Rba 2022 Sari Fix

PEMERINTAH KABUPATEN CILACAP
BLUD UPTD PUSKESMAS CILACAP SELATAN I

ANALISIS DAN PERKIRAAN BIAYA SERTA PERKIRAAN HARGA
TAHUN 2022
Volume Harga satuan
Kode Rekening Uraian Satuan Jumlah Anggaran
5 BELANJA DAERAH 2,428,800,000
5:01 BELANJA OPERASI
5:01:01 Belanja Pegawai 209,510,000
5.1.01.99 Belanja Pegawai BLUD 209,510,000
5.1.01.99.99 Belanja Pegawai BLUD 209,510,000
5.1.01.99.99.99999 Belanja Pegawai 209,510,000
5.1.01.03.07.0001 Belanja Honorarium Penanggungjawaban Pengelola Keuangan 7,010,000

Pejabat Pembuat Komitmen (PPKom) Nilai pagu dana
1 Org/Bln 1,010,000 1,010,000
diatas Rp. 50 juta s.d Rp. 100 juta
Pejabat Pelaksana Teknis Kegiatan (PPTK) Nilai pagu
12 Org/Bln 500,000 6,000,000
dana diatas Rp. 500 juta s.d Rp. 1 miliar
5.1.01.03.07.0002 HONORARIUM PENGADAAN BARANG & JASA
Belanja Honorarium Pengadaan Barang/Jasa 3 Org/Bulan 680,000 2,040,000
5.1.01.01.09.0001 Belanja Iuran Jaminan Kesehatan PNS 12 bln 4,005,000 48,060,000
5.1.01.99.99.9999 Belanja Pegawai pada BLUD 152,400,000

BLUD PUSAT KESEHATAN MASYARAKAT (PUSKESMAS)
Rekam Medis ( 1 Org x 12 bln ) 12 org/bln 1,800,000 21,600,000
Cleaning service 12 org/bln 1,000,000 12,000,000
Dokter Umum 12 org/bln 3,000,000 36,000,000
Akuntansi 12 org/bln 1,800,000 21,600,000
Perawat 12 org/bln 1,800,000 21,600,000
Bidan 12 org/bln 1,800,000 21,600,000
Asisten Apoteker 12 org/bln 1,500,000 18,000,000
5:01:02 BELANJA BARANG DAN JASA 1,969,990,000

5.1.02.99 Belanja Barang dan Jasa BLUD 1,969,990,000
5.1.02.99.99 Belanja Barang dan Jasa BLUD 1,969,990,000
5.1.02.99.99.9999 Belanja Barang dan Jasa 1,969,990,000
5.1.02.01.01.0001 Belanja Bahan-Bahan Bangunan dan Konstruksi 2,880,765

Biaya Pekerja / Tukang
Tukang cat ( pengecatan kantor 7 org x 7 hari ) 7 org/hari 100,000 700,000
Bahan Material Bangunan -
Cat besi 15 kg 68,251 1,023,765
Cat tembok dalam 10 galon 100,000 1,000,000
Tinner/minyak cat 10 liter 10,500 105,000
Kuas 4" 4 buah 13,000 52,000
5.1.02.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 12,000,000

Solar 500 Liter 11,000 5,500,000
Petramax / Pertalite 500 Liter 13,000 6,500,000
5.1.02.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran 2,020,200

Pengisian Tabung Pemadam Kebakaran 4,5 Kg 6 Buah 336,700 2,020,200
5.1.02.01.01.0010 Belanja Bahan-Isi Tabung Gas 3,000,000

Isi Ulang oksigen 100 m3 30,000 3,000,000
5.1.02.01.01.0012 Belanja Bahan-Bahan Lainnya 5,217,276

LAB BLOOD LANCET 25 pcs 40,480 1,012,000
LAB SIKAT TAB.REAKSI 10 pcs 13,915 139,150
LAB TABUNG K3 EDTA 3ML - BD 10 pcs 235,290 2,352,900
LAB TOURNIQUET 2 pcs 253,000 506,000
LAB YELLOW TIPS 2 pcs 230,863 461,726
POT PLASTIK 65 GR laborat 100 pcs 2,200 220,000
Alat pemeliharaan mikroskop 1 buah 230,000 230,000
Tabung Reaksi 30 unit 9,850 295,500
5.1.02.01.01.0014 Belanja Alat Kesehatan Pakai Habis 5,756,200

Thermometer clini cal/centrigade oral PAKISTAN 6 buah 19,200 115,200
Stetescope 6 buah 174,200 1,045,200
Thermometer Digital Thermo One 6 buah 33,000 198,000
Soffic plester 5 cm 5 m (hydrix) 5 cm x 5 m 6 roll 44,200 265,200
Soffic plester 10cm5m (hydrix)100cmx5m 6 roll 87,100 522,600
Material Kesehatan : Klem Ovum 5 Buah 150,000 750,000
Volume Harga satuan
Peralatan Kedokteran / Unit Gawat Darurat Vaginal 5 buah 297,000 1,485,000
Spekulum Grave M
Peralatan Kedokteran / Unit Gawat Darurat Vaginal 5 buah 275,000 1,375,000
Spekulum Grave S
5.1.02.01.01.0020 Belanja Barang Pakai Habis Kesehatan 1,910,310

Peralatan Kedokteran / Unit Gawat Darurat Sonde
6 buah 100,485 602,910
Uterus
Peralatan Kedokteran / Unit Gawat Darurat
6 buah 154,000 924,000
Bengkok Besar 25 cm
Senter pupil 6 buah 63,900 383,400
5.1.02.01.01.0023 Belanja Suku Cadang-Suku Cadang Lainnya 5,454,000

Accu Ambulance (N70 12 Volt) 2 Buah 975,000 1,950,000
Ban Luar Ambulance 4 Buah 876,000 3,504,000
5.1.02.01.01.0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 30,057,300

Amplop putih No 110 Sinar Dunia 30 pak 15,000 450,000
Amplop putih No 104 Sinar Dunia 42 pak 17,000 714,000
Ballpoint Standart hitam 300 buah 2,500 750,000
Ballpoint Standart merah 14 buah 2,500 35,000
Ballpoint Pantel 3 buah 50,000 150,000
Pensil 25 buah 5,500 137,500
Stabillo besar BOSS 3 buah 11,500 34,500
Spidol boardmarker snowman 24 buah 10,000 240,000
Spidol permanent 40 buah 8,000 320,000
Battery Kecil ABC 40 buah 2,700 108,000
Battery AAA isi 2 40 set 15,400 616,000
Battery AA ALKALINE 40 buah 12,200 488,000
Binder Clip Joyko No.155 10 lusin 33,500 335,000
Binder Clip Joyko No.200 10 pak 25,400 254,000
Binder Clip Joyko No.260 10 pak 33,600 336,000
Paper Clips Kenko 1 50 pak 4,100 205,000
Paper Clips Kenko 5 20 pak 25,800 516,000
Box file plastik bindex 30 buah 20,700 621,000
Buku tulis isi 38 24 buah 5,100 122,400
Buku Kwarto isi 100 24 buah 13,500 324,000
Buku Folio isi 100 gelatik kembar 9 buah 22,000 198,000
Buku Expedisi isi 100 gelatik 12 buah 15,000 180,000
Buku kwitansi sedang 4 buah 8,000 32,000
Cutter Joyko L-500 6 buah 11,000 66,000
Gunting Kertas kecil gunindo 6 buah 8,000 48,000
Isi Cutter Kenko A100 1 pak 20,900 20,900
Kertas HVS 70 gram -- Folio (500 lbr) paper one 80 rim 58,350 4,668,000
Kertas NCR biasa, warna sinar dunia 8 rim 72,600 580,800
Karbon fax PC 92 RF 12 box 425,700 5,108,400
Kertas Mesin Antrian 100 roll 25,000 2,500,000
Tinta Epson 110/120 hitam 20 buah 135,000 2,700,000
Tinta Epson 110/120 warna 12 buah 135,000 1,620,000
Isolasi 1/2 x 72 nachi 6 buah 5,500 33,000
Isolasi Lakban bening OPP 6 buah 14,000 84,000
Isolasi Lakban hitam besar tebal 6 buah 20,000 120,000
Lem cair povinal 12 buah 7,000 84,000
Odner Gungyu buah 54 buah 28,500 1,539,000
Odner Vico 402 kecil 50 buah 18,000 900,000
Stopmap kertas 300 buah 1,300 390,000
Map plastik 240 buah 4,000 960,000
Steapless HD10 max 12 buah 20,000 240,000
Isi steapless HD 10 great wall 30 buah 8,500 255,000
Isi steapless Besar great wall 10 buah 10,000 100,000
Penggaris -- Besi 30 cm 3 buah 16,000 48,000
Kalkulator -- 12 digit citizen 1 buah 190,000 190,000
Penghapus pensil steadler 12 buah 4,000 48,000
Stick Notes A 05 6 buah 7,500 45,000
Stempel SKPD 1 buah 150,000 150,000
Stempel biasa 2 buah 40,000 80,000
Bantalan Stempel kecil 2 buah 11,000 22,000
Bantalan Stempel Besar 2 buah 13,000 26,000
Tinta Stempel trodat buah 3 buah 38,500 115,500
Tip Ex kenko 10 buah 8,000 80,000
Kertas label harga 21 pak 3,300 69,300
5.1.02.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 28,475,500

