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#VALUE!

DOKUMEN PELAKSANAAN ANGGARAN


SATUAN KERJA PERANGKAT DAERAH (DPA - SKPD)
#VALUE!

BELANJA LANGSUNG

NO. DPA SKPD : ### ### ### ### 5 2

URUSAN PEMERINTAHAN : #VALUE!

ORGANISASI : #VALUE!

PROGRAM : #VALUE!

KEGIATAN : #VALUE!

LOKASI KEGIATAN : ###


SUMBER DANA : ###
JUMLAH ANGGARAN : #VALUE!
TERBILANG : #VALUE!

PENGGUNA ANGGARAN : ###


KUASA PENGGUNA
ANGGARAN
NAMA : ###
NIP : ###
JABATAN : ###
RENCANA KERJA DAN ANGGARAN
SATUAN KERJA PERANGKAT DAERAH Formulir
RKA-SKPD 2.2.1
#VALUE!

Urusan Pemerintahan : #VALUE! #VALUE!


Organisasi : #VALUE! #VALUE!
Program : #VALUE! #VALUE!
Kegiatan : #VALUE! #VALUE!
Lokasi Kegiatan : #VALUE!
### : #VALUE!
### : #VALUE!
### : #VALUE!
Indikator & Tolok Ukur Kinerja Belanja Langsung
Indikator Tolok Ukur Kinerja Target Kinerja
Capaian Program #VALUE! #VALUE!
###

Masukan #VALUE! #VALUE! ###


Keluaran #VALUE! #VALUE! ###
Hasil #VALUE! #VALUE! ###

###
Rincian Anggaran Belanja Langsung
Menurut Program dan Per Kegiatan Satuan Kerja Perangkat Daerah
Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)

5 BELANJA DAERAH 3,321,200,000

5 2 BELANJA LANGSUNG 3,321,200,000

5 2 1 BELANJA PEGAWAI 5,675,000

5 2 1 01 Honorarium PNS 5,675,000


5 2 1 01 01 Honorarium Panitia Pelaksana Kegiatan 1,125,000
Panitia penerima hasil pekerjaan
Ketua 1orgx1keg 400,000 400,000
Sekretaris 1orgx1keg 375,000 375,000
Anggota 1orgx1keg 350,000 350,000

5 2 1 01 02 Honorarium Tim Pengadaan Barang dan Jasa 1,200,000


PPK 1orgx1keg 1,200,000 1,200,000

5 2 1 01 03 Honorarium Tim Pelaksana Kegiatan 3,350,000


Penanggung Jawab 1orgx1keg 900,000 900,000
Pengendali 1orgx1keg 600,000 600,000
Ketua 1orgx1keg 550,000 550,000
anggota 1orgx1keg 500,000 500,000
Pelaksana NON PNS 1orgx1keg 350,000 350,000
Pelaksana PNS 1orgx1keg 450,000 450,000

5 2 2 BELANJA BARANG DAN JASA 3,315,525,000

5 2 2 01 Belanja Bahan Pakai Habis 3,315,525,000


5 2 2 01 02 Belanja Dokumen/Administrasi Tender 1,404,587
lain-lain 1 paket 246,587 246,587

02/15/2020 05:04:24 Hal: 2/13


Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)
Belanja alat tulis kantor
Bantex file 7 buah 26,000 182,000
Flashdisk 16 Gb 2 buah 166,200 332,400
Kertas HVS A4 70 gram 4 rim 41,900 167,600
Kertas HVS F4 70 gram 4 rim 46,000 184,000
Bussines file 25 lembar 7,200 180,000
Materai 6000 16 pcs 7,000 112,000

