Mengetahui,
Pimpinan Puskesmas
Mengetahui,
Pimpinan Puskesmas
Mengetahui,
Pimpinan Puskesmas
Mengetahui,
Pimpinan Puskesmas
Mengetahui,
Pimpinan Puskesmas
Dr. Hj. Desty Aryani, M.Kes
NIP 196306271989032003
Mengetahui,
Pimpinan Puskesmas
8 9 16,350,000
-6,000,000 0 3,980,000
0 0 12,370,000
-18,970,000 0
0 0
0 0
-26,150,000 0
-1,300,000 0
-100,000 0
-1,080,000 0
-680,000 0
-18,870,000 0
-15,150,000 0
-120,350,000 0
-208,650,000 0
Palembang, 31 Januari 2016
Pejabat Pengelola Keuangan BOK
8 9
-3,260,000 0
0 0
-19,370,000 0
0 0
0 0
-26,150,000 0
-1,500,000 0
-100,000 0
-1,200,000 0
-680,000 0
-18,360,000 0
-15,030,000 0
-119,880,000 0
-205,530,000 0
8 9
-6,000,000 0
0 0
-18,720,000 0
0 0
0 0
25,020,000 0
-1,200,000 0
-200,000 0
-1,200,000 0
-680,000 0
-20,250,000 0
-15,150,000 0
#NAME? 0
#NAME? 0
8 9
#VALUE! 0
0 0
649,996 0
0 0
0 0
32,950,000 0
300,000 0
0 0
-27,300,000 0
-1,500,000 0
-200,000 0
-570,000 0
#NAME? 0
#NAME? 0
Palembang, 31 Maret 2016
Pejabat Pengelola Keuangan BOK
8 9
-27,300,000 0
0 0
450,000 0
0 0
0 0
2,069,996 0
300,000 0
0 0
0 0
0 0
0 0
630,000 0
#NAME? 0
#NAME? 0
8 9
-77,750,004 0
0 0
650,000 0
0 0
0 0
52,320,000 0
300,000 0
0 0
0 0
0 0
0 0
630,000 0
#NAME? 0
#NAME? 0
8 9
-77,750,004 0
0 0
650,000 0
0 0
0 0
52,320,000 0
300,000 0
0 0
0 0
0 0
0 0
630,000 0
#NAME? 0
#NAME? 0
8 9
-77,750,004 0
0 0
650,000 0
0 0
0 0
52,320,000 0
300,000 0
0 0
0 0
0 0
0 0
630,000 0
#NAME? 0
#NAME? 0
Mengetahui,
Pimpinan Puskesmas
Mengetahui,
Pimpinan Puskesmas
8 9 12,990,000
-6,000,000 0 2,630,000
0 0 10,360,000
-19,370,000 0
0 0
0 0
-26,150,000 0
-1,500,000 0
-100,000 0
-1,200,000 0
-680,000 0
-18,870,000 0
-15,780,000 0
-122,360,000 0
-212,010,000 0
Palembang, 2016
Pejabat Pengelola Keuangan BOK
Palembang, 2016
Pejabat Pengelola Keuangan BOK
8 9
2,740,000 0
0 0
650,000 0
0 0
0 0
53,470,000 0
300,000 0
100,000 0
0 0
0 0
1,890,000 0
1,380,000 0
#NAME? 0
#NAME? 0
Palembang, 2016
Pejabat Pengelola Keuangan BOK
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2
5 2 2 01 Belanja Bahan Pakai Habis
5 2 2 01 01 Belanja Alat Tulis Kantor
5 2 2 06 02 Belanja Penggandaan
Belanja Pengadaan Fashdisk 1 GB 1
5 2 2 06 03 Belanja Fotocopy
5 2 2 06 03 Belanja Penjilidan
Jumlah
Palembang,
Plt.Kepala Puske
#REF!
#REF!
1,150,000
OB 350,000 350,000
OB 300,000 300,000
OB 250,000 500,000
-
#REF!
#REF!
100,000
bh 100,000 100,000
#REF!
1,380,000
#REF!
