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D

SKPD : DINAS KESEHATAN


No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
spidol snowman 2 pak 89,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000

Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik


5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos


Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih


Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor


5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn


5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000

5.2.2.06 Belanja Cetak dan Penggandaan


5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 43,920,000


5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 12 bln 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas


5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Golongan III/b
Golongan III/c
Golongan III/d
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5

Mengetahui
Pejabat Penata Usaha Keuangan (PJPK)

Asep Setia Permana, SE,MM.


NIP. 19790721 200604 1 019
URAIAN BELANJA
DANA OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
168,869,227
168,869,227 78,776,700
19,200,000 8,000,000
19,200,000 8,000,000
12,000,000 20 4 24 250,000 5,000,000

7,200,000 10 2 12 300,000 3,000,000

149,669,227 70,776,700
14,226,700 6,026,700
9,096,700 - 3,815,200
2,200,000 20 4 24 40,000 800,000
960,000 2 2 240,000 480,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
600,000 2 1 3 100,000 200,000
600,000 2 1 3 100,000 200,000
320,000 6 1 7 16,000 96,000
330,000 3 3 33,000 99,000
178,400 1 1 89,200 89,200
66,000 2 2 11,000 22,000
66,000 2 2 16,500 33,000
75,000 2 2 15,000 30,000
222,000 3 3 37,000 111,000
360,000 6 6 30,000 180,000
480,000 4 2 6 30,000 120,000
720,000 8 2 10 30,000 240,000
10,300 0 0 10,300 -
20,000 10 2 12 2,000 20,000
178,000 1 1 89,000 89,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
260,000 1 1 130,000 130,000
26,000 0 13,000 -
26,000 2 2 13,000 26,000
34,000 0 0 34,000 -
92,000 0 0 92,000 -
46,000 1 1 23,000 23,000
27,000 1 1 2 27,000 27,000

1,000,000 495,500

150,000 1 1 75,000 75,000


480,000 4 4 60,000 240,000
85,000 2 2 17,000 34,000
90,000 1 1 30,000 30,000
84,000 2 2 28,000 56,000
50,000 3 3 10,000 30,000
61,000 1 1 30,500 30,500

960,000 - 402,000
600,000 47 9 56 6,000 282,000
360,000 40 8 48 3,000 120,000

3,170,000 - 1,314,000
240,000 20 4 24 10,000 200,000
90,000 4 4 15,000 60,000
96,000 7 7 12,000 84,000
228,000 4 4 19,000 76,000
360,000 4 4 30,000 120,000
300,000 4 1 5 25,000 100,000
180,000 4 1 5 15,000 60,000
384,000 4 4 32,000 128,000
125,000 4 4 25,000 100,000
525,000 4 2 6 35,000 140,000
108,000 3 3 12,000 36,000
180,000 8 2 10 9,000 72,000
315,000 2 2 45,000 90,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
27,000 0 27,000 -
12,000 12 4 16 4,000 48,000

47,456,000 10,930,000
18,000,000 5 1 6 1,500,000 7,500,000
432,000 5 1 6 36,000 180,000
7,800,000 5 1 6 650,000 3,250,000
21,224,000 0 1,768,667 -

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000


1,200,000 0 200,000 -
2,000,000 2 2 400,000 800,000
1,200,000 0 150,000 -
2,755,000 -
549,000 0 549,000 -
2,206,000 0 2,206,000 -

1,800,000 750,000
1,800,000 5000 1000 6,000 150 750,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
21,720,000 1208 248 1,456 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 77 18 94 28,550,000
- 25 5 30 1,350,000 6,300,000
- 19 5 24 1,600,000 6,800,000
- 16 4 20 1,400,000 6,850,000
- 8 2 10 700,000 4,100,000
- 7 1 8 350,000 3,550,000
- 1 1 2 350,000 950,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11

Pejabat Pelaksana Teknis Kegiatan ( PPTK )

Damanhuri, SKM.
NIP. 19730902 199403 1 005
UL (001.092)

BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9

4,925,000 83,701,700
1,600,000 9,600,000
1,600,000 9,600,000
1,000,000 6,000,000 24

600,000 3,600,000 12

3,325,000 74,101,700
- 989,000 7,015,700
727,000 4,542,200
160,000 960,000 31
- 480,000 2
100,000 500,000 1
100,000 500,000 1
100,000 300,000 3
100,000 300,000 3
16,000 112,000 13
- 99,000 7
- 89,200 1
- 22,000 4
- 33,000 2
- 30,000 3
- 111,000 3
- 180,000 6
60,000 180,000 10
60,000 300,000 14
- - 1
4,000 24,000 -2
- 89,000 1
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9
- 130,000 1
- - 2
- 26,000 0
- - 1
- - 1
- 23,000 1
27,000 54,000 -1

