BADAN LAYANAN UMUM DAERAH

PUSKESMAS GANDUS
KERTAS KERJA TAHUN 2011
(METODE CASH BASIS)

URAIAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER

(1) (2) (3) (4) (5) (6) (7) (8) (9)

PENERIMAAN
Pendapatan Usaha dari Jasa Layanan
- Retribusi Bayar / Pasien Umum 194,000 112,000 98,000 40,000 26,000 44,000 38,000 48,000 54,000
- Pelayanan HAJI
Pendapatan Hibah
Pendapatan APBN (rupiah murni)
- JAMKESMAS 1,677,500 1,886,500 1,910,000 2,176,000 1,939,000 1,724,000 1,675,000 1,464,000 1,458,500
- JAMPERSAL 2,100,000 9,100,000
- BOK 5,300,000 4,752,000 4,553,000 4,669,000 5,787,000 4,037,000 5,134,000 5,920,000 7,162,000
Pendapatan APBD
- JAMSOSKES 8,608,500 7,695,500 9,288,000 8,886,000 9,180,500 7,464,000 8,194,000 6,190,000 7,138,500
Pendapatan Usaha Lainnya
- ASKES 428,400 427,560 731,640 730,800 725,760 757,680 729,960 734,200 867,720
- JAMSOSTEK
- Pendapatan Bunga Bank
- PPh Pungut atas Jasa Medis
Penarikan Kas Negara *)
JUMLAH PENERIMAAN 18,308,400 23,973,560 16,580,640 16,501,800 17,658,260 14,026,680 15,770,960 14,356,200 16,680,720
PENGELUARAN
Biaya Layanan
Biaya Pegawai
Biaya Bahan 2,359,750 2,501,000 3,738,500 2,689,500 3,043,500 1,767,100 3,260,500 1,420,000 2,686,000
Biaya Jasa Layanan 2,465,375 2,992,800 2,944,800 3,494,600 3,301,400 2,292,600 2,450,500 2,038,600 2,232,000
Biaya Pemeliharaan 824,500 424,000 492,000 723,500 570,500 1,183,000 165,000 342,500 686,000
Biaya Daya dan Jasa 880,375 841,500 4,136,200 4,140,400 5,720,400 3,967,700 5,282,500 6,283,200 6,278,200
Biaya Belanja Barang Modal 817,000
dan Lain-lain (OPERASIONAL BLM DIPISAH)
Jumlah Biaya Layanan
Biaya Umum dan Administrasi
Biaya Pegawai 1,350,000 1,375,000 1,375,000 1,375,000 1,375,000 1,375,000 1,375,000 1,400,000 1,500,000
Biaya Administrasi Perkantoran 1,932,000 928,500 1,169,500 1,069,000 1,430,000 865,000 2,064,000 646,000 1,012,000
 Biaya Pemeliharaan 295,000
Biaya Pelatihan/Seminar/Diklat
Biaya langganan daya dan jasa 817,000 817,000 817,000 725,000 771,000 748,000 748,000
Biaya Promosi
Biaya Penyusutan
dan Lain-lain (PEMBINAAN)
Jumlah Biaya Umum dan Administrasi
Biaya Lainnya
Biaya Bunga
Biaya Administrasi Bank
Setoran Pajak (PPh & PPn)
dan Lain-Lain (PUSTU)
Jumlah Biaya Lainnya
Penyetoran Kas Negara *)
JUMLAH PENGELUARAN 10,107,000 9,062,800 15,490,000 14,309,000 16,257,800 12,175,400 15,368,500 12,878,300 15,142,200
Kenaikan/(Penurunan) Bersih Kas
Kas dan Setara Kas Awal
Kas dan Setara Kas Akhir

Palembang, JUNI 2014 Kas dan Setara Kas AWAL PER 01 JANUARI 2011 : Kas dan Setara Kas AKHIR PER 31 DESEMBER 2011 :
Mengetahui, KAS TUNAI 671,600 KAS TUNAI
Pimpinan Puskesmas GANDUS KAS DI BANK KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-24120 - 1.Bank Sumsel No.Rek : 150-09-24120
2. Bank BRI No.Rek : 5762-01-009479-534 - 2. Bank BRI No.Rek : 5762-01-009479-534
3. Bank Sumsel No.Rek : 150-09-28876 342,061 3. Bank Sumsel No.Rek : 150-09-28876
dr.H.Aliumi PK Jumlah 1,013,661 Jumlah
NIP 195412201985021001
OKTOBER NOVEMBER DESEMBER JUMLAH

(10) (11) (12)

