RENCANA BISNIS DAN ANGGARAN

BADAN LAYANAN UMUM DAERAH PUSKESMAS LUBUK KILANGAN

PEMERINTAH KOTA PADANG
TAHUN ANGGARAN 2018

Urusan Pemerintahan : 1.02 KESEHATAN

Organisasi : 1.02.01 DINAS KESEHATAN

Program : 1.02.1.02.01.35 Peningkatan Pelayanan Kesehatan Masyarakat

Kegiatan : 1.02.1.02.01.35.01 Pelayanan Badan Layanan Umum Daerah (BL
Lokasi kegiatan : Puskesmas Lubuk Kilangan , Kecamatan Lubuk KIlangan Kelurahan 7, Pustu 4, Pos keskel 7
Jumlah Tahun n-1 : Rp. 2.757.316.600,-
Jumlah Tahun n : Rp. 2.757.316.600,-
Jumlah tahun n+1 : Rp. 2.757.316.600,-
Indikator dan Tolak Ukur Kinerja Belanja Langsung
Indikator Tolak Ukur Kinerja
Tercapainya pengembangan dan peningkatan pelayanan kesehatan masyarakat di
Capaian Program Puskesmas Lubuk Kilangan
Masukan Jumlah dana yang dibutuhkan
Keluaran Terlaksananya pelayanan kesehatan masyarakat di Puskesmas Lubuk Kilangan
Hasil Meningkatnya pelayanan kesehatan masyarakat di Puskesmas Lubuk Kilangan
Kelompok Sasaran kegiatan : Puskesmas Lubuk Kilangan, Pustu, Kecamatan,

Rincian Rencana Bisnis dan Anggaran Belanja Langsung

Menurut Program dan Per Kegiatan Badan Layanan Umum Daerah Puskesmas
Rincian Perhitungan
Kode Rekening Uraian
Volume Satuan

1 2 3 4
5 2 BELANJA LANGSUNG

5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD)

5 2 1 05 01 Belanja pegawai BLUD 20,000
5 2 1 01 02 a. Honorarium lembur PNS 3 org x 10 hari x 3 jam 90 jam
b. Honorarium lembur Non PNS 3 org x 5 hari x 3 jam 45 jam
Biaya makan lembur 45 kotak 45 kotak

5 2 2 Belanja Barang dan Jasa

Belanja Barang dan Jasa Badan Layanan Umum Daerah
5 2 2 31
( BLUD )
5 2 2 31 01 Belanja Barang dan Jasa BLUD
Belanja Barang dan Jasa Puskesmas Lubuk Kilangan
Belanja Bahan Pakai Habis
Belanja Alat Tulis Kantor
Amplop 2 ktk
Box File Besi 15 bh
Binder Clip no 111 3 pak
Binder Clip no 155 3 pak
Buku Tulis isi 100 36 bh
Buku Folio isi 100 36 bh
Buku Folio isi 200 12 bh
Buku Tulis isi 40 15 kodi
Buku agenda keluar/ masuk isi 100 2 bh
Buku exspedisi isi 100 6 bh
Bateray jam AAA 24 pak
Bateray kecil AA 24 pak
Bateray sedang 20 bh
Bateray Senter 50 bh
Bateray ukuran petak 60 bh
Belanja Kakulator casio 5 bh
Catridge Printer Warna 40 bh
Catridge Printer Hitam 100 bh
Flash Disk 32GB 3 bh
Flash Disk 16 GB 10 bh
Hekter No.10 24 bh
Hekter No.3 20 bh
Kertas HVS A4 70 gram 150 rim
Kertas HVS F4 70 gram 150 rim
Kertas HVS warna merah 1 rim
Kertas HVS warna kuning 1 rim
Kertas HVS warna hujau 1 rim
Kertas HVS warna biru 1 rim
Kertas Flip Chart 5 pak
Keranjang Status 4 bh
Lem Kertas glukol besar 2 bh
Lem Kertas 20 bh
Lakban Hitam 10 Rol
Lakban coklat 6 rol
Map Bisnis File 30 lsn
Map Biola 3 pak
Map Spring File 24 lsn
Map Plastik Kancing 100 lsn
Map Goby 24 pak
Map Goby tipis 120 bh
Map kertas stopmap 6 pak
Pisau Cutter besar 6 bh
Pelobang kertas 6 bh
Selotip 6 bh
Spidol Permanen 2 ktk
Spidol white board 1 ktk
Trigonal klip ZRN no 1 1 Ktk
Tip Ex Pena 15 bh
Tip ex Kertas 15 bh
Tinta blue Printer Hitam 80 btl
Tinta blue Printer Warna 20 bh
Tinta Stempel 10 bh

Belanja Alat Listrik dan Elektronik

Alat-alat Listrik
Bola Lampu 24 w 20 bh
Bola Lampu 20 w 20 bh
Bola Lampu 15 w 20 bh
Kabel 90 mtr

