Rapat Struktural 10 Januari 2024

PENDAPATAN BELANJA BLUD SURPLUS / DEFISIT
1 2 3 4 BLUD
target pendapatan 85,000,000,000.00
93,353,700,301.56 106,422,212,651.00 (13,068,512,349.44) realisasi 93,353,700,301.56
belanja 85,000,000,000.00
PENGGUNAAN SILPA realisasi belanja 106,422,212,651.00
SILPA TAHUN SEBELUMNYA PEMBIAYAAN SILPA SISA SILPA penggunaan silpa

(21,422,212,651.00)
1 2 3 4
sisa silpa 11,496,101,173.00
37,918,313,824.00 27,272,030,570.00 10,646,283,254.00
deposito 5,000,000,000.00
32,918,313,824
(13,068,512,349)
19,849,801,475
BLUD+ APBD
128,958,594,541
142,027,106,890
PA/KPA
PPK SKPD
PPKOM
PPTK
BENDAHARA
PENERIMAAN
PEMBANTU
BENDAHARA
PENGELUARAN
PEMBANTU
PENGAJUAN UP
PENGAJUAN LS
PENGAJUAN GU
PENGAJUAN T-UP
LAPORAN REALISASI ANGGARAN
RSUD CARUBAN Lampiran IV : PERATURAN MENTERI DALAM NEGERI
TAHUN 2023 NOMOR : 61 TAHUN 2007
TANGGAL : 7 NOVEMBER 2007
Urusan Pemerintahan : 1.02
Organisasi : 1-02.0-00.0-00.01 DINAS KESEHATAN
Sub Unit Organisasi : 1-02.0-00.0-00.01.02 RSUD Caruban -
REALISASI
Prosentase
' Kode Rekening Nama Kegiatan PAK TRIWULAN I TRIWULAN II TRIWULAN III TRIWULAN IV TOTAL SISA ANGGARAN
OKTOBER NOPEMBER DESEMBER Pencairan
2 3 4 8 12 16 17 18 19 20 21 22 23
URUSAN PEMERINTAHAN WAJIB YANG BERKAITAN
DENGAN PELAYANAN DASAR 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
PROGRAM PENUNJANG URUSAN PEMERINTAHAN

1 1.02.01 DAERAH KABUPATEN/KOTA 143,187,678,921.00 15,268,789,795.00 33,706,643,478.00 28,324,957,572.00 12,193,228,926.00 10,526,177,039.00 26,174,769,692.00 48,894,175,657.00 126,194,566,502.00 16,993,112,419.00 88.1%
1.02.01.2.02 Administrasi Keuangan Perangkat Daerah 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01 Penyediaan Gaji dan Tunjangan ASN 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1 BELANJA OPERASI 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1.1 Belanja Pegawai 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1.1.01.01.0001 Belanja Gaji Pokok PNS 14,037,529,433.00 2,938,223,880.00 4,975,883,400.00 2,958,335,000.00 986,037,100.00 986,248,900.00 992,029,500.00 2,964,315,500.00 13,836,757,780.00 200,771,653.00 98.6%
1.02.01.2.02.01.5.1.1.01.01.0002 Belanja Gaji Pokok PPPK 824,214,784.00 174,715,200.00 291,192,000.00 174,715,200.00 58,238,400.00 58,238,400.00 58,238,400.00 174,715,200.00 815,337,600.00 8,877,184.00 98.9%
1.02.01.2.02.01.5.1.1.01.01.0002 Belanja Gaji Pokok PPPK (Mandatori) 739,107,775.00 - 291,234,000.00 218,425,500.00 72,808,500.00 72,808,500.00 72,808,500.00 218,425,500.00 728,085,000.00 11,022,775.00 98.5%
1.02.01.2.02.01.5.1.1.01.02.0001 Belanja Tunjangan keluarga PNS 1,414,550,792.00 290,474,852.00 488,407,232.00 294,930,956.00 98,827,638.00 98,846,022.00 99,998,062.00 297,671,722.00 1,371,484,762.00 43,066,030.00 97.0%
1.02.01.2.02.01.5.1.1.01.02.0002 Belanja Tunjangan keluarga PPPK 41,261,165.00 7,888,656.00 12,706,560.00 7,623,936.00 2,541,312.00 2,541,312.00 2,541,312.00 7,623,936.00 35,843,088.00 5,418,077.00 86.9%
1.02.01.2.02.01.5.1.1.01.02.0002 Belanja Tunjangan keluarga PPPK (Mandatori) 72,789,101.00 - - 4,686,174.00 3,309,630.00 4,050,846.00 4,050,846.00 11,411,322.00 16,097,496.00 56,691,605.00 22.1%
1.02.01.2.02.01.5.1.1.01.03.0001 Tunjangan Jabatan PNS 140,295,400.00 27,620,000.00 51,080,000.00 28,860,000.00 10,040,000.00 10,040,000.00 10,040,000.00 30,120,000.00 137,680,000.00 2,615,400.00 98.1%
1.02.01.2.02.01.5.1.1.01.04.0001 Tunjangan Fungsional PNS 1,651,765,600.00 340,315,000.00 556,465,000.00 346,060,000.00 118,765,000.00 119,065,000.00 142,935,000.00 380,765,000.00 1,623,605,000.00 28,160,600.00 98.3%
1.02.01.2.02.01.5.1.1.01.05.0001 Tunjangan Fungsional Umum PNS 145,806,700.00 30,830,000.00 51,280,000.00 26,085,000.00 8,030,000.00 7,660,000.00 7,660,000.00 23,350,000.00 131,545,000.00 14,261,700.00 90.2%
1.02.01.2.02.01.5.1.1.01.05.0002 Tunjangan Fungsional Umum PPPK 55,974,600.00 11,880,000.00 19,800,000.00 11,880,000.00 3,960,000.00 3,960,000.00 3,960,000.00 11,880,000.00 55,440,000.00 534,600.00 99.0%
1.02.01.2.02.01.5.1.1.01.05.0002 Tunjangan Fungsional Umum PPPK (Mandatory) 49,481,250.00 - 19,500,000.00 14,440,000.00 4,875,000.00 4,875,000.00 4,875,000.00 14,625,000.00 48,565,000.00 916,250.00 98.1%
1.02.01.2.02.01.5.1.1.01.06.0001 Tunjangan beras PNS 906,646,233.00 190,247,340.00 317,272,020.00 190,899,120.00 63,657,180.00 63,657,180.00 64,164,120.00 191,478,480.00 889,896,960.00 16,749,273.00 98.2%
1.02.01.2.02.01.5.1.1.01.06.0002 Tunjangan beras PPPK 52,201,001.00 9,197,340.00 15,208,200.00 9,124,920.00 3,041,640.00 3,041,640.00 3,041,640.00 9,124,920.00 42,655,380.00 9,545,621.00 81.7%
1.02.01.2.02.01.5.1.1.01.06.0002 Tunjangan beras PPPK (Mandatory) 124,636,093.00 - 7,821,360.00 8,400,720.00 3,765,840.00 4,200,360.00 4,200,360.00 12,166,560.00 28,388,640.00 96,247,453.00 22.8%
1.02.01.2.02.01.5.1.1.01.07.0001 Tunjangan PPh/Tunjangan Khusus PNS 12,645,915.00 2,187,219.00 3,986,839.00 2,238,532.00 781,719.00 736,681.00 793,198.00 2,311,598.00 10,724,188.00 1,921,727.00 84.8%
1.02.01.2.02.01.5.1.1.01.07.0002 Tunjangan PPh/Tunjangan Khusus PPPK - - - - - -
1.02.01.2.02.01.5.1.1.01.08.0001 Pembulatan Gaji PNS 323,972.00 39,734.00 78,269.00 42,544.00 14,038.00 13,871.00 13,981.00 41,890.00 202,437.00 121,535.00 62.5%
1.02.01.2.02.01.5.1.1.01.08.0002 Pembulatan Gaji PPPK 37,112.00 5,372.00 8,057.00 5,361.00 1,787.00 1,787.00 1,787.00 5,361.00 24,151.00 12,961.00 65.1%
1.02.01.2.02.01.5.1.1.01.08.0002 Pembulatan Gaji PPPK (Mandatory) 98,171.00 - 8,676.00 6,455.00 2,102.00 2,068.00 2,068.00 6,238.00 21,369.00 76,802.00 21.8%
1.02.01.2.10 PENINGKATAN PELAYANAN BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
1.02.01.2.10.01 Pelayanan dan Penunjang Pelayanan BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
5.1 BELANJA OPERASI 103,858,772,448.00 10,784,501,202.00 26,411,067,420.00 21,341,282,591.00 7,033,673,725.00 7,773,534,772.00 16,698,042,609.00 31,505,251,106.00 90,042,102,319.00 13,816,670,129.00 86.7%
5.1.01 Belanja Pegawai 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99.99 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99.99.9999 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
1.01.02 Belanja Tambahan Penghasilan ASN 42,957,647.00 - - - - - - - - 42,957,647.00 0.0%
1.01.02.01 Tambahan Penghasilan berdasarkan Beban Kerja ASN 42,957,647.00 - - - - - - - - 42,957,647.00 0.0%
1.01.02.01.0001 Tambahan Penghasilan berdasarkan Beban Kerja PNS 42,957,647.00 - - - 42,957,647.00 0.0%
Tambahan Penghasilan berdasarkan Pertimbangan Objektif
1.01.03 Lainnya ASN 31,950,277,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,178,185,686.00 93.2%
1.01.03.06 Belanja Jasa Pelayanan Kesehatan bagi ASN 31,935,027,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,510,499,395.00 7,297,597,362.00 29,760,092,201.00 2,174,935,686.00 93.2%
1.01.03.06.0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 31,935,027,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,510,499,395.00 7,297,597,362.00 29,760,092,201.00 2,174,935,686.00 93.2%
Belanja Jasa Pelayanan Kesehatan bagi ASN 23,894,626,965.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 1,432,132,126.00 1,432,132,126.00 23,894,626,965.00 - 100.0%
Belanja Jasa Pelayanan Kesehatan bagi ASN ( silpa BLUD ) 8,040,400,922.00 - - - 2,170,651,907.00 2,616,446,060.00 1,078,367,269.00 5,865,465,236.00 5,865,465,236.00 2,174,935,686.00 72.9%
1.01.03.07 Belanja Honorarium 15,250,000.00 - - - - - 12,000,000.00 12,000,000.00 12,000,000.00 3,250,000.00 78.7%
Page 4
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Belanja Honorarium Perangkat Unit Kerja Pengadaan Barang dan
1.01.03.07.0003 Jasa (UKPBJ) 15,250,000.00 - - - - - 12,000,000.00 12,000,000.00 12,000,000.00 3,250,000.00 78.7%
Honorarium Tim Pengadaan dan Pemeriksaan Barang
Penyediaan Alat Tulis Kantor
- Honorarium Pejabat Pengadaan Nilai Pagu Pengadaan Di Atas Rp.
250 Juta Sd. Rp. 500 Juta 300,000.00 - - - 300,000.00 300,000.00 300,000.00 - 100.0%
Penyediaan Barang Cetakan & penggandaan

250 Juta Sd. Rp. 500 Juta 300,000.00 - - - 300,000.00 300,000.00 300,000.00 - 100.0%
Pengadaan Peralatan Kantor

- Honorarium Pejabat Pengadaan 200,000.00 - - - 200,000.00 200,000.00 200,000.00 - 100.0%
Pengadaan Mebeuleur Rumah sakit

- Honorarium pejabat Pengadaan dan Barang/Jasa 400,000.00 - - - 350,000.00 350,000.00 350,000.00 50,000.00 87.5%
Pengadaan Pakaian kerja Lapangan

- Honorarium pejabat Pengadaan dan Barang/Jasa 200,000.00 - - - 200,000.00 200,000.00 200,000.00 - 100.0%
Pengadaan Jasa Pengangkutan dan pengolahan sampah medis RS

- Honorarium panitia Pengadaan dan Barang/Jasa Nilai Pagu
Pengadaan Di Atas Rp. 1 Miliar Sd. Rp. 500 Miliar 450,000.00 - - - 450,000.00 450,000.00 450,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala IPAL dan Sarana Sanitasi

- Honorariumpejabat Pengadaan dan Barang/Jasa 200,000.00 - - - 200,000.00 200,000.00 200,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala alat alat kesehatan RS

Pengadaan Pakaian pasien dan pakaian kerja lapangan

Pengadaan Pemeliharaan rutin berkala perlengkapan RS

-
Pengadaan Pemeliharaan rutin berkala taman RS -
- Honorarium panitia Pengadaan dan Barang/Jasa 900,000.00 - - - 300,000.00 300,000.00 300,000.00 600,000.00 33.3%
-
Pengadaan alat kesehatan/alat kedokteran RS ( DBHCHT dan DAK ) -
- Honorarium pejabat Pengadaan dan Barang/Jasa Honorarium Pejabat 800,000.00 - - - 800,000.00 800,000.00 800,000.00 - 100.0%
-
Pengadaan gelang identitas pasien -
-
Pengadaan jasa kebersihan -
- Honorarium panitia Pengadaan dan Barang/Jasa 1,200,000.00 - - - 300,000.00 300,000.00 300,000.00 900,000.00 25.0%
-
Pengadaan bahan dan alat kebersihan -
-
Pengadaan bahan pengelolaan linen -
-
Pengadaan peralatan pengelolaan sampah -
- Honorarium pejabat Pemeriksaan Barang/Jasa - - - - - - -
-
Page 5
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pengadaan linen rumah sakit -
-
Pengadaan logistik RS rumah sakit -
- Honorarium pejabat Pengadaan dan Barang/Jasa 4,400,000.00 - - - 4,400,000.00 4,400,000.00 4,400,000.00 - 100.0%
-
Renovasi Bangunan Rumah Sakit -
- Honorarium Pejabat Pengadaan Jasa konsultasi perencanaan dan
pengawasan 600,000.00 - - - 200,000.00 200,000.00 200,000.00 400,000.00 33.3%
- Honorarium Pejabat Pemeriksa Jasa Konsultasi perencanaan dan
pengawasan 600,000.00 - - - 200,000.00 200,000.00 200,000.00 400,000.00 33.3%
- Honorarium Pantia Pengadaan ( konstruksi ) 900,000.00 - - - - - 900,000.00 0.0%
Belanja Bahan - Bahan Kimia (BAHP CSSD)

-
Belanja Bahan - Bahan Kimia (Reagen Lab) -
-
Belanja Bahan - Bahan Kimia (Reagen Lab PA) -
-
Belanja Bahan Radiologi -
-
Belanja Kertas Label Termal -
-
Belanja Alat Listrik -
-
Belanja Natura dan Pakan Natura -
-
Belanja Modal Alat Bengkel dan Alat Ukur -
-
Belanja Modal Alat Kantor dan Rumah Tangga -
Belanja Modal alat kesehatan ( BLUD ) -

1 Miliar Sd. Rp. 500 Miliar 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
5.1.02 Belanja Barang dan Jasa 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99.99 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99.99.9999 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
1.02 Belanja Barang dan Jasa 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
1.02.01 Belanja Barang 42,872,434,367.00 798,929,564.00 10,729,634,247.00 9,001,132,981.00 3,245,276,240.00 3,572,622,178.00 10,431,405,092.00 17,249,303,510.00 37,779,000,302.00 5,093,434,065.00 88.1%
1.02.01.01 Belanja Barang Pakai Habis 42,872,434,367.00 798,929,564.00 10,729,634,247.00 9,001,132,981.00 3,245,276,240.00 3,572,622,178.00 10,431,405,092.00 17,249,303,510.00 37,779,000,302.00 5,093,434,065.00 88.1%
1.02.01.01.0002 Belanja Bahan-Bahan Kimia 3,758,066,503.00 145,836,268.00 1,218,876,305.00 659,071,014.00 223,484,301.00 202,024,618.00 883,459,070.00 1,308,967,989.00 3,332,751,576.00 425,314,927.00 88.7%
Belanja bahan-Bahan Kimia ( BAHP-farmasi ) 200,922,041.00 - 15,605,950.00 - 6,741,585.00 2,131,200.00 13,266,720.00 22,139,505.00 37,745,455.00 163,176,586.00 18.8%
Belanja bahan-Bahan Kimia ( BAHP CSSD ) 118,777,800.00 - 34,912,500.00 - 17,948,700.00 3,670,500.00 21,619,200.00 56,531,700.00 62,246,100.00 47.6%
Belanja bahan-bahan kimia (Belanja reagen laboratorium ) 3,023,998,970.00 110,405,068.00 857,555,429.00 639,496,026.00 198,794,016.00 199,893,418.00 856,946,042.00 1,255,633,476.00 2,863,089,999.00 160,908,971.00 94.7%
Belanja bahan-bahan kimia pengelolaan linen Rumah Sakit 211,511,055.00 - 183,272,100.00 - - 183,272,100.00 28,238,955.00 86.6%
Belanja bahan-bahan kimia sanitasi 186,369,578.00 35,431,200.00 121,332,530.00 19,574,988.00 - 176,338,718.00 10,030,860.00 94.6%
Bahan kimia pembersih di Instalasi gizi 16,487,059.00 - 6,197,796.00 - 9,575,808.00 9,575,808.00 15,773,604.00 713,455.00 95.7%
1.02.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 262,480,000.00 - 64,111,460.00 36,098,404.00 34,895,451.00 23,037,320.00 65,710,727.00 123,643,498.00 223,853,362.00 38,626,638.00 85.3%
Page 6
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja bahan bakar minyak/gas ( genset , incenerator ) solar dex 9,450,000.00 - - - 9,400,121.00 9,400,121.00 9,400,121.00 49,879.00 99.5%
- Belanja bahan bakar minyak/gas ( ambulans dan kendaraan
operasional ) 253,030,000.00 - 64,111,460.00 36,098,404.00 34,895,451.00 23,037,320.00 56,310,606.00 114,243,377.00 214,453,241.00 38,576,759.00 84.8%
1.02.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran 10,234,556.00 - - - 7,568,761.00 7,568,761.00 7,568,761.00 2,665,795.00 74.0%
-
1.02.01.01.0012 Belanja Bahan-Bahan Lainnya 15,605,193,352.00 196,375,422.00 4,146,061,684.00 3,269,277,550.00 1,527,854,560.00 633,527,782.00 4,270,064,786.00 6,431,447,128.00 14,043,161,784.00 1,562,031,568.00 90.0%
Belanja Bahan-Isi Tabung Gas (LPG Instalasi Gizi) 63,761,175.00 5,555,550.00 11,324,775.00 11,111,100.00 7,692,300 13,461,525.00 21,153,825.00 49,145,250.00 14,615,925.00 77.1%
Belanja Bahan Radiologi 468,840,181.00 30,377,592.00 139,555,638.00 113,631,144.00 - 99,557,593.00 84,462,342.00 184,019,935.00 467,584,309.00 1,255,872.00 99.7%
Belanja Bahan Radiologi 286,258,000.00 30,377,592.00 139,555,638.00 113,631,144.00 2,693,626.00 2,693,626.00 286,258,000.00 - 100.0%
Belanja Bahan Radiologi (SILPA) 182,582,181.00 - - - 99,557,593.00 81,768,716.00 181,326,309.00 181,326,309.00 1,255,872.00 99.3%
Belanja Plate 3,890,344,228.00 - 1,163,307,555.00 471,129,336.00 335,933,854.00 49,539,855.00 907,959,586.00 1,293,433,295.00 2,927,870,186.00 962,474,042.00 75.3%
Belanja Plate 1,632,196,140.00 - 1,163,307,555.00 432,687,580.00 36,201,005.00 36,201,005.00 1,632,196,140.00 - 100.0%
Belanja Plate (SILPA) 2,258,148,088.00 - - 38,441,756.00 335,933,854.00 49,539,855.00 871,758,581.00 1,257,232,290.00 1,295,674,046.00 962,474,042.00 57.4%
Belanja Bahan dan Alat Kesehatan Habis Pakai 9,429,519,735.00 134,436,300.00 2,321,486,585.00 2,272,214,601.00 1,046,038,806.00 472,733,709.00 2,691,703,058.00 4,210,475,573.00 8,938,613,059.00 490,906,676.00 94.8%
- Belanja Bahan dan Alat Kesehatan Habis Pakai 8,184,730,290.00 - 2,167,578,396.00 2,049,973,517.00 932,602,299.00 387,763,529.00 2,452,390,450.00 3,772,756,278.00 7,990,308,191.00 194,422,099.00 97.6%
- Gas Oksigen, liquid dan CO2 1,064,211,945.00 134,436,300.00 153,908,189.00 222,241,084.00 113,436,507.00 84,970,180.00 239,312,608.00 437,719,295.00 948,304,868.00 115,907,077.00 89.1%
- Bahan Alat Habis Pakai lainnya 19,277,500.00 - - - - - 19,277,500.00 0.0%
- Bahan Alat Habis Pakai lainnya (silpa) 161,300,000.00 - - - - - 161,300,000.00 0.0%
Belanja bahan Lainnya ( belanja Darah ) 1,500,000,000.00 - 406,080,000.00 329,040,000.00 141,120,000.00 - 558,110,000.00 699,230,000.00 1,434,350,000.00 65,650,000.00 95.6%
Belanja bahan Lainnya ( belanja Darah ) 450,364,624.00 - 406,080,000.00 - 44,284,624.00 44,284,624.00 450,364,624.00 - 100.0%
Belanja bahan Lainnya ( belanja Darah )(SILPA) 1,049,635,376.00 - - 329,040,000.00 141,120,000.00 513,825,376.00 654,945,376.00 983,985,376.00 65,650,000.00 93.7%
Bahan lainnya (laboratorium patologi klinik dan patologi
anatomi) 126,817,965.00 26,005,980.00 55,121,131.00 21,989,859.00 4,761,900.00 4,004,325.00 11,335,875.00 20,102,100.00 123,219,070.00 3,598,895.00 97.2%
Bahan-bahan Lainnya ( CSSD ) 125,910,068.00 - 49,186,000.00 50,161,510.00 3,032,400.00 3,032,400.00 102,379,910.00 23,530,158.00 81.3%
1.02.01.01.0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 380,449,023.00 - 359,786,726.00 - 10,986,780.00 - - 10,986,780.00 370,773,506.00 9,675,517.00 97.5%
ATK perkantoran 379,729,023.00 - 359,786,726.00 - 10,986,780.00 10,986,780.00 370,773,506.00 8,955,517.00 97.6%
BELANJA UNTUK ATK / PENGEMAS DI INSTALASI GIZI
(Isolasi) 720,000.00 - - - - - 720,000.00 0.0%
1.02.01.01.0025 Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan Cover 65,106,552.00 9,000,000.00 19,992,000.00 18,000,000.00 - - 15,750,000.00 15,750,000.00 62,742,000.00 2,364,552.00 96.4%
Belanja kertas dan Cover kegiatan perkantoran (kertas Label
Thermal) 61,050,000.00 9,000,000.00 18,000,000.00 18,000,000.00 15,750,000.00 15,750,000.00 60,750,000.00 300,000.00 99.5%
ETIKET DI INSTALASI GIZI 4,056,552.00 - 1,992,000.00 - - 1,992,000.00 2,064,552.00 49.1%
1.02.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 990,183,644.00 - 582,639,275.00 41,726,775.00 12,746,146.00 24,607,863.00 216,832,473.00 254,186,482.00 878,552,532.00 111,631,112.00 88.7%
- Belanja Cetak sertifikat pelatihan Sertifikat

Bimtek/Pelatihan/Seminar Linen, A4/F4, 2 muka, full colour desain 2,997,000.00 - - 654,500.00 404,000.00 88,000.00 492,000.00 1,146,500.00 1,850,500.00 38.3%
- Belanja cetak kartu pasien 94,905,000.00 - - - 92,610,000.00 92,610,000.00 92,610,000.00 2,295,000.00 97.6%
- Belanja cetak blangko rekam medis, map, amplop, dll 648,985,677.00 - 553,161,800.00 28,804,700.00 61,005,000.00 61,005,000.00 642,971,500.00 6,014,177.00 99.1%
-
- Belanja cetak leaflet , poster, stiker, kalender 46,493,200.00 - 11,401,275.00 4,578,625.00 - 1,382,500.00 22,552,500.00 23,935,000.00 39,914,900.00 6,578,300.00 85.9%
Cetak Kalender OPD 21,312,000.00 - - - 20,257,500.00 20,257,500.00 20,257,500.00 1,054,500.00 95.1%
Belanja cetak leaflet 6,050,000.00 - 2,328,225.00 1,278,000.00 872,500.00 872,500.00 4,478,725.00 1,571,275.00 74.0%
Belanja cetak poster 8,021,200.00 - 1,852,500.00 2,705,625.00 80,000.00 500,000.00 580,000.00 5,138,125.00 2,883,075.00 64.1%
Belanja cetak stiker 11,110,000.00 - 7,220,550.00 595,000.00 430,000.00 1,795,000.00 2,225,000.00 10,040,550.00 1,069,450.00 90.4%
- Belanja bahan dekorasi ( spanduk, banner ) kegiatan promosi

dan informasi rumah sakit 22,879,875.00 - 1,737,000.00 1,965,000.00 4,051,500.00 5,577,750.00 1,817,000.00 11,446,250.00 15,148,250.00 7,731,625.00 66.2%
- Belanja Penggandaan 130,558,422.00 - - 498,300.00 7,275,646.00 8,674,373.00 33,139,948.00 49,089,967.00 49,588,267.00 80,970,155.00 38.0%
Belanja penggandaan kegiatan administrasi perkantoran 103,563,000.00 - - - 6,770,446.00 8,674,373.00 18,828,376.00 34,273,195.00 34,273,195.00 69,289,805.00 33.1%
Belanja penggandaan kegiatan Akreditasi Rumah Sakit 24,164,700.00 - - - 13,914,072.00 13,914,072.00 13,914,072.00 10,250,628.00 57.6%
Belanja penggandaan kegiatan pelatihan internal 2,589,075.00 - - 498,300.00 505,200.00 397,500.00 902,700.00 1,401,000.00 1,188,075.00 54.1%
Belanja penggandaan materi kegiatan value gathering 241,647.00 - - - - - 241,647.00 0.0%
Page 7
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja Penjilidan 5,152,620.00 - - - 1,015,000.00 1,015,000.00 1,015,000.00 4,137,620.00 19.7%

- Belanja Papan 37,001,850.00 - 16,339,200.00 4,345,650.00 8,973,240.00 5,620,025.00 14,593,265.00 35,278,115.00 1,723,735.00 95.3%
- Belanja ID Card 1,210,000.00 - - 880,000.00 - - - - 880,000.00 330,000.00 72.7%

ID CARD (TAMU/SURVEYOR) 210,000.00 - - - - - 210,000.00 0.0%
ID CARD (PENUNGGU PASIEN) 1,000,000.00 - - 880,000.00 - 880,000.00 120,000.00 88.0%
- -
1.02.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 6,586,080.00 - 2,000,000.00 1,000,000.00 1,000,000.00 2,500,000.00 3,500,000.00 6,500,000.00 86,080.00 98.7%
1.02.01.01.0029 Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan Komputer 25,873,545.00 - - - - - 25,873,545.00 0.0%
1.02.01.01.0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 641,695,130.00 189,729,002.00 272,731,620.00 - 1,853,700.00 58,798,700.00 - 60,652,400.00 523,113,022.00 118,582,108.00 81.5%
- Belanja Alat/Bahan kebersihan 185,233,748.00 - 164,639,640.00 - - 164,639,640.00 20,594,108.00 88.9%
- Belanja Alat/Bahan pengelolaan linen Rumah Sakit 99,190,466.00 - 88,216,980.00 - - 88,216,980.00 10,973,486.00 88.9%
- Belanja Alat/Bahan pengelolaan sampah 355,383,916.00 189,729,002.00 19,875,000.00 - 58,798,700.00 58,798,700.00 268,402,702.00 86,981,214.00 75.5%
- Perabot Kantor 1,887,000.00 - - - 1,853,700.00 1,853,700.00 1,853,700.00 33,300.00 98.2%
1.02.01.01.0031 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik 173,959,755.00 - - 134,883,870.00 20,679,300.00 18,259,500.00 38,938,800.00 173,822,670.00 137,085.00 99.9%
Belanja Alat/Bahan untuk Kegiatan Kantor- Perlengkapan

1.02.01.01.0034 Pendukung Olahraga 2,213,618.00 - - - - - 2,213,618.00 0.0%
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/Bahan untuk

1.02.01.01.0036 Kegiatan Kantor Lainnya 558,072,232.00 34,836,270.00 90,564,049.00 205,174,254.00 5,996,000.00 17,751,269.00 141,607,498.00 165,354,767.00 495,929,340.00 62,142,892.00 88.9%
Belanja peralatan upacara dan hari besar nasional ( bendera dan
umbul-umbul ) 22,311,000.00 - - 6,660,000.00 - 6,660,000.00 15,651,000.00 29.9%
Belanja Karangan Bunga 12,210,000.00 - 5,000,000.00 2,000,000.00 2,000,000.00 1,500,000.00 1,000,000.00 4,500,000.00 11,500,000.00 710,000.00 94.2%
Belanja penutup badan 19,929,550.00 - - 18,225,000.00 - 18,225,000.00 1,704,550.00 91.4%
Belanja Barang Peralatan Rumah Tangga 17,775,651.00 - - 17,771,150.00 - 17,771,150.00 4,501.00 100.0%
Peralatan Kantor 77,083,873.00 - 66,077,400.00 2,719,500.00 3,996,000.00 3,996,000.00 72,792,900.00 4,290,973.00 94.4%
BAHAN PENGEMAS MAKANAN DAN PEMBERSIH DI
INSTALASI GIZI 90,523,414.00 4,836,270.00 19,486,649.00 18,598,605.00 16,251,269.00 31,155,155.00 47,406,424.00 90,327,948.00 195,466.00 99.8%
Belanja Gelang Pasien 58,608,000.00 30,000,000.00 - 27,499,999.00 - 57,499,999.00 1,108,001.00 98.1%
Belanja Linen Pasien 227,355,676.00 - - 111,700,000.00 105,264,313.00 105,264,313.00 216,964,313.00 10,391,363.00 95.4%
Belanja hospital curtain 32,275,068.00 - - - 4,188,030.00 4,188,030.00 4,188,030.00 28,087,038.00 13.0%
1.02.01.01.0037 Belanja Obat-Obatan-Obat 17,486,385,107.00 - 3,354,546,939.00 3,931,397,023.00 1,379,668,502.00 2,179,284,874.00 4,204,268,476.00 7,763,221,852.00 15,049,165,814.00 2,437,219,293.00 86.1%
Belanja Obat-Obatan 13,682,906,645.00 - 3,354,546,939.00 3,931,397,023.00 1,379,668,502.00 2,179,284,874.00 2,838,009,307.00 6,396,962,683.00 13,682,906,645.00 - 100.0%
Belanja Obat-Obatan (SILPA) 3,803,478,462.00 - - - 1,366,259,169.00 1,366,259,169.00 1,366,259,169.00 2,437,219,293.00 35.9%
1.02.01.01.0043 Belanja Natura dan Pakan-Natura 1,784,917,791.00 223,152,602.00 460,168,689.00 402,162,091.00 - 283,437,952.00 379,286,651.00 662,724,603.00 1,748,207,985.00 36,709,806.00 97.9%
Makanan dan minuman harian pegawai 69,396,250.00 - 33,044,600.00 10,192,600.00 7,934,300.00 14,319,400.00 22,253,700.00 65,490,900.00 3,905,350.00 94.4%
Belanja bahan makanan dan minuman pasien 1,573,996,541.00 207,613,094.00 397,994,824.00 363,873,592.00 255,323,739.00 343,461,508.00 598,785,247.00 1,568,266,757.00 5,729,784.00 99.6%
Belanja Makanan Dan Minuman Pasien ( snack pasien dan minuman
pasien ) 141,525,000.00 15,539,508.00 29,129,265.00 28,095,899.00 20,179,913.00 21,505,743.00 41,685,656.00 114,450,328.00 27,074,672.00 80.9%
1.02.01.01.0052 Belanja Makanan dan Minuman Rapat 430,755,000.00 - 97,863,000.00 45,470,000.00 23,092,000.00 32,114,500.00 84,205,150.00 139,411,650.00 282,744,650.00 148,010,350.00 65.6%
- Belanja makanan dan minuman rapat kegiatan FGD 7,492,500.00 - - - - - 7,492,500.00 0.0%
- Makanan dan minuman Rapat kegiatan administrasi perkantoran 189,810,000.00 - 47,032,000.00 30,684,000.00 12,032,000.00 32,114,500.00 48,262,000.00 92,408,500.00 170,124,500.00 19,685,500.00 89.6%
- Belanja makanan dan minuman rapat kegiatan maintenance dan
surveilans ISO 24,975,000.00 - - - - - 24,975,000.00 0.0%
- Belanja makanan dan minuman rapat kegiatan akreditasi rumah
sakit 26,640,000.00 - - - 24,383,150.00 24,383,150.00 24,383,150.00 2,256,850.00 91.5%
- Belanja Makanan dan Minuman Diklat, Seminar, Lokakarya dan
Sejenisnya 47,452,500.00 - - 14,786,000.00 11,060,000.00 11,560,000.00 22,620,000.00 37,406,000.00 10,046,500.00 78.8%
- Belanja Makanan dan Minuman Bimtek Maintenance dan
surveilens ISO 37,462,500.00 - - - - - 37,462,500.00 0.0%
Page 8
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja Makanan dan Minuman Survey ISO 24,975,000.00 - - - - - 24,975,000.00 0.0%
Belanja Makanan dan Minuman Survey Akreditasi dan survey
simulasi 52,447,500.00 - 50,831,000.00 - - 50,831,000.00 1,616,500.00 96.9%
- Belanja Makanan dan Minuman kegiatan value gathering ( paket
meeting ) 19,500,000.00 - - - - - 19,500,000.00 0.0%
1.02.01.01.0053 Belanja Makanan dan Minuman Jamuan Tamu 92,648,076.00 - 12,927,000.00 1,224,000.00 9,212,000.00 15,904,000.00 14,040,000.00 39,156,000.00 53,307,000.00 39,341,076.00 57.5%
- Belanja Makanan dan minuman tamu kegiatan administrasi umum 41,425,200.00 - 8,472,000.00 1,224,000.00 9,212,000.00 4,464,000.00 14,040,000.00 27,716,000.00 37,412,000.00 4,013,200.00 90.3%
- Belanja makanan dan minuman kegiatan pelayanan sunatan massal 19,980,000.00 - - - 11,440,000.00 11,440,000.00 11,440,000.00 8,540,000.00 57.3%
- Belanja Makanan dan Minuman kegiatan Bimtek , Survey
Akreditasi dan survey simuasi ) 26,612,438.00 - 4,455,000.00 - - 4,455,000.00 22,157,438.00 16.7%
- Belanja Makanan dan Minuman kegiatan Survey ISO ) 4,630,438.00 - - - - - 4,630,438.00 0.0%
1.02.01.01.0054 Belanja Penambah Daya Tahan Tubuh 219,796,650.00 - 47,365,500.00 83,658,000.00 14,486,800.00 20,969,000.00 32,752,000.00 68,207,800.00 199,231,300.00 20,565,350.00 90.6%
1.02.01.01.0061 Belanja Pakaian Sipil Harian 190,210,766.00 - - 171,990,000.00 - 171,990,000.00 18,220,766.00 90.4%
1.02.01.01.0068 Belanja Pakaian Siaga 187,606,987.00 - - - 60,485,000.00 95,100,000.00 155,585,000.00 155,585,000.00 32,021,987.00 82.9%
1.02.01.01.0075 Belanja Pakaian Batik Tradisional - - - - - -
1.02.02 Belanja Jasa 23,915,780,997.00 3,778,927,820.00 5,251,317,928.00 4,294,033,191.00 1,135,476,566.00 1,384,284,701.00 2,219,794,806.00 4,739,556,073.00 18,063,835,012.00 5,851,945,985.00 75.5%
1.02.02.01 Belanja Jasa Kantor 20,847,981,997.00 3,507,168,029.00 4,765,985,498.00 3,568,973,894.00 989,804,272.00 1,191,852,306.00 1,423,897,758.00 3,605,554,336.00 15,447,681,757.00 5,400,300,240.00 74.1%
Honorarium Narasumber atau Pembahas, Moderator, Pembawa
1.02.02.01.0003 Acara, dan Panitia 306,500,000.00 - - 99,807,200.00 5,000,000.00 - 42,900,000.00 47,900,000.00 147,707,200.00 158,792,800.00 48.2%
- Jasa Narasumber Pelatihan 306,500,000.00 - - 99,807,200.00 5,000,000.00 - 42,900,000.00 47,900,000.00 147,707,200.00 158,792,800.00 48.2%
Jasa Narasumber Pelatihan APAR 22,500,000.00 - - 2,034,000.00 - 2,034,000.00 20,466,000.00 9.0%
Jasa Narasumber Pelatihan BLS 28,800,000.00 - - 1,500,000.00 - 1,500,000.00 27,300,000.00 5.2%
Jasa Narasumber Pelatihan MAKP 35,000,000.00 - - 25,000,000.00 - 25,000,000.00 10,000,000.00 71.4%
Jasa Narasumber Pelatihan PPI 7,200,000.00 - - - - - 7,200,000.00 0.0%
Jasa Narasumber Pelatihan PPGD EMT 100,000,000.00 - - 66,973,200.00 - 66,973,200.00 33,026,800.00 67.0%
Jasa Narasumber bimtek keuangan 5,000,000.00 - - 2,100,000.00 - 2,100,000.00 2,900,000.00 42.0%
Jasa Narasumber pelatihan SKP 5,000,000.00 - - 2,200,000.00 - 2,200,000.00 2,800,000.00 44.0%
Jasa narasumber kegiatan FGD 58,000,000.00 - - - 5,000,000.00 42,900,000.00 47,900,000.00 47,900,000.00 10,100,000.00 82.6%
Jasa instruktur kegiatan value gathering 45,000,000.00 - - - - - 45,000,000.00 0.0%
Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

1.02.02.01.0004 Pelaksana Kegiatan 103,200,000.00 - - - - - 83,375,000.00 83,375,000.00 83,375,000.00 19,825,000.00 80.8%
- Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim
Pelaksana Kegiatan /Pengadaan Alat Kesehatan ( DAK dan
DBHCHT ) 18,900,000.00 - - - - - 18,750,000.00 18,750,000.00 18,750,000.00 150,000.00 99.2%
Honor PA - - - - - -
Honor PPKOM/KPA 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Honor PPK 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Honor bendahara pengeluaran 1,650,000.00 - - - 1,650,000.00 1,650,000.00 1,650,000.00 - 100.0%
Honor bendahara pengeluaran pembantu 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Honor staf teknis 3,150,000.00 - - - 3,150,000.00 3,150,000.00 3,150,000.00 - 100.0%
Honorarium PPTK 1,650,000.00 - - - 1,650,000.00 1,650,000.00 1,650,000.00 - 100.0%
Panitia Pelaksana Kegiatan - Nilai Pagu Dana Di Atas Rp. 1 Miliar
Sd. Rp. 500 Miliar ( Tim Teknis ) 7,350,000.00 - - - 7,200,000.00 7,200,000.00 7,200,000.00 150,000.00 98.0%

Pelaksana Kegiatan /Pengadaan Alat Kesehatan ( BLUD ) 17,475,000.00 - - - - - 17,325,000.00 17,325,000.00 17,325,000.00 150,000.00 99.1%
Honor PPKOM /KPA Nilai Pagu Dana Di Atas Nilai Pagu Dana Di
Atas Rp. 1 Miiar Sd. Rp. 2,5 Miliar 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Page 9
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Honor PPK Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp. 2,5 Miliar 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Honor bendahara pengeluaran (Nilai Pagu Dana Di Atas Rp. 1
Miiar Sd. Rp. 2,5 Miliar) 1,350,000.00 - - - 1,350,000.00 1,350,000.00 1,350,000.00 - 100.0%
Honor bendahara pengeluaran pembantu (Nilai Pagu Dana Di Atas
Rp. 1 Miiar Sd. Rp. 2,5 Miliar) 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor staf teknis ( Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp.
2,5 Miliar) 2,700,000.00 - - - 2,550,000.00 2,550,000.00 2,550,000.00 150,000.00 94.4%
Honorarium PPTK ( Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp.
2,5 Miliar) 1,350,000.00 - - - 1,350,000.00 1,350,000.00 1,350,000.00 - 100.0%
Panitia Pelaksana Kegiatan - NNilai Pagu Dana Di Atas Rp. 1
Miiar Sd. Rp. 2,5 Miliar ( Tim Teknis ) 7,875,000.00 - - - 7,875,000.00 7,875,000.00 7,875,000.00 - 100.0%

Pelaksana Kegiatan /Pengadaan Logistik RS ( Obat, BAHP,
Plate, Bahan Kimia ) ( BLUD ) 16,450,000.00 - - - - - 16,350,000.00 16,350,000.00 16,350,000.00 100,000.00 99.4%
Honor PPKOM /KPA Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor PPK Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd. Rp.500
Miliar 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor bendahara pengeluaran (Nilai Pagu Dana Di Atas Rp. 2,5
Miliar Sd. Rp.500 Miliar) 1,100,000.00 - - - 1,100,000.00 1,100,000.00 1,100,000.00 - 100.0%
Rp. 2,5 Miliar Sd. Rp.500 Miliar) 1,000,000.00 - - - 1,000,000.00 1,000,000.00 1,000,000.00 - 100.0%
Honor staf teknis ( Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar ) 1,400,000.00 - - - 1,300,000.00 1,300,000.00 1,300,000.00 100,000.00 92.9%
Honorarium PPTK ( Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar) 1,100,000.00 - - - 1,100,000.00 1,100,000.00 1,100,000.00 - 100.0%
Panitia Pelaksana Kegiatan - Nilai Pagu Dana Di Atas Rp. 2,5
Miliar Sd. Rp.500 Miliar ( Tim Teknis ) 9,450,000.00 - - - 9,450,000.00 9,450,000.00 9,450,000.00 - 100.0%

- Pelaksana Kegiatan /Pembangunan gedung Rawat Inap VIP 7,500,000.00 - - - - - 6,300,000.00 6,300,000.00 6,300,000.00 1,200,000.00 84.0%
Honor PA/KPA 1,300,000.00 - - - 1,300,000.00 1,300,000.00 1,300,000.00 - 100.0%
Honor PPKOM 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor PPK 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor staf teknis 600,000.00 - - - 500,000.00 500,000.00 500,000.00 100,000.00 83.3%
Honorarium PPTK 1,100,000.00 - - - - - 1,100,000.00 0.0%

- Pelaksana Kegiatan 42,875,000.00 - - - - - 24,650,000.00 24,650,000.00 24,650,000.00 18,225,000.00 57.5%
Penyediaan Alat Tulis Kantor - Panitia Pelaksana Kegiatan / Teknis 275,000.00 - - - - - 275,000.00 0.0%
Penyediaan Barang Cetakan & penggandaan - Panitia Pelaksana
Kegiatan/Tim Teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan Peralatan Kantor - Panitia Pelaksana Kegiatan/Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Mebeuleur Rumah sakit - Panitia Pelaksana Kegiatan/Tim
teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan Pakaian kerja Lapangan - Panitia Pelaksana Kegiatan/Tim
Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Jasa Pengangkutan dan pengolahan sampah medis RS -
Panitia Pelaksana Kegiatan / Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala IPAL dan Sarana Sanitasi -
Panitia Pelkasana Kegiatan/Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala alat alat kesehatan RS -
Panitia Pelaksana Kegiatan/Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
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REALISASI
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Pengadaan Pakaian pasien dan pakaian kerja lapangan - Panitia
Pelaksana Kegiatan / Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin berkala perlengkapan RS - Panitia
Pelasana kegiatan 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin berkala taman RS - Panitia Pelaksana
Kegiatan / Tim Teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan alat kesehatan/alat kedokteran RS - Panitia Pelaksana
Kegiatan/Tim Teknis - - - - - -
Pengadaan gelang identitas pasien - Panitia Pelaksana Kegiatan/Tim
Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan jasa kebersihan - Panitia Pelaksana Kegiatan/Tim Teknis 425,000.00 - - - - - 425,000.00 0.0%
Pengadaan bahan dan alat kebersihan - Panitia Pelaksana
Kegiatan/Tim Tehnis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan bahan pengelolaan linen - Panitia Pelaksana Kegiatan /
Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan peralatan pengelolaan sampah - Panitia Pelaksana
Kegiatan / Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan linen rumah sakit - Panitia Pelaksana Kegiatan/Tim
Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan logistik RS rumah sakit - Panitia Pelaksana Kegiatan /
Tim Tehnis - - - - - -
Renovasi Bangunan Rumah Sakit - Panitia Pelaksana Kegiatan / Tim
Teknis - - - - - -
Pembangunan Paviliun - panitia pelaksana kegiatan 17,325,000.00 - - - 16,650,000.00 16,650,000.00 16,650,000.00 675,000.00 96.1%
Pembangunan Parkir beratap - Panitia Pelaksana Kegiatan 7,875,000.00 - - - - - 7,875,000.00 0.0%
Pembuatan Taman - Panitia Pelaksana Kegiatan 7,875,000.00 - - - - - 7,875,000.00 0.0%
Belanja Bahan - Bahan Kimia (BAHP CSSD) - Tim tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan - Bahan Kimia (Reagen Lab) - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan - Bahan Kimia (Reagen Lab PA) - Tim tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan Radiologi - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Kertas Label Termal - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Alat Listrik - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Natura dan Pakan Natura - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Modal Alat Bengkel dan Alat Ukur - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Modal Alat Kantor dan Rumah Tangga - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
1.02.02.01.0006 Honorarium Penyuluhan atau Pendampingan 37,000,000.00 - - - - - 34,500,000.00 34,500,000.00 34,500,000.00 2,500,000.00 93.2%
Honorarium pendampingan kejaksaan bidang infrastruktur - Pagu
dana kurang dari 5 M ( Ketua Tim ) 3,750,000.00 - - - 3,750,000.00 3,750,000.00 3,750,000.00 - 100.0%
dana kurang dari 5 M ( Sekretaris Tim ) 3,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 - 100.0%
dana kurang dari 5 M ( Anggota Tim ) 15,750,000.00 - - - 14,000,000.00 14,000,000.00 14,000,000.00 1,750,000.00 88.9%
dana lebih dari 5 M ( Ketua Tim ) 3,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 - 100.0%
dana lebih dari 5 M ( Sekretaris Tim ) 2,500,000.00 - - - 2,500,000.00 2,500,000.00 2,500,000.00 - 100.0%
dana lebih dari 5 M ( Anggota Tim ) 9,000,000.00 - - - 8,250,000.00 8,250,000.00 8,250,000.00 750,000.00 91.7%
1.02.02.01.0014 Belanja Jasa Tenaga Kesehatan 7,016,000,000.00 1,279,548,000.00 1,555,024,000.00 1,080,777,000.00 352,759,000.00 375,259,000.00 407,759,000.00 1,135,777,000.00 5,051,126,000.00 1,964,874,000.00 72.0%
- Belanja Jasa Tenaga Ahli ( penepri ) dokter spesialis 60,000,000.00 - - - 60,000,000.00 0.0%
- Insentif Dokter 120,000,000.00 - - 22,500,000.00 - 22,500,000.00 55,000,000.00 77,500,000.00 100,000,000.00 20,000,000.00 83.3%
a. Intensif Tenaga Ahli (Dokter Spesialis) 60,000,000.00 - - - 55,000,000.00 55,000,000.00 55,000,000.00 5,000,000.00 91.7%
b. Intensif Tenaga Ahli (Dokter Interensif) 60,000,000.00 - - 22,500,000.00 22,500,000.00 22,500,000.00 45,000,000.00 15,000,000.00 75.0%
- Honorarium tenaga kontrak BLUD 6,812,000,000.00 1,279,548,000.00 1,555,024,000.00 1,058,277,000.00 352,759,000.00 352,759,000.00 352,759,000.00 1,058,277,000.00 4,951,126,000.00 1,860,874,000.00 72.7%
a. Dokter Spesialis ( 3 orang x 13 bulan ) 195,000,000.00 45,000,000.00 50,000,000.00 30,000,000.00 10,000,000.00 10,000,000.00 10,000,000.00 30,000,000.00 155,000,000.00 40,000,000.00 79.5%
b. Perawat dan tenaga lain ( 280 x 13 bulan ) 6,552,000,000.00 1,227,048,000.00 1,495,024,000.00 1,020,777,000.00 340,259,000.00 340,259,000.00 340,259,000.00 1,020,777,000.00 4,763,626,000.00 1,788,374,000.00 72.7%
c. Dokter umum/Dokter gigi ( 2 orang x 13 bulan ) 65,000,000.00 7,500,000.00 10,000,000.00 7,500,000.00 2,500,000.00 2,500,000.00 2,500,000.00 7,500,000.00 32,500,000.00 32,500,000.00 50.0%
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- Belanja jasa tenaga kesehatan swab massal 5,000,000.00 - - - - - 5,000,000.00 0.0%

- Belanja jasa tenaga kesehatan vaksinasi 19,000,000.00 - - - - - 19,000,000.00 0.0%
1.02.02.01.0029 Belanja Jasa Tenaga Ahli 210,000,000.00 5,000,000.00 45,000,000.00 10,000,000.00 - 5,000,000.00 25,000,000.00 30,000,000.00 90,000,000.00 120,000,000.00 42.9%
- Belanja Jasa Tenaga Ahli ( fisikawan medis ) 30,000,000.00 5,000,000.00 5,000,000.00 10,000,000.00 5,000,000.00 5,000,000.00 10,000,000.00 30,000,000.00 - 100.0%
-Honorarium Dewan Pengawas 180,000,000.00 - 40,000,000.00 - 20,000,000.00 20,000,000.00 60,000,000.00 120,000,000.00 33.3%
-
1.02.02.01.0030 Belanja Jasa Tenaga Kebersihan 10,000,000.00 - 3,500,000.00 - - 2,800,000.00 1,600,000.00 4,400,000.00 7,900,000.00 2,100,000.00 79.0%
Honorarium Pegawai Honorer/Tidak Tetap Kategori Umum ( Jasa
Petugas Kebersihan Kegiatan) 10,000,000.00 - 3,500,000.00 - 2,800,000.00 1,600,000.00 4,400,000.00 7,900,000.00 2,100,000.00 79.0%
1.02.02.01.0036 Belanja Jasa Audit/Surveillance ISO 82,200,000.00 - 20,400,000.00 - - - - - 20,400,000.00 61,800,000.00 24.8%
- Belanja jasa audit kegiatan sertifikasi Akreditasi Rumah Sakit 22,200,000.00 - 20,400,000.00 - - 20,400,000.00 1,800,000.00 91.9%
- Belanja sertifikasi SMM ISO kegiatan Maintenance dan Surveilans
ISO 60,000,000.00 - - - - - 60,000,000.00 0.0%
1.02.02.01.0039 Belanja Jasa Tenaga Informasi dan Teknologi 60,000,000.00 - - - 10,000,000.00 - 15,000,000.00 25,000,000.00 25,000,000.00 35,000,000.00 41.7%
Honorarium Sub Profesional (Programmer Senior) 60,000,000.00 - - - 10,000,000.00 15,000,000.00 25,000,000.00 25,000,000.00 35,000,000.00 41.7%
1.02.02.01.0042 Belanja Jasa Pelaksanaan Transaksi Keuangan 9,650,000.00 - 500,000.00 500,000.00 250,000.00 - 1,282,500.00 1,532,500.00 2,532,500.00 7,117,500.00 26.2%
Biaya Beban Jasa Transaksi Keuangan ( Tranfer ) 6,500,000.00 - - - 32,500.00 32,500.00 32,500.00 6,467,500.00 0.5%
Beban Jasa Transaksi Keuangan (Cek giro ) 3,150,000.00 - 500,000.00 500,000.00 250,000.00 1,250,000.00 1,500,000.00 2,500,000.00 650,000.00 79.4%
1.02.02.01.0047 Belanja Jasa Penyelenggaraan Acara 41,400,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 38,400,000.00 7.2%
- Belanja Jasa Penyelenggaraan Acara Rekrutmen Pegawai BLUD 18,000,000.00 - - - - - 18,000,000.00 0.0%
- Honorarium Instruktur Senam Kegiatan Olahraga/Olimpiade
Siswa/Festival Seni Siswa Dan Sejenisnya 23,400,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 20,400,000.00 12.8%
1.02.02.01.0048 Belanja Jasa Kontribusi Asosiasi 15,000,000.00 - 3,300,000.00 - - - - - 3,300,000.00 11,700,000.00 22.0%
Belanja Iuran Asosiasi 15,000,000.00 - 3,300,000.00 - - 3,300,000.00 11,700,000.00 22.0%
1.02.02.01.0050 Belanja Jasa Kalibrasi 296,650,000.00 24,125,000.00 23,765,000.00 8,230,000.00 18,481,500.00 146,183,500.00 7,492,500.00 172,157,500.00 228,277,500.00 68,372,500.00 77.0%
- Jasa Kalibrasi/pengujian/pengukuran peralatan
kesehatan/kedokteran 200,000,000.00 - 2,400,000.00 2,700,000.00 144,130,000.00 7,492,500.00 151,622,500.00 156,722,500.00 43,277,500.00 78.4%
- Jasa pengujian ( air bersih, air minum, swab , udara , air limbah, air
laundry 60,000,000.00 - 21,090,000.00 3,330,000.00 18,481,500.00 2,053,500.00 20,535,000.00 44,955,000.00 15,045,000.00 74.9%
- Jasa pemantauan mutu eksternal laboratorium 20,000,000.00 17,800,000.00 - - - 17,800,000.00 2,200,000.00 89.0%
- Jasa Pemeriksaan kultur kuman 16,650,000.00 6,325,000.00 275,000.00 2,200,000.00 - 8,800,000.00 7,850,000.00 52.9%
1.02.02.01.0051 Belanja Jasa Pengolahan Sampah 541,569,000.00 - 167,940,780.00 181,631,520.00 46,138,260.00 - 137,132,730.00 183,270,990.00 532,843,290.00 8,725,710.00 98.4%
Jasa pengangkutan dan pengolahan sampah medis 541,569,000.00 - 167,940,780.00 181,631,520.00 46,138,260.00 137,132,730.00 183,270,990.00 532,843,290.00 8,725,710.00 98.4%
1.02.02.01.0055 Belanja Jasa Iklan/Reklame, Film, dan Pemotretan 87,004,550.00 - 31,550,000.00 14,900,000.00 1,500,000.00 6,000,000.00 17,250,000.00 24,750,000.00 71,200,000.00 15,804,550.00 81.8%
1.02.02.01.0059 Belanja Tagihan Telepon 36,000,000.00 2,756,902.00 2,721,939.00 2,924,507.00 1,047,571.00 912,058.00 952,131.00 2,911,760.00 11,315,108.00 24,684,892.00 31.4%
1.02.02.01.0060 Belanja Tagihan Air 132,000,000.00 26,744,000.00 24,756,000.00 26,658,250.00 9,923,250.00 8,390,250.00 7,983,500.00 26,297,000.00 104,455,250.00 27,544,750.00 79.1%
1.02.02.01.0061 Belanja Tagihan Listrik 1,440,000,000.00 321,612,440.00 353,720,220.00 372,758,079.00 112,706,860.00 138,965,880.00 139,551,840.00 391,224,580.00 1,439,315,319.00 684,681.00 100.0%
1.02.02.01.0062 Belanja Langganan Jurnal/Surat Kabar/Majalah 12,720,000.00 - 5,170,000.00 2,110,000.00 3,165,000.00 2,110,000.00 5,275,000.00 12,555,000.00 165,000.00 98.7%
1.02.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan 145,000,000.00 33,695,460.00 33,697,118.00 33,695,460.00 11,226,308.00 11,193,081.00 18,743,081.00 41,162,470.00 142,250,508.00 2,749,492.00 98.1%
1.02.02.01.0064 Belanja Paket/Pengiriman 470,000.00 - 84,000.00 37,500.00 84,000.00 168,000.00 252,000.00 373,500.00 96,500.00 79.5%
1.02.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 21,550,000.00 - 5,344,650.00 - 8,929,950.00 3,540,000.00 - 12,469,950.00 17,814,600.00 3,735,400.00 82.7%
Belanja Pajak Kendaraan Bermotor 15,000,000.00 - 5,344,650.00 - 8,929,950.00 8,929,950.00 14,274,600.00 725,400.00 95.2%
Tarif ijin Penggunaan dalam Radiologi Diagnostik dan Intervensional
untuk Radiografi Umum 600,000.00 - - - 140,000.00 140,000.00 140,000.00 460,000.00 23.3%
untuk Pesawat sinar-X Penunjang Terapi 550,000.00 - - - - - 550,000.00 0.0%
untuk CT-SCAN 900,000.00 - - - - - 900,000.00 0.0%
Ijin penggunaan dalam Radiologi diagnostik ( Mobile X-ray Unit) 1,500,000.00 - - - 1,040,000.00 1,040,000.00 1,040,000.00 460,000.00 69.3%
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untuk C-Arm 1,500,000.00 - - - 1,040,000.00 1,040,000.00 1,040,000.00 460,000.00 69.3%
Tarif ijin Penggunaan dalam Radiologi Diagnostik dan Konvensional
untuk X-Ray 1,500,000.00 - - - 1,320,000.00 1,320,000.00 1,320,000.00 180,000.00 88.0%
1.02.02.01.0073 Belanja Medical Check Up 237,500,000.00 - - 161,300,000.00 - - - - 161,300,000.00 76,200,000.00 67.9%