104,000 180,000 112,000 1,050,000

-

2,988,000 3,020,000 12,335,000 34,253,500

11,200,000
6,227,000 5,789,000 5,670,000 65,000,000

15,260,000 14,640,000 14,527,500 117,072,500

876,120 883,680 4,539,591 12,433,111

-
-
-
-
25,455,120 24,512,680 37,184,091 241,009,111

-
6,151,000 4,085,000 6,441,000 41,071,488
4,182,300 4,078,800 17,486,979 49,960,754
1,194,000 1,225,000 921,000 8,751,000
5,743,300 6,143,200 5,993,500 63,154,194
817,000
-

-
2,175,000 2,200,000 2,200,000 20,889,934
2,028,500 11,066,000 2,828,500 30,063,890
 295,000
-
748,000 748,000 748,000 7,687,000
-
-
-
-
-
-
-
-
-
-
10,052,000
22,222,100 29,546,000 36,618,979 232,742,260
8,266,851
1,013,661
9,280,512

DESEMBER 2011 :
159,900

77,162
4,757,452
4,285,998
9,280,512
BADAN LAYANAN UMUM DAERAH
PUSKESMAS GANDUS
KERTAS KERJA TAHUN 2012
(METODE CASH BASIS)

URAIAN JANUARI FEBRUARI MARET

(1) (2) (3)

PENERIMAAN
Pendapatan Usaha dari Jasa Layanan
- Retribusi Bayar / Pasien Umum 196,000 180,000 184,000
- Pelayanan HAJI
Pendapatan Hibah
Pendapatan APBN (rupiah murni)
- JAMKESMAS 5,545,500 2,762,000 5,198,500
- JAMPERSAL
- BOK
Pendapatan APBD
- JAMSOSKES 15,234,500 14,903,000 16,360,500
Pendapatan Usaha Lainnya
- ASKES 867,720 874,440 861,000
- JAMSOSTEK
- Pendapatan Bunga Bank
- PPh Pungut atas Jasa Medis
Penarikan Kas Negara *)
JUMLAH PENERIMAAN 21,843,720 18,719,440 22,604,000
PENGELUARAN
Biaya Layanan
Biaya Pegawai 4,056,000 3,352,000 2,392,000
Biaya Bahan 2,171,000 2,411,000 1,604,200
Biaya Jasa Layanan 6,311,700 4,284,750 12,825,400
Biaya Pemeliharaan
Biaya Daya dan Jasa
Biaya Belanja Barang Modal 1,799,000 1,320,000 1,517,000
dan Lain-lain (OPERASIONAL BLM DIPISAH)
Jumlah Biaya Layanan
Biaya Umum dan Administrasi
Biaya Pegawai 403,500 345,000 1,623,300
Biaya Administrasi Perkantoran 4,989,100 4,837,750 2,247,300
Biaya Pemeliharaan
Biaya Pelatihan/Seminar/Diklat
Biaya Promosi
Biaya Penyusutan
dan Lain-lain (PEMBINAAN) 990,300 957,700 1,185,200
Jumlah Biaya Umum dan Administrasi
Biaya Lainnya
Biaya Bunga
Biaya Administrasi Bank
 Setoran Pajak (PPh & PPn) 182,100 91,860 431,250
dan Lain-Lain (PUSTU)
Jumlah Biaya Lainnya
Penyetoran Kas Negara *)
JUMLAH PENGELUARAN 20,902,700 17,600,060 23,825,650
Kenaikan/(Penurunan) Bersih Kas
Kas dan Setara Kas Awal
Kas dan Setara Kas Akhir

Palembang, JUNI 2014

Mengetahui,
Pimpinan Puskesmas GANDUS
Dr. H.Aliumi PK
Nip. 195412201985021001
Kas dan Setara Kas AWAL PER 01 JANUARI 2012 :
KAS TUNAI
KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-24120
2. Bank BRI No.Rek : 5762-01-009479-534
3. Bank Sumsel No.Rek : 150-09-28876
Jumlah
 APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER

(4) (5) (6) (7) (8) (9) (10)

236,000 164,000 256,000 236,000 160,000 272,000 344,000

6,799,000 5,012,000 5,488,000 5,680,000 4,399,000 5,344,500 5,224,000

15,284,000 15,873,000 14,877,500 14,579,000 13,671,500 15,136,500 15,512,000

850,000 845,000 851,760 856,800 852,600 832,440 833,280

23,169,000 21,894,000 21,473,260 21,351,800 19,083,100 21,585,440 21,913,280

2,719,000 2,460,000 2,892,000 2,690,300 2,331,000 2,780,000 2,299,000

1,643,600 1,191,400 1,738,300 1,057,700 1,233,440 1,473,080 1,616,500
7,435,200 10,845,800 13,999,400 10,371,240 8,910,260 10,145,920 12,586,100

