RAK SUSUT II 2022 Perubahan BOK

RENCANA ANGGARAN KAS BOK
Puskemas susut II
Tahun 2022
RINCIAN
PERHITUNGAN Jan Peb Maret TW I April Mei Juni
KODE
KODE REKENING
SUB KEGIATAN
REKENING URAIAN Harga JUMLAH (Rp)
BELANJA
2 3 4 6 7 8 9 10 11 12 13 14
1 02 02 2.02 01 Pengelolaan Pelayanan Kesehatan Ibu Hamil
9,900,000
Belanja Perjalanan Dinas dalam

5.1.02.04.01.0 Kota 132 OH 9,900,000
003
Rapat koordinasi validasi dan transport lokal
20 OH 75,000 1,500,000 375,000 375,000 375,000
eValuasi data PWS KIA petugas
Penyeliaan fasilitatif Pustu dan transport lokal
10 OH 75,000 750,000
bidan desa petugas
Pelaksanaan penyeliaan
transport lokal
fasilitatif KIA bagi puskesmas 6 OH 75,000 450,000 450,000
petugas
dan PMB
transport lokal
Kelas ibu hamil 64 OH 75,000 4,800,000 600,000 600,000
petugas
Kunjungan rumah bagi ibu hamil transport lokal

32 OH 75,000 2,400,000 300,000 300,000 300,000 900,000 300,000 300,000 300,000
resti petugas
300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000
1 02 02 2.02 02 Pengelolaan Pelayanan Kesehatan Ibu Bersalin

26,400,000

5.1.02.04.01.0 Kota 352 OH 26,400,000
003
Pertemuan Koordinasi
penguatan P4K Pembentukan transport lokal
144 OH 75,000 10,800,000 900,000 1,050,000 900,000 2,850,000 1,050,000 1,050,000 900,000
forum peduli KIA dalam petugas
mendukung P4K
Penyuluhan dan pelayanan KB transport lokal

48 OH 75,000 3,600,000 450,000 450,000 450,000 450,000
di Posyandu petugas
Kunjungan rumah bagi ibu nifas transport lokal 150 OH 75,000 11,250,000
900,000 1,050,000 1,050,000 3,000,000 1,200,000 1,200,000 900,000
dan neonatus resti petugas
Kunjungan lapangan untuk transport lokal 10 OH 75,000 750,000
pembinaan maupun monev petugas
(termasuk Pelayanan Kunjungan
Antenatal dan Kunjungan
Neonatal Lengkap)
1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000

1 02 02 2.02 03 Pengelolaan Pelayanan kesehatan bayi
baru lahir 5,400,000
Belanja Perjalanan Dinas dalam 5,400,000
5.1.02.04.01.0 Kota 72 OH
003
Pelaksanaan otopsi verbal transport lokal 12 OH 75,000 900,000
kematian maternal neonatal petugas 450,000 450,000 900,000
(transportasi)
Pendataan dan pemetaan transport lokal 50 OH 75,000 3,750,000
sasaran bumil, bersalin, nifas petugas 375,000 375,000 375,000 1,125,000 375,000 375,000 375,000
dan bayi
Orientasi e-kohort transport lokal 10 OH 75,000 750,000
petugas 750,000
825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000

1 02 02 2.02 18 Pengelolaan Pelayanan Promosi kesehatan
28,016,000
Belanja Perjalanan Dnas
178 OH 20,850,000
5.1.02.04.01.0 dalam Kota
003 Kegiatan penggerakkan tokoh transport lokal 4 OH 75,000 300,000 300,000
masyarakat, tokoh agama, petugas
kader, fasilitator desa, kelompok
masyarakat lainnya untuk
melakukan kegiatan Germas
Edukasi gizi seimbang (makan transport lokal 48 OH 75,000 3,600,000 300,000 450,000 300,000 1,050,000 450,000 300,000 300,000
buah dan sayur) di semua petugas
tatanan (sekolah/UKS, ibadah
kantor pemerintahan/non
pemerintahan, melibatkan
organisasi profesi, ormas, forum
pemuda, serta melalui UKBM
(Posbindu, Posyandu Lansia,
Posyandu Remaja, Dasa
Wisma, Karang Taruna, Pos
UKK, dll)
Penyebarluasan informasi transport lokal 14 OH 75,000 1,050,000 1,050,000

melalui media spesifik petugas
lokal/tradisional
Pembinaan Posyandu.
Poskestren, Posyandu remaja, transport lokal
96 OH 75,000 7,200,000 675,000 900,000 1,575,000 900,000 675,000 675,000
Pos UKK, Poskestren, dan petugas
UKBM lainnya
transport lokal
Orientasi Kader Posyandu 16 OH 75,000 1,200,000
petugas
Uang
Transportasi
Orientasi Kader Posyandu 150 OH 50,000 7,500,000
dan akomodasi
kegiatan/Rapat
300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000
Belanja Makmin rapat

5.1.02.01.01.0 5,440,000
052 25,000
Makmin dalam rangka orientasi Nasi Kotak
kader posyandu 170 kotak 4,250,000
Makmin dalam rangka orientasi Snack Kotak 7,000

- - - - - - -
Belanja ATK 1,726,000

5.1.02.01.01.0
024 Penggandaan /Foto copy (untuk
Materi Orientasi Kader ) Penggandaan / 1,160 lbr 350 406,000
Foto copy
Belanja ATK ( Spanduk untuk Spanduk 12 30,000 360,000
kegiatan Edukasi Penyakit
menular dan Tidak menular)
Belanja ATK untuk kegiatan Leflet
192 5,000 960,000
Edukasi/penyuluhan ( Gizi)
- - - - - - -
1 02 02 2.02 05 Pengelolaan Pelayanan Kesehatan pada Usia Pendidikan Sekolah Dasar
9,675,000

5.1.02.04.01.0 Kota 129 OH 9,675,000
003
Pembinaan Penerapan Protokol transport lokal

19 OH 75,000 1,425,000 150,000 225,000 375,000 150,000 150,000 150,000
Kesehatan di satuan Pendidikan petugas
Penguatan UKS/M dan TP transport lokal

20 OH 75,000 1,500,000 150,000 300,000 450,000 150,000 150,000 150,000
UKS/M petugas
Pelaksanaan Pemeriksaan
transport lokal
Kesehatan Anak usia sekolah 80 OH 75,000 6,000,000
petugas
dan Remaja
Pendampingan dan e\/aIuasi

transport lokal
Pelaksanaan Pemberian TTD 10 OH 75,000 750,000 375,000
petugas
Pada Remaja Putri
- 300,000 525,000 825,000 675,000 300,000 300,000

1 02 02 2.02 06 Pengelolaan Pelayanan Kesehatan pada
Usia Produktif 8,504,000

5.1.02.04.01.0 Kota 104 OH 7,000,000
003
Pemeriksaan / Screnning transport lokal 30 OH 75,000 2,250,000 1,125,000
Kesehatan Usia Produkti ( 15 s/d petugas
59 tahun )
Pengembangan dan transport lokal

20 OH 75,000 1,500,000 300,000 300,000 150,000
Pelaksanaan Posyandu Remaja petugas
Pendidikan Kesehatan transport lokal

12 OH 75,000 900,000
Reproduksi Pada Remaja petugas
Orientasi Kader Kesehatan transport lokal
10 OH 75,000 750,000 750,000 750,000
remaja dan koordinasi petugas
uang saku peserta kegiatan Transport 32 OH 50,000 1,600,000
Orientasi Kader Kesehatan Akomodasi
1,600,000 1,600,000
remaja peserta
pertemuan
- - 2,350,000 2,350,000 1,425,000 300,000 150,000
Belanja Makmin Rapat
5.1.02.01.01.0 1,280,000
052 25,000
Makmin kegiatan orientasi Nasi Kotak
kader Kesehatan remaja 40 kotak 1,000,000 1,000,000 1,000,000
Makmin kegiatan orientasi Snack Kotak 7,000

kader Kesehatan remaja 40 kotak 280,000 280,000 280,000 -
- - 1,280,000 1,280,000 - - -
5.1.02.01.01.0 Belanja ATK

224,000
ATK untuk kegiatan orientasi

kader Kesehatan remaja Penggandaan / 640 350 224,000 224,000 224,000
Foto copy
- - 224,000 224,000 - - -
1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000

Kota 1,068 OH 75,600,000
Penimbangan rutin balita, dan transport lokal 576 OH 75,000 43,200,000 3,600,000 3,600,000 3,600,000 10,800,000 3,600,000 3,600,000 3,600,000
pemantauan tumbuh kembang petugas
Pelaksanaan stimulasi, deteksi, transport lokal 88 OH 75,000 6,600,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000
dan intervensi dini tumbuh petugas
kembang (SDIDTK) di posyandu
Pelaksanaan stimulasi, deteksi, transport lokal 48 OH 75,000 3,600,000 1,800,000 1,800,000

dan intervensi dini tumbuh petugas
kembang (SDIDTK) di
posyandu, PAUD, TK,
Kunjungan rumah bagi transport lokal 32 OH 75,000 2,400,000

bayi/balita resti petugas 300,000 300,000 300,000 300,000 300,000
Pelaksanaan Bulan 1,800,000 1,800,000

transport lokal
penimbangan 48 OH 75,000 3,600,000
petugas
Pelaksanaan Kelas ibu balita transport lokal 96 OH 75,000 7,200,000
petugas 1,200,000 900,000 900,000
Pelaksanaan Kelas ibu balita Uang

Transportasi
180 OH 50,000 9,000,000 2,250,000 2,250,000 2,250,000
dan
Akomodasi
kegiatan/Rapat
4,200,000 7,800,000 4,500,000 16,500,000 7,950,000 7,650,000 7,650,000

5.1.02.01.01.0 8,064,000
052
Makmin untuk klas balita Nasi Kotak 252 25,000 6,300,000
1,575,000 1,575,000 1,575,000
Snack Kotak 252 7,000 1,764,000

441,000 441,000 441,000
- - - - 2,016,000 2,016,000 2,016,000
5.1.02.01.01.0Belanja ATK 1,523,000
Kebutuhan ATK untuk Kegiatan Map Kertas 1,200

Kls Ibu Balita 60 72,000 72,000
Buku Tulis 5,100

60 306,000 306,000
Pulpen 3,800
60 228,000 228,000
Foto 350
Copy/Penggan 1,620 567,000 567,000
daan
Spanduk 350,000
Indoor 1 350,000 350,000
- - - - 1,523,000 - -
1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000

Masyarakat
Belanja Perjalanan Dnas 336 OH 25,200,000
5.1.02.04.01.0 dalam Kota
003
Pendampingan pemantauan transport lokal 24 OH 75,000 1,800,000 - 300,000 150,000 450,000 150,000 150,000 150,000
pertumbuhan di posyandu petugas
Pertemuan analisis pemantauan transport lokal
4 OH 75,000 300,000 300,000
pertumbuhan petugas
Pertemuan advokasi LP/LS
transport lokal
terkait kegiatan pemantauan 8 OH 75,000 600,000
petugas
pertumbuhan
Peningkatan cakupan pelayanan

melalui Kunjungan rumah dalam
rangka konfirmasi balita risiko transport lokal
60 OH 75,000 4,500,000 600,000 600,000 600,000 600,000 600,000
gangguan pertumbuhan maupun petugas
status gizi (termasuk balita yang
tidak datang timbang)
Pelacakan dan Pendampingan

intervensi gizi pada bumil KEK,
transport lokal
balita yang memiliki gangguan 20 OH 75,000 1,500,000 150,000 150,000 300,000 150,000 150,000 150,000
petugas
pertumbuhan/bermasalah status
gizinya
Edukasi/penyuluhan kepada
masyarakat pentingnya
pemantauan pertumbuhan dan transport lokal
24 OH 75,000 1,800,000 450,000 450,000
peningkatan ketahanan gizi petugas
Pendataan dan pemutakhiran transport lokal 20 OH 75,000 1,500,000 300,000 300,000 300,000 300,000
sasaran program kesehatan petugas
terintegrasi dalam upaya
perbaikan gizi masyarakat
Pelacakan dan pendampingan transport lokal 20 OH 75,000 1,500,000 300,000 300,000 300,000
penduduk dengna risiko petugas
masalah gizi
Peningkatan cakupan pelayanan transport lokal 20 OH 75,000 1,500,000 300,000 300,000 300,000 300,000
melalui kunjungan rumah, petugas
sweeping balita yang tidak
datang ke posyandu
Kegiatan edukasi pada ibu hamil transport lokal 24 OH 75,000 1,800,000 300,000 300,000
dan balita (ke masyarakat): petugas
konseling PMBA, ASI eksklusif,
Gizi seimbang
Kegiatan Pemberian Makanan transport lokal 10 OH 75,000 750,000 150,000 150,000

Tambahan Bumil KEK dan balita petugas
kurus berbahan baku lokal,
Pemberian Vitamin A Pemberian transport lokal 96 OH 75,000 7,200,000 3,600,000 3,600,000

tablet tambah darah ibu hamil, petugas
termasuk pengawasan minum
TTD
Pemberdayaan Masyarakat,
kader, tokoh masyarakat, tokoh
transport lokal
agama dalam upaya percepatan 6 OH 75,000 450,000 225,000
petugas
perbaikan gizi masyarakat di
tingkat kecamatan
- 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000
1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000
Belanja Perjalanan Dnas 7,500,000

5.1.02.04.01.0 dalam Kota
003 Kunjungan Rumah Penderita transport lokal 75,000
DM 100 OH 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000
petugas
- 900,000 900,000 1,800,000 900,000 900,000 900,000
1 02 02 2.02 08 Pengelolaan Pelayanan Pendrita Hipertensi
7,500,000

5.1.02.04.01.0 dalam Kota 7,500,000
003
Kunjungan Rumah Penderita 75,000
5.1.02.04.01.0 Hipertensi transport lokal
100 OH 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000
003 petugas
- 900,000 900,000 1,800,000 900,000 900,000 900,000
1 02 02 2.02 16 Pengelolaan Pelayan Kesehatan Kerja dan Olah Raga

4,600,000

5.1.02.04.01.0 Kota 52 OH 3,900,000
003
Pembinaan UKK transport lokal
32 OH 75,000 2,400,000 600,000 600,000 1,200,000 600,000 600,000
petugas
Pembinaan kesehatan olahraga
transport lokal
pada kelompok masyarakat 8 OH 75,000 600,000
petugas
anak sekolah
Pengukuran kebugaran jasmani
transport lokal
pada kelompok masyarakat 12 OH 75,000 900,000
petugas
anak sekolah
- 600,000 600,000 1,200,000 600,000 600,000 -
Belanja Makmin Rapat 700,000
5.1.02.01.01.0
052 Penyediaan senek untuk Snack Kotak 100 OH 7,000 700,000
kegiaan pemeriksaan - - - - - - -
kebugaran.
1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000

diharapkan
5.1.02.04.01.0 Kota
003
Surveilans Kejadian Ikutan transport lokal 50 OH 75,000 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000 300,000
5.1.02.04.01.0 Paska Imunisasi (KIPI) petugas
003 pelaksanaan imunisasi
450,000 450,000 450,000 1,350,000 450,000 300,000 300,000
1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000

penyakit berpotensi KLB ke laboratorium
kesehatan daerah atau laboratorium
rujukanpemerintah di kab/kota

5.1.02.04.01.0 Kota
003
Pengambilan dan Pengiriman transport lokal 40 OH 75,000 3,000,000

spesimen penyakit berpotensi petugas
KLB 150,000 300,000 300,000 750,000 300,000 300,000 300,000
150,000 300,000 300,000 750,000 300,000 300,000 300,000
1 02 02 2.02 13 Pengelolaan Pelayanan kesehatan bagi

penduduk pada Kondisi Luar Biasa 149,723,500
Belanja Perjalanan Dinas dalam 1,070 88,450,000

5.1.02.04.01.0 Kota
003 OH
1 Penyelidikan Epidemiologi (PE)

penyakit potensi KLB dan transport lokal
penanggulangan KLB. 10 OH 75,000 750,000 375,000 375,000 750,000
petugas
2 Pelacakan kontak kasus KLB transport lokal 28 OH 75,000 2,100,000 600,000 600,000 600,000 1,800,000 300,000
petugas
3 Koordinasi lintas sektor dalam transport lokal 36 OH 75,000 2,700,000 1,350,000 1,350,000 2,700,000
pelaksanaan pencegahan dan petugas
pengendalian penyakit Corona
Virus Disease 2019 (COVID-19)
di tingkat Desa
4 Pelacakan kontak erat pasien + transport lokal 488 OH 75,000 36,600,000 3,300,000 3,300,000 3,300,000 9,900,000 3,600,000 3,300,000 3,300,000
RDT entry test Rapid Antigen petugas
terkonfirmasi.
5 Pemantauan harian selama transport lokal 100 OH 75,000 7,500,000 750,000 750,000 750,000 2,250,000 750,000 750,000 750,000
karantina kontak erat oleh tracer petugas
6 Pemantauan harian selama transport lokal 216 OH 75,000 16,200,000 1,650,000 1,650,000 1,650,000 4,950,000 1,650,000 1,650,000 1,650,000
isolasi oleh tracer dan/atau petugas
petugas puskesmas
7 Penyelidikan Epidemiologi kasus transport lokal 192 OH 75,000 14,400,000 1,500,000 1,500,000 1,500,000 4,500,000 1,500,000 1,500,000 1,500,000
Covid-19 petugas
8 Merujuk Pasien terkonfirmasi transport lokal 10 OH 100,000 1,000,000 400,000 600,000 1,000,000
dengan Gejala Sedang dan petugas
Berat.
9 Pengiriman spesimen suspect dan transport lokal 72 OH 100,000 7,200,000 800,000 800,000 800,000 2,400,000 800,000 800,000 800,000
kontak erat COVID-19 ke petugas
laboratorium kesehatan daerah atau
laboratorium rujukan pemerintah di
kab/kota
10,725,000 10,925,000 8,600,000 30,250,000 8,600,000 8,000,000 8,000,000
Honor dan Insentif bagi tracer 42,000,000

5.1.02.04.01.0
014
Honor trecer Honor 60 OB 325,000 19,500,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000
Insentif 1,500 OR 15,000 22,500,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000 2,100,000
Insentif trecer
3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000
Honorarium Petugas Surveilan / 12,000,000

5.1.02.04.01.0 Pengolah Data
026
Jasa 12 OB 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
Honor Pengolah data kasus Covid- Administrasi
19 di puskesmas Kesehatan
Belanja Tagihan Telepon Biaya Pulsa 7,200,000

5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data 60 Paket 100,000 6,000,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000
dan Pemantauan komunikasi
Biaya Komunikasi untuk pengolah Paket Data 12 Paket 100,000 1,200,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000
data puskesmas komunikasi
600,000 600,000 600,000 1,800,000 600,000 600,000 600,000
Belanja ATK 73,500

5.1.02.04.01.0
024 Penggandaan Blangko / Form Foto Copy 210 350 73,500 73,500 73,500
penanggulangan Covid-19 lembar
- - 73,500 73,500 - - -
1 02 02 2.02 12 Pengelolaan Pelayanan Kesehatan Orang 1,500,000

dengan Risiko terinfeksi HIV/AIDS

5.1.02.04.01.0 Kota
003
Deteksi dini kasus HIV/AIDS, transport lokal 20 OH 75,000 1,500,000
Hepatitis, dan penyakit menular petugas
lainnya pada Ibu hamil dan 600,000 600,000 600,000 300,000
kelompok berisiko
- - 600,000 600,000 600,000 300,000 -

dengan Terduga Tuberculosis / TBC
Belanja Perjalanan Dinas dalam 62 OH
5.1.02.04.01.0 Kota 4,650,000
003
Deteksi dini kasus TBC transport lokal 20 OH 75,000 1,500,000 150,000 150,000 150,000 450,000 150,000 150,000 150,000
petugas
Penemuan kasus kontak TB dan transport lokal