- 495,500

- 75,000 1
- 240,000 4
- 34,000 3
- 30,000 2
- 56,000 1
- 30,000 2
- 30,500 1

- 78,000 480,000
54,000 336,000 44
24,000 144,000 72

- 184,000 1,498,000
40,000 240,000 0
- 60,000 2
- 84,000 1
- 76,000 8
- 120,000 8
25,000 125,000 7
15,000 75,000 7
- 128,000 8
- 100,000 1
70,000 210,000 9
- 36,000 6
18,000 90,000 10
- 90,000 5
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9
- - 1
16,000 64,000 -13

2,186,000 13,116,000
1,500,000 9,000,000 6
36,000 216,000 6
650,000 3,900,000 6
- - 12

- 6,400,000
- 6,400,000

- 5,600,000 0
- - 6
- 800,000 3
- - 8
- -
- - 1
- - 1

150,000 900,000
150,000 900,000 6000

18,120,000
18,120,000
18,120,000 -1444

- 28,550,000
28,550,000
28,550,000
6,750,000 6,300,000
6,800,000
6,850,000
4,100,000
3,550,000
950,000
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9

Pandeglang, Agustus 2018


Bendahara Pengeluaran

Dede Rohman, S.Sos.


NIP. 197311212010001002
SISA

JUMLAH

17=6-15

85,167,527
9,600,000
9,600,000
6,000,000

3,600,000

75,567,527
7,211,000
4,554,500
1,240,000
480,000
100,000
100,000
300,000
300,000
208,000
231,000
89,200
44,000
33,000
45,000
111,000
180,000
300,000
420,000
10,300
(4,000)
89,000
SISA

JUMLAH

17=6-15
130,000
26,000
-
34,000
92,000
23,000
(27,000)

504,500

75,000
240,000
51,000
60,000
28,000
20,000
30,500

480,000
264,000
216,000

1,672,000
-
30,000
12,000
152,000
240,000
175,000
105,000
256,000
25,000
315,000
72,000
90,000
225,000
SISA

JUMLAH

17=6-15
27,000
(52,000)

34,340,000
9,000,000
216,000
3,900,000
21,224,000

6,355,000
3,600,000

-
1,200,000
1,200,000
1,200,000
2,755,000
549,000
2,206,000

900,000
900,000

3,600,000
3,600,000
3,600,000

23,161,527
23,161,527
23,161,527
SISA

JUMLAH

17=6-15

stus 2018
luaran

.Sos.
0001002
D
SKPD : DINAS KESEHATAN
No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
spidol snowman 2 pak 89,000
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000

Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik


5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos


Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih


Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor


5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn


5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000

5.2.2.06 Belanja Cetak dan Penggandaan


5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 43,920,000


5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 12 bln 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas


5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Golongan III/b
Golongan III/c
Golongan III/d

Mengetahui
Pejabat Penata Usaha Keuangan (PJPK)

Asep Setia Permana, SE,MM.


NIP. 19790721 200604 1 019
URAIAN BELANJA
DANA OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
VOL
JUMLAH ANGGARAN
HARGA
LALU INI SD.INI LALU

6=3X5 7 8 9=7+8 10 11
168,869,227
168,869,227 83,701,700
19,200,000 9,600,000
19,200,000 9,600,000
12,000,000 24 4 28 250,000 6,000,000

7,200,000 12 2 14 300,000 3,600,000

149,669,227 - 74,101,700
14,226,700 - 7,015,700
9,096,700 - 4,542,200
2,200,000 22 2 24 40,000 880,000
960,000 2 2 240,000 480,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
320,000 6 1 7 16,000 96,000
330,000 2 2 33,000 66,000
178,400 3 3 89,200 267,600
66,000 2 1 3 11,000 22,000
66,000 2 2 16,500 33,000
75,000 4 4 15,000 60,000
222,000 4 4 37,000 148,000
360,000 6 6 30,000 180,000
480,000 4 2 6 30,000 120,000
720,000 8 2 10 30,000 240,000
10,300 2 1 3 10,300 20,600
20,000 17 2 19 2,000 34,000
BELANJA
VOL
JUMLAH ANGGARAN
HARGA
LALU INI SD.INI LALU

6=3X5 7 8 9=7+8 10 11
178,000 1 1 89,000 89,000
260,000 1 1 130,000 130,000
26,000 1 1 13,000 13,000
26,000 1 1 13,000 13,000
34,000 0 0 34,000 -
92,000 0 0 92,000 -
46,000 1 1 2 23,000 23,000
27,000 1 2 3 27,000 27,000