Cetakan Khusus Pendukung Kegiatan Layanan Kesehatan
Amplop Coklat Samson B 10 dus 48,875 488,750
Buku Resep Putih 500 buku 7,500 3,750,000
Etiket Obat Sirup 1 rim 192,500 192,500
Permintaan Laborat 10 buku 75,000 750,000
Volume Harga satuan
Persetujuan Tindakan Medis Anestesi 5 rim 96,250 481,250
Resep Askes ( Format Baru ) 15 buku 38,500 577,500
Kartu Stok obat warna kuning 500 lbr 275 137,500
Kartu stok obat warna biru 500 lbr 275 137,500
Kartu stok obat warna putih 500 lbr 275 137,500
Cetak Spanduk / Banner 75 m2 50,000 3,750,000
X-banner / Stand banner 10 m2 55,000 550,000
BL. Permintaan laborat 50 buku 7,000 350,000
Buku Nota Pesanan HVS uk.1/2 F Rkp 2 @ 100 lbr 20 buku 19,000 380,000
Cetak Buku Kegiatan Karyawan 40 buku 90,000 3,600,000
Buku Register ibu Hamil 2 buku 85,000 170,000
Buku Register KB 2 buku 85,000 170,000
Buku Register Capeng 2 buku 85,000 170,000
Buku Register Imunisasi 2 buku 85,000 170,000
Buku Form AIDS 2 buku 85,000 170,000
Buku Form tes dan konseling HIV I 2 buku 85,000 170,000
Buku Form tes dan konseling HIV 2 2 buku 85,000 170,000
Buku Form Surveilans Penderita Aids 2 buku 85,000 170,000
Buku Register Rawat Jalan 10 buku 85,000 850,000
Belanja Cetak Buku Pelayanan Lab.PRB 20 buku 30,000 600,000
Belanja Cetak Buku Pelayanan Obat PRB 20 buku 30,000 600,000
Belanja Cetak Buku Rujukan Internal 20 buku 15,000 300,000
Belanja Cetak Surat Persetujuan dan Penolakan Med 20 buku 30,000 600,000
Belanja Cetak Surat Ijin Dokter/Istirahat 25 buku 30,000 750,000
Belanja Cetak buku Ekspedisi umum 5 buku 130,000 650,000
Belanja Cetak Kartu Imunisasi 50 buku 30,000 1,500,000
Belanja Cetak Surat Keterangan Nikah 20 buku 30,000 600,000
Belanja Cetak Surat Keterangan HIV 5 buku 30,000 150,000
Belanja Cetak Form Permintaan Pemeriksaan Labor 25 buku 30,000 750,000
Belanja Cetak Kartu Peserta Kb 250 buku 2,000 500,000
Sertifikat Imunisasi 200 lembar 4,000 800,000
Lembar disposisi 10 buku 25,800 258,000
Pemeriksaan Hematologi 30 buku 7,500 225,000
Formulir Hasil Pemeriksaan 20 buku 35,000 700,000
Amplop surat Kop Kedinasan 40 buku 50,000 2,000,000
Belanja Penggandaan
Foto Copi Ukuran Folio 50000 Lembar 300 15,000,000
Belanja Penjilidan
Biaya Penjilidan 750,000
buku 25 buku 10,000 250,000
Biasa (tebal) 5 buku 100,000 500,000
5.1.02.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 6,000,000

Materai Rp. 10.000 600 buah 10,000 6,000,000
5.1.02.01.01.0028 1,600,000
Belanja Alat/Bahan untuk Kegiatan Kantor-Persediaan Dokumen/Administrasi Tender
Biaya Sarana Penunjang Dokumentasi
Pigura Ukuran 10R 25 buah 64,000 1,600,000
5.1.02.01.01.0029 Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan Komputer 5,380,800

USB Flashdisk 16 GB buah 8 buah 226,000 1,808,000
USB Flashdisk 32 GB 8 buah 352,000 2,816,000
Mouse -- Optic Combo LOGITECH 4 buah 75,000 300,000
Keyboard -- Keyboard P/S2 LOGITECH 4 buah 114,200 456,800
5.1.02.01.01.0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 10,452,700

Alat Kebersihan -
Tongkat pel (lengkap) 6 Buah 122,500 735,000
Sikat WC 6 Buah 15,500 93,000
Sikat kamar mandi 6 Buah 14,500 87,000
Sapu ijuk buah 6 Buah 15,000 90,000
Sapu lowo-lowo 1 Buah 30,000 30,000
Keset Bahan karpet uk. 40x60 cm 10 Buah 66,000 660,000
Sapu lidi besar 4 Buah 16,800 67,200
Cikrak plastik 3 Buah 25,500 76,500
Tempat sampah injak besar 5 Buah 250,000 1,250,000
Keranjang / katung sampah pemilahan 80 buah 39,600 3,168,000
Bahan Pembersih -
Pembersih Kaca (cair semprot) kecil 6 klng 30,000 180,000
Pembersih lantai 40 botol 16,500 660,000
Pemutih Bayclin 40 botol 9,000 360,000
Pewangi Kamar mandi 24 buah 14,500 348,000
Sabun Cuci Tangan Cair/hand soap yuri 40 botol 20,000 800,000
Refill hand 32 buah 18,000 576,000
Volume Harga satuan
Sabun Mandi 24 buah 3,000 72,000
Toilet Colour Ball (12 bungkus ) 30 buah 18,700 561,000
Pembersih porselin / closet 15 buah 20,000 300,000
Hit spray 6 kaleng 26,500 159,000
Sunlight Cair 800 ml 12 Buah 15,000 180,000
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat

5.1.02.01.01.0031 1,445,000
Listrik
Lampu SL 18 Watt Philips 10 buah 61,000 610,000
Lampu SL 23 Watt Philips 10 buah 71,000 710,000
Stop Kontak 4 lubang 5 buah 25,000 125,000
5.1.02.01.01.0037 Belanja Obat-Obatan-Obat 233,151,805

obat obatan generik
ALBENDAZOL TAB 400MG 500 TAB 500 250,000
ALOPURINOL 100 MG TABL 1000 TAB 217 217,000
Ambroxol 15mg/ 5 ml Syrup 400 Btl 60 ml 5,745 2,298,000
Ds 10 bls x
Ambroxol tablet 30 mg 200 29,459 5,891,800
10's
Amlodipin tablet 10 mg 100 Ktk 30 tab 88,426 8,842,600
AMOXICILLIN 500 MG TABLET 5000 TAB 478 2,390,000
Antasida Doen suspensi kombinasi: 300 Btl 60 ml 4,428 1,328,400
ANTASIDA DOEN TAB. STREP 10000 TAB 199 1,990,000
Ktk 25 tube
50 72,358 3,617,900
Antibakteri Doen salep kombinasi : @5g
Ds 10 str x
As Mefenamat 500 mg 200 32,107 6,421,400
10's
BETASON N CREAM 100 TUB 12,794 1,279,400
BORAX GLYCERIN ( GOM ) 8 ML 120 botol 2,943 353,160
BURNAZIN CREAM 35 GRAM 20 TUB 71,164 1,423,280

Ds 10 str x
1000 24,743 24,743,000
Calcium Lactate 500 mg 10's
1000 TAB 458 458,000
CIPROFLOXACIN TABLET 500M
CLINDAMYCIN 300 CAPS 1000 CAP 1,958 1,958,000
Ds 10 str x
300 16,393 4,917,900
Deksametason tablet 0,5 mg 10's
Diazepam Injk 5mg/ ml 10 Ktk 30 amp 85,876 858,760
DULCOLAX 5 MG TAB 500 TAB 1,217 608,500
DULCOLAX SUPP 10 MG ADULT 100 PCS 6,434 643,400
Erlamycetin Tetes Telinga 250 Btl 10 ml 8,050 2,012,500
Erlamycetin Tetes Mata 200 Btl 10 ml 16,740 3,348,000

