2 Lra Blud Pak

LAPORAN REALISASI ANGGARAN PENDAPATAN DAN BELANJA DAERAH
TAHUN ANGGARAN 2016

BAGIAN BULAN : APRIL 2016
URUSAN PEMERINTAHAN : 1.02. KESEHATAN

ORGANISASI : 1.02.01.28. DINAS KESEHATAN - PUSKESMAS TUNJUNG
REALISASI
SEBELUM
KODE REKENING URAIAN ANGGARAN
ANGGARAN BULAN LALU BULAN INI s/d BULAN INI
1 2 4 5 6 7
1
1 02 1 02 01 00 00 00 4 PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 70,113,800.00 #REF!
-
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 844,329,100.00 844,329,100.00 #REF! 70,113,800.00 #REF!
-
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 98,640,000.00 98,640,000.00 #REF! 12,528,800.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 98,640,000.00 #REF! 12,528,800.00 #REF!

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 98,640,000.00 98,640,000.00 #REF! 12,528,800.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 70,000,000.00 70,000,000.00 #REF! 9,118,800.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 25,000,000.00 #REF! 3,130,000.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 2,500,000.00 2,500,000.00 #REF! 280,000.00 #REF!
- Klaim pelayanan ODC 1,140,000.00 1,140,000.00 #REF! - #REF!
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 745,689,100.00 745,689,100.00 #REF! 57,585,000.00 #REF!
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 745,689,100.00 #REF! 57,585,000.00 #REF!

1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 745,689,100.00 745,689,100.00 #REF! 57,585,000.00 #REF!
JUMLAH PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 70,113,800.00 #REF!
1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! 85,457,300.00 #REF!

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 1,305,296,100.00 1,317,196,100.00 #REF! 85,457,300.00 #REF!
PROGRAM PELAYANAN ADMINISTRASI

1 02 1 02 01 28 01 143,480,870.00 143,480,870.00 #REF! 8,991,300.00 #REF!
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 21,600,000.00 #REF! 3,600,000.00 #REF!
1 02 1 02 01 28 01 001 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 #REF! 3,600,000.00 #REF!
1 02 1 02 01 28 01 001 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 #REF! 3,600,000.00 #REF!
1 02 1 02 01 28 01 001 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 21,600,000.00 21,600,000.00 #REF! 3,600,000.00 #REF!
1
REALISASI
SEBELUM
1 2 4 5 6 7
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 21,975,000.00 21,975,000.00 #REF! - #REF!
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 BELANJA BARANG DAN JASA 21,975,000.00 21,975,000.00 #REF! - #REF!
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 21,975,000.00 21,975,000.00 #REF! - #REF!
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 1,200,000.00 #REF! #REF!
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 13,575,000.00 #REF! #REF!
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 7,200,000.00 #REF! #REF!
PENYEDIAAN JASA ADMINISTRASI

1 02 1 02 01 28 01 007 49,600,000.00 49,600,000.00 #REF! 3,600,000.00 #REF!
KEUANGAN DAN BARANG DAERAH
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 28,000,000.00 - - -
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 28,000,000.00 - - -
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 - -
Honorarium Penanggung Jawab Pengelola
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 22,500,000.00 - -
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 - -
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 - -
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 #REF! 3,600,000.00 #REF!
PENYEDIAAN JASA KEBERSIHAN

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00 #REF!
KANTOR
1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 010 5 2 2 001 Belanja Bahan Pakai Habis 13,203,560.00 13,203,560.00 #REF! - #REF!
1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 13,203,560.00 13,203,560.00 #REF! #REF!
PENYEDIAAN BARANG CETAKAN DAN

1 02 1 02 01 28 01 011 22,315,650.00 22,315,650.00 #REF! 91,300.00 #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 BELANJA BARANG DAN JASA 22,315,650.00 22,315,650.00 #REF! 91,300.00 #REF!
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 22,315,650.00 22,315,650.00 #REF! 91,300.00 #REF!
2
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 21,515,650.00 21,515,650.00 #REF! #REF!
Belanja penggandaan/foto
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 800,000.00 #REF! 91,300.00 #REF!
copy/penjildan/penyampulan
PENYEDIAAN BAHAN LOGISTIK

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
Belanja Peralatan Kebersihan dan Bahan
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih
PROGRAM PENINGKATAN SARANA

1 02 1 02 01 28 02 53,871,000.00 53,871,000.00 #REF! 4,100,000.00 #REF!
DAN PRASARANA APARATUR
PEMELIHARAAN RUTIN/BERKALA
1 02 1 02 01 28 02 024 45,471,000.00 45,471,000.00 #REF! 4,100,000.00 #REF!
KENDARAAN DINAS/OPERASIONAL
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 25,071,000.00 #REF! 700,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 11,620,000.00 #REF! 700,000.00 #REF!
Belanja Jasa Servis dan Penggantian Suku
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! #REF!
Cadang
Pemeliharaan Rutin/Berkala Perlengkapan

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!
dan Peralatan Gedung Kantor
1 02 1 02 01 28 02 026 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 1,400,000.00 1,400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 1,400,000.00 #REF! - #REF!
Pemeliharaan rutin/Berkala Perlengkapan

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 400,000.00 400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 400,000.00 400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 6,600,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 4,200,000.00 #REF! - #REF!
Belanja Pemeliharaan Peralatan Personal
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer
3
REALISASI
SEBELUM
1 2 4 5 6 7
PROGAM UPAYA KESEHATAN
1 02 1 02 01 28 16 1,065,618,830.00 1,077,518,830.00 #REF! 72,366,000.00 #REF!
MASYARAKAT
PENINGKATAN PELAYANAN MELALUI

1 02 1 02 01 28 16 016 678,451,830.00 678,451,830.00 #REF! 58,566,000.00 #REF!
JKN
1 02 1 02 01 28 16 016 5 2 1 BELANJA PEGAWAI 510,347,395.00 557,366,395.00 #REF! 58,566,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 331,382,001.00 378,401,001.00 #REF! 42,177,449.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 001 017 Honorium Pelayanan Kesehatan 331,382,001.00 378,401,001.00 #REF! 42,177,449.00 #REF!
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 268,448,001.00 #REF! 25,011,449.00 #REF!
Pelaksana Pelayanan Rawat Inap 42,000,000.00 89,019,000.00 #REF! 9,288,000.00 #REF!
Pelaksana Pelayanan Persalinan 18,750,000.00 18,750,000.00 #REF! 7,650,000.00 #REF!
Pelaksana Pelayanan Tingkat Lannjut 1,500,000.00 1,500,000.00 #REF! 84,000.00 #REF!
Pelaksana Pelayanan ODC 684,000.00 684,000.00 #REF! 144,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 178,965,394.00 #REF! 16,388,551.00 #REF!
-
1 02 1 02 01 28 16 016 5 2 2 001 008 Belanja Pengisian Tabung Gas 7,050,000.00 7,050,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 001 009 Belanja Alat kesehatan/kedokteran habis pakai 40,000,000.00 10,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 100,620,435.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 44,420,435.00 20,420,435.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 005 Belanja Bahan Kimia 10,000,000.00 10,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 43,740,000.00 70,200,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 003 Belanja Jasa Kantor 1,000,000.00 - #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 003 019 Belanja Jasa Uji Laboratorium 1,000,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 3,415,000.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 056 001 Belanja Alat Kedokteran Umum 2,545,000.00 2,545,000.00 #REF! - #REF!
Belanja Alat Kedokteran Gigi 870,000.00 870,000.00 #REF! - #REF!
BELANJA MODAL PERALATAN DAN

1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 - #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 - #REF! - #REF!
4
REALISASI
SEBELUM
1 2 4 5 6 7
Peningkatan Pelayanan Melalui Program
1 02 1 02 01 28 16 017 108,499,000.00 120,399,000.00 #REF! - #REF!
Jamkesmas dan Jampersal
1 02 1 02 01 28 16 017 5 2 1 Belanja Pegawai 108,499,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 1 001 Honorarium PNS 108,499,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 1 001 017 Honorarium Pelayanan Kesehatan 108,499,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 2 BELANJA BARANG DAN JASA 120,399,000.00 -
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,424,000.00 - - -
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,424,000.00 - - -
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 111,975,000.00 - - -
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 106,225,000.00 - - -
1 02 1 02 01 28 16 017 5 2 2 015 002 Belanja perjalanan dinas luar daerah 5,750,000.00 - - -
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00 #REF!
MASYARAKAT
Peningkatan Pelayanan melalui Bantuan

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 - - -
Operasional Kesehatan (BOK)
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 - - -
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 - - -
Honorarium Penanggungjawab Pengelola
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 - - -
Keuangan
1 02 1 02 01 28 16 021 5 2 1 001 017 Honorarium pelayanan kesehatan 195,868,000.00 - #REF! - #REF!
1 02 1 02 01 28 16 021 5 2 2 BELANJA BARANG DAN JASA 191,968,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 001 Belanja barang Pakai habis 600,000.00 - - -
Belanja Perangko, Materai, dan Benda Pos
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 - - -
lainnya
1 02 1 02 01 28 16 021 5 2 2 001 009 Belanja Alat Kesehatan/Kedokteran Habis Pakai - - - -
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - - -

1 02 1 02 01 28 16 021 5 2 2 002 005 Belanja Bahan Kimia - 5,500,000.00 - - -
Belanja perlengkapan
1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - - -
praktek/sosialisasi/pelatihan/bimtek
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 016 Belanja jasa promosi/publikasi/advertising - 1,100,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 -
5
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 - -
copy/penjilidan/penyampulan
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 - -
PROGRAM PENGADAAN,
PENINGKATAN DAN PERBAIKAN
1 02 1 02 01 28 25 007 SARANA DAN PRASARANA 42,325,400.00 42,325,400.00 #REF! - #REF!
PUSKESMAS/PUSKESMAS PEMBANTU
DAN JARINGANNYA
1 02 1 02 01 28 25 007 5 2 Pengadaan Sarana dan Prasarana Puskesmas 42,325,400.00 42,325,400.00 #REF! - #REF!

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 Belanja Modal Alat Kantor 5,214,000.00 5,214,000.00 #REF! - #REF!
Belanja modal alat penyimpanan perlengkapan
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor
1 02 1 02 01 28 25 007 5 2 4 015 Belanja Modal Alat Rumah Tangga 12,359,400.00 12,359,400.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 015 001 Belanja Modal Meubelir 2,129,400.00 2,129,400.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 015 006 Belanja Modal Home Use 10,230,000.00 10,230,000.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 016 Belanja Modal Komputer 24,752,000.00 24,752,000.00 #REF! - #REF!

1 02 1 02 01 28 25 007 5 2 4 016 001 Belanja Modal komputer unit/jaringan 18,912,000.00 18,912,000.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 016 005 Belanja modal peralatan personal komputer 5,840,000.00 5,840,000.00 #REF! - #REF!
JUMLAH BELANJA 1,317,196,100.00 #REF! 85,457,300.00 #REF!

SURPLUS (DEFISIT) (460,967,000.00) (472,867,000.00) #REF! (15,343,500.00) #REF!
Mengetahui Lumajang , Mei 201

Kepala Puskesmas Tunjung Petugas Akuntansi
dr. Tanti Umiyati Bisma Septiawan

Nip. 19710503 200501 2 009
6
RAN PENDAPATAN DAN BELANJA DAERAH
N ANGGARAN 2016
BULAN : APRIL 2016
% SISA ANGGARAN
8 9=4-7
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7
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 28,000,000.00
- 28,000,000.00
- 1,200,000.00
- 22,500,000.00
- 3,600,000.00
- 700,000.00
#REF! #REF!
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8
% SISA ANGGARAN
8 9=4-7
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9
% SISA ANGGARAN
8 9=4-7
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10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 120,399,000.00
- 8,424,000.00
- 8,424,000.00
- 111,975,000.00
- 106,225,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 195,868,000.00
- 3,900,000.00
- 3,900,000.00
- 3,900,000.00
#REF! #REF!
- 191,968,000.00
- 600,000.00
- 600,000.00
#DIV/0! -
- 5,720,000.00
- 5,500,000.00
- 220,000.00
- 7,390,000.00
- 1,100,000.00
- 915,000.00
- 5,375,000.00
- 4,728,000.00
- 2,500,000.00
11
% SISA ANGGARAN
8 9=4-7
- 2,228,000.00
- 78,630,000.00
- 78,630,000.00
- 94,900,000.00
- 94,900,000.00
#REF! #REF!
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Lumajang , Mei 2016

Petugas Akuntansi
Bisma Septiawan
12
TAHUN ANGGARAN 2016
BAGIAN BULAN : MEI 2016

REALISASI
BULAN LALU BULAN INI s/d BULAN INI
1 2 4 5 6 7
1
1 02 1 02 01 00 00 00 4 PENDAPATAN 844,329,100.00 #REF! 66,294,400.00 #REF!
-
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 844,329,100.00 #REF! 66,294,400.00 #REF!
-
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 98,640,000.00 #REF! 8,674,400.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 #REF! 8,674,400.00 #REF!

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 98,640,000.00 #REF! 8,674,400.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 70,000,000.00 #REF! 7,399,400.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 #REF! 1,275,000.00 #REF!
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 2,500,000.00 #REF! - #REF!
- Klaim pelayanan ODC 1,140,000.00 #REF! - #REF!
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 745,689,100.00 #REF! 57,620,000.00 #REF!
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 #REF! 57,620,000.00 #REF!

1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 745,689,100.00 #REF! 57,620,000.00 #REF!
JUMLAH PENDAPATAN 844,329,100.00 #REF! 66,294,400.00 #REF!
1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 #REF! 66,001,394.00 #REF!

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 1,305,296,100.00 #REF! 66,001,394.00 #REF!

1 02 1 02 01 28 01 143,480,870.00 #REF! 12,683,794.00 #REF!
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 001 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 #REF! - #REF!
1
REALISASI
1 2 4 5 6 7
1 02 1 02 01 28 01 001 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 001 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 21,600,000.00 #REF! - #REF!
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 21,975,000.00 #REF! 5,988,794.00 #REF!
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 BELANJA BARANG DAN JASA 21,975,000.00 #REF! 5,988,794.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 21,975,000.00 #REF! 5,988,794.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 #REF! 402,542.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 #REF! 3,130,180.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 #REF! 2,456,072.00 #REF!

1 02 1 02 01 28 01 007 49,600,000.00 #REF! 6,525,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 #REF! 6,525,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 #REF! 6,525,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 #REF! 5,625,000.00 #REF!
Keuangan
1 02 1 02 01 28 01 007 5 2 1 001 004 Honorarium penyimpan dan pengurus barang 3,600,000.00 #REF! 900,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 #REF! - 5,400,000.00

1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 #REF! - 5,400,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 5,400,000.00 - 5,400,000.00

1 02 1 02 01 28 01 008 10,200,000.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 010 5 2 2 001 Belanja Bahan Pakai Habis 13,203,560.00 #REF! - #REF!
2
REALISASI
1 2 4 5 6 7
1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 011 22,315,650.00 #REF! 170,000.00 #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 BELANJA BARANG DAN JASA 22,315,650.00 #REF! 170,000.00 #REF!
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 22,315,650.00 #REF! 170,000.00 #REF!
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 21,515,650.00 #REF! - #REF!
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 #REF! 170,000.00 #REF!

1 02 1 02 01 28 01 016 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 BELANJA BARANG DAN JASA 45,471,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 026 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 1,400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 #REF! - #REF!
3
REALISASI
1 2 4 5 6 7
1 02 1 02 01 28 02 027 5 2 7,000,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 #REF! - #REF!
Komputer

1 02 1 02 01 28 16 1,065,618,830.00 #REF! 52,917,600.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 #REF! 52,917,600.00 #REF!
JKN
1 02 1 02 01 28 16 016 5 2 1 BELANJA PEGAWAI 510,347,395.00 #REF! 52,917,600.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 331,382,001.00 #REF! 35,002,755.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 001 017 Honorium Pelayanan Kesehatan 331,382,001.00 #REF! 35,002,755.00 #REF!
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 #REF! 23,452,755.00 #REF!
Pelaksana Pelayanan Rawat Inap 42,000,000.00 #REF! 9,216,000.00 #REF!
Pelaksana Pelayanan Persalinan 18,750,000.00 #REF! 2,250,000.00 #REF!
Pelaksana Pelayanan Tingkat Lannjut 1,500,000.00 #REF! 84,000.00 #REF!
Pelaksana Pelayanan ODC 684,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 #REF! 17,914,845.00 #REF!

1 02 1 02 01 28 16 016 5 2 1 002 007 Honorium Pelayanan Kesehatan 178,965,394.00 #REF! 17,914,845.00 #REF!
-
1 02 1 02 01 28 16 016 5 2 2 001 008 Belanja Pengisian Tabung Gas 7,050,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 001 009 Belanja Alat kesehatan/kedokteran habis pakai 40,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 44,420,435.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 005 Belanja Bahan Kimia 10,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 43,740,000.00 #REF! - #REF!
4
REALISASI
1 2 4 5 6 7
1 02 1 02 01 28 16 016 5 2 2 003 Belanja Jasa Kantor 1,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 003 019 Belanja Jasa Uji Laboratorium 1,000,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 056 001 Belanja Alat Kedokteran Umum 2,545,000.00 #REF! - #REF!
Belanja Alat Kedokteran Gigi 870,000.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 #REF! - #REF!

1 02 1 02 01 28 16 017 108,499,000.00 #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 1 Belanja Pegawai 108,499,000.00 #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 1 001 Honorarium PNS 108,499,000.00 #REF! - #REF!
1 02 1 02 01 28 16 017 5 2 1 001 017 Honorarium Pelayanan Kesehatan 108,499,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 #REF! - #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 #REF! - #REF!
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 #REF! - #REF!
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 #REF! - #REF!
1 02 1 02 01 28 16 021 5 2 1 001 017 Honorarium pelayanan kesehatan 195,868,000.00 #REF! - #REF!
PROGRAM PENGADAAN,
1 02 1 02 01 28 25 007 SARANA DAN PRASARANA 42,325,400.00 #REF! - #REF!
DAN JARINGANNYA
1 02 1 02 01 28 25 007 5 2 Pengadaan Sarana dan Prasarana Puskesmas 42,325,400.00 #REF! - #REF!
5
REALISASI
1 2 4 5 6 7
1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 - - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 Belanja Modal Alat Kantor 5,214,000.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 5,214,000.00 #REF! - #REF!
kantor
1 02 1 02 01 28 25 007 5 2 4 Belanja Modal Alat Rumah Tangga 12,359,400.00 #REF! - #REF!

1 02 1 02 01 28 25 007 5 2 4 Belanja Modal Meubelir 2,129,400.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 Belanja Modal Home Use 10,230,000.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 Belanja Modal Komputer 24,752,000.00 #REF! - #REF!

1 02 1 02 01 28 25 007 5 2 4 Belanja Modal komputer unit/jaringan 18,912,000.00 #REF! - #REF!
1 02 1 02 01 28 25 007 5 2 4 Belanja modal peralatan personal komputer 5,840,000.00 #REF! - #REF!

SURPLUS (DEFISIT) (460,967,000.00) #REF! 293,006.00 #REF!
Mengetahui Lumajang , Juni 2016


Nip. 19710503 200501 2 009
6
GARAN PENDAPATAN DAN BELANJA DAERAH
HUN ANGGARAN 2016
GIAN BULAN : MEI 2016
% SISA ANGGARAN
8 9=4-7
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7
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8 9=4-7
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25.00 16,200,000.00
25.00 16,200,000.00
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8
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8 9=4-7
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9
% SISA ANGGARAN
8 9=4-7
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10
% SISA ANGGARAN
8 9=4-7
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11
% SISA ANGGARAN
8 9=4-7
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Lumajang , Juni 2016

Petugas Akuntansi
Bisma Septiawan
12
TAHUN ANGGARAN 2016

REALISASI
SEBELUM
1 2 4 5 6 7
1
-
-

1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 2,500,000.00 2,500,000.00 #REF! - #REF!

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! 66,001,394.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 143,480,870.00 #REF! 12,683,794.00 #REF!
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 21,600,000.00 #REF! - #REF!

1 02 1 02 01 28 01 001 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 001 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 21,600,000.00 21,600,000.00 #REF! - #REF!
1
REALISASI
SEBELUM
1 2 4 5 6 7
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 21,975,000.00 21,975,000.00 #REF! 5,988,794.00 #REF!
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 21,975,000.00 21,975,000.00 #REF! 5,988,794.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 1,200,000.00 #REF! 402,542.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 13,575,000.00 #REF! 3,130,180.00 #REF!
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 7,200,000.00 #REF! 2,456,072.00 #REF!

1 02 1 02 01 28 01 007 49,600,000.00 49,600,000.00 #REF! 6,525,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 28,000,000.00 - 6,525,000.00 6,525,000.00
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 28,000,000.00 - 6,525,000.00 6,525,000.00
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 - - -
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 22,500,000.00 - 5,625,000.00 5,625,000.00
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 - 900,000.00 900,000.00
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 - - -

1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 #REF! - #REF!

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! - #REF!
KANTOR

1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 13,203,560.00 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 011 22,315,650.00 22,315,650.00 #REF! 170,000.00 #REF!
PENGGANDAAN
2
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 21,515,650.00 21,515,650.00 #REF! - #REF!
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 800,000.00 #REF! 170,000.00 #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 53,871,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 45,471,000.00 #REF! 400,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer
3
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 1,065,618,830.00 1,077,518,830.00 #REF! 52,917,600.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 678,451,830.00 #REF! 52,917,600.00 #REF!
JKN
Pelaksana Pelayanan ODC 684,000.00 684,000.00 #REF! - #REF!
-




1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 - #REF! - #REF!
MESIN
4
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 017 108,499,000.00 120,399,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! - #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 - - -
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 - - -
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 - - -
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 - - -
Keuangan
1 02 1 02 01 28 16 021 5 2 2 BELANJA BARANG DAN JASA 191,968,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 001 Belanja barang Pakai habis 600,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 - - -
lainnya
1 02 1 02 01 28 16 021 5 2 2 001 009 Belanja Alat Kesehatan/Kedokteran Habis Pakai - - - - -

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 016 Belanja jasa promosi/publikasi/advertising - 1,100,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -
5
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 - - -
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


SURPLUS (DEFISIT) (460,967,000.00) (472,867,000.00) #REF! 293,006.00 #REF!
Mengetahui Lumajang , Juni 201


Nip. 19710503 200501 2 009
6
N ANGGARAN 2016
N BULAN : MEI 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
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7
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
23.30 21,475,000.00
23.30 21,475,000.00
- 1,200,000.00
25.00 16,875,000.00
25.00 2,700,000.00
- 700,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
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8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
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#REF! #REF!
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#REF! #REF!
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#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
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#REF! #REF!
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- #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 120,399,000.00
- 8,424,000.00
- 8,424,000.00
- 111,975,000.00
- 106,225,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 195,868,000.00
- 3,900,000.00
- 3,900,000.00
- 3,900,000.00
#REF! #REF!
- 191,968,000.00
- 600,000.00
- 600,000.00
#DIV/0! -
- 5,720,000.00
- 5,500,000.00
- 220,000.00
- 7,390,000.00
- 1,100,000.00
- 915,000.00
- 5,375,000.00
- 4,728,000.00
- 2,500,000.00
11
% SISA ANGGARAN
8 9=4-7
- 2,228,000.00
- 78,630,000.00
- 78,630,000.00
- 94,900,000.00
- 94,900,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
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Lumajang , Juni 2016

Petugas Akuntansi
Bisma Septiawan
12
TAHUN ANGGARAN 2016
BAGIAN BULAN : JUNI 2016

REALISASI
SEBELUM
ANGGARAN BULAN LALU BULAN INI
1 2 4 5 6
1
1 02 1 02 01 00 00 00 4 PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 66,719,500.00
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 844,329,100.00 844,329,100.00 #REF! 66,719,500.00
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 98,640,000.00 98,640,000.00 #REF! 9,379,500.00
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 98,640,000.00 #REF! 9,379,500.00

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 98,640,000.00 98,640,000.00 #REF! 9,379,500.00
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 70,000,000.00 70,000,000.00 #REF! 6,699,500.00
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 25,000,000.00 #REF! 2,400,000.00
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 2,500,000.00 2,500,000.00 #REF! 280,000.00
- Klaim pelayanan ODC 1,140,000.00 1,140,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 745,689,100.00 745,689,100.00 #REF! 57,340,000.00
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 745,689,100.00 #REF! 57,340,000.00

1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 745,689,100.00 745,689,100.00 #REF! 57,340,000.00
JUMLAH PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 66,719,500.00
1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! 220,910,654.00

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 1,305,296,100.00 1,317,196,100.00 #REF! 220,910,654.00

1 02 1 02 01 28 01 143,480,870.00 143,480,870.00 #REF! 44,464,354.00
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 21,600,000.00 #REF! 3,600,000.00
1
REALISASI
SEBELUM
1 2 4 5 6
1 02 1 02 01 28 01 001 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 #REF! 3,600,000.00
1 02 1 02 01 28 01 001 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 #REF! 3,600,000.00
1 02 1 02 01 28 01 001 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 21,600,000.00 21,600,000.00 #REF! 3,600,000.00
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 21,975,000.00 21,975,000.00 #REF! 1,950,204.00
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 21,975,000.00 21,975,000.00 #REF! 1,950,204.00
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 1,200,000.00 #REF! 72,916.00
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 13,575,000.00 #REF! 1,188,988.00
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 7,200,000.00 #REF! 688,300.00

1 02 1 02 01 28 01 007 49,600,000.00 49,600,000.00 #REF! 3,600,000.00
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 28,000,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 28,000,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 22,500,000.00 #REF! -
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 5,400,000.00 3,600,000.00

1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 5,400,000.00 3,600,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 5,400,000.00 3,600,000.00

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00
KANTOR
1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 13,203,560.00 #REF! 12,693,800.00
2
REALISASI
SEBELUM
1 2 4 5 6
1 02 1 02 01 28 01 010 5 2 2 001 Belanja Bahan Pakai Habis 13,203,560.00 13,203,560.00 #REF! 12,693,800.00
1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 13,203,560.00 13,203,560.00 #REF! 12,693,800.00

1 02 1 02 01 28 01 011 22,315,650.00 22,315,650.00 #REF! 20,920,350.00
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 22,315,650.00 22,315,650.00 #REF! 20,920,350.00
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 21,515,650.00 21,515,650.00 #REF! 20,732,550.00
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 800,000.00 #REF! 187,800.00

