Keluaran - - - -
Hasil - - - -
Rincian Perubahan Anggaran Belanja Langsung Program dan Per Kegiatan Badan Layanan Umum Daerah
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.01.03.01.0001. Belanja Pajak Kendaraan Mobil Ambulance ( DN 4.00 Unit 2,000,000.00 8.000.000,00 4,00 Unit 2.000.000,00 8.000.000,00 0 0
1247 K,DN 1249 K,DN 9350 K,DN 8311 K )
Belanja Pajak kendaraan Mobil Dinas ( DN 1031 8.00 Unit 1,500,000.00 12.000.000,00 8,00 Unit 1.500.000,00 12.000.000,00 0 0
K,DN 1401 K,DN 1223 k,DN 1224 K,DN 1149 K,DN
1150 K,DN 1338 K,DN 1157 k)
Belanja Pajak Kendaraan Motor Dinas ( DN 4314 7.00 Unit 450,000.00 3.150.000,00 7,00 Unit 450.000,00 3.150.000,00 0 0
P,DN 4341 P,DN 4342 P,DN 4143,DN 4344 P,DN
4487 P,DN 4489 P)
5.1.02. Belanja Barang dan Jasa 5.810.156.000,00 2.868.201.184,00 (2.941.954.816,00) (51)
5.1.02.01.01.0004. Belanja Bahan-Bahan Bakar dan Pelumas 107.020.000,00 95.500.000,00 (11.520.000,00) (11)
Belanja Bahan Bakar Minyak/Gas Non Kendaraan - 14.720.000,00 - 3.200.000,00 (11.520.000,00) (78)
Belanja BBM Mesin Genset 2,300.00 Liter 6,400.00 14.720.000,00 500,00 Liter 6.400,00 3.200.000,00 (11.520.000,00) (78)
- Belanja BBM kendaraan Dinas Operasional (DN 3,000.00 Liter 8,000.00 24.000.000,00 3.000,00 Liter 8.000,00 24.000.000,00 0 0
1031 DN 1401 K, DN 1223 K, DN 1224 K, DN 1149
K, DN 1150 K, DN 1338 K, DN 1157 K)
- Belanja Pelumas kendaraan Dinas Operasional (DN 1,000.00 Liter 8,750.00 8.750.000,00 100,00 Liter 87.500,00 8.750.000,00 0 0
1031 DN 1401 K, DN 1223 K, DN 1224 K, DN 1149
K, DN 1150 K, DN 1338 K, DN 1157 K)
Belanja BBM Mobil Ambulance - 59.550.000,00 - 59.550.000,00 0 0
- Belanja BBM Mobil Ambulance (DN 8311 K, DN 6,350.00 Liter 8,000.00 50.800.000,00 6.350,00 Liter 8.000,00 50.800.000,00 0 0
9350 K, DN 1249 K, DN 1247 K)
- Belanja Pelumas Mobil Ambulance (DN 8311 K, DN 1,000.00 Liter 8,750.00 8.750.000,00 100,00 Liter 87.500,00 8.750.000,00 0 0
9350 K, DN 1249 K, DN 1247 K)
5.1.02.01.01.0024. Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Tulis 5.600.000,00 21.032.111,00 15.432.111,00 276
Kantor
Belanja Alat Tulis Kantor - 5.600.000,00 - 9.750.000,00 4.150.000,00 74
Belanja Alat Tulis Kantor (ATK) 1.00 Paket 5,000,000.00 5.000.000,00 1,00 Paket 5.000.000,00 5.000.000,00 0 0
Hal 3 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0024. Belanja Materai 100.00 Buah 6,000.00 600.000,00 200,00 Buah 10.000,00 2.000.000,00 1.400.000,00 233
Plastik Infeksius Kuning 60 cmx 100 c 0 250,00 Pes 5.544,00 1.386.000,00 1.386.000,00 0
5.1.02.01.01.0031. Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Listrik 12.344.500,00 22.469.500,00 10.125.000,00 82
Belanja Alat Listrik dan Elektronik (lampu pijar,battery - 12.344.500,00 - 22.469.500,00 10.125.000,00 82
kering)
Cok Besar 5.00 Buah 10,000.00 50.000,00 5,00 Buah 10.000,00 50.000,00 0 0
Cok Roll 5.00 Unit 45,000.00 225.000,00 5,00 Unit 45.000,00 225.000,00 0 0
Isolasi Kabel 7.00 Buah 10,000.00 70.000,00 7,00 Buah 10.000,00 70.000,00 0 0
Kabel Eterma 2x1,5 12.00 Meter 10,000.00 120.000,00 12,00 Meter 10.000,00 120.000,00 0 0
Kabel Eterma 2x2,5 12.00 Meter 12,000.00 144.000,00 12,00 Meter 12.000,00 144.000,00 0 0
Kabel PVC 1,5 15.00 Meter 5,000.00 75.000,00 15,00 Meter 5.000,00 75.000,00 0 0
Kepala Cok 10.00 Buah 15,000.00 150.000,00 10,00 Buah 15.000,00 150.000,00 0 0
Klem Kabel 5.00 Buah 10,100.00 50.500,00 5,00 Buah 10.100,00 50.500,00 0 0
Lampu Emegency Philips 7 Watt 15.00 Buah 100,000.00 1.500.000,00 12,00 Buah 100.000,00 1.200.000,00 (300.000,00) (20)
Lampu Emergency Visicom 12 Watt 12.00 Buah 120,000.00 1.440.000,00 12,00 Buah 120.000,00 1.440.000,00 0 0
Lampu Emergency Visicom 23 Watt 15.00 Buah 135,000.00 2.025.000,00 15,00 Buah 135.000,00 2.025.000,00 0 0
Lampu LED Panasonic 13 Watt 30.00 Buah 70,000.00 2.100.000,00 30,00 Buah 70.000,00 2.100.000,00 0 0
Lampu LED Philips 3 watt 30.00 Buah 20,000.00 600.000,00 30,00 Buah 20.000,00 600.000,00 0 0
Lampu LED Philips 7 Watt 50.00 Buah 30,000.00 1.500.000,00 50,00 Buah 30.000,00 1.500.000,00 0 0
Hal 4 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0031. Lampu LED Visicom 7 Watt 30.00 Buah 30,000.00 900.000,00 30,00 Buah 30.000,00 900.000,00 0 0
Persing 6.00 Buah 12,500.00 75.000,00 4,00 Buah 12.500,00 50.000,00 (25.000,00) (33)
Peteng Tempel 7.00 Buah 10,000.00 70.000,00 7,00 Buah 10.000,00 70.000,00 0 0
Saklar Engkol 5.00 Buah 15,000.00 75.000,00 5,00 Buah 15.000,00 75.000,00 0 0
Spring kent 5.00 Buah 15,000.00 75.000,00 5,00 Buah 15.000,00 75.000,00 0 0
Stop Kontak 4L 5.00 Buah 25,000.00 125.000,00 5,00 Buah 25.000,00 125.000,00 0 0
- Belanja Cetak Blanco Permintaan Periksa 100.00 Buah 20,000.00 2.000.000,00 100,00 Buah 20.000,00 2.000.000,00 0 0
Laboratorium
Belanja Cetak Blangko BPJS 100.00 Buah 20,000.00 2.000.000,00 100,00 Buah 20.000,00 2.000.000,00 0 0
Belanja Cetak Blangko hasil pemeriksaan 100.00 Buah 20,000.00 2.000.000,00 100,00 Buah 20.000,00 2.000.000,00 0 0
Belanja CetakBlangko Pasien IBS 100.00 Buah 20,000.00 2.000.000,00 100,00 Buah 20.000,00 2.000.000,00 0 0
Belanja Cetak Amplop Radiologi 500.00 Buah 10,000.00 5.000.000,00 300,00 Buah 10.000,00 3.000.000,00 (2.000.000,00) (40)
Belanja Cetak Resep obat 250.00 Buah 15,000.00 3.750.000,00 250,00 Buah 15.000,00 3.750.000,00 0 0
Belanja Cetak Rekam Medik 750.00 Buah 25,000.00 18.750.000,00 500,00 Buah 25.000,00 12.500.000,00 (6.250.000,00) (33)
Fotocopy 10,050.00 Lembar 300.00 3.015.000,00 23.500,00 Lembar 300,00 7.050.000,00 4.035.000,00 134
Belanja Surat Kabar (1 Eksp X 12 Bln) 12.00 Eksp/Bln 200,000.00 2.400.000,00 0 0 (2.400.000,00) (100)
Hal 5 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0036. Belanja Penggadaan Akreditas 0 - 1.020.000,00 1.020.000,00 0
Spanduk alur pelayanan covid19 (130cm x 70cm x 0 3,00 Lembar 100.000,00 300.000,00 300.000,00 0
75cm )
Poster 50cm x 30cm 0 20,00 Lembar 12.000,00 240.000,00 240.000,00 0
Papan petunjuk satu arah 12cm x 35cm 0 20,00 Lembar 40.000,00 800.000,00 800.000,00 0
Papan penunjuk dua arah 12cm x 35cm 0 35,00 Lembar 120.000,00 4.200.000,00 4.200.000,00 0
Papan petunjuk dua arah 30cm x 60cm 0 18,00 Lembar 400.000,00 7.200.000,00 7.200.000,00 0
Papan petunjuk dua arah 60cm x 120cm 0 2,00 Lembar 600.000,00 1.200.000,00 1.200.000,00 0
Neon box nama rumah sakit 0 1,00 Unit 13.000.000,00 13.000.000,00 13.000.000,00 0
Acarbose 300.00 Tablet 960.00 288.000,00 100,00 Tablet 960,00 96.000,00 (192.000,00) (67)
Acyklovir 5% krim 200.00 Tube 3,460.00 692.000,00 100,00 Tube 3.460,00 346.000,00 (346.000,00) (50)
Acyklovir tab 200 mg 500.00 Tablet 359.00 179.500,00 100,00 Tablet 359,00 35.900,00 (143.600,00) (80)
Acyklovir tab 400 mg 500.00 Tablet 454.00 227.000,00 100,00 Tablet 454,00 45.400,00 (181.600,00) (80)
Adrenalin injeksi 0,1 % 500.00 Ampul 1,518.00 759.000,00 100,00 Ampul 1.518,00 151.800,00 (607.200,00) (80)
Alopurinol tablet 100 mg 200.00 Tablet 105.00 21.000,00 200,00 Tablet 105,00 21.000,00 0 0
Alprazolam 0,5 mg 500.00 Tablet 94.00 47.000,00 200,00 Tablet 94,00 18.800,00 (28.200,00) (60)
