Rekap Tahun 2018

1
RINCIAN PENERIMAAN POSKES CARUBAN

NO
URAIAN KEGIATAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER JUMLAH
1 Sisa Bulan Lalu 782,265 782,265
-
2 Penerimaan 10,757,000 9,513,000 9,432,000 9,315,000 9,063,000 8,973,000 - - - - - - 57,053,000
a. Kapitasi 9,747,000 9,513,000 9,432,000 9,315,000 9,063,000 8,973,000 56,043,000
b. Non Kapitasi 1,010,000 1,010,000
c. Non BPJS Kes -
-
3 Bunga Bank -
-
4 Penerimaan Pajak -
-
-
-
-
-
JUMLAH 11,539,265 9,513,000 9,432,000 9,315,000 9,063,000 8,973,000 - - - - - - 57,835,265
RINCIAN PENGELUARAN POSKES CARUBAN

NO
URAIAN KEGIATAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER JUMLAH %
1 Pengeluaran 9,994,800 10,126,900 9,497,400 9,634,300 9,297,650 9,074,300 - - - - - - 57,625,350
a. Belanja Bekal Kesehatan 2,421,300 2,981,400 2,701,400 2,944,800 2,811,650 2,364,800 16,225,350 17
b. Uang Makan Rawat Inap - -
c. Pemeliharaan Alkes - -
d. Harbang - -
e. LTGA 361,500 356,500 356,500 356,500 356,500 356,500 2,144,000 2
f. ATK 372,500 45,000 211,000 151,000 43,000 40,000 862,500 1
g. Administrasi 839,500 844,000 428,500 382,000 186,500 513,000 3,193,500 3
h. Jasa Medis 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 24,000,000 25
i. Jasa Paramedis 1,650,000 1,650,000 1,600,000 1,600,000 1,600,000 1,600,000 9,700,000 10
j. Jasa Non Paramedis 150,000 150,000 100,000 100,000 100,000 100,000 700,000 1
k. Jasa Pengelola 200,000 100,000 100,000 100,000 200,000 100,000 800,000 1
-
2 Pengeluaran Lain-lain - - 5,500 - - - - - - - - - 5,500
a. Pajak Bank - - - - - - - - - - - -
b. Pajak Lainnya - 5,500 5,500
3 SALDO 1,544,465 204,415

JUMLAH 11,539,265 10,126,900 9,502,900 9,634,300 9,297,650 9,074,300 - - - - - - 57,835,265
1
2
RINCIAN PENERIMAAN POLKES MADIUN
NO
1 Sisa Bulan Lalu 23,930,304 23,930,304
-
2 Penerimaan 97,212,000 94,765,000 91,258,573 101,943,470 101,529,663 93,483,027 - - - - - - 580,191,733
a. Kapitasi 90,974,500 91,410,000 91,240,000 91,390,000 90,440,000 90,720,000 546,174,500
b. Non Kapitasi 6,237,500 3,355,000 10,525,000 11,056,000 2,747,000 33,920,500
c. Non BPJS Kes 18,573 28,470 33,663 16,027 96,733
-
3 Bunga Bank -
-
4 Penerimaan Pajak 380,000 380,000 433,750 436,250 436,250 2,066,250
-
-
-
-
-
-
-
-
JUMLAH 121,522,304 95,145,000 91,692,323 101,943,470 101,965,913 93,919,277 - - - - - - 606,188,287
RINCIAN PENGELUARAN
NO
URAIAN KEGIATAN JUMLAH DANA FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER JUMLAH
1 Pengeluaran 73,785,360 98,155,100 97,306,095 85,318,506 138,410,819 74,985,325 - - - - - - 567,961,205
a. Belanja Bekal Kesehatan 24,393,840 43,418,830 22,441,710 28,127,810 30,727,600 29,976,270 179,086,060
b. Uang Makan Rawat Inap -
c. Pemeliharaan Alkes -
d. Harbang 17,455,000 18,284,000 35,725,000 24,680,000 55,243,000 2,980,000 154,367,000
e. LTGA 862,820 784,570 644,570 1,627,902 1,039,434 784,000 5,743,296
f. ATK 1,531,200 7,792,500 8,302,000 2,053,600 126,000 4,744,950 24,550,250
g. Administrasi 2,016,500 875,200 3,192,815 1,829,194 24,274,785 9,500,105 41,688,599
h. Jasa Medis 13,750,000 13,750,000 13,750,000 13,750,000 13,750,000 11,250,000 80,000,000
i. Jasa Paramedis 7,226,000 6,700,000 6,700,000 7,950,000 7,950,000 9,900,000 46,426,000
j. Jasa Non Paramedis 400,000 400,000 1,450,000 2,250,000
k. Jasa Pengelola 6,550,000 6,550,000 6,550,000 4,900,000 4,900,000 4,400,000 33,850,000
-
2 Pengeluaran Lain-lain 380,000 380,000 433,750 - 436,250 436,250 - - - - - - 2,066,250
a. Pajak Bank -
b. Pajak Lainnya 380,000 380,000 433,750 436,250 436,250 2,066,250
-
3 SALDO 47,356,944 36,160,832
JUMLAH 121,522,304 98,535,100 97,739,845 85,318,506 138,847,069 75,421,575 - - - - - - 606,188,287

3
RINCIAN PENERIMAAN POSKES NGAWI
NO
1 Sisa Bulan Lalu 1,407,595 1,407,595
-
2 Penerimaan 29,023,309 24,528,231 24,598,248 24,779,837 29,228,033 24,888,602 - - - - - - 157,046,260
a. Kapitasi 24,777,000 24,525,000 24,597,000 24,777,000 24,732,000 24,885,000 148,293,000
b. Non Kapitasi 4,245,000 4,495,000 8,740,000
c. Non BPJS Kes 1,309 3,231 1,248 2,837 1,033 3,602 13,260
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 30,430,904 24,528,231 24,598,248 24,779,837 29,228,033 24,888,602 - - - - - - 158,453,855
RINCIAN PENGELUARAN
NO
1 Pengeluaran 29,006,935 24,485,460 24,391,855 24,596,405 31,038,155 24,874,525 - - - - - - 158,393,335
c. Pemeliharaan Alkes 400,000 70,000 470,000
d. Harbang 4,955,000 4,885,000 4,830,000 4,825,000 6,750,000 4,975,000 31,220,000
e. LTGA 641,000 762,000 389,000 389,000 347,000 347,000 2,875,000
f. ATK 1,321,500 1,254,200 765,950 814,700 406,500 546,000 5,108,850
g. Administrasi 5,500 605,500 1,049,500 731,300 2,405,300 1,029,000 5,826,100
h. Jasa Medis 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 24,000,000
i. Jasa Paramedis 2,200,000 2,200,000 2,200,000 2,200,000 2,200,000 2,200,000 13,200,000
j. Jasa Non Paramedis 400,000 400,000 400,000 400,000 400,000 400,000 2,400,000
k. Jasa Pengelola 833,100 757,500 779,100 833,100 819,600 865,500 4,887,900
2 Pengeluaran Lain-lain - - - - - - - - - - - - -
a. Pajak Bank
-
b. Pajak Lainnya
-
3 SALDO 1,423,969 60,520
JUMLAH 30,430,904 24,485,460 24,391,855 24,596,405 31,038,155 24,874,525 - - - - - - 158,453,855

4. RINCIAN PENERIMAAN POSKES MAGETAN
NO
1 Sisa Bulan Lalu 764,832 764,832
-
2 Penerimaan 16,317,329 16,398,605 16,192,574 16,311,143 16,254,456 16,281,477 - - - - - - 97,755,584
a. Kapitasi 16,317,000 16,398,000 16,191,000 16,308,000 16,254,000 16,281,000 97,749,000
b. Non Kapitasi -
c. Non BPJS Kes 329 605 1,574 3,143 456 477 6,584
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 17,082,161 16,398,605 16,192,574 16,311,143 16,254,456 16,281,477 - - - - - - 98,520,416
RINCIAN PENGELUARAN
NO
1 Pengeluaran 15,095,800 15,166,700 13,947,800 19,750,400 18,167,350 16,258,624 - - - - - - 98,386,674
c. Pemeliharaan Alkes 1,270,500 1,270,500
d. Harbang 1,737,050 1,665,000 300,200 6,140,000 2,313,400 1,620,000 13,775,650
e. LTGA 418,750 308,000 410,500 410,750 410,750 410,824 2,369,574
f. ATK 703,500 784,500 802,000 831,250 997,000 931,000 5,049,250
g. Administrasi 565,500 615,500 615,500 615,500 965,500 1,065,500 4,443,000
h. Jasa Medis 4,895,000 4,900,000 4,850,000 3,000,000 3,000,000 3,000,000 23,645,000
i. Jasa Paramedis 1,600,000 1,600,000 1,600,000 4,800,000
j. Jasa Non Paramedis -
k. Jasa Pengelola 290,000 260,000 280,000 830,000
a. Pajak Bank - -
b. Pajak Lainnya - -
3 SALDO 1,986,361 133,742

JUMLAH 17,082,161 15,166,700 13,947,800 19,750,400 18,167,350 16,258,624 - - - - - - 98,520,416
5 RINCIAN PENERIMAAN PONOROGO
NO
1 Sisa Bulan Lalu 344,005 344,005
-
2 Penerimaan 18,756,364 18,919,457 18,738,368 22,897,097 22,797,446 22,879,749 - - - - - - 124,988,481
a. Kapitasi 18,756,000 18,918,000 18,738,000 22,896,000 22,797,000 22,878,000 124,983,000
b. Non Kapitasi -
c. Non BPJS Kes 364 1,457 368 1,097 446 1,749 5,481
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 19,100,369 18,919,457 18,738,368 22,897,097 22,797,446 22,879,749 - - - - - - 125,332,486
RINCIAN PENGELUARAN
NO
1 Pengeluaran 18,719,185 18,862,145 18,695,070 22,786,999 23,241,320 22,812,000 - - - - - - 125,116,719
d. Harbang 5,050,615 5,362,000 5,320,000 4,902,000 7,350,000 6,862,750 34,847,365
e. LTGA 212,070 212,070 212,070 360,699 359,500 359,500 1,715,909
f. ATK 969,000 666,000 649,500 961,000 1,066,000 1,081,250 5,392,750
g. Administrasi 205,500 205,500 205,500 305,500 305,500 305,500 1,533,000
h. Jasa Medis 3,750,000 3,750,000 3,750,000 4,750,000 4,750,000 4,750,000 25,500,000
i. Jasa Paramedis 1,500,000 1,500,000 1,500,000 1,650,000 1,650,000 1,650,000 9,450,000
k. Jasa Pengelola 200,000 200,000 200,000 300,000 400,000 400,000 1,700,000
a. Pajak Bank -
-
b. Pajak Lainnya -
-
3 SALDO 381,184 215,767
JUMLAH 19,100,369 18,862,145 18,695,070 22,786,999 23,241,320 22,812,000 - - - - - - 125,332,486

6, RINCIAN PENERIMAAN
NO
1 Sisa Bulan Lalu 9,275,624 9,275,624
-
2 Penerimaan 43,670,000 43,830,000 43,585,132 44,070,000 47,008,747 44,563,406 - - - - - - 266,727,285
a. Kapitasi 43,670,000 43,830,000 43,580,000 44,070,000 44,270,000 44,560,000 263,980,000
b. Non Kapitasi 2,735,000 2,735,000
c. Non BPJS Kes 5,132 3,747 3,406 12,285
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 52,945,624 43,830,000 43,585,132 44,070,000 47,008,747 44,563,406 - - - - - - 276,002,909
RINCIAN PENGELUARAN
NO
1 Pengeluaran 45,797,780 43,455,300 45,289,850 45,851,870 50,925,500 44,621,670 - - - - - - 275,941,970
c. Pemeliharaan Alkes 2,805,000 3,300,000 50,000 214,000 5,125,000 45,000 11,539,000
d. Harbang 12,413,000 1,700,000 10,832,750 12,110,000 7,209,200 13,030,000 57,294,950
e. LTGA 900,600 775,500 811,000 888,500 514,000 492,000 4,381,600
f. ATK 1,200,000 2,002,000 2,361,600 4,064,200 4,874,000 2,004,770 16,506,570
g. Administrasi 1,484,000 5,443,900 3,806,500 1,305,500 5,505,500 1,488,500 19,033,900
h. Jasa Medis 4,700,000 4,700,000 4,500,000 4,500,000 4,500,000 4,500,000 27,400,000
i. Jasa Paramedis 5,200,000 5,200,000 4,400,000 4,400,000 4,400,000 4,400,000 28,000,000
j. Jasa Non Paramedis 1,400,000 1,400,000 2,500,000 2,800,000 2,800,000 2,800,000 13,700,000
k. Jasa Pengelola 1,600,000 1,600,000 1,500,000 1,500,000 1,500,000 1,500,000 9,200,000
a. Pajak Bank - -
3 SALDO 7,147,844 60,939
JUMLAH 52,945,624 43,455,300 45,289,850 45,851,870 50,925,500 44,621,670 - - - - - - 276,002,909

7. RINCIAN PENERIMAAN NGANJUK
NO
1 Sisa Bulan Lalu 72,081 72,081
-
2 Penerimaan 43,960,000 45,590,000 47,800,000 51,550,000 58,690,000 55,690,220 - - - - - - 303,280,220
a. Kapitasi 43,960,000 45,590,000 47,800,000 51,550,000 53,030,000 55,690,000 297,620,000
b. Non Kapitasi 5,660,000 5,660,000
c. Non BPJS Kes 220 220
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 44,032,081 45,590,000 47,800,000 51,550,000 58,690,000 55,690,220 - - - - - - 303,352,301
RINCIAN PENGELUARAN
NO
1 Pengeluaran 43,965,500 45,595,500 47,805,500 51,515,500 58,705,500 55,695,500 - - - - - - 303,283,000
c. Pemeliharaan Alkes 1,090,000 680,000 1,874,000 2,975,000 975,000 7,594,000
d. Harbang 11,658,400 12,541,100 12,466,000 10,417,600 14,406,600 16,707,000 78,196,700
e. LTGA 2,561,900 2,531,800 2,550,000 2,057,500 2,186,100 2,080,750 13,968,050
f. ATK 1,799,500 2,935,075 2,018,800 2,856,050 3,044,900 3,138,650 15,792,975
g. Administrasi 196,000 5,500 1,079,500 1,329,500 5,665,500 5,500 8,281,500
h. Jasa Medis 1,800,000 1,800,000 1,800,000 5,000,000 5,000,000 5,000,000 20,400,000
i. Jasa Paramedis 6,800,000 6,800,000 7,200,000 5,800,000 5,800,000 5,800,000 38,200,000
k. Jasa Pengelola 2,488,000 2,977,000 3,240,000 3,253,000 3,712,000 4,507,000 20,177,000
a. Pajak Bank - -
3 SALDO 66,581 69,301
JUMLAH 44,032,081 45,595,500 47,805,500 51,515,500 58,705,500 55,695,500 - - - - - - 303,352,301

RINCIAN PENERIMAAN
NO
1 Sisa Bulan Lalu 1,415,762 1,415,762
-
2 Penerimaan 18,370,000 18,490,000 20,750,732 18,911,372 20,341,495 19,651,761 - - - - - - 116,515,360
a. Kapitasi 18,370,000 18,490,000 18,520,000 18,910,000 19,400,000 19,650,000 113,340,000
b. Non Kapitasi 2,230,000 940,000 3,170,000
c. Non BPJS Kes 732 1,372 1,495 1,761 5,360
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 19,785,762 18,490,000 20,750,732 18,911,372 20,341,495 19,651,761 - - - - - - 117,931,122
RINCIAN PENGELUARAN
NO
1 Pengeluaran 18,289,750 17,730,000 20,469,981 18,877,750 22,746,011 19,602,750 - - - - - - 117,716,242
c. Pemeliharaan Alkes 3,520,000 3,080,000 3,150,000 1,500,000 11,250,000
d. Harbang 5,450,000 4,200,000 2,750,000 2,530,000 4,463,261 4,410,000 23,803,261
e. LTGA 583,250 549,500 564,481 527,250 527,250 527,250 3,278,981
f. ATK 566,000 835,000 850,000 960,000 960,000 960,000 5,131,000
g. Administrasi 205,500 205,500 205,500 255,500 305,500 305,500 1,483,000
h. Jasa Medis 4,900,000 5,100,000 5,100,000 5,100,000 5,100,000 5,100,000 30,400,000
i. Jasa Paramedis 90,000 100,000 300,000 225,000 300,000 300,000 1,315,000
k. Jasa Pengelola 500,000 300,000 500,000 400,000 500,000 500,000 2,700,000
a. Pajak Bank - -
3 SALDO 1,496,012 214,880
JUMLAH 19,785,762 17,730,000 20,469,981 18,877,750 22,746,011 19,602,750 - - - - - - 117,931,122

NO
9, RINCIAN PENERIMAAN TULUNGAGUNG
1 Sisa Bulan Lalu 731,031 731,031
-
2 Penerimaan 18,880,000 19,080,000 24,505,000 19,140,000 19,405,000 19,265,000 - - - - - - 120,275,000
a. Kapitasi 18,880,000 19,080,000 19,040,000 19,140,000 18,950,000 19,110,000 114,200,000
b. Non Kapitasi 5,465,000 455,000 155,000 6,075,000
c. Non BPJS Kes -
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 19,611,031 19,080,000 24,505,000 19,140,000 19,405,000 19,265,000 - - - - - - 121,006,031
RINCIAN PENGELUARAN
NO
1 Pengeluaran 18,939,698 18,929,936 19,107,846 19,188,767 25,523,067 19,029,192 - - - - - - 120,718,506
b. Uang Makan Rawat Inap
d. Harbang 4,341,500 3,550,000 3,700,000 4,067,950 3,700,000 2,500,000 21,859,450
e. LTGA 599,855 588,943 590,450 595,108 594,782 575,915 3,545,053
f. ATK 493,500 1,216,000 1,237,000 822,850 1,216,500 2,286,600 7,272,450
g. Administrasi 305,500 305,500 305,500 305,500 305,500 305,500 1,833,000
h. Jasa Medis 3,250,000 3,500,000 3,500,000 3,250,000 3,500,000 3,500,000 20,500,000
i. Jasa Paramedis 1,530,000 1,350,000 1,350,000 1,530,000 1,350,000 1,350,000 8,460,000
k. Jasa Pengelola 500,000 500,000 500,000 500,000 500,000 500,000 3,000,000
a. Pajak Bank -
-
3 SALDO 671,333 287,525
JUMLAH 19,611,031 18,929,936 19,107,846 19,188,767 25,523,067 19,029,192 - - - - - - 121,006,031

