A
1.
2.
3.
4.
5.
6.
B
1.
2.
3.
4.
TAT CARA PENGISIAN FORM PERUBAHAN ANGGARAN BOK TAHUN 2018
SETELAH MENERIMA FILE INI SEGERA RUBAH NAMA FILE (SAVE AS) MENJADI : USULAN RKAP BOK PUSKESMAS …
ISI KOLOM REALISASI ANGGARAN (WARNA BIRU = AB & AD) SAMPAI PENGAJUAN NPD TERAKHIR WALAUPUN BELUM KELUAR S
KOLOM SISA ANGGARAN AKAN KELUAR SECARA OTOMATIS (WARNA MERAH) SEBAGAI DASAR PERUBAHAN ANGGARAN
ISI KOLOM PERUBAHAN ANGGARAN (WARNA KUNING = AL & AN) DENGAN MEMPERHATIKAN REALISASI DAN SISA ANGGARAN
YANG BISA DIRUBAH ADALAH VOLUME KEGIATAN, BISA BERKURANG ATAU BERTAMBAH (REPOSISI), KECUALI KEGIATAN YANG B
KOLOM BERTAMBAH/BERKURANG (WARNA UNGU) HANYA SEBAGAI INFORMASI KEGIATAN MANA SAJA YANG ADA PERUBAHAN
HASIL AKHIR HARUS NOL RUPIAH (BALANCE) TIDAK ADA PENAMBAHAN ATAU PENGURANGAN PAGU ANGGARAN
APABILA ADA KESALAHAN PERUMUSAN MOHON SEGERA KONTAK ADMIN BOK DINKES, TERIMAKASIH ………
ISI PAGU ANGGARAN SESUAI DPA PERUBAHAN TANGGAL 9 MARET 2018 (BARIS 13)
DATA ANGGARAN AKAN KELUAR SECARA OTOMATIS (DASAR : SHEET RKA PEMBAHASAN : KOLOM PERUBAHAN ANGGARAN)
FILE RKA PERUBAHAN DI PRINT, DI CAP DAN DITANDATANGANI OLEH KEPALA PUSKESMAS, DIBAWA SAAT DESK
DESK INSYA ALLAH AKAN DILAKSANAKAN MINGGU DEPAN (JADWAL TENTATIVE) AKAN DIUMUMKAN MELALUI GR
SELAMAT BEKERJA
RENCANA KERJA DAN ANGGARAN PERUBAHAN
SATUAN KERJA PERANGKAT DAERAH KABUPATEN KARAWANG
TAHUN ANGGARAN 2018
Urusan Pemerintahan : 1.02. Urusan Wajib Kesehatan
Organisasi : 1.02.1.02.01 Dinas Kesehatan
Program : 1.02.1.02.01.01.45. Program Bantuan Operasional Kesehatan (BOK)
Kegiatan : 1.02.1.02.01.01.45.00 Peningkatan Bantuan Operasional Kesehatan Pada Puskesmas
Lokasi Kegiatan : UPTD Puskesmas Plawad
Jumlah Tahun n-1 : Rp -
Jumlah Tahun n : Rp -
Jumlah Tahun n+1 : Rp -
Indikator & Tolak Ukur Kinerja Belanja Langsung
Indikator Tolok Ukur Kinerja
Capaian Program : Meningkatnya Kualitas Pelaksanaan Bantuan Operasional Kesehatan (BOK) Puskesmas
Masukan : Tersedianya Dana dan SDM
Keluaran : Tersedianya Biaya Honorarium Pengelola Kegiatan
Tersedianya Biaya Alat Tulis Kantor
Tersedianya Biaya Materai
Tersedianya Biaya Bahan Peralatan Kesehatan
Tersedianya Biaya Bahan Makanan PMT Penyuluhan
Tersedianya Biaya Bahan Cetakan
Tersedianya Biaya Fotocopy
Tersedianya Biaya Makanan dan Minuman Rapat
Tersedianya Biaya Perjalan Dinas Dalam Daerah
Tersedianya Biaya Transport
JUMLAH
KODE REKENING URAIAN KEGIATAN
SATUAN
1 2 3
5 BELANJA
5 2 BELANJA LANGSUNG
5 2 1 BELANJA PEGAWAI
5 2 1 01 Honorarium PNS
5 2 1 01 05 » Honorarium Panitia Pengelola Kegiatan -
JUMLAH
KODE REKENING URAIAN KEGIATAN
SATUAN
1 Honor Bendahara Pengeluaran Pembantu 12 bl
5 2 2 06 03 » Belanja Fotocopy
1 Belanja Fotocopy
» Fotocopy 40,000 lbr
» Makan - dus
» Snack 128 dus
17 Pendampingan IMD dan ASI Eksklusif kepada Bides, Toga dan Tomas
» Makan - dus
» Snack - dus
» Makan - dus
» Snack - dus
5 2 2 15 04 » Belanja Transport
1 Pendataan Keluarga Sehat (KS)
» Transport Petugas 1,330 or/hr
» Transport Kader 1,330 or/hr
19 Pelacakan Kasus Kematian dan Otopsi Verbal Neonatus, Bayi dan Balita
» Transport Petugas 4 or/hr
31 Pendampingan IMD dan ASI Eksklusif kepada Bides, Toga dan Tomas
» Transport Petugas - or/hr
» Transport Peserta - or/hr
49 Penemuan/ Pelacakan Kasus Penyakit Menular dan Tidak Menular Secara Dini
» Transport Petugas 24 or/hr