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! -
KANTOR
1 02 1 02 01 28 01 016 5 2 2 BELANJA BARANG DAN JASA 4,586,660.00 4,586,660.00 #REF! -
1 02 1 02 01 28 01 016 5 2 2 001 Belanja Bahan Pakai Habis 4,586,660.00 4,586,660.00 #REF! -
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! -
Pembersih

1 02 1 02 01 28 02 53,871,000.00 53,871,000.00 #REF! 7,755,000.00
1 02 1 02 01 28 02 024 45,471,000.00 45,471,000.00 #REF! 7,755,000.00
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 25,071,000.00 #REF! 4,355,000.00
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 11,620,000.00 #REF! 1,685,000.00
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! 2,670,000.00
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! -
3
REALISASI
SEBELUM
1 2 4 5 6
1 02 1 02 01 28 02 026 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 1,400,000.00 1,400,000.00 #REF! -
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 1,400,000.00 #REF! -

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 400,000.00 400,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 400,000.00 400,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 6,600,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 4,200,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! -
Komputer

1 02 1 02 01 28 16 1,065,618,830.00 1,077,518,830.00 #REF! 126,691,300.00
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 678,451,830.00 #REF! 71,065,800.00
JKN
1 02 1 02 01 28 16 016 5 2 1 BELANJA PEGAWAI 510,347,395.00 557,366,395.00 #REF! 69,685,800.00
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 331,382,001.00 378,401,001.00 #REF! 37,214,162.00
1 02 1 02 01 28 16 016 5 2 1 001 017 Honorium Pelayanan Kesehatan 331,382,001.00 378,401,001.00 #REF! 37,214,162.00
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 268,448,001.00 #REF! 36,626,162.00
Pelaksana Pelayanan Rawat Inap 42,000,000.00 89,019,000.00 #REF! -
Pelaksana Pelayanan Persalinan 18,750,000.00 18,750,000.00 #REF! -
Pelaksana Pelayanan Tingkat Lannjut 1,500,000.00 1,500,000.00 #REF! 588,000.00
Pelaksana Pelayanan ODC 684,000.00 684,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 178,965,394.00 #REF! 32,471,638.00

-
1 02 1 02 01 28 16 016 5 2 2 001 008 Belanja Pengisian Tabung Gas 7,050,000.00 7,050,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 001 009 Belanja Alat kesehatan/kedokteran habis pakai 40,000,000.00 10,000,000.00 #REF! -
4
REALISASI
SEBELUM
1 2 4 5 6
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 100,620,435.00 #REF! 1,380,000.00

1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 44,420,435.00 20,420,435.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 002 005 Belanja Bahan Kimia 10,000,000.00 10,000,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 43,740,000.00 70,200,000.00 #REF! 1,380,000.00
1 02 1 02 01 28 16 016 5 2 2 003 Belanja Jasa Kantor 1,000,000.00 - #REF! -

1 02 1 02 01 28 16 016 5 2 2 003 019 Belanja Jasa Uji Laboratorium 1,000,000.00 - #REF! -
1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 3,415,000.00 #REF! -

1 02 1 02 01 28 16 016 5 2 2 056 001 Belanja Alat Kedokteran Umum 2,545,000.00 2,545,000.00 #REF! -
Belanja Alat Kedokteran Gigi 870,000.00 870,000.00 #REF! -

1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 - #REF! -
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 - #REF! -
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 - #REF! -

1 02 1 02 01 28 16 017 108,499,000.00 120,399,000.00 #REF! -
1 02 1 02 01 28 16 017 5 2 1 Belanja Pegawai 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 1 001 Honorarium PNS 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 1 001 017 Honorarium Pelayanan Kesehatan 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 2 BELANJA BARANG DAN JASA 120,399,000.00
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,424,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,424,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 111,975,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 106,225,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 002 Belanja perjalanan dinas luar daerah 5,750,000.00 - -
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00
MASYARAKAT
5
REALISASI
SEBELUM
1 2 4 5 6

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 - 41,825,500.00
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 - 1,625,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 1 001 017 Honorarium pelayanan kesehatan 195,868,000.00 - #REF! -
1 02 1 02 01 28 16 021 5 2 2 BELANJA BARANG DAN JASA 191,968,000.00 - 40,200,500.00
1 02 1 02 01 28 16 021 5 2 2 001 Belanja barang Pakai habis 600,000.00 - 600,000.00
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 - 600,000.00
lainnya
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 002 005 Belanja Bahan Kimia - 5,500,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 - 1,975,000.00
1 02 1 02 01 28 16 021 5 2 2 003 016 Belanja jasa promosi/publikasi/advertising - 1,100,000.00 - 1,100,000.00
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 -
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 - 875,000.00
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 - 638,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00
1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 - 16,200,000.00
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 16,200,000.00
1 02 1 02 01 28 16 021 5 2 2 015 Belanja Perjalanan Dinas 94,900,000.00 - 20,787,500.00
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 20,787,500.00
PROGRAM PENGADAAN,
1 02 1 02 01 28 25 007 SARANA DAN PRASARANA 42,325,400.00 42,325,400.00 #REF! 42,000,000.00
DAN JARINGANNYA
1 02 1 02 01 28 25 007 5 2 Pengadaan Sarana dan Prasarana Puskesmas 42,325,400.00 42,325,400.00 #REF! 42,000,000.00
6
REALISASI
SEBELUM
1 2 4 5 6
1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! 42,000,000.00
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 Belanja Modal Alat Kantor 5,214,000.00 5,214,000.00 #REF! 5,185,000.00
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! 5,185,000.00
kantor
1 02 1 02 01 28 25 007 5 2 4 015 Belanja Modal Alat Rumah Tangga 12,359,400.00 12,359,400.00 #REF! 12,255,000.00
1 02 1 02 01 28 25 007 5 2 4 015 001 Belanja Modal Meubelir 2,129,400.00 2,129,400.00 #REF! 2,085,000.00
1 02 1 02 01 28 25 007 5 2 4 015 006 Belanja Modal Home Use 10,230,000.00 10,230,000.00 #REF! 10,170,000.00
1 02 1 02 01 28 25 007 5 2 4 016 Belanja Modal Komputer 24,752,000.00 24,752,000.00 #REF! 24,560,000.00

1 02 1 02 01 28 25 007 5 2 4 016 001 Belanja Modal komputer unit/jaringan 18,912,000.00 18,912,000.00 #REF! 18,750,000.00
1 02 1 02 01 28 25 007 5 2 4 016 005 Belanja modal peralatan personal komputer 5,840,000.00 5,840,000.00 #REF! 5,810,000.00
JUMLAH BELANJA 1,317,196,100.00 #REF! 220,910,654.00

SURPLUS (DEFISIT) (460,967,000.00) (472,867,000.00) #REF! (154,191,154.00)
Mengetahui
Kepala Puskesmas Tunjung
dr. Tanti Umiyati

Nip. 19710503 200501 2 009
7
AN PENDAPATAN DAN BELANJA DAERAH
ANGGARAN 2016
BULAN : JUNI 2016
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

-
#REF! #REF! #REF!
-
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
8
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
9,000,000.00 41.67 12,600,000.00

9,000,000.00 41.67 12,600,000.00
9,000,000.00
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
9
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
10
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! - #REF!
11
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
- - 120,399,000.00
- - 8,424,000.00
- - 8,424,000.00
- - 111,975,000.00
- - 106,225,000.00
- - 5,750,000.00
#REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
12
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
41,825,500.00 21.35 154,042,500.00
1,625,000.00 41.67 2,275,000.00

1,625,000.00 41.67 2,275,000.00
1,625,000.00 41.67 2,275,000.00
#REF! #REF! #REF!

40,200,500.00 20.94 151,767,500.00
600,000.00 100.00 -
600,000.00 100.00 -
- #DIV/0! -
- - 5,720,000.00
- - 5,500,000.00
- - 220,000.00
1,975,000.00 26.73 5,415,000.00

1,100,000.00 100.00 -
- - 915,000.00
875,000.00 16.28 4,500,000.00
638,000.00 13.49 4,090,000.00
- - 2,500,000.00
638,000.00 28.64 1,590,000.00
16,200,000.00 20.60 62,430,000.00

16,200,000.00 20.60 62,430,000.00
20,787,500.00 21.90 74,112,500.00
20,787,500.00 21.90 74,112,500.00
#REF! #REF! #REF!
#REF! #REF! #REF!
13
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
Lumajang , Juli 2016

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016
BAGIAN BULAN : JULI 2016

REALISASI
SEBELUM
1 2 4 5 6 7
1
-
-
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 98,640,000.00 98,640,000.00 #REF! - #REF!
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 98,640,000.00 #REF! - #REF!

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 98,640,000.00 98,640,000.00 #REF! - #REF!
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 70,000,000.00 70,000,000.00 #REF! - #REF!
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 25,000,000.00 #REF! - #REF!

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! - #REF!

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 1,305,296,100.00 1,317,196,100.00 #REF! - #REF!

1 02 1 02 01 28 01 143,480,870.00 143,480,870.00 #REF! - #REF!
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 21,600,000.00 #REF! - #REF!

1
REALISASI
SEBELUM
1 2 4 5 6 7
PENYEDIAAN JASA
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 1,200,000.00 #REF! - #REF!
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 13,575,000.00 #REF! - #REF!
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 7,200,000.00 #REF! - #REF!

1 02 1 02 01 28 01 007 49,600,000.00 49,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 28,000,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 28,000,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 22,500,000.00 #REF! - #REF!
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 9,000,000.00 - 9,000,000.00

1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 9,000,000.00 - 9,000,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 9,000,000.00 - 9,000,000.00

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! - #REF!
KANTOR


1 02 1 02 01 28 01 011 22,315,650.00 22,315,650.00 #REF! - #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 22,315,650.00 22,315,650.00 #REF! - #REF!
2
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 800,000.00 #REF! - #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 53,871,000.00 #REF! - #REF!
1 02 1 02 01 28 02 024 45,471,000.00 45,471,000.00 #REF! - #REF!
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 25,071,000.00 #REF! - #REF!
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 11,620,000.00 #REF! - #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer
3
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 1,065,618,830.00 1,077,518,830.00 #REF! - #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 678,451,830.00 #REF! - #REF!
JKN
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 331,382,001.00 378,401,001.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 1 001 017 Honorium Pelayanan Kesehatan 331,382,001.00 378,401,001.00 #REF! - #REF!
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 268,448,001.00 #REF! - #REF!
Pelaksana Pelayanan Rawat Inap 42,000,000.00 89,019,000.00 #REF! - #REF!
Pelaksana Pelayanan Persalinan 18,750,000.00 18,750,000.00 #REF! - #REF!
Pelaksana Pelayanan Tingkat Lannjut 1,500,000.00 1,500,000.00 #REF! - #REF!
Pelaksana Pelayanan ODC 684,000.00 684,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 178,965,394.00 #REF! - #REF!

-




1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 - #REF! - #REF!
MESIN
4
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 017 108,499,000.00 120,399,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! - #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 41,825,500.00 - 41,825,500.00
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 1,625,000.00 - 1,625,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 BELANJA BARANG DAN JASA 191,968,000.00 40,200,500.00 - 40,200,500.00
1 02 1 02 01 28 16 021 5 2 2 001 Belanja barang Pakai habis 600,000.00 600,000.00 - 600,000.00
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - - -
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 1,975,000.00 - 1,975,000.00
1 02 1 02 01 28 16 021 5 2 2 003 016 Belanja jasa promosi/publikasi/advertising - 1,100,000.00 1,100,000.00 - 1,100,000.00
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 875,000.00 - 875,000.00
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 638,000.00 - 638,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -
5
REALISASI
SEBELUM
1 2 4 5 6 7
1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00 - 638,000.00
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 16,200,000.00 - 16,200,000.00
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 16,200,000.00 - 16,200,000.00
1 02 1 02 01 28 16 021 5 2 2 015 Belanja Perjalanan Dinas 94,900,000.00 20,787,500.00 - 20,787,500.00
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 20,787,500.00 - 20,787,500.00
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor

JUMLAH BELANJA 1,317,196,100.00 #REF! - #REF!

SURPLUS (DEFISIT) (460,967,000.00) (472,867,000.00) #REF! 57,405,000.00 #REF!
Mengetahui Lumajang , Agustus 2


Nip. 19710503 200501 2 009
6
N ANGGARAN 2016
N BULAN : JULI 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
7
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
41.67 12,600,000.00
41.67 12,600,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 120,399,000.00
- 8,424,000.00
- 8,424,000.00
- 111,975,000.00
- 106,225,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
21.35 154,042,500.00
41.67 2,275,000.00
41.67 2,275,000.00
41.67 2,275,000.00
#REF! #REF!
20.94 151,767,500.00
100.00 -
100.00 -
#DIV/0! -
- 5,720,000.00
- 5,500,000.00
- 220,000.00
26.73 5,415,000.00
100.00 -
- 915,000.00
16.28 4,500,000.00
13.49 4,090,000.00
- 2,500,000.00
11
% SISA ANGGARAN
8 9=4-7
28.64 1,590,000.00
20.60 62,430,000.00
20.60 62,430,000.00
21.90 74,112,500.00
21.90 74,112,500.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
Lumajang , Agustus 2016

Petugas Akuntansi
Bisma Septiawan
12
TAHUN ANGGARAN 2016
BAGIAN BULAN : AGUSTUS 2016

REALISASI
SEBELUM SETELAH
KODE REKENING URAIAN
PERUBAHAN PERUBAHAN BULAN LALU BULAN INI
1 2 4 5 6
1
1 02 1 02 01 00 00 00 4 PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 57,360,000.00
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 844,329,100.00 844,329,100.00 #REF! 57,360,000.00
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 98,640,000.00 98,640,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 98,640,000.00 #REF! -

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 98,640,000.00 98,640,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 70,000,000.00 70,000,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 25,000,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 2,500,000.00 2,500,000.00 #REF! -
- Klaim pelayanan ODC 1,140,000.00 1,140,000.00 #REF! -
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 745,689,100.00 745,689,100.00 #REF! 57,360,000.00
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 745,689,100.00 #REF! 57,360,000.00

1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 745,689,100.00 745,689,100.00 #REF! 57,360,000.00
JUMLAH PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 57,360,000.00
1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! 179,644,500.00

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 1,305,296,100.00 1,317,196,100.00 #REF! 179,644,500.00

1 02 1 02 01 28 01 143,480,870.00 143,480,870.00 #REF! 13,327,000.00
PERKANTORAN
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 21,600,000.00 #REF! 3,600,000.00
1
REALISASI
SEBELUM SETELAH
1 2 4 5 6
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 21,975,000.00 21,975,000.00 #REF! -
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 21,975,000.00 21,975,000.00 #REF! -
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,200,000.00 1,200,000.00 #REF! -
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 13,575,000.00 13,575,000.00 #REF! -
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 7,200,000.00 #REF! -

1 02 1 02 01 28 01 007 49,600,000.00 49,600,000.00 #REF! 3,600,000.00
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 28,000,000.00 28,000,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 28,000,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 22,500,000.00 #REF! -
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! -
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 #REF! -

1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 9,000,000.00 3,600,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 9,000,000.00 3,600,000.00

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00
KANTOR
1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 13,203,560.00 #REF! -
2
REALISASI
SEBELUM SETELAH
1 2 4 5 6
1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 13,203,560.00 13,203,560.00 #REF! -

1 02 1 02 01 28 01 011 22,315,650.00 22,315,650.00 #REF! -
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 22,315,650.00 22,315,650.00 #REF! -
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 21,515,650.00 21,515,650.00 #REF! -
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 800,000.00 #REF! -

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! 4,427,000.00
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 Belanja Bahan Pakai Habis 4,586,660.00 4,586,660.00 #REF! 4,427,000.00
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! 4,427,000.00
Pembersih

1 02 1 02 01 28 02 53,871,000.00 53,871,000.00 #REF! 5,250,000.00
1 02 1 02 01 28 02 024 45,471,000.00 45,471,000.00 #REF! 4,550,000.00
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 25,071,000.00 #REF! 1,150,000.00
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 11,620,000.00 #REF! 1,150,000.00
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! -
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! 700,000.00
3
REALISASI
SEBELUM SETELAH
1 2 4 5 6
1 02 1 02 01 28 02 026 5 2 2 BELANJA BARANG DAN JASA 1,400,000.00 1,400,000.00 #REF! 700,000.00
1 02 1 02 01 28 02 026 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 1,400,000.00 1,400,000.00 #REF! 700,000.00
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 1,400,000.00 #REF! 700,000.00

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 400,000.00 400,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 400,000.00 400,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 6,600,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 4,200,000.00 #REF! -
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! -
Komputer

1 02 1 02 01 28 16 1,065,618,830.00 1,077,518,830.00 #REF! 161,067,500.00
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 678,451,830.00 #REF! 118,485,000.00
JKN
1 02 1 02 01 28 16 016 5 2 1 BELANJA PEGAWAI 510,347,395.00 557,366,395.00 #REF! 111,405,000.00
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 331,382,001.00 378,401,001.00 #REF! 62,780,396.00
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 268,448,001.00 #REF! 62,780,396.00
Pelaksana Pelayanan Rawat Inap 42,000,000.00 89,019,000.00 #REF! -
Pelaksana Pelayanan Persalinan 18,750,000.00 18,750,000.00 #REF! -
Pelaksana Pelayanan Tingkat Lannjut 1,500,000.00 1,500,000.00 #REF! -
Pelaksana Pelayanan ODC 684,000.00 684,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 178,965,394.00 #REF! 48,624,604.00


1 02 1 02 01 28 16 016 5 2 2 001 008 Belanja Pengisian Tabung Gas 7,050,000.00 7,050,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 001 009 Belanja Alat kesehatan/kedokteran habis pakai 40,000,000.00 10,000,000.00 #REF! -
4
REALISASI
SEBELUM SETELAH
1 2 4 5 6
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 100,620,435.00 #REF! 7,080,000.00

1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 44,420,435.00 20,420,435.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 002 005 Belanja Bahan Kimia 10,000,000.00 10,000,000.00 #REF! -
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 43,740,000.00 70,200,000.00 #REF! 7,080,000.00
1 02 1 02 01 28 16 016 5 2 2 003 Belanja Jasa Kantor 1,000,000.00 - #REF! -

1 02 1 02 01 28 16 016 5 2 2 003 019 Belanja Jasa Uji Laboratorium 1,000,000.00 - #REF! -
1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 3,415,000.00 #REF! -

1 02 1 02 01 28 16 016 5 2 2 056 001 Belanja Alat Kedokteran Umum 2,545,000.00 2,545,000.00 #REF! -
Belanja Alat Kedokteran Gigi 870,000.00 870,000.00 #REF! -

1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 - #REF! -
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 - #REF! -
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 - #REF! -

1 02 1 02 01 28 16 017 108,499,000.00 120,399,000.00 #REF! -
1 02 1 02 01 28 16 017 5 2 1 Belanja Pegawai 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 1 001 Honorarium PNS 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 1 001 017 Honorarium Pelayanan Kesehatan 108,499,000.00 - #REF! -
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,424,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,424,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 111,975,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 106,225,000.00 - -
1 02 1 02 01 28 16 017 5 2 2 015 002 Belanja perjalanan dinas luar daerah 5,750,000.00 - -
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00
MASYARAKAT
5
REALISASI
SEBELUM SETELAH
1 2 4 5 6

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 41,825,500.00 28,782,500.00
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 1,625,000.00 -
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 1,625,000.00 -
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 1,625,000.00 -
Keuangan
1 02 1 02 01 28 16 021 5 2 1 001 017 Honorarium pelayanan kesehatan 195,868,000.00 - #REF! -
1 02 1 02 01 28 16 021 5 2 2 BELANJA BARANG DAN JASA 191,968,000.00 40,200,500.00 28,782,500.00
1 02 1 02 01 28 16 021 5 2 2 001 Belanja barang Pakai habis 600,000.00 600,000.00 -
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 -
lainnya
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - 140,000.00

1 02 1 02 01 28 16 021 5 2 2 002 005 Belanja Bahan Kimia - 5,500,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - 140,000.00
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 1,975,000.00 3,375,000.00
1 02 1 02 01 28 16 021 5 2 2 003 016 Belanja jasa promosi/publikasi/advertising - 1,100,000.00 1,100,000.00 -
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 - -
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 875,000.00 3,375,000.00
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 638,000.00 -
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 -
1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00 -
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 16,200,000.00 10,530,000.00
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 16,200,000.00 10,530,000.00
1 02 1 02 01 28 16 021 5 2 2 015 Belanja Perjalanan Dinas 94,900,000.00 20,787,500.00 14,737,500.00
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 20,787,500.00 14,737,500.00
PROGRAM PENGADAAN,
1 02 1 02 01 28 25 007 SARANA DAN PRASARANA 42,325,400.00 42,325,400.00 #REF! -
DAN JARINGANNYA
1 02 1 02 01 28 25 007 5 2 Pengadaan Sarana dan Prasarana Puskesmas 42,325,400.00 42,325,400.00 #REF! -
6
REALISASI
SEBELUM SETELAH
1 2 4 5 6
1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! -
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 Belanja Modal Alat Kantor 5,214,000.00 5,214,000.00 #REF! -
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! -
kantor
1 02 1 02 01 28 25 007 5 2 4 015 Belanja Modal Alat Rumah Tangga 12,359,400.00 12,359,400.00 #REF! -
1 02 1 02 01 28 25 007 5 2 4 015 001 Belanja Modal Meubelir 2,129,400.00 2,129,400.00 #REF! -
1 02 1 02 01 28 25 007 5 2 4 015 006 Belanja Modal Home Use 10,230,000.00 10,230,000.00 #REF! -
1 02 1 02 01 28 25 007 5 2 4 016 Belanja Modal Komputer 24,752,000.00 24,752,000.00 #REF! -

1 02 1 02 01 28 25 007 5 2 4 016 001 Belanja Modal komputer unit/jaringan 18,912,000.00 18,912,000.00 #REF! -
1 02 1 02 01 28 25 007 5 2 4 016 005 Belanja modal peralatan personal komputer 5,840,000.00 5,840,000.00 #REF! -
JUMLAH BELANJA 1,317,196,100.00 #REF! 179,644,500.00

SURPLUS (DEFISIT) (460,967,000.00) (472,867,000.00) #REF! (122,284,500.00)
Mengetahui
dr. Tanti Umiyati

Nip. 19710503 200501 2 009
7
AN PENDAPATAN DAN BELANJA DAERAH
ANGGARAN 2016
LAN : AGUSTUS 2016
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

-
#REF! #REF! #REF!
-
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
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#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
8
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
12,600,000.00 58.33 9,000,000.00

12,600,000.00 58.33 9,000,000.00
12,600,000.00
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
9
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
10
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! - #REF!
11
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
- - 120,399,000.00
- - 8,424,000.00
- - 8,424,000.00
- - 111,975,000.00
- - 106,225,000.00
- - 5,750,000.00
#REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
12
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!
70,608,000.00 36.05 125,260,000.00
1,625,000.00 41.67 2,275,000.00

1,625,000.00 41.67 2,275,000.00
1,625,000.00 41.67 2,275,000.00
#REF! #REF! #REF!

68,983,000.00 35.93 122,985,000.00
600,000.00 100.00 -
600,000.00 100.00 -
- #DIV/0! -
140,000.00 2.45 5,580,000.00

- - 5,500,000.00
140,000.00 63.64 80,000.00
5,350,000.00 72.40 2,040,000.00

1,100,000.00 100.00 -
- - 915,000.00
4,250,000.00 79.07 1,125,000.00
638,000.00 13.49 4,090,000.00
- - 2,500,000.00
638,000.00 28.64 1,590,000.00
26,730,000.00 33.99 51,900,000.00

26,730,000.00 33.99 51,900,000.00
35,525,000.00 37.43 59,375,000.00
35,525,000.00 37.43 59,375,000.00
#REF! #REF! #REF!
#REF! #REF! #REF!
13
REALISASI
% SISA ANGGARAN
s/d BULAN INI
7 8 9=4-7
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!

#REF! #REF! #REF!
Lumajang , September 2016

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016

: 1.02.01.28. DINAS KESEHATAN - PUSKESMAS
ORGANISASI
TUNJUNG
ANGGARAN REALISASI
KODE REKENING URAIAN SEBELUM SETELAH
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

- Klaim Pelayanan KB 1,400,000.00 -
- Klaim Pemeriksaan GDS 1,800,000.00 -
Klaim Pemeriksaan IVA 4,800,000.00 -

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 179,644,500.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 13,327,000.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! 3,600,000.00 #REF!

1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! - #REF!
Keuangan
1 02 1 02 01 28 01 007 5 2 1 001 004 Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! - #REF!
1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 9,000,000.00 3,600,000.00 12,600,000.00
1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 9,000,000.00 3,600,000.00 12,600,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 9,000,000.00 3,600,000.00 12,600,000.00

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00 #REF!
KANTOR

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! - #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! - #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! 4,427,000.00 #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 Belanja Bahan Pakai Habis 4,586,660.00 4,586,660.00 #REF! 4,427,000.00 #REF!
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! 4,427,000.00 #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 5,250,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 4,550,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 25,071,000.00 28,621,000.00 #REF! 1,150,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 11,620,000.00 15,170,000.00 #REF! 1,150,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! 700,000.00 #REF!
1 02 1 02 01 28 02 026 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 1,400,000.00 1,400,000.00 #REF! 700,000.00 #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 1,400,000.00 #REF! 700,000.00 #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer
PROGAM PENINGKATAN DISIPLIN

1 02 1 02 01 28 03 - 9,600,000.00 - - -
APARATUR
1 02 1 02 01 28 03 005 5 2 Pengadaan Pakaian Khusus Hari tertentu - 9,600,000.00 - - -
1 02 1 02 01 28 03 005 5 2 2 BELANJA BARANG DAN JASA - 9,600,000.00 - - -
1 02 1 02 01 28 03 005 5 2 2 014 Belanja Pakaian Khusus Hari - hari Tertentu - 9,600,000.00 - - -
1 02 1 02 01 28 03 005 5 2 2 014 003 Belanja Pakaian Batik Tradisional - 9,600,000.00 - - -

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 161,067,500.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 118,485,000.00 #REF!
JKN

Pelaksana Pelayanan ODC 684,000.00 2,000,000.00 #REF! - #REF!
-
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 210,455,854.00 #REF! 7,080,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 43,740,000.00 108,000,000.00 #REF! 7,080,000.00 #REF!



