KESEHATAN DAERAH MILITER IX/UDAYANA

RUMAH SAKIT Tk.II UDAYANA

LAPORAN TINJAUAN PELAKSANAAN A

PER PROGRAM KEGIATA
PEROIDE : 1 JANUAR

NO
URAIAN AKUN
URUT
1 2 3
URDAL
PROG.DUKUNGAN KESIAPAN MATRA DARAT 012.22.14
Pemeliharaan/Perawatan Non Alutsista 1451
Materiil Non Alutsista yang terpelihara 001

Pemeliharaan Ranmor 994.001

Dukungan Operasional dan Pemeliharaan Kantor 002
Bel brg Persediaan Pemeliharaaan Peralatan dan Mesin
B Har Ranmor Organik 523123

BELANJA KEPERLUAN PERKANTORAN 521111

1. BPJS KESEHATAN
c) Biaya Penerima Tamu
d) Belanja Modal dibawah nilai Kapitasi

2. YANMASUM
a) Biaya Rapat/Seminar/Litbang
b) Dukungan Diklat
c) Biaya Cetak/Reproduksi

BELANJA PENGADAAN BAHAN MAKANAN 521112

1. BPJS KESEHATAN
a) Makan Pasien

HONOR OPERASIONAL SATUAN KERJA 521115

2. YANMASUM
c) IPK. Supervis, Perencana, Pawas, Komete Medik
Tim Akreditasi

BELANJA BARANG OPERASIONAL LAINNYA 521119

1. BPJS KESEHATAN
a) Biaya Yankes Prajurit TNI dan PNS beserta Kel

2. YANMASUM
a) Biaya Yankes Prajurit TNI dan PNS beserta Kel
 b) Tambahan BMP

HONOR OUTPUT KEGIATAN 521213

1. BPJS KESEHATAN
c) Honor Pokja /Tim

2. YANMASUM
a) Honor Pokja/Tim
b) Honor Pengelola (Representasi)

BELANJA BARANG NON OPERASIONAL LAINNYA 521219

1. BPJS KESEHATAN
a) Seragam Pelaksana

BELANJA BARANG PERSEDIAAN BRG KONSUMSI 521811

2. YANMASUM
a) ATK
b) Formulir dan Meterai
c) Biaya Cetak/Reproduksi
e) Bekal Kesehatan Pasien (Radiologi)
f) Bekal Kesehatan Pasien (Reagen)
h) Gas Medis
i) Gas LPG
j) Linen Pasien
k) Klontong

1 2 3

BELANJA LANGGANAN LISTRIK 522111

2. YANMASUM
a) Listrik

BELANJA LANGGANAN TELEPON 522112

2. YANMASUM
a) Telepon

BELANJA LANGGANAN AIR 522113

1. BPJS
a) Air
 2. YANMASUM
a) Air

BELANJA JASA LAINNYA

1. BPJS 522191
a) Jasa Pengolahan Limbah Medis
c) Jasa Kelola Farmasi
e) Jasa Mecanikal Elektrikal dan Plumbing
f) Pengendalian Hama Tikus

2. YANMASUM 522191
a) Jasa Pengolahan Limbah Medis
d) Jasa Lab Prodia

BEBAN PERJALANAN DINAS PAKET MEETING DALAM KOTA 522111

1. BPJS KESEHATAN
a) . Biaya Perjalanan Dinas Paket Meeting Dalam Kota

2. YANMASUM
a) . Biaya Perjalanan Dinas Paket Meeting Dalam Kota

III HAR SARANA DAN PRAS FASILITAS KESEHATAN 1475.003

PEMELIHARAAN ALKES 001
DUKUNGAN OPERASIONAL HAN DAN KAM 003
A RUMKIT TK II UDAYANA
Belanja biaya Har Peralatan dan Mesin 001
1. BPJS KESEHATAN 003
a) Har Alkes 523121

2. YAN MASUM
a) Har Alkes
a) Har Alkes

A PEMELIHARAAN RANMOR
DUKUNGAN OPERASIONAL HAN DAN KAM 1475.003
Belanja biaya Har Peralatan dan Mesin 002
1. BPJS KESEHATAN 003
2. YAN MASUM
a. Har Ranmor

