RBA Gabungan FIX Rawang 2017

REALISASI BELANJA BLUD PUSKESMAS RAWANG TAHUN 2018
BELANJA LANGSUNG 688,656,000 JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER
Belanja Pegawai
Belanja Pegawai Badan Layanan Umum Daerah (BLUD) 1,400,000
Belanja Pegawai BLUD 1,400,000
Uang lembur petugas pembantu pengurus barang
Uang lembur PNS 1 orang x 3 jam x 10 hari 360,000
Uang lembur non PNS 1 orangx 3 jam x 10 hari 240,000
honor pejabat pengadaan e catalog

Pejabat pengadaan 800,000
Belanja Barang dan Jasa 617,256,000

Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 617,256,000
Belanja Barang dan Jasa BLUD 617,256,000
Belanja Bahan Pakai Habis 41,614,150
Belanja Alat Tulis Kantor 24,556,500
Belanja Alat Listrik dan Elektronik 2,684,000
Belanja Perangko, Materai dan Benda Pos Lainnya 1,050,000
Belanja Peralatan Kebersihan dan Bahan Pembersih 11,563,650
Belanja Pengisian Tabung Oksigen 1,760,000
Belanja Bahan/Material 109,529,450

belanja pemeliharaan
belanja pemeliharaan gedung kantor dan halaman 33,174,650
Belanja Obat-obatan 15,000,000

Belanja Bahan Obat-Obatan
BMHP
BMHP Umum 13,626,200
BMHP Gigi 3,892,400
Belanja Bahan Kimia 23,786,200

Belanja Bahan Kimia Labor/Reagen 23,786,200
Belanja Bahan Pendukung Pelaksanaan Kegiatan 5,500,000

plastik obat ukuran 8,7 x13 5,500,000
Sosialisasi APAR 12,800,000

Makan sosialisasi APAR 1,230,000
Snack sosialisasi APAR 820,000
Makan Minum Kegiatan 1,000,000

snack peserta prolanis (20org x Rp. 10.000 x 45 Kali) 9,000,000
Evaluasi pelaksanaan dan Sosialisasi MR di Kota Padang 750,000

Makan sosialisasi 450,000
Snack sosialisasi 300,000
Belanja Jasa Kantor 196,650,000

Belanja Air PDAM Puskesmas 3,600,000
Belanja Air PDAM Puskesmas 3,600,000
Belanja biaya Listrik Puskesmas 18,000,000

Belanja biaya Listrik Puskesmas 18,000,000
Belanja Surat Kabar/Majalah 1,200,000

Belanja Koran 1,200,000
Belanja Kawat/Faksimili/Internet 13,800,000
Belanja Pemakaian Internet/telepon Bulanan 7,200,000
Belanja berlangganan aplikasi E pusk 6,600,000
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 1,500,000

Service AC 1,500,000
Belanja Jasa Publikasi 5,750,000

leafet 1,200,000
Spanduk 4,550,000
Belanja jasa legalisasi 200,000

Belanja MOU sampah medis 200,000
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 3,000,000

Perbaikan dan servis alat-alat kedokteran/laboratorium 3,000,000
Belanja suku cadang alat kedokteran Umum/Gigi -
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 2,000,000
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 2,000,000
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 7,500,000

Servis Laptop, Komputer dan Printer 4,500,000
Belanja suku cadang Laptop, Komputer dan Printer 3,000,000
Belanja narasumber/tenaga ahli 1,000,000

Narasumber
Eselon III 1,000,000
Honor tim Edukasi prolanis(1 org x 45 hari) 18,000,000
Honor instruktur senam prolanis (1 Org x 45 hari) 6,750,000
Belanja honor pejabat seleksi penerimaan pegawai 1,100,000

Penanggung jawab (1 orgx1hr) 400,000
Sekretaris (1 orgx1hr) 350,000
Anggota (1 orgx1hr) 200,000
Sekretariat(1 orgx1hr) 150,000
Belanja Jasa Biaya Non Kapitasi 15,000,000

Pemeriksaan IVA 4,050,000
Pemeriksaan gula darah 1,000,000
Pemeriksaan ANC 2,000,000
Pemeriksaan ANC 2,500,000
Pemeriksaan PNC 1,500,000
Pemasangan KB/IUD/Implan 1,000,000
Suntik KB sekali 3 bulan 1,950,000
Protesa gigi 1,000,000
Belanja administrasi perkantoran 43,000,000

Tenaga akuntasi (1 orgx10 bln) 21,000,000
Tenaga pengajar/instruktur (1 orgx20 kl) 1,000,000
Tenaga administrasi perkantoran (1 orgx 10 bln) 10,500,000
Tenaga administrasi perkantoran (1 orgx 10 bln) 10,500,000
Belanja jasa tenaga kesehatan 30,000,000

Dokter umum (1 orgx 12 bln) 30,000,000
Belanja perawatan kendaraan bermotor 1,000,000

jasa service kendaraan bermotor 1,000,000
Belanja Bahan bakar minyak/gas/pelumas 1,800,000

BBM ambulans (pertalite) 1,800,000
Belanja Cetak dan Penggandaan 20,625,000

Belanja Cetak 10,000,000
Cetak 10,000,000
Belanja Penggandaan 10,625,000

Fotocopy kapitasi 10,000,000
Jilid 625,000
Belanja Sewa Perlengkapan dan Peralatan Kantor 5,000,000

Sewa Pemusnahan Sampah Medis 5,000,000
Belanja Jasa Pelayanan 269,462,400

Belanja Jasa Pelayanan Puskesmas 269,462,400
Belanja Modal 70,000,000

Belanja Modal Badan Layanan Umum Daerah (BLUD) 70,000,000
Belanja Modal BLUD 70,000,000
Belanja modal pengadaan pigura,papan informasi 15,562,500
Belanja Modal Pengadaan perlengkapan kantor 33,000,000
Belanja Modal Pengadaan Mebeulair 5,135,000

Belanja Modal Pengadaan alat komunikasi 11,650,000
Belanja Modal Pengadaan Alat-Alat Kedokteran umum/Gigi 3,102,500
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 1,550,000
Jumlah 688,656,000
Mengetahui,
Kepala Puskesmas Rawang
dr. Viona Putria

Nip. 19780208 20101 2 006
D PUSKESMAS RAWANG TAHUN 2018
OKTOBER NOVEMBER DESEMBER TOTAL SISA

RENCANA BISNIS DAN ANGGARAN Formulir
BADAN LAYANAN UMUM DAERAH PUSKESMAS RAWANG RBA-BLUD PUSKESMAS
PEMERINTAH KOTA PADANG
TAHUN ANGGARAN 2018
Urusan Pemerintahan : 1.02

Organisasi : 1.02.01
Program : 1.02.1.02.01.35
Kegiatan : 1.02.1.02.01.35.01
Lokasi kegiatan : Puskesmas : Rawang , Kecamatan : Rawang, Kelurahan : 3, Pustu : 2, Poskeskel : 1
Jumlah Tahun n-1
Jumlah Tahun n
Jumlah tahun n+1
Indikator dan Tolak Ukur Kinerja Belanja Langsung
Indikator Tolak Ukur Kinerja Target Kinerja
Capaian Program Tercapainya pengembangan dan peningkatan pelayanan kesehatan masyarakat peserta JKN di 12 bulan
Puskesmas Rawang
Masukan Jumlah dana yang dibutuhkan Rp. 1,089,121,548,00
Keluaran Terlaksananya pelayanan kesehatan masyarakat di Puskesmas Rawang 1 paket
Hasil Meningkatnya pelayanan kesehatan masyarakat di Puskesmas Rawang 12 bulan
Kelompok Sasaran Kegiatan : Puskesmas Rawang , Kelurahan : 3, Pustu : 2, Poskeskel : 1
Rincian Rencana Bisnis dan Anggaran Belanja Langsung

Menurut Program dan Per Kegiatan Badan Layanan Umum Daerah Puskesmas
Setelah Perubahan
Kode Rekening Uraian
Jumlah
Volume Satuan Harga Satuan Bertambah/Berkurang
1 2 7 8 9 10 = (8 x 9)
5 2 BELANJA LANGSUNG 866,976,952 866,976,952
5 2 1 Belanja Pegawai -
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD) 5,000,000 5,000,000
5 2 1 05 01 Belanja Pegawai BLUD 5,000,000 5,000,000
Uang lembur petugas pembantu pengurus barang 1,200,000 1,200,000
Uang lembur PNS 1 orang x 3 jam x 10 hari 30 jam/orang 12,000.00 360,000.00 360,000
Uang lembur non PNS 1 orangx 3 jam x 10 hari 30 jam/orang 8,000.00 240,000.00 240,000
Uang makan lembur (2 orangx 10 hari) 20 porsi 30,000.00 600,000.00 600,000
-
Uang lembur PNS 1,800,000.00 1,800,000
-
Pengelola Kegiatan 2,000,000.00 2,000,000
Pejabat pengadaan 2 kali/keg 500,000.00 1,000,000.00 1,000,000
Ketua penerima hasil Pekerjaan (PPHP) 1 org/thn 400,000.00 400,000.00 400,000
Anggota penerima hasil Pekerjaan 1 org/thn 300,000.00 300,000.00 300,000
-
Petugas pengentry data pendapatan retribusi BLUD 2 org/thn 150,000.00 300,000.00 300,000
-
-
-
5 2 2 Belanja Barang dan Jasa 680,856,670.00 680,856,670
5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 680,856,670.00 680,856,670
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
5 2 2 31 01 Belanja Barang dan Jasa BLUD 680,856,670.00 680,856,670
Belanja Bahan Pakai Habis 35,080,250.00 35,080,250
Belanja Alat Tulis Kantor 19,365,900.00 19,365,900
Amplop Putih besar no. 90 0 kotak 24,200.00 - -
Amplop Putih no 110 0 kotak 14,500.00 - -
Binder Clip no 107 1 pak kecil 66,600.00 66,600.00 66,600
Binder Clip no. 155 1 pak 126,000.00 126,000.00 126,000
Box file 15 bh 26,000.00 390,000.00 390,000
Buku Folio Isi 100 20 bh 24,000.00 480,000.00 480,000
Buku Folio Isi 200 15 bh 40,000.00 600,000.00 600,000
Buku tulis isi 100 12 bh 8,400.00 100,800.00 100,800
Buku tulis isi 40 2 kodi 48,400.00 96,800.00 96,800
Catridge hitam canon 15 bh 285,000.00 4,275,000.00 4,275,000
Catridge warna canon 10 bh 345,000.00 3,450,000.00 3,450,000
Isi Hecter no 10 6 pak 38,400.00 230,400.00 230,400
Kertas HVS F4 50 rim 49,750.00 2,487,500.00 2,487,500
Kertas HVS A4 15 rim 51,000.00 765,000.00 765,000
Lakban 1,5 inc 3 rol 16,800.00 50,400.00 50,400
Lem Kertas 10 bh 12,000.00 120,000.00 120,000
map gobi folio uk besar 10 bh 24,500.00 245,000.00 245,000
Map gobi folio uk sedang 10 bh 22,500.00 225,000.00 225,000
Map spring file lubang 5 lusin 86,400.00 432,000.00 432,000
Map stopmap biola isi 50 lbr 1 lusin 144,000.00 144,000.00 144,000
Map business file 10 lusin 68,500.00 685,000.00 685,000
Paper Clip no 3 5 pak kecil 5,000.00 25,000.00 25,000
Paper Clip no.5 2 pak 56,400.00 112,800.00 112,800
Map biola tulang isi 50 lbr 1 kotak 95,000.00 95,000.00 95,000
Map spring file jepit 2 lusin 86,400.00 172,800.00 172,800
Spidol Whiteboard 2 kotak 102,850.00 205,700.00 205,700
Spidol permanent 5 kotak 114,000.00 570,000.00 570,000
Stopmap folio kertas 12 pak 40,000.00 480,000.00 480,000
Tinta e print hitam botol 20 btl 48,400.00 968,000.00 968,000
Tinta e print warna botol 12 btl 51,425.00 617,100.00 617,100
Tinta Stempel 5 tb 13,200.00 66,000.00 66,000
Tipe X 20 bh 10,800.00 216,000.00 216,000
Plastik Kit Inventaris Ruangan 10 bh 2,800.00 28,000.00 28,000
Stempel kayu 10 bh 35,000.00 350,000.00 350,000
Stempel 2 bh 90,000.00 180,000.00 180,000
Bantal stempel kecil 2 bh 10,000.00 20,000.00 20,000
Bantal stempel besar 4 bh 20,000.00 80,000.00 80,000
Plastik bantex Folio 0 lbr 1,900.00 - -
Hechter 10 bh 15,000.00 150,000.00 150,000
Kertas print hematologi 5 gulung 12,000.00 60,000.00 60,000
-
Belanja Alat Listrik dan Elektronik 4,408,000.00 4,408,000
Belanja Alat Listrik 1 pkt 1,000,000.00 1,000,000.00 1,000,000
baterai AA Panasonic 96 pak kecil 15,000.00 1,440,000.00 1,440,000
baterai AAA Panasonic 96 pak kecil 13,250.00 1,272,000.00 1,272,000
baterai petak 9 volt 24 buah 13,000.00 312,000.00 312,000
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Baterai Menengah 24 buah 10,000.00 240,000.00 240,000
Baterai kancing 24 buah 6,000.00 144,000.00 144,000
-
Belanja Perangko, Materai dan Benda Pos Lainnya 600,000.00 600,000
Materai 3000 100 bh 3,000.00 300,000.00 300,000
Materai 6000 50 bh 6,000.00 300,000.00 300,000
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 9,756,350.00 9,756,350
Alat pel lantai 5 bh 45,000.00 225,000.00 225,000
Cairan pembersih kamar mandi WIPOL 24 bh 15,000.00 360,000.00 360,000
Cairan pembersih keramik VIXAL 24 btl 15,000.00 360,000.00 360,000
Cairan Pembersih lantai SUPERPELL 24 bh 12,000.00 288,000.00 288,000
Canebo 5 bh 30,000.00 150,000.00 150,000
Handsoap cair botol 10 btl 39,900.00 399,000.00 399,000
Handsoap cair Refill 24 bh 26,000.00 624,000.00 624,000
plastik ukuran menengah 20 pak 35,000.00 700,000.00 700,000
Keset kaki kamar mandi karet hitam lobang 3 bh 85,000.00 255,000.00 255,000
Kemoceng 6 bh 26,400.00 158,400.00 158,400
Lap Tangan silungkang 1 lusin 54,450.00 54,450.00 54,450
Obat nyamuk semprot 6 klng 45,000.00 270,000.00 270,000
Pendorong air 9 bh 70,000.00 630,000.00 630,000
Pengharum ruangan refill otomatis stella 12 klng 40,000.00 480,000.00 480,000
Pengharum ruangan gantung 18 bh 15,000.00 270,000.00 270,000
Plastik sampah hitam besar 12 kg 70,000.00 840,000.00 840,000
Plastik sampah hitam besar lebar 10 kg 70,000.00 700,000.00 700,000
Plastik sampah medis (plastik kuning) 150 lbr 2,500.00 375,000.00 375,000
Sabun cuci piring 5 bh 15,000.00 75,000.00 75,000
Sapu plastik tebal 6 bh 65,000.00 390,000.00 390,000
Serokan sampah 6 bh 20,000.00 120,000.00 120,000
Sapu lidi 5 bh 10,000.00 50,000.00 50,000
Tissu refill 100 bh 12,200.00 1,220,000.00 1,220,000
Tissu gulung 50 gulung 6,050.00 302,500.00 302,500
tong sampah injak menengah 0 bh 150,000.00 - -
plastik kecil 10 pak 32,000.00 320,000.00 320,000
sapu plastik panjang 2 bh 70,000.00 140,000.00 140,000
-
Belanja Pengisian Tabung Oksigen 950,000.00 950,000
Pengisian Tabung Oksigen 5 tbg/kcl 70,000.00 350,000.00 350,000
Pengisian Tabung Pemadam Kebakaran 2 tbg/bsr 300,000.00 600,000.00 600,000
-
Belanja Bahan/Material 129,776,420.00 129,776,420
belanja pemeliharaan -
belanja pemeliharaan gedung kantor dan halaman 1 pkt 40,000,520.00 40,000,520.00 40,000,520
-
Belanja Obat-obatan 1 paket 25,000,000.00 25,000,000.00 25,000,000
Belanja Bahan Obat-Obatan -
BMHP -
BMHP Umum 12,323,200.00 12,323,200
Alkohol 70% 1 liter 3 botol 30,000.00 90,000.00 90,000
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Alkohol 70% 100 cc 5 botol 6,500.00 32,500.00 32,500
Plesterin bulat/hypafix 5 box 35,000.00 175,000.00 175,000
Syeringe disposible 2,5 cc 4 box 70,000.00 280,000.00 280,000
Syringe disposible 1.5 cc 1 box 114,700.00 114,700.00 114,700
IV catheter 18 G 2 pcs 15,400.00 30,800.00 30,800
IV catheter 20 G 2 pcs 15,400.00 30,800.00 30,800
IV catheter 22 G 1 pcs 15,400.00 15,400.00 15,400
IV catheter 24 G 1 pcs 15,400.00 15,400.00 15,400
Infuset dewasa 3 pcs 6,600.00 19,800.00 19,800
infuset anak 2 pcs 6,600.00 13,200.00 13,200
Safeglove surgical steril no 7 10 box 350,000.00 3,500,000.00 3,500,000
Safeglove surgical steril no 6.5 3 box 350,000.00 1,050,000.00 1,050,000
Kasa Hydrofil 16 x16 25 box 6,000.00 150,000.00 150,000
Kasa Hydrofil 40 x 80 10 roll 137,500.00 1,375,000.00 1,375,000
kasa 4 x 15 100 roll 3,100.00 310,000.00 310,000
kasa 4 x 5 20 roll 1,100.00 22,000.00 22,000
Kapas 250 gr 16 roll 15,400.00 246,400.00 246,400
Leukoplast 2 roll 55,000.00 110,000.00 110,000
Alkohol swab 20 box 15,000.00 300,000.00 300,000
Blood lancet 20 box 50,000.00 1,000,000.00 1,000,000
Nad hecting seme 21 mani 2 lusin 123,600 247,200.00 247,200
Kertas Print Hematology Analyzer 5 gulung 12,000 60,000.00 60,000
Kertas Parafilm 1 box 475,000 475,000.00 475,000
tabung vacotainer 5 box 198,000 990,000.00 990,000
blue type 1 pak 154,000 154,000.00 154,000
test tube asahi glass uk 12x75 m/m 0 ktk 5,800 - -
pot feses 100 bh 3,500 350,000.00 350,000
Tissue lensa 10 bh 45,000 450,000.00 450,000
lplester bulat kecil 3 ktk 48,000 144,000.00 144,000
kaca slide 0 pak 21,000 - -
Tabung reaksi 10ml 10 bh 7,200 72,000.00 72,000
Jelly Doppler 20 bh 25,000 500,000.00 500,000
-
BMHP Gigi 5,477,300.00 5,477,300
Articulating paper 2 box 297,000.00 594,000.00 594,000
Caviton 4 gbh 157,850.00 631,400.00 631,400
tkf 1 Botol 73,000.00 73,000.00 73,000
Fuji 1 1-1 35 gr 1 bh 918,500.00 918,500.00 918,500
Fuji ix GP 1-1 EKSTRA 3 3 pack 800,800.00 2,402,400.00 2,402,400
cutton roll 6 bh 63,000.00 378,000.00 378,000
Kaca mulut 12 bh 40,000.00 480,000.00 480,000
Bur diamond meisinger 11 bh 33,000.00 363,000.00 363,000
bur diomand FG set 6 meiseinger 1 set 203,500.00 203,500.00 203,500
-
Belanja Bahan Kimia 34,275,400.00 34,275,400
Belanja Bahan Kimia Labor/Reagen 34,275,400.00 34,275,400
diluent lab geo 2 pkt 3,050,000.00 6,100,000.00 6,100,000
cleaner lab Geo 2 pkt 2,420,000.00 4,840,000.00 4,840,000
lysee 2 pkt 3,630,000.00 7,260,000.00 7,260,000
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Reagen control 2 btl 1,000,000.00 2,000,000.00 2,000,000
Glukose (easy touch) 2 box 105,600.00 211,200.00 211,200
Uric Acid (easy Touch) 12 box 107,800.00 1,293,600.00 1,293,600
Cholesterol (easy Touch) 36 box 193,600.00 6,969,600.00 6,969,600
Anti Sera Gol darah A 0 box 95,000.00 - -
Anti Sera Gol darah B 0 box 95,000.00 - -
Tes Kehamilan 5 box 90,000.00 450,000.00 450,000
Na Cl 0,9% 1 btl 32,000.00 32,000.00 32,000
BaCl2 10% 1 btl 77,000.00 77,000.00 77,000
Fouchet 1 btl 327,000.00 327,000.00 327,000
Stik HB Family Dr 5 box 350,000.00 1,750,000.00 1,750,000
giemsa 100 ml 1 btl 530,000.00 530,000.00 530,000
metanol 1 liter 2 btl 35,000.00 70,000.00 70,000
urine analisa celup 3 parameter 5 ktk 88,000.00 440,000.00 440,000
Ziehl nelsen 2 100ml 350,000.00 700,000.00 700,000
mountux tes tb 1 ktk 900,000.00 900,000.00 900,000
Eosin 2% 1 btl 325,000.00 325,000.00 325,000
Stick Narkoba 20 pcs 50,000.00 1,000,000.00 1,000,000
-
Belanja Bahan Pendukung Pelaksanaan Kegiatan 2,200,000.00 2,200,000
plastik obat ukuran 8,7 x13 20 pak 110,000.00 2,200,000.00 2,200,000
-
Sosialisasi APAR - -
Makan sosialisasi APAR 0 ktk 30,000.00 - -
Snack sosialisasi APAR 0 ktk 20,000.00 - -
-
Makan Minum Kegiatan 1 paket - 9,000,000.00 9,000,000
snack peserta prolanis ( 25 org x Rp. 10.000 x 60 Kali) 900 ktk 10,000.00 9,000,000.00 9,000,000
-
Evaluasi pelaksanaan dan Sosialisasi MR di Kota Padang - -
Makan sosialisasi 0 ktk 30,000.00 - -
Snack sosialisasi 0 ktk 20,000.00 - -
-
Makan Minum Kegiatan Evaluasi pelaksanaan BLUD 1 paket - 1,500,000.00 1,500,000
Akomodasi peserta (10org x Rp. 150.000 x 1 Kali) 10 ktk 150,000.00 1,500,000.00 1,500,000
-
Pakaian Khusus hari Hari tertentu -
PakaianOlahraga (51orngx150,000X1keg) 0 orng 100,000.00 - -
-
Belanja Jasa Kantor 256,000,000.00 256,000,000
Belanja Air PDAM Puskesmas 3,600,000.00 3,600,000
Belanja Air PDAM Puskesmas 12 bln 300,000 3,600,000.00 3,600,000
-
Belanja biaya Listrik Puskesmas 47,400,000.00 47,400,000
Belanja biaya Listrik Puskesmas 12 bln 3,800,000 45,600,000.00 45,600,000
Belanja biaya Listrik Pustu 12 bln 150,000 1,800,000.00 1,800,000
-
Belanja Surat Kabar/Majalah 1,200,000.00 1,200,000
Belanja Koran 12 bln 100,000.00 1,200,000.00 1,200,000
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
-
Belanja Kawat/Faksimili/Internet 15,000,000.00 15,000,000
Belanja Pemakaian Internet/telepon Bulanan 12 bln 600,000.00 7,200,000.00 7,200,000
Belanja Pemakaian telepon Bulanan 12 bln 100,000.00 1,200,000.00 1,200,000
Belanja berlangganan aplikasi E pusk 12 bln 550,000 6,600,000.00 6,600,000
-
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 1,400,000.00 1,400,000
Service AC 7 kl 200,000 1,400,000.00 1,400,000
-
Belanja Jasa Publikasi 1,900,000.00 1,900,000
leafet 1 paket 600,000.00 600,000.00 600,000
Spanduk 20 meter 65,000.00 1,300,000.00 1,300,000
-
Belanja jasa legalisasi 200,000.00 200,000
Belanja MOU sampah medis 1 kl 200,000 200,000.00 200,000
-
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 7,000,000.00 7,000,000
Perbaikan dan servis alat-alat kedokteran/laboratorium 1 paket 2,000,000.00 2,000,000.00 2,000,000
Belanja suku cadang alat kedokteran Umum/Gigi 1 pkt 5,000,000 5,000,000.00 5,000,000
-
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 2,000,000.00 2,000,000
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 1 paket 2,000,000.00 2,000,000.00 2,000,000
-
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 4,000,000.00 4,000,000
Servis Laptop, Komputer dan Printer 20 kl 150,000 3,000,000.00 3,000,000
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 1,000,000 1,000,000.00 1,000,000
-
Belanja narasumber/tenaga ahli 1,000,000.00 1,000,000
Narasumber -
Eselon III 2 sesi 500,000.00 1,000,000.00 1,000,000
Honor tim Edukasi prolanis(1 org x 45 hari) 45 oh 400,000.00 18,000,000.00 18,000,000
Honor instruktur senam prolanis (1 Org x 45 hari) 45 hari 150,000.00 6,750,000.00 6,750,000
-
Belanja honor pejabat seleksi penerimaan pegawai 1,100,000.00 1,100,000
Penanggung jawab (1 orgx1hr) 1 keg 400,000.00 400,000.00 400,000
Sekretaris (1 orgx1hr) 1 org 350,000.00 350,000.00 350,000
Anggota (1 orgx1hr) 1 org 200,000.00 200,000.00 200,000
Sekretariat(1 orgx1hr) 1 org 150,000.00 150,000.00 150,000
-
Belanja Jasa Biaya Non Kapitasi 15,000,000.00 15,000,000
Pemeriksaan IVA 162 pkt 25,000.00 4,050,000.00 4,050,000
Pemeriksaan gula darah 50 pkt 20,000.00 1,000,000.00 1,000,000
Pemeriksaan ANC 10 pkt 200,000.00 2,000,000.00 2,000,000
Pemeriksaan ANC 50 pkt 50,000.00 2,500,000.00 2,500,000
Pemeriksaan PNC 60 pkt 25,000.00 1,500,000.00 1,500,000
Pemasangan KB/IUD/Implan 10 pkt 100,000.00 1,000,000.00 1,000,000
Suntik KB sekali 3 bulan 130 pkt 15,000.00 1,950,000.00 1,950,000
Protesa gigi 1 pkt 1,000,000.00 1,000,000.00 1,000,000
-
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Belanja administrasi perkantoran 60,900,000.00 60,900,000
Tenaga akuntasi (1 orgx13 bln) 12 bln 2,100,000 25,200,000.00 25,200,000
Tenaga pengajar/instruktur (1 orgx20 kl) 0 kl 100,000 - -
Tenaga administrasi perkantoran (1 orgx 13 bln) 12 bln 1,050,000 12,600,000.00 12,600,000
Tenaga administrasi perkantoran (1 orgx 13 bln) 12 bln 1,050,000 12,600,000.00 12,600,000
Tenaga petugas penjaga malam (1 orgx 10 bln) 10 bln 1,050,000 10,500,000.00 10,500,000
-
Belanja jasa tenaga kesehatan 52,500,000.00 52,500,000
Dokter umum (1 orgx 12 bln) 12 bln 2,500,000 30,000,000.00 30,000,000
Apoteker (1 orgx 10 bln) 10 bln 2,250,000 22,500,000.00 22,500,000
-
Belanja perawatan kendaraan bermotor 2,000,000.00 2,000,000
jasa service kendaraan bermotor 1 pkt 1,000,000 1,000,000.00 1,000,000
pajak kendaraan bermotor 1 pkt 1,000,000 1,000,000.00 1,000,000
-
Belanja Bahan bakar minyak/gas/pelumas 1,800,000.00 1,800,000
BBM ambulans (pertalite) 225 ltr 8,000 1,800,000.00 1,800,000
-
Belanja Cetak dan Penggandaan 20,375,000.00 20,375,000
Belanja Cetak 15,000,000.00 15,000,000
Cetak 1 paket 15,000,000.00 15,000,000.00 15,000,000
-
Belanja Penggandaan 5,375,000.00 5,375,000
Fotocopy kapitasi 20000 lbr 250.00 5,000,000.00 5,000,000
Jilid 15 bh 25,000.00 375,000.00 375,000
-
Belanja Sewa Perlengkapan dan Peralatan Kantor 2,500,000.00 2,500,000
Sewa Pemusnahan Sampah Medis 100 kg 25,000.00 2,500,000.00 2,500,000
-
Belanja perjalanan dinas luar daerah luar propinsi - -
Transportasi padang-jakarta-bandung PP 6 pkt - - -
-
Eselon II - -
Uang representatif (1 orgx1 kl x rp. 250.000) 4 kl - - -
uang harian(1 orgx5hari) 4 hr - - -
Uang penginapan(1orgx4mlm) 3 mlm - - -
Biaya taxi 1 paket - - -
-
Eselon IV/Gol III 0 - -
uang harian(5 orgx5hari) 25 hr - - -
Uang penginapan(5orgx4mlm) 20 mlm - - -
Biaya taxi 5 paket - - -
-
Belanja Jasa Pelayanan 260,000,000.00 260,000,000
Belanja Jasa Pelayanan Puskesmas 1 paket 260,000,000.00 260,000,000.00 260,000,000
-
5 2 3 Belanja Modal 181,120,282.00 181,120,282
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah (BLUD) 181,120,282.00 181,120,282
5 2 3 41 01 Belanja Modal BLUD 181,120,282.00 181,120,282
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Belanja modal pengadaan pigura,papan informasi 1 pkt 15,462,782 15,462,782.00 15,462,782
-
Belanja Modal Pengadaan perlengkapan kantor 20,500,000.00 20,500,000
Belanja modal pengadaan perbaikan plank nama 1 buah 2,000,000.00 2,000,000.00 2,000,000
Belanja modal pengadaan Pc komputer 3 buah 6,000,000.00 18,000,000.00 18,000,000
Belanja modal pesawat telepon 1 buah 500,000.00 500,000.00 500,000
-
Belanja Modal Pengadaan Mebeulair 38,550,000.00 38,550,000
Belanja modal pengadaan rak besi/lemari arsip(gudang) 1 paket 20,000,000 20,000,000.00 20,000,000
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Belanja modal lemari es/kulkas 1 buah 1,750,000 1,750,000.00 1,750,000
Belanja modal blender 1 buah 500,000 500,000.00 500,000
Belanja modal kipas angin dinding 3 buah 600,000 1,800,000.00 1,800,000
Belanja modal tegmon air 1 buah 1,000,000 1,000,000.00 1,000,000
Belanja modal kursi futura 25 buah 500,000 12,500,000.00 12,500,000
Belanja modal runing text 1 buah 1,000,000 1,000,000.00 1,000,000
Belanja modal Kanopi , pintu besi
-
Belanja Modal Pengadaan alat komunikasi - -
Belanja Modal Pengadaan sound system 1 pkt - - -
Belanja Modal Pengadaan infocus 1 pakt - - -
Belanja Modal Televisi LCD 1 pakt - - -
-
Belanja Modal Pengadaan Alat-Alat Kedokteran umum/Gigi 59,227,500.00 59,227,500
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 57,497,500.00 57,497,500
Belanja modal pengadaan microtoa 24 buah 40,000 960,000.00 960,000
Belanja modal pengadaan korentang 2 buah 84,000 168,000.00 168,000
Belanja modal pengadaan bak instrumen menengah 3 buah 82,500 247,500.00 247,500
Belanja modal pengadaan tang spatel 3 buah 14,000 42,000.00 42,000
Belanja modal pengadaan bak korentang 2 buah 165,000 330,000.00 330,000
Belanja modal pengadaan dopler 0 buah 1,100,000 - -
Belanja modal pengadaan dopler 0 buah 6,000,000 - -
Belanja modal timbangan dewasa 10 buah 165,000 1,650,000.00 1,650,000
Belanja modal timbangan dewasa (flatscale) 0 buah 1,848,000 - -
Belanja modal babyscale digital 0 buah 10,560,000 - -
Belanja modal stadiometer( pengukur tinggi) 0 buah 1,760,000 - -
Belanja modal tekanan darah digital Omron 5 buah 2,500,000 12,500,000.00 12,500,000
Belanja modal tekanan darah ( tensimeter) 5 buah 1,000,000 5,000,000.00 5,000,000
Belanja modal stetoskop 2 buah 2,000,000 4,000,000.00 4,000,000
Belanja modal kursi roda 1 buah 6,500,000 6,500,000.00 6,500,000
Belanja modal lemari alat 2 buah 3,300,000 6,600,000.00 6,600,000
Belanja modal kursi tunggu pasien 6 buah 3,000,000 18,000,000.00 18,000,000
Belanja modal smedical head lamp 1 buah 1,500,000 1,500,000.00 1,500,000
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 1,730,000.00 1,730,000