20 OH 75,000 1,500,000 150,000 150,000 150,000 450,000 150,000 150,000 150,000
kasus mangkir, ( PMO) petugas
Pendampingan penderita
penyakit menular menahun transport lokal
22 OH 75,000 1,650,000 150,000 150,000 150,000 450,000 150,000 150,000 150,000
( TBC ) petugas
450,000 450,000 450,000 1,350,000 450,000 450,000 450,000
1 02 02 2.02 10 Pengelolaan Pelayanan Kesehatan Orang

dengan gangguan Jiwa 3,000,000

5.1.02.04.01.0 Kota 40 OH 3,000,000
003
Penemuan kasus orang dengan transport lokal 20 OH 75,000 1,500,000
gangguan jiwa serta penyakit petugas
lainnya
Konseling dan deteksi dini transport lokal 12 OH 75,000 900,000

masalah kesehatan jiwa dan petugas
napza 150,000 150,000 300,000 150,000 150,000 150,000
Pendampingan rujukan kasus transport lokal 8 OH 75,000 600,000

gangguan jiwa dan napza petugas
150,000 150,000 300,000 150,000 150,000
- 300,000 300,000 600,000 300,000 300,000 150,000

1 02 02 2.02 25 Pelayanan Kesehatan Penyakit Menular dan
Tidak Menular 74,700,000

5.1.02.04.01.0 Kota 996 OH 74,700,000
003
Survei anak sekolah dalam transport lokal
rangka pencegahan dan 6 OH 75,000 450,000 450,000 450,000
petugas
pengendalian penyakit
Deteksi dini faktor risiko PTM di transport lokal
50 OH 75,000 3,750,000 375,000 375,000 750,000 375,000 375,000 375,000
posbindu PTM petugas
Kunjungan ulang kasus Acute transport lokal
4 OH 75,000 300,000 150,000 150,000 300,000
Flaccyd Paralysis (AFP) petugas
transport lokal
Penemuan kasus kontak kusta 15 OH 75,000 1,125,000 150,000 150,000 300,000 150,000 150,000 150,000
petugas
Pelaksanaan pelayanan
imunisasi baik imunisasi rutin, , transport lokal
143 OH 75,000 10,725,000 975,000 975,000 975,000 2,925,000 975,000 975,000 975,000
imunisasi tambahan, di petugas
Posyandu
imunisasi rutin/imunisasi transport lokal
220 OH 75,000 16,500,000 16,500,000 16,500,000
tambahan, dan pengenalan petugas
antigen baru,Vaksin I
imunisasi rutin/imunisasi transport lokal
240 OH 75,000 18,000,000 18,000,000 18,000,000
tambahan, dan pengenalan petugas
antigen baru,Vaksin II
Bulan Imunisasi Anak Sekolah transport lokal

45 OH 75,000 3,375,000
(BIAS) MR petugas
Bulan Imunisasi Anak Sekolah transport lokal
60 OH 75,000 4,500,000
(BIAS) DT petugas
transport lokal
Sweping BIAS 12 OH 75,000 900,000
petugas
Pemberian Obat Pencegah transport lokal 20 OH 75,000 1,500,000
Masal (POPM) untuk petugas
pencegahan penyakit 750,000 750,000
Advokasi/sosialisasi/lokakarya/ transport lokal 32 OH 75,000 2,400,000

rapat koordinasi Lintas Sektor petugas
(LS)/ Lintas Program (LP) terkait
pencegahan dan pengendalian 2,400,000 2,400,000
penyakit
Pendataan sasaran POPM transport lokal 4 OH 75,000 300,000
petugas 150,000 150,000
Pengambilan obat POPM ke transport lokal 15 OH 75,000 1,125,000

dinas kesehatan kabupaten/kota petugas 150,000 150,000 75,000 375,000 75,000 75,000 75,000
Sweeping untuk meningkatkan transport lokal 40 OH 75,000 3,000,000

cakupan POPM, imunisasi dan petugas 750,000 750,000 750,000
penyakit menular lainnya
Monitoring, bimbingan teknis transport lokal 20 OH 75,000 1,500,000
pelaksanaan kegiatan pos petugas
pembinaan terpadu (posbindu) 300,000 300,000 300,000 300,000
penyakit tidak menular oleh
petugas puskesmas
Pendampingan penderita transport lokal 20 OH 75,000 1,500,000
penyakit menular menahun dan petugas 150,000 150,000 300,000 150,000 150,000 150,000
penyakit tidak menular
Validasi data laporan hasil transport lokal 4 OH 75,000 300,000
POPM dan manajemen kasus petugas 75,000 75,000 75,000
filariasis
Kunjungan rumah untuk transport lokal 8 OH 75,000 600,000
tatalaksana/manajemen kasus petugas 600,000 600,000
filariasis.
Orientasi/pembekalan/ transport lokal 4 OH 75,000 300,000
peningkatan kapasitas SDM bagi petugas 300,000
kader kesehatan untuk
peningkatan P2P. 75,000
Monitoring dan bimbingan teknis transport lokal 8 OH 600,000
kader kesehatan oleh petugas petugas 150,000 150,000 150,000
puskesmas
Koordinasi terpadu lintas transport lokal 16 OH 75,000 1,200,000
program/lintas sektor tentang petugas
pencegahan dan pengendalian 300,000 300,000 300,000
penyakit tingkat puskesmas
Pembentukan dan pengaktifan, transport lokal 10 OH 75,000 750,000

serta pembinaan kader petugas 150,000 150,000 150,000 150,000 150,000
kesehatan program P2P
20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000 2,850,000
1 02 02 2.02 17 Pengelolaan Pelayanan Kesehatan

Lingkungan 36,325,000
Belanja Perjalanan Dinas dala

5.1.02.04.01.0 kota
003 241 OH 24,075,000
Inspeksi kesehatan lingkungan

transport lokal
untuk sarana air minum dan 22 OH 75,000 1,650,000 150,000 150,000 150,000 450,000 150,000 150,000 150,000
petugas
sarana sanitasi dasar di TTU

transport lokal
petugas
sarana sanitasi dasar di TPM

transport lokal
petugas
sarana sanitasi dasar di SAB
Pengambilan sampel dalam

transport lokal
rangka surveilans kualitas air 11 OH 75,000 825,000 75,000 75,000 75,000 225,000 75,000 75,000 75,000
petugas
minum
Pertemuan Perencanaan/Rapat
transport lokal
penyusunan rencana pemicuan 16 OH 75,000 1,200,000 600,000 600,000 600,000
petugas
untuk STBM
Pertemuan Pemicuan STBM transport lokal 16 OH 75,000 1,200,000

600,000 600,000 600,000
petugas
transport lokal
Verifikasi STBM oleh kader 100 OH 75,000 7,500,000 3,000,000 4,500,000
petugas
transport lokal
Monitoring Pasca Pemicuan 16 OH 75,000 1,200,000 600,000
petugas
Kampanye Demo CTPS di transport lokal
16 OH 75,000 1,200,000
Sekolah petugas
525,000 525,000 1,725,000 2,775,000 1,725,000 3,525,000 5,625,000
Uang transport kegiatan/rapat Uang saku

penyusunan Rencana pemicuan rapat kader
120 OH 50,000 6,000,000 2,500,000 2,500,000 3,500,000
termasuk analisa situasi pra ( transport
pemicuan kegiatan)
- - 2,500,000 2,500,000 3,500,000 - -
5.1.02.01.01.0 Belanja Makmin rapat 10,880,000

052
Makmin dalam rangka Rapat Nasi Kotak 25,000
perencanaan pemicuan STBM 120 kotak 3,000,000 1,250,000 1,250,000 1,750,000
Makmin dalam rangka Rapat Snack Kotak 7,000

perencanaan pemicuan STBM 120 kotak 840,000 350,000 350,000 490,000
Makmin dalam rangka Snack Kotak 7,000

Pemicuan STBM 220 kotak 1,540,000 700,000 840,000
Makmin dalam rangka Nasi Kotak 25,000

Pemicuan STBM 220 kotak 5,500,000 2,500,000 3,000,000
- - 1,600,000 1,600,000 5,440,000 3,840,000 -

Belanja Jasa Tenaga
5.1.02.02.01.0 Laboratorium 550,000
015
Pemeriksaan kualitas air minum
pemeriksaan
(pengambilan sampel dan 11 sampe 50,000 550,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000
sampel air
pengujian sampel) l
50,000 50,000 50,000 150,000 50,000 50,000 50,000
5.1.02.01.01.0 Belanja ATK 820,000
Spanduk Spanduk 16 M 30,000 480,000 480,000 480,000
cetak stiker Cetak Stiker 68 5,000 340,000 340,000 340,000

lembar
- - 820,000 820,000 - - -
HONOR TENAGA KONTRAK 119,520,000
Pemenuhan Kebutuhan Sumber Daya Manusia Kesehatan 119,520,000

1 02 03 2.02 02
sesuai Standar
5.1.02.01.01.0Honorarium Tenaga Dengan Belanja jasa 2,490,000
Perjanjian Kerja Tenaga Tenaga
Promkes/Farmasi Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000
Honorarium Tenaga Dengan Belanja jasa 2,490,000

Nutrisionis Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Perjanjian Kerja Tenaga Analis Tenaga
Kesehatan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Keuangan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000
9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000
1 02 02 2.02 23 Upaya Kesehatan Kusus 40,650,000
Belanja Perjalanan Dinas 542 OH 40,650,000

5.1.02.04.01.0 Dalam Kota
003 Uang 75,000
5.1.02.04.01.0 Pelaksanaan kunjungan Transportasi
003 keluarga dan intervensi awal perjadin dalam
dalam rangka deteksi dini dan kota
420 OH 31,500,000 3,600,000 7,800,000 7,950,000 19,350,000 7,950,000 4,200,000
pengelolaan masalah kesehatan
terintegrasi melalui pendekatan
keluarga
Uang 75,000
5.1.02.04.01.0 Transportasi
Pelaksanaan intervensi lanjut
003 perjadin dalam
termasuk Perkesmas dalam 122 OH 9,150,000 1,200,000 1,200,000 1,200,000 750,000 1,200,000
rangka intervensi hasil PIS-PK kota
3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000 1,200,000
1 02 02 2.02 33 Operasional Pelayanan Puskesmas 47,808,000
Belanja Makmin Rapat 30,208,000

5.1.02.01.01.0
052 Makmin Lokakarya Mini Bulanan Nasi Kotak 624 ktk 25,000
Puskesmas Lintas Program 15,600,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000
Snack Kotak 624 ktk 7,000

4,368,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000
Makmin Lokakarya Mini Nasi Kotak 320 ktk 25,000

Puskesmas Tribulanan ( Lintas 8,000,000 2,000,000 2,000,000 2,000,000
Sektor) 7,000
Snack Kotak 320 ktk
2,240,000 560,000 560,000 560,000
1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000
Belanja Perjalanan Dinas

5.1.02.04.01.0 Dalam Kota 5,600,000
003 50,000
Lokakarya Mini Puskesmas Uang saku 112 OH
Tribulanan ( Lintas Sektor) rapat
petugas/kader 5,600,000 1,400,000 1,400,000 1,400,000
- 1,400,000 - 1,400,000 - 1,400,000 -
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV 12,000,000
Layanan Paket Internet untuk Belanja 12 Bln 1,000,000 12,000,000

digunakan seluruh program di Tagihan
Puskesmas (Max. 2jt/bln) Internet 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
1 02 02 2.02 07
Pengelolaan Pelayanan Kesehatan pada
20,585,000
Usia Lanjut
Belanja Perjalanan Dinas 17,850,000

5.1.02.04.01.0 Dalam Kota 106
003
Pembinaan Senam lansia di transport lokal

20 OH 75,000 1,500,000 150,000 150,000 150,000 450,000 150,000 150,000 150,000
Posyandu Lansia petugas
Deteksi dini faktor risiko PTM di transport lokal

50 OH 75,000 3,750,000 300,000 450,000 450,000 1,200,000 450,000 300,000 300,000
Posyandu lansia petugas
Uang 24 OH 75,000 1,800,000
Koordinasi lintas sektor dalam Transportasi
rangka kegiatan Pelatihan/ perjadin dalam 900,000 900,000 1,800,000
Orientasi Caregiver kota
Orientasi penggunaan panduan Uang 12 OH 75,000 900,000

praktis untuk caregive informasi Transportasi
bagi lansia untuk kader / perjadin dalam 900,000
pendamping lansia kota
450,000 1,500,000 1,500,000 3,450,000 1,500,000 450,000 450,000

Orientasi penggunaan panduan 54 OH 50,000 2,700,000
praktis untuk caregive informasi uang Saku
bagi lansia untuk kader / rapat Kader 2,700,000
pendamping lansia ( transport
Kegiatan)
- - - - 2,700,000 - -
Belanja Honorarium
5.1.02.02.01.0 narasumber atau Pembahas,
003 moderator,Pembawa Acara
dan Panitia
Orientasi penggunaan panduan 8 OH 900,000 7,200,000

praktis untuk caregive informasi
bagi lansia untuk kader / Honor 7,200,000
pendamping lansia Narasumber
- - - - 7,200,000 - -
5.1.02.01.01.0
052 25,000
Makmin dalam rangka Pelatihan/ Nasi Kotak 80 Ktk 2,000,000
Orientasi Caregiver 2,000,000
Snack Kotak 80 Ktk 7,000 560,000

560,000
- - - - 2,560,000 - -
5.1.02.01.01.0Belanja ATK
175,000 - -
Penggandaan materi Pelatihan/ Fotocopy 500 lbr 350 175,000

Orientasi Caregiver 175,000
- - - - 175,000 - -
JUMLAH TOTAL 723,093,500 62,549,000 81,409,000 70,246,500 214,204,500 89,288,000 67,690,000 56,065,000
723,093,500
Mengetahui / Menyetujui, Bangli, 17 Desember 2021

Kepala Dinas Kesehatan Kabupaten Bangli Kepala UPT. Puskesmas Susut II
dr I Nyoman Arsana drg I Gusti Gede Ngurah Kursista, MPH

NIP. 19611231 198911 1 015 NIP. 196611222002121002
TWII Juli Agust Sept TW III Okt Nop Des TW IV Jml
15 16 17 18 19 20 21 22 23 24
375,000 375,000 375,000 375,000 375,000 1,500,000
300,000 450,000 750,000 750,000
450,000 - 450,000
1,200,000 1,200,000 1,200,000 1,200,000 3,600,000 - 4,800,000
900,000 300,000 300,000 150,000 150,000 300,000 2,400,000
2,925,000 1,500,000 1,200,000 1,575,000 4,275,000 450,000 975,000 - 1,425,000 9,900,000
3,000,000 1,050,000 1,050,000 1,050,000 3,150,000 900,000 900,000 1,800,000 10,800,000
900,000 450,000 450,000 450,000 1,350,000 450,000 450,000 900,000 3,600,000
3,300,000 1,050,000 900,000 900,000 2,850,000 1,050,000 1,050,000 2,100,000 11,250,000

150,000 150,000 150,000 450,000 150,000 150,000
300,000 750,000
7,200,000 2,700,000 2,550,000 2,550,000 7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000
900,000
1,125,000 375,000 375,000 375,000 1,125,000 375,000 375,000 3,750,000
750,000 750,000
1,875,000 375,000 375,000 375,000 1,125,000 375,000 - - 375,000 5,400,000
300,000
300,000
1,050,000 300,000 450,000 300,000 1,050,000 450,000 450,000
3,600,000
1,050,000
1,050,000
2,250,000 900,000 900,000 900,000 2,700,000 675,000 675,000 7,200,000
1,200,000 1,200,000 1,200,000
7,500,000 7,500,000 7,500,000
4,650,000 1,200,000 1,350,000 1,200,000 3,750,000 9,825,000 - - 9,825,000 20,850,000
4,250,000 4,250,000 4,250,000
1,190,000 1,190,000 1,190,000

- - - - - 5,440,000 - - 5,440,000 5,440,000
406,000 406,000 406,000
360,000 360,000 360,000
960,000 960,000 960,000
- 1,726,000 - - 1,726,000 - - - - 1,726,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 1,425,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 1,500,000
3,000,000 3,000,000 6,000,000 6,000,000
375,000 375,000 375,000 750,000
1,275,000 300,000 3,675,000 3,300,000 7,275,000 300,000 - - 300,000 9,675,000
1,125,000 1,125,000 1,125,000

2,250,000
750,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,500,000
900,000 900,000 900,000
750,000
1,600,000
1,875,000 150,000 1,050,000 150,000 1,350,000 1,275,000 150,000 - 1,425,000 7,000,000
1,000,000
- 280,000
- - - - - - - - - 1,280,000
224,000
- - - - - - - - 224,000
-
10,800,000 3,600,000 3,600,000 3,600,000 10,800,000 3,600,000 3,600,000 3,600,000 10,800,000
43,200,000
1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 1,200,000
6,600,000
1,800,000 1,800,000
3,600,000
900,000 300,000 300,000 600,000 300,000 300,000 600,000 2,400,000
1,800,000 1,800,000
3,600,000
3,000,000 900,000 1,200,000 2,100,000 1,200,000 900,000 2,100,000 7,200,000
6,750,000 2,250,000 2,250,000 9,000,000
23,250,000 7,650,000 7,800,000 5,700,000 21,150,000 5,700,000 5,400,000 3,600,000 14,700,000 75,600,000
4,725,000 1,575,000 1,575,000 6,300,000
1,323,000 441,000 441,000 1,764,000

6,048,000 2,016,000 - - 2,016,000 - - - - 8,064,000
72,000 72,000
306,000 306,000
228,000 228,000
567,000 567,000
350,000 350,000
1,523,000 - - - - - - - - 1,523,000
450,000 150,000 300,000 150,000 600,000 150,000 150,000 300,000

1,800,000
300,000 300,000
600,000 600,000 600,000
1,800,000 600,000 450,000 1,050,000 600,000 450,000 1,050,000 4,500,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,500,000
900,000 450,000 450,000 450,000 450,000 1,800,000
600,000 300,000 300,000 300,000 300,000
1,500,000
300,000 300,000 300,000 600,000 300,000 300,000

1,500,000
600,000 300,000 300,000 300,000 300,000
1,500,000
600,000 300,000 300,000 600,000 300,000 300,000 600,000
1,800,000
300,000 150,000 150,000 150,000 150,000 300,000
750,000
3,600,000 3,600,000
7,200,000
225,000 225,000
225,000 450,000
6,525,000 2,250,000 750,000 5,700,000 8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000
2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000 7,500,000
2,700,000 750,000 750,000 750,000 2,250,000 750,000 - - 750,000 7,500,000
2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000 7,500,000
2,700,000 750,000 750,000 750,000 2,250,000 750,000 - - 750,000 7,500,000
-
1,200,000 2,400,000
300,000 300,000 600,000 600,000
450,000 450,000 900,000 900,000
1,200,000 - 750,000 750,000 1,500,000 - - - - 3,900,000

-
- - 350,000 350,000 700,000 - - - - 700,000
1,050,000 300,000 300,000 300,000 900,000 300,000 150,000 450,000

