RENCANA PELAKSANAAN KEGIATAN (POA) DANA KAPITASI

UPTD PUSKESMAS PAKISJAYA

TAHUN ANGGARAN 2018

KODE REALISASI KEUANGAN

NO REKENING URAIAN KEGIATAN
JUMLAH TRIWULAN 1 TRIWULAN ll TRIWULAN lll
Vol Harga Satuan ANGGARAN
JAN FEB MAR APR MEI JUN JUL AGUST SEPT
A
SISA ANGGARAN 2017 1,254,965,151
DANA KAPITASI BULANAN RIIL
SISA DANA KUMULATIF
JUMLAH PENGELUARAN
BULAN PENGELUARAN
BELANJA
BELANJA LANGSUNG 1,670,744,000
BELANJA PEGAWAI 21,680,000 0 6,180,000 1,440,000 1,860,000 1,440,000 1,440,000
5.2.1.01. Honorarium PNS
5.2.1.01.02 Honorarium TimPengadaan Barang dan Jasa 4 680,000 2,720,000
5.2.1.01.05 Honorarium Panitia Pengelola Kegiatan
1. Kuasa Pengguna Anggaran 0 - -
2. Pejabat Penatausahaan Keuangan 12 940,000 11,280,000 3,760,000 940,000 940,000 940,000 940,000
3. Bendahara Pengeluaran Pembantu 12 500,000 6,000,000 2,000,000 500,000 500,000 500,000 500,000
Honorarium Pemeriksa Barang Puskesmas -
- Pemeriksa Barang Puskesmas 4 420,000 1,680,000 420,000 420,000
Honorarium Pengawas Lapangan 0 - -
B 5.2.2 BELANJA BARANG DAN JASA 1,507,064,000 183,039,800 4,276,180 158,063,900 93,480,765 129,492,779 84,875,210 100,057,980
5.2.2.01. Belanja Bahan Pakai Habis
5.2.2.01.01 1. - Alat Tulis Kantor 1 20,840,000 20,840,000 20,556,140
5.2.2.01.03 2. Belanja Alat Listrik dan Elektronik 1 5,560,000 5,560,000
5.2.2.01.04 3. Belanja Materai -
- Materai Rp. 6.000 100 6,000 600,000 600,000
 - Materai Rp. 3.000 100 3,000 300,000 300,000
5.2.2.01.05 4. Belanja Peralatan Kebersihan & Bahan Pembersih 1 20,000,000 20,000,000 17,363,000
5.2.2.01.08 5. Belanja Pengisian Tabung Gas LPG 1 1,500,000 1,500,000
5.2.2.01.11 6. Belanja Pengisian Tabung Gas Oxygen 1 M3 1 3,000,000 3,000,000 315,000 250,000
Belanja Pengisian Tabung Gas Oxygen 6 M3 1 2,000,000 2,000,000
5.2.2.01.12 7. Belanja Bahan Laboratorium 1 25,000,000 25,000,000
5.2.2.01.13 8. Belanja Bahan Peralatan Kesehatan(BMHP) 1 10,000,000 10,000,000
5.2.2.03 Belanja Jasa Kantor
5.2.2.03.01 1. Belanja Telepon 12 500,000 6,000,000
2. Belanja Listrik 12 2,500,000 30,000,000 2,100,000 2,276,180 2,193,015 985,810 1,013,160 1,008,480
5.2.2.03.06 Belanja Kawat / Faksimili / Internet/TV Kabel -
1. Belanja Paket Internet -
- Langganan Internet 12 1,000,000 12,000,000 2,000,000 2,000,000 1,000,000 1,000,000 1,000,000 1,000,000
- Langanan TV Kabel 12 500,000 6,000,000
5.2.2.03.15 Belanja Jasa Pelayanan Kebersihan/sampah
1. Jasa Kebersihan 24 1,000,000 24,000,000 2,000,000 6,000,000 2,000,000 2,000,000 2,000,000 2,000,000
2. Jasa Pengelolaan Sampah Medis Infeksius di UPTD 1 10,000,000 10,000,000 2,374,350
