31%
17% 42,167,689
0%
0% - thn skrg-thn lalu
39% 87,457,000 dinkes
0%
0%
1%
21% (185,306,380)
-2%
-1% 55,681,691
20%
(11,856,022)
20% 11,856,022
0% 3,701,457,423
34%
2%
-1%
-1%
9,632,340.00 0
51,732.00
71,484.00
4,007,146.00
122,217.00
13,884,919.00
0
-513371200
411374800
494089359
7981000
7288975
4661188
11950163
62783396
74733559
411374800
486108359
494089359
409800000
0
-510841400
417269400
529660704
11726000
3573683
24030801
27604484
73060820
100665304
417269400
517934704
529660704
BADAN LAYANAN UMUM DAERAH
PUSKESMAS BASUKI RAHMAT
LAPORAN AKTIVITAS
PER 31 DESEMBER 2013 DAN 2012
BIAYA
Biaya Layanan -
Biaya Pegawai 57,147,863 48,735,000 8,412,863
Biaya Bahan 6,936,200 11,794,600 (4,858,400)
Biaya Jasa Layanan 24,220,266 37,605,123 (13,384,857)
Biaya Pemeliharaan 4,971,898 7,935,249 (2,963,351)
Biaya Daya dan Jasa 14,207,766 19,014,609 (4,806,843)
Biaya Belanja Barang Modal 1,666,000 3,064,000 (1,398,000)
dan Lain-lain - - -
Jumlah Biaya Layanan 109,149,993 128,148,581 (18,998,588)
-
Biaya Umum dan Administrasi -
Biaya Pegawai 21 13,884,919 1,789,675 12,095,244
Biaya Administrasi Perkantoran 22 7,021,552 15,793,525 (8,771,973)
Biaya Pemeliharaan - - -
Biaya Pelatihan/Seminar/Diklat - -
Biaya Promosi - - -
dan Lain-lain 3,767,658 3,579,285 188,373
Biaya penyusutan 185,306,380 178,199,580 7,106,800
Jumlah Biaya Umum dan Administrasi 209,980,509 199,362,065 10,618,444
-
Biaya Lainnya -
Biaya Bunga (31 54,915 - 54,915
Biaya Administrasi Bank 32 102,000 232,000 (130,000)
Setoran Pajak (33) 2,480,462 1,779,632 700,830
dan Lain-Lain (34+Pustu) 7,592,000 7,622,000 (30,000)
Jumlah Biaya Lainnya 10,229,377 9,633,632 595,745
-
JUMLAH BIAYA 329,359,878 337,144,278 (7,784,400)
-
SURPLUS/DEFISIT SEBELUM POS
KEUNTUNGAN/KERUGIAN (185,306,380) (178,199,580) (7,106,800)
Keuntungan / Kerugian -
Keuntungan Penjualan Aset Non Lancar - - -
Rugi Penjualan Aset Non Lancar - - -
Rugi Penurunan Nilai - - -
dan Lain-lain - - -
- - -
SURPLUS/DEFISIT SEBELUM POS-POS
LUAR BIASA (185,306,380) (178,199,580) (7,106,800)
-14%
-13%
-11%
14%
1%
72%
62%
-5%
2,080,365 SILPA
8% 23,862,334 piutang yang lalu
-26%
-22% Rp 17,144,811 JASA LAYANAN Rp 35,718,356 dari piutang neraca
-23% Rp 11,429,874 DAYA&JASA 48%
-14% Rp 2,678,876.70 BY PEGAWAI ADM 32%
-30% Rp 2,678,876.70 BY ADM KANTOR 7.50%
Rp 1,785,918 BY LAIN-LAIN 7.50%
-8% 5%
3%
2%
3%
100%
-39%
16%
0%
3%
-1%
2%
2%
2%
2%
-3%
BADAN LAYANAN UMUM DAERAH
PUSKESMAS BASUKI RAHMAT
LAPORAN ARUS KAS
TAHUN 2013 DAN 2012
(METODE LANGSUNG)
Arus Keluar -
Pembayaran Pokok Pinjaman -
Pemberian Pinjaman -
-14%
-12%
14%
1%
-8%
3%
3%
4%
72%
72%
-377%
83%
-36%
CATATAN ATAS LAPORAN KEUANGAN
PUSKESMAS BASUKI RAHMAT
Akun ini merupakan Saldo Kas dan Bank per 31 Desember 2013 dan 31 Desember 2012 yang berasal dari pendapatan Subsidi dengan rincian sebagai
berikut:
Persediaan
31-Dec-13 31-Dec-12 31-Dec-11
2.