Belanja Perangko, Materai dan Benda Pos Lainnya

Materai 3000 700 bh
Materai 6000 800 bh

Belanja Peralatan Kebersihan dan Bahan Pembersih

Cairan Pembersih Kaca botol 24 btl

Cairan pemutih 15 btl
Canebo 3 bh
Cerek penyiram bungo 5 bh
Cairan pencuci piring 24 refil
Deterjen 6 kg
Detol cair 15 btl
Gunting sedang 10 bh
Handsoap Botol 20 btl
Handsoap Reffil 20 refil
Handuk Putih Kecil 5 lsn
Kantong Plastik menengah Kuning 5 pak
Kantong Plastik Menengah hitam 5 pak
Kantong Plastik Menengah Merah 5 pak
Kapur barus rajut 10 bh
Kantong Plastik utk pengiriman sputum 5 pak
Komoceng 20 bh
Kain pel lantai biru 10 bh
Kain pel putar/lobi 2 bh
Kain serbet silungkang 2 lsn
Kaset kaki welcome 5 bh
Kaset kaki karet lobang uk 60 x 40 cm 5 bh
Kaset kaki kain rajut 5 bh
Obat Nyamuk Semprot 6 bh
Plastik Sampah Hitam besar tebal 10 kg
Plastik putih uk 1 kg 1 kg
Pot bunga 6 lsn
Sapu lantai nagata tebal 10 bh
Sikat lantai kamar mandi tangkai panjang 8 bh
Serokan sampah 6 bh
Stella gantung 36 bh
Super pel 36 reffil
Wipol botol 800 ml 50 btl
Tisu gulung 50 glg
Tempat tisu gulung 20 bh
Tisu reffil 80 bgks
Vixal 30 btl

Belanja Bahan Bakar Minyak/Gas

Belanja bahan bakar Solar 60 ltr
Belanja bahan bakar Pertalite 450 ltr

Belanja pengisian tabung pemadam kebakaran

Pengisian APAR 1 tbg

Belanja pingisian tabung Gas

Belanja pingisian tabung Gas 3 tbg

Belanja Taplak Meja/Bendera/Umbul-umbul

Bendera 4 helai
Bendera panjang 9 m x 2m 5 hb
Taplak Meja 10 helai

Belanja Pengisian Tabung Oksigen

Pengisian Tabung Oksigen 28 tbg

Belanja Bahan/Material

Belanja bahan / Bibit Tanaman

Tanah dan bibit Bunga 1 pkt
Belanja Bahan Obat-Obatan

Alopurinol tab 100 mg 10,800 Tab

Aminofilin inj 24 mg/ml 18 Ampul
Aminofilin Tab 200 mg 900 Tab
Amitriptilin tab sal 25 mg 1,800 Tab sal
Amoksisilin drop 216
Amoksisilin sir forte 250 mg/5 ml 450 Botol
Amoksisilin sir kering 125 mg/5 ml 630 Botol
Antasida, kombinasi : aluminium hidroksida 200 mg + 36,000 Tab
magnesium hidroksida 200 mg
Antifungi salep, kombinasi : asam benzoat 6%+ asam 180 Tube
salisilat 3%
Antihemoroid, kombinasi: bismut subgalat 150 mg + 630 Botol
heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g