3,750,000
1,050,000 300,000 300,000 300,000 900,000 300,000 150,000 - 450,000

3,750,000
900,000 300,000 300,000 300,000 900,000 450,000 450,000 3,000,000
900,000 300,000 300,000 300,000 900,000 450,000 450,000 3,000,000
750,000
300,000
2,100,000
2,700,000
10,200,000 3,300,000 3,300,000 3,300,000 9,900,000 3,300,000 3,300,000 6,600,000

36,600,000
2,250,000 750,000 750,000 750,000 2,250,000 750,000 750,000

7,500,000
4,950,000 1,650,000 1,650,000 1,500,000 4,800,000 1,500,000 1,500,000

16,200,000
4,500,000 1,500,000 1,500,000 1,500,000 4,500,000 900,000 900,000

14,400,000
1,000,000
2,400,000 800,000 800,000 800,000 2,400,000
7,200,000
24,600,000 8,000,000 8,000,000 7,850,000 23,850,000 6,450,000 3,300,000 - 9,750,000

88,450,000
4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 4,875,000

19,500,000
6,300,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 1,500,000 3,600,000

22,500,000
11,175,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,125,000 1,625,000 8,475,000

42,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000

12,000,000
-
-
1,500,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000 1,500,000
6,000,000
300,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000 300,000

1,200,000
1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000 1,800,000

7,200,000
73,500
- - - - - - - - -
73,500
900,000 1,500,000
900,000 - - - - - - - - 1,500,000
450,000 150,000 150,000 150,000 450,000 150,000 - - 150,000 1,500,000
450,000 150,000 150,000 150,000 450,000 150,000 - - 150,000 1,500,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 - 300,000 1,650,000
1,350,000 450,000 450,000 450,000 1,350,000 450,000 150,000 - 600,000 4,650,000
750,000 750,000 1,500,000 1,500,000
450,000 150,000 150,000 900,000
300,000 600,000
750,000 900,000 750,000 - 1,650,000 - - - - 3,000,000
450,000
1,125,000 375,000 375,000 375,000 1,125,000 375,000 375,000 750,000 3,750,000
300,000
450,000 150,000 225,000 375,000 1,125,000
2,925,000 975,000 975,000 975,000 2,925,000 975,000 975,000 1,950,000 10,725,000
16,500,000
18,000,000
3,375,000 3,375,000 3,375,000
4,500,000 4,500,000 4,500,000
450,000 450,000 450,000 450,000 900,000
750,000 750,000 1,500,000
2,400,000
150,000 150,000 300,000
225,000 225,000 75,000 75,000 375,000 75,000 75,000 150,000 1,125,000
750,000 750,000 750,000 750,000 750,000 3,000,000
600,000 300,000 300,000 300,000 300,000 1,500,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,500,000
75,000 75,000 75,000 75,000 75,000 300,000
600,000
300,000 300,000
150,000 150,000 150,000 300,000 600,000
300,000 300,000 300,000 300,000 300,000 1,200,000
450,000 150,000 150,000 750,000
7,800,000 2,325,000 7,425,000 2,100,000 11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,650,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,650,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 300,000 1,650,000
225,000 75,000 75,000 75,000 225,000 75,000 75,000 150,000 825,000
600,000 1,200,000
600,000
1,200,000
7,500,000 7,500,000
600,000 600,000 600,000 1,200,000
300,000 300,000 300,000 900,000 300,000 300,000 1,200,000
10,875,000 1,425,000 825,000 825,000 3,075,000 825,000 525,000 1,350,000 18,075,000
3,500,000 6,000,000
3,500,000 - - - - - - - - 6,000,000
1,750,000 3,000,000
490,000 840,000
1,540,000 1,540,000
5,500,000 5,500,000
9,280,000 - - - - - - - - 10,880,000
150,000 50,000 50,000 50,000 150,000 50,000 50,000 100,000 550,000

150,000 50,000 50,000 50,000 150,000 50,000 50,000 - 100,000 550,000
480,000
340,000
- - - - - - - - - 820,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000
12,150,000 31,500,000
3,150,000 1,200,000 1,200,000 1,200,000 3,600,000 1,200,000 1,200,000 9,150,000
15,300,000 1,200,000 1,200,000 1,200,000 3,600,000 1,200,000 1,200,000 40,650,000
3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 15,600,000
1,092,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000 1,092,000 4,368,000
2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 8,000,000
560,000 560,000 560,000 560,000 560,000 2,240,000
7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 30,208,000
1,400,000 1,400,000 1,400,000 1,400,000 1,400,000 5,600,000
1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 5,600,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
450,000 150,000 150,000 150,000 450,000 150,000 150,000 1,500,000
1,050,000 300,000 300,000 300,000 900,000 300,000 300,000 600,000 3,750,000
1,800,000
900,000 900,000
2,400,000 450,000 450,000 450,000 1,350,000 450,000 300,000 - 750,000 7,950,000

2,700,000 2,700,000
2,700,000 - - - - - - - - 2,700,000
7,200,000 7,200,000
7,200,000 - - - - - - - - 7,200,000
2,000,000 2,000,000
560,000 560,000
2,560,000 - - - - - - - - 2,560,000
175,000 175,000
175,000 - - - - - - - - 175,000
213,043,000 54,716,000 63,009,000 54,624,000 172,349,000 60,489,000 43,559,000 19,449,000 123,497,000 723,093,500
723,093,500
-
Puskemas susut II
Tahun 2022
RINCIAN
KODE PERHITUNGAN
KODE REKENING
NO
SUB KEGIATAN
REKENING URAIAN Harga JUMLAH (Rp) Jan Peb Maret TW I April Mei
BELANJA Vol /Satuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000

5.1.02.04.01.0 Kota 132 OH 9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000
003
26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000

5.1.02.04.01.0 Kota 352 OH 26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000
003
5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000
baru lahir
5.1.02.04.01.0 Kota 72 OH 5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000
003

28,016,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000
5.1.02.04.01.0 dalam Kota 178 OH 20,850,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000
003
Transport Lokal petugas
178 75,000 13,350,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000
Uang Transportasi dan

150 50,000 7,500,000
Akomodasi kegiatan/ Rapat

5.1.02.01.01.0 5,440,000 - - - - - -
052 25,000


5.1.02.01.01.0 - - - - - -
Materi Orientasi Kader ) Penggandaan / 1,160 lbr 350 406,000
Foto copy
192 5,000 960,000

9,675,000 300,000 525,000 825,000 675,000 300,000

5.1.02.04.01.0 Kota 129 OH 9,675,000 300,000 525,000 825,000 675,000 300,000
003
-
Usia Produktif 8,504,000 - - 3,854,000 3,854,000 1,425,000 300,000

5.1.02.04.01.0 Kota 104 OH 7,000,000 - - 2,350,000 2,350,000 1,425,000 300,000
003
Transport Lokal petugas 72 OH 75,000 5,400,000 750,000 750,000 1,425,000 300,000

32 OH 50,000 1,600,000 1,600,000 1,600,000

5.1.02.01.01.0 1,280,000 - - 1,280,000 1,280,000 - -
052 25,000

kader Kesehatan remaja 40 kotak 280,000 280,000 280,000 -
5.1.02.01.01.0 Belanja ATK

224,000 - - 224,000 224,000 - -

Penggandaan / 640 350 224,000 224,000 224,000
kader Kesehatan remaja
Foto copy
1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000 4,200,000 7,800,000 4,500,000 16,500,000 9,239,000 7,416,000
5.1.02.04.01.0 Kota 4,200,000 7,800,000 4,500,000 16,500,000 7,950,000 7,650,000
75,600,000
003
transport lokal
petugas 888 OH 75,000 66,600,000 4,200,000 7,800,000 4,500,000 16,500,000 5,700,000 5,400,000
Uang
Transportasi
dan
Akomodasi 180 OH 50,000 9,000,000 2,250,000 2,250,000
kegiatan/
Rapat

5.1.02.01.01.0 8,064,000 - - - - 2,016,000 2,016,000
052
1,575,000 1,575,000
Snack Kotak 252 7,000 1,764,000
441,000 441,000
5.1.02.01.01.0Belanja ATK 1,523,000

- - - - 1,523,000 -

Kls Ibu Balita 60 72,000 72,000
Buku Tulis 5,100

60 306,000 306,000
Pulpen 3,800
60 228,000 228,000
Foto Copy/ 350

Penggandaan 1,620 567,000 567,000
Spanduk 350,000
Indoor 1 350,000 350,000
1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000 - 750,000 5,100,000 5,850,000 2,100,000 1,875,000
Masyarakat

5.1.02.04.01.0 dalam Kota - 750,000 5,100,000 5,850,000 2,100,000 1,875,000
003
1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000 900,000 900,000 1,800,000 900,000 900,000
Belanja Perjalanan Dnas 75,000 7,500,000

5.1.02.04.01.0 dalam Kota transport lokal
100 OH 900,000 900,000 1,800,000 900,000 900,000
003 petugas

7,500,000 900,000 900,000 1,800,000 900,000 900,000

5.1.02.04.01.0 dalam Kota 100 OH 900,000 900,000 1,800,000 900,000 900,000
003

4,600,000 - 600,000 600,000 1,200,000 600,000 600,000

5.1.02.04.01.0 Kota 52 OH 3,900,000 - 600,000 600,000 1,200,000 600,000 600,000
003

5.1.02.01.01.0 700,000 - - - - - -
052
1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000
diharapkan
Belanja Perjalanan Dinas dalam 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000
5.1.02.04.01.0 Kota
003
1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000
Belanja Perjalanan Dinas dalam 40 OH 75,000 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000
5.1.02.04.01.0 Kota
003

penduduk pada Kondisi Luar Biasa
149,723,500 16,050,000 16,250,000 13,998,500 46,298,500 13,925,000 13,325,000

5.1.02.04.01.0 Kota
88,450,000 10,725,000 10,925,000 8,600,000 30,250,000 8,600,000 8,000,000
003
1,070 OH 75,000 80,250,000 9,525,000 9,525,000 7,800,000 26,850,000 7,800,000 7,200,000

transport lokal
petugas
Perjadin Gol 3 82 OH 100,000 8,200,000 1,200,000 1,400,000 800,000 3,400,000 800,000 800,000
Honor dan Insentif bagi tracer 42,000,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000
5.1.02.04.01.0
014
Honor trecer Honor 60 OB 325,000 19,500,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000
Insentif 1,500 OR 15,000 22,500,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000
Insentif trecer
Honorarium Petugas Surveilan / 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000
026
Jasa 12 OB 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000
Belanja Tagihan Telepon Biaya Pulsa 7,200,000 600,000 600,000 600,000 1,800,000 600,000 600,000
5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data 60 Paket 100,000 6,000,000 500,000 500,000 500,000 1,500,000 500,000 500,000
Biaya Komunikasi untuk pengolah Paket Data 12 Paket 100,000 1,200,000 100,000 100,000 100,000 300,000 100,000 100,000
Belanja ATK 73,500 - - 73,500 73,500 - -
5.1.02.04.01.0

dengan Risiko terinfeksi HIV/AIDS - - 600,000 600,000 600,000 300,000
Belanja Perjalanan Dinas dalam 1,500,000 - - 600,000 600,000 600,000 300,000

5.1.02.04.01.0 Kota
003
lainnya pada Ibu hamil dan 600,000 600,000 600,000 300,000
kelompok berisiko

dengan Terduga Tuberculosis / TBC 450,000 450,000 450,000 1,350,000 450,000 450,000

5.1.02.04.01.0 Kota 4,650,000 450,000 450,000 450,000 1,350,000 450,000 450,000
003

dengan gangguan Jiwa 3,000,000 - 300,000 300,000 600,000 300,000 300,000

5.1.02.04.01.0 Kota 40 OH 3,000,000 - 300,000 300,000 600,000 300,000 300,000
003

Tidak Menular 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000

5.1.02.04.01.0 Kota 996 OH 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000
003

Lingkungan 36,325,000 575,000 575,000 6,695,000 7,845,000 10,715,000 7,415,000

5.1.02.04.01.0 kota
24,075,000 525,000 525,000 4,225,000 5,275,000 5,225,000 3,525,000
003
transport lokal
241 OH 18,075,000 525,000 525,000 1,725,000 2,775,000 1,725,000 3,525,000
petugas
Uang saku
rapat kader
120 OH 50,000 6,000,000 2,500,000 2,500,000 3,500,000
( transport
kegiatan)
Belanja Makmin rapat 10,880,000

5.1.02.01.01.0 - - 1,600,000 1,600,000 5,440,000 3,840,000
052


Pemicuan STBM 220 kotak 1,540,000 700,000 840,000

Pemicuan STBM 220 kotak 5,500,000 2,500,000 3,000,000
Belanja Jasa Tenaga

5.1.02.02.01.0 Laboratorium 550,000 50,000 50,000 50,000 150,000 50,000 50,000
015
pemeriksaan
(pengambilan sampel dan 11 sampe 50,000 550,000 50,000 50,000 50,000 150,000 50,000 50,000
sampel air
pengujian sampel) l
5.1.02.01.01.0 Belanja ATK 820,000 - - 820,000 820,000 - -

lembar
HONOR TENAGA KONTRAK 119,520,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000

1 02 03 2.02 02 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000
sesuai Standar
Promkes/Farmasi Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000

Nutrisionis Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000

Kesehatan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000

Keuangan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000
1 02 02 2.02 23 Upaya Kesehatan Kusus
40,650,000 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000

5.1.02.04.01.0 Dalam Kota 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000
003 Uang 75,000
420 OH 31,500,000 3,600,000 7,800,000 7,950,000 19,350,000 7,950,000 4,200,000
keluarga
Uang 75,000
003 perjadin dalam
termasuk Perkesmas dalam 122 OH 9,150,000 1,200,000 1,200,000 1,200,000 750,000
kota
rangka intervensi hasil PIS-PK
1 02 02 2.02 33 Operasional Pelayanan Puskesmas 47,808,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000
Belanja Makmin Rapat 30,208,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000
5.1.02.01.01.0
Puskesmas Lintas Program 15,600,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000

4,368,000 364,000 364,000 364,000 1,092,000 364,000 364,000

Puskesmas Tribulanan ( Lintas 8,000,000 2,000,000 2,000,000 2,000,000
Sektor) 7,000
Snack Kotak 320 ktk
2,240,000 560,000 560,000 560,000

5.1.02.04.01.0 Dalam Kota 5,600,000 - 1,400,000 - 1,400,000 - 1,400,000
003 50,000
Lokakarya Mini Puskesmas Uang saku 112 OH
petugas/kader 5,600,000 1,400,000 1,400,000 1,400,000
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000

Puskesmas (Max. 2jt/bln) Internet 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000
1 02 02 2.02 07
20,585,000 450,000 1,500,000 1,500,000 3,450,000 14,135,000 450,000
Usia Lanjut

5.1.02.04.01.0 Dalam Kota 450,000 1,500,000 1,500,000 3,450,000 4,200,000 450,000
003
transport lokal 7,950,000
106 OH 75,000 450,000 1,500,000 1,500,000 3,450,000 1,500,000 450,000
petugas
uang Saku 54 OH 50,000 2,700,000
rapat Kader 2,700,000
( transport
Kegiatan)
Belanja Honorarium 8 OH 900,000 7,200,000

003 moderator,Pembawa Acara Honor
dan Panitia 7,200,000
Narasumber

5.1.02.01.01.0 - - - - 2,560,000 -
052 25,000
Orientasi Caregiver 2,000,000

560,000
175,000 - - 175,000

Orientasi Caregiver 175,000
JUMLAH TOTAL 723,093,500 62,549,000 81,409,000 70,246,500 214,204,500 87,038,000 65,440,000
723,093,500
Mengetahui / Menyetujui, Bangli, 17 Desember 2021


NIP. 19611231 198911 1 015 NIP. 196611222002121002
Juni TWII Juli Agust Sept TW III Okt Nop Des TW IV Jml
16 17 18 19 20 21 22 23 24 25 26
1,125,000 2,925,000 1,500,000 1,200,000 1,575,000 4,275,000 450,000 975,000 - 1,425,000 9,900,000
1,125,000 2,925,000 1,500,000 1,200,000 1,575,000 4,275,000 450,000 975,000 - 1,425,000 9,900,000
1,800,000 7,200,000 2,700,000 2,550,000 2,550,000 7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000
1,800,000 7,200,000 2,700,000 2,550,000 2,550,000 7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000
375,000 1,875,000 375,000 375,000 375,000 1,125,000 375,000 - - 375,000 5,400,000
375,000 1,875,000 375,000 375,000 375,000 1,125,000 375,000 - - 375,000 5,400,000
975,000 4,650,000 2,926,000 1,350,000 1,200,000 5,476,000 15,265,000 - - 28,016,000
975,000 4,650,000 1,200,000 1,350,000 1,200,000 3,750,000 9,825,000 9,825,000 20,850,000
975,000 4,650,000 1,200,000 1,350,000 1,200,000 3,750,000 2,325,000 2,325,000 13,350,000
7,500,000 7,500,000 7,500,000
- - - - - - 5,440,000 - - 5,440,000 5,440,000
4,250,000 4,250,000 4,250,000
1,190,000 1,190,000 1,190,000
- - 1,726,000 - - 1,726,000 - - - - 1,726,000
406,000 406,000 406,000
360,000 360,000 360,000
960,000 960,000 960,000
300,000 1,275,000 300,000 3,675,000 3,300,000 7,275,000 300,000 - - 300,000 9,675,000
300,000 1,275,000 300,000 3,675,000 3,300,000 7,275,000 300,000 - - 300,000 9,675,000
150,000 1,875,000 150,000 1,050,000 150,000 1,350,000 1,275,000 150,000 - 1,425,000 8,504,000
150,000 1,875,000 150,000 1,050,000 150,000 1,350,000 1,275,000 150,000 - 1,425,000 7,000,000
150,000 1,875,000 150,000 1,050,000 150,000 1,350,000 1,275,000 150,000 - 1,425,000
- - - - - - - - - - 1,280,000
1,000,000
- 280,000
- - - - - - - - - 224,000
224,000
7,416,000 24,071,000 7,416,000 7,800,000 5,700,000 20,916,000 5,700,000 5,400,000 3,600,000 14,700,000 85,187,000
7,650,000 23,250,000 7,650,000 7,800,000 5,700,000 21,150,000 5,700,000 5,400,000 3,600,000 14,700,000 75,600,000
5,400,000 16,500,000 5,400,000 7,800,000 5,700,000 18,900,000 5,700,000 5,400,000 3,600,000 14,700,000 66,600,000
2,250,000 6,750,000 2,250,000 2,250,000 9,000,000
2,016,000 6,048,000 2,016,000 - - 2,016,000 - - - - 8,064,000
1,575,000 4,725,000 1,575,000 1,575,000 6,300,000

441,000 1,323,000 441,000 441,000 1,764,000
- 1,523,000 - - - - - - - - 1,523,000
72,000 72,000
306,000 306,000
228,000 228,000
567,000 567,000
350,000 350,000
2,550,000 6,525,000 2,250,000 750,000 5,700,000 8,700,000 2,325,000 1,800,000 - 4,125,000

25,200,000
2,550,000 6,525,000 2,250,000 750,000 5,700,000 8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000
900,000 2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000