5 2 2 01 09 Belanja Bahan dan Alat Laboratorium 3,314,120,413


E-Katalog
Anti HIV 1/2 Cassette 10 box 371,925 3,719,250
Blood Lancet @ 100 30 box 14,566 436,980
Cover glass 20mm x 20 mm 30 box 125,743 3,772,290
Needle 22 x 1.5 100 box 122,760 12,276,000
Stik gula accu check 100 box 381,810 38,181,000
Tube K2 EDTA PLH 13 x 75,3.0 PLBL LAV 400 box 169,092 67,636,800
Tube PLN PLH 13 x 75 40 PLBL RD 360 box 159,390 57,380,400
Non E-Katalog
Albumin 10 x 44 ml 10 kit 1,840,080 18,400,800
Albumin 2 x 200 ml 2 kit 560,880 1,121,760
Alkaline - P R1: 2 x 44 ml R2 : 2 x 11 ml 1 kit 1,956,578 1,956,578
Alkaline Phosfatase 8 x 30 ml 1 box 1,236,150 1,236,150
ALT/GPT (IFCC) Single vial 8 x 30 ml 5 kit 1,198,020 5,990,100
Amylase 5 x 20 ml 8 kit 3,339,143 26,713,144
Anti Hbs Ag Strip 10 box 575,640 5,756,400
Anti HBsAg Cassete @ 25 test 30 box 870,840 26,125,200
APTT BIO CK 6 x 3 ml 2 kit 1,221,353 2,442,706
AST/GOT (IFCC) Single vial 8 x 30 ml 5 kit 1,198,020 5,990,100
Aution Stik Urin 60 box 471,730 28,303,800
Bilirubin direct R1 6 x 44 ml R2 3 x 22 ml 16 kit 2,072,304 33,156,864
Bilirubin Total R1 6 x 44 ml R2 3 x 22 ml 16 kit 1,947,054 31,152,864
Blue Tip 6 x 100 pcs Uk 500 - 1000 mikron 6 pac 118,388 710,328
CaCl2 60 ml 2 kit 430,500 861,000
Cal HDL/LDL 2 x 1 ml 15 kit 3,168,760 47,531,400
Casseta Narkoba Multi panel 5 @ 25 25 box 2,665,410 66,635,250
Cholesterol 10 x 44 ml 15 kit 3,405,342 51,080,130
Cholesterol Chod - PAP 2 x 100 ml 5 kit 742,920 3,714,600
CKD Valve 5 buah 6,167,695 30,838,475
Cleanser 1 Lt 25 btl 1,222,620 30,565,500
Control HDL/LDL/ CKMB 2 2 ml lev.1 6 kit 1,214,010 7,284,060
Creatinin 2 x 125 ml 10 kit 590,400 5,904,000
Creatinine R1: 5 x 44 ml R2: 5 x 11 ml 15 kit 1,176,934 17,654,010
CRP Latex 50 test 1 box 436,306 436,306
Cup sample internal 2 pac 738,000 1,476,000
Dengue IgG and IgM drop 10 box 2,687,550 26,875,500
Dengue NS1 Cassete 10 box 2,921,250 29,212,500
Diluent - A 10 box 1,623,600 16,236,000
Diluent 20 Lt - M 50 box 2,012,083 100,604,150
Electrical assembly biohazard 3 buah 26,040,858 78,122,574
Electrical assembly ditergent 3 buah 29,878,458 89,635,374
Erba Kit 3 kit 23,616,000 70,848,000
Erba Norm 4 x 5 ml 15 kit 2,236,772 33,551,580
Erba Path 15 kit 2,236,772 33,551,580
Erba Wash 4 x 100 ml 15 kit 3,260,272 48,904,080

