Karcis-Pengeluaran-2016 Terbaruuuuu-1

BUKU REKAPAN KARCIS
TAHUN ANGGARAN 2016

DINAS KESEHATAN KABUPATEN CIANJUR
Nama
No Barang Satuan Harga Saldo Awal Nilai Perolehan PENERIMAAN Nilai Perolehan PENGELUARAN Nilai Perolehan
1 2 4 5 3 3 3
1 Karcis Retribusi Blud Puskesmas Blok 6,500 720 4,680,000 3000 19,500,000.0 3720 24,180,000
2 Karcis Retribusi Blud Puskesmas Blok 7,000 - 3000 21,000,000.0 2510 17,570,000
3 Karcis Retribusi Kesehatan Dasar Blok 6,500 80 520,000 0 0 -
4 Karcis Retribusi Pemeriksaan Haji Blok 5,000 49 245,000 0 0 -
5 Karcis Retribusi Pemeriksaan Haji Blok 7,000 0 - 100 700,000.0 29 203,000
6 Retribusi Pemeriksaan Kesehatan Calon Pengantin Blok 7,000 0 - 100 700,000.0 30 210,000
849 5,445,000 6200 41,900,000.0 6,289.0 42,163,000.0
5,445,000 41,900,000 42,163,000 5,182,000
RETRIBUSI PEMERIKSAAN KESEHATAN CALON PENGANTIN

2,160,000
RETRIBUSI PEMERIKSAAN KESEHATAN CALON PENGANTIN 520,000
245,000
Sisa (Nilai
SISA (blok) Perolehan)
0 -
490 3,430,000
80 520,000
0 -
71 497,000
70 490,000
711 4,937,000
RETRIBUSI BLUD PUSKESMAS RETRIBUSI PEMERIKSAAN KESEHA
PENGANTIN (CATIN)
No Puskesmas
JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI
(BLOK) PEROLEHAN (BLOK) PEROLEHAN PEROLEHAN (BLOK) PEROLEHAN
(PER BLOK) (PER BLOK) (PER BLOK)
1 Cianjurkota 150 6,500 100 7,000 1,675,000 1 7,000

2 Muka 150 6,500 150 7,000 2,025,000 - 7,000
3 Nagrak 70 6,500 70 7,000 945,000 1 7,000
4 Sukasari 160 6,500 80 7,000 1,600,000 1 7,000
5 Warungkondang 60 6,500 40 7,000 670,000 1 7,000
6 Karangtengah 80 6,500 80 7,000 1,080,000 - 7,000
7 Ciherang 90 6,500 90 7,000 1,215,000 1 7,000
8 Ciranjang 100 6,500 100 7,000 1,350,000 1 7,000
9 Cipeuyeum 100 6,500 90 7,000 1,280,000 - 7,000
10 Cugenang 80 6,500 30 7,000 730,000 1 7,000
11 Cijedil 100 6,500 60 7,000 1,070,000 1 7,000
12 Cibeber 110 6,500 50 7,000 1,065,000 1 7,000
13 Cibaregbeg 60 6,500 70 7,000 880,000 1 7,000
14 Gekbrong 170 6,500 90 7,000 1,735,000 1 7,000
15 Bojongpicung 80 6,500 40 7,000 800,000 1 7,000
16 Cikalongkulon 50 6,500 60 7,000 745,000 1 7,000
17 Mande 100 6,500 60 7,000 1,070,000 2 7,000
18 Cijagang 40 6,500 40 7,000 540,000 - 7,000
19 Cikondang 50 6,500 40 7,000 605,000 - 7,000
20 Kademangan 90 6,500 - 7,000 585,000 1 7,000
21 Sukaresmi 90 6,500 60 7,000 1,005,000 1 7,000
22 Sukamahi 30 6,500 40 7,000 475,000 - 7,000
23 Sukanagalih 100 6,500 30 7,000 860,000 1 7,000
24 Cipanas 160 6,500 100 7,000 1,740,000 2 7,000
25 Cipendawa 70 6,500 70 7,000 945,000 1 7,000
26 Sukaluyu 110 6,500 100 7,000 1,415,000 1 7,000
27 Campaka 80 6,500 60 7,000 940,000 1 7,000
28 Campaka Mulya 60 6,500 60 7,000 810,000 - 7,000
29 Sukanagara 60 6,500 20 7,000 530,000 - 7,000
30 Tanggeung 70 6,500 40 7,000 735,000 1 7,000
31 Pagelaran 30 6,500 50 7,000 545,000 - 7,000
32 Girijaya 20 6,500 20 7,000 270,000 - 7,000
33 Cijati 50 6,500 50 7,000 675,000 1 7,000
34 Bojonglarang 60 6,500 30 7,000 600,000 1 7,000
35 Sindangkerta 120 6,500 50 7,000 1,130,000 - 7,000
36 Cibinong 60 6,500 70 7,000 880,000 1 7,000
37 Takokak 110 6,500 40 7,000 995,000 - 7,000
38 Kadupandak 100 6,500 60 7,000 1,070,000 1 7,000
39 Sindangbarang 50 6,500 - 7,000 325,000 - 7,000
40 Cidaun 110 6,500 70 7,000 1,205,000 - 7,000
41 Gunungbitung 60 6,500 20 7,000 530,000 1 7,000
42 Cikadu 40 6,500 50 7,000 610,000 - 7,000
43 Agrabinta 40 6,500 40 7,000 540,000 - 7,000
RETRIBUSI BLUD PUSKESMAS RETRIBUSI PEMERIKSAAN KESEHA
PENGANTIN (CATIN)
No Puskesmas
JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI
(BLOK) PEROLEHAN (BLOK) PEROLEHAN PEROLEHAN (BLOK) PEROLEHAN
(PER BLOK) (PER BLOK) (PER BLOK)
44 Naringgul 100 6,500 20 7,000 790,000 1 7,000

45 Pusakasari 50 6,500 30 7,000 535,000 - 7,000
JUMLAH 3,720 292,500 2,520 315,000 41,820,000 30 315,000

ETRIBUSI PEMERIKSAAN KESEHATAN CALON RETRIBUSI PEMERIKSAAN KESEHATAN CALON
PENGANTIN (CATIN) HAJI (CAJI)
TOTAL
JUMLAH NILAI JUMLAH (BLOK) NILAI JUMLAH
PEROLEHAN PEROLEHAN NILAI
(PER BLOK) PEROLEHAN
7,000 1 7,000 7,000 1,689,000

- - 7,000 - 2,025,000
7,000 1 7,000 7,000 959,000
7,000 1 7,000 7,000 1,614,000
7,000 1 7,000 7,000 684,000
- - 7,000 - 1,080,000
7,000 1 7,000 7,000 1,229,000
7,000 1 7,000 7,000 1,364,000
- - 7,000 - 1,280,000
7,000 1 7,000 7,000 744,000
7,000 1 7,000 7,000 1,084,000
7,000 1 7,000 7,000 1,079,000
7,000 1 7,000 7,000 894,000
7,000 1 7,000 7,000 1,749,000
7,000 1 7,000 7,000 814,000
7,000 1 7,000 7,000 759,000
14,000 1 7,000 7,000 1,091,000
- - 7,000 - 540,000
- - 7,000 - 605,000
7,000 1 7,000 7,000 599,000
7,000 1 7,000 7,000 1,019,000
- - 7,000 - 475,000
7,000 1 7,000 7,000 874,000
14,000 2 7,000 14,000 1,768,000
7,000 1 7,000 7,000 959,000
7,000 1 7,000 7,000 1,429,000
7,000 1 7,000 7,000 954,000
- - 7,000 - 810,000
- - 7,000 - 530,000
7,000 1 7,000 7,000 749,000
- - 7,000 - 545,000
- - 7,000 - 270,000
7,000 1 7,000 7,000 689,000
7,000 1 7,000 7,000 614,000
- - 7,000 - 1,130,000
7,000 1 7,000 7,000 894,000
- - 7,000 - 995,000
7,000 1 7,000 7,000 1,084,000
- - 7,000 - 325,000
- - 7,000 - 1,205,000
7,000 1 7,000 7,000 544,000
- - 7,000 - 610,000
- - 7,000 - 540,000
ETRIBUSI PEMERIKSAAN KESEHATAN CALON RETRIBUSI PEMERIKSAAN KESEHATAN CALON
TOTAL
JUMLAH NILAI JUMLAH (BLOK) NILAI JUMLAH
PEROLEHAN PEROLEHAN NILAI
(PER BLOK) PEROLEHAN
7,000 1 7,000 7,000 804,000

- - 7,000 - 535,000
210,000 29 315,000 203,000 42,233,000

Saldo Awal Penerimaan Pengeluaran JUMLAH
PERSEDIAAN
KARCIS
No Puskesmas
JUMLAH
1 Cibaregbeg - 894,000 770,240 123,760
2 Ciherang 91,195 1,229,000 1,158,915 161,280
3 Cipendawa 203,645 959,000 947,535 215,110
4 Cijagang 81,445 540,000 473,885 147,560
5 Cianjurkota 359,515 1,689,000 1,804,075 244,440
6 Cibeber 13,585 1,079,000 1,053,385 39,200
7 Campaka 22,035 954,000 899,525 76,510
8 Cipeuyeum 397,150 1,280,000 1,385,740 291,410
9 Ciranjang 370,825 1,364,000 1,269,605 465,220
10 Cikalongkulon 103,675 759,000 811,995 50,680
11 Mande 63,700 1,091,000 1,036,960 117,740
12 Sindangbarang 84,500 325,000 - 409,500
13 Sukanagara - 530,000 174,655 355,345
14 Karangtengah 230,490 1,080,000 1,222,500 87,990
15 Muka 211,250 2,025,000 1,881,560 354,690
16 Sukasari 239,135 1,614,000 1,174,720 678,415
17 Sukanagalih 62,465 874,000 826,075 110,390
18 Warungkondang 68,965 684,000 622,065 130,900
43 Agrabinta - 540,000 382,570 157,430
34 Bojonglarang - 614,000 524,680 89,320
15 Bojongpicung - 814,000 763,110 50,890
11 Cijedil - 1,084,000 1,019,460 64,540
42 Cikadu - 610,000 414,840 195,160
33 Cijati - 689,000 522,470 166,530
10 Cugenang - 744,000 651,880 92,120
36 Cibinong - 894,000 733,210 160,790
19 Cikondang - 605,000 399,620 205,380
28 Campaka Mulya - 810,000 523,420 286,580
24 Cipanas - 1,768,000 1,671,260 96,740
40 Cidaun - 1,205,000 1,202,970 2,030
31 Pagelaran - 545,000 442,800 102,200
21 Sukaresmi - 1,019,000 943,470 75,530
14 Gekbrong - 1,749,000 1,563,920 185,080
32 Girijaya - 270,000 270,000 -
41 Gunungbitung - 544,000 508,440 35,560
20 Kademangan - 599,000 591,180 7,820
38 Kadupandak - 1,084,000 971,650 112,350
3 Nagrak - 959,000 805,980 153,020
44 Naringgul - 804,000 744,990 59,010
45 Pusakasari - 535,000 517,360 17,640
35 Sindangkerta - 1,130,000 985,520 144,480
26 Sukaluyu 34,970 1,429,000 1,269,580 194,390
22 Sukamahi - 475,000 368,880 106,120
30 Tanggeung - 749,000 698,320 50,680
37 Takokak - 995,000 846,950 148,050
Saldo Awal Penerimaan Pengeluaran JUMLAH
PERSEDIAAN
KARCIS
No Puskesmas
JUMLAH
-
JUMLAH 2,262,260 38,611,000 34,501,390 75,374,650
KARCIS Retribusi Karcis Retribusi JUMLAH
RETRIBUSI Pemeriksaan Pemeriksaan PERSEDIAAN
BLUD Kesehatan Haji KARCIS
No Puskesmas Calon
Pengantin
JUMLAH
13 Cibaregbeg 109,760 7,000 7,000 123,760
7 Ciherang 153,510 2,590 5,180 161,280
25 Cipendawa 205,660 4,970 4,480 215,110
18 Cijagang 147,560 - - 147,560
1 Cianjurkota 232,610 5,880 5,950 244,440
12 Cibeber 28,840 5,180 5,180 39,200
27 Campaka 68,810 6,230 1,470 76,510
9 Cipeuyeum 291,410 - - 291,410
8 Ciranjang 453,110 5,320 6,790 465,220
16 Cikalongkulon 36,680 7,000 7,000 50,680
17 Mande 104,930 6,090 6,720 117,740
39 Sindangbarang 409,500 - - 409,500
29 Sukanagara 355,345 - - 355,345
6 Karangtengah 87,990 - - 87,990
2 Muka 354,690 - - 354,690
4 Sukasari 670,435 1,190 6,790 678,415
23 Sukanagalih 98,140 5,600 6,650 110,390
5 Warungkondang 117,320 6,580 7,000 130,900
43 Agrabinta 157,430 - - 157,430
34 Bojonglarang 75,530 6,790 7,000 89,320
15 Bojongpicung 38,010 5,880 7,000 50,890
11 Cijedil 53,060 4,690 6,790 64,540
42 Cikadu 195,160 - - 195,160
33 Cijati 154,140 6,090 6,300 166,530
10 Cugenang 80,360 6,020 5,740 92,120
36 Cibinong 146,790 7,000 7,000 160,790
19 Cikondang 205,380 - - 205,380
28 Campaka Mulya 286,580 - - 286,580
24 Cipanas 75,950 11,550 9,240 96,740
40 Cidaun 2,030 - - 2,030
31 Pagelaran 102,200 - - 102,200
21 Sukaresmi 64,260 6,790 4,480 75,530
14 Gekbrong 175,000 5,390 4,690 185,080
32 Girijaya - - - -
41 Gunungbitung 24,500 6,930 4,130 35,560
20 Kademangan 260 6,440 1,120 7,820
38 Kadupandak 99,610 6,020 6,720 112,350
3 Nagrak 139,790 6,860 6,370 153,020
44 Naringgul 45,430 6,790 6,790 59,010
45 Pusakasari 17,640 - - 17,640
35 Sindangkerta 144,480 - - 144,480
26 Sukaluyu 182,840 4,550 7,000 194,390
22 Sukamahi 106,120 - - 106,120
30 Tanggeung 39,550 6,580 4,550 50,680
37 Takokak 148,050 - - 148,050
KARCIS Retribusi Karcis Retribusi JUMLAH
RETRIBUSI Pemeriksaan Pemeriksaan PERSEDIAAN
BLUD Kesehatan Haji KARCIS
No Puskesmas Calon
Pengantin
JUMLAH
-
JUMLAH 6,069,960 153,440 148,470 6,371,870
SALDO AWAL NILAI JUMLAH PEN
(LEMBAR) PEROLEHAN SALDO AWAL
No Puskesmas (PER
LEMBAR) JUMLAH JUMLAH NILAI
(BLOK) (LEMBAR) PEROLEHAN
(PER
LEMBAR)
1 Cianjurkota 5,531 65 359,515 150 15,000 65
2 Muka 3,250 65 211,250 150 15,000 65
3 Nagrak - 65 - 70 7,000 65
4 Sukasari 3,679 65 239,135 160 16,000 65
5 Warungkondang 1,061 65 68,965 60 6,000 65
6 Karangtengah 3,546 65 230,490 80 8,000 65
7 Ciherang 1,403 65 91,195 90 9,000 65
8 Ciranjang 5,705 65 370,825 100 10,000 65
9 Cipeuyeum 6,110 65 397,150 100 10,000 65
10 Cugenang - 65 - 80 8,000 65
11 Cijedil - 65 - 100 10,000 65
12 Cibeber 209 65 13,585 110 11,000 65
13 Cibaregbeg - 65 - 60 6,000 65
14 Gekbrong - 65 - 170 17,000 65
15 Bojongpicung - 65 - 80 8,000 65
16 Cikalongkulon 1,595 65 103,675 50 5,000 65
17 Mande 980 65 63,700 100 10,000 65
18 Cijagang 1,253 65 81,445 40 4,000 65
19 Cikondang - 65 - 50 5,000 65
20 Kademangan - 65 - 90 9,000 65
21 Sukaresmi - 65 - 90 9,000 65
22 Sukamahi - 65 - 30 3,000 65
23 Sukanagalih 961 65 62,465 100 10,000 65
24 Cipanas - 65 - 160 16,000 65
25 Cipendawa 3,133 65 203,645 70 7,000 65
26 Sukaluyu 538 65 34,970 110 11,000 65
27 Campaka 339 65 22,035 80 8,000 65
28 Campaka Mulya - 65 - 60 6,000 65
29 Sukanagara - 65 - 60 6,000 65
30 Tanggeung - 65 - 70 7,000 65
31 Pagelaran - 65 - 30 3,000 65
32 Girijaya - 65 - 20 2,000 65
33 Cijati - 65 - 50 5,000 65
34 Bojonglarang - 65 - 60 6,000 65
35 Sindangkerta - 65 - 120 12,000 65
36 Cibinong - 65 - 60 6,000 65
37 Takokak - 65 - 110 11,000 65
38 Kadupandak - 65 - 100 10,000 65
39 Sindangbarang 1,300 65 84,500 50 5,000 65
40 Cidaun - 65 - 110 11,000 65
41 Gunungbitung - 65 - 60 6,000 65
42 Cikadu - 65 - 40 4,000 65
43 Agrabinta - 65 - 40 4,000 65
44 Naringgul - 65 - 100 10,000 65
45 Pusakasari - 65 - 50 5,000 65
JUMLAH 40,593 2,638,545 372,000
120
Laporan Pengeluaran Karcis ke Puskesmas TAHUN 2016
RETRIBUSI BLUD PUSKESMAS
PENERIMAAN TOTAL
PENERIMAAN
JUMLAH JUMLAH JUMLAH NILAI JUMLAH JUMLAH
(BLOK) (LEMBAR) PEROLEHAN (LEMBAR)
(PER
LEMBAR)
975,000 100 10,000 70 700,000 1,675,000 20,531
975,000 150 15,000 70 1,050,000 2,025,000 18,250
455,000 70 7,000 70 490,000 945,000 7,000
1,040,000 80 8,000 70 560,000 1,600,000 17,980
390,000 40 4,000 70 280,000 670,000 7,061
520,000 80 8,000 70 560,000 1,080,000 11,546
585,000 90 9,000 70 630,000 1,215,000 10,403
650,000 100 10,000 70 700,000 1,350,000 15,705
650,000 90 9,000 70 630,000 1,280,000 16,110
520,000 30 3,000 70 210,000 730,000 8,000
650,000 60 6,000 70 420,000 1,070,000 10,000
715,000 50 5,000 70 350,000 1,065,000 11,209
390,000 70 7,000 70 490,000 880,000 6,000
1,105,000 90 9,000 70 630,000 1,735,000 17,000
520,000 40 4,000 70 280,000 800,000 8,000
325,000 60 6,000 70 420,000 745,000 6,595
650,000 60 6,000 70 420,000 1,070,000 10,980
260,000 40 4,000 70 280,000 540,000 5,253
325,000 40 4,000 70 280,000 605,000 5,000
585,000 - - 70 - 585,000 8,996
585,000 60 6,000 70 420,000 1,005,000 9,000
195,000 40 4,000 70 280,000 475,000 3,000
650,000 30 3,000 70 210,000 860,000 10,961
1,040,000 100 10,000 70 700,000 1,740,000 16,000
455,000 70 7,000 70 490,000 945,000 10,133
715,000 100 10,000 70 700,000 1,415,000 11,538
520,000 60 6,000 70 420,000 940,000 8,339
390,000 60 6,000 70 420,000 810,000 6,000
390,000 20 2,000 70 140,000 530,000 2,687
455,000 40 4,000 70 280,000 735,000 7,000
195,000 50 5,000 70 350,000 545,000 3,000
130,000 20 2,000 70 140,000 270,000 2,000
325,000 50 5,000 70 350,000 675,000 5,000
390,000 30 3,000 70 210,000 600,000 6,000
780,000 50 5,000 70 350,000 1,130,000 12,000
390,000 70 7,000 70 490,000 880,000 6,000
715,000 40 4,000 70 280,000 995,000 11,000
650,000 60 6,000 70 420,000 1,070,000 10,000
325,000 - - 70 - 325,000 -
715,000 70 7,000 70 490,000 1,205,000 11,000
390,000 20 2,000 70 140,000 530,000 6,000
260,000 50 5,000 70 350,000 610,000 4,000
260,000 40 4,000 70 280,000 540,000 4,000
650,000 20 2,000 70 140,000 790,000 10,000
325,000 30 3,000 70 210,000 535,000 5,000
24,180,000 252,000 17,640,000 41,820,000 401,277