Asam asetilsalisilat (asetosal) 80 mg 1,800 Tab

Asam askorbat (vitamin C) tab 50 mg 72,000 Tab
Asam folat tab 1 mg 18,000 Tab
Asam mefenamat kaps 500 mg 45,000 Kaps
Asiklovir tab 200 mg 3,600 Tab
Atropin inj 0,25 mg/ml (i.m./i.v./s.k) 36 Ampul
Bedak salisil serb 2% 900 Botol
Betametason krim 0,5 mg/g 900 Tube
Bisakodil sup 10 mg 36 Botol
Bisakodil sup 5 mg 36 Botol
Bisakodil tab sal 5 mg 900 Tab sal
Deksametason inj 5 mg/ml (i.v./i.m.) 90 Vial
Deksametason tab 0,5 mg 63,000 Tab
Diazepam inj 5 mg/ml (i.v./i.m.) 36 Vial
Diazepam lar rektal 10 mg/2,5 ml 36 Botol
Diazepam lar rektal 5 mg/2,5 ml 36 Botol
Diazepam tab 2 mg 2,000 Tab
Diazepam tab 5 mg - Tab
Difenhidramin inj 10 mg/ml (i.v./i.m.) 36 Ampul
Digoksin tab 0,25 mg 180 Tab
Dimenhidrinat tab 50 mg 180 Tab
Domperidon susp 5 mg/5 ml 180 Botol
Domperidon tab 10 mg 1,800 Tab
Enoksaparin sodium inj 20 mg/0,2 ml - Ampul
Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) 36 Ampul
Epinefrin (adrenalin) inj 1 mg/ml 36 Ampul
Eritromisin kaps 250 mg 1,800 Kaps
Eritromisin sir 200 mg/5 ml 180 Botol
Eritromisin tab 500 mg 2,700 Tab
Etanol 70% 100 ml 54 Botol
Etil klorida semprot 100 ml 72 Botol
Eugenol 18 Botol
Fenitoin Na inj 100 mg/2 ml - Ampul
Fenitoin Na inj 50 mg/ml - Ampul
Fenitoin Na kaps 100 mg 540 Kaps
Fenitoin Na kaps 30 mg - Kaps
Fenobarbital tab 100 mg 900 Tab
Fenobarbital tab 30 mg 900 Tab
Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) 90 Vial
Fitomenadion (vitamin K 1) tab sal 10 mg 3,600 Tab sal
Furosemid tab 40 mg 540 Tab
Glimepirid tab 1 mg 3,600 Tab
Glimepirid tab 2 mg 1,800 Tab
Glukosa Larutan Infus 10% steril 100 ml 18 Botol
Glukosa Larutan Infus 10% steril 500 ml 18 Botol
Glukosa Larutan Infus 5% steril 100 ml 18 Botol
Haloperidol tab 1,5 mg 1,800 Tab
Hidroklorotiazid tab 25 mg 360 Tab
Ibuprofen sir 100 mg/5 ml 180 Botol
Isoniazid tab 300 mg 1,800 Tab
Isosorbid dinitrat tab 5 mg 180 Tab
Kaptopril tab 12,5 mg 3,600 Tab
Kaptopril tab 25 mg 1,800 Tab
Karbamazepin tab 100 mg 180 Tab
Karbogliserin tts telinga 10 % 216 Botol
Klindamisin kaps 150 mg 18,000 Kaps
Klindamisin kaps 300 mg 45,000 Kaps
Kloramfenikol tetes telinga 3% 270 Botol
Kloramfenikol tts mata 0,5% 180 Botol
Klorpromazin tab sal 100 mg 1,800 Tab sal
Kodein tab 10 mg 180 Tab
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 1,800 Tab
400 mg+ trimetoprim 80 mg
Lidokain gel 2% 18 Tube
Loperamid tab 2 mg 1,800 Tab
Loratadin tab 10 mg 5,400 Tab
Metformin tab 500 mg 10,800 Tab
Metilprednisolon tab 4 mg 18,000 Tab
Metoklopramid tab 10 mg 1,800 Tab
Nifedipin kaps 10 mg 360 Kaps
Parasetamol sir 120 mg/5 ml 900 Botol
Pirantel pamoat tab 500 mg 450 Tab
Piridoksin (vitamin B6) tab 10 mg 36,000 Tab
Povidon iodin lar 100 mg/ml 36 Botol 30 ml
Ranitidin tab 150 mg 36,000 Tab
Setirizin sir 5 mg/5 ml. 180 Botol
Simvastatin tab sal 10 mg 18,000 Tab sal
Tiamin (vitamin B1) tab 50 mg 90,000 Tab
Triheksifenidil tab 2 mg 1,800 Tab
Vitamin B kompleks 90,000 Tab
Zinc tab disp 20 mg 5,400 Tab
NON FORNAS
AMBROKSOL TABLET 30 MG 90,000
AMBROKSOL SYRUP 900
OKSITETRASKILIN SALEP KULIT 900
GLISERIL GUAIKOLAT 90,000
DUMIN SUPOST 10
STESOLID SUPOST 10
VENTOLIN NEBU 5
BIOPLACENTON 12
THROMBOPHOP GEL 12
BALSEM CAP LANG 6
MINYAK KAYU PUTIH 12
NATRIUM DIKLOFENAK KREAM 12
RANITIDIN INJ 100

PERBEKALAN KESEHATAN/BMHP
ALKOHOL SWAB 450 KTK
BLOOD LANCET 10
INFUSET ANAK inracat 36 PCS
INFUSET DWASA intracat 36 PCS
KAPAS 250 MG 180 BKS
KASA 16X16 - ROL
KASA 40X40 540 ROL
KASA 40X80 - ROL
LEUKOPLAST 90 ROL
MASKER 9,000 PCS
HANSDCOON NON STERIL M 18,000 PCS
HANSDCOON NON STERIL L 18,000 PCS
HANSDCOON STERIL 6,5 9,000 PCS
HANSDCOON STERIL 7 900 PCS
IODIUM POVIDON 36 BTL/60ML
RIVANOL 90 BTL/60ML
MASKER 60 PCS
PLESTERIN BULAT PCS
SYRINGE DISPOSIBLE 1 ML 0 PCS
SYRINGE DISPOSIBLE 2,5 ML 900 PCS
SYRINGE DISPOSIBLE 3 ML 5400 PCS
SYRINGE DISPOSIBLE 5 ML 900 PCS
SYRINGE DISPOSIBLE 10 ML 0 PCS
MASKER 0 PCS