02/15/2020 05:04:24 Hal: 3/13


Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)
Eter alkohol 100 ml 5 btl 28,290 141,450
Exatrol -N 5 kit 2,752,740 13,763,700
Fan cooling reagen 2 1 buah 1,768,740 1,768,740
Feltier 1 buah 1,845,000 1,845,000
Filter RO 25 buah 30,750 768,750
filter wheel motor assy 1 buah 8,302,500 8,302,500
Glucosa 10 x 44 ml 15 kit 1,840,080 27,601,200
Glukosa GOD - PAP 2 x 200 ml 5 kit 568,260 2,841,300
Golongan Darah (A,B,AB,O) 13 set 876,375 11,392,875
HAV IgG IgM cassete 3 box 3,044,250 9,132,750
Hbs Ag @ 20 test 25 box 759,525 18,988,125
HbsAg Cassete @ 25 test 14 box 755,122 10,571,708
HCV Cassete 2 box 988,920 1,977,840
HDL - Cholesterol direct R1 4 x 30 ml R2 4 x 10 ml 13 kit 6,979,839 90,737,907
HDL Cholesterol direct 200 - 250 T 2 kit 3,642,030 7,284,060
HIV 1.2 drop 10 box 1,402,200 14,022,000
HIV 1/2 30 test 10 box 1,785,960 17,859,600
Interference filter 340 1 buah 1,287,810 1,287,810
Interference filter 570 1 buah 1,287,810 1,287,810
Kontrol elektrolit cassette 1 kit 1,845,000 1,845,000
Kontrol Hematologi 3 dif 6 vial 738,000 4,428,000
Kontrol Hematologi hight 5 dif 15 vial 2,270,580 34,058,700
Kontrol Hematologi low 5 dif 15 vial 2,270,580 34,058,700
Kontrol Normal Hematologi otomatis mindary 5 dif 12 vial 2,270,580 27,246,960
Kontrol urin level 1 dan level 2 10 set 1,298,880 12,988,800
Lamp power supply 5 buah 4,805,610 24,028,050
Lancet Cont -ACT PURPLE 30 G x 15 MM 2 box 1,369,236 2,738,472
LDL - Cholesterol Direct 100 - 125 T 10 kit 4,399,710 43,997,100
LDL - Cholesterol direct R1 2 x 30 ml R2 2 x 10 ml 13 kit 13,602,816 176,836,608
Leo I Lyse 1 Lt 40 btl 2,934,288 117,371,520
Leo II lyse 200 ml 40 btl 2,095,920 83,836,800
LH Lyse 500 ml 40 btl 2,375,376 95,015,040
Lyse 500 ml 10 btl 2,066,400 20,664,000
Metanol 100 ml 3 btl 215,250 645,750
Multi drug 5 10 box 2,453,850 24,538,500
Multical 4 x 3 ml 9 kit 2,982,364 26,841,276
Multicalibrator 10 x 5 ml 3 kit 3,338,220 10,014,660
Objek glass 30 box 43,050 1,291,500
Optical fober 1 buah 4,035,938 4,035,938
Pewarna diifcont 8 kit 676,500 5,412,000
Pewarna Ziel Nelsen 10 kit 369,000 3,690,000
Pewarnaan gram 3 x 100 ml 2 kit 369,000 738,000
Pot Dahak 1,500 buah 3,198 4,797,000
Pot Urin 50 cc 7,008 buah 1,476 10,343,808
Power tranpormer 1 buah 1,499,370 1,499,370
Prope Cleanser 2 btl 984,000 1,968,000
PT Bio TP Li 1 kit 1,955,085 1,955,085
Reagen AGD 35 kit 13,800,600 483,021,000
Reagen elektrolit 20 kit 9,840,000 196,800,000
Reagen Elektrolit cassete 7 kit 760,140 5,320,980
Reagen SGOT R1 6 x 44 ml R2 3 x 22 ml 13 kit 2,072,304 26,939,952
Reagen SGPT R1 6 x 44 ml R2 3 x 22 ml 13 kit 2,072,304 26,939,952
Reagen Widal/widal test 8 x 5 ml 20 kit 1,495,680 29,913,600
reagent Container bireagent 1 buah 1,476,000 1,476,000