Bein bengkok kanan 1 bh 55,000 55,000.00 55,000
Bein bengkok kiri 1 bh 55,000 55,000.00 55,000
Handle kaca mulut 9 bh 88,000.00 792,000.00 792,000
Exapator Medesy 3 bh 253,000.00 759,000.00 759,000
Sonde lurus 3 bh 23,000.00 69,000.00 69,000
-
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 45,650,000.00 45,650,000
Belanja modal pengadaan alat urine analyzer 1 bh 45,000,000 45,000,000.00 45,000,000
Belanja modal pengadaan micro pipet 1000 ml 1 bh 650,000 650,000.00 650,000
-
Belanja modal instalasi jaringan internet - -
Belanja modal jaringan internet 0 paket - - -
Belanja modal jaringan instalasi listrik 0 paket - - -
-
Setelah Perubahan
Jumlah
1 2 7 8 9 10 = (8 x 9)
Jumlah 866,976,952 866,976,952
Mengetahui, Padang, Oktober 2018

Kepala Dinas Kesehatan Kota Padang Kepala Puskesmas Rawang
dr. Ferimulyani Hamid,M.Biomed dr. Viona Putria

Nip. 19670219 200212 2 001 Nip. 19780208 20101 2 006
TAHUN ANGGARAN 2018
Urusan Pemerintahan : 1.02 KESEHATAN

Organisasi : 1.02.01 DINAS KESEHATAN
Program : 1.02.1.02.01.35 Peningkatan Pelayanan Kesehatan Masyarakat

Kegiatan : 1.02.1.02.01.35.01 Pelayanan Badan Layanan Umum Daerah (BLUD )
Jumlah Tahun n-1
Jumlah Tahun n
Jumlah tahun n+1
Capaian Program Tercapainya pengembangan dan peningkatan pelayanan kesehatan masyarakat peserta JKN di Puskesmas Rawang 12 bulan
Masukan Jumlah dana yang dibutuhkan Rp. 1,089,121,548,00

Sebelum Perubahan Setelah Perubahan

Jumlah Jumlah
Volume Satuan Harga Satuan Volume Satuan Harga Satuan Bertambah/Berkurang
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 BELANJA LANGSUNG 688,656,000 1,089,121,548 400,465,548
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD) 1,400,000 5,000,000 3,600,000
5 2 1 05 01 Belanja Pegawai BLUD 1,400,000 5,000,000 3,600,000
Uang lembur petugas pembantu pengurus barang 1,200,000 1,200,000
Uang lembur PNS 1 orang x 3 jam x 10 hari 30 orang/jam 12,000.00 360,000.00 30 jam/orang 12,000.00 360,000.00 -
Uang lembur non PNS 1 orangx 3 jam x 10 hari 30 orang/jam 8,000.00 240,000.00 30 jam/orang 8,000.00 240,000.00 -
Uang makan lembur (2 orangx 10 hari) 20 porsi 30,000.00 600,000.00
-
Uang lembur PNS 1,800,000.00 1,800,000
honor pejabat pengadaan e catalog 2,000,000.00 2,000,000

