LAPORAN REALIASASI RETRIBUSI PENERIMAAN DAN TINDAKAN MEDIS

PUSKESMAS ; WONSARI II
BULAN : MARET 2016

PENERIMAAN RETRIBUSI PENERIMAAN TINDAKAN PEMERIK JUMLAH

NO TANGGAL SETOR
UMUM JAMKESMAS JAMKESDA JUMLAH UMUM JAMKESMAS JAMKESDA JUMLAH KES MEMP TOTAL
1 2 3 4 5 6 7 8 9

1 03-03-2016 637,000 - - 637,000 646,000 - - 646,000 0 1,283,000

2 05-03-2016 469,000 - - 469,000 235,000 - - 235,000 20,000 724,000
3 08-03-2016 500,500 - - 500,500 119,500 - - 119,500 0 620,000
4 11-03-2016 441,000 - - 441,000 235,000 - - 235,000 0 676,000
5 14-03-2016 318,500 - - 318,500 322,500 - - 322,500 10,000 651,000
6 16-03-2016 633,500 - - 633,500 492,500 - - 492,500 20,000 1,146,000
7 18-03-2016 556,500 - - 556,500 270,000 - - 270,000 10,000 836,500
8 21-03-2016 462,000 - - 462,000 124,000 - - 124,000 10,000 596,000
9 23-03-2016 721,000 - - 721,000 257,000 - - 257,000 20,000 998,000
10 26-03-2016 472,500 - - 472,500 131,000 - - 131,000 0 603,500
11 29-03-2016 560,000 - - 560,000 262,000 - - 262,000 10,000 832,000
12 31-03-2016 724,500 - - 724,500 267,000 - - 267,000 0 991,500

Jumlah Bulan ini 6,496,000 6,496,000 3,361,500 3,361,500 100,000 9,957,500

Jumlah s/d Lalu 12,176,500 - - 12,176,500 6,952,000 - - 6,952,000 150,000 19,278,500
Jumlah s/d Bln.ini 18,672,500 18,672,500 10,313,500 10,313,500 250,000 29,236,000
Target 65,000,000 60,000,000 1,500,000
Pencapaian % 28.72 % 17.18% 16.66 %

Wonosari Tgl 31 Maret 2016

Kepala Puskesmas Wonosari II Bendahara Penerima Pembantu

drg.Nurhayati Sinar Kukuh

NIP :197304032003 2 003 NIP :19650725 199103 1 012
 LAPORAN JUMLAH PASIEN INDUK,PUSTU,POLINDES
PUSKESMAS WONOSARI II
KABUPATEN KLATEN
BULAN : MARET 2016

JUMLAH PASIEN SETOR TINDAKAN MEDIS CAPENG JUMLAH

NO UNIT PELAYANAN
UMUM JKN Rp UMUM / Rp JKN Rp DI SETOR

1 Puskesmas Induk 1,162 767 4,067,000 3,361,500 - 100,000 7,528,500

2 Pustu Gunting 48 42 168,000 - - 168,000
3 Pustu Jelobo 41 10 143,500 - - 143,500
4 Pustu Sidowarno 57 59 199,500 - - 199,500
5 Polindes Kingkang 64 20 224,000 - - 224,000
6 Polindes Gunting 60 26 210,000 - - 210,000
7 Polindes Teloyo 53 20 185,500 - - 185,500
8 Polindes Jelobo 79 25 276,500 - - 276,500
9 Polindes Pandanan 47 39 164,500 - - 164,500
10 Polindes Lumbungkerep 56 26 196,000 - - 196,000
11 Polindes Ngreden 53 56 185,500 - - 185,500
12 Polindes Bener 71 48 248,500 - - 248,500
13 Polindes Sidowarno 65 76 227,500 - - 227,500

Jumlah Bulan ini 1,856 1,214 6,496,000 3,361,500 - 100,000 9,957,500

Jumlah s/d Lalu 3,479 2,159 12,176,500 6,952,000 - 150,000 19,278,500
Jumlah s/d Bln.ini 5,335 3,373 18,672,500 10,313,500 - 250,000 29,236,000

Klaten tgl. 31 Maret 2016

Kepala Puskesmas Wonosari II

drg.Nurhayati
NIP:197304022003122003