10. RINCIAN PENERIMAAN PACITAN
NO
1 Sisa Bulan Lalu 180,150 180,150
-
2 Penerimaan 8,320,000 8,088,000 8,152,000 8,320,000 8,592,000 8,752,000 - - - - - - 50,224,000
a. Kapitasi 8,320,000 8,088,000 8,152,000 8,320,000 8,592,000 8,752,000 50,224,000
b. Non Kapitasi -
c. Non BPJS Kes -
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 8,500,150 8,088,000 8,152,000 8,320,000 8,592,000 8,752,000 - - - - - - 50,404,150
RINCIAN PENGELUARAN
NO
1 Pengeluaran 8,314,900 8,077,285 8,151,602 8,316,000 8,592,000 8,752,000 - - - - - - 50,203,787
d. Harbang 1,740,000 1,445,000 1,439,500 775,000 500,000 575,000 6,474,500
e. LTGA 506,575 530,985 203,160 427,500 249,200 237,500 2,154,920
f. ATK 489,825 500,300 542,322 550,000 550,800 615,000 3,248,247
g. Administrasi 100,000 100,000 246,120 310,000 275,000 350,000 1,381,120
h. Jasa Medis 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 9,000,000
i. Jasa Paramedis 625,000 625,000 625,000 750,000 750,000 900,000 4,275,000
k. Jasa Pengelola 100,000 100,000 100,000 300,000 300,000 300,000 1,200,000
a. Pajak Bank -
-
3 SALDO 185,250 200,363
JUMLAH 8,500,150 8,077,285 8,151,602 8,316,000 8,592,000 8,752,000 - - - - - - 50,404,150

11. RINCIAN PENERIMAAN KEDIRI
NO
1 Sisa Bulan Lalu 1,866,635 1,866,635
-
2 Penerimaan 80,818,366 80,066,539 44,935,816 116,272,642 85,537,263 83,218,509 - - - - - - 490,849,135
a. Kapitasi 80,065,550 78,797,850 44,933,800 115,742,850 82,021,000 82,205,000 483,766,050
b. Non Kapitasi 960,250 2,561,263 3,521,513
c. Non BPJS Kes 752,816 308,439 2,016 529,792 955,000 1,013,509 3,561,572
-
3 Bunga Bank -
-
4 Penerimaan Pajak 140,481 124,875 118,272 447,750 333,252 266,170 1,430,800
-
-
-
-
-
-
-
-
JUMLAH 82,825,482 80,191,414 45,054,088 116,720,392 85,870,515 83,484,679 - - - - - - 494,146,570
RINCIAN PENGELUARAN
NO
1 Pengeluaran 80,778,923 79,847,389 46,498,093 107,255,709 93,685,837 83,754,350 - - - - - - 491,820,301
a. Belanja Bekal Kesehatan 23,473,848 24,910,512 14,350,000 23,179,800 28,142,490 20,931,690 134,988,340 13
b. Uang Makan Rawat Inap - -
c. Pemeliharaan Alkes 8,566,910 2,288,000 8,717,060 2,800,000 2,800,000 25,171,970 2
d. Harbang 2,055,045 11,185,365 5,000,000 18,167,375 16,852,433 14,382,500 67,642,718 6
e. LTGA 3,081,357 2,860,305 2,842,188 3,742,606 3,894,186 3,576,958 19,997,600 2
f. ATK 4,818,100 709,270 1,404,910 596,475 90,000 7,618,755 1
g. Administrasi 15,905,863 16,456,437 15,305,905 17,206,458 17,097,753 18,418,202 100,390,618 9
h. Jasa Medis 2,277,500 1,500,000 500,000 4,337,500 3,822,500 5,355,000 17,792,500 2
i. Jasa Paramedis 5,619,300 5,182,500 2,052,000 7,110,000 5,454,900 5,511,000 30,929,700 3
j. Jasa Non Paramedis 7,361,700 7,305,000 4,008,000 12,590,000 7,149,800 7,422,000 45,836,500 4
k. Jasa Pengelola 7,619,300 7,450,000 2,440,000 10,800,000 7,875,300 5,267,000 41,451,600 4
- -
2 Pengeluaran Lain-lain 140,481 124,875 118,272 447,750 333,252 266,170 - - - - - - 1,430,800
a. Pajak Bank - -
b. Pajak Lainnya 140,481 124,875 118,272 447,750 333,252 266,170 1,430,800
140,481
3 SALDO 1,906,078 895,469
JUMLAH 82,825,482 79,972,264 46,616,365 107,703,459 94,019,089 84,020,520 - - - - - - 494,146,570
12. RINCIAN PENERIMAAN RUMKITBAN MOJOKERTO
NO
1 Sisa Bulan Lalu 58,349,673 58,349,673
-
2 Penerimaan 56,952,909 43,927,520 50,837,135 46,474,469 61,311,166 43,448,383 - - - - - - 302,951,582
a. Kapitasi 33,811,000 33,502,500 33,375,000 33,573,500 33,467,000 33,850,000 201,579,000
b. Non Kapitasi 10,135,000 11,044,000 17,014,600 831,500 39,025,100
c. Non BPJS Kes 13,006,909 10,425,020 6,418,135 12,900,969 10,829,566 8,766,883 62,347,482
-
3 Bunga Bank -
-
4 Penerimaan Pajak 336,061 594,341 750,000 1,461,712 788,292 1,080,566 5,010,972
-
-
-
-
-
-
-
-
JUMLAH 115,638,643 44,521,861 51,587,135 47,936,181 62,099,458 44,528,949 - - - - - - 366,312,227
12. RINCIAN PENGELUARAN RUMKITBAN MOJOKERTO

NO
1 Pengeluaran 32,761,693 32,902,085 57,875,587 45,979,319 41,803,415 149,663,084 - - - - - - 360,985,183
b. Uang Makan Rawat Inap 600,000 1,250,000 1,150,000 1,350,000 675,000 700,000 5,725,000
d. Harbang 5,512,100 2,596,400 5,735,000 12,418,077 4,585,545 114,835,500 145,682,622
e. LTGA 1,437,350 991,090 605,727 768,888 2,801,060 407,491 7,011,606
f. ATK 2,827,050 1,859,750 2,976,525 2,144,525 6,488,127 12,270,628 28,566,605
g. Administrasi 7,770,232 7,368,804 15,997,577 4,573,394 7,752,613 3,515,827 46,978,447
h. Jasa Medis 5,075,000 5,550,000 13,890,000 8,555,000 8,695,000 6,665,000 48,430,000
i. Jasa Paramedis 2,020,000 1,670,000 4,230,500 2,533,000 2,827,500 2,355,000 15,636,000
k. Jasa Pengelola 2,560,200 2,543,300 5,008,250 2,519,050 2,520,050 2,562,500 17,713,350
2 Pengeluaran Lain-lain 336,061 594,341 750,000 1,461,712 788,292 1,080,566 - - - - - - 5,010,972

a. Pajak Bank -
-
b. Pajak Lainnya 336,061 594,341 750,000 1,461,712 788,292 1,080,566 5,010,972
3 SALDO 82,540,889 316,072
JUMLAH 115,638,643 33,496,426 58,625,587 47,441,031 42,591,707 150,743,650 - - - - - - 366,312,227

13. RINCIAN PENERIMAAN JOMBANG
NO
1 Sisa Bulan Lalu 63,964,989 63,964,989
-
2 Penerimaan 25,115,594 24,909,253 28,792,793 24,586,628 26,808,992 24,717,086 - - - - - - 154,930,346
a. Kapitasi 25,062,000 24,852,500 24,475,000 24,523,500 24,457,000 24,675,000 148,045,000
b. Non Kapitasi 4,268,300 2,290,300 6,558,600
c. Non BPJS Kes 53,594 56,753 49,493 63,128 61,692 42,086 326,746
-
3 Bunga Bank -
-
4 Penerimaan Pajak 227,000 221,000 185,000 185,000 185,000 2,785,000 3,788,000
-
-
-
-
-
-
-
-
JUMLAH 89,307,583 25,130,253 28,977,793 24,771,628 26,993,992 27,502,086 - - - - - - 222,683,335
13. RINCIAN PENGELUARAN JOMBANG

NO
1 Pengeluaran 30,508,282 23,548,111 23,249,382 22,585,238 33,066,730 57,434,142 - - - - - - 190,391,885
c. Pemeliharaan Alkes 485,000 775,000 1,260,000
d. Harbang 5,327,000 845,000 1,189,000 3,100,000 34,458,000 44,919,000
e. LTGA 840,600 755,660 652,483 1,089,662 826,352 627,725 4,792,482
f. ATK 2,084,500 2,222,400 2,032,500 1,828,376 8,157,000 1,879,500 18,204,276
g. Administrasi 5,645,682 5,027,451 5,059,399 6,054,200 7,839,238 6,213,417 35,839,387
h. Jasa Medis 5,900,000 5,900,000 4,500,000 4,500,000 4,500,000 4,500,000 29,800,000
i. Jasa Paramedis 2,100,000 2,100,000 2,100,000 2,100,000 2,100,000 1,800,000 12,300,000
k. Jasa Pengelola 2,350,000 2,350,000 2,350,000 2,350,000 2,350,000 2,350,000 14,100,000
-
2 Pengeluaran Lain-lain 227,000 221,000 185,000 185,000 185,000 2,785,000 - - - - - - 3,788,000
a. Pajak Bank
-
b. Pajak Lainnya 227,000 221,000 185,000 185,000 185,000 2,785,000 3,788,000
3 SALDO 58,572,301 28,503,450
JUMLAH 89,307,583 23,769,111 23,434,382 22,770,238 33,251,730 60,219,142 - - - - - - 222,683,335

14 RINCIAN PENERIMAAN BOJONEGORO
NO
1 Sisa Bulan Lalu 12,888,942 12,888,942
-
2 Penerimaan 20,450,924 22,503,832 22,625,436 22,626,263 22,580,332 24,638,071 - - - - - - 135,424,858
a. Kapitasi 20,450,000 22,502,500 22,625,000 22,623,500 22,577,000 22,385,000 133,163,000
b. Non Kapitasi 2,251,000 2,251,000
c. Non BPJS Kes 924 1,332 436 2,763 3,332 2,071 10,858
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 33,339,866 22,503,832 22,625,436 22,626,263 22,580,332 24,638,071 - - - - - - 148,313,800
14. RINCIAN PENGELUARAN BOJONEGORO

NO
1 Pengeluaran 21,685,950 22,422,500 21,617,600 19,312,600 31,807,000 27,526,500 - - - - - - 144,372,150
c. Pemeliharaan Alkes 873,000 6,970,000 7,843,000
d. Harbang 4,271,000 4,219,000 3,985,000 2,075,000 3,743,000 6,235,000 24,528,000
e. LTGA 519,250 504,000 369,000 369,000 369,000 459,000 2,589,250
f. ATK 958,000 257,500 193,500 441,000 812,500 947,400 3,609,900
g. Administrasi 1,480,500 1,141,600 2,112,500 1,441,600 4,983,500 4,929,500 16,089,200
h. Jasa Medis 5,863,200 8,564,400 7,209,600 7,212,000 7,206,000 7,185,600 43,240,800
i. Jasa Paramedis 2,100,000 2,100,000 2,100,000 2,100,000 2,100,000 2,100,000 12,600,000
k. Jasa Pengelola 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 1,900,000 11,400,000
a. Pajak Bank -
-
3 SALDO 11,653,916 - 3,941,650
JUMLAH 33,339,866 22,422,500 21,617,600 19,312,600 31,807,000 27,526,500 - - - - - - 148,313,800

15 RINCIAN PENERIMAAN TUBAN
NO
1 Sisa Bulan Lalu 158,715 158,715
-
2 Penerimaan 17,892,000 17,932,500 18,035,000 18,474,544 18,587,356 18,856,081 - - - - - - 109,777,481
a. Kapitasi 17,892,000 17,932,500 18,035,000 18,473,500 18,587,000 18,855,000 109,775,000
b. Non Kapitasi -
c. Non BPJS Kes 1,044 356 1,081 2,481
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 18,050,715 17,932,500 18,035,000 18,474,544 18,587,356 18,856,081 - - - - - - 109,936,196
15 RINCIAN PENGELUARAN TUBAN

NO
1 Pengeluaran 17,362,150 16,487,150 18,059,650 18,702,400 17,827,750 18,852,850 - - - - - - 107,291,950
c. Pemeliharaan Alkes 290,000 1,800,000 2,090,000
d. Harbang 2,889,200 2,135,000 2,773,000 1,956,000 430,000 2,377,000 12,560,200
e. LTGA 396,200 373,900 393,900 374,400 369,000 395,100 2,302,500
f. ATK 708,000 841,000 1,163,000 1,238,000 526,000 786,000 5,262,000
g. Administrasi 3,157,000 2,755,500 1,624,000 712,000 4,165,500 2,678,100 15,092,100
h. Jasa Medis 4,400,000 4,400,000 4,400,000 4,400,000 4,400,000 4,400,000 26,400,000
i. Jasa Paramedis 2,000,000 2,000,000 2,000,000 2,000,000 8,000,000
j. Jasa Non Paramedis 100,000 100,000 100,000 100,000 100,000 100,000 600,000
k. Jasa Pengelola 1,150,000 1,150,000 1,150,000 1,150,000 1,150,000 1,150,000 6,900,000
a. Pajak Bank -
-
3 SALDO 688,565 2,644,246
JUMLAH 18,050,715 16,487,150 18,059,650 18,702,400 17,827,750 18,852,850 - - - - - - 109,936,196

RINCIAN PENERIMAAN
NO
URAIAN KEGIATAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI
1 Sisa Bulan Lalu Rp 560,812.00
2 Penerimaan Rp 22,489,844.00 Rp 18,313,938.00 Rp 19,377,281.00 Rp 18,903,768.00 Rp 21,467,647.00 Rp 18,535,818.00 Rp -

a. Kapitasi Rp 18,282,000.00 Rp 18,312,500.00 Rp 18,315,000.00 Rp 18,303,500.00 Rp 18,437,000.00 Rp 18,535,000.00
b. Non Kapitasi Rp 4,207,500.00 Rp 1,061,500.00 Rp 600,000.00 Rp 3,030,500.00
c. Non BPJS Kes Rp 344.00 Rp 1,438.00 Rp 781.00 Rp 268.00 Rp 147.00 Rp 818.00
3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 23,050,656.00 Rp 18,313,938.00 Rp 19,377,281.00 Rp 18,903,768.00 Rp 21,467,647.00 Rp 18,535,818.00 Rp -
RINCIAN PENGELUARAN
NO
1 Pengeluaran Rp 21,348,333.00 Rp 19,178,300.00 Rp 19,835,340.00 Rp 18,677,177.00 Rp 21,613,451.00 Rp 18,428,900.00 Rp -
a. Belanja Bekal Kesehatan Rp 4,123,333.00 Rp 3,919,700.00 Rp 3,848,040.00 Rp 4,187,400.00 Rp 4,750,801.00 Rp 5,635,100.00

c. Pemeliharaan Alkes Rp 2,239,500.00 Rp 1,943,000.00 Rp 2,016,000.00 Rp 2,290,500.00 Rp 1,920,600.00 Rp 1,438,000.00
d. Harbang Rp 1,495,000.00 Rp 2,350,000.00 Rp 2,873,500.00 Rp 1,322,400.00 Rp 1,053,300.00
e. LTGA Rp 182,250.00 Rp 162,500.00 Rp 162,500.00 Rp 195,677.00 Rp 259,000.00 Rp 270,500.00
f. ATK Rp 502,250.00 Rp 1,239,300.00 Rp 946,300.00 Rp 693,700.00 Rp 679,650.00 Rp 1,267,200.00
g. Administrasi Rp 8,101,000.00 Rp 4,218,800.00 Rp 4,312,500.00 Rp 2,236,400.00 Rp 6,481,000.00 Rp 2,164,800.00
h. Jasa Medis Rp 4,500,000.00 Rp 4,500,000.00 Rp 4,500,000.00 Rp 4,500,000.00 Rp 4,500,000.00 Rp 4,500,000.00
i. Jasa Paramedis Rp 600,000.00 Rp 600,000.00 Rp 600,000.00 Rp 600,000.00 Rp 900,000.00 Rp 1,200,000.00
j. Jasa Non Paramedis Rp 600,000.00 Rp 600,000.00 Rp 600,000.00 Rp 600,000.00 Rp 300,000.00 Rp 400,000.00
k. Jasa Pengelola Rp 500,000.00 Rp 500,000.00 Rp 500,000.00 Rp 500,000.00 Rp 500,000.00 Rp 500,000.00
2 Pengeluaran Lain-lain Rp - Rp - Rp - Rp - Rp - Rp - Rp -
a. Pajak Bank Rp -
b. Pajak Lainnya Rp -
3 SALDO Rp 1,702,323.00

AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER JUMLAH
Rp 560,812.00
Rp -
Rp - Rp - Rp - Rp - Rp - Rp 119,088,296.00
Rp 110,185,000.00
Rp 8,899,500.00
Rp 3,796.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp - Rp - Rp - Rp 119,649,108.00

Rp - Rp - Rp - Rp - Rp - Rp 119,081,501.00
Rp 26,464,374.00
Rp -
Rp 11,847,600.00
Rp 9,094,200.00
Rp 1,232,427.00
Rp 5,328,400.00
Rp 27,514,500.00
Rp 27,000,000.00
Rp 4,500,000.00
Rp 3,100,000.00
Rp 3,000,000.00
Rp - Rp - Rp - Rp - Rp - Rp -
Rp -
Rp -
Rp 567,607.00
Rp - Rp - Rp - Rp - Rp - Rp 119,649,108.00
RINCIAN PENERIMAAN
NO
1 Sisa Bulan Lalu 111,418,298 111,418,298
-
2 Penerimaan 162,637,699 162,602,482 176,408,142 160,968,291 166,563,506 163,812,431 - - - - - - 992,992,551
a. Kapitasi 162,583,000 162,554,500 162,811,000 158,319,250 157,592,250 159,137,000 962,997,000
b. Non Kapitasi 13,563,000 2,618,850 8,945,000 4,655,000 29,781,850
c. Non BPJS Kes 54,699 47,982 34,142 30,191 26,256 20,431 213,701
-
3 Bunga Bank -
-
4 Penerimaan Pajak 1,018,165 1,037,510 953,306 1,151,871 1,051,333 986,306 6,198,491
-
-
-
-
-
-
-
-
JUMLAH 275,074,162 163,639,992 177,361,448 162,120,162 167,614,839 164,798,737 - - - - - - 1,110,609,340
RINCIAN PENGELUARAN
NO
1 Pengeluaran 183,984,856 174,227,491 201,650,349 170,726,173 161,669,635 131,845,915 - - - - - - 1,024,104,419
d. Harbang 40,761,400 43,850,000 19,300,000 11,000,000 114,911,400
e. LTGA 561,000 1,930,156 2,329,715 3,360,868 3,245,646 3,464,392 14,891,777
f. ATK 2,982,600 2,533,800 1,228,500 2,229,500 1,166,500 4,672,000 14,812,900
g. Administrasi 75,003,671 84,394,391 79,411,346 73,291,314 94,068,912 74,991,534 481,161,168
h. Jasa Medis 5,070,000 5,850,000 5,850,000 5,850,000 2,925,000 2,925,000 28,470,000
i. Jasa Paramedis 12,510,000 15,290,000 15,345,000 15,290,000 13,090,000 15,290,000 86,815,000
k. Jasa Pengelola 1,433,982 1,433,730 1,435,993 1,389,251 1,382,872 1,396,424 8,472,252
2 Pengeluaran Lain-lain 1,018,165 1,037,510 953,306 1,151,871 1,051,333 986,306 - - - - - - 6,198,491

a. Pajak Bank -
-
b. Pajak Lainnya 1,018,165 1,037,510 953,306 1,151,871 1,051,333 986,306 6,198,491
3 SALDO 90,071,141 80,306,430
JUMLAH 275,074,162 175,265,001 202,603,655 171,878,044 162,720,968 132,832,221 - - - - - - 1,110,609,340