50 Kunjungan Rumah (Follow Up) Tata Laksana Penyakit Menular dan Tidak Menular
JUMLAH
KODE REKENING URAIAN KEGIATAN
SATUAN
65 Penemuan Kasus Secara Dini Orang Dengan Gangguan Jiwa dan NAPZA
» Transport Petugas 6 or/hr
JUMLAH
KODE REKENING URAIAN KEGIATAN
SATUAN
PAGU DPA
SELISIH
Karawang, Januari
Kepala UPTD Puskesm
(______________________
NIP. …………………………
BAHAN
FORMULIR
RKAP-SKPD
AH 2.2.1
Pada Puskesmas
Target Kinerja
100 %
Rp 542,641,500
Rp 4,200,000
Rp 6,736,500
Rp 1,500,000
Rp -
Rp 10,400,000
Rp 2,000,000
Rp 8,000,000
Rp 115,245,000
Rp 6,450,000
Rp 388,110,000
100%
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
4 5 = (3x4) 1 2 3 = (1x2) 1 2
542,641,500 90,200,000
542,641,500 90,200,000
4,200,000 1,750,000
4,200,000 1,750,000
4,200,000 1,750,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
350,000 4,200,000 5 bl 350,000 1,750,000 7 bl 350,000
-
538,441,500 88,450,000 -
18,636,500 - -
6,736,500 - -
6,736,500 - -
6,736,500 6,736,500 - pt 6,736,500 - 1 pt 6,736,500
-
1,500,000 - -
1,500,000 - -
3,000 300,000 - lbr 3,000 - 100 lbr 3,000
6,000 1,200,000 - lbr 6,000 - 200 lbr 6,000
-
- - -
- - -
- - - pt 1,000,000 - - pt 1,000,000
-
10,400,000 - -
10,400,000 - -
100,000 5,600,000 - pt - - 56 pt 100,000
200,000 4,800,000 - pt - - 24 pt 200,000
-
-
-
10,000,000 - -
2,000,000 - -
2,000,000 - -
2,000,000 2,000,000 - pt 2,000,000 - 1 pt 2,000,000
-
8,000,000 - -
8,000,000 - -
200 8,000,000 - lbr 200 - 40,000 lbr 200
115,245,000 -
115,245,000 -
1,800,000 -
15,000 1,800,000 - dus 15,000 - 120 dus 15,000
-
990,000 - -
30,000 660,000 - dus 30,000 - 22 dus 30,000
15,000 330,000 - dus 15,000 - 22 dus 15,000
-
- - -
15,000 - - dus 15,000 - - dus 15,000
1,920,000 -
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
30,000 - - dus 30,000 - dus 30,000
15,000 1,920,000 - dus 15,000 - 128 dus 15,000
2,400,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 2,400,000 - dus 15,000 - 160 dus 15,000
-
1,320,000 - -
30,000 960,000 - dus 30,000 - 32 dus 30,000
15,000 360,000 - dus 15,000 - 24 dus 15,000
-
2,640,000 - -
30,000 2,640,000 - dus 30,000 - 88 dus 30,000
15,000 - - dus 15,000 - - dus 15,000
2,250,000 -
30,000 1,500,000 - dus 30,000 - 50 dus 30,000
15,000 750,000 - dus 15,000 - 50 dus 15,000
-
480,000 - -
30,000 - - dus 30,000 - - dus 30,000
15,000 480,000 - dus 15,000 - 32 dus 15,000
-
59,760,000 - -
15,000 48,960,000 - dus 15,000 - 3,264 dus 15,000
15,000 10,800,000 - dus 15,000 - 720 dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
-
- - -
15,000 - - dus 15,000 - - dus 15,000
855,000 -
30,000 570,000 - dus 30,000 - 19 dus 30,000
15,000 285,000 - dus 15,000 - 19 dus 15,000
1,800,000 -
15,000 1,800,000 - dus 15,000 - 120 dus 15,000
2,340,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 2,340,000 - dus 15,000 - 156 dus 15,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
1,920,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 1,920,000 - dus 15,000 - 128 dus 15,000
660,000 -
30,000 660,000 - dus 30,000 - 22 dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
15,000 - - dus 15,000 - - dus 15,000
300,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 300,000 - dus 15,000 - 20 dus 15,000
- -
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
1,110,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 1,110,000 - dus 15,000 - 74 dus 15,000
