Rekap SP2D dan Realisasi SPJ Per OPD sampai dengan 31 Desemb

SP2D
No. Nama Perangkat Daerah UP GU TU LS Barjas
Jumlah (Rp) Jumlah (Rp) Jumlah (Rp) Jumlah (Rp)
1 2 3 4 5 6
1 UPTD Pukesmas Gondosari 75,000,000 442,659,934 - -
PD sampai dengan 31 Desember 2021

D
LS Gaji &
Jumlah SP2D
Tunjangan Realisasi SPJ Pengesahan Sisa Kas
Jumlah (Rp) Rp
7 8 9 10 = 8 - 9
2,425,608,261 2,943,268,195 2,943,268,195 -
 Daftar Isian Atas Realisasi Fisik dan Keuangan ( Belanja Modal maupun Belanja Barang/Jasa yang menghasilk
UPTD Puskesmas Gondoari
Tahun Anggaran 2021

Kontrak Addendum PPK PPTK

Rekanan /
No. Nama OPD Paket Pekerjaan
Pelaksanaan
Nomor Tanggal Nilai (Rp) Nomor Tanggal Nilai (Rp) Nama No. HP Nama No.HP
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 UPTD Puskesmas Rehabilitas Gedung 027.4/2353/1 1-Nov-21 45,334,000 CV. IKHA KARYA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Induk 1.05/14/2021 TUNGGAL Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
2 UPTD Puskesmas Belanja Modal 027.2/2935/1 15-Dec-21 68,680,198 PT. TRIPATRIA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Hematology Analyzer 1.05.14/2021 ANDALAN MEDIKA Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
3 UPTD Puskesmas Belanja Modal - 9-Mar-21 14,800,000 PT COBRA DENTAL dr. +6289509606109 Widyaswari +6285743265563
Gondosari Aerosol Suction INDONESIA Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
4 UPTD Puskesmas Belanja Modal Lampu - 14-Oct-21 583,440 PT. RAJAWALI dr. +6289509606109 Widyaswari +6285743265563
Gondosari Halogen NUSINDO Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
5 UPTD Puskesmas Belanja Modal - 26-Oct-21 2,464,000 PT. COBRA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Handpiece DENTAL Rosmardyana Yuselandri,
INDONESIA Lestari S.Farm., Apt.
6 UPTD Puskesmas Belanja Modal Tang - 26-Oct-21 7,122,500 PT. COBRA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Cabut Anak DENTAL Rosmardyana Yuselandri,
INDONESIA Lestari S.Farm., Apt.
7 UPTD Puskesmas Belanja Modal Lemari 24-Nov-21 1,990,000 CV. MAKMUR JAYA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Arsip ABADI Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
8 UPTD Puskesmas Belanja Modal Lemari 24-Nov-21 4,000,000 CV. MAKMUR JAYA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Arsip ABADI Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
9 UPTD Puskesmas Belanja Modal 10-Nov-21 1,700,000 PT. IDS MEDICAL dr. +6289509606109 Widyaswari +6285743265563
Gondosari Infantometer Seca SYSTEMS Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
10 UPTD Puskesmas Belanja Modal Lemari 2-Dec-21 1,990,000 CV. MAKMUR JAYA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Arsip ABADI Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
11 UPTD Puskesmas Belanja Modal 3-Dec-21 2,030,050 PBF MEKAR JAYA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Timbangan Analitik MANDIRI Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
12 UPTD Puskesmas Belanja Modal Lemari 6-Dec-21 2,700,000 SHG GLASS dr. +6289509606109 Widyaswari +6285743265563
Gondosari Kaca MANDIRI Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
13 UPTD Puskesmas Belanja Modal Rak 13-Dec-21 6,000,000 BENGKEL LAS dr. +6289509606109 Widyaswari +6285743265563
Gondosari Lemari Besi Susun 3 HIDAYAH Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
14 UPTD Puskesmas Belanja Modal Rak 16-Dec-21 4,000,000 BENGKEL LAS dr. +6289509606109 Widyaswari +6285743265563
Gondosari Lemari Besi Susun 3 HIDAYAH Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
15 UPTD Puskesmas Belanja Modal 28-Dec-21 613,923 CV. MANGGALA dr. +6289509606109 Widyaswari +6285743265563
Gondosari Thermogun Rosmardyana Yuselandri,
Lestari S.Farm., Apt.
JUMLAH
 a Modal maupun Belanja Barang/Jasa yang menghasilkan Aset )
skesmas Gondoari
n Anggaran 2021

SPMK Realisasi Fisik Realisasi Keuangan Keterangan (Tender/

Pengadaan/ Penunjukan
Tgl Mulai Tgl Selesai Nilai (Rp) % Nilai % Langsung)
15 16 17 18 19 20 21
1-Nov-21 6-Dec-21 45,333,999 100.00% 45,333,999 100.00% Penunjukan Langsung

15-Dec-21 24-Dec-21 68,680,197 100.00% 68,680,197 100.00% E - Purchasing

9-Mar-21 9-Mar-21 14,800,000 100.00% 14,800,000 100.00% Pengadaan Langsung

14-Oct-21 14-Oct-21 583,440 100.00% 583,440 100.00% Pengadaan Langsung

26-Oct-21 26-Oct-21 2,464,000 100.00% 2,464,000 100.00% Pengadaan Langsung

26-Oct-21 26-Oct-21 7,122,500 100.00% 7,122,500 100.00% Pengadaan Langsung

24-Nov-21 24-Nov-21 1,990,000 100.00% 1,990,000 100.00% Pengadaan Langsung

24-Nov-21 24-Nov-21 4,000,000 100.00% 4,000,000 100.00% Pengadaan Langsung

10-Nov-21 10-Nov-21 1,700,000 100.00% 1,700,000 100.00% Pengadaan Langsung

2-Dec-21 2-Dec-21 1,990,000 100.00% 1,990,000 100.00% Pengadaan Langsung

3-Dec-21 3-Dec-21 2,030,050 100.00% 2,030,050 100.00% Pengadaan Langsung

6-Dec-21 6-Dec-21 2,700,000 100.00% 2,700,000 100.00% Pengadaan Langsung

13-Dec-21 13-Dec-21 6,000,000 100.00% 6,000,000 100.00% Pengadaan Langsung

16-Dec-21 16-Dec-21 4,000,000 100.00% 4,000,000 100.00% Pengadaan Langsung

28-Dec-21 28-Dec-21 613,923 100.00% 613,923 100.00% Pengadaan Langsung

164,008,109