5.2.2.03.21 Belanja Jasa Pelayanan Kesehatan 1 1,054,731,571 1,054,731,571 139,939,800 139,863,900 69,811,500 70,118,400 69,253,800 69,768,600
5.2.2.03.29 Belanja Jasa Keamanan dan Ketertiban 24 1,000,000 24,000,000 2,000,000 6,000,000 2,000,000 2,000,000 2,000,000 2,000,000
5.2.2.05. Belanja Perawatan Kendaraan Bermotor
5.2.2.05.01 1. Belanja Jasa Service
- Service Mobil 1 10,000,000 10,000,000 2,000,000
- Service Motor 1 600,000 600,000 203,000
5.2.2.05.02 2. Belanja Suku Cadang -
- Suku Cadang Mobil 1 10,000,000 10,000,000 8,255,000
- Suku Cadang Motor 1 2,000,000 2,000,000 1,578,500
5.2.2.05.03 3. Belanja Pelumas / Oli
- Pelumas /Oli Mobil 1 7,000,000 7,000,000 1,105,000 690,000
- Pelumas /Oli Motor 1 500,000 500,000 88,000
5.2.2.05.05 4. Belanja Pajak Kendaraan
- Pajak Mobil 1 2,200,000 2,200,000 2,112,000
- Pajak Motor 1 320,000 320,000
5.2.2.06. Belanja Cetak dan Penggadaan
5.2.2.06.01 1. Bahan Cetakan 1 29,152,429 29,152,429 29,152,429
5.2.2.06.03 2. Foto Copy 20,000 200 4,000,000 300,000 1,600,000 200,000 128,400
5.2.2.11. Belanja Makan Dan Minum
5.2.2.11.01 1. Air Minum Mineral Galon/Botol/Gelas 1 6,000,000 6,000,000 884,400
5.2.2.11.02 2. Belanja Pertemuan Perencanaan Kegiatan PKM -
- Makan 40 25,000 1,000,000 1,000,000
- Snack 40 15,000 600,000 600,000
Pertemuan Prolanis ( Snack )
- Makan 360 25,000 9,000,000
- Snack 360 15,000 5,400,000
5.2.2.11.03 Belanja Makan Dan Minum Tamu
- Makan 120 25,000 3,000,000 375,000 250,000
- Snack 120 15,000 1,800,000 225,000 150,000
5.2.2.15 Belanja Perjalanan Dinas
5.2.2.15.01 1. Belanja Perjalanan Dinas Dalam Daerah -
Konsultasi/Pelaporan Kegiatan Ke Dinas Kesehatan
- Transport Gol llI Zona D ( 2 or x 24 kl ) 48 170,000 8,160,000 1,360,000 340,000 340,000 340,000 340,000
Kunjungan Kerja/Studi Banding Dalam Daerah
- Transport Gol ll Zona D ( 10 or x 1 kl ) 10 140,000 1,400,000
- Transport Gol llI Zona D ( 10 or x 1 kl ) 10 170,000 1,700,000
Pengambilan Vaksin Ke Kabupaten
- Gol III 36 170,000 6,120,000 2,040,000 680,000 340,000 340,000 600,000
Penjemputan BBLR Ke RS
- Gol III 12 170,000 2,040,000
5.2.2.15.02 2. Belanja Perjalanan Dinas Luar Daerah
Pendidikan dan Pelatihan Tenga Kesehatan Luar Daerah
- Transport Gol III Peserta Pelatihan PPGD/PPGDON/GEL 2 250,000 500,000
- Uang Harian Gol III Peserta Pelatihan PPGD/PPGDON/GEL 12 350,000 4,200,000
Pendampingan Pengobatan Pasien TB MDR
- Transport Gol II/III Pendamping Pemeriksaan Awal Ps TB MDR 6 250,000 1,500,000
- Transport Gol II/III OJT Serah Terima Pasien 15 250,000 3,750,000
- Transport Gol II/III Tatalaksana Pasien MDR 48 250,000 12,000,000