Pejabat pengadaan 2 kali/keg 400,000.00 800,000.00 4 kali/keg 500,000.00 2,000,000.00 1,200,000
-
5 2 2 Belanja Barang dan Jasa 617,256,000.00 861,033,266.00 243,777,266
5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 617,256,000.00 861,033,266.00 243,777,266
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 2 31 01 Belanja Barang dan Jasa BLUD 617,256,000.00 861,033,266.00 243,777,266
Belanja Bahan Pakai Habis 41,614,150.00 86,235,600.00 44,621,450
Belanja Alat Tulis Kantor 24,556,500.00 63,403,250.00 38,846,750
Amplop Putih besar no. 90 5 kotak 24,200.00 121,000.00 5 kotak 24,200.00 121,000.00 -
Amplop Putih no 110 3 kotak 14,500.00 43,500.00 3 kotak 14,500.00 43,500.00 -
Binder Clip no 107 1 pak kecil 66,600.00 66,600.00 1 pak kecil 66,600.00 66,600.00 -
Binder Clip no. 155 1 pak 126,000.00 126,000.00 1 pak 126,000.00 126,000.00 -
Box file 35 bh 26,000.00 910,000.00 50 bh 26,000.00 1,300,000.00 390,000
Buku Folio Isi 100 17 bh 24,000.00 408,000.00 27 bh 24,000.00 648,000.00 240,000
Buku Folio Isi 200 10 bh 40,000.00 400,000.00 20 bh 40,000.00 800,000.00 400,000
Buku tulis isi 100 15 bh 8,400.00 126,000.00 20 bh 8,400.00 168,000.00 42,000
Buku tulis isi 40 3 kodi 48,400.00 145,200.00 4 kodi 48,400.00 193,600.00 48,400
Catridge hitam canon 15 bh 285,000.00 4,275,000.00 30 bh 285,000.00 8,550,000.00 4,275,000
Catridge warna canon 11 bh 345,000.00 3,795,000.00 15 bh 345,000.00 5,175,000.00 1,380,000
Isi Hecter no 10 6 pak 38,400.00 230,400.00 12 pak 38,400.00 460,800.00 230,400
Kertas HVS F4 70 rim 49,750.00 3,482,500.00 95 rim 49,750.00 4,726,250.00 1,243,750
Kertas HVS A4 40 rim 51,000.00 2,040,000.00 50 rim 51,000.00 2,550,000.00 510,000
Lakban 1,5 inc 7 rol 16,800.00 117,600.00 7 rol 16,800.00 117,600.00 -
Lem Kertas 5 bh 12,000.00 60,000.00 10 bh 12,000.00 120,000.00 60,000
map gobi folio uk besar 25 bh 24,500.00 612,500.00 30 bh 24,500.00 735,000.00 122,500
Map gobi folio uk sedang 10 bh 22,500.00 225,000.00 15 bh 22,500.00 337,500.00 112,500
Map spring file lubang 12 lusin 86,400.00 1,036,800.00 326 lusin 86,400.00 28,166,400.00 27,129,600
Map stopmap biola isi 50 lbr 1 lusin 144,000.00 144,000.00 1 lusin 144,000.00 144,000.00 -
Map business file 20 lusin 68,500.00 1,370,000.00 25 lusin 68,500.00 1,712,500.00 342,500
Paper Clip no 3 10 pak kecil 5,000.00 50,000.00 15 pak kecil 5,000.00 75,000.00 25,000
Paper Clip no.5 2 pak 56,400.00 112,800.00 2 pak 56,400.00 112,800.00 -
Map biola tulang isi 50 lbr 5 kotak 95,000.00 475,000.00 5 kotak 95,000.00 475,000.00 -
Map spring file jepit 2 lusin 86,400.00 172,800.00 2 lusin 86,400.00 172,800.00 -
Spidol Whiteboard 2 kotak 102,850.00 205,700.00 2 kotak 102,850.00 205,700.00 -
Spidol permanent 4 kotak 114,000.00 456,000.00 10 kotak 114,000.00 1,140,000.00 684,000
Stopmap folio kertas 10 pak 40,000.00 400,000.00 12 pak 40,000.00 480,000.00 80,000
Tinta e print hitam botol 20 btl 48,400.00 968,000.00 30 btl 48,400.00 1,452,000.00 484,000
Tinta e print warna botol 12 btl 51,425.00 617,100.00 24 btl 51,425.00 1,234,200.00 617,100
Tinta Stempel 5 tb 13,200.00 66,000.00 10 tb 13,200.00 132,000.00 66,000
Tipe X 10 bh 10,800.00 108,000.00 20 bh 10,800.00 216,000.00 108,000
Plastik Kit Inventaris Ruangan 20 bh 2,800.00 56,000.00 20 bh 2,800.00 56,000.00 -
Stempel kayu 14 bh 35,000.00 490,000.00 14 bh 35,000.00 490,000.00 -
Stempel 2 bh 90,000.00 180,000.00 4 bh 90,000.00 360,000.00 180,000
Bantal stempel kecil 2 bh 10,000.00 20,000.00 6 bh 10,000.00 60,000.00 40,000
Bantal stempel besar 4 bh 20,000.00 80,000.00 4 bh 20,000.00 80,000.00 -
Plastik bantex Folio 100 lbr 1,900.00 190,000.00 100 lbr 1,900.00 190,000.00 -
Hechter 10 bh 15,000.00 150,000.00 10 bh 15,000.00 150,000.00 -
Kertas print hematologi 2 gulung 12,000.00 24,000.00 5 gulung 12,000.00 60,000.00 36,000
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
-
Belanja Alat Listrik dan Elektronik 2,684,000.00 4,422,000.00 1,738,000
Belanja Alat Listrik 1 pkt 1,250,000.00 1,250,000.00 1 pkt 1,014,000.00 1,014,000.00 (236,000)
baterai AA Panasonic 48 pak kecil 15,000.00 720,000.00 96 pak kecil 15,000.00 1,440,000.00 720,000
baterai AAA Panasonic 24 pak kecil 13,250.00 318,000.00 96 pak kecil 13,250.00 1,272,000.00 954,000
baterai petak 9 volt 12 buah 13,000.00 156,000.00 24 buah 13,000.00 312,000.00 156,000
Baterai Menengah 24 buah 10,000.00 240,000.00 24 buah 10,000.00 240,000.00 -
Baterai kancing 24 buah 6,000.00 144,000.00 144,000
-
Belanja Perangko, Materai dan Benda Pos Lainnya 1,050,000.00 1,050,000.00 -
Materai 3000 150 bh 3,000.00 450,000.00 150 bh 3,000.00 450,000.00 -
Materai 6000 100 bh 6,000.00 600,000.00 100 bh 6,000.00 600,000.00 -
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 11,563,650.00 15,600,350.00 4,036,700
Alat pel lantai 12 bh 45,000.00 540,000.00 18 bh 45,000.00 810,000.00 270,000
Cairan pembersih kamar mandi WIPOL 24 bh 15,000.00 360,000.00 24 bh 15,000.00 360,000.00 -
Cairan pembersih keramik VIXAL 24 btl 15,000.00 360,000.00 24 btl 15,000.00 360,000.00 -
Cairan Pembersih lantai SUPERPELL 24 bh 12,000.00 288,000.00 24 bh 12,000.00 288,000.00 -
Canebo 15 bh 30,000.00 450,000.00 15 bh 30,000.00 450,000.00 -
Handsoap cair botol - - - 10 btl 39,900.00 399,000.00 399,000
Handsoap cair Refill 24 bh 26,000.00 624,000.00 24 bh 26,000.00 624,000.00 -
plastik ukuran menengah 25 pak 35,000.00 875,000.00 35 pak 35,000.00 1,225,000.00 350,000
Keset kaki kamar mandi karet hitam lobang 3 bh 85,000.00 255,000.00 3 bh 85,000.00 255,000.00 -
Kemoceng 6 bh 26,400.00 158,400.00 6 bh 26,400.00 158,400.00 -
Lap Tangan silungkang 1 lusin 54,450.00 54,450.00 1 lusin 54,450.00 54,450.00 -
Obat nyamuk semprot 6 klng 45,000.00 270,000.00 6 klng 45,000.00 270,000.00 -
Pendorong air 10 bh 70,000.00 700,000.00 20 bh 70,000.00 1,400,000.00 700,000
Pengharum ruangan refill otomatis stella 12 klng 40,000.00 480,000.00 12 klng 40,000.00 480,000.00 -
Pengharum ruangan gantung 12 bh 15,000.00 180,000.00 18 bh 15,000.00 270,000.00 90,000
Plastik sampah hitam besar 12 kg 70,000.00 840,000.00 18 kg 70,000.00 1,260,000.00 420,000
Plastik sampah hitam besar lebar 10 kg 70,000.00 700,000.00 15 kg 70,000.00 1,050,000.00 350,000
Plastik sampah medis (plastik kuning) 300 lbr 2,500.00 750,000.00 350 lbr 2,500.00 875,000.00 125,000
Sabun cuci piring 3 bh 15,000.00 45,000.00 5 bh 15,000.00 75,000.00 30,000
Sapu plastik tebal 8 bh 65,000.00 520,000.00 12 bh 65,000.00 780,000.00 260,000
Serokan sampah 3 bh 20,000.00 60,000.00 6 bh 20,000.00 120,000.00 60,000
Sapu lidi 6 bh 10,000.00 60,000.00 10 bh 10,000.00 100,000.00 40,000
Tissu refill 80 bh 12,200.00 976,000.00 120 bh 12,200.00 1,464,000.00 488,000
Tissu gulung 36 gulng 6,050.00 217,800.00 50 gulung 6,050.00 302,500.00 84,700
tong sampah injak menengah 10 bh 150,000.00 1,500,000.00 10 bh 150,000.00 1,500,000.00 -
plastik kecil 5 pak 32,000.00 160,000.00 10 pak 32,000.00 320,000.00 160,000
sapu plastik panjang 2 bh 70,000.00 140,000.00 5 bh 70,000.00 350,000.00 210,000
-
Belanja Pengisian Tabung Oksigen 1,760,000.00 1,760,000.00 -
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Pengisian Tabung Oksigen 8 tbg/kcl 70,000.00 560,000.00 8 tbg/kcl 70,000.00 560,000.00 -
Pengisian Tabung Pemadam Kebakaran 4 tbg/bsr 300,000.00 1,200,000.00 4 tbg/bsr 300,000.00 1,200,000.00 -
-
Belanja Bahan/Material 109,529,450.00 142,197,450.00 32,668,000
belanja pemeliharaan -
belanja pemeliharaan gedung kantor dan halaman 1 pkt 33,174,650.00 33,174,650.00 1 pkt 33,500,000.00 33,500,000.00 325,350
-
Belanja Obat-obatan 1 paket 19,335,700.00 19,335,700.00 1 paket 35,297,350.00 35,297,350.00 15,961,650
Belanja Bahan Obat-Obatan -
BMHP -
BMHP Umum 13,626,200.00 14,756,200.00 1,130,000
Alkohol 70% 1 liter 3 botol 30,000.00 90,000.00 3 botol 30,000.00 90,000.00 -
Alkohol 70% 100 cc 5 botol 6,500.00 32,500.00 5 botol 6,500.00 32,500.00 -
Plesterin bulat/hypafix 5 box 35,000.00 175,000.00 5 box 35,000.00 175,000.00 -
Syeringe disposible 2,5 cc 4 box 70,000.00 280,000.00 4 box 70,000.00 280,000.00 -
Syringe disposible 1.5 cc 1 box 114,700.00 114,700.00 1 box 114,700.00 114,700.00 -
IV catheter 18 G 2 pcs 15,400.00 30,800.00 2 pcs 15,400.00 30,800.00 -
Infuset dewasa 3 pcs 6,600.00 19,800.00 3 pcs 6,600.00 19,800.00 -
infuset anak 2 pcs 6,600.00 13,200.00 2 pcs 6,600.00 13,200.00 -
Safeglove surgical steril no 7 10 box 350,000.00 3,500,000.00 10 box 350,000.00 3,500,000.00 -
Safeglove surgical steril no 6.5 3 box 350,000.00 1,050,000.00 3 box 350,000.00 1,050,000.00 -
Kasa Hydrofil 16 x16 25 box 6,000.00 150,000.00 25 box 6,000.00 150,000.00 -
Kasa Hydrofil 40 x 80 10 roll 137,500.00 1,375,000.00 10 roll 137,500.00 1,375,000.00 -
kasa 4 x 15 100 roll 3,100.00 310,000.00 100 roll 3,100.00 310,000.00 -
kasa 4 x 5 20 roll 1,100.00 22,000.00 20 roll 1,100.00 22,000.00 -
Kapas 250 gr 16 roll 15,400.00 246,400.00 16 roll 15,400.00 246,400.00 -
Leukoplast 2 roll 55,000.00 110,000.00 2 roll 55,000.00 110,000.00 -
Alkohol swab 10 box 15,000.00 150,000.00 10 box 15,000.00 150,000.00 -
Blood lancet 20 box 50,000.00 1,000,000.00 20 box 50,000.00 1,000,000.00 -
Nad hecting seme 21 mani 2 lusin 123,600 247,200.00 2 lusin 123,600 247,200.00 -
Kertas Print Hematology Analyzer 5 gulung 12,000 60,000.00 5 gulung 12,000 60,000.00 -
Kertas Parafilm 1 box 475,000 475,000.00 1 box 475,000 475,000.00 -
tabung vacotainer 15 box 198,000 2,970,000.00 15 box 198,000 2,970,000.00 -
blue type 2 pak 154,000 308,000.00 2 pak 154,000 308,000.00 -
test tube asahi glass uk 12x75 m/m 5 ktk 5,800 29,000.00 5 ktk 5,800 29,000.00 -
pot feses 100 bh 3,500 350,000.00 100 bh 3,500 350,000.00 -
Tissue lensa 3 bh 45,000 135,000.00 10 bh 45,000 450,000.00 315,000
lplester bulat kecil 3 ktk 48,000 144,000.00 3 ktk 48,000 144,000.00 -
kaca slide 5 pak 21,000 105,000.00 5 pak 21,000 105,000.00 -
Tabung reaksi 10ml 10 bh 7,200 72,000.00 10 bh 7,200 72,000.00 -
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Jelly Doppler 10 bh 25,000 250,000.00 250,000
-
BMHP Gigi 2,306,700.00 5,477,300.00 3,170,600
Articulating paper 2 box 297,000.00 594,000.00 2 box 297,000.00 594,000.00 -
Caviton 1 Botol 215,700.00 215,700.00 4 gbh 157,850.00 631,400.00 415,700
tkf 1 Botol 72,600.00 72,600.00 1 Botol 73,000.00 73,000.00 400
Fuji 1 1-1 35 gr 0 ktk - - 1 bh 918,500.00 918,500.00 918,500
Fuji ix GP 1-1 EKSTRA 3 1 ktk 808,000.00 808,000.00 3 pack 800,800.00 2,402,400.00 1,594,400
cutton roll 2 Full/6pcs 66,000.00 132,000.00 6 bh 63,000.00 378,000.00 246,000
Kaca mulut 2 bh 143,200.00 286,400.00 12 bh 40,000.00 480,000.00 193,600
Bur diamond meisinger 6 Box 33,000.00 198,000.00 11 bh 33,000.00 363,000.00 165,000
bur diomand FG set 6 meiseinger 1 set 203,500.00 203,500.00 1 set 203,500.00 203,500.00
-
Belanja Bahan Kimia 23,786,200.00 26,581,600.00 2,795,400
Belanja Bahan Kimia Labor/Reagen 23,786,200.00 26,581,600.00 2,795,400
diluent lab geo 1 pkt 3,050,000.00 3,050,000.00 1 pkt 3,050,000.00 3,050,000.00 -
cleaner lab Geo 1 pkt 2,420,000.00 2,420,000.00 1 pkt 2,420,000.00 2,420,000.00 -
lysee 1 pkt 3,630,000.00 3,630,000.00 1 pkt 3,630,000.00 3,630,000.00 -
Reagen control 1 btl 1,066,800.00 1,066,800.00 1 btl 1,000,000.00 1,000,000.00 (66,800)
Glukose (easy touch) 12 box 105,600.00 1,267,200.00 12 box 105,600.00 1,267,200.00 -
Uric Acid (easy Touch) 16 box 107,800.00 1,724,800.00 21 box 107,800.00 2,263,800.00 539,000
Cholesterol (easy Touch) 24 box 193,600.00 4,646,400.00 36 box 193,600.00 6,969,600.00 2,323,200
Anti Sera Gol darah A 2 box 95,000.00 190,000.00 2 box 95,000.00 190,000.00 -
Anti Sera Gol darah B 2 box 95,000.00 190,000.00 2 box 95,000.00 190,000.00 -
Tes Kehamilan 5 box 90,000.00 450,000.00 5 box 90,000.00 450,000.00 -
Na Cl 0,9% 1 btl 32,000.00 32,000.00 1 btl 32,000.00 32,000.00 -
BaCl2 10% 1 btl 77,000.00 77,000.00 1 btl 77,000.00 77,000.00 -
Fouchet 1 btl 327,000.00 327,000.00 1 btl 327,000.00 327,000.00 -
Stik HB Family Dr 5 box 350,000.00 1,750,000.00 5 box 350,000.00 1,750,000.00 -
giemsa 100 ml 1 btl 530,000.00 530,000.00 1 btl 530,000.00 530,000.00 -
metanol 1 liter 2 btl 35,000.00 70,000.00 2 btl 35,000.00 70,000.00 -
urine analisa celup 3 parameter 5 ktk 88,000.00 440,000.00 5 ktk 88,000.00 440,000.00 -
Ziehl nelsen 2 100ml 350,000.00 700,000.00 2 100ml 350,000.00 700,000.00 -
mountux tes tb 1 ktk 900,000.00 900,000.00 1 ktk 900,000.00 900,000.00 -
Eosin 2% 1 btl 325,000.00 325,000.00 1 btl 325,000.00 325,000.00 -
Stick Narkoba 20 pcs 50,000.00 1,000,000.00 1,000,000
-
Belanja Bahan Pendukung Pelaksanaan Kegiatan 5,500,000.00 8,250,000.00 2,750,000
plastik obat ukuran 8,7 x13 50 pak 110,000.00 5,500,000.00 75 pak 110,000.00 8,250,000.00 2,750,000
-
Sosialisasi APAR 2,050,000.00 2,050,000.00 -
Makan sosialisasi APAR 41 ktk 30,000.00 1,230,000.00 41 ktk 30,000.00 1,230,000.00 -
Snack sosialisasi APAR 41 ktk 20,000.00 820,000.00 41 ktk 20,000.00 820,000.00 -
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
-
Makan Minum Kegiatan 1 paket - 9,000,000.00 1 paket - 9,000,000.00 -
snack peserta prolanis (20org x Rp. 10.000 x 45 Kali) 900 ktk 10,000.00 9,000,000.00 900 ktk 10,000.00 9,000,000.00 -
-
Evaluasi pelaksanaan dan Sosialisasi MR di Kota Padang 750,000.00 750,000.00 -
Makan sosialisasi 15 ktk 30,000.00 450,000.00 15 ktk 30,000.00 450,000.00 -
Snack sosialisasi 15 ktk 20,000.00 300,000.00 15 ktk 20,000.00 300,000.00 -
-
Makan Minum Kegiatan Evaluasi pelaksanaan BLUD 0 - - - 1 paket - 1,500,000.00 1,500,000
Akomodasi peserta (10org x Rp. 150.000 x 1 Kali) 0 - - - 10 ktk 150,000.00 1,500,000.00 1,500,000
-
Pakaian Khusus hari Hari tertentu -
PakaianOlahraga (51orngx150,000X1keg) 0 - - - 53 orng 95,000.00 5,035,000.00 5,035,000
-
Belanja Jasa Kantor 196,650,000.00 291,643,750.00 94,993,750
Belanja Air PDAM Puskesmas 3,600,000.00 3,600,000.00 -
Belanja Air PDAM Puskesmas 12 bln 300,000 3,600,000.00 12 bln 300,000 3,600,000.00 -
-
Belanja biaya Listrik Puskesmas 18,000,000.00 24,000,000.00 6,000,000
Belanja biaya Listrik Puskesmas 12 bln 1,500,000 18,000,000.00 12 bln 2,000,000 24,000,000.00 6,000,000
-
Belanja Surat Kabar/Majalah 1,200,000.00 1,200,000.00 -
Belanja Koran 12 bln 100,000.00 1,200,000.00 12 bln 100,000.00 1,200,000.00 -
Belanja Kawat/Faksimili/Internet 13,800,000.00 15,000,000.00 1,200,000
Belanja Pemakaian Internet/telepon Bulanan 12 bln 600,000.00 7,200,000.00 12 bln 700,000.00 8,400,000.00 1,200,000
Belanja berlangganan aplikasi E pusk 12 bln 550,000 6,600,000.00 12 bln 550,000 6,600,000.00 -
-
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 1,500,000.00 1,500,000.00 -
Service AC 6 kl 250,000 1,500,000.00 6 kl 250,000 1,500,000.00 -
-
Belanja Jasa Publikasi 5,750,000.00 4,450,000.00 (1,300,000)
leafet 2 paket 600,000.00 1,200,000.00 2 paket 600,000.00 1,200,000.00 -
Spanduk 70 meter 65,000.00 4,550,000.00 50 meter 65,000.00 3,250,000.00 (1,300,000)
-
Belanja jasa legalisasi 200,000.00 200,000.00 -
Belanja MOU sampah medis 1 kl 200,000 200,000.00 1 kl 200,000 200,000.00 -
-
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 3,000,000.00 6,500,000.00 3,500,000
Perbaikan dan servis alat-alat kedokteran/laboratorium 1 paket 3,000,000.00 3,000,000.00 1 paket 2,000,000.00 2,000,000.00 (1,000,000)
Belanja suku cadang alat kedokteran Umum/Gigi 0 - - 1 pkt 4,500,000 4,500,000.00 4,500,000
-
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 2,000,000.00 2,000,000.00 -
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 1 paket 2,000,000.00 2,000,000.00 1 paket 2,000,000.00 2,000,000.00 -
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
-
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 7,500,000.00 5,500,000.00 (2,000,000)
Servis Laptop, Komputer dan Printer 30 kl 150,000 4,500,000.00 30 kl 150,000 4,500,000.00 -
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 3,000,000 3,000,000.00 1 pkt 1,000,000 1,000,000.00 (2,000,000)
-
Belanja narasumber/tenaga ahli 1,000,000.00 1,000,000.00 -
Narasumber -
Eselon III 2 sesi 500,000.00 1,000,000.00 2 sesi 500,000.00 1,000,000.00 -
Honor tim Edukasi prolanis(1 org x 45 hari) 45 oh 400,000.00 18,000,000.00 45 oh 400,000.00 18,000,000.00 -
Honor instruktur senam prolanis (1 Org x 45 hari) 45 hari 150,000.00 6,750,000.00 45 hari 150,000.00 6,750,000.00 -
-
Belanja honor pejabat seleksi penerimaan pegawai 1,100,000.00 2,200,000.00 1,100,000
Penanggung jawab (1 orgx1hr) 1 keg 400,000.00 400,000.00 2 keg 400,000.00 800,000.00 400,000
Sekretaris (1 orgx1hr) 1 org 350,000.00 350,000.00 2 org 350,000.00 700,000.00 350,000
Anggota (1 orgx1hr) 1 org 200,000.00 200,000.00 2 org 200,000.00 400,000.00 200,000
Sekretariat(1 orgx1hr) 1 org 150,000.00 150,000.00 2 org 150,000.00 300,000.00 150,000
-
Belanja Jasa Biaya Non Kapitasi 15,000,000.00 15,000,000.00 -
Pemeriksaan IVA 162 pkt 25,000.00 4,050,000.00 162 pkt 25,000.00 4,050,000.00 -
Pemeriksaan gula darah 50 pkt 20,000.00 1,000,000.00 50 pkt 20,000.00 1,000,000.00 -
Pemeriksaan ANC 10 pkt 200,000.00 2,000,000.00 10 pkt 200,000.00 2,000,000.00 -
Pemeriksaan ANC 50 pkt 50,000.00 2,500,000.00 50 pkt 50,000.00 2,500,000.00 -
Pemeriksaan PNC 60 pkt 25,000.00 1,500,000.00 60 pkt 25,000.00 1,500,000.00 -
Pemasangan KB/IUD/Implan 10 pkt 100,000.00 1,000,000.00 10 pkt 100,000.00 1,000,000.00 -
Suntik KB sekali 3 bulan 130 pkt 15,000.00 1,950,000.00 130 pkt 15,000.00 1,950,000.00 -
Protesa gigi 1 pkt 1,000,000.00 1,000,000.00 1 pkt 1,000,000.00 1,000,000.00 -
-
Belanja administrasi perkantoran 43,000,000.00 43,000,000.00 -
Tenaga akuntasi (1 orgx10 bln) 10 bln 2,100,000 21,000,000.00 10 bln 2,100,000 21,000,000.00 -
Tenaga pengajar/instruktur (1 orgx20 kl) 10 kl 100,000 1,000,000.00 10 kl 100,000 1,000,000.00 -
Tenaga administrasi perkantoran (1 orgx 10 bln) 10 bln 1,050,000 10,500,000.00 10 bln 1,050,000 10,500,000.00 -
Tenaga administrasi perkantoran (1 orgx 10 bln) 10 bln 1,050,000 10,500,000.00 10 bln 1,050,000 10,500,000.00 -
-
Belanja jasa tenaga kesehatan 30,000,000.00 30,000,000.00 -
Dokter umum (1 orgx 12 bln) 12 bln 2,500,000 30,000,000.00 12 bln 2,500,000 30,000,000.00 -
-
Belanja perawatan kendaraan bermotor 1,000,000.00 1,000,000.00 -
jasa service kendaraan bermotor 1 pkt 1,000,000 1,000,000.00 1 pkt 1,000,000 1,000,000.00 -
-
Belanja Bahan bakar minyak/gas/pelumas 1,800,000.00 1,800,000.00 -
BBM ambulans (pertalite) 225 ltr 8,000 1,800,000.00 225 ltr 8,000 1,800,000.00 -
-
Belanja Cetak dan Penggandaan 20,625,000.00 44,018,750.00 23,393,750
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja Cetak 10,000,000.00 33,393,750.00 23,393,750
Cetak 1 paket 10,000,000.00 10,000,000.00 1 paket 33,393,750.00 33,393,750.00 23,393,750
-
Belanja Penggandaan 10,625,000.00 10,625,000.00 -
Fotocopy kapitasi 40000 lbr 250.00 10,000,000.00 40000 lbr 250.00 10,000,000.00 -
Jilid 25 bh 25,000.00 625,000.00 25 bh 25,000.00 625,000.00 -
-
Belanja Sewa Perlengkapan dan Peralatan Kantor 5,000,000.00 5,000,000.00 -
Sewa Pemusnahan Sampah Medis 200 kg 25,000.00 5,000,000.00 200 kg 25,000.00 5,000,000.00 -
-
Belanja perjalanan dinas luar daerah luar propinsi - 64,300,000.00 64,300,000
Transportasi padang-jakarta-bandung PP 0 - - 6 pkt 4,000,000.00 24,000,000.00 24,000,000
-
Eselon II 8,800,000.00 8,800,000
Uang representatif (1 orgx1 kl x rp. 250.000) 0 4 kl 350,000.00 1,400,000.00 1,400,000
uang harian(1 orgx5hari) 0 - - - 4 hr 1,200,000.00 4,800,000.00 4,800,000
Uang penginapan(1orgx4mlm) 0 - - - 3 mlm 700,000.00 2,100,000.00 2,100,000
Biaya taxi 0 - - - 1 paket 500,000.00 500,000.00 500,000
-
Eselon IV/Gol III 0 31,500,000.00 31,500,000
uang harian(5 orgx5hari) 0 - - - 25 hr 600,000.00 15,000,000.00 15,000,000
Uang penginapan(5orgx4mlm) 0 - - - 20 mlm 700,000.00 14,000,000.00 14,000,000
Biaya taxi 0 - - - 5 paket 500,000.00 2,500,000.00 2,500,000
-
Belanja Jasa Pelayanan 269,462,400.00 340,956,466.00 71,494,066
Belanja Jasa Pelayanan Puskesmas 1 paket 269,462,400.00 269,462,400.00 1 paket 340,956,466.00 340,956,466.00 71,494,066
-
5 2 3 Belanja Modal 70,000,000.00 223,088,282.00 153,088,282
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah (BLUD) 70,000,000.00 223,088,282.00 153,088,282
5 2 3 41 01 Belanja Modal BLUD 70,000,000.00 223,088,282.00 153,088,282
Belanja modal pengadaan pigura,papan informasi 1 pkt 15,562,500 15,562,500.00 1 pkt 15,462,782 15,462,782.00 (99,718)
-
Belanja Modal Pengadaan perlengkapan kantor 33,000,000.00 60,900,000.00 27,900,000
Belanja Modal Pengadaan locker VIP 4 pintu/404 lemari besi 4 buah 1,650,000.00 6,600,000.00 4 buah 1,650,000.00 6,600,000.00 -
Belanja modal pengadaan plank nama 2 buah 1,000,000.00 2,000,000.00 2 buah 900,000.00 1,800,000.00 (200,000)
Belanja modal pengadaan Notebook/laptop 3 buah 7,000,000.00 21,000,000.00 3 buah 14,000,000.00 42,000,000.00 21,000,000
Belanja modal printer 2 buah 1,700,000.00 3,400,000.00 4 buah 2,500,000.00 10,000,000.00 6,600,000
Belanja modal pesawat telepon 0 - - - 1 buah 500,000.00 500,000.00 500,000
-
Belanja Modal Pengadaan Mebeulair 5,135,000.00 61,885,000.00 56,750,000
Belanja Modal Pengadaan Meja pertemuan/rapat 1 unit 3,850,000 3,850,000.00 1 unit 3,850,000 3,850,000.00 -
Belanja Modal Pengadaan Meja pertemuan/rapat lengkap 0 - - - 1 paket 8,500,000 8,500,000.00 8,500,000
Belanja modal pengadaan rak besi/lemari arsip(gudang) 0 - - - 1 paket 30,000,000 30,000,000.00 30,000,000
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja modal pengadaan lemari MR 0 - - - 1 paket 9,000,000 9,000,000.00 9,000,000
Belanja modal pengadaan meja 1/2 biro 0 - - - 1 buah 1,750,000 1,750,000.00 1,750,000
Belanja modal kursi pimpinan 1 buah 1,285,000 1,285,000.00 1 buah 1,285,000 1,285,000.00 -
Belanja modal lemari es/kulkas 0 - - - 2 buah 3,500,000 7,000,000.00 7,000,000
Belanja modal blender 0 - - - 1 buah 500,000 500,000.00 500,000
Belanja modal kipas angin 0 - - - 3 buah 1,000,000 3,000,000.00 3,000,000
-
Belanja Modal Pengadaan alat komunikasi 11,650,000.00 27,200,000.00 15,550,000
Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja Modal Pengadaan sound system 1 pkt 7,000,000 7,000,000.00 1 pkt 7,000,000 7,000,000.00 -
Belanja Modal Pengadaan infocus 1 pakt 4,650,000 4,650,000.00 1 pakt 7,100,000 7,100,000.00 2,450,000
Belanja Modal Televisi LCD 0 - - - 1 pakt 13,100,000 13,100,000.00 13,100,000
-
Belanja Modal Pengadaan Alat-Alat Kedokteran umum/Gigi 3,102,500.00 42,860,500.00 39,758,000
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 3,102,500.00 41,130,500.00 38,028,000
Belanja modal pengadaan microtoa 10 buah 40,000 400,000.00 24 buah 40,000 960,000.00 560,000
Belanja modal pengadaan korentang 2 buah 84,000 168,000.00 2 buah 84,000 168,000.00 -
Belanja modal pengadaan bak instrumen menengah 3 buah 82,500 247,500.00 3 buah 82,500 247,500.00 -
Belanja modal pengadaan tang spatel 3 buah 14,000 42,000.00 3 buah 14,000 42,000.00 -
Belanja modal pengadaan bak korentang 2 buah 165,000 330,000.00 2 buah 165,000 330,000.00 -
Belanja modal pengadaan dopler 1 buah 1,100,000 1,100,000.00 1 buah 1,100,000 1,100,000.00 -
Belanja modal pengadaan dopler 0 - - - 1 buah 6,000,000 6,000,000.00 6,000,000
Belanja modal timbangan dewasa 1 buah 165,000 165,000.00 5 buah 165,000 825,000.00 660,000
Belanja modal timbangan dewasa (flatscale) 0 buah - - 1 buah 1,848,000 1,848,000.00 1,848,000
Belanja modal babyscale digital 0 buah - - 1 buah 10,560,000 10,560,000.00 10,560,000
Belanja modal stadiometer( pengukur tinggi) 0 buah - - 5 buah 1,760,000 8,800,000.00 8,800,000
Belanja modal tekanan darah digital Omron 1 buah 650,000 650,000.00 5 buah 650,000 3,250,000.00 2,600,000
Belanja modal stetoskop 0 buah - - 2 buah 2,000,000 4,000,000.00 4,000,000
Belanja modal kursi roda 0 buah - - 1 buah 3,000,000 3,000,000.00 3,000,000
-
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi - 1,730,000.00 1,730,000
Bein bengkok kanan 0 bh - - 1 bh 55,000 55,000.00 55,000
Bein bengkok kiri 0 bh - - 1 bh 55,000 55,000.00 55,000
Handle kaca mulut 0 bh - 9 bh 88,000.00 792,000.00 792,000
Exapator Medesy 1 Box 253,000.00 253,000.00 3 bh 253,000.00 759,000.00 506,000
Sonde lurus 0 bh - - 3 bh 23,000.00 69,000.00 69,000
-
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 1,550,000.00 1,550,000.00 -
Belanja modal pengadaan alat pemeriksaan as. Urat,glukosa, kolesterol easy 2 bh 450,000 900,000.00 2 bh 450,000 900,000.00 -
Belanja modal pengadaan micro pipet 1000 ml 1 bh 650,000 650,000.00 1 bh 650,000 650,000.00 -
-
Belanja modal instalasi jaringan internet - 11,500,000.00 11,500,000
Belanja modal jaringan internet 0 paket - - 1 paket 6,500,000 6,500,000.00 6,500,000
Belanja modal jaringan instalasi listrik 0 - - - 1 paket 5,000,000 5,000,000.00 5,000,000
-
Jumlah 688,656,000 1,089,121,548 400,465,548
Mengetahui, Padang, Oktober 2018

dr. Ferimulyani Hamid,M.Biomed dr. Viona Putria

Jumlah Jumlah
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Nip. 19670219 200212 2 001 Nip. 19780208 20101 2 006
TAHUN ANGGARAN 2018


Jumlah Tahun n-1
Jumlah Tahun n
Jumlah tahun n+1
Masukan Jumlah dana yang dibutuhkan Rp. 688,656,000,00


Jumlah Jumlah Bertambah/Berkur
Volume Satuan Harga Satuan Volume Satuan Harga Satuan ang
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 1 Belanja Pegawai
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD) 1,400,000 1,400,000
5 2 1 05 01 Belanja Pegawai BLUD 1,400,000
Honorarium tim pengadaan barang dan jasa 1,400,000
a. Pejabat pengadaan 2 kali/keg 400,000 800,000 2 kali/keg 400,000 800,000
b. PPHP 2 kali/keg 300,000 600,000 2 kali/keg 300,000 600,000
5 2 2 Belanja Barang dan Jasa 617,256,000.00 617,256,000.00

5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 617,256,000.00 617,256,000.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 617,256,000.00 617,256,000.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 617,256,000.00 617,256,000.00
Belanja Bahan Pakai Habis 28,390,000.00 35,790,400.00
Belanja Alat Tulis Kantor 15,088,400.00 20,242,500.00 (5,154,100.00)
Amplop Putih besar no. 90 4 kotak 22,800.00 91,200.00 10 kotak 22,800.00 228,000.00 (136,800.00)
Amplop Putih besar no. 110 5 kotak 18,000.00 90,000.00
Binder Clip no 107 1 pak 66,600.00 66,600.00 1 pak 66,600.00 66,600.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Box file 3 bh 25,000.00 75,000.00 12 bh 25,000.00 300,000.00 (225,000.00)
Buku Folio Isi 100 10 bh 24,000.00 240,000.00 24 bh 24,000.00 576,000.00 (336,000.00)
Buku Folio Isi 200 5 bh 40,000.00 200,000.00 10 bh 40,000.00 400,000.00 (200,000.00)
Buku tulis isi 100 25 bh 14,000.00 350,000.00 25 bh 14,000.00 350,000.00 -
Buku tulis isi 40 4 kodi 67,200.00 268,800.00
Catridge hitam canon 10 bh 285,000.00 2,850,000.00 12 bh 285,000.00 3,420,000.00 (570,000.00)
Catridge warna canon 5 bh 345,000.00 1,725,000.00 6 bh 345,000.00 2,070,000.00 (345,000.00)
Isi Hecter no 10 6 pak 38,400.00 230,400.00 6 pak 38,400.00 230,400.00 -
Kertas HVS F4 50 rim 50,000.00 2,500,000.00 60 rim 50,000.00 3,000,000.00 (500,000.00)
Kertas HVS A4 30 rim 49,200.00 1,476,000.00 30 rim 49,200.00 1,476,000.00 -
Lem Kertas 5 bh 12,000.00 60,000.00 5 bh 12,000.00 60,000.00 -
map gobi folio uk besar 10 bh 21,000.00 210,000.00 10 bh 21,000.00 210,000.00 -
Map gobi folio uk sedang 10 bh 19,500.00 195,000.00 10 bh 19,500.00 195,000.00 -
Map spring file lubang 8 lusin 86,400.00 691,200.00 10 lusin 86,400.00 864,000.00 (172,800.00)
Map stopmap biola isi 50 lbr 5 lusin 144,000.00 720,000.00 5 lusin 144,000.00 720,000.00 -
Map business file 10 lusin 60,000.00 600,000.00 10 lusin 60,000.00 600,000.00 -
Paper Clip 10 pak kecil 5,000.00 50,000.00 10 pak kecil 5,000.00 50,000.00 -
Map biola tulang isi 50 lbr 2 pak 151,250.00 302,500.00 5 pak 151,250.00 756,250.00 (453,750.00)
Map plastik jepit 3 lusin 90,750.00 272,250.00 3 lusin 90,750.00 272,250.00
Map spring file jepit 1 lusin 86,450.00 86,450.00 1 lusin 86,400.00 86,400.00 50.00
Spidol permanent 4 kotak 114,000.00 456,000.00
Stopmap folio kertas 5 pak 40,000.00 200,000.00 10 pak 40,000.00 400,000.00 (200,000.00)
Tinta e print hitam botol 10 btl 60,000.00 600,000.00 20 btl 60,000.00 1,200,000.00 (600,000.00)
Tinta e print warna botol 5 btl 60,000.00 300,000.00 12 btl 60,000.00 720,000.00 (420,000.00)
Tinta Stempel 5 tb 13,200.00 66,000.00 5 tb 13,200.00 66,000.00 -
Tipe X 10 bh 10,800.00 108,000.00 10 bh 10,800.00 108,000.00 -
Stempel 2 bh 90,000.00 180,000.00 4 bh 90,000.00 360,000.00 (180,000.00)
Belanja Alat Listrik dan Elektronik 2,531,900 2,031,900.00 500,000.00

Belanja Alat Listrik 1 pkt 1,500,000 1,500,000 1 pkt 1,000,000.00 1,000,000.00 500,000.00
baterai AA Panasonic 10 pak 39,600 396,000 10 pak 39,600.00 396,000.00 -
baterai AAA Panasonic 6 pak 79,800 478,800 6 pak 79,800.00 478,800.00 -
baterai petak 1 paket 157,100 157,100 1 paket 157,100.00 157,100.00 -
-
Belanja Perangko, Materai dan Benda Pos Lainnya 600,000 600,000.00 -
Materai 3000 100 bh 3,000 300,000 100 bh 3,000.00 300,000.00 -
Materai 6000 50 bh 6,000 300,000 50 bh 6,000.00 300,000.00 -
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 10,009,700.00 12,686,000.00 (2,676,300.00)
Alat pel lantai 6 bh 60,000.00 360,000.00 12 bh 60,000.00 720,000.00 (360,000.00)
Cairan pembersih kamar mandi WIPOL 15 bh 26,400.00 396,000.00 24 bh 26,400.00 633,600.00 (237,600.00)
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Cairan pembersih keramik VIXAL 24 bh 18,000.00 432,000.00 24 bh 18,000.00 432,000.00 -
Cairan Pembersih lantai SUPERPELL 20 bh 18,600.00 372,000.00 24 bh 18,600.00 446,400.00 (74,400.00)
Canebo 5 bh 60,000.00 300,000.00 15 bh 60,000.00 900,000.00 (600,000.00)
Detergen 9 bh 18,500.00 166,500.00 0 bh - - 166,500.00
Handsoap cair Refill 12 btl 34,200.00 410,400.00 24 btl 34,200.00 820,800.00 (410,400.00)
plastik ukuran menengah 25 pak 35,000.00 875,000.00 25 pak 35,000.00 875,000.00 -
Kemoceng 6 bh 26,400.00 158,400.00 6 bh 26,400.00 158,400.00 -
Lap Tangan silungkang 6 bh 5,000.00 30,000.00 6 bh 5,000.00 30,000.00 -
Obat nyamuk semprot 6 bh 60,000.00 360,000.00 6 bh 60,000.00 360,000.00 -
Pendorong air 5 bh 100,000.00 500,000.00 10 bh 100,000.00 1,000,000.00 (500,000.00)
Pengharum ruangan refill otomatis stella 3 bh 45,000.00 135,000.00 6 bh 45,000.00 270,000.00 (135,000.00)
Pengharum ruangan gantung 3 bh 18,600.00 55,800.00 12 bh 18,600.00 223,200.00 (167,400.00)
Plastik sampah hitam besar 12 kg 70,000.00 840,000.00 12 kg 70,000.00 840,000.00 -
Plastik sampah hitam besar lebar 10 kg 70,000.00 700,000.00 10 kg 70,000.00 700,000.00 -
Plastik sampah medis (plastik kuning) 10 kg 63,000.00 630,000.00 10 kg 63,000.00 630,000.00 -
Sabun cuci piring 3 bh 22,200.00 66,600.00 3 bh 22,200.00 66,600.00 -
Sapu plastik tebal 8 bh 54,000.00 432,000.00 8 bh 54,000.00 432,000.00 -
Serokan sampah 2 bh 12,000.00 24,000.00 3 bh 12,000.00 36,000.00 (12,000.00)
Sapu lidi 4 bh 21,000.00 84,000.00 6 bh 21,000.00 126,000.00 (42,000.00)
Tissu refill 40 bh 16,200.00 648,000.00 40 bh 16,200.00 648,000.00 -
Tissu gulung 12 bh 12,000.00 144,000.00 24 bh 12,000.00 288,000.00 (144,000.00)
tong sampah petak besar uk 65l 15 bh 115,000.00 1,725,000.00 15 bh 115,000.00 1,725,000.00 -
plastik kecil 0 pak - - 5 pak 32,000.00 160,000.00 (160,000.00)
Belanja Pengisian Tabung Oksigen 160,000.00 230,000.00 (70,000.00)

