Kirim Ke Malang

RINCIAN ANGGAR
RSUD WALUYO JA
KODE REKENING
1 2 3 4 5 6 7 8
4
4. 1
4. 1. 4
4. 1. 4. 1
5. 1
5. 1. 1
5. 1. 1. 01
5. 1. 1. 01. 01
5. 1. 1. 01. 02
5. 1. 1. 01. 03
5. 1. 1. 01. 04
5. 1. 1. 01. 05
5. 1. 1. 01. 06
5. 1. 1. 01. 07
5. 1. 1. 01. 08
5. 1. 1. 02
5. 1. 1. 02. 01
5. 2
1. 02. 1. 02. 2. 36
Rincian Belanja dan Anggara Tahun 2016 RSUD WALUYO JATI KRAKSAAN 1
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01
1. 02. 1. 02. 2. 36. 01. 01

5
5. 2
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 01
5. 2. 2. 01. 09
5. 2. 2. 11
5. 2. 2. 11. 02
5. 2. 2. 17.
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 17. 01
5. 2. 2. 29.
5. 2. 2. 29. 01
1. 02. 1. 02. 2. 36. 01. 02

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 01
5. 2. 2. 01. 09
5. 2. 2. 11
5. 2. 2. 11 04
5. 2. 2. 17.
5. 2. 2. 17. 01
5. 2. 3
5. 2. 3. 29
5. 2. 3. 29. 04
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 03
5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02 15
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 04

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02. 09
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 05

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02 04
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 06

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02. 20
1. 02. 1. 02. 2. 36. 01. 07

5
5. 2
5. 2. 2
5. 2. 2 29
5. 2. 2 29 02
1. 02. 1. 02. 2. 36. 01. 08

5
5. 2
5. 2. 2
5. 2. 2 03
5. 2. 2 03 15
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 09

5
5. 2
5. 2. 2
5. 2. 2. 03
5. 2. 2. 03. 15
1. 02. 1. 02. 2. 36. 01. 10

5
5. 2
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02. 18
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 02. 19
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 11

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02. 03
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 12

5
5. 2
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2
5. 2. 2. 1
5 2 2 01 09
5. 2. 2. 11
5. 2. 2. 11 03
5. 2. 2. 28
5. 2. 2. 28. 01
5. 2. 2. 28. 02
5. 2. 2. 28. 04
1. 02. 1. 02. 2. 36. 01. 13
KODE REKENING
1 2 3 4 5 6 7 8
5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 11
5. 2. 2. 11. 02
5. 2. 2. 28
5. 2. 2. 28. 04
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 14

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 3
5. 2. 2. 03. 16
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 15

5
5. 2
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 01
5. 2. 2. 11
11.0
5. 2. 2.
2
5. 2. 2. 15
5. 2. 2. 15. 02
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 17
5. 2. 2. 17. 01
5. 2. 2. 28
5. 2. 2. 28. 01
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 37
5. 2. 3. 37. 13
1. 02. 1. 02. 2. 36. 01. 16

5
5. 2
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 05
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 17

5
5. 2
5. 2. 2
5. 2. 2. 3
5. 2. 2. 03. 01
5. 2. 2. 03. 02
5. 2. 2. 03. 03
1. 02. 1. 02. 2. 36. 01. 18

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1. 02
5. 2. 1. 02 .01
5. 2. 2
5. 2. 2. 29
5. 2. 2. 1
5. 2. 2. 01. 05
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 19

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2
5. 2. 2. 1
5. 2. 2. 1. 01
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 20

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 06
5. 2. 2. 06. 01
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 06. 02
1. 02. 1. 02. 2. 36. 01. 21

5
5. 2
5. 2. 1
5. 2. 1. 01
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 03
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 74
5. 2. 3. 74. 03
1. 02. 1. 02. 2. 36. 01. 22

5
5. 2
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 3
5. 2. 3. 27
5. 2. 3. 27. 04
5. 2. 3. 28
5. 2. 3. 28. 01
5. 2. 3. 28. 07
5. 2. 3. 29
5. 2. 3. 29. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3. 29. 03
5. 2. 3. 29. 04
5. 2. 3. 31
5. 2. 3. 31. 01
5. 2. 3. 32
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3. 32. 01
5. 2. 3. 48
48.0
5. 2. 3.
1
1. 02. 1. 02. 2. 36. 01. 23

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 12
5. 2. 2. 12. 04
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 28
5. 2. 3. 28. 03
5. 2. 3. 28. 04
5. 2. 3. 28. 05
5. 2. 3. 28. 06
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3. 32
5. 2. 3. 32. 01
1. 02. 1. 02. 2. 36. 01. 24

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 02
5. 2. 2. 02. 01
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 23
5. 2. 3. 23. 08
5. 2. 3. 49
5. 2. 3. 49. 06
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 25

5
5. 2
5. 2. 1
5. 2. 1. 01
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 05
5. 2. 2. 05. 01
5. 2. 2. 05. 02
5. 2. 2. 05. 07
1. 02. 1. 02. 2. 36. 01. 26

5
5. 2
5. 2. 2
5. 2. 2. 03
5. 2. 2. 03. 12
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 27

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 06
5. 2. 2. 01. 07
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 03
5. 2. 2. 03. 12
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 28

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 20
5. 2. 2. 20 05
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 29

5
5. 2
5. 2. 2
5. 2. 2. 20
5. 2. 2. 20 05
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 30

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 2
5. 2. 2. 21
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2. 21. 04
1. 02. 1. 02. 2. 36. 01. 31

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 34
5. 2. 3. 34. 01
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 32
5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 02
5. 2. 3
5. 2. 3. 35
5. 2. 3. 35. 01
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 01. 33

5
5. 2
5. 2. 1
5. 2. 1. 01
5. 2. 1. 01. 01
5. 2. 1. 01. 03
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1. 03
5. 2. 1. 03. 01
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 02
1. 02. 1. 02. 2. 36. 02. 01
5
5. 2
5. 2. 2
5. 2. 2. 06
5. 2. 2. 06. 01
5. 2. 2. 11
5. 2. 2. 11. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 29
5. 2. 3. 29. 04
1. 02. 1. 02. 2. 36. 02. 02

5
5. 2
5. 2. 2
5. 2. 2. 29
5. 2. 2. 29. 02
5. 2. 2. 11
5. 2. 2. 11. 02
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 02. 03
5
5. 2
5. 2. 2
5. 2. 2. 15
5. 2. 2. 15. 01
1. 02. 1. 02. 2. 36. 02. 04

5
5. 2
5. 2. 2
5. 2. 2. 15
5. 2. 2. 15. 02
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 02. 05

5
5. 2
5. 2. 2
5. 2. 2. 11
5. 2. 2. 11. 02
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 02. 06

5
5. 2
5. 2. 2
5. 2. 2. 1
5. 2. 2. 01. 04
1. 02. 1. 02. 2. 36. 02. 07

5
5. 2
5. 2. 2
5. 2. 2. 11
5. 2. 2. 11. 02
5. 2. 2. 06
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 1. 02. 2. 36. 02. 08

5
5. 2
5. 2. 2
1. 02. 1. 02. 2. 36. 02. 09

5
5. 2
5. 2. 1
5. 2. 1. 02
5. 2. 1. 02. 01
1. 02. 1. 02. 2. 36. 02. 10
KODE REKENING
1 2 3 4 5 6 7 8
5
5. 2
5. 2. 2
1. 02. 1. 02. 2. 36. 02. 11

5
5. 2
5. 2. 2
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
1. 02. 02. 01
1. 02. 1. 02. 2. 01 01
1. 02. 1. 02. 2. 01. 19

5
5. 2
5. 2. 1
5. 2. 1. 02
5. 2. 1. 02. 01
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 2
5. 2. 2. 1
5. 2. 2. 1. 01
1. 02. 1. 02. 2. 24 02
1. 02. 1. 02. 2. 24. 12

5
5. 2
5. 2. 2
5. 2. 2. 03
5. 2. 2. 03. 17
1. 02. 1. 02. 2. 26 03
1. 02. 1. 02. 2. 26. 18

5
5. 2
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 1
5. 2. 1. 02
5. 2. 3
5. 2. 3. 34
5. 2. 3. 34. 01
5. 2. 3. 34. 12
1. 02. 1. 02. 2. 26. 22
5
5. 2
5. 2. 1
5. 2. 1. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 28
5. 2. 3. 28. 03
1. 02. 1. 02. 2. 26. 54

5
5. 2
5. 2. 1
5. 2. 1. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 34
5. 2. 3. 34. 01
5. 2. 3. 34. 09
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3. 34. 12
5. 2. 3. 34. 13
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3. 34. 20
1. 02. 1. 02. 2. 37 04
1. 02. 1. 02. 2. 37. 11
5
5. 2
5. 2. 1
5. 2. 1. 02
KODE REKENING
1 2 3 4 5 6 7 8
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 49
5. 2. 3. 49. 06
1. 02. 1. 02. 2. 37. 14
5
5. 2
5. 2. 1
5. 2. 1. 02
KODE REKENING
1 2 3 4 5 6 7 8
5. 2. 3
5. 2. 3. 34
5. 2. 3. 49. 06
RINCIAN ANGGARAN BIAYA BADAN LAYANAN UMUM DAERA
RSUD WALUYO JATI KRAKSAAN KABUPATEN PROBOLINGGO
TAHUN 2016
Rincian
Uraian
Vol
9 10
Pendapatan Daerah
Pendapatan Asli Daerah
Pendapatan Lain-lain PAD Yang Sah
4
BELANJA
Belanja Tidak Langsung

BELANJA PEGAWAI
Gaji dan Tunjangan
Gaji Pokok PNS/Uang Representasi 4
Tunjangan Keluarga 4
Tunjangan Jabatan 4
Tunjangan Funsional 4
Tunjangan Funsional Umum 4
Tunjangan Beras 4
Tunjangan PPh/Tunjangan Khusus 4
Pembulatan Gaji 4
Tambahan penghasilan beban kerja

Tambahan penghasilan beban kerja 1
Belanja Langsung
Progam Peningkatan Mutu Pelayanan Kesehatan BLUD
Rincian
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Vol
9 10
PENINGKATAN MUTU PELAYANAN BLUD
Pendampingan Akreditasi KARS

BELANJA
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Belanja Bahan Pakai Habis
Belanja Alat Tulis Kantor
Bolpoin 15
Boxfile 32
Cd room 1
Flashdisk 15
Kertas hvs 27
Laminating 30
Stop Map 61
Tinta printer 1
Belanja Cenderamata/bingkisan
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Belanja Makanan dan Minuman

Belanja Makanan dan Minuman Rapat
Belanja konsumsi rapat koordinasi panitia inti dengan perwakilan pokja 300
Belanja konsumsi rapat masing-masing pokja 900
Belanja konsumsi survey internal 150
Belanja konsumsi pendampingan 305
Belanja kursus/pelatihan sosia;isasi dan bimbingan teknis
Rincian
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Vol
9 10
Belanja Kursus-Kursus Singkat/ Pelatihan
Biaya narasumber KARS 1
biaya studi banding 1
Belanja Jasa Pihak Ketiga

Belanja Perjalanan Dinas Luar Daerah
Sewa mobil 4
BBM 30
Menginap narasumber 15
transport narasumber 3
Dalam Prop. Jatim Uang Harian Eselon II b 1
Dalam Prop. Jatim Uang Harian Eselon III a 3
Dalam Prop. Jatim Uang Harian Eselon IV a 5
Dalam Prop. Jatim Uang Harian PNS Gol IV 4
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Dalam Prop. Jatim Uang Harian Non PNS 2
Dalam Prop. Jatim Menginap Eselon IV a/Gol III & IV 5
Transport luar propinsi 1
Pendampingan ISO RSU

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Honorarium Tim Pengadaan Barang dan Jasa
Pejabat pengadaan 1
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Rincian
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Vol
9 10
Pejabat Pembuat Komitmen 1

isi tinta 20
flash disk 10
kertas hvs 40
bolpoint 10
stempel 1
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Belanja Cenderamata/bingkisan 1

Belanja Makanan dan Minuman rapat
Pembelian nasi kotak 500
Pembelian snack 517
Belanja kursus/pelatihan sosialisasi dan bimbingan teknis

Belanja Kursus - Kursus singkat / Pelatihan
Biaya Pemeliharaan ISO 1
Belanja Modal
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Komputer
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Komputer
Printer 1
Rincian
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Vol
9 10
Pengadaan Bahan Kesehatan Pakai Habis
BELANJA
Belanja langsung
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Honorarium PNS
Pejabat pengadaan 12

Belanja Bahan/Material
Belanja Bahan Kesehatan Habis Pakai
ac double strip indicator 20
Alat ortopedi 10
Aquasonic galon 5 L 20
Alkohol swab 8000
Alkohol 70% 1 L 1200
Alkohol 96% 1 L 120
Alat Bantu Dengar 5
Arsen 3
APD HIV AIDS 45
Aseptic gel 500 ml 800
Autoclave indikator tape 30
Betadine 1 L 900
Bedak Salicyl 100
Blood Set 4500
Blood set terumo 300
Rincian
Uraian
Vol
9 10
Botol kosong 200 ml 100
Cat gut cromic 0 10
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Cat gut cromic 2 35
Cat gut cromic 2/0 17
Cat gut cromic 3 15
Cat gut plain 0 15
Cat gut plain 1 14
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Cat gut plain 3/0 7
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Caviton 3
Cervical collar 30
Clorin 12% 1 L 420
Chlor Ethyl Spray 30
Cressent knife 350
Cutimet Sorbat 50
Davilon 2/0 70
Davilon 3/0 70
Disp. Spuit 10 cc 34200
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Disp. Spuit 1cc Tuber 30000
Disp 1 cc Terumo 2400
Disp. Spuit 1cc Insulin 5000
Disp 3 cc terumo 10000
Rincian
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9 10
Disp 5 cc terumo 5000
E care 500 ml 500
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Ecg cardioline 15
ECG paper fukuda 63 x 30 100
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ECG paper 80mmx20m Eitech 70
ECG paper 90x90 60
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ETT Cuff 2, 5 30
ETT Cuff 3, 0 30
ETT Cuff 3, 5 30
ETT Cuff 4, 0 30
ETT Cuff 4, 5 30
ETT Cuff 5, 0 30
ETT Cuff 6, 0 30
ETT Cuff 6, 5 30
ETT Cuff 7,0 45
ETT Cuff 7, 5 45
ETT Cuff 8, 0 30
Extention tube 1000
F. Chat 22 Three way 40
F. Chath 24 three way 40
F. Chatheter 10 50
F. Chatheter 12 150
F. Chatheter 14 250
F. Chatheter 16 5481
Rincian
Uraian
Vol
9 10
F. Chatheter 18 300
F. Chatheter 20 400
F. Chatheter 22 300
Formalin cair galon 10 L 5
Gelas kumur disposible 2400
Glucoprotein tes 1198
Glucosa powder 12000
Gypsona 3" 300
Gypsona 4" 250
Gypsona 6" 250
Gliserin sol 1 L 30
Hand Schoen industri 250
Hand Schoen Steril 55000
Hand schoen non steril 220000
Handschoen panjang 2000
Hypavix 0,25 18000
H2O2 3% 100 ml 400
H2O2 1 L 20
IOL pmma > D 550
I.V Flow regulator 550
ID band bayi 900
ID band dewasa 900
Infuset Anak 1500
Infuset dewasa 19000
Infuset for infusion pump 2200
Jarum heating 1500
Kaca mulut gigi 30
Kapas 25 gr 600
Kapas 500 mg 500
Rincian
Uraian
Vol
9 10
Kapas lemak 20
Kapsul kosong 00 36000
Kasa Roll 1300
Kasa Steril 11000
Kruk 10
Ky Jelly 320
Laminaria cervical dilator 4
Lina pen disposible 120
Lysol 1 L 600
Maagslang 10 200
Maagslang 12 200
Maagslang 8 5000
Maagslang 6 5000
Maagslang 16 700
Maagslang 18 400
Masker 140000
Masker nebulizer anak 200
Masker nebulizer dewasa 500
Masker O2 anak 400
Masker O2 dewasa 1200
Masker O2 with reservoir bag dewasa 200
Masker Anestesi anak 10
Masker Anestesi dewasa 10
Mayo 0 50
Mayo 1 50
Mayo 2 50
Mayo 4 100
Mayo 5 100
Medicut 18 2500
Rincian
Uraian
Vol
9 10
Medicut 20 16000
Medicut 22 4600
Medicut 24 4500
Medicut 26 4500
Mess 10 2000
Mess 11 2000
Mess 15 2000
Mess 20 4000
Minosil 5 liter 35
Minyak Telon 100 ml 100
Nasal O2 anak 200
Nasal O2 Bayi 200
Nasal O2 dewasa 2700
Nedle 18 1000
Nedle 19 1000
Nedle 21 1000
Nedle 22 2000
Nedle 23 2000
Nedle 24 10000
Nedle 26 1000
Nylon / Etilon 10/0 350
Pen Nedles 100
Plester Besar 1100
Plester Kecil 1000
Plester anti air 650
Rohtovisc 350
Precordial electrode 2000
Prolene 6/0 30
Prolene mesh 30x30 5
Rincian
Uraian
Vol
9 10
Saliva injector 1000
Slim Zuiker 1100
Slit knife 250
Softband 4" 50
Softband 6" 60
Solution set 150
Sodalime/ safnoline galon 10
Savlon/ odex 500 ml 10
Savlon/ odex galon 10
Suction catheter 10 50
T. Vio 1 350
T. Vio/ Basic pack 550
T.Vio 3/0 200
Tensocrepe 3" 30
Tensocrepe 4" 200
Tensocrepe 6" 200
Termometer ruangan 40
Tree way stop cock 500
Trypan blue 100
Umbilical Cord 1000
Underpad 1500
Urine bag 5500
Verban 10 cm 1010
Verban 15 cm 3000
Verban 5 cm 981
Vickril 1 60
Rincian
Uraian
Vol
9 10
Vickril 8/0 20
Zyde 0 9
Zyde 1 9
Zyde 2 9
Zyde 2/0 5
Zyde 4/0 5
Diapers M 111
Pengadaan Bahan Radiologi

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 4
Pejabat pembuat komitmen 4

Belanja Bahan /Material
Belanja bahan film dan procesing film radiologi
Rincian
Uraian
Vol
9 10
Film Ukuran 35x35 55
Film Ukuran 28x35 5
Film Ukuran 20x25 5
Developer 30
Fixer 30
Kertas Print USG 70
Jelly USG 70
Barium Enema 10
Pembacaan TLD 4
Pengadaan Bahan Laboratorium

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Honorarium tim pengadaan barang dan jasa
Pejabat pengadaan 4

Belanja Bahan Kimia
Rincian
Uraian
Vol
9 10
Diluent Solution/CELL PACK 45
Cell clean 10
Lysing Solution/STROMATOLYZER WH 44
EIGHT CHECK (L, N, H) 11
Stromatolyser 4DL 4
Stromatolyser 4DS 4
Sulfolyser 15
E-CHECK (L, N, H) 9
Actin FSL Actifated PTT 20
Ca Clean 20
Dade Inovin 19
Calcium Chloride Solution 4
Control Plasma N 4
Na Citrat 3,8% 4
UF II Pack-Sed2,1Lx2 4
UF II Pack-Bac2,1Lx2 4
UF II SED 4
UF II BAC 4
UF II SHEATH 7
UF II CONTROL L, H 3
Urinalysis 10 SG 30
Anti-HIV Vikia 6
Anti-HIV Intec 5
Anti-HIV Oncoprop 6
HBsAg 15
HBsAb 7
PPT 4
Gula Strip Performa 190
Widal 10
Rincian
Uraian
Vol
9 10
Benzidin Test 3
Golongan Darah A 29
Golongan Darah B 30
Multi Drug Planels 10
Alkohol Swab 148
Wound Care(Plesterin) 143
Solution Pak Na/K/Cl 800ml 4
Daily Cleaning Solution 2
Albumin (Thermo) 4
Alkali Phospatase (Thermo) 5
ALT/GPT (Thermo) 7
AST/GOT (Thermo) 7
Billirubin Direct (Thermo) 7
Billirubin Total (Thermo) 7
Cholesterol (Thermo) 7
CKMB (Thermo) 7
CKMB Control (Thermo) 6
Creatinin (Thermo) 14
Ecal 4
Gamma GT (Thermo) 1
Glucose (Thermo) 10
HDL Cholesterol (Thermo) 6
HDL/LDL Chol Calibrator 4
LDH (Thermo) 4
Lipotrol 5
Notrol 5
Scal 2
Total Protein (Thermo) 2
Trigliceride (Thermo) 6
Rincian
Uraian
Vol
9 10
Urea (Thermo) 7
Uric Acid (Thermo) 5
Wash Fluid 4
Washing Solution 4,5% 17
Abtrol 4
Cat Wright MERK 2
Pewarna Gram 1
Xylol 2
Oil Imersion 100ml 1
Stainhaimer Malbin A 1
Stainhaimer Malbin B 1
Asam Acetat Glacial 2
Pot Sputum 4430
POT SPERMA 73
Aquadest 75
NaCl 0,9% 20
EDTA 10 % 2
Methanol 3
Alkohol 70% 4
Alkohol 95% 2
Larutan Rees Ecker 1
Larutan Turk 1
HCl 0,1N 1
Extrane 6
Na Klorin 2
Billirubin Direct Auto Diasys 1
Billirubin Total Auto Diasys 1
CKMB 1
LDH 1
Rincian
Uraian
Vol
9 10
Glukosa 1
Urea 1
Creatinin 1
Uric Acid 1
Cholesterol 1
Triglicerid 1
HDL Cholesterol 1
Total Protein 1
Albumin 1
SGOT 1
SGPT 1
Urea UV Enzym Test 1
ASO latex isi 50 test 2
HAV IgG IgM device isi 25 pcs 2
CD4 (ISI 100 PERKIT) 6
KONTROL CD4 2
HbA1c (1 kit isi 15 test) 5
Reagen CRP (1 kit isi 20 test) 5
RETIKULOSIT 2
BGA CARDRIDGE 10
Pengadaan Gas Medis/Oksigen

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Rincian
Uraian
Vol
9 10
Pejabat pengadaan 4

Belanja Bahan Gas Medis
O2 22654
N2O 620
CO2 100
Pelayanan Darah
BELANJA
Belanja Langsung

Jasa Pihak Ketiga
Biaya Pelayanan Darah 5000
Rujukan Pasien/Jenasah (AMBULAN)

BELANJA
Belanja Langsung

Belanja Jasa Kantor
Belanja Jasa administrasi Layanan SKPD
Rincian
Uraian
Vol
9 10
Biaya perjalanan merujuk pasien/jenazah 60000
Pelayanan P3K di Rumah Sakit