Belanja jasa pemeriksaan kesehatan dan vaksinasi karyawan 237,500,000.00 - - 161,300,000.00 - 161,300,000.00 76,200,000.00 67.9%
1.02.02.01.0077 Belanja jasa pelayanan Kesehatan bagi Non ASN 10,006,568,447.00 1,813,686,227.00 2,489,511,791.00 1,573,644,378.00 408,592,573.00 493,608,537.00 478,097,476.00 1,380,298,586.00 7,257,140,982.00 2,749,427,465.00 72.5%
Belanja jasa pelayanan Kesehatan bagi Non ASN 7,143,341,028.00 1,813,686,227.00 2,489,511,791.00 1,573,644,378.00 478,097,476.00 478,097,476.00 6,354,939,872.00 788,401,156.00 89.0%
Belanja jasa pelayanan Kesehatan bagi Non ASN (silpa blud) 2,863,227,419.00 - - - 408,592,573.00 493,608,537.00 902,201,110.00 902,201,110.00 1,961,026,309.00 31.5%
1.02.02.02 Belanja Iuran Jaminan/Asuransi 1,486,159,000.00 271,759,791.00 306,705,310.00 354,303,151.00 108,802,292.00 106,227,857.00 185,468,111.00 400,498,260.00 1,333,266,512.00 152,892,488.00 89.7%
1.02.02.02.0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 1,033,034,000.00 185,545,472.00 225,691,194.00 283,078,420.00 85,060,715.00 80,127,877.00 159,368,131.00 324,556,723.00 1,018,871,809.00 14,162,191.00 98.6%
Belanja Iuran Jaminan Kesehatan bagi ASN dan Non ASN 1,033,034,000.00 185,545,472.00 225,691,194.00 283,078,420.00 85,060,715.00 80,127,877.00 159,368,131.00 324,556,723.00 1,018,871,809.00 14,162,191.00 98.6%
1.02.02.02.0006 Belanja Iuran Jaminan Kecelakaan Kerja bagi Non ASN 453,125,000.00 86,214,319.00 81,014,116.00 71,224,731.00 23,741,577.00 26,099,980.00 26,099,980.00 75,941,537.00 314,394,703.00 138,730,297.00 69.4%
Belanja Premi Asuransi Ketenagakerjaan ( perbulan per orang = Rp
145.000) 453,125,000.00 86,214,319.00 81,014,116.00 71,224,731.00 23,741,577.00 26,099,980.00 26,099,980.00 75,941,537.00 314,394,703.00 138,730,297.00 69.4%
1.02.02.04 Belanja Sewa Peralatan dan Mesin 65,700,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 - 700,000.00 11,570,000.00 36,911,300.00 28,788,700.00 56.2%
1.02.02.04.0036 Belanja Sewa Kendaraan Bermotor Penumpang 10,000,000.00 - - - - - - - - 10,000,000.00 0.0%
Sewa Bus 10,000,000.00 - - - - - 10,000,000.00 0.0%
1.02.02.04.0037 Belanja Sewa Kendaraan Bermotor Angkutan Barang 700,000.00 - - - - - 700,000.00 700,000.00 700,000.00 - 100.0%
Sewa Mobilitas Darat Pick Up 700,000.00 - - - 700,000.00 700,000.00 700,000.00 - 100.0%
1.02.02.04.0117 Belanja Sewa Alat Kantor Lainnya 55,000,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 - - 10,870,000.00 36,211,300.00 18,788,700.00 65.8%
Belanja Sewa Alat Kantor Lainnya 55,000,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 10,870,000.00 36,211,300.00 18,788,700.00 65.8%
1.02.02.05 Belanja Sewa Gedung dan Bangunan 27,500,000.00 - - - - - - - - 27,500,000.00 0.0%

1.02.02.05.0040 Belanja Sewa Rumah Negara Golongan III 27,500,000.00 - - - - - - - - 27,500,000.00 0.0%
Belanja Sewa Rumah Jabatan/Rumah Dinas 27,500,000.00 - - - - - 27,500,000.00 0.0%
1.02.02.08 Belanja Jasa Konsultansi Konstruksi 879,675,000.00 - 104,641,920.00 265,387,236.00 - 24,104,538.00 450,944,937.00 475,049,475.00 845,078,631.00 34,596,369.00 96.1%
Belanja Jasa Konsultansi Perencanaan Rekayasa-Jasa Desain

1.02.02.08.0007 Rekayasa untuk Konstruksi Pondasi serta Struktur Bangunan 377,955,000.00 - 104,641,920.00 265,387,236.00 - - - - 370,029,156.00 7,925,844.00 97.9%
- Belanja jasa konsultasi perencanaan pekerjaan taman (Belanja

Konsultasi Perencanaan diatas 100 juta s/d 200 juta) 6,660,000.00 - - - - - 6,660,000.00 0.0%
- Belanja jasa konsultasi perencanaan pekerjaan pemasangan lift
(Biaya Konstruksi Fisik > 800.000.000 s/d 900.000.000) - - - - - - -
- Belanja jasa konsultasi perencanaan pekerjaan renov gedung rawat
jalan rs 105,450,000.00 - 104,641,920.00 - - 104,641,920.00 808,080.00 99.2%
- Beban Jasa Konsultansi Perencanaan Konstruksi rehap gedung IGD
(Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000 )
28,305,000.00 - - 28,210,650.00 - 28,210,650.00 94,350.00 99.7%
- Belanja jasa konsultasi perencanaan pekerjaan taman ( Biaya
Konstruksi Fisik > 1.700.000.000 s/d 1.800.000.000 86,580,000.00 - - 86,471,220.00 - 86,471,220.00 108,780.00 99.9%
- Belanja jasa konsultasi perencanaan pekerjaan pembangunan tempat
parkir ( Biaya Konstruksi Fisik > 3.500.000.000 s/d
3.600.000.000 ) 142,080,000.00 - - 141,902,400.00 - 141,902,400.00 177,600.00 99.9%
- Belanja jasa konsultasi perencanaan pekerjaan Akses Jalan IGD

( Biaya Konstruksi Fisik 100.000.000 s/d 200.000.000) 8,880,000.00 - - 8,802,966.00 - 8,802,966.00 77,034.00 99.1%
Belanja Jasa Konsultansi Pengawasan Rekayasa-Jasa Pengawas

1.02.02.08.0019 Pekerjaan Konstruksi Bangunan Gedung 501,720,000.00 - - - - 24,104,538.00 450,944,937.00 475,049,475.00 475,049,475.00 26,670,525.00 94.7%
Page 13
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja jasa konsultasi pengawasan pekerjaan taman( Belanja
Konsultasi Pengawasan diatas 100 juta s/d 200 juta) 5,550,000.00 - - - - - 5,550,000.00 0.0%
- Belanja jasa konsultasi pengawasan pembangunan gedung RS
( paviliun ) Biaya Konstruksi Fisik > 6.900.000.000 s/d
7.000.000.000 195,360,000.00 - - - 195,200,160.00 195,200,160.00 195,200,160.00 159,840.00 99.9%
- Belanja jasa konsultasi pengawasan pekerjaan pemasangan lift - - - - - -
- Belanja jasa konsultasi pengawasan pekerjaan rehap gedung rawat
jalan rs 88,800,000.00 - - - 88,589,100.00 88,589,100.00 88,589,100.00 210,900.00 99.8%
- Beban Jasa Konsultansi Pengawasan Konstruksi Rehap gedung IGD

(Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000) 18,870,000.00 - - - 18,666,648.00 18,666,648.00 18,666,648.00 203,352.00 98.9%
- Belanja jasa konsultasi pengawasan pekerjaan taman ( Biaya
Konstruksi Fisik > 1.700.000.000 s/d 1.800.000.000 68,820,000.00 - - - 48,540,189.00 48,540,189.00 48,540,189.00 20,279,811.00 70.5%
- Belanja jasa konsultasi pengawasan pekerjaan pembangunan tempat
3.600.000.000 ) 118,770,000.00 - - - 118,615,488.00 118,615,488.00 118,615,488.00 154,512.00 99.9%
- Belanja jasa konsultasi pengawasan pekerjaan Akses Jalan IGD (

Biaya Konstruksi Fisik 100.000.000 s/d 200.000.000) 5,550,000.00 - - - 5,437,890.00 5,437,890.00 5,437,890.00 112,110.00 98.0%
1.02.02.09 Belanja Jasa Konsultansi Non Konstruksi 127,000,000.00 - - 54,912,810.00 - - 64,047,000.00 64,047,000.00 118,959,810.00 8,040,190.00 93.7%
1.02.02.09.0006 Belanja Jasa Konsultansi Berorientasi Bidang-Keuangan 55,000,000.00 - - 54,912,810.00 - - - - 54,912,810.00 87,190.00 99.8%
Belanja jasa akuntan publik audit laporan keuangan 55,000,000.00 - - 54,912,810.00 - 54,912,810.00 87,190.00 99.8%
1.02.02.09.0011 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Survei 22,000,000.00 - - - - - 19,647,000.00 19,647,000.00 19,647,000.00 2,353,000.00 89.3%
Belanja jasa survey IKM 22,000,000.00 - - - 19,647,000.00 19,647,000.00 19,647,000.00 2,353,000.00 89.3%
1.02.02.09.0014 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Khusus 50,000,000.00 - - - - - 44,400,000.00 44,400,000.00 44,400,000.00 5,600,000.00 88.8%
Belanja jasa penyusunan dokumen perijinan 50,000,000.00 - - - 44,400,000.00 44,400,000.00 44,400,000.00 5,600,000.00 88.8%
1.02.02.11 Belanja Beasiswa Pendidikan PNS 60,000,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
1.02.02.11.0002 Belanja Beasiswa Tugas Belajar S2 60,000,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
Beban Beasiswa Pendidikan PNS Lainnya 60,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis serta

1.02.02.12 Pendidikan dan Pelatihan 421,765,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 142,827,998.00 66.1%
1.02.02.12.0001 Belanja Kursus Singkat/Pelatihan 421,765,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 142,827,998.00 66.1%
- Bimbingan Akreditasi - - - - - -
- Belanja kursus/pelatihan/bimtek/workshop ( pelayanan bedah,
fungsional, manajerial, dll) 395,515,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 116,577,998.00 70.5%
- Biaya pendaftaran kursus/pelatihan/bimtek/workshop Akreditasi 26,250,000.00 - - - - - 26,250,000.00 0.0%

- Bimbingan Teknis ISO - - - - - -
1.02.03 Belanja Pemeliharaan 4,335,271,300.00 345,851,497.00 869,521,377.00 972,143,481.00 409,794,012.00 188,575,333.00 1,260,708,197.00 1,859,077,542.00 4,046,593,897.00 288,677,403.00 93.3%
1.02.03.02 Belanja Pemeliharaan Peralatan dan Mesin 1,268,537,100.00 19,513,800.00 96,879,120.00 327,260,000.00 172,400,779.00 37,974,350.00 529,996,916.00 740,372,045.00 1,184,024,965.00 84,512,135.00 93.3%
Belanja Pemeliharaan Alat Besar-Alat Bantu-Electric Generating
1.02.03.02.0022 Set 17,000,000.00 - - - 10,376,169.00 - 3,441,000.00 13,817,169.00 13,817,169.00 3,182,831.00 81.3%
Pemeliharaan Genset Penggantian spare part dan servis ( kali ) 17,000,000.00 - - - 10,376,169.00 3,441,000.00 13,817,169.00 13,817,169.00 3,182,831.00 81.3%
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat

1.02.03.02.0036 Bermotor-Kendaraan Bermotor Penumpang 205,000,000.00 - 75,139,770.00 34,079,200.00 30,666,100.00 - 63,707,790.00 94,373,890.00 203,592,860.00 1,407,140.00 99.3%
Bermotor-Kendaraan Bermotor Penumpang 205,000,000.00 - 75,139,770.00 34,079,200.00 30,666,100.00 63,707,790.00 94,373,890.00 203,592,860.00 1,407,140.00 99.3%
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat

1.02.03.02.0117 Kantor-Alat Kantor Lainnya (Komputer,printer,dll ) 100,777,600.00 19,513,800.00 6,893,100.00 58,732,550.00 8,992,250.00 5,084,700.00 14,076,950.00 99,216,400.00 1,561,200.00 98.5%

1.02.03.02.0121 Rumah Tangga-Alat Pendingin 115,000,000.00 - 10,017,750.00 48,667,550.00 - 26,151,600.00 29,781,300.00 55,932,900.00 114,618,200.00 381,800.00 99.7%
Pemeliharaan AC Gedung/Kantor Pemeliharaan Portable/Split, servis
dan Penggantian Spare Part 75,000,000.00 - - 39,204,800.00 26,151,600.00 9,523,800.00 35,675,400.00 74,880,200.00 119,800.00 99.8%
Page 14
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pemeliharaan AC Gedung/Kantor Pemeliharaan AC central, servis
dan penggantian Spare part 40,000,000.00 - 10,017,750.00 9,462,750.00 20,257,500.00 20,257,500.00 39,738,000.00 262,000.00 99.3%
-

1.02.03.02.0123 Rumah Tangga-Alat Rumah Tangga Lainnya (Home Use) 309,193,000.00 - 4,828,500.00 56,231,925.00 29,249,610.00 2,830,500.00 197,115,971.00 229,196,081.00 290,256,506.00 18,936,494.00 93.9%
Pemeliharaan/perbaikan ringan Alat Rumah Tangga 95,000,000.00 - 4,828,500.00 36,766,050.00 29,249,610.00 2,830,500.00 16,613,760.00 48,693,870.00 90,288,420.00 4,711,580.00 95.0%
Pemeliharaan/perbaikan sedang Alat Rumah Tangga 190,193,000.00 - - 19,465,875.00 157,102,211.00 157,102,211.00 176,568,086.00 13,624,914.00 92.8%
Belanja pemeliharaan lift 24,000,000.00 - - - 23,400,000.00 23,400,000.00 23,400,000.00 600,000.00 97.5%
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat

1.02.03.02.0232 Kedokteran-Alat Kedokteran Lainnya 401,566,500.00 - - 129,548,775.00 102,108,900.00 169,816,155.00 271,925,055.00 401,473,830.00 92,670.00 100.0%
-
Belanja Pemeliharaan Komputer-Komputer Unit-Komputer Unit
1.02.03.02.0406 Lainnya 120,000,000.00 - - - - - 61,050,000.00 61,050,000.00 61,050,000.00 58,950,000.00 50.9%
Pemeliharaan soft ware SIM RS 120,000,000.00 - - - 61,050,000.00 61,050,000.00 61,050,000.00 58,950,000.00 50.9%
1.02.03.03 Belanja Pemeliharaan Gedung dan Bangunan 3,066,734,200.00 326,337,697.00 772,642,257.00 644,883,481.00 237,393,233.00 150,600,983.00 730,711,281.00 1,118,705,497.00 2,862,568,932.00 204,165,268.00 93.3%
Belanja Pemeliharaan Bangunan Gedung-Bangunan Gedung
1.02.03.03.0006 Tempat Kerja-Bangunan Kesehatan 2,497,678,600.00 233,990,666.00 644,343,307.00 450,507,449.00 216,397,583.00 116,995,333.00 632,443,666.00 965,836,582.00 2,294,678,004.00 203,000,596.00 91.9%
- Belanja Pemeliharan Gedung dan Bangunan 500,000,000.00 - 199,632,292.00 99,521,450.00 99,402,250.00 101,444,008.00 200,846,258.00 500,000,000.00 - 100.0%
- Belanja Pemeliharan Gedung dan Bangunan (silpa BLUD) 500,000,000.00 - - - 297,008,992.00 297,008,992.00 297,008,992.00 202,991,008.00 59.4%
- Belanja Pemeliharaan kebersihan Rumah Sakit ( 12 bulan ) 1,497,678,600.00 233,990,666.00 444,711,015.00 350,985,999.00 116,995,333.00 116,995,333.00 233,990,666.00 467,981,332.00 1,497,669,012.00 9,588.00 100.0%

1.02.03.03.0036 Tempat Kerja-Taman 269,055,600.00 41,991,300.00 79,959,750.00 62,986,950.00 20,995,650.00 20,995,650.00 41,991,300.00 83,982,600.00 268,920,600.00 135,000.00 99.9%
Belanja Pemeliharaan taman 269,055,600.00 41,991,300.00 79,959,750.00 62,986,950.00 20,995,650.00 20,995,650.00 41,991,300.00 83,982,600.00 268,920,600.00 135,000.00 99.9%
Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-Instalasi Air

1.02.03.04.0083 Kotor Lainnya 300,000,000.00 50,355,731.00 48,339,200.00 131,389,082.00 12,610,000.00 56,276,315.00 68,886,315.00 298,970,328.00 1,029,672.00 99.7%
1.02.04 Belanja Perjalanan Dinas 734,550,250.00 - 24,427,983.00 7,564,305.00 72,475,000.00 11,606,500.00 263,635,119.00 347,716,619.00 379,708,907.00 354,841,343.00 51.7%
1.02.04.01 Belanja Perjalanan Dinas Dalam Negeri 734,550,250.00 - 24,427,983.00 7,564,305.00 72,475,000.00 11,606,500.00 263,635,119.00 347,716,619.00 379,708,907.00 354,841,343.00 51.7%
1.02.04.01.0001 Belanja Perjalanan Dinas Biasa 257,207,500.00 - 12,284,000.00 3,345,000.00 47,374,500.00 9,566,500.00 139,152,976.00 196,093,976.00 211,722,976.00 45,484,524.00 82.3%
a. Belanja Perjalanan Dinas Biasa 137,297,500.00 - 6,719,500.00 - - 9,011,500.00 116,264,377.00 125,275,877.00 131,995,377.00 5,302,123.00 96.1%
- Belanja Perjalanan Dinas Luar 117,698,000.00 - 6,719,500.00 - 9,011,500.00 101,035,548.00 110,047,048.00 116,766,548.00 931,452.00 99.2%
- Belanja Perjalanan Dinas luar daerah akreditasi 19,599,500.00 - - - 15,228,829.00 15,228,829.00 15,228,829.00 4,370,671.00 77.7%
b. Belanja Transportasi dan Akomodasi 119,910,000.00 - 5,564,500.00 3,345,000.00 47,374,500.00 555,000.00 22,888,599.00 70,818,099.00 79,727,599.00 40,182,401.00 66.5%
- Belanja Transportasi dan akomodasi petugas kalibrasi 48,110,000.00 - - - 45,210,000.00 555,000.00 45,765,000.00 45,765,000.00 2,345,000.00 95.1%
- Belanja transportasi dan akomodasi surveyor kegiatan akreditasi
Rumah Sakit 3,500,000.00 - 3,400,000.00 - - 3,400,000.00 100,000.00 97.1%
- Belanja transportasi dan akomodasi pengambil sample ( air bersih,
air limbah, dll ) 19,150,000.00 - 2,164,500.00 1,665,000.00 2,164,500.00 1,332,000.00 3,496,500.00 7,326,000.00 11,824,000.00 38.3%
- Belanja transportasi dan akomodasi petugas perijinan sarana dan
prasarana RS 19,150,000.00 - - - - - 19,150,000.00 0.0%
- Belanja transportasi dan akomodasi narasumber kegiatan pelatihan
internal 30,000,000.00 - - 1,680,000.00 21,556,599.00 21,556,599.00 23,236,599.00 6,763,401.00 77.5%
1.02.04.01.0003 Belanja Perjalanan Dinas Dalam Kota 29,075,000.00 - 1,450,000.00 - - 2,040,000.00 7,380,000.00 9,420,000.00 10,870,000.00 18,205,000.00 37.4%
- Belanja perjalanan dinas dalam kota kegiatan Akreditasi Rumah
Sakit 4,275,000.00 - - - - - 4,275,000.00 0.0%
- Belanja perjalanan dinas dalam kota kegiatan administrasi
perkantoran 24,800,000.00 - 1,450,000.00 - 2,040,000.00 7,380,000.00 9,420,000.00 10,870,000.00 13,930,000.00 43.8%
- Belanja perjalanan dinas dalam kota kegiatan Pelayanan Home Care
Geriantri - - - - - -
-
1.02.04.01.0005 Belanja Perjalanan Dinas Paket Meeting Luar Kota 448,267,750.00 - 10,693,983.00 4,219,305.00 25,100,500.00 - 117,102,143.00 142,202,643.00 157,115,931.00 291,151,819.00 34.2%
- Belanja perjalanan dinas kegiatan Pendidikan dan Pelatihan
Eksternal 240,200,000.00 - 10,693,983.00 4,219,305.00 25,100,500.00 106,442,143.00 131,542,643.00 146,455,931.00 93,744,069.00 61.0%
- Belanja perjalanan dinas kegiatan Pendidikan dan Pelatihan Internal 25,000,000.00 - - - 10,660,000.00 10,660,000.00 10,660,000.00 14,340,000.00 42.6%
Page 15
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja perjalanan dinas luar daerah kegiatan bimtek Akreditasi
Rumah Sakit 55,167,750.00 - - - - - 55,167,750.00 0.0%
- Belanja Perjalanan Dinas luar daerah Studi Banding 63,950,000.00 - - - - - 63,950,000.00 0.0%
- Belanja perjalanan dinas luar daerah kegiatan value gathering 63,950,000.00 - - - - - 63,950,000.00 0.0%
Belanja Uang dan/atau Jasa untuk Diberikan kepada Pihak

1.02.05 Ketiga/Pihak Lain/Masyarakat 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
Belanja Uang yang Diberikan kepada Pihak Ketiga/Pihak
1.02.05.01 Lain/Masyarakat 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
1.02.05.01.0004 Belanja Penanganan Dampak Sosial Kemasyarakatan 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
Tarif perawatan jenazah Mr X 7,500,000.00 - - 872,000.00 - 872,000.00 6,628,000.00 11.6%
5.2 BELANJA MODAL 19,059,541,376.00 460,664,000.00 193,644,445.00 2,686,915,563.00 3,720,858,315.00 1,312,654,700.00 8,005,373,309.00 13,038,886,324.00 16,380,110,332.00 2,679,431,044.00 85.9%
( SILPA BLUD )
5.2.02 Belanja Modal Peralatan dan Mesin 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99.99 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99.99.9999 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
2.02.03 Belanja Modal Alat Bengkel dan Alat Ukur 12,385,752.00 - 7,144,737.00 - - - - - 7,144,737.00 5,241,015.00 57.7%
2.02.03.01 Belanja Modal Alat Bengkel Bermesin 12,385,752.00 - 7,144,737.00 - - - - - 7,144,737.00 5,241,015.00 57.7%
Belanja Modal Perkakas Konstruksi Logam yang Transportable
2.02.03.01.0002 (Berpindah) 10,272,978.00 - 5,295,477.00 - - - - - 5,295,477.00 4,977,501.00 51.5%
Mesin Potong ( Kayu, Besi dan Aluminium ) 4,198,221.00 - 3,698,520.00 - - 3,698,520.00 499,701.00 88.1%
Mesin Bor Listrik (Rotary Hammer) 1,810,309.00 - 1,596,957.00 - - 1,596,957.00 213,352.00 88.2%
Tang Potong Kabel Hidrolik 4,264,448.00 - - - - - 4,264,448.00 0.0%
2.02.03.01.0006 Belanja Modal Perkakas Bengkel Kayu 2,112,774.00 - 1,849,260.00 - - - - - 1,849,260.00 263,514.00 87.5%
Mesin Gergaji Circular 2,112,774.00 - 1,849,260.00 - - 1,849,260.00 263,514.00 87.5%
2.02.05 Belanja Modal Alat Kantor dan Rumah Tangga 467,794,497.00 - 186,499,708.00 55,326,063.00 126,917,085.00 - 55,686,480.00 182,603,565.00 424,429,336.00 43,365,161.00 90.7%
2.02.05.01 Belanja Modal Alat Kantor 129,298,935.00 - 58,344,784.00 - 11,322,000.00 - 49,148,580.00 60,470,580.00 118,815,364.00 10,483,571.00 91.9%
2.02.05.01.0003 Belanja Modal Alat Reproduksi (Penggandaan) 25,626,348.00 - - - - - 25,019,400.00 25,019,400.00 25,019,400.00 606,948.00 97.6%
Mesin Foto Copy 25,626,348.00 - - - 25,019,400.00 25,019,400.00 25,019,400.00 606,948.00 97.6%
2.02.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor 41,808,879.00 - 41,483,884.00 - - - - - 41,483,884.00 324,995.00 99.2%
Almari arsip 2 Pintu Sliding ( kaca ) 41,808,879.00 - 41,483,884.00 - - 41,483,884.00 324,995.00 99.2%
Lemari Dialyser - - - - - -
2.02.05.01.0005 Belanja Modal Alat Kantor Lainnya 61,863,708.00 - 16,860,900.00 - 11,322,000.00 - 24,129,180.00 35,451,180.00 52,312,080.00 9,551,628.00 84.6%
Alat kantor lainnya 1,185,569.00 - - - - - 1,185,569.00 0.0%
Penghancur Kertas 6,638,188.00 - 5,547,780.00 - - 5,547,780.00 1,090,408.00 83.6%
LCD Proyektor 27,442,530.00 - 8,049,720.00 - 16,008,420.00 16,008,420.00 24,058,140.00 3,384,390.00 87.7%
Bed Elevator - - - - - - -
Layar Projector 3,797,421.00 - 3,263,400.00 - - 3,263,400.00 534,021.00 85.9%
Fingerspot Access Door 22,800,000.00 - - - 11,322,000.00 8,120,760.00 19,442,760.00 19,442,760.00 3,357,240.00 85.3%
2.02.05.02 Belanja Modal Alat Rumah Tangga 338,495,562.00 - 128,154,924.00 55,326,063.00 115,595,085.00 - 6,537,900.00 122,132,985.00 305,613,972.00 32,881,590.00 90.3%
2.02.05.02.0001 Belanja Modal Mebel 66,675,924.00 - 66,225,924.00 - - - - - 66,225,924.00 450,000.00 99.3%
Meja Kantor 1/2 Biro Uk. 120 x 75 x 75 cm 18,437,544.00 - 18,347,544.00 - - 18,347,544.00 90,000.00 99.5%
Kursi Tunggu 4 Seat/Bangku 48,238,380.00 - 47,878,380.00 - - 47,878,380.00 360,000.00 99.3%
2.02.05.02.0003 Belanja Modal Alat Pembersih 69,300,646.00 - 13,597,500.00 - 45,100,000.00 - - 45,100,000.00 58,697,500.00 10,603,146.00 84.7%
Container Sampah Pemecah 6m3 54,198,192.00 - - - 45,100,000.00 45,100,000.00 45,100,000.00 9,098,192.00 83.2%
Mesin Cuci 16 Kg 11,500,000.00 - 10,660,440.00 - - 10,660,440.00 839,560.00 92.7%
Vacuum Cleaner 3,602,454.00 - 2,937,060.00 - - 2,937,060.00 665,394.00 81.5%
2.02.05.02.0004 Belanja Modal Alat Pendingin 87,970,794.00 - - 18,844,359.00 65,389,085.00 - - 65,389,085.00 84,233,444.00 3,737,350.00 95.8%
AC Mobile 1,700,000.00 - - - - - 1,700,000.00 0.0%
AC 1 PK 30,272,725.00 - - - 30,272,725.00 30,272,725.00 30,272,725.00 - 100.0%
AC 2 PK 35,116,360.00 - - - 35,116,360.00 35,116,360.00 35,116,360.00 - 100.0%
Frezzer 12,382,050.00 - - 12,376,500.00 - 12,376,500.00 5,550.00 100.0%
Page 16
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Lemari Es 180 liter, 1 pintu 8,499,659.00 - - 6,467,859.00 - 6,467,859.00 2,031,800.00 76.1%
-
2.02.05.02.0005 Belanja Modal Alat Dapur 18,426,000.00 - - 11,766,000.00 - - 6,537,900.00 6,537,900.00 18,303,900.00 122,100.00 99.3%
Kompor Gas 1 tungku 3,885,000.00 - - 3,885,000.00 - 3,885,000.00 - 100.0%
Blender 2,220,000.00 - - 2,220,000.00 - 2,220,000.00 - 100.0%
Food Processor 1,221,000.00 - - 1,221,000.00 - 1,221,000.00 - 100.0%
Rak Piring Alumunium 4,440,000.00 - - 4,440,000.00 - 4,440,000.00 - 100.0%
Water Jug thermos 1,498,500.00 - - - 1,498,500.00 1,498,500.00 1,498,500.00 - 100.0%
Coffee warmer 2 tungku 1,332,000.00 - - - 1,332,000.00 1,332,000.00 1,332,000.00 - 100.0%
Electrik & gass rool top chafing dish ( 2 fungsi ) 1,498,500.00 - - - 1,487,400.00 1,487,400.00 1,487,400.00 11,100.00 99.3%
Pemanas soup elektrik 10 lt 1,498,500.00 - - - 1,443,000.00 1,443,000.00 1,443,000.00 55,500.00 96.3%
Coffee decanter ( teko ) 333,000.00 - - - 305,250.00 305,250.00 305,250.00 27,750.00 91.7%
Panci sayur ( stainless steel ) 499,500.00 - - - 471,750.00 471,750.00 471,750.00 27,750.00 94.4%
2.02.05.02.0006 Belanja Modal Alat Rumah Tangga Lainnya ( Home Use ) 96,122,198.00 - 48,331,500.00 24,715,704.00 5,106,000.00 - - 5,106,000.00 78,153,204.00 17,968,994.00 81.3%
Televisi 32 inch, Full HD, Tuner Digital 21,596,988.00 - 21,192,000.00 - - 21,192,000.00 404,988.00 98.1%
Tangga lipat 1,275,945.00 - - 1,214,784.00 - 1,214,784.00 61,161.00 95.2%
Lemari linen bahan stainlesstel, berpintu 27,245,454.00 - 27,139,500.00 - - 27,139,500.00 105,954.00 99.6%
Tandon Air 3,785,489.00 - - 3,409,920.00 - 3,409,920.00 375,569.00 90.1%
Loudspeaker 8,856,302.00 - - 8,658,000.00 - 8,658,000.00 198,302.00 97.8%
Brachet TV 5,292,000.00 - - - 5,106,000.00 5,106,000.00 5,106,000.00 186,000.00 96.5%
Sound system pengeras suara 4,440,000.00 - - 4,440,000.00 - 4,440,000.00 - 100.0%
Mic wireless 7,000,000.00 - - 6,993,000.00 - 6,993,000.00 7,000.00 99.9%
Sound Audio Ruang Rapat 16,630,020.00 - - - - - 16,630,020.00 0.0%
2.02.05.03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - - - - - -

2.02.05.03.0002 Belanja Modal Meja Rapat Pejabat - - - - - - - - - -
Meja Tamu Biasa - - - - - - -
2.02.07 Belanja Modal Alat Kedokteran dan Kesehatan 1,571,568,883.00 - - 24,908,400.00 - 31,450,000.00 1,072,757,711.00 1,104,207,711.00 1,129,116,111.00 442,452,772.00 71.8%
- 2.02.07.01.0001 Belanja Modal Alat Kedokteran Umum 1,571,568,883.00 - - 24,908,400.00 - 31,450,000.00 1,072,757,711.00 1,104,207,711.00 1,129,116,111.00 442,452,772.00 71.8%
Antropometri Set 27,588,666.00 - - - 23,650,000.00 23,650,000.00 23,650,000.00 3,938,666.00 85.7%
Gunting conjungtiva 2,353,200.00 - - - 2,353,200.00 2,353,200.00 2,353,200.00 - 100.0%
Lewis lens Loop 1,842,600.00 - - - 1,842,600.00 1,842,600.00 1,842,600.00 - 100.0%
Lens Loop 5,394,600.00 - - - 5,394,600.00 5,394,600.00 5,394,600.00 - 100.0%
Beer cillia 2,375,400.00 - - - 2,375,400.00 2,375,400.00 2,375,400.00 - 100.0%
Tenotomy 35,342,400.00 - - - 35,342,400.00 35,342,400.00 35,342,400.00 - 100.0%
Tensimeter digital 16,222,500.00 - - - - - 16,222,500.00 0.0%
Stetoscope 40,655,480.00 - - - 38,610,000.00 38,610,000.00 38,610,000.00 2,045,480.00 95.0%
Head Lamp 2,400,000.00 - - - - - 2,400,000.00 0.0%
Otoscope mini 23,136,200.00 - - - 6,700,000.00 6,700,000.00 6,700,000.00 16,436,200.00 29.0%
Inner sheat 24 48,791,720.00 - - - 43,861,513.00 43,861,513.00 43,861,513.00 4,930,207.00 89.9%
Blender Obat 5,336,000.00 - - - 5,000,000.00 5,000,000.00 5,000,000.00 336,000.00 93.7%
Set Rawat luka 82,320,000.00 - - - 55,832,000.00 55,832,000.00 55,832,000.00 26,488,000.00 67.8%
TLD 50,204,301.00 - - 24,908,400.00 23,882,760.00 23,882,760.00 48,791,160.00 1,413,141.00 97.2%
Termogun ( Termometer Gun) 43,956,000.00 - - - 11,520,000.00 11,520,000.00 11,520,000.00 32,436,000.00 26.2%
Timbangan bayi 2,414,000.00 - - - 2,400,000.00 2,400,000.00 2,400,000.00 14,000.00 99.4%
Lampu tindakan 27,972,000.00 - - - 23,200,000.00 23,200,000.00 23,200,000.00 4,772,000.00 82.9%
Pengukur tinggi badan 2,444,333.00 - - - 1,700,000.00 1,700,000.00 1,700,000.00 744,333.00 69.5%
Medicine Cabinet 19,766,478.00 - - - 18,950,000.00 18,950,000.00 18,950,000.00 816,478.00 95.9%
Overbed Table 14,954,810.00 - - - 13,471,500.00 13,471,500.00 13,471,500.00 1,483,310.00 90.1%
Dressing trolley 143,278,245.00 - - - 143,228,220.00 143,228,220.00 143,228,220.00 50,025.00 100.0%
Standar Infus 98,041,856.00 - - - 90,200,000.00 90,200,000.00 90,200,000.00 7,841,856.00 92.0%
Examination Table - - - - - - -
Bed periksa (2 section) 20,879,100.00 - - - 12,500,000.00 12,500,000.00 12,500,000.00 8,379,100.00 59.9%
Timbangan berat badan dan tinggi badan 14,943,000.00 - - - 14,865,000.00 14,865,000.00 14,865,000.00 78,000.00 99.5%
Vidio Laringoscope 70,000,000.00 - - - 67,359,250.00 67,359,250.00 67,359,250.00 2,640,750.00 96.2%
Loop AV Shunt 55,600,000.00 - - - 55,600,000.00 55,600,000.00 55,600,000.00 - c
Suction Pump 40,142,040.00 - - - - - 40,142,040.00 0.0%
Kursi Roda 29,526,000.00 - - - 26,640,000.00 26,640,000.00 26,640,000.00 2,886,000.00 90.2%
Brankar/Bed Transfer/emergency bed - - - - - - -
Page 17
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Emergency Set 72,000,000.00 - - - 65,300,000.00 65,300,000.00 65,300,000.00 6,700,000.00 90.7%
Sutter Bipolar 36,773,000.00 - - - 34,830,268.00 34,830,268.00 34,830,268.00 1,942,732.00 94.7%
Basic ortodontic set 51,415,200.00 - - - - - 51,415,200.00 0.0%
Dressing trolley - - - - - - -
Biopsi tang 20,533,100.00 - - - - - 20,533,100.00 0.0%
Tampon tang 7,565,000.00 - - - - - 7,565,000.00 0.0%
Minor basic set 92,982,800.00 - - - 42,725,000.00 42,725,000.00 42,725,000.00 50,257,800.00 45.9%
Spekulum vagina kecil 1,160,050.00 - - - - - 1,160,050.00 0.0%
Spekulum vagina besar 1,160,050.00 - - - - - 1,160,050.00 0.0%
Ligasure Impact curved 23,940,000.00 - - - - - 23,940,000.00 0.0%
Mortar 16cm 635,000.00 - - - - - 635,000.00 0.0%
Latex Mattress-KK-001 83,874,000.00 - - - 83,874,000.00 83,874,000.00 83,874,000.00 - 100.0%
Emergency bed 97,086,150.00 - - - 94,000,000.00 94,000,000.00 94,000,000.00 3,086,150.00 96.8%
Humidifier 4,257,900.00 - - - - - 4,257,900.00 0.0%
Meja Mayo 8,602,500.00 - - - 8,350,000.00 8,350,000.00 8,350,000.00 252,500.00 97.1%
Forcep stone 37,565,110.00 - - - - - 37,565,110.00 0.0%
Tabung O2 6 m3 1,665,000.00 - - - - - 1,665,000.00 0.0%
Dilator 6,013,890.00 - - - - - 6,013,890.00 0.0%
NIV full face Masks 5,726,140.00 - - - - - 5,726,140.00 0.0%
Resucitators Adult 4,600,000.00 - - - 4,600,000.00 4,600,000.00 4,600,000.00 - 100.0%
Heacting set 85,000,000.00 - - - 44,050,000.00 44,050,000.00 44,050,000.00 40,950,000.00 51.8%
Alkes Lainnya 1,133,064.00 - - - - - 1,133,064.00 0.0%
2.02.10 Belanja Modal Komputer 891,372,821.00 460,664,000.00 - 28,500,000.00 2,758,350.00 - 381,696,510.00 384,454,860.00 873,618,860.00 17,753,961.00 98.0%
2.02.10.01.0002 Belanja Modal personal Komputer 777,021,621.00 398,950,000.00 - 28,500,000.00 - - 344,145,510.00 344,145,510.00 771,595,510.00 5,426,111.00 99.3%
PC unit 257,497,800.00 128,500,000.00 - - 128,704,500.00 128,704,500.00 257,204,500.00 293,300.00 99.9%
Server 214,778,000.00 212,000,000.00 - - - 212,000,000.00 2,778,000.00 98.7%
Notebook Intel Core i5 153,735,000.00 30,700,000.00 - 28,500,000.00 92,241,000.00 92,241,000.00 151,441,000.00 2,294,000.00 98.5%
Ncomputing L300 27,750,000.00 27,750,000.00 - - - 27,750,000.00 - 100.0%
Laptop (Up To 12Th Gen Intel® Core™ I7 · Up To Windows ) 43,720,721.00 - - - 43,711,800.00 43,711,800.00 43,711,800.00 8,921.00 100.0%
Mikrotik Routerboard CR317-1G-16S+RM 10,147,500.00 - - - 10,146,510.00 10,146,510.00 10,146,510.00 990.00 100.0%
UPS C 3000VA LCD 230V 47,392,600.00 - - - 47,385,900.00 47,385,900.00 47,385,900.00 6,700.00 100.0%
Memory 16 GB 2933 MHz SNPTFYHPC 22,000,000.00 - - - 21,955,800.00 21,955,800.00 21,955,800.00 44,200.00 99.8%
2.02.10.02.0003 Belanja Modal Peralatan Personal Computer 114,351,200.00 61,714,000.00 - - 2,758,350.00 - 37,551,000.00 40,309,350.00 102,023,350.00 12,327,850.00 89.2%
Printer , Ecotank 21,116,640.00 18,800,000.00 - - - 18,800,000.00 2,316,640.00 89.0%
Printer Scanner 69,042,000.00 35,514,000.00 - - 23,676,000.00 23,676,000.00 59,190,000.00 9,852,000.00 85.7%
Monitor 19 inci 7,432,560.00 7,400,000.00 - - - 7,400,000.00 32,560.00 99.6%
Printer Argox 2140 2,760,000.00 - - - 2,758,350.00 2,758,350.00 2,758,350.00 1,650.00 99.9%
Scanner Smart office 14,000,000.00 - - - 13,875,000.00 13,875,000.00 13,875,000.00 125,000.00 99.1%
5.2.03 Belanja Modal Gedung dan Bangunan 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99.99 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99.99.9999 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03 Belanja Modal Gedung dan Bangunan 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01 Belanja Modal Bangunan Gedung 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01.01 Belanja Modal Bangunan Gedung Tempat Kerja 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01.01.0006 Belanja Modal Bangunan Kesehatan 10,516,934,397.00 - - 2,578,181,100.00 2,276,610,000.00 1,221,236,950.00 3,199,789,063.00 6,697,636,013.00 9,275,817,113.00 1,241,117,284.00 88.2%
1 m2 Pembangunan Rawat Inap (2lt) 7,397,368,970.00 - - 1,951,380,000.00 2,276,610,000.00 2,276,610,000.00 4,553,220,000.00 6,504,600,000.00 892,768,970.00 87.9%
1 m2 Rehab. Sedang Rawat Jalan (2 lt ) 2,513,847,547.00 - - 626,801,100.00 731,267,950.00 843,043,063.00 1,574,311,013.00 2,201,112,113.00 312,735,434.00 87.6%
1 m2 Rehab. Sedang Ruang Gawat Darurat (2lt) 360,794,256.00 - - - 360,090,000.00 360,090,000.00 360,090,000.00 704,256.00 99.8%
1 m2 Rehab. Ringan Ruang Gawat Darurat (2lt)- Akses jalan IGD 130,018,750.00 - - - 129,879,000.00 129,879,000.00 129,879,000.00 139,750.00 99.9%
1 m2 rehab ringan gedung sederhana (gas medik) 114,904,874.00 - - - 80,136,000.00 80,136,000.00 80,136,000.00 34,768,874.00 69.7%
2.03.01.01.0033 Belanja Modal Bangunan Fasilitas Umum 3,680,710,193.00 - - - 883,368,000.00 - 2,355,648,000.00 3,239,016,000.00 3,239,016,000.00 441,694,193.00 88.0%
1 m2 Pembangunan Parkir Beratap 3,680,710,193.00 - - - 883,368,000.00 2,355,648,000.00 3,239,016,000.00 3,239,016,000.00 441,694,193.00 88.0%
2.03.01.01.0036 Belanja Modal Taman 1,796,687,043.00 - - - 431,204,880.00 - 878,795,545.00 1,310,000,425.00 1,310,000,425.00 486,686,618.00 72.9%
Pekerjaan Lanscape Taman - - - - - - -
Page 18
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pembuatan Taman Depan RS 1,796,687,043.00 - - - 431,204,880.00 878,795,545.00 1,310,000,425.00 1,310,000,425.00 486,686,618.00 72.9%
5.2.05 Belanja Modal Aset Tetap Lainnya 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99.99 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99.99.9999 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08 Belanja Modal Aset Tidak Berwujud 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08.01 Belanja Modal Aset Tidak Berwujud 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08.01.0005 Belanja Modal Software 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
Pembuatan/Pengembangan Aplikasi/Software 61,043,895.00 - - - 59,967,750.00 59,967,750.00 59,967,750.00 1,076,145.00 98.2%
Pembuatan/Pengembangan Aplikasi/Software (persediaan dan
indikator mutu) 61,043,895.00 - - - 61,000,000.00 61,000,000.00 61,000,000.00 43,895.00 99.9%
PROGRAM PEMENUHAN UPAYA KESEHATAN

2 1.02.02 PERORANGAN DAN UPAYA KESEHATAN MASYARAKAT 17,908,228,860.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,116,170,898.00 8,353,397,415.00 15,832,540,388.00 2,075,688,472.00 88.4%
Penyediaan Fasilitas Pelayanan Kesehatan untuk UKM dan UKP
1.02.02.2.01 Kewenangan Daerah kabupaten/kota 17,908,228,860.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,116,170,898.00 8,353,397,415.00 15,832,540,388.00 2,075,688,472.00 88.4%
Pengadaan Sarana Fasilitas Pelayanan Kesehatan (DTU-DAU)
1.02.02.2.01.05 (Mandatory) 5,500,000,000.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,553,309,618.00 2,995,638,586.00 4,331,700,559.00 1,168,299,441.00 78.8%
1.02.02.2.01.05.5.1 BELANJA OPERASI 21,375,114.00 - - - - - 19,500,000.00 19,500,000.00 19,500,000.00 1,875,114.00 91.2%
1.02.02.2.01.05.5.1.01 Belanja Pegawai 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
tambahan penghasilan berdasarkan Pertimbangan Objektif
1.02.02.2.01.05.5.1.01.03 Lainnya ASN 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
1.02.02.2.01.05.5.1.01.03.07 Belanja Honorarium 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
Belanja Honorarium Penanggungjawab Pengelola Keuangan
1.02.02.2.01.05.5.1.01.03.07.0001 (DTU-DAU) (Mandatory) 11,400,000.00 - - - - - 9,750,000.00 9,750,000.00 9,750,000.00 1,650,000.00 85.5%
Bendahara Pengeluaran 1,650,000.00 - - - 1,650,000.00 1,650,000.00 1,650,000.00 - 100.0%
Bendahara Pengeluaran Pembantu 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Pejabat Pelaksana Teknis Kegiatan (PPTK) 1,650,000.00 - - - - - - 1,650,000.00 0.0%
Pejabat Pembuat Komitmen/Kuasa Pengguna Anggaran 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Pejabat Penata Usahaan Keuangan SKPD (PPK-SKPD) 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Pembantu PPK SKPD / staf teknis 1,050,000.00 - - - 1,050,000.00 1,050,000.00 1,050,000.00 - 100.0%
Pengguna Anggaran / PA 1,950,000.00 - - - 1,950,000.00 1,950,000.00 1,950,000.00 - 100.0%
Belanja Honorarium Pengadaan Barang/Jasa (DTU-DAU)

1.02.02.2.01.05.5.1.01.03.07.0002 (Mandatory) 2,100,000.00 - - - - - 2,100,000.00 2,100,000.00 2,100,000.00 - 100.0%
Panitia Pengadaan Barang/Jasa - (Konstruksi) 2,100,000.00 - - - 2,100,000.00 2,100,000.00 2,100,000.00 - 100.0%
1.02.02.2.01.05.5.1.02 Belanja Barang dan Jasa 7,875,114.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,114.00 97.1%
1.02.02.2.01.05.5.1.02.01 Belanja Barang 114.00 - - - - - - - - 114.00 0.0%
1.02.02.2.01.05.5.1.02.01.01 Belanja Barang Pakai Habis 114.00 - - - - - - - - 114.00 0.0%
Belanja Alat/Bahan untuk Kegiatan Kantor - Bahan Cetak
1.02.02.2.01.05.5.1.02.01.01.0026 (DTU-DAU) (Mandatory) 114.00 - - - - - - - - 114.00 0.0%
Pembulatan 114.00 - - - - - 114.00 0.0%
1.02.02.2.01.05.5.1.02.02 Belanja Jasa 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%

1.02.02.2.01.05.5.1.02.02.01 Belanja Jasa kantor 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
1.02.02.2.01.05.5.1.02.02.01.0004 Pelaksanan Kegiatan (DTU-DAU) (Mandatory) 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
Panitia Pelaksana Kegiatan 7,875,000.00 - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
1.02.02.2.01.05.5.1.02.02.08 Belanja Jasa Konsultasi Konstruksi - - - - - - - - - -

Belanja Jasa Konsultasi Perencanaan Rekayasa - Jasa Desain
Rekayasa untuk Konstruksi Pondasi serta Struktur Bangunan
1.02.02.2.01.05.5.1.02.02.08.0007 (DTU-DAU) - - - - - - - - - -
Beban Jasa Konsultasi Perencanaan Konstruksi - - - - - -
Belanja Jasa Konsultasi Pengawasan Rekayasa-Jasa Pengawas

1.02.02.2.01.05.5.1.02.02.08.0019 Pekerjaan Konstruksi Bangunan Gedung (DTU-DAU) - - - - - - - - - -
Page 19
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Beban Jasa Konsultasi Pengawasan konstruksi - - - - - -
1.02.02.2.01.05.5.2 BELANJA MODAL 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3 Belanja Modal Gedung dan Bangunan 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01 Belanja Modal Bangunan Gedung 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01.01 Belanja Modal Bangunan Gedung Tempat Kerja 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01.01.0006 Belanja Modal Bangunan Kesehatan (DTU-DAU) (Mandatory) 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1 m2 Pembangunan ICU/ICCU/UGD/CMU (Tak Bertingkat) 5,151,174,886.00 - - 1,236,281,973.00 1,442,328,968.00 1,442,328,968.00 2,884,657,936.00 4,120,939,909.00 1,030,234,977.00 80.0%
Beban Jasa Konsultasi Pengawasan konstruksi 149,850,000.00 - - - 91,480,650.00 91,480,650.00 91,480,650.00 58,369,350.00 61.0%
Beban Jasa Konsultasi Perencanaan Konstruksi 177,600,000.00 - - 99,780,000.00 - 99,780,000.00 77,820,000.00 56.2%
Pengadaan Alat Kesehatan/Alat Penunjang Medik Fasilitas

1.02.02.2.01.14 Pelayanan Kesehatan (DBH CHT) 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2 BELANJA MODAL 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02 Belanja Modal Peralatan dan Mesin 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07 Belanja Modal Alat Kedokteran dan Kesehatan 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07.01 Belanja Alat Kedokteran 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07.01.0001 Belanja Modal Alat Kedokteran Umum 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
- DAK 5,134,178,300.00 - - 1,149,000,000.00 111,960,000.00 2,796,056,249.00 265,011,280.00 3,173,027,529.00 4,322,027,529.00 812,150,771.00 84.2%
Bedside monitor 1,558,350,000.00 - - - 907,200,000.00 907,200,000.00 907,200,000.00 651,150,000.00 58.2%
CPAP 641,399,460.00 - - - 641,399,460.00 641,399,460.00 641,399,460.00 - 100.0%
Doppler 51,302,720.00 - - - 51,300,914.00 51,300,914.00 51,300,914.00 1,806.00 100.0%
Incubator 974,550,000.00 - - - 960,000,000.00 960,000,000.00 960,000,000.00 14,550,000.00 98.5%
Infuse Pump 111,960,000.00 - - - 111,960,000.00 111,960,000.00 111,960,000.00 - 100.0%
Meja Ginecologi 85,890,000.00 - - - 42,800,000.00 42,800,000.00 42,800,000.00 43,090,000.00 49.8%
Neonatal Suction dengan Regulator 26,175,000.00 - - - 25,675,000.00 25,675,000.00 25,675,000.00 500,000.00 98.1%
NST 204,066,778.00 - - - 137,280,875.00 137,280,875.00 137,280,875.00 66,785,903.00 67.3%
Set persalinan 232,182,630.00 - - - 222,211,280.00 222,211,280.00 222,211,280.00 9,971,350.00 95.7%
Set Resusitasi Neonatus / Bayi 16,837,118.00 - - - 16,800,000.00 16,800,000.00 16,800,000.00 37,118.00 99.8%
Syringe pump 56,484,594.00 - - - 56,400,000.00 56,400,000.00 56,400,000.00 84,594.00 99.9%
ventilator 1,174,980,000.00 - - 1,149,000,000.00 - 1,149,000,000.00 25,980,000.00 97.8%
- DBHCHT 7,274,050,560.00 - 4,568,000,000.00 426,081,000.00 260,000,000.00 1,626,881,300.00 297,850,000.00 2,184,731,300.00 7,178,812,300.00 95,238,260.00 98.7%
Bed ICU 127,843,150.00 - - 123,062,000.00 - 123,062,000.00 4,781,150.00 96.3%
Bed Periksa 14,481,000.00 - - 14,388,500.00 - 14,388,500.00 92,500.00 99.4%
Bed Transportasi 147,498,750.00 - - 133,630,500.00 - 133,630,500.00 13,868,250.00 90.6%
Blood Wamer 171,693,668.00 - - 155,000,000.00 - 155,000,000.00 16,693,668.00 90.3%
Cold Module And Embedding Module 260,530,000.00 - - - 260,000,000.00 260,000,000.00 260,000,000.00 530,000.00 99.8%
Dental X Ray 311,534,500.00 - - - 297,850,000.00 297,850,000.00 297,850,000.00 13,684,500.00 95.6%
Endoscopy 3,522,200,000.00 - 3,516,000,000.00 - - 3,516,000,000.00 6,200,000.00 99.8%
PACS Radiologi System 1,626,881,331.00 - - - 1,626,881,300.00 1,626,881,300.00 1,626,881,300.00 31.00 100.0%
USG 1,052,409,911.00 - 1,052,000,000.00 - - 1,052,000,000.00 409,911.00 100.0%
- Pembulatan PACS -
Pembulatan 38,978,250.00 - - - - - 38,978,250.00 0.0%
JUMLAH 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
SP2D APBD 38,177,593,957.00 4,023,624,593.00 11,669,931,613.00 7,207,902,391.00 1,810,656,886.00 7,305,254,084.00 3,587,524,672.00 12,703,435,642.00 35,604,894,239.00 2,572,699,718.00 93.3%
SP2D BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
JUMLAH 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
APBD APBD 38,177,593,957.00 4,023,624,593.00 11,669,931,613.00 7,207,902,391.00 1,810,656,886.00 7,305,254,084.00 3,587,524,672.00 12,703,435,642.00 35,604,894,239.00 2,572,699,718.00 93.3%
5.1 BELANJA OPERASI 20,290,740,211.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,490,853,774.00 4,369,538,227.00 19,791,853,851.00 498,886,360.00 97.5%
5.1.01 BELANJA PEGAWAI 20,282,865,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,483,203,774.00 4,361,888,227.00 19,784,203,851.00 498,661,246.00 97.5%
5.1.02 BELANJA BARANG DAN JASA 7,875,114.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,114.00 97.1%
5.2 BELANJA MODAL 17,886,853,746.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,096,670,898.00 8,333,897,415.00 15,813,040,388.00 2,073,813,358.00 88.4%
5.2.01 BELANJA TANAH
5.2.02 BELANJA PERALATAN DAN MESIN 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
5.2.03 BELANJA GEDUNG DAN BANGUNAN 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
5.2.04 BELANJA JALAN,IRIGASI DAN JARINGAN
Page 20
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
5.2.05 BELANJA ASET TETAP LAINNYA
BLUD BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
5.1 BELANJA OPERASI 103,858,772,448.00 10,784,501,202.00 26,411,067,420.00 21,341,282,591.00 7,033,673,725.00 7,773,534,772.00 16,698,042,609.00 31,505,251,106.00 90,042,102,319.00 13,816,670,129.00 86.7%
5.1.01 BELANJA PEGAWAI 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.02 BELANJA BARANG DAN JASA 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.2 BELANJA MODAL 19,059,541,376.00 460,664,000.00 193,644,445.00 2,686,915,563.00 3,720,858,315.00 1,312,654,700.00 8,005,373,309.00 13,038,886,324.00 16,380,110,332.00 2,679,431,044.00 85.9%
5.2.02 BELANJA PERALATAN DAN MESIN 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.03 BELANJA GEDUNG DAN BANGUNAN 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.05 BELANJA ASET TETAP LAINNYA 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
TOTAL TOTAL 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
5.1 BELANJA OPERASI 124,149,512,659.00 14,808,125,795.00 33,512,999,033.00 25,638,042,009.00 8,472,370,611.00 9,213,522,339.00 18,188,896,383.00 35,874,789,333.00 109,833,956,170.00 14,315,556,489.00 88.5%
5.1.01 BELANJA PEGAWAI 52,276,100,631.00 9,884,416,914.00 16,638,097,498.00 11,362,296,051.00 3,609,348,793.00 4,056,433,627.00 4,005,703,169.00 11,671,485,589.00 49,556,296,052.00 2,719,804,579.00 94.8%
5.2 BELANJA MODAL 36,946,395,122.00 460,664,000.00 4,761,644,445.00 5,598,058,536.00 4,092,818,315.00 7,177,921,217.00 10,102,044,207.00 21,372,783,739.00 32,193,150,720.00 4,753,244,402.00 87.1%
5.2.01 BELANJA TANAH - - - - - - - - - -
5.2.02 BELANJA PERALATAN DAN MESIN 15,351,350,813.00 460,664,000.00 4,761,644,445.00 1,683,815,463.00 501,635,435.00 4,454,387,549.00 2,073,001,981.00 7,029,024,965.00 13,935,148,873.00 1,416,201,940.00 90.8%
5.2.04 BELANJA JALAN,IRIGASI DAN JARINGAN - - - - - - - - - -
161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00
12,565,188,926.00 16,391,443,556.00 28,668,757,570.00
38,274,643,478.00 - - (377,816,980.00)
up 163,016,980.00
up apbd 210,000,000.00
pengembalian (4,800,000.00)
4,800,000.00
-
Caruban, 31 Desember 2023

DIREKTUR MENGETAHUI :
RSUD CARUBAN KABUPATEN MADIUN KABID KEUANGAN KASI VERIFIKASI DAN AKUNTANSI BENDAHARA PENGELUARAN PEMBANTU
Drg.FARID AMIRUDIN, M.Kes SITI WURYANI, SE SRI MARYANI,SE YULI ENDAH YUSTIANA
NIP. 196806282002121002 NIP. 1976303222011012006 NIP. 198406072010012033 NIP. 198407262002122002
Page 21
hasil rapat staf bersama bapak PJ Bupati madiun
1 Laporan bapak pj akan dievaluasi tiap 3 bulan
2 akan aka rekrutmen pppk dari ijasah sd-s1
3 Rsud caruban kedepan akan menjadi pelayanan yg bagaimana ,
Evaluasi tahun anggaran 2023