1,073,500 1,264,000 2,380,000 1,342,800 1,207,000 1,242,000 1,682,800

1,473,200 1,625,550 1,519,250 1,530,450 1,334,300 1,515,200 1,537,150

1,860,200 2,483,050 3,542,100 2,641,010 2,140,900 2,609,000 3,315,950

989,800 1,050,700 1,080,450 1,084,300 968,010 1,013,900 1,068,900

 226,000 268,000 317,100 320,050 198,420 246,540 239,745

17,420,500 21,188,500 27,468,600 21,037,850 18,323,330 21,025,640 24,346,145

ANUARI 2012 : Kas dan Setara Kas AKHIR PER 31 DESEMBER 2012 :
159,900 KAS TUNAI 2,148,476
KAS DI BANK
77,162 1.Bank Sumsel No.Rek : 150-09-24120 185,936
4,757,452 2. Bank BRI No.Rek : 5762-01-009479-534 18,473,267
4,285,998 3. Bank Sumsel No.Rek : 150-09-28876 214,491
9,280,512 4. Bank Sumsel No Rek : 150-09-24505 2,156,852
Jumlah 23,179,022

Rp 88,997
107288
111009
NOVEMBER DESEMBER JUMLAH
1 2
(11) (12)
JAMKESMAS
1
352,000 340,000 2,920,000 JAMPERSAL16405000
- JAMSOSKES
JAMKESMAS
UMUM 4161000 3342500
3,230,000 17,892,065 72,574,565 HAJI
- ASKES 5472600 5426400
- jamsostek 9599100 9886600
BOK
15,221,500 15,295,500 181,948,500 11369 29323

829,090 819,000 10,173,130

- JASA LAYA 4612100 28992800
- OPERASION 4862700 5476275
- BY. ADM 741750 424700
- BY. SDM
19,632,590 34,346,565 267,616,195 BY. PEMBI 208050 167125
LAIN-LAIN 14000 25866

2,690,000 2,725,000 33,386,300

1,124,240 1,509,640 18,774,100 1
9,124,960 11,301,060 118,141,790 2
- 3
- 4
1,383,000 1,588,800 17,799,900 5
- 6
- 188,102,090
- 188102091
1,325,300 1,319,100 15,551,300 188102092
2,129,200 2,191,000 34,986,560 188102093
- 188102094
- 188102095
- 548783
-
920,800 983,400 12,293,460
-
-
-
-
 219,720 43,490 2,784,275
-
-
-
18,917,220 21,661,490 253,717,685
13,898,510
9,280,512
23,179,022
 3 4 5 6 7 8 9 10 11 12

11700000 13050000
20844500 6178000 7140500 6808000 7300500 7948000 7094000 13839500 6135500
24843000 8915000 19738500
4112000 4921000 4695000 3716500 3600500 1179000 2718000 1698000 1846500 1403000

5400360 5377680 5342400 5309640 5297040 5274360 5253360 5261760 5234880 5216400
11044183 9699900 10176400 9932200 9588200 10226300 9879000 10653600 9800300 9355401
23750000 23750000 23750000 23750000
13317 112333 23917 21628 30218 25189 38706 47281 35667 134159

180000 14000380 16941700 18272240 21176922 18590112 18174240 19488360 13022180 20478001
10676820 7430050 31986661 40639514 11271996 22032531 36139356 30676625 24756350 36164100
1908200 667000 1132500 4961400 3441500 2465400 1363900 1979900 1333600 5353800

1747100 1011050 543650 3135000 1036425 1769325 796650 704775 312650 1068900
24664 25000 28679 26941 27617 29663 42318 34727 30533 238775
BADAN LAYANAN UMUM DAERAH
PUSKESMAS GANDUS
KERTAS KERJA TAHUN 2013
(METODE CASH BASIS)

URAIAN JANUARI FEBRUARI MARET APRIL

(1) (2) (3) (4)