10,360,000
OH 40,000 1,280,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,280,000
OH 40,000 80,000
OH 40,000 1,040,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 840,000
OH 40,000 560,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,040,000
OH 40,000 400,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 80,000
OH 40,000 40,000
12,990,000
Palembang,
Plt.Kepala Puskesmas Merdeka
1,280,000
80,000
80,000
80,000
80,000
80,000
80,000
1,280,000
80,000
1,040,000
40,000
80,000
800,000
80,000
40,000
80,000
40,000
840,000
560,000
40,000
160,000
80,000
LEMBAR KERJA PUSKESMAS MERDEKA
Rincian Anggaran Belanja Langsung
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2 06 02 Belanja Penggandaan
Belanja Pengadaan Fashdisk 1 GB 1
5 2 2 06 03 Belanja Fotocopy
5 2 2 06 03 Belanja Penjilidan
Jumlah
Palembang,
Plt.Kepala Puskesm
#REF!
2,740,000 2,740,000
bh 40,000 440,000
bh 30,000 720,000
bh 20,000 240,000
bh 3,000 18,000
bh 15,000 90,000
bh 10,000 60,000
ktk 50,000 50,000
bh 15,000 15,000
bh 3,500 7,000
bh 20,000 300,000
bh 114,286 800,000
#REF!
1,150,000
OH 350,000 350,000
OH 300,000 300,000
OH 250,000 500,000
-
#REF!
#REF!
100,000 100,000
bh 100,000 100,000
2,640,000 2,640,000
1,890,000
750,000
12,840,000 12,840,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 600,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,560,000
OH 40,000 1,280,000
OH 40,000 200,000
OH 40,000 40,000
OH 40,000 2,640,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 840,000
OH 40,000 560,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 320,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 400,000
OH 40,000 200,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 40,000
19,470,000 19,470,000
-
Palembang,
Plt.Kepala Puskesmas Merdeka
5 2 2 06 02 Belanja Penggandaan
5 2 2 06 03 Belanja Penjilidan
Jumlah
Palembang,
Plt.Kepala Puskesma
650,000
bh 5,000 250,000
bh 500 400,000
1,150,000
OB 350,000 350,000
OB 300,000 300,000
OB 250,000 500,000
-
300,000
bh 100,000 100,000
bh 100,000 200,000
1,380,000
630,000
12,120,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,280,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 1,320,000
OH 40,000 2,640,000
OH 40,000 240,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 240,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 320,000
OH 40,000 840,000
OH 40,000 560,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 400,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 80,000
OH 40,000 40,000
16,350,000
alembang,
lt.Kepala Puskesmas Merdeka
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2 Belanja Barang Jasa
5 2 2 01 Belanja Bahan Pakai Habis
5 2 2 01 01 Belanja Alat Tulis Kantor
ATK Lokakarya mini puskesmas tribulanan
Pena (30 org x 2 keg) 30
Notebook (30 org x 2 keg) 30
Map plastik (30 org x 2 keg) 30
Mistar (30 org x 2 keg) 30
5 2 2 06 02 Belanja Penggandaan
5 2 2 06 03 Belanja Penjilidan
Jumlah
Palembang,
Plt.Kepala Puskesm
300,000
300,000
bh 2000 60,000
bh 3000 90,000
bh 3000 90,000
bh 2000 60,000
5,440,000
bh 500 400,000
2,650,000
#REF!
#REF!
#REF!
bh 20,000 -
#REF!