BAHAN LABOR
HAEMOGLOBIN STRIP 40 kotak
LARUTAN BENEDIC - BTL/100 ML
LARUTAN KOH 10% 2 BTL/100 ML
LAUTAN NA.CITRAT 3,13 % 1 BTL/100 ML
LARUTAN HCL 0.1 N 1 BTL/100 ML
LARUTAN BARIUM CHLORIDA 10 % 1 BTL/100 ML
LARUTAN TURK 1 BTL/100 ML
LARUTAN HAYEM 1 BTL/100 ML
Larutan asaam sulfosalisilat 20 % 1 btl/500 ML
LARUTAN EOSIN 1 BTL/100 ML
LARUTAN FOUCHET 1 btl/500 ML
LARUTAN PEWARNA MDT 3 WARNA 3X100 ML
LARUTAN ERLICH 2 % - btl/500 ML
LARUTAN EMERSI OIL 10 BTL/50 ML
LARUTAN GIMSA - BTL/100 ML
LARUTAN EDTA - BTL/100 ML
LARUTAN REES ECKER 1 btl/500 ML
REAGEN KONTROL HAEMATOLOGI 9
REAGEN KONTROL FOTOMETER 9
REAGEN DILUENT 5
REAGEN LISE 5
REAGEN CLEANER 5
STRIP KOLESTEROL EASYTOUCH 300
STRIP ASAM URAT EASYTOUCH 200
STRIP GLUKOSA AUTO EASYTOUCH 200
STRIP KOLESTEROL / AUTO CHEK 400
STRIP ASAM URAT AUTO CHEK 400
STRIP GLUKOSA AUTO CHEK & EASYTOUCH 400
TABUNG EDTA UNGU 500
TABUNG TUTUP MERAH 1,000
YELOW TIP 10
BLUE TIP 10
BMHP GIGI
CAVITON WHITE 8 Botol
SOLARE ANTERIOR 2 Botol
FUJI IX 12 Botol
BOR DIAMOND FG SET 6 MEISNGER PCS
ANAESTESI TOPIKAL 18 Botol
COTON ROLL 5 pak
Eugenol 3 Botol
BAYCLIN 1000 ML 30 Botol
TAMBALAN LIGHT CURING
Belanja Bahan Habis Pakai Umum
Autochek Asam Urat 25 ktk
Autocheck GDR 25 ktk
Autochek Klosterol 30 ktk
Cleaner 1 pkt
Easytouch GDR 30 ktk
Easytouch Asam Urat 50 ktk
Easytouch Klosterol 50 ktk
Reagen kontrol hematologi 6 btl
Reagen kontrol Fotometer 2 btl
Reagen HumaSens Asam Urat 5 ktk
Reagen HumaSens GDR 4 ktk
Reagen HumaSens Klosterol 5 ktk
Fotometer Glukosa 1000 ml 1 btl
Fotometer Cholesterol 1000 ml 1 btl
Fotometer Uric acid 1000 ml 1 btl
Eter alkohol 1 ktk
Stip Urine 7 parameter 6 ktk
Stik Hb ( Hemosmart ) 50 ktk
Antiseptic handrub 500ml ( reffil ) 40 btl
Alkohol swab 39 ktk
Blue tip 1 ktg
Chlor Ethyl 12 btl
EKG Merk Fukuda ( Ekg Paper) 63 mm 6 glg
Gel USG 300 ml 12 btl
Infus set Anak 4 set
Infus set Dewasa 15 set
Kaca mata persalinan 2 pcs
Kertas Haemotologi Analizer 4 glg
Kertas Fotometer 4 glg
Kertas Perkamen 10 pak
Lanset darah 24 ktk
Plasterin 25 ktk
Yelloe tip 1 ktg
Akvocare 12 G Depro 1 btl
Albothyl 30 ml 2 btl
Cotton Roll 1 bgks
Cal lc 2 btl
Composit resin ( bahan tambal sinar A3 ) 1 btl
Cavitron 3 btl
Etching 1 btl
Fuji IX GP 1-1 A3 2 btl
Microbrush Svenska 1 pak
Mata bour hight speed besar 2 set
Mata Bur Polish (Putih) 3 pcs
Hand scooen / sarung tangan non sterll 70 kotak

Belanja Perlengkapan Pasien

Laken, Sarung Bantal, Celemek plastik 1 pkt

Belanja bahan pendukung kegiatan

Pembelian plastik obat uk 7 x10 40 pk
Pembelian plastik obat uk 8,7 x11 5 pk
Pembelian plastik obat uk 10 x 15 5 pk
Pembelian plastik kecil bening 5 kg
Sendok obat 20 kantong
Sepatu bot 2 psg

Belanja Jasa Kantor

Belanja Telepon 12 bln
Belanja Air 12 bln
Belanja Listrik 12 bln
Belanja Koran / Manjalah 12 bln
Belanja kawat/faksimili/internet
Belanja berlangganan aplikasi e puskesmas 12 pkt
Belanja Kontrak kerja Sampah Medis ( MOU ) 1 kl

Belanja Servis Perlengkapan dan Peralatan Kantor

Servis Laptop, Komputer dan Printer 20 kl
Belanja Suku Cadang 10 pkt
Belanja Hardisk 3 bh
Belanja Mouse, Keyboard 10 pkt
Belanja Servis AC 8 kl
Belanja Suku Cadang AC 8 pkt