- -
30,000 - - dus 30,000 - - dus 30,000
15,000 - - dus 15,000 - - dus 15,000
21,600,000 -
30,000 14,400,000 - dus 30,000 - 480 dus 30,000
15,000 7,200,000 - dus 15,000 - 480 dus 15,000
9,000,000 -
30,000 6,000,000 - dus 30,000 - 200 dus 30,000
15,000 3,000,000 - dus 15,000 - 200 dus 15,000
2,100,000 -
30,000 - - dus 30,000 - - dus 30,000
15,000 2,100,000 - dus 15,000 - 140 dus 15,000
394,560,000 88,450,000
6,450,000 1,950,000
300,000 -
150,000 300,000 - or/hr - - 2 or/hr 150,000
300,000 -
150,000 300,000 - or/hr - - 2 or/hr 150,000
- -
- - - or/hr - - - or/hr -
- -
- - - or/hr - - - or/hr -
- -
- - - or/hr - - - or/hr -
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
- -
- - - or/hr - - - or/hr -
- -
- - - or/hr - - - or/hr -
- -
- - - or/hr - - - or/hr -
- -
- - - or/hr - - - or/hr -
300,000 300,000
150,000 300,000 2 or/hr 150,000 300,000 - or/hr 150,000
150,000 150,000
150,000 150,000 1 or/hr 150,000 150,000 - or/hr 150,000
1,800,000 750,000
150,000 1,800,000 5 or/hr 150,000 750,000 7 or/hr 150,000
3,600,000 750,000
150,000 3,600,000 5 or/hr 150,000 750,000 19 or/hr 150,000
388,110,000 86,500,000
119,700,000 -
70,000 93,100,000 - or/hr 70,000 - 1,330 or/hr 70,000
20,000 26,600,000 - or/hr 20,000 - 1,330 or/hr 20,000
-
800,000 - -
40,000 800,000 - or/hr 40,000 - 20 or/hr 40,000
10,000,000 2,500,000
50,000 10,000,000 50 or/hr 50,000 2,500,000 150 or/hr 50,000
3,200,000 -
50,000 800,000 - or/hr 50,000 - 16 or/hr 50,000
40,000 2,400,000 - or/hr 40,000 - 60 or/hr 40,000
6,500,000 -
50,000 500,000 - or/hr 50,000 - 10 or/hr 50,000
40,000 6,000,000 - or/hr 40,000 - 150 or/hr 40,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
1,800,000 -
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
50,000 1,800,000 - or/hr 50,000 - 36 or/hr 50,000
240,000 -
40,000 240,000 - or/hr 40,000 - 6 or/hr 40,000
1,100,000 -
50,000 1,100,000 - or/hr 50,000 - 22 or/hr 50,000
3,000,000 1,000,000
50,000 3,000,000 20 or/hr 50,000 1,000,000 40 or/hr 50,000
4,050,000 -
50,000 850,000 - or/hr 50,000 - 17 or/hr 50,000
40,000 3,200,000 - or/hr 40,000 - 80 or/hr 40,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
20,400,000 7,950,000
50,000 20,400,000 159 or/hr 50,000 7,950,000 249 or/hr 50,000
6,500,000 -
50,000 500,000 - or/hr 50,000 - 10 or/hr 50,000
40,000 6,000,000 - or/hr 40,000 - 150 or/hr 40,000
21,600,000 16,200,000
50,000 19,200,000 288 or/hr 50,000 14,400,000 96 or/hr 50,000
50,000 2,400,000 36 or/hr 50,000 1,800,000 12 or/hr 50,000
200,000 -
50,000 200,000 - or/hr 50,000 - 4 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
28,800,000 8,050,000
50,000 28,800,000 161 or/hr 50,000 8,050,000 415 or/hr 50,000
200,000 -
50,000 200,000 - or/hr 50,000 - 4 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
2,960,000 -
50,000 2,200,000 - or/hr 50,000 - 44 or/hr 50,000
40,000 760,000 - or/hr 40,000 - 19 or/hr 40,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
5,500,000 1,350,000
50,000 5,500,000 27 or/hr 50,000 1,350,000 83 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
1,800,000 600,000
50,000 1,800,000 12 or/hr 50,000 600,000 24 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
1,000,000 600,000
50,000 1,000,000 12 or/hr 50,000 600,000 8 or/hr 50,000
11,520,000 -
40,000 11,520,000 - or/hr 40,000 - 288 or/hr 40,000