Persediaan Obat – obatan 97,854,221 0 -
97,854,221 0 -
Akun ini merupakan nilai buku Aset Tetap per 31 Desember 2013, 31 Desember 2012 dan 31 Desember 2011 setelah penyusutan sesuai dengan data
4. KIB Dinas Kesehatan Kota Palembang.
Akumulasi Penyusutan
Gedung dan bangunan 435,750,000 290,500,000 145,250,000
Kendaraan 57,000,000 38,000,000 19,000,000
Peralatan dan Mesin 46,140,420 25,084,040 11,134,460
Jalan, Irigasi dan Jaringan - - -
Jumlah Akum. Penyusutan 538,890,420 950,974,000 Rp 175,384,460
31-Dec-13
31-Dec-13
BIAYA-BIAYA Anggaran Realisasi %
BIAYA OPERASIONAL
2 2.1 Biaya Jasa Layanan 34,008,081 24,220,266 0.712191495
2.2 Biaya Operasional & Pemeliharaan 110,204,937 84,929,727 0.7706526529
2.3 Biaya Administrasi Umum 214,058,765 209,980,509 0.9809479598
3
Pendapatan 136,461,498
Belanja 329,359,878
Selisih Lebih / Kurang Pembiayaan Anggaran -192,898,380
1 2 3 4 5 6
1 Alopurinol tablet 100 mg Tablet 88 1,000 88,000
2 Aminofilin tablet 200 mg Tablet 82 0 0
3 Aminofilin injeksi 24 mg/ml Tablet 4,010 0 0
4 Amitripilin tablet salut 25 mg (HCL) Tablet 121 0 0
5 Amoksisilin kapsul 250 mg Tablet 210 2,280 478,800
6 Amoksisilin kaplet 500 mg Tablet 270 17,200 4,644,000
7 Amoksisilin sirup kering 125 mg/ 5 mg Botol 2,500 400 1,000,000
8 Antalgin (Metampiron) tablet 500 mg Tablet 156 100 15,600
9 Antalgin (Metampiron) injeksi 250 mg Ampul 0 0 0
Antasida DOEN I tablet kunyah, kombinasi :Aluminium
10 Tablet 74 20,100 1,487,400
Hidroksida
Anti Bakteri200
DOENmg saleb
+ Magnesium Hidroksida
kombinasi 200500
: Basitrasin mgIU/g +
11 Tube 2,641 175 462,175
polimiksin
Antihemoroid10.000
DOENIU/gkombinasi : Bismut Subgalat 150 mg
12 Suppos 2,100 0 0
+ Heksaklorofen
Antifungi 250 mg : Asam Benzoat 6% + Asam
DOEN Kombinasi
13 Pot 2,001 72 144,072
Salisilat 3%
14 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg Tablet 142 0 0
Antiparkinson DOEN tablet kombinasi : Karbidopa 25 mg +
15 Tablet 1,575 0 0
Levodopa 250 mg
16 Aqua Pro Injeksi Steril, bebas pirogen Botol 5,500 10 55,000
17 Asam Askorbat (vitamin C) tablet 50 mg Tablet 100 14,000 1,400,000
18 Asam Asetisalisilat tablet 100 mg (Asetosal) Tablet 105 0 0
19 Asam Asetisalisilat tablet 500 mg (Asetosal) Tablet 150 0 0
20 Atropin sulfat tablet 0,5 mg Tablet 77 0 0
21 Atropin tetes mata 0,5% Botol 3,176 0 0
22 Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat) Ampul 1,155 0 0
23 Betametason krim 0,1 % Tube 1,520 450 684,000
24 Deksametason Injeksi I.v. 5 mg/ml Ampul 1,659 0 0
25 Deksametason tablet 0,5 mg Tablet 64 2,800 179,200
26 Dekstran 70-larutan infus 6% steril Botol 37,302 0 0
27 Dekstrometorfan sirup 10 mg/5 ml (HBr) Botol 1,423 802 1,141,246
28 Dekstrometorfan tablet 15 mg (HBr) Tablet 104 0 0
29 Diazepam Injeksi 5mg/ml Ampul 2,486 0 0
30 Diazepam tablet 2 mg Tablet 28 1,500 42,000
31 Diazepam tablet 5 mg Tablet 42 0 0
32 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul 1,100 0 0
33 Digoksin tablet 0,25 mg Tablet 93 200 18,600
34 Efedrin tablet 25 mg (HCL) Tablet 54 2,000 108,000
35 Ekstrks belladona tablet 10 mg Tablet 28 0 0
36 Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL) Ampul 8,505 60 510,300
37 Etakridin larutan 0,1% Botol 2,283 72 164,376