Pengisian Tabung Oksigen 1 tbg/kcl 70,000.00 70,000.00 2 tbg/kcl 70,000.00 140,000.00 (70,000.00)
1 tbg/bsr 90,000.00 90,000.00 1 tbg/bsr 90,000.00 90,000.00
Belanja Bahan/Material 78,403,000 125,953,200.00 (47,550,200.00)

belanja pemeliharaan gedung kantor dan halaman 1 paket 37,592,400 37,592,400 1 pkt 57,010,400.00 57,010,400.00
Belanja Obat-obatan 22,459,900 1 paket 20,300,000.00 20,300,000.00 2,159,900.00

Belanja Bahan Obat-Obatan 1 paket 15,000,000 15,000,000 15,000,000.00
BMHP -
BMHP Umum 17,206,300.00 20,841,300.00
Plesterin bulat/hypafix 5 box 35,000.00 175,000.00 5 box 35,000.00 175,000.00 -
Syeringe disposible 2,5 cc 4 box 70,000.00 280,000.00 4 box 70,000.00 280,000.00 -
Syringe disposible 1.5 cc 1 box 114,700.00 114,700.00 1 box 114,700.00 114,700.00 -
IV catheter 22 G 1 pcs 12,000.00 12,000.00 1 pcs 12,000.00 12,000.00
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
infuset anak 2 pcs 3,700.00 7,400.00 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6.5 20 box 367,000.00 7,340,000.00 25 box 367,000.00 9,175,000.00 (1,835,000.00)
Kasa Hydrofil 16 x16 25 box 8,400.00 210,000.00 25 box 8,400.00 210,000.00
Kasa Hydrofil 40 x 80 10 roll 120,000.00 1,200,000.00 10 roll 120,000.00 1,200,000.00 -
kasa 4 x 15 100 roll 2,300.00 230,000.00 100 roll 2,300.00 230,000.00 -
kasa 4 x 5 20 roll 800.00 16,000.00 20 roll 800.00 16,000.00
Leukoplast 2 roll 48,000.00 96,000.00 2 roll 48,000.00 96,000.00 -
Alkohol swab 10 box 10,500.00 105,000.00 10 box 10,500.00 105,000.00
Blood lancet 20 box 16,000 320,000.00 20 box 16,000 320,000.00 -
Nad hecting GR 10 2 lusin 123,000 246,000.00 2 lusin 123,000 246,000.00 -
Kertas Print Hematology Analyzer 2 gulung 85,000 170,000.00 2 gulung 85,000 170,000.00
Kertas Parafilm 1 gulung 500,000 500,000.00 1 gulung 500,000 500,000.00
tabung vacotainer 0 paket 120,000 - 15 pak 120,000 1,800,000.00
BMHP Gigi 5,253,600.00 6,288,500.00 (1,034,900.00)

Cresotin 1 Botol 357,500.00 357,500.00 1 Botol 781,000.00 781,000.00 (423,500.00)
Alvocare 1 Botol 286,000.00 286,000.00 1 Botol 781,000.00 781,000.00
Articulating paper 3 ktk 148,500.00 445,500.00 2 Tube 205,000.00 410,000.00 35,500.00
Caviton 8 btl 154,000.00 1,232,000.00 2 Botol 270,000.00 540,000.00 692,000.00
tkf 1 Botol 66,000.00 66,000.00 1 Botol 55,000.00 55,000.00
Fuji 9 2 ktk 781,000.00 1,562,000.00 1 ktk 781,000.00 781,000.00 781,000.00
cutton roll 10 box 49,500.00 495,000.00 2 Full/6pcs 275,000.00 550,000.00 (55,000.00)
infertid bor set 1 set 220,000.00 220,000.00 1 Bungkus 242,000.00 242,000.00 (22,000.00)
round bor set 1 set 220,000.00 220,000.00 1 set 220,000.00 220,000.00 -
bor poles fisur 2 buah 31,900.00 63,800.00 1 Botol 440,000.00 440,000.00 (376,200.00)
bor finishing 3 buah 31,900.00 95,700.00 1 Box 155,000.00 155,000.00 (59,300.00)
bor tulang 1 buah 55,000.00 55,000.00 3 Box 140,000.00 420,000.00 (365,000.00)
bor poles round 3 buah 31,900.00 95,700.00 3 Box 90,000.00 270,000.00 (174,300.00)
brass poles 2 buah 29,700.00 59,400.00 1 Botol 643,500.00 643,500.00 (584,100.00)
-
Belanja Bahan Kimia 14,645,700.00 17,708,000.00 (3,062,300.00)
Belanja Bahan Kimia Labor/Reagen 14,645,700.00 17,708,000.00 (3,062,300.00)
Reagen control 1 btl 730,600.00 730,600.00 1 btl 889,000.00 889,000.00 (158,400.00)
Uric Acid (easy Touch) 15 box 146,300.00 2,194,500.00 16 box 146,300.00 2,340,800.00 (146,300.00)
Cholesterol (easy Touch) 12 box 267,300.00 3,207,600.00 24 box 267,300.00 6,415,200.00 (3,207,600.00)
Tes Kehamilan 8 box 125,000.00 1,000,000.00 5 box 110,000.00 550,000.00 450,000.00
Benedict 2 btl 57,000.00 114,000.00 2 btl 57,000.00 114,000.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
HCL 0,1 2 btl 32,000.00 64,000.00 2 btl 32,000.00 64,000.00 -
Asam Asetat 2 btl 52,000.00 104,000.00 2 btl 52,000.00 104,000.00 -
BaCl2 10% 2 btl 77,000.00 154,000.00 2 btl 77,000.00 154,000.00 -
Fouchet 1 btl 327,000.00 327,000.00 1 btl 327,000.00 327,000.00 -
giemsa 100 ml 1 btl 530,000.00 530,000.00 1 btl 530,000.00 530,000.00 -
urine analisa celup 11 parameter 1 pkt 410,000.00 410,000.00 1 pkt 410,000.00 410,000.00 -
mountux tes tb 1 ktk 900,000.00 900,000.00 1 ktk 900,000.00 900,000.00 -
Belanja Bahan Pendukung Pelaksanaan Kegiatan 3,705,000.00 3,805,000.00 (100,000.00)

plastik obat ukuran 7 x10 15 pak 100,000.00 1,500,000.00 15 pak 100,000.00 1,500,000.00 -
plastik obat ukuran 10 x15 5 pak 160,000.00 800,000.00 5 pak 160,000.00 800,000.00 -
Plastik asoy 3 pak 35,000.00 105,000.00 3 pak 35,000.00 105,000.00 -
kertas perkamen 5 pak 20,000.00 100,000.00 5 pak 20,000.00 100,000.00
Belanja Jasa Kantor 134,410,000.00 210,050,000.00 (75,640,000.00)

Belanja Air PDAM Puskesmas 2,160,000.00 3,600,000.00
Belanja Air PDAM Puskesmas 12 bln 180,000 2,160,000.00 12 bln 300,000 3,600,000.00
Belanja biaya Listrik Puskesmas 14,400,000.00 18,000,000.00

Belanja biaya Listrik Puskesmas 12 bln 1,200,000 14,400,000.00 12 bln 1,500,000 18,000,000.00

Belanja Koran 12 bln 100,000 1,200,000.00 12 bln 100,000.00 1,200,000.00 -
-
Belanja Kawat/Faksimili/Internet 13,800,000.00 13,800,000.00 -
Belanja Pemakaian Internet Bulanan 12 bln 600,000 7,200,000.00 12 bln 600,000.00 7,200,000.00 -
Belanja berlangganan aplikasi E pusk 12 bln 550,000 6,600,000.00 12 bln 550,000 6,600,000.00
-
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 500,000.00 500,000.00 -
Service AC 2 KL 250,000 500,000.00 2 kl 250,000 500,000.00
-
Belanja Jasa Publikasi 1,950,000.00 5,750,000.00 (3,800,000.00)
leafet 2 rim 600,000 1,200,000.00 2 paket 600,000.00 1,200,000.00 -
Spanduk 15 meter 50,000 750,000.00 70 meter 65,000.00 4,550,000.00 (3,800,000.00)
Belanja jasa legalisasi 200,000.00 200,000.00

Belanja MOU sampah medis 1 kl 200,000 200,000.00 1 kl 200,000 200,000.00
Belanja jasa keamanan 13,650,000.00 13,650,000.00

Jasa keamanan (1 orgx 13 bln) 13 kl 1,050,000 13,650,000.00 13 kl 1,050,000 13,650,000.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 5,000,000.00 5,000,000.00 -

Perbaikan dan servis alat-alat kedokteran/laboratorium 1 paket 5,000,000.00 5,000,000.00 1 paket 5,000,000.00 5,000,000.00 -
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 2,000,000.00 2,000,000.00
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya 1 paket 2,000,000.00 2,000,000.00 1 paket 2,000,000.00 2,000,000.00
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 4,750,000.00 4,250,000.00

Servis Laptop, Komputer dan Printer 15 kl 150,000 2,250,000.00 15 kl 150,000 2,250,000.00
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 2,500,000 2,500,000.00 1 pkt 2,000,000 2,000,000.00
Belanja narasumber/tenaga ahli 1,000,000.00

Narasumber
Eselon III 2 sesi 500,000.00 1,000,000.00 (1,000,000.00)
Belanja honor pejabat seleksi penerimaan pegawai 1,100,000.00

Penanggung jawab (1 orgx1hr) 1 keg 400,000.00 400,000.00
Sekretaris (1 orgx1hr) 1 org 350,000.00 350,000.00
Anggota (1 orgx1hr) 1 org 200,000.00 200,000.00
Sekretariat(1 orgx1hr) 1 org 150,000.00 150,000.00

Pemeriksaan IVA 162 pkt 25,000 4,050,000.00 162 pkt 25,000.00 4,050,000.00 -
Pemeriksaan gula darah 50 pkt 20,000 1,000,000.00 50 pkt 20,000.00 1,000,000.00 -
Pemeriksaan ANC 10 pkt 200,000 2,000,000.00 10 pkt 200,000.00 2,000,000.00 -
Pemeriksaan PNC 60 pkt 25,000 1,500,000.00 60 pkt 25,000.00 1,500,000.00 -
Pemasangan KB/IUD/Implan 10 pkt 100,000 1,000,000.00 10 pkt 100,000.00 1,000,000.00 -
Suntik KB sekali 3 bulan 130 pkt 15,000 1,950,000.00 130 pkt 15,000.00 1,950,000.00 -
Protesa gigi 1 pkt 1,000,000 1,000,000.00 1 pkt 1,000,000.00 1,000,000.00 -
Belanja administrasi perkantoran 29,300,000.00 28,300,000.00

Tenaga akuntasi (1 orgx13 bln) 13 bln 2,100,000 27,300,000.00 13 bln 2,100,000 27,300,000.00
Tenaga pengajar/instruktur (1 orgx20 kl) 20 kl 100,000 2,000,000.00 10 kl 100,000 1,000,000.00
-
Belanja jasa tenaga kesehatan 32,500,000.00 55,600,000.00
Dokter umum (1 orgx 13bln) 13 bln 2,500,000 32,500,000.00 13 bln 2,500,000 32,500,000.00
Perawat (1 orgx 13 bln) 11 bln 1,050,000 11,550,000.00
Administrasi Kesehatan (1orgx11 bln) 11 bln 1,050,000 11,550,000.00
Belanja perawatan kendaraan bermotor 1,000,000.00 1,000,000.00

jasa service kendaraan bermotor 1 pkt 1,000,000 1,000,000.00 1 pkt 1,000,000 1,000,000.00
Belanja Bahan bakar minyak/gas/pelumas 1,800,000.00 1,800,000.00

BBM ambulans (pertalite) 225 ltr 8,000 1,800,000.00 225 ltr 8,000 1,800,000.00
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja Cetak dan Penggandaan 18,125,000.00 18,125,000.00 -

Belanja Cetak 7,500,000.00 7,500,000.00 -
Cetak blanko 1 paket 7,500,000 7,500,000.00 1 paket 7,500,000.00 7,500,000.00 -
-
Jilid 25 bh 25,000.00 625,000.00 25 bh 25,000.00 625,000.00 -
-
Belanja Sewa Perlengkapan dan Peralatan Kantor 6,250,000.00 5,000,000.00 1,250,000.00
Sewa Pemusnahan Sampah Medis 250 kg 25,000 6,250,000.00 200 kg 25,000.00 5,000,000.00 1,250,000.00
-
Belanja perjalanan dinas 4,550,000.00 4,550,000.00 -
Belanja perjalanan dinas luar daerah 1 pkt 3,000,000 4,550,000.00 1 pkt 3,000,000.00 4,550,000.00 -
Belanja perjalanan dinas luar daerah dalam propinsi -
Uang harian 350,000.00 (350,000.00)
Gol IV 1 org 350,000.00 350,000.00 1 org 350,000.00 350,000.00 -
uang harian 4,200,000.00
Gol III ( 14 orgx 1 kl) 14 org 300,000 4,200,000.00 14 org 300,000 4,200,000.00 -
Belanja Jasa Pelayanan 344,328,000.00 245,462,400.00 98,865,600.00

Belanja Jasa Pelayanan Puskesmas 1 paket 344,328,000.00 344,328,000.00 1 paket 245,462,400.00 245,462,400.00 98,865,600.00
-
5 2 3 Belanja Modal 70,000,000.00 70,000,000.00 -
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah (BLUD) 70,000,000.00 70,000,000.00 -
5 2 3 41 01 Belanja Modal BLUD 70,000,000.00 70,000,000.00 -
Belanja modal pengadaan papan informasi 1 pkt 20,737,881 20,737,881.00 1 pkt 18,988,500 18,988,500.00 1,749,381.00
Belanja Modal Pengadaan perlengkapan kantor 3,874,000.00 3,000,000.00 874,000.00

Belanja Modal Pengadaan filling kabinet 1 buah 2,874,000.00 2,874,000.00 - 2,874,000.00
Belanja modal pengadaan plank nama 1 buah 1,000,000.00 1,000,000.00 1 buah 3,000,000.00 3,000,000.00
-
Belanja Modal Pengadaan Mebeulair 30,300,000.00 25,124,000.00 5,176,000.00
Belanja modal pengadaan partisi infocus pertemuan 1 paket 7,000,000 7,000,000.00
Belanja modal pengadaan partisi ruangan dokter 1 paket 8,000,000 8,000,000.00
Belanja Modal Pengadaan Meja pertemuan/rapat 1 unit 17,000,000 17,000,000.00 1 unit 7,000,000 7,000,000.00 10,000,000.00
Belanja modal kursi futura 30 buah 410,000 12,300,000.00 0 buah - -
Belanja modal kursi pimpinan 1 buah 1,000,000 1,000,000.00 1 buah 1,124,000 1,124,000.00
Belanja modal meja instrumen - 4 buah 500,000 2,000,000.00
-
Belanja Modal Pengadaan alat komunikasi 2,000,000.00 7,000,000.00 (5,000,000.00)
Belanja Modal Pengadaan sound system 1 pkt 2,000,000 2,000,000.00 1 pkt 2,000,000 2,000,000.00 -
Belanja Modal Pengadaan infocus 1 pakt 5,000,000 5,000,000.00
-
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 3,087,500.00 3,087,500.00 -
Belanja modal pengadaan microtoa 1 paket 1,200,000 1,200,000.00 1 paket 1,200,000 1,200,000.00 -
Belanja modal pengadaan korentang 2 buah 84,000 168,000.00 2 buah 84,000 168,000.00 -
Belanja modal pengadaan bak instrumen menengah 3 buah 82,500 247,500.00 3 buah 82,500 247,500.00 -
Belanja modal pengadaan tang spatel 3 buah 14,000 42,000.00 3 buah 14,000 42,000.00 -
Belanja modal pengadaan bak korentang 2 buah 165,000 330,000.00 2 buah 165,000 330,000.00 -
Belanja modal pengadaan dopler 1 buah 1,100,000 1,100,000.00 1 buah 1,100,000 1,100,000.00 -
-
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 2,000,000.00 2,000,000.00 -
Alat kesehatan gigi 1 pkt 2,000,000 2,000,000.00 1 pkt 2,000,000 2,000,000.00 -
-
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 700,000.00 800,000.00 (100,000.00)
Belanja modal pengadaan alat pemeriksaan as. Urat,glukosa, kolesterol easy 1 bh 700,000 700,000.00 1 bh 800,000 800,000.00 (100,000.00)
-
Belanja modal pengadaan instalasi listrik, telepon dan air 10,000,000.00 10,000,000.00 -
Belanja modal penambahan kapasitas daya listrik 1 paket 10,000,000 10,000,000.00 1 paket 10,000,000 10,000,000.00
-
-
Jumlah 688,656,000
Mengetahui, Padang, Maret 2018

dr. Ferimulyani Hamid,M.Biomed dr. Lisa Hikmah

Nip. 19670219 200212 2 001 Nip. 19821229 200803 2 001
TAHUN ANGGARAN 2017


Kegiatan : 1.02.1.02.01.35.01 Pelayanan Badan Layanan Umum Daerah (BLUD)
Lokasi kegiatan : Puskesmas Rawang Kecamatan Padang Selatan Kelurahan : 3, Pustu : 2, Poskeskel : 1
Jumlah Tahun n-1 : Rp.931.281.898,00
Jumlah Tahun n : Rp.695.400.000,00
Jumlah tahun n+1 : Rp.764.940.000,00
Capaian Program Tercapainya pengembangan dan peningkatan pelayanan kesehatan 12 bulan
masyarakat di Puskesmas Rawang
Masukan Jumlah dana yang dibutuhkan Rp. 695.400.000
Hasil Meningkatnya pelayanan kesehatan masyarakat di Puskesmas Rawang
Kelompok Sasaran kegiatan : Puskesmas Rawang Kecamatan Padang Selatan Kelurahan : 3, Pustu : 2, Poskeskel : 1

Rincian Perhitungan
Kode Rekening Uraian Jumlah
Volume Satuan Harga Satuan
1 2 3 4 5 6 = (3 x 5)
5 2 BELANJA LANGSUNG 695,400,000.00
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD) -
5 2 1 05 01 Belanja Pegawai BLUD -
5 2 2 Belanja Barang dan Jasa 663,103,150.00
Belanja Barang dan Jasa Badan Layanan Umum Daerah

5 2 2 31 (BLUD) 663,103,150.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 663,103,150.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 663,103,150.00
Belanja Bahan Pakai Habis 62,952,550.00
Belanja Alat Tulis Kantor 50,440,600.00

Binder Clip no 107 1 pak 66,600.00 66,600.00
Binder Clip no. 155 1 pak 126,000.00 126,000.00
Box file 26 bh 25,000.00 650,000.00
Buku Folio Isi 100 40 bh 24,000.00 960,000.00
Buku Folio Isi 200 15 bh 40,000.00 600,000.00
Buku tulis isi 40 25 kodi 67,200.00 1,680,000.00
Buku tulis isi 100 12 bh 14,000.00 168,000.00
Catridge hitam canon 16 bh 285,000.00 4,560,000.00
Catridge warna canon 16 bh 345,000.00 5,520,000.00
Isi Hecter no 10 3 pak 38,400.00 115,200.00
Kertas HVS F4 80 rim 51,000.00 4,080,000.00
Kertas HVS A4 4 rim 49,200.00 196,800.00
Lakban 1,5 inc 7 rol 16,800.00 117,600.00
Lem Kertas 5 bh 12,000.00 60,000.00
map gobi folio uk besar 10 bh 21,000.00 210,000.00
Map gobi folio uk sedang 10 bh 19,500.00 195,000.00
Map spring file lubang 8 lusin 86,400.00 691,200.00
Map stopmap biola isi 50 lbr 3 lusin 144,000.00 432,000.00
Map business file 10 lusin 60,000.00 600,000.00
Paper Clip 15 pak kecil 5,000.00 75,000.00
Paper Clip no.5 1 pak 56,400.00 56,400.00
Pencil case 5 tingkat 5 bh 30,000.00 150,000.00
Penggaris Besi 15 bh 12,000.00 180,000.00
Map spring file jepit 280 lusin 86,400.00 24,192,000.00
Spidol permanen 10 kotak 114,000.00 1,140,000.00
Spidol Whiteboard 3 kotak 115,200.00 345,600.00
Stopmap folio kertas 5 pak 40,000.00 200,000.00
Tinta e print hitam botol 13 btl 60,000.00 780,000.00
Tinta e print warna botol 15 btl 60,000.00 900,000.00
Tinta Stempel 5 tb 13,200.00 66,000.00
Tipe X 31 bh 10,800.00 334,800.00
Plastik Kit Inventaris Ruangan 20 bh 2,800.00 56,000.00
Micro display isi 40 8 bh 50,000.00 400,000.00
Belanja Alat Listrik dan Elektronik 2,574,800.00

Belanja Alat Listrik 1 pkt 1,500,000.00 1,500,000.00
baterai AA Panasonic 10 pak 39,600.00 396,000.00
baterai AAA Panasonic 6 pak 79,800.00 478,800.00
baterai petak 1 paket 200,000.00 200,000.00
Belanja Perangko, Materai dan Benda Pos Lainnya 450,000.00

Materai 3000 100 bh 3,000.00 300,000.00
Materai 6000 25 bh 6,000.00 150,000.00
Belanja Peralatan Kebersihan dan Bahan Pembersih 8,397,900.00

Alat pel lantai 10 bh 60,000.00 600,000.00
Cairan pembersih kamar mandi WIPOL 18 bh 26,400.00 475,200.00
Cairan pembersih keramik VIXAL 12 bh 18,000.00 216,000.00
Cairan Pembersih lantai SUPERPELL 17 bh 18,600.00 316,200.00
Canebo 10 bh 60,000.00 600,000.00
Detergen 9 bh 18,500.00 166,500.00
Handsoap cair Refill 20 btl 34,200.00 684,000.00
plastik ukuran menengah 20 pak 35,000.00 700,000.00
Keset kaki beludru 2 bh 54,000.00 108,000.00
Keset kaki kamar mandi karet hitam lobang 3 bh 55,000.00 165,000.00
Kemoceng 6 bh 26,400.00 158,400.00
Lap Tangan silungkang 6 bh 5,000.00 30,000.00
Obat nyamuk semprot 6 bh 60,000.00 360,000.00
Pendorong air 5 bh 100,000.00 500,000.00
Pengharum ruangan refill otomatis stella 12 bh 45,000.00 540,000.00
Pengharum ruangan gantung 6 bh 18,600.00 111,600.00
Plastik sampah hitam besar 8 kg 70,000.00 560,000.00
Plastik sampah hitam besar lebar 4 kg 70,000.00 280,000.00
Plastik sampah medis (plastik kuning) 2 kg 63,000.00 126,000.00
Sabun cuci piring 15 bh 22,200.00 333,000.00
Sapu plastik tebal 10 bh 54,000.00 540,000.00
Serokan sampah 4 bh 21,000.00 84,000.00
Sapu lidi 2 bh 12,000.00 24,000.00
Tissu refill 40 bh 16,200.00 648,000.00
Tissu gulung 6 bh 12,000.00 72,000.00
Belanja Pengisian Tabung Oksigen 699,250.00

Pengisian Tabung Oksigen 1 paket 699,250.00 699,250.00
Belanja Taplak Meja / Bendera / Umbul-Umbul 390,000.00

Belanja taplak meja 200x135 1 buah 150,000.00 150,000.00
taplak meja ukuran 120x120 6 buah 40,000.00 240,000.00
Belanja Bahan/Material 63,485,000.00
Belanja Obat-obatan 1 paket 5,000,000.00 5,000,000.00
Belanja Bahan Obat-Obatan 27,631,000.00

