SPD Blud

PEMERINTAH KABUPATEN INDRAGIRI HILIR
SURAT PENCAIRAN DANA (SPD)

NOMOR : 440/SPD/PKM-MDH/III/2019/
BENDAHARA PENGELUARAN
BLUD PUSKESMAS MANDAH
Supaya Mencairkan Dana Kepada :

1 Pimpinan BLUD : Suharmin,SKM.MM
2 Program : Upaya Kesehatan Masyarakat
3 Kegiatan : Pelayanan Badan Layanan Umum Daerah (BLUD)
Puskesmas Kempas Jaya
4 Program Nomor DPA/DPAL/DPPA-SKPD : 1.01.02.1.01.02.01.33.002
5 Tahun Anggaran : 2019
6 Jumlah Dana Yang Diminta : Rp.57.808.500,-
Pembebanan Pada Kode Rekening

AKUMULASI
KODE PENCAIRAN PENCAIRAN
NO URAIAN ANGGARAN SISA
REKENING SEBELUMNY SAAT INI
A
1 5.2.1.01.002 Honorarium Tim Pengadaan Barang dan Jasa 900,000 - - 900,000

2 5.2.2.01.001 Belanja Alat Tulis Kantor 38,800,500 - 8,727,000 30,073,500
3 5.2.2.01.003 Belanja Alat Listrik dan Elektronik 9,550,000 - 5,250,000 4,300,000
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainnya 2,750,000 - 1,450,000 1,300,000
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pembers 9,800,000 - 1,840,000 7,960,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 - 600,000 6,500,000
7 5.2.2.01.007 Belanja Pengisian Tabung Pemadam Kebakaran 6,000,000 - - 6,000,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 - 1,220,000 5,880,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 - 8,540,000 13,835,724
Belanja Kelengkapan Komputer (Flash Dish,
10 5.2.2.01.018 3,200,000 - 760,000 2,440,000
Mouse, Keyboard, dsb)
11 5.2.2.02.001 Belanja Bahan Baku Bangunan 5,190,000 - 1,841,000 3,349,000
12 5.2.2.02.004 Belanja Bahan Obat-Obatan 719,079 - - 719,079
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 - 6,650,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 - 280,000 420,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 - 1,960,000 2,040,000
16 5.2.2.03.003 Belanja Listrik 30,000,000 - 5,767,560 24,232,440
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 - 160,000 800,000
Belanja Jasa Service Peralatan dan Perlengkapan
18 5.2.2.03.013 12,000,000 - - 12,000,000
Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - - 905,844,080
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 - 1,500,000 7,500,000

Belanja Jasa
21 5.2.2.03.021 10,000,000 - - 10,000,000
Tenaga/Tukang/Teknisi/Operator/Asisten
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 - 1,500,000 7,500,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 - 1,500,000 7,500,000

24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 - - 15,000,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 - 800,000 3,200,000
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 - - 8,000,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 - 2,052,940 36,522,061
28 5.2.2.11.003 Belanja Makanan dan Minuman Tamu 3,000,000 - - 3,000,000
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 - 620,000 6,080,000
30 5.2.2.11.005 Belanja Makanan dan Minuman Pasien 10,000,000 - - 10,000,000
31 5.2.2.15.001 Belanja Perjalanan Dinas Dalam Daerah 36,480,000 - 9,440,000 27,040,000
32 5.2.2.15.002 Belanja Perjalanan Dinas Luar Daerah 32,445,750 - - 32,445,750
33 5.2.2.17.001 Belanja Kursus-kursus singkat/pelatihan 15,900,000 - - 15,900,000
34 5.2.2.20.003 Belanja Pemeliharaan Gedung 53,000,000 - - 53,000,000
Belanja Pemeliharaan Peralatan Kesehatan dan

35 5.2.2.20.010 22,000,000 - 2,000,000 20,000,000
Kedokteran
36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 - - 25,000,000
37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 - - 4,000,000
Belanja Modal Peralatan Alat Rumah Tangga

38 5.2.3.10.025 1,500,000 - - 1,500,000
lainnya (Home Use) - Tangga Alumunium
39 5.2.3.10.026 4,000,000 - - 4,000,000
lainnya (Home Use) - Tangki Air
40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - - 4,000,000

41 5.2.3.12.002 Belanja Modal Pengadaan Komputer/PC 12,000,000 - - 12,000,000
42 5.2.3.12.003 Belanja Modal Pengadaan Komputer/Notebook 35,000,000 - - 35,000,000
43 5.2.3.12.004 Belanja Modal Pengadaan Printer 17,000,000 - - 17,000,000
44 5.2.3.12.008 Belanja Modal Pengadaan UPS/Stabilizer 9,500,000 - - 9,500,000
45 5.2.3.13.001 Belanja Modal Pengadaan Meja Kerja 6,000,000 - - 6,000,000
46 5.2.3.13.004 Belanja Modal Pengadaan Kursi Kerja 9,000,000 - - 9,000,000
47 5.2.3.14.008 Belanja Modal Pengadaan Alat Pembersih 3,000,000 - - 3,000,000
48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 - - 8,000,000
49 5.2.3.16.004 Belanja Modal Peralatan Audio 10,000,000 - - 10,000,000
50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 - - 6,000,000

1,509,740,134 - 57,808,500 1,427,931,634
Potongan-potongan
PPN
PPh - 21/22/23
Jumlah Yang Diminta : Rp.57.808.500,-
Potongan-potongan :
Jumlah Yang Dibayarkan :
Lima Puluh Tujuh Juta Delapan Ratus Delapan Ribu Lima Ratus Rupiah
Kempas Jaya, Maret 2019

Kuasa Pengguna Anggaran Pejabat Teknis
Pemimpin BLUD Puskesmas Kempas Jaya
SUHARMIN, SKM.MM MUHAMMAD ALI, SKM

Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002
#REF!
#REF!
5280000 8560000
2139750 5706000
7419750 14266000
Rp 233,348,000
290567200
NOMOR : 440/SPD/PKM-KJ/IV/2019/
BLUD PUSKESMAS KEMPAS JAYA

AKUMULASI
KODE PENCAIRAN
NO URAIAN ANGGARAN PENCAIRAN SISA
REKENING SAAT INI
SEBELUMNYA

2 5.2.2.01.001 Belanja Alat Tulis Kantor 38,800,500 8,727,000 2,288,000 27,785,500
3 5.2.2.01.003 Belanja Alat Listrik dan Elektronik 9,550,000 5,250,000 4,300,000
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainnya 2,750,000 1,450,000 1,300,000
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pembers 9,800,000 1,840,000 7,960,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 600,000 6,500,000
7 5.2.2.01.007 Belanja Pengisian Tabung Pemadam Kebakaran 6,000,000 - 6,000,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 1,220,000 860,000 5,020,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 8,540,000 13,835,724
10 5.2.2.01.018 3,200,000 760,000 2,440,000
11 5.2.2.02.001 Belanja Bahan Baku Bangunan 5,190,000 1,841,000 3,349,000
12 5.2.2.02.004 Belanja Bahan Obat-Obatan 719,079 - 719,079
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 6,650,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 280,000 420,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 1,960,000 2,040,000
16 5.2.2.03.003 Belanja Listrik 30,000,000 5,767,560 2,115,490 22,116,950
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 160,000 80,000 720,000
Belanja Jasa Service Peralatan dan Perlengkapan
18 5.2.2.03.013 12,000,000 - 12,000,000
Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - 905,844,080
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 1,500,000 750,000 6,750,000

Belanja Jasa
21 5.2.2.03.021 10,000,000 - 900,000 9,100,000
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 1,500,000 750,000 6,750,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 1,500,000 750,000 6,750,000

