Dana 2019 : 3,050,000,000

99 3,019,500,000 pelayanan 84.918 2,564,100,000

1 30,500,000 administrasi 10 301,950,000
belanja modal 5.082 153,450,000

3,050,000,000 100 3,019,500,000

-
0

RKA dikes : Pegawai = 462,000,000 462,000,000

Barjas = 2,434,550,000 2,434,550,000
Modal = 153,450,000 153,450,000
3,050,000,000 3,050,000,000
pelayanan : proporsi riil range proporsi peg (pelay+adm) %
- biaya peg 11.590 297,179,190 297,000,000 10-15% 462,000,000 15.15
- BHP & obat 12.8 328,204,800 328,000,000 10-15%
- jaspel 60 1,538,460,000 1,539,000,000 50-60%
- pemeliharaan 1.84 47,179,440 47,000,000 5-10%
- barang & jasa 11.481 294,384,321 293,399,760 10-17%
- pel lainnya 2.289 58,692,249 59,700,240 0-1% 54,354,240 BPJS kes
100.00 2,564,100,000 2,564,100,000 5,346,000 BPJS naker
- - - 59,700,240

2,267,100,000 barjas pelayanan

100,656
8,910
 RENCANA KERJA DAN ANGGARAN

SATUAN KERJA PERANGKAT DAERAH FORMULIR

RKA-SKPD
KABUPATEN LOMBOK BARAT 2.2.1
TAHUN ANGGARAN 2020

Urusan Pemerintahan : 1.02 Urusan Wajib Pelayanan Dasar Kesehatan

Organisasi : 1.02.1.02.01 Dinas Kesehatan
Program : 1.02.1.02.01.33 Program Peningkatan Mutu Pelayanan Kesehatan BLUD
Kegiatan : 1.02.1.02.01.33.01 Pelayanan dan Pendukung Pelayanan BLUD
Lokasi Kegiatan : UPT BLUD Puskesmas Gerung
Jumlah Tahun n - 1 : Rp -
Jumlah Tahun n : Rp 3,050,000,000 (Tiga milyar seratus juta rupiah )
Jumlah Tahun n + 1 : Rp -
INDIKATOR DAN TOLOK UKUR KINERJA BELANJA LANGSUNG
INDIKATOR TOLOK UKUR KINERJA TARGET KINERJA
Masukan Jumlah Dana Rp 3,050,000,000
Kelompok Sasaran Kegiatan :
RINCIAN ANGGARAN BELANJA LANGSUNG
MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAH RKA pagu selisih
peg (pelay + adm) : 462,000,000 (462,000,000)
JUMLAH HARGA SATUAN TOTAL
KODE REKENING RINCIAN BELANJA total barjas : 2,434,550,000 (2,434,550,000)
SATUAN (Rp) (Rp)
modal : 153,450,000 (153,450,000)
1 2 3 4 5 selisih :
TOTAL PENDAPATAN 3,050,000,000 3,050,000,000 -
5 2 1 Belanja Pegawai 462,000,000 15.15
Biaya Pelayanan 297,000,000
5 2 1 06 Belanja Pegawai BLUD 49
5 2 1 06 01 Belanja Pegawai BLUD
- Tenaga teknis kesehatan 33 or x 12 bl 396 ob 750,000 297,000,000 Alan, Dani, Mayavenner, Hadi, Ika, Deni, Jaelani, Muhlisin, Bayu, Roqib, Titin, Parwati, Nym Maya, Yusda, Uyun, Riska, Bq Oni, Hari, Diana, Nita, Deka, Adrian, Dewi, Muliadi, 9 perawat baru
5 2 1 Biaya Administrasi 165,000,000
5 2 1 01 Honorarium PNS
- Honor pengelola BLUD :
* Pemimpin UPT BLUD 1 or x 12 bl 12 ob 500,000 6,000,000
* Pejabat keuangan (Kepala Sub Bagian TU) 1 or x 12 bl 12 ob 400,000 4,800,000
* Pejabat teknis : Penanggung jawab UKM 1 or x 12 bl 12 ob 300,000 3,600,000
* Pejabat teknis : Penanggung jawab UKP 1 or x 12 bl 12 ob 300,000 3,600,000
- Honor pengelola teknis lainnya :
* Honor bendahara pengeluaran 1 or x 12 bl 12 ob 500,000 6,000,000
* Honor bendahara penerimaan 1 or x 12 bl 12 ob 250,000 3,000,000
* Honor bendahara BOK 1 or x 12 bl 12 ob 250,000 3,000,000
* Honor pengurus barang 1 or x 12 bl 12 ob 300,000 3,600,000
* Honor petugas SIK 1 or x 12 bl 12 ob 150,000 1,800,000
* Honor petugas IPAL 1 or x 12 bl 12 ob 150,000 1,800,000
- Honor surveior pra survei re akreditasi 3 or x 2 hr x 2 jam 12 oh 750,000 9,000,000 -
- Honor pendampingan kabupaten pra survei re akreditasi 3 or x 2 hr x 1 kali 6 oh -
5 2 1 06 Belanja Pegawai BLUD
5 2 1 06 01 Belanja Pegawai BLUD :
 - Pegawai non kesehatan :
* S1 / D3 2 or x 12 bl 24 ob 750,000 18,000,000 Bq. Yana, Sri Muliati
* SMA / SMP / SD 14 or x 12 bl 168 ob 600,000 100,800,000 Tari, Sri Murni, Siti, Suri, Bq Roh, Nur, L Khalid, Moh, Nasrah, H.Herman, Musa'ah, 1 SMK tata boga, 2 satpam baru
5 2 2 Belanja Barang dan Jasa 2,434,550,000 2,434,550,000 -
5 2 3 Belanja Modal 153,450,000 153,450,000 -
Belanja Modal BLUD
5 2 3 27 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kantor Lainnya 35,000,000
- Alat kantor lainnya 1 pt 1 pt 34,100,000 34,100,000 white board, papan nama instansi /petunjuk lokasi pusk, papan nama ruangan/petugas hari ini, papan visuil
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 28 02 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pengukur Waktu 2,000,000
- Alat pengukur waktu lain - lain :
Jam digital untuk informasi jam pelayanan 1 pt 1 pt 2,000,000 2,000,000
5 2 3 28 04 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pendingin 5,000,000
- Lemari es (untuk dapur) 1 pt 1 pt 5,000,000 5,000,000
5 2 3 28 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Dapur 5,000,000
- Alat dapur lain - lain 1 pt 1 unit 5,000,000 5,000,000
5 2 3 28 06 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Rumah Tangga Lainnya (Home Use) 45,000,000
- Alat rumah tangga lainnya 1 pt 1 pt 26,100,000 26,100,000 tiang bendera, permainan anak
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
- Televisi (untuk informasi & penyuluhan) 1 unit 1 unit 17,100,000 17,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 29 Belanja Modal Peralatan dan Mesin - Pengadaan Komputer 5,000,000
5 2 3 29 05 - Printer (untuk gelang identitas pasien) 1 unit 1 unit 5,000,000 5,000,000
5 2 3 27 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kantor Lainnya 34,950,000
5 2 3 35 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kesehatan Perawatan 34,950,000
Alat Kesehatan Perawatan Lain - lain : 1 pt 1 pt 14,810,000 14,810,000
- Pengadaan alat kesehatan untuk penanganan covid 19
Termometer infra red 5 pkt 5 pkt 3,000,000 15,000,000