Belanja Jasa Publikasi

Spanduk 35 bh
Leaflet 40 rim

Belanja transportasi / Uang saku

Mengantar pasien TB MDR ke Bukittinggi
Gol III 6 kl
Gol II 6 kl

Kaji Banding dalam daerah dalam propinsi

Kaji Banding 1 pkt
Gol III 20 org
Gol II 10 org
Gol IV 4 org
Transport 34 org
Kaji Banding Luar Daerah Luar Propinsi
Tiket Pesawat PP 4 org
Biaya Transpor Darat 1 pkt

Eselon II ( 1 org x 1kali x 5 hr )

Uang harian 5 hr
Uang Penginapan 4 malam
Belanja Presentatif 5 hr
Taxi 1 pkt

Eselon IV / Gol IV ( 2 org x 1 hr x 5 hr )

Uang harian 10 hr
Uang Penginapan 8 malam
Taxi 2 pkt

Golongan III ( 1 org x 1 kali x 5 hr )

Uang harian 5 hr
Uang Penginapan 4 malam
Biaya taxi 1 pkt

Belanja jasa Keamanan

Jaga Malam 13 Bln

Belanja Pemeliharaan Alat Kedokteran/Laboratorium

Perbaikan dan servis alat kedokteran/labor 1 pkt

Belanja honor pejabat seleksi penerimaan pegawai

Penanggung jawab 1 org x 2 hr 2 kegiatan
Sekretaris 1 org x 2 hr 2 orang
Anggota 5 org x 2 hr 10 orang
Sekretariat 1 org x 2 hr 2 orang

Pakaian harian tertentu

Belanja Baju kaus olah raga 65 org
Celana Trening Olah raga 65 org

Belanja jasa biaya Non Kapitasi

Jasa Pelayanan Non Kapitasi
a. Pemeriksaan IVA 440 ls
b. Pemeriksaan ANC 100 ls
c. Pemeriksaan PNC 90 ls
d. Pesalinan 25 ls
e. Pemasangan dan pencabutan KB IUD/Implant 105 ls
f. KB suntik 250 ls

Belanja jasa administrasi Perkantoran

Belanja kontrak Pegawai D III Akuntansi 10 bln
Belanja kontrak Pegawai Administrasi 20 bln

Belanja jasa tukang/ buruh

Belanja jasa tukang 10 hr
Belanja jasa buruh 10 hr

Belanja Jasa Tenaga Kesehatan

Belanja Kontrak Dokter 30 bln
Belanja Tenaga Lab. 10 bln
Belanja Tenaga Rekamedis 10 bln

Belanja Perawatan Kendaraan Bermotor

 Belanja Servis 1 paket
Belanja Penggantian Suku Cadang 1 Paket

Belanja cetak dan penggandaan

Belanja Cetak 1 Paket
Belanja Penggadaan
Biaya Jilid 1 Paket
Biaya Fotocopy 1 Paket
Biaya Laminating 1 Paket

Belanja sewa Pemusnahan Sampah Medis

Sewa Pemusnahan sampah medis 300 kg

Belanja makanan dan minum

Belanja makanan dan minum tamu 1 paket
Belanja makanan dan minum sosialisasi penatausahaan
15 org
keuangan
Makan minum kegiatan SAK 5 x Rp.30.000 x 4 hari 4 kali
Makan minum kegiatan prolanis 20 org x 10.000 45 paket
Snack kegiatan SAK 5 org x 2 kali x 20.000 x 4 hari 40 kotak

Belanja Kursus , Pelatihan, Sosialisasi dan Bimbingan Teknis

PNS, Nara sumber

Belanja Kepesertaan 1 paket

Nara sumber
Honor Nara Sumber 5 org
Honor Nara Sumber SAK 8 kali
Jasa Instruktur senam prolanis 100 kali
Jasa Instruktur senam puskesmas 65 kali
Honor Nara Sumber edukasi prolanis 21 kali

Belanja jasa pelayanan

5 2 3 BELANJA MODAL
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah (BLUD)
5 2 3 41 01 Belanja Modal Peralatan Kantor
Belanja Mesin Antrian 1 unit
Belanja Mesin Penghancur Kertas 1 unit
Audio Visual Sefety Breyaving 1 unit
Belanja Kursi direktur 2 unit
Belanja Kursi Futura 65 bh
Belanja modal Menggadaan
Belanja Modal Menggadaan AC/Kipas Angin
Belanja Kipas Angin 9 unit
Belanja AC 1 Pk Panasonic 2 unit
Belanja AC 3/4 Pk Panasonic 2 unit

Belanja Modal Pengadaan Peralatan Dapur

Kulkas Rumah Tangga

Belanja Modal Pengadaan Mobiller

Belanja modal pengadaan lemari 2 Pintu
Belanja modal pengadaan lemari
Belanja Modal Lemari Kompresor
Belanja modal lemari Almunium 7 bh
Belanaja Modal Meja 1/2 biro 5 bh