24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 - 3,750,000 11,250,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 800,000 841,250 2,358,750
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 - 8,000,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 2,052,940 36,522,061
28 5.2.2.11.003 Belanja Makanan dan Minuman Tamu 3,000,000 - 3,000,000
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 620,000 352,000 5,728,000
30 5.2.2.11.005 Belanja Makanan dan Minuman Pasien 10,000,000 - 10,000,000
31 5.2.2.15.001 Belanja Perjalanan Dinas Dalam Daerah 36,480,000 9,440,000 1,255,000 25,785,000
32 5.2.2.15.002 Belanja Perjalanan Dinas Luar Daerah 32,445,750 - 10,695,750 21,750,000
33 5.2.2.17.001 Belanja Kursus-kursus singkat/pelatihan 15,900,000 - 15,900,000
34 5.2.2.20.003 Belanja Pemeliharaan Gedung 53,000,000 - 7,750,000 45,250,000
Belanja Pemeliharaan Peralatan Kesehatan dan

35 5.2.2.20.010 22,000,000 2,000,000 2,800,000 17,200,000
Kedokteran
37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 - 2,000,000 2,000,000

38 5.2.3.10.025 1,500,000 - - 1,500,000
39 5.2.3.10.026 4,000,000 - - 4,000,000


1,509,740,134 57,808,500 37,937,490 ###
Potongan-potongan
PPN
PPh - 21/22/23
Potongan-potongan :
Tiga Puluh Tujuh Juta Sembilan Ratus Tiga Puluh Tujuh Ribu Empat Ratus Sembilan Puluh Rupiah
Kempas Jaya, April 2019


Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002
37,937,490.00
#REF!
#REF!
8,727,000 2,288,000
5,250,000
1,450,000
1,840,000
600,000
-
1,220,000 860,000
8,540,000
760,000
1,841,000
-
280,000
1,960,000
5,767,560 2,115,490
160,000 80,000
1,500,000 750,000
- 900,000
1,500,000 750,000
1,500,000 750,000
- 3,750,000
800,000 841,250
-
2,052,940
-
620,000 352,000
-
9,440,000 1,255,000
- 10,695,750
-
- 7,750,000
2,000,000 2,800,000
- -
- 2,000,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
57,808,500 37,937,490
NOMOR : 440/SPD/PKM-KJ/V/2019/

AKUMULASI
KODE PENCAIRAN
REKENING SAAT INI
SEBELUMNYA

3 5.2.2.01.003 Belanja Alat Listrik dan Elektronik 9,550,000 5,250,000 - 4,300,000
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainn 2,750,000 1,450,000 275,000 1,025,000
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pemb 9,800,000 1,840,000 346,000 7,614,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 600,000 200,000 6,300,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 2,080,000 620,000 4,400,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 8,540,000 1,560,000 12,275,724
10 5.2.2.01.018 3,200,000 760,000 - 2,440,000
11 5.2.2.02.001 Belanja Bahan Baku Bangunan 5,190,000 1,841,000 - 3,349,000
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 3,450,000 3,200,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 280,000 70,000 350,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 1,960,000 776,000 1,264,000
16 5.2.2.03.003 Belanja Listrik 30,000,000 7,883,050 2,282,200 19,834,750
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 240,000 720,000
Belanja Jasa Service Peralatan dan
18 5.2.2.03.013 12,000,000 - 12,000,000
Perlengkapan Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - 905,844,080
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 2,250,000 750,000 6,000,000

Belanja Jasa
21 5.2.2.03.021 10,000,000 900,000 - 9,100,000
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 2,250,000 750,000 6,000,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 2,250,000 750,000 6,000,000

24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 3,750,000 1,250,000 10,000,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 1,641,250 482,550 1,876,200
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 - 3,250,000 4,750,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 2,052,940 - 36,522,061
28 5.2.2.11.003 Belanja Makanan dan Minuman Tamu 3,000,000 - 3,000,000
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 972,000 445,000 5,283,000
32 5.2.2.15.002 Belanja Perjalanan Dinas Luar Daerah 32,445,750 10,695,750 - 21,750,000
34 5.2.2.20.003 Belanja Pemeliharaan Gedung 53,000,000 7,750,000 - 45,250,000
Belanja Pemeliharaan Peralatan Kesehatan

35 5.2.2.20.010 22,000,000 4,800,000 - 17,200,000
dan Kedokteran
37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 2,000,000 - 2,000,000

38 5.2.3.10.025 1,500,000 - - 1,500,000
39 5.2.3.10.026 4,000,000 - - 4,000,000

43 5.2.3.12.004 Belanja Modal Pengadaan Printer 17,000,000 - 2,860,000 14,140,000
48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 - 6,760,000 1,240,000
50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 - 2,975,000 3,025,000

1,509,740,134 95,745,990 35,131,750 1,364,597,394
Potongan-potongan
PPN
PPh - 21/22/23
Potongan-potongan :
Tiga Puluh Lima Juta Seratus Dekaoan Puluh Sembilan Ribu Dua Ratus Rupiah
Kempas Jaya, Mei 2019


Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002

NOMOR : 440/SPD/PKM-KJ/V/2019/

AKUMULASI
KODE PENCAIRAN
REKENING SAAT INI
SEBELUMNYA

2 5.2.2.01.001 Belanja Alat Tulis Kantor 38,800,500 11,015,000 - 27,785,500
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainn 2,750,000 1,450,000 - 1,300,000
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pemb 9,800,000 1,840,000 - 7,960,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 600,000 - 6,500,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 2,080,000 - 5,020,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 8,540,000 - 13,835,724
10 5.2.2.01.018 3,200,000 760,000 - 2,440,000
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 - 6,650,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 280,000 - 420,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 1,960,000 - 2,040,000
16 5.2.2.03.003 Belanja Listrik 30,000,000 7,883,050 - 22,116,950
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 240,000 - 720,000
18 5.2.2.03.013 12,000,000 - - 12,000,000
Perlengkapan Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - 267,026,160 638,817,920
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 2,250,000 - 6,750,000
Belanja Jasa
21 5.2.2.03.021 10,000,000 900,000 - 9,100,000
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 2,250,000 - 6,750,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 2,250,000 - 6,750,000
24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 3,750,000 - 11,250,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 1,641,250 - 2,358,750
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 - - 8,000,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 2,052,940 - 36,522,061
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 972,000 - 5,728,000
31 5.2.2.15.001 Belanja Perjalanan Dinas Dalam Daerah 36,480,000 10,695,000 - 25,785,000
35 5.2.2.20.010 22,000,000 4,800,000 - 17,200,000
dan Kedokteran
38 5.2.3.10.025 1,500,000 - - 1,500,000

39 5.2.3.10.026 4,000,000 - - 4,000,000

1,509,740,134 95,745,990 267,026,160 1,122,967,984
Potongan-potongan
PPN
PPh - 21/22/23
Potongan-potongan :
Dua Ratus Enam Puluh Tujuh Juta Dua Puluh Enam Ribu Seratus Enam Puluh Rupiah
Kempas Jaya, Mei 2019


Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002
37,937,490.00
35131750
#REF!
#REF!
8,727,000 2,288,000 3,230,000 14,245,000
5,250,000 5,250,000
1,450,000 275,000 1,725,000
1,840,000 346,000 2,186,000
600,000 200,000 800,000
- -
1,220,000 860,000 620,000 2,700,000
8,540,000 1,560,000 10,100,000
760,000
760,000
1,841,000 1,841,000
- -
3,450,000
280,000 70,000 350,000
1,960,000 776,000 2,736,000
5,767,560 2,115,490 2,282,200 10,165,250
160,000 80,000 240,000
-
-
-
-
1,500,000 750,000 750,000 3,000,000
- 900,000
900,000
1,500,000 750,000 750,000 3,000,000
1,500,000 750,000 750,000 3,000,000
- 3,750,000 1,250,000 5,000,000
800,000 841,250 482,550 2,123,800
- 3,250,000 3,250,000
2,052,940 2,052,940
- -
620,000 352,000 445,000 1,417,000
- -
9,440,000 1,255,000 2,050,000 12,745,000
- 10,695,750 10,695,750
- -
- 7,750,000 7,750,000
2,000,000 2,800,000
4,800,000
- - -
- 2,000,000 2,000,000
- -
-
- -
-
- - -
- - -
- - -
- - 2,860,000 2,860,000
- - -
- - -
- - -
- - -
- - 6,760,000 6,760,000
- - -
- - 2,975,000 2,975,000
57,808,500 37,937,490 35,131,750 130,877,740
35,131,750
267,026,160
302,157,910
95,745,990
397,903,900
25000000
422,903,900
NOMOR : 440/SPD/PKM-KJ/VII/2019/


AKUMULASI
KODE PENCAIRAN
REKENING SAAT INI
SEBELUMNYA

2 5.2.2.01.001 Belanja Alat Tulis Kantor 38,800,500 14,245,000 - 24,555,500
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainn 2,750,000 1,725,000 - 1,025,000
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pembe 9,800,000 2,186,000 - 7,614,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 800,000 - 6,300,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 2,700,000 - 4,400,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 10,100,000 - 12,275,724
10 5.2.2.01.018 3,200,000 760,000 - 2,440,000
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 3,450,000 - 3,200,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 350,000 - 350,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 2,736,000 - 1,264,000
16 5.2.2.03.003 Belanja Listrik 30,000,000 10,165,250 - 19,834,750
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 240,000 - 720,000
18 5.2.2.03.013 12,000,000 - - 12,000,000
Perlengkapan Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 267,026,160 - 638,817,920
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 3,000,000 - 6,000,000

Belanja Jasa
21 5.2.2.03.021 10,000,000 900,000 - 9,100,000
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 3,000,000 - 6,000,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 3,000,000 - 6,000,000

24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 5,000,000 - 10,000,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 2,123,800 - 1,876,200
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 3,250,000 - 4,750,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 2,052,940 - 36,522,061
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 1,417,000 - 5,283,000
31 5.2.2.15.001 Belanja Perjalanan Dinas Dalam Daerah 36,480,000 12,745,000 - 23,735,000

35 5.2.2.20.010 22,000,000 4,800,000 - 17,200,000
dan Kedokteran
36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 - 25,000,000 -

38 5.2.3.10.025 1,500,000 - - 1,500,000
39 5.2.3.10.026 4,000,000 - - 4,000,000

43 5.2.3.12.004 Belanja Modal Pengadaan Printer 17,000,000 2,860,000 - 14,140,000
48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 6,760,000 - 1,240,000
50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 2,975,000 - 3,025,000

1,509,740,134 397,903,900 25,000,000 1,072,571,234
Potongan-potongan
PPN
PPh - 21/22/23
Jumlah Yang Diminta : Rp. 25.000.000,-
Potongan-potongan :
Dua Puluh Lima Juta Rupiah
Kempas Jaya, Juli 2019


Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002

NOMOR : 440/SPD/PKM-KJ/VIII/2019/

AKUMULASI
KODE PENCAIRAN
REKENING SAAT INI
SEBELUMNYA

3 5.2.2.01.003 Belanja Alat Listrik dan Elektronik 9,550,000 5,250,000 1,400,000 2,900,000
4 5.2.2.01.004 Belanja Perangko,Materai dan Benda Pos Lainn 2,750,000 1,725,000 1,435,000 (410,000)
5 5.2.2.01.005 Belanja Peralatan Kebersihan Dan Bahan Pembe 9,800,000 2,186,000 350,000 7,264,000
6 5.2.2.01.006 Belanja Bahan Bakar Minyak/Gas 7,100,000 800,000 2,300,000 4,000,000
8 5.2.2.01.008 Belanja Pengisian Tabung Gas 7,100,000 2,700,000 2,600,000 1,800,000
9 5.2.2.01.009 Belanja Bahan Habis Pakai Material Kesehatan 22,375,724 10,100,000 2,200,000 10,075,724
10 5.2.2.01.018 3,200,000 760,000 1,300,000 1,140,000
11 5.2.2.02.001 Belanja Bahan Baku Bangunan 5,190,000 1,841,000 200,000 3,149,000
13 5.2.2.02.007 Belanja Bahan Logistik Rumah Tangga 6,650,000 3,450,000 750,000 2,450,000
14 5.2.2.02.022 Belanja Bahan Pestisida 700,000 350,000 210,000 140,000
15 5.2.2.03.001 Belanja Telepon 4,000,000 2,736,000 3,960,000 (2,696,000)
16 5.2.2.03.003 Belanja Listrik 30,000,000 10,165,250 6,191,650 13,643,100
17 5.2.2.03.005 Belanja Surat Kabar/Majalah 960,000 240,000 320,000 400,000
18 5.2.2.03.013 12,000,000 - 1,800,000 10,200,000
Perlengkapan Kantor
19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 267,026,160 ### 429,206,120
20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 3,000,000 2,250,000 3,750,000
Belanja Jasa
21 5.2.2.03.021 10,000,000 900,000 1,800,000 7,300,000
22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 3,000,000 2,250,000 3,750,000
23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 3,000,000 2,250,000 3,750,000
24 5.2.2.03.24 Belanja Jasa Operator Pengelola Web/Aplikasi 15,000,000 5,000,000 3,750,000 6,250,000
25 5.2.2.05.001 Belanja Jasa Service 4,000,000 2,123,800 3,347,800 (1,471,600)
26 5.2.2.05.002 Belanja Penggantian Suku Cadang 8,000,000 3,250,000 3,600,000 1,150,000
27 5.2.2.06.001 Belanja Cetak 38,575,001 2,052,940 1,800,000 34,722,061
29 5.2.2.11.004 Belanja Makanan dan Minuman Kegiatan 6,700,000 1,417,000 1,150,000 4,133,000
32 5.2.2.15.002 Belanja Perjalanan Dinas Luar Daerah 32,445,750 10,695,750 2,030,000 19,720,000
34 5.2.2.20.003 Belanja Pemeliharaan Gedung 53,000,000 7,750,000 10,000,000 35,250,000
35 5.2.2.20.010 22,000,000 4,800,000 3,000,000 14,200,000
dan Kedokteran
36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 25,000,000 - -

38 5.2.3.10.025 1,500,000 - 750,000 750,000

39 5.2.3.10.026 4,000,000 - - 4,000,000
40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - 3,000,000 1,000,000

42 5.2.3.12.003 Belanja Modal Pengadaan Komputer/Notebook 35,000,000 - 2,500,000 32,500,000
43 5.2.3.12.004 Belanja Modal Pengadaan Printer 17,000,000 2,860,000 2,000,000 12,140,000
45 5.2.3.13.001 Belanja Modal Pengadaan Meja Kerja 6,000,000 - 3,000,000 3,000,000
47 5.2.3.14.008 Belanja Modal Pengadaan Alat Pembersih 3,000,000 - 3,000,000 -
48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 6,760,000 - 1,240,000
50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 2,975,000 - 3,025,000
1,509,740,134 413,168,900 ### 782,114,984
Potongan-potongan
PPN
PPh - 21/22/23
Potongan-potongan :
Tiga Ratus Empat Belas Juta Delapan Ratus Tujuh Puluh Sembilan Ribu Tujuh Ratus Dua Rupiah
Kempas Jaya, Agustus 2019


