,750
195,750
249,750
125,000
150,000
150,000
2015
Formulir
RKA
SKPD 2.2.1
NERJA
JUMLAH
(Rp)
6
40,000,000.00
260,000.00
195,000.00
130,000.00
5,047,350.00
4,117,575.00
2,191,613.00
179,316.00
1,625,000.00
5,497,146.00
2,000,000.00
12,500,000.00
33,743,000.00
1,687,500.00
1,687,500.00
1,957,500.00
499,500.00
125,000.00
150,000.00
150,000.00
6,257,000.00
40,000,000.00
2015
Belanja ATK
Alat Pengecap Nomor Antri

Pena Hitam Biru
Pena Merah
Spidol Permanen
Tinta isi Ulang Spidol
Gunting kertas
Kalkulator 12 digit
Lem Besar
Curter Besar
Isi Necis sedang
Necis sedang
- Perkamen (Kertas Puyer)
Bantalan Cap
Tinta Cap
Pensil
Penghapus
Tip Ex
Stabilo
Pelobang Kertas
Mistar besi 30 cm
Trigonal Klip
Amplop Besar
Amplop Kecil
Map Snelhecter Plastik
Map Kertas biasa
Buku Tulis Ukuran Folio isi 200 lembar
Buku Tulis 1/2 Folio isi 100 lembar
Buku Tulis biasa isi 38 lembar
Buku Ekspedisi isi 100 lembar
Bh
50000
50,000.00
12
Ktk
35,000
420,000.00
12
Ktk
35,000
420,000.00
24
Bh
7,000
168,000.00
Botol
16,400
49,200.00
Bh
13,000
39,000.00
Bh
60,000
180,000.00
Botol
6
2
6
Bh
Bh
Kotak
Pack
Bh
Botol
24
Bh
12
bh
12
bh
12
bh
bh
bh
12
kotak
Box
Box
24
bh
24
bh
12
bh
12
bh
12
bh
12
bh
14,000
84,000.00
16,000
27,000
6,000
96,000.00
29,000
29,000.00
20,000
18,000
3,000
2,000
12,000
11,000
30,400
7,500
4,000
31,500
26,500
6,500
1,775
39,500
10,000
3,500
10,000
60,000.00
54,000.00
36,000.00
54,000.00
72,000.00
24,000.00
144,000.00
132,000.00
91,200.00
45,000.00
48,000.00
31,500.00
26,500.00
156,000.00
42,600.00
474,000.00
120,000.00
42,000.00
120,000.00

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RENCANA KERJA DAN ANGARAN

SATUAN KERJA PERANGKAT DAERAH

INDIKATOR DAN TOLAK UKUR KINERJA BELANJA LANGSUNG

Pengadaan Obat-Obatan Rumah Sakit

diltiazem kaps SR 200 mg

furosemid inj 10 mg/mL (i.v./i.m.)

irbesartan tab 150 mg

klorfenol kamfer mentol (CHKM)

parasetamol tab 500 mg

seftazidim serb inj 1.000 mg/vial

Pengadaan Bahan Medis Habis Pakai

Syringe 1cc tuberculin 27G x "

Folley Catheter 2 way No. 18

kit Paru-Paru/ Rumah Sakit Mata

Muhammad Ridwan, S. Kep.

RENCANA KERJA DAN ANGARAN

Rp. 30.000.000 (Tigapuluh juta rupiah)

Muhammad Ridwan, S. Kep.

RENCANA KERJA DAN ANGARAN

INDIKATOR DAN TOLAK UKUR KINERJA BELANJA LANGSUNG

Belanja Bahan Cetak & Buku Bacaan

Muhammad Ridwan, S. Kep.

Alat Pengecap Nomor Antri

- Perkamen (Kertas Puyer)

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