Alprazolam 1 mg 500.00 Tablet 128.00 64.000,00 201,00 Tablet 128,00 25.728,00 (38.272,00) (60)
Ambroxol Syrup 500.00 Botol 6,600.00 3.300.000,00 150,00 Botol 6.600,00 990.000,00 (2.310.000,00) (70)
Ambroxol tab 30 mg 500.00 Tablet 330.00 165.000,00 200,00 Tablet 330,00 66.000,00 (99.000,00) (60)
Amlodipin tablet 10 mg 2,500.00 tablet 94.00 235.000,00 2.000,00 tablet 94,00 188.000,00 (47.000,00) (20)
Hal 6 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Amlodipin tablet 5 mg 3,000.00 tablet 52.00 156.000,00 2.000,00 tablet 52,00 104.000,00 (52.000,00) (33)
Amoksisilin kaplet 500 mg 500.00 kaplet 265.00 132.500,00 250,00 kaplet 265,00 66.250,00 (66.250,00) (50)
Amoksisilin sirup kering 125 mg/ 5 mg 250.00 botol 13,500.00 3.375.000,00 100,00 botol 13.500,00 1.350.000,00 (2.025.000,00) (60)
Antasida Doen tablet kunyah kombinasi 1,000.00 Tablet 60.00 60.000,00 500,00 Tablet 60,00 30.000,00 (30.000,00) (50)
Antasida Doen Suspensi 200.00 Tablet 2,239.00 447.800,00 253,00 Tablet 2.239,00 566.467,00 118.667,00 27
Anti Hemoroid Suppos 250.00 Supp 3,642.00 910.500,00 100,00 Supp 3.642,00 364.200,00 (546.300,00) (60)
Aqua For Injection 500.00 kolf 25 mL 2,860.00 1.430.000,00 300,00 kolf 25 mL 2.860,00 858.000,00 (572.000,00) (40)
Asam asetyil salicil Tab 80 mg 500.00 Tablet 105.00 52.500,00 250,00 Tablet 105,00 26.250,00 (26.250,00) (50)
Asam Askorbat (vitamin C) tablet 50 mg 6,000.00 Tablet 120.00 720.000,00 3.000,00 Tablet 120,00 360.000,00 (360.000,00) (50)
Asam folat tablet 1 mg 500.00 Tablet 86.00 43.000,00 250,00 Tablet 86,00 21.500,00 (21.500,00) (50)
Asam Mefenamat tab 500 mg 2,000.00 Tablet 404.00 808.000,00 1.000,00 Tablet 404,00 404.000,00 (404.000,00) (50)
Asam tranexamat inj 500 mg 500.00 Ampul 2,366.00 1.183.000,00 250,00 Ampul 2.366,00 591.500,00 (591.500,00) (50)
Asam tranexamat tab 500 mg 300.00 Tablet 1,784.00 535.200,00 150,00 Tablet 1.784,00 267.600,00 (267.600,00) (50)
Atropin injk 0,25mg/ml 350.00 Ampul 1,859.00 650.650,00 200,00 Ampul 1.859,00 371.800,00 (278.850,00) (43)
Atrovastatin Calciuum 10 mg 1,500.00 Tablet 1,150.00 1.725.000,00 750,00 Tablet 1.150,00 862.500,00 (862.500,00) (50)
Atrovastatin Calciuum 20 mg 1,500.00 Tablet 993.00 1.489.500,00 750,00 Tablet 993,00 744.750,00 (744.750,00) (50)
Azitromicin tab 500 mg 2,000.00 Tablet 1,778.00 3.556.000,00 500,00 Tablet 1.778,00 889.000,00 (2.667.000,00) (75)
Betahistin mestilab tab 2,500.00 Tablet 119.00 297.500,00 1.200,00 Tablet 119,00 142.800,00 (154.700,00) (52)
Betametason krim 0,1% 500.00 Tube 1,515.00 757.500,00 250,00 Tube 1.515,00 378.750,00 (378.750,00) (50)
Bisakodil supp.10 mg 200.00 suppo 5,800.00 1.160.000,00 100,00 suppo 5.800,00 580.000,00 (580.000,00) (50)
Bisakodil tab 5 mg 1,200.00 Tablet 337.00 404.400,00 600,00 Tablet 337,00 202.200,00 (202.200,00) (50)
Bisoprolol tab 5 mg 18,000.00 Tablet 264.00 4.752.000,00 800,00 Tablet 264,00 211.200,00 (4.540.800,00) (96)
Bupivacain injeksi 5 mg/mL 500.00 Ampul 15,642.00 7.821.000,00 50,00 Ampul 15.642,00 782.100,00 (7.038.900,00) (90)
Ca Gluconas inj 100 mg/ml 400.00 Ampul 10,351.00 4.140.400,00 100,00 Ampul 10.351,00 1.035.100,00 (3.105.300,00) (75)
Calcium Laktat tab 500 mg 2,000.00 Tablet 63.00 126.000,00 1.000,00 Tablet 63,00 63.000,00 (63.000,00) (50)
Candesartan tab 16 mg 11,000.00 Tablet 1,048.00 11.528.000,00 2.000,00 Tablet 1.048,00 2.096.000,00 (9.432.000,00) (82)
Captopril tab 12,5 mg 12,000.00 Tablet 73.00 876.000,00 6.000,00 Tablet 73,00 438.000,00 (438.000,00) (50)
Hal 7 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Captopril tab 25 mg 12,000.00 Tablet 231.00 2.772.000,00 4.000,00 Tablet 231,00 924.000,00 (1.848.000,00) (67)
Cefadroksil DS 125 mg / 5 ml 200.00 Botol 5,826.00 1.165.200,00 100,00 Botol 5.826,00 582.600,00 (582.600,00) (50)
Cefadroxil kapsul 500 mg 3,000.00 Kaplet 847.00 2.541.000,00 1.000,00 Kaplet 847,00 847.000,00 (1.694.000,00) (67)
Cefixime Kaps 100 mg 500.00 Kapsul 2,430.00 1.215.000,00 250,00 Kapsul 2.430,00 607.500,00 (607.500,00) (50)
Cefotaksim inj 1 gr 500.00 Vial 7,404.00 3.702.000,00 100,00 Vial 7.404,00 740.400,00 (2.961.600,00) (80)
Ceftazidime inj 1 gr 200.00 Vial 14,313.00 2.862.600,00 50,00 Vial 14.313,00 715.650,00 (2.146.950,00) (75)
Ceftriaxone Inj 1 gr 2,500.00 Vial 5,146.00 12.865.000,00 250,00 Vial 5.146,00 1.286.500,00 (11.578.500,00) (90)
Cefuroxime 1gr 750.00 Vial 29,975.00 22.481.250,00 100,00 Vial 29.975,00 2.997.500,00 (19.483.750,00) (87)
Cepoferazone Inj 100.00 Vial 18,769.00 1.876.900,00 50,00 Vial 18.769,00 938.450,00 (938.450,00) (50)
Cetirizin tablet 10 mg 12,000.00 Tablet 104.00 1.248.000,00 4.000,00 Tablet 104,00 416.000,00 (832.000,00) (67)
Charcoal, Gelatin, NaCl, CaCl2 (gelofusin) infus 175.00 btl/500 mL 145,015.00 25.377.625,00 35,00 btl/500 mL 145.015,00 5.075.525,00 (20.302.100,00) (80)
Chloramfenikol tetes mata 0,5 % 20.00 Botol 19,701.00 394.020,00 10,00 Botol 19.701,00 197.010,00 (197.010,00) (50)
Chlorampenicol kapsul 250 mg 7,500.00 Kapsul 858.00 6.435.000,00 3.000,00 Kapsul 858,00 2.574.000,00 (3.861.000,00) (60)
Chlorampenicol Suspensi 100.00 Botol 16,900.00 1.690.000,00 50,00 Botol 16.900,00 845.000,00 (845.000,00) (50)
Chlorpeniramin (CTM) 1,500.00 Tablet 180.00 270.000,00 750,00 Tablet 180,00 135.000,00 (135.000,00) (50)
Chlorpromazine inj 300.00 Ampul 1,531.00 459.300,00 150,00 Ampul 1.531,00 229.650,00 (229.650,00) (50)
Ciprofloxacine 500 mg 15,000.00 Tablet 690.00 10.350.000,00 4.000,00 Tablet 690,00 2.760.000,00 (7.590.000,00) (73)
Ciprofloxacine infus 2% 500.00 Btl/100 ml 12,075.00 6.037.500,00 150,00 Btl/100 ml 12.075,00 1.811.250,00 (4.226.250,00) (70)
Citicolin inj. 500.00 Ampul 19,250.00 9.625.000,00 75,00 Ampul 19.250,00 1.443.750,00 (8.181.250,00) (85)
Clopidogrel 75 mg tablet 7,500.00 Tablet 1,568.00 11.760.000,00 1.000,00 Tablet 1.568,00 1.568.000,00 (10.192.000,00) (87)
Curcuma tab 1,000.00 Tablet 454.00 454.000,00 500,00 Tablet 454,00 227.000,00 (227.000,00) (50)
Deksametason Injeksi i.v. 5 mg/ml 2,500.00 Ampul 1,210.00 3.025.000,00 75,00 Ampul 1.210,00 90.750,00 (2.934.250,00) (97)
Deksametason tablet 0,5 mg 5,000.00 Tablet 154.00 770.000,00 2.500,00 Tablet 154,00 385.000,00 (385.000,00) (50)
Dexketoprofen inj 2,250.00 Ampul 24,750.00 55.687.500,00 100,00 Ampul 24.750,00 2.475.000,00 (53.212.500,00) (96)
Diazepam 5 mg/2.5 mL tube 100.00 Tube 21,021.00 2.102.100,00 50,00 Tube 21.021,00 1.051.050,00 (1.051.050,00) (50)
Diazepam injeksi 2 mg/mL 700.00 Ampul 1,913.00 1.339.100,00 500,00 Ampul 1.913,00 956.500,00 (382.600,00) (29)
Difenhidramin inj. 10 mg/mL 100.00 Ampul 1,262.00 126.200,00 50,00 Ampul 1.262,00 63.100,00 (63.100,00) (50)
Hal 8 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Digoksin inj. 0,25 mg/mL 200.00 Ampul 25,300.00 5.060.000,00 50,00 Ampul 25.300,00 1.265.000,00 (3.795.000,00) (75)
Digoksin tablet 0.25 mg 5,000.00 Tablet 104.00 520.000,00 2.500,00 Tablet 104,00 260.000,00 (260.000,00) (50)
Diltiazem 30 mg tab. 300.00 Tablet 152.00 45.600,00 150,00 Tablet 152,00 22.800,00 (22.800,00) (50)
Dizepam 2 mg tablet 12,000.00 Tablet 86.00 1.032.000,00 1.000,00 Tablet 86,00 86.000,00 (946.000,00) (92)