- Transport Gol II/III Konsultasi Efek Samping Pengobatan MDR 6 250,000 1,500,000
 - Uang Harian Gol II Pendamping Pemeriksaan Awal Pasien TB MDR 3 300,000 900,000
- Uang Harian Gol III Pendamping Pemeriksaan Awal Pasien TB MDR 3 350,000 1,050,000
- Uang Harian Gol II OJT Serah Terima Pasien 6 300,000 1,800,000
- Uang Harian Gol III OJT Serah Terima Pasien 9 350,000 3,150,000
- Uang Harian Gol II Tatalaksana Pasien MDR 24 300,000 7,200,000
- Uang Harian Gol III Tata;aksana Pasien MDR 24 350,000 8,400,000
- Uang Harian Gol II Konsultasi Efek Sampaing Pengobatan TB MDR 3 300,000 900,000
- Uang Harian Gol III Konsultasi Efek Sampaing Pengobatan TB MDR 3 350,000 1,050,000
5.2.2.15.04 3. Belanja Transport Puskesmas Keliling -
- Transport Gol llI 252 70,000 17,640,000 2,800,000 1,400,000 1,400,000 1,400,000 1,400,000
5.2.2.17 Belanja Kursus, Pelatihan, sosialisasi dan bimbingan teknis PNS
5.2.2.17.01 Belanja Kursus/Pelatihan Tenaga Kesehatan
- Biaya Kursus-kursus Singkat/Pelatihan BLUD 1 35,000,000 35,000,000 35,000,000
- Biaya Kursus-kursus Singkat/Pelatihan PPGD/PPGDON/GELS 1 6,000,000 6,000,000
5.2.2.20 Belanja Pemeliharaan
5.2.2.20.04 Belanja Pemeliharaan Peralatan dan Mesin 1 3,000,000 3,000,000
5.2.2.20.05 Belanja Pemeliharaan Gedung Puskesmas 1 10,000,000 10,000,000
5.2.2.20.08 Belanja Pemeliharaan/perbaikan Alkes/Kedokteran 1 2,000,000 2,000,000
5.2.2.20.10 Belanja Pemeliharaan Komputer 1 3,000,000 3,000,000 997,500
5.2.2.20.11 Belanja Pemeliharaan AC 1 7,000,000 7,000,000 1,181,250
5.2.2.20.15 Belanja Pemeliharaan Meubelair 1 2,000,000 2,000,000
5.2.2.20.32 Belanja Pemeliharaan/perbaikan Alat-alat Lab 1 5,000,000 5,000,000
5.2.2.21.02 Belanja Jasa Konsultasi Perencanaan 1 1,000,000 1,000,000
C 5.2.3 Belanja Modal 142,000,000 29,032,600
5.2.3.27.04 Belanja Pengadaan Alat Penyimpanan Perlengkapan 1 25,000,000 25,000,000
Kantor
5.2.3.27.05 Belanja Pengadaan Alat Kantor Lainnya 1 17,000,000 17,000,000 13,538,000
5.2.3.28.06 Belanja Pengadaan Alat Rumah Tangga Lain nya 1 10,000,000 10,000,000 8,283,000
5.2.3.29.02 Belanja Pengadaan Personal Komputer 1 5,000,000 5,000,000 4,791,600
5.2.3.29.05 Belanja Pengadaan Peralatan Komputer 1 5,000,000 5,000,000
5.2.3.32.01 Belanja Alat Komunikasi Telephone 1 60,000,000 60,000,000 2,420,000
5.2.3.34.01 Belanja Pengadaan Alat Kesehatan/Kedokteran Umum 1 10,000,000 10,000,000
5.2.3.49.06 Belanja Pengadaan Bangunan Kesehatan 1 10,000,000 10,000,000
 JUMLAH
1,670,744,000 183,039,800 4,276,180 164,243,900 94,920,765 131,352,779 86,315,210 130,530,580
NB Dibayarkan pengembalian Jasa Pelayanan JKN Kapitasi Tahun Anggaran 2017 tgl 24-01-2018 17,865,375