2,730,000
8,400,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,280,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 960,000
OH 40,000 640,000
OH 40,000 160,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 200,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 1,200,000
OH 40,000 80,000
OH 40,000 40,000
19,640,000
Palembang,
Plt.Kepala Puskesmas Merdeka
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2 Belanja Barang Jasa
5 2 2 01 Belanja Bahan Pakai Habis
5 2 2 01 01 Belanja Alat Tulis Kantor
ATK kegiatan penyegaran kader
Pena (48 org x 2 keg) 48
Note Book (48 org x 2 keg) 48
Map Plastik (48 org x 2 keg) 48
Mistar (48 org x 2 keg) 48
ATK kegiatan Promosi ABAT, pemakaian kondom,pengetahuan konferhensif HIV/AIDS
Pena (48 org x 2 keg) 10
Note Book (48 org x 2 keg) 10
Map Plastik (48 org x 2 keg) 10
Mistar (48 org x 2 keg) 10
5 2 2 06 02 Belanja Penggandaan
5 2 2 06 03 Belanja Penjilidan
gangguan jiwa
Transport petugas ( 1 org x 4 kelurahan x 12 keg) 4
Belanja Perjalanan Dinas dalam daerah kegiatan penyuluhan masalah napza di SMP & SMA
Jumlah
Palembang,
Kepala Puskesmas
580,000
480,000
bh 2000 96,000
bh 5000 240,000
bh 2000 96,000
bh 1000 48,000
100,000
bh 2000 20,000
bh 5000 50,000
bh 2000 20,000
bh 1000 10,000
400,000
bh 500 400,000
2,650,000
1,320,000
1,200,000
bh 6,000 300,000
bh 6,000 300,000
bh 6,000 300,000
bh 6,000 300,000
bh 20,000 -
5,730,000
1,380,000
13,680,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 320,000
OH 40,000 1,280,000
OH 40,000 240,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 320,000
OH 40,000 1,280,000
OH 40,000 1,280,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 1,920,000
OH 40,000 240,000
OH 40,000 840,000
OH 40,000 560,000
OH 40,000 120,000
OH 40,000 400,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 40,000
24,360,000
Palembang,
Kepala Puskesmas Merdeka
-
LEMBAR KERJA PUSKESMAS MERDEKA
Rincian Anggaran Belanja Langsung
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2 Belanja Barang Jasa
5 2 2 01 Belanja Bahan Pakai Habis
5 2 2 01 01 Belanja Alat Tulis Kantor
5 2 2 06 02 Belanja Penggandaan
Belanja Pengadaan Fashdisk 1 GB
5 2 2 06 03 Belanja Penjilidan
Jumlah
Palembang,
Kepala Puskesmas
#REF!
400,000
bh 500 400,000
2,650,000
-
bh 100,000 -
bh 20,000 -
2,010,000
1,380,000
630,000
8,000,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 1,280,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 80,000
OH 40,000 800,000
OH 40,000 80,000
OH 40,000 40,000
OH 40,000 240,000
OH 40,000 40,000
OH 40,000 40,000
OH 40,000 320,000
OH 40,000 840,000
OH 40,000 560,000
OH 40,000 40,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 160,000
OH 40,000 320,000
OH 40,000 80,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 400,000
OH 40,000 200,000
OH 40,000 80,000
OH 40,000 360,000
OH 40,000 80,000
OH 40,000 160,000
OH 40,000 40,000
13,180,000
Palembang,
Kepala Puskesmas Merdeka
1 2 3
5 2 Belanja Langsung
5 2 1 Belanja Pegawai
5 2 2 Belanja Barang Jasa
5 2 2 01 Belanja Bahan Pakai Habis
5 2 2 01 01 Belanja Alat Tulis Kantor
ATK kegiatan peer conselor
Pena (10 org x 7 sekolah x 2 keg) 140
Note Book (10 org x 7 sekolah x 2 keg) 140
Map Plastik (10 org x 7 sekolah x 2 keg) 140
Mistar (10 org x 7 sekolah x 2 keg) 140
ATK kegiatan penyegaran kader
Pena (48 org x 2 keg) 96
Note Book (48 org x 2 keg) 96
Map Plastik (48 org x 2 keg) 96
Mistar (48 org x 2 keg) 96
ATK kegiatan promosi ABAT, pemakaian kondom dan penegtahuan konferhensif HIV AIDS
Pena (10 org x 3 keg) 30
Note Book (10 org x 3 keg) 30
Map Plastik (10 org x 3 keg) 30
Mistar (10 org x Rp.10.000 x 3 keg) 30
ATK Lokakarya mini puskesmas tribulanan
Pena (30 org x 2 keg) 60
Notebook (30 org x 2 keg) 60
Map plastik (30 org x 2 keg) 60
Mistar (30 org x 2 keg) 60
ATK kegiatan operasional puskesmas
Kertas HVS 70 gram 11
Map kancing 24
Map jala 12
isi necis 6
Binder clip 260 6
Binder clip 155 6
Pena 1
Mistar besi 1
Penghapus pensil 2
Boks file 15
Catridge hitam dan warna 7
5 2 2 06 02 Belanja Penggandaan
Belanja Pengadaan Fashdisk 1 GB 2
5 2 2 06 03 Belanja Penjilidan 34
Belanja makanan dan minuman kegiatan promosi abat (pengetahuan komperhensif HIV/AIDS
Nasi Kotak ( org x hr x keg) 0
Snack (14 org x 1 hr x 3 keg) 42
Jumlah
Palembang,
Kepala Puskesmas
H
Formulir
Target Kinerja
...... Puskesmas
............................