Alat Penyemprot Desinfektan 1 buah 1 buah 1,000,000 1,000,000

Tensimeter 8 buah 4 buah 160,000 640,000
Termometer 8 buah 4 buah 500,000 2,000,000
Stetoskop 8 buah 4 buah 150,000 600,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 37 13 Belanja Modal Peralatan dan Mesin - Pengadaan Bidang Pendidikan / Ketrampilan Lain-lain 1,500,000
Alat Peraga / Praktek Sekolah Lain-lain
- Pengadaan alat peraga higiene sanitasi pangan tingkat sekolah 1 pt 1 pt 1,500,000 1,500,000
5 2 3 48 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Bantu Keamanan 20,000,000
- CCTV 1 unit 1 unit 19,100,000 19,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
Biaya Non Operasioal 30,500,000

Mengetahui Gerung, 02 Desember 2019

Kepala Dinas Kesehatan Kabupaten Lombok Barat Pemimpin UPT BLUD Puskesmas Gerung

Drg. Hj. Ni Made Ambaryati, M.Kes dr. Qudusiyah Fahriati

NIP : 19611230 198701 2 001 NIP. 19720928 200501 2 007
 RENCANA KERJA DAN ANGGARAN PERUBAHAN

SATUAN KERJA PERANGKAT DAERAH FORMULIR

RKA-SKPD
KABUPATEN LOMBOK BARAT 2.2.1
TAHUN ANGGARAN 2020

Urusan Pemerintahan : 1.02 Urusan Wajib Pelayanan Dasar Kesehatan

Organisasi : 1.02.1.02.01 Dinas Kesehatan
Program : 1.02.1.02.01.33 Program Peningkatan Mutu Pelayanan Kesehatan BLUD
Kegiatan : 1.02.1.02.01.33.01 Pelayanan dan Pendukung Pelayanan BLUD
Lokasi Kegiatan : UPT BLUD Puskesmas Gerung
Jumlah Tahun n - 1 : Rp -
Jumlah Tahun n : Rp 3,050,000,000 (Tiga milyar seratus juta rupiah )
Jumlah Tahun n + 1 : Rp -
INDIKATOR DAN TOLOK UKUR KINERJA BELANJA LANGSUNG
INDIKATOR TOLOK UKUR KINERJA TARGET KINERJA
Masukan Jumlah Dana Rp 3,050,000,000
Kelompok Sasaran Kegiatan :
RINCIAN ANGGARAN BELANJA LANGSUNG
MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAH

HARGA SATUAN TOTAL

KODE REKENING RINCIAN BELANJA JUMLAH SATUAN
(Rp) (Rp)

1 2 3 4 5
TOTAL PENDAPATAN 3,050,000,000
Biaya Operasional 3,019,500,000
Biaya Pelayanan 2,564,100,000
5 2 1 Belanja Pegawai 297,000,000
5 2 1 06 Belanja Pegawai BLUD
5 2 1 06 01 Belanja Pegawai BLUD
- Tenaga teknis kesehatan 33 or x 12 bl 396 ob 750,000 297,000,000
5 2 2 Belanja Barang dan Jasa 2,267,100,000
5 2 2 24 Belanja Barang dan Jasa BLUD 293,399,760
5 2 2 24 01 Belanja Barang dan Jasa BLUD 293,399,760
Belanja Jasa Kantor 121,200,000
Belanja air 1 pt x 12 bl 12 bl 1,000,000 12,000,000
Belanja listrik :
- Listrik bulanan puskesmas 1 pt x 12 bl 12 bl 3,000,000 36,000,000
Belanja kawat / faksimili / internet / HT :
- Puskesmas 1 pt x 12 bl 12 bl 1,000,000 12,000,000
- Paket kuota internet e-pustu, e-poskesdes, e-posyandu 1 pt x 12 bl 12 bl 1,000,000 12,000,000
Belanja aplikasi e-puskesmas, e-pustu, e-poskesdes, e-posyandu 1 pt x 12 bl 12 bl 1,100,000 13,200,000
Belanja jasa kebersihan :
- Sampah non medis 1 pt x 12 bl 12 bl 500,000 6,000,000
- Sampah medis 50 kg x 12 bl 600 bl 50,000 30,000,000
Belanja Pengisian Tabung Gas 12,750,000
- Tabung gas oksigen 1 pt x 12 bl 12 bl 1,000,000 12,000,000
- Tabung gas elpigi 1 pt x 10 bl 10 bl 75,000 750,000
Belanja Perawatan Kendaraan Bermotor 20,449,760
Belanja jasa service 1 th 1 th 2,099,760 2,099,760
Belanja penggantian suku cadang 1 th 1 th 2,000,000 2,000,000
Belanja bahan bakar minyak / gas dan pelumas
- Premium 1 pt x 12 bl 12 bl 400,000 4,800,000
- Solar 1 pt x 12 bl 12 bl 200,000 2,400,000
- Pelumas / oli 1 pt x 4 bl 4 bl 500,000 2,000,000
Belanja surat tanda kendaraan bermotor :
- Mobil puskesmas keliling 2 unit 2 unit 2,000,000 4,000,000
- Motor dinas 9 unit 9 unit 350,000 3,150,000
Belanja Cetak dan Penggandaan 36,000,000
Belanja cetak 1 pt x 12 bl 12 pt 2,000,000 24,000,000
Belanja penggadaan 1 pt x 12 bl 12 pt 1,000,000 12,000,000
Belanja Makanan dan Minuman 39,200,000
Belanja makanan dan minuman pasien :
- Pasien rawat inap dan pasien persalinan 25 psn x 3 hr x 12 bl 900 psn 30,000 27,000,000
- Air galon untuk oplos sirup obat pasien 3 galon x 12 bl 36 galon 20,000 720,000
Belanja makanan dan minuman kegiatan :
- Senam prolanis 30 or x 12 bl 360 oh 15,000 5,400,000
- Fogging fokus 8 or x 19 lok 152 oh 40,000 6,080,000

Belanja Perjalanan Dinas 50,300,000

Perjalanan dalam daerah :

