DANA OPERA

SKPD : DINAS KESEHATAN

No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
spidol snowman 2 pak 89,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik
5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos

Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih

Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor

5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn

5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.06 Belanja Cetak dan Penggandaan
5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 21,720,000

5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 1448 0H 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas

5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Golongan III/b
Golongan III/c
Golongan III/d

Mengetahui
Plt.Pejabat Penata Usaha Keuangan (PJPK)

Mamad Sujadi,SH
NIP. 19601230 198603 017
A OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
168,869,227
168,869,227 93,642,500
19,200,000 12,800,000
19,200,000 12,800,000
12,000,000 32 16 48 250,000 8,000,000

7,200,000 16 8 24 300,000 4,800,000

149,669,227 80,842,500
14,226,700 9,084,500
9,096,700 5,900,000
2,200,000 34 21 55 40,000 1,360,000
960,000 2 2 4 240,000 480,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
320,000 12 8 20 16,000 192,000
330,000 7 3 10 33,000 231,000
178,400 1 1 2 89,200 89,200
66,000 4 2 6 11,000 44,000
66,000 3 1 4 16,500 49,500
75,000 3 2 5 15,000 45,000
222,000 4 2 6 37,000 148,000
360,000 10 2 12 30,000 300,000
480,000 10 6 16 30,000 300,000
720,000 16 8 24 30,000 480,000
10,300 1 1 10,300 10,300
20,000 10 10 2,000 20,000
178,000 1 1 2 89,000 89,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
260,000 2 2 130,000 260,000
26,000 2 2 13,000 -
26,000 2 2 13,000 26,000
34,000 1 1 34,000 34,000
92,000 1 1 92,000 92,000
46,000 1 1 2 23,000 23,000
27,000 1 1 27,000 27,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13

1,000,000 495,500

150,000 1 1 2 75,000 75,000

480,000 4 4 8 60,000 240,000
85,000 2 3 5 17,000 34,000
90,000 1 2 3 30,000 30,000
84,000 2 1 3 28,000 56,000
50,000 3 2 5 10,000 30,000
61,000 1 1 2 30,500 30,500

960,000 636,000
600,000 66 34 100 6,000 396,000
360,000 80 40 120 3,000 240,000

3,170,000 2,053,000
240,000 16 8 24 10,000 160,000
90,000 4 2 6 15,000 60,000
96,000 6 2 8 12,000 72,000
228,000 8 4 12 19,000 152,000
360,000 8 4 12 30,000 240,000
300,000 8 4 12 25,000 200,000
180,000 8 4 12 15,000 120,000
384,000 8 4 12 32,000 256,000
125,000 4 1 5 25,000 100,000
525,000 8 7 15 35,000 280,000
108,000 6 3 9 12,000 72,000
180,000 14 6 20 9,000 126,000
315,000 4 3 7 45,000 180,000
27,000 1 1 27,000 27,000
12,000 2 1 3 4,000 8,000

47,456,000 17,488,000
18,000,000 8 4 12 1,500,000 12,000,000
432,000 8 4 12 36,000 288,000
7,800,000 8 4 12 650,000 5,200,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
21,224,000 0 1,768,667

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000

1,200,000 6 6 200,000 -
2,000,000 2 3 5 400,000 800,000
1,200,000 8 8 150,000 -
2,755,000 -
549,000 1 1 549,000 -
2,206,000 1 1 2,206,000 -
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
1,800,000 1,200,000
1,800,000 8000 4000 12,000 150 1,200,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
43,920,000 1208 240 1,448 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 94 85 179 28,550,000
- 30 38 68 2,700,000 6,650,000
- 24 16 40 950,000 7,300,000
- 20 11 31 1,050,000 7,600,000
- 10 10 20 1,050,000 3,800,000
- 8 8 16 3,000,000
- 2 2 4 200,000

Plt Pejabat Pelaksana Teknis Kegiatan ( PPTK )

H.Jenal Mutakin,S.Kep,M.Kes
Nip 19701141994031001
92)

BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

74,673,200 168,315,700 553,527

6,400,000 19,200,000 -
6,400,000 19,200,000 -
4,000,000 12,000,000 0 -

2,400,000 7,200,000 0 -

68,273,200 149,115,700 553,527

5,142,200 14,226,700 -
3,196,700 9,096,700 -
840,000 2,200,000 0 -
480,000 960,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
128,000 320,000 0 -
99,000 330,000 0 -
89,200 178,400 0 -
22,000 66,000 0 -
16,500 66,000 0 -
30,000 75,000 0 -
74,000 222,000 0 -
60,000 360,000 0 -
180,000 480,000 0 -
240,000 720,000 0 -
- 10,300 0 -
- 20,000 0 -
89,000 178,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