NO
URAIAN KEGIATAN JANUARI FEBRUARI MARET APRIL
1 Sisa Bulan Lalu Rp 94,471,908.00
2 Penerimaan Rp 122,923,601.00 Rp 122,964,880.00 Rp 124,130,187.00 Rp 127,225,214.00

a. Kapitasi Rp 122,886,250.00 Rp 122,923,250.00 Rp 124,088,750.00 Rp 127,196,750.00
b. Non Kapitasi
c. Non BPJS Kes Rp 37,351.00 Rp 41,630.00 Rp 41,437.00 Rp 28,464.00
3 Bunga Bank
4 Penerimaan Pajak Rp 701,250.00 Rp 666,250.00 Rp 683,750.00 Rp 683,750.00
JUMLAH Rp 218,096,759.00 Rp 123,631,130.00 Rp 124,813,937.00 Rp 127,908,964.00
NO
URAIAN KEGIATAN JUMLAH DANA FEBRUARI MARET APRIL
1 Pengeluaran Rp 128,026,412.00 Rp 126,860,348.00 Rp 146,215,743.00 Rp 150,021,694.00
a. Belanja Bekal Kesehatan Rp 23,870,250.00 Rp 22,063,772.00 Rp 23,915,364.00 Rp 21,631,110.00

c. Pemeliharaan Alkes Rp 5,398,470.00
d. Harbang Rp 12,338,800.00 Rp 17,250,000.00 Rp 29,357,650.00 Rp 40,384,000.00
e. LTGA Rp 1,534,782.00 Rp 1,187,740.00 Rp 1,486,292.00 Rp 1,748,741.00
f. ATK Rp 5,872,940.00 Rp 7,810,000.00
g. Administrasi Rp 47,561,170.00 Rp 54,908,836.00 Rp 52,196,437.00 Rp 54,807,843.00
h. Jasa Medis Rp 6,825,000.00 Rp 6,825,000.00 Rp 6,825,000.00 Rp 6,825,000.00
i. Jasa Paramedis Rp 6,000,000.00 Rp 6,000,000.00 Rp 6,000,000.00 Rp 6,000,000.00
j. Jasa Non Paramedis Rp 2,800,000.00 Rp 2,800,000.00 Rp 2,800,000.00 Rp 2,800,000.00
k. Jasa Pengelola Rp 15,825,000.00 Rp 15,825,000.00 Rp 15,825,000.00 Rp 15,825,000.00
2 Pengeluaran Lain-lain Rp 701,250.00 Rp 666,250.00 Rp 683,750.00 Rp 683,750.00

a. Pajak Bank
b. Pajak Lainnya Rp 701,250.00 Rp 666,250.00 Rp 683,750.00 Rp 683,750.00
3 SALDO Rp 89,369,097.00
JUMLAH Rp 218,096,759.00 Rp 127,526,598.00 Rp 146,899,493.00 Rp 150,705,444.00

RINCIAN PENERIMAAN
MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER
Rp 128,743,715.00 Rp 130,415,569.00 Rp - Rp - Rp - Rp - Rp -
Rp 126,854,500.00 Rp 130,397,250.00
Rp 1,870,500.00
Rp 18,715.00 Rp 18,319.00
Rp 675,000.00 Rp 678,750.00
Rp 129,418,715.00 Rp 131,094,319.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 122,359,248.00 Rp 117,608,247.00 Rp - Rp - Rp - Rp - Rp -
Rp 23,600,600.00 Rp 26,870,154.00
Rp 15,860,500.00
Rp 1,155,855.00 Rp 1,576,879.00
Rp 50,292,293.00 Rp 63,711,214.00
Rp 6,825,000.00 Rp 6,825,000.00
Rp 6,000,000.00 Rp 3,000,000.00
Rp 2,800,000.00 Rp 2,800,000.00
Rp 15,825,000.00 Rp 12,825,000.00
Rp 675,000.00 Rp 678,750.00 Rp - Rp - Rp - Rp - Rp -
Rp 675,000.00 Rp 678,750.00
Rp 123,034,248.00 Rp 118,286,997.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 94,471,908.00
Rp -
Rp - Rp 756,403,166.00
Rp 754,346,750.00
Rp 1,870,500.00
Rp 185,916.00
Rp -
Rp -
Rp -
Rp 4,088,750.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 854,963,824.00
DESEMBER JUMLAH
Rp - Rp 791,091,692.00
Rp 141,951,250.00
Rp -
Rp 5,398,470.00
Rp 115,190,950.00
Rp 8,690,289.00
Rp 13,682,940.00
Rp 323,477,793.00
Rp 40,950,000.00
Rp 33,000,000.00
Rp 16,800,000.00
Rp 91,950,000.00
Rp - Rp 4,088,750.00
Rp -
Rp 4,088,750.00
Rp 59,783,382.00
Rp - Rp 854,963,824.00
RINCIAN PEN
NO

b. Non Kapitasi
c. Non BPJS Kes Rp 472.00 Rp 935.00 Rp 232.00 Rp 1,551.00
3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 24,586,511.00 Rp 12,006,935.00 Rp 13,435,232.00 Rp 13,391,551.00
RINCIAN PENG
NO
a. Belanja Bekal Kesehatan Rp 304,800.00 Rp 361,000.00 Rp 1,032,000.00

c. Pemeliharaan Alkes
d. Harbang Rp 1,572,000.00 Rp 1,572,000.00
e. LTGA Rp 576,250.00 Rp 593,000.00 Rp 468,000.00 Rp 1,268,000.00
f. ATK Rp 132,200.00 Rp 95,000.00 Rp 116,400.00 Rp 769,700.00
i. Jasa Paramedis Rp 600,000.00 Rp 600,000.00 Rp 2,842,000.00 Rp 600,000.00
k. Jasa Pengelola Rp 700,000.00 Rp 700,000.00 Rp 600,000.00 Rp 1,150,000.00
2 Pengeluaran Lain-lain Rp - Rp - Rp - Rp -
a. Pajak Bank Rp -
3 SALDO Rp 12,192,761.00
JUMLAH Rp 24,586,511.00 Rp 12,076,500.00 Rp 20,877,900.00 Rp 15,722,200.00

RINCIAN PENERIMAAN
Rp 13,370,517.00 Rp 13,280,773.00 Rp - Rp - Rp - Rp - Rp -
Rp 13,370,000.00 Rp 13,280,000.00
Rp 517.00 Rp 773.00
Rp 13,370,517.00 Rp 13,280,773.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 14,019,700.00 Rp 13,611,900.00 Rp - Rp - Rp - Rp - Rp -
Rp 703,200.00 Rp 833,400.00
Rp 2,131,500.00 Rp 1,572,000.00
Rp 468,000.00 Rp 468,000.00
Rp 311,500.00 Rp 283,000.00
Rp 7,705,500.00 Rp 7,755,500.00
Rp 600,000.00 Rp 600,000.00
Rp 950,000.00 Rp 950,000.00
Rp 1,150,000.00 Rp 1,150,000.00
Rp - Rp - Rp - Rp - Rp - Rp - Rp -
Rp 14,019,700.00 Rp 13,611,900.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 12,499,039.00
Rp -
Rp - Rp 77,572,480.00
Rp 77,568,000.00
Rp -
Rp 4,480.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 90,071,519.00
DESEMBER JUMLAH
Rp - Rp 88,701,950.00
Rp 3,234,400.00
Rp -
Rp -
Rp 6,847,500.00
Rp 3,841,250.00
Rp 1,707,800.00
Rp 46,529,000.00
Rp 8,500,000.00
Rp 5,842,000.00
Rp 6,750,000.00
Rp 5,450,000.00
Rp - Rp -
Rp -
Rp -
Rp 1,369,569.00
Rp - Rp 90,071,519.00
RINCIA
NO

b. Non Kapitasi Rp 9,960,000.00 Rp 7,219,000.00
3 Bunga Bank
JUMLAH Rp 67,133,623.00 Rp 22,234,866.00 Rp 29,893,051.00 Rp 22,479,684.00
RINCIAN
NO

c. Pemeliharaan Alkes Rp 728,000.00 Rp 747,000.00
d. Harbang Rp 393,000.00
e. LTGA Rp 239,500.00 Rp 239,500.00 Rp 239,500.00 Rp 239,500.00
f. ATK Rp 430,250.00 Rp 160,000.00 Rp 556,900.00 Rp 373,750.00
i. Jasa Paramedis Rp 600,000.00 Rp 550,000.00 Rp 5,600,000.00 Rp 2,800,000.00

a. Pajak Bank Rp -
3 SALDO Rp 41,663,009.00
JUMLAH Rp 67,133,623.00 Rp 27,206,723.00 Rp 48,320,500.00 Rp 25,972,847.00

RINCIAN PENERIMAAN
Rp 28,221,319.00 Rp 23,366,057.00 Rp - Rp - Rp - Rp - Rp -
Rp 22,090,000.00 Rp 22,420,000.00
Rp 6,123,000.00 Rp 940,000.00
Rp 8,319.00 Rp 6,057.00
Rp 174,800.00 Rp 153,950.00
Rp 28,396,119.00 Rp 23,520,007.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 32,560,766.00 Rp 20,678,961.00 Rp - Rp - Rp - Rp - Rp -
Rp 2,842,750.00 Rp 3,904,250.00
Rp 3,200,000.00
Rp 239,500.00 Rp 239,500.00
Rp 617,800.00
Rp 11,168,716.00 Rp 1,877,211.00
Rp 4,692,000.00 Rp 4,158,000.00
Rp 2,800,000.00 Rp 2,900,000.00
Rp 3,350,000.00 Rp 3,750,000.00
Rp 3,650,000.00 Rp 3,850,000.00
Rp 174,800.00 Rp 153,950.00 Rp - Rp - Rp - Rp - Rp -
Rp 174,800.00 Rp 153,950.00
Rp 32,735,566.00 Rp 20,832,911.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 34,940,952.00
Rp -
Rp - Rp 157,544,948.00
Rp 133,250,000.00
Rp 24,242,000.00
Rp 52,948.00
Rp -
Rp -
Rp -
Rp 1,171,450.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 193,657,350.00
DESEMBER JUMLAH
Rp - Rp 179,367,711.00
Rp 30,999,870.00
Rp -
Rp 4,675,000.00
Rp 393,000.00
Rp 1,437,000.00
Rp 2,138,700.00
Rp 56,266,141.00
Rp 25,058,000.00
Rp 15,250,000.00
Rp 19,650,000.00
Rp 23,500,000.00
Rp - Rp 1,171,450.00
Rp -
Rp 1,171,450.00
Rp 13,118,189.00
Rp - Rp 193,657,350.00
RINCIAN PENERIMAAN LUMAJANG
NO
1 Sisa Bulan Lalu 18,659,507 18,659,507
-
2 Penerimaan 31,457,442 31,387,946 31,310,732 31,234,909 31,186,413 30,982,097 - - - - - - 187,559,539
a. Kapitasi 31,240,000 31,070,000 31,010,000 31,030,000 30,950,000 30,980,000 186,280,000
b. Non Kapitasi 233,500 233,500
c. Non BPJS Kes 217,442 317,946 300,732 204,909 2,913 2,097 1,046,039
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 50,116,949 31,387,946 31,310,732 31,234,909 31,186,413 30,982,097 - - - - - - 206,219,046
RINCIAN PENGELUARAN
NO
1 Pengeluaran 37,236,892 38,113,364 33,873,338 31,775,660 31,184,658 28,667,820 - - - - - - 200,851,732
c. Pemeliharaan Alkes 50,000 50,000
d. Harbang 9,101,260 8,524,500 1,327,436 18,953,196
e. LTGA 945,779 982,823 982,750 995,307 629,286 624,308 5,160,253
f. ATK 581,250 373,350 10,172,752 363,100 595,500 12,085,952
g. Administrasi 11,804,452 12,422,791 10,000,000 8,856,553 10,882,872 7,885,012 61,851,680
h. Jasa Medis 2,472,000 2,418,000 1,000,000 10,000,000 10,000,000 10,000,000 35,890,000
i. Jasa Paramedis 1,000,000 1,000,000 300,000 1,000,000 1,000,000 1,000,000 5,300,000
j. Jasa Non Paramedis 300,000 300,000 5,600,000 300,000 500,000 500,000 7,500,000
k. Jasa Pengelola 5,600,000 5,600,000 5,600,000 5,600,000 5,600,000 28,000,000
a. Pajak Bank -
-
3 SALDO 12,880,057 5,367,314
JUMLAH 50,116,949 38,113,364 33,873,338 31,775,660 31,184,658 28,667,820 - - - - - - 206,219,046

NO

b. Non Kapitasi Rp 85,000.00 Rp 125,000.00
c. Non BPJS Kes Rp 921.00 Rp 1,124.00 Rp 524.00 Rp 1,682.00
3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 28,228,477.00 Rp 14,271,124.00 Rp 14,695,524.00 Rp 14,581,682.00
NO

c. Pemeliharaan Alkes Rp 896,000.00
d. Harbang Rp 2,395,000.00 Rp 2,500,000.00 Rp 2,265,000.00
e. LTGA Rp 281,000.00 Rp 375,500.00 Rp 530,500.00 Rp 565,500.00
f. ATK Rp 77,300.00 Rp 231,000.00 Rp 133,700.00 Rp 61,500.00
i. Jasa Paramedis Rp 1,800,000.00 Rp 2,000,000.00
j. Jasa Non Paramedis
k. Jasa Pengelola Rp 2,000,000.00 Rp 2,000,000.00
a. Pajak Bank Rp -
3 SALDO Rp 13,231,105.00
JUMLAH Rp 28,228,477.00 Rp 16,352,800.00 Rp 16,483,100.00 Rp 14,696,625.00

RINCIAN PENERIMAAN
MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER
Rp 14,751,082.00 Rp 14,741,220.00 Rp - Rp - Rp - Rp -
Rp 14,620,000.00 Rp 14,740,000.00
Rp 130,000.00
Rp 1,082.00 Rp 1,220.00
Rp 14,751,082.00 Rp 14,741,220.00 Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 14,607,125.00 Rp 14,862,100.00 Rp - Rp - Rp - Rp -
Rp 1,017,125.00 Rp 2,479,400.00
Rp 1,250,000.00
Rp 275,500.00 Rp 355,500.00
Rp 29,000.00 Rp 303,700.00
Rp 2,985,500.00 Rp 123,500.00
Rp 6,000,000.00 Rp 6,000,000.00
Rp 2,000,000.00 Rp 2,000,000.00
Rp 300,000.00 Rp 350,000.00
Rp 2,000,000.00 Rp 2,000,000.00
Rp 14,607,125.00 Rp 14,862,100.00 Rp - Rp - Rp - Rp -
NOPEMBER DESEMBER JUMLAH
Rp 13,512,556.00
Rp -
Rp - Rp - Rp 87,756,553.00
Rp 87,410,000.00
Rp 340,000.00
Rp 6,553.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp 101,269,109.00

Rp - Rp - Rp 91,999,122.00
Rp 10,782,422.00
Rp -
Rp 896,000.00
Rp 8,410,000.00
Rp 2,383,500.00
Rp 836,200.00
Rp 20,741,000.00
Rp 31,500,000.00
Rp 7,800,000.00
Rp 650,000.00
Rp 8,000,000.00
Rp - Rp - Rp -
Rp -
Rp -
Rp 9,269,987.00
Rp - Rp - Rp 101,269,109.00
NO

b. Non Kapitasi Rp 1,234,000.00 Rp 619,000.00 Rp 88,500.00
3 Bunga Bank
JUMLAH Rp 34,498,612.00 Rp 15,936,276.00 Rp 16,712,899.00 Rp 15,901,136.00
NO
a. Belanja Bekal Kesehatan Rp 1,938,160.00 Rp 1,436,383.00 Rp 4,398,161.00 Rp 478,385.00

c. Pemeliharaan Alkes Rp 272,500.00 Rp 1,190,470.00 Rp 114,500.00
d. Harbang Rp 1,500,000.00 Rp 18,000.00
e. LTGA Rp 335,250.00 Rp 327,000.00 Rp 331,250.00 Rp 356,750.00
f. ATK Rp 406,000.00 Rp 1,021,850.00 Rp 47,500.00 Rp 98,800.00

a. Pajak Bank
3 SALDO Rp 17,992,075.00
JUMLAH Rp 34,498,612.00 Rp 16,990,193.00 Rp 26,725,636.00 Rp 14,332,260.00

RINCIAN PENERIMAAN
Rp 16,901,757.00 Rp 16,343,645.00 Rp - Rp - Rp - Rp -
Rp 15,660,000.00 Rp 15,710,000.00
Rp 1,240,000.00 Rp 631,400.00
Rp 1,757.00 Rp 2,245.00
Rp 149,050.00 Rp 139,050.00
Rp 17,050,807.00 Rp 16,482,695.00 Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 16,839,417.00 Rp 14,898,925.00 Rp - Rp - Rp - Rp -
Rp 1,853,297.00 Rp 3,983,350.00
Rp 97,505.00 Rp 218,000.00
Rp 378,000.00 Rp 468,000.00
Rp 236,700.00 Rp 53,500.00
Rp 1,475,965.00 Rp 922,075.00
Rp 5,812,950.00 Rp 5,562,000.00
Rp 1,500,000.00 Rp 1,500,000.00
Rp 4,585,000.00 Rp 1,292,000.00
Rp 900,000.00 Rp 900,000.00
Rp 149,050.00 Rp 139,050.00 Rp - Rp - Rp - Rp -
Rp 149,050.00 Rp 139,050.00
Rp 16,988,467.00 Rp 15,037,975.00 Rp - Rp - Rp - Rp -
Rp 17,400,966.00
Rp -
Rp - Rp - Rp 98,087,109.00
Rp 94,260,000.00
Rp 3,812,900.00
Rp 14,209.00
Rp -
Rp -
Rp -
Rp 1,094,350.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp 116,582,425.00