7,500,000
900,000 2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000 7,500,000
900,000 2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000 7,500,000
900,000 2,700,000 750,000 750,000 750,000 2,250,000 750,000 750,000 7,500,000
- 1,200,000 - 1,100,000 1,100,000 2,200,000 - - - - 4,600,000
- 1,200,000 - 750,000 750,000 1,500,000 - - - - 3,900,000
- - - 350,000 350,000 700,000 - - - - 700,000
-
300,000 1,050,000 300,000 300,000 300,000 900,000 300,000 150,000 450,000
3,750,000
300,000 1,050,000 300,000 300,000 300,000 900,000 300,000 150,000 450,000
3,750,000
300,000 900,000 300,000 300,000 300,000 900,000 450,000 - - 450,000 3,000,000
300,000 900,000 300,000 300,000 300,000 900,000 450,000 450,000 3,000,000
13,325,000 40,575,000 13,325,000 13,325,000 13,175,000 39,825,000 11,775,000 8,025,000 2,225,000 20,025,000 146,723,500
8,000,000 24,600,000 8,000,000 8,000,000 7,850,000 23,850,000 6,450,000 3,300,000 - 9,750,000 88,450,000
7,200,000 22,200,000 7,200,000 7,200,000 7,050,000 21,450,000 6,450,000 3,300,000 9,750,000 80,250,000
800,000 2,400,000 800,000 800,000 800,000 2,400,000 - - - - 8,200,000
3,725,000 11,175,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,125,000 1,625,000 8,475,000
42,000,000
1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 4,875,000
19,500,000
2,100,000 6,300,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 1,500,000 3,600,000

22,500,000
1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000

9,000,000
1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000
12,000,000
-
600,000 1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000 1,800,000
7,200,000
500,000 1,500,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000 1,500,000
6,000,000
100,000 300,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000 300,000
1,200,000
- - - - - - - - - -
73,500
73,500
- 900,000 - - - - - - - - 1,500,000
- 900,000 - - - - - - - - 1,500,000
900,000 1,500,000
450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 150,000 - 600,000 4,650,000
450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 150,000 - 600,000 4,650,000
150,000 750,000 900,000 750,000 - 1,650,000 - - - - 3,000,000
150,000 750,000 900,000 750,000 - 1,650,000 - - - - 3,000,000
2,850,000 7,800,000 2,325,000 7,425,000 2,100,000 11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000
2,850,000 7,800,000 2,325,000 7,425,000 2,100,000 11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000
5,675,000 23,805,000 1,475,000 875,000 875,000 3,225,000 875,000 575,000 - 1,450,000 36,325,000
5,625,000 14,375,000 1,425,000 825,000 825,000 3,075,000 825,000 525,000 1,350,000 24,075,000
5,625,000 10,875,000 1,425,000 825,000 825,000 3,075,000 825,000 525,000 1,350,000 18,075,000
3,500,000 6,000,000
- 9,280,000 - - - - - - - - 10,880,000
1,750,000 3,000,000
490,000 840,000
1,540,000 1,540,000
5,500,000 5,500,000
50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 - 100,000 550,000
50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 100,000 550,000
- - - - - - - - - - 820,000
480,000
340,000
9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000
9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000
2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
1,200,000 15,300,000 1,200,000 1,200,000 1,200,000 3,600,000 1,200,000 1,200,000 40,650,000
1,200,000 15,300,000 1,200,000 1,200,000 1,200,000 3,600,000 1,200,000 1,200,000 40,650,000
12,150,000 31,500,000
1,200,000 3,150,000 1,200,000 1,200,000 1,200,000 3,600,000 1,200,000 1,200,000 9,150,000
2,664,000 11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 47,808,000
1,664,000 7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 30,208,000
1,300,000 3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 15,600,000
364,000 1,092,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000 1,092,000 4,368,000
2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 8,000,000
560,000 560,000 560,000 560,000 560,000 2,240,000
- 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 5,600,000
1,400,000 1,400,000 1,400,000 1,400,000 1,400,000 5,600,000
1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
450,000 15,035,000 450,000 450,000 450,000 1,350,000 450,000 300,000 - 750,000 20,585,000
450,000 5,100,000 450,000 450,000 450,000 1,350,000 450,000 300,000 - 750,000 10,650,000
450,000 2,400,000 450,000 450,000 450,000 1,350,000 450,000 300,000 - 750,000 7,950,000
2,700,000 2,700,000
7,200,000 7,200,000
- 2,560,000 - - - - - - - - 2,560,000
2,000,000 2,000,000
560,000 560,000
175,000 175,000
175,000 175,000
53,815,000 206,293,000 52,466,000 63,009,000 54,624,000 170,099,000 60,489,000 43,559,000 18,449,000 105,232,000 720,093,500
723,093,500
Puskemas susut II
Tahun 2022
RINCIAN
KODE PERHITUNGAN
KODE REKENING
NO
SUB KEGIATAN
REKENING URAIAN Harga JUMLAH (Rp) Jan Peb Maret TW I April Mei Juni TWII Juli Agust Sept
BELANJA Vol /Satuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000 2,925,000 1,500,000 1,200,000 1,575,000

5.1.02.04.01.0 Kota 132 OH 9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000 2,925,000 1,500,000 1,200,000 1,575,000
003
2 26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000 7,200,000 2,700,000 2,550,000 2,550,000

5.1.02.04.01.0 Kota 352 OH 26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000 7,200,000 2,700,000 2,550,000 2,550,000
003
3 5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000 1,875,000 375,000 375,000 375,000
baru lahir
5.1.02.04.01.0 Kota 72 OH 5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000 1,875,000 375,000 375,000 375,000
003

4 28,016,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 2,926,000 1,350,000 1,200,000
5.1.02.04.01.0 dalam Kota 178 OH 20,850,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 1,200,000 1,350,000 1,200,000
003
178 75,000 13,350,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 1,200,000 1,350,000 1,200,000

150 50,000 7,500,000

5.1.02.01.01.0 5,440,000 - - - - - - - - - - -
052 25,000


5.1.02.01.01.0 - - - - - - - - 1,726,000 - -
Materi Orientasi Kader ) Penggandaan / 1,160 lbr 350 406,000 406,000
Foto copy
kegiatan Edukasi Penyakit 360,000
192 5,000 960,000 960,000

5 9,675,000 300,000 525,000 825,000 675,000 300,000 300,000 1,275,000 300,000 3,675,000 3,300,000

5.1.02.04.01.0 Kota 129 OH 9,675,000 300,000 525,000 825,000 675,000 300,000 300,000 1,275,000 300,000 3,675,000 3,300,000
003
-
6 Usia Produktif 8,504,000 - - 3,854,000 3,854,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000

5.1.02.04.01.0 Kota 104 OH 7,000,000 - - 2,350,000 2,350,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000
003
72 OH 75,000 5,400,000 750,000 750,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000

32 OH 50,000 1,600,000 1,600,000 1,600,000

5.1.02.01.01.0 1,280,000 - - 1,280,000 1,280,000 - - - - - - -
052
Makmin kegiatan orientasi Nasi Kotak 25,000

kader Kesehatan remaja 40 kotak 280,000 280,000 280,000 - -
5.1.02.01.01.0 Belanja ATK

224,000 - - 224,000 224,000 - - - - - -

Penggandaan / 640 350 224,000 224,000 224,000
Foto copy
7 1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000 4,200,000 7,800,000 4,500,000 16,500,000 9,239,000 7,416,000 7,416,000 30,821,000 7,416,000 7,800,000 5,700,000
5.1.02.04.01.0 Kota 4,200,000 7,800,000 4,500,000 16,500,000 7,950,000 7,650,000 7,650,000 23,250,000 7,650,000 7,800,000 5,700,000
75,600,000
003
transport lokal
888 OH 75,000 66,600,000 4,200,000 7,800,000 4,500,000 16,500,000 5,700,000 5,400,000 5,400,000 16,500,000 5,400,000 7,800,000 5,700,000
petugas
Uang
Transportasi
dan
Akomodasi 180 OH 50,000 9,000,000 2,250,000 2,250,000 2,250,000 6,750,000 2,250,000
kegiatan/
Rapat

5.1.02.01.01.0 8,064,000 - - - - 2,016,000 2,016,000 2,016,000 6,048,000 2,016,000 - -
052
1,575,000 1,575,000 1,575,000 4,725,000 1,575,000
Snack Kotak 252 7,000 1,764,000

441,000 441,000 441,000 1,323,000 441,000
5.1.02.01.01.0Belanja ATK 1,523,000

- - - - 1,523,000 - - 1,523,000 - - -

Kls Ibu Balita 60 72,000 72,000 72,000
Buku Tulis 5,100

60 306,000 306,000 306,000
Pulpen 3,800
60 228,000 228,000 228,000
Foto Copy/ 350

Penggandaan 1,620 567,000 567,000 567,000
Spanduk 350,000
Indoor 1 350,000 350,000 350,000
8 1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000 - 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000 6,525,000 2,250,000 750,000 5,700,000
Masyarakat

5.1.02.04.01.0 dalam Kota - 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000 6,525,000 2,250,000 750,000 5,700,000
003
9 1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000

100 OH 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000
003 petugas
10 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000

5.1.02.04.01.0 dalam Kota 100 OH 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000
003

11 4,600,000 - 600,000 600,000 1,200,000 600,000 600,000 - 1,200,000 - 1,100,000 1,100,000

5.1.02.04.01.0 Kota 52 OH 3,900,000 - 600,000 600,000 1,200,000 600,000 600,000 - 1,200,000 - 750,000 750,000
003

5.1.02.01.01.0 700,000 - - - - - - - - - 350,000 350,000
052
12 1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000 300,000 1,050,000 300,000 300,000 300,000
diharapkan
Belanja Perjalanan Dinas dalam 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000 300,000 1,050,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003
13 1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000 300,000 900,000 300,000 300,000 300,000
Belanja Perjalanan Dinas dalam 40 OH 75,000 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000 300,000 900,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003

14 149,723,500 16,050,000 16,250,000 13,998,500 46,298,500 13,925,000 13,325,000 13,325,000 40,575,000 13,325,000 13,325,000 13,175,000

5.1.02.04.01.0 Kota 88,450,000 10,725,000 10,925,000 8,600,000 30,250,000 8,600,000 8,000,000 8,000,000 24,600,000 8,000,000 8,000,000 7,850,000
003
1,070 OH 75,000 80,250,000 9,525,000 9,525,000 7,800,000 26,850,000 7,800,000 7,200,000 7,200,000 22,200,000 7,200,000 7,200,000 7,050,000
transport lokal
petugas
Perjadin Gol 3 82 OH 100,000 8,200,000 1,200,000 1,400,000 800,000 3,400,000 800,000 800,000 800,000 2,400,000 800,000 800,000 800,000
Honor dan Insentif bagi tracer 42,000,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000
5.1.02.04.01.0
014
Honor trecer Honor 60 OB 325,000 19,500,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000
Insentif 1,500 OR 15,000 22,500,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000 2,100,000
Insentif trecer
Honorarium Petugas Surveilan / 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
026
Jasa 12 OB 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
Belanja Tagihan Telepon Biaya Pulsa 7,200,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000
5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data 60 Paket 100,000 6,000,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000
Biaya Komunikasi untuk pengolah Paket Data 12 Paket 100,000 1,200,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000
Belanja ATK 73,500 - - 73,500 73,500 - - - - - - -

5.1.02.04.01.0
15 1 02 02 2.02 12 Pengelolaan Pelayanan Kesehatan Orang 1,500,000

dengan Risiko terinfeksi HIV/AIDS - - 600,000 600,000 600,000 300,000 - 900,000 - - -
Belanja Perjalanan Dinas dalam 1,500,000 - - 600,000 600,000 600,000 300,000 - 900,000 - - -
5.1.02.04.01.0 Kota
003
lainnya pada Ibu hamil dan 600,000 600,000 600,000 300,000 900,000
kelompok berisiko

16 dengan Terduga Tuberculosis / TBC 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000

5.1.02.04.01.0 Kota 4,650,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000
003

17 dengan gangguan Jiwa 3,000,000 - 300,000 300,000 600,000 300,000 300,000 150,000 750,000 900,000 750,000 -

5.1.02.04.01.0 Kota 40 OH 3,000,000 - 300,000 300,000 600,000 300,000 300,000 150,000 750,000 900,000 750,000 -
003

18 Tidak Menular 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000 2,850,000 7,800,000 2,325,000 7,425,000 2,100,000

5.1.02.04.01.0 Kota 996 OH 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000 2,850,000 7,800,000 2,325,000 7,425,000 2,100,000
003

19 Lingkungan 36,325,000 575,000 575,000 6,695,000 7,845,000 10,715,000 7,415,000 5,675,000 23,805,000 1,475,000 875,000 875,000

5.1.02.04.01.0 kota
24,075,000 525,000 525,000 4,225,000 5,275,000 5,225,000 3,525,000 5,625,000 14,375,000 1,425,000 825,000 825,000
003
transport lokal
241 OH 18,075,000 525,000 525,000 1,725,000 2,775,000 1,725,000 3,525,000 5,625,000 10,875,000 1,425,000 825,000 825,000
petugas
Uang saku
rapat kader
120 OH 50,000 6,000,000 2,500,000 2,500,000 3,500,000 3,500,000
( transport
kegiatan)

5.1.02.01.01.0 - - 1,600,000 1,600,000 5,440,000 3,840,000 - 9,280,000 - - -
052
perencanaan pemicuan STBM 120 kotak 3,000,000 1,250,000 1,250,000 1,750,000 1,750,000

perencanaan pemicuan STBM 120 kotak 840,000 350,000 350,000 490,000 490,000
Pemicuan STBM 220 kotak 1,540,000 700,000 840,000 1,540,000

Pemicuan STBM 220 kotak 5,500,000 2,500,000 3,000,000 5,500,000
Belanja Jasa Tenaga

5.1.02.02.01.0 Laboratorium 550,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000
015
pemeriksaan
(pengambilan sampel dan 11 sampe 50,000 550,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000
sampel air
pengujian sampel) l
5.1.02.01.01.0 Belanja ATK 820,000 - - 820,000 820,000 - - - - - - -

lembar
20 HONOR TENAGA KONTRAK 119,520,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000

1 02 03 2.02 02 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000
sesuai Standar
Promkes/Farmasi Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Nutrisionis Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Kesehatan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Keuangan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

21 40,650,000 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000 1,200,000 15,300,000 1,200,000 1,200,000 1,200,000

5.1.02.04.01.0 Dalam Kota 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000 1,200,000 15,300,000 1,200,000 1,200,000 1,200,000
003 Uang 75,000
420 OH 31,500,000 3,600,000 7,800,000 7,950,000 19,350,000 7,950,000 4,200,000 12,150,000
keluarga
Uang 75,000
003 termasuk Perkesmas dalam perjadin dalam 122 OH 9,150,000 1,200,000 1,200,000 1,200,000 750,000 1,200,000 3,150,000 1,200,000 1,200,000 1,200,000
22 1 02 02 2.02 33 Operasional Pelayanan Puskesmas 47,808,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000 2,664,000
Belanja Makmin Rapat 30,208,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000
5.1.02.01.01.0
Puskesmas Lintas Program 15,600,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000

4,368,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000

Puskesmas Tribulanan ( Lintas 8,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Sektor) 7,000
Snack Kotak 320 ktk
2,240,000 560,000 560,000 560,000 560,000 560,000

5.1.02.04.01.0 Dalam Kota 5,600,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 -
003 Lokakarya Mini Puskesmas Uang saku 112 OH 50,000
petugas/kader 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000 1,400,000
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000

Puskesmas (Max. 2jt/bln) Internet 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
1 02 02 2.02 07
23 20,585,000 450,000 1,500,000 1,500,000 3,450,000 14,135,000 450,000 450,000 15,035,000 450,000 450,000 450,000
Usia Lanjut

5.1.02.04.01.0 Dalam Kota 450,000 1,500,000 1,500,000 3,450,000 4,200,000 450,000 450,000 5,100,000 450,000 450,000 450,000
003
106 OH 75,000 450,000 1,500,000 1,500,000 3,450,000 1,500,000 450,000 450,000 2,400,000 450,000 450,000 450,000
petugas
uang Saku 54 OH 50,000 2,700,000
rapat Kader 2,700,000 2,700,000
( transport
Kegiatan)

dan Panitia 7,200,000 7,200,000
Narasumber

5.1.02.01.01.0 - - - - 2,560,000 - - 2,560,000 - - -
052 25,000
Orientasi Caregiver 2,000,000 2,000,000

560,000 560,000
175,000 - - 175,000 175,000

Orientasi Caregiver 175,000 175,000
JUMLAH TOTAL 723,093,500 62,549,000 81,409,000 70,246,500 214,204,500 87,038,000 65,440,000 53,815,000 213,043,000 52,466,000 63,009,000 54,624,000
723,093,500 211,168,000
214,204,500 87,038,000 65,440,000 53,815,000 206,293,000 52,466,000 63,009,000 54,624,000
Mengetahui / Menyetujui, Bangli, 17 Desember 2021 213,043,000
Kepala Dinas Kesehatan Kabupaten Bangli Kepala UPT. Puskesmas Susut II 172,349,000
123,497,000
723,093,500 723,093,500

NIP. 19611231 198911 1 015 NIP. 196611222002121002
Penjumlahan di usia bermasalah

TW III Okt Nop Des TW IV Jml
21 22 23 24 25 26
4,275,000 450,000 975,000 - 1,425,000 9,900,000
4,275,000 450,000 975,000 - 1,425,000 9,900,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000
1,125,000 375,000 - - 375,000 5,400,000
1,125,000 375,000 - - 375,000 5,400,000
5,476,000 15,265,000 - - 15,265,000 28,016,000
3,750,000 9,825,000 9,825,000 20,850,000
3,750,000 2,325,000 2,325,000 13,350,000
7,500,000 7,500,000 7,500,000
- 5,440,000 - - 5,440,000 5,440,000
4,250,000 4,250,000 4,250,000
1,190,000 1,190,000 1,190,000
1,726,000 - - - - 1,726,000
406,000 406,000
360,000 360,000
960,000 960,000
7,275,000 300,000 - - 300,000 9,675,000
7,275,000 300,000 - - 300,000 9,675,000
1,350,000 1,275,000 150,000 - 1,425,000 8,504,000
1,350,000 1,275,000 150,000 - 1,425,000 7,000,000
1,350,000 1,275,000 150,000 - 1,425,000
- - - - - 1,280,000
1,000,000
7,000,000
- - - - - 224,000
224,000
23,166,000 5,700,000 5,400,000 3,600,000 14,700,000 85,187,000
21,150,000 5,700,000 5,400,000 3,600,000 14,700,000 75,600,000
18,900,000 5,700,000 5,400,000 3,600,000 14,700,000 66,600,000
2,250,000 9,000,000
2,016,000 - - - - 8,064,000
1,575,000 6,300,000
441,000 1,764,000
- - - - - 1,523,000
72,000
306,000
228,000
567,000
350,000
8,700,000 2,325,000 1,800,000 - 4,125,000

25,200,000
8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000
2,250,000 750,000 750,000

7,500,000
2,250,000 750,000 750,000 7,500,000

2,250,000 750,000 750,000 7,500,000
2,250,000 750,000 750,000 7,500,000
2,200,000 - - - - 4,600,000
1,500,000 - - - - 3,900,000
700,000 - - - - 700,000
-
900,000 300,000 150,000 450,000
3,750,000
900,000 300,000 150,000 450,000
3,750,000
900,000 450,000 - - 450,000 3,000,000
900,000 450,000 450,000 3,000,000
39,825,000 11,775,000 8,025,000 3,225,000 23,025,000 149,723,500
23,850,000 6,450,000 3,300,000 - 9,750,000 88,450,000
21,450,000 6,450,000 3,300,000 9,750,000 80,250,000
2,400,000 - - - - 8,200,000
11,175,000 3,725,000 3,125,000 1,625,000 8,475,000