1 Target pendapatan tahun 2023 sebesar Rp.85.000.000.000,00 telah tercapai
2 Tentang rekrut pegawai yang belum bisa terlaksana ,mohon bisa diusahakan diupayakan untuk segera dilakukan pe
3 Rencana ada rekrut pppk bulan februari dan cpns di bulan mei 2024
Surat kebutuhan PNS untuk di RSUD Caruban sudah di ajukan
Fokus untuk penerimaan PPPK dab CPNS
Bidang penunjang untuk rekrut IT ,harapannya di tahun 2024 IT akan lebih baik untuk mendukung digitalisasi pelaya
Dalam waktu dekan ini ada residensi dari Universitas Hang Tuah Surabaya(magister Hukum Kesehatan) tanggal 19 J
ada 3 pokok masalah yang akan dibahas yakni
a. parkir ditinjau dari segi hukum: PKS , surat perjanjian kerjasama
b. HBL apa yang perlu dilakukan perbaikan
c Audit peningkatan mutu pelayanan , audit pacsa klaim
Dan akan dihadiri oleh para profesor ahli hukum , untuk diskusi
Perselihan konfik dari rumah sakit yang akan di akan diseminarkan dengan para pakar hukum di hotel aston pada h
pendapatan rs bisa digunakan untuk pemda akan tetapi harus melihat likuiditas rs dipertimbangkan
Bagian Tata Usaha
ada beberapa yang belum diselesaiakn
1 taman depan rs ada yang belum diselesaiakan 100%, dan akan disanggupi untuk diselesaikan dengan den
2 Kegiatan bagian tata usaha adalah menunjang kegiatan pelayanan , untuk pergeseran ini perlu dikomuni
3 Untuk SK pejabat, tim teknis per bidang membuat sendiri sendiri per bidang , maka sk yang ada dibagian
Direktur
Semua kegiatan saling berhubungan satu dengan yang lain, jadi perlu peningkatan koordinasi.
Bidang Penunjang
Tahun 2023 yang menjadi masalah pokok yakni
1 Antrian pendaftaran, masih perlu perbaikan di tahun 2024
E-Rekam medis sampai saat ini belum lengkap/ error terutama laporan operasi dan resume medis, sehin
Bagian pokok yang terjadi di IT yakni SDM IT tidak ada yang memiliki keahlian IT , dengan adanya surat e
Untuk mengadaan tenaga IT bila untuk mengdigitalisasi pelayanan akan menyerap dana yang cuku besar
PACS ini setelah dievaluasi belum terkoneksi dengan SIMRS rumah sakit, harusnya ini menjadi salah satu
SDM IT perlu dicukupi , IT menjadi prioritas dan perlu pengganggaran yang cukup besar
2 Kenyamanan adalah AC , yang selama ini AC ada banyak keluhan yang tdk dingin, Perlu dievaluasi tata ca
Prilaku/ disiplin pegawai. Di linen ada sistem di pihak ke3 atau tetap menggunakan BLUD, perlu ada radio
3 Bidang penunjang Medis
Penghematan dari semua lini , penghematan di pemakaian obat, BAHP di laboratorium. Dengan mengev
Peningjatan disarana laboratorium dengan jarak yang berjauhan
Radiologi untuk menggabungkan PACS perlu SDM yang bisa mengatasi hal ini
Antrol ini masih menjadi tren kendala , perlu komunikasi dengan pihak BPJS terkait dengan IT
Di laboratorium ada beberapa dokter ini memeriksakan melebihi klaim pembayaran BPJS
Perlu evaluasi penggunaan pemeriksaan laboratorium, apakah pemeriksaan itu diperlukan atau tidak
4 Bidang penunjang non medis
Radio pemancar ini bisa diguanakan diberbagasi sarpras /inventaris lainnya
Ac banyak keluhan , data AC perlu disiapkan untuk melihat kelayakkan AC
Programmer IT ini harus digitalisasi Rumah Sakit, kekurangan SDM di IT seorang Programmer yang ada se
Ditahun 2024 akan diusulkan seorang Programer IT
PACS ini merupakan tanggungjawab dari vendor penyedia sampai bisa mengkonekting/brijing dengan SIM
Bila dari dalam belum bisa mencukupi programer maka perlu bekerjasama dengan pihak ke3
AC perlu dieva;uasi bila sering rusak rusak perlu di evaluasi apakah AC nya atau pemeriharaan nya yang b
Evaluasi pembinaan pegawai ini dibina oleh atasan langsung, bila sudah maksimal maka akan di tangani
Merujuk dengan dokter yang sama ,ini yang merujuk yang salah.
mikro belum bisa dilaksanakan untuk tahun ini perlu dipersiapkan saprasnya.
Pendapatan dokter di swasta antara dokter organik dan dokter tamu,remunnya
Bidang Pelayanan :
1 Belanja DBHCHT dan Dak mencapai 100%
Jumlah SDM keperawatan ini kurang, dengan adanya pembangunan gedung baru dan pelaksanaan perlu
Efisiensi ini perlu dilakukan secara komitmen dan bersama
Evaluasi pemakaian antibiotik, obat, BAHV dan lainnya dengan akan mengaktifkan tim untuk kendali mu
ditahun 2024 untuk mengatasi kekurangan SDM perawat dengan menjadikan satu Asoka, bougenvile, fla
Kru di pinang dan bougenvile ini jadi satu dengan menjadi kelas 1
Paviliun anggrek sendiri
ruang perawat bisa dibangunkan seperti di cemara
Pelayanan Broncoscopy segera di aktifkan , sedangkan untuk pelatihan endoscopy berserta perawatnya
dr Santi perlu di support untuk kegiatan endoscopy
Persiapan onkologi perlu dipersiapka SDM dan saprasnya
Dipelayanan ini banyak kegiatan ini yang tidak bisa jalan sebab banyak kegiatan
Usulan untuk bendahara bantu sebaiknya tidak dari bidang pelayanan, bila di RS lain Kefarmasian ini mas
2 Kedisiplinan dokter dalam jadwal sesuai dengan Hfis, bila pensyaratkan hadir maka perlu disiapkan saran
3 Usulan untuk bendahara bantu sebaiknya tidak dari bidang pelayanan, bila di RS lain Kefarmasian ini mas
4 kehadiran dikaitkan dengan remun , maka remunya akan diberikan selama 3 hari saja , contoh absensi
Absensi ini perlu dievaluasi
Pelatihan dari usulan dokter dokter seperti yang dulu yakni di subsidi sebesar 1,5 juta per orang, atau pe
Banyak keluhan dari pasien terkait dengan merujuk ke RS lain yang ditangani oleh dokter yang sama, apa
Hasil oprasi di Swasta dan di pemerintahan ada selisih
perlu punishment dilaksanakan secara tertip, kadang dokter yang aktif masuk tapi remunnya tidak sama
untuk obat dan farmasi itu akan dikembalikan ke penunjang
masalah yang disampaikan dari bidang pelayanan, untuk dokter dokter ini jangan dilepaskan sendiri , ini
dengan adanya jadwal jadwal dokter yang dibentuk oleh dokter dokter sendiri.dibeberapa poli mohon di
teror terhadap dokter yang berniat baik , untuk peningkatan RS. Mohon dicari siapa pelakunya teror ini
Moorning report medis ini perlu ada diikuti oleh manajemen bisa datang langsung atau melalui zoom
Tim yang diusulkan untuk aktif kembali disemua lini
Kendali Mutu dan biaya pelayanan perlu diaktifkan.Pelayanan operasi yang mahal dikerjakan di RS yang
Perlu Tim investigasi untuk menangani dokter yang bermasalah
Pelatihan dokter atau seminar perlu disuport baiayanya. Pada saat pembelian alkes perlu dicantumkan d
Dokter harus hadir di jam kerja
Dokter itu perlu ada teguran, mungkin mereka tidak tau bila merujuk dengan dokter yang sama maka itu
Bila fround dan terjadi denda maka dendanya akan ditanggung oleh dokter tersebut.
Tahun 2024
tenaga sekuriti sudah di buat tenaga administrasi, yang bisa berkomputer itu ada 2 orang
Direncanakan untuk atahun 2025 farmasi dikembalikan ke bidang penunjang
Pejabat pengadaan di wajibkan untuk mengikuti ujian kompetensi level b atau c
Bisa ikut ujian kompetensi melalui diklat
Kalau ada onkologi maka perlu tempat tersendiri untuk oplosan obat kemo , perlu direncanakan secara fi
onkologi perlu perawat dan tenaga farmasi untuk pelatihan pendukung dokter onkologi
onkologi itu banyak di type B, tidak di type C
kan untuk segera dilakukan perekrutan di tahun 2024
mendukung digitalisasi pelayanan publik

ukum Kesehatan) tanggal 19 Januari 2024
r hukum di hotel aston pada hari sabtu nya
pertimbangkan
untuk diselesaikan dengan denda pekerjaan

pergeseran ini perlu dikomunikasikan
ng , maka sk yang ada dibagian tata usaha menjadi terlambat untuk berkas pengSPJ an
erasi dan resume medis, sehingga masih kesulitan untuk membuat satu data satu sehat (sesuai anjuran dari pemerintah)
ian IT , dengan adanya surat edaran untuk tes programer dari tenaga BLUD, akan tetapi sampai batas waktunya tdka ada yang mendaftar
enyerap dana yang cuku besar.
arusnya ini menjadi salah satu di pihak ketiga
cukup besar
dingin, Perlu dievaluasi tata cara dan pemeliharaan AC .Standar ruang 20-24 c
gunakan BLUD, perlu ada radio pemancar untuk mendeteksi barang barang yang pindah tempat.
aboratorium. Dengan mengevaluasi perlu kebijakan mikro

S terkait dengan IT
mbayaran BPJS
n itu diperlukan atau tidak
orang Programmer yang ada sekarang adalah seorang aplikator dan jaringan instalasi
ngkonekting/brijing dengan SIM RS

dengan pihak ke3
atau pemeriharaan nya yang bermasalah
aksimal maka akan di tangani oleh kepegawaian
ng baru dan pelaksanaan perlu SDM
aktifkan tim untuk kendali mutu dan biaya

kan satu Asoka, bougenvile, flamboyan
doscopy berserta perawatnya akan disekolahkan di tahun 2024
di RS lain Kefarmasian ini masuk di penunjang, untuk dokter ini masuk ke pelayanan sedangkan unitnya masuk ke penunjang
dir maka perlu disiapkan sarana dan saprasn ya
di RS lain Kefarmasian ini masuk di penunjang, untuk dokter ini masuk ke pelayanan sedangkan unitnya masuk ke penunjang
3 hari saja , contoh absensi
sar 1,5 juta per orang, atau pelatihan yang sesuai alatnya baru bisa dikaitkan dengan penggunanya
ani oleh dokter yang sama, apabila ini dilakukan secara terus menerus maka RSUD Caruban akan di denda oelh BPJS
suk tapi remunnya tidak sama

jangan dilepaskan sendiri , ini perlu dinilai oleh atas langsung
ndiri.dibeberapa poli mohon ditertipkan
icari siapa pelakunya teror ini segera ditemukan
angsung atau melalui zoom
g mahal dikerjakan di RS yang menguntungkan dikerjakan di luar RS.
ian alkes perlu dicantumkan dalam kontrak terkait peningkatan SDM sesuai penggunaan alat tersebut
an dokter yang sama maka itu termasuk froud
tu ada 2 orang
o , perlu direncanakan secara fisik ,perlu study banding

kter onkologi
pemerintah)
nya tdka ada yang mendaftar
suk ke penunjang
suk ke penunjang
LAPORAN REALISASI ANGGARAN
RSUD CARUBAN Lampiran IV : PERATURAN MENTERI DALAM NEGERI
TAHUN 2023 NOMOR : 61 TAHUN 2007
TANGGAL : 7 NOVEMBER 2007
Urusan Pemerintahan : 1.02
Organisasi : 1-02.0-00.0-00.01 DINAS KESEHATAN
Sub Unit Organisasi : 1-02.0-00.0-00.01.02 RSUD Caruban -
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
URUSAN PEMERINTAHAN WAJIB YANG BERKAITAN
DENGAN PELAYANAN DASAR 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
PROGRAM PENUNJANG URUSAN PEMERINTAHAN

1 1.02.01 DAERAH KABUPATEN/KOTA 143,187,678,921.00 15,268,789,795.00 33,706,643,478.00 28,324,957,572.00 12,193,228,926.00 10,526,177,039.00 26,174,769,692.00 48,894,175,657.00 126,194,566,502.00 16,993,112,419.00 88.1%
1.02.01.2.02 Administrasi Keuangan Perangkat Daerah 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01 Penyediaan Gaji dan Tunjangan ASN 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1 BELANJA OPERASI 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1.1 Belanja Pegawai 20,269,365,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,471,353,774.00 4,350,038,227.00 19,772,353,851.00 497,011,246.00 97.5%
1.02.01.2.02.01.5.1.1.01.01.0001 Belanja Gaji Pokok PNS 14,037,529,433.00 2,938,223,880.00 4,975,883,400.00 2,958,335,000.00 986,037,100.00 986,248,900.00 992,029,500.00 2,964,315,500.00 13,836,757,780.00 200,771,653.00 98.6%
1.02.01.2.02.01.5.1.1.01.01.0002 Belanja Gaji Pokok PPPK 824,214,784.00 174,715,200.00 291,192,000.00 174,715,200.00 58,238,400.00 58,238,400.00 58,238,400.00 174,715,200.00 815,337,600.00 8,877,184.00 98.9%
1.02.01.2.02.01.5.1.1.01.01.0002 Belanja Gaji Pokok PPPK (Mandatori) 739,107,775.00 - 291,234,000.00 218,425,500.00 72,808,500.00 72,808,500.00 72,808,500.00 218,425,500.00 728,085,000.00 11,022,775.00 98.5%
1.02.01.2.02.01.5.1.1.01.02.0001 Belanja Tunjangan keluarga PNS 1,414,550,792.00 290,474,852.00 488,407,232.00 294,930,956.00 98,827,638.00 98,846,022.00 99,998,062.00 297,671,722.00 1,371,484,762.00 43,066,030.00 97.0%
1.02.01.2.02.01.5.1.1.01.02.0002 Belanja Tunjangan keluarga PPPK 41,261,165.00 7,888,656.00 12,706,560.00 7,623,936.00 2,541,312.00 2,541,312.00 2,541,312.00 7,623,936.00 35,843,088.00 5,418,077.00 86.9%
1.02.01.2.02.01.5.1.1.01.02.0002 Belanja Tunjangan keluarga PPPK (Mandatori) 72,789,101.00 - - 4,686,174.00 3,309,630.00 4,050,846.00 4,050,846.00 11,411,322.00 16,097,496.00 56,691,605.00 22.1%
1.02.01.2.02.01.5.1.1.01.03.0001 Tunjangan Jabatan PNS 140,295,400.00 27,620,000.00 51,080,000.00 28,860,000.00 10,040,000.00 10,040,000.00 10,040,000.00 30,120,000.00 137,680,000.00 2,615,400.00 98.1%
1.02.01.2.02.01.5.1.1.01.04.0001 Tunjangan Fungsional PNS 1,651,765,600.00 340,315,000.00 556,465,000.00 346,060,000.00 118,765,000.00 119,065,000.00 142,935,000.00 380,765,000.00 1,623,605,000.00 28,160,600.00 98.3%
1.02.01.2.02.01.5.1.1.01.05.0001 Tunjangan Fungsional Umum PNS 145,806,700.00 30,830,000.00 51,280,000.00 26,085,000.00 8,030,000.00 7,660,000.00 7,660,000.00 23,350,000.00 131,545,000.00 14,261,700.00 90.2%
1.02.01.2.02.01.5.1.1.01.05.0002 Tunjangan Fungsional Umum PPPK 55,974,600.00 11,880,000.00 19,800,000.00 11,880,000.00 3,960,000.00 3,960,000.00 3,960,000.00 11,880,000.00 55,440,000.00 534,600.00 99.0%
1.02.01.2.02.01.5.1.1.01.05.0002 Tunjangan Fungsional Umum PPPK (Mandatory) 49,481,250.00 - 19,500,000.00 14,440,000.00 4,875,000.00 4,875,000.00 4,875,000.00 14,625,000.00 48,565,000.00 916,250.00 98.1%
1.02.01.2.02.01.5.1.1.01.06.0001 Tunjangan beras PNS 906,646,233.00 190,247,340.00 317,272,020.00 190,899,120.00 63,657,180.00 63,657,180.00 64,164,120.00 191,478,480.00 889,896,960.00 16,749,273.00 98.2%
1.02.01.2.02.01.5.1.1.01.06.0002 Tunjangan beras PPPK 52,201,001.00 9,197,340.00 15,208,200.00 9,124,920.00 3,041,640.00 3,041,640.00 3,041,640.00 9,124,920.00 42,655,380.00 9,545,621.00 81.7%
1.02.01.2.02.01.5.1.1.01.06.0002 Tunjangan beras PPPK (Mandatory) 124,636,093.00 - 7,821,360.00 8,400,720.00 3,765,840.00 4,200,360.00 4,200,360.00 12,166,560.00 28,388,640.00 96,247,453.00 22.8%
1.02.01.2.02.01.5.1.1.01.07.0001 Tunjangan PPh/Tunjangan Khusus PNS 12,645,915.00 2,187,219.00 3,986,839.00 2,238,532.00 781,719.00 736,681.00 793,198.00 2,311,598.00 10,724,188.00 1,921,727.00 84.8%
1.02.01.2.02.01.5.1.1.01.07.0002 Tunjangan PPh/Tunjangan Khusus PPPK - - - - - -
1.02.01.2.02.01.5.1.1.01.08.0001 Pembulatan Gaji PNS 323,972.00 39,734.00 78,269.00 42,544.00 14,038.00 13,871.00 13,981.00 41,890.00 202,437.00 121,535.00 62.5%
1.02.01.2.02.01.5.1.1.01.08.0002 Pembulatan Gaji PPPK 37,112.00 5,372.00 8,057.00 5,361.00 1,787.00 1,787.00 1,787.00 5,361.00 24,151.00 12,961.00 65.1%
1.02.01.2.02.01.5.1.1.01.08.0002 Pembulatan Gaji PPPK (Mandatory) 98,171.00 - 8,676.00 6,455.00 2,102.00 2,068.00 2,068.00 6,238.00 21,369.00 76,802.00 21.8%
1.02.01.2.10 PENINGKATAN PELAYANAN BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
1.02.01.2.10.01 Pelayanan dan Penunjang Pelayanan BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
5.1 BELANJA OPERASI 103,858,772,448.00 10,784,501,202.00 26,411,067,420.00 21,341,282,591.00 7,033,673,725.00 7,773,534,772.00 16,698,042,609.00 31,505,251,106.00 90,042,102,319.00 13,816,670,129.00 86.7%
5.1.01 Belanja Pegawai 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99.99 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.1.01.99.99.9999 Belanja Pegawai BLUD 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
1.01.02 Belanja Tambahan Penghasilan ASN 42,957,647.00 - - - - - - - - 42,957,647.00 0.0%
1.01.02.01 Tambahan Penghasilan berdasarkan Beban Kerja ASN 42,957,647.00 - - - - - - - - 42,957,647.00 0.0%
1.01.02.01.0001 Tambahan Penghasilan berdasarkan Beban Kerja PNS 42,957,647.00 - - - 42,957,647.00 0.0%
Tambahan Penghasilan berdasarkan Pertimbangan Objektif
1.01.03 Lainnya ASN 31,950,277,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,178,185,686.00 93.2%
1.01.03.06 Belanja Jasa Pelayanan Kesehatan bagi ASN 31,935,027,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,510,499,395.00 7,297,597,362.00 29,760,092,201.00 2,174,935,686.00 93.2%
1.01.03.06.0001 Belanja Jasa Pelayanan Kesehatan bagi ASN 31,935,027,887.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,510,499,395.00 7,297,597,362.00 29,760,092,201.00 2,174,935,686.00 93.2%
Belanja Jasa Pelayanan Kesehatan bagi ASN 23,894,626,965.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 1,432,132,126.00 1,432,132,126.00 23,894,626,965.00 - 100.0%
Belanja Jasa Pelayanan Kesehatan bagi ASN ( silpa BLUD ) 8,040,400,922.00 - - - 2,170,651,907.00 2,616,446,060.00 1,078,367,269.00 5,865,465,236.00 5,865,465,236.00 2,174,935,686.00 72.9%
1.01.03.07 Belanja Honorarium 15,250,000.00 - - - - - 12,000,000.00 12,000,000.00 12,000,000.00 3,250,000.00 78.7%
Page 30
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Belanja Honorarium Perangkat Unit Kerja Pengadaan Barang dan
1.01.03.07.0003 Jasa (UKPBJ) 15,250,000.00 - - - - - 12,000,000.00 12,000,000.00 12,000,000.00 3,250,000.00 78.7%
Honorarium Tim Pengadaan dan Pemeriksaan Barang
Penyediaan Alat Tulis Kantor
250 Juta Sd. Rp. 500 Juta 300,000.00 - - - 300,000.00 300,000.00 300,000.00 - 100.0%
Penyediaan Barang Cetakan & penggandaan

250 Juta Sd. Rp. 500 Juta 300,000.00 - - - 300,000.00 300,000.00 300,000.00 - 100.0%
Pengadaan Peralatan Kantor

Pengadaan Mebeuleur Rumah sakit

- Honorarium pejabat Pengadaan dan Barang/Jasa 400,000.00 - - - 350,000.00 350,000.00 350,000.00 50,000.00 87.5%
Pengadaan Pakaian kerja Lapangan

Pengadaan Jasa Pengangkutan dan pengolahan sampah medis RS

- Honorarium panitia Pengadaan dan Barang/Jasa Nilai Pagu
Pengadaan Di Atas Rp. 1 Miliar Sd. Rp. 500 Miliar 450,000.00 - - - 450,000.00 450,000.00 450,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala IPAL dan Sarana Sanitasi

Pengadaan Pemeliharaan rutin/berkala alat alat kesehatan RS

Pengadaan Pakaian pasien dan pakaian kerja lapangan

Pengadaan Pemeliharaan rutin berkala perlengkapan RS

-
Pengadaan Pemeliharaan rutin berkala taman RS -
- Honorarium panitia Pengadaan dan Barang/Jasa 900,000.00 - - - 300,000.00 300,000.00 300,000.00 600,000.00 33.3%
-
Pengadaan alat kesehatan/alat kedokteran RS ( DBHCHT dan DAK ) -
- Honorarium pejabat Pengadaan dan Barang/Jasa Honorarium Pejabat 800,000.00 - - - 800,000.00 800,000.00 800,000.00 - 100.0%
-
Pengadaan gelang identitas pasien -
-
Pengadaan jasa kebersihan -
- Honorarium panitia Pengadaan dan Barang/Jasa 1,200,000.00 - - - 300,000.00 300,000.00 300,000.00 900,000.00 25.0%
-
Pengadaan bahan dan alat kebersihan -
-
Pengadaan bahan pengelolaan linen -
-
Pengadaan peralatan pengelolaan sampah -
- Honorarium pejabat Pemeriksaan Barang/Jasa - - - - - - -
-
Page 31
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pengadaan linen rumah sakit -
-
Pengadaan logistik RS rumah sakit -
- Honorarium pejabat Pengadaan dan Barang/Jasa 4,400,000.00 - - - 4,400,000.00 4,400,000.00 4,400,000.00 - 100.0%
-
Renovasi Bangunan Rumah Sakit -
- Honorarium Pejabat Pengadaan Jasa konsultasi perencanaan dan
pengawasan 600,000.00 - - - 200,000.00 200,000.00 200,000.00 400,000.00 33.3%
- Honorarium Pejabat Pemeriksa Jasa Konsultasi perencanaan dan
pengawasan 600,000.00 - - - 200,000.00 200,000.00 200,000.00 400,000.00 33.3%
- Honorarium Pantia Pengadaan ( konstruksi ) 900,000.00 - - - - - 900,000.00 0.0%
Belanja Bahan - Bahan Kimia (BAHP CSSD)

-
Belanja Bahan - Bahan Kimia (Reagen Lab) -
-
Belanja Bahan - Bahan Kimia (Reagen Lab PA) -
-
Belanja Bahan Radiologi -
-
Belanja Kertas Label Termal -
-
Belanja Alat Listrik -
-
Belanja Natura dan Pakan Natura -
-
Belanja Modal Alat Bengkel dan Alat Ukur -
-
Belanja Modal Alat Kantor dan Rumah Tangga -
Belanja Modal alat kesehatan ( BLUD ) -

1 Miliar Sd. Rp. 500 Miliar 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
5.1.02 Belanja Barang dan Jasa 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99.99 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
5.1.02.99.99.9999 Belanja Barang dan Jasa BLUD 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
1.02 Belanja Barang dan Jasa 71,865,536,914.00 4,923,708,881.00 16,874,901,535.00 14,275,745,958.00 4,863,021,818.00 5,157,088,712.00 14,175,543,214.00 24,195,653,744.00 60,270,010,118.00 11,595,526,796.00 83.9%
1.02.01 Belanja Barang 42,872,434,367.00 798,929,564.00 10,729,634,247.00 9,001,132,981.00 3,245,276,240.00 3,572,622,178.00 10,431,405,092.00 17,249,303,510.00 37,779,000,302.00 5,093,434,065.00 88.1%
1.02.01.01 Belanja Barang Pakai Habis 42,872,434,367.00 798,929,564.00 10,729,634,247.00 9,001,132,981.00 3,245,276,240.00 3,572,622,178.00 10,431,405,092.00 17,249,303,510.00 37,779,000,302.00 5,093,434,065.00 88.1%
1.02.01.01.0002 Belanja Bahan-Bahan Kimia 3,758,066,503.00 145,836,268.00 1,218,876,305.00 659,071,014.00 223,484,301.00 202,024,618.00 883,459,070.00 1,308,967,989.00 3,332,751,576.00 425,314,927.00 88.7%
Belanja bahan-Bahan Kimia ( BAHP-farmasi ) 200,922,041.00 - 15,605,950.00 - 6,741,585.00 2,131,200.00 13,266,720.00 22,139,505.00 37,745,455.00 163,176,586.00 18.8%
Belanja bahan-Bahan Kimia ( BAHP CSSD ) 118,777,800.00 - 34,912,500.00 - 17,948,700.00 3,670,500.00 21,619,200.00 56,531,700.00 62,246,100.00 47.6%
Belanja bahan-bahan kimia (Belanja reagen laboratorium ) 3,023,998,970.00 110,405,068.00 857,555,429.00 639,496,026.00 198,794,016.00 199,893,418.00 856,946,042.00 1,255,633,476.00 2,863,089,999.00 160,908,971.00 94.7%
Belanja bahan-bahan kimia pengelolaan linen Rumah Sakit 211,511,055.00 - 183,272,100.00 - - 183,272,100.00 28,238,955.00 86.6%
Belanja bahan-bahan kimia sanitasi 186,369,578.00 35,431,200.00 121,332,530.00 19,574,988.00 - 176,338,718.00 10,030,860.00 94.6%
Bahan kimia pembersih di Instalasi gizi 16,487,059.00 - 6,197,796.00 - 9,575,808.00 9,575,808.00 15,773,604.00 713,455.00 95.7%
1.02.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 262,480,000.00 - 64,111,460.00 36,098,404.00 34,895,451.00 23,037,320.00 65,710,727.00 123,643,498.00 223,853,362.00 38,626,638.00 85.3%
Page 32
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja bahan bakar minyak/gas ( genset , incenerator ) solar dex 9,450,000.00 - - - 9,400,121.00 9,400,121.00 9,400,121.00 49,879.00 99.5%
- Belanja bahan bakar minyak/gas ( ambulans dan kendaraan
operasional ) 253,030,000.00 - 64,111,460.00 36,098,404.00 34,895,451.00 23,037,320.00 56,310,606.00 114,243,377.00 214,453,241.00 38,576,759.00 84.8%
1.02.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran 10,234,556.00 - - - 7,568,761.00 7,568,761.00 7,568,761.00 2,665,795.00 74.0%
-
1.02.01.01.0012 Belanja Bahan-Bahan Lainnya 15,605,193,352.00 196,375,422.00 4,146,061,684.00 3,269,277,550.00 1,527,854,560.00 633,527,782.00 4,270,064,786.00 6,431,447,128.00 14,043,161,784.00 1,562,031,568.00 90.0%
Belanja Bahan-Isi Tabung Gas (LPG Instalasi Gizi) 63,761,175.00 5,555,550.00 11,324,775.00 11,111,100.00 7,692,300 13,461,525.00 21,153,825.00 49,145,250.00 14,615,925.00 77.1%
Belanja Bahan Radiologi 468,840,181.00 30,377,592.00 139,555,638.00 113,631,144.00 - 99,557,593.00 84,462,342.00 184,019,935.00 467,584,309.00 1,255,872.00 99.7%
Belanja Bahan Radiologi 286,258,000.00 30,377,592.00 139,555,638.00 113,631,144.00 2,693,626.00 2,693,626.00 286,258,000.00 - 100.0%
Belanja Bahan Radiologi (SILPA) 182,582,181.00 - - - 99,557,593.00 81,768,716.00 181,326,309.00 181,326,309.00 1,255,872.00 99.3%
Belanja Plate 3,890,344,228.00 - 1,163,307,555.00 471,129,336.00 335,933,854.00 49,539,855.00 907,959,586.00 1,293,433,295.00 2,927,870,186.00 962,474,042.00 75.3%
Belanja Plate 1,632,196,140.00 - 1,163,307,555.00 432,687,580.00 36,201,005.00 36,201,005.00 1,632,196,140.00 - 100.0%
Belanja Plate (SILPA) 2,258,148,088.00 - - 38,441,756.00 335,933,854.00 49,539,855.00 871,758,581.00 1,257,232,290.00 1,295,674,046.00 962,474,042.00 57.4%
Belanja Bahan dan Alat Kesehatan Habis Pakai 9,429,519,735.00 134,436,300.00 2,321,486,585.00 2,272,214,601.00 1,046,038,806.00 472,733,709.00 2,691,703,058.00 4,210,475,573.00 8,938,613,059.00 490,906,676.00 94.8%
- Belanja Bahan dan Alat Kesehatan Habis Pakai 8,184,730,290.00 - 2,167,578,396.00 2,049,973,517.00 932,602,299.00 387,763,529.00 2,452,390,450.00 3,772,756,278.00 7,990,308,191.00 194,422,099.00 97.6%
- Gas Oksigen, liquid dan CO2 1,064,211,945.00 134,436,300.00 153,908,189.00 222,241,084.00 113,436,507.00 84,970,180.00 239,312,608.00 437,719,295.00 948,304,868.00 115,907,077.00 89.1%
- Bahan Alat Habis Pakai lainnya 19,277,500.00 - - - - - 19,277,500.00 0.0%
- Bahan Alat Habis Pakai lainnya (silpa) 161,300,000.00 - - - - - 161,300,000.00 0.0%
Belanja bahan Lainnya ( belanja Darah ) 1,500,000,000.00 - 406,080,000.00 329,040,000.00 141,120,000.00 - 558,110,000.00 699,230,000.00 1,434,350,000.00 65,650,000.00 95.6%
Belanja bahan Lainnya ( belanja Darah ) 450,364,624.00 - 406,080,000.00 - 44,284,624.00 44,284,624.00 450,364,624.00 - 100.0%
Belanja bahan Lainnya ( belanja Darah )(SILPA) 1,049,635,376.00 - - 329,040,000.00 141,120,000.00 513,825,376.00 654,945,376.00 983,985,376.00 65,650,000.00 93.7%
Bahan lainnya (laboratorium patologi klinik dan patologi
anatomi) 126,817,965.00 26,005,980.00 55,121,131.00 21,989,859.00 4,761,900.00 4,004,325.00 11,335,875.00 20,102,100.00 123,219,070.00 3,598,895.00 97.2%
Bahan-bahan Lainnya ( CSSD ) 125,910,068.00 - 49,186,000.00 50,161,510.00 3,032,400.00 3,032,400.00 102,379,910.00 23,530,158.00 81.3%
1.02.01.01.0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 380,449,023.00 - 359,786,726.00 - 10,986,780.00 - - 10,986,780.00 370,773,506.00 9,675,517.00 97.5%
ATK perkantoran 379,729,023.00 - 359,786,726.00 - 10,986,780.00 10,986,780.00 370,773,506.00 8,955,517.00 97.6%
BELANJA UNTUK ATK / PENGEMAS DI INSTALASI GIZI
(Isolasi) 720,000.00 - - - - - 720,000.00 0.0%
1.02.01.01.0025 Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan Cover 65,106,552.00 9,000,000.00 19,992,000.00 18,000,000.00 - - 15,750,000.00 15,750,000.00 62,742,000.00 2,364,552.00 96.4%
Belanja kertas dan Cover kegiatan perkantoran (kertas Label
Thermal) 61,050,000.00 9,000,000.00 18,000,000.00 18,000,000.00 15,750,000.00 15,750,000.00 60,750,000.00 300,000.00 99.5%
ETIKET DI INSTALASI GIZI 4,056,552.00 - 1,992,000.00 - - 1,992,000.00 2,064,552.00 49.1%
1.02.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 990,183,644.00 - 582,639,275.00 41,726,775.00 12,746,146.00 24,607,863.00 216,832,473.00 254,186,482.00 878,552,532.00 111,631,112.00 88.7%
- Belanja Cetak sertifikat pelatihan Sertifikat

Bimtek/Pelatihan/Seminar Linen, A4/F4, 2 muka, full colour desain 2,997,000.00 - - 654,500.00 404,000.00 88,000.00 492,000.00 1,146,500.00 1,850,500.00 38.3%
- Belanja cetak kartu pasien 94,905,000.00 - - - 92,610,000.00 92,610,000.00 92,610,000.00 2,295,000.00 97.6%
- Belanja cetak blangko rekam medis, map, amplop, dll 648,985,677.00 - 553,161,800.00 28,804,700.00 61,005,000.00 61,005,000.00 642,971,500.00 6,014,177.00 99.1%
-
- Belanja cetak leaflet , poster, stiker, kalender 46,493,200.00 - 11,401,275.00 4,578,625.00 - 1,382,500.00 22,552,500.00 23,935,000.00 39,914,900.00 6,578,300.00 85.9%
Cetak Kalender OPD 21,312,000.00 - - - 20,257,500.00 20,257,500.00 20,257,500.00 1,054,500.00 95.1%
Belanja cetak leaflet 6,050,000.00 - 2,328,225.00 1,278,000.00 872,500.00 872,500.00 4,478,725.00 1,571,275.00 74.0%
Belanja cetak poster 8,021,200.00 - 1,852,500.00 2,705,625.00 80,000.00 500,000.00 580,000.00 5,138,125.00 2,883,075.00 64.1%
Belanja cetak stiker 11,110,000.00 - 7,220,550.00 595,000.00 430,000.00 1,795,000.00 2,225,000.00 10,040,550.00 1,069,450.00 90.4%
- Belanja bahan dekorasi ( spanduk, banner ) kegiatan promosi

dan informasi rumah sakit 22,879,875.00 - 1,737,000.00 1,965,000.00 4,051,500.00 5,577,750.00 1,817,000.00 11,446,250.00 15,148,250.00 7,731,625.00 66.2%
- Belanja Penggandaan 130,558,422.00 - - 498,300.00 7,275,646.00 8,674,373.00 33,139,948.00 49,089,967.00 49,588,267.00 80,970,155.00 38.0%
Belanja penggandaan kegiatan administrasi perkantoran 103,563,000.00 - - - 6,770,446.00 8,674,373.00 18,828,376.00 34,273,195.00 34,273,195.00 69,289,805.00 33.1%
Belanja penggandaan kegiatan Akreditasi Rumah Sakit 24,164,700.00 - - - 13,914,072.00 13,914,072.00 13,914,072.00 10,250,628.00 57.6%
Belanja penggandaan kegiatan pelatihan internal 2,589,075.00 - - 498,300.00 505,200.00 397,500.00 902,700.00 1,401,000.00 1,188,075.00 54.1%
Belanja penggandaan materi kegiatan value gathering 241,647.00 - - - - - 241,647.00 0.0%
Page 33
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja Penjilidan 5,152,620.00 - - - 1,015,000.00 1,015,000.00 1,015,000.00 4,137,620.00 19.7%

- Belanja Papan 37,001,850.00 - 16,339,200.00 4,345,650.00 8,973,240.00 5,620,025.00 14,593,265.00 35,278,115.00 1,723,735.00 95.3%
- Belanja ID Card 1,210,000.00 - - 880,000.00 - - - - 880,000.00 330,000.00 72.7%

ID CARD (TAMU/SURVEYOR) 210,000.00 - - - - - 210,000.00 0.0%
ID CARD (PENUNGGU PASIEN) 1,000,000.00 - - 880,000.00 - 880,000.00 120,000.00 88.0%
- -
1.02.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 6,586,080.00 - 2,000,000.00 1,000,000.00 1,000,000.00 2,500,000.00 3,500,000.00 6,500,000.00 86,080.00 98.7%
1.02.01.01.0029 Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan Komputer 25,873,545.00 - - - - - 25,873,545.00 0.0%
1.02.01.01.0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 641,695,130.00 189,729,002.00 272,731,620.00 - 1,853,700.00 58,798,700.00 - 60,652,400.00 523,113,022.00 118,582,108.00 81.5%
- Belanja Alat/Bahan kebersihan 185,233,748.00 - 164,639,640.00 - - 164,639,640.00 20,594,108.00 88.9%
- Belanja Alat/Bahan pengelolaan linen Rumah Sakit 99,190,466.00 - 88,216,980.00 - - 88,216,980.00 10,973,486.00 88.9%
- Belanja Alat/Bahan pengelolaan sampah 355,383,916.00 189,729,002.00 19,875,000.00 - 58,798,700.00 58,798,700.00 268,402,702.00 86,981,214.00 75.5%
- Perabot Kantor 1,887,000.00 - - - 1,853,700.00 1,853,700.00 1,853,700.00 33,300.00 98.2%
1.02.01.01.0031 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik 173,959,755.00 - - 134,883,870.00 20,679,300.00 18,259,500.00 38,938,800.00 173,822,670.00 137,085.00 99.9%
Belanja Alat/Bahan untuk Kegiatan Kantor- Perlengkapan

1.02.01.01.0034 Pendukung Olahraga 2,213,618.00 - - - - - 2,213,618.00 0.0%
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/Bahan untuk

1.02.01.01.0036 Kegiatan Kantor Lainnya 558,072,232.00 34,836,270.00 90,564,049.00 205,174,254.00 5,996,000.00 17,751,269.00 141,607,498.00 165,354,767.00 495,929,340.00 62,142,892.00 88.9%
Belanja peralatan upacara dan hari besar nasional ( bendera dan
umbul-umbul ) 22,311,000.00 - - 6,660,000.00 - 6,660,000.00 15,651,000.00 29.9%
Belanja Karangan Bunga 12,210,000.00 - 5,000,000.00 2,000,000.00 2,000,000.00 1,500,000.00 1,000,000.00 4,500,000.00 11,500,000.00 710,000.00 94.2%
Belanja penutup badan 19,929,550.00 - - 18,225,000.00 - 18,225,000.00 1,704,550.00 91.4%
Belanja Barang Peralatan Rumah Tangga 17,775,651.00 - - 17,771,150.00 - 17,771,150.00 4,501.00 100.0%
Peralatan Kantor 77,083,873.00 - 66,077,400.00 2,719,500.00 3,996,000.00 3,996,000.00 72,792,900.00 4,290,973.00 94.4%
BAHAN PENGEMAS MAKANAN DAN PEMBERSIH DI
INSTALASI GIZI 90,523,414.00 4,836,270.00 19,486,649.00 18,598,605.00 16,251,269.00 31,155,155.00 47,406,424.00 90,327,948.00 195,466.00 99.8%
Belanja Gelang Pasien 58,608,000.00 30,000,000.00 - 27,499,999.00 - 57,499,999.00 1,108,001.00 98.1%
Belanja Linen Pasien 227,355,676.00 - - 111,700,000.00 105,264,313.00 105,264,313.00 216,964,313.00 10,391,363.00 95.4%
Belanja hospital curtain 32,275,068.00 - - - 4,188,030.00 4,188,030.00 4,188,030.00 28,087,038.00 13.0%
1.02.01.01.0037 Belanja Obat-Obatan-Obat 17,486,385,107.00 - 3,354,546,939.00 3,931,397,023.00 1,379,668,502.00 2,179,284,874.00 4,204,268,476.00 7,763,221,852.00 15,049,165,814.00 2,437,219,293.00 86.1%
Belanja Obat-Obatan 13,682,906,645.00 - 3,354,546,939.00 3,931,397,023.00 1,379,668,502.00 2,179,284,874.00 2,838,009,307.00 6,396,962,683.00 13,682,906,645.00 - 100.0%
Belanja Obat-Obatan (SILPA) 3,803,478,462.00 - - - 1,366,259,169.00 1,366,259,169.00 1,366,259,169.00 2,437,219,293.00 35.9%
1.02.01.01.0043 Belanja Natura dan Pakan-Natura 1,784,917,791.00 223,152,602.00 460,168,689.00 402,162,091.00 - 283,437,952.00 379,286,651.00 662,724,603.00 1,748,207,985.00 36,709,806.00 97.9%
Makanan dan minuman harian pegawai 69,396,250.00 - 33,044,600.00 10,192,600.00 7,934,300.00 14,319,400.00 22,253,700.00 65,490,900.00 3,905,350.00 94.4%
Belanja bahan makanan dan minuman pasien 1,573,996,541.00 207,613,094.00 397,994,824.00 363,873,592.00 255,323,739.00 343,461,508.00 598,785,247.00 1,568,266,757.00 5,729,784.00 99.6%
Belanja Makanan Dan Minuman Pasien ( snack pasien dan minuman
pasien ) 141,525,000.00 15,539,508.00 29,129,265.00 28,095,899.00 20,179,913.00 21,505,743.00 41,685,656.00 114,450,328.00 27,074,672.00 80.9%
1.02.01.01.0052 Belanja Makanan dan Minuman Rapat 430,755,000.00 - 97,863,000.00 45,470,000.00 23,092,000.00 32,114,500.00 84,205,150.00 139,411,650.00 282,744,650.00 148,010,350.00 65.6%
- Belanja makanan dan minuman rapat kegiatan FGD 7,492,500.00 - - - - - 7,492,500.00 0.0%
- Makanan dan minuman Rapat kegiatan administrasi perkantoran 189,810,000.00 - 47,032,000.00 30,684,000.00 12,032,000.00 32,114,500.00 48,262,000.00 92,408,500.00 170,124,500.00 19,685,500.00 89.6%
surveilans ISO 24,975,000.00 - - - - - 24,975,000.00 0.0%
- Belanja makanan dan minuman rapat kegiatan akreditasi rumah
sakit 26,640,000.00 - - - 24,383,150.00 24,383,150.00 24,383,150.00 2,256,850.00 91.5%
- Belanja Makanan dan Minuman Diklat, Seminar, Lokakarya dan
Sejenisnya 47,452,500.00 - - 14,786,000.00 11,060,000.00 11,560,000.00 22,620,000.00 37,406,000.00 10,046,500.00 78.8%
- Belanja Makanan dan Minuman Bimtek Maintenance dan
surveilens ISO 37,462,500.00 - - - - - 37,462,500.00 0.0%
Page 34
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja Makanan dan Minuman Survey ISO 24,975,000.00 - - - - - 24,975,000.00 0.0%
Belanja Makanan dan Minuman Survey Akreditasi dan survey
simulasi 52,447,500.00 - 50,831,000.00 - - 50,831,000.00 1,616,500.00 96.9%
- Belanja Makanan dan Minuman kegiatan value gathering ( paket
meeting ) 19,500,000.00 - - - - - 19,500,000.00 0.0%
1.02.01.01.0053 Belanja Makanan dan Minuman Jamuan Tamu 92,648,076.00 - 12,927,000.00 1,224,000.00 9,212,000.00 15,904,000.00 14,040,000.00 39,156,000.00 53,307,000.00 39,341,076.00 57.5%
- Belanja Makanan dan minuman tamu kegiatan administrasi umum 41,425,200.00 - 8,472,000.00 1,224,000.00 9,212,000.00 4,464,000.00 14,040,000.00 27,716,000.00 37,412,000.00 4,013,200.00 90.3%
- Belanja makanan dan minuman kegiatan pelayanan sunatan massal 19,980,000.00 - - - 11,440,000.00 11,440,000.00 11,440,000.00 8,540,000.00 57.3%
- Belanja Makanan dan Minuman kegiatan Bimtek , Survey
Akreditasi dan survey simuasi ) 26,612,438.00 - 4,455,000.00 - - 4,455,000.00 22,157,438.00 16.7%
- Belanja Makanan dan Minuman kegiatan Survey ISO ) 4,630,438.00 - - - - - 4,630,438.00 0.0%
1.02.01.01.0054 Belanja Penambah Daya Tahan Tubuh 219,796,650.00 - 47,365,500.00 83,658,000.00 14,486,800.00 20,969,000.00 32,752,000.00 68,207,800.00 199,231,300.00 20,565,350.00 90.6%
1.02.01.01.0061 Belanja Pakaian Sipil Harian 190,210,766.00 - - 171,990,000.00 - 171,990,000.00 18,220,766.00 90.4%
1.02.01.01.0068 Belanja Pakaian Siaga 187,606,987.00 - - - 60,485,000.00 95,100,000.00 155,585,000.00 155,585,000.00 32,021,987.00 82.9%
1.02.01.01.0075 Belanja Pakaian Batik Tradisional - - - - - -
1.02.02 Belanja Jasa 23,915,780,997.00 3,778,927,820.00 5,251,317,928.00 4,294,033,191.00 1,135,476,566.00 1,384,284,701.00 2,219,794,806.00 4,739,556,073.00 18,063,835,012.00 5,851,945,985.00 75.5%
1.02.02.01 Belanja Jasa Kantor 20,847,981,997.00 3,507,168,029.00 4,765,985,498.00 3,568,973,894.00 989,804,272.00 1,191,852,306.00 1,423,897,758.00 3,605,554,336.00 15,447,681,757.00 5,400,300,240.00 74.1%
Honorarium Narasumber atau Pembahas, Moderator, Pembawa
1.02.02.01.0003 Acara, dan Panitia 306,500,000.00 - - 99,807,200.00 5,000,000.00 - 42,900,000.00 47,900,000.00 147,707,200.00 158,792,800.00 48.2%
- Jasa Narasumber Pelatihan 306,500,000.00 - - 99,807,200.00 5,000,000.00 - 42,900,000.00 47,900,000.00 147,707,200.00 158,792,800.00 48.2%
Jasa Narasumber Pelatihan APAR 22,500,000.00 - - 2,034,000.00 - 2,034,000.00 20,466,000.00 9.0%
Jasa Narasumber Pelatihan BLS 28,800,000.00 - - 1,500,000.00 - 1,500,000.00 27,300,000.00 5.2%
Jasa Narasumber Pelatihan MAKP 35,000,000.00 - - 25,000,000.00 - 25,000,000.00 10,000,000.00 71.4%
Jasa Narasumber Pelatihan PPI 7,200,000.00 - - - - - 7,200,000.00 0.0%
Jasa Narasumber Pelatihan PPGD EMT 100,000,000.00 - - 66,973,200.00 - 66,973,200.00 33,026,800.00 67.0%
Jasa Narasumber bimtek keuangan 5,000,000.00 - - 2,100,000.00 - 2,100,000.00 2,900,000.00 42.0%
Jasa Narasumber pelatihan SKP 5,000,000.00 - - 2,200,000.00 - 2,200,000.00 2,800,000.00 44.0%
Jasa narasumber kegiatan FGD 58,000,000.00 - - - 5,000,000.00 42,900,000.00 47,900,000.00 47,900,000.00 10,100,000.00 82.6%
Jasa instruktur kegiatan value gathering 45,000,000.00 - - - - - 45,000,000.00 0.0%

1.02.02.01.0004 Pelaksana Kegiatan 103,200,000.00 - - - - - 83,375,000.00 83,375,000.00 83,375,000.00 19,825,000.00 80.8%
Pelaksana Kegiatan /Pengadaan Alat Kesehatan ( DAK dan
DBHCHT ) 18,900,000.00 - - - - - 18,750,000.00 18,750,000.00 18,750,000.00 150,000.00 99.2%
Honor PA - - - - - -
Honor PPKOM/KPA 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Honor PPK 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Honor staf teknis 3,150,000.00 - - - 3,150,000.00 3,150,000.00 3,150,000.00 - 100.0%
Honorarium PPTK 1,650,000.00 - - - 1,650,000.00 1,650,000.00 1,650,000.00 - 100.0%
Panitia Pelaksana Kegiatan - Nilai Pagu Dana Di Atas Rp. 1 Miliar
Sd. Rp. 500 Miliar ( Tim Teknis ) 7,350,000.00 - - - 7,200,000.00 7,200,000.00 7,200,000.00 150,000.00 98.0%

Pelaksana Kegiatan /Pengadaan Alat Kesehatan ( BLUD ) 17,475,000.00 - - - - - 17,325,000.00 17,325,000.00 17,325,000.00 150,000.00 99.1%
Honor PPKOM /KPA Nilai Pagu Dana Di Atas Nilai Pagu Dana Di
Atas Rp. 1 Miiar Sd. Rp. 2,5 Miliar 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Page 35
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Honor PPK Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp. 2,5 Miliar 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Honor bendahara pengeluaran (Nilai Pagu Dana Di Atas Rp. 1
Miiar Sd. Rp. 2,5 Miliar) 1,350,000.00 - - - 1,350,000.00 1,350,000.00 1,350,000.00 - 100.0%
Rp. 1 Miiar Sd. Rp. 2,5 Miliar) 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor staf teknis ( Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp.
2,5 Miliar) 2,700,000.00 - - - 2,550,000.00 2,550,000.00 2,550,000.00 150,000.00 94.4%
Honorarium PPTK ( Nilai Pagu Dana Di Atas Rp. 1 Miiar Sd. Rp.
2,5 Miliar) 1,350,000.00 - - - 1,350,000.00 1,350,000.00 1,350,000.00 - 100.0%
Panitia Pelaksana Kegiatan - NNilai Pagu Dana Di Atas Rp. 1
Miiar Sd. Rp. 2,5 Miliar ( Tim Teknis ) 7,875,000.00 - - - 7,875,000.00 7,875,000.00 7,875,000.00 - 100.0%

Pelaksana Kegiatan /Pengadaan Logistik RS ( Obat, BAHP,
Plate, Bahan Kimia ) ( BLUD ) 16,450,000.00 - - - - - 16,350,000.00 16,350,000.00 16,350,000.00 100,000.00 99.4%
Honor PPKOM /KPA Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor PPK Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd. Rp.500
Miliar 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor bendahara pengeluaran (Nilai Pagu Dana Di Atas Rp. 2,5
Miliar Sd. Rp.500 Miliar) 1,100,000.00 - - - 1,100,000.00 1,100,000.00 1,100,000.00 - 100.0%
Rp. 2,5 Miliar Sd. Rp.500 Miliar) 1,000,000.00 - - - 1,000,000.00 1,000,000.00 1,000,000.00 - 100.0%
Honor staf teknis ( Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar ) 1,400,000.00 - - - 1,300,000.00 1,300,000.00 1,300,000.00 100,000.00 92.9%
Honorarium PPTK ( Nilai Pagu Dana Di Atas Rp. 2,5 Miliar Sd.
Rp.500 Miliar) 1,100,000.00 - - - 1,100,000.00 1,100,000.00 1,100,000.00 - 100.0%
Panitia Pelaksana Kegiatan - Nilai Pagu Dana Di Atas Rp. 2,5
Miliar Sd. Rp.500 Miliar ( Tim Teknis ) 9,450,000.00 - - - 9,450,000.00 9,450,000.00 9,450,000.00 - 100.0%

- Pelaksana Kegiatan /Pembangunan gedung Rawat Inap VIP 7,500,000.00 - - - - - 6,300,000.00 6,300,000.00 6,300,000.00 1,200,000.00 84.0%
Honor PA/KPA 1,300,000.00 - - - 1,300,000.00 1,300,000.00 1,300,000.00 - 100.0%
Honor PPKOM 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor PPK 1,200,000.00 - - - 1,200,000.00 1,200,000.00 1,200,000.00 - 100.0%
Honor staf teknis 600,000.00 - - - 500,000.00 500,000.00 500,000.00 100,000.00 83.3%
Honorarium PPTK 1,100,000.00 - - - - - 1,100,000.00 0.0%

- Pelaksana Kegiatan 42,875,000.00 - - - - - 24,650,000.00 24,650,000.00 24,650,000.00 18,225,000.00 57.5%
Penyediaan Alat Tulis Kantor - Panitia Pelaksana Kegiatan / Teknis 275,000.00 - - - - - 275,000.00 0.0%
Penyediaan Barang Cetakan & penggandaan - Panitia Pelaksana
Kegiatan/Tim Teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan Peralatan Kantor - Panitia Pelaksana Kegiatan/Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Mebeuleur Rumah sakit - Panitia Pelaksana Kegiatan/Tim
teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan Pakaian kerja Lapangan - Panitia Pelaksana Kegiatan/Tim
Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Jasa Pengangkutan dan pengolahan sampah medis RS -
Panitia Pelaksana Kegiatan / Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala IPAL dan Sarana Sanitasi -
Panitia Pelkasana Kegiatan/Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin/berkala alat alat kesehatan RS -
Panitia Pelaksana Kegiatan/Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Page 36
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pengadaan Pakaian pasien dan pakaian kerja lapangan - Panitia
Pelaksana Kegiatan / Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin berkala perlengkapan RS - Panitia
Pelasana kegiatan 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan Pemeliharaan rutin berkala taman RS - Panitia Pelaksana
Kegiatan / Tim Teknis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan alat kesehatan/alat kedokteran RS - Panitia Pelaksana
Kegiatan/Tim Teknis - - - - - -
Pengadaan gelang identitas pasien - Panitia Pelaksana Kegiatan/Tim
Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan jasa kebersihan - Panitia Pelaksana Kegiatan/Tim Teknis 425,000.00 - - - - - 425,000.00 0.0%
Pengadaan bahan dan alat kebersihan - Panitia Pelaksana
Kegiatan/Tim Tehnis 275,000.00 - - - - - 275,000.00 0.0%
Pengadaan bahan pengelolaan linen - Panitia Pelaksana Kegiatan /
Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan peralatan pengelolaan sampah - Panitia Pelaksana
Kegiatan / Tim Teknis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan linen rumah sakit - Panitia Pelaksana Kegiatan/Tim
Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Pengadaan logistik RS rumah sakit - Panitia Pelaksana Kegiatan /
Tim Tehnis - - - - - -
Renovasi Bangunan Rumah Sakit - Panitia Pelaksana Kegiatan / Tim
Teknis - - - - - -
Pembangunan Paviliun - panitia pelaksana kegiatan 17,325,000.00 - - - 16,650,000.00 16,650,000.00 16,650,000.00 675,000.00 96.1%
Pembangunan Parkir beratap - Panitia Pelaksana Kegiatan 7,875,000.00 - - - - - 7,875,000.00 0.0%
Pembuatan Taman - Panitia Pelaksana Kegiatan 7,875,000.00 - - - - - 7,875,000.00 0.0%
Belanja Bahan - Bahan Kimia (BAHP CSSD) - Tim tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan - Bahan Kimia (Reagen Lab) - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan - Bahan Kimia (Reagen Lab PA) - Tim tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Bahan Radiologi - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Kertas Label Termal - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Alat Listrik - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Natura dan Pakan Natura - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Modal Alat Bengkel dan Alat Ukur - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
Belanja Modal Alat Kantor dan Rumah Tangga - Tim Tehnis 400,000.00 - - - 400,000.00 400,000.00 400,000.00 - 100.0%
1.02.02.01.0006 Honorarium Penyuluhan atau Pendampingan 37,000,000.00 - - - - - 34,500,000.00 34,500,000.00 34,500,000.00 2,500,000.00 93.2%
dana kurang dari 5 M ( Ketua Tim ) 3,750,000.00 - - - 3,750,000.00 3,750,000.00 3,750,000.00 - 100.0%
dana kurang dari 5 M ( Sekretaris Tim ) 3,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 - 100.0%
dana kurang dari 5 M ( Anggota Tim ) 15,750,000.00 - - - 14,000,000.00 14,000,000.00 14,000,000.00 1,750,000.00 88.9%
dana lebih dari 5 M ( Ketua Tim ) 3,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 - 100.0%
dana lebih dari 5 M ( Sekretaris Tim ) 2,500,000.00 - - - 2,500,000.00 2,500,000.00 2,500,000.00 - 100.0%
dana lebih dari 5 M ( Anggota Tim ) 9,000,000.00 - - - 8,250,000.00 8,250,000.00 8,250,000.00 750,000.00 91.7%
1.02.02.01.0014 Belanja Jasa Tenaga Kesehatan 7,016,000,000.00 1,279,548,000.00 1,555,024,000.00 1,080,777,000.00 352,759,000.00 375,259,000.00 407,759,000.00 1,135,777,000.00 5,051,126,000.00 1,964,874,000.00 72.0%
- Belanja Jasa Tenaga Ahli ( penepri ) dokter spesialis 60,000,000.00 - - - 60,000,000.00 0.0%
- Insentif Dokter 120,000,000.00 - - 22,500,000.00 - 22,500,000.00 55,000,000.00 77,500,000.00 100,000,000.00 20,000,000.00 83.3%
a. Intensif Tenaga Ahli (Dokter Spesialis) 60,000,000.00 - - - 55,000,000.00 55,000,000.00 55,000,000.00 5,000,000.00 91.7%
b. Intensif Tenaga Ahli (Dokter Interensif) 60,000,000.00 - - 22,500,000.00 22,500,000.00 22,500,000.00 45,000,000.00 15,000,000.00 75.0%
- Honorarium tenaga kontrak BLUD 6,812,000,000.00 1,279,548,000.00 1,555,024,000.00 1,058,277,000.00 352,759,000.00 352,759,000.00 352,759,000.00 1,058,277,000.00 4,951,126,000.00 1,860,874,000.00 72.7%
a. Dokter Spesialis ( 3 orang x 13 bulan ) 195,000,000.00 45,000,000.00 50,000,000.00 30,000,000.00 10,000,000.00 10,000,000.00 10,000,000.00 30,000,000.00 155,000,000.00 40,000,000.00 79.5%
b. Perawat dan tenaga lain ( 280 x 13 bulan ) 6,552,000,000.00 1,227,048,000.00 1,495,024,000.00 1,020,777,000.00 340,259,000.00 340,259,000.00 340,259,000.00 1,020,777,000.00 4,763,626,000.00 1,788,374,000.00 72.7%
c. Dokter umum/Dokter gigi ( 2 orang x 13 bulan ) 65,000,000.00 7,500,000.00 10,000,000.00 7,500,000.00 2,500,000.00 2,500,000.00 2,500,000.00 7,500,000.00 32,500,000.00 32,500,000.00 50.0%
Page 37
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja jasa tenaga kesehatan swab massal 5,000,000.00 - - - - - 5,000,000.00 0.0%