BELANJA
Belanja Langsung

Belanja Jasa Kantor
Belanja Jasa Administrasi Layanan SKPD
P3K
Biaya dokter spesialis 20
Biaya dokter umum/gigi 18
Biaya perawat/bidan 32
Biaya Sopir 18
BBM solar (sesuai KM) 370
Obat-obatan P3K 1
Dalam Kota Sosial bidang kesehatan
Biaya dokter spesialis 6
Biaya dokter umum/gigi 8
Biaya perawat/bidan 16
Biaya Sopir 9
BBM solar 400
Obat-obatan P3K 1
Penyediaan Makanan dan Minuman (Pasien dan Karyawan)

BELANJA
Belanja langsung
Rincian
Uraian
Vol
9 10
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 12

- BAHAN MAKANAN KERING
Beras 12300
Kacang hijau 240
Kemiri 25
Merica 3
Bawang putih 96
Ketumbar 6
Garam 49
Kacang tanah 60
Teh bandul 600
Teh candil 36
Kopi bubuk 58
Tepung beras 480
Gula lokal 2000
Gula putih 60
Susu instan (400 gr) 700
Susu bayi 0-6 bulan 10
Susu balita 1-5 th 60
Susu rendah laktosa 20
Rincian
Uraian
Vol
9 10
Susu kedelai 1000
Susu skim 90
Susu diet DM 20
Susu diet protein tinggi 20
Minyak jagung 3
Minyak kelapa 5
Minyak goreng 450
Kecap 336
Sabun cuci cair (800 ml) 360
Hunkwee 80
Maizena 60
Kabin 80
Saos asam manis 200
Tas kresek kecil 180
Sirup gula merah 60
Plastik 1/4 Kg 190
Plastik 1/2 Kg 190
Mika 6 x 12,5 cm {besar} 3000
Mika 6 x 9,5 cm {tangung} 3000
Mika 7,5 x 7,5 cm {kecil} 3000
Bumbu tepung 250
Makaroni 25
Gula diabet 5
Tissue kue 200
Tepung terigu 60
Wrap ( 45 x 500 cm) 100
Sterofoam 8000
Karet gelang 2
Mangkok sterofoam 2000
Rincian
Uraian
Vol
9 10
Piring jumbo maail box 3000
Piring bulat mail 3000
Sendok plastik 3000
Gelas plastik 3000
Sedotan putih 10
-BAHAN MAKANAN BASAH

Tahu 55645
Tempe 14940
Daging Sapi 4240
Daging Ayam 2880
Lele 250
Hati 380
Tongkol 600
Telur Puyuh 25
Sosis Sapi (250 gr) 14
Bakso Sapi (360 gr) 15
Udang 15
Telur Asin 500
Teri 5
Telur 4100
Pisang 1300
Pisang susu 1500
Semangka 300
Melon 100
Pepaya 89
Apel 15
Peer 15
Sayur 400
Rincian
Uraian
Vol
9 10
Kentang 576
Jagung 1500
Kelapa 900
Bumbu 356
Cabe Merah 90
Bawang Merah 96
Kue 45865
Pengadaan Obat
BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Pejabat pengadaan 12

Belanja Bahan Obat-Obatan
Acarbose 50mg 28000
Acetylsistein 24000
Acran inj 1000
Actrapid 100 150
Acyclovir 400 mg tab 2000
Acyclovir cream 5% 240
Rincian
Uraian
Vol
9 10
Adalat oros 6900
Adona ac inj 240
Adona Ac tab 1200
Albothyl ovula 100
Albothyl sol 10 ml 240
Albumin 20 % 100 cc 99
Albumin 20 % 50 cc 178
Alinamin F inj 8000
Alinamin F tablet 1200
Allopurinol tab 100000
Alovell tablet 210
Alprazolam 0,5 mg tab 34000
Ambroxol 30 mg tab 34000
Ambroxol syr 1200
Aminofluid 500 I.V 800
Aminofusin hepar 60
Aminofusin paed 240
Aminophillin inj 1600
Aminophillin tab 40000
Aminosteril infant 100ml 320
Amlodipin 10 mg 40000
Amlodipin 5 mg 40000
Amoxan 500 mg tab 2400
Amoxan drop 120
Amoxan forte syr 120
Amoxan inj 100
Amoxan syr 240
Amoxicillin 500 mg tab 34000
Amoxicillin inj 1 gr 1200
Rincian
Uraian
Vol
9 10
Amoxicillin syr 1200
Ampicillin inj 1 gr 2000
Amytriphilin tab 24000
Analsik tab 32000
Analspec 500 mg tab 2400
Analtram tab 720
Antalgin tab 2400
Antasida Doen syr 3200
Antasida tab 24000
Anti Hemoroid supp 2400
Antrain inj 3200
Antrain tab 1200
Aptor 100 36000
Aqua Steril 1 ltr 3000
Aquabidest 25 ml 28000
Ardium tab 4200
Arixtra injeksi 210
Arkine tablet 30000
Asam Folat 1 mg 24000
Asam Mefenamat tab 200000
Asam tranex inj 9500
Asam tranexamat tab 10000
Asam valproat syr 550
Aspar - K tab 2400
Asvex tab 1200
Atorvastatin 20mg 18000
Atropin sulfat inj 10000
ATS 1500 500
Avamys nasal spray 115
Rincian
Uraian
Vol
9 10
Avil tab 1200
Azithromicin inj 60
Azytromycin 500 mg tab 1000
Bamgetol 500 20000
Banadoz tablet 100mg 7500
Baquinor forte tab 600
Beclove inj 200
Becom C tab 400
Benoson cream 240
Benoson G cream 120
Benoson- N cream 5 gr 240
Benzat Ben injeksi 1,2jt ui 30
Berotec 0,1 spray 120
Betadine 60 ml 360
Betadine gorgle 100 ml 480
Betason N cream 5g 360
Bethahistin tab 12000
Bioplacenton Zalf 360
Biosanbe tab 30000
Biothicol syr 120
Biscor tablet 3600
Bisolvon inj 120
Bisolvon tab 1200
Bisoprolol 5 mg 24000
Bledstop tablet 11986
Boraginol-N supp 200
Borax Gliserin sol 120
Braxidin tab 2000
Breathy nasal DROP 20
Rincian
Uraian
Vol
9 10
Breathy nasal spray 10
BRM 1500
Bronsolvan tab 2400
Buffect syr 360
Burnazin cream 200
Buscopan inj 400
Buscopan plus tab 500
Buscopan tab 1200
Ca Gluconas inj 432
Cal 95 tab 60
Calsium Laktat (Kalk) 24000
Candesartan 8mg tab 9000
Captopril 12,5 mg tab 35976
Captopril 25 mg 36000
Cartylo 80mg tab 30000
Cataflam 50 tab 1200
Catapres inj 100
Cefadroxil 500 mg 70000
Cefat cap 600
Cefepime inj 100
Cefila 100 tab 360
Cefixim 100 mg cap 40000
Cefixim syr 1000
Cefoperazon inj+sulbactam 1100
Cefoperazone injeksi 4000
Cefotaxim inj 1 gr 9000
Cefpirome injeksi 150
Ceftazidim inj 2000
Ceftizoxime 2140
Rincian
Uraian
Vol
9 10
Ceftriaxone inj 1 gr 39000
Ceftrimet 150
Cefxon inj 290
Cendo Asthenof tetes mata 180
Cendo Augentonic 180
Cendo berry tab 12000
Cendo carpin 2% 60
Cendo Catarlent eye drop 1000
Cendo Cenfresh T.M 3600
Cendo cetamid 360
Cendo Conver 60
Cendo Efrisel 60
Cendo Floxa 480
Cendo Gentamycin slp mata 120
Cendo Lenticular mds 10
Cendo LFX 400
Cendo Lubricent sm 450
Cendo Lyters 450
Cendo Mydriatil 0,5% tm 100
Cendo Natacen mds 300
Cendo Noncort 650
Cendo Pantocain 0,5 % 120
Cendo Pantocain 2 % 120
Cendo Polidex 360
Cendo poligran tetes mata 10
Cendo statrol tts mata 120
Cendo Timol 0,5 % 400
Cendo Tobro mds 40
Cendo Tobroson 480
Rincian
Uraian
Vol
9 10
Cendo Tropin 0,5 % 240
Cendo Tropin 1 % 239
Cendo Vitrolenta mds 240
Cendo Xitrol sm 120
Cendo Xitrol tm 120
Cephalexin tab 1200
Cepraz inj 4592
Cernevit inj 320
Cetirizin 10 mg tab 31500
Chloramp Slp mata 575
Chloramp Tts Tlnga 120
Chlorpromazin tab 600
Cilostazol 18900
Ciprofloxacin 500 mg 100000
Ciprofloxacin i.v 1800
Citicholin inj 5100
Citicolin 1000mg tablet 4700
Civell tab 60
Claneksi cap 150
Claneksi forte syr 100
Claneksi syr 100
Clindamycin 150 mg 4000
Clindamycin 300 mg 20000
Clinoleic 20% 100ml 10
Clobazam tab 20000
Clopidogrel tab 2000
Co-Amoxiclave tab 3100
Codein 10 mg tab 5000
codikaf 50000
Rincian
Uraian
Vol
9 10
Codipront kapsul 120
Coditam tab 600
Comafusin hepar 60
Combantrin syr 60
Combivent Neb 2380
Comtusi syr 30
Cortidex tab 600
Cotrimoxasol 480 mg 600
Cotrimoxasol 960 mg 40000
Cotrimoxsasol syr 650
Counterpain 5g 120
Cravox I.V 5
Cravox iv 750mg/150ml 5
Cravox tab 30
Crome inj 120
CTM 4 mg tab 600
Curcuma plus syrup 750
Curcuma tab 30000
Cytostol 200 2000
D 40% 1000
D10 % 2000
D10 0,18 NS 2000
D5 % 9900
D5 1/2 % 3000
D5 1/4 % 3000
D5 100 ML 50
Daktarin diapers 30
Dansera tab 600
Decain spinal inj 60
Rincian
Uraian
Vol
9 10
Declirip tab 100
Deculin tablet 100
Demacolin tablet 2400
Desoximethasone cream 120
Dexamethason inj 13600
Dexamethason tab 12000
Dextamin tab 500
Dextral 1200
Diazepam 2 mg tab 60000
Diazepam 5 mg tab 3600
Dibekasin inj 200
Dibekasin t.m 270
Digoxin tab 24000
Diltiazem 30 mg 120
Diovan Fct 80mg 7800
Diphenhidramin inj 5000
Dobutamin inj 120
Domperidon syr 360
Domperidon tab 3600
Dopamet tab 4500
Dopamin inj 360
Dorner tab 150
Doxyciclin tab 600
Dulcolax 10 mg supp 900
Dulcolax 5 mg tab 4800
Duvadilan inj 1200
Duvadilan tab 600
Dysflatil 600
Elkana tab 200
Rincian
Uraian
Vol
9 10
Eperisone tab 300
Epexol drop 30
Epexol syr 30
Epexol tab 500
Ephedrin inj 120
Ephineprin inj 1500
Erythromicin 250 mg 500
Erythromicin 500mg tab 500
Erythromicin syr 60
Ethambutol 500 mg 24000
Euthyrax tab 600
Exjade 250mg tab 235
Extrace injeksi 100
Fargoxin inj 60
Farsorbid 5mg tablet 10000
Farsorbid inj 60
Fenofibrate 100mg tablet 9000
Fenofibrate 300mg tab 10800
Fentanyl inj 360
Ferlin drop 30
Ferlin syrup 30
Flagyl 0,5 gr supp 1800
Flixotide nebulez 240
Flourescein 2% eye drop 15
Fluconazol I.V 150
Fluconazole kapsul 600
Flunarizin tab 15000
Forumen T.T 30
Fosmicin 2g injeksi 360
Rincian
Uraian
Vol
9 10
Furosemid inj 7200
Furosemid tab 54000
Futrolit i.v 7100
Gabexal 100mg tablet 22000
Gabexal 300mg 5834
Gemfibrozil 300 mg 3600
Gentamicin 0,1% slpklt 300
Gentamicin 0,3 % ed 30
Gentamicin inj 3600
Gentian violet 20
Gestamag tablet 200
Glaucon 250 mg 9200
Glibenklamid tab 6000
Glicerin Guaiacolat tab 300
Glimepiride 1 mg tab 35800
Glimepiride 2 mg tab 66000
Gliquidon tab 500
Glucobay 100 mg tab 12000
Glucodex tab 200
Glucosamin tab 9000
Gludepatic tab 500
Glybotic inj 250mg 1700
Haloperidol 1,5mg tablet 200
Haloperidol tab 5mg 100
Halothan 1 ml 10000
Harnal tab 360
HCT tab 840
Hepa Q 1000
Heptasan tab 200
Rincian
Uraian
Vol
9 10
Herbesser CD 100 Mg kap 4000
Herbesser CD 200 4000
Herbesser inj 300
Hervis S.M 40
Hidonac 20% infus 30
Hp Pro 2500
HSD 1500
Hydrocortison salep 150
Hyoscine inj 3200
Ibuprofen 200 mg tab 3000
Ikalep 9650
Imipenem inj 120
Imunos syr 70
Imunos tab 500
Infusan M20 1440
Infusan RD 1440
Infusan Ring As 3456
Infusan RL 72
INH 100 mg tab 65000
INH 300 mg tab 65000
Inolin tab 600
Interhistin tab 1200
Intralipid 20% 100ml 60
Inviclot injeksi 80
Irbesartan 150mg tab 10800
Irbesartan 300mg tablet 4300
Isoflurane/Terrel 1 ml 39000
Isosorbid Dinitrat 5 mg tab 72000
Isotic neolyson eye drop 3000
Rincian
Uraian
Vol
9 10
Kadiflam tab 300
KAEN 1B 600
KAEN 3A 720
KAEN 3B 980
KAEN 4A 720
KAEN 4B 720
Kalbamin I.V 40
Kalium diclofenac 50 15000
Kalnex 500 mg tab 200
Kaltrofen 100 tab 150
KCL / Potasium 25 ml 1200
Ketamin / Anesject 1ml 4200
Ketokonazole 200 mg 3000
Ketoprofen 100 tab 400
Ketorolac 10 mg tab 5000
Ketorolac 30 % inj 32000
KN 1 500ml 20
KN-2 500ml 10
KSR tab 5000
Lacto B 5000
Lactrin 200
Lagesyl syr 30
Lameson 16 mg tab 200
Lantus solostar pen 220
Lanzoprazole 30 mg 22400
Lapibal 500 mg cap 600
Lapibal inj 100
Rincian
Uraian
Vol
9 10
Lapiflox tab 300
Lapistan tab 100
Lapixim inj 60
Lasix inj 120
Lasix tab 200
Laxadine syr 1000
L-CORE 1580
Levacide 10000
Levemir flexpen 310
Levofloxacin I.V 120
Levofloxacin tab 14400
Lidocain inj 6000
LIsonopril 10mg tablet 20000
Lisonopril 5mg tablet 21000
Lodia tab 240
Lodomer injeksi 10
Longatin 50mg 200
Loperamid tablet 3600
Loratadin tab 1200
Matovit syr 40
Mecobalamin inj 6000
Mecobalamin tab 42000
Mefinal 500 mg tab 1200
Meflosin tab 100
Meiact tab 3000
Meixam cap 600
Meixam inj 300
Meloxicam 15 mg 23000
Meloxicam 7,5 mg 14000
Rincian
Uraian
Vol
9 10
Meropenem 0,5 gr inj 320
Meropenem 1 gr inj 320
Metformin 500 mg 220000
Metil Ergometri inj 3200
Metil Ergometrin tab 70000
Metil Prednisolon 4 mg 35000
Metil Prednisolon inj 1000
Metilat tab 300
Metoklopramide tab 3800
Metronidazole 500 mg 41500
Metronidazole i.v 5600
Metxime inj 60
Meylon / Nabic 25 ml 500
Micardis 40mg tablet 4000
Micardis 80mg tab 6500
Miconazole slp 240
Microlax supp 120
Morfina inj 50
MST continus 10 mg tab 3000
MST continus 15 mg tab 600
Na diclofenac tab 5500
NaCl 0,9 % / PZ 29800
NaCL 100 ML 4000
Nasacort nasal spray 20
Nebacetin powder 350
Neo - K injeksi 1500
Neuralgin tab 500
Rincian
Uraian
Vol
9 10
Neurodex tab 8500
Neurosanbe 5000mg tablet 600
Neurosanbe inj 80
New diatab tab 3200
Nifedipin 10 mg tab 10000
Nopres tablet 20mg 3800
Nor ephineprine injeksi 500
Norages injeksi 1200
Nosirax tab 100
Novalgin syr 70
Novelmycin 1 gr inj 180
Noveron inj 200
Novorapid flexy pen 350
Nupovel injeksi 900
Nymico drop 1344
OBH syr 452
Ocuson tab 2100
Ofloxacin tab 60
Omeprazole caps 23000
Omeprazole inj 8120
Omevell inj 800
Ondancentron inj 13600
Ondancentron tab 11520
Oralit sack 400
Osflex prefillied 70
Otopain ear drop 20
Otsu salin 3% 40
Otsutran i.v 20
Oxoferin sol 120
Rincian
Uraian
Vol
9 10
Oxytocin inj 15000
Pamol syr 10
Pantoprazole inj 450
Paracetamol drop 30
Paracetamol I.V 1200
Paracetamol syr 3000
Paracetamol tab 180000
Pedimin drop 300
Pehacain inj 1500
Pethidin inj 1500
Phenobarbital inj 60
Phenobarbital tab 15000
Phenytoin Na caps 21000
Phenytoin Natrium inj 900
Piracetam 1% inj 2100
Piracetam 3% inj 1500
Piracetam 400 mg 900
Piracetam 800 mg 200
Piracetam i.v 85
Piroxicam 20 mg tab 100
Postovit tab 12000
PPC 3 juta / meiji inj 800
Pragesol inj 16000
Pralax syr 95
Preabor tablet 150
Prednison tab 3000
Progesic tab 100
Prolic 300 mg tab 100
Pronalges supp 12000
Rincian
Uraian
Vol
9 10
Propanolol 10 mg tab 12500
Propanolol 40 mg tab 6000
Prorenal tab 6000
PTU 100 tab 1200
Pulmicort respules 0,25 200
Pumpitor cap 120
Pumpitor inj 40
Pyrazinamid 500 mg 16000
Q ten 100mg 18000
Ranitidin inj 40000
Ranitidine 150 mg 56000
Rantin tab 100
Rebamipide 100mg tab 200
Regumen tab 150
Renax tab 2500
Rethapyl SR 6000
Rhinofed syr 130
Rhinofed tab 3200
Rifampicin 300 mg 2000
Rimstar 4FDC 6400
Risperidone 2mg tablet 1000
RL 70000
Ryvell plus tablet 30
Sabu 5
Sagestam inj 20
Salbutamol 2 mg tab 13500
Salbutamol 4 mg tab 5400
Rincian
Uraian
Vol
9 10
Sanadryl exp syr 20
Sanadryr DMP syr 20
Sanmag suspensi 50
Sanmol drop 20
Sanmol infus 4000
Sanmol syr 375
Sanmol tab 500
Sanprima syr 10
Santa E tab 400
Santocyn injeksi 7000
Scabimite cream 30
Scobutrin dagree tab 600
Sedacum injeksi 2000
Seretide diskus 150
Sibital injeksi 200
Sibro 20mg cream 220
Sifrol 0,375 tab 3000
Siloxan tetes mata 50
Simarc 2mg tab 300
Simvastatin 10 mg 27600
simvastatin 20 mg 17000
Sirdalud tab 200
sizoril 25mg tab 3000
SM / MgSO4 20 % 25 ml 1600
SM / MgSO4 40 % 25 ml 1600
Sohobion 5000 inj 5000
Sotatic inj 600
Spiriva 18mcq handihaler 3
Spiriva refill 3
Rincian
Uraian
Vol
9 10
Spironolacton 100 mg tab 7000
Spironolacton 25 mg tab 35000
Sporetik 100 mg cap 120
Stesolid inj 2450
Stesolid rectal supp 5 mg 420
Streptomycin inj 100
Stugeron tab 120
Symbicort turbuhaler 160 200
Tamofen 10 mg tab 35000
Tantum verde 5
Tarivid Otic T.T 10
Taxegram 0,5g inj 10
Taxegram inj 1g 40
Tebokan tab 2600
Tenapril 2,5mg tab 7200
Tensilo injeksi 300
Teosal tab 900
Terfacef inj 10
Terra cortil s.m 30
Terramycin S.M 30
Tetagam inj 940
Thiamphenicol 500 mg 200
Thrombopop gel 90
Thyrozol tab 500
Tiriz drop 20
Tisacef cap 30
Tismalin 2,5mg tablet 100
Topazol inj 40
Tramadol 100 mg inj 1600
Rincian
Uraian
Vol
9 10
Tramadol 50 mg tab 2600
Tremenza tab 1900
Triamcinolone tab 100
Triaxitrol tm 2000
Tridex 27B 120
Tridex plain 120
Trifluoperazin tablet 1000
Trilac IM injeksi 40mg 200
Trilac injeksi IA/ID 50
Trolit 1500
Tuzalos tab 200
Tyarit inj 65
Tyarit tab 2900
Ulsafate syr 3000
Ulsidex tab 2000
Unalium 5 mg tab 200
Urinter cap 4000
Urispas 200 mg tab 60
Ursodeoxycholic 250mg kap 4000
Utrogestan 100mg tab 1800
V block 900
Vagistin ovula 300
Valamin I.V 90
Valisanbe 2mg tablet 25000
Valisanbe 5mg tablet 5000
Ventolin nebulizer 4000
Ventolin spray 50
Vermox 100
Viccilin sx inj 950
Rincian
Uraian
Vol
9 10
Vigamox eye drop 50
Vit B6 tab 500
Vit C inj 5600
Vit C tab 6000
Vitacur syr 30
Vitavit syr 200
Voltaren inj 20
Vometa drop 80
Vometa syr 160
Widahes 400
Xalatan eye drop 130
Xanvit syr 400
Xeradin tab 30
Xevolax 10 mg tab 60
Xevolax 30% inj 10
Zinc tab 7200
Zincpro drops 30
Zinkid syr 900
Penyuluhan Kesehatan Masarakat Rumah Sakit

BELANJA
Belanja Langsung
Rincian
Uraian
Vol
9 10

Belanja Cendera mata dan souvenir
Pembelian maskot RS 1

Belanja Makan dan Minum Kegiatan
Belanja Makanan dan Minuman Rapat 96
Pembelian Snack Penyuluhan 2250
Belanja Jasa Pelaksana Kegiatan

Honorarium Tenaga Ahli/Instruktur/Narasumber
Narasumber Penyuluhan 30
Narasumber Radio 15
Narasumber Pro TV 5
Honor Petugas pendukung

(Panitia Penyuluhan) 32
Penyuluhan Berjalan di Dalam RS
- Konsumsi Petugas pendukung 24
- Honor petugas pendukung kegiatan 24
Jasa Dekorasi/Dokumentasi dan Publikasi