1,000,000 495,500

150,000 1 1 75,000 75,000


480,000 4 4 60,000 240,000
85,000 2 2 17,000 34,000
90,000 1 1 30,000 30,000
84,000 2 2 28,000 56,000
50,000 3 3 10,000 30,000
61,000 1 1 30,500 30,500

960,000 - 480,000
600,000 60 9 69 6,000 360,000
360,000 40 8 48 3,000 120,000

3,170,000 - 1,498,000
240,000 21 4 25 10,000 210,000
90,000 4 1 5 15,000 60,000
96,000 7 1 8 12,000 84,000
228,000 4 4 19,000 76,000
360,000 4 4 30,000 120,000
300,000 4 1 5 25,000 100,000
180,000 4 1 5 15,000 60,000
384,000 4 4 32,000 128,000
125,000 4 2 6 25,000 100,000
525,000 4 3 7 35,000 140,000
108,000 4 4 12,000 48,000
BELANJA
VOL
JUMLAH ANGGARAN
HARGA
LALU INI SD.INI LALU

6=3X5 7 8 9=7+8 10 11
180,000 8 2 10 9,000 72,000
315,000 2 2 45,000 90,000
27,000 6 2 8 27,000 162,000
12,000 12 3 15 4,000 48,000

47,456,000 13,116,000
18,000,000 6 1 7 1,500,000 9,000,000
432,000 6 1 7 36,000 216,000
7,800,000 6 1 7 650,000 3,900,000
21,224,000 0 1,768,667 -

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000


1,200,000 0 200,000 -
2,000,000 2 2 400,000 800,000
1,200,000 0 150,000 -
2,755,000 -
549,000 0 549,000 -
2,206,000 0 2,206,000 -

1,800,000 900,000
1,800,000 6000 1000 7,000 150 900,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
21,720,000 1208 248 1,456 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 77 18 94 28,550,000
- 25 5 30 1,350,000 6,300,000
- 19 5 24 1,600,000 6,800,000
- 16 4 20 1,400,000 6,850,000
BELANJA
VOL
JUMLAH ANGGARAN
HARGA
LALU INI SD.INI LALU

6=3X5 7 8 9=7+8 10 11
- 8 2 10 700,000 4,100,000
- 7 1 8 350,000 3,550,000
- 1 1 2 350,000 950,000

Pejabat Pelaksana Teknis Kegiatan ( PPTK )

Damanhuri, SKM.
NIP. 19730902 199403 1 005
UL (001.092)

BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI

12 13 14 15=11+14 16=3-9

5,078,300 88,780,000
1,600,000 11,200,000
1,600,000 11,200,000
1,000,000 7,000,000 20

600,000 4,200,000 10

3,478,300 77,580,000
2,336,000 1,142,300 8,158,000
- 718,300 5,260,500
80,000 960,000 31
- 480,000 2
100,000 500,000 1
100,000 500,000 1
100,000 500,000 1
100,000 500,000 1
16,000 112,000 13
- 66,000 8
- 267,600 -1
11,000 33,000 3
- 33,000 2
- 60,000 1
- 148,000 2
- 180,000 6
60,000 180,000 10
60,000 300,000 14
10,300 30,900 -2
4,000 38,000 -9
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI

12 13 14 15=11+14 16=3-9
- 89,000 1
- 130,000 1
- 13,000 1
- 13,000 1
- - 1
- - 1
23,000 46,000 0
54,000 81,000 -2

- 495,500

- 75,000 1
- 240,000 4
- 34,000 3
- 30,000 2
- 56,000 1
- 30,000 2
- 30,500 1

- 78,000 558,000
54,000 414,000 31
24,000 144,000 72

- 346,000 1,844,000
40,000 250,000 -1
15,000 75,000 1
12,000 96,000 0
- 76,000 8
- 120,000 8
25,000 125,000 7
15,000 75,000 7
- 128,000 8
50,000 150,000 -1
105,000 245,000 8
- 48,000 5
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI

12 13 14 15=11+14 16=3-9
18,000 90,000 10
- 90,000 5
54,000 216,000 -7
12,000 60,000 -12

2,186,000 15,302,000
1,500,000 10,500,000 5
36,000 252,000 5
650,000 4,550,000 5
- - 12

- 6,400,000
- 6,400,000

- 5,600,000 0
- - 6
- 800,000 3
- - 8
- -
- - 1
- - 1

150,000 1,050,000
150,000 1,050,000 5000

18,120,000
18,120,000
18,120,000 -1444

- 28,550,000
28,550,000
28,550,000
6,750,000 6,300,000
6,800,000
6,850,000
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI

12 13 14 15=11+14 16=3-9
4,100,000
3,550,000
950,000

Pandeglang, Agustus 2018


Bendahara Pengeluaran

Dede Rohman, S.Sos.