Rp - Rp - Rp 105,486,718.00
Rp 14,087,736.00
Rp -
Rp 1,892,975.00
Rp 1,518,000.00
Rp 2,196,250.00
Rp 1,864,350.00
Rp 18,309,157.00
Rp 33,711,250.00
Rp 10,500,000.00
Rp 13,607,000.00
Rp 7,800,000.00
Rp -
Rp - Rp - Rp 1,094,350.00
Rp -
Rp 1,094,350.00
Rp -
Rp 10,001,357.00
Rp - Rp - Rp 116,582,425.00
RINCIAN
NO

3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 32,866,542.00 Rp 17,458,984.00 Rp 57,913,816.00 Rp 17,852,157.00
RINCIAN P
NO

d. Harbang Rp 511,000.00 Rp 272,000.00 Rp 11,260,500.00 Rp 5,909,000.00
e. LTGA Rp 209,658.00 Rp 231,493.00 Rp 189,491.00 Rp 167,549.00
f. ATK Rp 60,500.00 Rp 1,082,700.00 Rp 361,000.00 Rp 188,800.00
h. Jasa Medis Rp 3,000,000.00 Rp 11,118,715.00 Rp 3,000,000.00
i. Jasa Paramedis Rp 2,800,000.00 Rp 10,718,715.00 Rp 2,800,000.00
j. Jasa Non Paramedis Rp 600,000.00 Rp 1,200,000.00 Rp 600,000.00
k. Jasa Pengelola Rp 800,000.00 Rp 800,000.00 Rp 5,987,470.00 Rp 800,000.00
a. Pajak Bank Rp -
3 SALDO Rp 12,766,409.00
JUMLAH Rp 32,866,542.00 Rp 22,699,627.00 Rp 52,528,457.00 Rp 29,931,701.00

RINCIAN PENERIMAAN
Rp 69,736,997.00 Rp 17,260,891.00 Rp - Rp - Rp - Rp - Rp -
Rp 17,030,000.00 Rp 17,090,000.00
Rp 52,625,000.00
Rp 81,997.00 Rp 170,891.00
Rp 69,736,997.00 Rp 17,260,891.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 63,700,246.00 Rp 23,925,616.00 Rp - Rp - Rp - Rp - Rp -
Rp 8,993,500.00 Rp 10,374,000.00
Rp 19,761,000.00 Rp 1,975,500.00
Rp 163,134.00 Rp 164,975.00
Rp 3,076,850.00 Rp 2,303,000.00
Rp 4,510,310.00 Rp 1,908,141.00
Rp 9,998,408.00 Rp 3,000,000.00
Rp 9,798,408.00 Rp 2,800,000.00
Rp 600,000.00 Rp 600,000.00
Rp 6,798,636.00 Rp 800,000.00
Rp 63,700,246.00 Rp 23,925,616.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 7,758,817.00
Rp -
Rp - Rp 205,330,570.00
Rp 102,660,000.00
Rp 100,570,000.00
Rp 2,100,570.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 213,089,387.00
DESEMBER JUMLAH
Rp - Rp 212,885,780.00
Rp 59,849,000.00
Rp -
Rp -
Rp 39,689,000.00
Rp 1,126,300.00
Rp 7,072,850.00
Rp 26,528,278.00
Rp 30,117,123.00
Rp 28,917,123.00
Rp 3,600,000.00
Rp 15,986,106.00
Rp - Rp -
Rp -
Rp -
Rp 203,607.00
Rp - Rp 213,089,387.00
RINCIAN PENERIMAAN
NO
1 Sisa Bulan Lalu Rp 72,830,056.00 Rp 72,830,056.00
Rp -
2 Penerimaan Rp 57,811,170.00 Rp 57,782,846.00 Rp 59,072,080.00 Rp 62,160,735.00 Rp 65,769,530.00 Rp 65,265,706.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp 367,862,067.00
a. Kapitasi Rp 57,783,500.00 Rp 57,760,000.00 Rp 59,061,500.00 Rp 62,150,500.00 Rp 62,650,000.00 Rp 65,260,000.00 Rp 364,665,500.00
c. Non BPJS Kes Rp 27,670.00 Rp 22,846.00 Rp 10,580.00 Rp 10,235.00 Rp 11,530.00 Rp 5,706.00 Rp 88,567.00
Rp -
3 Bunga Bank Rp -
Rp -
4 Penerimaan Pajak Rp 446,414.00 Rp 446,062.00 Rp 892,476.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JUMLAH Rp 131,087,640.00 Rp 58,228,908.00 Rp 59,072,080.00 Rp 62,160,735.00 Rp 65,769,530.00 Rp 65,265,706.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp 441,584,599.00
RINCIAN PENGELUARAN
NO
1 Pengeluaran Rp 85,207,531.00 Rp 60,980,078.00 Rp 71,619,947.00 Rp 67,713,197.00 Rp 71,892,665.00 Rp 69,078,527.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp 426,491,945.00
a. Belanja Bekal Kesehatan Rp 27,588,251.00 Rp 24,659,597.00 Rp 20,290,028.00 Rp 27,464,835.00 Rp 28,920,914.00 Rp 16,658,947.00 Rp 145,582,572.00
b. Uang Makan Rawat Inap Rp -
c. Pemeliharaan Alkes Rp 946,000.00 Rp 100,000.00 Rp 1,046,000.00
d. Harbang Rp 9,975,000.00 Rp 238,000.00 Rp 7,252,000.00 Rp 1,202,000.00 Rp 4,481,200.00 Rp 23,148,200.00
e. LTGA Rp 1,059,496.00 Rp 2,309,568.00 Rp 2,638,813.00 Rp 1,822,610.00 Rp 941,970.00 Rp 1,088,744.00 Rp 9,861,201.00
f. ATK Rp 1,963,000.00 Rp 3,336,700.00 Rp 3,552,500.00 Rp 2,400,000.00 Rp 2,874,400.00 Rp 8,295,550.00 Rp 22,422,150.00
g. Administrasi Rp 26,340,734.00 Rp 13,008,213.00 Rp 11,468,156.00 Rp 7,478,602.00 Rp 11,660,381.00 Rp 10,275,986.00 Rp 80,232,072.00
h. Jasa Medis Rp 2,475,604.00 Rp 2,475,604.00 Rp 6,953,604.00 Rp 7,138,944.00 Rp 7,168,914.00 Rp 7,325,514.00 Rp 33,538,184.00
i. Jasa Paramedis Rp 5,853,853.00 Rp 5,853,853.00 Rp 8,633,853.00 Rp 8,242,753.00 Rp 8,292,703.00 Rp 8,553,703.00 Rp 45,430,718.00
j. Jasa Non Paramedis Rp 2,523,573.00 Rp 2,523,573.00 Rp 4,252,023.00 Rp 4,437,363.00 Rp 4,467,333.00 Rp 4,623,933.00 Rp 22,827,798.00
k. Jasa Pengelola Rp 6,482,020.00 Rp 6,474,970.00 Rp 6,578,970.00 Rp 7,526,090.00 Rp 7,566,050.00 Rp 7,774,950.00 Rp 42,403,050.00
2 Pengeluaran Lain-lain Rp 446,414.00 Rp 446,062.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 892,476.00

a. Pajak Bank
Rp -
b. Pajak Lainnya Rp 446,414.00 Rp 446,062.00 Rp 892,476.00
3 SALDO Rp 45,433,695.00 Rp 14,200,178.00

RI
NO

b. Non Kapitasi Rp 531,750.00
3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 14,452,998.00 Rp 5,850,731.00 Rp 6,509,667.00 Rp 6,009,933.00
RIN
NO

d. Harbang Rp 75,000.00 Rp 410,000.00
e. LTGA Rp 345,500.00 Rp 345,500.00 Rp 345,500.00 Rp 345,500.00
f. ATK Rp 152,000.00 Rp 711,000.00 Rp 231,000.00 Rp 190,000.00
g. Administrasi Rp 2,913,484.00 Rp 1,672,546.00 Rp 1,370,883.00 Rp 877,380.00
h. Jasa Medis Rp 700,000.00 Rp 2,000,000.00 Rp 2,000,000.00 Rp 2,000,000.00
i. Jasa Paramedis Rp 400,000.00 Rp 400,000.00 Rp 400,000.00
j. Jasa Non Paramedis Rp 200,000.00 Rp 200,000.00
k. Jasa Pengelola Rp 150,000.00 Rp 250,000.00 Rp 250,000.00
a. Pajak Bank Rp -
3 SALDO Rp 8,308,014.00
JUMLAH Rp 14,452,998.00 Rp 7,159,046.00 Rp 6,555,883.00 Rp 6,234,380.00
Rp 8,308,012.80
RINCIAN PENERIMAAN
Rp 7,159,918.00 Rp 6,226,078.00 Rp - Rp - Rp - Rp - Rp -
Rp 6,216,000.00 Rp 6,224,000.00
Rp 942,750.00
Rp 1,168.00 Rp 2,078.00
Rp 7,159,918.00 Rp 6,226,078.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 6,774,000.00 Rp 5,438,415.00 Rp - Rp - Rp - Rp - Rp -
Rp 1,748,500.00 Rp 1,969,500.00
Rp 345,500.00 Rp 345,500.00
Rp 145,000.00 Rp 345,000.00
Rp 2,135,000.00 Rp 378,415.00
Rp 2,000,000.00 Rp 2,000,000.00
Rp 400,000.00 Rp 400,000.00
Rp 6,774,000.00 Rp 5,438,415.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 8,530,576.00
Rp -
Rp - Rp 37,678,749.00
Rp 36,192,000.00
Rp 1,474,500.00
Rp 12,249.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 46,209,325.00
DESEMBER JUMLAH
Rp - Rp 38,306,708.00
Rp 10,877,000.00
Rp -
Rp -
Rp 485,000.00
Rp 2,073,000.00
Rp 1,774,000.00
Rp 9,347,708.00
Rp 10,700,000.00
Rp 2,000,000.00
Rp 400,000.00
Rp 650,000.00
Rp - Rp -
Rp 7,902,617.00
Rp - Rp 46,209,325.00
R
NO

b. Non Kapitasi Rp 1,362,000.00
3 Bunga Bank
JUMLAH Rp 25,807,342.00 Rp 11,197,386.00 Rp 11,045,114.00 Rp 12,447,612.00
R
NO

c. Pemeliharaan Alkes Rp 200,000.00 Rp 1,639,000.00
e. LTGA Rp 257,064.00 Rp 255,237.00 Rp 258,463.00 Rp 312,239.00
f. ATK Rp 270,700.00 Rp 670,850.00 Rp 270,000.00
j. Jasa Non Paramedis Rp 664,533.00 Rp 667,172.00 Rp 590,004.00 Rp 492,953.00
k. Jasa Pengelola Rp 261,067.00 Rp 242,608.00

a. Pajak Bank
3 SALDO Rp 14,455,780.00
JUMLAH Rp 25,807,342.00 Rp 11,714,529.00 Rp 10,756,364.00 Rp 12,580,012.00

RINCIAN PENERIMAAN
Rp 11,048,938.00 Rp 11,073,592.00 Rp - Rp - Rp - Rp - Rp -
Rp 11,043,000.00 Rp 11,070,000.00
Rp 5,938.00 Rp 3,592.00
Rp 115,254.00 Rp 115,500.00
Rp 11,164,192.00 Rp 11,189,092.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 10,361,634.00 Rp 13,288,768.00 Rp - Rp - Rp - Rp - Rp -
Rp 1,007,100.00 Rp 1,960,200.00
Rp 430,000.00 Rp 2,630,000.00
Rp 256,046.00 Rp 265,850.00
Rp 210,000.00 Rp 19,500.00
Rp 1,832,688.00 Rp 1,771,218.00
Rp 4,038,070.00 Rp 4,051,300.00
Rp 2,086,336.00 Rp 2,093,172.00
Rp 501,394.00 Rp 497,528.00
Rp 115,254.00 Rp 115,500.00 Rp - Rp - Rp - Rp - Rp -
Rp 115,254.00 Rp 115,500.00
Rp 10,476,888.00 Rp 13,404,268.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 14,179,522.00
Rp -
Rp - Rp 68,107,681.00
Rp 66,717,000.00
Rp 1,362,000.00
Rp 28,681.00
Rp -
Rp -
Rp -
Rp 563,535.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 82,850,738.00
DESEMBER JUMLAH
Rp - Rp 69,720,088.00
Rp 10,261,400.00
Rp -
Rp 1,839,000.00
Rp 3,090,000.00
Rp 1,604,899.00
Rp 1,441,050.00
Rp 18,270,740.00
Rp 18,749,306.00
Rp 10,546,434.00
Rp 3,413,584.00
Rp 503,675.00
Rp - Rp 563,535.00
Rp -
Rp 563,535.00
Rp -
Rp 12,567,115.00
Rp - Rp 82,850,738.00
RINCIAN P
NO
1 Sisa Bulan Lalu Rp 610,051
2 Penerimaan Rp 18,724,897 Rp 17,591,087 Rp 19,535,206 Rp 18,884,560

a. Kapitasi Rp 17,390,000 Rp 17,410,000 Rp 17,210,000 Rp 17,430,000
b. Non Kapitasi Rp 1,334,000 Rp 180,000 Rp 2,324,040 Rp 1,453,000
c. Non BPJS Kes Rp 897 Rp 1,087 Rp 1,166 Rp 1,560
3 Bunga Bank
4 Penerimaan Pajak Rp 25,000 Rp 25,000 Rp 25,000 Rp 25,000
JUMLAH Rp 19,359,948 Rp 17,616,087 Rp 19,560,206 Rp 18,909,560
RINCIAN P
NO
1 Pengeluaran Rp 18,747,382 Rp 17,949,754 Rp 19,551,303 Rp 18,643,404
a. Belanja Bekal Kesehatan Rp 872,121 Rp 963,821 Rp 1,671,006 Rp 1,329,396

c. Pemeliharaan Alkes Rp 1,800,000 Rp 50,000 Rp 99,000
d. Harbang Rp 25,000 Rp 110,000 Rp 667,000 Rp 416,000
e. LTGA Rp 1,807,932 Rp 1,391,133 Rp 1,315,857 Rp 1,386,708
f. ATK Rp 901,000 Rp 305,500 Rp 96,400 Rp 393,900
g. Administrasi Rp 8,752,329 Rp 7,738,300 Rp 6,680,040 Rp 5,447,400
h. Jasa Medis Rp 1,000,000 Rp 1,000,000 Rp 3,700,000 Rp 4,200,000
i. Jasa Paramedis Rp 3,350,000 Rp 2,600,000 Rp 3,350,000 Rp 3,350,000
j. Jasa Non Paramedis Rp 300,000 Rp 300,000 Rp 300,000 Rp 300,000
k. Jasa Pengelola Rp 1,739,000 Rp 1,741,000 Rp 1,721,000 Rp 1,721,000
2 Pengeluaran Lain-lain Rp 25,000 Rp 25,000 Rp 25,000 Rp 25,000

a. Pajak Bank
b. Pajak Lainnya Rp 25,000 Rp 25,000 Rp 25,000 Rp 25,000
3 SALDO Rp 587,566
JUMLAH Rp 19,359,948 Rp 17,974,754 Rp 19,576,303 Rp 18,668,404

RINCIAN PENERIMAAN
Rp 17,581,316 Rp 19,172,171 Rp - Rp - Rp - Rp - Rp -
Rp 17,580,000 Rp 18,070,000
Rp 1,100,000
Rp 1,316 Rp 2,171
Rp 25,000 Rp 25,000
Rp 17,606,316 Rp 19,197,171 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 17,769,795 Rp 18,154,147 Rp - Rp - Rp - Rp - Rp -
Rp 823,346 Rp 2,492,500
Rp 76,000 Rp 347,000
Rp 1,000,000 Rp 1,454,000
Rp 1,386,249 Rp 1,399,647
Rp 532,400
Rp 4,726,200 Rp 4,571,600
Rp 4,350,000 Rp 3,000,000
Rp 3,350,000 Rp 2,250,000
Rp 300,000 Rp 300,000
Rp 1,758,000 Rp 1,807,000
Rp 25,000 Rp 25,000 Rp - Rp - Rp - Rp - Rp -
Rp 25,000 Rp 25,000
Rp 17,794,795 Rp 18,179,147 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 610,051
Rp -
Rp - Rp 111,489,237
Rp 105,090,000
Rp 6,391,040
Rp 8,197
Rp -
Rp -
Rp -
Rp 150,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 112,249,288
DESEMBER JUMLAH
Rp - Rp 110,815,785
Rp 8,152,190
Rp -
Rp 2,372,000
Rp 3,672,000
Rp 8,687,526
Rp 2,229,200
Rp 37,915,869
Rp 17,250,000
Rp 18,250,000
Rp 1,800,000
Rp 10,487,000
Rp - Rp 150,000
Rp -
Rp 150,000
Rp 1,283,503
Rp - Rp 112,249,288
RINCIA
NO

3 Bunga Bank
4 Penerimaan Pajak Rp 958,297.00 Rp 930,470.00 Rp 1,799,379.00 Rp 1,363,738.00
JUMLAH Rp 805,294,106.00 Rp 182,253,522.00 Rp 185,821,102.00 Rp 184,486,952.00
RINCIAN
NO

c. Pemeliharaan Alkes Rp 28,000,000.00 Rp 5,250,000.00 Rp 150,000.00 Rp 5,519,000.00
e. LTGA Rp 3,553,815.00 Rp 3,266,904.00 Rp 2,502,194.00 Rp 1,405,900.00
f. ATK Rp 2,630,725.00 Rp 5,680,775.00 Rp 455,000.00 Rp 2,527,050.00
g. Administrasi Rp 2,818,045.00 Rp 124,860.00 Rp 499,431.00 Rp 175,593.00
2 Pengeluaran Lain-lain Rp 958,297.00 Rp 930,470.00 Rp 1,799,379.00 Rp 1,363,738.00

a. Pajak Bank
b. Pajak Lainnya Rp 958,297.00 Rp 930,470.00 Rp 1,799,379.00 Rp 1,363,738.00
3 SALDO Rp 625,310,214.00
JUMLAH Rp 805,294,106.00 Rp 289,545,930.00 Rp 390,186,020.00 Rp 147,442,444.00