BMHP 16,665,500.00
Alkohol 70% 1 liter 12 botol 28,000.00 336,000.00
Alkohol 70% 100 cc 10 botol 15,000.00 150,000.00
Plesterin bulat 5 box 35,000.00 175,000.00
Syeringe disposible 2,5 cc 20 box 70,000.00 1,400,000.00
Syringe disposible 3 cc 5 box 52,000.00 260,000.00
IV catheter 18 G 1 pcs 8,500.00 8,500.00
IV catheter 20 G 1 pcs 8,000.00 8,000.00
IV catheter 22 G 1 pcs 12,000.00 12,000.00
IV catheter 24 G 1 pcs 15,000.00 15,000.00
Infuset dewasa 3 pcs 3,400.00 10,200.00
infuset anak 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6 5 box 367,000.00 1,835,000.00
Safeglove surgical steril no 6.5 25 box 367,000.00 9,175,000.00
Kasa Hydrofil 16 x16 16 box 8,400.00 134,400.00
Kasa Hydrofil 40 x 80 4 roll 120,000.00 480,000.00
kasa 4 x 15 100 roll 2,300.00 230,000.00
kasa 4 x 5 20 roll 800.00 16,000.00
Kapas 250 gr 16 roll 13,500.00 216,000.00
Leukoplast 30 roll 48,000.00 1,440,000.00
Alkohol swab 10 box 10,500.00 105,000.00
Blood lancet 10 box 16,000.00 160,000.00
Nad hecting seme 21 mani 2 lusin 123,000.00 246,000.00
Nad hecting GR 10 2 lusin 123,000.00 246,000.00
BMHP Gigi 10,965,500.00

Fuji IX GP 1-1 A2 1 Botol 781,000.00 781,000.00
Fuji IX GP 1-1 # Extra A-3 1 Botol 781,000.00 781,000.00
Calcium Hydroxide 2 Tube 205,000.00 410,000.00
Dentin Conditioner MP 6 gr 2 Botol 270,000.00 540,000.00
Formocressol 1 Botol 55,000.00 55,000.00
Celluloid Svenska 3 Roll 150,000.00 450,000.00
Articulating Paper Partial DC 2 Full/6pcs 275,000.00 550,000.00
Cotton Roll 5 Bungkus 242,000.00 1,210,000.00
Dappen Disk 2 Pcs 15,000.00 30,000.00
Alveogyl 1 Botol 440,000.00 440,000.00
Caviton White 1 Box 155,000.00 155,000.00
Oco 3 Box 140,000.00 420,000.00
Hemospon isi 10 3 Box 90,000.00 270,000.00
Rockles 1 Botol 643,500.00 643,500.00
Eugenol 2 Botol 60,500.00 121,000.00
CHKM 2 Botol 58,000.00 116,000.00
Fuji II 2 Botol 781,000.00 1,562,000.00
cresophate 1 Botol 280,000.00 280,000.00
Diamond bor 2 set 600,000.00 1,200,000.00
Bor Polish 2 set 33,000.00 66,000.00
Suction 5 pcs 55,000.00 275,000.00
Pelumas Hand pice (pana spray) 1 Botol 500,000.00 500,000.00
Belanja Bahan Kimia 24,434,000.00

Belanja Bahan Kimia Labor/Reagen 24,434,000.00
Reagen control 4 btl 889,000.00 3,556,000.00
Glukose (easy touch) 60 box 90,000.00 5,400,000.00
Uric Acid (easy Touch) 10 box 92,000.00 920,000.00
Cholesterol (easy Touch) 40 box 162,000.00 6,480,000.00
Anti Sera Gol darah A 2 box 95,000.00 190,000.00
Anti Sera Gol darah B 2 box 95,000.00 190,000.00
Tes Kehamilan 5 box 110,000.00 550,000.00
Benedict 15 btl 57,000.00 855,000.00
HCL 0,1 6 btl 32,000.00 192,000.00
Asam Asetat 6 btl 52,000.00 312,000.00
BaCl2 10% 2 btl 77,000.00 154,000.00
Fouchet 1 btl 327,000.00 327,000.00
Stik HB Family Dr 5 box 350,000.00 1,750,000.00
giemsa 100 ml 1 btl 530,000.00 530,000.00
metanol 1 liter 2 btl 77,000.00 154,000.00
urine analisa celup 11 parameter 1 pkt 410,000.00 410,000.00
urine analisa celup 3 parameter 3 ktk 88,000.00 264,000.00
Ziehl nelsen 1 100ml 400,000.00 400,000.00
mountux tes tb 2 ktk 900,000.00 1,800,000.00
Belanja Bahan Pendukung Pelaksanaan Kegiatan 6,420,000.00
plastik obat ukuran 7 x10 35 pak 100,000.00 3,500,000.00
plastik obat ukuran 10 x15 2 pak 160,000.00 320,000.00
Belanja Jasa Kantor 44,075,000.00

Belanja Surat Kabar/Majalah 1,200,000.00
Belanja Koran 12 bln 100,000.00 1,200,000.00
Belanja Kawat/Faksimili/Internet 9,000,000.00

Belanja Pemakaian Internet Bulanan 12 bln 750,000.00 9,000,000.00
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 8,400,000.00

Servis Laptop, Komputer dan Printer 24 kl 150,000.00 3,600,000.00
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 1,000,000.00 1,000,000.00
Pemeliharaan Meubiler 1 pkt 3,800,000.00 3,800,000.00
Belanja Jasa Publikasi 1,475,000.00

leafet 1 paket 500,000.00 500,000.00
Spanduk 15 meter 65,000.00 975,000.00
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 9,000,000.00

Perbaikan dan servis alat-alat kedokteran/laboratorium 10 kl 800,000.00 8,000,000.00
Belanja suku cadang 1 paket 1,000,000.00 1,000,000.00
Belanja Jasa Biaya Non Kapitasi 15,000,000.00

Pemeriksaan IVA 162 pkt 25,000.00 4,050,000.00
Pemeriksaan gula darah 50 pkt 20,000.00 1,000,000.00
Pemeriksaan ANC 10 pkt 200,000.00 2,000,000.00
Pemeriksaan PNC 60 pkt 25,000.00 1,500,000.00
Pemasangan KB/IUD/Implan 10 pkt 100,000.00 1,000,000.00
Suntik KB sekali 3 bulan 130 pkt 15,000.00 1,950,000.00
Protesa gigi 1 pkt 1,000,000.00 1,000,000.00
Belanja Cetak dan Penggandaan 17,140,000.00
Belanja Cetak 10,000,000.00

Cetak blanko 1 paket 10,000,000.00 10,000,000.00
Belanja Penggandaan 7,140,000.00

Fotocopy kapitasi 25800 lbr 250.00 6,450,000.00
Jilid 46 bh 15,000.00 690,000.00
Belanja Sewa Perlengkapan dan Peralatan Kantor 8,400,000.00

Sewa Pemusnahan Sampah Medis 400 kg 21,000.00 8,400,000.00
Belanja makanan dan minuman 1,000,000.00

Belanja makanan dan minuman tamu 1,000,000.00
Snack 20 porsi 20,000.00 400,000.00
Nasi 20 porsi 30,000.00 600,000.00
Belanja Perjalanan Dinas 25,800,000.00

Belanja Perjalanan Dinas Luar Daerah 25,800,000.00
Tiket pesawat PP 2 org 6,000,000.00 12,000,000.00
Gol IV(1orngx1klx5hr) 6,900,000.00
Uang harian 5 hr 600,000.00 3,000,000.00
Uang penginapan 4 hr 850,000.00 3,400,000.00
Biaya taxi 1 pkt 500,000.00 500,000.00
Gol III(1orngx1klx5hr) 6,900,000.00
Uang harian 5 hr 600,000.00 3,000,000.00
Uang penginapan 4 hr 850,000.00 3,400,000.00
Biaya taxi 1 pkt 500,000.00 500,000.00
Belanja Kursus, Pelatihan, Sosialisasi, Bimbingan Teknis

PNS 3,000,000.00
Belanja Kepesertaan 1 pkt 3,000,000.00 3,000,000.00
Belanja Pemeliharaan 26,581,100.00
Belanja Pemeliharaan Gedung kantor dan halaman 1 paket 26,581,100.00 26,581,100.00
Belanja Jasa Pelayanan 410,669,500.00

Belanja Jasa Pelayanan Puskesmas 1 paket 410,669,500.00 410,669,500.00
5 2 3 Belanja Modal 32,296,850.00

5 2 3 41 Belanja Modal Badan Layanan Umum Daerah 32,296,850.00
5 2 3 41 01 Belanja Modal BLUD 32,296,850.00
5 2 3 41 01 07 Belanja Modal Puskesmas Rawang 32,296,850.00
Belanja Modal Pengadaan Alat-Alat Bengkel 500,000.00

Belanja Modal Pengadaan Pompa Air 1 unit 500,000.00 500,000.00
Belanja Modal Pengadaan Peralatan Kantor 9,350,000.00

Belanja Modal Pengadaan Tabung Pemadam Kebakaran 1 unit 550,000.00 550,000.00
Belanja Modal Pengadaan Neon Box 1 unit 8,800,000.00 8,800,000.00
Belanja Modal Pengadaan Perlengkapan Kantor 500,000.00

Belanja Modal Pengadaan Kotak Saran 1 unit 500,000.00 500,000.00
Belanja Modal Pengadaan Komputer 6,900,000.00

Belanja Modal Pengadaan komputer 1 unit 6,900,000.00 6,900,000.00
Belanja Modal Pengadaan Mebeulair 1,900,000.00

Belanja Modal Pengadaan Meja Komputer 1 unit 1,900,000.00 1,900,000.00
Belanja Modal Pengadaan Alat-Alat Kedokteran 9,546,850.00

Belanja Modal Pengadaan Alat-Alat Kedokteran umum 9,305,000.00
Belanja modal pengadaan tensimeter anak 1 unit 600,000.00 600,000.00
Belanja modal pengadaan tensimeter digital 3 unit 1,300,000.00 3,900,000.00
Belanja modal pengadaan stetoskop 1 unit 400,000.00 400,000.00
Belanja modal pengadaan forceps aligator telinga 1 unit 165,000.00 165,000.00
Belanja modal pengadaan otoskop 1 unit 1,450,000.00 1,450,000.00
Belanja modal pengadaan doppler 1 unit 1,500,000.00 1,500,000.00
Belanja modal pengadaan reflex hammer 1 unit 35,000.00 35,000.00
Belanja modal pengadaan tas p3k 1 unit 800,000.00 800,000.00
Belanja modal pengadaan timbangan dewasa 2 unit 165,000.00 330,000.00
Belanja modal pengadaan penlight 5 unit 25,000.00 125,000.00
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 241,850.00

Plastik Instrumen 1 Pcs 241,850.00 241,850.00
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 3,600,000.00

Belanja modal pengadaan Micro pipet 5 ul 1 bh 650,000.00 650,000.00
Belanja modal pengadaan Micro pipet 1-100 ul 1 bh 1,000,000.00 1,000,000.00
-
Jumlah 695,400,000.00
Padang, 2017
Mengetahui
Direktur BLUD Puskesmas Kota Padang Kepala Puskesmas Rawang
dr. Ratna Sari dr. Lisa Hikmah

NIP. 19750412 2008801 2 005 NIP. 19821229 200803 2001
3,391,491,029
3350267864
41,223,165
catatan
spritus 6 btl 50000
aquades 1 liter 1 btl 50000
alkohol 1liter 3 btl 50000
dari reagen pindah ke bmhp

32296850
-
TAHUN ANGGARAN 2017


Kegiatan : 1.02.1.02.01.35.01 Pelayanan Badan Layanan Umum Daerah (BLUD)
Lokasi kegiatan : Puskesmas Rawang Kecamatan Padang Selatan Kelurahan : 3, Pustu : 2, Poskeskel : 1
Jumlah Tahun n-1 : Rp.931.281.898,00
Jumlah Tahun n : Rp.695.400.000,00
Jumlah tahun n+1 : Rp.764.940.000,00
Capaian Program Tercapainya pengembangan dan peningkatan pelayanan kesehatan 12 bulan
masyarakat di Puskesmas Rawang
Masukan Jumlah dana yang dibutuhkan Rp. 695.400.000
Hasil Meningkatnya pelayanan kesehatan masyarakat di Puskesmas Rawang
Kelompok Sasaran kegiatan : Puskesmas Rawang Kecamatan Padang Selatan Kelurahan : 3, Pustu : 2, Poskeskel : 1

Rincian Perhitungan
Kode Rekening Uraian Jumlah
Volume Satuan Harga Satuan
1 2 3 4 5 6 = (3 x 5)
5 2 BELANJA LANGSUNG 695,400,000.00
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD) -
5 2 1 05 01 Belanja Pegawai BLUD -
5 2 2 Belanja Barang
Belanja Barang dan
dan Jasa
Jasa Badan Layanan Umum Daerah 663,103,150.00
5 2 2 31 (BLUD) 663,103,150.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 663,103,150.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 663,103,150.00
Belanja Bahan Pakai Habis 89,993,150.00
Belanja Alat Tulis Kantor 71,687,600.00

Binder Clip no 107 1 pak 66,600.00 66,600.00
Binder Clip no. 260 5 pak 310,800.00 1,554,000.00
Box file 31 bh 25,000.00 775,000.00
Buku Folio Isi 100 40 bh 24,000.00 960,000.00
Buku Folio Isi 200 20 bh 40,000.00 800,000.00
Buku tulis isi 40 25 kodi 67,200.00 1,680,000.00
Buku tulis isi 100 12 bh 14,000.00 168,000.00
Catridge hitam canon 23 bh 285,000.00 6,555,000.00
Catridge warna canon 10 bh 345,000.00 3,450,000.00
Isi Hecter no 10 6 pak 38,400.00 230,400.00
Kertas HVS F4 80 rim 51,000.00 4,080,000.00
Kertas HVS A4 50 rim 49,200.00 2,460,000.00
Lakban 1,5 inc 7 rol 16,800.00 117,600.00
Lem Kertas 5 bh 12,000.00 60,000.00
map gobi folio uk besar 10 bh 21,000.00 210,000.00
Map gobi folio uk sedang 10 bh 19,500.00 195,000.00
Map spring file lubang 8 lusin 86,400.00 691,200.00
Map stopmap biola isi 50 lbr 10 lusin 144,000.00 1,440,000.00
Map business file 20 lusin 60,000.00 1,200,000.00
Paper Clip 30 pak kecil 5,000.00 150,000.00
Paper Clip No 5 2 pak 56,400.00 112,800.00
Pencil case 5 tingkat 5 bh 30,000.00 150,000.00
Penggaris Besi 15 bh 12,000.00 180,000.00
Map spring file jepit 300 lusin 86,400.00 25,920,000.00
Spidol permanen 15 kotak 114,000.00 1,710,000.00
Spidol Whiteboard 3 kotak 115,200.00 345,600.00
Stopmap folio kertas 5 pak 40,000.00 200,000.00
Tinta e print hitam botol 13 btl 60,000.00 780,000.00
Tinta e print warna botol 15 btl 60,000.00 900,000.00
Tinta Stempel 5 tb 13,200.00 66,000.00
Tipe X 31 bh 10,800.00 334,800.00
Plastik Kit Inventaris Ruangan 20 bh 2,800.00 56,000.00
Micro display isi 40 20 bh 50,000.00 1,000,000.00
Stempel Tanggal 5 bh 25,000.00 125,000.00
MAP Bantek 50 bh 50,000.00 2,500,000.00
Plastik Bantex 50 Ktk 185,000.00 9,250,000.00
Stiker Label Kecil 5 bgks 20,000.00 100,000.00
Push pin 27 ktk 5,000.00 135,000.00
Stik note kecil 20 buah 12,500.00 250,000.00
Belanja Alat Listrik dan Elektronik 2,574,800.00

Belanja Alat Listrik 1 pkt 1,500,000.00 1,500,000.00
baterai AA Panasonic 10 pak 39,600.00 396,000.00
baterai AAA Panasonic 6 pak 79,800.00 478,800.00
baterai petak 1 paket 200,000.00 200,000.00
Belanja Perangko, Materai dan Benda Pos Lainnya 450,000.00

Materai 3000 100 bh 3,000.00 300,000.00
Materai 6000 25 bh 6,000.00 150,000.00
Belanja Peralatan Kebersihan dan Bahan Pembersih 11,172,900.00

Alat pel lantai 10 bh 60,000.00 600,000.00
Cairan pembersih kamar mandi WIPOL 18 bh 26,400.00 475,200.00
Cairan pembersih keramik VIXAL 12 bh 18,000.00 216,000.00
Cairan Pembersih lantai SUPERPELL 17 bh 18,600.00 316,200.00
Canebo 20 bh 60,000.00 1,200,000.00
Detergen 9 bh 18,500.00 166,500.00
Handsoap cair Refill 25 btl 34,200.00 855,000.00
plastik ukuran menengah 25 pak 35,000.00 875,000.00
Keset kaki beludru 2 bh 54,000.00 108,000.00
Keset kaki kamar mandi karet hitam lobang 3 bh 55,000.00 165,000.00
Kemoceng 6 bh 26,400.00 158,400.00
Lap Tangan silungkang 6 bh 5,000.00 30,000.00
Obat nyamuk semprot 6 bh 60,000.00 360,000.00
Pendorong air 5 bh 100,000.00 500,000.00
Pengharum ruangan refill otomatis stella 12 bh 45,000.00 540,000.00
Pengharum ruangan gantung 6 bh 18,600.00 111,600.00
Plastik sampah hitam besar 20 kg 70,000.00 1,400,000.00
Plastik sampah hitam besar lebar 10 kg 70,000.00 700,000.00
Plastik sampah medis (plastik kuning) 5 kg 63,000.00 315,000.00
Sabun cuci piring 15 bh 22,200.00 333,000.00
Sapu plastik tebal 15 bh 54,000.00 810,000.00
Sapu lidi 2 bh 12,000.00 24,000.00
Serokan sampah 4 bh 21,000.00 84,000.00
Tissu refill 40 bh 16,200.00 648,000.00
Tissu gulung 6 bh 12,000.00 72,000.00
Cangkul 1 bh 110,000.00 110,000.00
Belanja Pengisian Tabung Oksigen 717,850.00

Pengisian Tabung Oksigen 1 paket 717,850.00 717,850.00
Belanja Taplak Meja / Bendera / Umbul-Umbul 390,000.00

Belanja taplak meja 200x135 1 buah 150,000.00 150,000.00
taplak meja ukuran 120x120 6 buah 40,000.00 240,000.00
Belanja Gorden / Vertical Blind 3,000,000.00

Gorden 1 paket 3,000,000.00 3,000,000.00
Belanja Bahan/Material 86,161,100.00
Belanja Bahan Obat-Obatan 33,286,000.00

Obat 1 paket 5,000,000.00 5,000,000.00
BMHP 1 paket 28,286,000 28,286,000.00
17,335,500.00
Alkohol 70% 1 liter 12 botol 28,000.00 336,000.00
Alkohol 70% 100 cc 10 botol 15,000.00 150,000.00
Plesterin bulat 5 box 35,000.00 175,000.00
Syeringe disposible 2,5 cc 20 box 70,000.00 1,400,000.00
Syringe disposible 3 cc 5 box 52,000.00 260,000.00
IV catheter 18 G 1 pcs 8,500.00 8,500.00
IV catheter 20 G 1 pcs 8,000.00 8,000.00
IV catheter 22 G 1 pcs 12,000.00 12,000.00
IV catheter 24 G 1 pcs 15,000.00 15,000.00
Infuset dewasa 3 pcs 3,400.00 10,200.00
infuset anak 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6 5 box 367,000.00 1,835,000.00
Safeglove surgical steril no 6.5 25 box 367,000.00 9,175,000.00
Kasa Hydrofil 16 x16 16 box 8,400.00 134,400.00
Kasa Hydrofil 40 x 80 4 roll 120,000.00 480,000.00
kasa 4 x 15 100 roll 2,300.00 230,000.00
kasa 4 x 5 20 roll 800.00 16,000.00
Kapas 250 gr 16 roll 13,500.00 216,000.00
Leukoplast 30 roll 48,000.00 1,440,000.00
Alkohol swab 10 box 10,500.00 105,000.00
Blood lancet 10 box 16,000.00 160,000.00
Nald hecting seme 21 mani 2 lusin 123,000.00 246,000.00
Nald Hecting GR 10 2 lusin 123,000.00 246,000.00
kertas hematology analizer 2 gulung 85,000.00 170,000.00
kertas parafilm 1 gulung 500,000.00 500,000.00
Bahan Gigi 10,950,500.00

Fuji IX GP 1-1 A2 1 Botol 781,000.00 781,000.00
Fuji IX GP 1-1 # Extra A-3 1 Botol 781,000.00 781,000.00
Calcium Hydroxide 2 Tube 205,000.00 410,000.00
Dentin Conditioner MP 6 gr 2 Botol 270,000.00 540,000.00
Celluloid Svenska 3 Roll 150,000.00 450,000.00
Articulating Paper Partial DC 2 Full/6pcs 275,000.00 550,000.00
Cotton Roll 5 Bungkus 242,000.00 1,210,000.00
Dappen Disk 1 Pcs 15,000.00 15,000.00
Alveogyl 1 Botol 440,000.00 440,000.00
Caviton White 1 Box 155,000.00 155,000.00
Oco 3 Box 140,000.00 420,000.00
Hemospon isi 10 3 Box 90,000.00 270,000.00
Rockles 1 Botol 643,500.00 643,500.00
Eugenol 2 Botol 60,500.00 121,000.00
CHKM 2 Botol 58,000.00 116,000.00
Fuji II 2 Botol 781,000.00 1,562,000.00
cresophate 1 Botol 280,000.00 280,000.00
Diamond bor 2 set 600,000.00 1,200,000.00
Bor Polish 2 set 33,000.00 66,000.00
Suction 5 pcs 55,000.00 275,000.00
Pelumas Hand pice (pana spray) 1 Botol 500,000.00 500,000.00
Belanja Bahan Kimia 40,325,000.00

Belanja Bahan Kimia Labor/Reagen 40,325,000.00
Reagen control 3 btl 889,000.00 2,667,000.00
Diluent lab geo 1 pkt 3,020,000.00 3,020,000.00
Cleaner lab geo 1 pkt 2,420,000.00 2,420,000.00
Lyse lab geo 1 pkt 3,630,000.00 3,630,000.00
Glukose (easy touch) 60 box 90,000.00 5,400,000.00
Uric Acid (easy Touch) 20 box 92,000.00 1,840,000.00
Cholesterol (easy Touch) 60 box 162,000.00 9,720,000.00
Anti Sera Gol darah A 2 box 95,000.00 190,000.00
Anti Sera Gol darah B 2 box 95,000.00 190,000.00
Tes Kehamilan 5 box 110,000.00 550,000.00
Benedict 15 btl 57,000.00 855,000.00
HCL 0,1 6 btl 32,000.00 192,000.00
Asam Asetat 6 btl 52,000.00 312,000.00
BaCl2 10% 2 btl 77,000.00 154,000.00
Fouchet 1 btl 327,000.00 327,000.00
Stik HB Family Dr 10 box 350,000.00 3,500,000.00
giemsa 100 ml 1 btl 530,000.00 530,000.00
metanol 1 liter 2 btl 77,000.00 154,000.00
urine analisa celup 11 parameter 1 pkt 410,000.00 410,000.00
urine analisa celup 3 parameter 3 ktk 88,000.00 264,000.00
Ziehl nelsen 1 100ml 400,000.00 400,000.00
mountux tes tb 4 ktk 900,000.00 3,600,000.00
Bahan Perlengkapan Pasien 1,065,100.00

laken / bantal / seprai / perlak 1 paket 1,065,100.00 1,065,100.00
Belanja Bahan Pendukung Pelaksanaan Kegiatan 11,485,000.00

sendok obat 5 pak 35,000.00 175,000.00
Belanja Jasa Kantor 46,075,000.00

Belanja Surat Kabar/Majalah 1,200,000.00
Belanja Koran 12 bln 100,000.00 1,200,000.00
Belanja Kawat/Faksimili/Internet 9,000,000.00
Belanja Pemakaian Internet Bulanan 12 bln 750,000.00 9,000,000.00
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 7,350,000.00

Servis Laptop, Komputer dan Printer 17 kl 150,000.00 2,550,000.00
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 1,000,000.00 1,000,000.00
Pemeliharaan Meubiler 1 pkt 3,800,000.00 3,800,000.00
Belanja Jasa Publikasi 1,475,000.00

Spanduk 15 meter 65,000.00 975,000.00
Leaflet 1 paket 500,000.00 500,000.00
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 12,050,000.00

Perbaikan dan servis alat-alat kedokteran/laboratorium 1 paket 11,050,000.00 11,050,000.00
Belanja suku cadang 1 paket 1,000,000.00 1,000,000.00
Belanja Jasa Biaya Non Kapitasi 15,000,000.00

Pemeriksaan IVA 162 pkt 25,000.00 4,050,000.00
Pemeriksaan gula darah 50 pkt 20,000.00 1,000,000.00
Pemeriksaan PNC 60 pkt 25,000.00 1,500,000.00
Pemasangan KB/IUD/Implan 10 pkt 100,000.00 1,000,000.00
Suntik KB sekali 3 bulan 130 pkt 15,000.00 1,950,000.00
Protesa gigi 1 pkt 1,000,000.00 1,000,000.00
Belanja Cetak dan Penggandaan 15,140,000.00
Belanja Cetak 9,190,000.00

Cetak blanko 1 paket 9,190,000.00 9,190,000.00
Belanja Penggandaan 5,950,000.00

Fotocopy kapitasi 22600 lbr 250.00 5,650,000.00
jilid 20 bh 15,000.00 300,000.00
Belanja Sewa Perlengkapan dan Peralatan Kantor 8,400,000.00

Sewa Pemusnahan Sampah Medis 400 kg 21,000.00 8,400,000.00
Belanja Kursus, Pelatihan, Sosialisasi, Bimbingan Teknis PNS 3,000,000.00

Belanja Kepesertaan 1 pkt 3,000,000.00 3,000,000.00
Belanja Pemeliharaan 18,000,000.00

Belanja Pemeliharaan Gedung kantor dan halaman 1 paket 18,000,000.00 18,000,000.00
Belanja Jasa Pelayanan 396,333,900.00

Belanja Jasa Pelayanan Puskesmas 1 paket 396,333,900.00 396,333,900.00
5 2 3 Belanja Modal 32,296,850.00