Penata Penata
NIP.19760212 199603 1 002 NIP.19741011 199503 1 002
37,937,490.00
35131750
jan feb mar april Juli mei-juli
8,727,000 2,288,000 3,230,000 1,500,000

5,250,000 1,400,000
1,450,000 275,000 1,435,000
1,840,000 346,000 350,000
600,000 200,000 2,300,000
-
1,220,000 860,000 620,000 2,800,000
8,540,000 1,560,000 2,200,000
760,000
1,841,000
-
3,450,000
280,000 70,000 560,000
1,960,000 776,000 3,960,000
5,767,560 2,115,490 2,282,200 12,106,920
160,000 80,000 320,000
- 1,800,000
- 267,026,160 476,637,960
1,500,000 750,000 750,000 5,250,000
- 900,000 2,700,000
1,500,000 750,000 750,000 5,250,000

1,500,000 750,000 750,000 5,250,000
- 3,750,000 1,250,000 8,750,000
800,000 841,250 482,550
- 3,250,000
2,052,940 1,800,000
-
620,000 352,000 445,000 1,150,000
-
9,440,000 1,255,000 2,050,000 2,850,000
- 10,695,750 380,000
-
- 7,750,000 10,000,000
2,000,000 2,800,000 3,000,000
- - 25,000,000 25,000,000
- 2,000,000
- - 500,000
- -
- - -
- -
- - 2,500,000
- - 2,860,000 5,229,980
- -
- - -
- -
- -
- - 6,760,000
- -
- - 2,975,000
57,808,500 37,937,490 302,157,910 25,000,000 586,979,860
5400000
250000
300000
5950000
12150000
6075000
314879702
24,423,452
15,745,000
6,650,000
3,160,000
2,536,000
3,100,000
-
5,500,000
12,300,000
760,000
1,841,000
-
3,450,000
910,000
6,696,000
22,272,170
560,000
1,800,000
743,664,120
8,250,000
3,600,000
8,250,000
8,250,000
13,750,000
2,123,800
3,250,000
3,852,940
-
2,567,000
-
15,595,000
11,075,750
-
17,750,000
7,800,000
50,000,000
2,000,000
500,000
-
-
-
2,500,000
8,089,980
-
-
-
-
6,760,000
-
2,975,000
1,009,883,760
RINCIAN KEBUTUHAN
KEGIATAN : PELAYANAN JAMINAN KESEHATAN NASIONAL PUSKESMAS KEMPAS JAYA
KODE
NO REKENIN URAIAN HARGA JUMLAH
G
1 2 3 4 5
1 5.2.2.01.01Belanja Alat Tulis Kantor 9,504,200
Amplop Putih No.110 10 Pak x 25,000 = 250,000
Amplop Dinas Coklat 30 Pak x 27,500 = 825,000
Kertas HVS Ukuran Folio 50 Rim x 60,000 = 3,000,000
Kertas HVS Warna Folio 70 Gram 5 Rim x 72,000 = 360,000 op
Kertas HVS Ukuran A4 5 Rim x 60,000 = 300,000
Buku Folio 100 Lbr 30 Pcs x 14,000 = 420,000
Buku Folio 200 Lbr 20 Pcs x 26,000 = 520,000
Buku Tulis 6 Pak x 43,000 = 258,000
Spidol Permanent 25 Pcs x 12,000 = 300,000
Spidol Board Marker 10 Pcs x 13,000 = 130,000
Bollpoint 15 Lusin x 20,000 = 300,000
Bollpoint Boldliner 5 Lusin x 101,000 = 505,000
Pensil 2B 5 Lusin x 47,240 = 236,200
Tipe-x 30 Pcs x 6,000 = 180,000
Penggaris Besi 30 CM 15 Pcs x 9,000 = 135,000
Penghapus Kecil 20 Pcs x 4,000 = 80,000
Paper Klip No 5 20 Kotak x 7,500 = 150,000 bmhp
Binder Klip No 105 20 Kotak x 7,000 = 140,000
Solasi 1/2 x 36 5 Roll x 9,000 = 45,000 jaSA
Double Tape 2" 10 Roll x 17,000 = 170,000
Lakban 1 1/2" 10 Roll x 12,000 = 120,000
Punch No.85 10 Pcs x 55,000 = 550,000
Lem Stick 25 Gram 10 Pcs x 13,000 = 130,000
Staepler No.10 20 Pcs x 20,000 = 400,000
2 5.2.2.01.03Belanja Alat Listrik dan Elektronik 2,000,000

- Bola Lampu 30 Pcs x 50,000 = 1,500,000
- kabel Cok Panjang 5 Roll x 100,000 = 500,000
3 5.2.2.01.04Belanja Perangko, Materai dan 750,000

Benda Pos Lainnya
- Materai 3000 100 Lembar x 4,000 = 400,000
- Materai 6000 50 Lembar x 7,000 = 350,000
4 5.2.2.01.06Belanja Bahan Bakar Minyak/Gas 800,000

Solar 100 Liter x 8,000 = 800,000
5 5.2.2.01.09Belanja Bahan Habis Pakai Material Kesehatan 4,300,000

- Pengisian Tabung Oksigen Besar 12 Tabung x 100,000 = 1,200,000
- Pengisian Tabung Oksigen Kecil 18 Tabung x 80,000 = 1,440,000
- Strip Kolesterol 5 Kotak x 200,000 = 1,000,000
- Strip Asam Urat 3 Kotak x 110,000 = 330,000
- Strip Glukosa 3 Kotak x 110,000 = 330,000
6 5.2.2.02.07Belanja Bahan Logistik Rumah Tangga 6,590,000

- Laken/Sprei 40 Buah x 100,000 = 4,000,000
- Sarung Bantal 4 Lusin x 150,000 = 600,000
- Bantal 30 Buah x 25,000 = 750,000
- Handuk Kecil 2 Lusin x 120,000 = 240,000
- Perlak 1 Lusin x 300,000 = 300,000
- Selimut 1 Lusin x 700,000 = 700,000
7 5.2.2.03.03Belanja Listrik 6,000,000

Pulsa PLN 4 bln x 1,500,000 = 6,000,000
8 5.2.2.03.06Belanja Kawat/Faksimili/Internet 2,800,000

Biaya Internet 4 bln x 700,000 = 2,800,000
9 5.2.2.03.16Belanja Jasa Perawatan Kesehatan ###

Jasa Pelayanan JKN 4 bln x ### = ###
10 5.2.2.03.21Belanja Jasa Kebersihan Kantor 2,600,000
Jasa Cleaning Service (1 Org x 4 Bln) 4 OB x 650,000 = 2,600,000
11 5.2.2.03.22Belanja Jasa Tenaga Tukang/Teknisi/Operator/Asisten 800,000

Upah Tukang Perbaikan Lantai UGD 24 Jam 2 Org x 5 Hr x 80,000 = 800,000
12 5.2.2.03.23Belanja Jasa Satuan Keamanan 3,000,000

Jasa Satpam (1 Org x 4 bln) 4 OB x 750,000 = 3,000,000
13 5.2.2.03.26Belanja Jasa Petugas Taman 2,600,000

Jasa Tukang Kebun (1 Org x 4 Bln) 4 OB x 650,000 = 2,600,000
14 5.2.2.03.29Belanja Jasa Operator Pengelola Web/Aplikasi 4,000,000