1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 48,044,000.00 #REF! - #REF!
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 41,464,000.00 #REF! - #REF!
Belanja Modal Alat Kesehatan kebidanan dan
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 41,825,500.00 28,782,500.00 70,608,000.00
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 1,625,000.00 - 1,625,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - 140,000.00 140,000.00

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - 140,000.00 140,000.00
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 1,975,000.00 3,375,000.00 5,350,000.00
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 875,000.00 3,375,000.00 4,250,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00 - 638,000.00
1 02 1 02 01 28 16 021 5 2 2 011 Belanja Makanan dan Minuman 78,630,000.00 16,200,000.00 10,530,000.00 26,730,000.00
1 02 1 02 01 28 16 021 5 2 2 011 001 Belanja makanan dan minuman rapat - 78,630,000.00 16,200,000.00 10,530,000.00 26,730,000.00
1 02 1 02 01 28 16 021 5 2 2 015 Belanja Perjalanan Dinas 94,900,000.00 20,787,500.00 14,737,500.00 35,525,000.00
1 02 1 02 01 28 16 021 5 2 2 015 001 Belanja perjalanan dinas dalam daerah - 94,900,000.00 20,787,500.00 14,737,500.00 35,525,000.00
PROGRAM PENGEMBANGAN
1 02 1 02 01 28 21 - 9,900,000.00 - - -
LINGKUNGAN SEHAT
1 02 1 02 01 28 21 006 5 2 Penyelenggaraan Penyehatan - 9,900,000.00 - - -
1 02 1 02 01 28 21 006 5 2 2 003 Belanja Jasa Kantor - 9,900,000.00 - - -

1 02 1 02 01 28 21 006 5 2 2 003 03 Belanja jasa Pemgolahan limbah medis - 9,900,000.00 - - -
6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
1 02 1 02 01 28 25 SARANA DAN PRASARANA 42,325,400.00 42,325,400.00 #REF! - #REF!
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , September 2016


Nip. 19710503 200501 2 009
7
AHUN ANGGARAN 2016
AN BULAN : AGUSTUS 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
58.33 9,000,000.00
58.33 9,000,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 45,116,000.00
- 8,566,000.00
- 8,566,000.00
- 36,550,000.00
- 30,800,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
36.05 125,260,000.00
12
% SISA ANGGARAN
8 9=4-7
41.67 2,275,000.00
41.67 2,275,000.00
41.67 2,275,000.00
#REF! #REF!
35.93 122,985,000.00
100.00 -
100.00 -
#DIV/0! -
2.45 5,580,000.00
- 5,500,000.00
63.64 80,000.00
72.40 2,040,000.00
100.00 -
- 915,000.00
79.07 1,125,000.00
13.49 4,090,000.00
- 2,500,000.00
28.64 1,590,000.00
33.99 51,900,000.00
33.99 51,900,000.00
37.43 59,375,000.00
37.43 59,375,000.00
-
-
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016

ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 25,000,000.00 36,000,000.00 #REF! 420,000.00 #REF!
- Klaim Pelayanan KB 1,400,000.00 -
- Klaim Pemeriksaan GDS 1,800,000.00 -
Klaim Pemeriksaan IVA 4,800,000.00 -

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 179,644,500.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 13,327,000.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! 3,600,000.00 #REF!

1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! - #REF!
Keuangan
Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! - #REF!

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00 #REF!
KANTOR

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! - #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! - #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! 4,427,000.00 #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! 4,427,000.00 #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 5,250,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 4,550,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! 700,000.00 #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan aAlat Pendingin 1,400,000.00 1,400,000.00 #REF! 700,000.00 #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer

1 02 1 02 01 28 03 - 9,600,000.00 - - -
APARATUR

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 161,067,500.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 118,485,000.00 #REF!
JKN
-
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7



1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00 #REF!
MASYARAKAT
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 41,825,500.00 28,782,500.00 70,608,000.00
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 1,625,000.00 - 1,625,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 1,625,000.00 - 1,625,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - 140,000.00 140,000.00

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 - 140,000.00 140,000.00
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 1,975,000.00 3,375,000.00 5,350,000.00
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 875,000.00 3,375,000.00 4,250,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00 - 638,000.00
1 02 1 02 01 28 21 - 9,900,000.00 - - -
LINGKUNGAN SEHAT

6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , September


Nip. 19710503 200501 2 009
7
N ANGGARAN 2016
BULAN : AGUSTUS 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
58.33 9,000,000.00
58.33 9,000,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 45,116,000.00
- 8,566,000.00
- 8,566,000.00
- 36,550,000.00
- 30,800,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
12
% SISA ANGGARAN
8 9=4-7
36.05 125,260,000.00
41.67 2,275,000.00
41.67 2,275,000.00
41.67 2,275,000.00
#REF! #REF!
35.93 122,985,000.00
100.00 -
100.00 -
#DIV/0! -
2.45 5,580,000.00
- 5,500,000.00
63.64 80,000.00
72.40 2,040,000.00
100.00 -
- 915,000.00
79.07 1,125,000.00
13.49 4,090,000.00
- 2,500,000.00
28.64 1,590,000.00
33.99 51,900,000.00
33.99 51,900,000.00
37.43 59,375,000.00
37.43 59,375,000.00
-
-
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016
BAGIAN BULAN : SEPTEMBER 2016

ORGANISASI
TUNJUNG
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

- Klaim Pelayanan KB 1,400,000.00 - 405,000.00
- Klaim Pemeriksaan GDS 1,800,000.00 - -
- Klaim Pemeriksaan IVA 4,800,000.00 - -

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 89,968,218.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 16,902,818.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! 9,275,000.00 #REF!

1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 30,500,000.00 #REF! 7,475,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 #REF! 600,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! 5,625,000.00 #REF!
Keuangan
1 02 1 02 01 28 01 007 5 2 1 001 004 Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! 900,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 800,000.00 #REF! 350,000.00 #REF!

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 850,000.00 #REF!
KANTOR
1 02 1 02 01 28 01 008 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 10,200,000.00 10,200,000.00 #REF! 850,000.00 #REF!
1 02 1 02 01 28 01 008 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 10,200,000.00 10,200,000.00 #REF! 850,000.00 #REF!

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! - #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! - #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 7,100,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 4,150,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! 2,950,000.00 #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 124 Belanja Pemeliharaan Alat Rumah Tangga 400,000.00 400,000.00 #REF! 200,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 400,000.00 400,000.00 #REF! 200,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 6,600,000.00 #REF! 2,750,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 4,200,000.00 #REF! 2,050,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! 700,000.00 #REF!
Komputer

1 02 1 02 01 28 03 - 9,600,000.00 - - -
APARATUR

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 65,965,400.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 14,595,000.00 #REF!
JKN
Pelaksana Pelayanan Rawat Jalan 268,448,001.00 388,448,001.00 #REF! - #REF!
Pelaksana Pelayanan Persalinan 18,750,000.00 58,750,000.00 #REF! 945,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 178,965,394.00 #REF! - #REF!

-
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7



1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00 -
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 #REF! - #REF!
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 6,900,000.00 #REF!
MASYARAKAT
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 70,608,000.00 44,470,400.00 115,078,400.00
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 1,625,000.00 975,000.00 2,600,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 1,625,000.00 975,000.00 2,600,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 1,625,000.00 975,000.00 2,600,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya
1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 140,000.00 20,000.00 160,000.00

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 140,000.00 20,000.00 160,000.00
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 5,350,000.00 795,000.00 6,145,000.00
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 - 420,000.00 420,000.00
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 4,250,000.00 375,000.00 4,625,000.00
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 638,000.00 955,400.00 1,593,400.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 638,000.00 955,400.00 1,593,400.00
1 02 1 02 01 28 21 - 9,900,000.00 - - -
LINGKUNGAN SEHAT

6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , Oktober 2016


Nip. 19710503 200501 2 009
7
AHUN ANGGARAN 2016
N BULAN : SEPTEMBER 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
66.67 7,200,000.00
66.67 7,200,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
- 9,600,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 45,116,000.00
- 8,566,000.00
- 8,566,000.00
- 36,550,000.00
- 30,800,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
12
% SISA ANGGARAN
8 9=4-7
58.75 80,789,600.00
66.67 1,300,000.00
66.67 1,300,000.00
66.67 1,300,000.00
#REF! #REF!
58.59 79,489,600.00
100.00 -
100.00 -
#DIV/0! -
2.80 5,560,000.00
- 5,500,000.00
72.73 60,000.00
83.15 1,245,000.00
100.00 -
45.90 495,000.00
86.05 750,000.00
33.70 3,134,600.00
- 2,500,000.00
71.52 634,600.00
53.64 36,450,000.00
53.64 36,450,000.00
65.12 33,100,000.00
65.12 33,100,000.00
-
-
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
Lumajang , Oktober 2016

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016
BAGIAN BULAN : OKTOBER 2016

ORGANISASI
TUNJUNG
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

- Klaim Pelayanan KB 1,400,000.00 - -

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 89,886,700.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 4,244,200.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! 1,800,000.00 #REF!


1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! - #REF!
Keuangan

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! - #REF!
KANTOR

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! 644,200.00 #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! 644,200.00 #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 7,767,500.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 7,767,500.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! 5,367,500.00 #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 1,400,000.00 1,400,000.00 #REF! - #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer

1 02 1 02 01 28 03 - 9,600,000.00 - 9,440,000.00 9,440,000.00
APARATUR
1 02 1 02 01 28 03 005 5 2 Pengadaan Pakaian Khusus Hari tertentu - 9,600,000.00 - 9,440,000.00 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 BELANJA BARANG DAN JASA - 9,600,000.00 - 9,440,000.00 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 Belanja Pakaian Khusus Hari - hari Tertentu - 9,600,000.00 - 9,440,000.00 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 003 Belanja Pakaian Batik Tradisional - 9,600,000.00 - 9,440,000.00 9,440,000.00

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 68,435,000.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 36,774,000.00 #REF!
JKN

-
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7



1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00 -
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 #REF! 1,125,000.00 1,125,000.00
1 02 1 02 01 28 16 017 5 2 2 BELANJA BARANG DAN JASA 45,116,000.00 1,125,000.00 1,125,000.00
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,566,000.00 - 250,000.00 250,000.00
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,566,000.00 - 250,000.00 250,000.00
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 36,550,000.00 - 875,000.00 875,000.00
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 30,800,000.00 - 875,000.00 875,000.00
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 6,900,000.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 115,078,400.00 23,636,000.00 138,714,400.00
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 2,600,000.00 325,000.00 2,925,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 2,600,000.00 325,000.00 2,925,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 2,600,000.00 325,000.00 2,925,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 160,000.00 20,000.00 180,000.00
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 420,000.00 45,000.00 465,000.00
1 02 1 02 01 28 16 021 5 2 2 006 Belanja Cetak dan Penggandaan 4,728,000.00 1,593,400.00 146,000.00 1,739,400.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 1,593,400.00 146,000.00 1,739,400.00
1 02 1 02 01 28 21 - 9,900,000.00 - - -
LINGKUNGAN SEHAT

6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , Nopember2016


Nip. 19710503 200501 2 009
7
AHUN ANGGARAN 2016
N BULAN : OKTOBER 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
75.00 5,400,000.00
75.00 5,400,000.00
75.00 5,400,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
2.49 43,991,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
2.49 43,991,000.00
2.92 8,316,000.00
2.92 8,316,000.00
2.39 35,675,000.00
2.84 29,925,000.00
- 5,750,000.00
#REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
70.82 57,153,600.00
12
% SISA ANGGARAN
8 9=4-7
75.00 975,000.00
75.00 975,000.00
75.00 975,000.00
#REF! #REF!
70.74 56,178,600.00
100.00 -
100.00 -
#DIV/0! -
3.15 5,540,000.00
- 5,500,000.00
81.82 40,000.00
88.84 825,000.00
100.00 -
50.82 450,000.00
93.02 375,000.00
36.79 2,988,600.00
- 2,500,000.00
78.07 488,600.00
68.33 24,900,000.00
68.33 24,900,000.00
76.90 21,925,000.00
76.90 21,925,000.00
-
- 9,900,000.00
- 9,900,000.00
- 9,900,000.00
- 9,900,000.00
- 9,900,000.00
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
Lumajang , Nopember2016
Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016
BAGIAN BULAN : NOPEMBER 2016

ORGANISASI
TUNJUNG
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

- Klaim Pelayanan KB 1,400,000.00 - 1,520,000.00
- Klaim Pemeriksaan GDS 1,800,000.00 - 160,000.00

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 162,073,323.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 6,471,631.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 7,200,000.00 8,400,000.00 #REF! 927,300.00 #REF!

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! - #REF!


1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! - #REF!
Keuangan
1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 21,600,000.00 16,200,000.00 - 16,200,000.00

1 02 1 02 01 28 01 007 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 21,600,000.00 21,600,000.00 16,200,000.00 - 16,200,000.00
1 02 1 02 01 28 01 007 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja Bulanan 21,600,000.00 21,600,000.00 16,200,000.00 - 16,200,000.00

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00 #REF!
KANTOR

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! - #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! - #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 4,785,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 1,350,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! - #REF!
Cadang
1 02 1 02 01 28 01 024 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 20,400,000.00 20,400,000.00 #REF! 850,000.00 #REF!
1 02 1 02 01 28 01 024 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 20,400,000.00 20,400,000.00 #REF! 850,000.00 #REF!

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! - #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 1,400,000.00 1,400,000.00 #REF! - #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! 3,435,000.00 #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 125 Belanja Pemeliharaan Alat Komputer 6,600,000.00 6,600,000.00 #REF! 3,435,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 125 002 Belanja Pemeliharaan Personal Komputer 4,200,000.00 4,200,000.00 #REF! 1,800,000.00 #REF!
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! 1,635,000.00 #REF!
Komputer

1 02 1 02 01 28 03 - 9,600,000.00 9,440,000.00 - 9,440,000.00
APARATUR
1 02 1 02 01 28 03 005 5 2 Pengadaan Pakaian Khusus Hari tertentu - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 BELANJA BARANG DAN JASA - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 Belanja Pakaian Khusus Hari - hari Tertentu - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 003 Belanja Pakaian Batik Tradisional - 9,600,000.00 9,440,000.00 - 9,440,000.00

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 142,266,052.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 119,898,052.00 #REF!
JKN

-
1 02 1 02 01 28 16 016 5 2 2 001 009 Belanja Alat kesehatan/kedokteran habis pakai 40,000,000.00 19,000,000.00 #REF! 18,882,052.00 #REF!
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 12,510,000.00 #REF! 12,257,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 2 056 001 Belanja Alat Kedokteran Umum 2,545,000.00 11,640,000.00 #REF! 11,408,000.00 #REF!
Belanja Alat Kedokteran Gigi 870,000.00 870,000.00 #REF! 849,000.00 #REF!

1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! 40,966,000.00 #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 Belanja Modal Alat Kedokteran 18,479,000.00 48,044,000.00 #REF! 40,966,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 4 021 001 Belanja Modal Alat Kedokteran Umum 18,479,000.00 41,464,000.00 #REF! 34,431,000.00 #REF!
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00 - 6,535,000.00 6,535,000.00
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 1,125,000.00 - 1,125,000.00
1 02 1 02 01 28 16 017 5 2 2 BELANJA BARANG DAN JASA 45,116,000.00 1,125,000.00 - 1,125,000.00
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,566,000.00 250,000.00 - 250,000.00
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,566,000.00 250,000.00 - 250,000.00
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 36,550,000.00 875,000.00 - 875,000.00
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 30,800,000.00 875,000.00 - 875,000.00
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 6,900,000.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 138,714,400.00 15,468,000.00 154,182,400.00
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 2,925,000.00 325,000.00 3,250,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 2,925,000.00 325,000.00 3,250,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 2,925,000.00 325,000.00 3,250,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 180,000.00 20,000.00 200,000.00
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 465,000.00 - 465,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 1,739,400.00 148,000.00 1,887,400.00
1 02 1 02 01 28 21 - 9,900,000.00 - 8,550,640.00 8,550,640.00
LINGKUNGAN SEHAT
1 02 1 02 01 28 21 006 5 2 Penyelenggaraan Penyehatan - 9,900,000.00 - 8,550,640.00 8,550,640.00
1 02 1 02 01 28 21 006 5 2 2 BELANJA BARANG DAN JASA - 9,900,000.00 - 8,550,640.00 8,550,640.00
1 02 1 02 01 28 21 006 5 2 2 003 Belanja Jasa Kantor - 9,900,000.00 - 8,550,640.00 8,550,640.00

1 02 1 02 01 28 21 006 5 2 2 003 03 Belanja jasa Pemgolahan limbah medis - 9,900,000.00 - 8,550,640.00 8,550,640.00
6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , Nopember 2016


Nip. 19710503 200501 2 009
7
AHUN ANGGARAN 2016
N BULAN : NOPEMBER 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
75.00 5,400,000.00
75.00 5,400,000.00
75.00 5,400,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
99.32 45,000.00
2.49 43,991,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
2.49 43,991,000.00
2.92 8,316,000.00
2.92 8,316,000.00
2.39 35,675,000.00
2.84 29,925,000.00
- 5,750,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
78.72 41,685,600.00
12
% SISA ANGGARAN
8 9=4-7
83.33 650,000.00
83.33 650,000.00
83.33 650,000.00
#REF! #REF!
78.62 41,035,600.00
100.00 -
100.00 -
#DIV/0! -
3.50 5,520,000.00
- 5,500,000.00
90.91 20,000.00
93.91 450,000.00
100.00 -
50.82 450,000.00
100.00 -
39.92 2,840,600.00
- 2,500,000.00
84.71 340,600.00
76.92 18,150,000.00
76.92 18,150,000.00
85.17 14,075,000.00
85.17 14,075,000.00
86.37 1,349,360.00
86.37 1,349,360.00
86.37 1,349,360.00
86.37 1,349,360.00
86.37 1,349,360.00
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
Lumajang , Nopember 2016

Petugas Akuntansi
Bisma Septiawan
14
TAHUN ANGGARAN 2016
BAGIAN BULAN : DESEMBER 2016

ORGANISASI
TUNJUNG
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7

-
-

- Klaim Pelayanan KB 1,400,000.00 - 105,000.00

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,682,004,519.00 #REF! 190,661,033.00 #REF!


1 02 1 02 01 28 01 143,480,870.00 151,580,870.00 #REF! 31,420,625.00 #REF!
PERKANTORAN
1
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PENYEDIAAN JASA
LISTRIK

1 02 1 02 01 28 01 007 49,600,000.00 52,100,000.00 #REF! 21,850,000.00 #REF!

1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 28,000,000.00 30,500,000.00 #REF! 16,450,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 1,200,000.00 1,200,000.00 #REF! 600,000.00 #REF!

1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 24,900,000.00 #REF! 13,650,000.00 #REF!
Keuangan
1 02 1 02 01 28 01 007 5 2 1 001 004 Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 #REF! 1,800,000.00 #REF!
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 800,000.00 #REF! 400,000.00 #REF!

1 02 1 02 01 28 01 008 10,200,000.00 10,200,000.00 #REF! 1,700,000.00 #REF!
KANTOR

2
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 011 22,315,650.00 23,715,650.00 #REF! 780,700.00 #REF!
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 002 800,000.00 2,200,000.00 #REF! 780,700.00 #REF!

1 02 1 02 01 28 01 016 4,586,660.00 4,586,660.00 #REF! - #REF!
KANTOR
1 02 1 02 01 28 01 016 5 2 2 001 005 4,586,660.00 4,586,660.00 #REF! - #REF!
Pembersih

1 02 1 02 01 28 02 53,871,000.00 57,421,000.00 #REF! 4,825,000.00 #REF!
1 02 1 02 01 28 02 024 45,471,000.00 49,021,000.00 #REF! 4,175,000.00 #REF!
1 02 1 02 01 28 02 024 5 2 2 005 002 13,451,000.00 13,451,000.00 #REF! 925,000.00 #REF!
Cadang

1 02 1 02 01 28 02 026 5 2 1,400,000.00 1,400,000.00 #REF! 650,000.00 #REF!
1 02 1 02 01 28 02 026 5 2 2 124 004 Belanja Pemeliharaan Alat Pendingin 1,400,000.00 1,400,000.00 #REF! 650,000.00 #REF!

1 02 1 02 01 28 02 027 5 2 7,000,000.00 7,000,000.00 #REF! - #REF!
3
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 02 027 5 2 2 125 005 2,400,000.00 2,400,000.00 #REF! - #REF!
Komputer

1 02 1 02 01 28 03 - 9,600,000.00 9,440,000.00 - 9,440,000.00
APARATUR
1 02 1 02 01 28 03 005 5 2 Pengadaan Pakaian Khusus Hari tertentu - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 BELANJA BARANG DAN JASA - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 Belanja Pakaian Khusus Hari - hari Tertentu - 9,600,000.00 9,440,000.00 - 9,440,000.00
1 02 1 02 01 28 03 005 5 2 2 014 003 Belanja Pakaian Batik Tradisional - 9,600,000.00 9,440,000.00 - 9,440,000.00

1 02 1 02 01 28 16 1,065,618,830.00 1,411,177,249.00 #REF! 153,397,608.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 016 678,451,830.00 1,087,393,249.00 #REF! 108,021,108.00 #REF!
JKN

-
4
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 44,420,435.00 92,455,854.00 #REF! 31,665,340.00 #REF!
1 02 1 02 01 28 16 016 5 2 2 002 005 Belanja Bahan Kimia 10,000,000.00 10,000,000.00 #REF! 9,818,120.00 #REF!



1 02 1 02 01 28 16 016 5 2 4 18,479,000.00 48,044,000.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 16 016 5 2 4 021 009 - 6,580,000.00 6,535,000.00 - 6,535,000.00
penyakit kandungan

1 02 1 02 01 28 16 017 108,499,000.00 45,116,000.00 1,125,000.00 450,000.00 1,575,000.00
1 02 1 02 01 28 16 017 5 2 2 BELANJA BARANG DAN JASA 45,116,000.00 1,125,000.00 450,000.00 1,575,000.00
1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,566,000.00 250,000.00 100,000.00 350,000.00
1 02 1 02 01 28 16 017 5 2 2 005 001 Belanja bahan bakar minyak dan pelumas 8,566,000.00 250,000.00 100,000.00 350,000.00
1 02 1 02 01 28 16 017 5 2 2 015 Belanja Perjalanan Dinas 36,550,000.00 875,000.00 350,000.00 1,225,000.00
1 02 1 02 01 28 16 017 5 2 2 015 001 Belanja perjalanan dinas dalam daerah 30,800,000.00 875,000.00 350,000.00 1,225,000.00
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 82,800,000.00 82,800,000.00 #REF! 13,800,000.00 #REF!
MASYARAKAT

1 02 1 02 01 28 16 021 195,868,000.00 195,868,000.00 154,182,400.00 31,126,500.00 185,308,900.00
5
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
1 02 1 02 01 28 16 021 5 2 1 BELANJA PEGAWAI 195,868,000.00 3,900,000.00 3,250,000.00 650,000.00 3,900,000.00
1 02 1 02 01 28 16 021 5 2 1 001 Honorarium PNS 195,868,000.00 3,900,000.00 3,250,000.00 650,000.00 3,900,000.00
1 02 1 02 01 28 16 021 5 2 1 001 003 - 3,900,000.00 3,250,000.00 650,000.00 3,900,000.00
Keuangan
1 02 1 02 01 28 16 021 5 2 2 001 004 - 600,000.00 600,000.00 - 600,000.00
lainnya

1 02 1 02 01 28 16 021 5 2 2 002 009 - 220,000.00 200,000.00 20,000.00 220,000.00
1 02 1 02 01 28 16 021 5 2 2 003 Belanja Jasa Kantor 7,390,000.00 6,940,000.00 - 6,940,000.00
1 02 1 02 01 28 16 021 5 2 2 003 019 Belanja jasa uji laboratorium - 915,000.00 465,000.00 - 465,000.00
1 02 1 02 01 28 16 021 5 2 2 003 024 Belanja penggantian transport - 5,375,000.00 5,375,000.00 - 5,375,000.00
1 02 1 02 01 28 16 021 5 2 2 006 001 Belanja cetak - 2,500,000.00 - -

1 02 1 02 01 28 16 021 5 2 2 006 002 - 2,228,000.00 1,887,400.00 294,000.00 2,181,400.00
1 02 1 02 01 28 21 - 9,900,000.00 8,550,640.00 1,017,800.00 9,568,440.00
LINGKUNGAN SEHAT
1 02 1 02 01 28 21 006 5 2 Penyelenggaraan Penyehatan - 9,900,000.00 8,550,640.00 1,017,800.00 9,568,440.00
1 02 1 02 01 28 21 006 5 2 2 BELANJA BARANG DAN JASA - 9,900,000.00 8,550,640.00 1,017,800.00 9,568,440.00
1 02 1 02 01 28 21 006 5 2 2 003 Belanja Jasa Kantor - 9,900,000.00 8,550,640.00 1,017,800.00 9,568,440.00

1 02 1 02 01 28 21 006 5 2 2 003 03 Belanja jasa Pemgolahan limbah medis - 9,900,000.00 8,550,640.00 1,017,800.00 9,568,440.00
6
ANGGARAN REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7
PROGRAM PENGADAAN,
DAN JARINGANNYA

1 02 1 02 01 28 25 007 5 2 4 42,325,400.00 42,325,400.00 #REF! - #REF!
MESIN
1 02 1 02 01 28 25 007 5 2 4 014 004 5,214,000.00 5,214,000.00 #REF! - #REF!
kantor


Mengetahui Lumajang , Desember 2016


Nip. 19710503 200501 2 009
7
AHUN ANGGARAN 2016
N BULAN : DESEMBER 2016
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
- 1,400,000.00
- 1,800,000.00
- 4,800,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
8
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
100.00 -
100.00 -
100.00 -
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
9
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
10
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
98.33 160,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
11
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
99.32 45,000.00
3.49 43,541,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
3.49 43,541,000.00
4.09 8,216,000.00
4.09 8,216,000.00
3.35 35,325,000.00
3.98 29,575,000.00
- 5,750,000.00
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
94.61 10,559,100.00
12
% SISA ANGGARAN
8 9=4-7
100.00 -
100.00 -
100.00 -
#REF! #REF!
94.50 10,559,100.00
100.00 -
100.00 -
#DIV/0! -
3.85 5,500,000.00
- 5,500,000.00
100.00 -
93.91 450,000.00
100.00 -
50.82 450,000.00
100.00 -
46.14 2,546,600.00
- 2,500,000.00
97.91 46,600.00
98.50 1,200,000.00
98.50 1,200,000.00
99.08 862,500.00
99.08 862,500.00
96.65 331,560.00
96.65 331,560.00
96.65 331,560.00
96.65 331,560.00
96.65 331,560.00
13
% SISA ANGGARAN
8 9=4-7
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
#REF! #REF!
Lumajang , Desember 2016