16,400,000 14,400,000
50,000 16,400,000 288 or/hr 50,000 14,400,000 40 or/hr 50,000
800,000 400,000
50,000 800,000 8 or/hr 50,000 400,000 8 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
200,000 -
50,000 200,000 - or/hr 50,000 - 4 or/hr 50,000
5,600,000 2,800,000
50,000 5,600,000 56 or/hr 50,000 2,800,000 56 or/hr 50,000
5,600,000 2,100,000
50,000 5,600,000 42 or/hr 50,000 2,100,000 70 or/hr 50,000
3,600,000 1,500,000
50,000 3,600,000 30 or/hr 50,000 1,500,000 42 or/hr 50,000
15,400,000 -
50,000 15,400,000 - or/hr 50,000 - 308 or/hr 50,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
31,300,000 15,650,000
50,000 16,800,000 168 or/hr 50,000 8,400,000 168 or/hr 50,000
50,000 - - or/hr 50,000 - - or/hr 50,000
50,000 9,500,000 95 or/hr 50,000 4,750,000 95 or/hr 50,000
50,000 2,000,000 20 or/hr 50,000 1,000,000 20 or/hr 50,000
50,000 3,000,000 30 or/hr 50,000 1,500,000 30 or/hr 50,000
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
600,000 600,000
50,000 600,000 12 or/hr 50,000 600,000 - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
13,440,000 -
40,000 13,440,000 - or/hr 40,000 - 336 or/hr 40,000
-
2,800,000 1,250,000 -
50,000 2,800,000 25 or/hr 50,000 1,250,000 31 or/hr 50,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
900,000 -
50,000 100,000 - or/hr 50,000 - 2 or/hr 50,000
40,000 800,000 - or/hr 40,000 - 20 or/hr 40,000
1,200,000 400,000
50,000 1,200,000 8 or/hr 50,000 400,000 16 or/hr 50,000
4,800,000 2,500,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
50,000 4,800,000 50 or/hr 50,000 2,500,000 46 or/hr 50,000
400,000 200,000
50,000 400,000 4 or/hr 50,000 200,000 4 or/hr 50,000
7,500,000 2,800,000
50,000 7,500,000 56 or/hr 50,000 2,800,000 94 or/hr 50,000
100,000 -
50,000 100,000 - or/hr 50,000 - 2 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
3,200,000 -
50,000 3,200,000 - or/hr 50,000 - 64 or/hr 50,000
200,000 -
50,000 200,000 - or/hr 50,000 - 4 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
100,000 -
50,000 100,000 - or/hr 50,000 - 2 or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
300,000 -
50,000 300,000 - or/hr 50,000 - 6 or/hr 50,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
300,000 -
50,000 300,000 - or/hr 50,000 - 6 or/hr 50,000
4,800,000 2,000,000
50,000 4,800,000 40 or/hr 50,000 2,000,000 56 or/hr 50,000
2,400,000 1,250,000
50,000 2,400,000 25 or/hr 50,000 1,250,000 23 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
400,000 -
50,000 400,000 - or/hr 50,000 - 8 or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
750,000 -
50,000 750,000 - or/hr 50,000 - 15 or/hr 50,000
200,000 200,000
50,000 200,000 4 or/hr 50,000 200,000 - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
200,000 200,000
50,000 200,000 4 or/hr 50,000 200,000 - or/hr 50,000
40,000 - - or/hr 40,000 - - or/hr 40,000
1,750,000 -
50,000 1,750,000 - or/hr 50,000 - 35 or/hr 50,000
8,200,000 -
50,000 1,000,000 - or/hr 50,000 - 20 or/hr 50,000
40,000 7,200,000 - or/hr 40,000 - 180 or/hr 40,000
JUMLAH BIAYA
JUMLAH HARGA JUMLAH BIAYA PER JUMLAH HARGA
HARGA SATUAN PER KEGIATAN
SATUAN SATUAN KEGIATAN (Rp) SATUAN SATUAN
(Rp)
1,800,000 -
50,000 1,800,000 - or/hr 50,000 - 36 or/hr 50,000
- -
50,000 - - or/hr 50,000 - - or/hr 50,000
___________________________)
IP. …………………………………..