- Perjalanan dinas petugas pelayanan puskel 1 or x 10 lok x 7 bl 70 oh 50,000 3,500,000
- PMT balita gizi buruk :
* Perjalanan dinas kader monitoring bahan PMT 2 or x 5 kss x 3 bl 30 oh 25,000 750,000
* Perjalanan dinas petugas monitoring pelaksanaan PMT 1 or x 5 kss x 3 bl 15 oh 50,000 750,000
- PMT balita gizi kurang :
* Perjalanan dinas kader monitoring bahan PMT 2 or x 10 kss x 3 bl 60 oh 25,000 1,500,000
* Perjalanan dinas petugas monitoring pelaksanaan PMT 1 or x 10 kss x 3 bl 30 oh 50,000 1,500,000
- Perjalanan dinas kader penemuan suspek TB di masyarakat 1 or x 100 kl 100 ok 25,000 2,500,000
- Fogging fokus
* Perjalanan dinas petugas fogging 4 or x 19 lok 76 oh 150,000 11,400,000
* Perjalanan dinas petugas kabupaten 2 or x 19 lok 38 oh 100,000 3,800,000
* Perjalanan dinas petugas puskesmas 2 or x 19 lok 38 oh 50,000 1,900,000
- Perjalanan dinas petugas mengambil oksigen 2 or x 1 kl x 12 bl 24 oh 100,000 2,400,000
- Perjalanan dinas petugas mengambil obat ke IFK 2 or x 1 kl x 12 bl 24 oh 50,000 1,200,000
- Perjalanan dinas petugas P3K dalam rangka covid 19 3 or x 40 kl 120 oh 50,000 6,000,000
 HARGA SATUAN TOTAL
KODE REKENING RINCIAN BELANJA JUMLAH SATUAN
(Rp) (Rp)

Perjalanan Dinas petugas penyuluhan kesehatan covid 19 2 or x 7 ds x 2 kali 28 oh 50,000 1,400,000

Perjalanan Dinas petugas PE Kasus ke Rumah Sakit 2 or x 15 kss x 3 kali 90 oh 50,000 4,500,000
- Perjalanan dinas petugas konsultasi ke dikes / ke bank / ke pemda 2 or x 6 kl x 12 bl 144 oh 50,000 7,200,000
Belanja Barang Untuk Diserahkan Kepada Masyarakat / Pihak Ketiga 13,500,000
Belanja barang untuk diserahkan kepada masyarakat
- PMT balita gizi buruk 5 kss x 90 HMA 450 HMA 10,000 4,500,000
- PMT balita gizi kurang 10 kss x 90 HMA 900 HMA 10,000 9,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 328,000,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 328,000,000
Belanja Bahan / Material 328,000,000
Belanja bahan obat - obatan 1 th 1 th 311,417,000 311,417,000
Vitamin Petugas 2,369 buah 2,369 buah 7,000 16,583,000
5 2 2 24 Belanja Barang dan Jasa BLUD 1,539,000,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,539,000,000
Belanja Jasa Pelayanan Medis 1 th 1 th 1,539,000,000 1,539,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 47,000,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 47,000,000
Belanja Pemeliharaan 47,000,000
Biaya pemeliharaan gedung / kantor 1 th 1 th 2,000,000 2,000,000
Belanja pemeliharaan peralatan gedung / kantor dan jaringannya 1 th 1 th 32,000,000 32,000,000
Belanja pemeliharaan IPAL :
- Bakteri 1 kg x 3 kl 3 kg 1,200,000 3,600,000
- Gula merah 10 kg x 3 kl 30 kg 40,000 1,200,000
- Susu 1 kotak x 3 kl 3 kotak 100,000 300,000
Belanja pemeliharaan komputer 1 th 1 th 2,900,000 2,900,000
Belanja pemeliharaan alat-alat kesehatan (kalibrasi) 1 th 1 th 5,000,000 5,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 59,700,240
5 2 2 24 01 Belanja Barang dan Jasa BLUD 59,700,240
Belanja Pelayanan Kesehatan Lainnya 59,700,240
Belanja Premi Asuransi Kesehatan 59,700,240
Belanja asuransi kesehatan tenaga medis dan non medis (kontrak BLUD) 45 or x 12 bl 540 ob 100,656 54,354,240
Belanja asuransi ketenagakerjaan tenaga medis & non medis (kontrak BLUD) 50 or x 12 bl 600 ob 8,910 5,346,000
Biaya Administrasi 301,950,000
5 2 1 Belanja Pegawai 165,000,000
5 2 1 01 Honorarium PNS
- Honor pengelola BLUD :
* Pemimpin UPT BLUD 1 or x 12 bl 12 ob 500,000 6,000,000
* Pejabat keuangan (Kepala Sub Bagian TU) 1 or x 12 bl 12 ob 400,000 4,800,000
* Pejabat teknis : Penanggung jawab UKM 1 or x 12 bl 12 ob 300,000 3,600,000
* Pejabat teknis : Penanggung jawab UKP 1 or x 12 bl 12 ob 300,000 3,600,000
- Honor pengelola teknis lainnya :
* Honor bendahara pengeluaran 1 or x 12 bl 12 ob 360,000 4,320,000
* Honor bendahara penerimaan 1 or x 12 bl 12 ob 250,000 3,000,000
* Honor bendahara BOK 1 or x 12 bl 12 ob 250,000 3,000,000
* Honor pengurus barang 1 or x 12 bl 12 ob 300,000 3,600,000
* Honor petugas SIK 1 or x 12 bl 12 ob 150,000 1,800,000
* Honor petugas IPAL 1 or x 12 bl 12 ob 150,000 1,800,000
- Honor pendamping pra survei re akreditasi 3 or x 2 hr x 2 jam 12 oh 400,000 4,800,000
- Honor PBJ (belanja obat) 1 or x 1 th 1 ot 5,880,000 5,880,000
5 2 1 06 Belanja Pegawai BLUD
5 2 1 06 01 Belanja Pegawai BLUD :
- Pegawai non kesehatan :
* S1 / D3 2 or x 12 bl 24 ob 750,000 18,000,000
* SMA / SMP / SD 14 or x 12 bl 168 ob 600,000 100,800,000
5 2 2 Belanja Barang dan Jasa 136,950,000
5 2 2 24 Belanja Barang dan Jasa BLUD 39,600,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 39,600,000
Belanja Bahan Pakai Habis
Belanja alat listrik dan elektronik 1 pt x 12 bl 12 bl 1,000,000 12,000,000
Belanja perangko, materai, dan benda pos lainnya 1 pt x 12 bl 12 bl 300,000 3,600,000
Belanja tinta komputer, flash disk, disket, CD 1 pt x 12 bl 12 bl 2,000,000 24,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 1,500,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,500,000
Belanja Sewa Sarana Mobilitas Darat
Sewa kendaraan untuk pindah puskesmas 1 pt x 1 kl 1 pt 1,500,000 1,500,000
5 2 2 24 Belanja Barang dan Jasa BLUD 36,400,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 36,400,000
Belanja Makanan dan Minuman
Belanja makanan dan minuman pegawai :
- Makan minum petugas jaga malam 5 or x 244 hr 1,220 oh 15,000 18,300,000
- Makan minum kegiatan pra survei re akreditasi 60 or x 2 hr 120 oh 40,000 4,800,000
- Makan minum kegiatan survei re akreditasi 60 or x 2 hr 120 oh 40,000 4,800,000
- Makan dan minum petugas dlm rangka kegiatan pusk. / kab. 1 th 1 th 4,500,000 4,500,000
Belanja makanan dan minuman rapat :
- Makan minum pertemuan validasi data penilaian kinerja puskesmas 25 or x 2 kl 50 oh 40,000 2,000,000
- Makan minum pertemuan / rapat tinjauan manajemen (RTM) 25 or x 2 kl 50 oh 40,000 2,000,000
Belanja makanan dan minuman tamu -
5 2 2 24 Belanja Barang dan Jasa BLUD 1,900,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,900,000
Biaya Promosi 1,900,000
Belanja spanduk / dekorasi / umbul-umbul 1 th 1 th 1,900,000 1,900,000
 HARGA SATUAN TOTAL
KODE REKENING RINCIAN BELANJA JUMLAH SATUAN
(Rp) (Rp)