Vial/ Can/ 100
10 210,395 2,103,950
Etil Klorida sray ml
Fenitoin kapsul 100 mg 20 Btl 250 kapsul 22,867 457,340
GENTAMYCIN 0,1% 5GR ZALF 600 TUB 2,154 1,292,400
GENTAMYCIN 0.3 % E.D GEN 600 FLS 4,179 2,507,400
5000 TAB 129 645,000

GLYCERIL GUANICOLAT 100MG
Ds 10 str x
100 35,727 3,572,700
Ibuprofen tablet 400 mg 10's
Isosorbide Dinitrate tablet 5 mg 1000 Kotak 100 tab 16,945 16,945,000
50 BH 14,950 747,500
KALTROFEN SUPP
Ktk 10 x 10
Kaptopril tablet 25 mg 2500 15,841 39,602,500
tablet
Metronidazol tablet 500 mg 20 Ktk 100 tab 26,593 531,860
250 Ktk 50 tab 13,156 3,289,000

Natrium Diklofenak tablet 50mg
Neodiaform Tablet 10 Btl 1000 tab 113,850 1,138,500
Obat Batuk Hitam sirup 300 Btl 100 ml 8,235 2,470,500
Oksitosin injeksi 10 IU/ ml - 1 ml 5 Ktk 30 ampul 61,583 307,915

Volume Harga satuan
Btl 1000
Papaverin tablet 40 mg 30 114,425 3,432,750
tablet
Ds 10 str x
Parasetamol tablet 500 mg 2000 17,085 34,170,000
10's
Ds 30 amp x
Phytomenadione Injk 2 mg @ 1 ml 10 143,748 1,437,480
1 ml
PIRACETAM 400 MG CAP 500 CAP 550 275,000
Btl 1000
Piridoksin (Vitamin B6) tablet 10 mg (HCL) 250 20,010 5,002,500
tablet
Ktk 10 x 10
Piroksikam tablet 10 mg 250 9,660 2,415,000
tablet
PK CRYSTAL 5 GR 120 POT 4,972 596,640
Ktk 24 pot @
Salep 2-4, Kombinasi: Asam Salisilat 2%+Belerang 30 33,925 1,017,750
30 g
SALICYL 2 % BEDAK 60 GR 100 FLS 5,980 598,000
Ktk 10 x 10
Sefadroksil kapsul 500 mg 50 96,600 4,830,000
kapsul
STESOLID RECTAL 10 MG 10 TUB 34,278 342,780
STESOLID RECTAL 5 MG 10 TUB 22,223 222,230
Ktk 24 btl @ 5
50 95,089 4,754,450
Sulfasetamida Natrium tetes mata 15 % ml
250 48 ds x 20 sc 4,792 1,198,000

Tablet Tambah Darah/ 30 - OGB
Ds 10 str x
Tetrasiklin Kapsul 500 mg 20 40,414 808,280
10's
Thiamphenicol Kapsul 500 mg 250 Ktk 100 kap 74,460 18,615,000
TROPINE 1 % E.D 5 ML 5 FLS 23,912 119,560
Ventolin 3 box 230,000 690,000
Ds 10 str x
Zinck tablet 20 mg 20 58,191 1,163,820
10's
5.1.02.01.01.0038 Belanja Obat-Obatan-Obat-Obatan Lainnya 109,277,644

Belanja Barang Pakai Habis Kesehatan
Laboratorium
Urinalisa strip (100 strip)* DUS R strip 100 strip 9,900 990,000
Blood control ml 3 ml 960,000 2,880,000
Cholesterol DIALAB 600 ml 8,000 4,800,000
Creatinine 200 ml 2 ml 746,691 1,493,382
Glucose 2 4x100 ml 905,080 1,810,160
GOT ( ASAT ) 1 20 x 5 ml 1,405,536 1,405,536
GPT ( ALAT) 1 20 x 5 ml 1,405,536 1,405,536
HDL Cholesterol ( precipitant) 1 4 x 8 ml 1,083,434 1,083,434
Trigycerides 1 4x100 ml 3,074,610 3,074,610
Urea 1 2x100 ml 702,768 702,768
Uric Acid 2 4 x 30 ml 878,460 1,756,920
Stik gula darah Easy Touch @25pcs/dus 40 bok 150,000 6,000,000
Stik asam urat Easy Touch 30 bok 175,000 5,250,000
Stik cholesterol Easy Touch @10pcs/dus 50 bok 200,000 10,000,000
Reagent for Hematology Analyzer Glory-207 / BCC-3600 -- -
Diluent 3 20 L 1,600,000 4,800,000
BC Series Lise 3 500 ml 1,500,000 4,500,000
Cleaser 3 501 ml 1,100,000 3,300,000
Belanja Habis Pakai Lainnya -
Tissu Besar 150 Buah 14,500 2,175,000
Plastik Klip Ukuran 10 x 7 40000 Lembar 175 7,000,000
Plastik Klip Ukuran 8,5 x 13 20000 Lembar 150 3,000,000
Kertas Puyer Press 5000 lembar 1,650 8,250,000
Kertas Puyer Perkamen 11598 lembar 1 11,598
E Care Handscrub 500ml 14 botol 30,800 431,200
Kanebo 6 buah 75,000 450,000
Masker 3 ply Deluxe earloop/ Tie On 200 Box 50 28,600 5,720,000
Handscoon 50 kotak 314,750 15,737,500
Baju Tindakan Medikasi 25 stel 450,000 11,250,000
5.1.02.01.01.0056 Belanja Makanan dan Minuman pada Fasilitas Pelayanan Urusan Kesehatan 4,200,000
Biaya makanan dan minuman harian pegawai
Volume Harga satuan
Ektrafoodingporsi 280 porsi 15,000 4,200,000
Belanja Makan Minum Lainnya 19,312,000

Air Mineral Kemasan Galon 96 Galon 22,000 2,112,000
Air Mineral Kemasan Cup 20 Duz 35,000 700,000
Konsumsi Lansia Prolanis 1200org x 1 keg x @ Rp. 1320 Paket 12,500 16,500,000
5.1.02.01.01.0075 Belanja Pakaian Batik Tradisional -

Belanja baju batik/lurik 42 stel 500,000 21,000,000
5.1.02.01.02.0028 Belanja Suku Cadang Alat-Alat Teknologi Informasi dan Komunikasi 4,800,000
Harddisk Seagate 1.5TB, 7200RPM, SATA II 4 buah 1,200,000 4,800,000
5.1.02.02.01.0003 Honorarium Narasumber atau Pembahas, Moderator, Pembawa Acara, dan Panitia 15,350,000
Tenaga Kebersihan 36 org/keg 100,000 3,600,000

Dokter (tim PPPK) 10 org/keg 150,000 1,500,000
Perawat/Bidan (tim PPPK) 44 org/keg 100,000 4,400,000
Sopir ( PPPK) 30 org/keg 75,000 2,250,000
Instruktur / Pelatih Senam / Olahraga 24 org/keg 150,000 3,600,000
5.1.02.02.01.0014 Belanja Jasa Pelayanan Kesehatan 1,324,800,000

Jasa Pelayanan Kesehatan 12 bulan 110,400,000 1,324,800,000
5.1.02.02.01.0036 Belanja Jasa Audit/Surveillance ISO 1 kali/tahun 12,000,000 12,000,000
5.1.02.02.01.0050 Belanja Jasa Kalibrasi 7,106,000

Kalibrasi Hematology Analyzer 5 diff 1 unit 2,750,000 2,750,000
Kalibrasi spektrofotometer darah 1 unit 1,200,000 1,200,000
Kalibrasi Tensimeter 2 Kali / Unit 400,000 800,000
Kalibrasi Centrifuge 1 Kali / Unit 300,000 300,000
Kalibrasi Dopler 1 Kali / Unit 250,000 250,000
Photometer 1 Unit / Tahun 967,500 967,500
Centrifuge 1 Unit / Tahun 838,500 838,500
5.1.02.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan -

Biaya Jasa Langganan Internet 12 bulan 1,300,000 15,600,000
5.1.02.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 3,500,000

Pajak Ambulance Besar Izuzu 1 thn 1,500,000 1,500,000
Pajak Ambulance inova 1 thn 2,000,000 2,000,000
5.1.02.02.01.0069 Belanja Pengolahan Air Limbah 25,160,000

Pemusnahan Limbah B3 400 Kg 30,000 12,000,000
Pemeliharaan Ipal B3 5 meter³ 2,000,000 10,000,000
Biaya Uji Sampel Air Permukaan 2 Titik 400,000 800,000
Biaya Uji Sampel Air Limbah 2 Titik 880,000 1,760,000
Pemeriksaan air bersih/ minum 2 sample/paket 300,000 600,000
5.1.02.02.12 Belanja Kursus,Pelatihan, Sosialisasi, dan Bimtek lainnya 16,300,000