Petugas Akuntansi
Bisma Septiawan
14
DIANS KESEHATAN KABUPATEN LUMAJANG
PUSKESMAS TUNJUNG
LAPORAN EVALUASI REALISASI DOP
PER 31 AGUSTUS 2015
ORGANISASI : 1.02.01.28. DINAS KESEHATAN -PUSKESMAS TUNJUNG
KODE REKENING URAIAN ANGGARAN REALISASI %
1 2 3 4 5
1 02 1 02 01 00 00 00 4 PENDAPATAN 829,630,000.00 #REF! - #REF! #REF!
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 829,630,000.00 #REF! - #REF! #REF!
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 69,245,200.00 - - - -
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 69,245,200.00 - - - -
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan 69,245,200.00 - - - -
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Pelayanan Rawat Inap 32,325,200.00 - - - -
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Pelayanan Persalinan 29,420,000.00 - - - -
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Rujukan Tingkat Pertama 7,500,000.00 - - - -
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 760,384,800.00 #REF! - #REF! #REF!
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 760,384,800.00 #REF! - #REF! #REF!
1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 760,384,800.00 #REF! - #REF! #REF!
JUMLAH PENDAPATAN 829,630,000.00 #REF! - #REF! #REF!
1 02 1 02 01 28 01 5 JUMLAH 836,230,000.00 70,425,092.00 59,977,739.00 434,768,760.00 51.99
1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 836,230,000.00 70,425,092.00 59,977,739.00 434,768,760.00 51.99

1 02 1 02 01 28 01 98,534,900.00 62,320,092.00 3,414,264.00 65,734,356.00 66.71
PERKANTORAN
1
1 2 3 4 5
1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 19,200,000.00 9,600,000.00 1,600,000.00 11,200,000.00 58.33
1 02 1 02 01 28 01 001 5 2 2 BELANJA BARANG DAN JASA 19,200,000.00 9,600,000.00 1,600,000.00 11,200,000.00 58.33
1 02 1 02 01 28 01 001 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 19,200,000.00 9,600,000.00 1,600,000.00 11,200,000.00 58.33
1 02 1 02 01 28 01 001 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 19,200,000.00 9,600,000.00 1,600,000.00 11,200,000.00 58.33
PENYEDIAAN JASA
1 02 1 02 01 28 01 002 KOMUNIKASI,SUMBER DAYA AIR,DAN 14,400,000.00 7,012,092.00 1,814,264.00 8,826,356.00 61.29
LISTRIK
1 02 1 02 01 28 01 002 5 2 2 003 Belanja Jasa Kantor 14,400,000.00 7,012,092.00 1,814,264.00 8,826,356.00 61.29
1 02 1 02 01 28 01 002 5 2 2 003 001 Belanja Telepon 1,800,000.00 326,734.00 119,561.00 446,295.00 24.79
1 02 1 02 01 28 01 002 5 2 2 003 003 Belanja listrik 7,800,000.00 4,003,428.00 1,694,703.00 5,698,131.00 73.05
1 02 1 02 01 28 01 002 5 2 2 003 006 Belanja kawat/faksimile/Internet 4,800,000.00 2,681,930.00 - 2,681,930.00 55.87

1 02 1 02 01 28 01 007 23,925,000.00 12,200,000.00 - 12,200,000.00 50.99
1 02 1 02 01 28 01 007 5 2 1 BELANJA PEGAWAI 23,925,000.00 12,200,000.00 - 12,200,000.00 50.99
1 02 1 02 01 28 01 007 5 2 1 001 Honorarium PNS 23,925,000.00 12,200,000.00 - 12,200,000.00 50.99
1 02 1 02 01 28 01 007 5 2 1 001 002 Honorarium Pengadaan Barang dan Jasa 900,000.00 600,000.00 - 600,000.00 66.67
1 02 1 02 01 28 01 007 5 2 1 001 003 22,500,000.00 11,250,000.00 - 11,250,000.00 50.00
Keuangan
1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 525,000.00 350,000.00 - 350,000.00 66.67

1 02 1 02 01 28 01 008 9,000,000.00 4,500,000.00 - 4,500,000.00 50.00
KANTOR
1 02 1 02 01 23 01 008 5 2 2 BELANJA BARANG DAN JASA 9,000,000.00 4,500,000.00 - 4,500,000.00 50.00
1 02 1 02 01 23 01 008 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 9,000,000.00 4,500,000.00 - 4,500,000.00 50.00
1 02 1 02 01 23 01 008 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 9,000,000.00 4,500,000.00 - 4,500,000.00 50.00
1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 9,953,800.00 9,635,800.00 - 9,635,800.00 96.81
2
1 2 3 4 5
1 02 1 02 01 28 01 010 5 2 2 001 Belanja Bahan Pakai Habis 9,953,800.00 9,635,800.00 - 9,635,800.00 96.81
1 02 1 02 01 28 01 010 5 2 2 001 001 Belanja Alat Tulis Kantor 9,953,800.00 9,635,800.00 - 9,635,800.00 96.81

1 02 1 02 01 28 01 011 20,226,000.00 19,372,200.00 - 19,372,200.00 95.78
PENGGANDAAN
1 02 1 02 01 28 01 011 5 2 2 006 Belanja Cetak dan Penggandaan 20,226,000.00 19,372,200.00 - 19,372,200.00 95.78
1 02 1 02 01 28 01 011 5 2 2 006 001 Belanja cetak 20,226,000.00 19,372,200.00 - 19,372,200.00 95.78

1 02 1 02 01 28 01 016 1,830,100.00 - - - -
KANTOR
1 02 1 02 01 28 01 016 5 2 2 BELANJA BARANG DAN JASA 1,830,100.00 - - - -
1 02 1 02 01 28 01 016 5 2 2 001 Belanja Bahan Pakai Habis 1,830,100.00 - - - -

1 02 1 02 01 28 01 016 5 2 2 001 005 1,830,100.00 - - - -
Pembersih

1 02 1 02 01 28 02 42,900,000.00 8,105,000.00 1,650,000.00 9,755,000.00 22.74
PENGADAAN PERLENGKAPAN DAN

1 02 1 02 01 28 02 008 9,600,000.00 - - - -
PERALATAN KANTOR
1 02 1 02 01 28 02 008 5 2 4 9,600,000.00 - - - -
MESIN
1 02 1 02 01 28 02 008 5 2 4 014 Belanja Modal Alat Kantor 9,600,000.00 - - - -
1 02 1 02 01 28 02 008 5 2 4 014 005 Belanja Modal Office Use 9,600,000.00 - - - -
1 02 1 02 01 28 02 009 PENGADAAN MEUBELIR 11,250,000.00 - - - -

1 02 1 02 01 28 02 009 11,250,000.00 - - - -
MESIN
1 02 1 02 01 28 02 009 5 2 4 015 Belanja Modal Alat Rumah Tangga 11,250,000.00 - - - -
1 02 1 02 01 28 02 009 5 2 4 015 001 Belanja Modal Meubelir 11,250,000.00 - - - -
1 02 1 02 01 28 02 022 5,000,000.00 - - - -
GEDUNG KANTOR
3
1 2 3 4 5

Belanja Pemeliharaan Bangunan Gedung
1 02 1 02 01 28 02 022 5 2 2 144 5,000,000.00 - - - -
Tempat Kerja
1 02 1 02 01 28 02 022 5 2 2 144 006 Belanja Pemeliharaan Bangunan Kesehatan 5,000,000.00 - - - -
1 02 1 02 01 28 02 024 17,050,000.00 8,105,000.00 1,650,000.00 9,755,000.00 57.21
1 02 1 02 01 23 02 024 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 7,450,000.00 3,305,000.00 850,000.00 4,155,000.00 55.77
1 02 1 02 01 23 02 024 5 2 2 005 001 Belanja Bahan Bakar Minyak dan Pelumas 6,150,000.00 2,705,000.00 850,000.00 3,555,000.00 57.80
1 02 1 02 01 23 02 024 5 2 2 005 002 1,300,000.00 600,000.00 600,000.00 46.15
Cadang
1 02 1 02 01 23 01 024 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 9,600,000.00 4,800,000.00 800,000.00 5,600,000.00 58.33
1 02 1 02 01 23 01 024 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 9,600,000.00 4,800,000.00 800,000.00 5,600,000.00 58.33

1 02 1 02 01 28 16 694,795,100.00 304,365,929.00 54,913,475.00 359,279,404.00 51.71
MASYARAKAT

1 02 1 02 01 28 16 016 608,995,100.00 261,465,929.00 54,913,475.00 316,379,404.00 51.95
JKN
1 02 1 02 01 28 16 016 5 2 1 BELANJA PEGAWAI 484,908,100.00 249,090,929.00 54,913,475.00 304,004,404.00 62.69
1 02 1 02 01 28 16 016 5 2 1 001 Honorium PNS 348,038,800.00 177,227,194.00 27,457,106.00 204,684,300.00 58.81

Honorium penanggung jawab pengelola
1 02 1 02 01 28 16 016 5 2 1 001 003 3,600,000.00 - - - -
keuangan
HR PPTK ( 1 org x 12 bln ) 3,600,000.00
1 02 1 02 01 28 16 016 5 2 1 001 017 Honorium Pelayanan Kesehatan 344,438,800.00 177,227,194.00 27,457,106.00 204,684,300.00
Pelaksana pelayanan rawat jalan 319,361,600.00 177,227,194.00 27,457,106.00 204,684,300.00
Pelaksana pelayanan rawat inap 12,243,200.00 -
Pelaksana pelayanan persalinan 11,250,000.00 -
Pelaksana rujukan tingkat lanjut 1,584,000.00 -
1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 136,869,300.00 71,863,735.00 27,456,369.00 99,320,104.00
1 02 1 02 01 28 16 016 5 2 1 002 007 Honorium Pelayanan Kesehatan 136,869,300.00 71,863,735.00 27,456,369.00 99,320,104.00
4
1 2 3 4 5
1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 120,937,000.00 12,375,000.00 - 12,375,000.00 10.23
1 02 1 02 01 28 16 016 5 2 2 002 004 Belanja Bahan Obat-Obatan 88,537,000.00 - - - -
1 02 1 02 01 28 16 016 5 2 2 002 006 Belanja Bahan Makanan 32,400,000.00 12,375,000.00 - 12,375,000.00 38.19
1 02 1 02 01 28 16 016 5 2 2 011 Belanja Makanan dan Minuman 3,150,000.00 - - - -
1 02 1 02 01 28 16 016 5 2 2 011 001 Belanja Makanan dan Minuman Rapat 3,150,000.00 - - - -
PELAYANAN KESEHATAN
1 02 1 02 01 28 16 018 85,800,000.00 42,900,000.00 - 42,900,000.00 50.00
MASYARAKAT
1 02 1 02 01 28 16 018 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 85,800,000.00 42,900,000.00 - 42,900,000.00 50.00
1 02 1 02 01 28 16 018 5 2 2 021 003 Belanja Upah/Ongkos Tenaga Kerja bulanan 85,800,000.00 42,900,000.00 - 42,900,000.00 50.00
Petugas Administrasi JKN 9,600,000.00 4,800,000.00 - 4,800,000.00 50.00
Perawat 51,000,000.00 25,500,000.00 - 25,500,000.00 50.00
Bidan 15,000,000.00 7,500,000.00 - 7,500,000.00 50.00
Asisten Apoteker 10,200,000.00 5,100,000.00 - 5,100,000.00 50.00
JUMLAH BELANJA 836,230,000.00 70,425,092.00 59,977,739.00 434,768,760.00 51.99
SURPLUS (DEFISIT) (6,600,000.00) #REF! (59,977,739.00) #REF! #REF!
5
SEHATAN KABUPATEN LUMAJANG
PUSKESMAS TUNJUNG
RAN EVALUASI REALISASI DOP
PER 31 AGUSTUS 2015
PERMASALAHAN RENCANA SOLUSI
6 7
6
6 7
Sesuai Time Schedulle Penyerapan sesuai Time Schedulle
Penyerapan sesuai Nota Belanja sumber

Sesuai Time Schedulle
daya Listrik, Telpon, Internet
7
6 7
Sesuai Time Schedulle Penyerapan

8 sesuai Time Schedulle
6 7
Sesuai Nota Pembelian Minyak dan Sesuai Nota Pembelian Minyak dan pelumas
pelumas serta service dan Suku cadang serta service dan Suku cadang
Karena PPTK hanya 1 orang dan

Dilaihkan ke Honor Pengurus barang
sudah ada di Rekening 01.07
9
6 7
Perlu adanya koordinasi lebih awal antara

Masih dalam proses perencanaan PPK
Bidang yankes, IPFK dan PPK
10
DIANS KESEHATAN KABUPATEN LUMAJANG
PUSKESMAS TUNJUNG
PER 30 SEPTEMBER 2014
ANGGARAN
NO KODE REKENING URAIAN SEBELUM SESUDAH REALISASI %
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
1 02 1 02 01 00 00 00 4 PENDAPATAN 439,215,000.00 202,233,000.00 46.04

-
1 02 1 02 01 00 00 00 4 1 PENDAPATAN ASLI DAERAH 439,215,000.00 202,233,000.00 46.04
-
1 02 1 02 01 00 00 00 4 1 2 PENDAPATAN RETRIBUSI DAERAH 35,295,000.00 - -
1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 35,295,000.00 - -

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Pelayanan Kesehatan Dinkes 35,295,000.00 - -
1 02 1 02 01 00 00 00 4 1 2 001 01 - Klaim Rawat Inap Tingkat Pertama (RITP) 16,350,000.00 -
1 02 1 02 01 00 00 00 4 1 2 001 02 - Klaim Ambulan 2,520,000.00 -
1 02 1 02 01 00 00 00 4 1 2 001 03 - Klaim Persalinan 16,425,000.00 -
1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 403,920,000.00 202,233,000.00 50.07

-
1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 403,920,000.00 202,233,000.00 50.07
1 02 1 02 01 00 00 00 4 1 4 018 25 Dana Kapitasi JKN Puskesmas Tunjung 403,920,000.00 202,233,000.00
JUMLAH PENDAPATAN 439,215,000.00 202,233,000.00 46.04
1 02 1 02 01 28 01 5 JUMLAH 76,144,000.00 515,359,000.00 25,665,653.00 4.98

1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 76,144,000.00 515,359,000.00 25,665,653.00 4.98

1 02 1 02 01 28 01 PERKANTORAN 60,394,000.00 72,494,000.00 21,915,653.00 30.23
1 02 1 02 01 28 01 01 PENYEDIAAN JASA SURAT MENYURAT 18,000,000.00 18,000,000.00 7,500,000.00 41.67

1 02 1 02 01 28 01 01 5 2 2 BELANJA BARANG DAN JASA 18,000,000.00 18,000,000.00 7,500,000.00 41.67
1 02 1 02 01 28 01 01 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 18,000,000.00 18,000,000.00 7,500,000.00 41.67
1 02 1 02 01 28 01 01 5 2 2 021 03 Belanja Upah/Ongkos Tenaga Kerja bulanan 18,000,000.00 18,000,000.00 7,500,000.00 41.67
1 02 1 02 01 28 01 02 PENYEDIAAN JASA KOMUNIKASI,SUMBER 12,000,000.00 14,000,000.00 3,527,653.00 25.20

DAYA AIR,DAN LISTRIK
1
1 02 1 02 01 28 01 02 5 2 2 003 Belanja Jasa Kantor 12,000,000.00 14,000,000.00 3,527,653.00 25.20
1 02 1 02 01 28 01 02 5 2 2 003 01 Belanja Telepon 1,800,000.00 1,800,000.00 254,313.00 14.13
1 02 1 02 01 28 01 02 5 2 2 003 03 Belanja listrik 6,600,000.00 6,600,000.00 2,296,348.00 34.79
1 02 1 02 01 28 01 02 5 2 2 003 06 Belanja Internet 3,600,000.00 5,600,000.00 976,992.00 17.45
PENYEDIAAN JASA ADMINISTRASI KEUANGAN

1 02 1 02 01 28 01 07 6,300,000.00 16,400,000.00 2,100,000.00 12.80
DAN BARANG DAERAH
1 02 1 02 01 28 01 07 5 2 1 BELANJA PEGAWAI 6,300,000.00 16,400,000.00 2,100,000.00 12.80
1 02 1 02 01 28 01 07 5 2 1 001 Honorarium PNS 6,300,000.00 16,400,000.00 2,100,000.00 12.80
1 02 1 02 01 28 01 07 5 2 1 001 02 Honorium Pengadaan Barang dan Jasa 600,000.00 - -
1 02 1 02 01 28 01 07 5 2 1 001 03 Keuangan 6,300,000.00 15,450,000.00 2,100,000.00 13.59
1 02 1 02 01 28 01 07 5 2 1 001 05 Honorium Penerima Hasil Pekerjaan 350,000.00 -
1 02 1 02 01 28 01 08 PENYEDIAAN JASA KEBERSIHAN KANTOR 8,400,000.00 8,400,000.00 - -

1 02 1 02 01 23 01 08 5 2 2 BELANJA BARANG DAN JASA 8,400,000.00 8,400,000.00 - -
1 02 1 02 01 23 01 08 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 8,400,000.00 8,400,000.00 - -
1 02 1 02 01 23 01 08 5 2 2 021 03 Belanja Upah/Ongkos Tenaga Kerja bulanan - 8,400,000.00 - -
1 02 1 02 01 23 01 08 5 2 2 021 05 Belanja Tambahan Upah Tenaga Kerja bulanan 8,400,000.00 -
1 02 1 02 01 28 01 10 PENYEDIAAN ALAT TULIS KANTOR 6,906,000.00 6,906,000.00 - -

1 02 1 02 01 28 01 10 5 2 2 BELANJA BARANG DAN JASA 6,906,000.00 6,906,000.00 - -
1 02 1 02 01 28 01 10 5 2 2 001 Belanja Bahan Pakai Habis 6,906,000.00 6,906,000.00 - -
1 02 1 02 01 28 01 10 5 2 2 001 01 Belanja Alat Tulis Kantor 6,906,000.00 6,906,000.00 - -
1 02 1 02 01 28 01 11 PENYEDIAAN BARANG CETAKAN DAN 6,665,000.00 6,665,000.00 6,665,000.00 100.00

PENGGANDAAN
1 02 1 02 01 28 01 11 5 2 2 006 Belanja Bahan Pakai Habis 6,665,000.00 6,665,000.00 6,665,000.00 100.00
1 02 1 02 01 28 01 11 5 2 2 006 01 Belanja cetak 6,665,000.00 6,665,000.00 6,665,000.00 100.00
1 02 1 02 01 28 01 16 PENYEDIAAN BAHAN LOGISTIK KANTOR 2,123,000.00 2,123,000.00 2,123,000.00 100.00

1 02 1 02 01 28 01 16 5 2 2 001 Belanja Bahan Pakai Habis 2,123,000.00 2,123,000.00 2,123,000.00 100.00
1 02 1 02 01 28 01 16 5 2 2 001 05 Pembersih 2,123,000.00 2,123,000.00 2,123,000.00 100.00
2
PROGRAM PENINGKATAN SARANA DAN
1 02 1 02 01 28 02 PRASARANA APARATUR 15,750,000.00 90,575,000.00 3,750,000.00 4.14
1 02 1 02 01 28 02 07 PENGADAAN PERLENGKAPAN DAN PERALATAN 6,575,000.00

GEDUNG KANTOR
1 02 1 02 01 28 02 07 5 2 2 050 Belanja Modal Alat Rumah Tangga 6,575,000.00 -
1 02 1 02 01 28 02 07 5 2 2 050 06 Belanja Modal Home Use 6,575,000.00 -
PENGADAAN PERLENGKAPAN DAN PERALATAN

1 02 1 02 01 28 02 08 25,000,000.00
KANTOR
1 02 1 02 01 28 02 08 5 2 2 051 Belanja Komputer 2,000,000.00
1 02 1 02 01 28 02 08 5 2 2 051 06 Belanja Peralatan Jaringan 2,000,000.00

1 02 1 02 01 28 02 08 5 2 4 BELANJA MODAL PERALATAN DAN MESIN 23,000,000.00
1 02 1 02 01 28 02 08 5 2 4 016 Belanja Modal Komputer 23,000,000.00
1 02 1 02 01 28 02 08 5 2 4 016 Belanja Modal Personal Komputer 18,000,000.00

1 02 1 02 01 28 02 08 5 2 4 016 02 Belanja Modal Peralatan Personal Komputer 5,000,000.00
1 02 1 02 01 28 02 09 PENGADAAN MEUBELIR 6,750,000.00

1 02 1 02 01 28 02 09 BELANJA BARANG DAN JASA 1,500,000.00
1 02 1 02 01 28 02 09 5 2 2 050 Belanja Alat Rumah Tangga 1,500,000.00
1 02 1 02 01 28 02 09 5 2 2 050 01 Belanja Meubelir 1,500,000.00

1 02 1 02 01 28 02 09 5 2 4 BELANJA MODAL PERALATAN DAN MESIN 5,250,000.00
1 02 1 02 01 28 02 09 5 2 4 015 Belanja Modal Alat Rumah Tangga 5,250,000.00
1 02 1 02 01 28 02 09 5 2 4 015 01 Belanja Modal Meubelir 5,250,000.00
PEMELIHARAAN RUTIN/BERKALA GEDUNG

1 02 1 02 01 28 02 22 5,000,000.00
KANTOR
1 02 1 02 01 28 02 22 5 2 2 144 Belanja Pemeliharaan Bangunan Gedung 5,000,000.00

Tempat Kerja
1 02 1 02 01 28 02 22 5 2 2 144 06 Belanja Pemeliharaan Bangunan Kesehatan 5,000,000.00
3
PEMELIHARAAN RUTIN/BERKALA KENDARAAN
1 02 1 02 01 28 02 24 15,750,000.00 15,750,000.00 3,750,000.00 23.81
DINAS/OPERASIONAL
1 02 1 02 01 23 02 24 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 15,750,000.00 15,750,000.00 450,000.00 2.86
1 02 1 02 01 23 02 24 5 2 2 005 01 Belanja Bahan Bakar Minyak dan Pelumas 5,450,000.00 5,450,000.00 450,000.00 8.26

1 02 1 02 01 23 02 24 5 2 2 005 02 1,300,000.00 1,300,000.00 - -
Cadang
1 02 1 02 01 23 01 24 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 9,000,000.00 9,000,000.00 3,300,000.00 36.67

1 02 1 02 01 23 01 24 5 2 2 021 03 Belanja Upah/Ongkos Tenaga Kerja bulanan 9,000,000.00 9,000,000.00 3,300,000.00 36.67
REHABILITASI SEDANG / BERAT GEDUNG

1 02 1 02 01 28 02 42 31,500,000.00 -
KANTOR
1 02 1 02 01 28 02 42 5 2 5 BELANJA MODAL GEDUNG DAN BANGUNAN 31,500,000.00 -
1 02 1 02 01 28 02 42 5 2 5 001 Belanja Modal Bangunan Gedung Tempat Kerja 31,500,000.00 -
1 02 1 02 01 28 02 42 5 2 5 001 06 Belanja Modal bangunan Kesehatan 31,500,000.00 -
1 02 1 02 01 28 16 PROGAM UPAYA KESEHATAN MASYARAKAT - 352,290,000.00 -
1 02 1 02 01 28 16 16 PENINGKATAN PELAYANAN MELALUI ALKES 352,290,000.00 -
1 02 1 02 01 28 16 16 5 2 1 BELANJA PEGAWAI 265,992,750.00 -

1 02 1 02 01 28 16 16 5 2 1 002 Honorium Non PNS 265,992,750.00 -
1 02 1 02 01 28 16 16 5 2 1 002 07 Honorium Pelayanan Kesehatan 265,992,750.00 -
1 02 1 02 01 28 16 16 5 2 2 002 Belanja Bahan / Material 76,600,000.00 -
1 02 1 02 01 28 16 16 5 2 2 002 04 Belanja Bahan Obat-Obatan 60,400,000.00 -

1 02 1 02 01 28 16 16 5 2 2 002 06 Belanja Bahan Makanan 16,200,000.00 -
1 02 1 02 01 28 16 16 5 2 2 006 Belanja Cetak dan Penggandaan 3,000,000.00 -
1 02 1 02 01 28 16 16 5 2 2 006 01 Belanja Cetak 3,000,000.00 -
1 02 1 02 01 28 16 16 5 2 2 011 Belanja Makanan dan Minuman 2,625,000.00 -
1 02 1 02 01 28 16 16 5 2 2 011 01 Belanja Makanan dan Minuman Rapat 2,625,000.00 -

1 02 1 02 01 28 16 16 5 2 4 BELANJA MODAL PERALATAN DAN MESIN 4,072,250.00 -
1 02 1 02 01 28 16 16 5 2 4 021 Belanja Modal Alat Kedokteran 4,072,250.00 -
1 02 1 02 01 28 16 16 5 2 4 021 09 Belanja Modal Alat Kesehatan Kebidanan dan 4,072,250.00 -

Penyakit kandungan
JUMLAH BELANJA 76,144,000.00 515,359,000.00 25,665,653.00 4.98
4
SURPLUS (DEFISIT) (76,144,000.00) (515,359,000.00) (25,665,653.00) 4.98
dr. Tanti Umiyati

Nip. 19710503 200501 2 009
5
IANS KESEHATAN KABUPATEN LUMAJANG
PUSKESMAS TUNJUNG
PER 30 SEPTEMBER 2014
8 9
Belum di SPJ kan semuanya Segera di SPJ kan
6
Pemakaian sesuai rekening
pembayaran
pembayaran
pembayaran
Belum melakukan belanja Alat