s ke Puskesmas TAHUN 2016
ETRIBUSI BLUD PUSKESMAS
PENGELUARAN TOTAL
PENGELUARAN
NILAI JUMLAH JUMLAH NILAI JUMLAH
PEROLEHAN (LEMBAR) PEROLEHAN
(PER LEMBAR (PER LEMBAR
65 1,334,515 6,677 70 467,390 1,801,905

65 1,186,250 9,933 70 695,310 1,881,560
65 455,000 5,003 70 350,210 805,210
65 1,168,700 70 - 1,168,700
65 458,965 2,324 70 162,680 621,645
65 750,490 6,743 70 472,010 1,222,500
65 676,195 6,807 70 476,490 1,152,685
65 1,020,825 3,527 70 246,890 1,267,715
65 1,047,150 4,837 70 338,590 1,385,740
65 520,000 1,852 70 129,640 649,640
65 650,000 5,242 70 366,940 1,016,940
65 728,585 4,588 70 321,160 1,049,745
65 390,000 5,432 70 380,240 770,240
65 1,105,000 6,500 70 455,000 1,560,000
65 520,000 3,457 70 241,990 761,990
65 428,675 5,476 70 383,320 811,995
65 713,700 4,501 70 315,070 1,028,770
65 341,445 1,892 70 132,440 473,885
65 325,000 1,066 70 74,620 399,620
65 584,740 70 - 584,740
65 585,000 5,082 70 355,740 940,740
65 195,000 2,484 70 173,880 368,880
65 712,465 1,598 70 111,860 824,325
65 1,040,000 8,915 70 624,050 1,664,050
65 658,645 4,062 70 284,340 942,985
65 749,970 7,388 70 517,160 1,267,130
65 542,035 5,017 70 351,190 893,225
65 390,000 1,906 70 133,420 523,420
65 174,655 - 70 - 174,655
65 455,000 3,435 70 240,450 695,450
65 195,000 3,540 70 247,800 442,800
65 130,000 2,000 70 140,000 270,000
65 325,000 2,798 70 195,860 520,860
65 390,000 1,921 70 134,470 524,470
65 780,000 2,936 70 205,520 985,520
65 390,000 4,903 70 343,210 733,210
65 715,000 1,885 70 131,950 846,950
65 650,000 4,577 70 320,390 970,390
65 - 70 - -
65 715,000 6,971 70 487,970 1,202,970
65 390,000 1,650 70 115,500 505,500
65 260,000 2,212 70 154,840 414,840
65 260,000 1,751 70 122,570 382,570
65 650,000 1,351 70 94,570 744,570
65 325,000 2,748 70 192,360 517,360
26,083,005 166,987 11,689,090 37,772,095

SISA
JUMLAH NILAI JUMLAH JUMLAH NILAI JUMLAH

(LEMBAR) PEROLEHAN (LEMBAR) PEROLEHAN
- 65 - 3,323 70 232,610
- 65 - 5,067 70 354,690
- 65 - 1,997 70 139,790
1,699 65 110,435 8,000 70 560,000
- 65 - 1,676 70 117,320
- 65 - 1,257 70 87,990
- 65 - 2,193 70 153,510
- 65 - 6,473 70 453,110
- 65 - 4,163 70 291,410
- 65 - 1,148 70 80,360
- 65 - 758 70 53,060
- 65 - 412 70 28,840
- 65 - 1,568 70 109,760
- 65 - 2,500 70 175,000
- 65 - 543 70 38,010
- 65 - 524 70 36,680
- 65 - 1,499 70 104,930
- 65 - 2,108 70 147,560
- 65 - 2,934 70 205,380
4 65 260 - 70 -
- 65 - 918 70 64,260
- 65 - 1,516 70 106,120
- 65 - 1,402 70 98,140
- 65 - 1,085 70 75,950
- 65 - 2,938 70 205,660
- 65 - 2,612 70 182,840
- 65 - 983 70 68,810
- 65 - 4,094 70 286,580
3,313 65 215,345 2,000 70 140,000
- 65 - 565 70 39,550
- 65 - 1,460 70 102,200
- 65 - - 70 -
- 65 - 2,202 70 154,140
- 65 - 1,079 70 75,530
- 65 - 2,064 70 144,480
- 65 - 2,097 70 146,790
- 65 - 2,115 70 148,050
- 65 - 1,423 70 99,610
6,300 65 409,500 - 70 -
- 65 - 29 70 2,030
- 65 - 350 70 24,500
- 65 - 2,788 70 195,160
- 65 - 2,249 70 157,430
- 65 - 649 70 45,430
- 65 - 252 70 17,640
11,316 735,540 85,013 5,950,910

SISA KARCIS
232,610 3,323 3,323 -

354,690 5,067 5,067 -
139,790 1,997 1,997 -
670,435 9,699 9,699 -
117,320 1,676 1,676 -
87,990 1,257 1,257 -
153,510 2,193 2,193 -
453,110 6,473 6,473 -
291,410 4,163 4,163 - 4163 -
80,360 1,148 1,148 - 292670 4181
53,060 758 758 -
28,840 412 412 -
109,760 1,568 1,568 -
175,000 2,500 2,500 -
38,010 543 543 -
36,680 524 9,824 (9,300)
104,930 1,499 1,499 -
147,560 2,108 2,108 -
205,380 2,934 2,934 -
260 4 4 -
64,260 918 918 -
106,120 1,516 1,516 -
98,140 1,402 1,402 -
75,950 1,085 3,224 (2,139)
205,660 2,938 - 2,938 -
182,840 2,612 4,100 (1,488)
68,810 983 59 924
286,580 4,094 4,094 -
355,345 5,313 2,715 2,598
39,550 565 565 -
102,200 1,460 1,460 -
- - 4,000 (4,000)
154,140 2,202 2,202 -
75,530 1,079 1,079 -
144,480 2,064 2,064 -
146,790 2,097 2,097 -
148,050 2,115 2,115 -
99,610 1,423 1,423 -
409,500 6,300 900 5,400
2,030 29 29 -
24,500 350 350 -
195,160 2,788 2,788 -
157,430 2,249 2,249 -
45,430 649 649 -
17,640 252 252 -
- 104,334 (104,334)
96,329 - 96,329
0
0
0
0
-
0
-
-
SALDO AWAL NILAI JUMLAH PENERIMAAN
No Puskesmas (LEMBAR) PEROLEHAN SALDO AWAL
(PER
(PER
LEMBAR)
1 Cianjurkota - 65 - 1 100 70
2 Muka - 65 - - - 70
3 Nagrak - 65 - 1 100 70
4 Sukasari - 65 - 1 100 70
5 Warungkondang - 65 - 1 100 70
6 Karangtengah - 65 - - - 70
7 Ciherang - 65 - 1 100 70
8 Ciranjang - 65 - 1 100 70
9 Cipeuyeum - 65 - - - 70
10 Cugenang - 65 - 1 100 70
11 Cijedil - 65 - 1 100 70
12 Cibeber - 65 - 1 100 70
13 Cibaregbeg - 65 - 1 100 70
14 Gekbrong - 65 - 1 100 70
15 Bojongpicung - 65 - 1 100 70
16 Cikalongkulon - 65 - 1 100 70
17 Mande - 65 - 1 100 70
18 Cijagang - 65 - - - 70
19 Cikondang - 65 - - - 70
20 Kademangan - 65 - 1 100 70
21 Sukaresmi - 65 - 1 100 70
22 Sukamahi - 65 - - - 70
23 Sukanagalih - 65 - 1 100 70
24 Cipanas - 65 - 2 200 70
25 Cipendawa - 65 - 1 100 70
26 Sukaluyu - 65 - 1 100 70
27 Campaka - 65 - 1 100 70
28 Campaka Mulya - 65 - - - 70
29 Sukanagara - 65 - - - 70
30 Tanggeung - 65 - 1 100 70
31 Pagelaran - 65 - - - 70
32 Girijaya - 65 - - - 70
33 Cijati - 65 - 1 100 70
34 Bojonglarang - 65 - 1 100 70
35 Sindangkerta - 65 - - - 70
36 Cibinong - 65 - 1 100 70
37 Takokak - 65 - - - 70
38 Kadupandak - 65 - 1 100 70
39 Sindangbarang - 65 - - - 70
40 Cidaun - 65 - - - 70
41 Gunungbitung - 65 - 1 100 70
42 Cikadu - 65 - - - 70
43 Agrabinta - 65 - - - 70
44 Naringgul - 65 - 1 100 70
45 Pusakasari - 65 - - - 70
JUMLAH - - 29 2,900
RETRIBUSI PEMERIKSAAN KESEHATAN CALON HAJI
TOTAL PENGELUARAN
PENERIMAAN
7,000 - 65 - 16 70 1,120
- - 65 - - 70 -
7,000 - 65 - 2 70 140
7,000 - 65 - 83 70 5,810
7,000 - 65 - 6 70 420
- - 65 - - 70 -
7,000 - 65 - 63 70 4,410
7,000 - 65 - 24 70 1,680
- - 65 - - 70 -
7,000 - 65 - 14 70 980
7,000 - 65 - 33 70 2,310
7,000 - 65 - 26 70 1,820
7,000 - 65 - - 70 -
7,000 - 65 - 23 70 1,610
7,000 - 65 - 16 70 1,120
7,000 - 65 - - 70 -
7,000 - 65 - 13 70 910
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 8 70 560
7,000 - 65 - 3 70 210
- - 65 - - 70 -
7,000 - 65 - 20 70 1,400
14,000 - 65 - 35 70 2,450
7,000 - 65 - 29 70 2,030
7,000 - 65 - 35 70 2,450
7,000 - 65 - 11 70 770
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 6 70 420
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 13 70 910
7,000 - 65 - 3 70 210
- - 65 - - 70 -
7,000 - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 14 70 980
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 1 70 70
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 3 70 210
- - 65 - - 70 -
203,000 - - 500 35,000

TOTAL SISA
PENGELUARAN
1,120 100 65 6,500 84 70 5,880

- - 65 - - 70 -
140 100 65 6,500 98 70 6,860
5,810 100 65 6,500 17 70 1,190
420 100 65 6,500 94 70 6,580
- - 65 - - 70 -
4,410 - 65 - 37 70 2,590
1,680 - 65 - 76 70 5,320
- - 65 - - 70 -
980 - 65 - 86 70 6,020
2,310 - 65 - 67 70 4,690
1,820 - 65 - 74 70 5,180
- - 65 - 100 70 7,000
1,610 - 65 - 77 70 5,390
1,120 - 65 - 84 70 5,880
- - 65 - 100 70 7,000
910 - 65 - 87 70 6,090
- - 65 - - 70 -
- - 65 - - 70 -
560 - 65 - 92 70 6,440
210 - 65 - 97 70 6,790
- - 65 - - 70 -
1,400 - 65 - 80 70 5,600
2,450 - 65 - 165 70 11,550
2,030 - 65 - 71 70 4,970
2,450 - 65 - 65 70 4,550
770 - 65 - 89 70 6,230
- - 65 - - 70 -
- - 65 - - 70 -
420 - 65 - 94 70 6,580
- - 65 - - 70 -
- - 65 - - 70 -
910 - 65 - 87 70 6,090
210 - 65 - 97 70 6,790
- - 65 - - 70 -
- - 65 - 100 70 7,000
- - 65 - - 70 -
980 - 65 - 86 70 6,020
- - 65 - - 70 -
- - 65 - - 70 -
70 - 65 - 99 70 6,930
- - 65 - - 70 -
- - 65 - - 70 -
210 - 65 - 97 70 6,790
- - 65 - - 70 -
35,000 400 26,000 2,400 168,000
26,400
184
-
198
117
194
-
37
76
-
86
67
74
100
77
84
100
87
-
-
92
97
-
80
165
71 -
65
89
-
-
94
-
-
87
97
-
100
-
86
-
-
99
-
-
97
-
-
2,800
-
-
26,400
-
-
-
-
-
SALDO AWAL NILAI JUMLAH PENERIMAAN
No Puskesmas (LEMBAR) PEROLEHAN SALDO AWAL
(PER
(PER
LEMBAR)
1 Cianjurkota - 65 - 1 100 70
2 Muka - 65 - - - 70
3 Nagrak - 65 - 1 100 70
4 Sukasari - 65 - 1 100 70
5 Warungkondang - 65 - 1 100 70
6 Karangtengah - 65 - - - 70
7 Ciherang - 65 - 1 100 70
8 Ciranjang - 65 - 1 100 70
9 Cipeuyeum - 65 - - - 70
10 Cugenang - 65 - 1 100 70
11 Cijedil - 65 - 1 100 70
12 Cibeber - 65 - 1 100 70
13 Cibaregbeg - 65 - 1 100 70
14 Gekbrong - 65 - 1 100 70
15 Bojongpicung - 65 - 1 100 70
16 Cikalongkulon - 65 - 1 100 70
17 Mande - 65 - 2 200 70
18 Cijagang - 65 - - - 70
19 Cikondang - 65 - - - 70
20 Kademangan - 65 - 1 100 70
21 Sukaresmi - 65 - 1 100 70
22 Sukamahi - 65 - - - 70
23 Sukanagalih - 65 - 1 100 70
24 Cipanas - 65 - 2 200 70
25 Cipendawa - 65 - 1 100 70
26 Sukaluyu - 65 - 1 100 70
27 Campaka - 65 - 1 100 70
28 Campaka Mulya - 65 - - - 70
29 Sukanagara - 65 - - - 70
30 Tanggeung - 65 - 1 100 70
31 Pagelaran - 65 - - - 70
32 Girijaya - 65 - - - 70
33 Cijati - 65 - 1 100 70
34 Bojonglarang - 65 - 1 100 70
35 Sindangkerta - 65 - - - 70
36 Cibinong - 65 - 1 100 70
37 Takokak - 65 - - - 70
38 Kadupandak - 65 - 1 100 70
39 Sindangbarang - 65 - - - 70
40 Cidaun - 65 - - - 70
41 Gunungbitung - 65 - 1 100 70
42 Cikadu - 65 - - - 70
43 Agrabinta - 65 - - - 70
44 Naringgul - 65 - 1 100 70
45 Pusakasari - 65 - - - 70
JUMLAH - 2,925 - 30 3,000 3,150

RETRIBUSI PEMERIKSAAN KESEHATAN CALON PENGANTIN
TOTAL PENGELUARAN
PENERIMAAN
7,000 - 65 - 15 70 1,050
- - 65 - - 70 -
7,000 - 65 - 9 70 630
7,000 - 65 - 3 70 210
7,000 - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 26 70 1,820
7,000 - 65 - 3 70 210
- - 65 - - 70 -
7,000 - 65 - 18 70 1,260
7,000 - 65 - 3 70 210
7,000 - 65 - 26 70 1,820
7,000 - 65 - - 70 -
7,000 - 65 - 33 70 2,310
7,000 - 65 - - 70 -
7,000 - 65 - - 70 -
14,000 - 65 - 104 70 7,280
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 84 70 5,880
7,000 - 65 - 36 70 2,520
- - 65 - - 70 -
7,000 - 65 - 5 70 350
14,000 - 65 - 68 70 4,760
7,000 - 65 - 36 70 2,520
7,000 - 65 - - 70 -
7,000 - 65 - 79 70 5,530
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 35 70 2,450
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 10 70 700
7,000 - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 4 70 280
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 41 70 2,870
- - 65 - - 70 -
- - 65 - - 70 -
7,000 - 65 - 3 70 210
- - 65 - - 70 -
210,000 - - 641 3,150 44,870