5.1.02.02.12.0003 Belanja Bimbingan Teknis
Kontribusi Diklat Teknis 2 Org/Keg 6,000,000 12,000,000
Bantuan Transport Kursus, Pelatihan,
Sosialisasi, dan Bimtek Lainnya -
Wilayah Jateng dan DIY -
Golongan IV 2 orang 500,000 1,000,000
Golongan III 6 orang 450,000 2,700,000
Golongan II dan I 2 orang 300,000 600,000
5.1.02.03.02.0035 Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat Bermotor-Kendaraan Dinas 1,800,000
Bermotor Perorangan
Cuci mobil besar 12 unit 60,000 720,000
Cuci mobil minibus 12 unit 90,000 1,080,000
-
5.1.02.03.02.0117 Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat Kantor-Alat Kantor Lainnya 5,520,000
Service Cuci AC 0.5 – 1 PKunit 47 unit/kali 60,000 2,820,000
Tambah Freon R32/R410 0.5 – 1 PK 6 unit/kali 200,000 1,200,000
Isi Freon R22 0.5 – 1 PKunit 6 unit/kali 250,000 1,500,000
Volume Harga satuan
5.1.02.03.02.0205 Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat Kedokteran-Alat Kedokteran Gigi
Dental Unit 1 Unit / Tahun 1,612,500 1,612,500
5.1.02.03.02.0409 Belanja Pemeliharaan Komputer-Peralatan Komputer-Peralatan Personal Computer

12,100,000
CPU / PC / All-in-One 4 Unit / Tahun 1,000,000 4,000,000

Printer Tinta 6 Unit / Tahun 600,000 3,600,000
Laptop/Notebook 3 Unit / Tahun 1,500,000 4,500,000
5.2. BELANJA MODAL 249,300,000

5:02:02 Belanja Modal Peralatan dan Mesin 249,300,000
05.02.02.99 Belanja Modal Peralatan dan Mesin BLUD 249,300,000
05.02.02.99.99 Belanja Modal Peralatan dan Mesin BLUD 249,300,000
05.02.02.99.99.9999 Belanja Modal Peralatan dan Mesin 249,300,000
5.2.02.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor 43,900,000

Almari arsip (pintu besi / kaca - geser) : 2 Unit 3,000,000 6,000,000
Almari obat dari kaca/alumuniumunit1 5 buah 1,000,000 5,000,000
Rak Obat 3 buah 1,100,000 3,300,000
Lemari besi 2 buah 6,000,000 12,000,000
Lemari arsip 2 buah 8,800,000 17,600,000
5.2.02.05.02.0004 Belanja Modal Alat Pendingin 12,900,000

Kipas angin Dinding 2 Unit 500,000 1,000,000
AC Split / Dinding 1.0 PK PANASONIC 2 Unit 5,200,000 10,400,000
Exhaust Fan 3 unit 500,000 1,500,000
5.2.02.05.02.0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use) 12,450,000
Microphone Floor Stand 3 set 300,000 900,000
Speaker 3 buah 350,000 1,050,000
Dispenser air minum stand hot & cool 3 unit 3,500,000 10,500,000
5.2.02.05.03.0001 Belanja Modal Meja Kerja Pejabat 37,500,000

Kursi Kerja Staf / Non Struktural : Besi / Metal tanpa 30 buah 480,000 14,400,000
sandaran tangan
Meja kerja Staf / Non Struktural /Non Eselon 4 buah 2,250,000 9,000,000
Kursi putar / operator futura FTR353NF 4 buah 525,000 2,100,000
Meja Rapat Oval 1 buah 12,000,000 12,000,000
5.2.02.07.01.0021 Belanja Darurat 1,650,000

Peralatan Kedokteran / Unit Gawat Darurat Vaginal
Spekulum Grave L 5 buah 330,000 1,650,000
5.2.02.07.02.0005 Belanja Modal Alat Kesehatan Umum Lainnya 53,050,000

Nebulezer 2 buah 1,600,000 3,200,000
Timbangan Injak 4 buah 300,000 1,200,000
Pulse Oxymetri Finger MD 300 C ChoiceMed 10 buah 825,000 8,250,000
Tensimeter digital 12 unit 1,650,000 19,800,000
Troly Tindakan 1 buah 5,000,000 5,000,000
Material Kesehatan : Termometer Infra Red 12 Unit 1,000,000 12,000,000
Material Kesehatan : Lampu Tindakan 3 Buah 1,200,000 3,600,000
5.2.02.10.01.0002 Belanja Modal Personal Computer 59,100,000
PC Desktop All-in-One Core i5-8400T, 4GB DDR4, 1TB

2 unit 15,550,000 31,100,000
HDD, 2GB VGA, DVDRW, 23.8" Touchscreen, Win10 SL
Core i7-4770, 8GB DDR3, 1TB HDD, DVD-RW, 4GB
2 unit 14,000,000 28,000,000
DDR3, 20" monitor, Windows 8
5.2.02.10.02.0003 Belanja Modal Peralatan Personal Computer 28,750,000

Printer Dotmatrix Epson LQ 590 2 unit 8,375,000 16,750,000
Printer Epson L3110 4 unit 3,000,000 12,000,000
JUMLAH 2,428,800,000
Cilacap,
Kepala UPTD Puskesmas Cilacap Selatan I
Selaku Kuasa Pengguna Anggaran
Volume Harga satuan
dr. Eti Putranti.M.M

NIP. 19670903 200701 2 008
VOL JAN VOL FEB VOL MARET VOL APRIL
2,428,800,000
-
209,510,000
1 - - - 1 1,010,000
12 1 500,000 1 500,000 1 500,000 1 500,000

