BANK SULUTGO PUSKESMAS POPAYATO

CAPEM POPAYATO POPAYATO

JL. TRANS SULAWESI, KEC POPAYATO
TIMUR, GOR

NO. REKENING : 02801140000021

MATA UANG : IDR - INDONESIAN RUPIAH
NPWP : 000000000000000
PERIODE : 01/01/2021 s.d 31/12/2021
REKENING KORAN
Hal 1 dari 4
Tgl. Transaksi Kode D/ Cab
No. No. Arsip Keterangan Mutasi Debet Mutasi Kredit Saldo UserId
TX K Lok
SALDO AWAL 79,778,325.00 K

1 15/01/2021 u0229192029 299 BNINIDJA-BPJS 39,455,800.00 119,234,125.00 K u0229 000

KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
JANUARI
2 31/01/2021 JASG0004531 299 JSA GIRO 1 2021 NO CEK 0 106,246.00 119,340,371.00 K dco01 028
JSA GIRO KE
3 31/01/2021 JASA0000786 199 106,246.00 119,234,125.00 K dco01 028
01001120200187 NO CEK 0

4 15/02/2021 u0229215440 299 BNINIDJA-BPJS 34,447,600.00 153,681,725.00 K u0229 000

KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
FEBRUAR
5 28/02/2021 JASG0004840 299 JSA GIRO 2 2021 NO CEK 0 157,010.00 153,838,735.00 K dco01 028
JSA GIRO KE
6 28/02/2021 JASA0001191 199 157,010.00 153,681,725.00 K dco01 028
01001120200187 NO CEK 0

trk jefinsa ahmad NO CEK

7 04/03/2021 k096700019 102 6,800,000.00 146,881,725.00 K k0967 028
BC630042
pb byr belanja ATK bln januari
8 04/03/2021 k096700050 198 3,805,910.00 143,075,815.00 K k0967 028
& februari pd PKM Popayato
NO CEK GA41978
pb jasa pely kapitasi jkn PKM
9 04/03/2021 k096700064 198 23,673,480.00 119,402,335.00 K k0967 028
Popayato bln januari 2021 NO
CEK GA41979
pb jasa pely kapitasi jkn PKM
10 04/03/2021 k096700068 198 20,668,560.00 98,733,775.00 K k0967 028
Popayato bln februari 2021
NO CEK GA41980
11 15/03/2021 u0229243271 299 BNINIDJA-BPJS 35,885,800.00 134,619,575.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
MARET 2
12 31/03/2021 JASG0006844 299 JSA GIRO 3 2021 NO CEK 0 135,297.00 134,754,872.00 K dco01 028
JSA GIRO KE
13 31/03/2021 JASA0002574 199 135,297.00 134,619,575.00 K dco01 028
01001120200187 NO CEK 0

14 07/04/2021 k096700035 198 pb byr bya transport dan bya 4,700,000.00 129,919,575.00 K k0967 028
penginapan an Agus Thomas
pd PKM Po NO CEK
GA41983
pb jasa pely kapitasi Jkn bln
15 07/04/2021 k096700066 198 21,531,480.00 108,388,095.00 K k0967 028
maret 2021 PKM Popayato
NO CEK GA41981
16 15/04/2021 u0229283339 299 BNINIDJA-BPJS 35,885,800.00 144,273,895.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
APRIL 2
pb byr belanja ATM./ATK bln
17 20/04/2021 k096700037 198 2,059,525.00 142,214,370.00 K k0967 028
maret 2021 PKM Popayato
NO CEK GA41984

Printed By : SYAHRIL TULEN

NO. REKENING : 02801140000021
MATA UANG : IDR - INDONESIAN RUPIAH
NPWP : 000000000000000
PERIODE : 01/01/2021 s.d 31/12/2021
REKENING KORAN
Hal 2 dari 4
Tgl. Transaksi Kode D/ Cab
No. No. Arsip Keterangan Mutasi Debet Mutasi Kredit Saldo UserId
TX K Lok
SALDO AWAL 79,778,325.00 K

pb byr perdis dlm daerah pada

18 20/04/2021 k096700038 198 3,150,000.00 139,064,370.00 K k0967 028
PKM Popayato NO CEK
GA41985
19 30/04/2021 JASG0005993 299 JSA GIRO 4 2021 NO CEK 0 161,323.00 139,225,693.00 K dco01 028
JSA GIRO KE
20 30/04/2021 JASA0001936 199 161,323.00 139,064,370.00 K dco01 028
01001120200187 NO CEK 0

trk jefinsa ahmad NO CEK

21 07/05/2021 k096700057 102 1,400,000.00 137,664,370.00 K k0967 028
BC630043
pb byr jasa kapitasi jkn PKM
22 07/05/2021 k096700078 198 21,531,480.00 116,132,890.00 K k0967 028
Popayato April 2021 NO CEK
GA41986
pb byr Uang Perjalanan dinas
23 07/05/2021 k096700079 198 2,400,000.00 113,732,890.00 K k0967 028
dlm daerah PKM Popayato
NO CEK GA41988
pb byr belanja ATK/ATM bln
24 07/05/2021 k096700080 198 1,243,970.00 112,488,920.00 K k0967 028
april 2021 PKM Popayato NO
CEK GA41987
25 17/05/2021 u0229322712 299 BNINIDJA-BPJS 35,896,000.00 148,384,920.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI MEI
202
26 31/05/2021 JASG0007018 299 JSA GIRO 5 2021 NO CEK 0 171,974.00 148,556,894.00 K dco01 028
JSA GIRO KE
27 31/05/2021 JASA0002656 199 171,974.00 148,384,920.00 K dco01 028
01001120200187 NO CEK 0