- Belanja jasa tenaga kesehatan vaksinasi 19,000,000.00 - - - - - 19,000,000.00 0.0%
1.02.02.01.0029 Belanja Jasa Tenaga Ahli 210,000,000.00 5,000,000.00 45,000,000.00 10,000,000.00 - 5,000,000.00 25,000,000.00 30,000,000.00 90,000,000.00 120,000,000.00 42.9%
- Belanja Jasa Tenaga Ahli ( fisikawan medis ) 30,000,000.00 5,000,000.00 5,000,000.00 10,000,000.00 5,000,000.00 5,000,000.00 10,000,000.00 30,000,000.00 - 100.0%
-Honorarium Dewan Pengawas 180,000,000.00 - 40,000,000.00 - 20,000,000.00 20,000,000.00 60,000,000.00 120,000,000.00 33.3%
-
1.02.02.01.0030 Belanja Jasa Tenaga Kebersihan 10,000,000.00 - 3,500,000.00 - - 2,800,000.00 1,600,000.00 4,400,000.00 7,900,000.00 2,100,000.00 79.0%
Honorarium Pegawai Honorer/Tidak Tetap Kategori Umum ( Jasa
Petugas Kebersihan Kegiatan) 10,000,000.00 - 3,500,000.00 - 2,800,000.00 1,600,000.00 4,400,000.00 7,900,000.00 2,100,000.00 79.0%
1.02.02.01.0036 Belanja Jasa Audit/Surveillance ISO 82,200,000.00 - 20,400,000.00 - - - - - 20,400,000.00 61,800,000.00 24.8%
- Belanja jasa audit kegiatan sertifikasi Akreditasi Rumah Sakit 22,200,000.00 - 20,400,000.00 - - 20,400,000.00 1,800,000.00 91.9%
- Belanja sertifikasi SMM ISO kegiatan Maintenance dan Surveilans
ISO 60,000,000.00 - - - - - 60,000,000.00 0.0%
1.02.02.01.0039 Belanja Jasa Tenaga Informasi dan Teknologi 60,000,000.00 - - - 10,000,000.00 - 15,000,000.00 25,000,000.00 25,000,000.00 35,000,000.00 41.7%
Honorarium Sub Profesional (Programmer Senior) 60,000,000.00 - - - 10,000,000.00 15,000,000.00 25,000,000.00 25,000,000.00 35,000,000.00 41.7%
1.02.02.01.0042 Belanja Jasa Pelaksanaan Transaksi Keuangan 9,650,000.00 - 500,000.00 500,000.00 250,000.00 - 1,282,500.00 1,532,500.00 2,532,500.00 7,117,500.00 26.2%
Biaya Beban Jasa Transaksi Keuangan ( Tranfer ) 6,500,000.00 - - - 32,500.00 32,500.00 32,500.00 6,467,500.00 0.5%
Beban Jasa Transaksi Keuangan (Cek giro ) 3,150,000.00 - 500,000.00 500,000.00 250,000.00 1,250,000.00 1,500,000.00 2,500,000.00 650,000.00 79.4%
1.02.02.01.0047 Belanja Jasa Penyelenggaraan Acara 41,400,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 38,400,000.00 7.2%
- Belanja Jasa Penyelenggaraan Acara Rekrutmen Pegawai BLUD 18,000,000.00 - - - - - 18,000,000.00 0.0%
- Honorarium Instruktur Senam Kegiatan Olahraga/Olimpiade
Siswa/Festival Seni Siswa Dan Sejenisnya 23,400,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 20,400,000.00 12.8%
1.02.02.01.0048 Belanja Jasa Kontribusi Asosiasi 15,000,000.00 - 3,300,000.00 - - - - - 3,300,000.00 11,700,000.00 22.0%
Belanja Iuran Asosiasi 15,000,000.00 - 3,300,000.00 - - 3,300,000.00 11,700,000.00 22.0%
1.02.02.01.0050 Belanja Jasa Kalibrasi 296,650,000.00 24,125,000.00 23,765,000.00 8,230,000.00 18,481,500.00 146,183,500.00 7,492,500.00 172,157,500.00 228,277,500.00 68,372,500.00 77.0%
- Jasa Kalibrasi/pengujian/pengukuran peralatan
kesehatan/kedokteran 200,000,000.00 - 2,400,000.00 2,700,000.00 144,130,000.00 7,492,500.00 151,622,500.00 156,722,500.00 43,277,500.00 78.4%
laundry 60,000,000.00 - 21,090,000.00 3,330,000.00 18,481,500.00 2,053,500.00 20,535,000.00 44,955,000.00 15,045,000.00 74.9%
- Jasa pemantauan mutu eksternal laboratorium 20,000,000.00 17,800,000.00 - - - 17,800,000.00 2,200,000.00 89.0%
- Jasa Pemeriksaan kultur kuman 16,650,000.00 6,325,000.00 275,000.00 2,200,000.00 - 8,800,000.00 7,850,000.00 52.9%
1.02.02.01.0051 Belanja Jasa Pengolahan Sampah 541,569,000.00 - 167,940,780.00 181,631,520.00 46,138,260.00 - 137,132,730.00 183,270,990.00 532,843,290.00 8,725,710.00 98.4%
Jasa pengangkutan dan pengolahan sampah medis 541,569,000.00 - 167,940,780.00 181,631,520.00 46,138,260.00 137,132,730.00 183,270,990.00 532,843,290.00 8,725,710.00 98.4%
1.02.02.01.0055 Belanja Jasa Iklan/Reklame, Film, dan Pemotretan 87,004,550.00 - 31,550,000.00 14,900,000.00 1,500,000.00 6,000,000.00 17,250,000.00 24,750,000.00 71,200,000.00 15,804,550.00 81.8%
1.02.02.01.0059 Belanja Tagihan Telepon 36,000,000.00 2,756,902.00 2,721,939.00 2,924,507.00 1,047,571.00 912,058.00 952,131.00 2,911,760.00 11,315,108.00 24,684,892.00 31.4%
1.02.02.01.0060 Belanja Tagihan Air 132,000,000.00 26,744,000.00 24,756,000.00 26,658,250.00 9,923,250.00 8,390,250.00 7,983,500.00 26,297,000.00 104,455,250.00 27,544,750.00 79.1%
1.02.02.01.0061 Belanja Tagihan Listrik 1,440,000,000.00 321,612,440.00 353,720,220.00 372,758,079.00 112,706,860.00 138,965,880.00 139,551,840.00 391,224,580.00 1,439,315,319.00 684,681.00 100.0%
1.02.02.01.0062 Belanja Langganan Jurnal/Surat Kabar/Majalah 12,720,000.00 - 5,170,000.00 2,110,000.00 3,165,000.00 2,110,000.00 5,275,000.00 12,555,000.00 165,000.00 98.7%
1.02.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan 145,000,000.00 33,695,460.00 33,697,118.00 33,695,460.00 11,226,308.00 11,193,081.00 18,743,081.00 41,162,470.00 142,250,508.00 2,749,492.00 98.1%
1.02.02.01.0064 Belanja Paket/Pengiriman 470,000.00 - 84,000.00 37,500.00 84,000.00 168,000.00 252,000.00 373,500.00 96,500.00 79.5%
1.02.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 21,550,000.00 - 5,344,650.00 - 8,929,950.00 3,540,000.00 - 12,469,950.00 17,814,600.00 3,735,400.00 82.7%
Belanja Pajak Kendaraan Bermotor 15,000,000.00 - 5,344,650.00 - 8,929,950.00 8,929,950.00 14,274,600.00 725,400.00 95.2%
untuk Radiografi Umum 600,000.00 - - - 140,000.00 140,000.00 140,000.00 460,000.00 23.3%
untuk Pesawat sinar-X Penunjang Terapi 550,000.00 - - - - - 550,000.00 0.0%
untuk CT-SCAN 900,000.00 - - - - - 900,000.00 0.0%
Ijin penggunaan dalam Radiologi diagnostik ( Mobile X-ray Unit) 1,500,000.00 - - - 1,040,000.00 1,040,000.00 1,040,000.00 460,000.00 69.3%
Page 38
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
untuk C-Arm 1,500,000.00 - - - 1,040,000.00 1,040,000.00 1,040,000.00 460,000.00 69.3%
Tarif ijin Penggunaan dalam Radiologi Diagnostik dan Konvensional
untuk X-Ray 1,500,000.00 - - - 1,320,000.00 1,320,000.00 1,320,000.00 180,000.00 88.0%
1.02.02.01.0073 Belanja Medical Check Up 237,500,000.00 - - 161,300,000.00 - - - - 161,300,000.00 76,200,000.00 67.9%

Belanja jasa pemeriksaan kesehatan dan vaksinasi karyawan 237,500,000.00 - - 161,300,000.00 - 161,300,000.00 76,200,000.00 67.9%
1.02.02.01.0077 Belanja jasa pelayanan Kesehatan bagi Non ASN 10,006,568,447.00 1,813,686,227.00 2,489,511,791.00 1,573,644,378.00 408,592,573.00 493,608,537.00 478,097,476.00 1,380,298,586.00 7,257,140,982.00 2,749,427,465.00 72.5%
Belanja jasa pelayanan Kesehatan bagi Non ASN 7,143,341,028.00 1,813,686,227.00 2,489,511,791.00 1,573,644,378.00 478,097,476.00 478,097,476.00 6,354,939,872.00 788,401,156.00 89.0%
Belanja jasa pelayanan Kesehatan bagi Non ASN (silpa blud) 2,863,227,419.00 - - - 408,592,573.00 493,608,537.00 902,201,110.00 902,201,110.00 1,961,026,309.00 31.5%
1.02.02.02 Belanja Iuran Jaminan/Asuransi 1,486,159,000.00 271,759,791.00 306,705,310.00 354,303,151.00 108,802,292.00 106,227,857.00 185,468,111.00 400,498,260.00 1,333,266,512.00 152,892,488.00 89.7%
1.02.02.02.0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 1,033,034,000.00 185,545,472.00 225,691,194.00 283,078,420.00 85,060,715.00 80,127,877.00 159,368,131.00 324,556,723.00 1,018,871,809.00 14,162,191.00 98.6%
Belanja Iuran Jaminan Kesehatan bagi ASN dan Non ASN 1,033,034,000.00 185,545,472.00 225,691,194.00 283,078,420.00 85,060,715.00 80,127,877.00 159,368,131.00 324,556,723.00 1,018,871,809.00 14,162,191.00 98.6%
1.02.02.02.0006 Belanja Iuran Jaminan Kecelakaan Kerja bagi Non ASN 453,125,000.00 86,214,319.00 81,014,116.00 71,224,731.00 23,741,577.00 26,099,980.00 26,099,980.00 75,941,537.00 314,394,703.00 138,730,297.00 69.4%
Belanja Premi Asuransi Ketenagakerjaan ( perbulan per orang = Rp
145.000) 453,125,000.00 86,214,319.00 81,014,116.00 71,224,731.00 23,741,577.00 26,099,980.00 26,099,980.00 75,941,537.00 314,394,703.00 138,730,297.00 69.4%
1.02.02.04 Belanja Sewa Peralatan dan Mesin 65,700,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 - 700,000.00 11,570,000.00 36,911,300.00 28,788,700.00 56.2%
1.02.02.04.0036 Belanja Sewa Kendaraan Bermotor Penumpang 10,000,000.00 - - - - - - - - 10,000,000.00 0.0%
Sewa Bus 10,000,000.00 - - - - - 10,000,000.00 0.0%
1.02.02.04.0037 Belanja Sewa Kendaraan Bermotor Angkutan Barang 700,000.00 - - - - - 700,000.00 700,000.00 700,000.00 - 100.0%
Sewa Mobilitas Darat Pick Up 700,000.00 - - - 700,000.00 700,000.00 700,000.00 - 100.0%
1.02.02.04.0117 Belanja Sewa Alat Kantor Lainnya 55,000,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 - - 10,870,000.00 36,211,300.00 18,788,700.00 65.8%
Belanja Sewa Alat Kantor Lainnya 55,000,000.00 - 3,685,200.00 21,656,100.00 10,870,000.00 10,870,000.00 36,211,300.00 18,788,700.00 65.8%
1.02.02.05 Belanja Sewa Gedung dan Bangunan 27,500,000.00 - - - - - - - - 27,500,000.00 0.0%

1.02.02.05.0040 Belanja Sewa Rumah Negara Golongan III 27,500,000.00 - - - - - - - - 27,500,000.00 0.0%
Belanja Sewa Rumah Jabatan/Rumah Dinas 27,500,000.00 - - - - - 27,500,000.00 0.0%
1.02.02.08 Belanja Jasa Konsultansi Konstruksi 879,675,000.00 - 104,641,920.00 265,387,236.00 - 24,104,538.00 450,944,937.00 475,049,475.00 845,078,631.00 34,596,369.00 96.1%
Belanja Jasa Konsultansi Perencanaan Rekayasa-Jasa Desain

1.02.02.08.0007 Rekayasa untuk Konstruksi Pondasi serta Struktur Bangunan 377,955,000.00 - 104,641,920.00 265,387,236.00 - - - - 370,029,156.00 7,925,844.00 97.9%
- Belanja jasa konsultasi perencanaan pekerjaan taman (Belanja

Konsultasi Perencanaan diatas 100 juta s/d 200 juta) 6,660,000.00 - - - - - 6,660,000.00 0.0%
- Belanja jasa konsultasi perencanaan pekerjaan pemasangan lift
(Biaya Konstruksi Fisik > 800.000.000 s/d 900.000.000) - - - - - - -
- Belanja jasa konsultasi perencanaan pekerjaan renov gedung rawat
jalan rs 105,450,000.00 - 104,641,920.00 - - 104,641,920.00 808,080.00 99.2%
- Beban Jasa Konsultansi Perencanaan Konstruksi rehap gedung IGD
(Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000 )
28,305,000.00 - - 28,210,650.00 - 28,210,650.00 94,350.00 99.7%
- Belanja jasa konsultasi perencanaan pekerjaan taman ( Biaya
Konstruksi Fisik > 1.700.000.000 s/d 1.800.000.000 86,580,000.00 - - 86,471,220.00 - 86,471,220.00 108,780.00 99.9%
- Belanja jasa konsultasi perencanaan pekerjaan pembangunan tempat
3.600.000.000 ) 142,080,000.00 - - 141,902,400.00 - 141,902,400.00 177,600.00 99.9%
- Belanja jasa konsultasi perencanaan pekerjaan Akses Jalan IGD

( Biaya Konstruksi Fisik 100.000.000 s/d 200.000.000) 8,880,000.00 - - 8,802,966.00 - 8,802,966.00 77,034.00 99.1%
Belanja Jasa Konsultansi Pengawasan Rekayasa-Jasa Pengawas

1.02.02.08.0019 Pekerjaan Konstruksi Bangunan Gedung 501,720,000.00 - - - - 24,104,538.00 450,944,937.00 475,049,475.00 475,049,475.00 26,670,525.00 94.7%
Page 39
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja jasa konsultasi pengawasan pekerjaan taman( Belanja
Konsultasi Pengawasan diatas 100 juta s/d 200 juta) 5,550,000.00 - - - - - 5,550,000.00 0.0%
- Belanja jasa konsultasi pengawasan pembangunan gedung RS
( paviliun ) Biaya Konstruksi Fisik > 6.900.000.000 s/d
7.000.000.000 195,360,000.00 - - - 195,200,160.00 195,200,160.00 195,200,160.00 159,840.00 99.9%
- Belanja jasa konsultasi pengawasan pekerjaan pemasangan lift - - - - - -
- Belanja jasa konsultasi pengawasan pekerjaan rehap gedung rawat
jalan rs 88,800,000.00 - - - 88,589,100.00 88,589,100.00 88,589,100.00 210,900.00 99.8%
- Beban Jasa Konsultansi Pengawasan Konstruksi Rehap gedung IGD

(Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000) 18,870,000.00 - - - 18,666,648.00 18,666,648.00 18,666,648.00 203,352.00 98.9%
- Belanja jasa konsultasi pengawasan pekerjaan taman ( Biaya
Konstruksi Fisik > 1.700.000.000 s/d 1.800.000.000 68,820,000.00 - - - 48,540,189.00 48,540,189.00 48,540,189.00 20,279,811.00 70.5%
- Belanja jasa konsultasi pengawasan pekerjaan pembangunan tempat
3.600.000.000 ) 118,770,000.00 - - - 118,615,488.00 118,615,488.00 118,615,488.00 154,512.00 99.9%
- Belanja jasa konsultasi pengawasan pekerjaan Akses Jalan IGD (

Biaya Konstruksi Fisik 100.000.000 s/d 200.000.000) 5,550,000.00 - - - 5,437,890.00 5,437,890.00 5,437,890.00 112,110.00 98.0%
1.02.02.09 Belanja Jasa Konsultansi Non Konstruksi 127,000,000.00 - - 54,912,810.00 - - 64,047,000.00 64,047,000.00 118,959,810.00 8,040,190.00 93.7%
1.02.02.09.0006 Belanja Jasa Konsultansi Berorientasi Bidang-Keuangan 55,000,000.00 - - 54,912,810.00 - - - - 54,912,810.00 87,190.00 99.8%
Belanja jasa akuntan publik audit laporan keuangan 55,000,000.00 - - 54,912,810.00 - 54,912,810.00 87,190.00 99.8%
1.02.02.09.0011 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Survei 22,000,000.00 - - - - - 19,647,000.00 19,647,000.00 19,647,000.00 2,353,000.00 89.3%
Belanja jasa survey IKM 22,000,000.00 - - - 19,647,000.00 19,647,000.00 19,647,000.00 2,353,000.00 89.3%
1.02.02.09.0014 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Khusus 50,000,000.00 - - - - - 44,400,000.00 44,400,000.00 44,400,000.00 5,600,000.00 88.8%
Belanja jasa penyusunan dokumen perijinan 50,000,000.00 - - - 44,400,000.00 44,400,000.00 44,400,000.00 5,600,000.00 88.8%
1.02.02.11 Belanja Beasiswa Pendidikan PNS 60,000,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
1.02.02.11.0002 Belanja Beasiswa Tugas Belajar S2 60,000,000.00 - - - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
Beban Beasiswa Pendidikan PNS Lainnya 60,000,000.00 - - - 3,000,000.00 3,000,000.00 3,000,000.00 57,000,000.00 5.0%
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis serta

1.02.02.12 Pendidikan dan Pelatihan 421,765,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 142,827,998.00 66.1%
1.02.02.12.0001 Belanja Kursus Singkat/Pelatihan 421,765,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 142,827,998.00 66.1%
- Bimbingan Akreditasi - - - - - -
fungsional, manajerial, dll) 395,515,000.00 - 70,300,000.00 28,800,000.00 26,000,002.00 62,100,000.00 91,737,000.00 179,837,002.00 278,937,002.00 116,577,998.00 70.5%
- Biaya pendaftaran kursus/pelatihan/bimtek/workshop Akreditasi 26,250,000.00 - - - - - 26,250,000.00 0.0%

- Bimbingan Teknis ISO - - - - - -
1.02.03 Belanja Pemeliharaan 4,335,271,300.00 345,851,497.00 869,521,377.00 972,143,481.00 409,794,012.00 188,575,333.00 1,260,708,197.00 1,859,077,542.00 4,046,593,897.00 288,677,403.00 93.3%
1.02.03.02 Belanja Pemeliharaan Peralatan dan Mesin 1,268,537,100.00 19,513,800.00 96,879,120.00 327,260,000.00 172,400,779.00 37,974,350.00 529,996,916.00 740,372,045.00 1,184,024,965.00 84,512,135.00 93.3%
Belanja Pemeliharaan Alat Besar-Alat Bantu-Electric Generating
1.02.03.02.0022 Set 17,000,000.00 - - - 10,376,169.00 - 3,441,000.00 13,817,169.00 13,817,169.00 3,182,831.00 81.3%
Pemeliharaan Genset Penggantian spare part dan servis ( kali ) 17,000,000.00 - - - 10,376,169.00 3,441,000.00 13,817,169.00 13,817,169.00 3,182,831.00 81.3%

1.02.03.02.0036 Bermotor-Kendaraan Bermotor Penumpang 205,000,000.00 - 75,139,770.00 34,079,200.00 30,666,100.00 - 63,707,790.00 94,373,890.00 203,592,860.00 1,407,140.00 99.3%
Bermotor-Kendaraan Bermotor Penumpang 205,000,000.00 - 75,139,770.00 34,079,200.00 30,666,100.00 63,707,790.00 94,373,890.00 203,592,860.00 1,407,140.00 99.3%

1.02.03.02.0117 Kantor-Alat Kantor Lainnya (Komputer,printer,dll ) 100,777,600.00 19,513,800.00 6,893,100.00 58,732,550.00 8,992,250.00 5,084,700.00 14,076,950.00 99,216,400.00 1,561,200.00 98.5%

1.02.03.02.0121 Rumah Tangga-Alat Pendingin 115,000,000.00 - 10,017,750.00 48,667,550.00 - 26,151,600.00 29,781,300.00 55,932,900.00 114,618,200.00 381,800.00 99.7%
Pemeliharaan AC Gedung/Kantor Pemeliharaan Portable/Split, servis
dan Penggantian Spare Part 75,000,000.00 - - 39,204,800.00 26,151,600.00 9,523,800.00 35,675,400.00 74,880,200.00 119,800.00 99.8%
Page 40
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Pemeliharaan AC Gedung/Kantor Pemeliharaan AC central, servis
dan penggantian Spare part 40,000,000.00 - 10,017,750.00 9,462,750.00 20,257,500.00 20,257,500.00 39,738,000.00 262,000.00 99.3%
-

1.02.03.02.0123 Rumah Tangga-Alat Rumah Tangga Lainnya (Home Use) 309,193,000.00 - 4,828,500.00 56,231,925.00 29,249,610.00 2,830,500.00 197,115,971.00 229,196,081.00 290,256,506.00 18,936,494.00 93.9%
Pemeliharaan/perbaikan ringan Alat Rumah Tangga 95,000,000.00 - 4,828,500.00 36,766,050.00 29,249,610.00 2,830,500.00 16,613,760.00 48,693,870.00 90,288,420.00 4,711,580.00 95.0%
Pemeliharaan/perbaikan sedang Alat Rumah Tangga 190,193,000.00 - - 19,465,875.00 157,102,211.00 157,102,211.00 176,568,086.00 13,624,914.00 92.8%
Belanja pemeliharaan lift 24,000,000.00 - - - 23,400,000.00 23,400,000.00 23,400,000.00 600,000.00 97.5%
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat

1.02.03.02.0232 Kedokteran-Alat Kedokteran Lainnya 401,566,500.00 - - 129,548,775.00 102,108,900.00 169,816,155.00 271,925,055.00 401,473,830.00 92,670.00 100.0%
-
Belanja Pemeliharaan Komputer-Komputer Unit-Komputer Unit
1.02.03.02.0406 Lainnya 120,000,000.00 - - - - - 61,050,000.00 61,050,000.00 61,050,000.00 58,950,000.00 50.9%
Pemeliharaan soft ware SIM RS 120,000,000.00 - - - 61,050,000.00 61,050,000.00 61,050,000.00 58,950,000.00 50.9%
1.02.03.03 Belanja Pemeliharaan Gedung dan Bangunan 3,066,734,200.00 326,337,697.00 772,642,257.00 644,883,481.00 237,393,233.00 150,600,983.00 730,711,281.00 1,118,705,497.00 2,862,568,932.00 204,165,268.00 93.3%
1.02.03.03.0006 Tempat Kerja-Bangunan Kesehatan 2,497,678,600.00 233,990,666.00 644,343,307.00 450,507,449.00 216,397,583.00 116,995,333.00 632,443,666.00 965,836,582.00 2,294,678,004.00 203,000,596.00 91.9%
- Belanja Pemeliharan Gedung dan Bangunan 500,000,000.00 - 199,632,292.00 99,521,450.00 99,402,250.00 101,444,008.00 200,846,258.00 500,000,000.00 - 100.0%
- Belanja Pemeliharan Gedung dan Bangunan (silpa BLUD) 500,000,000.00 - - - 297,008,992.00 297,008,992.00 297,008,992.00 202,991,008.00 59.4%
- Belanja Pemeliharaan kebersihan Rumah Sakit ( 12 bulan ) 1,497,678,600.00 233,990,666.00 444,711,015.00 350,985,999.00 116,995,333.00 116,995,333.00 233,990,666.00 467,981,332.00 1,497,669,012.00 9,588.00 100.0%

1.02.03.03.0036 Tempat Kerja-Taman 269,055,600.00 41,991,300.00 79,959,750.00 62,986,950.00 20,995,650.00 20,995,650.00 41,991,300.00 83,982,600.00 268,920,600.00 135,000.00 99.9%
Belanja Pemeliharaan taman 269,055,600.00 41,991,300.00 79,959,750.00 62,986,950.00 20,995,650.00 20,995,650.00 41,991,300.00 83,982,600.00 268,920,600.00 135,000.00 99.9%
Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-Instalasi Air

1.02.03.04.0083 Kotor Lainnya 300,000,000.00 50,355,731.00 48,339,200.00 131,389,082.00 12,610,000.00 56,276,315.00 68,886,315.00 298,970,328.00 1,029,672.00 99.7%
1.02.04 Belanja Perjalanan Dinas 734,550,250.00 - 24,427,983.00 7,564,305.00 72,475,000.00 11,606,500.00 263,635,119.00 347,716,619.00 379,708,907.00 354,841,343.00 51.7%
1.02.04.01 Belanja Perjalanan Dinas Dalam Negeri 734,550,250.00 - 24,427,983.00 7,564,305.00 72,475,000.00 11,606,500.00 263,635,119.00 347,716,619.00 379,708,907.00 354,841,343.00 51.7%
1.02.04.01.0001 Belanja Perjalanan Dinas Biasa 257,207,500.00 - 12,284,000.00 3,345,000.00 47,374,500.00 9,566,500.00 139,152,976.00 196,093,976.00 211,722,976.00 45,484,524.00 82.3%
a. Belanja Perjalanan Dinas Biasa 137,297,500.00 - 6,719,500.00 - - 9,011,500.00 116,264,377.00 125,275,877.00 131,995,377.00 5,302,123.00 96.1%
- Belanja Perjalanan Dinas Luar 117,698,000.00 - 6,719,500.00 - 9,011,500.00 101,035,548.00 110,047,048.00 116,766,548.00 931,452.00 99.2%
- Belanja Perjalanan Dinas luar daerah akreditasi 19,599,500.00 - - - 15,228,829.00 15,228,829.00 15,228,829.00 4,370,671.00 77.7%
b. Belanja Transportasi dan Akomodasi 119,910,000.00 - 5,564,500.00 3,345,000.00 47,374,500.00 555,000.00 22,888,599.00 70,818,099.00 79,727,599.00 40,182,401.00 66.5%
- Belanja Transportasi dan akomodasi petugas kalibrasi 48,110,000.00 - - - 45,210,000.00 555,000.00 45,765,000.00 45,765,000.00 2,345,000.00 95.1%
- Belanja transportasi dan akomodasi surveyor kegiatan akreditasi
Rumah Sakit 3,500,000.00 - 3,400,000.00 - - 3,400,000.00 100,000.00 97.1%
- Belanja transportasi dan akomodasi pengambil sample ( air bersih,
air limbah, dll ) 19,150,000.00 - 2,164,500.00 1,665,000.00 2,164,500.00 1,332,000.00 3,496,500.00 7,326,000.00 11,824,000.00 38.3%
prasarana RS 19,150,000.00 - - - - - 19,150,000.00 0.0%
internal 30,000,000.00 - - 1,680,000.00 21,556,599.00 21,556,599.00 23,236,599.00 6,763,401.00 77.5%
1.02.04.01.0003 Belanja Perjalanan Dinas Dalam Kota 29,075,000.00 - 1,450,000.00 - - 2,040,000.00 7,380,000.00 9,420,000.00 10,870,000.00 18,205,000.00 37.4%
- Belanja perjalanan dinas dalam kota kegiatan Akreditasi Rumah
Sakit 4,275,000.00 - - - - - 4,275,000.00 0.0%
- Belanja perjalanan dinas dalam kota kegiatan administrasi
perkantoran 24,800,000.00 - 1,450,000.00 - 2,040,000.00 7,380,000.00 9,420,000.00 10,870,000.00 13,930,000.00 43.8%
Geriantri - - - - - -
-
1.02.04.01.0005 Belanja Perjalanan Dinas Paket Meeting Luar Kota 448,267,750.00 - 10,693,983.00 4,219,305.00 25,100,500.00 - 117,102,143.00 142,202,643.00 157,115,931.00 291,151,819.00 34.2%
- Belanja perjalanan dinas kegiatan Pendidikan dan Pelatihan
Eksternal 240,200,000.00 - 10,693,983.00 4,219,305.00 25,100,500.00 106,442,143.00 131,542,643.00 146,455,931.00 93,744,069.00 61.0%
- Belanja perjalanan dinas kegiatan Pendidikan dan Pelatihan Internal 25,000,000.00 - - - 10,660,000.00 10,660,000.00 10,660,000.00 14,340,000.00 42.6%
Page 41
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
- Belanja perjalanan dinas luar daerah kegiatan bimtek Akreditasi
Rumah Sakit 55,167,750.00 - - - - - 55,167,750.00 0.0%
- Belanja Perjalanan Dinas luar daerah Studi Banding 63,950,000.00 - - - - - 63,950,000.00 0.0%
- Belanja perjalanan dinas luar daerah kegiatan value gathering 63,950,000.00 - - - - - 63,950,000.00 0.0%
Belanja Uang dan/atau Jasa untuk Diberikan kepada Pihak

1.02.05 Ketiga/Pihak Lain/Masyarakat 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
Belanja Uang yang Diberikan kepada Pihak Ketiga/Pihak
1.02.05.01 Lain/Masyarakat 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
1.02.05.01.0004 Belanja Penanganan Dampak Sosial Kemasyarakatan 7,500,000.00 - - 872,000.00 - - - - 872,000.00 6,628,000.00 11.6%
Tarif perawatan jenazah Mr X 7,500,000.00 - - 872,000.00 - 872,000.00 6,628,000.00 11.6%
5.2 BELANJA MODAL 19,059,541,376.00 460,664,000.00 193,644,445.00 2,686,915,563.00 3,720,858,315.00 1,312,654,700.00 8,005,373,309.00 13,038,886,324.00 16,380,110,332.00 2,679,431,044.00 85.9%
( SILPA BLUD )
5.2.02 Belanja Modal Peralatan dan Mesin 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99.99 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
5.2.02.99.99.9999 Belanja Modal Peralatan dan Mesin BLUD 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
2.02.03 Belanja Modal Alat Bengkel dan Alat Ukur 12,385,752.00 - 7,144,737.00 - - - - - 7,144,737.00 5,241,015.00 57.7%
2.02.03.01 Belanja Modal Alat Bengkel Bermesin 12,385,752.00 - 7,144,737.00 - - - - - 7,144,737.00 5,241,015.00 57.7%
Belanja Modal Perkakas Konstruksi Logam yang Transportable
2.02.03.01.0002 (Berpindah) 10,272,978.00 - 5,295,477.00 - - - - - 5,295,477.00 4,977,501.00 51.5%
Mesin Potong ( Kayu, Besi dan Aluminium ) 4,198,221.00 - 3,698,520.00 - - 3,698,520.00 499,701.00 88.1%
Mesin Bor Listrik (Rotary Hammer) 1,810,309.00 - 1,596,957.00 - - 1,596,957.00 213,352.00 88.2%
Tang Potong Kabel Hidrolik 4,264,448.00 - - - - - 4,264,448.00 0.0%
2.02.03.01.0006 Belanja Modal Perkakas Bengkel Kayu 2,112,774.00 - 1,849,260.00 - - - - - 1,849,260.00 263,514.00 87.5%
Mesin Gergaji Circular 2,112,774.00 - 1,849,260.00 - - 1,849,260.00 263,514.00 87.5%
2.02.05 Belanja Modal Alat Kantor dan Rumah Tangga 467,794,497.00 - 186,499,708.00 55,326,063.00 126,917,085.00 - 55,686,480.00 182,603,565.00 424,429,336.00 43,365,161.00 90.7%
2.02.05.01 Belanja Modal Alat Kantor 129,298,935.00 - 58,344,784.00 - 11,322,000.00 - 49,148,580.00 60,470,580.00 118,815,364.00 10,483,571.00 91.9%
2.02.05.01.0003 Belanja Modal Alat Reproduksi (Penggandaan) 25,626,348.00 - - - - - 25,019,400.00 25,019,400.00 25,019,400.00 606,948.00 97.6%
Mesin Foto Copy 25,626,348.00 - - - 25,019,400.00 25,019,400.00 25,019,400.00 606,948.00 97.6%
2.02.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor 41,808,879.00 - 41,483,884.00 - - - - - 41,483,884.00 324,995.00 99.2%
Almari arsip 2 Pintu Sliding ( kaca ) 41,808,879.00 - 41,483,884.00 - - 41,483,884.00 324,995.00 99.2%
Lemari Dialyser - - - - - -
2.02.05.01.0005 Belanja Modal Alat Kantor Lainnya 61,863,708.00 - 16,860,900.00 - 11,322,000.00 - 24,129,180.00 35,451,180.00 52,312,080.00 9,551,628.00 84.6%
Alat kantor lainnya 1,185,569.00 - - - - - 1,185,569.00 0.0%
Penghancur Kertas 6,638,188.00 - 5,547,780.00 - - 5,547,780.00 1,090,408.00 83.6%
LCD Proyektor 27,442,530.00 - 8,049,720.00 - 16,008,420.00 16,008,420.00 24,058,140.00 3,384,390.00 87.7%
Bed Elevator - - - - - - -
Layar Projector 3,797,421.00 - 3,263,400.00 - - 3,263,400.00 534,021.00 85.9%
Fingerspot Access Door 22,800,000.00 - - - 11,322,000.00 8,120,760.00 19,442,760.00 19,442,760.00 3,357,240.00 85.3%
2.02.05.02 Belanja Modal Alat Rumah Tangga 338,495,562.00 - 128,154,924.00 55,326,063.00 115,595,085.00 - 6,537,900.00 122,132,985.00 305,613,972.00 32,881,590.00 90.3%
2.02.05.02.0001 Belanja Modal Mebel 66,675,924.00 - 66,225,924.00 - - - - - 66,225,924.00 450,000.00 99.3%
Meja Kantor 1/2 Biro Uk. 120 x 75 x 75 cm 18,437,544.00 - 18,347,544.00 - - 18,347,544.00 90,000.00 99.5%
Kursi Tunggu 4 Seat/Bangku 48,238,380.00 - 47,878,380.00 - - 47,878,380.00 360,000.00 99.3%
2.02.05.02.0003 Belanja Modal Alat Pembersih 69,300,646.00 - 13,597,500.00 - 45,100,000.00 - - 45,100,000.00 58,697,500.00 10,603,146.00 84.7%
Container Sampah Pemecah 6m3 54,198,192.00 - - - 45,100,000.00 45,100,000.00 45,100,000.00 9,098,192.00 83.2%
Mesin Cuci 16 Kg 11,500,000.00 - 10,660,440.00 - - 10,660,440.00 839,560.00 92.7%
Vacuum Cleaner 3,602,454.00 - 2,937,060.00 - - 2,937,060.00 665,394.00 81.5%
2.02.05.02.0004 Belanja Modal Alat Pendingin 87,970,794.00 - - 18,844,359.00 65,389,085.00 - - 65,389,085.00 84,233,444.00 3,737,350.00 95.8%
AC Mobile 1,700,000.00 - - - - - 1,700,000.00 0.0%
AC 1 PK 30,272,725.00 - - - 30,272,725.00 30,272,725.00 30,272,725.00 - 100.0%
AC 2 PK 35,116,360.00 - - - 35,116,360.00 35,116,360.00 35,116,360.00 - 100.0%
Frezzer 12,382,050.00 - - 12,376,500.00 - 12,376,500.00 5,550.00 100.0%
Page 42
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Lemari Es 180 liter, 1 pintu 8,499,659.00 - - 6,467,859.00 - 6,467,859.00 2,031,800.00 76.1%
-
2.02.05.02.0005 Belanja Modal Alat Dapur 18,426,000.00 - - 11,766,000.00 - - 6,537,900.00 6,537,900.00 18,303,900.00 122,100.00 99.3%
Kompor Gas 1 tungku 3,885,000.00 - - 3,885,000.00 - 3,885,000.00 - 100.0%
Blender 2,220,000.00 - - 2,220,000.00 - 2,220,000.00 - 100.0%
Food Processor 1,221,000.00 - - 1,221,000.00 - 1,221,000.00 - 100.0%
Rak Piring Alumunium 4,440,000.00 - - 4,440,000.00 - 4,440,000.00 - 100.0%
Water Jug thermos 1,498,500.00 - - - 1,498,500.00 1,498,500.00 1,498,500.00 - 100.0%
Coffee warmer 2 tungku 1,332,000.00 - - - 1,332,000.00 1,332,000.00 1,332,000.00 - 100.0%
Electrik & gass rool top chafing dish ( 2 fungsi ) 1,498,500.00 - - - 1,487,400.00 1,487,400.00 1,487,400.00 11,100.00 99.3%
Pemanas soup elektrik 10 lt 1,498,500.00 - - - 1,443,000.00 1,443,000.00 1,443,000.00 55,500.00 96.3%
Coffee decanter ( teko ) 333,000.00 - - - 305,250.00 305,250.00 305,250.00 27,750.00 91.7%
Panci sayur ( stainless steel ) 499,500.00 - - - 471,750.00 471,750.00 471,750.00 27,750.00 94.4%
2.02.05.02.0006 Belanja Modal Alat Rumah Tangga Lainnya ( Home Use ) 96,122,198.00 - 48,331,500.00 24,715,704.00 5,106,000.00 - - 5,106,000.00 78,153,204.00 17,968,994.00 81.3%
Televisi 32 inch, Full HD, Tuner Digital 21,596,988.00 - 21,192,000.00 - - 21,192,000.00 404,988.00 98.1%
Tangga lipat 1,275,945.00 - - 1,214,784.00 - 1,214,784.00 61,161.00 95.2%
Lemari linen bahan stainlesstel, berpintu 27,245,454.00 - 27,139,500.00 - - 27,139,500.00 105,954.00 99.6%
Tandon Air 3,785,489.00 - - 3,409,920.00 - 3,409,920.00 375,569.00 90.1%
Loudspeaker 8,856,302.00 - - 8,658,000.00 - 8,658,000.00 198,302.00 97.8%
Brachet TV 5,292,000.00 - - - 5,106,000.00 5,106,000.00 5,106,000.00 186,000.00 96.5%
Sound system pengeras suara 4,440,000.00 - - 4,440,000.00 - 4,440,000.00 - 100.0%
Mic wireless 7,000,000.00 - - 6,993,000.00 - 6,993,000.00 7,000.00 99.9%
Sound Audio Ruang Rapat 16,630,020.00 - - - - - 16,630,020.00 0.0%
2.02.05.03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - - - - - -

2.02.05.03.0002 Belanja Modal Meja Rapat Pejabat - - - - - - - - - -
Meja Tamu Biasa - - - - - - -
2.02.07 Belanja Modal Alat Kedokteran dan Kesehatan 1,571,568,883.00 - - 24,908,400.00 - 31,450,000.00 1,072,757,711.00 1,104,207,711.00 1,129,116,111.00 442,452,772.00 71.8%
- 2.02.07.01.0001 Belanja Modal Alat Kedokteran Umum 1,571,568,883.00 - - 24,908,400.00 - 31,450,000.00 1,072,757,711.00 1,104,207,711.00 1,129,116,111.00 442,452,772.00 71.8%
Antropometri Set 27,588,666.00 - - - 23,650,000.00 23,650,000.00 23,650,000.00 3,938,666.00 85.7%
Gunting conjungtiva 2,353,200.00 - - - 2,353,200.00 2,353,200.00 2,353,200.00 - 100.0%
Lewis lens Loop 1,842,600.00 - - - 1,842,600.00 1,842,600.00 1,842,600.00 - 100.0%
Lens Loop 5,394,600.00 - - - 5,394,600.00 5,394,600.00 5,394,600.00 - 100.0%
Beer cillia 2,375,400.00 - - - 2,375,400.00 2,375,400.00 2,375,400.00 - 100.0%
Tenotomy 35,342,400.00 - - - 35,342,400.00 35,342,400.00 35,342,400.00 - 100.0%
Tensimeter digital 16,222,500.00 - - - - - 16,222,500.00 0.0%
Stetoscope 40,655,480.00 - - - 38,610,000.00 38,610,000.00 38,610,000.00 2,045,480.00 95.0%
Head Lamp 2,400,000.00 - - - - - 2,400,000.00 0.0%
Otoscope mini 23,136,200.00 - - - 6,700,000.00 6,700,000.00 6,700,000.00 16,436,200.00 29.0%
Inner sheat 24 48,791,720.00 - - - 43,861,513.00 43,861,513.00 43,861,513.00 4,930,207.00 89.9%
Blender Obat 5,336,000.00 - - - 5,000,000.00 5,000,000.00 5,000,000.00 336,000.00 93.7%
Set Rawat luka 82,320,000.00 - - - 55,832,000.00 55,832,000.00 55,832,000.00 26,488,000.00 67.8%
TLD 50,204,301.00 - - 24,908,400.00 23,882,760.00 23,882,760.00 48,791,160.00 1,413,141.00 97.2%
Termogun ( Termometer Gun) 43,956,000.00 - - - 11,520,000.00 11,520,000.00 11,520,000.00 32,436,000.00 26.2%
Timbangan bayi 2,414,000.00 - - - 2,400,000.00 2,400,000.00 2,400,000.00 14,000.00 99.4%
Lampu tindakan 27,972,000.00 - - - 23,200,000.00 23,200,000.00 23,200,000.00 4,772,000.00 82.9%
Pengukur tinggi badan 2,444,333.00 - - - 1,700,000.00 1,700,000.00 1,700,000.00 744,333.00 69.5%
Medicine Cabinet 19,766,478.00 - - - 18,950,000.00 18,950,000.00 18,950,000.00 816,478.00 95.9%
Overbed Table 14,954,810.00 - - - 13,471,500.00 13,471,500.00 13,471,500.00 1,483,310.00 90.1%
Dressing trolley 143,278,245.00 - - - 143,228,220.00 143,228,220.00 143,228,220.00 50,025.00 100.0%
Standar Infus 98,041,856.00 - - - 90,200,000.00 90,200,000.00 90,200,000.00 7,841,856.00 92.0%
Examination Table - - - - - - -
Bed periksa (2 section) 20,879,100.00 - - - 12,500,000.00 12,500,000.00 12,500,000.00 8,379,100.00 59.9%
Timbangan berat badan dan tinggi badan 14,943,000.00 - - - 14,865,000.00 14,865,000.00 14,865,000.00 78,000.00 99.5%
Vidio Laringoscope 70,000,000.00 - - - 67,359,250.00 67,359,250.00 67,359,250.00 2,640,750.00 96.2%
Loop AV Shunt 55,600,000.00 - - - 55,600,000.00 55,600,000.00 55,600,000.00 - c
Suction Pump 40,142,040.00 - - - - - 40,142,040.00 0.0%
Kursi Roda 29,526,000.00 - - - 26,640,000.00 26,640,000.00 26,640,000.00 2,886,000.00 90.2%
Brankar/Bed Transfer/emergency bed - - - - - - -
Page 43
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
Emergency Set 72,000,000.00 - - - 65,300,000.00 65,300,000.00 65,300,000.00 6,700,000.00 90.7%
Sutter Bipolar 36,773,000.00 - - - 34,830,268.00 34,830,268.00 34,830,268.00 1,942,732.00 94.7%
Basic ortodontic set 51,415,200.00 - - - - - 51,415,200.00 0.0%
Dressing trolley - - - - - - -
Biopsi tang 20,533,100.00 - - - - - 20,533,100.00 0.0%
Tampon tang 7,565,000.00 - - - - - 7,565,000.00 0.0%
Minor basic set 92,982,800.00 - - - 42,725,000.00 42,725,000.00 42,725,000.00 50,257,800.00 45.9%
Spekulum vagina kecil 1,160,050.00 - - - - - 1,160,050.00 0.0%
Spekulum vagina besar 1,160,050.00 - - - - - 1,160,050.00 0.0%
Ligasure Impact curved 23,940,000.00 - - - - - 23,940,000.00 0.0%
Mortar 16cm 635,000.00 - - - - - 635,000.00 0.0%
Latex Mattress-KK-001 83,874,000.00 - - - 83,874,000.00 83,874,000.00 83,874,000.00 - 100.0%
Emergency bed 97,086,150.00 - - - 94,000,000.00 94,000,000.00 94,000,000.00 3,086,150.00 96.8%
Humidifier 4,257,900.00 - - - - - 4,257,900.00 0.0%
Meja Mayo 8,602,500.00 - - - 8,350,000.00 8,350,000.00 8,350,000.00 252,500.00 97.1%
Forcep stone 37,565,110.00 - - - - - 37,565,110.00 0.0%
Tabung O2 6 m3 1,665,000.00 - - - - - 1,665,000.00 0.0%
Dilator 6,013,890.00 - - - - - 6,013,890.00 0.0%
NIV full face Masks 5,726,140.00 - - - - - 5,726,140.00 0.0%
Resucitators Adult 4,600,000.00 - - - 4,600,000.00 4,600,000.00 4,600,000.00 - 100.0%
Heacting set 85,000,000.00 - - - 44,050,000.00 44,050,000.00 44,050,000.00 40,950,000.00 51.8%
Alkes Lainnya 1,133,064.00 - - - - - 1,133,064.00 0.0%
2.02.10 Belanja Modal Komputer 891,372,821.00 460,664,000.00 - 28,500,000.00 2,758,350.00 - 381,696,510.00 384,454,860.00 873,618,860.00 17,753,961.00 98.0%
2.02.10.01.0002 Belanja Modal personal Komputer 777,021,621.00 398,950,000.00 - 28,500,000.00 - - 344,145,510.00 344,145,510.00 771,595,510.00 5,426,111.00 99.3%
PC unit 257,497,800.00 128,500,000.00 - - 128,704,500.00 128,704,500.00 257,204,500.00 293,300.00 99.9%
Server 214,778,000.00 212,000,000.00 - - - 212,000,000.00 2,778,000.00 98.7%
Notebook Intel Core i5 153,735,000.00 30,700,000.00 - 28,500,000.00 92,241,000.00 92,241,000.00 151,441,000.00 2,294,000.00 98.5%
Ncomputing L300 27,750,000.00 27,750,000.00 - - - 27,750,000.00 - 100.0%
Laptop (Up To 12Th Gen Intel® Core™ I7 · Up To Windows ) 43,720,721.00 - - - 43,711,800.00 43,711,800.00 43,711,800.00 8,921.00 100.0%
Mikrotik Routerboard CR317-1G-16S+RM 10,147,500.00 - - - 10,146,510.00 10,146,510.00 10,146,510.00 990.00 100.0%
UPS C 3000VA LCD 230V 47,392,600.00 - - - 47,385,900.00 47,385,900.00 47,385,900.00 6,700.00 100.0%
Memory 16 GB 2933 MHz SNPTFYHPC 22,000,000.00 - - - 21,955,800.00 21,955,800.00 21,955,800.00 44,200.00 99.8%
2.02.10.02.0003 Belanja Modal Peralatan Personal Computer 114,351,200.00 61,714,000.00 - - 2,758,350.00 - 37,551,000.00 40,309,350.00 102,023,350.00 12,327,850.00 89.2%
Printer , Ecotank 21,116,640.00 18,800,000.00 - - - 18,800,000.00 2,316,640.00 89.0%
Printer Scanner 69,042,000.00 35,514,000.00 - - 23,676,000.00 23,676,000.00 59,190,000.00 9,852,000.00 85.7%
Monitor 19 inci 7,432,560.00 7,400,000.00 - - - 7,400,000.00 32,560.00 99.6%
Printer Argox 2140 2,760,000.00 - - - 2,758,350.00 2,758,350.00 2,758,350.00 1,650.00 99.9%
Scanner Smart office 14,000,000.00 - - - 13,875,000.00 13,875,000.00 13,875,000.00 125,000.00 99.1%
5.2.03 Belanja Modal Gedung dan Bangunan 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99.99 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
5.2.03.99.99.9999 Belanja Modal Gedung dan Bangunan BLUD 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03 Belanja Modal Gedung dan Bangunan 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01 Belanja Modal Bangunan Gedung 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01.01 Belanja Modal Bangunan Gedung Tempat Kerja 15,994,331,633.00 - - 2,578,181,100.00 3,591,182,880.00 1,221,236,950.00 6,434,232,608.00 11,246,652,438.00 13,824,833,538.00 2,169,498,095.00 86.4%
2.03.01.01.0006 Belanja Modal Bangunan Kesehatan 10,516,934,397.00 - - 2,578,181,100.00 2,276,610,000.00 1,221,236,950.00 3,199,789,063.00 6,697,636,013.00 9,275,817,113.00 1,241,117,284.00 88.2%
1 m2 Pembangunan Rawat Inap (2lt) 7,397,368,970.00 - - 1,951,380,000.00 2,276,610,000.00 2,276,610,000.00 4,553,220,000.00 6,504,600,000.00 892,768,970.00 87.9%
1 m2 Rehab. Sedang Rawat Jalan (2 lt ) 2,513,847,547.00 - - 626,801,100.00 731,267,950.00 843,043,063.00 1,574,311,013.00 2,201,112,113.00 312,735,434.00 87.6%
1 m2 Rehab. Sedang Ruang Gawat Darurat (2lt) 360,794,256.00 - - - 360,090,000.00 360,090,000.00 360,090,000.00 704,256.00 99.8%
1 m2 Rehab. Ringan Ruang Gawat Darurat (2lt)- Akses jalan IGD 130,018,750.00 - - - 129,879,000.00 129,879,000.00 129,879,000.00 139,750.00 99.9%
1 m2 rehab ringan gedung sederhana (gas medik) 114,904,874.00 - - - 80,136,000.00 80,136,000.00 80,136,000.00 34,768,874.00 69.7%
2.03.01.01.0033 Belanja Modal Bangunan Fasilitas Umum 3,680,710,193.00 - - - 883,368,000.00 - 2,355,648,000.00 3,239,016,000.00 3,239,016,000.00 441,694,193.00 88.0%
1 m2 Pembangunan Parkir Beratap 3,680,710,193.00 - - - 883,368,000.00 2,355,648,000.00 3,239,016,000.00 3,239,016,000.00 441,694,193.00 88.0%
2.03.01.01.0036 Belanja Modal Taman 1,796,687,043.00 - - - 431,204,880.00 - 878,795,545.00 1,310,000,425.00 1,310,000,425.00 486,686,618.00 72.9%
Pekerjaan Lanscape Taman - - - - - - -
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Pembuatan Taman Depan RS 1,796,687,043.00 - - - 431,204,880.00 878,795,545.00 1,310,000,425.00 1,310,000,425.00 486,686,618.00 72.9%
5.2.05 Belanja Modal Aset Tetap Lainnya 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99.99 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
5.2.05.99.99.9999 Belanja Modal Aset Tetap Lainnya BLUD 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08 Belanja Modal Aset Tidak Berwujud 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08.01 Belanja Modal Aset Tidak Berwujud 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
2.05.08.01.0005 Belanja Modal Software 122,087,790.00 - - - - 59,967,750.00 61,000,000.00 120,967,750.00 120,967,750.00 1,120,040.00 99.1%
Pembuatan/Pengembangan Aplikasi/Software 61,043,895.00 - - - 59,967,750.00 59,967,750.00 59,967,750.00 1,076,145.00 98.2%
Pembuatan/Pengembangan Aplikasi/Software (persediaan dan
indikator mutu) 61,043,895.00 - - - 61,000,000.00 61,000,000.00 61,000,000.00 43,895.00 99.9%
PROGRAM PEMENUHAN UPAYA KESEHATAN

2 1.02.02 PERORANGAN DAN UPAYA KESEHATAN MASYARAKAT 17,908,228,860.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,116,170,898.00 8,353,397,415.00 15,832,540,388.00 2,075,688,472.00 88.4%
Penyediaan Fasilitas Pelayanan Kesehatan untuk UKM dan UKP
1.02.02.2.01 Kewenangan Daerah kabupaten/kota 17,908,228,860.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,116,170,898.00 8,353,397,415.00 15,832,540,388.00 2,075,688,472.00 88.4%
Pengadaan Sarana Fasilitas Pelayanan Kesehatan (DTU-DAU)
1.02.02.2.01.05 (Mandatory) 5,500,000,000.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,553,309,618.00 2,995,638,586.00 4,331,700,559.00 1,168,299,441.00 78.8%
1.02.02.2.01.05.5.1 BELANJA OPERASI 21,375,114.00 - - - - - 19,500,000.00 19,500,000.00 19,500,000.00 1,875,114.00 91.2%
1.02.02.2.01.05.5.1.01 Belanja Pegawai 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
tambahan penghasilan berdasarkan Pertimbangan Objektif
1.02.02.2.01.05.5.1.01.03 Lainnya ASN 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
1.02.02.2.01.05.5.1.01.03.07 Belanja Honorarium 13,500,000.00 - - - - - 11,850,000.00 11,850,000.00 11,850,000.00 1,650,000.00 87.8%
Belanja Honorarium Penanggungjawab Pengelola Keuangan
1.02.02.2.01.05.5.1.01.03.07.0001 (DTU-DAU) (Mandatory) 11,400,000.00 - - - - - 9,750,000.00 9,750,000.00 9,750,000.00 1,650,000.00 85.5%
Bendahara Pengeluaran 1,650,000.00 - - - 1,650,000.00 1,650,000.00 1,650,000.00 - 100.0%
Bendahara Pengeluaran Pembantu 1,500,000.00 - - - 1,500,000.00 1,500,000.00 1,500,000.00 - 100.0%
Pejabat Pelaksana Teknis Kegiatan (PPTK) 1,650,000.00 - - - - - - 1,650,000.00 0.0%
Pejabat Pembuat Komitmen/Kuasa Pengguna Anggaran 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Pejabat Penata Usahaan Keuangan SKPD (PPK-SKPD) 1,800,000.00 - - - 1,800,000.00 1,800,000.00 1,800,000.00 - 100.0%
Pembantu PPK SKPD / staf teknis 1,050,000.00 - - - 1,050,000.00 1,050,000.00 1,050,000.00 - 100.0%
Pengguna Anggaran / PA 1,950,000.00 - - - 1,950,000.00 1,950,000.00 1,950,000.00 - 100.0%
Belanja Honorarium Pengadaan Barang/Jasa (DTU-DAU)

1.02.02.2.01.05.5.1.01.03.07.0002 (Mandatory) 2,100,000.00 - - - - - 2,100,000.00 2,100,000.00 2,100,000.00 - 100.0%
Panitia Pengadaan Barang/Jasa - (Konstruksi) 2,100,000.00 - - - 2,100,000.00 2,100,000.00 2,100,000.00 - 100.0%
1.02.02.2.01.05.5.1.02 Belanja Barang dan Jasa 7,875,114.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,114.00 97.1%
1.02.02.2.01.05.5.1.02.01 Belanja Barang 114.00 - - - - - - - - 114.00 0.0%
1.02.02.2.01.05.5.1.02.01.01 Belanja Barang Pakai Habis 114.00 - - - - - - - - 114.00 0.0%
Belanja Alat/Bahan untuk Kegiatan Kantor - Bahan Cetak
1.02.02.2.01.05.5.1.02.01.01.0026 (DTU-DAU) (Mandatory) 114.00 - - - - - - - - 114.00 0.0%
Pembulatan 114.00 - - - - - 114.00 0.0%
1.02.02.2.01.05.5.1.02.02 Belanja Jasa 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%

1.02.02.2.01.05.5.1.02.02.01 Belanja Jasa kantor 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
1.02.02.2.01.05.5.1.02.02.01.0004 Pelaksanan Kegiatan (DTU-DAU) (Mandatory) 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
Panitia Pelaksana Kegiatan 7,875,000.00 - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%
1.02.02.2.01.05.5.1.02.02.08 Belanja Jasa Konsultasi Konstruksi - - - - - - - - - -

Belanja Jasa Konsultasi Perencanaan Rekayasa - Jasa Desain
Rekayasa untuk Konstruksi Pondasi serta Struktur Bangunan
1.02.02.2.01.05.5.1.02.02.08.0007 (DTU-DAU) - - - - - - - - - -
Beban Jasa Konsultasi Perencanaan Konstruksi - - - - - -
Belanja Jasa Konsultasi Pengawasan Rekayasa-Jasa Pengawas

1.02.02.2.01.05.5.1.02.02.08.0019 Pekerjaan Konstruksi Bangunan Gedung (DTU-DAU) - - - - - - - - - -
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Beban Jasa Konsultasi Pengawasan konstruksi - - - - - -
1.02.02.2.01.05.5.2 BELANJA MODAL 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3 Belanja Modal Gedung dan Bangunan 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01 Belanja Modal Bangunan Gedung 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01.01 Belanja Modal Bangunan Gedung Tempat Kerja 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1.02.02.2.01.05.5.2.3.01.01.0006 Belanja Modal Bangunan Kesehatan (DTU-DAU) (Mandatory) 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
1 m2 Pembangunan ICU/ICCU/UGD/CMU (Tak Bertingkat) 5,151,174,886.00 - - 1,236,281,973.00 1,442,328,968.00 1,442,328,968.00 2,884,657,936.00 4,120,939,909.00 1,030,234,977.00 80.0%
Beban Jasa Konsultasi Pengawasan konstruksi 149,850,000.00 - - - 91,480,650.00 91,480,650.00 91,480,650.00 58,369,350.00 61.0%
Beban Jasa Konsultasi Perencanaan Konstruksi 177,600,000.00 - - 99,780,000.00 - 99,780,000.00 77,820,000.00 56.2%
Pengadaan Alat Kesehatan/Alat Penunjang Medik Fasilitas

1.02.02.2.01.14 Pelayanan Kesehatan (DBH CHT) 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2 BELANJA MODAL 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02 Belanja Modal Peralatan dan Mesin 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07 Belanja Modal Alat Kedokteran dan Kesehatan 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07.01 Belanja Alat Kedokteran 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
1.02.02.2.01.14.5.2.02.07.01.0001 Belanja Modal Alat Kedokteran Umum 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
- DAK 5,134,178,300.00 - - 1,149,000,000.00 111,960,000.00 2,796,056,249.00 265,011,280.00 3,173,027,529.00 4,322,027,529.00 812,150,771.00 84.2%
Bedside monitor 1,558,350,000.00 - - - 907,200,000.00 907,200,000.00 907,200,000.00 651,150,000.00 58.2%
CPAP 641,399,460.00 - - - 641,399,460.00 641,399,460.00 641,399,460.00 - 100.0%
Doppler 51,302,720.00 - - - 51,300,914.00 51,300,914.00 51,300,914.00 1,806.00 100.0%
Incubator 974,550,000.00 - - - 960,000,000.00 960,000,000.00 960,000,000.00 14,550,000.00 98.5%
Infuse Pump 111,960,000.00 - - - 111,960,000.00 111,960,000.00 111,960,000.00 - 100.0%
Meja Ginecologi 85,890,000.00 - - - 42,800,000.00 42,800,000.00 42,800,000.00 43,090,000.00 49.8%
Neonatal Suction dengan Regulator 26,175,000.00 - - - 25,675,000.00 25,675,000.00 25,675,000.00 500,000.00 98.1%
NST 204,066,778.00 - - - 137,280,875.00 137,280,875.00 137,280,875.00 66,785,903.00 67.3%
Set persalinan 232,182,630.00 - - - 222,211,280.00 222,211,280.00 222,211,280.00 9,971,350.00 95.7%
Set Resusitasi Neonatus / Bayi 16,837,118.00 - - - 16,800,000.00 16,800,000.00 16,800,000.00 37,118.00 99.8%
Syringe pump 56,484,594.00 - - - 56,400,000.00 56,400,000.00 56,400,000.00 84,594.00 99.9%
ventilator 1,174,980,000.00 - - 1,149,000,000.00 - 1,149,000,000.00 25,980,000.00 97.8%
- DBHCHT 7,274,050,560.00 - 4,568,000,000.00 426,081,000.00 260,000,000.00 1,626,881,300.00 297,850,000.00 2,184,731,300.00 7,178,812,300.00 95,238,260.00 98.7%
Bed ICU 127,843,150.00 - - 123,062,000.00 - 123,062,000.00 4,781,150.00 96.3%
Bed Periksa 14,481,000.00 - - 14,388,500.00 - 14,388,500.00 92,500.00 99.4%
Bed Transportasi 147,498,750.00 - - 133,630,500.00 - 133,630,500.00 13,868,250.00 90.6%
Blood Wamer 171,693,668.00 - - 155,000,000.00 - 155,000,000.00 16,693,668.00 90.3%
Cold Module And Embedding Module 260,530,000.00 - - - 260,000,000.00 260,000,000.00 260,000,000.00 530,000.00 99.8%
Dental X Ray 311,534,500.00 - - - 297,850,000.00 297,850,000.00 297,850,000.00 13,684,500.00 95.6%
Endoscopy 3,522,200,000.00 - 3,516,000,000.00 - - 3,516,000,000.00 6,200,000.00 99.8%
PACS Radiologi System 1,626,881,331.00 - - - 1,626,881,300.00 1,626,881,300.00 1,626,881,300.00 31.00 100.0%
USG 1,052,409,911.00 - 1,052,000,000.00 - - 1,052,000,000.00 409,911.00 100.0%
- Pembulatan PACS -
Pembulatan 38,978,250.00 - - - - - 38,978,250.00 0.0%
JUMLAH 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
SP2D APBD 38,177,593,957.00 4,023,624,593.00 11,669,931,613.00 7,207,902,391.00 1,810,656,886.00 7,305,254,084.00 3,587,524,672.00 12,703,435,642.00 35,604,894,239.00 2,572,699,718.00 93.3%
SP2D BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
JUMLAH 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
APBD APBD 38,177,593,957.00 4,023,624,593.00 11,669,931,613.00 7,207,902,391.00 1,810,656,886.00 7,305,254,084.00 3,587,524,672.00 12,703,435,642.00 35,604,894,239.00 2,572,699,718.00 93.3%
5.1 BELANJA OPERASI 20,290,740,211.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,490,853,774.00 4,369,538,227.00 19,791,853,851.00 498,886,360.00 97.5%
5.1.01 BELANJA PEGAWAI 20,282,865,097.00 4,023,624,593.00 7,101,931,613.00 4,296,759,418.00 1,438,696,886.00 1,439,987,567.00 1,483,203,774.00 4,361,888,227.00 19,784,203,851.00 498,661,246.00 97.5%
5.1.02 BELANJA BARANG DAN JASA 7,875,114.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,114.00 97.1%
5.2 BELANJA MODAL 17,886,853,746.00 - 4,568,000,000.00 2,911,142,973.00 371,960,000.00 5,865,266,517.00 2,096,670,898.00 8,333,897,415.00 15,813,040,388.00 2,073,813,358.00 88.4%
5.2.02 BELANJA PERALATAN DAN MESIN 12,408,228,860.00 - 4,568,000,000.00 1,575,081,000.00 371,960,000.00 4,422,937,549.00 562,861,280.00 5,357,758,829.00 11,500,839,829.00 907,389,031.00 92.7%
5.2.03 BELANJA GEDUNG DAN BANGUNAN 5,478,624,886.00 - - 1,336,061,973.00 - 1,442,328,968.00 1,533,809,618.00 2,976,138,586.00 4,312,200,559.00 1,166,424,327.00 78.7%
Page 46
REALISASI
Prosentase
2 3 4 8 12 16 17 18 19 20 21 22 23
5.2.05 BELANJA ASET TETAP LAINNYA
BLUD BLUD 122,918,313,824.00 11,245,165,202.00 26,604,711,865.00 24,028,198,154.00 10,754,532,040.00 9,086,189,472.00 24,703,415,918.00 44,544,137,430.00 106,422,212,651.00 16,496,101,173.00 86.6%
5.1 BELANJA OPERASI 103,858,772,448.00 10,784,501,202.00 26,411,067,420.00 21,341,282,591.00 7,033,673,725.00 7,773,534,772.00 16,698,042,609.00 31,505,251,106.00 90,042,102,319.00 13,816,670,129.00 86.7%
5.1.01 BELANJA PEGAWAI 31,993,235,534.00 5,860,792,321.00 9,536,165,885.00 7,065,536,633.00 2,170,651,907.00 2,616,446,060.00 2,522,499,395.00 7,309,597,362.00 29,772,092,201.00 2,221,143,333.00 93.1%
5.2 BELANJA MODAL 19,059,541,376.00 460,664,000.00 193,644,445.00 2,686,915,563.00 3,720,858,315.00 1,312,654,700.00 8,005,373,309.00 13,038,886,324.00 16,380,110,332.00 2,679,431,044.00 85.9%
5.2.02 BELANJA PERALATAN DAN MESIN 2,943,121,953.00 460,664,000.00 193,644,445.00 108,734,463.00 129,675,435.00 31,450,000.00 1,510,140,701.00 1,671,266,136.00 2,434,309,044.00 508,812,909.00 82.7%
TOTAL TOTAL 161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00 88.2%
5.1 BELANJA OPERASI 124,149,512,659.00 14,808,125,795.00 33,512,999,033.00 25,638,042,009.00 8,472,370,611.00 9,213,522,339.00 18,188,896,383.00 35,874,789,333.00 109,833,956,170.00 14,315,556,489.00 88.5%
5.1.01 BELANJA PEGAWAI 52,276,100,631.00 9,884,416,914.00 16,638,097,498.00 11,362,296,051.00 3,609,348,793.00 4,056,433,627.00 4,005,703,169.00 11,671,485,589.00 49,556,296,052.00 2,719,804,579.00 94.8%
5.2 BELANJA MODAL 36,946,395,122.00 460,664,000.00 4,761,644,445.00 5,598,058,536.00 4,092,818,315.00 7,177,921,217.00 10,102,044,207.00 21,372,783,739.00 32,193,150,720.00 4,753,244,402.00 87.1%
5.2.01 BELANJA TANAH - - - - - - - - - -
5.2.02 BELANJA PERALATAN DAN MESIN 15,351,350,813.00 460,664,000.00 4,761,644,445.00 1,683,815,463.00 501,635,435.00 4,454,387,549.00 2,073,001,981.00 7,029,024,965.00 13,935,148,873.00 1,416,201,940.00 90.8%
5.2.04 BELANJA JALAN,IRIGASI DAN JARINGAN - - - - - - - - - -
161,095,907,781.00 15,268,789,795.00 38,274,643,478.00 31,236,100,545.00 12,565,188,926.00 16,391,443,556.00 28,290,940,590.00 57,247,573,072.00 142,027,106,890.00 19,068,800,891.00
12,565,188,926.00 16,391,443,556.00 28,668,757,570.00
38,274,643,478.00 - - (377,816,980.00)
up 163,016,980.00
up apbd 210,000,000.00
pengembalian (4,800,000.00)
4,800,000.00
-
Caruban, 31 Desember 2023