- Pro TV (Sewa Studio) 5
- Radio Prosa FM (Sewa Studio) 15
Pemasaran dan Promosi Rumah Sakit
Rincian
Uraian
Vol
9 10
BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 1

Belanja Makan Minum
- Konsumsi Rapat Tim Buletin dan web 42
Honorarium
Honor petugas pendukung 20
Honor admin web 4
Belanja Jasa Pelaksana Kegiatan

- BELANJA PUBLIKASI
Iklan di TV (advetorial) 3
Informasi di Surat Kabar 15
Banner 40
Leaflet 17
Poster Berpigura 20
Peringatan hari besar 6
Keikutsertaan Kegiatan Daerah 2
Keanggotaan Persi 1
Web Persi 1
Rincian
Uraian
Vol
9 10
Pemeliharaan web RS 1
Souvenir RS 1000
Kalender 600
Cetak Buletin RS 2250
Belanja Koran RS 2
Pemeliharaan rutin/berkala alat-alat kesehatan rumah sakit

BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Pejabat pengadaan 4

Belanja Jasa Kantor
-Belanja Jasa Pemeliharaan Sarpras kantor
Anasthaesi 4
Auto chemistri analizer 1
autoclave 5
baby incubator 7
centrifuge 2
dc shock 1
ecg 5
ecu 3
fotometer 2
Rincian
Uraian
Vol
9 10
hematologi 1
infan warmer 3
infus pump 16
patien monitor 22
pulse oxymetri 5
refrigerator 1
sedimen urine 1
sterilisator 5
suction pump 5
syringe pump 18
tensimeter 20
traksi 1
usg 2
uv sterilizer 4
ventilator 3
x ray mobile 2
x ray unit 3
Alat fisioterapi 1
Alat Laboratorium 4
Alat Poliklinik dan OK mata 11
Anaesthesi 3
Baby Incubator 3
Bubble C-PAP 18
Central O2 dan Vacum 2
Cauve 10
CSSD 3
Dental Unit 1
Doppler 4
ECG 2
Rincian
Uraian
Vol
9 10
EEG 1
ESU 4
Infant warmer 3
Infra red 1
Infusion pump 3
Lampu fotometer 6
Lampu operasi 3
Lampu tindakan 4
Mikroskop 3
Patien monitor 6
Fototerapi 6
Sterilisator 4
Suction pump 2
Syringe pump 2
Tensimeter 20
USG 2
UV sterilisator 4
Ventilator 4
x ray 3
perijinan alat kesehatan 5
Monopolar footswitch 2
Biopolar footswitch 2
Mega Carh 2
Pengembangan SDM
BELANJA
Belanja Langsung
Rincian
Uraian
Vol
9 10
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 1
Belanja Barang Dan Jasa

Belanja Bahan Habis pakai
biaya ATK 1700
Belanja makanan dan minum

Belanja makanan dan minuman rapat
nasi kotak 1700
snack 1700
Belanja Perjalanan Dinas

Dalam Wil. Jatim Range I Uang Harian Eselon IIB 8
Dalam Wil. Jatim Range I Uang Harian Eselon IIIA 8
Dalam Wil. Jatim Range I Uang Harian Eselon IIIB 10
Dalam Wil. Jatim Range I Uang Harian Eselon IVA 24
Dalam Wil. Jatim Range I Uang Harian Eselon IVB 14
Dalam Wil. Jatim Range I Uang Harian PNS GOL IV 36
Dalam Wil. Jatim Range I Uang Harian PNS GOL III 14
Dalam Wil. Jatim Range I Uang Harian PNS GOL I DAN II 15
Dalam Wil. Jatim Range I Uang Harian NON PNS 10
Dalam Wil. Jatim Range II Uang Harian Eselon IIB 11
Rincian
Uraian
Vol
9 10
Dalam Wil. Jatim Range II Uang Harian Eselon IIIA 13
Dalam Wil. Jatim Range II Uang Harian Eselon IIIB 15
Dalam Wil. Jatim Range II Uang Harian Eselon IVA 25
Dalam Wil. Jatim Range II Uang Harian PNS GOL IV 18
Dalam Wil. Jatim Range II Uang Harian PNS GOL III 33
Dalam Wil. Jatim Range II Uang Harian PNS GOL I DAN II 15
Dalam Wil. Jatim Range II Uang Harian NON PNS 14
Dalam Prop. Jatim Belanja BBm Non subsidi 1990
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIB 12
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIIA 26
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIIB 20
Luar Jatim Dalam P. Jawa Uang Harian Eselon IVA 25
Dalam Wil. Jatim Range II Uang Harian Eselon IVB 13
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL IV 23
Rincian
Uraian
Vol
9 10
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL III 13
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL I DAN II 12
Luar Jatim Dalam P. Jawa Uang Harian NON PNS 11
Luar P. Jawa Uang Harian Eselon IIB 10
Luar P. Jawa Uang Harian Eselon IIIA 15
Luar P. Jawa Uang Harian Eselon IIIB 15
Luar P. Jawa Uang Harian Eselon IVA 15
Luar P. Jawa Uang Harian PNS GOL IV 10
Luar P. Jawa Uang Harian PNS GOL III 5
Luar P. Jawa Uang Harian PNS GOL I DAN II 7
Luar P. Jawa Uang Harian NON PNS 5
Biaya Transpot (di Luar Prop. Jatim) 4
Biaya Transpot (Dalam Prop. Jatim) 4
Menginap Pejabat eselon III/Gol IV 18
Menginap Pejabat eselon IV/Gol III 29
Menginap gol I/II 18
Sewa Mobil 5
Belanja Kursus,Pelatihan. Sosialisai dan Bimbingan Teknis PNS
Belanja Kursus- kursus singkat /pelatihan

Belanja Kursus-kursus Singkat/Pelatihan
Belanja Pelatihan/lokakarya/workshop/seminar (undangan) 4
Belanja Pelatihan internal 19
Belanja Kontribusi Studi banding 5
Belanja Jasa Pelaksanaan Kegiatan

Jasa Narasumber /Tenaga Ahli /Instruktur/Pelatihan
Honorarium narasumber (dalam kabupaten) 64
Rincian
Uraian
Vol
9 10
Honorarium narasumber (luar kabupaten) 30
Belanja Modal
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Peraga /Praktek
Belanja Modal Peralatan dan Mesin - Pengadaan Bidang Studi

Ketrampilan
Pembelian Manikin 3
Pelayanan Pemulasaraan Jenazah

BELANJA
Belanja Langsung

Belanja Peralatan Kebersihan dan Bahan Pembersih
Kain kafan 25
Tikar 15
Plastik Tebal 54
Bayclin 15
Kain panjang 20
Sabun mandi 84
Minyak Wangi 30
Alkohol 15
Formalin 15
APD 30
Sepatu Boot 56
Sirap 30
Rincian
Uraian
Vol
9 10
Biaya Otopsi /bedah mayat 30
Biaya pemulasaran jenazah 30
Biaya pemakaman 30
Penyediaan Jasa Komunikasi, Sumber Daya Air dan Listrik

BELANJA
Belanja Langsung

Belanja Jasa Kantor
Biaya Telepon 4
Biaya Air 4
Biaya Listrik 4
Penyediaan Jasa Kebersihan Kantor

BELANJA
Belanja Langsung
Belanja Pegawai
Belanja PNS
Pejabat pengadaan 4
Rincian
Uraian
Vol
9 10
Honorarium Non PNS

Homoraium Pegawai Honorer/ Tidak Tetap
Jasa tenaga Kebersihan dan sterilisasi 312

Jasa tenaga kebersihan outsourcing 12

Belanja Peralatan Kebersihan dan bahan pembersih
Sabun Detergent(besar) 480
Sabun Detergent(kecil) 600
Sabun mandi padat 1440
Hand soap refile 1440
Pembersih kaca 840
Desinfektan 600
Pembersih kloset ( besar) 960
Pembersih kloset ( kecil) 840
Pembersih lantai ( besar) 1320
Pembersih lantai ( kecil) 840
Sapu sawang 72
Sikat kamar mandi panjang 144
Handuk tangan besar 60
Handuk tangan tanggung 180
Keset kain 288
Keset karet 144
Keset sintetis 48
Rincian
Uraian
Vol
9 10
Kemucing 144
Kamper Kamar mandi 720
Sabun cuci cair 360
Lap kaca 144
Gayung 120
Sekrop sampah 60
Tempat sampah injak (30 L) 180
Stok kayu 160
Tempat samapah medis 150
Sikat kecil 100
Sikat WC 175
Tempat sampah umum 100
Tissue gulung 144
Tissue kotak 1800
Pengharum ruangan(besar) 600
Pengharum ruangan(kecil) 480
Timba 80
Ember plastik 36
Selang air 150
Sabit 64
Sapu lidi 80
Sapu lantai 360
Bak plastik 40 ltr 24
Skrop penyapu air 45
Sabun bayi 72
Sandal jepit 288
Sandal selop 352
Obat nyamuk spray 480
Sabun colek 120
Rincian
Uraian
Vol
9 10
Lap pel 540
Refile pengharum elektrik 180
Plastik klip 5 x 8 24
plastik klip 8 x 12 24
Plastik 1/4 kg 120
Plastik 1/2 kg 120
Plastik 1kg 120
Plastik 15 x 15 180
Plastik 15 x 24 180
Plastik 02 x 28 180
Plastik 11 x 17 12
Plastik 45 x 30 50
Plastik 40 x 60 49
Plastik 45 x 65 50
Pengharum ruangan elektrik 10
Cangkul 5
Pemotong bunga/gunting bunga 5
Parfume pack linen besar 134
Plastik pack linen besar 24
Plastik pack linen kecil 60
Penyediaan Alat Tulis Kantor

BELANJA
Belanja Langsung
Belanja Pegawai
Pejabat pengadaan 4
Rincian
Uraian
Vol
9 10

Buku Ekpedisi 480
Buku Folio 480
Buku Kwarto 480
Buku Folio 180
Spidol Marker/Permanent 60
Spidol Boardmarker 70
Spidol kecil 360
Binder klip no.105 180
Klip Trigonal 24
Pensil Tulis 60
Pensil Blue Red 24
Penghapus Pensil/stip karet 4
Bolpoint 360
Tipe Ex 432
Streples Kecil 720
isi streples 240
Stabilo 72
Tinta Stempel 6
Bantalan Stempel 48
Battrey Besar 180
Rincian
Uraian
Vol
9 10
Battrey Kecil/Jam 24
Battrey AC 300
Amplop sedang 180
Amplop Besar 120
Gunting bsr 120
Gunting sedang 96
Kertas HVS folio 1616
Kertas HVS A4 121
Kertas HVS Warna 10
Kwitansi 240
Cutter 60
Isolasi kertas/celotipe 360
Penggaris 12
Kertas Karbon 6
Continous Form 60
Continous Form 96
Penghapus papan 72
Lem kertas 71
Celotipe 36
Box File 72
Otner 144
Stop map 1199
Alas Triplek 360
Dokumen keeper 36
Piper klip 120
Map plastik 288
Snelhelter 432
ID Card Karyawan 700
Kartu pasien 8000
Rincian
Uraian
Vol
9 10
Tinta Printer Canon 15
Tinta printer Epson 130
Tinta printer Dot matrik 30
Tinta printer Toner 96
Kartu penunggu pasien 1000
Doble Tip 12
Porferator besar 10
Stempel 20
Penyediaan Barang Cetakan dan Penggandaan

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 4

Belanja Cetak dan Penggandaan
Cetak
RM 1 (Lembar masuk dan keluar RS) 50
RM 1B (Surat persetujuan rawat inap dan pembiayaan) 50
RM 2 (Triase IGD) 50
RM 3 (Dokter penanggung jawab pasien /DPJP) 50
RM 4 (Lembar Edukasi Terintegrasi) 50
Rincian
Uraian
Vol
9 10
RM 5A (Catatan perkembangan pasien terintegrasi) 50
RM 5B (Data pengkajian dan CP keperawatan di rawat inap) 50
RM 5C (Asuhan keperawatan) 50
RM 5D (Asuhan gizi) 50
RM 5E ( Skrining gizi untuk pasien 2015) 25
RM 6A ( Lembar observasi dan tanda vital) 50
RM 6B (Lembar observasi khusus) 50
RM 7 (Lembar pemeriksaan penunjang) 50
RM 8 (Lembar copy resep) 50
RM 9 (Lembar konsultasi) 50
RM 10 (Discharge plannning) 50
RM 11 (Resume Medis) 600
RMK 1 (Pemeriksaan Obstetrik) 8
RMK 2 (Pemeriksaan Ginekologis) 3
RMK 3 ( Partograf) 8
RMK 4 (Identifikasi bayi baru lahir) 6
RMK 4A (Catatan harian bayi baru lahir) 6
RMK 7 (Fothoterapi) 2
RMK 8 (Laporan pembedahan) 130
RMK 8A (Laporan resusitasi bayi baru lahir) 6
RMK 9 (Catatan anastesi) 8
RMK 10A (Form persetujuan tindakan kedokteran) 50
RMK 10B (Persetujuan tindakan medik non operatif) 50
RMK 10C (Surat Persetujuan tindakan kontrasepsi) 5
RMK 10D (Surat persetujuan tindakan radiologi) 5
RMK 10E (Surat pernyataan pindah ruang) 10
RMK 10F (Surat pernyataan pulang paksa) 2
RMK 10G (Surat pernyataan rujukan) 5
RMK 10H (Form General Consent-privasi) 25
Rincian
Uraian
Vol
9 10
RMK 11 (Surat penolakan tindakan kedokteran) 5
RMK 12 (Surat keterangan gawat darurat) 15
RMK 13 (Surat rujukan) 2
RMK 14 (Lembar Sebab Kematian) 5
RMK 15 (Observasi intensive care unit/ICU) 2
RMK 16 (Surat keterangan pemeriksaan RR) 25
RMK 17 (Persiapan operasi) 140
RMK 18 (Lembar observasi pasien 2 Jam post partum) 10
RMK 19 (Formulir Observasi) 10
RMK 20 (Serah terima pasien antar RS) 5
RMK 21 (Sign in time out sign out) 25
RMK 22 (Konsultasi spesialis Perinatologi) 5
RMK 23 (Surat persetujuan PASI) 5
RMK 24 (Masa Gestasi) 5
RM.KO 1 (Penetapan jadwal operasi) 5
RM.KO 2 (Surat Pendaftaran operasi) 5
RM.KO 3A (Formulir Penghitung alat instrumen sinusitis) 5
RM.KO 3B ( Formulir Penghitung alat instrumen tonsilektomi) 5
RM.KO 3C ( Formulir Penghitung alat instrumen removal implan) 5
RM.KO 3D ( Formulir Penghitung alat instrumen aff wire set) 5
RM.KO 3E ( Formulir Penghitung alat instrumen debridement repair
tendon) 5
RM.KO 3F ( Formulir Penghitung alat instrumen Osteotomy skeletel) 5
RM.KO 3G ( Formulir Penghitung alat instrumen amputasi set) 5
RM.KO 3H ( Formulir Penghitung alat instrumen repair perinium) 5
RM.KO 3I ( Formulir Penghitung alat instrumen sectio cesaria set) 5
RM.KO 3J ( Formulir Penghitung alat instrumen Mastectomy set) 5
RM.KO 3K ( Formulir Penghitung alat instrumen repair post operasi) 5
RM.KO 3L ( Formulir Penghitung alat instrumen struma set) 5
RM.KO 3M ( Formulir Penghitung alat instrumen sirkumsisi) 5
Rincian
Uraian
Vol
9 10
RM.KO 3N ( Formulir Penghitung alat instrumen cystotomy set) 5
RM.KO 3O ( Formulir Penghitung alat instrumen eksterfasi set) 5
RM.KO 3P ( Formulir Penghitung alat instrumen appendictomy set) 5
RM.KO 3Q ( Formulir Penghitung alat instrumen BPH set) 5
RM.KO 3R ( Formulir Penghitung alat instrumen insisi) 5
RM.KO 3S ( Formulir Penghitung alat instrumen laparotomy) 5
RM.KO 3T ( Formulir Penghitung alat instrumen herniotomy) 5
RM.KO 3U ( Formulir Penghitung alat instrumen cystoma ovary) 5
RM.KO 3V ( Formulir Penghitung alat instrumen hysterectomy) 5
RM.KO 4 ( Timbang terima post operasi) 5
RMP 1 (Kartu identitas pasien) 500
RMP 2 (kartu rawat jalan /kartu putih) 36857
RMP 3 (Catatan medik ibu hamil resiko tinggi) 1000
RMP 4 (Surat permintaan rawat inap) 5
RMP 5 (Surat keterangan rawat inap) 25
RMP 6 (Surat keterangan istirahat dokter) 5
RMP 7 (Surat keterangan pemeriksaan kesehatan calon mempelai) 1
RMP 8A (Surat keterangan sehat) 3
RMP 8B (Surat keterangan sehat) 3
RMP 9 (Protokol terapi tindakan fisioterapi) 10
RMP 10 (Lembar konsultasi) 10
RMP 11 (Status Psikiatri) 10
RMP 12 (Surat keterangan hamil) 5
RMP 13 (Surat keterangan bebas narkoba) 10
RMP 14 (Surat keterangan dokter spesialis mata) 5
RMP 15 (Surat keterangan kontrol) 5
RMP 16 (Surat persetujuan pasien HIV) 5
RMP 17A (Formulir deteksi dini tumbuh kembang anak) 10
RMP 17B (Tumbuh kembang dan pediatri sosial) 5
Rincian
Uraian
Vol
9 10
RMP 17C (Grafik) 15
RMP 17D (Lembar Follow Up) 25
RMP 17E (Denver II) 4
RML 1 (Permintaan pemeriksaan laboratorium) 700
RML 1A (Permintaan Lab Khusus Kades) 2
RMP 13A (Surat keterangan klinik paru) 5
RMP 18 (Surat keterangan dokter) 5
RML 2 ( Permintaan pemeriksaan radiologi/USG dan Ekg) 5
RML 3 (Lembar permintaan darah untuk transfusi) 10
RML 4 (Lembar permintaan pemeriksaan patologi/sitologi) 5
RML 5 (Surat keterangan kelahiran) 8
RML 6 (Pelayanan kerohanian) 1
RML 7 (Keterangan kematian) 2
RML 9A (Surat keterangan penyerahan jeazah) 2
RML 9B ( Serah terima jenazah) 2
RML 10 (Kontrol dan nasihat bayi pulang) 10
RML 11 (Daftar neonatus RG) 2
RML 13 (Cek list kepesertaan) 30
RML 14 (Surat pengantar ke kasir) 50
RML 15 (Timbang terima) 150
RML 16 (Persiapan pemeriksaan radiologi) 10
RML 17 (Lembar penerimaan pasien baru dan informasi pelayanan RS) 10

RML 18 (Perincian tindakan medik) 10
RML 19 (Lembar jadwal pembelian susu) 10
RML 20 (Monitoring laboratorium DHF) 10
RML 21 (Lembar serah terima pasien antar ruang) 10
RM.EX 1 (Formulir data variabel INA-CBG's Rawat inap) 15
RM.EX 2 (Formulir data variabel INA-CBG's Rawat jalan) 10
RM.EX 3 (Formulir klaim rawat jalan fisioterapi) 15
Rincian
Uraian
Vol
9 10
RM.EX 4 (Protokol terapi) 10
RM.EX 5 ( Surat rekomendasi DPJP) 10
RMK. F 1 (Pemberian obat injeksi) 10
RMK. F 2 (Serah Terima obat) 10
RMF. K 3 (Penerimaan dan pemberian obat injeksi) 12
RMF. K 4 (Pengembalian obat) 10
RMF. K 5 (Pengambilan obat) 10
RMF. K 6 (Kartu pemakaian O2) 10
RMF. K 7 (Resep obat Rawat Jalan) 10
RMF. K 7 (Resep obat Rawat Jalan) 15
RM. Ass. 1 (Assetment Awal) 15
RM. Ass. 2 (Assetment Ulangl) 10
Kartu stock barang 2000
RML 24 (Amplop Besar Rumah Sakit) 20
RML 24 A (Amplop kecil Rumah sakit) 25
RML 28 (Kartu ucapan) 64
Buku daftar usulan permintaan barang 300
Buku Surat Masuk 20
Buku Surat Keluar 20
Amplop radiologi tanggung 3000
Buku disposisi 80
Map RS biru 1700
Map Bupati 500
Buku mutasi 2
Buku Laundry 53
Blanko RM 1 (Map pasien) 19989
RML 21 (Form IPS/Usulan perbaikan) 10
RML 21A (Form IPS/Laporan hasil pekerjaan) 8
Amplop radiologi besar 5000
Rincian
Uraian
Vol
9 10
Kartu inventaris barang 500
Formulir EEG 9
RML Pemeriksaan elektrokardiografi 2100
Karcis apotik 55
Perincian biaya tindakan umum 500
Etiket Gizi 5
Buku Mutasi Barang 150
Register Radiologi RML18D 15
Map USG 500
Karcis tarif pelayanan RM 100
Karcis Pelayanan Poli Spesialis 100
Karcis tarif pelayanan Umum/Gigi/Mulut 60
Amplop EEG Tanggung 150
Amplo Laboratorium 20
Operan harian kondisi mobil ambulan 5
Amplop Coklat RSU 20
Surat keterangan medik/ Permintaan laboratorium klinik 40
Pemeriksaan Echocardiography 150
Penggandaan
Foto Copy 464875
Penyediaan componen inst listrik/penerangan Bang. Kantor

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Rincian
Uraian
Vol
9 10
Pejabat Pengadaan 2

Belanja Alat Listrik dan Elektronik
Lampu tornado philip's 65 w 20
Lampu VIGA 55 w 20
Fitingan mercury 10
Fitingan dop 50
Fitingan TL 100
Lampu essential 23 w 205
Lampu TL 20 w 100
Lampu TL 40 w 100
Lampu dop 40 w 300
Saklar tembok tunggal 20
Saklar tembok double 20
Stop kontak tembok 20
Saklar tempel tunggal 20
Saklar tempel double 20
Stop kontak tempel isi 4 60
Stop kontak tempel isi 2 60
Stop kontak T 100
Steker broco 100
Isolasi plastik hitam 30
Rincian
Uraian
Vol
9 10
Kabel NYM-HY 2x1,5 mm2 2
Kabel NYM-HY 2x0,75 4
Kabel rol 20
Saklar Handle ON/OFF 63 A 3
Saklar Handle I 0 II / Cam Starter 63 A 2
MCCB 50/60 A 2
NFB 50/60 A 2
Klem kabel 50
Fiser 50
Skrup tajam 50
Belanja Modal
Belanja Modal Jalan, Irigasi dan Jaringan - Pengadaan Instalasi
Gardu listrik
Belanja Modal Jalan, Irigasi dan Jaringan - Pengadaan Instalasi Pusat
Pengatur Listrik
Pemeliharaan/pemasangan panel listrik 4
Pemasangan jaringan listrik untuk switch biling 14 titik 1
Pemasangan jaringan computer gedung baru 1
Pengadaan kabel Tray untuk Ruang Genset lama ke Ruang Genset
baru
Pengadaan kabel Tray 1
Jasa konsultasi perencanaan 1
jasa konsultasi Pengawasan 1
Penyediaan peralatan dan perlengkapan kantor