- 260,000 0 -
26,000 26,000 0 -
- 26,000 0 -
- 34,000 0 -
- 92,000 0 -
23,000 46,000 0 -
- 27,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

504,500 1,000,000 -

75,000 150,000 0 -
240,000 480,000 0 -
51,000 85,000 0 -
60,000 90,000 0 -
28,000 84,000 0 -
20,000 50,000 0 -
30,500 61,000 0 -

324,000 960,000 -
204,000 600,000 0 -
120,000 360,000 0 -

1,117,000 3,170,000 -
80,000 240,000 0 -
30,000 90,000 0 -
24,000 96,000 0 -
76,000 228,000 0 -
120,000 360,000 0 -
100,000 300,000 0 -
60,000 180,000 0 -
128,000 384,000 0 -
25,000 125,000 0 -
245,000 525,000 0 -
36,000 108,000 0 -
54,000 180,000 0 -
135,000 315,000 0 -
- 27,000 0 -
4,000 12,000 0 -

29,968,000 47,456,000 -
6,000,000 18,000,000 0 -
144,000 432,000 0 -
2,600,000 7,800,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

21,224,000 21,224,000 12 -

5,863,000 12,263,000 492,000

3,600,000 10,000,000 -

- 5,600,000 0 -
1,200,000 1,200,000 0 -
1,200,000 2,000,000 0 -
1,200,000 1,200,000 0 -
2,263,000 2,263,000 492,000
549,000 549,000 0 -
1,714,000 1,714,000 0 492,000
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

600,000 1,800,000 -
600,000 1,800,000 0 -

3,600,000 21,720,000 -
3,600,000 21,720,000 -
3,600,000 21,720,000 0 -

23,100,000 51,650,000 61,527

51,650,000 61,527
23,100,000 51,650,000 61,527
9,550,000 16,200,000
3,600,000 10,900,000
3,650,000 11,250,000
3,500,000 7,300,000
2,100,000 5,100,000
700,000 900,000

Pandeglang, Desember 2018

Bendahara Pengeluaran

Dede Rohman, S.Sos.

NIP. 197311212010001002
 DANA OPERA
SKPD : DINAS KESEHATAN
No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
spidol snowman 2 pak 89,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik
5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos

Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih

Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor

5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn

5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.06 Belanja Cetak dan Penggandaan
5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 21,720,000

5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 1448 0H 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas

5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Golongan III/b
Golongan III/c
Golongan III/d

Mengetahui
Plt.Pejabat Penata Usaha Keuangan (PJPK)

Mamad Sujadi,SH
NIP. 19601230 198603 017
A OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
168,869,227
168,869,227 93,642,500
19,200,000 12,800,000
19,200,000 12,800,000
12,000,000 32 16 48 250,000 8,000,000

7,200,000 16 8 24 300,000 4,800,000

149,669,227 80,842,500
14,226,700 9,084,500
9,096,700 5,900,000
2,200,000 34 21 55 40,000 1,360,000
960,000 2 2 4 240,000 480,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
320,000 12 8 20 16,000 192,000
330,000 7 3 10 33,000 231,000
178,400 1 1 2 89,200 89,200
66,000 4 2 6 11,000 44,000
66,000 3 1 4 16,500 49,500
75,000 3 2 5 15,000 45,000
222,000 4 2 6 37,000 148,000
360,000 10 2 12 30,000 300,000
480,000 10 6 16 30,000 300,000
720,000 16 8 24 30,000 480,000
10,300 1 1 10,300 10,300
20,000 10 10 2,000 20,000
178,000 1 1 2 89,000 89,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
260,000 2 2 130,000 260,000
26,000 2 2 13,000 -
26,000 2 2 13,000 26,000
34,000 1 1 34,000 34,000
92,000 1 1 92,000 92,000
46,000 1 1 2 23,000 23,000
27,000 1 1 27,000 27,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13