PENERIMAAN
Pendapatan Usaha dari Jasa Layanan
- Retribusi Bayar / Pasien Umum 300,000 284,000 300,000 256,000
- Pelayanan HAJI
Pendapatan Hibah
Pendapatan APBN (rupiah murni)
- JAMKESMAS 3,555,500
- JAMPERSAL 3,100,000
- BOK 21,250,000
Pendapatan APBD
- JAMSOSKES 47,524,000
Pendapatan Usaha Lainnya
- ASKES 812,280 805,560 794,640 792,120
- JAMSOSTEK 3,445,500 3,339,800 3,335,900 3,086,400
- Pendapatan Bunga Bank 15,299 22,540 5,061 66,625
- PPh Pungut atas Jasa Medis
Penarikan Kas Negara *)
JUMLAH PENERIMAAN
PENGELUARAN
Biaya Layanan
Biaya Pegawai
Biaya Bahan
Biaya Jasa Layanan 1,600,000 16,380,680 3,200,000 27,050,375
Biaya Pemeliharaan
Biaya Daya dan Jasa
Biaya Belanja Barang Modal
dan Lain-lain (OPERASIONAL BLM DIPISAH) 195,000 4,141,120 525,000 14,191,400
Jumlah Biaya Layanan
Biaya Umum dan Administrasi
Biaya Pegawai 3,429,900 4,765,300
Biaya Administrasi Perkantoran 205,000 2,713,300 275,000 4,673,300
Biaya Pemeliharaan
Biaya Pelatihan/Seminar/Diklat
Biaya Promosi
Biaya Penyusutan
dan Lain-lain (PEMBINAAN) 1,088,000 2,398,100
Jumlah Biaya Umum dan Administrasi
Biaya Lainnya
Biaya Bunga
Biaya Administrasi Bank 16,667 17,547 14,000 Rp 381,110
Setoran Pajak (PPh & PPn)
dan Lain-Lain (PUSTU)
Jumlah Biaya Lainnya
Penyetoran Kas Negara *)
JUMLAH PENGELUARAN
Kenaikan/(Penurunan) Bersih Kas
Kas dan Setara Kas Awal
Kas dan Setara Kas Akhir

Palembang, JUNI 2014

Mengetahui, Kas dan Setara Kas AWAL PER 01 JANUARI 2013 :
Pimpinan Puskesmas GANDUS KAS TUNAI 2,148,476
KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-24120 185,936
2. Bank BRI No.Rek : 5762-01-009479-534 18,473,267
Dr. H.Aliumi PK 3. Bank Sumsel No.Rek : 150-09-28876 214,491
Nip. 195412201985021001 4. Bank Sumsel No Rek : 150-09-24505 2,156,852

Jumlah 23,179,022

Setelah membuat kertas kerja

1. Sama kah dengan kas dan setara kas di neraca
2. Setelah sama, masukanangka2 di kertas kerja ke laporan arus kas
3. Cek saldo kenaikan/ penurunan bersih kas
4. Lihat di arus kas bersih dari aktivitas
 MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER

(5) (6) (7) (8) (9) (10) (11)

380,000 312,000 292,000 260,000 268,000 228,000 328,000

15,045,000 6,839,000 3,325,500 3,125,000 3,397,500

21,250,000 21,250,000 21,250,000

15,665,500 34,984,500 16,181,500 16,874,000 46,636,000

791,280 791,280 798,000 798,840 792,960 782,880 783,720

2,993,500 2,676,100 5,336,500 2,645,400 2,954,500 2,904,200
25,832 25,018 40,025 38,213 45,480 21,044 17,717

14,960,550 9,410,400 10,507,850 12,323,230 11,484,250 16,032,500 2,056,800

4,688,200 8,907,450 4,983,400 9,354,300 5,307,650 9,100,000 200,000

1,594,450 16,560,500 2,030,000 20,692,950 1,613,600 18,120,450 90,000

1,719,450 2,094,500 2,010,000 2,012,950 1,803,600 3,092,800 435,800

696,600 778,050 910,000 843,800 810,450 1,430,250 41,400

Rp 196,300 Rp 22,659 221,584 187,379 197,959 185,114 22,270

Kas dan Setara Kas AKHIR PER 31 DESEMBER 2013 :

 KAS TUNAI 790,254
KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-24120 239,619
2. Bank BRI No.Rek : 5762-01-009479-534 412,105
3. Bank Sumsel No.Rek : 150-09-28876 142,030
4. Bank Sumsel No Rek : 150-09-24505 42,530