38 Fenitoin Natriun Injeksi 50 mg/ml Ampul 20,850 0 0
39 Fenobarbital Injeksi I.m/I.v 50 mg/ml Ampul 1,890 0 0
40 Fenobarbital tablet 30 mg Tablet 66 2,000 132,000
41 Fenoksimetil Penisilin tablet 250 mg Tablet 304 0 0
42 Fenoksimetil Penisilin tablet 500 mg Tablet 535 0 0
43 Fenol Gliserol tetes telinga 10% Botol 1,058 72 76,176
44 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 1,827 0 0
45 Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet 660 400 264,000
46 Furosemid tablet 40 mg Tablet 94 200 18,800
47 Gameksan lotion 1 % Botol 2,310 0 0
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium
48 Sachet 307 1,300 399,100
klorida 0,30 g, Tribatrium Sitrt dihidrat 0,58 g
49 Gentian Violet Larutan 1 % Botol 945 100 94,500
50 Glibenklamida tablet 5 mg Tablet 58 900 52,200
51 Gliseril Gualakolat tablet 100 mg Tablet 29 13,000 377,000
52 Gliserin Tablet 5,600 0 0
53 Glukosa larutan infus 5% Botol 5,460 29 158,340
54 Glukosa larutan infus 10% Botol 5,985 0 0
55 Glukosa larutan infus 40% steril (produk lokal) Botol 1,525 0 0
56 Griseofulvin tablet 125 mg, micronized Tablet 230 100 23,000
57 Haloperidol tablet 0,5 mg Tablet 61 0 0
58 Haloperidol tablet 1,5 mg Tablet 72 0 0
59 Haloperidol tablet 5 mg Tablet 100 0 0
60 Hidroklorotiazida tablet 25 mg Tablet 38 4,000 152,000
61 Hidrkortison krim 2,5% Tube 2,399 480 1,151,520
62 Ibuprofen tablet 200 mg Tablet 110 0 0
63 Ibuprofen tablet 400 mg Tablet 153 1,400 214,200
64 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 93 300 27,900
65 Kalsium Laktat (Kalk) tablet 500 mg Tablet 55 5,000 275,000
66 Kaptopril tablet 12,5 mg Tablet 62 0 0
67 Kaptopril tablet 25 mg Tablet 89 0 0
68 Karbamazepim tablet 200 mg Tablet 257 0 0
69 Ketamin Injeksi 10 mg/ml Ampul 110,000 0 0
70 Klofazimin kapsul 100 mg microzine Tablet 2,303 0 0
71 Kloramfenikol kapsul 250 mg Kapsul 258 1,750 451,500
72 Kloramfenikol tetes telinga 3 % Botol 1,679 0 0
73 Kloraniramina mealeat (CTM) tablet 4 mg Tablet 22 6,400 140,800
74 Klorpromazin injeksi i.m 5 mg/ml-2ml (HCL) Ampul 1,103 0 0
75 Klorpromazin injeksi i.m 25 mg/ml (HCL) Ampul 1,155 0 0
76 Klorpromazin tablet salut 25 mg (HCL) Tablet 38 0 0
77 Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 149 0 0
Anti Malaria DOEN Kombinasi Pirimetamin 25 mg +
78 Tablet 546 0 0
Sulfadoxin
Kotrimosazol500 mg
Suspensi Kombinasi :Sulfametoksazol 200
79 Botol 2,222 750 1,666,500
mg + Trimetoprim 40 mg/
Kotrimosazol DOEN I (dewasa) 5 ml Kombinasi :
80 Tablet 145 1,600 232,000
Sulfametoksazol
Kotrimosazol DOEN 400IImg, Trimetoprim
(pediatric) 80 mg:
Kombinasi
81 Tablet 74 300 22,200
Sulfametoksazol 100 mg, Trimetoprim 20 mg
82 Kuinin (kina) tablet 200 mg Tablet 567 0 0
83 Kuinin Dihidrokklorida injeksi 25%-2 ml Ampul 6,510 0 0
84 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml Ampul 1,431 270 386,370
85 Magnesium Sulfat inj (IV) 20%-25 ml Vial 16,168 0 0
86 Magnesium Sulfat inj (IV) 40%-25 ml Vial 20,453 0 0
87 Magnesium Sulfat serbuk 30 gram Tablet 1,078 0 0
88 Mebendazol sirup 100 mg / 5 ml Botol 3,150 0 0
89 Mebendazol tablet 100 mg Tablet 220 0 0
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125
90 Tablet 162 0 0
mg
91 Metilergometrin Maleat injeksi 0,200 mg -1 ml Ampul 1,435 0 0