NGGARAN PERUBAHAN ANGGARAN BERTAMBAH/ BERKURANG
1,500,000 1,500,000 -
1,500,000 1,500,000 -
300,000 100 lbr 3,000 300,000 - lbr 3,000 -
1,200,000 200 lbr 6,000 1,200,000 - lbr 6,000 -
- - -
- - -
- - pt - - - pt -
10,400,000 10,400,000 -
10,400,000 10,400,000 -
5,600,000 56 pt 100,000 5,600,000 - pt 100,000 -
4,800,000 24 pt 200,000 4,800,000 - pt - -
8,000,000 8,000,000 -
8,000,000 8,000,000 -
8,000,000 40,000 lbr 200 8,000,000 - lbr 200 -
990,000 990,000 -
660,000 22 dus 30,000 660,000 - dus 30,000 -
330,000 22 dus 15,000 330,000 - dus 15,000 -
- - -
- - dus 15,000 - - dus 15,000 -
2,400,000 2,400,000 -
- - dus 30,000 - - dus 30,000 -
2,400,000 160 dus 15,000 2,400,000 - dus 15,000 -
1,320,000 1,320,000 -
960,000 32 dus 30,000 960,000 - dus 30,000 -
360,000 24 dus 15,000 360,000 - dus 15,000 -
2,640,000 2,640,000 -
2,640,000 88 dus 30,000 2,640,000 - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
2,250,000 2,250,000 -
1,500,000 50 dus 30,000 1,500,000 - dus 30,000 -
750,000 50 dus 15,000 750,000 - dus 15,000 -
480,000 480,000 -
- - dus 30,000 - - dus 30,000 -
480,000 32 dus 15,000 480,000 - dus 15,000 -
59,760,000 59,760,000 -
48,960,000 3,264 dus 15,000 48,960,000 - dus 15,000 -
10,800,000 720 dus 15,000 10,800,000 - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 15,000 - - dus 15,000 -
1,800,000 1,800,000 -
1,800,000 120 dus 15,000 1,800,000 - dus 15,000 -
2,340,000 2,340,000 -
- - dus 30,000 - - dus 30,000 -
2,340,000 156 dus 15,000 2,340,000 - dus 15,000 -
JUMLAH BIAYA JUMLAH BIAYA JUMLAH BIAYA
JUMLAH HARGA JUMLAH
PER KEGIATAN PER KEGIATAN HARGA SATUAN PER KEGIATAN
SATUAN SATUAN SATUAN
(Rp) (Rp) (Rp)
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
1,920,000 1,920,000 -
- - dus 30,000 - - dus 30,000 -
1,920,000 128 dus 15,000 1,920,000 - dus 15,000 -
660,000 660,000 -
660,000 22 dus 30,000 660,000 - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- 900,000 900,000
- 20 dus 30,000 600,000 20 dus 30,000 600,000
- 20 dus 15,000 300,000 20 dus 15,000 300,000
-
- - -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
JUMLAH BIAYA JUMLAH BIAYA JUMLAH BIAYA
JUMLAH HARGA JUMLAH
PER KEGIATAN PER KEGIATAN HARGA SATUAN PER KEGIATAN
SATUAN SATUAN SATUAN
(Rp) (Rp) (Rp)
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
1,110,000 1,110,000 -
- - dus 30,000 - - dus 30,000 -
1,110,000 74 dus 15,000 1,110,000 - dus 15,000 -
- - -
- - dus 30,000 - - dus 30,000 -
- - dus 15,000 - - dus 15,000 -
300,000 300,000 -
300,000 2 or/hr 150,000 300,000 - or/hr - -
- - -
- - or/hr - - - or/hr - -
- - -
- - or/hr - - - or/hr - -
- - -
- - or/hr - - - or/hr - -
JUMLAH BIAYA JUMLAH BIAYA JUMLAH BIAYA
JUMLAH HARGA JUMLAH
PER KEGIATAN PER KEGIATAN HARGA SATUAN PER KEGIATAN
SATUAN SATUAN SATUAN
(Rp) (Rp) (Rp)
- - -
- - or/hr - - - or/hr - -
- - -
- - or/hr - - - or/hr - -
- - -
- - or/hr - - - or/hr - -
- - -
- - or/hr - - - or/hr - -
- 300,000 -
- 2 or/hr 150,000 300,000 - or/hr - -
- 150,000 -
- 1 or/hr 150,000 150,000 - or/hr - -
1,050,000 1,800,000 -
1,050,000 12 or/hr 150,000 1,800,000 - or/hr - -
2,850,000 2,850,000 -
2,850,000 19 or/hr 150,000 2,850,000 (5) or/hr - -
800,000 800,000 -
800,000 20 or/hr 40,000 800,000 - or/hr 40,000 -