Jumlah 1,626,538

Penambahan aset tetap beli sendiri

biaya layanan dikurangi dengan aset yang dibeli sendiri
laporan arus kas hasil pengurangan masuk kan ke arus keluar investasi
masukan ke ekuitas awal
Penambahan aset tetap oleh pihak ke 3
biaya tetap sesuai dengan kertas kerja
arus kas masuk aktivitas investasi
arus keluar perolehan aset tetap
masukan ke ekuitas donasi
Cek, dineraca pada kolom ekuitas,apakah ekuitas awal dan
ekuitas donasi sesuai dengan arus kas
DESEMBER JUMLAH
1 2 3 4 5
(12)
JAMKESMAS
1
252,000 3,460,000 JAMPERSAL16405000
- JAMSOSKES 20844500 6178000
JAMKESMAS
UMUM 4161000 3342500 4112000 4921000 4695000
3,325,000 38,612,500 HAJI
5,240,000 8,340,000 ASKES 5472600 5426400 5400360 5377680 5342400
85,000,000 jamsostek 9599100 9886600 11044183 9699900 10176400
BOK 23750000
19,415,500 197,281,000 11369 29323 13317 112333 23917

777,840 9,521,400
2,719,827 35,437,627 JASA LAYA 4612100 28992800 180000 14000380 16941700
38,269 361,123 OPERASION 4862700 5476275 10676820 7430050 31986661
- BY. ADM 741750 424700 1908200 667000 1132500
- BY. SDM
378,013,650 BY. PEMBI 208050 167125 1747100 1011050 543650
LAIN-LAIN 14000 25866 24664 25000 28679

-
- 1
45,239,799 170,246,434 2
- 3
- 4
- 5
27,337,900 88,931,420 6
- 7
- 8
28,324,100 97,221,250 9
7,308,800 28,344,500 10
- 11
- 12
- 548783
-
3,810,700 12,807,350
-
-
-
552,591 2,015,180
-
-
-
-
399,566,134
(21,552,484)
23,179,022
1,626,538
 6 7 8 9 10 11 12

11700000 13050000
7140500 6808000 7300500 7948000 7094000 13839500 6135500
24843000 8915000 19738500
3716500 3600500 1179000 2718000 1698000 1846500 1403000

5309640 5297040 5274360 5253360 5261760 5234880 5216400

9932200 9588200 10226300 9879000 10653600 9800300 9355401
23750000 23750000 23750000
21628 30218 25189 38706 47281 35667 134159

18272240 21176922 18590112 18174240 19488360 13022180 20478001

40639514 11271996 22032531 36139356 30676625 24756350 36164100
4961400 3441500 2465400 1363900 1979900 1333600 5353800

3135000 1036425 1769325 796650 704775 312650 1068900

26941 27617 29663 42318 34727 30533 238775
BADAN LAYANAN UMUM DAERAH
PUSKESMAS GANDUS
KERTAS KERJA TAHUN 2014
(METODE CASH BASIS)

URAIAN JANUARI FEBRUARI MARET TW 1 APRIL MEI JUNI TW 2 JULI

(1) (2) (3) (4) (5) (6) (7) (8)
PENERIMAAN
Pendapatan Usaha dari Jasa Layanan
- Retribusi Bayar / Pasien Umum 4,372,000 4,276,000 4,604,000 13,252,000 3,564,000 3,780,000 3,936,000 11,280,000 924,000
- Pelayanan HAJI - -
Pendapatan Hibah - -
Pendapatan APBN (rupiah murni) - -
- JAMKESMAS - -
- JAMPERSAL 14,259,000 14,259,000 10,150,000 10,150,000 6,590,000
- BOK - 16,065,000 16,065,000
Pendapatan APBD - -
- JAMSOSKES 41,132,500 41,132,500 18,350,000 22,899,000 41,249,000 18,285,500
Pendapatan Usaha Lainnya - -
- BPJS 306,046,000 155,364,000 461,410,000 152,118,000 157,748,000 152,616,000 462,482,000 150,918,000
- JAMSOSTEK - -
- Pendapatan Bunga Bank 683,224 2,876 257,556 943,656 686,183 911,176 1,153,043 2,750,402 1,035,637
- PPh Pungut atas Jasa Medis -
Penarikan Kas Negara *) - -
JUMLAH PENERIMAAN 19,314,224 310,324,876 201,358,056 530,997,156 190,783,183 162,439,176 190,754,043 543,976,402 177,753,137
PENGELUARAN - -
Biaya Layanan - -
Biaya Pegawai 50,000 380,000 950,000 1,380,000 14,440,000 14,440,000 1,550,000
Biaya Bahan 1,132,254 2,763,000 1,080,000 4,975,254 524,000 499,000 3,115,000 4,138,000 2,595,500
Biaya Jasa Layanan 3,391,200 8,206,050 13,616,500 25,213,750 3,546,000 3,053,000 162,034,300 168,633,300 293,465,541
Biaya Pemeliharaan - - 909,000
Biaya Daya dan Jasa 2,088,600 2,088,600 8,736,750 2,680,000 12,657,358 2,543,236
Biaya Belanja Barang Modal - - 1,300,000
dan Lain-lain (OPERASIONAL BLM DIPISAH) - - -
Jumlah Biaya Layanan 4,573,454 11,349,050 17,735,100 33,657,604 4,070,000 12,288,750 182,269,300 199,868,658 302,363,277
Biaya Umum dan Administrasi - -
Biaya Pegawai 250,000 965,100 1,388,400 2,603,500 81,000 80,000 1,133,800 1,294,800 21,375,000
Biaya Administrasi Perkantoran 338,800 1,318,000 1,543,500 3,200,300 438,600 95,000 3,086,400 3,620,000 7,724,500
Biaya Pemeliharaan - -
Biaya Pelatihan/Seminar/Diklat - -
Biaya Promosi - -
Biaya Penyusutan - -
dan Lain-lain (PEMBINAAN) 478,850 692,500 1,171,350 54,400 53,000 761,500 868,900 46,603,500
Jumlah Biaya Umum dan Administrasi 588,800 2,761,950 3,624,400 6,975,150 574,000 228,000 4,981,700 5,783,700 75,703,000
Biaya Lainnya - -
Biaya Bunga - - - - - -
Biaya Administrasi Bank 434,707 - - 434,707 Rp - Rp - Rp - - 226,628
Setoran Pajak (PPh & PPn) - - - 17,056,359
dan Lain-Lain (PUSTU) 4,424,000 24,380,000 28,804,000 21,772,000 21,772,000 10,828,000
Jumlah Biaya Lainnya 434,707 4,424,000 24,380,000 29,238,707 - - 21,772,000 21,772,000 28,110,987
Penyetoran Kas Negara *) - -
JUMLAH PENGELUARAN 5,596,961 18,535,000 45,739,500 69,871,461 4,644,000 12,516,750 209,023,000 227,424,358 406,177,264
Kenaikan/(Penurunan) Bersih Kas
Kas dan Setara Kas Awal
Kas dan Setara Kas Akhir