A PEMELIHARAAN ALKOMLEK
 DUKUNGAN OPERASIONAL HAN DAN KAM 1475.003
Belanja biaya Har Peralatan dan Mesin 003
1. BPJS KESEHATAN 003
a) Har Komlek 523121

2. YAN MASUM
a) Har Komlek

A PEMELIHARAAN GEDUNG DAN BANGUNAN

DUKUNGAN OPERASIONAL HAN DAN KAM 1475.003
Belanja Pemeliharaan Gedung dan bangunan 004
2, YANMASUM
a) Har Bangunan

A PEMELIHARAAN ALSINTOR
DUKUNGAN OPERASIONAL HAN DAN KAM 1475.003
Belanja Pemeliharaan Peralatan dan mesin 006
1. BPJS KESEHATAN 003
a) Har Alsintor 523111
b) Har Alsatri

A PEMELIHARAAN LAIN-LAIN
DUKUNGAN OPERASIONAL HAN DAN KAM 1475'003
Belanja Pemeliharaan Peralatan dan mesin 007
1. BPJS KESEHATAN 007
a). Har Mesin Stasioner 523121
b) Har Lain-lain
c) Har APK

2, YANMASUM
a) Har Lain-lain

1 2 3

IV DUK. SARANA DAN PRAS FASILITAS KESEHATAN 1475.004

PENGADAAN ALKES 001
Pelaksanaan 052
A Rumkit TK II Udayana
BELANJA MODAL PERALATAN DAN MESIN
 1. BPJS KESEHATAN 532111
a) Pengadaan Alkes

2. YANMASUM
a) Pengadaan Alkes

PENGADAAN RANMOR 002

Pelaksanaan 052
A Rumkit TK II Udayana
BELANJA MODAL PERALATAN DAN MESIN
1. BPJS KESEHATAN 532111
a) Pengadaan Ranmor

PENGADAAN ALKOMLEK 003

Pelaksanaan 052
A Rumkit TK II Udayana
BELANJA MODAL PERALATAN DAN MESIN
1. BPJS KESEHATAN 532111
a) Pengadaan Alkomlek

PENGADAAN ALSINTOR 003

Pelaksanaan 052
A Rumkit TK II Udayana
BELANJA MODAL PERALATAN DAN MESIN
1. BPJS KESEHATAN 052
- Pengadaan Alsintor 532111
- Pengadaan Furniture Kesehatan
- Pengadaan Alat Perlengkapan Pasien
- Pengadaan Stasioner

2. YAN MASUM 532111

- Pengadaan Furniture Kesehatan
- Pengadaan Alat Perlengkapan Pasien
- Pengadaan Stasioner

PENGADAAN ALSATRI 003

Pelaksanaan 052
A Rumkit TK II Udayana
BELANJA MODAL PERALATAN DAN MESIN
1. BPJS KESEHATAN 052
- Pengadaan Alsatri 532111
 Penyelenggaraan Administrasi Personel 1478
Layanan Perkantoran 1478.994
Operasional dan Pemeliharaan Kantor 002

B Uang Makan Jaga Militer

Belanja pengadaan bahan makanan
- Uang Makan Jaga Militer 521112

E Uang Prophilaxis
Belanja Pengadaan bahan makanan
- Uang Propilaxis 521112

Pemeliharaan/perawatan Peralatan Fungsional, 1479

Fasilitas, dan Sarpras Perkantoran 1479.994
Layanan Perkantoran 002
Operasional dan Pemeliharaan Kantor
A HAR GEDUNG RUTIN PERKANTORAN
Belanja barang operasional lainnya
a) Har Gedung Perkantoran 521119

a. BELANJA PEGAWAI 51
b. BELANJA BARANG 52
c. BELANJA MODAL 53
JUMLAH
APORAN TINJAUAN PELAKSANAAN ANGGARAN TNI AD DIPA SATKER DAERAH
PER PROGRAM KEGIATAN SERTA JENIS BELANJA
PEROIDE : 1 JANUARI 2018 S.D 30 APRIL 2019