02/15/2020 05:04:24 Hal: 4/13


Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)
Reagent Container monoreagent 1 buah 1,476,000 1,476,000
Rinse 20 Lt 9 box 1,820,400 16,383,600
Sample cup @ 1000 15 pac 277,365 4,160,475
Stik gula @ 100 50 box 960,630 48,031,500
Stik gula darah double cup x-pres 150 box 535,050 80,257,500
T.I.B.C 1 kit 719,550 719,550
Tabung hematokrit @ 1000 pcs 1 box 719,550 719,550
Tes Kehamilan HCG 10 box 341,842 3,418,420
Thermal paper 5,0 cm x 30 m 10 buah 246,000 2,460,000
Thermal paper 5,7 cm x 30 m 29 buah 307,500 8,917,500
Total & Direct Bilirubin (DMSO) 5 kit 795,810 3,979,050
Total Protein 10 x 44 ml 3 kit 1,959,566 5,878,698
Total Protein 2 x 500 ml 2 kit 607,620 1,215,240
Trigliserida GPO 2 x 50 ml 5 kit 719,550 3,597,750
Triglyserida 10 x 44 ml 9 kit 6,798,736 61,188,624
Troponin 25 test 2 box 1,353,000 2,706,000
tube CIT PLH 1.8 1 box 340,956 340,956
Tube micro w/microgard edta lav 100 box 351,780 35,178,000
Urea R1 5 x 44 ml R1 5 x 11 ml 10 kit 2,503,226 25,032,260
Urea U.V. Kinetic 8 x 30 ml 5 kit 1,250,910 6,254,550
Uric Acid (uricase) 6 x 30 ml 5 kit 894,210 4,471,050
Uric acid 10 x 44 ml 10 kit 4,253,692 42,536,920
Yellow Tip 12 x 1000 pcs uk 0 x 200 mikron 15 pac 156,272 2,344,080
Pembulatan 1 311 311

Jumlah 3,321,200,000

#VALUE!
#VALUE! ###

#VALUE!
#VALUE!

Keterangan : #VALUE!
Tanggal Pembahasan : #VALUE!
Catatan Hasil Pembahasan :
1.
2.

Tim Anggaran Pemerintah Daerah:


No. Nama NIP Jabatan Tanda Tangan

1. PA ERLAN 196208231985011002 KABID PPP

2. BU LITA 197608012002122001 KABAG PEMBANGUNAN

3. MELY KAMELIA, SH 197409241999012001 KABID ANGGARAN

02/15/2020 05:04:24 Hal: 5/13


NOMOR DPA SKPD Formulir
DOKUMEN PELAKSANAAN ANGGARAN
SATUAN KERJA PERANGKAT DAERAH ### ### ### ### 5 2 DPA-SKPD 2.2.1

#VALUE!
Urusan Pemerintahan : #VALUE! #VALUE!
Organisasi : #VALUE! #VALUE!
Program : #VALUE! #VALUE!
Kegiatan : #VALUE! #VALUE!
Lokasi Kegiatan : #VALUE!
### : #VALUE!
### : #VALUE!
### : #VALUE!
Indikator & Tolok Ukur Kinerja Belanja Langsung
Indikator Tolok Ukur Kinerja Target Kinerja

Capaian Program #VALUE! #VALUE! ###

Masukan #VALUE! #VALUE! ###


Keluaran #VALUE! #VALUE! ###
Hasil #VALUE! #VALUE! ###
###
Rincian Dokumen Pelaksanaan Anggaran Belanja Langsung
Menurut Program dan Per Kegiatan Satuan Kerja Perangkat Daerah
Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)

5 BELANJA DAERAH 3,321,200,000

5 2 BELANJA LANGSUNG 3,321,200,000

5 2 1 BELANJA PEGAWAI 5,675,000

5 2 1 01 Honorarium PNS 5,675,000


5 2 1 01 01 Honorarium Panitia Pelaksana Kegiatan 1,125,000
Panitia penerima hasil pekerjaan
Ketua 1orgx1keg 400,000 400,000
Sekretaris 1orgx1keg 375,000 375,000
Anggota 1orgx1keg 350,000 350,000