1,000,000 495,500

150,000 1 1 2 75,000 75,000

480,000 4 4 8 60,000 240,000
85,000 2 3 5 17,000 34,000
90,000 1 2 3 30,000 30,000
84,000 2 1 3 28,000 56,000
50,000 3 2 5 10,000 30,000
61,000 1 1 2 30,500 30,500

960,000 636,000
600,000 66 34 100 6,000 396,000
360,000 80 40 120 3,000 240,000

3,170,000 2,053,000
240,000 16 8 24 10,000 160,000
90,000 4 2 6 15,000 60,000
96,000 6 2 8 12,000 72,000
228,000 8 4 12 19,000 152,000
360,000 8 4 12 30,000 240,000
300,000 8 4 12 25,000 200,000
180,000 8 4 12 15,000 120,000
384,000 8 4 12 32,000 256,000
125,000 4 1 5 25,000 100,000
525,000 8 7 15 35,000 280,000
108,000 6 3 9 12,000 72,000
180,000 14 6 20 9,000 126,000
315,000 4 3 7 45,000 180,000
27,000 1 1 27,000 27,000
12,000 2 1 3 4,000 8,000

47,456,000 17,488,000
18,000,000 8 4 12 1,500,000 12,000,000
432,000 8 4 12 36,000 288,000
7,800,000 8 4 12 650,000 5,200,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
21,224,000 0 1,768,667

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000

1,200,000 6 6 200,000 -
2,000,000 2 3 5 400,000 800,000
1,200,000 8 8 150,000 -
2,755,000 -
549,000 1 1 549,000 -
2,206,000 1 1 2,206,000 -
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
1,800,000 1,200,000
1,800,000 8000 4000 12,000 150 1,200,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
43,920,000 1208 240 1,448 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 94 85 179 28,550,000
- 30 38 68 2,700,000 6,650,000
- 24 16 40 950,000 7,300,000
- 20 11 31 1,050,000 7,600,000
- 10 10 20 1,050,000 3,800,000
- 8 8 16 3,000,000
- 2 2 4 200,000

Plt Pejabat Pelaksana Teknis Kegiatan ( PPTK )

H.Jenal Mutakin,S.Kep,M.Kes
Nip 19701141994031001
92)

BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

74,673,200 168,315,700 553,527

6,400,000 19,200,000 -
6,400,000 19,200,000 -
4,000,000 12,000,000 0 -

2,400,000 7,200,000 0 -

68,273,200 149,115,700 553,527

5,142,200 14,226,700 -
3,196,700 9,096,700 -
840,000 2,200,000 0 -
480,000 960,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
128,000 320,000 0 -
99,000 330,000 0 -
89,200 178,400 0 -
22,000 66,000 0 -
16,500 66,000 0 -
30,000 75,000 0 -
74,000 222,000 0 -
60,000 360,000 0 -
180,000 480,000 0 -
240,000 720,000 0 -
- 10,300 0 -
- 20,000 0 -
89,000 178,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

- 260,000 0 -
26,000 26,000 0 -
- 26,000 0 -
- 34,000 0 -
- 92,000 0 -
23,000 46,000 0 -
- 27,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

504,500 1,000,000 -

75,000 150,000 0 -
240,000 480,000 0 -
51,000 85,000 0 -
60,000 90,000 0 -
28,000 84,000 0 -
20,000 50,000 0 -
30,500 61,000 0 -

324,000 960,000 -
204,000 600,000 0 -
120,000 360,000 0 -

1,117,000 3,170,000 -
80,000 240,000 0 -
30,000 90,000 0 -
24,000 96,000 0 -
76,000 228,000 0 -
120,000 360,000 0 -
100,000 300,000 0 -
60,000 180,000 0 -
128,000 384,000 0 -
25,000 125,000 0 -
245,000 525,000 0 -
36,000 108,000 0 -
54,000 180,000 0 -
135,000 315,000 0 -
- 27,000 0 -
4,000 12,000 0 -

29,968,000 47,456,000 -
6,000,000 18,000,000 0 -
144,000 432,000 0 -
2,600,000 7,800,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

21,224,000 21,224,000 12 -

5,863,000 12,263,000 492,000

3,600,000 10,000,000 -

- 5,600,000 0 -
1,200,000 1,200,000 0 -
1,200,000 2,000,000 0 -
1,200,000 1,200,000 0 -
2,263,000 2,263,000 492,000
549,000 549,000 0 -
1,714,000 1,714,000 0 492,000
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

600,000 1,800,000 -
600,000 1,800,000 0 -

3,600,000 21,720,000 -
3,600,000 21,720,000 -
3,600,000 21,720,000 0 -

23,100,000 51,650,000 61,527

51,650,000 61,527
23,100,000 51,650,000 61,527
9,550,000 16,200,000
3,600,000 10,900,000
3,650,000 11,250,000
3,500,000 7,300,000
2,100,000 5,100,000
700,000 900,000

Pandeglang, Desember 2018

Bendahara Pengeluaran pembantu

Iis Afifah, SE.