5 2 3 41 Belanja Modal Badan Layanan Umum Daerah 32,296,850.00
5 2 3 41 01 Belanja Modal BLUD 32,296,850.00
5 2 3 41 01 07 Belanja Modal Puskesmas Rawang 32,296,850.00
Belanja Modal Pengadaan Alat-Alat Bengkel 700,000.00
Belanja Modal Pengadaan Pompa Air 1 unit 700,000.00 700,000.00
Belanja Modal Pengadaan Peralatan Kantor 8,800,000.00

Belanja Modal Pengadaan Neon Box 1 unit 8,800,000.00 8,800,000.00
Belanja Modal Pengadaan Perlengkapan Kantor 500,000.00

Belanja Modal Pengadaan Kotak Saran 1 unit 500,000.00 500,000.00
Belanja Modal Pengadaan Komputer 6,900,000.00

Belanja Modal Pengadaan komputer 1 unit 6,900,000.00 6,900,000.00
Belanja Modal Pengadaan Mebeulair 1,900,000.00

Belanja Modal Pengadaan Meja Komputer 1 unit 1,900,000.00 1,900,000.00
Belanja Modal Pengadaan Alat-Alat Kedokteran 9,896,850.00

Belanja Modal Pengadaan Alat-Alat Kedokteran umum 9,696,850.00
Belanja modal pengadaan tensimeter anak 1 unit 600,000.00 600,000.00
Belanja modal pengadaan tensimeter digital 3 unit 1,300,000.00 3,900,000.00
Belanja modal pengadaan stetoskop 1 unit 400,000.00 400,000.00
Belanja modal pengadaan forceps aligator telinga 1 unit 165,000.00 165,000.00
Belanja modal pengadaan otoskop 1 unit 1,450,000.00 1,450,000.00
Belanja modal pengadaan reflex hammer 1 unit 35,000.00 35,000.00
Belanja modal pengadaan tas p3k 1 unit 1,106,850.00 1,106,850.00
Belanja modal pengadaan timbangan dewasa 6 unit 165,000.00 990,000.00
Belanja modal pengadaan penlight 5 unit 210,000.00 1,050,000.00
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 200,000.00

Belanja modal pengadaan plastik instrumen 1 unit 200,000.00 200,000.00

Belanja modal pengadaan Micro pipet 1-100 ul 1 bh 1,000,000.00 1,000,000.00
-
Jumlah 695,400,000.00
Padang, 2017
Mengetahui
Direktur BLUD Puskesmas Kota Padang Kepala Puskesmas Rawang
dr. Ratna Sari dr. Lisa Hikmah

NIP. 19750412 2008801 2 005 NIP. 19821229 200803 2001
3,391,491,029
3350267864
41,223,165
catatan
spritus 6 btl 50000
aquades 1 liter 1 btl 50000
alkohol 1liter 3 btl 50000
dari reagen pindah ke bmhp

32296850
-
TAHUN ANGGARAN 2017


Jumlah Tahun n-1 : Rp. 931.281.898,00
Jumlah Tahun n : Rp. 695.400.000,00
Jumlah tahun n+1 : Rp. 764.940.000,00
Masukan Jumlah dana yang dibutuhkan Rp. 695.400.000,00


Jumlah Jumlah Bertambah/Berku
Volume Satuan Harga Satuan Volume Satuan Harga Satuan rang
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 1 05 Belanja Pegawai Badan Layanan Umum Daerah (BLUD)
5 2 1 05 01 Belanja Pegawai BLUD
5 2 2 Belanja Barang dan Jasa 663,103,150 663,103,150.00

5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 663,103,150 663,103,150.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 663,103,150 663,103,150.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 663,103,150 663,103,150.00
Belanja Bahan Pakai Habis 62,952,550 62,952,550.00 -
Belanja Alat Tulis Kantor 50,440,600 50,440,600.00 -
Amplop Putih besar no. 90 2 kotak 22,800 45,600 2 kotak 22,800.00 45,600.00 -
Binder Clip no 107 1 pak 66,600 66,600 1 pak 66,600.00 66,600.00 -
Binder Clip no. 155 1 pak 126,000 126,000 1 pak 126,000.00 126,000.00 -
Binder Clip no. 260 1 pak 310,800 310,800 1 pak 310,800.00 310,800.00 -
Box file 26 bh 25,000 650,000 26 bh 25,000.00 650,000.00 -
Buku Folio Isi 100 40 bh 24,000 960,000 40 bh 24,000.00 960,000.00 -
Buku tulis isi 40 25 kodi 67,200 1,680,000 25 kodi 67,200.00 1,680,000.00 -
Buku tulis isi 100 12 bh 14,000 168,000 12 bh 14,000.00 168,000.00 -
Catridge hitam canon 16 bh 285,000 4,560,000 16 bh 285,000.00 4,560,000.00 -
Catridge warna canon 16 bh 345,000 5,520,000 16 bh 345,000.00 5,520,000.00 -
Isi Hecter no 10 3 pak 38,400 115,200 3 pak 38,400.00 115,200.00 -
Kertas HVS F4 80 rim 51,000 4,080,000 80 rim 51,000.00 4,080,000.00 -
Kertas HVS A4 4 rim 49,200 196,800 4 rim 49,200.00 196,800.00 -
Lakban 1,5 inc 7 rol 16,800 117,600 7 rol 16,800.00 117,600.00 -
Lem Kertas 5 bh 12,000 60,000 5 bh 12,000.00 60,000.00 -
map gobi folio uk besar 10 bh 21,000 210,000 10 bh 21,000.00 210,000.00 -
Map gobi folio uk sedang 10 bh 19,500 195,000 10 bh 19,500.00 195,000.00 -
Map spring file lubang 8 lusin 86,400 691,200 8 lusin 86,400.00 691,200.00 -
Map stopmap biola isi 50 lbr 3 lusin 144,000 432,000 3 lusin 144,000.00 432,000.00 -
Map business file 10 lusin 60,000 600,000 10 lusin 60,000.00 600,000.00 -
Paper Clip 15 pak kecil 5,000 75,000 15 pak kecil 5,000.00 75,000.00 -
Paper Clip no.5 1 pak 56,400 56,400 1 pak 56,400.00 56,400.00 -
Pencil case 5 tingkat 5 bh 30,000 150,000 5 bh 30,000.00 150,000.00 -
Penggaris Besi 15 bh 12,000 180,000 15 bh 12,000.00 180,000.00 -
Map spring file jepit 280 lusin 86,400 24,192,000 280 lusin 86,400.00 24,192,000.00 -
Spidol permanen 10 kotak 114,000 1,140,000 10 kotak 114,000.00 1,140,000.00 -
Spidol Whiteboard 3 kotak 115,200 345,600 3 kotak 115,200.00 345,600.00 -
Stopmap folio kertas 5 pak 40,000 200,000 5 pak 40,000.00 200,000.00 -
Tinta e print hitam botol 13 btl 60,000 780,000 13 btl 60,000.00 780,000.00 -
Tinta e print warna botol 15 btl 60,000 900,000 15 btl 60,000.00 900,000.00 -
Tinta Stempel 5 tb 13,200 66,000 5 tb 13,200.00 66,000.00 -
Tipe X 31 bh 10,800 334,800 31 bh 10,800.00 334,800.00 -
Plastik Kit Inventaris Ruangan 20 bh 2,800 56,000 20 bh 2,800.00 56,000.00 -
Micro display isi 40 8 bh 50,000 400,000 8 bh 50,000.00 400,000.00 -
-
Belanja Alat Listrik dan Elektronik 2,574,800 2,574,800.00 -
Belanja Alat Listrik 1 pkt 1,500,000 1,500,000 1 pkt 1,500,000.00 1,500,000.00 -
-
Materai 3000 100 bh 3,000 300,000 100 bh 3,000.00 300,000.00 -
Materai 6000 25 bh 6,000 150,000 25 bh 6,000.00 150,000.00 -
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 8,397,900 8,397,900.00 -
Alat pel lantai 10 bh 60,000 600,000 10 bh 60,000.00 600,000.00
Cairan pembersih kamar mandi WIPOL 18 bh 26,400 475,200 18 bh 26,400.00 475,200.00 -
Cairan pembersih keramik VIXAL 12 bh 18,000 216,000 12 bh 18,000.00 216,000.00 -
Cairan Pembersih lantai SUPERPELL 17 bh 18,600 316,200 17 bh 18,600.00 316,200.00
Canebo 10 bh 60,000 600,000 10 bh 60,000.00 600,000.00 -
Detergen 9 bh 18,500 166,500 9 bh 18,500.00 166,500.00 -
Handsoap cair Refill 20 btl 34,200 684,000 20 btl 34,200.00 684,000.00 -
plastik ukuran menengah 20 pak 35,000 700,000 20 pak 35,000.00 700,000.00
Keset kaki beludru 2 bh 54,000 108,000 2 bh 54,000.00 108,000.00 -
Keset kaki kamar mandi karet hitam lobang 3 bh 55,000 165,000 3 bh 55,000.00 165,000.00 -
Kemoceng 6 bh 26,400 158,400 6 bh 26,400.00 158,400.00 -
Lap Tangan silungkang 6 bh 5,000 30,000 6 bh 5,000.00 30,000.00 -
Obat nyamuk semprot 6 bh 60,000 360,000 6 bh 60,000.00 360,000.00 -
Pendorong air 5 bh 100,000 500,000 5 bh 100,000.00 500,000.00 -
Pengharum ruangan refill otomatis stella 12 bh 45,000 540,000 12 bh 45,000.00 540,000.00 -
Pengharum ruangan gantung 6 bh 18,600 111,600 6 bh 18,600.00 111,600.00 -
Plastik sampah hitam besar 8 kg 70,000 560,000 8 kg 70,000.00 560,000.00 -
Plastik sampah hitam besar lebar 4 kg 70,000 280,000 4 kg 70,000.00 280,000.00 -
Plastik sampah medis (plastik kuning) 2 kg 63,000 126,000 2 kg 63,000.00 126,000.00 -
Sabun cuci piring 15 bh 22,200 333,000 15 bh 22,200.00 333,000.00 -
Sapu plastik tebal 10 bh 54,000 540,000 10 bh 54,000.00 540,000.00 -
Serokan sampah 4 bh 21,000 84,000 4 bh 21,000.00 84,000.00 -
Sapu lidi 2 bh 12,000 24,000 2 bh 12,000.00 24,000.00 -
Tissu refill 40 bh 16,200 648,000 40 bh 16,200.00 648,000.00 -
Tissu gulung 6 bh 12,000 72,000 6 bh 12,000.00 72,000.00 -
-
Belanja Pengisian Tabung Oksigen 699,250 699,250.00 -
Pengisian Tabung Oksigen 1 paket 699,250 699,250 1 paket 699,250.00 699,250.00 -
-
Belanja Taplak Meja / Bendera / Umbul-Umbul 390,000 390,000.00 -
Belanja taplak meja 200x135 1 buah 150,000 150,000 1 buah 150,000.00 150,000.00 -
taplak meja ukuran 120x120 6 buah 40,000 240,000 6 buah 40,000.00 240,000.00 -
-
Belanja Bahan/Material 63,485,000 63,485,000.00 -
-
Belanja Obat-obatan 1 paket 5,000,000 5,000,000 1 paket 5,000,000.00 5,000,000.00 -
-
Belanja Bahan Obat-Obatan 27,631,000 27,631,000.00 -
BMHP 16,665,500 16,665,500.00 -
Alkohol 70% 1 liter 12 botol 28,000 336,000 12 botol 28,000.00 336,000.00 -
Alkohol 70% 100 cc 10 botol 15,000 150,000 10 botol 15,000.00 150,000.00 -
Plesterin bulat 5 box 35,000 175,000 5 box 35,000.00 175,000.00 -
Syeringe disposible 2,5 cc 20 box 70,000 1,400,000 20 box 70,000.00 1,400,000.00 -
Syringe disposible 3 cc 5 box 52,000 260,000 5 box 52,000.00 260,000.00 -
IV catheter 18 G 1 pcs 8,500 8,500 1 pcs 8,500.00 8,500.00 -
IV catheter 22 G 1 pcs 12,000 12,000 1 pcs 12,000.00 12,000.00
IV catheter 24 G 1 pcs 15,000 15,000.00 1 pcs 15,000.00 15,000.00 -
Infuset dewasa 3 pcs 3,400 10,200.00 3 pcs 3,400.00 10,200.00 -
infuset anak 2 pcs 3,700 7,400.00 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6 5 box 367,000 1,835,000.00 5 box 367,000.00 1,835,000.00 -
Safeglove surgical steril no 6.5 25 box 367,000 9,175,000.00 25 box 367,000.00 9,175,000.00 -
Kasa Hydrofil 16 x16 16 box 8,400 134,400.00 16 box 8,400.00 134,400.00
Kasa Hydrofil 40 x 80 4 roll 120,000 480,000.00 4 roll 120,000.00 480,000.00 -
kasa 4 x 15 100 roll 2,300 230,000.00 100 roll 2,300.00 230,000.00 -
kasa 4 x 5 20 roll 800 16,000.00 20 roll 800.00 16,000.00
Kapas 250 gr 16 roll 13,500 216,000.00 16 roll 13,500.00 216,000.00 -
Leukoplast 30 roll 48,000 1,440,000.00 30 roll 48,000.00 1,440,000.00 -
Alkohol swab 10 box 10,500 105,000.00 10 box 10,500.00 105,000.00
BMHP Gigi 10,965,500.00 10,965,500.00 -

Fuji IX GP 1-1 A2 1 Botol 781,000 781,000.00 1 Botol 781,000.00 781,000.00 -
Fuji IX GP 1-1 # Extra A-3 1 Botol 781,000 781,000.00 1 Botol 781,000.00 781,000.00
Calcium Hydroxide 2 Tube 205,000 410,000.00 2 Tube 205,000.00 410,000.00 -
Dentin Conditioner MP 6 gr 2 Botol 270,000 540,000.00 2 Botol 270,000.00 540,000.00 -
Formocressol 1 Botol 55,000 55,000.00 1 Botol 55,000.00 55,000.00
Celluloid Svenska 3 Roll 150,000 450,000.00 3 Roll 150,000.00 450,000.00 -
Articulating Paper Partial DC 2 Full/6pcs 275,000 550,000.00 2 Full/6pcs 275,000.00 550,000.00 -
Cotton Roll 5 Bungkus 242,000 1,210,000.00 5 Bungkus 242,000.00 1,210,000.00 -
Dappen Disk 2 Pcs 15,000 30,000.00 2 Pcs 15,000.00 30,000.00 -
Alveogyl 1 Botol 440,000 440,000.00 1 Botol 440,000.00 440,000.00 -
Caviton White 1 Box 155,000.00 155,000.00 1 Box 155,000.00 155,000.00 -
Oco 3 Box 140,000.00 420,000.00 3 Box 140,000.00 420,000.00 -
Hemospon isi 10 3 Box 90,000.00 270,000.00 3 Box 90,000.00 270,000.00 -
Rockles 1 Botol 643,500.00 643,500.00 1 Botol 643,500.00 643,500.00 -
Eugenol 2 Botol 60,500.00 121,000.00 2 Botol 60,500.00 121,000.00 -
CHKM 2 Botol 58,000.00 116,000.00 2 Botol 58,000.00 116,000.00 -
Formocressol 2 Botol 55,000.00 110,000.00 2 Botol 55,000.00 110,000.00 -
Fuji II 2 Botol 781,000.00 1,562,000.00 2 Botol 781,000.00 1,562,000.00 -
cresophate 1 Botol 280,000.00 280,000.00 1 Botol 280,000.00 280,000.00 -
Diamond bor 2 set 600,000.00 1,200,000.00 2 set 600,000.00 1,200,000.00 -
Bor Polish 2 set 33,000.00 66,000.00 2 set 33,000.00 66,000.00 -
Suction 5 pcs 55,000.00 275,000.00 5 pcs 55,000.00 275,000.00 -
Pelumas Hand pice (pana spray) 1 Botol 500,000.00 500,000.00 1 Botol 500,000.00 500,000.00 -
-
Belanja Bahan Kimia 24,434,000.00 24,434,000.00 -
Belanja Bahan Kimia Labor/Reagen 24,434,000.00 24,434,000.00 -
Reagen control 4 btl 889,000.00 3,556,000.00 4 btl 889,000.00 3,556,000.00 -
Uric Acid (easy Touch) 10 box 92,000.00 920,000.00 10 box 92,000.00 920,000.00 -
Cholesterol (easy Touch) 40 box 162,000.00 6,480,000.00 40 box 162,000.00 6,480,000.00 -
Benedict 15 btl 57,000.00 855,000.00 15 btl 57,000.00 855,000.00 -
HCL 0,1 6 btl 32,000.00 192,000.00 6 btl 32,000.00 192,000.00 -
BaCl2 10% 2 btl 77,000.00 154,000.00 2 btl 77,000.00 154,000.00 -
Fouchet 1 btl 327,000.00 327,000.00 1 btl 327,000.00 327,000.00 -
giemsa 100 ml 1 btl 530,000.00 530,000.00 1 btl 530,000.00 530,000.00 -
metanol 1 liter 2 btl 77,000 154,000.00 2 btl 77,000.00 154,000.00 -
urine analisa celup 11 parameter 1 pkt 410,000 410,000.00 1 pkt 410,000.00 410,000.00 -
urine analisa celup 3 parameter 3 ktk 88,000 264,000.00 3 ktk 88,000.00 264,000.00 -
Ziehl nelsen 1 100ml 400,000 400,000.00 1 100ml 400,000.00 400,000.00 -
mountux tes tb 2 ktk 900,000 1,800,000.00 2 ktk 900,000.00 1,800,000.00 -
-
Belanja Bahan Pendukung Pelaksanaan Kegiatan 6,420,000.00 6,420,000.00 -
plastik obat ukuran 7 x10 35 pak 100,000 3,500,000.00 35 pak 100,000.00 3,500,000.00 -
plastik obat ukuran 8 x13 20 pak 130,000 2,600,000.00 20 pak 130,000.00 2,600,000.00 -
plastik obat ukuran 10 x15 2 pak 160,000 320,000.00 2 pak 160,000.00 320,000.00 -
-
Belanja Jasa Kantor 44,075,000.00 44,075,000.00 -
-
-
Servis Laptop, Komputer dan Printer 24 kl 150,000 3,600,000.00 24 kl 150,000.00 3,600,000.00 -
Belanja suku cadang Laptop, Komputer dan Printer 1 pkt 1,000,000 1,000,000.00 1 pkt 1,000,000.00 1,000,000.00 -
Pemeliharaan Meubiler 1 pkt 3,800,000 3,800,000.00 1 pkt 3,800,000.00 3,800,000.00 -
-
Belanja Jasa Publikasi 1,475,000.00 1,475,000.00 -
leafet 1 paket 500,000 500,000.00 1 paket 500,000.00 500,000.00 -
Spanduk 15 meter 65,000 975,000.00 15 meter 65,000.00 975,000.00 -
-
Perbaikan dan servis alat-alat kedokteran/laboratorium 10 kl 800,000 8,000,000.00 10 kl 800,000.00 8,000,000.00 -
Belanja suku cadang 1 paket 1,000,000 1,000,000.00 1 paket 1,000,000.00 1,000,000.00 -
-
-
-
Belanja Cetak 10,000,000.00 10,000,000.00 -
-
Fotocopy kapitasi 25800 lbr 250 6,450,000.00 25800 lbr 250.00 6,450,000.00 -
Jilid 46 bh 15,000 690,000.00 46 bh 15,000.00 690,000.00 -
-
Sewa Pemusnahan Sampah Medis 400 kg 21,000 8,400,000.00 400 kg 21,000.00 8,400,000.00 -
-
Belanja makanan dan minuman 1,000,000.00 1,000,000.00 -
Belanja makanan dan minuman tamu 1,000,000.00 1,000,000.00 -
Snack 20 porsi 20,000 400,000.00 20 porsi 20,000.00 400,000.00 -
Nasi 20 porsi 30,000 600,000.00 20 porsi 30,000.00 600,000.00 -
-
Belanja Perjalanan Dinas 25,800,000.00 25,800,000.00 -
Belanja Perjalanan Dinas Luar Daerah 25,800,000.00 25,800,000.00 -
Tiket pesawat PP 2 org 6,000,000 12,000,000.00 2 org 6,000,000.00 12,000,000.00 -
Gol IV(1orngx1klx5hr) 6,900,000.00 6,900,000.00 -
Uang harian 5 hr 600,000 3,000,000.00 5 hr 600,000.00 3,000,000.00 -
Uang penginapan 4 hr 850,000 3,400,000.00 4 hr 850,000.00 3,400,000.00 -
Biaya taxi 1 pkt 500,000 500,000.00 1 pkt 500,000.00 500,000.00 -
Gol III(1orngx1klx5hr) 6,900,000.00 6,900,000.00 -
Uang harian 5 hr 600,000 3,000,000.00 5 hr 600,000.00 3,000,000.00 -
Uang penginapan 4 hr 850,000 3,400,000.00 4 hr 850,000.00 3,400,000.00 -
Biaya taxi 1 pkt 500,000 500,000.00 1 pkt 500,000.00 500,000.00 -
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Belanja Kursus, Pelatihan, Sosialisasi, Bimbingan Teknis PNS 3,000,000.00 3,000,000.00 -
Belanja Kepesertaan 1 pkt 3,000,000 3,000,000.00 1 pkt 3,000,000.00 3,000,000.00 -
-
Belanja Pemeliharaan 26,581,100.00 26,581,100.00 -
Belanja Pemeliharaan Gedung kantor dan halaman 1 paket 26,581,100 26,581,100.00 1 paket 26,581,100.00 26,581,100.00 -
-
Belanja Jasa Pelayanan 410,669,500.00 410,669,500.00 -
Belanja Jasa Pelayanan Puskesmas 1 paket 410,669,500 410,669,500.00 1 paket 410,669,500.00 410,669,500.00 -
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5 2 3 Belanja Modal 32,296,850.00 33,563,700.00 (1,266,850.00)
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah 32,296,850.00 33,563,700.00 (1,266,850.00)
5 2 3 41 01 Belanja Modal BLUD 32,296,850.00 33,563,700.00 (1,266,850.00)
5 2 3 41 01 07 Belanja Modal Puskesmas Rawang 32,296,850.00 33,563,700.00 (1,266,850.00)
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Belanja Modal Pengadaan Alat-Alat Bengkel 500,000.00 500,000.00 -
Belanja Modal Pengadaan Pompa Air 1 unit 500,000 500,000.00 1 unit 500,000.00 500,000.00 -
-
Belanja Modal Pengadaan Peralatan Kantor 9,350,000.00 9,350,000.00 -
Belanja Modal Pengadaan Tabung Pemadam Kebakaran 1 unit 550,000 550,000.00 1 unit 550,000.00 550,000.00 -
Belanja Modal Pengadaan Neon Box 1 unit 8,800,000 8,800,000.00 1 unit 8,800,000.00 8,800,000.00 -
-
Belanja Modal Pengadaan Perlengkapan Kantor 500,000.00 500,000.00 -
Belanja Modal Pengadaan Kotak Saran 1 unit 500,000 500,000.00 1 unit 500,000.00 500,000.00 -
-
Belanja Modal Pengadaan Komputer 6,900,000.00 6,900,000.00 -
Belanja Modal Pengadaan komputer 1 unit 6,900,000 6,900,000.00 1 unit 6,900,000.00 6,900,000.00 -
-
Belanja Modal Pengadaan Mebeulair 1,900,000.00 1,900,000.00 -
Belanja Modal Pengadaan Meja Komputer 1 unit 1,900,000 1,900,000.00 1 unit 1,900,000.00 1,900,000.00 -
-
Belanja Modal Pengadaan Alat-Alat Kedokteran 9,546,850.00 10,813,700.00 (1,266,850.00)
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 9,305,000.00 10,571,850.00 (1,266,850.00)
Belanja modal pengadaan tensimeter anak 1 unit 600,000 600,000.00 1 unit 600,000.00 600,000.00 -
Belanja modal pengadaan tensimeter digital 3 unit 1,300,000 3,900,000.00 3 unit 1,300,000.00 3,900,000.00 -
Belanja modal pengadaan stetoskop 1 unit 400,000 400,000.00 1 unit 400,000.00 400,000.00 -
Belanja modal pengadaan forceps aligator telinga 1 unit 165,000 165,000.00 1 unit 165,000.00 165,000.00 -
Belanja modal pengadaan otoskop 1 unit 1,450,000 1,450,000.00 1 unit 1,450,000.00 1,450,000.00 -
Belanja modal pengadaan doppler 1 unit 1,500,000 1,500,000.00 1 unit 1,500,000.00 1,500,000.00 -
Belanja modal pengadaan reflex hammer 1 unit 35,000 35,000.00 1 unit 35,000.00 35,000.00 -
Belanja modal pengadaan tas p3k 1 unit 800,000 800,000.00 1 unit 1,141,850.00 1,141,850.00 (341,850.00)
Belanja modal pengadaan timbangan dewasa 2 unit 165,000 330,000.00 2 unit 165,000.00 330,000.00 -
Belanja modal pengadaan penlight 5 unit 25,000 125,000.00 5 unit 210,000.00 1,050,000.00 (925,000.00)
-
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 241,850.00 241,850.00 -
Plastik Instrumen 1 Pcs 241,850 241,850.00 1 Pcs 241,850.00 241,850.00 -
-
Belanja modal pengadaan Micro pipet 5 ul 1 bh 650,000 650,000.00 1 bh 650,000.00 650,000.00 -
Belanja modal pengadaan Micro pipet 25 ul 1 bh 650,000 650,000.00 1 bh 650,000.00 650,000.00
Belanja modal pengadaan Micro pipet 1-100 ul 1 bh 1,000,000 1,000,000.00 1 bh 1,000,000.00 1,000,000.00 -
-
Jumlah 695,400,000 696,666,850
Mengetahui,
Direktur BLUD Puskesmas Kota Padang
dr. Hj. Ratnasari