92 Metronidazol tablet 250 mg Tablet 113 900 101,700
93 Natrium Bikarbonat tablet 500 mg Tablet 15 0 0
94 Natrium Fluoresein tetes mata 2 % Botol 4,122 0 0
95 Natrium Klorida larutan infus 0,9 % Botol 4,935 40 197,400
96 Natrium Thiosulfat injeksi I.v. 25 % Ampul 2,835 0 0
97 Nistatin tablet salut 500.000 IU/g Tablet 672 0 0
98 Nistatin Vaginal tablet salut 100.000 IU/g Tablet 427 150 64,050
99 Obat Batuk hitam ( O.B.H.) Botol 1,299 600 779,400
100 Oksitetrasiklin HCL salep mata 1 % Tube 2,205 0 0
101 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml Ampul 3,255 0 0
102 Oksitosin injeksi 10 UI/ml-1 ml Ampul 1,874 0 0
103 Paracetamol sirup 120 mg / 5 ml Botol 1,361 1,204 1,638,644
104 Paracetamol tablet 100 mg Tablet 40 400 16,000
105 Paracetamol tablet 500 mg Tablet 110 48,000 5,280,000
106 Pilokarpin tetes mata 2 % (HCL/Nitrat) Botol 5,475 0 0
107 Pirantel tab. Score (base) 125 mg Tablet 308 500 154,000
108 Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 18 12,000 216,000
109 Povidon Iodida larutan 10 % 30 ml Botol 2,250 182 409,500
110 Povidon Iodida larutan 10 % 300 ml Botol 14,771 0 0
111 Prednison tablet 5 mg Tablet 60 0 0
112 Primakuin tablet 15 mg Tablet 107 0 0
113 Propillitiourasil tablet 100 mg Tablet 277 300 83,100
114 Propanol tablet 40 mg (HCL) Tablet 110 0 0
115 Reserpin tablet 0,10 mg Tablet 79 0 0
116 Reserpin tablet 0,25 mg Tablet 92 0 0
117 Ringer Laktat larutan infus Botol 5,460 47 256,620
Salep 2-4, kombinasi: Asam Salisilat 2% + Belerang endap
118 Pot 1,890 0 0
4%
119 Salisil bedak 2% Kotak 1,250 437 546,250
120 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial 0 0 0
121 Serum Anti Bisa Ular Polivalen injeksi 50 ml (ABU II) Vial 0 0 0
122 Serum Anti Difteri Injeksi 20.000 IU/vial (A.D.S.) Vial 0 0 0
123 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial 0 0 0
124 Serum Anti Tetanus Injeksi 20.000 IU/vial (A.T.S.) Vial 0 0 0
125 Sianokobalamin (Vitamin B12) injeksi 500 mcg Ampul 1,131 13,800 15,607,800
126 Sulfasetamida Natrium tetes mata 15 % Botol 3,617 0 0
127 Tetrakain HCL tetes mata 0,5% Botol 3,566 0 0
128 Tetrasiklin kapsul 250 mg Kapsul 154 0 0
129 Tetrasiklin kapsul 500 mg Kapsul 216 900 194,400
130 Tiamin (vitamin B1) injeksi 100 mg/ml Ampul 735 0 0
131 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet 39 9,000 351,000
132 Tiopental Natrium serbuk injeksi 1000 mg/amp Ampul 63,608 0 0
133 Triheksifenidil tablet 2 mg Tablet 42 0 0
134 Vaksin Rabies Vero Vial 139,150 0 0
135 Vitamin B Kompleks tablet Tablet 23 14,000 322,000
VAKSIN 0 0
136 BCG Vial 0 0 0
137 TT Vial 0 0 0
138 DT Vial 0 0 0
139 CAMPAK 10 Dosis Vial 0 0 0
140 POLIO 10 Dosis Vial 0 0 0
141 DTP-HB Vial 0 0 0
142 HEPATITIS B 0,5 ml ADS Vial 0 0 0
143 POLIO 20 Dosis Vial 0 0 0
144 CAMPAK 20 Dosis Vial 0 0 0
0
145 Alat Suntik 2,5ml/3 ml set 1,086 900 977,400
146 Alat Suntik 5 ml set 1,086 800 868,800
147 Albendazol tab 400 mg Tablet 350 180 63,000
148 Alprazolam tab Tablet 410 0 0
149 Ambroxol sirup 15 mg/ml Botol 2,598 500 1,299,000
150 Ambroxol tab 30 mg Tablet 87 1,100 95,700
151 Amlodipin tab 5 mg Tablet 192 1,140 218,880
152 Amlodipin tab 10 mg Tablet 341 870 296,670
153 Amoksisilin + Asam Klavulanat tab 625 mg Tablet 4,777 60 286,620