Segera belanja alat tulis kantor
tulis kantor
7
Belum melakukan belanja modal segera melakukan belanja

home use modal home use
Belum melakukan belanja Segera melakukan belanja

peralatan jaringan peralatan jaringan
Belum melakukan belanja modal Segera melakukan belanja modal

dan peralatan komputer dan peralatan komputer
Belum melakukan belanja Segara melakukan belanja

meubelir meubelir
Belum melakukan belanja modal Segera melakukan belanja

meubelir meubelir
Belum melakukan pemeliharaan Segara melakukan pemeliharaan

bangunan gedung bangunan gedung
8
Pemakaian sesuai struk

pembelian
Belum ada kerusakan pada Segera melakukan penggantian
kendaraan dinas suku cadang dan service
belum Melakukan rehap gedung Segara Melakukan rehap gedung
SPJ belum di ACC karena adanya Segera merevisi SPJ dan segera
format baru di konsulkan
belum melakukan belanja bahan Segera melakukan belanja bahan

obat-obatan dan bahan makanan obat-obatan dan bahan makanan
Belum melakukan belanja cetak Segera melakukan belanja cetak

dan penggandaan dan penggandaan
Belum melakukan belanja Segera melakukan belanja

makanan dan minuman rapat makanan dan minuman rapat
belum melakukan belanja modal Segera melakukan belanja modal

alat kesehatan alat kesehatan
9
dr. Tanti Umiyati

Nip. 19710503 200501 2 009
10
PEMERINTAH KABUPATEN LUMAJANG
LAPORAN REALISASI ANGGARAN PENDAPATAN DAN BELANJA DAERAH TRIBULAN II
TAHUN ANGGARAN 2013

ANGGARAN REALISASI
KODE REKENING URAIAN SEBELUM SESUDAH
TRIBULAN LALU TRIBULAN INI S/D TRIBULAN INI
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
1 02 1 02 01 28 01 5 JUMLAH 51,689,350.00 59,483,350.00 - 14,801,286.00 14,801,286.00
1 02 1 02 01 28 01 5 2 BELANJA LANGSUNG 51,689,350.00 59,483,350.00 - 14,801,286.00 14,801,286.00

1 02 1 02 01 28 01 38,782,350.00 50,303,350.00 - 14,301,286.00 14,301,286.00
PERKANTORAN
1 02 1 02 01 28 01 01 PENYEDIAAN JASA SURAT MENYURAT 18,000,000.00 18,000,000.00 - 7,500,000.00 7,500,000.00
1 02 1 02 01 28 01 01 5 2 2 BELANJA BARANG DAN JASA 18,000,000.00 18,000,000.00 - 7,500,000.00 7,500,000.00
02
1 02 1 02 01 28 01 01 5 2 2 Belanja Upah/Ongkos Tenaga Kerja 18,000,000.00 18,000,000.00 - 7,500,000.00 7,500,000.00
1
1 02 1 02 01 28 01 01 5 2 2 021 03 Belanja Upah/Ongkos Tenaga Kerja bulanan 18,000,000.00 18,000,000.00 - 7,500,000.00 7,500,000.00
PENYEDIAAN JASA KOMUNIKASI,SUMBER

1 02 1 02 01 28 01 02 7,560,000.00 8,754,000.00 - 2,004,236.00 2,004,236.00
DAYA AIR,DAN LISTRIK
00
1 02 1 02 01 23 01 02 5 2 2 Belanja Jasa Kantor 7,560,000.00 8,754,000.00 - 2,004,236.00 2,004,236.00
3
1 02 1 02 01 23 01 02 5 2 2 003 01 Belanja Telepon 1,200,000.00 1,200,000.00 366,702.00 366,702.00
1 02 1 02 01 23 01 02 5 2 2 003 03 Belanja listrik 3,960,000.00 4,554,000.00 1,181,534.00 1,181,534.00
1 02 1 02 01 23 01 02 5 2 2 003 06 Belanja Internet 2,400,000.00 3,000,000.00 456,000.00 456,000.00

1 02 1 02 01 28 01 07 5,700,000.00
1 02 1 02 01 23 01 07 5 2 1 BELANJA PEGAWAI 5,700,000.00
00
1 02 1 02 01 23 01 07 5 2 1 Honorarium PNS 5,700,000.00
1
Honorarium Pejabat Penatausahaan Keuangan
1 02 1 02 01 23 01 07 5 2 1 001 03 5,700,000.00
Daerah
1 02 1 02 01 28 01 08 PENYEDIAAN JASA KEBERSIHAN KANTOR 5,400,000.00 5,400,000.00 - 1,800,000.00 1,800,000.00
1
TAHUN ANGGARAN 2013

ANGGARAN REALISASI
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
02
1 02 1 02 01 23 01 08 5 2 2 Belanja Upah/Ongkos Tenaga Kerja 5,400,000.00 5,400,000.00 - 1,800,000.00 1,800,000.00
1
1 02 1 02 01 23 01 08 5 2 2 021 03 Belanja Upah/Ongkos Tenaga Kerja bulanan 5,400,000.00 5,400,000.00 1,800,000.00 1,800,000.00
1 02 1 02 01 28 01 10 PENYEDIAAN ALAT TULIS KANTOR 2,997,050.00 2,997,050.00 - 2,997,050.00 2,997,050.00
00
1 02 1 02 01 23 01 10 5 2 2 Belanja Bahan Pakai Habis 2,997,050.00 2,997,050.00 - 2,997,050.00 2,997,050.00
1
1 02 1 02 01 23 01 10 5 2 2 001 01 Belanja Alat Tulis Kantor 2,997,050.00 2,997,050.00 2,997,050.00 2,997,050.00

1 02 1 02 01 28 01 11 2,905,000.00 5,412,000.00 - - -
PENGGANDAAN
1 02 1 02 01 23 01 11 5 2 2 BELANJA BARANG DAN JASA 2,905,000.00 5,412,000.00 - - -
00
1 02 1 02 01 23 01 11 5 2 2 Belanja Bahan Pakai Habis 2,905,000.00 5,412,000.00 - - -
6
1 02 1 02 01 23 01 11 5 2 2 006 01 Belanja cetak 2,200,000.00 4,705,000.00 -
1 02 1 02 01 23 01 11 5 2 2 006 02 Belanja Penggandaan/Foto Copy 705,000.00 707,000.00 -
PENYEDIAAN KOMPONEN INSTALASI

1 02 1 02 01 28 01 12 927,000.00 927,000.00 - - -
LISTRIK/PENERANGAN BANGUNAN KANTOR
1 02 1 02 01 23 01 12 5 2 2 BELANJA BARANG DAN JASA 927,000.00 927,000.00 - - -
00
1 02 1 02 01 23 01 12 5 2 2 Belanja Bahan Pakai Habis 837,000.00 837,000.00 - - -
1
Belanja Alat Listrik dan Elektronik (Lampu Pijar,
1 02 1 02 01 23 01 12 5 2 2 001 03 837,000.00 837,000.00 -
Bateray Kering)
1 02 1 02 01 23 01 12 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 90,000.00 90,000.00 - - -

1 02 1 02 01 23 01 08 5 2 2 021 01 Belanja Upah/Ongkos Tenaga Kerja harian 90,000.00 90,000.00 -
1 02 1 02 01 28 01 16 PENYEDIAAN BAHAN LOGISTIK KANTOR 993,300.00 993,300.00 - - -
1 02 1 02 01 23 01 16 5 2 2 BELANJA BARANG DAN JASA 993,300.00 993,300.00 - - -
00
1 02 1 02 01 23 01 16 5 2 2 Belanja Bahan Pakai Habis 993,300.00 993,300.00 - - -
1
2
TAHUN ANGGARAN 2013

ANGGARAN REALISASI
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
1 02 1 02 01 23 01 16 5 2 2 001 05 993,300.00 993,300.00 -
Pembersih
RAPAT RAPAT KOORDINASI DAN

1 02 1 02 01 28 01 19 2,120,000.00
KONSULTASI KE DALAM DAERAH
01
1 02 1 02 01 28 01 19 5 2 2 Belanja Perjalanan Dinas 2,120,000.00
5
1 02 1 02 01 28 01 19 5 2 2 015 01 Belanja Perjalanan Dinas dalam Daerah 2,120,000.00
PROGRAM PENINGKATAN SARANA DAN

1 02 1 02 01 28 02 10,577,000.00 9,180,000.00 - 500,000.00 500,000.00
PRASARANA APARATUR
PEMELIHARAAN RUTIN/BERKALA GEDUNG

1 02 1 02 01 28 02 22 2,882,000.00 - - - -
KANTOR
00
1 02 1 02 01 28 02 22 5 2 2 Belanja Bahan dan Material 1,282,000.00 - - - -
2
1 02 1 02 01 28 02 22 5 2 2 002 01 Belanja Bahan baku bangunan 1,282,000.00 -
00
1 02 1 02 01 28 02 22 5 2 2 Belanja Upah/Ongkos Tenaga Kerja 1,600,000.00 - - - -
2
1 02 1 02 01 28 02 22 5 2 2 002 01 Belanja Upah/Ongkos Tenaga Kerja harian 1,600,000.00 -
1 02 1 02 01 28 02 24 6,345,000.00 7,830,000.00 - 500,000.00 500,000.00
1 02 1 02 01 23 02 24 5 2 2 BELANJA BARANG DAN JASA 6,345,000.00 7,830,000.00 - 500,000.00 500,000.00
00
1 02 1 02 01 23 02 24 5 2 2 Belanja Perawatan Kendaraan Bermotor 6,345,000.00 7,830,000.00 - 500,000.00 500,000.00
5
1 02 1 02 01 23 02 24 5 2 2 005 01 Belanja Bahan Bakar Minyak dan Pelumas 4,200,000.00 5,685,000.00 500,000.00 500,000.00
1 02 1 02 01 23 02 24 5 2 2 005 02 Belanja Jasa Servis dan Penggantian Suku Cadang 2,145,000.00 2,145,000.00 -
1 02 1 02 01 28 02 24 1,350,000.00 1,350,000.00 - - -
PERLENGKAPAN DAN PERALATAN KANTOR
1 02 1 02 01 23 02 24 5 2 2 BELANJA BARANG DAN JASA 1,350,000.00 1,350,000.00 - - -
3
TAHUN ANGGARAN 2013

ANGGARAN REALISASI
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
12
1 02 1 02 01 23 02 24 5 2 2 Belanja Pemeliharaan Komputer 1,350,000.00 1,350,000.00 - - -
5
12
1 02 1 02 01 23 02 24 5 2 2 02 Belanja Pemeliharaan Personal Komputer 900,000.00 900,000.00 -
5
12
1 02 1 02 01 23 02 24 5 2 2 05 Belanja Pemeliharaan Peralatan Personal Komputer 450,000.00 450,000.00 -
5
PROGRAM PENGAWASAN OBAT DAN

1 02 1 02 01 28 17 120,000.00 - - - -
MAKANAN
PENINGKATAN PENGAWASAN KEAMANAN

1 02 1 02 01 28 17 02 120,000.00 - - - -
PANGAN DAN BAHAN BERBAHAYA
1 02 1 02 01 28 17 02 5 2 2 BELANJA BARANG DAN JASA 120,000.00 - - - -
00
1 02 1 02 01 28 17 02 5 2 2 Belanja Bahan / Material 75,000.00 - - - -
2
1 02 1 02 01 28 17 02 5 2 2 002 06 Belanja Bahan Makanan 75,000.00 -
01
1 02 1 02 01 28 17 02 5 2 2 Belanja Perjalanan Dinas 45,000.00 - - - -
5
1 02 1 02 01 28 17 02 5 2 1 015 01 Belanja Perjalanan Dinas Dalam Daerah 45,000.00 -
PROGRAM PENCEGAHAN DAN

1 02 1 02 01 28 22 2,120,000.00 - - - -
PENANGGULANGAN PENYAKIT MENULAR
1 02 1 02 01 28 22 11 MONITORING, EVALUASI DAN PELAPORAN 2,120,000.00 - - - -
01
1 02 1 02 01 23 22 11 5 2 2 Belanja Perjalanan Dinas 2,120,000.00 - - - -
5
1 02 1 02 01 23 22 11 5 2 2 015 01 Belanja Perjalanan Dinas dalam Daerah 2,120,000.00 -
PROGRAM PENGAWASAN SAN

1 02 1 02 01 28 31 90,000.00 - - - -
PENGENDALIAN KESEHATAN MAKANAN
PENGAWASANSAN KEAMANAN DAN

1 02 1 02 01 28 31 01 90,000.00 - - - -
KESEHATAN MAKANAN HASIL INDUSTRI
1 02 1 02 01 28 31 01 5 2 2 BELANJA BARANG DAN JASA 90,000.00 - - - -
01
1 02 1 02 01 28 31 01 5 2 2 Belanja Perjalanan Dinas 90,000.00 - - -
5
4
TAHUN ANGGARAN 2013

ANGGARAN REALISASI
ANGGARAN ANGGARAN
1 2 3 4 5 6 7
1 02 1 02 01 28 31 01 5 2 2 015 01 Belanja Perjalanan Dinas dalam Daerah 90,000.00 -
JUMLAH BELANJA 51,689,350.00 59,483,350.00 - 14,801,286.00 14,801,286.00

SURPLUS (DEFISIT) (51,689,350.00) (59,483,350.00) - (14,801,286.00) (14,801,286.00)
Lumajang , 15 Juli 2013

dr Tanti Umiyati
NIP. 19710503 200501 2 009
5
H KABUPATEN LUMAJANG
NDAPATAN DAN BELANJA DAERAH TRIBULAN II
UN ANGGARAN 2013
% SISA ANGGARAN
8 9=3-7
24.88 44,682,064.00
24.88 44,682,064.00
28.43 36,002,064.00
41.67 10,500,000.00
41.67 10,500,000.00
41.67 10,500,000.00
41.67 10,500,000.00
22.90 6,749,764.00
22.90 6,749,764.00
22.90 6,749,764.00
30.56 833,298.00
25.94 3,372,466.00
15.20 2,544,000.00
5,700,000.00
5,700,000.00
5,700,000.00
5,700,000.00
33.33 3,600,000.00
33.33 3,600,000.00
6
UN ANGGARAN 2013
% SISA ANGGARAN
8 9=3-7
33.33 3,600,000.00
33.33 3,600,000.00
100.00 -
100.00 -
100.00 -
100.00 -
- 5,412,000.00
- 5,412,000.00
- 5,412,000.00
- 4,705,000.00
- 707,000.00
- 927,000.00
- 837,000.00
- 837,000.00
- 837,000.00
- 90,000.00
- 90,000.00
- 993,300.00
- 993,300.00
- 993,300.00
7
UN ANGGARAN 2013
% SISA ANGGARAN
8 9=3-7
- 993,300.00
2,120,000.00
2,120,000.00
2,120,000.00
2,120,000.00
5.45 8,680,000.00
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
6.39 7,330,000.00
6.39 7,330,000.00
6.39 7,330,000.00
8.80 5,185,000.00
- 2,145,000.00
- 1,350,000.00
- 1,350,000.00
8
UN ANGGARAN 2013
% SISA ANGGARAN
8 9=3-7
- 1,350,000.00
- 900,000.00
- 450,000.00
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
#DIV/0! -
9
UN ANGGARAN 2013
% SISA ANGGARAN
8 9=3-7
#DIV/0! -
24.88 44,682,064.00
24.88 (44,682,064.00)
Lumajang , 15 Juli 2013

NIP. 19710503 200501 2 009
10
TAHUN ANGGARAN 2021
BAGIAN BULAN : JANUARI 2021

ORGANISASI : 1.02.0.00.0.00.01.0021 DINAS KESEHATAN - PUSKESMAS GUCIALIT
REALISASI
ANGGARAN SEBELUM ANGGARAN SETELAH
KODE REKENING URAIAN % SISA ANGGARAN
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 PENDAPATAN ASLI DAERAH 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 04 LAIN LAIN PAD YANG SAH 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
- Pendapatan Bunga 7,285.82 7,285.82 #DIV/0! (7,285.82)
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 - 816,000.00 816,000.00 31.88 1,743,400.00
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 - 180,000.00 180,000.00 10.29 1,570,000.00
- Rawat Inap 91,800,000.00 91,800,000.00 - 4,680,000.00 4,680,000.00 5.10 87,120,000.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 - - - - 4,100,000.00
- LaboratoriumPuskesmas 5,600,000.00 5,600,000.00 - 50,000.00 50,000.00 0.89 5,550,000.00
- Sewa Rumah dinas 762,000.00 762,000.00 - - - - 762,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 - - - 262,630,200.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 - 98,254,300.00 98,254,300.00 6.42 1,432,375,010.00
- Sisa Lebih Pagu Anggaran - - - - #DIV/0! -
JUMLAH PENDAPATAN 1,899,830,910.00 1,899,830,910.00 - 103,987,585.82 103,987,585.82 5.47 1,795,843,324.18
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,946,575,030.00 1,946,575,030.00 - - - 1,946,575,030.00
PROGRAM PENUNJANG URUSAN PEMERINTAHAN

1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 - - - 1,946,575,030.00
DAERAH KABUPATEN /KOTA
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 - - - 1,712,313,966.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 - - 1,671,387,096.00
1
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00
Tambahan Penghasilan berdasarkan Pertimbangan

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00
Objektif Lainnya ASN
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 - - - 1,106,916,056.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 - - - 1,106,916,056.00
# PNS 565,285,352.00 565,285,352.00 - - - 565,285,352.00
- Honorarium Pelayanan Rawat Jalan 437,132,600.00 437,132,600.00 - - 437,132,600.00
- Honorarium Pelayanan Rawat Inap 50,733,600.00 50,733,600.00 - - 50,733,600.00
- Honorarium Pelayanan Persalinan 56,070,000.00 56,070,000.00 - - 56,070,000.00
- Honorarium Pelaksana Pelayanan Rujukan 1,660,500.00 1,660,500.00 - - 1,660,500.00
- Honorarium Pelayanan Lainnya 19,688,652.00 19,688,652.00 - - 19,688,652.00
# NON PNS 541,630,704.00 541,630,704.00 - - - 541,630,704.00
- Honorarium Pelayanan Persalinan 12,180,000.00 12,180,000.00 - - - 12,180,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 - - - - 10,748,760.00
Belanja Honorarium Penanggungjawaban Pengelola

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 - - - - 10,748,760.00
Keuangan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 BELANJA BARANG DAN JASA 643,010,160.00 643,010,160.00 - - - - 564,471,040.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 - - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 Belanja Bahan Pakai habis 407,875,315.00 407,875,315.00 - - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - - - 78,539,120.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 - - - - 20,408,250.00
# Belanja BBM dan Pelumas Ambulance - -
- Solar dex 13,341,600.00 13,341,600.00 - - 13,341,600.00
- Olie 2,055,900.00 2,055,900.00 - - 2,055,900.00
# Belanja BBM dan Pelumas Genset - -
- pertalite 489,600.00 489,600.00 - - 489,600.00
2
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
# Pengendalian vektor (fogging) - -
- BBM Mesin Fogging 2,562,750.00 2,562,750.00 - - 2,562,750.00
- BBM Pencampur 1,958,400.00 1,958,400.00 - - 1,958,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0012 Belanja Bahan-Bahan Lainnya 73,403,275.00 73,403,275.00 - - 73,403,275.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 30,393,990.00 30,393,990.00 - - 30,393,990.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,790,020.00 - - 21,790,020.00
- Belanja Cetak 15,444,770.00 15,444,770.00 - - 15,444,770.00
- Belanja Fotocopy 6,345,250.00 6,345,250.00 - - 6,345,250.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 1,500,000.00 1,500,000.00 - - 1,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 4,147,330.00 4,147,330.00 - - 4,147,330.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0037 Belanja Obat-Obatan-Obat 84,813,330.00 84,813,330.00 - - 84,813,330.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0052 Belanja Makanan dan Minuman Rapat 19,680,000.00 19,680,000.00 - - 19,680,000.00
Belanja Makanan dan Minuman pada Fasilitas Pelayanan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 - - 73,200,000.00
Urusan Kesehatan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 - - - - 154,943,445.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 Belanja Jasa Kantor 154,943,445.00 154,943,445.00 - - - - 154,943,445.00

Honorarium Narasumber atau Pembahas, Moderator,
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - 2,000,000.00
Pembawa Acara, dan Panitia
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0014 Belanja Jasa Tenaga Kesehatan 86,400,000.00 86,400,000.00 - - 86,400,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0028 Belanja Jasa Tenaga Pelayanan Umum 2,400,000.00 2,400,000.00 - - 2,400,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0033 Belanja Jasa Tenaga Supir 18,000,000.00 18,000,000.00 - - 18,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 - - 10,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0050 Belanja Jasa Kalibrasi 1,191,245.00 1,191,245.00 - - 1,191,245.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 688,800.00 - - 688,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0061 Belanja Tagihan Listrik 19,260,400.00 19,260,400.00 - - 19,260,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0063 Belanja Tagihan Internet 12,240,000.00 12,240,000.00 - - 12,240,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 - - 2,263,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 - - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 - - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 - - - - 48,571,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 - - - - 48,571,400.00
3
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
Belanja Pemeliharaan Alat Besar-Alat Bantu-Electric
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - - 6,600,000.00
Bermotor-Kendaraan Bermotor Khusus
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - - 1,800,000.00
Rumah Tangga-Alat Pendingin
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - 12,171,400.00
Kedokteran-Alat Kedokteran Umum
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - 3,000,000.00
Kedokteran-Alat Kedokteran Gigi
Belanja Pemeliharaan Komputer-Komputer Unit-Personal

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - - 10,500,000.00
Computer
Belanja Pemeliharaan Komputer-Peralatan Komputer-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - - 7,800,000.00
Peralatan Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 Belana Perjalanan Dinas 15,720,000.00 15,720,000.00 - - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 Belanja Perjalanan Dinas Dalam Negeri 15,720,000.00 15,720,000.00 - - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 0003 Belanja Perjalanan Dinas Dalam Kota 15,720,000.00 15,720,000.00 - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 Belanja Modal Peralatan dan Mesin 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 Belanja Modal Alat Bengkel dan Ukur 800,030.00 800,030.00 - - - - 41,726,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 Belanja Modal Alat Ukur 800,030.00 800,030.00 - - - - 800,030.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 0021 Belanja Modal Alat Ukur lainnya 800,030.00 800,030.00 - - 800,030.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 Belanja Modal Alat Kantor dan Rumah Tangga 77,958,040.00 77,958,040.00 - - - - 9,015,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 Belanja Modal Alat Kantor 3,786,060.00 3,786,060.00 - - - - 3,786,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 0005 Belanja Modal Alat Kantor lainnya 3,786,060.00 3,786,060.00 - - 3,786,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 Belanja Modal Alat Rumah Tangga 71,687,380.00 71,687,380.00 - - - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0004 Belanja Modal Alat Pendingin 32,271,580.00 32,271,580.00 - - 32,271,580.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0005 Belanja Modal Alat Dapur 3,268,700.00 3,268,700.00 - - 3,268,700.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use) 14,053,710.00 14,053,710.00 - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat 2,484,600.00 2,484,600.00 - - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 0001 Belanja Modal Kursi Kerja Pejabat 2,484,600.00 2,484,600.00 - - 2,484,600.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 Belanja Modal Alat Studio, Komunikasi, dan Pemancar 3,628,900.00 3,628,900.00 - - - - #REF!
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 Belanja Modal Alat Komunikasi 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 0005 Belanja Modal alat komunikasi telepon 3,628,900.00 3,628,900.00 - - 3,628,900.00
4
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 Belanja Modal Alat Kedokteran dan Kesehatan 52,159,390.00 52,159,390.00 - - - - #REF!
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 Belanja Modal Alat Kedokteran 52,159,390.00 52,159,390.00 - - - - 50,666,305.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0001 Belanja Modal Alat Kedokteran Umum 50,666,305.00 50,666,305.00 - - 50,666,305.00
Belanja Modal Alat Kesehatan Kebidanan dan Penyakit
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - 1,493,085.00
Kandungan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 Belanja Modal Alat Laboratorium 10,426,824.00 10,426,824.00 - - - - #REF!
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 Belanja Modal Unit Alat Laboratorium 10,426,824.00 10,426,824.00 - - - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 0011 Belanja Modal Alat Laboratorium Umum 10,426,824.00 10,426,824.00 - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 Belanja Modal Komputer 40,926,870.00 40,926,870.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 Belanja Modal Komputer Unit 35,697,870.00 35,697,870.00 - - - - 35,697,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 0002 Belanja Modal Personal Computer 35,697,870.00 35,697,870.00 - - 35,697,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 Belanja Modal Peralatan Komputer 5,229,000.00 5,229,000.00 - - - - 5,229,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 0002 Belanja Modal Peralatan Mini Computer 5,229,000.00 5,229,000.00 - - 5,229,000.00
SURPLUS (DEFISIT) - 103,987,585.82 103,987,585.82 5.47 (150,731,705.82)
Mengetahui Lumajang, 31 Januari 2021

Kepala Puskesmas Gucialit Petugas Akuntansi
dr. IMANNURDIN ABDILLAH Astini

NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021
BAGIAN BULAN : FEBRUARI 2021

REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 PENDAPATAN ASLI DAERAH 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 04 LAIN LAIN PAD YANG SAH 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
- Pendapatan Bunga - - 7,285.82 23,037.54 30,323.36 #DIV/0! (30,323.36)
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 816,000.00 1,005,000.00 1,821,000.00 71.15 738,400.00
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 180,000.00 720,000.00 900,000.00 51.43 850,000.00
- Rawat Inap 91,800,000.00 91,800,000.00 4,680,000.00 3,780,000.00 8,460,000.00 9.22 83,340,000.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 - - - 4,100,000.00
- LaboratoriumPuskesmas 5,600,000.00 5,600,000.00 50,000.00 180,000.00 230,000.00 4.11 5,370,000.00
- Sewa Rumah dinas 762,000.00 762,000.00 - - - - 762,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 - - - 262,630,200.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 98,254,300.00 97,514,200.00 195,768,500.00 12.79 1,334,860,810.00
- Sisa Lebih Pagu Anggaran - - - - - #DIV/0! -
JUMLAH PENDAPATAN 1,899,830,910.00 1,899,830,910.00 103,987,585.82 103,222,237.54 207,209,823.36 10.91 1,692,621,086.64
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,946,575,030.00 1,946,575,030.00 - - - - 1,946,575,030.00