TOTAL SISA
PENGELUARAN
1,050 - 65 - 85 70 5,950
- - 65 - - 70 -
630 - 65 - 91 70 6,370
210 - 65 - 97 70 6,790
- - 65 - 100 70 7,000
- - 65 - - 70 -
1,820 - 65 - 74 70 5,180
210 - 65 - 97 70 6,790
- - 65 - - 70 -
1,260 - 65 - 82 70 5,740
210 - 65 - 97 70 6,790
1,820 - 65 - 74 70 5,180
- - 65 - 100 70 7,000
2,310 - 65 - 67 70 4,690
- - 65 - 100 70 7,000
- - 65 - 100 70 7,000
7,280 - 65 - 96 70 6,720
- - 65 - - 70 -
- - 65 - - 70 -
5,880 - 65 - 16 70 1,120
2,520 - 65 - 64 70 4,480
- - 65 - - 70 -
350 - 65 - 95 70 6,650
4,760 - 65 - 132 70 9,240
2,520 - 65 - 64 70 4,480
- - 65 - 100 70 7,000
5,530 - 65 - 21 70 1,470
- - 65 - - 70 -
- - 65 - - 70 -
2,450 - 65 - 65 70 4,550
- - 65 - - 70 -
- - 65 - - 70 -
700 - 65 - 90 70 6,300
- - 65 - 100 70 7,000
- - 65 - - 70 -
- - 65 - 100 70 7,000
- - 65 - - 70 -
280 - 65 - 96 70 6,720
- - 65 - - 70 -
- - 65 - - 70 -
2,870 - 65 - 59 70 4,130
- - 65 - - 70 -
- - 65 - - 70 -
210 - 65 - 97 70 6,790
- - 65 - - 70 -
44,870 - - 2,359 165,130
200
104.0
96.0
85
-
91
97
100
-
74
97
-
82
97
74
100
67
100
100
96
-
-
16
64
-
95
132
64 -
100
21
-
-
65
-
-
90
100
-
100
-
96
-
-
59
-
-
97
-
-
2,359
-
-
-
-
-
-
-
-
Laporan Pengeluaran Karcis ke Puskesmas TAHUN
RETRIBUSI BLUD PUSKESMAS
No Puskesmas
JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI
(BLOK) PEROLEHAN (BLOK) PEROLEHAN PEROLEHAN
(PER BLOK) (PER BLOK)
1 Cianjurkota 150 6,500 100 7,000 1,675,000

2 Muka 150 6,500 150 7,000 2,025,000
3 Nagrak 70 6,500 70 7,000 945,000
4 Sukasari 160 6,500 80 7,000 1,600,000
5 Warungkondang 60 6,500 40 7,000 670,000
6 Karangtengah 80 6,500 80 7,000 1,080,000
7 Ciherang 90 6,500 90 7,000 1,215,000
8 Ciranjang 100 6,500 100 7,000 1,350,000
9 Cipeuyeum 100 6,500 90 7,000 1,280,000
10 Cugenang 80 6,500 30 7,000 730,000
11 Cijedil 100 6,500 60 7,000 1,070,000
12 Cibeber 110 6,500 50 7,000 1,065,000
13 Cibaregbeg 60 6,500 70 7,000 880,000
14 Gekbrong 170 6,500 90 7,000 1,735,000
15 Bojongpicung 80 6,500 40 7,000 800,000
16 Cikalongkulon 50 6,500 60 7,000 745,000
17 Mande 100 6,500 60 7,000 1,070,000
18 Cijagang 40 6,500 40 7,000 540,000
19 Cikondang 50 6,500 40 7,000 605,000
20 Kademangan 90 6,500 - 7,000 585,000
21 Sukaresmi 90 6,500 60 7,000 1,005,000
22 Sukamahi 30 6,500 40 7,000 475,000
23 Sukanagalih 100 6,500 30 7,000 860,000
24 Cipanas 160 6,500 100 7,000 1,740,000
25 Cipendawa 70 6,500 70 7,000 945,000
26 Sukaluyu 110 6,500 100 7,000 1,415,000
27 Campaka 80 6,500 50 7,000 870,000
28 Campaka Mulya 60 6,500 60 7,000 810,000
29 Sukanagara 60 6,500 20 7,000 530,000
30 Tanggeung 70 6,500 40 7,000 735,000
31 Pagelaran 30 6,500 50 7,000 545,000
32 Girijaya 20 6,500 20 7,000 270,000
33 Cijati 50 6,500 50 7,000 675,000
34 Bojonglarang 60 6,500 30 7,000 600,000
35 Sindangkerta 120 6,500 50 7,000 1,130,000
36 Cibinong 60 6,500 70 7,000 880,000
37 Takokak 110 6,500 40 7,000 995,000
38 Kadupandak 100 6,500 60 7,000 1,070,000
39 Sindangbarang 50 6,500 - 7,000 325,000
40 Cidaun 110 6,500 70 7,000 1,205,000
41 Gunungbitung 60 6,500 20 7,000 530,000
42 Cikadu 40 6,500 50 7,000 610,000
43 Agrabinta 40 6,500 40 7,000 540,000
44 Naringgul 100 6,500 20 7,000 790,000
45 Pusakasari 50 6,500 30 7,000 535,000
JUMLAH 3,720 292,500 2,510 315,000 41,750,000

engeluaran Karcis ke Puskesmas TAHUN 2016
RETRIBUSI PEMERIKSAAN KESEHATAN CALON RETRIBUSI PEMERIKSAAN KESEHATAN CALON

TOTAL
JUMLAH NILAI JUMLAH NILAI JUMLAH (BLOK) NILAI JUMLAH
(BLOK) PEROLEHAN PEROLEHAN PEROLEHAN NILAI
(PER BLOK) (PER BLOK) PEROLEHAN
1 7,000 7,000 1 7,000 7,000 1,689,000

- 7,000 - - 7,000 - 2,025,000
1 7,000 7,000 1 7,000 7,000 959,000
1 7,000 7,000 1 7,000 7,000 1,614,000
1 7,000 7,000 1 7,000 7,000 684,000
- 7,000 - - 7,000 - 1,080,000
1 7,000 7,000 1 7,000 7,000 1,229,000
1 7,000 7,000 1 7,000 7,000 1,364,000
- 7,000 - - 7,000 - 1,280,000
1 7,000 7,000 1 7,000 7,000 744,000
1 7,000 7,000 1 7,000 7,000 1,084,000
1 7,000 7,000 1 7,000 7,000 1,079,000
1 7,000 7,000 1 7,000 7,000 894,000
1 7,000 7,000 1 7,000 7,000 1,749,000
1 7,000 7,000 1 7,000 7,000 814,000
1 7,000 7,000 1 7,000 7,000 759,000
2 7,000 14,000 1 7,000 7,000 1,091,000
- 7,000 - - 7,000 - 540,000
- 7,000 - - 7,000 - 605,000
1 7,000 7,000 1 7,000 7,000 599,000
1 7,000 7,000 1 7,000 7,000 1,019,000
- 7,000 - - 7,000 - 475,000
1 7,000 7,000 1 7,000 7,000 874,000
2 7,000 14,000 2 7,000 14,000 1,768,000
1 7,000 7,000 1 7,000 7,000 959,000
1 7,000 7,000 1 7,000 7,000 1,429,000
1 7,000 7,000 1 7,000 7,000 884,000
- 7,000 - - 7,000 - 810,000
- 7,000 - - 7,000 - 530,000
1 7,000 7,000 1 7,000 7,000 749,000
- 7,000 - - 7,000 - 545,000
- 7,000 - - 7,000 - 270,000
1 7,000 7,000 1 7,000 7,000 689,000
1 7,000 7,000 1 7,000 7,000 614,000
- 7,000 - - 7,000 - 1,130,000
1 7,000 7,000 1 7,000 7,000 894,000
- 7,000 - - 7,000 - 995,000
1 7,000 7,000 1 7,000 7,000 1,084,000
- 7,000 - - 7,000 - 325,000
- 7,000 - - 7,000 - 1,205,000
1 7,000 7,000 1 7,000 7,000 544,000
- 7,000 - - 7,000 - 610,000
- 7,000 - - 7,000 - 540,000
1 7,000 7,000 1 7,000 7,000 804,000
- 7,000 - - 7,000 - 535,000
30 315,000 210,000 29 315,000 203,000 42,163,000

1 -
-
1 -
1 -
1 -
-
1 -
1 -
-
1 -
1 -
1 -
1 -
1 -
1 -
1 -
2 -
-
-
1 -
1 -
-
1 -
2 -
1 -
1 -
1 -
-
-
1 -
-
-
1 -
1 -
-
1 -
-
1 -
-
-
1 -
-
-
1 -
-
-
30
Laporan Penerimaan dan Pengeluaran Karcis
Retribusi Pelayanan Kesehatan Dinas Kesehatan Kabupaten Cianjur
JANUARI 2016 PEBRU