RINCIAN PENERIMAAN
Rp 183,497,047.00 Rp 186,973,572.00 Rp - Rp - Rp - Rp - Rp -
Rp 183,168,500.00 Rp 186,794,500.00
Rp 328,547.00 Rp 179,072.00
Rp 1,376,814.00 Rp 1,387,322.00
Rp 184,873,861.00 Rp 188,360,894.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 387,248,413.00 Rp 182,311,994.00 Rp - Rp - Rp - Rp - Rp -
Rp 65,270,237.00 Rp 31,299,052.00
Rp 1,705,000.00 Rp 33,405,000.00
Rp 248,704,350.00 Rp 54,185,000.00
Rp 1,601,752.00 Rp 2,520,023.00
Rp 709,000.00 Rp 5,296,700.00
Rp 16,139,209.00 Rp 1,435,814.00
Rp 11,717,744.00 Rp 10,688,243.00
Rp 11,208,371.00 Rp 13,184,214.00
Rp 9,521,205.00 Rp 10,800,627.00
Rp 20,671,545.00 Rp 19,497,321.00
Rp 1,376,814.00 Rp 1,387,322.00 Rp - Rp - Rp - Rp - Rp -
Rp 1,376,814.00 Rp 1,387,322.00
Rp 388,625,227.00 Rp 183,699,316.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 622,352,083.00
Rp -
Rp - Rp 1,100,922,334.00
Rp 1,095,434,000.00
Rp 2,854,000.00
Rp 2,634,334.00
Rp -
Rp -
Rp -
Rp 7,816,020.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 1,731,090,437.00
DESEMBER JUMLAH
Rp - Rp 1,571,666,809.00
Rp 329,776,044.00
Rp -
Rp 74,029,000.00
Rp 746,336,900.00
Rp 14,850,588.00
Rp 17,299,250.00
Rp 21,192,952.00
Rp 92,845,373.00
Rp 85,540,379.00
Rp 61,643,814.00
Rp 128,152,509.00
Rp - Rp 7,816,020.00
Rp -
Rp 7,816,020.00
Rp 151,607,608.00
Rp - Rp 1,731,090,437.00
NO
1 Sisa Bulan Lalu Rp 527,997.00

b. Non Kapitasi
c. Non BPJS Kes Rp 576.00 Rp 287.00 Rp 1,611.00 Rp 9,713.00
3 Bunga Bank
JUMLAH Rp 57,403,686.00 Rp 55,748,255.00 Rp 56,140,901.00 Rp 56,236,209.00
NO

c. Pemeliharaan Alkes Rp 150,000.00 Rp 3,528,000.00
e. LTGA Rp 961,500.00 Rp 1,037,800.00 Rp 944,657.00 Rp 1,041,483.00
f. ATK Rp 3,368,550.00 Rp 313,000.00 Rp 643,500.00 Rp 5,890,300.00

a. Pajak Bank
3 SALDO Rp 595,940.00
JUMLAH Rp 57,403,686.00 Rp 53,169,093.00 Rp 44,624,512.00 Rp 52,770,181.00

RINCIAN PENERIMAAN
Rp 57,406,315.00 Rp 56,849,086.00 Rp - Rp - Rp - Rp -
Rp 56,316,000.00 Rp 56,848,000.00
Rp 1,080,000.00
Rp 10,315.00 Rp 1,086.00
Rp 364,433.00 Rp 357,437.00
Rp 57,770,748.00 Rp 57,206,523.00 Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 71,991,888.00 Rp 60,231,703.00 Rp - Rp - Rp - Rp -
Rp 11,675,479.00 Rp 14,427,153.00
Rp 285,000.00
Rp 25,315,000.00 Rp 16,320,000.00
Rp 1,042,221.00 Rp 605,000.00
Rp 5,212,700.00 Rp 1,377,350.00
Rp 11,925,613.00 Rp 10,176,400.00
Rp 6,925,377.00 Rp 6,924,955.00
Rp 5,745,498.00 Rp 5,865,845.00
Rp 650,000.00 Rp 1,250,000.00
Rp 3,500,000.00 Rp 3,000,000.00
Rp 364,433.00 Rp 357,437.00 Rp - Rp - Rp - Rp -
Rp 364,433.00 Rp 357,437.00
Rp 72,356,321.00 Rp 60,589,140.00 Rp - Rp - Rp - Rp -
Rp 527,997.00
Rp -
Rp - Rp - Rp 337,793,838.00
Rp 336,690,250.00
Rp 1,080,000.00
Rp 23,588.00
Rp -
Rp -
Rp -
Rp 2,184,487.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp 340,506,322.00

Rp - Rp - Rp 338,132,506.00
Rp 61,944,995.00
Rp -
Rp 3,963,000.00
Rp 85,769,500.00
Rp 5,632,661.00
Rp 16,805,400.00
Rp 63,201,871.00
Rp 41,441,255.00
Rp 34,313,824.00
Rp 4,500,000.00
Rp 20,560,000.00
Rp - Rp - Rp 2,184,487.00
Rp -
Rp 2,184,487.00
Rp 189,329.00
Rp - Rp - Rp 340,506,322.00
R
NO

c. Non BPJS Kes Rp 182.00 Rp 2,540.00 Rp 2,270.00 Rp 638.00
3 Bunga Bank
JUMLAH Rp 21,068,245.00 Rp 9,493,540.00 Rp 10,462,270.00 Rp 10,535,638.00
R
NO
a. Belanja Bekal Kesehatan Rp 1,595,000.00 Rp 908,500.00 Rp 1,595,000.00 Rp 1,001,000.00

d. Harbang Rp 2,350,000.00 Rp 937,700.00
e. LTGA Rp 261,500.00 Rp 374,000.00 Rp 357,500.00
f. ATK Rp 2,281,000.00 Rp 520,000.00 Rp 373,500.00
g. Administrasi Rp 2,281,037.00 Rp 3,000,000.00 Rp 4,531,000.00 Rp 650,000.00
i. Jasa Paramedis Rp 1,000,000.00 Rp 2,000,000.00 Rp 3,000,000.00
j. Jasa Non Paramedis Rp 1,000,000.00
k. Jasa Pengelola

a. Pajak Bank
3 SALDO Rp 12,855,708.00
JUMLAH Rp 21,068,245.00 Rp 7,638,500.00 Rp 17,503,500.00 Rp 10,398,200.00

RINCIAN PENERIMAAN
Rp 11,451,013.00 Rp 10,490,860.00 Rp - Rp - Rp - Rp - Rp -
Rp 10,420,000.00 Rp 10,490,000.00
Rp 1,030,000.00
Rp 1,013.00 Rp 860.00
Rp 106,250.00 Rp 106,250.00
Rp 11,557,263.00 Rp 10,597,110.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 11,948,202.00 Rp 15,142,600.00 Rp - Rp - Rp - Rp - Rp -
Rp 2,012,500.00 Rp 2,283,500.00
Rp 2,262,000.00
Rp 1,266,000.00 Rp 2,328,000.00
Rp 716,000.00
Rp 1,274,000.00 Rp 1,144,600.00
Rp 1,645,702.00 Rp 158,500.00
Rp 4,250,000.00 Rp 4,250,000.00
Rp 1,500,000.00 Rp 1,500,000.00
Rp 500,000.00
Rp 37,500.00 Rp 106,250.00 Rp - Rp - Rp - Rp - Rp -
Rp 37,500.00 Rp 106,250.00
Rp 11,985,702.00 Rp 15,248,850.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 10,325,063.00
Rp -
Rp - Rp 62,801,503.00
Rp 59,574,000.00
Rp 3,220,000.00
Rp 7,503.00
Rp -
Rp -
Rp -
Rp 587,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 73,714,066.00
DESEMBER JUMLAH
Rp - Rp 70,468,539.00
Rp 9,395,500.00
Rp -
Rp 2,262,000.00
Rp 6,881,700.00
Rp 1,709,000.00
Rp 5,593,100.00
Rp 12,266,239.00
Rp 21,861,000.00
Rp 9,000,000.00
Rp 1,500,000.00
Rp -
Rp - Rp 518,750.00
Rp -
Rp 518,750.00
Rp 2,726,777.00
Rp - Rp 73,714,066.00
NO

b. Non Kapitasi Rp 880,000.00
c. Non BPJS Kes Rp 238.00 Rp 235.00
3 Bunga Bank
JUMLAH Rp 11,132,507.00 Rp 7,861,500.00 Rp 7,726,735.00 Rp 7,555,500.00
NO
a. Belanja Bekal Kesehatan Rp 1,051,000.00 Rp 589,000.00 Rp 965,000.00 Rp 843,000.00

e. LTGA Rp 483,892.00 Rp 404,376.00 Rp 471,882.00 Rp 449,568.00
f. ATK Rp 210,000.00 Rp 1,083,000.00 Rp 50,000.00
h. Jasa Medis Rp 900,000.00 Rp 900,000.00 Rp 900,000.00 Rp 2,700,000.00
i. Jasa Paramedis Rp 525,000.00 Rp 525,000.00 Rp 525,000.00 Rp 525,000.00
k. Jasa Pengelola Rp 627,000.00 Rp 624,000.00 Rp 616,320.00 Rp 592,000.00

a. Pajak Bank
3 SALDO Rp 2,948,067.00
JUMLAH Rp 11,132,507.00 Rp 8,182,876.00 Rp 8,053,702.00 Rp 7,535,068.00

RINCIAN PENERIMAAN
Rp 7,479,336.00 Rp 7,650,223.00 Rp - Rp - Rp - Rp - Rp -
Rp 7,479,000.00 Rp 7,650,000.00
Rp 336.00 Rp 223.00
Rp 67,500.00 Rp 67,500.00
Rp 7,546,836.00 Rp 7,717,723.00 Rp - Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 7,511,659.00 Rp 7,363,250.00 Rp - Rp - Rp - Rp - Rp -
Rp 454,000.00 Rp 700,000.00
Rp 534,272.00 Rp 539,250.00
Rp 153,000.00 Rp 16,000.00
Rp 2,127,067.00 Rp 1,851,000.00
Rp 2,700,000.00 Rp 2,700,000.00
Rp 525,000.00 Rp 525,000.00
Rp 420,000.00 Rp 420,000.00
Rp 598,320.00 Rp 612,000.00
Rp 67,500.00 Rp 67,500.00 Rp - Rp - Rp - Rp - Rp -
Rp 67,500.00 Rp 67,500.00
Rp 7,579,159.00 Rp 7,430,750.00 Rp - Rp - Rp - Rp - Rp -
DESEMBER JUMLAH
Rp 2,390,769.00
Rp -
Rp - Rp 46,880,032.00
Rp 45,999,000.00
Rp 880,000.00
Rp 1,032.00
Rp -
Rp -
Rp -
Rp 270,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp 49,540,801.00
DESEMBER JUMLAH
Rp - Rp 46,695,995.00
Rp 4,602,000.00
Rp -
Rp -
Rp 25,000.00
Rp 2,883,240.00
Rp 1,512,000.00
Rp 17,534,115.00
Rp 10,800,000.00
Rp 3,150,000.00
Rp 2,520,000.00
Rp 3,669,640.00
Rp - Rp 270,000.00
Rp -
Rp 270,000.00
Rp 2,574,806.00
Rp - Rp 49,540,801.00
R
NO

b. Non Kapitasi
c. Non BPJS Kes Rp 1,161.00 Rp 745.00 Rp 489.00 Rp 165.00
3 Bunga Bank
JUMLAH Rp 23,101,176.00 Rp 10,967,245.00 Rp 11,055,489.00 Rp 11,275,665.00
RIN
NO

c. Pemeliharaan Alkes Rp 271,500.00 Rp 310,000.00
d. Harbang Rp 640,000.00 Rp 100,000.00
e. LTGA Rp 507,000.00 Rp 404,000.00 Rp 354,000.00 Rp 404,000.00
f. ATK Rp 212,500.00 Rp 116,250.00 Rp 1,196,000.00 Rp 1,255,000.00
h. Jasa Medis Rp 1,260,000.00 Rp 900,000.00 Rp 4,800,000.00 Rp 3,900,000.00
j. Jasa Non Paramedis Rp 1,000,000.00 Rp 1,000,000.00
k. Jasa Pengelola Rp 656,000.00 Rp 657,000.00 Rp 656,000.00 Rp 671,000.00

a. Pajak Bank Rp -
3 SALDO Rp 11,894,576.00
JUMLAH Rp 23,101,176.00 Rp 10,939,050.00 Rp 19,735,850.00 Rp 12,901,500.00

RINCIAN PENERIMAAN
Rp 11,106,479.00 Rp 11,160,318.00 Rp - Rp - Rp - Rp -
Rp 11,106,000.00 Rp 11,160,000.00
Rp 479.00 Rp 318.00
Rp 100,000.00 Rp 100,000.00
Rp 11,206,479.00 Rp 11,260,318.00 Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 11,408,846.00 Rp 11,429,600.00 Rp - Rp - Rp - Rp -
Rp 2,210,000.00 Rp 1,394,500.00
Rp 356,000.00 Rp 185,000.00
Rp 27,000.00 Rp 1,000,000.00
Rp 354,250.00 Rp 354,250.00
Rp 433,500.00 Rp 322,950.00
Rp 1,561,096.00 Rp 1,702,900.00
Rp 4,000,000.00 Rp 4,000,000.00
Rp 1,800,000.00 Rp 1,800,000.00
Rp 667,000.00 Rp 670,000.00
Rp 100,000.00 Rp 100,000.00 Rp - Rp - Rp - Rp -
Rp 100,000.00 Rp 100,000.00
Rp 11,508,846.00 Rp 11,529,600.00 Rp - Rp - Rp - Rp -
Rp 12,151,515.00
Rp -
Rp - Rp - Rp 66,243,357.00
Rp 66,240,000.00
Rp -
Rp 3,357.00
Rp -
Rp -
Rp -
Rp 471,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp 78,866,372.00

Rp - Rp - Rp 77,349,946.00
Rp 12,426,400.00
Rp -
Rp 1,122,500.00
Rp 1,767,000.00
Rp 2,377,500.00
Rp 3,536,200.00
Rp 19,133,346.00
Rp 18,860,000.00
Rp 12,150,000.00
Rp 2,000,000.00
Rp 3,977,000.00
Rp -
Rp - Rp - Rp 471,500.00
Rp -
Rp 471,500.00
Rp 1,044,926.00
Rp - Rp - Rp 78,866,372.00
RINCIAN PENERIMAAN
NO
2 Penerimaan Rp 8,668,522.00 Rp 8,514,854.00 Rp 8,513,834.00 Rp 8,632,434.00 Rp 12,126,440.00 Rp 9,924,292.00 Rp -

c. Non BPJS Kes Rp 4,522.00 Rp 2,854.00 Rp 1,834.00 Rp 434.00 Rp 440.00 Rp 292.00
3 Bunga Bank
4 Penerimaan Pajak Rp 29,250.00 Rp 27,000.00 Rp 65,250.00 Rp 29,250.00 Rp 33,750.00 Rp 45,000.00
RINCIAN PENGELUARAN
NO
URAIAN KEGIATAN JUMLAH DANA FEBRUARI MARET APRIL MEI JUNI JULI
1 Pengeluaran Rp 9,580,154.00 Rp 8,820,400.00 Rp 20,087,306.00 Rp 12,208,700.00 Rp 10,114,838.00 Rp 10,156,583.00 Rp -
a. Belanja Bekal Kesehatan Rp 600,000.00 Rp 1,225,900.00 Rp 2,375,800.00 Rp 2,588,200.00 Rp 1,556,000.00 Rp 1,859,333.00

c. Pemeliharaan Alkes Rp 120,000.00
d. Harbang Rp 10,000.00 Rp 50,000.00 Rp 15,000.00
e. LTGA Rp 270,250.00 Rp 151,500.00 Rp 162,750.00 Rp 151,500.00 Rp 162,750.00 Rp 158,250.00
f. ATK Rp 37,000.00 Rp 1,849,000.00 Rp 1,240,000.00 Rp 40,000.00
g. Administrasi Rp 2,900,904.00 Rp 57,000.00 Rp 7,631,000.00 Rp 4,959,000.00 Rp 5,831,088.00 Rp 4,919,000.00
i. Jasa Paramedis Rp 2,000,000.00 Rp 2,000,000.00 Rp 3,200,000.00 Rp 2,800,000.00 Rp 700,000.00 Rp 1,000,000.00
k. Jasa Pengelola Rp 2,192,000.00 Rp 2,007,000.00 Rp 2,267,756.00 Rp 500,000.00 Rp 300,000.00
2 Pengeluaran Lain-lain Rp 29,250.00 Rp 27,000.00 Rp 65,250.00 Rp 29,250.00 Rp 33,750.00 Rp 45,000.00 Rp 18,000.00

a. Pajak Bank
b. Pajak Lainnya Rp 29,250.00 Rp 27,000.00 Rp 65,250.00 Rp 29,250.00 Rp 33,750.00 Rp 45,000.00
3 SALDO Rp 18,298,189.00
JUMLAH Rp 27,907,593.00 Rp 8,847,400.00 Rp 20,152,556.00 Rp 12,237,950.00 Rp 10,148,588.00 Rp 10,201,583.00 Rp 18,000.00

Rp 19,209,821.00
Rp -
Rp - Rp - Rp - Rp - Rp - Rp 56,380,376.00
Rp 52,860,000.00
Rp 3,510,000.00
Rp 10,376.00
Rp -
Rp -
Rp -
Rp 229,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp - Rp - Rp - Rp 75,819,697.00