BELANJA
Belanja langsung
Rincian
Uraian
Vol
9 10
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 4
Belanja Modal
Belanja Modal Peralatan dan Mesin- Belanja Modal Pengadaan Alat
Kantor
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Penyimpanan
Perlengkapan Kantor
Almari dokumen 13
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Rumah Tangga

Belanja Modal Peralatan dan Mesin - Pengadaan Meubelair
Kursi lipat 44
Kursi Tunggu 25
Meja kerja 19
Loker 1
Meja costumer service (poli) 2
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pemadam

Kebakaran
Pembelian tabung pemadam kebakaran 30
Belanja Modal Peralatan dan Mesin - Pengadaan Komputer

Belanja Modal Peralatan dan Mesin - Pengadaan Peralatan Personal
Komputer
Rincian
Uraian
Vol
9 10
Laptop 5
Baterai kering UPS 10
Kalkulator 5
Monitor 5
Personal komputer 15
UPS 12
Memory server 1
Switch monitor 1
Belanja Modal Peralatan dan Mesin - Pengadaan Peralatan Komputer

Mainframe
Hardish eksternal 2

Komputer
Printer inject 13
Printer laser jet 6
Printer dot matrix 4
Scaner Khusus 1
Scanner 2
Belanja Modal Peralatan dan Mesin - Pengadaan Alat - alat Studio

Belanja Modal Peralatan dan Mesin - Pengadaan Peralatan Studio
Visual
LCD Proyektor 3
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Komunikasi
Rincian
Uraian
Vol
9 10
Telephone
Aiphone 16
Belanja Modal Peralatan dan Mesin -Pengadaan Alat Keamanan dan

Perlindungan
Belanja Modal Peralatan dan Mesin -Pengadaan Alat Bantu Kemanan

cctv 2
Penyediaan Alat Rumah Tangga

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 6

Belanja Pakaian Dinas dan Atributnya
Belanja Pakaian Dinas (PDH)
seragam dinas 1
pakaian kerja 1
korden ruangan 1
perlengkapan linen ruangan (rawat jalan ) 1
perlengkapan linen ruangan (rawat inap) 1
Rincian
Uraian
Vol
9 10
kabel NYMHY 2x1,5 9
Belanja
Belanja Modal
Modal Peralatan dan mesin - Belanja Modal Pengadaan Alat
Rumah Tnagga
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pembersih
Mesin pengering Pakaian (laundry) 1
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pendingin
Kulkas 10
Kipas angin dinding 15
ac 1,5 pk 15
ac 2 pk 16
Exhaust/ ventilating fan 18
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Dapur

troli makanan 6
barang perlengkapan dapur 1
Dispenser 5
Belanja Modal Peralatan dan Mesin - Pengadaan Alat Rumah Tangga

Lainnya (Home Use)
Amplifier 1
tv led 40 inch + braket 10
tv dvd player 6-7 inch 1
tv led 29" + braket 35
microphone 8
kabel microphone 6
meja amplifier 1
Rincian
Uraian
Vol
9 10
jack microphone 10
saklar temple singgle 15
speaker column 11
speaker ceiling atap 41
Sound system 1
pre amplifier 10 channel 1
Jam dinding 117
Belanja Modal Peralatan dan Mesin - Belanja Modal Pengadaan Alat

Komunikasi
Telephone
Nurse call 2
Pemeliharaan rutin/berkala Gedung kantor

BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 12

Belanja Bahan / Material
Belanja Bahan Baku Bangunan
Cat tembok 200
Rincian
Uraian
Vol
9 10
Pintu kamar mandi alumunium 10
Asbes gelombang 100
Asbes bubung 100
Harplek 50
Cat kayu 100
Kuas 2" 40
Kuas 4" 100
Kuas 5" 60
Kuas Roll 50
Thiner B 50
Kunci Pintu 50
Penggantian kaca jendela 10
Kayu slemar 20
Engsel 50
Kayu 6x15x4 40
Kayu 6x12x4 40
Kayu 3x20x4 40
Kayu 4x6x4 100
Kayu 3x5 40
Lem Fox 50
Kalsium 80
Semen 300
Triplek 4 mm 50
Triplek almunium 30
Triplek 1 cm 30
Triplek melamin 30
Gembok 15
Keramik 200
Kran 50
Rincian
Uraian
Vol
9 10
Pasir 15
Sirtu 25
Eternit 30
Batu batu 10000
Pisau mesin potong rumput 5
Siku lubang 80
bak kamar mandi PVC 2
Paku 20
Mata bor bulat 2
Mata bor panjang 1
Mata bor beton 1
Mata bor besi 1
Ongkos tukang 1000
Ongkos Kuli 445
Belanja Modal
Belanja Modal Peralatan dan Mesin Pengadaan Alat Bengkel tak
Bermesin
Belanja Modal Peralatan dan Mesin Pengadaan Peralatan Tukang-
tukang Besi
Gunting plat / Besi 1
Belanja Modal Gedung dan Bangunan - Pengadaan Bangunan Gedung

Tempat
Belanja Kerja
Modal Gedung dan Bangunan - Pengadaan Bangunan
Kesehatan
Revitalisasi Taman Ruang Tengger 1
Revitalisasi gedung instalasi laboratorium

Revitalisasi Gedung laboraturium 1
Rincian
Uraian
Vol
9 10
Jasa konsultasi pengawasan 1
Revitalisasi ruang tunggu keluarga pasien

Revitalisasi ruang tunggu keluarga pasien 2 titik 2
Revitalisasi Area parkir untuk umum & VIP

Revitalisasi Area parkir untuk umum & VIP 1
Revitalisasi RAM menuju R.Tengger lantai 2

Revitalisasi RAM menuju R.Tengger lantai 2 1
Revitalisasi RAM menuju R.Rawat Inap

Revitalisasi RAM menuju R.Rawat Inap 1
Pemeliharaan rutin/berkala kendaraan dinas/operasional

BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Rincian
Uraian
Vol
9 10
Pejabat Pengadaan 2

Belanja Perawatan Kendaraan Bermotor
Belanja Jasa Servis Kendaraan Bermotor
Biaya service dan repair kendaraan bermotor 1
Belanja Penggantian suku cadang
Pembelian suku cadang 4
Belanja Surat Tanda Nomor Kendaraan
Biaya pajak kendaraan 4
Pemeliharaan Rutin/Berkala Mebeleur

BELANJA
Belanja Langsung

Belanja Jasa Kantor
Belanja Jasa Service Kantor
Perbaikan bed pasien 1
Perbaikan meja 1
Perbaikan kursi lipat 25
Perbaikan kursi putar 5
Rincian
Uraian
Vol
9 10
Perbaikan kursi sofa 2
Perbaikan kursi tunggu 10
Perbaikanlemari 6
Pemeliharaan rutin/berkala perlengkapan gedung kantor

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 4

Belanja Bahan Habis pakai
Belanja Bahan Bakar Minyak / Gas
Bensin 240
Oli 3650
Solar (Inzenerator) 3650
Solar (Genzet) 26880
gas elpiji12 kg 12
Belanja Pengisian Tabung Pemadam Kebakaran

Pengisian Tabung Pemadam Kebakaran (serbuk) 10
Pengisian tabung pemadam kebakaran (cair) 5
Rincian
Uraian
Vol
9 10
Belanja Jasa Kantor
-Belanja Jasa Service Kantor
Pemeliharaan/perbaikan instalasi Listrik 4
Pemeliharaan/Perbaikan genset 2
Acces Card 1
Pemeliharaan Lift 12
Perbaikan AC 75
Pemeliharaan AC 600
Perbaikan Mesin Cuci 6
Perbaikan Mesin Pengering 5
Perbaikan Roll Setrika 1
Perbaikan Lemari Es 20
Pemeliharaan Jaringan dan I-phone 8
Perbaikan Nurse Call 1
Perbaikan Jaringan telpon 10
Perbaikan TV dan Jaringan antena parabola 20
Perbaikan Sound Audio 10
Jasa Pemasangan Instalasi Jaringan Sound Audio System 1
Perbaikan Sound Audio 5
Perbaikan CCTV 1
Perbaikan Kipas angin 40
Perbaikan Ekshouse Fan 40
Perbaikan Bingkai Ekshouse Fan Atap Kamar Mandi 40
Perbaikan Pompa Air 9
Perbaikan Setrika 2
Perbaikan mesin Penghancur Kertas 2
Perbaikan Kereta dorong Pasien 8
Perbaikan Kereta makan Pasien 4
Perbaikan Bursak 4
Rincian
Uraian
Vol
9 10
Perbaikan O2 5
Perbaikan TT 30
Perbaikan Kursi Roda 5
Suku Cadang mesin potong Rumput 6
Perbaikan Servis Potong Rumput 6
Perbaikan Laptop 3
Perbaikan PC.Unit 10
Perbaikan Printer 16
Perbaikan Mesin Foto copy 1
Perbaikan Mesin Faxsimile 1
Perbaikan Camera 2
Pengelolaan dan Pemeliharaan Limbah Rumah Sakit

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Pejabat Pengadaan 2

Belanja Pemeliharaan
Belanja Pemeliharaan Gedung dan Bangunan
PVC 6" 80
PVC 4" 20
Rincian
Uraian
Vol
9 10
Sok 6 " 40
Sok 4 " 40
Knie 20
T 20
Lem PVC 5
Pemeliharaan IPAL 4
Soda Api 25
Kaporit 2
Pemeriksaan sample air kotor 3
Pemeriksaan sample air kotor (BLH) 1
Jurigen sampel 15
Botol sampel 15
Uji Emisi Incenerator 2
Pemeliharaan Incenerator 4
Packing Incenerator 1
Tas kresek Sampah medis 600
Tempat sampah medis 36 liter 60
Tempat sampah medis 70 liter 12
Tempat sampah umum 16 galon 60
Trolly sampah Umum 120 liter 12
Trolly sampah medis 12
Tempat sampah kamar mandi 20 liter 60
Polibag limbah dapur 100
Tas kresek Sampah umum indoor hitam 600
Safety box kardus 100
Drum kosong 60
Jurigen 20 liter 50
Pemusnahan Limbah B3
- Biaya pemusnahan Abu Incenerator 60
Rincian
Uraian
Vol
9 10
- Pemusnahan obat kadaluwarsa 2
- Pemusnahan reagen kadaluwarsa 2
- Fixer liquid 30
- Lampu 15
Pemeriksaan sample abu incenerator 2
Ongkos Tukang 143
Ongkos Kuli 98
Pemeliharaan Instalasi Air Bersih Rumah Sakit

BELANJA
Belanja Langsung

Belanja Pemeliharaan
Belanja Pemeliharaan Gedung dan Bangunan
PVC 1/2" 60
PVC 3/4" 70
PVC 1" 60
PVC 1 1/4" 60
Pipa BSA 1/2' 30
Pipa BSA 3/4' 20
Sok drat 40
Sok 100
Knie 50
Kran 24
Kran wastafel 20
Kran dokter 30
Wastafel 20
Rincian
Uraian
Vol
9 10
Dop PVC 25
Lem pipa 5
Avur 20
Pemeriksaan sample air bersih 4
Retribusi air bersih 12
Pemerikasaan sample udara kotor ruang 2
Pemerikasaan sample udara ambient 1
Otomatis pump 10
Swab penjamah makanan 34
Pemeriksaan sample makanan jadi 2
Pemerikasaan sample alat makan 2
Otomatis tandon 24
Perbaikan artesis 1
Ongkos Tukang 200
Ongkos Kuli 145
Pengembangan Sistem Pelayanan Kesehatan di Rumah Sakit

BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium PNS
Honorarium Pokja Pengadaan Barang dan Jasa
Pejabat Pengadaan 1

Belanaja Jasa Konsultasi
Rincian
Uraian
Vol
9 10
Konsultan Keahlian Profesi
Belanja Jasa Konsultansi
Pengembangan SIM RS 1
Pengadaan Alat Kesehatan PENUNJANG Rumah Sakit

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
-ketua 1
-sekertaris 1
-anggota 3
Honorarium Panitia Penerima Hasil Pekerjaan
-ketua 1
-sekertaris 1
-anggota 1
Honorarium PPK
Pejabat Pengadaan 1
Rincian
Uraian
Vol
9 10
Belanja Modal
Belanja Modal Peralatan dan Mesin- Pengadaan alat Kesehatan
Kedokteran Umum (PENUNJANG)
Pengadaan Alat Kedokteran
Belanja Modal Pengadaan Alat-alat kedokteran Radiologi
Lampu Baca Film Digital 2
Tensimeter 1
Stetoskop 1
Tabung Oksigen Transport 2
Belanja Modal Pengadaan Alat-alat Laboraturium

Autoclave 1
Inkubator 1
Waterbath 1
Hot plate PA 1
Staning jar slide histo PA 5
Staining rak Slide 5
Aspirator FNAB 1
Easydip slide staining jar 1
Easidip slide rak Gray 2
Staining jar 5
Staining Rak 2
Sentifuge 1
Stetoskop 1
Tensimeter 1
Instalasi pemelusaran jenazah

Almari instrumen 2
Rincian
Uraian
Vol
9 10
Pengadaan Alat Kesehatan PELAYANAN Rumah Sakit
BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
-ketua 1
-sekertaris 1
-anggota 3
-ketua 1
-sekertaris 1
-anggota 1
Honorarium PPK
Belanja Modal
Belanja Modal Peralatan dan Mesin- Pengadaan alat Kesehatan
(PELAYANAN)
Pengadaan Alat Kesehatan Perawatan
ALKES UMUM
Fetaldoppler 4
portable suction pump 4
Box Bayi/Baby Basket+Matras 7
Brancard dengan pengaman 11
EKG/ECG 12 channel 2
Incubator 4
Instrument Cabinet/Lemari Instrumen 2 pintu 1
Kendrik Extrication 1
Rincian
Uraian
Vol
9 10
Kereta Oksigen 1
Locker petugas isi 12 kunci 10
Regulator O2 (biasa) 6
Standar infus 22
Stetoschope / Dewasa 16
Stetoschope Anak 5
Stetoschope Littman Classic II- Raspberry 18
Thermometer digital 70
Trolley list / Medical Report Troly 9
Troly rawat luka 1
Troly tindakan/Drsing/Instrumn 1
Troly emergency 6
UV Room Sterelizer 1
ALKES THT
Otoscope 3
ALKES ORTOPEDI
Pemotong Gips set 1
ALKES KEBIDANAN
Meja Gynekologi Elektrik 2
ALKES PENYAKIT DALAM

Infus pump 7
ALKES IBS
Apendiktomy Instrumen set 1
Minor Surgery 1
Rincian
Uraian
Vol
9 10
Meja operasi elektrik (Electric operating Table) 1
ALKES GIGI
Electro cauter surgery 1
Tang cabut dewasa merk Aesculap 1
ALKES FISIOTERAPI
Goniometri besi 1
Penyediaan Jasa Administrasi Keuangan

BELANJA
Belanja langsung
Belanja Pegawai
Honorarium PNS
Honorarium Panitia Pelaksana Kegiatan
Honor PPTK (8 org) 96
Honor Staf Kegiatan (14 orang) 168
Honorarium Pengelola Keuangan SKPD
Honorarium Pengguna Anggaran 12
Honorarium Pejabat Pengelola Keuangan SKPD 12
Honorarium Bendahara Penerimaan 12
Honorarium Pembantu Bendahara Penerimaan (3 orang) 36
Honor Bendahara Pengeluaran 12
Honor Pembantu Bendahara Pengeluaran (8 orang) 72
Pembuat daftar gaji 12
Honor Operator SIMDA (3 orang) 36
Tenaga Kearsipan 4
Rincian
Uraian
Vol
9 10
Honor SIAP (sistim Informasi Administrasi Pegawai ) 4
Honor Operator Fingger Print 4
Honor Pemegang barang 12
Honor Pembantu Pemegang barang 12
Honor Pengurus barang 12
Honor Pembantu Pengurus barang 12
Honor Supervisor Keperawatan 365
Honor Dokter Jaga IGD dan Dokter jaga Rawat Inap (2 orang) 24
Honor Dokter Speialis Rumah Sakit Jejaring 24
Honor Operator ASPAC 6
Honorarium Pelaksana BLUD

Honor Pejabat pengelola BLUD
Pimpinan BLUD 12
Pejabat Keuangan BLUD 12
Pejabat Tehnis BLUD (1 orang) 12
Honor Dewan Pengawas
Ketua 12
Anggota ( 4 orang) 48
Uang Lembur
Uang Lembur PNS
Gol IV 50
Gol III 150
Gol II 150
Gol I / tenaga tidak tetap 50
Uang Makan Lembur 400
Belanja Jasa Administrasi Pemungutan/Pengembalian Retribusi
Pelayanan Kesehatan
Rincian
Uraian
Vol
9 10
Jasa Pelayanan 4
Penyediaan Jasa Jaminan Kesehatan
Institusional fee Pelayanan RS.Dr.Saleh 12
Rincian
Uraian
Vol
9 10
PENUNJANG PELAYANAN KESEHATAN BLUD
Penyusunan Laporan Capaian Kinerja dan Ikhtisar Realisasi

Kinerja SKPD
BELANJA
Belanja Langsung

Belanja Cetak
Cetak dokumen RENJA RSUD Waluyo Jati 2017 6
Cetak dokumen RKA RSUD Waluyo Jati 2017 6
Cetak dokumen RKA perubahan RSUD Waluyo Jati 2016 6
Cetak dokumen DPA RSUD Waluyo Jati 2017 20
Cetak dokumen DPA perubahan RSUD Waluyo Jati 2016 20
Cetak dokumen RBA RSUD Waluyo Jati 2017 15
Cetak dokumen RBA Perubahan RSUD Waluyo Jati 2016 20
Cetak dokumen LAKIP RSUD Waluyo Jati 2015 6
Cetak dokumen Laporan Tahunan RSUD Waluyo Jati 2015 10
Cetak dokumen LKPJ RSUD Waluyo Jati 2015 6

Belanja Makan dan Minum Rapat
Pembelian nasi kotak untuk peserta rapat 367
Pembelian snack untuk peserta rapat 367
Rincian
Uraian
Vol
9 10
Kegiatan Dewas
Biaya Rapat Dewas 4
Honor Penyusunan Laporan 4
Belanja Modal
Belanja Modal Peralatan dan Mesin - Belanja Modal Pengadaan
Komputer
Komputer
Printer scan dan foto copy 1
Pendampingan BLUD
BELANJA
Belanja Langsung

Jasa Pihak Ketiga
Pendampingan SIM BLUD 1
Pendampingan Penyusunan Laporan Keauangan 1
Penyusunan RSB 1
Penyusunan SPM 1

Belanja nasi kotak 433
Belanja Snack 450
Rincian
Uraian
Vol
9 10
Rapat-rapat koordinasi dan konsultasi dalam daerah
BELANJA
Belanja Langsung

Belanja Perjalanan Dinas Dalam Daerah
Eselon II b 15
Eselon IIIa 17
Eselon IIIb 30
Eselon IVa 20
Eselon IVB 20
PNS Gol IV 30
PNS Gol III 84
PNS Gol I dan II 67
Non PNS 34
Biaya BBM Non subsidi 1430
Rapat-Rapat Koordinasi dan Konsultasi ke Luar Daerah

BELANJA
Belanja Langsung

Dalam Wil. Jatim Range I Uang Harian Eselon IIB 8
Dalam Wil. Jatim Range I Uang Harian Eselon IIIA 8
Dalam Wil. Jatim Range I Uang Harian Eselon IIIB 10
Rincian
Uraian
Vol
9 10
Dalam Wil. Jatim Range I Uang Harian Eselon IVA 8
Dalam Wil. Jatim Range II Uang Harian Eselon IVB 10
Dalam Wil. Jatim Range I Uang Harian PNS GOL IV 17
Dalam Wil. Jatim Range I Uang Harian PNS GOL III 11
Dalam Wil. Jatim Range I Uang Harian PNS GOL I DAN II 15
Dalam Wil. Jatim Range I Uang Harian NON PNS 8
Dalam Wil. Jatim Range II Uang Harian Eselon IIB 8
Dalam Wil. Jatim Range II Uang Harian Eselon IIIA 8
Dalam Wil. Jatim Range II Uang Harian Eselon IIIB 9
Dalam Wil. Jatim Range II Uang Harian Eselon IVA 9
Dalam Wil. Jatim Range II Uang Harian PNS GOL IV 8
Dalam Wil. Jatim Range II Uang Harian PNS GOL III 10
Dalam Wil. Jatim Range II Uang Harian PNS GOL I DAN II 8
Dalam Wil. Jatim Range II Uang Harian NON PNS 8
Dalam Prop. Jatim Belanja BBm Non subsidi 916
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIB 10
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIIA 11
Luar Jatim Dalam P. Jawa Uang Harian Eselon IIIB 4
Luar Jatim Dalam P. Jawa Uang Harian Eselon IVA 9
Luar Jatim Dalam P. Jawa Uang Harian Eselon IVB 2
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL IV 8
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL III 2
Luar Jatim Dalam P. Jawa Uang Harian PNS GOL I DAN II 8
Luar Jatim Dalam P. Jawa Uang Harian NON PNS 8
Luar P. Jawa Uang Harian Eselon IIB 10
Luar P. Jawa Uang Harian Eselon IIIA 10
Luar P. Jawa Uang Harian Eselon IIIB 10
Luar P. Jawa Uang Harian Eselon IVB 4
Rincian
Uraian
Vol
9 10
Luar P. Jawa Uang Harian PNS GOL IV 3
Luar P. Jawa Uang Harian PNS GOL III 4
Luar P. Jawa Uang Harian PNS GOL I DAN II 6
Luar P. Jawa Uang Harian NON PNS 5
Biaya Transpot (di Luar Prop. Jatim) 4
Biaya Transpot (Dalam Prop. Jatim) 4
Luar Prop Jatim Dalam Pulau Jawa Representasi Eselon IIb 10
Luar Prop Jatim Luar Pulau Jawa Representasi Eselon IIb 5
Menginap Pejabat eselon III/Gol IV 15
Menginap Pejabat eselon IV/Gol III 14
Menginap gol I/II 9
Sewa mobil 8
Penyediaan Makanan dan Minuman Rapat

BELANJA
Belanja Langsung

Belanja nasi kotak 1617
Belanja Snack 1766
Rincian
Uraian
Vol
9 10
Penyediaan Jasa Surat Menyurat

BELANJA
Belanja Langsung

Belanja Perangko, Meterai, dan Benda Pos Lainya
Pembelian meterai (6000) 3800
Pembelian meterai (3000) 3600
Biaya kilat khusus 12
Penelitian dan Pengembangan