154 Ampisilin serbuk injeksi 500 mg/vial Ampul 3,150 0 0
155 Antasida Doen suspensi Botol 4,043 550 2,223,650
156 Artemeter injeksi Ampul 23,275 0 0
157 Asam Askorbat 250 mg Tablet 115 0 0
158 Asam Folat 1 mg Tablet 50 0 0
159 Asam Mefenamat 500 mg Tablet 116 10,100 1,171,600
160 Asiklovir tab 400 mg Tablet 345 480 165,600
161 Asiklovir krim 5% Tablet 2,260 100 226,000
162 Besi Sulfat tab 200 mg + Asam Folat 0,25 mg Tablet 2,100 1,900 3,990,000
163 Betahistin Mesilat tab 6 mg Tablet 970 990 960,300
164 Bisoprolol tab 5 mg Tablet 669 420 280,980
165 Boraxgliserin 5% Botol 2,200 24 52,800
166 Catgut 3/0 (Plain & Chromic) saset 27,500 72 1,980,000
167 Cetirizine tab 10 mg Tablet 186 700 130,200
168 Cetirizine syrup Botol 8,778 50 438,900
169 Chlorfenol Camfer Mentol (C H K M) Botol 57,750 0 0
170 Codein Tablet 525 250 131,250
171 Devitalisasi pasta (non arsen) Botol 409,500 0 0
172 Dietilkarbamazin sitrat tab 100 mg Tablet 93 0 0
173 Doksisiklin kap 100 mg Tablet 231 0 0
174 Domperidon syrup Botol 3,410 25 85,250
175 Domperidon tab 10 mg Tablet 170 0 0
176 Epinefrin Hcl (Adrenalin inj) 0,1%-1ml Ampul 8,505 60 510,300
177 Eritromisin kap 500 mg Tablet 976 200 195,200
178 Eritromisin sirup 200 mg/5 ml Botol 7,893 72 568,296
179 Etanol 70% 1 Liter Botol 2,575 32 82,400
180 Etilklorida semprot Botol 110,250 26 2,866,500
181 Fenofibrat tab Tablet 1,075 0 0
182 Fluor tab 0,5 mg Tablet 34 0 0
183 Gemfibrozil 300 mg Tablet 303 0 0
184 Gentamisin inj 80 mg/2 ml Ampul 3,569 0 0
185 Gentamisin salep kulit 0,1% Tube 1,350 290 391,500
186 Gentamisin tetes mata Botol 3,353 40 134,120
187 Glass Ionomer Cement ART Botol 414,750 2 829,500
188 Glimepiride tab 1 mg Tablet 265 0 0
189 Glikuidon tab 30 mg Tablet 997 900 897,300
190 Handscoen set 4,462 400 1,784,800
191 Hyoscine N-Butilbromida tab 10 mg Tablet 315 200 63,000
192 Ibuprofen syrup Botol 3,674 50 183,700
193 Infusion set anak set 3,675 5 18,375
194 Infusion set dewasa set 3,675 35 128,625
195 IV Cateter No.20 G set 19,800 0 0
196 IV Cateter No.22 G set 19,800 0 0
197 IV Cateter No.24 G set 19,800 0 0
198 Kalium Permanganat serbuk pot 77,000 24 1,848,000
199 Kalsium Hidroksida pasta Botol 254,100 0 0
200 Kapas Pembalut Absorben 250 gr Rol 38,600 12 463,200
201 Kasa Hidrofil Steril 16 x 16 cm Kotak 9,800 78 764,400
202 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 9,800 405 3,969,000
203 Ketokonazol tab 200 mg Tablet 310 4,450 1,379,500
204 Ketokonazol salep kulit Tube 2,569 72 184,968
205 Klindamisin kap 300 mg Kapsul 570 0 0
206 Klobazam tab 10 mg Tablet 900 100 90,000
207 Kloramfenikol salep mata 1% Tube 1,600 0 0
208 Kloramfenikol tetes mata 0,5% Botol 2,625 0 0
209 Lansoprazole 30 mg tab Tablet 473 560 264,880
210 Lidokain inj 2% Ampul 879 100 87,900
211 Loperamid tab 2 mg Tablet 92 500 46,000
212 Loratadin tab 10 mg Tablet 162 800 129,600
213 Masker set 472 100 47,200
214 Meloksikam tab 15 mg Tablet 348 850 295,800
215 Metformin tab 500 mg Tablet 105 300 31,500
216 Metformin tab 850 mg Tablet 240 400 96,000
217 Metilprednisolon tab 4 mg Tablet 210 900 189,000
218 Metoklopramide tab 10 mg Tablet 97 0 0
219 Metronidazol tab 500 mg Tablet 164 0 0
220 Mikonazol salep kulit 2% Tube 3,000 192 576,000