5 2 1 01 02 Honorarium Tim Pengadaan Barang dan Jasa 1,200,000


PPK 1orgx1keg 1,200,000 1,200,000

5 2 1 01 03 Honorarium Tim Pelaksana Kegiatan 3,350,000


Penanggung Jawab 1orgx1keg 900,000 900,000
Pengendali 1orgx1keg 600,000 600,000
Ketua 1orgx1keg 550,000 550,000
anggota 1orgx1keg 500,000 500,000
Pelaksana NON PNS 1orgx1keg 350,000 350,000
Pelaksana PNS 1orgx1keg 450,000 450,000

5 2 2 BELANJA BARANG DAN JASA 3,315,525,000

5 2 2 01 Belanja Bahan Pakai Habis 3,315,525,000


5 2 2 01 02 Belanja Dokumen/Administrasi Tender 1,404,587
lain-lain 1 paket 246,587 246,587
Belanja alat tulis kantor
Bantex file 7 buah 26,000 182,000
Flashdisk 16 Gb 2 buah 166,200 332,400
Kertas HVS A4 70 gram 4 rim 41,900 167,600
Kertas HVS F4 70 gram 4 rim 46,000 184,000
Bussines file 25 lembar 7,200 180,000
Materai 6000 16 pcs 7,000 112,000