Nip. 19750412 200801 2 005
TAHUN ANGGARAN 2017


Jumlah Tahun n-1 : Rp. 931.281.898,00
Jumlah tahun n+1 : Rp. 764.940.000,00


Jumlah Jumlah Bertambah/Berku
Volume Satuan Harga Satuan Volume Satuan Harga Satuan rang
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 2 Belanja Barang dan Jasa 663,103,150 663,103,150.00

5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 663,103,150 663,103,150.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 663,103,150 663,103,150.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 663,103,150 663,103,150.00
Belanja Bahan Pakai Habis 62,952,550 89,993,150.00 (27,040,600.00)
Belanja Alat Tulis Kantor 50,440,600 71,687,600.00 (21,247,000.00)
Binder Clip no 107 1 pak 66,600 66,600 1 pak 66,600.00 66,600.00 -
Binder Clip no. 155 1 pak 126,000 126,000 4 pak 126,000.00 504,000.00 (378,000.00)
Binder Clip no. 260 1 pak 310,800 310,800 5 pak 310,800.00 1,554,000.00 (1,243,200.00)
Box file 26 bh 25,000 650,000 31 bh 25,000.00 775,000.00 (125,000.00)
Buku Folio Isi 200 15 bh 40,000 600,000 20 bh 40,000.00 800,000.00 (200,000.00)
Buku tulis isi 40 25 kodi 67,200 1,680,000 25 kodi 67,200.00 1,680,000.00 -
Buku tulis isi 100 12 bh 14,000 168,000 12 bh 14,000.00 168,000.00 -
Catridge hitam canon 16 bh 285,000 4,560,000 23 bh 285,000.00 6,555,000.00 (1,995,000.00)
Catridge warna canon 16 bh 345,000 5,520,000 10 bh 345,000.00 3,450,000.00 2,070,000.00
Isi Hecter no 10 3 pak 38,400 115,200 6 pak 38,400.00 230,400.00 (115,200.00)
Kertas HVS F4 80 rim 51,000 4,080,000 80 rim 51,000.00 4,080,000.00 -
Kertas HVS A4 4 rim 49,200 196,800 50 rim 49,200.00 2,460,000.00 (2,263,200.00)
Lakban 1,5 inc 7 rol 16,800 117,600 7 rol 16,800.00 117,600.00 -
Lem Kertas 5 bh 12,000 60,000 5 bh 12,000.00 60,000.00 -
map gobi folio uk besar 10 bh 21,000 210,000 10 bh 21,000.00 210,000.00 -
Map gobi folio uk sedang 10 bh 19,500 195,000 10 bh 19,500.00 195,000.00 -
Map spring file lubang 8 lusin 86,400 691,200 8 lusin 86,400.00 691,200.00 -
Map stopmap biola isi 50 lbr 3 lusin 144,000 432,000 10 lusin 144,000.00 1,440,000.00 (1,008,000.00)
Map business file 10 lusin 60,000 600,000 20 lusin 60,000.00 1,200,000.00 (600,000.00)
Paper Clip 15 pak kecil 5,000 75,000 30 pak kecil 5,000.00 150,000.00 (75,000.00)
Paper Clip no.5 1 pak 56,400 56,400 2 pak 56,400.00 112,800.00 (56,400.00)
Pencil case 5 tingkat 5 bh 30,000 150,000 5 bh 30,000.00 150,000.00 -
Penggaris Besi 15 bh 12,000 180,000 15 bh 12,000.00 180,000.00 -
Map spring file jepit 280 lusin 86,400 24,192,000 300 lusin 86,400.00 25,920,000.00 (1,728,000.00)
Spidol permanen 10 kotak 114,000 1,140,000 15 kotak 114,000.00 1,710,000.00 (570,000.00)
Spidol Whiteboard 3 kotak 115,200 345,600 3 kotak 115,200.00 345,600.00 -
Stopmap folio kertas 5 pak 40,000 200,000 5 pak 40,000.00 200,000.00 -
Tinta e print hitam botol 13 btl 60,000 780,000 13 btl 60,000.00 780,000.00 -
Tinta e print warna botol 15 btl 60,000 900,000 15 btl 60,000.00 900,000.00 -
Tinta Stempel 5 tb 13,200 66,000 5 tb 13,200.00 66,000.00 -
Tipe X 31 bh 10,800 334,800 31 bh 10,800.00 334,800.00 -
Plastik Kit Inventaris Ruangan 20 bh 2,800 56,000 20 bh 2,800.00 56,000.00 -
Micro display isi 40 8 bh 50,000 400,000 20 bh 50,000.00 1,000,000.00 (600,000.00)
Stempel Tanggal 5 bh 25,000.00 125,000.00
MAP Bantek 50 bh 50,000.00 2,500,000.00
Plastik Bantex 50 Ktk 185,000.00 9,250,000.00
Stiker Label Kecil 5 bgks 20,000.00 100,000.00
Push pin 27 ktk 5,000.00 135,000.00
Stik note kecil 20 buah 12,500.00 250,000.00

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Materai 3000 100 bh 3,000 300,000 100 bh 3,000.00 300,000.00 -
Materai 6000 25 bh 6,000 150,000 25 bh 6,000.00 150,000.00 -
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 8,397,900 11,172,900.00 (2,775,000.00)
Alat pel lantai 10 bh 60,000 600,000 10 bh 60,000.00 600,000.00 -
Cairan pembersih kamar mandi WIPOL 18 bh 26,400 475,200 18 bh 26,400.00 475,200.00 -
Cairan pembersih keramik VIXAL 12 bh 18,000 216,000 12 bh 18,000.00 216,000.00 -
Cairan Pembersih lantai SUPERPELL 17 bh 18,600 316,200 17 bh 18,600.00 316,200.00 -
Canebo 10 bh 60,000 600,000 20 bh 60,000.00 1,200,000.00 (600,000.00)
Detergen 9 bh 18,500 166,500 9 bh 18,500.00 166,500.00 -
Handsoap cair Refill 20 btl 34,200 684,000 25 btl 34,200.00 855,000.00 (171,000.00)
plastik ukuran menengah 20 pak 35,000 700,000 25 pak 35,000.00 875,000.00 (175,000.00)
Keset kaki beludru 2 bh 54,000 108,000 2 bh 54,000.00 108,000.00 -
Keset kaki kamar mandi karet hitam lobang 3 bh 55,000 165,000 3 bh 55,000.00 165,000.00 -
Kemoceng 6 bh 26,400 158,400 6 bh 26,400.00 158,400.00 -
Lap Tangan silungkang 6 bh 5,000 30,000 6 bh 5,000.00 30,000.00 -
Obat nyamuk semprot 6 bh 60,000 360,000 6 bh 60,000.00 360,000.00 -
Pendorong air 5 bh 100,000 500,000 5 bh 100,000.00 500,000.00 -
Pengharum ruangan refill otomatis stella 12 bh 45,000 540,000 12 bh 45,000.00 540,000.00 -
Pengharum ruangan gantung 6 bh 18,600 111,600 6 bh 18,600.00 111,600.00 -
Plastik sampah hitam besar 8 kg 70,000 560,000 20 kg 70,000.00 1,400,000.00 (840,000.00)
Plastik sampah hitam besar lebar 4 kg 70,000 280,000 10 kg 70,000.00 700,000.00 (420,000.00)
Plastik sampah medis (plastik kuning) 2 kg 63,000 126,000 5 kg 63,000.00 315,000.00 (189,000.00)
Sabun cuci piring 15 bh 22,200 333,000 15 bh 22,200.00 333,000.00 -
Sapu plastik tebal 10 bh 54,000 540,000 15 bh 54,000.00 810,000.00 (270,000.00)
Serokan sampah 4 bh 21,000 84,000 2 bh 12,000.00 24,000.00 60,000.00
Sapu lidi 2 bh 12,000 24,000 4 bh 21,000.00 84,000.00 (60,000.00)
Tissu refill 40 bh 16,200 648,000 40 bh 16,200.00 648,000.00 -
Tissu gulung 6 bh 12,000 72,000 6 bh 12,000.00 72,000.00 -
Cangkul 1 bh 110,000.00 110,000.00 (110,000.00)
Belanja Pengisian Tabung Oksigen 699,250 717,850.00 (18,600.00)

Pengisian Tabung Oksigen 1 paket 699,250 699,250 1 paket 717,850.00 717,850.00 (18,600.00)
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Belanja Gorden / Vertical Blind 3,000,000.00 (3,000,000.00)

Gorden 1 paket 3,000,000.00 3,000,000.00 (3,000,000.00)
Belanja Bahan/Material 63,485,000 86,161,100.00 (22,676,100.00)

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Belanja Bahan Obat-Obatan 27,631,000 28,286,000.00 (655,000.00)
BMHP 16,665,500 17,335,500.00 (670,000.00)
Alkohol 70% 1 liter 12 botol 28,000 336,000 12 botol 28,000.00 336,000.00 -
Alkohol 70% 100 cc 10 botol 15,000 150,000 10 botol 15,000.00 150,000.00 -
Plesterin bulat 5 box 35,000 175,000 5 box 35,000.00 175,000.00 -
Syeringe disposible 2,5 cc 20 box 70,000 1,400,000 20 box 70,000.00 1,400,000.00 -
Syringe disposible 3 cc 5 box 52,000 260,000 5 box 52,000.00 260,000.00 -
IV catheter 22 G 1 pcs 12,000 12,000 1 pcs 12,000.00 12,000.00
IV catheter 24 G 1 pcs 15,000 15,000.00 1 pcs 15,000.00 15,000.00 -
Infuset dewasa 3 pcs 3,400 10,200.00 3 pcs 3,400.00 10,200.00 -
infuset anak 2 pcs 3,700 7,400.00 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6 5 box 367,000 1,835,000.00 5 box 367,000.00 1,835,000.00 -
Safeglove surgical steril no 6.5 25 box 367,000 9,175,000.00 25 box 367,000.00 9,175,000.00 -
Kasa Hydrofil 16 x16 16 box 8,400 134,400.00 16 box 8,400.00 134,400.00
Kasa Hydrofil 40 x 80 4 roll 120,000 480,000.00 4 roll 120,000.00 480,000.00 -
kasa 4 x 15 100 roll 2,300 230,000.00 100 roll 2,300.00 230,000.00 -
kasa 4 x 5 20 roll 800 16,000.00 20 roll 800.00 16,000.00
Kapas 250 gr 16 roll 13,500 216,000.00 16 roll 13,500.00 216,000.00 -
Leukoplast 30 roll 48,000 1,440,000.00 30 roll 48,000.00 1,440,000.00 -
Alkohol swab 10 box 10,500 105,000.00 10 box 10,500.00 105,000.00
Kertas Print Hematology Analyzer 2 gulung 85,000 170,000.00
Kertas Parafilm 1 gulung 500,000 500,000.00
BMHP Gigi 10,965,500.00 10,950,500.00 15,000.00

Fuji IX GP 1-1 A2 1 Botol 781,000 781,000.00 1 Botol 781,000.00 781,000.00 -
Fuji IX GP 1-1 # Extra A-3 1 Botol 781,000 781,000.00 1 Botol 781,000.00 781,000.00
Calcium Hydroxide 2 Tube 205,000 410,000.00 2 Tube 205,000.00 410,000.00 -
Dentin Conditioner MP 6 gr 2 Botol 270,000 540,000.00 2 Botol 270,000.00 540,000.00 -
Formocressol 1 Botol 55,000 55,000.00 1 Botol 55,000.00 55,000.00
Celluloid Svenska 3 Roll 150,000 450,000.00 3 Roll 150,000.00 450,000.00 -
Articulating Paper Partial DC 2 Full/6pcs 275,000 550,000.00 2 Full/6pcs 275,000.00 550,000.00 -
Cotton Roll 5 Bungkus 242,000 1,210,000.00 5 Bungkus 242,000.00 1,210,000.00 -
Dappen Disk 2 Pcs 15,000 30,000.00 1 Pcs 15,000.00 15,000.00 15,000.00
Alveogyl 1 Botol 440,000 440,000.00 1 Botol 440,000.00 440,000.00 -
Oco 3 Box 140,000.00 420,000.00 3 Box 140,000.00 420,000.00 -
CHKM 2 Botol 58,000.00 116,000.00 2 Botol 58,000.00 116,000.00 -
Suction 5 pcs 55,000.00 275,000.00 5 pcs 55,000.00 275,000.00 -
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Belanja Bahan Kimia 24,434,000.00 40,325,000.00 (15,891,000.00)
Belanja Bahan Kimia Labor/Reagen 24,434,000.00 40,325,000.00 (15,891,000.00)
Reagen control 4 btl 889,000.00 3,556,000.00 3 btl 889,000.00 2,667,000.00 889,000.00
Diluent lab geo 1 pkt 3,020,000.00 3,020,000.00
Cleaner lab geo 1 pkt 2,420,000.00 2,420,000.00
Lyse lab geo 1 pkt 3,630,000.00 3,630,000.00
Uric Acid (easy Touch) 10 box 92,000.00 920,000.00 20 box 92,000.00 1,840,000.00 (920,000.00)
Cholesterol (easy Touch) 40 box 162,000.00 6,480,000.00 60 box 162,000.00 9,720,000.00 (3,240,000.00)
Benedict 15 btl 57,000.00 855,000.00 15 btl 57,000.00 855,000.00 -
HCL 0,1 6 btl 32,000.00 192,000.00 6 btl 32,000.00 192,000.00 -
BaCl2 10% 2 btl 77,000.00 154,000.00 2 btl 77,000.00 154,000.00 -
Fouchet 1 btl 327,000.00 327,000.00 1 btl 327,000.00 327,000.00 -
Stik HB Family Dr 5 box 350,000.00 1,750,000.00 10 box 350,000.00 3,500,000.00 (1,750,000.00)
giemsa 100 ml 1 btl 530,000.00 530,000.00 1 btl 530,000.00 530,000.00 -
metanol 1 liter 2 btl 77,000 154,000.00 2 btl 77,000.00 154,000.00 -
urine analisa celup 11 parameter 1 pkt 410,000 410,000.00 1 pkt 410,000.00 410,000.00 -
urine analisa celup 3 parameter 3 ktk 88,000 264,000.00 3 ktk 88,000.00 264,000.00 -
Ziehl nelsen 1 100ml 400,000 400,000.00 1 100ml 400,000.00 400,000.00 -
mountux tes tb 2 ktk 900,000 1,800,000.00 4 ktk 900,000.00 3,600,000.00 (1,800,000.00)
Bahan Perlengkapan Pasien 1,065,100.00 (1,065,100.00)

laken / bantal / seprai / perlak 1 paket 1,065,100.00 1,065,100.00 (1,065,100.00)
Belanja Bahan Pendukung Pelaksanaan Kegiatan 6,420,000.00 11,485,000.00 (5,065,000.00)

plastik obat ukuran 7 x10 35 pak 100,000 3,500,000.00 55 pak 100,000.00 5,500,000.00 (2,000,000.00)
plastik obat ukuran 8 x13 20 pak 130,000 2,600,000.00 25 pak 130,000.00 3,250,000.00 (650,000.00)
plastik obat ukuran 10 x15 2 pak 160,000 320,000.00 16 pak 160,000.00 2,560,000.00 (2,240,000.00)
sendok obat 5 pak 35,000.00 175,000.00 (175,000.00)
Belanja Jasa Kantor 44,075,000.00 46,075,000.00 (2,000,000.00)

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-
-
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Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 9,000,000.00 11,000,000.00 (2,000,000.00)
Perbaikan dan servis alat-alat kedokteran/laboratorium 10 kl 800,000 8,000,000.00 10 kl 1,000,000.00 10,000,000.00 (2,000,000.00)
Belanja suku cadang 1 paket 1,000,000 1,000,000.00 1 paket 1,000,000.00 1,000,000.00 -
-
-
Belanja Cetak dan Penggandaan 17,140,000.00 15,140,000.00 2,000,000.00
-
Belanja Cetak 10,000,000.00 9,190,000.00 810,000.00
Cetak blanko 1 paket 10,000,000 10,000,000.00 1 paket 9,190,000.00 9,190,000.00 810,000.00
-
Belanja Penggandaan 7,140,000.00 5,950,000.00 1,190,000.00
Fotocopy kapitasi 25800 lbr 250 6,450,000.00 22600 lbr 250.00 5,650,000.00 800,000.00
Jilid 46 bh 15,000 690,000.00 20 bh 15,000.00 300,000.00 390,000.00
-
-
Belanja makanan dan minuman 1,000,000.00 1,000,000.00
Belanja makanan dan minuman tamu 1,000,000.00 1,000,000.00
Snack 20 porsi 20,000 400,000.00 400,000.00
Nasi 20 porsi 30,000 600,000.00 600,000.00
-
Belanja Perjalanan Dinas 25,800,000.00 25,800,000.00
Belanja Perjalanan Dinas Luar Daerah 25,800,000.00 25,800,000.00
Tiket pesawat PP 2 org 6,000,000 12,000,000.00 12,000,000.00
Gol IV(1orngx1klx5hr) 6,900,000.00 6,900,000.00
Uang harian 5 hr 600,000 3,000,000.00 3,000,000.00
Uang penginapan 4 hr 850,000 3,400,000.00 3,400,000.00
Biaya taxi 1 pkt 500,000 500,000.00 500,000.00
Gol III(1orngx1klx5hr) 6,900,000.00 6,900,000.00
Uang harian 5 hr 600,000 3,000,000.00 3,000,000.00
Uang penginapan 4 hr 850,000 3,400,000.00 3,400,000.00
Biaya taxi 1 pkt 500,000 500,000.00 500,000.00
-
-
Belanja Pemeliharaan 26,581,100.00 18,000,000.00 8,581,100.00
Belanja Pemeliharaan Gedung kantor dan halaman 1 paket 26,581,100 26,581,100.00 1 paket 18,000,000.00 18,000,000.00 8,581,100.00
-
Belanja Jasa Pelayanan 410,669,500.00 396,333,900.00 14,335,600.00
Belanja Jasa Pelayanan Puskesmas 1 paket 410,669,500 410,669,500.00 1 paket 396,333,900.00 396,333,900.00 14,335,600.00
-
5 2 3 Belanja Modal 32,296,850.00 32,296,850.00 -
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah 32,296,850.00 32,296,850.00 -
5 2 3 41 01 07 Belanja Modal Puskesmas Rawang 32,296,850.00 32,296,850.00 -
-
Belanja Modal Pengadaan Alat-Alat Bengkel 500,000.00 700,000.00 (200,000.00)
Belanja Modal Pengadaan Pompa Air 1 unit 500,000 500,000.00 1 unit 700,000.00 700,000.00 (200,000.00)
-
Belanja Modal Pengadaan Peralatan Kantor 9,350,000.00 8,800,000.00 550,000.00
Belanja Modal Pengadaan Tabung Pemadam Kebakaran 1 unit 550,000 550,000.00 550,000.00
-
Belanja Modal Pengadaan Kotak Saran 1 unit 500,000 500,000.00 1 unit 500,000.00 500,000.00 -
-
-
-
Belanja Modal Pengadaan Alat-Alat Kedokteran 9,546,850.00 9,896,850.00 (350,000.00)
Belanja Modal Pengadaan Alat-Alat Kedokteran umum 9,305,000.00 9,696,850.00 (391,850.00)
Belanja modal pengadaan doppler 1 unit 1,500,000 1,500,000.00 1,500,000.00
Belanja modal pengadaan tas p3k 1 unit 800,000 800,000.00 1 unit 1,106,850.00 1,106,850.00 (306,850.00)
Belanja modal pengadaan timbangan dewasa 2 unit 165,000 330,000.00 6 unit 165,000.00 990,000.00 (660,000.00)
Belanja modal pengadaan penlight 5 unit 25,000 125,000.00 5 unit 210,000.00 1,050,000.00 (925,000.00)
-
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 241,850.00 200,000.00 41,850.00
Plastik Instrumen 1 Pcs 241,850 241,850.00 1 Pcs 200,000.00 200,000.00 41,850.00
-
-
Jumlah 695,400,000 695,400,000
Mengetahui,
dr. Hj. Ratnasari

Nip. 19750412 200801 2 005
-
TAHUN ANGGARAN 2017


Jumlah Tahun n-1 : Rp. 931.281.898,00
Jumlah tahun n+1 : Rp. 764.940.000,00


1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 2 Belanja Barang dan Jasa 663,103,150.00 663,103,150.00

5 2 2 31 Belanja Barang dan Jasa Badan Layanan Umum Daerah (BLUD) 663,103,150.00 663,103,150.00
5 2 2 31 01 Belanja Barang dan Jasa BLUD 663,103,150.00 663,103,150.00
5 2 2 31 01 07 Belanja Barang dan Jasa Puskesmas Rawang 663,103,150.00 663,103,150.00
Belanja Bahan Pakai Habis 89,993,150.00 89,993,150.00
Belanja Alat Tulis Kantor 71,687,600.00 71,687,600.00 -
Binder Clip no 107 1 pak 66,600.00 66,600.00 1 pak 66,600.00 66,600.00 -
Binder Clip no. 260 5 pak 310,800.00 1,554,000.00 5 pak 310,800.00 1,554,000.00 -
Box file 31 bh 25,000.00 775,000.00 31 bh 25,000.00 775,000.00 -
Buku Folio Isi 100 40 bh 24,000.00 960,000.00 40 bh 24,000.00 960,000.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Buku Folio Isi 200 20 bh 40,000.00 800,000.00 20 bh 40,000.00 800,000.00 -
Buku tulis isi 40 25 kodi 67,200.00 1,680,000.00 25 kodi 67,200.00 1,680,000.00 -
Buku tulis isi 100 12 bh 14,000.00 168,000.00 12 bh 14,000.00 168,000.00 -
Catridge hitam canon 23 bh 285,000.00 6,555,000.00 23 bh 285,000.00 6,555,000.00 -
Catridge warna canon 10 bh 345,000.00 3,450,000.00 10 bh 345,000.00 3,450,000.00 -
Isi Hecter no 10 6 pak 38,400.00 230,400.00 6 pak 38,400.00 230,400.00 -
Kertas HVS F4 80 rim 51,000.00 4,080,000.00 80 rim 51,000.00 4,080,000.00 -
Kertas HVS A4 50 rim 49,200.00 2,460,000.00 50 rim 49,200.00 2,460,000.00 -
Lem Kertas 5 bh 12,000.00 60,000.00 5 bh 12,000.00 60,000.00 -
map gobi folio uk besar 10 bh 21,000.00 210,000.00 10 bh 21,000.00 210,000.00 -
Map gobi folio uk sedang 10 bh 19,500.00 195,000.00 10 bh 19,500.00 195,000.00 -
Map spring file lubang 8 lusin 86,400.00 691,200.00 8 lusin 86,400.00 691,200.00 -
Map stopmap biola isi 50 lbr 10 lusin 144,000.00 1,440,000.00 10 lusin 144,000.00 1,440,000.00 -
Map business file 20 lusin 60,000.00 1,200,000.00 20 lusin 60,000.00 1,200,000.00 -
Paper Clip 30 pak kecil 5,000.00 150,000.00 30 pak kecil 5,000.00 150,000.00 -
Pencil case 5 tingkat 5 bh 30,000.00 150,000.00 5 bh 30,000.00 150,000.00 -
Penggaris Besi 15 bh 12,000.00 180,000.00 15 bh 12,000.00 180,000.00 -
Map spring file jepit 300 lusin 86,400.00 25,920,000.00 300 lusin 86,400.00 25,920,000.00 -
Spidol permanen 15 kotak 114,000.00 1,710,000.00 15 kotak 114,000.00 1,710,000.00 -
Stopmap folio kertas 5 pak 40,000.00 200,000.00 5 pak 40,000.00 200,000.00 -
Tinta e print hitam botol 13 btl 60,000.00 780,000.00 13 btl 60,000.00 780,000.00 -
Tinta e print warna botol 15 btl 60,000.00 900,000.00 15 btl 60,000.00 900,000.00 -
Tinta Stempel 5 tb 13,200.00 66,000.00 5 tb 13,200.00 66,000.00 -
Tipe X 31 bh 10,800.00 334,800.00 31 bh 10,800.00 334,800.00 -
Micro display isi 40 20 bh 50,000.00 1,000,000.00 20 bh 50,000.00 1,000,000.00 -
Stempel Tanggal 5 bh 25,000.00 125,000.00 5 bh 25,000.00 125,000.00 -
MAP Bantek 50 bh 50,000.00 2,500,000.00 50 bh 50,000.00 2,500,000.00 -
Plastik Bantex 50 Ktk 185,000.00 9,250,000.00 50 Ktk 185,000.00 9,250,000.00 -
Stiker Label Kecil 5 bgks 20,000.00 100,000.00 5 bgks 20,000.00 100,000.00 -
Push pin 27 ktk 5,000.00 135,000.00 27 ktk 5,000.00 135,000.00 -
Stik note kecil 20 buah 12,500.00 250,000.00 20 buah 12,500.00 250,000.00 -