Jasa Petugas Sistem Informasi Kesehatan (SIK) 4 OB x 1,000,000 = 4,000,000
15 5.2.2.06.01Belanja Cetak 3,000,000

- Cetak Family Folder 500 Pcs x 6,000 = 3,000,000
16 5.2.2.15.01Belanja Perjalanan Dinas Dalam Daerah 1,075,000

- Belanja Perjalanan Dinas Dalam Rangka
Konsultasi Ke Kabupaten
- Transportasi Kempas Jaya - Tembilahan (PP) 1 OK x 100,000 = 100,000
- Uang Harian Gol III 2 OKH x 465,000 = 930,000
- Penginapan 1 OKH x 45,000 = 45,000
17 5.2.2.20.03Belanja Pemeliharaan Gedung 4,350,000

Pemeliharaan Gedung Puskesmas Kempas Jaya dan
Jaringannya
- Pembelian Bahan untuk Perbaikan Lantai UGD 24 1 Paket x 4,350,000 = 4,350,000
18 5.2.2.20.14Belanja Pemeliharaan Peralatan Kesehatan dan 3,050,000

Kedokteran
-Biaya Pemeliharaan Reverse Osmosis (RO) 4 Bulan x 500,000 = 2,000,000
-Biaya Kalibrasi Alat Kesehatan 1 Bulan x 1,050,000 = 1,050,000
Dua Ratus Sembilan Puluh Juta Lima Ratus Enam Puluh Tujuh Ribu Dua Ratus
JUMLAH 290,567,200
Rupiah
KEMPAS JAYA, APRIL 2018

KEPALA UPT PUSKESMAS KEMPAS JAYA
SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
Kertas HVS Warna Folio 70 Gram 25 Rim x 60,000 = 1,500,000
Isi Staepler No.10 5 Pak x 50,000 = 250,000
Glossy Paper A4 (isi 20) 3 Pak x 65,000 = 195,000
Map Bening 30 Lusin x 26,000 = 780,000
Map Kertas Biasa 20 Pak x 26,000 = 520,000
Boxfile Plastik 10 Pcs x 30,000 = 300,000
Map Plastik Tali 5 Lusin x 41,000 = 205,000
Map Gongyu 50 Pcs x 30,000 = 1,500,000
Tinta Printer Hitam 10 Botol x 50,000 = 500,000
Tinta Printer Warna Merah 5 Botol x 50,000 = 250,000
Tinta Printer Warna Kuning 5 Botol x 50,000 = 250,000
TintaPrinter Warna Biru 5 Botol x 50,000 = 250,000
Buku Agenda Surat Masuk/Keluar 2 Block x 25,000 = 50,000
Buku Ekspedisi 1 Block x 34,000 = 34,000
Pembatas Kertas (stick Notes) 10 Pak x 12,000 = 120,000
Stereoform 40 Bh x 5,000 = 200,000
Map Business File Ukuran F4 50 Pak x 10,000 = 500,000
Map Biola 10 Lusin x 30,000 = 300,000
2 5.2.2.01.05Belanja Peralatan Kebersihan dan Bahan Pembersih 3,480,000

Sapu Lantai 10 Bh x 25,000 = 250,000
Tempat Sampah Pijak 20 Bh x 60,000 = 1,200,000
Alat Pengepel Lantai 3 Bh x 50,000 = 150,000
Kain Lap 10 Bh x 5,000 = 50,000
Sabun Cair 20 Bh x 15,000 = 300,000
Cairan Pencuci Alat Makan 10 Bh x 15,000 = 150,000
Cairan Pembersih Lantai 10 Bh x 25,000 = 250,000
Cairan Pembersih Toilet 10 Bh x 30,000 = 300,000
Kamper 5 Pak x 20,000 = 100,000
Ember 5 Bh x 50,000 = 250,000
Gayung Air 5 Bh x 10,000 = 50,000
Keset Kaki Cendol 5 Bh x 20,000 = 100,000
Kemoceng 5 Bh x 10,000 = 50,000
Cairan Pembersih Kaca 10 Botol x 13,000 = 130,000
Bayclean 10 Botol x 15,000 = 150,000
3 5.2.2.01.09Belanja Bahan Habis Pakai Material Kesehatan 680,000

- Pengisian Tabung Oksigen Besar 2 Tabung x 100,000 = 200,000
- Pengisian Tabung Oksigen Kecil 6 Tabung x 80,000 = 480,000
4 5.2.2.03.03Belanja Listrik 1,500,000

Pulsa PLN 1 bln x 1,500,000 = 1,500,000
5 5.2.2.03.05Belanja Surat Kabar/Majalah 320,000

Tagihan Koran 4 bln x 80,000 = 320,000
6 5.2.2.03.06Belanja Kawat/Faksimili/Internet 700,000

Biaya Internet 1 bln x 700,000 = 700,000
7 5.2.2.03.16Belanja Jasa Perawatan Kesehatan 58,337,000.00

Jasa Pelayanan JKN 1 bln x ### = 58,337,000
8 5.2.2.03.21Belanja Jasa Kebersihan Kantor 650,000

Jasa Cleaning Service (1 Org x 1 Bln) 1 OB x 650,000 = 650,000
9 5.2.2.03.22Belanja Jasa Tenaga Tukang/Teknisi/Operator/Asisten 800,000

Jasa Tukang Pemeliharaan Ruangan dan Aula 1 Org x 10 Hr x 80,000 = 800,000
10 5.2.2.03.23Belanja Jasa Satuan Keamanan 750,000

Jasa Satpam (1 Org x 1 bln) 1 OB x 750,000 = 750,000
11 5.2.2.03.26Belanja Jasa Petugas Taman 650,000

Jasa Tukang Kebun (1 Org x 1 Bln) 1 OB x 650,000 = 650,000

13 5.2.2.06.01Belanja Cetak 3,000,000

- Cetak Kohort KIA 12 Paket x 250,000 = 3,000,000

- Uang Harian Gol III 6 OKH x 465,000 = 2,790,000
- Penginapan 3 OKH x 30%*150.000 = 135,000

Jaringannya
-Pemeliharaan Ruangan dan Aula Puskesmas Kempa 1 Paket x 6,945,000 = 6,945,000
Jaya
JUMLAH Delapan Puluh Sembilan Juta Tujuh Ratus Empat Puluh Satu Ribu Rupiah 89,741,000
KEMPAS JAYA, 31 MEI 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
1 5.2.3.10.14Belanja Modal Pengadaan Alat Pendingin (AC) 26,730,000
AC 6 Unit x 4,455,000 = 26,730,000
2 5.2.3.12.03Belanja Modal Pengadaan Komputer/Notebook 47,987,600.00

Notebook 8 Unit x 5,998,450 = 47,987,600
3 5.2.3.12.04Belanja Pengadaan Printer 5,974,000

Printer Biasa 6 Unit = 5,974,000
JUMLAH Delapan Puluh Juta Enam Ratus Sembilan Puluh Satu Ribu Enam Ratus Rupiah 80,691,600
KEMPAS JAYA, JUNI 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
1 5.2.1.01.02Honorarium Tim Pengadaan Barang dan Jasa 900,000
Honorarium Pejabat Pengadaan Barang dan Jas 2 Bln x 450,000 = 900,000

Kertas HVS Warna Folio 70 Gram 5 Rim x 72,000 = 360,000
Kertas HVS Ukuran A4 15 Rim x 60,000 = 900,000
Spidol Permanent 15 Pcs x 12,000 = 180,000
Spidol Board Marker 10 Pcs x 13,000 = 130,000
Boxfile Plastik 15 Pcs x 30,000 = 450,000
Map Plastik Tali 5 Lusin x 41,000 = 205,000
Map Gongyu 20 Pcs x 30,000 = 600,000