Rp - Rp - Rp - Rp - Rp - Rp 70,967,981.00
Rp 10,205,233.00
Rp -
Rp 120,000.00
Rp 75,000.00
Rp 1,057,000.00
Rp 3,166,000.00
Rp 26,297,992.00
Rp 9,180,000.00
Rp 11,700,000.00
Rp 1,900,000.00
Rp 7,266,756.00
Rp - Rp - Rp - Rp - Rp - Rp 229,500.00
Rp -
Rp 229,500.00
Rp 4,622,216.00
Rp - Rp - Rp - Rp - Rp - Rp 75,819,697.00
NO

b. Non Kapitasi
c. Non BPJS Kes Rp 391.00 Rp 562.00 Rp 4,804.00
3 Bunga Bank
4 Penerimaan Pajak
JUMLAH Rp 19,224,374.00 Rp 10,692,391.00 Rp 11,322,562.00 Rp 11,245,804.00
NO
a. Belanja Bekal Kesehatan Rp 2,082,000.00 Rp 545,000.00 Rp 3,620,000.00 Rp 1,976,500.00

c. Pemeliharaan Alkes Rp 500,000.00 Rp 1,147,000.00 Rp 700,000.00
d. Harbang Rp 1,381,000.00
e. LTGA Rp 620,000.00 Rp 855,000.00 Rp 938,000.00 Rp 1,027,000.00
f. ATK Rp 102,000.00 Rp 596,500.00 Rp 208,000.00 Rp 180,000.00
g. Administrasi Rp 1,865,500.00 Rp 1,683,500.00 Rp 257,000.00 Rp 416,461.00
k. Jasa Pengelola
a. Pajak Bank Rp -
3 SALDO Rp 9,554,874.00
JUMLAH Rp 19,224,374.00 Rp 9,111,000.00 Rp 10,070,000.00 Rp 8,049,961.00

RINCIAN PENERIMAAN
Rp 11,298,588.00 Rp 11,272,781.00 Rp - Rp - Rp - Rp -
Rp 11,295,000.00 Rp 11,268,000.00
Rp 4,781.00
Rp 3,588.00
Rp 11,298,588.00 Rp 11,272,781.00 Rp - Rp - Rp - Rp -
RINCIAN PENGELUARAN

Rp 11,439,500.00 Rp 12,305,456.00 Rp - Rp - Rp - Rp -
Rp 1,407,000.00 Rp 3,910,500.00
Rp 500,000.00 Rp 2,875,000.00
Rp 804,000.00 Rp 821,000.00
Rp 220,000.00 Rp 282,500.00
Rp 408,500.00 Rp 516,456.00
Rp 4,400,000.00 Rp 2,200,000.00
Rp 3,100,000.00 Rp 1,250,000.00
Rp 600,000.00 Rp 450,000.00
Rp 11,439,500.00 Rp 12,305,456.00 Rp - Rp - Rp - Rp -
Rp 9,704,374.00
Rp -
Rp - Rp - Rp 65,352,126.00
Rp 65,338,000.00
Rp 4,781.00
Rp 9,345.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - Rp - Rp 75,056,500.00

Rp - Rp - Rp 60,645,417.00
Rp 13,541,000.00
Rp -
Rp 5,722,000.00
Rp 1,381,000.00
Rp 5,065,000.00
Rp 1,589,000.00
Rp 5,147,417.00
Rp 15,400,000.00
Rp 9,600,000.00
Rp 3,200,000.00
Rp -
Rp -
Rp - Rp - Rp -
Rp -
Rp -
Rp 14,411,083.00
Rp - Rp - Rp 75,056,500.00
RINCIAN PENERIMAAN PUS ARHANUD
NO
Rp -
2 Penerimaan Rp 42,385,797.00 Rp 42,000,183.00 Rp 42,852,738.00 Rp 44,500,831.00 Rp 46,573,474.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 218,313,023.00
b. Non Kapitasi Rp 8,797.00 Rp 618,183.00 Rp 498,738.00 Rp 4,831.00 Rp 490,000.00 Rp 1,620,549.00
c. Non BPJS Kes Rp 3,474.00 Rp 3,474.00
Rp -
3 Bunga Bank Rp -
Rp -
4 Penerimaan Pajak Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
JUMLAH Rp 67,091,764.00 Rp 42,000,183.00 Rp 42,852,738.00 Rp 44,500,831.00 Rp 46,573,474.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 243,018,990.00
RINCIAN PENGELUARAN PUS ARHANUD 2018

NO
1 Pengeluaran Rp 42,717,562.00 Rp 35,623,832.00 Rp 64,100,514.00 Rp 45,901,371.00 Rp 37,632,648.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 225,975,927.00
a. Belanja Bekal Kesehatan Rp 769,000.00 Rp 4,927,775.00 Rp 16,515,550.00 Rp 12,425,825.00 Rp 15,656,525.00 Rp 50,294,675.00

c. Pemeliharaan Alkes Rp 22,500,000.00 Rp 11,250,000.00 Rp 6,625,000.00 Rp 7,469,300.00 Rp 47,844,300.00
d. Harbang Rp 211,000.00 Rp 285,500.00 Rp 1,468,500.00 Rp 8,114,000.00 Rp 1,047,000.00 Rp 11,126,000.00
e. LTGA Rp 723,753.00 Rp 668,140.00 Rp 682,546.00 Rp 684,040.00 Rp 2,758,479.00
f. ATK Rp 124,500.00 Rp 1,698,100.00 Rp 7,682,500.00 Rp 1,239,500.00 Rp 10,744,600.00
g. Administrasi Rp 3,646,309.00 Rp 4,081,217.00 Rp 5,105,618.00 Rp 3,159,406.00 Rp 5,065,623.00 Rp 21,058,173.00
i. Jasa Paramedis Rp 5,493,000.00 Rp 4,663,100.00 Rp 10,420,800.00 Rp 6,848,800.00 Rp 6,624,000.00 Rp 34,049,700.00
j. Jasa Non Paramedis Rp 3,250,000.00 Rp 2,550,000.00 Rp 4,600,000.00 Rp 1,700,000.00 Rp 1,800,000.00 Rp 13,900,000.00
k. Jasa Pengelola Rp 500,000.00 Rp 700,000.00 Rp 1,200,000.00
2 Pengeluaran Lain-lain Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp -
a. Pajak Bank Rp -
Rp -
3 SALDO Rp 24,374,202.00 Rp 17,043,063.00

RINCIAN PENERIMAAN 502
NO
Rp -
b. Non Kapitasi Rp -
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
RINCIAN PENGELUARAN 502

NO
c. Pemeliharaan Alkes Rp 350,000.00 Rp 1,300,000.00 Rp 3,786,000.00 Rp 451,000.00 Rp 5,887,000.00
d. Harbang Rp -
e. LTGA Rp 335,000.00 Rp 255,000.00 Rp 205,000.00 Rp 205,000.00 Rp 200,000.00 Rp 250,000.00 Rp 1,450,000.00
f. ATK Rp 400,000.00 Rp 111,500.00 Rp 511,500.00
g. Administrasi Rp 1,706,000.00 Rp 1,083,000.00 Rp 450,000.00 Rp 300,000.00 Rp 3,790,000.00 Rp 740,000.00 Rp 8,069,000.00
i. Jasa Paramedis Rp 950,000.00 Rp 950,000.00 Rp 950,000.00 Rp 950,000.00 Rp 950,000.00 Rp 950,000.00 Rp 5,700,000.00
j. Jasa Non Paramedis Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 1,800,000.00
k. Jasa Pengelola Rp -
Rp -
a. Pajak Bank Rp -
Rp -
b. Pajak Lainnya Rp - Rp -
3 SALDO Rp 23,022,827.00 Rp 2,611,400.00

RINCIAN PENERIMAAN WIRA HUSADA
NO
URAIAN KEGIATAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER JUMLAH
Rp -
c. Non BPJS Kes Rp 1,060,307.00 Rp 521,386.00 Rp 444,621.00 Rp 683,624.00 Rp 1,133,653.00 Rp 782,316.00 Rp 4,625,907.00
Rp -
3 Bunga Bank Rp -
Rp -
4 Penerimaan Pajak Rp 2,740,881.00 Rp 874,506.00 Rp 1,323,034.00 Rp 699,410.00 Rp 1,255,699.00 Rp 9,278,758.00 Rp 16,172,288.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
RINCIAN PENGELUARAN WRA HUSADA

NO
c. Pemeliharaan Alkes Rp 2,200,000.00 Rp 1,050,000.00 Rp 22,105,600.00 Rp 25,355,600.00
d. Harbang Rp 7,788,000.00 Rp 41,707,600.00 Rp 49,495,600.00
e. LTGA Rp 1,032,990.00 Rp 908,896.00 Rp 1,246,030.00 Rp 917,435.00 Rp 1,230,729.00 Rp 1,210,168.00 Rp 6,546,248.00
f. ATK Rp 3,729,200.00 Rp 1,818,600.00 Rp 909,100.00 Rp 2,675,900.00 Rp 4,140,190.00 Rp 13,272,990.00
i. Jasa Paramedis Rp 7,990,000.00 Rp 8,260,000.00 Rp 9,158,230.00 Rp 9,959,071.00 Rp 10,526,563.00 Rp 11,279,452.00 Rp 57,173,316.00
j. Jasa Non Paramedis Rp 3,217,612.00 Rp 2,940,860.00 Rp 6,099,630.00 Rp 2,943,556.00 Rp 3,111,783.00 Rp 3,538,427.00 Rp 21,851,868.00
Rp -
2 Pengeluaran Lain-lain Rp 2,740,881.00 Rp 874,506.00 Rp 1,323,034.00 Rp 699,410.00 Rp 1,255,699.00 Rp 9,278,758.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp 16,172,288.00
a. Pajak Bank
Rp -
b. Pajak Lainnya Rp 2,740,881.00 Rp 874,506.00 Rp 1,323,034.00 Rp 699,410.00 Rp 1,255,699.00 Rp 9,278,758.00 Rp 16,172,288.00
3 SALDO Rp 44,173,923.00 Rp 81,800,961.00

Rp 477,917,907.00
22.4394173654
RINCIAN PENERIMAAN YONKES 2 KOSTRAD 2018
NO
1 Sisa Bulan Lalu 360,811 360,811
-
2 Penerimaan 24,290,457 24,220,472 24,840,000 25,302,066 25,580,427 23,857,426 - - - - - - 148,090,848
a. Kapitasi 24,290,000 24,220,000 24,840,000 25,300,000 25,580,000 23,857,000 148,087,000
b. Non Kapitasi -
c. Non BPJS Kes 457 472 2,066 427 426 3,848
-
3 Bunga Bank -
-
4 Penerimaan Pajak 200,000 200,000 200,000 200,000 125,000 125,000 1,050,000
-
-
-
-
-
-
-
-
JUMLAH 24,851,268 24,420,472 25,040,000 25,502,066 25,705,427 23,982,426 - - - - - - 149,501,659

RINCIAN PENGELUARAN YONKES 2 KOSTRAD 2018
NO
1 Pengeluaran 23,610,650 24,938,000 24,390,750 25,470,050 25,941,400 23,483,100 - - - - - - 147,833,950
c. Pemeliharaan Alkes 2,679,500 7,458,000 6,233,000 3,286,200 4,355,000 8,575,000 32,586,700
d. Harbang 5,597,000 1,984,500 4,132,000 6,752,500 4,500,000 209,000 23,175,000
e. LTGA 459,000 435,000 534,000 817,000 657,500 1,008,000 3,910,500
f. ATK 196,000 2,343,000 203,000 325,000 427,000 200,000 3,694,000
g. Administrasi 998,600 763,500 1,065,000 2,800,500 2,663,500 548,400 8,839,500
h. Jasa Medis 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 15,000,000
i. Jasa Paramedis 2,900,000 2,900,000 3,800,000 3,800,000 3,800,000 4,100,000 21,300,000
k. Jasa Pengelola 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 9,000,000
2 Pengeluaran Lain-lain 200,000 200,000 200,000 200,000 125,000 125,000 - - - - - - 1,050,000

a. Pajak Bank -
-
b. Pajak Lainnya 200,000 200,000 200,000 200,000 125,000 125,000 1,050,000
3 SALDO 1,040,618 617,709
JUMLAH 24,851,268 25,138,000 24,590,750 25,670,050 26,066,400 23,608,100 - - - - - - 149,501,659

RINCIAN PENERIMAAN
NO
Rp -
c. Non BPJS Kes Rp 3,226.00 Rp 348.00 Rp 348.00 Rp 1,749.00 Rp 348.00 Rp 695.00 Rp 6,714.00
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
RINCIAN PENGELUARAN
NO
c. Pemeliharaan Alkes Rp 45,000.00 Rp 969,000.00 Rp 1,288,300.00 Rp 440,000.00 Rp 776,000.00 Rp 23,000.00 Rp 3,541,300.00
d. Harbang Rp 2,352,000.00 Rp 403,500.00 Rp 975,000.00 Rp 3,842,800.00 Rp 1,825,000.00 Rp 1,287,240.00 Rp 10,685,540.00
f. ATK Rp 375,000.00 Rp 600,000.00 Rp 41,600.00 Rp 509,300.00 Rp 1,773,700.00 Rp 3,299,600.00
g. Administrasi Rp 128,500.00 Rp 171,500.00 Rp 90,500.00 Rp 138,000.00 Rp 1,361,500.00 Rp 2,061,000.00 Rp 3,951,000.00
i. Jasa Paramedis Rp 800,000.00 Rp 1,050,000.00 Rp 1,600,000.00 Rp 3,450,000.00
j. Jasa Non Paramedis Rp -
k. Jasa Pengelola Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 300,000.00 Rp 1,800,000.00
a. Pajak Bank Rp -
Rp -
3 SALDO Rp 14,031,121.00 Rp 17,518,116.00

RINCIAN PENERIMAAN
NO
Rp -
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
RINCIAN PENGELUARAN
NO
a. Belanja Bekal Kesehatan Rp 3,353,700.00 Rp 4,904,700.00 Rp 8,869,096.00 Rp 580,000.00 Rp 4,917,900.00 Rp 4,512,500.00 Rp 27,137,896.00
c. Pemeliharaan Alkes Rp 1,725,000.00 Rp 391,600.00 Rp 2,116,600.00
d. Harbang Rp 78,000.00 Rp 579,000.00 Rp 9,760,000.00 Rp 1,832,000.00 Rp 4,881,500.00 Rp 17,130,500.00
f. ATK Rp 422,000.00 Rp 280,000.00 Rp 523,500.00 Rp 634,000.00 Rp 421,000.00 Rp 417,000.00 Rp 2,697,500.00
g. Administrasi Rp 11,000.00 Rp 12,227.00 Rp 11,814.00 Rp 7,982.00 Rp 8,011.00 Rp 7,000.00 Rp 58,034.00
i. Jasa Paramedis Rp 700,000.00 Rp 700,000.00 Rp 700,000.00 Rp 2,100,000.00
j. Jasa Non Paramedis Rp -
a. Pajak Bank Rp - Rp -
3 SALDO Rp 16,068,705.00 Rp 4,200,638.00
12232012
RINCIAN PENERIMAAN BRIGF 9
NO
1 Sisa Bulan Lalu Rp 755,307.00 Rp 755,307.00
Rp -
b. Non Kapitasi Rp 500,477.00 Rp 216,882.00 Rp 717,359.00
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
RINCIAN PENGELUARAN BRIGF 9

NO
c. Pemeliharaan Alkes Rp 310,000.00 Rp 160,000.00 Rp 1,665,000.00 Rp 125,000.00 Rp 2,260,000.00
d. Harbang Rp 1,873,200.00 Rp 696,000.00 Rp 467,500.00 Rp 633,300.00 Rp 150,900.00 Rp 3,820,900.00
f. ATK Rp 128,750.00 Rp 301,250.00 Rp 175,200.00 Rp 597,000.00 Rp 207,900.00 Rp 1,410,100.00
g. Administrasi Rp 14,297.00 Rp 12,500.00 Rp 775,350.00 Rp 5,500.00 Rp 5,500.00 Rp 5,500.00 Rp 818,647.00
j. Jasa Non Paramedis Rp 3,000,000.00 Rp 3,000,000.00
k. Jasa Pengelola Rp -
3 SALDO Rp 466,146.00 Rp 382,674.00

NO
Rp -
c. Non BPJS Kes Rp 2,889.00 Rp 1,491.00 Rp 490.00 Rp 243.00 Rp 246.00 Rp 3,430.00 Rp 8,789.00
Rp -
3 Bunga Bank Rp -
Rp -
4 Penerimaan Pajak Rp 5,500.00 Rp 5,500.00 Rp 4,500.00 Rp 5,500.00 Rp 5,500.00 Rp 5,500.00 Rp 32,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

NO
b. Uang Makan Rawat Inap Rp 2,034,000.00 Rp 2,034,000.00
c. Pemeliharaan Alkes Rp 1,700,000.00 Rp 2,182,500.00 Rp 1,997,000.00 Rp 1,288,500.00 Rp 723,500.00 Rp 2,061,000.00 Rp 9,952,500.00
d. Harbang Rp 612,500.00 Rp 219,500.00 Rp 862,000.00 Rp 646,000.00 Rp 162,500.00 Rp 1,166,000.00 Rp 3,668,500.00
f. ATK Rp 271,500.00 Rp 238,500.00 Rp 206,400.00 Rp 241,500.00 Rp 1,150,000.00 Rp 558,000.00 Rp 2,665,900.00
g. Administrasi Rp 950,000.00 Rp 1,010,000.00 Rp 2,150,000.00 Rp 650,000.00 Rp 2,800,000.00 Rp 940,000.00 Rp 8,500,000.00
i. Jasa Paramedis Rp 650,000.00 Rp 650,000.00 Rp 1,000,000.00 Rp 1,000,000.00 Rp 800,000.00 Rp 1,000,000.00 Rp 5,100,000.00
j. Jasa Non Paramedis Rp 800,000.00 Rp 800,000.00 Rp 800,000.00 Rp 800,000.00 Rp 1,000,000.00 Rp 800,000.00 Rp 5,000,000.00
k. Jasa Pengelola Rp 1,000,000.00 Rp 1,000,000.00
2 Pengeluaran Lain-lain Rp 5,500.00 Rp 5,500.00 Rp 4,500.00 Rp 5,500.00 Rp 5,500.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 26,500.00

b. Pajak Lainnya Rp 5,500.00 Rp 5,500.00 Rp 4,500.00 Rp 5,500.00 Rp 5,500.00 Rp 26,500.00
3 SALDO Rp 12,924,711.00 Rp 179,711.00

NO
1 Sisa Bulan Lalu 56,185,042 56,185,042
-
2 Penerimaan 16,431,808 16,228,906 16,553,592 17,093,123 16,906,757 17,077,763 - - - - - - 100,291,949
a. Kapitasi 16,407,000 16,209,000 16,542,000 17,082,000 16,902,000 17,073,000 100,215,000
b. Non Kapitasi -
c. Non BPJS Kes 24,808 19,906 11,592 11,123 4,757 4,763 76,949
-
3 Bunga Bank -
-
-
-
-
-
-
-
-
-
JUMLAH 72,616,850 16,228,906 16,553,592 17,093,123 16,906,757 17,077,763 - - - - - - 156,476,991