0 - - - -
0 - - - -
3 - - - 1 680,000
0 - - - -
12 1 4,005,000 1 4,005,000 1 4,005,000 1 4,005,000
0 - - - -
0 - - - -
0 - - - -
12 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000
12 1 1,000,000 1 1,000,000 1 1,000,000 1 1,000,000
12 1 3,000,000 1 3,000,000 1 3,000,000 1 3,000,000
12 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000
12 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000
12 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000
12 1 1,500,000 1 1,500,000 1 1,500,000 1 1,500,000
0 - - - -
0 - - - -
1,969,990,000 0 - - - -
0 - - - -
- 0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
7 - - - -
0 - - - -
15 - - - -
10 - - - -
10 - - - -
4 - - - -
0 - - - -
0 - - - -
500 41 451,000 41 451,000 41 451,000 41 451,000
500 41 533,000 41 533,000 41 533,000 41 533,000
0 - - - -
0 - - - -
6 - - - -
0 - - - -
0 - - - -
100 10 300,000 10 300,000 10 300,000 10 300,000
0 - - - -
0 - - - -
25 - - 25 1,012,000 -
10 - - - 10 139,150
10 - - 10 2,352,900 -
2 - - - -
2 - - - 2 461,726
100 - - - -
1 - - - -
30 - - - -
0 - - - -
0 - - - -
6 - - - 6 115,200
6 - - - 6 1,045,200
6 - - - 6 198,000
6 - - - 6 265,200
6 - - - 6 522,600
5 - - 5 750,000 -
5 - - 5 1,485,000 -
5 - - 5 1,375,000 -
0 - - - -
0 - - - -
6 - - - -
6 - - - -
6 - - - -
0 - - - -
0 - - - -
2 - - - -
4 - - - -
0 - - - -
0 - - - -
30 - - 15 225,000 -
42 - - - 21 357,000
300 - 150 375,000 - -
14 - 14 35,000 - -
3 - 3 150,000 - -
25 - 25 137,500 - -
3 - 3 34,500 - -
24 - 24 240,000 - -
40 - 40 320,000 - -
40 - 40 108,000 - -
40 - 40 616,000 - -
40 - 40 488,000 - -
10 - - 10 335,000 -
10 - - 10 254,000 -
10 - - 10 336,000 -
50 - - 25 102,500 25 102,500
20 - - 20 516,000 -
30 - - - 15 310,500
24 - 12 61,200 12 61,200 -
24 - - - 12 162,000
9 - - 9 198,000 -
12 - - 12 180,000 -
4 - - 4 32,000 -
6 - - - 6 66,000
6 - - - 6 48,000
1 - - - 1 20,900
80 - 15 875,250 15 875,250 -
8 - 8 580,800 - -
12 1 425,700 1 425,700 1 425,700 1 425,700
100 - 20 500,000 - 20 500,000
20 - 10 1,350,000 - 10 1,350,000
12 - 12 1,620,000 - -
6 - 6 33,000 - -
6 - 6 84,000 - -
6 - 6 120,000 - -
12 - 12 84,000 - -
54 - 12 342,000 - 12 342,000
50 - 10 180,000 10 180,000 10 180,000
300 - 50 65,000 50 65,000 50 65,000
240 - 120 480,000 - 120 480,000
12 - 12 240,000 - -
30 - - 10 85,000 10 85,000
10 - - 10 100,000 -
3 - - 3 48,000 -
1 - - - -
12 - - 12 48,000 -
6 - 6 45,000 - -
1 - - 1 150,000 -
2 - - 2 80,000 -
2 - - 2 22,000 -
2 - - 2 26,000 -
3 - - 3 115,500 -
10 - - 10 80,000 -
21 - - 21 69,300 -
0 - - - -
0 - - - -
0 - - - -
10 - - - 10 488,750
500 - 50 375,000 50 375,000 50 375,000
1 - 1 192,500 - -
10 - - - 10 750,000
5 - - 2 192,500 3 288,750
15 - 15 577,500 - -
500 - - 500 137,500 -
500 - - 500 137,500 -
500 - - 500 137,500 -
75 - - 15 750,000 10 500,000
10 - - 10 550,000 -
50 - - - 50 350,000
20 - - - 20 380,000
40 - 40 3,600,000 - -
2 - - - -
2 - - - -
2 - - - -
2 - - - -
2 - - - -
2 - - - -
2 - - - -
2 - - - -
10 - 10 850,000 - -
20 - - - -
20 - - - -
20 - - - -
20 - - - -
25 - - - -
5 - - - -
50 - - 50 1,500,000 -
20 - - - 20 600,000
5 - - - 5 150,000
25 - - - 25 750,000
250 - - 250 500,000 -
200 - - 200 800,000 -
10 - - 10 258,000 -
30 - - - 30 225,000
20 - - - 20 700,000
40 - - - 20 1,000,000
0 - - - -
0 - - - -
50000 - 4167 1,250,100 4167 1,250,100 5720 1,716,000
0 - - - -
0 - - - -
0 - - - -
25 - 2 20,000 3 30,000 3 30,000
5 - - 1 100,000 1 100,000
0 - - - -
0 - - - -
600 50 500,000 50 500,000 50 500,000 50 500,000
0 - - - -
0 - - - -
0 - - - -
25 - - 10 640,000 15 960,000
0 - - - -
0 - - - -
8 - - 8 1,808,000 -
8 - - 8 2,816,000 -
4 - 4 300,000 - -
4 - 4 456,800 - -
0 - - - -
0 - - - -
0 - - - -
6 - - - 3 367,500
6 - - - 3 46,500
6 - - - 3 43,500
6 - - - 3 45,000
1 - - - 1 30,000
10 - - - -
4 - - - -
3 - - - -
5 - - 5 1,250,000 -
80 - - - -
0 - - - -
6 - - 2 60,000 2 60,000
40 - 5 82,500 5 82,500 6 99,000
40 - 10 90,000 - 10 90,000
24 - 6 87,000 - 6 87,000
40 - 5 100,000 5 100,000 5 100,000
32 - 5 90,000 3 54,000 3 54,000
24 - - 12 36,000 -
30 - - 10 187,000 -
15 - 5 100,000 - 5 100,000
6 - - 2 53,000 -
12 - 6 90,000 - -
0 - - - -
0 - - - -
10 - - - 10 610,000
10 - - - -
5 - - - -
0 - - - -
0 - - - -
0 - - - -
500 - - - 500 250,000
1000 - - - 1000 217,000
400 - - - 100 574,500
200 - - - -
100 - 10 884,260 10 884,260 10 884,260
5000 - 2000 956,000 3000 1,434,000 -
300 - - - -
10000 - - - -
50 - - - -
200 - 50 1,605,350 - 50 1,605,350
100 - - - -
120 - - - -
20 - - - 20 1,423,280
1000 - 200 4,948,600 - 200 4,948,600
1000 - - - -
1000 - 1000 1,958,000 - -
300 - 150 2,458,950 - 150 2,458,950
10 - - - -
500 - - - -
100 - - - 100 643,400
250 - 125 1,006,250 - -
200 - 100 1,674,000 - 100 1,674,000
10 - - 10 2,103,950 -
20 - - - 20 457,340
600 - - - 600 1,292,400
600 - - - -
5000 - - 5000 645,000 -
100 - - 25 893,175 -
1000 - 100 1,694,500 100 1,694,500 100 1,694,500
50 - - - -
250 250 250

2500 - 3,960,250 3,960,250 3,960,250
20 - - 20 531,860 -
250 - - - 125 1,644,500
10 - - - 10 1,138,500
300 - 150 1,235,250 - 150 1,235,250
5 - - - 5 307,915
30 - - 10 1,144,250 -
2000 - 200 3,417,000 200 3,417,000 200 3,417,000
10 - - - 10 1,437,480
500 - - 500 275,000 -
250 - - 125 2,501,250 -
250 - - - 125 1,207,500
120 - - - 120 596,640
30 - - - 30 1,017,750
100 - - 100 598,000 -
50 - - 25 2,415,000 -
10 - - - 10 342,780
10 - - - 10 222,230
50 - - - 25 2,377,225
250 - - 250 1,198,000 -
20 - - 20 808,280 -
250 - 25 1,861,500 25 1,861,500 25 1,861,500
5 - - - 5 119,560
3 - - - 3 690,000
20 - - - 20 1,163,820
0 - - - -
0 - - - -
0 - - - -
0 - - - -
100 - - - -
3 - - 1 960,000 -
600 - 100 800,000 - 100 800,000
2 - - 2 1,493,382 -
2 - - 2 1,810,160 -
1 - - - 1 1,405,536
1 - - - 1 1,405,536
1 - - - 1 1,083,434
1 - - - -
1 - - - -
2 - - 1 878,460 -
40 - - - -
30 - - - -
50 - 10 2,000,000 - -
0 - - - -
3 - 1 1,600,000 - 1 1,600,000
3 - 1 1,500,000 - 1 1,500,000
3 - 1 1,100,000 - 1 1,100,000
0 - - - -
150 - 15 217,500 15 217,500 15 217,500
40000 - 5000 875,000 5000 875,000 5000 875,000
20000 - 2000 300,000 2000 300,000 2000 300,000
5000 - 1500 2,475,000 1500 2,475,000 2000 3,300,000
11598 - - - 11598 11,598
14 - - 14 431,200 -
6 - 2 150,000 - 2 150,000
200 - - - -
50 - - - -
25 - - - -
0 - - - -
0 - - - -
0 - - - -
280 - 40 600,000 40 600,000 -
0 - - - -
0 - - - -
96 8 176,000 8 176,000 8 176,000 8 176,000
20 2 70,000 2 70,000 2 70,000 2 70,000
1320 110 1,375,000 110 1,375,000 110 1,375,000 110 1,375,000
0 - - - -
0 - - - -
42 - - - -
0 - - - -
0 - - - -
4 - - 2 2,400,000 -
0 - - - -
0 - - - -
36 - - - 36 3,600,000
10 - - - 10 1,500,000
44 - - 22 2,200,000 22 2,200,000
30 - - 5 375,000 5 375,000
24 2 300,000 2 300,000 2 300,000 2 300,000
0 - - - -
0 - - - -
12 1 110,400,000 1 110,400,000 1 110,400,000 1 110,400,000
0 - - - -
1 - - 1 12,000,000 -
0 - - - -
0 -
1 - - 1 2,750,000 -
1 - - - -
2 - - - -
1 - - 1 300,000 -
1 - - 1 250,000 -
1 - - 1 967,500 -
1 - - 1 838,500 -
0 - - - -
0 - - - -
12 1 1,300,000 1 1,300,000 1 1,300,000 1 1,300,000
0 - - - -
0 - - - -
1 - - - -
1 - - - -
0 - - - -
0 - - - -
400 20 600,000 40 1,200,000 40 1,200,000 40 1,200,000
5 - - 5 10,000,000 -
2 - - - 2 800,000
2 - - - 2 1,760,000
2 - - - 2 600,000
0 - - - -
0 - - - -
0 - - - -
2 - - - 2 12,000,000
0 - - - -
0 - - - -
2 - - - -
6 - - - -
2 - - - -
- - -
- - -
12 1 60,000 1 60,000 1 60,000 1 60,000
12 1 90,000 1 90,000 1 90,000 1 90,000
0 - - - -
0 - - - -
47 - - 15 900,000 -
6 - - 2 400,000 -
6 - - 2 500,000 -
0 - - - -
0 - - - -
1 - - 1 1,612,500 -
0 - - - -
0 - - 1 - 1 -
4 - 1 1,000,000 1 1,000,000 2 2,000,000
6 - 3 1,800,000 3 1,800,000 -
3 - 1 1,500,000 - -
0 - - - -
249,300,000 0 - - - -
- 0 - - - -
- 0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
2 - - - -
5 - - 1 1,000,000 -
3 - - 3 3,300,000 -
2 - - - -
2 - - - 1 8,800,000
0 - - - -
0 - - - -
2 - - - -
2 - - - 1 5,200,000
3 - - - 3 1,500,000
0 - - - -
0 - - - -
3 - 3 900,000 - -
3 - 3 1,050,000 - -
3 - 1 3,500,000 - 2 7,000,000
0 - - - -
0 - - - -
30 - - - -
4 - - - -
4 - - - -
1 - - - -
0 - - - -
0 - - - -
5 - - - -
0 - - - -
0 - - - -
2 - - - -
4 - - 4 1,200,000 -
10 - - - -
12 - - 6 9,900,000 -
1 - - - 1 5,000,000
12 - - 6 6,000,000 -
3 - - - 1 1,200,000
0 - - - -
0 - - - -
2 - - - 2 31,100,000
2 - - - -
0 - - - -
0 - - - -
2 - - - -
4 - - - -
133,785,700 200,838,760 255,448,427 293,234,760
VOL MEI VOL JUNI VOL JULI VOL AGUST VOL SEPT VOL
- - - - -
1 500,000 1 500,000 1 500,000 1 500,000 1 500,000 1