No Puskesmas Sisa Penerimaan Pengeluaran Sisa
Jumlah Sisa
Bln Lalu JANUARI JANUARI Bln Lalu
1 Cianjurkota 5,531 - 5,531 2,187 3,344 3,344
2 Muka 3,250 - 3,250 1,890 1,360 1,360
3 Nagrak - 2,000 2,000 780 1,220 1,220
4 Sukasari 3,679 4,000 7,679 1,267 6,412 6,412
5 Warungkondang 1,061 - 1,061 650 411 411
6 Karangtengah 3,546 - 3,546 1,540 2,006 2,006
7 Ciherang 1,403 3,000 4,403 1,358 3,045 3,045
8 Ciranjang 5,705 - 5,705 1,679 4,026 4,026
9 Cipeuyeum 6,110 - 6,110 1,637 4,473 4,473
10 Cugenang - 3,000 3,000 704 2,296 2,296
11 Cijedil - 2,000 2,000 1,153 847 847
12 Cibeber 209 2,000 2,209 1,384 825 825
13 Cibaregbeg - 2,000 2,000 677 1,323 1,323
14 Gekbrong - 3,000 3,000 2,015 985 985
15 Bojongpicung - 2,000 2,000 975 1,025 1,025
16 Cikalongkulon 1,253 - 1,253 495 758 758
17 Mande 980 3,000 3,980 1,188 2,792 2,792
18 Cijagang 1,253 - 1,253 495 758 758
19 Cikondang - 1,000 1,000 499 501 501
20 Kademangan - - - - - -
21 Sukaresmi - - - - - -
22 Sukamahi - - - - - -
23 Sukanagalih 961 - 961 868 93 93
24 Cipanas - 2,000 2,000 1,972 28 28
25 Cipendawa 3,133 - 3,133 1,078 2,055 2,055
26 Sukaluyu - 3,000 3,000 1,590 1,410 1,410
27 Campaka 339 1,000 1,339 985 354 354
28 Campaka Mulya - 1,000 1,000 733 267 267
29 Sukanagara 28 - 28 - 28 28
30 Tanggeung - 1,000 1,000 515 485 485
31 Pagelaran - - - - - -
32 Girijaya - - - - - -
33 Cijati - 2,000 2,000 650 1,350 1,350
34 Bojonglarang - 3,000 3,000 785 2,215 2,215
35 Sindangkerta - 3,000 3,000 1,350 1,650 1,650
36 Cibinong - 2,000 2,000 463 1,537 1,537
37 Takokak - 3,000 3,000 1,204 1,796 1,796
38 Kadupandak - 2,000 2,000 1,131 869 869
39 Sindangbarang - 2,000 2,000 300 1,700 1,700
40 Cidaun - 2,000 2,000 907 1,093 1,093
41 Gunungbitung - 1,000 1,000 615 385 385
42 Cikadu - 1,000 1,000 504 496 496
43 Agrabinta - - - - - -
44 Naringgul - 1,000 1,000 808 192 192
45 Pusakasari - - - - - -
JUMLAH 38,441 57,000 95,441 39,031 56,410 56,410
2,498,665
PEBRUARI 2016 MARET 2016
Penerimaan Pengeluaran Sisa Penerimaan Pengeluaran
Jumlah Sisa Jumlah Sisa
PEBRUARI PEBRUARI Bln Lalu MARET MARET
5,000 8,344 2,503 5,841 5,841 - 5,841 2,537 3,304
5,000 6,360 2,249 4,111 4,111 - 4,111 2,467 1,644
- 1,220 860 360 360 2,000 2,360 911 1,449
- 6,412 1,275 5,137 5,137 8,000 13,137 1,746 11,391
2,000 2,411 665 1,746 1,746 1,746 670 1,076
- 2,006 1,206 800 800 4,000 4,800 1,767 3,033
- 3,045 1,405 1,640 1,640 3,000 4,640 1,627 3,013
- 4,026 1,732 2,294 2,294 5,000 7,294 1,736 5,558
- 4,473 1,930 2,543 2,543 10,000 12,543 1,810 10,733
- 2,296 705 1,591 1,591 - 1,591 778 813
3,000 3,847 1,169 2,678 2,678 - 2,678 1,433 1,245
2,000 2,825 1,423 1,402 1,402 1,000 2,402 1,485 917
- 1,323 828 495 495 2,000 2,495 914 1,581
3,000 3,985 2,093 1,892 1,892 2,000 3,892 2,204 1,688
- 1,025 951 74 74 2,000 2,074 761 1,313
- 758 583 175 175 5,000 5,175 678 4,497
- 2,792 1,253 1,539 1,539 1,000 2,539 1,408 1,131
- 758 583 175 175 4,000 4,175 678 3,497
2,000 2,501 582 1,919 1,919 - 1,919 638 1,281
1,000 1,000 1,000 - - 4,000 4,000 566 3,434
3,000 3,000 1,347 1,653 1,653 2,000 3,653 1,681 1,972
- - - - - 1,000 1,000 342 658
5,000 5,093 888 4,205 4,205 - 4,205 1,138 3,067
2,000 2,028 2,151 (123) (123) 4,000 3,877 2,245 1,632
- 2,055 1,108 947 947 2,000 2,947 1,225 1,722
4,000 5,410 1,662 3,748 3,748 - 3,748 1,679 2,069
1,000 1,354 1,241 113 113 2,000 2,113 1,100 1,013
2,000 2,267 683 1,584 1,584 - 1,584 681 903
- 28 - 28 28 3,000 3,028 736 2,292
2,000 2,485 878 1,607 1,607 2,000 3,607 902 2,705
- - - - - - - - -
- - - - - 2,000 2,000 - 2,000
- 1,350 705 645 645 3,000 3,645 632 3,013
- 2,215 779 1,436 1,436 - 1,436 699 737
- 1,650 1,201 449 449 4,000 4,449 1,257 3,192
- 1,537 610 927 927 2,000 2,927 1,213 1,714
- 1,796 1,205 591 591 4,000 4,591 1,369 3,222
2,000 2,869 1,224 1,645 1,645 - 1,645 1,402 243
- 1,700 293 1,407 1,407 - 1,407 357 1,050
- 1,093 854 239 239 4,000 4,239 962 3,277
1,000 1,385 660 725 725 1,000 1,725 682 1,043
1,000 1,496 570 926 926 - 926 635 291
2,000 2,000 234 1,766 1,766 1,000 2,766 709 2,057
2,000 2,192 1,576 616 616 1,000 1,616 1,399 217
- - - - - 2,000 2,000 403 1,597
50,000 106,410 44,864 61,546 61,546 93,000 154,546 50,262 104,284
APRIL 2016 MEI 2016
Sisa Penerimaan Pengeluaran Sisa Penerimaan Pengeluaran
Jumlah Sisa Jumlah
Bln Lalu APRIL APRIL Bln Lalu MEI MEI
3,304 - 3,304 2,142 1,162 1,162 5,000 6,162 1,891
1,644 5,000 6,644 2,356 4,288 4,288 - 4,288 2,187
1,449 - 1,449 973 476 476 - 476 906
11,391 - 11,391 1,701 9,690 9,690 - 9,690 1,475
1,076 2,000 3,076 950 2,126 2,126 - 2,126 970
3,033 - 3,033 1,475 1,558 1,558 4,000 5,558 1,539
3,013 - 3,013 1,516 1,497 1,497 3,000 4,497 1,389
5,558 - 5,558 1,609 3,949 3,949 - 3,949 1,444
10,733 - 10,733 1,585 9,148 9,148 - 9,148 1,670
813 2,000 2,813 793 2,020 2,020 - 2,020 746
1,245 - 1,245 1,245 - - 2,000 2,000 1,142
917 1,000 1,917 1,484 433 433 2,000 2,433 1,285
1,581 - 1,581 832 749 749 2,000 2,749 921
1,688 - 1,688 2,111 (423) (423) 3,000 2,577 1,803
1,313 - 1,313 969 344 344 2,000 2,344 962
4,497 - 4,497 673 3,824 3,824 - 3,824 -
1,131 3,000 4,131 1,262 2,869 2,869 - 2,869 1,077
3,497 - 3,497 673 2,824 2,824 - 2,824 604
1,281 - 1,281 419 862 862 - 862 553
3,434 - 3,434 968 2,466 2,466 - 2,466 864
1,972 4,000 5,972 1,418 4,554 4,554 - 4,554 1,219
658 - 658 605 53 53 2,000 2,053 511
3,067 - 3,067 1,060 2,007 2,007 - 2,007 923
1,632 4,000 5,632 2,193 3,439 3,439 - 3,439 2,074
1,722 - 1,722 1,201 521 521 5,000 5,521 1,220
2,069 - 2,069 1,483 586 586 3,000 3,586 1,361
1,013 1,000 2,013 1,275 738 738 1,000 1,738 1,160
903 - 903 675 228 228 - 228 637
2,292 - 2,292 587 1,705 1,705 3,000 4,705 507
2,705 - 2,705 781 1,924 1,924 2,000 3,924 1,100
- - - - - - - - 720
2,000 - 2,000 - 2,000 2,000 - 2,000 -
3,013 - 3,013 687 2,326 2,326 - 2,326 645
737 3,000 3,737 715 3,022 3,022 - 3,022 506
3,192 - 3,192 1,411 1,781 1,781 - 1,781 1,080
1,714 - 1,714 1,031 683 683 2,000 2,683 898
3,222 - 3,222 1,137 2,085 2,085 - 2,085 1,120
243 3,000 3,243 1,203 2,040 2,040 - 2,040 1,227
1,050 - 1,050 366 684 684 - 684 340
3,277 - 3,277 1,350 1,927 1,927 - 1,927 1,846
1,043 - 1,043 611 432 432 1,000 1,432 556
291 1,000 1,291 636 655 655 1,000 1,655 428
2,057 - 2,057 633 1,424 1,424 1,000 2,424 599
217 2,000 2,217 1,014 1,203 1,203 2,000 3,203 1,129
1,597 - 1,597 634 963 963 3,000 3,963 775
104,284 31,000 135,284 48,442 86,842 86,842 49,000 135,842 46,009
JUNI 2016 JULI 2016
Sisa Penerimaan Pengeluaran Sisa Penerimaan
Sisa Jumlah Sisa Jumlah
Bln Lalu JUNI JUNI Bln Lalu JULI
4,271 4,271 - 4,271 2,093 2,178 2,178 5,000 7,178
2,101 2,101 5,000 7,101 2,073 5,028 5,028 - 5,028
(430) (430) 3,000 2,570 1,079 1,491 1,491 - 1,491
8,215 8,215 4,000 12,215 1,417 10,798 10,798 - 10,798
1,156 1,156 2,000 3,156 910 2,246 2,246 - 2,246
4,019 4,019 - 4,019 1,407 2,612 2,612 4,000 6,612
3,108 3,108 - 3,108 1,372 1,736 1,736 3,000 4,736
2,505 2,505 5,000 7,505 1,371 6,134 6,134 - 6,134
7,478 7,478 - 7,478 1,570 5,908 5,908 - 5,908
1,274 1,274 3,000 4,274 749 3,525 3,525 - 3,525
858 858 3,000 3,858 1,195 2,663 2,663 - 2,663
1,148 1,148 1,000 2,148 1,109 1,039 1,039 2,000 3,039
1,828 1,828 - 1,828 892 936 936 - 936
774 774 3,000 3,774 1,700 2,074 2,074 3,000 5,074
1,382 1,382 - 1,382 964 418 418 2,000 2,418
3,824 3,824 - 3,824 - 3,824 3,824 5,000 8,824
1,792 1,792 - 1,792 1,235 557 557 3,000 3,557
2,220 2,220 - 2,220 548 1,672 1,672 - 1,672
309 309 2,000 2,309 547 1,762 1,762 - 1,762
1,602 1,602 4,000 5,602 857 4,745 4,745 - 4,745
3,335 3,335 - 3,335 1,148 2,187 2,187 - 2,187
1,542 1,542 - 1,542 527 1,015 1,015 - 1,015
1,084 1,084 - 1,084 1,031 53 53 5,000 5,053
1,365 1,365 4,000 5,365 2,053 3,312 3,312 - 3,312
4,301 4,301 - 4,301 1,165 3,136 3,136 - 3,136
2,225 2,225 - 2,225 1,487 738 738 4,000 4,738
578 578 1,000 1,578 1,091 487 487 1,000 1,487
(409) (409) 3,000 2,591 649 1,942 1,942 - 1,942
4,198 4,198 - 4,198 377 3,821 3,821 - 3,821
2,824 2,824 - 2,824 1,061 1,763 1,763 2,000 3,763
(720) (720) 3,000 2,280 699 1,581 1,581 - 1,581
2,000 2,000 - 2,000 - 2,000 2,000 - 2,000
1,681 1,681 - 1,681 610 1,071 1,071 - 1,071
2,516 2,516 - 2,516 575 1,941 1,941 - 1,941
701 701 5,000 5,701 1,351 4,350 4,350 - 4,350
1,785 1,785 - 1,785 984 801 801 2,000 2,801
965 965 4,000 4,965 1,018 3,947 3,947 - 3,947
813 813 3,000 3,813 1,327 2,486 2,486 - 2,486
344 344 3,000 3,344 305 3,039 3,039 - 3,039
81 81 5,000 5,081 1,826 3,255 3,255 - 3,255
876 876 - 876 623 253 253 2,000 2,253
1,227 1,227 - 1,227 430 797 797 - 797
1,825 1,825 - 1,825 1,030 795 795 - 795
2,074 2,074 - 2,074 901 1,173 1,173 2,000 3,173
3,188 3,188 - 3,188 708 2,480 2,480 - 2,480
89,833 89,833 66,000 155,833 46,064 109,769 109,769 45,000 154,769
JULI 2016 AGUSTUS 2016 SEPTEMBER 20
Pengeluaran Sisa Penerimaan Pengeluaran Sisa Penerimaan
Sisa Jumlah Sisa
JULI Bln Lalu AGUSTUS AGUSTUS Bln Lalu SEPTEMBER
1,904 5,274 5,274 - 5,274 2,472 2,802 2,802 5,000
2,083 2,945 2,945 - 2,945 2,734 211 211 5,000
787 704 704 3,000 3,704 1,156 2,548 2,548 -
1,356 9,442 9,442 - 9,442 1,442 8,000 8,000 4,000
710 1,536 1,536 - 1,536 960 576 576 2,000
1,194 5,418 5,418 - 5,418 1,784 3,634 3,634 -
1,371 3,365 3,365 - 3,365 1,582 1,783 1,783 3,000
1,387 4,747 4,747 - 4,747 1,727 3,020 3,020 5,000
1,500 4,408 4,408 - 4,408 2,253 2,155 2,155 5,000
689 2,836 2,836 - 2,836 849 1,987 1,987 -
1,264 1,399 1,399 3,000 4,399 1,667 2,732 2,732 -
1,124 1,915 1,915 - 1,915 1,411 504 504 2,000
844 92 92 2,000 2,092 1,149 943 943 2,000
1,492 3,582 3,582 - 3,582 1,979 1,603 1,603 3,000
1,091 1,327 1,327 - 1,327 1,224 103 103 2,000
- 8,824 8,824 - 8,824 - 8,824 8,824 -
1,078 2,479 2,479 - 2,479 1,468 1,011 1,011 2,000
565 1,107 1,107 - 1,107 738 369 369 4,000
487 1,275 1,275 - 1,275 537 738 738 -
709 4,036 4,036 - 4,036 928 3,108 3,108 -
1,122 1,065 1,065 - 1,065 1,065 - - 4,000
547 468 468 2,000 2,468 480 1,988 1,988 -
840 4,213 4,213 - 4,213 1,113 3,100 3,100 -
1,488 1,824 1,824 4,000 5,824 1,822 4,002 4,002 -
1,029 2,107 2,107 2,000 4,107 1,322 2,785 2,785 -
1,553 3,185 3,185 - 3,185 1,636 1,549 1,549 3,000
1,043 444 444 1,000 1,444 1,061 383 383 1,000
630 1,312 1,312 - 1,312 652 660 660 2,000
385 3,436 3,436 2,000 5,436 568 4,868 4,868 -
869 2,894 2,894 - 2,894 1,435 1,459 1,459 2,000
621 960 960 3,000 3,960 824 3,136 3,136 -
- 2,000 2,000 - 2,000 - 2,000 2,000 2,000
590 481 481 2,000 2,481 630 1,851 1,851 -
682 1,259 1,259 3,000 4,259 718 3,541 3,541 -
1,252 3,098 3,098 - 3,098 1,174 1,924 1,924 -
921 1,880 1,880 - 1,880 1,028 852 852 3,000
900 3,047 3,047 - 3,047 1,033 2,014 2,014 -
1,138 1,348 1,348 - 1,348 1,131 217 217 3,000
333 2,706 2,706 - 2,706 357 2,349 2,349 -
1,415 1,840 1,840 - 1,840 1,778 62 62 4,000
700 1,553 1,553 - 1,553 618 935 935 -
303 494 494 1,000 1,494 572 922 922 -
644 151 151 2,000 2,151 265 1,886 1,886 -
615 2,558 2,558 - 2,558 617 1,941 1,941 -
932 1,548 1,548 - 1,548 989 559 559 3,000
42,187 112,582 112,582 30,000 142,582 50,948 91,634 91,634 71,000
SEPTEMBER 2016 OKTOBER 2016 NOP
Pengeluaran Sisa Penerimaan Pengeluaran Sisa
SEPTEMBER Bln Lalu OKTOBER OKTOBER Bln Lalu
7,802 2,245 5,557 5,557 - 5,557 2,413 3,144 3,144
5,211 2,645 2,566 2,566 5,000 7,566 2,617 4,949 4,949
2,548 1,144 1,404 1,404 - 1,404 1,139 265 265
12,000 1,539 10,461 10,461 - 10,461 1,605 8,856 8,856
2,576 970 1,606 1,606 - 1,606 650 956 956
3,634 1,715 1,919 1,919 4,000 5,919 1,601 4,318 4,318
4,783 1,438 3,345 3,345 - 3,345 1,402 1,943 1,943
8,020 1,639 6,381 6,381 - 6,381 1,723 4,658 4,658
7,155 1,736 5,419 5,419 - 5,419 1,881 3,538 3,538
1,987 877 1,110 1,110 - 1,110 1,008 102 102
2,732 1,673 1,059 1,059 3,000 4,059 1,546 2,513 2,513
2,504 1,217 1,287 1,287 2,000 3,287 1,262 2,025 2,025
2,943 1,131 1,812 1,812 - 1,812 1,139 673 673
4,603 1,923 2,680 2,680 6,000 8,680 1,953 6,727 6,727
2,103 901 1,202 1,202 - 1,202 915 287 287
8,824 - 8,824 8,824 - 8,824 - 8,824 8,824
3,011 1,371 1,640 1,640 2,000 3,640 1,371 2,269 2,269
4,369 629 3,740 3,740 - 3,740 590 3,150 3,150
738 449 289 289 4,000 4,289 511 3,778 3,778
3,108 780 2,328 2,328 - 2,328 804 1,524 1,524
4,000 1,080 2,920 2,920 - 2,920 1,327 1,593 1,593
1,988 582 1,406 1,406 - 1,406 587 819 819
3,100 1,180 1,920 1,920 - 1,920 1,182 738 738
4,002 2,236 1,766 1,766 4,000 5,766 2,145 3,621 3,621
2,785 1,217 1,568 1,568 - 1,568 1,219 349 349
4,549 1,457 3,092 3,092 - 3,092 1,541 1,551 1,551
1,383 1,069 314 314 1,000 1,314 1,095 219 219
2,660 666 1,994 1,994 2,000 3,994 683 3,311 3,311
4,868 461 4,407 4,407 - 4,407 593 3,814 3,814
3,459 501 2,958 2,958 - 2,958 672 2,286 2,286
3,136 820 2,316 2,316 - 2,316 1,010 1,306 1,306
4,000 - 4,000 4,000 - 4,000 - 4,000 4,000
1,851 558 1,293 1,293 - 1,293 595 698 698
3,541 555 2,986 2,986 - 2,986 565 2,421 2,421
1,924 1,163 761 761 5,000 5,761 1,348 4,413 4,413
3,852 988 2,864 2,864 - 2,864 1,023 1,841 1,841
2,014 1,012 1,002 1,002 4,000 5,002 1,052 3,950 3,950
3,217 1,224 1,993 1,993 - 1,993 1,191 802 802
2,349 294 2,055 2,055 - 2,055 359 1,696 1,696
4,062 1,715 2,347 2,347 - 2,347 1,774 573 573
935 693 242 242 2,000 2,242 644 1,598 1,598
922 573 349 349 1,000 1,349 574 775 775
1,886 590 1,296 1,296 2,000 3,296 281 3,015 3,015
1,941 850 1,091 1,091 - 1,091 700 391 391
3,559 790 2,769 2,769 - 2,769 950 1,819 1,819
162,634 48,296 114,338 114,338 38,000 161,338 - 112,098 112,098
NOPEMBER 2016 DESEMBER 2016
Jumlah Sisa Jumlah
NOPEMBER NOPEMBER Bln Lalu DESEMBER DESEMBER
5,000 8,144 2,433 5,711 5,711 - 5,711 2,388
- 4,949 2,682 2,267 2,267 5,000 7,267 2,200
4,000 4,265 1,197 3,068 3,068 - 3,068 1,071
- 8,856 1,639 7,217 7,217 4,000 11,217 1,518
- 956 645 311 311 2,000 2,311 635
- 4,318 1,646 2,672 2,672 - 2,672 1,415
3,000 4,943 1,410 3,533 3,533 - 3,533 1,340
- 4,658 1,707 2,951 2,951 5,000 7,951 1,478
4,000 7,538 1,828 5,710 5,710 - 5,710 1,547
3,000 3,102 1,030 2,072 2,072 - 2,072 924
- 2,513 997 1,516 1,516 - 1,516 758
- 2,025 1,394 631 631 1,000 1,631 1,219
3,000 3,673 1,079 2,594 2,594 - 2,594 1,026
- 6,727 1,893 4,834 4,834 - 4,834 2,334
- 287 903 (616) (616) 2,000 1,384 841
- 8,824 - 8,824 8,824 1,000 9,824 -
- 2,269 1,452 817 817 2,000 2,817 1,318
- 3,150 592 2,558 2,558 - 2,558 450
- 3,778 411 3,367 3,367 - 3,367 433
- 1,524 773 751 751 - 751 747
- 1,593 1,374 219 219 2,000 2,219 1,301
- 819 620 199 199 2,000 2,199 683
3,000 3,738 1,162 2,576 2,576 - 2,576 1,174
- 3,621 2,397 1,224 1,224 2,000 3,224 -
5,000 5,349 1,374 3,975 3,975 - 3,975 1,037
- 1,551 1,451 100 100 4,000 4,100 -
1,000 1,219 1,143 76 76 1,000 1,076 1,017
- 3,311 654 2,657 2,657 2,000 4,657 563
- 3,814 610 3,204 3,204 - 3,204 489
- 2,286 613 1,673 1,673 - 1,673 1,108
2,000 3,306 1,007 2,299 2,299 - 2,299 839
- 4,000 - 4,000 4,000 - 4,000 -
3,000 3,698 758 2,940 2,940 - 2,940 738
- 2,421 632 1,789 1,789 - 1,789 710
- 4,413 1,124 3,289 3,289 - 3,289 1,225
- 1,841 989 852 852 2,000 2,852 755
- 3,950 987 2,963 2,963 - 2,963 848
3,000 3,802 1,359 2,443 2,443 - 2,443 1,020
- 1,696 420 1,276 1,276 - 1,276 376
3,000 3,573 1,821 1,752 1,752 - 1,752 1,723
- 1,598 629 969 969 - 969 619
- 775 541 234 234 3,000 3,234 446
- 3,015 296 2,719 2,719 - 2,719 470
2,000 2,391 676 1,715 1,715 - 1,715 1,066
- 1,819 950 869 869 - 869 617
44,000 156,098 - 106,800 106,800 40,000 146,800 -
16
Sisa
3,323 -
5,067 -
1,997 -
9,699 -
1,676 -
1,257 -
2,193 -
6,473 -
4,163 -
1,148 -
758 -
412 -
1,568 -
2,500 -
543 -
9,824 9,300
1,499 -
2,108 -
2,934 -
4 -
918 -
1,516 -
1,402 -
3,224 2,139
2,938 -
4,100 1,488
59 (924)
4,094 -
2,715 (2,598)
565 -
1,460 -
4,000 4,000
2,202 -
1,079 -
2,064 -
2,097 -
2,115 -
1,423 -
900 (5,400)
29 -
350 -
2,788 -
2,249 -
649 -
252 -
104,334 104,334
(96,329)
-
-
-
-
-
JANUARI 2016
No Puskesmas Sisa Penerimaan Penerimaan Penerimaan Penerimaan
Bln Lalu JANUARI PEBRUARI MARET APRIL
1 Cianjurkota 5,531 - 5,000 - -
2 Muka 3,250 - 5,000 - 5,000
3 Nagrak - 2,000 - 2,000 -
4 Sukasari 3,679 4,000 - 8,000 -
5 Warungkondang 1,061 - 2,000 2,000
6 Karangtengah 3,546 - - 4,000 -
7 Ciherang 1,403 3,000 - 3,000 -
8 Ciranjang 5,705 - - 5,000 -
9 Cipeuyeum 6,110 - - 10,000 -
10 Cugenang - 3,000 - - 2,000
11 Cijedil - 2,000 3,000 - -
12 Cibeber 209 2,000 2,000 1,000 1,000
13 Cibaregbeg - 2,000 - 2,000 -
14 Gekbrong - 3,000 3,000 2,000 -
15 Bojongpicung - 2,000 - 2,000 -
16 Cikalongkulon 1,595 - - 5,000 -
17 Mande 980 3,000 - 1,000 3,000
18 Cijagang 1,253 - - 4,000 -
19 Cikondang - 1,000 - - -
20 Kademangan - - 1,000 4,000 -
21 Sukaresmi - - 3,000 2,000 4,000
22 Sukamahi - - - 1,000 -
23 Sukanagalih 961 - 5,000 - -
24 Cipanas - 2,000 2,000 4,000 4,000
25 Cipendawa 3,133 - - 2,000 -
26 Sukaluyu 538 3,000 4,000 - -
27 Campaka 538 1,000 1,000 2,000 1,000
28 Campaka Mulya - 1,000 2,000 - -
29 Sukanagara - - - 3,000 -
30 Tanggeung - 1,000 2,000 2,000 -
31 Pagelaran - - - - -
32 Girijaya - - - 2,000 -
33 Cijati - 2,000 - 3,000 -
34 Bojonglarang - 3,000 - - 3,000
35 Sindangkerta - 3,000 - 4,000 -
36 Cibinong - 2,000 - 2,000 -
37 Takokak - 3,000 - 4,000 -
38 Kadupandak - 2,000 2,000 - 3,000
39 Sindangbarang 1,300 2,000 - - -
40 Cidaun - 2,000 - 4,000 -
41 Gunungbitung - 1,000 1,000 1,000 -
42 Cikadu - 1,000 1,000 - 1,000
43 Agrabinta - - 2,000 1,000 -
44 Naringgul - 1,000 2,000 1,000 2,000
45 Pusakasari - - - 2,000 -
JUMLAH 40,792 57,000 48,000 93,000 31,000
2,651,480
Penerimaan Penerimaan Penerimaan Penerimaan Penerimaan Penerimaan Penerimaan Penerimaan
MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER
5,000 - 5,000 - 5,000 - 5,000 -
- 5,000 - - 5,000 5,000 - 5,000
- 3,000 - 3,000 - - 4,000 -
- 4,000 - - 4,000 - - 4,000
- 2,000 - - 2,000 - - 2,000
4,000 - 4,000 - - 4,000 - -
3,000 - 3,000 - 3,000 - 3,000 -
- 5,000 - - 5,000 - - 5,000
- - - - 5,000 - 4,000 -
- 3,000 - - - - 3,000 -
2,000 3,000 - 3,000 - 3,000 - -
2,000 1,000 2,000 - 2,000 2,000 - 1,000
2,000 - - 2,000 2,000 - 3,000 -
3,000 3,000 3,000 - 3,000 6,000 - -
2,000 - 2,000 - 2,000 - - 2,000
- - 5,000 - - - - 1,000
- - 3,000 - 2,000 2,000 - 2,000
- - - - 4,000 - - -
2,000 - 2,000 - - - - 4,000
- 4,000 - - - - - -
- - - - 4,000 - - 2,000
2,000 - - 2,000 - - - 2,000
- - 5,000 - - - 3,000 -
- 4,000 - 4,000 - 4,000 - 2,000
5,000 - - 2,000 - - 5,000 -
3,000 - 4,000 - 3,000 - - 4,000
1,000 1,000 1,000 1,000 1,000 1,000 1,000 2,000
- 3,000 - - 2,000 2,000 - 2,000
3,000 - - 2,000 - - - -
2,000 - 2,000 - 2,000 - - -
- 3,000 - 3,000 - - 2,000 -
- - - - 2,000 - - -
- - - 2,000 - - 3,000 -
- - - 3,000 - - - -
- 5,000 - - - 5,000 - -
2,000 - 2,000 - 3,000 - - 2,000
- 4,000 - - - 4,000 - -
- 3,000 - - 3,000 - 3,000 -
- 3,000 - - - - - -
- 5,000 - - 4,000 - 3,000 -
1,000 - 2,000 - - 2,000 - -
1,000 - - 1,000 - 1,000 - 3,000
1,000 - - 2,000 - 2,000 - -
2,000 - 2,000 - - - 2,000 -
3,000 - - - 3,000 - - -
51,000 64,000 47,000 30,000 71,000 38,000 44,000 45,000
6,300
4,100
2,200
Jumlah
25,000 250 -
30,000 300 -
14,000 140 -
24,000 240 -
10,000 100 -
16,000 160 -
18,000 180 -
20,000 200 -
19,000 190 - 4,163
11,000 110 -
16,000 160 -
16,000 160 -
13,000 130 -
26,000 260 -
12,000 120 -
11,000 110 -
16,000 160 -
8,000 80 -
9,000 90 -
9,000 90 -
15,000 150 - 14,082 918
7,000 70 -
13,000 130 -
26,000 260 -
14,000 140 -
21,000 210 -
14,000 140 10
12,000 120 -
8,000 80 -
11,000 110 -
8,000 80 -
4,000 40 -
10,000 100 -
9,000 90 -
17,000 170 -
13,000 130 -
15,000 150 -
16,000 160 -
5,000 50 -
18,000 180 -
8,000 80 -
9,000 90 -
8,000 80 -
12,000 120 -
8,000 80 60
624,000 (1)
(1)
(1)
(1)
No Puskesmas Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran

JANUARI PEBRUARI MARET APRIL MEI
1 Cianjurkota 2,187 2,503 2,537 2,142 1,891
2 Muka 1,890 2,249 2,467 2,356 2,187
3 Nagrak 780 860 911 973 906
4 Sukasari 1,267 1,275 1,746 1,701 1,475
5 Warungkondang 650 665 670 950 970
6 Karangtengah 1,540 1,206 1,767 1,475 1,539
7 Ciherang 1,358 1,405 1,627 1,516 1,389
8 Ciranjang 1,679 1,732 1,736 1,609 1,444
9 Cipeuyeum 1,637 1,930 1,810 1,585 1,670
10 Cugenang 704 705 778 793 746
11 Cijedil 1,153 1,169 1,433 1,245 1,142
12 Cibeber 1,384 1,423 1,485 1,484 1,285
13 Cibaregbeg 677 828 914 832 921
14 Gekbrong 2,015 2,093 2,204 2,111 1,803
15 Bojongpicung 975 951 761 969 962
16 Cikalongkulon 670 1,024 1,065 1,133 1,065
17 Mande 1,188 1,253 1,408 1,262 1,077
18 Cijagang 495 583 678 673 604
19 Cikondang 499 582 638 419 553
20 Kademangan - 1,000 566 968 864
21 Sukaresmi - 1,347 1,681 1,418 1,219
22 Sukamahi - - 342 605 511
23 Sukanagalih 868 888 1,138 1,060 923
24 Cipanas 1,972 2,151 2,245 2,193 2,074
25 Cipendawa 1,078 1,108 1,225 1,201 1,220
26 Sukaluyu 2,128 1,662 1,679 1,490 1,354
27 Campaka 985 1,241 1,100 1,275 1,160
28 Campaka Mulya 733 683 681 675 637
29 Sukanagara - - 736 587 507
30 Tanggeung 515 878 902 781 1,100
31 Pagelaran - - - - 720
32 Girijaya - 513 788 553
33 Cijati 650 705 632 687 645
34 Bojonglarang 785 779 699 715 506
35 Sindangkerta 1,350 1,201 1,257 1,411 1,080
36 Cibinong 463 610 1,213 1,031 898
37 Takokak 1,204 1,205 1,369 1,137 1,120
38 Kadupandak 1,131 1,224 1,402 1,203 1,227
39 Sindangbarang 300 293 357 366 340
40 Cidaun 907 854 962 1,350 1,846
41 Gunungbitung 615 660 682 611 556
42 Cikadu 504 570 635 636 428
43 Agrabinta - 234 709 633 599
44 Naringgul 808 1,576 1,399 1,014 1,129
45 Pusakasari - - 403 634 775
JUMLAH 39,744 45,305 51,162 49,697 47,620
Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran
JUMLAH
JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER
2,093 1,904 2,472 2,245 2,413 2,433 2,388 27,208
2,073 2,083 2,734 2,645 2,617 2,682 2,200 28,183
1,079 787 1,156 1,144 1,139 1,197 1,071 12,003
1,417 1,356 1,500 1,539 1,605 1,639 1,518 18,038
910 710 960 970 650 645 635 9,385
1,407 1,194 1,784 1,715 1,601 1,646 1,415 18,289
1,372 1,371 1,582 1,438 1,402 1,410 1,340 17,210
1,371 1,387 1,727 1,639 1,723 1,707 1,478 19,232
1,570 1,500 2,253 1,736 1,881 1,828 1,547 20,947
749 689 849 877 1,008 1,030 924 9,852
1,195 1,264 1,667 1,673 1,546 997 758 15,242
1,109 1,124 1,411 1,217 1,262 1,394 1,219 15,797
892 844 1,149 1,131 1,139 1,079 1,026 11,432
1,700 1,492 1,979 1,923 1,953 1,893 2,334 23,500
964 1,091 1,224 901 915 903 841 11,457
1,090 868 938 971 1,217 1,103 927 12,071
1,235 1,078 1,468 1,371 1,371 1,452 1,318 15,481
548 565 738 629 590 592 450 7,145
547 487 537 449 511 411 433 6,066
857 709 928 780 804 773 747 8,996
1,148 1,122 1,065 1,080 1,327 1,374 1,301 14,082
527 547 480 582 587 620 683 5,484
1,031 840 1,113 1,180 1,182 1,162 1,174 12,559
2,053 1,488 1,822 2,236 2,145 2,397 2,139 24,915
1,165 1,029 1,322 1,217 1,219 1374 1037 14,195
1,487 1,553 1,636 1,457 1,541 1,451 1,488 18,926
1,091 1,043 1,061 1,069 1,095 1,143 1,093 13,356
649 630 652 666 683 654 563 7,906
377 385 568 461 593 610 489 5,313
1,061 869 1,435 501 672 613 1,108 10,435
699 621 824 820 1,010 1,007 839 6,540
146 - - - 666 353 981 4,000
610 590 630 558 595 758 738 7,798
575 682 718 555 565 632 710 7,921
1,351 1,252 1,174 1,163 1,348 1,124 1,225 14,936
984 921 1,028 988 1,023 989 755 10,903
1,018 900 1,033 1,012 1,052 987 848 12,885
1,327 1,138 1,131 1,224 1,191 1,359 1,020 14,577
305 333 357 294 359 420 376 4,100
1,826 1,415 1,778 1,715 1,774 1,821 1,723 17,971
623 700 618 693 644 629 619 7,650
430 303 572 573 574 541 446 6,212
1,030 644 265 590 281 296 470 5,751
901 615 617 850 700 676 1,066 11,351
708 932 989 790 950 950 617 7,748
47,300 43,055 51,944 49,267 51,123 50,754 48,077 575,048
2,788
1547 -
11,000 12,595 1,595
9,000 2,934
4 9,000 4
782047 781978 69
21,538 2,612
8,000 2,687 5,313

11,599 (248)
PENERIMAAN DAN PENGELUARAN KARCIS RETRIBUSI @ 7.000,- (BLUD)
BULAN JANUARI 2016
NOMOR SERI TERIMA KELUAR SISA

TANGGAL URAIAN KET
AWAL AKHIR (BLOK) (BLOK) (BLOK)
1 2 3 4 5 6 7 8
Sisa per tgl 31 Desember 2015 720
4 Jan 2016 PENERIMAAN DARI DPKAD 3000 3720
19 Jan 2016 PKM Sukasari 274001 278000 40 3220
11/3/2016 PKM Sukasari 376001 380000 40 2200
22/3/2016 PKM Sukasari 410001 414000 40 1860
7/6/2016 PKM Sukasari 532001 536000 40 640
1/9/2016 PKM Sukasari 661001 665000 40 2350
9/12/2016 PKM Sukasari 832001 836000 40 640
Cianjur, 31 Desember 2016

Mengetahui/Menyetujui
900000 Ka Sub Bag Keuangan & Perlengkapan
Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN JANUARI 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Desember 2015 720
4 Jan 2016 PENERIMAAN DARI DPKAD 3000 3720
4 Jan 2016 PKM Cibinong 228001 230000 20 3700
4 Jan 2016 PKM Cipanas 230001 232000 20 3680
4 Jan 2016 PKM Nagrak 232001 234000 20 3660
4 Jan 2016 PKM Cijati 234001 236000 20 3640
4 Jan 2016 PKM Kadupandak 236001 238000 20 3620
4 Jan 2016 PKM Cikondang 238001 239000 10 3610
5 Jan 2016 PKM Ciherang 239001 242000 30 3580
5 Jan 2016 PKM Cibeber 242001 244000 20 3560
5 Jan 2016 PKM Gekbrong 244001 247000 30 3530
6 Jan 2016 PKM Sukaluyu 247001 250000 30 3500
6 Jan 2016 PKM Bojonglarang 250001 253000 30 3470
6 Jan 2016 PKM Cugenang 253001 256000 30 3440
6 Jan 2016 PKM Takokak 256001 259000 30 3410
7 Jan 2016 PKM Cijedil 259001 261000 20 3390
7 Jan 2016 PKM Gunungbitung 261001 262000 10 3380
8 Jan 2016 PKM Naringgul 262001 263000 10 3370
8 Jan 2016 PKM Campaka 263001 264000 10 3360
8 Jan 2016 PKM Cikadu 264001 265000 10 3350
11 Jan 2016 PKM Bojongpicung 265001 267000 20 3330
11 Jan 2016 PKM Sindangbarang 267001 269000 20 3310
14 Jan 2016 PKM Mande 269001 272000 30 3280
15 Jan 2016 PKM Campakamulya 272001 273000 10 3270
18 Jan 2016 PKM Tanggeung 273001 274000 10 3260
19 Jan 2016 PKM Sukasari 274001 278000 40 3220
27 Jan 2016 PKM Cidaun 278001 280000 20 3200
28 Jan 2016 PKM Cibaregbeg 280001 282000 20 3180
JUMLAH 3000 540 3180
Cianjur, 31 Januari 2016

Ka Sub Bag Keuangan & Perlengkapan
Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN PEBRUARI 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Januari 2016 3180
1 Peb 2016 PKM Kadupandak 282001 284000 20 3160
2 Peb 2016 PKM Naringgul 284001 286000 20 3140
2 Peb 2016 PKM Campaka 286001 287000 10 3130
3 Peb 2016 PKM Cijedil 287001 290000 30 3100
3 Peb 2016 PKM Gekbrong 290001 293000 30 3070
4 Peb 2016 PKM Kademangan 293001 294000 10 3060
4 Peb 2016 PKM Agrabinta 294001 295000 10 3050
4 Peb 2016 PKM Cibeber 295001 297000 20 3030
5 Peb 2016 PKM Sukaresmi 297001 300000 30 3000
5 Peb 2016 PKM Sukanagalih 300001 305000 50 2950
9 Peb 2016 PKM Gunungbitung 305001 306000 10 2940
9 Peb 2016 PKM Cipanas 306001 308000 20 2920
15 Peb 2016 PKM warkond 308001 310000 20 2900
15 Peb 2016 PKM campakamulya 310001 312000 20 2880
17 Peb 2016 PKM agrabinta 312001 313000 10 2870
18 Peb 2016 PKM muka 313001 318000 50 2820
19 Peb 2016 PKM tanggeung 318001 320000 20 2800
22 Peb 2016 PKM sukaluyu 320001 324000 40 2760
29 Peb 2016 PKM Cianjirkota 324001 329000 50 2710
29 Peb 2016 PKM Cikadu 329001 330000 10 2700
JUMLAH 0 480 2700
Cianjur, 29 Pebruari 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN MARET 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 29 Pebruari 2016 2700
1/3/2016 PKM Naringgul 330001 331000 10 2690
1/3/2016 PKM Bojongpicung 331001 333000 20 2670
1/3/2016 PKM Campaka 333001 334000 10 2660
1/3/2016 PKM Cijagang 334001 338000 40 2620
2/3/2016 PKM Cidaun 338001 342000 40 2580
2/3/2016 PKM Karangtengah 342001 346000 40 2540
2/3/2016 PKM Gekbrong 346001 348000 20 2520
3/3/2016 PKM Takokak 348001 352000 40 2480
3/3/2016 PKM Cikalongkulon 352001 357000 50 2430
4/3/2016 PKM Cipanas 357001 361000 40 2390
4/3/2016 PKM Sukamahi 361001 362000 10 2380
4/3/2016 PKM Ciherang 362001 365000 30 2350
4/3/2016 PKM Kademangan 365001 369000 40 2310
4/3/2016 PKM Agrabinta 369001 370000 10 2300
4/3/2016 PKM Gunungbitung 370001 371000 10 2290
11/3/2016 PKM Ciranjang 371001 376000 50 2240
11/3/2016 PKM Sukasari 376001 380000 40 2200
11/3/2016 PKM Sukaresmi 380001 382000 20 2180
11/3/2016 PKM Cibeber 382001 383000 10 2170
11/3/2016 PKM Sukanagara 383001 386000 30 2140
11/3/2016 PKM Pusakasari 386001 388000 20 2120
11/3/2016 PKM Girijaya 388001 390000 20 2100
14/3/2016 PKM Sindangkerta 390001 393000 30 2070
15/3/2016 PKM Cipeuyeum 393001 403000 100 1970
17/3/2016 PKM Nagrak 403001 405000 20 1950
21/3/2016 PKM Cijati 405001 408000 30 1920
22/3/2016 PKM Cibinong 408001 410000 20 1900
22/3/2016 PKM Sukasari 410001 414000 40 1860
23/3/2016 PKM Mande 414001 415000 10 1850
23/3/2016 PKM Cibaregbeg 415001 417000 20 1830
23/3/2016 PKM Tanggeung 417001 419000 20 1810
24/3/2016 PKM Cipendawa 419001 421000 20 1790
29/3/2016 PKM Campaka 421001 422000 10 1780
JUMLAH 0 920 1780
Cianjur, 31 Maret 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN APRIL 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Maret 2016 1780
1/4/2016 PKM Kadupandak 422001 425000 30 1750
5/4/2016 PKM Naringgul 425001 427000 20 1730
5/4/2016 PKM Bojonglarang 427001 430000 30 1700
5/4/2016 PKM Cibeber 430001 431000 10 1690
5/4/2016 PKM Cikadu 431001 432000 10 1680
8/4/2016 PKM Campaka 432001 433000 10 1670
12/4/2016 PKM Cipanas 433001 437000 40 1630
19/4/2016 PKM Muka 437001 442000 50 1580
20/4/2016 PKM Mande 442001 445000 30 1550
26/4/2016 PKM Sukaresmi 445001 449000 40 1510
26/4/2016 PKM Warungkondang 449001 451000 20 1490
29/4/2016 PKM Cugenang 451001 453000 20 1470
JUMLAH 0 310 1470
Cianjur, 30 April 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006