PAGU SETELAH
PAGU AWAL REVISI PAGU SPM SP2D
REVISI
4 5 6 7 8

4,000,000 - 4,000,000 - -
4,000,000 - 4,000,000 - -
4,000,000 - 4,000,000 - -

4,000,000 - 4,000,000 - -
4,000,000 - 4,000,000 - -
4,000,000 - 4,000,000 - -

565,000,000 147,461,000 722,461,000 127,666,992 127,666,992

505,000,000 50,000,000 555,000,000 127,666,992 127,666,992
25,000,000 - 25,000,000 - -
- 50,000,000 50,000,000 - -

60,000,000 97,461,000 167,461,000 - -

10,000,000 - 10,000,000 - -
50,000,000 - 50,000,000 - -
10,000,000 97,461,000 107,461,000 - -

940,000,000 - 940,000,000 31,855,500 31,855,500

780,000,000 - 780,000,000 - -
780,000,000 - 780,000,000 - -

4,292,500,000 (57,800,000) 4,234,700,000 1,230,542,864 1,230,542,864

- 1,019,899,000 1,019,899,000 393,912,688 393,912,688
- 153,088,000 153,088,000 - -

312,859,000 - 312,859,000 36,395,350 36,395,350

245,750,000 - 245,750,000 36,395,350 36,395,350
135,000,000 - 135,000,000 - -

67,109,000 - 67,109,000 - -
65,000,000 - 65,000,000 - -
 2,109,000 - 2,109,000 - -

425,500,000 57,800,000 483,300,000 - -

- 50,000,000 50,000,000 - -
50,000,000 50,000,000

425,500,000 7,800,000 433,300,000 - -

20,000,000 7,800,000 27,800,000 - -
405,500,000 - 405,500,000 - -

10,000,000 - 10,000,000 - -
10,000,000 - 10,000,000 - -
10,000,000 - 10,000,000 - -

9,055,000,000 8,897,539,000 1,698,110,520 1,698,110,520

2,870,000,000 (17,325,000) 2,852,675,000 325,226,594 325,226,594

100,000,000 (13,657,000) 86,343,000 - -
10,000,000 - 10,000,000 - -
200,000,000 - 200,000,000 - -
252,500,000 (52,500,000) 200,000,000 - -
1,767,500,000 (1,367,500,000) 400,000,000 - -
20,000,000 - 20,000,000 - -
5,000,000 - 5,000,000 - -
10,000,000 - 10,000,000 - -
- 112,829,000 112,829,000 - -

4 5 6 6 6

47,500,000 - 47,500,000 5,503,780 5,503,780

10,000,000 - 10,000,000 - -
10,000,000 - 10,000,000 - -

85,000,000 - 85,000,000 461,828 461,828

10,000,000 - 10,000,000 - -
10,000,000 - 10,000,000 - -

85,000,000 - 85,000,000 - -
85,000,000 (5,913,000) 79,087,000 - -
85,000,000 (5,913,000) 79,087,000 - -
 - 5,913,000 5,913,000 - -
- 5,913,000 5,913,000 - -

13,760,000,000 (111,900,000) 13,648,100,000 4,441,556,982 4,441,556,982

11,360,000,000 225,800,000 11,585,800,000 3,432,002,256 3,432,002,256
210,000,000 - 210,000,000 - -
300,000,000 - 300,000,000 - -
- 186,000,000 186,000,000 - -
- 19,800,000 19,800,000 - -

2,400,000,000 (337,700,000) 2,062,300,000 1,009,554,726 1,009,554,726

- 49,748,000 49,748,000 - -
- 9,111,000 9,111,000 - -

60,000,000 11,900,000 71,900,000 - -

60,000,000 - 60,000,000 - -
60,000,000 - 60,000,000 - -

- 11,900,000 11,900,000 - -
- 11,900,000 11,900,000 - -

1,245,587,000 - 1,245,587,000 50,536,617 50,536,617

225,000,000 - 225,000,000 - -
225,000,000 - 225,000,000 - -

225,000,000 - 225,000,000 - -
130,000,000 - 130,000,000 - -
130,000,000 - 130,000,000 - -

95,000,000 - 95,000,000 - -
60,000,000 - 60,000,000 - -
35,000,000 - 35,000,000 - -