Belanja Modal komputer, Laptop dan Printer

Belanja Laptop 2 bh
Belanja Komputer 10 bh
Belanja Printer 7 bh

Belanja Modal pengadaan Pemeliharaan

Belanja Modal Pemeliharaan Aliran Wastapel 5 unit
Belanja Modal Wallpaper 1 pkt
Belanja Pemeliharaan Gedung 1 pkt

Belanja Modal Pengadaan Alat-Alat Kedokteran

 Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi

JUMLAH

Kepala Dinas Kesehatan Kota Padang

dr. Ferimulyani Hamid, M.Biomed

NIP. 19670219 200212 2001
 Formulir
RBA-BLUD PUSKESMAS

anan Kesehatan Masyarakat

Layanan Umum Daerah (BLUD)

Target Kinerja

12 bulan

: Rp. 2.757.316.600,-
1 paket
12 bulan
k Kilangan, Pustu, Kecamatan, Kelurahan
1927360000
anja Langsung
Umum Daerah Puskesmas
Rincian Perhitungan
Jumlah
Harga Satuan

5 6 = (3 x 5)
2,757,316,600.00 1,927,360,000
(829,956,600)

2,450,000 2,430,000.00 1,927,340,000.00

12,000.00 1,080,000.00
8,000.00 360,000.00
30,000.00 1,350,000.00

1,726,392,920.00 1,726,392,920.00
2,925,823,174.00
2,925,823,174.00 4,400,705,728.00 barang & jasa
1,450,940,620.00
 1,474,882,554.00 (1,199,430,254.00) sisa
97,183,910.00 97,183,910.00
18,000.00 36,000.00
135,000.00 2,025,000.00
98,600.00 295,800.00
126,000.00 378,000.00
10,800.00 388,800.00
24,000.00 864,000.00
42,000.00 504,000.00
67,200.00 1,008,000.00
25,200.00 50,400.00
13,200.00 79,200.00
39,600.00 950,400.00
98,400.00 2,361,600.00
6,500.00 130,000.00
6,500.00 325,000.00
9,000.00 540,000.00
80,000.00 400,000.00
320,650.00 12,826,000.00
260,150.00 26,015,000.00
163,350.00 490,050.00
108,900.00 1,089,000.00
17,000.00 408,000.00
41,000.00 820,000.00
50,000.00 7,500,000.00
50,000.00 7,500,000.00
50,000.00 50,000.00
50,000.00 50,000.00
50,000.00 50,000.00
50,000.00 50,000.00
75,000.00 375,000.00
10,000.00 40,000.00
7,880.00 15,760.00
10,000.00 200,000.00
16,800.00 168,000.00
16,800.00 100,800.00
60,000.00 1,800,000.00
100,000.00 300,000.00
86,400.00 2,073,600.00
68,000.00 6,800,000.00
322,200.00 7,732,800.00
19,500.00 2,340,000.00
144,000.00 864,000.00
 8,500.00 51,000.00
42,350.00 254,100.00
12,500.00 75,000.00
84,700.00 169,400.00
102,850.00 102,850.00
36,300.00 36,300.00
8,470.00 127,050.00
10,000.00 150,000.00
60,000.00 4,800,000.00
61,200.00 1,224,000.00
20,000.00 200,000.00

6,450,000.00 6,450,000.00
6,450,000.00
95,000.00 1,900,000.00
85,000.00 1,700,000.00
75,000.00 1,500,000.00
15,000.00 1,350,000.00

` 6,900,000.00 6,900,000.00
3,000.00 2,100,000.00
6,000.00 4,800,000.00

20,729,850.00 20,729,850.00
20,729,850.00
10,000.00 240,000.00
15,000.00 225,000.00
60,000.00 180,000.00
90,750.00 453,750.00
22,200.00 532,800.00
31,800.00 190,800.00
18,150.00 272,250.00
114,000.00 1,140,000.00
42,600.00 852,000.00
34,200.00 684,000.00
179,400.00 897,000.00
35,000.00 175,000.00
35,000.00 175,000.00
35,000.00 175,000.00
23,400.00 234,000.00
15,000.00 75,000.00
26,400.00 528,000.00
90,750.00 907,500.00
 250,000.00 500,000.00
54,450.00 108,900.00
54,450.00 272,250.00
60,500.00 302,500.00
50,000.00 250,000.00
45,000.00 270,000.00
65,000.00 650,000.00
32,000.00 32,000.00
600,000.00 3,600,000.00
74,400.00 744,000.00
42,350.00 338,800.00
30,250.00 181,500.00
18,800.00 676,800.00
20,000.00 720,000.00
30,000.00 1,500,000.00
10,000.00 500,000.00
12,500.00 250,000.00
16,200.00 1,296,000.00
20,000.00 600,000.00

3,990,000.00 3,990,000.00
6,500.00 390,000.00
8,000.00 3,600,000.00

285,000.00 285,000.00
285,000.00 285,000.00

480,000.00 480,000.00
160,000.00 480,000.00

5,850,000.00 5,850,000.00
150,000.00 600,000.00
950,000.00 4,750,000.00
50,000.00 500,000.00