Benda Pos Lainnya
- Materai 3000 100 Lembar x 4,000 = 400,000
- Materai 6000 50 Lembar x 7,000 = 350,000

Solar 50 Liter x 8,000 = 400,000

-Pengadaan Reagen Labor 1 Paket x 6,000,000 = 6,000,000
6 5.2.2.03.03Belanja Listrik 1,500,000

Pulsa PLN 1 bln x 1,500,000 = 1,500,000






13 5.2.2.06.01Belanja Cetak 2,750,000

- Cetak Kohort KB 8 Paket x 250,000 = 2,000,000
-Plang Pustu Rumbai Jaya 1 Pcs x 750,000 = 750,000

- Penginapan 1 OKH x 150,000 = 150,000
JUMLAH Delapan Puluh Dua Juta Tujuh Ratus Empat Puluh Dua Ribu Rupiah 82,742,000
KEMPAS JAYA, JULI 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
Map Gongyu 10 Pcs x 30,000 = 300,000

Solar 50 Liter x 8,000 = 400,000

4 5.2.2.01.18Belanja Kelengkapan Komputer (Flashdish, Mouse, 1,500,000

Keyboard, dsb)
- Flashdisk 10 Bh x 150,000 = 1,500,000
5 5.2.2.03.03Belanja Listrik 1,500,000

Pulsa PLN 1 bln x 1,500,000 = 1,500,000

7 5.2.2.03.13Belanja Jasa Service Peralatan dan Perlengkapan Kantor 750,000

Service Laptop 5 Unit x 150,000 = 750,000





13 5.2.2.05.01Belanja Jasa Service 1,000,000

Service Puskesmas Keliling 1 Paket x 1,000,000 = 1,000,000
14 5.2.2.06.01Belanja Cetak 2,750,000

- Cetak Plang Pustu Karya Tani 1 Pcs x 750,000 = 750,000
-Cetak Buku Rapor Kesehatan Anak Sekolah 200 Paket x 10,000 = 2,000,000

Pertemuan Ke Kabupaten
- Penginapan 1 OKH x 150,000 = 150,000
- Penginapan 1 OKH x 150,000 = 150,000

Kedokteran
JUMLAH Tujuh Puluh Lima Juta Sembilan Ratus Delapan Puluh Tujuh Ribu Rupiah 75,987,000
KEMPAS JAYA, AGUSTUS 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
1 5.2.3.13.04Belanja Modal Pengadaan Kursi Kerja 14,999,700
Pengadaan Kursi Kerja 10 Buah x 1,499,970 = 14,999,700
Empat Belas Juta Sembilan Ratus Sembilan Puluh Sembilan Ribu Tujuh Ratus
JUMLAH 14,999,700
Rupiah
KEMPAS JAYA, SEPTEMBER 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
Spidol Permanen 10 Pcs x 12,000 = 120,000
Isi Staepler 1 Pak x 50,000 = 50,000
Glossy Paper A4 (isi 20) 2 Pak x 65,000 = 130,000
Map Gongyu 10 Pcs x 30,000 = 300,000

Sapu Lantai 5 Bh x 25,000 = 125,000
Tempat Sampah Pijak 10 Bh x 60,000 = 600,000
Kain Lap 10 Bh x 5,000 = 50,000
Sabun Cair 10 Bh x 15,000 = 150,000
Kamper 5 Pak x 20,000 = 100,000
Bayclean 10 Botol x 15,000 = 150,000

-Pengadaan Reagen Labor 1 Paket x 2,000,000 = 2,000,000
4 5.2.2.01.18Belanja Kelengkapan Komputer (Flashdish, Mouse, 2,400,000

Keyboard, dsb)
- Hardisk Eksternal 2 Bh x 1,200,000 = 2,400,000
5 5.2.2.03.03Belanja Listrik 1,500,000

Pulsa PLN 1 bln x 1,500,000 = 1,500,000

Tagihan Koran 3 bln x 80,000 = 240,000



10 5.2.2.03.22Belanja Jasa Tenaga Tukang/Teknisi/Operator/Asisten 1,500,000

Jasa Tukang Pemeliharaan dan Pengecatan Gudang 2 Org x 5 Hr x 150,000 = 1,500,000
Obat Puskesmas Kempas Jaya



14 5.2.2.06.01Belanja Cetak 2,000,000

-Cetak Buku Rapor Kesehatan Anak Sekolah 200 Paket x 10,000 = 2,000,000
15 5.2.2.14.04Belanja Pakaian Olahraga 9,900,000

- Belanja Pengadaan Baju Olahraga 55 Psg x 180,000 = 9,900,000

- Penginapan 1 OKH x 150,000 = 150,000
Pertemuan Bimbingan Teknis Tim Mutu, Keselamatan
Pasien dan Tim Audit Internal Ke Kabupaten
- Uang Harian Gol IV 2 OK x 530,000 = 1,060,000
- Penginapan 2 OKH x 150,000 = 300,000

Jaringannya
-Pemeliharaan dan Pengecatan Gudang Obat 1 Paket x 4,500,000 = 4,500,000
18 5.2.2.20.14Belanja Pemeliharaan Peralatan Kesehatan dan 500,000

Kedokteran
-Biaya Pemeliharaan Reverse Osmosis (RO) 1 Bulan x 500,000 = 500,000
JUMLAH Sembilan Puluh Enam Juta Seratus Empat Puluh Tujuh Ribu Rupiah 96,147,000
KEMPAS JAYA, SEPTEMBER 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
Map Gongyu 20 Pcs x 30,000 = 600,000

Benda Pos Lainnya
- Materai 3000 100 Lembar x 4,000 = 400,000
- Materai 6000 50 Lembar x 7,000 = 350,000

Solar 50 Liter x 8,000 = 400,000

- Pengadaan Reagen Labor 1 Paket x 1,000,000 = 1,000,000

6 5.2.2.03.13Belanja Jasa Service Peralatan dan Perlengkapan Kantor 750,000

Service Komputer 5 Unit x 150,000 = 750,000



- Jasa Tukang Pemeliharaan dan Pengecatan Gedun 2 Org x 5 Hr x 150,000 = 1,500,000
Puskesmas Pembantu Sungai Ara
Puskesmas Pembantu Sungai Gantang
Puskesmas Pembantu Bayas Jaya



13 5.2.2.06.01Belanja Cetak 3,000,000

-Cetak Kohort Kunjungan Loket dan Poli Rawat Jalan 12 Paket x 250,000 = 3,000,000
14 5.2.2.12.04Belanja Pakaian Dinas Harian 4,500,000
a. Belanja Bahan untuk Seragam Petugas Rawat Ina 1 Paket x 3,000,000 = 3,000,000
UGD 24 Jam
b. Belanja Baju Seragam Satpam, Cleaning Servis 3 Pcs x 500,000 = 1,500,000
dan Tukang Kebun
15 5.2.2.14.04Belanja Pakaian Olahraga 9,900,000

- Belanja Pengadaan Baju Olahraga 55 Psg x 180,000 = 9,900,000

- Penginapan 1 OKH x 150,000 = 150,000

Jaringannya
-Pemeliharaan dan Pengecatan Gedung Puskesmas 1 Paket x ### = 16,500,000
Pembantu Sungai Ara, Sungai Gantang dan Bayas Jaya
JUMLAH Seratus Delapan Juta Sembilan Ratus Lima Puluh Tujuh Ribu Rupiah 108,957,000
KEMPAS JAYA, OKTOBER 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
Bollpoint Boldliner 5 Lusin x 101,000 = 505,000
Isi Staepler 2 Pak x 50,000 = 100,000
Map Gongyu 20 Pcs x 30,000 = 600,000
Map Biola 10 Lusin x 30,000 = 300,000