DIREKTUR MENGETAHUI :
RSUD CARUBAN KABUPATEN MADIUN KABID KEUANGAN KASI VERIFIKASI DAN AKUNTANSI BENDAHARA PENGELUARAN PEMBANTU
Drg.FARID AMIRUDIN, M.Kes SITI WURYANI, SE SRI MARYANI,SE YULI ENDAH YUSTIANA
NIP. 196806282002121002 NIP. 1976303222011012006 NIP. 198406072010012033 NIP. 198407262002122002
Page 47
Tabel 3.2 Rincian Rencana Bisnis dan Anggaran
PEMERINTAH KABUPATEN MADIUN

RENCANA BISNIS DAN ANGGARAN
RINCIAN RENCANA BISNIS DAN ANGGARAN
Nama BLUD : RSUD CARUBAN

Nama SKPD : RSUD CARUBAN
Tahun Anggaran : 2024
NO URAIAN JUMLAH
1 PENDAPATAN LAYANAN 87,100,000,000.00
Pendapatan JKN Rp. 72,600,000,000.00
Pendapatan UMUM Rp. 10,000,000,000.00
Pendapatan Farmasi /Obat Rp. 1,500,000,000.00
Pendapatan BPJS Tenaga Kerja Rp. 500,000,000.00
Pendapatan Jasa Raharja Rp. 2,500,000,000.00
Pendapatan Asuransi /sejenisnya Rp. -
2 PENDAPATAN HIBAH
Pendapatan HIbah Rp. -
3 PENDAPATAN KERJASAMA 400,000,000.00

Pendapatan PKS Sekolah Pendidikan Rp. 100,000,000.00
Pendapatan PKS Sewa Rp. 200,000,000.00
Pendapatan Parkir Rp. 100,000,000.00
4 APBD 6,561,736,200.00
Dana DAK Fisik Rp. 1,500,000,000.00
Dana DBHCHT Rp. 5,061,736,200.00
5 LAIN-LAIN PAD YANG SAH BLUD 500,000,000.00

Jasa Giro Rp. 50,000,000.00
Pendapatan Bunga Rp. 50,000,000.00
Hasil investasi Rp. 100,000,000.00
LAIN-LAIN PAD YANG SAH BLUD Rp. 300,000,000.00
JUMLAH PENDAPATAN 94,561,736,200.00
B BELANJA
BELANJA OPERASI
1 BELANJA PEGAWAI
Honorarium
2 Belanja Barang dan Jasa Rp. 59,798,969,824.00
Belanja Barang dan Jasa BLUD Rp. 59,798,969,824.00
Belanja Barang dan Jasa BLUD Rp.
Belanja Barang dan Jasa BLUD Rp.
Belanja Barang dan Jasa Rp.
Belanja Barang Rp.
3 Belanja Barang Pakai Habis Rp. 35,586,812,329.00
Belanja Bahan-Bahan Kimia Rp. 2,521,859,441.00
Belanja bahan-Bahan Kimia ( BAHP-farmasi ) Rp. 84,776,383.00
REOKO ENDO FROS Rp.
CAPORIT (KLORIN) Rp.
NACL 1000 ML Rp.
G BOND Rp.
GENBODY COVID-19 Rp.
GARAM 5,5 KG Rp.
PEMUTIH 1 L Rp.
TRICARB C-50 Rp.
Belanja bahan-bahan kimia lainnya ( farmasi ) Rp. 3,330,000.00
Rp.
Belanja bahan-Bahan Kimia ( BAHP CSSD ) Rp. 152,323,300.00
Detergen Washer Rp.
Cairan pengering Washer Rp.
Cairan Enzymatik Rp.
Cairan DTT(Disinfeksi Tingkat Tinggi) Rp.
Pelumas Instrumen Rp.
Garam Rp.
Rp.
Belanja bahan-bahan kimia (Belanja reagen laboratoRp. 1,670,575,328.00
Bilirubin D/T Rp.
Creatin mtd4+1 3x80 ml Rp.
Urea mtd 3x80 ml Rp.
Uric acid mtd 4x100 ml Rp.
Cholesterol mtd 4x100 ml Rp.
Trigliserid 4x100 ml Rp.
HDL mtd 4x100 ml Rp.
Glukose mtd 4x100 ml Rp.
Total prot mtd 4x100 ml Rp.
Sgot mtd 3x80 1x60 ml Rp.
Sgpt mtd 3x80 1x60 ml Rp.
Control mtd 10 X 5 ml Rp.
Multi Calibrator mtd 10 X 3ml Rp.
Golongan darah A Rp.
Golongan darah B Rp.
Salmonella O Rp.
Salmonella H Rp.
Salmonella A Rp.
Salmonella B Rp.
Verify 10 Rp.
Verify 4 Rp.
Buffer ph 7,4 Rp.
Wright Rp.
Giemsa Rp.
EDTA Rp.
cal 3 Rp.
cal 4 Rp.
WASH Rp.
Diluen 5 Diff Rp.
CH/Diff lyse Rp.
EZ Rp.
Probe Rp.
Diluen Mittic Rp.
Hematologi cleanser Rp.
LH lyse 100 Rp.
Control 5 DIFF Rp.
Acid 5 Rp.
Cleaning 4 Rp.
Rinse Elip Rp.
Cellclean/15 Rp.
Sulfo Rp.
lycer wdf Rp.
flourecel wdf Rp.
XN Check L1,L2,L3 Rp.
PPT/Inovin 10 Rp.
APTT/Actin 10 Rp.
CaCl2 10 Rp.
Control plasma Rp.
Cell clean 1 Rp.
Cell clean 2 Rp.
Rp.
Rp.
Belanja bahan-bahan kimia (Belanja reagen laborat Rp. 227,910,750.00
Giemza Rp.
Metanol Rp.
Buffer formalin 10% Rp.
Alkohol 96% Rp.
Ethanol Rp.
Xilol Rp.
Parafin Rp.
EZ-Mount Rp.
Eosin Alkohol Rp.
Mayer Hematoksilin Rp.
Papaniculau stain Rp.
Rp.
Belanja bahan-bahan kimia pengelolaan linen Rumah Rp. 199,293,600.00
Oxy Bost @20 ltr Rp.
Surfactant @ 20 liter Rp.
Liquid Detergent @20 ltr Rp.
Parfum Laundry @5 ltr Rp.
Neutralizer @20 ltr Rp.
Softener @20 ltr Rp.
Alkali @20 ltr Rp.
Desinfectan @5 ltr Rp.
Rp.
Belanja bahan-bahan kimia sanitasi Rp. 182,184,880.00
Handscrub 4% @ 5 ltr Rp.
Desinfektan permukaan tisu Rp.
Desinfektan permukaan spray Rp.
Handrub @ 500 ml Rp.
Pengharum ruangan (Matic Reffil 250 ml) Rp.
Chemical Sterillisator Ruangan @ 1 ltr Rp.
Rp.
Rp.
Bahan kimia pembersih di Instalasi gizi Rp. 4,795,200.00
Detergent anti noda 400 gr Rp.
Pemutih Rp.
Sabun cuci bentuk cream, 1 dus isi 24 @ 270 gr Rp.
Cairan pencuci piring (Double Power Lime, 200 ml refRp.
Rp.
Belanja Bahan-Bahan Bakar dan Pelumas Rp. 294,703,500.00
- Belanja bahan bakar minyak/gas ( genset , inceneraRp.
Solar Dex Rp.
- Belanja bahan bakar minyak/gas ( ambulans dan k Rp.
Pertamax Rp.
Bio solar Rp.
Pertalite Rp.
Pertamax turbo Rp.
Rp.
5.1.02.01.01.0005 Belanja Bahan-Bahan Baku Rp. 957,000.00
Bambu, Pring, Dia. 10 - 12 cm. Panjang 6 Meter Rp.
Rp.
Rp.
Belanja Bahan-Isi Tabung Pemadam Kebakaran Rp. 17,499,361.00
pengisian Appar 4,5 kg Rp.
pengisian Appar 6 kg Rp.
Alat Pemadam Api Ringan (Kapasitas 25 Kg (Refill) Rp.
Rp.
Belanja Bahan-Bahan Lainnya Rp. 14,967,861,753.00
Belanja Bahan-Isi Tabung Gas Rp.
LPG berat 15 kg ( di Instalasi gizi ) Rp.
Rp.
Belanja Bahan Radiologi Rp. 400,610,000.00
FILM RADIOLOGI CT SCAN Rp.
FILM RADIOLOGI CR SMALL Rp.
FILM RADIOLOGI CR MEDIUM Rp.
FILM RADIOLOGI DR SMALL Rp.
FILM RADIOLOGI DR MEDIUM Rp.
Rp.
Belanja Plate Rp. 2,240,110,754.00
3,5 MM CORTICAL SCREW - OF 510 16 Rp.
3.5 MM CORTICAL SCREW - OF 510 14 Rp.
4,5 MM CORTICAL SCREW - OF 50026 Rp.
4.5 MM CORTICAL SCREW - OF 50024 Rp.
4.5 MM MALLEOLAR SCREWS - OF 513 35 Rp.
A2FN NAIL FEMUR SET - SPI Rp.
ACRYLIC SET (Powder + Liquid) Rp.
BIPOLAR 39 Rp.
BIPOLAR 44 Rp.
BIPOLAR 46 Rp.
BIPOLAR HIP PROSTHESIS 45 Rp.
BIPOLAR HIP PROSTHESIS 49 Rp.
BONE GRAFT Rp.
BONECEMENT Rp.
BROAD / WIDE PLATES ACP HOLES - OF 1021 07 Rp.
CANCELLOUS FULL dia 4 MM - OF 511 18 Rp.
CANCELLOUS SCREW FULL THREAD 60 mm PBJ Rp.
CANCELLOUS SCREWS FULL THREAD - OF 50135 Rp.
CLAVICULA RECONSTACTION PLATE (TYPE D) - OF 10Rp.
CORTEX SCREW 4,5 - 34 mm PBJ Rp.
CORTEX SCREW 4,5 - 36 mm PBJ Rp.
DRILL BIT 2.5 Rp.
DRILL BIT 2.7 Rp.
DRILL BIT 3.2 Rp.
INTERLOCKING NAIL FEMUR - SPI Rp.
INTERLOCKING NAIL FEMUR SET - DMS Rp.
INTERLOCKING PFNA - SPI Rp.
K WIRE 1.0 Rp.
K WIRE 1.2 Rp.
K WIRE 1.4 Rp.
K WIRE 1.6 Rp.
K WIRE 1.8 Rp.
K WIRE 2.0 Rp.
K WIRE 2.2 Rp.
MULTI CONDILAR PLATES Holes ACP - OF 10581 R/6Rp.
NARROW PLATES ACP HOLES - OF 1020 07 Rp.
ONE THIRD TUB PLATE - OF 1030 04 Rp.
ONE THIRD TUB PLATE - OF 1030 06 Rp.
RECONSTRACTION CURVED PLATE DIA 4,5 - SPI - 4 Rp.
S WIRE 1.0 Rp.
S WIRE 1.2 Rp.
S WIRE 1.4 Rp.
S WIRE 1.6 Rp.
SCHANZ SCREW 100 MM Rp.
SMALL BONE A PLATES - OF 1042 04 Rp.
SMALL BONE B PLATES - OF 1043 08 Rp.
SMALL T PLATE LOW PROFILE HOLE 3 Rp.
SMALL T PLATES - OF 1046 03 Rp.
SMALL T PLATES - OF 1046 04 Rp.
T PLATES tebal 3mm - OF 1051 04 Rp.
THORACOLUMBAL ORTHOSIS Rp.
TIBIA LATERAL PLATE HOLE 5 Rp.
TLC HOLE 4 - PBJ Rp.
TROCHANTER PLATE B - OF 1072 10 B Rp.
WASHER 6,5 Rp.
A2FN NAIL FEMUR SHORT SET - DMS Rp.
ELASTIC NAIL 4.0 X 440 MM - DMS Rp.
END CAP for ELASTIC NAIL - DMS Rp.
MULTILOC HUMERAL NAIL L - DMS Rp.
A2FN NAIL FEMUR SHORT SET - DMS Rp.
INTERLOCKING NAIL TIBIA SET - DMS Rp.
TKR SET - DMS Rp.
Belanja Plate lainnya Rp.
Rp.
Belanja Bahan dan Alat Kesehatan Habis Pakai Rp. 8,612,914,822.00
ADVANTIME 1 Rp.
ADVANTIME 3-0 Rp.
ALKOHOL 70% Rp.
ALKOHOL SWAB Rp.
APRONT Rp.
APRONT LENGAN PANJANG Rp.
BAYCIDE HIGH LEVEL Rp.
BAYZIME DETERGEN Rp.
BETADINE Rp.
BETADINE SOLUTION 60 ML Rp.
BREATHING CIRCUIT Rp.
BUFFER FORMALIN 10% Rp.
CHLORO TULLE Rp.
CHROMIC 0 Rp.
CUTICELL CLASSIC 10 x 10 Rp.
CUTTING LOOP STORZ MONO Rp.
DERMALON 2-0 Rp.
DERMALON 3-0 Rp.
DERMALON 4-0 Rp.
DISPOSABLE NEEDLE Rp.
ECOSORB 2 Rp.
ELECTRODE ECG Rp.
ENDOTRACHEAL TUBE Rp.
EQUIWAX 2,5 GR Rp.
ESU PAD PENCILS COUTER Rp.
ETHYL CHLORIDE Rp.
FILAPEAU 2-0 Rp.
FILAPEAU 3-0 Rp.
FILAPEAU 4-0 Rp.
GELAS KUMUR Rp.
GLOVES STERIL Rp.
GLOVES STERIL ORTHOPAEDIC Rp.
GUEDEL AIRWAY Rp.
GUTTA PERCHA SURE ENDO 0.04 Rp.
H2O2 3% Rp.
HARTRANS TAPE Rp.
HME FILTER Rp.
IV DRESSING Rp.
JACKSON REESE DEWASA Rp.
JAM STERILE WATER Rp.
KANTONG PLASTIK 12x0,3x30 Rp.
KAPAS PEMBALUT 250 GR Rp.
KARET GELANG Rp.
KASA HYDROFIL DRC 40x80 CM Rp.
KASA HYDROPHYL 40x80 Rp.
KASA PEMBALUT 4x5 Rp.
KASA STERIL 7,5x7,5 CM Rp.
KERTAS ECG 63x30 Rp.
KERTAS ECG C-110 Rp.
KERTAS USG Rp.
LAP SPONGE Rp.
LEUKOPLAST Rp.
LUBRICATING JELLY Rp.
MASKER ANASTHESI Rp.
MASKER BEDAH Rp.
MESS BB5 Rp.
METRACIDE 1 LTR Rp.
METRAZYME Rp.
NURSE CAP Rp.
OPTIME PGA 0 Rp.
OPTIME PGA 1 Rp.
OPTIME PGA 2 Rp.
OPTIME PGA 2-0 Rp.
OPTIME PGA 3-0 Rp.
PHARMAFIX 10x500 CM Rp.
PHARMAFIX 15x500 CM Rp.
PLAIN 2-0 Rp.
PLAIN 3/0 Rp.
PLAIN 4/0 Rp.
PLESTERIN Rp.
PLESTERIN BULAT Rp.
POLIWASH 5 L Rp.
POLYMED POLYVAC Rp.
POLYSORB 2-0 Rp.
POSTOFIX 10 x 15 CM Rp.
POSTOFIX 6 x 7 CM Rp.
POT URINE STERILE Rp.
PROLENE BLU 100 CM Rp.
PROLENE BLU 2-0 Rp.
SARUNG TANGAN NON STERIL Rp.
SILICON LARYNGEAL MASK Rp.
SILK 0 Rp.
SILK 1 Rp.
SILK 2-0 Rp.
SILK 3-0 Rp.
SILK 4-0 Rp.
SODASORB Rp.
SPINAL EGEMEN QUENCKE 25 Rp.
SPUIT 1 CC INSULIN Rp.
SPUIT 1 CC TUBERCULIN Rp.
SPUIT 10 CC Rp.
SPUIT 3 CC Rp.
SPUIT 5 CC Rp.
SUCTION CONNECTING Rp.
UNDERPAD 60 X 90 Rp.
USG GEL 250 ML Rp.
VIGILENZ CROMIC 2-0 Rp.
VIGILENZ PLAIN 2 Rp.
Paket Hemodialisa Lengkap Rp.
Citra-Lock Rp.
Paket 2C-Hd Rp.
ARM SLING - L Rp.
ARM SLING - M Rp.
ARM SLING - S Rp.
BACTERIA HME FILTER WITH PAPER WITH SOFT CAPRp.
Blood Set Rp.
BREATHING CIRCUIT - ADULT Rp.
BREATHING CIRCUIT - NEONATAL Rp.
BREATHING CIRCUIT - PEDIATRIC Rp.
CAPSUL KOSONG NO.0 Rp.
CATHETER MOUNT Rp.
CATHY 18 Rp.
CATHY 20 Rp.
CATHY 22 Rp.
CERVICAL COLLAR UNIVERSAL Rp.
CHLORO TULLE Rp.
Colostomy bag no 5 Rp.
Condom Catheter L-OM Rp.
CUTICELL CLASSIC 10 X 10 CM Rp.
DJ STENTS 5 FR OPEN WITH GUIDEWIRE Rp.
ELASTOMULL HAFT 10CM x 4M Rp.
ELASTOMULL HAFT 8CM X 4M Rp.
ENEMA SET - ONEMED Rp.
ETT 7,0 WITH CUFF Rp.
EXTENSION TUBE 150 CM Rp.
FLEET ENEMA 133 ML Rp.
FM CREPE 3 Rp.
FM CREPE 4 Rp.
FM CREPE 6 Rp.
FOLEY CATHETER 2-WAY CH.08 Rp.
GIPSONA 3/" Rp.
GYPSONA 4\" Rp.
GYPSONA 6\" Rp.
INFUSION SET OI - 34 MICRODRIP Rp.
INSTOPPER Rp.
JACKSON REEVES - ANAK Rp.
JACKSON REEVES - DEWASA Rp.
KASA STERIL Rp.
KORSET XL Rp.
KORSET XXL Rp.
KRUCK UK L Rp.
KRUCK UK M Rp.
LAMANARIA _UK L Rp.
LAMANARIA _UK M Rp.
MASKER ANASTESI SIZE 4 Rp.
MASKER ANASTESI SIZE 5 Rp.
MASKER NEBULIZER ANAK Rp.
MASKER NEBULIZER DEWASA Rp.
MASKER NON REBRITING ANAK Rp.
MASKER NON REBRITING DEWASA Rp.
MASKER O2 DEWASA Rp.
MAYO TUBE 4/090 (KUNING) Rp.
NASAL O2 ANAK Rp.
NASAL O2 BAYI Rp.
NASAL O2 DEWASA Rp.
NGT 12 Rp.
NGT 14 Rp.
NGT 16 Rp.
NGT 5 ( 100 CM ) Rp.
NGT 5 ( 40 CM ) Rp.
NGT 8 ( 100 CM ) Rp.
NGT 8 ( 40 CM ) Rp.
OTSU Y - SET ADAPTOR Rp.
PEN NEEDLE (Easy Flow) Rp.
PESARIUM NO. 6,5 Rp.
PESARIUM NO.6 Rp.
PESARIUM NO.7 Rp.
PESARIUM NO.7,5 Rp.
POLYBAN 3 Rp.
POLYBAN 4 Rp.
POLYBAN 6 Rp.
POLYWIN IV CANNULA 26 Rp.
POT PLASTIK 20 ML Rp.
POT PLASTIK 30 ML Rp.
SERENITY CERVICAL COLLAR Rp.
SPALK 100 X 10 CM Rp.
SPALK 40 X 8 CM Rp.
SPALK 50 X 8 CM Rp.
SPALK 60 X 8 CM Rp.
SPALK ANAK 12 X 5 CM Rp.
SPUIT 1 CC INSULIN 100 U Rp.
SPUIT 1 CC TUBERCULIN Rp.
SPUIT 10 CC Rp.
SPUIT 20 CC Rp.
SPUIT 3 CC Rp.
SPUIT 5 CC Rp.
SPUIT 50 CC Rp.
SPUIT 50 CC CATHETER TIP Rp.
SPUIT ABG PRESET 3 CC - BD Rp.
STIKPAN PLASTIK DELUXE BLUE Rp.
STOCKINET 3\\\" Rp.
STOCKINET 4\\\" Rp.
SUCTION CATH 10 - HOSPITECH Rp.
SUCTION CATH 12 Rp.
SURFLO 24 - ecath Rp.
TENSOPLAST - STK - ADULT Rp.
TENSOPLAST - STK - CHILD Rp.
THORASIC CATHETER WITH TROCAR 24 / WSD Rp.
THREE WAY STOPCOCK Rp.
THREE WAY STOPCOCK WITH TUBING Rp.
TRANSPORE Rp.
UMBILICAL CATHETER 3,5 Fr Rp.
UMBILICAL CATHETER 5 Fr Rp.
URIN BAG STERIL - UP Rp.
URINAL LAKI LAKI Rp.
URINAL PEREMPUAN Rp.
WING NEEDLE 21 Rp.
WING NEEDLE 23 Rp.
Gas Oksigen Tabung - 1 M3 Rp.
Liquid Rp.
Gas CO² - 4 kg Rp.
Bahan Alat Habis Pakai lainnya Rp. 32,000,000.00
Rp.
Bahan lainnya (laboratorium patologi klinik ) Rp. 1,993,346,389.00
Vacum serum blood collec 4 ml Rp.
Tabung reaksi Rp.
Reaction cuvet Rp.
Cover glass Rp.
Obyek glass Rp.
K Termal 5,7 Rp.
K Termal 8 Rp.
Yellow tipe 1000 Rp.
Blue tipe 1000 Rp.
Short spl 0,8 1000 Rp.
Short spl 3 ml 1000 Rp.
Mikrosenfuge 500 Rp.
Vacum edta 2,ml 100 Rp.
Vacum edta0.5ml 50 Rp.
Na Citrat vakum 100 Rp.
HBA1C 25 test Rp.
HCG 50 test Rp.
HCV 50 test Rp.
VDRL 50 test Rp.
IGG/IGM 25 test Rp.
HIV 50 test Rp.
ISTAT G3+ 25 test Rp.
Diabcheck Rp.
countour gda stik Rp.
Multidrug 5 25 test Rp.
Multidrug 5 answer Rp.
HbsAg nnswer 50 test Rp.
HbsAg SD 30 test Rp.
TSH 25 test Rp.
T3 25 test Rp.
T4 25 test Rp.
CRP 25 test Rp.
D Dimer 25 test Rp.
ERBA Rp.
Cell Pack Rp.
Rp.
Bahan lainnya (laboratorium patologi anatomi) Rp. 42,015,720.00
Kaset tanpa tutup Rp.
Coverglass ukuran (60x24mm) Rp.
Objekglass Rp.
Pisau Mikrotom Rp.
Kertas saring Rp.
Rp.
Bahan-bahan Lainnya ( CSSD ) Rp. 113,596,068.00
Steam indicator class 5 Rp.
Bowie Dick Test Pack Rp.
3 Lines labels CD 23 Rp.
Washer Indikator Rp.
Indikator Tape Rp.
Biological Indikator Rp.
Kasa Gulung DRC Rp.
Pouches gusset 10 cm Rp.
Pouches flat 25 cm Rp.
Wrapping paper crepe biru 100x100 Rp.
Thermal Register Roll Rp.
Tinta hand labeler Rp.
Rp.
Belanja bahan Lainnya ( belanja Darah ) Rp. 1,500,000,000.00
Belanja Darah Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tuli Rp. 421,725,736.00
ATK perkantoran Rp.
Amplop 90 (kabinet) isi 100 Rp.
Amplop 104 (tanggung) iso 100 Rp.
Box File Plastik Rp.
Buku Expedisi isi 100 lembar Rp.
Buku Expedisi isi 200 lembar Rp.
Buku Agenda KM Deluxe 2016 Rp.
Buku Folio isi 100 lembar Rp.
Buku Folio isi 200 lembar Rp.
Binder Clip 105 Rp.
Binder Clip 155 Rp.
Binder Clip 200 Rp.
Binder Clip 260 Rp.
Ballpoint Biasa (Hitam) Rp.
Ballpoint Biasa ( Merah ) Rp.
Ballpoint Biasa (Biru) Rp.
Ballpoint Sejenis Pentel Rp.
Cutter K-200 Rp.
Cutter A-300 Rp.
Isi Cutter Kecil Rp.
Isi Cutter Besar Rp.
Correction Tipe x Pen Rp.
Correction Tipe x Kertas Rp.
Gunting Besar Rp.
Isi Stapples No 10 Rp.
Kertas Continuous Form 2 Ply Rp.
Kertas Continuous Form 3 Ply Rp.
Kertas Hvs A4 70 Gram Rp.
Kertas Hvs A4 80 Gram Rp.
Kertas Hvs F4 70 Gram Rp.
Kertas Hvs F4 70 Gram Include Potong Rp.
Ordner 1466 F SFL Rp.
Ordner jumbo Rp.
Paper Clips No 1 Rp.
Penggaris 30 cm Rp.
Penghapus kecil Rp.
Pensil 2 B Rp.
Snelhecter Map Kertas Rp.
Snelhecter Map Plastik Rp.
Stop Map Kertas Folio Rp.
Spidol Permanen Rp.
Spidol Whiteboard (Boardmarker) Rp.
Stabilo Rp.
Stamp Pad Rp.
Staples Kecil Hd 10 Rp.
Staples Besar HD 12A/13 (Tuas Jilid) Rp.
Steples Tembak Rp.
Refill Stempel Ungu Rp.
Isolasi Bening Besar Rp.
Isolasi Bening 12 Mm Rp.
Plakband 2'( Hitam) Rp.
Plakband 1,5' (hitam ) Rp.
Post It/Notes Plastik Rp.
Ordner Plastik Rp.
Post It/Notes Kertas besar Rp.
Isolasi Kertas Rp.
Isolasi Kertas 1" Rp.
Double Tape Besar 2" Hijau Rp.
Map Kancing Plastik Rp.
Cover ID Card bahan plastik Rp.
Buku Kwitansi Besar 100 lembar Rp.
Kertas Label No 12 (110) Rp.
Kertas Label No 12 (109) Rp.
Tinta Printer 100 Hitam Rp.
Tinta Printer 100 Merah Rp.
Tinta Printer 100 Kuning Rp.
Tinta Printer 100 Biru Rp.
Tinta Printer 003 Biru Rp.
Tinta Printer 003 Kuning Rp.
Tinta Printer 003 Merah Rp.
Refill Stempel Flash Ungu Rp.
Karet Gelang Rp.
Stop Map Plastik Rp.
Refill Ballpoint Hitam Rp.
Refill Ballpoint Biru Rp.
Buku Tulis Rp.
Kertas Foto Glossy Rp.
Ballpoint Meja Rp.
Plastik Sampul Jilid Rp.
Lem Kertas besar Rp.
Plastik Pres laminating Rp.
Stempel Rp.
Belanja ATK lainnya Rp.
Rp.
BELANJA UNTUK ATK / PENGEMAS DI INSTALASI GIZRp. 720,000.00
Isolasi plastik Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dRp. 126,156,552.00
Belanja kertas dan Cover kegiatan perkantoran Rp.
Kertas Label thermal Rp.
Rp.
ETIKET DI INSTALASI GIZI Rp. 4,056,552.00
Etiket Label Diet print Rp.
Etiket Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan CRp. 1,042,872,265.00
- Belanja piagam pelatihan Sertifikat Bimtek/Pelati Rp. 3,196,800.00
kertas label Rp.
- Belanja cetak kartu pasien Rp.
Rp.
- Belanja cetak blangko rekam medis, map, amplop, Rp. 805,632,200.00
BENDEL STATUS FORM UMUM (termasuk biaya set)Rp.
BENDEL STATUS FORM PONEK (termasuk biaya set) Rp.
BENDEL STATUS FORM BAYI (termasuk biaya set) Rp.
BENDEL STATUS FORM RAJAL (termasuk biaya set) Rp.
BENDEL STATUS FORM UGD (termasuk biaya set) Rp.
StopMap Rekam Medis Rp.
Amplop Ct Scan Rp.
Amplop Kabinet Besar Rp.
Amplop Radiologi Besar Rp.
Amplop USG Rp.
Bukti Pengambilan dan Penyerahan Linen Rp.
Buku Register Radiologi Rp.
Etiket Kocok Dahulu Rp.
Etiket Tablet Rp.
Form Askep Ansietas Rp.
Form Askep Bersihan Jalan Nafas Tidak Efektif Rp.
Form Askep Hypertermia Rp.
Form Askep Nyeri Akut Rp.
Form Atas Permintaan Sendiri (Aps) Rp.
Form Bon Pengambilan BAHP Rp.
Form Catatan Anestesi Rp.
Form Catatan Pemakaian Obat Rp.
Form Catatan Perkembangan Pasien Terintegrasi (C Rp.
Form Catatan Pre Operasi Rp.
Form ceklist keselamatan bedah Rp.
Form Deteksi Dini Covid 19 Rp.
Form DPJP Rp.
Form Persetujuan Tindakan Transfusi Darah pasien Rp.
d
Form Laborat Rp.
Form Lembar Konsultasi Rp.
Form Penandaan Operasi Pria Rp.
Form Penandaan Operasi Wanita Rp.
Form Pendaftaran Pasien Baru Rp.
Form Penempelan Hasil EKG, Eeg, Foto Audiometri Rp.
From Pengajian Pra Anestesi Rp.
From Penolakan Tindakan Kedokteran Rp.
From Permintaan Obat Dan Alkes Rp.
From Permintaan Radiologi Rp.
From Permintaan Rawat Inap Rp.
From Pernyataan Serah Terima Jenazah Rp.
From Persetujuan Anestesi Sedasi Rp.
From Persetujuan Operasi Rp.
From Tindakan Kedokteran Pasien Dialisis Rp.
From Rekam Keperawatan Intensif Rp.
From Resume Pasien Jaminan Kesehatan Nasional Rp.
Form Resume Poliklinik ( Summary List ) Rp.
Form Salinan Resep Rp.
Form Sertifikat Kematian Rp.
Form Surat Keterangan Opname Rp.
Form Surat Keterangan Rawat Inap Rp.
Form surat Pemeriksaan NST / CTG Rp.
Form Transfer Pasien Antar Ruang Perawatan Rp.
Form. Catatan Penggunaan Dan Perawatan Mesin Rp.
Form. Data Demografi Pasien Dialisis Rp.
Form. Pengkajian Ulang Resiko Jatuh Dewasa Rp.
Form. Observasi Tranfusi Darah Rp.
Form. Pemakaian BAHP ( GA ) Rp.
Form. Pemakaian BAHP ( SAB ) Rp.
Form. Pernyataan Kesanggupan Biaya (3 x 24 jam) Rp.
Form. Pernyataan Pindah Kelas Perawatan Rp.
Form. Rencana Perawatan Dialisis Rp.
Form. Surat Keterangan Kesehatan Rp.
Form. Surat keterangan Kesehatan Mata Rp.
Form. Surat Keterangan Sakit Rp.
Form.Bayi Baru Lahir Rp.
Form.Identifikasi Bayi Baru Lahir Rp.
Form.Patologi Anatomi Rp.
Form.Pernyataan Kesanggupan Pembiayaan Umum Rp.
Form Askep Hipotermia Rp.
Form. Monitoring HD Rp.
Form. Assemen Awal Medis Dialisis Rp.
Kartu Stock Rp.
Label Nomor Pengambilan Obat Rp.
Stiker High Alert Kecil Rp.
StopMap Merah Tua Rumah Sakit Rp.
Form Keterangan Pemeriksaan Kesehatan Jiwa Rp.
Form Keterangan Pemeriksaan Jiwa Rp.
Kartu Pengobatan Pasien TB Rp.
Form Persetujuan Tindakan Tranfusi Darah Rp.
Form Persetujuan Tindakan Kedokteran Rp.
Form Surat Jalan Hemodialisa Rp.
Form Label Indentitas Rp.
Form Buku TBC Rp.
Form Pengkajian Resiko Jatuh Anak Rp.
Form Persetujuan Tindakan Fiksasi Makanik Rp.
Form Pengkajian Keperawatan Jiwa Rp.
Form Surat Pernyataan Keluarga Pasien Rp.
Form Evaluasi Keperawatan Jiwa Rp.
Stopmap Hijau Rumah Sakit Rp.
Form Pengkajian Gigi Dan Mulut (1 sisi) Rp.
Form Pengkajian Ulang Resiko Jatuh Anak Rp.
Form Pengkajian Restrain Jiwa Rp.
Form Rencana Asuhan Keperawatan Jiwa Waham Rp.
Form Rencana Asuhan Keperawatan Jiwa Bunuh DirRp.
Form Rencana Asuhan keperawatan Jiwa Perilaku KRp.
Form Rencana Asuhan keperawatan Jiwa Koping Tida Rp.
Form Rencana Asuhan keperawatan Jiwa Isolasi SosiRp.
Form Rencana Asuhan keperawatan Jiwa Harga DiriRp.
Form Rencana Asuhan keperawatan Jiwa GangguanRp. P
Form Rencana Asuhan keperawatan Jiwa GangguanRp.
Form Pengkajian Resiko Jatuh Pasien Geriatri Rp.
Form Pengkajian Dan Intervensi Resiko Jatuh (Get Rp.
Form Serah Terima Pasien Kepada Keluarga Rp.
Form Pengkajian Keperawatan Jiwa (Laporan OperasRp.
Form Ews Anak Rp.
Form Ews Dewasa Rp.
Form Ews Obsertetri Rp.
Form Permintaan/Pembambilan Atk Dan Cetakan Rp.
Form pemberian edukasi rawat inap Rp.
Form Rekonsiliasi Obat Rp.
Form Pasien Terintegrasi Rp.
Form Pernyataan Persetujuan Umum Rp.
Form Laporan Operasi PAB Rp.
Form Pernyataan Penyerahan Organ Rp.
Form Pemeriksaan TB Rp.
Form Instalasi Farmasi Rp.
Form etiket instalasi radiologi Rp.
sticker lasa Rp.
Buku unit dialisis Rp.
Form saran pengaduan rawat inap Rp.
Form saran pengaduan IGD Rp.
Form saran pengaduan rawat Jalan Rp.
Form pengkajian instalasi Kebidanan Rp.
Stiker Inventaris Rp.
Stiker Diet Gizi Rp.
Etiket Snack Rp.
Etiket Snack DM Pagi Rp.
Etiket Snack DM Sore Rp.
Belanja Cetakan Lainnya Rp.
Rp.
- Belanja cetak leaflet , poster, stiker, kalender, ba Rp. 46,801,750.00
Cetak Kalender OPD Rp.
Rp.
Belanja cetak leaflet Rp.
Leaflet Ap120 Gram, Fullcolor, 2 Muka Rp.
Rp.
Belanja cetak poster Rp.
Poster Termasuk Biaya Design Rp.
Poster Tipis UV 50 x 70 cm Rp.
Rp.
Belanja cetak stiker Rp.
Stiker Cutting Rp.
Rp.
- Belanja bahan dekorasi ( spanduk, banner ) kegia Rp.
Banner/Spanduk/Vinnyl Fl 300 Gsm Rp.
Banner/Spanduk/Vinnyl Fl 440 Gsm Korcin Rp.
Rp.
Belanja Penggandaan Rp. 146,658,750.00
- Belanja penggandaan kegiatan administrasi perka Rp.
Photo Copy HVS A4/F4 70 gr Rp.
- Belanja penggandaan kegiatan Akreditasi Rumah SRp.
- Belanja penggandaan kegiatan pelatihan internal Rp.
Rp.
Belanja Penjilidan Rp. 6,464,085.00
Jilid Softcover F4; tebal 3-7 cm Rp.
Jilid Softcover A4; tebal 1-2 cm Rp.
Jilid Biasa, Mika + Lakban 3 s/d 7 cm Rp.
Jilid Semi Hardcover A3, tbl s/d 3 cm Rp.
Rp.
Belanja Papan Rp. 21,898,080.00
Papan nama tulisan akrilik gantung Rp.
Papan nama tulisan akrilik frame Rp.
Rp.
Belanja ID card Rp. 610,000.00
ID CARD (TAMU/SURVEYOR) Rp.
ID CARD (PENUNGGU PASIEN) Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Benda P Rp. 7,605,858.00
Materai Materai 10000 Rp.
Perangko Kilat Biasa Rp.
Perangko Kilat Express Rp.
Perangko Kilat Khusus Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan K Rp. 25,873,545.00
Pita Komputer Epson kecil Rp.
Pita Komputer Epson Lq-1031 Rp.
Pita Komputer Epson Kecil + Cartridge Rp.
Cartridge Ribbon Cartridge LX 310 Rp.
Cartridge LQ 2190 Ribbon Cartridge Rp.
Flash Disk 32 GB Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Rp. 521,833,371.00
- Belanja Alat/Bahan kebersihan Rp. 191,314,298.00
Timba plastik uk. 80 liter Rp.
Bak plastik uk. 30 liter Rp.
Keset bludru Rp.
Dispenser tissue handtowel Rp.
Dispenser handsoap Rp.
Tissue handtowel 120 sheet Rp.
Tissue Kotak Rp.
Pengharum ruangan ( stela air fresener alat matic) Rp.
Container box ukuran L Rp.
Container box ukuran M Rp.
Spillkit Rp.
Pressure sprayer @ 2 liter Rp.
Rp.
- Belanja Alat/Bahan pengelolaan linen Rumah SakitRp. 94,197,850.00
Kantong plastik 0,4X80X100 Natural/Bening Rp.
Plastik laundry Rp.
Keranjang cucian Loundry Box L Rp.
Tempat sampah injak greenleaf 120 liter warna biruRp.
Tempat sampah injak greenleaf 120 liter warna kunRp.
Rp.
- Belanja Alat/Bahan pengelolaan sampah Rp. 236,321,223.00
Kantong sampah plastik 0,4x80x100 hitam sablon Rp.
Kantong sampah plastik 0,4x80x100 kuning sablon Rp.
Kresek sampah plastik jumbo hitam sablon Rp.
Tas Kresek plastik jumbo kuning sablon Rp.
Tempat sampah injak 36 liter grey Rp.
Tempat sampah injak 36 liter yellow Rp.
Tempat sampah injak 70 liter grey Rp.
Tempat sampah injak 70 liter yellow Rp.
Safety box kapasitas 12,5 liter Rp.
Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat ListrRp.
Embodos Kotak Hitam Rp.
Fiting Plafound Rp.
Isolasi Kabel Rp.
Konektor TC 2 Baut Rp.
Kabel Ties 15 cm nylon Rp.
Kabel NYM 2x1,5 mm Rp.
Kabel NYYHY 3x0,75 mm Rp.
Kabel NYA 2,5 mm Rp.
Klem Kabel 6 mm Rp.
Klem Kabel 9 mm Rp.
Klem Kabel 10 mm Rp.
Klem Kabel 12 mm Rp.
Lampu LED 8 W Rp.
Lampu LED 4 W Rp.
Lampu LED 14,5 W Rp.
Lampu LED 19 W Rp.
Lampu Sorot LED 50 W Rp.
Lampu Sorot LED 30 W Rp.
Lampu PJU LED 30 W Rp.
MCB 1 Phase (6/10/16 A) Rp.
MCCB 800 A 50 KA Rp.
MCCB 1250 A 50 KA Rp.
Kabel Duct TC 4 Rp.
Saklar Seri 16A 250V Rp.
Saklar Engkel 16A 250V Rp.
Stop Kontak 16A 250V Rp.
Steker Broco 16A 250V Rp.
Steker T Broco 13A 250V Rp.
Stop Kontak 4 lubang Rp.
Stop Kontak 1 Lubang Rp.
Stop Kontak 2 Lubang Rp.
Lampu Downlight 7,5 W Rp.
Battery , Alkaline AA2 1,5V Rp.
Battery Alkaline AAA3 1,5V Rp.
Battery Kotak Alkaline 9V Rp.
Switch hub Rp.
alat listrik Lainnya Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor- Perlen Rp.
Plakat Akrilik 35 Rp.
Plakat Bahan : kayu 12 Rp.
Rp.
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/BahRp.
Belanja peralatan upacara dan hari besar nasional Rp.
Bendera Merah Putih 210 Cm X 100 Cm Rp.
Rp.
Belanja Karangan Bunga Rp.
Papan Bunga Digital Printing Uk. 250 x 150 cm 1 titi Rp.
Rp.
Belanja penutup badan Rp.
Scot kain petugas Rp.
Baju pasien setelan/piyama Rp.
Baju pasien atasan/kimono Rp.
Baju pasien operasi Rp.
sarung pasien Rp.
Rp.
Belanja Barang Peralatan Rumah Tangga Rp.
Choper Rp.
Wajan Teflon Besar Rp.
Wajan Cetak Teflon Rp.
Container sayur Rp.
Container Bumbu Rp.
Panci Besar Rp.
Wajan Besar Rp.
Telenan Rp.
Lepek Lauk Rp.
Mangkok Sayur Rp.
Mangkok Bubur Rp.
Capit Makanan besar Rp.
Capit Makanan kecil Rp.
Toples Susu Rp.
Toples Bumbu Rp.
Nampan VIP Rp.
Jampel Rp.
Tempat Sample Makanan Rp.
Serok tanggung Rp.
Serok Kecil Rp.
Irus Sayur Rp.
Timbangan Kue Rp.
Botol Minyak Rp.
Chafing disk jumbo Rp.
Regulator Rp.
Rp.
Peralatan Kantor Rp.
Wall Fan Rp.
Kursi Rapat ( Kursi Susun ) Rp.
Tabung APAR 4,5 kg Rp.
Rp.
BAHAN PENGEMAS MAKANAN DAN PEMBERSIH DI IN
Rp.
Gelas Minum Rp.
Cup Lauk Mika Rp.
Box Mika Rp.
Plastik 18 an Rp.
Plastik Es Rp.
Plastik Klip Besar Rp.
Plastik Klip Kecil Rp.
Plastik Opp 11 an Rp.
Plastik Opp 14 an Rp.
Plastik Sealer Rp.
Plastik Wraping Rp.
Kertas Nasi Rp.
Kotak Nasi Disposible Rp.
Kresek Jumbo Rp.
Kresek Putih Rp.
Sarung Tangan Plastik Rp.
Sendok Plastik Rp.
Spon Rp.
Tisu Warna Rp.
Rp.
Belanja Gelang Pasien Rp.
Gelang identitas pasien Rp.
Rp.
Belanja Linen Pasien Rp.
Bed cover set Rp.
Sprei Rp.
Sprei box bayi Rp.
Perlak Rp.
Perlak bersalin Rp.
Perlak bayi Rp.
Selimut Rp.
Stik laken Rp.
Sarung bantal Rp.
Sarung bantal bayi Rp.
Handuk kecil Rp.
Handuk besar Rp.
Duk kecil Rp.
Duk besar Rp.
Duk bungkus Rp.
Duk lubang Rp.
Duk mata Rp.
Fiksasi pasien Rp.
Penutup jenazah Rp.
Penutup keranda Rp.
Penutup alat Rp.
Taplak makan pasien Rp.
Rp.
Belanja hospital curtain Rp.
Gorden +rel Rp.
Kain sketsel Rp.
Rp.
Belanja Obat-Obatan-Obat Rp.
ACARBOSE 100 MG Rp.
ACARBOSE 50 MG Rp.
ACETYLCYSTEINE 200 MG Rp.
ACYCLOVIR 400 MG Rp.
ACYCLOVIR 5% CREAM Rp.
ADALAT OROS 30 MG Rp.
AKILEN TT Rp.
ALLOPURINOL 100 MG Rp.
ALLOPURINOL 300 MG Rp.
ALPRAZOLAM 0,5 MG Rp.
ALPRAZOLAM 1 MG Rp.
AMBROXOL 30 MG Rp.
AMBROXOL HCL 15MG/5ML SYR Rp.
AMIKACIN INJ 250 MG Rp.
AMINOFUSIN HEPAR INF Rp.
AMINOLEBAN INJ 500 ML Rp.
AMINOPHYLLINE INJ Rp.
AMIODARONE 200 MG Rp.
AMIODARONE HCL INJ Rp.
AMITRIPTYLINE 25 MG Rp.
AMLODIPINE 10 MG Rp.
AMLODIPINE 5 MG Rp.
AMOXYCILLIN 500 MG Rp.
AMOXYCILLIN SYR 125 MG Rp.
ANALSIK Rp.
ANTASIDA DOEN Rp.
ANTASIDA DOEN SUSP 60 ML Rp.
ANTIHEMOROID SUPP 2 GR Rp.
ARCAPEC TAB Rp.
ARINIA 10 MG Rp.
ARIXTRA INJ 2,5 MG/0,5 ML Rp.
ASAM FOLAT 400 MCG Rp.
ASAM MEFENAMAT 500 MG Rp.
ASAM TRANEKSAMAT 500 MG Rp.
ASAM TRANEKSAMAT INJ 250 MG Rp.
ASAM TRANEKSAMAT INJ 500 MG Rp.
ASERING INF 500 ML Rp.
ASTHENOF 5 ML Rp.
ATORVASTATIN 20 MG Rp.
ATROPINE 0,25 MG INJ Rp.
AVAMYS NASAL SPRAY Rp.
AZITHROMYCIN 500 MG Rp.
BACTESYN INJ 0,75 GR Rp.
BAQUINOR 0,3% EYE DROP Rp.
BETADINE OBAT KUMUR 190 ML Rp.
BETAHISTINE 6 MG Rp.
BETAMETASON CREAM 5 GR Rp.
BIOSAVE 5 ML INJ - E KAT Rp.
BISACODYL 5 MG Rp.
BISOPROLOL 2,5 MG Rp.
BISOPROLOL 5 MG Rp.
BRALIFEX PLUS EYE DROP Rp.
BRILINTA 90 MG Rp.
BUSCOPAN 10 MG Rp.
BUSCOPAN INJ Rp.
CA GLUCONAS 10% INJ Rp.
CA POLYSTYRENE SULFONATE Rp.
CALCITRIOL 0.5 MCG Rp.
CALCIUM LACTAT 500 MG Rp.
CALITOZ KAPLET Rp.
CANDESARTAN 16 MG Rp.
CANDESARTAN 8 MG Rp.
CAPSINAT 500 Rp.
CAPTOPRIL 25 MG Rp.
CARBAMAZEPINE 200 MG Rp.
CARPINE 2% ED Rp.
CARVEDILOL 6.25 MG Rp.
CATARLENT 5 ML ED Rp.
CEFADROXYL 500 MG Rp.
CEFADROXYL SYR 125 MG Rp.
CEFADROXYL SYR 250 MG Rp.
CEFIXIME 100 MG Rp.
CEFIXIME SYR 30 ML Rp.
CEFOTAXIME 1 GR INJ Rp.
CEFTAZIDIME INJ 1 GR Rp.
CEFTRIAXONE 1 GR INJ Rp.
CELECOXIB 100 MG Rp.
CELECOXIB 200 MG Rp.
CENFRESH MDS Rp.
CETIRIZINE 10 MG Rp.
CETIRIZINE SYR 60 ML Rp.
CHLOR.MALEAT (CTM) Rp.
CHLORPROMAZINE 100 MG Rp.
CIPROFLOXACIN 500 MG Rp.
CIPROFLOXACIN INF 200 MG Rp.
CITICHOLINE 500 MG Rp.
CITICHOLINE INJ 1000 MG Rp.
CITICHOLINE INJ 500 MG Rp.
CLINDAMYCIN 300 MG Rp.
CLOBAZAM 10 MG Rp.
CLOPIDOGREL 75 MG Rp.
CLOZAPINE 100 MG Rp.
CLOZAPINE 25 MG Rp.
CODEIN 10 MG Rp.
CODEIN 20 MG Rp.
COLCHICINE 0.5 MG Rp.
COLSANCETINE INJ 1 GR Rp.
COMAFUSIN HEPAR INF Rp.
COMBIVENT 2,5 ML UDV Rp.
CONCOR 1,25 MG Rp.
CONVER 2% MDS Rp.
COTRIMOXAZOLE FORTE Rp.
CURCUMA 20 MG TAB Rp.
CURCUMA PLUS SYR Rp.
DEPAKOTE ER 500 MG Rp.
DESOXIMETASONE 0,25 % CR Rp.
DEXAMETHASON 0,5 MG Rp.
DEXAMETHASON INJ Rp.
DIAZEPAM 2 MG Rp.
DIAZEPAM 5 MG Rp.
DIAZEPAM 5 MG/ML INJ Rp.
DIGOXIN 0,25 MG Rp.
DILTIAZEM 30 MG Rp.
DIMENHYDRINATE 50 MG Rp.
DIPHENHYDRAMIN INJ Rp.
DIVALPROEX SODIUM 250 MG Rp.
DOBUTAMINE HCL 250 MG/5 ML Rp.
DOMPERIDONE 10 MG Rp.
DOMPERIDONE SYR 60 ML Rp.
DOPAMET 250 MG Rp.
DULCOLAX 10 MG SUPPO Rp.
ECOSOL NACL 0,9% 100 ML Rp.
EFLIN TAB Rp.
ELXION 10 MG Rp.
EPERISONE HCL 50 MG Rp.
EPHEDRIN HCL INJ Rp.
EPINEPHRINE INJ 0,1 % Rp.
ERGOTAMINE COFFEIN Rp.
ESTA - 2 Rp.
ETHAMBUTOL 500 MG Rp.
EZELIN Rp.
FARGOXIN INJ Rp.
FARNORMIN Rp.
FENOFIBRATE 100 MG Rp.
FENOFIBRATE 300 MG Rp.
FENTANYL 0,05 MG/ML 2 ML Rp.
FIBRION 1500000 IU Rp.
FIMA MANNITOL 20% INF - JKN Rp.
FLAMAR EYE DROP Rp.
FLIXOTIDE NEBULES 0,5 MG/2 ML Rp.
FLUCONAZOLE 150 MG Rp.
FLUNARIZINE HCL 10 MG Rp.
FLUNARIZINE HCL 5 MG Rp.
FLUOXETINE 20 MG Rp.
FOROTIC TT Rp.
FORUMEN TT Rp.
FRESOFOL 1% INJ Rp.
FUKRICIN EYE DROP Rp.
FURAMIN INJ Rp.
FUROSEMIDE 40 MG Rp.
FUROSEMIDE INJ Rp.
FUTROLIT INF Rp.
GABAPENTIN 100 MG Rp.
GABAPENTIN 300 MG Rp.
GABAXA 100 Rp.
GALVUS 50 MG Rp.
GARAM INGGRIS 30 GR Rp.
GEMFIBROZIL 300 MG Rp.
GENOINT 0,3% SALEP MATA 3,5 GR Rp.
GENTAMYCIN 0,1% SK Rp.
GENTAMYCIN 40 MG INJ Rp.
GLAUSETA Rp.
GLIBENCLAMIDE 5 MG Rp.
GLICLAZIDE 80 MG Rp.
GLIMEPIRIDE 1 MG Rp.
GLIQUIDONE 30 MG Rp.
GLUCOSAMINE MPL 250 MG Rp.
GLUCOSAMINE MPL 500 MG Rp.
HALOPERIDOL 0,5 MG Rp.
HALOPERIDOL 1,5 MG Rp.
HALOPERIDOL 5 MG Rp.
HEMAPO 3000 IU INJ Rp.
HERBESSER CD 100 MG Rp.
HERBESSER CD 200 MG Rp.
HERVIS EYE OINT Rp.
HEXIOL INJ 350 MG/ ML Rp.
HOMATRO 2% 5 ML Rp.
HUMAN ALBUMIN 20% 100 ML Rp.
HUMAN IMMUNOGLOBULIN INJ Rp.
HYDROCHLORTHIAZIDE (HCT) 25 MG Rp.
HYDROCORTISONE CR 2,5% Rp.
HYDROXYCHLOROQUINE 200 MG Rp.
HYDROXYUREA MEDAC 500 MG Rp.
HYOCINE-N-BUTYLBROMIDE INJ Rp.
IBUPROFEN 400 MG Rp.
IBUPROFEN SUSP 100 MG/5 ML Rp.
INVICLOT INJ Rp.
IOPAMIRO 370 - 50 ML Rp.
ISONIAZIDE 100 MG Rp.
ISONIAZIDE 300 MG Rp.
ISOSORBIDE DINITRAT 5 MG Rp.
KALIUM DIKLOFENAK 50 MG Rp.
KETOCONAZOLE 2% CREAM Rp.
KETOCONAZOLE 200 MG Rp.
KETOPROFEN 100 MG Rp.
KETOROLAC INJ 30 MG Rp.
KSR Rp.
LAKTULOSA SYR 60 ML Rp.
LANSOPRAZOLE 30 MG Rp.
LANSOPRAZOLE INJ Rp.
LANTUS SOLOSTAR Rp.
LATANOPROST EYE DROP Rp.
LAVIT-C 1000 MG INJ Rp.
L-BIO SACHET Rp.
LEVEMIR FLEX PEN Rp.
LEVOCIN EYE DROP Rp.
LEVOFLOXACIN 500 MG Rp.
LEVOFLOXACIN INFUS 100 ML Rp.
LEVOPAR Rp.
LEVOTHYROXINE 100 MG Rp.
LIDOCAIN 2% INJ Rp.
LISINOPRIL 10 MG Rp.
LISINOPRIL 5 MG Rp.
LODOMER INJ 5 MG Rp.
LOPERAMIDE HCl 2 MG Rp.
LORATADINE 10 MG Rp.
LORAZEPAM 2 MG Rp.
LOVENOX 0,4 ML Rp.
LOVENOX 0,6 ML Rp.
MAPROTILINE 50 MG Rp.
MARIMER ISOTONIC Rp.
MECOBALAMIN 500 MCG Rp.
MECOBALAMIN INJ 500 MCG Rp.
MELIDOX TAB Rp.
MELOXICAM 15 MG Rp.
MELOXICAM 7,5 MG Rp.
MEPROVENT Rp.
MERLOPAM 2 MG Rp.
MEROPENEM 1 GR INJ Rp.
MESTINON 60 MG Rp.
METAMIZOL INJ Rp.
METFORMIN 500 MG Rp.
METHYLERGOMETRIN 0,125 MG Rp.
METHYLPREDNISOLON INJ 125 MG Rp.
METHYLPREDNISOLONE 16 MG Rp.
METOCLOPRAMIDE 10 MG Rp.
METOCLOPRAMIDE INJ 10 MG/2 ML Rp.
METRONIDAZOLE 500 MG Rp.
METRONIDAZOLE INF 100 ML Rp.
METRONIDAZOLE SYR 125 MG Rp.
MICONAZOL 2% CREAM Rp.
MICROBAR BARIUM SULPHATE 250 GR Rp.
MICROGEST 100 MG Rp.
MICROGEST 200 MG Rp.
MIDAZOLAM HCL 1 MG/ML INJ Rp.
MINIASPI 80 MG Rp.
MISOPROSTOL 200 MCG Rp.
MORFIN 10 MG/ML INJ Rp.
MST CONTINUS 10 MG Rp.
MYDRIATIL 1% 5 ML Rp.
NA BICARBONAT 500 MG Rp.
NA DIKLOFENAK 50 MG Rp.
NATACEN MDS Rp.
NEO KAOLANA SYR Rp.
NICARDIPINE 1 MG/ ML INJ Rp.
NIFEDIPINE 10 MG Rp.
NIMODIPINE INF Rp.
NIMOTOP Rp.
NITROKAF RETARD 2,5 MG Rp.
NITROKAF RETARD 5 MG Rp.
NOREPINEPHRINE INJ Rp.
NOVOMIX-30 FLEX PEN Rp.
NOVORAPID FLEX PEN Rp.
NTG 1 MG INJ Rp.
NYSTATIN DROP 12 ML Rp.
OBH SYR 100 ML Rp.
OCTALBIN 25% 100 CC Rp.
OMEPRAZOLE 20 MG Rp.
OMEPRAZOLE INJ 40 MG Rp.
ONDANSETRON 4 MG Rp.
ONDANSETRON 4 MG/2 ML INJ Rp.
OPTALENT ED Rp.
ORALIT 200 Rp.
OTEDE Rp.
OTILON TT Rp.
OTOPAIN EAR DROP Rp.
OTSU D10 - 1/5 NS Rp.
OTSU D40 Rp.
OTSU KA-EN 3B INF 500 ML Rp.
OTSU KA-EN MG3 INF 500 ML Rp.
OTSU KCL 7,46 Rp.
OTSU MEYLON 25 ML Rp.
OTSU MGSO4 20 Rp.
OTSU SALIN 3 Rp.
OXYTOCIN INJ 10 IU/ML Rp.
PAMOL SUPP 125 MG Rp.
PAMOL SUPP 250 MG Rp.
PARACETAMOL 500 MG Rp.
PARACETAMOL INF 10 MG/ML Rp.
PARACETAMOL SYR Rp.
PETHIDIN HCL 50 MG/ML Rp.
PHENOBARBITAL 30 MG Rp.
PHENYTOIN 100 MG Rp.
PHENYTOIN INJ 50 MG Rp.
PIOGLITAZONE 15 MG Rp.
PIOGLITAZONE 30 MG Rp.
PIRACETAM 1 GR INJ Rp.
PIRACETAM 3 GR INJ Rp.
PIRACETAM 800 MG Rp.
PLAVIX 300 MG - JKN Rp.
PLETAAL 100 MG Rp.
POLYDEMICIN ED Rp.
PRAMIFROL 0.375 MG Rp.
PRAMIPEXOLE 0,125 MG Rp.
PREDNISON 5 MG Rp.
PREGABALIN 75 MG Rp.
PRIMET 25 MG Rp.
PROCAINE BENZILPENCILLIN INJ Rp.
PROINFARK 10 ML Rp.
PROPOFOL 10 MG/ML INJ Rp.
PROPRANOLOL 10 MG Rp.
PROPRANOLOL 40 MG Rp.
PROPYLTHIOURACYL (PTU) 100 MG Rp.
PROTOFEN 100 MG SUPP Rp.
PYRAZINAMIDE 500 MG Rp.
RAMIPRIL 2,5 MG Rp.
RAMIPRIL 5 MG Rp.
RANITIDIN 150 MG Rp.
RANITIDIN INJ 25 MG Rp.
REGUMEN Rp.
RENXAMIN INFUS 200 ML Rp.
RESFAR 25 ML INJEKSI Rp.
RIFAMPICIN 450 MG Rp.
RIFAMPICIN 600 MG Rp.
RISPERIDONE 2 MG Rp.
RISPERIDONE 3 MG Rp.
RYZODEG FLEX TOUCH Rp.
SALBUTAMOL 2 MG Rp.
SALBUTAMOL 4 MG Rp.
SANBE TEARS 8 ML Rp.
SATORIA WFI 25 ML Rp.
SIBITAL INJ Rp.
SIKZONOATE INJ 25 MG Rp.
SILDENAFIL 50 MG Rp.
SILOXAN 5 ML ED Rp.
SIMVASTATIN 20 MG Rp.
SIRPLUS 0,1 GR Rp.
SOLVINEX 2 MG INJ Rp.
SOMATOSTATIN LYOMARK 3 MG INJ Rp.
SOROQUIN XR 300 MG Rp.
SPIRONOLAKTON 100 MG Rp.
SPIRONOLAKTON 25 MG Rp.
SUCRALFATE SYR Rp.
SULFADIAZIN SILVER CREAM 35 GR Rp.
SULFITIS Rp.
SUPRASMA INHALER Rp.
TABLET TAMBAH DARAH Rp.
TAMOFEN 10 MG Rp.
TAMSULOSIN HCL 0.4 MG Rp.
TANAPRESS 10 Rp.
TANAPRESS 5 Rp.
TARIVID OTIC SOLUTION Rp.
TEBOKAN SPECIAL 80 MG Rp.
TELMISARTAN 40 MG Rp.
TELMISARTAN 80 MG Rp.
TENOFOVIR 300 MG Rp.
TETAGAM P 250 IU X 1 ML INJ Rp.
THIAMAZOLE 10 MG Rp.
TIMOLOL 0,5% - FERRON Rp.
TONOR 0,5% MDS Rp.
TRAMADOL 50 MG Rp.
TRAMADOL INJ 50 MG/ML Rp.
TRIAMCINOLONE 10 MG/ML INJ Rp.
TRIFLUOPERAZINE 5 MG Rp.
TRIHEXYPHENIDYL 2 MG Rp.
TROPIN 1% ED Rp.
UPERIO FCT 50 MG Rp.
UROGRAFIN 76% 20 ML INJ Rp.
URSODEOXYCHOLIC ACID 250 MG Rp.
VALPROIC ACID 250 MG SYR Rp.
VALSARTAN 160 MG Rp.
VALSARTAN 80 MG Rp.
VASACON MDS Rp.
VENTOLIN NEBULES 2,5 MG Rp.
VERAPAMIL Rp.
VIT B COMPLEK Rp.
VIT B6 10 MG Rp.
VIT C (ASCORBID ACID) 250 MG Rp.
VIT K 10 MG Rp.
VIT K INJ 10 MG Rp.
VIT K INJ 2 MG Rp.
VITROLENTA 5 ML Rp.
VOLULYTE 6% INF Rp.
WARFARIN 2 MG Rp.
WIDA D10% Rp.
WIDA D5 Rp.
WIDA D5-1/2 NS Rp.
WIDA D5-1/4 NS Rp.
WIDA KN-2 Rp.
WIDA NS 1000 ML Rp.
WIDA NS 500 ML Rp.
WIDA RL Rp.
XITROL EYE OINT Rp.
ZINC SULFATE SYR 60 ML Rp.
ZINC SULPHATE 20 MG Rp.
ATROPIN INJ Rp.
EPHEDRIN HCL Rp.
EPINEPHRIN INJ Rp.
FENTANYL 0,05 MG/ML 2 ML Rp.
KETAMIN INJEKSI Rp.
LIDOCAIN Rp.
LIDODEX 5% INJ Rp.
METHYLERGOMETRIN INJ Rp.
MIDAZOLAM HCL Rp.
NACL 500 ML Rp.
NEOSTIGMINE INJ Rp.
OXYTOCIN Rp.
PEHACAIN Rp.
PROANES 1% Rp.
PROPOFOL INJ Rp.
RINGER LAKTAT 500 ML Rp.
ROCULAX INJ Rp.
WATER FOR INJEKSI 1 LT Rp.
WATER FOR INJEKSI 25 ML Rp.
Belanja Obat Lainnya Rp.
Rp.
Belanja Natura dan Pakan-Natura Rp.
Belanja minuman pegawai Rp.
Air Minum Dalam Kemasan , Galon, 19 liter Rp.
Air Mineral , 19 Liter, Plus Galon Rp.
Air Mineral , Botol, 600 ml Rp.
Air Mineral Gelas Rp.
Air Mineral Botol 330 ml Rp.
Rp.
Belanja bahan makanan dan minuman pasien Rp.
Bahan Makanan Kering Rp.
Air Mineral Gelas Rp.
Air Minum dalam kemasan Rp.
Sari Kacang Hijau Rp.
Susu Bayi usia 6 - 12 bulan Rp.
Susu Bayi Bebas Lactosa Rp.
Susu anak usia 1 - 5 tahun Rp.
Susu Diit DM Rp.
Susu Diit Ginjal Rp.
Susu Diit Hati Rp.
Susu Diit Hemodialisis Rp.
Susu Diit Stroke Rp.
Susu Diit TKTP Rp.
Susu Diit Saluran Pernafasan Rp.
Susu UHT Rp.
Susu Makanan Cair Rp.
Susu Ibu Hamil dan Menyusui Rp.
Tehh Rp.
Beras IR 64 Super Rp.
Bumbu Instan Rp.
Crakers Rp.
Garam Diit Rp.
Garam Halus Rp.
Gula Diit Rp.
Gula Merah Rp.
Gula Merah Diit Rp.
Gula Pasir Rp.
Kecap Manis Rp.
Minyak Goreng Rp.
Roti Tawar Rp.
Saori Saos Tiram Rp.
Saori Saos Teriyaki Rp.
Saus Tomat Rp.
Tepung Beras Rp.
Tepung Maizena Rp.
Tepung Terigu Rp.
Kacang Hijau Rp.
Rp.
BAHAN MAKANAN BASAH Rp.
Ayam Kaldu Rp.
Ayam Potong Rp.
Bakso Ayam Rp.
Bakso daging Rp.
Daging Giling Rp.
Daging Sapi Rp.
Galantin Ayam Rp.
Kekian Ayam Rp.
Putih Telur Rp.
Rolade Daging Rp.
Rolade Tuna Rp.
Tahu Putih Rp.
Tempe Rp.
Telur Asin Rp.
Telur Ayam Rp.
Telur Puyuh Rp.
Tetelan Tulang Rp.
Tuna Rp.
Bayam Rp.
Brokoli Rp.
Buncis Rp.
Bunga Kol Rp.
Daun Jeruk Rp.
Daun Kemangi Rp.
Daun Ketela Rambat Rp.
Daun Pandan Rp.
Daun Pre Rp.
Daun Salam Rp.
Daun Sere Rp.
Daun Sledri Rp.
Gambas Rp.
Jagung Manis Rp.
Jamur Kering Rp.
Kacang Panjang Rp.
Kacang Polong Rp.
Kacang Merah Rp.
Kangkung Rp.
Kapri Rp.
Kelapa Tua Rp.
Kentang Rp.
Kubis Rp.
Labu Air Rp.
Labu Kuning Rp.
Labu Siam Rp.
Pepaya muda Rp.
Sawi ijo Rp.
Sawi Putih Rp.
Tauge Kedelai Rp.
Tauge Panjang Rp.
Tauge Pendek Rp.
Terong Rp.
Timun Rp.
Tomat Rp.
Ubi Rambat Rp.
Wortel Rp.
Apel Rp.
Jeruk Kreprok Rp.
Melon Rp.
Pear Rp.
Pepaya Rp.
Pisang Ambon Rp.
Pisang Kepok Rp.
Pisang Susu Rp.
Semangka Rp.
Air Kelapa Rp.
Asam Jawa Rp.
Bawang Merah Rp.
Bawang Putih Rp.
Bawang Bombay Rp.
Bawang Merah Goreng Rp.
Cabe Merah Rp.
Cabe Rawit Rp.
Cengkeh Rp.
Jahe Rp.
Jinten Rp.
Kayu Manis Rp.
Kembang Lawang Rp.
Kemiri Rp.
Ketumbar Bubuk Rp.
Kluwak Rp.
Kunci Rp.
Kunyit Rp.
Lengkuas Rp.
Merica Bubuk Rp.
Pala Rp.
Rp.
Belanja Makanan Dan Minuman Pasien ( snack pasi Rp. 154,734,000.00
Snack Gurih Rp.
Snack Manis Rp.
Rp.
Rp.
Belanja Makanan dan Minuman Rapat Rp. 261,757,500.00
- Belanja makanan dan minuman rapat kegiatan FGDRp. 7,908,750.00
Nasi Kotak Biasa Rp.
Snack Kotak Biasa Rp.
Rp.
- Makanan dan minuman Rapat kegiatan administraRp. 58,275,000.00
Rp.
- Belanja makanan dan minuman rapat kegiatan maiRp. 5,827,500.00
Rp.
- Belanja makanan dan minuman rapat kegiatan akreRp. 6,798,750.00
Rp.
Belanja Makanan dan Minuman Diklat, Seminar, LokRp. 50,088,750.00
Nasi kotak Rp.
Snack Rp.
Rp.
Belanja Makanan dan Minuman Bimtek Maintenance Rp. 31,635,000.00
Nasi kotak Rp.
Snack Rp.
Rp.
Belanja Makanan dan Minuman Survey ISO Rp. 26,362,500.00
Nasi kotak Rp.
Snack Rp.
Rp.
Belanja Makanan dan Minuman Survey Akreditasi daRp. 55,361,250.00
Nasi kotak Rp.
Snack Rp.
Belanja Makanan dan Minuman kegiatan value gather
Rp. 19,500,000.00
Rp.
Belanja Makanan dan Minuman Jamuan Tamu Rp. 101,172,876.00
- Belanja Makanan dan minuman tamu kegiatan ad Rp. 48,840,000.00
Prasmanan VVIP Rp.
Prasmanan biasa Rp.
Nasi Kotak VIP Rp.
Snack Kotak VIP Rp.
Snack Tamu Transit VIP Rp.
Rp.
- Belanja makanan dan minuman kegiatan pelayanaRp. 21,090,000.00
Nasi Kotak Biasa Rp.
Rp.
Belanja Makanan dan Minuman kegiatan Bimtek , Sur
Rp. 26,612,438.00
Prasmanan biasa Rp.
Rp.
Belanja Makanan dan Minuman kegiatan Survey ISORp. 4,630,438.00
Prasmanan biasa Rp.
Rp.
Belanja Penambah Daya Tahan Tubuh Rp. 240,611,925.00
Nasi kotak Rp.
Snack Rp.
Rp.
Belanja Pakaian Sipil Harian Rp.
Rp.
Belanja Pakaian Siaga Rp. 208,757,607.00
Baju petugas ruangan (uk S-5L) Rp.
Baju operasi setelan (uk S-5L) Rp.
Jaz operasi water repellent Rp.
Celemek Rp.
Jaz laborat Rp.
Rp.
Belanja Pakaian Batik Tradisional Rp.
Kain Batik Kain Batik Khas Kabupaten Madiun Rp.
Rp.
Belanja Jasa Rp. 19,459,385,470.00
Belanja Jasa Kantor Rp. 17,226,981,470.00
Honorarium Narasumber atau Pembahas, Moderator Rp. 246,500,000.00
-Jasa Narasumber Pelatihan Rp.
Jasa Narasumber Pelatihan APAR Rp.
Jasa Narasumber Pelatihan BLS Rp.
Jasa Narasumber Pelatihan Manajemen Ruangan Rp.
Jasa Narasumber Pelatihan PPI Rp.
Jasa Narasumber Pelatihan PPGD EMT Rp.
Jasa Narasumber bimtek keuangan Rp.
Jasa Narasumber pelatihan teknik Venaseksi Rp.
- Belanja jasa narasumber kegiatan FGD Rp.
Rp.
Rp.
Honorarium Tim Pelaksana Kegiatan dan SekretariatRp.
Rp.
Rp.
Belanja Jasa Tenaga Kesehatan Rp. 6,087,200,000.00
- Belanja Jasa Tenaga Ahli ( penepri ) dokter spesialiRp. 60,000,000.00
- Insentif Dokter Rp. 120,000,000.00
a. Intensif Tenaga Ahli (Dokter Spesialis) Rp.
b. Intensif Tenaga Ahli (Dokter Interensif) Rp.
- Honorarium tenaga kontrak BLUD Rp. 5,907,200,000.00
a. Dokter Spesialis ( 3 orang x 13 bulan ) Rp.
b. Perawat dan tenaga lain ( 233 x 13 bulan ) Rp.
c. Dokter umum/Dokter gigi ( 2 orang x 13 bulan ) Rp.
d. Programer ( 3 orang x 13 bulan ) Rp.
Rp.
Belanja Jasa Tenaga Ahli Rp. 214,800,000.00
- Belanja Jasa Tenaga Ahli ( fisikawan medis ) Rp.
Rp.
-Honorarium Dewan Pengawas Rp.
Honorarium Ketua Dewan Pengawas Rp.
Honorarium Sekretaris Dewan Pengawas Rp.
Honorarium Anggota Dewan Pengawas Rp.
Honorarium Anggota Komite Teknis Dewan Penga Rp.
Rp.
Belanja Tenaga Ahli (Jasa pelatih Senam/OltradisionRp. 4,800,000.00
Rp.
Belanja Jasa Tenaga Kebersihan Rp.
Honorarium Pegawai Honorer/Tidak Tetap Kategori Rp.
Rp.
Belanja Jasa Audit/Surveillance ISO Rp. 62,200,000.00
- Belanja jasa audit kegiatan sertifikasi Akreditasi R Rp.
Tarif Survei Akreditasi Rumah Sakit Rp.
- Belanja sertifikasi SMM ISO kegiatan MaintenanceRp.
Belanja Jasa Audit/Surveillance ISO Rp.
Rp.
Belanja Jasa Tenaga Informasi dan Teknologi Rp. 60,000,000.00
Honorarium Sub Profesional (Programmer Senior) Rp.
Rp.
Belanja Jasa Pelaksanaan Transaksi Keuangan Rp. 9,650,000.00
Biaya Beban Jasa Transaksi Keuangan ( Tranfer ) Rp.
Beban Jasa Transaksi Keuangan (Cek giro ) Rp.
Rp.
Belanja Jasa Penyelenggaraan Acara Rp. 18,000,000.00
Belanja Jasa Penyelenggaraan Acara Rekrutmen Pe Rp.
Rp.
Belanja Jasa Kontribusi Asosiasi Rp. 15,000,000.00
Belanja Iuran Asosiasi Rp.
Rp.
Belanja Jasa Kalibrasi Rp. 276,750,000.00
- Jasa Kalibrasi/pengujian/pengukuran peralatan k Rp.
- Jasa pengujian ( air bersih, air minum, swab , udaraRp.
- Jasa pemantauan mutu eksternal laboratorium Rp.
- Jasa Pemeriksaan kultur kuman Rp.
Rp.
Belanja Jasa Pengolahan Sampah Rp. 756,000,000.00
Jasa pengangkutan dan pengolahan sampah medis Rp.
Rp.
Belanja Jasa Iklan/Reklame, Film, dan Pemotretan Rp. 62,004,550.00
Belanja Jasa Iklan/Reklame, Film, dan Pemotretan Rp.
Rp.
Belanja Tagihan Telepon Rp. 36,000,000.00
Belanja Tagihan Telepon Rp.
Rp.
Belanja Tagihan Air Rp. 132,000,000.00
Belanja Tagihan Air Rp.
Rp.
Belanja Tagihan Listrik Rp. 1,500,000,000.00
Belanja Tagihan Listrik Rp.
Rp.
Belanja Langganan Jurnal/Surat Kabar/Majalah Rp. 12,720,000.00
Belanja Langganan Jurnal/Surat Kabar/Majalah Rp.
Rp.
Belanja Kawat/Faksimili/Internet/TV Berlangganan Rp. 145,000,000.00
Belanja Kawat/Faksimili/Internet/TV Berlangganan Rp.
Rp.
Belanja Paket/Pengiriman Rp. 470,000.00
Belanja Paket/Pengiriman Rp.
Rp.
Belanja Pembayaran Pajak, Bea, dan Perizinan Rp. 20,809,700.00
Belanja Pajak Kendaraan Bermotor Rp.
Tarif ijin Radiologi Diagnostik PRP ( Baru ) Rp.
Tarif ijin Radiologi Intervensional PRP ( Baru ) Rp.
Rp.
Belanja Medical Check Up Rp. 237,500,000.00
Belanja jasa pemeriksaan kesehatan dan vaksinasi Rp.
Rp.
Belanja jasa pelayanan Kesehatan bagi Non ASN Rp. 7,323,877,220.00
Belanja jasa pelayanan Kesehatan bagi Non ASN Rp.
Rp.
Rp.
Belanja Iuran Jaminan/Asuransi Rp. 1,339,399,000.00
Belanja Iuran Jaminan Kesehatan bagi Non ASN Rp. 886,274,000.00
Belanja Iuran Jaminan Kesehatan bagi ASN dan NonRp.
Rp.
Belanja Iuran Jaminan Kecelakaan Kerja bagi Non A Rp. 453,125,000.00
Belanja Premi Asuransi Ketenagakerjaan ( perbulan Rp.
Rp.
Belanja Sewa Peralatan dan Mesin Rp. 55,000,000.00
Rp.
Belanja Sewa Alat Kantor Lainnya Rp.
Belanja Sewa Alat Kantor Lainnya Rp.
Rp.
Rp.
Belanja Jasa Konsultansi Konstruksi Rp.
Belanja Jasa Konsultansi Perencanaan Rekayasa-Jas Rp.
- Belanja jasa konsultasi perencanaan pekerjaan rehRp.
- Belanja jasa konsultasi perencanaan pekerjaan pe Rp.
- Belanja jasa konsultasi perencanaan pekerjaan RehRp.
Rp.
Belanja Jasa Konsultansi Pengawasan Rekayasa-Jas Rp.
- Belanja jasa konsultasi pengawasan pekerjaan rehaRp.
- Belanja jasa konsultasi pengawasan pekerjaan pemRp.
- Belanja jasa konsultasi pengawasan pekerjaan RehRp.
Rp.
Belanja Jasa Konsultansi Non Konstruksi Rp.
Belanja Jasa Konsultansi Berorientasi Bidang-Keuan Rp.
Belanja jasa akuntan publik audit laporan keuanganRp.
Rp.
Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Rp.
Belanja jasa survey IKM Rp.
Rp.
Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Rp.
Belanja jasa penyusunan dokumen perijinan Rp.
Rp.
Belanja Beasiswa Pendidikan PNS Rp.
Belanja Beasiswa Tugas Belajar S2 Rp.
Beban Beasiswa Pendidikan PNS Lainnya Rp.
Rp.
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Te Rp.
Belanja Kursus Singkat/Pelatihan Rp.
- Bimbingan Akreditasi Rp.
- Belanja kursus/pelatihan/bimtek/workshop ( pelaya Rp.
- Biaya pendaftaran kursus/pelatihan/bimtek/worksRp.
- Bimbingan Teknis ISO Rp.
Rp.
Belanja Pemeliharaan Rp.
Belanja Pemeliharaan Peralatan dan Mesin Rp.
Belanja Pemeliharaan Alat Besar-Alat Bantu-ElectricRp.
Pemeliharaan Sarana Kantor Genset 450 KVA Unit /Rp.
Rp.
Belanja Pemeliharaan Alat Angkutan-Alat Angkuta Rp.
Belanja Pemeliharaan Alat Angkutan-Alat Angkuta Rp.
Rp.
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga Rp.
Belanja pemeliharaan Printer CANON / IP2770 ModiRp.
Belanja pemeliharaan Printer EPSON / L 120/ L1110Rp.
Belanja pemeliharaan Printer CANON / MP287 ModiRp.
Power Suply Rp.
Pemeliharaan Pc Komputer Rp.
Service Monitor Komputer Rp.
Pemeliharaan Note Book Rp.
Pemeliharaan komputer lain-lain dan alat kantor la Rp.
Mouse + Keyboard Rp.
Rp.
Belanja Pemeliharaan Alat Kantor dan Rumah TanggRp.
Pemeliharaan AC Gedung/Kantor Pemeliharaan Portab Rp.
Pemeliharaan AC Gedung/Kantor Pemeliharaan AC cen Rp.
Rp.
Belanja Pemeliharaan Alat Kantor dan Rumah Tang Rp.
Pemeliharaan/perbaikan ringan Alat Rumah TanggaRp.
Pemeliharaan/perbaikan sedang Alat Rumah TanggaRp.
Belanja pemeliharaan lift Rp.
Rp.
Belanja Pemeliharaan Alat Kedokteran dan Kesehat Rp.
Belanja Pemeliharaan Alat Kedokteran dan Kesehat Rp.
Rp.
Belanja Pemeliharaan Komputer-Komputer Unit-Kom Rp.
Pemeliharaan soft ware SIM RS Rp.
Rp.
Belanja Pemeliharaan Gedung dan Bangunan Rp.
Belanja Pemeliharaan Bangunan Gedung-BangunanRp.
- Belanja Pemeliharan Gedung dan Bangunan Rp.
- Belanja Pemeliharaan kebersihan Rumah Sakit ( 12Rp.
Rp.
Belanja Pemeliharaan Bangunan Gedung-BangunanRp.
Belanja Pemeliharaan taman Rp.
Rp.
Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-InRp.
Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-InRp.
Rp.
Belanja Perjalanan Dinas Rp.
Belanja Perjalanan Dinas Dalam Negeri Rp.
Belanja Perjalanan Dinas Biasa Rp.
a. Belanja Perjalanan Dinas Biasa Rp.
Penginapan Di Prov. Jatim staf,PTT,Non PNS Rp.
Penginapan Di Prov. Jatim Eselon III, Eselon IV Rp.
Biaya Taksi Perjalanan Dinas Dalam Negeri Provinsi Rp.
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon 3Rp.
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon 3Rp.
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon IV Rp.
Uang Harian Perjalanan Dinas Luar Daerah ( Gol III )Rp.
Uang Harian Perjalanan Dinas Luar Daerah ( Gol I,II,PRp.
Uang Harian Perjalanan Dinas Luar Daerah ( pengemu Rp.
Satuan biaya transportasi darat ibukota provinsi k Rp.
Belanja Jasa Jalan Tol (mobil golongan I) Rp.
Rp.
Penginapan Di Prov. DKI Jakarta Eselon III/GolonganRp.
Penginapan Di Prov. DKI Jakarta Eselon IV/GolonganRp.
Biaya Taksi Perjalanan Dinas Dalam Negeri D.K.I. JakRp.
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Rp.DKI
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Rp.DK
Tarif Tiket Kereta Api Madiun - Gambir Gajayana (EkRp.
Biaya Tiket Pesawat Perjalanan Dinas Dalam Negeri Rp.
Belanja Jasa Jalan Tol (mobil golongan I) Rp.
Rp.
Penginapan Di Prov. Jawa Tengah Eselon III/GolongaRp.
Penginapan Di Prov. Jawa Tengah Eselon IV/Golongan Rp.
Penginapan Di Prov. Jawa Tengah Golongan I/II Rp.
Biaya Taksi Perjalanan Dinas Luar Daerah Di Jawa T Rp.
Uang Harian Perjalanan Dinas Luar Daerah provinsi Rp.
Tarif Tiket Kereta Api Madiun - Yogyakarta GajayanaRp.
Tarif Tiket Kereta Api Madiun - Yogyakarta Sancaka Rp.
Rp.
Penginapan Di Prov. Jawa Barat Eselon III/GolonganRp.
Biaya Taksi Perjalanan Dinas Luar Daerah Di Jawa BaRp.
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Rp.
Tarif Tiket Kereta Api Madiun - Bandung Turangga (ERp.
Rp.
Penginapan Di Prov. Bali Eselon III/Golongan IV Rp.
Biaya Taksi Perjalanan Dinas Dalam Negeri Bali Rp.
Uang Harian Perjalanan Dinas Luar Daerah Provinsi BRp.
Rp.
Penginapan Di Prov. Yogyakarta Eselon III/GolonganRp.
Biaya Taksi Perjalanan Dinas Dalam Negeri Provinsi Rp.
Rp.
- Belanja Perjalanan Dinas luar daerah akreditasi Rp.
Penginapan Di Prov. DKI Jakarta Eselon III/GolonganRp.
Penginapan Di Prov. DKI Jakarta Eselon IV/GolonganRp.
Penginapan Di Prov. DKI Jakarta Golongan I/II Rp.
Biaya Taksi Perjalanan Dinas Dalam Negeri D.K.I. JakRp.
Rp.
b. Belanja Transportasi dan Akomodasi Rp.
- Belanja Transportasi dan akomodasi petugas kalibrRp.
- Belanja transportasi dan akomodasi surveyor kegi Rp.
- Belanja transportasi dan akomodasi pengambil sample
Rp.
- Belanja transportasi dan akomodasi petugas perij Rp.
- Belanja transportasi dan akomodasi narasumber keRp.
Rp.
c. Belanja perjalanan dinas kegiatan Pendidikan danRp.
d. Belanja perjalanan dinas luar daerah kegiatan bi Rp.
Rp.
Belanja Perjalanan Dinas Dalam Kota Rp.
- Belanja perjalanan dinas dalam kota kegiatan AkreRp.
Biaya Transportasi Darat Perjalanan Dinas Dalam Daerah
Rp.
Rp.
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. RI p.
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iv &Rp.
- Belanja perjalanan dinas dalam kota kegiatan admiRp.
Rp.
Rp.
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iv &Rp.
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iii Rp.
- Belanja perjalanan dinas dalam kota kegiatan Pel Rp.
Rp.
Rp.
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. Rp. Ii
Rp.
Belanja Perjalanan Dinas Paket Meeting Luar Kota Rp.
- Belanja Perjalanan Dinas luar daerah Studi Bandin Rp.
- Belanja perjalanan dinas luar daerah kegiatan valuRp.
Rp.
Rp.
Belanja Uang dan/atau Jasa untuk Diberikan kepadaRp.
Belanja Uang yang Diberikan kepada Pihak Ketiga/PRp.
Belanja Penanganan Dampak Sosial Kemasyarakata Rp.
Tarif perawatan jenazah Mr X Rp.
Rp.
BELANJA MODAL Rp.
Rp.
Belanja Modal Peralatan dan Mesin Rp.
Belanja Modal Peralatan dan Mesin BLUD Rp.
Belanja Modal Alat Besar Rp.
Belanja Modal Alat Bantu Rp.
Belanja Modal Pompa Rp.
Pompa Air ( celup ) Rp.
Rp.
Belanja Modal Alat Bantu Lainnya Rp.
Panel LVSDP 1000 KVA Rp.
Rp.
Belanja Modal Alat Kantor dan Rumah Tangga Rp.
Belanja Modal Alat Kantor Rp.
Belanja Modal Alat Penyimpan Perlengkapan Kanto Rp.
Almari arsip 2 Pintu sliding, 100 (H) x 200 (W) x 45 Rp.
Rak obat Besi Rp.
Standar lemari Rak Obat ( 100 laci ) Rp.
Lemari penyimpanan Narkotika Rp.
Lemari Arsip Filling Cabinet Bergerak Mekanik Rp.
Rp.
Belanja Modal Alat Kantor Lainnya Rp.
Alat kantor lainnya Rp.
Penghancur Kertas Crosscut 2100ST Unit Rp.
Alat Finger Scan ( Finger spot ) Rp.
Rp.
Belanja Modal Alat Rumah Tangga Rp.
Belanja Modal Mebel Rp.
Meja Kantor 1/2 Biro Rp.
Kursi Tunggu 4 Seat/Bangku Rp.
Meja Kursi rapat set Rp.
Rp.
Belanja Modal Alat Pembersih Rp.
Mesin Cuci 16 Kg Rp.
Rp.
Belanja Modal Alat Pendingin Rp.
Ac Floor Standing 5 Pk Rp.
AC 1 PK Rp.
AC 2 PK Rp.
Lemari Es 1 pintu Rp.
Showcase Rp.
Rp.
Belanja Modal Alat Dapur Rp.
Food Processor Rp.
Food Trolley Rp.
Kompor Gas 1 tungku Rp.
Magic Com Rp.
Blender Rp.
Rp.
Belanja Modal Alat Rumah Tangga Lainnya ( Home URp.
TelevisiLed Full Hd Smart Tv 32 Inch Android Rp.
Brachet TV Rp.
Rp.
Rp.
Belanja Modal Alat Kedokteran dan Kesehatan Rp.
Belanja Modal Alat Kedokteran Umum Rp.
alat kdokteran lain-lain Rp.
Bed Pasien Rp.
Kursi Roda Rp.
ECG 6 chanel Rp.
Bed Transport Rp.
Timbangan Bayi Rp.
Rp.
Belanja Modal Komputer Rp.
Belanja Modal personal Komputer Rp.
PC unit Rp.
CCTV Camera Rp.
Rp.
Belanja Modal Peralatan Personal Computer Rp.
Printer , Ecotank Rp.
Printer Ecotank L5290 A4 Wi-Fi All-In-One Ink Tank Rp.
Monitor 20Mk400A Rp.
UNIFI Rp.
Printer dot matrik LX 310 Rp.
Rp.
Belanja Modal Gedung dan Bangunan Rp.
Belanja Modal Gedung dan Bangunan BLUD Rp.
Belanja Modal Gedung dan Bangunan Rp.
Belanja Modal Bangunan Gedung Rp.
Belanja Modal Bangunan Gedung Tempat Kerja Rp.
Belanja Modal Pagar Rp.
1 M Pembangunan Pagar Belakang rumah Negara TiRp.
Rp.
Belanja Modal Bangunan Kesehatan Rp.
1 m2 Rehap sedang Rawat Inap Rp.
1 m2 Rehap ringan gedung sederhana ( gas medik ) Rp.
1 m2 Rehab. Sedang Selasar Luar Beratap/Teras (TakRp.
Rp.
Belanja Modal Taman Rp.
Pembuatan Taman Depan RS Rp.
RINCIAN PENDAPATAN DI SIPD
BLUD APBD
JANUARI 1,500,000,000
PEBRUARI 7,850,000,000
MARET 7,850,000,000 500,000,000.00
APRIL 7,850,000,000 500,000,000.00
MEI 7,850,000,000 500,000,000.00
JUNI 7,850,000,000 500,000,000.00
JULI 7,900,000,000 500,000,000.00
88,000,000,000.00 AGUSTUS 7,900,000,000 2,000,000,000.00
7,333,333,333.33 SEPTEMBER 7,900,000,000 2,000,000,000.00
OKTOBER 7,850,000,000 61,736,200.00
NOPEMBER 7,850,000,000
DESEMBER 7,850,000,000
88,000,000,000 6,561,736,200.00
- 6,561,736,200.00
59,798,969,824.00
59,798,969,824.00
59,798,969,824.00
59,798,969,824.00
59,798,969,824.00
35,586,812,329.00
35,586,812,329.00
2,521,859,441.00
84,776,383.00
2,906,191.00
483,154.00
17,316,000.00
5,927,400.00
8,072,426.00
1,998,000.00
5,994,000.00
38,749,212.00
3,330,000.00
152,323,300.00
23,100,000.00
3,652,000.00
48,394,275.00
75,024,525.00
1,320,000.00
832,500.00
1,670,575,328.00
10,655,983.00
56,277,000.00
47,690,362.00
80,403,836.00
6,609,517.00
14,129,483.00
2,888,662.00
11,417,131.00
5,236,918.00
31,802,349.00
31,802,349.00
26,943,557.00
14,263,289.00
594,641.00
594,641.00
2,081,247.00
2,081,247.00
2,081,247.00
2,081,247.00
19,821,425.00
3,567,849.00
1,309,520.00
7,928,564.00
9,297,609.00
6,937,492.00
37,264,245.00
37,264,245.00
56,292,798.00
133,199,867.00
249,749,760.00
9,428,562.00
9,514,290.00
36,630,000.00
2,304,943.00
154,606,998.00
15,592,845.00
33,537,809.00
43,607,123.00
19,821,412.00
10,674,470.00
62,913,490.00
79,041,679.00
93,323,250.00
19,733,300.00
50,850,099.00
24,663,978.00
6,084,265.00
9,776,702.00
50,791,602.00
25,410,431.00
-
-
227,910,750.00
9,324,000.00
6,382,500.00
68,598,000.00
7,592,400.00
75,480,000.00
33,300,000.00
14,052,600.00
1,526,250.00
3,885,000.00
3,885,000.00
3,885,000.00
199,293,600.00
44,400,000.00
33,882,750.00
39,960,000.00
17,760,000.00
15,096,000.00
25,308,000.00
21,090,000.00
1,796,850.00
182,184,880.00
41,318,400.00
20,775,000.00
21,725,280.00
58,051,000.00
4,884,000.00
35,431,200.00
4,795,200.00
666,000.00
166,500.00
77,700.00
3,885,000.00
294,703,500.00
51,030,000.00
51,030,000.00
243,673,500.00
92,205,500.00
68,000.00
100,000.00
151,300,000.00
957,000.00
957,000.00
17,499,361.00
6,238,200.00
4,238,191.00
7,022,970.00
-
14,967,861,753.00
65,268,000.00
65,268,000.00
400,610,000.00
114,030,000.00
42,360,000.00
77,620,000.00
68,850,000.00
97,750,000.00
-
2,240,110,754.00
28,673,154.00
162,843,873.00
16,230,087.00
5,951,032.00
2,164,012.00
1,623,009.00
541,003.00
541,003.00
8,115,044.00
1,082,006.00
3,787,020.00
13,525,073.00
10,279,055.00
13,525,073.00
4,869,026.00
4,869,026.00
3,246,017.00
3,787,020.00
1,623,009.00
2,164,012.00
1,082,006.00
3,246,017.00
5,951,032.00
9,738,052.00
18,394,099.00
8,656,046.00
5,410,029.00
3,246,017.00
1,176,094.00
2,352,188.00
1,764,141.00
588,047.00
35,988,520.00
12,937,057.00
28,226,290.00
28,226,290.00
28,226,290.00
28,226,290.00
28,226,290.00
6,586,134.00
43,683,551.00
3,269,545.00
6,539,090.00
6,539,090.00
6,539,090.00
3,269,537.00
14,701,173.00
3,528,282.00
1,764,141.00
1,008,080.00
3,528,282.00
2,940,235.00
2,940,235.00
2,940,235.00
2,940,235.00
1,764,141.00
3,269,545.00
6,539,090.00
6,539,090.00
6,539,090.00
6,539,090.00
9,808,625.00
392,032.00
392,032.00
25,403,638.00
25,403,638.00
21,169,698.00
71,977,040.00
29,122,364.00
31,026,518.00
70,565,764.00
47,043,842.00
35,282,882.00
35,282,882.00
23,521,921.00
35,282,882.00
35,282,882.00
6,539,090.00
9,808,635.00
13,078,180.00
3,269,545.00
9,808,635.00
8,609,022.00
14,348,371.00
3,269,545.00
8,232,672.00
12,937,057.00
1,176,096.00
2,352,192.00
3,528,282.00
3,528,282.00
3,528,282.00
3,528,282.00
10,043,859.00
7,174,185.00
7,174,185.00
7,174,185.00
8,609,022.00
1,434,837.00
26,156,360.00
26,156,360.00
26,156,360.00
22,886,815.00
3,269,545.00
3,269,545.00
6,539,090.00
3,269,545.00
8,400,682.00
3,528,286.00
3,528,286.00
7,056,572.00
4,480,364.00
3,269,545.00
5,645,256.00
58,244,728.00
17,921,456.00
4,480,364.00
31,362,546.00
29,122,364.00
58,244,728.00
56,004,546.00
500,000,000.00
8,612,914,822.00
5,729,784.00
27,029,264.00
14,906,295.00
27,575,730.00
38,628,000.00
13,792,660.00
94,762,537.00
80,000,053.00
25,976,338.00
3,816,680.00
19,440,140.00
8,762,895.00
19,730,250.00
22,316,022.00
4,628,034.00
60,439,500.00
9,729,701.00
25,359,415.00
9,729,701.00
5,750,910.00
3,715,201.00
7,716,522.00
33,743,663.00
4,351,644.00
46,200,420.00
3,178,818.00
10,909,080.00
34,314,558.00
4,842,912.00
532,800.00
247,192,560.00
81,599,918.00
37,192,770.00
3,096,900.00
2,147,184.00
4,195,800.00
18,206,775.00
125,252,400.00
3,496,500.00
21,433,105.00
13,170,150.00
1,263,232.00
1,307,025.00
25,216,722.00
27,912,559.00
11,594,394.00
157,176,766.00
50,160,013.00
8,249,992.00
18,443,205.00
47,424,528.00
21,023,475.00
6,382,881.00
10,073,250.00
61,435,170.00
17,194,921.00
55,816,285.00
6,889,653.00
4,896,026.00
19,731,759.00
45,795,968.00
77,733,569.00
36,791,711.00
17,454,528.00
29,569,334.00
44,770,818.00
6,118,076.00
48,742,009.00
10,230,080.00
7,543,289.00
589,327.00
14,412,240.00
832,500.00
6,589,564.00
4,595,400.00
15,151,500.00
11,881,440.00
9,160,410.00
33,705,078.00
388,611,000.00
26,569,903.00
2,997,000.00
30,929,759.00
44,212,943.00
14,529,096.00
5,166,588.00
3,161,802.00
27,000,972.00
2,619,045.00
2,317,680.00
3,116,880.00
26,373,600.00
2,344,320.00
36,233,730.00
32,447,520.00
291,072.00
30,863,586.00
3,707,968.00
2,738,935,615.00
15,641,147.00
304,395,300.00
8,008,650.00
3,696,300.00
1,540,125.00
13,565,171.00
88,299,750.00
28,771,200.00
15,934,050.00
15,934,050.00
6,180,480.00
8,205,120.00
137,640.00
199,800.00
1,386,000.00
26,593,380.00
27,912,060.00
113,974,245.00
51,172,110.00
2,578,752.00
1,248,750.00
516,883.00
-
11,655,000.00
3,178,185.00
2,547,450.00
2,637,360.00
7,481,678.00
3,285,600.00
31,126,343.00
2,164,500.00
15,104,880.00
47,896,056.00
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22,248,000.00
8,820,000.00
42,047,910.00
112,302,000.00
6,527,400.00
85,680,000.00
876,960.00
46,428,525.00
1,123,875.00
2,010,000.00
4,130,033.00
3,105,000.00
300,449.00
2,029,860.00
451,282.00
5,893,290.00
5,621,850.00
2,004,750.00
2,694,002.00
212,910.00
3,463,200.00
276,675.00
11,404,800.00
1,917,600.00
366,300.00
392,700.00
4,191,750.00
2,276,505.00
10,050,900.00
6,558,750.00
25,929,000.00
2,160,000.00
7,456,500.00
31,380,000.00
16,075,725.00
3,377,250.00
93,290,400.00
356,138,100.00
62,947,500.00
6,035,729.00
1,386,000.00
198,551.00
520,086.00
3,891,571.00
2,726,990.00
36,683,280.00
2,625,006.00
5,246,998.00
94,967,438.00
520,086.00
3,332,997.00
7,011,232.00
362,970.00
1,689,009.00
753,929.00
4,875,103.00
17,800,182.00
23,640,336.00
16,650,000.00
28,262,709.00
2,887,909.00
200,000,000.00
2,078,909,136.00
74,090,500.00
49,500,000.00
1,931,875.00
9,619,500.00
5,795,625.00
7,243,500.00
1,850,084,636.00
16,843,140.00
6,937,500.00
879,120.00
532,800.00
865,800.00
532,800.00
83,116,800.00
23,816,160.00
13,240,080.00
2,362,968.00
60,357,360.00
9,324,000.00
18,328,320.00
531,868.00
105,161,400.00
719,280.00
3,143,520.00
109,890,000.00
452,880.00
1,165,500.00
3,241,200.00
4,928,400.00
4,262,400.00
8,463,750.00
4,875,120.00
7,825,500.00
5,927,400.00
23,060,250.00
2,375,400.00
1,625,040.00
1,625,040.00
1,369,296.00
6,813,180.00
412,920.00
719,280.00
2,331,000.00
905,760.00
97,902,000.00
17,888,760.00
11,988,000.00
28,804,500.00
139,860,000.00
21,312,000.00
21,938,040.00
7,492,500.00
24,175,800.00
84,448,800.00
44,400,000.00
37,740,000.00
8,325,000.00
149,850,000.00
11,100,000.00
2,220,000.00
82,459,125.00
6,965,250.00
9,723,600.00
14,985,000.00
15,616,000.00
102,120.00
2,097,900.00
4,412,250.00
127,650.00
2,727,000.00
153,180.00
416,250.00
1,600,620.00
8,358,300.00
15,762,000.00
2,897,100.00
15,651,000.00
4,506,215.00
7,409,250.00
7,659,000.00
6,093,900.00
13,653,000.00
10,878,000.00
6,243,750.00
4,495,500.00
2,664,000.00
19,980,000.00
7,492,500.00
13,875,000.00
6,299,250.00
1,665,000.00
5,550,000.00
1,665,000.00
7,536,900.00
5,328,000.00
13,986,000.00
2,897,100.00
48,701,250.00
5,439,000.00
1,692,750.00
31,080,000.00
2,342,100.00
25,308,000.00
32,634,000.00
5,661,000.00
2,830,500.00
29,970,000.00
999,000.00
852,480.00
22,688,400.00
22,688,400.00
6,959,700.00
1,296,480.00
1,862,136.00
2,674,656.00
399,600.00
1,553,112.00
499,500.00
499,500.00
399,600.00
10,949,040.00
1,212,120.00
1,482,960.00
331,668.00
267,001.00
759,501.00
2,823,840.00
888,000.00
154,734,000.00
86,469,000.00
68,265,000.00
261,757,500.00
7,908,750.00
4,995,000.00
2,913,750.00
58,275,000.00
5,827,500.00
6,798,750.00
50,088,750.00
31,635,000.00
18,453,750.00
31,635,000.00
19,980,000.00
11,655,000.00
26,362,500.00
16,650,000.00
9,712,500.00
55,361,250.00
34,965,000.00
20,396,250.00
19,500,000.00
101,172,876.00
48,840,000.00
13,875,000.00
3,330,000.00
19,980,000.00
8,880,000.00
2,775,000.00
21,090,000.00
13,320,000.00
7,770,000.00
26,612,438.00
5,300,438.00
21,312,000.00
4,630,438.00
1,300,438.00
3,330,000.00
240,611,925.00
94,905,000.00
145,706,925.00
208,757,607.00
112,287,600.00
30,300,004.00
49,950,000.00
7,020,003.00
9,200,000.00
-
-
19,459,385,470.00
17,226,981,470.00
246,500,000.00
246,500,000.00
22,500,000.00
28,800,000.00
35,000,000.00
7,200,000.00
100,000,000.00
5,000,000.00
10,000,000.00
38,000,000.00
6,087,200,000.00
60,000,000.00
120,000,000.00
60,000,000.00
60,000,000.00
5,907,200,000.00
195,000,000.00
5,452,200,000.00
65,000,000.00
195,000,000.00
214,800,000.00
30,000,000.00
180,000,000.00
48,000,000.00
15,000,000.00
72,000,000.00
45,000,000.00
4,800,000.00
10,500,000.00
10,500,000.00
62,200,000.00
22,200,000.00
40,000,000.00
60,000,000.00
60,000,000.00
9,650,000.00
6,500,000.00
3,150,000.00
18,000,000.00
18,000,000.00
15,000,000.00
15,000,000.00
276,750,000.00
190,100,000.00
50,000,000.00
20,000,000.00
16,650,000.00
756,000,000.00
756,000,000.00
62,004,550.00
62,004,550.00
36,000,000.00
36,000,000.00
132,000,000.00
132,000,000.00
1,500,000,000.00
1,500,000,000.00
12,720,000.00
12,720,000.00
145,000,000.00
145,000,000.00
470,000.00
470,000.00
20,809,700.00
15,000,000.00
2,519,700.00
3,290,000.00
237,500,000.00
237,500,000.00
7,323,877,220.00
7,323,877,220.00
1,339,399,000.00
886,274,000.00
886,274,000.00
453,125,000.00
453,125,000.00
55,000,000.00
55,000,000.00
55,000,000.00
204,240,000.00
115,995,000.00
69,375,000.00
27,750,000.00
18,870,000.00
88,245,000.00
52,170,000.00
21,645,000.00
14,430,000.00
127,000,000.00
55,000,000.00
55,000,000.00
22,000,000.00
22,000,000.00
50,000,000.00
50,000,000.00
30,000,000.00
30,000,000.00
30,000,000.00
476,765,000.00
476,765,000.00
20,000,000.00
395,515,000.00
26,250,000.00
35,000,000.00
4,010,002,025.00
909,047,000.00
28,182,000.00
28,182,000.00
140,000,000.00
140,000,000.00
-
95,865,000.00
33,000,000.00
3,960,000.00
6,600,000.00
1,650,000.00
4,125,000.00
2,750,000.00
2,530,000.00
33,000,000.00
8,250,000.00
115,000,000.00
75,000,000.00
40,000,000.00
-
160,000,000.00
80,000,000.00
20,000,000.00
60,000,000.00
250,000,000.00
250,000,000.00
-
120,000,000.00
120,000,000.00
3,100,955,025.00
2,508,250,850.00
500,000,000.00
2,008,250,850.00
342,704,175.00
342,704,175.00
250,000,000.00
250,000,000.00
717,770,000.00
717,770,000.00
574,760,000.00
112,027,500.00
1,328,000.00
2,152,000.00
776,000.00
1,560,000.00
1,900,000.00
3,700,000.00
3,600,000.00
3,500,000.00
3,000,000.00
1,225,000.00
25,000,000.00
3,968,000.00
2,920,000.00
852,000.00
1,530,000.00
1,500,000.00
1,440,000.00
1,470,000.00
1,685,250.00
8,022,000.00
2,500,000.00
1,908,000.00
1,200,000.00
1,200,000.00
225,000.00
2,880,000.00
1,023,750.00
504,000.00
-
2,012,000.00
498,000.00
1,140,000.00
483,000.00
1,980,000.00
477,000.00
1,290,000.00
1,979,000.00
-
-
-
-
-
1,984,000.00
1,460,000.00
1,460,000.00
1,024,000.00
7,200,000.00
1,123,500.00
5,348,000.00
130,564,750.00
48,110,000.00
25,954,750.00
19,150,000.00
19,150,000.00
18,200,000.00
277,000,000.00
55,167,750.00
15,110,000.00
2,280,000.00
320,000.00
600,000.00
640,000.00
720,000.00
10,975,000.00
1,400,000.00
2,625,000.00
2,800,000.00
3,150,000.00
1,000,000.00
1,855,000.00
280,000.00
525,000.00
560,000.00
490,000.00
127,900,000.00
63,950,000.00
63,950,000.00
25,000,000.00
25,000,000.00
25,000,000.00
25,000,000.00
4,995,381,550.00
3,091,466,073.00
3,091,466,073.00
3,091,466,073.00
3,091,466,073.00
170,000,000.00
170,000,000.00
14,000,000.00
14,000,000.00
156,000,000.00
156,000,000.00
801,537,243.00
345,946,617.00
224,417,057.00
7,010,427.00
6,000,000.00
50,000,000.00
5,701,630.00
155,705,000.00
121,529,560.00
100,000,000.00
15,096,000.00
6,433,560.00
455,590,626.00
136,038,469.00
11,369,819.00
40,198,650.00
84,470,000.00
10,879,998.00
10,879,998.00
229,569,119.00
39,950,000.00
60,545,450.00
35,116,360.00
36,962,309.00
56,995,000.00
61,249,800.00
1,221,000.00
49,816,800.00
5,550,000.00
3,330,000.00
1,332,000.00
17,853,240.00
15,682,080.00
2,171,160.00
1,855,691,750.00
-
250,682,000.00
1,190,739,500.00
101,232,000.00
146,400,000.00
161,810,250.00
4,828,000.00
264,237,080.00
168,748,900.00
128,748,900.00
40,000,000.00
95,488,180.00
21,116,640.00
39,420,540.00
-
30,400,000.00
4,551,000.00
1,903,915,477.00
1,903,915,477.00
1,903,915,477.00
1,903,915,477.00
1,903,915,477.00
1,903,915,477.00
1,903,915,477.00
359,167,895.00
359,167,895.00
1,417,398,104.00
1,135,864,308.00
79,417,448.00
202,116,348.00
127,349,478.00
127,349,478.00
RSUD CARUBAN KABUPATEN MADIUN
RINCIAN ANGGARAN KAS PENDAPATAN DI SIPD
TAHUN ANGGARAN 2024
BULAN SUMBER DANA BLUD SUMBER DANA APBD