1,960,000.00 1,960,000.00
70,000.00 1,960,000.00

339,528,022.00 339,528,022.00

2,000,000.00
2,000,000.00 2,000,000.00
 243,066,372.00 243,066,372.00
243,066,372.00
113 1,220,400.00
4,100 73,800.00
128 115,200.00
163 293,400.00
5,000 1,080,000.00
5,000 2,250,000.00
5,000 3,150,000.00
219
7,884,000.00

2,350
423,000.00

2,700
1,701,000.00

130 234,000.00
44 3,168,000.00
92 1,656,000.00
238 10,710,000.00
655 2,358,000.00
1,710 61,560.00
1,931 1,737,900.00
-
-
-
-
-
-
-
-
-
44 88,000.00
-
1,296 46,656.00
194 34,920.00
130 23,400.00
17,078 3,074,040.00
545 981,000.00
-
-
-
681 1,225,800.00
 10,935 1,968,300.00
1,256 3,391,200.00
6,000 324,000.00
125,000 9,000,000.00
-
-
-
165 89,100.00
-
494 444,600.00
200 180,000.00
2,350 211,500.00
919 3,308,400.00
138 74,520.00
1,028 3,700,800.00
1,936 3,484,800.00
7,731 139,158.00
7,000 126,000.00
6,831 122,958.00
112 201,600.00
50 18,000.00
4,725 850,500.00
145 261,000.00
131 23,580.00
122 439,200.00
186 334,800.00
333 59,940.00
1,600 345,600.00
689 12,402,000.00
1,017 45,765,000.00
2,160 583,200.00
3,375 607,500.00
180 324,000.00
635 114,300.00
223
401,400.00

200,000 3,600,000.00
124 223,200.00
450 2,430,000.00
246 2,656,800.00
595 10,710,000.00
149 268,200.00
175 63,000.00
 3,105 2,794,500.00
420 189,000.00
101 3,636,000.00
3,240 116,640.00
297 10,692,000.00
5,000 900,000.00
1,155 20,790,000.00
110 9,900,000.00
56 100,800.00
110 9,900,000.00
642 3,466,800.00

169 15,210,000.00
4,455 4,009,500.00
2,261 2,034,900.00
50 4,500,000.00
9,000 90,000.00
9,000 90,000.00
6,000 30,000.00
15,000 180,000.00
65,000 780,000.00
6,000 36,000.00
6,000 72,000.00
30,000 360,000.00
3,500 350,000.00

113,949,000.00 113949000
9,545 4,295,250.00
13,905 139,050.00
3,800 136,800.00
4,100 147,600.00
54,560 9,820,800.00
-
1,600 864,000.00
-
-
330 2,970,000.00
583 10,494,000.00
583 10,494,000.00
6,985 62,865,000.00
6,985 6,286,500.00
9,000 324,000.00
3,300 297,000.00
 -
-
-
650 585,000.00
650 3,510,000.00
800 720,000.00
-
-

611,274,400.00 611274400
275,000.00 11,000,000.00
-
200,000 400,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 200,000.00
200,000 -
200,000 -
200,000 2,000,000.00
-
-
250,000 250,000.00
780,000 7,020,000.00
800,000 7,200,000.00
200,000 1,000,000.00
1,100,000 5,500,000.00
450,000 2,250,000.00
203,000 60,900,000.00
106,000 21,200,000.00
106,000 21,200,000.00
163,636 65,454,400.00
127,273 50,909,200.00
122,727 49,090,800.00
200,000 100,000,000.00
200,000 200,000,000.00
165,000 1,650,000.00
265,000 2,650,000.00
 14,311,000.00 14311000
140,000 1,120,000.00
198,000 396,000.00
710,000 8,520,000.00
185,000 -
200,000 3,600,000.00
45,000 225,000.00
40,000 120,000.00
11,000 330,000.00
 78,611,650.00 24,775,000.00
140,000.00 3,500,000.00
135,000.00 3,375,000.00
180,000.00 5,400,000.00
2,420,000.00 2,420,000.00
145,800.00 4,374,000.00
151,875.00 7,593,750.00
257,600.00 12,880,000.00
807,400.00 4,844,400.00
980,000.00 1,960,000.00
170,000.00 850,000.00
170,000.00 680,000.00
170,000.00 850,000.00
1,270,500.00 1,270,500.00
1,936,000.00 1,936,000.00
1,730,300.00 1,730,300.00
250,000.00 250,000.00
100,000.00 600,000.00
100,000.00 5,000,000.00
75,300.00 3,012,000.00
 50,000.00 1,950,000.00
50,000.00 50,000.00
45,000.00 540,000.00
50,000.00 300,000.00
75,000.00 900,000.00
15,000.00 60,000.00
15,000.00 225,000.00
200,000.00 400,000.00
50,000.00 200,000.00
50,000.00 200,000.00
30,000 300,000.00
97,200.00 2,332,800.00
25,000.00 625,000.00
25,000.00 25,000.00
286,000.00 286,000.00
35,000.00 70,000.00
49,500.00 49,500.00
203,500.00 407,000.00
275,000.00 275,000.00
154,000.00 462,000.00
180,000.00 180,000.00
781,000.00 1,562,000.00
165,000.00 165,000.00
407,000.00 814,000.00
50,000.00 150,000.00
50,820.00 3,557,400.00