Dobutamin inj 200.00 Ampul 14,643.00 2.928.600,00 100,00 Ampul 14.643,00 1.464.300,00 (1.464.300,00) (50)
Domperidon suspense 250.00 Botol 15,180.00 3.795.000,00 100,00 Botol 15.180,00 1.518.000,00 (2.277.000,00) (60)
Domperidon tab 10 mg 15,000.00 Tablet 96.00 1.440.000,00 1.000,00 Tablet 96,00 96.000,00 (1.344.000,00) (93)
Efedrin inj 50 mg/mL 500.00 Ampul 8,569.00 4.284.500,00 200,00 Ampul 8.569,00 1.713.800,00 (2.570.700,00) (60)
Eritromycin 500 mg 500.00 Kapsul 781.00 390.500,00 250,00 Kapsul 781,00 195.250,00 (195.250,00) (50)
Eritromycin sirup kering 60 ml 100.00 Botol 19,140.00 1.914.000,00 50,00 Botol 19.140,00 957.000,00 (957.000,00) (50)
Fenoterol Hbr aerosol 100 mcg/puff 100.00 Botol 83,190.00 8.319.000,00 30,00 Botol 83.190,00 2.495.700,00 (5.823.300,00) (70)
Fentanyl 0,05 mg/ml 100.00 Ampul 167,577.00 16.757.700,00 Ampul 167.577,00 0 (16.757.700,00) (100)
Finasterid tablet 750.00 Tablet 1,841.00 1.380.750,00 375,00 Tablet 1.841,00 690.375,00 (690.375,00) (50)
Fitomenadion (Vit.K) injeksi 10 mg/ml 500.00 Ampul 4,236.00 2.118.000,00 250,00 Ampul 4.236,00 1.059.000,00 (1.059.000,00) (50)
Fitomenadion (Vit.K) tablet 10 mg 1,000.00 Tablet 873.00 873.000,00 500,00 Tablet 873,00 436.500,00 (436.500,00) (50)
Flunarizine tab 5 mg 400.00 Tablet 2,200.00 880.000,00 200,00 Tablet 2.200,00 440.000,00 (440.000,00) (50)
Furosemid inj 10 mg 600.00 Ampul 1,555.00 933.000,00 300,00 Ampul 1.555,00 466.500,00 (466.500,00) (50)
Furosemid tablet 40 mg 12,000.00 Tablet 88.00 1.056.000,00 6.000,00 Tablet 88,00 528.000,00 (528.000,00) (50)
Gentamisin inj. 40 mg/mL 100.00 Ampul 4,807.00 480.700,00 50,00 Ampul 4.807,00 240.350,00 (240.350,00) (50)
Glimepiride 1 mg 12,000.00 Tablet 174.00 2.088.000,00 6.000,00 Tablet 174,00 1.044.000,00 (1.044.000,00) (50)
Glimepiride 2 mg 12,000.00 Tablet 207.00 2.484.000,00 6.000,00 Tablet 207,00 1.242.000,00 (1.242.000,00) (50)
Glukosa larutan infus 40% 80.00 btl/500 mL 21,000.00 1.680.000,00 40,00 btl/500 mL 21.000,00 840.000,00 (840.000,00) (50)
Glukosa larutan infus 5% 475.00 Btl/500 mL 7,363.00 3.497.425,00 238,00 Btl/500 mL 7.363,00 1.752.394,00 (1.745.031,00) (50)
Glukosa larutan infus10% 200.00 Btl/500 ml 8,003.00 1.600.600,00 100,00 Btl/500 ml 8.003,00 800.300,00 (800.300,00) (50)
Heparin, Na Inj. 5000 UI/mL 200.00 Vial 43,995.00 8.799.000,00 Vial 43.995,00 0 (8.799.000,00) (100)
Hidrokortison krim 2,5 % 100.00 Tube 2,648.00 264.800,00 50,00 Tube 2.648,00 132.400,00 (132.400,00) (50)
Hiosina butilbromida tab. 10 mg 500.00 Tablet 350.00 175.000,00 250,00 Tablet 350,00 87.500,00 (87.500,00) (50)
Hal 9 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Human Insulin fast acting inj. 100 IU/mL, penfill 60.00 Penn 144,763.00 8.685.780,00 30,00 Penn 144.763,00 4.342.890,00 (4.342.890,00) (50)
Human Tetanus imunoglobulin inj. 250 UI (i.m) 50.00 Penn 188,663.00 9.433.150,00 25,00 Penn 188.663,00 4.716.575,00 (4.716.575,00) (50)
Hydroxyethyil starch infus 200.00 Btl/500 ml 25,839.00 5.167.800,00 100,00 Btl/500 ml 25.839,00 2.583.900,00 (2.583.900,00) (50)
Ibuprofen suspensi 200 mg/5ml 120.00 Botol 5,414.00 649.680,00 60,00 Botol 5.414,00 324.840,00 (324.840,00) (50)
Ibuprofen tab 400 mg 12,000.00 Tablet 341.00 4.092.000,00 6.000,00 Tablet 341,00 2.046.000,00 (2.046.000,00) (50)
Isoflurane inhalasi 100 mL 12.00 Btl/100 ml 367,800.00 4.413.600,00 6,00 Btl/100 ml 367.800,00 2.206.800,00 (2.206.800,00) (50)
Isoflurane inhalasi 250 mL 12.00 Btl/250 ml 643,931.00 7.727.172,00 6,00 Btl/250 ml 643.931,00 3.863.586,00 (3.863.586,00) (50)
Isosorbid Dinitrate tab 5 mg 10,000.00 Tablet 248.00 2.480.000,00 5.000,00 Tablet 248,00 1.240.000,00 (1.240.000,00) (50)
Kalium Diklofenak (diclofenak sodium) 2,500.00 Tablet 152.00 380.000,00 1.250,00 Tablet 152,00 190.000,00 (190.000,00) (50)
Ketokonazol krim 250.00 Tube 2,694.00 673.500,00 125,00 Tube 2.694,00 336.750,00 (336.750,00) (50)
Ketokonazol tab 200 mg 3,000.00 Tablet 238.00 714.000,00 1.500,00 Tablet 238,00 357.000,00 (357.000,00) (50)
Ketoprofen inj. 25 mg/mL 2,500.00 Ampul 6,780.00 16.950.000,00 1.250,00 Ampul 6.780,00 8.475.000,00 (8.475.000,00) (50)
Ketoprofen tablet 100 mg 550.00 Tablet 1,320.00 726.000,00 275,00 Tablet 1.320,00 363.000,00 (363.000,00) (50)
Ketorolac inj 30mg 500.00 Ampul 1,089.00 544.500,00 250,00 Ampul 1.089,00 272.250,00 (272.250,00) (50)
Klonidine inj. 150 mcg/mL 200.00 Ampul 33,900.00 6.780.000,00 100,00 Ampul 33.900,00 3.390.000,00 (3.390.000,00) (50)
Kodein tablet 10 mg 2,500.00 Tablet 657.00 1.642.500,00 1.250,00 Tablet 657,00 821.250,00 (821.250,00) (50)
Kombinasi : Dexamethasone 1 mg, Neomycin 100.00 Botol 29,975.00 2.997.500,00 50,00 Botol 29.975,00 1.498.750,00 (1.498.750,00) (50)
sulphate 3.5 mg, Polymyxi
Kombinasi : Ipratropium Bromida 0.02 mg + 5,000.00 Vial 4,550.00 22.750.000,00 1.000,00 Vial 4.550,00 4.550.000,00 (18.200.000,00) (80)
Kombinasi : Thiamine 100 mg, Pyridoxin 100 mg, 5,000.00 Ampul 3,712.00 18.560.000,00 2.500,00 Ampul 3.712,00 9.280.000,00 (9.280.000,00) (50)
Cobalamin 5000 mcg,
Kombinasi : Vit.B1 100 mg, vit.B6 200 mg, vit.B12 2,000.00 Tablet 1,193.00 2.386.000,00 1.000,00 Tablet 1.193,00 1.193.000,00 (1.193.000,00) (50)
200 mcg tablet
Kotrimoksazol DOEN I (dewasa) Kombinasi : 5,000.00 Tablet 133.00 665.000,00 2.500,00 Tablet 133,00 332.500,00 (332.500,00) (50)
Kotrimosazol Suspensi Kombinasi : 100.00 Botol 2,190.00 219.000,00 50,00 Botol 2.190,00 109.500,00 (109.500,00) (50)
Lactobacillus sporogenes granul 500.00 Sachet 3,630.00 1.815.000,00 250,00 Sachet 3.630,00 907.500,00 (907.500,00) (50)
Hal 10 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Lanzoprazol kapsul 30 mg 5,000.00 Kapsul 352.00 1.760.000,00 2.500,00 Kapsul 352,00 880.000,00 (880.000,00) (50)
Lanzoprazole 30 mg 1,000.00 Tablet 352.00 352.000,00 500,00 Tablet 352,00 176.000,00 (176.000,00) (50)
Lanzoprazole injeksi 150.00 Vial 92,040.00 13.806.000,00 50,00 Vial 92.040,00 4.602.000,00 (9.204.000,00) (67)
Larutan mengandung Karbohidrat + Elektrolit (larutan 1,000.00 Btl/500 ml 44,165.00 44.165.000,00 250,00 Btl/500 ml 44.165,00 11.041.250,00 (33.123.750,00) (75)
nutrisi
Larutan mengandung Karbohidrat + Elektrolit (Nacl 100.00 Btl/500 ml 11,314.00 1.131.400,00 50,00 Btl/500 ml 11.314,00 565.700,00 (565.700,00) (50)
1.75gr,
Levofloxacin 500 mg/ml inf 100.00 btl 20,268.00 2.026.800,00 50,00 btl 20.268,00 1.013.400,00 (1.013.400,00) (50)
Levofloxacin tab 500 mg 200.00 tablet 479.00 95.800,00 100,00 tablet 479,00 47.900,00 (47.900,00) (50)
Lidocain 2% injeksi 200.00 ampul 1,408.00 281.600,00 100,00 ampul 1.408,00 140.800,00 (140.800,00) (50)
Lidocain inj 2% (HCL) + Epinefrin injkesi 2 ml 500.00 ampul 3,113.00 1.556.500,00 250,00 ampul 3.113,00 778.250,00 (778.250,00) (50)
Lisinopril Tab 10 mg 5,000.00 tablet 341.00 1.705.000,00 2.500,00 tablet 341,00 852.500,00 (852.500,00) (50)
Loperamid HCl 2 mg tab 5,000.00 tablet 81.00 405.000,00 2.500,00 tablet 81,00 202.500,00 (202.500,00) (50)
Loratadine tab 3,000.00 tablet 136.00 408.000,00 1.500,00 tablet 136,00 204.000,00 (204.000,00) (50)