5 2 2 24 Belanja Barang dan Jasa BLUD 48,000,000

5 2 2 24 01 Belanja Barang dan Jasa BLUD 48,000,000
Belanja Umum dan Administrasi 48,000,000
Belanja alat tulis kantor 1 pt x 12 bl 12 pt 2,000,000 24,000,000
Belanja peralatan kebersihan dan bahan pembersih 1 pt x 12 bl 12 pt 2,000,000 24,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 750,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 750,000
Belanja Kursus, Pelatihan, Sosialisasi & Bimbingan 750,000
Peningkatan kompetensi petugas dan mutu pelayanan :
- PME mikoskopis BTA 1 pt 1 pt 750,000 750,000
5 2 2 24 Belanja Barang dan Jasa BLUD 3,100,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 3,100,000

Belanja Perjalanan Dinas 3,100,000

Perjalanan dalam daerah :

- Perjalanan dinas pendamping dlm rangka pra survei re akreditasi 3 or x 2 hr 6 oh 100,000 600,000
- Perjalanan dinas pembina dlm rangka pra survei re akreditasi 5 or x 2 hr 10 oh 100,000 1,000,000
- Perjalanan dinas pembina dlm rangka survei re akreditasi 5 or x 3 hr 15 oh 100,000 1,500,000
5 2 2 24 Belanja Barang dan Jasa BLUD 5,700,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 5,700,000
Belanja Pemeliharaan 5,700,000
Belanja pemeliharaan halaman / taman 1 th 1 th 5,700,000 5,700,000
Belanja Modal 153,450,000
5 2 3 Belanja Modal 153,450,000
Belanja Modal BLUD
5 2 3 27 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kantor Lainnya 35,000,000
- Alat kantor lainnya 1 pt 1 pt 34,100,000 34,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 28 02 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pengukur Waktu 2,000,000
- Alat pengukur waktu lain - lain :
Jam digital untuk informasi jam pelayanan 1 pt 1 pt 2,000,000 2,000,000
5 2 3 28 04 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pendingin 5,000,000
- Lemari es (untuk dapur) 1 pt 1 pt 5,000,000 5,000,000
5 2 3 28 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Dapur 5,000,000
- Alat dapur lain - lain 1 pt 1 unit 5,000,000 5,000,000
5 2 3 28 06 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Rumah Tangga Lainnya (Home Use) 45,000,000
- Alat rumah tangga lainnya 1 pt 1 pt 26,100,000 26,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
- Televisi (untuk informasi & penyuluhan) 1 unit 1 unit 17,100,000 17,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 29 Belanja Modal Peralatan dan Mesin - Pengadaan Komputer 5,000,000
5 2 3 29 05 - Printer (untuk gelang identitas pasien) 1 unit 1 unit 5,000,000 5,000,000
5 2 3 27 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kantor Lainnya 34,950,000
5 2 3 35 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kesehatan Perawatan 34,950,000
Alat Kesehatan Perawatan Lain - lain : 1 pt 1 pt 14,810,000 14,810,000
- Pengadaan alat kesehatan untuk penanganan covid 19
Termometer infra red 5 pkt 5 pkt 3,000,000 15,000,000

Alat Penyemprot Desinfektan 1 buah 1 buah 1,000,000 1,000,000

Tensimeter 8 buah 4 buah 160,000 640,000

Termometer 8 buah 4 buah 500,000 2,000,000

Stetoskop 8 buah 4 buah 150,000 600,000

* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
5 2 3 37 13 Belanja Modal Peralatan dan Mesin - Pengadaan Bidang Pendidikan / Ketrampilan Lain-lain 1,500,000
Alat Peraga / Praktek Sekolah Lain-lain
- Pengadaan alat peraga higiene sanitasi pangan tingkat sekolah 1 pt 1 pt 1,500,000 1,500,000
5 2 3 48 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Bantu Keamanan 20,000,000
- CCTV 1 unit 1 unit 19,100,000 19,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000
Biaya Non Operasioal 30,500,000

Mengetahui Gerung, 02 Desember 2019

Kepala Dinas Kesehatan Kabupaten Lombok Barat Pemimpin UPT BLUD Puskesmas Gerung

Drg. Hj. Ni Made Ambaryati, M.Kes dr. Qudusiyah Fahriati

NIP : 19611230 198701 2 001 NIP. 19720928 200501 2 007
 RKA pagu selisih
peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
selisih :
3,050,000,000 -
3,019,500,000 -
2,564,100,000 -
462,000,000 - 462,000,000 peg (pelay +adm)

Alan, Dani, Mayavenner, Hadi, Ika, Deni, Jaelani, Muhlisin, Bayu, Roqib, Titin, Parwati, Nym Maya, Yusda, Uyun, Riska, Bq Oni, Hari, Diana, Nita, Deka, Adrian, Dewi, Muliadi, made, zar, h wawan. Tazia, viki, atin,komang, hadi, dwi, devi
2,267,100,000 -

293,399,760 -
 peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -

328,000,000 -

1,539,000,000 -

47,000,000 -

59,700,240 -
Kecuali : Bq. Oni, Suriani, Ikawati, Nurul Hidayah, Muhlisin, Nurul Ainu, Musa'ah, Nasrah
Semua staf
301,950,000 -

Bq. Yana, Sri Muliati

Tari, Sri Murni, Siti, Suri, Bq Roh, Nur, L Khalid, Moh, Nasrah, H.Herman, Musa'ah, 1 SMK tata boga, 2 satpam baru

2 or UGD, 1 or ranap, 244 s.d Agustus

peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -

153,450,000 -

34,950,000 -

30,500,000 -
 RENCANA PELAKSANAAN KEGIATAN - PERUBAHAN
UPT BLUD PUSKESMAS GERUNG
SUMBER : DANA FUNGSIONAL BLUD
TAHUN 2020
-

JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN

KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
TOTAL PENDAPATAN 3,050,000,000 238,786,687 256,376,687 287,096,687 269,051,687 287,471,687 291,341,687 267,834,687 230,986,687 242,171,447 226,661,687 228,311,687 227,908,687
Biaya Operasional 3,019,500,000 236,245,020 253,835,020 284,555,020 266,510,020 284,930,020 288,800,020 265,293,020 228,445,020 239,629,780 224,120,020 225,770,020 225,367,020
Biaya Pelayanan 2,564,100,000 212,260,020 210,000,020 242,820,020 221,850,020 222,445,020 221,550,020 221,808,020 205,060,020 203,759,780 203,360,020 205,610,020 197,577,020
5 2 1 Belanja Pegawai 297,000,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000
5 2 1 06 Belanja Pegawai BLUD
5 2 1 06 01 Belanja Pegawai BLUD
- Tenaga teknis kesehatan 33 or x 12 bl 396 ob 750,000 297,000,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000 24,750,000
5 2 2 Belanja Barang dan Jasa 2,267,100,000 187,510,020 185,250,020 218,070,020 197,100,020 197,695,020 196,800,020 197,058,020 180,310,020 179,009,780 178,610,020 180,860,020 172,827,020
5 2 2 24 Belanja Barang dan Jasa BLUD 293,399,760 28,785,000 24,825,000 32,845,000 27,375,000 28,770,000 28,125,000 23,250,000 19,885,000 20,284,760 19,885,000 20,685,000 18,685,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 293,399,760 28,785,000 24,825,000 32,845,000 27,375,000 28,770,000 28,125,000 23,250,000 19,885,000 20,284,760 19,885,000 20,685,000 18,685,000
Belanja Jasa Kantor 121,200,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000 10,100,000
Belanja air 1 pt x 12 bl 12 bl 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
Belanja listrik :
- Listrik bulanan puskesmas 1 pt x 12 bl 12 bl 3,000,000 36,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000
Belanja kawat / faksimili / internet / HT :
- Puskesmas 1 pt x 12 bl 12 bl 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
- Paket kuota internet e-pustu, e-poskesdes, e-posyandu & KS 1 pt x 12 bl 12 bl 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
Belanja aplikasi e-puskesmas, e-pustu, e-poskesdes, e-posyandu 1 pt x 12 bl 12 bl 1,100,000 13,200,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000
Belanja jasa kebersihan :
- Sampah non medis 1 pt x 12 bl 12 bl 500,000 6,000,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000
- Sampah medis 50 kg x 12 bl 600 bl 50,000 30,000,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000 2,500,000
Belanja Pengisian Tabung Gas 12,750,000 1,075,000 1,075,000 1,075,000 1,075,000 1,000,000 1,075,000 1,000,000 1,075,000 1,075,000 1,075,000 1,075,000 1,075,000
- Tabung gas oksigen 1 pt x 12 bl 12 bl 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
- Tabung gas elpigi 1 pt x 10 bl 10 bl 75,000 750,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000 75,000
Belanja Perawatan Kendaraan Bermotor 20,449,760 1,100,000 600,000 4,300,000 1,100,000 1,650,000 2,100,000 1,100,000 1,300,000 2,199,760 1,800,000 2,600,000 600,000
Belanja jasa service 1 th 1 th 2,099,760 2,099,760 1,500,000 599,760
Belanja penggantian suku cadang 1 th 1 th 2,000,000 2,000,000 1,000,000 1,000,000
Belanja bahan bakar minyak / gas dan pelumas
- Premium 1 pt x 12 bl 12 bl 400,000 4,800,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000
- Solar 1 pt x 12 bl 12 bl 200,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
- Pelumas / oli 1 pt x 4 bl 4 bl 500,000 2,000,000 500,000 500,000 500,000 500,000
Belanja surat tanda kendaraan bermotor : -
- Mobil puskesmas keliling 2 unit 2 unit 2,000,000 4,000,000 2,000,000 2,000,000
- Motor dinas 9 unit 9 unit 350,000 3,150,000 700,000 1,050,000 700,000 700,000
Belanja Cetak dan Penggandaan 36,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000
Belanja cetak 1 pt x 12 bl 12 pt 2,000,000 24,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Belanja penggadaan 1 pt x 12 bl 12 pt 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
Belanja Makanan dan Minuman 39,200,000 4,360,000 3,400,000 3,720,000 3,400,000 3,720,000 3,400,000 3,400,000 2,760,000 2,760,000 2,760,000 2,760,000 2,760,000
Belanja makanan dan minuman pasien :
 JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN
KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
- Pasien rawat inap dan pasien persalinan 25 psn x 3 hr x 12 bl 900 psn 30,000 27,000,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000 2,250,000
- Air galon untuk oplos sirup obat pasien 3 galon x 12 bl 36 galon 20,000 720,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
Belanja makanan dan minuman kegiatan :
- Senam prolanis 30 or x 12 bl 360 oh 15,000 5,400,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000
- Fogging fokus 8 or x 19 lok 152 oh 40,000 6,080,000 1,600,000 640,000 960,000 640,000 960,000 640,000 640,000

Belanja Perjalanan Dinas 50,300,000 6,750,000 4,250,000 8,250,000 6,600,000 7,200,000 6,350,000 4,650,000 1,650,000 1,150,000 1,150,000 1,150,000 1,150,000

Perjalanan dalam daerah :