BELANJA
Belanja Langsung

Biaya Penelitian Internal
Analisis Statistik 1
Nara sumber Ahli 3
Uji Laboraturium 1

Mamin rapat 100

Cetak dan penggandaan 1
Rincian
Uraian
Vol
9 10
Biaya Lomba 3
Publikasi Ilmiah 3
Penyediaan Jasa Jaminan Pemeliharaan Pegawai

BELANJA
Belanja Langsung

Pemeriksaan Petugas Radiologi 8
Pemeriksaan Petugas Gizi 16
Penyediaan Jasa Tenaga BLUD

BELANJA
Belanja Langsung
Belanja Pegawai
Honorarium Non PNS
Honorarium Pegawai Honorer Tidak Tetap
S1/D4 medis (51) 11 663
D3 medis (110) 76 1430
Pengelolaan Barang Milik Daerah
Rincian
Uraian
Vol
9 10
BELANJA
Belanja Langsung

Pengelolaan Barang Milik Daerah 1
Penyusunan Perundang undangan dan Perlindungan Hukum

BELANJA
Belanja Langsung

Penyusunan Perundang undangan 10
Perlindungan Hukum 4
Rincian
Uraian
Vol
9 10
Rincian
Uraian
Vol
9 10
Anggaran Pendapatan Belanja Daerah
Program Pelayanan Administrasi Perkantoran
Penyediaan Jasa Tenaga Non PNS

BELANJA
Belanja Langsung
Belanja Pegawai
Homorarium Non PNS
Homorarium Pegawai Honorer/ Tidak Tetap
Medis Umum (9) 3 117
Medis Spesialis (8) 5 104
Medis Spesialis Paruh Waktu (10) 3 130
S1/D4 Kesehatan (17) 8 221
D3 Kesehatan (66) 51 858
SMA/D1 Kesehatan (5) 3 65
S1/D4/D3 Umum (20) 16 260
SMA/DI Umum(42) 37 546
SD/SMP umum (15) 15 189
Rincian
Uraian
Vol
9 10
Dokter resident senior (8) 3 104

kertas 18
Bolpoin 17
Program Pelayanan Kesehatan Penduduk Miskin
Penyelenggaraan Jaminan Kesehatan Masyarakat Daerah

BELANJA
Belanja Langsung

Belanja Jasa Kantor
Belanja Jasa Perawatan dan Pengobatan Lokal
Perawatan dan pengobatan rawat inap/rawat jalan bagi gakin 4
Program Pengadaan, peningkatan sarana dan prasarana

rumah sakit/ rumah sakit jiwa/rumah sakit paru-paru/rumah
sakit mata
Pengadan alat kesehatan Rumah sakit

BELANJA (PAJAK ROKOK)
Belanja langsung
Rincian
Uraian
Vol
9 10
Belanja Pegawai
Honorarium pejabat pengadaan barang dan jasa 1
Honorarium penerimaan hasil pekerjaan 1
Honorarium pejabat pembuat komitmen 1
Belanja Modal
Belanja Modal peralatan dan mesin - pengadan alat Kedokteran
Belanja Modal peralatan dan mesin - pengadan alat Kedokteran

Umum PELAYANAN (PAJAK ROKOK)
EKG/ECG 12 channel 3
Infant Warmer 1
ALKES ORTOPEDI
Ortopedik set 1
ALKES IBS
Elektro couter 1
Belanja Modal peralatan dan mesin - pengadan alat Kesehatan Anak /

Nicu (PAJAK ROKOK )
Incubator 2
Box Baby 1
Pengadaan Alat Rumah Tangga

(PAJAK ROKOK)
BELANJA
Belanja langsung
Belanja Pegawai
-Ketua 1
Rincian
Uraian
Vol
9 10
-Sekretaris 1
-Anggota 3
-Ketua 1
-Sekretaris 1
-Anggota 1
Honorarium Pejabat Pembuat Komitmen
Belanja Modal
Belanja modal peralatan dan mesin - Pengadaan Alat Rumah Tangga
Belanja modal peralatan dan mesin - Alat Pembersih
Mesin cuci 1
Setrika Pres 1
Pengadaan alat Kedokteran Rumah sakit

BELANJA (DAK 2016)
Belanja langsung
Belanja Pegawai
-Ketua 1
-Sekretaris 1
-Anggota 3

-Ketua 1
Rincian
Uraian
Vol
9 10
-Sekretaris 1
-Anggota 1
Honorarium pejabat pengadaan barang dan jasa 1

Honorarium penerimaan hasil pekerjaan 1
Honorarium pejabat pembuat komitmen 1
Belanja Modal
Pengadaan alat kedokteran
Belanja Modal Peralatan dan Mesin - Pengadaan alat Kedokteran

Umum
Katarak dan Bedah Refraktif 2
Laringoscope Set 1
Mayo Table/Meja Instrumen 2
Sectio Caesarian Set 3
Laparotomy Set 2
Mesin Anesthesi 1
Elektro Couter/Elektro surgical unit 3
Meja Operasi 1
Pasien Monitor 3
Belanja Modal Peralatan dan Mesin - Pengadaan alat Kesehatan

Kebidanan dan Penyakit Kandungan
Kursi Roda 3
Brancard 4
Infant Warmer 3
inkubator baby 2
Rincian
Uraian
Vol
9 10
Curretage Instrument Set 2
Meja Ginekologi 2
Meja Instrumen 2
Vacum Ekstractor/Fetal Vaccum Exstractor/Suction Curetage 1
Belanja Modal Peralatan dan Mesin - Pengadaan alat Kesehatan

Anak/ Nicu
Ventilator infant 1
Bubble CPAP 2
Neopuff 4
Pulse oxymatri 4
Patien monitor 2
Timbangan digital 3
Meja Tindakan Bayi 3
Belanja Modal Peralatan dan Mesin - Pengadaan Poliklinik Set

A.Poliklinik Bedah Orthopedi
Alat Pembuka Gips Elektric /Cast Removal Instrument 1
Meja periksa /Tempat Tidur periksa /Examinition Table 1
Kursi Roda 1
Brancard 1
B. Poliklinik Bedah
Kursi Roda 1
Brancard 1
C. Poliklinik Fisioterapi
High Power Laser Therapy 1
Kursi Roda 1
Rincian
Uraian
Vol
9 10
D. Poliklinik Kandungan
USG 2 Dimensi 1
Kursi Roda 1
Brancard 1
Belanja Modal Peralatan dan Mesin - Pengadaan alat Kedokteran
Gawat Darurat
Gynekological Bed / Obstetric Table 1
Pulse Oxymatri 4
Kursi Roda 3
Brancard 3
Incubator Baby Transport 1
Program Pembinaan Lingkungan Sosial Dikawasan Industri

Hasil Tembakau
Peningkatan Derajat Kesehatan Masyarakat Dengan

Penyediaan Sarana Prasarana pada Fasilitas Perawatan
Kesehatan Bagi Penderita Akibat Dampak Asap Rokok
BELANJA
Belanja langsung
Belanja Pegawai
-Ketua 1
-Sekretaris 1
-Anggota 3
-Ketua 1
Rincian
Uraian
Vol
9 10
-Sekretaris 1
-Anggota 1
Rincian
Uraian
Vol
9 10

Belanja Modal
Belanja Modal Gedung dan Bangunan - Pengadaan Bangunan Tempat
Kerja
Belanja Modal Gedung dan Bangunan - Pengadaan Bangunan
Kesehatan
Pembangunan gedung poliklinik jantung dan paru - paru penyakit akibat
dampak rokok (lanjutan) 1
Jasa Konsultasi Perencanaan 1
Jasa Konsultasi Pengawasan 1
Peningkatan Derajat Kesehatan Masyarakat Dengan

Penyediaan Alat-alat Kesehatan Bagi Penderita Akibat
Dampak Asap Rokok
BELANJA
Belanja langsung
Belanja Pegawai
-Ketua 1
-Sekretaris 1
-Anggota 3
-Ketua 1
-Sekretaris 1
-Anggota 1
Rincian
Uraian
Vol
9 10
Belanja Modal
Belanja Modal Peralatan dan mesin - Pengadaan Alat Kedokteran

Belanja Modal Pengadaan Alat-alat Kedokteran Paru-paru
Pulse Oxymetri 2
Trolly obat 4
Pasien Monitor 5
Defribilator 2
Infusion pump 1
Syringe pump 2
Suction pump 2
Nebulizer 4
Emergency trolly 6
Sterilisator 7
Brancard + pengaman 6
EKG 2
LAYANAN UMUM DAERAH
BUPATEN PROBOLINGGO
6
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
70,500,000,000
70,500,000,000
70,500,000,000
Triwulan 17,625,000,000 70,500,000,000
108,776,728,000
###
16,065,278,000
16,065,278,000
15,495,159,000
Triwulan 2,933,331,000 11,733,324,000
Triwulan 301,313,750 1,205,255,000
Triwulan 39,088,500 156,354,000
Triwulan 246,643,500 986,574,000
Triwulan 69,061,500 276,246,000
Triwulan 231,366,250 925,465,000
Triwulan 52,934,000 211,736,000
Triwulan 51,250 205,000
570,119,000
Rupiah 570,119,000 570,119,000
92,711,450,000
- 70,500,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
67,819,900,000
143,420,000
143,420,000
143,420,000
143,420,000
7,275,000
5,275,000
Pak 15,000 225,000
Buah 12,000 384,000
Pak 100,000 100,000
Buah 140,000 2,100,000
Rim 45,000 1,215,000
Buah 3,000 90,000
Lembar 1,000 61,000
Paket 1,100,000 1,100,000
2,000,000
Paket 1,000,000 2,000,000
30,925,000
Kotak 25,000 7,500,000

Kotak 10,000 9,000,000
Kotak 25,000 3,750,000
Kotak 35,000 10,675,000
66,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
66,000,000
Paket 59,000,000 59,000,000
Paket 7,000,000 7,000,000
39,220,000
39,220,000
Unit 1,000,000 4,000,000
Liter 12,500 375,000
OH 500,000 7,500,000
Orang 5,000,000 15,000,000
OH 500,000 500,000
OH 400,000 1,200,000
OH 335,000 1,675,000
OH 375,000 1,500,000
OH 285,000 1,425,000
OH 260,000 520,000
OH 250,000 500,000
OH 385,000 1,925,000
OH 3,100,000 3,100,000
56,955,000
56,955,000
56,955,000
750,000
750,000
750,000
OP 250,000 250,000
OP 200,000 200,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 300,000 300,000
54,205,000
4,250,000
4,250,000
buah 45,000 900,000
bh 100,000 1,000,000
rim 45,000 1,800,000
pak 50,000 500,000
buah 50,000 50,000
1,200,000
Paket 1,200,000 1,200,000
22,755,000
22,755,000
Orang 30,000 15,000,000
Orang 15,000 7,755,000
26,000,000
Paket 26,000,000 26,000,000
2,000,000
2,000,000
2,000,000
buah 2,000,000 2,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
6,873,800,000
6,873,800,000
6,873,800,000
11,400,000
11,400,000
11,400,000
OP 250,000 3,000,000
OP 200,000 2,400,000
OP 500,000 6,000,000
6,862,400,000
6,862,400,000
6,862,400,000
Pieces 726,000 14,520,000
set 20,000,000 200,000,000
Galon 500,000 10,000,000
Pieces 1,080 8,640,000
Liter 40,000 48,000,000
Liter 79,200 9,504,000
Paket 2,200,000 11,000,000
Botol 600,000 1,800,000
Set 785,000 35,325,000
Botol 26,500 21,200,000
Roll 156,000 4,680,000
Liter 91,500 82,350,000
Botol 7,000 700,000
Pieces 16,000 72,000,000
Pieces 34,000 10,200,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Botol 3,300 330,000
Kaset 1,664,800 16,648,000
Kaset 2,053,611 20,536,110
Kaset 1,584,000 55,440,000
Kaset 2,540,000 43,180,000
Kaset 1,657,150 24,857,250
Kaset 1,476,290 22,144,350
Kaset 884,400 17,688,000
Kaset 1,672,704 25,090,560
Kaset 1,320,000 18,480,000
Kaset 2,146,000 25,752,000
Kaset 2,146,000 15,022,000
Kaset 1,324,000 9,268,000
Botol 267,500 802,500
Pieces 240,000 7,200,000
Botol 43,600 18,312,000
Botol 260,000 7,800,000
Pieces 231,000 80,850,000
Pieces 65,000 3,250,000
Kaset 130,000 9,100,000
Kaset 120,000 8,400,000
Pieces 2,970 101,574,000
Pieces 6,800 16,320,000
Pieces 2,500 75,000,000
Pieces 5,300 12,720,000
Pieces 6,400 32,000,000
Pieces 6,000 30,000,000
Pieces 2,790 306,900,000
Pieces 3,960 39,600,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Pieces 2,810 261,330,000
Pieces 4,700 23,500,000
Pieces 24,500 29,400,000
Botol 94,000 47,000,000
Galon 1,452,000 29,040,000
Kotak 906,000 13,590,000
Kotak 99,000 9,900,000
Kotak 500,000 5,000,000
Roll 150,000 10,500,000
Kotak 350,000 21,000,000
Pieces 300,000 6,000,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 2,376,000
Pieces 79,200 3,564,000
Pieces 79,200 3,564,000
Pieces 79,200 2,376,000
Pieces 45,100 45,100,000
Pieces 88,440 3,537,600
Pieces 88,440 3,537,600
Pieces 66,000 3,300,000
Pieces 23,940 3,591,000
Pieces 23,940 5,985,000
Pieces 23,940 131,215,140
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Pieces 23,940 7,182,000
Pieces 23,940 9,576,000
Pieces 23,940 7,182,000
Galon 718,750 3,593,750
Pieces 660 1,584,000
Pieces 2,400 2,875,200
Gram 300 3,600,000
Roll 27,000 8,100,000
Roll 68,000 17,000,000
Roll 95,000 23,750,000
Botol 150,000 4,500,000
Pieces 48,000 12,000,000
Pieces 13,000 715,000,000
Pieces 1,800 396,000,000
Pieces 27,000 54,000,000
Roll 3,800 68,400,000
Botol 5,300 2,120,000
Liter 50,000 1,000,000
Paket 429,000 235,950,000
Pieces 45,540 25,047,000
Pieces 2,500 2,250,000
Pieces 2,500 2,250,000
Pieces 13,200 19,800,000
Pieces 11,000 209,000,000
Pieces 57,500 126,500,000
Pieces 13,860 20,790,000
Pieces 20,000 600,000
Roll 5,760 3,456,000
Roll 36,300 18,150,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Roll 54,356 1,087,120
Pieces 150 5,400,000
Roll 175,000 227,500,000
Box 5,000 55,000,000
pcs 400,000 4,000,000
Tube 61,920 19,814,400
pcs 114,980 459,920
Pieces 150,000 18,000,000
Liter 26,733 16,039,800
Pieces 11,880 2,376,000
Pieces 25,920 5,184,000
Pieces 10,000 50,000,000
Pieces 10,000 50,000,000
Pieces 25,920 18,144,000
Pieces 21,600 8,640,000
Pieces 1,040 145,600,000
Pieces 88,500 17,700,000
Pieces 81,000 40,500,000
Pieces 50,820 20,328,000
Pieces 30,360 36,432,000
Pieces 49,500 9,900,000
Pieces 70,000 700,000
Pieces 100,000 1,000,000
Pieces 106,260 5,313,000
Pieces 88,550 4,427,500
Pieces 88,550 4,427,500
Pieces 88,550 8,855,000
Pieces 88,550 8,855,000
Pieces 30,500 76,250,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Pieces 24,000 384,000,000
Pieces 24,000 110,400,000
Pieces 32,000 144,000,000
Pieces 30,000 135,000,000
Pieces 3,250 6,500,000
Pieces 3,250 6,500,000
Pieces 3,250 6,500,000
Pieces 3,250 13,000,000
Botol 1,755,600 61,446,000
Botol 40,000 4,000,000
Pieces 22,440 4,488,000
Pieces 28,800 5,760,000
Pieces 15,000 40,500,000
Pieces 1,500 1,500,000
Pieces 1,500 1,500,000
Pieces 1,500 1,500,000
Pieces 1,500 3,000,000
Pieces 1,500 3,000,000
Pieces 1,500 15,000,000
Pieces 1,500 1,500,000
Sachet 311,400 108,990,000
Pieces 3,750 375,000
Roll 60,000 66,000,000
Roll 7,920 7,920,000
Pieces 65,000 42,250,000
Pieces 198,000 69,300,000
Pieces 4,800 9,600,000
Pieces 132,800 3,984,000
Pieces 2,500,000 12,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Pieces 800 800,000
Pieces 45,000 49,500,000
Pieces 231,000 57,750,000
Roll 22,600 1,130,000
Roll 35,200 2,112,000
Pieces 100,000 15,000,000
Galon 924,000 9,240,000
Botol 80,000 800,000
Galon 825,000 8,250,000
Pieces 10,000 500,000
Pieces 10,000 500,000
Pieces 10,000 500,000
Pieces 6,000 3,000,000
Pieces 103,800 36,330,000
Pieces 115,000 63,250,000
Pieces 80,000 16,000,000
Roll 39,600 1,188,000
Roll 60,600 12,120,000
Roll 120,000 24,000,000
Pieces 20,000 800,000
Pieces 39,600 19,800,000
Pieces 105,600 10,560,000
Pieces 1,700 1,700,000
Pieces 6,000 9,000,000
Pieces 13,000 71,500,000
Roll 2,000 2,020,000
Roll 3,000 9,000,000
Roll 1,700 1,667,700
Pieces 137,300 8,238,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Pieces 415,100 8,302,000
Kaset 720,000 6,480,000
Kaset 900,000 8,100,000
Kaset 750,000 6,750,000
Kaset 720,000 3,600,000
Kaset 720,000 3,600,000
Pieces 8,000 888,000
542,500,000
542,500,000
542,500,000
3,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
539,500,000
539,500,000
539,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Box 2,500,000 137,500,000
Box 2,200,000 110,000,000
Box 1,500,000 67,500,000
Box 1,000,000 20,000,000
Box 6,700,000 67,000,000
Box 4,800,000 24,000,000
Box 2,700,000 13,500,000
Gallon 700,000 21,000,000
Gallon 600,000 18,000,000
Roll 500,000 35,000,000
Botol 100,000 7,000,000
kaleng 1,500,000 15,000,000
tribulan 1,000,000 4,000,000
1,567,200,000
1,567,200,000
1,567,200,000
3,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
1,564,200,000
1,564,200,000
1,564,200,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Box 1,960,000 88,200,000
Botol 1,100,000 11,000,000
Botol 1,400,000 61,600,000
KIT 990,000 10,890,000
Botol 2,871,000 11,484,000
Botol 2,685,000 10,740,000
Botol 702,125 10,531,875
KIT 3,003,000 27,027,000
Box 1,461,625 29,232,500
Box 1,204,390 24,087,800
Botol 7,750,000 147,250,000
Box 1,443,750 5,775,000
Box 2,340,000 9,360,000
Botol 150,000 600,000
Botol 3,470,000 13,880,000
Botol 2,219,000 8,876,000
Botol 2,402,400 9,609,600
Botol 2,722,500 10,890,000
Botol 7,339,200 51,374,400
Botol 3,110,800 9,332,400
Tube 440,000 13,200,000
Box 1,320,000 7,920,000
Box 5,060,000 25,300,000
Box 2,750,000 16,500,000
Box 950,000 14,250,000
Box 950,000 6,650,000
Box 125,000 500,000
Tube 480,700 91,333,000
Set 500,000 5,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Box 1,430,000 4,290,000
Botol 75,000 2,175,000
Botol 75,000 2,250,000
Box 1,732,500 17,325,000
Box 25,410 3,760,680
Box 27,500 3,932,500
Pak 10,331,200 41,324,800
Kit 1,467,400 2,934,800
Kit 1,760,000 7,040,000
Kit 1,540,000 7,700,000
Kit 3,850,000 26,950,000
Kit 3,850,000 26,950,000
Kit 2,860,000 20,020,000
Kit 2,288,000 16,016,000
Kit 3,850,000 26,950,000
Kit 2,640,000 18,480,000
Kit 2,150,500 12,903,000
Kit 3,300,000 46,200,000
Kit 1,771,000 7,084,000
Kit 1,870,000 1,870,000
Kit 2,860,000 28,600,000
Kit 8,140,000 48,840,000
Kit 3,542,000 14,168,000
Kit 2,090,000 8,360,000
Kit 2,909,500 14,547,500
Kit 2,783,000 13,915,000
Kit 2,024,000 4,048,000
Kit 2,530,000 5,060,000
Kit 5,280,000 31,680,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Kit 4,070,000 28,490,000
Kit 3,630,000 18,150,000
Kit 935,000 3,740,000
Kit 770,000 13,090,000
Kit 2,200,000 8,800,000
Botol 750,000 1,500,000
Set 325,050 325,050
Botol 184,250 368,500
Botol 605,000 605,000
Botol 125,000 125,000
Botol 65,000 65,000
Botol 99,000 198,000
Buah 1,650 7,309,500
Buah 2,000 146,000
Galon 55,000 4,125,000
Botol 23,100 462,000
Botol 500,000 1,000,000
Botol 75,000 225,000
Botol 40,000 160,000
Botol 60,000 120,000
Botol 100,000 100,000
Botol 35,000 35,000
Botol 30,000 30,000
Botol 787,000 4,722,000
Botol 9,900 19,800
Kit 588,500 588,500
Kit 561,000 561,000
Kit 3,859,125 3,859,125
Kit 1,464,100 1,464,100
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Kit 600,000 600,000
Kit 480,000 480,000
Kit 510,000 510,000
Kit 1,300,000 1,300,000
Kit 1,450,000 1,450,000
Kit 2,100,000 2,100,000
Kit 750,000 750,000
Kit 600,000 600,000
Kit 500,000 500,000
Kit 1,500,000 1,500,000
Kit 1,500,000 1,500,000
Set 1,650,000 1,650,000
Box 1,302,400 2,604,800
Box 3,087,700 6,175,400
Box 19,800,000 118,800,000
Kit 1,210,000 2,420,000
kit 1,262,250 6,311,250
kit 1,100,000 5,500,000
Botol 648,560 1,297,120
Kit 11,000,000 110,000,000
1,708,000,000
1,708,000,000
1,708,000,000
3,000,000
3,000,000
3,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
1,705,000,000
1,705,000,000
1,705,000,000
Tabung 71,500 1,619,761,000
Tabung 136,500 84,630,000
Tabung 6,090 609,000
1,800,000,000
1,800,000,000
1,800,000,000
1,800,000,000
1,800,000,000
1,800,000,000
Kantong 360,000 1,800,000,000
300,000,000
300,000,000
300,000,000
300,000,000
300,000,000
300,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Km 5,000 300,000,000
28,125,000
28,125,000
28,125,000
28,125,000
28,125,000
28,125,000
orang/kali 125,000 2,500,000