Manitol infus 20% 100.00 btol/500ml 28,275.00 2.827.500,00 50,00 btol/500ml 28.275,00 1.413.750,00 (1.413.750,00) (50)
Meloxicam Tab 7,5 mg 1,000.00 tablet 260.00 260.000,00 500,00 tablet 260,00 130.000,00 (130.000,00) (50)
Meloxicam tab. 15 mg 500.00 tablet 256.00 128.000,00 250,00 tablet 256,00 64.000,00 (64.000,00) (50)
Meropenem inj 500 mg 10.00 vial 24,635.00 246.350,00 5,00 vial 24.635,00 123.175,00 (123.175,00) (50)
Metamizole sodium anhydrate injeksi 500 mg/mL 2,000.00 ampul 6,435.00 12.870.000,00 1.000,00 ampul 6.435,00 6.435.000,00 (6.435.000,00) (50)
Metformin HCl tablet 500 mg 8,000.00 tablet 109.00 872.000,00 4.000,00 tablet 109,00 436.000,00 (436.000,00) (50)
Metil ergometrin inj 0,2 mg/ml 1,000.00 ampul 3,399.00 3.399.000,00 500,00 ampul 3.399,00 1.699.500,00 (1.699.500,00) (50)
Metil ergometrin tab 0,125 mg 5,000.00 tablet 259.00 1.295.000,00 2.500,00 tablet 259,00 647.500,00 (647.500,00) (50)
Metilprednisolon injeksi 500 mg 500.00 tablet 77,700.00 38.850.000,00 200,00 tablet 77.700,00 15.540.000,00 (23.310.000,00) (60)
Metilprednisolon kaplet 16 mg 5,000.00 tablet 585.00 2.925.000,00 2.500,00 tablet 585,00 1.462.500,00 (1.462.500,00) (50)
Metilprednisolon tab 4 mg 10,000.00 tablet 148.00 1.480.000,00 5.000,00 tablet 148,00 740.000,00 (740.000,00) (50)
Metoclopramide inj 1,000.00 ampul 4,554.00 4.554.000,00 500,00 ampul 4.554,00 2.277.000,00 (2.277.000,00) (50)
Metronidazol infus 200.00 btl/100 ml 8,250.00 1.650.000,00 100,00 btl/100 ml 8.250,00 825.000,00 (825.000,00) (50)
Metronidazol tab 500 mg 5,000.00 tablet 350.00 1.750.000,00 2.500,00 tablet 350,00 875.000,00 (875.000,00) (50)
Hal 11 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. MgS04 40% 100.00 Kolf 3,796.00 379.600,00 50,00 Kolf 3.796,00 189.800,00 (189.800,00) (50)
Midazolam-hameln 5mg/1ml 250.00 ampul 8,503.00 2.125.750,00 125,00 ampul 8.503,00 1.062.875,00 (1.062.875,00) (50)
Mikonazol krim/salep 2 % 50.00 tube 3,926.00 196.300,00 25,00 tube 3.926,00 98.150,00 (98.150,00) (50)
Misoprostol 500.00 tablet 12,100.00 6.050.000,00 250,00 tablet 12.100,00 3.025.000,00 (3.025.000,00) (50)
Morfin ij. 10 mg/mL 100.00 ampul 34,050.00 3.405.000,00 50,00 ampul 34.050,00 1.702.500,00 (1.702.500,00) (50)
N-Acetilsistein kapsul 200 mg 2,000.00 kapsul 440.00 880.000,00 1.000,00 kapsul 440,00 440.000,00 (440.000,00) (50)
Nalokson inj. 0,4 mg/mL 175.00 ampul 72,600.00 12.705.000,00 88,00 ampul 72.600,00 6.388.800,00 (6.316.200,00) (50)
Natrium bikarbonat 8,4% (i.v) 400.00 botol/25 mL 6,448.00 2.579.200,00 200,00 botol/25 mL 6.448,00 1.289.600,00 (1.289.600,00) (50)
Natrium Diklofenak tablet 25 mg 5,000.00 tablet 152.00 760.000,00 2.500,00 tablet 152,00 380.000,00 (380.000,00) (50)
Natrium Diklofenak tablet 50 mg 2,000.00 tablet 145.00 290.000,00 1.000,00 tablet 145,00 145.000,00 (145.000,00) (50)
Natrium Klorida 0,9% 500.00 btl/500 ml 6,840.00 3.420.000,00 250,00 btl/500 ml 6.840,00 1.710.000,00 (1.710.000,00) (50)
Natrium Phenitoin Inj 100.00 ampul 4,121.00 412.100,00 50,00 ampul 4.121,00 206.050,00 (206.050,00) (50)
Nifedipin tab 2,000.00 tablet 3,575.00 7.150.000,00 1.000,00 tablet 3.575,00 3.575.000,00 (3.575.000,00) (50)
Nistatin tablet salut 500.000 IU/g 500.00 tablet 971.00 485.500,00 250,00 tablet 971,00 242.750,00 (242.750,00) (50)
Nistatin Vaginal tablet salut 100.000 IU/g 300.00 tablet 688.00 206.400,00 150,00 tablet 688,00 103.200,00 (103.200,00) (50)
Norefineprin inj. 1 mg/mL 1,000.00 ampul 25,839.00 25.839.000,00 500,00 ampul 25.839,00 12.919.500,00 (12.919.500,00) (50)
Noretisteron tab 5 mg 2,000.00 tablet 1,760.00 3.520.000,00 1.000,00 tablet 1.760,00 1.760.000,00 (1.760.000,00) (50)
Oksitetrasiklin HCl salep mata 100.00 tube 2,774.00 277.400,00 50,00 tube 2.774,00 138.700,00 (138.700,00) (50)
Oksitoksin inj 10 ml 1,000.00 ampul 1,232.00 1.232.000,00 500,00 ampul 1.232,00 616.000,00 (616.000,00) (50)
Omeprazole inj 40 mg 2,000.00 vial 11,868.00 23.736.000,00 1.000,00 vial 11.868,00 11.868.000,00 (11.868.000,00) (50)
Omeprazole kapsul 20 mg 17,000.00 kapsul 978.00 16.626.000,00 8.500,00 kapsul 978,00 8.313.000,00 (8.313.000,00) (50)
Ondansentron Inj 4 mg 2,000.00 ampul 1,258.00 2.516.000,00 925,00 ampul 1.258,00 1.163.650,00 (1.352.350,00) (54)
Ondansetron tab 4 mg 1,500.00 tablet 429.00 643.500,00 750,00 tablet 429,00 321.750,00 (321.750,00) (50)
Paracetamol Drops 15 mg 50.00 btl/15 ml 7,646.00 382.300,00 25,00 btl/15 ml 7.646,00 191.150,00 (191.150,00) (50)
Paracetamol inf 100 ml 600.00 Botol 12,389.00 7.433.400,00 300,00 Botol 12.389,00 3.716.700,00 (3.716.700,00) (50)
Paracetamol sirup 250.00 btl/60 ml 1,238.00 309.500,00 125,00 btl/60 ml 1.238,00 154.750,00 (154.750,00) (50)
Paracetamol tablet 500 mg 4,000.00 tablet 165.00 660.000,00 2.000,00 tablet 165,00 330.000,00 (330.000,00) (50)
Hal 12 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Petidhin HCL inj 50 mg/ml 500.00 ampul 13,191.00 6.595.500,00 250,00 ampul 13.191,00 3.297.750,00 (3.297.750,00) (50)
Phenobarbital 30 mg tablet 100.00 tablet 197.00 19.700,00 50,00 tablet 197,00 9.850,00 (9.850,00) (50)
Phenobarbital inj 500.00 ampul 2,278.00 1.139.000,00 250,00 ampul 2.278,00 569.500,00 (569.500,00) (50)
Piracetam inj. 3 gram/15 mL 500.00 ampul 7,150.00 3.575.000,00 250,00 ampul 7.150,00 1.787.500,00 (1.787.500,00) (50)
Piracetam tab 400 mg 500.00 kapsul 541.00 270.500,00 250,00 kapsul 541,00 135.250,00 (135.250,00) (50)
Piracetam tab 800 mg 500.00 kapsul 963.00 481.500,00 250,00 kapsul 963,00 240.750,00 (240.750,00) (50)
Piroksikam tab 20 mg 500.00 tablet 351.00 175.500,00 250,00 tablet 351,00 87.750,00 (87.750,00) (50)
Prednison 7,000.00 tablet 79.00 553.000,00 3.500,00 tablet 79,00 276.500,00 (276.500,00) (50)
Primaquine tab 15 mg 1,000.00 tablet 387.00 387.000,00 500,00 tablet 387,00 193.500,00 (193.500,00) (50)
Propanolol tab 10 mg 1,500.00 tablet 63.00 94.500,00 750,00 tablet 63,00 47.250,00 (47.250,00) (50)
Propilthiourcyl tab 100 mg 500.00 tablet 709.00 354.500,00 250,00 tablet 709,00 177.250,00 (177.250,00) (50)
Propofol inj. 1% 100.00 ampul 11,308.00 1.130.800,00 50,00 ampul 11.308,00 565.400,00 (565.400,00) (50)
Ranitidine injeksi 25 mg/2ml 2,000.00 ampul 1,188.00 2.376.000,00 1.000,00 ampul 1.188,00 1.188.000,00 (1.188.000,00) (50)
Ranitidine tab 150 mg 12,000.00 tablet 660.00 7.920.000,00 6.000,00 tablet 660,00 3.960.000,00 (3.960.000,00) (50)
Retinol (vit A 200.000UI) kapsul lunak 300.00 kapsul 354.00 106.200,00 150,00 kapsul 354,00 53.100,00 (53.100,00) (50)
Ringer Laktat 500.00 Kolf 7,630.00 3.815.000,00 250,00 Kolf 7.630,00 1.907.500,00 (1.907.500,00) (50)
Rokuronium inj. 50 mg/5 mL (i.v) 200.00 ampul 57,500.00 11.500.000,00 75,00 ampul 57.500,00 4.312.500,00 (7.187.500,00) (63)
Salbutamol aerosol 100 mcg 15.00 box 33,294.00 499.410,00 10,00 box 33.294,00 332.940,00 (166.470,00) (33)
Salbutamol nebules vial 2,5 mg 500.00 vial 3,999.00 1.999.500,00 250,00 vial 3.999,00 999.750,00 (999.750,00) (50)
Salbutamol tablet 2 mg (sebagai sulfat) 1,000.00 tablet 82.00 82.000,00 500,00 tablet 82,00 41.000,00 (41.000,00) (50)