- Perjalanan dinas petugas pelayanan puskel 1 or x 10 lok x 7 bl 70 oh 50,000 3,500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000
- PMT balita gizi buruk :
* Perjalanan dinas kader monitoring bahan PMT 2 or x 5 kss x 3 bl 30 oh 25,000 750,000 150,000 150,000 150,000 100,000 100,000 100,000
* Perjalanan dinas petugas monitoring pelaksanaan PMT 1 or x 5 kss x 3 bl 15 oh 50,000 750,000 150,000 150,000 150,000 100,000 100,000 100,000
- PMT balita gizi kurang :
* Perjalanan dinas kader monitoring bahan PMT 2 or x 10 kss x 3 bl 60 oh 25,000 1,500,000 250,000 250,000 250,000 250,000 250,000 250,000
* Perjalanan dinas petugas monitoring pelaksanaan PMT 1 or x 10 kss x 3 bl 30 oh 50,000 1,500,000 250,000 250,000 250,000 250,000 250,000 250,000
- Perjalanan dinas kader penemuan suspek TB di masyarakat 1 or x 100 kl 100 ok 25,000 2,500,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000
- Fogging fokus
* Perjalanan dinas petugas fogging 4 or x 19 lok 76 oh 150,000 11,400,000 3,000,000 1,200,000 1,800,000 1,200,000 1,800,000 1,200,000 1,200,000
* Perjalanan dinas petugas kabupaten 2 or x 19 lok 38 oh 100,000 3,800,000 1,000,000 400,000 600,000 400,000 600,000 400,000 400,000
* Perjalanan dinas petugas puskesmas 2 or x 19 lok 38 oh 50,000 1,900,000 500,000 200,000 300,000 200,000 300,000 200,000 200,000
- Perjalanan dinas petugas mengambil oksigen 2 or x 1 kl x 12 bl 24 oh 100,000 2,400,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
- Perjalanan dinas petugas mengambil obat ke IFK 2 or x 1 kl x 12 bl 24 oh 50,000 1,200,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000 100,000
- Perjalanan dinas petugas P3K 3 or x 40 kl 120 oh 50,000 6,000,000 300,000 1,500,000 1,500,000 1,500,000 1,200,000
Perjalanan Dinas petugas penyuluhan kesehatan covid 19 2 or x 7 ds x 2 kali 28 oh 50,000 1,400,000 700,000 700,000
Perjalanan Dinas petugas PE Kasus ke Rumah Sakit 2 or x 15 kss x 3 kali 90 oh 50,000 4,500,000 2,400,000 1,200,000 900,000
- Perjalanan dinas petugas konsultasi ke dikes / ke bank / ke pemda 2 or x 6 kl x 12 bl 144 oh 50,000 7,200,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000
Belanja Barang Untuk Diserahkan Kepada Masyarakat / Pihak Ketiga 13,500,000 2,400,000 2,400,000 2,400,000 2,100,000 2,100,000 2,100,000 - - - - - -
Belanja barang untuk diserahkan kepada masyarakat
- PMT balita gizi buruk 5 kss x 90 HMA 450 HMA 10,000 4,500,000 900,000 900,000 900,000 600,000 600,000 600,000
- PMT balita gizi kurang 10 kss x 90 HMA 900 HMA 10,000 9,000,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000
5 2 2 24 Belanja Barang dan Jasa BLUD 328,000,000 25,500,000 25,500,000 25,500,000 36,500,000 34,000,000 31,000,000 31,083,000 25,500,000 25,500,000 25,500,000 25,500,000 20,917,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 328,000,000 25,500,000 25,500,000 25,500,000 36,500,000 34,000,000 31,000,000 31,083,000 25,500,000 25,500,000 25,500,000 25,500,000 20,917,000
Belanja Bahan / Material 328,000,000 25,500,000 25,500,000 25,500,000 36,500,000 34,000,000 31,000,000 31,083,000 25,500,000 25,500,000 25,500,000 25,500,000 20,917,000
Belanja bahan obat - obatan 1 th 1 th 182,617,000 182,617,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 10,617,000
BHP Medis 1 th 114,800,000 114,800,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 9,500,000 10,300,000
BHP Covid 19 1 pkt 1 pkt 14,000,000 14,000,000 11,000,000 3,000,000
* Vitamin Petugas 2,369 buah 2,369 buah 7,000 16,583,000 5,500,000 5,500,000 5,583,000
5 2 2 24 Belanja Barang dan Jasa BLUD 1,539,000,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,539,000,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000
Belanja Jasa Pelayanan Medis 1 th 1 th 1,539,000,000 1,539,000,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000 128,250,000
5 2 2 24 Belanja Barang dan Jasa BLUD 47,000,000 - 1,700,000 26,500,000 - 1,700,000 4,450,000 9,500,000 1,700,000 - - 1,450,000 -
5 2 2 24 01 Belanja Barang dan Jasa BLUD 47,000,000 - 1,700,000 26,500,000 - 1,700,000 4,450,000 9,500,000 1,700,000 - - 1,450,000 -
Belanja Pemeliharaan 47,000,000 - 1,700,000 26,500,000 - 1,700,000 4,450,000 9,500,000 1,700,000 - - 1,450,000 -
Biaya pemeliharaan gedung / kantor 1 th 1 th 2,000,000 2,000,000 2,000,000
Belanja pemeliharaan peralatan gedung / kantor dan jaringannya 1 th 1 th 32,000,000 32,000,000 24,000,000 1,000,000 7,000,000
Belanja pemeliharaan IPAL :
 JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN
KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
- Bakteri 1 kg x 3 kl 3 kg 1,200,000 3,600,000 1,200,000 1,200,000 1,200,000
- Gula merah 10 kg x 3 kl 30 kg 40,000 1,200,000 400,000 400,000 400,000
- Susu 1 kotak x 3 kl 3 kotak 100,000 300,000 100,000 100,000 100,000
Belanja pemeliharaan komputer 1 th 1 th 2,900,000 2,900,000 1,450,000 1,450,000
Belanja pemeliharaan alat-alat kesehatan (kalibrasi) 1 th 1 th 5,000,000 5,000,000 2,500,000 2,500,000
5 2 2 24 Belanja Barang dan Jasa BLUD 59,700,240 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020
5 2 2 24 01 Belanja Barang dan Jasa BLUD 59,700,240 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020
Belanja Pelayanan Kesehatan Lainnya 59,700,240 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020
Belanja Premi Asuransi Kesehatan 59,700,240 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020 4,975,020
Belanja asuransi kesehatan tenaga medis dan non medis (kontrak BLUD) 45 or x 12 bl 540 ob 100,656 54,354,240 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520 4,529,520
Belanja asuransi ketenagakerjaan tenaga medis & non medis (kontrak BLUD) 50 or x 12 bl 600 ob 8,910 5,346,000 445,500 445,500 445,500 445,500 445,500 445,500 445,500 445,500 445,500 445,500 445,500 445,500
Biaya Administrasi 301,950,000 22,485,000 23,835,000 26,735,000 39,660,000 22,485,000 31,010,000 23,485,000 23,385,000 20,160,000 20,760,000 20,160,000 27,790,000
5 2 1 Belanja Pegawai 165,000,000 12,860,000 12,860,000 12,860,000 17,660,000 12,860,000 12,860,000 12,860,000 12,860,000 12,860,000 12,860,000 12,860,000 18,740,000
5 2 1 01 Honorarium PNS
- Honor pengelola BLUD :
* Pemimpin UPT BLUD 1 or x 12 bl 12 ob 500,000 6,000,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000
* Pejabat keuangan (Kepala Sub Bagian TU) 1 or x 12 bl 12 ob 400,000 4,800,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000 400,000
* Pejabat teknis : Penanggung jawab UKM 1 or x 12 bl 12 ob 300,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
* Pejabat teknis : Penanggung jawab UKP 1 or x 12 bl 12 ob 300,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
- Honor pengelola teknis lainnya :
* Honor bendahara pengeluaran 1 or x 12 bl 12 ob 360,000 4,320,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
* Honor bendahara penerimaan 1 or x 12 bl 12 ob 250,000 3,000,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000
* Honor bendahara BOK 1 or x 12 bl 12 ob 250,000 3,000,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000
* Honor pengurus barang 1 or x 12 bl 12 ob 300,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
* Honor petugas SIK 1 or x 12 bl 12 ob 150,000 1,800,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000
* Honor petugas IPAL 1 or x 12 bl 12 ob 150,000 1,800,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000 150,000
- Honor pendamping pra survei re akreditasi 3 or x 2 hr x 2 jam 12 oh 400,000 4,800,000 4,800,000
- Honor PBJ (belanja obat) 1 or x 1 th 1 ot 5,880,000 5,880,000 5,880,000
5 2 1 06 Belanja Pegawai BLUD
5 2 1 06 01 Belanja Pegawai BLUD :
- Pegawai non kesehatan :
* S1 / D3 2 or x 12 bl 24 ob 750,000 18,000,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000 1,500,000
* SMA / SMP / SD 14 or x 12 bl 168 ob 600,000 100,800,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000 8,400,000
5 2 2 Belanja Barang dan Jasa 136,950,000 9,625,000 10,975,000 13,875,000 22,000,000 9,625,000 18,150,000 10,625,000 10,525,000 7,300,000 7,900,000 7,300,000 9,050,000
5 2 2 24 Belanja Barang dan Jasa BLUD 39,600,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 39,600,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000 3,300,000
Belanja Bahan Pakai Habis
Belanja alat listrik dan elektronik 1 pt x 12 bl 12 bl 1,000,000 12,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000
Belanja perangko, materai, dan benda pos lainnya 1 pt x 12 bl 12 bl 300,000 3,600,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
Belanja tinta komputer, flash disk, disket, CD 1 pt x 12 bl 12 bl 2,000,000 24,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 1,500,000 - - - 750,000 - - - - - - - 750,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,500,000 - - - 750,000 - - - - - - - 750,000
Belanja Sewa Sarana Mobilitas Darat
Sewa kendaraan untuk pindah puskesmas 1 pt x 1 kl 1 pt 1,500,000 1,500,000 750,000 750,000
5 2 2 24 Belanja Barang dan Jasa BLUD 36,400,000 2,325,000 3,175,000 2,825,000 9,150,000 2,325,000 9,350,000 3,325,000 2,925,000 - - - 1,000,000
 JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN
KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
5 2 2 24 01 Belanja Barang dan Jasa BLUD 36,400,000 2,325,000 3,175,000 2,825,000 9,150,000 2,325,000 9,350,000 3,325,000 2,925,000 - - - 1,000,000
Belanja Makanan dan Minuman
Belanja makanan dan minuman pegawai :
- Makan minum petugas jaga malam 5 or x 244 hr 1,220 oh 15,000 18,300,000 2,325,000 2,175,000 2,325,000 2,250,000 2,325,000 2,250,000 2,325,000 2,325,000
- Makan minum kegiatan pra survei re akreditasi 60 or x 2 hr 120 oh 40,000 4,800,000 4,800,000
- Makan minum kegiatan survei re akreditasi 60 or x 2 hr 120 oh 40,000 4,800,000 4,800,000
- Makan dan minum petugas dlm rangka kegiatan pusk. / kab. 1 th 1 th 4,500,000 4,500,000 500,000 2,100,000 1,300,000 600,000
Belanja makanan dan minuman rapat :
- Makan minum pertemuan validasi data penilaian kinerja puskesmas 25 or x 2 kl 50 oh 40,000 2,000,000 1,000,000 1,000,000
- Makan minum pertemuan / rapat tinjauan manajemen (RTM) 25 or x 2 kl 50 oh 40,000 2,000,000 1,000,000 1,000,000
Belanja makanan dan minuman tamu 1 th 1 th - - - - - -
5 2 2 24 Belanja Barang dan Jasa BLUD 1,900,000 - 500,000 - 500,000 - - - 300,000 - 600,000 - -
5 2 2 24 01 Belanja Barang dan Jasa BLUD 1,900,000 - 500,000 - 500,000 - - - 300,000 - 600,000 - -
Biaya Promosi 1,900,000 - 500,000 - 500,000 - - - 300,000 - 600,000 - -
Belanja spanduk / dekorasi / umbul-umbul 1 th 1 th 1,900,000 1,900,000 500,000 500,000 300,000 600,000
5 2 2 24 Belanja Barang dan Jasa BLUD 48,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000
5 2 2 24 01 Belanja Barang dan Jasa BLUD 48,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000
Belanja Umum dan Administrasi 48,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000 4,000,000
Belanja alat tulis kantor 1 pt x 12 bl 12 pt 2,000,000 24,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Belanja peralatan kebersihan dan bahan pembersih 1 pt x 12 bl 12 pt 2,000,000 24,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
5 2 2 24 Belanja Barang dan Jasa BLUD 750,000 - - 750,000 - - - - - - - - -
5 2 2 24 01 Belanja Barang dan Jasa BLUD 750,000 - - 750,000 - - - - - - - - -
Belanja Kursus, Pelatihan, Sosialisasi & Bimbingan 750,000 - - 750,000 - - - - - - - - -
Peningkatan kompetensi petugas dan mutu pelayanan :
- PME mikoskopis BTA 1 pt 1 pt 750,000 750,000 750,000
5 2 2 24 Belanja Barang dan Jasa BLUD 3,100,000 - - - 1,600,000 - 1,500,000 - - - - - -
5 2 2 24 01 Belanja Barang dan Jasa BLUD 3,100,000 - - - 1,600,000 - 1,500,000 - - - - - -