1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 - - - - 1,946,575,030.00
DAERAH KABUPATEN /KOTA
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 - - - - 1,712,313,966.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 - - - 1,671,387,096.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00
# PNS 565,285,352.00 565,285,352.00 - - - 565,285,352.00
1
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
# NON PNS 541,630,704.00 541,630,704.00 - - - 541,630,704.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 - - - 10,748,760.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 - - - 10,748,760.00
Keuangan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 BELANJA BARANG DAN JASA 643,010,160.00 643,010,160.00 - - - 564,471,040.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 Belanja Bahan Pakai habis 407,875,315.00 407,875,315.00 - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - - 78,539,120.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 - - - 20,408,250.00
[#] Belanja BBM dan Pelumas Ambulance - -
- Solar dex 13,341,600.00 13,341,600.00 - - 13,341,600.00
- Olie 2,055,900.00 2,055,900.00 - - 2,055,900.00
[#] Belanja BBM dan Pelumas Genset - -
- pertalite 489,600.00 489,600.00 - - 489,600.00
[#] Pengendalian vektor (fogging) - -
- BBM Pencampur 1,958,400.00 1,958,400.00 - - 1,958,400.00
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - 30,393,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,790,020.00 - - 21,790,020.00
- Belanja Cetak 15,444,770.00 15,444,770.00 - - 15,444,770.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 1,500,000.00 1,500,000.00 - - 1,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 4,147,330.00 4,147,330.00 - - 4,147,330.00
2
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
Belanja Makanan dan Minuman pada Fasilitas Pelayanan

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 - - 73,200,000.00
Urusan Kesehatan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 - - - 154,943,445.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 Belanja Jasa Kantor 154,943,445.00 154,943,445.00 - - - 154,943,445.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 - - - 48,571,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 - - - 48,571,400.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - 6,700,000.00
Generating Set
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - - 6,600,000.00
Bermotor-Kendaraan Bermotor Khusus
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - - 1,800,000.00
Alat Rumah Tangga-Alat Pendingin
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - 12,171,400.00
Alat Kedokteran-Alat Kedokteran Umum

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - 3,000,000.00
Alat Kedokteran-Alat Kedokteran Gigi
Belanja Pemeliharaan Komputer-Komputer Unit-Personal

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - - 10,500,000.00
Computer

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - - 7,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 Belana Perjalanan Dinas 15,720,000.00 15,720,000.00 - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 Belanja Perjalanan Dinas Dalam Negeri 15,720,000.00 15,720,000.00 - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 Belanja Modal Peralatan dan Mesin 185,900,054.00 185,900,054.00 - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 Belanja Modal Alat Bengkel dan Ukur 800,030.00 800,030.00 - - - 41,726,900.00
3
REALISASI
PERUBAHAN PERUBAHAN
1 2 3 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 Belanja Modal Alat Ukur 800,030.00 800,030.00 - - - 800,030.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 Belanja Modal Alat Kantor dan Rumah Tangga 77,958,040.00 77,958,040.00 - - - 9,015,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 Belanja Modal Alat Kantor 3,786,060.00 3,786,060.00 - - - 3,786,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 Belanja Modal Alat Rumah Tangga 71,687,380.00 71,687,380.00 - - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use) 14,053,710.00 14,053,710.00 - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat 2,484,600.00 2,484,600.00 - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 Belanja Modal Alat Studio, Komunikasi, dan Pemancar 3,628,900.00 3,628,900.00 - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 Belanja Modal Alat Komunikasi 3,628,900.00 3,628,900.00 - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 Belanja Modal Alat Kedokteran dan Kesehatan 52,159,390.00 52,159,390.00 - - - 50,666,305.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 Belanja Modal Alat Kedokteran 52,159,390.00 52,159,390.00 - - - 50,666,305.00

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - 1,493,085.00
Kandungan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 Belanja Modal Alat Laboratorium 10,426,824.00 10,426,824.00 - - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 Belanja Modal Unit Alat Laboratorium 10,426,824.00 10,426,824.00 - - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 0011 Belanja Modal Alat Laboratorium Umum 10,426,824.00 10,426,824.00 - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 Belanja Modal Komputer 40,926,870.00 40,926,870.00 - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 Belanja Modal Komputer Unit 35,697,870.00 35,697,870.00 - - - 35,697,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 0002 Belanja Modal Personal Computer 35,697,870.00 35,697,870.00 - - 35,697,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 Belanja Modal Peralatan Komputer 5,229,000.00 5,229,000.00 - - - 5,229,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 0002 Belanja Modal Peralatan Mini Computer 5,229,000.00 5,229,000.00 - - 5,229,000.00
SURPLUS (DEFISIT) 103,987,585.82 103,222,237.54 207,209,823.36 10.91 (253,953,943.36)


NIP 19811021 201001 1 013 NIP -
4
TAHUN ANGGARAN 2021
BAGIAN BULAN : MARET 2021

REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 207,209,823.36 109,371,308.45 316,581,131.81 16.66 1,583,249,778.19
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 207,209,823.36 109,371,308.45 316,581,131.81 16.66 1,583,249,778.19
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 207,209,823.36 109,371,308.45 316,581,131.81 16.66 1,583,249,778.19
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 207,209,823.36 109,371,308.45 316,581,131.81 16.66 1,583,249,778.19
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 207,209,823.36 109,371,308.45 316,581,131.81 16.66 1,583,249,778.19
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 1,821,000.00 1,268,000.00 3,089,000.00 120.69 (529,600.00)
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 900,000.00 720,000.00 1,620,000.00 92.57 130,000.00
- Rawat Inap 91,800,000.00 91,800,000.00 8,460,000.00 8,280,000.00 16,740,000.00 18.24 75,060,000.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 - - - 4,100,000.00
- LaboratoriumPuskesmas 5,600,000.00 5,600,000.00 230,000.00 843,000.00 1,073,000.00 19.16 4,527,000.00
- Sewa Rumah dinas 762,000.00 762,000.00 - 380,000.00 380,000.00 49.87 382,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 - - - 262,630,200.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 195,768,500.00 97,747,900.00 293,516,400.00 19.18 1,237,112,910.00
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,946,575,030.00 1,946,575,030.00 - - - - 1,946,575,030.00
PROGRAM PENUNJANG URUSAN

1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 - - - - 1,946,575,030.00
PEMERINTAHAN DAERAH KABUPATEN/KOTA
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 - - - - 1,712,313,966.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 - - - 1,671,387,096.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00
Tambahan Penghasilan berdasarkan

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 - - - 1,106,916,056.00
Pertimbangan Objektif Lainnya ASN
# PNS 565,285,352.00 565,285,352.00 - - - 565,285,352.00
1
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
# NON PNS 541,630,704.00 541,630,704.00 - - - 541,630,704.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 - - - 10,748,760.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 - - - 10,748,760.00
Keuangan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 BELANJA BARANG DAN JASA 643,010,160.00 643,010,160.00 - - - 564,471,040.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 Belanja Bahan Pakai habis 407,875,315.00 407,875,315.00 - - - 329,336,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - - 78,539,120.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 - - - 20,408,250.00
[#] Belanja BBM dan Pelumas Ambulance - -
- Solar dex 13,341,600.00 13,341,600.00 - - 13,341,600.00
- Olie 2,055,900.00 2,055,900.00 - - 2,055,900.00
[#] Belanja BBM dan Pelumas Genset - -
- pertalite 489,600.00 489,600.00 - - 489,600.00
[#] Pengendalian vektor (fogging) - -
- BBM Pencampur 1,958,400.00 1,958,400.00 - - 1,958,400.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - 30,393,990.00
Kantor
Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 21,790,020.00 21,790,020.00 - - 21,790,020.00
Cetak
- Belanja Cetak 15,444,770.00 15,444,770.00 - - 15,444,770.00

Belanja Alat/Bahan untuk Kegiatan Kantor-Benda
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 1,500,000.00 1,500,000.00 - - 1,500,000.00
Pos
Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - - 4,147,330.00
Kantor
Belanja Makanan dan Minuman pada Fasilitas
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 - - 73,200,000.00
Pelayanan Urusan Kesehatan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 - - - 154,943,445.00
2
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 Belanja Jasa Kantor 154,943,445.00 154,943,445.00 - - - 154,943,445.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 - - - 48,571,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 - - - 48,571,400.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - 6,700,000.00
Generating Set
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - - 6,600,000.00
Darat Bermotor-Kendaraan Bermotor Khusus
Belanja Pemeliharaan Alat Kantor dan Rumah
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - - 1,800,000.00
Tangga-Alat Rumah Tangga-Alat Pendingin
Belanja Pemeliharaan Alat Kedokteran dan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - 12,171,400.00
Kesehatan-Alat Kedokteran-Alat Kedokteran Umum
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - 3,000,000.00
Kesehatan-Alat Kedokteran-Alat Kedokteran Gigi
Belanja Pemeliharaan Komputer-Komputer Unit-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - - 10,500,000.00
Personal Computer
Belanja Pemeliharaan Komputer-Peralatan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - - 7,800,000.00
Komputer-Peralatan Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 Belana Perjalanan Dinas 15,720,000.00 15,720,000.00 - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 Belanja Perjalanan Dinas Dalam Negeri 15,720,000.00 15,720,000.00 - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 Belanja Modal Peralatan dan Mesin 185,900,054.00 185,900,054.00 - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 Belanja Modal Alat Bengkel dan Ukur 800,030.00 800,030.00 - - - 41,726,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 Belanja Modal Alat Ukur 800,030.00 800,030.00 - - - 800,030.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 Belanja Modal Alat Kantor dan Rumah Tangga 77,958,040.00 77,958,040.00 - - - 9,015,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 Belanja Modal Alat Kantor 3,786,060.00 3,786,060.00 - - - 3,786,060.00
3
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 Belanja Modal Alat Rumah Tangga 71,687,380.00 71,687,380.00 - - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - 22,093,390.00

Belanja Modal Alat Rumah Tangga Lainnya (Home
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 14,053,710.00 14,053,710.00 - - 14,053,710.00
Use)
Belanja Modal Meja dan Kursi Kerja/Rapat
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 2,484,600.00 2,484,600.00 - - - 3,628,900.00
Pejabat
Belanja Modal Alat Studio, Komunikasi, dan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 Belanja Modal Alat Komunikasi 3,628,900.00 3,628,900.00 - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 Belanja Modal Alat Kedokteran dan Kesehatan 52,159,390.00 52,159,390.00 - - - 50,666,305.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 Belanja Modal Alat Kedokteran 52,159,390.00 52,159,390.00 - - - 50,666,305.00
Belanja Modal Alat Kesehatan Kebidanan dan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - 1,493,085.00
Penyakit Kandungan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 Belanja Modal Alat Laboratorium 10,426,824.00 10,426,824.00 - - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 0011 Belanja Modal Alat Laboratorium Umum 10,426,824.00 10,426,824.00 - - - 10,426,824.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 0002 Belanja Modal Personal Computer 35,697,870.00 35,697,870.00 - - - 35,697,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 0002 Belanja Modal Peralatan Mini Computer 5,229,000.00 5,229,000.00 - - - 5,229,000.00
SURPLUS (DEFISIT) 207,209,823.36 109,371,308.45 316,581,131.81 16.66 (363,325,251.81)


NIP 19811021 201001 1 013 NIP -
4
TAHUN ANGGARAN 2021
BAGIAN BULAN : APRIL 2021

REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 316,581,131.81 138,470,492.03 455,051,623.84 23.95 1,444,779,286.16
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 316,581,131.81 138,470,492.03 455,051,623.84 23.95 1,444,779,286.16
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 316,581,131.81 138,470,492.03 455,051,623.84 23.95 1,444,779,286.16
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 316,581,131.81 138,470,492.03 455,051,623.84 23.95 1,444,779,286.16
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 316,581,131.81 138,470,492.03 455,051,623.84 23.95 1,444,779,286.16
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 3,089,000.00 2,529,000.00 5,618,000.00 219.50 (3,058,600.00)
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 1,620,000.00 525,000.00 2,145,000.00 122.57 (395,000.00)
- Rawat Inap 91,800,000.00 91,800,000.00 16,740,000.00 12,982,500.00 29,722,500.00 32.38 62,077,500.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 - 87,500.00 87,500.00 2.13 4,012,500.00
- LaboratoriumPuskesmas 5,600,000.00 5,600,000.00 1,073,000.00 331,000.00 1,404,000.00 25.07 4,196,000.00
- Sewa Rumah dinas 762,000.00 762,000.00 380,000.00 162,000.00 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 - 22,202,100.00 22,202,100.00 8.45 240,428,100.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 293,516,400.00 99,324,700.00 392,841,100.00 25.67 1,137,788,210.00
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,946,575,030.00 1,946,575,030.00 - 120,453,527.00 120,453,527.00 6.19 1,826,121,503.00

PROGRAM PENUNJANG URUSAN
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 - 120,453,527.00 120,453,527.00 6.19 1,826,121,503.00
PEMERINTAHAN DAERAH KABUPATEN/KOTA
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 - 120,453,527.00 120,453,527.00 6.19 1,602,609,199.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 - 120,453,527.00 120,453,527.00 1,561,682,329.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 - 74,749,020.00 74,749,020.00 6.69 1,042,915,796.00
1
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
Tambahan Penghasilan berdasarkan
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 - 74,749,020.00 74,749,020.00 6.69 1,042,915,796.00
Pertimbangan Objektif Lainnya ASN
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,117,664,816.00 1,117,664,816.00 - 74,749,020.00 74,749,020.00 6.69 1,042,915,796.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,117,664,816.00 1,117,664,816.00 - 74,749,020.00 74,749,020.00 6.69 1,042,915,796.00
# PNS 570,157,352.00 570,157,352.00 - 39,846,185.00 39,846,185.00 6.99 530,311,167.00
- Honorarium Pelayanan Rawat Jalan 442,004,600.00 442,004,600.00 - 27,117,510.00 27,117,510.00 6.14 414,887,090.00
- Honorarium Pelayanan Rawat Inap 50,733,600.00 50,733,600.00 - 3,604,700.00 3,604,700.00 7.11 47,128,900.00
- Honorarium Pelayanan Persalinan 56,070,000.00 56,070,000.00 - 6,680,625.00 6,680,625.00 11.91 49,389,375.00
- Honorarium Pelaksana Pelayanan Rujukan 1,660,500.00 1,660,500.00 - 155,250.00 155,250.00 9.35 1,505,250.00
- Honorarium Pelayanan Lainnya 19,688,652.00 19,688,652.00 - 2,288,100.00 2,288,100.00 11.62 17,400,552.00
# NON PNS 547,507,464.00 547,507,464.00 - 34,902,835.00 34,902,835.00 6.37 515,887,154.00
- Honorarium Pelayanan Rawat Jalan 503,520,564.00 503,520,564.00 - 29,069,010.00 29,069,010.00 5.77 474,451,554.00
- Honorarium Pelayanan Rawat Inap 24,458,400.00 24,458,400.00 - 2,551,300.00 2,551,300.00 10.43 21,907,100.00
- Honorarium Pelayanan Persalinan 12,180,000.00 12,180,000.00 - 1,719,375.00 1,719,375.00 14.12 12,180,000.00
- Honorarium Pelaksana Pelayanan Rujukan 3,874,500.00 3,874,500.00 - 1,277,250.00 1,277,250.00 32.97 3,874,500.00
- Honorarium Pelayanan Lainnya 3,474,000.00 3,474,000.00 - 285,900.00 285,900.00 8.23 3,474,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 - - 3,550,000.00 33.03 7,198,760.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 - - 3,550,000.00 26.61 7,198,760.00
Keuangan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 BELANJA BARANG DAN JASA 643,010,160.00 643,010,160.00 - 45,704,507.00 45,704,507.00 7.11 518,766,533.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 - 9,730,000.00 9,730,000.00 2.39 319,606,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 Belanja Bahan Pakai habis 407,875,315.00 407,875,315.00 - 9,730,000.00 9,730,000.00 2.39 319,606,195.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - 78,539,120.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 - 3,550,000.00 3,550,000.00 17.39 16,858,250.00
[#] Belanja BBM dan Pelumas Ambulance - - -
- Solar dex 13,341,600.00 13,341,600.00 - 3,550,000.00 3,550,000.00 26.61 9,791,600.00
- Olie 2,055,900.00 2,055,900.00 - - - 2,055,900.00
[#] Belanja BBM dan Pelumas Genset - - -
- pertalite 489,600.00 489,600.00 - - - 489,600.00
[#] Pengendalian vektor (fogging) - - -
- BBM Mesin Fogging 2,562,750.00 2,562,750.00 - - - 2,562,750.00
- BBM Pencampur 1,958,400.00 1,958,400.00 - - - 1,958,400.00
2
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0012 Belanja Bahan-Bahan Lainnya 73,403,275.00 73,403,275.00 - - - 73,403,275.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - - 30,393,990.00
Kantor
Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 21,790,020.00 21,790,020.00 - - - 21,790,020.00
Cetak
- Belanja Cetak 15,444,770.00 15,444,770.00 - - - 15,444,770.00
- Belanja Fotocopy 6,345,250.00 6,345,250.00 - - - 6,345,250.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 1,500,000.00 1,500,000.00 - - - 1,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - - - 4,147,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0037 Belanja Obat-Obatan-Obat 84,813,330.00 84,813,330.00 - - - 84,813,330.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0052 Belanja Makanan dan Minuman Rapat 19,680,000.00 19,680,000.00 - - - 19,680,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 - 6,180,000.00 6,180,000.00 8.44 67,020,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 - 35,974,507.00 35,974,507.00 23.22 118,968,938.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 Belanja Jasa Kantor 154,943,445.00 154,943,445.00 - 35,974,507.00 35,974,507.00 23.22 118,968,938.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0014 Belanja Jasa Tenaga Kesehatan 86,400,000.00 86,400,000.00 - 21,600,000.00 21,600,000.00 25.00 64,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0028 Belanja Jasa Tenaga Pelayanan Umum 2,400,000.00 2,400,000.00 - - - - 2,400,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0033 Belanja Jasa Tenaga Supir 18,000,000.00 18,000,000.00 - 4,500,000.00 4,500,000.00 25.00 13,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 - - - 10,500,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0050 Belanja Jasa Kalibrasi 1,191,245.00 1,191,245.00 - - - 1,191,245.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 688,800.00 - 408,688.00 408,688.00 59.33 280,112.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0061 Belanja Tagihan Listrik 19,260,400.00 19,260,400.00 - 6,870,819.00 6,870,819.00 35.67 12,389,581.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0063 Belanja Tagihan Internet 12,240,000.00 12,240,000.00 - 2,595,000.00 2,595,000.00 21.20 9,645,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 - - - 2,263,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 - - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 - - - - 15,900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 - - - 15,900,000.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - - - 6,600,000.00
3
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
Belanja Pemeliharaan Alat Kantor dan Rumah

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - - - 1,800,000.00
Tangga-Alat Rumah Tangga-Alat Pendingin

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - 12,171,400.00
Kesehatan-Alat Kedokteran-Alat Kedokteran Umum

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
Kesehatan-Alat Kedokteran-Alat Kedokteran Gigi

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - - - 10,500,000.00
Personal Computer

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - - - 7,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 0003 Belanja Perjalanan Dinas Dalam Kota 15,720,000.00 15,720,000.00 - - - 15,720,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 0021 Belanja Modal Alat Ukur lainnya 800,030.00 800,030.00 - - - 800,030.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 0005 Belanja Modal Alat Kantor lainnya 3,786,060.00 3,786,060.00 - - - 3,786,060.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0004 Belanja Modal Alat Pendingin 32,271,580.00 32,271,580.00 - - - 32,271,580.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0005 Belanja Modal Alat Dapur 3,268,700.00 3,268,700.00 - - - 3,268,700.00

Belanja Modal Alat Rumah Tangga Lainnya (Home
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 14,053,710.00 14,053,710.00 - - - 14,053,710.00
Use)
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 0001 Belanja Modal Kursi Kerja Pejabat 2,484,600.00 2,484,600.00 - - - 2,484,600.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 0005 Belanja Modal alat komunikasi telepon 3,628,900.00 3,628,900.00 - - - 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 Belanja Modal Alat Kedokteran dan Kesehatan 52,159,390.00 52,159,390.00 - - - - 50,666,305.00
4
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0001 Belanja Modal Alat Kedokteran Umum 50,666,305.00 50,666,305.00 - - - 50,666,305.00
Belanja Modal Alat Kesehatan Kebidanan dan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Penyakit Kandungan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 Belanja Modal Alat Laboratorium 10,426,824.00 10,426,824.00 - - - - 10,426,824.00
SURPLUS (DEFISIT) 316,581,131.81 18,016,965.03 334,598,096.84 17.76 (381,342,216.84)
Mengetahui Lumajang, 30 April 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021