Sapu Lantai 5 Bh x 25,000 = 125,000
Sabun Cair 10 Bh x 15,000 = 150,000
Ember 5 Bh x 50,000 = 250,000
Gayung Air 5 Bh x 10,000 = 50,000
Keset Kaki Cendol 5 Bh x 20,000 = 100,000
Kemoceng 5 Bh x 10,000 = 50,000
Bayclean 10 Botol x 15,000 = 150,000




Puskesmas Pembantu Harapan Tani
Puskesmas Pembantu Pekan Tua



11 5.2.2.05.01Belanja Jasa Service 1,000,000

Service Puskesmas Keliling 1 Paket x 1,000,000 = 1,000,000
12 5.2.2.06.01Belanja Cetak 8,080,000

-Cetak Kohort Gizi, kohort Bayi dan Kohort 12 Paket x 350,000 = 4,200,000
Anak Pra Sekolah
-Cetak Buku Posyandu 32 Paket x 50,000 = 1,600,000
-Cetak Poster dan Foto dalam Rangka Lomba 12 Paket x 150,000 = 1,800,000
Hari Kesehatan Nasional
-Cetak Buku Kesehatan Reproduksi Calon Pengantin 12 Paket x 40,000 = 480,000
13 5.2.2.14.03Belanja Pakaian Batik Daerah 9,775,000

Pembelian Bahan untuk Baju Batik Daerah 115 Pcs x 85,000 = 9,775,000

- Uang Harian Gol III 4 OKH x 465,000 = 1,860,000
- Penginapan 2 OKH x 30%x150000 = 90,000

Jaringannya
-Pemeliharaan dan Pengecatan Gedung Puskesmas 1 Paket x 6,390,000 = 6,390,000
Pembantu Pekan Tua
-Pemeliharaan dan Pengecatan Gedung Puskesmas 1 Paket x 6,315,000 = 6,315,000
Pembantu Harapan Tani
JUMLAH Seratus Dua Juta Delapan Ratus Sembilan Puluh Tujuh Ribu Rupiah 102,897,000
KEMPAS JAYA, NOVEMBER 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
RINCIAN KEBUTUHAN
KODE
G
1 2 3 4 5
1 5.2.2.01.01Belanja Alat Tulis Kantor
Belanja Alat Tulis Kantor Bulan November
Isi Staepler 2 Pak x 50,000 = 100,000 7,598,000
Map Gongyu 120 Pcs x 30,000 = 3,600,000
Buku Agenda Surat Masuk/Keluar 10 Block x 25,000 = 250,000
Buku Ekspedisi 2 Block x 34,000 = 68,000
Map Business File Ukuran F4 100 Pak x 10,000 = 1,000,000
Belanja Alat Tulis Kantor Bulan Desember\
Map Gongyu 50 Pcs x 30,000 = 1,500,000
Map Biola 10 Lusin x 30,000 = 300,000
2 5.2.2.01.05Belanja Peralatan Kebersihan dan Bahan Pembersih 300,000

3 5.2.2.01.04Belanja Perangko, Materai dan Benda Pos Lainnya 1,100,000

- Materai 3000 100 Lembar x 4,000 = 400,000
- Materai 6000 100 Lembar x 7,000 = 700,000

Pengisian Oksigen Bulan November
Pengisian Oksigen Bulan Desember
- Strip Pemeriksaan Kolesterol 1 Pack x 160,000 = 160,000
- Strip Pemeriksaan Asam Urat 2 Pack x 90,000 = 180,000
- Strip Pemeriksaan Gula Darah 2 Pack x 90,000 = 180,000

Tagihan Koran Agustus-Desember 2018 5 bln x 80,000 = 400,000
6 5.2.2.03.06Belanja Kawat/Faksimili/Internet 1,400,000

Biaya Internet Bulan November 1 bln x 700,000 = 700,000
Biaya Internet Bulan Desember 1 bln x 700,000 = 700,000
7 5.2.2.03.13Belanja Jasa Service Peralatan dan Perlengkapan Kantor 4,500,000

Service AC 1 Paket x 3,000,000 = 3,000,000
Service Komputer/Laptop 10 Unit x 150,000 = 1,500,000
8 5.2.2.03.16Belanja Jasa Perawatan Kesehatan ###

Jasa Pelayanan JKN Bulan November 1 bln x ### = 58,337,000
Jasa Pelayanan JKN Bulan Desember 1 bln x ### = 58,337,000
9 5.2.2.03.21Belanja Jasa Kebersihan Kantor 1,300,000

Jasa Cleaning Service Bulan November (1 Org x 1 Bl 1 OB x 650,000 = 650,000
Jasa Cleaning Service Bulan Desember (1 Org x 1 Bl 1 OB x 650,000 = 650,000
10 5.2.2.03.23Belanja Jasa Satuan Keamanan 1,500,000

Jasa Satpam Bulan November (1 Org x 1 bln) 1 OB x 750,000 = 750,000
Jasa Satpam Bulan Desember (1 Org x 1 bln) 1 OB x 750,000 = 750,000
11 5.2.2.03.26Belanja Jasa Petugas Taman 1,300,000

Jasa Tukang Kebun Bulan November (1 Org x 1 Bln) 1 OB x 650,000 = 650,000
Jasa Tukang Kebun Bulan Desember (1 Org x 1 Bln) 1 OB x 650,000 = 650,000

Jasa Petugas Sistem Informasi Kesehatan (SIK) Nov 1 OB x 1,000,000 = 1,000,000
Jasa Petugas Sistem Informasi Kesehatan (SIK) Des 1 OB x 1,000,000 = 1,000,000
13 5.2.2.06.01Belanja Cetak 13,030,000

Belanja Cetak Bulan November
-Cetak Family Folder 700 Pcs x 8,000 = 5,600,000
-Cetak Kohort Ibu Bersalin dan Ibu Nifas 4 Paket x 150,000 = 600,000
-Cetak Spanduk Struktur Organisasi dan Denah 2 Pcs x 215,000 = 430,000
Rawat Inap
Belanja Cetak Bulan Desember
-Cetak ID Card Staf 160 Pcs x 40,000 = 6,400,000

Konsultasi SPJ JKN Ke Kabupaten Bulan November

Konsultasi Program KIA Ke Kabupaten Bulan November
- Uang Harian Gol IV 2 OKH x 530,000 = 1,060,000

Konsultasi Laporan Keuangan JKN Ke Kabupaten
Bulan Desember

Konsultasi Program Jampersal Ke Kabupaten
Bulan Desember
- Uang Harian Gol IV 2 OKH x 530,000 = 1,060,000

Kedokteran
JUMLAH Seratus Lima Puluh Delapan Delapan Ratus Dua Rupiah 158,802,000
KEMPAS JAYA, DESEMBER 2018

SUHARMIN, SKM.MM
NIP.19760212 199603 1 002
864,018
8,510,579 129,603
1,818,182
9,504,200 750,000
750,000 800,000 1,660,000 2,800,000
800,000
1500000 1500000 1500000
700000 700000 700000
650000 650000 650000
750000 750000 750000
650000 650000 650000
3000000
1180000 1180000
19,484,200 5430000 5800000
900000 720000 2100000 3720000
58337000 58337000 58337000 175011000

98,205,400 69917000 72037000
181,818
500 400 200 300

400 320 240 360
1000
660
2100 3720 150909.09091
3720 12 80000 960000

500 400 200 300
400 320 240 360
1000
660
2100 3720 599,091
89,864
3720 12 80000 960000