5 2 2 01 09 Belanja Bahan dan Alat Laboratorium 3,314,120,413


E-Katalog
Anti HIV 1/2 Cassette 10 box 371,925 3,719,250
Blood Lancet @ 100 30 box 14,566 436,980
Cover glass 20mm x 20 mm 30 box 125,743 3,772,290
Needle 22 x 1.5 100 box 122,760 12,276,000
Stik gula accu check 100 box 381,810 38,181,000
Tube K2 EDTA PLH 13 x 75,3.0 PLBL LAV 400 box 169,092 67,636,800
Tube PLN PLH 13 x 75 40 PLBL RD 360 box 159,390 57,380,400
Non E-Katalog
Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)
Albumin 10 x 44 ml 10 kit 1,840,080 18,400,800
Albumin 2 x 200 ml 2 kit 560,880 1,121,760
Alkaline - P R1: 2 x 44 ml R2 : 2 x 11 ml 1 kit 1,956,578 1,956,578
Alkaline Phosfatase 8 x 30 ml 1 box 1,236,150 1,236,150
ALT/GPT (IFCC) Single vial 8 x 30 ml 5 kit 1,198,020 5,990,100
Amylase 5 x 20 ml 8 kit 3,339,143 26,713,144
Anti Hbs Ag Strip 10 box 575,640 5,756,400
Anti HBsAg Cassete @ 25 test 30 box 870,840 26,125,200
APTT BIO CK 6 x 3 ml 2 kit 1,221,353 2,442,706
AST/GOT (IFCC) Single vial 8 x 30 ml 5 kit 1,198,020 5,990,100
Aution Stik Urin 60 box 471,730 28,303,800
Bilirubin direct R1 6 x 44 ml R2 3 x 22 ml 16 kit 2,072,304 33,156,864
Bilirubin Total R1 6 x 44 ml R2 3 x 22 ml 16 kit 1,947,054 31,152,864
Blue Tip 6 x 100 pcs Uk 500 - 1000 mikron 6 pac 118,388 710,328
CaCl2 60 ml 2 kit 430,500 861,000
Cal HDL/LDL 2 x 1 ml 15 kit 3,168,760 47,531,400
Casseta Narkoba Multi panel 5 @ 25 25 box 2,665,410 66,635,250
Cholesterol 10 x 44 ml 15 kit 3,405,342 51,080,130
Cholesterol Chod - PAP 2 x 100 ml 5 kit 742,920 3,714,600
CKD Valve 5 buah 6,167,695 30,838,475
Cleanser 1 Lt 25 btl 1,222,620 30,565,500
Control HDL/LDL/ CKMB 2 2 ml lev.1 6 kit 1,214,010 7,284,060
Creatinin 2 x 125 ml 10 kit 590,400 5,904,000
Creatinine R1: 5 x 44 ml R2: 5 x 11 ml 15 kit 1,176,934 17,654,010
CRP Latex 50 test 1 box 436,306 436,306
Cup sample internal 2 pac 738,000 1,476,000
Dengue IgG and IgM drop 10 box 2,687,550 26,875,500
Dengue NS1 Cassete 10 box 2,921,250 29,212,500
Diluent - A 10 box 1,623,600 16,236,000
Diluent 20 Lt - M 50 box 2,012,083 100,604,150
Electrical assembly biohazard 3 buah 26,040,858 78,122,574
Electrical assembly ditergent 3 buah 29,878,458 89,635,374
Erba Kit 3 kit 23,616,000 70,848,000
Erba Norm 4 x 5 ml 15 kit 2,236,772 33,551,580
Erba Path 15 kit 2,236,772 33,551,580
Erba Wash 4 x 100 ml 15 kit 3,260,272 48,904,080
Eter alkohol 100 ml 5 btl 28,290 141,450
Exatrol -N 5 kit 2,752,740 13,763,700
Fan cooling reagen 2 1 buah 1,768,740 1,768,740
Feltier 1 buah 1,845,000 1,845,000
Filter RO 25 buah 30,750 768,750
filter wheel motor assy 1 buah 8,302,500 8,302,500
Glucosa 10 x 44 ml 15 kit 1,840,080 27,601,200
Glukosa GOD - PAP 2 x 200 ml 5 kit 568,260 2,841,300
Golongan Darah (A,B,AB,O) 13 set 876,375 11,392,875
HAV IgG IgM cassete 3 box 3,044,250 9,132,750
Hbs Ag @ 20 test 25 box 759,525 18,988,125
HbsAg Cassete @ 25 test 14 box 755,122 10,571,708
HCV Cassete 2 box 988,920 1,977,840
HDL - Cholesterol direct R1 4 x 30 ml R2 4 x 10 ml 13 kit 6,979,839 90,737,907
HDL Cholesterol direct 200 - 250 T 2 kit 3,642,030 7,284,060
HIV 1.2 drop 10 box 1,402,200 14,022,000
HIV 1/2 30 test 10 box 1,785,960 17,859,600