Salbutamol tablet 4 mg 10,000.00 tablet 159.00 1.590.000,00 5.000,00 tablet 159,00 795.000,00 (795.000,00) (50)
Sansulin 300.00 penn 59,580.00 17.874.000,00 150,00 penn 59.580,00 8.937.000,00 (8.937.000,00) (50)
Sevoflurane cairan ih 250 mL 10.00 Btl 250 ml 1,179,590.00 11.795.900,00 5,00 Btl 250 ml 1.179.590,00 5.897.950,00 (5.897.950,00) (50)
Simvastatin tab 10 mg 5,000.00 tablet 117.00 585.000,00 2.500,00 tablet 117,00 292.500,00 (292.500,00) (50)
Simvastatin tablet 20 mg 3,000.00 tablet 237.00 711.000,00 1.500,00 tablet 237,00 355.500,00 (355.500,00) (50)
Spironolacton 100 mg 1,000.00 tablet 661.00 661.000,00 500,00 tablet 661,00 330.500,00 (330.500,00) (50)
Hal 13 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0037. Spironolacton 25 mg 3,000.00 tablet 226.00 678.000,00 1.500,00 tablet 226,00 339.000,00 (339.000,00) (50)
Sukralfat susp 500 mg 5,000.00 Botol 7,338.00 36.690.000,00 1.250,00 Botol 7.338,00 9.172.500,00 (27.517.500,00) (75)
Tablet Tambah Darah 500.00 tablet 409.00 204.500,00 174,00 tablet 409,00 71.166,00 (133.334,00) (65)
Tramadol inj. 400.00 ampul 7,682.00 3.072.800,00 200,00 ampul 7.682,00 1.536.400,00 (1.536.400,00) (50)
Vit B Comp tab 10,000.00 tablet 144.00 1.440.000,00 5.000,00 tablet 144,00 720.000,00 (720.000,00) (50)
Zinc tab 20 mg 10,000.00 tablet 604.00 6.040.000,00 5.000,00 tablet 604,00 3.020.000,00 (3.020.000,00) (50)
Zink sirup 20 mg/5 ml 300.00 Botol 3,285.00 985.500,00 150,00 Botol 3.285,00 492.750,00 (492.750,00) (50)
Belanja Hutang Obat tahun 2020 1.00 Paket 47,876,927.00 47.876.927,00 1,00 Paket 47.876.927,00 47.876.927,00 0 0
kertas Film 2B 10 x 12 Agfa 2.00 Set 6,000,000.00 12.000.000,00 Set 0 (12.000.000,00) (100)
Kertas Film 2B 11 x 12 14 Agfa 2.00 Set 7,655,750.00 15.311.500,00 Set 0 (15.311.500,00) (100)
Kertas Filim 2B 14 x 17 Agfa 1.00 Set 7,900,000.00 7.900.000,00 Set 0 (7.900.000,00) (100)
Kantong Darah 5.00 Kantong 375,000.00 1.875.000,00 Kantong 375.000,00 0 (1.875.000,00) (100)
Belanja pengisian O2 300.00 Tabung 198,000.00 59.400.000,00 230,00 Tabung 198.000,00 45.540.000,00 (13.860.000,00) (23)
Belanja hutang O2 Tahun 2020 1.00 Tahun 12,000,000.00 12.000.000,00 1,00 0 18.562.500,00 18.562.500,00 6.562.500,00 55
Cell pack 3.00 Box 5,720,000.00 17.160.000,00 3,00 Box 5.720.000,00 17.160.000,00 0 0
Stromatolyser 3.00 Btl 3,795,000.00 11.385.000,00 2,00 Btl 3.795.000,00 7.590.000,00 (3.795.000,00) (33)
Cellclean 2.00 Btl 3,025,000.00 6.050.000,00 1,00 Btl 3.025.000,00 3.025.000,00 (3.025.000,00) (50)
Free T4 2.00 Kit 5,328,400.00 10.656.800,00 1,00 Kit 5.328.400,00 5.328.400,00 (5.328.400,00) (50)
HCG 3.00 Box 550,000.00 1.650.000,00 2,00 Box 550.000,00 1.100.000,00 (550.000,00) (33)
INTHERMA - K3 EDTA 10.00 Pack 308,770.00 3.087.700,00 20,00 Pack 308.770,00 6.175.400,00 3.087.700,00 100
INTHERMA - CLOT ACTIVATOR 15.00 Pack 300,850.00 4.512.750,00 1,00 Pack 300.850,00 300.850,00 (4.211.900,00) (93)
Hal 14 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0038. Sample needle black cover 12.00 Pack 308,550.00 3.702.600,00 Pack 308.550,00 0 (3.702.600,00) (100)
HBsAg test 5.00 Box 990,000.00 4.950.000,00 4,00 Box 990.000,00 3.960.000,00 (990.000,00) (20)
HCV test 1.00 Box 1,650,000.00 1.650.000,00 1,00 Box 1.650.000,00 1.650.000,00 0 0
Dengue IgG/IgM Antibody Test 2.00 Box 2,942,500.00 5.885.000,00 1,00 Box 2.942.500,00 2.942.500,00 (2.942.500,00) (50)
Dengue NS1 Antigen test 2.00 Box 6,187,500.00 12.375.000,00 1,00 Box 6.187.500,00 6.187.500,00 (6.187.500,00) (50)
Anti-HIV Test 1.00 Box 2,200,408.00 2.200.408,00 Box 2.200.408,00 0 (2.200.408,00) (100)
Urine 10P 2.00 Tube 478,500.00 957.000,00 3,00 Tube 478.500,00 1.435.500,00 478.500,00 50
Malaria Pf/Pv Antibody test 1.00 Box 1,265,000.00 1.265.000,00 Box 1.265.000,00 0 (1.265.000,00) (100)
THC/AMP/BZO/COC/MOP 2.00 Box 2,354,000.00 4.708.000,00 1,00 Box 2.354.000,00 2.354.000,00 (2.354.000,00) (50)
Blood grouping set (Anti A/B/AB/D) 2.00 Set (vials) 770,000.00 1.540.000,00 1,00 Set (vials) 770.000,00 770.000,00 (770.000,00) (50)
Salmonella Set 2.00 Set (vials) 1,316,700.00 2.633.400,00 1,00 Set (vials) 1.316.700,00 1.316.700,00 (1.316.700,00) (50)
SGPT/ALT 2.00 Kit 2,095,170.00 4.190.340,00 3,00 Kit 2.095.170,00 6.285.510,00 2.095.170,00 50
Cholesterol Liquid 2.00 Kit 1,988,910.00 3.977.820,00 1,00 Kit 1.988.910,00 1.988.910,00 (1.988.910,00) (50)
Creatinine 2.00 Kit 1,039,500.00 2.079.000,00 1,00 Kit 1.039.500,00 1.039.500,00 (1.039.500,00) (50)
Glukosa Liquid 2.00 Kit 1,309,770.00 2.619.540,00 1,00 Kit 1.309.770,00 1.309.770,00 (1.309.770,00) (50)
Urea 2.00 Kit 2,587,200.00 5.174.400,00 1,00 Kit 2.587.200,00 2.587.200,00 (2.587.200,00) (50)
Uric Acid Liquid 2.00 Kit 1,695,540.00 3.391.080,00 1,00 Kit 1.695.540,00 1.695.540,00 (1.695.540,00) (50)
Seriscann Normal 1.00 Kit 755,370.00 755.370,00 1,00 Kit 755.370,00 755.370,00 0 0
HbA1c Control 1.00 Kit 2,190,100.00 2.190.100,00 1,00 Kit 2.190.100,00 2.190.100,00 0 0
Glukosa Strip 15.00 Box 169,400.00 2.541.000,00 15,00 Box 169.400,00 2.541.000,00 0 0
Reagen Pack MEI ZHOU CORNLEY HI-TECHH 1.00 Pack 4,099,700.00 4.099.700,00 1,00 Pack 4.099.700,00 4.099.700,00 0 0
CO
Reagen Urin Sdimen 2.00 Kit 2,960,100.00 5.920.200,00 1,00 Kit 2.960.100,00 2.960.100,00 (2.960.100,00) (50)
Yellow Tips 8.00 Pack 500,500.00 4.004.000,00 3,00 Pack 500.500,00 1.501.500,00 (2.502.500,00) (63)
Blue Tips 5.00 Pack 357,500.00 1.787.500,00 3,00 Pack 357.500,00 1.072.500,00 (715.000,00) (40)
Hal 15 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0038. Thermall Paper 25.00 Roll 90,750.00 2.268.750,00 10,00 Roll 90.750,00 907.500,00 (1.361.250,00) (60)
Eight Check (L,N,H) 1.00 Serial 2,310,000.00 2.310.000,00 1,00 Serial 2.310.000,00 2.310.000,00 0 0
Kalibrasi Hematology 1.00 Set 6,600,000.00 6.600.000,00 2,00 Set 6.600.000,00 13.200.000,00 6.600.000,00 100
Esr Vacum Tube 2.00 Pack 1,028,500.00 2.057.000,00 1,00 Pack 1.028.500,00 1.028.500,00 (1.028.500,00) (50)
De-Proteinizer 2.00 Pack 1,025,200.00 2.050.400,00 1,00 Pack 1.025.200,00 1.025.200,00 (1.025.200,00) (50)
Linearity Control Material 2.00 Pack 1,025,200.00 2.050.400,00 1,00 Pack 1.025.200,00 1.025.200,00 (1.025.200,00) (50)
Refill Solution For Na/K/Cl Elektrodes 2.00 Pack 931,700.00 1.863.400,00 1,00 Pack 931.700,00 931.700,00 (931.700,00) (50)
Print Paper Roll for AR42 4.00 Roll 205,700.00 822.800,00 2,00 Roll 205.700,00 411.400,00 (411.400,00) (50)
Maintenance Cleanser 1.00 Pack 12,135,200.00 12.135.200,00 Pack 12.135.200,00 0 (12.135.200,00) (100)
Urilyzer Sed Control Set 1.00 Pack 3,754,251.00 3.754.251,00 1,00 Pack 3.754.251,00 3.754.251,00 0 0
Pot Urine 500.00 Buah 1,100.00 550.000,00 250,00 Buah 1.100,00 275.000,00 (275.000,00) (50)
Alkohol 70% 50.00 Botol 30,000.00 1.500.000,00 Botol 30.000,00 0 (1.500.000,00) (100)
Steracath 24G 300.00 Pcs 4,370.00 1.311.000,00 Pcs 4.370,00 0 (1.311.000,00) (100)
Aseptic Gel 500 cc + dispenser 50.00 Botol 31,800.00 1.590.000,00 Botol 31.800,00 0 (1.590.000,00) (100)