-
Materai 3000 100 bh 3,000 300,000 100 bh 3,000.00 300,000.00 -
Materai 6000 25 bh 6,000 150,000 25 bh 6,000.00 150,000.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
-
Belanja Peralatan Kebersihan dan Bahan Pembersih 11,172,900.00 11,172,900.00 -
Alat pel lantai 10 bh 60,000.00 600,000.00 10 bh 60,000.00 600,000.00 -
Cairan pembersih kamar mandi WIPOL 18 bh 26,400.00 475,200.00 18 bh 26,400.00 475,200.00 -
Cairan pembersih keramik VIXAL 12 bh 18,000.00 216,000.00 12 bh 18,000.00 216,000.00 -
Cairan Pembersih lantai SUPERPELL 17 bh 18,600.00 316,200.00 17 bh 18,600.00 316,200.00 -
Canebo 20 bh 60,000.00 1,200,000.00 20 bh 60,000.00 1,200,000.00 -
Detergen 9 bh 18,500.00 166,500.00 9 bh 18,500.00 166,500.00 -
Handsoap cair Refill 25 btl 34,200.00 855,000.00 25 btl 34,200.00 855,000.00 -
plastik ukuran menengah 25 pak 35,000.00 875,000.00 25 pak 35,000.00 875,000.00 -
Keset kaki beludru 2 bh 54,000.00 108,000.00 2 bh 54,000.00 108,000.00 -
Kemoceng 6 bh 26,400.00 158,400.00 6 bh 26,400.00 158,400.00 -
Lap Tangan silungkang 6 bh 5,000.00 30,000.00 6 bh 5,000.00 30,000.00 -
Obat nyamuk semprot 6 bh 60,000.00 360,000.00 6 bh 60,000.00 360,000.00 -
Pendorong air 5 bh 100,000.00 500,000.00 5 bh 100,000.00 500,000.00 -
Pengharum ruangan refill otomatis stella 12 bh 45,000.00 540,000.00 12 bh 45,000.00 540,000.00 -
Pengharum ruangan gantung 6 bh 18,600.00 111,600.00 6 bh 18,600.00 111,600.00 -
Plastik sampah hitam besar 20 kg 70,000.00 1,400,000.00 20 kg 70,000.00 1,400,000.00 -
Plastik sampah hitam besar lebar 10 kg 70,000.00 700,000.00 10 kg 70,000.00 700,000.00 -
Plastik sampah medis (plastik kuning) 5 kg 63,000.00 315,000.00 5 kg 63,000.00 315,000.00 -
Sabun cuci piring 15 bh 22,200.00 333,000.00 15 bh 22,200.00 333,000.00 -
Sapu plastik tebal 15 bh 54,000.00 810,000.00 15 bh 54,000.00 810,000.00 -
Serokan sampah 2 bh 12,000.00 24,000.00 2 bh 12,000.00 24,000.00 -
Sapu lidi 4 bh 21,000.00 84,000.00 4 bh 21,000.00 84,000.00 -
Tissu refill 40 bh 16,200.00 648,000.00 40 bh 16,200.00 648,000.00 -
Tissu gulung 6 bh 12,000.00 72,000.00 6 bh 12,000.00 72,000.00 -
Cangkul 1 bh 110,000.00 110,000.00 1 bh 110,000.00 110,000.00 -
Belanja Pengisian Tabung Oksigen 717,850.00 717,850.00 -

Pengisian Tabung Oksigen 1 paket 717,850.00 717,850.00 1 paket 717,850.00 717,850.00 -
-
-
Belanja Gorden / Vertical Blind 3,000,000 3,000,000
Gorden 1 paket 3,000,000 3,000,000 1 paket 3,000,000 3,000,000
Belanja Bahan/Material 86,161,100 86,161,100.00 -

Belanja Bahan Obat-Obatan 28,286,000 28,286,000.00 -
BMHP 17,335,500.00 17,335,500.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Plesterin bulat 5 box 35,000.00 175,000.00 5 box 35,000.00 175,000.00 -
Syeringe disposible 2,5 cc 20 box 70,000.00 1,400,000.00 20 box 70,000.00 1,400,000.00 -
Syringe disposible 3 cc 5 box 52,000.00 260,000.00 5 box 52,000.00 260,000.00 -
IV catheter 22 G 1 pcs 12,000.00 12,000.00 1 pcs 12,000.00 12,000.00
infuset anak 2 pcs 3,700.00 7,400.00 2 pcs 3,700.00 7,400.00
Safeglove surgical steril no 6.5 25 box 367,000.00 9,175,000.00 25 box 367,000.00 9,175,000.00 -
Kasa Hydrofil 16 x16 16 box 8,400.00 134,400.00 16 box 8,400.00 134,400.00
Kasa Hydrofil 40 x 80 4 roll 120,000.00 480,000.00 4 roll 120,000.00 480,000.00 -
kasa 4 x 15 100 roll 2,300.00 230,000.00 100 roll 2,300.00 230,000.00 -
kasa 4 x 5 20 roll 800.00 16,000.00 20 roll 800.00 16,000.00
Leukoplast 30 roll 48,000.00 1,440,000.00 30 roll 48,000.00 1,440,000.00 -
Alkohol swab 10 box 10,500.00 105,000.00 10 box 10,500.00 105,000.00
Kertas Print Hematology Analyzer 2 gulung 85,000 170,000.00 2 gulung 85,000 170,000.00
Kertas Parafilm 1 gulung 500,000 500,000.00 1 gulung 500,000 500,000.00
BMHP Gigi 10,950,500.00 10,950,500.00 -

Fuji IX GP 1-1 A2 1 Botol 781,000.00 781,000.00 1 Botol 781,000.00 781,000.00 -
Fuji IX GP 1-1 # Extra A-3 1 Botol 781,000.00 781,000.00 1 Botol 781,000.00 781,000.00
Calcium Hydroxide 2 Tube 205,000.00 410,000.00 2 Tube 205,000.00 410,000.00 -
Dentin Conditioner MP 6 gr 2 Botol 270,000.00 540,000.00 2 Botol 270,000.00 540,000.00 -
Formocressol 1 Botol 55,000.00 55,000.00 1 Botol 55,000.00 55,000.00
Celluloid Svenska 3 Roll 150,000.00 450,000.00 3 Roll 150,000.00 450,000.00 -
Articulating Paper Partial DC 2 Full/6pcs 275,000.00 550,000.00 2 Full/6pcs 275,000.00 550,000.00 -
Cotton Roll 5 Bungkus 242,000.00 1,210,000.00 5 Bungkus 242,000.00 1,210,000.00 -
Dappen Disk 1 Pcs 15,000.00 15,000.00 1 Pcs 15,000.00 15,000.00 -
Alveogyl 1 Botol 440,000.00 440,000.00 1 Botol 440,000.00 440,000.00 -
Oco 3 Box 140,000.00 420,000.00 3 Box 140,000.00 420,000.00 -
CHKM 2 Botol 58,000.00 116,000.00 2 Botol 58,000.00 116,000.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
Suction 5 pcs 55,000.00 275,000.00 5 pcs 55,000.00 275,000.00 -
-
Belanja Bahan Kimia 40,325,000.00 40,325,000.00 -
Belanja Bahan Kimia Labor/Reagen 40,325,000.00 40,325,000.00 -
Reagen control 3 btl 889,000.00 2,667,000.00 3 btl 889,000.00 2,667,000.00 -
Diluent lab geo 1 pkt 3,020,000.00 3,020,000.00 1 pkt 3,020,000.00 3,020,000.00
Cleaner lab geo 1 pkt 2,420,000.00 2,420,000.00 1 pkt 2,420,000.00 2,420,000.00
Lyse lab geo 1 pkt 3,630,000.00 3,630,000.00 1 pkt 3,630,000.00 3,630,000.00
Uric Acid (easy Touch) 20 box 92,000.00 1,840,000.00 20 box 92,000.00 1,840,000.00 -
Cholesterol (easy Touch) 60 box 162,000.00 9,720,000.00 60 box 162,000.00 9,720,000.00 -
Benedict 15 btl 57,000.00 855,000.00 15 btl 57,000.00 855,000.00 -
HCL 0,1 6 btl 32,000.00 192,000.00 6 btl 32,000.00 192,000.00 -
BaCl2 10% 2 btl 77,000.00 154,000.00 2 btl 77,000.00 154,000.00 -
Fouchet 1 btl 327,000.00 327,000.00 1 btl 327,000.00 327,000.00 -
giemsa 100 ml 1 btl 530,000.00 530,000.00 1 btl 530,000.00 530,000.00 -
urine analisa celup 11 parameter 1 pkt 410,000.00 410,000.00 1 pkt 410,000.00 410,000.00 -
mountux tes tb 4 ktk 900,000.00 3,600,000.00 4 ktk 900,000.00 3,600,000.00 -
Bahan Perlengkapan Pasien 1,065,100.00 1,065,100.00 -

laken / bantal / seprai / perlak 1 paket 1,065,100.00 1,065,100.00 1 paket 1,065,100.00 1,065,100.00 -
Belanja Bahan Pendukung Pelaksanaan Kegiatan 11,485,000.00 11,485,000.00 -

sendok obat 5 pak 35,000.00 175,000.00 5 pak 35,000.00 175,000.00 -
Belanja Jasa Kantor 46,075,000.00 46,075,000.00 -

-
-
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
-
-
Perbaikan dan servis alat-alat kedokteran/laboratorium 1 paket 11,050,000.00 11,050,000.00 1 paket 11,050,000.00 11,050,000.00 -
Belanja suku cadang 1 paket 1,000,000.00 1,000,000.00 1 paket 1,000,000.00 1,000,000.00 -
-
-
Belanja Cetak 9,190,000.00 9,190,000.00 -
-
Jilid 20 bh 15,000.00 300,000.00 20 bh 15,000.00 300,000.00 -
-
-
-
Belanja Pemeliharaan 18,000,000.00 18,000,000.00 -
Belanja Pemeliharaan Gedung kantor dan halaman 1 paket 18,000,000.00 18,000,000.00 1 paket 18,000,000.00 18,000,000.00 -
-
Belanja Jasa Pelayanan 396,333,900.00 396,333,900.00 -
Belanja Jasa Pelayanan Puskesmas 1 paket 396,333,900.00 396,333,900.00 1 paket 396,333,900.00 396,333,900.00 -
-
5 2 3 Belanja Modal 32,296,850.00 32,296,850.00 -
5 2 3 41 Belanja Modal Badan Layanan Umum Daerah 32,296,850.00 32,296,850.00 -
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
5 2 3 41 01 07 Belanja Modal Puskesmas Rawang 32,296,850.00 32,296,850.00 -
-
Belanja Modal Pengadaan Alat-Alat Bengkel 700,000.00 700,000.00 -
Belanja Modal Pengadaan Pompa Air 1 unit 700,000.00 700,000.00 1 unit 700,000.00 700,000.00 -
-
Belanja Modal Pengadaan Peralatan Kantor 8,800,000.00 8,800,000.00 -
-
Belanja Modal Pengadaan Kotak Kepuasan Pelanggan 1 unit 500,000 500,000.00 1 unit 500,000.00 500,000.00 -
-
-
-
Belanja Modal Pengadaan Alat-Alat Kedokteran 9,896,850.00 9,896,850.00 -
Belanja modal pengadaan tas p3k 1 unit 1,106,850 1,106,850.00 1 unit 1,106,850.00 1,106,850.00 -
Belanja modal pengadaan timbangan dewasa 6 unit 165,000 990,000.00 6 unit 165,000.00 990,000.00 -
Belanja modal pengadaan penlight 5 unit 210,000 1,050,000.00 5 unit 210,000.00 1,050,000.00 -
-
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 200,000.00 200,000.00 -
Plastik Instrumen 1 Pcs 200,000 200,000.00 1 Pcs 200,000.00 200,000.00 -
-
-
Jumlah 695,400,000 695,400,000
Mengetahui,
1 2 3 4 5 6=(3X5) 7 8 9 10 = (8 x 9)
dr. Hj. Ratnasari

Nip. 19750412 200801 2 005
663103150
BELANJA LANGSUNG
Belanja Pegawai
Belanja Pegawai BLUD
Uang lembur petugas pembantu pengurus barang
Uang lembur PNS 1 orang x 3 jam x 10 hari
Uang lembur non PNS 1 orangx 3 jam x 10 hari
Uang lembur PNS

Uang lembur PNS 2 orang x 3 jam x 10 hari
Uang lembur non PNS 2 orangx 3 jam x 10 hari
honor pejabat pengadaan e catalog

Pejabat pengadaan
Belanja Barang dan Jasa

Belanja Barang dan Jasa BLUD
Belanja Bahan Pakai Habis
Belanja Alat Tulis Kantor
Amplop Putih besar no. 90
Amplop Putih no 110
Binder Clip no 107
Binder Clip no. 155
Box file
Buku Folio Isi 100
Buku Folio Isi 200
Buku tulis isi 100
Buku tulis isi 40
Catridge hitam canon
Catridge warna canon
Isi Hecter no 10
Kertas HVS F4
Kertas HVS A4
Lakban 1,5 inc
Lem Kertas
map gobi folio uk besar
Map gobi folio uk sedang
Map spring file lubang
Map stopmap biola isi 50 lbr
Map business file
Paper Clip no 3
Paper Clip no.5
Map biola tulang isi 50 lbr
Map spring file jepit
Spidol Whiteboard
Spidol permanent
Stopmap folio kertas
Tinta e print hitam botol
Tinta e print warna botol
Tinta Stempel
Tipe X
Plastik Kit Inventaris Ruangan
Stempel kayu
Stempel
Bantal stempel kecil
Bantal stempel besar
Plastik bantex Folio
Hechter
Kertas print hematologi
Belanja Alat Listrik dan Elektronik

Belanja Alat Listrik
baterai AA Panasonic
baterai AAA Panasonic
baterai petak 9 volt
Baterai Menengah
Baterai kancing
Belanja Perangko, Materai dan Benda Pos Lainnya

Materai 3000
Materai 6000
Belanja Peralatan Kebersihan dan Bahan Pembersih

Alat pel lantai
Cairan pembersih kamar mandi WIPOL
Cairan pembersih keramik VIXAL
Cairan Pembersih lantai SUPERPELL
Canebo
Handsoap cair botol
Handsoap cair Refill
plastik ukuran menengah
Keset kaki kamar mandi karet hitam lobang
Kemoceng
Lap Tangan silungkang
Obat nyamuk semprot
Pendorong air
Pengharum ruangan refill otomatis stella
Pengharum ruangan gantung
Plastik sampah hitam besar
Plastik sampah hitam besar lebar
Plastik sampah medis (plastik kuning)
Sabun cuci piring
Sapu plastik tebal
Serokan sampah
Sapu lidi
Tissu refill
Tissu gulung
tong sampah injak menengah
plastik kecil
sapu plastik panjang
Belanja Pengisian Tabung Oksigen

Pengisian Tabung Oksigen
Pengisian Tabung Pemadam Kebakaran
Belanja Bahan/Material
belanja pemeliharaan gedung kantor dan halaman
Belanja Obat-obatan
Belanja Bahan Obat-Obatan
BMHP
BMHP Umum
Alkohol 70% 1 liter
Alkohol 70% 100 cc
Plesterin bulat/hypafix
Syeringe disposible 2,5 cc
Syringe disposible 1.5 cc
IV catheter 18 G
IV catheter 20 G
IV catheter 22 G
IV catheter 24 G
Infuset dewasa
infuset anak
Safeglove surgical steril no 7
Safeglove surgical steril no 6.5
Kasa Hydrofil 16 x16
Kasa Hydrofil 40 x 80
kasa 4 x 15
kasa 4 x 5
Kapas 250 gr
Leukoplast
Alkohol swab
Blood lancet
Nad hecting seme 21 mani
Kertas Print Hematology Analyzer
Kertas Parafilm
tabung vacotainer
blue type
test tube asahi glass uk 12x75 m/m
pot feses
Tissue lensa
lplester bulat kecil
kaca slide
Tabung reaksi 10ml
Jelly Doppler
BMHP Gigi
Cresotin
Articulating paper
Caviton
tkf
Fuji 2 minipack
Fuji 9 art besar
cutton roll
infertid bor ,round bor 6 pcs
Kaca mulut Eco
Handle kaca mulut Eco
Exapator Medesy
Exapator PKS kecil
bor finishing dan poles
bor tulang
Bur round
Bur fisur
Bur polesh stonewhiteround
Bur polesh stonewhite lancip
Sonde lurus
Belanja Bahan Kimia

Belanja Bahan Kimia Labor/Reagen
diluent lab geo
cleaner lab Geo
lysee
Reagen control
Glukose (easy touch)
Uric Acid (easy Touch)
Cholesterol (easy Touch)
Anti Sera Gol darah A
Anti Sera Gol darah B
Tes Kehamilan
Na Cl 0,9%
BaCl2 10%
Fouchet
Stik HB Family Dr
giemsa 100 ml
metanol 1 liter
urine analisa celup 3 parameter
Ziehl nelsen
mountux tes tb
Eosin 2%
Stick Narkoba
Belanja Bahan Pendukung Pelaksanaan Kegiatan

plastik obat ukuran 8,7 x13
Sosialisasi APAR
Makan sosialisasi APAR
Snack sosialisasi APAR
Makan Minum Kegiatan

snack peserta prolanis (20org x Rp. 10.000 x 45 Kali)
Evaluasi pelaksanaan dan Sosialisasi MR di Kota Padang

Makan sosialisasi
Snack sosialisasi
Makan Minum Kegiatan Evaluasi pelaksanaan BLUD

Akomodasi peserta (10org x Rp. 150.000 x 1 Kali)
Pakaian Khusus hari Hari tertentu

PakaianOlahraga (51orngx150,000X1keg)
Belanja Jasa Kantor

Belanja Air PDAM Puskesmas
Belanja Air PDAM Puskesmas
Belanja biaya Listrik Puskesmas

Belanja biaya Listrik Puskesmas
Belanja Surat Kabar/Majalah

Belanja Koran
Belanja Kawat/Faksimili/Internet
Belanja Pemakaian Internet/telepon Bulanan
Belanja berlangganan aplikasi E pusk
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler

Service AC
Belanja Jasa Publikasi

leafet
Spanduk
Belanja jasa legalisasi

Belanja MOU sampah medis
Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium

Perbaikan dan servis alat-alat kedokteran/laboratorium
Belanja suku cadang alat kedokteran Umum/Gigi
Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya

Belanja jasa kalibrasi alat ukur takar timabng dan perlengkapannnya
Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler

Servis Laptop, Komputer dan Printer
Belanja suku cadang Laptop, Komputer dan Printer
Belanja narasumber/tenaga ahli

Narasumber
Eselon III
Honor tim Edukasi prolanis(1 org x 45 hari)
Honor instruktur senam prolanis (1 Org x 45 hari)
Belanja honor pejabat seleksi penerimaan pegawai

Penanggung jawab (1 orgx1hr)
Sekretaris (1 orgx1hr)
Anggota (1 orgx1hr)
Sekretariat(1 orgx1hr)
Belanja Jasa Biaya Non Kapitasi

Pemeriksaan IVA
Pemeriksaan gula darah
Pemeriksaan ANC
Pemeriksaan ANC
Pemeriksaan PNC
Pemasangan KB/IUD/Implan
Suntik KB sekali 3 bulan
Protesa gigi
Belanja administrasi perkantoran
Tenaga akuntasi (1 orgx10 bln)
Tenaga pengajar/instruktur (1 orgx20 kl)
Tenaga administrasi perkantoran (1 orgx 10 bln)
Tenaga administrasi perkantoran (1 orgx 10 bln)
Belanja jasa tenaga kesehatan

Dokter umum (1 orgx 12 bln)
Belanja perawatan kendaraan bermotor

jasa service kendaraan bermotor
Belanja Bahan bakar minyak/gas/pelumas

BBM ambulans (pertalite)
Belanja Cetak dan Penggandaan

Belanja Cetak
Cetak
Belanja Penggandaan
Fotocopy kapitasi
Jilid
Belanja Sewa Perlengkapan dan Peralatan Kantor
Belanja perjalanan dinas luar daerah luar propinsi

tiket pesawat terbang PP
Eselon II
Uang representatif (1 orgx4 hr x rp. 300.000)
uang harian(1 orgx5hari)
Uang penginapan(1orgx4mlm)
Biaya taxi
Eselon IV/Gol III

uang harian(5 orgx5hari)
Uang penginapan(5orgx4mlm)
Biaya taxi
Belanja Jasa Pelayanan

Belanja Jasa Pelayanan Puskesmas
Belanja Modal
Belanja Modal Badan Layanan Umum Daerah (BLUD)
Belanja Modal BLUD
Belanja modal pengadaan pigura,papan informasi
Belanja Modal Pengadaan perlengkapan kantor

Belanja Modal Pengadaan locker VIP 4 pintu/404 lemari besi
Belanja modal pengadaan plank nama
Belanja modal perbaikan neon box
Belanja modal pengadaan Notebook/laptop
Belanja modal printer
Belanja modal pesawat telepon
Belanja Modal Pengadaan Mebeulair

Belanja Modal Pengadaan Meja pertemuan/rapat
Belanja Modal Pengadaan Meja pertemuan/rapat lengkap
Belanja modal pengadaan rak besi/lemari arsip(gudang)
Belanja modal pengadaan lemari MR
Belanja modal pengadaan meja 1/2 biro
Belanja modal kursi pimpinan
Belanja modal lemari es/kulkas
Belanja modal blender
Belanja modal kipas angin
Belanja Modal Pengadaan alat komunikasi

Belanja Modal Pengadaan sound system
Belanja Modal Pengadaan infocus
Belanja Modal Televisi LCD
Belanja Modal Pengadaan Alat-Alat Kedokteran umum/Gigi

Belanja Modal Pengadaan Alat-Alat Kedokteran umum
Belanja modal pengadaan microtoa
Belanja modal pengadaan korentang
Belanja modal pengadaan bak instrumen menengah
Belanja modal pengadaan tang spatel
Belanja modal pengadaan bak korentang
Belanja modal pengadaan dopler
Belanja modal pengadaan dopler
Belanja modal timbangan dewasa
Belanja modal timbangan dewasa (flatscale)
Belanja modal babyscale digital
Belanja modal stadiometer( pengukur tinggi)
Belanja modal tekanan darah digital Omron
Belanja modal stetoskop
Belanja modal kursi roda
Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi

Tank cabut anak Dentica set
Bein bengkok kanan/kiri
Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan

Belanja modal pengadaan alat pemeriksaan as. Urat,glukosa, kolesterol easy touch
Belanja modal pengadaan micro pipet 1000 ml
Belanja modal instalasi jaringan internet

Belanja modal jaringan internet
Belanja modal jaringan instalasi listrik

RBA Gabungan FIX Rawang 2017

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REALISASI BELANJA BLUD PUSKESMAS RAWANG TAHUN 2018

honor pejabat pengadaan e catalog

Belanja Barang dan Jasa 617,256,000

Belanja Alat Listrik dan Elektronik 2,684,000

Belanja Perangko, Materai dan Benda Pos Lainnya 1,050,000

Belanja Peralatan Kebersihan dan Bahan Pembersih 11,563,650

Belanja Pengisian Tabung Oksigen 1,760,000

Belanja Bahan/Material 109,529,450

Belanja Obat-obatan 15,000,000

BMHP Gigi 3,892,400

Belanja Bahan Kimia 23,786,200

Belanja Bahan Pendukung Pelaksanaan Kegiatan 5,500,000

Sosialisasi APAR 12,800,000

Makan Minum Kegiatan 1,000,000

Evaluasi pelaksanaan dan Sosialisasi MR di Kota Padang 750,000

Belanja Jasa Kantor 196,650,000

Belanja biaya Listrik Puskesmas 18,000,000

Belanja Surat Kabar/Majalah 1,200,000

Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 1,500,000

Belanja Jasa Publikasi 5,750,000

Belanja jasa legalisasi 200,000

Belanja Jasa Pemeliharaan Alat -Alat Kedokteran/Laboratorium 3,000,000

Belanja Jasa Servis Peralatan/Perlengkapan/Meubiler 7,500,000

Belanja narasumber/tenaga ahli 1,000,000

Belanja honor pejabat seleksi penerimaan pegawai 1,100,000

Belanja Jasa Biaya Non Kapitasi 15,000,000

Belanja administrasi perkantoran 43,000,000

Belanja jasa tenaga kesehatan 30,000,000

Belanja perawatan kendaraan bermotor 1,000,000

Belanja Bahan bakar minyak/gas/pelumas 1,800,000

Belanja Cetak dan Penggandaan 20,625,000

Belanja Penggandaan 10,625,000

Belanja Sewa Perlengkapan dan Peralatan Kantor 5,000,000

Belanja Jasa Pelayanan 269,462,400

Belanja Modal 70,000,000

Belanja Modal Pengadaan perlengkapan kantor 33,000,000

Belanja Modal Pengadaan Mebeulair 5,135,000

Belanja Modal Pengadaan Alat-Alat Kedokteran umum/Gigi 3,102,500

Belanja Modal Pengadaan Alat-alat Laboratorium Kesehatan 1,550,000

dr. Viona Putria

OKTOBER NOVEMBER DESEMBER TOTAL SISA

Urusan Pemerintahan : 1.02

Rincian Rencana Bisnis dan Anggaran Belanja Langsung

Belanja Modal Pengadaan Alat-Alat Kedokteran Gigi 1,730,000.00 1,730,000

Mengetahui, Padang, Oktober 2018

dr. Ferimulyani Hamid,M.Biomed dr. Viona Putria

Urusan Pemerintahan : 1.02 KESEHATAN

Program : 1.02.1.02.01.35 Peningkatan Pelayanan Kesehatan Masyarakat

Rincian Rencana Bisnis dan Anggaran Belanja Langsung

Sebelum Perubahan Setelah Perubahan

honor pejabat pengadaan e catalog 2,000,000.00 2,000,000

Mengetahui, Padang, Oktober 2018

dr. Ferimulyani Hamid,M.Biomed dr. Viona Putria

Urusan Pemerintahan : 1.02 KESEHATAN

Program : 1.02.1.02.01.35 Peningkatan Pelayanan Kesehatan Masyarakat

Rincian Rencana Bisnis dan Anggaran Belanja Langsung

Sebelum Perubahan Setelah Perubahan

5 2 2 Belanja Barang dan Jasa 617,256,000.00 617,256,000.00

Belanja Alat Listrik dan Elektronik 2,531,900 2,031,900.00 500,000.00

Belanja Pengisian Tabung Oksigen 160,000.00 230,000.00 (70,000.00)

Belanja Bahan/Material 78,403,000 125,953,200.00 (47,550,200.00)

Belanja Obat-obatan 22,459,900 1 paket 20,300,000.00 20,300,000.00 2,159,900.00