28 15/06/2021 u0229366812 299 BNINIDJA-BPJS 38,162,200.00 186,547,120.00 K u0229 000

KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
JUNI 20
29 30/06/2021 JASG0006907 299 JSA GIRO 6 2021 NO CEK 0 208,028.00 186,755,148.00 K dco01 028
JSA GIRO KE
30 30/06/2021 JASA0002186 199 208,028.00 186,547,120.00 K dco01 028
01001120200187 NO CEK 0

pb pemb jasa kapitasi jkn

31 06/07/2021 k096700035 198 21,537,600.00 165,009,520.00 K k0967 028
PKM Popayato bln mei 2021
NO CEK GA41989
pb pemb jasa kapitasi jkn
32 06/07/2021 k096700041 198 22,897,320.00 142,112,200.00 K k0967 028
PKM Popayato bln juni 2021
NO CEK GA41990
pb pemb perdis dlm daerah
33 07/07/2021 k096700014 198 4,840,000.00 137,272,200.00 K k0967 028
bulan mei dan juni pd PKM
Popayato NO CEK GA41991
trk jefinsa ahmad NO CEK
34 13/07/2021 k096700051 102 4,997,000.00 132,275,200.00 K k0967 028
BC630044
35 13/07/2021 k096700052 198 pb byr pajak & belanja 2,596,345.00 129,678,855.00 K k0967 028
ATK/ATM bulan juni 2021
PKM Popayato NO CEK
GA41992
36 15/07/2021 u0229418913 299 BNINIDJA-BPJS 35,998,300.00 165,677,155.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI JULI
20
37 31/07/2021 JASG0006290 299 JSA GIRO 7 2021 NO CEK 0 204,410.00 165,881,565.00 K dco01 028

38 31/07/2021 PJKG0001032 199 PJK GIRO 7 2021 NO CEK 0 40,882.00 165,840,683.00 K dco01 028
JSA GIRO KE
39 31/07/2021 JASA0001892 199 163,528.00 165,677,155.00 K dco01 028
01001120200187 NO CEK 0

Printed By : SYAHRIL TULEN

NO. REKENING : 02801140000021
MATA UANG : IDR - INDONESIAN RUPIAH
NPWP : 000000000000000
PERIODE : 01/01/2021 s.d 31/12/2021
REKENING KORAN
Hal 3 dari 4
Tgl. Transaksi Kode D/ Cab
No. No. Arsip Keterangan Mutasi Debet Mutasi Kredit Saldo UserId
TX K Lok
SALDO AWAL 79,778,325.00 K

pb byr jasa kapitasi jkn dan

40 09/08/2021 k096700039 198 21,598,980.00 144,078,175.00 K k0967 028
pph bln juli 2021 PKM Pop NO
CEK GA41993
41 16/08/2021 u0229486895 299 BNINIDJA-BPJS 38,067,100.00 182,145,275.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
AGUST 2
42 31/08/2021 JASG0005680 299 JSA GIRO 8 2021 NO CEK 0 215,671.00 182,360,946.00 K dco01 028
JSA GIRO KE
43 31/08/2021 JASA0001705 199 215,671.00 182,145,275.00 K dco01 028
01001120200187 NO CEK 0

trk jefinsa ahmad NO CEK

44 07/09/2021 k096700075 102 4,375,480.00 177,769,795.00 K k0967 028
BC630045
pb pemby jasa pely kapitasi
45 07/09/2021 k096700081 198 22,840,260.00 154,929,535.00 K k0967 028
JKN bln agst 2021 PKM
Popayato NO CEK GA41994
pb pemby perdis dlm daerah
46 07/09/2021 k096700082 198 4,150,000.00 150,779,535.00 K k0967 028
pada PKM Popayato NO CEK
GA41995
47 15/09/2021 u0229554096 299 BNINIDJA-BPJS 37,375,900.00 188,155,435.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
SEPT 21
pb byr blnja atm/atk bln
48 30/09/2021 u199000004 198 2,897,095.00 185,258,340.00 K u1990 028
agustus'21 pada pkm
popayato NO CEK GA41996
49 30/09/2021 JASG0005629 299 JSA GIRO 9 2021 NO CEK 0 218,071.00 185,476,411.00 K dco01 028
JSA GIRO KE
50 30/09/2021 JASA0001627 199 218,071.00 185,258,340.00 K dco01 028
01001120200187 NO CEK 0