7,500,000 10,000,000 -
7,500,000 200 or/hr 50,000 10,000,000 - or/hr 50,000 -
3,200,000 3,200,000 -
800,000 16 or/hr 50,000 800,000 - or/hr 50,000 -
2,400,000 60 or/hr 40,000 2,400,000 - or/hr 40,000 -
6,500,000 6,500,000 -
500,000 10 or/hr 50,000 500,000 - or/hr 50,000 -
6,000,000 150 or/hr 40,000 6,000,000 - or/hr 40,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
1,800,000 1,800,000 -
JUMLAH BIAYA JUMLAH BIAYA JUMLAH BIAYA
JUMLAH HARGA JUMLAH
PER KEGIATAN PER KEGIATAN HARGA SATUAN PER KEGIATAN
SATUAN SATUAN SATUAN
(Rp) (Rp) (Rp)
1,800,000 36 or/hr 50,000 1,800,000 - or/hr 50,000 -
240,000 240,000 -
240,000 6 or/hr 40,000 240,000 - or/hr 40,000 -
1,100,000 1,100,000 -
1,100,000 22 or/hr 50,000 1,100,000 - or/hr 50,000 -
2,000,000 3,000,000 -
2,000,000 60 or/hr 50,000 3,000,000 - or/hr 50,000 -
4,050,000 4,050,000 -
850,000 17 or/hr 50,000 850,000 - or/hr 50,000 -
3,200,000 80 or/hr 40,000 3,200,000 - or/hr 40,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
12,450,000 20,400,000 -
12,450,000 408 or/hr 50,000 20,400,000 - or/hr 50,000 -
6,500,000 6,500,000 -
500,000 10 or/hr 50,000 500,000 - or/hr 50,000 -
6,000,000 150 or/hr 40,000 6,000,000 - or/hr 40,000 -
5,400,000 21,600,000 -
4,800,000 384 or/hr 50,000 19,200,000 - or/hr 50,000 -
600,000 48 or/hr 50,000 2,400,000 - or/hr 50,000 -
200,000 200,000 -
200,000 4 or/hr 50,000 200,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
20,750,000 28,800,000 -
20,750,000 576 or/hr 50,000 28,800,000 - or/hr 50,000 -
200,000 200,000 -
200,000 4 or/hr 50,000 200,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
4,150,000 5,500,000 -
4,150,000 110 or/hr 50,000 5,500,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
400,000 1,000,000 -
400,000 20 or/hr 50,000 1,000,000 - or/hr 50,000 -
11,520,000 11,520,000 -
11,520,000 288 or/hr 40,000 11,520,000 - or/hr 40,000 -
400,000 800,000 -
400,000 16 or/hr 50,000 800,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
200,000 200,000 -
200,000 4 or/hr 50,000 200,000 - or/hr 50,000 -
2,800,000 5,600,000 -
2,800,000 112 or/hr 50,000 5,600,000 - or/hr 50,000 -
3,500,000 5,600,000 -
3,500,000 112 or/hr 50,000 5,600,000 - or/hr 50,000 -
2,100,000 3,600,000 -
2,100,000 72 or/hr 50,000 3,600,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
15,650,000 31,300,000 -
8,400,000 336 or/hr 50,000 16,800,000 - or/hr 50,000 -
- - or/hr 50,000 - - or/hr 50,000 -
4,750,000 190 or/hr 50,000 9,500,000 - or/hr 50,000 -
1,000,000 40 or/hr 50,000 2,000,000 - or/hr 50,000 -
1,500,000 60 or/hr 50,000 3,000,000 - or/hr 50,000 -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- 600,000 -
- 12 or/hr 50,000 600,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
13,440,000 13,440,000 -
13,440,000 336 or/hr 40,000 13,440,000 - or/hr 40,000 -
1,550,000 2,800,000 -
1,550,000 56 or/hr 50,000 2,800,000 - or/hr 50,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
900,000 900,000 -
100,000 2 or/hr 50,000 100,000 - or/hr 50,000 -
800,000 20 or/hr 40,000 800,000 - or/hr 40,000 -
800,000 1,200,000 -
800,000 24 or/hr 50,000 1,200,000 - or/hr 50,000 -
200,000 400,000 -
200,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