Interference filter 340 1 buah 1,287,810 1,287,810
Interference filter 570 1 buah 1,287,810 1,287,810
Kontrol elektrolit cassette 1 kit 1,845,000 1,845,000
Kontrol Hematologi 3 dif 6 vial 738,000 4,428,000
Kontrol Hematologi hight 5 dif 15 vial 2,270,580 34,058,700
Kontrol Hematologi low 5 dif 15 vial 2,270,580 34,058,700
Kontrol Normal Hematologi otomatis mindary 5 dif 12 vial 2,270,580 27,246,960
Kontrol urin level 1 dan level 2 10 set 1,298,880 12,988,800
Lamp power supply 5 buah 4,805,610 24,028,050
Lancet Cont -ACT PURPLE 30 G x 15 MM 2 box 1,369,236 2,738,472
LDL - Cholesterol Direct 100 - 125 T 10 kit 4,399,710 43,997,100
LDL - Cholesterol direct R1 2 x 30 ml R2 2 x 10 ml 13 kit 13,602,816 176,836,608
Leo I Lyse 1 Lt 40 btl 2,934,288 117,371,520
Leo II lyse 200 ml 40 btl 2,095,920 83,836,800
LH Lyse 500 ml 40 btl 2,375,376 95,015,040
Lyse 500 ml 10 btl 2,066,400 20,664,000
Metanol 100 ml 3 btl 215,250 645,750
Multi drug 5 10 box 2,453,850 24,538,500
Kode Rincian Penghitungan
Uraian Jumlah (Rp)
Rekening Volume & Satuan Tarif/Harga
1 2 3 4 5 = (3 x 4)
Multical 4 x 3 ml 9 kit 2,982,364 26,841,276
Multicalibrator 10 x 5 ml 3 kit 3,338,220 10,014,660
Objek glass 30 box 43,050 1,291,500
Optical fober 1 buah 4,035,938 4,035,938
Pewarna diifcont 8 kit 676,500 5,412,000
Pewarna Ziel Nelsen 10 kit 369,000 3,690,000
Pewarnaan gram 3 x 100 ml 2 kit 369,000 738,000
Pot Dahak 1,500 buah 3,198 4,797,000
Pot Urin 50 cc 7,008 buah 1,476 10,343,808
Power tranpormer 1 buah 1,499,370 1,499,370
Prope Cleanser 2 btl 984,000 1,968,000
PT Bio TP Li 1 kit 1,955,085 1,955,085
Reagen AGD 35 kit 13,800,600 483,021,000
Reagen elektrolit 20 kit 9,840,000 196,800,000
Reagen Elektrolit cassete 7 kit 760,140 5,320,980
Reagen SGOT R1 6 x 44 ml R2 3 x 22 ml 13 kit 2,072,304 26,939,952
Reagen SGPT R1 6 x 44 ml R2 3 x 22 ml 13 kit 2,072,304 26,939,952
Reagen Widal/widal test 8 x 5 ml 20 kit 1,495,680 29,913,600
reagent Container bireagent 1 buah 1,476,000 1,476,000
Reagent Container monoreagent 1 buah 1,476,000 1,476,000
Rinse 20 Lt 9 box 1,820,400 16,383,600
Sample cup @ 1000 15 pac 277,365 4,160,475
Stik gula @ 100 50 box 960,630 48,031,500
Stik gula darah double cup x-pres 150 box 535,050 80,257,500
T.I.B.C 1 kit 719,550 719,550
Tabung hematokrit @ 1000 pcs 1 box 719,550 719,550
Tes Kehamilan HCG 10 box 341,842 3,418,420
Thermal paper 5,0 cm x 30 m 10 buah 246,000 2,460,000
Thermal paper 5,7 cm x 30 m 29 buah 307,500 8,917,500
Total & Direct Bilirubin (DMSO) 5 kit 795,810 3,979,050
Total Protein 10 x 44 ml 3 kit 1,959,566 5,878,698
Total Protein 2 x 500 ml 2 kit 607,620 1,215,240
Trigliserida GPO 2 x 50 ml 5 kit 719,550 3,597,750
Triglyserida 10 x 44 ml 9 kit 6,798,736 61,188,624
Troponin 25 test 2 box 1,353,000 2,706,000
tube CIT PLH 1.8 1 box 340,956 340,956
Tube micro w/microgard edta lav 100 box 351,780 35,178,000
Urea R1 5 x 44 ml R1 5 x 11 ml 10 kit 2,503,226 25,032,260
Urea U.V. Kinetic 8 x 30 ml 5 kit 1,250,910 6,254,550
Uric Acid (uricase) 6 x 30 ml 5 kit 894,210 4,471,050
Uric acid 10 x 44 ml 10 kit 4,253,692 42,536,920
Yellow Tip 12 x 1000 pcs uk 0 x 200 mikron 15 pac 156,272 2,344,080
Pembulatan 1 311 311