- - - - -
- - - - -
- 1 680,000 - 1 680,000 -
- - - - -
1 4,005,000 1 4,005,000 1 4,005,000 1 4,005,000 1 4,005,000 1
- - - - -
- - - - -
- - - - -
1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1
1 1,000,000 1 1,000,000 1 1,000,000 1 1,000,000 1 1,000,000 1
1 3,000,000 1 3,000,000 1 3,000,000 1 3,000,000 1 3,000,000 1
1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1
1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1
1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1 1,800,000 1
1 1,500,000 1 1,500,000 1 1,500,000 1 1,500,000 1 1,500,000 1
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - 7
- - - - -
- - - - - 15
- - - - - 10
- - - - - 10
- - - - - 4
- - - - -
- - - - -
42 462,000 42 462,000 42 462,000 42 462,000 42 462,000 42
42 546,000 42 546,000 42 546,000 42 546,000 42 546,000 42
- - - - -
- - - - -
- - - 6 2,020,200 -
- - - - -
- - - - -
10 300,000 10 300,000 10 300,000 10 300,000 10 300,000 10
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2 506,000 - - - -
- - - - -
- - 100 220,000 - -
- - - - 1 230,000
- - - - 30 295,500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6 602,910 - - - -
6 924,000 - - - -
6 383,400 - - - -
- - - - -
- - - - -
- - 2 1,950,000 - -
- - 4 3,504,000 - -
- - - - -
- - - - -
15 225,000 - - - -
- 21 357,000 - - -
- - - 150 375,000 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
15 310,500 - - - -
- - - - -
12 162,000 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
15 875,250 - 15 875,250 - 10 583,500
- - - - -
1 425,700 1 425,700 1 425,700 1 425,700 1 425,700 1
- 20 500,000 - 20 500,000 - 20
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 12 342,000 - 6 171,000 - 12
10 180,000 10 180,000 - - -
50 65,000 50 65,000 50 65,000 - -
- - - - -
- - - - -
10 85,000 - - - -
- - - - -
- - - - -
1 190,000 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
50 375,000 50 375,000 50 375,000 50 375,000 50 375,000 50
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10 500,000 10 500,000 10 500,000 10 500,000 10 500,000
- - - - -
- - - - -
- - - - -
- - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
2 170,000 - - - -
- - - - -
- 20 600,000 - - -
- 20 600,000 - - -
- 20 300,000 - - -
- - 20 600,000 - -
- - 25 750,000 - -
- - 5 650,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 20 1,000,000 -
- - - - -
- - - - -
6781 2,034,300 4167 1,250,100 4167 1,250,100 4167 1,250,100 4167 1,250,100 4167
- - - - -
- - - - -
- - - - -
3 30,000 2 20,000 2 20,000 2 20,000 2 20,000 2
1 100,000 1 100,000 1 100,000 - -
- - - - -
- - - - -
50 500,000 50 500,000 50 500,000 50 500,000 50 500,000 50
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 3 367,500 - - -
- 3 46,500 - - -
- 3 43,500 - - -
- 3 45,000 - - -
- - - - -
- 10 660,000 - - -
- - 4 67,200 - -
- - 3 76,500 - -
- - - - -
40 1,584,000 - 40 1,584,000 - -
- - - - -
2 60,000 - - - -
3 49,500 3 49,500 3 49,500 3 49,500 3 49,500 3
- 10 90,000 - 10 90,000 -
- 6 87,000 - 6 87,000 -
5 100,000 5 100,000 5 100,000 5 100,000 5 100,000
3 54,000 3 54,000 3 54,000 3 54,000 3 54,000 3
- - 12 36,000 - -
- 10 187,000 - - 10 187,000
- 5 100,000 - - -
2 53,000 - 2 53,000 - -
- - 6 90,000 - -
- - - - -
- - - - -
- - - - -
10 710,000 - - - -
5 125,000 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
100 574,500 - 100 574,500 - 100 574,500
-
200 5,891,800 - - -
10 884,260 10 884,260 10 884,260 10 884,260 10 884,260 10
- - - - -
- 300 1,328,400 - - -
- 10000 1,990,000 - - -
- - 50 3,617,900 - -
- - 50 1,605,350 - 50 1,605,350
100
- - 1,279,400 - -
120 353,160 - - - -
- - - - -
- 200 4,948,600 - 200 4,948,600 - 200
- - - - 1000 458,000
- - - - -
- - - - -
- 10 858,760 - - -
500 608,500 - - - -
- - - - -
125 1,006,250 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
600 2,507,400 - - - -
- - - - -
25 893,175 - 25 893,175 - 25 893,175
100 1,694,500 100 1,694,500 100 1,694,500 100 1,694,500 100 1,694,500 100
- - - 50 747,500 -
250 250 250 250