4,700,000 7,500,000 -
4,700,000 150 or/hr 50,000 7,500,000 - or/hr 50,000 -
100,000 100,000 -
100,000 2 or/hr 50,000 100,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
3,200,000 3,200,000 -
3,200,000 64 or/hr 50,000 3,200,000 - or/hr 50,000 -
200,000 200,000 -
200,000 4 or/hr 50,000 200,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
300,000 300,000 -
300,000 6 or/hr 50,000 300,000 - or/hr 50,000 -
JUMLAH BIAYA JUMLAH BIAYA JUMLAH BIAYA
JUMLAH HARGA JUMLAH
PER KEGIATAN PER KEGIATAN HARGA SATUAN PER KEGIATAN
SATUAN SATUAN SATUAN
(Rp) (Rp) (Rp)
2,800,000 4,800,000 -
2,800,000 96 or/hr 50,000 4,800,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
400,000 400,000 -
400,000 8 or/hr 50,000 400,000 - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
750,000 750,000 -
750,000 15 or/hr 50,000 750,000 - or/hr 50,000 -
- 200,000 -
- 4 or/hr 50,000 200,000 - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
- 200,000 -
- 4 or/hr 50,000 200,000 - or/hr 50,000 -
- - or/hr 40,000 - - or/hr 40,000 -
1,750,000 1,750,000 -
1,750,000 35 or/hr 50,000 1,750,000 - or/hr 50,000 -
- - -
- - or/hr 50,000 - - or/hr 50,000 -
RENCANA KERJA DAN ANGGARAN PERUBAHAN
FORMUL
RKAP-SK
SATUAN KERJA PERANGKAT DAERAH 2.2.1
KABUPATEN KARAWANG
TAHUN ANGGARAN 2018
Urusan Pemerintahan : 1.02. Urusan Wajib Kesehatan
Organisasi : 1.02.1.02.01 Dinas Kesehatan
Program : 1.02.1.02.01.01.45. Program Bantuan Operasional Kesehatan (BOK)
Kegiatan : 1.02.1.02.01.01.45.00 Peningkatan Bantuan Operasional Kesehatan Pada Puskesmas
Lokasi Kegiatan : UPTD Puskesmas Plawad
Jumlah Tahun n-1 : Rp -
Jumlah Tahun n : Rp 447,164,750.00
Jumlah Tahun n+1 : Rp -
Indikator & Tolak Ukur Kinerja Belanja Langsung
Indikator Tolok Ukur Kinerja Target Kine
Capaian Program : Meningkatnya Kualitas Pelaksanaan Bantuan Operasional Kesehatan (BOK) Puskesmas 100 %
Masukan : Tersedianya Dana dan SDM Rp 5
Keluaran : Tersedianya Biaya Honorarium Pengelola Kegiatan Rp
Tersedianya Biaya Alat Tulis Kantor Rp
Tersedianya Biaya Materai Rp
Tersedianya Biaya Bahan Peralatan Kesehatan -
Tersedianya Biaya Bahan Makanan PMT Penyuluhan Rp
Tersedianya Biaya Bahan Cetakan Rp
Tersedianya Biaya Fotocopy Rp
Tersedianya Biaya Makanan dan Minuman Rapat Rp
Tersedianya Biaya Perjalan Dinas Dalam Daerah Rp
Tersedianya Biaya Transport Rp
JUMLAH HARGA
KODE REKENING URAIAN KEGIATAN
SATUAN SATUAN
1 2 3 4
5 BELANJA
5 2 BELANJA LANGSUNG
5 2 1 BELANJA PEGAWAI
5 2 1 01 Honorarium PNS
5 2 1 01 05 » Honorarium Panitia Pengelola Kegiatan
1 Honor Bendahara Pengeluaran Pembantu 12 bl 350,000
5 2 2 06 03 » Belanja Fotocopy
1 Belanja Fotocopy
» Fotocopy 40,000 lbr 200
17 Pendampingan IMD dan ASI Eksklusif kepada Bides, Toga dan Tomas
» Makan - dus 30,000
» Snack - dus 15,000
5 2 2 15 04 » Belanja Transport
1 Pendataan Keluarga Sehat (KS)
» Transport Petugas 1,330 or/hr 70,000
» Transport Kader 1,330 or/hr 20,000
19 Pelacakan Kasus Kematian dan Otopsi Verbal Neonatus, Bayi dan Balita
» Transport Petugas 4 or/hr 50,000
31 Pendampingan IMD dan ASI Eksklusif kepada Bides, Toga dan Tomas
» Transport Petugas - or/hr 50,000
» Transport Peserta - or/hr 40,000
49 Penemuan/ Pelacakan Kasus Penyakit Menular dan Tidak Menular Secara Dini