NO
1 Pengeluaran 20,408,762 31,857,481 23,804,818 34,068,225 21,541,951 12,804,953 - - - - - - 144,486,190
a. Belanja Bekal Kesehatan 4,063,000 1,779,000 3,242,500 2,426,000 3,745,000 15,255,500

d. Harbang 4,474,500 18,404,500 8,338,000 20,026,500 6,284,500 142,500 57,670,500
e. LTGA 479,500 501,000 492,000 508,000 505,000 504,000 2,989,500
f. ATK 512,300 518,500 51,000 1,081,800
g. Administrasi 1,229,462 1,522,981 1,513,818 1,407,725 1,307,451 2,407,453 9,388,890
h. Jasa Medis 7,200,000 7,200,000 7,200,000 7,200,000 7,200,000 7,200,000 43,200,000
i. Jasa Paramedis 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 6,600,000
k. Jasa Pengelola 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 6,000,000
a. Pajak Bank -
b. Pajak Lainnya -
3 SALDO 52,208,088 11,990,801
JUMLAH 72,616,850 31,857,481 23,804,818 34,068,225 21,541,951 12,804,953 - - - - - - 156,476,991

NO
Rp -
2 Penerimaan Rp 17,283,228.00 Rp 11,754,042.00 Rp 22,402,388.00 Rp 11,816,435.00 Rp 26,459,685.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 89,715,778.00
b. Non Kapitasi Rp 5,555,000.00 Rp 10,690,000.00 Rp 13,490,000.00 Rp 29,735,000.00
c. Non BPJS Kes Rp 228.00 Rp 2,042.00 Rp 388.00 Rp 435.00 Rp 685.00 Rp 3,778.00
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

NO
1 Pengeluaran Rp 21,676,700.00 Rp 17,946,000.00 Rp 17,501,500.00 Rp 18,908,800.00 Rp 26,932,600.00 Rp - Rp - Rp - Rp - Rp - Rp - Rp - Rp 102,965,600.00
a. Belanja Bekal Kesehatan Rp 10,510,000.00 Rp 10,232,500.00 Rp 10,800,000.00 Rp 6,453,600.00 Rp 9,352,400.00 Rp 47,348,500.00

b. Uang Makan Rawat Inap Rp 995,000.00 Rp 485,000.00 Rp 400,000.00 Rp 900,000.00 Rp 475,000.00 Rp 3,255,000.00
c. Pemeliharaan Alkes Rp 1,047,500.00 Rp 1,830,000.00 Rp 1,500,000.00 Rp 1,285,000.00 Rp 1,587,500.00 Rp 7,250,000.00
d. Harbang Rp 5,000,000.00 Rp 1,379,500.00 Rp 5,635,000.00 Rp 10,000,000.00 Rp 22,014,500.00
e. LTGA Rp 368,700.00 Rp 413,500.00 Rp 596,000.00 Rp 524,000.00 Rp 496,000.00 Rp 2,398,200.00
f. ATK Rp 100,000.00 Rp 500,000.00 Rp 74,700.00 Rp 641,000.00 Rp 1,315,700.00
g. Administrasi Rp 155,500.00 Rp 105,500.00 Rp 205,500.00 Rp 486,500.00 Rp 480,700.00 Rp 1,433,700.00
i. Jasa Paramedis Rp 2,000,000.00 Rp 2,000,000.00 Rp 2,000,000.00 Rp 1,200,000.00 Rp 1,500,000.00 Rp 8,700,000.00
j. Jasa Non Paramedis Rp 450,000.00 Rp 900,000.00 Rp 1,350,000.00
k. Jasa Pengelola Rp 400,000.00 Rp 400,000.00
3 SALDO Rp 9,388,057.00 Rp 531,707.00

NO
Rp -
c. Non BPJS Kes Rp 1,956.00 Rp 1,033.00 Rp 2,868.00 Rp 2,698.00 Rp 2,283.00 Rp 988.00 Rp 11,826.00
Rp -
3 Bunga Bank Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

NO
c. Pemeliharaan Alkes Rp 1,100,000.00 Rp 1,100,000.00
d. Harbang Rp 142,500.00 Rp 171,000.00 Rp 150,000.00 Rp 463,500.00
f. ATK Rp 67,000.00 Rp 162,600.00 Rp 225,000.00 Rp 155,000.00 Rp 300,000.00 Rp 909,600.00
j. Jasa Non Paramedis Rp 600,000.00 Rp 700,000.00 Rp 700,000.00 Rp 700,000.00 Rp 1,000,000.00 Rp 1,000,000.00 Rp 4,700,000.00
a. Pajak Bank Rp -
Rp -
3 SALDO Rp 6,385,410.00 Rp 1,255,180.00

KOMANDO DAERAH MILITER V/BRAWIJAYA
KESEHATAN
UMPAN BALIK LAPORAN PENERIMAAN DAN PENGELUARAN DANA KAPITASI

BULAN JANUARI 2018 S.D DESEMBER 2018
RINCIAN PENERIMAAN
PENERIMAAN KAPITASI JUMLAH JUMLAH
NO FKTP SALDO 2017 PENERIMAAN PENERIMAAN KESELURUHAN
JUMLAH BUNGA BANK (7+8+9) (3+10)
KAPITASI NON KAPITASI NON BPJS PAJAK
(4+5+6)
1 2 3 4 5 6 7 8 9 10 11
1 Poskes 05.10.02 Caruban Rp 782,265 Rp 56,043,000 Rp 1,010,000 Rp - Rp 57,053,000 Rp - Rp 57,053,000 Rp 57,835,265
2 Poliklinik Denkesyah Madiun Rp 23,930,304 Rp 546,174,500 Rp 33,920,500 Rp 96,733 Rp 580,191,733 Rp 96,733 Rp 580,288,466 Rp 604,218,770
3 Polkes 05.09.01 Ngawi Rp 1,407,595 Rp 148,293,000 Rp 8,740,000 Rp 13,260 Rp 157,046,260 Rp - Rp 157,046,260 Rp 158,453,855
4 Poskes 05.10.03 Magetan Rp 764,832 Rp 97,749,000 Rp - Rp 6,584 Rp 97,755,584 Rp - Rp 97,755,584 Rp 98,520,416
5 Poskes 05.10.01 Ponorogo Rp 344,005 Rp 124,983,000 Rp - Rp 5,481 Rp 124,988,481 Rp - Rp 124,988,481 Rp 125,332,486
6 Poskes 05.09.03 Blitar Rp 9,275,624 Rp 263,980,000 Rp 2,735,000 Rp 12,285 Rp 266,727,285 Rp - Rp 266,727,285 Rp 276,002,909
7 Poskes 05.10.06 Nganjuk Rp 72,081 Rp 297,620,000 Rp 5,660,000 Rp 220 Rp 303,280,220 Rp - Rp 303,280,220 Rp 303,352,301
8 Poskes 05.10.04 Trenggalek Rp 1,415,762 Rp 113,340,000 Rp 3,170,000 Rp 5,360 Rp 116,515,360 Rp - Rp 116,515,360 Rp 117,931,122
9 Poskes 05.10.05 Tulungagung Rp 731,031 Rp 114,200,000 Rp 6,075,000 Rp - Rp 120,275,000 Rp - Rp 120,275,000 Rp 121,006,031
10 Poskes 05.10.25 Pacitan Rp 180,150 Rp 50,224,000 Rp - Rp - Rp 50,224,000 Rp - Rp 50,224,000 Rp 50,404,150
11 Klinik Dkt Kediri Rp 1,866,635 Rp 483,766,050 Rp 3,521,513 Rp 3,561,572 Rp 490,849,135 Rp 1,430,800 Rp 492,279,935 Rp 494,146,570
12 Rumkitban 05.08.01 Mojokerto Rp 58,349,673 Rp 201,579,000 Rp 39,025,100 Rp 62,347,482 Rp 302,951,582 Rp 5,010,972 Rp 307,962,554 Rp 366,312,227
13 Poskes 05.10.10 Jombang Rp 63,964,989 Rp 148,045,000 Rp 6,558,600 Rp 326,746 Rp 154,930,346 Rp 3,788,000 Rp 158,718,346 Rp 222,683,335
14 Poskes 05.10.09 Bojonegoro Rp 12,888,942 Rp 133,163,000 Rp 2,251,000 Rp 10,858 Rp 135,424,858 Rp - Rp 135,424,858 Rp 148,313,800
15 Poskes 05.10.07 Tuban Rp 158,715 Rp 109,775,000 Rp - Rp 2,481 Rp 109,777,481 Rp - Rp 109,777,481 Rp 109,936,196
16 Poskes 05.10.08 Lamongan Rp 560,812 Rp 110,185,000 Rp 8,899,500 Rp 3,796 Rp 119,088,296 Rp - Rp 119,088,296 Rp 119,649,108
17 Klinik Rampal Rp 111,418,298 Rp 962,997,000 Rp 29,781,850 Rp 213,701 Rp 992,992,551 Rp 6,198,491 Rp 999,191,042 Rp 1,110,609,340
18 Klinik Brawijaya Lawang Rp 94,471,908 Rp 754,346,750 Rp 1,870,500 Rp 185,916 Rp 756,403,166 Rp 4,088,750 Rp 760,491,916 Rp 854,963,824
19 Poskes 05.10.13 Pasuruan Rp 12,499,039 Rp 77,568,000 Rp - Rp 4,480 Rp 77,572,480 Rp - Rp 77,572,480 Rp 90,071,519
20 Poskes 05.10.14 Probolinggo Rp 34,940,952 Rp 133,250,000 Rp 24,242,000 Rp 52,948 Rp 157,544,948 Rp 1,171,450 Rp 158,716,398 Rp 193,657,350
21 Polkes 05.09.02 Lumajang Rp 18,659,507 Rp 186,280,000 Rp 233,500 Rp 1,046,039 Rp 187,559,539 Rp - Rp 187,559,539 Rp 206,219,046
22 Poskes 05.10.18 Banyuwangi Rp 13,512,556 Rp 87,410,000 Rp 340,000 Rp 6,553 Rp 87,756,553 Rp - Rp 87,756,553 Rp 101,269,109
23 Poskes 05.10.16 Situbondo Rp 17,400,966 Rp 94,260,000 Rp 3,812,900 Rp 14,209 Rp 98,087,109 Rp 1,094,350 Rp 99,181,459 Rp 116,582,425
24 Poskes 05.10.15 Bondowoso Rp 7,758,817 Rp 102,660,000 Rp 100,570,000 Rp 2,100,570 Rp 205,330,570 Rp - Rp 205,330,570 Rp 213,089,387
25 Klinik Wira Sakti Rp 72,830,056 Rp 364,665,500 Rp 3,108,000 Rp 88,567 Rp 367,862,067 Rp 892,476 Rp 368,754,543 Rp 441,584,599
26 Poskes 05.10.23 Tanggul Rp 8,530,576 Rp 36,192,000 Rp 1,474,500 Rp 12,249 Rp 37,678,749 Rp - Rp 37,678,749 Rp 46,209,325
27 Poskes 05.10.11 Gresik Rp 14,179,522 Rp 66,717,000 Rp 1,362,000 Rp 28,681 Rp 68,107,681 Rp 563,535 Rp 68,671,216 Rp 82,850,738
28 Polkes 05.09.04 Sby Utara Rp 610,051 Rp 105,090,000 Rp 6,391,040 Rp 8,197 Rp 111,489,237 Rp 150,000 Rp 111,639,237 Rp 112,249,288
29 Poliklinik Brawijaya/ Kesatrian Rp 622,352,083 Rp 1,095,434,000 Rp 2,854,000 Rp 2,634,334 Rp 1,100,922,334 Rp 7,816,020 Rp 1,108,738,354 Rp 1,731,090,437
30 Klinik Dkt II Sidoarjo Rp 527,997 Rp 336,690,250 Rp 1,080,000 Rp 23,588 Rp 337,793,838 Rp 2,184,487 Rp 339,978,325 Rp 340,506,322
31 Poskes 05.10.22 Bangkalan Rp 10,325,063 Rp 59,574,000 Rp 3,220,000 Rp 7,503 Rp 62,801,503 Rp 587,500 Rp 63,389,003 Rp 73,714,066
32 Poskes 05.10.21 Sampang Rp 2,390,769 Rp 45,999,000 Rp 880,000 Rp 1,032 Rp 46,880,032 Rp 270,000 Rp 47,150,032 Rp 49,540,801
33 Poskes 05.10.19 Pamekasan Rp 12,151,515 Rp 66,240,000 Rp - Rp 3,357 Rp 66,243,357 Rp 471,500 Rp 66,714,857 Rp 78,866,372
34 Poskes 05.10.20 Sumenep Rp 19,209,821 Rp 52,860,000 Rp 3,510,000 Rp 10,376 Rp 56,380,376 Rp 229,500 Rp 56,609,876 Rp 75,819,697
35 Klinik Brigif Linud 18/K Rp 9,704,374 Rp 65,338,000 Rp 4,781 Rp 9,345 Rp 65,352,126 Rp - Rp 65,352,126 Rp 75,056,500
36 Klinik Pusdik Arhanud Rp 24,705,967 Rp 216,689,000 Rp 1,620,549 Rp 3,474 Rp 218,313,023 Rp - Rp 218,313,023 Rp 243,018,990
37 Klinik Yonif 502/K Rp 24,009,502 Rp 109,111,000 Rp - Rp 45,587 Rp 109,156,587 Rp - Rp 109,156,587 Rp 133,166,089
38 Bp Wira Husada (AD) Rp 39,609,482 Rp 471,297,000 Rp 1,995,000 Rp 4,625,907 Rp 477,917,907 Rp 16,172,288 Rp 494,090,195 Rp 533,699,677
39 Klinik Yonkes 2/K Rp 360,811 Rp 148,087,000 Rp - Rp 3,848 Rp 148,090,848 Rp 1,050,000 Rp 149,140,848 Rp 149,501,659
40 Klinik Yon Zipur 10/K Rp 14,032,545 Rp 106,380,000 Rp - Rp 6,714 Rp 106,386,714 Rp - Rp 106,386,714 Rp 120,419,259
41 Klinik Yonkav 8/K Rp 13,006,491 Rp 71,694,000 Rp - Rp 26,349 Rp 71,720,349 Rp - Rp 71,720,349 Rp 84,726,840
42 Klinik Brigif 9/K Rp 755,307 Rp 75,584,000 Rp 717,359 Rp 44,336 Rp 76,345,695 Rp - Rp 76,345,695 Rp 77,101,002
43 Klinik Yonif 515/K Rp 12,504,972 Rp 73,016,000 Rp - Rp 8,789 Rp 73,024,789 Rp 32,000 Rp 73,056,789 Rp 85,561,761
44 Klinik Yonif 509/9/2 Kostrad Rp 56,185,042 Rp 100,215,000 Rp - Rp 76,949 Rp 100,291,949 Rp - Rp 100,291,949 Rp 156,476,991
45 Yonif 514 / Raider Bondowoso Rp 13,781,529 Rp 59,977,000 Rp 29,735,000 Rp 3,778 Rp 89,715,778 Rp - Rp 89,715,778 Rp 103,497,307
46 Poskes 503 Rp 8,360,835 Rp 94,704,000 Rp - Rp 11,826 Rp 94,715,826 Rp - Rp 94,715,826 Rp 103,076,661
JUMLAH Rp 1,467,479,768 Rp 9,219,445,050 Rp 340,369,192 Rp 77,702,060 Rp 9,637,516,302 Rp - Rp 53,298,852 Rp 9,690,815,154 Rp 11,158,294,922
Rp 9,690,815,154
Rp 38,763,260,616
KOMANDO DAERAH MILITER V/BRAWIJAYA
KESEHATAN
UMPAN BALIK PERINCIAN PENGELUARAN DANA KAPITASI