PROYEKSI PENDAPATAN 88,000,000,000 6,561,736,200
JANUARI 1,500,000,000
PEBRUARI 7,850,000,000
MARET 7,850,000,000 500,000,000
APRIL 7,850,000,000 500,000,000
MEI 7,850,000,000 500,000,000
JUNI 7,850,000,000 500,000,000
JULI 7,900,000,000 500,000,000
AGUSTUS 7,900,000,000 2,000,000,000
SEPTEMBER 7,900,000,000 2,000,000,000
OKTOBER 7,850,000,000 61,736,200
NOPEMBER 7,850,000,000
DESEMBER 7,850,000,000
JUMLAH 88,000,000,000 6,561,736,200

- 6,561,736,200
RSUD CARUBAN KABUPATEN MADIUN
RINCIAN ANGGARAN KAS BELANJA DI SIPD
TAHUN ANGGARAN 2024
PROYEKSI BELANJA BARANG /JASA (BLUD) :

BRG/JASA : 59,798,969,824
BULAN JUMLAH
JANUARI 2,500,000,000
FEBRUARI 5,000,000,000
MARET 5,000,000,000
APRIL 6,000,000,000
MEI 5,000,000,000
JUNI 6,000,000,000
JULI 5,000,000,000
AGUSTUS 5,000,000,000
SEPTEMBER 5,298,969,824
OKTOBER 5,000,000,000
NOPEMBER 5,000,000,000
DESEMBER 5,000,000,000
PROYEKSI Belanja Modal Peralatan dan Mesin (BLUD) :

MODAL PERALATAN & MESIN 3,091,466,073
BULAN JUMLAH
JANUARI
PEBRUARI -
MARET 200,000,000
APRIL 200,000,000
MEI 230,000,000
JUNI 300,000,000
JULI 300,000,000
AGUSTUS 300,000,000
SEPTEMBER 750,000,000
OKTOBER 750,000,000
NOPEMBER 61,466,073
DESEMBER
PROYEKSI Belanja Modal Gedung dan Bangunan (BLUD) :

MODAL GEDUNG & BANGUNAN 1,903,915,477
BULAN JUMLAH
JANUARI
PEBRUARI 100,000,000
MARET 150,000,000
APRIL 200,000,000
MEI 250,000,000
JUNI 250,000,000
JULI 300,000,000
AGUSTUS 200,000,000
SEPTEMBER 300,000,000
OKTOBER 127,349,478
NOPEMBER 26,565,999
DESEMBER -
LAMPIRAN RENCANA BISNIS ANGGARAN ( RBA ) RSUD CARUBAN KABUPATEN MADIUN TAHUN 2024
4,995,381,550.00
1.02.01 Program Penunjang Urusan Pemerintahan Daerah Kabupaten/Kota 4,995,381,550.00
1.02.01.2.10 Kegiatan Peningkatan Pelayanan BLUD 23,205,648,626.00
1.02.01.2.10.01 Sub Kegiatan Pelayanan dan Penunjang Pelayanan BLUD 88,000,000,000 0.00
RINCIAN PERHITUNGAN ###

KODE REKENING BELANJA URAIAN BELANJA
TOTAL
1 2 7 ###
5 BELANJA DAERAH 64,794,351,374.00 ###
5.1 BELANJA OPERASI 59,798,969,824.00
5.1.01 Belanja Pegawai -
5.1.01.99 Belanja Pegawai BLUD -
5.1.01.99.99 Belanja Pegawai BLUD - ###
5.1.01.99.99.9999 Belanja Pegawai BLUD - 3,549,488,485.33 - ###
1,433,759,000.00 BRG/JASA 59,798,969,824.00 ###
5.1.02 Belanja Barang dan Jasa 59,798,969,824.00 PELAYANAN TU PENUNJANG 4,983,247,485.33 LISTRIK 15,000,000.00 JANUARI 2,500,000,000
5.1.02.99 Belanja Barang dan Jasa BLUD 59,798,969,824.00 TELP 2000000 FEBRUARI 5,000,000,000
5.1.02.99.99 Belanja Barang dan Jasa BLUD 59,798,969,824.00 AIR 9000000 MARET 5,000,000,000
5.1.02.99.99.9999 Belanja Barang dan Jasa BLUD 59,798,969,824.00 INTERNET 112000000 APRIL 6,000,000,000
1.02 Belanja Barang dan Jasa 59,798,969,824.00 IUR BPJS 46000000 MEI 5,000,000,000
1.02.01 Belanja Barang 35,520,143,254.00 IUR BPJS TK 37000000 JUNI 6,000,000,000
1.02.01.01 Belanja Barang Pakai Habis 35,520,143,254.00 KANTONG DARAH 180000000 JULI 5,000,000,000
1.02.01.01.0002 Belanja Bahan-Bahan Kimia 2,521,859,441.00 GAJI BLUD 352759000 AGUSTUS 5,000,000,000
Belanja bahan-Bahan Kimia ( BAHP-farmasi ) 84,776,383.00 Ply 84,776,383 MAKMIN 35000000 SEPTEMBER 5,298,969,824
REOKO ENDO FROS 2,906,191.00 BBM 30,000,000.00 OKTOBER 5,000,000,000
CAPORIT (KLORIN) 483,154.00 PEMELIHARAAN 20,000,000.00 NOPEMBER 5,000,000,000
NACL 1000 ML 17,316,000.00 KEBERSIHAN 120,000,000.00 DESEMBER 5,000,000,000
G BOND 5,927,400.00 TAMAN 25,000,000.00
GENBODY COVID-19 8,072,426.00 IKLAN 5,000,000.00
GARAM 5,5 KG 1,998,000.00
PEMUTIH 1 L 5,994,000.00 TU DIKLAT
TRICARB C-50 38,749,212.00 PELATIHAN 80,000,000.00
Belanja bahan-bahan kimia lainnya ( farmasi ) 3,330,000.00 HR SPSELIASIS 10,000,000.00
MAKMIN 5,000,000.00
Belanja bahan-Bahan Kimia ( BAHP CSSD ) 152,323,300.00 PNJ HR SPSELIASIS 10,000,000.00
Detergen Washer 23,100,000.00
Cairan pengering Washer 3,652,000.00 PENUNJANG
Cairan Enzymatik 48,394,275.00 SAMPAH 65,000,000.00
Cairan DTT(Disinfeksi Tingkat Tinggi) 75,024,525.00 GIZI 125,000,000.00
Pelumas Instrumen 1,320,000.00 REAGEN 150,000,000.00
Garam 832,500.00
Belanja bahan-bahan kimia (Belanja reagen laboratorium ) 1,670,575,328.00 PNJ