Palembang, 31 Desember 2014

Mengetahui, Kas dan Setara Kas AWAL PER 01 DESEMBER 2013 : Kas dan Setara Kas AKHIR PER 30 JUNI 2014: Kas dan Setara Kas
Pimpinan Puskesmas GANDUS KAS TUNAI 790,254 KAS TUNAI 2,249,642 KAS TUNAI
KAS DI BANK KAS DI BANK KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-24 239,619 1.Bank Sumsel No.Rek : 150-09-24120 Rp 274,454 1.Bank Sumsel No.Re
2. Bank BRI No.Rek : 5762-01-009 412,105 2. Bank BRI No.Rek : 5762-01-009479- Rp 297,047 2. Bank BRI No.Rek : 5
Dr. H.Aliumi PK 3. Bank Sumsel No.Rek : 150-09-2 142,030 3. Bank BRI No. REK : 5762-01-011269- Rp 776,483,134 3. Bank BRI No. REK :
Nip. 195412201985021001 4. Bank Sumsel No Rek : 150-09-2 42,530 4. Bank Mandiri No R

Jumlah 1,626,538 Jumlah 779,304,277

AGUSTUS SEPTEMBER TW 3 OKTOBER NOVEMBER DESEMBER TW 4 JUMLAH

1,032,000 1,080,000 3,036,000 1,060,000 1,000,000 880,000 2,940,000 30,508,000

- - -
- - -
- - -
- - -
1,800,000 - 8,390,000 2,400,000 9,000,000 11,400,000 44,199,000
22,710,000 - 22,710,000 25,900,000 26,325,000 52,225,000 91,000,000
- - -
- 18,285,500 86,006,500 81,604,000 167,610,500 268,277,500
- - -
150,048,000 141,555,500 442,521,500 143,540,000 141,405,500 138,753,500 423,699,000 1,790,112,500
- - -
933,996 908,427 2,878,060 688,772 981,634 366,642 2,037,048 8,609,166
- -
- -
176,523,996 143,543,927 497,821,060 259,595,272 143,387,134 256,929,142 659,911,548 2,232,706,166
-
-
19,767,500 100,000 21,417,500 3,850,000 30,650,000 30,215,000 64,715,000 101,952,500
3,770,000 9,557,000 15,922,500 1,236,000 4,608,050 5,152,000 10,996,050 36,031,804
6,834,295 199,692,037 499,991,873 93,193,540 128,993,407 209,173,994 431,360,941 1,125,199,864
3,453,000 3,420,000 7,782,000 - 1,187,000 6,500,000 7,687,000 15,469,000
3,997,550 1,322,430 7,863,216 1,106,100 3,036,100 4,142,000 8,284,200 30,893,374
9,700,000 - 11,000,000 - - 21,500,000 21,500,000 32,500,000
17,000,000 14,000,000 31,000,000 - - 5,010,000 5,010,000 36,010,000
64,522,345 228,091,467 594,977,089 99,385,640 168,474,557 281,692,994 549,553,191 1,378,056,542
 - -
- 9,300,000 30,675,000 900,000 3,269,850 3,750,000 7,919,850 42,493,150
437,500 500,000 8,662,000 127,200 3,754,500 3,000,100 6,881,800 22,364,100
- 415,000 - - 415,000 415,000
8,800,000 8,800,000 3,500,000 - 3,500,000 12,300,000
- - - -
- - - -
52,000 9,073,000 55,728,500 4,280,300 5,422,800 9,476,400 19,179,500 76,948,250
9,289,500 18,873,000 103,865,500 5,722,500 15,947,150 16,226,500 37,896,150 154,520,500