221 Mummifying pasta Botol 215,000 0 0
222 Natrium Diklofenak 50 mg Tablet 185 850 157,250
223 Nifedipin tab 10 mg Tablet 110 800 88,000
224 Obat Anti Tuberkulosis Kategori 1 Paket 302,610 21 6,354,810
225 Obat Anti Tuberkulosis Kategori 2 Paket 1,260,000 2 2,520,000
226 Obat Anti Tuberkulosis Sisipan Paket 168,000 3 504,000
227 Obat Anti Tuberkulosis Anak Paket 180,600 0 0
228 Omeprazol 20 mg kap Tablet 265 960 254,400
229 Obat Suntik KB I (Medroxyprogesteron Acetat) Vial 6,500 100 650,000
230 Obat Suntik KB II (MPA + Estradiol) Vial 4,456 0 0
231 Oksitetrasiklin salep kulit 3 % Tube 1,759 0 0
232 Papaverin tab 40 mg Tablet 122 3,000 366,000
233 Parasetamol drop Botol 5,488 145 795,760
234 Pil KB I (Ethinylestradiol + Levonorgestrel) Blister 48 0 0
235 Piroksikam tab 20 mg Tablet 110 0 0
236 Plester 5 yards x 2 inch Rol 2,000 19 38,000
237 Ramipril 2,5mg tab Tablet 300 1,900 570,000
238 Ramipril 5mg tab Tablet 600 1,900 1,140,000
239 Ranitidin tab 150 mg Tablet 126 800 100,800
240 Retinol (Vitamin A) 100.000 IU Kapsul 273 0 0
241 Retinol (Vitamin A) 200.000 IU Kapsul 441 0 0
242 Rifampisin 600 mg kap Tablet 814 0 0
243 Risperidon tab 2 mg Tablet 1,038 0 0
244 Salbutamol tab 2 mg Tablet 74 1,200 88,800
245 Sefadroksil sirup 125 mg/5 ml Botol 5,064 78 394,992
246 Sefadroksil kap 250 mg Tablet 513 0 0
247 Sefadroksil kap 500 mg Tablet 519 1,900 986,100
248 Semen Seng Fosfat P+L Botol 98,174 1 98,174
249 Sianokobalamin (Vit B12) tab 500 mg Tablet 14 13,800 193,200
250 Silk benang bedah sutra 3/0 Saset 7,307 36 263,052
251 Simetidin tab 200 mg Tablet 120 400 48,000
252 Simvastatin tab 10 mg Tablet 174 690 120,060
253 Siprofloxacin tab 500 mg Tablet 260 1,700 442,000
254 Temporary Stopping Fletcher P+L Botol 35,700 0 0
255 Teofilin tab 150 mg Tablet 57 0 0
256 Tiamfenikol kap 250 mg Kapsul 315 0 0
257 Tiamfenikol kap 500 mg Kapsul 433 2,000 866,000
258 Trikresol formalin (T K F) Botol 66,000 0 0
259 Wing Needle No.25 G set 440 8 3,520
260 Zink tab Tablet 497 1,200 596,400
TOTAL 97,854,221
LAMPIRAN
DAFTAR ASSET TETAP PUSKESMAS BASUKI RAHMAT
TAHUN 2013
TAHUN AKUMULASI
NO KETERANGAN PEROLEHAN NILAI PEROLEHAN 2013 2012 2011 PENYUSUTAN NILAI BUKU
I TANAH
1 Tanah Puskesmas Rp 454,000,000 Rp - Rp - Rp - Rp 454,000,000
II. BANGUNAN
1. Gedung Puskesmas Rp 2,905,000,000 Rp 145,250,000 Rp 145,250,000 Rp 145,250,000 Rp 435,750,000 Rp 2,469,250,000
III. KENDARAAN
MOBIL
1 SuzukuMaven/Pusling 2011 Rp 150,000,000 Rp 15,000,000 Rp 15,000,000 Rp 15,000,000 Rp 45,000,000 Rp 105,000,000
MOTOR
1 Suzuki RC 2009 Rp 4,000,000 Rp 400,000 Rp 400,000 Rp 400,000 Rp 1,200,000 Rp 2,800,000 hilang
2 Yamaha Vega R 2005 Rp 10,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 3,000,000 Rp 7,000,000
3 Suzuki RC 2006 Rp 11,000,000 Rp 1,100,000 Rp 1,100,000 Rp 1,100,000 Rp 3,300,000 Rp 7,700,000
4 Suzuki FL 2011 Rp 15,000,000 Rp 1,500,000 Rp 1,500,000 Rp 1,500,000 Rp 4,500,000 Rp 10,500,000
SILPA 2,080,365
Pimpinan Puskesmas Basuki Rahmat PIUTANG 35,718,356
BIAYA PUSTU
1 Talnag Kerkil Rp 2,768,000
2 Talang Maranjat Rp 2,464,000
dst
TOTAL Rp - Rp - Rp 6,557,060 Rp 1,756,007 Rp - Rp 2,760,256 Rp 57,672,505
Mengetahui,
Kepala Puskesmas ........................