115,000,000 - 115,000,000 420,717 420,717

115,000,000 - 115,000,000 420,717 420,717
100,000,000 - 100,000,000 420,717 420,717
15,000,000 - 15,000,000 - -
15,000,000 - 15,000,000 - -
 50,000,000 - 50,000,000 - -
50,000,000 - 50,000,000 - -
25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

595,587,000 - 595,587,000 50,115,900 50,115,900

595,587,000 - 595,587,000 50,115,900 50,115,900
50,000,000 - 50,000,000 - -
50,000,000 - 50,000,000 - -

125,000,000 - 125,000,000 - -
125,000,000 - 125,000,000 - -
125,000,000 - 125,000,000 - -
100,000,000 - 100,000,000 - -
25,000,000 - 25,000,000 - -

135,000,000 - 135,000,000 - -
135,000,000 - 135,000,000 - -
110,000,000 - 110,000,000 - -
40,000,000 - 40,000,000 - -
60,000,000 - 60,000,000 - -
10,000,000 - 10,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

4 5 6 6 6

2,725,000,000 - 2,725,000,000 - -
1,375,000,000 - 1,375,000,000 - -
1,375,000,000 - 1,375,000,000 - -

1,375,000,000 - 1,375,000,000 - -
1,325,000,000 - 1,325,000,000 - -
1,325,000,000 - 1,325,000,000 - -

50,000,000 - 50,000,000 - -
50,000,000 - 50,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

1,275,000,000 - 1,275,000,000 - -
1,275,000,000 - 1,275,000,000 - -

1,275,000,000 - 1,275,000,000 - -
1,145,000,000 - 1,145,000,000 - -
495,000,000 - 495,000,000 - -
400,000,000 - 400,000,000 - -
200,000,000 - 200,000,000 - -
50,000,000 - 50,000,000 - -

130,000,000 - 130,000,000 - -
50,000,000 - 50,000,000 - -
30,000,000 - 30,000,000 - -
50,000,000 - 50,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -

25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000 - -
25,000,000 - 25,000,000
 37,875,000 - 37,875,000 - -
37,875,000 - 37,875,000 - -
37,875,000 - 37,875,000 - -

22,995,000 - 22,995,000 - -
22,995,000 - 22,995,000 - -
22,995,000 - 22,995,000 - -

14,880,000 - 14,880,000 - -
14,880,000 - 14,880,000 - -
14,880,000 - 14,880,000 - -

12,000,000 - 12,000,000 - -

12,000,000 - 12,000,000 - -

12,000,000 - 12,000,000 - -

12,000,000 - 12,000,000 - -

25,805,399,000 - 25,805,399,000 2,235,024,479 2,236,745,379

31,507,956,000 147,461,000 31,507,956,000 7,723,939,584 7,723,939,584
2,725,000,000 - 2,725,000,000 - -
60,038,355,000 147,461,000 60,038,355,000 9,958,964,063 9,960,684,963

Denpasar, Maret
A.n. Kepala Rumah Sakit Tk
Wakil Kepala
U.b.
Kasi Renprogga

Ida Bagus Made Kem

Mayor Ckm NRP 530
 SISA % DAYA % DAYA
WABKU
ANGGARAN SRP DANA SRP DANA 1,169,895,900
9 10 11 12

- 4,000,000 100%
- 4,000,000 100%
- 4,000,000 100%

- 4,000,000 100%
- 4,000,000 100%
- 4,000,000 100%

127,666,992 594,794,008 18%

127,666,992 427,333,008 23%
- 25,000,000 0%
- 50,000,000 0%

- 167,461,000 100%
- 10,000,000 100%
- 50,000,000
- 107,461,000 100%
-
31,855,500 908,144,500 3%
- 780,000,000 100%
- 780,000,000 100%

1,230,542,864 3,004,157,136 29%

393,912,688 625,986,312 39%
- 153,088,000 0%

36,395,350 276,463,650 100%

36,395,350 209,354,650 100%
- 135,000,000 100%

- 67,109,000 100%
- 65,000,000 100%
 - 2,109,000

- 483,300,000 100%
- 50,000,000 100%
50,000,000

- 433,300,000 100%
- 27,800,000 100%
405,500,000 100%
-
- 10,000,000 100%
- 10,000,000 100%
- 10,000,000 100%