orang/kali 100,000 1,800,000
orang/kali 75,000 2,400,000
orang/kali 75,000 1,350,000
liter 10,000 3,700,000
Paket 2,000,000 2,000,000
orang/kali 275,000 1,650,000

orang/kali 225,000 1,800,000
orang/kali 175,000 2,800,000
orang/kali 125,000 1,125,000
liter 10,000 4,000,000
Paket 3,000,000 3,000,000
1,334,000,000
1,334,000,000
1,334,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
9,000,000
9,000,000
9,000,000
OP 250,000 3,000,000
OP 200,000 2,400,000
OP 300,000 3,600,000
1,325,000,000
1,325,000,000
374,895,400
kg 14,300 175,890,000
kg 23,100 5,544,000
kg 38,500 962,500
kg 176,000 528,000
kg 19,800 1,900,800
kg 36,300 217,800
ball 24,200 1,185,800
kg 25,300 1,518,000
bks 7,150 4,290,000
pak 5,500 198,000
kg 40,700 2,360,600
kg 16,500 7,920,000
kg 16,500 33,000,000
kg 17,600 1,056,000
ktk 46,200 32,340,000
ktk 27,500 275,000
ktk 38,500 2,310,000
ktk 57,200 1,144,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
sachet 7,150 7,150,000
kg 99,000 8,910,000
ktk 49,500 990,000
ktk 62,700 1,254,000
btl 44,000 132,000
btl 27,500 137,500
kg 22,000 9,900,000
btl 27,500 9,240,000
sachet 17,600 6,336,000
bks 1,650 132,000
doz 11,000 660,000
pak 11,000 880,000
btl 16,500 3,300,000
pak 6,600 1,188,000
btl 55,000 3,300,000
pak 9,350 1,776,500
pak 11,000 2,090,000
lmbr 330 990,000
lmbr 220 660,000
lmbr 165 495,000
sachet 5,500 1,375,000
kg 20,900 522,500
doz 22,000 110,000
bks 5,500 1,100,000
kg 12,100 726,000
roll 275,000 27,500,000
bh 605 4,840,000
kg 24,200 48,400
bh 550 1,100,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
bh 550 1,650,000
bh 385 1,155,000
bh 275 825,000
bh 550 1,650,000
pak 13,200 132,000
950,104,600
pt 350 19,475,750
pt 350 5,229,000
kg 120,000 508,800,000
kg 37,000 106,560,000
kg 25,000 6,250,000
kg 95,000 36,100,000
pt 6,000 3,600,000
kg 35,000 875,000
bks 40,000 560,000
bks 40,000 600,000
kg 40,000 600,000
btr 2,500 1,250,000
kg 29,970 149,850
kg 25,000 102,500,000
ssr 8,500 11,050,000
ssr 8,500 12,750,000
kg 7,000 2,100,000
kg 9,000 900,000
bh 15,000 1,335,000
kg 30,000 450,000
kg 25,000 375,000
kg 23,000 9,200,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
kg 10,000 5,760,000
bh 950 1,425,000
btr 8,000 7,200,000
kg 10,000 3,560,000
kg 60,000 5,400,000
kg 45,000 4,320,000
bh 2,000 91,730,000
11,916,800,000
11,916,800,000
11,916,800,000
11,400,000
11,400,000
11,400,000
OP 250,000 3,000,000
OP 200,000 2,400,000
OP 500,000 6,000,000
11,905,400,000
11,905,400,000
11,905,400,000
tablet 936 26,208,000
kapsul 1,320 31,680,000
ampul 23,880 23,880,000
ampul 165,600 24,840,000
tablet 612 1,224,000
botol 3,780 907,200
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 3,600 24,840,000
botol 19,224 4,613,760
ampul 2,664 3,196,800
supp 22,992 2,299,200
tablet 43,536 10,448,640
tablet 900,000 89,100,000
botol 496,800 88,430,400
botol 17,964 143,712,000
ampul 996 1,195,200
tablet 132 13,200,000
botol 108,708 22,828,680
tablet 804 27,336,000
botol 312 10,608,000
botol 3,768 4,521,600
tablet 73,920 59,136,000
vial 90,420 5,425,200
botol 55,200 13,248,000
tablet 3,600 5,760,000
tablet 156 6,240,000
botol 44,004 14,081,280
supp 852 34,080,000
ampul 252 10,080,000
botol 3,828 9,187,200
vial 26,268 3,152,160
tablet 37,104 4,452,480
ampul 25,632 2,563,200
tablet 26,268 6,304,320
tablet 444 15,096,000
tablet 9,000 10,800,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
ampul 4,992 5,990,400
tablet 7,728 15,456,000
botol 132 3,168,000
botol 1,440 46,080,000
tablet 1,500 3,600,000
tablet 7,524 5,417,280
tablet 240 576,000
ampul 4,620 14,784,000
ampul 108 2,592,000
vial 3,600 8,640,000
vial 11,352 36,326,400
tablet 1,164 1,396,800
ampul 192 6,912,000
vial 9,000 27,000,000
tube 2,640 73,920,000
botol 9,288 39,009,600
botol 350,400 73,584,000
botol 756 22,680,000
tablet 132 3,168,000
tube 180 36,000,000
tablet 3,540 33,630,000
ampul 948 9,480,000
botol 48,000 26,400,000
supp 2,700 6,480,000
tablet 1,032 1,238,400
ampul 4,488 80,784,000
ampul 2,160 21,600,000
tablet 148,008 74,004,000
tablet 111,996 12,879,540
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 1,812 2,174,400
tablet 151,800 9,108,000
tablet 13,200 13,200,000
vial 2,316 46,320,000
tablet 4,440 33,300,000
kapsul 15,996 9,597,600
botol 40,176 8,035,200
vial 1,524 609,600
vial 13,800 3,312,000
vial 57,624 6,914,880
vial 16,800 4,032,000
vial 9,840 295,200
tablet 87,480 10,497,600
botol 32,820 11,815,200
botol 9,912 4,757,760
tube 12,144 4,371,840
botol 1,104 13,248,000
botol 15,840 5,702,400
botol 1,128 33,840,000
botol 22,272 2,672,640
botol 564 2,030,400
botol 52,728 6,327,360
botol 1,644 1,972,800
kapsul 780 18,720,000
tablet 552 6,616,272
vial 9,888 1,977,600
tablet 2,160 259,200
tablet 1,020 2,040,000
botol 19,008 380,160
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
ampul 92,400 924,000
tablet 11,880 17,820,000
tablet 432 1,036,800
kapsul 16,608 5,978,880
botol 53,112 10,622,400
botol 29,484 11,793,600
kapsul 3,444 1,722,000
kapsul 2,772 3,326,400
tablet 9,960 4,302,720
tablet 4,392 263,520
tablet 168 4,032,000
kapsul 3,720 33,480,000
tablet 84 3,021,984
ampul 144 5,184,000
tablet 744 22,320,000
botol 5,652 6,782,400
ampul 40,260 4,026,000
vial 660 46,200,000
botol 12,228 7,336,800
botol 68,640 6,864,000
botol 17,556 6,320,160
botol 1,032 41,280,000
tablet 26,136 26,136,000
tablet 171,600 188,760,000
botol 46,200 184,800,000
tablet 4,716 42,444,000
vial 171,600 25,740,000
tablet 40,632 81,264,000
tablet 132,000 282,480,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 10,152 395,928,000
tablet 237,600 35,640,000
ampul 219,456 63,642,240
tablet 26,340 4,741,200
ampul 31,512 5,672,160
vial 3,948 47,376,000
tablet 23,832 1,429,920
tablet 28,368 28,368,000
ampul 28,848 103,852,800
tablet 14,112 5,080,320
tablet 16,308 978,480
supp 19,128 1,147,680
supp 33,540 16,099,200
tablet 45,612 5,473,440
strip 41,700 417,000
ampul 86,532 34,612,800
botol 60,036 27,016,200
tablet 28,212 12,695,400
tablet 36,204 3,620,400
botol 52,200 15,660,000
ampul 52,980 34,437,000
tablet 15,204 1,824,480
tablet 16,620 1,994,400
botol 44,832 16,139,520
botol 39,660 396,600
tablet 22,884 2,746,080
tablet 59,880 23,952,000
strip 23,988 959,520
ampul 36,372 17,458,560
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
ampul 14,112 3,386,880
vial 22,200 5,305,800
tablet 35,892 8,614,080
tablet 44,988 5,398,560
tablet 34,176 4,101,120
ampul 1,440 1,728,000
supp 60,720 278,826,240
kaps 190,080 60,825,600
ampul 216 6,804,000
ampul 1,872 1,076,400
botol 6,600 792,000
tube 168 100,800
tablet 8,580 162,162,000
tablet 408 40,800,000
tablet 15,600 28,080,000
tablet 19,800 100,980,000
tablet 15,840 74,448,000
tablet 13,200 792,000
vial 13,836 2,075,400
ampul 80,868 8,086,800
tablet 60,384 6,038,400
tablet 432 1,728,000
tablet 660 13,200,000
botol 256,043 2,560,430
tablet 1,080 21,600,000
ampul 4,080 8,160,000
tablet 5,760 17,856,000
botol 612 3,060,000
tablet 696 34,800,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 8,664 1,039,680
tablet 4,356 2,613,600
botol 77,880 4,672,800
botol 15,360 921,600
botol 7,188 17,107,440
tablet 42,840 1,285,200
kaps 264 158,400
tablet 240 144,000
botol 480 19,200,000
tablet 5,544 3,603,600
tablet 9,504 1,140,480
tablet 219,456 1,097,280
ml 282,156 1,410,780
tablet 33,000 990,000
botol 26,400 3,168,000
botol 108 64,800
botol 10,992 8,244,000
botol 828 24,840,000
vial 9,876 19,752,000
vial 7,128 7,128,000
ml 6,840 13,680,000
tablet 14,256 28,512,000
ampul 6,240 61,776,000
tablet 9,240 27,720,000
tablet 9,240 27,720,000
ampul 10,056 502,800
tablet 61,800 1,854,000
ampul 6,276 3,765,600
sachet 67,716 4,062,960
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 4,620 462,000
vial 5,436 543,600
tablet 396 950,400
kaps 11,976 1,437,120
botol 1,896 25,785,600
tablet 180 2,160,000
tablet 2,136 1,068,000
tablet 468 561,600
tablet 36 2,160,000
vial 60 216,000
ampul 96,168 19,233,600
tablet 81,972 22,132,440
ampul 156 3,744,000
botol 156 18,720
tablet 4,680 36,504,000
tablet 1,260 6,300,000
tablet 39,540 4,744,800
tablet 12,000 4,320,000
ampul 480 1,728,000
ampul 2,244 10,098,000
tablet 86,952 31,302,720
tablet 4,320 648,000
tablet 300 180,000
tablet 20,064 18,057,600
tablet 1,344 6,451,200
tablet 34,104 40,924,800
tablet 6,600 3,960,000
botol 648 388,800
ampul 840 168,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 1,848 554,400
tablet 43,104 1,293,120
tablet 19,608 588,240
tablet 924 462,000
tablet 21,120 2,534,400
vial 11,400 17,100,000
vial 600 300,000
tablet 1,116 558,000
vial 9,720 583,200
vial 528 12,672,000
tablet 1,020 612,000
tablet 129,600 30,456,000
ampul 13,200 1,320,000
tablet 46,200 2,772,000
tablet 192 1,920,000
tablet 79,200 4,752,000
tablet 1,296 11,664,000
tablet 1,656 17,884,800
vial 51,276 18,459,360
tablet 29,376 881,280
ampul 32,784 983,520
tube 3,864 6,955,200
ampul 18,696 4,487,040
tablet 16,308 244,620
tablet 57,060 8,559,000
tablet 26,400 15,840,000
botol 2,640 39,600,000
tablet 29,208 876,240
botol 207,900 74,844,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
ampul 2,196 15,811,200
botol 120 6,480,000
tablet 42,900 304,590,000
botol 2,880 63,360,000
tablet 3,036 17,712,024
ampul 348 1,252,800
tablet 2,052 615,600
ampul 3,960 118,800
tablet 4,080 14,688,000
tablet 2,508 50,160
tablet 708 141,600
tablet 4,764 43,828,800
tablet 156 936,000
ampul 108 32,400
tablet 324 11,599,200
tablet 528 34,848,000
tablet 1,140 570,000
tablet 1,164 13,968,000
botol 288 57,600
tablet 2,904 26,136,000
tablet 348 174,000
tablet 55,344 94,084,800
tablet 84 16,800
v 144 14,400
v 5,268 52,680,000
ampul 6,960 2,505,600
botol 180 151,200
tablet 5,268 5,268,000
botol 252 50,400
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 4,404 17,616,000
botol 4,824 19,296,000
botol 153,204 45,961,200
tablet 46,080 1,843,200
botol 440,748 13,222,440
vial 6,276 15,690,000
vial 11,400 17,100,000
vial 3,576 536,400
ampul 7,200 23,040,000
tablet 156 468,000
tablet 3,960 38,214,000
botol 264,000 31,680,000
botol 65,832 4,608,240
ampul 6,900 3,450,000
botol 65,748 94,677,120
vial 13,416 19,319,040
botol 15,396 53,208,576
botol 17,640 1,270,080
botol 60 3,900,000
tablet 144 9,360,000
ampul 1,644 986,400
tablet 708 849,600
ampul 72,600 4,356,000
ampul 72,000 5,760,000
tablet 1,716 18,532,800
tablet 2,964 12,745,200
botol 6,012 234,468,000
tablet 108 7,776,000
vial 16,848 50,544,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 3,348 1,004,400
tablet 10,800 6,480,000
supp 12,000 8,640,000
tablet 12,300 12,054,000
tablet 22,176 15,966,720
tablet 19,956 14,368,320
ampul 69,000 2,760,000
tablet 852 12,780,000
vial 3,432 686,400
tablet 5,940 891,000
tablet 2,460 2,952,000
ml 13,200 55,440,000
tablet 420 1,260,000
tablet 1,620 648,000
tablet 3,792 18,960,000
tablet 2,760 88,320,000
botol 17,160 343,200
botol 17,160 171,600
vial 1,896 9,480,000
botol 5,232 26,160,000
botol 4,704 940,800
botol 37,620 1,128,600
tablet 8,148 1,629,600
botol 3,324 664,800
tablet 5,268 526,800
ampul 102,000 22,440,000
tablet 732 16,396,800
ampul 2,316 1,389,600
tube 23,832 2,383,200
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tube 13,800 4,140,000
vial 1,128 112,800
vial 150,480 9,028,800
botol 15,744 1,889,280
a 4,488 897,600
botol 14,940 14,940,000
sachet 23,196 36,649,680
tablet 3,564 35,640,000
tablet 102,000 31,620,000
supp 48,012 5,761,440
vial 660 9,504,000
tablet 1,008 6,048,000
tablet 720 14,400,000
tablet 420 8,820,000
botol 1,116 267,840
ampul 14,652 146,520
tablet 4,092 818,400
botol 132 475,200
tablet 384 460,800
vial 39,600 1,584,000
tube 10,560 63,360,000
tablet 924 38,808,000
tablet 1,524 1,828,800
vial 15,048 1,504,800
ampul 26,400 79,200,000
ampul 3,936 2,361,600
tablet 31,368 9,410,400
tablet 1,008 23,184,000
botol 792 11,088,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 53,964 17,268,480
tablet 64,812 20,739,840
botol 168 36,960,000
tablet 3,300 10,560,000
tablet 180 12,600,000
tablet 252 8,820,000
tablet 768 15,360,000
ovula 468 3,744,000
botol 27,672 27,672,000
tablet 2,832 849,600
tablet 132 501,600
tablet 192 7,968,000
vial 11,940 66,864,000
botol 165,000 9,900,000
ampul 7,440 3,720,000
tablet 4,680 18,720,000
tablet 7,800 50,700,000
tablet 3,600 864,000
ampul 18,432 2,211,840
tablet 12,600 630,000
botol 18,744 56,232,000
tube 27,588 16,552,800
botol 216 1,188,000
botol 5,640 168,072,000
botol 10,560 42,240,000
botol 108,000 2,160,000
botol 22,920 8,022,000
ampul 16,260 24,390,000
tablet 516 258,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 348 2,958,000
tablet 2,556 1,533,600
ampul 5,796 463,680
tablet 672 2,150,400
tablet 156 1,560,000
tablet 516 1,960,800
ampul 64,944 32,472,000
ampul 9,660 11,592,000
tablet 5,100 510,000
botol 48,936 3,425,520
vial 101,376 18,247,680
vial 111,516 22,303,200
vial 102,420 35,847,000
vial 75,180 67,662,000
botol 26,136 35,126,784
botol 8,784 3,970,368
tablet 1,524 3,200,400
tablet 696 41,760
tablet 420 9,660,000
vial 43,200 350,784,000
vial 95,328 76,262,400
ampul 2,880 39,168,000
tablet 1,476 17,003,520
bungkus 456 182,400
botol 510,840 35,758,800
botol 42,180 843,600
botol 16,632 665,280
botol 127,800 2,556,000
botol 81,516 9,781,920
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
ampul 2,640 39,600,000
botol 13,872 138,720
vial 105,600 47,520,000
botol 6,336 190,080
vial 40,392 48,470,400
botol 2,640 7,920,000
tablet 120 21,600,000
botol 31,356 9,406,800
ampul 3,360 5,040,000
ampul 15,828 23,742,000
ampul 1,920 115,200
tablet 84 1,260,000
tablet 732 15,372,000
ampul 28,800 25,920,000
ampul 5,544 11,642,400
ampul 25,080 37,620,000
tablet 540 486,000
tablet 480 96,000
botol 92,400 7,854,000
tablet 132 13,200
vial 3,420 41,040,000
vial 19,008 15,206,400
ampul 8,172 130,752,000
botol 59,400 5,643,000
tablet 3,900 585,000
tablet 168 504,000
tablet 468 46,800
tablet 8,256 825,600
supp 9,108 109,296,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 84 1,050,000
tablet 132 792,000
tablet 7,608 45,648,000
tablet 432 518,400
ampul 10,680 2,136,000
tablet 15,552 1,866,240
vial 172,224 6,888,960
tablet 312 4,992,000
tablet 11,400 205,200,000
ampul 1,368 54,720,000
tablet 180 10,080,000
tablet 5,544 554,400
tablet 3,084 616,800
tablet 3,936 590,400
tablet 4,392 10,980,000
tablet 1,260 7,560,000
botol 28,380 3,689,400
tablet 2,028 6,489,600
tablet 732 1,464,000
tablet 1,548 21,981,600
tablet 2,640 15,840,000
tablet 5,640 36,096,000
tablet 2,424 2,424,000
botol 6,240 436,800,000
tablet 4,524 135,720
vial 553,416 2,767,080
ampul 10,908 218,160
tablet 96 1,296,000
tablet 120 648,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 11,172 223,440
botol 11,988 239,760
botol 28,656 1,432,800
botol 17,868 357,360
botol 38,400 153,600,000
botol 13,224 4,959,000
tablet 324 162,000
botol 27,756 277,560
tablet 972 388,800
ampul 8,676 60,732,000
tube 13,776 413,280
tablet 924 554,400
ampul 26,400 52,800,000
botol 135,996 20,399,400
ampul 11,880 2,376,000
tube 101,640 22,360,800
tablet 8,640 25,920,000
botol 66,144 3,307,200
tablet 804 241,200
tablet 264 7,286,400
tablet 1,236 21,012,000
tablet 9,612 1,922,400
tablet 3,432 10,296,000
vial 3,360 5,376,000
vial 4,440 7,104,000
ampul 4,200 21,000,000
ampul 4,476 2,685,600
botol 549,600 1,648,800
botol 17,394 52,182
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 1,080 7,560,000
tablet 384 13,440,000
tablet 22,656 2,718,720
ampul 4,800 11,760,000
supp 17,400 7,308,000
vial 8,316 831,600
tablet 3,276 393,120
botol 141,120 28,224,000
tablet 1,260 44,100,000
botol 26,400 132,000
botol 89,760 897,600
vial 83,496 834,960
vial 163,896 6,555,840
tablet 7,008 18,220,800
tablet 1,200 8,640,000
vial 211,200 63,360,000
tablet 204 183,600
vial 236,340 2,363,400
tube 18,360 550,800
tube 11,892 356,760
ampul 204,000 191,760,000
kapsul 744 148,800
tube 62,376 5,613,840
tablet 1,368 684,000
botol 68,976 1,379,520
tablet 12,540 376,200
tablet 1,008 100,800
vial 156,756 6,270,240
ampul 9,216 14,745,600
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
tablet 996 2,589,600
tablet 1,296 2,462,400
tablet 960 96,000
botol 12,600 25,200,000
botol 15,600 1,872,000
botol 16,560 1,987,200
tablet 492 492,000
vial 99,792 19,958,400
vial 122,244 6,112,200
sachet 12,756 19,134,000
tablet 816 163,200
ampul 19,800 1,287,000
tablet 4,680 13,572,000
botol 16,104 48,312,000
tablet 1,476 2,952,000
tablet 5,268 1,053,600
tablet 4,164 16,656,000
tablet 5,544 332,640
tablet 5,544 22,176,000
tablet 9,408 16,934,400
tablet 1,632 1,468,800
supp 16,332 4,899,600
botol 82,104 7,389,360
tablet 204 5,100,000
tablet 312 1,560,000
ampul 7,920 31,680,000
botol 76,500 3,825,000
tablet 21,420 2,142,000
vial 102,828 97,686,600
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
botol 92,400 4,620,000
tablet 180 90,000
ampul 6,924 38,774,400
tablet 72 432,000
botol 37,620 1,128,600
botol 3,960 792,000
ampul 48,552 971,040
botol 49,500 3,960,000
botol 49,500 7,920,000
botol 65,844 26,337,600
botol 152,400 19,812,000
botol 11,220 4,488,000
tablet 4,920 147,600
tablet 5,544 332,640
ampul 40,752 407,520
tablet 564 4,060,800
botol 15,408 462,240
botol 33,000 29,700,000
84,700,000
84,700,000
84,700,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
84,700,000
3,500,000
3,500,000
Paket 3,500,000 3,500,000
37,110,000
37,110,000
Orang 35,000 3,360,000
Orang 15,000 33,750,000
8,250,000
Orang 100,000 3,000,000
Orang 250,000 3,750,000
Orang 300,000 1,500,000
5,840,000
Orang 100,000 3,200,000
OP 35,000 840,000
OP 75,000 1,800,000
30,000,000
Kali 1,500,000 7,500,000
Kali 1,500,000 22,500,000
213,170,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
213,170,000
213,170,000
750,000
750,000
750,000
OP 250,000 250,000
OP 200,000 200,000
OP 300,000 300,000
212,420,000
1,470,000
Kotak 35,000 1,470,000
2,600,000
Orang 100,000 2,000,000
Paket 150,000 600,000
208,350,000
Paket 1,500,000 4,500,000
Paket 1,500,000 22,500,000
Buah 200,000 8,000,000
Rim 1,650,000 28,050,000
Buah 100,000 2,000,000
Paket 5,000,000 30,000,000
Paket 5,000,000 10,000,000
Set 2,500,000 2,500,000
Set 2,000,000 2,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Paket 1,800,000 1,800,000
Buah 12,000 12,000,000
Buah 15,000 9,000,000
Lemabar 8,000 18,000,000
Paket 29,000,000 58,000,000
1,044,127,504
1,044,127,504
1,044,127,504
3,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
1,041,127,504
1,041,127,504
1,041,127,504
unit 2,000,000 8,000,000
unit 1,200,000 1,200,000
unit 250,000 1,250,000
unit 450,000 3,150,000
unit 350,000 700,000
unit 200,000 200,000
unit 250,000 1,250,000
unit 300,000 900,000
unit 3,000,000 6,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
unit 5,000,000 5,000,000
unit 350,000 1,050,000
unit 400,000 6,400,000
unit 900,000 19,800,000
unit 200,000 1,000,000
unit 300,000 300,000
unit 750,000 750,000
unit 310,000 1,550,000
unit 200,000 1,000,000
unit 500,000 9,000,000
unit 150,000 3,000,000
unit 100,000 100,000
unit 600,000 1,200,000
unit 200,000 800,000
unit 650,000 1,950,000
unit 1,200,000 2,400,000
unit 1,400,000 4,200,000
set 9,000,000 9,000,000
unit 5,500,000 22,000,000
set 7,000,000 77,000,000
unit 10,000,000 30,000,000
unit 11,000,000 33,000,000
set 2,700,000 48,600,000
set 67,500,000 135,000,000
unit 330,000 3,300,000
set 19,000,000 57,000,000
set 6,000,000 6,000,000
unit 1,725,000 6,900,000
unit 10,000,000 20,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
unit 10,000,000 10,000,000
unit 8,000,000 32,000,000
unit 2,500,000 7,500,000
unit 600,000 600,000
unit 4,000,000 12,000,000
unit 400,000 2,400,000
unit 5,100,000 15,300,000
unit 250,000 1,000,000
unit 1,500,000 4,500,000
unit 12,500,000 75,000,000
unit 1,200,000 7,200,000
unit 2,500,000 10,000,000
unit 1,000,000 2,000,000
unit 5,000,000 10,000,000
unit 200,000 4,000,000
unit 12,000,000 24,000,000
unit 1,500,000 6,000,000
unit 8,500,000 34,000,000
unit 42,000,000 126,000,000
unit 1,000,000 5,000,000
unit 16,500,000 33,000,000
unit 14,038,752 28,077,504
unit 30,800,000 61,600,000
2,480,800,000
2,480,800,000
2,480,800,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
800,000
800,000
800,000
OP 250,000 250,000
OP 250,000 250,000
OP 300,000 300,000
2,330,000,000
25,500,000
25,500,000
set 15,000 25,500,000
76,500,000
76,500,000
kotak 30,000 51,000,000
kotak 15,000 25,500,000
628,000,000
628,000,000
Orang/Hari 500,000 4,000,000
Orang/Hari 400,000 3,200,000
Orang/Hari 375,000 3,750,000
Orang/Hari 335,000 8,040,000
Orang/Hari 310,000 4,340,000
Orang/Hari 375,000 13,500,000
Orang/Hari 310,000 4,340,000
Orang/Hari 295,000 4,425,000
Orang/Hari 275,000 2,750,000
Orang/Hari 550,000 6,050,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Orang/Hari 475,000 6,175,000
Orang/Hari 450,000 6,750,000
Orang/Hari 410,000 10,250,000
Orang/Hari 450,000 8,100,000
Orang/Hari 360,000 11,880,000
Orang/Hari 335,000 5,025,000
Orang/Hari 325,000 4,550,000
Liter 10,000 19,900,000
Orang/Hari 650,000 7,800,000
Orang/Hari 525,000 13,650,000
Orang/Hari 500,000 10,000,000
Orang/Hari 475,000 11,875,000
Orang/Hari 425,000 5,525,000
Orang/Hari 500,000 11,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Orang/Hari 425,000 5,525,000
Orang/Hari 375,000 4,500,000
Orang/Hari 360,000 3,960,000
Orang/Hari 750,000 7,500,000
Orang/Hari 600,000 9,000,000
Orang/Hari 550,000 8,250,000
Orang/Hari 525,000 7,875,000
Orang/Hari 500,000 2,500,000
Orang/Hari 525,000 5,250,000
Orang/Hari 500,000 2,500,000
Orang/Hari 425,000 2,975,000
Orang/Hari 400,000 2,000,000
Triwulan 38,000,000 152,000,000
Triwulan 45,000,000 180,000,000
OH 850,000 15,300,000
OH 450,000 13,050,000
OH 330,000 5,940,000
hari 2,500,000 12,500,000
1,575,000,000
1,575,000,000
1,575,000,000
Triwulan 150,000,000 600,000,000
paket 50,000,000 950,000,000
kali 5,000,000 25,000,000
25,000,000
25,000,000
OH 250,000 16,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OJ 300,000 9,000,000
150,000,000
150,000,000
150,000,000
unit 50,000,000 150,000,000
50,000,000
50,000,000
50,000,000
50,000,000
50,000,000
50,000,000
ball 200,000 5,000,000
Buah 50,000 750,000
Meter 50,000 2,700,000
Liter 30,000 450,000
Buah 50,000 1,000,000
Buah 2,500 210,000
Botol 12,500 375,000
Liter 26,000 390,000
Liter 75,000 1,125,000
Paket 250,000 7,500,000
Pasang 100,000 5,600,000
Lembar 330,000 9,900,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Orang 150,000 4,500,000
Orang 100,000 3,000,000
Orang 250,000 7,500,000
1,208,400,000
1,208,400,000
1,208,400,000
1,208,400,000
1,208,400,000
Triwulan 35,000,000 140,000,000
Triwulan 2,100,000 8,400,000
Triwulan 265,000,000 1,060,000,000
976,000,000
976,000,000
976,000,000
159,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 300,000 1,200,000
156,000,000
156,000,000
OB 500,000 156,000,000
817,000,000
384,000,000
Paket 32,000,000 384,000,000
433,000,000
433,000,000
Bj 21,200 10,176,000
Bj 10,900 6,540,000
Bj 4,000 5,760,000
Bj 11,500 16,560,000
Bj 15,800 13,272,000
Btol 12,000 7,200,000
Bj 17,500 16,800,000
Bj 10,600 8,904,000
Bj 14,200 18,744,000
Bj 11,600 9,744,000
Bj 11,500 828,000
Bj 36,800 5,299,200
Bh 64,200 3,852,000
Bh 25,000 4,500,000
Lbr 20,000 5,760,000
Lbr 27,000 3,888,000
Meter 220,000 10,560,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Bj 15,000 2,160,000
Bj 15,000 10,800,000
Bj 13,800 4,968,000
Bj 9,200 1,324,800
Bj 11,500 1,380,000
Bj 20,000 1,200,000
Bj 100,000 18,000,000
Bj 27,500 4,400,000
Bj 190,000 28,500,000
Bj 1,000 100,000
Bj 15,500 2,712,500
Bj 180,000 18,000,000
Pak 30,000 4,320,000
Pak 13,800 24,840,000
Bj 27,700 16,620,000
Bj 10,900 5,232,000
Bj 34,000 2,720,000
Bj 46,000 1,656,000
Meter 10,000 1,500,000
Bj 57,000 3,648,000
Bj 11,500 920,000
Bj 17,600 6,336,000
Bj 138,000 3,312,000
Bj 25,300 1,138,500
Bj 3,000 216,000
Pcs 10,000 2,880,000
Pcs 40,000 14,080,000
Bj 20,000 9,600,000
Bj 7,000 840,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Lbr 10,000 5,400,000
Bj 23,000 4,140,000
Slop 16,500 396,000
Slop 34,000 816,000
Slop 17,800 2,136,000
Slop 26,400 3,168,000
Slop 43,500 5,220,000
Slop 52,800 9,504,000
Slop 84,500 15,210,000
Slop 145,200 26,136,000
Slop 8,000 96,000
Pak 39,000 1,950,000
Pak 45,000 2,205,000
Pak 60,500 3,025,000
Bj 70,000 700,000
Bj 120,000 600,000
Bj 95,000 475,000
Ltr 55,000 7,392,000
Pak 27,500 660,000
Pak 33,000 1,980,000
365,954,400
365,954,400
365,954,400
3,000,000
3,000,000
OP 250,000 1,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 200,000 800,000
OP 300,000 1,200,000
362,954,400
362,954,400
362,954,400
Bk 9,500 4,560,000
Bk 16,000 7,680,000
Bk 14,000 6,720,000
Bk 25,000 4,500,000
Doz 84,000 5,040,000
Doz 90,000 6,300,000
Biji 1,650 594,000
Pak 6,000 1,080,000
Pak 9,000 2,160,000
Pak 13,000 3,120,000
Pak 7,500 1,800,000
Doz 4,500 108,000
Pak 47,000 2,820,000
Pak 44,000 1,056,000
Doz 95,000 380,000
Pak 19,800 7,128,000
Bj 9,900 4,276,800
Bj 19,800 14,256,000
Doz 23,000 5,520,000
Biji 8,500 612,000
Pak 78,000 468,000
biji 8,800 422,400
biji 13,500 2,430,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Doz 108,000 2,592,000
Pak 15,400 4,620,000
Pak 14,000 2,520,000
Pak 18,000 2,160,000
Bj 15,000 1,800,000
Bj 10,000 960,000
Rim 50,000 80,800,000
Rim 44,000 5,324,000
Rim 57,975 579,750
Rim 10,000 2,400,000
Bj 12,500 750,000
Pak 10,000 3,600,000
Pak 42,000 504,000
Pak 30,000 180,000
Box 450,000 27,000,000
Box 400,000 38,400,000
Biji 5,500 396,000
Bj 2,500 177,500
Bj 7,700 277,200
biji 18,000 1,296,000
Biji 18,000 2,592,000
Lembar 1,250 1,498,750
Biji 9,000 3,240,000
biji 30,500 1,098,000
Doz 11,000 1,320,000
Lbr 6,000 1,728,000
box 5,500 2,376,000
biji 15,000 10,500,000
biji 3,000 24,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
250,000 3,750,000
150,000 19,500,000
20,000 600,000
215,000 20,640,000
biji 9,000 9,000,000
biji 12,000 144,000
Doz 60,000 600,000
Bh 50,000 1,000,000
610,156,000
610,156,000
610,156,000
3,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
607,156,000
607,156,000
514,181,000
Rim 80000 4,000,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 1,625,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Buku 50000 30,000,000
Rim 65000 520,000
Rim 65000 195,000
Rim 65000 520,000
Rim 65000 390,000
Rim 65000 390,000
Rim 65000 130,000
Buku 45000 5,850,000
Rim 65000 390,000
Rim 80000 640,000
Rim 65000 3,250,000
Rim 65000 3,250,000
Rim 65000 325,000
Rim 80000 400,000
Rim 65000 650,000
Rim 65000 130,000
Rim 65000 325,000
Rim 65000 1,625,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rim 65000 325,000
Rim 65000 975,000
Rim 65000 130,000
Rim 65000 325,000
Rim 500000 1,000,000
Rim 500000 12,500,000
Rim 65000 9,100,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 325,000
Rim 65000 1,625,000
Rim 65000 325,000
Rim 65000 325,000
Rim 80000 400,000
Buku 13000 65,000
Buku 13000 65,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000

Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65,000 325,000
Rim 65,000 325,000
Rim 65,000 325,000
Rim 65000 325,000
Kartu 5000 2,500,000
Lembar 3500 128,999,500
Lembar 3500 3,500,000
Rim 65000 325,000
Rim 65000 1,625,000
Rim 65000 325,000
Rim 65,500 65,500
Rim 65000 195,000
Rim 65000 195,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 325,000
Rim 65000 650,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 650,000
Rim 65000 325,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rim 160000 2,400,000
Rim 65000 1,625,000
Rim 160000 640,000
Buku 50000 35,000,000
Rim 65000 130,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 325,000
Rim 65000 650,000
Rim 65000 325,000
Rim 65000 520,000
Rim 65000 65,000
Rim 65000 130,000
Rim 65000 130,000
Rim 65000 130,000
Rim 65000 650,000
Rim 65000 130,000
Rim 65000 1,950,000
Rim 65000 3,250,000
Buku 13000 1,950,000
Rim 65000 650,000
Rim 65000 650,000

Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Buku 13000 130,000
Rim 65000 975,000
Rim 65000 650,000
Rim 65000 975,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 780,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 650,000
Rim 65000 975,000
Rim 65000 975,000
Rim 65000 650,000
Lembar 2500 5,000,000
Pack 95000 1,900,000
Pack 40000 1,000,000
Lembar 6000 384,000
Buku 17000 5,100,000
Buku 27000 540,000
Buku 27000 540,000
Lembar 2000 6,000,000
Buku 18000 1,440,000
Lembar 2000 3,400,000
Lembar 2000 1,000,000
Buku 300000 600,000
Buku 14000 742,000
Lembar 5000 99,945,000
Rim 65000 650,000
Rim 65000 520,000
Lembar 2300 11,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Lembar 2500 1,250,000
Rim 65,000 585,000
Lembar 3,000 6,300,000
Buku 6,000 330,000
Buku 14,000 7,000,000
Rim 85,000 425,000
Buku 19,000 2,850,000
Buku 110,000 1,650,000
Lembar 5,500 2,750,000
Bendel 5,000 500,000
Bendel 5,000 500,000
Bendel 5,000 300,000
Lembar 1,500 225,000
Pack 55,000 1,100,000
Rim 65,000 325,000
Pack 35,000 700,000
Buku 40,000 1,600,000
Buah 9,000 1,350,000
92,975,000
Lembar 200 92,975,000
###
1,084,785,500
1,084,785,500
1,084,785,500
1,500,000
1,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
1,500,000
OP 250,000 500,000
OP 200,000 400,000
OP 300,000 600,000
85,207,500
85,207,500
85,207,500
bh 375,000 7,500,000
bh 160,000 3,200,000
bh 55,000 550,000
bh 22,500 1,125,000
bh 5,000 500,000
bh 59,000 12,095,000
bh 51,500 10,557,500
bh 44,500 8,900,000
bh 37,000 3,700,000
bh 45,000 4,500,000
bh 15,000 4,500,000
bh 25,000 500,000
bh 30,000 600,000
bh 30,000 600,000
bh 25,000 500,000
bh 30,000 600,000
bh 30,000 1,800,000
bh 25,000 1,500,000
bh 17,500 1,750,000
bh 17,500 1,750,000
bh 10,000 300,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
rol 1,102,500 2,205,000
rol 750,000 3,000,000
unit 75,000 1,500,000
unit 175,000 525,000
unit 350,000 700,000
unit 1,750,000 3,500,000
unit 1,500,000 3,000,000
dos 25,000 1,250,000
dos 25,000 1,250,000
pak 25,000 1,250,000
998,078,000
998,078,000
998,078,000
paket 23,000,000 92,000,000
Paket 25,000,000 25,000,000
Paket 15,000,000 15,000,000
Paket 822,774,100 822,774,100

Paket 25,982,340 25,982,340
Paket 17,321,560 17,321,560
853,500,000
853,500,000
853,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
3,000,000
3,000,000
3,000,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 300,000 1,200,000
850,500,000
39,000,000
39,000,000
unit 3,000,000 39,000,000
171,500,000
unit 500,000 22,000,000
Unit 3,500,000 87,500,000
Unit 2,000,000 38,000,000
Unit 4,000,000 4,000,000
unit 10,000,000 20,000,000
90,000,000
Unit 3,000,000 90,000,000
304,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Unit 13,000,000 65,000,000
Unit 500,000 5,000,000
unit 500,000 2,500,000
Unit 2,000,000 10,000,000
Unit 12,000,000 180,000,000
Unit 2,000,000 24,000,000
Unit 15,000,000 15,000,000
Unit 3,000,000 3,000,000
2,000,000
1,000,000 2,000,000
133,500,000
unit 4,500,000 58,500,000
unit 3,000,000 18,000,000
unit 4,500,000 18,000,000
unit 15,000,000 15,000,000
unit 12,000,000 24,000,000
36,000,000
Unit 12,000,000 36,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
24,000,000
unit 1,500,000 24,000,000
50,000,000
paket 25,000,000 50,000,000
1,780,500,000
1,780,500,000
1,780,500,000
4,500,000
4,500,000
4,500,000
OP 250,000 1,500,000
OP 200,000 1,200,000
OP 300,000 1,800,000
545,800,000
545,800,000
545,800,000
paket 10,000,000 10,000,000
paket 75,000,000 75,000,000
paket 150,000,000 150,000,000
paket 150,000,000 150,000,000
paket 150,000,000 150,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
roll 1,200,000 10,800,000
1,230,200,000
400,000,000
unit 400,000,000 400,000,000
324,500,000
unit 3,500,000 35,000,000

unit 1,000,000 15,000,000
unit 7,500,000 112,500,000
unit 9,000,000 144,000,000
unit 1,000,000 18,000,000
123,750,000
unit 10,000,000 60,000,000
paket 60,000,000 60,000,000
unit 750,000 3,750,000
301,950,000
unit 4,500,000 4,500,000

unit 6,000,000 60,000,000
unit 900,000 900,000
unit 3,800,000 133,000,000
buah 350,000 2,800,000
roll 1,000,000 6,000,000
unit 450,000 450,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
set 35,000 350,000
buah 25,000 375,000
unit 775,000 8,525,000
unit 400,000 16,400,000
Paket 43,500,000 43,500,000
unit 1,750,000 1,750,000
Unit 200,000 23,400,000
80,000,000
80,000,000
paket 40,000,000 80,000,000
1,555,642,000
1,555,642,000
9,000,000
9,000,000
9,000,000
OP 250,000 3,000,000
OP 200,000 2,400,000
OP 300,000 3,600,000
333,520,000
333,520,000
333,520,000
galon 120,000 24,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
set 1,200,000 12,000,000
lembar 60,000 6,000,000
lembar 45,000 4,500,000
lembar 52,000 2,600,000
kg 67,000 6,700,000
bh 7,000 280,000
bh 30,000 3,000,000
bh 45,000 2,700,000
bh 55,000 2,750,000
liter 22,000 1,100,000
bh 192,000 9,600,000
lbr 81,000 810,000
ljr 221,000 4,420,000
bh 15,000 750,000
ljr 361,000 14,440,000
ljr 280,000 11,200,000
ljr 280,000 11,200,000
ljr 96,000 9,600,000
ljr 20,000 800,000
bh 15,000 750,000
kg 23,000 1,840,000
zak 81,000 24,300,000
lbr 81,000 4,050,000
lbr 133,000 3,990,000
lbr 170,000 5,100,000
lbr 89,000 2,670,000
bh 59,000 885,000
doz 75,000 15,000,000
bh 45,000 2,250,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
truk 735,000 11,025,000
truk 515,000 12,875,000
lbr 23,000 690,000
bh 1,000 10,000,000
bh 200,000 1,000,000
lonjor 120,000 9,600,000
buah 367,500 735,000
kg 23,000 460,000
buah 100,000 200,000
buah 150,000 150,000
set 1,500,000 1,500,000
set 1,500,000 1,500,000
OH 70,000 70,000,000
OH 55,000 24,500,000
1,213,122,000
6,000,000
6,000,000
unit 6,000,000 6,000,000
1,207,122,000
1,207,122,000
Paket 117,122,000 117,122,000
paket 175,500,000 175,500,000

paket 11,700,000 11,700,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
paket 7,800,000 7,800,000
paket 171,000,000 342,000,000

paket 22,800,000 22,800,000
paket 15,200,000 15,200,000
paket 180,000,000 180,000,000

paket 12,000,000 12,000,000
paket 8,000,000 8,000,000
paket 171,000,000 171,000,000

paket 11,400,000 11,400,000
paket 7,600,000 7,600,000
paket 112,500,000 112,500,000

paket 7,500,000 7,500,000
paket 5,000,000 5,000,000
300,000,000
300,000,000
300,000,000
1,500,000
1,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
1,500,000
OP 250,000 500,000
OP 200,000 400,000
OP 300,000 600,000
298,500,000
298,500,000
143,250,000
Paket 143,250,000 143,250,000
143,250,000
Triwulan 35,812,500 143,250,000
12,000,000
Triwulan 3,000,000 12,000,000
36,000,000
36,000,000
36,000,000
36,000,000
36,000,000
36,000,000
paket 10,000,000 10,000,000
paket 5,000,000 5,000,000
buah 150,000 3,750,000
paket 250,000 1,250,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
set 2,000,000 4,000,000
buah 750,000 7,500,000
buah 750,000 4,500,000
977,850,000
977,850,000
977,850,000
3,600,000
3,600,000
3,600,000
OP 250,000 1,000,000
OP 200,000 800,000
OP 450,000 1,800,000
974,250,000
974,250,000
324,750,000
Liter 10,000 2,400,000
Liter 7,500 27,375,000
Liter 7,500 27,375,000
Liter 7,500 201,600,000
bulan 5,500,000 66,000,000
13,500,000
Tabung 350,000 3,500,000
Tabung 2,000,000 10,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
636,000,000
636,000,000
Paket 2,500,000 10,000,000
Paket 10,000,000 20,000,000
Paket 10,000,000 10,000,000
Paket 4,000,000 48,000,000
Unit 950,000 71,250,000
Unit 60,000 36,000,000
Unit 2,850,000 17,100,000
Unit 3,000,000 15,000,000
Unit 5,000,000 5,000,000
Unit 800,000 16,000,000
Paket 3,000,000 24,000,000
Paket 2,500,000 2,500,000
Paket 500,000 5,000,000
Unit 600,000 12,000,000
Unit 500,000 5,000,000
Paket 9,000,000 9,000,000
Paket 4,500,000 22,500,000
Paket 2,000,000 2,000,000
Unit 275,000 11,000,000
Unit 250,000 10,000,000
Unit 150,000 6,000,000
Unit 350,000 3,150,000
Unit 100,000 200,000
Unit 500,000 1,000,000
Buah 500,000 4,000,000
Buah 200,000 800,000
Buah 200,000 800,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Buah 300,000 1,500,000
Buah 8,000,000 240,000,000
Buah 500,000 2,500,000
Unit 500,000 3,000,000
Unit 150,000 900,000
Unit 800,000 2,400,000
Unit 600,000 6,000,000
Unit 500,000 8,000,000
Unit 3,000,000 3,000,000
Unit 400,000 400,000
Unit 500,000 1,000,000
511,080,000
511,080,000
511,080,000
1,500,000
1,500,000
1,500,000
OP 250,000 500,000
OP 200,000 400,000
OP 300,000 600,000
509,580,000
509,580,000
509,580,000
lonjor 735,000 58,800,000
lonjor 441,000 8,820,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
buah 30,000 1,200,000
buah 22,500 900,000
buah 30,000 600,000
buah 30,000 600,000
dos 73,500 367,500
kali 6,000,000 24,000,000
bungkus 26,500 662,500
galon 1,470,000 2,940,000
kali 800,000 2,400,000
kali 1,500,000 1,500,000
buah 15,000 225,000
buah 15,000 225,000
kali 10,000,000 20,000,000
kali 10,000,000 40,000,000
unit 8,500,000 8,500,000
pack 70,000 42,000,000
buah 190,000 11,400,000
buah 345,000 4,140,000
buah 270,000 16,200,000
buah 1,025,000 12,300,000
buah 1,025,000 12,300,000
buah 125,000 7,500,000
pack 45,000 4,500,000
pack 45,000 27,000,000
pak 35,000 3,500,000
buah 175,000 10,500,000
buah 40,000 2,000,000
drum 1,800,000 108,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
paket 9,900,000 19,800,000
paket 9,900,000 19,800,000
can 500,000 15,000,000
kg 100,000 1,500,000
kali 2,500,000 5,000,000
OH 70,000 10,010,000
OH 55,000 5,390,000
175,218,000
175,218,000
175,218,000
175,218,000
175,218,000
175,218,000
lonjor 45,000 2,700,000
lonjor 48,000 3,360,000
lonjor 61,000 3,660,000
lonjor 77,000 4,620,000
lonjor 147,000 4,410,000
lonjor 220,500 4,410,000
buah 4,500 180,000
buah 4,500 450,000
buah 4,500 225,000
buah 37,000 888,000
buah 96,000 1,920,000
buah 500,000 15,000,000
buah 367,500 7,350,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
buah 4,000 100,000
dos 59,000 295,000
buah 51,500 1,030,000
kali 900,000 3,600,000
kali 100,000 1,200,000
kali 4,000,000 8,000,000
kali 2,025,000 2,025,000
buah 162,000 1,620,000
kali 450,000 15,300,000
kali 2,200,000 4,400,000
kali 2,200,000 4,400,000
unit 150,000 3,600,000
paket 58,500,000 58,500,000
OH 70,000 14,000,000
OH 55,000 7,975,000
150,750,000
150,750,000
150,750,000
750,000
750,000
750,000
OP 250,000 250,000
OP 200,000 200,000
OP 300,000 300,000
150,000,000
150,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
150,000,000
150,000,000
Paket 150,000,000 150,000,000
324,400,000
324,400,000
324,400,000
2,900,000
2,900,000
2,900,000
OP 250,000 250,000
OP 225,000 225,000
OP 200,000 600,000
OP 250,000 250,000
OP 225,000 225,000
OP 200,000 200,000
OP 400,000 400,000
OP 250,000 250,000
OP 200,000 200,000
OP 300,000 300,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
321,500,000
321,500,000
321,500,000
Unit 35,000,000 70,000,000