____________________
Nip :
NB TOTAL BKU Rp.
BIAYA 2012 Rp.
GAN
Rp 57,147,863
Rp 230,000 Rp 46,000 Rp 15,623,863 Rp 43,847,863
Rp 200,000 Rp 12,300,000 Rp 13,300,000
Rp - Rp 6,936,200
Rp 1,600,000 Rp 4,971,898
Rp 385,300 Rp 244,500 Rp 34,100 Rp 1,086,200
Rp 3,400,000 Rp 4,240,000
Rp 500,000 Rp 731,898
Rp 250,000 Rp 200,000 Rp 650,000
Rp 1,880,000 Rp 3,600,000
Rp - Rp 1,666,000
Rp -
Rp -
Rp 176,000 Rp 496,000
Rp 1,170,000 Rp 1,170,000
Rp - Rp 14,207,766
Rp 703,191 Rp 315,697 Rp 322,073 Rp 2,571,596
Rp 186,902 Rp 422,337
Rp 87,820 Rp 268,833
Rp 3,600,000 Rp 10,480,000
Rp 65,000 Rp 465,000
Rp -
Rp - Rp 32,806,603
Rp 6,767,135 Rp 723,736 Rp 9,183,283 Rp 31,694,585
Rp 1,112,018
Rp -
Rp -
Rp -
Rp - Rp 13,884,919
Rp -
Rp -
Rp - Rp 4,342,675
Rp 490,500 Rp 130,000 Rp 780,275 Rp 3,608,175
Rp 120,000 Rp 100,000 Rp 390,000
Rp 100,000 Rp 20,000 Rp 56,000 Rp 315,500
Rp 29,000
Rp - Rp 1,981,740
Rp 129,733 Rp 23,880 Rp 154,013 Rp 594,516
Rp 302,732 Rp 55,720 Rp 359,362 Rp 1,387,224
Rp -
Rp 790 Rp 2,619 Rp 933 Rp 2,548 Rp 40,149 Rp 54,915
Rp 6,000 Rp 6,000 Rp 6,000 Rp 6,000 Rp 72,000 Rp 102,000
Rp 3,242 Rp 523,558 Rp 342,728 Rp 754,912 Rp 2,480,462
Rp -
Rp -
Rp - Rp 7,592,000
Rp 1,348,000 Rp 4,116,000
Rp 1,012,000 Rp 3,476,000
Palembang, 2013
Bendahara Pengeluaran
____________________
Nip :
DINAS KESEHATAN KOTA PALEMBANG PROVINSI SUMATERA SELATAN
BLUD PUSKESMAS BASUKI RAHMAT
Realisasi
Realisasi s.d Realisasi LEBIH
NO URAIAN Anggaran sampai
Triwulan lalu triwulan ini (KURANG)
triwulan ini
1 2 3 4 5 6 7
1 JAMKESMAS Rp 11,885,500 Rp - Rp - Rp - Rp 11,885,500
2 JAMSOSKES Rp 5,514,000 Rp - Rp - Rp - Rp 5,514,000
3 JAMPERSAL Rp - Rp - Rp - Rp - Rp -
4 UMUM Rp 1,657,000 Rp - Rp 1,657,000 Rp 1,657,000 Rp -
5 ASKES Rp 6,883,800 Rp - Rp 6,883,800 Rp 6,883,800 Rp -
6 JAMSOSTEK Rp - Rp - Rp - Rp - Rp -
7 PELAYANAN HAJI Rp - Rp - Rp - Rp - Rp -
8 BOK Rp 75,000,000 Rp - Rp - Rp - Rp 75,000,000
9 Pendapatan Lain-lain Rp - Rp -
- Bunga BANK Rp - Rp - Rp - Rp - Rp -
- Pajak PPH/PPN Rp 264,240 Rp - Rp 264,240 Rp 264,240 Rp -
Jumlah Rp 101,204,540 Rp - Rp 8,805,040 Rp 8,805,040 Rp 92,399,500
dr. Hj. Letizia, M. Kes Dr. R.A. Emiria Umi Kalsum, M. Kes
NIP. 196402141991032002 NIP. 198012272009032002
Realisasi
Realisasi s.d Realisasi LEBIH
NO URAIAN Anggaran sampai
Triwulan lalu triwulan ini (KURANG)
triwulan ini
1 2 3 4 5 6 7
1 JAMKESMAS Rp 21,106,500 Rp - Rp - Rp - Rp 21,106,500
2 JAMSOSKES Rp 11,901,000 Rp - Rp 6,810,263 Rp 6,810,263 Rp 5,090,737
3 JAMPERSAL Rp - Rp - Rp - Rp - Rp -
4 UMUM Rp 3,815,000 Rp 1,657,000 Rp 2,158,000 Rp 3,815,000 Rp -