» Transport Petugas 24 or/hr 50,000
JUMLAH HARGA
KODE REKENING URAIAN KEGIATAN
SATUAN SATUAN
50 Kunjungan Rumah (Follow Up) Tata Laksana Penyakit Menular dan Tidak Menular
» Transport Petugas 150 or/hr 50,000
65 Penemuan Kasus Secara Dini Orang Dengan Gangguan Jiwa dan NAPZA
» Transport Petugas 6 or/hr 50,000
( dr Sondang Tampubolon
NIP. 19620612 198903 2 00
ORMULIR
KAP-SKPD
2.2.1
Target Kinerja
100 %
537,901,500
4,200,000
6,736,500
1,500,000
-
10,400,000
3,555,000
8,000,000
110,250,000
5,700,000
387,560,000
JUMLAH BIAYA
PER KEGIATAN
(Rp)
5 = (3x4)
537,901,500
537,901,500
4,200,000
4,200,000
4,200,000
4,200,000
533,701,500
18,636,500
6,736,500
6,736,500
6,736,500
1,500,000
1,500,000
300,000
1,200,000
-
-
-
JUMLAH BIAYA
PER KEGIATAN
(Rp)
10,400,000
10,400,000
5,600,000
4,800,000
11,555,000
3,555,000
3,555,000
3,555,000
8,000,000
8,000,000
8,000,000
110,250,000
110,250,000
1,800,000
1,800,000
990,000
660,000
330,000
-
-
1,920,000
-
1,920,000
2,400,000
-
2,400,000
1,320,000
960,000
360,000
2,640,000
2,640,000
-
2,250,000
1,500,000
750,000
480,000
-
480,000
59,760,000
48,960,000
10,800,000
-
-
-
JUMLAH BIAYA
PER KEGIATAN
(Rp)
-
-
-
-
-
990,000
660,000
330,000
1,800,000
1,800,000
2,340,000
-
2,340,000
-
-
-
-
-
-
1,920,000
-
1,920,000
660,000
660,000
-
-
-
-
-
-
-
-
-
1,320,000
-
1,320,000
-
-
-
-
-
-
-
-
JUMLAH BIAYA
PER KEGIATAN
(Rp)
-
-
-
-
-
-
-
-
-
-
-
-
1,110,000
-
1,110,000
-
-
-
14,400,000
9,600,000
4,800,000
6,750,000
4,500,000
2,250,000
5,400,000
3,600,000
1,800,000
393,260,000
5,700,000
300,000
300,000
300,000
300,000
-
-
-
-
-
-
-
-
-
-
JUMLAH BIAYA
PER KEGIATAN
(Rp)
-
-
-
-
300,000
300,000
150,000
150,000
1,800,000
1,800,000
2,850,000
2,850,000
387,560,000
119,700,000
93,100,000
26,600,000
800,000
800,000
10,000,000
10,000,000
3,200,000
800,000
2,400,000
6,500,000
500,000
6,000,000
400,000
400,000
1,800,000
1,800,000
240,000
240,000
1,100,000
1,100,000
3,000,000
3,000,000
4,050,000
850,000
3,200,000
400,000
400,000
JUMLAH BIAYA
PER KEGIATAN
(Rp)
20,400,000
20,400,000
6,500,000
500,000
6,000,000
21,600,000
19,200,000
2,400,000
200,000
200,000
-
-
-
28,800,000
28,800,000
200,000
200,000
-
-
3,160,000
2,400,000
760,000
5,500,000
5,500,000
-
-
400,000
400,000
2,400,000
2,400,000
-
-
1,000,000
1,000,000
11,520,000
11,520,000
14,400,000
14,400,000
800,000
800,000
-
-
-
200,000
200,000
JUMLAH BIAYA
PER KEGIATAN
(Rp)
5,600,000
5,600,000
5,600,000
5,600,000
3,600,000
3,600,000
9,100,000
9,100,000
-
-
-
-
31,300,000
16,800,000
-
9,500,000
2,000,000
3,000,000
-
-
-
-
-
-
-
-
600,000
600,000
-
-
13,440,000
13,440,000
2,800,000
2,800,000
400,000
400,000
-
900,000
100,000
800,000
1,200,000
1,200,000
JUMLAH BIAYA
PER KEGIATAN
(Rp)
7,500,000
7,500,000
400,000
400,000
7,500,000
7,500,000
100,000
100,000
-
-
-
-
3,200,000
3,200,000
200,000
200,000
-
-
-
-
-
-
-
-
-
-
-
-
400,000
400,000
-
300,000
300,000
1,200,000
1,200,000
4,800,000
4,800,000
7,500,000
7,500,000
JUMLAH BIAYA
PER KEGIATAN
(Rp)
-
-
-
-
-
-
400,000
400,000
-
400,000
400,000
-
-
-
-
750,000
750,000
200,000
200,000
-
200,000
200,000
-
1,750,000
1,750,000
6,150,000
750,000
5,400,000
1,800,000
1,800,000
-
-
Juli 2018
Puskesmas
wad
Tampubolon )
198903 2 004