1 Kegiatan
......... Puskesmas
Rincian Penghitungan
Harga (Rp)
Satuan
Satuan
4 5 5=(3X5)
6,000,000
1,400,000
bh 2000 280,000
bh 3000 420,000
bh 3000 420,000
bh 2000 280,000
960,000
bh 2000 192,000
bh 3000 288,000
bh 3000 288,000
bh 2000 192,000
300,000
bh 2000 60,000
bh 3000 90,000
bh 3000 90,000
bh 2000 60,000
600,000
bh 2000 120,000
bh 3000 180,000
bh 3000 180,000
bh 2000 120,000
2,740,000
bh 40,000 440,000
bh 30,000 720,000
bh 20,000 240,000
bh 3,000 18,000
bh 15,000 90,000
bh 10,000 60,000
ktk 50,000 50,000
bh 15,000 15,000
bh 3,500 7,000
bh 20,000 300,000
bh 114,286 800,000
19,370,000
bh 5,000 250,000
bh 500 4,000,000
1,700,000
1,500,000
bh 100,000 100,000
bh 100,000 200,000
bh 6,000 300,000
bh 6,000 300,000
bh 6,000 300,000
bh 6,000 300,000
200,000
bh 100,000 200,000
bh 20,000 680,000
36,030,000
20,250,000
ktk 30,000 -
ktk 15,000 1,680,000
ktk 30,000 -
ktk 15,000 120,000
ktk 30,000 -
ktk 15,000 1,680,000
ktk 30,000 -
ktk 15,000 360,000
ktk 30,000 -
ktk 15,000 750,000
ktk 30,000 -
ktk 15,000 3,360,000
ktk 30,000 -
ktk 15,000 2,520,000
ktk 30,000 -
ktk 15,000 630,000
132,720,000
OH 40,000 2,560,000
OH 40,000 960,000
OH 40,000 960,000
OH 40,000 640,000
OH 40,000 2,560,000
OH 40,000 240,000
OH 40,000 480,000
OH 40,000 1,200,000
OH 40,000 960,000
OH 40,000 960,000
OH 40,000 960,000
OH 40,000 960,000
OH 40,000 640,000
OH 40,000 2,560,000
OH 40,000 3,120,000
OH 40,000 15,360,000
OH 40,000 160,000
OH 40,000 80,000
OH 40,000 480,000
OH 40,000 1,280,000
OH 40,000 1,040,000
OH 40,000 1,040,000
OH 40,000 2,560,000
OH 40,000 960,000
OH 40,000 400,000
OH 40,000 480,000
OH 40,000 80,000
OH 40,000 2,640,000
OH 40,000 1,320,000
OH 40,000 2,640,000
OH 40,000 240,000
OH 40,000 1,680,000
OH 40,000 960,000
OH 40,000 9,600,000
OH 40,000 960,000
OH 40,000 480,000
OH 40,000 960,000
OH 40,000 480,000
OH 40,000 240,000
OH 40,000 240,000
OH 40,000 240,000
OH 40,000 160,000
OH 40,000 3,840,000
OH 40,000 1,280,000
OH 40,000 680,000
OH 40,000 11,400,000
OH 40,000 7,600,000
OH 40,000 320,000
OH 40,000 360,000
OH 40,000 1,200,000
OH 40,000 480,000
OH 40,000 1,920,000
OH 40,000 960,000
OH 40,000 960,000
OH 40,000 2,080,000
OH 40,000 640,000
OH 40,000 320,000
OH 40,000 640,000
OH 40,000 2,400,000
OH 40,000 1,920,000
OH 40,000 80,000
OH 40,000 1,920,000
OH 40,000 560,000
OH 40,000 640,000
OH 40,000 960,000
OH 40,000 2,880,000
OH 40,000 320,000
OH 40,000 1,920,000
OH 40,000 960,000
OH 40,000 800,000
OH 40,000 4,800,000
OH 40,000 1,200,000
OH 40,000 960,000
OH 40,000 80,000
OH 40,000 4,320,000
OH 40,000 2,400,000
OH 40,000 960,000
OH 40,000 640,000
OH 40,000 320,000
OH 40,000 480,000
27,300,000
Palembang,
Kepala Puskesmas Merdeka