- -
- -
196,511 129,614 552,753 161,730 103,272 265,002 1,252,462
1,972,905 16,063,013 35,092,277 6,159,460 6,360,093 11,637,006 24,156,559 59,248,836
10,828,000 40,752,000 54,904,000 95,656,000 157,060,000
2,169,416 16,192,627 46,473,030 6,321,190 47,215,365 66,541,006 120,077,561 217,561,298

75,981,261 263,157,094 745,315,619 111,429,330 231,637,072 364,460,500 707,526,902 1,750,138,340

- 482,567,826
1,626,538
484,194,364

Kas dan Setara Kas AKHIR PER 30 SEPTEMBER 2014: Kas dan Setara Kas AKHIR PER 31 DESEMBER 2014:
1,518,276 KAS TUNAI 1,031,876
KAS DI BANK
1.Bank Sumsel No.Rek : 150-09-2412 Rp 276,415 1.Bank Sumsel No.Rek : 150-09-24120 Rp 323,649 -
2. Bank BRI No.Rek : 5762-01-009479 Rp 283,208 2. Bank BRI No.Rek : 5762-01-009479-534 Rp 80,241
3. Bank BRI No. REK : 5762-01-01126 Rp 237,711,296 3. Bank BRI No. REK : 5762-01-011269-53-5 Rp 247,157
4. Bank Mandiri No Rek : 113-00-099 291,910,719 4. Bank Mandiri No Rek : 113-00-0995433 482,511,441

Jumlah 531,699,914 Jumlah 484,194,364

REKAPITULASI PENERIMAAN & PENGELUARAN
BLUD PUSKESMAS DINAS KESEHATAN KOTA PALEMBANG
TAHUN 2013
PUSKESMAS : PLAJU

no nbulan penerimaan
jamsoskes jamkesmas jampersal askes umum
1 PJanuari 16,405,000 5,472,600 4,161,000
2 PFebruari 5,426,400 3,342,500
3 PMaret 20,844,500 5,400,360 4,112,000
4 PApril 5,377,680 4,921,000
5 PMei 6,178,000 5,342,400 4,695,000
6 PJuni 7,140,500 24,843,000 11,700,000 5,309,640 3,716,500
7 PJuli 6,808,000 5,297,040 3,600,500
8 PAgustus 7,300,500 13,050,000 5,274,360 1,179,000
9 PSeptember 7,948,000 5,253,360 2,718,000
10 POktober 7,094,000 8,915,000 5,261,760 1,698,000
11 PNopember 13,839,500 19,738,500 5,234,880 1,846,500
12 PDesember 6,135,500 5,216,400 1,403,000
JUMLAH 83,288,500 53,496,500 41,155,000 63,866,880 37,393,000

ARUS KAS FINAL Saldo tersebut terdiri dari

Saldo awal per 2 januari 2013
Realisasi penerimaan 2012
Realisasi pengeluaran 2012
Realisasi penerimaan 2013
Realisasi pengeluaran 2013
Saldo Akhir per 31 Desember 2013
307,294 1.Bank Sumsel No.Rek : 150-09-24135
- 2. Bank Sumsel No.Rek : 172-09-85120
- 3. Bank Sumsel No.Rek : 150-09-72161
494,564,171 4. Bank BRI No.Rek : 03420100167253
(494,316,363) 5. Bank BRI No.Rek : 03420100722253
555,102

555,102
(0)

83,288,500 53,496,500 41,155,000 63,866,880 37,393,000

6,525,000 6,087,500 6,398,500
5,784,000 5,340,500 4,979,500
9,639,600 5,267,000 3,873,500 5,041,500