REALISASI
ANGGARAN ANGGARAN
KODE REKENING URAIAN SEBELUM SETELAH % SISA ANGGARAN
PERUBAHAN PERUBAHAN BULAN LALU BULAN INI s/d BULAN INI
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 455,051,623.84 121,285,592.30 576,337,216.14 30.34 1,323,493,693.86
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 455,051,623.84 121,285,592.30 576,337,216.14 30.34 1,323,493,693.86
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 455,051,623.84 121,285,592.30 576,337,216.14 30.34 1,323,493,693.86
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 455,051,623.84 121,285,592.30 576,337,216.14 30.34 1,323,493,693.86
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 455,051,623.84 121,285,592.30 576,337,216.14 30.34 1,323,493,693.86
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 5,618,000.00 3,895,000.00 9,513,000.00 371.69 (6,953,600.00)
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 2,145,000.00 1,237,500.00 3,382,500.00 193.29 (1,632,500.00)
- Rawat Inap 91,800,000.00 91,800,000.00 29,722,500.00 7,380,000.00 37,102,500.00 40.42 54,697,500.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 87,500.00 710,000.00 797,500.00 19.45 3,302,500.00
- LaboratoriumPuskesmas 5,600,000.00 5,600,000.00 1,404,000.00 898,500.00 2,302,500.00 41.12 3,297,500.00
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 - 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 22,202,100.00 5,099,600.00 27,301,700.00 10.40 235,328,500.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 392,841,100.00 101,684,500.00 494,525,600.00 32.31 1,036,103,710.00
- Setor kembali - - - - - - -
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,946,575,030.00 1,946,575,030.00 120,453,527.00 260,303,999.00 380,757,526.00 19.56 1,565,817,504.00
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 120,453,527.00 260,303,999.00 380,757,526.00 19.56 1,565,817,504.00
DAERAH KABUPATEN/KOTA
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 120,453,527.00 260,303,999.00 380,757,526.00 19.56 1,342,305,200.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 120,453,527.00 260,303,999.00 380,757,526.00 1,301,378,330.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 74,749,020.00 239,287,580.00 314,036,600.00 28.10 803,628,216.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 74,749,020.00 239,287,580.00 314,036,600.00 61.38 803,628,216.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 74,749,020.00 235,704,660.00 310,453,680.00 28.05 796,462,376.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 74,749,020.00 235,704,660.00 310,453,680.00 28.05 796,462,376.00
# PNS 565,285,352.00 565,285,352.00 39,846,185.00 138,146,818.00 177,993,003.00 31.49 387,292,349.00
- Honorarium Pelayanan Rawat Jalan 437,132,600.00 437,132,600.00 27,117,510.00 138,146,818.00 165,264,328.00 37.81 271,868,272.00
- Honorarium Pelayanan Rawat Inap 50,733,600.00 50,733,600.00 3,604,700.00 3,604,700.00 7.11 47,128,900.00
- Honorarium Pelayanan Persalinan 56,070,000.00 56,070,000.00 6,680,625.00 6,680,625.00 11.91 49,389,375.00
- Honorarium Pelaksana Pelayanan Rujukan 1,660,500.00 1,660,500.00 155,250.00 155,250.00 9.35 1,505,250.00
- Honorarium Pelayanan Lainnya 19,688,652.00 19,688,652.00 2,288,100.00 2,288,100.00 11.62 17,400,552.00
# NON PNS 541,630,704.00 541,630,704.00 34,902,835.00 97,557,842.00 132,460,677.00 24.46 412,452,552.00
- Honorarium Pelaksana Pelayanan Rujukan 3,874,500.00 3,874,500.00 1,277,250.00 1,277,250.00 32.97 3,874,500.00
- Honorarium Pelayanan Lainnya 3,474,000.00 3,474,000.00 285,900.00 285,900.00 8.23 3,474,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 - 3,582,920.00 3,582,920.00 33.33 7,165,840.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 - 3,582,920.00 3,582,920.00 33.33 7,165,840.00
Keuangan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 BELANJA BARANG DAN JASA 643,010,160.00 643,010,160.00 45,704,507.00 21,016,419.00 66,720,926.00 10.38 497,750,114.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 9,730,000.00 4,606,400.00 14,336,400.00 3.51 314,999,795.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 Belanja Bahan Pakai habis 407,875,315.00 407,875,315.00 9,730,000.00 4,606,400.00 14,336,400.00 140.61 314,999,795.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 3,550,000.00 1,655,000.00 5,205,000.00 25.50 15,203,250.00
# Belanja BBM dan Pelumas Ambulance - - -
- Solar dex 13,341,600.00 13,341,600.00 3,550,000.00 1,250,000.00 4,800,000.00 35.98 8,541,600.00
- Olie 2,055,900.00 2,055,900.00 - 255,000.00 255,000.00 12.40 1,800,900.00
# Belanja BBM dan Pelumas Genset - - -
- pertalite 489,600.00 489,600.00 - 150,000.00 150,000.00 30.64 339,600.00
# Pengendalian vektor (fogging) - - -
- BBM Pencampur 1,958,400.00 1,958,400.00 - - - 1,958,400.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - - 30,393,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,790,020.00 - 1,451,400.00 1,451,400.00 6.66 20,338,620.00
- Belanja Cetak 15,444,770.00 15,444,770.00 - - - 15,444,770.00
- Belanja Fotocopy 6,345,250.00 6,345,250.00 - 1,451,400.00 1,451,400.00 22.87 4,893,850.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 1,500,000.00 1,500,000.00 - 1,500,000.00 1,500,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - - - 4,147,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 6,180,000.00 6,180,000.00 8.44 67,020,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 35,974,507.00 11,344,947.00 47,319,454.00 30.54 107,623,991.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 Belanja Jasa Kantor 154,943,445.00 154,943,445.00 35,974,507.00 11,344,947.00 47,319,454.00 30.54 107,623,991.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0014 Belanja Jasa Tenaga Kesehatan 86,400,000.00 86,400,000.00 21,600,000.00 7,200,000.00 28,800,000.00 33.33 57,600,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0033 Belanja Jasa Tenaga Supir 18,000,000.00 18,000,000.00 4,500,000.00 1,500,000.00 6,000,000.00 33.33 12,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 688,800.00 408,688.00 39,227.00 447,915.00 65.03 240,885.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0061 Belanja Tagihan Listrik 19,260,400.00 19,260,400.00 6,870,819.00 1,814,220.00 8,685,039.00 45.09 10,575,361.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0063 Belanja Tagihan Internet 12,240,000.00 12,240,000.00 2,595,000.00 791,500.00 3,386,500.00 27.67 8,853,500.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 - - - 2,263,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 - 5,065,072.00 5,065,072.00 31.86 10,834,928.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 - 5,065,072.00 5,065,072.00 31.86 10,834,928.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 - 5,065,072.00 5,065,072.00 31.86 10,834,928.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - - - 6,600,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - - - 1,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - 12,171,400.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - - - 10,500,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - - - 7,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use) 14,053,710.00 14,053,710.00 - - - 14,053,710.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
4
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
SURPLUS (DEFISIT) 334,598,096.84 (139,018,406.70) 195,579,690.14 10.78 (242,323,810.14)
Mengetahui Lumajang, 31 Mei 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021
BAGIAN BULAN : JUNI 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 576,337,216.14 115,273,074.48 691,610,290.62 36.40 1,208,220,619.38
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 576,337,216.14 115,273,074.48 691,610,290.62 36.40 1,208,220,619.38
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 576,337,216.14 115,273,074.48 691,610,290.62 36.40 1,208,220,619.38
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 576,337,216.14 115,273,074.48 691,610,290.62 36.40 1,208,220,619.38
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 576,337,216.14 115,273,074.48 691,610,290.62 36.40 1,208,220,619.38
- Pendapatan Bunga - - 869,916.14 318,574.48 1,188,490.62 #DIV/0! (1,188,490.62)
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 9,513,000.00 3,650,000.00 13,163,000.00 514.30 (10,603,600.00)
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 3,382,500.00 1,005,000.00 4,387,500.00 250.71 (2,637,500.00)
- Rawat Inap 91,800,000.00 91,800,000.00 37,102,500.00 6,660,000.00 43,762,500.00 47.67 48,037,500.00
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 797,500.00 330,000.00 1,127,500.00 27.50 2,972,500.00
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 2,302,500.00 1,733,000.00 4,035,500.00 72.06 1,564,500.00
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 - 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 27,301,700.00 - 27,301,700.00 10.40 235,328,500.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 494,525,600.00 101,576,500.00 596,102,100.00 38.94 934,527,210.00
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 380,757,526.00 22,051,877.00 402,809,403.00 20.69 1,543,765,627.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 380,757,526.00 22,051,877.00 402,809,403.00 1,279,326,453.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 314,036,600.00 - 314,036,600.00 28.10 803,628,216.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 314,036,600.00 - 314,036,600.00 61.38 803,628,216.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 310,453,680.00 - 310,453,680.00 28.05 796,462,376.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 310,453,680.00 - 310,453,680.00 28.05 796,462,376.00
# PNS 565,285,352.00 565,285,352.00 177,993,003.00 - 177,993,003.00 31.49 387,292,349.00
- Honorarium Pelayanan Rawat Jalan 437,132,600.00 437,132,600.00 165,264,328.00 165,264,328.00 37.81 271,868,272.00
# NON PNS 541,630,704.00 541,630,704.00 132,460,677.00 - 132,460,677.00 24.46 412,452,552.00
- Honorarium Pelayanan Rawat Jalan 497,643,804.00 497,643,804.00 126,626,852.00 - 126,626,852.00 25.45 371,016,952.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 3,582,920.00 - 3,582,920.00 33.33 7,165,840.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 3,582,920.00 - 3,582,920.00 33.33 7,165,840.00
Keuangan
-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 14,336,400.00 3,320,000.00 17,656,400.00 4.33 311,679,795.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - - - - -
# Belanja BBM dan Pelumas Ambulance - - -
- Solar dex 13,341,600.00 13,341,600.00 4,800,000.00 1,160,000.00 5,960,000.00 44.67 7,381,600.00
- Olie 2,055,900.00 2,055,900.00 255,000.00 - 255,000.00 12.40 1,800,900.00
- pertalite 489,600.00 489,600.00 150,000.00 - 150,000.00 30.64 339,600.00
- BBM Pencampur 1,958,400.00 1,958,400.00 - - - 1,958,400.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - - 30,393,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,790,020.00 1,451,400.00 - 1,451,400.00 6.66 20,338,620.00
- Belanja Cetak 15,444,770.00 15,444,770.00 - - - 15,444,770.00
- Belanja Fotocopy 6,345,250.00 6,345,250.00 1,451,400.00 - 1,451,400.00 22.87 4,893,850.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 1,500,000.00 1,500,000.00 1,500,000.00 - 1,500,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - - - 4,147,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 6,180,000.00 2,160,000.00 8,340,000.00 11.39 64,860,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 47,319,454.00 10,794,677.00 58,114,131.00 37.51 96,829,314.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 688,800.00 447,915.00 447,915.00 65.03 240,885.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 - 33,000.00 33,000.00 1.46 2,230,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 5,065,072.00 - 5,065,072.00 31.86 10,834,928.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 5,065,072.00 - 5,065,072.00 31.86 10,834,928.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 5,065,072.00 - 5,065,072.00 31.86 10,834,928.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 - 7,937,200.00 7,937,200.00 16.34 40,634,200.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 - 7,937,200.00 7,937,200.00 16.34 40,634,200.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 - 5,441,200.00 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 - 210,000.00 210,000.00 11.67 1,590,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - 12,171,400.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 - 960,000.00 960,000.00 9.14 9,540,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 - 1,326,000.00 1,326,000.00 17.00 6,474,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
4
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
SURPLUS (DEFISIT) 195,579,690.14 93,221,197.48 288,800,887.62 15.71 (335,545,007.62)
Mengetahui Lumajang, 31 Juni 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021
BAGIAN BULAN : JULI 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 PENDAPATAN ASLI DAERAH 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 04 LAIN LAIN PAD YANG SAH 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
- Pendapatan Bunga - - 1,188,490.62 299,978.75 1,488,469.37 #DIV/0! (1,488,469.37)
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 13,163,000.00 1,928,000.00 15,091,000.00 589.63 (12,531,600.00)
- Rawat Jalan NON PKD 1,750,000.00 1,750,000.00 4,387,500.00 540,000.00 4,927,500.00 281.57 (3,177,500.00)
- Rawat Inap 91,800,000.00 91,800,000.00 43,762,500.00 4,860,000.00 48,622,500.00 52.97 43,177,500.00
- Kegawatdaruratan dan Pra Rujukan - - - 125,000.00 125,000.00 #DIV/0! (125,000.00)
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 1,127,500.00 880,000.00 2,007,500.00 48.96 2,092,500.00
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 4,035,500.00 542,000.00 4,577,500.00 81.74 1,022,500.00
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 27,301,700.00 108,894,600.00 136,196,300.00 51.86 126,433,900.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 596,102,100.00 107,434,600.00 703,536,700.00 45.96 827,092,610.00
JUMLAH PENDAPATAN 1,899,830,910.00 1,899,830,910.00 691,610,290.62 225,504,178.75 917,114,469.37 48.27 982,716,440.63
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 402,809,403.00 198,125,094.00 600,934,497.00 30.87 1,345,640,533.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 402,809,403.00 198,125,094.00 600,934,497.00 1,159,740,479.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 314,036,600.00 123,745,760.00 437,782,360.00 39.17 679,882,456.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 314,036,600.00 123,745,760.00 437,782,360.00 89.05 679,882,456.00
# PNS 565,285,352.00 565,285,352.00 177,993,003.00 72,405,164.00 250,398,167.00 44.30 314,887,185.00
# NON PNS 541,630,704.00 541,630,704.00 132,460,677.00 49,551,136.00 182,011,813.00 33.60 362,901,416.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,748,760.00 3,582,920.00 1,789,460.00 5,372,380.00 49.98 5,376,380.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 3,582,920.00 1,789,460.00 5,372,380.00 49.98 5,376,380.00
Keuangan
-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 17,656,400.00 61,515,000.00 79,171,400.00 19.41 328,703,915.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 - 60,115,000.00 60,115,000.00 76.54 18,424,120.00
# Belanja BBM dan Pelumas Ambulance - - - -
- Solar dex 13,341,600.00 13,341,600.00 5,960,000.00 1,400,000.00 7,360,000.00 55.17 5,981,600.00
- Olie 2,055,900.00 2,055,900.00 255,000.00 - 255,000.00 12.40 1,800,900.00
- pertalite 489,600.00 489,600.00 150,000.00 - 150,000.00 30.64 339,600.00
- BBM Pencampur 1,958,400.00 1,958,400.00 - - - 1,958,400.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - - - 30,393,990.00
Kantor
- Belanja Cetak 15,444,770.00 15,444,770.00 - - - 15,444,770.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - - - 4,147,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 8,340,000.00 - 8,340,000.00 11.39 64,860,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 58,114,131.00 10,882,338.00 68,996,469.00 44.53 85,946,976.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 33,000.00 33,000.00 1.46 2,230,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 5,065,072.00 1,981,996.00 7,047,068.00 44.32 8,852,932.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 5,065,072.00 1,981,996.00 7,047,068.00 44.32 8,852,932.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 5,065,072.00 1,981,996.00 7,047,068.00 44.32 8,852,932.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 7,937,200.00 - 7,937,200.00 16.34 40,634,200.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 7,937,200.00 - 7,937,200.00 16.34 40,634,200.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 - 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - - 12,171,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 960,000.00 - 960,000.00 9.14 9,540,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 1,326,000.00 - 1,326,000.00 17.00 6,474,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 22,093,390.00 22,093,390.00 - - - 22,093,390.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
4
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
SURPLUS (DEFISIT) 288,800,887.62 27,379,084.75 316,179,972.37 17.40 (362,924,092.37)
Mengetahui Lumajang, 31 Juli 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 4 1 PENDAPATAN ASLI DAERAH 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 4 1 04 LAIN LAIN PAD YANG SAH 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 15,091,000.00 1,063,000.00 16,154,000.00 631.16 (13,594,600.00)
- Rawat Inap 91,800,000.00 91,800,000.00 48,622,500.00 1,980,000.00 50,602,500.00 55.12 41,197,500.00
- Kegawatdaruratan dan Pra Rujukan - - 125,000.00 - 125,000.00 #DIV/0! (125,000.00)
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 2,007,500.00 550,000.00 2,557,500.00 62.38 1,542,500.00
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 4,577,500.00 585,000.00 5,162,500.00 92.19 437,500.00
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 136,196,300.00 - 136,196,300.00 51.86 126,433,900.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 703,536,700.00 117,430,200.00 820,966,900.00 53.64 709,662,410.00
JUMLAH PENDAPATAN 1,899,830,910.00 1,899,830,910.00 917,114,469.37 122,078,451.46 1,039,192,920.83 54.70 860,637,989.17
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 600,934,497.00 51,207,306.00 652,141,803.00 33.50 1,294,433,227.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 600,934,497.00 51,207,306.00 652,141,803.00 1,108,533,173.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 437,782,360.00 - 437,782,360.00 39.17 679,882,456.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 437,782,360.00 - 437,782,360.00 89.05 679,882,456.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 432,409,980.00 - 432,409,980.00 39.06 674,506,076.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 06 0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 1,106,916,056.00 1,106,916,056.00 432,409,980.00 - 432,409,980.00 39.06 674,506,076.00
# PNS 565,285,352.00 565,285,352.00 250,398,167.00 - 250,398,167.00 44.30 314,887,185.00
# NON PNS 541,630,704.00 541,630,704.00 182,011,813.00 - 182,011,813.00 33.60 362,901,416.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 5,372,380.00 - 5,372,380.00 49.98 5,376,380.00
Keuangan
-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 79,171,400.00 31,503,000.00 110,674,400.00 27.13 297,200,915.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0002 Belanja Bahan Kimia 78,539,120.00 78,539,120.00 60,115,000.00 60,115,000.00 76.54 18,424,120.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 7,765,000.00 500,000.00 8,265,000.00 40.50 12,143,250.00
# Belanja BBM dan Pelumas Ambulance - -
- Solar dex 13,341,600.00 13,341,600.00 7,360,000.00 500,000.00 7,860,000.00 58.91 5,481,600.00
- Olie 2,055,900.00 2,055,900.00 255,000.00 - 255,000.00 12.40 1,800,900.00
- pertalite 489,600.00 489,600.00 150,000.00 - 150,000.00 30.64 339,600.00
- BBM Pencampur 1,958,400.00 1,958,400.00 - - - 1,958,400.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 - 26,875,000.00 26,875,000.00 88.42 3,518,990.00
Kantor
- Belanja Cetak 15,444,770.00 15,444,770.00 - - - 15,444,770.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 - 4,128,000.00 4,128,000.00 99.53 19,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 8,340,000.00 - 8,340,000.00 11.39 64,860,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 68,996,469.00 19,704,306.00 88,700,775.00 57.25 66,242,670.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0028 Belanja Jasa Tenaga Pelayanan Umum 2,400,000.00 2,400,000.00 - - - 2,400,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0061 Belanja Tagihan Listrik 19,260,400.00 19,260,400.00 11,269,054.00 830,000.00 12,099,054.00 62.82 7,161,346.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0063 Belanja Tagihan Internet 12,240,000.00 12,240,000.00 5,046,500.00 1,474,306.00 6,520,806.00 53.27 5,719,194.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 7,047,068.00 - 7,047,068.00 44.32 8,852,932.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 7,047,068.00 - 7,047,068.00 44.32 8,852,932.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 15,900,000.00 7,047,068.00 - 7,047,068.00 44.32 8,852,932.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 - 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - - 12,171,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 960,000.00 - 960,000.00 9.14 9,540,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 1,326,000.00 - 1,326,000.00 17.00 6,474,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 24,577,990.00 24,577,990.00 - - - 24,577,990.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - #DIV/0! 3,628,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 0001 Belanja Modal Kursi Kerja Pejabat - - #DIV/0! -

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
4
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
SURPLUS (DEFISIT) 316,179,972.37 70,871,145.46 387,051,117.83 21.20 (433,795,237.83)
Mengetahui Lumajang, 31 Agustus 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021
BAGIAN BULAN : SEPTEMBER 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 4 1 PENDAPATAN ASLI DAERAH 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 4 1 04 LAIN LAIN PAD YANG SAH 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 16,154,000.00 1,271,500.00 17,425,500.00 680.84 (14,866,100.00)
- Rawat Inap 91,800,000.00 91,800,000.00 50,602,500.00 1,800,000.00 52,402,500.00 57.08 39,397,500.00
- Kegawatdaruratan dan Pra Rujukan - - 125,000.00 125,000.00 250,000.00 #DIV/0! (250,000.00)
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 2,557,500.00 550,000.00 3,107,500.00 75.79 992,500.00
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 5,162,500.00 388,500.00 5,551,000.00 99.13 49,000.00
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 136,196,300.00 - 136,196,300.00 51.86 126,433,900.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 820,966,900.00 101,598,100.00 922,565,000.00 60.27 608,064,310.00
- Setor kembali - - - - -
JUMLAH PENDAPATAN 1,899,830,910.00 1,899,830,910.00 1,039,192,920.83 106,725,723.14 1,145,918,643.97 60.32 753,912,266.03
1 02 1 02 0 00 0 00 01 0021 01 1,946,575,030.00 1,946,575,030.00 652,141,803.00 206,535,123.00 858,676,926.00 44.11 1,087,898,104.00
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,946,575,030.00 1,946,575,030.00 652,141,803.00 206,535,123.00 858,676,926.00 44.11 941,624,920.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,760,674,976.00 1,760,674,976.00 652,141,803.00 206,535,123.00 858,676,926.00 48.77 900,698,050.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,117,664,816.00 437,782,360.00 186,509,840.00 624,292,200.00 55.86 493,372,616.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,117,664,816.00 437,782,360.00 186,509,840.00 624,292,200.00 122.38 493,372,616.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,748,760.00 5,372,380.00 1,789,460.00 7,161,840.00 66.63 3,586,920.00
Keuangan
-
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 407,875,315.00 110,674,400.00 7,046,300.00 117,720,700.00 28.86 288,854,615.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0004 Belanja Bahan-Bahan Bakar dan Pelumas 20,408,250.00 20,408,250.00 8,265,000.00 800,000.00 9,065,000.00 50.79 10,043,250.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 26,875,000.00 - 26,875,000.00 88.42 3,518,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,790,020.00 1,451,400.00 1,726,300.00 3,177,700.00 14.58 18,612,320.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 4,128,000.00 - 4,128,000.00 99.53 19,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 8,340,000.00 4,520,000.00 12,860,000.00 17.57 60,340,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 154,943,445.00 88,700,775.00 7,356,719.00 96,057,494.00 62.00 58,885,951.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - - - 2,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0014 Belanja Jasa Tenaga Kesehatan 86,400,000.00 86,400,000.00 57,600,000.00 - 57,600,000.00 66.67 28,800,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0028 Belanja Jasa Tenaga Pelayanan Umum 2,400,000.00 2,400,000.00 - - - 2,400,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0033 Belanja Jasa Tenaga Supir 18,000,000.00 18,000,000.00 12,000,000.00 - 12,000,000.00 66.67 6,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 - 5,335,000.00 5,335,000.00 50.81 5,165,000.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi 15,900,000.00 15,900,000.00 7,047,068.00 2,172,264.00 9,219,332.00 57.98 6,680,668.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi 15,900,000.00 15,900,000.00 7,047,068.00 2,172,264.00 9,219,332.00 57.98 6,680,668.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 Belanja Pemeliharaan 48,571,400.00 48,571,400.00 7,937,200.00 3,450,000.00 11,387,200.00 23.44 37,184,200.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 Belanja Pemeliharaan Peralatan dan Mesin 48,571,400.00 48,571,400.00 7,937,200.00 3,450,000.00 11,387,200.00 23.44 37,184,200.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 6,700,000.00 - - - 6,700,000.00
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 - 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 12,171,400.00 - - - - 12,171,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 3,000,000.00 - - - 3,000,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 960,000.00 1,900,000.00 2,860,000.00 27.24 7,640,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 1,326,000.00 1,550,000.00 2,876,000.00 36.87 4,924,000.00
- -
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 185,900,054.00 - - - - 40,926,870.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 24,577,990.00 24,577,990.00 - - - 24,577,990.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - #DIV/0! 3,628,900.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 0001 Belanja Modal Kursi Kerja Pejabat - - #DIV/0! -

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
- -
SURPLUS (DEFISIT) 387,051,117.83 (99,809,399.86) 287,241,717.97 16.20 (333,985,837.97)
Mengetahui Lumajang, 30 September 2021


NIP 19811021 201001 1 013 NIP -
4
TAHUN ANGGARAN 2021
BAGIAN BULAN : OKTOBER 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 1,145,918,643.97 96,357,539.63 1,242,276,183.60 65.39 657,554,726.40
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,145,918,643.97 96,357,539.63 1,242,276,183.60 65.39 657,554,726.40
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,145,918,643.97 96,357,539.63 1,242,276,183.60 65.39 657,554,726.40
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,145,918,643.97 96,357,539.63 1,242,276,183.60 65.39 657,554,726.40
02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,145,918,643.97 96,357,539.63 1,242,276,183.60 65.39 657,554,726.40
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 17,425,500.00 697,000.00 18,122,500.00 708.08 (15,563,100.00)
- Rawat Inap 91,800,000.00 91,800,000.00 52,402,500.00 3,240,000.00 55,642,500.00 60.61 36,157,500.00
- Kegawatdaruratan dan Pra Rujukan - - 250,000.00 250,000.00 500,000.00 #DIV/0! (500,000.00)
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 5,551,000.00 827,500.00 6,378,500.00 113.90 (778,500.00)
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 - 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 136,196,300.00 9,242,100.00 145,438,400.00 55.38 117,191,800.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 922,565,000.00 81,223,900.00 1,003,788,900.00 65.58 526,840,410.00
- Setor kembali - - - - - -
- -
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,930,675,030.00 1,957,177,158.00 858,676,926.00 130,541,830.00 989,218,756.00 50.54 967,958,402.00
1 02 1 02 0 00 0 00 01 0021 01 1,930,675,030.00 1,957,177,158.00 858,676,926.00 130,541,830.00 989,218,756.00 50.54 967,958,402.00
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,930,675,030.00 1,957,177,158.00 858,676,926.00 130,541,830.00 989,218,756.00 50.54 967,958,402.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,744,774,976.00 1,787,470,156.00 858,676,926.00 130,541,830.00 989,218,756.00 55.34 798,251,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,125,373,319.00 624,292,200.00 100,965,360.00 725,257,560.00 64.45 400,115,759.00
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,125,373,319.00 624,292,200.00 100,965,360.00 725,257,560.00 131.13 400,115,759.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,736,760.00 7,161,840.00 - 7,161,840.00 66.70 3,574,920.00
Keuangan
- -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 428,623,492.00 117,720,700.00 1,100,000.00 118,820,700.00 27.72 309,802,792.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 26,875,000.00 - 26,875,000.00 88.42 3,518,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 4,128,000.00 - 4,128,000.00 99.53 19,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0052 Belanja Makanan dan Minuman Rapat 19,680,000.00 900,000.00 - - - 900,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 12,860,000.00 - 12,860,000.00 17.57 60,340,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 Belanja Pakaian Adat Daerah - 29,260,000.00 - - - - 29,260,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 173,201,945.00 96,057,494.00 28,476,470.00 124,533,964.00 71.90 48,667,981.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 - 2,000,000.00 2,000,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0028 Belanja Jasa Tenaga Pelayanan Umum 2,400,000.00 - - - #DIV/0! -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 5,335,000.00 2,640,000.00 7,975,000.00 75.95 2,525,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 1,800,000.00 447,915.00 360,649.00 808564 44.92 991,436.00
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Asuransi - 17,547,300.00 9,219,332.00 1,041,090.00 10,260,422.00 58.47 7,286,878.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 Belanja Iuran Jaminan/Asuransi - 17,547,300.00 9,219,332.00 1,041,090.00 10,260,422.00 58.47 7,286,878.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 15,900,000.00 17,386,725.00 9,219,332.00 987,568.00 10,206,900.00 58.71 7,179,825.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0006 Belanja Iuran Jaminan Kecelakaan Kerja - 71,370.00 - 23,787.55 23,787.55 33.33 47,582.45
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0007 Belanja Iuran Jaminan Kematian - 89,205.00 - 29,734.45 29,734.45 33.33 59,470.55
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Konsultasi Kontruksi - 2,000,000.00 - - - - 2,000,000.00

Belanja Jasa Konsultasi Perencanaan Arsitektur-Jasa
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 08 003 - 1,250,000.00 - - - - 1,250,000.00
Penilai Perawatan dan Kelayakan Bangunan
Belanja Jasa Konsultasi Pengawasan Rekayasa -Jasa
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 019 - 750,000.00 - - - - 750,000.00
Pengawasan Pekerjaan Kontruksi Bangunan Gedung

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 - - - - -
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 - 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 8,571,400.00 - 3,100,000.00 3,100,000.00 36.17 5,471,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 2,860,000.00 - 2,860,000.00 27.24 7,640,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 2,876,000.00 - 2,876,000.00 36.87 4,924,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 Belanja Pemeliharaan Gedung dan Bangunan 25,000,000.00 - - - - 25,000,000.00
Belanja Pemeliharaan Bangunan Gedung - Bangunan

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 0006 - 25,000,000.00 - - - 25,000,000.00
Gedung Kerja - Bangunan Kesehatan
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 Belana Perjalanan Dinas 15,720,000.00 - - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 Belanja Perjalanan Dinas Dalam Negeri 15,720,000.00 - - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 04 01 0003 Belanja Perjalanan Dinas Dalam Kota 15,720,000.00 - - - - -
- - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 169,707,002.00 - - - - 169,707,002.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 Belanja Modal Alat Bengkel dan Ukur 800,030.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 Belanja Modal Alat Ukur 800,030.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 03 03 0021 Belanja Modal Alat Ukur lainnya 800,030.00 - - - -
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 Belanja Modal Alat Kantor 3,786,060.00 15,000.00 - - - - 15,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 01 0005 Belanja Modal Alat Kantor lainnya 3,786,060.00 15,000.00 - - - 15,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 24,577,990.00 98,790.00 - - - 98,790.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 03 0001 Belanja Modal Kursi Kerja Pejabat - - - -

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
- -
SURPLUS (DEFISIT) 287,241,717.97 (34,184,290.37) 253,057,427.60 14.85 (310,403,675.60)
Mengetahui Lumajang, 30 September 2021