Belanja Perjalanan Dinas 3,100,000 - - - 1,600,000 - 1,500,000 - - - - - -

Perjalanan dalam daerah :

- Perjalanan dinas pendamping dlm rangka pra survei re akreditasi 3 or x 2 hr 6 oh 100,000 600,000 600,000
- Perjalanan dinas pembina dlm rangka pra survei re akreditasi 5 or x 2 hr 10 oh 100,000 1,000,000 1,000,000
- Perjalanan dinas pembina dlm rangka survei re akreditasi 5 or x 3 hr 15 oh 100,000 1,500,000 1,500,000
5 2 2 24 Belanja Barang dan Jasa BLUD 5,700,000 - - 3,000,000 2,700,000 - - - - - - - -
5 2 2 24 01 Belanja Barang dan Jasa BLUD 5,700,000 - - 3,000,000 2,700,000 - - - - - - - -
Belanja Pemeliharaan 5,700,000 - - 3,000,000 2,700,000 - - - - - - - -
Belanja pemeliharaan halaman / taman 1 th 1 th 5,700,000 5,700,000 3,000,000 2,700,000
Belanja Modal 153,450,000 1,500,000 20,000,000 15,000,000 5,000,000 40,000,000 36,240,000 20,000,000 - 15,710,000 - - -
5 2 3 Belanja Modal 153,450,000 1,500,000 20,000,000 15,000,000 5,000,000 40,000,000 36,240,000 20,000,000 - 15,710,000 - - -
Belanja Modal BLUD
5 2 3 27 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kantor Lainnya 35,000,000 - - - - 35,000,000 - - - - - - -
- Alat kantor lainnya 1 pt 1 pt 34,100,000 34,100,000 34,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000 250,000
5 2 3 28 02 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pengukur Waktu 2,000,000 - 2,000,000 - - - - - - - - - -
 JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN
KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
- Alat pengukur waktu lain - lain : -
Jam digital untuk informasi jam pelayanan 1 pt 1 pt 2,000,000 2,000,000 2,000,000
5 2 3 28 04 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Pendingin 5,000,000 - - 5,000,000 - - - - - - - - -
- Lemari es (untuk dapur) 1 pt 1 pt 5,000,000 5,000,000 5,000,000
5 2 3 28 05 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Dapur 5,000,000 - - 5,000,000 - - - - - - - - -
- Alat dapur lain - lain 1 pt 1 unit 5,000,000 5,000,000 5,000,000
5 2 3 28 06 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Rumah Tangga Lainnya (Home Use) 45,000,000 - 18,000,000 - - - 27,000,000 - - - - - -
- Alat rumah tangga lainnya 1 pt 1 pt 26,100,000 26,100,000 26,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000 250,000
- Televisi (untuk informasi & penyuluhan) 1 unit 1 unit 17,100,000 17,100,000 17,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000 250,000
5 2 3 29 Belanja Modal Peralatan dan Mesin - Pengadaan Komputer 5,000,000 - - 5,000,000 - - - - - - - - -
5 2 3 29 05 - Printer (untuk gelang identitas pasien) 1 unit 1 unit 5,000,000 5,000,000 5,000,000
5 2 3 35 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Kesehatan Perawatan 34,950,000 - - - 5,000,000 5,000,000 9,240,000 - - 15,710,000 - - -
Alat Kesehatan Perawatan Lain - lain :
- Pengadaan alat kesehatan 1 pt 1 pt 14,810,000 14,810,000 14,810,000
- Pengadaan alat kesehatan untuk penanganan covid 19 -
Termometer infra red 5 pkt 5 pkt 3,000,000 15,000,000 5,000,000 5,000,000 5,000,000