3,960,250 3,960,250 3,960,250 3,960,250 250 3,960,250 250
- - - - -
- 125 1,644,500 - - -
- - - - -
- - - - -
- - - - -
10 1,144,250 - 10 1,144,250 - -
200 3,417,000 200 3,417,000 200 3,417,000 200 3,417,000 200 3,417,000 200
- - - - -
- - - - -
125 2,501,250 - - - -
- 125 1,207,500 - - -
- - - - -
- - - - -
- - - - -
25 2,415,000 - - - -
- - - - -
- - - - -
- 25 2,377,225 - - -
- - - - -
- - - - -
25 1,861,500 25 1,861,500 25 1,861,500 25 1,861,500 25 1,861,500 25
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
100 990,000 - - - -
1 960,000 - 1 960,000 - -
100 800,000 - - 100 800,000 - 100
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 3,074,610 - - - -
1 702,768 - - - -
- 1 878,460 - - -
- 40 6,000,000 - - -
- - 30 5,250,000 - -
10 2,000,000 - 10 2,000,000 - 10 2,000,000
- - - - -
- 1 1,600,000 - - -
- 1 1,500,000 - - -
- 1 1,100,000 - - -
- - - - -
15 217,500 15 217,500 15 217,500 20 290,000 10 145,000 10
5000 875,000 5000 875,000 5000 875,000 5000 875,000 5000 875,000
2000 300,000 2000 300,000 2000 300,000 2000 300,000 2000 300,000 2000
- - - - -
- - - - -
- - - - -
- - - 2 150,000 -
- - - - - 200
- - - - - 50
- - - - - 25
- - - - -
- - - - -
- - - - -
- 40 600,000 40 600,000 40 600,000 - 40
- - - - -
- - - - -
8 176,000 8 176,000 8 176,000 8 176,000 8 176,000 8
2 70,000 2 70,000 2 70,000 2 70,000 2 70,000 2
110 1,375,000 110 1,375,000 110 1,375,000 110 1,375,000 110 1,375,000 110
- - - - -
- - - - -
- - - 42 21,000,000 -
- - - - -
- - - - -
2 2,400,000 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5 375,000 5 375,000 5 375,000 5 375,000 -
2 300,000 2 300,000 2 300,000 2 300,000 2 300,000 2
- - - - -
- - - - -
1 110,400,000 1 110,400,000 1 110,400,000 1 110,400,000 1 110,400,000 1
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 1 1,200,000 - - -
- 2 800,000 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 1,300,000 1 1,300,000 1 1,300,000 1 1,300,000 1 1,300,000 1
- - - 1 - -
- - - 1 - -
- - - - 1 1,500,000
- - - - 1 2,000,000
- - - - -
- - - - -
40 1,200,000 40 1,200,000 40 1,200,000 40 1,200,000 20 600,000 40
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 2 1,000,000 -
- - - 6 2,700,000 -
- - - 2 600,000 -
- - - - -
- - - - -
1 60,000 1 60,000 1 60,000 1 60,000 1 60,000 1
1 90,000 1 90,000 1 90,000 1 90,000 1 90,000 1
- - - - -
- - - - -
- 16 960,000 - - 16 960,000
- 2 400,000 - - 2 400,000
- 2 500,000 - - 2 500,000
- - - - -
- - - - -
- - - - -
- - - - -
1 - 1 - 1 - - -
- - - - -
- - - - -
- 1 1,500,000 - 1 1,500,000 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 1 - 1
- - - - -
1 3,000,000 - 1 3,000,000 - -
- - - 2 2,000,000 - 2
- - - - -
1 6,000,000 - 1 6,000,000 - -
- - - 1 8,800,000 -
- - - - -
- - 1 - - 1 - 1
2 1,000,000 - - - -
- - 1 5,200,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - 40 -
- - - - - 9
- - 30 14,400,000 - -
- 4 9,000,000 - - -
- 4 2,100,000 - - -
- 1 12,000,000 - - -
- - - - -
- - - - -
5 1,650,000 - - - -
- - - - -
- 3 - - - -
2 3,200,000 - - - -
- - - - -
- - 10 8,250,000 - -
6 9,900,000 - - - -
- - - - -
- - 6 6,000,000 - -
- 2 2,400,000 - - -
- 1 - - 2 - 2 -
- - - 2 - 2 -
- - - - -
- 2 28,000,000 - - -
- - - - 1 - 1
- - - - 1 -
- - - 1 8,375,000 - 1
- - 2 6,000,000 - 2 6,000,000
207,319,433 246,479,055 227,738,835 208,560,110 167,482,835
OKT VOL NOV VOL DES
- - - 1,010,000
500,000 1 500,000 1 500,000 6,000,000

- - - -
- - - -
- - - 2,040,000
- - - -
4,005,000 1 4,005,000 1 4,005,000 48,060,000
- - - -
- - - -
- - - -
1,800,000 1 1,800,000 1 1,800,000 21,600,000
1,000,000 1 1,000,000 1 1,000,000 12,000,000
3,000,000 1 3,000,000 1 3,000,000 36,000,000
1,800,000 1 1,800,000 1 1,800,000 21,600,000
1,800,000 1 1,800,000 1 1,800,000 21,600,000
1,800,000 1 1,800,000 1 1,800,000 21,600,000
1,500,000 1 1,500,000 1 1,500,000 18,000,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
700,000 - - 700,000
- - - -
1,023,765 - - 1,023,765
1,000,000 - - 1,000,000
105,000 - - 105,000
52,000 - - 52,000
- - - -
- - - -
462,000 42 462,000 42 462,000 5,500,000
546,000 42 546,000 42 546,000 6,500,000
- - - -
- - - -
- - - 2,020,200
- - - -
- - - -
300,000 - - 3,000,000
- - - -
- - - -
- - - 1,012,000
- - - 139,150
- - - 2,352,900
- - - 506,000
- - - 461,726
- - - 220,000
- - - 230,000
- - - 295,500
- - - -
- - - -
- - - 115,200
- - - 1,045,200
- - - 198,000
- - - 265,200
- - - 522,600
- - - 750,000
OKT VOL NOV VOL DES
- - - 1,485,000
- - - 1,375,000
- - - -
- - - -
- - - 602,910
- - - 924,000
- - - 383,400
- - - -
- - - -
- - - 1,950,000
- - - 3,504,000
- - - -
- - - -
- - - 450,000
- - - 714,000
- - - 750,000
- - - 35,000
- - - 150,000
- - - 137,500
- - - 34,500
- - - 240,000
- - - 320,000
- - - 108,000
- - - 616,000
- - - 488,000
- - - 335,000
- - - 254,000
- - - 336,000
- - - 205,000
- - - 516,000
- - - 621,000
- - - 122,400
- - - 324,000
- - - 198,000
- - - 180,000
- - - 32,000
- - - 66,000
- - - 48,000
- - - 20,900
- 10 583,500 - 4,668,000
- - - 580,800
425,700 1 425,700 1 425,700 5,108,400
500,000 - - 2,500,000
- - - 2,700,000
- - - 1,620,000
- - - 33,000
- - - 84,000
- - - 120,000
- - - 84,000
342,000 - - 1,539,000
- - - 900,000
- - - 390,000
- - - 960,000
- - - 240,000
- - - 255,000
- - - 100,000
- - - 48,000
- - - 190,000
- - - 48,000
- - - 45,000
- - - 150,000
- - - 80,000
- - - 22,000
- - - 26,000
- - - 115,500
- - - 80,000
- - - 69,300
- - - -
- - - -
- - - -
- - - 488,750
375,000 50 375,000 - 3,750,000
- - - 192,500
- - - 750,000
OKT VOL NOV VOL DES
- - - 481,250
- - - 577,500
- - - 137,500
- - - 137,500
- - - 137,500
- - - 3,750,000
- - - 550,000
- - - 350,000
- - - 380,000
- - - 3,600,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 170,000
- - - 850,000
- - - 600,000
- - - 600,000
- - - 300,000
- - - 600,000
- - - 750,000
- - - 650,000
- - - 1,500,000
- - - 600,000
- - - 150,000
- - - 750,000
- - - 500,000
- - - 800,000
- - - 258,000
- - - 225,000
- - - 700,000
- - - 2,000,000
- - - -
- - - -
1,250,100 4167 1,250,100 4163 1,248,900 15,000,000
- - - -
- - - -
- - - -
20,000 2 20,000 2 20,000 250,000
- - - 500,000
- - - -
- - - -
500,000 50 500,000 50 500,000 6,000,000
- - - -
- - - -
- - - -
- - - 1,600,000
- - - -
- - - -
- - - 1,808,000
- - - 2,816,000
- - - 300,000
- - - 456,800
- - - -
- - - -
- - - -
- - - 735,000
- - - 93,000
- - - 87,000
- - - 90,000
- - - 30,000
- - - 660,000
- - - 67,200
- - - 76,500
- - - 1,250,000
- - - 3,168,000
- - - -
- - - 180,000
49,500 3 49,500 3 49,500 660,000
- - - 360,000
- - - 348,000
- - - 800,000
54,000 3 54,000 - 576,000
OKT VOL NOV VOL DES
- - - 72,000
- - - 561,000
- - - 300,000
- - - 159,000
- - - 180,000
- - - -
- - - -
- - - 610,000
- - - 710,000
- - - 125,000
- - - -
- - - -
- - - -
- - - 250,000
- - - 217,000
- - - 2,298,000
- - - 5,891,800
884,260 10 884,260 - 8,842,600
- - - 2,390,000
- - - 1,328,400
- - - 1,990,000
- - - 3,617,900
- - - 6,421,400
- - - 1,279,400
- - - 353,160
- - - 1,423,280
4,948,600 - - 24,743,000
- - - 458,000
- - - 1,958,000
- - - 4,917,900
- - - 858,760
- - - 608,500
- - - 643,400
- - - 2,012,500
- - - 3,348,000
- - - 2,103,950
- - - 457,340
- - - 1,292,400
- - - 2,507,400
- - - 645,000
- - - 3,572,700
1,694,500 100 1,694,500 - 16,945,000
- - - 747,500
3,960,250 250 3,960,250 - 39,602,500
- - - 531,860
- - - 3,289,000
- - - 1,138,500
- - - 2,470,500
- - - 307,915
OKT VOL NOV VOL DES
- - - 3,432,750
3,417,000 200 3,417,000 - 34,170,000
- - - 1,437,480
- - - 275,000
- - - 5,002,500
- - - 2,415,000
- - - 596,640
- - - 1,017,750
- - - 598,000
- - - 4,830,000
- - - 342,780
- - - 222,230
- - - 4,754,450
- - - 1,198,000
- - - 808,280
1,861,500 25 1,861,500 - 18,615,000
- - - 119,560
- - - 690,000
- - - 1,163,820
- - - -
- - - -
- - - -
- - - -
- - - 990,000
- - - 2,880,000
800,000 100 800,000 - 4,800,000
- - - 1,493,382
- - - 1,810,160
- - - 1,405,536
- - - 1,405,536
- - - 1,083,434
- - - 3,074,610
- - - 702,768
- - - 1,756,920
- - - 6,000,000
- - - 5,250,000
- 10 2,000,000 - 10,000,000
- - - -
- - - 4,800,000
- - - 4,500,000
- - - 3,300,000
- - - -
145,000 10 145,000 10 145,000 2,175,000
- - - 7,000,000
300,000 2000 300,000 - 3,000,000
- - - 8,250,000
- - - 11,598
- - - 431,200
- - - 450,000
5,720,000 - - 5,720,000
15,737,500 - - 15,737,500
11,250,000 - - 11,250,000
- - - -
- - - -
- - - -
OKT VOL NOV VOL DES
600,000 40 600,000 - 4,200,000
- - - -
- - - -
176,000 8 176,000 8 176,000 2,112,000
70,000 - - 700,000
1,375,000 110 1,375,000 110 1,375,000 16,500,000
- - - -
- - - -
- - - 21,000,000
- - - -
- - - -
- - - 4,800,000
- - - -
- - - -
- - - 3,600,000
- - - 1,500,000
- - - 4,400,000
- - - 2,250,000
300,000 2 300,000 2 300,000 3,600,000
- - - -
- - - -
110,400,000 1 110,400,000 1 110,400,000 1,324,800,000
- - - -
- - - 12,000,000
- - - -
- - - -
- - - 2,750,000
- - - 1,200,000
- - - 800,000
- - - 300,000
- - - 250,000
- - - 967,500
- - - 838,500
- - - -
- - - -
1,300,000 1 1,300,000 1 1,300,000 15,600,000
- - - -
- - - -
- - - 1,500,000
- - - 2,000,000
- - - -
- - - -
1,200,000 20 600,000 20 600,000 12,000,000
- - - 10,000,000
- - - 800,000
- - - 1,760,000
- - - 600,000
- - - -
- - - -
- - - -
- - - 12,000,000
- - - -
- - - -
- - - 1,000,000
- - - 2,700,000
- - - 600,000
- - - -
- - - -
60,000 1 60,000 1 60,000 720,000
90,000 1 90,000 1 90,000 1,080,000
- - - -
- - - -
- - - 2,820,000
- - - 1,200,000
- - - 1,500,000
OKT VOL NOV VOL DES
- - - -
- - - -
- - - 1,612,500
- - - -
- - - -
- - - 4,000,000
- - - 3,600,000
- - - 4,500,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 6,000,000
2,000,000 - - 5,000,000
- - - 3,300,000
- - - 12,000,000
- - - 17,600,000
- - - -
- 1 - - -
- - - 1,000,000
- - - 10,400,000
- - - 1,500,000
- - - -
- - - -
- - - 900,000
- - - 1,050,000
- - - 10,500,000
- - - -
- - - -
- - - 14,400,000
- - - 9,000,000
- - - 2,100,000
- - - 12,000,000
- - - -
- - - -
- - - 1,650,000
- - - -
- - - -
- - - 3,200,000
- - - 1,200,000
- - - 8,250,000
- - - 19,800,000
- - - 5,000,000
- - - 12,000,000
- - - 3,600,000
- - - -
- - - -
- - - 31,100,000
- - - 28,000,000
- - - -
- - - -
8,375,000 - - 16,750,000
- - - 12,000,000
201,574,675 151,434,310 134,903,100 2,428,800,000