Bilirubin D/T 10,655,983.00
Creatin mtd4+1 3x80 ml 56,277,000.00
Urea mtd 3x80 ml 47,690,362.00
Uric acid mtd 4x100 ml 80,403,836.00
Cholesterol mtd 4x100 ml 6,609,517.00
Trigliserid 4x100 ml 14,129,483.00
HDL mtd 4x100 ml 2,888,662.00
TOTAL
Glukose mtd 4x100 ml 11,417,131.00
Total prot mtd 4x100 ml 5,236,918.00
Sgot mtd 3x80 1x60 ml 31,802,349.00
Sgpt mtd 3x80 1x60 ml 31,802,349.00
Control mtd 10 X 5 ml 26,943,557.00
Multi Calibrator mtd 10 X 3ml 14,263,289.00
Golongan darah A 594,641.00
Golongan darah B 594,641.00
Salmonella O 2,081,247.00
Salmonella H 2,081,247.00
Salmonella A 2,081,247.00
Salmonella B 2,081,247.00
Verify 10 19,821,425.00
Verify 4 3,567,849.00
Buffer ph 7,4 1,309,520.00
Wright 7,928,564.00
Giemsa 9,297,609.00
EDTA 6,937,492.00
cal 3 37,264,245.00
cal 4 37,264,245.00
WASH 56,292,798.00
Diluen 5 Diff 133,199,867.00
CH/Diff lyse 249,749,760.00
EZ 9,428,562.00
Probe 9,514,290.00
Diluen Mittic 36,630,000.00
Hematologi cleanser 2,304,943.00
LH lyse 100 154,606,998.00
Control 5 DIFF 15,592,845.00
Acid 5 33,537,809.00
Cleaning 4 43,607,123.00
Rinse Elip 19,821,412.00
Cellclean/15 10,674,470.00
Sulfo 62,913,490.00
lycer wdf 79,041,679.00
flourecel wdf 93,323,250.00
XN Check L1,L2,L3 19,733,300.00
PPT/Inovin 10 50,850,099.00
APTT/Actin 10 24,663,978.00
CaCl2 10 6,084,265.00
Control plasma 9,776,702.00
Cell clean 1 50,791,602.00
Cell clean 2 25,410,431.00
-
-
Belanja bahan-bahan kimia (Belanja reagen laboratorium PA ) 227,910,750.00 PNJ
Giemza 9,324,000.00
Metanol 6,382,500.00
Buffer formalin 10% 68,598,000.00
TOTAL
Alkohol 96% 7,592,400.00
Ethanol 75,480,000.00
Xilol 33,300,000.00
Parafin 14,052,600.00
EZ-Mount 1,526,250.00
Eosin Alkohol 3,885,000.00
Mayer Hematoksilin 3,885,000.00
Papaniculau stain 3,885,000.00
Belanja bahan-bahan kimia pengelolaan linen Rumah Sakit 199,293,600.00 PNJ

Oxy Bost @20 ltr 44,400,000.00
Surfactant @ 20 liter 33,882,750.00
Liquid Detergent @20 ltr 39,960,000.00
Parfum Laundry @5 ltr 17,760,000.00
Neutralizer @20 ltr 15,096,000.00
Softener @20 ltr 25,308,000.00
Alkali @20 ltr 21,090,000.00
Desinfectan @5 ltr 1,796,850.00
Belanja bahan-bahan kimia sanitasi 182,184,880.00 PNJ

Handscrub 4% @ 5 ltr 41,318,400.00
Desinfektan permukaan tisu 20,775,000.00
Desinfektan permukaan spray 21,725,280.00
Handrub @ 500 ml 58,051,000.00
Pengharum ruangan (Matic Reffil 250 ml) 4,884,000.00
Chemical Sterillisator Ruangan @ 1 ltr 35,431,200.00
Bahan kimia pembersih di Instalasi gizi 4,795,200.00 PNJ

Detergent anti noda 400 gr 666,000.00
Pemutih 166,500.00
Sabun cuci bentuk cream, 1 dus isi 24 @ 270 gr 77,700.00
Cairan pencuci piring (Double Power Lime, 200 ml reffil) 3,885,000.00
1.02.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 294,703,500.00 TU 294,703,500

- Belanja bahan bakar minyak/gas ( genset , incenerator ) 51,030,000.00
Solar Dex 51,030,000.00
- Belanja bahan bakar minyak/gas ( ambulans dan kendaraan operasional ) 243,673,500.00

Pertamax 92,205,500.00
Bio solar 68,000.00
Pertalite 100,000.00
Pertamax turbo 151,300,000.00
1.02.01.01.0005 5.1.02.01.01.0005 Belanja Bahan-Bahan Baku 957,000.00 TU 957,000.00

Bambu, Pring, Dia. 10 - 12 cm. Panjang 6 Meter 957,000.00
1.02.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran 17,499,361.00 PNJ 17,499,361.00

TOTAL
pengisian Appar 4,5 kg 6,238,200.00
pengisian Appar 6 kg 4,238,191.00
Alat Pemadam Api Ringan (Kapasitas 25 Kg (Refill) 7,022,970.00
-
1.02.01.01.0012 Belanja Bahan-Bahan Lainnya 14,767,861,753.00 PNJ
Belanja Bahan-Isi Tabung Gas 65,268,000.00 pnj
LPG berat 15 kg ( di Instalasi gizi ) 65,268,000.00 65,268,000.00
Belanja Bahan Radiologi 400,610,000.00 PNJ 400,610,000.00

FILM RADIOLOGI CT SCAN 114,030,000.00
FILM RADIOLOGI CR SMALL 42,360,000.00
FILM RADIOLOGI CR MEDIUM 77,620,000.00
FILM RADIOLOGI DR SMALL 68,850,000.00
FILM RADIOLOGI DR MEDIUM 97,750,000.00
- pembelian tld radiologi
Belanja Plate 2,040,110,754.00 PLY 2,040,110,754
3,5 MM CORTICAL SCREW - OF 510 16 28,673,154.00
3.5 MM CORTICAL SCREW - OF 510 14 541,003.00
3.5 MM CORTICAL SCREW - OF 510 24 541,003.00
3.5 MM CORTICAL SCREW - OF 510 30 8,115,044.00
3.5 MM CORTICAL SCREW - OF 510 32 1,082,006.00
4,5 MM CORTICAL SCREW - OF 50026 3,787,020.00
4.5 MM CORTICAL SCREW - OF 50024 2,164,012.00
4.5 MM MALLEOLAR SCREWS - OF 513 35 1,176,094.00
4.5 MM MALLEOLAR SCREWS - OF 513 70 588,047.00
A2FN NAIL FEMUR SET - SPI 35,988,520.00
TOTAL
ACRYLIC SET (Powder + Liquid) 12,937,057.00
BIPOLAR 39 28,226,290.00
BIPOLAR 44 28,226,290.00
BIPOLAR 46 28,226,290.00
BIPOLAR HIP PROSTHESIS 45 28,226,290.00
BIPOLAR HIP PROSTHESIS 49 28,226,290.00
BONE GRAFT 6,586,134.00
BONECEMENT 43,683,551.00
BROAD / WIDE PLATES ACP HOLES - OF 1021 07 3,269,545.00
CANCELLOUS FULL dia 4 MM - OF 511 18 14,701,173.00
CANCELLOUS SCREW FULL THREAD 60 mm PBJ 1,008,080.00
CANCELLOUS SCREWS FULL THREAD - OF 50135 3,528,282.00
CLAVICULA RECONSTACTION PLATE (TYPE D) - OF 1089 05 L 3,269,545.00
CLAVICULA RECONSTACTION PLATE (TYPE D) - OF 1089 06 R 6,539,090.00
CORTEX SCREW 4,5 - 34 mm PBJ 392,032.00
CORTEX SCREW 4,5 - 36 mm PBJ 392,032.00
DRILL BIT 2.5 25,403,638.00
DRILL BIT 2.7 25,403,638.00
DRILL BIT 3.2 21,169,698.00
INTERLOCKING NAIL FEMUR - SPI 71,977,040.00
INTERLOCKING NAIL FEMUR SET - DMS 29,122,364.00
INTERLOCKING PFNA - SPI 31,026,518.00
K WIRE 1.0 70,565,764.00
K WIRE 1.2 47,043,842.00
K WIRE 1.4 35,282,882.00
K WIRE 1.6 35,282,882.00
K WIRE 1.8 23,521,921.00
K WIRE 2.0 35,282,882.00
K WIRE 2.2 35,282,882.00
MULTI CONDILAR PLATES Holes ACP - OF 10581 R/6 6,539,090.00
NARROW PLATES ACP HOLES - OF 1020 07 9,808,635.00
TOTAL
ONE THIRD TUB PLATE - OF 1030 04 8,609,022.00
ONE THIRD TUB PLATE - OF 1030 06 14,348,371.00
RECONSTRACTION CURVED PLATE DIA 4,5 - SPI - 4 HOLES 3,269,545.00
S WIRE 1.0 8,232,672.00
S WIRE 1.2 12,937,057.00
S WIRE 1.4 1,176,096.00
S WIRE 1.6 2,352,192.00
SCHANZ SCREW 100 MM 3,528,282.00
SMALL BONE A PLATES - OF 1042 04 7,174,185.00
SMALL BONE B PLATES - OF 1043 08 1,434,837.00
SMALL T PLATE LOW PROFILE HOLE 3 26,156,360.00
SMALL T PLATES - OF 1046 03 22,886,815.00
SMALL T PLATES - OF 1046 04 3,269,545.00
T PLATES tebal 3mm - OF 1051 04 3,269,545.00
THORACOLUMBAL ORTHOSIS 8,400,682.00
TIBIA LATERAL PLATE HOLE 5 3,528,286.00
TLC HOLE 4 - PBJ 4,480,364.00
TROCHANTER PLATE B - OF 1072 10 B 3,269,545.00
WASHER 6,5 5,645,256.00
A2FN NAIL FEMUR SHORT SET - DMS 58,244,728.00
ELASTIC NAIL 4.0 X 440 MM - DMS 17,921,456.00
END CAP for ELASTIC NAIL - DMS 4,480,364.00
MULTILOC HUMERAL NAIL L - DMS 31,362,546.00
A2FN NAIL FEMUR SHORT SET - DMS 29,122,364.00
INTERLOCKING NAIL TIBIA SET - DMS 58,244,728.00
TKR SET - DMS 56,004,546.00
Belanja Plate lainnya 300,000,000.00 DICEK KEMBALI 10 JAN 2024
Belanja Bahan dan Alat Kesehatan Habis Pakai 8,612,914,822.00 PLY 8,612,914,822
ADVANTIME 1 5,729,784.00
ADVANTIME 3-0 27,029,264.00
ALKOHOL 70% 14,906,295.00
ALKOHOL SWAB 27,575,730.00
APRONT 38,628,000.00
APRONT LENGAN PANJANG 13,792,660.00
BAYCIDE HIGH LEVEL 94,762,537.00
TOTAL
BAYZIME DETERGEN 80,000,053.00
BETADINE 25,976,338.00
BETADINE SOLUTION 60 ML 3,816,680.00
BREATHING CIRCUIT 19,440,140.00
BUFFER FORMALIN 10% 8,762,895.00
CHLORO TULLE 19,730,250.00
CHROMIC 0 22,316,022.00
CUTICELL CLASSIC 10 x 10 4,628,034.00
CUTTING LOOP STORZ MONO 60,439,500.00
DERMALON 2-0 9,729,701.00
DERMALON 3-0 25,359,415.00
DERMALON 4-0 9,729,701.00
DISPOSABLE NEEDLE 5,750,910.00
ECOSORB 2 3,715,201.00
ELECTRODE ECG 7,716,522.00
ENDOTRACHEAL TUBE 33,743,663.00
EQUIWAX 2,5 GR 4,351,644.00
ESU PAD PENCILS COUTER 46,200,420.00
ETHYL CHLORIDE 3,178,818.00
FILAPEAU 2-0 10,909,080.00
FILAPEAU 3-0 34,314,558.00
FILAPEAU 4-0 4,842,912.00
GELAS KUMUR 532,800.00
GLOVES STERIL 247,192,560.00
GLOVES STERIL ORTHOPAEDIC 81,599,918.00
GUEDEL AIRWAY 37,192,770.00
GUTTA PERCHA SURE ENDO 0.04 3,096,900.00
H2O2 3% 2,147,184.00
HARTRANS TAPE 4,195,800.00
HME FILTER 18,206,775.00
IV DRESSING 125,252,400.00
JACKSON REESE DEWASA 3,496,500.00
JAM STERILE WATER 21,433,105.00
KANTONG PLASTIK 12x0,3x30 13,170,150.00
KAPAS PEMBALUT 250 GR 1,263,232.00
KARET GELANG 1,307,025.00
KASA HYDROFIL DRC 40x80 CM 25,216,722.00
KASA HYDROPHYL 40x80 27,912,559.00
KASA PEMBALUT 4x5 11,594,394.00
KASA STERIL 7,5x7,5 CM 157,176,766.00
KERTAS ECG 63x30 50,160,013.00
KERTAS ECG C-110 8,249,992.00
KERTAS USG 18,443,205.00
LAP SPONGE 47,424,528.00
LEUKOPLAST 21,023,475.00
LUBRICATING JELLY 6,382,881.00
MASKER ANASTHESI 10,073,250.00
MASKER BEDAH 61,435,170.00
MESS BB5 17,194,921.00
TOTAL
METRACIDE 1 LTR 55,816,285.00
METRAZYME 6,889,653.00
NURSE CAP 4,896,026.00
OPTIME PGA 0 19,731,759.00
OPTIME PGA 1 45,795,968.00
OPTIME PGA 2 77,733,569.00
OPTIME PGA 2-0 36,791,711.00
OPTIME PGA 3-0 17,454,528.00
PHARMAFIX 10x500 CM 29,569,334.00
PHARMAFIX 15x500 CM 44,770,818.00
PLAIN 2-0 6,118,076.00
PLAIN 3/0 48,742,009.00
PLAIN 4/0 10,230,080.00
PLESTERIN 7,543,289.00
PLESTERIN BULAT 589,327.00
POLIWASH 5 L 14,412,240.00
POLYMED POLYVAC 832,500.00
POLYSORB 2-0 6,589,564.00
POSTOFIX 10 x 15 CM 4,595,400.00
POSTOFIX 6 x 7 CM 15,151,500.00
POT URINE STERILE 11,881,440.00
PROLENE BLU 100 CM 9,160,410.00
PROLENE BLU 2-0 33,705,078.00
SARUNG TANGAN NON STERIL 388,611,000.00
SILICON LARYNGEAL MASK 26,569,903.00
SILK 0 2,997,000.00
SILK 1 30,929,759.00
SILK 2-0 44,212,943.00
SILK 3-0 14,529,096.00
SILK 4-0 5,166,588.00
SODASORB 3,161,802.00
SPINAL EGEMEN QUENCKE 25 27,000,972.00
SPUIT 1 CC INSULIN 2,619,045.00
SPUIT 1 CC TUBERCULIN 2,317,680.00
SPUIT 10 CC 3,116,880.00
SPUIT 3 CC 26,373,600.00
SPUIT 5 CC 2,344,320.00
SUCTION CONNECTING 36,233,730.00
UNDERPAD 60 X 90 32,447,520.00
USG GEL 250 ML 291,072.00
VIGILENZ CROMIC 2-0 30,863,586.00
VIGILENZ PLAIN 2 3,707,968.00
Paket Hemodialisa Lengkap 2,738,935,615.00
Citra-Lock 15,641,147.00
Paket 2C-Hd 304,395,300.00
ARM SLING - L 8,008,650.00
ARM SLING - M 3,696,300.00
ARM SLING - S 1,540,125.00
BACTERIA HME FILTER WITH PAPER WITH SOFT CAP 13,565,171.00
TOTAL
Blood Set 88,299,750.00
BREATHING CIRCUIT - ADULT 28,771,200.00
BREATHING CIRCUIT - NEONATAL 15,934,050.00
BREATHING CIRCUIT - PEDIATRIC 15,934,050.00
CAPSUL KOSONG NO.0 6,180,480.00
CAPSUL KOSONG NO.1 137,640.00
CAPSUL KOSONG NO.2 199,800.00
CATHETER MOUNT 26,593,380.00
CATHY 18 27,912,060.00
CATHY 20 113,974,245.00
CATHY 22 51,172,110.00
CERVICAL COLLAR UNIVERSAL 2,578,752.00
CHLORO TULLE 1,248,750.00
Colostomy bag no 5 516,883.00
Condom Catheter L-OM -
CUTICELL CLASSIC 10 X 10 CM 11,655,000.00
DJ STENTS 5 FR OPEN WITH GUIDEWIRE 3,178,185.00
ELASTOMULL HAFT 10CM x 4M 2,547,450.00
ELASTOMULL HAFT 8CM X 4M 2,637,360.00
ENEMA SET - ONEMED 7,481,678.00
ETT 7,0 WITH CUFF 3,285,600.00
EXTENSION TUBE 150 CM 31,126,343.00
FLEET ENEMA 133 ML 2,164,500.00
FM CREPE 3 15,104,880.00
FM CREPE 4 47,896,056.00
FM CREPE 6 36,315,648.00
FOLEY CATHETER 2-WAY CH.08 6,901,092.00
FOLEY CATHETER 2-WAY CH.18 -
GIPSONA 3/" 859,140.00
GYPSONA 4\" 5,913,600.00
GYPSONA 6\" 5,521,032.00
INFUSION SET OI - 34 MICRODRIP 2,038,182.00
INSTOPPER 2,498,166.00
JACKSON REEVES - ANAK 4,162,500.00
JACKSON REEVES - DEWASA 24,907,334.00
KASA STERIL 5,860,800.00
KORSET XL 780,000.00
KORSET XXL 1,695,276.00
KRUCK UK L 10,472,850.00
KRUCK UK M 14,169,150.00
LAMANARIA _UK L 15,510,557.00
TOTAL
LAMANARIA _UK M 1,026,922.00
MASKER ANASTESI SIZE 4 1,827,840.00
MASKER ANASTESI SIZE 5 1,827,840.00
MASKER NEBULIZER ANAK 10,805,850.00
MASKER NEBULIZER DEWASA 6,483,510.00
MASKER NON REBRITING ANAK 842,490.00
MASKER NON REBRITING DEWASA 63,186,750.00
MASKER O2 DEWASA 374,625.00
MAYO TUBE 4/090 (KUNING) 6,280,713.00
NASAL O2 ANAK 2,747,250.00
NASAL O2 BAYI 305,250.00
NASAL O2 DEWASA 21,062,250.00
NGT 12 734,997.00
NGT 14 1,471,993.00
NGT 16 29,359,944.00
NGT 5 ( 100 CM ) 2,813,384.00
NGT 5 ( 40 CM ) 781,274.00
NGT 8 ( 100 CM ) 2,115,383.00
NGT 8 ( 40 CM ) 9,375,282.00
OTSU Y - SET ADAPTOR 56,740,200.00
PEN NEEDLE (Easy Flow) 20,319,660.00
PESARIUM NO. 6,5 1,165,500.00
PESARIUM NO.6 466,200.00
PESARIUM NO.7 1,165,500.00
PESARIUM NO.7,5 466,200.00
POLYBAN 3 467,532.00
POLYBAN 4 1,810,188.00
POLYBAN 6 1,081,584.00
POLYWIN IV CANNULA 26 21,538,440.00
POT PLASTIK 20 ML 80,940.00
POT PLASTIK 30 ML 110,880.00
SERENITY CERVICAL COLLAR 3,750,000.00
SPALK 100 X 10 CM 8,824,500.00
SPALK 40 X 10 CM 3,296,700.00
SPALK 40 X 8 CM 2,997,000.00
SPALK 50 X 10 CM 2,331,000.00
SPALK 50 X 8 CM 5,827,500.00
SPALK 60 X 10 CM 6,826,500.00
SPALK 60 X 8 CM 10,389,600.00
SPALK 80 X 10 CM 7,242,750.00
SPALK 90 X 10 CM 15,984,000.00
SPALK ANAK 12 X 5 CM 2,930,400.00
SPALK ANAK 15 X 7 CM 3,396,600.00
SPALK ANAK 7 X 5 CM 832,500.00
SPUIT 1 CC INSULIN 100 U 3,771,225.00
SPUIT 1 CC TUBERCULIN 5,311,350.00
SPUIT 10 CC 65,571,363.00
SPUIT 20 CC 3,736,260.00
SPUIT 3 CC 157,069,440.00
TOTAL
SPUIT 5 CC 147,311,208.00
SPUIT 50 CC 7,662,630.00
SPUIT 50 CC CATHETER TIP 610,988.00
SPUIT ABG PRESET 3 CC - BD 3,313,350.00
STIKPAN PLASTIK DELUXE BLUE 2,472,525.00
STOCKINET 3\\\" 2,440,170.00
STOCKINET 4\\\" 3,188,394.00
SUCTION CATH 10 - HOSPITECH 299,700.00
SUCTION CATH 12 7,789,003.00
SURFLO 24 - ecath 16,919,175.00
TENSOPLAST - STK - ADULT 7,201,658.00
TENSOPLAST - STK - CHILD 3,675,075.00
THORASIC CATHETER WITH TROCAR 24 / WSD 2,114,772.00
THREE WAY STOPCOCK 44,923,032.00
THREE WAY STOPCOCK WITH TUBING 9,615,375.00
TRANSPORE 3,152,045.00
UMBILICAL CATHETER 3,5 Fr 720,390.00
UMBILICAL CATHETER 5 Fr 360,195.00
URIN BAG STERIL - UP 33,406,560.00
URINAL LAKI LAKI 955,444.00
URINAL PEREMPUAN 116,039.00
WING NEEDLE 21 2,778,719.00
WING NEEDLE 23 4,939,944.00
Gas Oksigen Tabung - 1 M3 500,500.00
Gas Oksigen Tabung - 2 M3 643,500.00
Gas Oksigen Tabung - 6 M3 33,462,000.00
Liquid 897,121,550.00
Gas CO² - 4 kg 1,430,000.00
Bahan Alat Habis Pakai lainnya 32,000,000.00
Bahan lainnya (laboratorium patologi klinik ) 1,993,346,389.00 PNJ 1,993,346,389.00

Vacum serum blood collec 4 ml 27,605,700.00
Tabung reaksi 3,634,140.00
Reaction cuvet 28,951,020.00
Cover glass 3,964,298.00
Obyek glass 2,114,273.00
K Termal 5,7 7,928,597.00
K Termal 8 1,982,155.00
Yellow tipe 1000 8,269,500.00
Blue tipe 1000 5,151,510.00
Short spl 0,8 1000 19,820,160.00
Short spl 3 ml 1000 64,215,720.00
Mikrosenfuge 500 9,510,480.00
Vacum edta 2,ml 100 51,282,000.00
Vacum edta0.5ml 50 15,335,760.00
Na Citrat vakum 100 14,745,240.00
HBA1C 25 test 336,962,700.00
HCG 50 test 792,762.00
HCV 50 test 21,407,238.00
TOTAL
VDRL 50 test 2,973,191.00
IGG/IGM 25 test 43,606,905.00
HIV 50 test 5,892,935.00
ISTAT G3+ 25 test 118,595,786.00
Diabcheck 158,571,226.00
countour gda stik 102,564,000.00
Multidrug 5 25 test 27,499,806.00
Multidrug 5 answer 84,764,928.00
HbsAg nnswer 50 test 4,040,844.00
HbsAg SD 30 test 85,891,800.00
TSH 25 test 47,578,507.00
T3 25 test 17,544,993.00
T4 25 test 54,458,487.00
CRP 25 test 4,393,158.00
D Dimer 25 test 122,815,728.00
ERBA 330,356,824.00
Cell Pack 158,124,018.00
Bahan lainnya (laboratorium patologi anatomi) 42,015,720.00 PNJ 42,015,720.00

Kaset tanpa tutup 6,073,920.00
Coverglass ukuran (60x24mm) 16,428,000.00
Objekglass 2,664,000.00
Pisau Mikrotom 16,650,000.00
Kertas saring 199,800.00
Bahan-bahan Lainnya ( CSSD ) 113,596,068.00 PNJ 113,596,068.00

Steam indicator class 5 9,504,000.00
Bowie Dick Test Pack 5,220,000.00
3 Lines labels CD 23 12,600,000.00
Washer Indikator 932,400.00
Indikator Tape 965,700.00
Biological Indikator 11,988,000.00
Kasa Gulung DRC 23,490,000.00
Pouches gusset 10 cm 7,277,760.00
Pouches flat 25 cm 19,613,208.00
Wrapping paper crepe biru 100x100 16,550,000.00
Thermal Register Roll 175,000.00
Tinta hand labeler 5,280,000.00
Belanja bahan Lainnya ( belanja Darah ) 1,500,000,000.00 PNJ 1,500,000,000.00

Belanja Darah 1,500,000,000.00
1.02.01.01.0024 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor 421,725,736.00 TU 421,725,736.00
ATK perkantoran 421,005,736.00
Amplop 90 (kabinet) isi 100 1,060,050.00
Amplop 104 (tanggung) iso 100 1,072,260.00
Box File Plastik 748,140.00
Buku Expedisi isi 100 lembar 1,314,240.00
Buku Expedisi isi 200 lembar 3,956,040.00
TOTAL
Buku Agenda KM Deluxe 2016 353,535.00
Buku Folio isi 100 lembar 2,637,360.00
Buku Folio isi 200 lembar 7,742,250.00
Binder Clip 105 11,655,000.00
Binder Clip 155 826,950.00
Binder Clip 200 960,413.00
Binder Clip 260 1,548,038.00
Ballpoint Biasa (Hitam) 13,597,500.00
Ballpoint Biasa ( Merah ) 2,331,000.00
Ballpoint Biasa (Biru) 3,108,000.00
Ballpoint Sejenis Pentel 444,000.00
Cutter K-200 106,560.00
Cutter A-300 140,250.00
Isi Cutter Kecil 83,250.00
Isi Cutter Besar 105,653.00
Correction Tipe x Pen 1,057,275.00
Correction Tipe x Kertas 140,970.00
Gunting Besar 631,313.00
Isi Stapples No 10 9,365,625.00
Kertas Continuous Form 2 Ply 7,770,000.00
Kertas Continuous Form 3 Ply 85,164,750.00
Kertas Hvs A4 70 Gram 691,530.00
Kertas Hvs A4 80 Gram 401,543.00
Kertas Hvs F4 70 Gram 93,573,000.00
Kertas Hvs F4 70 Gram Include Potong 11,696,625.00
Ordner 1466 F SFL 7,070,700.00
Ordner jumbo 1,625,040.00
Paper Clips No 1 953,798.00
Penggaris 30 cm 294,705.00
Penghapus kecil 40,454.00
Pensil 2 B 1,048,950.00
Snelhecter Map Kertas 18,204,000.00
Snelhecter Map Plastik 9,035,400.00
Stop Map Kertas Folio 3,063,600.00
Spidol Permanen 5,550,000.00
Spidol Whiteboard (Boardmarker) 1,598,400.00
Stabilo 629,370.00
Stamp Pad 234,765.00
Staples Kecil Hd 10 1,168,830.00
Staples Besar HD 12A/13 (Tuas Jilid) 597,402.00
Steples Tembak 395,160.00
Refill Stempel Ungu 1,209,900.00
Isolasi Bening Besar 3,774,000.00
Isolasi Bening 12 Mm 2,397,600.00
Plakband 2'( Hitam) 992,340.00
Plakband 1,5' (hitam ) 442,890.00
Post It/Notes Plastik 1,387,500.00
Ordner Plastik 2,181,150.00
Post It/Notes Kertas besar 111,000.00
TOTAL
Isolasi Kertas 141,747.00
Isolasi Kertas 1" 85,048.00
Double Tape Besar 2" Hijau 1,585,913.00
Map Kancing Plastik 2,886,000.00
Cover ID Card bahan plastik 444,000.00
Buku Kwitansi Besar 100 lembar 803,640.00
Kertas Label No 12 (110) 666,000.00
Kertas Label No 12 (109) 8,325,000.00
Tinta Printer 100 Hitam 5,088,240.00
Tinta Printer 100 Merah 2,544,120.00
Tinta Printer 100 Kuning 2,544,120.00
Tinta Printer 100 Biru 2,544,120.00
Tinta Printer 003 Hitam 666,000.00
Tinta Printer 003 Biru 399,600.00
Tinta Printer 003 Kuning 399,600.00
Tinta Printer 003 Merah 399,600.00
Refill Stempel Flash Ungu 83,188.00
Karet Gelang 1,307,025.00
Stop Map Plastik 7,092,900.00
Refill Ballpoint Hitam 1,400,598.00
Refill Ballpoint Biru 1,400,598.00
Buku Tulis 266,400.00
Kertas Foto Glossy 1,318,680.00
Ballpoint Meja 388,500.00
Plastik Sampul Jilid 247,530.00
Lem Kertas besar 826,950.00
Plastik Pres laminating 1,118,880.00
Stempel 6,476,850.00
Belanja ATK lainnya 26,030,065.00
BELANJA UNTUK ATK / PENGEMAS DI INSTALASI GIZI 720,000.00 PNJ 720,000.00

Isolasi plastik 720,000.00
1.02.01.01.0025 Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan Cover 126,156,552.00 PNJ 126,156,552.00
Belanja kertas dan Cover kegiatan perkantoran 122,100,000.00
Kertas Label thermal 122,100,000.00
ETIKET DI INSTALASI GIZI 4,056,552.00 PNJ

Etiket Label Diet print 2,058,552.00
Etiket 1,998,000.00
1.02.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 1,042,872,265.00

- Belanja piagam pelatihan Sertifikat Bimtek/Pelatihan/Seminar Linen,
3,196,800.00 TU-D 3,196,800.00
A4/F4, 2 muka, full colour desain
kertas label
- Belanja cetak kartu pasien -
TOTAL
- Belanja cetak blangko rekam medis, map, amplop, dll 805,632,200.00 TU 805,632,200.00
BENDEL STATUS FORM UMUM (termasuk biaya set) 132,600,000.00
BENDEL STATUS FORM PONEK (termasuk biaya set) 17,000,000.00
BENDEL STATUS FORM BAYI (termasuk biaya set) 8,840,000.00
BENDEL STATUS FORM RAJAL (termasuk biaya set) 25,000,000.00
BENDEL STATUS FORM UGD (termasuk biaya set) 5,000,000.00
StopMap Rekam Medis 262,500,000.00
Amplop Ct Scan 18,000,000.00
Amplop Kabinet Besar 1,350,000.00
Amplop Radiologi Besar 72,000,000.00
Amplop USG 9,600,000.00
Bukti Pengambilan dan Penyerahan Linen 11,250,000.00
Buku Register Radiologi 400,000.00
Etiket Kocok Dahulu 200,000.00
Etiket Tablet 200,000.00
Form Askep Ansietas 750,000.00
Form Askep Bersihan Jalan Nafas Tidak Efektif 750,000.00
Form Askep Hypertermia 750,000.00
Form Askep Nyeri Akut 750,000.00
Form Atas Permintaan Sendiri (Aps) 750,000.00
Form Bon Pengambilan BAHP 7,875,000.00
Form Catatan Anestesi 5,250,000.00
Form Catatan Pemakaian Obat 650,000.00
Form Catatan Perkembangan Pasien Terintegrasi (Cppt) 16,800,000.00
Form Catatan Pre Operasi 625,000.00
Form ceklist keselamatan bedah 2,500,000.00
Form Deteksi Dini Covid 19 1,875,000.00
Form DPJP 3,750,000.00
Form Persetujuan Tindakan Transfusi Darah pasien dialisis 1,875,000.00
Form Laborat 5,000,000.00
Form Lembar Konsultasi 1,875,000.00
Form Penandaan Operasi Pria 625,000.00
Form Penandaan Operasi Wanita 625,000.00
Form Pendaftaran Pasien Baru 2,500,000.00
Form Penempelan Hasil EKG, Eeg, Foto Audiometri 1,000,000.00
From Pengajian Pra Anestesi 1,000,000.00
From Penolakan Tindakan Kedokteran 750,000.00
From Permintaan Obat Dan Alkes 750,000.00
From Permintaan Radiologi 3,750,000.00
From Permintaan Rawat Inap 5,000,000.00
From Pernyataan Serah Terima Jenazah 3,750,000.00
From Persetujuan Anestesi Sedasi 1,000,000.00
From Persetujuan Operasi 500,000.00
From Tindakan Kedokteran Pasien Dialisis 1,250,000.00
From Rekam Keperawatan Intensif 3,000,000.00
From Resume Pasien Jaminan Kesehatan Nasional 28,125,000.00
Form Resume Poliklinik ( Summary List ) 4,200,000.00
Form Salinan Resep 625,000.00
Form Sertifikat Kematian 3,750,000.00
TOTAL
Form Surat Keterangan Opname 625,000.00
Form Surat Keterangan Rawat Inap 1,500,000.00
Form surat Pemeriksaan NST / CTG 375,000.00
Form Transfer Pasien Antar Ruang Perawatan 2,800,000.00
Form. Catatan Penggunaan Dan Perawatan Mesin 3,000,000.00
Form. Data Demografi Pasien Dialisis 3,360,000.00
Form. Pengkajian Ulang Resiko Jatuh Dewasa 6,250,000.00
Form. Observasi Tranfusi Darah 1,500,000.00
Form. Pemakaian BAHP ( GA ) 1,000,000.00
Form. Pemakaian BAHP ( SAB ) 1,000,000.00
Form. Pernyataan Kesanggupan Biaya (3 x 24 jam) 1,000,000.00
Form. Pernyataan Pindah Kelas Perawatan 1,125,000.00
Form. Rencana Perawatan Dialisis 700,000.00
Form. Surat Keterangan Kesehatan 1,000,000.00
Form. Surat keterangan Kesehatan Mata 625,000.00
Form. Surat Keterangan Sakit 625,000.00
Form.Bayi Baru Lahir 1,000,000.00
Form.Identifikasi Bayi Baru Lahir 1,000,000.00
Form.Patologi Anatomi 375,000.00
Form.Pernyataan Kesanggupan Pembiayaan Umum 750,000.00
Form Askep Hipotermia 375,000.00
Form. Monitoring HD 2,500,000.00
Form. Assemen Awal Medis Dialisis 3,360,000.00
Kartu Stock 17,000,000.00
Label Nomor Pengambilan Obat 2,100,000.00
Stiker High Alert Kecil 1,000,000.00
StopMap Merah Tua Rumah Sakit 450,000.00
Form Keterangan Pemeriksaan Kesehatan Jiwa 625,000.00
Form Keterangan Pemeriksaan Jiwa 625,000.00
Kartu Pengobatan Pasien TB 2,275,000.00
Form Persetujuan Tindakan Tranfusi Darah 1,875,000.00
Form Persetujuan Tindakan Kedokteran 1,875,000.00
Form Surat Jalan Hemodialisa 1,875,000.00
Form Label Indentitas 125,000.00
Form Buku TBC 1,500,000.00
Form Pengkajian Resiko Jatuh Anak 1,875,000.00
Form Persetujuan Tindakan Fiksasi Makanik 625,000.00
Form Pengkajian Keperawatan Jiwa 2,500,000.00
Form Surat Pernyataan Keluarga Pasien 1,250,000.00
Form Evaluasi Keperawatan Jiwa 2,500,000.00
Stopmap Hijau Rumah Sakit 2,250,000.00
Form Pengkajian Gigi Dan Mulut (1 sisi) 1,500,000.00
Form Pengkajian Ulang Resiko Jatuh Anak 750,000.00
Form Pengkajian Restrain Jiwa 250,000.00
Form Rencana Asuhan Keperawatan Jiwa Waham 250,000.00
Form Rencana Asuhan Keperawatan Jiwa Bunuh Diri 250,000.00
Form Rencana Asuhan keperawatan Jiwa Perilaku Kekerasan 280,000.00
Form Rencana Asuhan keperawatan Jiwa Koping Tidak Efektif 250,000.00
Form Rencana Asuhan keperawatan Jiwa Isolasi Sosial 280,000.00
TOTAL
Form Rencana Asuhan keperawatan Jiwa Harga Diri Rendah Kronis 250,000.00
Form Rencana Asuhan keperawatan Jiwa Gangguan Persepsi Sensoris
250,000.00
Form Rencana Asuhan keperawatan Jiwa Gangguan Komunikasi Verbal
280,000.00
Form Pengkajian Resiko Jatuh Pasien Geriatri 250,000.00
Form Pengkajian Dan Intervensi Resiko Jatuh (Get Up And Go) 250,000.00
Form Serah Terima Pasien Kepada Keluarga 250,000.00
Form Pengkajian Keperawatan Jiwa (Laporan Operasi) 280,000.00
Form Ews Anak 850,000.00
Form Ews Dewasa 850,000.00
Form Ews Obsertetri 850,000.00
Form Permintaan/Pembambilan Atk Dan Cetakan 250,000.00
Form pemberian edukasi rawat inap 900,000.00
Form Rekonsiliasi Obat 625,000.00
Form Pasien Terintegrasi 1,960,000.00
Form Pernyataan Persetujuan Umum 700,000.00
Form Laporan Operasi PAB 1,250,000.00
Form Pernyataan Penyerahan Organ 125,000.00
Form Pemeriksaan TB 280,000.00
Form Instalasi Farmasi 1,250,000.00
Form etiket instalasi radiologi 125,000.00
sticker lasa 4,928,000.00
Buku unit dialisis 300,000.00
Form saran pengaduan rawat inap 280,000.00
Form saran pengaduan IGD 280,000.00
Form saran pengaduan rawat Jalan 280,000.00
Form pengkajian instalasi Kebidanan 900,000.00
Stiker Inventaris 2,700,000.00
Stiker Diet Gizi 525,000.00
Etiket Snack 525,000.00
Etiket Snack DM Pagi 350,000.00
Etiket Snack DM Sore 350,000.00
Belanja Cetakan Lainnya 22,444,200.00
-
- Belanja cetak leaflet , poster, stiker, kalender, banner, spanduk 46,801,750.00 TU 46,801,750.00
Cetak Kalender OPD 23,448,750.00
Belanja cetak leaflet 6,050,000.00

Leaflet Ap120 Gram, Fullcolor, 2 Muka 6,050,000.00
Belanja cetak poster 5,808,000.00

Poster Termasuk Biaya Design 3,498,000.00
Poster Tipis UV 50 x 70 cm 2,310,000.00
-
Belanja cetak stiker 11,495,000.00
Stiker Cutting 11,495,000.00
- Belanja bahan dekorasi ( spanduk, banner ) kegiatan promosi dan inform 11,610,600.00 TU 11,610,600.00
TOTAL
Banner/Spanduk/Vinnyl Fl 300 Gsm 4,395,600.00
Banner/Spanduk/Vinnyl Fl 440 Gsm Korcin 7,215,000.00
Belanja Penggandaan 146,658,750.00 TU 146,658,750.00

- Belanja penggandaan kegiatan administrasi perkantoran
Photo Copy HVS A4/F4 70 gr 116,550,000.00
- Belanja penggandaan kegiatan Akreditasi Rumah Sakit
- Belanja penggandaan kegiatan pelatihan internal
Belanja Penjilidan 6,464,085.00 TU 6,464,085.00

Jilid Softcover F4; tebal 3-7 cm 703,740.00
Jilid Softcover F4; tebal 1-2 cm 1,173,825.00
Jilid Softcover A4; tebal 1-2 cm 750,360.00
Jilid Softcover F4; tebal 8-13 cm 586,080.00
Jilid Biasa, Mika + Lakban 3 s/d 7 cm 2,664,000.00
Jilid Semi Hardcover A3, tbl s/d 3 cm 586,080.00
Belanja Papan 21,898,080.00 TU 21,898,080.00

Papan nama tulisan akrilik gantung 7,246,080.00
Papan nama tulisan akrilik frame 14,652,000.00
Belanja ID card 610,000.00 TU 610,000.00

ID CARD (TAMU/SURVEYOR) 210,000.00
ID CARD (PENUNGGU PASIEN) 400,000.00
1.02.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 7,605,858.00 TU 7,605,858.00

Materai Materai 10000 7,020,000.00
Perangko Kilat Biasa 96,903.00
Perangko Kilat Express 295,815.00
Perangko Kilat Khusus 193,140.00
1.02.01.01.0029 Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan Komputer 25,873,545.00 PNJ 25,873,545.00
Pita Komputer Epson kecil 3,896,100.00
Pita Komputer Epson Lq-1031 2,331,000.00
Pita Komputer Epson Kecil + Cartridge 1,332,000.00
Cartridge Ribbon Cartridge LX 310 3,534,240.00
Cartridge LQ 2190 Ribbon Cartridge 11,247,075.00
Flash Disk 32 GB 3,533,130.00
1.02.01.01.0030 Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot Kantor 521,833,371.00

- Belanja Alat/Bahan kebersihan 191,314,298.00 TU 191,314,298.00
Timba plastik uk. 80 liter 14,785,200.00
Bak plastik uk. 30 liter 2,637,360.00
Keset bludru 3,205,125.00
Dispenser tissue handtowel 12,698,400.00
Dispenser handsoap 5,742,000.00
Tissue handtowel 120 sheet 59,780,160.00
TOTAL
Tissue Kotak 67,932,000.00
Pengharum ruangan ( stela air fresener alat matic) 2,935,118.00
Container box ukuran L 1,158,840.00
Container box ukuran M 1,380,840.00
Spillkit 16,788,750.00
Pressure sprayer @ 2 liter 2,270,505.00
- Belanja Alat/Bahan pengelolaan linen Rumah Sakit 94,197,850.00 PNJ 94,197,850.00

Kantong plastik 0,4X80X100 Natural/Bening 43,136,500.00
Plastik laundry 38,278,350.00
Keranjang cucian Loundry Box L 2,553,000.00
Tempat sampah injak greenleaf 120 liter warna biru 5,115,000.00
Tempat sampah injak greenleaf 120 liter warna kuning 5,115,000.00
-
- Belanja Alat/Bahan pengelolaan sampah 236,321,223.00 PNJ 236,321,223.00
Kantong sampah plastik 0,4x80x100 hitam sablon 58,691,250.00
Kantong sampah plastik 0,4x80x100 kuning sablon 67,488,000.00
Kresek sampah plastik jumbo hitam sablon 19,980,000.00
Tas Kresek plastik jumbo kuning sablon 16,783,200.00
Tempat sampah injak 36 liter grey 9,583,200.00
Tempat sampah injak 36 liter yellow 7,091,568.00
Tempat sampah injak 70 liter grey 8,864,460.00
Tempat sampah injak 70 liter yellow 6,648,345.00
Safety box kapasitas 12,5 liter 41,191,200.00
1.02.01.01.0031 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik 218,988,015.00 PNJ 218,988,015.00
Embodos Kotak Hitam 177,600.00
Fiting Plafound 943,500.00
Isolasi Kabel 222,000.00
Konektor TC 2 Baut 2,081,250.00
Kabel Ties 15 cm nylon 222,000.00
Kabel NYM 2x1,5 mm 4,995,000.00
Kabel NYM 2x2,5 mm 4,856,250.00
Kabel NYM 3x2,5 mm 8,325,000.00
Kabel NYYHY 3x0,75 mm 7,992,000.00
Kabel NYA 2,5 mm 1,665,000.00
Klem Kabel 6 mm 166,500.00
Lampu LED 8 W 15,262,500.00
Lampu LED 4 W 7,881,000.00
Lampu LED 14,5 W 20,812,500.00
Lampu LED 19 W 5,550,000.00
TOTAL
Lampu Sorot LED 50 W 2,220,000.00
Lampu Sorot LED 30 W 1,665,000.00
Lampu PJU LED 30 W 13,320,000.00
MCB 1 Phase (6/10/16 A) 4,995,000.00
MCCB 800 A 50 KA 32,190,000.00
MCCB 1250 A 50 KA 17,760,000.00
Kabel Duct TC 4 832,500.00
Saklar Seri 16A 250V 1,398,600.00
Saklar Engkel 16A 250V 799,200.00
Stop Kontak 16A 250V 819,180.00
Steker Broco 16A 250V 666,000.00
Steker T Broco 13A 250V 566,100.00
Stop Kontak 4 lubang 1,970,250.00
Stop Kontak 1 Lubang 258,075.00
Stop Kontak 2 Lubang 832,500.00
Lampu Downlight 7,5 W 5,550,000.00
Battery , Alkaline AA2 1,5V 14,918,400.00
Battery Alkaline AAA3 1,5V 7,192,800.00
Battery Kotak Alkaline 9V 1,498,500.00
Switch hub 4,957,260.00
alat listrik Lainnya 22,200,000.00
1.02.01.01.0034 Belanja Alat/Bahan untuk Kegiatan Kantor- Perlengkapan Pendukung Olahra 1,924,518.00 TU 1,924,518.00
Plakat Akrilik 35 1,185,480.00
Plakat Bahan : kayu 12 739,038.00
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/Bahan untuk Kegiatan

1.02.01.01.0036 841,563,038.00
Kantor Lainnya
Belanja peralatan upacara dan hari besar nasional ( bendera dan umbul-
umbul ) 399,600.00 TU 399,600.00
Bendera Merah Putih 210 Cm X 100 Cm 399,600.00
Belanja Karangan Bunga 11,000,000.00 TU 11,000,000.00

Papan Bunga Digital Printing Uk. 250 x 150 cm 1 titik 11,000,000.00
Belanja penutup badan 85,440,000.00 PNJ 85,440,000.00

Scot kain petugas 12,210,000.00
Baju pasien setelan/piyama 19,950,000.00
Baju pasien atasan/kimono 27,930,000.00
Baju pasien operasi 19,950,000.00
sarung pasien 5,400,000.00
-
Belanja Barang Peralatan Rumah Tangga 18,373,275.00 PNJ 18,373,275.00
Choper 1,665,000.00
Wajan Teflon Besar 915,750.00
Wajan Cetak Teflon 915,750.00
Container sayur 721,500.00
Container Bumbu 249,750.00
Panci Besar 999,000.00
TOTAL
Wajan Besar 666,000.00
Telenan 1,831,500.00
Lepek Lauk 999,000.00
Mangkok Sayur 999,000.00
Mangkok Bubur 1,198,800.00
Capit Makanan besar 222,000.00
Capit Makanan kecil 222,000.00
Toples Susu 333,000.00
Toples Bumbu 97,125.00
Nampan VIP 1,998,000.00
Jampel 111,000.00
Tempat Sample Makanan 166,500.00
Serok tanggung 49,950.00
Serok Kecil 49,950.00
Irus Sayur 49,950.00
Timbangan Kue 444,000.00
Botol Minyak 416,250.00
Chafing disk jumbo 2,220,000.00
Regulator 832,500.00
Peralatan Kantor 98,201,178.00 PNJ 98,201,178.00

Wall Fan 12,670,650.00
Kursi Rapat ( Kursi Susun ) 72,150,000.00
Tabung APAR 4,5 kg 13,380,528.00
BAHAN PENGEMAS MAKANAN DAN PEMBERSIH DI INSTALASI GIZI 107,058,170.00 PNJ 107,058,170.00
Gelas Minum 7,312,680.00
Cup Lauk Mika 2,637,360.00
Box Mika 224,000.00
Plastik 18 an 299,700.00
Plastik Es 1,842,600.00
Plastik Klip Besar 922,410.00
Plastik Klip Kecil 377,400.00
Plastik Opp 11 an 5,834,160.00
Plastik Opp 14 an 8,691,300.00
Plastik Sealer 6,981,900.00
Plastik Wraping 6,526,800.00
Kertas Nasi 526,140.00
Kotak Nasi Disposible 29,137,500.00
Kresek Jumbo 3,046,950.00
Kresek Putih 3,496,500.00
Sarung Tangan Plastik 279,720.00
Sendok Plastik 23,310,000.00
Spon 532,800.00
Tisu Warna 5,078,250.00
Belanja Gelang Pasien 54,000,000.00 PNJ 54,000,000.00

Gelang identitas pasien 54,000,000.00
TOTAL
Belanja Linen Pasien 281,068,016.00 PNJ 281,068,016.00
Bed cover set 16,898,000.00
Sprei 34,222,000.00
Sprei box bayi 1,386,000.00
Perlak 30,054,556.00
Perlak bersalin 7,770,000.00
Perlak bayi 720,000.00
Selimut 37,647,500.00
Stik laken 13,029,500.00
Sarung bantal 10,055,500.00
Sarung bantal bayi 1,187,500.00
Handuk kecil 2,800,000.00
Handuk besar 3,080,000.00
Duk kecil 19,625,000.00
Duk besar 35,640,000.00
Duk bungkus 32,750,000.00
Duk lubang 9,240,000.00
Duk mata 7,085,460.00
Fiksasi pasien 6,944,000.00
Penutup jenazah 1,215,000.00
Penutup keranda 768,000.00
Penutup alat 7,700,000.00
Taplak makan pasien 1,250,000.00
Belanja hospital curtain 186,022,799.00 PNJ 186,022,799.00

Gorden +rel 175,015,300.00
Kain sketsel 11,007,499.00
1.02.01.01.0037 Belanja Obat-Obatan-Obat 11,607,730,184.00 PLY 11,607,730,184.00