BULAN : JANUARI S. D DESEMBER 2018
RINCIAN PENGELUARAN
JUMLAH TOTAL
PENGELUARAN SALDO (PENERIMAAN -
NO FKTP JUMLAH PENGELUARAN JUMLAH (17+18)
UM. PASIEN JASA JASA NON JASA PAJAK BANK PAJAK LAIN PENGELUARAN)
BELANJA BEKKES HAR ALKES HARBANG LTGA ATK ADMIN JASA MEDIS OPERSIONAL (14+15+16)
WAT INAP PARAMEDIS MEDIS PENGELOLA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Poskes 05.10.02 Caruban Rp 16,225,350 Rp - Rp - Rp - Rp 2,144,000 Rp 862,500 Rp 3,193,500 Rp 24,000,000 Rp 9,700,000 Rp 700,000 Rp 800,000 Rp 57,625,350 Rp - Rp 57,625,350 Rp 209,915 Rp 57,835,265
2 Poliklinik Denkesyah Madiun Rp 179,086,060 Rp - Rp - Rp 154,367,000 Rp 5,743,296 Rp 24,550,250 Rp 41,688,599 Rp 80,000,000 Rp 46,426,000 Rp 2,250,000 Rp 33,850,000 Rp 567,961,205 Rp 96,733 Rp 568,057,938 Rp 36,160,832 Rp 604,218,770
3 Polkes 05.09.01 Ngawi Rp 68,405,485 Rp - Rp 470,000 Rp 31,220,000 Rp 2,875,000 Rp 5,108,850 Rp 5,826,100 Rp 24,000,000 Rp 13,200,000 Rp 2,400,000 Rp 4,887,900 Rp 158,393,335 Rp - Rp 158,393,335 Rp 60,520 Rp 158,453,855
4 Poskes 05.10.03 Magetan Rp 42,203,700 Rp - Rp 1,270,500 Rp 13,775,650 Rp 2,369,574 Rp 5,049,250 Rp 4,443,000 Rp 23,645,000 Rp 4,800,000 Rp - Rp 830,000 Rp 98,386,674 Rp - Rp 98,386,674 Rp 133,742 Rp 98,520,416
5 Poskes 05.10.01 Ponorogo Rp 42,777,695 Rp - Rp 2,200,000 Rp 34,847,365 Rp 1,715,909 Rp 5,392,750 Rp 1,533,000 Rp 25,500,000 Rp 9,450,000 Rp - Rp 1,700,000 Rp 125,116,719 Rp - Rp 125,116,719 Rp 215,767 Rp 125,332,486
6 Poskes 05.09.03 Blitar Rp 88,885,950 Rp - Rp 11,539,000 Rp 57,294,950 Rp 4,381,600 Rp 16,506,570 Rp 19,033,900 Rp 27,400,000 Rp 28,000,000 Rp 13,700,000 Rp 9,200,000 Rp 275,941,970 Rp - Rp 275,941,970 Rp 60,939 Rp 276,002,909
7 Poskes 05.10.06 Nganjuk Rp 90,172,775 Rp - Rp 7,594,000 Rp 78,196,700 Rp 13,968,050 Rp 15,792,975 Rp 8,281,500 Rp 20,400,000 Rp 38,200,000 Rp 10,500,000 Rp 20,177,000 Rp 303,283,000 Rp - Rp 303,283,000 Rp 69,301 Rp 303,352,301
8 Poskes 05.10.04 Trenggalek Rp 38,355,000 Rp - Rp 11,250,000 Rp 23,803,261 Rp 3,278,981 Rp 5,131,000 Rp 1,483,000 Rp 30,400,000 Rp 1,315,000 Rp - Rp 2,700,000 Rp 117,716,242 Rp - Rp 117,716,242 Rp 214,880 Rp 117,931,122
9 Poskes 05.10.05 Tulungagung Rp 45,493,553 Rp - Rp 6,455,000 Rp 21,859,450 Rp 3,545,053 Rp 7,272,450 Rp 1,833,000 Rp 20,500,000 Rp 8,460,000 Rp 2,300,000 Rp 3,000,000 Rp 120,718,506 Rp - Rp 120,718,506 Rp 287,525 Rp 121,006,031
10 Poskes 05.10.25 Pacitan Rp 19,270,000 Rp - Rp - Rp 6,474,500 Rp 2,154,920 Rp 3,248,247 Rp 1,381,120 Rp 9,000,000 Rp 4,275,000 Rp 3,200,000 Rp 1,200,000 Rp 50,203,787 Rp - Rp 50,203,787 Rp 200,363 Rp 50,404,150
11 Klinik Dkt Kediri Rp 134,988,340 Rp - Rp 25,171,970 Rp 67,642,718 Rp 19,997,600 Rp 7,618,755 Rp 100,390,618 Rp 17,792,500 Rp 30,929,700 Rp 45,836,500 Rp 41,451,600 Rp 491,820,301 Rp 1,430,800 Rp 493,251,101 Rp 895,469 Rp 494,146,570
12 Rumkitban 05.08.01 Mojokerto Rp 42,104,553 Rp 5,725,000 Rp - Rp 145,682,622 Rp 7,011,606 Rp 28,566,605 Rp 46,978,447 Rp 48,430,000 Rp 15,636,000 Rp 3,137,000 Rp 17,713,350 Rp 360,985,183 Rp 5,010,972 Rp 365,996,155 Rp 316,072 Rp 366,312,227
13 Poskes 05.10.10 Jombang Rp 29,176,740 Rp - Rp 1,260,000 Rp 44,919,000 Rp 4,792,482 Rp 18,204,276 Rp 35,839,387 Rp 29,800,000 Rp 12,300,000 Rp - Rp 14,100,000 Rp 190,391,885 Rp 3,788,000 Rp 194,179,885 Rp 28,503,450 Rp 222,683,335
14 Poskes 05.10.09 Bojonegoro Rp 17,672,000 Rp - Rp 7,843,000 Rp 24,528,000 Rp 2,589,250 Rp 3,609,900 Rp 16,089,200 Rp 43,240,800 Rp 12,600,000 Rp 4,800,000 Rp 11,400,000 Rp 144,372,150 Rp - Rp 144,372,150 Rp 3,941,650 Rp 148,313,800
15 Poskes 05.10.07 Tuban Rp 28,085,150 Rp - Rp 2,090,000 Rp 12,560,200 Rp 2,302,500 Rp 5,262,000 Rp 15,092,100 Rp 26,400,000 Rp 8,000,000 Rp 600,000 Rp 6,900,000 Rp 107,291,950 Rp - Rp 107,291,950 Rp 2,644,246 Rp 109,936,196
16 Poskes 05.10.08 Lamongan Rp 26,464,374 Rp - Rp 11,847,600 Rp 9,094,200 Rp 1,232,427 Rp 5,328,400 Rp 27,514,500 Rp 27,000,000 Rp 4,500,000 Rp 3,100,000 Rp 3,000,000 Rp 119,081,501 Rp - Rp 119,081,501 Rp 567,607 Rp 119,649,108
17 Klinik Rampal Rp 242,584,922 Rp - Rp - Rp 114,911,400 Rp 14,891,777 Rp 14,812,900 Rp 481,161,168 Rp 28,470,000 Rp 86,815,000 Rp 31,985,000 Rp 8,472,252 Rp 1,024,104,419 Rp 6,198,491 Rp 1,030,302,910 Rp 80,306,430 Rp 1,110,609,340
18 Klinik Brawijaya Lawang Rp 141,951,250 Rp - Rp 5,398,470 Rp 115,190,950 Rp 8,690,289 Rp 13,682,940 Rp 323,477,793 Rp 40,950,000 Rp 33,000,000 Rp 16,800,000 Rp 91,950,000 Rp 791,091,692 Rp 4,088,750 Rp 795,180,442 Rp 59,783,382 Rp 854,963,824
19 Poskes 05.10.13 Pasuruan Rp 3,234,400 Rp - Rp - Rp 6,847,500 Rp 3,841,250 Rp 1,707,800 Rp 46,529,000 Rp 8,500,000 Rp 5,842,000 Rp 6,750,000 Rp 5,450,000 Rp 88,701,950 Rp - Rp 88,701,950 Rp 1,369,569 Rp 90,071,519
20 Poskes 05.10.14 Probolinggo Rp 30,999,870 Rp - Rp 4,675,000 Rp 393,000 Rp 1,437,000 Rp 2,138,700 Rp 56,266,141 Rp 25,058,000 Rp 15,250,000 Rp 19,650,000 Rp 23,500,000 Rp 179,367,711 Rp 1,171,450 Rp 180,539,161 Rp 13,118,189 Rp 193,657,350
21 Polkes 05.09.02 Lumajang Rp 26,060,651 Rp - Rp 50,000 Rp 18,953,196 Rp 5,160,253 Rp 12,085,952 Rp 61,851,680 Rp 35,890,000 Rp 5,300,000 Rp 7,500,000 Rp 28,000,000 Rp 200,851,732 Rp - Rp 200,851,732 Rp 5,367,314 Rp 206,219,046
22 Poskes 05.10.18 Banyuwangi Rp 10,782,422 Rp - Rp 896,000 Rp 8,410,000 Rp 2,383,500 Rp 836,200 Rp 20,741,000 Rp 31,500,000 Rp 7,800,000 Rp 650,000 Rp 8,000,000 Rp 91,999,122 Rp - Rp 91,999,122 Rp 9,269,987 Rp 101,269,109
23 Poskes 05.10.16 Situbondo Rp 14,087,736 Rp - Rp 1,892,975 Rp 1,518,000 Rp 2,196,250 Rp 1,864,350 Rp 18,309,157 Rp 33,711,250 Rp 10,500,000 Rp 13,607,000 Rp 7,800,000 Rp 105,486,718 Rp 1,094,350 Rp 106,581,068 Rp 10,001,357 Rp 116,582,425
24 Poskes 05.10.15 Bondowoso Rp 59,849,000 Rp - Rp - Rp 39,689,000 Rp 1,126,300 Rp 7,072,850 Rp 26,528,278 Rp 30,117,123 Rp 28,917,123 Rp 3,600,000 Rp 15,986,106 Rp 212,885,780 Rp - Rp 212,885,780 Rp 203,607 Rp 213,089,387
25 Klinik Wira Sakti Rp 145,582,572 Rp - Rp 1,046,000 Rp 23,148,200 Rp 9,861,201 Rp 22,422,150 Rp 80,232,072 Rp 33,538,184 Rp 45,430,718 Rp 22,827,798 Rp 42,403,050 Rp 426,491,945 Rp 892,476 Rp 427,384,421 Rp 14,200,178 Rp 441,584,599
26 Poskes 05.10.23 Tanggul Rp 10,877,000 Rp - Rp - Rp 485,000 Rp 2,073,000 Rp 1,774,000 Rp 9,347,708 Rp 10,700,000 Rp 2,000,000 Rp 400,000 Rp 650,000 Rp 38,306,708 Rp - Rp 38,306,708 Rp 7,902,617 Rp 46,209,325
27 Poskes 05.10.11 Gresik Rp 10,261,400 Rp - Rp 1,839,000 Rp 3,090,000 Rp 1,604,899 Rp 1,441,050 Rp 18,270,740 Rp 18,749,306 Rp 10,546,434 Rp 3,413,584 Rp 503,675 Rp 69,720,088 Rp 563,535 Rp 70,283,623 Rp 12,567,115 Rp 82,850,738
28 Polkes 05.09.04 Sby Utara Rp 8,152,190 Rp - Rp 2,372,000 Rp 3,672,000 Rp 8,687,526 Rp 2,229,200 Rp 37,915,869 Rp 17,250,000 Rp 18,250,000 Rp 1,800,000 Rp 10,487,000 Rp 110,815,785 Rp 150,000 Rp 110,965,785 Rp 1,283,503 Rp 112,249,288
29 Poliklinik Brawijaya/ Kesatrian Rp 329,776,044 Rp - Rp 74,029,000 Rp 746,336,900 Rp 14,850,588 Rp 17,299,250 Rp 21,192,952 Rp 92,845,373 Rp 85,540,379 Rp 61,643,814 Rp 128,152,509 Rp 1,571,666,809 Rp 7,816,020 Rp 1,579,482,829 Rp 151,607,608 Rp 1,731,090,437
30 Klinik Dkt II Sidoarjo Rp 61,944,995 Rp - Rp 3,963,000 Rp 85,769,500 Rp 5,632,661 Rp 16,805,400 Rp 63,201,871 Rp 41,441,255 Rp 34,313,824 Rp 4,500,000 Rp 20,560,000 Rp 338,132,506 Rp 2,184,487 Rp 340,316,993 Rp 189,329 Rp 340,506,322
31 Poskes 05.10.22 Bangkalan Rp 9,395,500 Rp - Rp 2,262,000 Rp 6,881,700 Rp 1,709,000 Rp 5,593,100 Rp 12,266,239 Rp 21,861,000 Rp 9,000,000 Rp 1,500,000 Rp - Rp 70,468,539 Rp 518,750 Rp 70,987,289 Rp 2,726,777 Rp 73,714,066
32 Poskes 05.10.21 Sampang Rp - Rp - Rp 49,540,801 Rp 49,540,801
33 Poskes 05.10.19 Pamekasan Rp - Rp - Rp 78,866,372 Rp 78,866,372
34 Poskes 05.10.20 Sumenep Rp - Rp - Rp 75,819,697 Rp 75,819,697
35 Klinik Brigif Linud 18/K Rp - Rp - Rp 75,056,500 Rp 75,056,500
36 Klinik Pusdik Arhanud Rp - Rp - Rp 243,018,990 Rp 243,018,990
37 Klinik Yonif 502/K Rp - Rp - Rp 133,166,089 Rp 133,166,089
38 Bp Wira Husada (AD) Rp - Rp - Rp 533,699,677 Rp 533,699,677
39 Klinik Yonkes 2/K Rp - Rp - Rp 149,501,659 Rp 149,501,659
40 Klinik Yon Zipur 10/K Rp - Rp - Rp 120,419,259 Rp 120,419,259
41 Klinik Yonkav 8/K Rp - Rp - Rp 84,726,840 Rp 84,726,840
42 Klinik Brigif 9/K Rp - Rp - Rp 77,101,002 Rp 77,101,002
43 Klinik Yonif 515/K Rp - Rp - Rp 85,561,761 Rp 85,561,761
44 Klinik Yonif 509/9/2 Kostrad Rp - Rp - Rp 156,476,991 Rp 156,476,991
45 Yonif 514 / Raider Bondowoso Rp - Rp - Rp 103,497,307 Rp 103,497,307
46 Poskes 503 Rp - Rp - Rp 103,076,661 Rp 103,076,661
JUMLAH Rp 2,014,906,677 Rp 5,725,000 Rp 187,414,515 Rp 1,901,561,962 Rp 164,247,742 Rp 279,270,620 ### Rp 948,089,791 Rp 646,297,178 Rp 289,150,696 Rp 564,824,442 Rp 8,609,381,262 Rp - Rp 35,004,814 Rp 8,644,386,076 Rp 2,513,908,846 Rp 11,158,294,922

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1

RINCIAN PENERIMAAN POSKES CARUBAN

RINCIAN PENGELUARAN POSKES CARUBAN

3 SALDO 1,544,465 204,415

JUMLAH 121,522,304 95,145,000 91,692,323 101,943,470 101,965,913 93,919,277 - - - - - - 606,188,287

JUMLAH 121,522,304 98,535,100 97,739,845 85,318,506 138,847,069 75,421,575 - - - - - - 606,188,287

JUMLAH 30,430,904 24,528,231 24,598,248 24,779,837 29,228,033 24,888,602 - - - - - - 158,453,855

3 SALDO 1,423,969 60,520

JUMLAH 30,430,904 24,485,460 24,391,855 24,596,405 31,038,155 24,874,525 - - - - - - 158,453,855

3 SALDO 1,986,361 133,742

JUMLAH 19,100,369 18,919,457 18,738,368 22,897,097 22,797,446 22,879,749 - - - - - - 125,332,486

3 SALDO 381,184 215,767

JUMLAH 19,100,369 18,862,145 18,695,070 22,786,999 23,241,320 22,812,000 - - - - - - 125,332,486

JUMLAH 52,945,624 43,830,000 43,585,132 44,070,000 47,008,747 44,563,406 - - - - - - 276,002,909

3 SALDO 7,147,844 60,939

JUMLAH 52,945,624 43,455,300 45,289,850 45,851,870 50,925,500 44,621,670 - - - - - - 276,002,909

JUMLAH 44,032,081 45,590,000 47,800,000 51,550,000 58,690,000 55,690,220 - - - - - - 303,352,301

3 SALDO 66,581 69,301

JUMLAH 44,032,081 45,595,500 47,805,500 51,515,500 58,705,500 55,695,500 - - - - - - 303,352,301

JUMLAH 19,785,762 18,490,000 20,750,732 18,911,372 20,341,495 19,651,761 - - - - - - 117,931,122

3 SALDO 1,496,012 214,880

JUMLAH 19,785,762 17,730,000 20,469,981 18,877,750 22,746,011 19,602,750 - - - - - - 117,931,122

JUMLAH 19,611,031 19,080,000 24,505,000 19,140,000 19,405,000 19,265,000 - - - - - - 121,006,031

3 SALDO 671,333 287,525

JUMLAH 19,611,031 18,929,936 19,107,846 19,188,767 25,523,067 19,029,192 - - - - - - 121,006,031

JUMLAH 8,500,150 8,088,000 8,152,000 8,320,000 8,592,000 8,752,000 - - - - - - 50,404,150

3 SALDO 185,250 200,363

JUMLAH 8,500,150 8,077,285 8,151,602 8,316,000 8,592,000 8,752,000 - - - - - - 50,404,150

JUMLAH 115,638,643 44,521,861 51,587,135 47,936,181 62,099,458 44,528,949 - - - - - - 366,312,227

12. RINCIAN PENGELUARAN RUMKITBAN MOJOKERTO

2 Pengeluaran Lain-lain 336,061 594,341 750,000 1,461,712 788,292 1,080,566 - - - - - - 5,010,972

3 SALDO 82,540,889 316,072

JUMLAH 115,638,643 33,496,426 58,625,587 47,441,031 42,591,707 150,743,650 - - - - - - 366,312,227

JUMLAH 89,307,583 25,130,253 28,977,793 24,771,628 26,993,992 27,502,086 - - - - - - 222,683,335

13. RINCIAN PENGELUARAN JOMBANG

3 SALDO 58,572,301 28,503,450

JUMLAH 89,307,583 23,769,111 23,434,382 22,770,238 33,251,730 60,219,142 - - - - - - 222,683,335

JUMLAH 33,339,866 22,503,832 22,625,436 22,626,263 22,580,332 24,638,071 - - - - - - 148,313,800

14. RINCIAN PENGELUARAN BOJONEGORO

3 SALDO 11,653,916 - 3,941,650

JUMLAH 33,339,866 22,422,500 21,617,600 19,312,600 31,807,000 27,526,500 - - - - - - 148,313,800

JUMLAH 18,050,715 17,932,500 18,035,000 18,474,544 18,587,356 18,856,081 - - - - - - 109,936,196

15 RINCIAN PENGELUARAN TUBAN

3 SALDO 688,565 2,644,246

JUMLAH 18,050,715 16,487,150 18,059,650 18,702,400 17,827,750 18,852,850 - - - - - - 109,936,196

2 Penerimaan Rp 22,489,844.00 Rp 18,313,938.00 Rp 19,377,281.00 Rp 18,903,768.00 Rp 21,467,647.00 Rp 18,535,818.00 Rp -

JUMLAH Rp 23,050,656.00 Rp 18,313,938.00 Rp 19,377,281.00 Rp 18,903,768.00 Rp 21,467,647.00 Rp 18,535,818.00 Rp -

a. Belanja Bekal Kesehatan Rp 4,123,333.00 Rp 3,919,700.00 Rp 3,848,040.00 Rp 4,187,400.00 Rp 4,750,801.00 Rp 5,635,100.00

JUMLAH Rp 23,050,656.00 Rp 19,178,300.00 Rp 19,835,340.00 Rp 18,677,177.00 Rp 21,613,451.00 Rp 18,428,900.00 Rp -

AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESEMBER JUMLAH

JUMLAH 275,074,162 163,639,992 177,361,448 162,120,162 167,614,839 164,798,737 - - - - - - 1,110,609,340

2 Pengeluaran Lain-lain 1,018,165 1,037,510 953,306 1,151,871 1,051,333 986,306 - - - - - - 6,198,491

3 SALDO 90,071,141 80,306,430

JUMLAH 275,074,162 175,265,001 202,603,655 171,878,044 162,720,968 132,832,221 - - - - - - 1,110,609,340

2 Penerimaan Rp 122,923,601.00 Rp 122,964,880.00 Rp 124,130,187.00 Rp 127,225,214.00

4 Penerimaan Pajak Rp 701,250.00 Rp 666,250.00 Rp 683,750.00 Rp 683,750.00

JUMLAH Rp 218,096,759.00 Rp 123,631,130.00 Rp 124,813,937.00 Rp 127,908,964.00

a. Belanja Bekal Kesehatan Rp 23,870,250.00 Rp 22,063,772.00 Rp 23,915,364.00 Rp 21,631,110.00

2 Pengeluaran Lain-lain Rp 701,250.00 Rp 666,250.00 Rp 683,750.00 Rp 683,750.00

JUMLAH Rp 218,096,759.00 Rp 127,526,598.00 Rp 146,899,493.00 Rp 150,705,444.00

MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER

MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER

2 Penerimaan Rp 12,087,472.00 Rp 12,006,935.00 Rp 13,435,232.00 Rp 13,391,551.00