Jumlah 3,321,200,000

Mengesahkan, #VALUE!
Pejabat Pengelola Keuangan Daerah Pengguna Anggaran

#VALUE! #VALUE!
#VALUE! #VALUE!

Rencana Penarikan Dana per Triwulan

Triwulan I Rp. #VALUE! ###


Triwulan II Rp. #VALUE! #VALUE!
Triwulan III Rp. #VALUE!
Triwulan IV Rp. #VALUE!
Jumlah Rp. #VALUE!
AnggaranI 22
AnggaranI -
CapaianPr 100%
CapaianPr 100%
CapaianPr Tercapainya program pengadaan, peningkatan sarana dan prasarana rumah sakit
CapaianPr Tercapainya program pengadaan, peningkatan sarana dan prasarana rumah sakit
CekDataVe 1
CekTableVe 1
HasilTK 100%
HasilTKP 100%
HasilTUK Terwujudnya pelayanan laboratorium yang optimal
HasilTUKP Terwujudnya pelayanan laboratorium yang optimal
Instansi PEMERINTAH KABUPATEN BOGOR
JabatanKe Plt. Bupati Bogor
Jumlah ###
JumlahP ###
JumlahTah -
JumlahTah -
JumlahTah -
JumlahTah -
KelompokSasaran
KelompokSasaranP
KeluaranT 105 jenis
KeluaranT Jumlah alat laboratorium yang dibeli
KeluaranT Jumlah alat laboratorium yang dibeli
KeluatanT 105 jenis

DIREKTU
R RUMAH
SAKIT
UMUM
DAERAH
CILEUNG
SI
KABUPAT
EN
KepalaSK BOGOR
Keterangan
KeteranganP
KodeFokus
KodeForm RKA - SKPD 2.2.1
KodeKegia 0040
KodeOrgani ###
KodePenciri
KodePrioritas
KodeProgr 26
KodeSubOrganisasi
KodeSumberDana
KodeSumberUsulan
KodeUrusa 102
Kota Cibinong
LimitKegia 1
LimitProgr 1
Lokasi RSUD Cileungsi
LokasiP RSUD Cileungsi
MasukanT 2.732.662.000
MasukanT 1.200.000.000
MasukanT Jumlah dana yang dibutuhkan
MasukanT Jumlah dana yang dibutuhkan
NamaKegia Pengadaan Bahan dan Alat-alat Laboratorium
NamaKepal Hj. Nurhayanti
NamaKepa Drg. Mike Kaltarina, MARS
NAMAKPA
NamaPPK Drs.H.RUSTANDI,M.Si
NamaPPK Drs. Rustandi, M.Si
NamaProg Program pengadaan, Peningkatan Sarana dan Prasarana Rumah Sakit/Rumah Sakit jiwa/Rumah Sakit Paru-paru
NamaSekreDrs. ADANG SUPTANDAR, AK. MM
NamaSekreDrs. Adang Suptandar, Ak., MM
NIPKepal ###
NIPKPA
NIPPPKD 196303311986031016
NIPPPKD ###
NIPSekreta ###
NIPSekreta ###
Pengesaha Menyetujui / Mengesahkan :
Pengesaha Pejabat Pengelola Keuangan Daerah
Pengesahan2
RowCount 219
SubKegiatan
SumberDana
SumberDanaP
SysKodeOr 1.01.02.05
SysKodeOrg2000801
SysKodePri 03
SysKodeSu
SysKodeUr 1.01.02
SysOrganis Rumah Sakit Umum Daerah Cileungsi
SysSubOrganisasi
SysSumberDana
SysUrusan KESEHATAN
T1 ###
T1P ###
T2 ###
T2P -
T3 -
T3P -
TableNumb -
TahunAngg 2,017
TanggalLap Oktober 2016
TanggalLap Januari 2017
TanggalPe -
TanggalPe -
TargetKinerja
TargetKinerjaP
Uraian Pengadaan Bahan dan Alat-alat Laboratorium
Urusan URUSAN WAJIB YANG TIDAK BERKAITAN DENGAN PELAYANAN DASAR
Version 2,017
a/Rumah Sakit Paru-paru/Rumah Sakit Mata
Number Format #,###_);(#,###)_);-_)
Percent Format #,##0.00%_);(#,##0.00%)

TargetKinerjaOtom 1
TimAnggaranDPA 0