NIP. 197311212010001002
SISA

JUMLAH

17=6-15

80,089,227
8,000,000
8,000,000
5,000,000

3,000,000

72,089,227
6,068,700
3,836,200
1,240,000
480,000
100,000
100,000
100,000
100,000
208,000
264,000
(89,200)
33,000
33,000
15,000
74,000
180,000
300,000
420,000
(20,600)
(18,000)
SISA

JUMLAH

17=6-15
89,000
130,000
13,000
13,000
34,000
92,000
-
(54,000)

504,500

75,000
240,000
51,000
60,000
28,000
20,000
30,500

402,000
186,000
216,000

1,326,000
(10,000)
15,000
-
152,000
240,000
175,000
105,000
256,000
(25,000)
280,000
60,000
SISA

JUMLAH

17=6-15
90,000
225,000
(189,000)
(48,000)

32,154,000
7,500,000
180,000
3,250,000
21,224,000

6,355,000
3,600,000

-
1,200,000
1,200,000
1,200,000
2,755,000
549,000
2,206,000

750,000
750,000

3,600,000
3,600,000
3,600,000

23,161,527
23,161,527
23,161,527
SISA

JUMLAH

17=6-15

stus 2018
luaran

.Sos.
0001002
SKPD : DINAS KESEHATAN
No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
spidol snowman 2 pak 89,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000

Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik


5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos


Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih


Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor


5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn


5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000

5.2.2.06 Belanja Cetak dan Penggandaan


5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 43,920,000


5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 12 bln 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas


5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Golongan III/b
Golongan III/c
Golongan III/d
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5

Mengetahui
Pejabat Penata Usaha Keuangan (PJPK)

Asep Setia Permana, SE,MM.


NIP. 19790721 200604 1 019
URAIAN BELANJA
DANA OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
168,869,227
168,869,227 88,780,000
19,200,000 11,200,000
19,200,000 11,200,000
12,000,000 28 4 32 250,000 7,000,000

7,200,000 14 2 16 300,000 4,200,000

149,669,227 - 77,580,000
14,226,700 - 8,158,000
9,096,700 - 5,260,500
2,200,000 26 3 29 40,000 1,040,000
960,000 2 2 240,000 480,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
600,000 4 1 5 100,000 400,000
320,000 6 2 8 16,000 96,000
330,000 3 3 33,000 99,000
178,400 5 5 89,200 446,000
66,000 5 1 6 11,000 55,000
66,000 4 1 5 16,500 66,000
75,000 6 6 15,000 90,000
222,000 6 6 37,000 222,000
360,000 6 6 30,000 180,000
480,000 6 1 7 30,000 180,000
720,000 8 1 9 30,000 240,000
10,300 5 5 10,300 51,500
20,000 4 4 2,000 8,000
178,000 1 1 89,000 89,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
260,000 1 1 130,000 130,000
26,000 6 6 13,000 78,000
26,000 2 2 13,000 26,000
34,000 1 1 34,000 34,000
92,000 0 0 92,000 -
46,000 1 1 23,000 23,000
27,000 1 1 27,000 27,000

1,000,000 495,500

150,000 1 1 75,000 75,000


480,000 4 4 60,000 240,000
85,000 2 2 17,000 34,000
90,000 1 1 30,000 30,000
84,000 2 2 28,000 56,000
50,000 3 3 10,000 30,000
61,000 1 1 30,500 30,500

960,000 - 558,000
600,000 70 9 79 6,000 420,000
360,000 46 8 54 3,000 138,000

3,170,000 - 1,844,000
240,000 21 1 22 10,000 210,000
90,000 7 1 8 15,000 105,000
96,000 7 1 8 12,000 84,000
228,000 4 4 19,000 76,000
360,000 4 4 30,000 120,000
300,000 6 1 7 25,000 150,000
180,000 6 1 7 15,000 90,000
384,000 4 4 32,000 128,000
125,000 6 1 7 25,000 150,000
525,000 9 1 10 35,000 315,000
108,000 4 4 12,000 48,000
180,000 8 2 10 9,000 72,000
315,000 2 2 45,000 90,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11
27,000 6 2 8 27,000 162,000
12,000 11 11 4,000 44,000