ACARBOSE 100 MG 166,200.00
ACARBOSE 50 MG 1,363,635.00
ACETYLCYSTEINE 200 MG 22,364,300.00
ACYCLOVIR 400 MG 1,701,000.00
ACYCLOVIR 5% CREAM 928,125.00
ADALAT OROS 30 MG 156,052,292.00
AKILEN TT 11,543,822.00
ALLOPURINOL 100 MG 23,076,900.00
ALLOPURINOL 300 MG 6,120,000.00
ALPRAZOLAM 0,5 MG 3,861,000.00
ALPRAZOLAM 1 MG 13,590,000.00
AMBROXOL 30 MG 3,102,228.00
AMBROXOL HCL 15MG/5ML SYR 910,500.00
AMIKACIN INJ 250 MG 6,709,200.00
AMINOFUSIN HEPAR INF 15,760,823.00
AMINOLEBAN INJ 500 ML 3,683,613.00
AMINOPHYLLINE INJ 17,275,200.00
AMIODARONE 200 MG 10,370,700.00
AMIODARONE HCL INJ 711,900.00
AMITRIPTYLINE 25 MG 579,000.00
TOTAL
AMLODIPINE 10 MG 7,726,800.00
AMLODIPINE 5 MG 2,257,800.00
AMOXYCILLIN 500 MG 844,200.00
AMOXYCILLIN SYR 125 MG 521,978.00
ANALSIK 2,271,060.00
ANTASIDA DOEN 2,770,560.00
ANTASIDA DOEN SUSP 60 ML 6,707,520.00
ANTIHEMOROID SUPP 2 GR 1,657,500.00
ARCAPEC TAB 20,010,000.00
ARINIA 10 MG 274,675,050.00
ARIXTRA INJ 2,5 MG/0,5 ML 67,587,975.00
ASAM FOLAT 400 MCG 4,452,000.00
ASAM MEFENAMAT 500 MG 10,394,400.00
ASAM TRANEKSAMAT 500 MG 24,710,400.00
ASAM TRANEKSAMAT INJ 250 MG 5,139,120.00
ASAM TRANEKSAMAT INJ 500 MG 10,490,400.00
ASERING INF 500 ML 15,840,000.00
ASTHENOF 5 ML 18,303,516.00
ATORVASTATIN 20 MG 60,245,250.00
ATROPINE 0,25 MG INJ 2,577,000.00
AVAMYS NASAL SPRAY 6,924,000.00
AZITHROMYCIN 500 MG 3,000,000.00
BACTESYN INJ 0,75 GR 19,209,390.00
BAQUINOR 0,3% EYE DROP 19,419,777.00
BETADINE OBAT KUMUR 190 ML 5,590,963.00
BETAHISTINE 6 MG 2,587,200.00
BETAMETASON CREAM 5 GR 445,500.00
BIOSAVE 5 ML INJ - E KAT 284,625,000.00
BISACODYL 5 MG 81,000.00
BISOPROLOL 2,5 MG 39,168,300.00
BISOPROLOL 5 MG 10,708,920.00
BRALIFEX PLUS EYE DROP 69,366,528.00
BRILINTA 90 MG 624,225.00
BUSCOPAN 10 MG 30,609,900.00
BUSCOPAN INJ 8,295,000.00
CA GLUCONAS 10% INJ 44,248,896.00
CA POLYSTYRENE SULFONATE 17,076,600.00
CALCITRIOL 0.5 MCG 18,486,000.00
CALCIUM LACTAT 500 MG 15,151,500.00
CALITOZ KAPLET 6,741,000.00
CANDESARTAN 16 MG 32,241,330.00
CANDESARTAN 8 MG 40,523,040.00
CAPSINAT 500 241,488,000.00
CAPTOPRIL 25 MG 1,155,000.00
CARBAMAZEPINE 200 MG 367,500.00
CARPINE 2% ED 1,282,842.00
CARVEDILOL 6.25 MG 178,678,500.00
CATARLENT 5 ML ED 6,973,500.00
TOTAL
CEFADROXYL 500 MG 7,260,000.00
CEFADROXYL SYR 125 MG 1,785,600.00
CEFADROXYL SYR 250 MG 2,079,000.00
CEFIXIME 100 MG 41,625,333.00
CEFIXIME SYR 30 ML 5,138,624.00
CEFOTAXIME 1 GR INJ 7,353,000.00
CEFTAZIDIME INJ 1 GR 278,506,800.00
CEFTRIAXONE 1 GR INJ 94,248,000.00
CELECOXIB 100 MG 22,275,000.00
CELECOXIB 200 MG 71,775,000.00
CENFRESH MDS 21,609,869.00
CETIRIZINE 10 MG 161,700.00
CETIRIZINE SYR 60 ML 329,175.00
CHLOR.MALEAT (CTM) 3,830.00
CHLORPROMAZINE 100 MG 649,500.00
CIPROFLOXACIN 500 MG 2,591,739.00
CIPROFLOXACIN INF 200 MG 17,503,200.00
CITICHOLINE 500 MG 31,080,000.00
CITICHOLINE INJ 1000 MG 75,487,500.00
CITICHOLINE INJ 500 MG 58,740,000.00
CLINDAMYCIN 300 MG 21,818,160.00
CLOBAZAM 10 MG 8,613,600.00
CLOPIDOGREL 75 MG 113,449,225.00
CLOZAPINE 100 MG 14,352,000.00
CLOZAPINE 25 MG 15,325,200.00
CODEIN 10 MG 22,500,000.00
CODEIN 20 MG 32,640,000.00
COLCHICINE 0.5 MG 486,750.00
COLSANCETINE INJ 1 GR 10,186,470.00
COMAFUSIN HEPAR INF 7,121,700.00
COMBIVENT 2,5 ML UDV 1,725,735.00
CONCOR 1,25 MG 34,290,000.00
CONVER 2% MDS -
COTRIMOXAZOLE FORTE 5,040,000.00
CURCUMA 20 MG TAB 67,918,500.00
CURCUMA PLUS SYR 316,350.00
DEPAKOTE ER 500 MG 26,919,000.00
DESOXIMETASONE 0,25 % CR 2,401,200.00
DEXAMETHASON 0,5 MG 733,500.00
DEXAMETHASON INJ 19,800,000.00
DIAZEPAM 2 MG 12,993,750.00
DIAZEPAM 5 MG 2,932,398.00
DIAZEPAM 5 MG/ML INJ 2,101,896.00
DIGOXIN 0,25 MG 4,365,630.00
DILTIAZEM 30 MG 543,600.00
DIMENHYDRINATE 50 MG -
DIPHENHYDRAMIN INJ 22,577,400.00
DIVALPROEX SODIUM 250 MG 11,583,000.00
TOTAL
DOBUTAMINE HCL 250 MG/5 ML 23,100,000.00
DOMPERIDONE 10 MG 2,129,400.00
DOMPERIDONE SYR 60 ML 742,680.00
DOPAMET 250 MG 9,256,500.00
DULCOLAX 10 MG SUPPO 4,541,250.00
ECOSOL NACL 0,9% 100 ML 223,823,600.00
EFLIN TAB 15,672,000.00
ELXION 10 MG 5,845,920.00
EPERISONE HCL 50 MG 7,350,000.00
EPHEDRIN HCL INJ 514,140.00
EPINEPHRINE INJ 0,1 % 1,818,000.00
ERGOTAMINE COFFEIN 13,875.00
ESTA - 2 7,770,000.00
ETHAMBUTOL 500 MG 9,432,000.00
EZELIN 219,741,000.00
FARGOXIN INJ 8,699,625.00
FARNORMIN 4,903,425.00
FENOFIBRATE 100 MG 10,003,950.00
FENOFIBRATE 300 MG 2,406,600.00
FENTANYL 0,05 MG/ML 2 ML 24,235,200.00
FIBRION 1500000 IU 306,000,000.00
FIMA MANNITOL 20% INF - JKN 15,367,200.00
FLAMAR EYE DROP 13,932,000.00
FLIXOTIDE NEBULES 0,5 MG/2 ML 19,454,160.00
FLUCONAZOLE 150 MG 3,116,880.00
FLUNARIZINE HCL 10 MG 8,731,800.00
FLUNARIZINE HCL 5 MG 4,044,600.00
FLUOXETINE 20 MG 351,900.00
FOROTIC TT 420,750.00
FORUMEN TT 449,230.00
FRESOFOL 1% INJ 226,160.00
FUKRICIN EYE DROP 8,001,720.00
FURAMIN INJ 186,219,000.00
FUROSEMIDE 40 MG 21,600,000.00
FUROSEMIDE INJ 25,997,400.00
FUTROLIT INF 33,924,960.00
GABAPENTIN 100 MG 72,547,200.00
GABAPENTIN 300 MG 43,981,200.00
GABAXA 100 635,034,816.00
GALVUS 50 MG 42,749,532.00
GARAM INGGRIS 30 GR 304,950.00
GEMFIBROZIL 300 MG 225,000.00
GENOINT 0,3% SALEP MATA 3,5 GR 5,420,174.00
GENTAMYCIN 0,1% SK 1,872,882.00
GENTAMYCIN 40 MG INJ 1,138,500.00
GLAUSETA 57,967,200.00
GLIBENCLAMIDE 5 MG 61,500.00
GLICLAZIDE 80 MG 955,200.00
TOTAL
GLIMEPIRIDE 1 MG 2,349,000.00
GLIQUIDONE 30 MG 43,891,500.00
GLUCOSAMINE MPL 250 MG 35,929,200.00
GLUCOSAMINE MPL 500 MG 628,425.00
HALOPERIDOL 0,5 MG 166,500.00
HALOPERIDOL 1,5 MG 1,028,000.00
HALOPERIDOL 5 MG 324,000.00
HEMAPO 3000 IU INJ 136,800,000.00
HERBESSER CD 100 MG 51,300,000.00
HERBESSER CD 200 MG 24,720,000.00
HERVIS EYE OINT 576,060.00
HEXIOL INJ 350 MG/ ML 18,348,300.00
HOMATRO 2% 5 ML 653,697.00
HUMAN ALBUMIN 20% 100 ML 461,550,000.00
HUMAN IMMUNOGLOBULIN INJ 89,100,000.00
HYDROCHLORTHIAZIDE (HCT) 25 MG 1,776,000.00
HYDROCORTISONE CR 2,5% 34,875.00
HYDROXYCHLOROQUINE 200 MG 4,455,000.00
HYDROXYUREA MEDAC 500 MG 2,924,250.00
HYOCINE-N-BUTYLBROMIDE INJ 5,791,560.00
IBUPROFEN 400 MG 18,691,200.00
IBUPROFEN SUSP 100 MG/5 ML 635,250.00
INVICLOT INJ 36,625,838.00
IOPAMIRO 370 - 50 ML 15,330,150.00
ISONIAZIDE 100 MG 202,500.00
ISONIAZIDE 300 MG 1,473,525.00
ISOSORBIDE DINITRAT 5 MG 2,347,800.00
KALIUM DIKLOFENAK 50 MG 5,493,501.00
KETOCONAZOLE 2% CREAM 195,554.00
KETOCONAZOLE 200 MG 546,120.00
KETOPROFEN 100 MG 64,864,800.00
KETOROLAC INJ 30 MG 16,939,410.00
KSR 45,313,200.00
LAKTULOSA SYR 60 ML 31,005,464.00
LANSOPRAZOLE 30 MG 9,281,250.00
LANSOPRAZOLE INJ 113,472,000.00
LANTUS SOLOSTAR 32,040,000.00
LATANOPROST EYE DROP 83,715,750.00
LAVIT-C 1000 MG INJ 47,952,000.00
L-BIO SACHET 11,767,680.00
LEVEMIR FLEX PEN 214,935,000.00
LEVOCIN EYE DROP 48,707,144.00
LEVOFLOXACIN 500 MG 794,871.00
LEVOFLOXACIN INFUS 100 ML 14,102,370.00
LEVOPAR 77,435,820.00
TOTAL
LEVOTHYROXINE 100 MG 2,643,300.00
LIDOCAIN 2% INJ 10,091,565.00
LISINOPRIL 10 MG 3,001,500.00
LISINOPRIL 5 MG 2,175,000.00
LODOMER INJ 5 MG 48,451,700.00
LOPERAMIDE HCl 2 MG 27,223.00
LORATADINE 10 MG 196,500.00
LORAZEPAM 2 MG 1,614,375.00
LOVENOX 0,4 ML 7,483,080.00
LOVENOX 0,6 ML 24,449,880.00
MAPROTILINE 50 MG 23,839,200.00
MARIMER ISOTONIC 6,014,250.00
MECOBALAMIN 500 MCG 36,920,625.00
MECOBALAMIN INJ 500 MCG 1,230,768.00
MELIDOX TAB 8,712,000.00
MELOXICAM 15 MG 5,445,000.00
MELOXICAM 7,5 MG 7,245,000.00
MEPROVENT 4,202,400.00
MERLOPAM 2 MG 445,500.00
MEROPENEM 1 GR INJ 111,888,000.00
MESTINON 60 MG 21,195,000.00
METAMIZOL INJ 23,100,000.00
METFORMIN 500 MG 5,999,994.00
METHYLERGOMETRIN 0,125 MG 375,000.00
METHYLPREDNISOLON INJ 125 MG 46,974,978.00
METHYLPREDNISOLONE 16 MG 1,789,875.00
METOCLOPRAMIDE 10 MG 32,175.00
METOCLOPRAMIDE INJ 10 MG/2 ML 5,197,500.00
METRONIDAZOLE 500 MG 1,342,073.00
METRONIDAZOLE INF 100 ML 21,226,952.00
METRONIDAZOLE SYR 125 MG 31,888.00
MICONAZOL 2% CREAM 72,162.00
MICROBAR BARIUM SULPHATE 250 GR 15,750,000.00
MICROGEST 100 MG 3,036,960.00
MICROGEST 200 MG 1,512,000.00
MIDAZOLAM HCL 1 MG/ML INJ 923,786.00
MINIASPI 80 MG 4,123,350.00
MISOPROSTOL 200 MCG 3,638,250.00
MORFIN 10 MG/ML INJ 265,512.00
MST CONTINUS 10 MG 240,000.00
MYDRIATIL 1% 5 ML 326,251.00
NA BICARBONAT 500 MG 7,517,475.00
NA DIKLOFENAK 50 MG 742,500.00
NATACEN MDS 238,478.00
NEO KAOLANA SYR 1,833,975.00
NICARDIPINE 1 MG/ ML INJ 4,617,600.00
NIFEDIPINE 10 MG 495,000.00
TOTAL
NIMODIPINE INF 1,806,525.00
NIMOTOP 581,850.00
NITROKAF RETARD 2,5 MG 274,290,000.00
NITROKAF RETARD 5 MG 9,108,000.00
NOREPINEPHRINE INJ 34,417,548.00
NOVOMIX-30 FLEX PEN 122,220,000.00
NOVORAPID FLEX PEN 217,149,375.00
NTG 1 MG INJ 19,519,500.00
NYSTATIN DROP 12 ML 3,811,500.00
OBH SYR 100 ML 4,346,784.00
OCTALBIN 25% 100 CC 238,500,000.00
OMEPRAZOLE 20 MG 38,426,700.00
OMEPRAZOLE INJ 40 MG 111,154,725.00
ONDANSETRON 4 MG 3,442,500.00
ONDANSETRON 4 MG/2 ML INJ 41,373,750.00
OPTALENT ED 70,541,184.00
ORALIT 200 110,889.00
OTEDE 705,600.00
OTILON TT 3,318,190.00
OTOPAIN EAR DROP 6,009,600.00
OTSU D10 - 1/5 NS 1,261,800.00
OTSU D40 37,800,000.00
OTSU KA-EN 3B INF 500 ML 4,139,640.00
OTSU KA-EN MG3 INF 500 ML 1,935,000.00
OTSU KCL 7,46 12,867,120.00
OTSU MEYLON 25 ML 1,215,000.00
OTSU MGSO4 20 1,289,160.00
OTSU SALIN 3 15,561,720.00
OXYTOCIN INJ 10 IU/ML 3,686,925.00
PAMOL SUPP 125 MG 3,767,274.00
PAMOL SUPP 250 MG 2,317,640.00
PARACETAMOL 500 MG 14,277,375.00
PARACETAMOL INF 10 MG/ML 28,674,000.00
PARACETAMOL SYR 3,681,815.00
PETHIDIN HCL 50 MG/ML 997,500.00
PHENOBARBITAL 30 MG 1,132,950.00
PHENYTOIN 100 MG 7,559,100.00
PHENYTOIN INJ 50 MG 9,093,750.00
PIOGLITAZONE 15 MG 3,375,900.00
PIOGLITAZONE 30 MG 6,813,000.00
PIRACETAM 1 GR INJ 9,900,000.00
PIRACETAM 3 GR INJ 27,914,000.00
PIRACETAM 800 MG 1,900,431.00
PLAVIX 300 MG - JKN 1,730,800.00
PLETAAL 100 MG 2,133,000.00
POLYDEMICIN ED 10,711,386.00
PRAMIFROL 0.375 MG 1,372,500.00
PRAMIPEXOLE 0,125 MG 1,365,000.00
PREDNISON 5 MG 115,385.00
TOTAL
PREGABALIN 75 MG 29,163,750.00
PRIMET 25 MG 123,750.00
PROCAINE BENZILPENCILLIN INJ 3,143,520.00
PROINFARK 10 ML 6,404,850.00
PROPOFOL 10 MG/ML INJ 113,630.00
PROPRANOLOL 10 MG 3,600,896.00
PROPRANOLOL 40 MG 594,225.00
PROPYLTHIOURACYL (PTU) 100 MG 3,003,000.00
PROTOFEN 100 MG SUPP 2,434,500.00
PYRAZINAMIDE 500 MG 4,568,625.00
RAMIPRIL 2,5 MG 2,214,450.00
RAMIPRIL 5 MG 2,795,535.00
RANITIDIN 150 MG 7,076,250.00
RANITIDIN INJ 25 MG 18,115,200.00
REGUMEN 242,940.00
RENXAMIN INFUS 200 ML 89,622,000.00
RESFAR 25 ML INJEKSI 20,407,009.00
RIFAMPICIN 450 MG 4,623,300.00
RIFAMPICIN 600 MG 10,233,756.00
RISPERIDONE 2 MG 1,156,200.00
RISPERIDONE 3 MG 595,700.00
RYZODEG FLEX TOUCH 134,400,000.00
SALBUTAMOL 2 MG 11,313,120.00
SALBUTAMOL 4 MG 9,405,000.00
SANBE TEARS 8 ML 31,222,620.00
SATORIA WFI 25 ML 9,587,700.00
SIBITAL INJ 882,450.00
SIKZONOATE INJ 25 MG 21,402,545.00
SILDENAFIL 50 MG 69,445,152.00
SILOXAN 5 ML ED 19,059,033.00
SIMVASTATIN 20 MG 2,108,700.00
SIRPLUS 0,1 GR 58,800.00
SOLVINEX 2 MG INJ 496,584,000.00
SOMATOSTATIN LYOMARK 3 MG INJ 31,973,476.00
SOROQUIN XR 300 MG 75,600,000.00
SPIRONOLAKTON 100 MG 4,452,000.00
SPIRONOLAKTON 25 MG 19,893,000.00
SUCRALFATE SYR 46,844,100.00
SULFADIAZIN SILVER CREAM 35 GR 1,298,990.00
SULFITIS 2,475,000.00
SUPRASMA INHALER 27,170,000.00
TABLET TAMBAH DARAH 1,505,200.00
TAMOFEN 10 MG 3,241,050.00
TAMSULOSIN HCL 0.4 MG 15,681,600.00
TANAPRESS 10 4,500,000.00
TANAPRESS 5 13,162,500.00
TARIVID OTIC SOLUTION 841,500.00
TEBOKAN SPECIAL 80 MG 14,945,850.00
TELMISARTAN 40 MG 22,248,000.00
TOTAL
TELMISARTAN 80 MG 8,820,000.00
TENOFOVIR 300 MG 42,047,910.00
TETAGAM P 250 IU X 1 ML INJ 112,302,000.00
THIAMAZOLE 10 MG 6,527,400.00
TIMOLOL 0,5% - FERRON 85,680,000.00
TONOR 0,5% MDS 876,960.00
TRAMADOL 50 MG 46,428,525.00
TRAMADOL INJ 50 MG/ML 1,123,875.00
TRIAMCINOLONE 10 MG/ML INJ 2,010,000.00
TRIFLUOPERAZINE 5 MG 4,130,033.00
TRIHEXYPHENIDYL 2 MG 3,105,000.00
TROPIN 1% ED 300,449.00
UPERIO FCT 50 MG 2,029,860.00
UROGRAFIN 76% 20 ML INJ 451,282.00
URSODEOXYCHOLIC ACID 250 MG 5,893,290.00
VALPROIC ACID 250 MG SYR 5,621,850.00
VALSARTAN 160 MG 2,004,750.00
VALSARTAN 80 MG 2,694,002.00
VASACON MDS 212,910.00
VENTOLIN NEBULES 2,5 MG 3,463,200.00
VERAPAMIL 276,675.00
VIT B COMPLEK 11,404,800.00
VIT B6 10 MG 1,917,600.00
VIT C (ASCORBID ACID) 250 MG 366,300.00
VIT K 10 MG 392,700.00
VIT K INJ 10 MG 4,191,750.00
VIT K INJ 2 MG 2,276,505.00
VITROLENTA 5 ML 10,050,900.00
VOLULYTE 6% INF 6,558,750.00
WARFARIN 2 MG 25,929,000.00
WIDA D10% 2,160,000.00
WIDA D5 7,456,500.00
WIDA D5-1/2 NS 31,380,000.00
WIDA D5-1/4 NS 16,075,725.00
WIDA KN-2 3,377,250.00
WIDA NS 1000 ML 93,290,400.00
WIDA NS 500 ML 356,138,100.00
WIDA RL 62,947,500.00
XITROL EYE OINT 6,035,729.00
ZINC SULFATE SYR 60 ML 1,386,000.00
ZINC SULPHATE 20 MG 198,551.00
ATROPIN INJ 520,086.00
EPHEDRIN HCL 3,891,571.00
EPINEPHRIN INJ 2,726,990.00
FENTANYL 0,05 MG/ML 2 ML 36,683,280.00
KETAMIN INJEKSI 2,625,006.00
LIDOCAIN 5,246,998.00
LIDODEX 5% INJ 94,967,438.00
TOTAL
METHYLERGOMETRIN INJ 520,086.00
MIDAZOLAM HCL 3,332,997.00
NACL 500 ML 7,011,232.00
NEOSTIGMINE INJ 362,970.00
OXYTOCIN 1,689,009.00
PEHACAIN 753,929.00
PROANES 1% 4,875,103.00
PROPOFOL INJ 17,800,182.00
RINGER LAKTAT 500 ML 23,640,336.00
ROCULAX INJ 16,650,000.00
WATER FOR INJEKSI 1 LT 28,262,709.00
WATER FOR INJEKSI 25 ML 2,887,909.00
Belanja Obat Lainnya 115,500,000.00
1.02.01.01.0043 Belanja Natura dan Pakan-Natura 2,288,689,209.00

Belanja minuman pegawai 74,090,500.00 TU 74,090,500.00
Air Minum Dalam Kemasan , Galon, 19 liter 49,500,000.00
Air Mineral , 19 Liter, Plus Galon 1,931,875.00
Air Mineral , Botol, 600 ml 9,619,500.00
Air Mineral Gelas 5,795,625.00
Air Mineral Botol 330 ml 7,243,500.00
Belanja bahan makanan dan minuman pasien 2,059,864,709.00 PNJ 2,059,864,709.00

Bahan Makanan Kering
Air Mineral Gelas 16,843,140.00
Air Minum dalam kemasan 9,990,000.00
Sari Kacang Hijau 146,520.00
Susu Bayi usia 6 - 12 bulan 266,400.00
Susu Bayi Bebas Lactosa 865,800.00
Susu anak usia 1 - 5 tahun 266,400.00
Susu Diit DM 83,116,800.00
Susu Diit Ginjal 35,724,240.00
Susu Diit Hati 13,240,080.00
Susu Diit Hemodialisis 7,088,904.00
Susu Diit Stroke 80,835,750.00
Susu Diit TKTP 9,324,000.00
Susu Diit Saluran Pernafasan 20,161,152.00
Susu UHT 531,868.00
Susu Makanan Cair 164,752,860.00
Susu Ibu Hamil dan Menyusui 719,280.00
Tehh 3,143,520.00
Beras IR 64 Super 119,047,500.00
Bumbu Instan 452,880.00
Crakers 1,942,500.00
Garam Diit 3,241,200.00
Garam Halus 4,928,400.00
Gula Diit 4,262,400.00
Gula Merah 8,463,750.00
Gula Merah Diit 4,875,120.00
TOTAL
Gula Pasir 7,825,500.00
Kecap Manis 5,927,400.00
Minyak Goreng 23,060,250.00
Roti Tawar 2,375,400.00
Saori Saos Tiram 3,724,050.00
Saori Saos Teriyaki 541,680.00
Saus Tomat 2,139,525.00
Tepung Beras 6,813,180.00
Tepung Maizena 412,920.00
Tepung Terigu 1,118,880.00
Kacang Hijau 932,400.00
BAHAN MAKANAN BASAH

Ayam Kaldu 905,760.00
Ayam Potong 119,658,000.00
Bakso Ayam 26,833,140.00
Bakso daging 19,180,800.00
Daging Giling 33,605,250.00
Daging Sapi 158,508,000.00
Galantin Ayam 21,312,000.00
Kekian Ayam 30,469,500.00
Putih Telur 8,991,000.00
Rolade Daging 30,219,750.00
Rolade Tuna 56,299,200.00
Tahu Putih 47,175,000.00
Tempe 47,175,000.00
Telur Asin 4,162,500.00
Telur Ayam 149,850,000.00
Telur Puyuh 11,100,000.00
Tetelan Tulang 777,000.00
Tuna 109,945,500.00
Bayam 8,358,300.00
Brokoli 16,206,000.00
Buncis 17,982,000.00
Bunga Kol 8,926,000.00
Daun Jeruk 102,120.00
Daun Kemangi 2,097,900.00
Daun Ketela Rambat 4,412,250.00
Daun Pandan 25,530.00
Daun Pre 2,727,000.00
Daun Salam 153,180.00
Daun Sere 555,000.00
Daun Sledri 1,600,620.00
Gambas 8,358,300.00
Jagung Manis 15,762,000.00
Jamur Kering 1,609,500.00
Kacang Panjang 15,651,000.00
Kacang Polong 2,573,715.00
Kacang Merah 4,939,500.00
TOTAL
Kangkung 6,382,500.00
Kapri 3,046,950.00
Kelapa Tua 13,653,000.00
Kentang 12,432,000.00
Kubis 7,492,500.00
Labu Air 4,495,500.00
Labu Kuning 3,885,000.00
Labu Siam 26,640,000.00
Pepaya muda 7,492,500.00
Sawi ijo 13,875,000.00
Sawi Putih 8,818,950.00
Tauge Kedelai 1,665,000.00
Tauge Panjang 6,937,500.00
Tauge Pendek 1,665,000.00
Terong 7,536,900.00
Timun 1,332,000.00
Tomat 13,986,000.00
Ubi Rambat 4,828,500.00
Wortel 48,701,250.00
Apel 3,263,400.00
Jeruk Kreprok 1,184,925.00
Melon 37,296,000.00
Pear 2,342,100.00
Pepaya 25,308,000.00
Pisang Ambon 32,634,000.00
Pisang Kepok 7,076,250.00
Pisang Susu 5,661,000.00
Semangka 29,970,000.00
Air Kelapa 999,000.00
Asam Jawa 426,240.00
Bawang Merah 22,688,400.00
Bawang Putih 22,688,400.00
Bawang Bombay 6,959,700.00
Bawang Merah Goreng 1,296,480.00
Cabe Merah 1,862,136.00
Cabe Rawit 2,674,656.00
Cengkeh 399,600.00
Jahe 1,553,112.00
Jinten 199,800.00
Kayu Manis 499,500.00
Kembang Lawang 399,600.00
Kemiri 10,949,040.00
Ketumbar Bubuk 1,212,120.00
Kluwak 1,482,960.00
Kunci 165,834.00
Kunyit 431,001.00
Lengkuas 1,067,001.00
Merica Bubuk 4,000,440.00
Pala 999,000.00
TOTAL
Belanja Makanan Dan Minuman Pasien ( snack pasien dan minuman pasien 154,734,000.00 PNJ 154,734,000.00
Snack Gurih 86,469,000.00
Snack Manis 68,265,000.00
1.02.01.01.0052 Belanja Makanan dan Minuman Rapat 261,757,500.00

- Belanja makanan dan minuman rapat kegiatan FGD
Nasi Kotak Biasa 4,995,000.00 TU-D 4,995,000.00
Snack Kotak Biasa 2,913,750.00 TU-D 2,913,750.00
- Makanan dan minuman Rapat kegiatan administrasi perkantoran

Snack Kotak Biasa 58,275,000.00 TU 58,275,000.00

surveilans ISO
Snack Kotak Biasa 5,827,500.00 PLY 5,827,500.00
- Belanja makanan dan minuman rapat kegiatan akreditasi rumah sakit

Snack Kotak Biasa 6,798,750.00 PLY 6,798,750.00
Belanja Makanan dan Minuman Diklat, Seminar, Lokakarya dan

Sejenisnya
Nasi kotak 31,635,000.00 TU-D 31,635,000.00
Snack 18,453,750.00 TU-D 18,453,750.00
Belanja Makanan dan Minuman Bimtek Maintenance dan surveilens ISO
Nasi kotak 19,980,000.00 PLY 19,980,000.00

Snack 11,655,000.00 PLY 11,655,000.00
Belanja Makanan dan Minuman Survey ISO

Nasi kotak 16,650,000.00 PLY 16,650,000.00
Snack 9,712,500.00 PLY 9,712,500.00
Belanja Makanan dan Minuman Survey Akreditasi dan survey simulasi
Nasi kotak 34,965,000.00 PLY 34,965,000.00

Snack 20,396,250.00 PLY 20,396,250.00
Belanja Makanan dan Minuman kegiatan value gathering ( paket meeting
fullday ) 19,500,000.00 TU-D 19,500,000.00
1.02.01.01.0053 Belanja Makanan dan Minuman Jamuan Tamu 101,172,876.00

- Belanja Makanan dan minuman tamu kegiatan administrasi umum TU 48,840,000.00
Prasmanan VVIP 13,875,000.00
Prasmanan biasa 3,330,000.00
Nasi Kotak VIP 19,980,000.00
Snack Kotak VIP 8,880,000.00
TOTAL
Snack Tamu Transit VIP 2,775,000.00
- Belanja makanan dan minuman kegiatan pelayanan sunatan massal PLY 21,090,000.00
Nasi Kotak Biasa 13,320,000.00
Snack Kotak Biasa 7,770,000.00
Belanja Makanan dan Minuman kegiatan Bimtek , Survey Akreditasi dan

survey simuasi ) PLY 26,612,438.00
Belanja Makanan dan Minuman kegiatan Survey ISO ) PLY 4,630,438.00

1.02.01.01.0054 Belanja Penambah Daya Tahan Tubuh 240,611,925.00 TU 240,611,925.00

Nasi kotak 94,905,000.00
Snack 145,706,925.00
1.02.01.01.0061 Belanja Pakaian Sipil Harian -
1.02.01.01.0068 Belanja Pakaian Siaga 208,757,607.00 PNJ 208,757,607.00

Baju petugas ruangan (uk S-5L) 112,287,600.00
Baju operasi setelan (uk S-5L) 30,300,004.00
Jaz operasi water repellent 49,950,000.00
Celemek 7,020,003.00
Jaz laborat 9,200,000.00
1.02.01.01.0075 Belanja Pakaian Batik Tradisional -

Kain Batik Kain Batik Khas Kabupaten Madiun -
1.02.02 Belanja Jasa 19,526,054,545.00

1.02.02.01 Belanja Jasa Kantor 17,293,650,545.00
1.02.02.01.0003 Honorarium Narasumber atau Pembahas, Moderator, Pembawa Acara, dan P 246,500,000.00 TU-D 246,500,000.00
-Jasa Narasumber Pelatihan 246,500,000.00
Jasa Narasumber Pelatihan APAR 22,500,000.00
Jasa Narasumber Pelatihan BLS 28,800,000.00
Jasa Narasumber Pelatihan Manajemen Ruangan 35,000,000.00
Jasa Narasumber Pelatihan PPI 7,200,000.00
Jasa Narasumber Pelatihan PPGD EMT 100,000,000.00
Jasa Narasumber bimtek keuangan 10,000,000.00
Jasa Narasumber pelatihan teknik Venaseksi 5,000,000.00
- Belanja jasa narasumber kegiatan FGD 38,000,000.00
1.02.02.01.0004 Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim Pelaksana Kegiatan -
1.02.02.01.0014 Belanja Jasa Tenaga Kesehatan 6,418,700,000.00

KODE REKENING BELANJA URAIAN BELANJA Penam
TOTAL
bahan
- Belanja Jasa Tenaga Ahli ( penepri ) dokter spesialis 60,000,000.00 TU-D 60,000,000.00 antara
- Insentif Dokter kebutu
han
a. Intensif Tenaga Ahli (Dokter Spesialis) 60,000,000.00 dan
b. Intensif Tenaga Ahli (Dokter Interensif) 60,000,000.00 pengur
- Honorarium tenaga kontrak BLUD angan
34x5 bl
pemba
a. Dokter Spesialis ( 3 orang x 13 bulan ) 325,000,000.00 TU-D 325,000,000.00 (50 org
yaran
b. Perawat dan tenaga lain ( 233 x 13 bulan ) 5,686,200,000.00 TU-D 5,686,200,000.00 P3K )
c. Dokter umum/Dokter gigi ( 2 orang x 13 bulan ) 32,500,000.00 TU-D 32,500,000.00
d. Programer ( 3 orang x 13 bulan ) 195,000,000.00 TU-D 195,000,000.00 ###
###
1.02.02.01.0029 Belanja Jasa Tenaga Ahli 214,800,000.00 ###
- Belanja Jasa Tenaga Ahli ( fisikawan medis ) 30,000,000.00 TU 30,000,000.00
-Honorarium Dewan Pengawas 180,000,000.00 TU 180,000,000.00

Honorarium Ketua Dewan Pengawas 48,000,000.00
Honorarium Sekretaris Dewan Pengawas 15,000,000.00
Honorarium Anggota Dewan Pengawas 72,000,000.00
Honorarium Anggota Komite Teknis Dewan Pengawas 45,000,000.00
Belanja Tenaga Ahli (Jasa pelatih Senam/Oltradisional) 4,800,000.00 TU-D 4,800,000.00
5.1.02.02.01.0030 Belanja Jasa Tenaga Kebersihan 10,500,000.00 TU 10,500,000.00

Honorarium Pegawai Honorer/Tidak Tetap Kategori Umum ( Jasa Petugas
10,500,000.00
Kebersihan Kegiatan)
1.02.02.01.0036 Belanja Jasa Audit/Surveillance ISO 62,200,000.00 PLY 62,200,000.00

- Belanja jasa audit kegiatan sertifikasi Akreditasi Rumah Sakit
Tarif Survei Akreditasi Rumah Sakit 22,200,000.00
- Belanja sertifikasi SMM ISO kegiatan Maintenance dan Surveilans ISO
Belanja Jasa Audit/Surveillance ISO 40,000,000.00
1.02.02.01.0039 Belanja Jasa Tenaga Informasi dan Teknologi 60,000,000.00 PNJ 60,000,000.00
Honorarium Sub Profesional (Programmer Senior) 60,000,000.00
1.02.02.01.0042 Belanja Jasa Pelaksanaan Transaksi Keuangan 9,650,000.00 TU 9,650,000.00

Biaya Beban Jasa Transaksi Keuangan ( Tranfer ) 6,500,000.00
Beban Jasa Transaksi Keuangan (Cek giro ) 3,150,000.00
1.02.02.01.0047 Belanja Jasa Penyelenggaraan Acara 18,000,000.00 TU 18,000,000.00

Belanja Jasa Penyelenggaraan Acara Rekrutmen Pegawai BLUD 18,000,000.00
1.02.02.01.0048 Belanja Jasa Kontribusi Asosiasi 15,000,000.00 TU 15,000,000.00

Belanja Iuran Asosiasi 15,000,000.00
1.02.02.01.0050 Belanja Jasa Kalibrasi 276,750,000.00 PNJ 276,750,000.00
- Jasa Kalibrasi/pengujian/pengukuran peralatan kesehatan/kedokteran 190,100,000.00

laundry 50,000,000.00
TOTAL
- Jasa pemantauan mutu eksternal laboratorium 20,000,000.00
- Jasa Pemeriksaan kultur kuman 16,650,000.00
1.02.02.01.0051 Belanja Jasa Pengolahan Sampah 756,000,000.00 PNJ 756,000,000.00

Jasa pengangkutan dan pengolahan sampah medis 756,000,000.00
1.02.02.01.0055 Belanja Jasa Iklan/Reklame, Film, dan Pemotretan 62,004,550.00 TU 62,004,550.00

Belanja Jasa Iklan/Reklame, Film, dan Pemotretan 62,004,550.00
1.02.02.01.0059 Belanja Tagihan Telepon 36,000,000.00 TU 36,000,000.00

Belanja Tagihan Telepon 36,000,000.00
1.02.02.01.0060 Belanja Tagihan Air 132,000,000.00 TU 132,000,000.00

Belanja Tagihan Air 132,000,000.00
1.02.02.01.0061 Belanja Tagihan Listrik 1,500,000,000.00 TU 1,500,000,000.00

Belanja Tagihan Listrik 1,500,000,000.00
1.02.02.01.0062 Belanja Langganan Jurnal/Surat Kabar/Majalah 12,720,000.00 TU 12,720,000.00

Belanja Langganan Jurnal/Surat Kabar/Majalah 12,720,000.00
1.02.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan 158,000,000.00 TU 158,000,000.00

Belanja Kawat/Faksimili/Internet/TV Berlangganan 158,000,000.00
1.02.02.01.0064 Belanja Paket/Pengiriman 470,000.00 TU 470,000.00

Belanja Paket/Pengiriman 470,000.00
1.02.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 20,809,700.00 TU 20,809,700.00

Belanja Pajak Kendaraan Bermotor 15,000,000.00
Tarif ijin Radiologi Diagnostik PRP ( Baru ) 2,519,700.00
Tarif ijin Radiologi Intervensional PRP ( Baru ) 3,290,000.00
1.02.02.01.0073 Belanja Medical Check Up 237,500,000.00 TU 237,500,000.00

Belanja jasa pemeriksaan kesehatan dan vaksinasi karyawan 237,500,000.00
1.02.02.01.0077 Belanja jasa pelayanan Kesehatan bagi Non ASN 7,046,046,295.00 TU-D 7,046,046,295.00
Belanja jasa pelayanan Kesehatan bagi Non ASN 7,046,046,295.00
1.02.02.02 Belanja Iuran Jaminan/Asuransi 1,339,399,000.00 TU 1,339,399,000.00

1.02.02.02.0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN 886,274,000.00
Belanja Iuran Jaminan Kesehatan bagi ASN dan Non ASN 886,274,000.00
1.02.02.02.0006 Belanja Iuran Jaminan Kecelakaan Kerja bagi Non ASN 453,125,000.00
TOTAL
Belanja Premi Asuransi Ketenagakerjaan ( perbulan per orang = Rp 145.000) 453,125,000.00
1.02.02.04 Belanja Sewa Peralatan dan Mesin 55,000,000.00 TU 55,000,000.00
1.02.02.04.0117 Belanja Sewa Alat Kantor Lainnya 55,000,000.00

Belanja Sewa Alat Kantor Lainnya 55,000,000.00
1.02.02.08 Belanja Jasa Konsultansi Konstruksi 204,240,000.00

1.02.02.08.0007 Belanja Jasa Konsultansi Perencanaan Rekayasa-Jasa Desain Rekayasa untuk 115,995,000.00 TU 115,995,000.00
- Belanja jasa konsultasi perencanaan pekerjaan rehap rawat inap iaya
69,375,000.00
Konstruksi Fisik > 1.200.000.000 s/d 1.300.000.000)
- Belanja jasa konsultasi perencanaan pekerjaan pembangunan pagar

27,750,000.00
belakang (Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000)
- Belanja jasa konsultasi perencanaan pekerjaan Rehap sedang selasar luar

beratap ( Tak bertingkat ) (Biaya Konstruksi Fisik > 200.000.000 s/d 18,870,000.00
300.000.000)
1.02.02.08.0019 Belanja Jasa Konsultansi Pengawasan Rekayasa-Jasa Pengawas Pekerjaan K 88,245,000.00 TU 88,245,000.00
- Belanja jasa konsultasi pengawasan pekerjaan rehap rawat inap ( biaya
52,170,000.00
Konstruksi Fisik > 1.200.000.000 s/d 1.300.000.000)
- Belanja jasa konsultasi pengawasan pekerjaan pembangunan pagar

21,645,000.00
belakang (Biaya Konstruksi Fisik > 300.000.000 s/d 400.000.000)
- Belanja jasa konsultasi pengawasan pekerjaan Rehap sedang selasar luar

beratap ( Tak bertingkat ) (Biaya Konstruksi Fisik > 200.000.000 s/d 14,430,000.00
300.000.000)
1.02.02.09 Belanja Jasa Konsultansi Non Konstruksi 127,000,000.00

1.02.02.09.0006 Belanja Jasa Konsultansi Berorientasi Bidang-Keuangan 55,000,000.00 TU 55,000,000.00
Belanja jasa akuntan publik audit laporan keuangan 55,000,000.00
1.02.02.09.0011 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Survei 22,000,000.00 TU 22,000,000.00

Belanja jasa survey IKM 22,000,000.00
1.02.02.09.0014 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa Khusus 50,000,000.00 TU 50,000,000.00

Belanja jasa penyusunan dokumen perijinan 50,000,000.00
1.02.02.11 Belanja Beasiswa Pendidikan PNS 30,000,000.00 TU-D 30,000,000.00

1.02.02.11.0002 Belanja Beasiswa Tugas Belajar S2 30,000,000.00
Beban Beasiswa Pendidikan PNS Lainnya 30,000,000.00
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis serta Pendidikan

1.02.02.12 476,765,000.00
dan Pelatihan
1.02.02.12.0001 Belanja Kursus Singkat/Pelatihan 476,765,000.00
- Bimbingan Akreditasi 20,000,000.00 PLY 20,000,000.00
TOTAL
TU-D
fungsional, manajerial, dll) 395,515,000.00 395,515,000.00
- Biaya pendaftaran kursus/pelatihan/bimtek/workshop Akreditasi
26,250,000.00 PLY 26,250,000.00
- Bimbingan Teknis ISO 35,000,000.00 PLY 35,000,000.00
1.02.03 Belanja Pemeliharaan 4,010,002,025.00

1.02.03.02 Belanja Pemeliharaan Peralatan dan Mesin 909,047,000.00
1.02.03.02.0022 Belanja Pemeliharaan Alat Besar-Alat Bantu-Electric Generating Set 28,182,000.00 PNJ 28,182,000.00
Pemeliharaan Sarana Kantor Genset 450 KVA Unit / Tahun 28,182,000.00
1.02.03.02.0036 Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat Bermotor-Kenda 140,000,000.00 TU 140,000,000.00
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat Bermotor-
Kendaraan Bermotor Penumpang 140,000,000.00
-
1.02.03.02.0117 Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat Kantor-Alat Kanto 95,865,000.00 PNJ 95,865,000.00
Belanja pemeliharaan Printer CANON / IP2770 Modif 33,000,000.00
Belanja pemeliharaan Printer EPSON / L 120/ L1110 3,960,000.00
Belanja pemeliharaan Printer CANON / MP287 Modif 6,600,000.00
Power Suply 1,650,000.00
Pemeliharaan Pc Komputer 4,125,000.00
Service Monitor Komputer 2,750,000.00
Pemeliharaan Note Book 2,530,000.00
Pemeliharaan komputer lain-lain dan alat kantor lainnya 33,000,000.00
Mouse + Keyboard 8,250,000.00
1.02.03.02.0121 Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat Rumah Tangga-Ala 115,000,000.00 PNJ 115,000,000.00
Pemeliharaan AC Gedung/Kantor Pemeliharaan Portable/Split, servis dan
75,000,000.00
Penggantian Spare Part
Pemeliharaan AC Gedung/Kantor Pemeliharaan AC central, servis dan
40,000,000.00
penggantian Spare part
-
1.02.03.02.0123 Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat Rumah Tangga-Al 160,000,000.00 PNJ 160,000,000.00
Pemeliharaan/perbaikan ringan Alat Rumah Tangga 80,000,000.00
Pemeliharaan/perbaikan sedang Alat Rumah Tangga 20,000,000.00
Belanja pemeliharaan lift 60,000,000.00
1.02.03.02.0232 Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat Kedokteran-Alat 250,000,000.00 PNJ 250,000,000.00
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat Kedokteran-
Alat Kedokteran Lainnya 250,000,000.00
-
1.02.03.02.0406 Belanja Pemeliharaan Komputer-Komputer Unit-Komputer Unit Lainnya 120,000,000.00 PNJ 120,000,000.00
Pemeliharaan soft ware SIM RS 120,000,000.00
1.02.03.03 Belanja Pemeliharaan Gedung dan Bangunan 3,100,955,025.00

1.02.03.03.0006 Belanja Pemeliharaan Bangunan Gedung-Bangunan Gedung Tempat Kerja-B 2,508,250,850.00 TU 2,508,250,850.00
- Belanja Pemeliharan Gedung dan Bangunan 500,000,000.00
- Belanja Pemeliharaan kebersihan Rumah Sakit ( 12 bulan ) 2,008,250,850.00
TOTAL
1.02.03.03.0036 Belanja Pemeliharaan Bangunan Gedung-Bangunan Gedung Tempat Kerja-T 342,704,175.00 TU 342,704,175.00
Belanja Pemeliharaan taman 342,704,175.00
1.02.03.04.0083 Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-Instalasi Air Kotor Lainnya 250,000,000.00 PNJ 250,000,000.00
Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-Instalasi Air Kotor Lainnya 250,000,000.00
1.02.04 Belanja Perjalanan Dinas 717,770,000.00

1.02.04.01 Belanja Perjalanan Dinas Dalam Negeri 717,770,000.00
1.02.04.01.0001 Belanja Perjalanan Dinas Biasa 574,760,000.00
a. Belanja Perjalanan Dinas Biasa 112,027,500.00 TU 92,428,000.00
Penginapan Di Prov. Jatim staf,PTT,Non PNS 1,328,000.00
Penginapan Di Prov. Jatim Eselon III, Eselon IV 2,152,000.00
Biaya Taksi Perjalanan Dinas Dalam Negeri Provinsi Jatim 776,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon 3 Ka.SKPD ) Provinsi
Jatim 1,560,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon 3 ) Provinsi Jatim 1,900,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( Eselon IV, Gol IV ) Provinsi
Jatim 3,700,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( Gol III ) Provinsi Jatim 3,600,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( Gol I,II,PPPK ) Provinsi Jatim 3,500,000.00
Uang Harian Perjalanan Dinas Luar Daerah ( pengemudi ) Provinsi Jatim 3,000,000.00
Satuan biaya transportasi darat ibukota provinsi ke kabupaten /kota dalam
provinsi yang sama 1,225,000.00
Belanja Jasa Jalan Tol (mobil golongan I) 25,000,000.00
Penginapan Di Prov. DKI Jakarta Eselon III/Golongan IV 3,968,000.00

Penginapan Di Prov. DKI Jakarta Eselon IV/Golongan III 2,920,000.00
Biaya Taksi Perjalanan Dinas Dalam Negeri D.K.I. Jakarta 852,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi DKI ( Eselon 3
Ka SKPD ) 1,530,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi DKI ( Eselon 3
bukan Ka SKPD ) 1,500,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi DKI ( Gol 3 ) 1,440,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi DKI ( EselonIV , GolIV
) 1,470,000.00
Tarif Tiket Kereta Api Madiun - Gambir Gajayana (Eksekutif) 1,685,250.00
Biaya Tiket Pesawat Perjalanan Dinas Dalam Negeri (Pp) Jakarta - Surabaya
(Ekonomi) 8,022,000.00
Belanja Jasa Jalan Tol (mobil golongan I) 2,500,000.00
Penginapan Di Prov. Jawa Tengah Eselon III/Golongan IV 1,908,000.00

Penginapan Di Prov. Jawa Tengah Eselon IV/Golongan III 1,200,000.00
Penginapan Di Prov. Jawa Tengah Golongan I/II 1,200,000.00
Biaya Taksi Perjalanan Dinas Luar Daerah Di Jawa Tengah 225,000.00
Uang Harian Perjalanan Dinas Luar Daerah provinsi Jateng 2,880,000.00
TOTAL
Tarif Tiket Kereta Api Madiun - Yogyakarta Gajayana (Eksekutif) 1,023,750.00
Tarif Tiket Kereta Api Madiun - Yogyakarta Sancaka (Eksekutif) 504,000.00
-
Penginapan Di Prov. Jawa Barat Eselon III/Golongan IV 2,012,000.00
Biaya Taksi Perjalanan Dinas Luar Daerah Di Jawa Barat 498,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Jabar 1,140,000.00
Tarif Tiket Kereta Api Madiun - Bandung Turangga (Eksekutif) 483,000.00
Penginapan Di Prov. Bali Eselon III/Golongan IV 1,980,000.00

Biaya Taksi Perjalanan Dinas Dalam Negeri Bali 477,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Bali 1,290,000.00
Biaya Tiket Pesawat Perjalanan Dinas Dalam Negeri (Pp) Surabaya -
Denpasar (Ekonomi) 1,979,000.00
Penginapan Di Prov. Yogyakarta Eselon III/Golongan IV -

Biaya Taksi Perjalanan Dinas Dalam Negeri Provinsi Yogyakarta -
Uang Harian Perjalanan Dinas Luar Daerah Provinsi Yogyakarta -
Tarif Tiket Kereta Api Madiun - Gambir Gajayana (Eksekutif) -
- Belanja Perjalanan Dinas luar daerah akreditasi -

Penginapan Di Prov. DKI Jakarta Eselon III/Golongan IV 1,984,000.00 PLY 1,984,000.00
Penginapan Di Prov. DKI Jakarta Eselon IV/Golongan III 1,460,000.00 PLY 1,460,000.00
Penginapan Di Prov. DKI Jakarta Golongan I/II 1,460,000.00 PLY 1,460,000.00
Biaya Taksi Perjalanan Dinas Dalam Negeri D.K.I. Jakarta 1,024,000.00 PLY 1,024,000.00
Uang Harian Perjalanan Dinas Luar Daerah Provinsi DKI 7,200,000.00 PLY 7,200,000.00
Tarif Tiket Kereta Api Madiun - Gambir Gajayana (Eksekutif) 1,123,500.00 PLY 1,123,500.00
Biaya Tiket Pesawat Perjalanan Dinas Dalam Negeri (Pp) Jakarta - Surabaya
(Ekonomi) 5,348,000.00 PLY 5,348,000.00
b. Belanja Transportasi dan Akomodasi 130,564,750.00

- Belanja Transportasi dan akomodasi petugas kalibrasi 48,110,000.00 PNJ 48,110,000.00
- Belanja transportasi dan akomodasi surveyor kegiatan akreditasi Rumah
Sakit 25,954,750.00 PLY 25,954,750.00
- Belanja transportasi dan akomodasi pengambil sample ( air bersih, air
limbah, dll ) 19,150,000.00 PNJ 19,150,000.00
prasarana RS 19,150,000.00 PNJ 19,150,000.00
internal 18,200,000.00 TU-D 18,200,000.00
c. Belanja perjalanan dinas kegiatan Pendidikan dan Pelatihan Eksternal 277,000,000.00 TU-D 277,000,000.00
d. Belanja perjalanan dinas luar daerah kegiatan bimtek Akreditasi
Rumah Sakit 55,167,750.00 PLY 55,167,750.00
1.02.04.01.0003 Belanja Perjalanan Dinas Dalam Kota 15,110,000.00

- Belanja perjalanan dinas dalam kota kegiatan Akreditasi Rumah Sakit 2,280,000.00 PLY 2,280,000.00
TOTAL
Biaya Transportasi Darat Perjalanan Dinas Dalam Daerah Jarak Tempuh (5 -

20 Km) Bupati, Wabup, Es.Iib, Es. Iii (Ka Skpd), Es. Iii ( Bukan Ka ), Es. Iv & G.
Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 320,000.00
Biaya Transportasi Darat Perjalanan Dinas Dalam Daerah Jarak Tempuh (21
- 35 Km) Bupati, Wabup, Es.Iib, Es. Iii (Ka Skpd), Es. Iii ( Bukan Ka ), Es. Iv &
G. Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 600,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. Iii 640,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iv & G. Iv 720,000.00
- Belanja perjalanan dinas dalam kota kegiatan administrasi perkantoran 10,975,000.00 TU 10,975,000.00

Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 1,400,000.00
G. Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 2,625,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. Iii 2,800,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iv & G. Iv 3,150,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Es. Iii (Bukan Ka) 1,000,000.00
Geriantri 1,855,000.00 TU 1,855,000.00

Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 280,000.00
G. Iv, Pns G. Iii, Pns G. Ii, I & Pppk, Pengemudi 525,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. Iii 560,000.00
Uang Harian Perjalanan Dinas Dalam Daerah Pns G. Ii , I & Pppk 490,000.00
1.02.04.01.0005 Belanja Perjalanan Dinas Paket Meeting Luar Kota 127,900,000.00 TU-D 127,900,000.00
- Belanja Perjalanan Dinas luar daerah Studi Banding 63,950,000.00
- Belanja perjalanan dinas luar daerah kegiatan value gathering 63,950,000.00
1.02.05 Belanja Uang dan/atau Jasa untuk Diberikan kepada Pihak Ketiga/Pihak Lain 25,000,000.00 PNJ 25,000,000.00
1.02.05.01 Belanja Uang yang Diberikan kepada Pihak Ketiga/Pihak Lain/Masyarakat 25,000,000.00
1.02.05.01.0004 Belanja Penanganan Dampak Sosial Kemasyarakatan 25,000,000.00
Tarif perawatan jenazah Mr X 25,000,000.00 -
5.2 BELANJA MODAL 4,995,381,550.00 Belanja Modal Peralatan dan Mesin 3,091,466,073.00
5.2.02 Belanja Modal Peralatan dan Mesin 3,091,466,073.00 JANUARI -

5.2.02.99 Belanja Modal Peralatan dan Mesin BLUD 3,091,466,073.00 PEBRUARI 200,000,000.00
5.2.02.99.99 Belanja Modal Peralatan dan Mesin BLUD 3,091,466,073.00 MARET 200,000,000.00
5.2.02.99.99.9999 Belanja Modal Peralatan dan Mesin BLUD 3,091,466,073.00 APRIL 230,000,000.00
2.02.01 Belanja Modal Alat Besar 170,000,000.00 MEI 300,000,000.00
2.02.01.03 Belanja Modal Alat Bantu 170,000,000.00 JUNI 300,000,000.00
2.02.01.03.0005 Belanja Modal Pompa 14,000,000.00 PNJ 14,000,000.00 JULI 300,000,000.00
Pompa Air ( celup ) 14,000,000.00 AGUSTUS 750,000,000.00
TOTAL
SEPTEMBER 750,000,000.00 -
2.02.01.03.0016 Belanja Modal Alat Bantu Lainnya 156,000,000.00 OKTOBER 61,466,073.00
Panel LVSDP 1000 KVA 156,000,000.00 PNJ 156,000,000.00 NOPEMBER
DESEMBER
2.02.05 Belanja Modal Alat Kantor dan Rumah Tangga 801,537,243.00
2.02.05.01 Belanja Modal Alat Kantor 345,946,617.00
2.02.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor 224,417,057.00 TU 224,417,057.00
Almari arsip 2 Pintu sliding, 100 (H) x 200 (W) x 45 (D) Unit 7,010,427.00
Rak obat Besi 6,000,000.00
Standar lemari Rak Obat ( 100 laci ) 50,000,000.00
Lemari penyimpanan Narkotika 5,701,630.00
Lemari Arsip Filling Cabinet Bergerak Mekanik 155,705,000.00
2.02.05.01.0005 Belanja Modal Alat Kantor Lainnya 121,529,560.00 PNJ 121,529,560.00

Alat kantor lainnya 100,000,000.00
Penghancur Kertas Crosscut 2100ST Unit 15,096,000.00
Alat Finger Scan ( Finger spot ) 6,433,560.00
2.02.05.02 Belanja Modal Alat Rumah Tangga 455,590,626.00 TU 455,590,626.00

2.02.05.02.0001 Belanja Modal Mebel 136,038,469.00
Meja Kantor 1/2 Biro 11,369,819.00
Kursi Tunggu 4 Seat/Bangku 40,198,650.00
Meja Kursi rapat set 84,470,000.00
2.02.05.02.0003 Belanja Modal Alat Pembersih 10,879,998.00 PNJ 10,879,998.00

Mesin Cuci 16 Kg 10,879,998.00
2.02.05.02.0004 Belanja Modal Alat Pendingin 229,569,119.00 PNJ 229,569,119.00

Ac Floor Standing 5 Pk 39,950,000.00
AC 1 PK 60,545,450.00
AC 2 PK 35,116,360.00
Lemari Es 1 pintu 36,962,309.00
Showcase 56,995,000.00
2.02.05.02.0005 Belanja Modal Alat Dapur 61,249,800.00 PNJ 61,249,800.00

Food Processor 1,221,000.00
Food Trolley 49,816,800.00
Kompor Gas 1 tungku 5,550,000.00
Magic Com 3,330,000.00
Blender 1,332,000.00
2.02.05.02.0006 Belanja Modal Alat Rumah Tangga Lainnya ( Home Use ) 17,853,240.00 PNJ 17,853,240.00
TelevisiLed Full Hd Smart Tv 32 Inch Android 15,682,080.00
Brachet TV 2,171,160.00
2.02.07 Belanja Modal Alat Kedokteran dan Kesehatan 1,855,691,750.00 PLY 1,855,691,750.00
2.02.07.01.0001 Belanja Modal Alat Kedokteran Umum -
alat kdokteran lain-lain 250,682,000.00
TOTAL
Bed Pasien 1,190,739,500.00
Kursi Roda 101,232,000.00
ECG 6 chanel 146,400,000.00
Bed Transport 161,810,250.00
Timbangan Bayi 4,828,000.00
2.02.10 Belanja Modal Komputer 264,237,080.00

2.02.10.01.0002 Belanja Modal personal Komputer 168,748,900.00
PC unit 128,748,900.00 PNJ 128,748,900.00
CCTV Camera 40,000,000.00 TU 40,000,000.00
2.02.10.02.0003 Belanja Modal Peralatan Personal Computer 95,488,180.00 PNJ 95,488,180.00

Printer , Ecotank 21,116,640.00
Printer Ecotank L5290 A4 Wi-Fi All-In-One Ink Tank Printer With Adf
39,420,540.00
Monitor 20Mk400A -
UNIFI 30,400,000.00
Printer dot matrik LX 310 4,551,000.00
5.2.03 Belanja Modal Gedung dan Bangunan 1,903,915,477.00 0.00

5.2.03.99 Belanja Modal Gedung dan Bangunan BLUD 1,903,915,477.00 Belanja Modal Gedung 1,903,915,477.00
5.2.03.99.99 Belanja Modal Gedung dan Bangunan BLUD 1,903,915,477.00 1,903,915,477.00
5.2.03.99.99.9999 Belanja Modal Gedung dan Bangunan BLUD 1,903,915,477.00 PEBRUARI 100,000,000.00
2.03 Belanja Modal Gedung dan Bangunan 1,903,915,477.00 MARET 150,000,000.00
2.03.01 Belanja Modal Bangunan Gedung 1,903,915,477.00 APRIL 200,000,000.00
2.03.01.01 Belanja Modal Bangunan Gedung Tempat Kerja 1,903,915,477.00 MEI 250,000,000.00
2.03.04.01.0004 Belanja Modal Pagar 359,167,895.00 TU 359,167,895.00 JUNI 250,000,000.00
1 M Pembangunan Pagar Belakang rumah Negara Tinggi 2,50 M 359,167,895.00 JULI 300,000,000.00
AGUSTUS 200,000,000.00
2.03.01.01.0006 Belanja Modal Bangunan Kesehatan 1,417,398,104.00 TU 1,417,398,104.00 SEPTEMBER 300,000,000.00
1 m2 Rehap sedang Rawat Inap 1,135,864,308.00 OKTOBER 127,349,478.00
1 m2 Rehap ringan gedung sederhana ( gas medik ) 79,417,448.00 NOPEMBER 26,565,999.00 26,565,999.00
1 m2 Rehab. Sedang Selasar Luar Beratap/Teras (Tak Bertingkat) 202,116,348.00
2.03.01.01.0036 Belanja Modal Taman 127,349,478.00 TU 127,349,478.00

Pembuatan Taman Depan RS 127,349,478.00 24,627,848,769.00 27,988,464,680.00 9,941,227,024.00
62,557,540,473.00
4,995,381,550.00
147,795,907,807
130,377,593,957 8446007150
17,418,313,850
35,200,000,000 3492948955
32,000,000,000 54941692353
3,200,000,000
92,000,000,000 92,000,000,000
Jaspel ASN 12,000,000,000
PENDAPATAN 68,000,000,000
SILPA 12,000,000,000
80,000,000,000
Modal #REF!
Jaspel ASN 80,000,000,000
Barang/jasa BLUD
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
0 3069020
3801410
2027533
3303300
1289860
457314
6399994
3,200,000,000
92,000,000,000 92,000,000,000
5303298
103080
3855575
242067
6686056
315191
539846
159720
657875
150150
150150
9530950
632500
5720
6067967
1261517
3833291
3488542
53,100 2196549
5,624,226 618665
1823250
1777391
321402
35200
62405
43120
15400
49280
40,910 63001
112500
?????? 5590200
2501513
4137299
??????? 624947
260700
????? 62,545 34999
23073
5720000
562502
96199
1620582
480995
1406405
32,250 3314516
28,932 2079689
26455
132000
78843
58,300 1282600
3,200,000,000
92,000,000,000 92,000,000,000
19,091 136501
19,091 955505
19,091 546003
90998
139997
0
0
18,500 83700
200091
120604
75240
141847
10,341 149647
165000
5089513
110001
4625916
2460692
628,091 7935858
1981980
254,546 49614
0
112070
2589985
888009
372483
1205147
824032
5891829
1606862
308792
18,614 1330901
227,376 1394998
362699
125840
197588
197588
197588
2696998
21875013
50260
2223152
10575
159980
3112414
1146717
3,200,000,000
92,000,000,000 92,000,000,000
1227600
3603600
132363
861310
1123204
2805789
1995008
177363
7000070
1750766
0
720086
2729984
27,273 623109
42,727 4296292
96800
5,455 38399
93000
1368039
184800
1763850
3420560
780780
765336
792672
391470
1781410
227771
832874
blm ada di ssh 984947
Blm ada di SSH 824978
2319999
2875907
5479650
3732868
314,182 box 1329161
1706991
20,000 0
3119917
2488137
6887239
401698
Blm ada di SSH 594000
54285
128700
313565
199584
37,184 3272192
5,455 0
3,200,000,000
92,000,000,000 92,000,000,000
5,455 0
3754608
38399
93000
186,105 614147
430544
45,500 600600
19,023 478051
5,500 pcs 924000
244200
50875
10175
308690
0
1188000
297743
365953
120796
104729
798600
2363445
8237480
2824455
2245255
204442
79860
18782
6050
269500
314955
168300
65340
650375
325600
3222932
798336
2434080
1949376
319150
364741
151613
552305
7764752
95300
86636
1197900
236500
158556
201354
3,200,000,000
92,000,000,000 92,000,000,000
55000
1604391
308000
101767
614833
1008741
1681235
83490
8275529
148500
286310
181500
60500
2238500
29175
89955
1688748
68152
88263
100624
806753
65221
1077495
392,858
209,523
196,430
3,200,000,000
92,000,000,000 92,000,000,000
583,985
11,752,736
15,714,266
4,714,987
32,738,064
15,669,948
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
-
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
3,200,000,000
92,000,000,000 92,000,000,000
Kegiatan Pelatihan ASN - Dalam Daerah - Dalam Kantor - Penuh Hari

3,200,000,000
92,000,000,000 92,000,000,000
5.428.800.000
306,000,000 P3K pembayaran 5bulan
4,890,600,000 Kebutuhan plus penambahan BLUD
BLUD skrg 196
P3K 34
162+70
3,200,000,000
92,000,000,000 92,000,000,000
cek lagi di SIPD sudah da atau ngak per permohonan p 1,295,000
cek lagi di SIPD sudah da atau ngak per permohonan p 1,645,000

3,200,000,000
92,000,000,000 92,000,000,000
usul SBU
usul SBU
3,200,000,000
92,000,000,000 92,000,000,000
#REF!
3,200,000,000
92,000,000,000 92,000,000,000
4,400,000,000
12,000,000,000 #REF!
3,627,391,046 #REF!
1,226,881,004
1,864,585,069
Besi,UKURAN 19,91,M2 UNIT 6,000,000

3,200,000,000
92,000,000,000 92,000,000,000
100 LACI UNIT 50,000,000
BROTHER UNIT 5,701,630

155,705,000
3,216,780
ALAT TERAPI OKUPASI
1 TERAPI
SET ALAT TERAPI MOTORIK HALUS
SET 4,429,200
ALAT TERAPI WICARA 1 SET PUZZLE 3 KARTU SET 9,963,114
89256766.5
3,200,000,000
92,000,000,000 92,000,000,000
epson L121 ECOTANK
epson L 5290
7,000,000,000
#REF!
1,263,900,250 1,263

Rapat Struktural 10 Januari 2024

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PENDAPATAN BELANJA BLUD SURPLUS / DEFISIT

SILPA TAHUN SEBELUMNYA PEMBIAYAAN SILPA SISA SILPA penggunaan silpa

PROGRAM PENUNJANG URUSAN PEMERINTAHAN

1.01.03.07 Belanja Honorarium 15,250,000.00 - - - - - 12,000,000.00 12,000,000.00 12,000,000.00 3,250,000.00 78.7%

Penyediaan Barang Cetakan & penggandaan

Pengadaan Peralatan Kantor

Pengadaan Mebeuleur Rumah sakit

Pengadaan Pakaian kerja Lapangan

Pengadaan Jasa Pengangkutan dan pengolahan sampah medis RS

Pengadaan Pemeliharaan rutin/berkala IPAL dan Sarana Sanitasi

Pengadaan Pemeliharaan rutin/berkala alat alat kesehatan RS

Pengadaan Pakaian pasien dan pakaian kerja lapangan

Pengadaan Pemeliharaan rutin berkala perlengkapan RS

Belanja Bahan - Bahan Kimia (BAHP CSSD)

Belanja Modal alat kesehatan ( BLUD ) -

- Belanja Cetak sertifikat pelatihan Sertifikat

- Belanja bahan dekorasi ( spanduk, banner ) kegiatan promosi

- Belanja Penjilidan 5,152,620.00 - - - 1,015,000.00 1,015,000.00 1,015,000.00 4,137,620.00 19.7%

- Belanja ID Card 1,210,000.00 - - 880,000.00 - - - - 880,000.00 330,000.00 72.7%

Belanja Alat/Bahan untuk Kegiatan Kantor- Perlengkapan

Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/Bahan untuk

1.02.01.01.0075 Belanja Pakaian Batik Tradisional - - - - - -

Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

- Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

- Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

- Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

- Honorarium Tim Pelaksana Kegiatan dan Sekretariat Tim

- Belanja jasa tenaga kesehatan swab massal 5,000,000.00 - - - - - 5,000,000.00 0.0%

1.02.02.01.0073 Belanja Medical Check Up 237,500,000.00 - - 161,300,000.00 - - - - 161,300,000.00 76,200,000.00 67.9%

1.02.02.05 Belanja Sewa Gedung dan Bangunan 27,500,000.00 - - - - - - - - 27,500,000.00 0.0%

Belanja Jasa Konsultansi Perencanaan Rekayasa-Jasa Desain

- Belanja jasa konsultasi perencanaan pekerjaan taman (Belanja

- Belanja jasa konsultasi perencanaan pekerjaan Akses Jalan IGD

Belanja Jasa Konsultansi Pengawasan Rekayasa-Jasa Pengawas

- Beban Jasa Konsultansi Pengawasan Konstruksi Rehap gedung IGD

- Belanja jasa konsultasi pengawasan pekerjaan Akses Jalan IGD (

Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis serta

- Biaya pendaftaran kursus/pelatihan/bimtek/workshop Akreditasi 26,250,000.00 - - - - - 26,250,000.00 0.0%

Belanja Pemeliharaan Alat Angkutan-Alat Angkutan Darat

Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat

Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat

Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-Alat

Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-Alat

Belanja Pemeliharaan Bangunan Gedung-Bangunan Gedung

Belanja Pemeliharaan Instalasi-Instalasi Air Kotor-Instalasi Air

Belanja Uang dan/atau Jasa untuk Diberikan kepada Pihak

2.02.05.03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat - - - - - - - - - -

PROGRAM PEMENUHAN UPAYA KESEHATAN

Belanja Honorarium Pengadaan Barang/Jasa (DTU-DAU)

1.02.02.2.01.05.5.1.02.02 Belanja Jasa 7,875,000.00 - - - - - 7,650,000.00 7,650,000.00 7,650,000.00 225,000.00 97.1%

1.02.02.2.01.05.5.1.02.02.08 Belanja Jasa Konsultasi Konstruksi - - - - - - - - - -

Belanja Jasa Konsultasi Pengawasan Rekayasa-Jasa Pengawas

Pengadaan Alat Kesehatan/Alat Penunjang Medik Fasilitas

Caruban, 31 Desember 2023

Evaluasi tahun anggaran 2023

Pendapatan dokter di swasta antara dokter organik dan dokter tamu,remunnya

mendukung digitalisasi pelayanan publik

r hukum di hotel aston pada hari sabtu nya

untuk diselesaikan dengan denda pekerjaan

aboratorium. Dengan mengevaluasi perlu kebijakan mikro

ngkonekting/brijing dengan SIM RS

ng baru dan pelaksanaan perlu SDM

aktifkan tim untuk kendali mutu dan biaya

doscopy berserta perawatnya akan disekolahkan di tahun 2024