5 ASKES Rp 13,794,480 Rp 6,883,800 Rp 6,910,680 Rp 13,794,480 Rp -
6 JAMSOSTEK Rp - Rp - Rp - Rp - Rp -
7 PELAYANAN HAJI Rp - Rp - Rp - Rp - Rp -
8 BOK Rp 75,000,000 Rp - Rp 18,750,000 Rp 18,750,000 Rp 56,250,000
9 Pendapatan Lain-lain Rp - Rp - Rp -
- Bunga BANK Rp - Rp - Rp - Rp - Rp -
- Pajak PPH/PPN Rp 264,240 Rp 264,240 Rp - Rp 264,240 Rp -
Jumlah Rp 125,881,220 Rp 8,805,040 Rp 34,628,943 Rp 43,433,983 Rp 82,447,237
1 2 3 4 5 6 7
1 JAMKESMAS Rp 28,799,000 Rp - Rp 21,044,181
Rp 21,044,181 Rp 7,754,819
2 JAMSOSKES Rp 16,781,000 Rp 6,810,263 Rp 757,200
Rp 7,567,463 Rp 9,213,537
3 JAMPERSAL Rp - Rp - Rp -
Rp - Rp -
4 UMUM Rp 5,311,500 Rp 3,815,000 Rp 1,496,500
Rp 5,311,500 Rp -
5 ASKES Rp 20,783,280 Rp 13,794,480 Rp 6,988,800
Rp 20,783,280 Rp -
6 JAMSOSTEK Rp - Rp - Rp -
Rp - Rp -
7 PELAYANAN HAJI Rp - Rp - Rp -
Rp - Rp -
8 BOK Rp 75,000,000 Rp 18,750,000 Rp 18,750,000
Rp 37,500,000 Rp 37,500,000
9 Pendapatan Lain-lain Rp - Rp - Rp -
- Bunga BANK Rp 295,712 Rp - Rp 295,712 Rp 295,712 Rp -
- Pajak PPH/PPN Rp 906,689 Rp 264,240 Rp 642,449 Rp 906,689 Rp -
Jumlah Rp 147,877,181 Rp 43,433,983 Rp 49,974,842 Rp 93,408,825 Rp 54,468,356
dr. Hj. Letizia, M. Kes Dr. R.A. Emiria Umi Kalsum, M. Kes
NIP. 196402141991032002 NIP. 198012272009032002
Realisasi
Realisasi s.d Realisasi LEBIH
NO URAIAN Anggaran sampai
Triwulan lalu triwulan ini (KURANG)
triwulan ini
1 2 3 4 5 6 7
1 JAMKESMAS Rp 38,340,500 Rp 21,044,181 Rp 9,541,500 Rp 30,585,681 Rp 7,754,819
2 JAMSOSKES Rp 22,629,000 Rp 7,567,463 Rp 5,848,000 Rp 13,415,463 Rp 9,213,537
3 JAMPERSAL Rp - Rp - Rp - Rp - Rp -
4 UMUM Rp 6,924,500 Rp 5,311,500 Rp 1,613,000 Rp 6,924,500 Rp -
5 ASKES Rp 27,812,540 Rp 20,783,280 Rp 7,029,260 Rp 27,812,540 Rp -
6 JAMSOSTEK Rp - Rp - Rp - Rp - Rp -
7 PELAYANAN HAJI Rp - Rp - Rp - Rp - Rp -
8 BOK Rp 75,000,000 Rp 37,500,000 Rp 18,750,000 Rp 56,250,000 Rp 18,750,000
9 Pendapatan Lain-lain Rp - Rp - Rp -
- Bunga BANK Rp 374,983 Rp 295,712 Rp 79,271 Rp 374,983 Rp -
- Pajak PPH/PPN Rp 1,379,711 Rp 906,689 Rp 473,022 Rp 1,379,711 Rp -
Jumlah Rp 172,461,234 Rp 93,408,825 Rp 43,334,053 Rp 136,742,878 Rp 35,718,356
Mengetahui Palembang, Desember 2013
Penanggungjawab PPK-BLUD Pimpinan BLUD Puskesmas Basuki Rahmat
dr. Hj. Letizia, M. Kes Dr. R.A. Emiria Umi Kalsum, M. Kes
NIP. 196402141991032002 NIP. 198012272009032002
jamkes jamsos
pustu talkir
TW II 538000
TW III 524000
TW IV 716000
1778000
pustu talmer
TW II 392800 308000
TW III 1272000 528000
TW IV 800000 294000
2464800 1130000
TOTAL 2464800 2908000
CEKLIST PERTANGGUNGJAWABAN KEUANGAN
BULAN : TAHUN 2013