11 100000 1100000
J F M
400 400 300
320 320 320
720 720 620
1000
320 320 320
320 320 1320
1000
330
330
4920
#REF!
#NAME? 272,727
40,909
395,455
59,318
3,895,227 104000
784000 104000
4,679,227 120000
160000
32000
864050
129650
181850
150950
599100
89900
163343600 272,750
70004400 40950
65 395500
1076990.76923077 59350
3304050
57,219,200
21,154,200
14,200,000
10 Pak 500,000 250000 50000 5

5 Pak 325,000 195000 65000 3
100 Lusin 2,600,000 780000 26000 30
20 Pak 520,000 520000 26000 20
25 Pcs 750,000 300000 30000 10
10 Lusin 410,000 205,000 41000 5
300 Pcs 9,000,000 1500000 30000 50
30 Botol 1,500,000 500000 50000 10
10 Botol 500,000 250000 50000 5
10 Botol 500,000 250000 50000 5
10 Botol 500,000 250000 50000 5
12 Block 300,000 50000 25000 2
3 Block 102,000 34000 34000 1
30 Pak 360,000 120000 12000 10
40 Bh 200,000 200000 5000 40
50 Pak 2,500,000 500000 10000 50
30 Lusin 900,000 300000 30000 10
20 bh 500,000 25000
40 bh 2,400,000 60000
6 bh 300,000 50000
20 bh 100,000 5000
40 bh 600,000 15000
15 bh 225,000 15000
15 bh 375,000 25000
15 bh 450,000 30000
10 Pak 200,000 20000
10 Bh 500,000 50000
10 Bh 100,000 10000
10 Bh 200,000 20000
10 Bh 100,000 10000
30 Botol 390,000 13000
30 Botol 450,000 15000
57500
240
280
160
680
31,404,000.00
614091
92114
26000
27272.7
27273
32000
864050
129650
200,000
1,499,970
25
180
180
280
640
240
280
160
680
2250000
9,450,000
1,180,000
2,490,000
1310000
25
125,000
300,000
50,000
150,000
30,000
50,000
60,000
250,000
50,000
100,000
50,000
130,000
150,000
1200000
381,818
57,273
439,091
3,760,909
5,798,000 12 Block 300,000 50000 25000 2
1,800,000 3 Block 102,000 34000 34000 1
163,636 30 Pak 360,000 120000 12000 10
50 Pak 2,500,000 500000 10000 50
5,798,000
100,000
5,798,000
5,798,000 1,800,000 5,798,000

1,100,000 2600000
260,000 880,000 8,398,000
400,000
700,000 700,000
4,500,000
58,337,000
650,000
750,000
650,000
1,000,000
6,630,000 6,400,000
2,280,000 2,280,000
2,000,000
83,055,000 10,680,000
2 3 3
1
1
60,000
5,798,000
1,100,000
26,000
80
960
880
560
240
800
509,100 11,775,350
76400
581850
87300
1,254,650
1,075,000
1,205,000
#REF!
527100
79100
24550 1467044
163650 1475290
100000 2942334
120000
60000
#REF! 26000
26000
30000
30000
26000
26000
78,930,000 20000
#REF! 20000
509100
76400
50,000 581850
50000 87300
50000 2533050
50000
RINCIAN DANA OP MEI-JULI 2019
NO URAIAN JUMLAH
1 Dana OP Mei - Juli 2019 314,879,702.00
2
: Rp.314.879.702,-

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PEMERINTAH KABUPATEN INDRAGIRI HILIR

SURAT PENCAIRAN DANA (SPD)

Supaya Mencairkan Dana Kepada :

Pembebanan Pada Kode Rekening

1 5.2.1.01.002 Honorarium Tim Pengadaan Barang dan Jasa 900,000 - - 900,000

19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - - 905,844,080

20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 - 1,500,000 7,500,000

22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 - 1,500,000 7,500,000

23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 - 1,500,000 7,500,000

Belanja Pemeliharaan Peralatan Kesehatan dan

36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 - - 25,000,000

37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 - - 4,000,000

Belanja Modal Peralatan Alat Rumah Tangga

40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - - 4,000,000

48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 - - 8,000,000

49 5.2.3.16.004 Belanja Modal Peralatan Audio 10,000,000 - - 10,000,000

50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 - - 6,000,000

Kempas Jaya, Maret 2019

SUHARMIN, SKM.MM MUHAMMAD ALI, SKM

Supaya Mencairkan Dana Kepada :

Pembebanan Pada Kode Rekening

1 5.2.1.01.002 Honorarium Tim Pengadaan Barang dan Jasa 900,000 - - 900,000

19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - 905,844,080

20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 1,500,000 750,000 6,750,000

22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 1,500,000 750,000 6,750,000

23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 1,500,000 750,000 6,750,000

Belanja Pemeliharaan Peralatan Kesehatan dan

36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 - - 25,000,000

37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 - 2,000,000 2,000,000

Belanja Modal Peralatan Alat Rumah Tangga

40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - - 4,000,000

48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 - - 8,000,000

49 5.2.3.16.004 Belanja Modal Peralatan Audio 10,000,000 - - 10,000,000

50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 - - 6,000,000

Kempas Jaya, April 2019

SUHARMIN, SKM.MM MUHAMMAD ALI, SKM

Supaya Mencairkan Dana Kepada :

Pembebanan Pada Kode Rekening

1 5.2.1.01.002 Honorarium Tim Pengadaan Barang dan Jasa 900,000 - - 900,000

19 5.2.2.03.016 Belanja Jasa Perawatan Kesehatan 905,844,080 - 905,844,080

20 5.2.2.03.020 Belanja Jasa Kebersihan Kantor 9,000,000 2,250,000 750,000 6,000,000

22 5.2.2.03.022 Belanja Jasa Satuan Keamanan 9,000,000 2,250,000 750,000 6,000,000

23 5.2.2.03.023 Belanja Jasa Petugas Taman 9,000,000 2,250,000 750,000 6,000,000

Belanja Pemeliharaan Peralatan Kesehatan

36 5.2.2.21.004 Belanja Jasa Konsultasi Sistem Informatika 25,000,000 - - 25,000,000

37 5.2.2.22.002 Belanja Jasa Tenaga Ahli/Narasumber 4,000,000 2,000,000 - 2,000,000

Belanja Modal Peralatan Alat Rumah Tangga

40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - - 4,000,000

48 5.2.3.16.003 Belanja Modal Pengadaan Proyektor 8,000,000 - 6,760,000 1,240,000

49 5.2.3.16.004 Belanja Modal Peralatan Audio 10,000,000 - - 10,000,000

50 5.2.3.25.001 Belanja Modal Pengadaan Instalasi Listrik 6,000,000 - 2,975,000 3,025,000

Kempas Jaya, Mei 2019

SUHARMIN, SKM.MM MUHAMMAD ALI, SKM

PEMERINTAH KABUPATEN INDRAGIRI HILIR

Supaya Mencairkan Dana Kepada :

Pembebanan Pada Kode Rekening

1 5.2.1.01.002 Honorarium Tim Pengadaan Barang dan Jasa 900,000 - - 900,000

Belanja Modal Peralatan Alat Rumah Tangga

40 5.2.3.11.008 Belanja Modal Pengadaan Kipas Angin 4,000,000 - - 4,000,000

Kempas Jaya, Mei 2019

SUHARMIN, SKM.MM MUHAMMAD ALI, SKM

Supaya Mencairkan Dana Kepada :

Pembebanan Pada Kode Rekening