BULAN MEI 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 30 April 2016 1470
2/5/2016 PKM Cikadu 453001 454000 10 1460
2/5/2016 PKM Cijedil 454001 456000 20 1440
2/5/2016 PKM Pusakasari 456001 459000 30 1410
2/5/2016 PKM Sukaluyu 459001 462000 30 1380
2/5/2016 PKM Gekbrong 462001 465000 30 1350
2/5/2016 PKM Tanggeung 467001 469000 20 1310
2/5/2016 PKM Cikondang 469001 471000 20 1290
4/5/2016 PKM Cianjurkota 471001 476000 50 1240
4/5/2016 PKM Cipendawa 476001 481000 50 1190
4/5/2016 PKM Agrabinta 481001 482000 10 1180
4/5/2016 PKM Cibeber 482001 484000 20 1160
4/5/2016 PKM Sukanagara 484001 487000 30 1130
9/5/2016 PKM Ciherang 487001 490000 30 1100
11/5/2016 PKM Sukamahi 490001 492000 20 1080
12/5/2016 PKM Campaka 496001 497000 10 1030
13/5/5016 PKM Naringgul 497001 499000 20 1010
16/5/2016 PKM Cibinong 499001 501000 20 990
24/5/2016 PKM Cibaregbeg 502001 504000 20 960
JUMLAH 0 550 920
Cianjur, 31 Mei 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN JUNI 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Mei 2016 920
1/6/2016 PKM Cugenang 508001 511000 30 890
PKM Cidaun 511001 516000 50 840
PKM Ciranjang 516001 521000 50 790
PKM Gekbrong 521001 524000 30 760
PKM Cipanas 524001 528000 40 720
PKM Cibeber 528001 529000 10 710
7/6/2016 PKM Nagrak 529001 532000 30 680
PKM Sukasari 532001 536000 40 640
9/6/2016 PKM Cijedil 536001 539000 30 610
10/6/2016 PKM Sindangbarang 539001 542000 30 580
14/6/2016 PKM Kadupandak 542001 545000 30 550
PKM Campaka 545001 546000 10 540
20/6/2016 PKM Takokak 546001 550000 40 500
PKM Kademangan 550001 554000 40 460
21/6/2016 PKM Campakamulya 554001 557000 30 430
PKM Pagelaran 557001 560000 30 400
26/6/2016 TERIMA DARI DPKAD 3,000 3400
27/6/2016 PKM Muka 560001 565000 50 3350
PKM Warungkondang 565001 567000 20 3330
JUMLAH 3000 590 3330
Cianjur, 31 Juni 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN JULI 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Juni 2016 3330
11/7/2016 PKM Mande 567001 570000 30 3300
15/7/2016 PKM Sukanagalih 575001 580000 50 3200
PKM Cianjurkota 580001 585000 50 3150
PKM Cikondang 585001 587000 20 3130
PKM Cibeber 589001 591000 20 3090
PKM Bojongpicung 591001 593000 20 3070
19/7/2016 PKM Campaka 593001 594000 10 3060
20/7/2016 PKM Gekbrong 594001 597000 30 3030
21/7/2016 PKM Naringgul 597001 599000 20 3010
PKM Sukaluyu 599001 603000 40 2970
22/7/2016 PKM Cibinong 603001 605000 20 2950
PKM Karangtengah 605001 609000 40 2910
25/7/2016 PKM Ciherang 609001 612000 30 2880
28/7/2017 PKM Tanggeung 617001 619000 20 2810
JUMLAH 0 520 2810
Cianjur, 31 Juli 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN AGUSTUS 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Juli 2016 2810
1/8/2016 PKM Sukanagara 619001 621000 20 2790
PKM Cikadu 621001 622000 10 2780
3/8/2016 PKM Cibaregbeg 622001 624000 20 2760
4/8/2016 PKM Cipanas 624001 628000 40 2720
8/8/2016 PKM Sukamahi 628001 630000 20 2700
PKM Agrabinta 630001 632000 20 2680
9/8/2016 PKM Campaka 632001 633000 10 2670
11/8/2016 PKM Bojonglarang 633001 636000 30 2640
15/8/2016 PKM Pagelaran 636001 639000 30 2610
18/8/2016 PKM Cipendawa 639001 641000 20 2590
19/8/2016 PKM Nagrak 641001 644000 30 2560
24/8/2016 PKM Cijati 644001 646000 20 2540
30/8/2016 PKM Cijedil 646001 649000 30 2510
JUMLAH 0 300 2510
Cianjur, 31 Agustus 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN SEPTEMBER 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Agustus 2016 2510
1/9/2016 PKM Cidaun 649001 653000 40 2470
PKM Muka 653001 658000 50 2420
5/9/2016 PKM Kadupandak 658001 661000 30 2390
PKM Sukasari 661001 665000 40 2350
PKM Cibeber 665001 667000 20 2330
7/9/2016 PKM Sukaresmi 667001 671000 40 2290
8/9/2016 PKM Cijagang 671001 675000 40 2250
9/9/2016 PKM Mande 675001 677000 20 2230
13/9/2016 PKM Cianjurkota 677001 682000 50 2180
14/9/2016 PKM Cipeuyeum 682001 687000 50 2130
16/9/2016 PKM Tanggeung 687001 689000 20 2110
PKM Campaka 689001 690000 10 2100
19/9/2016 PKM Cibinong 690001 693000 30 2070
PKM Pusakasari 693001 696000 30 2040
PKM Campakamulya 698001 700000 20 2000
PKM Ciranjang 700001 705000 50 1950
27/9/2016 PKM Sukaluyu 707001 710000 30 1900
28/9/2016 PKM Gekbrong 710001 713000 30 1870
29/9/2016 PKM Cibaregbeg 713001 715000 20 1850
PKM Ciherang 715001 718000 30 1820
30/9/2016 PKM Girijaya 718001 720000 20 1800
JUMLAH 0 710 1800
Cianjur, 30 September 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN OKTOBER 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 30 September 2016 1800
5/10/2016 PKM Takokak 720001 724000 40 1760
PKM Cibeber 724001 726000 20 1740
7/10/2016 PKM Campaka 726001 727000 10 1730
PKM Campakamulya 727001 729000 20 1710
11/10/2016 PKM Agrabinta 731001 733000 20 1670
17/10/2016 PKM Cikadu 733001 734000 10 1660
PKM Cijedil 734001 737000 30 1630
19/10/2016 PKM Gekbrong 737001 743000 60 1570
27/10/2016 PKM Mande 743001 745000 20 1550
PKM Cipanas 745001 749000 40 1510
31/10/2016 PKM Muka 749001 754000 50 1460
JUMLAH 0 380 1420
Cianjur, 31 Oktober 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN NOPEMBER 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 31 Oktober 2016 1420
2/11/2016 PKM Cidaun 758001 761000 30 1390
PKM Cugenang 761001 764000 30 1360
8/11/2016 PKM Pagelaran 764001 766000 20 1340
PKM Cipeuyeum 766001 770000 40 1300
10/11/2016 PKM Campaka 770001 771000 10 1290
14/11/2016 PKM Nagak 771001 775000 40 1250
PKM Sindangkerta 775001 780000 50 1200
PKM Cipendawa 780001 785000 50 1150
16/11/2016 PKM Ciherang 785001 788000 30 1120
18/11/2016 PKM Kadupandak 788001 791000 30 1090
PKM Cijati 791001 794000 30 1060
PKM Cianjurkota 794001 799000 50 1010
21/11/2016 PKM Naringgul 799001 801000 20 990
28/11/2016 PKM Cibaregbeg 801001 804000 30 960
29/11/2016 PKM Sukanagalih 804001 807000 30 930
JUMLAH 0 490 930
Cianjur, 31 Oktober 2016

Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
BULAN DESEMBER 2016

TANGGAL URAIAN KET
1 2 3 4 5 6 7 8
Sisa per tgl 30 Nopember 2016 930
1/12/2016 PKM Cibinong 807001 809000 20 910
2/12/2016 PKM Campaka 809001 810000 10 900
PKM Sukaluyu 810001 814000 40 860
PKM Cibeber 815001 816000 10 840
7/12/2016 PKM Campakamulya 816001 818000 20 820
8/12/2016 PKM Cipanas 818001 820000 20 800
PKM Sukamahi 820001 822000 20 780
PKM Sukaresmi 822001 824000 20 760
9/12/2016 PKM Cikadu 824001 827000 30 730
PKM Ciranjang 827001 832000 50 680
PKM Sukasari 832001 836000 40 640
14/12/2016 PKM Mande 836001 838000 20 620
28/12/2016 PKM Cikondang 842001 846000 40 540
30/12/2016 PKM Muka 846001 851000 50 490
30/12/2016 PKM Campaka 855001 856000 10 480
JUMLAH 0 450 480

480
899000 Ka Sub Bag Keuangan & Perlengkapan
Tri Sutriyanti, SE
NIP. 19610616 198503 2 006
JANUARI 2016 PEBRU