Alat Penyemprot Desinfektan 1 buah 1 buah 1,000,000 1,000,000 1,000,000

Tensimeter 4 buah 4 buah 160,000 640,000 640,000

Termometer 4 buah 4 buah 500,000 2,000,000 2,000,000

Stetoskop 4 buah 4 buah 150,000 600,000 600,000

* Honor PPK / KPA 1 or 1 ok 350,000 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000 250,000
5 2 3 37 13 Belanja Modal Peralatan dan Mesin - Pengadaan Bidang Pendidikan / Ketrampilan Lain-lain 1,500,000 1,500,000 - - - - - - - - - - -
Alat Peraga / Praktek Sekolah Lain-lain
- Pengadaan alat peraga higiene sanitasi pangan tingkat sekolah 1 pt 1 pt 1,500,000 1,500,000 1,500,000
5 2 3 48 01 Belanja Modal Peralatan dan Mesin - Pengadaan Alat Bantu Keamanan 20,000,000 - - - - - - 20,000,000 - - - - -
- CCTV 1 unit 1 unit 19,100,000 19,100,000 19,100,000
* Honor PPK / KPA 1 or 1 ok 350,000 350,000 350,000
* Honor PPBJ 1 or 1 ok 300,000 300,000 300,000
* Honor PPHP 1 or 1 ok 250,000 250,000 250,000
Biaya Non Operasioal 30,500,000 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667 2,541,667

Mengetahui Gerung, 02 Maret 2020

Kepala Dinas Kesehatan Kabupaten Lombok Barat Pemimpin UPT BLUD Puskesmas Gerung
 JUMLAH HARGA SATUAN TOTAL JADWAL PELAKSANAAN
KODE REKENING RINCIAN BELANJA
SATUAN (Rp) (Rp)
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES
Drg. Hj. Ni Made Ambaryati, M.Kes Ns.H.Hasmuni Budiawan,S.Kep
NIP : 19611230 198701 2 001 NIP. 19680702 199003 1 006
 RKA pagu selisih
peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
selisih :
3,054,000,000 3,050,000,000 -
3,023,500,000 3,019,500,000 -
2,568,100,000 2,564,100,000 -
297,000,000 462,000,000 peg (pelay +adm)
-
-
297,000,000 - Alan, Dani, Mayavenner, Hadi, Ika, Deni, Jaelani, Muhlisin, Bayu, Roqib, Titin, Parwati, Nym Maya, Yusda, Uyun, Riska, Bq Oni, Hari, Diana, Nita, Deka, Adrian, Dewi, Muliadi, 9 perawat baru
2,271,100,000 (4,000,000)
293,399,760 -
293,399,760 -
121,200,000 -
12,000,000 -
- -
36,000,000 -
- -
12,000,000 -
12,000,000 -
13,200,000 -
- -
6,000,000 -
30,000,000 - 50
12,750,000 -
12,000,000 -
750,000 -
20,449,760 -
2,099,760 -
2,000,000 -
- -
4,800,000 -
2,400,000 -
2,000,000 -
- -
4,000,000 -
3,150,000 -
36,000,000 -
24,000,000 -
12,000,000 -
39,200,000 -
- -
 peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
27,000,000 -
720,000 -
- -
5,400,000 -
6,080,000 -
50,300,000 -
- -
3,500,000 -
- -
750,000 -
750,000 -
- -
1,500,000 -
1,500,000 -
2,500,000 -
- -
11,400,000 -
3,800,000 -
1,900,000 -
2,400,000 -
1,200,000 -
6,000,000 -
1,400,000 -
4,500,000 -
7,200,000 -
13,500,000 -
- -
4,500,000 -
9,000,000 -
332,000,000 (4,000,000)
332,000,000 (4,000,000)
332,000,000 (4,000,000)
186,617,000 (4,000,000) (182,617,000)
114,800,000 -
14,000,000 #REF!
16,583,000 -
1,539,000,000 -
1,539,000,000 -
1,539,000,000 - 1,640,925,000 101,925,000
47,000,000 -
47,000,000 -
47,000,000 - 54,500,000 7,500,000
2,000,000 -
32,000,000 -
- -
 peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
3,600,000 -
1,200,000 -
300,000 -
2,900,000 -
5,000,000 -
59,700,240 -
59,700,240 -
59,700,240 -
59,700,240 -
54,354,240 - Kecuali : Bq. Maya Venner, Bq. Oni, Suriani, Musa'ah, Nasrah
5,346,000 - Semua staf
301,950,000 - 321,750,000 19,800,000.00
165,000,000 -
- -
- -
6,000,000 -
4,800,000 -
3,600,000 -
3,600,000 -
- -
4,320,000 -
3,000,000 -
3,000,000 -
3,600,000 -
1,800,000 -
1,800,000 -
4,800,000 - 10,680,000
5,880,000 -
- -
- -
- -
18,000,000 - Bq. Yana, Sri Muliati
100,800,000 - Tari, Sri Murni, Siti, Suri, Bq Roh, Nur, L Khalid, Moh, Nasrah, H.Herman, Musa'ah, 1 SMK tata boga, 2 satpam baru
136,950,000 -
39,600,000 -
39,600,000 -
- -
12,000,000 -
3,600,000 -
24,000,000 -
1,500,000 -
1,500,000 -
- -
1,500,000 -
36,400,000 -
 peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
36,400,000 -
- -
- -
18,300,000 -
4,800,000 -
4,800,000 -
4,500,000 -
- -
2,000,000 -
2,000,000 -
- -
1,900,000 -
1,900,000 -
1,900,000 -
1,900,000 -
48,000,000 -
48,000,000 -
48,000,000 -
24,000,000 -
24,000,000 -
750,000 -
750,000 -
750,000 -
- -
750,000 -
3,100,000 -
3,100,000 -
3,100,000 -
- -
600,000 -
1,000,000 -
1,500,000 -
5,700,000 -
5,700,000 -
5,700,000 -
5,700,000 -
153,450,000 -
153,450,000 - 160,875,000 7,425,000
- -
35,000,000 -
34,100,000 -
350,000 -
300,000 -
250,000 -
2,000,000 -
 peg (pelay + adm) : 462,000,000 462,000,000 -
total barjas : 2,434,550,000 2,434,550,000.00 -
modal : 153,450,000 153,450,000 -
- -
2,000,000 -
5,000,000 -
5,000,000 -
5,000,000 -
5,000,000 -
45,000,000 -
26,100,000 -
350,000 -
300,000 -
250,000 -
17,100,000 -
350,000 -
300,000 -
250,000 -
5,000,000 -
5,000,000 -
34,950,000 -
- -
14,810,000 -
- -
15,000,000 -
1,000,000 -
640,000 -
2,000,000 -
600,000 -
350,000 -
300,000 -
250,000 -
1,500,000 -
- -
1,500,000 -
20,000,000 -
19,100,000 -
350,000 -
300,000 -
250,000 -
30,500,000 - 31,000,000 500,000