Total Belanjaan Tahun 2018 1,246,605,289

BelanjanPegawai 18,960,000
Belanja Barang Jasa 342,398,814
Jasa Pelayanan Kesehatan 838,348,500
Belanja Modal 29,032,600
Total Belanja 1,228,739,914

DPA Murni 2018 1,670,744,000

DPA Perubahan 2,925,709,151

Persentasi Realisasi VS DPA Murni 74.6137821833

Persentasi Realisasi VS DPA Perubahan 42.6086539933
 TOTAL SISA
BELANJA ANGGARAN
TRIWULAN lV
OKT NOV DES

1,254,965,151
-
-
-
-
-
1,670,744,000
1,440,000 1,440,000 3,720,000 18,960,000 21,680,000
-
- 2,720,000
- -
- -
940,000 940,000 1,880,000 11,280,000 -
500,000 500,000 1,000,000 6,000,000 -
-
840,000 1,680,000 -
- -
81,788,660 77,979,720 267,692,320 1,180,747,314 1,507,064,000
- -
20,556,140 283,860
- 5,560,000
-
600,000 -
 300,000 -
17,363,000 2,637,000
- 1,500,000
450,000 1,015,000 1,985,000
- 2,000,000
- 25,000,000
- 10,000,000
- -
- 6,000,000
1,088,160 1,144,320 1,128,520 12,937,645 17,062,355
-
-
1,000,000 1,000,000 2,000,000 12,000,000 -
- 6,000,000
- -
2,000,000 2,000,000 4,000,000 24,000,000 -
1,650,000 4,024,350 5,975,650
69,943,500 69,755,400 139,893,600 838,348,500 216,383,071
2,000,000 2,000,000 4,000,000 24,000,000 -
- -
- -
11,250,000 13,250,000 (3,250,000)
203,000 397,000
-
25,450,000 33,705,000 (23,705,000)
1,578,500 421,500
- -
875,000 2,670,000 4,330,000
88,000 412,000
- -
2,112,000 88,000
- 320,000
- -
 69,715,000 98,867,429 (69,715,000)
9,000 272,600 2,510,000 1,490,000
- -
378,000 1,057,600 2,320,000 3,680,000
-
1,000,000 -
600,000 -
- -
- 9,000,000
- 5,400,000
- -
375,000 1,000,000 2,000,000
225,000 600,000 1,200,000
- -
-
- -
340,000 340,000 680,000 4,080,000 4,080,000
- -
- 1,400,000
- 1,700,000
- -
680,000 340,000 1,020,000 6,040,000 80,000
- -
- 2,040,000
- -
- -
- 500,000
- 4,200,000
- -
250,000 250,000 1,250,000
500,000 500,000 3,250,000
250,000 250,000 11,750,000
- 1,500,000
 600,000 600,000 300,000
- 1,050,000
900,000 900,000 900,000
700,000 700,000 2,450,000
- 7,200,000
600,000 600,000 7,800,000
- 900,000
- 1,050,000
-
1,400,000 1,400,000 2,800,000 14,000,000 3,640,000
- -
- -
35,000,000 -
- 6,000,000
- -
- 3,000,000
- 10,000,000
- 2,000,000
997,500 2,002,500
1,181,250 5,818,750
- 2,000,000
- 5,000,000
- 1,000,000
29,032,600 142,000,000
- 25,000,000
- -
13,538,000 3,462,000
8,283,000 1,717,000
4,791,600 208,400
- 5,000,000
2,420,000 57,580,000
- 10,000,000
- 10,000,000
 - -
83,228,660 79,419,720 271,412,320 1,246,605,289 424,138,711

Pakisjaya, 31 Desember 2018

Plt UPTD. PUSKESMAS PAKISJAYA

HJ. TATI HERYANI, AM,keb

NIP. 19730524 199302 2 002