Unit 2,000,000 2,000,000
Unit 250,000 250,000
Unit 5,000,000 10,000,000
Unit 26,000,000 26,000,000

Unit 45,000,000 45,000,000
Unit 25,650,000 25,650,000
Unit 25,000,000 25,000,000
Unit 800,000 4,000,000
Unit 700,000 3,500,000
Unit 1,500,000 1,500,000
Unit 250,000 250,000
Unit 250,000 500,000
Unit 16,000,000 80,000,000
Unit 1,300,000 2,600,000
Unit 5,000,000 5,000,000
Unit 250,000 250,000
Unit 2,000,000 2,000,000
Unit 9,000,000 18,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
1,501,766,596
1,501,766,596
1,501,766,596
3,375,000
3,375,000
3,375,000
OP 400,000 400,000
OP 375,000 375,000
OP 350,000 1,050,000
OP 375,000 375,000
OP 350,000 350,000
OP 325,000 325,000
OP 500,000 500,000
1,498,391,596
1,498,391,596
1,498,391,596
1,498,391,596
Unit 6,000,000 24,000,000
Unit 13,000,000 52,000,000
Unit 3,930,000 27,510,000
Unit 15,500,000 170,500,000
Unit 71,500,000 143,000,000
Unit 7,000,000 28,000,000
Unit 12,730,525 12,730,525
Unit 5,500,000 5,500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Unit 2,072,400 2,072,400
Unit 14,275,256 142,752,560
Unit 1,500,000 9,000,000
Unit 2,373,800 52,223,600
Unit 1,331,000 21,296,000
Unit 1,331,000 6,655,000
Unit 1,800,000 32,400,000
Unit 50,000 3,500,000
Unit 7,856,000 70,704,000
Unit 7,856,000 7,856,000
Unit 7,856,000 7,856,000
Unit 10,661,300 63,967,800
Unit 22,452,800 22,452,800
Unit 2,839,150 8,517,450
Unit 25,000,000 25,000,000
unit 46,013,500 92,027,000
Unit 14,334,623 100,342,361
Unit 60,610,000 60,610,000

Unit 86,710,000 86,710,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Unit 87,538,100 87,538,100
Unit 128,954,000 128,954,000

Unit 1,716,000 1,716,000
Unit 1,000,000 1,000,000
25,264,300,000
25,264,300,000
25,264,300,000
25,264,300,000
25,264,300,000
119,400,000
OB 500,000 48,000,000
OB 425,000 71,400,000
154,250,000
OB 750,000 9,000,000
OB 500,000 6,000,000
OB 350,000 4,200,000
OB 300,000 10,800,000
OB 350,000 4,200,000
OB 300,000 21,600,000
OB 150,000 1,800,000
OB 300,000 10,800,000
OK 100,000 400,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OK 150,000 600,000
OK 150,000 600,000
OB 300,000 3,600,000
OB 300,000 3,600,000
OB 300,000 3,600,000
OB 300,000 3,600,000
OB 50,000 18,250,000
OB 75,000 1,800,000
OB 2,000,000 48,000,000
300,000 1,800,000
50,400,000
50,400,000
OB 1,500,000 18,000,000
OB 1,350,000 16,200,000
OB 1,350,000 16,200,000
33,600,000
OB 600,000 7,200,000
OB 550,000 26,400,000
11,500,000
OJ 12,500 625,000
OJ 10,000 1,500,000
OJ 7,500 1,125,000
OJ 5,000 250,000
Orang 20,000 8,000,000
24,847,150,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
triwulan 6,211,787,500 24,847,150,000
48,000,000
OB 4,000,000 48,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
2,680,100,000
40,000,000
40,000,000
40,000,000
38,500,000
5,750,000
5,750,000
Ekslempar 50,000 300,000
Ekslempar 50,000 300,000
Ekslempar 50,000 300,000
Ekslempar 50,000 1,000,000
Ekslempar 50,000 1,000,000
Ekslempar 50,000 750,000
Ekslempar 50,000 1,000,000
Ekslempar 50,000 300,000
Ekslempar 50,000 500,000
Ekslempar 50,000 300,000
18,350,000
18,350,000
Kotak 35,000 12,845,000
Kotak 15,000 5,505,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
14,400,000
Paket 3,500,000 14,000,000
Lap 100,000 400,000
1,500,000
1,500,000
1,500,000
Buah 1,500,000 1,500,000
250,000,000
250,000,000
250,000,000
250,000,000
250,000,000
250,000,000
Paket 50,000,000 50,000,000
Paket 70,260,000 70,260,000
Paket 55,000,000 55,000,000
Paket 55,000,000 55,000,000
orang 30,000 12,990,000

orang 15,000 6,750,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
50,000,000
50,000,000
50,000,000
50,000,000
50,000,000
50,000,000
Orang/Hari 200,000 3,000,000
Orang/Hari 160,000 2,720,000
Orang/Hari 150,000 4,500,000
Orang/Hari 120,000 2,400,000
Orang/Hari 110,000 2,200,000
Orang/Hari 130,000 3,900,000
Orang/Hari 100,000 8,400,000
Orang/Hari 90,000 6,030,000
Orang/Hari 75,000 2,550,000
Liter 10,000 14,300,000
300,000,000
300,000,000
300,000,000
300,000,000
300,000,000
300,000,000
Orang/Hari 500,000 4,000,000
Orang/Hari 400,000 3,200,000
Orang/Hari 375,000 3,750,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Orang/Hari 335,000 2,680,000
Orang/Hari 310,000 3,100,000
Orang/Hari 375,000 6,375,000
Orang/Hari 310,000 3,410,000
Orang/Hari 295,000 4,425,000
Orang/Hari 275,000 2,200,000
Orang/Hari 550,000 4,400,000
Orang/Hari 475,000 3,800,000
Orang/Hari 450,000 4,050,000
Orang/Hari 410,000 3,690,000
Orang/Hari 450,000 3,600,000
Orang/Hari 360,000 3,600,000
Orang/Hari 335,000 2,680,000
Orang/Hari 325,000 2,600,000
Liter 10,000 9,160,000
Orang/Hari 650,000 6,500,000
Orang/Hari 525,000 5,775,000
Orang/Hari 500,000 2,000,000
Orang/Hari 475,000 4,275,000
Orang/Hari 425,000 850,000
Orang/Hari 500,000 4,000,000
Orang/Hari 425,000 850,000
Orang/Hari 375,000 3,000,000
Orang/Hari 360,000 2,880,000
Orang/Hari 750,000 7,500,000
Orang/Hari 600,000 6,000,000
Orang/Hari 550,000 5,500,000
Orang/Hari 525,000 3,150,000
Orang/Hari 500,000 2,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Orang/Hari 525,000 1,575,000
Orang/Hari 500,000 2,000,000
Orang/Hari 425,000 2,550,000
Orang/Hari 400,000 2,000,000
Triwulan 15,001,250 60,005,000
Triwulan 18,000,000 72,000,000
Orang/Hari 200,000 2,000,000
Orang/Hari 250,000 1,250,000
OH 850,000 12,750,000
OH 450,000 6,300,000
OH 330,000 2,970,000
hari 1,200,000 9,600,000
75,000,000
75,000,000
75,000,000
75,000,000
75,000,000
75,000,000
orang 30,000 48,510,000
orang 15,000 26,490,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
35,400,000
35,400,000
35,400,000
35,400,000
35,400,000
35,400,000
Lembar 6,000 22,800,000
Lembar 3,000 10,800,000
Paket 150,000 1,800,000
60,000,000
60,000,000
60,000,000
60,000,000
41,000,000
paket 4,000,000 4,000,000
paket 3,000,000 9,000,000
paket 28,000,000 28,000,000
5,000,000
5,000,000
kotak 50,000 5,000,000
500,000
paket 500,000 500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Kali 3,000,000 9,000,000

Kali 1,500,000 4,500,000
16,800,000
16,800,000
16,800,000
16,800,000
Orang 700,000 5,600,000
Orang 700,000 11,200,000
1,602,900,000
1,602,900,000
1,602,900,000
1,602,900,000
1,602,900,000
Orang/Bula 1,602,900,000
n
Orang/Bula 800,000 530,400,000
n 750,000 1,072,500,000
50,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
50,000,000
50,000,000
50,000,000
Paket 50,000,000 50,000,000
200,000,000
200,000,000
200,000,000
200,000,000
Paket 10,000,000 100,000,000
Paket 25,000,000 100,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
22,211,450,000
3,449,725,000
3,449,725,000
3,449,725,000
3,449,725,000
3,448,750,000
3,448,750,000
Orang/Bula 3,448,750,000
n
Orang/Bula 1,750,000 204,750,000
n
Orang/Bula 4,500,000 468,000,000
n
Orang/Bula 1,750,000 227,500,000
n
Orang/Bula 1,150,000 254,150,000
n
Orang/Bula 1,100,000 943,800,000
n
Orang/Bula 1,050,000 68,250,000
n
Orang/Bula 1,100,000 286,000,000
n
Orang/Bula 1,050,000 573,300,000
n 1,000,000 189,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11
Orang/Bula 12 10 x 12
n 2,250,000 234,000,000
975,000
975,000
Rim 40,000 720,000
Pak 15,000 255,000
5,818,250,000
5,818,250,000
5,818,250,000
5,818,250,000
5,818,250,000
5,818,250,000
5,818,250,000
Triwulan 1,454,562,500 5,818,250,000
10,443,475,000
820,000,000
820,000,000
820,000,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
750,000
OP 250,000 250,000
OP 200,000 200,000
OP 300,000 300,000
819,250,000
623,000,000
Unit 71,500,000 214,500,000

Unit 87,500,000 87,500,000
Unit 195,000,000 195,000,000
Unit 126,000,000 126,000,000
196,250,000
Unit 94,300,000 188,600,000
Unit 7,650,000 7,650,000
1,680,000,000
1,680,000,000
1,680,000,000
3,375,000
1,825,000
OP 400,000 400,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 375,000 375,000
OP 350,000 1,050,000
1,050,000
OP 375,000 375,000
OP 350,000 350,000
OP 325,000 325,000
500,000
OP 500,000 500,000
1,676,625,000
1,676,625,000
1,676,625,000
unit 1,276,625,000 1,276,625,000
unit 400,000,000 400,000,000
7,943,475,000
7,943,475,000
7,943,475,000
5,025,000
2,325,000
OP 500,000 500,000
OP 475,000 475,000
OP 450,000 1,350,000
1,350,000
OP 475,000 475,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 450,000 450,000
OP 425,000 425,000
600,000
OP 600,000 600,000
OP 250,000 250,000
OP 200,000 200,000
OP 300,000 300,000
7,938,450,000
7,938,450,000
Set 20,461,000 40,922,000

Set 20,350,000 20,350,000
Unit 4,205,000 8,410,000
Set 120,371,000 361,113,000
Set 186,378,000 372,756,000
Unit 648,756,000 648,756,000
Unit 228,142,400 684,427,200
Unit 360,284,000 360,284,000
Unit 144,045,000 432,135,000
Unit 3,155,000 9,465,000

Unit 13,096,000 52,384,000
Unit 143,391,000 430,173,000
Unit 266,615,000 533,230,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Unit 36,618,000 73,236,000
Unit 42,578,000 85,156,000
Unit 3,787,300 7,574,600
Unit 110,500,000 110,500,000
Unit 1,590,822,000 1,590,822,000

Unit 72,596,000 145,192,000
Unit 25,376,000 101,504,000
Unit 16,100,000 64,400,000
Unit 144,045,000 288,090,000
Unit 13,029,000 39,087,000
Unit 14,011,000 42,033,000
Set 40,498,000 40,498,000

Unit 7,510,800 7,510,800
Unit 3,155,000 3,155,000
Unit 13,096,000 13,096,000
Unit 3,155,000 3,155,000

Unit 13,096,000 13,096,000
Unit 308,814,400 308,814,400

Unit 3,155,000 3,155,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
Unit 643,257,000 643,257,000

Unit 3,155,000 3,155,000
Unit 13,096,000 13,096,000
Unit 42,578,000 42,578,000

Unit 16,100,000 64,400,000
Unit 3,155,000 9,465,000
Unit 13,096,000 39,288,000
Unit 228,731,000 228,731,000
2,500,000,000
900,000,000
900,000,000
900,000,000
2,925,000
1,575,000
OP 350,000 350,000
OP 325,000 325,000
OP 300,000 900,000
900,000
OP 325,000 325,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
OP 300,000 300,000
OP 275,000 275,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
450,000
OP 450,000 450,000
897,075,000
897,075,000
897,075,000
Paket 834,075,000 834,075,000

Paket 36,000,000 36,000,000
Paket 27,000,000 27,000,000
1,600,000,000
1,600,000,000
1,600,000,000
3,375,000
1,825,000
OP 400,000 400,000
OP 375,000 375,000
OP 350,000 1,050,000
1,050,000
OP 375,000 375,000
OP 350,000 350,000
OP 325,000 325,000
500,000
OP 500,000 500,000
Rincian Penggunaan
Jumlah
Satuan Harga Satuan
11 12 10 x 12
1,596,625,000
1,596,625,000
1,596,625,000
Unit 33,900,000 67,800,000
Unit 20,000,000 80,000,000
Unit 100,000,000 500,000,000
Unit 200,000,000 400,000,000
Unit 54,000,000 54,000,000
Unit 54,000,000 108,000,000
Unit 50,912,500 101,825,000
Unit 1,500,000 6,000,000
Unit 10,500,000 63,000,000
Unit 5,000,000 35,000,000
Unit 8,500,000 51,000,000
Unit 65,000,000 130,000,000
Direktur RSUD Waluyo Jati Kraksaan

Kraksaan, 21 Januari 2016
Direktur RSUD Waluyo Jati Kraksaan
Slamet Riyadi, SH, M.Si

NIP. 19600416 198003 1 006
PEJABAT
dr.Adi Nugroho ND, M.MKes PAGU

Pemeliharaan rutin/berkala alat-alat kesehatan
1 1,044,127,504
rumah sakit
Pengadaan Alat Kesehatan PELAYANAN
2 Rumah Sakit 1,501,766,596
Pengadan alat kesehatan Rumah sakit
3 (PAJAK ROKOK)
820,000,000
Pengadaan alat Kedokteran Rumah sakit
4 (DAK 2016) 7,943,475,000
Peningkatan Derajat Kesehatan Masyarakat

Dengan Penyediaan Sarana Prasarana pada
5 900,000,000
Fasilitas Perawatan Kesehatan Bagi Penderita
Akibat Dampak Asap Rokok
Peningkatan Derajat Kesehatan Masyarakat

6 Dengan Penyediaan Alat-alat Kesehatan Bagi 1,600,000,000
Penderita Akibat Dampak Asap Rokok
13,809,369,100
Agus Budi Raharjo, S.Sos PAGU

1 Penyediaan Jasa Kebersihan Kantor 976,000,000
2 Penyediaan Alat Tulis Kantor 365,954,400
Penyediaan Barang Cetakan dan Penggandaan
3 610,156,000
Penyediaan peralatan dan perlengkapan

4 853,500,000
kantor
Pemeliharaan rutin/berkala kendaraan
5 dinas/operasional 300,000,000
6 Pemeliharaan Rutin/Berkala Mebeleur 36,000,000
7 Penyediaan Makanan dan Minuman Rapat 75,000,000
8 35,400,000
Penyediaan Jasa Surat Menyurat
3,252,010,400
Drs.Izzuddin PAGU
Penyediaan componen inst listrik/penerangan
1 1,084,785,500
Bang. Kantor
2 Pemeliharaan rutin/berkala Gedung kantor 1,555,642,000
Pemeliharaan rutin/berkala perlengkapan
3 gedung kantor 977,850,000
Pengelolaan dan Pemeliharaan Limbah Rumah

4 511,080,000
Sakit
5 Pemeliharaan Instalasi Air Bersih Rumah 175,218,000

Sakit
Pengadaan Alat Kesehatan PENUNJANG
6 Rumah Sakit 324,400,000
Pengadaan Alat Rumah Tangga

7 1,680,000,000
(PAJAK ROKOK)
6,308,975,500
Dian Novita Sari, SKM PAGU

1 Pengembangan SDM 2,480,800,000
Rapat-rapat koordinasi dan konsultasi dalam
2 50,000,000
daerah
Rapat-Rapat Koordinasi dan Konsultasi ke
3 Luar Daerah 300,000,000
4 Penyediaan Jasa Tenaga BLUD 1,602,900,000
5 3,449,725,000
Penyediaan Jasa Tenaga Non PNS
7,883,425,000
PEJABAT PELAKSANA TEKNIS KEGIATAN ( PPTK )TA. 2016
staf PPTK Ari Dianti, S. Gz
Ika Ari Mundiyah, Amd 1 Penyuluhan Kesehatan Masarakat Rumah Sakit
2 Pemasaran dan Promosi Rumah Sakit

Penyusunan Laporan Capaian Kinerja dan Ikhtisar Realisasi
3
Kinerja SKPD
4
Penelitian dan Pengembangan
Penyusunan Perundang undangan dan Perlindungan Hukum
staf PPTK Sri Wahyu Utami SKM

1 Pelayanan Darah
Kiis Wita Rahman, S.Kom 2 Belanja Rujukan Pasien/Jenasah (AMBULAN)
Penyediaan Jasa Komunikasi, Sumber Daya Air dan Listrik
Alfia Rizki Amalia, S. Kom 3
Pengembangan Sistem Pelayanan Kesehatan di Rumah Sakit

4
5 Penyediaan Jasa Administrasi Keuangan

6 Pendampingan BLUD
7 Pengelolaan Barang Milik Daerah
Penyelenggaraan Jaminan Kesehatan Masyarakat Daerah
8
staf PPTK Eko Winanti, S.Kep Ners
Puji Srimulyo Asih 1

Pendampingan Akreditasi KARS
2 Pendampingan ISO RSU
3
Pelayanan P3K di Rumah Sakit
4
Pelayanan Pemulasaraan Jenazah
5
Penyediaan Alat Rumah Tangga
6
Penyediaan Jasa Jaminan Pemeliharaan Pegawai
staf PPTK E.Lila Anggraini, SKM

Dwi Retno Kendono, SKM 1 Pengadaan Bahan Kesehatan Pakai Habis
2
Pengadaan Bahan Radiologi
Azma Zubaidah 3
Pengadaan Bahan Laboratorium
4 Pengadaan Gas Medis/Oksigen
5
Penyediaan Makanan dan Minuman (Pasien dan Karyawan)
6 Pengadaan Obat
)TA. 2016
PAGU staf PPTK
84,700,000 Ardhina Amalia, SKM
213,170,000
40,000,000
60,000,000
200,000,000
597,870,000
PAGU staf PPTK

1,800,000,000 Dewi Kustina
300,000,000
1,208,400,000
150,750,000
25,264,300,000
250,000,000
50,000,000
5,818,250,000
34,841,700,000
PAGU staf PPTK
143,420,000 Ika Ari Mundiyah, Amd

56,955,000
28,125,000
50,000,000
1,780,500,000
16,800,000
2,075,800,000
PAGU staf PPTK

6,873,800,000 Astutik
542,500,000 Hariah Akbar Yuliana D, A.Md.Gz
1,567,200,000 Lusiana Mestika Sari, SKM

1,708,000,000
1,334,000,000
11,916,800,000
23,942,300,000

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RINCIAN ANGGAR

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Belanja Tidak Langsung

Tambahan penghasilan beban kerja

Pendampingan Akreditasi KARS

Belanja Barang dan Jasa

Belanja Makanan dan Minuman

Belanja kursus/pelatihan sosia;isasi dan bimbingan teknis

Belanja Jasa Pihak Ketiga

Pendampingan ISO RSU

Belanja Barang dan Jasa

Belanja Makanan dan Minuman

Belanja kursus/pelatihan sosialisasi dan bimbingan teknis

Belanja Barang dan Jasa

Pengadaan Bahan Radiologi

Belanja Barang dan Jasa

Pengadaan Bahan Laboratorium

Belanja Barang dan Jasa

Pengadaan Gas Medis/Oksigen