NIP 19811021 201001 1 013 NIP -
4
TAHUN ANGGARAN 2021
BAGIAN BULAN : NOVEMBER 2021

REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 1,242,276,183.60 120,229,228.63 1,362,505,412.23 71.72 537,325,497.77
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,242,276,183.60 120,229,228.63 1,354,891,412.23 71.32 544,939,497.77
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,242,276,183.60 120,229,228.63 1,354,891,412.23 71.32 544,939,497.77
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,242,276,183.60 120,229,228.63 1,354,891,412.23 71.32 544,939,497.77
02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,242,276,183.60 120,229,228.63 1,354,891,412.23 71.32 544,939,497.77
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 18,122,500.00 1,382,000.00 19,504,500.00 762.07 (16,945,100.00)
- Rawat Inap 91,800,000.00 91,800,000.00 55,642,500.00 7,200,000.00 62,842,500.00 68.46 28,957,500.00
- Kegawatdaruratan dan Pra Rujukan - - 500,000.00 625,000.00 1,125,000.00 #DIV/0! (1,125,000.00)
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 6,378,500.00 880,000.00 7,258,500.00 129.62 (1,658,500.00)
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 542,000.00 71.13 220,000.00
- NON Kapitasi 262,630,200.00 262,630,200.00 145,438,400.00 15,407,100.00 160,845,500.00 61.24 101,784,700.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 1,003,788,900.00 85,641,100.00 1,089,430,000.00 71.18 441,199,310.00
- Sisa Lebih Pagu Anggaran - - - - - -
- BPJS Ketenagakerjaan - - - - - - -
- Jasa Pelayanan dari BKKBN - - - 7,614,000.00 7,614,000.00 - (7,614,000.00)
- -
1
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,930,675,030.00 1,957,177,158.00 989,218,756.00 75,330,569.00 1,064,549,325.00 54.39 892,627,833.00
1 02 1 02 0 00 0 00 01 0021 01 1,930,675,030.00 1,957,177,158.00 989,218,756.00 75,330,569.00 1,064,549,325.00 54.39 892,627,833.00
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,930,675,030.00 1,957,177,158.00 989,218,756.00 75,330,569.00 1,064,549,325.00 54.39 892,627,833.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,744,774,976.00 1,787,470,156.00 989,218,756.00 75,330,569.00 1,064,549,325.00 59.56 722,920,831.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,125,373,319.00 725,257,560.00 57,694,540.00 782,952,100.00 69.57 342,421,219.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,125,373,319.00 725,257,560.00 57,694,540.00 782,952,100.00 152.81 342,421,219.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,736,760.00 7,161,840.00 1,789,460.00 8,951,300.00 83.37 1,785,460.00
Keuangan
- -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 428,623,492.00 118,820,700.00 2,100,000.00 120,920,700.00 28.21 307,702,792.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 26,875,000.00 - 26,875,000.00 88.42 3,518,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 4,128,000.00 - 4,128,000.00 99.53 19,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0052 Belanja Makanan dan Minuman Rapat 19,680,000.00 900,000.00 - 900,000.00 900,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 12,860,000.00 - 12,860,000.00 17.57 60,340,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 Belanja Pakaian Adat Daerah - 29,260,000.00 - - - - 29,260,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 173,201,945.00 124,533,964.00 15,536,029.00 140,069,993.00 80.87 33,131,952.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 2,000,000.00 2,000,000.00 100.00 -
2
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 7,975,000.00 1,375,000.00 9,350,000.00 89.05 1,150,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 1,800,000.00 808,564.00 405,337.00 1,213,901.00 67.44 586,099.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 2,263,000.00 2,263,000.00 33,000.00 36,000.00 69,000.00 3.05 2,194,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0006 Belanja Iuran Jaminan Kecelakaan Kerja - 71,370.00 23,787.55 23,787.55 47,575.10 66.66 23,794.90
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0007 Belanja Iuran Jaminan Kematian - 89,205.00 29,734.45 29,734.45 59,468.90 66.67 29,736.10
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Konsultasi Kontruksi - 2,000,000.00 - 1,250,000.00 1,250,000.00 62.50 750,000.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 08 003 - 1,250,000.00 - 1,250,000.00 1,250,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 019 - 750,000.00 - - - - 750,000.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 - - - - -
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 - 5,441,200.00 82.44 1,158,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 8,571,400.00 3,100,000.00 3,100,000.00 36.17 5,471,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 2,860,000.00 - 2,860,000.00 27.24 7,640,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 2,876,000.00 - 2,876,000.00 36.87 4,924,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 Belanja Pemeliharaan Gedung dan Bangunan 25,000,000.00 - - - - 25,000,000.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 0006 - 25,000,000.00 - - - 25,000,000.00
3
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
- - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 169,707,002.00 - - - - 169,707,002.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 24,577,990.00 98,790.00 - - - 98,790.00

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - - - - 3,628,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - - - 1,493,085.00
Kandungan
4
REALISASI
ANGGARAN ANGGARAN
1 2 4 4 5 6 7 8 9=4-7
- -
SURPLUS (DEFISIT) 253,057,427.60 44,898,659.63 297,956,087.23 17.33 (355,302,335.23)
Mengetahui Lumajang, 30 November 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2021
BAGIAN BULAN : DESEMBER 2021

REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 4 PENDAPATAN 1,899,830,910.00 1,899,830,910.00 1,362,505,412.23 102,290,567.93 1,464,795,980.16 77.10 435,034,929.84
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,354,891,412.23 102,290,567.93 1,456,768,380.16 76.68 443,062,529.84
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,354,891,412.23 102,290,567.93 1,456,768,380.16 76.68 443,062,529.84
1 02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,354,891,412.23 102,290,567.93 1,456,768,380.16 76.68 443,062,529.84
02 1 02 0 00 0 00 01 0021 4 1 04 018 16 01 0001 Pendapatan BLUD 1,899,830,910.00 1,899,830,910.00 1,354,891,412.23 102,290,567.93 1,456,768,380.16 76.68 443,062,529.84
- Rawat Jalan PKD 2,559,400.00 2,559,400.00 19,504,500.00 1,408,000.00 20,912,500.00 817.09 (18,353,100.00)
- Pelayanan Penunjang 1,750,000.00 1,750,000.00 6,367,500.00 660,000.00 7,027,500.00 401.57 (5,277,500.00)
- Rawat Inap 91,800,000.00 91,800,000.00 62,842,500.00 9,000,000.00 71,842,500.00 78.26 19,957,500.00
- Kegawatdaruratan dan Pra Rujukan - - 1,125,000.00 625,000.00 1,750,000.00 #DIV/0! (1,750,000.00)
- Pemakaian Mobil Pusling 4,100,000.00 4,100,000.00 4,097,500.00 440,000.00 4,537,500.00 110.67 (437,500.00)
- Laboratorium Puskesmas 5,600,000.00 5,600,000.00 7,258,500.00 1,466,000.00 8,724,500.00 155.79 (3,124,500.00)
- Sewa Rumah dinas 762,000.00 762,000.00 542,000.00 220,000.00 762,000.00 100.00 -
- NON Kapitasi 262,630,200.00 262,630,200.00 160,845,500.00 - 160,845,500.00 61.24 101,784,700.00
- Kapitasi 1,530,629,310.00 1,530,629,310.00 1,089,430,000.00 87,727,000.00 1,177,157,000.00 76.91 353,472,310.00
- Sisa Lebih Pagu Anggaran - - - - - -
- BPJS Ketenagakerjaan - - - - - - -
- Jasa Pelayanan dari BKKBN - - - - - - -
- Jasa Nakes Skrining Lab - - 7,614,000.00 413,600.00 8,027,600.00 - (8,027,600.00)
- -
1
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 BELANJA LANGSUNG 1,930,675,030.00 1,957,177,158.00 1,076,532,819.00 420,690,818.00 1,497,223,637.00 76.50 459,953,521.00
1 02 1 02 0 00 0 00 01 0021 01 1,930,675,030.00 1,957,177,158.00 1,076,532,819.00 420,690,818.00 1,485,240,143.00 75.89 471,937,015.00
1 02 1 02 0 00 0 00 01 0021 01 5 Pelayanan dan Penunjang Pelayanan BLUD 1,930,675,030.00 1,957,177,158.00 1,076,532,819.00 420,690,818.00 1,485,240,143.00 75.89 471,937,015.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 BELANJA OPERASI 1,744,774,976.00 1,787,470,156.00 1,076,532,819.00 259,382,418.00 1,323,931,743.00 74.07 463,538,413.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 BELANJA PEGAWAI 1,117,664,816.00 1,125,373,319.00 782,952,100.00 53,174,120.00 836,126,220.00 74.30 289,247,099.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 1,117,664,816.00 1,125,373,319.00 782,952,100.00 53,174,120.00 836,126,220.00 174.09 289,247,099.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 Belanja Honorarium 10,748,760.00 10,736,760.00 8,951,300.00 1,789,460.00 10,740,760.00 100.04 (4,000.00)
1 02 1 02 0 00 0 00 01 0021 01 5 1 01 03 07 0001 10,748,760.00 10,736,760.00 8,951,300.00 1,789,460.00 10,740,760.00 100.04 (4,000.00)
Keuangan
- -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 Belanja Barang 407,875,315.00 428,623,492.00 120,920,700.00 163,648,690.00 284,569,390.00 66.39 144,054,102.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0012 Belanja Bahan-Bahan Lainnya 73,403,275.00 88,183,041.00 - 79,436,430.00 79,436,430.00 90.08 8,746,611.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0024 30,393,990.00 30,393,990.00 26,875,000.00 - 26,875,000.00 88.42 3,518,990.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 21,790,020.00 21,798,820.00 3,177,700.00 13,712,750.00 16,890,450.00 14.58 4,908,370.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0030 4,147,330.00 4,147,330.00 4,128,000.00 - 4,128,000.00 99.53 19,330.00
Kantor
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0037 Belanja Obat-Obatan-Obat 84,813,330.00 84,820,291.00 - 36,909,510.00 36,909,510.00 43.51 47,910,781.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0052 Belanja Makanan dan Minuman Rapat 19,680,000.00 900,000.00 900,000.00 - 900,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 73,200,000.00 73,200,000.00 12,860,000.00 4,000,000.00 16,860,000.00 23.03 56,340,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 01 01 0056 Belanja Pakaian Adat Daerah - 29,260,000.00 - 27,590,000.00 27,590,000.00 94.29 1,670,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa 154,943,445.00 233,473,345.00 146,189,325.00 42,559,608.00 203,236,133.00 87.05 30,237,212.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0003 2,000,000.00 2,000,000.00 2,000,000.00 2,000,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0014 Belanja Jasa Tenaga Kesehatan 86,400,000.00 86,400,000.00 79,200,000.00 7,200,000.00 86,400,000.00 100.00 -
2
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0033 Belanja Jasa Tenaga Supir 18,000,000.00 18,000,000.00 16,500,000.00 1,500,000.00 18,000,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0051 Belanja Jasa Pengolahan Sampah 10,500,000.00 10,500,000.00 9,350,000.00 - 9,350,000.00 89.05 1,150,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 01 0059 Belanja Tagihan Telepon 688,800.00 1,800,000.00 1,213,901.00 135,149.00 1,349,050.00 74.95 450,950.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0006 Belanja Iuran Jaminan Kecelakaan Kerja - 71,370.00 47,575.10 23,788.00 71,363.10 99.99 6.90
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 0007 Belanja Iuran Jaminan Kematian - 89,205.00 59,468.90 29,734.00 89,202.90 100.00 2.10
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 Belanja Jasa Konsultasi Kontruksi - 2,000,000.00 1,250,000.00 750,000.00 2,000,000.00 100.00 -

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 08 003 - 1,250,000.00 1,250,000.00 - 1,250,000.00 100.00 -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 02 02 019 - 750,000.00 - 750,000.00 750,000.00 100.00 -

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0022 6,700,000.00 - - - - -
Generating Set
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0040 6,600,000.00 6,600,000.00 5,441,200.00 187,000.00 5,628,200.00 85.28 971,800.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0121 1,800,000.00 1,800,000.00 210,000.00 - 210,000.00 11.67 1,590,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0204 12,171,400.00 8,571,400.00 3,100,000.00 3,100,000.00 36.17 5,471,400.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0205 3,000,000.00 - - - - -
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0405 10,500,000.00 10,500,000.00 2,860,000.00 2,335,000.00 5,195,000.00 49.48 5,305,000.00
Personal Computer
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 02 0409 7,800,000.00 7,800,000.00 2,876,000.00 2,350,000.00 5,226,000.00 67.00 2,574,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 Belanja Pemeliharaan Gedung dan Bangunan 25,000,000.00 - 24,598,200.00 24,598,200.00 98.39 401,800.00

1 02 1 02 0 00 0 00 01 0021 01 5 1 02 03 03 0006 - 25,000,000.00 - 24,598,200.00 24,598,200.00 98.39 401,800.00
3
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
- - -
1 02 1 02 0 00 0 00 01 0021 01 5 2 BELANJA MODAL 185,900,054.00 169,707,002.00 - 161,308,400.00 161,308,400.00 95.05 8,398,602.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 Belanja Modal Peralatan dan Mesin 185,900,054.00 169,707,002.00 - 161,308,400.00 161,308,400.00 95.05 8,398,602.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 Belanja Modal Alat Kantor dan Rumah Tangga 77,958,040.00 27,231,100.00 - 26,856,500.00 26,856,500.00 98.62 374,600.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 Belanja Modal Alat Rumah Tangga 74,171,980.00 27,216,100.00 - 26,856,500.00 26,856,500.00 98.68 359,600.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0001 Belanja Mebel 24,577,990.00 98,790.00 - - - 98,790.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0004 Belanja Modal Alat Pendingin 32,271,580.00 17,134,040.00 - 16,995,000.00 16,995,000.00 99.19 139,040.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0005 Belanja Modal Alat Dapur 3,268,700.00 3,287,570.00 - 3,206,500.00 3,206,500.00 97.53 81,070.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 05 02 0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use) 14,053,710.00 6,695,700.00 - 6,655,000.00 6,655,000.00 99.39 40,700.00

1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 3,628,900.00 3,628,900.00 - 3,575,000.00 3,575,000.00 98.51 53,900.00
Pemancar
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 Belanja Modal Alat Komunikasi 3,628,900.00 3,628,900.00 - 3,575,000.00 3,575,000.00 98.51 53,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 06 01 0005 Belanja Modal alat komunikasi telepon 3,628,900.00 3,628,900.00 - 3,575,000.00 3,575,000.00 98.51 53,900.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 Belanja Modal Alat Kedokteran dan Kesehatan 52,159,390.00 52,159,390.00 - 44,449,900.00 44,449,900.00 85.22 7,709,490.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 Belanja Modal Alat Kedokteran 52,159,390.00 52,159,390.00 - 44,449,900.00 44,449,900.00 85.22 7,709,490.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0001 Belanja Modal Alat Kedokteran Umum 50,666,305.00 50,666,305.00 - 43,068,300.00 43,068,300.00 85.00 7,598,005.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 07 01 0005 1,493,085.00 1,493,085.00 - 1,381,600.00 1,381,600.00 92.53 111,485.00
Kandungan
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 Belanja Modal Alat Laboratorium 10,426,824.00 10,513,052.00 - 10,362,000.00 10,362,000.00 98.56 151,052.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 Belanja Modal Unit Alat Laboratorium 10,426,824.00 10,513,052.00 - 10,362,000.00 10,362,000.00 98.56 151,052.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 08 01 0011 Belanja Modal Alat Laboratorium Umum 10,426,824.00 10,513,052.00 - 10,362,000.00 10,362,000.00 98.56 151,052.00
4
REALISASI
PERUBAHAN PERUBAHAN
1 2 4 4 5 6 7 8 9=4-7
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 Belanja Modal Komputer 40,926,870.00 76,174,560.00 - 76,065,000.00 76,065,000.00 99.86 109,560.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 Belanja Modal Komputer Unit 35,697,870.00 70,696,560.00 - 70,620,000.00 70,620,000.00 99.89 76,560.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 01 0002 Belanja Modal Personal Computer 35,697,870.00 70,696,560.00 - 70,620,000.00 70,620,000.00 99.89 76,560.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 Belanja Modal Peralatan Komputer 5,229,000.00 5,478,000.00 - 5,445,000.00 5,445,000.00 99.40 33,000.00
1 02 1 02 0 00 0 00 01 0021 01 5 2 02 10 02 0002 Belanja Modal Peralatan Mini Computer 5,229,000.00 5,478,000.00 - 5,445,000.00 5,445,000.00 99.40 33,000.00
- -
SURPLUS (DEFISIT) 297,956,087.23 (318,400,250.07) (20,444,162.84) 0.60 (24,918,591.16)
Mengetahui Lumajang, 31 Desember 2021


NIP 19811021 201001 1 013 NIP -
5
TAHUN ANGGARAN 2017

SEBELUM SETELAH REALISASI SISA

KODE REKENING URAIAN PERUBAHAN PERUBAHAN %
s/d BULAN INI ANGGARAN
ANGGARAN ANGGARAN
1 2 4 7 8 9=4-7
1 02 1 02 01 28 01 5 JUMLAH 1,385,618,000 1,371,322,000 674,613,364 49.19 696,708,636

1 02 1 02 01 28 01 112,257,120.00 112,257,120.00 76,568,572.00 68.21 35,688,548.00
PERKANTORAN
1 02 1 02 01 28 01 001 Penyediaan Jasa Surat menyurat 900,000.00 900,000.00 900,000.00 100.00 -

Penyediaan Jasa Komunikasi,Sumber Daya
1 02 1 02 01 28 01 002 29,040,000.00 29,040,000.00 10,896,622.00 37.52 18,143,378.00
Air, dan Listrik
Penyediaan Jasa Administrasi Keuangan dan
1 02 1 02 01 28 01 007 31,100,000.00 31,100,000.00 16,050,000.00 51.61 15,050,000.00
Barang Daerah
1 02 1 02 01 28 01 010 Penyediaan Alat Tulis Kantor 16,728,750.00 16,728,750.00 16,389,000.00 97.97 339,750.00
Penyediaan Barang Cetakan dan
1 02 1 02 01 28 01 011 26,946,600.00 26,946,600.00 25,588,250.00 94.96 1,358,350.00
Penggandaan
Penyediaan komponen Instalasi Listrik /
1 02 1 02 01 28 01 012 1,385,970.00 1,385,970.00 1,203,400.00 86.83 182,570.00
Penerangan Bangunan Kantor
1 02 1 02 01 28 01 016 Penyediaan Bahan Logistik Kantor 6,155,800.00 6,155,800.00 5,541,300.00 90.02 614,500.00

1 02 1 02 01 28 02 24,365,600.00 24,365,600.00 10,279,000.00 42.19 14,086,600.00
Pemeliharaan rutin/berkala Kendaraan

1 02 1 02 01 28 02 024 24,365,600.00 24,365,600.00 10,279,000.00 42.19 14,086,600.00
Dinas/Operasional

1 02 1 02 01 28 16 1,088,005,880.00 1,073,709,880.00 454,495,392.00 42.33 619,214,488.00
MASYARAKAT
1 02 1 02 01 28 16 016 Peningkatan Pelayanan Melalui JKN 670,583,880.00 670,583,880.00 285,972,192.00 42.65 384,611,688.00

1 02 1 02 01 28 16 017 14,296,000.00 - - #DIV/0! -
1 02 1 02 01 28 16 018 Pelayanan Kesehatan Masyarakat 48,900,000.00 48,900,000.00 24,060,000.00 49.20 24,840,000.00

1 02 1 02 01 28 16 021 354,226,000.00 354,226,000.00 144,463,200.00 40.78 209,762,800.00
1 02 1 02 01 28 21 14,400,000.00 14,400,000.00 - - 14,400,000.00
LINGKUNGAN SEHAT
1 02 1 02 01 28 21 006 5 2 Penyelenggaraan Penyehatan 14,400,000.00 14,400,000.00 - - 14,400,000.00
PROGRAM PENGADAAN,
1 02 1 02 01 28 25 007 SARANA DAN PRASARANA 146,589,400.00 146,589,400.00 133,270,400.00 90.91 13,319,000.00
DAN JARINGANNYA
1 02 1 02 01 28 25 007 5 2 Pengadaan Sarana dan Prasarana Puskesmas 128,213,400.00 128,213,400.00 127,374,400.00 99.35 839,000.00
Pemeliharaan Rutin/Berkala Sarana dan
1 02 1 02 01 28 25 014 5 2 18,376,000.00 18,376,000.00 5,896,000.00 32.09 12,480,000.00
Prasarana Puskesmas
JUMLAH BELANJA 1,385,618,000.00 1,371,322,000.00 674,613,364.00 243.64 696,708,636.00
Rencana Penyerapan Anggaran Belanja : Bulan Oktober atau setelah Anggaran PAK sudah disahkan.
Lumajang , Agustus 2017

Bendahara Pengeluaran Pembantu Kepala Puskesmas Tunjung
Fitria Dewi K. dr. Tanti Umiyati

Nip. 19890627 201101 2 011 Nip. 19710503 200501 2 009
KETERANGAN
10
- Tidak mencapai target karena:

1. Ada beberapa kegiatan yang masuk
kedapam kegiatan yang di PAK
- 01.02
- 02.24
- 16.16
- 16.21
- 21.06
2. Ada kegiatan yang menyesuaikan
kebutuhan seperti:
- 01.02
- 02.24
3. Ada kegiatan yang terhambat
dokumen dan pelaksanaan pengadaan
seperti:
- 16.16 (pengadaan Obat)
- 16.16 (Pengadaan Alat Kesehatan)
- 21.06 (MOU dengan pihak ketiga)
- Mencapai target
- Tidak mencapai target karena Masuk ke

dalam kegiatan yang PAK
1. Karena penyerapan anggaran tiap
tribulan
- Mencapai target
- Mencapai target
- Mencapai target
- Mencapai target

1. Belanja BBM disesuaikan dengan
kebutuhan pemakaian mobil ambulance
2. Belanja servis disesuaikan dengan
anggaran kas

1. Ada beberapa kegiatan yang Masuk
dalam kegiatan yang di PAK (diantaranya
adalah Belanja Jasa Pelayanan dan
pengadaan),
2. Penyerapan Klaim JKN yang tidak
maksimal karena masih mengurus
dokumen.
- Dihapus dari anggaran Puskesmas dan

dialihkan kepada Dinas Kesehatan
- Tidak sesuai target karena
menyesuaikan dengan kebutuhan
makmin pasien rawat inap non jkn yang
ada di Puskesmas
- Tidak sesuai dengan target karena:

1. Masuk ke dalam kegiatan yang di PAK
- Tidak sesuai dengan target karena:

1. Belum bisa menyerap sama sekali
dana karena terhambat dokumen (MOU
dengan pihak ketiga belum ada
kesepakatan,
2. Masuk kedalam kegiatan yang di PAK
- Mencapai target
- Tidak sesuai target karena disesuaikan
dengan adanya servis

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LAPORAN REALISASI ANGGARAN PENDAPATAN DAN BELANJA DAERAH

TAHUN ANGGARAN 2016

URUSAN PEMERINTAHAN : 1.02. KESEHATAN

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 98,640,000.00 #REF! 12,528,800.00 #REF!

1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 745,689,100.00 #REF! 57,585,000.00 #REF!

JUMLAH PENDAPATAN 844,329,100.00 844,329,100.00 #REF! 70,113,800.00 #REF!

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 1,317,196,100.00 #REF! 85,457,300.00 #REF!

PROGRAM PELAYANAN ADMINISTRASI

PENYEDIAAN JASA ADMINISTRASI

Honorarium penyimpan dan pengurus barang 3,600,000.00 3,600,000.00 - -

1 02 1 02 01 28 01 007 5 2 1 001 005 Honorium Penerima Hasil Pekerjaan 700,000.00 700,000.00 - -

PENYEDIAAN JASA KEBERSIHAN

1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 010 5 2 2 BELANJA BARANG DAN JASA 13,203,560.00 13,203,560.00 #REF! - #REF!

PENYEDIAAN BARANG CETAKAN DAN

PENYEDIAAN BAHAN LOGISTIK

PROGRAM PENINGKATAN SARANA

Pemeliharaan Rutin/Berkala Perlengkapan

1 02 1 02 01 28 02 026 5 2 2 BELANJA BARANG DAN JASA 1,400,000.00 1,400,000.00 #REF! - #REF!

Pemeliharaan rutin/Berkala Perlengkapan

PENINGKATAN PELAYANAN MELALUI

1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 100,620,435.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 003 Belanja Jasa Kantor 1,000,000.00 - #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 3,415,000.00 #REF! - #REF!

BELANJA MODAL PERALATAN DAN

1 02 1 02 01 28 16 017 5 2 2 005 Belanja Perawatan Kendaraan Bermotor 8,424,000.00 - - -

Peningkatan Pelayanan melalui Bantuan

1 02 1 02 01 28 16 021 5 2 2 001 009 Belanja Alat Kesehatan/Kedokteran Habis Pakai - - - -

1 02 1 02 01 28 16 021 5 2 2 002 Belanja Bahan dan Material 5,720,000.00 - - -

BELANJA MODAL PERALATAN DAN

1 02 1 02 01 28 25 007 5 2 4 016 Belanja Modal Komputer 24,752,000.00 24,752,000.00 #REF! - #REF!

JUMLAH BELANJA 1,317,196,100.00 #REF! 85,457,300.00 #REF!

Mengetahui Lumajang , Mei 201

dr. Tanti Umiyati Bisma Septiawan

Lumajang , Mei 2016

URUSAN PEMERINTAHAN : 1.02. KESEHATAN

1 02 1 02 01 00 00 00 4 1 2 001 Retribusi Jasa Umum 98,640,000.00 #REF! 8,674,400.00 #REF!

1 02 1 02 01 00 00 00 4 1 4 LAIN LAIN PAD YANG SAH 745,689,100.00 #REF! 57,620,000.00 #REF!

1 02 1 02 01 00 00 00 4 1 4 018 Dana Kapitasi JKN 745,689,100.00 #REF! 57,620,000.00 #REF!

JUMLAH PENDAPATAN 844,329,100.00 #REF! 66,294,400.00 #REF!

1 02 1 02 01 28 01 5 JUMLAH 1,305,296,100.00 #REF! 66,001,394.00 #REF!

PROGRAM PELAYANAN ADMINISTRASI

1 02 1 02 01 28 01 001 PENYEDIAAN JASA SURAT MENYURAT 21,600,000.00 #REF! - #REF!

1 02 1 02 01 28 01 001 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 #REF! - #REF!

PENYEDIAAN JASA ADMINISTRASI

1 02 1 02 01 28 01 007 5 2 2 BELANJA BARANG DAN JASA 21,600,000.00 #REF! - 5,400,000.00

PENYEDIAAN JASA KEBERSIHAN

1 02 1 02 01 28 01 010 PENYEDIAAN ALAT TULIS KANTOR 13,203,560.00 #REF! - #REF!

1 02 1 02 01 28 01 010 5 2 2 BELANJA BARANG DAN JASA 13,203,560.00 #REF! - #REF!

PENYEDIAAN BARANG CETAKAN DAN

PENYEDIAAN BAHAN LOGISTIK

PROGRAM PENINGKATAN SARANA

1 02 1 02 01 28 01 024 5 2 2 021 Belanja Upah/Ongkos Tenaga Kerja 20,400,000.00 #REF! - #REF!

Pemeliharaan Rutin/Berkala Perlengkapan

1 02 1 02 01 28 02 026 5 2 2 BELANJA BARANG DAN JASA 1,400,000.00 #REF! - #REF!

PROGAM UPAYA KESEHATAN

PENINGKATAN PELAYANAN MELALUI

1 02 1 02 01 28 16 016 5 2 1 002 Honorium Non PNS 178,965,394.00 #REF! 17,914,845.00 #REF!

1 02 1 02 01 28 16 016 5 2 2 002 Belanja Bahan / Material 98,160,435.00 #REF! - #REF!

1 02 1 02 01 28 16 016 5 2 2 056 Belanja Alat Kedokteran 3,415,000.00 #REF! - #REF!

BELANJA MODAL PERALATAN DAN

Peningkatan Pelayanan Melalui Program

Peningkatan Pelayanan melalui Bantuan