1,698,110,520 7,199,428,480 19%

325,226,594 2,527,448,406 11%

- 86,343,000 0%
- 10,000,000 0%
- 200,000,000 0%
- 200,000,000 0%
- 400,000,000 0%
- 20,000,000 0%
- 5,000,000 0%
- 10,000,000 0%
- 112,829,000 0%

6 9 7 8

5,503,780 41,996,220 12%

- 10,000,000 100%
- 10,000,000 100%

461,828 84,538,172 1%
- 10,000,000 100%
- 10,000,000 100%

- 85,000,000 100%
- 79,087,000 100%
- 79,087,000 100%
 - 5,913,000 100%
- 5,913,000 100%

4,441,556,982 9,206,543,018 100%

3,432,002,256 8,153,797,744 100%
- 210,000,000 0%
- 300,000,000 0%
- 186,000,000 0%
- 19,800,000 0%

1,009,554,726 1,052,745,274 100%

- 49,748,000 0%
- 9,111,000 0%

- 71,900,000 0%
- 60,000,000 0%
- 60,000,000 0%

- 11,900,000 0%
- 11,900,000 0%

50,536,617 1,195,050,383 100%

- 225,000,000 100%
- 225,000,000 0%

- 225,000,000 100%
- 130,000,000 100%
- 130,000,000 100%

- 95,000,000 100%
- 60,000,000 100%
- 35,000,000

420,717 114,579,283 100%

420,717 114,579,283 100%
420,717 99,579,283 100%
- 15,000,000 100%
- 15,000,000 100%
 - 50,000,000 100%
- 50,000,000 100%
- 25,000,000 100%
- 25,000,000 100%

- 25,000,000 100%
- 25,000,000 100%

50,115,900 545,471,100 100%

50,115,900 545,471,100 100%
- 50,000,000 100%
- 50,000,000 100%

- 125,000,000 100%
- 125,000,000 100%
- 125,000,000 100%
- 100,000,000 100%
- 25,000,000

- 135,000,000 100%
- 135,000,000 100%
- 110,000,000 100%
- 40,000,000 100%
- 60,000,000 100%
- 10,000,000

- 25,000,000 100%
- 25,000,000 100%

6 9 7 8

- 2,725,000,000 100%
- 1,375,000,000 100%
- 1,375,000,000 100%

- 1,375,000,000 100%
- 1,325,000,000 100%
- 1,325,000,000 100%

- 50,000,000 100%
- 50,000,000 100%

- 25,000,000 100%
- 25,000,000 100%

- 25,000,000 100%
- 25,000,000 100%
- 25,000,000 100%

- 25,000,000 100%
- 25,000,000 100%

- 25,000,000 100%
- 25,000,000 100%
- 25,000,000 100%

- 1,275,000,000 100%
- 1,275,000,000 100%

- 1,275,000,000 100%
- 1,145,000,000 100%
- 495,000,000 100%
- 400,000,000 100%
- 200,000,000 100%
- 50,000,000 100%

- 130,000,000 100%
- 50,000,000 100%
- 30,000,000 100%
- 50,000,000 100%

- 25,000,000 100%
- 25,000,000 100%

- 25,000,000 100%
- 25,000,000 100%
25,000,000 100%
 - 37,875,000 100%
- 37,875,000 100%
- 37,875,000 100%

- 22,995,000 100%
- 22,995,000 100%
- 22,995,000 100%

- 14,880,000 100%
- 14,880,000 100%
- 14,880,000 100%

- 12,000,000 100%

- 12,000,000 100%

- 12,000,000 100%

- 12,000,000 100%

2,236,745,379 23,568,653,621 100%

7,723,939,584 23,726,516,416 100% 7,723,939,584
- 2,725,000,000 100% -
9,960,684,963 50,020,170,037 100%

Denpasar, Maret 2019

A.n. Kepala Rumah Sakit Tk. II Udayana
Wakil Kepala
U.b.
Kasi Renproggar

Ida Bagus Made Kemenuh

Mayor Ckm NRP 530855