No Puskesmas Sisa Penerimaan Pengeluaran Sisa
Jumlah Sisa
Bln Lalu JANUARI JANUARI Bln Lalu
1 Cianjurkota 5,531 - 5,531 2,187 3,344 3,344
2 Muka - - 3,250 1,890 1,360 1,360
3 Nagrak - 2,000 2,000 780 1,220 1,220
4 Sukasari 3,679 4,000 7,679 1,267 6,412 6,412
5 Warungkondang 1,061 - 1,061 650 411 411
6 Karangtengah 3,546 - 3,546 1,540 2,006 2,006
7 Ciherang 1,403 3,000 4,403 1,358 3,045 3,045
8 Ciranjang 5,705 - 5,705 1,679 4,026 4,026
9 Cipeuyeum 6,110 - 6,110 1,637 4,473 4,473
10 Cugenang - 3,000 3,000 704 2,296 2,296
11 Cijedil - 2,000 2,000 1,153 847 847
12 Cibeber 209 2,000 2,209 1,384 825 825
13 Cibaregbeg - 2,000 2,000 677 1,323 1,323
14 Gekbrong - 3,000 3,000 2,015 985 985
15 Bojongpicung - 2,000 2,000 975 1,025 1,025
16 Cikalongkulon 1,253 - 1,253 495 758 758
17 Mande 980 3,000 3,980 1,188 2,792 2,792
18 Cijagang 1,253 - 1,253 495 758 758
19 Cikondang - 1,000 1,000 572 428 428
20 Kademangan - - - - - -
21 Sukaresmi - - - - - -
22 Sukamahi - - - 605 (605) (605)
23 Sukanagalih 961 - 961 868 93 93
24 Cipanas - 2,000 2,000 1,972 28 28
25 Cipendawa 3,133 - 3,133 1,078 2,055 2,055
26 Sukaluyu - 3,000 3,000 1,590 1,410 1,410
27 Campaka 339 1,000 1,339 985 354 354
28 Campaka Mulya - 1,000 1,000 733 267 267
29 Sukanagara 28 - 28 518 (490) (490)
30 Tanggeung - 1,000 1,000 515 485 485
31 Pagelaran - - - - - -
32 Girijaya - - - - - -
33 Cijati - 2,000 2,000 650 1,350 1,350
34 Bojonglarang - 3,000 3,000 785 2,215 2,215
35 Sindangkerta - 3,000 3,000 1,350 1,650 1,650
36 Cibinong - 2,000 2,000 463 1,537 1,537
37 Takokak - 3,000 3,000 1,204 1,796 1,796
38 Kadupandak - 2,000 2,000 1,131 869 869
39 Sindangbarang - 2,000 2,000 - 2,000 2,000
40 Cidaun - 2,000 2,000 907 1,093 1,093
41 Gunungbitung - 1,000 1,000 615 385 385
42 Cikadu - 1,000 1,000 504 496 496
43 Agrabinta - - - - - -
44 Naringgul - 1,000 1,000 808 192 192
45 Pusakasari - - - - - -
JUMLAH 35,191 57,000 95,441 39,927 55,514 55,514
2,287,415
PEBRUARI 2016 MARET 2016
PEBRUARI PEBRUARI Bln Lalu MARET MARET
5,000 8,344 2,503 5,841 5,841 - 5,841 2,537 3,304
5,000 6,360 2,249 4,111 4,111 - 4,111 2,467 1,644
- 1,220 860 360 360 2,000 2,360 911 1,449
- 6,412 1,275 5,137 5,137 8,000 13,137 1,746 11,391
2,000 2,411 665 1,746 1,746 1,746 670 1,076
- 2,006 1,206 800 800 4,000 4,800 1,767 3,033
- 3,045 1,405 1,640 1,640 3,000 4,640 1,627 3,013
- 4,026 1,732 2,294 2,294 5,000 7,294 1,736 5,558
- 4,473 1,930 2,543 2,543 10,000 12,543 1,810 10,733
- 2,296 705 1,591 1,591 - 1,591 778 813
3,000 3,847 1,169 2,678 2,678 - 2,678 1,433 1,245
2,000 2,825 1,423 1,402 1,402 1,000 2,402 1,485 917
- 1,323 828 495 495 2,000 2,495 914 1,581
3,000 3,985 2,093 1,892 1,892 2,000 3,892 2,204 1,688
- 1,025 951 74 74 2,000 2,074 761 1,313
- 758 583 175 175 5,000 5,175 678 4,497
- 2,792 1,253 1,539 1,539 1,000 2,539 1,408 1,131
- 758 583 175 175 4,000 4,175 678 3,497
- 428 - 428 428 - 428 - 428
1,000 1,000 1,000 - - 4,000 4,000 566 3,434
3,000 3,000 1,347 1,653 1,653 2,000 3,653 1,681 1,972
- (605) 342 (947) (947) 1,000 53 483 (430)
5,000 5,093 888 4,205 4,205 - 4,205 1,138 3,067
2,000 2,028 2,151 (123) (123) 4,000 3,877 2,245 1,632
- 2,055 1,108 947 947 2,000 2,947 1,225 1,722
4,000 5,410 1,662 3,748 3,748 - 3,748 1,679 2,069
1,000 1,354 1,241 113 113 2,000 2,113 1,100 1,013
2,000 2,267 683 1,584 1,584 - 1,584 681 903
- (490) 621 (1,111) (1,111) 3,000 1,889 736 1,153
2,000 2,485 878 1,607 1,607 2,000 3,607 902 2,705
- - - - - - - - -
- - - - - 2,000 2,000 - 2,000
- 1,350 705 645 645 3,000 3,645 632 3,013
- 2,215 779 1,436 1,436 - 1,436 699 737
- 1,650 1,201 449 449 3,000 3,449 1,257 2,192
- 1,537 610 927 927 2,000 2,927 1,213 1,714
- 1,796 1,205 591 591 4,000 4,591 1,369 3,222
2,000 2,869 1,224 1,645 1,645 - 1,645 1,402 243
- 2,000 - 2,000 2,000 - 2,000 - 2,000
- 1,093 854 239 239 4,000 4,239 962 3,277
1,000 1,385 660 725 725 1,000 1,725 682 1,043
1,000 1,496 570 926 926 - 926 635 291
2,000 2,000 234 1,766 1,766 1,000 2,766 709 2,057
2,000 2,192 1,576 616 616 1,000 1,616 1,399 217
- - - - - 2,000 2,000 403 1,597
48,000 103,514 44,952 58,562 58,562 92,000 150,562 49,408 101,154
APRIL 2016 MEI 2016
Sisa Penerimaan Pengeluaran Sisa Penerimaan Pengeluaran
Jumlah Sisa Jumlah
Bln Lalu APRIL APRIL Bln Lalu MEI MEI
3,304 - 3,304 2,142 1,162 1,162 5,000 6,162 1,891
1,644 5,000 6,644 2,356 4,288 4,288 - 4,288 2,187
1,449 - 1,449 973 476 476 - 476 906
11,391 - 11,391 1,701 9,690 9,690 - 9,690 1,475
1,076 2,000 3,076 950 2,126 2,126 - 2,126 970
3,033 - 3,033 1,475 1,558 1,558 4,000 5,558 1,539
3,013 - 3,013 1,516 1,497 1,497 3,000 4,497 1,389
5,558 - 5,558 1,609 3,949 3,949 - 3,949 1,444
10,733 - 10,733 1,585 9,148 9,148 - 9,148 1,670
813 2,000 2,813 793 2,020 2,020 - 2,020 746
1,245 - 1,245 1,245 - - 2,000 2,000 1,142
917 1,000 1,917 1,484 433 433 2,000 2,433 1,285
1,581 - 1,581 832 749 749 2,000 2,749 921
1,688 - 1,688 2,111 (423) (423) 3,000 2,577 1,803
1,313 - 1,313 969 344 344 2,000 2,344 962
4,497 - 4,497 673 3,824 3,824 - 3,824 -
1,131 3,000 4,131 1,262 2,869 2,869 - 2,869 1,077
3,497 - 3,497 673 2,824 2,824 - 2,824 604
428 - 428 - 428 428 2,000 2,428 553
3,434 - 3,434 968 2,466 2,466 - 2,466 864
1,972 4,000 5,972 1,418 4,554 4,554 - 4,554 1,219
(430) - (430) 605 (1,035) (1,035) 2,000 965 511
3,067 - 3,067 1,060 2,007 2,007 - 2,007 923
1,632 4,000 5,632 2,193 3,439 3,439 - 3,439 2,074
1,722 - 1,722 1,201 521 521 5,000 5,521 1,220
2,069 - 2,069 1,483 586 586 3,000 3,586 1,361
1,013 1,000 2,013 1,275 738 738 1,000 1,738 1,160
903 - 903 675 228 228 - 228 637
1,153 - 1,153 587 566 566 3,000 3,566 507
2,705 - 2,705 781 1,924 1,924 2,000 3,924 1,100
- - - - - - - - 720
2,000 - 2,000 - 2,000 2,000 - 2,000 -
3,013 - 3,013 687 2,326 2,326 - 2,326 645
737 3,000 3,737 715 3,022 3,022 - 3,022 -
2,192 - 2,192 1,411 781 781 4,000 4,781 1,080
1,714 - 1,714 1,031 683 683 2,000 2,683 -
3,222 - 3,222 1,137 2,085 2,085 - 2,085 1,120
243 3,000 3,243 1,203 2,040 2,040 - 2,040 1,227
2,000 - 2,000 - 2,000 2,000 - 2,000 -
3,277 - 3,277 1,350 1,927 1,927 - 1,927 1,846
1,043 - 1,043 611 432 432 1,000 1,432 556
291 1,000 1,291 636 655 655 1,000 1,655 428
2,057 - 2,057 633 1,424 1,424 1,000 2,424 599
217 2,000 2,217 1,014 1,203 1,203 2,000 3,203 1,129
1,597 - 1,597 634 963 963 3,000 3,963 775
101,154 31,000 132,154 47,657 84,497 84,497 55,000 139,497 44,265
JUNI 2016 JULI 2016
Sisa Penerimaan Pengeluaran Sisa Penerimaan
Sisa Jumlah Sisa Jumlah
Bln Lalu JUNI JUNI Bln Lalu JULI
4,271 4,271 - 4,271 2,093 2,178 2,178 5,000 7,178
2,101 2,101 5,000 7,101 2,101 5,000 5,000 - 5,000
(430) (430) 3,000 2,570 1,079 1,491 1,491 - 1,491
8,215 8,215 4,000 12,215 1,417 10,798 10,798 - 10,798
1,156 1,156 2,000 3,156 910 2,246 2,246 - 2,246
4,019 4,019 - 4,019 1,407 2,612 2,612 4,000 6,612
3,108 3,108 - 3,108 1,372 1,736 1,736 3,000 4,736
2,505 2,505 5,000 7,505 1,371 6,134 6,134 - 6,134
7,478 7,478 - 7,478 1,570 5,908 5,908 - 5,908
1,274 1,274 3,000 4,274 749 3,525 3,525 - 3,525
858 858 3,000 3,858 1,195 2,663 2,663 - 2,663
1,148 1,148 1,000 2,148 1,109 1,039 1,039 2,000 3,039
1,828 1,828 - 1,828 892 936 936 - 936
774 774 3,000 3,774 1,700 2,074 2,074 3,000 5,074
1,382 1,382 - 1,382 964 418 418 2,000 2,418
3,824 3,824 - 3,824 - 3,824 3,824 5,000 8,824
1,792 1,792 - 1,792 1,235 557 557 3,000 3,557
2,220 2,220 - 2,220 548 1,672 1,672 - 1,672
1,875 1,875 - 1,875 - 1,875 1,875 2,000 3,875
1,602 1,602 4,000 5,602 857 4,745 4,745 - 4,745
3,335 3,335 - 3,335 1,148 2,187 2,187 - 2,187
454 454 - 454 527 (73) (73) - (73)
1,084 1,084 - 1,084 1,031 53 53 5,000 5,053
1,365 1,365 4,000 5,365 2,053 3,312 3,312 - 3,312
4,301 4,301 - 4,301 1,165 3,136 3,136 - 3,136
2,225 2,225 - 2,225 1,487 738 738 4,000 4,738
578 578 1,000 1,578 1,091 487 487 1,000 1,487
(409) (409) 3,000 2,591 649 1,942 1,942 - 1,942
3,059 3,059 - 3,059 377 2,682 2,682 - 2,682
2,824 2,824 - 2,824 1,061 1,763 1,763 2,000 3,763
(720) (720) 3,000 2,280 699 1,581 1,581 - 1,581
2,000 2,000 - 2,000 - 2,000 2,000 - 2,000
1,681 1,681 - 1,681 610 1,071 1,071 - 1,071
3,022 3,022 - 3,022 - 3,022 3,022 - 3,022
3,701 3,701 - 3,701 1,351 2,350 2,350 5,000 7,350
2,683 2,683 - 2,683 - 2,683 2,683 2,000 4,683
965 965 4,000 4,965 1,018 3,947 3,947 - 3,947
813 813 3,000 3,813 1,327 2,486 2,486 - 2,486
2,000 2,000 3,000 5,000 - 5,000 5,000 - 5,000
81 81 5,000 5,081 1,826 3,255 3,255 - 3,255
876 876 - 876 623 253 253 2,000 2,253
1,227 1,227 - 1,227 430 797 797 - 797
1,825 1,825 - 1,825 1,030 795 795 - 795
2,074 2,074 - 2,074 901 1,173 1,173 2,000 3,173
3,188 3,188 - 3,188 708 2,480 2,480 - 2,480
95,232 95,232 59,000 154,232 43,681 110,551 110,551 52,000 162,551
JULI 2016 AGUSTUS 2016 SEPTEMBER 2016
Pengeluaran Sisa Penerimaan Pengeluaran Sisa Penerimaan
Sisa Jumlah Sisa
JULI Bln Lalu AGUSTUS AGUSTUS Bln Lalu SEPTEMBER
1,904 5,274 5,274 - 5,274 2,472 2,802 2,802 5,000
2,055 2,945 2,945 - 2,945 2,734 211 211 5,000
787 704 704 3,000 3,704 1,153 2,551 2,551 -
1,356 9,442 9,442 - 9,442 1,442 8,000 8,000 4,000
710 1,536 1,536 - 1,536 960 576 576 2,000
1,194 5,418 5,418 - 5,418 1,771 3,647 3,647 -
1,371 3,365 3,365 - 3,365 1,582 1,783 1,783 3,000
1,387 4,747 4,747 - 4,747 1,727 3,020 3,020 5,000
1,500 4,408 4,408 - 4,408 2,253 2,155 2,155 5,000
689 2,836 2,836 - 2,836 849 1,987 1,987 -
1,264 1,399 1,399 3,000 4,399 1,667 2,732 2,732 -
1,124 1,915 1,915 - 1,915 1,411 504 504 2,000
844 92 92 2,000 2,092 1,149 943 943 2,000
1,492 3,582 3,582 - 3,582 1,979 1,603 1,603 3,000
1,091 1,327 1,327 - 1,327 1,224 103 103 2,000
- 8,824 8,824 - 8,824 - 8,824 8,824 -
1,078 2,479 2,479 - 2,479 1,468 1,011 1,011 2,000
565 1,107 1,107 - 1,107 738 369 369 4,000
- 3,875 3,875 - 3,875 - 3,875 3,875 -
709 4,036 4,036 - 4,036 928 3,108 3,108 -
1,122 1,065 1,065 - 1,065 1,334 (269) (269) 4,000
547 (620) (620) 2,000 1,380 - 1,380 1,380 -
840 4,213 4,213 - 4,213 1,113 3,100 3,100 -
1,488 1,824 1,824 4,000 5,824 1,822 4,002 4,002 -
1,029 2,107 2,107 2,000 4,107 1,322 2,785 2,785 -
1,553 3,185 3,185 - 3,185 1,636 1,549 1,549 3,000
1,043 444 444 1,000 1,444 1,061 383 383 1,000
630 1,312 1,312 - 1,312 652 660 660 2,000
385 2,297 2,297 2,000 4,297 568 3,729 3,729 -
869 2,894 2,894 - 2,894 1,435 1,459 1,459 2,000
621 - 3,000 3,000 824 2,176 2,176 -
- 2,000 2,000 - 2,000 - 2,000 2,000 2,000
590 481 481 2,000 2,481 630 1,851 1,851 -
- 3,022 3,022 3,000 6,022 - 6,022 6,022 -
1,252 6,098 6,098 - 6,098 1,174 4,924 4,924 -
- 4,683 4,683 - 4,683 - 4,683 4,683 3,000
900 3,047 3,047 - 3,047 1,033 2,014 2,014 -
1,138 1,348 1,348 - 1,348 1,131 217 217 3,000
- 5,000 5,000 - 5,000 - 5,000 5,000 -
1,415 1,840 1,840 - 1,840 1,778 62 62 4,000
700 1,553 1,553 - 1,553 618 935 935 -
303 494 494 1,000 1,494 572 922 922 -
644 151 151 2,000 2,151 265 1,886 1,886 -
615 2,558 2,558 - 2,558 617 1,941 1,941 -
932 1,548 1,548 - 1,548 989 559 559 3,000
39,736 121,855 121,855 30,000 151,855 48,081 103,774 103,774 71,000
SEPTEMBER 2016 OKTOBER 2016 NOPEM
Pengeluaran Sisa Penerimaan Pengeluaran Sisa
SEPTEMBER Bln Lalu OKTOBER OKTOBER Bln Lalu
7,802 2,245 5,557 5,557 - 5,557 2,413 3,144 3,144
5,211 2,645 2,566 2,566 5,000 7,566 2,617 4,949 4,949
2,551 1,144 1,407 1,407 - 1,407 1,139 268 268
12,000 1,539 10,461 10,461 - 10,461 1,605 8,856 8,856
2,576 970 1,606 1,606 - 1,606 650 956 956
3,647 1,715 1,932 1,932 4,000 5,932 1,601 4,331 4,331
4,783 1,438 3,345 3,345 - 3,345 1,402 1,943 1,943
8,020 1,639 6,381 6,381 - 6,381 1,723 4,658 4,658
7,155 1,736 5,419 5,419 - 5,419 1,881 3,538 3,538
1,987 877 1,110 1,110 - 1,110 1,008 102 102
2,732 1,673 1,059 1,059 3,000 4,059 1,546 2,513 2,513
2,504 1,217 1,287 1,287 2,000 3,287 1,262 2,025 2,025
2,943 1,131 1,812 1,812 - 1,812 1,139 673 673
4,603 1,923 2,680 2,680 6,000 8,680 1,953 6,727 6,727
2,103 901 1,202 1,202 - 1,202 915 287 287
8,824 - 8,824 8,824 - 8,824 - 8,824 8,824
3,011 1,371 1,640 1,640 2,000 3,640 1,371 2,269 2,269
4,369 629 3,740 3,740 - 3,740 590 3,150 3,150
3,875 - 3,875 3,875 - 3,875 - 3,875 3,875
3,108 780 2,328 2,328 - 2,328 804 1,524 1,524
3,731 1,080 2,920 2,920 - 2,920 1,327 1,593 1,593
1,380 582 798 798 - 798 587 211 211
3,100 1,180 1,920 1,920 - 1,920 1,182 738 738
4,002 2,236 1,766 1,766 4,000 5,766 2,145 3,621 3,621
2,785 - 2,785 2,785 - 2,785 - 2,785 2,785
4,549 1,457 3,092 3,092 - 3,092 1,541 1,551 1,551
1,383 1,069 314 314 1,000 1,314 1,095 219 219
2,660 666 1,994 1,994 2,000 3,994 683 3,311 3,311
3,729 461 3,268 3,268 - 3,268 593 2,675 2,675
3,459 501 2,958 2,958 - 2,958 672 2,286 2,286
2,176 820 1,356 1,356 - 1,356 1,010 346 346
4,000 - 4,000 4,000 - 4,000 - 4,000 4,000
1,851 558 1,293 1,293 - 1,293 595 698 698
6,022 - 6,022 6,022 - 6,022 - 6,022 6,022
4,924 1,163 3,761 3,761 - 3,761 1,348 2,413 2,413
7,683 - 7,683 7,683 - 7,683 - 7,683 7,683
2,014 1,012 1,002 1,002 4,000 5,002 1,052 3,950 3,950
3,217 1,224 1,993 1,993 - 1,993 1,191 802 802
5,000 - 5,000 5,000 - 5,000 - 5,000 5,000
4,062 1,715 2,347 2,347 - 2,347 1,774 573 573
935 693 242 242 2,000 2,242 644 1,598 1,598
922 573 349 349 1,000 1,349 574 775 775
1,886 590 1,296 1,296 2,000 3,296 281 3,015 3,015
1,941 850 1,091 1,091 - 1,091 700 391 391
3,559 790 2,769 2,769 - 2,769 950 1,819 1,819
174,774 44,793 130,250 130,250 38,000 168,250 - 122,687 122,687
NOPEMBER 2016 DESEMBER 2016
NOPEMBER NOPEMBER Bln Lalu DESEMBER DESEMBER
5,000 8,144 2,433 5,711 5,711 - 5,711 2,388 3,323
- 4,949 2,682 2,267 2,267 5,000 7,267 2,267 5,000
4,000 4,268 1,197 3,071 3,071 - 3,071 1,071 2,000
- 8,856 1,639 7,217 7,217 4,000 11,217 1,518 9,699
- 956 645 311 311 2,000 2,311 635 1,676
- 4,331 1,646 2,685 2,685 - 2,685 1,415 1,270
3,000 4,943 1,410 3,533 3,533 - 3,533 1,340 2,193
- 4,658 1,707 2,951 2,951 5,000 7,951 1,478 6,473
4,000 7,538 1,828 5,710 5,710 - 5,710 1,529 4,181
3,000 3,102 1,030 2,072 2,072 - 2,072 924 1,148
- 2,513 997 1,516 1,516 - 1,516 752 764
- 2,025 1,394 631 631 1,000 1,631 1,219 412
3,000 3,673 1,079 2,594 2,594 - 2,594 1,026 1,568
- 6,727 1,893 4,834 4,834 - 4,834 2,334 2,500
- 287 903 (616) (616) 2,000 1,384 841 543
- 8,824 - 8,824 8,824 1,000 9,824 - 9,824
- 2,269 1,452 817 817 2,000 2,817 1,318 1,499
- 3,150 592 2,558 2,558 - 2,558 450 2,108
- 3,875 - 3,875 3,875 4,000 7,875 268 7,607
- 1,524 773 751 751 - 751 747 4
- 1,593 1,374 219 219 2,000 2,219 1,301 918
- 211 620 (409) (409) 2,000 1,591 683 908
3,000 3,738 1,162 2,576 2,576 - 2,576 1,174 1,402
- 3,621 2,397 1,224 1,224 2,000 3,224 - 3,224
5,000 7,785 - 7,785 7,785 - 7,785 - 7,785
- 1,551 1,451 100 100 4,000 4,100 - 4,100
1,000 1,219 1,143 76 76 1,000 1,076 1,093 (17)
- 3,311 654 2,657 2,657 2,000 4,657 563 4,094
- 2,675 610 2,065 2,065 - 2,065 489 1,576
- 2,286 - 2,286 2,286 - 2,286 - 2,286
2,000 2,346 1,007 1,339 1,339 - 1,339 839 500
- 4,000 - 4,000 4,000 - 4,000 - 4,000
3,000 3,698 758 2,940 2,940 - 2,940 738 2,202
- 6,022 - 6,022 6,022 - 6,022 - 6,022
5,000 7,413 - 7,413 7,413 - 7,413 - 7,413
- 7,683 - 7,683 7,683 2,000 9,683 - 9,683
- 3,950 987 2,963 2,963 - 2,963 - 2,963
3,000 3,802 1,359 2,443 2,443 - 2,443 1,020 1,423
- 5,000 - 5,000 5,000 - 5,000 - 5,000
3,000 3,573 1,821 1,752 1,752 - 1,752 1,723 29
- 1,598 629 969 969 - 969 619 350
- 775 541 234 234 3,000 3,234 446 2,788
- 3,015 297 2,718 2,718 - 2,718 470 2,248
2,000 2,391 676 1,715 1,715 - 1,715 1,066 649
- 1,819 950 869 869 - 869 617 252
49,000 171,687 - 127,951 127,951 44,000 171,951 - 135,590
Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran
No Puskesmas
JANUARI PEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER
1 Cianjurkota - 50 - - 50 - 50 - 50 - 50 -
2 Muka - 50 - 50 - 50 - - 50 50 - 50
3 Nagrak 20 - 20 - - 30 - 30 - - 40 -
4 Sukasari 40 - 80 - - 40 - - 40 - - 40
5 Warungkondang - 20 - 20 - 20 - - 20 - - 20
6 Karangtengah - - 40 - 40 - 40 - - 40 - -
7 Ciherang 30 - 30 - 30 - 30 - 30 - 30 -
8 Ciranjang - - 50 - - 50 - - 50 - - 50
9 Cipeuyeum - - 100 - - - - - 50 - 40 -
10 Cugenang 30 - - 20 - 30 - - - - 30 -
11 Cijedil 20 30 - - 20 30 - 30 - 30 - -
12 Cibeber 20 20 10 10 20 10 20 - 20 20 - 10
13 Cibaregbeg 20 - 20 - 20 - - 20 20 - 30 -
14 Gekbrong 30 30 20 - 30 30 30 - 30 60 - -
15 Bojongpicung 20 - 20 - 20 - 20 - 20 - - 20
16 Cikalongkulon - - 50 - - - 50 - - - - 10
17 Mande 30 - 10 30 - - 30 - 20 20 - 20
18 Cijagang - - 40 - - - - - 40 - - -
19 Cikondang 10 - - - 20 - 20 - - - - 40
20 Kademangan - 10 40 - - 40 - - - - - -
21 Sukaresmi - 30 20 40 - - - - 40 - - 20
22 Sukamahi - - 10 - 20 - - 20 - - - 20
23 Sukanagalih - 50 - - - - 50 - - - 30 -
24 Cipanas 20 20 40 40 - 40 - 40 - 40 - 20
25 Cipendawa - - 20 - 50 - - 20 - - 50 -
26 Sukaluyu 30 40 - - 30 - 40 - 30 - - 40
27 Campaka 10 10 20 10 10 10 10 10 10 10 10 10
28 Campaka Mulya 10 20 - - - 30 - - 20 20 - 20
29 Sukanagara - - 30 - 30 - - 20 - - - -
30 Tanggeung 10 20 20 - 20 - 20 - 20 - - -
31 Pagelaran - - - - - 30 - 30 - - 20 -
32 Girijaya - - 20 - - - - - 20 - - -
33 Cijati 20 - 30 - - - - 20 - - 30 -
34 Bojonglarang 30 - - 30 - - - 30 - - - -
35 Sindangkerta - - 30 - 40 - 50 - - - 50 -
36 Cibinong 20 - 20 - 20 - 20 - 30 - - 20
37 Takokak 30 - 40 - - 40 - - - 40 - -
38 Kadupandak 20 20 - 30 - 30 - - 30 - 30 -
39 Sindangbarang 20 - - - - 30 - - - - - -
40 Cidaun 20 - 40 - - 50 - - 40 30 -
41 Gunungbitung 10 10 10 - 10 - 20 - - 20 - -
42 Cikadu 10 10 - 10 10 - - 10 - 10 - 30
43 Agrabinta - 20 10 - 10 - - 20 - 20 - -
44 Naringgul 10 20 10 20 20 - 20 - - - 20 -
45 Pusakasari - - 20 - 30 - - - 30 - - -
JUMLAH 540 480 920 310 550 590 520 300 710 380 490 440
Harga Total Nilai
TOTAL Perolehan Per Perolehan
Blok
250 6,500 1,625,000

300 6,500 1,950,000
140 6,500 910,000
240 6,500 1,560,000
100 6,500 650,000
160 6,500 1,040,000
180 6,500 1,170,000
200 6,500 1,300,000
190 6,500 1,235,000
110 6,500 715,000
160 6,500 1,040,000
160 6,500 1,040,000
130 6,500 845,000
260 6,500 1,690,000
120 6,500 780,000
110 6,500 715,000
160 6,500 1,040,000
80 6,500 520,000
90 6,500 585,000
90 6,500 585,000
150 6,500 975,000
70 6,500 455,000
130 6,500 845,000
260 6,500 1,690,000
140 6,500 910,000
210 6,500 1,365,000
130 6,500 845,000
120 6,500 780,000
80 6,500 520,000
110 6,500 715,000
80 6,500 520,000
40 6,500 260,000
100 6,500 650,000
90 6,500 585,000
170 6,500 1,105,000
130 6,500 845,000
150 6,500 975,000
160 6,500 1,040,000
50 6,500 325,000
180 6,500 1,170,000
80 6,500 520,000
90 6,500 585,000
80 6,500 520,000
120 6,500 780,000
80 6,500 520,000
6,230 6,500 40,495,000
PENERIMAAN DAN PENGELUARAN KARCIS RETRIBUSI CALON PENGANTIN @ 20.000,-
BULAN MARET 2016