NIP. 19810719 200801 2 005
 DANA OPERA
SKPD : DINAS KESEHATAN
No SPM :
TGL SPM :

Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
001.095 DANA OPERASIONAL PADA PUSKESMAS MUNJUL
5.2 Belanja Langsung
5.2.1 Belanja Pegawai
5.2.1.03. Honorarium Non PNS
5.2.1.03.004 Honorarium Kebersihan Kantor Non PNS 48 Ob 250,000
Petugas Kebersihan Kantor ( 4 Orang x 12 bulan )
5.2.1.03.005 Honorarium Keamanan Kantor Non PNS 24 Ob 300,000
Petugas Keamanan Kantor ( 2 Orang x 12 bulan )
5.2.2. Belanja Barang dan Jasa
5.2.2.01 Belanja Bahan Habis pakai
5.2.2.01.001 Belanja alat tulis kantor
kertas F4 55 Rim 40,000
Catridge Canon 4 bh 240,000
Tinta Efson Bk. T6641 6 bh 100,000
Tinta Efson Y. T6644 6 bh 100,000
Tinta Efson M. T6643 6 bh 100,000
Tinta Efson C. T6642 6 bh 100,000
Buku Polio 100 lbr 20 bh 16,000
Buku Polio 300 lbr 10 bh 33,000
Stafles Joyko 2 lsn 89,200
Amplop putih Kecil 6 pak 11,000
Amplop putih Besar 4 Pak 16,500
Blinder klip 5 pak 15,000
Business File 6 pak 37,000
Stopmap Kim Tali Plastik 12 pak 30,000
Ordner bantek 16 bh 30,000
File bag 24 bh 30,000
tinta stempel 1 bh 10,300
ballpoin standard 10 bh 2,000
spidol snowman 2 pak 89,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
whiteboard 2 unit 130,000
double tape 2 roll 13,000
lakban 2 roll 13,000
lem kertas stik 1 lsn 34,000
gunting 1 lsn 92,000
isi stafless 2 pak 23,000
penggaris 1 lsn 27,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
Belanja alat Listrik dan elektronik ( Alat Listrik dan elektronik
5.2.2.01.003
Lampu pijar,Battery Kering )
Kondensator pompa air 2 bh 75,000
Lampu neon 8 bh 60,000
Fitting Lampu 5 bh 17,000
Saklar Lampu 3 bh 30,000
Stop Kontak 3 bh 28,000
Steker 5 bh 10,000
kabel elektronik 2 bh 30,500

5.2.2.01.004 Belanja Perangko Materai dan Benda Pos

Materai 6000 100 bh 6,000
Materai 3000 120 bh 3,000

5.2.2.01.005 Belanja peralatan kebersihan dan bahan pembersih

Kamper gantung 24 bh 10,000
ember 6 bh 15,000
gayung 8 bh 12,000
sabun detergent 12 bh 19,000
alat pel 12 bh 30,000
pembersih lantai 12 bh 25,000
pembersih kaca 12 bh 15,000
sapu injuk 12 bh 32,000
kain pel 5 bh 25,000
karbol 15 bh 35,000
serokan 9 bh 12,000
bayclin 20 bh 9,000
tempat sampah 7 bh 45,000
Pengharum ruangan 1 bh 27,000
sikat 3 bh 4,000

5.2.2.03 Belanja Jasa kantor

5.2.2.03.003 Belanja jasa rekening listrik 12 bln 1,500,000
5.2.2.03.005 Belanja surat kabar / majalah 12 bln 36,000
5.2.2.03.006 Belanja jasa kawat / faksimili/ internet 12 bln 650,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.03.024 Belanja jasa pelayanan kesehatan medis paramedis 12 bln 1,768,667