63,136,100 63,866,880
-
5,472,600 5,472,600 -
5,426,400 5,426,400 -
5,400,400 5,400,400 -
5,300,000 5,300,000 -
5,340,000 5,340,000 -
5,300,000 5,300,000 -
5,297,000 5,297,000 -
5,274,360 5,274,360 -
5,253,360 5,253,360 -
5,261,760 5,261,760 -
5,234,880 5,234,880 -
5,216,400 5,216,400 -
 total pengeluaran / biaya
jamsostek BOK lain2(bunga) jasa layanan operasional adm
9,599,100 11,369 35,649,069 4,612,100 4,862,700 741,750
9,886,600 29,323 18,684,823 28,992,800 5,476,275 424,700
11,044,183 13,317 41,414,360 180,000 10,676,820 1,908,200
9,699,900 23,750,000 112,333 43,860,913 14,000,380 7,430,050 667,000
10,176,400 23,917 26,415,717 16,941,700 31,986,661 1,132,500
9,932,200 21,628 62,663,468 18,272,240 40,639,514 4,961,400
9,588,200 23,750,000 30,218 49,073,958 21,176,922 11,271,996 3,441,500
10,226,300 25,189 37,055,349 18,590,112 22,032,531 2,465,400
9,879,000 23,750,000 38,706 49,587,066 18,174,240 36,139,356 1,363,900
10,653,600 47,281 33,669,641 19,488,360 30,676,625 1,979,900
9,800,300 23,750,000 35,667 74,245,347 13,022,180 24,756,350 1,333,600
9,355,401 134,159 22,244,460 20,478,001 35,615,317 5,353,800
119,841,184 95,000,000 523,107 494,564,171 193,929,035 261,564,195 25,773,650

do tersebut terdiri dari

ank Sumsel No.Rek : 150-09-24135 80,091 Bendahara Penerima
Bank Sumsel No.Rek : 172-09-85120 141,781
Bank Sumsel No.Rek : 150-09-72161 174,146
Bank BRI No.Rek : 034201001672533 100,000 Triansyah Yuniko
Bank BRI No.Rek : 034201007222530 59,084 NIP. 198206092005011004
Jumlah 555,102

83,605,440
950,600 116,654,621
831,570 200,260,061
1,277,653 6,331,026
119,841,184 95,000,000 1,861,299 19,716,852 262,112,978 25,773,650
4,818,500 4,992,000 2,089,973 206,018,815 211,941,290 25,958,650
2,366,772 #REF! 50,171,688 (185,000)
1,375,608
782,043 #REF! 50,171,688 (185,000)
1,082,091 #REF! 50,171,688 (185,000)
1,176,131 1,375,608 782,043 1,082,091
 1,126,502 #REF! 49,389,645 (1,267,091)
1,053,256
15,973,498
 total pengeluar Total saldo JUMLAH SALDO
sdm pembinaan lain2 Tunai bank
- 208,050 14,000 10,438,600 - 272,008 272,008
- 167,125 25,866 35,086,766 - 374,158 374,158
- 1,747,100 24,664 14,536,784 - 22,603,854 22,603,854
- 1,011,050 25,000 23,133,480 - 633,970 633,970
- 543,650 28,679 50,633,190 - 705,628 705,628
- 3,135,000 26,941 67,035,095 - 411,025 411,025
- 1,036,425 27,617 36,954,460 - 7,699,432 7,699,432
- 1,769,325 29,663 44,887,031 - 23,835,545 23,835,545
- 796,650 42,318 56,516,464 - 384,844 384,844
- 704,775 34,727 52,884,387 - 377,324 377,324
- 312,650 30,533 39,455,313 - 14,209,324 14,209,324
- 1,068,900 238,775 62,754,793 - 555,102 555,102
- 12,500,700 548,783 494,316,363

Palembang, 4 Juni 2014

Bendahara Pengeluaran Pimpinan Puskesmas Plaju

Sri Mulyani dr.Hj.Rita Agustia, M,Kes

NIP. 197309031993012001 NIP. 195908141987012001

- 12,500,700 494,316,363
- 12,315,700 456,234,455
- 185,000 (38,081,908)
MLAH SALDO
jasa layanan operasional adm pembinaan
3 bln 33,784,900 21,015,795 3,074,650 2,122,275
3 bln 49,214,320 80,056,225 6,760,900 4,689,700
3 bln 57,941,274 69,443,883 7,270,800 3,602,400
3 bln 52,988,541 91,597,075 8,667,300 2,086,325
193,929,035 262,112,978 25,773,650 12,500,700