8,925,000.00 8,925,000.00
2,000,000.00 2,000,000.00

6,925,000.00
100,000.00 4,000,000.00
130,000 650,000.00
150,000 750,000.00
65,000 325,000.00
50,000 1,000,000.00
100,000 200,000.00 1,474,882,554.00
103,386,650.00
87,150,000.00 87,150,000.00
800,000.00 9,600,000.00
800,000.00 9,600,000.00
5,000,000.00 60,000,000.00
100,000 1,200,000.00
 -
550,000.00 6,600,000.00
150,000.00 150,000.00

37,500,000.00 37,500,000.00
500,000.00 10,000,000.00
900,000.00 9,000,000.00
1,000,000.00 3,000,000.00
350,000.00 3,500,000.00
500,000.00 4,000,000.00
1,000,000.00 8,000,000.00

31,500,000.00 31,500,000.00
300,000.00 10,500,000.00
525,000.00 21,000,000.00

71,080,000.00 71,080,000.00 Transport

3,300,000.00
300,000.00 1,800,000.00
250,000.00 1,500,000.00

33,830,000.00
300,000.00 6,000,000.00
250,000.00 2,500,000.00
350,000.00 1,400,000.00
145,000.00 4,930,000.00

4,000,000.00 16,000,000.00
3,000,000.00 3,000,000.00

13,250,000.00
1,200,000.00 6,000,000.00
1,250,000.00 5,000,000.00
350,000.00 1,750,000.00
500,000.00 500,000.00

13,800,000.00
600,000.00 6,000,000.00
850,000.00 6,800,000.00
500,000.00 1,000,000.00

6,900,000.00
 600,000.00 3,000,000.00
850,000.00 3,400,000.00
500,000.00 500,000.00

13,650,000.00 13,650,000.00
1,050,000.00 13,650,000.00

10,000,000.00 10,000,000.00
10,000,000.00 10,000,000.00

3,800,000.00 3,800,000.00
400,000.00 800,000.00
350,000.00 700,000.00
200,000.00 2,000,000.00
150,000.00 300,000.00

39,000,000.00 39,000,000.00
250,000.00 16,250,000.00
350,000.00 22,750,000.00

50,000,000.00 50,000,000.00
50,000,000.00
25,000.00 11,000,000.00
50,000.00 5,000,000.00
25,000.00 2,250,000.00
700,000.00 17,500,000.00
100,000.00 10,500,000.00
15,000.00 3,750,000.00

42,000,000.00 42,000,000.00
2,100,000.00 21,000,000.00
1,050,000.00 21,000,000.00

2,494,420.00 2,494,420.00
151,190.00 1,511,900.00
98,252.00 982,520.00

96,000,000.00 96,000,000.00
2,500,000.00 75,000,000.00
1,050,000.00 10,500,000.00
1,050,000.00 10,500,000.00

14,000,000.00 14,000,000.00
 5,000,000.00 5,000,000.00
9,000,000.00 9,000,000.00

60,481,500.00 60,481,500.00
46,000,000.00 46,000,000.00
14,481,500.00 14,481,500.00
10,481,500.00 10,481,500.00

4,000,000.00 4,000,000.00
-
7,500,000.00 7,500,000.00
25,000.00 7,500,000.00

12,150,000.00 12,150,000.00
1,000,000.00 1,000,000.00

50,000.00 750,000.00

150,000.00 600,000.00
200,000.00 9,000,000.00
20,000.00 800,000.00

5,000,000.00
5,000,000.00
5,000,000.00 5,000,000.00

44,650,000.00 44650000
500,000.00 2,500,000.00
500,000.00 4,000,000.00
200,000.00 20,000,000.00
150,000.00 9,750,000.00
400,000.00 8,400,000.00

822,984,700.00 822,984,700.00
1,450,940,620.00

198,517,080.00
68,750,000.00 129,767,080.00
53,750,000.00
10,000,000.00 10,000,000.00
5,000,000.00 5,000,000.00
15,000,000.00 15,000,000.00
500,000.00 1,000,000.00
350,000.00 22,750,000.00
-

-
 -

1,927,360,000.00

Padang, Maret 2018

Kepala Puskesmas Lubuk Kilangan

Ns. Hj. Linda Hasmi, S.Kep

NIP. 19670420 198712 2 003
Barang dan Jasa

2,430,000.00
87,150,000.00
37,500,000.00

31,500,000.00

71,080,000.00
13,650,000.00

10,000,000.00

3,800,000.00

39,000,000.00

50,000,000.00

42,000,000.00

2,494,420.00

96,000,000.00

14,000,000.00
 73570000
13931500

500000
6900000

1000000

5500000

820944000
1,422,949,920.00
772384700
600000
772984700