5.2.2.05 Belanja Perawatan kendaraan Bermotor 1 thn

5.2.2.05.002 Belanja Suku Cadang 1 thn
Belanja Ganti suku cadang (Ambulan 2 unit ,Motor 3 unit)
Ban Mobil 8 bh 700,000
Ban Motor 6 bh 200,000
Oli Mobil 5 kali 400,000
Oli Motor 8 kali 150,000
5.2.2.05.005 Belanja Pajak kendaraan Bermotor
Motor STNK Roda Dua (A4100k) 1 thn 549,000
Mobil (STNK) Roda 4 (A 9979) 1 thn 2,206,000
Kode Rekening URAIAN VOL SAT HARGA

1 2 3 4 5
5.2.2.06 Belanja Cetak dan Penggandaan
5.2.2.06.003 Belanja photocopy 12000 lbr 150

5.2.2.11 Belanja Makanan dan Minuman 21,720,000

5.2.2.11.008 Belanja makanan dan Minuman tambahan 3,660,000
4 0rangx 2ship (Sore & Malam)x Rp 15000x31 hari 1448 0H 3,660,000

5.2.2.15 Belanaja Perjalanan Dinas

5.2.2.15.001 Belanja perjalanan dinas dalam daerah
Perjalanan Dinas Dalam Daerah 12 bln 51,711,527
Non PNS/TKK/TKS
Golongan II/c
Golongan III/a
Golongan III/b
Golongan III/c
Golongan III/d

Mengetahui
Plt.Pejabat Penata
Kepala
Usaha
Puskesmas
Keuangan
Munjul
(PJPK)

Mulyadi,S.Kep
NIP. 19780815 199203 1 010
A OPERASIONAL PADA PUSKESMAS MUNJUL (001.092)

BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
168,869,227
168,869,227 93,642,500
19,200,000 12,800,000
19,200,000 12,800,000
12,000,000 32 16 48 250,000 8,000,000

7,200,000 16 8 24 300,000 4,800,000

149,669,227 80,842,500
14,226,700 9,084,500
9,096,700 5,900,000
2,200,000 34 21 55 40,000 1,360,000
960,000 2 2 4 240,000 480,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
600,000 4 2 6 100,000 400,000
320,000 12 8 20 16,000 192,000
330,000 7 3 10 33,000 231,000
178,400 1 1 2 89,200 89,200
66,000 4 2 6 11,000 44,000
66,000 3 1 4 16,500 49,500
75,000 3 2 5 15,000 45,000
222,000 4 2 6 37,000 148,000
360,000 10 2 12 30,000 300,000
480,000 10 6 16 30,000 300,000
720,000 16 8 24 30,000 480,000
10,300 1 1 10,300 10,300
20,000 10 10 2,000 20,000
178,000 1 1 2 89,000 89,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
260,000 2 2 130,000 260,000
26,000 2 2 13,000 -
26,000 2 2 13,000 26,000
34,000 1 1 34,000 34,000
92,000 1 1 92,000 92,000
46,000 1 1 2 23,000 23,000
27,000 1 1 27,000 27,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13

1,000,000 495,500

150,000 1 1 2 75,000 75,000

480,000 4 4 8 60,000 240,000
85,000 2 3 5 17,000 34,000
90,000 1 2 3 30,000 30,000
84,000 2 1 3 28,000 56,000
50,000 3 2 5 10,000 30,000
61,000 1 1 2 30,500 30,500

960,000 636,000
600,000 66 34 100 6,000 396,000
360,000 80 40 120 3,000 240,000

3,170,000 2,053,000
240,000 16 8 24 10,000 160,000
90,000 4 2 6 15,000 60,000
96,000 6 2 8 12,000 72,000
228,000 8 4 12 19,000 152,000
360,000 8 4 12 30,000 240,000
300,000 8 4 12 25,000 200,000
180,000 8 4 12 15,000 120,000
384,000 8 4 12 32,000 256,000
125,000 4 1 5 25,000 100,000
525,000 8 7 15 35,000 280,000
108,000 6 3 9 12,000 72,000
180,000 14 6 20 9,000 126,000
315,000 4 3 7 45,000 180,000
27,000 1 1 27,000 27,000
12,000 2 1 3 4,000 8,000

47,456,000 17,488,000
18,000,000 8 4 12 1,500,000 12,000,000
432,000 8 4 12 36,000 288,000
7,800,000 8 4 12 650,000 5,200,000
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
21,224,000 0 1,768,667

