Target
No Upaya Kesehatan Tujuan Indikator Kinerja Cara Perhitungan Rincian Kegiatan
1 2 3 4 5
(1) (2) (3) (4) (5) (6) (7)
UKM ESENSIAL
1 Kesehatan Ibu, Anak dan Keluarga Berencana (KIA DAN KB)
2 Promosi Kesehatan (Promkes)
3 Kesehatan Lingkungan (Kesling)
4 Gizi
5 Pencegahan dan Pengendalian Penyakit
UKM PENGEMBANGAN
1 Kesehatan Tradisional
2 Kesehatan Jiwa
3 dll
UPAYA KESEHATAN PERSEORANGAN (UKP)
1 Rawat Jalan
2 Rawat Inap
3 Persalinan
4 Rujukan
PELAYANAN KEFARMASIAN
1
2
3
PELAYANAN PERKESMAS
1
2
3
PELAYANAN LABORATORIUM
1
2
3
(8)
Belanja Pengadaan/Fotocopy
Mendukung Kegiatan Operasional Pelayanan
1
Kesehatan Lainnya
Belanja Materai
Mendukung Kegiatan Operasional Pelayanan
Kesehatan Lainnya
Mendukung Kegiatan Operasional Pelayanan
1
Kesehatan Lainnya
drg.NURAINY SITINJAK, MM
Pembina Utama Muda
RENCANA USULAN KEGIATAN PUSKESMAS SOM
TAHUN 2018
Target Kebutuhan
Sasaran Penanggung Jawab Mitra Kerja
Sasaran Sumber Daya
KTU
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang
Pengelola Gudang Dinkes dan PBF
Desa dan Semua tempat pelayanan 1 Pusk Kepala Puskesmas 1 org / kegiatan Nakes
kesehatan masyarakat Kecuali KTU
Puskesmas PJ
1 Pusk
sehatan
sehatan
sehatan
A N T I, SKM A N T I, SKM
NIP. 19790508 200312 1 003 NIP. 19790508 200312 1 00
MAS SOMPAK
Waktu
Kebutuhan Anggaran
Pelaksanaan
(10) (11)
Cutter : 2 bh x 1 Th x 1 pusk x
Mistar 30 cm : 10 bh x 1 Th x 1 pusk x
Penghapus : 10 bh x 1 Th x 1 pusk x
Pensil Tulis : 2 Ktk x 1 Th x 1 pusk x
Stabilo : 12 bh x 1 Th x 1 pusk x
Type Ex : 24 bh x 1 Th x 1 pusk x
Total
Total
Total
Total
Abocath no 26 : 12 Bh x 1 Th x 1 pusk x
Handscoon Obgyn Steril : 8 Pcs x 1 Th x 1 pusk x
Handscoon Steril : 8 Pcs x 1 Th x 1 pusk x
Kasa Besar : 3 Glg x 1 Th x 1 pusk x
Oksigen Tabung Besar : 3 Tbg x 12 Bln x 1 pusk x
Oksigen Tabung Kecil : 9 Tbg x 12 Bln x 1 pusk x
Softek Pasca Salin : 10 Bks x 1 Th x 1 pusk x
Tensimeter Air Raksa : 2 Bh x 1 Th x 1 pusk x
Termometer Air Raksa : 5 Bh x 1 Th x 1 pusk x
Timbangan Dewasa : 2 Bh x 1 Th x 1 pusk x
Umbilical Cord : 10 Pcs x 1 Th x 1 pusk x
Underpad : 12 Bh x 1 Th x 1 pusk x
Total
TOTAL KESELURUHAN
SKM KRISTIAN
00312 1 003 NIP. 197
Sumber
Anggaran Indikator Kinerja Pembiay
aan
(12) (13)
16,000 = 384,000
8,000 = 32,000
2,500 = 60,000
270,000 = 540,000
345,000 = 690,000
13,000 = 312,000
18,500 = 444,000
3,500 = 84,000
7,500 = 180,000
24,000 = 48,000
18,000 = 108,000
95,000 = 190,000
8,500 = 17,000
6,500 = 13,000
10,000 = 20,000
5,000 = 40,000
3,000 = 72,000
2,500 = 120,000
12,500 = 25,000
3,500 = 14,000
3,000 = 108,000
205,000 = 410,000
50,000 = 7,200,000
17,000 = 68,000
13,000 = 52,000
15,000 = 60,000
10,000 = 20,000
6,000 = 72,000
3,500 = 1,260,000
24,000 = 1,152,000
42,000 = 504,000
12,000 = 120,000
6,000 = 60,000
85,000 = 6,120,000
2,500 = 180,000
46,750 = 93,500
3,500 = 35,000
12,000 = 24,000
96,000 = 384,000
5,500 = 66,000
35,000 = 70,000
19,000 = 190,000
65,000 = 130,000
150,000 = 600,000
27,000 = 27,000
12,000 = 24,000
124,000 = 1,488,000
8,500 = 17,000
28,000 = 280,000
30,000 = 300,000
6,500 = 156,000
Total = 25,815,500
2,400,000 = 2,400,000
Total = 25,815,500
500 = 6,000,000
Total = 6,000,000
6,000 = 2,880,000
3,000 = 2,880,000
60,000 = 360,000
100,000 = 600,000
70,000 = 210,000
1,100 = 40,700
20,000 = 400,000
5,500 = 220,000
25,000 = 300,000
17,000 = 85,000
50,000 = 50,000
30,000 = 240,000
12,550 = 75,300
16,000 = 192,000
34,500 = 414,000
5,500 = 220,000
5,500 = 440,000
15,550 = 1,244,000
2,550 = 255,000
80,000 = 800,000
80,000 = 800,000
175,000 = 1,750,000
21,000 = 252,000
20,000 = 160,000
15,000 = 120,000
150,000 = 450,000
175,000 = 6,300,000
75,000 = 8,100,000
15,000 = 150,000
300,000 = 600,000
10,000 = 50,000
150,000 = 300,000
2,500 = 25,000
40,000 = 480,000
Total = 26,279,000 Dana JKN
3,000,000 = 3,000,000
1,500,000 = 1,500,000
Total = 4,500,000 Dana JKN
8,000 = 5,760,000
8,000 = 240,000
8,000 = 1,920,000
Total = 7,920,000 Dana JKN
25,000 = 12,000,000
10,000 = 4,800,000
Total = 16,800,000 Dana JKN
520,000 = 93,600,000
-
Total = 93,600,000 Dana JKN
5,000,000 = 5,000,000
2,000,000 = 4,000,000
2,000,000 = 2,000,000
Total = 11,000,000 Dana JKN
500,000 = 6,000,000
6,000,000
TOTAL KESELURUHAN = 780,000,000
Rincian Lokasi
Jadwal Biaya
Pelaksanaan Pelaksanaan
J AG S O N D
PUSKESMAS SOMPAK
Rincian Lokasi
Biaya
Pelaksanaan Pelaksanaan
(9) (10) (11)