Kasa Hydrophil 40 x 80 cm 50.00 Roll 120,750.00 6.037.500,00 Roll 120.750,00 0 (6.037.500,00) (100)
One Dot ECG Elektroda Dewasa 50.00 Bag 82,500.00 4.125.000,00 Bag 82.500,00 0 (4.125.000,00) (100)
Infus Set Dewasa 40.00 Box 173,250.00 6.930.000,00 Box 173.250,00 0 (6.930.000,00) (100)
Sabun Anti Bakteri 500ml + disp 50.00 Botol 31,680.00 1.584.000,00 Botol 31.680,00 0 (1.584.000,00) (100)
Safeglove PP no. 7 300.00 Pasang 4,807.00 1.442.100,00 Pasang 4.807,00 0 (1.442.100,00) (100)
Safeglove PP no. 7,5 300.00 Pasang 4,807.00 1.442.100,00 Pasang 4.807,00 0 (1.442.100,00) (100)
Stera Syringe 3 cc 25.00 Box 74,750.00 1.868.750,00 Box 74.750,00 0 (1.868.750,00) (100)
Stera Syringe 5 cc 15.00 Box 86,250.00 1.293.750,00 Box 86.250,00 0 (1.293.750,00) (100)
Hal 16 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0038. Stera Syringe 10 cc 5.00 Box 106,375.00 531.875,00 Box 106.375,00 0 (531.875,00) (100)
Stera Syringe 20 cc 2.00 Box 86,250.00 172.500,00 Box 86.250,00 0 (172.500,00) (100)
Foley Catheter 2-Way No. 16 20.00 Box 92,000.00 1.840.000,00 2,00 Box 92.000,00 184.000,00 (1.656.000,00) (90)
Foley Catheter 2-Way No. 18 20.00 Box 92,000.00 1.840.000,00 2,00 Box 92.000,00 184.000,00 (1.656.000,00) (90)
Foley Catheter 2-Way No. 24 25.00 Box 92,000.00 2.300.000,00 2,00 Box 92.000,00 184.000,00 (2.116.000,00) (92)
Surgical Mask Plus 3 Ply Plus Earloop 300.00 Box 25,300.00 7.590.000,00 100,00 Box 25.300,00 2.530.000,00 (5.060.000,00) (67)
USG Gel 250ml 10.00 Botol 15,100.80 151.008,00 5,00 Botol 15.100,80 75.504,00 (75.504,00) (50)
USG Paper 110HG Sony 20.00 Roll 196,762.50 3.935.250,00 5,00 Roll 196.762,50 983.812,50 (2.951.437,50) (75)
POVIDON IODINE 10% 10.00 BTL/1 L 59,966.50 599.665,00 5,00 BTL/1 L 59.966,50 299.832,50 (299.832,50) (50)
Aseptic Gel 500 cc + dispenser 100.00 Botol 26,400.00 2.640.000,00 25,00 Botol 26.400,00 660.000,00 (1.980.000,00) (75)
Ultra One Test hamil 200.00 Strip 2,229.85 445.970,00 50,00 Strip 2.229,00 111.450,00 (334.520,00) (75)
USG Gel 250ml 50.00 Botol 15,101.00 755.050,00 20,00 Botol 15.101,00 302.020,00 (453.030,00) (60)
Onemed Surgical Mask Earloop 100.00 Box 24,750.00 2.475.000,00 25,00 Box 24.750,00 618.750,00 (1.856.250,00) (75)
Plesterin Non Woven Roll 10 cm x 5 m 50.00 Roll 47,564.00 2.378.200,00 10,00 Roll 47.564,00 475.640,00 (1.902.560,00) (80)
Plesterin Non Wovenn Roll 15cm x 5 m 50.00 Roll 79,948.00 3.997.400,00 10,00 Roll 79.948,00 799.480,00 (3.197.920,00) (80)
Povidone Lodine 60 ml 300.00 Botol 4,440.00 1.332.000,00 50,00 Botol 4.440,00 222.000,00 (1.110.000,00) (83)
Besmed Maxiflow Anak ( Masker Oksigen ) 50.00 Pcs 15,617.30 780.865,00 20,00 Pcs 15.617,30 312.346,00 (468.519,00) (60)
Besmed Maxiflow Bayi ( Masker Oksigen ) 50.00 Pcs 16,698.00 834.900,00 15,00 Pcs 16.698,00 250.470,00 (584.430,00) (70)
Besmed Maxiflow Dewsa ( Masker Oksigen ) 50.00 Pcs 15,585.00 779.250,00 15,00 Pcs 15.585,00 233.775,00 (545.475,00) (70)
Dermafix T 10 x 15 cm 100.00 Pcs 9,563.00 956.300,00 40,00 Pcs 9.563,00 382.520,00 (573.780,00) (60)
Dermafix T 10 x 80cm 75.00 Pcs 5,909.00 443.175,00 25,00 Pcs 5.909,00 147.725,00 (295.450,00) (67)
Kasa Hydrophil 40 x 80 cm 100.00 Roll 120,750.00 12.075.000,00 10,00 Roll 120.750,00 1.207.500,00 (10.867.500,00) (90)
Masker N95 150.00 Box 149,776.00 22.466.400,00 20,00 Box 149.776,00 2.995.520,00 (19.470.880,00) (87)
Belanja Hutang BHP Kedokteran/bahan Kimia 2020 - 259.396.038,00 - 210.800.000,00 (48.596.038,00) (19)
Belanja hutang BHP kedokteran/ bahan kimia 2020 0 1,00 Paket 210.800.000,00 210.800.000,00 210.800.000,00 0
5.1.02.01.01.0052. Belanja Makanan dan Minuman Rapat 48.000.000,00 42.750.000,00 (5.250.000,00) (11)
Hal 17 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.01.0052. Belanja Makanan dan Minuman Harian Pegawai - 40.500.000,00 - 40.500.000,00 0 0
Belanja Makan Pegawai Jaga sore dan malam ( Bln 1,800.00 Dos 22,500.00 40.500.000,00 1.800,00 Dos 22.500,00 40.500.000,00 0 0
Suci Ramadan ) 60 X 30 hr
Belanja Makanan dan Minuman Rapat - 7.500.000,00 - 0 (7.500.000,00) (100)
Belanja Snack peserta rapat ( 50 X 12 bln ) 600.00 Dos 12,500.00 7.500.000,00 Dos 12.500,00 0 (7.500.000,00) (100)
- Snack Akreditasi (50 Org x 1 kl) 0 50,00 Org/kl 15.000,00 750.000,00 750.000,00 0
5.1.02.01.01.0056. Belanja Makanan dan Minuman pada Fasilitas 31.646.000,00 11.396.000,00 (20.250.000,00) (64)
Pelayanan Urusan Kesehatan
Belanja Makanan dan Minuman untuk Pasien - 31.646.000,00 - 11.396.000,00 (20.250.000,00) (64)
- Belanja Makan Minum Pasien (10 Org x 3 kali x 30 900.00 Org/Kl/Hr 22,500.00 20.250.000,00 Org/Kl/Hr 22.500,00 0 (20.250.000,00) (100)
Hari)
Belanja Hutang makan Minum Pasien bulan 1.00 Bulan 11,396,000.00 11.396.000,00 1,00 Bulan 11.396.000,00 11.396.000,00 0 0
Desember 2020
5.1.02.01.02. Belanja Barang Tak Habis Pakai 0 4.575.100,00 4.575.100,00 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.01.02.0013. - Sok T 3/4 0 10,00 BH 4.400,00 44.000,00 44.000,00 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.02.01.0014. -Insentife Non PNS Tenaga Penata Anasthesi (1 org 6.00 Org/Bln 2,000,000.00 12.000.000,00 Org/Bln 2.000.000,00 0 (12.000.000,00) (100)
X 6 bln )
Insentife Non PNS Tenaga Rekam Medik (1 org X 6 6.00 Org/Bln 2,000,000.00 12.000.000,00 Org/Bln 2.000.000,00 0 (12.000.000,00) (100)
bln )
Insentife Petugas Efek Paparan Radiasi (5 Org x 2 10.00 Org/Bln 1,150,000.00 11.500.000,00 Org/Bln 1.150.000,00 0 (11.500.000,00) (100)
bln)
Insentife Petugas Proteksi Radiasi (PPR) (1 Org x 2 2.00 Org/Bln 750,000.00 1.500.000,00 Org/Bln 750.000,00 0 (1.500.000,00) (100)
bln)
Insentife Tenaga Laboratorium (4 org x 2 bln ) 8.00 Org/Bln 2,000,000.00 16.000.000,00 Org/Bln 2.000.000,00 0 (16.000.000,00) (100)
Insentife non PNS Dokter Umum (PTT) (2 org X 5 10.00 Org/Bln 6,000,000.00 60.000.000,00 Org/Bln 6.000.000,00 0 (60.000.000,00) (100)
bln)
5.1.02.02.01.0027. Belanja Jasa Tenaga Operator Komputer 14.000.000,00 4.200.000,00 (9.800.000,00) (70)
Honorarium Operator 5 org x 2 bln 10.00 Org/Bln 500,000.00 5.000.000,00 Org/Bln 500.000,00 0 (5.000.000,00) (100)
Honorarium Operator BLUD (Non PNS) 1 org x 9 bln 30.00 Org/Bln 300,000.00 9.000.000,00 9,00 Org/Bln 300.000,00 2.700.000,00 (6.300.000,00) (70)
5.1.02.02.01.0028. Belanja Jasa Tenaga Pelayanan Umum 3.170.460.000,00 1.338.524.448,00 (1.831.935.552,00) (58)
- Belanja jasa medis tahun 2021 24.00 Org/Bln 25,000,000.00 600.000.000,00 1,00 Tahun 700.000.000,00 700.000.000,00 100.000.000,00 17
- Belanja jasa medis (Hutang) Bulan Mei- Desember 10.00 Org/Bln 4,000,000.00 40.000.000,00 1,00 Tahun 585.764.448,00 585.764.448,00 545.764.448,00 1.364
2020
Belanja Jasa Transportasi dan Akomodasi Rujukan - 2.100.000.000,00 - 26.600.000,00 (2.073.400.000,00) (99)
Pasien
- Jasa Transportasi dan Akomodasi rujukan Pasien 1.00 Tahun 1,572,629,447.00 1.572.629.447,00 3.800,00 Km 7.000,00 26.600.000,00 (1.546.029.447,00) (98)
- Honorarium Pejabat Pengadaan Barang / Jasa 0 12,00 Org/Bln 680.000,00 8.160.000,00 8.160.000,00 0