42,000,000
4,875,000 1,625,000 1,625,000 1,625,000 4,875,000

19,500,000
6,300,000 2,100,000 1,500,000 3,600,000

22,500,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000

12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000

12,000,000
-
1,800,000 600,000 600,000 600,000 1,800,000
7,200,000
1,500,000 500,000 500,000 500,000 1,500,000

6,000,000
300,000 100,000 100,000 100,000 300,000

1,200,000
- - - - -
73,500
73,500
- - - - - 1,500,000
- - - - - 1,500,000
1,500,000
1,350,000 450,000 150,000 - 600,000 4,650,000
1,350,000 450,000 150,000 - 600,000 4,650,000
1,650,000 - - - - 3,000,000
1,650,000 - - - - 3,000,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000
3,225,000 875,000 575,000 - 1,450,000 36,325,000
3,075,000 825,000 525,000 1,350,000 24,075,000
3,075,000 825,000 525,000 1,350,000 18,075,000
6,000,000
- - - - - 10,880,000
3,000,000
840,000
1,540,000
5,500,000
150,000 50,000 50,000 - 100,000 550,000
150,000 50,000 50,000 100,000 550,000
- - - - - 820,000
480,000
340,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000
3,600,000 1,200,000 1,200,000 40,650,000
3,600,000 1,200,000 1,200,000 40,650,000
31,500,000
3,600,000 1,200,000 1,200,000 9,150,000
11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 47,808,000
7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 30,208,000
3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 15,600,000
1,092,000 364,000 364,000 364,000 1,092,000 4,368,000
2,000,000 2,000,000 2,000,000 8,000,000
560,000 560,000 560,000 2,240,000
1,400,000 - 1,400,000 - 1,400,000 5,600,000
1,400,000 1,400,000 1,400,000 5,600,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000
1,350,000 450,000 300,000 - 750,000 20,585,000
1,350,000 450,000 300,000 - 750,000 10,650,000
1,350,000 450,000 300,000 - 750,000 7,950,000
2,700,000
7,200,000
- - - - - 2,560,000
2,000,000
560,000
175,000
175,000
172,349,000 60,489,000 43,559,000 19,449,000 123,497,000 723,093,500 723,093,500
172,349,000 123,497,000 723,093,500 -

170,099,000 60,489,000 43,559,000 18,449,000 120,497,000 699,508,500
Puskemas susut II
Tahun 2022
RINCIAN
KODE PERHITUNGAN
KODE REKENING
NO
SUB KEGIATAN
BELANJA Vol /Satuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000 2,925,000 1,500,000 1,200,000 1,575,000

5.1.02.04.01.0 Kota 132 OH 9,900,000 300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000 2,925,000 1,500,000 1,200,000 1,575,000
003
2 26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000 7,200,000 2,700,000 2,550,000 2,550,000

5.1.02.04.01.0 Kota 352 OH 26,400,000 1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000 7,200,000 2,700,000 2,550,000 2,550,000
003
3 5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000 1,875,000 375,000 375,000 375,000
baru lahir
5.1.02.04.01.0 Kota 72 OH 5,400,000 825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000 1,875,000 375,000 375,000 375,000
003

4 28,016,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 2,926,000 1,350,000 1,200,000
5.1.02.04.01.0 dalam Kota 178 OH 20,850,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 1,200,000 1,350,000 1,200,000
003
178 75,000 13,350,000 300,000 1,125,000 1,200,000 2,625,000 1,650,000 2,025,000 975,000 4,650,000 1,200,000 1,350,000 1,200,000

150 50,000 7,500,000

5.1.02.01.01.0 5,440,000 - - - - - - - - - - -
052 25,000


5.1.02.01.01.0 - - - - - - - - 1,726,000 - -
Foto copy
192 5,000 960,000 960,000

5 9,675,000 300,000 525,000 825,000 675,000 300,000 300,000 1,275,000 300,000 3,675,000 3,300,000

5.1.02.04.01.0 Kota 129 OH 9,675,000 300,000 525,000 825,000 675,000 300,000 300,000 1,275,000 300,000 3,675,000 3,300,000
003
-
6 Usia Produktif 8,504,000 - - 3,854,000 3,854,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000

5.1.02.04.01.0 Kota 104 OH 7,000,000 - - 2,350,000 2,350,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000
003
72 OH 75,000 5,400,000 750,000 750,000 1,425,000 300,000 150,000 1,875,000 150,000 1,050,000 150,000

32 OH 50,000 1,600,000 1,600,000 1,600,000

5.1.02.01.01.0 1,280,000 - - 1,280,000 1,280,000 - - - - - - -
052

kader Kesehatan remaja 40 kotak 280,000 280,000 280,000 - -
5.1.02.01.01.0 Belanja ATK

224,000 - - 224,000 224,000 - - - - - -

Penggandaan / 640 350 224,000 224,000 224,000
Foto copy
7 1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000 4,200,000 7,800,000 4,500,000 16,500,000 9,239,000 7,416,000 7,416,000 30,821,000 7,416,000 7,800,000 5,700,000
5.1.02.04.01.0 Kota 4,200,000 7,800,000 4,500,000 16,500,000 7,950,000 7,650,000 7,650,000 23,250,000 7,650,000 7,800,000 5,700,000
75,600,000
003
transport lokal
888 OH 75,000 66,600,000 4,200,000 7,800,000 4,500,000 16,500,000 5,700,000 5,400,000 5,400,000 16,500,000 5,400,000 7,800,000 5,700,000
petugas
Uang
Transportasi
dan
Akomodasi 180 OH 50,000 9,000,000 2,250,000 2,250,000 2,250,000 6,750,000 2,250,000
kegiatan/
Rapat

5.1.02.01.01.0 8,064,000 - - - - 2,016,000 2,016,000 2,016,000 6,048,000 2,016,000 - -
052
1,575,000 1,575,000 1,575,000 4,725,000 1,575,000
Snack Kotak 252 7,000 1,764,000

441,000 441,000 441,000 1,323,000 441,000
5.1.02.01.01.0Belanja ATK 1,523,000

- - - - 1,523,000 - - 1,523,000 - - -

Kls Ibu Balita 60 72,000 72,000 72,000
Buku Tulis 5,100

60 306,000 306,000 306,000
Pulpen 3,800
60 228,000 228,000 228,000
Foto Copy/ 350

Penggandaan 1,620 567,000 567,000 567,000
Spanduk 350,000
Indoor 1 350,000 350,000 350,000
8 1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000 - 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000 6,525,000 2,250,000 750,000 5,700,000
Masyarakat

5.1.02.04.01.0 dalam Kota - 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000 6,525,000 2,250,000 750,000 5,700,000
003
9 1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000

100 OH 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000
003 petugas
10 7,500,000 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000

5.1.02.04.01.0 dalam Kota 100 OH 900,000 900,000 1,800,000 900,000 900,000 900,000 2,700,000 750,000 750,000 750,000
003

11 4,600,000 - 600,000 600,000 1,200,000 600,000 600,000 - 1,200,000 - 1,100,000 1,100,000

5.1.02.04.01.0 Kota 52 OH 3,900,000 - 600,000 600,000 1,200,000 600,000 600,000 - 1,200,000 - 750,000 750,000
003

5.1.02.01.01.0 700,000 - - - - - - - - - 350,000 350,000
052
12 1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000 300,000 1,050,000 300,000 300,000 300,000
diharapkan
Belanja Perjalanan Dinas dalam 3,750,000 450,000 450,000 450,000 1,350,000 450,000 300,000 300,000 1,050,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003
13 1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000 300,000 900,000 300,000 300,000 300,000
Belanja Perjalanan Dinas dalam 40 OH 75,000 3,000,000 150,000 300,000 300,000 750,000 300,000 300,000 300,000 900,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003

14 149,723,500 16,050,000 16,250,000 13,998,500 46,298,500 13,925,000 13,325,000 13,325,000 40,575,000 13,325,000 13,325,000 13,175,000

5.1.02.04.01.0 Kota 88,450,000 10,725,000 10,925,000 8,600,000 30,250,000 8,600,000 8,000,000 8,000,000 24,600,000 8,000,000 8,000,000 7,850,000
003
1,070 OH 75,000 80,250,000 9,525,000 9,525,000 7,800,000 26,850,000 7,800,000 7,200,000 7,200,000 22,200,000 7,200,000 7,200,000 7,050,000
transport lokal
petugas
Perjadin Gol 3 82 OH 100,000 8,200,000 1,200,000 1,400,000 800,000 3,400,000 800,000 800,000 800,000 2,400,000 800,000 800,000 800,000
Honor dan Insentif bagi tracer 42,000,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000
5.1.02.04.01.0
014
Honor trecer Honor 60 OB 325,000 19,500,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000
Insentif 1,500 OR 15,000 22,500,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000 2,100,000 6,300,000 2,100,000 2,100,000 2,100,000
Insentif trecer
Honorarium Petugas Surveilan / 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
026
Jasa 12 OB 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
Belanja Tagihan Telepon Biaya Pulsa 7,200,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000
5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data 60 Paket 100,000 6,000,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000
Biaya Komunikasi untuk pengolah Paket Data 12 Paket 100,000 1,200,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000
Belanja ATK 73,500 - - 73,500 73,500 - - - - - - -

5.1.02.04.01.0

dengan Risiko terinfeksi HIV/AIDS - - 600,000 600,000 600,000 300,000 - 900,000 - - -
Belanja Perjalanan Dinas dalam 1,500,000 - - 600,000 600,000 600,000 300,000 - 900,000 - - -
5.1.02.04.01.0 Kota
003
lainnya pada Ibu hamil dan 600,000 600,000 600,000 300,000 900,000
kelompok berisiko

16 dengan Terduga Tuberculosis / TBC 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000

5.1.02.04.01.0 Kota 4,650,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000 1,350,000 450,000 450,000 450,000
003

17 dengan gangguan Jiwa 3,000,000 - 300,000 300,000 600,000 300,000 300,000 150,000 750,000 900,000 750,000 -

5.1.02.04.01.0 Kota 40 OH 3,000,000 - 300,000 300,000 600,000 300,000 300,000 150,000 750,000 900,000 750,000 -
003

18 Tidak Menular 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000 2,850,000 7,800,000 2,325,000 7,425,000 2,100,000

5.1.02.04.01.0 Kota 996 OH 74,700,000 20,775,000 21,600,000 3,150,000 45,525,000 2,175,000 2,775,000 2,850,000 7,800,000 2,325,000 7,425,000 2,100,000
003

19 Lingkungan 36,325,000 575,000 575,000 6,695,000 7,845,000 10,715,000 7,415,000 5,675,000 23,805,000 1,475,000 875,000 875,000

5.1.02.04.01.0 kota
24,075,000 525,000 525,000 4,225,000 5,275,000 5,225,000 3,525,000 5,625,000 14,375,000 1,425,000 825,000 825,000
003
transport lokal
241 OH 18,075,000 525,000 525,000 1,725,000 2,775,000 1,725,000 3,525,000 5,625,000 10,875,000 1,425,000 825,000 825,000
petugas
Uang saku
rapat kader
120 OH 50,000 6,000,000 2,500,000 2,500,000 3,500,000 3,500,000
( transport
kegiatan)

5.1.02.01.01.0 - - 1,600,000 1,600,000 5,440,000 3,840,000 - 9,280,000 - - -
052
perencanaan pemicuan STBM 120 kotak 3,000,000 1,250,000 1,250,000 1,750,000 1,750,000

perencanaan pemicuan STBM 120 kotak 840,000 350,000 350,000 490,000 490,000

Belanja Jasa Tenaga

5.1.02.02.01.0 Laboratorium 550,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000
015
pemeriksaan
(pengambilan sampel dan 11 sampe 50,000 550,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000 150,000 50,000 50,000 50,000
sampel air
pengujian sampel) l
5.1.02.01.01.0 Belanja ATK 820,000 - - 820,000 820,000 - - - - - - -

lembar
20 HONOR TENAGA KONTRAK 119,520,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000

1 02 03 2.02 02 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 9,960,000 9,960,000 9,960,000
sesuai Standar
Promkes/Farmasi Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Nutrisionis Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Kesehatan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

Keuangan Kesehatan 12 OB 29,880,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 2,490,000 2,490,000 2,490,000

21 40,650,000 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000 1,200,000 15,300,000 1,200,000 1,200,000 1,200,000

5.1.02.04.01.0 Dalam Kota 3,600,000 7,800,000 9,150,000 20,550,000 9,150,000 4,950,000 1,200,000 15,300,000 1,200,000 1,200,000 1,200,000
003 Uang 75,000
420 OH 31,500,000 3,600,000 7,800,000 7,950,000 19,350,000 7,950,000 4,200,000 12,150,000
keluarga
Uang 75,000
003 termasuk Perkesmas dalam perjadin dalam 122 OH 9,150,000 1,200,000 1,200,000 1,200,000 750,000 1,200,000 3,150,000 1,200,000 1,200,000 1,200,000
22 1 02 02 2.02 33 Operasional Pelayanan Puskesmas 47,808,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 2,664,000 6,624,000 2,664,000
Belanja Makmin Rapat 30,208,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 1,664,000 4,224,000 1,664,000
5.1.02.01.01.0
Puskesmas Lintas Program 15,600,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 1,300,000 1,300,000 1,300,000

4,368,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000 1,092,000 364,000 364,000 364,000

Puskesmas Tribulanan ( Lintas 8,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Sektor) 7,000
Snack Kotak 320 ktk
2,240,000 560,000 560,000 560,000 560,000 560,000

5.1.02.04.01.0 Dalam Kota 5,600,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 - 1,400,000 -
petugas/kader 5,600,000 1,400,000 1,400,000 1,400,000 1,400,000 1,400,000
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV 12,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000

Puskesmas (Max. 2jt/bln) Internet 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000
1 02 02 2.02 07
23 20,585,000 450,000 1,500,000 1,500,000 3,450,000 14,135,000 450,000 450,000 15,035,000 450,000 450,000 450,000
Usia Lanjut

5.1.02.04.01.0 Dalam Kota 450,000 1,500,000 1,500,000 3,450,000 4,200,000 450,000 450,000 5,100,000 450,000 450,000 450,000
003
106 OH 75,000 450,000 1,500,000 1,500,000 3,450,000 1,500,000 450,000 450,000 2,400,000 450,000 450,000 450,000
petugas
uang Saku 54 OH 50,000 2,700,000
rapat Kader 2,700,000 2,700,000
( transport
Kegiatan)

dan Panitia 7,200,000 7,200,000
Narasumber

5.1.02.01.01.0 - - - - 2,560,000 - - 2,560,000 - - -
052 25,000

560,000 560,000
175,000 - - 175,000 175,000

JUMLAH TOTAL 723,093,500 62,549,000 81,409,000 70,246,500 214,204,500 87,038,000 65,440,000 53,815,000 213,043,000 52,466,000 63,009,000 54,624,000
723,093,500 214,204,500 211,168,000

214,204,500 87,038,000 65,440,000 53,815,000 206,293,000 52,466,000 63,009,000 54,624,000
Mengetahui / Menyetujui, Bangli, 18 Maret 2022 213,043,000
123,497,000
723,093,500 723,093,500
dr I Nyoman Arsana dr. I Nengah Sujana

NIP. 19611231 198911 1 015 NIP.19740227 201503 1 001
Penjumlahan di usia bermasalah

TW III Okt Nop Des TW IV Jml
21 22 23 24 25 26
4,275,000 450,000 975,000 - 1,425,000 9,900,000 9,900,000
4,275,000 450,000 975,000 - 1,425,000 9,900,000 9,900,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000 26,400,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000 26,400,000
1,125,000 375,000 - - 375,000 5,400,000 5,400,000
1,125,000 375,000 - - 375,000 5,400,000 5,400,000
5,476,000 15,265,000 - - 15,265,000 28,016,000 28,016,000
3,750,000 9,825,000 9,825,000 20,850,000 20,850,000
3,750,000 2,325,000 2,325,000 13,350,000 13,350,000
7,500,000 7,500,000 7,500,000 7,500,000
- 5,440,000 - - 5,440,000 5,440,000 5,440,000
4,250,000 4,250,000 4,250,000 4,250,000
1,190,000 1,190,000 1,190,000 1,190,000
1,726,000
1,726,000 - - - - 1,726,000
406,000 406,000 406,000
360,000 360,000 360,000
960,000 960,000 960,000
7,275,000 300,000 - - 300,000 9,675,000 9,675,000
7,275,000 300,000 - - 300,000 9,675,000 9,675,000
1,350,000 1,275,000 150,000 - 1,425,000 8,504,000 8,504,000
1,350,000 1,275,000 150,000 - 1,425,000 7,000,000 7,000,000
1,350,000 1,275,000 150,000 - 1,425,000 5,400,000
1,600,000
- - - - - 1,280,000 1,280,000
1,000,000 1,000,000
280,000 280,000
- - - - - 224,000 224,000
224,000 224,000
23,166,000 5,700,000 5,400,000 3,600,000 14,700,000 85,187,000 85,187,000
21,150,000 5,700,000 5,400,000 3,600,000 14,700,000 75,600,000 75,600,000
18,900,000 5,700,000 5,400,000 3,600,000 14,700,000 66,600,000 66,600,000
2,250,000 9,000,000 9,000,000
2,016,000 - - - - 8,064,000 8,064,000
1,575,000 6,300,000 6,300,000
441,000 1,764,000 1,764,000
- - - - - 1,523,000 1,523,000
72,000 72,000
306,000 306,000
228,000 228,000
567,000 567,000
350,000 350,000
8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000

25,200,000
25,200,000
8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000
2,250,000 750,000 750,000 7,500,000

7,500,000
7,500,000
2,250,000 750,000 750,000 7,500,000
2,250,000 750,000 750,000 7,500,000 7,500,000
2,250,000 750,000 750,000 7,500,000 7,500,000
2,200,000 - - - - 4,600,000 4,600,000
1,500,000 - - - - 3,900,000 3,900,000
700,000 - - - - 700,000 700,000
-
900,000 300,000 150,000 450,000 3,750,000
3,750,000
900,000 300,000 150,000 450,000 3,750,000
3,750,000
900,000 450,000 - - 450,000 3,000,000 3,000,000
900,000 450,000 450,000 3,000,000 3,000,000
39,825,000 11,775,000 8,025,000 3,225,000 23,025,000 149,723,500 149,723,500
23,850,000 6,450,000 3,300,000 - 9,750,000 88,450,000 88,450,000
21,450,000 6,450,000 3,300,000 9,750,000 80,250,000

80,250,000
2,400,000 - - - - 8,200,000 8,200,000
11,175,000 3,725,000 3,125,000 1,625,000 8,475,000 42,000,000

42,000,000
4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 19,500,000

19,500,000
6,300,000 2,100,000 1,500,000 3,600,000 22,500,000

22,500,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000

12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000

12,000,000
-
1,800,000 600,000 600,000 600,000 1,800,000 7,200,000
7,200,000
1,500,000 500,000 500,000 500,000 1,500,000 6,000,000