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PEMERINTAH KABUPATEN CILACAP

BLUD UPTD PUSKESMAS CILACAP SELATAN I

5.1.01.03.07.0001 Belanja Honorarium Penanggungjawaban Pengelola Keuangan 7,010,000

5.1.01.03.07.0002 HONORARIUM PENGADAAN BARANG & JASA

Belanja Honorarium Pengadaan Barang/Jasa 3 Org/Bulan 680,000 2,040,000

5.1.01.01.09.0001 Belanja Iuran Jaminan Kesehatan PNS 12 bln 4,005,000 48,060,000

5.1.01.99.99.9999 Belanja Pegawai pada BLUD 152,400,000

5:01:02 BELANJA BARANG DAN JASA 1,969,990,000

5.1.02.01.01.0001 Belanja Bahan-Bahan Bangunan dan Konstruksi 2,880,765

5.1.02.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 12,000,000

5.1.02.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran 2,020,200

5.1.02.01.01.0010 Belanja Bahan-Isi Tabung Gas 3,000,000

5.1.02.01.01.0012 Belanja Bahan-Bahan Lainnya 5,217,276

5.1.02.01.01.0014 Belanja Alat Kesehatan Pakai Habis 5,756,200

5.1.02.01.01.0020 Belanja Barang Pakai Habis Kesehatan 1,910,310

5.1.02.01.01.0023 Belanja Suku Cadang-Suku Cadang Lainnya 5,454,000

5.1.02.01.01.0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 30,057,300

5.1.02.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 28,475,500

5.1.02.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 6,000,000

5.1.02.01.01.0029 Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan Komputer 5,380,800

5.1.02.01.01.0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 10,452,700

Belanja Alat/Bahan untuk Kegiatan Kantor-Alat

5.1.02.01.01.0037 Belanja Obat-Obatan-Obat 233,151,805

BORAX GLYCERIN ( GOM ) 8 ML 120 botol 2,943 353,160

BURNAZIN CREAM 35 GRAM 20 TUB 71,164 1,423,280

DULCOLAX 5 MG TAB 500 TAB 1,217 608,500

DULCOLAX SUPP 10 MG ADULT 100 PCS 6,434 643,400

Erlamycetin Tetes Telinga 250 Btl 10 ml 8,050 2,012,500

Erlamycetin Tetes Mata 200 Btl 10 ml 16,740 3,348,000

Fenitoin kapsul 100 mg 20 Btl 250 kapsul 22,867 457,340

GENTAMYCIN 0,1% 5GR ZALF 600 TUB 2,154 1,292,400

GENTAMYCIN 0.3 % E.D GEN 600 FLS 4,179 2,507,400

5000 TAB 129 645,000

Isosorbide Dinitrate tablet 5 mg 1000 Kotak 100 tab 16,945 16,945,000

Metronidazol tablet 500 mg 20 Ktk 100 tab 26,593 531,860

250 Ktk 50 tab 13,156 3,289,000

Neodiaform Tablet 10 Btl 1000 tab 113,850 1,138,500

Obat Batuk Hitam sirup 300 Btl 100 ml 8,235 2,470,500

Oksitosin injeksi 10 IU/ ml - 1 ml 5 Ktk 30 ampul 61,583 307,915

PIRACETAM 400 MG CAP 500 CAP 550 275,000

PK CRYSTAL 5 GR 120 POT 4,972 596,640

SALICYL 2 % BEDAK 60 GR 100 FLS 5,980 598,000

STESOLID RECTAL 10 MG 10 TUB 34,278 342,780

STESOLID RECTAL 5 MG 10 TUB 22,223 222,230

250 48 ds x 20 sc 4,792 1,198,000

Thiamphenicol Kapsul 500 mg 250 Ktk 100 kap 74,460 18,615,000

TROPINE 1 % E.D 5 ML 5 FLS 23,912 119,560

Ventolin 3 box 230,000 690,000

5.1.02.01.01.0038 Belanja Obat-Obatan-Obat-Obatan Lainnya 109,277,644

Belanja Makan Minum Lainnya 19,312,000

5.1.02.01.01.0075 Belanja Pakaian Batik Tradisional -

Tenaga Kebersihan 36 org/keg 100,000 3,600,000

5.1.02.02.01.0014 Belanja Jasa Pelayanan Kesehatan 1,324,800,000

5.1.02.02.01.0036 Belanja Jasa Audit/Surveillance ISO 1 kali/tahun 12,000,000 12,000,000

5.1.02.02.01.0050 Belanja Jasa Kalibrasi 7,106,000

5.1.02.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan -

5.1.02.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 3,500,000

5.1.02.02.01.0069 Belanja Pengolahan Air Limbah 25,160,000

5.1.02.02.12 Belanja Kursus,Pelatihan, Sosialisasi, dan Bimtek lainnya 16,300,000

5.1.02.03.02.0409 Belanja Pemeliharaan Komputer-Peralatan Komputer-Peralatan Personal Computer

CPU / PC / All-in-One 4 Unit / Tahun 1,000,000 4,000,000

5.2. BELANJA MODAL 249,300,000

5.2.02.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor 43,900,000

5.2.02.05.02.0004 Belanja Modal Alat Pendingin 12,900,000