51 12/10/2021 u199000052 198 pb pemindahbukuan jasa 22,425,540.00 162,832,800.00 K u1990 028

kapitasi jkn&pph bln mei 2021
pkm popayat NO CEK
GA41997
52 15/10/2021 u0229624405 299 BNINIDJA-BPJS 35,029,000.00 197,861,800.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI OKT
21
JSA GIRO 10 2021 NO CEK 0
53 31/10/2021 JASG0007717 299 242,043.00 198,103,843.00 K dco01 028
JSA GIRO KE
54 31/10/2021 JASA0002590 199 242,043.00 197,861,800.00 K dco01 028
01001120200187 NO CEK 0

pb jasa kapitasi jkn & pph bln

55 05/11/2021 u199000047 198 21,017,400.00 176,844,400.00 K u1990 028
okt'21 pada pkm popayato NO
CEK GA41998
56 15/11/2021 u199000028 198 pb perjalanan dinas luar 20,184,000.00 156,660,400.00 K u1990 028
daerah dan bayar penginapan
NO CEK GA94876

pb perjalanan dinas dalam

57 15/11/2021 u199000030 198 4,700,000.00 151,960,400.00 K u1990 028
daerah NO CEK GA94877
PB belanja ATM/ATK bulan
58 15/11/2021 u199000031 198 2,966,970.00 148,993,430.00 K u1990 028
Oktober 2021 NO CEK
GA94878
59 15/11/2021 u0166711539 299 BNINIDJA-BPJS 35,941,900.00 184,935,330.00 K u0166 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI
NOV 202
JSA GIRO 11 2021 NO CEK 0
60 30/11/2021 JASG0007118 299 226,794.00 185,162,124.00 K dco01 028

Printed By : SYAHRIL TULEN

NO. REKENING : 02801140000021
MATA UANG : IDR - INDONESIAN RUPIAH
NPWP : 000000000000000
PERIODE : 01/01/2021 s.d 31/12/2021
REKENING KORAN
Hal 4 dari 4
Tgl. Transaksi Kode D/ Cab
No. No. Arsip Keterangan Mutasi Debet Mutasi Kredit Saldo UserId
TX K Lok
SALDO AWAL 79,778,325.00 K

JSA GIRO KE
61 30/11/2021 JASA0002240 199 226,794.00 184,935,330.00 K dco01 028
01001120200187 NO CEK 0

PENARIKAN TUNAI
62 08/12/2021 u199000041 102 1,757,500.00 183,177,830.00 K u1990 028
(CHEQUE) jefinsa ahmad NO
CEK BC630046
63 08/12/2021 u073700010 198 PB PEMINDAHBUKUAN 21,565,140.00 161,612,690.00 K u0737 028
JASA KAPITASI JKN DAN
PPH BULAN NOVEMBER
2021 NO CEK GA94879
64 15/12/2021 u0229807840 299 BNINIDJA-BPJS 41,638,600.00 203,251,290.00 K u0229 000
KESEHATAN - ASET DJS KC
GORONTALO-KAPITASI DES
202
PENARIKAN TUNAI
65 24/12/2021 u199000034 102 1,400,000.00 201,851,290.00 K u1990 028
(CHEQUE) jefinsa ahmad NO
CEK BC630047
66 24/12/2021 u183400021 198 pb kliring ke rek bri an cahaya 30,660,000.00 171,191,290.00 K u1834 028
ilham dan titipan pph/ppn
puskes NO CEK GA94884

67 24/12/2021 u183400026 198 pb belanja modal alat 74,570,000.00 96,621,290.00 K u1834 028
pendingin ac elektronik dan
alat kantor la NO CEK
GA94880
pb belanja atk/atm bulan
68 24/12/2021 u183400027 198 3,735,585.00 92,885,705.00 K u1834 028
desember 2021 puskesmas
popayato NO CEK GA94881
69 24/12/2021 u183400028 198 pb jasa kapitasi jkn dan pph 24,983,160.00 67,902,545.00 K u1834 028
bulan desember 2021
puskesmas popay NO CEK
GA94882
pb perjalanan dinas dalam
70 24/12/2021 u183400029 198 5,600,000.00 62,302,545.00 K u1834 028
daerah puskesmas popayato
NO CEK GA94883
71 28/12/2021 u073700006 198 PB PEMBAYARAN BELANJA 14,750,000.00 47,552,545.00 K u0737 028
MODAL PERSOLAN
KOMPUTER &
PEMBAYARAN PAJAK NO
JSA GIRO 12 2021 NO CEK 0
72 31/12/2021 JASG0006743 299 183,883.00 47,736,428.00 K dco01 028
JSA GIRO KE
73 31/12/2021 JASA0001978 199 183,883.00 47,552,545.00 K dco01 028
01001120200187 NO CEK 0

SALDO AWAL 79,778,325.00 K

MUTASI DB 478,240,530.00
MUTASI KR 446,014,750.00
SALDO AKHIR 47,552,545.00 K

POPOYATO

Tgl : 14 Februari 2022 11:55:42

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Printed By : SYAHRIL TULEN