Honorarium Operator BLUD 1 org x 10 bln 0 10,00 Org/Bln 300.000,00 3.000.000,00 3.000.000,00 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.02.01.0029. Honorarium Operator BLUD 2 org x 11 Bln 22.00 Org/Bln 300,000.00 6.600.000,00 Org/Bln 300.000,00 0 (6.600.000,00) (100)
- Honorarium SATPAM Rumah Sakit (8 org x 2 bln) 16.00 Org/Bln 800,000.00 12.800.000,00 Org/Bln 800.000,00 0 (12.800.000,00) (100)
-Honorarium Non PNS tenaga Sopir (3 Org x 2 bln ) 6.00 Bulan 800,000.00 4.800.000,00 Bulan 800.000,00 0 (4.800.000,00) (100)
Belanja Jasa Kalibrasi Alkes 1.00 Paket 40,000,000.00 40.000.000,00 1,00 Paket 40.000.000,00 40.000.000,00 0 0
Rekening listrik Rumdin dr. Ahli bedah (14043889428) 300.00 Kwh 1,445.00 433.500,00 Kwh 1.445,00 0 (433.500,00) (100)
Rekening listrik Rumdin dr. Ahli Anak (32122844262) 300.00 Kwh 1,445.00 433.500,00 Kwh 1.445,00 0 (433.500,00) (100)
Rekening listrik Rumdin dr. Ahli kandungan 399.00 Kwh 1,445.00 576.555,00 Kwh 1.445,00 0 (576.555,00) (100)
(86017185108)
Rekening listrik Rumdin Direktur (32122712220) 300.00 Kw 1,445.00 433.500,00 Kw 1.445,00 0 (433.500,00) (100)
Rekening listrik IPAL (32160447747) 100.00 Kwh 1,112.00 111.200,00 Kwh 1.112,00 0 (111.200,00) (100)
Rekening listrik Gdg. Farmasi (32122718011) 4,000.00 Kwh 1,076.00 4.304.000,00 Kwh 1.076,00 0 (4.304.000,00) (100)
Rekening listrik Instalasi Gizi (86026018860) 2,000.00 Kwh 1,076.00 2.152.000,00 Kwh 1.076,00 0 (2.152.000,00) (100)
Rekening Listrik Ruang Perawatan (14070799425) 3,000.00 Kwh 972.00 2.916.000,00 Kwh 972,00 0 (2.916.000,00) (100)
Rekening listrik Gdg. Laboratorium (32122720744) 5,000.00 Kwh 1,076.00 5.380.000,00 Kwh 1.076,00 0 (5.380.000,00) (100)
Rekening listrik Gdg. Radiologi (14070792362) 5,000.00 Kwh 997.00 4.985.000,00 Kwh 997,00 0 (4.985.000,00) (100)
Rekening listrik Gdg. UTD 14070780326 2,000.00 Kwh 997.00 1.994.000,00 Kwh 997,00 0 (1.994.000,00) (100)
Rekening listrik gedung UGD (14070799391) 10,000.00 Kwh 997.00 9.970.000,00 Kwh 997,00 0 (9.970.000,00) (100)
Rekening listrik gedung Kebidanan (14070780342) 5,000.00 Kwh 997.00 4.985.000,00 Kwh 997,00 0 (4.985.000,00) (100)
Rekening Listrik Instalasi Bedah Sentral 5,000.00 Kwh 997.00 4.985.000,00 Kwh 997,00 0 (4.985.000,00) (100)
(14070778601)
Rekening Listrik Kamar Laundry 500.00 Kwh 997.00 498.500,00 Kwh 997,00 0 (498.500,00) (100)
Rekening Listrik Gedung CSSD 500.00 Kwh 1,445.00 722.500,00 Kwh 1.445,00 0 (722.500,00) (100)
Rekening Listrik Gedung ICU (14070792412) 4,000.00 Kwh 997.00 3.988.000,00 Kwh 997,00 0 (3.988.000,00) (100)
Hal 21 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.02.01.0061. Rekening Listrik Gedung Utama (Gedung Kantor) 10,000.00 Kwh 997.00 9.970.000,00 Kwh 997,00 0 (9.970.000,00) (100)
(14070330676)
Rekening Listrik Gedung Oxigen (14070778577) 2,000.00 Kwh 997.00 1.994.000,00 Kwh 997,00 0 (1.994.000,00) (100)
Belanja Kawat/Faksimili/Internet 48.00 Rekening 500,000.00 24.000.000,00 48,00 Rekening 500.000,00 24.000.000,00 0 0
5.1.02.02.05.0009. Belanja Sewa Bangunan Gedung Tempat Pertemuan 18.000.000,00 0 (18.000.000,00) (100)
Belanja Sewa Rumah Jabatan/Rumah Dinas ( 2 Unit 24.00 Bulan 750,000.00 18.000.000,00 Bulan 750.000,00 0 (18.000.000,00) (100)
x 12 Bln )
5.1.02.02.06. Belanja Sewa Jalan, Jaringan dan Irigasi 96.000.000,00 72.000.000,00 (24.000.000,00) (25)
- Belanja Sewa Aplikasi sistem BLUD 12.00 Bulan 8,000,000.00 96.000.000,00 9,00 Bulan 8.000.000,00 72.000.000,00 (24.000.000,00) (25)
Tiket Pesawat PP ( Palu - Jakarta dan Sekitarnya) 1.00 OK 2,500,000.00 2.500.000,00 OK 2.500.000,00 0 (2.500.000,00) (100)
Uang Harian ( 1 org X 5 hr) 5.00 OH 900,000.00 4.500.000,00 OH 900.000,00 0 (4.500.000,00) (100)
Biaya Penginapan di Palu ( 1 org X 1 hr ) 1.00 OH 500,000.00 500.000,00 OH 500.000,00 0 (500.000,00) (100)
Tiket Pesawat PP ( Palu - Jakarta dan Sekitarnya ) 1.00 OK 2,500,000.00 2.500.000,00 OK 2.500.000,00 0 (2.500.000,00) (100)
Uang Harian ( 1 org X 5 hr) 5.00 OH 750,000.00 3.750.000,00 OH 750.000,00 0 (3.750.000,00) (100)
Biaya Penginapan di Palu ( 1 org X 1 hr ) 1.00 OH 500,000.00 500.000,00 OH 500.000,00 0 (500.000,00) (100)
Hal 22 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.02.12.0001. Transport PP (Tinombo - Palu) 1.00 OK 250,000.00 250.000,00 OK 250.000,00 0 (250.000,00) (100)
Tiket Pesawat PP ( Palu - Jakarta ) ( 1 org X 1 keg.) 1.00 OK 2,500,000.00 2.500.000,00 OK 2.500.000,00 0 (2.500.000,00) (100)
Uang Harian ( 1 org X 5 hr) 5.00 OH 750,000.00 3.750.000,00 OH 750.000,00 0 (3.750.000,00) (100)
Biaya Penginapan di Palu ( 1 org X 1 hr ) 1.00 OH 500,000.00 500.000,00 OH 500.000,00 0 (500.000,00) (100)
Uang Harian ( 2 org X 5 hr) 10.00 OH 750,000.00 7.500.000,00 OH 750.000,00 0 (7.500.000,00) (100)
Biaya Penginapan di Palu ( 2 org X 1 hr ) 2.00 OH 500,000.00 1.000.000,00 OH 500.000,00 0 (1.000.000,00) (100)
- Bensin 12.00 Bulan 1,000,000.00 12.000.000,00 710,00 Liter 8.000,00 5.680.000,00 (6.320.000,00) (53)
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.03.02.0022. Belanja Pemeliharaan Peralatan dan Mesin - 15.000.000,00 - 15.000.000,00 0 0
Pemeliharaan/perbaikan dan suku cadang mesin 1.00 Unit 5,000,000.00 5.000.000,00 1,00 Unit 15.000.000,00 15.000.000,00 10.000.000,00 200
genset rumah sakit
Pemeliharan/perbaikan mesin oksigen 1.00 Unit 10,000,000.00 10.000.000,00 Unit 0 (10.000.000,00) (100)
5.1.02.03.02.0035. Belanja Pemeliharaan Alat Angkutan-Alat Angkutan 62.000.000,00 60.000.000,00 (2.000.000,00) (3)
Darat Bermotor-Kendaraan DinasBermotor Perorangan
Belanja Jasa service - 18.000.000,00 - 16.000.000,00 (2.000.000,00) (11)
Belanja Jasa service Mobil Dinas 8 unit 16.00 Kali 500,000.00 8.000.000,00 12,00 Kali 500.000,00 6.000.000,00 (2.000.000,00) (25)
Belanja Jasa service Motor Dinas 8.00 Kali 250,000.00 2.000.000,00 8,00 Kali 250.000,00 2.000.000,00 0 0
Belanja Jasa service Mobil Ambulans 4 unit 16.00 Kali 500,000.00 8.000.000,00 16,00 Kali 500.000,00 8.000.000,00 0 0
Belanja Suku cadang Mobil Dinas 8.00 Unit 2,500,000.00 20.000.000,00 8,00 Unit 2.500.000,00 20.000.000,00 0 0
Belanja Suku cadang Motor Dinas 8.00 Unit 500,000.00 4.000.000,00 8,00 Unit 500.000,00 4.000.000,00 0 0
Belanja Suku cadang Mobil Ambulans 4.00 Unit 5,000,000.00 20.000.000,00 4,00 Unit 5.000.000,00 20.000.000,00 0 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.03.02.0121. Belanja Perbaikan AC 0 - 8.750.000,00 8.750.000,00 0
Belanja Pemeliharaan Alat kesehatan Radiologi 0 1,00 Paket 48.123.416,00 48.123.416,00 48.123.416,00 0
Perjalanan Dinas Rapat Koordinasi dan Konsultasi - 26.964.000,00 - 17.976.000,00 (8.988.000,00) (33)
Esellon III Ke Palu
-Uang Harian (1 org x 3 hr x 6 kl) 18.00 Org/Hr/Kl 370,000.00 6.660.000,00 12,00 Org/Hr/Kl 370.000,00 4.440.000,00 (2.220.000,00) (33)
-Penginapan (1 org x 2 hr x 6 kl) 12.00 Org/Hr/Kl 1,567,000.00 18.804.000,00 8,00 Org/Hr/Kl 1.567.000,00 12.536.000,00 (6.268.000,00) (33)
-Uang Transport Tinombo-Palu PP 6.00 Org/kl 250,000.00 1.500.000,00 4,00 Org/kl 250.000,00 1.000.000,00 (500.000,00) (33)
-Penginapan (1 org x 2 hr x 4 kl) 8.00 Org/Hr/Kl 1,567,000.00 12.536.000,00 8,00 Org/Hr/Kl 1.567.000,00 12.536.000,00 0 0