6,000,000
300,000 100,000 100,000 100,000 300,000 1,200,000

1,200,000
- - - - - 73,500
73,500
73,500
73,500
1,500,000
- - - - - 1,500,000
- - - - - 1,500,000 1,500,000
1,500,000 1,500,000
1,350,000 450,000 150,000 - 600,000 4,650,000 4,650,000
1,350,000 450,000 150,000 - 600,000 4,650,000 4,650,000
1,650,000 - - - - 3,000,000 3,000,000
1,650,000 - - - - 3,000,000 3,000,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000 74,700,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000 74,700,000
3,225,000 875,000 575,000 - 1,450,000 36,325,000 36,325,000
3,075,000 825,000 525,000 1,350,000 24,075,000 24,075,000
3,075,000 825,000 525,000 1,350,000 18,075,000 18,075,000
6,000,000 6,000,000
- - - - - 10,880,000 10,880,000
3,000,000 3,000,000
840,000 840,000
1,540,000 1,540,000
5,500,000 5,500,000
150,000 50,000 50,000 - 100,000 550,000 550,000
150,000 50,000 50,000 100,000 550,000 550,000
- - - - - 820,000 820,000
480,000 480,000
340,000 340,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000 119,520,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000 119,520,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000
3,600,000 1,200,000 1,200,000 40,650,000 40,650,000
3,600,000 1,200,000 1,200,000 40,650,000 40,650,000
31,500,000 31,500,000
3,600,000 1,200,000 1,200,000 9,150,000 9,150,000
11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 47,808,000 47,808,000
7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 30,208,000 30,208,000
3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 15,600,000 15,600,000
1,092,000 364,000 364,000 364,000 1,092,000 4,368,000 4,368,000
2,000,000 2,000,000 2,000,000 8,000,000 8,000,000
560,000 560,000 560,000 2,240,000 2,240,000
1,400,000 - 1,400,000 - 1,400,000 5,600,000 5,600,000
1,400,000 1,400,000 1,400,000 5,600,000 5,600,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000 12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000 12,000,000
1,350,000 450,000 300,000 - 750,000 20,585,000 20,585,000
1,350,000 450,000 300,000 - 750,000 10,650,000 10,650,000
1,350,000 450,000 300,000 - 750,000 7,950,000 7,950,000
2,700,000 2,700,000
7,200,000 7,200,000
- - - - - 2,560,000 2,560,000
2,000,000 2,000,000
560,000 560,000
175,000 175,000
175,000 175,000
172,349,000 60,489,000 43,559,000 19,449,000 123,497,000 723,093,500 723,093,500
172,349,000 123,497,000 723,093,500 -

170,099,000 60,489,000 43,559,000 18,449,000 120,497,000 699,508,500
Puskemas susut II
Tahun 2022
RINCIAN
KODE PERHITUNGAN
KODE REKENING
NO
SUB KEGIATAN
BELANJA Vol /Satuan
1 2 3 4 5 6 7 8 9 10 11 12 13 13 15 16 17 18 19 20
1 9,900,000 1,275,000 900,000 2,025,000 4,200,000 1,500,000 1,200,000 1,575,000

5.1.02.04.01.0 Kota 132 OH 9,900,000 1,275,000 900,000 2,025,000 4,200,000 1,500,000 1,200,000 1,575,000
003
2 26,400,000 6,300,000 2,700,000 4,500,000 13,500,000 2,700,000 2,550,000 2,550,000

5.1.02.04.01.0 Kota 352 OH 26,400,000 6,300,000 2,700,000 4,500,000 13,500,000 2,700,000 2,550,000 2,550,000
003
3 5,400,000 2,025,000 1,125,000 750,000 3,900,000 375,000 375,000 375,000
baru lahir
5.1.02.04.01.0 Kota 72 OH 5,400,000 2,025,000 1,125,000 750,000 3,900,000 375,000 375,000 375,000
003

4 28,016,000 2,625,000 1,650,000 3,000,000 7,275,000 2,926,000 1,350,000 1,200,000
5.1.02.04.01.0 dalam Kota 178 OH 20,850,000 2,625,000 1,650,000 3,000,000 7,275,000 1,200,000 1,350,000 1,200,000
003
178 75,000 13,350,000 2,625,000 1,650,000 3,000,000 7,275,000 1,200,000 1,350,000 1,200,000

150 50,000 7,500,000

5.1.02.01.01.0 5,440,000 - - - - - - -
052 25,000


- - - - 1,726,000 - -
5.1.02.01.01.0
Foto copy
192 5,000 960,000 960,000

5 9,675,000 825,000 675,000 600,000 2,100,000 300,000 3,675,000 3,300,000

5.1.02.04.01.0 Kota 129 OH 9,675,000 825,000 675,000 600,000 2,100,000 300,000 3,675,000 3,300,000
003

6 Usia Produktif 8,504,000 3,854,000 1,425,000 450,000 5,729,000 150,000 1,050,000 150,000

5.1.02.04.01.0 Kota 104 OH 7,000,000 2,350,000 1,425,000 450,000 4,225,000 150,000 1,050,000 150,000
003
72 OH 75,000 5,400,000 750,000 1,425,000 450,000 2,625,000 150,000 1,050,000 150,000

32 OH 50,000 1,600,000 1,600,000 1,600,000

5.1.02.01.01.0 1,280,000 1,280,000 - - 1,280,000 - - -
052

kader Kesehatan remaja 40 kotak 280,000 280,000 - 280,000
5.1.02.01.01.0 Belanja ATK

224,000 224,000 - - 224,000 - -

Penggandaan / 640 350 224,000 224,000 224,000
Foto copy
7 1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000 16,500,000 11,489,000 19,332,000 47,321,000 7,416,000 7,800,000 5,700,000
5.1.02.04.01.0 Kota 16,500,000 7,950,000 15,300,000 39,750,000 7,650,000 7,800,000 5,700,000
75,600,000
003
transport lokal
888 OH 75,000 66,600,000 16,500,000 5,700,000 10,800,000 33,000,000 5,400,000 7,800,000 5,700,000
petugas
Uang
Transportasi
dan
Akomodasi 180 OH 50,000 9,000,000 2,250,000 4,500,000 6,750,000 2,250,000
kegiatan/
Rapat

5.1.02.01.01.0 8,064,000 - 2,016,000 4,032,000 6,048,000 2,016,000 - -
052
1,575,000 3,150,000 4,725,000 1,575,000
Snack Kotak 252 7,000 1,764,000

441,000 882,000 1,323,000 441,000
5.1.02.01.01.0Belanja ATK 1,523,000

- 1,523,000 - 1,523,000 - - -

Kls Ibu Balita 60 72,000 72,000 72,000
Buku Tulis 5,100

60 306,000 306,000 306,000
Pulpen 3,800
60 228,000 228,000 228,000
Foto Copy/ 350

Penggandaan 1,620 567,000 567,000 567,000
Spanduk 350,000
Indoor 1 350,000 350,000 350,000
8 1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000 5,850,000 2,100,000 4,425,000 12,375,000 2,250,000 750,000 5,700,000
Masyarakat

5.1.02.04.01.0 dalam Kota 5,850,000 2,100,000 4,425,000 12,375,000 2,250,000 750,000 5,700,000
003
9 1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000 1,800,000 900,000 1,800,000 4,500,000 750,000 750,000 750,000

100 OH 1,800,000 900,000 1,800,000 4,500,000 750,000 750,000 750,000
003 petugas
10 7,500,000 1,800,000 900,000 1,800,000 4,500,000 750,000 750,000 750,000

5.1.02.04.01.0 dalam Kota 100 OH 1,800,000 900,000 1,800,000 4,500,000 750,000 750,000 750,000
003

11 4,600,000 1,200,000 600,000 600,000 2,400,000 - 1,100,000 1,100,000

5.1.02.04.01.0 Kota 52 OH 3,900,000 1,200,000 600,000 600,000 2,400,000 - 750,000 750,000
003

5.1.02.01.01.0 700,000 - - - - - 350,000 350,000
052
12 1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000 1,350,000 450,000 600,000 2,400,000 300,000 300,000 300,000
diharapkan
Belanja Perjalanan Dinas dalam 3,750,000 1,350,000 450,000 600,000 2,400,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003
13 1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000 750,000 300,000 600,000 1,650,000 300,000 300,000 300,000
Belanja Perjalanan Dinas dalam 40 OH 75,000 3,000,000 750,000 300,000 600,000 1,650,000 300,000 300,000 300,000
5.1.02.04.01.0 Kota
003

14 149,723,500 46,298,500 13,925,000 26,650,000 86,873,500 13,325,000 13,325,000 13,175,000

5.1.02.04.01.0 Kota 88,450,000 30,250,000 8,600,000 16,000,000 54,850,000 8,000,000 8,000,000 7,850,000
003
1,070 OH 75,000 80,250,000 26,850,000 7,800,000 14,400,000 49,050,000 7,200,000 7,200,000 7,050,000
transport lokal
petugas
Perjadin Gol 3 82 OH 100,000 8,200,000 3,400,000 800,000 1,600,000 5,800,000 800,000 800,000 800,000
Honor dan Insentif bagi tracer 42,000,000 11,175,000 3,725,000 7,450,000 22,350,000 3,725,000 3,725,000 3,725,000
5.1.02.04.01.0
014
Honor trecer Honor 60 OB 325,000 19,500,000 4,875,000 1,625,000 3,250,000 9,750,000 1,625,000 1,625,000 1,625,000
Insentif 1,500 OR 15,000 22,500,000 6,300,000 2,100,000 4,200,000 12,600,000 2,100,000 2,100,000 2,100,000
Insentif trecer
Honorarium Petugas Surveilan / 12,000,000 3,000,000 1,000,000 2,000,000 6,000,000 1,000,000 1,000,000 1,000,000
026
Jasa 12 OB 1,000,000 12,000,000 3,000,000 1,000,000 2,000,000 6,000,000 1,000,000 1,000,000 1,000,000
Belanja Tagihan Telepon Biaya Pulsa 7,200,000 1,800,000 600,000 1,200,000 3,600,000 600,000 600,000 600,000
5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data 60 Paket 100,000 6,000,000 1,500,000 500,000 1,000,000 3,000,000 500,000 500,000 500,000
Biaya Komunikasi untuk pengolah Paket Data 12 Paket 100,000 1,200,000 300,000 100,000 200,000 600,000 100,000 100,000 100,000
Belanja ATK 73,500 73,500 - - 73,500 - - -

5.1.02.04.01.0

dengan Risiko terinfeksi HIV/AIDS 600,000 600,000 300,000 1,500,000 - - -
Belanja Perjalanan Dinas dalam 1,500,000 600,000 600,000 300,000 1,500,000 - - -

5.1.02.04.01.0 Kota
003
lainnya pada Ibu hamil dan 600,000 600,000 300,000 1,500,000
kelompok berisiko

16 dengan Terduga Tuberculosis / TBC 1,350,000 450,000 900,000 2,700,000 450,000 450,000 450,000

5.1.02.04.01.0 Kota 4,650,000 1,350,000 450,000 900,000 2,700,000 450,000 450,000 450,000
003

17 dengan gangguan Jiwa 3,000,000 600,000 300,000 450,000 1,350,000 900,000 750,000 -

5.1.02.04.01.0 Kota 40 OH 3,000,000 600,000 300,000 450,000 1,350,000 900,000 750,000 -
003

18 Tidak Menular 74,700,000 45,525,000 2,175,000 5,625,000 53,325,000 2,325,000 7,425,000 2,100,000

5.1.02.04.01.0 Kota 996 OH 74,700,000 45,525,000 2,175,000 5,625,000 53,325,000 2,325,000 7,425,000 2,100,000
003

19 Lingkungan 36,325,000 7,845,000 10,715,000 13,090,000 31,650,000 1,475,000 875,000 875,000

5.1.02.04.01.0 kota
24,075,000 5,275,000 5,225,000 9,150,000 19,650,000 1,425,000 825,000 825,000
003
transport lokal
241 OH 18,075,000 2,775,000 1,725,000 9,150,000 13,650,000 1,425,000 825,000 825,000
petugas
Uang saku
rapat kader
120 OH 50,000 6,000,000 2,500,000 3,500,000 6,000,000
( transport
kegiatan)

5.1.02.01.01.0 1,600,000 5,440,000 3,840,000 10,880,000 - - -
052


Belanja Jasa Tenaga

5.1.02.02.01.0 Laboratorium 550,000 150,000 50,000 100,000 300,000 50,000 50,000 50,000
015
pemeriksaan
(pengambilan sampel dan 11 sampe 50,000 550,000 150,000 50,000 100,000 300,000 50,000 50,000 50,000
sampel air
pengujian sampel) l
5.1.02.01.01.0 Belanja ATK 820,000 820,000 - - 820,000 - - -

lembar
20 HONOR TENAGA KONTRAK 119,520,000 29,880,000 9,960,000 19,920,000 59,760,000 9,960,000 9,960,000 9,960,000

1 02 03 2.02 02 29,880,000 9,960,000 19,920,000 59,760,000 9,960,000 9,960,000 9,960,000
sesuai Standar
Promkes/Farmasi Kesehatan 12 OB 29,880,000 7,470,000 2,490,000 4,980,000 14,940,000 2,490,000 2,490,000 2,490,000

Nutrisionis Kesehatan 12 OB 29,880,000 7,470,000 2,490,000 4,980,000 14,940,000 2,490,000 2,490,000 2,490,000

Kesehatan Kesehatan 12 OB 29,880,000 7,470,000 2,490,000 4,980,000 14,940,000 2,490,000 2,490,000 2,490,000

Keuangan Kesehatan 12 OB 29,880,000 7,470,000 2,490,000 4,980,000 14,940,000 2,490,000 2,490,000 2,490,000

21 40,650,000 20,550,000 9,150,000 6,150,000 35,850,000 1,200,000 1,200,000 1,200,000

20,550,000 9,150,000 6,150,000 35,850,000 1,200,000 1,200,000 1,200,000
5.1.02.04.01.0 Dalam Kota
003 Uang 75,000
420 OH 31,500,000 19,350,000 7,950,000 4,200,000 31,500,000
keluarga
Uang 75,000
003 termasuk Perkesmas dalam perjadin dalam 122 OH 9,150,000 1,200,000 1,200,000 1,950,000 4,350,000 1,200,000 1,200,000 1,200,000
22 1 02 02 2.02 33 Operasional Pelayanan Puskesmas 47,808,000 11,952,000 2,664,000 9,288,000 23,904,000 2,664,000 6,624,000 2,664,000
Belanja Makmin Rapat 30,208,000 7,552,000 1,664,000 5,888,000 15,104,000 1,664,000 4,224,000 1,664,000
5.1.02.01.01.0
Puskesmas Lintas Program 15,600,000 3,900,000 1,300,000 2,600,000 7,800,000 1,300,000 1,300,000 1,300,000

4,368,000 1,092,000 364,000 728,000 2,184,000 364,000 364,000 364,000

Puskesmas Tribulanan ( Lintas 8,000,000 2,000,000 2,000,000 4,000,000 2,000,000
Sektor) 7,000
Snack Kotak 320 ktk
2,240,000 560,000 560,000 1,120,000 560,000

5.1.02.04.01.0 Dalam Kota 5,600,000 1,400,000 - 1,400,000 2,800,000 - 1,400,000 -
petugas/kader 5,600,000 1,400,000 1,400,000 2,800,000 1,400,000
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV 12,000,000 3,000,000 1,000,000 2,000,000 6,000,000 1,000,000 1,000,000 1,000,000

Puskesmas (Max. 2jt/bln) Internet 3,000,000 1,000,000 2,000,000 6,000,000 1,000,000 1,000,000 1,000,000
1 02 02 2.02 07
23 20,585,000 3,450,000 14,135,000 900,000 18,485,000 450,000 450,000 450,000
Usia Lanjut

5.1.02.04.01.0 Dalam Kota 3,450,000 4,200,000 900,000 8,550,000 450,000 450,000 450,000
003
106 OH 75,000 3,450,000 1,500,000 900,000 5,850,000 450,000 450,000 450,000
petugas
uang Saku 54 OH 50,000 2,700,000
rapat Kader 2,700,000 2,700,000
( transport
Kegiatan)

dan Panitia 7,200,000 7,200,000
Narasumber

- 2,560,000 - 2,560,000 - - -
5.1.02.01.01.0
052 25,000

560,000 560,000
175,000 - 175,000 175,000

JUMLAH TOTAL 723,093,500 214,204,500 87,038,000 119,255,000 427,247,500 52,466,000 63,009,000 54,624,000
723,093,500
Mengetahui / Menyetujui, Bangli, 18 Maret 2022

119,255,000
206,293,000
214,204,500
dr I Nyoman Arsana dr. I Nengah Sujana 420,497,500
NIP. 19611231 198911 1 015 NIP.19740227 201503 1 001
Juni baru
TW III Okt Nop Des TW IV Jml April Mei Juni Juni baru
21 22 23 24 25 26
4,275,000 450,000 975,000 - 1,425,000 9,900,000 9,900,000 900,000 900,000 1,125,000 2,025,000 2,025,000
4,275,000 450,000 975,000 - 1,425,000 9,900,000 9,900,000 900,000 900,000 1,125,000 2,025,000 2,025,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000 26,400,000 2,700,000 2,700,000 1,800,000 4,500,000 4,500,000
7,800,000 2,550,000 2,550,000 - 5,100,000 26,400,000 26,400,000 2,700,000 2,700,000 1,800,000 4,500,000 4,500,000
1,125,000 375,000 - - 375,000 5,400,000 5,400,000 1,125,000 375,000 375,000 750,000 750,000
1,125,000 375,000 - - 375,000 5,400,000 5,400,000 1,125,000 375,000 375,000 750,000 750,000
5,476,000 15,265,000 - - 15,265,000 28,016,000 28,016,000 1,650,000 2,025,000 975,000 3,000,000 3,000,000
3,750,000 9,825,000 9,825,000 20,850,000 20,850,000 1,650,000 2,025,000 975,000 3,000,000 3,000,000
3,750,000 2,325,000 2,325,000 13,350,000 13,350,000 1,650,000 2,025,000 975,000 3,000,000 3,000,000
7,500,000 7,500,000 7,500,000 7,500,000

-
- 5,440,000 - - 5,440,000 5,440,000 5,440,000 - - - - -
4,250,000 4,250,000 4,250,000 4,250,000
1,190,000 1,190,000 1,190,000 1,190,000
-
- - - - -
1,726,000 - - - - 1,726,000 1,726,000
406,000 406,000 406,000
360,000 360,000 360,000
960,000 960,000 960,000
7,275,000 300,000 - - 300,000 9,675,000 9,675,000 675,000 300,000 300,000 600,000 600,000
7,275,000 300,000 - - 300,000 9,675,000 9,675,000 675,000 300,000 300,000 600,000 600,000
1,350,000 1,275,000 150,000 - 1,425,000 8,504,000 8,504,000 1,425,000 300,000 150,000 450,000 450,000
1,350,000 1,275,000 150,000 - 1,425,000 7,000,000 7,000,000 1,425,000 300,000 150,000 450,000 450,000
1,350,000 1,275,000 150,000 - 1,425,000 5,400,000 1,425,000 300,000 150,000 450,000 450,000
1,600,000
-
- - - - - 1,280,000 1,280,000 - - - - -
1,000,000 1,000,000
280,000 280,000 -
- - - - - 224,000 224,000 - - - - -
224,000 224,000
23,166,000 5,700,000 5,400,000 3,600,000 14,700,000 85,187,000 85,187,000 9,239,000 7,416,000 7,416,000 14,832,000 14,832,000
21,150,000 5,700,000 5,400,000 3,600,000 14,700,000 75,600,000 75,600,000 7,950,000 7,650,000 7,650,000 15,300,000 15,300,000
18,900,000 5,700,000 5,400,000 3,600,000 14,700,000 66,600,000 66,600,000 5,700,000 5,400,000 5,400,000 10,800,000 10,800,000
2,250,000 9,000,000 9,000,000 2,250,000 2,250,000 2,250,000 4,500,000 4,500,000
-
2,016,000 - - - - 8,064,000 8,064,000 2,016,000 2,016,000 2,016,000 4,032,000 4,032,000
1,575,000 6,300,000 6,300,000 1,575,000 1,575,000 1,575,000 3,150,000 3,150,000
441,000 1,764,000 1,764,000 441,000 441,000 441,000 882,000 882,000
-
- - - - - 1,523,000 1,523,000 1,523,000 - - - -
72,000 72,000 72,000
306,000 306,000 306,000
228,000 228,000 228,000
567,000 567,000 567,000
350,000 350,000 350,000
-
8,700,000 2,325,000 1,800,000 - 4,125,000 2,100,000 1,875,000 2,550,000 4,425,000 4,425,000
25,200,000 25,200,000
2,100,000 1,875,000 2,550,000 4,425,000 4,425,000