12,755,000 6,400,000
10,000,000 6,400,000

5,600,000 8 8 700,000 5,600,000

1,200,000 6 6 200,000 -
2,000,000 2 3 5 400,000 800,000
1,200,000 8 8 150,000 -
2,755,000 -
549,000 1 1 549,000 -
2,206,000 1 1 2,206,000 -
 BELANJA
VOL JUMLAH
JUMLAH ANGGARAN
HARGA NO TGL
LALU INI SD.INI LALU
BUKTI BUKTI
6=3X5 7 8 9=7+8 10 11 12 13
1,800,000 1,200,000
1,800,000 8000 4000 12,000 150 1,200,000

21,720,000 0 18,120,000
21,720,000 0 18,120,000
43,920,000 1208 240 1,448 15,000 18,120,000

51,711,527 28,550,000
51,711,527 28,550,000
51,711,527 94 85 179 28,550,000
- 30 38 68 2,700,000 6,650,000
- 24 16 40 950,000 7,300,000
- 20 11 31 1,050,000 7,600,000
- 10 10 20 1,050,000 3,800,000
- 8 8 16 3,000,000
- 2 2 4 200,000

Plt Pejabat Pelaksana Teknis Kegiatan ( PPTK )

H.Jenal Mutakin,S.Kep,M.Kes
Nip 19701141994031001
92)

BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

74,673,200 168,315,700 553,527

6,400,000 19,200,000 -
6,400,000 19,200,000 -
4,000,000 12,000,000 0 -

2,400,000 7,200,000 0 -

68,273,200 149,115,700 553,527

5,142,200 14,226,700 -
3,196,700 9,096,700 -
840,000 2,200,000 0 -
480,000 960,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
200,000 600,000 0 -
128,000 320,000 0 -
99,000 330,000 0 -
89,200 178,400 0 -
22,000 66,000 0 -
16,500 66,000 0 -
30,000 75,000 0 -
74,000 222,000 0 -
60,000 360,000 0 -
180,000 480,000 0 -
240,000 720,000 0 -
- 10,300 0 -
- 20,000 0 -
89,000 178,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

- 260,000 0 -
26,000 26,000 0 -
- 26,000 0 -
- 34,000 0 -
- 92,000 0 -
23,000 46,000 0 -
- 27,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

504,500 1,000,000 -

75,000 150,000 0 -
240,000 480,000 0 -
51,000 85,000 0 -
60,000 90,000 0 -
28,000 84,000 0 -
20,000 50,000 0 -
30,500 61,000 0 -

324,000 960,000 -
204,000 600,000 0 -
120,000 360,000 0 -

1,117,000 3,170,000 -
80,000 240,000 0 -
30,000 90,000 0 -
24,000 96,000 0 -
76,000 228,000 0 -
120,000 360,000 0 -
100,000 300,000 0 -
60,000 180,000 0 -
128,000 384,000 0 -
25,000 125,000 0 -
245,000 525,000 0 -
36,000 108,000 0 -
54,000 180,000 0 -
135,000 315,000 0 -
- 27,000 0 -
4,000 12,000 0 -

29,968,000 47,456,000 -
6,000,000 18,000,000 0 -
144,000 432,000 0 -
2,600,000 7,800,000 0 -
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

21,224,000 21,224,000 12 -

5,863,000 12,263,000 492,000

3,600,000 10,000,000 -

- 5,600,000 0 -
1,200,000 1,200,000 0 -
1,200,000 2,000,000 0 -
1,200,000 1,200,000 0 -
2,263,000 2,263,000 492,000
549,000 549,000 0 -
1,714,000 1,714,000 0 492,000
BELANJA SISA
JUMLAH
VOL JUMLAH
INI SD. INI

14 15=11+14 16=3-9 17=6-15

600,000 1,800,000 -
600,000 1,800,000 0 -

3,600,000 21,720,000 -
3,600,000 21,720,000 -
3,600,000 21,720,000 0 -

23,100,000 51,650,000 61,527

51,650,000 61,527
23,100,000 51,650,000 61,527
9,550,000 16,200,000
3,600,000 10,900,000
3,650,000 11,250,000
3,500,000 7,300,000
2,100,000 5,100,000
700,000 900,000

Pandeglang, Desember 2018

Pembantu Bendahara Pengeluaran

Yuni Wahyuni,S.Tr .Keb

NIP. 19780804 199701 2 007