TANGGAL URAIAN
1 2 3 4 5 6 7
18/3/2016 PENERIMAAN DARI DPKAD 100 100
21/3/2016 PKM Cijati 000001 000100 1 99
PKM Kadupandak 000101 000200 1 98
PKM Sukaresmi 000201 000300 1 97
PKM Ciherang 000301 000400 1 96
22/3/2016 PKM Kademangan 000401 000500 1 95
PKM Cipanas 000501 000600 1 94
PKM Ciranjang 000601 000700 1 93
PKM Sukaluyu 000701 000800 1 92
PKM Cibeber 000801 000900 1 91
PKM Sukasari 000901 001000 1 90
23/3/2016 PKM Cibinong 001001 001100 1 89
PKM Mande 001101 001200 1 88
PKM Cibaregbeg 001201 001300 1 87
PKM Tanggeung 001301 001400 1 86
24/3/2016 PKM Cianjurkota 001401 001500 1 85
PKM Cipendawa 001501 001600 1 84
29/3/2016 PKM Campaka 001601 001700 1 83
PKM Nagrak 001701 001800 1 82
PKM Cikalongkulon 001801 001900 1 81
PKM Sukanagalih 001901 002000 1 80
4/4/2016 PKM Gekbrong 002001 002100 1 79
5/4/2016 PKM Naringgul 002101 002200 1 78
PKM Bojonglarang 002201 002300 1 77
17/5/2016 PKM Cijedil 002301 002400 1 76
1/6/2016 PKM Cugenang 002401 002500 1 75
16/8/2016 PKM Cipanas 002801 002900 1 71
30/12/2016 PKM Mande 002900 003000 1 70
PKM 70
PKM 70
PKM 70
PKM 70
PKM 70
JUMLAH 100 30 70
20.000,-
KET
8
PENERIMAAN DAN PENGELUARAN KARCIS RETRIBUSI CALON HAJI @ 30.000,-
BULAN MARET 2016

TANGGAL URAIAN
1 2 3 4 5 6 7
saldo awal
18/3/2016 PENERIMAAN DARI DPKAD 100 100
21/3/2016 PKM Cijati 000001 000100 1 99
PKM Kadupandak 000101 000200 1 98
PKM Sukaresmi 000201 000300 1 97
PKM Ciherang 000301 000400 1 96
22/3/2016 PKM Kademangan 000401 000500 1 95
PKM Cipanas 000501 000600 1 94
PKM Ciranjang 000601 000700 1 93
PKM Sukaluyu 000701 000800 1 92
PKM Cibeber 000801 000900 1 91
PKM Sukasari 000901 001000 1 90
23/3/2016 PKM Cibinong 001001 001100 1 89
PKM Mande 001101 001200 1 88
PKM Cibaregbeg 001201 001300 1 87
PKM Tanggeung 001301 001400 1 86
24/3/2016 PKM Cianjurkota 001401 001500 1 85
PKM Cipendawa 001501 001600 1 84
29/3/2016 PKM Campaka 001601 001700 1 83
PKM Nagrak 001701 001800 1 82
PKM Cikalongkulon 001801 001900 1 81
PKM Sukanagalih 001901 002000 1 80
4/4/2016 PKM Gekbrong 002001 002100 1 79
5/4/2016 PKM Naringgul 002101 002200 1 78
PKM Bojonglarang 002201 002300 1 77
17/5/2016 PKM Cijedil 002301 002400 1 76
1/6/2016 PKM Cugenang 002401 002500 1 75
16/8/2016 PKM Cipanas 002801 002900 1 71
71
71
PKM 71
JUMLAH 100 29 71
@ 30.000,-
KET
8
Contoh
REKONSILIASI PENGGUNAAN KARCIS & REA
PADA DINAS KESEHATAN TA
Distribusi Karcis (BLOK)

No Puskesmas Jenis Pelayanan
Jan Peb Mar Apr Mei Juni Juli Agst Sep Okt
1 Cianjurkota Rawat Jalan - 50 - - 50 - 50 - 50 -
2 Muka Rawat Jalan - 50 - 50 - 50 - - 50 50
3 Nagrak Rawat Jalan 20 - 20 - - 30 - 30 - -
4 Sukasari Rawat Jalan 40 - 80 - - 40 - - 40 -
5 Warungkondang Rawat Jalan - 20 - 20 - 20 - - 20 -
6 Karangtengah Rawat Jalan - - 40 - 40 - 40 - - 40
7 Ciherang Rawat Jalan 30 - 30 - 30 - 30 - 30 -
8 Ciranjang Rawat Jalan - - 50 - - 50 - - 50 -
9 Cipeuyeum Rawat Jalan - - 100 - - - - - 50 -
10 Cugenang Rawat Jalan 30 - - 20 - 30 - - - -
11 Cijedil Rawat Jalan 20 30 - - 20 30 - 30 - 30
12 Cibeber Rawat Jalan 20 20 10 10 20 10 20 - 20 20
13 Cibaregbeg Rawat Jalan 20 - 20 - 20 - - 20 20 -
14 Gekbrong Rawat Jalan 30 30 20 - 30 30 30 - 30 60
15 Bojongpicung Rawat Jalan 20 - 20 - 20 - 20 - 20 -
16 Cikalongkulon Rawat Jalan - - 50 - - - 50 - - -
17 Mande Rawat Jalan 30 - 10 30 - - 30 - 20 20
18 Cijagang Rawat Jalan - - 40 - - - - - 40 -
19 Cikondang Rawat Jalan 10 - - - 20 - 20 - - -
20 Kademangan Rawat Jalan - 10 40 - - 40 - - - -
21 Sukaresmi Rawat Jalan - 30 20 40 - - - - 40 -
22 Sukamahi Rawat Jalan - - 10 - 20 - - 20 - -
23 Sukanagalih Rawat Jalan - 50 - - - - 50 - - -
24 Cipanas Rawat Jalan 20 20 40 40 - 40 - 40 - 40
25 Cipendawa Rawat Jalan - - 20 - 50 - - 20 - -
26 Sukaluyu Rawat Jalan 30 40 - - 30 - 40 - 30 -
27 Campaka Rawat Jalan 10 10 20 10 10 10 10 10 10 10
28 Campaka Mulya Rawat Jalan 10 20 - - - 30 - - 20 20
29 Sukanagara Rawat Jalan - - 30 - 30 - - 20 - -
30 Tanggeung Rawat Jalan 10 20 20 - 20 - 20 - 20 -
31 Pagelaran Rawat Jalan - - - - - 30 - 30 - -
32 Girijaya Rawat Jalan - - 20 - - - - - 20 -
33 Cijati Rawat Jalan 20 - 30 - - - - 20 - -
34 Bojonglarang Rawat Jalan 30 - - 30 - - - 30 - -
35 Sindangkerta Rawat Jalan - - 30 - 40 - 50 - - -
36 Cibinong Rawat Jalan 20 - 20 - 20 - 20 - 30 -
37 Takokak Rawat Jalan 30 - 40 - - 40 - - - 40
38 Kadupandak Rawat Jalan 20 20 - 30 - 30 - - 30 -
39 Sindangbarang Rawat Jalan 20 - - - - 30 - - - -
40 Cidaun Rawat Jalan 20 - 40 - - 50 - - 40
41 Gunungbitung Rawat Jalan 10 10 10 - 10 - 20 - - 20
42 Cikadu Rawat Jalan 10 10 - 10 10 - - 10 - 10
43 Agrabinta Rawat Jalan - 20 10 - 10 - - 20 - 20
44 Naringgul Rawat Jalan 10 20 10 20 20 - 20 - - -
45 Pusakasari Rawat Jalan - - 20 - - - - - - -
1 Cijati Catin - - 1 - - - - - - -
2 Kadupandak Catin - - 1 - - - - - - -
3 Sukaresmi Catin - - 1 - - - - - - -
4 Ciherang Catin - - 1 - - - - - - -
5 Kademangan Catin - - 1 - - - - - - -
6 Cipanas Catin - - 1 - - - - - - -
7 Ciranjang Catin - - 1 - - - - - - -
8 Sukaluyu Catin - - 1 - - - - - - -
9 Cibeber Catin - - 1 - - - - - - -
10 Sukasari Catin - - 1 - - - - - - -
11 Cibinong Catin - - 1 - - - - - - -
12 Mande Catin - - 1 - - - - - - -
13 Cibaregbeg Catin - - 1 - - - - - - -
14 Tanggeung Catin - - 1 - - - - - - -
15 Cianjurkota Catin - - 1 - - - - - - -
16 Cipendawa Catin - - 1 - - - - - - -
17 Campaka Catin - - 1 - - - - - - -
18 Nagrak Catin - - 1 - - - - - - -
19 Cikalongkulon Catin - - 1 - - - - - - -
20 Sukanagalih Catin - - 1 - - - - - - -
21 Gekbrong Catin - - - 1 - - - - - -
22 Naringgul Catin - - - 1 - - - - - -
23 Bojonglarang Catin - - - 1 - - - - - -
24 Cijedil Catin - - - - 1 - - - - -
25 Cugenang Catin - - - - - 1 - - - -
26 Bojongpicung Catin - - - - - 1 - - - -
27 Warungkondang Catin - - - - - 1 - - - -
28 Gunungbitung Catin - - - - - - 1 - - -
29 Cipanas Catin - - - - - - - 1 - -
30 Mande Catin - - - - - - - - - -
1 Cijati Haji - - 1 - - - - - - -
2 Kadupandak Haji - - 1 - - - - - - -
3 Sukaresmi Haji - - 1 - - - - - - -
4 Ciheerang Haji - - 1 - - - - - - -
5 Kademangan Haji - - 1 - - - - - - -
6 Cipanas Haji - - 1 - - - - - - -
7 Ciranjang Haji - - 1 - - - - - - -
8 Sukaluyu Haji - - 1 - - - - - - -
9 Cibeber Haji - - 1 - - - - - - -
10 Sukasari Haji - - 1 - - - - - - -
11 Cibinong Haji - - 1 - - - - - - -
12 Mande Haji - - 1 - - - - - - -
13 Cibaregbeg Haji - - 1 - - - - - - -
14 Tanggeung Haji - - 1 - - - - - - -
15 Cianjurkota Haji - - 1 - - - - - - -
16 Cipendawa Haji - - 1 - - - - - - -
17 Campaka Haji - - 1 - - - - - - -
18 Nagrak Haji - - 1 - - - - - - -
19 Cikalongkulon Haji - - 1 - - - - - - -
20 Sukanagalih Haji - - 1 - - - - - - -
21 Gekbrong Haji - - - 1 - - - - - -
22 Naringgul Haji - - - 1 - - - - - -
23 Bojonglarang Haji - - - 1 - - - - - -
24 Cijedil Haji - - - - 1 - - - - -
25 Cugenang Haji - - - - - 1 - - - -
26 Bojongpicung Haji - - - - - 1 - - - -
27 Warungkondang Haji - - - - - 1 - - - -
28 Gunungbitung Haji - - - - - - 1 - - -
29 Cipanas Haji - - - - - - - 1 - -
TOTAL Jasa BLUD
Mengetahui
Kepala Dinas Kesehatan Bendahara Penerimaan
......................................... ............................................
NIP............................ NIP.............................
* Kolom selisih merupakan target dikurangi realisasi

* Kolom Keterangan merupakan alasan mengapa terjadi selisih
stock opname barang berharga
Saldo Awal 2015 Masuk 2016

No Jenis Karcis Distribusi s.d Juni 2016
(BLOK) (BLOK)
1 Rawat Jalan 720 6,000 6230

2 Catin 0 100 30
3 Haji 0 100 29
TOTAL 6,200
Mengetahui
Kepala Dinas Kesehatan
.........................................
NIP............................
NGGUNAAN KARCIS & REALISASI PENDAPATAN
ADA DINAS KESEHATAN TA 2016
Total
Lembar Tarif Target Realisasi Selisih
Nov Des (BLOK)
50 - 250 25,000 7,000 175,000,000
- 50 300 30,000 7,000 210,000,000
40 - 140 14,000 7,000 98,000,000
- 40 240 24,000 7,000 168,000,000
- 20 100 10,000 7,000 70,000,000
- - 160 16,000 7,000 112,000,000
30 - 180 18,000 7,000 126,000,000
- 50 200 20,000 7,000 140,000,000
40 - 190 19,000 7,000 133,000,000
30 - 110 11,000 7,000 77,000,000
- - 160 16,000 7,000 112,000,000
- 10 160 16,000 7,000 112,000,000
30 - 130 13,000 7,000 91,000,000
- - 260 26,000 7,000 182,000,000
- 20 120 12,000 7,000 84,000,000
- 10 110 11,000 7,000 77,000,000
- 20 160 16,000 7,000 112,000,000
- - 80 8,000 7,000 56,000,000
- 40 90 9,000 7,000 63,000,000
- - 90 9,000 7,000 63,000,000
- 20 150 15,000 7,000 105,000,000
- 20 70 7,000 7,000 49,000,000
30 - 130 13,000 7,000 91,000,000
- 20 260 26,000 7,000 182,000,000
50 - 140 14,000 7,000 98,000,000
- 40 210 21,000 7,000 147,000,000
10 10 130 13,000 7,000 91,000,000
- 20 120 12,000 7,000 84,000,000
- - 80 8,000 7,000 56,000,000
- - 110 11,000 7,000 77,000,000
20 - 80 8,000 7,000 56,000,000
- - 40 4,000 7,000 28,000,000
30 - 100 10,000 7,000 70,000,000
- - 90 9,000 7,000 63,000,000
50 - 170 17,000 7,000 119,000,000
- 20 130 13,000 7,000 91,000,000
- - 150 15,000 7,000 105,000,000
30 - 160 16,000 7,000 112,000,000
- - 50 5,000 7,000 35,000,000
30 - 180 18,000 7,000 126,000,000
- - 80 8,000 7,000 56,000,000
- 30 90 9,000 7,000 63,000,000
- - 80 8,000 7,000 56,000,000
20 - 120 12,000 7,000 84,000,000
- - 20 2,000 7,000 14,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- - 1 100 20,000 2,000,000
- 1 1 100 20,000 2,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
- - 1 100 30,000 3,000,000
6,229 622,900 4,466,000,000 -

nerimaan Pengurus Barang
.................. ............................................
............. NIP..............................
Harga
s.d Juni 2016 Sisa (BLOK) Perolehan Jumlah
6230 490 7,000

30 70 20,000
29 71 30,000
Cianjur, 30 Juni 2016

Pengurus Barang
............................................
NIP..............................
Keterangan
1
28 538.00
2,000 518.00 1,510.00
- 621.00 1,379.00
3,000 736.00 2,264.00
- 587.00 2,413.00
3,000 587.00 2,413.00
- 377.00 2,623.00
- 385.00 (385.00)
2,000 568.00 1,432.00
- 461.00 1,539.00
- 593.00 (593.00)
- 610.00 (610.00)
- 489.00 (489.00)
10,028 6,532.00 3,496.00
8028
6,532.00
(14,560.00)
1595
1595 670 925
925 5000 1,024 4,901
4,901 1,065 3,836
3,836 1,133 2,703
2,703 1,065 1,638
1,638 1,090 548
548 5000 868 4,680
4,680 938 3,742
3,742 971 2,771
2,771 1,217 1,554
1,554 1000 1,103 1,451
1,451 927 524
524
11000 12071
Sukaluyu
538 538
3,000 2128 1,410
4,000 1662 3,748
- 1679 2,069
- 1490 579
3,000 1354 2,225
- 1487 738
4,000 1553 3,185
- 1636 1,549
- 1457 92
3,000 1541 1,551
- 1451 100
4,000 1488 2,612
21,000
18926

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BUKU REKAPAN KARCIS

TAHUN ANGGARAN 2016

849 5,445,000 6200 41,900,000.0 6,289.0 42,163,000.0

5,445,000 41,900,000 42,163,000 5,182,000

RETRIBUSI PEMERIKSAAN KESEHATAN CALON PENGANTIN

1 Cianjurkota 150 6,500 100 7,000 1,675,000 1 7,000

44 Naringgul 100 6,500 20 7,000 790,000 1 7,000

JUMLAH 3,720 292,500 2,520 315,000 41,820,000 30 315,000

7,000 1 7,000 7,000 1,689,000

7,000 1 7,000 7,000 804,000

210,000 29 315,000 203,000 42,233,000

JUMLAH 40,593 2,638,545 372,000

RETRIBUSI BLUD PUSKESMAS

24,180,000 252,000 17,640,000 41,820,000 401,277

ETRIBUSI BLUD PUSKESMAS

65 1,334,515 6,677 70 467,390 1,801,905

26,083,005 166,987 11,689,090 37,772,095

JUMLAH NILAI JUMLAH JUMLAH NILAI JUMLAH

11,316 735,540 85,013 5,950,910

232,610 3,323 3,323 -

RETRIBUSI PEMERIKSAAN KESEHATAN CALON HAJI

203,000 - - 500 35,000

1,120 100 65 6,500 84 70 5,880

35,000 400 26,000 2,400 168,000

JUMLAH - 2,925 - 30 3,000 3,150

RETRIBUSI PEMERIKSAAN KESEHATAN CALON PENGANTIN

210,000 - - 641 3,150 44,870

44,870 - - 2,359 165,130

RETRIBUSI BLUD PUSKESMAS

1 Cianjurkota 150 6,500 100 7,000 1,675,000

JUMLAH 3,720 292,500 2,510 315,000 41,750,000

RETRIBUSI PEMERIKSAAN KESEHATAN CALON RETRIBUSI PEMERIKSAAN KESEHATAN CALON

1 7,000 7,000 1 7,000 7,000 1,689,000

30 315,000 210,000 29 315,000 203,000 42,163,000

JANUARI 2016 PEBRU

No Puskesmas Pengeluaran Pengeluaran Pengeluaran Pengeluaran Pengeluaran

11,000 12,595 1,595

8,000 2,687 5,313

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Desember 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Januari 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 29 Pebruari 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Maret 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 30 April 2016

PENERIMAAN DAN PENGELUARAN KARCIS RETRIBUSI @ 7.000,- (BLUD)

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Mei 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Juni 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Juli 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Agustus 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 30 September 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Oktober 2016

NOMOR SERI TERIMA KELUAR SISA

Cianjur, 31 Oktober 2016