8,700,000 2,325,000 1,800,000 - 4,125,000 25,200,000 25,200,000
-
2,250,000 750,000 750,000 900,000 900,000 900,000 1,800,000 1,800,000
7,500,000 7,500,000
900,000 900,000 900,000 1,800,000 1,800,000
2,250,000 750,000 750,000 7,500,000 7,500,000
2,250,000 750,000 750,000 7,500,000 7,500,000 900,000 900,000 900,000 1,800,000 1,800,000
2,250,000 750,000 750,000 7,500,000 7,500,000 900,000 900,000 900,000 1,800,000 1,800,000
2,200,000 - - - - 4,600,000 4,600,000 600,000 600,000 - 600,000 600,000
1,500,000 - - - - 3,900,000 3,900,000 600,000 600,000 - 600,000 600,000
700,000 - - - - 700,000 700,000 - - - - -
- -
900,000 300,000 150,000 450,000 450,000 300,000 300,000 600,000 600,000
3,750,000 3,750,000
900,000 300,000 150,000 450,000 450,000 300,000 300,000 600,000 600,000
3,750,000 3,750,000
-
900,000 450,000 - - 450,000 3,000,000 300,000 300,000 300,000 600,000 600,000
3,000,000
900,000 450,000 450,000 3,000,000 300,000 300,000 300,000 600,000 600,000

3,000,000
39,825,000 11,775,000 8,025,000 3,225,000 23,025,000 149,723,500 149,723,500 13,925,000 13,325,000 13,325,000 26,650,000 26,650,000
23,850,000 6,450,000 3,300,000 - 9,750,000 88,450,000 88,450,000 8,600,000 8,000,000 8,000,000 16,000,000 16,000,000
21,450,000 6,450,000 3,300,000 9,750,000 80,250,000

80,250,000 7,800,000 7,200,000 7,200,000 14,400,000 14,400,000
2,400,000 - - - - 8,200,000 800,000 800,000 800,000 1,600,000 1,600,000

8,200,000
-
11,175,000 3,725,000 3,125,000 1,625,000 8,475,000 3,725,000 3,725,000 3,725,000 7,450,000 7,450,000
42,000,000 42,000,000
4,875,000 1,625,000 1,625,000 1,625,000 4,875,000 1,625,000 1,625,000 1,625,000 3,250,000 3,250,000
19,500,000 19,500,000
6,300,000 2,100,000 1,500,000 3,600,000 2,100,000 2,100,000 2,100,000 4,200,000 4,200,000

22,500,000 22,500,000
-
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 2,000,000 2,000,000
12,000,000 12,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 1,000,000 1,000,000 1,000,000 2,000,000 2,000,000
12,000,000 12,000,000
- -
1,800,000 600,000 600,000 600,000 1,800,000 600,000 600,000 600,000 1,200,000 1,200,000
7,200,000 7,200,000
1,500,000 500,000 500,000 500,000 1,500,000 500,000 500,000 500,000 1,000,000 1,000,000
6,000,000 6,000,000
300,000 100,000 100,000 100,000 300,000 100,000 100,000 100,000 200,000 200,000
1,200,000 1,200,000
-
- - - - - - - - - -
73,500 73,500
73,500 73,500
-
600,000 300,000 - 300,000 300,000
- - - - - 1,500,000 1,500,000
- - - - - 1,500,000 600,000 300,000 - 300,000 300,000

1,500,000
1,500,000 1,500,000 600,000 300,000 300,000 300,000
1,350,000 450,000 150,000 - 600,000 4,650,000 4,650,000 450,000 450,000 450,000 900,000 900,000
1,350,000 450,000 150,000 - 600,000 4,650,000 4,650,000 450,000 450,000 450,000 900,000 900,000
1,650,000 - - - - 3,000,000 3,000,000 300,000 300,000 150,000 450,000 450,000
1,650,000 - - - - 3,000,000 3,000,000 300,000 300,000 150,000 450,000 450,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000 74,700,000 2,175,000 2,775,000 2,850,000 5,625,000 5,625,000
11,850,000 2,625,000 6,900,000 - 9,525,000 74,700,000 74,700,000 2,175,000 2,775,000 2,850,000 5,625,000 5,625,000
3,225,000 875,000 575,000 - 1,450,000 36,325,000 36,325,000 10,715,000 7,415,000 5,675,000 13,090,000 13,090,000
3,075,000 825,000 525,000 1,350,000 24,075,000 24,075,000 5,225,000 3,525,000 5,625,000 9,150,000 9,150,000
3,075,000 825,000 525,000 1,350,000 18,075,000 18,075,000 1,725,000 3,525,000 5,625,000 9,150,000 9,150,000
6,000,000 6,000,000 3,500,000
- - - - - 10,880,000 10,880,000 5,440,000 3,840,000 - 3,840,000 3,840,000
3,000,000 3,000,000 1,750,000
840,000 840,000 490,000

1,540,000 1,540,000 700,000 840,000 840,000 840,000
5,500,000 5,500,000 2,500,000 3,000,000 3,000,000 3,000,000
150,000 50,000 50,000 - 100,000 550,000 550,000 50,000 50,000 50,000 100,000 100,000
150,000 50,000 50,000 100,000 550,000 550,000 50,000 50,000 50,000 100,000 100,000
- - - - - 820,000 820,000 - - - - -
480,000 480,000
340,000 340,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000 119,520,000 9,960,000 9,960,000 9,960,000 19,920,000 19,920,000
29,880,000 9,960,000 9,960,000 9,960,000 29,880,000 119,520,000 119,520,000 9,960,000 9,960,000 9,960,000 19,920,000 19,920,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000 2,490,000 2,490,000 2,490,000 4,980,000 4,980,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000 2,490,000 2,490,000 2,490,000 4,980,000 4,980,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000 2,490,000 2,490,000 2,490,000 4,980,000 4,980,000
7,470,000 2,490,000 2,490,000 2,490,000 7,470,000 29,880,000 29,880,000 2,490,000 2,490,000 2,490,000 4,980,000 4,980,000
3,600,000 1,200,000 1,200,000 40,650,000 40,650,000 9,150,000 4,950,000 1,200,000 6,150,000 6,150,000
3,600,000 1,200,000 1,200,000 40,650,000 40,650,000 9,150,000 4,950,000 1,200,000 6,150,000 6,150,000
31,500,000 31,500,000 7,950,000 4,200,000 4,200,000 4,200,000
3,600,000 1,200,000 1,200,000 9,150,000 9,150,000 1,200,000 750,000 1,200,000 1,950,000 1,950,000
11,952,000 2,664,000 6,624,000 2,664,000 11,952,000 47,808,000 47,808,000 2,664,000 6,624,000 2,664,000 9,288,000 9,288,000
7,552,000 1,664,000 4,224,000 1,664,000 7,552,000 30,208,000 30,208,000 1,664,000 4,224,000 1,664,000 5,888,000 5,888,000
3,900,000 1,300,000 1,300,000 1,300,000 3,900,000 15,600,000 15,600,000 1,300,000 1,300,000 1,300,000 2,600,000 2,600,000
1,092,000 364,000 364,000 364,000 1,092,000 4,368,000 4,368,000 364,000 364,000 364,000 728,000 728,000
2,000,000 2,000,000 2,000,000 8,000,000 8,000,000 2,000,000 2,000,000 2,000,000
560,000 560,000 560,000 2,240,000 2,240,000 560,000 560,000 560,000
1,400,000 - 1,400,000 - 1,400,000 5,600,000 5,600,000 - 1,400,000 - 1,400,000 1,400,000
1,400,000 1,400,000 1,400,000 5,600,000 5,600,000 1,400,000 1,400,000 1,400,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000 12,000,000 1,000,000 1,000,000 1,000,000 2,000,000 2,000,000
3,000,000 1,000,000 1,000,000 1,000,000 3,000,000 12,000,000 12,000,000 1,000,000 1,000,000 1,000,000 2,000,000 2,000,000
1,350,000 450,000 300,000 - 750,000 20,585,000 20,585,000 14,135,000 450,000 450,000 900,000 900,000
1,350,000 450,000 300,000 - 750,000 10,650,000 10,650,000 4,200,000 450,000 450,000 900,000 900,000
1,350,000 450,000 300,000 - 750,000 7,950,000 7,950,000 1,500,000 450,000 450,000 900,000 900,000
2,700,000 2,700,000 2,700,000
7,200,000 7,200,000 7,200,000
- - - - - 2,560,000 2,560,000 2,560,000 - - - -
2,000,000 2,000,000 2,000,000
560,000 560,000 560,000
175,000 175,000 175,000
175,000 175,000 175,000
172,349,000 60,489,000 43,559,000 19,449,000 123,497,000 723,093,500 723,093,500 87,038,000 65,440,000 53,815,000 119,255,000
172,349,000 123,497,000 723,093,500 -

Puskemas susut II
Tahun 2022
KODE
KODE REKENING
NO REKENING URAIAN
SUB KEGIATAN
BELANJA
1 2 3 4 5
1
5.1.02.04.01.0 Kota
003
2
5.1.02.04.01.0 Kota
003
3 baru lahir
5.1.02.04.01.0 Kota
003

4
5.1.02.04.01.0 dalam Kota
003

5.1.02.01.01.0
052
kader posyandu
Makmin dalam rangka orientasi Snack Kotak
kader posyandu
Belanja ATK
5.1.02.01.01.0
024
Penggandaan /Foto copy (untuk
Materi Orientasi Kader ) Penggandaan /
Foto copy
Belanja ATK ( Spanduk untuk Spanduk


5
5.1.02.04.01.0 Kota
003

6 Usia Produktif
5.1.02.04.01.0 Kota
003


5.1.02.01.01.0
052
Makmin kegiatan orientasi Snack Kotak
5.1.02.01.01.0 Belanja ATK

Penggandaan /
Foto copy
7 1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita

5.1.02.04.01.0 Kota
003
transport lokal
petugas
Uang
Transportasi
dan
Akomodasi
kegiatan/
Rapat

5.1.02.01.01.0
052
Makmin untuk klas balita Nasi Kotak
Snack Kotak
Kebutuhan ATK untuk Kegiatan Map Kertas

Kls Ibu Balita
Buku Tulis
Pulpen
Foto Copy/
Penggandaan
Spanduk
Indoor
8 1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi

Masyarakat

5.1.02.04.01.0 dalam Kota
003
9 1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM

003 petugas

10
5.1.02.04.01.0 dalam Kota
003

11
5.1.02.04.01.0 Kota
003

5.1.02.01.01.0
052
12 1 02 02 2.02 36 Investigasi awal kejadian yang tidak

diharapkan
5.1.02.04.01.0 Kota
003
13 1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen

kesehatan daerah atauPerjalanan
Belanja laboratorium
Dinas dalam
5.1.02.04.01.0 Kota
003

14 penduduk pada Kondisi Luar Biasa
5.1.02.04.01.0 Kota
003
transport lokal
petugas
Perjadin Gol 3
Honor dan Insentif bagi tracer
5.1.02.04.01.0
014
Honor trecer Honor
Insentif trecer Insentif
Honorarium Petugas Surveilan /

026
Jasa
Belanja Tagihan Telepon Biaya Pulsa

5.1.02.04.01.0
059
Biaya Komunkasi Pelacakan kontak Paket Data
Biaya Komunikasi untuk pengolah Paket Data

Belanja ATK
5.1.02.04.01.0
024
Penggandaan Blangko / Form Foto Copy
penanggulangan Covid-19
15 1 02 02 2.02 12 Pengelolaan Pelayanan Kesehatan Orang

dengan Risiko terinfeksi HIV/AIDS
5.1.02.04.01.0 Kota
003
Deteksi dini kasus HIV/AIDS, transport lokal
lainnya pada Ibu hamil dan
kelompok berisiko

16 dengan Terduga Tuberculosis / TBC
5.1.02.04.01.0 Kota
003

17 dengan gangguan Jiwa
5.1.02.04.01.0 Kota
003

18 Tidak Menular
5.1.02.04.01.0 Kota
003

19 Lingkungan
5.1.02.04.01.0 kota
003
transport lokal
petugas
Uang saku
rapat kader
( transport
kegiatan)

5.1.02.01.01.0
052
Makmin dalam rangka Rapat Nasi Kotak
perencanaan pemicuan STBM
Makmin dalam rangka Rapat Snack Kotak

perencanaan pemicuan STBM
Makmin dalam rangka Snack Kotak

Pemicuan STBM
Makmin dalam rangka Nasi Kotak
Pemicuan STBM
Belanja Jasa Tenaga
5.1.02.02.01.0 Laboratorium
015

pemeriksaan
(pengambilan sampel dan
sampel air
pengujian sampel)
5.1.02.01.01.0 Belanja ATK

Spanduk Spanduk
cetak stiker Cetak Stiker
20 HONOR TENAGA KONTRAK

Pemenuhan Kebutuhan Sumber Daya Manusia Kesehatan
1 02 03 2.02 02
sesuai Standar
5.1.02.01.01.0Honorarium Tenaga Dengan Belanja jasa
Promkes/Farmasi Kesehatan
Honorarium Tenaga Dengan Belanja jasa
Nutrisionis Kesehatan
Kesehatan Kesehatan
Keuangan Kesehatan

21
5.1.02.04.01.0 Dalam Kota
003
Pelaksanaan kunjungan Uang
5.1.02.04.01.0 keluarga dan intervensi awal Transportasi
003 dalam rangka deteksi dini dan perjadin dalam
pengelolaan masalah kesehatan kota
keluarga
Uang
5.1.02.04.01.0 Pelaksanaan intervensi lanjut Transportasi
003 termasuk Perkesmas dalam perjadin dalam
22 1 02 02 2.02 33 Operasional Pelayanan Puskesmas
5.1.02.01.01.0 Belanja Makmin Rapat

052
Makmin Lokakarya Mini Bulanan Nasi Kotak
Puskesmas Lintas Program Snack Kotak
Makmin Lokakarya Mini Nasi Kotak

Puskesmas Tribulanan ( Lintas
Sektor)
Snack Kotak

5.1.02.04.01.0 Dalam Kota
003
Lokakarya Mini Puskesmas Uang saku
petugas/kader
5.1.02.02.01.0Belanja
Kawat,Faksimili/Internet TV
Layanan Paket Internet untuk Belanja

Puskesmas (Max. 2jt/bln) Internet

23
Usia Lanjut
5.1.02.04.01.0 Belanja Perjalanan Dinas

003 Dalam Kota
transport lokal
petugas
uang Saku
rapat Kader
( transport
Kegiatan)
Belanja Honorarium
dan Panitia Narasumber

5.1.02.01.01.0
052
Makmin dalam rangka Pelatihan/ Nasi Kotak
Orientasi Caregiver Snack Kotak
Penggandaan materi Pelatihan/ Fotocopy
Orientasi Caregiver
JUMLAH TOTAL
Mengetahui / Menyetujui,
Kepala Dinas Kesehatan Kabupaten Bangli
dr I Nyoman Arsana
NIP. 19611231 198911 1 015
RINCIAN
PERHITUNGAN Agust
Vol /Satuan
6 7 19
1,200,000
132 OH 1,200,000 16 Kelas BUMIL
2,550,000
352 OH 2,550,000 34 p4k nipas neonatus
375,000 kb neonatal
72 OH 375,000 5
1,350,000
178 OH 1,350,000 18
178 1,350,000
150
170 kotak
170 kotak
-
1,160 lbr
12
192
idikan Sekolah Dasar

3,675,000
129 OH 3,675,000 49 49 10 sd
1,050,000
104 OH 1,050,000 14 kompyang
72 OH 1,050,000
32 OH
40 kotak
40 kotak
640
7,800,000
7,800,000 pt amerta
888 OH 7,800,000 104
180 OH
252
252
60
60
60
1,620
750,000
336 OH
750,000 76
750,000
100 OH 750,000 10
750,000
100 OH 750,000 10
1,100,000
52 OH 750,000 10
350,000
300,000
300,000
300,000
40 OH 300,000
13,325,000
8,000,000
1,070 OH 7,200,000
82 OH 800,000
3,725,000
60 OB 1,625,000
1,500 OR 2,100,000
1,000,000
12 OB 1,000,000
600,000
60 Paket 500,000
12 Paket 100,000
210
lembar
20 OH
450,000
62 OH
450,000 6 6
750,000
40 OH 750,000 10 -
7,425,000
996 OH 7,425,000 99
875,000
825,000
241 OH 825,000
120 OH
120 kotak
120 kotak
220 kotak
220 kotak
50,000
11 sampe 50,000
l
-
16 M
68
lembar
9,960,000
9,960,000
12 OB 2,490,000
12 OB 2,490,000
12 OB 2,490,000
12 OB 2,490,000
1,200,000
542 OH
1,200,000
420 OH
122 OH 1,200,000
6,624,000
4,224,000
624 ktk 1,300,000

624 ktk
364,000
320 ktk
2,000,000
320 ktk
560,000
1,400,000
112 OH
1,400,000
1,000,000
12 Bln
1,000,000
450,000
450,000 6
106 OH 450,000
54 OH
8 OH
80 Ktk
80 Ktk
500 lbr
63,009,000
Bangli, 18 Maret 2022

Kepala UPT. Puskesmas Susut II
dr. I Nengah Sujana

NIP.19740227 201503 1 001
Juli
18
1,500,000
1,500,000
2,700,000
2,700,000
375,000
375,000
2,926,000
1,200,000
1,200,000
1,726,000
406,000
360,000
960,000
300,000
300,000
150,000
150,000
150,000
7,416,000
7,650,000
5,400,000
2,250,000
2,016,000
1,575,000
441,000
2,250,000
2,250,000
750,000
750,000
750,000
750,000
300,000
300,000
300,000
300,000
13,325,000
8,000,000
7,200,000
800,000
3,725,000
1,625,000
2,100,000
1,000,000
1,000,000
600,000
500,000
100,000
450,000
450,000
900,000
900,000
2,325,000
2,325,000
1,475,000
1,425,000
1,425,000
-
50,000
50,000
9,960,000
9,960,000
2,490,000
2,490,000
2,490,000
2,490,000
1,200,000
1,200,000
1,200,000
2,664,000
1,664,000
1,300,000
364,000
1,000,000
1,000,000
450,000
450,000
450,000
-
52,466,000
Puskemas susut II
Tahun 2022
KODE RINCIAN
NO REKENING URAIAN PERHITUNGAN
BELANJA Vol /Satuan
1 3 4 5 6 7
1 Pengelolaan Pelayanan Kesehatan Ibu Hamil
5.1.02.04.01.0 Kota 132 OH
003
2 Pengelolaan Pelayanan Kesehatan Ibu Bersalin
5.1.02.04.01.0 Kota 352 OH
003
3 Pengelolaan Pelayanan kesehatan bayi
baru lahir Belanja Perjalanan Dinas dalam
5.1.02.04.01.0 Kota 72 OH
003
4 Pengelolaan Pelayanan Promosi kesehatan