-Uang Transport Tinombo-Palu PP 4.00 Org/kl 250,000.00 1.000.000,00 4,00 Org/kl 250.000,00 1.000.000,00 0 0
- Tiket Pesawat PP ( Palu - Jakarta dan Sekitarnya ) 4.00 Org/kl 2,500,000.00 10.000.000,00 4,00 Org/kl 5.000.000,00 20.000.000,00 10.000.000,00 100
Perjalanan Dinas Rapat Koordinasi dan Konsultasi - 18.960.000,00 - 6.320.000,00 (12.640.000,00) (67)
Esellon IV Ke Palu
-Uang Harian (1 org x 3 hr x 6 kl) 18.00 Org/Hr/Kl 370,000.00 6.660.000,00 6,00 Org/Hr/Kl 370.000,00 2.220.000,00 (4.440.000,00) (67)
-Penginapan (1 org x 2 hr x 6 kl) 12.00 Org/Hr/Kl 900,000.00 10.800.000,00 4,00 Org/Hr/Kl 900.000,00 3.600.000,00 (7.200.000,00) (67)
-Uang Transport Tinombo-Palu PP 6.00 Org/kl 250,000.00 1.500.000,00 2,00 Org/kl 250.000,00 500.000,00 (1.000.000,00) (67)
Hal 25 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.04.01.0001. Perjalanan Dinas Rapat Koordinasi dan Konsultasi - 9.480.000,00 - 3.160.000,00 (6.320.000,00) (67)
Golongan III Ke Palu dan Sekitarnya
-Uang Harian (1 org x 3 hr x 3 kl) 9.00 Org/Hr/Kl 370,000.00 3.330.000,00 3,00 Org/Hr/Kl 370.000,00 1.110.000,00 (2.220.000,00) (67)
-Penginapan (1 org x 2 hr x 3 kl) 6.00 Org/Hr/Kl 900,000.00 5.400.000,00 2,00 Org/Hr/Kl 900.000,00 1.800.000,00 (3.600.000,00) (67)
-Uang Transport Tinombo-Palu PP 3.00 Org/kl 250,000.00 750.000,00 1,00 Org/kl 250.000,00 250.000,00 (500.000,00) (67)
Perjalanan Dinas Luar Daerah Gol. II/ Honorer Ke - 18.960.000,00 - 6.820.000,00 (12.140.000,00) (64)
Palu dan sekitarnya
-Uang Harian (1 org x 3 hr x 6 kl) 18.00 Org/Hr/Kl 370,000.00 6.660.000,00 6,00 Org/Hr/Kl 370.000,00 2.220.000,00 (4.440.000,00) (67)
-Penginapan (1 org x 2 hr x 6 kl) 12.00 Org/Hr/Kl 900,000.00 10.800.000,00 4,00 Org/Hr/Kl 900.000,00 3.600.000,00 (7.200.000,00) (67)
-Uang Transport Tinombo-Palu PP 6.00 Org/kl 250,000.00 1.500.000,00 4,00 Org/kl 250.000,00 1.000.000,00 (500.000,00) (33)
'- Tiket Pesawat PP ( Palu - Jakarta dan Sekitarnya 0 1,00 OK 5.000.000,00 5.000.000,00 5.000.000,00 0
)
Perjalanan Dinas Rapat Koordinasi dan Konsultasi 0 - 9.300.000,00 9.300.000,00 0
gol II KeJakarta dan sekitarnya
-Uang Harian (1 org x 3 hr x 1 kl) 0 3,00 Org/Hr/Kl 530.000,00 1.590.000,00 1.590.000,00 0
- Tiket Pesawat PP ( Palu - Jakarta dan Sekitarnya ) 0 1,00 OK 5.000.000,00 5.000.000,00 5.000.000,00 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.04.01.0001. - Penginapan Di Palu (2 Org x 1 hr) 0 2,00 Org/Hari 900.000,00 1.800.000,00 1.800.000,00 0
- Uang Harian (1 org x 2 hr x 25 kl) 50.00 Org/Hr/Kl 150,000.00 7.500.000,00 50,00 Org/Hr/Kl 150.000,00 7.500.000,00 0 0
- Penginapan (1 org x 1 hr x 25 kl) 23.00 Org/Hr/Kl 400,000.00 9.200.000,00 23,00 Org/Hr/Kl 400.000,00 9.200.000,00 0 0
- Uang Transport Tinombo-Parigi PP 25.00 Org/kl 150,000.00 3.750.000,00 25,00 Org/kl 150.000,00 3.750.000,00 0 0
- Uang Harian (1 org x 2 hr x 24 kl) 48.00 Org/Hr/Kl 150,000.00 7.200.000,00 48,00 Org/Hr/Kl 150.000,00 7.200.000,00 0 0
- Penginapan (1org x 1 hr x 24kl) 24.00 Org/Hr/Kl 350,000.00 8.400.000,00 24,00 Org/Hr/Kl 350.000,00 8.400.000,00 0 0
- Uang Transport Tinombo-Parigi PP 24.00 Org/kl 150,000.00 3.600.000,00 24,00 Org/kl 150.000,00 3.600.000,00 0 0
-Uang Harian (1 org x 2 hr x 10 kl) 20.00 Org/Hr/Kl 150,000.00 3.000.000,00 20,00 Org/Hr/Kl 150.000,00 3.000.000,00 0 0
-Penginapan (1 org x 1 hr x 10 kl) 10.00 Org/Hr/Kl 350,000.00 3.500.000,00 10,00 Org/Hr/Kl 350.000,00 3.500.000,00 0 0
-Uang Transport Tinombo-Parigi PP 10.00 Org/kl 150,000.00 1.500.000,00 10,00 Org/kl 150.000,00 1.500.000,00 0 0
-Penginapan (1 org x 1 hr x 36 kl) 36.00 Org/Hr/Kl 300,000.00 10.800.000,00 36,00 Org/Hr/Kl 300.000,00 10.800.000,00 0 0
-Uang Transport Tinombo-Parigi PP 36.00 Org/kl 150,000.00 5.400.000,00 36,00 Org/kl 150.000,00 5.400.000,00 0 0
-Uang Harian (1 org x 2 hr x 12 kl) 24.00 Org/Hr/Kl 150,000.00 3.600.000,00 24,00 Org/Hr/Kl 150.000,00 3.600.000,00 0 0
Hal 27 dari 29
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.1.02.04.01.0003. -Penginapan (1 org x 1 hr x 12 kl) 12.00 Org/Hr/Kl 300,000.00 3.600.000,00 12,00 Org/Hr/Kl 300.000,00 3.600.000,00 0 0
-Uang Transport Tinombo-Parigi PP 12.00 Org/kl 150,000.00 1.800.000,00 12,00 Org/kl 150.000,00 1.800.000,00 0 0
-Uang Harian (1 org x 2 hr x 4 kl) 8.00 Org/Hr/Kl 150,000.00 1.200.000,00 8,00 Org/Hr/Kl 150.000,00 1.200.000,00 0 0
-Penginapan (1 org x 1 hr x 4 kl) 4.00 Org/Hr/Kl 300,000.00 1.200.000,00 4,00 Org/Hr/Kl 300.000,00 1.200.000,00 0 0
-Uang Transport Tinombo-Parigi PP 4.00 Org/kl 150,000.00 600.000,00 4,00 Org/kl 150.000,00 600.000,00 0 0
5.2.02. Belanja Modal Peralatan dan Mesin 166.694.000,00 114.444.000,00 (52.250.000,00) (31)
5.2.02.05. Belanja Modal Alat Kantor dan RumahTangga 83.116.000,00 36.866.000,00 (46.250.000,00) (56)
- Belanja Mesin Absensi Digital (Fingerprint) 1.00 Unit 2,750,000.00 2.750.000,00 1,00 Unit 2.750.000,00 2.750.000,00 0 0
5.2.02.05.02. Belanja Modal Alat Rumah Tangga 80.366.000,00 34.116.000,00 (46.250.000,00) (58)
- Belanja Meja Kerja Semi Biro 6.00 Unit 2,186,000.00 13.116.000,00 6,00 Unit 2.186.000,00 13.116.000,00 0 0
- Belanja Kursi Kerja Staf (Ruang Program dan 10.00 Unit 550,000.00 5.500.000,00 10,00 Unit 550.000,00 5.500.000,00 0 0
Perencanaan)
- Belanja Lemari Arsip 1 Pintu 2.00 u 2,750,000.00 5.500.000,00 2,00 u 2.750.000,00 5.500.000,00 0 0
5.2.02.05.02.0006. Belanja Modal Alat Rumah Tangga Lainnya (Home 37.425.000,00 10.000.000,00 (27.425.000,00) (73)
Use)
Belanja Pompa - 20.175.000,00 - 4.000.000,00 (16.175.000,00) (80)
- Pompa Air (JET PUM) 25.00 Pcs 25,000.00 625.000,00 1,00 Unit 4.000.000,00 4.000.000,00 3.375.000,00 540
- Mesin Paras Rumput 2.00 Unit 2,500,000.00 5.000.000,00 1,00 Unit 2.500.000,00 2.500.000,00 (2.500.000,00) (50)
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
5.2.02.05.02.0006. - Tangga Stainle 1.00 Unit 3,500,000.00 3.500.000,00 1,00 Unit 3.500.000,00 3.500.000,00 0 0
Tablet Merk Samsung 1.00 Unit 2,578,000.00 2.578.000,00 1,00 Unit 2.578.000,00 2.578.000,00 0 0
Belanja PC ALL IN ONE 4.00 Set 7,500,000.00 30.000.000,00 4,00 Set 7.500.000,00 30.000.000,00 0 0
Belanja Laptop Core i5 (Ruang Program dan 2.00 Unit 8,500,000.00 17.000.000,00 2,00 Unit 8.500.000,00 17.000.000,00 0 0
Perencanaan)
5.2.02.10.02. Belanja Modal Peralatan Komputer 34.000.000,00 28.000.000,00 (6.000.000,00) (18)
5.2.02.10.02.0003. Belanja Modal Peralatan Personal Computer 34.000.000,00 28.000.000,00 (6.000.000,00) (18)
Belanja UPS inforce 1200va 4.00 Unit 1,500,000.00 6.000.000,00 Unit 1.500.000,00 0 (6.000.000,00) (100)
Belanja Printer epson L5190 4.00 Unit 5,750,000.00 23.000.000,00 4,00 Unit 5.750.000,00 23.000.000,00 0 0
Belanja Alat scan ( Ruang perencanaan ) 1.00 Unit 5,000,000.00 5.000.000,00 1,00 Unit 5.000.000,00 5.000.000,00 0 0
Bertambah/
Sebelum perubahan Setelah perubahan
berkurang
Kode Rekening Uraian Rincian Perhitungan
Jumlah (Rp) Jumlah (Rp) Rp %
Volume Satuan Harga satuan Volume Satuan Harga satuan
1 2 3 4 5 6 = (3 x 5) 7 8 9 10 11 12
Keterangan
Tanggal Pembahasan
Catatan Hasil Pembahasan