47,456,000 15,302,000
18,000,000 7 1 8 1,500,000 10,500,000
432,000 7 1 8 36,000 252,000
7,800,000 7 1 8 650,000 4,550,000
21,224,000 0 1,768,667 -

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000


1,200,000 0 200,000 -
2,000,000 2 2 400,000 800,000
1,200,000 0 150,000 -
2,755,000 -
549,000 0 549,000 -
2,206,000 0 2,206,000 -

1,800,000 1,050,000
1,800,000 7000 1000 8,000 150 1,050,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
21,720,000 1208 248 1,456 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 77 18 94 28,550,000
- 25 5 30 1,350,000 6,300,000
- 19 5 24 1,600,000 6,800,000
- 16 4 20 1,400,000 6,850,000
- 8 2 10 700,000 4,100,000
- 7 1 8 350,000 3,550,000
- 1 1 2 350,000 950,000
BELANJA
JUMLAH ANGGARAN VOL
HARGA
LALU INI SD.INI LALU
6=3X5 7 8 9=7+8 10 11

Pejabat Pelaksana Teknis Kegiatan ( PPTK )

Damanhuri, SKM.
NIP. 19730902 199403 1 005
1.092)

BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9

4,862,500 93,642,500
1,600,000 12,800,000
1,600,000 12,800,000
1,000,000 8,000,000 16

600,000 4,800,000 8

3,262,500 80,842,500
2,551,800 926,500 9,084,500
- 639,500 5,900,000
120,000 1,160,000 26
- 480,000 2
100,000 500,000 1
100,000 500,000 1
100,000 500,000 1
100,000 500,000 1
32,000 128,000 12
- 99,000 7
- 446,000 -3
11,000 66,000 0
16,500 82,500 -1
- 90,000 -1
- 222,000 0
- 180,000 6
30,000 210,000 9
30,000 270,000 15
- 51,500 -4
- 8,000 6
- 89,000 1
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9
- 130,000 1
- 78,000 -4
- 26,000 0
- 34,000 0
- - 1
- 23,000 1
- 27,000 0

- 495,500

- 75,000 1
- 240,000 4
- 34,000 3
- 30,000 2
- 56,000 1
- 30,000 2
- 30,500 1

- 78,000 636,000
54,000 474,000 21
24,000 162,000 66

- 209,000 2,053,000
10,000 220,000 2
15,000 120,000 -2
12,000 96,000 0
- 76,000 8
- 120,000 8
25,000 175,000 5
15,000 105,000 5
- 128,000 8
25,000 175,000 -2
35,000 350,000 5
- 48,000 5
18,000 90,000 10
- 90,000 5
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9
54,000 216,000 -7
- 44,000 -8

2,186,000 17,488,000
1,500,000 12,000,000 4
36,000 288,000 4
650,000 5,200,000 4
- - 12

- 6,400,000
- 6,400,000

- 5,600,000 0
- - 6
- 800,000 3
- - 8
- -
- - 1
- - 1

150,000 1,200,000
150,000 1,200,000 4000

18,120,000
18,120,000
18,120,000 -1444

- 28,550,000
28,550,000
28,550,000
6,750,000 6,300,000
6,800,000
6,850,000
4,100,000
3,550,000
950,000
BELANJA SISA
JUMLAH
VOL
NO BUKTI TGL BUKTI INI SD. INI
12 13 14 15=11+14 16=3-9

Pandeglang, Agustus 2018


Bendahara Pengeluaran

Dede Rohman, S.Sos.


NIP. 197311212010001002
SISA

JUMLAH

17=6-15

75,226,727
6,400,000
6,400,000
4,000,000

2,400,000

68,826,727
5,142,200
3,196,700
1,040,000
480,000
100,000
100,000
100,000
100,000
192,000
231,000
(267,600)
-
(16,500)
(15,000)
-
180,000
270,000
450,000
(41,200)
12,000
89,000
SISA

JUMLAH

17=6-15
130,000
(52,000)
-
-
92,000
23,000
-

504,500

75,000
240,000
51,000
60,000
28,000
20,000
30,500

324,000
126,000
198,000

1,117,000
20,000
(30,000)
-
152,000
240,000
125,000
75,000
256,000
(50,000)
175,000
60,000
90,000
225,000
SISA

JUMLAH

17=6-15
(189,000)
(32,000)

29,968,000
6,000,000
144,000
2,600,000
21,224,000

6,355,000
3,600,000

-
1,200,000
1,200,000
1,200,000
2,755,000
549,000
2,206,000

600,000
600,000

3,600,000
3,600,000
3,600,000

23,161,527
23,161,527
23,161,527
SISA

JUMLAH

17=6-15

stus 2018
luaran

.Sos.
0001002

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