5.1.02.04.01.0 dalam Kota 178 OH
003
Transport Lokal petugas 178
150

5.1.02.01.01.0
052
170 kotak
kader posyandu
Makmin dalam rangka orientasi Snack Kotak
170 kotak
kader posyandu
Belanja ATK
5.1.02.01.01.0
024
Penggandaan /Foto copy (untuk
Materi Orientasi Kader ) Penggandaan / 1,160 lbr
Foto copy
Belanja ATK ( Spanduk untuk Spanduk 12

192
5 Pengelolaan Pelayanan Kesehatan pada Usia Pendidikan Sekolah Dasar

5.1.02.04.01.0 Kota 129 OH
003

6 Usia Produktif
5.1.02.04.01.0 Kota 104 OH
003
72 OH
32 OH
7 Pengelolaan Pelayanan kesehatan balita

5.1.02.04.01.0 Kota
003
transport lokal
888 OH
petugas
Uang
Transportasi
dan
Akomodasi 180 OH
kegiatan/
Rapat
8 Pengelolaan Pelayanan kesehatan Gizi

Masyarakat
Belanja Perjalanan Dnas 336 OH

5.1.02.04.01.0 dalam Kota
003
9 Pengelolaan Pelayanan Pendrita DM

100 OH
003 petugas
10 Pengelolaan Pelayanan Pendrita Hipertensi

5.1.02.04.01.0 dalam Kota 100 OH
003
11 Pengelolaan Pelayan Kesehatan Kerja dan Olah Raga

5.1.02.04.01.0 Kota 52 OH
003
12 Investigasi awal kejadian yang tidak

diharapkan Belanja Perjalanan Dinas dalam
5.1.02.04.01.0 Kota
003
13 Pengambilan dan Pengiriman spesimen

penyakit berpotensi
BelanjaKLB ke laboratorium
Perjalanan Dinas dalam 40 OH
5.1.02.04.01.0 Kota
003
14 Pengelolaan Pelayanan kesehatan bagi

penduduk pada Kondisi
Belanja Luar Biasa
Perjalanan Dinas dalam
5.1.02.04.01.0 Kota
003
transport lokal 1,070 OH
petugas
Perjadin Gol 3 82 OH
15 Pengelolaan Pelayanan Kesehatan Orang

dengan RisikoBelanja
terinfeksi HIV/AIDS
Perjalanan Dinas dalam
5.1.02.04.01.0 Kota
003
Deteksi dini kasus HIV/AIDS, transport lokal 20 OH
lainnya pada Ibu hamil dan
kelompok berisiko
dengan Terduga Tuberculosis
Belanja / TBC
Perjalanan Dinas dalam 62 OH
5.1.02.04.01.0 Kota
003

dengan gangguan Jiwa
5.1.02.04.01.0 Kota 40 OH
003
18 Pelayanan Kesehatan Penyakit Menular dan

Tidak Menular Belanja Perjalanan Dinas dalam
5.1.02.04.01.0 Kota 996 OH
003
19 Pengelolaan Pelayanan Kesehatan

Lingkungan Belanja Perjalanan Dinas dala
5.1.02.04.01.0 kota
003
transport lokal
241 OH
petugas
Uang saku
rapat kader
120 OH
( transport
kegiatan)
21 Upaya Kesehatan Kusus

Belanja Perjalanan Dinas 542 OH
5.1.02.04.01.0 Dalam Kota
003
Pelaksanaan kunjungan Uang
5.1.02.04.01.0 keluarga dan intervensi awal Transportasi
003 dalam rangka deteksi dini dan perjadin dalam
420 OH
pengelolaan masalah kesehatan kota
keluarga
Uang
5.1.02.04.01.0 Pelaksanaan intervensi lanjut Transportasi
003 termasuk Perkesmas dalam perjadin dalam 122 OH

23
Usia Lanjut
5.1.02.04.01.0 Belanja Perjalanan Dinas
003 Dalam Kota
transport lokal
106 OH
petugas
uang Saku 54 OH
rapat Kader
( transport
Kegiatan)
JUMLAH TOTAL
Mengetahui / Menyetujui, Bangli, 18 Maret 2022

dr I Nyoman Arsana dr. I Nengah Sujana

NIP. 19611231 198911 1 015 NIP.19740227 201503 1 001
Juli Agust Sept
18 19 20
1,500,000 1,200,000 1,575,000
1,500,000 1,200,000 1,575,000 20 16
2,700,000 2,550,000 2,550,000
2,700,000 2,550,000 2,550,000 36 34
375,000 375,000 375,000
375,000 375,000 375,000 5 5
2,926,000 1,350,000 1,200,000
1,200,000 1,350,000 1,200,000 16 18
1,200,000 1,350,000 1,200,000
- - -
1,726,000 - -
406,000
360,000
960,000
300,000 3,675,000 3,300,000
300,000 3,675,000 3,300,000 4 49
150,000 1,050,000 150,000
150,000 1,050,000 150,000 2 14
150,000 1,050,000 150,000
7,416,000 7,800,000 5,700,000
7,650,000 7,800,000 5,700,000 102 104
5,400,000 7,800,000 5,700,000
2,250,000
2,250,000 750,000 5,700,000
2,250,000 750,000 5,700,000 30 10

750,000 750,000 750,000
750,000 750,000 750,000 10 10
750,000 750,000 750,000
750,000 750,000 750,000 10 10
- 1,100,000 1,100,000
- 750,000 750,000 - 10
300,000 300,000 300,000

300,000 300,000 300,000
300,000 300,000 300,000

300,000 300,000 300,000
13,325,000 13,325,000 13,175,000
8,000,000 8,000,000 7,850,000 107
7,200,000 7,200,000 7,050,000
800,000 800,000 800,000
- - -
- - -
-
450,000 450,000 450,000
450,000 450,000 450,000 6 6
900,000 750,000 -
900,000 750,000 - 12 10
2,325,000 7,425,000 2,100,000
2,325,000 7,425,000 2,100,000 31 99
1,475,000 875,000 875,000
1,425,000 825,000 825,000 19
1,425,000 825,000 825,000
1,200,000 1,200,000 1,200,000
1,200,000 1,200,000 1,200,000 16
1,200,000 1,200,000 1,200,000
450,000 450,000 450,000

450,000 450,000 450,000
450,000 450,000 450,000
52,466,000 63,009,000 54,624,000
87,038,000
119,255,000
206,293,000
214,204,500
420,497,500
April
9,900,000 900,000
21 9,900,000 900,000
26,400,000 2,700,000
34 26,400,000 2,700,000
5,400,000 1,125,000
5 5,400,000 1,125,000
-
28,016,000 1,650,000
16 50 20,850,000 1,650,000
13,350,000 1,650,000
7,500,000
-
5,440,000 -
4,250,000
1,190,000
-
-
1,726,000
406,000
360,000
960,000
-
9,675,000 675,000
44 97 9,675,000 675,000
8,504,000 1,425,000
2 7,000,000 1,425,000
5,400,000 1,425,000
1,600,000
-
85,187,000 9,239,000
76 75,600,000 7,950,000
66,600,000 5,700,000
9,000,000 2,250,000
-
2,100,000
25,200,000
2,100,000
76 25,200,000
-
900,000
7,500,000
900,000
10 7,500,000
7,500,000 900,000
10 7,500,000 900,000
-
4,600,000 600,000
10 3,900,000 600,000
-
3,750,000 450,000
450,000
3,750,000
-
3,000,000 300,000
300,000
3,000,000
-
149,723,500 13,925,000
88,450,000 8,600,000
80,250,000 7,800,000
800,000
8,200,000
-
1,500,000 600,000
600,000
1,500,000
1,500,000 600,000
-
4,650,000 450,000
6 4,650,000 450,000
-
3,000,000 300,000
- 3,000,000 300,000
-
74,700,000 2,175,000
28 74,700,000 2,175,000
-
36,325,000 10,715,000
24,075,000 5,225,000
18,075,000 1,725,000
6,000,000 3,500,000
-
40,650,000 9,150,000
40,650,000 9,150,000
31,500,000 7,950,000
9,150,000 1,200,000
-
-
20,585,000 14,135,000
10,650,000 4,200,000
7,950,000 1,500,000
2,700,000 2,700,000
723,093,500 87,038,000
-
Juni baru
Mei Juni Juni baru
900,000 1,125,000 2,025,000 2,025,000
900,000 1,125,000 2,025,000 2,025,000
2,700,000 1,800,000 4,500,000 4,500,000
2,700,000 1,800,000 4,500,000 4,500,000
375,000 375,000 750,000 750,000
375,000 375,000 750,000 750,000
2,025,000 975,000 3,000,000 3,000,000
2,025,000 975,000 3,000,000 3,000,000
2,025,000 975,000 3,000,000 3,000,000
- - - -
- - - -
300,000 300,000 600,000 600,000
300,000 300,000 600,000 600,000
300,000 150,000 450,000 450,000
300,000 150,000 450,000 450,000
300,000 150,000 450,000 450,000
7,416,000 7,416,000 14,832,000 14,832,000
7,650,000 7,650,000 15,300,000 15,300,000
5,400,000 5,400,000 10,800,000 10,800,000
2,250,000 2,250,000 4,500,000 4,500,000
1,875,000 2,550,000 4,425,000 4,425,000
1,875,000 2,550,000 4,425,000 4,425,000

900,000 900,000 1,800,000 1,800,000
900,000 900,000 1,800,000 1,800,000
900,000 900,000 1,800,000 1,800,000
900,000 900,000 1,800,000 1,800,000
600,000 - 600,000 600,000
600,000 - 600,000 600,000
300,000 300,000 600,000 600,000

300,000 300,000 600,000 600,000
300,000 300,000 600,000 600,000

300,000 300,000 600,000 600,000
13,325,000 13,325,000 26,650,000 26,650,000
8,000,000 8,000,000 16,000,000 16,000,000
7,200,000 7,200,000 14,400,000 14,400,000

800,000 800,000 1,600,000 1,600,000
300,000 - 300,000 300,000

300,000 - 300,000 300,000
300,000 300,000 300,000

450,000 450,000 900,000 900,000
450,000 450,000 900,000 900,000
300,000 150,000 450,000 450,000
300,000 150,000 450,000 450,000
2,775,000 2,850,000 5,625,000 5,625,000
2,775,000 2,850,000 5,625,000 5,625,000
7,415,000 5,675,000 13,090,000 13,090,000
3,525,000 5,625,000 9,150,000 9,150,000
3,525,000 5,625,000 9,150,000 9,150,000
4,950,000 1,200,000 6,150,000 6,150,000
4,950,000 1,200,000 6,150,000 6,150,000
4,200,000 4,200,000 4,200,000
750,000 1,200,000 1,950,000 1,950,000
450,000 450,000 900,000 900,000

450,000 450,000 900,000 900,000
450,000 450,000 900,000 900,000
65,440,000 53,815,000 119,255,000

Vol /Satuan

6 pada Usia Produktif
5.1.02.01.01.0052 Belanja Makmin
Rapat
Makmin kegiatan Nasi Kotak
orientasi kader 40
kotak
Kesehatan remaja
Makmin kegiatan Snack Kotak
orientasi kader 40
kotak
Kesehatan remaja
5.1.02.01.01.0024 Belanja ATK
ATK untuk kegiatan

Penggandaan 640
orientasi kader
/Foto copy
Kesehatan remaja
7 1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita
5.1.02.04.01.0003 Belanja Perjalanan

Dinas dalam Kota
transport
888 OH
lokal petugas
Uang
Transportasi
dan
Akomodasi 180 OH
kegiatan/
Rapat
5.1.02.01.01.0052 Belanja Makmin

Rapat
Makmin untuk klas Nasi Kotak 252
balita
Snack Kotak 252
5.1.02.01.01.0024 Belanja ATK

Kebutuhan ATK untuk Map Kertas
Kegiatan Kls Ibu Balita 60
Buku Tulis
60
Pulpen
60
Foto Copy/
Penggandaan 1,620
Spanduk
Indoor 1
APRIL MEI
#REF! 3,854,000 1,425,000
1,280,000 1,280,000 -
25,000
1,000,000 1,000,000
7,000
280,000 280,000 -
224,000 224,000 -
350 224,000 224,000
85,187,000 16,500,000 11,489,000
75,600,000 16,500,000 7,950,000
75,000 66,600,000 16,500,000 5,700,000
50,000 9,000,000 2,250,000
8,064,000 - 2,016,000
25,000 6,300,000
1,575,000
7,000 1,764,000
441,000
1,523,000
- 1,523,000
1,200
72,000 72,000
5,100
306,000 306,000
3,800
228,000 228,000
350
567,000 567,000
350,000
350,000 350,000
JUN
450,000 5,729,000 #REF! #REF! #REF! #REF!
- 1,280,000 - - - -
1,000,000
280,000
- 224,000 - - -
224,000
19,332,000 47,321,000 7,416,000 7,800,000 5,700,000 23,166,000
15,300,000 39,750,000 7,650,000 7,800,000 5,700,000 21,150,000
10,800,000 33,000,000 5,400,000 7,800,000 5,700,000 18,900,000
4,500,000 6,750,000 2,250,000 2,250,000
4,032,000 6,048,000 2,016,000 - - 2,016,000
3,150,000 4,725,000 1,575,000 1,575,000
882,000 1,323,000 441,000 441,000
- 1,523,000 - - - -
72,000
306,000
228,000
567,000
350,000
#REF! #REF! #REF! #REF! #REF!
- - - - 1,280,000
1,000,000
280,000
- - - - 224,000
224,000
5,700,000 5,400,000 3,600,000 14,700,000 85,187,000
5,700,000 5,400,000 3,600,000 14,700,000 75,600,000
5,700,000 5,400,000 3,600,000 14,700,000 66,600,000
9,000,000
- - - - 8,064,000
6,300,000
1,764,000
- - - - 1,523,000
72,000
306,000
228,000
567,000
350,000
#REF! 1,425,000 300,000 150,000 450,000
1,280,000 - - - -
1,000,000
280,000 -
224,000 - - - -
224,000
85,187,000 9,239,000 7,416,000 7,416,000 14,832,000
75,600,000 7,950,000 7,650,000 7,650,000 15,300,000
66,600,000 5,700,000 5,400,000 5,400,000 10,800,000
9,000,000 2,250,000 2,250,000 2,250,000 4,500,000
8,064,000 2,016,000 2,016,000 2,016,000 4,032,000
6,300,000 1,575,000 1,575,000 1,575,000 3,150,000
1,764,000 441,000 441,000 441,000 882,000
1,523,000 1,523,000 - - -
72,000 72,000
306,000 306,000
228,000 228,000
567,000 567,000
350,000 350,000
450,000
14,832,000
15,300,000
10,800,000
4,500,000
4,032,000
3,150,000
882,000

RAK SUSUT II 2022 Perubahan BOK

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

RAK SUSUT II 2022 Perubahan BOK

Diunggah oleh

Hak Cipta:

Format Tersedia

RENCANA ANGGARAN KAS BOK

Belanja Perjalanan Dinas dalam

Kunjungan rumah bagi ibu hamil transport lokal

300,000 300,000 675,000 1,275,000 900,000 900,000 1,125,000

1 02 02 2.02 02 Pengelolaan Pelayanan Kesehatan Ibu Bersalin

Belanja Perjalanan Dinas dalam

Penyuluhan dan pelayanan KB transport lokal

1,800,000 2,100,000 2,400,000 6,300,000 2,700,000 2,700,000 1,800,000

825,000 825,000 375,000 2,025,000 1,125,000 375,000 375,000

Penyebarluasan informasi transport lokal 14 OH 75,000 1,050,000 1,050,000

Belanja Makmin rapat

Makmin dalam rangka orientasi Snack Kotak 7,000

Belanja ATK 1,726,000

Belanja Perjalanan Dinas dalam

Pembinaan Penerapan Protokol transport lokal

Penguatan UKS/M dan TP transport lokal

Pendampingan dan e\/aIuasi

- 300,000 525,000 825,000 675,000 300,000 300,000

Belanja Perjalanan Dinas dalam

Pengembangan dan transport lokal

Pendidikan Kesehatan transport lokal

Makmin kegiatan orientasi Snack Kotak 7,000

5.1.02.01.01.0 Belanja ATK

ATK untuk kegiatan orientasi

1 02 02 2.02 04 Pengelolaan Pelayanan kesehatan balita 85,187,000

Pelaksanaan stimulasi, deteksi, transport lokal 48 OH 75,000 3,600,000 1,800,000 1,800,000

Kunjungan rumah bagi transport lokal 32 OH 75,000 2,400,000

Pelaksanaan Bulan 1,800,000 1,800,000

Pelaksanaan Kelas ibu balita Uang

Belanja Makmin Rapat

Snack Kotak 252 7,000 1,764,000

5.1.02.01.01.0Belanja ATK 1,523,000

Kebutuhan ATK untuk Kegiatan Map Kertas 1,200

Buku Tulis 5,100

1 02 02 2.02 15 Pengelolaan Pelayanan kesehatan Gizi 25,200,000

Peningkatan cakupan pelayanan

Pelacakan dan Pendampingan

Kegiatan Pemberian Makanan transport lokal 10 OH 75,000 750,000 150,000 150,000

Pemberian Vitamin A Pemberian transport lokal 96 OH 75,000 7,200,000 3,600,000 3,600,000

- 750,000 5,100,000 5,850,000 2,100,000 1,875,000 2,550,000

1 02 02 2.02 09 Pengelolaan Pelayanan Pendrita DM 7,500,000

Belanja Perjalanan Dnas 7,500,000

Belanja Perjalanan Dnas

- 900,000 900,000 1,800,000 900,000 900,000 900,000

1 02 02 2.02 16 Pengelolaan Pelayan Kesehatan Kerja dan Olah Raga

Belanja Perjalanan Dinas dalam

1 02 02 2.02 36 Investigasi awal kejadian yang tidak 3,750,000

1 02 02 2.02 28 Pengambilan dan Pengiriman spesimen 3,000,000

Belanja Perjalanan Dinas dalam 3,000,000

Pengambilan dan Pengiriman transport lokal 40 OH 75,000 3,000,000

150,000 300,000 300,000 750,000 300,000 300,000 300,000

1 02 02 2.02 13 Pengelolaan Pelayanan kesehatan bagi

Belanja Perjalanan Dinas dalam 1,070 88,450,000

1 Penyelidikan Epidemiologi (PE)

10,725,000 10,925,000 8,600,000 30,250,000 8,600,000 8,000,000 8,000,000

Honor dan Insentif bagi tracer 42,000,000

3,725,000 3,725,000 3,725,000 11,175,000 3,725,000 3,725,000 3,725,000

Honorarium Petugas Surveilan / 12,000,000

Belanja Tagihan Telepon Biaya Pulsa 7,200,000

600,000 600,000 600,000 1,800,000 600,000 600,000 600,000

Belanja ATK 73,500

1 02 02 2.02 12 Pengelolaan Pelayanan Kesehatan Orang 1,500,000

Belanja Perjalanan Dinas dalam 1,500,000